Laporan Persediaan Gabungan Dinas Kesehatan 2020 Terbaru

PEMERINTAH KABUPATEN KOLAKA TIMUR
DINAS KESEHATAN
REKAPITULASI STOK PERSEDIAAN OBAT PER - 31 DESEMBER 2020
PERSEDIAAN 01 JANUARI 2020 PERSEDIAAN MASUK 2020 PERSEDIAAN KELUAR 2020 PERSEDIAAN 31 DESEMBER 2020
NO NAMA OBAT SATUAN
JUMLAH HARGA SATUAN TOTAL JUMLAH HARGA SATUAN TOTAL JUMLAH HARGA SATUAN TOTAL JUMLAH HARGA SATUAN TOTAL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
INSTALASI FARMASI KABUPATEN

OBAT IFK
1 Amoxicilin kapsul/kaplet 250 mg Kapsul 13500 Rp 198.00 Rp 2,673,000.00 - Rp 198.00 Rp - 13500 Rp 198.00 Rp 2,673,000.00 0 Rp 198.00 Rp -
2 Amoxicilin sirup kering 250 mg/5 ml Botol 3120 Rp 3,740.00 Rp 11,668,800.00 - Rp 3,740.00 Rp - 3120 Rp 3,740.00 Rp 11,668,800.00 0 Rp 3,740.00 Rp -
Anti bakteri DOEN salep kombinasi : Basitrasin 500 IU/g +
3 Tube 1774 Rp 3,511.00 Rp 6,228,514.00 - Rp 3,511.00 Rp - 1077 Rp 3,511.00 Rp 3,781,347.00 697 Rp 3,511.00 Rp 2,447,167.00
Polimiksilin 10.000 IU/g
ANTIHEMOROID KOMBINASI: BISMUT SUBGALAT
4 150MG+HEKSAKLOROFEN 2,5MG+ LIDOKAIN 10 MG+SENG Supp 161 Rp 3,800.00 Rp 611,800.00 - Rp 3,800.00 Rp - 161 Rp 3,800.00 Rp 611,800.00 0 Rp 3,800.00 Rp -
OKSIDA 120 MG+ SUP AD 2G
GENERIK ANTIFUNGI SALEP, KOMBINASI: ASAM BENZOAT 6%
5 Pot 2160 Rp 5,395.00 Rp 11,653,200.00 - Rp 5,395.00 Rp - 912 Rp 5,395.00 Rp 4,920,240.00 1248 Rp 5,395.00 Rp 6,732,960.00
+ ASAM SALISILAT 3%
6 Asam askorbat (Vit.C) 50 mg Tablet 28000 Rp 126.00 Rp 3,528,000.00 - Rp 126.00 Rp - 28000 Rp 126.00 Rp 3,528,000.00 0 Rp 126.00 Rp -
7 Atropin injeksi i.m/i.v/s.k 0,25 mg/ml (Sulfat) Ampul 140 Rp 1,540.00 Rp 215,600.00 - Rp 1,540.00 Rp - 140 Rp 1,540.00 Rp 215,600.00 0 Rp 1,540.00 Rp -
8 CLINDAMYCIN 300 MG CAPSUL KAPSUL 170 Rp 2,739.99 Rp 465,798.30 - Rp 2,739.99 Rp - 120 Rp 2,739.99 Rp 328,798.80 50 Rp 2,739.99 Rp 136,999.50
9 DEKSAMETHASON INJ. 5 MG/ML (i.v / i.m) Ampul 1030 Rp 1,278.00 Rp 1,316,340.00 - Rp 1,278.00 Rp - 1030 Rp 1,278.00 Rp 1,316,340.00 0 Rp 1,278.00 Rp -
10 Epinefrin (Adrenalin) Injeksi i.v/s.k/i.m 1 mg/ml Ampul 32 Rp 2,068.00 Rp 66,176.00 - Rp 2,068.00 Rp - 32 Rp 2,068.00 Rp 66,176.00 0 Rp 2,068.00 Rp -
11 ERITROMISIN SIRUP KERING 200 MG/5ML Botol 955 Rp 6,622.00 Rp 6,324,010.00 - Rp 6,622.00 Rp - 775 Rp 6,622.00 Rp 5,132,050.00 180 Rp 6,622.00 Rp 1,191,960.00
12 Formalin 40 % Botol 10 Rp 42,000.00 Rp 420,000.00 - Rp 42,000.00 Rp - 9 Rp 42,000.00 Rp 378,000.00 1 Rp 42,000.00 Rp 42,000.00
13 Glimefride Tab 1 mg Tablet 300 Rp 174.00 Rp 52,200.00 - Rp 174.00 Rp - 300 Rp 174.00 Rp 52,200.00 0 Rp 174.00 Rp -
14 GLIMEPERIDE TABLET 2 MG Tablet 200 Rp 207.00 Rp 41,400.00 - Rp 207.00 Rp - 200 Rp 207.00 Rp 41,400.00 0 Rp 207.00 Rp -
15 Glukosa Larutan Infus 5% steril Botol 7000 Rp 6,900.00 Rp 48,300,000.00 - Rp 6,900.00 Rp - 7000 Rp 6,900.00 Rp 48,300,000.00 0 Rp 6,900.00 Rp -
16 GLUKOSA LARUTAN INFUS 5% Botol 2865 Rp 6,900.00 Rp 19,768,500.00 - Rp 6,900.00 Rp - 2865 Rp 6,900.00 Rp 19,768,500.00 0 Rp 6,900.00 Rp -
17 HALOPERIDOL TABLET 1,5 M Tablet 150 Rp 65.00 Rp 9,750.00 - Rp 65.00 Rp - 150 Rp 65.00 Rp 9,750.00 0 Rp 65.00 Rp -
18 Hydroklortiazid (HCT) 25 mg tablet Tablet 55200 Rp 186.00 Rp 10,267,200.00 - Rp 186.00 Rp - 11500 Rp 186.00 Rp 2,139,000.00 43700 Rp 186.00 Rp 8,128,200.00
19 HIDROKLORTIAZID TABLET 25 MG Tablet 30400 Rp 179.00 Rp 5,441,600.00 - Rp 179.00 Rp - 4400 Rp 179.00 Rp 787,600.00 26000 Rp 179.00 Rp 4,654,000.00
20 HYDROCORTISON KRIM 2,5% Tube 34110 Rp 2,648.00 Rp 90,323,280.00 - Rp 2,648.00 Rp - 5280 Rp 2,648.00 Rp 13,981,440.00 28830 Rp 2,648.00 Rp 76,341,840.00
21 Kloramfenikol salep mata 1 % Tube 240 Rp 2,013.00 Rp 483,120.00 - Rp 2,013.00 Rp - 216 Rp 2,013.00 Rp 434,808.00 24 Rp 2,013.00 Rp 48,312.00
22 KODEIN TABLET 10 MG Tablet 200 Rp 660.00 Rp 132,000.00 - Rp 660.00 Rp - 200 Rp 660.00 Rp 132,000.00 0 Rp 660.00 Rp -
23 KOMBINASI : FERRO FUMARAT 60 MG + ASAM FOLAT 0,4MG Tablet 24900 Rp 427.00 Rp 10,632,300.00 - Rp 427.00 Rp - 24900 Rp 427.00 Rp 10,632,300.00 0 Rp 427.00 Rp -
24 Lisol Botol 137 Rp 31,570.00 Rp 4,325,090.00 - Rp 31,570.00 Rp - 64 Rp 31,570.00 Rp 2,020,480.00 73 Rp 31,570.00 Rp 2,304,610.00
25 METILERGOMETRIN INJ. 0,2 MG/ML Ampul 749 Rp 3,553.00 Rp 2,661,197.00 - Rp 3,553.00 Rp - 749 Rp 3,553.00 Rp 2,661,197.00 0 Rp 3,553.00 Rp -
26 Metoklorperamide tablet 10 mg Tablet 87200 Rp 87.00 Rp 7,586,400.00 - Rp 87.00 Rp - 9500 Rp 87.00 Rp 826,500.00 77700 Rp 87.00 Rp 6,759,900.00
27 METOKLOPRAMIDE TABLET 10 MG Tablet 28800 Rp 93.00 Rp 2,678,400.00 - Rp 93.00 Rp - 28800 Rp 93.00 Rp 2,678,400.00 0 Rp 93.00 Rp -
28 Natrium Klorida (NaCl) 0.9% larutan infus 500 ml Botol 4460 Rp 6,410.00 Rp 28,588,600.00 - Rp 6,410.00 Rp - 1360 Rp 6,410.00 Rp 8,717,600.00 3100 Rp 6,410.00 Rp 19,871,000.00
29 Natrium Klorida (NaCl) 0.9% larutan infus 500 ml Botol 344 Rp 6,410.00 Rp 2,205,040.00 - Rp 6,410.00 Rp - 344 Rp 6,410.00 Rp 2,205,040.00 0 Rp 6,410.00 Rp -
30 GENERIK NISTATIN VAGINAL 100.000 IU Tablet 18300 Rp 675.00 Rp 12,352,500.00 - Rp 675.00 Rp - 12600 Rp 675.00 Rp 8,505,000.00 5700 Rp 675.00 Rp 3,847,500.00
31 OFLOKSASIN TABLET 200 MG Tablet 7750 Rp 531.00 Rp 4,115,250.00 - Rp 531.00 Rp - 6650 Rp 531.00 Rp 3,531,150.00 1100 Rp 531.00 Rp 584,100.00
32 OKSITOSIN INJ 10 UI/ML Ampul 30 Rp 1,287.00 Rp 38,610.00 - Rp 1,287.00 Rp - 30 Rp 1,287.00 Rp 38,610.00 0 Rp 1,287.00 Rp -
33 PIRACETAM 800 MG CAPLET KAPLET 660 Rp 960.00 Rp 633,601.98 - Rp 960.00 Rp - 660 Rp 960.00 Rp 633,601.98 0 Rp 960.00 Rp -
34 PIRIDOKSIN ( VIT. B6 ) TABLET 10 MG TABLET 35500 Rp 142.00 Rp 5,041,000.00 - Rp 142.00 Rp - 35500 Rp 142.00 Rp 5,041,000.00 0 Rp 142.00 Rp -
35 PIRIDOKSIN ( VIT. B6 ) TABLET 10 MG TABLET 72400 Rp 148.00 Rp 10,715,200.00 - Rp 148.00 Rp - 72400 Rp 148.00 Rp 10,715,200.00 0 Rp 148.00 Rp -
36 POVIDONE IODINE 30 ML Botol 166 Rp 3,480.00 Rp 577,680.00 - Rp 3,480.00 Rp - 166 Rp 3,480.00 Rp 577,680.00 0 Rp 3,480.00 Rp -
37 POVIDONE IODINE 300 ML Botol 337 Rp 21,600.00 Rp 7,279,200.00 - Rp 21,600.00 Rp - 205 Rp 21,600.00 Rp 4,428,000.00 132 Rp 21,600.00 Rp 2,851,200.00
38 TETRASIKLIN KAPSUL 500 MG Kapsul 22000 Rp 341.00 Rp 7,502,000.00 - Rp 341.00 Rp - 22000 Rp 341.00 Rp 7,502,000.00 0 Rp 341.00 Rp -
39 TETRASIKLIN KAPSUL 500 MG Kapsul 23300 Rp 324.00 Rp 7,549,200.00 - Rp 324.00 Rp - 15300 Rp 324.00 Rp 4,957,200.00 8000 Rp 324.00 Rp 2,592,000.00
40 GENERIK VITAMIN B KOMPLEKS Tablet 3600 Rp 141.00 Rp 507,600.00 - Rp 141.00 Rp - 3600 Rp 141.00 Rp 507,600.00 0 Rp 141.00 Rp -
41 VITAMIN B KOMPLEKS TABLET Tablet 14900 Rp 138.00 Rp 2,056,200.00 - Rp 138.00 Rp - 14900 Rp 138.00 Rp 2,056,200.00 0 Rp 138.00 Rp -
42 VITAMIN B12 50 MCG TABLET Tablet 169000 Rp 50.00 Rp 8,450,084.50 - Rp 50.00 Rp - 169000 Rp 50.00 Rp 8,450,084.50 0 Rp 50.00 Rp -
43 ACETYL CYSTEIN KAPSUL 200 MG KAPSUL 2040 Rp 460.00 Rp 938,400.00 - Rp 460.00 Rp - 2040 Rp 460.00 Rp 938,400.00 0 Rp 460.00 Rp -
44 Albendazol tab. 400 Tablet 100 Rp 484.00 Rp 48,400.00 - Rp 484.00 Rp - 100 Rp 484.00 Rp 48,400.00 0 Rp 484.00 Rp -
45 ALOPURINOL TABLET 100 MG Tablet 15900 Rp 102.00 Rp 1,621,800.00 - Rp 102.00 Rp - 15900 Rp 102.00 Rp 1,621,800.00 0 Rp 102.00 Rp -
46 ALOPURINOL TABLET 100 MG Tablet 50000 Rp 108.00 Rp 5,400,000.00 - Rp 108.00 Rp - 26570 Rp 108.00 Rp 2,869,560.00 23430 Rp 108.00 Rp 2,530,440.00
47 AIR UNTUK INJEKSI 25 ML Ampul 74 Rp 2,860.00 Rp 211,640.00 - Rp 2,860.00 Rp - 74 Rp 2,860.00 Rp 211,640.00 0 Rp 2,860.00 Rp -
48 AMLODIPIN 5 MG Tablet 12900 Rp 78.00 Rp 1,006,200.00 - Rp 78.00 Rp - 12900 Rp 78.00 Rp 1,006,200.00 0 Rp 78.00 Rp -
49 AMLODIPIN 10 MG Tablet 8100 Rp 99.00 Rp 801,900.00 - Rp 99.00 Rp - 8100 Rp 99.00 Rp 801,900.00 0 Rp 99.00 Rp -
50 AMOKSISILIN 500 MG Kapsul 19800 Rp 248.00 Rp 4,910,400.00 - Rp 248.00 Rp - 19800 Rp 248.00 Rp 4,910,400.00 0 Rp 248.00 Rp -
51 AMOKSISILIN 500 MG Kapsul 20000 Rp 265.00 Rp 5,300,000.00 - Rp 265.00 Rp - 20000 Rp 265.00 Rp 5,300,000.00 0 Rp 265.00 Rp -
ANTASIDA DOEN I TABLET KUNYAH, KOMBINASI : ALUMINIUM

52 Tablet 186500 Rp 57.00 Rp 10,630,500.00 - Rp 57.00 Rp - 90600 Rp 57.00 Rp 5,164,200.00 95900 Rp 57.00 Rp 5,466,300.00
HIDROKSIDA 200 MG + MAGNESIUM HIDROKSIDA 200 MG
ANTASIDA DOEN I TABLET KUNYAH, KOMBINASI : ALUMINIUM

53 Tablet 250000 Rp 61.00 Rp 15,250,000.00 - Rp 61.00 Rp - 0 Rp 61.00 Rp - 250000 Rp 61.00 Rp 15,250,000.00
HIDROKSIDA 200 MG + MAGNESIUM HIDROKSIDA 200 MG
Antasida DOEN II Syirup, kombinasi : Aluminium Hidroksida 200

54 Botol 25 Rp 2,290.00 Rp 57,250.00 - Rp 2,290.00 Rp - 25 Rp 2,290.00 Rp 57,250.00 0 Rp 2,290.00 Rp -
mg/5 ml Magnesium hidroksida 200 mg/5 ml
55 ANTIFUNGI SALEP KOMBINASI POT 498 Rp 5,757.00 Rp 2,866,986.00 - Rp 5,757.00 Rp - 126 Rp 5,757.00 Rp 725,382.00 372 Rp 5,757.00 Rp 2,141,604.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
ANTIHEMOROID KOMBINASI: BISMUT SUBGALAT
56 150MG+HEKSAKLOROFEN 2,5MG+ LIDOKAIN 10 MG+SENG Supp 430 Rp 3,800.00 Rp 1,634,000.00 - Rp 3,800.00 Rp - 430 Rp 3,800.00 Rp 1,634,000.00 0 Rp 3,800.00 Rp -
OKSIDA 120 MG+ SUP AD 2G
57 ASAM ASKORBAT (VIT.C) TAB 50 MG Tablet 40000 Rp 126.00 Rp 5,040,000.00 - Rp 126.00 Rp - 35500 Rp 126.00 Rp 4,473,000.00 4500 Rp 126.00 Rp 567,000.00
58 ASAM FOLAT 1 MG Tablet 8100 Rp 90.00 Rp 729,000.00 - Rp 90.00 Rp - 8100 Rp 90.00 Rp 729,000.00 0 Rp 90.00 Rp -
59 ACYCLOVIR 200 MG Tablet 12000 Rp 236.00 Rp 2,832,000.00 - Rp 236.00 Rp - 11600 Rp 236.00 Rp 2,737,600.00 400 Rp 236.00 Rp 94,400.00
60 ASIKLOVIR TAB 400 MG Tablet 2300 Rp 440.00 Rp 1,012,000.00 - Rp 440.00 Rp - 2300 Rp 440.00 Rp 1,012,000.00 0 Rp 440.00 Rp -
61 BETAMETASON DIPROPIONATE 0.05% Tube 500 Rp 3,350.00 Rp 1,675,000.00 - Rp 3,350.00 Rp - 500 Rp 3,350.00 Rp 1,675,000.00 0 Rp 3,350.00 Rp -
62 CETIRIZINE SYRUP 5 MG/ML Botol 2950 Rp 3,104.00 Rp 9,156,800.00 - Rp 3,104.00 Rp - 2050 Rp 3,104.00 Rp 6,363,200.00 900 Rp 3,104.00 Rp 2,793,600.00
DHP FRIMAL KOMBINASI DIHIDROARTEMISIN 40 MG +
63 Tablet 342 Rp 2,166.00 Rp 740,772.00 - Rp 2,166.00 Rp - 162 Rp 2,166.00 Rp 350,892.00 180 Rp 2,166.00 Rp 389,880.00
PIPERAKUIN 320 TAB
64 DIAZEPAM 2 MG Tablet 500 Rp 86.00 Rp 43,000.00 - Rp 86.00 Rp - 250 Rp 86.00 Rp 21,500.00 250 Rp 86.00 Rp 21,500.00
65 DIAZEPAM INJ 5 MG Ampul 1000 Rp 2,010.00 Rp 2,010,000.00 - Rp 2,010.00 Rp - 70 Rp 2,010.00 Rp 140,700.00 930 Rp 2,010.00 Rp 1,869,300.00
66 DIGOKSIN 0,25 MG Tablet 500 Rp 104.00 Rp 52,000.00 - Rp 104.00 Rp - 500 Rp 104.00 Rp 52,000.00 0 Rp 104.00 Rp -
67 DOKSISIKLIN TAB 100 MG Tablet 1000 Rp 280.00 Rp 280,000.00 - Rp 280.00 Rp - 500 Rp 280.00 Rp 140,000.00 500 Rp 280.00 Rp 140,000.00
68 DOMPERIDON 10 MG Tablet 21800 Rp 90.00 Rp 1,962,000.00 - Rp 90.00 Rp - 9800 Rp 90.00 Rp 882,000.00 12000 Rp 90.00 Rp 1,080,000.00
69 GENERIK ERITROMISIN 250 MG Tablet 28500 Rp 711.00 Rp 20,263,500.00 - Rp 711.00 Rp - 15800 Rp 711.00 Rp 11,233,800.00 12700 Rp 711.00 Rp 9,029,700.00
70 FENOBARBITAL 30 MG Tablet 3000 Rp 205.00 Rp 615,000.00 - Rp 205.00 Rp - 0 Rp 205.00 Rp - 3000 Rp 205.00 Rp 615,000.00
71 FITOMENADION ( VITAMIN K) INJEKSI 2 MG /ML Ampul 150 Rp 4,420.00 Rp 663,000.00 - Rp 4,420.00 Rp - 150 Rp 4,420.00 Rp 663,000.00 0 Rp 4,420.00 Rp -
72 FUROSEMIDA 40 MG Tablet 85800 Rp 82.00 Rp 7,035,600.00 - Rp 82.00 Rp - 85800 Rp 82.00 Rp 7,035,600.00 0 Rp 82.00 Rp -
73 FUROSEMIDE INJ 10 MG/ML Ampul 195 Rp 1,555.00 Rp 303,225.00 - Rp 1,555.00 Rp - 75 Rp 1,555.00 Rp 116,625.00 120 Rp 1,555.00 Rp 186,600.00
74 GENTAMISIN SULFAT SALEP MATA 0,3% Tube 240 Rp 3,210.00 Rp 770,400.00 - Rp 3,210.00 Rp - 231 Rp 3,210.00 Rp 741,510.00 9 Rp 3,210.00 Rp 28,890.00
75 GLIMEPERIDE TABLET 1 MG Tablet 7500 Rp 174.00 Rp 1,305,000.00 - Rp 174.00 Rp - 7500 Rp 174.00 Rp 1,305,000.00 0 Rp 174.00 Rp -
76 HIDROKORTISON KRIM 2,5% Tube 359 Rp 2,648.00 Rp 950,632.00 - Rp 2,648.00 Rp - 215 Rp 2,648.00 Rp 569,320.00 144 Rp 2,648.00 Rp 381,312.00
77 IBUPROFEN SUSPENSI 200 MG/5 ML Botol 500 Rp 5,509.00 Rp 2,754,500.00 - Rp 5,509.00 Rp - 500 Rp 5,509.00 Rp 2,754,500.00 0 Rp 5,509.00 Rp -
78 KALSIUM LAKTAT 500 MG Tablet 51100 Rp 60.00 Rp 3,066,000.00 - Rp 60.00 Rp - 51100 Rp 60.00 Rp 3,066,000.00 0 Rp 60.00 Rp -
79 KALSIUM LAKTAT 500 MG Tablet 100000 Rp 64.00 Rp 6,400,000.00 - Rp 64.00 Rp - 12000 Rp 64.00 Rp 768,000.00 88000 Rp 64.00 Rp 5,632,000.00
80 KOMBINASI : ERGOTAMIN 1 MG + KAFEIN 50 MG Tablet 1200 Rp 208.00 Rp 249,600.00 - Rp 208.00 Rp - 300 Rp 208.00 Rp 62,400.00 900 Rp 208.00 Rp 187,200.00
KOMBINASI FERRO FUMARAT 60 MG + AS. FOLAT 0,4 MG (TAB
81 Tablet 376800 Rp 427.00 Rp 160,893,600.00 - Rp 427.00 Rp - 324000 Rp 427.00 Rp 138,348,000.00 52800 Rp 427.00 Rp 22,545,600.00
TAMBAH DARAH)
KOTRIMOKSAZOL ( DEWASA ) KOMBINASI :
82 Tablet 37300 Rp 129.00 Rp 4,811,700.00 - Rp 129.00 Rp - 34000 Rp 129.00 Rp 4,386,000.00 3300 Rp 129.00 Rp 425,700.00
SULFAMEKTOKSAZOL 400 MG + TRIMETOPRIM 80 MG
KOTRIMOKSAZOL ( DEWASA ) KOMBINASI :
83 Tablet 50000 Rp 138.00 Rp 6,900,000.00 - Rp 138.00 Rp - 0 Rp 138.00 Rp - 50000 Rp 138.00 Rp 6,900,000.00
SULFAMEKTOKSAZOL 400 MG + TRIMETOPRIM 80 MG
KOTRIMOKSAOZLE ANAK KOMBINASI 5 MG :
84 Botol 1406 Rp 2,115.00 Rp 2,973,690.00 - Rp 2,115.00 Rp - 1406 Rp 2,115.00 Rp 2,973,690.00 0 Rp 2,115.00 Rp -
SULFAMETOKSAZOLE 200 MGTRIMETROPIN 40 MG
Kotrimoksazol suspensi kombinasi ; Sulfametoksazol 200 mg +
85 Botol 2500 Rp 2,257.00 Rp 5,642,500.00 - Rp 2,257.00 Rp - 900 Rp 2,257.00 Rp 2,031,300.00 1600 Rp 2,257.00 Rp 3,611,200.00
Trimetropin 40 mg/5 ml
86 Larutan mengandung elektrolit (Ringer laktat) Botol 800 Rp 7,150.00 Rp 5,720,000.00 - Rp 7,150.00 Rp - 800 Rp 7,150.00 Rp 5,720,000.00 0 Rp 7,150.00 Rp -
87 LARUTAN MENGANDUNG ELEKTROLIT KA-EN 3B Botol 380 Rp 11,314.00 Rp 4,299,320.00 - Rp 11,314.00 Rp - 280 Rp 11,314.00 Rp 3,167,920.00 100 Rp 11,314.00 Rp 1,131,400.00
88 LIDOKAIN INJEKSI 2% Botol 1200 Rp 1,375.00 Rp 1,650,000.00 - Rp 1,375.00 Rp - 1200 Rp 1,375.00 Rp 1,650,000.00 0 Rp 1,375.00 Rp -
LIDOKAIN COMPOSITUM INJEKSI 2% + EPINEFRIN 1: 80.000 INJ
89 Botol 150 Rp 1,380.00 Rp 207,000.00 - Rp 1,380.00 Rp - 150 Rp 1,380.00 Rp 207,000.00 0 Rp 1,380.00 Rp -
2 ML
90 METHYLPREDNISOLON 4 MG Tablet 5100 Rp 143.00 Rp 729,300.00 - Rp 143.00 Rp - 5100 Rp 143.00 Rp 729,300.00 0 Rp 143.00 Rp -
91 METILERGOMETRIN TAB 0,125 MG Tablet 200 Rp 271.00 Rp 54,200.00 - Rp 271.00 Rp - 200 Rp 271.00 Rp 54,200.00 0 Rp 271.00 Rp -
92 METFORMIN 500 MG Tablet 24200 Rp 110.00 Rp 2,662,000.00 - Rp 110.00 Rp - 24200 Rp 110.00 Rp 2,662,000.00 0 Rp 110.00 Rp -
93 METOKLOPRAMIDE 5 MG Tablet 37700 Rp 129.00 Rp 4,863,300.00 - Rp 129.00 Rp - 4000 Rp 129.00 Rp 516,000.00 33700 Rp 129.00 Rp 4,347,300.00
94 NATRIUM DIKLOFENAK 25 MG Tablet 16550 Rp 154.00 Rp 2,548,700.00 - Rp 154.00 Rp - 16550 Rp 154.00 Rp 2,548,700.00 0 Rp 154.00 Rp -
95 NYSTATIN VAGINAL TABLET 100.000 IU Tablet 2300 Rp 675.00 Rp 1,552,500.00 - Rp 675.00 Rp - 100 Rp 675.00 Rp 67,500.00 2200 Rp 675.00 Rp 1,485,000.00
96 NYSTATIN TABLET SALUT GULA 500.000 IU Tablet 7000 Rp 950.00 Rp 6,650,000.00 - Rp 950.00 Rp - 1400 Rp 950.00 Rp 1,330,000.00 5600 Rp 950.00 Rp 5,320,000.00
97 OKSITETRASIKLIN1% SALEP MATA Tube 183 Rp 2,600.00 Rp 475,800.00 - Rp 2,600.00 Rp - 183 Rp 2,600.00 Rp 475,800.00 0 Rp 2,600.00 Rp -
98 OMEPRAZOL TABLET 20 MG TABLET 150 Rp 153.00 Rp 22,950.00 - Rp 153.00 Rp - 150 Rp 153.00 Rp 22,950.00 0 Rp 153.00 Rp -
99 PARACETAMOL DROPS 100 MG/ML Botol 2320 Rp 7,979.00 Rp 18,511,280.00 - Rp 7,979.00 Rp - 2320 Rp 7,979.00 Rp 18,511,280.00 0 Rp 7,979.00 Rp -
100 PIRANTEL PAMOAT SUSP 125 MG / 5 ML Botol 3 Rp 11,600.00 Rp 34,800.00 - Rp 11,600.00 Rp - 3 Rp 11,600.00 Rp 34,800.00 0 Rp 11,600.00 Rp -
101 PREDNISON TB 5 MG Tablet 18900 Rp 79.00 Rp 1,493,100.00 - Rp 79.00 Rp - 18900 Rp 79.00 Rp 1,493,100.00 0 Rp 79.00 Rp -
102 RETINOL (VITAMIN A) KAPSUL LUNAK 100.000 IU KAPSUL 8650 Rp 346.00 Rp 2,992,900.00 - Rp 346.00 Rp - 8650 Rp 346.00 Rp 2,992,900.00 0 Rp 346.00 Rp -
103 RETINOL (VITAMIN A) KAPSUL LUNAK 200.000 IU KAPSUL 25950 Rp 622.00 Rp 16,140,900.00 - Rp 622.00 Rp - 11300 Rp 622.00 Rp 7,028,600.00 14650 Rp 622.00 Rp 9,112,300.00
104 SALBUTAMOL 2 MG Tablet 400 Rp 64.00 Rp 25,600.00 - Rp 64.00 Rp - 400 Rp 64.00 Rp 25,600.00 0 Rp 64.00 Rp -
105 SIMVASTATIN TAB 10 MG Tablet 17490 Rp 117.00 Rp 2,046,330.00 - Rp 117.00 Rp - 17490 Rp 117.00 Rp 2,046,330.00 0 Rp 117.00 Rp -
106 SIMVASTATIN 20 MG Tablet 20000 Rp 235.00 Rp 4,700,000.00 - Rp 235.00 Rp - 15420 Rp 235.00 Rp 3,623,700.00 4580 Rp 235.00 Rp 1,076,300.00
107 THIAMIN ( B1 ) 50 MG Tablet 37200 Rp 92.00 Rp 3,422,400.00 - Rp 92.00 Rp - 37200 Rp 92.00 Rp 3,422,400.00 0 Rp 92.00 Rp -
108 ZINK SULFAT SIRUP 20 MG/5 ML Botol 160 Rp 3,449.00 Rp 551,840.00 - Rp 3,449.00 Rp - 160 Rp 3,449.00 Rp 551,840.00 0 Rp 3,449.00 Rp -
109 ZINC TABLET DISPERSIBLE 20 MG Tablet 100 Rp 631.00 Rp 63,100.00 - Rp 631.00 Rp - 100 Rp 631.00 Rp 63,100.00 0 Rp 631.00 Rp -
110 AIR UNTUK INJEKSI 25 ML BOTOL 0 Rp - Rp - 1000 Rp 2,860.00 Rp 2,860,000.00 60 Rp 2,860.00 Rp 171,600.00 940 Rp 2,860.00 Rp 2,688,400.00
111 AMLODIPIN 10 MG Tablet 0 Rp - Rp - 30000 Rp 106.00 Rp 3,180,000.00 6450 Rp 106.00 Rp 683,700.00 23550 Rp 106.00 Rp 2,496,300.00
112 AMLODIPIN 5 MG Tablet 0 Rp - Rp - 30000 Rp 83.00 Rp 2,490,000.00 6150 Rp 83.00 Rp 510,450.00 23850 Rp 83.00 Rp 1,979,550.00
113 AMOKSISILIN 500 MG Tablet 0 Rp - Rp - 100000 Rp 269.00 Rp 26,900,000.00 17500 Rp 269.00 Rp 4,707,500.00 82500 Rp 269.00 Rp 22,192,500.00
114 AMINOFILIN 200 MG TABLET 0 Rp - Rp - 5000 Rp 104.00 Rp 520,000.00 0 Rp 104.00 Rp - 5000 Rp 104.00 Rp 520,000.00
115 AMINOFILIN INJ 24 MG/ML AMPUL 0 Rp - Rp - 200 Rp 3,071.00 Rp 614,200.00 0 Rp 3,071.00 Rp - 200 Rp 3,071.00 Rp 614,200.00
ANTASIDA TABLET KUNYAH KOMBINASI: ALUMUNIUM
116 TABLET 0 Rp - Rp - 100000 Rp 61.00 Rp 6,100,000.00 0 Rp 61.00 Rp - 100000 Rp 61.00 Rp 6,100,000.00
HIDROKSIDA 200 MG
ANTASIDA SUSPENSI KOMBINASI: ALUMUNIUM HIDROKSIDA
117 BOTOL 0 Rp - Rp - 5000 Rp 2,290.00 Rp 11,450,000.00 150 Rp 2,290.00 Rp 343,500.00 4850 Rp 2,290.00 Rp 11,106,500.00
200 MG + MAGNESIUM HIDROKSIDA 200 MG
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
118 Antifungsi salep, kombinasi: asam benzoat 6% + asam salisilat 3% POT 0 Rp - Rp - 500 Rp 5,757.00 Rp 2,878,500.00 5 Rp 5,757.00 Rp 28,785.00 495 Rp 5,757.00 Rp 2,849,715.00
119 ALBENDAZOLE 400 MG TABLET 0 Rp - Rp - 10800 Rp 484.00 Rp 5,227,200.00 0 Rp 484.00 Rp - 10800 Rp 484.00 Rp 5,227,200.00
120 ALOPURINOL 100 MG TABLET 0 Rp - Rp - 80000 Rp 108.00 Rp 8,640,000.00 1000 Rp 108.00 Rp 108,000.00 79000 Rp 108.00 Rp 8,532,000.00
121 ASAM ASKORBAT (VIT C) 50 MG TABLET 0 Rp - Rp - 100000 Rp 126.00 Rp 12,600,000.00 0 Rp 126.00 Rp - 100000 Rp 126.00 Rp 12,600,000.00
122 ASAM FOLAT 1 MG TABLET 0 Rp - Rp - 10000 Rp 90.00 Rp 900,000.00 300 Rp 90.00 Rp 27,000.00 9700 Rp 90.00 Rp 873,000.00
123 BETAMETASON DIPROPIONATE KRIM 0,05% Tablet 0 Rp - Rp - 3000 Rp 3,350.00 Rp 10,050,000.00 250 Rp 3,350.00 Rp 837,500.00 2750 Rp 3,350.00 Rp 9,212,500.00
124 BISAKODIL SUPP 10 MG SUPPO 0 Rp - Rp - 200 Rp 5,900.00 Rp 1,180,000.00 0 Rp 5,900.00 Rp - 200 Rp 5,900.00 Rp 1,180,000.00
125 CETIRIZINE HIDROKLORIDA SIRUP 5 MG/ML BOTOL 0 Rp - Rp - 250 Rp 3,104.00 Rp 776,000.00 0 Rp 3,104.00 Rp - 250 Rp 3,104.00 Rp 776,000.00
Cotrimoxazole kombinasi: sulfametoksazol 400 mg + trimetoprim 80
mg(kaptab 480 mg)
Cotrimoxazole forte kombinasi: sulfametoksazol 800 mg +
trimetoprim 160 mg(kaptab 960 mg)
Cotrimoxazole forte kombinasi: sulfametoksazol 800 mg +
128 BOTOL 0 Rp - Rp - 2000 Rp 2,257.00 Rp 4,514,000.00 0 Rp 2,257.00 Rp - 2000 Rp 2,257.00 Rp 4,514,000.00
trimetoprim 160 mg(kaptab 960 mg)
129 DEXAMETASON INJ 5 MG/ML (MEPROFARM) AMPUL 0 Rp - Rp - 500 Rp 1,278.00 Rp 639,000.00 130 Rp 1,278.00 Rp 166,140.00 370 Rp 1,278.00 Rp 472,860.00
130 DIFENHIDRAMIN INJEKSI 10 MG/ML AMPUL 0 Rp - Rp - 500 Rp 1,316.00 Rp 658,000.00 85 Rp 1,316.00 Rp 111,860.00 415 Rp 1,316.00 Rp 546,140.00
131 DIGOXIN 0,25 MG Tablet 0 Rp - Rp - 5000 Rp 104.00 Rp 520,000.00 300 Rp 104.00 Rp 31,200.00 4700 Rp 104.00 Rp 488,800.00
132 DOMPERIDONE 10 MG Tablet 0 Rp - Rp - 25000 Rp 96.00 Rp 2,400,000.00 700 Rp 96.00 Rp 67,200.00 24300 Rp 96.00 Rp 2,332,800.00
133 EPINEFRIN INJ 0,1% AMPUL 0 Rp - Rp - 500 Rp 2,068.00 Rp 1,034,000.00 0 Rp 2,068.00 Rp - 500 Rp 2,068.00 Rp 1,034,000.00
134 ERITROMISIN 500 MG Tablet 0 Rp - Rp - 20000 Rp 781.00 Rp 15,620,000.00 0 Rp 781.00 Rp - 20000 Rp 781.00 Rp 15,620,000.00
135 FITOMENADION TABLET 10 MG TABLET 0 Rp - Rp - 15000 Rp 912.00 Rp 13,680,000.00 800 Rp 912.00 Rp 729,600.00 14200 Rp 912.00 Rp 12,950,400.00
136 FITOMENADION INJEKSI2 MG/ML AMPUL 0 Rp - Rp - 2000 Rp 4,420.00 Rp 8,840,000.00 290 Rp 4,420.00 Rp 1,281,800.00 1710 Rp 4,420.00 Rp 7,558,200.00
137 FUROSEMIDE 40 MG TABLET 0 Rp - Rp - 5000 Rp 88.00 Rp 440,000.00 0 Rp 88.00 Rp - 5000 Rp 88.00 Rp 440,000.00
138 FUROSEMIDE INJ 10 MG/ML Ampul 0 Rp - Rp - 200 Rp 1,555.00 Rp 311,000.00 0 Rp 1,555.00 Rp - 200 Rp 1,555.00 Rp 311,000.00
139 GLIMEPIRIDE 1 MG Tablet 0 Rp - Rp - 10000 Rp 174.00 Rp 1,740,000.00 2300 Rp 174.00 Rp 400,200.00 7700 Rp 174.00 Rp 1,339,800.00
140 GLIMEPIRIDE 2 MG Tablet 0 Rp - Rp - 10000 Rp 207.00 Rp 2,070,000.00 1500 Rp 207.00 Rp 310,500.00 8500 Rp 207.00 Rp 1,759,500.00
141 GLUKOSA LARUTAN INFUS 5% BOTOL 0 Rp - Rp - 5000 Rp 7,363.00 Rp 36,815,000.00 660 Rp 7,363.00 Rp 4,859,580.00 4340 Rp 7,363.00 Rp 31,955,420.00
142 HARMIDA 2,5 MG (GLIBENKLAMID 2,5 MG) TABLET 0 Rp - Rp - 10000 Rp 230.00 Rp 2,300,000.00 0 Rp 230.00 Rp - 10000 Rp 230.00 Rp 2,300,000.00
