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DATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN

UPTD PUSKESMAS MALEBER


DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN DESEMBER 2022
- - -
STOK AWAL DESEMBER 2022 JUMLAH PENERIMAAN 2022 PENGELUARAN 2022 SALDO AKHIR 2022

NO NAMA OBAT SATUAN JKN JKN JKN JKN


HARGA SATUAN HARGA SATUAN HARGA SATUAN
(RP) BANYAKNYA (RP) BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA NILAI RP. (RP) BANYAKNYA NILAI RP.

A. O B A T
1 Air Raksa Dental Use Botol - - - - - - - - - - - -
2 Albendazole Tablet 400 mg Tablet - - - - - - - - - - - -
3 Albendazole susp 200 mg/5 ml Botol - - - - - - - - - - - -
4 Alopurinol Tablet 100 mg Tablet 87.00 - - 87.00 1,000.00 87,000.00 87.00 - - 87.00 1,000.00 87,000.00
Alopurinol Tablet 100 mg Tablet 105.00 - - 105.00 - - 105.00 - - 105.00 - -
5 Alopurinol Tablet 300 mg Tablet 200.00 675.00 135,000.00 200.00 - - 200.00 675.00 135,000.00 200.00 - -
6 Alprazolam tablet 1 mg Tablet - - - - - - - - - - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - - 308.00 - - 308.00 - - 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - - 165.00 - - 165.00 - - 165.00 - -
Ambroksol Tablet 30 mg Tablet 110.00 - - 110.00 - - 110.00 - - 110.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - - 3,627.00 - - 3,627.00 - - 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - - 3,790.00 - - 3,790.00 - - 3,790.00 - -
Ambroksol sirup 15 mg/5 ml Botol 2,750.00 - - 2,750.00 - - 2,750.00 - - 2,750.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - - 2,789.00 - - 2,789.00 - - 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - - 139.00 - - 139.00 - - 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - - 91.00 - - 91.00 - - 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - - 143.00 - - 143.00 - - 143.00 - -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 177.00 500.00 88,500.00 177.00 - - 177.00 - - 177.00 500.00 88,500.00
12 Amlodipin Tablet 5 mg Tablet 70.00 - - 70.00 - - 70.00 - - 70.00 - -
Amlodipin Tablet 5 mg Tablet 53.00 1,960.00 103,880.00 53.00 - - 53.00 500.00 26,500.00 53.00 1,460.00 77,380.00
Amlodipin Tablet 5 mg Tablet 53.48 - - 53.48 30,000.00 1,604,400.00 53.48 - 53.48 30,000.00 1,604,400.00
13 Amlodipin Tablet 10 mg Tablet 93.00 - - 93.00 - 93.00 - - 93.00 - -
Amlodipin Tablet 10 mg Tablet 70.00 17,950.00 1,256,571.80 70.00 - - 70.00 - - 70.00 17,950.00 1,256,571.80
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - - 184.00 - - 184.00 - - 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - - 195.00 - - 195.00 - - 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - - 180.00 - - 180.00 - - 180.00 - -
Amoksisillin Kapsul 250 mg Kapsul 374.00 - - 374.00 - - 374.00 - - 374.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 201.00 - - 201.00 25,000.00 5,025,000.00 201.00 - - 201.00 25,000.00 5,025,000.00
Amoksisillin Kaplet 500 mg Kaplet 232.00 - - 232.00 - 232.00 - - 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - - 190.00 - - 190.00 - - 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - - - - - - - - - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - - 3,531.00 - - 3,531.00 - - 3,531.00 - -
Amoksisillin Sirup Kering 125 mg/5ml Botol 2,050.00 - - 2,050.00 - - 2,050.00 - - 2,050.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - - - - - - - - - - -
19 Ampisilin Kapsul 250 mg Kapsul - - - - - - - - - - - -
20 Ampisillin Kaplet 500 mg Tablet - - - - - - - - - - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - - - - - - - - - - -
22 Ampisillin Injeksi 1000 mg Vial - - - - - - - - - - - -
23 Analgetik Plus Tablet - - - - - - - - - - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - - 2,129.00 - - 2,129.00 - - 2,129.00 - -
Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 1,678.60 124.00 208,146.40 1,678.60 - - 1,678.60 - - 1,678.60 124.00 208,146.40
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
54.00 17,100.00 923,400.00 54.00 - - 54.00 1,608.00 86,832.00 54.00 15,492.00 836,568.00

Antasida Doen Tablet, Kombinasi : Magnesium Tablet


Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - - 58.00 - 58.00 - - 58.00 - -

Antasida Doen Tablet, Kombinasi : Magnesium Tablet


Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
54.00 - - 54.00 10,000.00 539,999.99 54.00 - - 54.00 10,000.00 539,999.99
26 Antasida Plus Tablet Tablet 187.00 - - 187.00 - - 187.00 - - 187.00 - -
Antasida Plus Tablet Tablet 264.00 - - 264.00 - - 264.00 - - 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - - 214.00 - - 214.00 - - 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - - 170.00 - - 170.00 - - 170.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 209.00 3,675.00 768,075.00 209.00 - - 209.00 - - 209.00 3,675.00 768,075.00
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - - - - - - - - - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Tube
Basitrasin 500 IU/g + Polimiksin 1000 IU/g - - - - - - - - - - - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - - 3,167.00 - - 3,167.00 - - 3,167.00 - -
Anti Hemoroid Doen komb Supp 3,250.00 - - 3,250.00 - - 3,250.00 - - 3,250.00 - -
31 Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 3,477.10 43.00 149,515.30 3,477.10 - - 3,477.10 - - 3,477.10 43.00 149,515.30
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,158.00 - - 4,158.00 - - 4,158.00 - - 4,158.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,323.00 - - 4,323.00 - - 4,323.00 - - 4,323.00 - -
Anti Fungi DOEN Kombinasi : Pot
Asam Benzoat 6% + Asam Salisilat 3% 3,509.00 - - 3,509.00 300.00 1,052,700.00 3,509.00 - 3,509.00 300.00 1,052,700.00
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
- - - - - - - - - - - -
33 Anti Diare Suspensi Botol - - - - - - - - - - -
34 Anti Diare Tablet Tablet - - - - - - - - - - - -
35 Anti Dotum Oral Tablet Tablet - - - - - - - - - - - -
36 Anti Hipertensi Kapsul Tablet - - - - - - - - - - - -
37 Antihistamin Tablet kombinasi Tablet 429.00 8,237.00 3,533,673.00 429.00 - - 429.00 - - 429.00 8,237.00 3,533,673.00
38 Antispasmodik Tablet Tablet 1,188.00 - - 1,188.00 - - 1,188.00 - - 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - - 11,400.00 - - 11,400.00 - - 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - - 8,000.00 - - 8,000.00 - - 8,000.00 - -
40 Antitusiva Tablet Tablet - - - - - - - - - - - -
41 Asam Folat Tablet 1 mg Tablet - - - - - - - - - - - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - - - - - - - - - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - - 104.01 - - 104.01 - - 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - - 103.00 - - 103.00 - - 103.00 - -
Asam Mefenamat Kapsul 500 mg Kapsul 249.70 - - 249.70 - - 249.70 - - 249.70 - -
Asam Mefenamat Kapsul 500 mg Kapsul 496.03 - - 496.03 8,000.00 3,968,201.16 496.03 - 496.03 8,000.00 3,968,201.16
44 Acetylsistein tablet Tablet 304.00 - - 304.00 3,600.00 1,094,400.00 304.00 - - 304.00 3,600.00 1,094,400.00
45 Asetosal Tablet 80 mg Tablet - - - - - - - - - - - -
46 Asetosal Tablet 100 mg Tablet - - - - - - - - - - -
47 Asetosal Tablet 500 mg Tablet - - - - - - - - - - -
48 Asiklovir Krim 5 % Tube - - - - - - - - - - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - - 236.00 - - 236.00 - - 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - - - - - - - - - - -
51 Attapulgit Tablet 152.00 - - 152.00 - - 152.00 - - 152.00 - -
Attapulgit Tablet 145.00 - - 145.00 - - 145.00 - - 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - - 1,540.00 - - 1,540.00 - - 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - - 2,860.00 - - 2,860.00 - - 2,860.00 - -
54 Bahan Tambal Sementara Set - - - - - - - - - - - -
55 Benzatin Benzil Penisilin injeksi Vial - - - - - - - - - - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - - 110.00 - - 110.00 - - 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - - 149.00 - - 149.00 - - 149.00 - -
Betahistin Mesilat 6 mg Tablet 89.00 - - 89.00 2,000.00 177,994.00 89.00 - - 89.00 2,000.00 177,994.00
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - - 1,340.00 - - 1,340.00 - - 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - - 1,380.00 - - 1,380.00 - - 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - - 1,349.00 - - 1,349.00 - - 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - - - - - - - - - -
Bisakodil Tablet 5mg Tablet 216.00 - - 216.00 200.00 43,200.09 216.00 - - 216.00 200.00 43,200.09
59 Bisoprolol Tablet 5 mg Tablet - - - - - - - - - - - -
60 Bromheksin 8 mg Tablet - - - - - - - - - - - -
Bromheksin 8 mg Tablet 253.00 - - 253.00 - - 253.00 - - 253.00 - -
61 Cresotin Pasta Botol - - - - - - - - - - - -
62 Cresotin Liquid No 2 Botol - - - - - - - - - - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - - 1,097.00 - - 1,097.00 - - 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet 133.10 - - 133.10 - - 133.10 - - 133.10 - -
Deksametason Tablet 0,5 mg Tablet 41.00 - - 41.00 - - 41.00 - - 41.00 - -
Deksametason Tablet 0,5 mg Tablet 66.00 - - 66.00 10,000.00 660,000.00 66.00 40.00 2,640.00 66.00 9,960.00 657,360.00
65 Devitalisasi Pasta (Non Arsen) Botol - - - - - - - - - - - -
66 Diazepam tablet 2 mg Tablet - - - - - - - - - - - -
67 Diazepam tablet 5 mg Tablet - - - - - - - - - - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - - 1,735.00 - - 1,735.00 - - 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - - - - - - - - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - - - - - - - - - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - - - - - - - - - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - - - - - - - - - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - - 1,176.00 - - 1,176.00 - - 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - - 104.00 - - 104.00 - - 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - - 105.00 - - 105.00 - - 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - - 99.00 - - 99.00 - - 99.00 - -
Dimenhidrinat Tablet 50 mg Tablet 109.00 - - 109.00 1,000.00 108,999.78 109.00 - 109.00 1,000.00 108,999.78
75 Domperidon Tablet 10 mg Tablet 91.00 - - 91.00 - - 91.00 - - 91.00 - -
Domperidon Tablet 10 mg Tablet 71.00 - - 71.00 - - 71.00 - - 71.00 - -
Domperidon Tablet 10 mg Tablet 289.00 - - 289.00 990.00 286,110.00 289.00 - 289.00 990.00 286,110.00
76 Donperidon Suspensi 5 mg/5ml Botol 2,295.07 88.00 201,966.16 2,295.07 - - 2,295.07 - - 2,295.07 88.00 201,966.16
77 Efedrin Hcl Tablet 25 mg Tablet - - - - - - - - - - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - - - - - - - - - - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408.00 - - 1,408.00 - 1,408.00 - - 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - - 557.00 - - 557.00 - - 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - - - - - - - - - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - - - - - - - - - -
83 Etambutol Tablet 500 mg Tablet - - - - - - - - - - - -
84 Etanol 70 % 100 ml Botol - - - - - - - - - - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - - 246,400.00 - - 246,400.00 - - 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - - 18,824.00 - - 18,824.00 - - 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - - 152.00 - - 152.00 - - 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - - 154.00 - - 154.00 - - 154.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 484.00 30.00 14,520.00 484.00 - - 484.00 - - 484.00 30.00 14,520.00
88 Fenobarbital tablet 30 mg Tablet 171.00 415.00 70,965.00 171.00 - - 171.00 - - 171.00 415.00 70,965.00
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - - 1,857.00 - - 1,857.00 - - 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - - - - - - - - - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - - 350.00 - - 350.00 - - 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - - - - - - - - - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - - 605.00 - - 605.00 - - 605.00 - -
92 Fenol Gliserol TK Botol 3,330.00 - - 3,330.00 192.00 639,360.00 3,330.00 30.00 99,900.00 3,330.00 162.00 539,460.00
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - - - - - - - - - - -
94 Flukonazole tablet 150 mg Tablet - - - - - - - - - - - -
95 Fitomenadion tablet 10 mg Tablet 748.00 350.00 261,800.00 748.00 - - 748.00 - - 748.00 350.00 261,800.00
Fitomenadion tablet 10 mg Tablet 695.00 - - 695.00 - - 695.00 - - 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - - 3,682.00 - - 3,682.00 - - 3,682.00 - -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 1,386.00 - - 1,386.00 - - 1,386.00 - - 1,386.00 - -
97 Furosemid Tablet 40 mg Tablet 154.00 360.00 55,440.00 154.00 - - 154.00 - - 154.00 360.00 55,440.00
Furosemid Tablet 40 mg Tablet 144.00 - - 144.00 - 144.00 - - 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - - 1,333.00 - - 1,333.00 - - 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Kantong
Air 260.00 - - 260.00 - - 260.00 - - 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 274.00 - - 274.00 - - 274.00 - - 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - - 769.00 - - 769.00 - - 769.00 - -
101 Gentian Violet Botol - - - - - - - - - - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - - - - - - - - - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - - 1,830.00 - - 1,830.00 - - 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - - 2,115.00 - - 2,115.00 - - 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - - 2,376.00 - - 2,376.00 - - 2,376.00 - -
104 Glass Ionomer Set - - - - - - - - - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - - 119.00 - - 119.00 - - 119.00 - -
Glibenklamid Tablet 5 mg Tablet 83.00 - - 83.00 - - 83.00 - - 83.00 - -
106 Glimepiride 2 mg Tablet 123.00 - - 123.00 15,000.00 1,844,999.70 123.00 - - 123.00 15,000.00 1,844,999.70
Glimepiride 2 mg Tablet 231.00 - - 231.00 - - 231.00 - - 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - - - - - - - - - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - - 87.00 - - 87.00 - - 87.00 - -
108 Gliseril Guayakolat sirup Botol - - - - - - - - - - - -
Gliseril Guayakolat sirup Botol 7,000.00 - - 7,000.00 - - 7,000.00 - - 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - - 10,351.00 - - 10,351.00 - - 10,351.00 - -
Glukonas Kalsikus injeksi Ampul 5,775.00 - - 5,775.00 24.00 138,600.00 5,775.00 - 5,775.00 24.00 138,600.00
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - - 6,900.00 - - 6,900.00 - - 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - - - - - - - - - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 - - 210.00 - 210.00 - - 210.00 - -
Griseofulvin Tablet 500 mg,micronized Tablet 1,264.00 - - 1,264.00 3,000.00 3,792,000.00 1,264.00 - 1,264.00 3,000.00 3,792,000.00
113 Haloperidol Tablet 0,5 mg Tablet 47.00 - - 47.00 - - 47.00 - - 47.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - - 58.00 - - 58.00 - - 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - - 56.00 - - 56.00 - - 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 51.00 - - 51.00 - - 51.00 - - 51.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - - 66.00 - - 66.00 - - 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - - 61.00 - - 61.00 - - 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - - 56.00 - 56.00 - - 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - - - - - - - - - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - - 101,300.00 - - 101,300.00 - - 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - - 155.00 - - 155.00 - - 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - - 149.00 - 149.00 - - 149.00 - -
119 Hidrokortison Krim 2,5 % Tube 2,325.40 - - 2,325.40 - - 2,325.40 - - 2,325.40 - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - - 2,650.00 - - 2,650.00 - - 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - - 2,639.00 - - 2,639.00 - - 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,347.00 - - 2,347.00 408.00 957,575.91 2,347.00 - - 2,347.00 408.00 957,575.91
120 Ibuprofen Tablet 200 mg Tablet 102.00 - - 102.00 - - 102.00 - - 102.00 - -
Ibuprofen Tablet 200 mg Tablet 138.00 3,902.00 538,476.00 138.00 - - 138.00 - - 138.00 3,902.00 538,476.00
121 Ibuprofen Tablet 400 mg Tablet 191.00 - - 191.00 - - 191.00 - - 191.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - - 308.00 - - 308.00 - - 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - - 2,365.00 - - 2,365.00 - - 2,365.00 - -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,236.00 - - 2,236.00 - - 2,236.00 - - 2,236.00 - -
123 Ichtyol salep Kulit Pot - - - - - - - - - - - -
124 Isoniazid tablet 100 mg Tablet - - - - - - - - - - - -
125 Isoniazid tablet 300 mg Tablet - - - - - - - - - - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - - 89.00 - - 89.00 - - 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - - 88.00 - - 88.00 - - 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - - - - - - - - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - - 275.00 - - 275.00 - - 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - - 385.00 - - 385.00 - - 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - - - - - - - - - - -
130 Kalsium Laktat Tablet 500 mg Tablet 61.00 - - 61.00 20,000.00 1,219,999.89 61.00 - - 61.00 20,000.00 1,219,999.89
Kalsium Laktat Tablet 500 mg Tablet 63.00 1,660.00 104,580.00 63.00 - - 63.00 - - 63.00 1,660.00 104,580.00
131 Kaptopril 12,5 mg Tablet 66.00 - - 66.00 - - 66.00 - - 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - - 187.00 - - 187.00 - - 187.00 - -
Kaptopril 25 mg Tablet 75.00 - - 75.00 - - 75.00 - - 75.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - - 230.00 - - 230.00 - - 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - - - - - - - - - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - - 2,545.00 - - 2,545.00 - - 2,545.00 - -
Ketokonazole Krim 2 % - 15 gr Tube 2,370.00 - - 2,370.00 96.00 227,520.00 2,370.00 - 2,370.00 96.00 227,520.00
135 Ketokonazole Tablet 200 mg Tablet 455.40 - - 455.40 - - 455.40 - - 455.40 - -
Ketokonazole Tablet 200 mg Tablet 280.00 - - 280.00 - - 280.00 - - 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - - - - - - - - - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - - - - - - - - - - -
138 Ketorolac 10 mg injeksi Ampul - - - - - - - - - - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - - 1,450.00 - - 1,450.00 - - 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - - 715.00 - 715.00 - - 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - - 583.00 - - 583.00 - - 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - - - - - - - - - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - - 4,700.00 - - 4,700.00 - - 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - - 5,015.00 - - 5,015.00 - - 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - - - - - - - - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - - 1,810.00 - - 1,810.00 - - 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube 3,266.00 - - 3,266.00 - - 3,266.00 - - 3,266.00 - -
Kloramfenikol Salep Kulit 2% Tube 3,295.64 - - 3,295.64 120.00 395,476.80 3,295.64 - - 3,295.64 120.00 395,476.80
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 4.00 25,608.00 6,402.00 - - 6,402.00 - - 6,402.00 4.00 25,608.00
Kloramfenikol Tetes Mata -5 ml Botol 11,000.00 - - 11,000.00 - - 11,000.00 - - 11,000.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - - 6,402.00 - - 6,402.00 - - 6,402.00 - -
Kloramfenikol Tetes Telinga 3%-5 ml Botol 7,700.00 - - 7,700.00 - - 7,700.00 - - 7,700.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - - - - - - - - - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - - 42.00 - - 42.00 - - 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - - 37.00 - - 37.00 - - 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - - 23.00 - - 23.00 - - 23.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 33.00 - - 33.00 - - 33.00 - - 33.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 45.00 - - 45.00 25,000.00 1,125,000.00 45.00 - - 45.00 25,000.00 1,125,000.00
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - - - - - - - - - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - - 147.00 - - 147.00 - - 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - - 1,510.00 - - 1,510.00 - - 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Sulphate for inhalation 2,5 ml Vial
4,550.00 - - 4,550.00 - - 4,550.00 - - 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - - - - - - - - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - 262.00 - - - - - - - - 262.00 -
155 Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg Tablet
123.00 - - 123.00 - - 123.00 4.00 492.00 123.00 (4.00) (492.00)
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg Tablet
151.00 - - 151.00 - - 151.00 - - 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - - 129.00 - - 129.00 - - 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi : Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml
- - - - - - - - - - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - - 303.00 - - 303.00 - - 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 385.00 122,815.00 319.00 - - 319.00 - - 319.00 385.00 122,815.00
Lansoprazole 30 mg Kapsul Tablet 323.00 - - 323.00 - - 323.00 - - 323.00 - -
Lansoprazole 30 mg Kapsul Tablet 278.00 - - 278.00 3,000.00 833,999.40 278.00 - - 278.00 3,000.00 833,999.40
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - - - - - - - - - - -
159 Larutan mengadung Elektrolit
(Nacl 1,125 gr , Dekstrosa 18,75 gr) Botol
9,644.00 - - 9,644.00 - - 9,644.00 - - 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - - 10,696.00 - - 10,696.00 - - 10,696.00 - -
161 Lidokain injeksi 2 % Tablet 847.09 - - 847.09 200.00 169,418.04 847.09 - - 847.09 200.00 169,418.04

Lidokain injeksi 2 % Ampul


1,111.00 - - 1,111.00 - - 1,111.00 - - 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - - 1,152.00 - - 1,152.00 - - 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi : Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 860.00 - - 860.00 - - 860.00 - - 860.00 - -
163 Lidokain Spray Botol - - - - - - - - - - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - - 120.00 - - 120.00 - - 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 500.00 40,150.00 80.30 - - 80.30 - - 80.30 500.00 40,150.00
165 Loratadin tablet 10 mg Tablet 109.00 - - 109.00 - - 109.00 - - 109.00 - -
Loratadin tablet 10 mg Tablet 131.00 - - 131.00 - - 131.00 - - 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - - 3,328.00 - - 3,328.00 - - 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - - 80.00 - - 80.00 - - 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - - 3,200.00 - 3,200.00 - - 3,200.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,580.50 - - 3,580.50 - - 3,580.50 - - 3,580.50 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - - 3,796.00 - - 3,796.00 - - 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 4,089.80 - - 4,089.80 - - 4,089.80 - - 4,089.80 - -
168 MB Anak Blister - - - - - - - - - - -
169 MB Dewasa Blister - - - - - - - - - - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - - 700.00 - - 700.00 - - 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 110.00 77,770.00 707.00 - - 707.00 - - 707.00 110.00 77,770.00
Meloksikam tablet 15 mg Tablet 187.00 - - 187.00 - - 187.00 - - 187.00 - -
171 Meloksikam Suppositoria Supp - - - - - - - - - - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - - 96.00 - - 96.00 - - 96.00 - -
Metformin Hcl Tablet 500 mg Tablet 77.00 - - 77.00 20,000.00 1,540,000.00 77.00 - - 77.00 20,000.00 1,540,000.00
173 Metformin 850 mg Tablet 150.00 - - 150.00 - - 150.00 - - 150.00 - -
Metformin 850 mg Tablet 154.39 - - 154.39 5,000.00 771,950.00 154.39 - 154.39 5,000.00 771,950.00
174 Metildopa 250 mg tablet Tablet 946.00 3,350.00 3,169,100.00 946.00 - - 946.00 - - 946.00 3,350.00 3,169,100.00
Metildopa 250 mg tablet Tablet 985.00 1,940.00 1,910,900.00 985.00 - - 985.00 - - 985.00 1,940.00 1,910,900.00
175 Methisoprinol 500 mg Tablet 3,300.00 - - 3,300.00 - - 3,300.00 - - 3,300.00 - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
214.00 - - 214.00 - - 214.00 - - 214.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 100.00 42,000.00 420.00 - - 420.00 - - 420.00 100.00 42,000.00

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


216.00 - - 216.00 300.00 64,799.58 216.00 - 216.00 300.00 64,799.58
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 1,023.00 - - 1,023.00 - - 1,023.00 - - 1,023.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - - 2,849.00 - - 2,849.00 - - 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet 330.00 - - 330.00 - - 330.00 - - 330.00 - -
Metilprednisolon tablet 4 mg Tablet 102.00 - - 102.00 5,000.00 510,000.00 102.00 - 102.00 5,000.00 510,000.00
179 Metoklopramid 10 mg Tablet 80.00 - - 80.00 - - 80.00 - - 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - - 90.00 - - 90.00 - - 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - - 87.00 - - 87.00 - - 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - - - - - - - - - - -
181 Metronidazol Tablet 250 mg Tablet - - - - - - - - - - - -
182 Metronidazole Tablet 500 mg Tablet 133.00 - - 133.00 - - 133.00 - - 133.00 - -
Metronidazole Tablet 500 mg Tablet 211.00 - - 211.00 10,000.00 2,110,000.00 211.00 - - 211.00 10,000.00 2,110,000.00
183 Metronidazole sirup 125 mg/ml Botol - - - - - - - - - - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - - 8,110.00 - 8,110.00 - - 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - - - - - - - - - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - - 3,250.00 - - 3,250.00 - - 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - - - - - - - - - - -
Multivitamin + Mineral tablet Tablet 800.00 - - 800.00 - - 800.00 - - 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - - 825.00 - 825.00 - - 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - - 6,793.00 - - 6,793.00 - - 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - - 7,603.20 - - 7,603.20 - - 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - - 7,150.00 - - 7,150.00 - - 7,150.00 - -
188 Mummifying Pasta Botol - - - - - - - - - - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - - - - - - - - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - - 128.00 - - 128.00 - - 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - - 145.00 - - 145.00 - - 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet 99.00 - - 99.00 - - 99.00 - - 99.00 - -
Natrium Diklofenak Tablet 50 mg Tablet 100.00 - - 100.00 15,000.00 1,500,000.00 100.00 - 100.00 15,000.00 1,500,000.00
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - - 6,410.00 - - 6,410.00 - - 6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - - - - - - - - - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - - 13,500.00 - - 13,500.00 - - 13,500.00 - -
Nistatin suspensi 100.000 IU/ml Botol 11,500.00 - - 11,500.00 - - 11,500.00 - - 11,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - - 560.00 - - 560.00 - - 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - - 598.00 - 598.00 - - 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - - 790.00 - - 790.00 - - 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - - 843.00 - - 843.00 - - 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - - - - - - - - - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - - - - - - - - - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - - - - - - - - - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - - - - - - - - - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - - - - - - - - - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - - - - - - - - - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - - - - - - - - - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - - - - - - - - - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - - - - - - - - - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - - 6,479.00 - - 6,479.00 - - 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - - 6,759.00 - - 6,759.00 - - 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - - - - - - - - - - -
208 Obat Flu Sirup Botol - - - - - - - - - - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - - - - - - - - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - - - - - - - - - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - - 1,969.00 - - 1,969.00 - - 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - - 2,005.00 - - 2,005.00 - - 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - - 2,640.00 - - 2,640.00 - - 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - - 1,199.00 - - 1,199.00 - - 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - - 1,900.00 - - 1,900.00 - - 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - - 9,898.00 - - 9,898.00 - - 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet 129.00 - - 129.00 6,000.00 773,999.89 129.00 - - 129.00 6,000.00 773,999.89
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - - 1,070.00 - - 1,070.00 - - 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - - 6,649.00 - - 6,649.00 - - 6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - - 8,693.00 - - 8,693.00 - - 8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,160.50 - - 1,160.50 - - 1,160.50 - - 1,160.50 - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - - 1,181.00 - - 1,181.00 - - 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - - - - - - - - - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 25,294.00 4,173,510.00 165.00 - - 165.00 - - 165.00 25,294.00 4,173,510.00
Parasetamol Tablet 500 mg Tablet 143.00 - - 143.00 - - 143.00 - - 143.00 - -
Parasetamol Tablet 500 mg Tablet 278.00 - - 278.00 40,000.00 11,119,999.98 278.00 - 278.00 40,000.00 11,119,999.98
220 PB Anak Blister - - - - - - - - - - - -
221 PB Dewasa Blister - - - - - - - - - - - -
222 Pehacain injeksi Ampul 3,113.00 - - 3,113.00 - - 3,113.00 - - 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - - 3,000.00 - - 3,000.00 - - 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - - 20,700.00 - - 20,700.00 - - 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - - 11,825.00 - - 11,825.00 - - 11,825.00 - -
Permetrin krim 5 % Tube 11,466.00 - - 11,466.00 150.00 1,719,900.00 11,466.00 - 11,466.00 150.00 1,719,900.00
225 Piracetam Tablet 400 mg Tablet - - - - - - - - - - - -
226 Piracetam Tablet 800 mg Tablet - - - - - - - - - - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - - 165.00 - - 165.00 - - 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - - 130.00 - - 130.00 - - 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Basa) Tablet
- 6,116.00 - - - - - - - - 6,116.00 -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 128.70 - - 128.70 - - 128.70 - - 128.70 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - - 118.00 - - 118.00 - - 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118 - - 118.00 - 118.00 - - 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - - 3,045.00 - - 3,045.00 - - 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - - 3,361.00 - - 3,361.00 - - 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - - 3,885.00 - - 3,885.00 - - 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - - 22,049.00 - - 22,049.00 - - 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - - 18,900.00 - - 18,900.00 - - 18,900.00 - -
Povidon Iodida 10% 300 ml Botol 25,850.00 - - 25,850.00 - - 25,850.00 - - 25,850.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - - 76.00 - - 76.00 - - 76.00 - -
Prednison Tablet 5 mg Tablet 68.00 - - 68.00 - - 68.00 - - 68.00 - -
235 Primakuin tablet 15 mg Tablet - - - - - - - - - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - - - - - - - - - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - - 76.00 - - 76.00 - - 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - - 74.00 - - 74.00 - - 74.00 - -
238 Propilturasil Tablet 100 mg Tablet 385.00 - - 385.00 - - 385.00 - - 385.00 - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - - 1,155.00 - - 1,155.00 - - 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet 85.00 - - 85.00 5,000.00 425,000.13 85.00 - - 85.00 5,000.00 425,000.13
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - - 288.00 - 288.00 - - 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - - 517.00 - - 517.00 - - 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - - 508.00 - - 508.00 - - 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - - - - - - - - - - -
244 Rifampisin Tablet 450 mg Tablet - - - - - - - - - - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 - - 7,630.00 - - 7,630.00 - - 7,630.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - - 63.00 - - 63.00 - - 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 67.00 4,489.00 67.00 - - 67.00 - - 67.00 67.00 4,489.00
Salbutamol Tablet 2 mg Tablet 117.70 - - 117.70 - - 117.70 - - 117.70 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - - 70.00 - - 70.00 - - 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - - 87.00 - - 87.00 - - 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 480.00 47,520.00 99.00 - - 99.00 - - 99.00 480.00 47,520.00
Salbutamol Tablet 4 mg Tablet 161.70 - - 161.70 - - 161.70 - - 161.70 - -
248 Salbutamol solution for Inhalation single dose units 2,5
ml Ampul
- - - - - - - - - - - -
249
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,333.09 8.00 18,664.72 2,333.09 288.00 671,930.01 2,333.09 - - 2,333.09 296.00 690,594.73

Salep 2-4 Kombinasi : Pot


Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - - 2,797.00 - - 2,797.00 - - 2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 150.00 153,750.00 1,025.00 - - 1,025.00 - - 1,025.00 150.00 153,750.00
Salisil bedak 2% -50 gr Kotak 1,925.00 - - 1,925.00 - - 1,925.00 - - 1,925.00 - -
251 Salep Luka Bakar Tube 11,500.00 - - 11,500.00 - - 11,500.00 - - 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - - 10,958.00 - - 10,958.00 - - 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - - 3,922.00 - - 3,922.00 - - 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - - 478.00 - - 478.00 - - 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - - 594.00 - - 594.00 - - 594.00 - -
Sefadroksil Tablet 500 mg Tablet 830.00 - - 830.00 5,000.00 4,150,000.00 830.00 - 830.00 5,000.00 4,150,000.00
254 Sefiksim Kapsul 100 mg Kapsul - - - - - - - - - - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - - - - - - - - - -
256 Sefotaksim Injeksi 1 gr Ampul - - - - - - - - - - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - - 4,483.00 - - 4,483.00 - - 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - - - - - - - - - - -
259 Setirizin Tablet 10 mg Tablet 49.01 - - 49.01 - - 49.01 - - 49.01 - -
Setirizin Tablet 10 mg Tablet 143.00 - - 143.00 - - 143.00 - - 143.00 - -
Setirizin Tablet 10 mg Tablet 49.45 - - 49.45 30,000.00 1,483,500.00 49.45 - 49.45 30,000.00 1,483,500.00
260 Setirizin Sirup 5 mg / 5 ml Botol 2,090.00 - - 2,090.00 - - 2,090.00 - - 2,090.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - - 2,915.00 - - 2,915.00 - - 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 969.00 - - 969.00 - - 969.00 - - 969.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet 43.00 - - 43.00 - - 43.00 - - 43.00 - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - - 51.00 - - 51.00 - - 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - - - - - - - - - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - - 363.00 - - 363.00 - - 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 68.00 - - 68.00 - - 68.00 - - 68.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - - 111.00 - - 111.00 - - 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - - 131.00 - - 131.00 - - 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - - 281.00 - - 281.00 - - 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - - 240.00 - - 240.00 - - 240.00 - -
Siprofloksasin 500mg Tablet 248.00 830.00 205,839.98 248.00 1,000.00 247,999.97 248.00 16.00 3,968.00 248.00 1,814.00 449,871.95
267 Spironolakton Tablet 25 mg Tablet 190.00 - - 190.00 - - 190.00 - - 190.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - - 244.00 - - 244.00 - - 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - - - - - - - - - - -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet
353.00 - - 353.00 - - 353.00 - - 353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Cairan Set
- - - - - - - - - - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - - - - - - - - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - - - - - - - - - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - - 303.00 - - 303.00 - - 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - - 310.00 - - 310.00 - - 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - - - - - - - - - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 184.80 - - 184.80 - - 184.80 - - 184.80 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - - 82.00 - - 82.00 - - 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - - 91.00 - 91.00 - - 91.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 - - 86.00 15,000.00 1,290,000.00 86.00 - - 86.00 15,000.00 1,290,000.00
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - - 913.00 - - 913.00 - - 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - - - - - - - - - - -
278 Tramadol Tablet 50 mg Tablet - - - - - - - - - - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - - 85.00 - - 85.00 - - 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 64,726.00 5,178,080.00 80.00 - - 80.00 - - 80.00 64,726.00 5,178,080.00
280 Vitamin B .Komplek Tablet Tablet 55.00 - - 55.00 - - 55.00 - - 55.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 11,607.00 1,334,805.00 115.00 - - 115.00 - - 115.00 11,607.00 1,334,805.00
281 Vitamin Neurotropik Tablet Tablet 440.00 - - 440.00 - - 440.00 - - 440.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - - 660.00 - - 660.00 - - 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - - 865.70 - - 865.70 - - 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - - 524.00 - - 524.00 - - 524.00 - -
Zinc Tablet 20 mg Tablet 208.00 - - 208.00 - - 208.00 - - 208.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - - 3,171.00 - - 3,171.00 - - 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - - 2,972.00 - - 2,972.00 - - 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - - 139.00 - 139.00 - - 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 950.00 49,400.00 52.00 - - 52.00 - - 52.00 950.00 49,400.00
Asam Folat Tablet 0,4 mg Tablet 56.00 - - 56.00 - - 56.00 - - 56.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,519.90 96.00 433,910.40 4,519.90 - - 4,519.90 - - 4,519.90 96.00 433,910.40
Gentamisin Sulfat tetes mata 0,3% Botol 4,560.99 - - 4,560.99 - - 4,560.99 - - 4,560.99 - -
287 Obat Kumur Botol 16,962.00 - - 16,962.00 - - 16,962.00 - - 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - - 12,793.00 - - 12,793.00 - - 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - - 13,200.00 - - 13,200.00 - - 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - - 52.00 - - 52.00 - - 52.00 - -
Propanolol 10mg Tablet 60.00 - - 60.00 - - 60.00 - - 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - - 34,000.00 - - 34,000.00 - - 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - - 5,670.00 - - 5,670.00 - - 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - - 36,000.00 - - 36,000.00 - - 36,000.00 - -
Bisakodil Suppositoria 5 mg Supp 5,084.83 - - 5,084.83 12.00 61,018.00 5,084.83 - - 5,084.83 12.00 61,018.00
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - - 9,680.00 - 9,680.00 - - 9,680.00 - -
Obat Batuk Herbal (Herbakof) Botol 17,600.00 500.00 8,800,000.00 17,600.00 - - 17,600.00 - - 17,600.00 500.00 8,800,000.00
Obat Batuk Herbal (Herbakof) Botol 16,563.00 - - 16,563.00 - - 16,563.00 - - 16,563.00 - -
294 Amoksisillin Drops Botol 13,500.00 - - 13,500.00 - - 13,500.00 - - 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - - 416.20 - - 416.20 - - 416.20 - -
296 Simvastatin 20mg Tablet 150.00 - - 150.00 - - 150.00 - - 150.00 - -
297 Klozapine 25mg Tablet 473.00 - - 473.00 - - 473.00 - - 473.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - - 626.00 - - 626.00 - - 626.00 - -
Bisoprolol 2,5mg Tablet 124.00 - - 124.00 2,000.00 248,000.00 124.00 - 124.00 2,000.00 248,000.00
299 Vitamin C 500mg Tablet 489.50 29,744.00 14,559,688.00 489.50 - - 489.50 - - 489.50 29,744.00 14,559,688.00
RAMVIT-C C 500mg Tablet 225.00 - - 225.00 - - 225.00 300.00 67,500.00 225.00 (300.00) (67,500.00)
300 Vitamin D 1000 IU Tablet 2,502.50 34,616.00 86,626,540.00 2,502.50 - - 2,502.50 - - 2,502.50 34,616.00 86,626,540.00
301 Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
Tablet
Acid 979.00 - - 979.00 - - 979.00 - - 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 388.00 4,850,000.00 12,500.00 - - 12,500.00 - - 12,500.00 388.00 4,850,000.00
Multivitamin Syrup Tablet 12,100.00 - - 12,100.00 - - 12,100.00 - - 12,100.00 - -
303 Risperidon 2 mg Tablet 123.00 2,407.00 296,061.00 123.00 - - 123.00 - - 123.00 2,407.00 296,061.00
304 Alpara Kaplet Kaplet 757.02 - - 757.02 - - 757.02 - - 757.02 - -
305 Asam Traneksamat Tablet 742.50 - - 742.50 1,000.00 742,500.00 742.50 - - 742.50 1,000.00 742,500.00
Novapharin Tablet 266.00 - - 266.00 10,000.00 2,660,000.00 266.00 - - 266.00 10,000.00 2,660,000.00
FORNERO TABLET Tablet 504.00 - - 504.00 10,000.00 5,040,000.00 504.00 - - 504.00 10,000.00 5,040,000.00
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - - - - - - - - - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,930.00 - - 6,930.00 - - 6,930.00 - - 6,930.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - - 8,700.00 - - 8,700.00 - - 8,700.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,624.00 - - 8,624.00 - - 8,624.00 - - 8,624.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - - 12,631.00 - - 12,631.00 - - 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - - 8,700.00 - - 8,700.00 - - 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - - 6,239.00 - - 6,239.00 - - 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - - 8,699.99 - - 8,699.99 - - 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - - 8,699.99 - - 8,699.99 - - 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - - 8,700.00 - - 8,700.00 - - 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - - 805,950.00 - - 805,950.00 - - 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - - 886,545.00 - - 886,545.00 - - 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - - 652.10 - - 652.10 - - 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - - 809.00 - 809.00 - - 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - - 685.14 - - 685.14 - - 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - - 652.30 - - 652.30 - - 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - - 802.00 - - 802.00 - - 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - - 854.00 - - 854.00 - - 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - - 815.15 - - 815.15 - - 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - - 776.60 - - 776.60 - - 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - - 978.77 - - 978.77 - - 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - - 931.70 - - 931.70 - - 931.70 - -
10 Alkohol Swab Kotak 196.80 2,500.00 492,000.00 196.80 - 196.80 - - 196.80 2,500.00 492,000.00
Alkohol Swab Kotak 108.66 - - 108.66 - - 108.66 - - 108.66 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - - 1,354.00 - - 1,354.00 - - 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - - 2,194.50 - - 2,194.50 - - 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - - 1,185.00 - - 1,185.00 - - 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - - 1,583.00 - - 1,583.00 - - 1,583.00 - -
14 Blood Set Set 8,193.00 - - 8,193.00 - - 8,193.00 - - 8,193.00 - -
Blood Set Set 512,000.00 - - 512,000.00 2.00 1,024,000.00 512,000.00 - - 512,000.00 2.00 1,024,000.00
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - - 26,666.67 - - 26,666.67 - - 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - - 320,000.00 - 320,000.00 - - 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 25,009.00 - - 25,009.00 - 25,009.00 - - 25,009.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - - 32,800.00 - - 32,800.00 - - 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - - 40,923.30 - - 40,923.30 - - 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - - 33,538.00 - - 33,538.00 - - 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - - 3,150.00 - - 3,150.00 - - 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - - 26,250.00 - - 26,250.00 - - 26,250.00 - -
Etanol 70 % 1.000 ml Botol 23,595.00 - - 23,595.00 30.00 707,850.00 23,595.00 - 23,595.00 30.00 707,850.00
19 Eter Alkohol Botol - - - - - - - - - - - -
20 Folley Catheter no 14 Set 18,450.00 - - 18,450.00 - - 18,450.00 - - 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - - 18,450.00 - - 18,450.00 - - 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 30.00 608,850.00 20,295.00 - - 20,295.00 - - 20,295.00 30.00 608,850.00
Folley Catheter no 16 Set 9,592.81 - - 9,592.81 - - 9,592.81 - - 9,592.81 - -
22 Folley Catheter no 18 Set 18,450.00 - - 18,450.00 - - 18,450.00 - - 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 30.00 608,850.00 20,295.00 - - 20,295.00 - - 20,295.00 30.00 608,850.00
Folley Catheter no 19 Set 9,592.81 - - 9,592.81 - - 9,592.81 - - 9,592.81 - -
23 Infus set Anak Set 6,457.50 - - 6,457.50 - - 6,457.50 - - 6,457.50 - -
Infus set Anak Set 23,673.00 - - 23,673.00 - - 23,673.00 - - 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - - 5,445.00 - - 5,445.00 - - 5,445.00 - -
Infus set Dewasa Set 9,070.00 - - 9,070.00 - - 9,070.00 - - 9,070.00 - -
Infus set Dewasa Set 6,390.00 - - 6,390.00 - - 6,390.00 - - 6,390.00 - -
Infus set Dewasa Set 6,448.00 - - 6,448.00 100.00 644,800.00 6,448.00 - - 6,448.00 100.00 644,800.00
25 Iodina Test Botol - - - - - - - - - - - -
26 Kaca Slide Pcs - - - - - - - - - - - -
27
Bungkus
Kapas Berlemak 500 gram - - - - - - - - - - - -
28
Bungkus
Kapas Pembalut / Adsorbens 250 gram 20,600.00 - - 20,600.00 - - 20,600.00 - - 20,600.00 - -

Bungkus
Kapas Pembalut / Adsorbens 250 gram 25,410.00 - - 25,410.00 - - 25,410.00 - - 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - - 9,400.00 - - 9,400.00 - - 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - - 9,870.00 - - 9,870.00 - - 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - - 805.00 - - 805.00 - - 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - - 840.00 - - 840.00 - - 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - - 3,800.00 - - 3,800.00 - - 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - - 7,370.00 - 7,370.00 - - 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 100.00 869,000.00 8,690.00 - - 8,690.00 - - 8,690.00 100.00 869,000.00
Kassa Hidrofil Steril 16 x 17 Kotak 17,100.00 - - 17,100.00 - - 17,100.00 - - 17,100.00 - -
33
Bungkus
Kassa Kompres 40 x 40 steril 43,600.00 - - 43,600.00 - - 43,600.00 - - 43,600.00 - -
34 Kertas Puyer Pcs - - - - - - - - - - - -
35 Kertas Saring Lembar - - - - - - - - - - - -
36 Kertas Lensa Lembar - - - - - - - - - - - -
37 Lysol 1,000 ml Botol 43,050.00 - - 43,050.00 - - 43,050.00 - - 43,050.00 - -
38 Masker Buah 438.90 - - 438.90 - - 438.90 - - 438.90 - -
Masker Buah 339.90 - - 339.90 - 339.90 - - 339.90 - -
Masker Ear Loop Buah 2,475.00 - - 2,475.00 - - 2,475.00 - - 2,475.00 - -
Masker Ear Loop Buah 706.52 - - 706.52 8,000.00 5,652,160.00 706.52 - 706.52 8,000.00 5,652,160.00
Masker Head Loop Buah 2,640.00 - - 2,640.00 - - 2,640.00 - - 2,640.00 - -
Masker Rajawali Buah 1,030.00 1,350.00 1,390,500.00 1,030.00 - - 1,030.00 - - 1,030.00 1,350.00 1,390,500.00
Masker Rajawali Buah 431.99 - - 431.99 - - 431.99 - - 431.99 - -
Masker Head Loop Buah 1,140.00 - - 1,140.00 - - 1,140.00 - - 1,140.00 - -
39 Masker N 95 Pcs 6,707.36 - - 6,707.36 - - 6,707.36 - - 6,707.36 - -
Masker N 96 Pcs 147,561.70 - - 147,561.70 - - 147,561.70 - - 147,561.70 - -
40 Minyak Imersi Botol - - - - - - - - - - - -
41 Plester Kertas Rol 15,333.33 - - 15,333.33 - - 15,333.33 - - 15,333.33 - -
42 Polifix Rol 30,000.00 - - 30,000.00 - - 30,000.00 - - 30,000.00 - -
Polifix Rol 39,217.00 - - 39,217.00 - - 39,217.00 - - 39,217.00 - -
Polifix Rol 31,900.00 50.00 1,595,000.00 31,900.00 - - 31,900.00 - - 31,900.00 50.00 1,595,000.00
Polifix Rol 43,600.00 - - 43,600.00 - - 43,600.00 - - 43,600.00 - -
43 Pot Dahak Pcs - - - - - - - - - - - -
44 Rapid 2 HIV Fokus Test - - - - - - - - - - -
45 Rapid HIV 1 (SD HIV) Test - - - - - - - - - - - -
46 Rapid HIV 2 (Intec HIV) Test - - - - - - - - - - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - - - - - - - - - - -
48 Rapid Tes SD Bioline HBSAG Test - - - - - - - - - - - -
49 Rapid Test Syphilis Test - - - - - - - - - - - -
50 Reagen CD 4 Control Test - - - - - - - - - - - -
51 Reagen CD 4 Test - - - - - - - - - - - -
52 Reagen Ziehl Nielsen Botol - - - - - - - - - - - -
53 RPR Test Syphilis Test - - - - - - - - - - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - - 20,610.00 - - 20,610.00 - - 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/0 Sachet 15,229.00 - - 15,229.00 72.00 1,096,488.00 15,229.00 - - 15,229.00 72.00 1,096,488.00
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - - 19,700.00 - - 19,700.00 - - 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - - 22,671.00 - - 22,671.00 - - 22,671.00 - -
55 Safety Box Pcs - - - - - - - - - - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - - 6,595.00 - - 6,595.00 - - 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - - 4,500.00 - - 4,500.00 - - 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 150.00 675,000.00 4,500.00 - - 4,500.00 - - 4,500.00 150.00 675,000.00
Sarung tangan Steril No 7 Pcs 12,100.00 - - 12,100.00 - - 12,100.00 - - 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - - 6,595.00 - - 6,595.00 - - 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 40.00 180,000.00 4,500.00 - - 4,500.00 - - 4,500.00 40.00 180,000.00
Sarung tangan Steril No 7,5 Pcs 12,100.00 100.00 1,210,000.00 12,100.00 - - 12,100.00 - - 12,100.00 100.00 1,210,000.00
Sarung tangan Steril No 7,5 Pcs 8,250.00 - - 8,250.00 - - 8,250.00 - - 8,250.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - - 600.49 - 600.49 - - 600.49 - -
Sarung tangan Non Steril S Pcs 71,152.40 - - 71,152.40 - - 71,152.40 - - 71,152.40 - -
Sarung tangan Non Steril S Pcs 1,320.00 - - 1,320.00 - - 1,320.00 - - 1,320.00 - -
Sarung tangan Non Steril S Pcs 1,225.00 2,700.00 3,307,500.00 1,225.00 - - 1,225.00 - - 1,225.00 2,700.00 3,307,500.00
Sarung tangan Non Steril S Pcs 832.50 - - 832.50 - - 832.50 - - 832.50 - -
60 Sarung tangan Non Steril M Pcs 71,152.40 - - 71,152.40 - - 71,152.40 - - 71,152.40 - -
Sarung tangan Non Steril M Pcs 66,053.90 - - 66,053.90 - - 66,053.90 - - 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - - 1,320.00 - - 1,320.00 - - 1,320.00 - -
Sarung tangan Non Steril M Pcs 1,225.00 4,800.00 5,880,000.00 1,225.00 - - 1,225.00 - - 1,225.00 4,800.00 5,880,000.00
Sarung tangan Non Steril M Pcs 832.50 - - 832.50 - - 832.50 - - 832.50 - -
61 Sarung tangan Non Steril L Pcs 600.49 - - 600.49 - - 600.49 - - 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - - 66,053.90 - - 66,053.90 - - 66,053.90 - -
Sarung tangan Non Steril L Pcs 60,049.00 3,400.00 204,166,600.00 60,049.00 - - 60,049.00 - - 60,049.00 3,400.00 204,166,600.00
Sarung tangan Non Steril L Pcs 832.50 - - 832.50 - - 832.50 - - 832.50 - -
62 Sountimer Buah - - - - - - - - - - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - - 6,106.58 - - 6,106.58 - - 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - - 305,329.00 - - 305,329.00 - - 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - - 6,490.00 - - 6,490.00 - - 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - - 160,000.00 - - 160,000.00 - - 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - - 3,582.48 - - 3,582.48 - - 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - - 23,158.00 - - 23,158.00 - - 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - - 231,000.00 - - 231,000.00 - - 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - - 29,804.50 - - 29,804.50 - - 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - - 250,000.00 - - 250,000.00 - - 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - - 5,086.15 - - 5,086.15 - - 5,086.15 - -
Stik Pemeriksaan Asam Urat Benecheck Test 150,000.00 - - 150,000.00 - - 150,000.00 - - 150,000.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - - 10,966.00 - - 10,966.00 - - 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - - 24,125.20 - 24,125.20 - - 24,125.20 - -
66 Supratul Lembar 10,400.00 - - 10,400.00 - - 10,400.00 - - 10,400.00 - -
67 Urine Bag set 8,070.00 - - 8,070.00 - - 8,070.00 - - 8,070.00 - -
Urine Bag set 3,090.00 - - 3,090.00 - - 3,090.00 - - 3,090.00 - -
Urine Bag set 4,362.04 - - 4,362.04 50.00 218,102.00 4,362.04 - 4,362.04 50.00 218,102.00
68 Wing Neddle No 23 Set - - - - - - - - - - - -
69 Blood Lancet Pcs 14,420.00 - - 14,420.00 - - 14,420.00 - - 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - - 60,800.00 - - 60,800.00 - - 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 30.00 2,006,400.00 66,880.00 - - 66,880.00 - - 66,880.00 30.00 2,006,400.00
Cairan Antiseptik Botol 500 ml Botol 100,100.00 5.00 500,500.00 100,100.00 - - 100,100.00 - - 100,100.00 5.00 500,500.00
Cairan Antiseptik Botol 500 ml Botol 47,000.00 - - 47,000.00 - - 47,000.00 - - 47,000.00 - -
71 Bisturi Pcs 12,681.82 - - 12,681.82 - - 12,681.82 - - 12,681.82 - -
Bisturi Pcs 279,000.00 20.00 5,580,000.00 279,000.00 - - 279,000.00 - - 279,000.00 20.00 5,580,000.00
Bisturi Pcs 3,300.00 - - 3,300.00 - - 3,300.00 - - 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 3.00 1,785,000.00 595,000.00 - - 595,000.00 - - 595,000.00 3.00 1,785,000.00
3 Surface Desintfectan 5L Botol 1,098,900.00 - - 1,098,900.00 - - 1,098,900.00 - - 1,098,900.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 1.00 396,000.00 396,000.00 - - 396,000.00 - - 396,000.00 1.00 396,000.00
High Level Desintfectan/sterald Botol 396,000.00 - - 396,000.00 - - 396,000.00 - - 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - - 712,800.00 - - 712,800.00 - - 712,800.00 - -
75 Gel USG Botol 13,213.20 8.00 105,705.57 13,213.20 - - 13,213.20 - - 13,213.20 8.00 105,705.57
Gel USG Botol 14,880.00 30.00 446,400.00 14,880.00 - - 14,880.00 - - 14,880.00 30.00 446,400.00
Gel USG Botol 14,553.00 - - 14,553.00 - - 14,553.00 - - 14,553.00 - -
76 IV Dressing Pcs 220,000.00 - - 220,000.00 - - 220,000.00 - - 220,000.00 - -
IV Dressing Pcs 2,200.00 - - 2,200.00 - - 2,200.00 - - 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 5.00 36,255.99 7,251.20 - - 7,251.20 - - 7,251.20 5.00 36,255.99
78 Nasal Oxygen Anak Pcs 5,814.00 25.00 145,350.00 5,814.00 - - 5,814.00 - - 5,814.00 25.00 145,350.00
79 Nasal Oxygen Bayi Pcs 5,814.00 100.00 581,400.00 5,814.00 - - 5,814.00 - - 5,814.00 100.00 581,400.00
80 Nasal Oxygen Dewasa Pcs 5,814.00 - - 5,814.00 - - 5,814.00 - - 5,814.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - - 317.24 - - 317.24 - - 317.24 - -
82 Plester Transparan Pcs 1,677.87 - - 1,677.87 - - 1,677.87 - - 1,677.87 - -
83 PP test Pcs 1,997.17 - - 1,997.17 - - 1,997.17 - - 1,997.17 - -
PP test Pcs 2,132.90 500.00 1,066,450.00 2,132.90 - - 2,132.90 - - 2,132.90 500.00 1,066,450.00
PP test Pcs 2,379.30 - - 2,379.30 - - 2,379.30 - - 2,379.30 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - - 6,595.00 - - 6,595.00 - - 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - - 19,940.80 - - 19,940.80 - - 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - - 21,934.00 - - 21,934.00 - - 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - - 8,000.00 - - 8,000.00 - - 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - - 2,678.00 - - 2,678.00 - - 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - - 2,945.80 - - 2,945.80 - - 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - - 1,339.00 - - 1,339.00 - - 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - - 42,872.71 - - 42,872.71 - - 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - - 6,717.24 - 6,717.24 - - 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 100.00 1,206,260.00 12,062.60 - - 12,062.60 - - 12,062.60 100.00 1,206,260.00
91 Stik Hb Test 8,033.64 - - 8,033.64 - - 8,033.64 - - 8,033.64 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - - 1,092,300.00 - - 1,092,300.00 - - 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - - 838,200.00 - - 838,200.00 - - 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - - 678,700.00 - - 678,700.00 - - 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - - 931,700.00 - - 931,700.00 - - 931,700.00 - -
96 GPT Kit 931,700.00 - - 931,700.00 - - 931,700.00 - - 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - - 1,636,800.00 - - 1,636,800.00 - - 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - - 1,133,000.00 - - 1,133,000.00 - - 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - - 1,246,300.00 - - 1,246,300.00 - - 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - - 682,000.00 - - 682,000.00 - - 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - - 2,315,500.00 - - 2,315,500.00 - - 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - - 2,315,500.00 - - 2,315,500.00 - - 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - - 385,000.00 - - 385,000.00 - - 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - - 431,200.00 - - 431,200.00 - - 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - - 13,454.00 - - 13,454.00 - - 13,454.00 - -
Nasal Kanul Dewasa Pcs 13,770.00 - - 13,770.00 - - 13,770.00 - - 13,770.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - - 13,454.00 - - 13,454.00 - - 13,454.00 - -
Nasal Kanul Anak Pcs 5,390.00 - - 5,390.00 - - 5,390.00 - - 5,390.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 100.00 16,170,000.00 161,700.00 - - 161,700.00 - - 161,700.00 100.00 16,170,000.00
Coveral II (APD) Non Woven Pcs 110,599.00 - - 110,599.00 - - 110,599.00 - - 110,599.00 - -
108 Kantong Plastik Kuning 60cmx100cm Pak 21,450.00 - - 21,450.00 - - 21,450.00 - - 21,450.00 - -
109 Kantong Plastik Kuning 90cmx120cm Pak 21,450.00 - - 21,450.00 - - 21,450.00 - - 21,450.00 - -
110 Kantong Plastik Hitam 60cmx100cm Pak 18,700.00 - - 18,700.00 - - 18,700.00 - - 18,700.00 - -
111 Kantong Plastik Hitam 90cmx120cm Pak 18,700.00 - - 18,700.00 - - 18,700.00 - - 18,700.00 - -
112 Forsch Medical Disposible Gown Pcs 43,000.00 - - 43,000.00 - - 43,000.00 - - 43,000.00 - -

MESA PLASTIK SAMPAH HITAM 80 X 100 CM


22,200.00 - - 22,200.00 10.00 222,000.00 22,200.00 - 22,200.00 10.00 222,000.00

MESA KANTONG PLASTIK KUNING 80 x 100 cm


26,600.00 - - 26,600.00 10.00 266,000.00 26,600.00 - 26,600.00 10.00 266,000.00
C. SERUM DAN VAKSIN - - - - - - - - - - - -
1
Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial
47,999.60 - - 47,999.60 - - 47,999.60 - - 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - - - - - - - - - - -
3
Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Ampul
517,132.00 - - 517,132.00 - - 517,132.00 - - 517,132.00 - -
4
Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial
148,135.00 - - 148,135.00 10.00 1,481,350.00 148,135.00 - - 148,135.00 10.00 1,481,350.00
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - - 176,800.00 - - 176,800.00 - - 176,800.00 - -
6 Vaksin BCG Ampul - - - - - - - - - - - -
7 Vaksin Campak 10 Dosis Vial - - - - - - - - - - - -
8 Vaksin DT Vial - - - - - - - - - - - -
9 Vaksin TD Vial - - - - - - - - - - - -
10 Vaksin DTP-HB Vial - - - - - - - - - - - -
11 Vaksin DPT-HB/Hib Vial - - - - - - - - - - - -
12 Vaksin HB Uniject Pcs - - - - - - - - - - - -
13 Vaksin MR (VVM.A) Vial - - - - - - - - - - - -
14 Vaksin Polio Vial - - - - - - - - - - - -
15 Vaksin Polio IPV 5 Dosis Vial - - - - - - - - - - - -
16 Vaksin Polio 10 IPV Dosis Vial - - - - - - - - - - - -
17 Vaksin TT Vial - - - - - - - - - - - -
18 Buku Kontrak 500,000.00 - - 500,000.00 - - 500,000.00 - - 500,000.00 - -
19 - - - - - - - - - - - -
20 - - - - - - - - - - - -
10 Vaksin DPT-HB/Hib Vial 85,103.00 - - 85,103.00 - - 85,103.00 - - 85,103.00 - -
11 Vaksin HB Uniject Pcs 25,839.00 - - 25,839.00 - - 25,839.00 - - 25,839.00 - -
Vaksin HB Uniject Pcs 25,597.00 - - 25,597.00 - - 25,597.00 - - 25,597.00 - -
Vaksin HB Uniject Pcs 25,839.00 - - 25,839.00 - - 25,839.00 - - 25,839.00 - -
12 Vaksin MR (VVM.A) Vial 155,813.00 - - 155,813.00 - - 155,813.00 - - 155,813.00 - -
Vaksin MR (VVM.A) Vial 19,954.00 - - 19,954.00 - - 19,954.00 - - 19,954.00 - -
Vaksin MR (VVM.A) Vial 166,265.00 - - 166,265.00 - - 166,265.00 - - 166,265.00 - -
13 Vaksin MR (VVM.A) Vial 167,860.00 - - 167,860.00 - - 167,860.00 - - 167,860.00 - -
Vaksin Polio Vial 19,954.00 - - 19,954.00 - - 19,954.00 - - 19,954.00 - -
Vaksin Polio Vial 21,285.00 - - 21,285.00 - - 21,285.00 - - 21,285.00 - -
Vaksin Polio Vial 21,494.00 - - 21,494.00 - - 21,494.00 - - 21,494.00 - -
14 Vaksin Polio IPV 5 Dosis Vial 158,994.00 - - 158,994.00 - - 158,994.00 - - 158,994.00 - -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 - - 139,760.00 - - 139,760.00 - - 139,760.00 - -
Vaksin Polio IPV 5 Dosis Vial 169,653.00 - - 169,653.00 - - 169,653.00 - - 169,653.00 - -
15 Vaksin Polio IPV 5 Dosis Vial 62,520.00 - - 62,520.00 - - 62,520.00 - - 62,520.00 - -
Vaksin Polio IPV 5 Dosis Vial 144,540.00 - - 144,540.00 - - 144,540.00 - - 144,540.00 - -
Vaksin Polio IPV 5 Dosis Vial 158,500.00 - - 158,500.00 - 158,500.00 - - 158,500.00 - -
Vaksin Polio IPV 5 Dosis Vial 25,839.00 - - 25,839.00 - 25,839.00 - - 25,839.00 - -
Vaksin Polio 10 IPV Dosis Vial - - - - - - - - - - - -
Vaksin TT Vial - - - - - - - - - - - -
Vaksin Campak Bias Vial - - - - - - - - - - - -
Vaksin Covid-19 (10 d0sis)
Vial
1,339,440.50 - - 1,339,440.50 - - 1,339,440.50 - - 1,339,440.50 - -
16 Vaksin Astrazeneca Vial 581,607.00 - - 581,607.00 - - 581,607.00 - - 581,607.00 - -
17 Vaksin Coronavac 2 Dosis Vial - - - - - - - - - - - -
18 Vaksin Rabivax-S Vial 153,000.00 - - 153,000.00 - 153,000.00 - - 153,000.00 - -
6 Vaksin BCG Ampul - - - - - - - - - - - -
7 Vaksin Campak 10 Dosis Vial - - - - - - - - - - - -
8 Vaksin DT Vial - - - - - - - - - - - -
9 Vaksin TD Vial - - - - - - - - - - - -
10 Vaksin DTP-HB Vial - - - - - - - - - - - -
11 Vaksin DPT-HB/Hib Vial - - - - - - - - - - - -
12 Vaksin HB Uniject Pcs - - - - - - - - - - - -
13 Vaksin MR (VVM.A) Vial - - - - - - - - - - - -
14 Vaksin Polio Vial - - - - - - - - - - - -
15 Vaksin Polio IPV 5 Dosis Vial - - - - - - - - - - - -
16 Vaksin Polio 10 IPV Dosis Vial - - - - - - - - - - - -
17 Vaksin TT Vial - - - - - - - - - - - -
18 Buku Kontrak 500,000.00 - - 500,000.00 - - 500,000.00 - - 500,000.00 - -
19 - - - - - - - - - - - -
20 - - - - - - - - - - - -
-
JUMLAH TOTAL OBAT 140,535,109.76 63,122,552.33 422,832.00 203,234,830.09
JUMLAH TOTAL BMHP 251,009,021.57 9,831,400.00 - 260,840,421.57
JUMLAH TOTAL VAKSIN SERUM - 1,481,350.00 - 1,481,350.00
JUMLAH TOTAL KESELURUHAN 391,544,131.33 74,435,302.33 422,832.00 465,556,601.66

-
Mengetahui
Kepala UPTD Puskesmas Maleber Penanggungjawab Petugas Obat

ILAH LILAHSAH,S.ST,M.Keb Apt.SHEILA JULLYAN,S.Farm


NIP.19771215 199804 2 001 SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

- - -
- - -
- - -
- 1,000 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
-
-
-
- 17,950 -
- -
- - -
- - -
- - -
- 25,000
- - -
- - -
- - -
- - -
- - -

- -
- - -
- - -
- - -
- - -
- - -

- - -

- 124 -

- 15,492

- - -

-
- -
- - -
- -
- - -
- 3,675
- -

- - -
- -
- - -

- 43

- -

- - -

- -
-
- - -
- -
- - -
- 8,237
- -
- - -
- -
- - -
- -
- -
- - -
- -
- - -
-
- 3,600
-
-
- - -
- - -
- - -
- - -
- -
- -
- - -
- - -
- - -
- - -
- -
- -
-
- - -
- - -
- - -
-
-
- - -
- -
- -
- - -
- - -
- - -
- - -
- -
-
- -
- - -
- - -
- - -
-
- - -
- -
- -
- - -
- - -
- - -
- - -
-
- -
- -
-
- 88 -
- - -
- - -

-
- - -
- -
-
- -
- - -
- - -
- - -
- - -
- -
- 30
- 415 -
- - -
- - -
- - -
- -
- -
- 162
- - -
- - -
- 350 -
- - -
- - -
- - -
- 360 -
-
- - -

- - -

- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
- 15,000 -
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
-
- - -
- - -
- - -
- 408 -
- - -
- 3,902 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
-
- - -
- 20,000 -
- 1,660 -
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
- 4 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -

- - -
-

- 262 -

- (4) -

- - -

- - -

- - -
- - -
- 385 -
- - -
- 3,000

- - -

- - -

- - -
- 200 -

- - -

- - -

- - -
- - -
- - -
- 500 -
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
- 110 -
- - -
- - -
- - -
-
- - -
-
- 3,350 -
- 1,940 -
- - -
- - -

- 100 -

-
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
- 10,000
- - -
-
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
-

-
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
- - -

- 6,000 -
- - -

- - -

- - -
- - -
- - -
- - -
- 25,294 -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -

- 6,116 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- 5,000 -
-
- - -
- - -
- - -
- - -
- - -
- - -
- 67 -
- - -
- - -
- - -
-
- - -

- - -

- 296 -

- - -
- 150 -
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 1,814 -
- - -
- - -
- - -

- - -

- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
-
-
- - -
- - -
- - -
- - -
- 64,726 -
- - -
- 11,607 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
- 950 -
- - -
- 96 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
-
- 500 -
- - -
- - -
- - -
- - -
- - -
- - -
-
- 29,744 -
- (300) -
- 34,616 -

- - -
- 388 -
- - -
- 2,407 -
- - -
-
-
-
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
-
- - -
- - -
- - -

- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
- 30 -
- - -
- - -
- 30 -
- - -
- - -
- - -
- - -
- - -
- - -
- 100 -
- - -
- - -

- - -

- - -

- - -
- - -
- - -
- - -
- - -
- - -
-
- 100 -
- - -

- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
-
- - -
- 1,350 -
- - -
-
- - -
- - -
-
- - -
- - -
- - -
- 50 -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
-
- - -
- - -
- 150 -
- - -
- - -
- 40 -
- 100 -
- - -
-
- - -
- - -
-
- - -
- - -
- - -
- - -
- 4,800 -
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
-
- - -
- - -
- - -
- 30 -
- 5 -
- - -
- - -
- 20 -
- - -
- 3 -
-
- 1 -
- - -
- - -
- 8 -
-
- - -
- - -
- - -
-
- 25 -
- 100 -
- - -
- - -
- - -
- - -
- 500 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 100 -
- - -
- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 100 -
- - -
- - -
- - -
- - -
- - -
- - -

-
- - -

-
- - -

- - -

- 10 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
-
- - -
- - -
- - -

- - -
- - -
- - -
-
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
A. OBAT
1 Air Raksa Dental Use Botol - - - - - - - - - - -
2 Albendazole Tablet 400 mg Tablet 430.00 - - 430.00 - - 430.00 - - 430.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 - - 1,041.98 - - 1,041.98 - - 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 - - 4,000.00 - - 4,000.00 - - 4,000.00 -
Albendazole susp 200 mg/5 ml Botol 4,300.00 - - 4,300.00 - - 4,300.00 - - 4,300.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 - - 89.00 - - 89.00 - - 89.00 -
Alopurinol Tablet 100 mg Tablet 87.00 850.00 73,950.00 87.00 - - 87.00 850.00 73,950.00 87.00 -
Alopurinol Tablet 100 mg Tablet 105.00 - - 105.00 - - 105.00 - - 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 - - 99.00 - - 99.00 - - 99.00 -
Alopurinol Tablet 300 mg Tablet 200.00 1,700.00 340,000.00 200.00 - - 200.00 340.00 68,000.00 200.00 1,360.00
6 Alprazolam tablet 1 mg Tablet 128.00 - - 128.00 - - 128.00 - - 128.00 -
7 Ambroksol Tablet 30 mg Tablet 143.55 - - 143.55 - - 143.55 - - 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 - - 151.80 - - 151.80 - - 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 - - 3,626.70 - - 3,626.70 - - 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 - - 3,619.00 - - 3,619.00 - - 3,619.00 -
Ambroksol sirup 15 mg/5 ml Botol 2,500.30 - - 2,500.30 - - 2,500.30 - - 2,500.30 -
Ambroksol sirup 15 mg/5 ml Botol 4,887.00 50.00 244,350.00 4,887.00 - - 4,887.00 - - 4,887.00 50.00
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 - - 2,998.00 - - 2,998.00 - - 2,998.00 -
Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,976.00 - - 2,976.00 - - 2,976.00 - - 2,976.00 -
Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,704.00 - - 2,704.00 10.00 27,040.00 2,704.00 - - 2,704.00 10.00
10 Aminofillin Tablet 200 mg Tablet 91.00 - - 91.00 - - 91.00 - - 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 1,000.00 95,000.00 95.00 - - 95.00 - - 95.00 1,000.00
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 - - 167.00 - - 167.00 - - 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 - - 112.00 - - 112.00 - - 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 - - 171.44 - - 171.44 - - 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 - - 70.00 - - 70.00 - - 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 - - 75.00 - - 75.00 - - 75.00 -
Amlodipin Tablet 5 mg Tablet 53.00 3,000.00 159,000.00 53.00 - - 53.00 130.00 6,890.00 53.00 2,870.00
13 Amlodipin Tablet 10 mg Tablet 93.00 - - 93.00 - - 93.00 - - 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 - - 99.00 - - 99.00 - - 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 - - 195.00 - - 195.00 - - 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 - - 196.00 - - 196.00 - - 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 201.00 4,900.00 984,900.00 201.00 - - 201.00 2,549.00 512,349.00 201.00 2,351.00
Amoksisillin Kaplet 500 mg Kaplet 232.00 - - 232.00 - - 232.00 - - 232.00 -
Amoksisillin Kaplet 500 mg Kaplet 249.00 - - 249.00 - - 249.00 - - 249.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 - - 8,100.00 - - 8,100.00 - - 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 - - 2,000.00 - - 2,000.00 - - 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 - - 3,500.00 - - 3,500.00 - - 3,500.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 2,050.00 - - 2,050.00 - - 2,050.00 - - 2,050.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 2,600.00 85.00 221,000.00 2,600.00 - - 2,600.00 85.00 221,000.00 2,600.00 -
18 Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol 3,400.00 - - 3,400.00 - - 3,400.00 - - 3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 - - 3,628.00 - - 3,628.00 - - 3,628.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,498.00 - - 3,498.00 - - 3,498.00 - - 3,498.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


8,310.00 23.00 191,130.00 8,310.00 100.00 831,000.00 8,310.00 65.00 540,150.00 8,310.00 58.00
19 Ampisilin Kapsul 250 mg Kapsul - - - - - - - - - - -
20 Ampisillin Kaplet 500 mg Tablet - - - - - - - - - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - - - - - - - - - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 - - 8,237.00 - - 8,237.00 - - 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 - - 8,330.00 - - 8,330.00 - - 8,330.00 -
STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
23 Analgetik Plus Tablet - - - - - - - - - - -
24
Antasida Doen Suspensi Kombinasi : Magnesium
Botol
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 - - 1,995.00 - - 1,995.00 - - 1,995.00 -

Antasida Doen Suspensi Kombinasi : Magnesium


Botol
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 ml
2,129.00 - - 2,129.00 - - 2,129.00 - - 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksi Tablet 54.00 - - 54.00 - - 54.00 - - 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksi Tablet 62.00 - - 62.00 - - 62.00 - - 62.00 -

Antasida Doen Tablet, Kombinasi : Magnesium


Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - - 58.00 10,000.00 580,000.00 58.00 4,180.00 242,440.00 58.00 5,820.00
26 Antasida Plus Tablet Tablet 189.05 - - 189.05 - - 189.05 - - 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 - - 203.30 - - 203.30 - - 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 - - 1,455.00 - - 1,455.00 - - 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 - - 3,035.00 - - 3,035.00 - - 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 - - 3,167.00 - - 3,167.00 - - 3,167.00 -
Anti Hemoroid Doen komb Supp 3,250.00 17.00 55,250.00 3,250.00 50.00 162,500.00 3,250.00 3.00 9,750.00 3,250.00 64.00
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 - - 4,323.00 - - 4,323.00 - - 4,323.00 -
Anti Fungi DOEN Kombinasi : Pot 4,798.00 - - 4,798.00 - - 4,798.00 - - 4,798.00 -
Anti Fungi DOEN Kombinasi : Pot 3,477.00 65.00 226,005.00 3,477.00 - - 3,477.00 18.00 62,586.00 3,477.00 47.00
32 Antimigren DOEN Kombinasi : Tablet 173.00 - - 173.00 - - 173.00 - - 173.00 -
Antimigren DOEN Kombinasi : Tablet 185.00 390.00 72,150.00 185.00 - - 185.00 - - 185.00 390.00
33 Anti Diare Suspensi Botol - - - - - - - - - - -
34 Anti Diare Tablet Tablet 233.20 - - 233.20 - - 233.20 - - 233.20 -
35 Anti Dotum Oral Tablet Tablet - - - - - - - - - - -
36 Anti Hipertensi Kapsul Tablet - - - - - - - - - - -
37 Antihistamin Tablet kombinasi Tablet 181.50 - - 181.50 - - 181.50 - - 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 - - 1,195.00 - - 1,195.00 - - 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 - - 11,550.00 - - 11,550.00 - - 11,550.00 -
40 Antitusiva Tablet Tablet - - - - - - - - - - -
41 Asam Folat Tablet 1 mg Tablet 75.00 - - 75.00 - - 75.00 - - 75.00 -
Asam Folat Tablet 1 mg Tablet 56.51 490.00 27,689.46 56.51 - - 56.51 135.00 7,628.73 56.51 355.00
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 - - 105.00 - - 105.00 - - 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 - - 126.94 - - 126.94 - - 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 - - 600.00 - - 600.00 - - 600.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 105.00 965.00 101,325.00 105.00 - - 105.00 297.00 31,185.00 105.00 668.00
43 Asam Mefenamat Kapsul 500 mg Tablet 103.00 - - 103.00 - - 103.00 - - 103.00 -
Asam Mefenamat Kapsul 500 mg Tablet 103.40 - - 103.40 - - 103.40 - - 103.40 -
Asam Mefenamat Kapsul 500 mg Tablet 177.90 - - 177.90 - - 177.90 - - 177.90 -
Asam Mefenamat Kapsul 500 mg Tablet 177.90 - - 177.90 - - 177.90 - - 177.90 -
Asam Mefenamat Kapsul 500 mg Tablet 111.00 - - 111.00 - - 111.00 - - 111.00 -
44 Acetylsistein tablet Kapsul 358.00 - - 358.00 - - 358.00 - - 358.00 -
Acetylsistein tablet Kapsul 382.00 - - 382.00 - - 382.00 - - 382.00 -
Acetylsistein tablet Kapsul 301.00 1,200.00 361,200.00 301.00 - - 301.00 60.00 18,060.00 301.00 1,140.00
Acetylsistein tablet Kapsul 303.74 530.00 160,980.27 303.74 - - 303.74 - - 303.74 530.00
45 Asetosal Tablet 80 mg Tablet 99.00 - - 99.00 - - 99.00 - - 99.00 -
Asetosal Tablet 80 mg Tablet 89.81 70.00 6,286.64 89.81 - - 89.81 - - 89.81 70.00
46 Asetosal Tablet 100 mg Tablet - - - - - - - - - - -
47 Asetosal Tablet 500 mg Tablet - - - - - - - - - - -
48 Asiklovir Krim 5 % Tube 2,996.40 - - 2,996.40 - - 2,996.40 - - 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 - - 3,600.00 - - 3,600.00 - - 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 - - 249.00 - - 249.00 - - 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 - - 380.00 - - 380.00 - - 380.00 -
51 Attapulgit Tablet 152.00 - - 152.00 - - 152.00 - - 152.00 -
Attapulgit Tablet 233.20 - - 233.20 - - 233.20 - - 233.20 -
Attapulgit Tablet 253.00 - - 253.00 - - 253.00 - - 253.00 -
Attapulgit Tablet 162.00 810.00 131,220.00 162.00 - - 162.00 440.00 71,280.00 162.00 370.00
STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 - - 1,595.00 - - 1,595.00 - - 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 30.00 49,170.00 1,639.00 - - 1,639.00 - - 1,639.00 30.00
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 - - 2,295.00 - - 2,295.00 - - 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 - - 2,030.00 - - 2,030.00 - - 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 1 Liter Vial 2,860.00 30.00 85,800.00 2,860.00 - - 2,860.00 - - 2,860.00 30.00
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Botol 15,246.00 - - 15,246.00 - - 15,246.00 - - 15,246.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Botol 1,949.56 - - 1,949.56 30.00 58,486.91 1,949.56 - - 1,949.56 30.00
54 Bahan Tambal Sementara Set 150,000.00 - - 150,000.00 - - 150,000.00 - - 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 - - 160,500.00 - - 160,500.00 - - 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 - - 152,900.00 - - 152,900.00 - - 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 - - 14,500.00 - - 14,500.00 - - 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 - - 110.00 - - 110.00 - - 110.00 -
Betahistin Mesilat 6 mg Tablet 88.80 450.00 39,960.00 88.80 - - 88.80 30.00 2,664.00 88.80 420.00
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - - 1,340.00 - - 1,340.00 - - 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 - - 1,349.00 - - 1,349.00 - - 1,349.00 -
Betametason Krim 0,1 %- 5g Tube 1,430.00 - - 1,430.00 - - 1,430.00 - - 1,430.00 -
Betametason Krim 0,1 %- 5g Tube 2,460.80 41.00 100,892.91 2,460.80 - - 2,460.80 16.00 39,372.84 2,460.80 25.00
58 Bisakodil suppositoria 10 mg Supp 6,045.00 - - 6,045.00 - - 6,045.00 - - 6,045.00 -
59 Bisoprolol Tablet 2,5 mg Tablet 626.00 - - 626.00 - - 626.00 - - 626.00 -
Bisoprolol Tablet 2,5 mg Tablet 124.12 80.00 9,929.46 124.12 - - 124.12 40.00 4,964.73 124.12 40.00
60 Bromheksin 8 mg Tablet 250.80 - - 250.80 - - 250.80 - - 250.80 -
Bromheksin 8 mg Tablet 253.00 - - 253.00 - - 253.00 - - 253.00 -
61 Cresotin Pasta Botol 112,000.00 - - 112,000.00 - - 112,000.00 - - 112,000.00 -
Cresotin Pasta Botol 112,214.29 - - 112,214.29 - - 112,214.29 - - 112,214.29 -
62 Cresotin Liquid No 2 Botol 160,500.00 - - 160,500.00 - - 160,500.00 - - 160,500.00 -
Cresotin Liquid No 3 Botol 160,714.29 - - 160,714.29 - - 160,714.29 - - 160,714.29 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - - 1,097.00 - - 1,097.00 - - 1,097.00 -
Deksametason Injeksi 5mg/ml-1ml Ampul 924.00 20.00 18,480.00 924.00 - - 924.00 2.00 1,848.00 924.00 18.00
64 Deksametason Tablet 0,5 mg Tablet 32.00 - - 32.00 - - 32.00 - - 32.00 -
Deksametason Tablet 0,5 mg Tablet 61.60 675.00 41,580.00 61.60 - - 61.60 675.00 41,580.00 61.60 -
Deksametason Tablet 0,5 mg Tablet 106.00 2,000.00 212,000.00 106.00 - - 106.00 1,700.00 180,200.00 106.00 300.00
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 - - 112,000.00 - - 112,000.00 - - 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 - - 86.00 - - 86.00 - - 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 - - 114.00 - - 114.00 - - 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 25.00 43,375.00 1,735.00 - - 1,735.00 25.00 43,375.00 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 - - 12,573.00 - - 12,573.00 - - 12,573.00 -
Diazepam Larutan Rektal 5 mg/ml Supp 13,669.15 10.00 136,691.50 13,669.15 - - 13,669.15 5.00 68,345.75 13,669.15 5.00
70 Diazepam Larutan Rektal 10 mg/ml Supp - - - - - - - - - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - - - - - - - - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 - - 1,060.00 - - 1,060.00 - - 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 - - 1,095.00 - - 1,095.00 - - 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - - 104.00 - - 104.00 - - 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - - 99.00 - - 99.00 - - 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 108.00 840.00 90,720.00 108.00 - - 108.00 80.00 8,640.00 108.00 760.00
Dimenhidrinat Tablet 50 mg Tablet 141.90 - - 141.90 - - 141.90 - - 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 - - 85.00 - - 85.00 - - 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 - - 91.00 - - 91.00 - - 91.00 -
Domperidon Tablet 10 mg Tablet 71.00 - - 71.00 - - 71.00 - - 71.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,296.00 - - 2,296.00 - - 2,296.00 - - 2,296.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - - - - - - - - - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - - - - - - - - - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 - - 1,408.00 - - 1,408.00 - - 1,408.00 -
Epinefrin HCl / Bitartrat Ampul 1,515.00 5.00 7,575.00 1,515.00 - - 1,515.00 - - 1,515.00 5.00
80 Eritromisin Kapsul 250 mg Kapsul 577.00 - - 577.00 - - 577.00 - - 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 - - 750.00 - - 750.00 - - 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - - - - - - - - - -
83 Etambutol Tablet 500 mg Tablet 505.00 - - 505.00 - - 505.00 - - 505.00 -
STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
84 Etanol 70 % 100 ml Botol 2,500.00 - - 2,500.00 - - 2,500.00 - - 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - - 246,400.00 - - 246,400.00 - - 246,400.00 -
Etil Klorida Semprot -100 ml Botol 108,720.93 - - 108,720.93 - - 108,720.93 - - 108,720.93 -
Etil Klorida Semprot -100 ml Botol 83,050.00 2.00 166,100.00 83,050.00 - - 83,050.00 1.00 83,050.00 83,050.00 1.00
86 Eugenol Cairan -10 ml Botol 20,087.00 - - 20,087.00 - - 20,087.00 - - 20,087.00 -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 - - 158.00 - - 158.00 - - 158.00 -
Fenitoin Natrium Kapsul 100 mg Kapsul 169.53 90.00 15,257.45 169.53 - - 169.53 90.00 15,257.45 169.53 -
88 Fenobarbital tablet 30 mg Tablet 171.00 - - 171.00 - - 171.00 - - 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 - - 165.00 - - 165.00 - - 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - - 1,857.00 - - 1,857.00 - - 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,700.00 30.00 51,000.00 1,700.00 - - 1,700.00 - - 1,700.00 30.00
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 - - 290.00 - - 290.00 - - 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 - - 510.00 - - 510.00 - - 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - - 605.00 - - 605.00 - - 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 - - 629.00 - - 629.00 - - 629.00 -
92 Fenol Gliserol TK Botol - - - - - - - - - - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 - - 57,500.00 - - 57,500.00 - - 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 - - 63,813.00 - - 63,813.00 - - 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - - - - - - - - - - -
95 Fitomenadion tablet 10 mg Tablet 710.00 - - 710.00 - - 710.00 - - 710.00 -
Fitomenadion tablet 10 mg Tablet 748.00 - - 748.00 100.00 74,800.00 748.00 30.00 22,440.00 748.00 70.00
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 20.00 73,640.00 3,682.00 - - 3,682.00 - - 3,682.00 20.00
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 - - 3,550.00 - - 3,550.00 - - 3,550.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 1,386.00 60.00 83,160.00 1,386.00 100.00 138,600.00 1,386.00 30.00 41,580.00 1,386.00 130.00
97 Furosemid Tablet 40 mg Tablet 77.00 - - 77.00 - - 77.00 - - 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 - - 72.00 - - 72.00 - - 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 - - 78.00 - - 78.00 - - 78.00 -
Furosemid Tablet 40 mg Tablet 98.89 - - 98.89 100.00 9,889.09 98.89 - - 98.89 100.00
98 Furosemid injeksi Ampul - - - - - - - - - - -
99
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Air
257.00 - - 257.00 - - 257.00 - - 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - - - - - - - - - - -
101 Gentian Violet Botol - - - - - - - - - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 - - 1,834.80 - - 1,834.80 - - 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 - - 5,900.00 - - 5,900.00 - - 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 - - 1,834.80 - - 1,834.80 - - 1,834.80 -
Gentamisin Salep Kulit 0,1 % Tube 5,390.00 - - 5,390.00 - - 5,390.00 - - 5,390.00 -
104 Glass Ionomer Set 687,500.00 - - 687,500.00 - - 687,500.00 - - 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - - 119.00 - - 119.00 - - 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 - - 86.00 - - 86.00 - - 86.00 -
Glibenklamid Tablet 5 mg Tablet 83.00 - - 83.00 - - 83.00 - - 83.00 -
Glibenklamid Tablet 5 mg Tablet 83.75 1,450.00 121,437.50 83.75 - - 83.75 350.00 29,312.50 83.75 1,100.00
106 Glimepiride 2 mg Tablet 207.00 - - 207.00 - - 207.00 - - 207.00 -
Glimepiride 2 mg Tablet 123.00 2,000.00 246,000.00 123.00 - - 123.00 - - 123.00 2,000.00
Glimepiride 2 mg Tablet 124.12 800.00 99,294.54 124.12 - - 124.12 790.00 98,053.36 124.12 10.00
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 - - 82.50 - - 82.50 - - 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 - - 120.00 - - 120.00 - - 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 - - 7,370.00 - - 7,370.00 - - 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 - - 8,800.00 - - 8,800.00 - - 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - - 10,351.00 - - 10,351.00 - - 10,351.00 -
Glukonas Kalsikus injeksi Ampul 5,775.03 20.00 115,500.55 5,775.03 - - 5,775.03 - - 5,775.03 20.00
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - - 6,900.00 - - 6,900.00 - - 6,900.00 -
Glukosa Larutan Infus 5 % Botol 7,363.00 - - 7,363.00 - - 7,363.00 - - 7,363.00 -
Glukosa Larutan Infus 5 % Botol 6,627.00 20.00 132,540.00 6,627.00 - - 6,627.00 - - 6,627.00 20.00
111 Glukosa Larutan Infus10 % Botol 7,500.00 - - 7,500.00 - - 7,500.00 - - 7,500.00 -
Glukosa Larutan Infus10 % Botol 7,200.00 20.00 144,000.00 7,200.00 - - 7,200.00 - - 7,200.00 20.00
STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 - - 210.00 - - 210.00 - - 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 - - 224.00 - - 224.00 - - 224.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 1,773.00 - - 1,773.00 - - 1,773.00 - - 1,773.00 -
113 Haloperidol Tablet 0,5 mg Tablet 47.00 - - 47.00 - - 47.00 - - 47.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 - - 59.00 - - 59.00 - - 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 - - 58.00 - - 58.00 - - 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - - 59.00 - - 59.00 - - 59.00 -
Haloperidol Tablet 1,5 mg Tablet 61.00 - - 61.00 - - 61.00 - - 61.00 -
Haloperidol Tablet 1,5 mg Tablet 51.00 15,545.00 792,795.00 51.00 - - 51.00 250.00 12,750.00 51.00 15,295.00
115 Haloperidol Tablet 5 mg Tablet 54.00 1,245.00 67,230.00 54.00 - - 54.00 - - 54.00 1,245.00
Haloperidol Tablet 5 mg Tablet 96.00 - - 96.00 - - 96.00 - - 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 800.00 48,000.00 60.00 - - 60.00 800.00 48,000.00 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 - - 6,250.00 - - 6,250.00 - - 6,250.00 -
Haloperidol injeksi 5 mg/ml Ampul 1,190.00 - - 1,190.00 - - 1,190.00 - - 1,190.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 - - 97,500.00 - - 97,500.00 - - 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - - - - - - - - - - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - - 149.00 - - 149.00 - - 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 - - 2,475.00 - - 2,475.00 - - 2,475.00 -
Hidrokortison Krim 2,5 % Tube 2,325.00 22.00 51,150.00 2,325.00 - - 2,325.00 22.00 51,150.00 2,325.00 -
Hidrokortison Krim 2,5 % Tube 2,346.14 24.00 56,307.27 2,346.14 - - 2,346.14 - - 2,346.14 24.00
120 Ibuprofen Tablet 200 mg Tablet 105.00 - - 105.00 - - 105.00 - - 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 - - 122.00 - - 122.00 - - 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 - - 111.00 - - 111.00 - - 111.00 -
Ibuprofen Tablet 400 mg Tablet 30.28 - - 30.28 - - 30.28 - - 30.28 -
Ibuprofen Tablet 400 mg Tablet 192.74 3,000.00 578,209.09 192.74 - - 192.74 3,000.00 578,209.09 192.74 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - - 2,365.00 - - 2,365.00 - - 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 - - 2,475.00 - - 2,475.00 - - 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - - 2,365.00 - - 2,365.00 - - 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 4,665.00 - - 4,665.00 - - 4,665.00 - - 4,665.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,236.00 - - 2,236.00 - - 2,236.00 - - 2,236.00 -
123 Ichtyol salep Kulit Pot - - - - - - - - - - -
124 Isoniazid tablet 100 mg Tablet 74.00 - - 74.00 - - 74.00 - - 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 - - 145.00 - - 145.00 - - 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 - - 173.00 - - 173.00 - - 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 - - 170.00 - - 170.00 - - 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 - - 88.00 - - 88.00 - - 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 - - 90.00 - - 90.00 - - 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - - - - - - - - - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 - - 287.85 - - 287.85 - - 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 - - 288.00 - - 288.00 - - 288.00 -
129 Kalsium Hidroksida Pasta Tube - - - - - - - - - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - - 59.00 - - 59.00 - - 59.00 -
Kalsium Laktat Tablet 500 mg Tablet 63.00 4,280.00 269,640.00 63.00 - - 63.00 1,590.00 100,170.00 63.00 2,690.00
Kaptopril 12,5 mg Tablet 62.00 - - 62.00 - - 62.00 - - 62.00 -
Kaptopril 12,5 mg Tablet 66.00 3,000.00 198,000.00 66.00 - - 66.00 230.00 15,180.00 66.00 2,770.00
131 Kaptopril 25 mg Tablet 75.00 2,000.00 150,000.00 75.00 - - 75.00 710.00 53,250.00 75.00 1,290.00
132 Kaptopril 25 mg Tablet 94.00 - - 94.00 - - 94.00 - - 94.00 -
Karbamazepin Tablet 200 mg Tablet 230.00 - - 230.00 - - 230.00 - - 230.00 -
133 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 - - 2,518.00 - - 2,518.00 - - 2,518.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 - - 2,595.00 - - 2,595.00 - - 2,595.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,370.35 30.00 71,110.64 2,370.35 - - 2,370.35 12.00 28,444.25 2,370.35 18.00
Ketokonazole Tablet 200 mg Tablet 270.00 - - 270.00 - - 270.00 - - 270.00 -
135 Ketokonazole Tablet 200 mg Tablet 288.00 - - 288.00 - - 288.00 - - 288.00 -
Ketokonazole Tablet 200 mg Tablet 252.00 420.00 105,840.00 252.00 - - 252.00 52.00 13,104.00 252.00 368.00
Ketoprofen Tablet 100 mg Tablet - - - - - - - - - - -
136 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - - - - - - - - - -
137 Ketorolac 10 mg injeksi Ampul - - - - - - - - - - -
STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
138 Ketorolac 30 mg injeksi Ampul 1,045.00 - - 1,045.00 - - 1,045.00 - - 1,045.00 -
139 Klindamisin Kapsul 150 mg Kapsul 715.00 - - 715.00 - - 715.00 - - 715.00 -
140 Klindamisin Kapsul 150 mg Kapsul 759.00 - - 759.00 - - 759.00 - - 759.00 -
Klindamisin Kapsul 300 mg Kapsul 522.00 200.00 104,400.00 522.00 - - 522.00 - - 522.00 200.00
141 Kloramfenikol Kapsul 250 mg Kapsul - - - - - - - - - - -
142 Kloramfenikol suspensi125mg/5 ml Botol - - - - - - - - - - -
143 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 - - 1,881.00 - - 1,881.00 - - 1,881.00 -
144 Kloramfenikol Salep Kulit 2% Tube 3,295.69 21.00 69,209.51 3,295.69 - - 3,295.69 21.00 69,209.51 3,295.69 -
145 Kloramfenikol Tetes Mata -5 ml Botol 7,260.00 - - 7,260.00 - - 7,260.00 - - 7,260.00 -
Kloramfenikol Tetes Mata -5 ml Botol 7,437.00 20.00 148,740.00 7,437.00 - - 7,437.00 14.00 104,118.00 7,437.00 6.00
146 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 - - 6,600.00 - - 6,600.00 - - 6,600.00 -
Kloramfenikol Tetes Telinga 3%-5 ml Botol 7,492.50 51.00 382,117.50 7,492.50 - - 7,492.50 26.00 194,805.00 7,492.50 25.00
147 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 - - 22.00 - - 22.00 - - 22.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 40.17 - - 40.17 - - 40.17 - - 40.17 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - - 23.00 - - 23.00 - - 23.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 45.10 9,650.00 435,215.00 45.10 - - 45.10 3,513.00 158,436.30 45.10 6,137.00
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 - - 212.30 - - 212.30 - - 212.30 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 - - 212.00 - - 212.00 - - 212.00 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 181.00 - - 181.00 500.00 90,500.00 181.00 - - 181.00 500.00
Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - - 147.00 - - 147.00 - - 147.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 157.00 - - 157.00 - - 157.00 - - 157.00 -
Klorpromazin Hcl Tablet Salut 100 mg Tablet 407.00 290.00 118,030.00 407.00 - - 407.00 115.00 46,805.00 407.00 175.00
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - - 1,510.00 - - 1,510.00 - - 1,510.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 - - 1,240.00 - - 1,240.00 - - 1,240.00 -
Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - - 4,550.00 - - 4,550.00 - - 4,550.00 -
152 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 - - 31,231.00 - - 31,231.00 - - 31,231.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 30,030.00 - - 30,030.00 - - 30,030.00 - - 30,030.00 -
Kotrimoksazol Pedriatik Tablet, Kombinasi : Tablet - - - - - - - - - - -
154 Kotrimoksazol Tablet, Kombinasi : Tablet 125.00 - - 125.00 - - 125.00 - - 125.00 -
155 Kotrimoksazol Tablet, Kombinasi : Tablet 129.00 - - 129.00 - - 129.00 - - 129.00 -
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 - - 2,052.00 - - 2,052.00 - - 2,052.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,120.00 - - 2,120.00 - - 2,120.00 - - 2,120.00 -
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,190.00 - - 2,190.00 - - 2,190.00 - - 2,190.00 -
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,100.00 95.00 199,500.00 2,100.00 - - 2,100.00 - - 2,100.00 95.00
Lansoprazole 30 mg Kapsul Tablet 303.00 - - 303.00 - - 303.00 - - 303.00 -
157 Lansoprazole 30 mg Kapsul Tablet 323.00 - - 323.00 - - 323.00 - - 323.00 -
Lansoprazole 30 mg Kapsul Tablet 280.53 - - 280.53 - - 280.53 - - 280.53 -
Larutan mengadung Elektrolit Botol 9,646.00 - - 9,646.00 - - 9,646.00 - - 9,646.00 -
158 Larutan mengadung Elektrolit Botol 9,275.00 - - 9,275.00 - - 9,275.00 - - 9,275.00 -
Larutan mengadung Elektrolit Botol 8,800.00 20.00 176,000.00 8,800.00 - - 8,800.00 - - 8,800.00 20.00
Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - - 9,644.00 - - 9,644.00 - - 9,644.00 -
Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 10,350.00 20.00 207,000.00 10,350.00 - - 10,350.00 - - 10,350.00 20.00
Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 11,500.00 20.00 230,000.00 11,500.00 20.00 230,000.00 11,500.00 - - 11,500.00 40.00
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,273.00 - - 9,273.00 - - 9,273.00 - - 9,273.00 -
Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 - - 10,696.00 - - 10,696.00 - - 10,696.00 -
160 Lidokain injeksi 2 % Tablet 847.00 45.00 38,115.00 847.00 - - 847.00 - - 847.00 45.00
161 Lidokain Komp Injeksi, Kombinasi : Ampul 803.00 - - 803.00 - - 803.00 - - 803.00 -
162 Lidokain Komp Injeksi, Kombinasi : Ampul 1,229.00 - - 1,229.00 - - 1,229.00 - - 1,229.00 -
Lidokain Spray Botol - - - - - - - - - - -
163 Loperamid Tablet 2 mg Tablet 121.60 - - 121.60 - - 121.60 - - 121.60 -
164 Loperamid Tablet 2 mg Tablet 85.00 - - 85.00 - - 85.00 - - 85.00 -
STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
Loperamid Tablet 2 mg Tablet 77.00 480.00 36,960.00 77.00 - - 77.00 - - 77.00 480.00
Loratadin tablet 10 mg Tablet 123.00 - - 123.00 - - 123.00 - - 123.00 -
165 Loratadin tablet 10 mg Tablet 131.00 - - 131.00 - - 131.00 - - 131.00 -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - - 3,328.00 - - 3,328.00 - - 3,328.00 -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,580.00 - - 3,580.00 50.00 179,000.00 3,580.00 - - 3,580.00 50.00
166 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - - 3,796.00 - - 3,796.00 - - 3,796.00 -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 4,090.00 - - 4,090.00 43.00 175,870.00 4,090.00 - - 4,090.00 43.00
167 MB Anak Blister 20,554.00 - - 20,554.00 - - 20,554.00 - - 20,554.00 -
168 MB Anak Blister 20,207.00 - - 20,207.00 - - 20,207.00 - - 20,207.00 -
MB Anak Blister 27,062.00 - - 27,062.00 - - 27,062.00 - - 27,062.00 -
MB Dewasa Blister 20,678.00 - - 20,678.00 - - 20,678.00 - - 20,678.00 -
169 MB Dewasa Blister 31,760.00 - - 31,760.00 - - 31,760.00 - - 31,760.00 -
MB Dewasa Blister 41,784.00 - - 41,784.00 - - 41,784.00 - - 41,784.00 -
MB Dewasa Blister 39,880.00 - - 39,880.00 - - 39,880.00 - - 39,880.00 -
Meloksikam tablet 15 mg Tablet 718.20 - - 718.20 - - 718.20 - - 718.20 -
170 Meloksikam Suppositoria Supp - - - - - - - - - - -
171 Metformin Hcl Tablet 500 mg Tablet 77.00 1,640.00 126,280.00 77.00 - - 77.00 480.00 36,960.00 77.00 1,160.00
172 Metformin Hcl Tablet 500 mg Tablet 102.00 - - 102.00 - - 102.00 - - 102.00 -
Metformin 850 mg Tablet 160.00 - - 160.00 - - 160.00 - - 160.00 -
Metformin 850 mg Tablet 154.39 1,950.00 301,062.27 154.39 - - 154.39 700.00 108,073.64 154.39 1,250.00
Metformin 850 mg Tablet 153.00 - - 153.00 - - 153.00 - - 153.00 -
173 Metildopa 250 mg tablet Tablet 946.00 - - 946.00 - - 946.00 - - 946.00 -
174 Methisoprinol 500 mg Tablet 3,300.00 - - 3,300.00 - - 3,300.00 - - 3,300.00 -
175 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 - - 210.00 - - 210.00 - - 210.00 -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 120.00 26,880.00 224.00 - - 224.00 10.00 2,240.00 224.00 110.00
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 - - 444.00 - - 444.00 - - 444.00 -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - - 2,959.00 - - 2,959.00 - - 2,959.00 -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 1,023.00 197.00 201,531.00 1,023.00 - - 1,023.00 - - 1,023.00 197.00
177 Metilprednisolon tablet 4 mg Tablet 134.00 - - 134.00 - - 134.00 - - 134.00 -
178 Metilprednisolon tablet 4 mg Tablet 150.00 - - 150.00 - - 150.00 - - 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 - - 143.00 - - 143.00 - - 143.00 -
Metilprednisolon tablet 4 mg Tablet 102.00 2,000.00 204,000.00 102.00 - - 102.00 165.00 16,830.00 102.00 1,835.00
Metoklopramid 10 mg Tablet 87.00 - - 87.00 - - 87.00 - - 87.00 -
179 Metoklopramid 10 mg Tablet 85.00 - - 85.00 - - 85.00 - - 85.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 - - 4,400.00 - - 4,400.00 - - 4,400.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 - - 3,960.00 - - 3,960.00 - - 3,960.00 -
Metronidazol Tablet 250 mg Tablet - - - - - - - - - - -
181 Metronidazole Tablet 500 mg Tablet 124.00 - - 124.00 - - 124.00 - - 124.00 -
182 Metronidazole Tablet 500 mg Tablet 211.20 - - 211.20 - - 211.20 - - 211.20 -
Metronidazole Tablet 500 mg Tablet 200.85 2,000.00 401,698.00 200.85 - - 200.85 460.00 92,390.54 200.85 1,540.00
Metronidazole sirup 125 mg/ml Botol 3,950.00 40.00 158,000.00 3,950.00 - - 3,950.00 - - 3,950.00 40.00
183 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - - 8,110.00 - - 8,110.00 - - 8,110.00 -
Metronidazole Infus 500 mg /100 ml Ampul 5,885.00 50.00 294,250.00 5,885.00 50.00 294,250.00 5,885.00 - - 5,885.00 100.00
184 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 - - 3,414.00 - - 3,414.00 - - 3,414.00 -
Mikonazole KrIm 2 % - 10 gr Tube 4,125.00 29.00 119,625.00 4,125.00 - - 4,125.00 17.00 70,125.00 4,125.00 12.00
185 Multivitamin + Mineral tablet Tablet 792.00 - - 792.00 - - 792.00 - - 792.00 -
186 Multivitamin + Mineral tablet Tablet 826.10 - - 826.10 - - 826.10 - - 826.10 -
Multivitamin + Mineral tablet Tablet 993.45 - - 993.45 3,000.00 2,980,350.00 993.45 - - 993.45 3,000.00
Multivitamin sirup Botol 7,100.00 - - 7,100.00 - - 7,100.00 - - 7,100.00 -
187 Multivitamin sirup Botol 7,524.00 - - 7,524.00 - - 7,524.00 - - 7,524.00 -
Mummifying Pasta Botol - - - - - - - - - - -
188 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 - - 50.00 - - 50.00 - - 50.00 -
189 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - - 128.00 - - 128.00 - - 128.00 -
190 Natrium Diklofenak Tablet 50 mg Tablet 115.00 - - 115.00 - - 115.00 - - 115.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 123.00 - - 123.00 - - 123.00 - - 123.00 -
Natrium Diklofenak Tablet 50 mg Tablet 99.90 1,700.00 169,830.00 99.90 - - 99.90 250.00 24,975.00 99.90 1,450.00
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 - - 6,410.00 - - 6,410.00 - - 6,410.00 -
STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,840.00 - - 6,840.00 - - 6,840.00 - - 6,840.00 -
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,800.00 95.00 646,000.00 6,800.00 - - 6,800.00 2.00 13,600.00 6,800.00 93.00
192 Nipedifin Tablet 10 mg Tablet 189.53 - - 189.53 - - 189.53 - - 189.53 -
193 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - - 13,500.00 - - 13,500.00 - - 13,500.00 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,900.00 - - 13,900.00 - - 13,900.00 - - 13,900.00 -
Nistatin suspensi 100.000 IU/ml Botol 11,500.00 24.00 276,000.00 11,500.00 50.00 575,000.00 11,500.00 12.00 138,000.00 11,500.00 62.00
Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - - 560.00 - - 560.00 - - 560.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - - 598.00 - - 598.00 - - 598.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - - 790.00 - - 790.00 - - 790.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - - 843.00 - - 843.00 - - 843.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 825.00 100.00 82,500.00 825.00 - - 825.00 - - 825.00 100.00
Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 - - 232,518.00 - - 232,518.00 - - 232,518.00 -
197 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 - - 316,635.00 - - 316,635.00 - - 316,635.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 - - 317,018.00 - - 317,018.00 - - 317,018.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 - - 1,199,985.00 - - 1,199,985.00 - - 1,199,985.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 - - 1,297,889.00 - - 1,297,889.00 - - 1,297,889.00 -
Obat Antitiuberkolosis Kategori2 Dewasa Paket 1,384,977.00 - - 1,384,977.00 - - 1,384,977.00 - - 1,384,977.00 -
200 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 - - 232,518.00 - - 232,518.00 - - 232,518.00 -
201 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 - - 1,199,985.00 - - 1,199,985.00 - - 1,199,985.00 -
202 Obat Anti Tuberkulosis FDC Kat I & III Paket 415,721.00 - - 415,721.00 - - 415,721.00 - - 415,721.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 - - 415,469.00 - - 415,469.00 - - 415,469.00 -
Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - - - - - - - - - -
204 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 - - 4,697.00 - - 4,697.00 - - 4,697.00 -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 - - 4,840.00 - - 4,840.00 - - 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 - - 6,800.00 - - 6,800.00 - - 6,800.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 - - 4,840.00 - - 4,840.00 - - 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 - - 6,760.00 - - 6,760.00 - - 6,760.00 -
Obat Batuk Hitam Plus Sirup Botol 4,697.00 - - 4,697.00 - - 4,697.00 - - 4,697.00 -
207 Obat Flu Sirup Botol - - - - - - - - - - -
208 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - - - - - - - - - -
209 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 - - 2,500.00 - - 2,500.00 - - 2,500.00 -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 - - 2,760.00 - - 2,760.00 - - 2,760.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,668.00 - - 2,668.00 - - 2,668.00 - - 2,668.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 - - 2,500.00 50.00 125,000.00 2,500.00 24.00 60,000.00 2,500.00 26.00
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - - 1,969.00 - - 1,969.00 - - 1,969.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - - 2,005.00 - - 2,005.00 - - 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 - - 2,412.30 - - 2,412.30 - - 2,412.30 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - - 1,199.00 - - 1,199.00 - - 1,199.00 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 - - 1,785.00 - - 1,785.00 - - 1,785.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,126.00 250.00 281,500.00 1,126.00 - - 1,126.00 - - 1,126.00 250.00
Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - - 9,898.00 - - 9,898.00 - - 9,898.00 -
Omeprazole injeksi 40mg/10ml Ampul 5,093.00 - - 5,093.00 30.00 152,790.00 5,093.00 - - 5,093.00 30.00
213 Omeprazole Kapsul 20 mg Kapsul 130.00 - - 130.00 - - 130.00 - - 130.00 -
214 Omeprazole Kapsul 20 mg Kapsul 341.81 - - 341.81 - - 341.81 - - 341.81 -
Omeprazole Kapsul 20 mg Kapsul 458.00 660.00 302,280.00 458.00 - - 458.00 585.00 267,930.00 458.00 75.00
Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - - 1,070.00 - - 1,070.00 - - 1,070.00 -
215
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - - 6,649.00 - - 6,649.00 - - 6,649.00 -
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 4,976.00 - - 4,976.00 - - 4,976.00 - - 4,976.00 -
216 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 - - 1,107.00 - - 1,107.00 - - 1,107.00 -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - - 1,181.00 - - 1,181.00 - - 1,181.00 -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,160.00 190.00 220,400.00 1,160.00 - - 1,160.00 15.00 17,400.00 1,160.00 175.00
217 Parasetamol Tablet 100 mg Tablet - - - - - - - - - - -
218 Parasetamol Tablet 500 mg Tablet 53.00 - - 53.00 - - 53.00 - - 53.00 -
219 Parasetamol Tablet 500 mg Tablet 100.74 - - 100.74 - - 100.74 - - 100.74 -
Parasetamol Tablet 500 mg Tablet 148.50 - - 148.50 16,500.00 2,450,250.00 148.50 7,814.00 1,160,379.00 148.50 8,686.00
PB Anak Blister 8,891.00 - - 8,891.00 - - 8,891.00 - - 8,891.00 -
STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
220 PB Dewasa Blister 12,569.00 - - 12,569.00 - - 12,569.00 - - 12,569.00 -
221 PB Dewasa Blister 17,093.00 - - 17,093.00 - - 17,093.00 - - 17,093.00 -
PB Dewasa Blister 15,484.71 - - 15,484.71 - - 15,484.71 - - 15,484.71 -
Pehacain injeksi Ampul 3,051.40 - - 3,051.40 - - 3,051.40 - - 3,051.40 -
222 Pehacain injeksi Ampul 3,113.00 - - 3,113.00 - - 3,113.00 - - 3,113.00 -
Perak Sulfadiazin krim 1 % 35 gr Tube - - - - - - - - - - -
223 Permetrin krim 5 % Tube 11,250.00 - - 11,250.00 - - 11,250.00 - - 11,250.00 -
Permetrin krim 5 % Tube 11,352.27 17.00 192,988.64 11,352.27 - - 11,352.27 - - 11,352.27 17.00
224 Piracetam Tablet 400 mg Tablet 459.80 - - 459.80 - - 459.80 - - 459.80 -
225 Piracetam Tablet 800 mg Tablet 800.80 - - 800.80 - - 800.80 - - 800.80 -
226 Piroksikam Tablet 20 mg Tablet 201.40 - - 201.40 - - 201.40 - - 201.40 -
227 Piroksikam Tablet 20 mg Tablet 156.20 - - 156.20 - - 156.20 - - 156.20 -
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet - - - - - - - - - - -
228 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - - 123.00 - - 123.00 - - 123.00 -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - - 118.00 - - 118.00 - - 118.00 -
Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet 131.00 - - 131.00 - - 131.00 - - 131.00 -
230 Povidon Iodida 10% 30 ml Botol 3,360.00 - - 3,360.00 - - 3,360.00 - - 3,360.00 -
231 Povidon Iodida 10% 60 ml Botol - - - - - - - - - - -
232 Povidon Iodida 10% 300 ml Botol 18,900.00 - - 18,900.00 - - 18,900.00 - - 18,900.00 -
233 Povidon Iodida 10% 300 ml Botol 22,050.00 - - 22,050.00 - - 22,050.00 - - 22,050.00 -
Povidon Iodida 10% 300 ml Botol 23,971.20 - - 23,971.20 - - 23,971.20 - - 23,971.20 -
Prednison Tablet 5 mg Tablet 100.00 - - 100.00 - - 100.00 - - 100.00 -
234 Prednison Tablet 5 mg Tablet 73.00 - - 73.00 - - 73.00 - - 73.00 -
Prednison Tablet 5 mg Tablet 68.00 210.00 14,280.00 68.00 - - 68.00 - - 68.00 210.00
Prednison Tablet 5 mg Tablet 68.62 1,000.00 68,618.18 68.62 - - 68.62 - - 68.62 1,000.00
Primakuin tablet 15 mg Tablet - - - - - - - - - - -
235 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - - - - - - - - - -
236 Propanolol Hcl Tablet 40 mg Tablet 76.00 - - 76.00 - - 76.00 - - 76.00 -
237 Propanolol Hcl Tablet 40 mg Tablet 242.00 - - 242.00 - - 242.00 - - 242.00 -
Propanolol Hcl Tablet 10 mg Tablet 58.00 - - 58.00 - - 58.00 - - 58.00 -
Propanolol Hcl Tablet 10 mg Tablet 56.51 100.00 5,650.91 56.51 - - 56.51 100.00 5,650.91 56.51 -
Propilturasil Tablet 100 mg Tablet 586.30 - - 586.30 - - 586.30 - - 586.30 -
Propilturasil Tablet 100 mg Tablet 385.00 - - 385.00 - - 385.00 - - 385.00 -
238 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - - 1,155.00 - - 1,155.00 - - 1,155.00 -
239 Ranitidin Tablet 150 mg Tablet 105.00 - - 105.00 - - 105.00 - - 105.00 -
240 Ranitidin Tablet 150 mg Tablet 112.00 - - 112.00 - - 112.00 - - 112.00 -
Ranitidin Tablet 150 mg Tablet 85.00 710.00 60,350.00 85.00 - - 85.00 170.00 14,450.00 85.00 540.00
Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - - 288.00 - - 288.00 - - 288.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 307.00 - - 307.00 - - 307.00 - - 307.00 -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - - 517.00 - - 517.00 - - 517.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 552.00 - - 552.00 - - 552.00 - - 552.00 -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 558.03 - - 558.03 - - 558.03 - - 558.03 -
Reserpin Tablet 0, 25 mg Tablet - - - - - - - - - - -
243 Rifampisin Tablet 450 mg Tablet - - - - - - - - - - -
244 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - - 7,150.00 - - 7,150.00 - - 7,150.00 -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 210.00 1,602,300.00 7,630.00 - - 7,630.00 85.00 648,550.00 7,630.00 125.00
Salbutamol Tablet 2 mg Tablet 63.00 - - 63.00 - - 63.00 - - 63.00 -
Salbutamol Tablet 2 mg Tablet 67.00 100.00 6,700.00 67.00 - - 67.00 - - 67.00 100.00
246 Salbutamol Tablet 4 mg Tablet 70.00 - - 70.00 - - 70.00 - - 70.00 -
247 Salbutamol Tablet 4 mg Tablet 100.10 - - 100.10 - - 100.10 - - 100.10 -
Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - - - - - - - - - - -
Salep 2-4 Kombinasi :
248
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
2,621.00 - - 2,621.00 - - 2,621.00 - - 2,621.00 -
gram
Salep 2-4 Kombinasi :
249
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
2,527.00 - - 2,527.00 - - 2,527.00 - - 2,527.00 -
gram
Salep 2-4 Kombinasi :
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
2,797.00 - - 2,797.00 - - 2,797.00 - - 2,797.00 -
gram
STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
Salep 2-4 Kombinasi :
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
2,354.21 48.00 113,002.04 2,354.21 - - 2,354.21 22.00 51,792.60 2,354.21 26.00
gram
Salisil bedak 2% -50 gr Kotak 1,020.00 - - 1,020.00 - - 1,020.00 - - 1,020.00 -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - - 1,025.00 - - 1,025.00 - - 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 - - 1,662.79 - - 1,662.79 - - 1,662.79 -
Salisil bedak 2% -50 gr Kotak 920.00 - - 920.00 - - 920.00 - - 920.00 -
Salep Luka Bakar Tube 11,718.25 - - 11,718.25 - - 11,718.25 - - 11,718.25 -
251 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - - 3,922.00 - - 3,922.00 - - 3,922.00 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 - - 3,980.00 - - 3,980.00 - - 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 - - 4,185.00 - - 4,185.00 - - 4,185.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,834.55 84.00 322,101.82 3,834.55 - - 3,834.55 17.00 65,187.27 3,834.55 67.00
Sefadroksil Tablet 500 mg Tablet 478.00 - - 478.00 - - 478.00 - - 478.00 -
253 Sefadroksil Tablet 500 mg Tablet 580.00 - - 580.00 - - 580.00 - - 580.00 -
Sefiksim Kapsul 100 mg Kapsul 31,231.00 - - 31,231.00 - - 31,231.00 - - 31,231.00 -
254 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 - - 31,231.00 - - 31,231.00 - - 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 - - 30,030.00 - - 30,030.00 - - 30,030.00 -
Sefotaksim Injeksi 1 gr Ampul 4,200.00 - - 4,200.00 - - 4,200.00 - - 4,200.00 -
256 Seftriakson Injeksi 1 gr / vial Ampul 4,708.00 - - 4,708.00 - - 4,708.00 - - 4,708.00 -
257 Semen Seng Fosfat Serbuk & Cairan Botol - - - - - - - - - - -
258 Setirizin Tablet 10 mg Tablet 90.00 - - 90.00 - - 90.00 - - 90.00 -
Setirizin Tablet 10 mg Tablet 49.45 800.00 39,556.36 49.45 - - 49.45 260.00 12,855.82 49.45 540.00
259 Setirizin Sirup 5 mg / 5 ml Botol 2,090.00 - - 2,090.00 - - 2,090.00 - - 2,090.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 - - 3,150.00 - - 3,150.00 - - 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - - 2,915.00 - - 2,915.00 - - 2,915.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,109.00 20.00 42,180.00 2,109.00 - - 2,109.00 - - 2,109.00 20.00
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 - - 1,035.00 - - 1,035.00 - - 1,035.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 - - 1,098.00 - - 1,098.00 - - 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 - - 1,104.00 - - 1,104.00 - - 1,104.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 969.00 - - 969.00 - - 969.00 - - 969.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 977.81 - - 977.81 200.00 195,562.00 977.81 - - 977.81 200.00
Sianokobalamin Tablet 50 mcg Tablet 49.00 - - 49.00 - - 49.00 - - 49.00 -
Sianokobalamin Tablet 50 mcg Tablet 43.39 430.00 18,658.09 43.39 - - 43.39 430.00 18,658.09 43.39 -
262 Silver Amalgam Serbuk 65-75% Botol - - - - - - - - - - -
263 Simetidin 200 mg Tablet Tablet 163.90 - - 163.90 - - 163.90 - - 163.90 -
264 Simetidin 200 mg Tablet Tablet 176.00 - - 176.00 - - 176.00 - - 176.00 -
Simvastatin Tablet 10 mg Tablet 110.00 - - 110.00 - - 110.00 - - 110.00 -
265 Simvastatin Tablet 10 mg Tablet 111.00 - - 111.00 - - 111.00 - - 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 - - 117.00 - - 117.00 - - 117.00 -
Simvastatin Tablet 10 mg Tablet 68.00 775.00 52,700.00 68.00 - - 68.00 290.00 19,720.00 68.00 485.00
Simvastatin Tablet 20 mg Tablet 217.00 - - 217.00 - - 217.00 - - 217.00 -
Siprofloksasin 500mg Tablet 265.00 - - 265.00 - - 265.00 - - 265.00 -
266 Siprofloksasin 500mg Tablet 240.00 - - 240.00 - - 240.00 - - 240.00 -
Siprofloksasin 500mg Tablet 530.20 - - 530.20 - - 530.20 - - 530.20 -
Siprofloksasin 500mg Tablet 248.00 670.00 166,160.00 248.00 - - 248.00 120.00 29,760.00 248.00 550.00
Spironolakton Tablet 25 mg Tablet 208.00 - - 208.00 - - 208.00 - - 208.00 -
Spironolakton Tablet 25 mg Tablet 190.00 350.00 66,500.00 190.00 - - 190.00 20.00 3,800.00 190.00 330.00
267 Sulfacetamid Tetes Mata 15 %-5ml Botol - - - - - - - - - - -
268 Tablet Tambah Darah Kombinasi:
Tablet
Besi II Sulfat 200 mg + Asam Folat 0,25 mg 353.00 - - 353.00 - - 353.00 - - 353.00 -
269 Tablet Tambah Darah Kombinasi:
Tablet
Besi II Sulfat 200 mg + Asam Folat 0,25 mg 350.00 - - 350.00 - - 350.00 - - 350.00 -

Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set


- - - - - - - - - - -
270 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - - - - - - - - - -
271 Tetrasiklin Kapsul 250 mg Kapsul 174.00 - - 174.00 - - 174.00 - - 174.00 -
272 Tetrasiklin Kapsul 500 mg Kapsul 310.00 - - 310.00 - - 310.00 - - 310.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - - 303.00 - - 303.00 - - 303.00 -
Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 - - 1,139.60 - - 1,139.60 - - 1,139.60 -
STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
274 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - - 85.00 - - 85.00 - - 85.00 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 - - 86.00 - - 86.00 - - 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - - 91.00 - - 91.00 - - 91.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.30 1,130.00 103,169.00 91.30 500.00 45,650.00 91.30 1,511.00 137,954.30 91.30 119.00
Thiamfenikol Kapsul 500 mg Kapsul 837.00 - - 837.00 - - 837.00 - - 837.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 921.00 - - 921.00 - - 921.00 - - 921.00 -
Tramadol Injeksi 50 mg/ ml Ampul - - - - - - - - - - -
277 Tramadol Tablet 50 mg Tablet - - - - - - - - - - -
278 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - - 85.00 - - 85.00 - - 85.00 -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 63.00 26,735.00 1,684,305.00 63.00 - - 63.00 290.00 18,270.00 63.00 26,445.00
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 91.00 - - 91.00 - - 91.00 - - 91.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 - - 115.00 - - 115.00 - - 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 - - 89.00 - - 89.00 - - 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 - - 682.00 - - 682.00 - - 682.00 -
Vitamin Neurotropik Tablet Tablet 720.00 1,500.00 1,080,000.00 720.00 - - 720.00 1,070.00 770,400.00 720.00 430.00
282 Zinc Tablet 20 mg Tablet 508.00 - - 508.00 - - 508.00 - - 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - - 2,972.00 - - 2,972.00 - - 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 - - 3,171.00 - - 3,171.00 - - 3,171.00 -
Zinc Sulfat 20 mg/5 ml Botol 2,489.00 55.00 136,895.00 2,489.00 - - 2,489.00 - - 2,489.00 55.00
Zinc Sulfat 20 mg Tablet Botol 208.00 1,000.00 208,000.00 208.00 - - 208.00 245.00 50,960.00 208.00 755.00
284 Hepatorotector tablet (Curcuma) Tablet 462.00 - - 462.00 - - 462.00 - - 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 - - 416.20 - - 416.20 - - 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 - - 9,680.00 - - 9,680.00 - - 9,680.00 -
Obat Batuk Herbal Botol 14,402.00 100.00 1,440,200.00 14,402.00 - - 14,402.00 55.00 792,110.00 14,402.00 45.00
286 Obat Kumur Botol 16,962.00 - - 16,962.00 - - 16,962.00 - - 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - - 13,200.00 - - 13,200.00 - - 13,200.00 -
Salep Kloramfenikol + Hidrokortison 14,371.50 - - 14,371.50 - - 14,371.50 - - 14,371.50 -
288 Tablet Pemanis Botol 33,000.00 - - 33,000.00 - - 33,000.00 - - 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 - - 121,000.00 - - 121,000.00 - - 121,000.00 -
290 Flour Gel Botol 63,800.00 - - 63,800.00 - - 63,800.00 - - 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 - - 775,500.00 - - 775,500.00 - - 775,500.00 -
292 Hyposol 3% Botol 75,900.00 - - 75,900.00 - - 75,900.00 - - 75,900.00 -
Hyposol 3% Botol 78,750.00 - - 78,750.00 - - 78,750.00 - - 78,750.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 - - 63,800.00 - - 63,800.00 - - 63,800.00 -
Paramonochlorofenol/CHKM Botol 65,214.29 - - 65,214.29 - - 65,214.29 - - 65,214.29 -
294 Saliva Ejector Pcs 88,750.00 - - 88,750.00 - - 88,750.00 - - 88,750.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 - - 12,793.00 - - 12,793.00 - - 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 - - 13,138.40 - - 13,138.40 - - 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 - - 165,000.00 - - 165,000.00 - - 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 - - 8,110.00 - - 8,110.00 - - 8,110.00 -
298 Box Slide Pcs 75,000.20 - - 75,000.20 - - 75,000.20 - - 75,000.20 -
299 Box Slide Pcs 75,000.00 - - 75,000.00 - - 75,000.00 - - 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 - - 1,121.00 - - 1,121.00 - - 1,121.00 -
Klozapine 100 mg Tablet 997.00 385.00 383,845.00 997.00 - - 997.00 385.00 383,845.00 997.00 -
Klozapine 25mg Tablet 473.00 1,628.00 770,044.00 473.00 - - 473.00 1,628.00 770,044.00 473.00 -
301 Mineral Mix Sachet 2,920.00 - - 2,920.00 - - 2,920.00 - - 2,920.00 -
302 Risperidon 2mg Tablet 287.00 - - 287.00 - - 287.00 - - 287.00 -
Risperidon 2mg Tablet 123.00 2,710.00 333,330.00 123.00 - - 123.00 481.00 59,163.00 123.00 2,229.00
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 - - 14,131.00 - - 14,131.00 - - 14,131.00 -
304 Box Object Glass isi 50 Grey Orange Pcs 38,848.51 - - 38,848.51 - - 38,848.51 - - 38,848.51 -
Box Object Glass isi 50 Grey Orange Pcs 15,089.50 - - 15,089.50 - - 15,089.50 - - 15,089.50 -
305 Vitamin C 500mg Tablet 225.00 1,300.00 292,500.00 225.00 3,000.00 675,000.00 225.00 1,100.00 247,500.00 225.00 3,200.00
306 Multivitamin Tablet 585.00 - - 585.00 3,000.00 1,755,000.00 585.00 300.00 175,500.00 585.00 2,700.00
307 Poli Aid 1 Liter Botol 129,400.00 - - 129,400.00 - - 129,400.00 - - 129,400.00 -
308 Poli Aid 1 Liter Botol 595,000.00 - - 595,000.00 - - 595,000.00 - - 595,000.00 -
Poli Aid 1 Liter Botol 15,246.00 - - 15,246.00 10.00 152,460.00 15,246.00 - - 15,246.00 10.00
309 Trifluoperazine Hcl Tablet 5 mg Tablet 287.00 - - 287.00 - - 287.00 - - 287.00 -
STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
310 Divalproex Sodium 250mg Tablet 2,954.00 - - 2,954.00 - - 2,954.00 - - 2,954.00 -
Divalproex Sodium 250mg Tablet 2,825.45 100.00 282,545.45 2,825.45 - - 2,825.45 30.00 84,763.64 2,825.45 70.00
311 Calcetin Calcium Hydroxide Paste Botol 134,214.29 - - 134,214.29 - - 134,214.29 - - 134,214.29 -
312 Pilp-X Pot 217,214.29 - - 217,214.29 - - 217,214.29 - - 217,214.29 -
313 Karbogliserin Tetes Telinga Botol 2,764.00 - - 2,764.00 - - 2,764.00 - - 2,764.00 -
314 Larvasida Paket 412,002.80 - - 412,002.80 - - 412,002.80 - - 412,002.80 -
Larvasida Paket 377,955.00 - 377,955.00 5.00 1,889,775.00 377,955.00 - - 377,955.00 5.00
315 Kalsitrol Kapsul Lunak 0,5 mcg Kapsul 2,600.00 1,520.00 3,952,000.00 2,600.00 - - 2,600.00 90.00 234,000.00 2,600.00 1,430.00
316 Vitamin D 1000IU Tablet 876.70 1,800.00 1,578,060.00 876.70 2,000.00 1,753,400.00 876.70 630.00 552,321.00 876.70 3,170.00
317 Hiosin butilbromida 10mg Tablet 1,059.55 100.00 105,954.55 1,059.55 100.00 105,954.55 1,059.55 - - 1,059.55 200.00
318 Malathione/Insektisida 500ml Botol 147,075.00 - 147,075.00 1.00 147,075.00 147,075.00 - - 147,075.00 1.00
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - - - - - - - - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 - - 3,914.00 - - 3,914.00 - - 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 - - 8,950.00 - - 8,950.00 - - 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - - 8,700.00 - - 8,700.00 - - 8,700.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 6,930.00 50.00 346,500.00 6,930.00 50.00 346,500.00 6,930.00 - - 6,930.00 100.00
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 - - 3,914.00 - - 3,914.00 - - 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - - 12,631.00 - - 12,631.00 - - 12,631.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 - - 7,334.00 - - 7,334.00 - - 7,334.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 6,930.00 60.00 415,800.00 6,930.00 - - 6,930.00 - - 6,930.00 60.00
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 - - 8,950.00 - - 8,950.00 - - 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 - - 8,700.00 - - 8,700.00 - - 8,700.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 6,930.00 50.00 346,500.00 6,930.00 50.00 346,500.00 6,930.00 - - 6,930.00 100.00
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 - - 7,334.00 - - 7,334.00 - - 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 - - 8,950.00 - - 8,950.00 - - 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - - 8,700.00 - - 8,700.00 - - 8,700.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 6,930.00 20.00 138,600.00 6,930.00 - - 6,930.00 - - 6,930.00 20.00
5 Alat Gula, Kolesterol, Asam Urat Unit - - - - - - - - - - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 - - 840.00 - - 840.00 - - 840.00 -
Alat Suntik Sekali Pakai 1 ml Set 646.94 - - 646.94 - - 646.94 - - 646.94 -
7 Alat Suntik Sekali Pakai 3 ml Set 854.00 - - 854.00 - - 854.00 - - 854.00 -
Alat Suntik Sekali Pakai 3 ml Set 792.00 - - 792.00 - - 792.00 - - 792.00 -
Alat Suntik Sekali Pakai 3 ml Set 965.40 - - 965.40 - - 965.40 - - 965.40 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 - - 817.00 - - 817.00 - - 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 - - 750.00 - - 750.00 - - 750.00 -
Alat Suntik Sekali Pakai 5 ml Set 903.00 - - 903.00 - - 903.00 - - 903.00 -
Alat Suntik Sekali Pakai 5 ml Set 776.33 400.00 310,532.00 776.33 - - 776.33 - - 776.33 400.00
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 - - 1,298.00 - - 1,298.00 - - 1,298.00 -
10 Alkohol Swab Kotak 123.60 8,900.00 1,100,040.00 123.60 - - 123.60 800.00 98,880.00 123.60 8,100.00
Alkohol Swab Kotak 95.00 - - 95.00 - - 95.00 - - 95.00 -
Alkohol Swab Kotak 116.04 - - 116.04 - - 116.04 - - 116.04 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - - 1,354.00 - - 1,354.00 - - 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 300.00 330,300.00 1,101.00 - - 1,101.00 - - 1,101.00 300.00
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - - 1,185.00 - - 1,185.00 - - 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 - - 1,190.00 - - 1,190.00 - - 1,190.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 995.00 1,600.00 1,592,000.00 995.00 - - 995.00 - - 995.00 1,600.00
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - - 1,583.00 - - 1,583.00 - - 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,540.00 1,000.00 1,540,000.00 1,540.00 - - 1,540.00 - - 1,540.00 1,000.00
14 Blood Set Set 10,430.00 - - 10,430.00 - - 10,430.00 - - 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 25,009.00 - - 25,009.00 - - 25,009.00 - - 25,009.00 -
Catgut/Benang Bedah No.2/0 Plain Sachet 26,087.00 12.00 313,044.00 26,087.00 - - 26,087.00 - - 26,087.00 12.00
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 25,009.00 - - 25,009.00 - - 25,009.00 - - 25,009.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 - - 33,250.00 - - 33,250.00 - - 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 - - 34,170.00 - - 34,170.00 - - 34,170.00 -
STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - - 33,538.00 - - 33,538.00 - - 33,538.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 25,009.00 20.00 500,180.00 25,009.00 - - 25,009.00 10.00 250,090.00 25,009.00 10.00
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - - 3,150.00 - - 3,150.00 - - 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 - - 2,677.50 - - 2,677.50 - - 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - - 26,250.00 - - 26,250.00 - - 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 - - 28,875.00 - - 28,875.00 - - 28,875.00 -
19 Eter Alkohol Botol 250,000.30 - - 250,000.30 - - 250,000.30 - - 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 - - 18,450.00 - - 18,450.00 - - 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 - - 18,450.00 - - 18,450.00 - - 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 - - 18,450.00 - - 18,450.00 - - 18,450.00 -
23 Infus set Anak Set 9,900.00 - - 9,900.00 - - 9,900.00 - - 9,900.00 -
24 Infus set Dewasa Set 5,800.00 - - 5,800.00 - - 5,800.00 - - 5,800.00 -
Infus set Dewasa Set 9,165.00 - - 9,165.00 - - 9,165.00 - - 9,165.00 -
Infus set Dewasa Set 5,445.00 - - 5,445.00 - - 5,445.00 - - 5,445.00 -
Infus set Dewasa Set 6,150.00 - - 6,150.00 - - 6,150.00 - - 6,150.00 -
Infus set Dewasa Set 11,500.00 - - 11,500.00 - - 11,500.00 - - 11,500.00 -
Infus set Dewasa Set 6,448.00 45.00 290,160.00 6,448.00 - - 6,448.00 - - 6,448.00 45.00
25 Iodina Test Botol 10,725.00 - - 10,725.00 - - 10,725.00 - - 10,725.00 -
Iodina Test Botol 42,998.89 40.00 1,719,955.56 42,998.89 - - 42,998.89 - - 42,998.89 40.00
26 Kaca Slide Pcs 55,000.00 - - 55,000.00 - - 55,000.00 - - 55,000.00 -
Kaca Slide Pcs 19,700.00 - - 19,700.00 - - 19,700.00 - - 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - - - - - - - - - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 - - 24,000.00 - - 24,000.00 - - 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 - - 12,875.00 - - 12,875.00 - - 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 36.00 285,516.00 7,931.00 - - 7,931.00 - - 7,931.00 36.00
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 - - 607.70 - - 607.70 - - 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - - 3,800.00 - - 3,800.00 - - 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 - - 2,163.00 - - 2,163.00 - - 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 - - 7,900.00 - - 7,900.00 - - 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 - - 8,240.00 - - 8,240.00 - - 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 - - 1,800.00 - - 1,800.00 - - 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 - - 1,648.00 - - 1,648.00 - - 1,648.00 -
34 Kertas Puyer Bungkus 75.90 - - 75.90 - - 75.90 - - 75.90 -
35 Kertas Saring Lembar 10,000.10 - - 10,000.10 - - 10,000.10 - - 10,000.10 -
36 Kertas Lensa Lembar - - - - - - - - - - -
37 Lysol 1,000 ml Botol 43,050.00 - - 43,050.00 - - 43,050.00 - - 43,050.00 -
38 Masker Buah 438.90 - - 438.90 - - 438.90 - - 438.90 -
Masker Buah 982.40 - - 982.40 - - 982.40 - - 982.40 -
Masker Buah 1,900.00 - - 1,900.00 - - 1,900.00 - - 1,900.00 -
Masker Buah 2,290.00 - - 2,290.00 - - 2,290.00 - - 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 - - 5,500.00 - - 5,500.00 - - 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 - - 5,500.00 - - 5,500.00 - - 5,500.00 -
39 Masker N 95 Pcs 23,750.00 - - 23,750.00 - - 23,750.00 - - 23,750.00 -
Masker N 96 Pcs 27,225.00 50.00 1,361,250.00 27,225.00 - - 27,225.00 - - 27,225.00 50.00
Masker N 96 Pcs 30,842.19 - - 30,842.19 - - 30,842.19 - - 30,842.19 -
Masker KN95 Pcs - - - - - - - - - - -
40 Minyak Imersi Botol 509,999.60 - - 509,999.60 - - 509,999.60 - - 509,999.60 -
Minyak Imersi Botol 1,548,088.30 - - 1,548,088.30 - - 1,548,088.30 - - 1,548,088.30 -
41 Plester Kertas Rol 15,333.33 - - 15,333.33 - - 15,333.33 - - 15,333.33 -
Plester Kertas Rol 36,050.00 - - 36,050.00 - - 36,050.00 - - 36,050.00 -
42 Polifix 5 cm x 5 m Rol 39,217.00 - - 39,217.00 - - 39,217.00 - - 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 - - 30,000.00 - - 30,000.00 - - 30,000.00 -
Polifix 5 cm x 5 m Rol 61,050.00 3.00 183,150.00 61,050.00 - - 61,050.00 - - 61,050.00 3.00
43 Pot Dahak Pcs 5,800.00 - - 5,800.00 - - 5,800.00 - - 5,800.00 -
STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
Pot Dahak Pcs 2,728.00 - - 2,728.00 - - 2,728.00 - - 2,728.00 -
Pot Dahak Pcs 3,096.96 - - 3,096.96 - - 3,096.96 - - 3,096.96 -
Pot Dahak Pcs 2,246.00 200.00 449,200.00 2,246.00 - - 2,246.00 - - 2,246.00 200.00
44 Rapid 2 HIV Fokus Test 13,235.00 - - 13,235.00 - - 13,235.00 - - 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 - - 12,500.00 - - 12,500.00 - - 12,500.00 -
Rapid Test HIV 1/2 Vikia DS Test 12,827.00 - - 12,827.00 - - 12,827.00 - - 12,827.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 - - 14,340.00 - - 14,340.00 - - 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 - - 11,975.00 - - 11,975.00 - - 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 - - 74,002.50 - - 74,002.50 - - 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 - - 19,500.00 - - 19,500.00 - - 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 - - 9,878.00 - - 9,878.00 - - 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 - - 9,850.00 - - 9,850.00 - - 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 - - 7,913.00 - - 7,913.00 - - 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 - - 7,900.00 - - 7,900.00 - - 7,900.00 -
Rapid Tes SD Bioline HBSAG Test 7,805.00 - - 7,805.00 - - 7,805.00 - - 7,805.00 -
Hepatitis B Imunoglobulin inj 220 IU (Hbig) Vial 1,325,000.00 - - 1,325,000.00 - - 1,325,000.00 - - 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 - - 20,400.00 - - 20,400.00 - - 20,400.00 -
Rapid Test Syphilis Test 12,564.00 - - 12,564.00 - - 12,564.00 - - 12,564.00 -
50 Reagen CD 4 Control Test - - - - - - - - - - -
51 Reagen CD 4 Test - - - - - - - - - - -
52 Reagen Ziehl Nielsen Botol 276,500.00 - - 276,500.00 - - 276,500.00 - - 276,500.00 -
Reagen Ziehl Nielsen Botol 232,440.00 - - 232,440.00 - - 232,440.00 - - 232,440.00 -
Reagen Ziehl Nielsen Botol 216,812.50 - - 216,812.50 - - 216,812.50 - - 216,812.50 -
Reagen Ziehl Nielsen Botol 133,500.00 - - 133,500.00 - - 133,500.00 - - 133,500.00 -
53 RPR Test Syphilis Test 7,250.00 - - 7,250.00 - - 7,250.00 - - 7,250.00 -
RPR Test Syphilis Test 4,120.00 - - 4,120.00 - - 4,120.00 - - 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 15,092.00 - - 15,092.00 - - 15,092.00 - - 15,092.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 - - 20,150.00 - - 20,150.00 - - 20,150.00 -
Silk( Benang Bedah Sutra ) No 3/2 Sachet 16,535.00 12.00 198,420.00 16,535.00 - - 16,535.00 - - 16,535.00 12.00
55 Safety Box Pcs 22,433.00 - - 22,433.00 - - 22,433.00 - - 22,433.00 -
Safety Box Pcs 16,186.81 - - 16,186.81 - - 16,186.81 - - 16,186.81 -
Safety Box Pcs 14,935.00 50.00 746,750.00 14,935.00 - - 14,935.00 - - 14,935.00 50.00
Safety Box Pcs 14,750.00 140.00 2,065,000.00 14,750.00 - - 14,750.00 - - 14,750.00 140.00
56 Sarung tangan Steril No 6 Pcs 4,500.00 - - 4,500.00 - - 4,500.00 - - 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - - 4,500.00 - - 4,500.00 - - 4,500.00 -
Sarung tangan Steril No 7 Pcs 2,673.33 - - 2,673.33 - - 2,673.33 - - 2,673.33 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 - - 4,500.00 - - 4,500.00 - - 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 - - 6,595.00 - - 6,595.00 - - 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 - - 600.49 - - 600.49 - - 600.49 -
Sarung tangan Non Steril S Pcs 1,165.00 - - 1,165.00 - - 1,165.00 - - 1,165.00 -
Sarung tangan Non Steril S Pcs 1,255.41 1,200.00 1,506,492.00 1,255.41 - - 1,255.41 600.00 753,246.00 1,255.41 600.00
60 Sarung tangan Non Steril M Pcs 600.49 - - 600.49 - - 600.49 - - 600.49 -
Sarung tangan Non Steril M Pcs 1,165.00 100.00 116,500.00 1,165.00 - - 1,165.00 100.00 116,500.00 1,165.00 -
61 Sarung tangan Non Steril L Pcs 600.40 - - 600.40 - - 600.40 - - 600.40 -
Sarung tangan Non Steril L Pcs 1,165.00 200.00 233,000.00 1,165.00 - - 1,165.00 - - 1,165.00 200.00
62 Sountimer Buah - - - - - - - - - - -
63 Stik Pemeriksaan Gula Darah Test 3,230.00 4,000.00 12,920,000.00 3,230.00 - - 3,230.00 - - 3,230.00 4,000.00
Stik Pemeriksaan Gula Darah Test 3,200.00 10,000.00 32,000,000.00 3,200.00 - - 3,200.00 - - 3,200.00 10,000.00
64 Stik Pemeriksaan Kolesterol Test - - - - - - - - - - -
65 Stik Pemeriksaan Asam Urat Test - - - - - - - - - - -
66 Supratul Lembar 10,400.00 - - 10,400.00 - - 10,400.00 - - 10,400.00 -
Supratul Lembar 15,333.33 - - 15,333.33 - - 15,333.33 - - 15,333.33 -
67 Urine Bag set 8,070.00 - - 8,070.00 - - 8,070.00 - - 8,070.00 -
Urine Bag set 4,235.00 - - 4,235.00 - - 4,235.00 - - 4,235.00 -
STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
68 Wing Neddle No 23 Set - - - - - - - - - - -
69 Blood Lancet Pcs 95.07 8,700.00 827,109.00 95.07 - - 95.07 1,900.00 180,633.00 95.07 6,800.00
Blood Lancet Pcs 144.20 - - 144.20 - - 144.20 - - 144.20 -
Blood Lancet Pcs 91.49 10,000.00 914,881.72 91.49 - - 91.49 - - 91.49 10,000.00
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - - 60,800.00 - - 60,800.00 - - 60,800.00 -
Cairan Antiseptik Botol 500 ml Botol 66,700.00 - - 66,700.00 - - 66,700.00 - - 66,700.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 - - 86,680.00 - - 86,680.00 - - 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 - - 712,800.00 - - 712,800.00 - - 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 - - 396,000.00 - - 396,000.00 - - 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 - - 4,232.00 - - 4,232.00 - - 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 - - 10,400.00 - - 10,400.00 - - 10,400.00 -
76 Vikia Biumeric Test 19,480.00 - - 19,480.00 - - 19,480.00 - - 19,480.00 -
77 Sterald Galon 396,000.00 - - 396,000.00 - - 396,000.00 - - 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 - - 1,325,000.00 - - 1,325,000.00 - - 1,325,000.00 -
79 Slide 31,347.00 - - 31,347.00 - - 31,347.00 - - 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 - - 12,631.00 - - 12,631.00 - - 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 - - 1,098,900.00 - - 1,098,900.00 - - 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 - - 188,663.00 - - 188,663.00 - - 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 - - 512,204.00 - - 512,204.00 - - 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 - - 312,500.10 - - 312,500.10 - - 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 - - 262,499.60 - - 262,499.60 - - 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 - - 131,249.60 - - 131,249.60 - - 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 - - 56,249.60 - - 56,249.60 - - 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 - - 165,000.00 - - 165,000.00 - - 165,000.00 -
89 VTM & Swab Dacron Citodia Pcs 55,000.00 - - 55,000.00 - - 55,000.00 - - 55,000.00 -
VTM + Swab (KH Medial) Test 42,000.00 - - 42,000.00 - - 42,000.00 - - 42,000.00 -
90 Panbio Covid-19 Antigen Test 75,069.00 - - 75,069.00 - - 75,069.00 - - 75,069.00 -
91 ADS 0,5 ml Alokasi Pcs 1,185.00 - - 1,185.00 - - 1,185.00 - - 1,185.00 -
92 Alkohol Swab Alokasi Pcs 79.00 - - 79.00 - - 79.00 - - 79.00 -
Alkohol Swab Alokasi Pcs 91.49 10,000.00 914,881.72 91.49 - - 91.49 - - 91.49 10,000.00
93 Safety Box Alokasi Pcs 14,000.00 - - 14,000.00 - - 14,000.00 - - 14,000.00 -
94 Parafilm Pcs 666,470.20 - - 666,470.20 - - 666,470.20 - - 666,470.20 -
95 Vaccum Tube Sterile EDTA K-3 (3ml Pcs 102,600.00 - - 102,600.00 - - 102,600.00 - - 102,600.00 -
Vaccum Tube Sterile Clot Activator(3ml Pcs 99,500.00 - - 99,500.00 - - 99,500.00 - - 99,500.00 -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 50.00 66,950.00 1,339.00 - - 1,339.00 50.00 66,950.00 1,339.00 -
Sound Timer Unit 266,015.00 - - 266,015.00 - - 266,015.00 - - 266,015.00 -
Kondom Rubber Latex Pcs 448.00 - - 448.00 - - 448.00 - - 448.00 -
Lubricant Pcs 331.00 - - 331.00 - - 331.00 - - 331.00 -
C. SERUM DAN VAKSIN - - - - - - - - - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - - - - - - - - - - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 - - 479,996.00 - - 479,996.00 - - 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - - - - - - - - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 - - 176,800.00 - - 176,800.00 - - 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - - - - - - - - - - -
Vaksin BCG Ampul 66,154.00 - - 66,154.00 - - 66,154.00 - - 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 - - 19,954.00 - - 19,954.00 - - 19,954.00 -
Vaksin DT Vial 19,195.00 - - 19,195.00 - - 19,195.00 - - 19,195.00 -
Vaksin TD Vial 18,128.00 - - 18,128.00 - - 18,128.00 - - 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 - - 78,991.00 - - 78,991.00 - - 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 - - 78,991.00 - - 78,991.00 - - 78,991.00 -
12 Vaksin HB Uniject Pcs 155,813.00 - - 155,813.00 - - 155,813.00 - - 155,813.00 -
Vaksin MR (VVM.A) Vial 166,265.00 - - 166,265.00 - - 166,265.00 - - 166,265.00 -
Vaksin Polio Vial 21,285.00 - - 21,285.00 - - 21,285.00 - - 21,285.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 - - 139,760.00 - - 139,760.00 - - 139,760.00 -
16 Vaksin Polio 10 IPV Dosis Vial - - - - - - - - - - -
STOK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023 SALDO AKHIR 2023
NO NAMA SEDIAAN SATUAN DAK DINKES DINKES DINKES
HARGA BANYAKNY HARGA HARGA SATUAN HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) A SATUAN (RP) (RP) (RP)
17 Vaksin TT Vial - - - - - - - - - - -
18 Vaksin Campak Bias Vial - - - - - - - - - - -
19 Vaksin Covid-19 (10 d0sis) Vial 1,339,441.00 - - 1,339,441.00 - - 1,339,441.00 - - 1,339,441.00 -
20 - - - - - - - - - - -
JUMLAH TOTAL OBAT 29,003,539.60 - 15,708,127.55 - 11,175,742.32
JUMLAH TOTAL BMHP 63,732,712.00 - 693,000.00 - 1,466,299.00
JUMLAH TOTAL VAKSIN SERUM - - - - -
JUMLAH TOTAL KESELURUHAN 92,736,251.60 - 16,401,127.55 - 12,642,041.32

Mengetahui
Kepala UPTD Puskesmas Maleber PenanggungJawab Petugas Obat

ILAH LILAHSAH,S.ST,M.Keb Apt.SHEILA JULLYAN,S.Farm


NIP.19771215 199804 2 001 SIPA. 503/KPTS.54-SIPA/XI/2018
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

- - - -
- - - -
- - - -
- - - -
- -
- - - -
- -
- - - -
- - - -
272,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
244,350.00 -
- - - -
- - - -
27,040.00 -
- - - -
95,000.00 - 1,000 -
- - - -
- - - -
- - - -
- - - -
- - - -
152,110.00 -
- - - -
- - - -
- - - -
- - - -
472,551.00 - 2,351 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- -

- - - -

- - - -

481,980.00 -
- -
- - - -
- - - -
- - - -
- - - -
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

- - - -

- - - -

- - - -
- - - -
- - - -

337,560.00 - 5,820 -
- - - -
- - - -
- - - -
- - - -
- - - -
208,000.00 - 64 -
- -
- - - -
163,419.00 - 47 -
- -
72,150.00 -
- - - -
- -
- - - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
20,060.73 -
- - - -
- - - -
- - - -
70,140.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
343,140.00 - 1,140 -
160,980.27 -
- - - -
6,286.64 -
- -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
59,940.00 - 370 -
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

- - - -
49,170.00 - 30 -
- - - -
- - - -
85,800.00 - 30 -
- - - -
58,486.91 -
- - - -
- - - -
- - - -
- - - -
- - - -
37,296.00 -
- - - -
- - - -
- - - -
61,520.07 -
- - - -
- - - -
4,964.73 -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
16,632.00 - 18 -
- - - -
- - - -
31,800.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
68,345.75 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
82,080.00 - 760 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
7,575.00 - 5 -
- - - -
- - - -
- - - -
- - - -
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

- - - -
- - - -
- - - -
83,050.00 -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
51,000.00 - 30 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
52,360.00 - 70 -
73,640.00 - 20 -
- - - -
180,180.00 -
- - - -
- - - -
- - - -
9,889.09 -
- - - -

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
92,125.00 -
- - - -
246,000.00 -
1,241.18 (0.00) 10 (0)
- - - -
- - - -
- - - -
- - - -
- - - -
115,500.55 -
- -
- - - -
132,540.00 - 20 -
- - - -
144,000.00 - 20 -
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

- - - -
- - - -
- - - -
- - - -
- -
- - - -
- -
- - - -
780,045.00 - 15,295 -
67,230.00 - 1,245 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
56,307.27 -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
169,470.00 - 2,690 -
- - - -
182,820.00 -
96,750.00 - 1,290 -
- - - -
- - - -
- - - -
- - - -
42,666.38 - 18 -
- - - -
- - - -
92,736.00 - 368 -
- - - -
- - - -
- - - -
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

- -
- - - -
- - - -
104,400.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
44,622.00 -
- - - -
187,312.50 -
- - - -
- - - -
- - - -
276,778.70 - 6,137 -
- - - -
- - - -
90,500.00 - 500 -
- - - -
- - - -
71,225.00 - 175 -
- -
- - - -

- - - -
- -
- - - -
- - - -
- -
- - - -

- - - -

- - - -

- - - -

199,500.00 -
- - - -
- - - -
- -
- - - -
- - - -
176,000.00 -

- - - -

207,000.00 -

460,000.00 -

- - - -
- - - -
38,115.00 - 45 -
- - - -
- - - -
- - - -
- - - -
- - - -
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

36,960.00 -
- - - -
- - - -
- - - -
179,000.00 - 50 -
- - - -
175,870.00 - 43 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
89,320.00 - 1,160 -
- - - -
- - - -
192,988.64 -
- - - -
- - - -
- - - -
- - - -
24,640.00 - 110 -
- - - -
- - - -
201,531.00 - 197 -
- - - -
- - - -
- - - -
187,170.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
309,307.46 - 1,540 -
158,000.00 - 40 -
- - - -
588,500.00 -
- - - -
49,500.00 - 12 -
- - - -
- - - -
2,980,350.00 - 3,000 -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
144,855.00 - 1,450 -
- - - -
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

- - - -
632,400.00 -
- - - -
- - - -
- - - -
713,000.00 - 62 -
- - - -
- -
- - - -
- - - -
82,500.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
65,000.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
281,500.00 - 250 -
- - - -
152,790.00 -
- - - -
- - - -
34,350.00 -
- - - -

- - - -
- - - -
- - - -
- - - -
203,000.00 -
- - - -
- - - -
- - - -
1,289,871.00 -
- - - -
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

- - - -
- - - -
- - - -
- -
- - - -
- -
- -
192,988.64 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
14,280.00 - 210 -
68,618.18 -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- -
- - - -
45,900.00 - 540 -
- - - -
- - - -
- - - -
- - - -
- -
- - -
- - -
- - -
953,750.00 -
- - - -
6,700.00 - 100 -
- - - -
- - - -
- - - -

- - - -

- - - -

- - - -
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

61,209.44 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
256,914.55 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
26,700.54 -
- - - -
- - - -
- - - -
42,180.00 -
- - - -
- - - -
- - - -
- - - -
195,562.00 -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
32,980.00 - 485 -
- - - -
- - - -
- - - -
- - - -
136,400.00 - 550 -
- - - -
62,700.00 - 330 -
- - - -

- - - -

- - - -

- - - -
- - - -
- - - -
- - - -
- -
- - - -
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

- - - -
- - - -
- - - -
10,864.70 -
- - - -
- - - -
- - - -
- - - -
- - - -
1,666,035.00 - 26,445 -
- - - -
- - - -
- - - -
- - - -
309,600.00 -
- - - -
- - - -
- - - -
136,895.00 - 55 -
157,040.00 -
- - -
- - - -
- - - -
648,090.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
274,167.00 - 2,229 -
- - - -
- - - -
- - - -
720,000.00 - 3,200 -
1,579,500.00 - 2,700 -
- - - -
- - - -
152,460.00 -
- - - -
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

- - - -
197,781.82 -
- - - -
- - - -
- - - -
- - - -
1,889,775.00 -
3,718,000.00 - 1,430 -
2,779,139.00 - 3,170 -
211,909.10 -
147,075.00 -
- - - -
- - - -
- - - -
- - - -
693,000.00 - 100 -
- - - -
- - - -
- - - -
415,800.00 - 60 -
- - - -
- - - -
693,000.00 - 100 -
- - - -
- - - -
- - - -
138,600.00 -
- -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
310,532.00 - 400 -
- - - -
1,001,160.00 - 8,100 -
- - - -
- - - -
- - - -
330,300.00 - 300 -
- - - -
- - - -
1,592,000.00 - 1,600 -
- - - -
1,540,000.00 - 1,000 -
- - - -
- - - -
313,044.00 -
- - - -
- - - -
- - - -
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

- - - -
250,090.00 - 10 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
290,160.00 -
- - - -
1,719,955.56 -
- - - -
- - - -
- - - -
- - - -
- - - -
285,516.00 - 36 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,361,250.00 - 50 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
183,150.00 -
- - - -
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

- - - -
- - - -
449,200.00 - 200 -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
198,420.00 -
- - - -
- - - -
746,750.00 - 50 -
2,065,000.00 - 140 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
753,246.00 - 600 -
- - - -
- - - -
- - - -
233,000.00 - 200 -
- - - -
12,920,000.00 - 4,000 -
32,000,000.00 - 10,000 -
- - - -
- -
- - - -
- - - -
- - - -
- -
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

- - - -
646,476.00 - 6,800 -
- - - -
914,881.72 - 10,000 -
- - - -
- -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
914,881.72 - 10,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - -
- - -
- - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
SALDO AKHIR 2023
KONTROL
DINKES
NILAI RP. STOK TOTAL HARGA

- - - -
- - - -
- - - -
- - - -
33,535,924.83 - - -
62,959,413.00 - - -
- - - -
96,495,337.83 - - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
DATA MUT
UP
DINAS KE
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 87.00 -
5 Alopurinol Tablet 300 mg Tablet 200.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 171.00 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 4,887.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 53.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 71.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 201.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,600.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


8,310.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,250.00 -
31 Anti Fungi DOEN Kombinasi : Pot 3,477.10 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
185.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 56.51 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 198.41 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 301.00 -
Acetylsistein tablet Tablet 303.74 -
45 Asetosal Tablet 80 mg Tablet 89.81 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 162.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 88.80 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 2,460.80 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 2,5 mg Tablet 124.12 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 924.00 -
64 Deksametason Tablet 0,5 mg Tablet 61.60 -
Deksametason Tablet 0,5 mg Tablet 1,066.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 13,669.15 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 108.00 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,515.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 83,050.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 169.53 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,700.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol 3,330.00 -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet 748.00 -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 1,386.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 83.75 -
106 Glimepiride 2 mg Tablet 123.00 -
Glimepiride 2 mg Tablet 124.12
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 5,775.03 -
110 Glukosa Larutan Infus 5 % Botol 6,627.00 -
111 Glukosa Larutan Infus10 % Botol 7,200.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 51.00 -
115 Haloperidol Tablet 5 mg Tablet 54.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,325.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 63.00 -
131 Kaptopril 12,5 mg Tablet 66.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,370.35 -
135 Ketokonazole Tablet 200 mg Tablet 252.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul 522.00 -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube 3,295.69 -
146 Kloramfenikol Tetes Mata -5 ml Botol 7,437.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 7,492.50 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 181.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 407.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Sulphate for inhalation 2,5 ml Vial
4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,100.00 -
157 Lansoprazole 30 mg Kapsul Tablet 280.53 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 8,800.00 -
Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 10,350.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160 Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
161 Lidokain injeksi 2 % Tablet - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 77.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,580.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 4,090.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 77.00 -
173 Metformin 850 mg Tablet 154.39 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 1,023.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 102.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 200.85 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 4,125.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 99.90 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,800.00 -
193 Nipedifin Tablet 10 mg Tablet 189.53 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 11,500.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 825.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,126.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 458.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,160.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 100.74 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,352.27 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 68.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 10mg Tablet 56.51 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 85.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
246 Salbutamol Tablet 2 mg Tablet 67.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,354.21 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,834.55 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 49.45 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,109.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 969.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 43.39 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 68.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 248.00 -
267 Spironolakton Tablet 25 mg Tablet 190.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.30 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
60 Sarung tangan Non Steril M Pcs 600.49 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 3,090.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 - -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

OK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 87.00 - - 87.00 -
- 200.00 - - 200.00 -
- - - - - -
- 143.55 - - 143.55 -
- 171.00 - - 171.00 -
- 3,626.70 - - 3,626.70 -
- 4,887.00 - - 4,887.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 53.00 - - 53.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 71.00 - - 71.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 201.00 - - 201.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,600.00 - - 2,600.00 -
- 3,500.00 - - 3,500.00 -

- 3,400.00 - - 3,400.00 -

- 8,310.00 - - 8,310.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -
- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -

- 62.00 - - 62.00 -
- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,250.00 - - 3,250.00 -
- 3,477.10 - - 3,477.10 -

- 185.00 - - 185.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 56.51 - - 56.51 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 198.41 - - 198.41 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 301.00 - - 301.00 -
- 303.74 - - 303.74 -
- 89.81 - - 89.81 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 162.00 - - 162.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 88.80 - - 88.80 -
- 1,340.00 - - 1,340.00 -
- 2,460.80 - - 2,460.80 -
- 6,045.00 - - 6,045.00 -
- 124.12 - - 124.12 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 160,500.00 - - 160,500.00 -
- 924.00 - - 924.00 -
- 61.60 - - 61.60 -
- 1,066.00 - - 1,066.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 13,669.15 - - 13,669.15 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 104.00 - - 104.00 -
- 108.00 - - 108.00 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 2,700.00 - - 2,700.00 -
- - - - - -
- - - - - -
- 1,515.00 - - 1,515.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 83,050.00 - - 83,050.00 -
- - - - - -
- 169.53 - - 169.53 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,700.00 - - 1,700.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- 3,330.00 - - 3,330.00 -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- 748.00 - - 748.00 -
- 3,682.00 - - 3,682.00 -
- 1,386.00 - - 1,386.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -
- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 83.75 - - 83.75 -
- 123.00 - - 123.00 -

- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 5,775.03 - - 5,775.03 -
- 6,627.00 - - 6,627.00 -
- 7,200.00 - - 7,200.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 55.00 - - 55.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 51.00 - - 51.00 -
- 54.00 - - 54.00 -
- 60.00 - - 60.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,325.00 - - 2,325.00 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 63.00 - - 63.00 -
- 66.00 - - 66.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,370.35 - - 2,370.35 -
- 252.00 - - 252.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- 522.00 - - 522.00 -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- 3,295.69 - - 3,295.69 -
- 7,437.00 - - 7,437.00 -
- 7,492.50 - - 7,492.50 -
- 22.00 - - 22.00 -
- 42.00 - - 42.00 -
- 23.00 - - 23.00 -
- 212.30 - - 212.30 -
- 181.00 - - 181.00 -
- 407.00 - - 407.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
- 2,120.00 - - 2,120.00 -
- 2,100.00 - - 2,100.00 -
- 280.53 - - 280.53 -
- 323.00 - - 323.00 -

- 8,800.00 - - 8,800.00 -

- 10,350.00 - - 10,350.00 -
- 9,644.00 - - 9,644.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 77.00 - - 77.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,580.00 - - 3,580.00 -
- 4,090.00 - - 4,090.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 96.00 - - 96.00 -
- 77.00 - - 77.00 -
- 154.39 - - 154.39 -
- 946.00 - - 946.00 -
- - - - - -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 224.00 - - 224.00 -
- 1,023.00 - - 1,023.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 102.00 - - 102.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 200.85 - - 200.85 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 4,125.00 - - 4,125.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 99.90 - - 99.90 -
- 6,800.00 - - 6,800.00 -
- 189.53 - - 189.53 -
- 13,500.00 - - 13,500.00 -
- 11,500.00 - - 11,500.00 -
- 560.00 - - 560.00 -
- 825.00 - - 825.00 -
- 843.00 - - 843.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- - - - - -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 389,344.00 - - 389,344.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,126.00 - - 1,126.00 -
- 9,898.00 - - 9,898.00 -
- 458.00 - - 458.00 -
- 1,070.00 - - 1,070.00 -
- 6,649.00 - - 6,649.00 -
- 1,160.00 - - 1,160.00 -
- - - - - -
- 53.00 - - 53.00 -
- 100.74 - - 100.74 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,352.27 - - 11,352.27 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -

- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- - - - - -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 100.00 - - 100.00 -
- 68.00 - - 68.00 -
- - - - - -
- - - - - -
- 56.51 - - 56.51 -
- 242.00 - - 242.00 -
- 586.30 - - 586.30 -
- 1,155.00 - - 1,155.00 -
- 85.00 - - 85.00 -
- 288.00 - - 288.00 -
- 517.00 - - 517.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 67.00 - - 67.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,354.21 - - 2,354.21 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 3,834.55 - - 3,834.55 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,483.00 - - 4,483.00 -
- - - - - -
- 49.45 - - 49.45 -
- 2,850.00 - - 2,850.00 -
- 3,150.00 - - 3,150.00 -
- 2,109.00 - - 2,109.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 969.00 - - 969.00 -
- 43.39 - - 43.39 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 68.00 - - 68.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 248.00 - - 248.00 -
- 190.00 - - 190.00 -
- - - - - -
- 353.00 - - 353.00 -
- 350.00 - - 350.00 -
- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.30 - - 91.30 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 88.00 - - 88.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 63,800.00 - - 63,800.00 -
- 96,800.00 - - 96,800.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 14,131.00 - - 14,131.00 -
- 9,500.00 - - 9,500.00 -
- 1,888.00 - - 1,888.00 -
- - -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 3,914.00 - - 3,914.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- - - - - -
- 840.00 - - 840.00 -
- - - - - -
- 792.00 - - 792.00 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 1,298.00 - - 1,298.00 -
- 196.80 - - 196.80 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 1,583.00 - - 1,583.00 -
- 1,640.00 - - 1,640.00 -
- 10,430.00 - - 10,430.00 -
- 26,666.67 - - 26,666.67 -
- 37,203.00 - - 37,203.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 9,070.00 - - 9,070.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 10,725.00 - - 10,725.00 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 2,475.00 - - 2,475.00 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 15,333.33 - - 15,333.33 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 2,232,440.00 - - 2,232,440.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 35,077.00 - - 35,077.00 -
- 20,150.00 - - 20,150.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 600.49 - - 600.49 -
- 600.40 - - 600.40 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 3,090.00 - - 3,090.00 -
- - - - - -
- 150.03 - - 150.03 -
- 60,800.00 - - 60,800.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 1,050.00 - - 1,050.00 -
- 95.00 - - 95.00 -
- 98,450.00 - - 98,450.00 -
- 14,000.00 - - 14,000.00 -
- 148,000.00 - - 148,000.00 -
- - - - - -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 61,996.00 - - 61,996.00 -
- 16,995.00 - - 16,995.00 -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 16,995.00 - - 16,995.00 -
- 19,195.00 - - 19,195.00 -
- 16,995.00 - - 16,995.00 -
- 16,500.00 - - 16,500.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 84,282.00 - - 84,282.00 -
- 155,813.00 - - 155,813.00 -
- 25,597.00 - - 25,597.00 -
- 155,813.00 - - 155,813.00 -
- 19,954.00 - - 19,954.00 -
- 166,265.00 - - 166,265.00 -
- 19,954.00 - - 19,954.00 -
- 21,285.00 - - 21,285.00 -
- 158,994.00 - - 158,994.00 -
- 139,760.00 - - 139,760.00 -
- 169,653.00 - - 169,653.00 -
- 62,520.00 - - 62,520.00 -
- 144,540.00 - - 144,540.00 -
- - - - - -
- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
ENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 87.00 - - -
- 200.00 - - -
- - - - -
- 143.55 - - -
- 171.00 - - -
- 3,626.70 - - -
- 4,887.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 53.00 - - -
- 75.00 - - -
- 93.00 - - -
- 71.00 - - -
- 195.00 - - -
- 196.00 - - -
- 201.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,600.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 8,310.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,250.00 - - -
- 3,477.10 - - -

- 185.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 56.51 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 198.41 - - -
- 103.40 - - -
- 177.90 - - -
- 301.00 - - -
- 303.74 - - -
- 89.81 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 162.00 - - -
- 233.20 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 88.80 - - -
- 1,340.00 - - -
- 2,460.80 - - -
- 6,045.00 - - -
- 124.12 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 924.00 - - -
- 61.60 - - -
- 1,066.00 - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 13,669.15 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 108.00 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,515.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 83,050.00 - - -
- - - - -
- 169.53 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,700.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- 3,330.00 - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- 748.00 - - -
- 3,682.00 - - -
- 1,386.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 83.75 - - -
- 123.00 - - -

- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 5,775.03 - - -
- 6,627.00 - - -
- 7,200.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 51.00 - - -
- 54.00 - - -
- 60.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,325.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 63.00 - - -
- 66.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,370.35 - - -
- 252.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- 522.00 - - -
- - - - -
- - - - -
- 1,881.00 - - -
- 3,295.69 - - -
- 7,437.00 - - -
- 7,492.50 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 181.00 - - -
- 407.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,100.00 - - -
- 280.53 - - -
- 323.00 - - -

- 8,800.00 - - -

- 10,350.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 77.00 - - -
- 123.00 - - -
- 131.00 - -
- 3,580.00 - - -
- 4,090.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 77.00 - - -
- 154.39 - - -
- 946.00 - - -
- - - - -
- 210.00 - - -
- 224.00 - -
- 224.00 - - -
- 1,023.00 - - -
- 134.00 - - -
- 150.00 - - -
- 102.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 200.85 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 4,125.00 - - -
- 792.00 - - -
- 826.10 - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 99.90 - -
- 6,800.00 - - -
- 189.53 - - -
- 13,500.00 - - -
- 11,500.00 - - -
- 560.00 - - -
- 825.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,126.00 - - -
- 9,898.00 - - -
- 458.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,160.00 - - -
- - - - -
- 53.00 - - -
- 100.74 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,352.27 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 68.00 - - -
- - - - -
- - - - -
- 56.51 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 85.00 - - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 67.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,354.21 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 3,834.55 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 49.45 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,109.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 969.00 - - -
- 43.39 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 68.00 - - -
- 265.00 - - -
- 240.00 - - -
- 248.00 - - -
- 190.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.30 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - - -
- 12,793.00 - - -
- 13,138.40 - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
- 9,500.00 - - -
- 1,888.00 - - -
-
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - -
- 7,900.00 - -
- 1,325,000.00 - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 600.49 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 3,090.00 - - -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- - - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - - -
- 62,520.00 - - -
- 144,540.00 - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- - -
- - -
- - -
- - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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- -
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- -

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- -

- -
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- -

- -
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- -
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-
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DATA MU
U
DINAS K
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 87.00 - -
5 Alopurinol Tablet 300 mg Tablet 200.00 - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 171.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 4,887.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 95.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 53.00 - -
13 Amlodipin Tablet 10 mg Tablet 71.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 201.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,600.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
8,310.00 - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
54.00 - -

Antasida Doen Tablet, Kombinasi : Magnesium Tablet


Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Tube
Basitrasin 500 IU/g + Polimiksin 1000 IU/g - - -
30 Anti Hemoroid Doen komb Supp 3,250.00 - -
31 Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
3,477.10 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,158.00 - -
Anti Fungi DOEN Kombinasi : Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,323.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg 185.00 - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet - - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet 56.51 - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 105.00 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 198.41 - -
44 Acetylsistein tablet Tablet 301.00 - -
Acetylsistein tablet Tablet 303.74
45 Asetosal Tablet 80 mg Tablet 89.81 - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 162.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 3,330.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet - - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Kantong
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Sulfametoksazol 100 mg + Trimetroprim 20 mg Tablet
- - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi : Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml
- - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi : Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - -
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
Ampul
ml - - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Tablet
Besi II Sulfat 200 mg + Asam Folat 0,25 mg 353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 648.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
301 Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
Tablet
Acid 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -
-
JUMLAH TOTAL OBAT -
JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 - - 90.00 -
87.00 - - 87.00 -
200.00 - - 200.00 -
- - - - -
171.00 100.00 17,100.00 171.00 -
165.00 - - 165.00 -
3,627.00 - - 3,627.00 -
4,887.00 - - 4,887.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
95.00 - - 95.00 -
143.00 - - 143.00 -
53.00 - - 53.00 -
71.00 100.00 7,100.00 71.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
201.00 - - 201.00 -
- - - - -
2,600.00 - - 2,600.00 -

8,310.00 - - 8,310.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -
54.00 100.00 5,400.00 54.00 -

58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,250.00 - - 3,250.00 -

3,477.10 5.00 17,385.50 3,477.10 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

185.00 - - 185.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
56.51 - - 56.51 -
- - - - -
105.00 - - 105.00 -
198.41 100.00 19,841.00 198.41 -
301.00 - - 301.00 -
303.74 303.74
89.81 - - 89.81 -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
162.00 - - 162.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 - - 91.00 -
95.00 - - 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
3,330.00 2.00 6,660.00 3,330.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
- - - - -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- - - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -

125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

- - - - -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
- - - - -
800.00 - - 800.00 -
825.00 - - 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 - - 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -

843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
165.00 - - 165.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
123.00 - - 123.00 -
118.00 - - 118.00 -
118.00 - - 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 - - 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 - - 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 - - 115.00 -
648.00 - - 648.00 -
660.00 - - 660.00 -
865.70 - - 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 - - 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 - - 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -

979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 - - 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 - - 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 - - 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
73,486.50
-
-
73,486.50
ARAN 2023 SALDO AKHIR 2023
KN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- - - - -
- - - - -
- 90.00 - - -
- 87.00 - - -
- 200.00 - - -
- - - - -
- 171.00 100.00 17,100.00 -
- 165.00 - - -
- 3,627.00 - - -
- 4,887.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 95.00 - - -
- 143.00 - - -
- 53.00 - - -
- 71.00 100.00 7,100.00 -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 201.00 - - -
- - - - -
- 2,600.00 - - -

- 8,310.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -
- 54.00 100.00 5,400.00 -

- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,250.00 - - -

- 3,477.10 5.00 17,385.50 -

- 4,158.00 - - -

- 4,323.00 - - -

- 185.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- 56.51 - - -
- - - - -
- 105.00 - - -
- 198.41 100.00 19,841.00 -
- 301.00 - - -
303.74
- 89.81 - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 162.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 - - -
- 95.00 - - -
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 3,330.00 2.00 6,660.00 -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- - - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - - - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -

- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- - - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- - - - -
- 800.00 - - -
- 825.00 - - -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 - - -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -

- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 165.00 - - -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- 118.00 - - -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 - - -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 - - -
- 648.00 - - -
- 660.00 - - -
- 865.70 - - -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 - - -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 - - -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -

- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 - - -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 - - -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 - - -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- 73,486.50 -
- - -
- - -
- 73,486.50 -

Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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DATA MUT
UP
DINAS KE
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
173.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 358.00 -
Acetylsistein tablet Tablet 382.00 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 5 mg Tablet 626.00 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
106 Glimepiride 2 mg Tablet 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 61.00 -
115 Haloperidol Tablet 5 mg Tablet 56.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
131 Kaptopril 12,5 mg Tablet 62.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
135 Ketokonazole Tablet 200 mg Tablet 270.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,600.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,646.00 -
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol
9,275.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160 Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
161 Lidokain injeksi 2 % Tablet - -
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 85.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 102.00 -
173 Metformin 850 mg Tablet 150.00 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 211.20 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 189.53 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 130.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 49.00 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,825.00 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 73.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 105.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
246 Salbutamol Tablet 2 mg Tablet 63.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,797.00 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
267 Spironolakton Tablet 25 mg Tablet 208.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
60 Sarung tangan Non Steril M Pcs 600.49 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 3,090.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 - -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT -
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

OK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- - - - - -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 190.00 - - 190.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -

- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -
- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -

- 62.00 - - 62.00 -
- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 4,323.00 - - 4,323.00 -

- 173.00 - - 173.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 99.00 - - 99.00 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 160,500.00 - - 160,500.00 -
- 1,097.00 - - 1,097.00 -
- 32.00 - - 32.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 104.00 - - 104.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 2,700.00 - - 2,700.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- - - - - -
- 158.00 - - 158.00 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,969.00 - - 1,969.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- - - - - -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -
- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 207.00 - - 207.00 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 6,900.00 - - 6,900.00 -
- 7,500.00 - - 7,500.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 55.00 - - 55.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 56.00 - - 56.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 62.00 - - 62.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 270.00 - - 270.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- - - - - -
- 6,600.00 - - 6,600.00 -
- 6,600.00 - - 6,600.00 -
- 22.00 - - 22.00 -
- 42.00 - - 42.00 -
- 23.00 - - 23.00 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 147.00 - - 147.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
- 2,120.00 - - 2,120.00 -
- 2,140.00 - - 2,140.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -

- 9,646.00 - - 9,646.00 -

- 9,275.00 - - 9,275.00 -
- 9,644.00 - - 9,644.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,796.00 - - 3,796.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 96.00 - - 96.00 -
- 102.00 - - 102.00 -
- 150.00 - - 150.00 -
- 946.00 - - 946.00 -
- - - - - -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 3,414.00 - - 3,414.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 6,410.00 - - 6,410.00 -
- 189.53 - - 189.53 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 560.00 - - 560.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- - - - - -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 389,344.00 - - 389,344.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 1,070.00 - - 1,070.00 -
- 6,649.00 - - 6,649.00 -
- 1,107.00 - - 1,107.00 -
- - - - - -
- 53.00 - - 53.00 -
- 49.00 - - 49.00 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,825.00 - - 11,825.00 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -

- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- - - - - -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 586.30 - - 586.30 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 288.00 - - 288.00 -
- 517.00 - - 517.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 63.00 - - 63.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,483.00 - - 4,483.00 -
- - - - - -
- 90.00 - - 90.00 -
- 2,850.00 - - 2,850.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 49.00 - - 49.00 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 208.00 - - 208.00 -
- - - - - -
- 353.00 - - 353.00 -
- 350.00 - - 350.00 -
- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.00 - - 91.00 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 88.00 - - 88.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 63,800.00 - - 63,800.00 -
- 96,800.00 - - 96,800.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 14,131.00 - - 14,131.00 -
- 9,500.00 - - 9,500.00 -
- 1,888.00 - - 1,888.00 -
- - -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 3,914.00 - - 3,914.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- - - - - -
- 840.00 - - 840.00 -
- - - - - -
- 792.00 - - 792.00 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 1,298.00 - - 1,298.00 -
- 196.80 - - 196.80 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 1,583.00 - - 1,583.00 -
- 1,640.00 - - 1,640.00 -
- 10,430.00 - - 10,430.00 -
- 26,666.67 - - 26,666.67 -
- 37,203.00 - - 37,203.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 9,070.00 - - 9,070.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 10,725.00 - - 10,725.00 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 2,475.00 - - 2,475.00 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 15,333.33 - - 15,333.33 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 2,232,440.00 - - 2,232,440.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 35,077.00 - - 35,077.00 -
- 20,150.00 - - 20,150.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 600.49 - - 600.49 -
- 600.40 - - 600.40 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 3,090.00 - - 3,090.00 -
- - - - - -
- 150.03 - - 150.03 -
- 60,800.00 - - 60,800.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 1,050.00 - - 1,050.00 -
- 95.00 - - 95.00 -
- 98,450.00 - - 98,450.00 -
- 14,000.00 - - 14,000.00 -
- 148,000.00 - - 148,000.00 -
- - - - - -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 61,996.00 - - 61,996.00 -
- 16,995.00 - - 16,995.00 -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 16,995.00 - - 16,995.00 -
- 19,195.00 - - 19,195.00 -
- 16,995.00 - - 16,995.00 -
- 16,500.00 - - 16,500.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 84,282.00 - - 84,282.00 -
- 155,813.00 - - 155,813.00 -
- 25,597.00 - - 25,597.00 -
- 155,813.00 - - 155,813.00 -
- 19,954.00 - - 19,954.00 -
- 166,265.00 - - 166,265.00 -
- 19,954.00 - - 19,954.00 -
- 21,285.00 - - 21,285.00 -
- 158,994.00 - - 158,994.00 -
- 139,760.00 - - 139,760.00 -
- 169,653.00 - - 169,653.00 -
- 62,520.00 - - 62,520.00 -
- 144,540.00 - - 144,540.00 -
- - - - - -
- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
ENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 105.00 - - -
- 99.00 - - -
- - - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 190.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 3,628.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 4,323.00 - - -

- 173.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 358.00 - - -
- 382.00 - - -
- 99.00 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 6,045.00 - - -
- 626.00 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 1,097.00 - - -
- 32.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- - - - -
- 158.00 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,969.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- - - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 207.00 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- 7,500.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 56.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 62.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 270.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- - - - -
- - - - -
- - - - -
- 1,881.00 - - -
- - - - -
- 6,600.00 - - -
- 6,600.00 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 212.00 - - -
- 147.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,140.00 - - -
- 303.00 - - -
- 323.00 - - -

- 9,646.00 - - -

- 9,275.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 123.00 - - -
- 131.00 - -
- 3,328.00 - - -
- 3,796.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 102.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -
- 210.00 - - -
- 224.00 - -
- 444.00 - - -
- 2,959.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 3,414.00 - - -
- 792.00 - - -
- 826.10 - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - -
- 6,410.00 - - -
- 189.53 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 560.00 - - -
- 790.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,107.00 - - -
- - - - -
- 53.00 - - -
- 49.00 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,825.00 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 73.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 105.00 - - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,797.00 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 49.00 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 208.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - - -
- 12,793.00 - - -
- 13,138.40 - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
- 9,500.00 - - -
- 1,888.00 - - -
-
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - -
- 7,900.00 - -
- 1,325,000.00 - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 600.49 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 3,090.00 - - -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- - - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - - -
- 62,520.00 - - -
- 144,540.00 - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- - -
- - -
- - -
- - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -

- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -

- -
- - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -

- -

- -
- -
- -
- -
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DATA MU
U
DINAS K
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 70.00 - -
13 Amlodipin Tablet 10 mg Tablet 93.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
- - -

Antasida Doen Tablet, Kombinasi : Magnesium Tablet


Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Tube
Basitrasin 500 IU/g + Polimiksin 1000 IU/g - - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,496.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,158.00 - -
Anti Fungi DOEN Kombinasi : Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,323.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet - - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet - - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet - - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 152.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml Ampul
1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 2,590.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet - - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Kantong
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - - -
155 Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg Tablet
125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi : Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml
- - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - -
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
Ampul
ml - - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet
353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 648.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
301 Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
Tablet
Acid 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -

JUMLAH TOTAL OBAT -


JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 - - 90.00 -
105.00 - - 105.00 -
- - - - -
- - - - -
308.00 - - 308.00 -
165.00 - - 165.00 -
3,627.00 - - 3,627.00 -
3,790.00 - - 3,790.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
91.00 - - 91.00 -
143.00 - - 143.00 -
70.00 - - 70.00 -
93.00 - - 93.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
190.00 - - 190.00 -
- - - - -
3,531.00 - - 3,531.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -
- - - - -

58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,167.00 - - 3,167.00 -

4,496.00 - - 4,496.00 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
- - - - -
- - - - -
104.01 - - 104.01 -
103.00 - - 103.00 -
382.00 - - 382.00 -
- - - - -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
152.00 - - 152.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 - - 91.00 -
95.00 - - 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
2,590.00 - - 2,590.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
- - - - -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- - - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -

125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

- - - - -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
- - - - -
800.00 - - 800.00 -
825.00 - - 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 - - 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -

843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
165.00 - - 165.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
123.00 - - 123.00 -
118.00 - - 118.00 -
118.00 - - 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 - - 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 - - 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 - - 115.00 -
648.00 - - 648.00 -
660.00 - - 660.00 -
865.70 - - 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 - - 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 - - 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -

979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 - - 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 - - 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 - - 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
-
-
-
-
ARAN 2023 SALDO AKHIR 2023
KN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- - - - -
- - - - -
- 90.00 - - -
- 105.00 - - -
- - - - -
- - - - -
- 308.00 - - -
- 165.00 - - -
- 3,627.00 - - -
- 3,790.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 91.00 - - -
- 143.00 - - -
- 70.00 - - -
- 93.00 - - -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 190.00 - - -
- - - - -
- 3,531.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -
- - - - -

- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,167.00 - - -

- 4,496.00 - - -

- 4,158.00 - - -

- 4,323.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- - - - -
- - - - -
- 104.01 - - -
- 103.00 - - -
- 382.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 152.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 - - -
- 95.00 - - -
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 2,590.00 - - -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- - - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - - - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -

- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- - - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- - - - -
- 800.00 - - -
- 825.00 - - -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 - - -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -

- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 165.00 - - -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- 118.00 - - -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 - - -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 - - -
- 648.00 - - -
- 660.00 - - -
- 865.70 - - -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 - - -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 - - -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -

- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 - - -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 - - -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 - - -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- - -
- - -
- - -
- - -

Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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DATA MUT
UP
DINAS KE
PER

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
173.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 358.00 -
Acetylsistein tablet Tablet 382.00 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 5 mg Tablet 626.00 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
106 Glimepiride 2 mg Tablet 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 61.00 -
115 Haloperidol Tablet 5 mg Tablet 56.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
131 Kaptopril 12,5 mg Tablet 62.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
135 Ketokonazole Tablet 200 mg Tablet 270.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,600.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,646.00 -
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol
9,275.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160 Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
161 Lidokain injeksi 2 % Tablet - -
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 85.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 102.00 -
173 Metformin 850 mg Tablet 150.00 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 211.20 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 189.53 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 130.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 49.00 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,825.00 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 73.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 105.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
246 Salbutamol Tablet 2 mg Tablet 63.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,797.00 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
267 Spironolakton Tablet 25 mg Tablet 208.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
60 Sarung tangan Non Steril M Pcs 600.49 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 3,090.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 - -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN DESEMBER 2023

OK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- - - - - -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 190.00 - - 190.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -

- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -
- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -

- 62.00 - - 62.00 -
- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 4,323.00 - - 4,323.00 -

- 173.00 - - 173.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 99.00 - - 99.00 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 160,500.00 - - 160,500.00 -
- 1,097.00 - - 1,097.00 -
- 32.00 - - 32.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 104.00 - - 104.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 2,700.00 - - 2,700.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- - - - - -
- 158.00 - - 158.00 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,969.00 - - 1,969.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- - - - - -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -
- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 207.00 - - 207.00 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 6,900.00 - - 6,900.00 -
- 7,500.00 - - 7,500.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 55.00 - - 55.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 56.00 - - 56.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 62.00 - - 62.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 270.00 - - 270.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- - - - - -
- 6,600.00 - - 6,600.00 -
- 6,600.00 - - 6,600.00 -
- 22.00 - - 22.00 -
- 42.00 - - 42.00 -
- 23.00 - - 23.00 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 147.00 - - 147.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
- 2,120.00 - - 2,120.00 -
- 2,140.00 - - 2,140.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -

- 9,646.00 - - 9,646.00 -

- 9,275.00 - - 9,275.00 -
- 9,644.00 - - 9,644.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,796.00 - - 3,796.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 96.00 - - 96.00 -
- 102.00 - - 102.00 -
- 150.00 - - 150.00 -
- 946.00 - - 946.00 -
- - - - - -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 3,414.00 - - 3,414.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 6,410.00 - - 6,410.00 -
- 189.53 - - 189.53 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 560.00 - - 560.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- - - - - -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 389,344.00 - - 389,344.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 1,070.00 - - 1,070.00 -
- 6,649.00 - - 6,649.00 -
- 1,107.00 - - 1,107.00 -
- - - - - -
- 53.00 - - 53.00 -
- 49.00 - - 49.00 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,825.00 - - 11,825.00 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -

- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- - - - - -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 586.30 - - 586.30 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 288.00 - - 288.00 -
- 517.00 - - 517.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 63.00 - - 63.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,483.00 - - 4,483.00 -
- - - - - -
- 90.00 - - 90.00 -
- 2,850.00 - - 2,850.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 49.00 - - 49.00 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 208.00 - - 208.00 -
- - - - - -
- 353.00 - - 353.00 -
- 350.00 - - 350.00 -
- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.00 - - 91.00 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 88.00 - - 88.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 63,800.00 - - 63,800.00 -
- 96,800.00 - - 96,800.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 14,131.00 - - 14,131.00 -
- 9,500.00 - - 9,500.00 -
- 1,888.00 - - 1,888.00 -
- - -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 3,914.00 - - 3,914.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- - - - - -
- 840.00 - - 840.00 -
- - - - - -
- 792.00 - - 792.00 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 1,298.00 - - 1,298.00 -
- 196.80 - - 196.80 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 1,583.00 - - 1,583.00 -
- 1,640.00 - - 1,640.00 -
- 10,430.00 - - 10,430.00 -
- 26,666.67 - - 26,666.67 -
- 37,203.00 - - 37,203.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 9,070.00 - - 9,070.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 10,725.00 - - 10,725.00 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 2,475.00 - - 2,475.00 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 15,333.33 - - 15,333.33 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 2,232,440.00 - - 2,232,440.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 35,077.00 - - 35,077.00 -
- 20,150.00 - - 20,150.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 600.49 - - 600.49 -
- 600.40 - - 600.40 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 3,090.00 - - 3,090.00 -
- - - - - -
- 150.03 - - 150.03 -
- 60,800.00 - - 60,800.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 1,050.00 - - 1,050.00 -
- 95.00 - - 95.00 -
- 98,450.00 - - 98,450.00 -
- 14,000.00 - - 14,000.00 -
- 148,000.00 - - 148,000.00 -
- - - - - -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 61,996.00 - - 61,996.00 -
- 16,995.00 - - 16,995.00 -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 16,995.00 - - 16,995.00 -
- 19,195.00 - - 19,195.00 -
- 16,995.00 - - 16,995.00 -
- 16,500.00 - - 16,500.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 84,282.00 - - 84,282.00 -
- 155,813.00 - - 155,813.00 -
- 25,597.00 - - 25,597.00 -
- 155,813.00 - - 155,813.00 -
- 19,954.00 - - 19,954.00 -
- 166,265.00 - - 166,265.00 -
- 19,954.00 - - 19,954.00 -
- 21,285.00 - - 21,285.00 -
- 158,994.00 - - 158,994.00 -
- 139,760.00 - - 139,760.00 -
- 169,653.00 - - 169,653.00 -
- 62,520.00 - - 62,520.00 -
- 144,540.00 - - 144,540.00 -
- - - - - -
- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
ENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 105.00 - - -
- 99.00 - - -
- - - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 190.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 3,628.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 4,323.00 - - -

- 173.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 358.00 - - -
- 382.00 - - -
- 99.00 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 6,045.00 - - -
- 626.00 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 1,097.00 - - -
- 32.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- - - - -
- 158.00 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,969.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- - - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 207.00 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- 7,500.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 56.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 62.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 270.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- - - - -
- - - - -
- - - - -
- 1,881.00 - - -
- - - - -
- 6,600.00 - - -
- 6,600.00 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 212.00 - - -
- 147.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,140.00 - - -
- 303.00 - - -
- 323.00 - - -

- 9,646.00 - - -

- 9,275.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 123.00 - - -
- 131.00 - -
- 3,328.00 - - -
- 3,796.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 102.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -
- 210.00 - - -
- 224.00 - -
- 444.00 - - -
- 2,959.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 3,414.00 - - -
- 792.00 - - -
- 826.10 - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - -
- 6,410.00 - - -
- 189.53 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 560.00 - - -
- 790.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,107.00 - - -
- - - - -
- 53.00 - - -
- 49.00 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,825.00 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 73.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 105.00 - - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,797.00 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 49.00 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 208.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - - -
- 12,793.00 - - -
- 13,138.40 - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
- 9,500.00 - - -
- 1,888.00 - - -
-
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - -
- 7,900.00 - -
- 1,325,000.00 - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 600.49 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 3,090.00 - - -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- - - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - - -
- 62,520.00 - - -
- 144,540.00 - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- - -
- - -
- - -
- - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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.
DATA MU
U
DINAS K
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 70.00 - -
13 Amlodipin Tablet 10 mg Tablet 93.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
- - -

Antasida Doen Tablet, Kombinasi : Magnesium Tablet


Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Tube
Basitrasin 500 IU/g + Polimiksin 1000 IU/g - - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,496.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,158.00 - -
Anti Fungi DOEN Kombinasi : Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,323.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet - - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet - - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet - - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 152.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml Ampul
1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 2,590.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet - - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Kantong
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - - -
155 Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg Tablet
125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi : Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml
- - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - -
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
Ampul
ml - - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet
353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 648.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
301 Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
Tablet
Acid 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -

JUMLAH TOTAL OBAT -


JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 - - 90.00 -
105.00 - - 105.00 -
- - - - -
- - - - -
308.00 - - 308.00 -
165.00 - - 165.00 -
3,627.00 - - 3,627.00 -
3,790.00 - - 3,790.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
91.00 - - 91.00 -
143.00 - - 143.00 -
70.00 - - 70.00 -
93.00 - - 93.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
190.00 - - 190.00 -
- - - - -
3,531.00 - - 3,531.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -
- - - - -

58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,167.00 - - 3,167.00 -

4,496.00 - - 4,496.00 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
- - - - -
- - - - -
104.01 - - 104.01 -
103.00 - - 103.00 -
382.00 - - 382.00 -
- - - - -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
152.00 - - 152.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 - - 91.00 -
95.00 - - 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
2,590.00 - - 2,590.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
- - - - -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- - - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -

125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

- - - - -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
- - - - -
800.00 - - 800.00 -
825.00 - - 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 - - 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -

843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
165.00 - - 165.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
123.00 - - 123.00 -
118.00 - - 118.00 -
118.00 - - 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 - - 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 - - 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 - - 115.00 -
648.00 - - 648.00 -
660.00 - - 660.00 -
865.70 - - 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 - - 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 - - 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -

979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 - - 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 - - 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 - - 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
-
-
-
-
ARAN 2023 SALDO AKHIR 2023
KN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- - - - -
- - - - -
- 90.00 - - -
- 105.00 - - -
- - - - -
- - - - -
- 308.00 - - -
- 165.00 - - -
- 3,627.00 - - -
- 3,790.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 91.00 - - -
- 143.00 - - -
- 70.00 - - -
- 93.00 - - -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 190.00 - - -
- - - - -
- 3,531.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -
- - - - -

- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,167.00 - - -

- 4,496.00 - - -

- 4,158.00 - - -

- 4,323.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- - - - -
- - - - -
- 104.01 - - -
- 103.00 - - -
- 382.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 152.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 - - -
- 95.00 - - -
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 2,590.00 - - -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- - - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - - - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -

- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- - - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- - - - -
- 800.00 - - -
- 825.00 - - -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 - - -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -

- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 165.00 - - -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- 118.00 - - -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 - - -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 - - -
- 648.00 - - -
- 660.00 - - -
- 865.70 - - -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 - - -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 - - -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -

- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 - - -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 - - -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 - - -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- - -
- - -
- - -
- - -

Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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- -
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DATA MUT
UP
DINAS KE
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
173.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 358.00 -
Acetylsistein tablet Tablet 382.00 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 162.00 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 5 mg Tablet 626.00 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
106 Glimepiride 2 mg Tablet 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 61.00 -
115 Haloperidol Tablet 5 mg Tablet 56.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 4,665.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
131 Kaptopril 12,5 mg Tablet 62.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
135 Ketokonazole Tablet 200 mg Tablet 270.00 -
Ketokonazole Tablet 200 mg Tablet 288.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,600.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Sulphate for inhalation 2,5 ml Vial
4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,646.00 -
Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,275.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160
Larutan mengadung Karbohidrat + Elektrolit Botol
10,696.00 -
161
Lidokain injeksi 2 % Tablet
- -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 85.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 102.00 -
173 Metformin 850 mg Tablet 160.00 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 211.20 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 189.53 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 130.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 49.00 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,825.00 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 73.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 105.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
246 Salbutamol Tablet 2 mg Tablet 63.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,797.00 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
267 Spironolakton Tablet 25 mg Tablet 208.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
60 Sarung tangan Non Steril M Pcs 600.49 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 3,090.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 - -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994 -
Vaksin Polio IPV 5 Dosis Vial 139,760 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

OK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- - - - - -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 190.00 - - 190.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -

- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -
- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -

- 62.00 - - 62.00 -
- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 4,323.00 - - 4,323.00 -

- 173.00 - - 173.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 99.00 - - 99.00 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 162.00 - - 162.00 -
- 253.00 - - 253.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 160,500.00 - - 160,500.00 -
- 1,097.00 - - 1,097.00 -
- 32.00 - - 32.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 104.00 - - 104.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 2,700.00 - - 2,700.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- - - - - -
- 158.00 - - 158.00 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,969.00 - - 1,969.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- - - - - -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -
- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 207.00 - - 207.00 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 6,900.00 - - 6,900.00 -
- 7,500.00 - - 7,500.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 55.00 - - 55.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 56.00 - - 56.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- 4,665.00 - - 4,665.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 62.00 - - 62.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 270.00 - - 270.00 -
- 288.00 - - 288.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- - - - - -
- 6,600.00 - - 6,600.00 -
- 6,600.00 - - 6,600.00 -
- 22.00 - - 22.00 -
- 42.00 - - 42.00 -
- 23.00 - - 23.00 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 147.00 - - 147.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
- 2,120.00 - - 2,120.00 -
- 2,140.00 - - 2,140.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -

- 9,646.00 - - 9,646.00 -

- 9,275.00 - - 9,275.00 -
- 9,644.00 - - 9,644.00 -
- 9,273.00 - - 9,273.00 -

- 10,696.00 - - 10,696.00 -

- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,796.00 - - 3,796.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 96.00 - - 96.00 -
- 102.00 - - 102.00 -
- 160.00 - - 160.00 -
- 946.00 - - 946.00 -
- - - - - -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 3,414.00 - - 3,414.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 6,410.00 - - 6,410.00 -
- 189.53 - - 189.53 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 560.00 - - 560.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- - - - - -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 389,344.00 - - 389,344.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 1,070.00 - - 1,070.00 -
- 6,649.00 - - 6,649.00 -
- 1,107.00 - - 1,107.00 -
- - - - - -
- 53.00 - - 53.00 -
- 49.00 - - 49.00 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,825.00 - - 11,825.00 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -

- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- - - - - -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 586.30 - - 586.30 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 288.00 - - 288.00 -
- 517.00 - - 517.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 63.00 - - 63.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,483.00 - - 4,483.00 -
- - - - - -
- 90.00 - - 90.00 -
- 2,850.00 - - 2,850.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 49.00 - - 49.00 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 208.00 - - 208.00 -
- - - - - -
- 353.00 - - 353.00 -
- 350.00 - - 350.00 -
- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.00 - - 91.00 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 88.00 - - 88.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 63,800.00 - - 63,800.00 -
- 96,800.00 - - 96,800.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 14,131.00 - - 14,131.00 -
- - -
- 1,888.00 - - 1,888.00 -
- - - - - -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 3,914.00 - - 3,914.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- - - - - -
- 840.00 - - 840.00 -
- - - - - -
- 792.00 - - 792.00 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 1,298.00 - - 1,298.00 -
- 196.80 - - 196.80 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 1,583.00 - - 1,583.00 -
- 1,640.00 - - 1,640.00 -
- 10,430.00 - - 10,430.00 -
- 26,666.67 - - 26,666.67 -
- 37,203.00 - - 37,203.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 9,070.00 - - 9,070.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 10,725.00 - - 10,725.00 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 2,475.00 - - 2,475.00 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 15,333.33 - - 15,333.33 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 2,232,440.00 - - 2,232,440.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 35,077.00 - - 35,077.00 -
- 20,150.00 - - 20,150.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 600.49 - - 600.49 -
- 600.40 - - 600.40 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 3,090.00 - - 3,090.00 -
- - - - - -
- 150.03 - - 150.03 -
- 60,800.00 - - 60,800.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 1,050.00 - - 1,050.00 -
- 95.00 - - 95.00 -
- 98,450.00 - - 98,450.00 -
- 14,000.00 - - 14,000.00 -
- 148,000.00 - - 148,000.00 -
- - - - - -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 61,996.00 - - 61,996.00 -
- 16,995.00 - - 16,995.00 -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 16,995.00 - - 16,995.00 -
- 19,195.00 - - 19,195.00 -
- 16,995.00 - - 16,995.00 -
- 16,500.00 - - 16,500.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 84,282.00 - - 84,282.00 -
- 155,813.00 - - 155,813.00 -
- 25,597.00 - - 25,597.00 -
- 155,813.00 - - 155,813.00 -
- 19,954.00 - - 19,954.00 -
- 166,265.00 - - 166,265.00 -
- 19,954.00 - - 19,954.00 -
- 21,285.00 - - 21,285.00 -
- 158,994.00 - - 158,994.00 -
- 139,760.00 - - 139,760.00 -
- 169,653.00 - - 169,653.00 -
- 62,520.00 - - 62,520.00 -
- 144,540.00 - - 144,540.00 -
- - - - - -
- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
- - - -
- - - -
0 0
- -
ENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 105.00 - - -
- 99.00 - - -
- - - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 190.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 3,628.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 4,323.00 - - -

- 173.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 358.00 - - -
- 382.00 - - -
- 99.00 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 162.00 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 6,045.00 - - -
- 626.00 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 1,097.00 - - -
- 32.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- - - - -
- 158.00 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,969.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- - - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 207.00 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- 7,500.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 56.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- 4,665.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 62.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 270.00 - - -
- 288.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- - - - -
- - - - -
- - - - -
- 1,881.00 - - -
- - - - -
- 6,600.00 - - -
- 6,600.00 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 212.00 - - -
- 147.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,140.00 - - -
- 303.00 - - -
- 323.00 - - -

- 9,646.00 - - -

- 9,275.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -

- 10,696.00 - - -

- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 3,796.00 - - -
- 20,554.00 - -
- 20,207.00 - - -
- 27,062.00 - - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 102.00 - - -
- 160.00 - - -
- 946.00 - - -
- - - -
- 210.00 - - -
- 224.00 - - -
- 444.00 - - -
- 2,959.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 3,414.00 - -
- 792.00 - - -
- 826.10 - - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - -
- 115.00 - - -
- 123.00 - - -
- 6,410.00 - - -
- 189.53 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 560.00 - - -
- 790.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,107.00 - - -
- - - - -
- 53.00 - - -
- 49.00 - - -
- 8,891.00 - - -
- 12,569.00 - -
- 17,093.00 - - -
- 15,484.71 - - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,825.00 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 73.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 105.00 - - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,797.00 - - -
- 1,020.00 - -
- 1,025.00 - - -
- 1,662.79 - - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 49.00 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 208.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - -
- 12,793.00 - - -
- 13,138.40 - - -
- 165,000.00 - - -
- 8,110.00 - -
- 75,000.20 - - -
- 75,000.00 - - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
-
- 1,888.00 - - -
- - - - -
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - -
- 9,850.00 - -
- 7,913.00 - -
- 7,900.00 - - -
- 1,325,000.00 - - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 600.49 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 3,090.00 - - -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- - - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - -
- 62,520.00 - - -
- 144,540.00 - - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- - -
- - -
0 0
0 -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

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.
DATA MUTASI PERSED
U
DINAS K
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 70.00 - -
13 Amlodipin Tablet 10 mg Tablet 93.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
- - -

Antasida Doen Tablet, Kombinasi : Magnesium Tablet


Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Tube
Basitrasin 500 IU/g + Polimiksin 1000 IU/g - - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,496.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,158.00 - -
Anti Fungi DOEN Kombinasi : Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,323.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,798.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet - - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet - - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet - - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 152.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 2,590.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet - - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Kantong
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Sulfametoksazol 100 mg + Trimetroprim 20 mg Tablet
- - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi : Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml
- - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi : Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - -
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
Ampul
ml - - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Tablet
Besi II Sulfat 200 mg + Asam Folat 0,25 mg 353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 648.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
301 Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
Tablet
Acid 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -
-
JUMLAH TOTAL OBAT -
JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
ATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 - - 90.00 -
105.00 - - 105.00 -
- - - - -
- - - - -
308.00 - - 308.00 -
165.00 - - 165.00 -
3,627.00 - - 3,627.00 -
3,790.00 - - 3,790.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
91.00 - - 91.00 -
143.00 - - 143.00 -
70.00 - - 70.00 -
93.00 - - 93.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
190.00 - - 190.00 -
- - - - -
3,531.00 - - 3,531.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -
- - - - -

58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,167.00 - - 3,167.00 -

4,496.00 - - 4,496.00 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

4,798.00 4,798.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
- - - - -
- - - - -
104.01 - - 104.01 -
103.00 - - 103.00 -
382.00 - - 382.00 -
- - - - -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
152.00 - - 152.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 - - 91.00 -
95.00 - - 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
2,590.00 - - 2,590.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
- - - - -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- - - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -

125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

- - - - -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
- - - - -
800.00 - - 800.00 -
825.00 - - 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 - - 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -

843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
165.00 - - 165.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
123.00 - - 123.00 -
118.00 - - 118.00 -
118.00 - - 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 - - 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 100.00 14,300.00 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 - - 115.00 -
648.00 - - 648.00 -
660.00 - - 660.00 -
865.70 - - 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 - - 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 - - 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -

979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 - - 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 - - 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 - - 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
14,300.00
-
-
14,300.00
ARAN 2023 SALDO AKHIR 2023
KN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- - - - -
- - - - -
- 90.00 - - -
- 105.00 - - -
- - - - -
- - - - -
- 308.00 - - -
- 165.00 - - -
- 3,627.00 - - -
- 3,790.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 91.00 - - -
- 143.00 - - -
- 70.00 - - -
- 93.00 - - -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 190.00 - - -
- - - - -
- 3,531.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -
- - - - -

- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,167.00 - - -

- 4,496.00 - - -

- 4,158.00 - - -

- 4,323.00 - - -

- 4,798.00 - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- - - - -
- - - - -
- 104.01 - - -
- 103.00 - - -
- 382.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 152.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 - - -
- 95.00 - - -
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 2,590.00 - - -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- - - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - - - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -

- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- - - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- - - - -
- 800.00 - - -
- 825.00 - - -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 - - -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -

- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 165.00 - - -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- 118.00 - - -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 100.00 14,300.00 -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 - - -
- 648.00 - - -
- 660.00 - - -
- 865.70 - - -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 - - -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 - - -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -

- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 - - -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 - - -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 - - -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- 14,300.00 -
- - -
- - -
- 14,300.00 -

Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
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- -
- -

- -
- -
- -
- -
- -
- -

- -
- -

- -
- -
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- -
- -
- -

- -
- -

- -

- -

- -

- -
- -
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- -
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- -
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- -
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- -
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- -
- -

- -
- -
- -
- -
- -
- -
- -
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- -
- -
- -
- -
- -
- -
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- -

- -
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- -
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- -

- -

- -

- -

- -
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- -

- -

- -
- -
- -

- -

- -
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- -
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- -
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- -
- -
- -
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- -

- -
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- -
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- -

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- -

- -

- -
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- -
100 -
- -
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DATA MUT
UP
DINAS KE
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
173.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 358.00 -
Acetylsistein tablet Tablet 382.00 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 5 mg Tablet 626.00 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
106 Glimepiride 2 mg Tablet 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 61.00 -
115 Haloperidol Tablet 5 mg Tablet 56.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
131 Kaptopril 12,5 mg Tablet 62.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
135 Ketokonazole Tablet 200 mg Tablet 270.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,600.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,646.00 -
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol
9,275.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160 Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
161 Lidokain injeksi 2 % Tablet - -
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 85.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 102.00 -
173 Metformin 850 mg Tablet 150.00 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 211.20 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 193.60 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 130.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 49.00 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,825.00 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 73.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 105.00 -
Ranitidin Tablet 150 mg Tablet 112.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
246 Salbutamol Tablet 2 mg Tablet 63.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,797.00 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
267 Spironolakton Tablet 25 mg Tablet 208.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
60 Sarung tangan Non Steril M Pcs 600.49 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 3,090.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 - -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

OK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- - - - - -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 190.00 - - 190.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -

- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -
- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -

- 62.00 - - 62.00 -
- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 4,323.00 - - 4,323.00 -

- 173.00 - - 173.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 99.00 - - 99.00 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 160,500.00 - - 160,500.00 -
- 1,097.00 - - 1,097.00 -
- 32.00 - - 32.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 104.00 - - 104.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 2,700.00 - - 2,700.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- - - - - -
- 158.00 - - 158.00 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,969.00 - - 1,969.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- - - - - -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -
- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 207.00 - - 207.00 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 6,900.00 - - 6,900.00 -
- 7,500.00 - - 7,500.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 55.00 - - 55.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 56.00 - - 56.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 62.00 - - 62.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 270.00 - - 270.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- - - - - -
- 6,600.00 - - 6,600.00 -
- 6,600.00 - - 6,600.00 -
- 22.00 - - 22.00 -
- 42.00 - - 42.00 -
- 23.00 - - 23.00 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 147.00 - - 147.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
- 2,120.00 - - 2,120.00 -
- 2,140.00 - - 2,140.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -

- 9,646.00 - - 9,646.00 -

- 9,275.00 - - 9,275.00 -
- 9,644.00 - - 9,644.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,796.00 - - 3,796.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 96.00 - - 96.00 -
- 102.00 - - 102.00 -
- 150.00 - - 150.00 -
- 946.00 - - 946.00 -
- - - - - -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 3,414.00 - - 3,414.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 6,410.00 - - 6,410.00 -
- 193.60 - - 193.60 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 560.00 - - 560.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- - - - - -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 389,344.00 - - 389,344.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 1,070.00 - - 1,070.00 -
- 6,649.00 - - 6,649.00 -
- 1,107.00 - - 1,107.00 -
- - - - - -
- 53.00 - - 53.00 -
- 49.00 - - 49.00 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,825.00 - - 11,825.00 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -

- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- - - - - -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 586.30 - - 586.30 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 112.00 - - 112.00 -
- 288.00 - - 288.00 -
- 517.00 - - 517.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 63.00 - - 63.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,483.00 - - 4,483.00 -
- - - - - -
- 90.00 - - 90.00 -
- 2,850.00 - - 2,850.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 49.00 - - 49.00 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 208.00 - - 208.00 -
- - - - - -
- 353.00 - - 353.00 -
- 350.00 - - 350.00 -
- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.00 - - 91.00 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 88.00 - - 88.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 63,800.00 - - 63,800.00 -
- 96,800.00 - - 96,800.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 14,131.00 - - 14,131.00 -
- 9,500.00 - - 9,500.00 -
- 1,888.00 - - 1,888.00 -
- - - - -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 3,914.00 - - 3,914.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- - - - - -
- 840.00 - - 840.00 -
- - - - - -
- 792.00 - - 792.00 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 1,298.00 - - 1,298.00 -
- 196.80 - - 196.80 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 1,583.00 - - 1,583.00 -
- 1,640.00 - - 1,640.00 -
- 10,430.00 - - 10,430.00 -
- 26,666.67 - - 26,666.67 -
- 37,203.00 - - 37,203.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 9,070.00 - - 9,070.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 10,725.00 - - 10,725.00 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 2,475.00 - - 2,475.00 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 15,333.33 - - 15,333.33 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 2,232,440.00 - - 2,232,440.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 35,077.00 - - 35,077.00 -
- 20,150.00 - - 20,150.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 600.49 - - 600.49 -
- 600.40 - - 600.40 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 3,090.00 - - 3,090.00 -
- - - - - -
- 150.03 - - 150.03 -
- 60,800.00 - - 60,800.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 1,050.00 - - 1,050.00 -
- 95.00 - - 95.00 -
- 98,450.00 - - 98,450.00 -
- 14,000.00 - - 14,000.00 -
- 148,000.00 - - 148,000.00 -
- - - - - -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 61,996.00 - - 61,996.00 -
- 16,995.00 - - 16,995.00 -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 16,995.00 - - 16,995.00 -
- 19,195.00 - - 19,195.00 -
- 16,995.00 - - 16,995.00 -
- 16,500.00 - - 16,500.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 84,282.00 - - 84,282.00 -
- 155,813.00 - - 155,813.00 -
- 25,597.00 - - 25,597.00 -
- 155,813.00 - - 155,813.00 -
- 19,954.00 - - 19,954.00 -
- 166,265.00 - - 166,265.00 -
- 19,954.00 - - 19,954.00 -
- 21,285.00 - - 21,285.00 -
- 158,994.00 - - 158,994.00 -
- 139,760.00 - - 139,760.00 -
- 169,653.00 - - 169,653.00 -
- 62,520.00 - - 62,520.00 -
- 144,540.00 - - 144,540.00 -
- - - - - -
- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
ENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 105.00 - - -
- 99.00 - - -
- - - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 190.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 3,628.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 4,323.00 - - -

- 173.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 358.00 - - -
- 382.00 - - -
- 99.00 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 6,045.00 - - -
- 626.00 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 1,097.00 - - -
- 32.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- - - - -
- 158.00 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,969.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- - - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 207.00 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- 7,500.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 56.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 62.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 270.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- - - - -
- - - - -
- - - - -
- 1,881.00 - - -
- - - - -
- 6,600.00 - - -
- 6,600.00 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 212.00 - - -
- 147.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,140.00 - - -
- 303.00 - - -
- 323.00 - - -

- 9,646.00 - - -

- 9,275.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 123.00 - - -
- 131.00 - -
- 3,328.00 - - -
- 3,796.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 102.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -
- 210.00 - - -
- 224.00 - -
- 444.00 - - -
- 2,959.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 3,414.00 - - -
- 792.00 - - -
- 826.10 - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - -
- 6,410.00 - - -
- 193.60 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 560.00 - - -
- 790.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,107.00 - - -
- - - - -
- 53.00 - - -
- 49.00 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,825.00 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 73.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 105.00 - - -
- 112.00 - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,797.00 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 49.00 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 208.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - - -
- 12,793.00 - - -
- 13,138.40 - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
- 9,500.00 - - -
- 1,888.00 - - -
- - -
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - -
- 7,900.00 - -
- 1,325,000.00 - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 600.49 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 3,090.00 - - -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- - - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - - -
- 62,520.00 - - -
- 144,540.00 - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- - -
- - -
- - -
- - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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.
DATA MUTASI PERSED
U
DINAS K
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 70.00 - -
13 Amlodipin Tablet 10 mg Tablet 93.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
- - -

Antasida Doen Tablet, Kombinasi : Magnesium Tablet


Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Tube
Basitrasin 500 IU/g + Polimiksin 1000 IU/g - - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,496.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,158.00 - -
Anti Fungi DOEN Kombinasi : Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,323.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,798.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet 208.00 - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet - - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet - - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 152.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 2,590.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet - - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Kantong
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Sulfametoksazol 100 mg + Trimetroprim 20 mg Tablet
- - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi : Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml
- - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi : Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - -
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
Ampul
ml - - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Tablet
Besi II Sulfat 200 mg + Asam Folat 0,25 mg 353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 648.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
301 Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
Tablet
Acid 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -
-
JUMLAH TOTAL OBAT -
JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
ATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 - - 90.00 -
105.00 - - 105.00 -
- - - - -
- - - - -
308.00 100.00 30,800.00 308.00 -
165.00 - - 165.00 -
3,627.00 - - 3,627.00 -
3,790.00 - - 3,790.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
91.00 - - 91.00 -
143.00 - - 143.00 -
70.00 50.00 3,500.00 70.00 -
93.00 - - 93.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
190.00 - - 190.00 -
- - - - -
3,531.00 - - 3,531.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -
- - - - -

58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,167.00 - - 3,167.00 -

4,496.00 - - 4,496.00 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

4,798.00 - 4,798.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
208.00 - - 208.00 -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
- - - - -
- - - - -
104.01 - - 104.01 -
103.00 50.00 5,150.00 103.00 -
382.00 - - 382.00 -
- - - - -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
152.00 - - 152.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 30.00 2,730.00 91.00 -
95.00 - - 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
2,590.00 - - 2,590.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
- - - - -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- - - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -

125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

- - - - -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
- - - - -
800.00 - - 800.00 -
825.00 - - 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 - - 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -

843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
165.00 - - 165.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
123.00 - - 123.00 -
118.00 - - 118.00 -
118.00 - - 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 20.00 1,340.00 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 - - 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 - - 115.00 -
648.00 - - 648.00 -
660.00 - - 660.00 -
865.70 - - 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 2.00 8,464.00 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 2.00 19,360.00 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -

979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 - - 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 - - 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 - - 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
71,344.00
-
-
71,344.00
ARAN 2023 SALDO AKHIR 2023
KN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- - - - -
- - - - -
- 90.00 - - -
- 105.00 - - -
- - - - -
- - - - -
- 308.00 100.00 30,800.00 -
- 165.00 - - -
- 3,627.00 - - -
- 3,790.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 91.00 - - -
- 143.00 - - -
- 70.00 50.00 3,500.00 -
- 93.00 - - -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 190.00 - - -
- - - - -
- 3,531.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -
- - - - -

- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,167.00 - - -

- 4,496.00 - - -

- 4,158.00 - - -

- 4,323.00 - - -

4,798.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 208.00 - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- - - - -
- - - - -
- 104.01 - - -
- 103.00 50.00 5,150.00 -
- 382.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 152.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 30.00 2,730.00 -
- 95.00 - - -
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 2,590.00 - - -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- - - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - - - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -

- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- - - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- - - - -
- 800.00 - - -
- 825.00 - - -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 - - -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -

- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 165.00 - - -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- 118.00 - - -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 20.00 1,340.00 -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 - - -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 - - -
- 648.00 - - -
- 660.00 - - -
- 865.70 - - -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 2.00 8,464.00 -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 2.00 19,360.00 -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -

- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 - - -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 - - -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 - - -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- 71,344.00 -
- - -
- - -
- 71,344.00 -

Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

- -
- -
- -
- -
- -
- -
- -
100 -
- -
- -
- -
- -
- -
- -
- -
50 -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -

- -
- -

- -
- -
- -
- -
- -
- -

- -
- -

- -

- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
50 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
30 -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
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DATA MUT
UP
DINAS KE
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
173.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 358.00 -
Acetylsistein tablet Tablet 382.00 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 5 mg Tablet 626.00 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
106 Glimepiride 2 mg Tablet 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 61.00 -
115 Haloperidol Tablet 5 mg Tablet 56.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
131 Kaptopril 12,5 mg Tablet 62.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
135 Ketokonazole Tablet 200 mg Tablet 270.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,600.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,646.00 -
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol
9,275.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160 Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
161 Lidokain injeksi 2 % Tablet - -
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 85.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 102.00 -
173 Metformin 850 mg Tablet 150.00 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 211.20 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 193.60 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 130.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 49.00 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,825.00 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 73.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 105.00 -
Ranitidin Tablet 150 mg Tablet 112.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
246 Salbutamol Tablet 2 mg Tablet 63.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,797.00 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
267 Spironolakton Tablet 25 mg Tablet 208.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
60 Sarung tangan Non Steril M Pcs 600.49 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 3,090.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 - -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

OK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- - - - - -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 190.00 - - 190.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -

- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -
- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -

- 62.00 - - 62.00 -
- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 4,323.00 - - 4,323.00 -

- 173.00 - - 173.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 99.00 - - 99.00 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 160,500.00 - - 160,500.00 -
- 1,097.00 - - 1,097.00 -
- 32.00 - - 32.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 104.00 - - 104.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 2,700.00 - - 2,700.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- - - - - -
- 158.00 - - 158.00 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,969.00 - - 1,969.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- - - - - -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -
- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 207.00 - - 207.00 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 6,900.00 - - 6,900.00 -
- 7,500.00 - - 7,500.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 55.00 - - 55.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 56.00 - - 56.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 62.00 - - 62.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 270.00 - - 270.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- - - - - -
- 6,600.00 - - 6,600.00 -
- 6,600.00 - - 6,600.00 -
- 22.00 - - 22.00 -
- 42.00 - - 42.00 -
- 23.00 - - 23.00 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 147.00 - - 147.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
- 2,120.00 - - 2,120.00 -
- 2,140.00 - - 2,140.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -

- 9,646.00 - - 9,646.00 -

- 9,275.00 - - 9,275.00 -
- 9,644.00 - - 9,644.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,796.00 - - 3,796.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 96.00 - - 96.00 -
- 102.00 - - 102.00 -
- 150.00 - - 150.00 -
- 946.00 - - 946.00 -
- - - - - -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 3,414.00 - - 3,414.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 6,410.00 - - 6,410.00 -
- 193.60 - - 193.60 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 560.00 - - 560.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- - - - - -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 389,344.00 - - 389,344.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 1,070.00 - - 1,070.00 -
- 6,649.00 - - 6,649.00 -
- 1,107.00 - - 1,107.00 -
- - - - - -
- 53.00 - - 53.00 -
- 49.00 - - 49.00 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,825.00 - - 11,825.00 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -

- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- - - - - -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 586.30 - - 586.30 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 112.00 - - 112.00 -
- 288.00 - - 288.00 -
- 517.00 - - 517.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 63.00 - - 63.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,483.00 - - 4,483.00 -
- - - - - -
- 90.00 - - 90.00 -
- 2,850.00 - - 2,850.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 49.00 - - 49.00 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 208.00 - - 208.00 -
- - - - - -
- 353.00 - - 353.00 -
- 350.00 - - 350.00 -
- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.00 - - 91.00 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 88.00 - - 88.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 63,800.00 - - 63,800.00 -
- 96,800.00 - - 96,800.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 14,131.00 - - 14,131.00 -
- 9,500.00 - - 9,500.00 -
- 1,888.00 - - 1,888.00 -
- - -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 3,914.00 - - 3,914.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- - - - - -
- 840.00 - - 840.00 -
- - - - - -
- 792.00 - - 792.00 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 1,298.00 - - 1,298.00 -
- 196.80 - - 196.80 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 1,583.00 - - 1,583.00 -
- 1,640.00 - - 1,640.00 -
- 10,430.00 - - 10,430.00 -
- 26,666.67 - - 26,666.67 -
- 37,203.00 - - 37,203.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 9,070.00 - - 9,070.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 10,725.00 - - 10,725.00 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 2,475.00 - - 2,475.00 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 15,333.33 - - 15,333.33 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 2,232,440.00 - - 2,232,440.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 35,077.00 - - 35,077.00 -
- 20,150.00 - - 20,150.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 600.49 - - 600.49 -
- 600.40 - - 600.40 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 3,090.00 - - 3,090.00 -
- - - - - -
- 150.03 - - 150.03 -
- 60,800.00 - - 60,800.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 1,050.00 - - 1,050.00 -
- 95.00 - - 95.00 -
- 98,450.00 - - 98,450.00 -
- 14,000.00 - - 14,000.00 -
- 148,000.00 - - 148,000.00 -
- - - - - -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 61,996.00 - - 61,996.00 -
- 16,995.00 - - 16,995.00 -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 16,995.00 - - 16,995.00 -
- 19,195.00 - - 19,195.00 -
- 16,995.00 - - 16,995.00 -
- 16,500.00 - - 16,500.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 84,282.00 - - 84,282.00 -
- 155,813.00 - - 155,813.00 -
- 25,597.00 - - 25,597.00 -
- 155,813.00 - - 155,813.00 -
- 19,954.00 - - 19,954.00 -
- 166,265.00 - - 166,265.00 -
- 19,954.00 - - 19,954.00 -
- 21,285.00 - - 21,285.00 -
- 158,994.00 - - 158,994.00 -
- 139,760.00 - - 139,760.00 -
- 169,653.00 - - 169,653.00 -
- 62,520.00 - - 62,520.00 -
- 144,540.00 - - 144,540.00 -
- - - - - -
- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
ENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 105.00 - - -
- 99.00 - - -
- - - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 190.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 3,628.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 4,323.00 - - -

- 173.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 358.00 - - -
- 382.00 - - -
- 99.00 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 6,045.00 - - -
- 626.00 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 1,097.00 - - -
- 32.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- - - - -
- 158.00 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,969.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- - - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 207.00 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- 7,500.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 56.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 62.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 270.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- - - - -
- - - - -
- - - - -
- 1,881.00 - - -
- - - - -
- 6,600.00 - - -
- 6,600.00 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 212.00 - - -
- 147.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,140.00 - - -
- 303.00 - - -
- 323.00 - - -

- 9,646.00 - - -

- 9,275.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 123.00 - - -
- 131.00 - -
- 3,328.00 - - -
- 3,796.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 102.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -
- 210.00 - - -
- 224.00 - -
- 444.00 - - -
- 2,959.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 3,414.00 - - -
- 792.00 - - -
- 826.10 - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - -
- 6,410.00 - - -
- 193.60 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 560.00 - - -
- 790.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,107.00 - - -
- - - - -
- 53.00 - - -
- 49.00 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,825.00 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 73.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 105.00 - - -
- 112.00 - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,797.00 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 49.00 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 208.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - - -
- 12,793.00 - - -
- 13,138.40 - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
- 9,500.00 - - -
- 1,888.00 - - -
-
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - -
- 7,900.00 - -
- 1,325,000.00 - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 600.49 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 3,090.00 - - -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- - - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - - -
- 62,520.00 - - -
- 144,540.00 - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- - -
- - -
- - -
- - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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-
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.
DATA MUTASI PERSED
U
DINAS K

STOK AWAL JANUARI 2023


JKN
NO NAMA SEDIAAN SATUAN
HARGA SATUAN
BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 70.00 - -
13 Amlodipin Tablet 10 mg Tablet 93.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
- - -
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube
- - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,496.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,158.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,323.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,798.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet 208.00 - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet - - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet - - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 152.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 2,590.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet - - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi :
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml Botol
- - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - -
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
ml Ampul
- - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet
353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 648.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
301 Acid Tablet 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -
-
JUMLAH TOTAL OBAT -
JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -
Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
ATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN
BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 - - 90.00 -
105.00 - - 105.00 -
- - - - -
- - - - -
308.00 - - 308.00 -
165.00 - - 165.00 -
3,627.00 - - 3,627.00 -
3,790.00 - - 3,790.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
91.00 - - 91.00 -
143.00 - - 143.00 -
70.00 - - 70.00 -
93.00 100.00 9,300.00 93.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
190.00 - - 190.00 -
- - - - -
3,531.00 - - 3,531.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -

- - - - -
58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,167.00 - - 3,167.00 -

4,496.00 - - 4,496.00 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

4,798.00 - 4,798.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
208.00 - - 208.00 -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
- - - - -
- - - - -
104.01 - - 104.01 -
103.00 - - 103.00 -
382.00 - - 382.00 -
- - - - -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
152.00 - - 152.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 - - 91.00 -
95.00 - - 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
2,590.00 - - 2,590.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
- - - - -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- - - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -
125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

- - - - -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
- - - - -
800.00 - - 800.00 -
825.00 - - 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 - - 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -
843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
165.00 - - 165.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
123.00 - - 123.00 -
118.00 - - 118.00 -
118.00 - - 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 - - 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 - - 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 - - 115.00 -
648.00 - - 648.00 -
660.00 - - 660.00 -
865.70 - - 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 - - 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 - - 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -
979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 - - 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 - - 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 - - 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
9,300.00
-
-
9,300.00
ARAN 2023 SALDO AKHIR 2023
KN JKN
HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP.
(RP)

- - - - -
- - - - -
- - - - -
- 90.00 - - -
- 105.00 - - -
- - - - -
- - - - -
- 308.00 - - -
- 165.00 - - -
- 3,627.00 - - -
- 3,790.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 91.00 - - -
- 143.00 - - -
- 70.00 - - -
- 93.00 100.00 9,300.00 -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 190.00 - - -
- - - - -
- 3,531.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -

- - - - -
- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,167.00 - - -

- 4,496.00 - - -

- 4,158.00 - - -

- 4,323.00 - - -

- 4,798.00

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 208.00 - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- - - - -
- - - - -
- 104.01 - - -
- 103.00 - - -
- 382.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 152.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 - - -
- 95.00 - - -
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 2,590.00 - - -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- - - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - - - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -
- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- - - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- - - - -
- 800.00 - - -
- 825.00 - - -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 - - -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -
- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 165.00 - - -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- 118.00 - - -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 - - -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 - - -
- 648.00 - - -
- 660.00 - - -
- 865.70 - - -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 - - -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 - - -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -
- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 - - -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 - - -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 - - -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- 9,300.00 -
- - -
- - -
- 9,300.00 -
Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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DATA MUT
UP
DINAS KE
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
173.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 358.00 -
Acetylsistein tablet Tablet 382.00 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 5 mg Tablet 626.00 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
106 Glimepiride 2 mg Tablet 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 61.00 -
115 Haloperidol Tablet 5 mg Tablet 56.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
131 Kaptopril 12,5 mg Tablet 62.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
135 Ketokonazole Tablet 200 mg Tablet 270.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,600.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,646.00 -
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol
9,275.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160 Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
161 Lidokain injeksi 2 % Tablet - -
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 85.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 102.00 -
173 Metformin 850 mg Tablet 150.00 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 211.20 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 193.60 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 130.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 49.00 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,825.00 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 73.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 105.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
246 Salbutamol Tablet 2 mg Tablet 63.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,797.00 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
267 Spironolakton Tablet 25 mg Tablet 208.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
60 Sarung tangan Non Steril M Pcs 600.49 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 3,090.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 - -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

OK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- - - - - -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 190.00 - - 190.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
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- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -
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- - - - - -

- 1,995.00 - - 1,995.00 -
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- 62.00 - - 62.00 -
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- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
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- 1,349.00 - - 1,349.00 -
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- 626.00 - - 626.00 -
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- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
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- - - - - -
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- - - - - -
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- - - - - -
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- - - - - -
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- - - - - -
- 149.00 - - 149.00 -
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- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- - - - - -
- 74.00 - - 74.00 -
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- - - - - -
- 287.85 - - 287.85 -
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- - - - - -
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- 1,881.00 - - 1,881.00 -
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- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
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- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
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- 323.00 - - 323.00 -

- 9,646.00 - - 9,646.00 -

- 9,275.00 - - 9,275.00 -
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- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
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- - - - - -
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- - - - - -
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- - - - - -
- 124.00 - - 124.00 -
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- - - - - -
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- - - - - -
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- - - - - -
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- - - - - -
- 2,500.00 - - 2,500.00 -
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- - - - - -
- 53.00 - - 53.00 -
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- - - - - -
- 11,825.00 - - 11,825.00 -
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- 156.20 - - 156.20 -

- - - - - -
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- - - - - -
- - - - - -
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- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
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- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -
- 1,020.00 - - 1,020.00 -
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- - - - - -
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- - - - - -
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- - - - - -
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- - - - - -
- - - - - -
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- - - - - -
- - - - - -
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- - -
- - - - - -
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- - - - - -
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- - - - - -
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- 28,875.00 - - 28,875.00 -
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- 18,450.00 - - 18,450.00 -
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- - - - - -
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- - - - - -
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- - - - - -
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- - - - - -
- - - - - -
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- 4,500.00 - - 4,500.00 -
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- - - - - -
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- - - - - -
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- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
ENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 105.00 - - -
- 99.00 - - -
- - - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 190.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 3,628.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 4,323.00 - - -

- 173.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 358.00 - - -
- 382.00 - - -
- 99.00 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 6,045.00 - - -
- 626.00 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 1,097.00 - - -
- 32.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- - - - -
- 158.00 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,969.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- - - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 207.00 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- 7,500.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 56.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 62.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 270.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- - - - -
- - - - -
- - - - -
- 1,881.00 - - -
- - - - -
- 6,600.00 - - -
- 6,600.00 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 212.00 - - -
- 147.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,140.00 - - -
- 303.00 - - -
- 323.00 - - -

- 9,646.00 - - -

- 9,275.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 123.00 - - -
- 131.00 - -
- 3,328.00 - - -
- 3,796.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 102.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -
- 210.00 - - -
- 224.00 - -
- 444.00 - - -
- 2,959.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 3,414.00 - - -
- 792.00 - - -
- 826.10 - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - -
- 6,410.00 - - -
- 193.60 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 560.00 - - -
- 790.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,107.00 - - -
- - - - -
- 53.00 - - -
- 49.00 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,825.00 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 73.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 105.00 - - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,797.00 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 49.00 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 208.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - - -
- 12,793.00 - - -
- 13,138.40 - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
- 9,500.00 - - -
- 1,888.00 - - -
-
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - -
- 7,900.00 - -
- 1,325,000.00 - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 600.49 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 3,090.00 - - -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- - - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - - -
- 62,520.00 - - -
- 144,540.00 - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- - -
- - -
- - -
- - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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.
DATA MUTASI PERSED
U
DINAS K
PE

STOK AWAL JANUARI 2023


JKN
NO NAMA SEDIAAN SATUAN
HARGA SATUAN
BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 70.00 - -
13 Amlodipin Tablet 10 mg Tablet 93.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
- - -
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube
- - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,496.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,158.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,323.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,798.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet 208.00 - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet - - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet - - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 152.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 2,590.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet - - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi :
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml Botol
- - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - -
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
ml Ampul
- - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet
353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 648.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
301 Acid Tablet 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -
-
JUMLAH TOTAL OBAT -
JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -
Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
ATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN
BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 - - 90.00 -
105.00 - - 105.00 -
- - - - -
- - - - -
308.00 100.00 30,800.00 308.00 -
165.00 - - 165.00 -
3,627.00 - - 3,627.00 -
3,790.00 - - 3,790.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
91.00 - - 91.00 -
143.00 - - 143.00 -
70.00 - - 70.00 -
93.00 100.00 9,300.00 93.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
190.00 - - 190.00 -
- - - - -
3,531.00 - - 3,531.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -

- - - - -
58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,167.00 - - 3,167.00 -

4,496.00 - - 4,496.00 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

4,798.00 4,798.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
208.00 - - 208.00 -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
- - - - -
- - - - -
104.01 - - 104.01 -
103.00 100.00 10,300.00 103.00 -
382.00 - - 382.00 -
- - - - -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
152.00 - - 152.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 - - 91.00 -
95.00 - - 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
2,590.00 - - 2,590.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
- - - - -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- 2.00 - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -
125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

- - - - -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
- - - - -
800.00 - - 800.00 -
825.00 100.00 82,500.00 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 5.00 35,750.00 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -
843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
165.00 - - 165.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
123.00 100.00 12,300.00 123.00 -
118.00 - - 118.00 -
118.00 - - 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 - - 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 - - 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 - - 115.00 -
648.00 - - 648.00 -
660.00 100.00 66,000.00 660.00 -
865.70 - - 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 - - 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 - - 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -
979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 - - 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 - - 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 - - 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
246,950.00
-
-
246,950.00
ARAN 2023 SALDO AKHIR 2023
KN JKN
HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP.
(RP)

- - - - -
- - - - -
- - - - -
- 90.00 - - -
- 105.00 - - -
- - - - -
- - - - -
- 308.00 100.00 30,800.00 -
- 165.00 - - -
- 3,627.00 - - -
- 3,790.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 91.00 - - -
- 143.00 - - -
- 70.00 - - -
- 93.00 100.00 9,300.00 -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 190.00 - - -
- - - - -
- 3,531.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -

- - - - -
- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,167.00 - - -

- 4,496.00 - - -

- 4,158.00 - - -

- 4,323.00 - - -

4,798.00

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 208.00 - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- - - - -
- - - - -
- 104.01 - - -
- 103.00 100.00 10,300.00 -
- 382.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 152.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 - - -
- 95.00 - - -
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 2,590.00 - - -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- - - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - 2.00 - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -
- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- - - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- - - - -
- 800.00 - - -
- 825.00 100.00 82,500.00 -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 5.00 35,750.00 -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -
- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 165.00 - - -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 123.00 100.00 12,300.00 -
- 118.00 - - -
- 118.00 - - -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 - - -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 - - -
- 648.00 - - -
- 660.00 100.00 66,000.00 -
- 865.70 - - -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 - - -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 - - -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -
- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 - - -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 - - -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 - - -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- 246,950.00 -
- - -
- - -
- 246,950.00 -
Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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DATA MUT
UP
DINAS KE
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
173.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 358.00 -
Acetylsistein tablet Tablet 382.00 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 5 mg Tablet 626.00 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
106 Glimepiride 2 mg Tablet 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 61.00 -
115 Haloperidol Tablet 5 mg Tablet 56.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
131 Kaptopril 12,5 mg Tablet 62.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
135 Ketokonazole Tablet 200 mg Tablet 270.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,600.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,646.00 -
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol
9,275.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160 Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
161 Lidokain injeksi 2 % Tablet - -
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 85.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 102.00 -
173 Metformin 850 mg Tablet 150.00 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 211.20 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 193.60 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 130.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 49.00 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,825.00 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 73.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 105.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
246 Salbutamol Tablet 2 mg Tablet 63.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,797.00 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
267 Spironolakton Tablet 25 mg Tablet 208.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
60 Sarung tangan Non Steril M Pcs 600.49 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 3,090.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 - -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

OK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- - - - - -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 190.00 - - 190.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -

- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -
- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -

- 62.00 - - 62.00 -
- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 4,323.00 - - 4,323.00 -

- 173.00 - - 173.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 99.00 - - 99.00 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 160,500.00 - - 160,500.00 -
- 1,097.00 - - 1,097.00 -
- 32.00 - - 32.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 104.00 - - 104.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 2,700.00 - - 2,700.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- - - - - -
- 158.00 - - 158.00 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,969.00 - - 1,969.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- - - - - -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -
- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 207.00 - - 207.00 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 6,900.00 - - 6,900.00 -
- 7,500.00 - - 7,500.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 55.00 - - 55.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 56.00 - - 56.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 62.00 - - 62.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 270.00 - - 270.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- - - - - -
- 6,600.00 - - 6,600.00 -
- 6,600.00 - - 6,600.00 -
- 22.00 - - 22.00 -
- 42.00 - - 42.00 -
- 23.00 - - 23.00 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 147.00 - - 147.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
- 2,120.00 - - 2,120.00 -
- 2,140.00 - - 2,140.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -

- 9,646.00 - - 9,646.00 -

- 9,275.00 - - 9,275.00 -
- 9,644.00 - - 9,644.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,796.00 - - 3,796.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 96.00 - - 96.00 -
- 102.00 - - 102.00 -
- 150.00 - - 150.00 -
- 946.00 - - 946.00 -
- - - - - -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 3,414.00 - - 3,414.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 6,410.00 - - 6,410.00 -
- 193.60 - - 193.60 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 560.00 - - 560.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- - - - - -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 389,344.00 - - 389,344.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 1,070.00 - - 1,070.00 -
- 6,649.00 - - 6,649.00 -
- 1,107.00 - - 1,107.00 -
- - - - - -
- 53.00 - - 53.00 -
- 49.00 - - 49.00 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,825.00 - - 11,825.00 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -

- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- - - - - -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 586.30 - - 586.30 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 288.00 - - 288.00 -
- 517.00 - - 517.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 63.00 - - 63.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,483.00 - - 4,483.00 -
- - - - - -
- 90.00 - - 90.00 -
- 2,850.00 - - 2,850.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 49.00 - - 49.00 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 208.00 - - 208.00 -
- - - - - -
- 353.00 - - 353.00 -
- 350.00 - - 350.00 -
- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.00 - - 91.00 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 88.00 - - 88.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 63,800.00 - - 63,800.00 -
- 96,800.00 - - 96,800.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 14,131.00 - - 14,131.00 -
- 9,500.00 - - 9,500.00 -
- 1,888.00 - - 1,888.00 -
- - -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 3,914.00 - - 3,914.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- - - - - -
- 840.00 - - 840.00 -
- - - - - -
- 792.00 - - 792.00 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 1,298.00 - - 1,298.00 -
- 196.80 - - 196.80 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 1,583.00 - - 1,583.00 -
- 1,640.00 - - 1,640.00 -
- 10,430.00 - - 10,430.00 -
- 26,666.67 - - 26,666.67 -
- 37,203.00 - - 37,203.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 9,070.00 - - 9,070.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 10,725.00 - - 10,725.00 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 2,475.00 - - 2,475.00 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 15,333.33 - - 15,333.33 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 2,232,440.00 - - 2,232,440.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 35,077.00 - - 35,077.00 -
- 20,150.00 - - 20,150.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 600.49 - - 600.49 -
- 600.40 - - 600.40 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 3,090.00 - - 3,090.00 -
- - - - - -
- 150.03 - - 150.03 -
- 60,800.00 - - 60,800.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 1,050.00 - - 1,050.00 -
- 95.00 - - 95.00 -
- 98,450.00 - - 98,450.00 -
- 14,000.00 - - 14,000.00 -
- 148,000.00 - - 148,000.00 -
- - - - - -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 61,996.00 - - 61,996.00 -
- 16,995.00 - - 16,995.00 -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 16,995.00 - - 16,995.00 -
- 19,195.00 - - 19,195.00 -
- 16,995.00 - - 16,995.00 -
- 16,500.00 - - 16,500.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 84,282.00 - - 84,282.00 -
- 155,813.00 - - 155,813.00 -
- 25,597.00 - - 25,597.00 -
- 155,813.00 - - 155,813.00 -
- 19,954.00 - - 19,954.00 -
- 166,265.00 - - 166,265.00 -
- 19,954.00 - - 19,954.00 -
- 21,285.00 - - 21,285.00 -
- 158,994.00 - - 158,994.00 -
- 139,760.00 - - 139,760.00 -
- 169,653.00 - - 169,653.00 -
- 62,520.00 - - 62,520.00 -
- 144,540.00 - - 144,540.00 -
- - - - - -
- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
ENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 105.00 - - -
- 99.00 - - -
- - - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 190.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 3,628.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 4,323.00 - - -

- 173.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 358.00 - - -
- 382.00 - - -
- 99.00 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 6,045.00 - - -
- 626.00 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 1,097.00 - - -
- 32.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- - - - -
- 158.00 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,969.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- - - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 207.00 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- 7,500.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 56.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 62.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 270.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- - - - -
- - - - -
- - - - -
- 1,881.00 - - -
- - - - -
- 6,600.00 - - -
- 6,600.00 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 212.00 - - -
- 147.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,140.00 - - -
- 303.00 - - -
- 323.00 - - -

- 9,646.00 - - -

- 9,275.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 123.00 - - -
- 131.00 - -
- 3,328.00 - - -
- 3,796.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 102.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -
- 210.00 - - -
- 224.00 - -
- 444.00 - - -
- 2,959.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 3,414.00 - - -
- 792.00 - - -
- 826.10 - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - -
- 6,410.00 - - -
- 193.60 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 560.00 - - -
- 790.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,107.00 - - -
- - - - -
- 53.00 - - -
- 49.00 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,825.00 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 73.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 105.00 - - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,797.00 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 49.00 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 208.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - - -
- 12,793.00 - - -
- 13,138.40 - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
- 9,500.00 - - -
- 1,888.00 - - -
-
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - -
- 7,900.00 - -
- 1,325,000.00 - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 600.49 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 3,090.00 - - -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- - - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - - -
- 62,520.00 - - -
- 144,540.00 - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- - -
- - -
- - -
- - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -

- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -

- -
- - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
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.
DATA MUTASI PERSED
U
DINAS K
PE

STOK AWAL JANUARI 2023


JKN
NO NAMA SEDIAAN SATUAN
HARGA SATUAN
BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 70.00 - -
13 Amlodipin Tablet 10 mg Tablet 93.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
- - -
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube
- - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,496.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,158.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,323.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,798.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet 208.00 - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet - - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet - - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 152.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 2,590.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet - - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi :
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml Botol
- - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - -
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
ml Ampul
- - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet
353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 648.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
301 Acid Tablet 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -
-
JUMLAH TOTAL OBAT -
JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -
Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
ATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN
BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 50.00 4,500.00 90.00 -
105.00 - - 105.00 -
- - - - -
- - - - -
308.00 - - 308.00 -
165.00 100.00 16,500.00 165.00 -
3,627.00 - - 3,627.00 -
3,790.00 - - 3,790.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
91.00 - - 91.00 -
143.00 - - 143.00 -
70.00 50.00 3,500.00 70.00 -
93.00 150.00 13,950.00 93.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
190.00 - - 190.00 -
- - - - -
3,531.00 - - 3,531.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -

- - - - -
58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,167.00 - - 3,167.00 -

4,496.00 - - 4,496.00 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

4,798.00 4,798.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
208.00 - - 208.00 -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
- - - - -
- - - - -
104.01 - - 104.01 -
103.00 - - 103.00 -
382.00 - - 382.00 -
- - - - -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
152.00 - - 152.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 - - 91.00 -
95.00 50.00 4,750.00 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
2,590.00 - - 2,590.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
- - - - -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- - - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -
125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

- - - - -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
- - - - -
800.00 - - 800.00 -
825.00 50.00 41,250.00 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 5.00 35,750.00 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -
843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
165.00 - - 165.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
123.00 - - 123.00 -
118.00 - - 118.00 -
118.00 - - 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 - - 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 - - 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 - - 115.00 -
648.00 - - 648.00 -
660.00 - - 660.00 -
865.70 - - 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 3.00 12,696.00 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 5.00 48,400.00 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -
979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 - - 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 - - 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 - - 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
181,296.00
-
-
181,296.00
ARAN 2023 SALDO AKHIR 2023
KN JKN
HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP.
(RP)

- - - - -
- - - - -
- - - - -
- 90.00 50.00 4,500.00 -
- 105.00 - - -
- - - - -
- - - - -
- 308.00 - - -
- 165.00 100.00 16,500.00 -
- 3,627.00 - - -
- 3,790.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 91.00 - - -
- 143.00 - - -
- 70.00 50.00 3,500.00 -
- 93.00 150.00 13,950.00 -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 190.00 - - -
- - - - -
- 3,531.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -

- - - - -
- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,167.00 - - -

- 4,496.00 - - -

- 4,158.00 - - -

- 4,323.00 - - -

4,798.00

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 208.00 - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- - - - -
- - - - -
- 104.01 - - -
- 103.00 - - -
- 382.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 152.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 - - -
- 95.00 - - 4,750.00
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 2,590.00 - - -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- - - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - - - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -
- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- - - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- - - - -
- 800.00 - - -
- 825.00 50.00 41,250.00 -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 5.00 35,750.00 -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -
- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 165.00 - - -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- 118.00 - - -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 - - -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 - - -
- 648.00 - - -
- 660.00 - - -
- 865.70 - - -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 3.00 12,696.00 -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 5.00 48,400.00 -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -
- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 - - -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 - - -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 - - -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- 176,546.00 4,750.00
- - -
- - -
- 176,546.00 4,750.00
Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

- -
- -
- -
- -
- -
- -
- -
- -
100 -
- -
- -
- -
- -
- -
- -
50 -
150 -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -

- -
- -

- -

- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
50 4,750
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -

- -
- -

- -

- -

- -
- -
- -
- -

- -

- -

- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
50 -
- -
- -
5 -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
3 -
- -
- -
- -
- -
- -
- -
- -
- -
5 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4,750
- -
- -
- 4,750
DATA MUT
UP
DINAS KE
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
173.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 358.00 -
Acetylsistein tablet Tablet 382.00 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 5 mg Tablet 626.00 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
106 Glimepiride 2 mg Tablet 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 61.00 -
115 Haloperidol Tablet 5 mg Tablet 56.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
131 Kaptopril 12,5 mg Tablet 62.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
135 Ketokonazole Tablet 200 mg Tablet 270.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,600.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,646.00 -
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol
9,275.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160 Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
161 Lidokain injeksi 2 % Tablet - -
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 85.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 102.00 -
173 Metformin 850 mg Tablet 150.00 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 211.20 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 193.60 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 130.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 49.00 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,825.00 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 73.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 105.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
246 Salbutamol Tablet 2 mg Tablet 63.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,797.00 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
267 Spironolakton Tablet 25 mg Tablet 208.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
60 Sarung tangan Non Steril M Pcs 600.49 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 3,090.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 - -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

OK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- - - - - -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 190.00 - - 190.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -

- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -
- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -

- 62.00 - - 62.00 -
- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 4,323.00 - - 4,323.00 -

- 173.00 - - 173.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 99.00 - - 99.00 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 160,500.00 - - 160,500.00 -
- 1,097.00 - - 1,097.00 -
- 32.00 - - 32.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 104.00 - - 104.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 2,700.00 - - 2,700.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- - - - - -
- 158.00 - - 158.00 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,969.00 - - 1,969.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- - - - - -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -
- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 207.00 - - 207.00 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 6,900.00 - - 6,900.00 -
- 7,500.00 - - 7,500.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 55.00 - - 55.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 56.00 - - 56.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 62.00 - - 62.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 270.00 - - 270.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- - - - - -
- 6,600.00 - - 6,600.00 -
- 6,600.00 - - 6,600.00 -
- 22.00 - - 22.00 -
- 42.00 - - 42.00 -
- 23.00 - - 23.00 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 147.00 - - 147.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
- 2,120.00 - - 2,120.00 -
- 2,140.00 - - 2,140.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -

- 9,646.00 - - 9,646.00 -

- 9,275.00 - - 9,275.00 -
- 9,644.00 - - 9,644.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,796.00 - - 3,796.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 96.00 - - 96.00 -
- 102.00 - - 102.00 -
- 150.00 - - 150.00 -
- 946.00 - - 946.00 -
- - - - - -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 3,414.00 - - 3,414.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 6,410.00 - - 6,410.00 -
- 193.60 - - 193.60 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 560.00 - - 560.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- - - - - -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 389,344.00 - - 389,344.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 1,070.00 - - 1,070.00 -
- 6,649.00 - - 6,649.00 -
- 1,107.00 - - 1,107.00 -
- - - - - -
- 53.00 - - 53.00 -
- 49.00 - - 49.00 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,825.00 - - 11,825.00 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -

- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- - - - - -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 586.30 - - 586.30 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 288.00 - - 288.00 -
- 517.00 - - 517.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 63.00 - - 63.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,483.00 - - 4,483.00 -
- - - - - -
- 90.00 - - 90.00 -
- 2,850.00 - - 2,850.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 49.00 - - 49.00 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 208.00 - - 208.00 -
- - - - - -
- 353.00 - - 353.00 -
- 350.00 - - 350.00 -
- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.00 - - 91.00 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 88.00 - - 88.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 63,800.00 - - 63,800.00 -
- 96,800.00 - - 96,800.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 14,131.00 - - 14,131.00 -
- 9,500.00 - - 9,500.00 -
- 1,888.00 - - 1,888.00 -
- - -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 3,914.00 - - 3,914.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- - - - - -
- 840.00 - - 840.00 -
- - - - - -
- 792.00 - - 792.00 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 1,298.00 - - 1,298.00 -
- 196.80 - - 196.80 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 1,583.00 - - 1,583.00 -
- 1,640.00 - - 1,640.00 -
- 10,430.00 - - 10,430.00 -
- 26,666.67 - - 26,666.67 -
- 37,203.00 - - 37,203.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 9,070.00 - - 9,070.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 10,725.00 - - 10,725.00 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 2,475.00 - - 2,475.00 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 15,333.33 - - 15,333.33 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 2,232,440.00 - - 2,232,440.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 35,077.00 - - 35,077.00 -
- 20,150.00 - - 20,150.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 600.49 - - 600.49 -
- 600.40 - - 600.40 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 3,090.00 - - 3,090.00 -
- - - - - -
- 150.03 - - 150.03 -
- 60,800.00 - - 60,800.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 1,050.00 - - 1,050.00 -
- 95.00 - - 95.00 -
- 98,450.00 - - 98,450.00 -
- 14,000.00 - - 14,000.00 -
- 148,000.00 - - 148,000.00 -
- - - - - -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 61,996.00 - - 61,996.00 -
- 16,995.00 - - 16,995.00 -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 16,995.00 - - 16,995.00 -
- 19,195.00 - - 19,195.00 -
- 16,995.00 - - 16,995.00 -
- 16,500.00 - - 16,500.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 84,282.00 - - 84,282.00 -
- 155,813.00 - - 155,813.00 -
- 25,597.00 - - 25,597.00 -
- 155,813.00 - - 155,813.00 -
- 19,954.00 - - 19,954.00 -
- 166,265.00 - - 166,265.00 -
- 19,954.00 - - 19,954.00 -
- 21,285.00 - - 21,285.00 -
- 158,994.00 - - 158,994.00 -
- 139,760.00 - - 139,760.00 -
- 169,653.00 - - 169,653.00 -
- 62,520.00 - - 62,520.00 -
- 144,540.00 - - 144,540.00 -
- - - - - -
- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
ENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 105.00 - - -
- 99.00 - - -
- - - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 190.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 3,628.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 4,323.00 - - -

- 173.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 358.00 - - -
- 382.00 - - -
- 99.00 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 6,045.00 - - -
- 626.00 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 1,097.00 - - -
- 32.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- - - - -
- 158.00 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,969.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- - - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 207.00 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- 7,500.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 56.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 62.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 270.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- - - - -
- - - - -
- - - - -
- 1,881.00 - - -
- - - - -
- 6,600.00 - - -
- 6,600.00 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 212.00 - - -
- 147.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,140.00 - - -
- 303.00 - - -
- 323.00 - - -

- 9,646.00 - - -

- 9,275.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 123.00 - - -
- 131.00 - -
- 3,328.00 - - -
- 3,796.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 102.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -
- 210.00 - - -
- 224.00 - -
- 444.00 - - -
- 2,959.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 3,414.00 - - -
- 792.00 - - -
- 826.10 - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - -
- 6,410.00 - - -
- 193.60 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 560.00 - - -
- 790.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,107.00 - - -
- - - - -
- 53.00 - - -
- 49.00 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,825.00 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 73.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 105.00 - - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,797.00 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 49.00 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 208.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - - -
- 12,793.00 - - -
- 13,138.40 - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
- 9,500.00 - - -
- 1,888.00 - - -
-
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - -
- 7,900.00 - -
- 1,325,000.00 - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 600.49 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 3,090.00 - - -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- - - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - - -
- 62,520.00 - - -
- 144,540.00 - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- - -
- - -
- - -
- - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

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.
DATA MUTASI PERSED
U
DINAS K
PE

STOK AWAL JANUARI 2023


JKN
NO NAMA SEDIAAN SATUAN
HARGA SATUAN
BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 70.00 - -
13 Amlodipin Tablet 10 mg Tablet 93.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
- - -
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube
- - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,496.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,158.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,323.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,798.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet 208.00 - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet - - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet - - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 152.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 2,590.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet - - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi :
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml Botol
- - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - -
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
ml Ampul
- - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet
353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 648.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
301 Acid Tablet 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -

JUMLAH TOTAL OBAT -


JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -
Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
ATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN
BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 - - 90.00 -
105.00 50.00 5,250.00 105.00 -
- - - - -
- - - - -
308.00 100.00 30,800.00 308.00 -
165.00 - - 165.00 -
3,627.00 - - 3,627.00 -
3,790.00 - - 3,790.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
91.00 - - 91.00 -
143.00 - - 143.00 -
70.00 100.00 7,000.00 70.00 -
93.00 100.00 9,300.00 93.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
190.00 - - 190.00 -
- - - - -
3,531.00 - - 3,531.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -

- - - - -
58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,167.00 - - 3,167.00 -

4,496.00 - - 4,496.00 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

4,798.00 4,798.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
208.00 - - 208.00 -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
- - - - -
- - - - -
104.01 - - 104.01 -
103.00 100.00 10,300.00 103.00 -
382.00 - - 382.00 -
- - - - -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
152.00 - - 152.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 - - 91.00 -
95.00 - - 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
2,590.00 - - 2,590.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
- - - - -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- 2.00 - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -
125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

- - - - -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
- - - - -
800.00 - - 800.00 -
825.00 100.00 82,500.00 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 5.00 35,750.00 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -
843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
165.00 - - 165.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
123.00 - - 123.00 -
118.00 - - 118.00 -
118.00 100.00 11,799.70 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 - - 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 - - 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 200.00 23,000.00 115.00 -
648.00 - - 648.00 -
660.00 - - 660.00 -
865.70 100.00 86,570.00 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 3.00 12,696.00 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 5.00 48,400.00 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -
979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 - - 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 - - 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 - - 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
363,365.70
-
-
363,365.70
ARAN 2023 SALDO AKHIR 2023
KN JKN
HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP.
(RP)

- - - - -
- - - - -
- - - - -
- 90.00 - - -
- 105.00 50.00 5,250.00 -
- - - - -
- - - - -
- 308.00 100.00 30,800.00 -
- 165.00 - - -
- 3,627.00 - - -
- 3,790.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 91.00 - - -
- 143.00 - - -
- 70.00 100.00 7,000.00 -
- 93.00 100.00 9,300.00 -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 190.00 - - -
- - - - -
- 3,531.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -

- - - - -
- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,167.00 - - -

- 4,496.00 - - -

- 4,158.00 - - -

- 4,323.00 - - -

4,798.00

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 208.00 - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- - - - -
- - - - -
- 104.01 - - -
- 103.00 100.00 10,300.00 -
- 382.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 152.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 - - -
- 95.00 - - -
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 2,590.00 - - -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- - - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - 2.00 - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -
- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- - - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- - - - -
- 800.00 - - -
- 825.00 100.00 82,500.00 -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 5.00 35,750.00 -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -
- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 165.00 - - -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- 118.00 100.00 11,799.70 -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 - - -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 200.00 23,000.00 -
- 648.00 - - -
- 660.00 - - -
- 865.70 100.00 86,570.00 -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 3.00 12,696.00 -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 5.00 48,400.00 -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -
- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 - - -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 - - -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 - - -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- 363,365.70 -
- - -
- - -
- 363,365.70 -
Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

- -
- -
- -
- -
50 -
- -
- -
100 -
- -
- -
- -
- -
- -
- -
- -
100 -
100 -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -

- -
- -

- -

- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
100 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
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- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
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- -
- -
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- -
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- -
- -
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- -
- -
2 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -

- -
- -

- -

- -

- -
- -
- -
- -

- -

- -

- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
100 -
- -
- -
5 -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
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- -
- -
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- -
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- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
100 -
- -
- -
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- -
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- -
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- -
- -
- -
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- -
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- -
- -
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- -
- -

- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
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200 -
- -
- -
100 -
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- -
3 -
- -
- -
- -
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- -
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5 -
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- -
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- -
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- -
DATA MUT
UP
DINAS KE
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
173.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 358.00 -
Acetylsistein tablet Tablet 382.00 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 5 mg Tablet 626.00 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
106 Glimepiride 2 mg Tablet 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 61.00 -
115 Haloperidol Tablet 5 mg Tablet 56.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
131 Kaptopril 12,5 mg Tablet 62.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
135 Ketokonazole Tablet 200 mg Tablet 270.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,600.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,646.00 -
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol
9,275.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160 Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
161 Lidokain injeksi 2 % Tablet - -
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 85.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 102.00 -
173 Metformin 850 mg Tablet 150.00 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 211.20 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 193.60 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 130.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 49.00 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,825.00 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 73.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 105.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
246 Salbutamol Tablet 2 mg Tablet 63.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,797.00 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
267 Spironolakton Tablet 25 mg Tablet 208.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
60 Sarung tangan Non Steril M Pcs 600.49 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 3,090.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 - -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

OK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- - - - - -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 190.00 - - 190.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -

- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -
- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -

- 62.00 - - 62.00 -
- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 4,323.00 - - 4,323.00 -

- 173.00 - - 173.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 99.00 - - 99.00 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 160,500.00 - - 160,500.00 -
- 1,097.00 - - 1,097.00 -
- 32.00 - - 32.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 104.00 - - 104.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 2,700.00 - - 2,700.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- - - - - -
- 158.00 - - 158.00 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,969.00 - - 1,969.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- - - - - -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -
- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 207.00 - - 207.00 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 6,900.00 - - 6,900.00 -
- 7,500.00 - - 7,500.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 55.00 - - 55.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 56.00 - - 56.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 62.00 - - 62.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 270.00 - - 270.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- - - - - -
- 6,600.00 - - 6,600.00 -
- 6,600.00 - - 6,600.00 -
- 22.00 - - 22.00 -
- 42.00 - - 42.00 -
- 23.00 - - 23.00 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 147.00 - - 147.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
- 2,120.00 - - 2,120.00 -
- 2,140.00 - - 2,140.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -

- 9,646.00 - - 9,646.00 -

- 9,275.00 - - 9,275.00 -
- 9,644.00 - - 9,644.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,796.00 - - 3,796.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 96.00 - - 96.00 -
- 102.00 - - 102.00 -
- 150.00 - - 150.00 -
- 946.00 - - 946.00 -
- - - - - -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 3,414.00 - - 3,414.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 6,410.00 - - 6,410.00 -
- 193.60 - - 193.60 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 560.00 - - 560.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- - - - - -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 389,344.00 - - 389,344.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 1,070.00 - - 1,070.00 -
- 6,649.00 - - 6,649.00 -
- 1,107.00 - - 1,107.00 -
- - - - - -
- 53.00 - - 53.00 -
- 49.00 - - 49.00 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,825.00 - - 11,825.00 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -

- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- - - - - -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 586.30 - - 586.30 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 288.00 - - 288.00 -
- 517.00 - - 517.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 63.00 - - 63.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,483.00 - - 4,483.00 -
- - - - - -
- 90.00 - - 90.00 -
- 2,850.00 - - 2,850.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 49.00 - - 49.00 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 208.00 - - 208.00 -
- - - - - -
- 353.00 - - 353.00 -
- 350.00 - - 350.00 -
- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.00 - - 91.00 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 88.00 - - 88.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 63,800.00 - - 63,800.00 -
- 96,800.00 - - 96,800.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 14,131.00 - - 14,131.00 -
- 9,500.00 - - 9,500.00 -
- 1,888.00 - - 1,888.00 -
- - -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 3,914.00 - - 3,914.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- - - - - -
- 840.00 - - 840.00 -
- - - - - -
- 792.00 - - 792.00 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 1,298.00 - - 1,298.00 -
- 196.80 - - 196.80 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 1,583.00 - - 1,583.00 -
- 1,640.00 - - 1,640.00 -
- 10,430.00 - - 10,430.00 -
- 26,666.67 - - 26,666.67 -
- 37,203.00 - - 37,203.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 9,070.00 - - 9,070.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 10,725.00 - - 10,725.00 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 2,475.00 - - 2,475.00 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 15,333.33 - - 15,333.33 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 2,232,440.00 - - 2,232,440.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 35,077.00 - - 35,077.00 -
- 20,150.00 - - 20,150.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 600.49 - - 600.49 -
- 600.40 - - 600.40 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 3,090.00 - - 3,090.00 -
- - - - - -
- 150.03 - - 150.03 -
- 60,800.00 - - 60,800.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 1,050.00 - - 1,050.00 -
- 95.00 - - 95.00 -
- 98,450.00 - - 98,450.00 -
- 14,000.00 - - 14,000.00 -
- 148,000.00 - - 148,000.00 -
- - - - - -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 61,996.00 - - 61,996.00 -
- 16,995.00 - - 16,995.00 -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 16,995.00 - - 16,995.00 -
- 19,195.00 - - 19,195.00 -
- 16,995.00 - - 16,995.00 -
- 16,500.00 - - 16,500.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 84,282.00 - - 84,282.00 -
- 155,813.00 - - 155,813.00 -
- 25,597.00 - - 25,597.00 -
- 155,813.00 - - 155,813.00 -
- 19,954.00 - - 19,954.00 -
- 166,265.00 - - 166,265.00 -
- 19,954.00 - - 19,954.00 -
- 21,285.00 - - 21,285.00 -
- 158,994.00 - - 158,994.00 -
- 139,760.00 - - 139,760.00 -
- 169,653.00 - - 169,653.00 -
- 62,520.00 - - 62,520.00 -
- 144,540.00 - - 144,540.00 -
- - - - - -
- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
ENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 105.00 - - -
- 99.00 - - -
- - - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 190.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 3,628.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 4,323.00 - - -

- 173.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 358.00 - - -
- 382.00 - - -
- 99.00 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 6,045.00 - - -
- 626.00 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 1,097.00 - - -
- 32.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- - - - -
- 158.00 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,969.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- - - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 207.00 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- 7,500.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 56.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 62.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 270.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- - - - -
- - - - -
- - - - -
- 1,881.00 - - -
- - - - -
- 6,600.00 - - -
- 6,600.00 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 212.00 - - -
- 147.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,140.00 - - -
- 303.00 - - -
- 323.00 - - -

- 9,646.00 - - -

- 9,275.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 123.00 - - -
- 131.00 - -
- 3,328.00 - - -
- 3,796.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 102.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -
- 210.00 - - -
- 224.00 - -
- 444.00 - - -
- 2,959.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 3,414.00 - - -
- 792.00 - - -
- 826.10 - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - -
- 6,410.00 - - -
- 193.60 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 560.00 - - -
- 790.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,107.00 - - -
- - - - -
- 53.00 - - -
- 49.00 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,825.00 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 73.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 105.00 - - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,797.00 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 49.00 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 208.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - - -
- 12,793.00 - - -
- 13,138.40 - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
- 9,500.00 - - -
- 1,888.00 - - -
-
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - -
- 7,900.00 - -
- 1,325,000.00 - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 600.49 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 3,090.00 - - -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- - - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - - -
- 62,520.00 - - -
- 144,540.00 - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- - -
- - -
- - -
- - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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.
DATA MUTASI PERSED
U
DINAS K
PE

STOK AWAL JANUARI 2023


JKN
NO NAMA SEDIAAN SATUAN
HARGA SATUAN
BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 70.00 - -
13 Amlodipin Tablet 10 mg Tablet 93.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
- - -
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube
- - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,496.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,158.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,323.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,798.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet 208.00 - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet - - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet - - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 152.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 2,590.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet 82.00 - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi :
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml Botol
- - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - -
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
ml Ampul
- - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet
353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 648.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
301 Acid Tablet 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -

JUMLAH TOTAL OBAT -


JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -
Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
ATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN
BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 - - 90.00 -
105.00 - - 105.00 -
- - - - -
- - - - -
308.00 - - 308.00 -
165.00 - - 165.00 -
3,627.00 - - 3,627.00 -
3,790.00 - - 3,790.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
91.00 - - 91.00 -
143.00 - - 143.00 -
70.00 - - 70.00 -
93.00 - - 93.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
190.00 - - 190.00 -
- - - - -
3,531.00 - - 3,531.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -

- - - - -
58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,167.00 - - 3,167.00 -

4,496.00 - - 4,496.00 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

4,798.00 4,798.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
208.00 - - 208.00 -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
- - - - -
- - - - -
104.01 - - 104.01 -
103.00 - - 103.00 -
382.00 - - 382.00 -
- - - - -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
152.00 - - 152.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 - - 91.00 -
95.00 - - 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
2,590.00 - - 2,590.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
82.00 - - 82.00 -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- - - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -
125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

- - - - -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
- - - - -
800.00 - - 800.00 -
825.00 - - 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 - - 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -
843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
165.00 - - 165.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
123.00 - - 123.00 -
118.00 - - 118.00 -
118.00 - - 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 - - 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 - - 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 - - 115.00 -
648.00 - - 648.00 -
660.00 - - 660.00 -
865.70 - - 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 - - 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 - - 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -
979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 - - 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 - - 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 - - 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
-
-
-
-
ARAN 2023 SALDO AKHIR 2023
KN JKN
HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP.
(RP)

- - - - -
- - - - -
- - - - -
- 90.00 - - -
- 105.00 - - -
- - - - -
- - - - -
- 308.00 - - -
- 165.00 - - -
- 3,627.00 - - -
- 3,790.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 91.00 - - -
- 143.00 - - -
- 70.00 - - -
- 93.00 - - -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 190.00 - - -
- - - - -
- 3,531.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -

- - - - -
- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,167.00 - - -

- 4,496.00 - - -

- 4,158.00 - - -

- 4,323.00 - - -

4,798.00

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 208.00 - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- - - - -
- - - - -
- 104.01 - - -
- 103.00 - - -
- 382.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 152.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 - - -
- 95.00 - - -
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 2,590.00 - - -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- 82.00 - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - - - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -
- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- - - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- - - - -
- 800.00 - - -
- 825.00 - - -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 - - -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -
- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 165.00 - - -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- 118.00 - - -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 - - -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 - - -
- 648.00 - - -
- 660.00 - - -
- 865.70 - - -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 - - -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 - - -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -
- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 - - -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 - - -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 - - -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- - -
- - -
- - -
- - -
Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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- -
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- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -

- -
- -

- -

- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
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- -
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- -
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- -
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- -
- -

- -
- -

- -
- -

- -

- -

- -
- -
- -
- -

- -

- -

- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
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- -
- -
- -
- -
- -
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- -
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- -
- -
- -
- -
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- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
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- -
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- -
- -
- -
- -
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DATA MUT
UP
DINAS KE
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
173.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 358.00 -
Acetylsistein tablet Tablet 382.00 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 5 mg Tablet 626.00 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
106 Glimepiride 2 mg Tablet 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 61.00 -
115 Haloperidol Tablet 5 mg Tablet 56.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
131 Kaptopril 12,5 mg Tablet 62.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
135 Ketokonazole Tablet 200 mg Tablet 270.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,600.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,646.00 -
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol
9,275.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160 Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
161 Lidokain injeksi 2 % Tablet - -
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 85.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 102.00 -
173 Metformin 850 mg Tablet 150.00 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 211.20 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 193.60 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 130.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 49.00 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,825.00 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 73.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 105.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
246 Salbutamol Tablet 2 mg Tablet 63.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,797.00 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
267 Spironolakton Tablet 25 mg Tablet 208.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
60 Sarung tangan Non Steril M Pcs 600.49 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 3,090.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 - -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

OK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- - - - - -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 190.00 - - 190.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -

- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -
- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -

- 62.00 - - 62.00 -
- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 4,323.00 - - 4,323.00 -

- 173.00 - - 173.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 99.00 - - 99.00 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 160,500.00 - - 160,500.00 -
- 1,097.00 - - 1,097.00 -
- 32.00 - - 32.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 104.00 - - 104.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 2,700.00 - - 2,700.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- - - - - -
- 158.00 - - 158.00 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,969.00 - - 1,969.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- - - - - -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -
- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 207.00 - - 207.00 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 6,900.00 - - 6,900.00 -
- 7,500.00 - - 7,500.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 55.00 - - 55.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 56.00 - - 56.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 62.00 - - 62.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 270.00 - - 270.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- - - - - -
- 6,600.00 - - 6,600.00 -
- 6,600.00 - - 6,600.00 -
- 22.00 - - 22.00 -
- 42.00 - - 42.00 -
- 23.00 - - 23.00 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 147.00 - - 147.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
- 2,120.00 - - 2,120.00 -
- 2,140.00 - - 2,140.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -

- 9,646.00 - - 9,646.00 -

- 9,275.00 - - 9,275.00 -
- 9,644.00 - - 9,644.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,796.00 - - 3,796.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 96.00 - - 96.00 -
- 102.00 - - 102.00 -
- 150.00 - - 150.00 -
- 946.00 - - 946.00 -
- - - - - -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 3,414.00 - - 3,414.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 6,410.00 - - 6,410.00 -
- 193.60 - - 193.60 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 560.00 - - 560.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- - - - - -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 389,344.00 - - 389,344.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 1,070.00 - - 1,070.00 -
- 6,649.00 - - 6,649.00 -
- 1,107.00 - - 1,107.00 -
- - - - - -
- 53.00 - - 53.00 -
- 49.00 - - 49.00 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,825.00 - - 11,825.00 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -

- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- - - - - -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 586.30 - - 586.30 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 288.00 - - 288.00 -
- 517.00 - - 517.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 63.00 - - 63.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,483.00 - - 4,483.00 -
- - - - - -
- 90.00 - - 90.00 -
- 2,850.00 - - 2,850.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 49.00 - - 49.00 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 208.00 - - 208.00 -
- - - - - -
- 353.00 - - 353.00 -
- 350.00 - - 350.00 -
- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.00 - - 91.00 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 88.00 - - 88.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 63,800.00 - - 63,800.00 -
- 96,800.00 - - 96,800.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 14,131.00 - - 14,131.00 -
- 9,500.00 - - 9,500.00 -
- 1,888.00 - - 1,888.00 -
- - -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 3,914.00 - - 3,914.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- - - - - -
- 840.00 - - 840.00 -
- - - - - -
- 792.00 - - 792.00 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 1,298.00 - - 1,298.00 -
- 196.80 - - 196.80 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 1,583.00 - - 1,583.00 -
- 1,640.00 - - 1,640.00 -
- 10,430.00 - - 10,430.00 -
- 26,666.67 - - 26,666.67 -
- 37,203.00 - - 37,203.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 9,070.00 - - 9,070.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 10,725.00 - - 10,725.00 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 2,475.00 - - 2,475.00 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 15,333.33 - - 15,333.33 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 2,232,440.00 - - 2,232,440.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 35,077.00 - - 35,077.00 -
- 20,150.00 - - 20,150.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 600.49 - - 600.49 -
- 600.40 - - 600.40 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 3,090.00 - - 3,090.00 -
- - - - - -
- 150.03 - - 150.03 -
- 60,800.00 - - 60,800.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 1,050.00 - - 1,050.00 -
- 95.00 - - 95.00 -
- 98,450.00 - - 98,450.00 -
- 14,000.00 - - 14,000.00 -
- 148,000.00 - - 148,000.00 -
- - - - - -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 61,996.00 - - 61,996.00 -
- 16,995.00 - - 16,995.00 -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 16,995.00 - - 16,995.00 -
- 19,195.00 - - 19,195.00 -
- 16,995.00 - - 16,995.00 -
- 16,500.00 - - 16,500.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 84,282.00 - - 84,282.00 -
- 155,813.00 - - 155,813.00 -
- 25,597.00 - - 25,597.00 -
- 155,813.00 - - 155,813.00 -
- 19,954.00 - - 19,954.00 -
- 166,265.00 - - 166,265.00 -
- 19,954.00 - - 19,954.00 -
- 21,285.00 - - 21,285.00 -
- 158,994.00 - - 158,994.00 -
- 139,760.00 - - 139,760.00 -
- 169,653.00 - - 169,653.00 -
- 62,520.00 - - 62,520.00 -
- 144,540.00 - - 144,540.00 -
- - - - - -
- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
ENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 105.00 - - -
- 99.00 - - -
- - - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 190.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 3,628.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 4,323.00 - - -

- 173.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 358.00 - - -
- 382.00 - - -
- 99.00 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 6,045.00 - - -
- 626.00 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 1,097.00 - - -
- 32.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- - - - -
- 158.00 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,969.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- - - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 207.00 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- 7,500.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 56.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 62.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 270.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- - - - -
- - - - -
- - - - -
- 1,881.00 - - -
- - - - -
- 6,600.00 - - -
- 6,600.00 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 212.00 - - -
- 147.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,140.00 - - -
- 303.00 - - -
- 323.00 - - -

- 9,646.00 - - -

- 9,275.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 123.00 - - -
- 131.00 - -
- 3,328.00 - - -
- 3,796.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 102.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -
- 210.00 - - -
- 224.00 - -
- 444.00 - - -
- 2,959.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 3,414.00 - - -
- 792.00 - - -
- 826.10 - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - -
- 6,410.00 - - -
- 193.60 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 560.00 - - -
- 790.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,107.00 - - -
- - - - -
- 53.00 - - -
- 49.00 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,825.00 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 73.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 105.00 - - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,797.00 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 49.00 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 208.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - - -
- 12,793.00 - - -
- 13,138.40 - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
- 9,500.00 - - -
- 1,888.00 - - -
-
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - -
- 7,900.00 - -
- 1,325,000.00 - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 600.49 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 3,090.00 - - -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- - - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - - -
- 62,520.00 - - -
- 144,540.00 - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- - -
- - -
- - -
- - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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.
DATA MUTASI PERSED
U
DINAS K
PE

STOK AWAL JANUARI 2023


JKN
NO NAMA SEDIAAN SATUAN
HARGA SATUAN
BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 70.00 - -
13 Amlodipin Tablet 10 mg Tablet 93.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
- - -
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube
- - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,496.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,158.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,323.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,798.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet 208.00 - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet - - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet - - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 152.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 2,590.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet 82.00 - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi :
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml Botol
- - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - -
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
ml Ampul
- - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet
353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 648.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
301 Acid Tablet 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -

JUMLAH TOTAL OBAT -


JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -
Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
ATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN
BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 - - 90.00 -
105.00 100.00 10,500.00 105.00 -
- - - - -
- - - - -
308.00 - - 308.00 -
165.00 100.00 16,500.00 165.00 -
3,627.00 - - 3,627.00 -
3,790.00 - - 3,790.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
91.00 - - 91.00 -
143.00 - - 143.00 -
70.00 100.00 7,000.00 70.00 -
93.00 100.00 9,300.00 93.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
190.00 - - 190.00 -
- - - - -
3,531.00 - - 3,531.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -

- - - - -
58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,167.00 - - 3,167.00 -

4,496.00 - - 4,496.00 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

4,798.00 4,798.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
208.00 - - 208.00 -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
- - - - -
- - - - -
104.01 - - 104.01 -
103.00 100.00 10,300.00 103.00 -
382.00 - - 382.00 -
- - - - -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
152.00 - - 152.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 - - 91.00 -
95.00 - - 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
2,590.00 - - 2,590.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
82.00 - - 82.00 -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- - - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -
125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

- - - - -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
- - - - -
800.00 - - 800.00 -
825.00 100.00 82,500.00 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 10.00 71,500.00 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -
843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
165.00 - - 165.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
123.00 - - 123.00 -
118.00 - - 118.00 -
118.00 - - 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 - - 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 - - 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 100.00 11,500.00 115.00 -
648.00 - - 648.00 -
660.00 - - 660.00 -
865.70 - - 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 2.00 8,464.00 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 - - 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -
979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 - - 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 - - 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 - - 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
227,564.00
-
-
227,564.00
ARAN 2023 SALDO AKHIR 2023
KN JKN
HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP.
(RP)

- - - - -
- - - - -
- - - - -
- 90.00 - - -
- 105.00 100.00 10,500.00 -
- - - - -
- - - - -
- 308.00 - - -
- 165.00 100.00 16,500.00 -
- 3,627.00 - - -
- 3,790.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 91.00 - - -
- 143.00 - - -
- 70.00 100.00 7,000.00 -
- 93.00 100.00 9,300.00 -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 190.00 - - -
- - - - -
- 3,531.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -

- - - - -
- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,167.00 - - -

- 4,496.00 - - -

- 4,158.00 - - -

- 4,323.00 - - -

4,798.00

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 208.00 - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- - - - -
- - - - -
- 104.01 - - -
- 103.00 100.00 10,300.00 -
- 382.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 152.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 - - -
- 95.00 - - -
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 2,590.00 - - -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- 82.00 - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - - - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -
- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- - - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- - - - -
- 800.00 - - -
- 825.00 100.00 82,500.00 -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 10.00 71,500.00 -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -
- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 165.00 - - -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- 118.00 - - -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 - - -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 100.00 11,500.00 -
- 648.00 - - -
- 660.00 - - -
- 865.70 - - -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 2.00 8,464.00 -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 - - -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -
- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 - - -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 - - -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 - - -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- 227,564.00 -
- - -
- - -
- 227,564.00 -
Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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DATA MUT
UP
DINAS KE
PE

STOK AWAL DESEMBER 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
173.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 358.00 -
Acetylsistein tablet Tablet 382.00 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 5 mg Tablet 626.00 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
106 Glimepiride 2 mg Tablet 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 61.00 -
115 Haloperidol Tablet 5 mg Tablet 56.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
131 Kaptopril 12,5 mg Tablet 62.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
135 Ketokonazole Tablet 200 mg Tablet 270.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,600.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,646.00 -
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol
9,275.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160 Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
161 Lidokain injeksi 2 % Tablet - -
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 85.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 102.00 -
173 Metformin 850 mg Tablet 150.00 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 211.20 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 193.60 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 130.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 49.00 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,825.00 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 73.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 105.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
246 Salbutamol Tablet 2 mg Tablet 63.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,797.00 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
267 Spironolakton Tablet 25 mg Tablet 208.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
60 Sarung tangan Non Steril M Pcs 600.49 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 3,090.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 - -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT -
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

K AWAL DESEMBER 2023 JUMLAH PENERIMAAN 2022 PENGELUARAN 2022


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- - - - - -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 190.00 - - 190.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -

- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -
- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -

- 62.00 - - 62.00 -
- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 4,323.00 - - 4,323.00 -

- 173.00 - - 173.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 99.00 - - 99.00 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 160,500.00 - - 160,500.00 -
- 1,097.00 - - 1,097.00 -
- 32.00 - - 32.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 104.00 - - 104.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 2,700.00 - - 2,700.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- - - - - -
- 158.00 - - 158.00 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,969.00 - - 1,969.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- - - - - -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -
- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 207.00 - - 207.00 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 6,900.00 - - 6,900.00 -
- 7,500.00 - - 7,500.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 55.00 - - 55.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 56.00 - - 56.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 62.00 - - 62.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 270.00 - - 270.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- - - - - -
- 6,600.00 - - 6,600.00 -
- 6,600.00 - - 6,600.00 -
- 22.00 - - 22.00 -
- 42.00 - - 42.00 -
- 23.00 - - 23.00 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 147.00 - - 147.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
- 2,120.00 - - 2,120.00 -
- 2,140.00 - - 2,140.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -

- 9,646.00 - - 9,646.00 -

- 9,275.00 - - 9,275.00 -
- 9,644.00 - - 9,644.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,796.00 - - 3,796.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 96.00 - - 96.00 -
- 102.00 - - 102.00 -
- 150.00 - - 150.00 -
- 946.00 - - 946.00 -
- - - - - -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 3,414.00 - - 3,414.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 6,410.00 - - 6,410.00 -
- 193.60 - - 193.60 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 560.00 - - 560.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- - - - - -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 389,344.00 - - 389,344.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 1,070.00 - - 1,070.00 -
- 6,649.00 - - 6,649.00 -
- 1,107.00 - - 1,107.00 -
- - - - - -
- 53.00 - - 53.00 -
- 49.00 - - 49.00 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,825.00 - - 11,825.00 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -

- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- - - - - -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 586.30 - - 586.30 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 288.00 - - 288.00 -
- 517.00 - - 517.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 63.00 - - 63.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,483.00 - - 4,483.00 -
- - - - - -
- 90.00 - - 90.00 -
- 2,850.00 - - 2,850.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 49.00 - - 49.00 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 208.00 - - 208.00 -
- - - - - -
- 353.00 - - 353.00 -
- 350.00 - - 350.00 -
- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.00 - - 91.00 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 88.00 - - 88.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 63,800.00 - - 63,800.00 -
- 96,800.00 - - 96,800.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 14,131.00 - - 14,131.00 -
- 9,500.00 - - 9,500.00 -
- 1,888.00 - - 1,888.00 -
- - -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 3,914.00 - - 3,914.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- - - - - -
- 840.00 - - 840.00 -
- - - - - -
- 792.00 - - 792.00 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 1,298.00 - - 1,298.00 -
- 196.80 - - 196.80 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 1,583.00 - - 1,583.00 -
- 1,640.00 - - 1,640.00 -
- 10,430.00 - - 10,430.00 -
- 26,666.67 - - 26,666.67 -
- 37,203.00 - - 37,203.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 9,070.00 - - 9,070.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 10,725.00 - - 10,725.00 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 2,475.00 - - 2,475.00 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 15,333.33 - - 15,333.33 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 2,232,440.00 - - 2,232,440.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 35,077.00 - - 35,077.00 -
- 20,150.00 - - 20,150.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 600.49 - - 600.49 -
- 600.40 - - 600.40 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 3,090.00 - - 3,090.00 -
- - - - - -
- 150.03 - - 150.03 -
- 60,800.00 - - 60,800.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 1,050.00 - - 1,050.00 -
- 95.00 - - 95.00 -
- 98,450.00 - - 98,450.00 -
- 14,000.00 - - 14,000.00 -
- 148,000.00 - - 148,000.00 -
- - - - - -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 61,996.00 - - 61,996.00 -
- 16,995.00 - - 16,995.00 -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 16,995.00 - - 16,995.00 -
- 19,195.00 - - 19,195.00 -
- 16,995.00 - - 16,995.00 -
- 16,500.00 - - 16,500.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 84,282.00 - - 84,282.00 -
- 155,813.00 - - 155,813.00 -
- 25,597.00 - - 25,597.00 -
- 155,813.00 - - 155,813.00 -
- 19,954.00 - - 19,954.00 -
- 166,265.00 - - 166,265.00 -
- 19,954.00 - - 19,954.00 -
- 21,285.00 - - 21,285.00 -
- 158,994.00 - - 158,994.00 -
- 139,760.00 - - 139,760.00 -
- 169,653.00 - - 169,653.00 -
- 62,520.00 - - 62,520.00 -
- 144,540.00 - - 144,540.00 -
- - - - - -
- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
ENGELUARAN 2022 SALDO AKHIR 2022
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 105.00 - - -
- 99.00 - - -
- - - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 190.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 3,628.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 4,323.00 - - -

- 173.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 358.00 - - -
- 382.00 - - -
- 99.00 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 6,045.00 - - -
- 626.00 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 1,097.00 - - -
- 32.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- - - - -
- 158.00 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,969.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- - - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 207.00 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- 7,500.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 56.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 62.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 270.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- - - - -
- - - - -
- - - - -
- 1,881.00 - - -
- - - - -
- 6,600.00 - - -
- 6,600.00 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 212.00 - - -
- 147.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,140.00 - - -
- 303.00 - - -
- 323.00 - - -

- 9,646.00 - - -

- 9,275.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 123.00 - - -
- 131.00 - -
- 3,328.00 - - -
- 3,796.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 102.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -
- 210.00 - - -
- 224.00 - -
- 444.00 - - -
- 2,959.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 3,414.00 - - -
- 792.00 - - -
- 826.10 - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - -
- 6,410.00 - - -
- 193.60 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 560.00 - - -
- 790.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,107.00 - - -
- - - - -
- 53.00 - - -
- 49.00 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,825.00 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 73.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 105.00 - - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,797.00 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 49.00 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 208.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - - -
- 12,793.00 - - -
- 13,138.40 - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
- 9,500.00 - - -
- 1,888.00 - - -
-
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - -
- 7,900.00 - -
- 1,325,000.00 - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 600.49 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 3,090.00 - - -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- - - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - - -
- 62,520.00 - - -
- 144,540.00 - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- - -
- - -
- - -
- - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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- -
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- -

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- -

- -
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- -
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- -
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- -
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- -

- -
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- -

- -
- -
- -
- -
- -

- -

- -
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- -
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-
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- -
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- -
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- -
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- -
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DATA MUTASI PERSED
U
DINAS K
PE

STOK AWAL JANUARI 2023


JKN
NO NAMA SEDIAAN SATUAN
HARGA SATUAN
BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 70.00 - -
13 Amlodipin Tablet 10 mg Tablet 93.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
- - -
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube
- - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,496.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,158.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,323.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,798.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet 208.00 - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet - - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet - - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 152.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 2,590.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet 82.00 - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi :
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml Botol
- - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - -
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
ml Ampul
- - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet
353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 648.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
301 Acid Tablet 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -
-
JUMLAH TOTAL OBAT -
JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -
Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
ATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN
BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 - - 90.00 -
105.00 - - 105.00 -
- - - - -
- - - - -
308.00 - - 308.00 -
165.00 - - 165.00 -
3,627.00 - - 3,627.00 -
3,790.00 - - 3,790.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
91.00 - - 91.00 -
143.00 - - 143.00 -
70.00 - - 70.00 -
93.00 - - 93.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
190.00 - - 190.00 -
- - - - -
3,531.00 - - 3,531.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -

- - - - -
58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,167.00 - - 3,167.00 -

4,496.00 - - 4,496.00 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

4,798.00 4,798.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
208.00 - - 208.00 -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
- - - - -
- - - - -
104.01 - - 104.01 -
103.00 - - 103.00 -
382.00 - - 382.00 -
- - - - -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
152.00 - - 152.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 - - 91.00 -
95.00 - - 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
2,590.00 - - 2,590.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
82.00 - - 82.00 -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- - - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -
125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

- - - - -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
- - - - -
800.00 - - 800.00 -
825.00 - - 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 - - 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -
843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
165.00 - - 165.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
123.00 - - 123.00 -
118.00 - - 118.00 -
118.00 - - 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 - - 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 - - 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 - - 115.00 -
648.00 - - 648.00 -
660.00 - - 660.00 -
865.70 - - 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 - - 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 - - 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -
979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 - - 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 - - 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 - - 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
-
-
-
-
ARAN 2023 SALDO AKHIR 2023
KN JKN
HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP.
(RP)

- - - - -
- - - - -
- - - - -
- 90.00 - - -
- 105.00 - - -
- - - - -
- - - - -
- 308.00 - - -
- 165.00 - - -
- 3,627.00 - - -
- 3,790.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 91.00 - - -
- 143.00 - - -
- 70.00 - - -
- 93.00 - - -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 190.00 - - -
- - - - -
- 3,531.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -

- - - - -
- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,167.00 - - -

- 4,496.00 - - -

- 4,158.00 - - -

- 4,323.00 - - -

- 4,798.00 - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 208.00 - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- - - - -
- - - - -
- 104.01 - - -
- 103.00 - - -
- 382.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 152.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 - - -
- 95.00 - - -
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 2,590.00 - - -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- 82.00 - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - - - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -
- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- - - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- - - - -
- 800.00 - - -
- 825.00 - - -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 - - -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -
- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 165.00 - - -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- 118.00 - - -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 - - -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 - - -
- 648.00 - - -
- 660.00 - - -
- 865.70 - - -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 - - -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 - - -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -
- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 - - -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 - - -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 - - -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- - -
- - -
- - -
- - -
Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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DATA MUT
UP
DINAS KE
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
173.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 358.00 -
Acetylsistein tablet Tablet 382.00 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 5 mg Tablet 626.00 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
106 Glimepiride 2 mg Tablet 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 61.00 -
115 Haloperidol Tablet 5 mg Tablet 56.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
131 Kaptopril 12,5 mg Tablet 62.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
135 Ketokonazole Tablet 200 mg Tablet 270.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,600.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,646.00 -
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol
9,275.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160 Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
161 Lidokain injeksi 2 % Tablet - -
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 85.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 102.00 -
173 Metformin 850 mg Tablet 150.00 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 211.20 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 193.60 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 130.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 49.00 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,825.00 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 73.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 105.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
246 Salbutamol Tablet 2 mg Tablet 63.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,797.00 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
267 Spironolakton Tablet 25 mg Tablet 208.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
60 Sarung tangan Non Steril M Pcs 600.49 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 3,090.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 - -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

OK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- - - - - -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 190.00 - - 190.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -

- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -
- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -

- 62.00 - - 62.00 -
- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 4,323.00 - - 4,323.00 -

- 173.00 - - 173.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 99.00 - - 99.00 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 160,500.00 - - 160,500.00 -
- 1,097.00 - - 1,097.00 -
- 32.00 - - 32.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 104.00 - - 104.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 2,700.00 - - 2,700.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- - - - - -
- 158.00 - - 158.00 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,969.00 - - 1,969.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- - - - - -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -
- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 207.00 - - 207.00 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 6,900.00 - - 6,900.00 -
- 7,500.00 - - 7,500.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 55.00 - - 55.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 56.00 - - 56.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 62.00 - - 62.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 270.00 - - 270.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- - - - - -
- 6,600.00 - - 6,600.00 -
- 6,600.00 - - 6,600.00 -
- 22.00 - - 22.00 -
- 42.00 - - 42.00 -
- 23.00 - - 23.00 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 147.00 - - 147.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
- 2,120.00 - - 2,120.00 -
- 2,140.00 - - 2,140.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -

- 9,646.00 - - 9,646.00 -

- 9,275.00 - - 9,275.00 -
- 9,644.00 - - 9,644.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,796.00 - - 3,796.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 96.00 - - 96.00 -
- 102.00 - - 102.00 -
- 150.00 - - 150.00 -
- 946.00 - - 946.00 -
- - - - - -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 3,414.00 - - 3,414.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 6,410.00 - - 6,410.00 -
- 193.60 - - 193.60 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 560.00 - - 560.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- - - - - -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 389,344.00 - - 389,344.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 1,070.00 - - 1,070.00 -
- 6,649.00 - - 6,649.00 -
- 1,107.00 - - 1,107.00 -
- - - - - -
- 53.00 - - 53.00 -
- 49.00 - - 49.00 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,825.00 - - 11,825.00 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -

- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- - - - - -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 586.30 - - 586.30 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 288.00 - - 288.00 -
- 517.00 - - 517.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 63.00 - - 63.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,483.00 - - 4,483.00 -
- - - - - -
- 90.00 - - 90.00 -
- 2,850.00 - - 2,850.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 49.00 - - 49.00 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 208.00 - - 208.00 -
- - - - - -
- 353.00 - - 353.00 -
- 350.00 - - 350.00 -
- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.00 - - 91.00 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 88.00 - - 88.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 63,800.00 - - 63,800.00 -
- 96,800.00 - - 96,800.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 14,131.00 - - 14,131.00 -
- 9,500.00 - - 9,500.00 -
- 1,888.00 - - 1,888.00 -
- - -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 3,914.00 - - 3,914.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- - - - - -
- 840.00 - - 840.00 -
- - - - - -
- 792.00 - - 792.00 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 1,298.00 - - 1,298.00 -
- 196.80 - - 196.80 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 1,583.00 - - 1,583.00 -
- 1,640.00 - - 1,640.00 -
- 10,430.00 - - 10,430.00 -
- 26,666.67 - - 26,666.67 -
- 37,203.00 - - 37,203.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 9,070.00 - - 9,070.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 10,725.00 - - 10,725.00 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 2,475.00 - - 2,475.00 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 15,333.33 - - 15,333.33 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 2,232,440.00 - - 2,232,440.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 35,077.00 - - 35,077.00 -
- 20,150.00 - - 20,150.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 600.49 - - 600.49 -
- 600.40 - - 600.40 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 3,090.00 - - 3,090.00 -
- - - - - -
- 150.03 - - 150.03 -
- 60,800.00 - - 60,800.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 1,050.00 - - 1,050.00 -
- 95.00 - - 95.00 -
- 98,450.00 - - 98,450.00 -
- 14,000.00 - - 14,000.00 -
- 148,000.00 - - 148,000.00 -
- - - - - -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 61,996.00 - - 61,996.00 -
- 16,995.00 - - 16,995.00 -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 16,995.00 - - 16,995.00 -
- 19,195.00 - - 19,195.00 -
- 16,995.00 - - 16,995.00 -
- 16,500.00 - - 16,500.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 84,282.00 - - 84,282.00 -
- 155,813.00 - - 155,813.00 -
- 25,597.00 - - 25,597.00 -
- 155,813.00 - - 155,813.00 -
- 19,954.00 - - 19,954.00 -
- 166,265.00 - - 166,265.00 -
- 19,954.00 - - 19,954.00 -
- 21,285.00 - - 21,285.00 -
- 158,994.00 - - 158,994.00 -
- 139,760.00 - - 139,760.00 -
- 169,653.00 - - 169,653.00 -
- 62,520.00 - - 62,520.00 -
- 144,540.00 - - 144,540.00 -
- - - - - -
- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
ENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 105.00 - - -
- 99.00 - - -
- - - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 190.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 3,628.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 4,323.00 - - -

- 173.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 358.00 - - -
- 382.00 - - -
- 99.00 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 6,045.00 - - -
- 626.00 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 1,097.00 - - -
- 32.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- - - - -
- 158.00 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,969.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- - - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 207.00 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- 7,500.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 56.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 62.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 270.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- - - - -
- - - - -
- - - - -
- 1,881.00 - - -
- - - - -
- 6,600.00 - - -
- 6,600.00 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 212.00 - - -
- 147.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,140.00 - - -
- 303.00 - - -
- 323.00 - - -

- 9,646.00 - - -

- 9,275.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 123.00 - - -
- 131.00 - -
- 3,328.00 - - -
- 3,796.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 102.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -
- 210.00 - - -
- 224.00 - -
- 444.00 - - -
- 2,959.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 3,414.00 - - -
- 792.00 - - -
- 826.10 - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - -
- 6,410.00 - - -
- 193.60 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 560.00 - - -
- 790.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,107.00 - - -
- - - - -
- 53.00 - - -
- 49.00 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,825.00 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 73.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 105.00 - - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,797.00 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 49.00 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 208.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - - -
- 12,793.00 - - -
- 13,138.40 - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
- 9,500.00 - - -
- 1,888.00 - - -
-
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - -
- 7,900.00 - -
- 1,325,000.00 - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 600.49 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 3,090.00 - - -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- - - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - - -
- 62,520.00 - - -
- 144,540.00 - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- - -
- - -
- - -
- - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -

- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -

- -
- - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -

- -

- -
- -
- -
- -
- -

- -

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.
DATA MUTASI PERSED
U
DINAS K
PE

STOK AWAL JANUARI 2023


JKN
NO NAMA SEDIAAN SATUAN
HARGA SATUAN
BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 70.00 - -
13 Amlodipin Tablet 10 mg Tablet 93.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
- - -
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube
- - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,496.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,158.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,323.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,798.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet 208.00 - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet - - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet - - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 152.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 2,590.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet 82.00 - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi :
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml Botol
- - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - -
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
ml Ampul
- - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet
353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 648.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
301 Acid Tablet 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -

JUMLAH TOTAL OBAT -


JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -
Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
ATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN
BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 - - 90.00 -
105.00 - - 105.00 -
- - - - -
- - - - -
308.00 - - 308.00 -
165.00 - - 165.00 -
3,627.00 - - 3,627.00 -
3,790.00 - - 3,790.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
91.00 - - 91.00 -
143.00 - - 143.00 -
70.00 - - 70.00 -
93.00 - - 93.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
190.00 - - 190.00 -
- - - - -
3,531.00 - - 3,531.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -

- - - - -
58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,167.00 - - 3,167.00 -

4,496.00 - - 4,496.00 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

4,798.00 4,798.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
208.00 - - 208.00 -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
- - - - -
- - - - -
104.01 - - 104.01 -
103.00 - - 103.00 -
382.00 - - 382.00 -
- - - - -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
152.00 - - 152.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 - - 91.00 -
95.00 - - 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
2,590.00 - - 2,590.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
82.00 - - 82.00 -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- - - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -
125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

- - - - -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
- - - - -
800.00 - - 800.00 -
825.00 - - 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 - - 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -
843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
165.00 - - 165.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
123.00 - - 123.00 -
118.00 - - 118.00 -
118.00 - - 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 - - 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 - - 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 - - 115.00 -
648.00 - - 648.00 -
660.00 - - 660.00 -
865.70 - - 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 - - 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 - - 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -
979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 - - 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 - - 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 - - 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
-
-
-
-
ARAN 2023 SALDO AKHIR 2023
KN JKN
HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP.
(RP)

- - - - -
- - - - -
- - - - -
- 90.00 - - -
- 105.00 - - -
- - - - -
- - - - -
- 308.00 - - -
- 165.00 - - -
- 3,627.00 - - -
- 3,790.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 91.00 - - -
- 143.00 - - -
- 70.00 - - -
- 93.00 - - -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 190.00 - - -
- - - - -
- 3,531.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -

- - - - -
- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,167.00 - - -

- 4,496.00 - - -

- 4,158.00 - - -

- 4,323.00 - - -

- 4,798.00 - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 208.00 - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- - - - -
- - - - -
- 104.01 - - -
- 103.00 - - -
- 382.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 152.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 - - -
- 95.00 - - -
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 2,590.00 - - -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- 82.00 - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - - - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -
- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- - - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- - - - -
- 800.00 - - -
- 825.00 - - -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 - - -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -
- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 165.00 - - -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- 118.00 - - -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 - - -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 - - -
- 648.00 - - -
- 660.00 - - -
- 865.70 - - -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 - - -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 - - -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -
- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 - - -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 - - -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 - - -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- - -
- - -
- - -
- - -
Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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DATA MUT
UP
DINAS KE
PE

STOK AWAL DESEMBER 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
173.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 358.00 -
Acetylsistein tablet Tablet 382.00 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 5 mg Tablet 626.00 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
106 Glimepiride 2 mg Tablet 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 61.00 -
115 Haloperidol Tablet 5 mg Tablet 56.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
131 Kaptopril 12,5 mg Tablet 62.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
135 Ketokonazole Tablet 200 mg Tablet 270.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,600.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,646.00 -
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol
9,275.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160 Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
161 Lidokain injeksi 2 % Tablet - -
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 85.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 102.00 -
173 Metformin 850 mg Tablet 150.00 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 211.20 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 193.60 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 130.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 49.00 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,825.00 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 73.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 105.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
246 Salbutamol Tablet 2 mg Tablet 63.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,797.00 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
267 Spironolakton Tablet 25 mg Tablet 208.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
60 Sarung tangan Non Steril M Pcs 600.49 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 3,090.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 - -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

K AWAL DESEMBER 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- - - - - -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 190.00 - - 190.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -

- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -
- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -

- 62.00 - - 62.00 -
- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 4,323.00 - - 4,323.00 -

- 173.00 - - 173.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 99.00 - - 99.00 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 160,500.00 - - 160,500.00 -
- 1,097.00 - - 1,097.00 -
- 32.00 - - 32.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 104.00 - - 104.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 2,700.00 - - 2,700.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- - - - - -
- 158.00 - - 158.00 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,969.00 - - 1,969.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- - - - - -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -
- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 207.00 - - 207.00 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 6,900.00 - - 6,900.00 -
- 7,500.00 - - 7,500.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 55.00 - - 55.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 56.00 - - 56.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 62.00 - - 62.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 270.00 - - 270.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- - - - - -
- 6,600.00 - - 6,600.00 -
- 6,600.00 - - 6,600.00 -
- 22.00 - - 22.00 -
- 42.00 - - 42.00 -
- 23.00 - - 23.00 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 147.00 - - 147.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
- 2,120.00 - - 2,120.00 -
- 2,140.00 - - 2,140.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -

- 9,646.00 - - 9,646.00 -

- 9,275.00 - - 9,275.00 -
- 9,644.00 - - 9,644.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,796.00 - - 3,796.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 96.00 - - 96.00 -
- 102.00 - - 102.00 -
- 150.00 - - 150.00 -
- 946.00 - - 946.00 -
- - - - - -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 3,414.00 - - 3,414.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 6,410.00 - - 6,410.00 -
- 193.60 - - 193.60 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 560.00 - - 560.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- - - - - -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 389,344.00 - - 389,344.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 1,070.00 - - 1,070.00 -
- 6,649.00 - - 6,649.00 -
- 1,107.00 - - 1,107.00 -
- - - - - -
- 53.00 - - 53.00 -
- 49.00 - - 49.00 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,825.00 - - 11,825.00 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -

- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- - - - - -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 586.30 - - 586.30 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 288.00 - - 288.00 -
- 517.00 - - 517.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 63.00 - - 63.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,483.00 - - 4,483.00 -
- - - - - -
- 90.00 - - 90.00 -
- 2,850.00 - - 2,850.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 49.00 - - 49.00 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 208.00 - - 208.00 -
- - - - - -
- 353.00 - - 353.00 -
- 350.00 - - 350.00 -
- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.00 - - 91.00 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 88.00 - - 88.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 63,800.00 - - 63,800.00 -
- 96,800.00 - - 96,800.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 14,131.00 - - 14,131.00 -
- 9,500.00 - - 9,500.00 -
- 1,888.00 - - 1,888.00 -
- - -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 3,914.00 - - 3,914.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- - - - - -
- 840.00 - - 840.00 -
- - - - - -
- 792.00 - - 792.00 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 1,298.00 - - 1,298.00 -
- 196.80 - - 196.80 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 1,583.00 - - 1,583.00 -
- 1,640.00 - - 1,640.00 -
- 10,430.00 - - 10,430.00 -
- 26,666.67 - - 26,666.67 -
- 37,203.00 - - 37,203.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 9,070.00 - - 9,070.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 10,725.00 - - 10,725.00 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 2,475.00 - - 2,475.00 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 15,333.33 - - 15,333.33 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 2,232,440.00 - - 2,232,440.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 35,077.00 - - 35,077.00 -
- 20,150.00 - - 20,150.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 600.49 - - 600.49 -
- 600.40 - - 600.40 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 3,090.00 - - 3,090.00 -
- - - - - -
- 150.03 - - 150.03 -
- 60,800.00 - - 60,800.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 1,050.00 - - 1,050.00 -
- 95.00 - - 95.00 -
- 98,450.00 - - 98,450.00 -
- 14,000.00 - - 14,000.00 -
- 148,000.00 - - 148,000.00 -
- - - - - -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 61,996.00 - - 61,996.00 -
- 16,995.00 - - 16,995.00 -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 16,995.00 - - 16,995.00 -
- 19,195.00 - - 19,195.00 -
- 16,995.00 - - 16,995.00 -
- 16,500.00 - - 16,500.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 84,282.00 - - 84,282.00 -
- 155,813.00 - - 155,813.00 -
- 25,597.00 - - 25,597.00 -
- 155,813.00 - - 155,813.00 -
- 19,954.00 - - 19,954.00 -
- 166,265.00 - - 166,265.00 -
- 19,954.00 - - 19,954.00 -
- 21,285.00 - - 21,285.00 -
- 158,994.00 - - 158,994.00 -
- 139,760.00 - - 139,760.00 -
- 169,653.00 - - 169,653.00 -
- 62,520.00 - - 62,520.00 -
- 144,540.00 - - 144,540.00 -
- - - - - -
- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
ENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 105.00 - - -
- 99.00 - - -
- - - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 190.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 3,628.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 4,323.00 - - -

- 173.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 358.00 - - -
- 382.00 - - -
- 99.00 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 6,045.00 - - -
- 626.00 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 1,097.00 - - -
- 32.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- - - - -
- 158.00 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,969.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- - - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 207.00 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- 7,500.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 56.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 62.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 270.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- - - - -
- - - - -
- - - - -
- 1,881.00 - - -
- - - - -
- 6,600.00 - - -
- 6,600.00 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 212.00 - - -
- 147.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,140.00 - - -
- 303.00 - - -
- 323.00 - - -

- 9,646.00 - - -

- 9,275.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 123.00 - - -
- 131.00 - -
- 3,328.00 - - -
- 3,796.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 102.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -
- 210.00 - - -
- 224.00 - -
- 444.00 - - -
- 2,959.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 3,414.00 - - -
- 792.00 - - -
- 826.10 - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - -
- 6,410.00 - - -
- 193.60 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 560.00 - - -
- 790.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,107.00 - - -
- - - - -
- 53.00 - - -
- 49.00 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,825.00 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 73.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 105.00 - - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,797.00 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 49.00 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 208.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - - -
- 12,793.00 - - -
- 13,138.40 - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
- 9,500.00 - - -
- 1,888.00 - - -
-
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - -
- 7,900.00 - -
- 1,325,000.00 - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 600.49 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 3,090.00 - - -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- - - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - - -
- 62,520.00 - - -
- 144,540.00 - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- - -
- - -
- - -
- - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

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.
DATA MUTASI PERSED
U
DINAS K
PE

STOK AWAL JANUARI 2023


JKN
NO NAMA SEDIAAN SATUAN
HARGA SATUAN
BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 70.00 - -
13 Amlodipin Tablet 10 mg Tablet 93.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
- - -
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube
- - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,496.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,158.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,323.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,798.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet 208.00 - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet - - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet - - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 152.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 2,590.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet 82.00 - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi :
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml Botol
2,052.00 - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - -
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
ml Ampul
- - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet
353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 648.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
301 Acid Tablet 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -

JUMLAH TOTAL OBAT -


JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -
Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
ATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN
BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 - - 90.00 -
105.00 - - 105.00 -
- - - - -
- - - - -
308.00 - - 308.00 -
165.00 - - 165.00 -
3,627.00 - - 3,627.00 -
3,790.00 - - 3,790.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
91.00 - - 91.00 -
143.00 - - 143.00 -
70.00 - - 70.00 -
93.00 - - 93.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
190.00 - - 190.00 -
- - - - -
3,531.00 - - 3,531.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -

- - - - -
58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,167.00 - - 3,167.00 -

4,496.00 - - 4,496.00 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

4,798.00 4,798.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
208.00 - - 208.00 -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
- - - - -
- - - - -
104.01 - - 104.01 -
103.00 - - 103.00 -
382.00 - - 382.00 -
- - - - -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
152.00 - - 152.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 - - 91.00 -
95.00 - - 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
2,590.00 - - 2,590.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
82.00 - - 82.00 -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- - - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -
125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

2,052.00 - - 2,052.00 -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
- - - - -
800.00 - - 800.00 -
825.00 - - 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 - - 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -
843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
165.00 - - 165.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
123.00 - - 123.00 -
118.00 - - 118.00 -
118.00 - - 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 - - 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 - - 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 - - 115.00 -
648.00 - - 648.00 -
660.00 - - 660.00 -
865.70 - - 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 - - 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 - - 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -
979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 - - 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 - - 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 - - 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
-
-
-
-
ARAN 2023 SALDO AKHIR 2023
KN JKN
HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP.
(RP)

- - - - -
- - - - -
- - - - -
- 90.00 - - -
- 105.00 - - -
- - - - -
- - - - -
- 308.00 - - -
- 165.00 - - -
- 3,627.00 - - -
- 3,790.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 91.00 - - -
- 143.00 - - -
- 70.00 - - -
- 93.00 - - -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 190.00 - - -
- - - - -
- 3,531.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -

- - - - -
- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,167.00 - - -

- 4,496.00 - - -

- 4,158.00 - - -

- 4,323.00 - - -

4,798.00

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 208.00 - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- - - - -
- - - - -
- 104.01 - - -
- 103.00 - - -
- 382.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 152.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 - - -
- 95.00 - - -
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 2,590.00 - - -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- 82.00 - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - - - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -
- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- - - - -
- 800.00 - - -
- 825.00 - - -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 - - -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -
- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 165.00 - - -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- 118.00 - - -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 - - -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 - - -
- 648.00 - - -
- 660.00 - - -
- 865.70 - - -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 - - -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 - - -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -
- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 - - -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 - - -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 - - -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- - -
- - -
- - -
- - -
Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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DATA MUT
UP
DINAS KE
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
173.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 358.00 -
Acetylsistein tablet Tablet 382.00 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 5 mg Tablet 626.00 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
106 Glimepiride 2 mg Tablet 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 61.00 -
115 Haloperidol Tablet 5 mg Tablet 56.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
131 Kaptopril 12,5 mg Tablet 62.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
135 Ketokonazole Tablet 200 mg Tablet 270.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,600.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,646.00 -
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol
9,275.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160 Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
161 Lidokain injeksi 2 % Tablet - -
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 85.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 102.00 -
173 Metformin 850 mg Tablet 150.00 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 211.20 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 193.60 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 130.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 49.00 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,825.00 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 73.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 105.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
246 Salbutamol Tablet 2 mg Tablet 63.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,797.00 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
267 Spironolakton Tablet 25 mg Tablet 208.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
60 Sarung tangan Non Steril M Pcs 600.49 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 3,090.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 - -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

OK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- - - - - -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 190.00 - - 190.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -

- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -
- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -

- 62.00 - - 62.00 -
- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 4,323.00 - - 4,323.00 -

- 173.00 - - 173.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 99.00 - - 99.00 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 160,500.00 - - 160,500.00 -
- 1,097.00 - - 1,097.00 -
- 32.00 - - 32.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 104.00 - - 104.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 2,700.00 - - 2,700.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- - - - - -
- 158.00 - - 158.00 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,969.00 - - 1,969.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- - - - - -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -
- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 207.00 - - 207.00 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 6,900.00 - - 6,900.00 -
- 7,500.00 - - 7,500.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 55.00 - - 55.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 56.00 - - 56.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 62.00 - - 62.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 270.00 - - 270.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- - - - - -
- 6,600.00 - - 6,600.00 -
- 6,600.00 - - 6,600.00 -
- 22.00 - - 22.00 -
- 42.00 - - 42.00 -
- 23.00 - - 23.00 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 147.00 - - 147.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
- 2,120.00 - - 2,120.00 -
- 2,140.00 - - 2,140.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -

- 9,646.00 - - 9,646.00 -

- 9,275.00 - - 9,275.00 -
- 9,644.00 - - 9,644.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,796.00 - - 3,796.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 96.00 - - 96.00 -
- 102.00 - - 102.00 -
- 150.00 - - 150.00 -
- 946.00 - - 946.00 -
- - - - - -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 3,414.00 - - 3,414.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 6,410.00 - - 6,410.00 -
- 193.60 - - 193.60 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 560.00 - - 560.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- - - - - -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 389,344.00 - - 389,344.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 1,070.00 - - 1,070.00 -
- 6,649.00 - - 6,649.00 -
- 1,107.00 - - 1,107.00 -
- - - - - -
- 53.00 - - 53.00 -
- 49.00 - - 49.00 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,825.00 - - 11,825.00 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -

- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- - - - - -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 586.30 - - 586.30 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 288.00 - - 288.00 -
- 517.00 - - 517.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 63.00 - - 63.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,483.00 - - 4,483.00 -
- - - - - -
- 90.00 - - 90.00 -
- 2,850.00 - - 2,850.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 49.00 - - 49.00 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 208.00 - - 208.00 -
- - - - - -
- 353.00 - - 353.00 -
- 350.00 - - 350.00 -
- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.00 - - 91.00 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 88.00 - - 88.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 63,800.00 - - 63,800.00 -
- 96,800.00 - - 96,800.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 14,131.00 - - 14,131.00 -
- 9,500.00 - - 9,500.00 -
- 1,888.00 - - 1,888.00 -
- - -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 3,914.00 - - 3,914.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- - - - - -
- 840.00 - - 840.00 -
- - - - - -
- 792.00 - - 792.00 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 1,298.00 - - 1,298.00 -
- 196.80 - - 196.80 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 1,583.00 - - 1,583.00 -
- 1,640.00 - - 1,640.00 -
- 10,430.00 - - 10,430.00 -
- 26,666.67 - - 26,666.67 -
- 37,203.00 - - 37,203.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 9,070.00 - - 9,070.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 10,725.00 - - 10,725.00 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 2,475.00 - - 2,475.00 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 15,333.33 - - 15,333.33 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 2,232,440.00 - - 2,232,440.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 35,077.00 - - 35,077.00 -
- 20,150.00 - - 20,150.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 600.49 - - 600.49 -
- 600.40 - - 600.40 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 3,090.00 - - 3,090.00 -
- - - - - -
- 150.03 - - 150.03 -
- 60,800.00 - - 60,800.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 1,050.00 - - 1,050.00 -
- 95.00 - - 95.00 -
- 98,450.00 - - 98,450.00 -
- 14,000.00 - - 14,000.00 -
- 148,000.00 - - 148,000.00 -
- - - - - -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 61,996.00 - - 61,996.00 -
- 16,995.00 - - 16,995.00 -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 16,995.00 - - 16,995.00 -
- 19,195.00 - - 19,195.00 -
- 16,995.00 - - 16,995.00 -
- 16,500.00 - - 16,500.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 84,282.00 - - 84,282.00 -
- 155,813.00 - - 155,813.00 -
- 25,597.00 - - 25,597.00 -
- 155,813.00 - - 155,813.00 -
- 19,954.00 - - 19,954.00 -
- 166,265.00 - - 166,265.00 -
- 19,954.00 - - 19,954.00 -
- 21,285.00 - - 21,285.00 -
- 158,994.00 - - 158,994.00 -
- 139,760.00 - - 139,760.00 -
- 169,653.00 - - 169,653.00 -
- 62,520.00 - - 62,520.00 -
- 144,540.00 - - 144,540.00 -
- - - - - -
- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
ENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 105.00 - - -
- 99.00 - - -
- - - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 190.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 3,628.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 4,323.00 - - -

- 173.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 358.00 - - -
- 382.00 - - -
- 99.00 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 6,045.00 - - -
- 626.00 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 1,097.00 - - -
- 32.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- - - - -
- 158.00 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,969.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- - - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 207.00 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- 7,500.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 56.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 62.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 270.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- - - - -
- - - - -
- - - - -
- 1,881.00 - - -
- - - - -
- 6,600.00 - - -
- 6,600.00 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 212.00 - - -
- 147.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,140.00 - - -
- 303.00 - - -
- 323.00 - - -

- 9,646.00 - - -

- 9,275.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 123.00 - - -
- 131.00 - -
- 3,328.00 - - -
- 3,796.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 102.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -
- 210.00 - - -
- 224.00 - -
- 444.00 - - -
- 2,959.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 3,414.00 - - -
- 792.00 - - -
- 826.10 - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - -
- 6,410.00 - - -
- 193.60 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 560.00 - - -
- 790.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,107.00 - - -
- - - - -
- 53.00 - - -
- 49.00 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,825.00 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 73.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 105.00 - - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,797.00 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 49.00 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 208.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - - -
- 12,793.00 - - -
- 13,138.40 - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
- 9,500.00 - - -
- 1,888.00 - - -
-
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - -
- 7,900.00 - -
- 1,325,000.00 - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 600.49 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 3,090.00 - - -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- - - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - - -
- 62,520.00 - - -
- 144,540.00 - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- - -
- - -
- - -
- - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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.
DATA MUTASI PERSED
U
DINAS K
PE

STOK AWAL JANUARI 2023


JKN
NO NAMA SEDIAAN SATUAN
HARGA SATUAN
BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 70.00 - -
13 Amlodipin Tablet 10 mg Tablet 93.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
- - -
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube
- - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,496.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,158.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,323.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,798.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet 208.00 - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet - - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet - - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 152.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 2,590.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet 82.00 - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi :
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml Botol
2,052.00 - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet - - -
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 165.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
ml Ampul
- - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet
353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 648.00 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
301 Acid Tablet 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -

JUMLAH TOTAL OBAT -


JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -
Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
ATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN
BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 - - 90.00 -
105.00 - - 105.00 -
- - - - -
- - - - -
308.00 - - 308.00 -
165.00 - - 165.00 -
3,627.00 - - 3,627.00 -
3,790.00 - - 3,790.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
91.00 - - 91.00 -
143.00 - - 143.00 -
70.00 - - 70.00 -
93.00 - - 93.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
190.00 - - 190.00 -
- - - - -
3,531.00 - - 3,531.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -

- - - - -
58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,167.00 - - 3,167.00 -

4,496.00 - - 4,496.00 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

4,798.00 4,798.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
208.00 - - 208.00 -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
- - - - -
- - - - -
104.01 - - 104.01 -
103.00 - - 103.00 -
382.00 - - 382.00 -
- - - - -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
152.00 - - 152.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 - - 91.00 -
95.00 - - 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
2,590.00 - - 2,590.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
82.00 - - 82.00 -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- - - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -
125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

2,052.00 - - 2,052.00 -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
- - - - -
800.00 - - 800.00 -
825.00 - - 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 - - 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -
843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
165.00 - - 165.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
123.00 - - 123.00 -
118.00 - - 118.00 -
118.00 - - 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 - - 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 - - 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 - - 115.00 -
648.00 - - 648.00 -
660.00 - - 660.00 -
865.70 - - 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 - - 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 - - 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -
979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 - - 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 - - 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 - - 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
-
-
-
-
ARAN 2023 SALDO AKHIR 2023
KN JKN
HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP.
(RP)

- - - - -
- - - - -
- - - - -
- 90.00 - - -
- 105.00 - - -
- - - - -
- - - - -
- 308.00 - - -
- 165.00 - - -
- 3,627.00 - - -
- 3,790.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 91.00 - - -
- 143.00 - - -
- 70.00 - - -
- 93.00 - - -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 190.00 - - -
- - - - -
- 3,531.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -

- - - - -
- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,167.00 - - -

- 4,496.00 - - -

- 4,158.00 - - -

- 4,323.00 - - -

4,798.00

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 208.00 - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- - - - -
- - - - -
- 104.01 - - -
- 103.00 - - -
- 382.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 152.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 - - -
- 95.00 - - -
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 2,590.00 - - -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- 82.00 - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - - - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -
- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- - - - -
- 800.00 - - -
- 825.00 - - -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 - - -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -
- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 165.00 - - -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- 118.00 - - -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 - - -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 - - -
- 648.00 - - -
- 660.00 - - -
- 865.70 - - -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 - - -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 - - -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -
- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 - - -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 - - -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 - - -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- - -
- - -
- - -
- - -
Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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- -

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DATA MUT
UP
DINAS KE
PE

STOK AWAL JANUARI 2023

NO NAMA SEDIAAN JANUARI 2023 JKN


HARGA SATUAN BANYAKNYA
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 403.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 -

Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol


3,628.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 200 Botol
mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium Hidroksida 20 Botol 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet
mg+ Alumunium Hidroksida 200 mg 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida 200 Tablet 58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
173.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 103.40 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 -
44 Acetylsistein tablet Tablet 358.00 -
Acetylsistein tablet Tablet 382.00 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 5 mg Tablet 626.00 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 104.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
86 Eugenol Cairan -10 ml Botol - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
106 Glimepiride 2 mg Tablet 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg 61.00 -
115 Haloperidol Tablet 5 mg Tablet 56.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
131 Kaptopril 12,5 mg Tablet 62.00 -
132 Kaptopril 25 mg Tablet 75.00 -
Kaptopril 25 mg Tablet 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 230.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
135 Ketokonazole Tablet 200 mg Tablet 270.00 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,045.00 -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
145 Kloramfenikol Salep Kulit 2% Tube - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,600.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Sulfa Tablet - -
155 Kotrimoksazol Tablet, Kombinasi : Sulfa Tablet 125.00 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,120.00 -
Kotrimoksazol Suspensi Kombinasi : Sulfa Botol 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 -
158 Larutan mengadung Elektrolit
Botol
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering 9,646.00 -
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol
9,275.00 -
159 Larutan mengadung Elektrolit Botol 9,644.00 -
Larutan mengadung Elektrolit Botol 9,273.00 -
160 Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
161 Lidokain injeksi 2 % Tablet - -
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,229.00 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 121.60 -
Loperamid Tablet 2 mg Tablet 85.00 -
165 Loratadin tablet 10 mg Tablet 123.00 -
Loratadin tablet 10 mg Tablet 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
168 MB Anak Blister 20,554.00 -
MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
169 MB Dewasa Blister 20,678.00 -
MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 -
Metformin Hcl Tablet 500 mg Tablet 102.00 -
173 Metformin 850 mg Tablet 150.00 -
174 Metildopa 250 mg tablet Tablet 946.00 -
175 Methisoprinol 500 mg Tablet - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
178 Metilprednisolon tablet 4 mg Tablet 134.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
179 Metoklopramid 10 mg Tablet 87.00 -
Metoklopramid 10 mg Tablet 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 124.00 -
Metronidazole Tablet 500 mg Tablet 211.20 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 792.00 -
Multivitamin + Mineral tablet Tablet 826.10 -
187 Multivitamin sirup Botol 7,100.00 -
Multivitamin sirup Botol 7,524.00 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 193.60 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 389,344.00 -
Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
214 Omeprazole Kapsul 20 mg Tablet 130.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 -
Parasetamol Tablet 500 mg Tablet 49.00 -
220 PB Anak Blister 8,891.00 -
221 PB Dewasa Blister 12,569.00 -
PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
222 Pehacain injeksi Ampul 3,051.40 -
Pehacain injeksi Ampul 3,113.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube - -
224 Permetrin krim 5 % Tube 11,825.00 -
225 Piracetam Tablet 400 mg Tablet 459.80 -
226 Piracetam Tablet 800 mg Tablet 800.80 -
227 Piroksikam Tablet 20 mg Tablet 201.40 -
Piroksikam Tablet 20 mg Tablet 156.20 -
228
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet
- -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 -
232 Povidon Iodida 10% 60 ml Botol - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 -
234 Prednison Tablet 5 mg Tablet 100.00 -
Prednison Tablet 5 mg Tablet 73.00 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
Propanolol Hcl Tablet 40 mg Tablet 242.00 -
238 Propilturasil Tablet 100 mg Tablet 586.30 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
240 Ranitidin Tablet 150 mg Tablet 105.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 59.00
246 Salbutamol Tablet 2 mg Tablet 63.00 -
247 Salbutamol Tablet 4 mg Tablet 70.00 -
Salbutamol Tablet 4 mg Tablet 100.10 -
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 -
Salep 2-4 Kombinasi : Pot 2,527.00 -
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram 2,797.00 -
250 Salisil bedak 2% -50 gr Kotak 1,020.00 -
Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
251 Salep Luka Bakar Tube 11,718.25 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 478.00 -
Sefadroksil Tablet 500 mg Tablet 580.00 -
254 Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
256 Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 163.90 -
Simetidin 200 mg Tablet Tablet 176.00 -
265 Simvastatin Tablet 10 mg Tablet 110.00 -
Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
266 Siprofloksasin 500mg Tablet 265.00 -
Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
267 Spironolakton Tablet 25 mg Tablet 208.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.30 165.00
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
294 Saliva Ejector Pcs 96,800.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Oseltamivir Kapsul Kapsul 9,500.00 -
305 Azitromycin Tablet 1,888.00 -
-
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 6,930.00 15.00
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,930.00 3.00
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
7 Alat Suntik Sekali Pakai 3 ml Set - -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 196.80 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 37,203.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 25,000.00 2.00
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 9,070.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 6,448.00 -
25 Iodina Test Botol 10,725.00 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 2,475.00 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
41 Plester Kertas Rol 15,333.33 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Hepatitis B Imunoglobulin inj 220 IU Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 2,232,440.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 35,077.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 1,255.41 70.00
60 Sarung tangan Non Steril M Pcs 1,165.00 -
61 Sarung tangan Non Steril L Pcs 600.40 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test - -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 4,235.00 12.00
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 150.03 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterad Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 ADS 0,5 ML (Buffer) Pcs 1,050.00 -
90 Alkohol Swab (Buffer) Pcs 95.00 -
91 APD Vaksinasi Covid Perlengkapan Imun Paket 98,450.00 -
92 Safety Box (Buffer) Pcs 14,000.00 -
93 Rompi Vaksinator (Imun) Pcs 148,000.00 -
94 Poli Aid 1 Liter Botol 15,246.00 2.00
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 61,996.00 -
Vaksin BCG Ampul 16,995.00 -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
8 Vaksin DT Vial 16,995.00 -
Vaksin DT Vial 19,195.00 -
9 Vaksin TD Vial 16,995.00 -
Vaksin TD Vial 16,500.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
Vaksin DPT-HB/Hib Vial 84,282.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin HB Uniject Pcs 25,597.00 -
13 Vaksin MR (VVM.A) Vial 155,813.00 -
Vaksin MR (VVM.A) Vial 19,954.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
14 Vaksin Polio Vial 19,954.00 -
Vaksin Polio Vial 21,285.00 -
15 Vaksin Polio IPV 5 Dosis Vial 158,994.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid 19 Vial 211,282 -
20 - -
JUMLAH TOTAL OBAT
JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

OK AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA
(RP) (RP)

- - - - - -
- 403.00 - - 403.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 89.00 - - 89.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- - - - - -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,998.00 - - 2,998.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 190.00 - - 190.00 -
- 232.00 - - 232.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -

- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -
- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -

- 62.00 - - 62.00 -
- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 4,323.00 - - 4,323.00 -

- 173.00 - - 173.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 99.00 - - 99.00 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 160,500.00 - - 160,500.00 -
- 1,097.00 - - 1,097.00 -
- 32.00 - - 32.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 104.00 - - 104.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 2,700.00 - - 2,700.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- - - - - -
- 158.00 - - 158.00 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,969.00 - - 1,969.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- - - - - -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -
- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 207.00 - - 207.00 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 6,900.00 - - 6,900.00 -
- 7,500.00 - - 7,500.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 55.00 - - 55.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 56.00 - - 56.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 62.00 - - 62.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 270.00 - - 270.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- - - - - -
- 6,600.00 - - 6,600.00 -
- 6,600.00 - - 6,600.00 -
- 22.00 - - 22.00 -
- 42.00 - - 42.00 -
- 23.00 - - 23.00 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 147.00 - - 147.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- - - - - -
- 125.00 - - 125.00 -

- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -
- 2,120.00 - - 2,120.00 -
- 2,140.00 - - 2,140.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -

- 9,646.00 - - 9,646.00 -

- 9,275.00 - - 9,275.00 -
- 9,644.00 - - 9,644.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- - - - - -

- 1,845.00 - - 1,845.00 -

- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,796.00 - - 3,796.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 96.00 - - 96.00 -
- 102.00 - - 102.00 -
- 150.00 - - 150.00 -
- 946.00 - - 946.00 -
- - - - - -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 3,414.00 - - 3,414.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 6,410.00 - - 6,410.00 -
- 193.60 - - 193.60 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 560.00 - - 560.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- - - - - -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 389,344.00 - - 389,344.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 1,070.00 - - 1,070.00 -
- 6,649.00 - - 6,649.00 -
- 1,107.00 - - 1,107.00 -
- - - - - -
- 53.00 - - 53.00 -
- 49.00 - - 49.00 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,825.00 - - 11,825.00 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -

- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- - - - - -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 586.30 - - 586.30 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 288.00 - - 288.00 -
- 517.00 - - 517.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
450,170.00 7,630.00 80.00 610,400.00 7,630.00 -
- 63.00 - - 63.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -
- 2,621.00 - - 2,621.00 -
- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,483.00 - - 4,483.00 -
- - - - - -
- 90.00 - - 90.00 -
- 2,850.00 - - 2,850.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 49.00 - - 49.00 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 208.00 - - 208.00 -
- - - - - -
- 353.00 - - 353.00 -
- 350.00 - - 350.00 -
- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
15,064.50 91.30 - - 91.30 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 88.00 - - 88.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 63,800.00 - - 63,800.00 -
- 96,800.00 - - 96,800.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 14,131.00 - - 14,131.00 -
- 9,500.00 - - 9,500.00 -
- 1,888.00 - - 1,888.00 -
- - -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 3,914.00 - - 3,914.00 -
103,950.00 6,930.00 20.00 138,600.00 6,930.00 -
20,790.00 6,930.00 - - 6,930.00 -
- 8,700.00 - - 8,700.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- - - - - -
- 840.00 - - 840.00 -
- - - - - -
- 792.00 - - 792.00 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 1,298.00 - - 1,298.00 -
- 196.80 - - 196.80 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 1,583.00 - - 1,583.00 -
- 1,640.00 - - 1,640.00 -
- 10,430.00 - - 10,430.00 -
- 26,666.67 - - 26,666.67 -
- 37,203.00 - - 37,203.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
50,000.00 25,000.00 4.00 100,000.00 25,000.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 9,070.00 - - 9,070.00 -
- 9,165.00 - - 9,165.00 -
- 6,448.00 5.00 32,240.00 6,448.00 -
- 10,725.00 - - 10,725.00 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 2,475.00 - - 2,475.00 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 15,333.33 - - 15,333.33 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 2,232,440.00 - - 2,232,440.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 35,077.00 - - 35,077.00 -
- 20,150.00 - - 20,150.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
87,878.70 1,255.41 - - 1,255.41 -
- 1,165.00 - - 1,165.00 -
- 600.40 - - 600.40 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
50,820.00 4,235.00 20.00 84,700.00 4,235.00 -
- - - - - -
- 150.03 - - 150.03 -
- 60,800.00 - - 60,800.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 1,050.00 - - 1,050.00 -
- 95.00 - - 95.00 -
- 98,450.00 - - 98,450.00 -
- 14,000.00 - - 14,000.00 -
- 148,000.00 - - 148,000.00 -
30,492.00 15,246.00 3.00 45,738.00 15,246.00 -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 61,996.00 - - 61,996.00 -
- 16,995.00 - - 16,995.00 -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 16,995.00 - - 16,995.00 -
- 19,195.00 - - 19,195.00 -
- 16,995.00 - - 16,995.00 -
- 16,500.00 - - 16,500.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 84,282.00 - - 84,282.00 -
- 155,813.00 - - 155,813.00 -
- 25,597.00 - - 25,597.00 -
- 155,813.00 - - 155,813.00 -
- 19,954.00 - - 19,954.00 -
- 166,265.00 - - 166,265.00 -
- 19,954.00 - - 19,954.00 -
- 21,285.00 - - 21,285.00 -
- 158,994.00 - - 158,994.00 -
- 139,760.00 - - 139,760.00 -
- 169,653.00 - - 169,653.00 -
- 62,520.00 - - 62,520.00 -
- 144,540.00 - - 144,540.00 -
- - - - - -
- - - - - -
- - - - - -
- 211,282.00 - - 211,282.00 -
- - - - - -
465,234.50 - 610,400.00 -
313,438.70 - 401,278.00 -
- - - -
778,673.20 - 1,011,678.00 -
ENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- 403.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 89.00 - - -
- 105.00 - - -
- 99.00 - - -
- - - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,998.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 190.00 - - -
- 232.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -

- 3,400.00 - - -

- 3,628.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -
- 2,129.00 - - -
- 54.00 - - -

- 62.00 - - -
- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 4,323.00 - - -

- 173.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 358.00 - - -
- 382.00 - - -
- 99.00 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 6,045.00 - - -
- 626.00 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 160,500.00 - - -
- 1,097.00 - - -
- 32.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 104.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 2,700.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- - - - -
- 158.00 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,969.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- - - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -
- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 207.00 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- 7,500.00 - - -
- 210.00 - - -
- 224.00 - - -
- 55.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 56.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 62.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 270.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- - - - -
- - - - -
- - - - -
- 1,881.00 - - -
- - - - -
- 6,600.00 - - -
- 6,600.00 - - -
- 22.00 - - -
- 42.00 - - -
- 23.00 - - -
- 212.30 - - -
- 212.00 - - -
- 147.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- - - - -
- 125.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 2,120.00 - - -
- 2,140.00 - - -
- 303.00 - - -
- 323.00 - - -

- 9,646.00 - - -

- 9,275.00 - - -
- 9,644.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- - - - -

- 1,845.00 - - -

- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 123.00 - - -
- 131.00 - -
- 3,328.00 - - -
- 3,796.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 96.00 - - -
- 102.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -
- 210.00 - - -
- 224.00 - -
- 444.00 - - -
- 2,959.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 3,414.00 - - -
- 792.00 - - -
- 826.10 - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - -
- 6,410.00 - - -
- 193.60 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 560.00 - - -
- 790.00 - - -
- 843.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- - - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 389,344.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 1,070.00 - - -
- 6,649.00 - - -
- 1,107.00 - - -
- - - - -
- 53.00 - - -
- 49.00 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,825.00 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -

- - - - -
- 123.00 - - -
- 118.00 - - -
- - - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 100.00 - - -
- 73.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 586.30 - - -
- 1,155.00 - - -
- 105.00 - - -
- 288.00 - - -
- 517.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 139.00 1,060,570.00 -
- 63.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -
- 2,621.00 - - -
- 2,527.00 - - -

- 2,797.00 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 2,850.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 49.00 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 208.00 - - -
- - - - -
- 353.00 - - -
- 350.00 - - -
- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.30 165.00 15,064.50 -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 88.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 63,800.00 - - -
- 96,800.00 - - -
- 12,793.00 - - -
- 13,138.40 - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - -
- 1,121.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 14,131.00 - - -
- 9,500.00 - - -
- 1,888.00 - - -
-
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 3,914.00 - - -
- 6,930.00 35.00 242,550.00 -
- 6,930.00 3.00 20,790.00 -
- 8,700.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- - - - -
- 840.00 - - -
- - - - -
- 792.00 - - -
- 817.00 - - -
- 750.00 - - -
- 1,298.00 - - -
- 196.80 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 1,583.00 - - -
- 1,640.00 - - -
- 10,430.00 - - -
- 26,666.67 - - -
- 37,203.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 25,000.00 6.00 150,000.00 -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 9,070.00 - - -
- 9,165.00 - - -
- 6,448.00 5.00 32,240.00 -
- 10,725.00 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 2,475.00 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- - - - -
- 509,999.60 - - -
- 15,333.33 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - -
- 7,900.00 - -
- 1,325,000.00 - -
- 20,400.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 2,232,440.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 35,077.00 - - -
- 20,150.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 1,255.41 70.00 87,878.70 -
- 1,165.00 - - -
- 600.40 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 4,235.00 32.00 135,520.00 -
- - - - -
- 150.03 - - -
- 60,800.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 1,050.00 - - -
- 95.00 - - -
- 98,450.00 - - -
- 14,000.00 - - -
- 148,000.00 - - -
- 15,246.00 5.00 76,230.00 -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 61,996.00 - - -
- 16,995.00 - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 16,995.00 - - -
- 19,195.00 - - -
- 16,995.00 - - -
- 16,500.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 84,282.00 - - -
- 155,813.00 - - -
- 25,597.00 - - -
- 155,813.00 - - -
- 19,954.00 - - -
- 166,265.00 - - -
- 19,954.00 - - -
- 21,285.00 - - -
- 158,994.00 - - -
- 139,760.00 - - -
- 169,653.00 - - -
- 62,520.00 - - -
- 144,540.00 - - -
- - - - -
- - - - -
- - - - -
- 211,282.00 - - -
- - - - -
- 1,075,634.50 -
- 668,978.70 45,738.00
- - -
- 1,744,613.20 45,738.00

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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- -
- 45,738
- -
- 45,738

.
DATA MUTASI PERSED
U
DINAS K
PE

STOK AWAL JANUARI 2023


JKN
NO NAMA SEDIAAN SATUAN
HARGA SATUAN
BANYAKNYA NILAI RP.
(RP)
A. OBAT
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet - - -
3 Albendazole susp 200 mg/5 ml Botol - - -
4 Alopurinol Tablet 100 mg Tablet 90.00 - -
Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 - -
Ambroksol Tablet 30 mg Tablet 165.00 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - -
Ambroksol sirup 15 mg/5 ml Botol 3,790.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789.00 - -
10 Aminofillin Tablet 200 mg Tablet 139.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
12 Amlodipin Tablet 5 mg Tablet 70.00 - -
13 Amlodipin Tablet 10 mg Tablet 93.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 184.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 233.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 - -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial - - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
54.00 140.00 7,560.00
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 - -
26 Antasida Plus Tablet Tablet 187.00 - -
Antasida Plus Tablet Tablet 264.00 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214.00 - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube
- - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,496.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,158.00 - -
Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
4,323.00 - -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,798.00 - -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet - - -
35 Anti Dotum Oral Tablet Tablet - - -
36 Anti Hipertensi Kapsul Tablet - - -
37 Antihistamin Tablet kombinasi Tablet 208.00 - -
38 Antispasmodik Tablet Tablet 1,188.00 - -
39 Antitusiva Sirup Botol 11,400.00 - -
Antitusiva Sirup Botol 8,000.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet 56.00 150.00 8,400.00
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.01 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.00 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet - - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube - - -
49 Asiklovir Tablet 200 mg Tablet 236.00 - -
50 Asiklovir Tablet 400 mg Tablet - - -
51 Attapulgit Tablet 152.00 - -
Attapulgit Tablet 145.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set - - -
55 Benzatin Benzil Penisilin injeksi Vial - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 149.00 - -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
Betametason Krim 0,1 %- 5g 1,349.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet - - -
Bromheksin 8 mg Tablet 253.00 - -
61 Cresotin Pasta Botol - - -
62 Cresotin Liquid No 2 Botol - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet - - -
Deksametason Tablet 0,5 mg Tablet 41.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol - - -
66 Diazepam tablet 2 mg Tablet - - -
67 Diazepam tablet 5 mg Tablet - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
Digoksin Tablet 0,25 mg Tablet 105.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 91.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol - - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul 557.00 - -
81 Eritromisin Kapsul 500 mg Kapsul - - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 18,824.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 171.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol 2,590.00 - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - -
94 Flukonazole tablet 150 mg Tablet - - -
95 Fitomenadion tablet 10 mg Tablet - - -
Fitomenadion tablet 10 mg Tablet 695.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 - -
97 Furosemid Tablet 40 mg Tablet 82.00 - -
Furosemid Tablet 40 mg Tablet 144.00 - -
98 Furosemid injeksi Ampul 1,333.00 - -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 260.00 - -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air 274.00 - -
100 Gemfibrozil Tablet 600 mg Tablet 769.00 - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - -
Gentamisin Salep Kulit 0,1 % Tube 2,376.00 - -
104 Glass Ionomer Set - - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
Glimepiride 2 mg Tablet 231.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet - - -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - -
108 Gliseril Guayakolat sirup Botol - - -
Gliseril Guayakolat sirup Botol 7,000.00 - -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet - - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 58.00 - -
Haloperidol Tablet 0,5 mg Tablet 56.00 - -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 - -
Haloperidol Tablet 1,5 mg Tablet 66.00 - -
Haloperidol Tablet 1,5 mg Tablet 61.00 - -
115 Haloperidol Tablet 5 mg Tablet 56.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul - - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube - - -
Hidrokortison Krim 2,5 % Tube 2,650.00 - -
Hidrokortison Krim 2,5 % Tube 2,639.00 - -
Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - -
Ibuprofen Tablet 400 mg Tablet 308.00 - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet - - -
125 Isoniazid tablet 300 mg Tablet - - -
126 Isosorbid Dinitrat 5 mg Tablet 89.00 - -
Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275.00 - -
Kalium Diklofenak Tablet 50 mg Tablet 385.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 66.00 - -
132 Kaptopril 25 mg Tablet 187.00 - -
133 Karbamazepin Tablet 200 mg Tablet 230.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube - - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - -
135 Ketokonazole Tablet 200 mg Tablet - - -
Ketokonazole Tablet 200 mg Tablet 280.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul 1,450.00 - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - -
141 Klindamisin Kapsul 300 mg Kapsul 583.00 - -
142 Kloramfenikol Kapsul 250 mg Kapsul - - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - -
Kloramfenikol suspensi125mg/5 ml Botol 5,015.00 - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube - - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402.00 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402.00 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak - - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 125.00 - -
Kotrimoksazol Tablet, Kombinasi : Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151.00 - -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129.00 - -
156
Kotrimoksazol Suspensi Kombinasi :
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml Botol
2,052.00 - -
157 Lansoprazole 30 mg Kapsul Tablet 303.00 - -
Lansoprazole 30 mg Kapsul Tablet 319.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696.00 - -
161 Lidokain injeksi 2 % Tablet - - -
Lidokain injeksi 2 % Ampul 1,111.00 - -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152.00 - -
Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul
860.00 - -
163 Lidokain Spray Botol - - -
164 Loperamid Tablet 2 mg Tablet 120.00 - -
Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 123.00 - -
Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
Loperamid Tablet 2 mg Tablet 80.00 - -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 - -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,650.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister - - -
170 Meloksikam tablet 15 mg Tablet 700.00 - -
Meloksikam tablet 15 mg Tablet 707.00 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 96.00 - -
173 Metformin 850 mg Tablet 150.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 - -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849.00 - -
178 Metilprednisolon tablet 4 mg Tablet - - -
179 Metoklopramid 10 mg Tablet 80.00 - -
Metoklopramid 10 mg Tablet 90.00 - -
Metoklopramid 10 mg Tablet 87.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 113.00 - -
Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 - -
185 Mikonazole KrIm 2 % - 10 gr Tube - - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - -
186 Multivitamin + Mineral tablet Tablet 979.00 350.00 342,650.00
Multivitamin + Mineral tablet Tablet 800.00 - -
Multivitamin + Mineral tablet Tablet 825.00 - -
187 Multivitamin sirup Botol 6,793.00 - -
Multivitamin sirup Botol 7,603.20 - -
Multivitamin sirup Botol 7,150.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet - - -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - -
193 Nipedifin Tablet 10 mg Tablet - - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 - -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 - -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - -
207 Obat Batuk Hitam Plus Sirup Botol - - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898.00 - -
214 Omeprazole Kapsul 20 mg Tablet - - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 - -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol - - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 143.00 310.00 44,330.00
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,113.00 - -
Pehacain injeksi Ampul 3,000.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet - - -
226 Piracetam Tablet 800 mg Tablet - - -
227 Piroksikam Tablet 20 mg Tablet 165.00 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 128.70 120.00 15,444.00
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - -
Povidon Iodida 10% 30 ml Botol 3,361.00 - -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - -
Povidon Iodida 10% 60 ml Botol 22,049.00 - -
233 Povidon Iodida 10% 300 ml Botol 18,900.00 - -
234 Prednison Tablet 5 mg Tablet 76.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
Propanolol Hcl Tablet 40 mg Tablet 74.00 - -
238 Propilturasil Tablet 100 mg Tablet - - -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 - -
240 Ranitidin Tablet 150 mg Tablet - - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Salbutamol Tablet 2 mg Tablet 67.00 - -
247 Salbutamol Tablet 4 mg Tablet 70.00 - -
Salbutamol Tablet 4 mg Tablet 87.00 - -
Salbutamol Tablet 4 mg Tablet 99.00 - -
248 Salbutamol solution for Inhalation single dose units 2,5
ml Ampul
- - -
249
Salep 2-4 Kombinasi :
Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,621.00 - -

Salep 2-4 Kombinasi :


Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 1,020.00 - -
251 Salep Luka Bakar Tube 11,500.00 - -
Salep Luka Bakar Tube 10,958.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 - -
253 Sefadroksil Tablet 500 mg Tablet 478.00 - -
Sefadroksil Tablet 500 mg Tablet 594.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483.00 - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 143.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,850.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 46.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet - - -
Sianokobalamin Tablet 50 mcg Tablet 51.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - -
265 Simvastatin Tablet 10 mg Tablet 110.00 - -
Simvastatin Tablet 10 mg Tablet 111.00 - -
Simvastatin Tablet 10 mg Tablet 131.00 - -
266 Siprofloksasin 500mg Tablet 281.00 - -
Siprofloksasin 500mg Tablet 240.00 - -
Siprofloksasin 500mg Tablet 528.00 - -
267 Spironolakton Tablet 25 mg Tablet 195.00 - -
Spironolakton Tablet 25 mg Tablet 244.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet
353.00 - -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 - -
Tetrasiklin Kapsul 500 mg Kapsul 310.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 913.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - -
280 Vitamin B .Komplek Tablet Tablet 83.00 - -
Vitamin B .Komplek Tablet Tablet 115.00 - -
281 Vitamin Neurotropik Tablet Tablet 440.00 60.00 26,400.00
Vitamin Neurotropik Tablet Tablet 660.00 - -
Vitamin Neurotropik Tablet Tablet 865.70 - -
282 Zinc Tablet 20 mg Tablet 524.00 - -
Zinc Sulfat 20 mg/5 ml Tablet 3,171.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 - -
284 Aminofillin Tablet 150 mg Tablet 139.00 - -
285 Asam Folat Tablet 0,4 mg Tablet 52.00 - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - -
287 Obat Kumur Botol 16,962.00 - -
288 Salep Betametason + Neomisin Tube 12,793.00 - -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
290 Propanolol 10mg Tablet 52.00 - -
Propanolol 10mg Tablet 60.00 - -
291 Tablet Pemanis Botol 34,000.00 - -
292 Bisakodil Suppositoria 5 mg Supp 5,670.00 - -
Bisakodil Suppositoria 5 mg Supp 36,000.00 - -
293 Obat Batuk Herbal (Herbakof) Botol 9,680.00 - -
294 Amoksisillin Drops Botol 13,500.00 - -
295 Tablet Hepatoprotector (Curcuma) Pot 416.20 - -
296 Simvastatin 20mg Tablet 217.00 - -
297 Klozapine 25mg Tablet 1,121.00 - -
298 Bisoprolol 2,5mg Tablet 626.00 - -
299 Vitamin C 500mg Tablet 489.50 - -
300 Vitamin D 1000 IU Tablet 2,502.50 - -
Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
301 Acid Tablet 979.00 - -
302 Multivitamin Syrup Tablet 12,500.00 - -
- - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,277.00 - -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 - -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 - -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700.00 - -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239.00 - -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,699.99 - -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,699.99 - -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 - -
Alat Gula, Kolesterol, Asam Urat Unit 886,545.00 - -
6 Alat Suntik Sekali Pakai 1 ml Set 652.10 - -
Alat Suntik Sekali Pakai 1 ml Set 809.00 - -
7 Alat Suntik Sekali Pakai 3 ml Set 685.14 - -
Alat Suntik Sekali Pakai 3 ml Set 652.30 - -
Alat Suntik Sekali Pakai 3 ml Set 802.00 - -
Alat Suntik Sekali Pakai 3 ml Set 854.00 - -
8 Alat Suntik Sekali Pakai 5 ml Set 815.15 - -
Alat Suntik Sekali Pakai 5 ml Set 776.60 - -
9 Alat Suntik Sekali Pakai 10 ml Set 978.77 - -
Alat Suntik Sekali Pakai 10 ml Set 931.70 - -
10 Alkohol Swab Kotak 196.80 - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 - -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,194.50 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 - -
14 Blood Set Set 10,429.98 - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 34,169.99 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923.30 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
20 Folley Catheter no 14 Set 18,450.00 - -
21 Folley Catheter no 16 Set 18,450.00 - -
Folley Catheter no 16 Set 20,295.00 - -
22 Folley Catheter no 18 Set 18,450.00 - -
Folley Catheter no 18 Set 20,295.00 - -
23 Infus set Anak Set 6,457.50 - -
Infus set Anak Set 23,673.00 - -
24 Infus set Dewasa Set 5,445.00 - -
Infus set Dewasa Set 9,070.00 - -
Infus set Dewasa Set 9,900.00 - -
Infus set Dewasa Set 6,723.00 - -
25 Iodina Test Botol - - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 20,600.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 25,410.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
Kassa Pembalut 2 m x 80 cm Rol 9,870.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805.00 - -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,320.00 - -
34 Kertas Puyer Pcs - - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 438.90 - -
Masker Buah 339.90 - -
Masker Ear Loop Buah 2,475.00 - -
Masker Head Loop Buah 2,640.00 - -
39 Masker N 95 Pcs 6,707.36 - -
Masker N 96 Pcs 147,561.70 - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix Rol 30,000.00 - -
Polifix Rol 39,217.00 - -
43 Pot Dahak Pcs - - -
44 Rapid 2 HIV Fokus Test - - -
45 Rapid HIV 1 (SD HIV) Test - - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test - - -
49 Rapid Test Syphilis Test - - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol - - -
53 RPR Test Syphilis Test - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700.00 - -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671.00 - -
55 Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 6,595.00 - -
Sarung tangan Steril No 6 Pcs 4,500.00 - -
57 Sarung tangan Steril No 7 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 12,100.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
Sarung tangan Steril No 7,5 Pcs 4,500.00 - -
Sarung tangan Steril No 7,5 Pcs 12,100.00 - -
59 Sarung tangan Non Steril S Pcs 600.49 - -
Sarung tangan Non Steril S Pcs 66,053.90 - -
Sarung tangan Non Steril S Pcs 1,320.00 - -
60 Sarung tangan Non Steril M Pcs 600.49 - -
Sarung tangan Non Steril M Pcs 66,053.90 - -
Sarung tangan Non Steril M Pcs 1,320.00 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 66,053.90 - -
Sarung tangan Non Steril L Box 60,049.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 - -
Stik Pemeriksaan Gula Darah Test 305,329.00 - -
Stik Pemeriksaan Gula Darah Test 6,490.00 - -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000.00 - -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582.48 - -
64 Stik Pemeriksaan Kolesterol Test 23,158.00 - -
Stik Pemeriksaan Kolesterol Test 231,000.00 - -
Stik Pemeriksaan Kolesterol Test 29,804.50 - -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000.00 - -
65 Stik Pemeriksaan Asam Urat Test 5,086.15 - -
Stik Pemeriksaan Asam Urat Test 126,500.00 - -
Stik Pemeriksaan Asam Urat Test 10,966.00 - -
Stik Pemeriksaan Asam Urat Test 24,125.20 - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set 8,070.00 - -
Urine Bag set 3,090.00 - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 14,420.00 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
Cairan Antiseptik Botol 500 ml Botol 66,880.00 - -
Cairan Antiseptik Botol 500 ml Botol 100,100.00 - -
71 Bisturi Pcs 12,681.82 - -
Bisturi Pcs 279,000.00 - -
Bisturi Pcs 3,300.00 - -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000.00 - -
73 Cairan Desinfektan 5 Liter Botol 396,000.00 - -
74 Cairan Detergen 5 Liter Botol 712,800.00 - -
75 Gel USG Botol 13,213.20 - -
Gel USG Botol 14,880.00 - -
76 IV Dressing Pcs 220,000.00 - -
IV Dressing Pcs 2,200.00 - -
77 Mucus Extractor Pcs 7,251.20 - -
78 Nasal Oxygen Anak Pcs 6,160.00 - -
79 Nasal Oxygen Bayi Pcs 5,665.00 - -
80 Nasal Oxygen Dewasa Pcs 6,160.00 - -
81 Plester Bulat Non Woven Pcs 317.24 - -
82 Plester Transparan Pcs 1,677.87 - -
83 PP test Pcs 1,997.17 - -
PP test Pcs 2,132.90 - -
84 Sarung tangan Steril No 6,5 Pcs 6,595.00 - -
85 Sarung Tangan Obgyn Steril Pcs 19,940.80 - -
Sarung Tangan Obgyn Steril Pcs 21,934.00 - -
86 Stik Pemeriksaan Hb Pcs 8,000.00 - -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678.00 - -
Umbilical Cord Klem Steril Nylon Pcs 2,945.80 - -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 - -
88 Underpad 60x90 cm Non Steril Pcs 42,872.71 - -
89 Stik Gula Darah Baru Pcs 6,717.24 - -
90 Stik Asam Urat Baru Pcs 12,062.60 - -
91 Stik Hb Test 405,000.00 - -
92 ChOLESTROL chod-pap Kit 1,092,300.00 - -
93 Creatinin mod iaffe Kit 838,200.00 - -
94 Glucosa God-pap Kit 678,700.00 - -
95 GOT (AST) mod iffe Kit 931,700.00 - -
96 GPT Kit 931,700.00 - -
97 Trigliserida GPO-PAP Kit 1,636,800.00 - -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000.00 - -
99 Urid Acid TBHA Kit 1,246,300.00 - -
100 Dumacon Auto Kit 682,000.00 - -
101 Micropipet 5,0-50 Ul Kit 2,315,500.00 - -
102 Micropipet 10-100UL Kit 2,315,500.00 - -
103 Tabung Vacutainer Kit 385,000.00 - -
104 HGB Drab Kin Kit 431,200.00 - -
105 Nasal Kanul Dewasa Pcs 13,454.00 - -
106 Nasal Kanul Anak Pcs 13,454.00 - -
107 Coveral II (APD) Non Woven Pcs 161,700.00 - -
- -
C. SERUM DAN VAKSIN - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 47,999.60 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800.00 - -
6 Vaksin BCG Ampul - - -
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial - - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial - - -
12 Vaksin HB Uniject Pcs - - -
13 Vaksin MR (VVM.A) Vial - - -
14 Vaksin Polio Vial - - -
15 Vaksin Polio IPV 5 Dosis Vial - - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - - -
18 Buku Kontrak 500,000.00 - -
19 - - -
20 - - -
-
JUMLAH TOTAL OBAT 444,784.00
JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN 444,784.00
Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP. 19771215 199804 2 001
ATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


JKN JKN
HARGA SATUAN
BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA
(RP)

- - - - -
- - - - -
- - - - -
90.00 - - 90.00 -
105.00 - - 105.00 -
- - - - -
- - - - -
308.00 - - 308.00 -
165.00 - - 165.00 -
3,627.00 - - 3,627.00 -
3,790.00 - - 3,790.00 -
2,789.00 - - 2,789.00 -
139.00 - - 139.00 -
91.00 - - 91.00 -
143.00 - - 143.00 -
70.00 - - 70.00 -
93.00 - - 93.00 -
184.00 - - 184.00 -
195.00 - - 195.00 -
180.00 - - 180.00 -
233.00 - - 233.00 -
232.00 - - 232.00 -
190.00 - - 190.00 -
- - - - -
3,531.00 - - 3,531.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

2,129.00 - - 2,129.00 -

54.00 - - 54.00 -
58.00 - - 58.00 -
187.00 - - 187.00 -
264.00 - - 264.00 -
214.00 - - 214.00 -
170.00 - - 170.00 -
- - - - -

- - - - -
3,167.00 - - 3,167.00 -

4,496.00 - - 4,496.00 -

4,158.00 - - 4,158.00 -

4,323.00 - - 4,323.00 -

4,798.00 4,798.00 -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
208.00 - - 208.00 -
1,188.00 - - 1,188.00 -
11,400.00 - - 11,400.00 -
8,000.00 - - 8,000.00 -
- - - - -
56.00 - - 56.00 -
- - - - -
104.01 - - 104.01 -
103.00 - - 103.00 -
382.00 - - 382.00 -
- - - - -
- - - - -
- - - - -
- - - - -
236.00 - - 236.00 -
- - - - -
152.00 - - 152.00 -
145.00 - - 145.00 -
1,540.00 - - 1,540.00 -
2,860.00 - - 2,860.00 -
- - - - -
- - - - -
110.00 - - 110.00 -
149.00 - - 149.00 -
1,340.00 - - 1,340.00 -
1,380.00 - - 1,380.00 -
1,349.00 - - 1,349.00 -
- - - - -
- - - - -
- - - - -
253.00 - - 253.00 -
- - - - -
- - - - -
1,097.00 - - 1,097.00 -
- - - - -
41.00 - - 41.00 -
- - - - -
- - - - -
- - - - -
1,735.00 - - 1,735.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,176.00 - - 1,176.00 -
104.00 - - 104.00 -
105.00 - - 105.00 -
99.00 - - 99.00 -
91.00 - - 91.00 -
95.00 - - 95.00 -
- - - - -
- - - - -
- - - - -

1,408.00 - - 1,408.00 -
557.00 - - 557.00 -
- - - - -
- - - - -
- - - - -
- - - - -
246,400.00 - - 246,400.00 -
18,824.00 - - 18,824.00 -
152.00 - - 152.00 -
154.00 - - 154.00 -
171.00 - - 171.00 -
1,857.00 - - 1,857.00 -
- - - - -
350.00 - - 350.00 -
- - - - -
605.00 - - 605.00 -
2,590.00 - - 2,590.00 -
- - - - -
- - - - -
- - - - -
695.00 - - 695.00 -
3,682.00 - - 3,682.00 -
82.00 - - 82.00 -
144.00 - - 144.00 -
1,333.00 - - 1,333.00 -

260.00 - - 260.00 -

274.00 - - 274.00 -
769.00 - - 769.00 -
- - - - -
- - - - -
1,830.00 - - 1,830.00 -
2,115.00 - - 2,115.00 -
2,376.00 - - 2,376.00 -
- - - - -
119.00 - - 119.00 -
207.00 - - 207.00 -
231.00 - - 231.00 -
- - - - -
87.00 - - 87.00 -
- - - - -
7,000.00 - - 7,000.00 -
10,351.00 - - 10,351.00 -
6,900.00 - - 6,900.00 -
- - - - -
- - - - -
55.00 - - 55.00 -
58.00 - - 58.00 -
56.00 - - 56.00 -
59.00 - - 59.00 -
66.00 - - 66.00 -
61.00 - - 61.00 -
56.00 - - 56.00 -
- - - - -
101,300.00 - - 101,300.00 -
155.00 - - 155.00 -
149.00 - - 149.00 -
- - - - -
2,650.00 - - 2,650.00 -
2,639.00 - - 2,639.00 -
2,475.00 - - 2,475.00 -
102.00 - - 102.00 -
111.00 - - 111.00 -
308.00 - - 308.00 -
2,365.00 - - 2,365.00 -
- - - - -
- - - - -
- - - - -
89.00 - - 89.00 -
88.00 - - 88.00 -
- - - - -
275.00 - - 275.00 -
385.00 - - 385.00 -
- - - - -
59.00 - - 59.00 -
63.00 - - 63.00 -
66.00 - - 66.00 -
187.00 - - 187.00 -
230.00 - - 230.00 -
- - - - -
2,545.00 - - 2,545.00 -
- - - - -
280.00 - - 280.00 -
- - - - -
- - - - -
- - - - -
1,450.00 - - 1,450.00 -
715.00 - - 715.00 -
583.00 - - 583.00 -
- - - - -
4,700.00 - - 4,700.00 -
5,015.00 - - 5,015.00 -
- - - - -
1,810.00 - - 1,810.00 -
- - - - -
6,402.00 - - 6,402.00 -
3,250.00 - - 3,250.00 -
6,402.00 - - 6,402.00 -
- - - - -
42.00 - - 42.00 -
37.00 - - 37.00 -
23.00 - - 23.00 -
- - - - -
147.00 - - 147.00 -
1,510.00 - - 1,510.00 -

4,550.00 - - 4,550.00 -
- - - - -

- - - - -
125.00 - - 125.00 -

151.00 - - 151.00 -

129.00 - - 129.00 -

2,052.00 - - 2,052.00 -
303.00 - - 303.00 -
319.00 - - 319.00 -
323.00 - - 323.00 -

- - - - -

9,644.00 - - 9,644.00 -

10,696.00 - - 10,696.00 -
- - - - -
1,111.00 - - 1,111.00 -

1,152.00 - - 1,152.00 -

860.00 - - 860.00 -
- - - - -
120.00 - - 120.00 -
80.30 - - 80.30 -
123.00 - - 123.00 -
131.00 - - 131.00 -
3,328.00 - - 3,328.00 -
80.00 - - 80.00 -
3,200.00 - - 3,200.00 -
3,796.00 - - 3,796.00 -
3,650.00 - - 3,650.00 -
- - - - -
- - - - -
700.00 - - 700.00 -
707.00 - - 707.00 -
- - - - -
96.00 - - 96.00 -
150.00 - - 150.00 -
946.00 - - 946.00 -
- - - - -

210.00 - - 210.00 -

420.00 - - 420.00 -
2,959.00 - - 2,959.00 -
2,849.00 - - 2,849.00 -
- - - - -
80.00 - - 80.00 -
90.00 - - 90.00 -
87.00 - - 87.00 -
- - - - -
- - - - -
113.00 - - 113.00 -
211.20 - - 211.20 -
- - - - -
8,110.00 - - 8,110.00 -
- - - - -
3,250.00 - - 3,250.00 -
979.00 - - 979.00 -
800.00 - - 800.00 -
825.00 400.00 330,000.00 825.00 -
6,793.00 - - 6,793.00 -
7,603.20 - - 7,603.20 -
7,150.00 - - 7,150.00 -
- - - - -
- - - - -
128.00 - - 128.00 -
145.00 - - 145.00 -
- - - - -

6,410.00 - - 6,410.00 -
- - - - -
13,500.00 - - 13,500.00 -
560.00 - - 560.00 -
598.00 - - 598.00 -
790.00 - - 790.00 -
843.00 - - 843.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,479.00 - - 6,479.00 -
6,759.00 - - 6,759.00 -
- - - - -
- - - - -
- - - - -
- - - - -
1,969.00 - - 1,969.00 -
2,005.00 - - 2,005.00 -
2,640.00 - - 2,640.00 -
1,199.00 - - 1,199.00 -
1,900.00 - - 1,900.00 -
9,898.00 - - 9,898.00 -
- - - - -
1,070.00 - - 1,070.00 -

6,649.00 - - 6,649.00 -

8,693.00 - - 8,693.00 -
- - - - -
1,181.00 - - 1,181.00 -
- - - - -
143.00 - - 143.00 -
- - - - -
- - - - -
3,113.00 - - 3,113.00 -
3,000.00 - - 3,000.00 -
20,700.00 - - 20,700.00 -
11,825.00 - - 11,825.00 -
- - - - -
- - - - -
165.00 - - 165.00 -
130.00 - - 130.00 -

- - - - -
128.70 - - 128.70 -
118.00 - - 118.00 -
118.00 - - 118.00 -
3,045.00 - - 3,045.00 -
3,361.00 - - 3,361.00 -
3,885.00 - - 3,885.00 -
22,049.00 - - 22,049.00 -
18,900.00 - - 18,900.00 -
76.00 - - 76.00 -
- - - - -
- - - - -
76.00 - - 76.00 -
74.00 - - 74.00 -
- - - - -
1,155.00 - - 1,155.00 -
- - - - -
288.00 - - 288.00 -
517.00 - - 517.00 -
508.00 - - 508.00 -
- - - - -
- - - - -
7,150.00 - - 7,150.00 -
63.00 - - 63.00 -
67.00 - - 67.00 -
70.00 - - 70.00 -
87.00 - - 87.00 -
99.00 - - 99.00 -

- - - - -

2,621.00 - - 2,621.00 -

2,797.00 - - 2,797.00 -
1,025.00 - - 1,025.00 -
1,020.00 - - 1,020.00 -
11,500.00 - - 11,500.00 -
10,958.00 - - 10,958.00 -
3,922.00 - - 3,922.00 -
478.00 - - 478.00 -
594.00 - - 594.00 -
- - - - -
- - - - -
- - - - -
4,483.00 - - 4,483.00 -
- - - - -
90.00 - - 90.00 -
143.00 - - 143.00 -
2,850.00 - - 2,850.00 -
2,915.00 - - 2,915.00 -
46.00 - - 46.00 -
- - - - -
51.00 - - 51.00 -
- - - - -
363.00 - - 363.00 -
110.00 - - 110.00 -
111.00 - - 111.00 -
131.00 - - 131.00 -
281.00 - - 281.00 -
240.00 - - 240.00 -
528.00 - - 528.00 -
195.00 - - 195.00 -
244.00 - - 244.00 -
- - - - -

353.00 - - 353.00 -

- - - - -
- - - - -
- - - - -
303.00 - - 303.00 -
310.00 - - 310.00 -
- - - - -
85.00 - - 85.00 -
82.00 - - 82.00 -
91.00 - - 91.00 -
913.00 - - 913.00 -
- - - - -
- - - - -
85.00 - - 85.00 -
80.00 - - 80.00 -
83.00 - - 83.00 -
115.00 - - 115.00 -
440.00 - - 440.00 -
660.00 - - 660.00 -
865.70 - - 865.70 -
524.00 - - 524.00 -
3,171.00 - - 3,171.00 -
2,972.00 - - 2,972.00 -
139.00 - - 139.00 -
52.00 - - 52.00 -
4,232.00 - - 4,232.00 -
16,962.00 - - 16,962.00 -
12,793.00 - - 12,793.00 -
13,200.00 - - 13,200.00 -
52.00 - - 52.00 -
60.00 - - 60.00 -
34,000.00 - - 34,000.00 -
5,670.00 - - 5,670.00 -
36,000.00 - - 36,000.00 -
9,680.00 - - 9,680.00 -
13,500.00 - - 13,500.00 -
416.20 - - 416.20 -
217.00 - - 217.00 -
1,121.00 - - 1,121.00 -
626.00 - - 626.00 -
489.50 - - 489.50 -
2,502.50 - - 2,502.50 -
979.00 - - 979.00 -
12,500.00 - - 12,500.00 -
- - - - -
- - - - -
6,277.00 - - 6,277.00 -
8,700.00 - - 8,700.00 -
12,631.00 - - 12,631.00 -
8,700.00 - - 8,700.00 -
6,239.00 - - 6,239.00 -
8,699.99 - - 8,699.99 -
8,699.99 - - 8,699.99 -
8,700.00 - - 8,700.00 -
805,950.00 - - 805,950.00 -
886,545.00 - - 886,545.00 -
652.10 - - 652.10 -
809.00 - - 809.00 -
685.14 - - 685.14 -
652.30 - - 652.30 -
802.00 - - 802.00 -
854.00 - - 854.00 -
815.15 - - 815.15 -
776.60 - - 776.60 -
978.77 - - 978.77 -
931.70 - - 931.70 -
196.80 - - 196.80 -
1,354.00 - - 1,354.00 -
2,194.50 - - 2,194.50 -
1,185.00 - - 1,185.00 -
1,583.00 - - 1,583.00 -
10,429.98 - - 10,429.98 -
26,666.67 - - 26,666.67 -
320,000.00 - - 320,000.00 -
34,169.99 - - 34,169.99 -
32,800.00 - - 32,800.00 -
40,923.30 - - 40,923.30 -
33,538.00 - - 33,538.00 -
3,150.00 - - 3,150.00 -
26,250.00 - - 26,250.00 -
- - - - -
18,450.00 - - 18,450.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
18,450.00 - - 18,450.00 -
20,295.00 - - 20,295.00 -
6,457.50 - - 6,457.50 -
23,673.00 - - 23,673.00 -
5,445.00 - - 5,445.00 -
9,070.00 - - 9,070.00 -
9,900.00 - - 9,900.00 -
6,723.00 - - 6,723.00 -
- - - - -
- - - - -
- - - - -
20,600.00 - - 20,600.00 -
25,410.00 - - 25,410.00 -
9,400.00 - - 9,400.00 -
9,870.00 - - 9,870.00 -
805.00 - - 805.00 -
840.00 - - 840.00 -
3,800.00 - - 3,800.00 -
7,370.00 - - 7,370.00 -
8,690.00 - - 8,690.00 -
1,320.00 - - 1,320.00 -
- - - - -
- - - - -
- - - - -
43,050.00 - - 43,050.00 -
438.90 - - 438.90 -
339.90 100.00 33,990.00 339.90 -
2,475.00 - - 2,475.00 -
2,640.00 - - 2,640.00 -
6,707.36 - - 6,707.36 -
147,561.70 - - 147,561.70 -
- - - - -
15,333.33 - - 15,333.33 -
30,000.00 - - 30,000.00 -
39,217.00 - - 39,217.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,610.00 - - 20,610.00 -
19,700.00 - - 19,700.00 -
22,671.00 - - 22,671.00 -
- - - - -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
6,595.00 - - 6,595.00 -
4,500.00 - - 4,500.00 -
12,100.00 - - 12,100.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
1,320.00 - - 1,320.00 -
600.49 - - 600.49 -
66,053.90 - - 66,053.90 -
60,049.00 - - 60,049.00 -
- - - - -
6,106.58 - - 6,106.58 -
305,329.00 - - 305,329.00 -
6,490.00 - - 6,490.00 -
160,000.00 - - 160,000.00 -
3,582.48 - - 3,582.48 -
23,158.00 - - 23,158.00 -
231,000.00 - - 231,000.00 -
29,804.50 - - 29,804.50 -
250,000.00 - - 250,000.00 -
5,086.15 - - 5,086.15 -
126,500.00 - - 126,500.00 -
10,966.00 - - 10,966.00 -
24,125.20 - - 24,125.20 -
10,400.00 - - 10,400.00 -
8,070.00 - - 8,070.00 -
3,090.00 10.00 30,900.00 3,090.00 -
- - - - -
14,420.00 - - 14,420.00 -
60,800.00 - - 60,800.00 -
66,880.00 - - 66,880.00 -
100,100.00 - - 100,100.00 -
12,681.82 - - 12,681.82 -
279,000.00 - - 279,000.00 -
3,300.00 - - 3,300.00 -
595,000.00 - - 595,000.00 -
396,000.00 - - 396,000.00 -
712,800.00 - - 712,800.00 -
13,213.20 - - 13,213.20 -
14,880.00 1.00 14,880.00 14,880.00 -
220,000.00 - - 220,000.00 -
2,200.00 - - 2,200.00 -
7,251.20 - - 7,251.20 -
6,160.00 - - 6,160.00 -
5,665.00 - - 5,665.00 -
6,160.00 - - 6,160.00 -
317.24 - - 317.24 -
1,677.87 - - 1,677.87 -
1,997.17 - - 1,997.17 -
2,132.90 - - 2,132.90 -
6,595.00 - - 6,595.00 -
19,940.80 - - 19,940.80 -
21,934.00 - - 21,934.00 -
8,000.00 - - 8,000.00 -
2,678.00 - - 2,678.00 -
2,945.80 - - 2,945.80 -
1,339.00 - - 1,339.00 -
42,872.71 - - 42,872.71 -
6,717.24 - - 6,717.24 -
12,062.60 - - 12,062.60 -
405,000.00 - - 405,000.00 -
1,092,300.00 - - 1,092,300.00 -
838,200.00 - - 838,200.00 -
678,700.00 - - 678,700.00 -
931,700.00 - - 931,700.00 -
931,700.00 - - 931,700.00 -
1,636,800.00 - - 1,636,800.00 -
1,133,000.00 - - 1,133,000.00 -
1,246,300.00 - - 1,246,300.00 -
682,000.00 - - 682,000.00 -
2,315,500.00 - - 2,315,500.00 -
2,315,500.00 - - 2,315,500.00 -
385,000.00 - - 385,000.00 -
431,200.00 - - 431,200.00 -
13,454.00 - - 13,454.00 -
13,454.00 - - 13,454.00 -
161,700.00 - - 161,700.00 -
- - -
- - - - -
47,999.60 - - 47,999.60 -
- - - - -
- - - - -
- - - - -
176,800.00 - - 176,800.00 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500,000.00 - - 500,000.00 -
- - - - -
- - - - -
- -
330,000.00
79,770.00
-
409,770.00
ARAN 2023 SALDO AKHIR 2023
KN JKN
HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP.
(RP)

- - - - -
- - - - -
- - - - -
- 90.00 - - -
- 105.00 - - -
- - - - -
- - - - -
- 308.00 - - -
- 165.00 - - -
- 3,627.00 - - -
- 3,790.00 - - -
- 2,789.00 - - -
- 139.00 - - -
- 91.00 - - -
- 143.00 - - -
- 70.00 - - -
- 93.00 - - -
- 184.00 - - -
- 195.00 - - -
- 180.00 - - -
- 233.00 - - -
- 232.00 - - -
- 190.00 - - -
- - - - -
- 3,531.00 - - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129.00 - - -

- 54.00 140.00 7,560.00 -


- 58.00 - - -
- 187.00 - - -
- 264.00 - - -
- 214.00 - - -
- 170.00 - - -
- - - - -

- - - - -
- 3,167.00 - - -

- 4,496.00 - - -

- 4,158.00 - - -

- 4,323.00 - - -

4,798.00

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 208.00 - - -
- 1,188.00 - - -
- 11,400.00 - - -
- 8,000.00 - - -
- - - - -
- 56.00 150.00 8,400.00 -
- - - - -
- 104.01 - - -
- 103.00 - - -
- 382.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 236.00 - - -
- - - - -
- 152.00 - - -
- 145.00 - - -
- 1,540.00 - - -
- 2,860.00 - - -
- - - - -
- - - - -
- 110.00 - - -
- 149.00 - - -
- 1,340.00 - - -
- 1,380.00 - - -
- 1,349.00 - - -
- - - - -
- - - - -
- - - - -
- 253.00 - - -
- - - - -
- - - - -
- 1,097.00 - - -
- - - - -
- 41.00 - - -
- - - - -
- - - - -
- - - - -
- 1,735.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176.00 - - -
- 104.00 - - -
- 105.00 - - -
- 99.00 - - -
- 91.00 - - -
- 95.00 - - -
- - - - -
- - - - -
- - - - -

- 1,408.00 - - -
- 557.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400.00 - - -
- 18,824.00 - - -
- 152.00 - - -
- 154.00 - - -
- 171.00 - - -
- 1,857.00 - - -
- - - - -
- 350.00 - - -
- - - - -
- 605.00 - - -
- 2,590.00 - - -
- - - - -
- - - - -
- - - - -
- 695.00 - - -
- 3,682.00 - - -
- 82.00 - - -
- 144.00 - - -
- 1,333.00 - - -

- 260.00 - - -

- 274.00 - - -
- 769.00 - - -
- - - - -
- - - - -
- 1,830.00 - - -
- 2,115.00 - - -
- 2,376.00 - - -
- - - - -
- 119.00 - - -
- 207.00 - - -
- 231.00 - - -
- - - - -
- 87.00 - - -
- - - - -
- 7,000.00 - - -
- 10,351.00 - - -
- 6,900.00 - - -
- - - - -
- - - - -
- 55.00 - - -
- 58.00 - - -
- 56.00 - - -
- 59.00 - - -
- 66.00 - - -
- 61.00 - - -
- 56.00 - - -
- - - - -
- 101,300.00 - - -
- 155.00 - - -
- 149.00 - - -
- - - - -
- 2,650.00 - - -
- 2,639.00 - - -
- 2,475.00 - - -
- 102.00 - - -
- 111.00 - - -
- 308.00 - - -
- 2,365.00 - - -
- - - - -
- - - - -
- - - - -
- 89.00 - - -
- 88.00 - - -
- - - - -
- 275.00 - - -
- 385.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 66.00 - - -
- 187.00 - - -
- 230.00 - - -
- - - - -
- 2,545.00 - - -
- - - - -
- 280.00 - - -
- - - - -
- - - - -
- - - - -
- 1,450.00 - - -
- 715.00 - - -
- 583.00 - - -
- - - - -
- 4,700.00 - - -
- 5,015.00 - - -
- - - - -
- 1,810.00 - - -
- - - - -
- 6,402.00 - - -
- 3,250.00 - - -
- 6,402.00 - - -
- - - - -
- 42.00 - - -
- 37.00 - - -
- 23.00 - - -
- - - - -
- 147.00 - - -
- 1,510.00 - - -

- 4,550.00 - - -
- - - - -

- - - - -
- 125.00 - - -

- 151.00 - - -

- 129.00 - - -

- 2,052.00 - - -
- 303.00 - - -
- 319.00 - - -
- 323.00 - - -

- - - - -

- 9,644.00 - - -

- 10,696.00 - - -
- - - - -
- 1,111.00 - - -

- 1,152.00 - - -

- 860.00 - - -
- - - - -
- 120.00 - - -
- 80.30 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 80.00 - - -
- 3,200.00 - - -
- 3,796.00 - - -
- 3,650.00 - - -
- - - - -
- - - - -
- 700.00 - - -
- 707.00 - - -
- - - - -
- 96.00 - - -
- 150.00 - - -
- 946.00 - - -
- - - - -

- 210.00 - - -

- 420.00 - - -
- 2,959.00 - - -
- 2,849.00 - - -
- - - - -
- 80.00 - - -
- 90.00 - - -
- 87.00 - - -
- - - - -
- - - - -
- 113.00 - - -
- 211.20 - - -
- - - - -
- 8,110.00 - - -
- - - - -
- 3,250.00 - - -
- 979.00 350.00 342,650.00 -
- 800.00 - - -
- 825.00 400.00 330,000.00 -
- 6,793.00 - - -
- 7,603.20 - - -
- 7,150.00 - - -
- - - - -
- - - - -
- 128.00 - - -
- 145.00 - - -
- - - - -

- 6,410.00 - - -
- - - - -
- 13,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -
- 843.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479.00 - - -
- 6,759.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,640.00 - - -
- 1,199.00 - - -
- 1,900.00 - - -
- 9,898.00 - - -
- - - - -
- 1,070.00 - - -

- 6,649.00 - - -

- 8,693.00 - - -
- - - - -
- 1,181.00 - - -
- - - - -
- 143.00 310.00 44,330.00 -
- - - - -
- - - - -
- 3,113.00 - - -
- 3,000.00 - - -
- 20,700.00 - - -
- 11,825.00 - - -
- - - - -
- - - - -
- 165.00 - - -
- 130.00 - - -

- - - - -
- 128.70 120.00 15,444.00 -
- 118.00 - - -
- 118.00 - - -
- 3,045.00 - - -
- 3,361.00 - - -
- 3,885.00 - - -
- 22,049.00 - - -
- 18,900.00 - - -
- 76.00 - - -
- - - - -
- - - - -
- 76.00 - - -
- 74.00 - - -
- - - - -
- 1,155.00 - - -
- - - - -
- 288.00 - - -
- 517.00 - - -
- 508.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 87.00 - - -
- 99.00 - - -

- - - - -

- 2,621.00 - - -

- 2,797.00 - - -
- 1,025.00 - - -
- 1,020.00 - - -
- 11,500.00 - - -
- 10,958.00 - - -
- 3,922.00 - - -
- 478.00 - - -
- 594.00 - - -
- - - - -
- - - - -
- - - - -
- 4,483.00 - - -
- - - - -
- 90.00 - - -
- 143.00 - - -
- 2,850.00 - - -
- 2,915.00 - - -
- 46.00 - - -
- - - - -
- 51.00 - - -
- - - - -
- 363.00 - - -
- 110.00 - - -
- 111.00 - - -
- 131.00 - - -
- 281.00 - - -
- 240.00 - - -
- 528.00 - - -
- 195.00 - - -
- 244.00 - - -
- - - - -

- 353.00 - - -

- - - - -
- - - - -
- - - - -
- 303.00 - - -
- 310.00 - - -
- - - - -
- 85.00 - - -
- 82.00 - - -
- 91.00 - - -
- 913.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 80.00 - - -
- 83.00 - - -
- 115.00 - - -
- 440.00 60.00 26,400.00 -
- 660.00 - - -
- 865.70 - - -
- 524.00 - - -
- 3,171.00 - - -
- 2,972.00 - - -
- 139.00 - - -
- 52.00 - - -
- 4,232.00 - - -
- 16,962.00 - - -
- 12,793.00 - - -
- 13,200.00 - - -
- 52.00 - - -
- 60.00 - - -
- 34,000.00 - - -
- 5,670.00 - - -
- 36,000.00 - - -
- 9,680.00 - - -
- 13,500.00 - - -
- 416.20 - - -
- 217.00 - - -
- 1,121.00 - - -
- 626.00 - - -
- 489.50 - - -
- 2,502.50 - - -
- 979.00 - - -
- 12,500.00 - - -
- - - - -
- - - - -
- 6,277.00 - - -
- 8,700.00 - - -
- 12,631.00 - - -
- 8,700.00 - - -
- 6,239.00 - - -
- 8,699.99 - - -
- 8,699.99 - - -
- 8,700.00 - - -
- 805,950.00 - - -
- 886,545.00 - - -
- 652.10 - - -
- 809.00 - -
- 685.14 - - -
- 652.30 - - -
- 802.00 - - -
- 854.00 - -
- 815.15 - - -
- 776.60 - - -
- 978.77 - - -
- 931.70 - - -
- 196.80 - - -
- 1,354.00 - - -
- 2,194.50 - - -
- 1,185.00 - - -
- 1,583.00 - - -
- 10,429.98 - - -
- 26,666.67 - - -
- 320,000.00 - - -
- 34,169.99 - - -
- 32,800.00 - - -
- 40,923.30 - - -
- 33,538.00 - - -
- 3,150.00 - - -
- 26,250.00 - - -
- - - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 18,450.00 - - -
- 20,295.00 - - -
- 6,457.50 - - -
- 23,673.00 - - -
- 5,445.00 - - -
- 9,070.00 - - -
- 9,900.00 - - -
- 6,723.00 - - -
- - - - -
- - - - -
- - - - -
- 20,600.00 - - -
- 25,410.00 - - -
- 9,400.00 - - -
- 9,870.00 - - -
- 805.00 - - -
- 840.00 - - -
- 3,800.00 - - -
- 7,370.00 - - -
- 8,690.00 - - -
- 1,320.00 - - -
- - - - -
- - - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 339.90 100.00 33,990.00 -
- 2,475.00 - - -
- 2,640.00 - - -
- 6,707.36 - - -
- 147,561.70 - - -
- - - - -
- 15,333.33 - - -
- 30,000.00 - - -
- 39,217.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610.00 - - -
- 19,700.00 - - -
- 22,671.00 - - -
- - - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 12,100.00 - - -
- 6,595.00 - - -
- 4,500.00 - - -
- 12,100.00 - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 1,320.00 - - -
- 600.49 - - -
- 66,053.90 - - -
- 60,049.00 - - -
- - - - -
- 6,106.58 - - -
- 305,329.00 - - -
- 6,490.00 - - -
- 160,000.00 - - -
- 3,582.48 - - -
- 23,158.00 - - -
- 231,000.00 - - -
- 29,804.50 - - -
- 250,000.00 - - -
- 5,086.15 - - -
- 126,500.00 - - -
- 10,966.00 - - -
- 24,125.20 - - -
- 10,400.00 - - -
- 8,070.00 - - -
- 3,090.00 10.00 30,900.00 -
- - - - -
- 14,420.00 - - -
- 60,800.00 - - -
- 66,880.00 - - -
- 100,100.00 - - -
- 12,681.82 - - -
- 279,000.00 - - -
- 3,300.00 - - -
- 595,000.00 - - -
- 396,000.00 - - -
- 712,800.00 - - -
- 13,213.20 - - -
- 14,880.00 1.00 14,880.00 -
- 220,000.00 - - -
- 2,200.00 - - -
- 7,251.20 - - -
- 6,160.00 - - -
- 5,665.00 - - -
- 6,160.00 - - -
- 317.24 - - -
- 1,677.87 - - -
- 1,997.17 - - -
- 2,132.90 - - -
- 6,595.00 - - -
- 19,940.80 - - -
- 21,934.00 - - -
- 8,000.00 - - -
- 2,678.00 - - -
- 2,945.80 - - -
- 1,339.00 - - -
- 42,872.71 - - -
- 6,717.24 - - -
- 12,062.60 - - -
- 405,000.00 - - -
- 1,092,300.00 - - -
- 838,200.00 - - -
- 678,700.00 - - -
- 931,700.00 - - -
- 931,700.00 - - -
- 1,636,800.00 - - -
- 1,133,000.00 - - -
- 1,246,300.00 - - -
- 682,000.00 - - -
- 2,315,500.00 - - -
- 2,315,500.00 - - -
- 385,000.00 - - -
- 431,200.00 - - -
- 13,454.00 - - -
- 13,454.00 - -
- 161,700.00 - - -
- - - -
- - - - -
- 47,999.60 - - -
- - - - -
- - - - -
- - - - -
- 176,800.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000.00 - - -
- - - - -
- - - - -
-
- 774,784.00 -
- 79,770.00 -
- - -
- 854,554.00 -
Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -

- -

(140) -
- -
- -
- -
- -
- -
- -

- -
- -

- -

- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
150 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -

- -
- -

- -

- -

- -
- -
- -
- -

- -

- -

- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
350 -
- -
400 -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
310 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
120 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
60 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
100 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
10 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
MUTASI PERSED
UPTD PUSK
DINAS KESEHATAN
PERIODE BU

NO NAMA SUMBER STOK AWAL JANUARI 2023


OBAT BMHP
1 2 3 4
UPTD PUSKESMAS MALEBER
1 INDUK - -
2 PUSTU CIPAKEM - -
3 PUSTU MANDALA JAYA - -
4 PUSTU GALAHERANG - -
5 PUSTU MEKAR SARI - -
6 POSKESDES CIPORANG - -
7 POSKESDES KARANG TENGAH - -
8 POSKESDES KUTAMANDARAKKAN - -
9 POSKESDES DUKUH TENGAH - -
10 POSKESDES CIKAHURIPAN - -
11 POSKESDES PARAKAN - -
12 POSKESDES GARAHAJI - -
13 POSKESDES GIRIWARINGIN - -
14 POSKESDES KUTARAJA - -
15 POSKESDES BUNI ASIH - -
16 POSKESDES PADAMULYA - -
17 PONED MALEBER 465,234.50 313,438.70
18 PERAWATAN…. - -
19 BP. GIGI - -
20 LABORATORIUM - -
JUMLAH TOTAL 465,234.50 313,438.70
JUMLAH TOTAL 9,763,672.40 402,456.00

Mengetahui
Kepala UPTD Puskesmas Maleber

Ilah Lilahsah S.ST.M.Keb


NIP.19771215 199804 2 001
MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

DAK
PENERIMAAN JANUARI 2023 PENGELUARAN JANUARI 2023
OBAT BMHP OBAT BMHP
5 6 7 8

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
610,400.00 401,278.00 - -
- - - -
- - - -
- - - -
610,400.00 401,278.00 - -
610,400.00 401,278.00 - -

Kuningan, 31 JANUARI 2023


Apoteker Puskesmas Maleber

apt. Sheila Jullyan,S.Farm


SIPA. 503/KPTS.54-SIPA/XI/2018
JUMLAH NOMINAL STOK AKHIR
DESEMBER 2020 (RP)
OBAT BMHP
9 10

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1,075,634.50 714,716.70
- -
- -
- -
1,075,634.50 714,716.70 -
1,075,634.50 714,716.70
1,075,634.50 714,716.70
MUTASI PERSEDIA
UPTD PUSKES
DINAS KESEHATAN K
PERIODE BULA

NO NAMA SUMBER STOK AWAL JANUARI 2023


OBAT BMHP
1 2 3 4
UPTD PUSKESMAS MALEBER
1 INDUK 140,535,109.76 251,009,021.57
2 PUSTU CIPAKEM - -
3 PUSTU MANDALA JAYA - -
4 PUSTU GALAHERANG - -
5 PUSTU MEKAR SARI - -
6 POSKESDES CIPORANG - -
7 POSKESDES KARANG TENGAH - -
8 POSKESDES KUTAMANDARAKKAN - -
9 POSKESDES DUKUH TENGAH - -
10 POSKESDES CIKAHURIPAN - -
11 POSKESDES PARAKAN - -
12 POSKESDES GARAHAJI - -
13 POSKESDES GIRIWARINGIN - -
14 POSKESDES KUTARAJA - -
15 POSKESDES BUNI ASIH - -
16 POSKESDES PADAMULYA - -
17 PONED MALEBER 444,784.00 -
18 PERAWATAN…. - -
19 BP. GIGI - -
20 LABORATORIUM - -
JUMLAH TOTAL 444,784.00 -
JUMLAH TOTAL 140,979,893.76 251,009,021.57

Mengetahui
Kepala UPTD Puskesmas Maleber

Ilah Lilahsah S.ST.M.Keb


NIP.19771215 199804 2 001
MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

JKN
PENERIMAAN JANUARI 2023 PENGELUARAN JANUARI 2023
OBAT BMHP OBAT BMHP
5 6 7 8

64,603,902.33 9,831,400.00 422,832.00 -


73,486.50 - - -
- - - -
- - - -
14,300.00 - - -
71,344.00 - - -
9,300.00 - - -
246,950.00 - - -
181,296.00 - - -
363,365.70 - - -
- - - -
227,564.00 - - -
- - - -
- - - -
- - - -
- - - -
330,000.00 79,770.00 - -
- - - -
- - - -
- - - -
1,517,606.20 79,770.00 - -
66,121,508.53 9,911,170.00 422,832.00 -

Kuningan, 31 JANUARI 2023


Apoteker Puskesmas Maleber

apt. Sheila Jullyan,S.Farm


SIPA. 503/KPTS.54-SIPA/XI/2018
JUMLAH NOMINAL STOK AKHIR
DESEMBER 2020 (RP)
OBAT BMHP
9 10

204,716,180.09 260,840,421.57
73,486.50 -
- -
- -
14,300.00 -
71,344.00 -
9,300.00 -
246,950.00 -
181,296.00 -
363,365.70 -
- -
227,564.00 -
- -
- -
- -
- -
774,784.00 79,770.00
- -
- -
- -
1,962,390.20 79,770.00 -
206,678,570.29 260,920,191.57
1,962,390.20 79,770.00
MUTASI PERSEDIAAN OBAT DAN BM
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUN
PERIODE BULAN JANUARI 2023

STOK AWAL PENERIMAAN


NO NAMA SUMBER OBAT BMHP OBAT

1 -DAK 465,234.50 313,438.70 610,400.00


2 - JKN 444,784.00 - 1,517,606.20

TOTAL 910,018.50 313,438.70 2,128,006.20

Mengetahui
Kepala UPTD Puskesmas Maleber

Ilah Lilahsah S.ST.M.Keb


NIP.19771215 199804 2 001
SI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
ESEHATAN KABUPATEN KUNINGAN
ERIODE BULAN JANUARI 2023