143 IBURPOFEN SUSPENSI 200 MG/5 ML BOTOL 0 Rp - Rp - 5000 Rp 5,709.00 Rp 28,545,000.00 236 Rp 5,709.00 Rp 1,347,324.00 4764 Rp 5,709.00 Rp 27,197,676.00
144 IBUPROFEN SUSP 100 MG/5 ML BOTOL 0 Rp - Rp - 1000 Rp 2,898.00 Rp 2,898,000.00 0 Rp 2,898.00 Rp - 1000 Rp 2,898.00 Rp 2,898,000.00
145 KALSIUM GLUKONAS INJ 10% AMPUL 0 Rp - Rp - 600 Rp 10,351.00 Rp 6,210,600.00 0 Rp 10,351.00 Rp - 600 Rp 10,351.00 Rp 6,210,600.00
146 KALSIUM LAKTAT 500 MG (MERSIFARMA) TABLET 0 Rp - Rp - 10000 Rp 64.00 Rp 640,000.00 0 Rp 64.00 Rp - 10000 Rp 64.00 Rp 640,000.00
147 KAPTOPRIL 12,5 MG TABLET 0 Rp - Rp - 20000 Rp 73.00 Rp 1,460,000.00 5100 Rp 73.00 Rp 372,300.00 14900 Rp 73.00 Rp 1,087,700.00
148 KARBOGLISERIN TTS TELINGA 10%/ PHENOL GLISEROL BOTOL 0 Rp - Rp - 200 Rp 2,764.00 Rp 552,800.00 32 Rp 2,764.00 Rp 88,448.00 168 Rp 2,764.00 Rp 464,352.00
149 LARUTAN MENGANDUNG ELEKTROLIT KA-EN 3A BOTOL 0 Rp - Rp - 300 Rp 11,314.00 Rp 3,394,200.00 20 Rp 11,314.00 Rp 226,280.00 280 Rp 11,314.00 Rp 3,167,920.00
150 LARUTAN MENGANDUNG ELEKTROLIT KA-EN 3B BOTOL 0 Rp - Rp - 300 Rp 11,314.00 Rp 3,394,200.00 20 Rp 11,314.00 Rp 226,280.00 280 Rp 11,314.00 Rp 3,167,920.00
151 LAKTULOSA SYRUP 5 ML BOTOL 0 Rp - Rp - 300 Rp 15,060.00 Rp 4,518,000.00 0 Rp 15,060.00 Rp - 300 Rp 15,060.00 Rp 4,518,000.00
152 LIDOKAIN HCL 2% AMPUL 0 Rp - Rp - 5000 Rp 1,467.00 Rp 7,335,000.00 190 Rp 1,467.00 Rp 278,730.00 4810 Rp 1,467.00 Rp 7,056,270.00
153 LIDOKAIN INJ 2% + EPINEFRIN AMPUL 0 Rp - Rp - 2000 Rp 1,473.00 Rp 2,946,000.00 110 Rp 1,473.00 Rp 162,030.00 1890 Rp 1,473.00 Rp 2,783,970.00
154 MAGNESIUM SULFAT 20% BOTOL 0 Rp - Rp - 500 Rp 3,328.00 Rp 1,664,000.00 68 Rp 3,328.00 Rp 226,304.00 432 Rp 3,328.00 Rp 1,437,696.00
155 MAGNESIUM SULFAT 40% BOTOL 0 Rp - Rp - 500 Rp 3,796.00 Rp 1,898,000.00 68 Rp 3,796.00 Rp 258,128.00 432 Rp 3,796.00 Rp 1,639,872.00
156 METHYLERGOMETRIN MALEAT INJ 0,2 MG/ML AMPUL 0 Rp - Rp - 600 Rp 3,553.00 Rp 2,131,800.00 0 Rp 3,553.00 Rp - 600 Rp 3,553.00 Rp 2,131,800.00
157 METILPREDNISOLONE 4 MG Tablet 0 Rp - Rp - 65000 Rp 153.00 Rp 9,945,000.00 6600 Rp 153.00 Rp 1,009,800.00 58400 Rp 153.00 Rp 8,935,200.00
158 METOKLOPRAMIDE 10 MG TABLET 0 Rp - Rp - 10000 Rp 93.00 Rp 930,000.00 0 Rp 93.00 Rp - 10000 Rp 93.00 Rp 930,000.00
159 MIKONAZOLE KRIM 2% TUBE 0 Rp - Rp - 2500 Rp 4,097.00 Rp 10,242,500.00 135 Rp 4,097.00 Rp 553,095.00 2365 Rp 4,097.00 Rp 9,689,405.00
160 METILERGOMETRIN 0,125 MG TABLET 0 Rp - Rp - 10000 Rp 271.00 Rp 2,710,000.00 1500 Rp 271.00 Rp 406,500.00 8500 Rp 271.00 Rp 2,303,500.00
161 NYSTATIN VAGINAL TABLET 100.000 IU TABLET 0 Rp - Rp - 1000 Rp 720.00 Rp 720,000.00 0 Rp 720.00 Rp - 1000 Rp 720.00 Rp 720,000.00
162 NYSTATIN VAGINAL TABLET SALUT GULA 500.000IU TABLET 0 Rp - Rp - 1000 Rp 1,014.00 Rp 1,014,000.00 0 Rp 1,014.00 Rp - 1000 Rp 1,014.00 Rp 1,014,000.00
163 OXYTOSIN INJEKSI AMPUL 0 Rp - Rp - 500 Rp 1,287.00 Rp 643,500.00 0 Rp 1,287.00 Rp - 500 Rp 1,287.00 Rp 643,500.00
164 OXYTETRASIKLIN 1% SALEP MATA TUBE 0 Rp - Rp - 1000 Rp 2,774.00 Rp 2,774,000.00 100 Rp 2,774.00 Rp 277,400.00 900 Rp 2,774.00 Rp 2,496,600.00
165 PANTRIN 250 MG (PYRANTEL PAMOAT 250 MG) TABLET 0 Rp - Rp - 500 Rp 1,281.00 Rp 640,500.00 0 Rp 1,281.00 Rp - 500 Rp 1,281.00 Rp 640,500.00
166 PIRIDOKSIN HCL (B6) INJEKSI 100 ML AMPUL 0 Rp - Rp - 300 Rp 1,195.00 Rp 358,500.00 0 Rp 1,195.00 Rp - 300 Rp 1,195.00 Rp 358,500.00
167 RINGER LAKTAT 500 ML BOTOL 0 Rp - Rp - 15000 Rp 7,630.00 Rp 114,450,000.00 3380 Rp 7,630.00 Rp 25,789,400.00 11620 Rp 7,630.00 Rp 88,660,600.00
168 THIAMIN (VIT.B1) TABLET 0 Rp - Rp - 30000 Rp 98.00 Rp 2,940,000.00 500 Rp 98.00 Rp 49,000.00 29500 Rp 98.00 Rp 2,891,000.00
169 VITAMIN B KOMPLEKS TABLET 0 Rp - Rp - 200000 Rp 150.00 Rp 30,000,000.00 14500 Rp 150.00 Rp 2,175,000.00 185500 Rp 150.00 Rp 27,825,000.00
170 ZINC SULFATE SIR 20 MG/5 ML BOTOL 0 Rp - Rp - 300 Rp 3,449.00 Rp 1,034,700.00 45 Rp 3,449.00 Rp 155,205.00 255 Rp 3,449.00 Rp 879,495.00
171 AMBROXOL 30MG TAB TABLET 0 Rp - Rp - 50000 Rp 197.34 Rp 9,867,000.00 5200 Rp 197.34 Rp 1,026,168.00 44800 Rp 197.34 Rp 8,840,832.00
172 AMBROXOL 15MG/ML SYR 60 ML BOTOL 0 Rp - Rp - 600 Rp 4,959.90 Rp 2,975,940.00 82 Rp 4,959.90 Rp 406,711.80 518 Rp 4,959.90 Rp 2,569,228.20
173 BEDAK SALICYL 2% 60Gr Pcs 0 Rp - Rp - 500 Rp 6,426.20 Rp 3,213,100.00 61 Rp 6,426.20 Rp 391,998.20 439 Rp 6,426.20 Rp 2,821,101.80
174 CETIRIZIN HCL TABLET 10 MG TABLET 0 Rp - Rp - 47310 Rp 406.89 Rp 19,249,999.95 120 Rp 406.89 Rp 48,826.89 47190 Rp 406.89 Rp 19,201,173.06
175 DEXAMETASON 0,5 MG TABLET 0 Rp - Rp - 20000 Rp 136.06 Rp 2,721,180.00 5400 Rp 136.06 Rp 734,718.60 14600 Rp 136.06 Rp 1,986,461.40
176 GRISEOFULVIN TABLET 125 MG TABLET 0 Rp - Rp - 50000 Rp 336.49 Rp 16,824,500.00 3500 Rp 336.49 Rp 1,177,715.00 46500 Rp 336.49 Rp 15,646,785.00
177 KAPTOPRIL 25 MG TABLET 0 Rp - Rp - 80000 Rp 181.12 Rp 14,489,200.00 7100 Rp 181.12 Rp 1,285,916.50 72900 Rp 181.12 Rp 13,203,283.50
178 KLORAMFENIKOL 250MG TABLET 0 Rp - Rp - 30000 Rp 677.84 Rp 20,335,260.00 11000 Rp 677.84 Rp 7,456,262.00 19000 Rp 677.84 Rp 12,878,998.00
179 OMEPRAZOLE 20 MG TABLET 0 Rp - Rp - 45000 Rp 659.85 Rp 29,693,399.85 510 Rp 659.85 Rp 336,525.20 44490 Rp 659.85 Rp 29,356,874.65
180 PARACETAMOL SIR BOTOL 0 Rp - Rp - 1000 Rp 5,041.30 Rp 5,041,300.00 155 Rp 5,041.30 Rp 781,401.50 845 Rp 5,041.30 Rp 4,259,898.50
181 PARACETAMOL TAB 500MG TABLET 0 Rp - Rp - 100000 Rp 274.48 Rp 27,448,300.00 9300 Rp 274.48 Rp 2,552,691.90 90700 Rp 274.48 Rp 24,895,608.10
182 PIROXICAM 10 MG TABLET TABLET 0 Rp - Rp - 20000 Rp 146.38 Rp 2,927,540.00 3300 Rp 146.38 Rp 483,044.10 16700 Rp 146.38 Rp 2,444,495.90
183 SALBUTAMOL 2 MG TABLET 0 Rp - Rp - 80000 Rp 113.28 Rp 9,062,240.00 3700 Rp 113.28 Rp 419,128.60 76300 Rp 113.28 Rp 8,643,111.40
184 SALBUTAMOL 4 MG TABLET 0 Rp - Rp - 80000 Rp 118.73 Rp 9,498,720.00 4400 Rp 118.73 Rp 522,429.60 75600 Rp 118.73 Rp 8,976,290.40
OBAT PATEN
1 PURECEMIA Tablet 270 Rp 3,268.75 Rp 882,562.50 - Rp 3,268.75 Rp - 270 Rp 3,268.75 Rp 882,562.50 0 Rp 3,268.75 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
2 MY JELLY 80 GRAM LUBRICAN BOTOL 101 Rp 69,575.00 Rp 7,027,075.00 - Rp 69,575.00 Rp - 81 Rp 69,575.00 Rp 5,635,575.00 20 Rp 69,575.00 Rp 1,391,500.00
3 NIFUDIAR SUSPENSI 60 ML BOTOL 6 Rp 77,000.00 Rp 462,000.00 - Rp 77,000.00 Rp - 6 Rp 77,000.00 Rp 462,000.00 0 Rp 77,000.00 Rp -
4 Neorodial Tablet Tablet 140 Rp 1,265.00 Rp 177,100.00 - Rp 1,265.00 Rp - 140 Rp 1,265.00 Rp 177,100.00 0 Rp 1,265.00 Rp -
5 BISAKODIL SUPPOSITORIA 10 MG Supp 85 Rp 5,900.00 Rp 501,500.00 - Rp 5,900.00 Rp - 85 Rp 5,900.00 Rp 501,500.00 0 Rp 5,900.00 Rp -
6 BISAKODIL SUPPOSITORIA 5 MG Supp 438 Rp 6,000.00 Rp 2,628,000.00 - Rp 6,000.00 Rp - 252 Rp 6,000.00 Rp 1,512,000.00 186 Rp 6,000.00 Rp 1,116,000.00
7 BUFACETIN (KLORAMFENIKOL SALEP KULIT) Tube 1488 Rp 3,645.00 Rp 5,423,760.00 - Rp 3,645.00 Rp - 480 Rp 3,645.00 Rp 1,749,600.00 1008 Rp 3,645.00 Rp 3,674,160.00
8 COMBIVENT UDV IPRATROPIUM BROMIDE MONOHIDRAT Vial 80 Rp 4,550.00 Rp 364,000.00 - Rp 4,550.00 Rp - 80 Rp 4,550.00 Rp 364,000.00 0 Rp 4,550.00 Rp -
9 HARMIDA GLIBENKLAMID 2.5 MG TABLET 3100 Rp 216.00 Rp 669,600.00 - Rp 216.00 Rp - 3100 Rp 216.00 Rp 669,600.00 0 Rp 216.00 Rp -
10 PANTRIN PIRANTEL PAMOAT TABLET 250 MG TABLET 4500 Rp 1,200.00 Rp 5,400,000.00 - Rp 1,200.00 Rp - 4500 Rp 1,200.00 Rp 5,400,000.00 0 Rp 1,200.00 Rp -
11 CORTIDEX TAB Tablet 4,000 Rp 367.92 Rp 1,471,689.14 700 Rp 367.92 Rp 257,545.60 3300 Rp 367.92 Rp 1,214,143.54
12 EPEXOL 30 MG Tablet 10,000 Rp 1,052.48 Rp 10,524,807.20 500 Rp 1,052.48 Rp 526,240.36 9500 Rp 1,052.48 Rp 9,998,566.84
13 PROMUXOL AMBROXOL SYR Botol 500 Rp 32,053.84 Rp 16,026,917.75 0 Rp 32,053.84 Rp - 500 Rp 32,053.84 Rp 16,026,917.75
14 FORMUNO MULTIVITAMIN Tablet 500 Rp 8,876.96 Rp 4,438,480.67 170 Rp 8,876.96 Rp 1,509,083.43 330 Rp 8,876.96 Rp 2,929,397.24
15 IM BOOST TAB 50'S Tablet 5,000 Rp 4,013.60 Rp 20,067,991.21 700 Rp 4,013.60 Rp 2,809,518.77 4300 Rp 4,013.60 Rp 17,258,472.44
16 MEVITON Tablet 30,000 Rp 2,007.35 Rp 60,220,472.39 2500 Rp 2,007.35 Rp 5,018,372.70 27500 Rp 2,007.35 Rp 55,202,099.69
17 MEFINAL 500 MG Tablet 15,000 Rp 1,705.82 Rp 25,587,322.60 2400 Rp 1,705.82 Rp 4,093,971.62 12600 Rp 1,705.82 Rp 21,493,350.98
18 NEUROSANBE Tablet 5,000 Rp 3,266.70 Rp 16,333,519.66 810 Rp 3,266.70 Rp 2,646,030.18 4190 Rp 3,266.70 Rp 13,687,489.47
19 NEUROSANBE INJ 3 ML Vial 200 Rp 6,979.37 Rp 1,395,874.85 90 Rp 6,979.37 Rp 628,143.68 110 Rp 6,979.37 Rp 767,731.17
20 PIROFEL 10 MG Tablet 10,000 Rp 685.67 Rp 6,856,733.51 500 Rp 685.67 Rp 342,836.68 9500 Rp 685.67 Rp 6,513,896.83
21 PROPEPSA SYR 100 ML Botol 125 Rp 73,472.97 Rp 9,184,120.69 29 Rp 73,472.97 Rp 2,130,716.00 96 Rp 73,472.97 Rp 7,053,404.69
22 SANMOL 500 MG Tablet 15,000 Rp 367.92 Rp 5,518,834.29 700 Rp 367.92 Rp 257,545.60 14300 Rp 367.92 Rp 5,261,288.69
23 VERSYL TAB 50'S Tablet 1,500 Rp 2,564.31 Rp 3,846,460.26 550 Rp 2,564.31 Rp 1,410,368.76 950 Rp 2,564.31 Rp 2,436,091.50
24 VOCEFA SYRUP Botol 200 Rp 57,696.90 Rp 11,539,380.78 20 Rp 57,696.90 Rp 1,153,938.08 180 Rp 57,696.90 Rp 10,385,442.70
BAHAN MEDIS HABIS PAKAI 0 0
1 Alat Suntik 10 ml Pcs 113 Rp 1,694.00 Rp 191,422.00 - Rp 1,694.00 Rp - 80 Rp 1,694.00 Rp 135,520.00 33 Rp 1,694.00 Rp 55,902.00
2 Alat Suntik 20 ml Pcs 303 Rp 2,228.00 Rp 675,084.00 - Rp 2,228.00 Rp - 253 Rp 2,228.00 Rp 563,684.00 50 Rp 2,228.00 Rp 111,400.00
3 ALKOHOL SWAB Box 950 Rp 11,500.00 Rp 10,925,000.00 - Rp 11,500.00 Rp - 950 Rp 11,500.00 Rp 10,925,000.00 0 Rp 11,500.00 Rp -
4 Catheter (folley cathteter) no.12 Pcs 140 Rp 13,750.00 Rp 1,925,000.00 - Rp 13,750.00 Rp - 140 Rp 13,750.00 Rp 1,925,000.00 0 Rp 13,750.00 Rp -
6 UROCARE FOLLEY CATHETER 2 WAY NO.14 Box 97 Rp 92,000.00 Rp 8,924,000.00 - Rp 92,000.00 Rp - 27 Rp 92,000.00 Rp 2,484,000.00 70 Rp 92,000.00 Rp 6,440,000.00
7 Catheter (folley cathteter) no.16 Pcs 220 Rp 13,750.00 Rp 3,025,000.00 - Rp 13,750.00 Rp - 190 Rp 13,750.00 Rp 2,612,500.00 30 Rp 13,750.00 Rp 412,500.00
9 COPPER T Pcs 55 Rp 124,300.00 Rp 6,836,500.00 - Rp 124,300.00 Rp - 50 Rp 124,300.00 Rp 6,215,000.00 5 Rp 124,300.00 Rp 621,500.00
10 ELASTIC VERBAND 6 INCHI Pcs 134 Rp 86,680.00 Rp 11,615,120.00 - Rp 86,680.00 Rp - 43 Rp 86,680.00 Rp 3,727,240.00 91 Rp 86,680.00 Rp 7,887,880.00
11 FEEDING TUBE 8FR 40CM Pcs 276 Rp 8,804.40 Rp 2,430,014.40 - Rp 8,804.40 Rp - 4 Rp 8,804.40 Rp 35,217.60 272 Rp 8,804.40 Rp 2,394,796.80
12 Hands Schoen no 8 Set 100 Rp 9,500.00 Rp 950,000.00 - Rp 9,500.00 Rp - 100 Rp 9,500.00 Rp 950,000.00 0 Rp 9,500.00 Rp -
13 Hypafix 5 cm x 1 m Roll 60 Rp 17,610.00 Rp 1,056,600.00 - Rp 17,610.00 Rp - 46 Rp 17,610.00 Rp 810,060.00 14 Rp 17,610.00 Rp 246,540.00
14 Hypafix 5 cm x 5 m Roll 60 Rp 92,000.00 Rp 5,520,000.00 - Rp 92,000.00 Rp - 41 Rp 92,000.00 Rp 3,772,000.00 19 Rp 92,000.00 Rp 1,748,000.00
15 Jarum Jahit 1/2 Surgical Lusin 124 Rp 27,875.00 Rp 3,456,500.00 - Rp 27,875.00 Rp - 120 Rp 27,875.00 Rp 3,345,000.00 4 Rp 27,875.00 Rp 111,500.00
16 Jarum Jahit 3/8 Surgical Lusin 129 Rp 27,875.00 Rp 3,595,875.00 - Rp 27,875.00 Rp - 120 Rp 27,875.00 Rp 3,345,000.00 9 Rp 27,875.00 Rp 250,875.00
17 Kapas Pembalut 250 gr Roll 500 Rp 14,375.00 Rp 7,187,500.00 - Rp 14,375.00 Rp - 0 Rp 14,375.00 Rp - 500 Rp 14,375.00 Rp 7,187,500.00
18 Kapas Pembalut 250 gr Roll 100 Rp 22,000.00 Rp 2,200,000.00 - Rp 22,000.00 Rp - 100 Rp 22,000.00 Rp 2,200,000.00 0 Rp 22,000.00 Rp -
19 KAPAS PEMBALUT 250G Roll 500 Rp 14,375.00 Rp 7,187,500.00 - Rp 14,375.00 Rp - 50 Rp 14,375.00 Rp 718,750.00 450 Rp 14,375.00 Rp 6,468,750.00
20 Kasa Steril 18 x 22 cm Box 600 Rp 8,625.00 Rp 5,175,000.00 - Rp 8,625.00 Rp - 572 Rp 8,625.00 Rp 4,933,500.00 28 Rp 8,625.00 Rp 241,500.00
21 KASA HYDROFPHIL STERIL 18 X 22 Box 1000 Rp 8,625.00 Rp 8,625,000.00 - Rp 8,625.00 Rp - 0 Rp 8,625.00 Rp - 1000 Rp 8,625.00 Rp 8,625,000.00
22 KASA HYDROFPHIL 40 X 80 CM Roll 5 Rp 120,750.00 Rp 603,750.00 - Rp 120,750.00 Rp - 5 Rp 120,750.00 Rp 603,750.00 0 Rp 120,750.00 Rp -
23 KASA HYDROFPHIL 40 X 80 CM Roll 500 Rp 120,750.00 Rp 60,375,000.00 - Rp 120,750.00 Rp - 176 Rp 120,750.00 Rp 21,252,000.00 324 Rp 120,750.00 Rp 39,123,000.00
24 KASA KOMPRESS STERIL 40M X 40CM Bungkus 1800 Rp 1,840.00 Rp 3,312,000.00 - Rp 1,840.00 Rp - 484 Rp 1,840.00 Rp 890,560.00 1316 Rp 1,840.00 Rp 2,421,440.00
25 KASA KOMPRES STERIL 40 X 40 PCS 800 Rp 1,840.00 Rp 1,472,000.00 - Rp 1,840.00 Rp - 100 Rp 1,840.00 Rp 184,000.00 700 Rp 1,840.00 Rp 1,288,000.00
26 Kasa Pembalut 2 m x 80 cm Roll 1000 Rp 8,855.00 Rp 8,855,000.00 - Rp 8,855.00 Rp - 25 Rp 8,855.00 Rp 221,375.00 975 Rp 8,855.00 Rp 8,633,625.00
27 KASA PEMBALUT 2M X 80CM Roll 525 Rp 8,855.00 Rp 4,648,875.00 - Rp 8,855.00 Rp - 0 Rp 8,855.00 Rp - 525 Rp 8,855.00 Rp 4,648,875.00
28 KASA PEMBALUT HYDROFILL 4M X 15CM Roll 325 Rp 2,415.00 Rp 784,875.00 - Rp 2,415.00 Rp - 325 Rp 2,415.00 Rp 784,875.00 0 Rp 2,415.00 Rp -
29 KASA PEMBALUT HYDROFILL 4M X 15CM Roll 2000 Rp 2,415.00 Rp 4,830,000.00 - Rp 2,415.00 Rp - 450 Rp 2,415.00 Rp 1,086,750.00 1550 Rp 2,415.00 Rp 3,743,250.00
30 KASA PEMBALUT HYDROFILL 4M X 10CM Roll 1235 Rp 1,725.00 Rp 2,130,375.00 - Rp 1,725.00 Rp - 785 Rp 1,725.00 Rp 1,354,125.00 450 Rp 1,725.00 Rp 776,250.00
31 KASA PEMBALUT HYDROFILL 4M X 10CM Roll 1950 Rp 1,725.00 Rp 3,363,750.00 - Rp 1,725.00 Rp - 200 Rp 1,725.00 Rp 345,000.00 1750 Rp 1,725.00 Rp 3,018,750.00
32 KASA PEMBALUT HYDROFILL 4M X 5CM Roll 80 Rp 862.50 Rp 69,000.00 - Rp 862.50 Rp - 80 Rp 862.50 Rp 69,000.00 0 Rp 862.50 Rp -
33 KASA PEMBALUT HYDROFILL 4M X 5CM Roll 1800 Rp 862.50 Rp 1,552,500.00 - Rp 862.50 Rp - 400 Rp 862.50 Rp 345,000.00 1400 Rp 862.50 Rp 1,207,500.00
34 KASA HYDROFPHIL STERIL 16 X 16 Bungkus 2000 Rp 9,200.00 Rp 18,400,000.00 - Rp 9,200.00 Rp - 0 Rp 9,200.00 Rp - 2000 Rp 9,200.00 Rp 18,400,000.00
35 KASA HYDROFPHIL STERIL 16 X 16 Roll 1300 Rp 9,200.00 Rp 11,960,000.00 - Rp 9,200.00 Rp - 670 Rp 9,200.00 Rp 6,164,000.00 630 Rp 9,200.00 Rp 5,796,000.00
36 KASA STERIL 10X10 CM,8 PLY,1X10'S Pack 900 Rp 10,845.30 Rp 9,760,770.00 - Rp 10,845.30 Rp - 450 Rp 10,845.30 Rp 4,880,385.00 450 Rp 10,845.30 Rp 4,880,385.00
37 KASA STERIL 10X10 CM,8 PLY,1X10'S Roll 1000 Rp 10,845.30 Rp 10,845,300.00 - Rp 10,845.30 Rp - 100 Rp 10,845.30 Rp 1,084,530.00 900 Rp 10,845.30 Rp 9,760,770.00
38 KERTAS PUYER BLANK Bungkus 123 Rp 93,500.00 Rp 11,500,500.00 - Rp 93,500.00 Rp - 35 Rp 93,500.00 Rp 3,272,500.00 88 Rp 93,500.00 Rp 8,228,000.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
39 SURGICAL MASK EARLOOP Box 1827 Rp 18,975.00 Rp 34,667,325.00 - Rp 18,975.00 Rp - 1518 Rp 18,975.00 Rp 28,804,050.00 309 Rp 18,975.00 Rp 5,863,275.00
40 ONEJACK AUTODISABLE SYRINGE 0,05 ML PCS 3200 Rp 3,795.00 Rp 12,144,000.00 - Rp 3,795.00 Rp - 400 Rp 3,795.00 Rp 1,518,000.00 2800 Rp 3,795.00 Rp 10,626,000.00
41 Paper Tape 2.5 cm x 9.14 m Roll 24 Rp 131,300.00 Rp 3,151,200.00 - Rp 131,300.00 Rp - 24 Rp 131,300.00 Rp 3,151,200.00 0 Rp 131,300.00 Rp -
42 PLESTERIN NON WOVEN ROLL 10CM X 5CM Roll 350 Rp 47,564.00 Rp 16,647,400.00 - Rp 47,564.00 Rp - 120 Rp 47,564.00 Rp 5,707,680.00 230 Rp 47,564.00 Rp 10,939,720.00
44 PLESTERIN NON WOVEN ROLL 5CM X 5CM Roll 97 Rp 27,324.00 Rp 2,650,428.00 - Rp 27,324.00 Rp - 87 Rp 27,324.00 Rp 2,377,188.00 10 Rp 27,324.00 Rp 273,240.00
48 GEA MEDICAL REGULATOR 02 XY-988 Pcs 121 Rp 453,200.00 Rp 54,837,200.00 - Rp 453,200.00 Rp - 45 Rp 453,200.00 Rp 20,394,000.00 76 Rp 453,200.00 Rp 34,443,200.00
49 URINE BAG STERIL Pcs 240 Rp 3,450.00 Rp 828,000.00 - Rp 3,450.00 Rp - 180 Rp 3,450.00 Rp 621,000.00 60 Rp 3,450.00 Rp 207,000.00
50 URINE BAG STERIL Pcs 500 Rp 3,450.00 Rp 1,725,000.00 - Rp 3,450.00 Rp - 30 Rp 3,450.00 Rp 103,500.00 470 Rp 3,450.00 Rp 1,621,500.00
51 Chirurgic Gloves No.6,5 Set 300 Rp 9,500.00 Rp 2,850,000.00 - Rp 9,500.00 Rp - 300 Rp 9,500.00 Rp 2,850,000.00 0 Rp 9,500.00 Rp -
52 Examination Gloves Size L DUS 7 Rp 57,750.00 Rp 404,250.00 - Rp 57,750.00 Rp - 7 Rp 57,750.00 Rp 404,250.00 0 Rp 57,750.00 Rp -
53 NIPRO INFUSET " Y " pcs 732 Rp 6,343.00 Rp 4,643,076.00 - Rp 6,343.00 Rp - 732 Rp 6,343.00 Rp 4,643,076.00 0 Rp 6,343.00 Rp -
54 NIPRO SYRINGE 5 CC pcs 100 Rp 1,248.23 Rp 124,823.00 - Rp 1,248.23 Rp - 100 Rp 1,248.23 Rp 124,823.00 0 Rp 1,248.23 Rp -
55 NIPRO SYRINGE 10 CC pcs 150 Rp 1,654.95 Rp 248,242.50 - Rp 1,654.95 Rp - 150 Rp 1,654.95 Rp 248,242.50 0 Rp 1,654.95 Rp -
56 NIPRO IV CATHETER 18G X 2 pcs 397 Rp 8,974.95 Rp 3,563,055.15 - Rp 8,974.95 Rp - 397 Rp 8,974.95 Rp 3,563,055.15 0 Rp 8,974.95 Rp -
57 AXIMED EXAM GLOVES, SIZE S box 80 Rp 57,750.00 Rp 4,620,000.00 - Rp 57,750.00 Rp - 80 Rp 57,750.00 Rp 4,620,000.00 0 Rp 57,750.00 Rp -
58 AXIMED EXAM GLOVES, SIZE M box 69 Rp 57,750.00 Rp 3,984,750.00 - Rp 57,750.00 Rp - 69 Rp 57,750.00 Rp 3,984,750.00 0 Rp 57,750.00 Rp -
59 AXIMED FOLEYCATH, 2 WAY LATEX FOLEY CATH, NO. 14 Pcs 1130 Rp 12,100.00 Rp 13,673,000.00 - Rp 12,100.00 Rp - 100 Rp 12,100.00 Rp 1,210,000.00 1030 Rp 12,100.00 Rp 12,463,000.00
60 AXIMED FEEDING TUBE 40CM NO. 6 pcs 14 Rp 9,212.50 Rp 128,975.00 - Rp 9,212.50 Rp - 14 Rp 9,212.50 Rp 128,975.00 0 Rp 9,212.50 Rp -
61 AXIMED FEEDING TUBE 40CM NO. 6 Pcs 340 Rp 8,107.00 Rp 2,756,380.00 - Rp 8,107.00 Rp - 140 Rp 8,107.00 Rp 1,134,980.00 200 Rp 8,107.00 Rp 1,621,400.00
62 AXIMED FEEDING TUBE 40CM NO. 8 pcs 5 Rp 9,212.50 Rp 46,062.50 - Rp 9,212.50 Rp - 5 Rp 9,212.50 Rp 46,062.50 0 Rp 9,212.50 Rp -
63 AXIMED FEEDING TUBE 40CM NO. 8 Pcs 340 Rp 8,107.00 Rp 2,756,380.00 - Rp 8,107.00 Rp - 140 Rp 8,107.00 Rp 1,134,980.00 200 Rp 8,107.00 Rp 1,621,400.00
64 AXIMED FEEDING TUBE 40CM NO.10 pcs 10 Rp 9,212.50 Rp 92,125.00 - Rp 9,212.50 Rp - 10 Rp 9,212.50 Rp 92,125.00 0 Rp 9,212.50 Rp -
65 AXIMED FEEDING TUBE 40CM NO.10 Pcs 320 Rp 8,107.00 Rp 2,594,240.00 - Rp 8,107.00 Rp - 120 Rp 8,107.00 Rp 972,840.00 200 Rp 8,107.00 Rp 1,621,400.00
66 ALKOHOL SWAB BOX 800 Rp 11,500.00 Rp 9,200,000.00 - Rp 11,500.00 Rp - 86 Rp 11,500.00 Rp 989,000.00 714 Rp 11,500.00 Rp 8,211,000.00
67 ANIOS DERMANIOS CHLORHEXIDIN 500 ML Botol 17 Rp 112,413.60 Rp 1,911,031.20 - Rp 112,413.60 Rp - 16 Rp 112,413.60 Rp 1,798,617.60 1 Rp 112,413.60 Rp 112,413.60
68 AUTHOCHECK CHOLESTEROL TUBE @25 STRIP KOTAK 95 Rp 367,812.50 Rp 34,942,187.50 - Rp 367,812.50 Rp - 95 Rp 367,812.50 Rp 34,942,187.50 0 Rp 367,812.50 Rp -
69 AUTHOCHECK GLUKOSA TUBE @50 STRIP KOTAK 167 Rp 136,950.00 Rp 22,870,650.00 - Rp 136,950.00 Rp - 150 Rp 136,950.00 Rp 20,542,500.00 17 Rp 136,950.00 Rp 2,328,150.00
70 AUTHOCHECK URIC ACID TUBE @50 STRIP KOTAK 128 Rp 178,200.00 Rp 22,809,600.00 - Rp 178,200.00 Rp - 128 Rp 178,200.00 Rp 22,809,600.00 0 Rp 178,200.00 Rp -
71 E.W.G SURGICAL GLOVES 7 Pcs 4850 Rp 5,383.38 Rp 26,109,402.70 - Rp 5,383.38 Rp - 3000 Rp 5,383.38 Rp 16,150,146.00 1850 Rp 5,383.38 Rp 9,959,256.70
72 E.W.G SURGICAL GLOVES 7.5 Pcs 4600 Rp 5,383.38 Rp 24,763,557.20 - Rp 5,383.38 Rp - 3150 Rp 5,383.38 Rp 16,957,653.30 1450 Rp 5,383.38 Rp 7,805,903.90
73 E.W.G SURGICAL GLOVES 8 Pcs 5000 Rp 5,382.88 Rp 26,914,410.00 - Rp 5,382.88 Rp - 1850 Rp 5,382.88 Rp 9,958,331.70 3150 Rp 5,382.88 Rp 16,956,078.30
74 JAYAMAS ONEMED POVIDONE IODINE 30 ML BOTOL 2000 Rp 3,480.00 Rp 6,960,000.00 - Rp 3,480.00 Rp - 100 Rp 3,480.00 Rp 348,000.00 1900 Rp 3,480.00 Rp 6,612,000.00
75 JAYAMAS ONEMED POVIDONE IODINE 60 ML BOTOL 283 Rp 4,440.00 Rp 1,256,520.00 - Rp 4,440.00 Rp - 45 Rp 4,440.00 Rp 199,800.00 238 Rp 4,440.00 Rp 1,056,720.00
76 JAYAMAS SUPERLIFE NITRILE M BOX 50 Rp 65,780.00 Rp 3,289,000.00 - Rp 65,780.00 Rp - 12 Rp 65,780.00 Rp 789,360.00 38 Rp 65,780.00 Rp 2,499,640.00
77 JAYAMAS SUPERLIFE NITRILE L BOX 43 Rp 65,780.00 Rp 2,828,540.00 - Rp 65,780.00 Rp - 10 Rp 65,780.00 Rp 657,800.00 33 Rp 65,780.00 Rp 2,170,740.00
78 JAYAMAS ONEMED MASKER N95 PCS 1600 Rp 7,488.80 Rp 11,982,080.00 - Rp 7,488.80 Rp - 930 Rp 7,488.80 Rp 6,964,584.00 670 Rp 7,488.80 Rp 5,017,496.00
79 KASA PEMBALUT HYDROFILL 4M X 10CM Roll 1500 Rp 1,725.00 Rp 2,587,500.00 - Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp - 1500 Rp 1,725.00 Rp 2,587,500.00
80 KASA PEMBALUT HYDROFILL 4M X 5CM Roll 1500 Rp 862.50 Rp 1,293,750.00 - Rp 862.50 Rp - 0 Rp 862.50 Rp - 1500 Rp 862.50 Rp 1,293,750.00
81 KERTAS PUYER BLANK Bungkus 210 Rp 156,750.00 Rp 32,917,500.00 - Rp 156,750.00 Rp - 0 Rp 156,750.00 Rp - 210 Rp 156,750.00 Rp 32,917,500.00
82 UNION AUTO DESTRUCT SYRINGE 0.5 ML PCS 1000 Rp 1,385.71 Rp 1,385,710.00 - Rp 1,385.71 Rp - 50 Rp 1,385.71 Rp 69,285.50 950 Rp 1,385.71 Rp 1,316,424.50
83 DISP SYRINGE 1 ML PCS 5626 Rp 821.48 Rp 4,621,668.98 - Rp 821.48 Rp - 5626 Rp 821.48 Rp 4,621,668.98 0 Rp 821.48 Rp -
84 DISP SYRINGE 2.5 ML PCS 6027 Rp 864.72 Rp 5,211,667.44 - Rp 864.72 Rp - 4327 Rp 864.72 Rp 3,741,643.44 1700 Rp 864.72 Rp 1,470,024.00
85 INFUSION SET FOR PEDIATRIC PCS 523 Rp 3,556.16 Rp 1,859,871.68 - Rp 3,556.16 Rp - 523 Rp 3,556.16 Rp 1,859,871.68 0 Rp 3,556.16 Rp -
86 IV CATHETER 18G Pcs 750 Rp 9,461.25 Rp 7,095,937.00 - Rp 9,461.25 Rp - 185 Rp 9,461.25 Rp 1,750,331.13 565 Rp 9,461.25 Rp 5,345,605.87
87 IV CATHETER 24G Pcs 750 Rp 9,461.25 Rp 7,095,937.00 - Rp 9,461.25 Rp - 670 Rp 9,461.25 Rp 6,339,037.05 80 Rp 9,461.25 Rp 756,899.95
88 HIDROGEN PEROXIDE 3% BOTOL 24 Rp 4,032.00 Rp 96,768.00 - Rp 4,032.00 Rp - 4 Rp 4,032.00 Rp 16,128.00 20 Rp 4,032.00 Rp 80,640.00
89 SILK 2/0 + JARUM 1/2 GT 35 MM Dus 198 Rp 126,500.00 Rp 25,047,000.00 - Rp 126,500.00 Rp - 26 Rp 126,500.00 Rp 3,289,000.00 172 Rp 126,500.00 Rp 21,758,000.00