PENERIMAAN PENGELUARAN STOK AKHIR


BMHP OBAT BMHP OBAT BMHP

401,278.00 - - 1,075,634.50 714,716.70


79,770.00 - - 1,962,390.20 79,770.00

481,048.00 - - 3,038,024.70 794,486.70

Kuningan, 31 JANUARI 2023

apt. Sheila Jullyan,S.Farm


SIPA. 503/KPTS.54-SIPA/XI/2018
DA

STOK AWAL JANUARI 2023


NO NAMA SEDIAAN SATUAN DAK
HARGA BANYAKNY
SATUAN (RP) A
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 430.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
Albendazole susp 200 mg/5 ml Botol 4,300.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 87.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
Alopurinol Tablet 300 mg Tablet 200.00 -
6 Alprazolam tablet 1 mg Tablet 128.00 -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
Ambroksol sirup 15 mg/5 ml Botol 2,500.30 -
Ambroksol sirup 15 mg/5 ml Botol 4,887.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,976.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
Amlodipin Tablet 5 mg Tablet 53.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 201.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
Amoksisillin Kaplet 500 mg Kaplet 249.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 2,050.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 2,600.00 -
18 Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol 3,400.00 -
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,628.00 -
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,498.00 -
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
8,310.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium
Botol
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium
Botol
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 ml
2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksid Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksid Tablet 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium
Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
Anti Hemoroid Doen komb Supp 3,250.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
Anti Fungi DOEN Kombinasi : Pot 4,798.00 -
Anti Fungi DOEN Kombinasi : Pot 3,477.00 -
32 Antimigren DOEN Kombinasi : Tablet 173.00 -
Antimigren DOEN Kombinasi : Tablet 185.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
Asam Folat Tablet 1 mg Tablet 56.51 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 105.00 -
43 Asam Mefenamat Kapsul 500 mg Tablet 103.00 -
Asam Mefenamat Kapsul 500 mg Tablet 103.40 -
Asam Mefenamat Kapsul 500 mg Tablet 177.90 -
Asam Mefenamat Kapsul 500 mg Tablet 177.90 -
Asam Mefenamat Kapsul 500 mg Tablet 111.00 -
44 Acetylsistein tablet Kapsul 358.00 -
Acetylsistein tablet Kapsul 382.00 -
Acetylsistein tablet Kapsul 301.00 -
Acetylsistein tablet Kapsul 303.74 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
Asetosal Tablet 80 mg Tablet 89.81 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
Attapulgit Tablet 162.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 1 Liter Vial 2,860.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Botol 15,246.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
Betahistin Mesilat 6 mg Tablet 88.80 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
Betametason Krim 0,1 %- 5g Tube 1,430.00 -
Betametason Krim 0,1 %- 5g Tube 2,460.80 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 2,5 mg Tablet 626.00 -
Bisoprolol Tablet 2,5 mg Tablet 124.12 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
Cresotin Pasta Botol 112,214.29 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
Cresotin Liquid No 3 Botol 160,714.29 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
Deksametason Injeksi 5mg/ml-1ml Ampul 924.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
Deksametason Tablet 0,5 mg Tablet 61.60 -
Deksametason Tablet 0,5 mg Tablet 106.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
Diazepam Larutan Rektal 5 mg/ml Supp 13,669.15 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 108.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
Domperidon Tablet 10 mg Tablet 71.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,296.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
Epinefrin HCl / Bitartrat Ampul 1,515.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
Etil Klorida Semprot -100 ml Botol 108,720.93 -
Etil Klorida Semprot -100 ml Botol 83,050.00 -
86 Eugenol Cairan -10 ml Botol 20,087.00 -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
Fenitoin Natrium Kapsul 100 mg Kapsul 169.53 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,700.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet 748.00 -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 1,386.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Air
257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
Gentamisin Salep Kulit 0,1 % Tube 5,390.00 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
Glibenklamid Tablet 5 mg Tablet 83.00 -
Glibenklamid Tablet 5 mg Tablet 83.75 -
106 Glimepiride 2 mg Tablet 207.00 -
Glimepiride 2 mg Tablet 123.00 -
Glimepiride 2 mg Tablet 124.12 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
Glukonas Kalsikus injeksi Ampul 5,775.03 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
Glukosa Larutan Infus 5 % Botol 7,363.00 -
Glukosa Larutan Infus 5 % Botol 6,627.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
Glukosa Larutan Infus10 % Botol 7,200.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 1,773.00 -
113 Haloperidol Tablet 0,5 mg Tablet 47.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg Tablet 61.00 -
Haloperidol Tablet 1,5 mg Tablet 51.00 -
115 Haloperidol Tablet 5 mg Tablet 54.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
Haloperidol injeksi 5 mg/ml Ampul 1,190.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
Hidrokortison Krim 2,5 % Tube 2,325.00 -
Hidrokortison Krim 2,5 % Tube 2,346.14 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
Ibuprofen Tablet 400 mg Tablet 30.28 -
Ibuprofen Tablet 400 mg Tablet 192.74 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 4,665.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,236.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
Kalsium Laktat Tablet 500 mg Tablet 63.00 -
Kaptopril 12,5 mg Tablet 62.00 -
Kaptopril 12,5 mg Tablet 66.00 -
131 Kaptopril 25 mg Tablet 75.00 -
132 Kaptopril 25 mg Tablet 94.00 -
Karbamazepin Tablet 200 mg Tablet 230.00 -
133 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,370.35 -
Ketokonazole Tablet 200 mg Tablet 270.00 -
135 Ketokonazole Tablet 200 mg Tablet 288.00 -
Ketokonazole Tablet 200 mg Tablet 252.00 -
Ketoprofen Tablet 100 mg Tablet - -
136 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
137 Ketorolac 10 mg injeksi Ampul - -
138 Ketorolac 30 mg injeksi Ampul 1,045.00 -
139 Klindamisin Kapsul 150 mg Kapsul 715.00 -
140 Klindamisin Kapsul 150 mg Kapsul 759.00 -
Klindamisin Kapsul 300 mg Kapsul 522.00 -
141 Kloramfenikol Kapsul 250 mg Kapsul - -
142 Kloramfenikol suspensi125mg/5 ml Botol - -
143 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
144 Kloramfenikol Salep Kulit 2% Tube 3,295.69 -
145 Kloramfenikol Tetes Mata -5 ml Botol 7,260.00 -
Kloramfenikol Tetes Mata -5 ml Botol 7,437.00 -
146 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
Kloramfenikol Tetes Telinga 3%-5 ml Botol 7,492.50 -
147 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 40.17 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 45.10 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 181.00 -
Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 157.00 -
Klorpromazin Hcl Tablet Salut 100 mg Tablet 407.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
152 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 30,030.00 -
Kotrimoksazol Pedriatik Tablet, Kombinasi : Tablet - -
154 Kotrimoksazol Tablet, Kombinasi : Tablet 125.00 -
155 Kotrimoksazol Tablet, Kombinasi : Tablet 129.00 -
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,120.00 -
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,190.00 -
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,100.00 -
Lansoprazole 30 mg Kapsul Tablet 303.00 -
157 Lansoprazole 30 mg Kapsul Tablet 323.00 -
Lansoprazole 30 mg Kapsul Tablet 280.53 -
Larutan mengadung Elektrolit Botol 9,646.00 -
158 Larutan mengadung Elektrolit Botol 9,275.00 -
Larutan mengadung Elektrolit Botol 8,800.00 -
Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 -
Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 10,350.00 -
Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 11,500.00 -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,273.00 -
Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
160 Lidokain injeksi 2 % Tablet 847.00 -
161 Lidokain Komp Injeksi, Kombinasi : Ampul 803.00 -
162 Lidokain Komp Injeksi, Kombinasi : Ampul 1,229.00 -
Lidokain Spray Botol - -
163 Loperamid Tablet 2 mg Tablet 121.60 -
164 Loperamid Tablet 2 mg Tablet 85.00 -
Loperamid Tablet 2 mg Tablet 77.00 -
Loratadin tablet 10 mg Tablet 123.00 -
165 Loratadin tablet 10 mg Tablet 131.00 -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,580.00 -
166 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 4,090.00 -
167 MB Anak Blister 20,554.00 -
168 MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
MB Dewasa Blister 20,678.00 -
169 MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
Meloksikam tablet 15 mg Tablet 718.20 -
170 Meloksikam Suppositoria Supp - -
171 Metformin Hcl Tablet 500 mg Tablet 77.00 -
172 Metformin Hcl Tablet 500 mg Tablet 102.00 -
Metformin 850 mg Tablet 160.00 -
Metformin 850 mg Tablet 154.39 -
Metformin 850 mg Tablet 153.00 -
173 Metildopa 250 mg tablet Tablet 946.00 -
174 Methisoprinol 500 mg Tablet 3,300.00 -
175 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 1,023.00 -
177 Metilprednisolon tablet 4 mg Tablet 134.00 -
178 Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
Metilprednisolon tablet 4 mg Tablet 102.00 -
Metoklopramid 10 mg Tablet 87.00 -
179 Metoklopramid 10 mg Tablet 85.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
Metronidazol Tablet 250 mg Tablet - -
181 Metronidazole Tablet 500 mg Tablet 124.00 -
182 Metronidazole Tablet 500 mg Tablet 211.20 -
Metronidazole Tablet 500 mg Tablet 200.85 -
Metronidazole sirup 125 mg/ml Botol 3,950.00 -
183 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
Metronidazole Infus 500 mg /100 ml Ampul 5,885.00 -
184 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
Mikonazole KrIm 2 % - 10 gr Tube 4,125.00 -
185 Multivitamin + Mineral tablet Tablet 792.00 -
186 Multivitamin + Mineral tablet Tablet 826.10 -
Multivitamin sirup Botol 7,100.00 -
187 Multivitamin sirup Botol 7,524.00 -
Mummifying Pasta Botol - -
188 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
189 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
190 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
Natrium Diklofenak Tablet 50 mg Tablet 99.90 -
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,840.00 -
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,800.00 -
192 Nipedifin Tablet 10 mg Tablet 189.53 -
193 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
Nistatin suspensi 100.000 IU/ml Botol 11,500.00 -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 825.00 -
Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
197 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
Obat Antitiuberkolosis Kategori2 Dewasa Paket 1,384,977.00 -
200 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
201 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
202 Obat Anti Tuberkulosis FDC Kat I & III Paket 415,721.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
204 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
207 Obat Flu Sirup Botol - -
208 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
209 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,668.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,126.00 -
Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
213 Omeprazole Kapsul 20 mg Kapsul 130.00 -
214 Omeprazole Kapsul 20 mg Kapsul 341.81 -
Omeprazole Kapsul 20 mg Kapsul 458.00 -
Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
215
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 -
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 4,976.00 -
216 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,160.00 -
217 Parasetamol Tablet 100 mg Tablet - -
218 Parasetamol Tablet 500 mg Tablet 53.00 -
219 Parasetamol Tablet 500 mg Tablet 100.74 -
PB Anak Blister 8,891.00 -
220 PB Dewasa Blister 12,569.00 -
221 PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
Pehacain injeksi Ampul 3,051.40 -
222 Pehacain injeksi Ampul 3,113.00 -
Perak Sulfadiazin krim 1 % 35 gr Tube - -
223 Permetrin krim 5 % Tube 11,250.00 -
Permetrin krim 5 % Tube 11,352.27 -
224 Piracetam Tablet 400 mg Tablet 459.80 -
225 Piracetam Tablet 800 mg Tablet 800.80 -
226 Piroksikam Tablet 20 mg Tablet 201.40 -
227 Piroksikam Tablet 20 mg Tablet 156.20 -
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet - -
228 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet 131.00 -
230 Povidon Iodida 10% 30 ml Botol 3,360.00 -
231 Povidon Iodida 10% 60 ml Botol - -
232 Povidon Iodida 10% 300 ml Botol 18,900.00 -
233 Povidon Iodida 10% 300 ml Botol 22,050.00 -
Povidon Iodida 10% 300 ml Botol 23,971.20 -
Prednison Tablet 5 mg Tablet 100.00 -
234 Prednison Tablet 5 mg Tablet 73.00 -
Prednison Tablet 5 mg Tablet 68.00 -
Prednison Tablet 5 mg Tablet 68.62 -
Primakuin tablet 15 mg Tablet - -
235 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
236 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
237 Propanolol Hcl Tablet 40 mg Tablet 242.00 -
Propanolol Hcl Tablet 10 mg Tablet 58.00 -
Propanolol Hcl Tablet 10 mg Tablet 56.51 -
Propilturasil Tablet 100 mg Tablet 586.30 -
Propilturasil Tablet 100 mg Tablet 385.00 -
238 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
239 Ranitidin Tablet 150 mg Tablet 105.00 -
240 Ranitidin Tablet 150 mg Tablet 112.00 -
Ranitidin Tablet 150 mg Tablet 85.00 -
Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 307.00 -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 552.00 -
Reserpin Tablet 0, 25 mg Tablet - -
243 Rifampisin Tablet 450 mg Tablet - -
244 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
Salbutamol Tablet 2 mg Tablet 63.00 -
Salbutamol Tablet 2 mg Tablet 67.00 -
246 Salbutamol Tablet 4 mg Tablet 70.00 -
247 Salbutamol Tablet 4 mg Tablet 100.10 -
Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
Salep 2-4 Kombinasi :
248
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
gram
2,621.00 -
Salep 2-4 Kombinasi :
249
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
gram
2,527.00 -
Salep 2-4 Kombinasi :
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
gram
2,797.00 -
Salep 2-4 Kombinasi :
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
gram
2,354.21 -
Salisil bedak 2% -50 gr Kotak 1,020.00 -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
Salisil bedak 2% -50 gr Kotak 920.00 -
Salep Luka Bakar Tube 11,718.25 -
251 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,834.55 -
Sefadroksil Tablet 500 mg Tablet 478.00 -
253 Sefadroksil Tablet 500 mg Tablet 580.00 -
Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
254 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
256 Seftriakson Injeksi 1 gr / vial Ampul 4,708.00 -
257 Semen Seng Fosfat Serbuk & Cairan Botol - -
258 Setirizin Tablet 10 mg Tablet 90.00 -
Setirizin Tablet 10 mg Tablet 49.45 -
259 Setirizin Sirup 5 mg / 5 ml Botol 2,090.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,109.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 969.00 -
Sianokobalamin Tablet 50 mcg Tablet 49.00 -
Sianokobalamin Tablet 50 mcg Tablet 43.39 -
262 Silver Amalgam Serbuk 65-75% Botol - -
263 Simetidin 200 mg Tablet Tablet 163.90 -
264 Simetidin 200 mg Tablet Tablet 176.00 -
Simvastatin Tablet 10 mg Tablet 110.00 -
265 Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
Simvastatin Tablet 10 mg Tablet 68.00 -
Simvastatin Tablet 20 mg Tablet 217.00 -
Siprofloksasin 500mg Tablet 265.00 -
266 Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
Siprofloksasin 500mg Tablet 248.00 -
Spironolakton Tablet 25 mg Tablet 208.00 -
Spironolakton Tablet 25 mg Tablet 190.00 -
267 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
268 Tablet Tambah Darah Kombinasi:
Tablet
Besi II Sulfat 200 mg + Asam Folat 0,25 mg 353.00 -
269 Tablet Tambah Darah Kombinasi:
Tablet
Besi II Sulfat 200 mg + Asam Folat 0,25 mg 350.00 -
Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set
- -
270 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
271 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
272 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
274 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.30 -
Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
Tramadol Injeksi 50 mg/ ml Ampul - -
277 Tramadol Tablet 50 mg Tablet - -
278 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 63.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 91.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
Vitamin Neurotropik Tablet Tablet 720.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
Zinc Sulfat 20 mg/5 ml Botol 2,489.00 -
Zinc Sulfat 20 mg/5 ml Botol 208.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
Obat Batuk Herbal Botol 14,402.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
Salep Kloramfenikol + Hidrokortison 14,371.50 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
Hyposol 3% Botol 78,750.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
Paramonochlorofenol/CHKM Botol 65,214.29 -
294 Saliva Ejector Pcs 88,750.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
Klozapine 100 mg Tablet 997.00 -
Klozapine 25mg Tablet 473.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
Risperidon 2mg Tablet 123.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Box Object Glass isi 50 Grey Orange Pcs 38,848.51 -
Box Object Glass isi 50 Grey Orange Pcs 15,089.50 -
305 Vitamin C 500mg Tablet 225.00 -
306 Multivitamin Tablet 585.00 -
307 Poli Aid 1 Liter Botol 129,400.00 -
308 Poli Aid 1 Liter Botol 595,000.00 -
Poli Aid 1 Liter Botol 15,246.00 -
309 Trifluoperazine Hcl Tablet 5 mg Tablet 287.00 -
310 Divalproex Sodium 250mg Tablet 2,954.00 -
Divalproex Sodium 250mg Tablet 2,825.45 -
311 Calcetin Calcium Hydroxide Paste Botol 134,214.29 -
312 Pilp-X Pot 217,214.29 -
313 Karbogliserin Tetes Telinga Botol 2,764.00 -
314 Larvasida Paket 412,002.80 -
315 Kalsitrol Kapsul Lunak 0,5 mcg Kapsul 2,600.00 -
316 Vitamin D 1000IU Tablet 876.70 -
Hiosin butilbromida 10mg Tablet 1,059.55 -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 6,930.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 6,930.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 6,930.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 6,930.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
Alat Suntik Sekali Pakai 1 ml Set 646.94 -
7 Alat Suntik Sekali Pakai 3 ml Set 854.00 -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
Alat Suntik Sekali Pakai 3 ml Set 965.40 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
Alat Suntik Sekali Pakai 5 ml Set 903.00 -
Alat Suntik Sekali Pakai 5 ml Set 776.33 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 123.60 -
Alkohol Swab Kotak 95.00 -
Alkohol Swab Kotak 116.04 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 995.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,540.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 25,009.00 -
Catgut/Benang Bedah No.2/0 Plain Sachet 26,087.00 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 25,009.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 25,009.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 5,800.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
Infus set Dewasa Set 6,150.00 -
Infus set Dewasa Set 11,500.00 -
Infus set Dewasa Set 6,448.00 -
25 Iodina Test Botol 10,725.00 -
Iodina Test Botol 42,998.89 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 982.40 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker N 96 Pcs 27,225.00 -
Masker N 96 Pcs 30,842.19 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
Minyak Imersi Botol 1,548,088.30 -
41 Plester Kertas Rol 15,333.33 -
Plester Kertas Rol 36,050.00 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
Polifix 5 cm x 5 m Rol 61,050.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
Pot Dahak Pcs 3,096.96 -
Pot Dahak Pcs 2,246.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
Rapid Test HIV 1/2 Vikia DS Test 12,827.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Rapid Tes SD Bioline HBSAG Test 7,805.00 -
Hepatitis B Imunoglobulin inj 220 IU (Hbig) Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
Rapid Test Syphilis Test 12,564.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 232,440.00 -
Reagen Ziehl Nielsen Botol 216,812.50 -
Reagen Ziehl Nielsen Botol 133,500.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 15,092.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
Silk( Benang Bedah Sutra ) No 3/2 Sachet 16,535.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
Safety Box Pcs 14,935.00 -
Safety Box Pcs 14,750.00 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
Sarung tangan Steril No 7 Pcs 2,673.33 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
Sarung tangan Non Steril S Pcs 1,165.00 -
Sarung tangan Non Steril S Pcs 1,255.41 -
60 Sarung tangan Non Steril M Pcs 600.49 -
Sarung tangan Non Steril M Pcs 1,165.00 -
61 Sarung tangan Non Steril L Pcs 600.40 -
Sarung tangan Non Steril L Pcs 1,165.00 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test 3,230.00 -
Stik Pemeriksaan Gula Darah Test 3,200.00 -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 8,070.00 -
Urine Bag set 4,235.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 95.07 -
Blood Lancet Pcs 144.20 -
Blood Lancet Pcs 91.49 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
Cairan Antiseptik Botol 500 ml Botol 66,700.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterald Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 VTM & Swab Dacron Citodia Pcs 55,000.00 -
VTM + Swab (KH Medial) Test 42,000.00 -
90 Panbio Covid-19 Antigen Test 75,069.00 -
91 ADS 0,5 ml Alokasi Pcs 1,185.00 -
92 Alkohol Swab Alokasi Pcs 79.00 -
Alkohol Swab Alokasi Pcs 91.49 -
93 Safety Box Alokasi Pcs 14,000.00 -
94 Parafilm Pcs 666,470.20 -
95 Vaccum Tube Sterile EDTA K-3 (3ml Pcs 102,600.00 -
Vaccum Tube Sterile Clot Activator(3ml Pcs 99,500.00 -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 -
Sound Timer Unit 266,015.00 -
Kondom Rubber Latex Pcs 448.00 -
Lubricant Pcs 331.00 -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
Vaksin DT Vial 19,195.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
Vaksin Polio Vial 21,285.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid-19 (10 d0sis) Vial 1,339,441.00 -
20 - -
JUMLAH TOTAL OBAT -
JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP.19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


DAK DINKES DINKES
HARGA HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP.
SATUAN (RP) (RP)

- - - - -
- 430.00 - - 430.00
- 1,041.98 - - 1,041.98
- 4,000.00 - - 4,000.00
- 4,300.00 - - 4,300.00
- 89.00 - - 89.00
- 87.00 - - 87.00
- 105.00 - - 105.00
- 99.00 - - 99.00
- 200.00 - - 200.00
- 128.00 - - 128.00
- 143.55 - - 143.55
- 151.80 - - 151.80
- 3,626.70 - - 3,626.70
- 3,619.00 - - 3,619.00
- 2,500.30 - - 2,500.30
- 4,887.00 - - 4,887.00
- 2,998.00 - - 2,998.00
- 2,976.00 - - 2,976.00
- 91.00 - - 91.00
- 95.00 - - 95.00
- 167.00 - - 167.00
- 112.00 - - 112.00
- 171.44 - - 171.44
- 70.00 - - 70.00
- 75.00 - - 75.00
- 53.00 - - 53.00
- 93.00 - - 93.00
- 99.00 - - 99.00
- 195.00 - - 195.00
- 196.00 - - 196.00
- 201.00 - - 201.00
- 232.00 - - 232.00
- 249.00 - - 249.00
- 8,100.00 - - 8,100.00
- 2,000.00 - - 2,000.00
- 3,500.00 - - 3,500.00
- 2,050.00 - - 2,050.00
- 2,600.00 - - 2,600.00
- 3,400.00 - - 3,400.00

- 3,628.00 - - 3,628.00
- 3,498.00 - - 3,498.00

- 8,310.00 - - 8,310.00
- - - - -
- - - - -
- - - - -
- 8,237.00 - - 8,237.00
- 8,330.00 - - 8,330.00
- - - - -

- 1,995.00 - - 1,995.00

- 2,129.00 - - 2,129.00
- 54.00 - - 54.00
- 62.00 - - 62.00

- 58.00 - - 58.00
- 189.05 - - 189.05
- 203.30 - - 203.30
- 1,455.00 - - 1,455.00
- 3,035.00 - - 3,035.00
- 3,167.00 - - 3,167.00
- 3,250.00 - - 3,250.00
- 4,323.00 - - 4,323.00
- 4,798.00 - - 4,798.00
- 3,477.00 - - 3,477.00
- 173.00 - - 173.00
- 185.00 - - 185.00
- - - - -
- 233.20 - - 233.20
- - - - -
- - - - -
- 181.50 - - 181.50
- 1,195.00 - - 1,195.00
- 11,550.00 - - 11,550.00
- - - - -
- 75.00 - - 75.00
- 56.51 - - 56.51
- 105.00 - - 105.00
- 126.94 - - 126.94
- 600.00 - - 600.00
- 105.00 - - 105.00
- 103.00 - - 103.00
- 103.40 - - 103.40
- 177.90 - - 177.90
- 177.90 - - 177.90
- 111.00 - - 111.00
- 358.00 - - 358.00
- 382.00 - - 382.00
- 301.00 - - 301.00
- 303.74 - - 303.74
- 99.00 - - 99.00
- 89.81 - - 89.81
- - - - -
- - - - -
- 2,996.40 - - 2,996.40
- 3,600.00 - - 3,600.00
- 249.00 - - 249.00
- 380.00 - - 380.00
- 152.00 - - 152.00
- 233.20 - - 233.20
- 253.00 - - 253.00
- 162.00 - - 162.00
- 1,595.00 - - 1,595.00
- 1,639.00 - - 1,639.00
- 2,295.00 - - 2,295.00
- 2,030.00 - - 2,030.00
- 2,860.00 - - 2,860.00
- 15,246.00 - - 15,246.00
- 150,000.00 - - 150,000.00
- 160,500.00 - - 160,500.00
- 152,900.00 - - 152,900.00
- 14,500.00 - - 14,500.00
- 110.00 - - 110.00
- 88.80 - - 88.80
- 1,340.00 - - 1,340.00
- 1,349.00 - - 1,349.00
- 1,430.00 - - 1,430.00
- 2,460.80 - - 2,460.80
- 6,045.00 - - 6,045.00
- 626.00 - - 626.00
- 124.12 - - 124.12
- 250.80 - - 250.80
- 253.00 - - 253.00
- 112,000.00 - - 112,000.00
- 112,214.29 - - 112,214.29
- 160,500.00 - - 160,500.00
- 160,714.29 - - 160,714.29
- 1,097.00 - - 1,097.00
- 924.00 - - 924.00
- 32.00 - - 32.00
- 61.60 - - 61.60
- 106.00 - - 106.00
- 112,000.00 - - 112,000.00
- 86.00 - - 86.00
- 114.00 - - 114.00
- 1,735.00 - - 1,735.00
- 12,573.00 - - 12,573.00
- 13,669.15 - - 13,669.15
- - - - -
- - - - -
- 1,060.00 - - 1,060.00
- 1,095.00 - - 1,095.00
- 104.00 - - 104.00
- 99.00 - - 99.00
- 108.00 - - 108.00
- 141.90 - - 141.90
- 85.00 - - 85.00
- 91.00 - - 91.00
- 71.00 - - 71.00
- 2,296.00 - - 2,296.00
- - - - -
- - - - -
- 1,408.00 - - 1,408.00
- 1,515.00 - - 1,515.00
- 577.00 - - 577.00
- 750.00 - - 750.00
- - - - -
- 505.00 - - 505.00
- 2,500.00 - - 2,500.00
- 246,400.00 - - 246,400.00
- 108,720.93 - - 108,720.93
- 83,050.00 - - 83,050.00
- 20,087.00 - - 20,087.00
- 158.00 - - 158.00
- 169.53 - - 169.53
- 171.00 - - 171.00
- 165.00 - - 165.00
- 1,857.00 - - 1,857.00
- 1,700.00 - - 1,700.00
- 290.00 - - 290.00
- 510.00 - - 510.00
- 605.00 - - 605.00
- 629.00 - - 629.00
- - - - -
- 57,500.00 - - 57,500.00
- 63,813.00 - - 63,813.00
- - - - -
- 710.00 - - 710.00
- 748.00 - - 748.00
- 3,682.00 - - 3,682.00
- 3,550.00 - - 3,550.00
- 1,386.00 - - 1,386.00
- 77.00 - - 77.00
- 72.00 - - 72.00
- 78.00 - - 78.00
- - - - -

- 257.00 - - 257.00
- - - - -
- - - - -
- 1,834.80 - - 1,834.80
- 5,900.00 - - 5,900.00
- 1,834.80 - - 1,834.80
- 5,390.00 - - 5,390.00
- 687,500.00 - - 687,500.00
- 119.00 - - 119.00
- 86.00 - - 86.00
- 83.00 - - 83.00
- 83.75 - - 83.75
- 207.00 - - 207.00
- 123.00 - - 123.00
- 124.12 - - 124.12
- 82.50 - - 82.50
- 120.00 - - 120.00
- 7,370.00 - - 7,370.00
- 8,800.00 - - 8,800.00
- 10,351.00 - - 10,351.00
- 5,775.03 - - 5,775.03
- 6,900.00 - - 6,900.00
- 7,363.00 - - 7,363.00
- 6,627.00 - - 6,627.00
- 7,500.00 - - 7,500.00
- 7,200.00 - - 7,200.00
- 210.00 - - 210.00
- 224.00 - - 224.00
- 1,773.00 - - 1,773.00
- 47.00 - - 47.00
- 59.00 - - 59.00
- 58.00 - - 58.00
- 59.00 - - 59.00
- 61.00 - - 61.00
- 51.00 - - 51.00
- 54.00 - - 54.00
- 96.00 - - 96.00
- 60.00 - - 60.00
- 6,250.00 - - 6,250.00
- 1,190.00 - - 1,190.00
- 97,500.00 - - 97,500.00
- - - - -
- 149.00 - - 149.00
- 2,475.00 - - 2,475.00
- 2,325.00 - - 2,325.00
- 2,346.14 - - 2,346.14
- 105.00 - - 105.00
- 122.00 - - 122.00
- 111.00 - - 111.00
- 30.28 - - 30.28
- 192.74 - - 192.74
- 2,365.00 - - 2,365.00
- 2,475.00 - - 2,475.00
- 2,365.00 - - 2,365.00
- 4,665.00 - - 4,665.00
- 2,236.00 - - 2,236.00
- - - - -
- 74.00 - - 74.00
- 145.00 - - 145.00
- 173.00 - - 173.00
- 170.00 - - 170.00
- 88.00 - - 88.00
- 90.00 - - 90.00
- - - - -
- 287.85 - - 287.85
- 288.00 - - 288.00
- - - - -
- 59.00 - - 59.00
- 63.00 - - 63.00
- 62.00 - - 62.00
- 66.00 - - 66.00
- 75.00 - - 75.00
- 94.00 - - 94.00
- 230.00 - - 230.00
- 2,518.00 - - 2,518.00
- 2,595.00 - - 2,595.00
- 2,370.35 - - 2,370.35
- 270.00 - - 270.00
- 288.00 - - 288.00
- 252.00 - - 252.00
- - - - -
- - - - -
- - - - -
- 1,045.00 - - 1,045.00
- 715.00 - - 715.00
- 759.00 - - 759.00
- 522.00 - - 522.00
- - - - -
- - - - -
- 1,881.00 - - 1,881.00
- 3,295.69 - - 3,295.69
- 7,260.00 - - 7,260.00
- 7,437.00 - - 7,437.00
- 6,600.00 - - 6,600.00
- 7,492.50 - - 7,492.50
- 22.00 - - 22.00
- 40.17 - - 40.17
- 23.00 - - 23.00
- 45.10 - - 45.10
- 212.30 - - 212.30
- 212.00 - - 212.00
- 181.00 - - 181.00
- 147.00 - - 147.00
- 157.00 - - 157.00
- 407.00 - - 407.00
- 1,510.00 - - 1,510.00
- 1,240.00 - - 1,240.00

- 4,550.00 - - 4,550.00
- 31,231.00 - - 31,231.00
- 30,030.00 - - 30,030.00
- - - - -
- 125.00 - - 125.00
- 129.00 - - 129.00

- 2,052.00 - - 2,052.00

- 2,120.00 - - 2,120.00

- 2,190.00 - - 2,190.00

- 2,100.00 - - 2,100.00
- 303.00 - - 303.00
- 323.00 - - 323.00
- 280.53 - - 280.53
- 9,646.00 - - 9,646.00
- 9,275.00 - - 9,275.00
- 8,800.00 - - 8,800.00

- 9,644.00 - - 9,644.00

- 10,350.00 - - 10,350.00

- 11,500.00 - - 11,500.00

- 9,273.00 - - 9,273.00
- 10,696.00 - - 10,696.00
- 847.00 - - 847.00
- 803.00 - - 803.00
- 1,229.00 - - 1,229.00
- - - - -
- 121.60 - - 121.60
- 85.00 - - 85.00
- 77.00 - - 77.00
- 123.00 - - 123.00
- 131.00 - - 131.00
- 3,328.00 - - 3,328.00
- 3,580.00 - - 3,580.00
- 3,796.00 - - 3,796.00
- 4,090.00 - - 4,090.00
- 20,554.00 - - 20,554.00
- 20,207.00 - - 20,207.00
- 27,062.00 - - 27,062.00
- 20,678.00 - - 20,678.00
- 31,760.00 - - 31,760.00
- 41,784.00 - - 41,784.00
- 39,880.00 - - 39,880.00
- 718.20 - - 718.20
- - - - -
- 77.00 - - 77.00
- 102.00 - - 102.00
- 160.00 - - 160.00
- 154.39 - - 154.39
- 153.00 - - 153.00
- 946.00 - - 946.00
- 3,300.00 - - 3,300.00
- 210.00 - - 210.00
- 224.00 - - 224.00
- 444.00 - - 444.00
- 2,959.00 - - 2,959.00
- 1,023.00 - - 1,023.00
- 134.00 - - 134.00
- 150.00 - - 150.00
- 143.00 - - 143.00
- 102.00 - - 102.00
- 87.00 - - 87.00
- 85.00 - - 85.00
- 4,400.00 - - 4,400.00
- 3,960.00 - - 3,960.00
- - - - -
- 124.00 - - 124.00
- 211.20 - - 211.20
- 200.85 - - 200.85
- 3,950.00 - - 3,950.00
- 8,110.00 - - 8,110.00
- 5,885.00 - - 5,885.00
- 3,414.00 - - 3,414.00
- 4,125.00 - - 4,125.00
- 792.00 - - 792.00
- 826.10 - - 826.10
- 7,100.00 - - 7,100.00
- 7,524.00 - - 7,524.00
- - - - -
- 50.00 - - 50.00
- 128.00 - - 128.00
- 115.00 - - 115.00
- 123.00 - - 123.00
- 99.90 - - 99.90
- 6,410.00 - - 6,410.00
- 6,840.00 - - 6,840.00
- 6,800.00 - - 6,800.00
- 189.53 - - 189.53
- 13,500.00 - - 13,500.00
- 13,900.00 - - 13,900.00
- 11,500.00 - - 11,500.00
- 560.00 - - 560.00
- 598.00 - - 598.00
- 790.00 - - 790.00
- 843.00 - - 843.00
- 825.00 - - 825.00
- 232,518.00 - - 232,518.00
- 316,635.00 - - 316,635.00
- 317,018.00 - - 317,018.00
- 1,199,985.00 - - 1,199,985.00
- 1,297,889.00 - - 1,297,889.00
- 1,384,977.00 - - 1,384,977.00
- 232,518.00 - - 232,518.00
- 1,199,985.00 - - 1,199,985.00
- 415,721.00 - - 415,721.00
- 415,469.00 - - 415,469.00
- - - - -
- 4,697.00 - - 4,697.00
- 4,840.00 - - 4,840.00
- 6,800.00 - - 6,800.00
- 4,840.00 - - 4,840.00
- 6,760.00 - - 6,760.00
- 4,697.00 - - 4,697.00
- - - - -
- - - - -
- 2,500.00 - - 2,500.00
- 2,760.00 - - 2,760.00
- 2,668.00 - - 2,668.00
- 1,969.00 - - 1,969.00
- 2,005.00 - - 2,005.00
- 2,412.30 - - 2,412.30
- 1,199.00 - - 1,199.00
- 1,785.00 - - 1,785.00
- 1,126.00 - - 1,126.00
- 9,898.00 - - 9,898.00
- 130.00 - - 130.00
- 341.81 - - 341.81
- 458.00 - - 458.00
- 1,070.00 - - 1,070.00

- 6,649.00 - - 6,649.00
- 4,976.00 - - 4,976.00
- 1,107.00 - - 1,107.00
- 1,181.00 - - 1,181.00
- 1,160.00 - - 1,160.00
- - - - -
- 53.00 - - 53.00
- 100.74 - - 100.74
- 8,891.00 - - 8,891.00
- 12,569.00 - - 12,569.00
- 17,093.00 - - 17,093.00
- 15,484.71 - - 15,484.71
- 3,051.40 - - 3,051.40
- 3,113.00 - - 3,113.00
- - - - -
- 11,250.00 - - 11,250.00
- 11,352.27 - - 11,352.27
- 459.80 - - 459.80
- 800.80 - - 800.80
- 201.40 - - 201.40
- 156.20 - - 156.20
- - - - -
- 123.00 - - 123.00
- 118.00 - - 118.00
- 131.00 - - 131.00
- 3,360.00 - - 3,360.00
- - - - -
- 18,900.00 - - 18,900.00
- 22,050.00 - - 22,050.00
- 23,971.20 - - 23,971.20
- 100.00 - - 100.00
- 73.00 - - 73.00
- 68.00 - - 68.00
- 68.62 - - 68.62
- - - - -
- - - - -
- 76.00 - - 76.00
- 242.00 - - 242.00
- 58.00 - - 58.00
- 56.51 - - 56.51
- 586.30 - - 586.30
- 385.00 - - 385.00
- 1,155.00 - - 1,155.00
- 105.00 - - 105.00
- 112.00 - - 112.00
- 85.00 - - 85.00
- 288.00 - - 288.00
- 307.00 - - 307.00
- 517.00 - - 517.00
- 552.00 - - 552.00
- - - - -
- - - - -
- 7,150.00 - - 7,150.00
- 7,630.00 - - 7,630.00
- 63.00 - - 63.00
- 67.00 - - 67.00
- 70.00 - - 70.00
- 100.10 - - 100.10
- - - - -

- 2,621.00 - - 2,621.00

- 2,527.00 - - 2,527.00

- 2,797.00 - - 2,797.00

- 2,354.21 - - 2,354.21
- 1,020.00 - - 1,020.00
- 1,025.00 - - 1,025.00
- 1,662.79 - - 1,662.79
- 920.00 - - 920.00
- 11,718.25 - - 11,718.25
- 3,922.00 - - 3,922.00
- 3,980.00 - - 3,980.00
- 4,185.00 - - 4,185.00
- 3,834.55 - - 3,834.55
- 478.00 - - 478.00
- 580.00 - - 580.00
- 31,231.00 - - 31,231.00
- 31,231.00 - - 31,231.00
- 30,030.00 - - 30,030.00
- 4,200.00 - - 4,200.00
- 4,708.00 - - 4,708.00
- - - - -
- 90.00 - - 90.00
- 49.45 - - 49.45
- 2,090.00 - - 2,090.00
- 3,150.00 - - 3,150.00
- 2,915.00 - - 2,915.00
- 2,109.00 - - 2,109.00
- 1,035.00 - - 1,035.00
- 1,098.00 - - 1,098.00
- 1,104.00 - - 1,104.00
- 969.00 - - 969.00
- 49.00 - - 49.00
- 43.39 - - 43.39
- - - - -
- 163.90 - - 163.90
- 176.00 - - 176.00
- 110.00 - - 110.00
- 111.00 - - 111.00
- 117.00 - - 117.00
- 68.00 - - 68.00
- 217.00 - - 217.00
- 265.00 - - 265.00
- 240.00 - - 240.00
- 530.20 - - 530.20
- 248.00 - - 248.00
- 208.00 - - 208.00
- 190.00 - - 190.00
- - - - -

- 353.00 - - 353.00

- 350.00 - - 350.00

- - - - -
- - - - -
- 174.00 - - 174.00
- 310.00 - - 310.00
- 303.00 - - 303.00
- 1,139.60 - - 1,139.60
- 85.00 - - 85.00
- 86.00 - - 86.00
- 91.00 - - 91.00
- 91.30 - - 91.30
- 837.00 - - 837.00
- 921.00 - - 921.00
- - - - -
- - - - -
- 85.00 - - 85.00
- 63.00 - - 63.00
- 91.00 - - 91.00
- 115.00 - - 115.00
- 89.00 - - 89.00
- 682.00 - - 682.00
- 720.00 - - 720.00
- 508.00 - - 508.00
- 2,972.00 - - 2,972.00
- 3,171.00 - - 3,171.00
- 2,489.00 - - 2,489.00
- 208.00 - - 208.00
- 462.00 - - 462.00
- 416.20 - - 416.20
- 9,680.00 - - 9,680.00
- 14,402.00 - - 14,402.00
- 16,962.00 - - 16,962.00
- 13,200.00 - - 13,200.00
- 14,371.50 - - 14,371.50
- 33,000.00 - - 33,000.00
- 121,000.00 - - 121,000.00
- 63,800.00 - - 63,800.00
- 775,500.00 - - 775,500.00
- 75,900.00 - - 75,900.00
- 78,750.00 - - 78,750.00
- 63,800.00 - - 63,800.00
- 65,214.29 - - 65,214.29
- 88,750.00 - - 88,750.00
- 12,793.00 - - 12,793.00
- 13,138.40 - - 13,138.40
- 165,000.00 - - 165,000.00
- 8,110.00 - - 8,110.00
- 75,000.20 - - 75,000.20
- 75,000.00 - - 75,000.00
- 1,121.00 - - 1,121.00
- 997.00 - - 997.00
- 473.00 - - 473.00
- 2,920.00 - - 2,920.00
- 287.00 - - 287.00
- 123.00 - - 123.00
- 14,131.00 - - 14,131.00
- 38,848.51 - - 38,848.51
- 15,089.50 - - 15,089.50
- 225.00 - - 225.00
- 585.00 - - 585.00
- 129,400.00 - - 129,400.00
- 595,000.00 - - 595,000.00
- 15,246.00 - - 15,246.00
- 287.00 - - 287.00
- 2,954.00 - - 2,954.00
- 2,825.45 - - 2,825.45
- 134,214.29 - - 134,214.29
- 217,214.29 - - 217,214.29
- 2,764.00 - - 2,764.00
- 412,002.80 - - 412,002.80
- 2,600.00 - - 2,600.00
- 876.70 - - 876.70
- 1,059.55 - - 1,059.55
- - - - -
- 3,914.00 - - 3,914.00
- 8,950.00 - - 8,950.00
- 8,700.00 - - 8,700.00
- 6,930.00 - - 6,930.00
- 3,914.00 - - 3,914.00
- 12,631.00 - - 12,631.00
- 7,334.00 - - 7,334.00
- 6,930.00 - - 6,930.00
- 8,950.00 - - 8,950.00
- 8,700.00 - - 8,700.00
- 6,930.00 - - 6,930.00
- 7,334.00 - - 7,334.00
- 8,950.00 - - 8,950.00
- 8,700.00 - - 8,700.00
- 6,930.00 - - 6,930.00
- - - - -
- 840.00 - - 840.00
- 646.94 - - 646.94
- 854.00 - - 854.00
- 792.00 - - 792.00
- 965.40 - - 965.40
- 817.00 - - 817.00
- 750.00 - - 750.00
- 903.00 - - 903.00
- 776.33 - - 776.33
- 1,298.00 - - 1,298.00
- 123.60 - - 123.60
- 95.00 - - 95.00
- 116.04 - - 116.04
- 1,354.00 - - 1,354.00
- 1,101.00 - - 1,101.00
- 1,185.00 - - 1,185.00
- 1,190.00 - - 1,190.00
- 995.00 - - 995.00
- 1,583.00 - - 1,583.00
- 1,540.00 - - 1,540.00
- 10,430.00 - - 10,430.00
- 25,009.00 - - 25,009.00
- 26,087.00 - - 26,087.00
- 25,009.00 - - 25,009.00
- 33,250.00 - - 33,250.00
- 34,170.00 - - 34,170.00
- 33,538.00 - - 33,538.00
- 25,009.00 - - 25,009.00
- 3,150.00 - - 3,150.00
- 2,677.50 - - 2,677.50
- 26,250.00 - - 26,250.00
- 28,875.00 - - 28,875.00
- 250,000.30 - - 250,000.30
- 18,450.00 - - 18,450.00
- 18,450.00 - - 18,450.00
- 18,450.00 - - 18,450.00
- 9,900.00 - - 9,900.00
- 5,800.00 - - 5,800.00
- 9,165.00 - - 9,165.00
- 5,445.00 - - 5,445.00
- 6,150.00 - - 6,150.00
- 11,500.00 - - 11,500.00
- 6,448.00 - - 6,448.00
- 10,725.00 - - 10,725.00
- 42,998.89 - - 42,998.89
- 55,000.00 - - 55,000.00
- 19,700.00 - - 19,700.00
- - - - -
- 24,000.00 - - 24,000.00
- 12,875.00 - - 12,875.00
- 7,931.00 - - 7,931.00
- 607.70 - - 607.70
- 3,800.00 - - 3,800.00
- 2,163.00 - - 2,163.00
- 7,900.00 - - 7,900.00
- 8,240.00 - - 8,240.00
- 1,800.00 - - 1,800.00
- 1,648.00 - - 1,648.00
- 75.90 - - 75.90
- 10,000.10 - - 10,000.10
- - - - -
- 43,050.00 - - 43,050.00
- 438.90 - - 438.90
- 982.40 - - 982.40
- 1,900.00 - - 1,900.00
- 2,290.00 - - 2,290.00
- 5,500.00 - - 5,500.00
- 5,500.00 - - 5,500.00
- 23,750.00 - - 23,750.00
- 27,225.00 - - 27,225.00
- 30,842.19 - - 30,842.19
- - - - -
- 509,999.60 - - 509,999.60
- 1,548,088.30 - - 1,548,088.30
- 15,333.33 - - 15,333.33
- 36,050.00 - - 36,050.00
- 39,217.00 - - 39,217.00
- 30,000.00 - - 30,000.00
- 61,050.00 - - 61,050.00
- 5,800.00 - - 5,800.00
- 2,728.00 - - 2,728.00
- 3,096.96 - - 3,096.96
- 2,246.00 - - 2,246.00
- 13,235.00 - - 13,235.00
- 12,500.00 - - 12,500.00
- 12,827.00 - - 12,827.00
- 14,340.00 - - 14,340.00
- 11,975.00 - - 11,975.00
- 74,002.50 - - 74,002.50
- 19,500.00 - - 19,500.00
- 9,878.00 - - 9,878.00
- 9,850.00 - - 9,850.00
- 7,913.00 - - 7,913.00
- 7,900.00 - - 7,900.00
- 7,805.00 - - 7,805.00
- 1,325,000.00 - - 1,325,000.00
- 20,400.00 - - 20,400.00
- 12,564.00 - - 12,564.00
- - - - -
- - - - -
- 276,500.00 - - 276,500.00
- 232,440.00 - - 232,440.00
- 216,812.50 - - 216,812.50
- 133,500.00 - - 133,500.00
- 7,250.00 - - 7,250.00
- 4,120.00 - - 4,120.00
- 15,092.00 - - 15,092.00
- 20,150.00 - - 20,150.00
- 16,535.00 - - 16,535.00
- 22,433.00 - - 22,433.00
- 16,186.81 - - 16,186.81
- 14,935.00 - - 14,935.00
- 14,750.00 - - 14,750.00
- 4,500.00 - - 4,500.00
- 4,500.00 - - 4,500.00
- 2,673.33 - - 2,673.33
- 4,500.00 - - 4,500.00
- 6,595.00 - - 6,595.00
- 600.49 - - 600.49
- 1,165.00 - - 1,165.00
- 1,255.41 - - 1,255.41
- 600.49 - - 600.49
- 1,165.00 - - 1,165.00
- 600.40 - - 600.40
- 1,165.00 - - 1,165.00
- - - - -
- 3,230.00 - - 3,230.00
- 3,200.00 - - 3,200.00
- - - - -
- - - - -
- 10,400.00 - - 10,400.00
- 15,333.33 - - 15,333.33
- 8,070.00 - - 8,070.00
- 4,235.00 - - 4,235.00
- - - - -
- 95.07 - - 95.07
- 144.20 - - 144.20
- 91.49 - - 91.49
- 60,800.00 - - 60,800.00
- 66,700.00 - - 66,700.00
- 86,680.00 - - 86,680.00
- 712,800.00 - - 712,800.00
- 396,000.00 - - 396,000.00
- 4,232.00 - - 4,232.00
- 10,400.00 - - 10,400.00
- 19,480.00 - - 19,480.00
- 396,000.00 - - 396,000.00
- 1,325,000.00 - - 1,325,000.00
- 31,347.00 - - 31,347.00
- 12,631.00 - - 12,631.00
- 1,098,900.00 - - 1,098,900.00
- 188,663.00 - - 188,663.00
- 512,204.00 - - 512,204.00
- 312,500.10 - - 312,500.10
- 262,499.60 - - 262,499.60
- 131,249.60 - - 131,249.60
- 56,249.60 - - 56,249.60
- 165,000.00 - - 165,000.00
- 55,000.00 - - 55,000.00
- 42,000.00 - - 42,000.00
- 75,069.00 - - 75,069.00
- 1,185.00 - - 1,185.00
- 79.00 - - 79.00
- 91.49 - - 91.49
- 14,000.00 - - 14,000.00
- 666,470.20 - - 666,470.20
- 102,600.00 - - 102,600.00
- 99,500.00 - - 99,500.00
- 1,339.00 - - 1,339.00
- 266,015.00 - - 266,015.00
- 448.00 - - 448.00
- 331.00 - - 331.00
- - - - -
- - - - -
- 479,996.00 - - 479,996.00
- - - - -
- 176,800.00 - - 176,800.00
- - - - -
- 66,154.00 - - 66,154.00
- 19,954.00 - - 19,954.00
- 19,195.00 - - 19,195.00
- 18,128.00 - - 18,128.00
- 78,991.00 - - 78,991.00
- 78,991.00 - - 78,991.00
- 155,813.00 - - 155,813.00
- 166,265.00 - - 166,265.00
- 21,285.00 - - 21,285.00
- 139,760.00 - - 139,760.00
- - - - -
- - - - -
- - - - -
- 1,339,441.00 - - 1,339,441.00
- - - - -
- - -
- - -
- - -
- - -
PENGELUARAN 2023 SALDO AKHIR 2023
DINKES DINKES
HARGA SATUAN
BANYAKNYA NILAI RP. BANYAKNYA NILAI RP.
(RP)

- - - - -
- - 430.00 - -
- - 1,041.98 - -
- - 4,000.00 - -
- - 4,300.00 - -
- - 89.00 - -
- - 87.00 - -
- - 105.00 - -
- - 99.00 - -
- - 200.00 - -
- - 128.00 - -
- - 143.55 - -
- - 151.80 - -
- - 3,626.70 - -
- - 3,619.00 - -
- - 2,500.30 - -
- - 4,887.00 - -
- - 2,998.00 - -
- - 2,976.00 - -
- - 91.00 - -
- - 95.00 - -
- - 167.00 - -
- - 112.00 - -
- - 171.44 - -
- - 70.00 - -
- - 75.00 - -
- - 53.00 - -
- - 93.00 - -
- - 99.00 - -
- - 195.00 - -
- - 196.00 - -
- - 201.00 - -
- - 232.00 - -
- - 249.00 - -
- - 8,100.00 - -
- - 2,000.00 - -
- - 3,500.00 - -
- - 2,050.00 - -
- - 2,600.00 - -
- - 3,400.00 - -

- - 3,628.00 - -
- - 3,498.00 - -

- - 8,310.00 - -
- - - - -
- - - - -
- - - - -
- - 8,237.00 - -
- - 8,330.00 - -
- - - - -

- - 1,995.00 - -

- - 2,129.00 - -
- - 54.00 - -
- - 62.00 - -

- - 58.00 - -
- - 189.05 - -
- - 203.30 - -
- - 1,455.00 - -
- - 3,035.00 - -
- - 3,167.00 - -
- - 3,250.00 - -
- - 4,323.00 - -
- - 4,798.00 - -
- - 3,477.00 - -
- - 173.00 - -
- - 185.00 - -
- - - - -
- - 233.20 - -
- - - - -
- - - - -
- - 181.50 - -
- - 1,195.00 - -
- - 11,550.00 - -
- - - - -
- - 75.00 - -
- - 56.51 - -
- - 105.00 - -
- - 126.94 - -
- - 600.00 - -
- - 105.00 - -
- - 103.00 - -
- - 103.40 - -
- - 177.90 - -
- - 177.90 - -
- - 111.00 - -
- - 358.00 - -
- - 382.00 - -
- - 301.00 - -
- - 303.74 - -
- - 99.00 - -
- - 89.81 - -
- - - - -
- - - - -
- - 2,996.40 - -
- - 3,600.00 - -
- - 249.00 - -
- - 380.00 - -
- - 152.00 - -
- - 233.20 - -
- - 253.00 - -
- - 162.00 - -
- - 1,595.00 - -
- - 1,639.00 - -
- - 2,295.00 - -
- - 2,030.00 - -
- - 2,860.00 - -
- - 15,246.00 - -
- - 150,000.00 - -
- - 160,500.00 - -
- - 152,900.00 - -
- - 14,500.00 - -
- - 110.00 - -
- - 88.80 - -
- - 1,340.00 - -
- - 1,349.00 - -
- - 1,430.00 - -
- - 2,460.80 - -
- - 6,045.00 - -
- - 626.00 - -
- - 124.12 - -
- - 250.80 - -
- - 253.00 - -
- - 112,000.00 - -
- - 112,214.29 - -
- - 160,500.00 - -
- - 160,714.29 - -
- - 1,097.00 - -
- - 924.00 - -
- - 32.00 - -
- - 61.60 - -
- - 106.00 - -
- - 112,000.00 - -
- - 86.00 - -
- - 114.00 - -
- - 1,735.00 - -
- - 12,573.00 - -
- - 13,669.15 - -
- - - - -
- - - - -
- - 1,060.00 - -
- - 1,095.00 - -
- - 104.00 - -
- - 99.00 - -
- - 108.00 - -
- - 141.90 - -
- - 85.00 - -
- - 91.00 - -
- - 71.00 - -
- - 2,296.00 - -
- - - - -
- - - - -
- - 1,408.00 - -
- - 1,515.00 - -
- - 577.00 - -
- - 750.00 - -
- - - - -
- - 505.00 - -
- - 2,500.00 - -
- - 246,400.00 - -
- - 108,720.93 - -
- - 83,050.00 - -
- - 20,087.00 - -
- - 158.00 - -
- - 169.53 - -
- - 171.00 - -
- - 165.00 - -
- - 1,857.00 - -
- - 1,700.00 - -
- - 290.00 - -
- - 510.00 - -
- - 605.00 - -
- - 629.00 - -
- - - - -
- - 57,500.00 - -
- - 63,813.00 - -
- - - - -
- - 710.00 - -
- - 748.00 - -
- - 3,682.00 - -
- - 3,550.00 - -
- - 1,386.00 - -
- - 77.00 - -
- - 72.00 - -
- - 78.00 - -
- - - - -

- - 257.00 - -
- - - - -
- - - - -
- - 1,834.80 - -
- - 5,900.00 - -
- - 1,834.80 - -
- - 5,390.00 - -
- - 687,500.00 - -
- - 119.00 - -
- - 86.00 - -
- - 83.00 - -
- - 83.75 - -
- - 207.00 - -
- - 123.00 - -
- - 124.12 - -
- - 82.50 - -
- - 120.00 - -
- - 7,370.00 - -
- - 8,800.00 - -
- - 10,351.00 - -
- - 5,775.03 - -
- - 6,900.00 - -
- - 7,363.00 - -
- - 6,627.00 - -
- - 7,500.00 - -
- - 7,200.00 - -
- - 210.00 - -
- - 224.00 - -
- - 1,773.00 - -
- - 47.00 - -
- - 59.00 - -
- - 58.00 - -
- - 59.00 - -
- - 61.00 - -
- - 51.00 - -
- - 54.00 - -
- - 96.00 - -
- - 60.00 - -
- - 6,250.00 - -
- - 1,190.00 - -
- - 97,500.00 - -
- - - - -
- - 149.00 - -
- - 2,475.00 - -
- - 2,325.00 - -
- - 2,346.14 - -
- - 105.00 - -
- - 122.00 - -
- - 111.00 - -
- - 30.28 - -
- - 192.74 - -
- - 2,365.00 - -
- - 2,475.00 - -
- - 2,365.00 - -
- - 4,665.00 - -
- - 2,236.00 - -
- - - - -
- - 74.00 - -
- - 145.00 - -
- - 173.00 - -
- - 170.00 - -
- - 88.00 - -
- - 90.00 - -
- - - - -
- - 287.85 - -
- - 288.00 - -
- - - - -
- - 59.00 - -
- - 63.00 - -
- - 62.00 - -
- - 66.00 - -
- - 75.00 - -
- - 94.00 - -
- - 230.00 - -
- - 2,518.00 - -
- - 2,595.00 - -
- - 2,370.35 - -
- - 270.00 - -
- - 288.00 - -
- - 252.00 - -
- - - - -
- - - - -
- - - - -
- - 1,045.00 - -
- - 715.00 - -
- - 759.00 - -
- - 522.00 - -
- - - - -
- - - - -
- - 1,881.00 - -
- - 3,295.69 - -
- - 7,260.00 - -
- - 7,437.00 - -
- - 6,600.00 - -
- - 7,492.50 - -
- - 22.00 - -
- - 40.17 - -
- - 23.00 - -
- - 45.10 - -
- - 212.30 - -
- - 212.00 - -
- - 181.00 - -
- - 147.00 - -
- - 157.00 - -
- - 407.00 - -
- - 1,510.00 - -
- - 1,240.00 - -

- - 4,550.00 - -
- - 31,231.00 - -
- - 30,030.00 - -
- - - - -
- - 125.00 - -
- - 129.00 - -

- - 2,052.00 - -

- - 2,120.00 - -

- - 2,190.00 - -

- - 2,100.00 - -
- - 303.00 - -
- - 323.00 - -
- - 280.53 - -
- - 9,646.00 - -
- - 9,275.00 - -
- - 8,800.00 - -

- - 9,644.00 - -

- - 10,350.00 - -

- - 11,500.00 - -

- - 9,273.00 - -
- - 10,696.00 - -
- - 847.00 - -
- - 803.00 - -
- - 1,229.00 - -
- - - - -
- - 121.60 - -
- - 85.00 - -
- - 77.00 - -
- - 123.00 - -
- - 131.00 - -
- - 3,328.00 - -
- - 3,580.00 - -
- - 3,796.00 - -
- - 4,090.00 - -
- - 20,554.00 - -
- - 20,207.00 - -
- - 27,062.00 - -
- - 20,678.00 - -
- - 31,760.00 - -
- - 41,784.00 - -
- - 39,880.00 - -
- - 718.20 - -
- - - - -
- - 77.00 - -
- - 102.00 - -
- - 160.00 - -
- - 154.39 - -
- - 153.00 - -
- - 946.00 - -
- - 3,300.00 - -
- - 210.00 - -
- - 224.00 - -
- - 444.00 - -
- - 2,959.00 - -
- - 1,023.00 - -
- - 134.00 - -
- - 150.00 - -
- - 143.00 - -
- - 102.00 - -
- - 87.00 - -
- - 85.00 - -
- - 4,400.00 - -
- - 3,960.00 - -
- - - - -
- - 124.00 - -
- - 211.20 - -
- - 200.85 - -
- - 3,950.00 - -
- - 8,110.00 - -
- - 5,885.00 - -
- - 3,414.00 - -
- - 4,125.00 - -
- - 792.00 - -
- - 826.10 - -
- - 7,100.00 - -
- - 7,524.00 - -
- - - - -
- - 50.00 - -
- - 128.00 - -
- - 115.00 - -
- - 123.00 - -
- - 99.90 - -
- - 6,410.00 - -
- - 6,840.00 - -
- - 6,800.00 - -
- - 189.53 - -
- - 13,500.00 - -
- - 13,900.00 - -
- - 11,500.00 - -
- - 560.00 - -
- - 598.00 - -
- - 790.00 - -
- - 843.00 - -
- - 825.00 - -
- - 232,518.00 - -
- - 316,635.00 - -
- - 317,018.00 - -
- - 1,199,985.00 - -
- - 1,297,889.00 - -
- - 1,384,977.00 - -
- - 232,518.00 - -
- - 1,199,985.00 - -
- - 415,721.00 - -
- - 415,469.00 - -
- - - - -
- - 4,697.00 - -
- - 4,840.00 - -
- - 6,800.00 - -
- - 4,840.00 - -
- - 6,760.00 - -
- - 4,697.00 - -
- - - - -
- - - - -
- - 2,500.00 - -
- - 2,760.00 - -
- - 2,668.00 - -
- - 1,969.00 - -
- - 2,005.00 - -
- - 2,412.30 - -
- - 1,199.00 - -
- - 1,785.00 - -
- - 1,126.00 - -
- - 9,898.00 - -
- - 130.00 - -
- - 341.81 - -
- - 458.00 - -
- - 1,070.00 - -

- - 6,649.00 - -
- - 4,976.00 - -
- - 1,107.00 - -
- - 1,181.00 - -
- - 1,160.00 - -
- - - - -
- - 53.00 - -
- - 100.74 - -
- - 8,891.00 - -
- - 12,569.00 - -
- - 17,093.00 - -
- - 15,484.71 - -
- - 3,051.40 - -
- - 3,113.00 - -
- - - - -
- - 11,250.00 - -
- - 11,352.27 - -
- - 459.80 - -
- - 800.80 - -
- - 201.40 - -
- - 156.20 - -
- - - - -
- - 123.00 - -
- - 118.00 - -
- - 131.00 - -
- - 3,360.00 - -
- - - - -
- - 18,900.00 - -
- - 22,050.00 - -
- - 23,971.20 - -
- - 100.00 - -
- - 73.00 - -
- - 68.00 - -
- - 68.62 - -
- - - - -
- - - - -
- - 76.00 - -
- - 242.00 - -
- - 58.00 - -
- - 56.51 - -
- - 586.30 - -
- - 385.00 - -
- - 1,155.00 - -
- - 105.00 - -
- - 112.00 - -
- - 85.00 - -
- - 288.00 - -
- - 307.00 - -
- - 517.00 - -
- - 552.00 - -
- - - - -
- - - - -
- - 7,150.00 - -
- - 7,630.00 - -
- - 63.00 - -
- - 67.00 - -
- - 70.00 - -
- - 100.10 - -
- - - - -

- - 2,621.00 - -

- - 2,527.00 - -

- - 2,797.00 - -

- - 2,354.21 - -
- - 1,020.00 - -
- - 1,025.00 - -
- - 1,662.79 - -
- - 920.00 - -
- - 11,718.25 - -
- - 3,922.00 - -
- - 3,980.00 - -
- - 4,185.00 - -
- - 3,834.55 - -
- - 478.00 - -
- - 580.00 - -
- - 31,231.00 - -
- - 31,231.00 - -
- - 30,030.00 - -
- - 4,200.00 - -
- - 4,708.00 - -
- - - - -
- - 90.00 - -
- - 49.45 - -
- - 2,090.00 - -
- - 3,150.00 - -
- - 2,915.00 - -
- - 2,109.00 - -
- - 1,035.00 - -
- - 1,098.00 - -
- - 1,104.00 - -
- - 969.00 - -
- - 49.00 - -
- - 43.39 - -
- - - - -
- - 163.90 - -
- - 176.00 - -
- - 110.00 - -
- - 111.00 - -
- - 117.00 - -
- - 68.00 - -
- - 217.00 - -
- - 265.00 - -
- - 240.00 - -
- - 530.20 - -
- - 248.00 - -
- - 208.00 - -
- - 190.00 - -
- - - - -

- - 353.00 - -

- - 350.00 - -

- - - - -
- - - - -
- - 174.00 - -
- - 310.00 - -
- - 303.00 - -
- - 1,139.60 - -
- - 85.00 - -
- - 86.00 - -
- - 91.00 - -
- - 91.30 - -
- - 837.00 - -
- - 921.00 - -
- - - - -
- - - - -
- - 85.00 - -
- - 63.00 - -
- - 91.00 - -
- - 115.00 - -
- - 89.00 - -
- - 682.00 - -
- - 720.00 - -
- - 508.00 - -
- - 2,972.00 - -
- - 3,171.00 - -
- - 2,489.00 - -
- - 208.00 - -
- - 462.00 - -
- - 416.20 - -
- - 9,680.00 - -
- - 14,402.00 - -
- - 16,962.00 - -
- - 13,200.00 - -
- - 14,371.50 - -
- - 33,000.00 - -
- - 121,000.00 - -
- - 63,800.00 - -
- - 775,500.00 - -
- - 75,900.00 - -
- - 78,750.00 - -
- - 63,800.00 - -
- - 65,214.29 - -
- - 88,750.00 - -
- - 12,793.00 - -
- - 13,138.40 - -
- - 165,000.00 - -
- - 8,110.00 - -
- - 75,000.20 - -
- - 75,000.00 - -
- - 1,121.00 - -
- - 997.00 - -
- - 473.00 - -
- - 2,920.00 - -
- - 287.00 - -
- - 123.00 - -
- - 14,131.00 - -
- - 38,848.51 - -
- - 15,089.50 - -
- - 225.00 - -
- - 585.00 - -
- - 129,400.00 - -
- - 595,000.00 - -
- - 15,246.00 - -
- - 287.00 - -
- - 2,954.00 - -
- - 2,825.45 - -
- - 134,214.29 - -
- - 217,214.29 - -
- - 2,764.00 - -
- - 412,002.80 - -
- - 2,600.00 - -
- - 876.70 - -
- - 1,059.55 - -
- - - - -
- - 3,914.00 - -
- - 8,950.00 - -
- - 8,700.00 - -
- - 6,930.00 - -
- - 3,914.00 - -
- - 12,631.00 - -
- - 7,334.00 - -
- - 6,930.00 - -
- - 8,950.00 - -
- - 8,700.00 - -
- - 6,930.00 - -
- - 7,334.00 - -
- - 8,950.00 - -
- - 8,700.00 - -
- - 6,930.00 - -
- - - - -
- - 840.00 - -
- - 646.94 - -
- - 854.00 - -
- - 792.00 - -
- - 965.40 - -
- - 817.00 - -
- - 750.00 - -
- - 903.00 - -
- - 776.33 - -
- - 1,298.00 - -
- - 123.60 - -
- - 95.00 - -
- - 116.04 - -
- - 1,354.00 - -
- - 1,101.00 - -
- - 1,185.00 - -
- - 1,190.00 - -
- - 995.00 - -
- - 1,583.00 - -
- - 1,540.00 - -
- - 10,430.00 - -
- - 25,009.00 - -
- - 26,087.00 - -
- - 25,009.00 - -
- - 33,250.00 - -
- - 34,170.00 - -
- - 33,538.00 - -
- - 25,009.00 - -
- - 3,150.00 - -
- - 2,677.50 - -
- - 26,250.00 - -
- - 28,875.00 - -
- - 250,000.30 - -
- - 18,450.00 - -
- - 18,450.00 - -
- - 18,450.00 - -
- - 9,900.00 - -
- - 5,800.00 - -
- - 9,165.00 - -
- - 5,445.00 - -
- - 6,150.00 - -
- - 11,500.00 - -
- - 6,448.00 - -
- - 10,725.00 - -
- - 42,998.89 - -
- - 55,000.00 - -
- - 19,700.00 - -
- - - - -
- - 24,000.00 - -
- - 12,875.00 - -
- - 7,931.00 - -
- - 607.70 - -
- - 3,800.00 - -
- - 2,163.00 - -
- - 7,900.00 - -
- - 8,240.00 - -
- - 1,800.00 - -
- - 1,648.00 - -
- - 75.90 - -
- - 10,000.10 - -
- - - - -
- - 43,050.00 - -
- - 438.90 - -
- - 982.40 - -
- - 1,900.00 - -
- - 2,290.00 - -
- - 5,500.00 - -
- - 5,500.00 - -
- - 23,750.00 - -
- - 27,225.00 - -
- - 30,842.19 - -
- - - - -
- - 509,999.60 - -
- - 1,548,088.30 - -
- - 15,333.33 - -
- - 36,050.00 - -
- - 39,217.00 - -
- - 30,000.00 - -
- - 61,050.00 - -
- - 5,800.00 - -
- - 2,728.00 - -
- - 3,096.96 - -
- - 2,246.00 - -
- - 13,235.00 - -
- - 12,500.00 - -
- - 12,827.00 - -
- - 14,340.00 - -
- - 11,975.00 - -
- - 74,002.50 - -
- - 19,500.00 - -
- - 9,878.00 - -
- - 9,850.00 - -
- - 7,913.00 - -
- - 7,900.00 - -
- - 7,805.00 - -
- - 1,325,000.00 - -
- - 20,400.00 - -
- - 12,564.00 - -
- - - - -
- - - - -
- - 276,500.00 - -
- - 232,440.00 - -
- - 216,812.50 - -
- - 133,500.00 - -
- - 7,250.00 - -
- - 4,120.00 - -
- - 15,092.00 - -
- - 20,150.00 - -
- - 16,535.00 - -
- - 22,433.00 - -
- - 16,186.81 - -
- - 14,935.00 - -
- - 14,750.00 - -
- - 4,500.00 - -
- - 4,500.00 - -
- - 2,673.33 - -
- - 4,500.00 - -
- - 6,595.00 - -
- - 600.49 - -
- - 1,165.00 - -
- - 1,255.41 - -
- - 600.49 - -
- - 1,165.00 - -
- - 600.40 - -
- - 1,165.00 - -
- - - - -
- - 3,230.00 - -
- - 3,200.00 - -
- - - - -
- - - - -
- - 10,400.00 - -
- - 15,333.33 - -
- - 8,070.00 - -
- - 4,235.00 - -
- - - - -
- - 95.07 - -
- - 144.20 - -
- - 91.49 - -
- - 60,800.00 - -
- - 66,700.00 - -
- - 86,680.00 - -
- - 712,800.00 - -
- - 396,000.00 - -
- - 4,232.00 - -
- - 10,400.00 - -
- - 19,480.00 - -
- - 396,000.00 - -
- - 1,325,000.00 - -
- - 31,347.00 - -
- - 12,631.00 - -
- - 1,098,900.00 - -
- - 188,663.00 - -
- - 512,204.00 - -
- - 312,500.10 - -
- - 262,499.60 - -
- - 131,249.60 - -
- - 56,249.60 - -
- - 165,000.00 - -
- - 55,000.00 - -
- - 42,000.00 - -
- - 75,069.00 - -
- - 1,185.00 - -
- - 79.00 - -
- - 91.49 - -
- - 14,000.00 - -
- - 666,470.20 - -
- - 102,600.00 - -
- - 99,500.00 - -
- - 1,339.00 - -
- - 266,015.00 - -
- - 448.00 - -
- - 331.00 - -
- - - - -
- - - - -
- - 479,996.00 - -
- - - - -
- - 176,800.00 - -
- - - - -
- - 66,154.00 - -
- - 19,954.00 - -
- - 19,195.00 - -
- - 18,128.00 - -
- - 78,991.00 - -
- - 78,991.00 - -
- - 155,813.00 - -
- - 166,265.00 - -
- - 21,285.00 - -
- - 139,760.00 - -
- - - - -
- - - - -
- - - - -
- - 1,339,441.00 - -
- - - - -
- - -
- - -
- - -
- - -

PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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- - #VALUE!
- - #VALUE!
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- - #VALUE!
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- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
-
- - #VALUE!
- - #VALUE!
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- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
- - #VALUE!
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- - #VALUE!

- - #VALUE!
- - #VALUE!
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- - #VALUE!
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- - #VALUE!
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- - #VALUE!
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- - #VALUE!

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- - #VALUE!
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- - #VALUE!
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- - #VALUE!
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- - #VALUE!
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- - #VALUE!
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- - #VALUE!
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- - #VALUE!
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- - #VALUE!
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- - #VALUE!
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- - #VALUE!

- - #VALUE!

- - #VALUE!

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-
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- - #VALUE!
- -
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- - #VALUE!
- - #VALUE!
- -
- -
- -
- - #VALUE!
- - #VALUE!
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- - #VALUE!
- - #VALUE!
- - #VALUE!
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- - -
- - -
- - -
- - -

.
-
DATA MUTASI PER

DINA

STOK AWAL DESEMBER 2023

NO NAMA OBAT SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. O B A T
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet - -
3 Albendazole susp 200 mg/5 ml Botol - -
4 Alopurinol Tablet 100 mg Tablet 87 -
Alopurinol Tablet 100 mg Tablet 105 -
5 Alopurinol Tablet 300 mg Tablet 200 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 308 -
Ambroksol Tablet 30 mg Tablet 165 -
Ambroksol Tablet 30 mg Tablet 110 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627 -
Ambroksol sirup 15 mg/5 ml Botol 3,790 -
Ambroksol sirup 15 mg/5 ml Botol 2,750 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789 -
10 Aminofillin Tablet 200 mg Tablet 139 -
Aminofillin Tablet 200 mg Tablet 91 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 177 -
12 Amlodipin Tablet 5 mg Tablet 70 -
Amlodipin Tablet 5 mg Tablet 53 -
Amlodipin Tablet 5 mg Tablet 53 -
13 Amlodipin Tablet 10 mg Tablet 93 -
Amlodipin Tablet 10 mg Tablet 70 -
14 Amoksisillin Kapsul 250 mg Kapsul 184 -
Amoksisillin Kapsul 250 mg Kapsul 195 -
Amoksisillin Kapsul 250 mg Kapsul 180 -
Amoksisillin Kapsul 250 mg Kapsul 374 -
15 Amoksisillin Kaplet 500 mg Kaplet 201 -
Amoksisillin Kaplet 500 mg Kaplet 232 -
Amoksisillin Kaplet 500 mg Kaplet 190 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 2,050 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial - -
23 Analgetik Plus Tablet - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129 -
Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 1,679 -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
54 -

Antasida Doen Tablet, Kombinasi : Magnesium Tablet


Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58 -

Antasida Doen Tablet, Kombinasi : Magnesium Tablet


Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
54 -
26 Antasida Plus Tablet Tablet 187 -
Antasida Plus Tablet Tablet 264 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214 -
Antalgin (Metampiron) Tablet 500 mg Tablet 170 -
Antalgin (Metampiron) Tablet 500 mg Tablet 209 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube
- -
30 Anti Hemoroid Doen komb Supp 3,167 -
Anti Hemoroid Doen komb Supp 3,250 -
31 Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
3,477 -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,158 -
Anti Fungi DOEN Kombinasi : Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,323 -
Anti Fungi DOEN Kombinasi : Pot
Asam Benzoat 6% + Asam Salisilat 3% 3,509 -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet - -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 429 -
38 Antispasmodik Tablet Tablet 1,188 -
39 Antitusiva Sirup Botol 11,400 -
Antitusiva Sirup Botol 8,000 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103 -
Asam Mefenamat Kapsul 500 mg Kapsul 250 -
Asam Mefenamat Kapsul 500 mg Kapsul 198 -
44 Acetylsistein tablet Tablet 304 -
45 Asetosal Tablet 80 mg Tablet - -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube - -
49 Asiklovir Tablet 200 mg Tablet 236 -
50 Asiklovir Tablet 400 mg Tablet - -
51 Attapulgit Tablet 152 -
Attapulgit Tablet 145 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860 -
54 Bahan Tambal Sementara Set - -
55 Benzatin Benzil Penisilin injeksi Vial - -
56 Betahistin Mesilat 6 mg Tablet 110 -
Betahistin Mesilat 6 mg Tablet 149 -
Betahistin Mesilat 6 mg Tablet 89 -
57 Betametason Krim 0,1 %- 5g Tube 1,340 -
Betametason Krim 0,1 %- 5g Tube 1,380 -
Betametason Krim 0,1 %- 5g 1,349 -
58 Bisakodil suppositoria 10 mg Supp - -
Bisakodil Tablet 5mg Tablet 216 -
59 Bisoprolol Tablet 5 mg Tablet - -
60 Bromheksin 8 mg Tablet - -
Bromheksin 8 mg Tablet 253 -
61 Cresotin Pasta Botol - -
62 Cresotin Liquid No 2 Botol - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097 -
64 Deksametason Tablet 0,5 mg Tablet 133 -
Deksametason Tablet 0,5 mg Tablet 41 -
Deksametason Tablet 0,5 mg Tablet 66 -
65 Devitalisasi Pasta (Non Arsen) Botol - -
66 Diazepam tablet 2 mg Tablet - -
67 Diazepam tablet 5 mg Tablet - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735 -
69 Diazepam Larutan Rektal 5 mg/ml Supp - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176 -
73 Digoksin Tablet 0,25 mg Tablet 104 -
Digoksin Tablet 0,25 mg Tablet 105 -
74 Dimenhidrinat Tablet 50 mg Tablet 99 -
Dimenhidrinat Tablet 50 mg Tablet 109 -
75 Domperidon Tablet 10 mg Tablet 91 -
Domperidon Tablet 10 mg Tablet 71 -
Domperidon Tablet 10 mg Tablet 289 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,295 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408 -
80 Eritromisin Kapsul 250 mg Kapsul 557 -
81 Eritromisin Kapsul 500 mg Kapsul - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet - -
84 Etanol 70 % 100 ml Botol - -
85 Etil Klorida Semprot -100 ml Botol 246,400 -
86 Eugenol Cairan -10 ml Botol 18,824 -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152 -
Fenitoin Natrium Kapsul 100 mg Kapsul 154 -
Fenitoin Natrium Kapsul 100 mg Kapsul 484 -
88 Fenobarbital tablet 30 mg Tablet 171 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605 -
92 Fenol Gliserol TK Botol 3,330 -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 748 -
Fitomenadion tablet 10 mg Tablet 695 -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 1,386 -
97 Furosemid Tablet 40 mg Tablet 154 -
Furosemid Tablet 40 mg Tablet 144 -
98 Furosemid injeksi Ampul 1,333 -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Kantong
Air 260 -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Kantong
Air 274 -
100 Gemfibrozil Tablet 600 mg Tablet 769 -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830 -
Gentamisin Salep Kulit 0,1 % Tube 2,115 -
Gentamisin Salep Kulit 0,1 % Tube 2,376 -
104 Glass Ionomer Set - -
105 Glibenklamid Tablet 5 mg Tablet 119 -
Glibenklamid Tablet 5 mg Tablet 83 -
106 Glimepiride 2 mg Tablet 123 -
Glimepiride 2 mg Tablet 231 -
107 Gliseril Guayakolat Tablet 100 mg Tablet - -
Gliseril Guayakolat Tablet 100 mg Tablet 87 -
108 Gliseril Guayakolat sirup Botol - -
Gliseril Guayakolat sirup Botol 7,000 -
109 Glukonas Kalsikus injeksi Ampul 10,351 -
Glukonas Kalsikus injeksi Ampul 5,775 -
110 Glukosa Larutan Infus 5 % Botol 6,900 -
111 Glukosa Larutan Infus10 % Botol - -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210 -
Griseofulvin Tablet 500 mg,micronized Tablet 1,264 -
113 Haloperidol Tablet 0,5 mg Tablet 47 -
Haloperidol Tablet 0,5 mg Tablet 58 -
Haloperidol Tablet 0,5 mg Tablet 56 -
114 Haloperidol Tablet 1,5 mg Tablet 51 -
Haloperidol Tablet 1,5 mg Tablet 66 -
Haloperidol Tablet 1,5 mg Tablet 61 -
115 Haloperidol Tablet 5 mg Tablet 56 -
116 Haloperidol injeksi 5 mg/ml Ampul - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155 -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149 -
119 Hidrokortison Krim 2,5 % Tube 2,325 -
Hidrokortison Krim 2,5 % Tube 2,650 -
Hidrokortison Krim 2,5 % Tube 2,639 -
Hidrokortison Krim 2,5 % Tube 2,347 -
120 Ibuprofen Tablet 200 mg Tablet 102 -
Ibuprofen Tablet 200 mg Tablet 138 -
121 Ibuprofen Tablet 400 mg Tablet 191 -
Ibuprofen Tablet 400 mg Tablet 308 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,236 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet - -
125 Isoniazid tablet 300 mg Tablet - -
126 Isosorbid Dinitrat 5 mg Tablet 89 -
Isosorbid Dinitrat 5 mg Tablet 88 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275 -
Kalium Diklofenak Tablet 50 mg Tablet 385 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 61 -
Kalsium Laktat Tablet 500 mg Tablet 63 -
131 Kaptopril 12,5 mg Tablet 66 -
132 Kaptopril 25 mg Tablet 187 -
Kaptopril 25 mg Tablet 75 -
133 Karbamazepin Tablet 200 mg Tablet 230 -
134 Ketokonazole Krim 2 % - 15 gr Tube - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545 -
Ketokonazole Krim 2 % - 15 gr Tube 2,370 -
135 Ketokonazole Tablet 200 mg Tablet 455 -
Ketokonazole Tablet 200 mg Tablet 280 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,450 -
140 Klindamisin Kapsul 150 mg Kapsul 715 -
141 Klindamisin Kapsul 300 mg Kapsul 583 -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700 -
Kloramfenikol suspensi125mg/5 ml Botol 5,015 -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810 -
145 Kloramfenikol Salep Kulit 2% Tube 3,266 -
Kloramfenikol Salep Kulit 2% Tube 3,296 -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402 -
Kloramfenikol Tetes Mata -5 ml Botol 11,000 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402 -
Kloramfenikol Tetes Telinga 3%-5 ml Botol 7,700 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 33 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 45 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550 -
153 Kombipak Cefixime+ Azithromisin Kotak - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 123 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151 -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129 -
156
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml
- -
157 Lansoprazole 30 mg Kapsul Tablet 303 -
Lansoprazole 30 mg Kapsul Tablet 319 -
Lansoprazole 30 mg Kapsul Tablet 323 -
Lansoprazole 30 mg Kapsul Tablet 278 -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644 -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696 -
161 Lidokain injeksi 2 % Tablet 847 -

Lidokain injeksi 2 % Ampul


1,111 -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 860 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 120 -
Loperamid Tablet 2 mg Tablet 80 -
165 Loratadin tablet 10 mg Tablet 109 -
Loratadin tablet 10 mg Tablet 131 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328 -
Loperamid Tablet 2 mg Tablet 80 -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200 -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,581 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796 -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 4,090 -
168 MB Anak Blister - -
169 MB Dewasa Blister - -
170 Meloksikam tablet 15 mg Tablet 700 -
Meloksikam tablet 15 mg Tablet 707 -
Meloksikam tablet 15 mg Tablet 187 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96 -
Metformin Hcl Tablet 500 mg Tablet 77 -
173 Metformin 850 mg Tablet 150 -
Metformin 850 mg Tablet 154 -
174 Metildopa 250 mg tablet Tablet 946 -
Metildopa 250 mg tablet Tablet 985 -
175 Methisoprinol 500 mg Tablet 3,300 -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
214 -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420 -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


216 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 1,023 -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849 -
178 Metilprednisolon tablet 4 mg Tablet 330 -
Metilprednisolon tablet 4 mg Tablet 102 -
179 Metoklopramid 10 mg Tablet 80 -
Metoklopramid 10 mg Tablet 90 -
Metoklopramid 10 mg Tablet 87 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 133 -
Metronidazole Tablet 500 mg Tablet 211 -
183 Metronidazole sirup 125 mg/ml Botol - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110 -
185 Mikonazole KrIm 2 % - 10 gr Tube - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250 -
186 Multivitamin + Mineral tablet Tablet - -
Multivitamin + Mineral tablet Tablet 800 -
Multivitamin + Mineral tablet Tablet 825 -
187 Multivitamin sirup Botol 6,793 -
Multivitamin sirup Botol 7,603 -
Multivitamin sirup Botol 7,150 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128 -
Natrum Diklofenak Tablet 25 mg Tablet 145 -
191 Natrium Diklofenak Tablet 50 mg Tablet 99 -
Natrium Diklofenak Tablet 50 mg Tablet 100 -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410 -
193 Nipedifin Tablet 10 mg Tablet - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500 -
Nistatin suspensi 100.000 IU/ml Botol 11,500 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560 -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843 -
197 Obat Antitiuberkolosis Kategori Anak Paket - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759 -
207 Obat Batuk Hitam Plus Sirup Botol - -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898 -
214 Omeprazole Kapsul 20 mg Tablet 129 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070 -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649 -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,161 -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 165 -
Parasetamol Tablet 500 mg Tablet 143 -
Parasetamol Tablet 500 mg Tablet 278 -
220 PB Anak Blister - -
221 PB Dewasa Blister - -
222 Pehacain injeksi Ampul 3,113 -
Pehacain injeksi Ampul 3,000 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700 -
224 Permetrin krim 5 % Tube 11,825 -
Permetrin krim 5 % Tube 11,466 -
225 Piracetam Tablet 400 mg Tablet - -
226 Piracetam Tablet 800 mg Tablet - -
227 Piroksikam Tablet 20 mg Tablet 165 -
Piroksikam Tablet 20 mg Tablet 130 -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 129 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118 -
231 Povidon Iodida 10% 30 ml Botol 3,045 -
Povidon Iodida 10% 30 ml Botol 3,361 -
232 Povidon Iodida 10% 60 ml Botol 3,885 -
Povidon Iodida 10% 60 ml Botol 22,049 -
233 Povidon Iodida 10% 300 ml Botol 18,900 -
Povidon Iodida 10% 300 ml Botol 25,850 -
234 Prednison Tablet 5 mg Tablet 76 -
Prednison Tablet 5 mg Tablet 68 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76 -
Propanolol Hcl Tablet 40 mg Tablet 74 -
238 Propilturasil Tablet 100 mg Tablet 385 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155 -
240 Ranitidin Tablet 150 mg Tablet 85 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517 -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630 -
246 Salbutamol Tablet 2 mg Tablet 63 -
Salbutamol Tablet 2 mg Tablet 67 -
Salbutamol Tablet 2 mg Tablet 118 -
247 Salbutamol Tablet 4 mg Tablet 70 -
Salbutamol Tablet 4 mg Tablet 87 -
Salbutamol Tablet 4 mg Tablet 99 -
Salbutamol Tablet 4 mg Tablet 162 -
248 Salbutamol solution for Inhalation single dose units 2,5
Ampul
ml - -
249
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,333 -

Salep 2-4 Kombinasi : Pot


Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797 -
250 Salisil bedak 2% -50 gr Kotak 1,025 -
Salisil bedak 2% -50 gr Kotak 1,925 -
251 Salep Luka Bakar Tube 11,500 -
Salep Luka Bakar Tube 10,958 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922 -
253 Sefadroksil Tablet 500 mg Tablet 478 -
Sefadroksil Tablet 500 mg Tablet 594 -
Sefadroksil Tablet 500 mg Tablet 830 -
254 Sefiksim Kapsul 100 mg Kapsul - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - -
256 Sefotaksim Injeksi 1 gr Ampul - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 49 -
Setirizin Tablet 10 mg Tablet 143 -
Setirizin Tablet 10 mg Tablet 49 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,090 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 969 -
262 Sianokobalamin Tablet 50 mcg Tablet 43 -
Sianokobalamin Tablet 50 mcg Tablet 51 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 363 -
265 Simvastatin Tablet 10 mg Tablet 68 -
Simvastatin Tablet 10 mg Tablet 111 -
Simvastatin Tablet 10 mg Tablet 131 -
266 Siprofloksasin 500mg Tablet 281 -
Siprofloksasin 500mg Tablet 240 -
Siprofloksasin 500mg Tablet 248 -
267 Spironolakton Tablet 25 mg Tablet 190 -
Spironolakton Tablet 25 mg Tablet 244 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi:
Tablet
Besi II Sulfat 200 mg + Asam Folat 0,25 mg 353 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303 -
Tetrasiklin Kapsul 500 mg Kapsul 310 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 185 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86 -
276 Thiamfenikol Kapsul 500 mg Kapsul 913 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80 -
280 Vitamin B .Komplek Tablet Tablet 55 -
Vitamin B .Komplek Tablet Tablet 115 -
281 Vitamin Neurotropik Tablet Tablet 440 -
Vitamin Neurotropik Tablet Tablet 660 -
Vitamin Neurotropik Tablet Tablet 866 -
282 Zinc Tablet 20 mg Tablet 524 -
Zinc Tablet 20 mg Tablet 208 -
Zinc Sulfat 20 mg/5 ml Tablet 3,171 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972 -
284 Aminofillin Tablet 150 mg Tablet 139 -
285 Asam Folat Tablet 0,4 mg Tablet 52 -
Asam Folat Tablet 0,4 mg Tablet 56 -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,520 -
Gentamisin Sulfat tetes mata 0,3% Botol 4,561 -
287 Obat Kumur Botol 16,962 -
288 Salep Betametason + Neomisin Tube 12,793 -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200 -
290 Propanolol 10mg Tablet 52 -
Propanolol 10mg Tablet 60 -
291 Tablet Pemanis Botol 34,000 -
292 Bisakodil Suppositoria 5 mg Supp 5,670 -
Bisakodil Suppositoria 5 mg Supp 36,000 -
Bisakodil Suppositoria 5 mg Supp 5,085 -
293 Obat Batuk Herbal (Herbakof) Botol 9,680 -
Obat Batuk Herbal (Herbakof) Botol 17,600 -
Obat Batuk Herbal (Herbakof) Botol 16,563 -
294 Amoksisillin Drops Botol 13,500 -
295 Tablet Hepatoprotector (Curcuma) Pot 416 -
296 Simvastatin 20mg Tablet 150 -
297 Klozapine 25mg Tablet 473 -
298 Bisoprolol 2,5mg Tablet 626 -
Bisoprolol 2,5mg Tablet 124 -
299 Vitamin C 500mg Tablet 490 -
RAMVIT-C C 500mg Tablet 225 -
300 Vitamin D 1000 IU Tablet 2,503 -
301 Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
Tablet
Acid 979 -
302 Multivitamin Syrup Tablet 12,500 -
Multivitamin Syrup Tablet 12,100 -
303 Risperidon 2 mg Tablet 123 -
304 Alpara Kaplet Kaplet 757 -
305 Asam Traneksamat Tablet 1,485 -
Novapharin Tablet 266 -
FORNERO TABLET Tablet 504 -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,930 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,624 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631 -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,700 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700 -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950 -
Alat Gula, Kolesterol, Asam Urat Unit 886,545 -
6 Alat Suntik Sekali Pakai 1 ml Set 652 -
Alat Suntik Sekali Pakai 1 ml Set 809 -
7 Alat Suntik Sekali Pakai 3 ml Set 685 -
Alat Suntik Sekali Pakai 3 ml Set 652 -
Alat Suntik Sekali Pakai 3 ml Set 802 -
Alat Suntik Sekali Pakai 3 ml Set 854 -
8 Alat Suntik Sekali Pakai 5 ml Set 815 -
Alat Suntik Sekali Pakai 5 ml Set 777 -
9 Set
Alat Suntik Sekali Pakai 10 ml 979 -
Alat Suntik Sekali Pakai 10 ml Set 932 -
10 Alkohol Swab Kotak 197 -
Alkohol Swab Kotak 109 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354 -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,195 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583 -
14 Blood Set Set 8,193 -
Blood Set Set 512,000 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,667 -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 25,009 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150 -
18 Etanol 70 % 1.000 ml Botol 26,250 -
Etanol 70 % 1.000 ml Botol 23,595 -
19 Eter Alkohol Botol - -
20 Folley Catheter no 14 Set 18,450 -
21 Folley Catheter no 16 Set 18,450 -
Folley Catheter no 16 Set 20,295 -
Folley Catheter no 16 Set 9,593 -
22 Folley Catheter no 18 Set 18,450 -
Folley Catheter no 18 Set 20,295 -
Folley Catheter no 19 Set 9,593 -
23 Infus set Anak Set 6,458 -
Infus set Anak Set 23,673 -
24 Infus set Dewasa Set 5,445 -
Infus set Dewasa Set 9,070 -
Infus set Dewasa Set 6,390 -
Infus set Dewasa Set 6,448 -
25 Iodina Test Botol - -
26 Kaca Slide Pcs - -
27
Bungkus
Kapas Berlemak 500 gram - -
28
Bungkus
Kapas Pembalut / Adsorbens 250 gram 20,600 -

Bungkus
Kapas Pembalut / Adsorbens 250 gram 25,410 -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400 -
Kassa Pembalut 2 m x 80 cm Rol 9,870 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805 -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690 -
Kassa Hidrofil Steril 16 x 17 Kotak 17,100 -
33
Bungkus
Kassa Kompres 40 x 40 steril 43,600 -
34 Kertas Puyer Pcs - -
35 Kertas Saring Lembar - -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050 -
38 Masker Buah 439 -
Masker Buah 340 -
Masker Ear Loop Buah 2,475 -
Masker Ear Loop Buah 707 -
Masker Head Loop Buah 2,640 -
Masker Rajawali Buah 1,030 -
Masker Rajawali Buah 432 -
Masker Head Loop Buah 1,140 -
39 Masker N 95 Pcs 6,707 -
Masker N 96 Pcs 147,562 -
40 Minyak Imersi Botol - -
41 Plester Kertas Rol 15,333 -
42 Polifix Rol 30,000 -
Polifix Rol 39,217 -
Polifix Rol 31,900 -
Polifix Rol 43,600 -
43 Pot Dahak Pcs - -
44 Rapid 2 HIV Fokus Test - -
45 Rapid HIV 1 (SD HIV) Test - -
46 Rapid HIV 2 (Intec HIV) Test - -
47 Rapid HIV 2 (Biomeriux HIV) Test - -
48 Rapid Tes SD Bioline HBSAG Test - -
49 Rapid Test Syphilis Test - -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol - -
53 RPR Test Syphilis Test - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610 -
Silk( Benang Bedah Sutra ) No 3/0 Sachet 15,229 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671 -
55 Safety Box Pcs - -
56 Sarung tangan Steril No 6 Pcs 6,595 -
Sarung tangan Steril No 6 Pcs 4,500 -
57 Sarung tangan Steril No 7 Pcs 4,500 -
Sarung tangan Steril No 7 Pcs 12,100 -
58 Sarung tangan Steril No 7,5 Pcs 6,595 -
Sarung tangan Steril No 7,5 Pcs 4,500 -
Sarung tangan Steril No 7,5 Pcs 12,100 -
Sarung tangan Steril No 7,5 Pcs 8,250 -
59 Sarung tangan Non Steril S Pcs 600 -
Sarung tangan Non Steril S Pcs 71,152 -
Sarung tangan Non Steril S Pcs 1,320 -
Sarung tangan Non Steril S Pcs 1,225 -
Sarung tangan Non Steril S Pcs 833 -
60 Sarung tangan Non Steril M Pcs 71,152 -
Sarung tangan Non Steril M Pcs 66,054 -
Sarung tangan Non Steril M Pcs 1,320 -
Sarung tangan Non Steril M Pcs 1,225 -
Sarung tangan Non Steril M Pcs 833 -
61 Sarung tangan Non Steril L Pcs 600 -
Sarung tangan Non Steril L Pcs 66,054 -
Sarung tangan Non Steril L Pcs 60,049 -
Sarung tangan Non Steril L Pcs 833 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test 6,107 -
Stik Pemeriksaan Gula Darah Test 305,329 -
Stik Pemeriksaan Gula Darah Test 6,490 -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000 -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582 -
64 Stik Pemeriksaan Kolesterol Test 23,158 -
Stik Pemeriksaan Kolesterol Test 231,000 -
Stik Pemeriksaan Kolesterol Test 29,805 -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000 -
65 Stik Pemeriksaan Asam Urat Test 5,086 -
Stik Pemeriksaan Asam Urat Benecheck Test 150,000 -
Stik Pemeriksaan Asam Urat Test 10,966 -
Stik Pemeriksaan Asam Urat Test 24,125 -
66 Supratul Lembar 10,400 -
67 Urine Bag set 8,070 -
Urine Bag set 3,090 -
Urine Bag set 4,362 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 14,420 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800 -
Cairan Antiseptik Botol 500 ml Botol 66,880 -
Cairan Antiseptik Botol 500 ml Botol 100,100 -
Cairan Antiseptik Botol 500 ml Botol 47,000 -
71 Bisturi Pcs 12,682 -
Bisturi Pcs 279,000 -
Bisturi Pcs 3,300 -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000 -
3 Surface Desintfectan 5L Botol 1,098,900 -
73 Cairan Desinfektan 5 Liter Botol 396,000 -
High Level Desintfectan/sterald Botol 396,000 -
74 Cairan Detergen 5 Liter Botol 712,800 -
75 Gel USG Botol 13,213 -
Gel USG Botol 14,880 -
Gel USG Botol 14,553 -
76 IV Dressing Pcs 220,000 -
IV Dressing Pcs 2,200 -
77 Mucus Extractor Pcs 7,251 -
78 Nasal Oxygen Anak Pcs 5,814 -
79 Nasal Oxygen Bayi Pcs 5,814 -
80 Nasal Oxygen Dewasa Pcs 5,814 -
81 Plester Bulat Non Woven Pcs 317 -
82 Plester Transparan Pcs 1,678 -
83 PP test Pcs 1,997 -
PP test Pcs 2,133 -
PP test Pcs 2,379 -
84 Sarung tangan Steril No 6,5 Pcs 6,595 -
85 Sarung Tangan Obgyn Steril Pcs 19,941 -
Sarung Tangan Obgyn Steril Pcs 21,934 -
86 Stik Pemeriksaan Hb Pcs 8,000 -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678 -
Umbilical Cord Klem Steril Nylon Pcs 2,946 -
Umbilical Cord Klem Steril Nylon Pcs 1,339 -
88 Underpad 60x90 cm Non Steril Pcs 42,873 -
89 Stik Gula Darah Baru Pcs 6,717 -
90 Stik Asam Urat Baru Pcs 12,063 -
91 Stik Hb Test 8,034 -
92 ChOLESTROL chod-pap Kit 1,092,300 -
93 Creatinin mod iaffe Kit 838,200 -
94 Glucosa God-pap Kit 678,700 -
95 GOT (AST) mod iffe Kit 931,700 -
96 GPT Kit 931,700 -
97 Trigliserida GPO-PAP Kit 1,636,800 -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000 -
99 Urid Acid TBHA Kit 1,246,300 -
100 Dumacon Auto Kit 682,000 -
101 Micropipet 5,0-50 Ul Kit 2,315,500 -
102 Micropipet 10-100UL Kit 2,315,500 -
103 Tabung Vacutainer Kit 385,000 -
104 HGB Drab Kin Kit 431,200 -
105 Nasal Kanul Dewasa Pcs 13,454 -
Nasal Kanul Dewasa Pcs 13,770 -
106 Nasal Kanul Anak Pcs 13,454 -
Nasal Kanul Anak Pcs 5,390 -
107 Coveral II (APD) Non Woven Pcs 161,700 -
Coveral II (APD) Non Woven Pcs 110,599 -
108 Kantong Plastik Kuning 60cmx100cm Pak 21,450 -
109 Kantong Plastik Kuning 90cmx120cm Pak 21,450 -
110 Kantong Plastik Hitam 60cmx100cm Pak 18,700 -
111 Kantong Plastik Hitam 90cmx120cm Pak 18,700 -
112 Forsch Medical Disposible Gown Pcs 43,000 -

MESA PLASTIK SAMPAH HITAM 80 X 100 CM


22,200 -

MESA KANTONG PLASTIK KUNING 80 x 100 cm


26,600 -
C. SERUM DAN VAKSIN - -
1
Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial
48,000 -
2 Serum Anti Rabies untuk manusia Vial - -
3
Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Ampul
517,132 -
4
Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial
148,135 -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800 -
6 Vaksin BCG Ampul - -
7 Vaksin Campak 10 Dosis Vial - -
8 Vaksin DT Vial - -
9 Vaksin TD Vial - -
10 Vaksin DTP-HB Vial - -
11 Vaksin DPT-HB/Hib Vial - -
12 Vaksin HB Uniject Pcs - -
13 Vaksin MR (VVM.A) Vial - -
14 Vaksin Polio Vial - -
15 Vaksin Polio IPV 5 Dosis Vial - -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Buku Kontrak 500,000 -
19 - -
20 - -
10 Vaksin DPT-HB/Hib Vial 85,103 -
11 Vaksin HB Uniject Pcs 25,839 -
Vaksin HB Uniject Pcs 25,597 -
Vaksin HB Uniject Pcs 25,839 -
12 Vaksin MR (VVM.A) Vial 155,813 -
Vaksin MR (VVM.A) Vial 19,954 -
Vaksin MR (VVM.A) Vial 166,265 -
13 Vaksin MR (VVM.A) Vial 167,860 -
Vaksin Polio Vial 19,954 -
Vaksin Polio Vial 21,285 -
Vaksin Polio Vial 21,494 -
14 Vaksin Polio IPV 5 Dosis Vial 158,994 -
Vaksin Polio IPV 5 Dosis Vial 139,760 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
15 Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
Vaksin Polio IPV 5 Dosis Vial 158,500 -
Vaksin Polio IPV 5 Dosis Vial 25,839 -
Vaksin Polio 10 IPV Dosis Vial - -
Vaksin TT Vial - -
Vaksin Campak Bias Vial - -
Vaksin Covid-19 (10 d0sis)
Vial
1,339,441 -
16 Vaksin Astrazeneca Vial 581,607 -
17 Vaksin Coronavac 2 Dosis Vial - -
18 Vaksin Rabivax-S Vial 153,000 -
6 Vaksin BCG Ampul - -
7 Vaksin Campak 10 Dosis Vial - -
8 Vaksin DT Vial - -
9 Vaksin TD Vial - -
10 Vaksin DTP-HB Vial - -
11 Vaksin DPT-HB/Hib Vial - -
12 Vaksin HB Uniject Pcs - -
13 Vaksin MR (VVM.A) Vial - -
14 Vaksin Polio Vial - -
15 Vaksin Polio IPV 5 Dosis Vial - -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Buku Kontrak 500,000 -
19 - -
20 - -