90 COSMOMED NASAL OXYGEN CANULA Pcs 500 Rp 8,004.00 Rp 4,002,000.00 - Rp 8,004.00 Rp - 170 Rp 8,004.00 Rp 1,360,680.00 330 Rp 8,004.00 Rp 2,641,320.00
91 COSMOMED OXYGEN MASK Pcs 100 Rp 12,180.00 Rp 1,218,000.00 - Rp 12,180.00 Rp - 65 Rp 12,180.00 Rp 791,700.00 35 Rp 12,180.00 Rp 426,300.00
92 OXYGEN MASK DEWASA DAN ANAK (EKOMED) Pcs 1000 Rp 10,559.90 Rp 10,559,900.00 - Rp 10,559.90 Rp - 333 Rp 10,559.90 Rp 3,516,446.70 667 Rp 10,559.90 Rp 7,043,453.30
93 PAPER TAPE 2.5 cm x 9.14 m Roll 300 Rp 22,550.00 Rp 6,765,000.00 - Rp 22,550.00 Rp - 300 Rp 22,550.00 Rp 6,765,000.00 0 Rp 22,550.00 Rp -
94 PLESTERIN NON WOVEN ROLL 15CM X 5CM Roll 985 Rp 79,948.00 Rp 78,748,780.00 - Rp 79,948.00 Rp - 0 Rp 79,948.00 Rp - 985 Rp 79,948.00 Rp 78,748,780.00
95 PLESTERIN NON WOVEN ROLL 5CM X 5CM Roll 1200 Rp 27,324.00 Rp 32,788,800.00 - Rp 27,324.00 Rp - 0 Rp 27,324.00 Rp - 1200 Rp 27,324.00 Rp 32,788,800.00
96 SURGICAL SUTURE+NEEDLE SILK BLACK BRAIDED 3/0 75 CM Dus 162 Rp 167,813.70 Rp 27,185,819.40 - Rp 167,813.70 Rp - 29 Rp 167,813.70 Rp 4,866,597.30 133 Rp 167,813.70 Rp 22,319,222.10
97 SURGICAL SUTURE+NEEDLE CATGUT CROMIC 2/0 75 CM Dus 143 Rp 215,045.00 Rp 30,751,435.00 - Rp 215,045.00 Rp - 41 Rp 215,045.00 Rp 8,816,845.00 102 Rp 215,045.00 Rp 21,934,590.00
98 SURGICAL SUTURE+NEEDLE CATGUT CROMIC 3/0 75 CM Dus 144 Rp 215,045.00 Rp 30,966,480.00 - Rp 215,045.00 Rp - 51 Rp 215,045.00 Rp 10,967,295.00 93 Rp 215,045.00 Rp 19,999,185.00
99 SURGICAL SUTURE+NEEDLE CATGUT PLAIN 2/0 75 CM Dus 195 Rp 215,045.00 Rp 41,933,775.00 - Rp 215,045.00 Rp - 15 Rp 215,045.00 Rp 3,225,675.00 180 Rp 215,045.00 Rp 38,708,100.00
100 ALKOHOL 70% Botol 0 Rp - Rp - 450 Rp 34,375.00 Rp 15,468,750.00 4 Rp 34,375.00 Rp 137,500.00 446 Rp 34,375.00 Rp 15,331,250.00
101 Aseptan 2% sol 500 ml Botol 0 Rp - Rp - 500 Rp 80,745.00 Rp 40,372,500.00 2 Rp 80,745.00 Rp 161,490.00 498 Rp 80,745.00 Rp 40,211,010.00
102 ASEPTIC LIQUID 100 ML +ORAL SPONGE STERIL Botol 0 Rp - Rp - 25 Rp 28,875.00 Rp 721,875.00 0 Rp 28,875.00 Rp - 25 Rp 28,875.00 Rp 721,875.00
103 AUTHOCHECK CHOLESTEROL TUBE @25 STRIP Box 0 Rp - Rp - 150 Rp 385,235.00 Rp 57,785,250.00 45 Rp 385,235.00 Rp 17,335,575.00 105 Rp 385,235.00 Rp 40,449,675.00
104 AUTHOCHECK GLUKOSA TUBE @50 STRIP Box 0 Rp - Rp - 150 Rp 154,235.00 Rp 23,135,250.00 0 Rp 154,235.00 Rp - 150 Rp 154,235.00 Rp 23,135,250.00
105 AUTHOCHECK URIC ACID TUBE @50 STRIP Box 0 Rp - Rp - 150 Rp 195,485.00 Rp 29,322,750.00 16 Rp 195,485.00 Rp 3,127,760.00 134 Rp 195,485.00 Rp 26,194,990.00
106 AXIMED CHIRURGIC GLOVES, SIZE 7.0 Pcs 0 Rp - Rp - 2500 Rp 9,840.00 Rp 24,600,000.00 0 Rp 9,840.00 Rp - 2500 Rp 9,840.00 Rp 24,600,000.00
109 AXIMED IV-CATH NP, PEN TYPE NO. 18 Pcs 0 Rp - Rp - 1500 Rp 7,846.25 Rp 11,769,375.00 0 Rp 7,846.25 Rp - 1500 Rp 7,846.25 Rp 11,769,375.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
110 AXIMED IV-CATH NP, PEN TYPE NO. 20 Pcs 0 Rp - Rp - 1500 Rp 7,846.25 Rp 11,769,375.00 175 Rp 7,846.25 Rp 1,373,093.75 1325 Rp 7,846.25 Rp 10,396,281.25
111 AXIMED IV-CATH NP, PEN TYPE NO. 22 Pcs 0 Rp - Rp - 1500 Rp 7,798.75 Rp 11,698,125.00 50 Rp 7,798.75 Rp 389,937.50 1450 Rp 7,798.75 Rp 11,308,187.50
114 AXIMED SYRINGE 1 CC Pcs 0 Rp - Rp - 10000 Rp 1,100.45 Rp 11,004,500.00 372 Rp 1,100.45 Rp 409,367.40 9628 Rp 1,100.45 Rp 10,595,132.60
115 AXIMED SYRINGE 3 CC Pcs 0 Rp - Rp - 2000 Rp 1,109.73 Rp 2,219,450.00 50 Rp 1,109.73 Rp 55,486.25 1950 Rp 1,109.73 Rp 2,163,963.75
116 BLOOD LANCET NO.26 Box 0 Rp - Rp - 300 Rp 16,800.00 Rp 5,040,000.00 Rp 16,800.00 Rp - 300 Rp 16,800.00 Rp 5,040,000.00
117 Disposable Syringe 2.5 ml Pcs 0 Rp - Rp - 10000 Rp 780.00 Rp 7,800,000.00 0 Rp 780.00 Rp - 10000 Rp 780.00 Rp 7,800,000.00
118 INFUSET ANAK TYPE Y Pcs 0 Rp - Rp - 2000 Rp 7,438.80 Rp 14,877,600.00 0 Rp 7,438.80 Rp - 2000 Rp 7,438.80 Rp 14,877,600.00
119 MY JELLY 82 GRAM Pcs 0 Rp - Rp - 50 Rp 36,937.50 Rp 1,846,875.00 7 Rp 36,937.50 Rp 258,562.50 43 Rp 36,937.50 Rp 1,588,312.50
120 ONE SCRUB 2% 500 ML + DISPENSER Botol 0 Rp - Rp - 200 Rp 68,775.00 Rp 13,755,000.00 4 Rp 68,775.00 Rp 275,100.00 196 Rp 68,775.00 Rp 13,479,900.00
PETERS SILK TYPE 3/0 USP 2 MET 1/2 TAPER POINT 25 MM 75
121 Pcs 0 Rp - Rp - 700 Rp 34,000.00 Rp 23,800,000.00 0 Rp 34,000.00 Rp - 700 Rp 34,000.00 Rp 23,800,000.00
CM THREAD
PETERS SILK TYPE 3/0 USP 2 MET 3/8 CUTTING 25 MM 75 CM
THREAD
PETERS SILK TYPE 2/0 USP 3 MET 1/2/ TAPER POINT 25 MM 75
CM THREAD
PETERS SILK TYPE 2/0 USP 2 MET 3/8 CUTTING 25 MM 75 CM
THREAD
PETERS OPTIME TYPE 3/0 USP 2 MET 1/2 TAPER POINT 22 MM
75 CM THREAD
PETERS OPTIME TYPE 3/0 USP 2 MET 3/8 CUTTING 24 MM 75
CM THREAD
75 CM THREAD
75 CM THREAD
129 Plesterin first aid elastis box isi 100 Box 0 Rp - Rp - 150 Rp 23,032.80 Rp 3,454,920.00 0 Rp 23,032.80 Rp - 150 Rp 23,032.80 Rp 3,454,920.00
130 Povidone iodine larutan 30 ml Botol 0 Rp - Rp - 500 Rp 4,000.00 Rp 2,000,000.00 Rp 4,000.00 Rp - 500 Rp 4,000.00 Rp 2,000,000.00
131 Povidone iodine 60 ml Botol 0 Rp - Rp - 500 Rp 5,637.50 Rp 2,818,750.00 Rp 5,637.50 Rp - 500 Rp 5,637.50 Rp 2,818,750.00
132 Povidone iodine 300 ml Botol 0 Rp - Rp - 200 Rp 26,250.00 Rp 5,250,000.00 Rp 26,250.00 Rp - 200 Rp 26,250.00 Rp 5,250,000.00
133 Safewell infusion set Pcs 0 Rp - Rp - 2000 Rp 16,531.20 Rp 33,062,400.00 0 Rp 16,531.20 Rp - 2000 Rp 16,531.20 Rp 33,062,400.00
134 ULTRAONE TEST HAMIL Pcs 0 Rp - Rp - 10000 Rp 2,280.00 Rp 22,800,000.00 0 Rp 2,280.00 Rp - 10000 Rp 2,280.00 Rp 22,800,000.00
BHP PENANGGULANGAN TB
1 SD BIOLINE HIV 1/2 3.0 Pcs 0 Rp - Rp - 85 Rp 903,000.00 Rp 76,755,000.00 0 Rp 903,000.00 Rp - 85 Rp 903,000.00 Rp 76,755,000.00
2 SD BIOLINE SYPHILIS 3.0 O6FK10 Pcs 0 Rp - Rp - 85 Rp 488,250.00 Rp 41,501,250.00 0 Rp 488,250.00 Rp - 85 Rp 488,250.00 Rp 41,501,250.00
3 POT DAHAK STERIL Pot 0 Rp - Rp - 5000 Rp 3,856.00 Rp 19,280,000.00 0 Rp 3,856.00 Rp - 5000 Rp 3,856.00 Rp 19,280,000.00
4 PEWARNA ZIEHL NEELSEN 5 X 100 ML KIT 0 Rp - Rp - 165 Rp 237,045.45 Rp 39,112,499.91 0 Rp 237,045.45 Rp - 165 Rp 237,045.45 Rp 39,112,499.91
5 Microscope Slides Pcs 0 Rp - Rp - 100 Rp 38,500.00 Rp 3,850,000.00 0 Rp 38,500.00 Rp - 100 Rp 38,500.00 Rp 3,850,000.00
BHP PENANGGULANGAN MALARIA
1 FIRST RESPOSE MALARIA ANTIGEN COMBO CARD TEST SET 0 Rp - Rp - 100 Rp 440,850.00 Rp 44,085,000.00 42 Rp 440,850.00 Rp 18,515,700.00 58 Rp 440,850.00 Rp 25,569,300.00
REAGEN LABORATORIUM
1 LARUTAN SPIRITUS Botol 118 Rp 52,965.00 Rp 6,249,870.00 - Rp 52,965.00 Rp - 19 Rp 52,965.00 Rp 1,006,335.00 99 Rp 52,965.00 Rp 5,243,535.00
2 LARUTAN SPIRITUS Botol 35 Rp 63,580.00 Rp 2,225,300.00 - Rp 63,580.00 Rp - 0 Rp 63,580.00 Rp - 35 Rp 63,580.00 Rp 2,225,300.00
OBAT GIGI
1 Saliva Ejector Bungkus 37 Rp 87,250.00 Rp 3,228,250.00 - Rp 87,250.00 Rp - 3 Rp 87,250.00 Rp 261,750.00 34 Rp 87,250.00 Rp 2,966,500.00
2 Silk Automatic dgn Jarum untuk Gigi Pcs 2 Rp 19,600.00 Rp 39,200.00 - Rp 19,600.00 Rp - 0 Rp 19,600.00 Rp - 2 Rp 19,600.00 Rp 39,200.00
3 Caviton White DC @30 Gr Pot 50 Rp 177,650.00 Rp 8,882,500.00 Rp 177,650.00 Rp - 10 Rp 177,650.00 Rp 1,776,500.00 40 Rp 177,650.00 Rp 7,106,000.00
4 Cotton Roll untuk Gigi @12 Pak 130 Rp 92,400.00 Rp 12,012,000.00 Rp 92,400.00 Rp - 2 Rp 92,400.00 Rp 184,800.00 128 Rp 92,400.00 Rp 11,827,200.00
5 Calcium Hydroxide/HYDCAL TECHNEW Set 30 Rp 303,600.00 Rp 9,108,000.00 Rp 303,600.00 Rp - 5 Rp 303,600.00 Rp 1,518,000.00 25 Rp 303,600.00 Rp 7,590,000.00
6 CALCIPEX +1 @2,1 Gram Tube 130 Rp 545,600.00 Rp 70,928,000.00 Rp 545,600.00 Rp - 15 Rp 545,600.00 Rp 8,184,000.00 115 Rp 545,600.00 Rp 62,744,000.00
7 FUJI 9 MINI PACK NEW Set 20 Rp 313,500.00 Rp 6,270,000.00 Rp 313,500.00 Rp - 20 Rp 313,500.00 Rp 6,270,000.00 0 Rp 313,500.00 Rp -
8 HOMOSPON/CERASPON @10s Box 100 Rp 341,000.00 Rp 34,100,000.00 Rp 341,000.00 Rp - 20 Rp 341,000.00 Rp 6,820,000.00 80 Rp 341,000.00 Rp 27,280,000.00
9 IODOFORM PASTE @10 MG Pot 30 Rp 294,800.00 Rp 8,844,000.00 Rp 294,800.00 Rp - 2 Rp 294,800.00 Rp 589,600.00 28 Rp 294,800.00 Rp 8,254,400.00
10 KALZINOL LIQUID @15 ml Pot 50 Rp 409,750.00 Rp 20,487,500.00 Rp 409,750.00 Rp - 2 Rp 409,750.00 Rp 819,500.00 48 Rp 409,750.00 Rp 19,668,000.00
11 KALZINOL POWDER @40 Gram Pot 50 Rp 508,200.00 Rp 25,410,000.00 Rp 508,200.00 Rp - 2 Rp 508,200.00 Rp 1,016,400.00 48 Rp 508,200.00 Rp 24,393,600.00
12 SOLARE ANTERIOR # A3 GC Syringe 20 Rp 216,260.00 Rp 4,325,200.00 Rp 216,260.00 Rp - 5 Rp 216,260.00 Rp 1,081,300.00 15 Rp 216,260.00 Rp 3,243,900.00
Jumlah Obat DAK Rp 2,066,072,826.93 Rp 1,663,848,979.71 0 Rp 1,072,964,649.15 Rp 2,656,957,157.49
OBAT DAU SiLPA
1 Asetilsistein 200 mg Tablet 0 Rp 1,868.33 Rp - 1200 Rp 1,868.33 Rp 2,242,000.00 0 Rp 1,868.33 Rp - 1200 Rp 1,868.33 Rp 2,242,000.00
2 Allupurinol 300 mg Tablet 0 Rp 531.25 Rp - 10000 Rp 531.25 Rp 5,312,500.00 0 Rp 531.25 Rp - 10000 Rp 531.25 Rp 5,312,500.00
3 Amoxicillin Syrup Botol 0 Rp 4,375.00 Rp - 1000 Rp 4,375.00 Rp 4,375,000.00 0 Rp 4,375.00 Rp - 1000 Rp 4,375.00 Rp 4,375,000.00
4 Ambroxol 30 mg Tablet 0 Rp 154.00 Rp - 10000 Rp 154.00 Rp 1,540,000.00 0 Rp 154.00 Rp - 10000 Rp 154.00 Rp 1,540,000.00
5 Amlodipin 10 mg Tablet 0 Rp 472.00 Rp - 10000 Rp 472.00 Rp 4,720,000.00 0 Rp 472.00 Rp - 10000 Rp 472.00 Rp 4,720,000.00
6 Amblodipin 5 Mg Tablet 0 Rp 196.67 Rp - 30000 Rp 196.67 Rp 5,900,000.00 0 Rp 196.67 Rp - 30000 Rp 196.67 Rp 5,900,000.00
7 Asam Mefenamat Tablet 0 Rp 262.50 Rp - 10000 Rp 262.50 Rp 2,625,000.00 0 Rp 262.50 Rp - 10000 Rp 262.50 Rp 2,625,000.00
8 Cefadroxil Syrup 250 mg Botol 0 Rp 25,450.00 Rp - 1000 Rp 25,450.00 Rp 25,450,000.00 0 Rp 25,450.00 Rp - 1000 Rp 25,450.00 Rp 25,450,000.00
9 Cefixim 100 mg@ 50 Tab Tablet 0 Rp 2,208.00 Rp - 1000 Rp 2,208.00 Rp 2,208,000.00 0 Rp 2,208.00 Rp - 1000 Rp 2,208.00 Rp 2,208,000.00
10 Cetirizine Tab Tablet 0 Rp 118.75 Rp - 10000 Rp 118.75 Rp 1,187,500.00 0 Rp 118.75 Rp - 10000 Rp 118.75 Rp 1,187,500.00
11 Ciprofloksacin Tablet 0 Rp 453.75 Rp - 15000 Rp 453.75 Rp 6,806,250.00 0 Rp 453.75 Rp - 15000 Rp 453.75 Rp 6,806,250.00
12 CTM Tablet 0 Rp 50.00 Rp - 10000 Rp 50.00 Rp 500,000.00 0 Rp 50.00 Rp - 10000 Rp 50.00 Rp 500,000.00
13 Epinefrin Injeksi Ampul 0 Rp 7,946.60 Rp - 450 Rp 7,946.60 Rp 3,575,970.00 0 Rp 7,946.60 Rp - 450 Rp 7,946.60 Rp 3,575,970.00
14 Ibuprofen 400 mg Tablet 0 Rp 300.00 Rp - 10000 Rp 300.00 Rp 3,000,000.00 0 Rp 300.00 Rp - 10000 Rp 300.00 Rp 3,000,000.00
15 Loratadin Tablet 0 Rp 175.00 Rp - 5000 Rp 175.00 Rp 875,000.00 0 Rp 175.00 Rp - 5000 Rp 175.00 Rp 875,000.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
16 Natrium Diklofenak 25mg Tablet 0 Rp 237.50 Rp - 7500 Rp 237.50 Rp 1,781,250.00 0 Rp 237.50 Rp - 7500 Rp 237.50 Rp 1,781,250.00
17 Natrium Diklofenak 50mg Tablet 0 Rp 200.00 Rp - 7500 Rp 200.00 Rp 1,500,000.00 0 Rp 200.00 Rp - 7500 Rp 200.00 Rp 1,500,000.00
18 meloxicam 15 mg Tablet 0 Rp 485.00 Rp - 10000 Rp 485.00 Rp 4,850,000.00 0 Rp 485.00 Rp - 10000 Rp 485.00 Rp 4,850,000.00
19 Metamizole Tablet 0 Rp 212.50 Rp - 10000 Rp 212.50 Rp 2,125,000.00 0 Rp 212.50 Rp - 10000 Rp 212.50 Rp 2,125,000.00
20 Metformin Tablet 0 Rp 212.50 Rp - 10000 Rp 212.50 Rp 2,125,000.00 0 Rp 212.50 Rp - 10000 Rp 212.50 Rp 2,125,000.00
21 Metronidazole suspensi 125 mg/ml OMENIZOL Botol 0 Rp 11,200.00 Rp - 500 Rp 11,200.00 Rp 5,600,000.00 0 Rp 11,200.00 Rp - 500 Rp 11,200.00 Rp 5,600,000.00
22 Oxitosin Inj Ampul 0 Rp 5,029.06 Rp - 1000 Rp 5,029.06 Rp 5,029,060.00 0 Rp 5,029.06 Rp - 1000 Rp 5,029.06 Rp 5,029,060.00
23 Omeprazole Tablet 0 Rp 387.50 Rp - 6000 Rp 387.50 Rp 2,325,000.00 0 Rp 387.50 Rp - 6000 Rp 387.50 Rp 2,325,000.00
24 Piracetam 800 mg Tablet 0 Rp 1,240.00 Rp - 10000 Rp 1,240.00 Rp 12,400,000.00 0 Rp 1,240.00 Rp - 10000 Rp 1,240.00 Rp 12,400,000.00
25 Prednison Tablet 0 Rp 131.25 Rp - 10000 Rp 131.25 Rp 1,312,500.00 0 Rp 131.25 Rp - 10000 Rp 131.25 Rp 1,312,500.00
26 Ranitidin Tablet Tablet 0 Rp 137.50 Rp - 15000 Rp 137.50 Rp 2,062,500.00 0 Rp 137.50 Rp - 15000 Rp 137.50 Rp 2,062,500.00
27 Salbutamol 4 mg Tablet 0 Rp 183.40 Rp - 10000 Rp 183.40 Rp 1,834,000.00 0 Rp 183.40 Rp - 10000 Rp 183.40 Rp 1,834,000.00
28 Sianokobalamin 50 mg Tablet 0 Rp 120.50 Rp - 10000 Rp 120.50 Rp 1,205,000.00 0 Rp 120.50 Rp - 10000 Rp 120.50 Rp 1,205,000.00
29 Zink Sulfat 20 mg Tablet 0 Rp 733.50 Rp - 10000 Rp 733.50 Rp 7,335,000.00 0 Rp 733.50 Rp - 10000 Rp 733.50 Rp 7,335,000.00
30 Renadinac ( Natrium Diklofenak 25 Mg) Tablet 0 Rp 274.30 Rp - 10000 Rp 274.30 Rp 2,743,000.00 0 Rp 274.30 Rp - 10000 Rp 274.30 Rp 2,743,000.00
31 Grateos (Natrium Diklofenak 50 mg) Tablet 0 Rp 279.50 Rp - 10000 Rp 279.50 Rp 2,795,000.00 0 Rp 279.50 Rp - 10000 Rp 279.50 Rp 2,795,000.00
32 Fargetix (Asam Mefenamat) Tablet 0 Rp 338.00 Rp - 10000 Rp 338.00 Rp 3,380,000.00 0 Rp 338.00 Rp - 10000 Rp 338.00 Rp 3,380,000.00
33 Omelegar (Loratadin) Tablet 0 Rp 273.00 Rp - 5000 Rp 273.00 Rp 1,365,000.00 0 Rp 273.00 Rp - 5000 Rp 273.00 Rp 1,365,000.00
34 Gludepatic (Metformin) Tablet 0 Rp 354.25 Rp - 10000 Rp 354.25 Rp 3,542,500.01 0 Rp 354.25 Rp - 10000 Rp 354.25 Rp 3,542,500.01
35 Hufanoxil (Amoxicillin Syrup) Tablet 0 Rp 5,250.00 Rp - 500 Rp 5,250.00 Rp 2,625,000.00 0 Rp 5,250.00 Rp - 500 Rp 5,250.00 Rp 2,625,000.00
36 Eltazon (Prednison) Tablet 0 Rp 189.80 Rp - 10000 Rp 189.80 Rp 1,898,000.01 0 Rp 189.80 Rp - 10000 Rp 189.80 Rp 1,898,000.01
37 Floxigra (Ciprofloksacin) Tablet 0 Rp 598.00 Rp - 10000 Rp 598.00 Rp 5,979,999.99 0 Rp 598.00 Rp - 10000 Rp 598.00 Rp 5,979,999.99
38 Dehista (CTM ) Tablet 0 Rp 227.50 Rp - 10000 Rp 227.50 Rp 2,275,000.00 0 Rp 227.50 Rp - 10000 Rp 227.50 Rp 2,275,000.00
39 Lokev (Omeprazole) Tablet 0 Rp 827.67 Rp - 6000 Rp 827.67 Rp 4,966,000.00 0 Rp 827.67 Rp - 6000 Rp 827.67 Rp 4,966,000.00
40 Omeric (Allupurinol 300 mg ) Tablet 0 Rp 598.00 Rp - 10000 Rp 598.00 Rp 5,980,000.00 0 Rp 598.00 Rp - 10000 Rp 598.00 Rp 5,980,000.00
41 Intunal Tablet 0 Rp 819.00 Rp - 30000 Rp 819.00 Rp 24,570,000.00 0 Rp 819.00 Rp - 30000 Rp 819.00 Rp 24,570,000.00
42 Infalgin ( metampiron) Tablet 0 Rp 364.00 Rp - 10000 Rp 364.00 Rp 3,640,000.00 0 Rp 364.00 Rp - 10000 Rp 364.00 Rp 3,640,000.00
43 Trisela (Cetirizine Tab) Tablet 0 Rp 201.50 Rp - 10000 Rp 201.50 Rp 2,015,000.00 0 Rp 201.50 Rp - 10000 Rp 201.50 Rp 2,015,000.00
44 Provinas (Ibuprofen 400 mg) Tablet 0 Rp 514.80 Rp - 10000 Rp 514.80 Rp 5,148,000.00 0 Rp 514.80 Rp - 10000 Rp 514.80 Rp 5,148,000.00
45 Hufadin (Ranitidin Tablet) Tablet 0 Rp 360.10 Rp - 10000 Rp 360.10 Rp 3,601,000.00 0 Rp 360.10 Rp - 10000 Rp 360.10 Rp 3,601,000.00
46 Flukadex Tablet 0 Rp 698.19 Rp - 30000 Rp 698.19 Rp 20,945,700.00 0 Rp 698.19 Rp - 30000 Rp 698.19 Rp 20,945,700.00
47 Comvit C ( Multivitamin dan Mineral) Tablet 0 Rp 1,181.82 Rp - 20000 Rp 1,181.82 Rp 23,636,400.00 0 Rp 1,181.82 Rp - 20000 Rp 1,181.82 Rp 23,636,400.00
48 Ramvit C ( Vitamin C 500 mg) Tablet 0 Rp 858.00 Rp - 20000 Rp 858.00 Rp 17,160,000.00 0 Rp 858.00 Rp - 20000 Rp 858.00 Rp 17,160,000.00
49 Camivit E 200 IU Tablet 0 Rp 1,625.00 Rp - 4000 Rp 1,625.00 Rp 6,500,000.00 0 Rp 1,625.00 Rp - 4000 Rp 1,625.00 Rp 6,500,000.00
50 Caviplex ( Multivitamin) Tablet 0 Rp 806.00 Rp - 20000 Rp 806.00 Rp 16,120,000.00 0 Rp 806.00 Rp - 20000 Rp 806.00 Rp 16,120,000.00
51 Trimabion ( Vitamin B Complex) Tablet 0 Rp 455.00 Rp - 20000 Rp 455.00 Rp 9,100,000.00 0 Rp 455.00 Rp - 20000 Rp 455.00 Rp 9,100,000.00
BAHAN MEDIS HABIS PAKAI
1 Handshoen Non Steril S Box 0 Rp 200,475.00 Rp - 42 Rp 200,475.00 Rp 8,419,950.00 0 Rp 200,475.00 Rp - 42 Rp 200,475.00 Rp 8,419,950.00
2 Handshoen Non Steril M Box 0 Rp 200,475.00 Rp - 42 Rp 200,475.00 Rp 8,419,950.00 0 Rp 200,475.00 Rp - 42 Rp 200,475.00 Rp 8,419,950.00
3 Handshoen Non Steril L Box 0 Rp 200,475.00 Rp - 42 Rp 200,475.00 Rp 8,419,950.00 0 Rp 200,475.00 Rp - 42 Rp 200,475.00 Rp 8,419,950.00
4 Masker N95 Tablet 0 Rp 57,172.50 Rp - 125 Rp 57,172.50 Rp 7,146,562.50 0 Rp 57,172.50 Rp - 125 Rp 57,172.50 Rp 7,146,562.50
5 Masker 3 Fly Tie On Tablet 0 Rp 133,650.00 Rp - 200 Rp 133,650.00 Rp 26,730,000.00 0 Rp 133,650.00 Rp - 200 Rp 133,650.00 Rp 26,730,000.00
6 Masker 3 Fly Earloop Botol 0 Rp 133,650.00 Rp - 200 Rp 133,650.00 Rp 26,730,000.00 0 Rp 133,650.00 Rp - 200 Rp 133,650.00 Rp 26,730,000.00
7 IV Catheter 22 Tablet 0 Rp 371,250.00 Rp - 41 Rp 371,250.00 Rp 15,221,250.00 0 Rp 371,250.00 Rp - 41 Rp 371,250.00 Rp 15,221,250.00
10 Mata Pisau Bedah No. 11 Ampul 0 Rp 111,375.00 Rp - 2 Rp 111,375.00 Rp 222,750.00 0 Rp 111,375.00 Rp - 2 Rp 111,375.00 Rp 222,750.00
11 Mata Pisau Bedah No. 15 Ampul 0 Rp 111,375.00 Rp - 50 Rp 111,375.00 Rp 5,568,750.00 0 Rp 111,375.00 Rp - 50 Rp 111,375.00 Rp 5,568,750.00
12 Mata Pisau Bedah No. 21 Tablet 0 Rp 111,375.00 Rp - 50 Rp 111,375.00 Rp 5,568,750.00 0 Rp 111,375.00 Rp - 50 Rp 111,375.00 Rp 5,568,750.00
13 Handscoen Obgyn Tablet 0 Rp 96,525.00 Rp - 33 Rp 96,525.00 Rp 3,185,325.00 0 Rp 96,525.00 Rp - 33 Rp 96,525.00 Rp 3,185,325.00
14 Underpad Tablet 0 Rp 66,825.00 Rp - 15 Rp 66,825.00 Rp 1,002,375.00 0 Rp 66,825.00 Rp - 15 Rp 66,825.00 Rp 1,002,375.00
15 Infuset Anak Tablet 0 Rp 408,375.00 Rp - 20 Rp 408,375.00 Rp 8,167,500.00 0 Rp 408,375.00 Rp - 20 Rp 408,375.00 Rp 8,167,500.00
16 Infuset Dewasa Tablet 0 Rp 371,250.00 Rp - 55 Rp 371,250.00 Rp 20,418,750.00 0 Rp 371,250.00 Rp - 55 Rp 371,250.00 Rp 20,418,750.00
17 Spoit 3 ml Tablet 0 Rp 111,375.00 Rp - 25 Rp 111,375.00 Rp 2,784,375.00 0 Rp 111,375.00 Rp - 25 Rp 111,375.00 Rp 2,784,375.00
20 Rapid Test Tablet 0 Rp 1,925,000.00 Rp - 2 Rp 1,925,000.00 Rp 3,850,000.00 0 Rp 1,925,000.00 Rp - 2 Rp 1,925,000.00 Rp 3,850,000.00
21 Nurse Cap Tablet 0 Rp 111,375.00 Rp - 15 Rp 111,375.00 Rp 1,670,625.00 0 Rp 111,375.00 Rp - 15 Rp 111,375.00 Rp 1,670,625.00
Jumlah Obat SiLPA DAU Rp - Rp 484,480,867.48 Rp - Rp 484,480,867.48
NILAI OBAT IFK Rp 2,066,072,826.93 Rp 2,148,329,847.19 Rp 1,072,964,649.152 Rp 3,141,438,024.97
OBAT PROGRAM
1 BCG Ampul 460 Rp 59,959.00 Rp 27,581,140.00 1250 Rp 59,959.00 Rp 74,948,750.00 1260 Rp 59,959.00 Rp 75,548,340.00 450 Rp 59,959.00 Rp 26,981,550.00
2 POLIO Vial 1053 Rp 19,954.00 Rp 21,011,562.00 1100 Rp 19,954.00 Rp 21,949,400.00 2153 Rp 19,954.00 Rp 42,960,962.00 0 Rp 19,954.00 Rp -
3 DPT-HB-HIB Vial 684 Rp 76,285.00 Rp 52,178,940.00 1770 Rp 76,285.00 Rp 135,024,450.00 2124 Rp 76,285.00 Rp 162,029,340.00 330 Rp 76,285.00 Rp 25,174,050.00
4 UNIJECK Buah 298 Rp 76,285.00 Rp 22,732,930.00 1400 Rp 76,285.00 Rp 106,799,000.00 1443 Rp 76,285.00 Rp 110,079,255.00 255 Rp 76,285.00 Rp 19,452,675.00
5 DT Vial 224 Rp 17,798.00 Rp 3,986,752.00 580 Rp 17,798.00 Rp 10,322,840.00 504 Rp 17,798.00 Rp 8,970,192.00 300 Rp 17,798.00 Rp 5,339,400.00
6 Td Vial 508 Rp 16,500.00 Rp 8,382,000.00 950 Rp 16,500.00 Rp 15,675,000.00 1390 Rp 16,500.00 Rp 22,935,000.00 68 Rp 16,500.00 Rp 1,122,000.00
7 IPV (Injeksi) Vial 218 Rp 152,900.00 Rp 33,332,200.00 350 Rp 152,900.00 Rp 53,515,000.00 498 Rp 152,900.00 Rp 76,144,200.00 70 Rp 152,900.00 Rp 10,703,000.00
8 MR Vial 1495 Rp 141,648.00 Rp 211,763,760.00 1950 Rp 141,648.00 Rp 276,213,600.00 2359 Rp 141,648.00 Rp 334,147,632.00 1086 Rp 141,648.00 Rp 153,829,728.00
9 ADS 0,05 ml Pcs 0 Rp 1,518.00 Rp - 1400 Rp 1,518.00 Rp 2,125,200.00 1400 Rp 1,518.00 Rp 2,125,200.00 0 Rp 1,518.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
12 ADS 5 ml Pcs 0 Rp 1,583.00 Rp - 1500 Rp 1,583.00 Rp 2,374,500.00 1500 Rp 1,583.00 Rp 2,374,500.00 0 Rp 1,583.00 Rp -
13 ADS 5 ml Pcs 0 Rp 1,500.00 Rp - 4000 Rp 1,500.00 Rp 6,000,000.00 4000 Rp 1,500.00 Rp 6,000,000.00 0 Rp 1,500.00 Rp -
14 OAT Kat. I Paket 1 Rp 359,990.00 Rp 359,990.00 0 Rp 359,990.00 Rp - 1 Rp 359,990.00 Rp 359,990.00 0 Rp 359,990.00 Rp -
15 OAT Kat. I 2019 Paket 128 Rp 396,000.00 Rp 50,688,000.00 0 Rp 396,000.00 Rp - 128 Rp 396,000.00 Rp 50,688,000.00 0 Rp 396,000.00 Rp -
16 OAT Kat. I 2020 Paket 0 Rp 498,565.00 Rp - 80 Rp 498,565.00 Rp 39,885,200.00 22 Rp 498,565.00 Rp 10,968,430.00 58 Rp 498,565.00 Rp 28,916,770.00
17 OAT Kat. II 2020 Paket 0 Rp 1,661,981.00 Rp - 10 Rp 1,661,981.00 Rp 16,619,810.00 7 Rp 1,661,981.00 Rp 11,633,867.00 3 Rp 1,661,981.00 Rp 4,985,943.00
18 OAT Kat. Anak Paket 9 Rp 257,986.00 Rp 2,321,874.00 0 Rp 257,986.00 Rp - 9 Rp 257,986.00 Rp 2,321,874.00 0 Rp 257,986.00 Rp -
19 OAT Kat. Anak 2020 Paket 0 Rp 297,751.00 Rp - 5 Rp 297,751.00 Rp 1,488,755.00 5 Rp 297,751.00 Rp 1,488,755.00 0 Rp 297,751.00 Rp -
20 Catridge Genexpert Pcs 0 Rp 224,254.00 Rp - 150 Rp 224,254.00 Rp 33,638,100.00 150 Rp 224,254.00 Rp 33,638,100.00 0 Rp 224,254.00 Rp -
21 Masker N95 1870+ Pcs 0 Rp 30,996.00 Rp - 40 Rp 30,996.00 Rp 1,239,840.00 40 Rp 30,996.00 Rp 1,239,840.00 0 Rp 30,996.00 Rp -
22 Verorab (Vaksin) Vial 166 Rp 218,125.00 Rp 36,208,750.00 0 Rp 218,125.00 Rp - 166 Rp 218,125.00 Rp 36,208,750.00 0 Rp 218,125.00 Rp -
23 Verorab (Vaksin) 2020 Vial 0 Rp 299,622.00 Rp - 330 Rp 299,622.00 Rp 98,875,260.00 282 Rp 299,622.00 Rp 84,493,404.00 48 Rp 299,622.00 Rp 14,381,856.00
24 Albendazole 400 mg Tablets 200's Botol 549 Rp 208,395.00 Rp 114,408,855.00 0 Rp 208,395.00 Rp - 495 Rp 208,395.00 Rp 103,155,525.00 54 Rp 208,395.00 Rp 11,253,330.00
25 Albendazole 400 mg Tablets 200's Botol 0 Rp 56,524.00 Rp - 517 Rp 56,524.00 Rp 29,222,908.00 0 Rp 56,524.00 517 Rp 56,524.00 Rp 29,222,908.00
26 Albendazole 400 mg Tablets 200's Tablet 0 Rp 484.00 Rp - 1,000 Rp 484.00 Rp 484,000.00 0 Rp 484.00 Rp - 1000 Rp 484.00 Rp 484,000.00
27 Diethyl Carbamazine Citrate Tablet 100 mg DEC Tablet 0 Rp 190.00 Rp - 350,400 Rp 190.00 Rp 66,576,000.00 256200 Rp 190.00 Rp 48,678,000.00 94200 Rp 190.00 Rp 17,898,000.00
28 Mineral Mix Sachet 880 Rp 2,920.00 Rp 2,569,600.00 0 Rp 2,920.00 Rp - 0 Rp 2,920.00 Rp - 880 Rp 2,920.00 Rp 2,569,600.00
29 Tablet Tambah Darah (Fe) Tablet 95600 Rp 427.00 Rp 40,821,200.00 131,800 Rp 427.00 Rp 56,278,600.00 223000 Rp 427.00 Rp 95,221,000.00 4400 Rp 427.00 Rp 1,878,800.00
30 Tablet Tambah Darah (Fe) 2020 Tablet 0 Rp 354.00 Rp - 9,400 Rp 354.00 Rp 3,327,600.00 9400 Rp 354.00 Rp 3,327,600.00 0 Rp 354.00 Rp -
31 Vitamin A Biru (100.000 IU) Kapsul 1000 Rp 346.00 Rp 346,000.00 0 Rp 346.00 Rp - 1000 Rp 346.00 Rp 346,000.00 0 Rp 346.00 Rp -
32 Vitamin A Merah (200.000 IU) Kapsul 1150 Rp 622.00 Rp 715,300.00 0 Rp 622.00 Rp - 1150 Rp 622.00 Rp 715,300.00 0 Rp 622.00 Rp -
33 GARAM ORALIT SACHET 22700 Rp 276.00 Rp 6,265,200.00 0 Rp 276.00 Rp - 14200 Rp 276.00 Rp 3,919,200.00 8500 Rp 276.00 Rp 2,346,000.00
34 GARAM ORALIT SACHET 0 Rp 275.00 Rp - 9,000 Rp 275.00 Rp 2,475,000.00 3800 Rp 275.00 Rp 1,045,000.00 5200 Rp 275.00 Rp 1,430,000.00
35 ZINK TABLET 10000 Rp 617.00 Rp 6,170,000.00 0 Rp 617.00 Rp - 10000 Rp 617.00 Rp 6,170,000.00 0 Rp 617.00 Rp -
36 ZINK TABLET 0 Rp 631.00 Rp - 3000 Rp 631.00 Rp 1,893,000.00 1000 Rp 631.00 Rp 631,000.00 2000 Rp 631.00 Rp 1,262,000.00
37 Phenobarbital Ampul 50 Rp 2,363.00 Rp 118,150.00 0 Rp 2,363.00 Rp - 50 Rp 2,363.00 Rp 118,150.00 0 Rp 2,363.00 Rp -
38 Ca. Gluconas Inj Ampul 42 Rp 9,955.00 Rp 418,110.00 0 Rp 9,955.00 Rp - 42 Rp 9,955.00 Rp 418,110.00 0 Rp 9,955.00 Rp -
39 Metilergometrin Inj 0,2 mg Ampul 1000 Rp 3,553.00 Rp 3,553,000.00 0 Rp 3,553.00 Rp - 1000 Rp 3,553.00 Rp 3,553,000.00 0 Rp 3,553.00 Rp -
40 MgSO4 Botol 22 Rp 40.00 Rp 880.00 0 Rp 40.00 Rp - 22 Rp 40.00 Rp 880.00 0 Rp 40.00 Rp -
41 Phytomenadion inj 2 mg/ml Ampul 360 Rp 4,420.00 Rp 1,591,200.00 0 Rp 4,420.00 Rp - 360 Rp 4,420.00 Rp 1,591,200.00 0 Rp 4,420.00 Rp -
42 Eutyrox 50 Tablet 400 Rp 735.00 Rp 294,000.00 0 Rp 735.00 Rp - 400 Rp 735.00 Rp 294,000.00 0 Rp 735.00 Rp -
43 Gentamicin Inj 40 mg/ml Ampul 400 Rp 4,211.00 Rp 1,684,400.00 0 Rp 4,211.00 Rp - 400 Rp 4,211.00 Rp 1,684,400.00 0 Rp 4,211.00 Rp -
44 Ampicillin 1 gr inj 1000 mg/ml Vial 200 Rp 9,884.00 Rp 1,976,800.00 0 Rp 9,884.00 Rp - 200 Rp 9,884.00 Rp 1,976,800.00 0 Rp 9,884.00 Rp -
45 Oxytetracyklin 1% SM Tube 625 Rp 4,420.00 Rp 2,762,500.00 0 Rp 4,420.00 Rp - 0 Rp 4,420.00 Rp - 625 Rp 4,420.00 Rp 2,762,500.00
46 Metronidazole infus 500 mg/100 ml Botol 20 Rp - Rp - 0 Rp - Rp - 20 Rp - Rp - 0 Rp - Rp -
47 Calcium Gluconas inj 10% Ampul 38 Rp 10,351.00 Rp 393,338.00 0 Rp 10,351.00 Rp - 0 Rp 10,351.00 Rp - 38 Rp 10,351.00 Rp 393,338.00
48 Oxytetracyklin hcl 1% SM Tube 475 Rp 2,500.00 Rp 1,187,500.00 0 Rp 2,500.00 Rp - 100 Rp 2,500.00 Rp 250,000.00 375 Rp 2,500.00 Rp 937,500.00
49 Fitomenadion inj 2 mg/ml Ampul 360 Rp 3,682.00 Rp 1,325,520.00 0 Rp 3,682.00 Rp - 360 Rp 3,682.00 Rp 1,325,520.00 0 Rp 3,682.00 Rp -
50 Ampicillin inj Vial 20 Rp 8,237.00 Rp 164,740.00 0 Rp 8,237.00 Rp - 20 Rp 8,237.00 Rp 164,740.00 0 Rp 8,237.00 Rp -
51 Gentamicin Inj 80 mg/ 2 ml Ampul 20 Rp 3,509.00 Rp 70,180.00 0 Rp 3,509.00 Rp - 20 Rp 3,509.00 Rp 70,180.00 0 Rp 3,509.00 Rp -
52 MgSO4 inj 40% Vial 30 Rp 3,796.00 Rp 113,880.00 0 Rp 3,796.00 Rp - 30 Rp 3,796.00 Rp 113,880.00 0 Rp 3,796.00 Rp -
53 Diazepam Ampul 0 Rp 2,010.00 Rp - 300 Rp 2,010.00 Rp 603,000.00 20 Rp 2,010.00 Rp 40,200.00 280 Rp 2,010.00 Rp 562,800.00
54 Oksitosin Ampul 0 Rp 1,287.00 Rp - 140 Rp 1,287.00 Rp 180,180.00 90 Rp 1,287.00 Rp 115,830.00 50 Rp 1,287.00 Rp 64,350.00
55 Metronidazole infus 500 mg/100 ml Botol 0 Rp 8,250.00 Rp - 5 Rp 8,250.00 Rp 41,250.00 2 Rp 8,250.00 Rp 16,500.00 3 Rp 8,250.00 Rp 24,750.00
56 MDT MB ADULT 2019 BLISTER 3 Rp 41,784.00 Rp 125,352.00 0 Rp 41,784.00 Rp - 3 Rp 41,784.00 Rp 125,352.00 0 Rp 41,784.00 Rp -
57 MDT MB ADULT 2020 BLISTER 0 Rp 39,880.00 Rp - 21 Rp 39,880.00 Rp 837,480.00 21 Rp 39,880.00 Rp 837,480.00 0 Rp 39,880.00 Rp -
58 MDT MB ADULT 2020 BLISTER 0 Rp 36,579.00 Rp - 18 Rp 36,579.00 Rp 658,422.00 6 Rp 36,579.00 Rp 219,474.00 12 Rp 36,579.00 Rp 438,948.00
59 MDT MB CHILD BLISTER 3 Rp 21,750.00 Rp 65,250.00 Rp 21,750.00 Rp - 3 Rp 21,750.00 Rp 65,250.00 0 Rp 21,750.00 Rp -
60 MDT PB ADULT BLISTER 6 Rp 9,770.00 Rp 58,620.00 Rp 9,770.00 Rp - 6 Rp 9,770.00 Rp 58,620.00 0 Rp 9,770.00 Rp -
61 RDT TEST 125 Rp 6,476.00 Rp 809,500.00 Rp 6,476.00 Rp - 125 Rp 6,476.00 Rp 809,500.00 0 Rp 6,476.00 Rp -
62 PRIMAQUIN TABLET 80 Rp 253.00 Rp 20,240.00 Rp 253.00 Rp - 80 Rp 253.00 Rp 20,240.00 0 Rp 253.00 Rp -
63 DHP 2019 TABLET 45 Rp 2,030.00 Rp 91,350.00 Rp 2,030.00 Rp - 45 Rp 2,030.00 Rp 91,350.00 0 Rp 2,030.00 Rp -
64 RDT 2020 Test 0 Rp 7,710.00 Rp - 125 Rp 7,710.00 Rp 963,750.00 125 Rp 7,710.00 Rp 963,750.00 0 Rp 7,710.00 Rp -
65 Primaquin 2020 Tablet 0 Rp 506.00 Rp - 100 Rp 506.00 Rp 50,600.00 100 Rp 506.00 Rp 50,600.00 0 Rp 506.00 Rp -
66 DHP 2020 Tablet 0 Rp 2,166.00 Rp - 405 Rp 2,166.00 Rp 877,230.00 270 Rp 2,166.00 Rp 584,820.00 135 Rp 2,166.00 Rp 292,410.00
67 Artesunat Injeksi Vial 0 Rp 57,585.00 Rp - 8 Rp 57,585.00 Rp 460,680.00 0 Rp 57,585.00 Rp - 8 Rp 57,585.00 Rp 460,680.00
68 Kunin Sulfat Tablet 0 Rp 836.00 Rp - 180 Rp 836.00 Rp 150,480.00 0 Rp 836.00 Rp - 180 Rp 836.00 Rp 150,480.00
69 Labkit Paket 0 Rp 1,475,267.00 Rp - 1 Rp 1,475,267.00 Rp 1,475,267.00 0 Rp 1,475,267.00 Rp - 1 Rp 1,475,267.00 Rp 1,475,267.00
70 RDT HBsAg TEST 0 Rp 8,183.00 Rp - 1,200 Rp 8,183.00 Rp 9,819,600.00 1200 Rp 8,183.00 Rp 9,819,600.00 0 Rp 8,183.00 Rp -
OBAT BUFFER PKD PROVINSI

71 ASAM ASCORBAT 50 MG Tablet 0 Rp 126.00 Rp - 1,000 Rp 126.00 Rp 126,000.00 0 Rp 126.00 Rp - 1000 Rp 126.00 Rp 126,000.00
72 AMOKSISILIN KAPLET 500 MG Kapsul Rp 265.00 Rp - 1,000 Rp 265.00 Rp 265,000.00 1000 Rp 265.00 Rp 265,000.00 0 Rp 265.00 Rp -
73 ANTASIDA DOEN 500MG TABLET Tablet Rp 54.00 Rp - 800 Rp 54.00 Rp 43,200.00 0 Rp 54.00 Rp - 800 Rp 54.00 Rp 43,200.00
74 Asam mefenamat kaps/kapl 500 mg Tablet Rp 103.00 Rp - 2,000 Rp 103.00 Rp 206,000.00 2000 Rp 103.00 Rp 206,000.00 0 Rp 103.00 Rp -
75 BETAMETASON SALEP KULIT Tube Rp 3,414.00 Rp - 50 Rp 3,414.00 Rp 170,700.00 25 Rp 3,414.00 Rp 85,350.00 25 Rp 3,414.00 Rp 85,350.00
76 CIMETIDIN 200MG Tablet Rp 10.00 Rp - 300 Rp 10.00 Rp 3,000.00 0 Rp 10.00 Rp - 300 Rp 10.00 Rp 3,000.00
77 DEKSAMETASHON 0,5 MG Tablet Rp 35.00 Rp - 100 Rp 35.00 Rp 3,500.00 100 Rp 35.00 Rp 3,500.00 0 Rp 35.00 Rp -
78 Guafenesin 100 mg Tablet Rp 78.00 Rp - 300 Rp 78.00 Rp 23,400.00 300 Rp 78.00 Rp 23,400.00 0 Rp 78.00 Rp -
79 KAPTOPRIL 12.5 MG Tablet Rp 73.00 Rp - 1,000 Rp 73.00 Rp 73,000.00 900 Rp 73.00 Rp 65,700.00 100 Rp 73.00 Rp 7,300.00
80 KLORFENIRAMINA MALEAT ( CTM ) TABLET 4 MG Tablet Rp 22.00 Rp - 500 Rp 22.00 Rp 11,000.00 500 Rp 22.00 Rp 11,000.00 0 Rp 22.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
81 KOTRIMOKSAZOL SIRUP Botol Rp 2,257.00 Rp - 30 Rp 2,257.00 Rp 67,710.00 0 Rp 2,257.00 Rp - 30 Rp 2,257.00 Rp 67,710.00
82 OKSITETRASIKLIN SALEP MATA TUBE Rp 2,500.00 Rp - 125 Rp 2,500.00 Rp 312,500.00 25 Rp 2,500.00 Rp 62,500.00 100 Rp 2,500.00 Rp 250,000.00
83 OMEPRAZOL TABLET 20 MG TABLET Rp 130.00 Rp - 120 Rp 130.00 Rp 15,600.00 0 Rp 130.00 Rp - 120 Rp 130.00 Rp 15,600.00
84 OMEPRAZOL TABLET 20 MG TABLET Rp 130.00 Rp - 180 Rp 130.00 Rp 23,400.00 180 Rp 130.00 Rp 23,400.00 0 Rp 130.00 Rp -
85 OBH SIRUP Botol Rp 2,500.00 Rp - 20 Rp 2,500.00 Rp 50,000.00 0 Rp 2,500.00 Rp - 20 Rp 2,500.00 Rp 50,000.00
86 PARASETAMOL SIRUP 120 MG/ 5 ML BOTOL Rp 1,107.00 Rp - 20 Rp 1,107.00 Rp 22,140.00 20 Rp 1,107.00 Rp 22,140.00 0 Rp 1,107.00 Rp -
87 PARASETAMOL TABLET 500 MG TABLET Rp 53.00 Rp - 1,000 Rp 53.00 Rp 53,000.00 1000 Rp 53.00 Rp 53,000.00 0 Rp 53.00 Rp -
88 PIRIDOKSIN ( VIT. B6 ) TABLET 10 MG TABLET Rp 123.00 Rp - 2,000 Rp 123.00 Rp 246,000.00 0 Rp 123.00 Rp - 2000 Rp 123.00 Rp 246,000.00
89 SURGICAL MASK Botol Rp 330.00 Rp - 100 Rp 330.00 Rp 33,000.00 100 Rp 330.00 Rp 33,000.00 0 Rp 330.00 Rp -
90 GENERIK VITAMIN B KOMPLEKS Tablet Rp 141.00 Rp - 2,000 Rp 141.00 Rp 282,000.00 1000 Rp 141.00 Rp 141,000.00 1000 Rp 141.00 Rp 141,000.00
91 ALKOHOL 70 % Botol Rp 3,800.00 Rp - 12 Rp 3,800.00 Rp 45,600.00 12 Rp 3,800.00 Rp 45,600.00 0 Rp 3,800.00 Rp -
NILAI OBAT PROGRAM Rp 658,668,563.00 Rp 1,084,725,102.00 Rp 1,375,563,872.000 Rp 367,829,793.00
JUMLAH NILAI OBAT INSTALASI FARMASI KABUPATEN (IFK) Rp 2,724,741,389.93 Rp 3,233,054,949.19 Rp 2,448,528,521.152 Rp 3,509,267,817.97
PUSKESMAS TIRAWUTA
OBAT IFK
1 ACETYL CESTEINE/N-ASETIL SISTEIN TABLET Tablet Rp 460.00 Rp - 300 Rp 460.00 Rp 138,000.00 300 Rp 460.00 Rp 138,000.00 0 Rp 460.00 Rp -
2 Albendazole tab 400 mg Tablet 300 Rp 484.00 Rp 145,200.00 0 Rp 484.00 Rp - Rp 484.00 Rp - 300 Rp 484.00 Rp 145,200.00
3 ALOPURINOL TABLET 100 MG Tablet 1000 Rp 102.00 Rp 102,000.00 3300 Rp 102.00 Rp 336,600.00 4300 Rp 102.00 Rp 438,600.00 0 Rp 102.00 Rp -
4 Allopurinol 100 mg Tablet Rp 108.00 4000 Rp 108.00 Rp 432,000.00 400 Rp 108.00 Rp 43,200.00 3600 Rp 108.00 Rp 388,800.00
5 Air untuk injeksi 20 ml Vial 2 Rp 2,200.00 Rp 4,400.00 0 Rp 2,200.00 Rp - 2 Rp 2,200.00 Rp 4,400.00 0 Rp 2,200.00 Rp -
6 Air untuk injeksi 25 ml Ampul Rp 2,860.00 10 Rp 2,860.00 Rp 28,600.00 3 Rp 2,860.00 Rp 8,580.00 7 Rp 2,860.00 Rp 20,020.00
7 Ambroxol 30 mg Tablet Rp 197.34 1000 Rp 197.34 Rp 197,340.00 200 Rp 197.34 Rp 39,468.00 800 Rp 197.34 Rp 157,872.00
8 Ambroxol 15 mg/ml syr 60 ml Botol Rp 4,959.90 22 Rp 4,959.90 Rp 109,117.80 6 Rp 4,959.90 Rp 29,759.40 16 Rp 4,959.90 Rp 79,358.40
9 Aminophilin Inj 24 mg/ml Ampul 10 Rp 2,878.00 Rp 28,780.00 0 Rp 2,878.00 Rp - 1 Rp 2,878.00 Rp 2,878.00 9 Rp 2,878.00 Rp 25,902.00
10 Amlodipin 5 mg Tablet Rp 78.00 1200 Rp 78.00 Rp 93,600.00 1200 Rp 78.00 Rp 93,600.00 0 Rp 78.00 Rp -
12 Amlodipin 10 kaplet mg Tablet 300 Rp 99.00 Rp 29,700.00 1200 Rp 99.00 Rp 118,800.00 1200 Rp 99.00 Rp 118,800.00 300 Rp 99.00 Rp 29,700.00
13 Amlodipin 10 kaplet mg Tablet Rp 106.00 300 Rp 106.00 Rp 31,800.00 300 Rp 106.00 Rp 31,800.00 0 Rp 106.00 Rp -
14 Amoxicilin kapsul/kaplet 250 mg Kapsul 1350 Rp 198.00 Rp 267,300.00 5000 Rp 198.00 Rp 990,000.00 6350 Rp 198.00 Rp 1,257,300.00 0 Rp 198.00 Rp -
15 AMOKSISILIN KAPLET 500 MG Kapsul Rp 248.00 2500 Rp 248.00 Rp 620,000.00 2500 Rp 248.00 Rp 620,000.00 0 Rp 248.00 Rp -
16 AMOKSISILIN KAPLET 500 MG Kapsul 2300 Rp 192.00 Rp 441,600.00 0 Rp 192.00 Rp - 2300 Rp 192.00 Rp 441,600.00 0 Rp 192.00 Rp -
17 AMOKSISILIN KAPLET 500 MG Kapsul Rp 265.00 3000 Rp 265.00 Rp 795,000.00 3000 Rp 265.00 Rp 795,000.00 0 Rp 265.00 Rp -
18 AMOKSISILIN KAPLET 500 MG Tablet Rp 269.00 2500 Rp 269.00 Rp 672,500.00 1700 Rp 269.00 Rp 457,300.00 800 Rp 269.00 Rp 215,200.00
19 Amoxicilin sirup kering 250 mg/5 ml Botol 65 Rp 3,740.00 Rp 243,100.00 480 Rp 3,740.00 Rp 1,795,200.00 545 Rp 3,740.00 Rp 2,038,300.00 0 Rp 3,740.00 Rp -
20 ANTASIDA DOEN I TABLET KUNYAH, KOMBINASI : ALUMINIUM HIDROK Tablet 1200 Rp 57.00 Rp 68,400.00 13000 Rp 57.00 Rp 741,000.00 11600 Rp 57.00 Rp 661,200.00 2600 Rp 57.00 Rp 148,200.00
21 Antasida DOEN II Syr, Kombinasi :Aluminium Hidroksida 200 Botol Rp 2,290.00 5 Rp 2,290.00 Rp 11,450.00 5 Rp 2,290.00 Rp 11,450.00 0 Rp 2,290.00 Rp -
22 Antifungi Salep, Kombinasi: Asam benzoat 6% + asam salisilat 3% Pot 45 Rp 5,395.00 Rp 242,775.00 24 Rp 5,395.00 Rp 129,480.00 18 Rp 5,395.00 Rp 97,110.00 51 Rp 5,395.00 Rp 275,145.00
23 Antifungi salep kombinasi Pot Rp 5,757.00 24 Rp 5,757.00 Rp 138,168.00 6 Rp 5,757.00 Rp 34,542.00 18 Rp 5,757.00 Rp 103,626.00
24 Antibakteri DOEN salep kombinasi : Basitrasin 500 iu/g + polimikasin 10.000 Tube Rp 3,511.00 150 Rp 3,511.00 Rp 526,650.00 10 Rp 3,511.00 Rp 35,110.00 140 Rp 3,511.00 Rp 491,540.00
25 Antihemoroid Kombinasi: Bismut Subgalat 150 mg + Heksaklorofen 2,5 mg Supp 20 Rp 3,800.00 Rp 76,000.00 170 Rp 3,800.00 Rp 646,000.00 150 Rp 3,800.00 Rp 570,000.00 40 Rp 3,800.00 Rp 152,000.00
26 Asam askorbat (Vit.C) 50 mg Tablet 800 Rp 126.00 Rp 100,800.00 7700 Rp 126.00 Rp 970,200.00 7900 Rp 126.00 Rp 995,400.00 600 Rp 126.00 Rp 75,600.00
27 Asam folat 1 mg Tablet Rp 90.00 1400 Rp 90.00 Rp 126,000.00 700 Rp 90.00 Rp 63,000.00 700 Rp 90.00 Rp 63,000.00
28 Asiklovir 400 mg Tablet 100 Rp 440.00 Rp 44,000.00 0 Rp 440.00 Rp - 100 Rp 440.00 Rp 44,000.00 0 Rp 440.00 Rp -
29 Asiklovir 200 mg Tablet Rp 236.00 1500 Rp 236.00 Rp 354,000.00 200 Rp 236.00 Rp 47,200.00 1300 Rp 236.00 Rp 306,800.00
30 Betametasone Dipropionate 0,05% Tube Rp 3,350.00 110 Rp 3,350.00 Rp 368,500.00 85 Rp 3,350.00 Rp 284,750.00 25 Rp 3,350.00 Rp 83,750.00
31 Bedak salisil 2% 60 gr Pot Rp 6,426.20 12 Rp 6,426.20 Rp 77,114.40 4 Rp 6,426.20 Rp 25,704.80 8 Rp 6,426.20 Rp 51,409.60
32 Captopril 12,5 mg Tablet 1500 Rp 68.00 Rp 102,000.00 0 Rp 68.00 Rp - 1500 Rp 68.00 Rp 102,000.00 0 Rp 68.00 Rp -
33 Cetirizine syr 5 mg/ 5ml Botol Rp 3,104.00 Rp - 150 Rp 3,104.00 Rp 465,600.00 135 Rp 3,104.00 Rp 419,040.00 15 Rp 3,104.00 Rp 46,560.00
34 CLINDAMYCIN 300 MG CAPSUL KAPSUL 100 Rp 2,739.99 Rp 273,999.00 50 Rp 2,739.99 Rp 136,999.50 150 Rp 2,739.99 Rp 410,998.50 0 Rp 2,739.99 Rp -
35 Combivent udv impratropium bromide M Vial Rp 4,550.00 Rp - 50 Rp 4,550.00 Rp 227,500.00 50 Rp 4,550.00 Rp 227,500.00 0 Rp 4,550.00 Rp -
36 Dexametasone 0,5 mg Tablet Rp 136.06 Rp - 1000 Rp 136.06 Rp 136,059.00 600 Rp 136.06 Rp 81,635.40 400 Rp 136.06 Rp 54,423.60
37 Dexametasone inj 5 mg/ml Ampul Rp 1,278.00 30 Rp 1,278.00 Rp 38,340.00 3 Rp 1,278.00 Rp 3,834.00 27 Rp 1,278.00 Rp 34,506.00
38 Deksametason Injeksi i.v/i.m 5 mg/ml Ampul 275 Rp 1,885.00 Rp 518,375.00 0 Rp 1,885.00 Rp - 275 Rp 1,885.00 Rp 518,375.00 0 Rp 1,885.00 Rp -
39 Diazepam 5 mg Tablet Rp 86.00 50 Rp 86.00 Rp 4,300.00 11 Rp 86.00 Rp 946.00 39 Rp 86.00 Rp 3,354.00
40 Diazepam inj 5 mg Ampul Rp 2,010.00 20 Rp 2,010.00 Rp 40,200.00 8 Rp 2,010.00 Rp 16,080.00 12 Rp 2,010.00 Rp 24,120.00
41 Difenhidramin Inj Ampul Rp 1,316.00 30 Rp 1,316.00 Rp 39,480.00 2 Rp 1,316.00 Rp 2,632.00 28 Rp 1,316.00 Rp 36,848.00
42 Digoksin 0,25 mg Tablet Rp 104.00 200 Rp 104.00 Rp 20,800.00 Rp 104.00 Rp - 200 Rp 104.00 Rp 20,800.00
43 Domperidon Tablet 10 mg Tablet 100 Rp 90.00 Rp 9,000.00 2700 Rp 90.00 Rp 243,000.00 2000 Rp 90.00 Rp 180,000.00 800 Rp 90.00 Rp 72,000.00
44 Epinefrin (Adrenalin) Injeksi i.v/s.k/i.m 1 mg/ml Ampul 16 Rp 8,910.00 Rp 142,560.00 0 Rp 8,910.00 Rp - 16 Rp 8,910.00 Rp 142,560.00 0 Rp 8,910.00 Rp -
45 Eritromisin Kapsul/Kaplet 250 mg Kapsul 400 Rp 666.00 Rp 266,400.00 0 Rp 666.00 Rp - 400 Rp 666.00 Rp 266,400.00 0 Rp 666.00 Rp -
46 Eritromisin Kapsul/Kaplet 250 mg Kapsul Rp 711.00 4000 Rp 711.00 Rp 2,844,000.00 1400 Rp 711.00 Rp 995,400.00 2600 Rp 711.00 Rp 1,848,600.00
47 ERITROMISIN SIRUP KERING 200 MG/5ML Botol 120 Rp 6,622.00 Rp 794,640.00 240 Rp 6,622.00 Rp 1,589,280.00 360 Rp 6,622.00 Rp 2,383,920.00 0 Rp 6,622.00 Rp -
48 Eritromisin sirup kering 200 mg/5 ml Botol 170 Rp 8,090.00 Rp 1,375,300.00 0 Rp 8,090.00 Rp - 170 Rp 8,090.00 Rp 1,375,300.00 0 Rp 8,090.00 Rp -
49 Fitomenadion 10 mg Tablet Rp 912.00 300 Rp 912.00 Rp 273,600.00 Rp 912.00 Rp - 300 Rp 912.00 Rp 273,600.00
50 Fitomenadion (Vit. K1) injeksi 10 mg/ml Botol Rp 4,420.00 Rp - 90 Rp 4,420.00 Rp 397,800.00 60 Rp 4,420.00 Rp 265,200.00 30 Rp 4,420.00 Rp 132,600.00
51 Formalin 40% Botol Rp 42,000.00 Rp - 2 Rp 42,000.00 Rp 84,000.00 2 Rp 42,000.00 Rp 84,000.00 0 Rp 42,000.00 Rp -
52 Furosemide 40 mg Tablet Rp 82.00 Rp - 7800 Rp 82.00 Rp 639,600.00 200 Rp 82.00 Rp 16,400.00 7600 Rp 82.00 Rp 623,200.00
53 Furosemide Inj Ampul 10 Rp 1,555.00 Rp 15,550.00 0 Rp 1,555.00 Rp - 2 Rp 1,555.00 Rp 3,110.00 8 Rp 1,555.00 Rp 12,440.00
54 Garam Oralit Serbuk , kombinasi : Natrium klorida 0,52 g, Kalium klorida 0,30 Sachet 60 Rp 317.00 Rp 19,020.00 0 Rp 317.00 Rp - 60 Rp 317.00 Rp 19,020.00 0 Rp 317.00 Rp -
55 Gentamicin salep mata 0,3% Tube Rp 3,210.00 Rp - 24 Rp 3,210.00 Rp 77,040.00 21 Rp 3,210.00 Rp 67,410.00 3 Rp 3,210.00 Rp 9,630.00
56 GLIMEPERIDE TABLET 1 MG Tablet 50 Rp 207.00 Rp 10,350.00 0 Rp 207.00 Rp - 50 Rp 207.00 Rp 10,350.00 0 Rp 207.00 Rp -
57 GLIMEPERIDE TABLET 1 MG Tablet 1000 Rp 174.00 Rp 174,000.00 500 Rp 174.00 Rp 87,000.00 800 Rp 174.00 Rp 139,200.00 700 Rp 174.00 Rp 121,800.00
58 Glimepiride Tablet 2 mg Tablet 300 Rp 207.00 Rp 62,100.00 0 Rp 207.00 Rp - 300 Rp 207.00 Rp 62,100.00 0 Rp 207.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
59 GLUKOSA LARUTAN INFUS 5% Botol 415 Rp 6,900.00 Rp 2,863,500.00 700 Rp 6,900.00 Rp 4,830,000.00 1115 Rp 6,900.00 Rp 7,693,500.00 0 Rp 6,900.00 Rp -
60 GLUKOSA LARUTAN INFUS 5% Botol Rp 7,363.00 180 Rp 7,363.00 Rp 1,325,340.00 70 Rp 7,363.00 Rp 515,410.00 110 Rp 7,363.00 Rp 809,930.00
61 Harmida (Glibenclamide) 2,5 mg Tablet Rp 216.00 Rp - 600 Rp 216.00 Rp 129,600.00 600 Rp 216.00 Rp 129,600.00 0 Rp 216.00 Rp -
62 HIDROKLORTIAZID TABLET 25 MG Tablet 2500 Rp 179.00 Rp 447,500.00 0 Rp 179.00 Rp - Rp 179.00 Rp - 2500 Rp 179.00 Rp 447,500.00
63 Hydrokortison krim 2,5 % Tube 115 Rp 2,648.00 Rp 304,520.00 1152 Rp 2,648.00 Rp 3,050,496.00 110 Rp 2,648.00 Rp 291,280.00 1157 Rp 2,648.00 Rp 3,063,736.00
64 Ibu profen suspensi 200 mg/5 ml Botol Rp 5,509.00 38 Rp 5,509.00 Rp 209,342.00 38 Rp 5,509.00 Rp 209,342.00 0 Rp 5,509.00 Rp -
65 Ibu profen suspensi 100 mg/5 ml Botol Rp 5,709.00 36 Rp 5,709.00 Rp 205,524.00 2 Rp 5,709.00 Rp 11,418.00 34 Rp 5,709.00 Rp 194,106.00
66 Kalsium gluconat inj 100 mg/ml Ampul 10 Rp 10,351.00 Rp 103,510.00 0 Rp 10,351.00 Rp - Rp 10,351.00 Rp - 10 Rp 10,351.00 Rp 103,510.00
67 Kalsium Laktat 500 mg Tablet 2190 Rp 60.00 Rp 131,400.00 4500 Rp 60.00 Rp 270,000.00 6090 Rp 60.00 Rp 365,400.00 600 Rp 60.00 Rp 36,000.00
68 Kalsium Laktat 500 mg Tablet Rp 64.00 3000 Rp 64.00 Rp 192,000.00 Rp 64.00 Rp - 3000 Rp 64.00 Rp 192,000.00
69 Karbogliserin TTS Telinga 10% phenol gliserol Botol Rp 2,764.00 5 Rp 2,764.00 Rp 13,820.00 Rp 2,764.00 Rp - 5 Rp 2,764.00 Rp 13,820.00
70 Kaptopril 12,5 mg Tablet Rp 73.00 1000 Rp 73.00 Rp 73,000.00 500 Rp 73.00 Rp 36,500.00 500 Rp 73.00 Rp 36,500.00
71 Kaptopril 25 mg Tablet Rp 181.12 1000 Rp 181.12 Rp 181,115.00 500 Rp 181.12 Rp 90,557.50 500 Rp 181.12 Rp 90,557.50
72 Ketoconazole 200 mg Tablet 500 Rp 317.00 Rp 158,500.00 0 Rp 317.00 Rp - 500 Rp 317.00 Rp 158,500.00 0 Rp 317.00 Rp -
73 Ketoconazole krim 2% Tube 19 Rp 2,694.00 Rp 51,186.00 0 Rp 2,694.00 Rp - 14 Rp 2,694.00 Rp 37,716.00 5 Rp 2,694.00 Rp 13,470.00
74 Kloramfenicol 250 mg Kapsul Rp 677.84 3000 Rp 677.84 Rp 2,033,526.00 500 Rp 677.84 Rp 338,921.00 2500 Rp 677.84 Rp 1,694,605.00
75 Kloramfenikol kapsul/kaplet 250 mg Kapsul 1300 Rp 275.00 Rp 357,500.00 0 Rp 275.00 Rp - 1300 Rp 275.00 Rp 357,500.00 0 Rp 275.00 Rp -
76 KLORAMFENIKOL SALEP MATA 1 % Tube 10 Rp 1,850.00 Rp 18,500.00 0 Rp 1,850.00 Rp - 10 Rp 1,850.00 Rp 18,500.00 0 Rp 1,850.00 Rp -
77 Kloramfenicol salep mata 1% Tube Rp 2,013.00 72 Rp 2,013.00 Rp 144,936.00 5 Rp 2,013.00 Rp 10,065.00 67 Rp 2,013.00 Rp 134,871.00
78 Kotrimoksazole (Dewasa) KOMBINASI : Sulfametasole 400 mg + trimetopri Tablet Rp 129.00 4000 Rp 129.00 Rp 516,000.00 1700 Rp 129.00 Rp 219,300.00 2300 Rp 129.00 Rp 296,700.00
79 Kotrimoksazol suspensi kombinasi ; Sulfametoksazol 200 mg + Trimetropin Botol Rp 2,257.00 100 Rp 2,257.00 Rp 225,700.00 10 Rp 2,257.00 Rp 22,570.00 90 Rp 2,257.00 Rp 203,130.00
80 Kotrimoksazol suspensi kombinasi ; Sulfametoksazol 200 mg + Trimetropin Botol 40 Rp 2,462.00 Rp 98,480.00 0 Rp 2,462.00 Rp - 40 Rp 2,462.00 Rp 98,480.00 0 Rp 2,462.00 Rp -
81 Larutan mengandung elektrolit (Ringer laktat) Botol 220 Rp 7,150.00 Rp 1,573,000.00 340 Rp 7,150.00 Rp 2,431,000.00 550 Rp 7,150.00 Rp 3,932,500.00 10 Rp 7,150.00 Rp 71,500.00
82 Larutan mengandung elektrolit (Ringer laktat) Botol Rp 7,630.00 1120 Rp 7,630.00 Rp 8,545,600.00 880 Rp 7,630.00 Rp 6,714,400.00 240 Rp 7,630.00 Rp 1,831,200.00
83 Larutan mengandung elektrolit KA-EN 3B Botol 40 Rp 11,314.00 Rp 452,560.00 0 Rp 11,314.00 Rp - Rp 11,314.00 Rp - 40 Rp 11,314.00 Rp 452,560.00
84 Lidocain Injeksi 2% Ampul Rp 1,375.00 Rp - 320 Rp 1,375.00 Rp 440,000.00 320 Rp 1,375.00 Rp 440,000.00 0 Rp 1,375.00 Rp -
85 Lidocain Injeksi 2% Ampul Rp 1,467.00 Rp - 80 Rp 1,467.00 Rp 117,360.00 45 Rp 1,467.00 Rp 66,015.00 35 Rp 1,467.00 Rp 51,345.00
86 Lidokain Compositum injeksi2% + Epinefrin 1:80.000 inj 2 ml Ampul Rp 1,473.00 Rp - 30 Rp 1,473.00 Rp 44,190.00 15 Rp 1,473.00 Rp 22,095.00 15 Rp 1,473.00 Rp 22,095.00
87 Lidokain Compositum injeksi2% + Epinefrin 1:80.000 inj 2 ml Ampul Rp 1,380.00 Rp - 20 Rp 1,380.00 Rp 27,600.00 20 Rp 1,380.00 Rp 27,600.00 0 Rp 1,380.00 Rp -
88 Lisol Botol 5 Rp 21,500.00 Rp 107,500.00 0 Rp 21,500.00 Rp - 5 Rp 21,500.00 Rp 107,500.00 0 Rp 21,500.00 Rp -
89 Lisol Botol 6 Rp 31,570.00 Rp 189,420.00 0 Rp 31,570.00 Rp - 6 Rp 31,570.00 Rp 189,420.00 0 Rp 31,570.00 Rp -
90 Loperamid tablet 2 mg Tablet 1400 Rp 91.00 Rp 127,400.00 0 Rp 91.00 Rp - 1400 Rp 91.00 Rp 127,400.00 0 Rp 91.00 Rp -
91 Loratadine 10 mg Tablet 450 Rp 150.00 Rp 67,500.00 0 Rp 150.00 Rp - 450 Rp 150.00 Rp 67,500.00 0 Rp 150.00 Rp -
92 Magnesium Sulfat 20% Botol Rp 3,328.00 12 Rp 3,328.00 Rp 39,936.00 Rp 3,328.00 Rp - 12 Rp 3,328.00 Rp 39,936.00
93 Magnesium Sulfat 40% Botol Rp 3,796.00 12 Rp 3,796.00 Rp 45,552.00 Rp 3,796.00 Rp - 12 Rp 3,796.00 Rp 45,552.00
94 METILERGOMETRIN INJ. 0,2 MG/ML Ampul 23 Rp 3,553.00 Rp 81,719.00 100 Rp 3,553.00 Rp 355,300.00 123 Rp 3,553.00 Rp 437,019.00 0 Rp 3,553.00 Rp -