JUMLAH TOTAL OBAT


JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN
Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP.19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023
-
K AWAL DESEMBER 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023
JKN JKN JKN
HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN (RP)
(RP)

- - - - -
- - - - -
- - - - -
- 87 - - 87
- 105 - - 105
- 200 - - 200
- - - - -
- 308 - - 308
- 165 - - 165
- 110 - - 110
- 3,627 - - 3,627
- 3,790 - - 3,790
- 2,750 - - 2,750
- 2,789 - - 2,789
- 139 - - 139
- 91 - - 91
- 143 - - 143
- 177 - - 177
- 70 - - 70
- 53 - - 53
- 53 - - 53
- 93 - - 93
- 70 - - 70
- 184 - - 184
- 195 - - 195
- 180 - - 180
- 374 - - 374
- 201 - - 201
- 232 - - 232
- 190 - - 190
- - - - -
- 3,531 - - 3,531
- 2,050 - - 2,050

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129 - - 2,129

- 1,679 - - 1,679

- 54 - - 54

- 58 - - 58

- 54 - - 54
- 187 - - 187
- 264 - - 264
- 214 - - 214
- 170 - - 170
- 209 - - 209
- - - - -

- - - - -
- 3,167 - - 3,167
- 3,250 - - 3,250

- 3,477 - - 3,477

- 4,158 - - 4,158

- 4,323 - - 4,323

- 3,509 - - 3,509

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 429 - - 429
- 1,188 - - 1,188
- 11,400 - - 11,400
- 8,000 - - 8,000
- - - - -
- - - - -
- - - - -
- 104 - - 104
- 103 - - 103
- 250 - - 250
- 198 100 19,841 198
- 304 - - 304
- - - - -
- - - - -
- - - - -
- - - - -
- 236 - - 236
- - - - -
- 152 - - 152
- 145 - - 145
- 1,540 - - 1,540
- 2,860 - - 2,860
- - - - -
- - - - -
- 110 - - 110
- 149 - - 149
- 89 - - 89
- 1,340 - - 1,340
- 1,380 - - 1,380
- 1,349 - - 1,349
- - - - -
- 216 - - 216
- - - - -
- - - - -
- 253 - - 253
- - - - -
- - - - -
- 1,097 - - 1,097
- 133 - - 133
- 41 - - 41
- 66 - - 66
- - - - -
- - - - -
- - - - -
- 1,735 - - 1,735
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176 - - 1,176
- 104 - - 104
- 105 - - 105
- 99 - - 99
- 109 - - 109
- 91 - - 91
- 71 - - 71
- 289 - - 289
- 2,295 - - 2,295
- - - - -
- - - - -

- 1,408 - - 1,408
- 557 - - 557
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400 - - 246,400
- 18,824 - - 18,824
- 152 - - 152
- 154 - - 154
- 484 - - 484
- 171 - - 171
- 1,857 - - 1,857
- - - - -
- 350 - - 350
- - - - -
- 605 - - 605
- 3,330 - - 3,330
- - - - -
- - - - -
- 748 - - 748
- 695 - - 695
- 3,682 - - 3,682
- 1,386 - - 1,386
- 154 - - 154
- 144 - - 144
- 1,333 - - 1,333

- 260 - - 260

- 274 - - 274
- 769 - - 769
- - - - -
- - - - -
- 1,830 - - 1,830
- 2,115 - - 2,115
- 2,376 - - 2,376
- - - - -
- 119 - - 119
- 83 - - 83
- 123 - - 123
- 231 - - 231
- - - - -
- 87 - - 87
- - - - -
- 7,000 - - 7,000
- 10,351 - - 10,351
- 5,775 - - 5,775
- 6,900 - - 6,900
- - - - -
- 210 - - 210
- 1,264 - - 1,264
- 47 - - 47
- 58 - - 58
- 56 - - 56
- 51 - - 51
- 66 - - 66
- 61 - - 61
- 56 - - 56
- - - - -
- 101,300 - - 101,300
- 155 - - 155
- 149 - - 149
- 2,325 - - 2,325
- 2,650 - - 2,650
- 2,639 - - 2,639
- 2,347 - - 2,347
- 102 - - 102
- 138 - - 138
- 191 - - 191
- 308 - - 308
- 2,365 - - 2,365
- 2,236 - - 2,236
- - - - -
- - - - -
- - - - -
- 89 - - 89
- 88 - - 88
- - - - -
- 275 - - 275
- 385 - - 385
- - - - -
- 61 - - 61
- 63 - - 63
- 66 - - 66
- 187 - - 187
- 75 - - 75
- 230 - - 230
- - - - -
- 2,545 - - 2,545
- 2,370 - - 2,370
- 455 - - 455
- 280 - - 280
- - - - -
- - - - -
- - - - -
- 1,450 - - 1,450
- 715 - - 715
- 583 - - 583
- - - - -
- 4,700 - - 4,700
- 5,015 - - 5,015
- - - - -
- 1,810 - - 1,810
- 3,266 - - 3,266
- 3,296 - - 3,296
- 6,402 - - 6,402
- 11,000 - - 11,000
- 6,402 - - 6,402
- 7,700 - - 7,700
- - - - -
- 42 - - 42
- 37 - - 37
- 23 - - 23
- 33 - - 33
- 45 - - 45
- - - - -
- 147 - - 147
- 1,510 - - 1,510

- 4,550 - - 4,550
- - - - -

- - - - -

- 123 - - 123
- 151 - - 151

- 129 - - 129

- - - - -
- 303 - - 303
- 319 - - 319
- 323 - - 323
- 278 - - 278

- - - - -

- 9,644 - - 9,644

- 10,696 - - 10,696
- 847 - - 847

- 1,111 - - 1,111

- 1,152 - - 1,152

- 860 - - 860
- - - - -
- 120 - - 120
- 80 - - 80
- 109 200 21,800 109
- 131 - - 131
- 3,328 - - 3,328
- 80 - - 80
- 3,200 - - 3,200
- 3,581 - - 3,581
- 3,796 - - 3,796
- 4,090 - - 4,090
- - - - -
- - - - -
- 700 - - 700
- 707 110 77,770 707
- 187 - - 187
- - - - -
- 96 - - 96
- 77 - - 77
- 150 - - 150
- 154 - - 154
- 946 - - 946
- 985 - - 985
- 3,300 - - 3,300

- 214 - - 214

- 420 - - 420

- 216 - - 216
- 1,023 - - 1,023
- 2,849 - - 2,849
- 330 - - 330
- 102 - - 102
- 80 - - 80
- 90 - - 90
- 87 - - 87
- - - - -
- - - - -
- 133 - - 133
- 211 - - 211
- - - - -
- 8,110 - - 8,110
- - - - -
- 3,250 - - 3,250
- - - - -
- 800 - - 800
- 825 - - 825
- 6,793 - - 6,793
- 7,603 - - 7,603
- 7,150 - - 7,150
- - - - -
- - - - -
- 128 - - 128
- 145 - - 145
- 99 - - 99
- 100 - - 100

- 6,410 - - 6,410
- - - - -
- 13,500 - - 13,500
- 11,500 - - 11,500
- 560 - - 560
- 598 - - 598
- 790 - - 790
- 843 - - 843
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479 - - 6,479
- 6,759 - - 6,759
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969 - - 1,969
- 2,005 - - 2,005
- 2,640 - - 2,640
- 1,199 - - 1,199
- 1,900 - - 1,900
- 9,898 - - 9,898

- 129 - - 129
- 1,070 - - 1,070

- 6,649 - - 6,649

- 8,693 - - 8,693
- 1,161 - - 1,161
- 1,181 - - 1,181
- - - - -
- 165 - - 165
- 143 - - 143
- 278 - - 278
- - - - -
- - - - -
- 3,113 - - 3,113
- 3,000 - - 3,000
- 20,700 - - 20,700
- 11,825 - - 11,825
- 11,466 - - 11,466
- - - - -
- - - - -
- 165 - - 165
- 130 - - 130

- - - - -
- 129 - - 129
- 118 - - 118
- 118 - - 118
- 3,045 - - 3,045
- 3,361 - - 3,361
- 3,885 - - 3,885
- 22,049 - - 22,049
- 18,900 - - 18,900
- 25,850 - - 25,850
- 76 - - 76
- 68 - - 68
- - - - -
- - - - -
- 76 - - 76
- 74 - - 74
- 385 - - 385
- 1,155 - - 1,155
- 85 - - 85
- 288 - - 288
- 517 - - 517
- 508 - - 508
- - - - -
- - - - -
- 7,630 - - 7,630
- 63 - - 63
- 67 - - 67
- 118 - - 118
- 70 - - 70
- 87 - - 87
- 99 - - 99
- 162 - - 162

- - - - -

- 2,333 - - 2,333

- 2,797 - - 2,797
- 1,025 - - 1,025
- 1,925 - - 1,925
- 11,500 - - 11,500
- 10,958 - - 10,958
- 3,922 - - 3,922
- 478 - - 478
- 594 - - 594
- 830 - - 830
- - - - -
- - - - -
- - - - -
- 4,483 - - 4,483
- - - - -
- 49 - - 49
- 143 - - 143
- 49 - - 49
- 2,090 - - 2,090
- 2,915 - - 2,915
- 969 - - 969
- 43 - - 43
- 51 - - 51
- - - - -
- 363 - - 363
- 68 - - 68
- 111 - - 111
- 131 - - 131
- 281 - - 281
- 240 - - 240
- 248 4 992 248
- 190 - - 190
- 244 - - 244
- - - - -

- 353 - - 353

- - - - -
- - - - -
- - - - -
- 303 - - 303
- 310 - - 310
- - - - -
- 185 - - 185
- 82 - - 82
- 91 - - 91
- 86 - - 86
- 913 - - 913
- - - - -
- - - - -
- 85 - - 85
- 80 - - 80
- 55 - - 55
- 115 - - 115
- 440 - - 440
- 660 - - 660
- 866 - - 866
- 524 - - 524
- 208 - - 208
- 3,171 - - 3,171
- 2,972 - - 2,972
- 139 - - 139
- 52 - - 52
- 56 - - 56
- 4,520 - - 4,520
- 4,561 - - 4,561
- 16,962 - - 16,962
- 12,793 - - 12,793
- 13,200 - - 13,200
- 52 - - 52
- 60 - - 60
- 34,000 - - 34,000
- 5,670 - - 5,670
- 36,000 - - 36,000
- 5,085 - - 5,085
- 9,680 - - 9,680
- 17,600 - - 17,600
- 16,563 - - 16,563
- 13,500 - - 13,500
- 416 - - 416
- 150 - - 150
- 473 - - 473
- 626 - - 626
- 124 - - 124
- 490 - - 490
- 225 - - 225
- 2,503 - - 2,503

- 979 100 97,900 979


- 12,500 - - 12,500
- 12,100 - - 12,100
- 123 - - 123
- 757 - - 757
- 1,485 - - 1,485
- 266 - - 266
- 504 - - 504
- - - - -
- 6,930 - - 6,930
- 8,700 - - 8,700
- 8,624 - - 8,624
- 12,631 - - 12,631
- 8,700 - - 8,700
- 6,239 - - 6,239
- 8,700 - - 8,700
- 8,700 - - 8,700
- 8,700 - - 8,700
- 805,950 - - 805,950
- 886,545 - - 886,545
- 652 - - 652
- 809 - - 809
- 685 - - 685
- 652 - - 652
- 802 - - 802
- 854 - - 854
- 815 - - 815
- 777 - - 777

- 979 - - 979
- 932 - - 932
- 197 - - 197
- 109 300 32,598 109
- 1,354 - - 1,354
- 2,195 - - 2,195
- 1,185 - - 1,185
- 1,583 - - 1,583
- 8,193 - - 8,193
- 512,000 - - 512,000
- 26,667 - - 26,667
- 320,000 - - 320,000
- 25,009 - - 25,009
- 32,800 - - 32,800
- 40,923 - - 40,923
- 33,538 - - 33,538
- 3,150 - - 3,150
- 26,250 - - 26,250
- 23,595 - - 23,595
- - - - -
- 18,450 - - 18,450
- 18,450 - - 18,450
- 20,295 - - 20,295
- 9,593 - - 9,593
- 18,450 - - 18,450
- 20,295 - - 20,295
- 9,593 - - 9,593
- 6,458 - - 6,458
- 23,673 - - 23,673
- 5,445 - - 5,445
- 9,070 - - 9,070
- 6,390 - - 6,390
- 6,448 - - 6,448
- - - - -
- - - - -
- - - - -

- 20,600 - - 20,600

- 25,410 - - 25,410
- 9,400 - - 9,400
- 9,870 - - 9,870
- 805 - - 805
- 840 - - 840
- 3,800 - - 3,800
- 7,370 - - 7,370
- 8,690 - - 8,690
- 17,100 - - 17,100

- 43,600 - - 43,600
- - - - -
- - - - -
- - - - -
- 43,050 - - 43,050
- 439 - - 439
- 340 - - 340
- 2,475 - - 2,475
- 707 - - 707
- 2,640 - - 2,640
- 1,030 - - 1,030
- 432 - - 432
- 1,140 - - 1,140
- 6,707 - - 6,707
- 147,562 - - 147,562
- - - - -
- 15,333 - - 15,333
- 30,000 - - 30,000
- 39,217 - - 39,217
- 31,900 - - 31,900
- 43,600 - - 43,600
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610 - - 20,610
- 15,229 - - 15,229
- 19,700 - - 19,700
- 22,671 - - 22,671
- - - - -
- 6,595 - - 6,595
- 4,500 - - 4,500
- 4,500 - - 4,500
- 12,100 - - 12,100
- 6,595 - - 6,595
- 4,500 - - 4,500
- 12,100 - - 12,100
- 8,250 - - 8,250
- 600 - - 600
- 71,152 - - 71,152
- 1,320 - - 1,320
- 1,225 - - 1,225
- 833 - - 833
- 71,152 - - 71,152
- 66,054 - - 66,054
- 1,320 - - 1,320
- 1,225 - - 1,225
- 833 - - 833
- 600 - - 600
- 66,054 - - 66,054
- 60,049 - - 60,049
- 833 - - 833
- - - - -
- 6,107 - - 6,107
- 305,329 - - 305,329
- 6,490 - - 6,490
- 160,000 - - 160,000
- 3,582 - - 3,582
- 23,158 - - 23,158
- 231,000 - - 231,000
- 29,805 - - 29,805
- 250,000 - - 250,000
- 5,086 - - 5,086
- 150,000 - - 150,000
- 10,966 - - 10,966
- 24,125 - - 24,125
- 10,400 - - 10,400
- 8,070 - - 8,070
- 3,090 - - 3,090
- 4,362 - - 4,362
- - - - -
- 14,420 - - 14,420
- 60,800 - - 60,800
- 66,880 - - 66,880
- 100,100 - - 100,100
- 47,000 - - 47,000
- 12,682 - - 12,682
- 279,000 - - 279,000
- 3,300 - - 3,300
- 595,000 - - 595,000
- 1,098,900 - - 1,098,900
- 396,000 - - 396,000
- 396,000 - - 396,000
- 712,800 - - 712,800
- 13,213 - - 13,213
- 14,880 - - 14,880
- 14,553 - - 14,553
- 220,000 - - 220,000
- 2,200 - - 2,200
- 7,251 - - 7,251
- 5,814 - - 5,814
- 5,814 - - 5,814
- 5,814 - - 5,814
- 317 - - 317
- 1,678 - - 1,678
- 1,997 - - 1,997
- 2,133 - - 2,133
- 2,379 - - 2,379
- 6,595 - - 6,595
- 19,941 - - 19,941
- 21,934 - - 21,934
- 8,000 - - 8,000
- 2,678 - - 2,678
- 2,946 - - 2,946
- 1,339 - - 1,339
- 42,873 - - 42,873
- 6,717 - - 6,717
- 12,063 - - 12,063
- 8,034 - - 8,034
- 1,092,300 - - 1,092,300
- 838,200 - - 838,200
- 678,700 - - 678,700
- 931,700 - - 931,700
- 931,700 - - 931,700
- 1,636,800 - - 1,636,800
- 1,133,000 - - 1,133,000
- 1,246,300 - - 1,246,300
- 682,000 - - 682,000
- 2,315,500 - - 2,315,500
- 2,315,500 - - 2,315,500
- 385,000 - - 385,000
- 431,200 - - 431,200
- 13,454 - - 13,454
- 13,770 - - 13,770
- 13,454 - - 13,454
- 5,390 - - 5,390
- 161,700 - - 161,700
- 110,599 - - 110,599
- 21,450 - - 21,450
- 21,450 - - 21,450
- 18,700 - - 18,700
- 18,700 - - 18,700
- 43,000 - - 43,000

- 22,200 - - 22,200

- 26,600 - - 26,600
- - - - -

- 48,000 - - 48,000
- - - - -

- 517,132 - - 517,132

- 148,135 - - 148,135
- 176,800 - - 176,800
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000 - - 500,000
- - - - -
- - - - -
- 85,103 - - 85,103
- 25,839 - - 25,839
- 25,597 - - 25,597
- 25,839 - - 25,839
- 155,813 - - 155,813
- 19,954 - - 19,954
- 166,265 - - 166,265
- 167,860 - - 167,860
- 19,954 - - 19,954
- 21,285 - - 21,285
- 21,494 - - 21,494
- 158,994 - - 158,994
- 139,760 - - 139,760
- 169,653 - - 169,653
- 62,520 - - 62,520
- 144,540 - - 144,540
- 158,500 - - 158,500
- 25,839 - - 25,839
- - - - -
- - - - -
- - - - -

- 1,339,441 - - 1,339,441
- 581,607 - - 581,607
- - - - -
- 153,000 - - 153,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000 - - 500,000
- - - - -
- - - - -

- 218,303
- 32,598
- -
- 250,901
35,775,494
N JKN

- -
PENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- - - - -
- - - - -
- - 87 - -
- - 105 - -
- - 200 - -
- - - - -
- - 308 - -
- - 165 - -
- - 110 - -
- - 3,627 - -
- - 3,790 - -
- - 2,750 - -
- - 2,789 - -
- - 139 - -
- - 91 - -
- - 143 - -
- - 177 - -
- - 70 - -
- - 53 - -
- - 53 - -
- - 93 - -
- - 70 - -
- - 184 - -
- - 195 - -
- - 180 - -
- - 374 - -
- - 201 - -
- - 232 - -
- - 190 - -
- - - - -
- - 3,531 - -
- - 2,050 - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- - 2,129 - -

- - 1,679 - -

- - 54 - -

- - 58 - -

- - 54 - -
- - 187 - -
- - 264 - -
- - 214 - -
- - 170 - -
- - 209 - -
- - - - -

- - - - -
- - 3,167 - -
- - 3,250 - -

- - 3,477 - -

- - 4,158 - -

- - 4,323 - -

- - 3,509 - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 429 - -
- - 1,188 - -
- - 11,400 - -
- - 8,000 - -
- - - - -
- - - - -
- - - - -
- - 104 - -
- - 103 - -
- - 250 - -
- - 198 100 19,841
- - 304 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 236 - -
- - - - -
- - 152 - -
- - 145 - -
- - 1,540 - -
- - 2,860 - -
- - - - -
- - - - -
- - 110 - -
- - 149 - -
- - 89 - -
- - 1,340 - -
- - 1,380 - -
- - 1,349 - -
- - - - -
- - 216 - -
- - - - -
- - - - -
- - 253 - -
- - - - -
- - - - -
- - 1,097 - -
- - 133 - -
- - 41 - -
- - 66 - -
- - - - -
- - - - -
- - - - -
- - 1,735 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 1,176 - -
- - 104 - -
- - 105 - -
- - 99 - -
- - 109 - -
- - 91 - -
- - 71 - -
- - 289 - -
- - 2,295 - -
- - - - -
- - - - -

- - 1,408 - -
- - 557 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 246,400 - -
- - 18,824 - -
- - 152 - -
- - 154 - -
- - 484 - -
- - 171 - -
- - 1,857 - -
- - - - -
- - 350 - -
- - - - -
- - 605 - -
- - 3,330 - -
- - - - -
- - - - -
- - 748 - -
- - 695 - -
- - 3,682 - -
- - 1,386 - -
- - 154 - -
- - 144 - -
- - 1,333 - -

- - 260 - -

- - 274 - -
- - 769 - -
- - - - -
- - - - -
- - 1,830 - -
- - 2,115 - -
- - 2,376 - -
- - - - -
- - 119 - -
- - 83 - -
- - 123 - -
- - 231 - -
- - - - -
- - 87 - -
- - - - -
- - 7,000 - -
- - 10,351 - -
- - 5,775 - -
- - 6,900 - -
- - - - -
- - 210 - -
- - 1,264 - -
- - 47 - -
- - 58 - -
- - 56 - -
- - 51 - -
- - 66 - -
- - 61 - -
- - 56 - -
- - - - -
- - 101,300 - -
- - 155 - -
- - 149 - -
- - 2,325 - -
- - 2,650 - -
- - 2,639 - -
- - 2,347 - -
- - 102 - -
- - 138 - -
- - 191 - -
- - 308 - -
- - 2,365 - -
- - 2,236 - -
- - - - -
- - - - -
- - - - -
- - 89 - -
- - 88 - -
- - - - -
- - 275 - -
- - 385 - -
- - - - -
- - 61 - -
- - 63 - -
- - 66 - -
- - 187 - -
- - 75 - -
- - 230 - -
- - - - -
- - 2,545 - -
- - 2,370 - -
- - 455 - -
- - 280 - -
- - - - -
- - - - -
- - - - -
- - 1,450 - -
- - 715 - -
- - 583 - -
- - - - -
- - 4,700 - -
- - 5,015 - -
- - - - -
- - 1,810 - -
- - 3,266 - -
- - 3,296 - -
- - 6,402 - -
- - 11,000 - -
- - 6,402 - -
- - 7,700 - -
- - - - -
- - 42 - -
- - 37 - -
- - 23 - -
- - 33 - -
- - 45 - -
- - - - -
- - 147 - -
- - 1,510 - -

- - 4,550 - -
- - - - -

- - - - -

- - 123 - -
- - 151 - -

- - 129 - -

- - - - -
- - 303 - -
- - 319 - -
- - 323 - -
- - 278 - -

- - - - -

- - 9,644 - -

- - 10,696 - -
- - 847 - -

- - 1,111 - -

- - 1,152 - -

- - 860 - -
- - - - -
- - 120 - -
- - 80 - -
- - 109 200 21,800
- - 131 - -
- - 3,328 - -
- - 80 - -
- - 3,200 - -
- - 3,581 - -
- - 3,796 - -
- - 4,090 - -
- - - - -
- - - - -
- - 700 - -
- - 707 110 77,770
- - 187 - -
- - - - -
- - 96 - -
- - 77 - -
- - 150 - -
- - 154 - -
- - 946 - -
- - 985 - -
- - 3,300 - -

- - 214 - -

- - 420 - -

- - 216 - -
- - 1,023 - -
- - 2,849 - -
- - 330 - -
- - 102 - -
- - 80 - -
- - 90 - -
- - 87 - -
- - - - -
- - - - -
- - 133 - -
- - 211 - -
- - - - -
- - 8,110 - -
- - - - -
- - 3,250 - -
- - - - -
- - 800 - -
- - 825 - -
- - 6,793 - -
- - 7,603 - -
- - 7,150 - -
- - - - -
- - - - -
- - 128 - -
- - 145 - -
- - 99 - -
- - 100 - -

- - 6,410 - -
- - - - -
- - 13,500 - -
- - 11,500 - -
- - 560 - -
- - 598 - -
- - 790 - -
- - 843 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 6,479 - -
- - 6,759 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 1,969 - -
- - 2,005 - -
- - 2,640 - -
- - 1,199 - -
- - 1,900 - -
- - 9,898 - -

- - 129 - -
- - 1,070 - -

- - 6,649 - -

- - 8,693 - -
- - 1,161 - -
- - 1,181 - -
- - - - -
- - 165 - -
- - 143 - -
- - 278 - -
- - - - -
- - - - -
- - 3,113 - -
- - 3,000 - -
- - 20,700 - -
- - 11,825 - -
- - 11,466 - -
- - - - -
- - - - -
- - 165 - -
- - 130 - -

- - - - -
- - 129 - -
- - 118 - -
- - 118 - -
- - 3,045 - -
- - 3,361 - -
- - 3,885 - -
- - 22,049 - -
- - 18,900 - -
- - 25,850 - -
- - 76 - -
- - 68 - -
- - - - -
- - - - -
- - 76 - -
- - 74 - -
- - 385 - -
- - 1,155 - -
- - 85 - -
- - 288 - -
- - 517 - -
- - 508 - -
- - - - -
- - - - -
- - 7,630 - -
- - 63 - -
- - 67 - -
- - 118 - -
- - 70 - -
- - 87 - -
- - 99 - -
- - 162 - -

- - - - -

- - 2,333 - -

- - 2,797 - -
- - 1,025 - -
- - 1,925 - -
- - 11,500 - -
- - 10,958 - -
- - 3,922 - -
- - 478 - -
- - 594 - -
- - 830 - -
- - - - -
- - - - -
- - - - -
- - 4,483 - -
- - - - -
- - 49 - -
- - 143 - -
- - 49 - -
- - 2,090 - -
- - 2,915 - -
- - 969 - -
- - 43 - -
- - 51 - -
- - - - -
- - 363 - -
- - 68 - -
- - 111 - -
- - 131 - -
- - 281 - -
- - 240 - -
- - 248 4 992
- - 190 - -
- - 244 - -
- - - - -

- - 353 - -

- - - - -
- - - - -
- - - - -
- - 303 - -
- - 310 - -
- - - - -
- - 185 - -
- - 82 - -
- - 91 - -
- - 86 - -
- - 913 - -
- - - - -
- - - - -
- - 85 - -
- - 80 - -
- - 55 - -
- - 115 - -
- - 440 - -
- - 660 - -
- - 866 - -
- - 524 - -
- - 208 - -
- - 3,171 - -
- - 2,972 - -
- - 139 - -
- - 52 - -
- - 56 - -
- - 4,520 - -
- - 4,561 - -
- - 16,962 - -
- - 12,793 - -
- - 13,200 - -
- - 52 - -
- - 60 - -
- - 34,000 - -
- - 5,670 - -
- - 36,000 - -
- - 5,085 - -
- - 9,680 - -
- - 17,600 - -
- - 16,563 - -
- - 13,500 - -
- - 416 - -
- - 150 - -
- - 473 - -
- - 626 - -
- - 124 - -
- - 490 - -
- - 225 - -
- - 2,503 - -

- - 979 100 97,900


- - 12,500 - -
- - 12,100 - -
- - 123 - -
- - 757 - -
- - 1,485 - -
- - 266 - -
- - 504 - -
- - - - -
- - 6,930 - -
- - 8,700 - -
- - 8,624 - -
- - 12,631 - -
- - 8,700 - -
- - 6,239 - -
- - 8,700 - -
- - 8,700 - -
- - 8,700 - -
- - 805,950 - -
- - 886,545 - -
- - 652 - -
- - 809 - -
- - 685 - -
- - 652 - -
- - 802 - -
- - 854 - -
- - 815 - -
- - 777 - -

- - 979 - -
- - 932 - -
- - 197 - -
- - 109 300 32,598
- - 1,354 - -
- - 2,195 - -
- - 1,185 - -
- - 1,583 - -
- - 8,193 - -
- - 512,000 - -
- - 26,667 - -
- - 320,000 - -
- - 25,009 - -
- - 32,800 - -
- - 40,923 - -
- - 33,538 - -
- - 3,150 - -
- - 26,250 - -
- - 23,595 - -
- - - - -
- - 18,450 - -
- - 18,450 - -
- - 20,295 - -
- - 9,593 - -
- - 18,450 - -
- - 20,295 - -
- - 9,593 - -
- - 6,458 - -
- - 23,673 - -
- - 5,445 - -
- - 9,070 - -
- - 6,390 - -
- - 6,448 - -
- - - - -
- - - - -
- - - - -

- - 20,600 - -

- - 25,410 - -
- - 9,400 - -
- - 9,870 - -
- - 805 - -
- - 840 - -
- - 3,800 - -
- - 7,370 - -
- - 8,690 - -
- - 17,100 - -

- - 43,600 - -
- - - - -
- - - - -
- - - - -
- - 43,050 - -
- - 439 - -
- - 340 - -
- - 2,475 - -
- - 707 - -
- - 2,640 - -
- - 1,030 - -
- - 432 - -
- - 1,140 - -
- - 6,707 - -
- - 147,562 - -
- - - - -
- - 15,333 - -
- - 30,000 - -
- - 39,217 - -
- - 31,900 - -
- - 43,600 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 20,610 - -
- - 15,229 - -
- - 19,700 - -
- - 22,671 - -
- - - - -
- - 6,595 - -
- - 4,500 - -
- - 4,500 - -
- - 12,100 - -
- - 6,595 - -
- - 4,500 - -
- - 12,100 - -
- - 8,250 - -
- - 600 - -
- - 71,152 - -
- - 1,320 - -
- - 1,225 - -
- - 833 - -
- - 71,152 - -
- - 66,054 - -
- - 1,320 - -
- - 1,225 - -
- - 833 - -
- - 600 - -
- - 66,054 - -
- - 60,049 - -
- - 833 - -
- - - - -
- - 6,107 - -
- - 305,329 - -
- - 6,490 - -
- - 160,000 - -
- - 3,582 - -
- - 23,158 - -
- - 231,000 - -
- - 29,805 - -
- - 250,000 - -
- - 5,086 - -
- - 150,000 - -
- - 10,966 - -
- - 24,125 - -
- - 10,400 - -
- - 8,070 - -
- - 3,090 - -
- - 4,362 - -
- - - - -
- - 14,420 - -
- - 60,800 - -
- - 66,880 - -
- - 100,100 - -
- - 47,000 - -
- - 12,682 - -
- - 279,000 - -
- - 3,300 - -
- - 595,000 - -
- - 1,098,900 - -
- - 396,000 - -
- - 396,000 - -
- - 712,800 - -
- - 13,213 - -
- - 14,880 - -
- - 14,553 - -
- - 220,000 - -
- - 2,200 - -
- - 7,251 - -
- - 5,814 - -
- - 5,814 - -
- - 5,814 - -
- - 317 - -
- - 1,678 - -
- - 1,997 - -
- - 2,133 - -
- - 2,379 - -
- - 6,595 - -
- - 19,941 - -
- - 21,934 - -
- - 8,000 - -
- - 2,678 - -
- - 2,946 - -
- - 1,339 - -
- - 42,873 - -
- - 6,717 - -
- - 12,063 - -
- - 8,034 - -
- - 1,092,300 - -
- - 838,200 - -
- - 678,700 - -
- - 931,700 - -
- - 931,700 - -
- - 1,636,800 - -
- - 1,133,000 - -
- - 1,246,300 - -
- - 682,000 - -
- - 2,315,500 - -
- - 2,315,500 - -
- - 385,000 - -
- - 431,200 - -
- - 13,454 - -
- - 13,770 - -
- - 13,454 - -
- - 5,390 - -
- - 161,700 - -
- - 110,599 - -
- - 21,450 - -
- - 21,450 - -
- - 18,700 - -
- - 18,700 - -
- - 43,000 - -

- - 22,200 - -

- - 26,600 - -
- - - - -

- - 48,000 - -
- - - - -

- - 517,132 - -

- - 148,135 - -
- - 176,800 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 500,000 - -
- - - - -
- - - - -
- - 85,103 - -
- - 25,839 - -
- - 25,597 - -
- - 25,839 - -
- - 155,813 - -
- - 19,954 - -
- - 166,265 - -
- - 167,860 - -
- - 19,954 - -
- - 21,285 - -
- - 21,494 - -
- - 158,994 - -
- - 139,760 - -
- - 169,653 - -
- - 62,520 - -
- - 144,540 - -
- - 158,500 - -
- - 25,839 - -
- - - - -
- - - - -
- - - - -

- - 1,339,441 - -
- - 581,607 - -
- - - - -
- - 153,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 500,000 - -
- - - - -
- - - - -
-
- 218,303
- 32,598
- -
- 250,901
-

Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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-
-
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- - -
- - -

- -
- - -
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- - -
- - -

- - -

- - -

- -

- - -

-
- -
- - -
- -
- - -
- -
- -

- - -
- -
- - -

- -

- -

- - -

- -
-
- - -
- -
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- -
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- -
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- -
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-
- -
-
-
- - -
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-
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-
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-
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-
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- - -

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- 200 -
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- 110 -
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-
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- 100 -
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DATA

DINA

STOK AWAL JANUARI 2023


NO NAMA SEDIAAN SATUAN DAK
HARGA BANYAKNY
SATUAN (RP) A
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 430.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
Albendazole susp 200 mg/5 ml Botol 4,300.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 87.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
Alopurinol Tablet 300 mg Tablet 200.00 -
6 Alprazolam tablet 1 mg Tablet 128.00 -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
Ambroksol sirup 15 mg/5 ml Botol 2,500.30 -
Ambroksol sirup 15 mg/5 ml Botol 4,887.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,976.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
Amlodipin Tablet 5 mg Tablet 53.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 201.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
Amoksisillin Kaplet 500 mg Kaplet 249.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 2,050.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 2,600.00 -
18 Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol 3,400.00 -
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,628.00 -
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,498.00 -
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
8,310.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium
Botol
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium
Botol
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 ml
2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksid Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksid Tablet 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium
Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
Anti Hemoroid Doen komb Supp 3,250.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
Anti Fungi DOEN Kombinasi : Pot 4,798.00 -
Anti Fungi DOEN Kombinasi : Pot 3,477.00 -
32 Antimigren DOEN Kombinasi : Tablet 173.00 -
Antimigren DOEN Kombinasi : Tablet 185.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
Asam Folat Tablet 1 mg Tablet 56.51 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 105.00 -
43 Asam Mefenamat Kapsul 500 mg Tablet 103.00 -
Asam Mefenamat Kapsul 500 mg Tablet 103.40 -
Asam Mefenamat Kapsul 500 mg Tablet 177.90 -
Asam Mefenamat Kapsul 500 mg Tablet 177.90 -
Asam Mefenamat Kapsul 500 mg Tablet 111.00 -
44 Acetylsistein tablet Kapsul 358.00 -
Acetylsistein tablet Kapsul 382.00 -
Acetylsistein tablet Kapsul 301.00 -
Acetylsistein tablet Kapsul 303.74 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
Asetosal Tablet 80 mg Tablet 89.81 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
Attapulgit Tablet 162.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 1 Liter Vial 2,860.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Botol 15,246.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
Betahistin Mesilat 6 mg Tablet 88.80 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
Betametason Krim 0,1 %- 5g Tube 1,430.00 -
Betametason Krim 0,1 %- 5g Tube 2,460.80 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 2,5 mg Tablet 626.00 -
Bisoprolol Tablet 2,5 mg Tablet 124.12 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
Cresotin Pasta Botol 112,214.29 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
Cresotin Liquid No 3 Botol 160,714.29 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
Deksametason Injeksi 5mg/ml-1ml Ampul 924.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
Deksametason Tablet 0,5 mg Tablet 61.60 -
Deksametason Tablet 0,5 mg Tablet 106.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
Diazepam Larutan Rektal 5 mg/ml Supp 13,669.15 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 108.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
Domperidon Tablet 10 mg Tablet 71.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,296.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
Epinefrin HCl / Bitartrat Ampul 1,515.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
Etil Klorida Semprot -100 ml Botol 108,720.93 -
Etil Klorida Semprot -100 ml Botol 83,050.00 -
86 Eugenol Cairan -10 ml Botol 20,087.00 -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
Fenitoin Natrium Kapsul 100 mg Kapsul 169.53 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,700.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet 748.00 -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 1,386.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Air
257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
Gentamisin Salep Kulit 0,1 % Tube 5,390.00 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
Glibenklamid Tablet 5 mg Tablet 83.00 -
Glibenklamid Tablet 5 mg Tablet 83.75 -
106 Glimepiride 2 mg Tablet 207.00 -
Glimepiride 2 mg Tablet 123.00 -
Glimepiride 2 mg Tablet 124.12 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
Glukonas Kalsikus injeksi Ampul 5,775.03 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
Glukosa Larutan Infus 5 % Botol 7,363.00 -
Glukosa Larutan Infus 5 % Botol 6,627.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
Glukosa Larutan Infus10 % Botol 7,200.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 1,773.00 -
113 Haloperidol Tablet 0,5 mg Tablet 47.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg Tablet 61.00 -
Haloperidol Tablet 1,5 mg Tablet 51.00 -
115 Haloperidol Tablet 5 mg Tablet 54.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
Haloperidol injeksi 5 mg/ml Ampul 1,190.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
Hidrokortison Krim 2,5 % Tube 2,325.00 -
Hidrokortison Krim 2,5 % Tube 2,346.14 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
Ibuprofen Tablet 400 mg Tablet 30.28 -
Ibuprofen Tablet 400 mg Tablet 192.74 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 4,665.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,236.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
Kalsium Laktat Tablet 500 mg Tablet 63.00 -
Kaptopril 12,5 mg Tablet 62.00 -
Kaptopril 12,5 mg Tablet 66.00 -
131 Kaptopril 25 mg Tablet 75.00 -
132 Kaptopril 25 mg Tablet 94.00 -
Karbamazepin Tablet 200 mg Tablet 230.00 -
133 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,370.35 -
Ketokonazole Tablet 200 mg Tablet 270.00 -
135 Ketokonazole Tablet 200 mg Tablet 288.00 -
Ketokonazole Tablet 200 mg Tablet 252.00 -
Ketoprofen Tablet 100 mg Tablet - -
136 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
137 Ketorolac 10 mg injeksi Ampul - -
138 Ketorolac 30 mg injeksi Ampul 1,045.00 -
139 Klindamisin Kapsul 150 mg Kapsul 715.00 -
140 Klindamisin Kapsul 150 mg Kapsul 759.00 -
Klindamisin Kapsul 300 mg Kapsul 522.00 -
141 Kloramfenikol Kapsul 250 mg Kapsul - -
142 Kloramfenikol suspensi125mg/5 ml Botol - -
143 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
144 Kloramfenikol Salep Kulit 2% Tube 3,295.69 -
145 Kloramfenikol Tetes Mata -5 ml Botol 7,260.00 -
Kloramfenikol Tetes Mata -5 ml Botol 7,437.00 -
146 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
Kloramfenikol Tetes Telinga 3%-5 ml Botol 7,492.50 -
147 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 40.17 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 45.10 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 181.00 -
Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 157.00 -
Klorpromazin Hcl Tablet Salut 100 mg Tablet 407.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
152 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 30,030.00 -
Kotrimoksazol Pedriatik Tablet, Kombinasi : Tablet - -
154 Kotrimoksazol Tablet, Kombinasi : Tablet 125.00 -
155 Kotrimoksazol Tablet, Kombinasi : Tablet 129.00 -
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,120.00 -
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,190.00 -
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,100.00 -
Lansoprazole 30 mg Kapsul Tablet 303.00 -
157 Lansoprazole 30 mg Kapsul Tablet 323.00 -
Lansoprazole 30 mg Kapsul Tablet 280.53 -
Larutan mengadung Elektrolit Botol 9,646.00 -
158 Larutan mengadung Elektrolit Botol 9,275.00 -
Larutan mengadung Elektrolit Botol 8,800.00 -
Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 -
Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 10,350.00 -
Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 11,500.00 -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,273.00 -
Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
160 Lidokain injeksi 2 % Tablet 847.00 -
161 Lidokain Komp Injeksi, Kombinasi : Ampul 803.00 -
162 Lidokain Komp Injeksi, Kombinasi : Ampul 1,229.00 -
Lidokain Spray Botol - -
163 Loperamid Tablet 2 mg Tablet 121.60 -
164 Loperamid Tablet 2 mg Tablet 85.00 -
Loperamid Tablet 2 mg Tablet 77.00 -
Loratadin tablet 10 mg Tablet 123.00 -
165 Loratadin tablet 10 mg Tablet 131.00 -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,580.00 -
166 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 4,090.00 -
167 MB Anak Blister 20,554.00 -
168 MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
MB Dewasa Blister 20,678.00 -
169 MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
Meloksikam tablet 15 mg Tablet 718.20 -
170 Meloksikam Suppositoria Supp - -
171 Metformin Hcl Tablet 500 mg Tablet 77.00 -
172 Metformin Hcl Tablet 500 mg Tablet 102.00 -
Metformin 850 mg Tablet 160.00 -
Metformin 850 mg Tablet 154.39 -
Metformin 850 mg Tablet 153.00 -
173 Metildopa 250 mg tablet Tablet 946.00 -
174 Methisoprinol 500 mg Tablet 3,300.00 -
175 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 1,023.00 -
177 Metilprednisolon tablet 4 mg Tablet 134.00 -
178 Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
Metilprednisolon tablet 4 mg Tablet 102.00 -
Metoklopramid 10 mg Tablet 87.00 -
179 Metoklopramid 10 mg Tablet 85.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
Metronidazol Tablet 250 mg Tablet - -
181 Metronidazole Tablet 500 mg Tablet 124.00 -
182 Metronidazole Tablet 500 mg Tablet 211.20 -
Metronidazole Tablet 500 mg Tablet 200.85 -
Metronidazole sirup 125 mg/ml Botol 3,950.00 -
183 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
Metronidazole Infus 500 mg /100 ml Ampul 5,885.00 -
184 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
Mikonazole KrIm 2 % - 10 gr Tube 4,125.00 -
185 Multivitamin + Mineral tablet Tablet 792.00 -
186 Multivitamin + Mineral tablet Tablet 826.10 -
Multivitamin sirup Botol 7,100.00 -
187 Multivitamin sirup Botol 7,524.00 -
Mummifying Pasta Botol - -
188 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
189 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
190 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
Natrium Diklofenak Tablet 50 mg Tablet 99.90 -
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,840.00 -
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,800.00 -
192 Nipedifin Tablet 10 mg Tablet 189.53 -
193 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
Nistatin suspensi 100.000 IU/ml Botol 11,500.00 -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 825.00 -
Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
197 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
Obat Antitiuberkolosis Kategori2 Dewasa Paket 1,384,977.00 -
200 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
201 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
202 Obat Anti Tuberkulosis FDC Kat I & III Paket 415,721.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
204 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
207 Obat Flu Sirup Botol - -
208 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
209 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,668.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,126.00 -
Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
213 Omeprazole Kapsul 20 mg Kapsul 130.00 -
214 Omeprazole Kapsul 20 mg Kapsul 341.81 -
Omeprazole Kapsul 20 mg Kapsul 458.00 -
Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
215
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 -
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 4,976.00 -
216 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,160.00 -
217 Parasetamol Tablet 100 mg Tablet - -
218 Parasetamol Tablet 500 mg Tablet 53.00 -
219 Parasetamol Tablet 500 mg Tablet 100.74 -
PB Anak Blister 8,891.00 -
220 PB Dewasa Blister 12,569.00 -
221 PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
Pehacain injeksi Ampul 3,051.40 -
222 Pehacain injeksi Ampul 3,113.00 -
Perak Sulfadiazin krim 1 % 35 gr Tube - -
223 Permetrin krim 5 % Tube 11,250.00 -
Permetrin krim 5 % Tube 11,352.27 -
224 Piracetam Tablet 400 mg Tablet 459.80 -
225 Piracetam Tablet 800 mg Tablet 800.80 -
226 Piroksikam Tablet 20 mg Tablet 201.40 -
227 Piroksikam Tablet 20 mg Tablet 156.20 -
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet - -
228 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet 131.00 -
230 Povidon Iodida 10% 30 ml Botol 3,360.00 -
231 Povidon Iodida 10% 60 ml Botol - -
232 Povidon Iodida 10% 300 ml Botol 18,900.00 -
233 Povidon Iodida 10% 300 ml Botol 22,050.00 -
Povidon Iodida 10% 300 ml Botol 23,971.20 -
Prednison Tablet 5 mg Tablet 100.00 -
234 Prednison Tablet 5 mg Tablet 73.00 -
Prednison Tablet 5 mg Tablet 68.00 -
Prednison Tablet 5 mg Tablet 68.62 -
Primakuin tablet 15 mg Tablet - -
235 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
236 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
237 Propanolol Hcl Tablet 40 mg Tablet 242.00 -
Propanolol Hcl Tablet 10 mg Tablet 58.00 -
Propanolol Hcl Tablet 10 mg Tablet 56.51 -
Propilturasil Tablet 100 mg Tablet 586.30 -
Propilturasil Tablet 100 mg Tablet 385.00 -
238 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
239 Ranitidin Tablet 150 mg Tablet 105.00 -
240 Ranitidin Tablet 150 mg Tablet 112.00 -
Ranitidin Tablet 150 mg Tablet 85.00 -
Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 307.00 -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 552.00 -
Reserpin Tablet 0, 25 mg Tablet - -
243 Rifampisin Tablet 450 mg Tablet - -
244 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
Salbutamol Tablet 2 mg Tablet 63.00 -
Salbutamol Tablet 2 mg Tablet 67.00 -
246 Salbutamol Tablet 4 mg Tablet 70.00 -
247 Salbutamol Tablet 4 mg Tablet 100.10 -
Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
Salep 2-4 Kombinasi :
248
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
gram
2,621.00 -
Salep 2-4 Kombinasi :
249
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
gram
2,527.00 -
Salep 2-4 Kombinasi :
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
gram
2,797.00 -
Salep 2-4 Kombinasi :
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
gram
2,354.21 -
Salisil bedak 2% -50 gr Kotak 1,020.00 -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
Salisil bedak 2% -50 gr Kotak 920.00 -
Salep Luka Bakar Tube 11,718.25 -
251 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,834.55 -
Sefadroksil Tablet 500 mg Tablet 478.00 -
253 Sefadroksil Tablet 500 mg Tablet 580.00 -
Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
254 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
256 Seftriakson Injeksi 1 gr / vial Ampul 4,708.00 -
257 Semen Seng Fosfat Serbuk & Cairan Botol - -
258 Setirizin Tablet 10 mg Tablet 90.00 -
Setirizin Tablet 10 mg Tablet 49.45 -
259 Setirizin Sirup 5 mg / 5 ml Botol 2,090.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,109.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 969.00 -
Sianokobalamin Tablet 50 mcg Tablet 49.00 -
Sianokobalamin Tablet 50 mcg Tablet 43.39 -
262 Silver Amalgam Serbuk 65-75% Botol - -
263 Simetidin 200 mg Tablet Tablet 163.90 -
264 Simetidin 200 mg Tablet Tablet 176.00 -
Simvastatin Tablet 10 mg Tablet 110.00 -
265 Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
Simvastatin Tablet 10 mg Tablet 68.00 -
Simvastatin Tablet 20 mg Tablet 217.00 -
Siprofloksasin 500mg Tablet 265.00 -
266 Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
Siprofloksasin 500mg Tablet 248.00 -
Spironolakton Tablet 25 mg Tablet 208.00 -
Spironolakton Tablet 25 mg Tablet 190.00 -
267 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
268 Tablet Tambah Darah Kombinasi:
Tablet
Besi II Sulfat 200 mg + Asam Folat 0,25 mg 353.00 -
269 Tablet Tambah Darah Kombinasi:
Tablet
Besi II Sulfat 200 mg + Asam Folat 0,25 mg 350.00 -
Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set
- -
270 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
271 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
272 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
274 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.30 -
Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
Tramadol Injeksi 50 mg/ ml Ampul - -
277 Tramadol Tablet 50 mg Tablet - -
278 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 63.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 91.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
Vitamin Neurotropik Tablet Tablet 720.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
Zinc Sulfat 20 mg/5 ml Botol 2,489.00 -
Zinc Sulfat 20 mg/5 ml Botol 208.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
Obat Batuk Herbal Botol 14,402.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
Salep Kloramfenikol + Hidrokortison 14,371.50 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
Hyposol 3% Botol 78,750.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
Paramonochlorofenol/CHKM Botol 65,214.29 -
294 Saliva Ejector Pcs 88,750.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
Klozapine 100 mg Tablet 997.00 -
Klozapine 25mg Tablet 473.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
Risperidon 2mg Tablet 123.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Box Object Glass isi 50 Grey Orange Pcs 38,848.51 -
Box Object Glass isi 50 Grey Orange Pcs 15,089.50 -
305 Vitamin C 500mg Tablet 225.00 -
306 Multivitamin Tablet 585.00 -
307 Poli Aid 1 Liter Botol 129,400.00 -
308 Poli Aid 1 Liter Botol 595,000.00 -
Poli Aid 1 Liter Botol 15,246.00 -
309 Trifluoperazine Hcl Tablet 5 mg Tablet 287.00 -
310 Divalproex Sodium 250mg Tablet 2,954.00 -
Divalproex Sodium 250mg Tablet 2,825.45 -
311 Calcetin Calcium Hydroxide Paste Botol 134,214.29 -
312 Pilp-X Pot 217,214.29 -
313 Karbogliserin Tetes Telinga Botol 2,764.00 -
314 Larvasida Paket 412,002.80 -
315 Kalsitrol Kapsul Lunak 0,5 mcg Kapsul 2,600.00 -
316 Vitamin D 1000IU Tablet 876.70 -
Hiosin butilbromida 10mg Tablet 1,059.55 -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 6,930.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 6,930.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 6,930.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 6,930.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
Alat Suntik Sekali Pakai 1 ml Set 646.94 -
7 Alat Suntik Sekali Pakai 3 ml Set 854.00 -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
Alat Suntik Sekali Pakai 3 ml Set 965.40 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
Alat Suntik Sekali Pakai 5 ml Set 903.00 -
Alat Suntik Sekali Pakai 5 ml Set 776.33 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 123.60 -
Alkohol Swab Kotak 95.00 -
Alkohol Swab Kotak 116.04 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 995.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,540.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 25,009.00 -
Catgut/Benang Bedah No.2/0 Plain Sachet 26,087.00 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 25,009.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 25,009.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 5,800.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
Infus set Dewasa Set 6,150.00 -
Infus set Dewasa Set 11,500.00 -
Infus set Dewasa Set 6,448.00 -
25 Iodina Test Botol 10,725.00 -
Iodina Test Botol 42,998.89 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 982.40 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker N 96 Pcs 27,225.00 -
Masker N 96 Pcs 30,842.19 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
Minyak Imersi Botol 1,548,088.30 -
41 Plester Kertas Rol 15,333.33 -
Plester Kertas Rol 36,050.00 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
Polifix 5 cm x 5 m Rol 61,050.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
Pot Dahak Pcs 3,096.96 -
Pot Dahak Pcs 2,246.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
Rapid Test HIV 1/2 Vikia DS Test 12,827.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Rapid Tes SD Bioline HBSAG Test 7,805.00 -
Hepatitis B Imunoglobulin inj 220 IU (Hbig) Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
Rapid Test Syphilis Test 12,564.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 232,440.00 -
Reagen Ziehl Nielsen Botol 216,812.50 -
Reagen Ziehl Nielsen Botol 133,500.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 15,092.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
Silk( Benang Bedah Sutra ) No 3/2 Sachet 16,535.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
Safety Box Pcs 14,935.00 -
Safety Box Pcs 14,750.00 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
Sarung tangan Steril No 7 Pcs 2,673.33 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
Sarung tangan Non Steril S Pcs 1,165.00 -
Sarung tangan Non Steril S Pcs 1,255.41 -
60 Sarung tangan Non Steril M Pcs 600.49 -
Sarung tangan Non Steril M Pcs 1,165.00 -
61 Sarung tangan Non Steril L Pcs 600.40 -
Sarung tangan Non Steril L Pcs 1,165.00 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test 3,230.00 -
Stik Pemeriksaan Gula Darah Test 3,200.00 -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 8,070.00 -
Urine Bag set 4,235.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 95.07 -
Blood Lancet Pcs 144.20 -
Blood Lancet Pcs 91.49 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
Cairan Antiseptik Botol 500 ml Botol 66,700.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterald Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 VTM & Swab Dacron Citodia Pcs 55,000.00 -
VTM + Swab (KH Medial) Test 42,000.00 -
90 Panbio Covid-19 Antigen Test 75,069.00 -
91 ADS 0,5 ml Alokasi Pcs 1,185.00 -
92 Alkohol Swab Alokasi Pcs 79.00 -
Alkohol Swab Alokasi Pcs 91.49 -
93 Safety Box Alokasi Pcs 14,000.00 -
94 Parafilm Pcs 666,470.20 -
95 Vaccum Tube Sterile EDTA K-3 (3ml Pcs 102,600.00 -
Vaccum Tube Sterile Clot Activator(3ml Pcs 99,500.00 -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 -
Sound Timer Unit 266,015.00 -
Kondom Rubber Latex Pcs 448.00 -
Lubricant Pcs 331.00 -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
Vaksin DT Vial 19,195.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
Vaksin Polio Vial 21,285.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid-19 (10 d0sis) Vial 1,339,441.00 -
20 - -
JUMLAH TOTAL OBAT -
JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP.19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


DAK DINKES DINKES
HARGA HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) (RP)

- - - - - -
- 430.00 - - 430.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 4,300.00 - - 4,300.00 -
- 89.00 - - 89.00 -
- 87.00 - - 87.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- 200.00 - - 200.00 -
- 128.00 - - 128.00 -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,500.30 - - 2,500.30 -
- 4,887.00 - - 4,887.00 -
- 2,998.00 - - 2,998.00 -
- 2,976.00 - - 2,976.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 53.00 - - 53.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 201.00 - - 201.00 -
- 232.00 - - 232.00 -
- 249.00 - - 249.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -
- 2,050.00 - - 2,050.00 -
- 2,600.00 - - 2,600.00 -
- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -

- 3,498.00 - - 3,498.00 -

- 8,310.00 - - 8,310.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -

- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -
- 62.00 - - 62.00 -

- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 3,250.00 - - 3,250.00 -
- 4,323.00 - - 4,323.00 -
- 4,798.00 - - 4,798.00 -
- 3,477.00 - - 3,477.00 -
- 173.00 - - 173.00 -
- 185.00 - - 185.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 56.51 - - 56.51 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 105.00 - - 105.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 177.90 - - 177.90 -
- 111.00 - - 111.00 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 301.00 - - 301.00 -
- 303.74 - - 303.74 -
- 99.00 - - 99.00 -
- 89.81 - - 89.81 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 162.00 - - 162.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 15,246.00 - - 15,246.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 88.80 - - 88.80 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 1,430.00 - - 1,430.00 -
- 2,460.80 - - 2,460.80 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 124.12 - - 124.12 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 112,214.29 - - 112,214.29 -
- 160,500.00 - - 160,500.00 -
- 160,714.29 - - 160,714.29 -
- 1,097.00 - - 1,097.00 -
- 924.00 - - 924.00 -
- 32.00 - - 32.00 -
- 61.60 - - 61.60 -
- 106.00 - - 106.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- 13,669.15 - - 13,669.15 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 108.00 - - 108.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 71.00 - - 71.00 -
- 2,296.00 - - 2,296.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 1,515.00 - - 1,515.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- 108,720.93 - - 108,720.93 -
- 83,050.00 - - 83,050.00 -
- 20,087.00 - - 20,087.00 -
- 158.00 - - 158.00 -
- 169.53 - - 169.53 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,700.00 - - 1,700.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- 748.00 - - 748.00 -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 1,386.00 - - 1,386.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -

- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 5,390.00 - - 5,390.00 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 83.00 - - 83.00 -
- 83.75 - - 83.75 -
- 207.00 - - 207.00 -
- 123.00 - - 123.00 -
- 124.12 - - 124.12 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 5,775.03 - - 5,775.03 -
- 6,900.00 - - 6,900.00 -
- 7,363.00 - - 7,363.00 -
- 6,627.00 - - 6,627.00 -
- 7,500.00 - - 7,500.00 -
- 7,200.00 - - 7,200.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 1,773.00 - - 1,773.00 -
- 47.00 - - 47.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 51.00 - - 51.00 -
- 54.00 - - 54.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 1,190.00 - - 1,190.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 2,325.00 - - 2,325.00 -
- 2,346.14 - - 2,346.14 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 30.28 - - 30.28 -
- 192.74 - - 192.74 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- 4,665.00 - - 4,665.00 -
- 2,236.00 - - 2,236.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 63.00 - - 63.00 -
- 62.00 - - 62.00 -
- 66.00 - - 66.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 2,370.35 - - 2,370.35 -
- 270.00 - - 270.00 -
- 288.00 - - 288.00 -
- 252.00 - - 252.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- 759.00 - - 759.00 -
- 522.00 - - 522.00 -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- 3,295.69 - - 3,295.69 -
- 7,260.00 - - 7,260.00 -
- 7,437.00 - - 7,437.00 -
- 6,600.00 - - 6,600.00 -
- 7,492.50 - - 7,492.50 -
- 22.00 - - 22.00 -
- 40.17 - - 40.17 -
- 23.00 - - 23.00 -
- 45.10 - - 45.10 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 181.00 - - 181.00 -
- 147.00 - - 147.00 -
- 157.00 - - 157.00 -
- 407.00 - - 407.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- - - - - -
- 125.00 - - 125.00 -
- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -

- 2,120.00 - - 2,120.00 -

- 2,190.00 - - 2,190.00 -

- 2,100.00 - - 2,100.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -
- 280.53 - - 280.53 -
- 9,646.00 - - 9,646.00 -
- 9,275.00 - - 9,275.00 -
- 8,800.00 - - 8,800.00 -

- 9,644.00 - - 9,644.00 -

- 10,350.00 - - 10,350.00 -

- 11,500.00 - - 11,500.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- 847.00 - - 847.00 -
- 803.00 - - 803.00 -
- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 77.00 - - 77.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,580.00 - - 3,580.00 -
- 3,796.00 - - 3,796.00 -
- 4,090.00 - - 4,090.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 77.00 - - 77.00 -
- 102.00 - - 102.00 -
- 160.00 - - 160.00 -
- 154.39 - - 154.39 -
- 153.00 - - 153.00 -
- 946.00 - - 946.00 -
- 3,300.00 - - 3,300.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 1,023.00 - - 1,023.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 102.00 - - 102.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 200.85 - - 200.85 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 5,885.00 - - 5,885.00 -
- 3,414.00 - - 3,414.00 -
- 4,125.00 - - 4,125.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 99.90 - - 99.90 -
- 6,410.00 - - 6,410.00 -
- 6,840.00 - - 6,840.00 -
- 6,800.00 - - 6,800.00 -
- 189.53 - - 189.53 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 11,500.00 - - 11,500.00 -
- 560.00 - - 560.00 -
- 598.00 - - 598.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 825.00 - - 825.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- 1,384,977.00 - - 1,384,977.00 -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 415,721.00 - - 415,721.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 2,668.00 - - 2,668.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 1,126.00 - - 1,126.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 341.81 - - 341.81 -
- 458.00 - - 458.00 -
- 1,070.00 - - 1,070.00 -

- 6,649.00 - - 6,649.00 -
- 4,976.00 - - 4,976.00 -
- 1,107.00 - - 1,107.00 -
- 1,181.00 - - 1,181.00 -
- 1,160.00 - - 1,160.00 -
- - - - - -
- 53.00 - - 53.00 -
- 100.74 - - 100.74 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,250.00 - - 11,250.00 -
- 11,352.27 - - 11,352.27 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -
- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- 131.00 - - 131.00 -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 22,050.00 - - 22,050.00 -
- 23,971.20 - - 23,971.20 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- 68.00 - - 68.00 -
- 68.62 - - 68.62 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 58.00 - - 58.00 -
- 56.51 - - 56.51 -
- 586.30 - - 586.30 -
- 385.00 - - 385.00 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 112.00 - - 112.00 -
- 85.00 - - 85.00 -
- 288.00 - - 288.00 -
- 307.00 - - 307.00 -
- 517.00 - - 517.00 -
- 552.00 - - 552.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 63.00 - - 63.00 -
- 67.00 - - 67.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -

- 2,621.00 - - 2,621.00 -

- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -

- 2,354.21 - - 2,354.21 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 920.00 - - 920.00 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 3,834.55 - - 3,834.55 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,708.00 - - 4,708.00 -
- - - - - -
- 90.00 - - 90.00 -
- 49.45 - - 49.45 -
- 2,090.00 - - 2,090.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 2,109.00 - - 2,109.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 969.00 - - 969.00 -
- 49.00 - - 49.00 -
- 43.39 - - 43.39 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 68.00 - - 68.00 -
- 217.00 - - 217.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 248.00 - - 248.00 -
- 208.00 - - 208.00 -
- 190.00 - - 190.00 -
- - - - - -

- 353.00 - - 353.00 -

- 350.00 - - 350.00 -

- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.00 - - 91.00 -
- 91.30 - - 91.30 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 63.00 - - 63.00 -
- 91.00 - - 91.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 720.00 - - 720.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 2,489.00 - - 2,489.00 -
- 208.00 - - 208.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 14,402.00 - - 14,402.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 14,371.50 - - 14,371.50 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 78,750.00 - - 78,750.00 -
- 63,800.00 - - 63,800.00 -
- 65,214.29 - - 65,214.29 -
- 88,750.00 - - 88,750.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 997.00 - - 997.00 -
- 473.00 - - 473.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 123.00 - - 123.00 -
- 14,131.00 - - 14,131.00 -
- 38,848.51 - - 38,848.51 -
- 15,089.50 - - 15,089.50 -
- 225.00 - - 225.00 -
- 585.00 - - 585.00 -
- 129,400.00 - - 129,400.00 -
- 595,000.00 - - 595,000.00 -
- 15,246.00 - - 15,246.00 -
- 287.00 - - 287.00 -
- 2,954.00 - - 2,954.00 -
- 2,825.45 - - 2,825.45 -
- 134,214.29 - - 134,214.29 -
- 217,214.29 - - 217,214.29 -
- 2,764.00 - - 2,764.00 -
- 412,002.80 - - 412,002.80 -
- 2,600.00 - - 2,600.00 -
- 876.70 - - 876.70 -
- 1,059.55 - - 1,059.55 -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 6,930.00 - - 6,930.00 -
- 3,914.00 - - 3,914.00 -
- 12,631.00 - - 12,631.00 -
- 7,334.00 - - 7,334.00 -
- 6,930.00 - - 6,930.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 6,930.00 - - 6,930.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 6,930.00 - - 6,930.00 -
- - - - - -
- 840.00 - - 840.00 -
- 646.94 - - 646.94 -
- 854.00 - - 854.00 -
- 792.00 - - 792.00 -
- 965.40 - - 965.40 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 903.00 - - 903.00 -
- 776.33 - - 776.33 -
- 1,298.00 - - 1,298.00 -
- 123.60 - - 123.60 -
- 95.00 - - 95.00 -
- 116.04 - - 116.04 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 995.00 - - 995.00 -
- 1,583.00 - - 1,583.00 -
- 1,540.00 - - 1,540.00 -
- 10,430.00 - - 10,430.00 -
- 25,009.00 - - 25,009.00 -
- 26,087.00 - - 26,087.00 -
- 25,009.00 - - 25,009.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 25,009.00 - - 25,009.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 5,800.00 - - 5,800.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 6,150.00 - - 6,150.00 -
- 11,500.00 - - 11,500.00 -
- 6,448.00 - - 6,448.00 -
- 10,725.00 - - 10,725.00 -
- 42,998.89 - - 42,998.89 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 982.40 - - 982.40 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- 27,225.00 - - 27,225.00 -
- 30,842.19 - - 30,842.19 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 1,548,088.30 - - 1,548,088.30 -
- 15,333.33 - - 15,333.33 -
- 36,050.00 - - 36,050.00 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 61,050.00 - - 61,050.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 3,096.96 - - 3,096.96 -
- 2,246.00 - - 2,246.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 12,827.00 - - 12,827.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 7,805.00 - - 7,805.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- 12,564.00 - - 12,564.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 232,440.00 - - 232,440.00 -
- 216,812.50 - - 216,812.50 -
- 133,500.00 - - 133,500.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 15,092.00 - - 15,092.00 -
- 20,150.00 - - 20,150.00 -
- 16,535.00 - - 16,535.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 14,935.00 - - 14,935.00 -
- 14,750.00 - - 14,750.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 2,673.33 - - 2,673.33 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 1,165.00 - - 1,165.00 -
- 1,255.41 - - 1,255.41 -
- 600.49 - - 600.49 -
- 1,165.00 - - 1,165.00 -
- 600.40 - - 600.40 -
- 1,165.00 - - 1,165.00 -
- - - - - -
- 3,230.00 - - 3,230.00 -
- 3,200.00 - - 3,200.00 -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 8,070.00 - - 8,070.00 -
- 4,235.00 - - 4,235.00 -
- - - - - -
- 95.07 - - 95.07 -
- 144.20 - - 144.20 -
- 91.49 - - 91.49 -
- 60,800.00 - - 60,800.00 -
- 66,700.00 - - 66,700.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 55,000.00 - - 55,000.00 -
- 42,000.00 - - 42,000.00 -
- 75,069.00 - - 75,069.00 -
- 1,185.00 - - 1,185.00 -
- 79.00 - - 79.00 -
- 91.49 - - 91.49 -
- 14,000.00 - - 14,000.00 -
- 666,470.20 - - 666,470.20 -
- 102,600.00 - - 102,600.00 -
- 99,500.00 - - 99,500.00 -
- 1,339.00 - - 1,339.00 -
- 266,015.00 - - 266,015.00 -
- 448.00 - - 448.00 -
- 331.00 - - 331.00 -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 19,195.00 - - 19,195.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 155,813.00 - - 155,813.00 -
- 166,265.00 - - 166,265.00 -
- 21,285.00 - - 21,285.00 -
- 139,760.00 - - 139,760.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,339,441.00 - - 1,339,441.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
LUARAN 2023 SALDO AKHIR 2023
DINKES DINKES
HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP.
(RP)

- - - - -
- 430.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 4,300.00 - - -
- 89.00 - - -
- 87.00 - - -
- 105.00 - - -
- 99.00 - - -
- 200.00 - - -
- 128.00 - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,500.30 - - -
- 4,887.00 - - -
- 2,998.00 - - -
- 2,976.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 53.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 201.00 - - -
- 232.00 - - -
- 249.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -
- 2,050.00 - - -
- 2,600.00 - - -
- 3,400.00 - - -

- 3,628.00 - - -

- 3,498.00 - - -

- 8,310.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -

- 2,129.00 - - -
- 54.00 - - -
- 62.00 - - -

- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 3,250.00 - - -
- 4,323.00 - - -
- 4,798.00 - - -
- 3,477.00 - - -
- 173.00 - - -
- 185.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 56.51 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 105.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 177.90 - - -
- 111.00 - - -
- 358.00 - - -
- 382.00 - - -
- 301.00 - - -
- 303.74 - - -
- 99.00 - - -
- 89.81 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 162.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 15,246.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 88.80 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 1,430.00 - - -
- 2,460.80 - - -
- 6,045.00 - - -
- 626.00 - - -
- 124.12 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 112,214.29 - - -
- 160,500.00 - - -
- 160,714.29 - - -
- 1,097.00 - - -
- 924.00 - - -
- 32.00 - - -
- 61.60 - - -
- 106.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- 13,669.15 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 108.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 71.00 - - -
- 2,296.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 1,515.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- 108,720.93 - - -
- 83,050.00 - - -
- 20,087.00 - - -
- 158.00 - - -
- 169.53 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,700.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- 748.00 - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 1,386.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -

- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 5,390.00 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 83.00 - - -
- 83.75 - - -
- 207.00 - - -
- 123.00 - - -
- 124.12 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 5,775.03 - - -
- 6,900.00 - - -
- 7,363.00 - - -
- 6,627.00 - - -
- 7,500.00 - - -
- 7,200.00 - - -
- 210.00 - - -
- 224.00 - - -
- 1,773.00 - - -
- 47.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 51.00 - - -
- 54.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 1,190.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 2,325.00 - - -
- 2,346.14 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 30.28 - - -
- 192.74 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- 4,665.00 - - -
- 2,236.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 62.00 - - -
- 66.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 2,370.35 - - -
- 270.00 - - -
- 288.00 - - -
- 252.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- 759.00 - - -
- 522.00 - - -
- - - - -
- - - - -
- 1,881.00 - - -
- 3,295.69 - - -
- 7,260.00 - - -
- 7,437.00 - - -
- 6,600.00 - - -
- 7,492.50 - - -
- 22.00 - - -
- 40.17 - - -
- 23.00 - - -
- 45.10 - - -
- 212.30 - - -
- 212.00 - - -
- 181.00 - - -
- 147.00 - - -
- 157.00 - - -
- 407.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- - - - -
- 125.00 - - -
- 129.00 - - -

- 2,052.00 - - -

- 2,120.00 - - -

- 2,190.00 - - -

- 2,100.00 - - -
- 303.00 - - -
- 323.00 - - -
- 280.53 - - -
- 9,646.00 - - -
- 9,275.00 - - -
- 8,800.00 - - -

- 9,644.00 - - -

- 10,350.00 - - -

- 11,500.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- 847.00 - - -
- 803.00 - - -
- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 77.00 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 3,580.00 - - -
- 3,796.00 - - -
- 4,090.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 77.00 - - -
- 102.00 - - -
- 160.00 - - -
- 154.39 - - -
- 153.00 - - -
- 946.00 - - -
- 3,300.00 - - -
- 210.00 - - -
- 224.00 - - -
- 444.00 - - -
- 2,959.00 - - -
- 1,023.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 102.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 200.85 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 5,885.00 - - -
- 3,414.00 - - -
- 4,125.00 - - -
- 792.00 - - -
- 826.10 - - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - - -
- 99.90 - - -
- 6,410.00 - - -
- 6,840.00 - - -
- 6,800.00 - - -
- 189.53 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 11,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -
- 843.00 - - -
- 825.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- 1,384,977.00 - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 415,721.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 2,668.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 1,126.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 341.81 - - -
- 458.00 - - -
- 1,070.00 - - -

- 6,649.00 - - -
- 4,976.00 - - -
- 1,107.00 - - -
- 1,181.00 - - -
- 1,160.00 - - -
- - - - -
- 53.00 - - -
- 100.74 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,250.00 - - -
- 11,352.27 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -
- - - - -
- 123.00 - - -
- 118.00 - - -
- 131.00 - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 22,050.00 - - -
- 23,971.20 - - -
- 100.00 - - -
- 73.00 - - -
- 68.00 - - -
- 68.62 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 58.00 - - -
- 56.51 - - -
- 586.30 - - -
- 385.00 - - -
- 1,155.00 - - -
- 105.00 - - -
- 112.00 - - -
- 85.00 - - -
- 288.00 - - -
- 307.00 - - -
- 517.00 - - -
- 552.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -

- 2,621.00 - - -

- 2,527.00 - - -

- 2,797.00 - - -

- 2,354.21 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - - -
- 920.00 - - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 3,834.55 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,708.00 - - -
- - - - -
- 90.00 - - -
- 49.45 - - -
- 2,090.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 2,109.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 969.00 - - -
- 49.00 - - -
- 43.39 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 68.00 - - -
- 217.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 248.00 - - -
- 208.00 - - -
- 190.00 - - -
- - - - -

- 353.00 - - -

- 350.00 - - -

- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 91.30 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 63.00 - - -
- 91.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 720.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 2,489.00 - - -
- 208.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 14,402.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 14,371.50 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 78,750.00 - - -
- 63,800.00 - - -
- 65,214.29 - - -
- 88,750.00 - - -
- 12,793.00 - - -
- 13,138.40 - - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - - -
- 1,121.00 - - -
- 997.00 - - -
- 473.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 123.00 - - -
- 14,131.00 - - -
- 38,848.51 - - -
- 15,089.50 - - -
- 225.00 - - -
- 585.00 - - -
- 129,400.00 - - -
- 595,000.00 - - -
- 15,246.00 - - -
- 287.00 - - -
- 2,954.00 - - -
- 2,825.45 - - -
- 134,214.29 - - -
- 217,214.29 - - -
- 2,764.00 - - -
- 412,002.80 - - -
- 2,600.00 - - -
- 876.70 - - -
- 1,059.55 - - -
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 6,930.00 - - -
- 3,914.00 - - -
- 12,631.00 - - -
- 7,334.00 - - -
- 6,930.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 6,930.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 6,930.00 - - -
- - - - -
- 840.00 - - -
- 646.94 - - -
- 854.00 - - -
- 792.00 - - -
- 965.40 - - -
- 817.00 - - -
- 750.00 - - -
- 903.00 - - -
- 776.33 - - -
- 1,298.00 - - -
- 123.60 - - -
- 95.00 - - -
- 116.04 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 995.00 - - -
- 1,583.00 - - -
- 1,540.00 - - -
- 10,430.00 - - -
- 25,009.00 - - -
- 26,087.00 - - -
- 25,009.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 25,009.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 5,800.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 6,150.00 - - -
- 11,500.00 - - -
- 6,448.00 - - -
- 10,725.00 - - -
- 42,998.89 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 982.40 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- 27,225.00 - - -
- 30,842.19 - - -
- - - - -
- 509,999.60 - - -
- 1,548,088.30 - - -
- 15,333.33 - - -
- 36,050.00 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 61,050.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 3,096.96 - - -
- 2,246.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 12,827.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - - -
- 7,900.00 - - -
- 7,805.00 - - -
- 1,325,000.00 - - -
- 20,400.00 - - -
- 12,564.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 232,440.00 - - -
- 216,812.50 - - -
- 133,500.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 15,092.00 - - -
- 20,150.00 - - -
- 16,535.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 14,935.00 - - -
- 14,750.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 2,673.33 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 1,165.00 - - -
- 1,255.41 - - -
- 600.49 - - -
- 1,165.00 - - -
- 600.40 - - -
- 1,165.00 - - -
- - - - -
- 3,230.00 - - -
- 3,200.00 - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 8,070.00 - - -
- 4,235.00 - - -
- - - - -
- 95.07 - - -
- 144.20 - - -
- 91.49 - - -
- 60,800.00 - - -
- 66,700.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 55,000.00 - - -
- 42,000.00 - - -
- 75,069.00 - - -
- 1,185.00 - - -
- 79.00 - - -
- 91.49 - - -
- 14,000.00 - - -
- 666,470.20 - - -
- 102,600.00 - - -
- 99,500.00 - - -
- 1,339.00 - - -
- 266,015.00 - - -
- 448.00 - - -
- 331.00 - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 19,195.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 155,813.00 - - -
- 166,265.00 - - -
- 21,285.00 - - -
- 139,760.00 - - -
- - - - -
- - - - -
- - - - -
- 1,339,441.00 - - -
- - - - -
- - -
- - -
- - -
- - -
PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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- -
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.
DATA MUTASI PER

DINA

STOK AWAL DESEMBER 2023

NO NAMA OBAT SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. O B A T
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet - -
3 Albendazole susp 200 mg/5 ml Botol - -
4 Alopurinol Tablet 100 mg Tablet 87 -
Alopurinol Tablet 100 mg Tablet 105 -
5 Alopurinol Tablet 300 mg Tablet 200 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 308 -
Ambroksol Tablet 30 mg Tablet 165 -
Ambroksol Tablet 30 mg Tablet 110 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627 -
Ambroksol sirup 15 mg/5 ml Botol 3,790 -
Ambroksol sirup 15 mg/5 ml Botol 2,750 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789 -
10 Aminofillin Tablet 200 mg Tablet 139 -
Aminofillin Tablet 200 mg Tablet 91 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 177 -
12 Amlodipin Tablet 5 mg Tablet 70 -
Amlodipin Tablet 5 mg Tablet 53 -
Amlodipin Tablet 5 mg Tablet 53 -
13 Amlodipin Tablet 10 mg Tablet 93 -
Amlodipin Tablet 10 mg Tablet 70 -
14 Amoksisillin Kapsul 250 mg Kapsul 184 -
Amoksisillin Kapsul 250 mg Kapsul 195 -
Amoksisillin Kapsul 250 mg Kapsul 180 -
Amoksisillin Kapsul 250 mg Kapsul 374 -
15 Amoksisillin Kaplet 500 mg Kaplet 201 -
Amoksisillin Kaplet 500 mg Kaplet 232 -
Amoksisillin Kaplet 500 mg Kaplet 190 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 2,050 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial - -
23 Analgetik Plus Tablet - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129 -
Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 1,679 -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
54 -

Antasida Doen Tablet, Kombinasi : Magnesium Tablet


Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58 -

Antasida Doen Tablet, Kombinasi : Magnesium Tablet


Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
54 -
26 Antasida Plus Tablet Tablet 187 -
Antasida Plus Tablet Tablet 264 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214 -
Antalgin (Metampiron) Tablet 500 mg Tablet 170 -
Antalgin (Metampiron) Tablet 500 mg Tablet 209 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube
- -
30 Anti Hemoroid Doen komb Supp 3,167 -
Anti Hemoroid Doen komb Supp 3,250 -
31 Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
3,477 -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,158 -
Anti Fungi DOEN Kombinasi : Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,323 -
Anti Fungi DOEN Kombinasi : Pot
Asam Benzoat 6% + Asam Salisilat 3% 3,509 -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet - -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 429 -
38 Antispasmodik Tablet Tablet 1,188 -
39 Antitusiva Sirup Botol 11,400 -
Antitusiva Sirup Botol 8,000 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103 -
Asam Mefenamat Kapsul 500 mg Kapsul 250 -
Asam Mefenamat Kapsul 500 mg Kapsul 198 -
44 Acetylsistein tablet Tablet 304 -
45 Asetosal Tablet 80 mg Tablet - -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube - -
49 Asiklovir Tablet 200 mg Tablet 236 -
50 Asiklovir Tablet 400 mg Tablet - -
51 Attapulgit Tablet 152 -
Attapulgit Tablet 145 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860 -
54 Bahan Tambal Sementara Set - -
55 Benzatin Benzil Penisilin injeksi Vial - -
56 Betahistin Mesilat 6 mg Tablet 110 -
Betahistin Mesilat 6 mg Tablet 149 -
Betahistin Mesilat 6 mg Tablet 89 -
57 Betametason Krim 0,1 %- 5g Tube 1,340 -
Betametason Krim 0,1 %- 5g Tube 1,380 -
Betametason Krim 0,1 %- 5g 1,349 -
58 Bisakodil suppositoria 10 mg Supp - -
Bisakodil Tablet 5mg Tablet 216 -
59 Bisoprolol Tablet 5 mg Tablet - -
60 Bromheksin 8 mg Tablet - -
Bromheksin 8 mg Tablet 253 -
61 Cresotin Pasta Botol - -
62 Cresotin Liquid No 2 Botol - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097 -
64 Deksametason Tablet 0,5 mg Tablet 133 -
Deksametason Tablet 0,5 mg Tablet 41 -
Deksametason Tablet 0,5 mg Tablet 66 -
65 Devitalisasi Pasta (Non Arsen) Botol - -
66 Diazepam tablet 2 mg Tablet - -
67 Diazepam tablet 5 mg Tablet - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735 -
69 Diazepam Larutan Rektal 5 mg/ml Supp - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176 -
73 Digoksin Tablet 0,25 mg Tablet 104 -
Digoksin Tablet 0,25 mg Tablet 105 -
74 Dimenhidrinat Tablet 50 mg Tablet 99 -
Dimenhidrinat Tablet 50 mg Tablet 109 -
75 Domperidon Tablet 10 mg Tablet 91 -
Domperidon Tablet 10 mg Tablet 71 -
Domperidon Tablet 10 mg Tablet 289 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,295 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408 -
80 Eritromisin Kapsul 250 mg Kapsul 557 -
81 Eritromisin Kapsul 500 mg Kapsul - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet - -
84 Etanol 70 % 100 ml Botol - -
85 Etil Klorida Semprot -100 ml Botol 246,400 -
86 Eugenol Cairan -10 ml Botol 18,824 -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152 -
Fenitoin Natrium Kapsul 100 mg Kapsul 154 -
Fenitoin Natrium Kapsul 100 mg Kapsul 484 -
88 Fenobarbital tablet 30 mg Tablet 171 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605 -
92 Fenol Gliserol TK Botol 3,330 -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 748 -
Fitomenadion tablet 10 mg Tablet 695 -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 1,386 -
97 Furosemid Tablet 40 mg Tablet 154 -
Furosemid Tablet 40 mg Tablet 144 -
98 Furosemid injeksi Ampul 1,333 -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Kantong
Air 260 -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Kantong
Air 274 -
100 Gemfibrozil Tablet 600 mg Tablet 769 -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830 -
Gentamisin Salep Kulit 0,1 % Tube 2,115 -
Gentamisin Salep Kulit 0,1 % Tube 2,376 -
104 Glass Ionomer Set - -
105 Glibenklamid Tablet 5 mg Tablet 119 -
Glibenklamid Tablet 5 mg Tablet 83 -
106 Glimepiride 2 mg Tablet 123 -
Glimepiride 2 mg Tablet 231 -
107 Gliseril Guayakolat Tablet 100 mg Tablet - -
Gliseril Guayakolat Tablet 100 mg Tablet 87 -
108 Gliseril Guayakolat sirup Botol - -
Gliseril Guayakolat sirup Botol 7,000 -
109 Glukonas Kalsikus injeksi Ampul 10,351 -
Glukonas Kalsikus injeksi Ampul 5,775 -
110 Glukosa Larutan Infus 5 % Botol 6,900 -
111 Glukosa Larutan Infus10 % Botol - -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210 -
Griseofulvin Tablet 500 mg,micronized Tablet 1,264 -
113 Haloperidol Tablet 0,5 mg Tablet 47 -
Haloperidol Tablet 0,5 mg Tablet 58 -
Haloperidol Tablet 0,5 mg Tablet 56 -
114 Haloperidol Tablet 1,5 mg Tablet 51 -
Haloperidol Tablet 1,5 mg Tablet 66 -
Haloperidol Tablet 1,5 mg Tablet 61 -
115 Haloperidol Tablet 5 mg Tablet 56 -
116 Haloperidol injeksi 5 mg/ml Ampul - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155 -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149 -
119 Hidrokortison Krim 2,5 % Tube 2,325 -
Hidrokortison Krim 2,5 % Tube 2,650 -
Hidrokortison Krim 2,5 % Tube 2,639 -
Hidrokortison Krim 2,5 % Tube 2,347 -
120 Ibuprofen Tablet 200 mg Tablet 102 -
Ibuprofen Tablet 200 mg Tablet 138 -
121 Ibuprofen Tablet 400 mg Tablet 191 -
Ibuprofen Tablet 400 mg Tablet 308 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,236 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet - -
125 Isoniazid tablet 300 mg Tablet - -
126 Isosorbid Dinitrat 5 mg Tablet 89 -
Isosorbid Dinitrat 5 mg Tablet 88 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275 -
Kalium Diklofenak Tablet 50 mg Tablet 385 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 61 -
Kalsium Laktat Tablet 500 mg Tablet 63 -
131 Kaptopril 12,5 mg Tablet 66 -
132 Kaptopril 25 mg Tablet 187 -
Kaptopril 25 mg Tablet 75 -
133 Karbamazepin Tablet 200 mg Tablet 230 -
134 Ketokonazole Krim 2 % - 15 gr Tube - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545 -
Ketokonazole Krim 2 % - 15 gr Tube 2,370 -
135 Ketokonazole Tablet 200 mg Tablet 455 -
Ketokonazole Tablet 200 mg Tablet 280 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,450 -
140 Klindamisin Kapsul 150 mg Kapsul 715 -
141 Klindamisin Kapsul 300 mg Kapsul 583 -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700 -
Kloramfenikol suspensi125mg/5 ml Botol 5,015 -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810 -
145 Kloramfenikol Salep Kulit 2% Tube 3,266 -
Kloramfenikol Salep Kulit 2% Tube 3,296 -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402 -
Kloramfenikol Tetes Mata -5 ml Botol 11,000 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402 -
Kloramfenikol Tetes Telinga 3%-5 ml Botol 7,700 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 33 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 45 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550 -
153 Kombipak Cefixime+ Azithromisin Kotak - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 123 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151 -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129 -
156
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml
- -
157 Lansoprazole 30 mg Kapsul Tablet 303 -
Lansoprazole 30 mg Kapsul Tablet 319 -
Lansoprazole 30 mg Kapsul Tablet 323 -
Lansoprazole 30 mg Kapsul Tablet 278 -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644 -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696 -
161 Lidokain injeksi 2 % Tablet 847 -

Lidokain injeksi 2 % Ampul


1,111 -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 860 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 120 -
Loperamid Tablet 2 mg Tablet 80 -
165 Loratadin tablet 10 mg Tablet 109 -
Loratadin tablet 10 mg Tablet 131 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328 -
Loperamid Tablet 2 mg Tablet 80 -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200 -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,581 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796 -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 4,090 -
168 MB Anak Blister - -
169 MB Dewasa Blister - -
170 Meloksikam tablet 15 mg Tablet 700 -
Meloksikam tablet 15 mg Tablet 707 -
Meloksikam tablet 15 mg Tablet 187 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96 -
Metformin Hcl Tablet 500 mg Tablet 77 -
173 Metformin 850 mg Tablet 150 -
Metformin 850 mg Tablet 154 -
174 Metildopa 250 mg tablet Tablet 946 -
Metildopa 250 mg tablet Tablet 985 -
175 Methisoprinol 500 mg Tablet 3,300 -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
214 -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420 -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


216 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 1,023 -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849 -
178 Metilprednisolon tablet 4 mg Tablet 330 -
Metilprednisolon tablet 4 mg Tablet 102 -
179 Metoklopramid 10 mg Tablet 80 -
Metoklopramid 10 mg Tablet 90 -
Metoklopramid 10 mg Tablet 87 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 133 -
Metronidazole Tablet 500 mg Tablet 211 -
183 Metronidazole sirup 125 mg/ml Botol - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110 -
185 Mikonazole KrIm 2 % - 10 gr Tube - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250 -
186 Multivitamin + Mineral tablet Tablet - -
Multivitamin + Mineral tablet Tablet 800 -
Multivitamin + Mineral tablet Tablet 825 -
187 Multivitamin sirup Botol 6,793 -
Multivitamin sirup Botol 7,603 -
Multivitamin sirup Botol 7,150 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128 -
Natrum Diklofenak Tablet 25 mg Tablet 145 -
191 Natrium Diklofenak Tablet 50 mg Tablet 99 -
Natrium Diklofenak Tablet 50 mg Tablet 100 -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410 -
193 Nipedifin Tablet 10 mg Tablet - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500 -
Nistatin suspensi 100.000 IU/ml Botol 11,500 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560 -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843 -
197 Obat Antitiuberkolosis Kategori Anak Paket - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759 -
207 Obat Batuk Hitam Plus Sirup Botol - -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898 -
214 Omeprazole Kapsul 20 mg Tablet 129 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070 -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649 -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,161 -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 165 -
Parasetamol Tablet 500 mg Tablet 143 -
Parasetamol Tablet 500 mg Tablet 278 -
220 PB Anak Blister - -
221 PB Dewasa Blister - -
222 Pehacain injeksi Ampul 3,113 -
Pehacain injeksi Ampul 3,000 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700 -
224 Permetrin krim 5 % Tube 11,825 -
Permetrin krim 5 % Tube 11,466 -
225 Piracetam Tablet 400 mg Tablet - -
226 Piracetam Tablet 800 mg Tablet - -
227 Piroksikam Tablet 20 mg Tablet 165 -
Piroksikam Tablet 20 mg Tablet 130 -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 129 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118 -
231 Povidon Iodida 10% 30 ml Botol 3,045 -
Povidon Iodida 10% 30 ml Botol 3,361 -
232 Povidon Iodida 10% 60 ml Botol 3,885 -
Povidon Iodida 10% 60 ml Botol 22,049 -
233 Povidon Iodida 10% 300 ml Botol 18,900 -
Povidon Iodida 10% 300 ml Botol 25,850 -
234 Prednison Tablet 5 mg Tablet 76 -
Prednison Tablet 5 mg Tablet 68 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76 -
Propanolol Hcl Tablet 40 mg Tablet 74 -
238 Propilturasil Tablet 100 mg Tablet 385 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155 -
240 Ranitidin Tablet 150 mg Tablet 85 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517 -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630 -
246 Salbutamol Tablet 2 mg Tablet 63 -
Salbutamol Tablet 2 mg Tablet 67 -
Salbutamol Tablet 2 mg Tablet 118 -
247 Salbutamol Tablet 4 mg Tablet 70 -
Salbutamol Tablet 4 mg Tablet 87 -
Salbutamol Tablet 4 mg Tablet 99 -
Salbutamol Tablet 4 mg Tablet 162 -
248 Salbutamol solution for Inhalation single dose units 2,5
Ampul
ml - -
249
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,333 -

Salep 2-4 Kombinasi : Pot


Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797 -
250 Salisil bedak 2% -50 gr Kotak 1,025 -
Salisil bedak 2% -50 gr Kotak 1,925 -
251 Salep Luka Bakar Tube 11,500 -
Salep Luka Bakar Tube 10,958 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922 -
253 Sefadroksil Tablet 500 mg Tablet 478 -
Sefadroksil Tablet 500 mg Tablet 594 -
Sefadroksil Tablet 500 mg Tablet 830 -
254 Sefiksim Kapsul 100 mg Kapsul - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - -
256 Sefotaksim Injeksi 1 gr Ampul - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 49 -
Setirizin Tablet 10 mg Tablet 143 -
Setirizin Tablet 10 mg Tablet 49 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,090 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 969 -
262 Sianokobalamin Tablet 50 mcg Tablet 43 -
Sianokobalamin Tablet 50 mcg Tablet 51 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 363 -
265 Simvastatin Tablet 10 mg Tablet 68 -
Simvastatin Tablet 10 mg Tablet 111 -
Simvastatin Tablet 10 mg Tablet 131 -
266 Siprofloksasin 500mg Tablet 281 -
Siprofloksasin 500mg Tablet 240 -
Siprofloksasin 500mg Tablet 248 -
267 Spironolakton Tablet 25 mg Tablet 190 -
Spironolakton Tablet 25 mg Tablet 244 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi:
Tablet
Besi II Sulfat 200 mg + Asam Folat 0,25 mg 353 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303 -
Tetrasiklin Kapsul 500 mg Kapsul 310 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 185 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86 -
276 Thiamfenikol Kapsul 500 mg Kapsul 913 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80 -
280 Vitamin B .Komplek Tablet Tablet 55 -
Vitamin B .Komplek Tablet Tablet 115 -
281 Vitamin Neurotropik Tablet Tablet 440 -
Vitamin Neurotropik Tablet Tablet 660 -
Vitamin Neurotropik Tablet Tablet 866 -
282 Zinc Tablet 20 mg Tablet 524 -
Zinc Tablet 20 mg Tablet 208 -
Zinc Sulfat 20 mg/5 ml Tablet 3,171 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972 -
284 Aminofillin Tablet 150 mg Tablet 139 -
285 Asam Folat Tablet 0,4 mg Tablet 52 -
Asam Folat Tablet 0,4 mg Tablet 56 -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,520 -
Gentamisin Sulfat tetes mata 0,3% Botol 4,561 -
287 Obat Kumur Botol 16,962 -
288 Salep Betametason + Neomisin Tube 12,793 -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200 -
290 Propanolol 10mg Tablet 52 -
Propanolol 10mg Tablet 60 -
291 Tablet Pemanis Botol 34,000 -
292 Bisakodil Suppositoria 5 mg Supp 5,670 -
Bisakodil Suppositoria 5 mg Supp 36,000 -
Bisakodil Suppositoria 5 mg Supp 5,085 -
293 Obat Batuk Herbal (Herbakof) Botol 9,680 -
Obat Batuk Herbal (Herbakof) Botol 17,600 -
Obat Batuk Herbal (Herbakof) Botol 16,563 -
294 Amoksisillin Drops Botol 13,500 -
295 Tablet Hepatoprotector (Curcuma) Pot 416 -
296 Simvastatin 20mg Tablet 150 -
297 Klozapine 25mg Tablet 473 -
298 Bisoprolol 2,5mg Tablet 626 -
Bisoprolol 2,5mg Tablet 124 -
299 Vitamin C 500mg Tablet 490 -
RAMVIT-C C 500mg Tablet 225 -
300 Vitamin D 1000 IU Tablet 2,503 -
301 Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
Tablet
Acid 979 -
302 Multivitamin Syrup Tablet 12,500 -
Multivitamin Syrup Tablet 12,100 -
303 Risperidon 2 mg Tablet 123 -
304 Alpara Kaplet Kaplet 757 -
305 Asam Traneksamat Tablet 1,485 -
Novapharin Tablet 266 -
FORNERO TABLET Tablet 504 -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,930 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,624 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631 -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,700 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700 -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950 -
Alat Gula, Kolesterol, Asam Urat Unit 886,545 -
6 Alat Suntik Sekali Pakai 1 ml Set 652 -
Alat Suntik Sekali Pakai 1 ml Set 809 -
7 Alat Suntik Sekali Pakai 3 ml Set 685 -
Alat Suntik Sekali Pakai 3 ml Set 652 -
Alat Suntik Sekali Pakai 3 ml Set 802 -
Alat Suntik Sekali Pakai 3 ml Set 854 -
8 Alat Suntik Sekali Pakai 5 ml Set 815 -
Alat Suntik Sekali Pakai 5 ml Set 777 -
9 Set
Alat Suntik Sekali Pakai 10 ml 979 -
Alat Suntik Sekali Pakai 10 ml Set 932 -
10 Alkohol Swab Kotak 197 -
Alkohol Swab Kotak 109 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354 -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,195 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583 -
14 Blood Set Set 8,193 -
Blood Set Set 512,000 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,667 -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 25,009 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150 -
18 Etanol 70 % 1.000 ml Botol 26,250 -
Etanol 70 % 1.000 ml Botol 23,595 -
19 Eter Alkohol Botol - -
20 Folley Catheter no 14 Set 18,450 -
21 Folley Catheter no 16 Set 18,450 -
Folley Catheter no 16 Set 20,295 -
Folley Catheter no 16 Set 9,593 -
22 Folley Catheter no 18 Set 18,450 -
Folley Catheter no 18 Set 20,295 -
Folley Catheter no 19 Set 9,593 -
23 Infus set Anak Set 6,458 -
Infus set Anak Set 23,673 -
24 Infus set Dewasa Set 5,445 -
Infus set Dewasa Set 9,070 -
Infus set Dewasa Set 6,390 -
Infus set Dewasa Set 6,448 -
25 Iodina Test Botol - -
26 Kaca Slide Pcs - -
27
Bungkus
Kapas Berlemak 500 gram - -
28
Bungkus
Kapas Pembalut / Adsorbens 250 gram 20,600 -