95 Metilergometrin maleat Tablet 500 Rp 271.00 Rp 135,500.00 300 Rp 271.00 Rp 81,300.00 800 Rp 271.00 Rp 216,800.00 0 Rp 271.00 Rp -
96 Metilprednisolone tablet 4 mg Tablet 800 Rp 143.00 Rp 114,400.00 1000 Rp 143.00 Rp 143,000.00 1800 Rp 143.00 Rp 257,400.00 0 Rp 143.00 Rp -
97 Metilprednisolone tablet 4 mg Tablet Rp 153.00 1000 Rp 153.00 Rp 153,000.00 1000 Rp 153.00 Rp 153,000.00 0 Rp 153.00 Rp -
98 Metformin 500 mg Tablet 600 Rp 110.00 Rp 66,000.00 2500 Rp 110.00 Rp 275,000.00 2300 Rp 110.00 Rp 253,000.00 800 Rp 110.00 Rp 88,000.00
99 METOKLOPRAMIDE TABLET 5 MG Tablet Rp 129.00 500 Rp 129.00 Rp 64,500.00 Rp 129.00 Rp - 500 Rp 129.00 Rp 64,500.00
100 METOKLOPRAMIDE TABLET 10 MG Tablet 500 Rp 93.00 Rp 46,500.00 1000 Rp 93.00 Rp 93,000.00 400 Rp 93.00 Rp 37,200.00 1100 Rp 93.00 Rp 102,300.00
101 METOKLOPRAMIDE TABLET 10 MG Tablet Rp 87.00 2000 Rp 87.00 Rp 174,000.00 2000 Rp 87.00 Rp 174,000.00 0 Rp 87.00 Rp -
102 METRONIDAZOLE TABLET 250 MG Tablet 600 Rp 97.00 Rp 58,200.00 0 Rp 97.00 Rp - 500 Rp 97.00 Rp 48,500.00 100 Rp 97.00 Rp 9,700.00
103 METRONIDAZOLE TABLET 500 MG Tablet 100 Rp 117.00 Rp 11,700.00 0 Rp 117.00 Rp - 100 Rp 117.00 Rp 11,700.00 0 Rp 117.00 Rp -
104 Miconazole 2% krim (nitrat) Tube 57 Rp 4,097.00 Rp 233,529.00 24 Rp 4,097.00 Rp 98,328.00 57 Rp 4,097.00 Rp 233,529.00 24 Rp 4,097.00 Rp 98,328.00
105 Natrium Diclofenak 25 mg Tablet Rp 154.00 Rp - 2250 Rp 154.00 Rp 346,500.00 2250 Rp 154.00 Rp 346,500.00 0 Rp 154.00 Rp -
106 Natrium Diklofenat tablet 50 mg Tablet 250 Rp 146.00 Rp 36,500.00 0 Rp 146.00 Rp - 250 Rp 146.00 Rp 36,500.00 0 Rp 146.00 Rp -
107 Natrium Klorida (NaCl) 0.9% larutan infus 500 ml Botol 430 Rp 5,170.00 Rp 2,223,100.00 0 Rp 5,170.00 Rp - 430 Rp 5,170.00 Rp 2,223,100.00 0 Rp 5,170.00 Rp -
108 Natrium Klorida (NaCl) 0.9% larutan infus 500 ml Botol 200 Rp 6,410.00 Rp 1,282,000.00 200 Rp 6,410.00 Rp 1,282,000.00 190 Rp 6,410.00 Rp 1,217,900.00 210 Rp 6,410.00 Rp 1,346,100.00
109 Nistatin tablet salut gula 500.000 iu Tablet 500 Rp 950.00 Rp 475,000.00 0 Rp 950.00 Rp - 400 Rp 950.00 Rp 380,000.00 100 Rp 950.00 Rp 95,000.00
110 Nistatin 100.000 IU tablet vaginal Tablet 500 Rp 675.00 Rp 337,500.00 2500 Rp 675.00 Rp 1,687,500.00 500 Rp 675.00 Rp 337,500.00 2500 Rp 675.00 Rp 1,687,500.00
111 Ofloxacin 200 MG Tablet Rp 531.00 500 Rp 531.00 Rp 265,500.00 Rp 531.00 Rp - 500 Rp 531.00 Rp 265,500.00
112 Oksitetrasikline salep mata 1% Tube 25 Rp 2,500.00 Rp 62,500.00 0 Rp 2,500.00 Rp - 25 Rp 2,500.00 Rp 62,500.00 0 Rp 2,500.00 Rp -
113 OKSITOSIN INJ 10 UI/ML Ampul 22 Rp 1,287.00 Rp 28,314.00 0 Rp 1,287.00 Rp - 22 Rp 1,287.00 Rp 28,314.00 0 Rp 1,287.00 Rp -
114 Omeprazole 20 mg Kapsul 180 Rp 153.00 Rp 27,540.00 0 Rp 153.00 Rp - 180 Rp 153.00 Rp 27,540.00 0 Rp 153.00 Rp -
115 ONDANSENTRON TABLET 4 MG TABLET 200 Rp 546.00 Rp 109,200.00 0 Rp 546.00 Rp - 200 Rp 546.00 Rp 109,200.00 0 Rp 546.00 Rp -
116 Paracetamol 500 mg Tablet Rp 274.48 2000 Rp 274.48 Rp 548,966.00 1600 Rp 274.48 Rp 439,172.80 400 Rp 274.48 Rp 109,793.20
117 Paracetamol syr Botol Rp 5,041.30 30 Rp 5,041.30 Rp 151,239.00 7 Rp 5,041.30 Rp 35,289.10 23 Rp 5,041.30 Rp 115,949.90
118 Paracetamol drops 100 mg/ml Botol Rp 7,979.00 Rp - 560 Rp 7,979.00 Rp 4,468,240.00 560 Rp 7,979.00 Rp 4,468,240.00 0 Rp 7,979.00 Rp -
119 Patrin (Pyrantel pamoat) 250 mg Tablet Rp 1,200.00 Rp - 700 Rp 1,200.00 Rp 840,000.00 Rp 1,200.00 Rp - 700 Rp 1,200.00 Rp 840,000.00
120 PIRACETAM 800 MG CAPLET KAPLET 360 Rp 960.00 Rp 345,601.08 0 Rp 960.00 Rp - 360 Rp 960.00 Rp 345,601.08 0 Rp 960.00 Rp -
121 PIRANTEL PAMOAT TABLET 125 MG Tablet 500 Rp 346.00 Rp 173,000.00 0 Rp 346.00 Rp - 500 Rp 346.00 Rp 173,000.00 0 Rp 346.00 Rp -
122 PIRIDOKSIN ( VIT. B6 ) TABLET 10 MG TABLET 3100 Rp 142.00 Rp 440,200.00 0 Rp 142.00 Rp - 3100 Rp 142.00 Rp 440,200.00 0 Rp 142.00 Rp -
123 PIRIDOKSIN ( VIT. B6 ) TABLET 10 MG Tablet Rp 148.00 7000 Rp 148.00 Rp 1,036,000.00 4700 Rp 148.00 Rp 695,600.00 2300 Rp 148.00 Rp 340,400.00
124 Piroxicam 10 mg Tablet Rp 146.38 500 Rp 146.38 Rp 73,188.50 500 Rp 146.38 Rp 73,188.50 0 Rp 146.38 Rp -
125 Povidon Iodida larutan 10%,30 ml Botol 19 Rp 3,480.00 Rp 66,120.00 25 Rp 3,480.00 Rp 87,000.00 34 Rp 3,480.00 Rp 118,320.00 10 Rp 3,480.00 Rp 34,800.00
126 Povidon Iodida larutan 10%,60 ml Botol Rp 4,440.00 10 Rp 4,440.00 Rp 44,400.00 Rp 4,440.00 Rp - 10 Rp 4,440.00 Rp 44,400.00
127 Povidon Iodida larutan 10%,300 ml Botol Rp 21,600.00 30 Rp 21,600.00 Rp 648,000.00 19 Rp 21,600.00 Rp 410,400.00 11 Rp 21,600.00 Rp 237,600.00
128 Prednison 5 mg Tablet Rp 79.00 Rp - 1500 Rp 79.00 Rp 118,500.00 1200 Rp 79.00 Rp 94,800.00 300 Rp 79.00 Rp 23,700.00
129 RETINOL ( VIT. A ) 100.000 KAPSUL 4000 Rp 341.00 Rp 1,364,000.00 0 Rp 341.00 Rp - 4000 Rp 341.00 Rp 1,364,000.00 0 Rp 341.00 Rp -
130 RETINOL ( VIT. A ) 100.000 Kapsul Rp 346.00 1500 Rp 346.00 Rp 519,000.00 1500 Rp 346.00 Rp 519,000.00 0 Rp 346.00 Rp -
131 RETINOL ( VIT. A ) 200.000 KAPSUL 1000 Rp 622.00 Rp 622,000.00 1500 Rp 622.00 Rp 933,000.00 900 Rp 622.00 Rp 559,800.00 1600 Rp 622.00 Rp 995,200.00
132 Salbutamol 2 mg Tablet Rp 113.28 500 Rp 113.28 Rp 56,639.00 200 Rp 113.28 Rp 22,655.60 300 Rp 113.28 Rp 33,983.40
133 Salbutamol 2 mg Tablet 700 Rp 84.00 Rp 58,800.00 0 Rp 84.00 Rp - 700 Rp 84.00 Rp 58,800.00 0 Rp 84.00 Rp -
134 Salbutamol 4 mg Tablet Rp 118.73 500 Rp 118.73 Rp 59,367.00 200 Rp 118.73 Rp 23,746.80 300 Rp 118.73 Rp 35,620.20
136 Simvastatin 10 mg Tablet 690 Rp 117.00 Rp 80,730.00 2550 Rp 117.00 Rp 298,350.00 3240 Rp 117.00 Rp 379,080.00 0 Rp 117.00 Rp -
137 Simvastatin 20 mg Tablet Rp 235.00 2000 Rp 235.00 Rp 470,000.00 2000 Rp 235.00 Rp 470,000.00 0 Rp 235.00 Rp -
138 Tetrasiklin 500 mg Tablet Rp 341.00 3480 Rp 341.00 Rp 1,186,680.00 Rp 341.00 Rp - 3480 Rp 341.00 Rp 1,186,680.00
139 Tetrasiklin 500 mg Kapsul Rp 324.00 Rp - 2000 Rp 324.00 Rp 648,000.00 1280 Rp 324.00 Rp 414,720.00 720 Rp 324.00 Rp 233,280.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
140 THIAMIN ( VIT. B1 ) TABLET 500 MG Tablet 1500 Rp 90.00 Rp 135,000.00 0 Rp 90.00 Rp - 1500 Rp 90.00 Rp 135,000.00 0 Rp 90.00 Rp -
141 Thiamin (B1) 50 MG Tablet 1000 Rp 92.00 Rp 92,000.00 4600 Rp 92.00 Rp 423,200.00 4400 Rp 92.00 Rp 404,800.00 1200 Rp 92.00 Rp 110,400.00
142 VITAMIN B KOMPLEKS TABLET Tablet 100 Rp 141.00 Rp 14,100.00 0 Rp 141.00 Rp - Rp 141.00 Rp - 100 Rp 141.00 Rp 14,100.00
143 VITAMIN B KOMPLEKS TABLET Tablet Rp 138.00 Rp - 5800 Rp 138.00 Rp 800,400.00 5800 Rp 138.00 Rp 800,400.00 0 Rp 138.00 Rp -
144 VITAMIN B KOMPLEKS TABLET Tablet Rp 150.00 Rp - 2000 Rp 150.00 Rp 300,000.00 600 Rp 150.00 Rp 90,000.00 1400 Rp 150.00 Rp 210,000.00
145 ZINC TABLET DISPERSIBLE 20 MG Tablet 200 Rp 617.00 Rp 123,400.00 0 Rp 617.00 Rp - 200 Rp 617.00 Rp 123,400.00 0 Rp 617.00 Rp -
146 Zinc sulfat sirup 20 mg/5 ml Botol 1 Rp 3,449.00 Rp 3,449.00 15 Rp 3,449.00 Rp 51,735.00 16 Rp 3,449.00 Rp 55,184.00 0 Rp 3,449.00 Rp -
147 Tablet Tambah Darah(Kombinasi ferro fumarat 60 mg+as. Folat 0,4 mg) Tablet 15577 Rp 427.00 Rp 6,651,379.00 11200 Rp 427.00 Rp 4,782,400.00 26777 Rp 427.00 Rp 11,433,779.00 0 Rp 427.00 Rp -
148 Bisakodil suppo 10 mg Supp Rp 5,900.00 25 Rp 5,900.00 Rp 147,500.00 15 Rp 5,900.00 Rp 88,500.00 10 Rp 5,900.00 Rp 59,000.00
149 Bisakodil suppo 5 mg Supp Rp 6,000.00 54 Rp 6,000.00 Rp 324,000.00 12 Rp 6,000.00 Rp 72,000.00 42 Rp 6,000.00 Rp 252,000.00
150 MY JELLY 80 GRAM LUBRICAN BOTOL 8 Rp 69,575.00 Rp 556,600.00 24 Rp 69,575.00 Rp 1,669,800.00 32 Rp 69,575.00 Rp 2,226,400.00 0 Rp 69,575.00 Rp -
151 NIFUDIAR SUSPENSI 60 ML BOTOL 8 Rp 77,000.00 Rp 616,000.00 0 Rp 77,000.00 Rp - 8 Rp 77,000.00 Rp 616,000.00 0 Rp 77,000.00 Rp -
152 PANTOCAIN 0.5 % 15 ML BOTOL 10 Rp 31,000.20 Rp 310,002.00 0 Rp 31,000.20 Rp - 10 Rp 31,000.20 Rp 310,002.00 0 Rp 31,000.20 Rp -
153 Neorodial Tablet Tablet 10 Rp 1,265.00 Rp 12,650.00 100 Rp 1,265.00 Rp 126,500.00 110 Rp 1,265.00 Rp 139,150.00 0 Rp 1,265.00 Rp -
154 Kloramfenicol salep kulit2% bufacetin Tube 24 Rp 3,645.00 Rp 87,480.00 96 Rp 3,645.00 Rp 349,920.00 30 Rp 3,645.00 Rp 109,350.00 90 Rp 3,645.00 Rp 328,050.00
155 Cortidex Tablet Rp 367.92 200 Rp 367.92 Rp 73,584.46 Rp 367.92 Rp - 200 Rp 367.92 Rp 73,584.46
156 Epexol 30 mg Tablet Rp 1,052.48 200 Rp 1,052.48 Rp 210,496.14 Rp 1,052.48 Rp - 200 Rp 1,052.48 Rp 210,496.14
157 Formuno Multivitamin Tablet Rp 8,876.96 60 Rp 8,876.96 Rp 532,617.68 Rp 8,876.96 Rp - 60 Rp 8,876.96 Rp 532,617.68
158 Imboost tab 50's Tablet Rp 4,013.60 100 Rp 4,013.60 Rp 401,359.82 40 Rp 4,013.60 Rp 160,543.93 60 Rp 4,013.60 Rp 240,815.89
159 Mefinal 500 mg Tablet Rp 1,705.82 500 Rp 1,705.82 Rp 852,910.75 Rp 1,705.82 Rp - 500 Rp 1,705.82 Rp 852,910.75
160 Meviton Tablet Rp 2,007.35 500 Rp 2,007.35 Rp 1,003,674.54 230 Rp 2,007.35 Rp 461,690.29 270 Rp 2,007.35 Rp 541,984.25
161 Neurosanbe Tablet Rp 3,266.70 200 Rp 3,266.70 Rp 653,340.79 20 Rp 3,266.70 Rp 65,334.08 180 Rp 3,266.70 Rp 588,006.71
162 Neurosanbe Inj 3 ml Ampul Rp 6,979.37 20 Rp 6,979.37 Rp 139,587.49 5 Rp 6,979.37 Rp 34,896.87 15 Rp 6,979.37 Rp 104,690.61
163 Pirofel 10 mg Tablet Rp 685.67 200 Rp 685.67 Rp 137,134.67 Rp 685.67 Rp - 200 Rp 685.67 Rp 137,134.67
164 Propepsa syr 100 ml Botol Rp 73,472.97 3 Rp 73,472.97 Rp 220,418.90 Rp 73,472.97 Rp - 3 Rp 73,472.97 Rp 220,418.90
165 Sanmol 500 mg Tablet Rp 367.92 300 Rp 367.92 Rp 110,376.69 Rp 367.92 Rp - 300 Rp 367.92 Rp 110,376.69
166 Versyl tab 50's Tablet Rp 2,564.31 100 Rp 2,564.31 Rp 256,430.68 Rp 2,564.31 Rp - 100 Rp 2,564.31 Rp 256,430.68
167 Vocefa syr Botol Rp 57,696.90 5 Rp 57,696.90 Rp 288,484.52 Rp 57,696.90 Rp - 5 Rp 57,696.90 Rp 288,484.52
BMHP IFK
1 Alat Suntik 1 ml (Onionex) Pcs 50 Rp 821.48 Rp 41,074.00 Rp 821.48 Rp - 50 Rp 821.48 Rp 41,074.00 0 Rp 821.48 Rp -
2 Alat Suntik 1 ml (Onionex) Pcs Rp 821.48 1400 Rp 821.48 Rp 1,150,077.60 1400 Rp 821.48 Rp 1,150,077.60 Rp 821.48 Rp -
3 Alat suntik 2,5 ml (Onionex) pcs Rp 864.72 Rp - 1100 Rp 864.72 Rp 951,192.00 1100 Rp 864.72 Rp 951,192.00 0 Rp 864.72 Rp -
4 Alat Suntik 10 ml Pcs 15 Rp 1,881.75 Rp 28,226.25 0 Rp 1,881.75 Rp - 15 Rp 1,881.75 Rp 28,226.25 0 Rp 1,881.75 Rp -
5 Alat Suntik 10 ml Pcs Rp 1,694.00 30 Rp 1,694.00 Rp 50,820.00 Rp 1,694.00 Rp - 30 Rp 1,694.00 Rp 50,820.00
6 ALKOHOL SWAB Box 14 Rp 11,500.00 Rp 161,000.00 192 Rp 11,500.00 Rp 2,208,000.00 180 Rp 11,500.00 Rp 2,070,000.00 26 Rp 11,500.00 Rp 299,000.00
7 Autocheck Glukosa tes btl/50 strip botol 2 Rp 68,475.00 Rp 136,950.00 0 Rp 68,475.00 Rp - 2 Rp 68,475.00 Rp 136,950.00 0 Rp 68,475.00 Rp -
8 Autocheck Glukosa tes btl/50 strip Kotak Rp 136,950.00 10 Rp 136,950.00 Rp 1,369,500.00 1 Rp 136,950.00 Rp 136,950.00 9 Rp 136,950.00 Rp 1,232,550.00
9 Autochek Kolesterol Tes btol/25 strip Kotak Rp 367,812.50 Rp - 4 Rp 367,812.50 Rp 1,471,250.00 4 Rp 367,812.50 Rp 1,471,250.00 0 Rp 367,812.50 Rp -
10 Autochek Kolesterol Tes btol/25 strip Kotak Rp 385,235.00 7 Rp 385,235.00 Rp 2,696,645.00 7 Rp 385,235.00 Rp 2,696,645.00 0 Rp 385,235.00 Rp -
11 Autochek Urid Acid Test btl/50 strip Kotak Rp 178,200.00 Rp - 7 Rp 178,200.00 Rp 1,247,400.00 6 Rp 178,200.00 Rp 1,069,200.00 1 Rp 178,200.00 Rp 178,200.00
12 Autochek Urid Acid Test btl/50 strip Kotak Rp 195,485.00 5 Rp 195,485.00 Rp 977,425.00 Rp 195,485.00 Rp - 5 Rp 195,485.00 Rp 977,425.00
13 Aximed Feeding Tube 40 cm no. 10 Pcs Rp 9,212.50 Rp - 10 Rp 9,212.50 Rp 92,125.00 Rp 9,212.50 Rp - 10 Rp 9,212.50 Rp 92,125.00
14 Benang Bedah No. 2/0 (Cromic Cat Gut) Pcs 33 Rp 198.95 Rp 6,565.35 0 Rp 198.95 Rp - 33 Rp 198.95 Rp 6,565.35 0 Rp 198.95 Rp -
15 Benang Bedah No. 3/0 (Cromic Cat Gut) Pcs 52 Rp 198.95 Rp 10,345.40 0 Rp 198.95 Rp - 52 Rp 198.95 Rp 10,345.40 0 Rp 198.95 Rp -
16 Catheter (folley cathteter) no.12 Pcs 49 Rp 13,750.00 Rp 673,750.00 10 Rp 13,750.00 Rp 137,500.00 59 Rp 13,750.00 Rp 811,250.00 0 Rp 13,750.00 Rp -
17 Catheter (folley cathteter) no.14 Pcs 25 Rp 13,750.00 Rp 343,750.00 10 Rp 13,750.00 Rp 137,500.00 17 Rp 13,750.00 Rp 233,750.00 18 Rp 13,750.00 Rp 247,500.00
20 Chirurgic gloves No. 6,5 Pcs Rp 9,500.00 50 Rp 9,500.00 Rp 475,000.00 50 Rp 9,500.00 Rp 475,000.00 0 Rp 9,500.00 Rp -
21 Copper T Set/buah Set 10 Rp 125,482.50 Rp 1,254,825.00 0 Rp 125,482.50 Rp - Rp 125,482.50 Rp - 10 Rp 125,482.50 Rp 1,254,825.00
22 Elastic Verband 3 inchi / Tensocrape BSN Roll 1 Rp 96,000.00 Rp 96,000.00 0 Rp 96,000.00 Rp - 1 Rp 96,000.00 Rp 96,000.00 0 Rp 96,000.00 Rp -
23 Elastic Verband 6 inchi Roll Rp 86,680.00 5 Rp 86,680.00 Rp 433,400.00 Rp 86,680.00 Rp - 5 Rp 86,680.00 Rp 433,400.00
24 E.W.G. Surgical Gloves 7 Pcs Rp 5,383.38 Rp - 280 Rp 5,383.38 Rp 1,507,346.96 250 Rp 5,383.38 Rp 1,345,845.50 30 Rp 5,383.38 Rp 161,501.46
25 E.W.G. Surgical Gloves 7,5 Pcs Rp 5,383.38 Rp - 306 Rp 5,383.38 Rp 1,647,314.89 223 Rp 5,383.38 Rp 1,200,494.19 83 Rp 5,383.38 Rp 446,820.71
26 E.W.G. Surgical Gloves 8 Pcs Rp 5,382.88 Rp - 120 Rp 5,382.88 Rp 645,945.84 75 Rp 5,382.88 Rp 403,716.15 45 Rp 5,382.88 Rp 242,229.69
27 FEEDING TUBE 8FR 40CM Pcs 10 Rp 8,804.40 Rp 88,044.00 0 Rp 8,804.40 Rp - 10 Rp 8,804.40 Rp 88,044.00 0 Rp 8,804.40 Rp -
28 Hypafix 5 cm x 1 m Roll Rp 17,610.00 3 Rp 17,610.00 Rp 52,830.00 2 Rp 17,610.00 Rp 35,220.00 1 Rp 17,610.00 Rp 17,610.00
29 Hypafix 5 cm x 5 m Roll Rp 92,000.00 3 Rp 92,000.00 Rp 276,000.00 2 Rp 92,000.00 Rp 184,000.00 1 Rp 92,000.00 Rp 92,000.00
30 IV-CATH NO.20 Pcs Rp 7,846.25 50 Rp 7,846.25 Rp 392,312.50 30 Rp 7,846.25 Rp 235,387.50 20 Rp 7,846.25 Rp 156,925.00
31 Jayamas superlife nitrile M Box Rp 65,780.00 1 Rp 65,780.00 Rp 65,780.00 1 Rp 65,780.00 Rp 65,780.00 0 Rp 65,780.00 Rp -
32 Jayamas superlife nitrile L Box Rp 65,780.00 1 Rp 65,780.00 Rp 65,780.00 1 Rp 65,780.00 Rp 65,780.00 0 Rp 65,780.00 Rp -
33 Jarum Jahit 1/2 surgical Lusin Rp 27,875.00 15 Rp 27,875.00 Rp 418,125.00 Rp 27,875.00 Rp - 15 Rp 27,875.00 Rp 418,125.00
34 Jarum Jahit 3/8 surgical Lusin Rp 27,875.00 15 Rp 27,875.00 Rp 418,125.00 Rp 27,875.00 Rp - 15 Rp 27,875.00 Rp 418,125.00
35 Kapas Pembalut 250 gr Roll 10 Rp 22,000.00 Rp 220,000.00 10 Rp 22,000.00 Rp 220,000.00 20 Rp 22,000.00 Rp 440,000.00 0 Rp 22,000.00 Rp -
36 Kapas Pembalut 250 gr Roll Rp 14,375.00 39 Rp 14,375.00 Rp 560,625.00 2 Rp 14,375.00 Rp 28,750.00 37 Rp 14,375.00 Rp 531,875.00
37 Onejack autodisable syringe 0,05 ml pcs Rp 3,795.00 100 Rp 3,795.00 Rp 379,500.00 10 Rp 3,795.00 Rp 37,950.00 90 Rp 3,795.00 Rp 341,550.00
38 Onionex Infusion Set Pediatrik (Anak) Pcs Rp 3,556.16 Rp - 145 Rp 3,556.16 Rp 515,643.20 120 Rp 3,556.16 Rp 426,739.20 25 Rp 3,556.16 Rp 88,904.00
39 Kasa Hydrofil Steril 18 x 22 Box Rp 8,625.00 110 Rp 8,625.00 Rp 948,750.00 28 Rp 8,625.00 Rp 241,500.00 82 Rp 8,625.00 Rp 707,250.00
40 KASA HYDROFPHIL 40 X 80 CM Roll 10 Rp 120,750.00 Rp 1,207,500.00 80 Rp 120,750.00 Rp 9,660,000.00 75 Rp 120,750.00 Rp 9,056,250.00 15 Rp 120,750.00 Rp 1,811,250.00
41 Kasa Kompres 40/40 steril Bungkus 8 Rp 2,853.00 Rp 22,824.00 0 Rp 2,853.00 Rp - 8 Rp 2,853.00 Rp 22,824.00 0 Rp 2,853.00 Rp -
42 KASA KOMPRES STERIL 40 X 40 PCS 7 Rp 1,840.00 Rp 12,880.00 100 Rp 1,840.00 Rp 184,000.00 12 Rp 1,840.00 Rp 22,080.00 95 Rp 1,840.00 Rp 174,800.00
43 Kasa Pembalut Hydrofil 4 m x 5 cm Roll 45 Rp 862.50 Rp 38,812.50 100 Rp 862.50 Rp 86,250.00 100 Rp 862.50 Rp 86,250.00 45 Rp 862.50 Rp 38,812.50
44 KASA PEMBALUT HYDROFILL 4M X 15CM Roll 50 Rp 2,415.00 Rp 120,750.00 50 Rp 2,415.00 Rp 120,750.00 50 Rp 2,415.00 Rp 120,750.00 50 Rp 2,415.00 Rp 120,750.00
46 Kasa Hidrofil steril 16x16 cm Kotak Rp 9,200.00 160 Rp 9,200.00 Rp 1,472,000.00 80 Rp 9,200.00 Rp 736,000.00 80 Rp 9,200.00 Rp 736,000.00
47 Kasa Steril 16 x 16 cm Kotak 29 Rp 6,743.00 Rp 195,547.00 0 Rp 6,743.00 Rp - 29 Rp 6,743.00 Rp 195,547.00 0 Rp 6,743.00 Rp -
48 KASA STERIL 10X10 CM,8 PLY,1X10'S Pack 7 Rp 10,845.30 Rp 75,917.10 50 Rp 10,845.30 Rp 542,265.00 7 Rp 10,845.30 Rp 75,917.10 50 Rp 10,845.30 Rp 542,265.00
49 KERTAS PUYER BLANK Bungkus 17 Rp 93,500.00 Rp 1,589,500.00 0 Rp 93,500.00 Rp - 1 Rp 93,500.00 Rp 93,500.00 16 Rp 93,500.00 Rp 1,496,000.00
50 MF CATH PRO MEDIFIRST MF CATH PRO IV CATHETETR 24G Pcs Rp 9,461.25 140 Rp 9,461.25 Rp 1,324,574.91 140 Rp 9,461.25 Rp 1,324,574.91 0 Rp 9,461.25 Rp -
51 Plester 7,5 mm x 4,5 mm Roll 1 Rp 60,650.00 Rp 60,650.00 0 Rp 60,650.00 Rp - 1 Rp 60,650.00 Rp 60,650.00 0 Rp 60,650.00 Rp -
52 PLESTERIN NON WOVEN ROLL 10CM X 5CM Roll 7 Rp 47,564.00 Rp 332,948.00 19 Rp 47,564.00 Rp 903,716.00 14 Rp 47,564.00 Rp 665,896.00 12 Rp 47,564.00 Rp 570,768.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
53 PLESTERIN NON WOVEN ROLL 5CM X 5CM Roll 1 Rp 27,324.00 Rp 27,324.00 40 Rp 27,324.00 Rp 1,092,960.00 23 Rp 27,324.00 Rp 628,452.00 18 Rp 27,324.00 Rp 491,832.00
54 PLESTERIN NON WOVEN ROLL 15CM X 5CM Roll 10 Rp 79,948.00 Rp 799,480.00 0 Rp 79,948.00 Rp - 8 Rp 79,948.00 Rp 639,584.00 2 Rp 79,948.00 Rp 159,896.00
55 GEA MEDICAL REGULATOR 02 XY-988 Pcs 4 Rp 453,200.00 Rp 1,812,800.00 11 Rp 453,200.00 Rp 4,985,200.00 4 Rp 453,200.00 Rp 1,812,800.00 11 Rp 453,200.00 Rp 4,985,200.00
56 Surgical mask earloop Box Rp 18,975.00 Rp - 94 Rp 18,975.00 Rp 1,783,650.00 94 Rp 18,975.00 Rp 1,783,650.00 0 Rp 18,975.00 Rp -
57 Surgical suture+Needle Catgut cromic 2/0 75 cm Pcs Rp 8,960.21 Rp - 144 Rp 8,960.21 Rp 1,290,270.00 33 Rp 8,960.21 Rp 295,686.87 111 Rp 8,960.21 Rp 994,583.12
58 Surgical suture+Needle Catgut cromic 3/0 75 cm Pcs Rp 8,960.21 120 Rp 8,960.21 Rp 1,075,225.00 106 Rp 8,960.21 Rp 949,782.08 14 Rp 8,960.21 Rp 125,442.92
59 Silk 3/0 pcs 5 Rp 167.81 Rp 839.05 0 Rp 167.81 Rp - 5 Rp 167.81 Rp 839.05 0 Rp 167.81 Rp -
60 Surgical suture+Needle silk blak braided 3/0 75 cm Pcs Rp 4,661.49 Rp - 108 Rp 4,661.49 Rp 503,441.10 57 Rp 4,661.49 Rp 265,705.03 51 Rp 4,661.49 Rp 237,736.08
61 Silk 2/0 +Jarum 1/2 GT 35 mm Pcs Rp 3,513.89 108 Rp 3,513.89 Rp 379,500.00 36 Rp 3,513.89 Rp 126,500.00 72 Rp 3,513.89 Rp 253,000.00
62 Examination Gloves Size S Dus Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp - Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp -
63 Examination Gloves zise M Dus Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp - Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp -
64 Examination Gloves Size L DUS 1 Rp 57,750.00 Rp 57,750.00 0 Rp 57,750.00 Rp - 1 Rp 57,750.00 Rp 57,750.00 0 Rp 57,750.00 Rp -
65 Jaya Mas One Mad Masker N95 PCS Rp 7,488.80 64 Rp 7,488.80 Rp 479,283.20 38 Rp 7,488.80 Rp 284,574.40 26 Rp 7,488.80 Rp 194,708.80
66 Nasal Oxygen Canula Pcs Rp 8,004.00 90 Rp 8,004.00 Rp 720,360.00 90 Rp 8,004.00 Rp 720,360.00 0 Rp 8,004.00 Rp -
67 NIPRO IV CATHETER 18G X 1-1/4" pcs 51 Rp 8,947.95 Rp 456,345.45 0 Rp 8,947.95 Rp - 51 Rp 8,947.95 Rp 456,345.45 0 Rp 8,947.95 Rp -
68 NIPRO IV CATHETER 18G X 2 pcs 160 Rp 8,974.95 Rp 1,435,992.00 12 Rp 8,974.95 Rp 107,699.40 172 Rp 8,974.95 Rp 1,543,691.40 0 Rp 8,974.95 Rp -
69 Nipro syringe 5 cc Pcs Rp 1,248.23 15 Rp 1,248.23 Rp 18,723.45 15 Rp 1,248.23 Rp 18,723.45 0 Rp 1,248.23 Rp -
70 Nipro syringe 10 cc Pcs Rp 1,654.95 15 Rp 1,654.95 Rp 24,824.25 15 Rp 1,654.95 Rp 24,824.25 0 Rp 1,654.95 Rp -
71 Nipro infuset "Y" Pcs Rp 6,343.00 Rp - 150 Rp 6,343.00 Rp 951,450.00 150 Rp 6,343.00 Rp 951,450.00 0 Rp 6,343.00 Rp -
72 Oxygen Mask Dewasa & Anak Pcs Rp 10,559.90 Rp - 60 Rp 10,559.90 Rp 633,594.00 26 Rp 10,559.90 Rp 274,557.40 34 Rp 10,559.90 Rp 359,036.60
73 Oxygen Mask pcs Rp 12,180.00 17 Rp 12,180.00 Rp 207,060.00 9 Rp 12,180.00 Rp 109,620.00 8 Rp 12,180.00 Rp 97,440.00
74 AXIMED EXAM GLOVES, SIZE S pcs 1 Rp 57,750.00 Rp 57,750.00 12 Rp 57,750.00 Rp 693,000.00 13 Rp 57,750.00 Rp 750,750.00 0 Rp 57,750.00 Rp -
75 AXIMED EXAM GLOVES, SIZE M pcs 2 Rp 57,750.00 Rp 115,500.00 10 Rp 57,750.00 Rp 577,500.00 12 Rp 57,750.00 Rp 693,000.00 0 Rp 57,750.00 Rp -
76 URINE BAG pcs 6 Rp 6,875.00 Rp 41,250.00 0 Rp 6,875.00 Rp - 6 Rp 6,875.00 Rp 41,250.00 0 Rp 6,875.00 Rp -
77 Urine Bag Steril Pcs Rp 3,450.00 30 Rp 3,450.00 Rp 103,500.00 15 Rp 3,450.00 Rp 51,750.00 15 Rp 3,450.00 Rp 51,750.00
78 Cairan Spiritus 1000 ML Bks 1 Rp 68,250.00 Rp 68,250.00 0 Rp 68,250.00 Rp - 1 Rp 68,250.00 Rp 68,250.00 0 Rp 68,250.00 Rp -
79 LARUTAN SPIRITUS Botol 2 Rp 52,965.00 Rp 105,930.00 0 Rp 52,965.00 Rp - 2 Rp 52,965.00 Rp 105,930.00 0 Rp 52,965.00 Rp -
80 Tes Kehamilan Pcs 190 Rp 2,365.00 Rp 449,350.00 0 Rp 2,365.00 Rp - 190 Rp 2,365.00 Rp 449,350.00 0 Rp 2,365.00 Rp -
81 Cotton Roll untuk Gigi Bungkus 4 Rp 93,438.00 Rp 373,752.00 0 Rp 93,438.00 Rp - 4 Rp 93,438.00 Rp 373,752.00 0 Rp 93,438.00 Rp -
82 Hemospon Box 2 Rp 118,500.00 Rp 237,000.00 0 Rp 118,500.00 Rp - 2 Rp 118,500.00 Rp 237,000.00 0 Rp 118,500.00 Rp -
83 HYDCAL TECHNEW BOX 9 Rp 289,850.00 Rp 2,608,650.00 0 Rp 289,850.00 Rp - 9 Rp 289,850.00 Rp 2,608,650.00 0 Rp 289,850.00 Rp -
84 Saliva Ejector Bungkus 2 Rp 87,250.00 Rp 174,500.00 0 Rp 87,250.00 Rp - Rp 87,250.00 Rp - 2 Rp 87,250.00 Rp 174,500.00
85 JAYA MAS ONE MAD MASKER N95 PCS 20 Rp 149,776.00 Rp 2,995,520.00 0 Rp 149,776.00 Rp - 20 Rp 149,776.00 Rp 2,995,520.00 0 Rp 149,776.00 Rp -
NILAI OBAT IFK PKM TIRAWUTA Rp 48,818,104.18 Rp 125,874,734.62 Rp 123,444,742.174 Rp 51,248,096.63
OBAT BPJS
1 Acyclovir 400 mg Tablet 1000 Rp 899.70 Rp 899,704.00 Rp 899.70 Rp - 500 Rp 899.70 Rp 449,852.00 500 Rp 899.70 Rp 449,852.00
2 Acyclovir 200 mg Tablet 200 Rp 606.82 Rp 121,363.00 Rp 606.82 Rp - 200 Rp 606.82 Rp 121,363.00 0 Rp 606.82 Rp -
3 Acyclovir cream 5% Tube Rp 4,826.80 25 Rp 4,826.80 Rp 120,670.00 25 Rp 4,826.80 Rp 120,670.00 0 Rp 4,826.80 Rp -
5 Amlodipin 10 mg Tablet 1000 Rp 669.00 Rp 669,000.00 Rp 669.00 Rp - 1000 Rp 669.00 Rp 669,000.00 0 Rp 669.00 Rp -
8 Amlodipin 10 mg Tablet Rp 151.99 1000 Rp 151.99 Rp 151,987.00 760 Rp 151.99 Rp 115,510.12 240 Rp 151.99 Rp 36,476.88
11 Amlodipin 5 mg Tablet 1350 Rp 557.50 Rp 752,625.00 Rp 557.50 Rp - 1350 Rp 557.50 Rp 752,625.00 0 Rp 557.50 Rp -
16 Amoxicillin syr Botol Rp 4,455.00 40 Rp 4,455.00 Rp 178,200.00 30 Rp 4,455.00 Rp 133,650.00 10 Rp 4,455.00 Rp 44,550.00
17 Amoxicillin syr Botol Rp 12,000.00 10 Rp 12,000.00 Rp 120,000.00 10 Rp 12,000.00 Rp 120,000.00 0 Rp 12,000.00 Rp -
18 Amoxicillin 500 mg Tablet Rp 344.85 2000 Rp 344.85 Rp 689,700.00 1900 Rp 344.85 Rp 655,215.00 100 Rp 344.85 Rp 34,485.00
19 Amoxicillin 500 mg Tablet Rp 540.00 2000 Rp 540.00 Rp 1,080,000.00 2000 Rp 540.00 Rp 1,080,000.00 0 Rp 540.00 Rp -
20 Allergen Tablet Rp 180.00 2200 Rp 180.00 Rp 396,000.00 1000 Rp 180.00 Rp 180,000.00 1200 Rp 180.00 Rp 216,000.00
21 Allergen Tablet Rp 120.00 1000 Rp 120.00 Rp 120,000.00 1000 Rp 120.00 Rp 120,000.00 0 Rp 120.00 Rp -
22 Allopurinol 100 mg Tablet Rp 216.00 Rp - 1000 Rp 216.00 Rp 216,000.00 1000 Rp 216.00 Rp 216,000.00 0 Rp 216.00 Rp -
23 Antasida DOEN Suspensi Botol 12 Rp 16,725.00 Rp 200,700.00 Rp 16,725.00 Rp - 12 Rp 16,725.00 Rp 200,700.00 0 Rp 16,725.00 Rp -
24 Antasida DOEN Suspensi Rp 9,000.00 10 Rp 9,000.00 Rp 90,000.00 10 Rp 9,000.00 Rp 90,000.00 0 Rp 9,000.00 Rp -
25 Antasida DOEN Suspensi Botol Rp 3,960.00 20 Rp 3,960.00 Rp 79,200.00 18 Rp 3,960.00 Rp 71,280.00 2 Rp 3,960.00 Rp 7,920.00
26 Antasida DOEN Suspensi Botol Rp 4,247.10 20 Rp 4,247.10 Rp 84,942.02 0 Rp 4,247.10 Rp - 20 Rp 4,247.10 Rp 84,942.02
27 Antasida Doen 500 mg Tablet Rp 630.00 Rp - 1000 Rp 630.00 Rp 630,000.00 1000 Rp 630.00 Rp 630,000.00 0 Rp 630.00 Rp -
28 Antasida Doen 500 mg Tablet Rp 480.00 500 Rp 480.00 Rp 240,000.00 500 Rp 480.00 Rp 240,000.00 0 Rp 480.00 Rp -
29 Asam mefenamat 500 mg Tablet 1700 Rp 613.25 Rp 1,042,525.00 Rp 613.25 Rp - 1700 Rp 613.25 Rp 1,042,525.00 0 Rp 613.25 Rp -
30 Asam mefenamat 500 mg Tablet Rp 600.00 Rp - 3000 Rp 600.00 Rp 1,800,000.00 3000 Rp 600.00 Rp 1,800,000.00 0 Rp 600.00 Rp -
31 Asam mefenamat 500 mg Tablet Rp 302.50 2500 Rp 302.50 Rp 756,250.00 2500 Rp 302.50 Rp 756,250.00 0 Rp 302.50 Rp -
32 Asam mefenamat 500 mg Tablet Rp 307.04 1000 Rp 307.04 Rp 307,043.00 Rp 307.04 Rp - 1000 Rp 307.04 Rp 307,043.00
33 Asam mefenamat 500 mg Tablet Rp 540.00 2000 Rp 540.00 Rp 1,080,000.00 2000 Rp 540.00 Rp 1,080,000.00 0 Rp 540.00 Rp -
34 Bedak salicyl 2% 60 gr Pot Rp 7,211.60 10 Rp 7,211.60 Rp 72,116.00 6 Rp 7,211.60 Rp 43,269.60 4 Rp 7,211.60 Rp 28,846.40
35 Betametasone 0,1% Tube 19 Rp 2,496.36 Rp 47,430.84 Rp 2,496.36 Rp - 19 Rp 2,496.36 Rp 47,430.84 0 Rp 2,496.36 Rp -
36 Captopril 25 mg Tablet 100 Rp 133.79 Rp 13,379.08 Rp 133.79 Rp - 100 Rp 133.79 Rp 13,379.08 0 Rp 133.79 Rp -
37 Captopril 25 mg Tablet 800 Rp 329.51 Rp 263,609.60 Rp 329.51 Rp - 800 Rp 329.51 Rp 263,609.60 0 Rp 329.51 Rp -
38 Captopril 25 mg Tablet Rp 219.14 Rp - 500 Rp 219.14 Rp 109,571.00 500 Rp 219.14 Rp 109,571.00 0 Rp 219.14 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
39 Cefadroxil 500 mg Tablet Rp 1,200.00 800 Rp 1,200.00 Rp 960,000.00 800 Rp 1,200.00 Rp 960,000.00 0 Rp 1,200.00 Rp -
40 Cefadroxil 500 mg Kapsul 500 Rp 1,115.00 Rp 557,500.00 Rp 1,115.00 Rp - 500 Rp 1,115.00 Rp 557,500.00 0 Rp 1,115.00 Rp -
41 Cefadroxil 500 mg Kapsul Rp 840.00 Rp - 250 Rp 840.00 Rp 210,001.00 250 Rp 840.00 Rp 210,001.00 0 Rp 840.00 Rp -
42 Cefadroxil 500 mg Kapsul Rp 840.00 Rp - 400 Rp 840.00 Rp 336,000.00 400 Rp 840.00 Rp 336,000.00 0 Rp 840.00 Rp -
43 Cefadroxil 500 mg Kapsul Rp 1,200.00 Rp - 100 Rp 1,200.00 Rp 120,000.00 100 Rp 1,200.00 Rp 120,000.00 0 Rp 1,200.00 Rp -
45 Cefadroxil 500 mg Kapsul Rp 692.12 Rp - 1500 Rp 692.12 Rp 1,038,180.00 1100 Rp 692.12 Rp 761,332.00 400 Rp 692.12 Rp 276,848.00
47 Cefadroxil 500 mg (Loctacef) Kapsul Rp 852.61 Rp - 250 Rp 852.61 Rp 213,152.50 250 Rp 852.61 Rp 213,152.50 0 Rp 852.61 Rp -
48 Cefadroxil syr Botol Rp 12,697.30 Rp - 10 Rp 12,697.30 Rp 126,973.00 10 Rp 12,697.30 Rp 126,973.00 0 Rp 12,697.30 Rp -
49 Cetirizine 10 mg Rp 293.69 Rp - 500 Rp 293.69 Rp 146,844.50 500 Rp 293.69 Rp 146,844.50 0 Rp 293.69 Rp -
50 Cetirizine 10 mg Tablet Rp 960.00 Rp - 350 Rp 960.00 Rp 336,000.00 350 Rp 960.00 Rp 336,000.00 0 Rp 960.00 Rp -
51 Cetirizine 10 mg Tablet 500 Rp 1,338.00 Rp 669,000.00 Rp 1,338.00 Rp - 100 Rp 1,338.00 Rp 133,800.00 400 Rp 1,338.00 Rp 535,200.00
52 Cetirizine 10 mg Tablet Rp 387.99 1000 Rp 387.99 Rp 387,992.00 1000 Rp 387.99 Rp 387,992.00 0 Rp 387.99 Rp -
53 Cetirizine 10 mg Tablet Rp 480.00 Rp 480.00 Rp - Rp 480.00 Rp - 0 Rp 480.00 Rp -
54 Cetrizine Sirup 5 mg/5 ml Botol 29 Rp 12,190.25 Rp 353,517.25 Rp 12,190.25 Rp - 26 Rp 12,190.25 Rp 316,946.50 3 Rp 12,190.25 Rp 36,570.75
55 Ciprofloxacin 500 mg Tablet Rp 720.00 Rp - 500 Rp 720.00 Rp 360,000.00 500 Rp 720.00 Rp 360,000.00 0 Rp 720.00 Rp -
56 Ciprofloxacin 500 mg Tablet Rp 1,044.00 Rp - 500 Rp 1,044.00 Rp 522,000.00 500 Rp 1,044.00 Rp 522,000.00 0 Rp 1,044.00 Rp -
57 Ciprofloxacin 500 mg Tablet Rp 474.99 Rp - Rp 474.99 Rp - Rp 474.99 Rp - 0 Rp 474.99 Rp -
58 Ciprofloxacin 500 mg Tablet Rp 474.99 Rp - 1000 Rp 474.99 Rp 474,991.00 200 Rp 474.99 Rp 94,998.20 800 Rp 474.99 Rp 379,992.80
61 Clorpheniramin maleate Tablet Rp 120.00 Rp - Rp 120.00 Rp - Rp 120.00 Rp - 0 Rp 120.00 Rp -
62 Combivent adv Ampul 30 Rp 33,450.00 Rp 1,003,500.00 Rp 33,450.00 Rp - 30 Rp 33,450.00 Rp 1,003,500.00 0 Rp 33,450.00 Rp -
63 Dexametasone 0,5 mg Tablet 1000 Rp 501.75 Rp 501,750.00 Rp 501.75 Rp - 1000 Rp 501.75 Rp 501,750.00 0 Rp 501.75 Rp -
64 Dexametasone 0,5 mg Tablet Rp 300.00 2000 Rp 300.00 Rp 600,000.00 2000 Rp 300.00 Rp 600,000.00 0 Rp 300.00 Rp -
65 Dexametasone 0,5 mg Tablet Rp 98.22 1000 Rp 98.22 Rp 98,219.00 700 Rp 98.22 Rp 68,753.30 300 Rp 98.22 Rp 29,465.70
66 Dexametasone 0,5 mg Tablet Rp 84.70 1000 Rp 84.70 Rp 84,700.00 1000 Rp 84.70 Rp 84,700.00 0 Rp 84.70 Rp -
67 Domperidon Tablet Rp 293.08 500 Rp 293.08 Rp 146,542.00 500 Rp 293.08 Rp 146,542.00 0 Rp 293.08 Rp -
68 Domperidon Sirup Botol 6 Rp 22,300.00 Rp 133,800.00 Rp 22,300.00 Rp - 6 Rp 22,300.00 Rp 133,800.00 0 Rp 22,300.00 Rp -
69 Domperidon Sirup Botol Rp 4,431.90 15 Rp 4,431.90 Rp 66,478.50 15 Rp 4,431.90 Rp 66,478.50 0 Rp 4,431.90 Rp -
70 Domperidon Sirup Botol Rp 4,801.53 15 Rp 4,801.53 Rp 72,023.00 15 Rp 4,801.53 Rp 72,023.00 0 Rp 4,801.53 Rp -
71 Faridexon Tablet Rp 91.85 Rp 91.85 Rp - Rp 91.85 Rp - 0 Rp 91.85 Rp -
72 Gentamycin Salep Kulit 0,1% Tube 8 Rp 3,650.90 Rp 29,207.20 Rp 3,650.90 Rp - 8 Rp 3,650.90 Rp 29,207.20 0 Rp 3,650.90 Rp -
73 Glibenklamid 5 mg Tablet 400 Rp 239.10 Rp 95,638.40 Rp 239.10 Rp - 400 Rp 239.10 Rp 95,638.40 0 Rp 239.10 Rp -
74 Gliseril guaikolat Tablet Rp 300.00 Rp - 400 Rp 300.00 Rp 120,000.00 400 Rp 300.00 Rp 120,000.00 0 Rp 300.00 Rp -
77 Guaifenesin 100 mg Tablet Rp 146.26 Rp - 2000 Rp 146.26 Rp 292,512.00 1700 Rp 146.26 Rp 248,635.20 300 Rp 146.26 Rp 43,876.80
78 Guaifenesin 100 mg Tablet 2000 Rp 390.25 Rp 780,500.00 Rp 390.25 Rp - 2000 Rp 390.25 Rp 780,500.00 0 Rp 390.25 Rp -
79 Gratazone (Dexa o,5 mg) Tablet Rp 110.50 Rp 110.50 Rp - Rp 110.50 Rp - 0 Rp 110.50 Rp -
80 Gratazone (Dexa o,5 mg) Tablet Rp 160.00 1000 Rp 160.00 Rp 160,000.50 1000 Rp 160.00 Rp 160,000.50 0 Rp 160.00 Rp -
81 Ibu Profen 400 mg Tablet Rp 480.00 Rp - 1500 Rp 480.00 Rp 720,000.00 1500 Rp 480.00 Rp 720,000.00 0 Rp 480.00 Rp -
84 Ibu Profen 400 mg Tablet Rp 360.36 Rp - Rp 360.36 Rp - Rp 360.36 Rp - 0 Rp 360.36 Rp -
85 Ibu Profen 400 mg Tablet Rp 360.00 Rp - 1000 Rp 360.00 Rp 360,000.00 Rp 360.00 Rp - 1000 Rp 360.00 Rp 360,000.00
89 Kalsium Laktat 500 mg Tablet 300 Rp 360.00 Rp 108,000.00 Rp 360.00 Rp - 300 Rp 360.00 Rp 108,000.00 0 Rp 360.00 Rp -
90 Kalsium Laktat 500 mg Tablet Rp 600.00 Rp - 1500 Rp 600.00 Rp 900,000.00 1500 Rp 600.00 Rp 900,000.00 0 Rp 600.00 Rp -
91 Ketokonazole 200 mg Tablet 150 Rp 828.80 Rp 124,320.00 Rp 828.80 Rp - 150 Rp 828.80 Rp 124,320.00 0 Rp 828.80 Rp -
92 Ketokonazole Krim 2% Tube 16 Rp 5,610.00 Rp 89,760.00 Rp 5,610.00 Rp - 16 Rp 5,610.00 Rp 89,760.00 0 Rp 5,610.00 Rp -
93 Klindamisin 150 mg Kapsul 300 Rp 1,050.00 Rp 315,000.00 Rp 1,050.00 Rp - 50 Rp 1,050.00 Rp 52,500.00 250 Rp 1,050.00 Rp 262,500.00
94 Klorpheniramine maleat 4 mg Tablet 1400 Rp 195.12 Rp 273,168.00 Rp 195.12 Rp - 1400 Rp 195.12 Rp 273,168.00 0 Rp 195.12 Rp -
95 Klorpheniramine maleat 4 mg Tablet Rp 89.41 500 Rp 89.41 Rp 44,704.00 500 Rp 89.41 Rp 44,704.00 0 Rp 89.41 Rp -
96 Kloramfenicol 500 mg Kapsul Rp 517.50 Rp - 800 Rp 517.50 Rp 414,000.00 800 Rp 517.50 Rp 414,000.00 0 Rp 517.50 Rp -
97 Kloramfenicol sirup Botol 10 Rp 22,300.00 Rp 223,000.00 Rp 22,300.00 Rp - 10 Rp 22,300.00 Rp 223,000.00 0 Rp 22,300.00 Rp -
98 Lanzoprasole Kapsul Rp 720.00 Rp - 1000 Rp 720.00 Rp 720,000.00 1000 Rp 720.00 Rp 720,000.00 0 Rp 720.00 Rp -
99 Latibet 5 mg Tablet Rp 174.56 Rp - 1000 Rp 174.56 Rp 174,559.00 400 Rp 174.56 Rp 69,823.60 600 Rp 174.56 Rp 104,735.40
100 Lecozink Tablet Rp 305.53 Rp - 500 Rp 305.53 Rp 152,763.00 500 Rp 305.53 Rp 152,763.00 0 Rp 305.53 Rp -
101 Lidocain HCl 2% Injeksi Ampul 40 Rp 13,380.00 Rp 535,200.00 Rp 13,380.00 Rp - 40 Rp 13,380.00 Rp 535,200.00 0 Rp 13,380.00 Rp -
102 Lidocain Injeksi Ampul Rp 5,000.00 50 Rp 5,000.00 Rp 250,000.00 50 Rp 5,000.00 Rp 250,000.00 0 Rp 5,000.00 Rp -
103 Loctacef Kapsul Rp 852.61 Rp 852.61 Rp - Rp 852.61 Rp - 0 Rp 852.61 Rp -
104 Metformin 500 mg Tablet 1000 Rp 613.25 Rp 613,250.00 Rp 613.25 Rp - 700 Rp 613.25 Rp 429,275.00 300 Rp 613.25 Rp 183,975.00
105 Metil Ergometrin Tablet Rp 700.00 200 Rp 700.00 Rp 140,000.00 200 Rp 700.00 Rp 140,000.00 0 Rp 700.00 Rp -
106 Metil Prenisolone 4 mg Tablet Rp 353.76 2000 Rp 353.76 Rp 707,520.00 1000 Rp 353.76 Rp 353,760.00 1000 Rp 353.76 Rp 353,760.00
107 Metil Prenisolone 4 mg Tablet Rp 528.00 Rp - 500 Rp 528.00 Rp 264,000.00 500 Rp 528.00 Rp 264,000.00 0 Rp 528.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
108 Metil Prenisolone 4 mg Tablet Rp 600.00 Rp - 1500 Rp 600.00 Rp 900,000.00 1500 Rp 600.00 Rp 900,000.00 0 Rp 600.00 Rp -
109 Metil Prenisolone 4 mg Tablet Rp 420.00 1000 Rp 420.00 Rp 420,000.00 1000 Rp 420.00 Rp 420,000.00 0 Rp 420.00 Rp -
110 Metil Prenisolone 4 mg Tablet Rp 326.70 1000 Rp 326.70 Rp 326,700.00 1000 Rp 326.70 Rp 326,700.00 0 Rp 326.70 Rp -
111 Meloxicam 15 mg Tablet 20 Rp 1,252.25 Rp 25,045.00 Rp 1,252.25 Rp - 20 Rp 1,252.25 Rp 25,045.00 0 Rp 1,252.25 Rp -
112 Metoklopramid 10 mg Tablet 1000 Rp 87.00 Rp 86,999.00 Rp 87.00 Rp - 1000 Rp 87.00 Rp 86,999.00 0 Rp 87.00 Rp -
113 Metronidazole 250 mg Tablet 1000 Rp 178.20 Rp 178,200.00 Rp 178.20 Rp - 400 Rp 178.20 Rp 71,280.00 600 Rp 178.20 Rp 106,920.00
114 Metronidazole 500 mg Tablet 1000 Rp 286.00 Rp 286,000.00 Rp 286.00 Rp - 1000 Rp 286.00 Rp 286,000.00 0 Rp 286.00 Rp -
115 Miconazole zalf Tube Rp 4,962.12 25 Rp 4,962.12 Rp 124,053.00 5 Rp 4,962.12 Rp 24,810.60 20 Rp 4,962.12 Rp 99,242.40
116 Miconazole zalf Tube Rp 6,000.00 20 Rp 6,000.00 Rp 120,000.00 20 Rp 6,000.00 Rp 120,000.00 0 Rp 6,000.00 Rp -
117 Natrium Diclofenak 25 mg Tablet Rp 480.00 Rp - 700 Rp 480.00 Rp 336,000.00 700 Rp 480.00 Rp 336,000.00 0 Rp 480.00 Rp -
118 Natrium Diclofenak 25 mg Tablet Rp 299.53 500 Rp 299.53 Rp 149,765.00 500 Rp 299.53 Rp 149,765.00 0 Rp 299.53 Rp -
119 Natrium Diclofenak 25 mg Tablet Rp 270.42 Rp - 500 Rp 270.42 Rp 135,212.00 Rp 270.42 Rp - 500 Rp 270.42 Rp 135,212.00
120 Natrium Diclofenak 25 mg Tablet Rp 600.00 500 Rp 600.00 Rp 300,000.00 Rp 600.00 Rp - 500 Rp 600.00 Rp 300,000.00
121 Natrium Diclofenak 50 mg Tablet 1000 Rp 501.75 Rp 501,750.00 Rp 501.75 Rp - 1000 Rp 501.75 Rp 501,750.00 0 Rp 501.75 Rp -
122 Natrium Diclofenak 50 mg Tablet Rp 329.69 100 Rp 329.69 Rp 32,969.20 100 Rp 329.69 Rp 32,969.20 0 Rp 329.69 Rp -
123 Novaclor 500 mg Tablet Rp 572.33 500 Rp 572.33 Rp 286,165.00 500 Rp 572.33 Rp 286,165.00 0 Rp 572.33 Rp -
124 Novaclor 500 mg Tablet Rp 540.00 500 Rp 540.00 Rp 270,000.00 500 Rp 540.00 Rp 270,000.00 0 Rp 540.00 Rp -
125 Nifedipin 10 mg Tablet 1000 Rp 193.49 Rp 193,490.00 Rp 193.49 Rp - 400 Rp 193.49 Rp 77,396.00 600 Rp 193.49 Rp 116,094.00
126 Oksitetrasiklin SK Tube 23 Rp 13,380.00 Rp 307,740.00 Rp 13,380.00 Rp - 23 Rp 13,380.00 Rp 307,740.00 0 Rp 13,380.00 Rp -
127 Oksitoxin Inj Ampul Rp 12,000.00 35 Rp 12,000.00 Rp 420,000.00 35 Rp 12,000.00 Rp 420,000.00 0 Rp 12,000.00 Rp -
128 Oksitoxin Inj Ampul Rp 10,000.00 150 Rp 10,000.00 Rp 1,500,000.00 150 Rp 10,000.00 Rp 1,500,000.00 0 Rp 10,000.00 Rp -
129 Oksitoxin Inj Ampul Rp 5,000.00 Rp 5,000.00 Rp - Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
130 Omeprasole Kapsul Rp 1,400.00 390 Rp 1,400.00 Rp 546,000.00 390 Rp 1,400.00 Rp 546,000.00 0 Rp 1,400.00 Rp -
131 Omeprasole Kapsul Rp 406.41 300 Rp 406.41 Rp 121,924.00 300 Rp 406.41 Rp 121,924.00 0 Rp 406.41 Rp -
134 Natrium diklofenak 25 mg Tablet Rp 299.53 Rp 299.53 Rp - Rp 299.53 Rp - 0 Rp 299.53 Rp -
135 Paracetamol 500 mg Tablet Rp 162.40 3500 Rp 162.40 Rp 568,414.00 3500 Rp 162.40 Rp 568,414.00 0 Rp 162.40 Rp -
136 Paracetamol 500 mg Tablet 2300 Rp 278.75 Rp 641,125.00 Rp 278.75 Rp - 2300 Rp 278.75 Rp 641,125.00 0 Rp 278.75 Rp -
137 Paracetamol 500 mg Tablet Rp 300.00 Rp - 7500 Rp 300.00 Rp 2,250,000.00 6500 Rp 300.00 Rp 1,950,000.00 1000 Rp 300.00 Rp 300,000.00
141 Paracetamol 500 mg Tablet Rp 162.40 Rp 162.40 Rp - Rp 162.40 Rp - 0 Rp 162.40 Rp -
142 Paracetamol syr Botol Rp 4,070.00 30 Rp 4,070.00 Rp 122,100.00 30 Rp 4,070.00 Rp 122,100.00 0 Rp 4,070.00 Rp -
143 Paracetamol sirup Botol 5 Rp 13,380.00 Rp 66,900.00 Rp 13,380.00 Rp - 5 Rp 13,380.00 Rp 66,900.00 0 Rp 13,380.00 Rp -
144 Pehacain injeksi Ampul 45 Rp 13,380.00 Rp 602,100.00 Rp 13,380.00 Rp - 45 Rp 13,380.00 Rp 602,100.00 0 Rp 13,380.00 Rp -
145 Pehacain Injeksi Ampul Rp 6,000.00 Rp - 40 Rp 6,000.00 Rp 240,000.00 40 Rp 6,000.00 Rp 240,000.00 0 Rp 6,000.00 Rp -
146 Pehacain injeksi Ampul Rp 3,479.33 Rp - Rp 3,479.33 Rp - Rp 3,479.33 Rp - 0 Rp 3,479.33 Rp -
147 Pehacain injeksi Ampul Rp 3,424.35 Rp - 60 Rp 3,424.35 Rp 205,460.94 60 Rp 3,424.35 Rp 205,460.94 0 Rp 3,424.35 Rp -
148 Pehacain injeksi Ampul Rp 3,475.72 Rp - 120 Rp 3,475.72 Rp 417,086.52 95 Rp 3,475.72 Rp 330,193.50 25 Rp 3,475.72 Rp 86,893.03
149 Piroxicam 10 mg Tablet 600 Rp 446.00 Rp 267,600.00 Rp 446.00 Rp - 600 Rp 446.00 Rp 267,600.00 0 Rp 446.00 Rp -
153 Piroxicam 10 mg Tablet Rp 300.00 1000 Rp 300.00 Rp 300,000.00 300 Rp 300.00 Rp 90,000.00 700 Rp 300.00 Rp 210,000.00
155 Piroxicam 20 mg Tablet 900 Rp 446.00 Rp 401,400.00 Rp 446.00 Rp - 900 Rp 446.00 Rp 401,400.00 0 Rp 446.00 Rp -
157 Piroxicam 20 mg Tablet Rp 227.69 1500 Rp 227.69 Rp 341,533.20 1000 Rp 227.69 Rp 227,688.80 500 Rp 227.69 Rp 113,844.40
158 Propanolol 10 mg Tablet 200 Rp 411.00 Rp 82,200.00 Rp 411.00 Rp - Rp 411.00 Rp - 200 Rp 411.00 Rp 82,200.00
159 Ranitidine 150 mg Tablet 1000 Rp 557.50 Rp 557,500.00 Rp 557.50 Rp - 1000 Rp 557.50 Rp 557,500.00 0 Rp 557.50 Rp -
160 Ranitidine 150 mg Tablet Rp 158.41 1300 Rp 158.41 Rp 205,934.63 1300 Rp 158.41 Rp 205,934.63 0 Rp 158.41 Rp -
161 Ranitidine 150 mg Tablet Rp 240.00 1000 Rp 240.00 Rp 240,000.00 600 Rp 240.00 Rp 144,000.00 400 Rp 240.00 Rp 96,000.00
162 Ranitidine injeksi Ampul 48 Rp 13,380.00 Rp 642,240.00 Rp 13,380.00 Rp - 48 Rp 13,380.00 Rp 642,240.00 0 Rp 13,380.00 Rp -
163 Ringer Lactat Botol Rp 11,000.00 180 Rp 11,000.00 Rp 1,980,000.00 180 Rp 11,000.00 Rp 1,980,000.00 0 Rp 11,000.00 Rp -
164 Ringer Lactat Botol Rp 12,000.00 170 Rp 12,000.00 Rp 2,040,000.00 170 Rp 12,000.00 Rp 2,040,000.00 0 Rp 12,000.00 Rp -
165 Ringer Lactat Botol Rp 13,200.00 Rp - 280 Rp 13,200.00 Rp 3,696,000.00 280 Rp 13,200.00 Rp 3,696,000.00 0 Rp 13,200.00 Rp -
166 Ringer Lactat Botol Rp 9,350.00 100 Rp 9,350.00 Rp 935,000.00 100 Rp 9,350.00 Rp 935,000.00 0 Rp 9,350.00 Rp -
167 Rivanol Botol Rp 5,000.00 0 Rp 5,000.00 Rp - Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
168 Rivanol 300 ml Botol Rp 8,500.80 10 Rp 8,500.80 Rp 85,008.00 7 Rp 8,500.80 Rp 59,505.60 3 Rp 8,500.80 Rp 25,502.40
169 Salbutamol 2 mg Tablet Rp 138.79 500 Rp 138.79 Rp 69,393.50 500 Rp 138.79 Rp 69,393.50 0 Rp 138.79 Rp -
170 Salbutamol 2 mg Tablet 300 Rp 84.03 Rp 25,208.70 Rp 84.03 Rp - 300 Rp 84.03 Rp 25,208.70 0 Rp 84.03 Rp -
171 Simvastatin 10 mg Tablet 750 Rp 892.00 Rp 669,000.00 Rp 892.00 Rp - 750 Rp 892.00 Rp 669,000.00 0 Rp 892.00 Rp -
172 Simvastatin 10 mg Tablet Rp 232.10 1500 Rp 232.10 Rp 348,150.00 1500 Rp 232.10 Rp 348,150.00 0 Rp 232.10 Rp -
173 Simvastatin 10 mg Tablet Rp 500.00 Rp 500.00 Rp - Rp 500.00 Rp - 0 Rp 500.00 Rp -
174 Simvastatin 10 mg Tablet Rp 250.00 1000 Rp 250.00 Rp 250,000.00 Rp 250.00 Rp - 1000 Rp 250.00 Rp 250,000.00
175 Simvastatin 20 mg Tablet 750 Rp 1,338.00 Rp 1,003,500.00 Rp 1,338.00 Rp - 750 Rp 1,338.00 Rp 1,003,500.00 0 Rp 1,338.00 Rp -
176 Simvastatin 20 mg Tablet Rp 1,500.00 90 Rp 1,500.00 Rp 135,000.00 90 Rp 1,500.00 Rp 135,000.00 0 Rp 1,500.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
177 Vitamin B.compleks Tablet Rp 360.00 Rp - 1500 Rp 360.00 Rp 540,000.00 1500 Rp 360.00 Rp 540,000.00 0 Rp 360.00 Rp -
181 Vitamin C 50 mg Tablet 100 Rp 125.84 Rp 12,584.00 Rp 125.84 Rp - 100 Rp 125.84 Rp 12,584.00 0 Rp 125.84 Rp -
182 Vitamin C 50 mg Rp 210.00 Rp - 600 Rp 210.00 Rp 126,000.00 600 Rp 210.00 Rp 126,000.00 0 Rp 210.00 Rp -
183 Zinc dispersible 20 mg Tablet 300 Rp 475.00 Rp 142,500.00 Rp 475.00 Rp - 300 Rp 475.00 Rp 142,500.00 0 Rp 475.00 Rp -
184 Zinc dispersible 20 mg Tablet Rp 720.00 600 Rp 720.00 Rp 432,000.00 600 Rp 720.00 Rp 432,000.00 0 Rp 720.00 Rp -
185 Alkohol 70% 300 ml Botol Rp 10,890.00 10 Rp 10,890.00 Rp 108,900.00 10 Rp 10,890.00 Rp 108,900.00 0 Rp 10,890.00 Rp -
BMHP BPJS Rp - Rp - 0 Rp -
1 Alkohol 70% 1 Liter Botol 5 Rp 33,673.20 Rp 168,366.00 Rp 33,673.20 Rp - 5 Rp 33,673.20 Rp 168,366.00 0 Rp 33,673.20 Rp -
2 Alkohol 70% 1 Liter Botol Rp 138,000.00 2 Rp 138,000.00 Rp 276,000.00 2 Rp 138,000.00 Rp 276,000.00 0 Rp 138,000.00 Rp -
6 Alkohol 70% 300 ml Botol Rp 10,890.00 Rp 10,890.00 Rp - Rp 10,890.00 Rp - 0 Rp 10,890.00 Rp -
7 Antiseptic Gel Botol 4 Rp 33,125.40 Rp 132,501.60 Rp 33,125.40 Rp - 4 Rp 33,125.40 Rp 132,501.60 0 Rp 33,125.40 Rp -
8 Aseptic Gel Botol 5 Rp 34,236.51 Rp 171,182.55 Rp 34,236.51 Rp - 5 Rp 34,236.51 Rp 171,182.55 0 Rp 34,236.51 Rp -
9 Antiseptic Gel Botol 2 Rp 55,000.00 Rp 110,000.00 Rp 55,000.00 Rp - 2 Rp 55,000.00 Rp 110,000.00 0 Rp 55,000.00 Rp -
10 Antiseptic chlodine 0,5% b/v Botol Rp 220,000.00 4 Rp 220,000.00 Rp 880,000.00 4 Rp 220,000.00 Rp 880,000.00 0 Rp 220,000.00 Rp -
11 Autocheck Colesterol Box Rp 220,000.00 2 Rp 220,000.00 Rp 440,000.00 1 Rp 220,000.00 Rp 220,000.00 1 Rp 220,000.00 Rp 220,000.00
12 Autocheck Urid Acid Box Rp 150,000.00 2 Rp 150,000.00 Rp 300,000.00 2 Rp 150,000.00 Rp 300,000.00 0 Rp 150,000.00 Rp -
13 Batang Pengaduk panjang Pcs 1 Rp 24,941.18 Rp 24,941.18 Rp 24,941.18 Rp - 1 Rp 24,941.18 Rp 24,941.18 0 Rp 24,941.18 Rp -
14 Blood Grouping Anti. A Botol Rp 180,000.00 1 Rp 180,000.00 Rp 180,000.00 1 Rp 180,000.00 Rp 180,000.00 0 Rp 180,000.00 Rp -
15 Blood Grouping Anti. B Botol Rp 180,000.00 1 Rp 180,000.00 Rp 180,000.00 1 Rp 180,000.00 Rp 180,000.00 0 Rp 180,000.00 Rp -
16 Bisturi Pcs Rp 1,560.00 100 Rp 1,560.00 Rp 156,000.00 Rp 1,560.00 Rp - 100 Rp 1,560.00 Rp 156,000.00
17 Bisturi No.21 Pcs 49 Rp 1,354.13 Rp 66,352.13 Rp 1,354.13 Rp - 49 Rp 1,354.13 Rp 66,352.13 0 Rp 1,354.13 Rp -
18 Bisturi No.11 Pcs 100 Rp 1,354.13 Rp 135,412.50 Rp 1,354.13 Rp - 100 Rp 1,354.13 Rp 135,412.50 0 Rp 1,354.13 Rp -
19 Blood Lancet Box 3 Rp 19,699.90 Rp 59,099.70 Rp 19,699.90 Rp - 3 Rp 19,699.90 Rp 59,099.70 0 Rp 19,699.90 Rp -
20 Blood Lancet Box Rp 30,000.00 5 Rp 30,000.00 Rp 150,000.00 5 Rp 30,000.00 Rp 150,000.00 0 Rp 30,000.00 Rp -
21 Blood Lancet Box Rp 52,000.00 5 Rp 52,000.00 Rp 260,000.00 1 Rp 52,000.00 Rp 52,000.00 4 Rp 52,000.00 Rp 208,000.00
22 Blood Lancet Box Rp 26,000.00 5 Rp 26,000.00 Rp 130,000.00 5 Rp 26,000.00 Rp 130,000.00 0 Rp 26,000.00 Rp -
23 Cangkang Kapsul Pak 1 Rp 115,412.50 Rp 115,412.50 Rp 115,412.50 Rp - Rp 115,412.50 Rp - 1 Rp 115,412.50 Rp 115,412.50
24 Cangkang Kapsul Kosong No.1 Pak 1 Rp 98,244.44 Rp 98,244.44 Rp 98,244.44 Rp - Rp 98,244.44 Rp - 1 Rp 98,244.44 Rp 98,244.44
25 Catgut cromic 3/0 Pcs 24 Rp 10,979.17 Rp 263,500.00 Rp 10,979.17 Rp - 24 Rp 10,979.17 Rp 263,500.00 0 Rp 10,979.17 Rp -
26 Catgut 2/0 Pcs 9 Rp 6,249.90 Rp 56,249.10 Rp 6,249.90 Rp - 9 Rp 6,249.90 Rp 56,249.10 0 Rp 6,249.90 Rp -
27 Eugenol Botol 1 Rp 150,000.00 Rp 150,000.00 Rp 150,000.00 Rp - 1 Rp 150,000.00 Rp 150,000.00 0 Rp 150,000.00 Rp -
28 Gel USG Botol Rp 35,000.00 3 Rp 35,000.00 Rp 105,000.00 2 Rp 35,000.00 Rp 70,000.00 1 Rp 35,000.00 Rp 35,000.00
29 Hanscoon Uk. S Box Rp 96,000.00 Rp - 7 Rp 96,000.00 Rp 672,000.00 7 Rp 96,000.00 Rp 672,000.00 0 Rp 96,000.00 Rp -
30 Hanscoon uk. S Box Rp 144,000.00 Rp - 21 Rp 144,000.00 Rp 3,024,000.00 21 Rp 144,000.00 Rp 3,024,000.00 0 Rp 144,000.00 Rp -
33 Hanscoon altamed Box Rp 130,000.00 Rp - 20 Rp 130,000.00 Rp 2,600,000.00 19 Rp 130,000.00 Rp 2,470,000.00 1 Rp 130,000.00 Rp 130,000.00
34 Hanscoon Box Rp 225,000.00 Rp - 2 Rp 225,000.00 Rp 450,000.00 Rp 225,000.00 Rp - 2 Rp 225,000.00 Rp 450,000.00