Bungkus
Kapas Pembalut / Adsorbens 250 gram 25,410 -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400 -
Kassa Pembalut 2 m x 80 cm Rol 9,870 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805 -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690 -
Kassa Hidrofil Steril 16 x 17 Kotak 17,100 -
33
Bungkus
Kassa Kompres 40 x 40 steril 43,600 -
34 Kertas Puyer Pcs - -
35 Kertas Saring Lembar - -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050 -
38 Masker Buah 439 -
Masker Buah 340 -
Masker Ear Loop Buah 2,475 -
Masker Ear Loop Buah 707 -
Masker Head Loop Buah 2,640 -
Masker Rajawali Buah 1,030 -
Masker Rajawali Buah 432 -
Masker Head Loop Buah 1,140 -
39 Masker N 95 Pcs 6,707 -
Masker N 96 Pcs 147,562 -
40 Minyak Imersi Botol - -
41 Plester Kertas Rol 15,333 -
42 Polifix Rol 30,000 -
Polifix Rol 39,217 -
Polifix Rol 31,900 -
Polifix Rol 43,600 -
43 Pot Dahak Pcs - -
44 Rapid 2 HIV Fokus Test - -
45 Rapid HIV 1 (SD HIV) Test - -
46 Rapid HIV 2 (Intec HIV) Test - -
47 Rapid HIV 2 (Biomeriux HIV) Test - -
48 Rapid Tes SD Bioline HBSAG Test - -
49 Rapid Test Syphilis Test - -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol - -
53 RPR Test Syphilis Test - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610 -
Silk( Benang Bedah Sutra ) No 3/0 Sachet 15,229 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671 -
55 Safety Box Pcs - -
56 Sarung tangan Steril No 6 Pcs 6,595 -
Sarung tangan Steril No 6 Pcs 4,500 -
57 Sarung tangan Steril No 7 Pcs 4,500 -
Sarung tangan Steril No 7 Pcs 12,100 -
58 Sarung tangan Steril No 7,5 Pcs 6,595 -
Sarung tangan Steril No 7,5 Pcs 4,500 -
Sarung tangan Steril No 7,5 Pcs 12,100 -
Sarung tangan Steril No 7,5 Pcs 8,250 -
59 Sarung tangan Non Steril S Pcs 600 -
Sarung tangan Non Steril S Pcs 71,152 -
Sarung tangan Non Steril S Pcs 1,320 -
Sarung tangan Non Steril S Pcs 1,225 -
Sarung tangan Non Steril S Pcs 833 -
60 Sarung tangan Non Steril M Pcs 71,152 -
Sarung tangan Non Steril M Pcs 66,054 -
Sarung tangan Non Steril M Pcs 1,320 -
Sarung tangan Non Steril M Pcs 1,225 -
Sarung tangan Non Steril M Pcs 833 -
61 Sarung tangan Non Steril L Pcs 600 -
Sarung tangan Non Steril L Pcs 66,054 -
Sarung tangan Non Steril L Pcs 60,049 -
Sarung tangan Non Steril L Pcs 833 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test 6,107 -
Stik Pemeriksaan Gula Darah Test 305,329 -
Stik Pemeriksaan Gula Darah Test 6,490 -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000 -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582 -
64 Stik Pemeriksaan Kolesterol Test 23,158 -
Stik Pemeriksaan Kolesterol Test 231,000 -
Stik Pemeriksaan Kolesterol Test 29,805 -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000 -
65 Stik Pemeriksaan Asam Urat Test 5,086 -
Stik Pemeriksaan Asam Urat Benecheck Test 150,000 -
Stik Pemeriksaan Asam Urat Test 10,966 -
Stik Pemeriksaan Asam Urat Test 24,125 -
66 Supratul Lembar 10,400 -
67 Urine Bag set 8,070 -
Urine Bag set 3,090 -
Urine Bag set 4,362 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 14,420 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800 -
Cairan Antiseptik Botol 500 ml Botol 66,880 -
Cairan Antiseptik Botol 500 ml Botol 100,100 -
Cairan Antiseptik Botol 500 ml Botol 47,000 -
71 Bisturi Pcs 12,682 -
Bisturi Pcs 279,000 -
Bisturi Pcs 3,300 -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000 -
3 Surface Desintfectan 5L Botol 1,098,900 -
73 Cairan Desinfektan 5 Liter Botol 396,000 -
High Level Desintfectan/sterald Botol 396,000 -
74 Cairan Detergen 5 Liter Botol 712,800 -
75 Gel USG Botol 13,213 -
Gel USG Botol 14,880 -
Gel USG Botol 14,553 -
76 IV Dressing Pcs 220,000 -
IV Dressing Pcs 2,200 -
77 Mucus Extractor Pcs 7,251 -
78 Nasal Oxygen Anak Pcs 5,814 -
79 Nasal Oxygen Bayi Pcs 5,814 -
80 Nasal Oxygen Dewasa Pcs 5,814 -
81 Plester Bulat Non Woven Pcs 317 -
82 Plester Transparan Pcs 1,678 -
83 PP test Pcs 1,997 -
PP test Pcs 2,133 -
PP test Pcs 2,379 -
84 Sarung tangan Steril No 6,5 Pcs 6,595 -
85 Sarung Tangan Obgyn Steril Pcs 19,941 -
Sarung Tangan Obgyn Steril Pcs 21,934 -
86 Stik Pemeriksaan Hb Pcs 8,000 -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678 -
Umbilical Cord Klem Steril Nylon Pcs 2,946 -
Umbilical Cord Klem Steril Nylon Pcs 1,339 -
88 Underpad 60x90 cm Non Steril Pcs 42,873 -
89 Stik Gula Darah Baru Pcs 6,717 -
90 Stik Asam Urat Baru Pcs 12,063 -
91 Stik Hb Test 8,034 -
92 ChOLESTROL chod-pap Kit 1,092,300 -
93 Creatinin mod iaffe Kit 838,200 -
94 Glucosa God-pap Kit 678,700 -
95 GOT (AST) mod iffe Kit 931,700 -
96 GPT Kit 931,700 -
97 Trigliserida GPO-PAP Kit 1,636,800 -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000 -
99 Urid Acid TBHA Kit 1,246,300 -
100 Dumacon Auto Kit 682,000 -
101 Micropipet 5,0-50 Ul Kit 2,315,500 -
102 Micropipet 10-100UL Kit 2,315,500 -
103 Tabung Vacutainer Kit 385,000 -
104 HGB Drab Kin Kit 431,200 -
105 Nasal Kanul Dewasa Pcs 13,454 -
Nasal Kanul Dewasa Pcs 13,770 -
106 Nasal Kanul Anak Pcs 13,454 -
Nasal Kanul Anak Pcs 5,390 -
107 Coveral II (APD) Non Woven Pcs 161,700 -
Coveral II (APD) Non Woven Pcs 110,599 -
108 Kantong Plastik Kuning 60cmx100cm Pak 21,450 -
109 Kantong Plastik Kuning 90cmx120cm Pak 21,450 -
110 Kantong Plastik Hitam 60cmx100cm Pak 18,700 -
111 Kantong Plastik Hitam 90cmx120cm Pak 18,700 -
112 Forsch Medical Disposible Gown Pcs 43,000 -

MESA PLASTIK SAMPAH HITAM 80 X 100 CM


22,200 -

MESA KANTONG PLASTIK KUNING 80 x 100 cm


26,600 -
C. SERUM DAN VAKSIN - -
1
Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial
48,000 -
2 Serum Anti Rabies untuk manusia Vial - -
3
Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Ampul
517,132 -
4
Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial
148,135 -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800 -
6 Vaksin BCG Ampul - -
7 Vaksin Campak 10 Dosis Vial - -
8 Vaksin DT Vial - -
9 Vaksin TD Vial - -
10 Vaksin DTP-HB Vial - -
11 Vaksin DPT-HB/Hib Vial - -
12 Vaksin HB Uniject Pcs - -
13 Vaksin MR (VVM.A) Vial - -
14 Vaksin Polio Vial - -
15 Vaksin Polio IPV 5 Dosis Vial - -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Buku Kontrak 500,000 -
19 - -
20 - -
10 Vaksin DPT-HB/Hib Vial 85,103 -
11 Vaksin HB Uniject Pcs 25,839 -
Vaksin HB Uniject Pcs 25,597 -
Vaksin HB Uniject Pcs 25,839 -
12 Vaksin MR (VVM.A) Vial 155,813 -
Vaksin MR (VVM.A) Vial 19,954 -
Vaksin MR (VVM.A) Vial 166,265 -
13 Vaksin MR (VVM.A) Vial 167,860 -
Vaksin Polio Vial 19,954 -
Vaksin Polio Vial 21,285 -
Vaksin Polio Vial 21,494 -
14 Vaksin Polio IPV 5 Dosis Vial 158,994 -
Vaksin Polio IPV 5 Dosis Vial 139,760 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
15 Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
Vaksin Polio IPV 5 Dosis Vial 158,500 -
Vaksin Polio IPV 5 Dosis Vial 25,839 -
Vaksin Polio 10 IPV Dosis Vial - -
Vaksin TT Vial - -
Vaksin Campak Bias Vial - -
Vaksin Covid-19 (10 d0sis)
Vial
1,339,441 -
16 Vaksin Astrazeneca Vial 581,607 -
17 Vaksin Coronavac 2 Dosis Vial - -
18 Vaksin Rabivax-S Vial 153,000 -
6 Vaksin BCG Ampul - -
7 Vaksin Campak 10 Dosis Vial - -
8 Vaksin DT Vial - -
9 Vaksin TD Vial - -
10 Vaksin DTP-HB Vial - -
11 Vaksin DPT-HB/Hib Vial - -
12 Vaksin HB Uniject Pcs - -
13 Vaksin MR (VVM.A) Vial - -
14 Vaksin Polio Vial - -
15 Vaksin Polio IPV 5 Dosis Vial - -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Buku Kontrak 500,000 -
19 - -
20 - -

JUMLAH TOTAL OBAT


JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN
Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP.19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023
-
K AWAL DESEMBER 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023
JKN JKN JKN
HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN (RP)
(RP)

- - - - -
- - - - -
- - - - -
- 87 - - 87
- 105 - - 105
- 200 - - 200
- - - - -
- 308 - - 308
- 165 - - 165
- 110 - - 110
- 3,627 - - 3,627
- 3,790 - - 3,790
- 2,750 - - 2,750
- 2,789 - - 2,789
- 139 - - 139
- 91 - - 91
- 143 - - 143
- 177 - - 177
- 70 - - 70
- 53 - - 53
- 53 - - 53
- 93 - - 93
- 70 - - 70
- 184 - - 184
- 195 - - 195
- 180 - - 180
- 374 - - 374
- 201 - - 201
- 232 - - 232
- 190 - - 190
- - - - -
- 3,531 - - 3,531
- 2,050 - - 2,050

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129 - - 2,129

- 1,679 - - 1,679

- 54 - - 54

- 58 - - 58

- 54 - - 54
- 187 - - 187
- 264 - - 264
- 214 - - 214
- 170 - - 170
- 209 - - 209
- - - - -

- - - - -
- 3,167 - - 3,167
- 3,250 - - 3,250

- 3,477 - - 3,477

- 4,158 - - 4,158

- 4,323 - - 4,323

- 3,509 - - 3,509

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 429 - - 429
- 1,188 - - 1,188
- 11,400 - - 11,400
- 8,000 - - 8,000
- - - - -
- - - - -
- - - - -
- 104 - - 104
- 103 - - 103
- 250 - - 250
- 198 - - 198
- 304 - - 304
- - - - -
- - - - -
- - - - -
- - - - -
- 236 - - 236
- - - - -
- 152 - - 152
- 145 - - 145
- 1,540 - - 1,540
- 2,860 - - 2,860
- - - - -
- - - - -
- 110 - - 110
- 149 - - 149
- 89 - - 89
- 1,340 - - 1,340
- 1,380 - - 1,380
- 1,349 - - 1,349
- - - - -
- 216 - - 216
- - - - -
- - - - -
- 253 - - 253
- - - - -
- - - - -
- 1,097 - - 1,097
- 133 - - 133
- 41 - - 41
- 66 - - 66
- - - - -
- - - - -
- - - - -
- 1,735 - - 1,735
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176 - - 1,176
- 104 - - 104
- 105 - - 105
- 99 - - 99
- 109 - - 109
- 91 - - 91
- 71 - - 71
- 289 - - 289
- 2,295 - - 2,295
- - - - -
- - - - -

- 1,408 - - 1,408
- 557 - - 557
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400 - - 246,400
- 18,824 - - 18,824
- 152 - - 152
- 154 - - 154
- 484 - - 484
- 171 - - 171
- 1,857 - - 1,857
- - - - -
- 350 - - 350
- - - - -
- 605 - - 605
- 3,330 - - 3,330
- - - - -
- - - - -
- 748 - - 748
- 695 - - 695
- 3,682 - - 3,682
- 1,386 - - 1,386
- 154 - - 154
- 144 - - 144
- 1,333 - - 1,333

- 260 - - 260

- 274 - - 274
- 769 - - 769
- - - - -
- - - - -
- 1,830 - - 1,830
- 2,115 - - 2,115
- 2,376 - - 2,376
- - - - -
- 119 - - 119
- 83 - - 83
- 123 - - 123
- 231 - - 231
- - - - -
- 87 - - 87
- - - - -
- 7,000 - - 7,000
- 10,351 - - 10,351
- 5,775 - - 5,775
- 6,900 - - 6,900
- - - - -
- 210 - - 210
- 1,264 - - 1,264
- 47 - - 47
- 58 - - 58
- 56 - - 56
- 51 - - 51
- 66 - - 66
- 61 - - 61
- 56 - - 56
- - - - -
- 101,300 - - 101,300
- 155 - - 155
- 149 - - 149
- 2,325 - - 2,325
- 2,650 - - 2,650
- 2,639 - - 2,639
- 2,347 - - 2,347
- 102 - - 102
- 138 - - 138
- 191 - - 191
- 308 - - 308
- 2,365 - - 2,365
- 2,236 - - 2,236
- - - - -
- - - - -
- - - - -
- 89 - - 89
- 88 - - 88
- - - - -
- 275 - - 275
- 385 - - 385
- - - - -
- 61 - - 61
- 63 - - 63
- 66 - - 66
- 187 - - 187
- 75 - - 75
- 230 - - 230
- - - - -
- 2,545 - - 2,545
- 2,370 - - 2,370
- 455 - - 455
- 280 - - 280
- - - - -
- - - - -
- - - - -
- 1,450 - - 1,450
- 715 - - 715
- 583 - - 583
- - - - -
- 4,700 - - 4,700
- 5,015 - - 5,015
- - - - -
- 1,810 - - 1,810
- 3,266 - - 3,266
- 3,296 - - 3,296
- 6,402 - - 6,402
- 11,000 - - 11,000
- 6,402 - - 6,402
- 7,700 - - 7,700
- - - - -
- 42 - - 42
- 37 - - 37
- 23 - - 23
- 33 - - 33
- 45 - - 45
- - - - -
- 147 - - 147
- 1,510 - - 1,510

- 4,550 - - 4,550
- - - - -

- - - - -

- 123 - - 123
- 151 - - 151

- 129 - - 129

- - - - -
- 303 - - 303
- 319 - - 319
- 323 - - 323
- 278 - - 278

- - - - -

- 9,644 - - 9,644

- 10,696 - - 10,696
- 847 - - 847

- 1,111 - - 1,111

- 1,152 - - 1,152

- 860 - - 860
- - - - -
- 120 - - 120
- 80 - - 80
- 109 - - 109
- 131 - - 131
- 3,328 - - 3,328
- 80 - - 80
- 3,200 - - 3,200
- 3,581 - - 3,581
- 3,796 - - 3,796
- 4,090 - - 4,090
- - - - -
- - - - -
- 700 - - 700
- 707 - - 707
- 187 - - 187
- - - - -
- 96 - - 96
- 77 - - 77
- 150 - - 150
- 154 - - 154
- 946 - - 946
- 985 - - 985
- 3,300 - - 3,300

- 214 - - 214

- 420 - - 420

- 216 - - 216
- 1,023 - - 1,023
- 2,849 - - 2,849
- 330 - - 330
- 102 - - 102
- 80 - - 80
- 90 - - 90
- 87 - - 87
- - - - -
- - - - -
- 133 - - 133
- 211 - - 211
- - - - -
- 8,110 - - 8,110
- - - - -
- 3,250 - - 3,250
- - - - -
- 800 - - 800
- 825 - - 825
- 6,793 - - 6,793
- 7,603 - - 7,603
- 7,150 - - 7,150
- - - - -
- - - - -
- 128 - - 128
- 145 - - 145
- 99 - - 99
- 100 - - 100

- 6,410 - - 6,410
- - - - -
- 13,500 - - 13,500
- 11,500 - - 11,500
- 560 - - 560
- 598 - - 598
- 790 - - 790
- 843 - - 843
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479 - - 6,479
- 6,759 - - 6,759
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969 - - 1,969
- 2,005 - - 2,005
- 2,640 - - 2,640
- 1,199 - - 1,199
- 1,900 - - 1,900
- 9,898 - - 9,898

- 129 - - 129
- 1,070 - - 1,070

- 6,649 - - 6,649

- 8,693 - - 8,693
- 1,161 - - 1,161
- 1,181 - - 1,181
- - - - -
- 165 - - 165
- 143 - - 143
- 278 - - 278
- - - - -
- - - - -
- 3,113 - - 3,113
- 3,000 - - 3,000
- 20,700 - - 20,700
- 11,825 - - 11,825
- 11,466 - - 11,466
- - - - -
- - - - -
- 165 - - 165
- 130 - - 130

- - - - -
- 129 - - 129
- 118 - - 118
- 118 - - 118
- 3,045 - - 3,045
- 3,361 - - 3,361
- 3,885 - - 3,885
- 22,049 - - 22,049
- 18,900 - - 18,900
- 25,850 - - 25,850
- 76 - - 76
- 68 - - 68
- - - - -
- - - - -
- 76 - - 76
- 74 - - 74
- 385 - - 385
- 1,155 - - 1,155
- 85 - - 85
- 288 - - 288
- 517 - - 517
- 508 - - 508
- - - - -
- - - - -
- 7,630 - - 7,630
- 63 - - 63
- 67 - - 67
- 118 - - 118
- 70 - - 70
- 87 - - 87
- 99 - - 99
- 162 - - 162

- - - - -

- 2,333 - - 2,333

- 2,797 - - 2,797
- 1,025 - - 1,025
- 1,925 - - 1,925
- 11,500 - - 11,500
- 10,958 - - 10,958
- 3,922 - - 3,922
- 478 - - 478
- 594 - - 594
- 830 - - 830
- - - - -
- - - - -
- - - - -
- 4,483 - - 4,483
- - - - -
- 49 - - 49
- 143 - - 143
- 49 - - 49
- 2,090 - - 2,090
- 2,915 - - 2,915
- 969 - - 969
- 43 - - 43
- 51 - - 51
- - - - -
- 363 - - 363
- 68 - - 68
- 111 - - 111
- 131 - - 131
- 281 - - 281
- 240 - - 240
- 248 - - 248
- 190 - - 190
- 244 - - 244
- - - - -

- 353 - - 353

- - - - -
- - - - -
- - - - -
- 303 - - 303
- 310 - - 310
- - - - -
- 185 - - 185
- 82 - - 82
- 91 - - 91
- 86 - - 86
- 913 - - 913
- - - - -
- - - - -
- 85 - - 85
- 80 - - 80
- 55 - - 55
- 115 - - 115
- 440 - - 440
- 660 - - 660
- 866 - - 866
- 524 - - 524
- 208 - - 208
- 3,171 - - 3,171
- 2,972 - - 2,972
- 139 - - 139
- 52 - - 52
- 56 - - 56
- 4,520 - - 4,520
- 4,561 - - 4,561
- 16,962 - - 16,962
- 12,793 - - 12,793
- 13,200 - - 13,200
- 52 - - 52
- 60 - - 60
- 34,000 - - 34,000
- 5,670 - - 5,670
- 36,000 - - 36,000
- 5,085 - - 5,085
- 9,680 - - 9,680
- 17,600 - - 17,600
- 16,563 - - 16,563
- 13,500 - - 13,500
- 416 - - 416
- 150 - - 150
- 473 - - 473
- 626 - - 626
- 124 - - 124
- 490 - - 490
- 225 - - 225
- 2,503 - - 2,503

- 979 - - 979
- 12,500 - - 12,500
- 12,100 - - 12,100
- 123 - - 123
- 757 - - 757
- 1,485 - - 1,485
- 266 - - 266
- 504 - - 504
- - - - -
- 6,930 - - 6,930
- 8,700 - - 8,700
- 8,624 - - 8,624
- 12,631 - - 12,631
- 8,700 - - 8,700
- 6,239 - - 6,239
- 8,700 - - 8,700
- 8,700 - - 8,700
- 8,700 - - 8,700
- 805,950 - - 805,950
- 886,545 - - 886,545
- 652 - - 652
- 809 - - 809
- 685 - - 685
- 652 - - 652
- 802 - - 802
- 854 - - 854
- 815 - - 815
- 777 - - 777

- 979 - - 979
- 932 - - 932
- 197 - - 197
- 109 - - 109
- 1,354 - - 1,354
- 2,195 - - 2,195
- 1,185 - - 1,185
- 1,583 - - 1,583
- 8,193 - - 8,193
- 512,000 - - 512,000
- 26,667 - - 26,667
- 320,000 - - 320,000
- 25,009 - - 25,009
- 32,800 - - 32,800
- 40,923 - - 40,923
- 33,538 - - 33,538
- 3,150 - - 3,150
- 26,250 - - 26,250
- 23,595 - - 23,595
- - - - -
- 18,450 - - 18,450
- 18,450 - - 18,450
- 20,295 - - 20,295
- 9,593 - - 9,593
- 18,450 - - 18,450
- 20,295 - - 20,295
- 9,593 - - 9,593
- 6,458 - - 6,458
- 23,673 - - 23,673
- 5,445 - - 5,445
- 9,070 - - 9,070
- 6,390 - - 6,390
- 6,448 - - 6,448
- - - - -
- - - - -
- - - - -

- 20,600 - - 20,600

- 25,410 - - 25,410
- 9,400 - - 9,400
- 9,870 - - 9,870
- 805 - - 805
- 840 - - 840
- 3,800 - - 3,800
- 7,370 - - 7,370
- 8,690 - - 8,690
- 17,100 - - 17,100

- 43,600 - - 43,600
- - - - -
- - - - -
- - - - -
- 43,050 - - 43,050
- 439 - - 439
- 340 - - 340
- 2,475 - - 2,475
- 707 - - 707
- 2,640 - - 2,640
- 1,030 - - 1,030
- 432 - - 432
- 1,140 - - 1,140
- 6,707 - - 6,707
- 147,562 - - 147,562
- - - - -
- 15,333 - - 15,333
- 30,000 - - 30,000
- 39,217 - - 39,217
- 31,900 - - 31,900
- 43,600 - - 43,600
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610 - - 20,610
- 15,229 - - 15,229
- 19,700 - - 19,700
- 22,671 - - 22,671
- - - - -
- 6,595 - - 6,595
- 4,500 - - 4,500
- 4,500 - - 4,500
- 12,100 - - 12,100
- 6,595 - - 6,595
- 4,500 - - 4,500
- 12,100 - - 12,100
- 8,250 - - 8,250
- 600 - - 600
- 71,152 - - 71,152
- 1,320 - - 1,320
- 1,225 - - 1,225
- 833 - - 833
- 71,152 - - 71,152
- 66,054 - - 66,054
- 1,320 - - 1,320
- 1,225 - - 1,225
- 833 - - 833
- 600 - - 600
- 66,054 - - 66,054
- 60,049 - - 60,049
- 833 - - 833
- - - - -
- 6,107 - - 6,107
- 305,329 - - 305,329
- 6,490 - - 6,490
- 160,000 - - 160,000
- 3,582 - - 3,582
- 23,158 - - 23,158
- 231,000 - - 231,000
- 29,805 - - 29,805
- 250,000 - - 250,000
- 5,086 - - 5,086
- 150,000 - - 150,000
- 10,966 - - 10,966
- 24,125 - - 24,125
- 10,400 - - 10,400
- 8,070 - - 8,070
- 3,090 - - 3,090
- 4,362 - - 4,362
- - - - -
- 14,420 - - 14,420
- 60,800 - - 60,800
- 66,880 - - 66,880
- 100,100 - - 100,100
- 47,000 - - 47,000
- 12,682 - - 12,682
- 279,000 - - 279,000
- 3,300 - - 3,300
- 595,000 - - 595,000
- 1,098,900 - - 1,098,900
- 396,000 - - 396,000
- 396,000 - - 396,000
- 712,800 - - 712,800
- 13,213 - - 13,213
- 14,880 - - 14,880
- 14,553 - - 14,553
- 220,000 - - 220,000
- 2,200 - - 2,200
- 7,251 - - 7,251
- 5,814 - - 5,814
- 5,814 - - 5,814
- 5,814 - - 5,814
- 317 - - 317
- 1,678 - - 1,678
- 1,997 - - 1,997
- 2,133 - - 2,133
- 2,379 - - 2,379
- 6,595 - - 6,595
- 19,941 - - 19,941
- 21,934 - - 21,934
- 8,000 - - 8,000
- 2,678 - - 2,678
- 2,946 - - 2,946
- 1,339 - - 1,339
- 42,873 - - 42,873
- 6,717 - - 6,717
- 12,063 - - 12,063
- 8,034 - - 8,034
- 1,092,300 - - 1,092,300
- 838,200 - - 838,200
- 678,700 - - 678,700
- 931,700 - - 931,700
- 931,700 - - 931,700
- 1,636,800 - - 1,636,800
- 1,133,000 - - 1,133,000
- 1,246,300 - - 1,246,300
- 682,000 - - 682,000
- 2,315,500 - - 2,315,500
- 2,315,500 - - 2,315,500
- 385,000 - - 385,000
- 431,200 - - 431,200
- 13,454 - - 13,454
- 13,770 - - 13,770
- 13,454 - - 13,454
- 5,390 - - 5,390
- 161,700 - - 161,700
- 110,599 - - 110,599
- 21,450 - - 21,450
- 21,450 - - 21,450
- 18,700 - - 18,700
- 18,700 - - 18,700
- 43,000 - - 43,000

- 22,200 - - 22,200

- 26,600 - - 26,600
- - - - -

- 48,000 - - 48,000
- - - - -

- 517,132 - - 517,132

- 148,135 - - 148,135
- 176,800 - - 176,800
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000 - - 500,000
- - - - -
- - - - -
- 85,103 - - 85,103
- 25,839 - - 25,839
- 25,597 - - 25,597
- 25,839 - - 25,839
- 155,813 - - 155,813
- 19,954 - - 19,954
- 166,265 - - 166,265
- 167,860 - - 167,860
- 19,954 - - 19,954
- 21,285 - - 21,285
- 21,494 - - 21,494
- 158,994 - - 158,994
- 139,760 - - 139,760
- 169,653 - - 169,653
- 62,520 - - 62,520
- 144,540 - - 144,540
- 158,500 - - 158,500
- 25,839 - - 25,839
- - - - -
- - - - -
- - - - -

- 1,339,441 - - 1,339,441
- 581,607 - - 581,607
- - - - -
- 153,000 - - 153,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000 - - 500,000
- - - - -
- - - - -

- -
- -
- -
- -
35,775,494
N JKN

- -
PENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- - - - -
- - - - -
- - 87 - -
- - 105 - -
- - 200 - -
- - - - -
- - 308 - -
- - 165 - -
- - 110 - -
- - 3,627 - -
- - 3,790 - -
- - 2,750 - -
- - 2,789 - -
- - 139 - -
- - 91 - -
- - 143 - -
- - 177 - -
- - 70 - -
- - 53 - -
- - 53 - -
- - 93 - -
- - 70 - -
- - 184 - -
- - 195 - -
- - 180 - -
- - 374 - -
- - 201 - -
- - 232 - -
- - 190 - -
- - - - -
- - 3,531 - -
- - 2,050 - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- - 2,129 - -

- - 1,679 - -

- - 54 - -

- - 58 - -

- - 54 - -
- - 187 - -
- - 264 - -
- - 214 - -
- - 170 - -
- - 209 - -
- - - - -

- - - - -
- - 3,167 - -
- - 3,250 - -

- - 3,477 - -

- - 4,158 - -

- - 4,323 - -

- - 3,509 - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 429 - -
- - 1,188 - -
- - 11,400 - -
- - 8,000 - -
- - - - -
- - - - -
- - - - -
- - 104 - -
- - 103 - -
- - 250 - -
- - 198 - -
- - 304 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 236 - -
- - - - -
- - 152 - -
- - 145 - -
- - 1,540 - -
- - 2,860 - -
- - - - -
- - - - -
- - 110 - -
- - 149 - -
- - 89 - -
- - 1,340 - -
- - 1,380 - -
- - 1,349 - -
- - - - -
- - 216 - -
- - - - -
- - - - -
- - 253 - -
- - - - -
- - - - -
- - 1,097 - -
- - 133 - -
- - 41 - -
- - 66 - -
- - - - -
- - - - -
- - - - -
- - 1,735 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 1,176 - -
- - 104 - -
- - 105 - -
- - 99 - -
- - 109 - -
- - 91 - -
- - 71 - -
- - 289 - -
- - 2,295 - -
- - - - -
- - - - -

- - 1,408 - -
- - 557 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 246,400 - -
- - 18,824 - -
- - 152 - -
- - 154 - -
- - 484 - -
- - 171 - -
- - 1,857 - -
- - - - -
- - 350 - -
- - - - -
- - 605 - -
- - 3,330 - -
- - - - -
- - - - -
- - 748 - -
- - 695 - -
- - 3,682 - -
- - 1,386 - -
- - 154 - -
- - 144 - -
- - 1,333 - -

- - 260 - -

- - 274 - -
- - 769 - -
- - - - -
- - - - -
- - 1,830 - -
- - 2,115 - -
- - 2,376 - -
- - - - -
- - 119 - -
- - 83 - -
- - 123 - -
- - 231 - -
- - - - -
- - 87 - -
- - - - -
- - 7,000 - -
- - 10,351 - -
- - 5,775 - -
- - 6,900 - -
- - - - -
- - 210 - -
- - 1,264 - -
- - 47 - -
- - 58 - -
- - 56 - -
- - 51 - -
- - 66 - -
- - 61 - -
- - 56 - -
- - - - -
- - 101,300 - -
- - 155 - -
- - 149 - -
- - 2,325 - -
- - 2,650 - -
- - 2,639 - -
- - 2,347 - -
- - 102 - -
- - 138 - -
- - 191 - -
- - 308 - -
- - 2,365 - -
- - 2,236 - -
- - - - -
- - - - -
- - - - -
- - 89 - -
- - 88 - -
- - - - -
- - 275 - -
- - 385 - -
- - - - -
- - 61 - -
- - 63 - -
- - 66 - -
- - 187 - -
- - 75 - -
- - 230 - -
- - - - -
- - 2,545 - -
- - 2,370 - -
- - 455 - -
- - 280 - -
- - - - -
- - - - -
- - - - -
- - 1,450 - -
- - 715 - -
- - 583 - -
- - - - -
- - 4,700 - -
- - 5,015 - -
- - - - -
- - 1,810 - -
- - 3,266 - -
- - 3,296 - -
- - 6,402 - -
- - 11,000 - -
- - 6,402 - -
- - 7,700 - -
- - - - -
- - 42 - -
- - 37 - -
- - 23 - -
- - 33 - -
- - 45 - -
- - - - -
- - 147 - -
- - 1,510 - -

- - 4,550 - -
- - - - -

- - - - -

- - 123 - -
- - 151 - -

- - 129 - -

- - - - -
- - 303 - -
- - 319 - -
- - 323 - -
- - 278 - -

- - - - -

- - 9,644 - -

- - 10,696 - -
- - 847 - -

- - 1,111 - -

- - 1,152 - -

- - 860 - -
- - - - -
- - 120 - -
- - 80 - -
- - 109 - -
- - 131 - -
- - 3,328 - -
- - 80 - -
- - 3,200 - -
- - 3,581 - -
- - 3,796 - -
- - 4,090 - -
- - - - -
- - - - -
- - 700 - -
- - 707 - -
- - 187 - -
- - - - -
- - 96 - -
- - 77 - -
- - 150 - -
- - 154 - -
- - 946 - -
- - 985 - -
- - 3,300 - -

- - 214 - -

- - 420 - -

- - 216 - -
- - 1,023 - -
- - 2,849 - -
- - 330 - -
- - 102 - -
- - 80 - -
- - 90 - -
- - 87 - -
- - - - -
- - - - -
- - 133 - -
- - 211 - -
- - - - -
- - 8,110 - -
- - - - -
- - 3,250 - -
- - - - -
- - 800 - -
- - 825 - -
- - 6,793 - -
- - 7,603 - -
- - 7,150 - -
- - - - -
- - - - -
- - 128 - -
- - 145 - -
- - 99 - -
- - 100 - -

- - 6,410 - -
- - - - -
- - 13,500 - -
- - 11,500 - -
- - 560 - -
- - 598 - -
- - 790 - -
- - 843 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 6,479 - -
- - 6,759 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 1,969 - -
- - 2,005 - -
- - 2,640 - -
- - 1,199 - -
- - 1,900 - -
- - 9,898 - -

- - 129 - -
- - 1,070 - -

- - 6,649 - -

- - 8,693 - -
- - 1,161 - -
- - 1,181 - -
- - - - -
- - 165 - -
- - 143 - -
- - 278 - -
- - - - -
- - - - -
- - 3,113 - -
- - 3,000 - -
- - 20,700 - -
- - 11,825 - -
- - 11,466 - -
- - - - -
- - - - -
- - 165 - -
- - 130 - -

- - - - -
- - 129 - -
- - 118 - -
- - 118 - -
- - 3,045 - -
- - 3,361 - -
- - 3,885 - -
- - 22,049 - -
- - 18,900 - -
- - 25,850 - -
- - 76 - -
- - 68 - -
- - - - -
- - - - -
- - 76 - -
- - 74 - -
- - 385 - -
- - 1,155 - -
- - 85 - -
- - 288 - -
- - 517 - -
- - 508 - -
- - - - -
- - - - -
- - 7,630 - -
- - 63 - -
- - 67 - -
- - 118 - -
- - 70 - -
- - 87 - -
- - 99 - -
- - 162 - -

- - - - -

- - 2,333 - -

- - 2,797 - -
- - 1,025 - -
- - 1,925 - -
- - 11,500 - -
- - 10,958 - -
- - 3,922 - -
- - 478 - -
- - 594 - -
- - 830 - -
- - - - -
- - - - -
- - - - -
- - 4,483 - -
- - - - -
- - 49 - -
- - 143 - -
- - 49 - -
- - 2,090 - -
- - 2,915 - -
- - 969 - -
- - 43 - -
- - 51 - -
- - - - -
- - 363 - -
- - 68 - -
- - 111 - -
- - 131 - -
- - 281 - -
- - 240 - -
- - 248 - -
- - 190 - -
- - 244 - -
- - - - -

- - 353 - -

- - - - -
- - - - -
- - - - -
- - 303 - -
- - 310 - -
- - - - -
- - 185 - -
- - 82 - -
- - 91 - -
- - 86 - -
- - 913 - -
- - - - -
- - - - -
- - 85 - -
- - 80 - -
- - 55 - -
- - 115 - -
- - 440 - -
- - 660 - -
- - 866 - -
- - 524 - -
- - 208 - -
- - 3,171 - -
- - 2,972 - -
- - 139 - -
- - 52 - -
- - 56 - -
- - 4,520 - -
- - 4,561 - -
- - 16,962 - -
- - 12,793 - -
- - 13,200 - -
- - 52 - -
- - 60 - -
- - 34,000 - -
- - 5,670 - -
- - 36,000 - -
- - 5,085 - -
- - 9,680 - -
- - 17,600 - -
- - 16,563 - -
- - 13,500 - -
- - 416 - -
- - 150 - -
- - 473 - -
- - 626 - -
- - 124 - -
- - 490 - -
- - 225 - -
- - 2,503 - -

- - 979 - -
- - 12,500 - -
- - 12,100 - -
- - 123 - -
- - 757 - -
- - 1,485 - -
- - 266 - -
- - 504 - -
- - - - -
- - 6,930 - -
- - 8,700 - -
- - 8,624 - -
- - 12,631 - -
- - 8,700 - -
- - 6,239 - -
- - 8,700 - -
- - 8,700 - -
- - 8,700 - -
- - 805,950 - -
- - 886,545 - -
- - 652 - -
- - 809 - -
- - 685 - -
- - 652 - -
- - 802 - -
- - 854 - -
- - 815 - -
- - 777 - -

- - 979 - -
- - 932 - -
- - 197 - -
- - 109 - -
- - 1,354 - -
- - 2,195 - -
- - 1,185 - -
- - 1,583 - -
- - 8,193 - -
- - 512,000 - -
- - 26,667 - -
- - 320,000 - -
- - 25,009 - -
- - 32,800 - -
- - 40,923 - -
- - 33,538 - -
- - 3,150 - -
- - 26,250 - -
- - 23,595 - -
- - - - -
- - 18,450 - -
- - 18,450 - -
- - 20,295 - -
- - 9,593 - -
- - 18,450 - -
- - 20,295 - -
- - 9,593 - -
- - 6,458 - -
- - 23,673 - -
- - 5,445 - -
- - 9,070 - -
- - 6,390 - -
- - 6,448 - -
- - - - -
- - - - -
- - - - -

- - 20,600 - -

- - 25,410 - -
- - 9,400 - -
- - 9,870 - -
- - 805 - -
- - 840 - -
- - 3,800 - -
- - 7,370 - -
- - 8,690 - -
- - 17,100 - -

- - 43,600 - -
- - - - -
- - - - -
- - - - -
- - 43,050 - -
- - 439 - -
- - 340 - -
- - 2,475 - -
- - 707 - -
- - 2,640 - -
- - 1,030 - -
- - 432 - -
- - 1,140 - -
- - 6,707 - -
- - 147,562 - -
- - - - -
- - 15,333 - -
- - 30,000 - -
- - 39,217 - -
- - 31,900 - -
- - 43,600 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 20,610 - -
- - 15,229 - -
- - 19,700 - -
- - 22,671 - -
- - - - -
- - 6,595 - -
- - 4,500 - -
- - 4,500 - -
- - 12,100 - -
- - 6,595 - -
- - 4,500 - -
- - 12,100 - -
- - 8,250 - -
- - 600 - -
- - 71,152 - -
- - 1,320 - -
- - 1,225 - -
- - 833 - -
- - 71,152 - -
- - 66,054 - -
- - 1,320 - -
- - 1,225 - -
- - 833 - -
- - 600 - -
- - 66,054 - -
- - 60,049 - -
- - 833 - -
- - - - -
- - 6,107 - -
- - 305,329 - -
- - 6,490 - -
- - 160,000 - -
- - 3,582 - -
- - 23,158 - -
- - 231,000 - -
- - 29,805 - -
- - 250,000 - -
- - 5,086 - -
- - 150,000 - -
- - 10,966 - -
- - 24,125 - -
- - 10,400 - -
- - 8,070 - -
- - 3,090 - -
- - 4,362 - -
- - - - -
- - 14,420 - -
- - 60,800 - -
- - 66,880 - -
- - 100,100 - -
- - 47,000 - -
- - 12,682 - -
- - 279,000 - -
- - 3,300 - -
- - 595,000 - -
- - 1,098,900 - -
- - 396,000 - -
- - 396,000 - -
- - 712,800 - -
- - 13,213 - -
- - 14,880 - -
- - 14,553 - -
- - 220,000 - -
- - 2,200 - -
- - 7,251 - -
- - 5,814 - -
- - 5,814 - -
- - 5,814 - -
- - 317 - -
- - 1,678 - -
- - 1,997 - -
- - 2,133 - -
- - 2,379 - -
- - 6,595 - -
- - 19,941 - -
- - 21,934 - -
- - 8,000 - -
- - 2,678 - -
- - 2,946 - -
- - 1,339 - -
- - 42,873 - -
- - 6,717 - -
- - 12,063 - -
- - 8,034 - -
- - 1,092,300 - -
- - 838,200 - -
- - 678,700 - -
- - 931,700 - -
- - 931,700 - -
- - 1,636,800 - -
- - 1,133,000 - -
- - 1,246,300 - -
- - 682,000 - -
- - 2,315,500 - -
- - 2,315,500 - -
- - 385,000 - -
- - 431,200 - -
- - 13,454 - -
- - 13,770 - -
- - 13,454 - -
- - 5,390 - -
- - 161,700 - -
- - 110,599 - -
- - 21,450 - -
- - 21,450 - -
- - 18,700 - -
- - 18,700 - -
- - 43,000 - -

- - 22,200 - -

- - 26,600 - -
- - - - -

- - 48,000 - -
- - - - -

- - 517,132 - -

- - 148,135 - -
- - 176,800 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 500,000 - -
- - - - -
- - - - -
- - 85,103 - -
- - 25,839 - -
- - 25,597 - -
- - 25,839 - -
- - 155,813 - -
- - 19,954 - -
- - 166,265 - -
- - 167,860 - -
- - 19,954 - -
- - 21,285 - -
- - 21,494 - -
- - 158,994 - -
- - 139,760 - -
- - 169,653 - -
- - 62,520 - -
- - 144,540 - -
- - 158,500 - -
- - 25,839 - -
- - - - -
- - - - -
- - - - -

- - 1,339,441 - -
- - 581,607 - -
- - - - -
- - 153,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 500,000 - -
- - - - -
- - - - -
-
- -
- -
- -
- -
-

Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

- - -
- - -
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- - -
- - -
- - -
- - -
- - -
- - -
- - -
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-
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-
-
-
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- - -

- -
- - -
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- - -

- - -

- -

- - -

-
- -
- - -
- -
- - -
- -
- -

- - -
- -
- - -

- -

- -

- - -

- -
-
- - -
- -
- - -
- -
- -
- - -
- -
- - -
- -
- -
- - -
- -
- - -
-
- -
-
-
- - -
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- - -
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- -
- -
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- -
- -
-
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-
-
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- -
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-
- -
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-
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- -
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-
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-
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-
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-
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-
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- - -
-
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- - -
-

- - -

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-
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-

-
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-
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-
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-
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-
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DATA

DINA

STOK AWAL JANUARI 2023


NO NAMA SEDIAAN SATUAN DAK
HARGA BANYAKNY
SATUAN (RP) A
A. OBAT
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 430.00 -
Albendazole Tablet 400 mg Tablet 1,041.98 -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 -
Albendazole susp 200 mg/5 ml Botol 4,300.00 -
4 Alopurinol Tablet 100 mg Tablet 89.00 -
Alopurinol Tablet 100 mg Tablet 87.00 -
Alopurinol Tablet 100 mg Tablet 105.00 -
5 Alopurinol Tablet 300 mg Tablet 99.00 -
Alopurinol Tablet 300 mg Tablet 200.00 -
6 Alprazolam tablet 1 mg Tablet 128.00 -
7 Ambroksol Tablet 30 mg Tablet 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 -
Ambroksol sirup 15 mg/5 ml Botol 2,500.30 -
Ambroksol sirup 15 mg/5 ml Botol 4,887.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,998.00 -
Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,976.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 167.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 112.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 -
12 Amlodipin Tablet 5 mg Tablet 70.00 -
Amlodipin Tablet 5 mg Tablet 75.00 -
Amlodipin Tablet 5 mg Tablet 53.00 -
13 Amlodipin Tablet 10 mg Tablet 93.00 -
Amlodipin Tablet 10 mg Tablet 99.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 195.00 -
Amoksisillin Kapsul 250 mg Kapsul 196.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 201.00 -
Amoksisillin Kaplet 500 mg Kaplet 232.00 -
Amoksisillin Kaplet 500 mg Kaplet 249.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial 8,100.00 -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 2,000.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 2,050.00 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 2,600.00 -
18 Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol 3,400.00 -
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,628.00 -
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,498.00 -
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
8,310.00 -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 -
Ampisillin Injeksi 1000 mg Vial 8,330.00 -
23 Analgetik Plus Tablet - -
24
Antasida Doen Suspensi Kombinasi : Magnesium
Botol
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 ml
1,995.00 -
Antasida Doen Suspensi Kombinasi : Magnesium
Botol
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 ml
2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroksid Tablet 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksid Tablet 62.00 -
Antasida Doen Tablet, Kombinasi : Magnesium
Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58.00 -
26 Antasida Plus Tablet Tablet 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 203.30 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,455.00 -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 -
Anti Hemoroid Doen komb Supp 3,250.00 -
31 Anti Fungi DOEN Kombinasi : Pot 4,323.00 -
Anti Fungi DOEN Kombinasi : Pot 4,798.00 -
Anti Fungi DOEN Kombinasi : Pot 3,477.00 -
32 Antimigren DOEN Kombinasi : Tablet 173.00 -
Antimigren DOEN Kombinasi : Tablet 185.00 -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 181.50 -
38 Antispasmodik Tablet Tablet 1,195.00 -
39 Antitusiva Sirup Botol 11,550.00 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 -
Asam Folat Tablet 1 mg Tablet 56.51 -
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 105.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 126.94 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 600.00 -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 105.00 -
43 Asam Mefenamat Kapsul 500 mg Tablet 103.00 -
Asam Mefenamat Kapsul 500 mg Tablet 103.40 -
Asam Mefenamat Kapsul 500 mg Tablet 177.90 -
Asam Mefenamat Kapsul 500 mg Tablet 177.90 -
Asam Mefenamat Kapsul 500 mg Tablet 111.00 -
44 Acetylsistein tablet Kapsul 358.00 -
Acetylsistein tablet Kapsul 382.00 -
Acetylsistein tablet Kapsul 301.00 -
Acetylsistein tablet Kapsul 303.74 -
45 Asetosal Tablet 80 mg Tablet 99.00 -
Asetosal Tablet 80 mg Tablet 89.81 -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 -
Asiklovir Krim 5 % Tube 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 249.00 -
50 Asiklovir Tablet 400 mg Tablet 380.00 -
51 Attapulgit Tablet 152.00 -
Attapulgit Tablet 233.20 -
Attapulgit Tablet 253.00 -
Attapulgit Tablet 162.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,595.00 -
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,295.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,030.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 1 Liter Vial 2,860.00 -
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Botol 15,246.00 -
54 Bahan Tambal Sementara Set 150,000.00 -
Bahan Tambal Sementara Set 160,500.00 -
Bahan Tambal Sementara Set 152,900.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 -
Betahistin Mesilat 6 mg Tablet 88.80 -
57 Betametason Krim 0,1 %- 5g Tube 1,340.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 -
Betametason Krim 0,1 %- 5g Tube 1,430.00 -
Betametason Krim 0,1 %- 5g Tube 2,460.80 -
58 Bisakodil suppositoria 10 mg Supp 6,045.00 -
59 Bisoprolol Tablet 2,5 mg Tablet 626.00 -
Bisoprolol Tablet 2,5 mg Tablet 124.12 -
60 Bromheksin 8 mg Tablet 250.80 -
Bromheksin 8 mg Tablet 253.00 -
61 Cresotin Pasta Botol 112,000.00 -
Cresotin Pasta Botol 112,214.29 -
62 Cresotin Liquid No 2 Botol 160,500.00 -
Cresotin Liquid No 3 Botol 160,714.29 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 -
Deksametason Injeksi 5mg/ml-1ml Ampul 924.00 -
64 Deksametason Tablet 0,5 mg Tablet 32.00 -
Deksametason Tablet 0,5 mg Tablet 61.60 -
Deksametason Tablet 0,5 mg Tablet 106.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 112,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 -
Diazepam Larutan Rektal 5 mg/ml Supp 13,669.15 -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,060.00 -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 108.00 -
Dimenhidrinat Tablet 50 mg Tablet 141.90 -
75 Domperidon Tablet 10 mg Tablet 85.00 -
Domperidon Tablet 10 mg Tablet 91.00 -
Domperidon Tablet 10 mg Tablet 71.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,296.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,408.00 -
Epinefrin HCl / Bitartrat Ampul 1,515.00 -
80 Eritromisin Kapsul 250 mg Kapsul 577.00 -
81 Eritromisin Kapsul 500 mg Kapsul 750.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet 505.00 -
84 Etanol 70 % 100 ml Botol 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 -
Etil Klorida Semprot -100 ml Botol 108,720.93 -
Etil Klorida Semprot -100 ml Botol 83,050.00 -
86 Eugenol Cairan -10 ml Botol 20,087.00 -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 -
Fenitoin Natrium Kapsul 100 mg Kapsul 169.53 -
88 Fenobarbital tablet 30 mg Tablet 171.00 -
Fenobarbital tablet 30 mg Tablet 165.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857.00 -
Fenobarbital injeksi 50 mg / ml Ampul 1,700.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 290.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 510.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 -
Fenoksimeti Penisilin 500 mg tablet Tablet 629.00 -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 57,500.00 -
Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 710.00 -
Fitomenadion tablet 10 mg Tablet 748.00 -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 1,386.00 -
97 Furosemid Tablet 40 mg Tablet 77.00 -
Furosemid Tablet 40 mg Tablet 72.00 -
Furosemid Tablet 40 mg Tablet 78.00 -
98 Furosemid injeksi Ampul - -
99
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Air
257.00 -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial 1,834.80 -
Gentamisin injeksi 80 mg / 2 ml Vial 5,900.00 -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 -
Gentamisin Salep Kulit 0,1 % Tube 5,390.00 -
104 Glass Ionomer Set 687,500.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 -
Glibenklamid Tablet 5 mg Tablet 86.00 -
Glibenklamid Tablet 5 mg Tablet 83.00 -
Glibenklamid Tablet 5 mg Tablet 83.75 -
106 Glimepiride 2 mg Tablet 207.00 -
Glimepiride 2 mg Tablet 123.00 -
Glimepiride 2 mg Tablet 124.12 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul 10,351.00 -
Glukonas Kalsikus injeksi Ampul 5,775.03 -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 -
Glukosa Larutan Infus 5 % Botol 7,363.00 -
Glukosa Larutan Infus 5 % Botol 6,627.00 -
111 Glukosa Larutan Infus10 % Botol 7,500.00 -
Glukosa Larutan Infus10 % Botol 7,200.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 1,773.00 -
113 Haloperidol Tablet 0,5 mg Tablet 47.00 -
Haloperidol Tablet 0,5 mg Tablet 59.00 -
Haloperidol Tablet 0,5 mg Tablet 58.00 -
114 Haloperidol Tablet 1,5 mg Tablet 59.00 -
Haloperidol Tablet 1,5 mg Tablet 61.00 -
Haloperidol Tablet 1,5 mg Tablet 51.00 -
115 Haloperidol Tablet 5 mg Tablet 54.00 -
Haloperidol Tablet 5 mg Tablet 96.00 -
Haloperidol Tablet 5 mg Tablet 60.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 6,250.00 -
Haloperidol injeksi 5 mg/ml Ampul 1,190.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 -
Hidrokortison Krim 2,5 % Tube 2,325.00 -
Hidrokortison Krim 2,5 % Tube 2,346.14 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 122.00 -
Ibuprofen Tablet 400 mg Tablet 111.00 -
Ibuprofen Tablet 400 mg Tablet 30.28 -
Ibuprofen Tablet 400 mg Tablet 192.74 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,475.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 4,665.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,236.00 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 74.00 -
Isoniazid tablet 100 mg Tablet 145.00 -
125 Isoniazid tablet 300 mg Tablet 173.00 -
Isoniazid tablet 300 mg Tablet 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 -
Isosorbid Dinitrat 5 mg Tablet 90.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 287.85 -
Kalium Diklofenak Tablet 50 mg Tablet 288.00 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 -
Kalsium Laktat Tablet 500 mg Tablet 63.00 -
Kaptopril 12,5 mg Tablet 62.00 -
Kaptopril 12,5 mg Tablet 66.00 -
131 Kaptopril 25 mg Tablet 75.00 -
132 Kaptopril 25 mg Tablet 94.00 -
Karbamazepin Tablet 200 mg Tablet 230.00 -
133 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,595.00 -
Ketokonazole Krim 2 % - 15 gr Tube 2,370.35 -
Ketokonazole Tablet 200 mg Tablet 270.00 -
135 Ketokonazole Tablet 200 mg Tablet 288.00 -
Ketokonazole Tablet 200 mg Tablet 252.00 -
Ketoprofen Tablet 100 mg Tablet - -
136 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
137 Ketorolac 10 mg injeksi Ampul - -
138 Ketorolac 30 mg injeksi Ampul 1,045.00 -
139 Klindamisin Kapsul 150 mg Kapsul 715.00 -
140 Klindamisin Kapsul 150 mg Kapsul 759.00 -
Klindamisin Kapsul 300 mg Kapsul 522.00 -
141 Kloramfenikol Kapsul 250 mg Kapsul - -
142 Kloramfenikol suspensi125mg/5 ml Botol - -
143 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 -
144 Kloramfenikol Salep Kulit 2% Tube 3,295.69 -
145 Kloramfenikol Tetes Mata -5 ml Botol 7,260.00 -
Kloramfenikol Tetes Mata -5 ml Botol 7,437.00 -
146 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,600.00 -
Kloramfenikol Tetes Telinga 3%-5 ml Botol 7,492.50 -
147 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 22.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 40.17 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 45.10 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.30 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 181.00 -
Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 157.00 -
Klorpromazin Hcl Tablet Salut 100 mg Tablet 407.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 -
Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550.00 -
152 Kombipak Cefixime+ Azithromisin Kotak 31,231.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 30,030.00 -
Kotrimoksazol Pedriatik Tablet, Kombinasi : Tablet - -
154 Kotrimoksazol Tablet, Kombinasi : Tablet 125.00 -
155 Kotrimoksazol Tablet, Kombinasi : Tablet 129.00 -
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,052.00 -
156 Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,120.00 -
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,190.00 -
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml 2,100.00 -
Lansoprazole 30 mg Kapsul Tablet 303.00 -
157 Lansoprazole 30 mg Kapsul Tablet 323.00 -
Lansoprazole 30 mg Kapsul Tablet 280.53 -
Larutan mengadung Elektrolit Botol 9,646.00 -
158 Larutan mengadung Elektrolit Botol 9,275.00 -
Larutan mengadung Elektrolit Botol 8,800.00 -
Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644.00 -
Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 10,350.00 -
Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 11,500.00 -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,273.00 -
Larutan mengadung Karbohidrat + Elektrolit Botol 10,696.00 -
160 Lidokain injeksi 2 % Tablet 847.00 -
161 Lidokain Komp Injeksi, Kombinasi : Ampul 803.00 -
162 Lidokain Komp Injeksi, Kombinasi : Ampul 1,229.00 -
Lidokain Spray Botol - -
163 Loperamid Tablet 2 mg Tablet 121.60 -
164 Loperamid Tablet 2 mg Tablet 85.00 -
Loperamid Tablet 2 mg Tablet 77.00 -
Loratadin tablet 10 mg Tablet 123.00 -
165 Loratadin tablet 10 mg Tablet 131.00 -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,580.00 -
166 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796.00 -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 4,090.00 -
167 MB Anak Blister 20,554.00 -
168 MB Anak Blister 20,207.00 -
MB Anak Blister 27,062.00 -
MB Dewasa Blister 20,678.00 -
169 MB Dewasa Blister 31,760.00 -
MB Dewasa Blister 41,784.00 -
MB Dewasa Blister 39,880.00 -
Meloksikam tablet 15 mg Tablet 718.20 -
170 Meloksikam Suppositoria Supp - -
171 Metformin Hcl Tablet 500 mg Tablet 77.00 -
172 Metformin Hcl Tablet 500 mg Tablet 102.00 -
Metformin 850 mg Tablet 160.00 -
Metformin 850 mg Tablet 154.39 -
Metformin 850 mg Tablet 153.00 -
173 Metildopa 250 mg tablet Tablet 946.00 -
174 Methisoprinol 500 mg Tablet 3,300.00 -
175 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 210.00 -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 224.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 1,023.00 -
177 Metilprednisolon tablet 4 mg Tablet 134.00 -
178 Metilprednisolon tablet 4 mg Tablet 150.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 -
Metilprednisolon tablet 4 mg Tablet 102.00 -
Metoklopramid 10 mg Tablet 87.00 -
179 Metoklopramid 10 mg Tablet 85.00 -
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 4,400.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 3,960.00 -
Metronidazol Tablet 250 mg Tablet - -
181 Metronidazole Tablet 500 mg Tablet 124.00 -
182 Metronidazole Tablet 500 mg Tablet 211.20 -
Metronidazole Tablet 500 mg Tablet 200.85 -
Metronidazole sirup 125 mg/ml Botol 3,950.00 -
183 Metronidazole Infus 500 mg /100 ml Ampul 8,110.00 -
Metronidazole Infus 500 mg /100 ml Ampul 5,885.00 -
184 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 -
Mikonazole KrIm 2 % - 10 gr Tube 4,125.00 -
185 Multivitamin + Mineral tablet Tablet 792.00 -
186 Multivitamin + Mineral tablet Tablet 826.10 -
Multivitamin sirup Botol 7,100.00 -
187 Multivitamin sirup Botol 7,524.00 -
Mummifying Pasta Botol - -
188 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 -
189 Natrum Diklofenak Tablet 25 mg Tablet 128.00 -
190 Natrium Diklofenak Tablet 50 mg Tablet 115.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 123.00 -
Natrium Diklofenak Tablet 50 mg Tablet 99.90 -
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 -
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,840.00 -
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,800.00 -
192 Nipedifin Tablet 10 mg Tablet 189.53 -
193 Nistatin suspensi 100.000 IU/ml Botol 13,500.00 -
194 Nistatin suspensi 100.000 IU/ml Botol 13,900.00 -
Nistatin suspensi 100.000 IU/ml Botol 11,500.00 -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 560.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 790.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 825.00 -
Obat Antitiuberkolosis Kategori Anak Paket 232,518.00 -
197 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 316,635.00 -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 -
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,199,985.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket 1,297,889.00 -
Obat Antitiuberkolosis Kategori2 Dewasa Paket 1,384,977.00 -
200 Obat Anti Tuberkulosis FDC Kat Anak Paket 232,518.00 -
201 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,199,985.00 -
202 Obat Anti Tuberkulosis FDC Kat I & III Paket 415,721.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 -
Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
204 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,800.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 4,840.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 -
Obat Batuk Hitam Plus Sirup Botol 4,697.00 -
207 Obat Flu Sirup Botol - -
208 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
209 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,760.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,668.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,785.00 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,126.00 -
Omeprazole injeksi 40mg/10ml Ampul 9,898.00 -
213 Omeprazole Kapsul 20 mg Kapsul 130.00 -
214 Omeprazole Kapsul 20 mg Kapsul 341.81 -
Omeprazole Kapsul 20 mg Kapsul 458.00 -
Ondansetron inj 4 mg/ 2 mL Ampul 1,070.00 -
215
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649.00 -
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 4,976.00 -
216 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,160.00 -
217 Parasetamol Tablet 100 mg Tablet - -
218 Parasetamol Tablet 500 mg Tablet 53.00 -
219 Parasetamol Tablet 500 mg Tablet 100.74 -
PB Anak Blister 8,891.00 -
220 PB Dewasa Blister 12,569.00 -
221 PB Dewasa Blister 17,093.00 -
PB Dewasa Blister 15,484.71 -
Pehacain injeksi Ampul 3,051.40 -
222 Pehacain injeksi Ampul 3,113.00 -
Perak Sulfadiazin krim 1 % 35 gr Tube - -
223 Permetrin krim 5 % Tube 11,250.00 -
Permetrin krim 5 % Tube 11,352.27 -
224 Piracetam Tablet 400 mg Tablet 459.80 -
225 Piracetam Tablet 800 mg Tablet 800.80 -
226 Piroksikam Tablet 20 mg Tablet 201.40 -
227 Piroksikam Tablet 20 mg Tablet 156.20 -
Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet - -
228 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118.00 -
Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet 131.00 -
230 Povidon Iodida 10% 30 ml Botol 3,360.00 -
231 Povidon Iodida 10% 60 ml Botol - -
232 Povidon Iodida 10% 300 ml Botol 18,900.00 -
233 Povidon Iodida 10% 300 ml Botol 22,050.00 -
Povidon Iodida 10% 300 ml Botol 23,971.20 -
Prednison Tablet 5 mg Tablet 100.00 -
234 Prednison Tablet 5 mg Tablet 73.00 -
Prednison Tablet 5 mg Tablet 68.00 -
Prednison Tablet 5 mg Tablet 68.62 -
Primakuin tablet 15 mg Tablet - -
235 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
236 Propanolol Hcl Tablet 40 mg Tablet 76.00 -
237 Propanolol Hcl Tablet 40 mg Tablet 242.00 -
Propanolol Hcl Tablet 10 mg Tablet 58.00 -
Propanolol Hcl Tablet 10 mg Tablet 56.51 -
Propilturasil Tablet 100 mg Tablet 586.30 -
Propilturasil Tablet 100 mg Tablet 385.00 -
238 Ranitidin Injeksi 25 mg / ml Ampul 1,155.00 -
239 Ranitidin Tablet 150 mg Tablet 105.00 -
240 Ranitidin Tablet 150 mg Tablet 112.00 -
Ranitidin Tablet 150 mg Tablet 85.00 -
Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 307.00 -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 552.00 -
Reserpin Tablet 0, 25 mg Tablet - -
243 Rifampisin Tablet 450 mg Tablet - -
244 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630.00 -
Salbutamol Tablet 2 mg Tablet 63.00 -
Salbutamol Tablet 2 mg Tablet 67.00 -
246 Salbutamol Tablet 4 mg Tablet 70.00 -
247 Salbutamol Tablet 4 mg Tablet 100.10 -
Salbutamol solution for Inhalation single dose units 2,5 ml Ampul - -
Salep 2-4 Kombinasi :
248
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
gram
2,621.00 -
Salep 2-4 Kombinasi :
249
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
gram
2,527.00 -
Salep 2-4 Kombinasi :
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
gram
2,797.00 -
Salep 2-4 Kombinasi :
Asam Salisilat 2 % + Belerang Endap 4 % - 30 Pot
gram
2,354.21 -
Salisil bedak 2% -50 gr Kotak 1,020.00 -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 -
Salisil bedak 2% -50 gr Kotak 1,662.79 -
Salisil bedak 2% -50 gr Kotak 920.00 -
Salep Luka Bakar Tube 11,718.25 -
251 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922.00 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 -
Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,834.55 -
Sefadroksil Tablet 500 mg Tablet 478.00 -
253 Sefadroksil Tablet 500 mg Tablet 580.00 -
Sefiksim Kapsul 100 mg Kapsul 31,231.00 -
254 Sefiksim 400 mg + Azitromisin 1000 mg Paket 31,231.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 30,030.00 -
Sefotaksim Injeksi 1 gr Ampul 4,200.00 -
256 Seftriakson Injeksi 1 gr / vial Ampul 4,708.00 -
257 Semen Seng Fosfat Serbuk & Cairan Botol - -
258 Setirizin Tablet 10 mg Tablet 90.00 -
Setirizin Tablet 10 mg Tablet 49.45 -
259 Setirizin Sirup 5 mg / 5 ml Botol 2,090.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 -
Setirizin Sirup 5 mg / 5 ml Botol 2,109.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,035.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,104.00 -
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 969.00 -
Sianokobalamin Tablet 50 mcg Tablet 49.00 -
Sianokobalamin Tablet 50 mcg Tablet 43.39 -
262 Silver Amalgam Serbuk 65-75% Botol - -
263 Simetidin 200 mg Tablet Tablet 163.90 -
264 Simetidin 200 mg Tablet Tablet 176.00 -
Simvastatin Tablet 10 mg Tablet 110.00 -
265 Simvastatin Tablet 10 mg Tablet 111.00 -
Simvastatin Tablet 10 mg Tablet 117.00 -
Simvastatin Tablet 10 mg Tablet 68.00 -
Simvastatin Tablet 20 mg Tablet 217.00 -
Siprofloksasin 500mg Tablet 265.00 -
266 Siprofloksasin 500mg Tablet 240.00 -
Siprofloksasin 500mg Tablet 530.20 -
Siprofloksasin 500mg Tablet 248.00 -
Spironolakton Tablet 25 mg Tablet 208.00 -
Spironolakton Tablet 25 mg Tablet 190.00 -
267 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
268 Tablet Tambah Darah Kombinasi:
Tablet
Besi II Sulfat 200 mg + Asam Folat 0,25 mg 353.00 -
269 Tablet Tambah Darah Kombinasi:
Tablet
Besi II Sulfat 200 mg + Asam Folat 0,25 mg 350.00 -
Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set
- -
270 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
271 Tetrasiklin Kapsul 250 mg Kapsul 174.00 -
272 Tetrasiklin Kapsul 500 mg Kapsul 310.00 -
273 Tetrasiklin Kapsul 500 mg Kapsul 303.00 -
Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,139.60 -
274 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.30 -
Thiamfenikol Kapsul 500 mg Kapsul 837.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 921.00 -
Tramadol Injeksi 50 mg/ ml Ampul - -
277 Tramadol Tablet 50 mg Tablet - -
278 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85.00 -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 63.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 91.00 -
280 Vitamin B .Komplek Tablet Tablet 115.00 -
Vitamin B .Komplek Tablet Tablet 89.00 -
281 Vitamin Neurotropik Tablet Tablet 682.00 -
Vitamin Neurotropik Tablet Tablet 720.00 -
282 Zinc Tablet 20 mg Tablet 508.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972.00 -
Zinc Sulfat 20 mg/5 ml Botol 3,171.00 -
Zinc Sulfat 20 mg/5 ml Botol 2,489.00 -
Zinc Sulfat 20 mg/5 ml Botol 208.00 -
284 Hepatorotector tablet (Curcuma) Tablet 462.00 -
Hepatorotector tablet (Curcuma) Tablet 416.20 -
285 Obat Batuk Herbal Botol 9,680.00 -
Obat Batuk Herbal Botol 14,402.00 -
286 Obat Kumur Botol 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 -
Salep Kloramfenikol + Hidrokortison 14,371.50 -
288 Tablet Pemanis Botol 33,000.00 -
289 Bahan Pembersih Kavitas Botol 121,000.00 -
290 Flour Gel Botol 63,800.00 -
291 Glass Lonomer Posterior set 775,500.00 -
292 Hyposol 3% Botol 75,900.00 -
Hyposol 3% Botol 78,750.00 -
293 Paramonochlorofenol/CHKM Botol 63,800.00 -
Paramonochlorofenol/CHKM Botol 65,214.29 -
294 Saliva Ejector Pcs 88,750.00 -
295 Salep Betametason + Neomisin Tube 12,793.00 -
Salep Betametason + Neomisin Tube 13,138.40 -
296 Bahan Pemutih Gigi Pot 165,000.00 -
297 Metronidazol Inj Ampul 8,110.00 -
298 Box Slide Pcs 75,000.20 -
299 Box Slide Pcs 75,000.00 -
300 Klozapine 25mg Tablet 1,121.00 -
Klozapine 100 mg Tablet 997.00 -
Klozapine 25mg Tablet 473.00 -
301 Mineral Mix Sachet 2,920.00 -
302 Risperidon 2mg Tablet 287.00 -
Risperidon 2mg Tablet 123.00 -
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 14,131.00 -
304 Box Object Glass isi 50 Grey Orange Pcs 38,848.51 -
Box Object Glass isi 50 Grey Orange Pcs 15,089.50 -
305 Vitamin C 500mg Tablet 225.00 -
306 Multivitamin Tablet 585.00 -
307 Poli Aid 1 Liter Botol 129,400.00 -
308 Poli Aid 1 Liter Botol 595,000.00 -
Poli Aid 1 Liter Botol 15,246.00 -
309 Trifluoperazine Hcl Tablet 5 mg Tablet 287.00 -
310 Divalproex Sodium 250mg Tablet 2,954.00 -
Divalproex Sodium 250mg Tablet 2,825.45 -
311 Calcetin Calcium Hydroxide Paste Botol 134,214.29 -
312 Pilp-X Pot 217,214.29 -
313 Karbogliserin Tetes Telinga Botol 2,764.00 -
314 Larvasida Paket 412,002.80 -
315 Kalsitrol Kapsul Lunak 0,5 mcg Kapsul 2,600.00 -
316 Vitamin D 1000IU Tablet 876.70 -
Hiosin butilbromida 10mg Tablet 1,059.55 -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 3,914.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700.00 -
Abbocath No 18 ( IV Chateter 18 ) Buah 6,930.00 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 3,914.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 12,631.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 7,334.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 6,930.00 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 8,950.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 6,930.00 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 7,334.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,950.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700.00 -
Abbocath No 24 ( IV Chateter 24 ) Buah 6,930.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 840.00 -
Alat Suntik Sekali Pakai 1 ml Set 646.94 -
7 Alat Suntik Sekali Pakai 3 ml Set 854.00 -
Alat Suntik Sekali Pakai 3 ml Set 792.00 -
Alat Suntik Sekali Pakai 3 ml Set 965.40 -
8 Alat Suntik Sekali Pakai 5 ml Set 817.00 -
Alat Suntik Sekali Pakai 5 ml Set 750.00 -
Alat Suntik Sekali Pakai 5 ml Set 903.00 -
Alat Suntik Sekali Pakai 5 ml Set 776.33 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,298.00 -
10 Alkohol Swab Kotak 123.60 -
Alkohol Swab Kotak 95.00 -
Alkohol Swab Kotak 116.04 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 1,101.00 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,190.00 -
Auto Disposable Syringe (ADS) 0,5 ml Set 995.00 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,540.00 -
14 Blood Set Set 10,430.00 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 25,009.00 -
Catgut/Benang Bedah No.2/0 Plain Sachet 26,087.00 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 25,009.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 34,170.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 25,009.00 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 -
Etanol 70 % 1.000 ml Botol 28,875.00 -
19 Eter Alkohol Botol 250,000.30 -
20 Folley Catheter no 14 Set 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 -
23 Infus set Anak Set 9,900.00 -
24 Infus set Dewasa Set 5,800.00 -
Infus set Dewasa Set 9,165.00 -
Infus set Dewasa Set 5,445.00 -
Infus set Dewasa Set 6,150.00 -
Infus set Dewasa Set 11,500.00 -
Infus set Dewasa Set 6,448.00 -
25 Iodina Test Botol 10,725.00 -
Iodina Test Botol 42,998.89 -
26 Kaca Slide Pcs 55,000.00 -
Kaca Slide Pcs 19,700.00 -
27 Kapas Berlemak 500 gram Bungkus - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 -
29 Kassa Pembalut 2 m x 80 cm Rol 7,931.00 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 607.70 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 2,163.00 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus 1,800.00 -
Kassa Kompres 40 x 40 steril Bungkus 1,648.00 -
34 Kertas Puyer Bungkus 75.90 -
35 Kertas Saring Lembar 10,000.10 -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050.00 -
38 Masker Buah 438.90 -
Masker Buah 982.40 -
Masker Buah 1,900.00 -
Masker Buah 2,290.00 -
Masker Kain Headloop KEMKES Pcs 5,500.00 -
Masker Kain Earloop KEMKES Pcs 5,500.00 -
39 Masker N 95 Pcs 23,750.00 -
Masker N 96 Pcs 27,225.00 -
Masker N 96 Pcs 30,842.19 -
Masker KN95 Pcs - -
40 Minyak Imersi Botol 509,999.60 -
Minyak Imersi Botol 1,548,088.30 -
41 Plester Kertas Rol 15,333.33 -
Plester Kertas Rol 36,050.00 -
42 Polifix 5 cm x 5 m Rol 39,217.00 -
Polifix 5 cm x 5 m Rol 30,000.00 -
Polifix 5 cm x 5 m Rol 61,050.00 -
43 Pot Dahak Pcs 5,800.00 -
Pot Dahak Pcs 2,728.00 -
Pot Dahak Pcs 3,096.96 -
Pot Dahak Pcs 2,246.00 -
44 Rapid 2 HIV Fokus Test 13,235.00 -
Rapid HIV 1+2KHB Test 12,500.00 -
Rapid Test HIV 1/2 Vikia DS Test 12,827.00 -
45 Rapid HIV 1 (SD HIV) Test 14,340.00 -
Rapid HIV 1 (SD HIV) Test 11,975.00 -
46 Rapid HIV 2 (Intec HIV) Test 74,002.50 -
47 Rapid HIV 2 (Biomeriux HIV) Test 19,500.00 -
48 Rapid Tes SD Bioline HBSAG Test 9,878.00 -
Rapid Tes SD Bioline HBSAG Test 9,850.00 -
Rapid Tes SD Bioline HBSAG Test 7,913.00 -
Rapid Tes SD Bioline HBSAG Test 7,900.00 -
Rapid Tes SD Bioline HBSAG Test 7,805.00 -
Hepatitis B Imunoglobulin inj 220 IU (Hbig) Vial 1,325,000.00 -
49 Rapid Test Syphilis Test 20,400.00 -
Rapid Test Syphilis Test 12,564.00 -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 276,500.00 -
Reagen Ziehl Nielsen Botol 232,440.00 -
Reagen Ziehl Nielsen Botol 216,812.50 -
Reagen Ziehl Nielsen Botol 133,500.00 -
53 RPR Test Syphilis Test 7,250.00 -
RPR Test Syphilis Test 4,120.00 -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 15,092.00 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 20,150.00 -
Silk( Benang Bedah Sutra ) No 3/2 Sachet 16,535.00 -
55 Safety Box Pcs 22,433.00 -
Safety Box Pcs 16,186.81 -
Safety Box Pcs 14,935.00 -
Safety Box Pcs 14,750.00 -
56 Sarung tangan Steril No 6 Pcs 4,500.00 -
57 Sarung tangan Steril No 7 Pcs 4,500.00 -
Sarung tangan Steril No 7 Pcs 2,673.33 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 6,595.00 -
59 Sarung tangan Non Steril S Pcs 600.49 -
Sarung tangan Non Steril S Pcs 1,165.00 -
Sarung tangan Non Steril S Pcs 1,255.41 -
60 Sarung tangan Non Steril M Pcs 600.49 -
Sarung tangan Non Steril M Pcs 1,165.00 -
61 Sarung tangan Non Steril L Pcs 600.40 -
Sarung tangan Non Steril L Pcs 1,165.00 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test 3,230.00 -
Stik Pemeriksaan Gula Darah Test 3,200.00 -
64 Stik Pemeriksaan Kolesterol Test - -
65 Stik Pemeriksaan Asam Urat Test - -
66 Supratul Lembar 10,400.00 -
Supratul Lembar 15,333.33 -
67 Urine Bag set 8,070.00 -
Urine Bag set 4,235.00 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 95.07 -
Blood Lancet Pcs 144.20 -
Blood Lancet Pcs 91.49 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 -
Cairan Antiseptik Botol 500 ml Botol 66,700.00 -
71 Rapin HIV Oncoprobe Test 86,680.00 -
72 Steryzime Dual Enzymatis 5 Lt Galon 712,800.00 -
73 Sterald 30 High Level Surface Desinfektan 5Lt Galon 396,000.00 -
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 4,232.00 -
75 Bioplacenton Tulle 10 x 10 Lembar 10,400.00 -
76 Vikia Biumeric Test 19,480.00 -
77 Sterald Galon 396,000.00 -
78 Hepatitis B Imunolobin syringe 1,325,000.00 -
79 Slide 31,347.00 -
80 IV Catheter 20 Pcs 12,631.00 -
81 Stericide 3 Surface Desinfektan 5Lt Galon 1,098,900.00 -
82 Serum Tetagam P Injeksi PFS 188,663.00 -
83 Biosave Serum ABU Injeksi Vial 512,204.00 -
84 Baju APD (COVER ALL) Pcs 312,500.10 -
85 Sepatu Boot Saffety Pcs 262,499.60 -
86 Kacatamata Google Pcs 131,249.60 -
87 Sarung Tangan Karet Latex Pcs 56,249.60 -
88 Rapid Test Kit Covid-19 Test 165,000.00 -
89 VTM & Swab Dacron Citodia Pcs 55,000.00 -
VTM + Swab (KH Medial) Test 42,000.00 -
90 Panbio Covid-19 Antigen Test 75,069.00 -
91 ADS 0,5 ml Alokasi Pcs 1,185.00 -
92 Alkohol Swab Alokasi Pcs 79.00 -
Alkohol Swab Alokasi Pcs 91.49 -
93 Safety Box Alokasi Pcs 14,000.00 -
94 Parafilm Pcs 666,470.20 -
95 Vaccum Tube Sterile EDTA K-3 (3ml Pcs 102,600.00 -
Vaccum Tube Sterile Clot Activator(3ml Pcs 99,500.00 -
Umbilical Cord Klem Steril Nylon Pcs 1,339.00 -
Sound Timer Unit 266,015.00 -
Kondom Rubber Latex Pcs 448.00 -
Lubricant Pcs 331.00 -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial - -
2 Serum Anti Rabies untuk manusia Vial 479,996.00 -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 176,800.00 -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
Vaksin BCG Ampul 66,154.00 -
7 Vaksin Campak 10 Dosis Vial 19,954.00 -
Vaksin DT Vial 19,195.00 -
Vaksin TD Vial 18,128.00 -
10 Vaksin DTP-HB Vial 78,991.00 -
11 Vaksin DPT-HB/Hib Vial 78,991.00 -
12 Vaksin HB Uniject Pcs 155,813.00 -
Vaksin MR (VVM.A) Vial 166,265.00 -
Vaksin Polio Vial 21,285.00 -
Vaksin Polio IPV 5 Dosis Vial 139,760.00 -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Vaksin Campak Bias Vial - -
19 Vaksin Covid-19 (10 d0sis) Vial 1,339,441.00 -
20 - -
JUMLAH TOTAL OBAT -
JUMLAH TOTAL BMHP -
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN -

Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP.19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023

AWAL JANUARI 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023


DAK DINKES DINKES
HARGA HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP. BANYAKNYA
SATUAN (RP) (RP)

- - - - - -
- 430.00 - - 430.00 -
- 1,041.98 - - 1,041.98 -
- 4,000.00 - - 4,000.00 -
- 4,300.00 - - 4,300.00 -
- 89.00 - - 89.00 -
- 87.00 - - 87.00 -
- 105.00 - - 105.00 -
- 99.00 - - 99.00 -
- 200.00 - - 200.00 -
- 128.00 - - 128.00 -
- 143.55 - - 143.55 -
- 151.80 - - 151.80 -
- 3,626.70 - - 3,626.70 -
- 3,619.00 - - 3,619.00 -
- 2,500.30 - - 2,500.30 -
- 4,887.00 - - 4,887.00 -
- 2,998.00 - - 2,998.00 -
- 2,976.00 - - 2,976.00 -
- 91.00 - - 91.00 -
- 95.00 - - 95.00 -
- 167.00 - - 167.00 -
- 112.00 - - 112.00 -
- 171.44 - - 171.44 -
- 70.00 - - 70.00 -
- 75.00 - - 75.00 -
- 53.00 - - 53.00 -
- 93.00 - - 93.00 -
- 99.00 - - 99.00 -
- 195.00 - - 195.00 -
- 196.00 - - 196.00 -
- 201.00 - - 201.00 -
- 232.00 - - 232.00 -
- 249.00 - - 249.00 -
- 8,100.00 - - 8,100.00 -
- 2,000.00 - - 2,000.00 -
- 3,500.00 - - 3,500.00 -
- 2,050.00 - - 2,050.00 -
- 2,600.00 - - 2,600.00 -
- 3,400.00 - - 3,400.00 -

- 3,628.00 - - 3,628.00 -

- 3,498.00 - - 3,498.00 -

- 8,310.00 - - 8,310.00 -
- - - - - -
- - - - - -
- - - - - -
- 8,237.00 - - 8,237.00 -
- 8,330.00 - - 8,330.00 -
- - - - - -

- 1,995.00 - - 1,995.00 -

- 2,129.00 - - 2,129.00 -
- 54.00 - - 54.00 -
- 62.00 - - 62.00 -

- 58.00 - - 58.00 -
- 189.05 - - 189.05 -
- 203.30 - - 203.30 -
- 1,455.00 - - 1,455.00 -
- 3,035.00 - - 3,035.00 -
- 3,167.00 - - 3,167.00 -
- 3,250.00 - - 3,250.00 -
- 4,323.00 - - 4,323.00 -
- 4,798.00 - - 4,798.00 -
- 3,477.00 - - 3,477.00 -
- 173.00 - - 173.00 -
- 185.00 - - 185.00 -
- - - - - -
- 233.20 - - 233.20 -
- - - - - -
- - - - - -
- 181.50 - - 181.50 -
- 1,195.00 - - 1,195.00 -
- 11,550.00 - - 11,550.00 -
- - - - - -
- 75.00 - - 75.00 -
- 56.51 - - 56.51 -
- 105.00 - - 105.00 -
- 126.94 - - 126.94 -
- 600.00 - - 600.00 -
- 105.00 - - 105.00 -
- 103.00 - - 103.00 -
- 103.40 - - 103.40 -
- 177.90 - - 177.90 -
- 177.90 - - 177.90 -
- 111.00 - - 111.00 -
- 358.00 - - 358.00 -
- 382.00 - - 382.00 -
- 301.00 - - 301.00 -
- 303.74 - - 303.74 -
- 99.00 - - 99.00 -
- 89.81 - - 89.81 -
- - - - - -
- - - - - -
- 2,996.40 - - 2,996.40 -
- 3,600.00 - - 3,600.00 -
- 249.00 - - 249.00 -
- 380.00 - - 380.00 -
- 152.00 - - 152.00 -
- 233.20 - - 233.20 -
- 253.00 - - 253.00 -
- 162.00 - - 162.00 -
- 1,595.00 - - 1,595.00 -
- 1,639.00 - - 1,639.00 -
- 2,295.00 - - 2,295.00 -
- 2,030.00 - - 2,030.00 -
- 2,860.00 - - 2,860.00 -
- 15,246.00 - - 15,246.00 -
- 150,000.00 - - 150,000.00 -
- 160,500.00 - - 160,500.00 -
- 152,900.00 - - 152,900.00 -
- 14,500.00 - - 14,500.00 -
- 110.00 - - 110.00 -
- 88.80 - - 88.80 -
- 1,340.00 - - 1,340.00 -
- 1,349.00 - - 1,349.00 -
- 1,430.00 - - 1,430.00 -
- 2,460.80 - - 2,460.80 -
- 6,045.00 - - 6,045.00 -
- 626.00 - - 626.00 -
- 124.12 - - 124.12 -
- 250.80 - - 250.80 -
- 253.00 - - 253.00 -
- 112,000.00 - - 112,000.00 -
- 112,214.29 - - 112,214.29 -
- 160,500.00 - - 160,500.00 -
- 160,714.29 - - 160,714.29 -
- 1,097.00 - - 1,097.00 -
- 924.00 - - 924.00 -
- 32.00 - - 32.00 -
- 61.60 - - 61.60 -
- 106.00 - - 106.00 -
- 112,000.00 - - 112,000.00 -
- 86.00 - - 86.00 -
- 114.00 - - 114.00 -
- 1,735.00 - - 1,735.00 -
- 12,573.00 - - 12,573.00 -
- 13,669.15 - - 13,669.15 -
- - - - - -
- - - - - -
- 1,060.00 - - 1,060.00 -
- 1,095.00 - - 1,095.00 -
- 104.00 - - 104.00 -
- 99.00 - - 99.00 -
- 108.00 - - 108.00 -
- 141.90 - - 141.90 -
- 85.00 - - 85.00 -
- 91.00 - - 91.00 -
- 71.00 - - 71.00 -
- 2,296.00 - - 2,296.00 -
- - - - - -
- - - - - -
- 1,408.00 - - 1,408.00 -
- 1,515.00 - - 1,515.00 -
- 577.00 - - 577.00 -
- 750.00 - - 750.00 -
- - - - - -
- 505.00 - - 505.00 -
- 2,500.00 - - 2,500.00 -
- 246,400.00 - - 246,400.00 -
- 108,720.93 - - 108,720.93 -
- 83,050.00 - - 83,050.00 -
- 20,087.00 - - 20,087.00 -
- 158.00 - - 158.00 -
- 169.53 - - 169.53 -
- 171.00 - - 171.00 -
- 165.00 - - 165.00 -
- 1,857.00 - - 1,857.00 -
- 1,700.00 - - 1,700.00 -
- 290.00 - - 290.00 -
- 510.00 - - 510.00 -
- 605.00 - - 605.00 -
- 629.00 - - 629.00 -
- - - - - -
- 57,500.00 - - 57,500.00 -
- 63,813.00 - - 63,813.00 -
- - - - - -
- 710.00 - - 710.00 -
- 748.00 - - 748.00 -
- 3,682.00 - - 3,682.00 -
- 3,550.00 - - 3,550.00 -
- 1,386.00 - - 1,386.00 -
- 77.00 - - 77.00 -
- 72.00 - - 72.00 -
- 78.00 - - 78.00 -
- - - - - -

- 257.00 - - 257.00 -
- - - - - -
- - - - - -
- 1,834.80 - - 1,834.80 -
- 5,900.00 - - 5,900.00 -
- 1,834.80 - - 1,834.80 -
- 5,390.00 - - 5,390.00 -
- 687,500.00 - - 687,500.00 -
- 119.00 - - 119.00 -
- 86.00 - - 86.00 -
- 83.00 - - 83.00 -
- 83.75 - - 83.75 -
- 207.00 - - 207.00 -
- 123.00 - - 123.00 -
- 124.12 - - 124.12 -
- 82.50 - - 82.50 -
- 120.00 - - 120.00 -
- 7,370.00 - - 7,370.00 -
- 8,800.00 - - 8,800.00 -
- 10,351.00 - - 10,351.00 -
- 5,775.03 - - 5,775.03 -
- 6,900.00 - - 6,900.00 -
- 7,363.00 - - 7,363.00 -
- 6,627.00 - - 6,627.00 -
- 7,500.00 - - 7,500.00 -
- 7,200.00 - - 7,200.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 1,773.00 - - 1,773.00 -
- 47.00 - - 47.00 -
- 59.00 - - 59.00 -
- 58.00 - - 58.00 -
- 59.00 - - 59.00 -
- 61.00 - - 61.00 -
- 51.00 - - 51.00 -
- 54.00 - - 54.00 -
- 96.00 - - 96.00 -
- 60.00 - - 60.00 -
- 6,250.00 - - 6,250.00 -
- 1,190.00 - - 1,190.00 -
- 97,500.00 - - 97,500.00 -
- - - - - -
- 149.00 - - 149.00 -
- 2,475.00 - - 2,475.00 -
- 2,325.00 - - 2,325.00 -
- 2,346.14 - - 2,346.14 -
- 105.00 - - 105.00 -
- 122.00 - - 122.00 -
- 111.00 - - 111.00 -
- 30.28 - - 30.28 -
- 192.74 - - 192.74 -
- 2,365.00 - - 2,365.00 -
- 2,475.00 - - 2,475.00 -
- 2,365.00 - - 2,365.00 -
- 4,665.00 - - 4,665.00 -
- 2,236.00 - - 2,236.00 -
- - - - - -
- 74.00 - - 74.00 -
- 145.00 - - 145.00 -
- 173.00 - - 173.00 -
- 170.00 - - 170.00 -
- 88.00 - - 88.00 -
- 90.00 - - 90.00 -
- - - - - -
- 287.85 - - 287.85 -
- 288.00 - - 288.00 -
- - - - - -
- 59.00 - - 59.00 -
- 63.00 - - 63.00 -
- 62.00 - - 62.00 -
- 66.00 - - 66.00 -
- 75.00 - - 75.00 -
- 94.00 - - 94.00 -
- 230.00 - - 230.00 -
- 2,518.00 - - 2,518.00 -
- 2,595.00 - - 2,595.00 -
- 2,370.35 - - 2,370.35 -
- 270.00 - - 270.00 -
- 288.00 - - 288.00 -
- 252.00 - - 252.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,045.00 - - 1,045.00 -
- 715.00 - - 715.00 -
- 759.00 - - 759.00 -
- 522.00 - - 522.00 -
- - - - - -
- - - - - -
- 1,881.00 - - 1,881.00 -
- 3,295.69 - - 3,295.69 -
- 7,260.00 - - 7,260.00 -
- 7,437.00 - - 7,437.00 -
- 6,600.00 - - 6,600.00 -
- 7,492.50 - - 7,492.50 -
- 22.00 - - 22.00 -
- 40.17 - - 40.17 -
- 23.00 - - 23.00 -
- 45.10 - - 45.10 -
- 212.30 - - 212.30 -
- 212.00 - - 212.00 -
- 181.00 - - 181.00 -
- 147.00 - - 147.00 -
- 157.00 - - 157.00 -
- 407.00 - - 407.00 -
- 1,510.00 - - 1,510.00 -
- 1,240.00 - - 1,240.00 -

- 4,550.00 - - 4,550.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- - - - - -
- 125.00 - - 125.00 -
- 129.00 - - 129.00 -

- 2,052.00 - - 2,052.00 -

- 2,120.00 - - 2,120.00 -

- 2,190.00 - - 2,190.00 -

- 2,100.00 - - 2,100.00 -
- 303.00 - - 303.00 -
- 323.00 - - 323.00 -
- 280.53 - - 280.53 -
- 9,646.00 - - 9,646.00 -
- 9,275.00 - - 9,275.00 -
- 8,800.00 - - 8,800.00 -

- 9,644.00 - - 9,644.00 -

- 10,350.00 - - 10,350.00 -

- 11,500.00 - - 11,500.00 -
- 9,273.00 - - 9,273.00 -
- 10,696.00 - - 10,696.00 -
- 847.00 - - 847.00 -
- 803.00 - - 803.00 -
- 1,229.00 - - 1,229.00 -
- - - - - -
- 121.60 - - 121.60 -
- 85.00 - - 85.00 -
- 77.00 - - 77.00 -
- 123.00 - - 123.00 -
- 131.00 - - 131.00 -
- 3,328.00 - - 3,328.00 -
- 3,580.00 - - 3,580.00 -
- 3,796.00 - - 3,796.00 -
- 4,090.00 - - 4,090.00 -
- 20,554.00 - - 20,554.00 -
- 20,207.00 - - 20,207.00 -
- 27,062.00 - - 27,062.00 -
- 20,678.00 - - 20,678.00 -
- 31,760.00 - - 31,760.00 -
- 41,784.00 - - 41,784.00 -
- 39,880.00 - - 39,880.00 -
- 718.20 - - 718.20 -
- - - - - -
- 77.00 - - 77.00 -
- 102.00 - - 102.00 -
- 160.00 - - 160.00 -
- 154.39 - - 154.39 -
- 153.00 - - 153.00 -
- 946.00 - - 946.00 -
- 3,300.00 - - 3,300.00 -
- 210.00 - - 210.00 -
- 224.00 - - 224.00 -
- 444.00 - - 444.00 -
- 2,959.00 - - 2,959.00 -
- 1,023.00 - - 1,023.00 -
- 134.00 - - 134.00 -
- 150.00 - - 150.00 -
- 143.00 - - 143.00 -
- 102.00 - - 102.00 -
- 87.00 - - 87.00 -
- 85.00 - - 85.00 -
- 4,400.00 - - 4,400.00 -
- 3,960.00 - - 3,960.00 -
- - - - - -
- 124.00 - - 124.00 -
- 211.20 - - 211.20 -
- 200.85 - - 200.85 -
- 3,950.00 - - 3,950.00 -
- 8,110.00 - - 8,110.00 -
- 5,885.00 - - 5,885.00 -
- 3,414.00 - - 3,414.00 -
- 4,125.00 - - 4,125.00 -
- 792.00 - - 792.00 -
- 826.10 - - 826.10 -
- 7,100.00 - - 7,100.00 -
- 7,524.00 - - 7,524.00 -
- - - - - -
- 50.00 - - 50.00 -
- 128.00 - - 128.00 -
- 115.00 - - 115.00 -
- 123.00 - - 123.00 -
- 99.90 - - 99.90 -
- 6,410.00 - - 6,410.00 -
- 6,840.00 - - 6,840.00 -
- 6,800.00 - - 6,800.00 -
- 189.53 - - 189.53 -
- 13,500.00 - - 13,500.00 -
- 13,900.00 - - 13,900.00 -
- 11,500.00 - - 11,500.00 -
- 560.00 - - 560.00 -
- 598.00 - - 598.00 -
- 790.00 - - 790.00 -
- 843.00 - - 843.00 -
- 825.00 - - 825.00 -
- 232,518.00 - - 232,518.00 -
- 316,635.00 - - 316,635.00 -
- 317,018.00 - - 317,018.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 1,297,889.00 - - 1,297,889.00 -
- 1,384,977.00 - - 1,384,977.00 -
- 232,518.00 - - 232,518.00 -
- 1,199,985.00 - - 1,199,985.00 -
- 415,721.00 - - 415,721.00 -
- 415,469.00 - - 415,469.00 -
- - - - - -
- 4,697.00 - - 4,697.00 -
- 4,840.00 - - 4,840.00 -
- 6,800.00 - - 6,800.00 -
- 4,840.00 - - 4,840.00 -
- 6,760.00 - - 6,760.00 -
- 4,697.00 - - 4,697.00 -
- - - - - -
- - - - - -
- 2,500.00 - - 2,500.00 -
- 2,760.00 - - 2,760.00 -
- 2,668.00 - - 2,668.00 -
- 1,969.00 - - 1,969.00 -
- 2,005.00 - - 2,005.00 -
- 2,412.30 - - 2,412.30 -
- 1,199.00 - - 1,199.00 -
- 1,785.00 - - 1,785.00 -
- 1,126.00 - - 1,126.00 -
- 9,898.00 - - 9,898.00 -
- 130.00 - - 130.00 -
- 341.81 - - 341.81 -
- 458.00 - - 458.00 -
- 1,070.00 - - 1,070.00 -

- 6,649.00 - - 6,649.00 -
- 4,976.00 - - 4,976.00 -
- 1,107.00 - - 1,107.00 -
- 1,181.00 - - 1,181.00 -
- 1,160.00 - - 1,160.00 -
- - - - - -
- 53.00 - - 53.00 -
- 100.74 - - 100.74 -
- 8,891.00 - - 8,891.00 -
- 12,569.00 - - 12,569.00 -
- 17,093.00 - - 17,093.00 -
- 15,484.71 - - 15,484.71 -
- 3,051.40 - - 3,051.40 -
- 3,113.00 - - 3,113.00 -
- - - - - -
- 11,250.00 - - 11,250.00 -
- 11,352.27 - - 11,352.27 -
- 459.80 - - 459.80 -
- 800.80 - - 800.80 -
- 201.40 - - 201.40 -
- 156.20 - - 156.20 -
- - - - - -
- 123.00 - - 123.00 -
- 118.00 - - 118.00 -
- 131.00 - - 131.00 -
- 3,360.00 - - 3,360.00 -
- - - - - -
- 18,900.00 - - 18,900.00 -
- 22,050.00 - - 22,050.00 -
- 23,971.20 - - 23,971.20 -
- 100.00 - - 100.00 -
- 73.00 - - 73.00 -
- 68.00 - - 68.00 -
- 68.62 - - 68.62 -
- - - - - -
- - - - - -
- 76.00 - - 76.00 -
- 242.00 - - 242.00 -
- 58.00 - - 58.00 -
- 56.51 - - 56.51 -
- 586.30 - - 586.30 -
- 385.00 - - 385.00 -
- 1,155.00 - - 1,155.00 -
- 105.00 - - 105.00 -
- 112.00 - - 112.00 -
- 85.00 - - 85.00 -
- 288.00 - - 288.00 -
- 307.00 - - 307.00 -
- 517.00 - - 517.00 -
- 552.00 - - 552.00 -
- - - - - -
- - - - - -
- 7,150.00 - - 7,150.00 -
- 7,630.00 - - 7,630.00 -
- 63.00 - - 63.00 -
- 67.00 - - 67.00 -
- 70.00 - - 70.00 -
- 100.10 - - 100.10 -
- - - - - -

- 2,621.00 - - 2,621.00 -

- 2,527.00 - - 2,527.00 -

- 2,797.00 - - 2,797.00 -

- 2,354.21 - - 2,354.21 -
- 1,020.00 - - 1,020.00 -
- 1,025.00 - - 1,025.00 -
- 1,662.79 - - 1,662.79 -
- 920.00 - - 920.00 -
- 11,718.25 - - 11,718.25 -
- 3,922.00 - - 3,922.00 -
- 3,980.00 - - 3,980.00 -
- 4,185.00 - - 4,185.00 -
- 3,834.55 - - 3,834.55 -
- 478.00 - - 478.00 -
- 580.00 - - 580.00 -
- 31,231.00 - - 31,231.00 -
- 31,231.00 - - 31,231.00 -
- 30,030.00 - - 30,030.00 -
- 4,200.00 - - 4,200.00 -
- 4,708.00 - - 4,708.00 -
- - - - - -
- 90.00 - - 90.00 -
- 49.45 - - 49.45 -
- 2,090.00 - - 2,090.00 -
- 3,150.00 - - 3,150.00 -
- 2,915.00 - - 2,915.00 -
- 2,109.00 - - 2,109.00 -
- 1,035.00 - - 1,035.00 -
- 1,098.00 - - 1,098.00 -
- 1,104.00 - - 1,104.00 -
- 969.00 - - 969.00 -
- 49.00 - - 49.00 -
- 43.39 - - 43.39 -
- - - - - -
- 163.90 - - 163.90 -
- 176.00 - - 176.00 -
- 110.00 - - 110.00 -
- 111.00 - - 111.00 -
- 117.00 - - 117.00 -
- 68.00 - - 68.00 -
- 217.00 - - 217.00 -
- 265.00 - - 265.00 -
- 240.00 - - 240.00 -
- 530.20 - - 530.20 -
- 248.00 - - 248.00 -
- 208.00 - - 208.00 -
- 190.00 - - 190.00 -
- - - - - -