35 Hand sanitiser Botol Rp 65,000.00 Rp - 13 Rp 65,000.00 Rp 845,000.00 13 Rp 65,000.00 Rp 845,000.00 0 Rp 65,000.00 Rp -
36 Hand sanitiser Botol Rp 55,000.00 Rp - 1 Rp 55,000.00 Rp 55,000.00 1 Rp 55,000.00 Rp 55,000.00 0 Rp 55,000.00 Rp -
37 H2O2 3% 800 ml Botol 2 Rp 45,960.78 Rp 91,921.57 Rp 45,960.78 Rp - 1 Rp 45,960.78 Rp 45,960.78 1 Rp 45,960.78 Rp 45,960.78
38 H2O2 3% 800 ml Botol 2 Rp 50,122.22 Rp 100,244.44 Rp 50,122.22 Rp - 2 Rp 50,122.22 Rp 100,244.44 0 Rp 50,122.22 Rp -
39 Infuset Anak Pcs Rp 18,000.00 10 Rp 18,000.00 Rp 180,000.00 10 Rp 18,000.00 Rp 180,000.00 0 Rp 18,000.00 Rp -
40 Infuset Anak pcs 30 Rp 7,500.00 Rp 225,000.00 Rp 7,500.00 Rp - 30 Rp 7,500.00 Rp 225,000.00 0 Rp 7,500.00 Rp -
41 Infuset Macro Pcs Rp 12,000.00 Rp - 150 Rp 12,000.00 Rp 1,800,000.00 150 Rp 12,000.00 Rp 1,800,000.00 0 Rp 12,000.00 Rp -
42 Infuset Macro pcs 197 Rp 8,028.00 Rp 1,581,516.00 Rp 8,028.00 Rp - 197 Rp 8,028.00 Rp 1,581,516.00 0 Rp 8,028.00 Rp -
43 Infuset Macro Pcs Rp 6,400.00 150 Rp 6,400.00 Rp 960,000.00 140 Rp 6,400.00 Rp 896,000.00 10 Rp 6,400.00 Rp 64,000.00
44 Infuset Macro Pcs Rp 8,000.00 200 Rp 8,000.00 Rp 1,600,000.00 200 Rp 8,000.00 Rp 1,600,000.00 0 Rp 8,000.00 Rp -
45 Infuset Makro Pcs Rp 12,500.00 Rp 12,500.00 Rp - Rp 12,500.00 Rp - 0 Rp 12,500.00 Rp -
46 Infuset makro pcs Rp 10,500.00 50 Rp 10,500.00 Rp 525,000.00 50 Rp 10,500.00 Rp 525,000.00 0 Rp 10,500.00 Rp -
47 Iodium Test Botol 3 Rp 360,000.00 Rp 1,080,000.00 Rp 360,000.00 Rp - 3 Rp 360,000.00 Rp 1,080,000.00 0 Rp 360,000.00 Rp -
48 Isi Ulang Tabung Oksigen Besar Buah Rp 250,000.00 Rp - 27 Rp 250,000.00 Rp 6,750,000.00 27 Rp 250,000.00 Rp 6,750,000.00 0 Rp 250,000.00 Rp -
49 Isi Ulang Tabung Oksigen Kecil Buah Rp 150,000.00 Rp - 41 Rp 150,000.00 Rp 6,150,000.00 41 Rp 150,000.00 Rp 6,150,000.00 0 Rp 150,000.00 Rp -
50 IV Cathether No. 20 Pcs Rp 6,400.00 Rp - 100 Rp 6,400.00 Rp 640,000.00 Rp 6,400.00 Rp - 100 Rp 6,400.00 Rp 640,000.00
51 IV Cathether No. 20 pcs 25 Rp 10,035.00 Rp 250,875.00 Rp 10,035.00 Rp - 25 Rp 10,035.00 Rp 250,875.00 0 Rp 10,035.00 Rp -
52 IV Cathether No. 20 Pcs Rp 12,000.00 77 Rp 12,000.00 Rp 924,000.00 77 Rp 12,000.00 Rp 924,000.00 0 Rp 12,000.00 Rp -
53 IV Cathether No. 20 Pcs Rp 6,400.00 Rp 6,400.00 Rp - Rp 6,400.00 Rp - 0 Rp 6,400.00 Rp -
56 IV Catheher No.22 Pcs Rp 8,000.00 50 Rp 8,000.00 Rp 400,000.00 50 Rp 8,000.00 Rp 400,000.00 0 Rp 8,000.00 Rp -
57 IV Catheher No.22 Pcs Rp 12,000.00 Rp - 100 Rp 12,000.00 Rp 1,200,000.00 100 Rp 12,000.00 Rp 1,200,000.00 0 Rp 12,000.00 Rp -
58 IV Catheher No.22 Pcs Rp 6,400.00 Rp - 100 Rp 6,400.00 Rp 640,000.00 100 Rp 6,400.00 Rp 640,000.00 0 Rp 6,400.00 Rp -
59 IV Catheher No.22 Pcs Rp 10,000.00 25 Rp 10,000.00 Rp 250,000.00 25 Rp 10,000.00 Rp 250,000.00 0 Rp 10,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
60 IV Catheher No.22 Pcs 32 Rp 10,035.00 Rp 321,120.00 Rp 10,035.00 Rp - 32 Rp 10,035.00 Rp 321,120.00 0 Rp 10,035.00 Rp -
61 IV Catheher No.24 Pcs 10 Rp 5,334.90 Rp 53,349.00 Rp 5,334.90 Rp - 10 Rp 5,334.90 Rp 53,349.00 0 Rp 5,334.90 Rp -
64 IV Catheher No.26 Pcs Rp 12,000.00 Rp - 50 Rp 12,000.00 Rp 600,000.00 40 Rp 12,000.00 Rp 480,000.00 10 Rp 12,000.00 Rp 120,000.00
65 Kapas 500 gram Pcs 2 Rp 39,600.00 Rp 79,200.00 Rp 39,600.00 Rp - Rp 39,600.00 Rp - 2 Rp 39,600.00 Rp 79,200.00
66 Kasa Kompres Steril 40 x 40 cm Pcs 8 Rp 1,840.00 Rp 14,720.00 Rp 1,840.00 Rp - 8 Rp 1,840.00 Rp 14,720.00 0 Rp 1,840.00 Rp -
67 Masker Box Rp 260,000.00 3 Rp 260,000.00 Rp 780,000.00 3 Rp 260,000.00 Rp 780,000.00 0 Rp 260,000.00 Rp -
68 Masker Box Rp 200,000.00 5 Rp 200,000.00 Rp 1,000,000.00 5 Rp 200,000.00 Rp 1,000,000.00 0 Rp 200,000.00 Rp -
69 Masker Nebulizer dewasa Pcs 3 Rp 95,500.00 Rp 286,500.00 Rp 95,500.00 Rp - 3 Rp 95,500.00 Rp 286,500.00 0 Rp 95,500.00 Rp -
70 Masker Nebulizer Dewasa Pcs 5 Rp 26,173.89 Rp 130,869.44 Rp 26,173.89 Rp - 3 Rp 26,173.89 Rp 78,521.66 2 Rp 26,173.89 Rp 52,347.78
71 Masker Oksigen Dewasa Pcs 4 Rp 53,082.50 Rp 212,330.00 Rp 53,082.50 Rp - 4 Rp 53,082.50 Rp 212,330.00 0 Rp 53,082.50 Rp -
72 Mikroskop Slide Box 2 Rp 27,045.81 Rp 54,091.62 Rp 27,045.81 Rp - 2 Rp 27,045.81 Rp 54,091.62 0 Rp 27,045.81 Rp -
73 Nasal Canul Dewasa Pcs Rp 20,000.00 20 Rp 20,000.00 Rp 400,000.00 20 Rp 20,000.00 Rp 400,000.00 0 Rp 20,000.00 Rp -
74 Nasal canul Dewasa Pcs Rp 17,000.00 15 Rp 17,000.00 Rp 255,000.00 7 Rp 17,000.00 Rp 119,000.00 8 Rp 17,000.00 Rp 136,000.00
75 Nasal Canul Pcs Rp 18,000.00 25 Rp 18,000.00 Rp 450,000.00 25 Rp 18,000.00 Rp 450,000.00 0 Rp 18,000.00 Rp -
76 Nasal canul Anak pcs Rp 18,000.00 10 Rp 18,000.00 Rp 180,000.00 10 Rp 18,000.00 Rp 180,000.00 0 Rp 18,000.00 Rp -
77 Nasal Canul anak Pcs Rp 25,000.00 20 Rp 25,000.00 Rp 500,000.00 1 Rp 25,000.00 Rp 25,000.00 19 Rp 25,000.00 Rp 475,000.00
78 Nasal Canul anak Pcs Rp 17,000.00 10 Rp 17,000.00 Rp 170,000.00 10 Rp 17,000.00 Rp 170,000.00 0 Rp 17,000.00 Rp -
79 Nasal canul bayi Pcs Rp 25,000.00 10 Rp 25,000.00 Rp 250,000.00 5 Rp 25,000.00 Rp 125,000.00 5 Rp 25,000.00 Rp 125,000.00
80 Nasal O2 Anak pcs 1 Rp 6,875.00 Rp 6,875.00 Rp 6,875.00 Rp - 1 Rp 6,875.00 Rp 6,875.00 0 Rp 6,875.00 Rp -
81 Nasal O2 Bayi Pcs 4 Rp 7,430.56 Rp 29,722.22 Rp 7,430.56 Rp - 4 Rp 7,430.56 Rp 29,722.22 0 Rp 7,430.56 Rp -
82 Nasal O2 Dewasa pcs 3 Rp 8,662.50 Rp 25,987.50 Rp 8,662.50 Rp - 3 Rp 8,662.50 Rp 25,987.50 0 Rp 8,662.50 Rp -
83 Nasal kanul O2 Dewasa Pcs Rp 16,800.00 10 Rp 16,800.00 Rp 168,000.00 10 Rp 16,800.00 Rp 168,000.00 0 Rp 16,800.00 Rp -
84 Nasal kanul O2 Anak Pcs Rp 16,800.00 10 Rp 16,800.00 Rp 168,000.00 10 Rp 16,800.00 Rp 168,000.00 0 Rp 16,800.00 Rp -
85 Nasal canul O2 Bayi Pcs Rp 20,400.00 10 Rp 20,400.00 Rp 204,000.00 10 Rp 20,400.00 Rp 204,000.00 0 Rp 20,400.00 Rp -
86 Needle Dental Pcs 30 Rp 1,600.00 Rp 48,000.00 Rp 1,600.00 Rp - 30 Rp 1,600.00 Rp 48,000.00 0 Rp 1,600.00 Rp -
87 Needle Dental Pcs Rp 3,000.00 Rp - 200 Rp 3,000.00 Rp 600,000.00 165 Rp 3,000.00 Rp 495,000.00 35 Rp 3,000.00 Rp 105,000.00
88 Penjepit Tali Pusar Pcs 17 Rp 1,736.12 Rp 29,514.02 Rp 1,736.12 Rp - 17 Rp 1,736.12 Rp 29,514.02 0 Rp 1,736.12 Rp -
89 Penjepit Tali Pusar Pcs 50 Rp 1,625.00 Rp 81,250.00 Rp 1,625.00 Rp - 50 Rp 1,625.00 Rp 81,250.00 0 Rp 1,625.00 Rp -
90 Penjepit Tali Pusar Pcs Rp 2,400.00 100 Rp 2,400.00 Rp 240,000.00 20 Rp 2,400.00 Rp 48,000.00 80 Rp 2,400.00 Rp 192,000.00
91 Pipet Tetes Pcs 3 Rp 11,137.50 Rp 33,412.50 Rp 11,137.50 Rp - 3 Rp 11,137.50 Rp 33,412.50 0 Rp 11,137.50 Rp -
92 Plester Roll 2 Rp 88,000.00 Rp 176,000.00 Rp 88,000.00 Rp - 2 Rp 88,000.00 Rp 176,000.00 0 Rp 88,000.00 Rp -
93 Plester Roll Rp 96,000.00 Rp - 5 Rp 96,000.00 Rp 480,000.00 5 Rp 96,000.00 Rp 480,000.00 0 Rp 96,000.00 Rp -
97 Plester leukoplast Roll Rp 60,000.00 Rp - 9 Rp 60,000.00 Rp 540,000.00 8 Rp 60,000.00 Rp 480,000.00 1 Rp 60,000.00 Rp 60,000.00
98 Pot Salep 30 gram Pcs 34 Rp 1,547.65 Rp 52,620.00 Rp 1,547.65 Rp - 10 Rp 1,547.65 Rp 15,476.47 24 Rp 1,547.65 Rp 37,143.53
99 Sabun Dettol Cair Botol Rp 45,000.00 Rp - 2 Rp 45,000.00 Rp 90,000.00 2 Rp 45,000.00 Rp 90,000.00 0 Rp 45,000.00 Rp -
100 Silk 2/0 Pcs 26 Rp 13,937.00 Rp 362,362.00 Rp 13,937.00 Rp - Rp 13,937.00 Rp - 26 Rp 13,937.00 Rp 362,362.00
101 Silk 3/0 Pcs 31 Rp 13,937.00 Rp 432,047.00 Rp 13,937.00 Rp - Rp 13,937.00 Rp - 31 Rp 13,937.00 Rp 432,047.00
102 Sfri Diluent 3.1 HSL 321 Botol Rp 1,177,000.00 1 Rp 1,177,000.00 Rp 1,177,000.00 1 Rp 1,177,000.00 Rp 1,177,000.00 0 Rp 1,177,000.00 Rp -
103 Sfrilyse 3.1 (500 ml) HSL 302 Botol Rp 2,521,200.00 Rp - 1 Rp 2,521,200.00 Rp 2,521,200.00 1 Rp 2,521,200.00 Rp 2,521,200.00 0 Rp 2,521,200.00 Rp -
104 Spit 1 cc Pcs Rp 1,800.00 Rp - 300 Rp 1,800.00 Rp 540,000.00 300 Rp 1,800.00 Rp 540,000.00 0 Rp 1,800.00 Rp -
105 Spoit 1 cc Pcs Rp 950.00 Rp - 100 Rp 950.00 Rp 95,000.00 35 Rp 950.00 Rp 33,250.00 65 Rp 950.00 Rp 61,750.00
106 Spoit 3 cc Pcs 100 Rp 1,338.00 Rp 133,800.00 Rp 1,338.00 Rp - 100 Rp 1,338.00 Rp 133,800.00 0 Rp 1,338.00 Rp -
107 Spoit 3 cc Pcs Rp 1,800.00 Rp - 900 Rp 1,800.00 Rp 1,620,000.00 800 Rp 1,800.00 Rp 1,440,000.00 100 Rp 1,800.00 Rp 180,000.00
108 Spoit 3 cc Pcs Rp 1,100.00 Rp - 100 Rp 1,100.00 Rp 110,000.00 100 Rp 1,100.00 Rp 110,000.00 0 Rp 1,100.00 Rp -
109 Spoit 3 cc Pcs Rp 900.00 Rp - 100 Rp 900.00 Rp 90,000.00 Rp 900.00 Rp - 100 Rp 900.00 Rp 90,000.00
110 Spoit 3 cc pcs Rp 950.00 Rp - 100 Rp 950.00 Rp 95,000.00 100 Rp 950.00 Rp 95,000.00 0 Rp 950.00 Rp -
113 Spatula Besi Pcs 1 Rp 41,441.18 Rp 41,441.18 Rp 41,441.18 Rp - 1 Rp 41,441.18 Rp 41,441.18 0 Rp 41,441.18 Rp -
114 Sufra Tulle® Pcs 8 Rp 42,000.00 Rp 336,000.00 Rp 42,000.00 Rp - 5 Rp 42,000.00 Rp 210,000.00 3 Rp 42,000.00 Rp 126,000.00
115 Strip Asam urat Botol 22 Rp 93,814.05 Rp 2,063,909.10 Rp 93,814.05 Rp - 22 Rp 93,814.05 Rp 2,063,909.10 0 Rp 93,814.05 Rp -
116 Strip Glukosa Botol 34 Rp 93,814.05 Rp 3,189,677.70 Rp 93,814.05 Rp - 34 Rp 93,814.05 Rp 3,189,677.70 0 Rp 93,814.05 Rp -
117 Strip Kolsterol Autocheck Tube 3 Rp 214,700.00 Rp 644,100.00 Rp 214,700.00 Rp - 3 Rp 214,700.00 Rp 644,100.00 0 Rp 214,700.00 Rp -
118 Tabung EDTA Pack Rp 250,000.00 Rp - 3 Rp 250,000.00 Rp 750,000.00 3 Rp 250,000.00 Rp 750,000.00 0 Rp 250,000.00 Rp -
119 Tabung EDTA Pack Rp 280,000.00 1 Rp 280,000.00 Rp 280,000.00 1 Rp 280,000.00 Rp 280,000.00 0 Rp 280,000.00 Rp -
120 Underpad steril Pcs Rp 17,000.00 20 Rp 17,000.00 Rp 340,000.00 15 Rp 17,000.00 Rp 255,000.00 5 Rp 17,000.00 Rp 85,000.00
121 Underpad Nonsteril Pcs Rp 6,000.00 30 Rp 6,000.00 Rp 180,000.00 30 Rp 6,000.00 Rp 180,000.00 0 Rp 6,000.00 Rp -
122 Underpad Nonsteril Pcs Rp 7,800.00 Rp - 20 Rp 7,800.00 Rp 156,000.00 20 Rp 7,800.00 Rp 156,000.00 0 Rp 7,800.00 Rp -
123 Underpad Nonsteril Pcs 15 Rp 5,134.89 Rp 77,023.32 Rp 5,134.89 Rp - 15 Rp 5,134.89 Rp 77,023.32 0 Rp 5,134.89 Rp -
124 Rivanol Botol Rp 5,000.00 3 Rp 5,000.00 Rp 15,000.00 3 Rp 5,000.00 Rp 15,000.00 0 Rp 5,000.00 Rp -
NILAI OBAT BPJS PKM TIRAWUTA Rp 30,906,269.37 Rp 106,733,009.00 Rp 127,058,862.366 Rp 10,580,416.00
OBAT PROGRAM
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Albendazole tab 400 mg Botol 0 Rp 208,395.00 Rp - 72 Rp 208,395.00 Rp 15,004,440.00 71 Rp 208,395.00 Rp 14,796,045.00 1 Rp 208,395.00 Rp 208,395.00
2 DEC 100 MG Tablet 0 Rp 190.00 Rp - 40100 Rp 190.00 Rp 7,619,000.00 38131 Rp 190.00 Rp 7,244,890.00 1969 Rp 190.00 Rp 374,110.00
3 BCG Vial 3 Rp 59,959.00 Rp 179,877.00 150 Rp 59,959.00 Rp 8,993,850.00 136 Rp 59,959.00 Rp 8,154,424.00 17 Rp 59,959.00 Rp 1,019,303.00
4 DPT HB Hib Vial 1 Rp 76,285.00 Rp 76,285.00 330 Rp 76,285.00 Rp 25,174,050.00 321 Rp 76,285.00 Rp 24,487,485.00 10 Rp 76,285.00 Rp 762,850.00
5 POLIO @ 10 dosis Vial 11 Rp 19,954.00 Rp 219,494.00 230 Rp 19,954.00 Rp 4,589,420.00 226 Rp 19,954.00 Rp 4,509,604.00 15 Rp 19,954.00 Rp 299,310.00
6 MR Vial 4 Rp 28,204.00 Rp 112,816.00 230 Rp 28,204.00 Rp 6,486,920.00 220 Rp 28,204.00 Rp 6,204,880.00 14 Rp 28,204.00 Rp 394,856.00
7 HB Uniject Uniject 14 Rp 76,285.00 Rp 1,067,990.00 270 Rp 76,285.00 Rp 20,596,950.00 281 Rp 76,285.00 Rp 21,436,085.00 3 Rp 76,285.00 Rp 228,855.00
8 Td Vial 8 Rp 16,500.00 Rp 132,000.00 240 Rp 16,500.00 Rp 3,960,000.00 215 Rp 16,500.00 Rp 3,547,500.00 33 Rp 16,500.00 Rp 544,500.00
9 IPV Vial 12 Rp 152,900.00 Rp 1,834,800.00 60 Rp 152,900.00 Rp 9,174,000.00 53 Rp 152,900.00 Rp 8,103,700.00 19 Rp 152,900.00 Rp 2,905,100.00
10 DT Vial 0 Rp - Rp - 50 Rp - Rp - 43 Rp - Rp - 7 Rp - Rp -
12 OAT Kategori 1 Paket 0 Rp 396,000.00 Rp - 0 Rp 396,000.00 Rp - 0 Rp 396,000.00 Rp - 0 Rp 396,000.00 Rp -
13 OAT Kategori 1 Paket 4 Rp 467,215.00 Rp 1,868,860.00 22 Rp 467,215.00 Rp 10,278,730.00 25 Rp 467,215.00 Rp 11,680,375.00 1 Rp 467,215.00 Rp 467,215.00
14 OAT Kategori 2 Paket 0 Rp 1,297,889.00 Rp - 0 Rp 1,297,889.00 Rp - 0 Rp 1,297,889.00 Rp - 0 Rp 1,297,889.00 Rp -
15 OAT TB ANAK Paket 0 Rp 257,986.00 Rp - 0 Rp 257,986.00 Rp - 0 Rp 257,986.00 Rp - 0 Rp 257,986.00 Rp -
16 ANTI RABIES Vial Rp 206,250.00 Rp - 92 Rp 206,250.00 Rp 18,975,000.00 74 Rp 206,250.00 Rp 15,262,500.00 18 Rp 206,250.00 Rp 3,712,500.00
17 MDT MB Adult Paket 0 Rp 30,595.00 Rp - 0 Rp 30,595.00 Rp - 0 Rp 30,595.00 Rp - 0 Rp 30,595.00 Rp -
Retinol Merah 2019 Soft Kapsul 48 Rp 623.70 Rp 29,937.60 0 Rp 623.70 Rp - 48 Rp 623.70 Rp 29,937.60 0 Rp 623.70 Rp -
Retinol Biru 2019 Soft Kapsul 44 Rp 386.10 Rp 16,988.40 0 Rp 386.10 Rp - 44 Rp 386.10 Rp 16,988.40 0 Rp 386.10 Rp -
18 Retinol Merah 2020 Butir 0 Rp 622.00 Rp - 1100 Rp 622.00 Rp 684,200.00 1100 Rp 622.00 Rp 684,200.00 0 Rp 622.00 Rp -
19 Retinol Biru 2020 Butir 0 Rp 346.00 Rp - 450 Rp 346.00 Rp 155,700.00 450 Rp 346.00 Rp 155,700.00 0 Rp 346.00 Rp -
20 Butir 0 Rp 427.00 Rp - 14056 Rp 427.00 Rp 6,001,912.00 11226 Rp 427.00 Rp 4,793,502.00 2830 Rp 427.00 Rp 1,208,410.00
21 DHP-Frimal Tablet 27 Rp 275.00 Rp 7,425.00 54 Rp 275.00 Rp 14,850.00 57 Rp 275.00 Rp 15,675.00 24 Rp 275.00 Rp 6,600.00
22 Primaquine 15 mg Tablet 45 Rp 269.00 Rp 12,105.00 50 Rp 269.00 Rp 13,450.00 84 Rp 269.00 Rp 22,596.00 11 Rp 269.00 Rp 2,959.00
23 HALOPERIDOL 5 mg Tablet 30 Rp 57.00 Rp 1,710.00 0 Rp 57.00 Rp - 30 Rp 57.00 Rp 1,710.00 0 Rp 57.00 Rp -
24 Triheksifenidil Tablet Rp 99.00 Rp - 0 Rp 99.00 Rp - Rp 99.00 Rp - 0 Rp 99.00 Rp -
25 Klorpromazin HCl 100 mg Tablet 66 Rp 297.00 Rp 19,602.00 0 Rp 297.00 Rp - 66 Rp 297.00 Rp 19,602.00 0 Rp 297.00 Rp -
26 Diazepam 5 mg Tablet 4 Rp 218.00 Rp 872.00 0 Rp 218.00 Rp - 4 Rp 218.00 Rp 872.00 0 Rp 218.00 Rp -
27 Diazepam Injeksi Ampul 11 Rp 2,010.00 Rp 22,110.00 0 Rp 2,010.00 Rp - 11 Rp 2,010.00 Rp 22,110.00 0 Rp 2,010.00 Rp -
28 Klorpromazin Injeksi Ampul 10 Rp 1,495.00 Rp 14,950.00 0 Rp 1,495.00 Rp - 0 Rp 1,495.00 Rp - 10 Rp 1,495.00 Rp 14,950.00
29 Fenobarbital Injeksi Ampul 10 Rp 57.00 Rp 570.00 0 Rp 57.00 Rp - 10 Rp 57.00 Rp 570.00 0 Rp 57.00 Rp -
BMHP PROGRAM Rp - Rp - Rp - 0 Rp -
1 Reagen Ziehl Neelsen Box 0 Rp - 0 Rp - 0 Rp - 0 Rp -
2 Pot Sputum Botol 130 Rp 12,999.80 Rp 1,689,974.00 200 Rp 12,999.80 Rp 2,599,960.00 195 Rp 12,999.80 Rp 2,534,961.00 135 Rp 12,999.80 Rp 1,754,973.00
3 Kotak Slide Box 0 Rp - 0 Rp - 0 Rp - 0 Rp -
4 RDT Strip 0 Rp 7,710.00 Rp - 25 Rp 7,710.00 Rp 192,750.00 15 Rp 7,710.00 Rp 115,650.00 10 Rp 7,710.00 Rp 77,100.00
5 HIV/AIDS Strip 0 Rp 11,975.00 Rp - 100 Rp 11,975.00 Rp 1,197,500.00 78 Rp 11,975.00 Rp 934,050.00 22 Rp 11,975.00 Rp 263,450.00
6 HBsAg WB/Rapit tes Strip 30 Rp - Rp - 30 Rp - 0 Rp -
7 HBsAg WB/Rapit tes Strip Rp 8,183.00 100 Rp 8,183.00 Rp 818,300.00 78 Rp 8,183.00 Rp 638,274.00 22 Rp 8,183.00 Rp 180,026.00
8 Syphilis Ab Strip 35 Rp 20.40 Rp 714.00 50 Rp 20.40 Rp 1,020.00 51 Rp 20.40 Rp 1,040.40 34 Rp 20.40 Rp 693.60
NILAI OBAT PROGRAM PKM TIRAWUTA Rp 7,309,080.00 Rp 142,532,002.00 Rp 135,414,926.400 Rp 14,426,155.60
JUMLAH NILAI OBAT PUSKESMAS TIRAWUTA Rp 87,033,453.55 Rp 375,139,745.63 Rp 385,918,530.940 Rp 76,254,668.23
PUSKESMAS LOEA
OBAT IFK
1 Albendazol tab. 400 Tablet 0 Rp 363.00 Rp - 0 Rp 363.00 Rp - 0 Rp 363.00 Rp - 0 Rp 363.00 Rp -
2 ACETYL CESTEINE/N-ASETIL SISTEIN TABLET Tablet 0 Rp 460.00 Rp - 240 Rp 460.00 Rp 110,400.00 240 Rp 460.00 Rp 110,400.00 0 Rp 460.00 Rp -
3 ALBENDAZOL SUP 200 MG/5ML Botol 0 Rp 4,619.00 Rp - 0 Rp 4,619.00 Rp - 0 Rp 4,619.00 Rp - 0 Rp 4,619.00 Rp -
4 Allopurinol tab 100 mg Tablet 0 Rp 130.00 Rp - 0 Rp 130.00 Rp - 0 Rp 130.00 Rp - 0 Rp 130.00 Rp -
5 ALOPURINOL TABLET 100 MG Tablet Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp -
6 ALOPURINOL TABLET 100 MG Tablet 1900 Rp 102.00 Rp 193,800.00 2500 Rp 102.00 Rp 255,000.00 1400 Rp 102.00 Rp 142,800.00 3000 Rp 102.00 Rp 306,000.00
7 ALOPURINOL TABLET 100 MG Tablet 0 Rp 108.00 Rp - 500 Rp 108.00 Rp 54,000.00 300 Rp 108.00 Rp 32,400.00 200 Rp 108.00 Rp 21,600.00
8 Air untuk injeksi 20 ml Vial 3 Rp 2,200.00 Rp 6,600.00 0 Rp 2,200.00 Rp - 3 Rp 2,200.00 Rp 6,600.00 0 Rp 2,200.00 Rp -
9 Air untuk injeksi 25 ml Vial 0 Rp 2,860.00 Rp - 3 Rp 2,860.00 Rp 8,580.00 3 Rp 2,860.00 Rp 8,580.00 0 Rp 2,860.00 Rp -
10 Ambroxol syr 15 mg Botol 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp -
11 Ambroxol syr 15 mg Botol 0 Rp 2,300.00 Rp - 0 Rp 2,300.00 Rp - 0 Rp 2,300.00 Rp - 0 Rp 2,300.00 Rp -
12 Ambroxol syr 15 mg/ml Syr 60 ml Botol 0 Rp 4,509.00 Rp - 0 Rp 4,509.00 Rp - 0 Rp 4,509.00 Rp - 0 Rp 4,509.00 Rp -
13 Ambroxol syr 15 mg/ml Syr 60 ml Botol 0 Rp 4,959.90 Rp - 10 Rp 4,959.90 Rp 49,599.00 0 Rp 4,959.90 Rp - 10 Rp 4,959.90 Rp 49,599.00
14 Ambroxol tab. 30 mg Tablet 0 Rp 380.00 Rp - 0 Rp 380.00 Rp - 0 Rp 380.00 Rp - 0 Rp 380.00 Rp -
17 Ambroxol tab. 30 mg Tablet 0 Rp 197.34 Rp - 500 Rp 197.34 Rp 98,670.00 400 Rp 197.34 Rp 78,936.00 100 Rp 197.34 Rp 19,734.00
18 Aminofilin Inj 24 mg/ml Ampul 0 Rp 4,204.00 Rp - 0 Rp 4,204.00 Rp - 0 Rp 4,204.00 Rp - 0 Rp 4,204.00 Rp -
19 Aminofilin tab 200 mg Tablet 0 Rp 86.00 Rp - 0 Rp 86.00 Rp - 0 Rp 86.00 Rp - 0 Rp 86.00 Rp -
20 Amlodipin tab 10 mg Tablet 0 Rp 850.00 Rp - 0 Rp 850.00 Rp - 0 Rp 850.00 Rp - 0 Rp 850.00 Rp -
21 AMLODIPIN KAPLET 10 MG Tablet 1230 Rp 110.00 Rp 135,300.00 0 Rp 110.00 Rp - 1230 Rp 110.00 Rp 135,300.00 0 Rp 110.00 Rp -
22 AMLODIPIN KAPLET 10 MG Tablet 0 Rp 99.00 Rp - 600 Rp 99.00 Rp 59,400.00 600 Rp 99.00 Rp 59,400.00 0 Rp 99.00 Rp -
23 AMLODIPIN KAPLET 10 MG Tablet 0 Rp 106.00 Rp - 600 Rp 106.00 Rp 63,600.00 0 Rp 106.00 Rp - 600 Rp 106.00 Rp 63,600.00
24 Amlodipin 5 mg Tablet 1200 Rp 93.00 Rp 111,600.00 0 Rp 93.00 Rp - 1200 Rp 93.00 Rp 111,600.00 0 Rp 93.00 Rp -
25 Amlodipin 5 mg Tablet 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp -
26 Amlodipin 5 mg Tablet 0 Rp 78.00 Rp - 600 Rp 78.00 Rp 46,800.00 600 Rp 78.00 Rp 46,800.00 0 Rp 78.00 Rp -
27 Amlodipin 5 mg Tablet 0 Rp 83.00 Rp - 600 Rp 83.00 Rp 49,800.00 0 Rp 83.00 Rp - 600 Rp 83.00 Rp 49,800.00
28 Amoxicilin kapsul/kaplet 250 mg Kapsul 5400 Rp 198.00 Rp 1,069,200.00 500 Rp 198.00 Rp 99,000.00 5900 Rp 198.00 Rp 1,168,200.00 0 Rp 198.00 Rp -
29 Amoxicilin kapsul/kaplet 500 mg Kapsul 0 Rp 336.36 Rp - 0 Rp 336.36 Rp - 0 Rp 336.36 Rp - 0 Rp 336.36 Rp -
31 AMOKSISILIN KAPLET 500 MG Kaplet 0 Rp 279.00 Rp - 0 Rp 279.00 Rp - 0 Rp 279.00 Rp - 0 Rp 279.00 Rp -
32 AMOKSISILIN KAPLET 500 MG Kaplet 0 Rp 248.00 Rp - 2000 Rp 248.00 Rp 496,000.00 2000 Rp 248.00 Rp 496,000.00 0 Rp 248.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
33 AMOKSISILIN KAPLET 500 MG Kaplet 0 Rp 265.00 Rp - 1700 Rp 265.00 Rp 450,500.00 800 Rp 265.00 Rp 212,000.00 900 Rp 265.00 Rp 238,500.00
34 AMOKSISILIN KAPLET 500 MG Kaplet 0 Rp 269.00 Rp - 2000 Rp 269.00 Rp 538,000.00 0 Rp 269.00 Rp - 2000 Rp 269.00 Rp 538,000.00
35 Amoxicilin sirup kering 250 mg/5 ml Botol 0 Rp 4,730.00 Rp - 0 Rp 4,730.00 Rp - 0 Rp 4,730.00 Rp - 0 Rp 4,730.00 Rp -
36 AMOKSISILIN SIRUP KERING FORET 250 MG / 5ML Botol 130 Rp 3,797.00 Rp 493,610.00 0 Rp 3,797.00 Rp - 130 Rp 3,797.00 Rp 493,610.00 0 Rp 3,797.00 Rp -
37 AMOKSISILIN SIRUP KERING FORET 250 MG / 5ML Botol 0 Rp 3,740.00 Rp - 240 Rp 3,740.00 Rp 897,600.00 240 Rp 3,740.00 Rp 897,600.00 0 Rp 3,740.00 Rp -
38 Antasida DOEN I Tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg Tablet 0 Rp 78.00 Rp - 0 Rp 78.00 Rp - 0 Rp 78.00 Rp - 0 Rp 78.00 Rp -
39 ANTASIDA DOEN I TABLET KUNYAH, KOMBINASI : ALUMINIUM HIDROK Tablet 0 Rp 61.00 Rp - 0 Rp 61.00 Rp - 0 Rp 61.00 Rp - 0 Rp 61.00 Rp -
42 Antasida DOEN II Syirup, kombinasi : Aluminium Hidroksida 200 mg/5 ml M Botol 0 Rp 2,213.00 Rp - 0 Rp 2,213.00 Rp - 0 Rp 2,213.00 Rp - 0 Rp 2,213.00 Rp -
43 Antasida DOEN II Syirup, kombinasi : Aluminium Hidroksida 200 mg/5 ml M Botol 15 Rp 2,146.00 Rp 32,190.00 0 Rp 2,146.00 Rp - 15 Rp 2,146.00 Rp 32,190.00 0 Rp 2,146.00 Rp -
45 Anti bakteri DOEN salep kombinasi : Basitrasin 500 IU/g + Polimiksilin 10.00 Tube 100 Rp 3,511.00 Rp 351,100.00 50 Rp 3,511.00 Rp 175,550.00 25 Rp 3,511.00 Rp 87,775.00 125 Rp 3,511.00 Rp 438,875.00
46 Antihemoroid DOEN kombinasi : Bismut subgalat 150 mg Heksaklorofen 2, Supp 0 Rp 3,350.00 Rp - 0 Rp 3,350.00 Rp - 0 Rp 3,350.00 Rp - 0 Rp 3,350.00 Rp -
47 Antihemoroid DOEN kombinasi : Bismut subgalat 150 mg Heksaklorofen 2, Supp 60 Rp 3,800.00 Rp 228,000.00 70 Rp 3,800.00 Rp 266,000.00 120 Rp 3,800.00 Rp 456,000.00 10 Rp 3,800.00 Rp 38,000.00
48 GENERIK ANTIFUNGI SALEP, KOMBINASI: ASAM BENZOAT 6% Pot 90 Rp 5,395.00 Rp 485,550.00 72 Rp 5,395.00 Rp 388,440.00 5 Rp 5,395.00 Rp 26,975.00 157 Rp 5,395.00 Rp 847,015.00
49 ANTIFUNGI SALEP KOMBINASI (Salep Whitefield) Pot 0 Rp 5,757.00 Rp - 5 Rp 5,757.00 Rp 28,785.00 0 Rp 5,757.00 Rp - 5 Rp 5,757.00 Rp 28,785.00
50 ASAM ASKORBAT ( VIT. C ) TABLET 50 MG Tablet 0 Rp 125.00 Rp - 0 Rp 125.00 Rp - 0 Rp 125.00 Rp - 0 Rp 125.00 Rp -
51 Asam askorbat (Vit.C) 50 mg Tablet 0 Rp 31.69 Rp - 0 Rp 31.69 Rp - 0 Rp 31.69 Rp - 0 Rp 31.69 Rp -
54 Asam folat 1 mg Tablet 0 Rp 52.00 Rp - 0 Rp 52.00 Rp - 0 Rp 52.00 Rp - 0 Rp 52.00 Rp -
55 Asam folat 1 mg Tablet 200 Rp 90.00 Rp 18,000.00 0 Rp 90.00 Rp - 0 Rp 90.00 Rp - 200 Rp 90.00 Rp 18,000.00
56 Asam mefenamat kaps/kapl 500 mg Tablet 0 Rp 127.00 Rp - 0 Rp 127.00 Rp - 0 Rp 127.00 Rp - 0 Rp 127.00 Rp -
57 Asam mefenamat kaps/kapl 500 mg Tablet 600 Rp 160.00 Rp 96,000.00 0 Rp 160.00 Rp - 600 Rp 160.00 Rp 96,000.00 0 Rp 160.00 Rp -
58 ASAM MEFENAMAT KAPLET 500 MG Kaplet 0 Rp 105.00 Rp - 0 Rp 105.00 Rp - 0 Rp 105.00 Rp - 0 Rp 105.00 Rp -
60 ASIKLOVIR 200 MG Tablet 250 Rp 263.00 Rp 65,750.00 0 Rp 263.00 Rp - 0 Rp 263.00 Rp - 250 Rp 263.00 Rp 65,750.00
61 Asiklovir 400 mg Tablet 200 Rp 415.00 Rp 83,000.00 0 Rp 415.00 Rp - 200 Rp 415.00 Rp 83,000.00 0 Rp 415.00 Rp -