- 353.00 - - 353.00 -

- 350.00 - - 350.00 -

- - - - - -
- - - - - -
- 174.00 - - 174.00 -
- 310.00 - - 310.00 -
- 303.00 - - 303.00 -
- 1,139.60 - - 1,139.60 -
- 85.00 - - 85.00 -
- 86.00 - - 86.00 -
- 91.00 - - 91.00 -
- 91.30 - - 91.30 -
- 837.00 - - 837.00 -
- 921.00 - - 921.00 -
- - - - - -
- - - - - -
- 85.00 - - 85.00 -
- 63.00 - - 63.00 -
- 91.00 - - 91.00 -
- 115.00 - - 115.00 -
- 89.00 - - 89.00 -
- 682.00 - - 682.00 -
- 720.00 - - 720.00 -
- 508.00 - - 508.00 -
- 2,972.00 - - 2,972.00 -
- 3,171.00 - - 3,171.00 -
- 2,489.00 - - 2,489.00 -
- 208.00 - - 208.00 -
- 462.00 - - 462.00 -
- 416.20 - - 416.20 -
- 9,680.00 - - 9,680.00 -
- 14,402.00 - - 14,402.00 -
- 16,962.00 - - 16,962.00 -
- 13,200.00 - - 13,200.00 -
- 14,371.50 - - 14,371.50 -
- 33,000.00 - - 33,000.00 -
- 121,000.00 - - 121,000.00 -
- 63,800.00 - - 63,800.00 -
- 775,500.00 - - 775,500.00 -
- 75,900.00 - - 75,900.00 -
- 78,750.00 - - 78,750.00 -
- 63,800.00 - - 63,800.00 -
- 65,214.29 - - 65,214.29 -
- 88,750.00 - - 88,750.00 -
- 12,793.00 - - 12,793.00 -
- 13,138.40 - - 13,138.40 -
- 165,000.00 - - 165,000.00 -
- 8,110.00 - - 8,110.00 -
- 75,000.20 - - 75,000.20 -
- 75,000.00 - - 75,000.00 -
- 1,121.00 - - 1,121.00 -
- 997.00 - - 997.00 -
- 473.00 - - 473.00 -
- 2,920.00 - - 2,920.00 -
- 287.00 - - 287.00 -
- 123.00 - - 123.00 -
- 14,131.00 - - 14,131.00 -
- 38,848.51 - - 38,848.51 -
- 15,089.50 - - 15,089.50 -
- 225.00 - - 225.00 -
- 585.00 - - 585.00 -
- 129,400.00 - - 129,400.00 -
- 595,000.00 - - 595,000.00 -
- 15,246.00 - - 15,246.00 -
- 287.00 - - 287.00 -
- 2,954.00 - - 2,954.00 -
- 2,825.45 - - 2,825.45 -
- 134,214.29 - - 134,214.29 -
- 217,214.29 - - 217,214.29 -
- 2,764.00 - - 2,764.00 -
- 412,002.80 - - 412,002.80 -
- 2,600.00 - - 2,600.00 -
- 876.70 - - 876.70 -
- 1,059.55 - - 1,059.55 -
- - - - - -
- 3,914.00 - - 3,914.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 6,930.00 - - 6,930.00 -
- 3,914.00 - - 3,914.00 -
- 12,631.00 - - 12,631.00 -
- 7,334.00 - - 7,334.00 -
- 6,930.00 - - 6,930.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 6,930.00 - - 6,930.00 -
- 7,334.00 - - 7,334.00 -
- 8,950.00 - - 8,950.00 -
- 8,700.00 - - 8,700.00 -
- 6,930.00 - - 6,930.00 -
- - - - - -
- 840.00 - - 840.00 -
- 646.94 - - 646.94 -
- 854.00 - - 854.00 -
- 792.00 - - 792.00 -
- 965.40 - - 965.40 -
- 817.00 - - 817.00 -
- 750.00 - - 750.00 -
- 903.00 - - 903.00 -
- 776.33 - - 776.33 -
- 1,298.00 - - 1,298.00 -
- 123.60 - - 123.60 -
- 95.00 - - 95.00 -
- 116.04 - - 116.04 -
- 1,354.00 - - 1,354.00 -
- 1,101.00 - - 1,101.00 -
- 1,185.00 - - 1,185.00 -
- 1,190.00 - - 1,190.00 -
- 995.00 - - 995.00 -
- 1,583.00 - - 1,583.00 -
- 1,540.00 - - 1,540.00 -
- 10,430.00 - - 10,430.00 -
- 25,009.00 - - 25,009.00 -
- 26,087.00 - - 26,087.00 -
- 25,009.00 - - 25,009.00 -
- 33,250.00 - - 33,250.00 -
- 34,170.00 - - 34,170.00 -
- 33,538.00 - - 33,538.00 -
- 25,009.00 - - 25,009.00 -
- 3,150.00 - - 3,150.00 -
- 2,677.50 - - 2,677.50 -
- 26,250.00 - - 26,250.00 -
- 28,875.00 - - 28,875.00 -
- 250,000.30 - - 250,000.30 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 18,450.00 - - 18,450.00 -
- 9,900.00 - - 9,900.00 -
- 5,800.00 - - 5,800.00 -
- 9,165.00 - - 9,165.00 -
- 5,445.00 - - 5,445.00 -
- 6,150.00 - - 6,150.00 -
- 11,500.00 - - 11,500.00 -
- 6,448.00 - - 6,448.00 -
- 10,725.00 - - 10,725.00 -
- 42,998.89 - - 42,998.89 -
- 55,000.00 - - 55,000.00 -
- 19,700.00 - - 19,700.00 -
- - - - - -
- 24,000.00 - - 24,000.00 -
- 12,875.00 - - 12,875.00 -
- 7,931.00 - - 7,931.00 -
- 607.70 - - 607.70 -
- 3,800.00 - - 3,800.00 -
- 2,163.00 - - 2,163.00 -
- 7,900.00 - - 7,900.00 -
- 8,240.00 - - 8,240.00 -
- 1,800.00 - - 1,800.00 -
- 1,648.00 - - 1,648.00 -
- 75.90 - - 75.90 -
- 10,000.10 - - 10,000.10 -
- - - - - -
- 43,050.00 - - 43,050.00 -
- 438.90 - - 438.90 -
- 982.40 - - 982.40 -
- 1,900.00 - - 1,900.00 -
- 2,290.00 - - 2,290.00 -
- 5,500.00 - - 5,500.00 -
- 5,500.00 - - 5,500.00 -
- 23,750.00 - - 23,750.00 -
- 27,225.00 - - 27,225.00 -
- 30,842.19 - - 30,842.19 -
- - - - - -
- 509,999.60 - - 509,999.60 -
- 1,548,088.30 - - 1,548,088.30 -
- 15,333.33 - - 15,333.33 -
- 36,050.00 - - 36,050.00 -
- 39,217.00 - - 39,217.00 -
- 30,000.00 - - 30,000.00 -
- 61,050.00 - - 61,050.00 -
- 5,800.00 - - 5,800.00 -
- 2,728.00 - - 2,728.00 -
- 3,096.96 - - 3,096.96 -
- 2,246.00 - - 2,246.00 -
- 13,235.00 - - 13,235.00 -
- 12,500.00 - - 12,500.00 -
- 12,827.00 - - 12,827.00 -
- 14,340.00 - - 14,340.00 -
- 11,975.00 - - 11,975.00 -
- 74,002.50 - - 74,002.50 -
- 19,500.00 - - 19,500.00 -
- 9,878.00 - - 9,878.00 -
- 9,850.00 - - 9,850.00 -
- 7,913.00 - - 7,913.00 -
- 7,900.00 - - 7,900.00 -
- 7,805.00 - - 7,805.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 20,400.00 - - 20,400.00 -
- 12,564.00 - - 12,564.00 -
- - - - - -
- - - - - -
- 276,500.00 - - 276,500.00 -
- 232,440.00 - - 232,440.00 -
- 216,812.50 - - 216,812.50 -
- 133,500.00 - - 133,500.00 -
- 7,250.00 - - 7,250.00 -
- 4,120.00 - - 4,120.00 -
- 15,092.00 - - 15,092.00 -
- 20,150.00 - - 20,150.00 -
- 16,535.00 - - 16,535.00 -
- 22,433.00 - - 22,433.00 -
- 16,186.81 - - 16,186.81 -
- 14,935.00 - - 14,935.00 -
- 14,750.00 - - 14,750.00 -
- 4,500.00 - - 4,500.00 -
- 4,500.00 - - 4,500.00 -
- 2,673.33 - - 2,673.33 -
- 4,500.00 - - 4,500.00 -
- 6,595.00 - - 6,595.00 -
- 600.49 - - 600.49 -
- 1,165.00 - - 1,165.00 -
- 1,255.41 - - 1,255.41 -
- 600.49 - - 600.49 -
- 1,165.00 - - 1,165.00 -
- 600.40 - - 600.40 -
- 1,165.00 - - 1,165.00 -
- - - - - -
- 3,230.00 - - 3,230.00 -
- 3,200.00 - - 3,200.00 -
- - - - - -
- - - - - -
- 10,400.00 - - 10,400.00 -
- 15,333.33 - - 15,333.33 -
- 8,070.00 - - 8,070.00 -
- 4,235.00 - - 4,235.00 -
- - - - - -
- 95.07 - - 95.07 -
- 144.20 - - 144.20 -
- 91.49 - - 91.49 -
- 60,800.00 - - 60,800.00 -
- 66,700.00 - - 66,700.00 -
- 86,680.00 - - 86,680.00 -
- 712,800.00 - - 712,800.00 -
- 396,000.00 - - 396,000.00 -
- 4,232.00 - - 4,232.00 -
- 10,400.00 - - 10,400.00 -
- 19,480.00 - - 19,480.00 -
- 396,000.00 - - 396,000.00 -
- 1,325,000.00 - - 1,325,000.00 -
- 31,347.00 - - 31,347.00 -
- 12,631.00 - - 12,631.00 -
- 1,098,900.00 - - 1,098,900.00 -
- 188,663.00 - - 188,663.00 -
- 512,204.00 - - 512,204.00 -
- 312,500.10 - - 312,500.10 -
- 262,499.60 - - 262,499.60 -
- 131,249.60 - - 131,249.60 -
- 56,249.60 - - 56,249.60 -
- 165,000.00 - - 165,000.00 -
- 55,000.00 - - 55,000.00 -
- 42,000.00 - - 42,000.00 -
- 75,069.00 - - 75,069.00 -
- 1,185.00 - - 1,185.00 -
- 79.00 - - 79.00 -
- 91.49 - - 91.49 -
- 14,000.00 - - 14,000.00 -
- 666,470.20 - - 666,470.20 -
- 102,600.00 - - 102,600.00 -
- 99,500.00 - - 99,500.00 -
- 1,339.00 - - 1,339.00 -
- 266,015.00 - - 266,015.00 -
- 448.00 - - 448.00 -
- 331.00 - - 331.00 -
- - - - - -
- - - - - -
- 479,996.00 - - 479,996.00 -
- - - - - -
- 176,800.00 - - 176,800.00 -
- - - - - -
- 66,154.00 - - 66,154.00 -
- 19,954.00 - - 19,954.00 -
- 19,195.00 - - 19,195.00 -
- 18,128.00 - - 18,128.00 -
- 78,991.00 - - 78,991.00 -
- 78,991.00 - - 78,991.00 -
- 155,813.00 - - 155,813.00 -
- 166,265.00 - - 166,265.00 -
- 21,285.00 - - 21,285.00 -
- 139,760.00 - - 139,760.00 -
- - - - - -
- - - - - -
- - - - - -
- 1,339,441.00 - - 1,339,441.00 -
- - - - - -
- - - -
- - - -
- - - -
- - - -
LUARAN 2023 SALDO AKHIR 2023
DINKES DINKES
HARGA SATUAN
NILAI RP. BANYAKNYA NILAI RP.
(RP)

- - - - -
- 430.00 - - -
- 1,041.98 - - -
- 4,000.00 - - -
- 4,300.00 - - -
- 89.00 - - -
- 87.00 - - -
- 105.00 - - -
- 99.00 - - -
- 200.00 - - -
- 128.00 - - -
- 143.55 - - -
- 151.80 - - -
- 3,626.70 - - -
- 3,619.00 - - -
- 2,500.30 - - -
- 4,887.00 - - -
- 2,998.00 - - -
- 2,976.00 - - -
- 91.00 - - -
- 95.00 - - -
- 167.00 - - -
- 112.00 - - -
- 171.44 - - -
- 70.00 - - -
- 75.00 - - -
- 53.00 - - -
- 93.00 - - -
- 99.00 - - -
- 195.00 - - -
- 196.00 - - -
- 201.00 - - -
- 232.00 - - -
- 249.00 - - -
- 8,100.00 - - -
- 2,000.00 - - -
- 3,500.00 - - -
- 2,050.00 - - -
- 2,600.00 - - -
- 3,400.00 - - -

- 3,628.00 - - -

- 3,498.00 - - -

- 8,310.00 - - -
- - - - -
- - - - -
- - - - -
- 8,237.00 - - -
- 8,330.00 - - -
- - - - -

- 1,995.00 - - -

- 2,129.00 - - -
- 54.00 - - -
- 62.00 - - -

- 58.00 - - -
- 189.05 - - -
- 203.30 - - -
- 1,455.00 - - -
- 3,035.00 - - -
- 3,167.00 - - -
- 3,250.00 - - -
- 4,323.00 - - -
- 4,798.00 - - -
- 3,477.00 - - -
- 173.00 - - -
- 185.00 - - -
- - - - -
- 233.20 - - -
- - - - -
- - - - -
- 181.50 - - -
- 1,195.00 - - -
- 11,550.00 - - -
- - - - -
- 75.00 - - -
- 56.51 - - -
- 105.00 - - -
- 126.94 - - -
- 600.00 - - -
- 105.00 - - -
- 103.00 - - -
- 103.40 - - -
- 177.90 - - -
- 177.90 - - -
- 111.00 - - -
- 358.00 - - -
- 382.00 - - -
- 301.00 - - -
- 303.74 - - -
- 99.00 - - -
- 89.81 - - -
- - - - -
- - - - -
- 2,996.40 - - -
- 3,600.00 - - -
- 249.00 - - -
- 380.00 - - -
- 152.00 - - -
- 233.20 - - -
- 253.00 - - -
- 162.00 - - -
- 1,595.00 - - -
- 1,639.00 - - -
- 2,295.00 - - -
- 2,030.00 - - -
- 2,860.00 - - -
- 15,246.00 - - -
- 150,000.00 - - -
- 160,500.00 - - -
- 152,900.00 - - -
- 14,500.00 - - -
- 110.00 - - -
- 88.80 - - -
- 1,340.00 - - -
- 1,349.00 - - -
- 1,430.00 - - -
- 2,460.80 - - -
- 6,045.00 - - -
- 626.00 - - -
- 124.12 - - -
- 250.80 - - -
- 253.00 - - -
- 112,000.00 - - -
- 112,214.29 - - -
- 160,500.00 - - -
- 160,714.29 - - -
- 1,097.00 - - -
- 924.00 - - -
- 32.00 - - -
- 61.60 - - -
- 106.00 - - -
- 112,000.00 - - -
- 86.00 - - -
- 114.00 - - -
- 1,735.00 - - -
- 12,573.00 - - -
- 13,669.15 - - -
- - - - -
- - - - -
- 1,060.00 - - -
- 1,095.00 - - -
- 104.00 - - -
- 99.00 - - -
- 108.00 - - -
- 141.90 - - -
- 85.00 - - -
- 91.00 - - -
- 71.00 - - -
- 2,296.00 - - -
- - - - -
- - - - -
- 1,408.00 - - -
- 1,515.00 - - -
- 577.00 - - -
- 750.00 - - -
- - - - -
- 505.00 - - -
- 2,500.00 - - -
- 246,400.00 - - -
- 108,720.93 - - -
- 83,050.00 - - -
- 20,087.00 - - -
- 158.00 - - -
- 169.53 - - -
- 171.00 - - -
- 165.00 - - -
- 1,857.00 - - -
- 1,700.00 - - -
- 290.00 - - -
- 510.00 - - -
- 605.00 - - -
- 629.00 - - -
- - - - -
- 57,500.00 - - -
- 63,813.00 - - -
- - - - -
- 710.00 - - -
- 748.00 - - -
- 3,682.00 - - -
- 3,550.00 - - -
- 1,386.00 - - -
- 77.00 - - -
- 72.00 - - -
- 78.00 - - -
- - - - -

- 257.00 - - -
- - - - -
- - - - -
- 1,834.80 - - -
- 5,900.00 - - -
- 1,834.80 - - -
- 5,390.00 - - -
- 687,500.00 - - -
- 119.00 - - -
- 86.00 - - -
- 83.00 - - -
- 83.75 - - -
- 207.00 - - -
- 123.00 - - -
- 124.12 - - -
- 82.50 - - -
- 120.00 - - -
- 7,370.00 - - -
- 8,800.00 - - -
- 10,351.00 - - -
- 5,775.03 - - -
- 6,900.00 - - -
- 7,363.00 - - -
- 6,627.00 - - -
- 7,500.00 - - -
- 7,200.00 - - -
- 210.00 - - -
- 224.00 - - -
- 1,773.00 - - -
- 47.00 - - -
- 59.00 - - -
- 58.00 - - -
- 59.00 - - -
- 61.00 - - -
- 51.00 - - -
- 54.00 - - -
- 96.00 - - -
- 60.00 - - -
- 6,250.00 - - -
- 1,190.00 - - -
- 97,500.00 - - -
- - - - -
- 149.00 - - -
- 2,475.00 - - -
- 2,325.00 - - -
- 2,346.14 - - -
- 105.00 - - -
- 122.00 - - -
- 111.00 - - -
- 30.28 - - -
- 192.74 - - -
- 2,365.00 - - -
- 2,475.00 - - -
- 2,365.00 - - -
- 4,665.00 - - -
- 2,236.00 - - -
- - - - -
- 74.00 - - -
- 145.00 - - -
- 173.00 - - -
- 170.00 - - -
- 88.00 - - -
- 90.00 - - -
- - - - -
- 287.85 - - -
- 288.00 - - -
- - - - -
- 59.00 - - -
- 63.00 - - -
- 62.00 - - -
- 66.00 - - -
- 75.00 - - -
- 94.00 - - -
- 230.00 - - -
- 2,518.00 - - -
- 2,595.00 - - -
- 2,370.35 - - -
- 270.00 - - -
- 288.00 - - -
- 252.00 - - -
- - - - -
- - - - -
- - - - -
- 1,045.00 - - -
- 715.00 - - -
- 759.00 - - -
- 522.00 - - -
- - - - -
- - - - -
- 1,881.00 - - -
- 3,295.69 - - -
- 7,260.00 - - -
- 7,437.00 - - -
- 6,600.00 - - -
- 7,492.50 - - -
- 22.00 - - -
- 40.17 - - -
- 23.00 - - -
- 45.10 - - -
- 212.30 - - -
- 212.00 - - -
- 181.00 - - -
- 147.00 - - -
- 157.00 - - -
- 407.00 - - -
- 1,510.00 - - -
- 1,240.00 - - -

- 4,550.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- - - - -
- 125.00 - - -
- 129.00 - - -

- 2,052.00 - - -

- 2,120.00 - - -

- 2,190.00 - - -

- 2,100.00 - - -
- 303.00 - - -
- 323.00 - - -
- 280.53 - - -
- 9,646.00 - - -
- 9,275.00 - - -
- 8,800.00 - - -

- 9,644.00 - - -

- 10,350.00 - - -

- 11,500.00 - - -
- 9,273.00 - - -
- 10,696.00 - - -
- 847.00 - - -
- 803.00 - - -
- 1,229.00 - - -
- - - - -
- 121.60 - - -
- 85.00 - - -
- 77.00 - - -
- 123.00 - - -
- 131.00 - - -
- 3,328.00 - - -
- 3,580.00 - - -
- 3,796.00 - - -
- 4,090.00 - - -
- 20,554.00 - - -
- 20,207.00 - - -
- 27,062.00 - - -
- 20,678.00 - - -
- 31,760.00 - - -
- 41,784.00 - - -
- 39,880.00 - - -
- 718.20 - - -
- - - - -
- 77.00 - - -
- 102.00 - - -
- 160.00 - - -
- 154.39 - - -
- 153.00 - - -
- 946.00 - - -
- 3,300.00 - - -
- 210.00 - - -
- 224.00 - - -
- 444.00 - - -
- 2,959.00 - - -
- 1,023.00 - - -
- 134.00 - - -
- 150.00 - - -
- 143.00 - - -
- 102.00 - - -
- 87.00 - - -
- 85.00 - - -
- 4,400.00 - - -
- 3,960.00 - - -
- - - - -
- 124.00 - - -
- 211.20 - - -
- 200.85 - - -
- 3,950.00 - - -
- 8,110.00 - - -
- 5,885.00 - - -
- 3,414.00 - - -
- 4,125.00 - - -
- 792.00 - - -
- 826.10 - - -
- 7,100.00 - - -
- 7,524.00 - - -
- - - - -
- 50.00 - - -
- 128.00 - - -
- 115.00 - - -
- 123.00 - - -
- 99.90 - - -
- 6,410.00 - - -
- 6,840.00 - - -
- 6,800.00 - - -
- 189.53 - - -
- 13,500.00 - - -
- 13,900.00 - - -
- 11,500.00 - - -
- 560.00 - - -
- 598.00 - - -
- 790.00 - - -
- 843.00 - - -
- 825.00 - - -
- 232,518.00 - - -
- 316,635.00 - - -
- 317,018.00 - - -
- 1,199,985.00 - - -
- 1,297,889.00 - - -
- 1,384,977.00 - - -
- 232,518.00 - - -
- 1,199,985.00 - - -
- 415,721.00 - - -
- 415,469.00 - - -
- - - - -
- 4,697.00 - - -
- 4,840.00 - - -
- 6,800.00 - - -
- 4,840.00 - - -
- 6,760.00 - - -
- 4,697.00 - - -
- - - - -
- - - - -
- 2,500.00 - - -
- 2,760.00 - - -
- 2,668.00 - - -
- 1,969.00 - - -
- 2,005.00 - - -
- 2,412.30 - - -
- 1,199.00 - - -
- 1,785.00 - - -
- 1,126.00 - - -
- 9,898.00 - - -
- 130.00 - - -
- 341.81 - - -
- 458.00 - - -
- 1,070.00 - - -

- 6,649.00 - - -
- 4,976.00 - - -
- 1,107.00 - - -
- 1,181.00 - - -
- 1,160.00 - - -
- - - - -
- 53.00 - - -
- 100.74 - - -
- 8,891.00 - - -
- 12,569.00 - - -
- 17,093.00 - - -
- 15,484.71 - - -
- 3,051.40 - - -
- 3,113.00 - - -
- - - - -
- 11,250.00 - - -
- 11,352.27 - - -
- 459.80 - - -
- 800.80 - - -
- 201.40 - - -
- 156.20 - - -
- - - - -
- 123.00 - - -
- 118.00 - - -
- 131.00 - - -
- 3,360.00 - - -
- - - - -
- 18,900.00 - - -
- 22,050.00 - - -
- 23,971.20 - - -
- 100.00 - - -
- 73.00 - - -
- 68.00 - - -
- 68.62 - - -
- - - - -
- - - - -
- 76.00 - - -
- 242.00 - - -
- 58.00 - - -
- 56.51 - - -
- 586.30 - - -
- 385.00 - - -
- 1,155.00 - - -
- 105.00 - - -
- 112.00 - - -
- 85.00 - - -
- 288.00 - - -
- 307.00 - - -
- 517.00 - - -
- 552.00 - - -
- - - - -
- - - - -
- 7,150.00 - - -
- 7,630.00 - - -
- 63.00 - - -
- 67.00 - - -
- 70.00 - - -
- 100.10 - - -
- - - - -

- 2,621.00 - - -

- 2,527.00 - - -

- 2,797.00 - - -

- 2,354.21 - - -
- 1,020.00 - - -
- 1,025.00 - - -
- 1,662.79 - - -
- 920.00 - - -
- 11,718.25 - - -
- 3,922.00 - - -
- 3,980.00 - - -
- 4,185.00 - - -
- 3,834.55 - - -
- 478.00 - - -
- 580.00 - - -
- 31,231.00 - - -
- 31,231.00 - - -
- 30,030.00 - - -
- 4,200.00 - - -
- 4,708.00 - - -
- - - - -
- 90.00 - - -
- 49.45 - - -
- 2,090.00 - - -
- 3,150.00 - - -
- 2,915.00 - - -
- 2,109.00 - - -
- 1,035.00 - - -
- 1,098.00 - - -
- 1,104.00 - - -
- 969.00 - - -
- 49.00 - - -
- 43.39 - - -
- - - - -
- 163.90 - - -
- 176.00 - - -
- 110.00 - - -
- 111.00 - - -
- 117.00 - - -
- 68.00 - - -
- 217.00 - - -
- 265.00 - - -
- 240.00 - - -
- 530.20 - - -
- 248.00 - - -
- 208.00 - - -
- 190.00 - - -
- - - - -

- 353.00 - - -

- 350.00 - - -

- - - - -
- - - - -
- 174.00 - - -
- 310.00 - - -
- 303.00 - - -
- 1,139.60 - - -
- 85.00 - - -
- 86.00 - - -
- 91.00 - - -
- 91.30 - - -
- 837.00 - - -
- 921.00 - - -
- - - - -
- - - - -
- 85.00 - - -
- 63.00 - - -
- 91.00 - - -
- 115.00 - - -
- 89.00 - - -
- 682.00 - - -
- 720.00 - - -
- 508.00 - - -
- 2,972.00 - - -
- 3,171.00 - - -
- 2,489.00 - - -
- 208.00 - - -
- 462.00 - - -
- 416.20 - - -
- 9,680.00 - - -
- 14,402.00 - - -
- 16,962.00 - - -
- 13,200.00 - - -
- 14,371.50 - - -
- 33,000.00 - - -
- 121,000.00 - - -
- 63,800.00 - - -
- 775,500.00 - - -
- 75,900.00 - - -
- 78,750.00 - - -
- 63,800.00 - - -
- 65,214.29 - - -
- 88,750.00 - - -
- 12,793.00 - - -
- 13,138.40 - - -
- 165,000.00 - - -
- 8,110.00 - - -
- 75,000.20 - - -
- 75,000.00 - - -
- 1,121.00 - - -
- 997.00 - - -
- 473.00 - - -
- 2,920.00 - - -
- 287.00 - - -
- 123.00 - - -
- 14,131.00 - - -
- 38,848.51 - - -
- 15,089.50 - - -
- 225.00 - - -
- 585.00 - - -
- 129,400.00 - - -
- 595,000.00 - - -
- 15,246.00 - - -
- 287.00 - - -
- 2,954.00 - - -
- 2,825.45 - - -
- 134,214.29 - - -
- 217,214.29 - - -
- 2,764.00 - - -
- 412,002.80 - - -
- 2,600.00 - - -
- 876.70 - - -
- 1,059.55 - - -
- - - - -
- 3,914.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 6,930.00 - - -
- 3,914.00 - - -
- 12,631.00 - - -
- 7,334.00 - - -
- 6,930.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 6,930.00 - - -
- 7,334.00 - - -
- 8,950.00 - - -
- 8,700.00 - - -
- 6,930.00 - - -
- - - - -
- 840.00 - - -
- 646.94 - - -
- 854.00 - - -
- 792.00 - - -
- 965.40 - - -
- 817.00 - - -
- 750.00 - - -
- 903.00 - - -
- 776.33 - - -
- 1,298.00 - - -
- 123.60 - - -
- 95.00 - - -
- 116.04 - - -
- 1,354.00 - - -
- 1,101.00 - - -
- 1,185.00 - - -
- 1,190.00 - - -
- 995.00 - - -
- 1,583.00 - - -
- 1,540.00 - - -
- 10,430.00 - - -
- 25,009.00 - - -
- 26,087.00 - - -
- 25,009.00 - - -
- 33,250.00 - - -
- 34,170.00 - - -
- 33,538.00 - - -
- 25,009.00 - - -
- 3,150.00 - - -
- 2,677.50 - - -
- 26,250.00 - - -
- 28,875.00 - - -
- 250,000.30 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 18,450.00 - - -
- 9,900.00 - - -
- 5,800.00 - - -
- 9,165.00 - - -
- 5,445.00 - - -
- 6,150.00 - - -
- 11,500.00 - - -
- 6,448.00 - - -
- 10,725.00 - - -
- 42,998.89 - - -
- 55,000.00 - - -
- 19,700.00 - - -
- - - - -
- 24,000.00 - - -
- 12,875.00 - - -
- 7,931.00 - - -
- 607.70 - - -
- 3,800.00 - - -
- 2,163.00 - - -
- 7,900.00 - - -
- 8,240.00 - - -
- 1,800.00 - - -
- 1,648.00 - - -
- 75.90 - - -
- 10,000.10 - - -
- - - - -
- 43,050.00 - - -
- 438.90 - - -
- 982.40 - - -
- 1,900.00 - - -
- 2,290.00 - - -
- 5,500.00 - - -
- 5,500.00 - - -
- 23,750.00 - - -
- 27,225.00 - - -
- 30,842.19 - - -
- - - - -
- 509,999.60 - - -
- 1,548,088.30 - - -
- 15,333.33 - - -
- 36,050.00 - - -
- 39,217.00 - - -
- 30,000.00 - - -
- 61,050.00 - - -
- 5,800.00 - - -
- 2,728.00 - - -
- 3,096.96 - - -
- 2,246.00 - - -
- 13,235.00 - - -
- 12,500.00 - - -
- 12,827.00 - - -
- 14,340.00 - - -
- 11,975.00 - - -
- 74,002.50 - - -
- 19,500.00 - - -
- 9,878.00 - - -
- 9,850.00 - - -
- 7,913.00 - - -
- 7,900.00 - - -
- 7,805.00 - - -
- 1,325,000.00 - - -
- 20,400.00 - - -
- 12,564.00 - - -
- - - - -
- - - - -
- 276,500.00 - - -
- 232,440.00 - - -
- 216,812.50 - - -
- 133,500.00 - - -
- 7,250.00 - - -
- 4,120.00 - - -
- 15,092.00 - - -
- 20,150.00 - - -
- 16,535.00 - - -
- 22,433.00 - - -
- 16,186.81 - - -
- 14,935.00 - - -
- 14,750.00 - - -
- 4,500.00 - - -
- 4,500.00 - - -
- 2,673.33 - - -
- 4,500.00 - - -
- 6,595.00 - - -
- 600.49 - - -
- 1,165.00 - - -
- 1,255.41 - - -
- 600.49 - - -
- 1,165.00 - - -
- 600.40 - - -
- 1,165.00 - - -
- - - - -
- 3,230.00 - - -
- 3,200.00 - - -
- - - - -
- - - - -
- 10,400.00 - - -
- 15,333.33 - - -
- 8,070.00 - - -
- 4,235.00 - - -
- - - - -
- 95.07 - - -
- 144.20 - - -
- 91.49 - - -
- 60,800.00 - - -
- 66,700.00 - - -
- 86,680.00 - - -
- 712,800.00 - - -
- 396,000.00 - - -
- 4,232.00 - - -
- 10,400.00 - - -
- 19,480.00 - - -
- 396,000.00 - - -
- 1,325,000.00 - - -
- 31,347.00 - - -
- 12,631.00 - - -
- 1,098,900.00 - - -
- 188,663.00 - - -
- 512,204.00 - - -
- 312,500.10 - - -
- 262,499.60 - - -
- 131,249.60 - - -
- 56,249.60 - - -
- 165,000.00 - - -
- 55,000.00 - - -
- 42,000.00 - - -
- 75,069.00 - - -
- 1,185.00 - - -
- 79.00 - - -
- 91.49 - - -
- 14,000.00 - - -
- 666,470.20 - - -
- 102,600.00 - - -
- 99,500.00 - - -
- 1,339.00 - - -
- 266,015.00 - - -
- 448.00 - - -
- 331.00 - - -
- - - - -
- - - - -
- 479,996.00 - - -
- - - - -
- 176,800.00 - - -
- - - - -
- 66,154.00 - - -
- 19,954.00 - - -
- 19,195.00 - - -
- 18,128.00 - - -
- 78,991.00 - - -
- 78,991.00 - - -
- 155,813.00 - - -
- 166,265.00 - - -
- 21,285.00 - - -
- 139,760.00 - - -
- - - - -
- - - - -
- - - - -
- 1,339,441.00 - - -
- - - - -
- - -
- - -
- - -
- - -
PenanggungJawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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- -
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.
DATA MUTASI PER

DINA

STOK AWAL DESEMBER 2023

NO NAMA OBAT SATUAN JKN


HARGA SATUAN BANYAKNYA
(RP)
A. O B A T
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet - -
3 Albendazole susp 200 mg/5 ml Botol - -
4 Alopurinol Tablet 100 mg Tablet 87 -
Alopurinol Tablet 100 mg Tablet 105 -
5 Alopurinol Tablet 300 mg Tablet 200 -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 308 -
Ambroksol Tablet 30 mg Tablet 165 -
Ambroksol Tablet 30 mg Tablet 110 -
8 Ambroksol sirup 15 mg/5 ml Botol 3,627 -
Ambroksol sirup 15 mg/5 ml Botol 3,790 -
Ambroksol sirup 15 mg/5 ml Botol 2,750 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,789 -
10 Aminofillin Tablet 200 mg Tablet 139 -
Aminofillin Tablet 200 mg Tablet 91 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 177 -
12 Amlodipin Tablet 5 mg Tablet 70 -
Amlodipin Tablet 5 mg Tablet 53 -
Amlodipin Tablet 5 mg Tablet 53 -
13 Amlodipin Tablet 10 mg Tablet 93 -
Amlodipin Tablet 10 mg Tablet 70 -
14 Amoksisillin Kapsul 250 mg Kapsul 184 -
Amoksisillin Kapsul 250 mg Kapsul 195 -
Amoksisillin Kapsul 250 mg Kapsul 180 -
Amoksisillin Kapsul 250 mg Kapsul 374 -
15 Amoksisillin Kaplet 500 mg Kaplet 201 -
Amoksisillin Kaplet 500 mg Kaplet 232 -
Amoksisillin Kaplet 500 mg Kaplet 190 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531 -
Amoksisillin Sirup Kering 125 mg/5ml Botol 2,050 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
- -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial - -
23 Analgetik Plus Tablet - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129 -
Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 1,679 -
25
Antasida Doen Tablet, Kombinasi : Magnesium Tablet
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
54 -

Antasida Doen Tablet, Kombinasi : Magnesium Tablet


Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
58 -

Antasida Doen Tablet, Kombinasi : Magnesium Tablet


Hidroksida 200 mg+ Alumunium Hidroksida 200 mg
54 -
26 Antasida Plus Tablet Tablet 187 -
Antasida Plus Tablet Tablet 264 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 214 -
Antalgin (Metampiron) Tablet 500 mg Tablet 170 -
Antalgin (Metampiron) Tablet 500 mg Tablet 209 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube
- -
30 Anti Hemoroid Doen komb Supp 3,167 -
Anti Hemoroid Doen komb Supp 3,250 -
31 Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
3,477 -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,158 -
Anti Fungi DOEN Kombinasi : Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,323 -
Anti Fungi DOEN Kombinasi : Pot
Asam Benzoat 6% + Asam Salisilat 3% 3,509 -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet - -
35 Anti Dotum Oral Tablet Tablet - -
36 Anti Hipertensi Kapsul Tablet - -
37 Antihistamin Tablet kombinasi Tablet 429 -
38 Antispasmodik Tablet Tablet 1,188 -
39 Antitusiva Sirup Botol 11,400 -
Antitusiva Sirup Botol 8,000 -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103 -
Asam Mefenamat Kapsul 500 mg Kapsul 250 -
Asam Mefenamat Kapsul 500 mg Kapsul 198 -
44 Acetylsistein tablet Tablet 304 -
45 Asetosal Tablet 80 mg Tablet - -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube - -
49 Asiklovir Tablet 200 mg Tablet 236 -
50 Asiklovir Tablet 400 mg Tablet - -
51 Attapulgit Tablet 152 -
Attapulgit Tablet 145 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,540 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860 -
54 Bahan Tambal Sementara Set - -
55 Benzatin Benzil Penisilin injeksi Vial - -
56 Betahistin Mesilat 6 mg Tablet 110 -
Betahistin Mesilat 6 mg Tablet 149 -
Betahistin Mesilat 6 mg Tablet 89 -
57 Betametason Krim 0,1 %- 5g Tube 1,340 -
Betametason Krim 0,1 %- 5g Tube 1,380 -
Betametason Krim 0,1 %- 5g 1,349 -
58 Bisakodil suppositoria 10 mg Supp - -
Bisakodil Tablet 5mg Tablet 216 -
59 Bisoprolol Tablet 5 mg Tablet - -
60 Bromheksin 8 mg Tablet - -
Bromheksin 8 mg Tablet 253 -
61 Cresotin Pasta Botol - -
62 Cresotin Liquid No 2 Botol - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097 -
64 Deksametason Tablet 0,5 mg Tablet 133 -
Deksametason Tablet 0,5 mg Tablet 41 -
Deksametason Tablet 0,5 mg Tablet 66 -
65 Devitalisasi Pasta (Non Arsen) Botol - -
66 Diazepam tablet 2 mg Tablet - -
67 Diazepam tablet 5 mg Tablet - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735 -
69 Diazepam Larutan Rektal 5 mg/ml Supp - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul - -
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,176 -
73 Digoksin Tablet 0,25 mg Tablet 104 -
Digoksin Tablet 0,25 mg Tablet 105 -
74 Dimenhidrinat Tablet 50 mg Tablet 99 -
Dimenhidrinat Tablet 50 mg Tablet 109 -
75 Domperidon Tablet 10 mg Tablet 91 -
Domperidon Tablet 10 mg Tablet 71 -
Domperidon Tablet 10 mg Tablet 289 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,295 -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat
Ampul
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml 1,408 -
80 Eritromisin Kapsul 250 mg Kapsul 557 -
81 Eritromisin Kapsul 500 mg Kapsul - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet - -
84 Etanol 70 % 100 ml Botol - -
85 Etil Klorida Semprot -100 ml Botol 246,400 -
86 Eugenol Cairan -10 ml Botol 18,824 -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 152 -
Fenitoin Natrium Kapsul 100 mg Kapsul 154 -
Fenitoin Natrium Kapsul 100 mg Kapsul 484 -
88 Fenobarbital tablet 30 mg Tablet 171 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,857 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - -
Fenoksimeti Penisilin 250 mg tablet Tablet 350 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet - -
Fenoksimeti Penisilin 500 mg tablet Tablet 605 -
92 Fenol Gliserol TK Botol 3,330 -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - -
94 Flukonazole tablet 150 mg Tablet - -
95 Fitomenadion tablet 10 mg Tablet 748 -
Fitomenadion tablet 10 mg Tablet 695 -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682 -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 1,386 -
97 Furosemid Tablet 40 mg Tablet 154 -
Furosemid Tablet 40 mg Tablet 144 -
98 Furosemid injeksi Ampul 1,333 -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Kantong
Air 260 -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Kantong
Air 274 -
100 Gemfibrozil Tablet 600 mg Tablet 769 -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,830 -
Gentamisin Salep Kulit 0,1 % Tube 2,115 -
Gentamisin Salep Kulit 0,1 % Tube 2,376 -
104 Glass Ionomer Set - -
105 Glibenklamid Tablet 5 mg Tablet 119 -
Glibenklamid Tablet 5 mg Tablet 83 -
106 Glimepiride 2 mg Tablet 123 -
Glimepiride 2 mg Tablet 231 -
107 Gliseril Guayakolat Tablet 100 mg Tablet - -
Gliseril Guayakolat Tablet 100 mg Tablet 87 -
108 Gliseril Guayakolat sirup Botol - -
Gliseril Guayakolat sirup Botol 7,000 -
109 Glukonas Kalsikus injeksi Ampul 10,351 -
Glukonas Kalsikus injeksi Ampul 5,775 -
110 Glukosa Larutan Infus 5 % Botol 6,900 -
111 Glukosa Larutan Infus10 % Botol - -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210 -
Griseofulvin Tablet 500 mg,micronized Tablet 1,264 -
113 Haloperidol Tablet 0,5 mg Tablet 47 -
Haloperidol Tablet 0,5 mg Tablet 58 -
Haloperidol Tablet 0,5 mg Tablet 56 -
114 Haloperidol Tablet 1,5 mg Tablet 51 -
Haloperidol Tablet 1,5 mg Tablet 66 -
Haloperidol Tablet 1,5 mg Tablet 61 -
115 Haloperidol Tablet 5 mg Tablet 56 -
116 Haloperidol injeksi 5 mg/ml Ampul - -
117 Haloperidol injeksi 50 mg/ml Ampul 101,300 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155 -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149 -
119 Hidrokortison Krim 2,5 % Tube 2,325 -
Hidrokortison Krim 2,5 % Tube 2,650 -
Hidrokortison Krim 2,5 % Tube 2,639 -
Hidrokortison Krim 2,5 % Tube 2,347 -
120 Ibuprofen Tablet 200 mg Tablet 102 -
Ibuprofen Tablet 200 mg Tablet 138 -
121 Ibuprofen Tablet 400 mg Tablet 191 -
Ibuprofen Tablet 400 mg Tablet 308 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365 -
Ibuprofen Suspensi 100 mg/5 ml Botol 2,236 -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet - -
125 Isoniazid tablet 300 mg Tablet - -
126 Isosorbid Dinitrat 5 mg Tablet 89 -
Isosorbid Dinitrat 5 mg Tablet 88 -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 275 -
Kalium Diklofenak Tablet 50 mg Tablet 385 -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 61 -
Kalsium Laktat Tablet 500 mg Tablet 63 -
131 Kaptopril 12,5 mg Tablet 66 -
132 Kaptopril 25 mg Tablet 187 -
Kaptopril 25 mg Tablet 75 -
133 Karbamazepin Tablet 200 mg Tablet 230 -
134 Ketokonazole Krim 2 % - 15 gr Tube - -
Ketokonazole Krim 2 % - 15 gr Tube 2,545 -
Ketokonazole Krim 2 % - 15 gr Tube 2,370 -
135 Ketokonazole Tablet 200 mg Tablet 455 -
Ketokonazole Tablet 200 mg Tablet 280 -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul 1,450 -
140 Klindamisin Kapsul 150 mg Kapsul 715 -
141 Klindamisin Kapsul 300 mg Kapsul 583 -
142 Kloramfenikol Kapsul 250 mg Kapsul - -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700 -
Kloramfenikol suspensi125mg/5 ml Botol 5,015 -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810 -
145 Kloramfenikol Salep Kulit 2% Tube 3,266 -
Kloramfenikol Salep Kulit 2% Tube 3,296 -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,402 -
Kloramfenikol Tetes Mata -5 ml Botol 11,000 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,402 -
Kloramfenikol Tetes Telinga 3%-5 ml Botol 7,700 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 33 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 45 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet - -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510 -
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial
Sulphate for inhalation 2,5 ml 4,550 -
153 Kombipak Cefixime+ Azithromisin Kotak - -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg - -
155 Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 123 -
Kotrimoksazol Tablet, Kombinasi :
Tablet
Sulfametoksazol 400 mg + Trimetroprim 80 mg 151 -
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 129 -
156
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml
- -
157 Lansoprazole 30 mg Kapsul Tablet 303 -
Lansoprazole 30 mg Kapsul Tablet 319 -
Lansoprazole 30 mg Kapsul Tablet 323 -
Lansoprazole 30 mg Kapsul Tablet 278 -
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) Botol
/Asering - -
159 Larutan mengadung Elektrolit
Botol
(Nacl 1,125 gr , Dekstrosa 18,75 gr) 9,644 -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) 10,696 -
161 Lidokain injeksi 2 % Tablet 847 -

Lidokain injeksi 2 % Ampul


1,111 -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,152 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 860 -
163 Lidokain Spray Botol - -
164 Loperamid Tablet 2 mg Tablet 120 -
Loperamid Tablet 2 mg Tablet 80 -
165 Loratadin tablet 10 mg Tablet 109 -
Loratadin tablet 10 mg Tablet 131 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328 -
Loperamid Tablet 2 mg Tablet 80 -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200 -
Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,581 -
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 3,796 -
Magnesium Sulfat (IV) 40 %-25 ml Ampul 4,090 -
168 MB Anak Blister - -
169 MB Dewasa Blister - -
170 Meloksikam tablet 15 mg Tablet 700 -
Meloksikam tablet 15 mg Tablet 707 -
Meloksikam tablet 15 mg Tablet 187 -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 96 -
Metformin Hcl Tablet 500 mg Tablet 77 -
173 Metformin 850 mg Tablet 150 -
Metformin 850 mg Tablet 154 -
174 Metildopa 250 mg tablet Tablet 946 -
Metildopa 250 mg tablet Tablet 985 -
175 Methisoprinol 500 mg Tablet 3,300 -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
214 -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


420 -

Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet


216 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 1,023 -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,849 -
178 Metilprednisolon tablet 4 mg Tablet 330 -
Metilprednisolon tablet 4 mg Tablet 102 -
179 Metoklopramid 10 mg Tablet 80 -
Metoklopramid 10 mg Tablet 90 -
Metoklopramid 10 mg Tablet 87 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 133 -
Metronidazole Tablet 500 mg Tablet 211 -
183 Metronidazole sirup 125 mg/ml Botol - -
184 Metronidazole Infus 500 mg /100 ml Ampul 8,110 -
185 Mikonazole KrIm 2 % - 10 gr Tube - -
Mikonazole KrIm 2 % - 10 gr Tube 3,250 -
186 Multivitamin + Mineral tablet Tablet - -
Multivitamin + Mineral tablet Tablet 800 -
Multivitamin + Mineral tablet Tablet 825 -
187 Multivitamin sirup Botol 6,793 -
Multivitamin sirup Botol 7,603 -
Multivitamin sirup Botol 7,150 -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - -
190 Natrum Diklofenak Tablet 25 mg Tablet 128 -
Natrum Diklofenak Tablet 25 mg Tablet 145 -
191 Natrium Diklofenak Tablet 50 mg Tablet 99 -
Natrium Diklofenak Tablet 50 mg Tablet 100 -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410 -
193 Nipedifin Tablet 10 mg Tablet - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,500 -
Nistatin suspensi 100.000 IU/ml Botol 11,500 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 560 -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 598 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 790 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 843 -
197 Obat Antitiuberkolosis Kategori Anak Paket - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 6,479 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759 -
207 Obat Batuk Hitam Plus Sirup Botol - -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 1,969 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,640 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199 -
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,900 -
213 Omeprazole injeksi 40mg/10ml Ampul 9,898 -
214 Omeprazole Kapsul 20 mg Tablet 129 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,070 -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
6,649 -

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol


8,693 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,161 -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181 -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 165 -
Parasetamol Tablet 500 mg Tablet 143 -
Parasetamol Tablet 500 mg Tablet 278 -
220 PB Anak Blister - -
221 PB Dewasa Blister - -
222 Pehacain injeksi Ampul 3,113 -
Pehacain injeksi Ampul 3,000 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700 -
224 Permetrin krim 5 % Tube 11,825 -
Permetrin krim 5 % Tube 11,466 -
225 Piracetam Tablet 400 mg Tablet - -
226 Piracetam Tablet 800 mg Tablet - -
227 Piroksikam Tablet 20 mg Tablet 165 -
Piroksikam Tablet 20 mg Tablet 130 -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Tablet
Basa) - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 129 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 118 -
231 Povidon Iodida 10% 30 ml Botol 3,045 -
Povidon Iodida 10% 30 ml Botol 3,361 -
232 Povidon Iodida 10% 60 ml Botol 3,885 -
Povidon Iodida 10% 60 ml Botol 22,049 -
233 Povidon Iodida 10% 300 ml Botol 18,900 -
Povidon Iodida 10% 300 ml Botol 25,850 -
234 Prednison Tablet 5 mg Tablet 76 -
Prednison Tablet 5 mg Tablet 68 -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76 -
Propanolol Hcl Tablet 40 mg Tablet 74 -
238 Propilturasil Tablet 100 mg Tablet 385 -
239 Ranitidin Injeksi 25 mg / ml Ampul 1,155 -
240 Ranitidin Tablet 150 mg Tablet 85 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 288 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517 -
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 508 -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,630 -
246 Salbutamol Tablet 2 mg Tablet 63 -
Salbutamol Tablet 2 mg Tablet 67 -
Salbutamol Tablet 2 mg Tablet 118 -
247 Salbutamol Tablet 4 mg Tablet 70 -
Salbutamol Tablet 4 mg Tablet 87 -
Salbutamol Tablet 4 mg Tablet 99 -
Salbutamol Tablet 4 mg Tablet 162 -
248 Salbutamol solution for Inhalation single dose units 2,5
Ampul
ml - -
249
Salep 2-4 Kombinasi : Pot
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,333 -

Salep 2-4 Kombinasi : Pot


Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram
2,797 -
250 Salisil bedak 2% -50 gr Kotak 1,025 -
Salisil bedak 2% -50 gr Kotak 1,925 -
251 Salep Luka Bakar Tube 11,500 -
Salep Luka Bakar Tube 10,958 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,922 -
253 Sefadroksil Tablet 500 mg Tablet 478 -
Sefadroksil Tablet 500 mg Tablet 594 -
Sefadroksil Tablet 500 mg Tablet 830 -
254 Sefiksim Kapsul 100 mg Kapsul - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - -
256 Sefotaksim Injeksi 1 gr Ampul - -
257 Seftriakson Injeksi 1 gr / vial Ampul 4,483 -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 49 -
Setirizin Tablet 10 mg Tablet 143 -
Setirizin Tablet 10 mg Tablet 49 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,090 -
Setirizin Sirup 5 mg / 5 ml Botol 2,915 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 969 -
262 Sianokobalamin Tablet 50 mcg Tablet 43 -
Sianokobalamin Tablet 50 mcg Tablet 51 -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 363 -
265 Simvastatin Tablet 10 mg Tablet 68 -
Simvastatin Tablet 10 mg Tablet 111 -
Simvastatin Tablet 10 mg Tablet 131 -
266 Siprofloksasin 500mg Tablet 281 -
Siprofloksasin 500mg Tablet 240 -
Siprofloksasin 500mg Tablet 248 -
267 Spironolakton Tablet 25 mg Tablet 190 -
Spironolakton Tablet 25 mg Tablet 244 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi:
Tablet
Besi II Sulfat 200 mg + Asam Folat 0,25 mg 353 -
270 Temporary Stopping Fletcher (Fletcher) Serbuk &
Set
Cairan - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul - -
273 Tetrasiklin Kapsul 500 mg Kapsul 303 -
Tetrasiklin Kapsul 500 mg Kapsul 310 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 185 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 86 -
276 Thiamfenikol Kapsul 500 mg Kapsul 913 -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 85 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80 -
280 Vitamin B .Komplek Tablet Tablet 55 -
Vitamin B .Komplek Tablet Tablet 115 -
281 Vitamin Neurotropik Tablet Tablet 440 -
Vitamin Neurotropik Tablet Tablet 660 -
Vitamin Neurotropik Tablet Tablet 866 -
282 Zinc Tablet 20 mg Tablet 524 -
Zinc Tablet 20 mg Tablet 208 -
Zinc Sulfat 20 mg/5 ml Tablet 3,171 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,972 -
284 Aminofillin Tablet 150 mg Tablet 139 -
285 Asam Folat Tablet 0,4 mg Tablet 52 -
Asam Folat Tablet 0,4 mg Tablet 56 -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,520 -
Gentamisin Sulfat tetes mata 0,3% Botol 4,561 -
287 Obat Kumur Botol 16,962 -
288 Salep Betametason + Neomisin Tube 12,793 -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200 -
290 Propanolol 10mg Tablet 52 -
Propanolol 10mg Tablet 60 -
291 Tablet Pemanis Botol 34,000 -
292 Bisakodil Suppositoria 5 mg Supp 5,670 -
Bisakodil Suppositoria 5 mg Supp 36,000 -
Bisakodil Suppositoria 5 mg Supp 5,085 -
293 Obat Batuk Herbal (Herbakof) Botol 9,680 -
Obat Batuk Herbal (Herbakof) Botol 17,600 -
Obat Batuk Herbal (Herbakof) Botol 16,563 -
294 Amoksisillin Drops Botol 13,500 -
295 Tablet Hepatoprotector (Curcuma) Pot 416 -
296 Simvastatin 20mg Tablet 150 -
297 Klozapine 25mg Tablet 473 -
298 Bisoprolol 2,5mg Tablet 626 -
Bisoprolol 2,5mg Tablet 124 -
299 Vitamin C 500mg Tablet 490 -
RAMVIT-C C 500mg Tablet 225 -
300 Vitamin D 1000 IU Tablet 2,503 -
301 Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic
Tablet
Acid 979 -
302 Multivitamin Syrup Tablet 12,500 -
Multivitamin Syrup Tablet 12,100 -
303 Risperidon 2 mg Tablet 123 -
304 Alpara Kaplet Kaplet 757 -
305 Asam Traneksamat Tablet 1,485 -
Novapharin Tablet 266 -
FORNERO TABLET Tablet 504 -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,930 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,700 -
Abbocath No 18 ( IV Chateter 18 ) Buah 8,624 -
2 Abbocath No 20 ( IV Chateter 20 ) Buah 12,631 -
Abbocath No 20 ( IV Chateter 20 ) Buah 8,700 -
3 Abbocath No 22 ( IV Chateter 22 ) Buah 6,239 -
Abbocath No 22 ( IV Chateter 22 ) Buah 8,700 -
4 Abbocath No 24 ( IV Chateter 24 ) Buah 8,700 -
Abbocath No 24 ( IV Chateter 24 ) Buah 8,700 -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950 -
Alat Gula, Kolesterol, Asam Urat Unit 886,545 -
6 Alat Suntik Sekali Pakai 1 ml Set 652 -
Alat Suntik Sekali Pakai 1 ml Set 809 -
7 Alat Suntik Sekali Pakai 3 ml Set 685 -
Alat Suntik Sekali Pakai 3 ml Set 652 -
Alat Suntik Sekali Pakai 3 ml Set 802 -
Alat Suntik Sekali Pakai 3 ml Set 854 -
8 Alat Suntik Sekali Pakai 5 ml Set 815 -
Alat Suntik Sekali Pakai 5 ml Set 777 -
9 Set
Alat Suntik Sekali Pakai 10 ml 979 -
Alat Suntik Sekali Pakai 10 ml Set 932 -
10 Alkohol Swab Kotak 197 -
Alkohol Swab Kotak 109 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,354 -
Auto Disposable Syringe (ADS) 0,05 ml Set 2,195 -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,185 -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,583 -
14 Blood Set Set 8,193 -
Blood Set Set 512,000 -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,667 -
Catgut/Benang Bedah No.2/0 Plain Sachet 320,000 -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 25,009 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 32,800 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 40,923 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538 -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150 -
18 Etanol 70 % 1.000 ml Botol 26,250 -
Etanol 70 % 1.000 ml Botol 23,595 -
19 Eter Alkohol Botol - -
20 Folley Catheter no 14 Set 18,450 -
21 Folley Catheter no 16 Set 18,450 -
Folley Catheter no 16 Set 20,295 -
Folley Catheter no 16 Set 9,593 -
22 Folley Catheter no 18 Set 18,450 -
Folley Catheter no 18 Set 20,295 -
Folley Catheter no 19 Set 9,593 -
23 Infus set Anak Set 6,458 -
Infus set Anak Set 23,673 -
24 Infus set Dewasa Set 5,445 -
Infus set Dewasa Set 9,070 -
Infus set Dewasa Set 6,390 -
Infus set Dewasa Set 6,448 -
25 Iodina Test Botol - -
26 Kaca Slide Pcs - -
27
Bungkus
Kapas Berlemak 500 gram - -
28
Bungkus
Kapas Pembalut / Adsorbens 250 gram 20,600 -

Bungkus
Kapas Pembalut / Adsorbens 250 gram 25,410 -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400 -
Kassa Pembalut 2 m x 80 cm Rol 9,870 -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 805 -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 840 -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800 -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,370 -
Kassa Hidrofil Steril 16 x 16 Kotak 8,690 -
Kassa Hidrofil Steril 16 x 17 Kotak 17,100 -
33
Bungkus
Kassa Kompres 40 x 40 steril 43,600 -
34 Kertas Puyer Pcs - -
35 Kertas Saring Lembar - -
36 Kertas Lensa Lembar - -
37 Lysol 1,000 ml Botol 43,050 -
38 Masker Buah 439 -
Masker Buah 340 -
Masker Ear Loop Buah 2,475 -
Masker Ear Loop Buah 707 -
Masker Head Loop Buah 2,640 -
Masker Rajawali Buah 1,030 -
Masker Rajawali Buah 432 -
Masker Head Loop Buah 1,140 -
39 Masker N 95 Pcs 6,707 -
Masker N 96 Pcs 147,562 -
40 Minyak Imersi Botol - -
41 Plester Kertas Rol 15,333 -
42 Polifix Rol 30,000 -
Polifix Rol 39,217 -
Polifix Rol 31,900 -
Polifix Rol 43,600 -
43 Pot Dahak Pcs - -
44 Rapid 2 HIV Fokus Test - -
45 Rapid HIV 1 (SD HIV) Test - -
46 Rapid HIV 2 (Intec HIV) Test - -
47 Rapid HIV 2 (Biomeriux HIV) Test - -
48 Rapid Tes SD Bioline HBSAG Test - -
49 Rapid Test Syphilis Test - -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol - -
53 RPR Test Syphilis Test - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,610 -
Silk( Benang Bedah Sutra ) No 3/0 Sachet 15,229 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 19,700 -
Silk( Benang Bedah Sutra ) No 3/1 Sachet 22,671 -
55 Safety Box Pcs - -
56 Sarung tangan Steril No 6 Pcs 6,595 -
Sarung tangan Steril No 6 Pcs 4,500 -
57 Sarung tangan Steril No 7 Pcs 4,500 -
Sarung tangan Steril No 7 Pcs 12,100 -
58 Sarung tangan Steril No 7,5 Pcs 6,595 -
Sarung tangan Steril No 7,5 Pcs 4,500 -
Sarung tangan Steril No 7,5 Pcs 12,100 -
Sarung tangan Steril No 7,5 Pcs 8,250 -
59 Sarung tangan Non Steril S Pcs 600 -
Sarung tangan Non Steril S Pcs 71,152 -
Sarung tangan Non Steril S Pcs 1,320 -
Sarung tangan Non Steril S Pcs 1,225 -
Sarung tangan Non Steril S Pcs 833 -
60 Sarung tangan Non Steril M Pcs 71,152 -
Sarung tangan Non Steril M Pcs 66,054 -
Sarung tangan Non Steril M Pcs 1,320 -
Sarung tangan Non Steril M Pcs 1,225 -
Sarung tangan Non Steril M Pcs 833 -
61 Sarung tangan Non Steril L Pcs 600 -
Sarung tangan Non Steril L Pcs 66,054 -
Sarung tangan Non Steril L Pcs 60,049 -
Sarung tangan Non Steril L Pcs 833 -
62 Sountimer Buah - -
63 Stik Pemeriksaan Gula Darah Test 6,107 -
Stik Pemeriksaan Gula Darah Test 305,329 -
Stik Pemeriksaan Gula Darah Test 6,490 -
Stik Pemeriksaan Gula Darah Benecheck Test 160,000 -
Stik Pemeriksaan Gula Darah One Touch Verio Test 3,582 -
64 Stik Pemeriksaan Kolesterol Test 23,158 -
Stik Pemeriksaan Kolesterol Test 231,000 -
Stik Pemeriksaan Kolesterol Test 29,805 -
Stik Pemeriksaan Kolesterol Benecheck Test 250,000 -
65 Stik Pemeriksaan Asam Urat Test 5,086 -
Stik Pemeriksaan Asam Urat Benecheck Test 150,000 -
Stik Pemeriksaan Asam Urat Test 10,966 -
Stik Pemeriksaan Asam Urat Test 24,125 -
66 Supratul Lembar 10,400 -
67 Urine Bag set 8,070 -
Urine Bag set 3,090 -
Urine Bag set 4,362 -
68 Wing Neddle No 23 Set - -
69 Blood Lancet Pcs 14,420 -
70 Cairan Antiseptik Botol 500 ml Botol 60,800 -
Cairan Antiseptik Botol 500 ml Botol 66,880 -
Cairan Antiseptik Botol 500 ml Botol 100,100 -
Cairan Antiseptik Botol 500 ml Botol 47,000 -
71 Bisturi Pcs 12,682 -
Bisturi Pcs 279,000 -
Bisturi Pcs 3,300 -
72 Cairan Antiseptik Botol 5 Liter Botol 595,000 -
3 Surface Desintfectan 5L Botol 1,098,900 -
73 Cairan Desinfektan 5 Liter Botol 396,000 -
High Level Desintfectan/sterald Botol 396,000 -
74 Cairan Detergen 5 Liter Botol 712,800 -
75 Gel USG Botol 13,213 -
Gel USG Botol 14,880 -
Gel USG Botol 14,553 -
76 IV Dressing Pcs 220,000 -
IV Dressing Pcs 2,200 -
77 Mucus Extractor Pcs 7,251 -
78 Nasal Oxygen Anak Pcs 5,814 -
79 Nasal Oxygen Bayi Pcs 5,814 -
80 Nasal Oxygen Dewasa Pcs 5,814 -
81 Plester Bulat Non Woven Pcs 317 -
82 Plester Transparan Pcs 1,678 -
83 PP test Pcs 1,997 -
PP test Pcs 2,133 -
PP test Pcs 2,379 -
84 Sarung tangan Steril No 6,5 Pcs 6,595 -
85 Sarung Tangan Obgyn Steril Pcs 19,941 -
Sarung Tangan Obgyn Steril Pcs 21,934 -
86 Stik Pemeriksaan Hb Pcs 8,000 -
87 Umbilical Cord Klem Steril Nylon Pcs 2,678 -
Umbilical Cord Klem Steril Nylon Pcs 2,946 -
Umbilical Cord Klem Steril Nylon Pcs 1,339 -
88 Underpad 60x90 cm Non Steril Pcs 42,873 -
89 Stik Gula Darah Baru Pcs 6,717 -
90 Stik Asam Urat Baru Pcs 12,063 -
91 Stik Hb Test 8,034 -
92 ChOLESTROL chod-pap Kit 1,092,300 -
93 Creatinin mod iaffe Kit 838,200 -
94 Glucosa God-pap Kit 678,700 -
95 GOT (AST) mod iffe Kit 931,700 -
96 GPT Kit 931,700 -
97 Trigliserida GPO-PAP Kit 1,636,800 -
98 Urea UV-auto,Urease/GLDH Kit 1,133,000 -
99 Urid Acid TBHA Kit 1,246,300 -
100 Dumacon Auto Kit 682,000 -
101 Micropipet 5,0-50 Ul Kit 2,315,500 -
102 Micropipet 10-100UL Kit 2,315,500 -
103 Tabung Vacutainer Kit 385,000 -
104 HGB Drab Kin Kit 431,200 -
105 Nasal Kanul Dewasa Pcs 13,454 -
Nasal Kanul Dewasa Pcs 13,770 -
106 Nasal Kanul Anak Pcs 13,454 -
Nasal Kanul Anak Pcs 5,390 -
107 Coveral II (APD) Non Woven Pcs 161,700 -
Coveral II (APD) Non Woven Pcs 110,599 -
108 Kantong Plastik Kuning 60cmx100cm Pak 21,450 -
109 Kantong Plastik Kuning 90cmx120cm Pak 21,450 -
110 Kantong Plastik Hitam 60cmx100cm Pak 18,700 -
111 Kantong Plastik Hitam 90cmx120cm Pak 18,700 -
112 Forsch Medical Disposible Gown Pcs 43,000 -

MESA PLASTIK SAMPAH HITAM 80 X 100 CM


22,200 -

MESA KANTONG PLASTIK KUNING 80 x 100 cm


26,600 -
C. SERUM DAN VAKSIN - -
1
Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial
48,000 -
2 Serum Anti Rabies untuk manusia Vial - -
3
Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Ampul
517,132 -
4
Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial
148,135 -
5 Human Tetanus Imunoglobin inj 250 IU Vial 176,800 -
6 Vaksin BCG Ampul - -
7 Vaksin Campak 10 Dosis Vial - -
8 Vaksin DT Vial - -
9 Vaksin TD Vial - -
10 Vaksin DTP-HB Vial - -
11 Vaksin DPT-HB/Hib Vial - -
12 Vaksin HB Uniject Pcs - -
13 Vaksin MR (VVM.A) Vial - -
14 Vaksin Polio Vial - -
15 Vaksin Polio IPV 5 Dosis Vial - -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Buku Kontrak 500,000 -
19 - -
20 - -
10 Vaksin DPT-HB/Hib Vial 85,103 -
11 Vaksin HB Uniject Pcs 25,839 -
Vaksin HB Uniject Pcs 25,597 -
Vaksin HB Uniject Pcs 25,839 -
12 Vaksin MR (VVM.A) Vial 155,813 -
Vaksin MR (VVM.A) Vial 19,954 -
Vaksin MR (VVM.A) Vial 166,265 -
13 Vaksin MR (VVM.A) Vial 167,860 -
Vaksin Polio Vial 19,954 -
Vaksin Polio Vial 21,285 -
Vaksin Polio Vial 21,494 -
14 Vaksin Polio IPV 5 Dosis Vial 158,994 -
Vaksin Polio IPV 5 Dosis Vial 139,760 -
Vaksin Polio IPV 5 Dosis Vial 169,653 -
15 Vaksin Polio IPV 5 Dosis Vial 62,520 -
Vaksin Polio IPV 5 Dosis Vial 144,540 -
Vaksin Polio IPV 5 Dosis Vial 158,500 -
Vaksin Polio IPV 5 Dosis Vial 25,839 -
Vaksin Polio 10 IPV Dosis Vial - -
Vaksin TT Vial - -
Vaksin Campak Bias Vial - -
Vaksin Covid-19 (10 d0sis)
Vial
1,339,441 -
16 Vaksin Astrazeneca Vial 581,607 -
17 Vaksin Coronavac 2 Dosis Vial - -
18 Vaksin Rabivax-S Vial 153,000 -
6 Vaksin BCG Ampul - -
7 Vaksin Campak 10 Dosis Vial - -
8 Vaksin DT Vial - -
9 Vaksin TD Vial - -
10 Vaksin DTP-HB Vial - -
11 Vaksin DPT-HB/Hib Vial - -
12 Vaksin HB Uniject Pcs - -
13 Vaksin MR (VVM.A) Vial - -
14 Vaksin Polio Vial - -
15 Vaksin Polio IPV 5 Dosis Vial - -
16 Vaksin Polio 10 IPV Dosis Vial - -
17 Vaksin TT Vial - -
18 Buku Kontrak 500,000 -
19 - -
20 - -

JUMLAH TOTAL OBAT


JUMLAH TOTAL BMHP
JUMLAH TOTAL VAKSIN SERUM
JUMLAH TOTAL KESELURUHAN
Mengetahui
Kepala UPTD Puskesmas Maleber

ILAH LILAHSAH,S.ST,M.Keb
NIP.19771215 199804 2 001
DATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MALEBER
DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN JANUARI 2023
-
K AWAL DESEMBER 2023 JUMLAH PENERIMAAN 2023 PENGELUARAN 2023
JKN JKN JKN
HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN (RP)
(RP)

- - - - -
- - - - -
- - - - -
- 87 - - 87
- 105 - - 105
- 200 - - 200
- - - - -
- 308 - - 308
- 165 - - 165
- 110 - - 110
- 3,627 - - 3,627
- 3,790 - - 3,790
- 2,750 - - 2,750
- 2,789 - - 2,789
- 139 - - 139
- 91 - - 91
- 143 - - 143
- 177 - - 177
- 70 - - 70
- 53 - - 53
- 53 - - 53
- 93 - - 93
- 70 - - 70
- 184 - - 184
- 195 - - 195
- 180 - - 180
- 374 - - 374
- 201 - - 201
- 232 - - 232
- 190 - - 190
- - - - -
- 3,531 - - 3,531
- 2,050 - - 2,050

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- 2,129 - - 2,129

- 1,679 - - 1,679

- 54 - - 54

- 58 - - 58

- 54 - - 54
- 187 - - 187
- 264 - - 264
- 214 - - 214
- 170 - - 170
- 209 - - 209
- - - - -

- - - - -
- 3,167 - - 3,167
- 3,250 - - 3,250

- 3,477 - - 3,477

- 4,158 - - 4,158

- 4,323 - - 4,323

- 3,509 - - 3,509

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 429 - - 429
- 1,188 - - 1,188
- 11,400 - - 11,400
- 8,000 - - 8,000
- - - - -
- - - - -
- - - - -
- 104 - - 104
- 103 - - 103
- 250 - - 250
- 198 - - 198
- 304 - - 304
- - - - -
- - - - -
- - - - -
- - - - -
- 236 - - 236
- - - - -
- 152 - - 152
- 145 - - 145
- 1,540 - - 1,540
- 2,860 - - 2,860
- - - - -
- - - - -
- 110 - - 110
- 149 - - 149
- 89 - - 89
- 1,340 - - 1,340
- 1,380 - - 1,380
- 1,349 - - 1,349
- - - - -
- 216 - - 216
- - - - -
- - - - -
- 253 - - 253
- - - - -
- - - - -
- 1,097 - - 1,097
- 133 - - 133
- 41 - - 41
- 66 - - 66
- - - - -
- - - - -
- - - - -
- 1,735 - - 1,735
- - - - -
- - - - -
- - - - -
- - - - -
- 1,176 - - 1,176
- 104 - - 104
- 105 - - 105
- 99 - - 99
- 109 - - 109
- 91 - - 91
- 71 - - 71
- 289 - - 289
- 2,295 - - 2,295
- - - - -
- - - - -

- 1,408 - - 1,408
- 557 - - 557
- - - - -
- - - - -
- - - - -
- - - - -
- 246,400 - - 246,400
- 18,824 - - 18,824
- 152 - - 152
- 154 - - 154
- 484 - - 484
- 171 - - 171
- 1,857 - - 1,857
- - - - -
- 350 - - 350
- - - - -
- 605 - - 605
- 3,330 - - 3,330
- - - - -
- - - - -
- 748 - - 748
- 695 - - 695
- 3,682 - - 3,682
- 1,386 - - 1,386
- 154 - - 154
- 144 - - 144
- 1,333 - - 1,333

- 260 - - 260

- 274 - - 274
- 769 - - 769
- - - - -
- - - - -
- 1,830 - - 1,830
- 2,115 - - 2,115
- 2,376 - - 2,376
- - - - -
- 119 - - 119
- 83 - - 83
- 123 - - 123
- 231 - - 231
- - - - -
- 87 - - 87
- - - - -
- 7,000 - - 7,000
- 10,351 - - 10,351
- 5,775 - - 5,775
- 6,900 - - 6,900
- - - - -
- 210 - - 210
- 1,264 - - 1,264
- 47 - - 47
- 58 - - 58
- 56 - - 56
- 51 - - 51
- 66 - - 66
- 61 - - 61
- 56 - - 56
- - - - -
- 101,300 - - 101,300
- 155 - - 155
- 149 - - 149
- 2,325 - - 2,325
- 2,650 - - 2,650
- 2,639 - - 2,639
- 2,347 - - 2,347
- 102 - - 102
- 138 - - 138
- 191 - - 191
- 308 - - 308
- 2,365 - - 2,365
- 2,236 - - 2,236
- - - - -
- - - - -
- - - - -
- 89 - - 89
- 88 - - 88
- - - - -
- 275 - - 275
- 385 - - 385
- - - - -
- 61 - - 61
- 63 - - 63
- 66 - - 66
- 187 - - 187
- 75 - - 75
- 230 - - 230
- - - - -
- 2,545 - - 2,545
- 2,370 - - 2,370
- 455 - - 455
- 280 - - 280
- - - - -
- - - - -
- - - - -
- 1,450 - - 1,450
- 715 - - 715
- 583 - - 583
- - - - -
- 4,700 - - 4,700
- 5,015 - - 5,015
- - - - -
- 1,810 - - 1,810
- 3,266 - - 3,266
- 3,296 - - 3,296
- 6,402 - - 6,402
- 11,000 - - 11,000
- 6,402 - - 6,402
- 7,700 - - 7,700
- - - - -
- 42 - - 42
- 37 - - 37
- 23 - - 23
- 33 - - 33
- 45 - - 45
- - - - -
- 147 - - 147
- 1,510 - - 1,510

- 4,550 - - 4,550
- - - - -

- - - - -

- 123 - - 123
- 151 - - 151

- 129 - - 129

- - - - -
- 303 - - 303
- 319 - - 319
- 323 - - 323
- 278 - - 278

- - - - -

- 9,644 - - 9,644

- 10,696 - - 10,696
- 847 - - 847

- 1,111 - - 1,111

- 1,152 - - 1,152

- 860 - - 860
- - - - -
- 120 - - 120
- 80 - - 80
- 109 - - 109
- 131 - - 131
- 3,328 - - 3,328
- 80 - - 80
- 3,200 - - 3,200
- 3,581 - - 3,581
- 3,796 - - 3,796
- 4,090 - - 4,090
- - - - -
- - - - -
- 700 - - 700
- 707 - - 707
- 187 - - 187
- - - - -
- 96 - - 96
- 77 - - 77
- 150 - - 150
- 154 - - 154
- 946 - - 946
- 985 - - 985
- 3,300 - - 3,300

- 214 - - 214

- 420 - - 420

- 216 - - 216
- 1,023 - - 1,023
- 2,849 - - 2,849
- 330 - - 330
- 102 - - 102
- 80 - - 80
- 90 - - 90
- 87 - - 87
- - - - -
- - - - -
- 133 - - 133
- 211 - - 211
- - - - -
- 8,110 - - 8,110
- - - - -
- 3,250 - - 3,250
- - - - -
- 800 - - 800
- 825 - - 825
- 6,793 - - 6,793
- 7,603 - - 7,603
- 7,150 - - 7,150
- - - - -
- - - - -
- 128 - - 128
- 145 - - 145
- 99 - - 99
- 100 - - 100

- 6,410 - - 6,410
- - - - -
- 13,500 - - 13,500
- 11,500 - - 11,500
- 560 - - 560
- 598 - - 598
- 790 - - 790
- 843 - - 843
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,479 - - 6,479
- 6,759 - - 6,759
- - - - -
- - - - -
- - - - -
- - - - -
- 1,969 - - 1,969
- 2,005 - - 2,005
- 2,640 - - 2,640
- 1,199 - - 1,199
- 1,900 - - 1,900
- 9,898 - - 9,898

- 129 - - 129
- 1,070 - - 1,070

- 6,649 - - 6,649

- 8,693 - - 8,693
- 1,161 - - 1,161
- 1,181 - - 1,181
- - - - -
- 165 - - 165
- 143 - - 143
- 278 - - 278
- - - - -
- - - - -
- 3,113 - - 3,113
- 3,000 - - 3,000
- 20,700 - - 20,700
- 11,825 - - 11,825
- 11,466 - - 11,466
- - - - -
- - - - -
- 165 - - 165
- 130 - - 130

- - - - -
- 129 - - 129
- 118 - - 118
- 118 - - 118
- 3,045 - - 3,045
- 3,361 - - 3,361
- 3,885 - - 3,885
- 22,049 - - 22,049
- 18,900 - - 18,900
- 25,850 - - 25,850
- 76 - - 76
- 68 - - 68
- - - - -
- - - - -
- 76 - - 76
- 74 - - 74
- 385 - - 385
- 1,155 - - 1,155
- 85 - - 85
- 288 - - 288
- 517 - - 517
- 508 - - 508
- - - - -
- - - - -
- 7,630 - - 7,630
- 63 - - 63
- 67 - - 67
- 118 - - 118
- 70 - - 70
- 87 - - 87
- 99 - - 99
- 162 - - 162

- - - - -

- 2,333 - - 2,333

- 2,797 - - 2,797
- 1,025 - - 1,025
- 1,925 - - 1,925
- 11,500 - - 11,500
- 10,958 - - 10,958
- 3,922 - - 3,922
- 478 - - 478
- 594 - - 594
- 830 - - 830
- - - - -
- - - - -
- - - - -
- 4,483 - - 4,483
- - - - -
- 49 - - 49
- 143 - - 143
- 49 - - 49
- 2,090 - - 2,090
- 2,915 - - 2,915
- 969 - - 969
- 43 - - 43
- 51 - - 51
- - - - -
- 363 - - 363
- 68 - - 68
- 111 - - 111
- 131 - - 131
- 281 - - 281
- 240 - - 240
- 248 - - 248
- 190 - - 190
- 244 - - 244
- - - - -

- 353 - - 353

- - - - -
- - - - -
- - - - -
- 303 - - 303
- 310 - - 310
- - - - -
- 185 - - 185
- 82 - - 82
- 91 - - 91
- 86 - - 86
- 913 - - 913
- - - - -
- - - - -
- 85 - - 85
- 80 - - 80
- 55 - - 55
- 115 - - 115
- 440 - - 440
- 660 - - 660
- 866 - - 866
- 524 - - 524
- 208 - - 208
- 3,171 - - 3,171
- 2,972 - - 2,972
- 139 - - 139
- 52 - - 52
- 56 - - 56
- 4,520 - - 4,520
- 4,561 - - 4,561
- 16,962 - - 16,962
- 12,793 - - 12,793
- 13,200 - - 13,200
- 52 - - 52
- 60 - - 60
- 34,000 - - 34,000
- 5,670 - - 5,670
- 36,000 - - 36,000
- 5,085 - - 5,085
- 9,680 - - 9,680
- 17,600 - - 17,600
- 16,563 - - 16,563
- 13,500 - - 13,500
- 416 - - 416
- 150 - - 150
- 473 - - 473
- 626 - - 626
- 124 - - 124
- 490 - - 490
- 225 - - 225
- 2,503 - - 2,503

- 979 - - 979
- 12,500 - - 12,500
- 12,100 - - 12,100
- 123 - - 123
- 757 - - 757
- 1,485 - - 1,485
- 266 - - 266
- 504 - - 504
- - - - -
- 6,930 - - 6,930
- 8,700 - - 8,700
- 8,624 - - 8,624
- 12,631 - - 12,631
- 8,700 - - 8,700
- 6,239 - - 6,239
- 8,700 - - 8,700
- 8,700 - - 8,700
- 8,700 - - 8,700
- 805,950 - - 805,950
- 886,545 - - 886,545
- 652 - - 652
- 809 - - 809
- 685 - - 685
- 652 - - 652
- 802 - - 802
- 854 - - 854
- 815 - - 815
- 777 - - 777

- 979 - - 979
- 932 - - 932
- 197 - - 197
- 109 - - 109
- 1,354 - - 1,354
- 2,195 - - 2,195
- 1,185 - - 1,185
- 1,583 - - 1,583
- 8,193 - - 8,193
- 512,000 - - 512,000
- 26,667 - - 26,667
- 320,000 - - 320,000
- 25,009 - - 25,009
- 32,800 - - 32,800
- 40,923 - - 40,923
- 33,538 - - 33,538
- 3,150 - - 3,150
- 26,250 - - 26,250
- 23,595 - - 23,595
- - - - -
- 18,450 - - 18,450
- 18,450 - - 18,450
- 20,295 - - 20,295
- 9,593 - - 9,593
- 18,450 - - 18,450
- 20,295 - - 20,295
- 9,593 - - 9,593
- 6,458 - - 6,458
- 23,673 - - 23,673
- 5,445 - - 5,445
- 9,070 - - 9,070
- 6,390 - - 6,390
- 6,448 - - 6,448
- - - - -
- - - - -
- - - - -

- 20,600 - - 20,600

- 25,410 - - 25,410
- 9,400 - - 9,400
- 9,870 - - 9,870
- 805 - - 805
- 840 - - 840
- 3,800 - - 3,800
- 7,370 - - 7,370
- 8,690 - - 8,690
- 17,100 - - 17,100

- 43,600 - - 43,600
- - - - -
- - - - -
- - - - -
- 43,050 - - 43,050
- 439 - - 439
- 340 - - 340
- 2,475 - - 2,475
- 707 - - 707
- 2,640 - - 2,640
- 1,030 - - 1,030
- 432 - - 432
- 1,140 - - 1,140
- 6,707 - - 6,707
- 147,562 - - 147,562
- - - - -
- 15,333 - - 15,333
- 30,000 - - 30,000
- 39,217 - - 39,217
- 31,900 - - 31,900
- 43,600 - - 43,600
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20,610 - - 20,610
- 15,229 - - 15,229
- 19,700 - - 19,700
- 22,671 - - 22,671
- - - - -
- 6,595 - - 6,595
- 4,500 - - 4,500
- 4,500 - - 4,500
- 12,100 - - 12,100
- 6,595 - - 6,595
- 4,500 - - 4,500
- 12,100 - - 12,100
- 8,250 - - 8,250
- 600 - - 600
- 71,152 - - 71,152
- 1,320 - - 1,320
- 1,225 - - 1,225
- 833 - - 833
- 71,152 - - 71,152
- 66,054 - - 66,054
- 1,320 - - 1,320
- 1,225 - - 1,225
- 833 - - 833
- 600 - - 600
- 66,054 - - 66,054
- 60,049 - - 60,049
- 833 - - 833
- - - - -
- 6,107 - - 6,107
- 305,329 - - 305,329
- 6,490 - - 6,490
- 160,000 - - 160,000
- 3,582 - - 3,582
- 23,158 - - 23,158
- 231,000 - - 231,000
- 29,805 - - 29,805
- 250,000 - - 250,000
- 5,086 - - 5,086
- 150,000 - - 150,000
- 10,966 - - 10,966
- 24,125 - - 24,125
- 10,400 - - 10,400
- 8,070 - - 8,070
- 3,090 - - 3,090
- 4,362 - - 4,362
- - - - -
- 14,420 - - 14,420
- 60,800 - - 60,800
- 66,880 - - 66,880
- 100,100 - - 100,100
- 47,000 - - 47,000
- 12,682 - - 12,682
- 279,000 - - 279,000
- 3,300 - - 3,300
- 595,000 - - 595,000
- 1,098,900 - - 1,098,900
- 396,000 - - 396,000
- 396,000 - - 396,000
- 712,800 - - 712,800
- 13,213 - - 13,213
- 14,880 - - 14,880
- 14,553 - - 14,553
- 220,000 - - 220,000
- 2,200 - - 2,200
- 7,251 - - 7,251
- 5,814 - - 5,814
- 5,814 - - 5,814
- 5,814 - - 5,814
- 317 - - 317
- 1,678 - - 1,678
- 1,997 - - 1,997
- 2,133 - - 2,133
- 2,379 - - 2,379
- 6,595 - - 6,595
- 19,941 - - 19,941
- 21,934 - - 21,934
- 8,000 - - 8,000
- 2,678 - - 2,678
- 2,946 - - 2,946
- 1,339 - - 1,339
- 42,873 - - 42,873
- 6,717 - - 6,717
- 12,063 - - 12,063
- 8,034 - - 8,034
- 1,092,300 - - 1,092,300
- 838,200 - - 838,200
- 678,700 - - 678,700
- 931,700 - - 931,700
- 931,700 - - 931,700
- 1,636,800 - - 1,636,800
- 1,133,000 - - 1,133,000
- 1,246,300 - - 1,246,300
- 682,000 - - 682,000
- 2,315,500 - - 2,315,500
- 2,315,500 - - 2,315,500
- 385,000 - - 385,000
- 431,200 - - 431,200
- 13,454 - - 13,454
- 13,770 - - 13,770
- 13,454 - - 13,454
- 5,390 - - 5,390
- 161,700 - - 161,700
- 110,599 - - 110,599
- 21,450 - - 21,450
- 21,450 - - 21,450
- 18,700 - - 18,700
- 18,700 - - 18,700
- 43,000 - - 43,000

- 22,200 - - 22,200

- 26,600 - - 26,600
- - - - -

- 48,000 - - 48,000
- - - - -

- 517,132 - - 517,132

- 148,135 - - 148,135
- 176,800 - - 176,800
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000 - - 500,000
- - - - -
- - - - -
- 85,103 - - 85,103
- 25,839 - - 25,839
- 25,597 - - 25,597
- 25,839 - - 25,839
- 155,813 - - 155,813
- 19,954 - - 19,954
- 166,265 - - 166,265
- 167,860 - - 167,860
- 19,954 - - 19,954
- 21,285 - - 21,285
- 21,494 - - 21,494
- 158,994 - - 158,994
- 139,760 - - 139,760
- 169,653 - - 169,653
- 62,520 - - 62,520
- 144,540 - - 144,540
- 158,500 - - 158,500
- 25,839 - - 25,839
- - - - -
- - - - -
- - - - -

- 1,339,441 - - 1,339,441
- 581,607 - - 581,607
- - - - -
- 153,000 - - 153,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500,000 - - 500,000
- - - - -
- - - - -

- -
- -
- -
- -
35,775,494
N JKN

- -
PENGELUARAN 2023 SALDO AKHIR 2023
JKN JKN

BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.


(RP)

- - - - -
- - - - -
- - - - -
- - 87 - -
- - 105 - -
- - 200 - -
- - - - -
- - 308 - -
- - 165 - -
- - 110 - -
- - 3,627 - -
- - 3,790 - -
- - 2,750 - -
- - 2,789 - -
- - 139 - -
- - 91 - -
- - 143 - -
- - 177 - -
- - 70 - -
- - 53 - -
- - 53 - -
- - 93 - -
- - 70 - -
- - 184 - -
- - 195 - -
- - 180 - -
- - 374 - -
- - 201 - -
- - 232 - -
- - 190 - -
- - - - -
- - 3,531 - -
- - 2,050 - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -

- - 2,129 - -

- - 1,679 - -

- - 54 - -

- - 58 - -

- - 54 - -
- - 187 - -
- - 264 - -
- - 214 - -
- - 170 - -
- - 209 - -
- - - - -

- - - - -
- - 3,167 - -
- - 3,250 - -

- - 3,477 - -

- - 4,158 - -

- - 4,323 - -

- - 3,509 - -

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 429 - -
- - 1,188 - -
- - 11,400 - -
- - 8,000 - -
- - - - -
- - - - -
- - - - -
- - 104 - -
- - 103 - -
- - 250 - -
- - 198 - -
- - 304 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 236 - -
- - - - -
- - 152 - -
- - 145 - -
- - 1,540 - -
- - 2,860 - -
- - - - -
- - - - -
- - 110 - -
- - 149 - -
- - 89 - -
- - 1,340 - -
- - 1,380 - -
- - 1,349 - -
- - - - -
- - 216 - -
- - - - -
- - - - -
- - 253 - -
- - - - -
- - - - -
- - 1,097 - -
- - 133 - -
- - 41 - -
- - 66 - -
- - - - -
- - - - -
- - - - -
- - 1,735 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 1,176 - -
- - 104 - -
- - 105 - -
- - 99 - -
- - 109 - -
- - 91 - -
- - 71 - -
- - 289 - -
- - 2,295 - -
- - - - -
- - - - -

- - 1,408 - -
- - 557 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 246,400 - -
- - 18,824 - -
- - 152 - -
- - 154 - -
- - 484 - -
- - 171 - -
- - 1,857 - -
- - - - -
- - 350 - -
- - - - -
- - 605 - -
- - 3,330 - -
- - - - -
- - - - -
- - 748 - -
- - 695 - -
- - 3,682 - -
- - 1,386 - -
- - 154 - -
- - 144 - -
- - 1,333 - -

- - 260 - -

- - 274 - -
- - 769 - -
- - - - -
- - - - -
- - 1,830 - -
- - 2,115 - -
- - 2,376 - -
- - - - -
- - 119 - -
- - 83 - -
- - 123 - -
- - 231 - -
- - - - -
- - 87 - -
- - - - -
- - 7,000 - -
- - 10,351 - -
- - 5,775 - -
- - 6,900 - -
- - - - -
- - 210 - -
- - 1,264 - -
- - 47 - -
- - 58 - -
- - 56 - -
- - 51 - -
- - 66 - -
- - 61 - -
- - 56 - -
- - - - -
- - 101,300 - -
- - 155 - -
- - 149 - -
- - 2,325 - -
- - 2,650 - -
- - 2,639 - -
- - 2,347 - -
- - 102 - -
- - 138 - -
- - 191 - -
- - 308 - -
- - 2,365 - -
- - 2,236 - -
- - - - -
- - - - -
- - - - -
- - 89 - -
- - 88 - -
- - - - -
- - 275 - -
- - 385 - -
- - - - -
- - 61 - -
- - 63 - -
- - 66 - -
- - 187 - -
- - 75 - -
- - 230 - -
- - - - -
- - 2,545 - -
- - 2,370 - -
- - 455 - -
- - 280 - -
- - - - -
- - - - -
- - - - -
- - 1,450 - -
- - 715 - -
- - 583 - -
- - - - -
- - 4,700 - -
- - 5,015 - -
- - - - -
- - 1,810 - -
- - 3,266 - -
- - 3,296 - -
- - 6,402 - -
- - 11,000 - -
- - 6,402 - -
- - 7,700 - -
- - - - -
- - 42 - -
- - 37 - -
- - 23 - -
- - 33 - -
- - 45 - -
- - - - -
- - 147 - -
- - 1,510 - -

- - 4,550 - -
- - - - -

- - - - -

- - 123 - -
- - 151 - -

- - 129 - -

- - - - -
- - 303 - -
- - 319 - -
- - 323 - -
- - 278 - -

- - - - -

- - 9,644 - -

- - 10,696 - -
- - 847 - -

- - 1,111 - -

- - 1,152 - -

- - 860 - -
- - - - -
- - 120 - -
- - 80 - -
- - 109 - -
- - 131 - -
- - 3,328 - -
- - 80 - -
- - 3,200 - -
- - 3,581 - -
- - 3,796 - -
- - 4,090 - -
- - - - -
- - - - -
- - 700 - -
- - 707 - -
- - 187 - -
- - - - -
- - 96 - -
- - 77 - -
- - 150 - -
- - 154 - -
- - 946 - -
- - 985 - -
- - 3,300 - -

- - 214 - -

- - 420 - -

- - 216 - -
- - 1,023 - -
- - 2,849 - -
- - 330 - -
- - 102 - -
- - 80 - -
- - 90 - -
- - 87 - -
- - - - -
- - - - -
- - 133 - -
- - 211 - -
- - - - -
- - 8,110 - -
- - - - -
- - 3,250 - -
- - - - -
- - 800 - -
- - 825 - -
- - 6,793 - -
- - 7,603 - -
- - 7,150 - -
- - - - -
- - - - -
- - 128 - -
- - 145 - -
- - 99 - -
- - 100 - -

- - 6,410 - -
- - - - -
- - 13,500 - -
- - 11,500 - -
- - 560 - -
- - 598 - -
- - 790 - -
- - 843 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 6,479 - -
- - 6,759 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 1,969 - -
- - 2,005 - -
- - 2,640 - -
- - 1,199 - -
- - 1,900 - -
- - 9,898 - -

- - 129 - -
- - 1,070 - -

- - 6,649 - -

- - 8,693 - -
- - 1,161 - -
- - 1,181 - -
- - - - -
- - 165 - -
- - 143 - -
- - 278 - -
- - - - -
- - - - -
- - 3,113 - -
- - 3,000 - -
- - 20,700 - -
- - 11,825 - -
- - 11,466 - -
- - - - -
- - - - -
- - 165 - -
- - 130 - -

- - - - -
- - 129 - -
- - 118 - -
- - 118 - -
- - 3,045 - -
- - 3,361 - -
- - 3,885 - -
- - 22,049 - -
- - 18,900 - -
- - 25,850 - -
- - 76 - -
- - 68 - -
- - - - -
- - - - -
- - 76 - -
- - 74 - -
- - 385 - -
- - 1,155 - -
- - 85 - -
- - 288 - -
- - 517 - -
- - 508 - -
- - - - -
- - - - -
- - 7,630 - -
- - 63 - -
- - 67 - -
- - 118 - -
- - 70 - -
- - 87 - -
- - 99 - -
- - 162 - -

- - - - -

- - 2,333 - -

- - 2,797 - -
- - 1,025 - -
- - 1,925 - -
- - 11,500 - -
- - 10,958 - -
- - 3,922 - -
- - 478 - -
- - 594 - -
- - 830 - -
- - - - -
- - - - -
- - - - -
- - 4,483 - -
- - - - -
- - 49 - -
- - 143 - -
- - 49 - -
- - 2,090 - -
- - 2,915 - -
- - 969 - -
- - 43 - -
- - 51 - -
- - - - -
- - 363 - -
- - 68 - -
- - 111 - -
- - 131 - -
- - 281 - -
- - 240 - -
- - 248 - -
- - 190 - -
- - 244 - -
- - - - -

- - 353 - -

- - - - -
- - - - -
- - - - -
- - 303 - -
- - 310 - -
- - - - -
- - 185 - -
- - 82 - -
- - 91 - -
- - 86 - -
- - 913 - -
- - - - -
- - - - -
- - 85 - -
- - 80 - -
- - 55 - -
- - 115 - -
- - 440 - -
- - 660 - -
- - 866 - -
- - 524 - -
- - 208 - -
- - 3,171 - -
- - 2,972 - -
- - 139 - -
- - 52 - -
- - 56 - -
- - 4,520 - -
- - 4,561 - -
- - 16,962 - -
- - 12,793 - -
- - 13,200 - -
- - 52 - -
- - 60 - -
- - 34,000 - -
- - 5,670 - -
- - 36,000 - -
- - 5,085 - -
- - 9,680 - -
- - 17,600 - -
- - 16,563 - -
- - 13,500 - -
- - 416 - -
- - 150 - -
- - 473 - -
- - 626 - -
- - 124 - -
- - 490 - -
- - 225 - -
- - 2,503 - -

- - 979 - -
- - 12,500 - -
- - 12,100 - -
- - 123 - -
- - 757 - -
- - 1,485 - -
- - 266 - -
- - 504 - -
- - - - -
- - 6,930 - -
- - 8,700 - -
- - 8,624 - -
- - 12,631 - -
- - 8,700 - -
- - 6,239 - -
- - 8,700 - -
- - 8,700 - -
- - 8,700 - -
- - 805,950 - -
- - 886,545 - -
- - 652 - -
- - 809 - -
- - 685 - -
- - 652 - -
- - 802 - -
- - 854 - -
- - 815 - -
- - 777 - -

- - 979 - -
- - 932 - -
- - 197 - -
- - 109 - -
- - 1,354 - -
- - 2,195 - -
- - 1,185 - -
- - 1,583 - -
- - 8,193 - -
- - 512,000 - -
- - 26,667 - -
- - 320,000 - -
- - 25,009 - -
- - 32,800 - -
- - 40,923 - -
- - 33,538 - -
- - 3,150 - -
- - 26,250 - -
- - 23,595 - -
- - - - -
- - 18,450 - -
- - 18,450 - -
- - 20,295 - -
- - 9,593 - -
- - 18,450 - -
- - 20,295 - -
- - 9,593 - -
- - 6,458 - -
- - 23,673 - -
- - 5,445 - -
- - 9,070 - -
- - 6,390 - -
- - 6,448 - -
- - - - -
- - - - -
- - - - -

- - 20,600 - -

- - 25,410 - -
- - 9,400 - -
- - 9,870 - -
- - 805 - -
- - 840 - -
- - 3,800 - -
- - 7,370 - -
- - 8,690 - -
- - 17,100 - -

- - 43,600 - -
- - - - -
- - - - -
- - - - -
- - 43,050 - -
- - 439 - -
- - 340 - -
- - 2,475 - -
- - 707 - -
- - 2,640 - -
- - 1,030 - -
- - 432 - -
- - 1,140 - -
- - 6,707 - -
- - 147,562 - -
- - - - -
- - 15,333 - -
- - 30,000 - -
- - 39,217 - -
- - 31,900 - -
- - 43,600 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 20,610 - -
- - 15,229 - -
- - 19,700 - -
- - 22,671 - -
- - - - -
- - 6,595 - -
- - 4,500 - -
- - 4,500 - -
- - 12,100 - -
- - 6,595 - -
- - 4,500 - -
- - 12,100 - -
- - 8,250 - -
- - 600 - -
- - 71,152 - -
- - 1,320 - -
- - 1,225 - -
- - 833 - -
- - 71,152 - -
- - 66,054 - -
- - 1,320 - -
- - 1,225 - -
- - 833 - -
- - 600 - -
- - 66,054 - -
- - 60,049 - -
- - 833 - -
- - - - -
- - 6,107 - -
- - 305,329 - -
- - 6,490 - -
- - 160,000 - -
- - 3,582 - -
- - 23,158 - -
- - 231,000 - -
- - 29,805 - -
- - 250,000 - -
- - 5,086 - -
- - 150,000 - -
- - 10,966 - -
- - 24,125 - -
- - 10,400 - -
- - 8,070 - -
- - 3,090 - -
- - 4,362 - -
- - - - -
- - 14,420 - -
- - 60,800 - -
- - 66,880 - -
- - 100,100 - -
- - 47,000 - -
- - 12,682 - -
- - 279,000 - -
- - 3,300 - -
- - 595,000 - -
- - 1,098,900 - -
- - 396,000 - -
- - 396,000 - -
- - 712,800 - -
- - 13,213 - -
- - 14,880 - -
- - 14,553 - -
- - 220,000 - -
- - 2,200 - -
- - 7,251 - -
- - 5,814 - -
- - 5,814 - -
- - 5,814 - -
- - 317 - -
- - 1,678 - -
- - 1,997 - -
- - 2,133 - -
- - 2,379 - -
- - 6,595 - -
- - 19,941 - -
- - 21,934 - -
- - 8,000 - -
- - 2,678 - -
- - 2,946 - -
- - 1,339 - -
- - 42,873 - -
- - 6,717 - -
- - 12,063 - -
- - 8,034 - -
- - 1,092,300 - -
- - 838,200 - -
- - 678,700 - -
- - 931,700 - -
- - 931,700 - -
- - 1,636,800 - -
- - 1,133,000 - -
- - 1,246,300 - -
- - 682,000 - -
- - 2,315,500 - -
- - 2,315,500 - -
- - 385,000 - -
- - 431,200 - -
- - 13,454 - -
- - 13,770 - -
- - 13,454 - -
- - 5,390 - -
- - 161,700 - -
- - 110,599 - -
- - 21,450 - -
- - 21,450 - -
- - 18,700 - -
- - 18,700 - -
- - 43,000 - -

- - 22,200 - -

- - 26,600 - -
- - - - -

- - 48,000 - -
- - - - -

- - 517,132 - -

- - 148,135 - -
- - 176,800 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 500,000 - -
- - - - -
- - - - -
- - 85,103 - -
- - 25,839 - -
- - 25,597 - -
- - 25,839 - -
- - 155,813 - -
- - 19,954 - -
- - 166,265 - -
- - 167,860 - -
- - 19,954 - -
- - 21,285 - -
- - 21,494 - -
- - 158,994 - -
- - 139,760 - -
- - 169,653 - -
- - 62,520 - -
- - 144,540 - -
- - 158,500 - -
- - 25,839 - -
- - - - -
- - - - -
- - - - -

- - 1,339,441 - -
- - 581,607 - -
- - - - -
- - 153,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 500,000 - -
- - - - -
- - - - -
-
- -
- -
- -
- -
-

Penanggungjawab Petugas Obat

Apt.SHEILA JULLYAN,S.Farm
SIPA. 503/KPTS.54-SIPA/XI/2018
KONTROL

STOK TOTAL HARGA

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