62 Asiklovir 400 mg Tablet 0 Rp 440.00 Rp - 200 Rp 440.00 Rp 88,000.00 0 Rp 440.00 Rp - 200 Rp 440.00 Rp 88,000.00
63 Atropin injeksi i.m/i.v/s.k 0,25 mg/ml (Sulfat) Ampul 0 Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp -
64 Bedak Salisilk Serbuk 2 % Pot 0 Rp 6,337.00 Rp - 0 Rp 6,337.00 Rp - 0 Rp 6,337.00 Rp - 0 Rp 6,337.00 Rp -
66 BEDAK SALISIL SERBUK 2 % Dus 0 Rp 1,081.00 Rp - 0 Rp 1,081.00 Rp - 0 Rp 1,081.00 Rp - 0 Rp 1,081.00 Rp -
67 BEDAK SALICYL 2% 60 gr pcs 0 Rp 5,842.00 Rp - 0 Rp 5,842.00 Rp - 0 Rp 5,842.00 Rp - 0 Rp 5,842.00 Rp -
68 BEDAK SALICYL 2% 60 gr pcs 0 Rp 6,426.20 Rp - 5 Rp 6,426.20 Rp 32,131.00 5 Rp 6,426.20 Rp 32,131.00 0 Rp 6,426.20 Rp -
69 Betametason Krim 0,1 % (sebagai valerat) Tube 0 Rp 1,596.00 Rp - 0 Rp 1,596.00 Rp - 0 Rp 1,596.00 Rp - 0 Rp 1,596.00 Rp -
70 BETAMETASON KRIM 0,1% Tube 0 Rp 1,450.00 Rp - 0 Rp 1,450.00 Rp - 0 Rp 1,450.00 Rp - 0 Rp 1,450.00 Rp -
71 BETAMETASON DIPROPIONATE 0.005 % Tube 0 Rp 3,350.00 Rp - 35 Rp 3,350.00 Rp 117,250.00 25 Rp 3,350.00 Rp 83,750.00 10 Rp 3,350.00 Rp 33,500.00
72 Betahistin Masilat 6 Mg Tablet 0 Rp 924.00 Rp - 0 Rp 924.00 Rp - 0 Rp 924.00 Rp - 0 Rp 924.00 Rp -
73 BETAHISTIN TABLET 6 MG Tablet 0 Rp 165.00 Rp - 0 Rp 165.00 Rp - 0 Rp 165.00 Rp - 0 Rp 165.00 Rp -
74 Captopril 12,5 mg Tablet 0 Rp 81.82 Rp - 0 Rp 81.82 Rp - 0 Rp 81.82 Rp - 0 Rp 81.82 Rp -
75 Captopril 12,5 mg Tablet 900 Rp 68.00 Rp 61,200.00 0 Rp 68.00 Rp - 700 Rp 68.00 Rp 47,600.00 200 Rp 68.00 Rp 13,600.00
76 Captopril 12,5 mg Tablet 0 Rp 73.00 Rp - 500 Rp 73.00 Rp 36,500.00 0 Rp 73.00 Rp - 500 Rp 73.00 Rp 36,500.00
77 Captopril 25 mg Tablet 0 Rp 125.23 Rp - 0 Rp 125.23 Rp - 0 Rp 125.23 Rp - 0 Rp 125.23 Rp -
78 Cefadroxil 500 Mg Kapsul 0 Rp 763.64 Rp - 0 Rp 763.64 Rp - 0 Rp 763.64 Rp - 0 Rp 763.64 Rp -
79 Cefixime 100 Mg Kapsul 0 Rp 1,300.00 Rp - 0 Rp 1,300.00 Rp - 0 Rp 1,300.00 Rp - 0 Rp 1,300.00 Rp -
80 CEFIXIME 100 MG KAPSUL Kapsul 0 Rp 4,780.01 Rp - 0 Rp 4,780.01 Rp - 0 Rp 4,780.01 Rp - 0 Rp 4,780.01 Rp -
81 CETIRIZINE 10 MG TABLET Tablet 0 Rp 620.00 Rp - 0 Rp 620.00 Rp - 0 Rp 620.00 Rp - 0 Rp 620.00 Rp -
82 CETIRIZINE Sir 5 mg/5 ml Botol 100 Rp 3,104.00 Rp 310,400.00 150 Rp 3,104.00 Rp 465,600.00 0 Rp 3,104.00 Rp - 250 Rp 3,104.00 Rp 776,000.00
83 CLINDAMYCIN 300 MG CAPSUL KAPSUL 0 Rp 2,739.99 Rp - 0 Rp 2,739.99 Rp - 0 Rp 2,739.99 Rp - 0 Rp 2,739.99 Rp -
86 Deksametason Tablet 0,5 mg Tablet 0 Rp 46.00 Rp - 0 Rp 46.00 Rp - 0 Rp 46.00 Rp - 0 Rp 46.00 Rp -
88 DEXAMETASON 0,5 mg Tablet 0 Rp 124.00 Rp - 0 Rp 124.00 Rp - 0 Rp 124.00 Rp - 0 Rp 124.00 Rp -
89 DEXAMETASON 0,5 mg Tablet 0 Rp 136.06 Rp - 500 Rp 136.06 Rp 68,029.50 0 Rp 136.06 Rp - 500 Rp 136.06 Rp 68,029.50
90 DIFENHIDRAMIN INJEKSI Ampul 0 Rp 1,316.00 Rp - 5 Rp 1,316.00 Rp 6,580.00 0 Rp 1,316.00 Rp - 5 Rp 1,316.00 Rp 6,580.00
91 Domperidon Tablet 10 mg Tablet 500 Rp 260.00 Rp 130,000.00 0 Rp 260.00 Rp - 100 Rp 260.00 Rp 26,000.00 400 Rp 260.00 Rp 104,000.00
92 Epinefrin (Adrenalin) Injeksi i.v/s.k/i.m 1 mg/ml Ampul 0 Rp 8,910.00 Rp - 0 Rp 8,910.00 Rp - 0 Rp 8,910.00 Rp - 0 Rp 8,910.00 Rp -
93 EPINEFRIN ( ADRENALIN )INJ. 1 MG/ML ( 0,1 % ) Ampul 33 Rp 1,848.00 Rp 60,984.00 0 Rp 1,848.00 Rp - 33 Rp 1,848.00 Rp 60,984.00 0 Rp 1,848.00 Rp -
94 Eritromisin Kapsul/Kaplet 250 mg Kapsul 0 Rp 677.00 Rp - 0 Rp 677.00 Rp - 0 Rp 677.00 Rp - 0 Rp 677.00 Rp -
95 ERITROMISIN 250 MG Kapsul 0 Rp 711.00 Rp - 1000 Rp 711.00 Rp 711,000.00 0 Rp 711.00 Rp - 1000 Rp 711.00 Rp 711,000.00
96 ERITROMISIN SIRUP KERING 200 MG/5ML Botol 295 Rp 6,622.00 Rp 1,953,490.00 115 Rp 6,622.00 Rp 761,530.00 410 Rp 6,622.00 Rp 2,715,020.00 0 Rp 6,622.00 Rp -
97 Eritromisin sirup kering 200 mg/5 ml Botol 0 Rp 8,090.00 Rp - 0 Rp 8,090.00 Rp - 0 Rp 8,090.00 Rp - 0 Rp 8,090.00 Rp -
98 Etakridin (Rivanol) Botol 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp -
99 Etanol 70 % cairan 100 ml Botol 0 Rp 2,625.00 Rp - 0 Rp 2,625.00 Rp - 0 Rp 2,625.00 Rp - 0 Rp 2,625.00 Rp -
100 Etanol 70 % cairan 100 ml Botol 5 Rp 2,832.00 Rp 14,160.00 0 Rp 2,832.00 Rp - 5 Rp 2,832.00 Rp 14,160.00 0 Rp 2,832.00 Rp -
101 Fitomenadion (vit.K1) injeksi 10 mg/ml Ampul 0 Rp 4,167.00 Rp - 0 Rp 4,167.00 Rp - 0 Rp 4,167.00 Rp - 0 Rp 4,167.00 Rp -
102 Fitomenadion (vit.K1) injeksi i.m 2 mg/ml Ampul 14 Rp 3,754.00 Rp 52,556.00 0 Rp 3,754.00 Rp - 14 Rp 3,754.00 Rp 52,556.00 0 Rp 3,754.00 Rp -
103 FITOMENADION (VIT.K1) INJ. 2 MG/ML Ampul 0 Rp 4,260.00 Rp - 0 Rp 4,260.00 Rp - 0 Rp 4,260.00 Rp - 0 Rp 4,260.00 Rp -
104 FITOMENADION (VIT.K1) INJ. 2 MG/ML Ampul 0 Rp 4,420.00 Rp - 40 Rp 4,420.00 Rp 176,800.00 10 Rp 4,420.00 Rp 44,200.00 30 Rp 4,420.00 Rp 132,600.00
105 Fitomenadion (vit.K1) tablet salut gula 10 mg Tablet 0 Rp 698.00 Rp - 0 Rp 698.00 Rp - 0 Rp 698.00 Rp - 0 Rp 698.00 Rp -
106 Formalin 40 % Botol 0 Rp 42,000.00 Rp - 0 Rp 42,000.00 Rp - 0 Rp 42,000.00 Rp - 0 Rp 42,000.00 Rp -
107 Furosemid 40 mg Tablet 800 Rp 82.00 Rp 65,600.00 7400 Rp 82.00 Rp 606,800.00 600 Rp 82.00 Rp 49,200.00 7600 Rp 82.00 Rp 623,200.00
108 Garam Oralit Serbuk , kombinasi : Natrium klorida 0,52 g, Kalium klorida 0,30 Sachet 0 Rp 317.00 Rp - 0 Rp 317.00 Rp - 0 Rp 317.00 Rp - 0 Rp 317.00 Rp -
109 Garam Oralit Serbuk , kombinasi : Natrium klorida 0,52 g, Kalium klorida 0,30 Sachet 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
111 Gentamisin salep mata 0,3% Tube 5 Rp 3,210.00 Rp 16,050.00 13 Rp 3,210.00 Rp 41,730.00 0 Rp 3,210.00 Rp - 18 Rp 3,210.00 Rp 57,780.00
112 Glimefride Tab 1 mg Tablet 0 Rp 278.00 Rp - 0 Rp 278.00 Rp - 0 Rp 278.00 Rp - 0 Rp 278.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
114 GLIMEPERIDE TABLET 1 MG Tablet 0 Rp 174.00 Rp - 1800 Rp 174.00 Rp 313,200.00 1000 Rp 174.00 Rp 174,000.00 800 Rp 174.00 Rp 139,200.00
115 GLIMEPERIDE TABLET 2 MG Tablet 0 Rp 207.00 Rp - 100 Rp 207.00 Rp 20,700.00 0 Rp 207.00 Rp - 100 Rp 207.00 Rp 20,700.00
116 Gliseril Guaikolat (GG) 100 mg Tablet 0 Rp 26.62 Rp - 0 Rp 26.62 Rp - 0 Rp 26.62 Rp - 0 Rp 26.62 Rp -
117 Gliseril Guaikolat (GG) 100 mg Tablet 1000 Rp 127.00 Rp 127,000.00 0 Rp 127.00 Rp - 1000 Rp 127.00 Rp 127,000.00 0 Rp 127.00 Rp -
118 Glukosa Larutan Infus 5% steril Botol 189 Rp 5,720.00 Rp 1,081,080.00 0 Rp 5,720.00 Rp - 189 Rp 5,720.00 Rp 1,081,080.00 0 Rp 5,720.00 Rp -
120 GLUKOSA LARUTAN INFUS 5% Botol 0 Rp 7,363.00 Rp - 40 Rp 7,363.00 Rp 294,520.00 15 Rp 7,363.00 Rp 110,445.00 25 Rp 7,363.00 Rp 184,075.00
121 Griseofulvin tablet 125 mg Tablet 0 Rp 230.00 Rp - 0 Rp 230.00 Rp - 0 Rp 230.00 Rp - 0 Rp 230.00 Rp -
122 GRISEOFULVIN TABLET 125 MG Tablet 0 Rp 266.00 Rp - 0 Rp 266.00 Rp - 0 Rp 266.00 Rp - 0 Rp 266.00 Rp -
123 GRISEOFULVIN TABLET 125 MG Tablet 500 Rp 231.00 Rp 115,500.00 0 Rp 231.00 Rp - 200 Rp 231.00 Rp 46,200.00 300 Rp 231.00 Rp 69,300.00
124 GRISEOFULVIN TABLET 125 MG Tablet 300 Rp 245.00 Rp 73,500.00 0 Rp 245.00 Rp - 300 Rp 245.00 Rp 73,500.00 0 Rp 245.00 Rp -
125 Glibenklamid 5 mg Tablet 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp -
126 Glibenklamid 5 mg Tablet 200 Rp 130.00 Rp 26,000.00 0 Rp 130.00 Rp - 200 Rp 130.00 Rp 26,000.00 0 Rp 130.00 Rp -
127 HALOPERIDOL TABLET 1,5 M Tablet 0 Rp 65.00 Rp - 0 Rp 65.00 Rp - 0 Rp 65.00 Rp - 0 Rp 65.00 Rp -
128 Hidrogen Peroksida cairan konsentrat Botol 0 Rp 34,222.50 Rp - 0 Rp 34,222.50 Rp - 0 Rp 34,222.50 Rp - 0 Rp 34,222.50 Rp -
129 Hydroklortiazid (HCT) 25 mg tablet Tablet 0 Rp 76.50 Rp - 0 Rp 76.50 Rp - 0 Rp 76.50 Rp - 0 Rp 76.50 Rp -
130 HIDROKLORTIAZID TABLET 25 MG Tablet 1300 Rp 179.00 Rp 232,700.00 500 Rp 179.00 Rp 89,500.00 0 Rp 179.00 Rp - 1800 Rp 179.00 Rp 322,200.00
131 HIDROKLORTIAZID TABLET 25 MG Tablet 0 Rp 186.00 Rp - 1000 Rp 186.00 Rp 186,000.00 0 Rp 186.00 Rp - 1000 Rp 186.00 Rp 186,000.00
132 Hydrokortison 2,5 % krim 5 gram Tube 0 Rp 2,838.00 Rp - 0 Rp 2,838.00 Rp - 0 Rp 2,838.00 Rp - 0 Rp 2,838.00 Rp -
133 Hydrokortison 2,5 % krim 5 gram Tube 48 Rp 2,648.00 Rp 127,104.00 23 Rp 2,648.00 Rp 60,904.00 24 Rp 2,648.00 Rp 63,552.00 47 Rp 2,648.00 Rp 124,456.00
134 Hydrokortison 2,5 % krim 5 gram Tube 0 Rp 2,648.00 Rp - 360 Rp 2,648.00 Rp 953,280.00 72 Rp 2,648.00 Rp 190,656.00 288 Rp 2,648.00 Rp 762,624.00
135 Ibuprofen suspensi 200 mg/5 ml Botol 0 Rp 2,620.00 Rp - 0 Rp 2,620.00 Rp - 0 Rp 2,620.00 Rp - 0 Rp 2,620.00 Rp -
136 Ibuprofen suspensi 200 mg/5 ml Botol 0 Rp 5,509.00 Rp - 30 Rp 5,509.00 Rp 165,270.00 0 Rp 5,509.00 Rp - 30 Rp 5,509.00 Rp 165,270.00
137 Ibuprofen tablet 200 mg Tablet 0 Rp 112.00 Rp - 0 Rp 112.00 Rp - 0 Rp 112.00 Rp - 0 Rp 112.00 Rp -
139 Kalsium Glukonat Inj. i.v 10% (100 mg/ml) Ampul 0 Rp 5,362.50 Rp - 0 Rp 5,362.50 Rp - 0 Rp 5,362.50 Rp - 0 Rp 5,362.50 Rp -
140 Kalsium Laktat (kalk) 500mg Tablet 0 Rp 64.00 Rp - 0 Rp 64.00 Rp - 0 Rp 64.00 Rp - 0 Rp 64.00 Rp -
141 Kalsium Laktat (kalk) 500mg Tablet 300 Rp 60.00 Rp 18,000.00 2000 Rp 60.00 Rp 120,000.00 1100 Rp 60.00 Rp 66,000.00 1200 Rp 60.00 Rp 72,000.00
142 Katopril Tablet Scored 25 mg Tablet 0 Rp 97.00 Rp - 0 Rp 97.00 Rp - 0 Rp 97.00 Rp - 0 Rp 97.00 Rp -
143 Kaptopril 25 mg Tablet 0 Rp 165.00 Rp - 0 Rp 165.00 Rp - 0 Rp 165.00 Rp - 0 Rp 165.00 Rp -
144 Kaptopril 25 mg Tablet 0 Rp 181.12 Rp - 600 Rp 181.12 Rp 108,669.00 0 Rp 181.12 Rp - 600 Rp 181.12 Rp 108,669.00
145 Karbon aktif tablet Tablet 0 Rp 126.75 Rp - 0 Rp 126.75 Rp - 0 Rp 126.75 Rp - 0 Rp 126.75 Rp -
146 Ketokonazole 200 mg Tablet 0 Rp 320.00 Rp - 0 Rp 320.00 Rp - 0 Rp 320.00 Rp - 0 Rp 320.00 Rp -
147 Ketokonazole 200 mg Tablet 400 Rp 2,694.00 Rp 1,077,600.00 0 Rp 2,694.00 Rp - 0 Rp 2,694.00 Rp - 400 Rp 2,694.00 Rp 1,077,600.00
148 Ketokonazole krim 2% Tube 10 Rp 2,694.00 Rp 26,940.00 0 Rp 2,694.00 Rp - 0 Rp 2,694.00 Rp - 10 Rp 2,694.00 Rp 26,940.00
149 KLORAMPHENICOL 250MG CAPS Kapsul 500 Rp 1,110.00 Rp 554,999.50 0 Rp 1,110.00 Rp - 500 Rp 1,110.00 Rp 554,999.50 0 Rp 1,110.00 Rp -
151 Kloramfenikol salep mata 1 % Tube 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp -
152 KLORAMFENIKOL SALEP MATA 1 % Tube 49 Rp 1,850.00 Rp 90,650.00 0 Rp 1,850.00 Rp - 49 Rp 1,850.00 Rp 90,650.00 0 Rp 1,850.00 Rp -
153 KLORAMFENIKOL SALEP MATA 1 % Tube 0 Rp 2,013.00 Rp - 23 Rp 2,013.00 Rp 46,299.00 0 Rp 2,013.00 Rp - 23 Rp 2,013.00 Rp 46,299.00
154 Klorfeniramin Maleat (CTM) 4mg Tablet 0 Rp 16.00 Rp - 0 Rp 16.00 Rp - 0 Rp 16.00 Rp - 0 Rp 16.00 Rp -
156 KLORFENIRAMINA MALEAT ( CTM ) TABLET 4 MG Tablet 0 Rp 40.00 Rp - 0 Rp 40.00 Rp - 0 Rp 40.00 Rp - 0 Rp 40.00 Rp -
159 KODEIN TABLET 10 MG Tablet 0 Rp 660.00 Rp - 0 Rp 660.00 Rp - 0 Rp 660.00 Rp - 0 Rp 660.00 Rp -
160 KOTRIMOKSAZOL ( DEWASA ) KOMBINASI : SULFAMEKTOKSAZOL 400 Tablet 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0 Rp 135.00 Rp -
161 KOTRIMOKSAZOL ( DEWASA ) KOMBINASI : SULFAMEKTOKSAZOL 400 Tablet 1000 Rp 129.00 Rp 129,000.00 1000 Rp 129.00 Rp 129,000.00 200 Rp 129.00 Rp 25,800.00 1800 Rp 129.00 Rp 232,200.00
162 Kotrimoksazol suspensi kombinasi ; Sulfametoksazol 200 mg + Trimetropin Botol 120 Rp 2,462.00 Rp 295,440.00 0 Rp 2,462.00 Rp - 10 Rp 2,462.00 Rp 24,620.00 110 Rp 2,462.00 Rp 270,820.00
163 Kotrimoksazol suspensi kombinasi ; Sulfametoksazol 200 mg + Trimetropin Botol 0 Rp 2,119.00 Rp - 0 Rp 2,119.00 Rp - 0 Rp 2,119.00 Rp - 0 Rp 2,119.00 Rp -
164 KOMBINASI: FERRO FUMARAT 60 MG + ASAM FOLAT 0,4 MG Tablet 38700 Rp 427.00 Rp 16,524,900.00 28000 Rp 427.00 Rp 11,956,000.00 66700 Rp 427.00 Rp 28,480,900.00 0 Rp 427.00 Rp -
165 Larutan mengandung elektrolit (Ringer laktat) Botol 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp -
166 Larutan mengandung elektrolit (Ringer laktat) Botol 200 Rp 5,720.00 Rp 1,144,000.00 0 Rp 5,720.00 Rp - 200 Rp 5,720.00 Rp 1,144,000.00 0 Rp 5,720.00 Rp -
168 Larutan mengandung elektrolit (Ringer laktat) 500 ML Botol 0 Rp 7,630.00 Rp - 120 Rp 7,630.00 Rp 915,600.00 23 Rp 7,630.00 Rp 175,490.00 97 Rp 7,630.00 Rp 740,110.00
169 Lidocain Compositum inj 2 ml Ampul 30 Rp 1,380.00 Rp 41,400.00 20 Rp 1,380.00 Rp 27,600.00 50 Rp 1,380.00 Rp 69,000.00 0 Rp 1,380.00 Rp -
170 Lidocain injeksi 2% Ampul 50 Rp 1,375.00 Rp 68,750.00 70 Rp 1,375.00 Rp 96,250.00 78 Rp 1,375.00 Rp 107,250.00 42 Rp 1,375.00 Rp 57,750.00
171 Lisol Botol 0 Rp 21,500.00 Rp - 0 Rp 21,500.00 Rp - 0 Rp 21,500.00 Rp - 0 Rp 21,500.00 Rp -
172 Lisol Botol 9 Rp 31,570.00 Rp 284,130.00 0 Rp 31,570.00 Rp - 6 Rp 31,570.00 Rp 189,420.00 3 Rp 31,570.00 Rp 94,710.00
174 Loratidin tablet 10 mg Tablet 0 Rp 302.80 Rp - 0 Rp 302.80 Rp - 0 Rp 302.80 Rp - 0 Rp 302.80 Rp -
175 MAGNESIUM SULFAT INJEKSI 20 % ( MGSO4 ) 20 Ampul 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp -
176 MAGNESIUM SULFAT 20% Botol 0 Rp 3,328.00 Rp - 6 Rp 3,328.00 Rp 19,968.00 0 Rp 3,328.00 Rp - 6 Rp 3,328.00 Rp 19,968.00
177 Magnesium Sulfat 40% injeksi - 25 ml Vial 0 Rp 2,000.00 Rp - 0 Rp 2,000.00 Rp - 0 Rp 2,000.00 Rp - 0 Rp 2,000.00 Rp -
179 MAGNESIUM SULFAT 40% Botol 0 Rp 3,796.00 Rp - 6 Rp 3,796.00 Rp 22,776.00 0 Rp 3,796.00 Rp - 6 Rp 3,796.00 Rp 22,776.00
180 Magnesium Sulfat serbuk 30 gram Sachet 0 Rp 3,802.00 Rp - 0 Rp 3,802.00 Rp - 0 Rp 3,802.00 Rp - 0 Rp 3,802.00 Rp -
181 MELOXICAM 15 MG TABLET Tablet 0 Rp 2,380.00 Rp - 0 Rp 2,380.00 Rp - 0 Rp 2,380.00 Rp - 0 Rp 2,380.00 Rp -
182 Metampiron (antalgin) 2 ml injeksi Ampul 0 Rp 1,925.00 Rp - 0 Rp 1,925.00 Rp - 0 Rp 1,925.00 Rp - 0 Rp 1,925.00 Rp -
183 Metampiron (antalgin) 500 mg Tablet 700 Rp 155.00 Rp 108,500.00 0 Rp 155.00 Rp - 500 Rp 155.00 Rp 77,500.00 200 Rp 155.00 Rp 31,000.00
184 Metampiron (antalgin) 500 mg Tablet 200 Rp 1,440.00 Rp 287,999.80 0 Rp 1,440.00 Rp - 0 Rp 1,440.00 Rp - 200 Rp 1,440.00 Rp 287,999.80
185 METILERGOMETRIN INJ. 0,2 MG/ML Ampul 39 Rp 3,421.00 Rp 133,419.00 0 Rp 3,421.00 Rp - 39 Rp 3,421.00 Rp 133,419.00 0 Rp 3,421.00 Rp -
186 METILERGOMETRIN MALEAT TAB 0,125 MG Tablet 500 Rp 271.00 Rp 135,500.00 0 Rp 271.00 Rp - 100 Rp 271.00 Rp 27,100.00 400 Rp 271.00 Rp 108,400.00
187 Metilprednisolon tablet 4 mg Tablet 0 Rp 170.00 Rp - 0 Rp 170.00 Rp - 0 Rp 170.00 Rp - 0 Rp 170.00 Rp -
188 Metilprednisolon tablet 4 mg Tablet 1000 Rp 143.00 Rp 143,000.00 0 Rp 143.00 Rp - 1000 Rp 143.00 Rp 143,000.00 0 Rp 143.00 Rp -
189 METILPREDNISOLON TAB 4 MG Tablet 0 Rp 153.00 Rp - 500 Rp 153.00 Rp 76,500.00 0 Rp 153.00 Rp - 500 Rp 153.00 Rp 76,500.00
190 Metformin 500 mg Tablet 0 Rp 165.00 Rp - 0 Rp 165.00 Rp - 0 Rp 165.00 Rp - 0 Rp 165.00 Rp -
191 Metformin 500 mg Tablet 2100 Rp 110.00 Rp 231,000.00 2300 Rp 110.00 Rp 253,000.00 2600 Rp 110.00 Rp 286,000.00 1800 Rp 110.00 Rp 198,000.00
192 Metoklorperamide tablet 10 mg Tablet 0 Rp 100.00 Rp - 0 Rp 100.00 Rp - 0 Rp 100.00 Rp - 0 Rp 100.00 Rp -
193 METOKLOPRAMIDE TABLET 10 MG Tablet 2300 Rp 93.00 Rp 213,900.00 2000 Rp 93.00 Rp 186,000.00 400 Rp 93.00 Rp 37,200.00 3900 Rp 93.00 Rp 362,700.00
194 METOKLOPRAMIDE TABLET 5 MG Tablet 500 Rp 129.00 Rp 64,500.00 0 Rp 129.00 Rp - 0 Rp 129.00 Rp - 500 Rp 129.00 Rp 64,500.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
195 Metronidazol tablet 250 mg Tablet 0 Rp 116.00 Rp - 0 Rp 116.00 Rp - 0 Rp 116.00 Rp - 0 Rp 116.00 Rp -
196 METRONIDAZOLE TABLET 250 MG Tablet 100 Rp 97.00 Rp 9,700.00 0 Rp 97.00 Rp - 100 Rp 97.00 Rp 9,700.00 0 Rp 97.00 Rp -
198 METRONIDAZOLE TABLET 500 MG Tablet 0 Rp 117.00 Rp - 0 Rp 117.00 Rp - 0 Rp 117.00 Rp - 0 Rp 117.00 Rp -
199 Miconazole 2% krim (nitrat) Tube 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp -
200 Miconazole 2% krim (nitrat) Tube 47 Rp 4,097.00 Rp 192,559.00 10 Rp 4,097.00 Rp 40,970.00 47 Rp 4,097.00 Rp 192,559.00 10 Rp 4,097.00 Rp 40,970.00
202 Natrium Diklofenat tablet 25 mg Tablet 500 Rp 154.00 Rp 77,000.00 800 Rp 154.00 Rp 123,200.00 250 Rp 154.00 Rp 38,500.00 1050 Rp 154.00 Rp 161,700.00
203 Natrium Diklofenat tablet 50 mg Tablet 0 Rp 193.00 Rp - 0 Rp 193.00 Rp - 0 Rp 193.00 Rp - 0 Rp 193.00 Rp -
205 Natrium Klorida (NaCl) 0.9% larutan infus 500 ml Botol 0 Rp 5,170.00 Rp - 0 Rp 5,170.00 Rp - 0 Rp 5,170.00 Rp - 0 Rp 5,170.00 Rp -
206 Natrium Klorida (NaCl) 0.9% larutan infus 500 ml Botol 51 Rp 6,410.00 Rp 326,910.00 120 Rp 6,410.00 Rp 769,200.00 116 Rp 6,410.00 Rp 743,560.00 55 Rp 6,410.00 Rp 352,550.00
207 Nifedipine tablet 10 mg Tablet 0 Rp 127.00 Rp - 0 Rp 127.00 Rp - 0 Rp 127.00 Rp - 0 Rp 127.00 Rp -
208 Nistatin 500.000 IU tablet salut Tablet 0 Rp 704.00 Rp - 0 Rp 704.00 Rp - 0 Rp 704.00 Rp - 0 Rp 704.00 Rp -
209 Nistatin 100.000 IU tablet vaginal Tablet 0 Rp 528.00 Rp - 0 Rp 528.00 Rp - 0 Rp 528.00 Rp - 0 Rp 528.00 Rp -
210 Nistatin 100.000 IU tablet vaginal Tablet 1100 Rp 675.00 Rp 742,500.00 1000 Rp 675.00 Rp 675,000.00 100 Rp 675.00 Rp 67,500.00 2000 Rp 675.00 Rp 1,350,000.00
211 Obat Batuk Hitam (OBH) syrup 100 ml Botol 0 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp -
212 OBH ERLA SIRUP BOTOL KACA 100 ML Botol 10 Rp 12,999.80 Rp 129,998.00 0 Rp 12,999.80 Rp - 10 Rp 12,999.80 Rp 129,998.00 0 Rp 12,999.80 Rp -
213 OFLOKSASIN TABLET 200 MG Tablet 700 Rp 531.00 Rp 371,700.00 0 Rp 531.00 Rp - 0 Rp 531.00 Rp - 700 Rp 531.00 Rp 371,700.00
214 Oksitetrasiklin HCl SK 3 % Tube 0 Rp 2,009.00 Rp - 0 Rp 2,009.00 Rp - 0 Rp 2,009.00 Rp - 0 Rp 2,009.00 Rp -
215 Oksitetrasiklin HCL Salep Mata 1 % Tube 0 Rp 1,330.00 Rp - 0 Rp 1,330.00 Rp - 0 Rp 1,330.00 Rp - 0 Rp 1,330.00 Rp -
216 OXYTETRACYCLINE SALEP MATA 1% 3.5 G Tube 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp -
217 OXYTETRACYCLINE SALEP MATA 1% 3.5 G Tube 30 Rp 2,600.00 Rp 78,000.00 10 Rp 2,600.00 Rp 26,000.00 35 Rp 2,600.00 Rp 91,000.00 5 Rp 2,600.00 Rp 13,000.00
218 OXYTETRACYCLINE SALEP MATA 1% 3.5 G Tube 0 Rp 2,774.00 Rp - 35 Rp 2,774.00 Rp 97,090.00 0 Rp 2,774.00 Rp - 35 Rp 2,774.00 Rp 97,090.00
219 OKSITOSIN INJ 10 UI/ML Ampul 0 Rp 1,900.00 Rp - 0 Rp 1,900.00 Rp - 0 Rp 1,900.00 Rp - 0 Rp 1,900.00 Rp -
221 Omeprasol kapsul/kaplet 20 mg Tablet 0 Rp 371.20 Rp - 0 Rp 371.20 Rp - 0 Rp 371.20 Rp - 0 Rp 371.20 Rp -
222 OMEPRAZOL TABLET 20 MG TABLET 0 Rp 154.00 Rp - 0 Rp 154.00 Rp - 0 Rp 154.00 Rp - 0 Rp 154.00 Rp -
226 ONDANSENTRON TABLET 4 MG TABLET 120 Rp 546.00 Rp 65,520.00 0 Rp 546.00 Rp - 120 Rp 546.00 Rp 65,520.00 0 Rp 546.00 Rp -
227 Paracetamol 120 mg/5 ml syrup Botol 0 Rp 1,535.00 Rp - 0 Rp 1,535.00 Rp - 0 Rp 1,535.00 Rp - 0 Rp 1,535.00 Rp -
228 PARASETAMOL SIRUP 120 MG/ 5 ML BOTOL 0 Rp 1,190.00 Rp - 0 Rp 1,190.00 Rp - 0 Rp 1,190.00 Rp - 0 Rp 1,190.00 Rp -
229 PARASETAMOL SYRUP Botol 0 Rp 4,583.00 Rp - 0 Rp 4,583.00 Rp - 0 Rp 4,583.00 Rp - 0 Rp 4,583.00 Rp -
230 PARASETAMOL SYRUP Botol 0 Rp 5,041.30 Rp - 10 Rp 5,041.30 Rp 50,413.00 0 Rp 5,041.30 Rp - 10 Rp 5,041.30 Rp 50,413.00
231 PARASETAMOL TABLET 500 MG TABLET 0 Rp 52.00 Rp - 0 Rp 52.00 Rp - 0 Rp 52.00 Rp - 0 Rp 52.00 Rp -
232 PARASETAMOL TABLET 500 MG TABLET 0 Rp 49.00 Rp - 0 Rp 49.00 Rp - 0 Rp 49.00 Rp - 0 Rp 49.00 Rp -
233 PARASETAMOL TABLET 500 MG Tablet 0 Rp 250.00 Rp - 0 Rp 250.00 Rp - 0 Rp 250.00 Rp - 0 Rp 250.00 Rp -
234 PARASETAMOL TABLET 500 MG Tablet 0 Rp 274.48 Rp - 1000 Rp 274.48 Rp 274,483.00 1000 Rp 274.48 Rp 274,483.00 0 Rp 274.48 Rp -
235 PARASETAMOL DROPS 100 MG/ML BTL @15 ML Botol 433 Rp 7,979.00 Rp 3,454,907.00 56 Rp 7,979.00 Rp 446,824.00 489 Rp 7,979.00 Rp 3,901,731.00 0 Rp 7,979.00 Rp -
236 Piracetam tablet 800 mg Tablet 0 Rp 964.00 Rp - 0 Rp 964.00 Rp - 0 Rp 964.00 Rp - 0 Rp 964.00 Rp -
238 Pirantel tablet score (base) 125 mg Tablet 0 Rp 318.00 Rp - 0 Rp 318.00 Rp - 0 Rp 318.00 Rp - 0 Rp 318.00 Rp -
239 PIRANTEL PAMOAT TABLET 125 MG Tablet 0 Rp 305.00 Rp - 0 Rp 305.00 Rp - 0 Rp 305.00 Rp - 0 Rp 305.00 Rp -
241 Pirantel Suspensi 125 mg/5 ml Botol 0 Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp -
242 Pirantel Suspensi 125 mg/5 ml Botol 5 Rp 11,600.00 Rp 58,000.00 0 Rp 11,600.00 Rp - 0 Rp 11,600.00 Rp - 5 Rp 11,600.00 Rp 58,000.00
243 Piridoksin 10 mg (Vitamin B6) Tablet 0 Rp 19.01 Rp - 0 Rp 19.01 Rp - 0 Rp 19.01 Rp - 0 Rp 19.01 Rp -
244 PIRIDOKSIN ( VIT. B6 ) TABLET 10 MG TABLET 3200 Rp 142.00 Rp 454,400.00 0 Rp 142.00 Rp - 3200 Rp 142.00 Rp 454,400.00 0 Rp 142.00 Rp -
245 PIRIDOKSIN ( VIT. B6 ) TABLET 10 MG TABLET 0 Rp 148.00 Rp - 9500 Rp 148.00 Rp 1,406,000.00 5100 Rp 148.00 Rp 754,800.00 4400 Rp 148.00 Rp 651,200.00
246 Piroksikam 10 mg Tablet 0 Rp 149.00 Rp - 0 Rp 149.00 Rp - 0 Rp 149.00 Rp - 0 Rp 149.00 Rp -
248 PIROXICAM 10 MG TABLET TABLET 300 Rp 230.00 Rp 68,999.70 0 Rp 230.00 Rp - 300 Rp 230.00 Rp 68,999.70 0 Rp 230.00 Rp -
249 PIROXICAM 10 MG TABLET Tablet 0 Rp 133.00 Rp - 0 Rp 133.00 Rp - 0 Rp 133.00 Rp - 0 Rp 133.00 Rp -
250 PIROXICAM 10 MG TABLET Tablet 0 Rp 146.38 Rp - 200 Rp 146.38 Rp 29,275.40 0 Rp 146.38 Rp - 200 Rp 146.38 Rp 29,275.40
251 Pritamox Tablet Tablet 0 Rp 1,210.00 Rp - 0 Rp 1,210.00 Rp - 0 Rp 1,210.00 Rp - 0 Rp 1,210.00 Rp -
252 Povidon Iodida larutan 10%,30 ml Botol 21 Rp 3,480.00 Rp 73,080.00 0 Rp 3,480.00 Rp - 21 Rp 3,480.00 Rp 73,080.00 0 Rp 3,480.00 Rp -
254 PREDNISON TABLET 5 MG Tablet 0 Rp 85.00 Rp - 0 Rp 85.00 Rp - 0 Rp 85.00 Rp - 0 Rp 85.00 Rp -
256 PREDNISON TABLET 5 MG Tablet 0 Rp 79.00 Rp - 1000 Rp 79.00 Rp 79,000.00 0 Rp 79.00 Rp - 1000 Rp 79.00 Rp 79,000.00
257 PREDNISON TABLET 5 MG Tablet 300 Rp 74.00 Rp 22,200.00 0 Rp 74.00 Rp - 300 Rp 74.00 Rp 22,200.00 0 Rp 74.00 Rp -
258 Propiltiourasil tablet ( PTU) 100 mg Tablet 0 Rp 514.00 Rp - 0 Rp 514.00 Rp - 0 Rp 514.00 Rp - 0 Rp 514.00 Rp -
259 RETINOL ( VIT. A ) 100.000 KAPSUL 0 Rp 341.00 Rp - 0 Rp 341.00 Rp - 0 Rp 341.00 Rp - 0 Rp 341.00 Rp -
260 RETINOL ( VIT. A ) KAPSUL LUNAK 100.000 IU KAPSUL 0 Rp 346.00 Rp - 250 Rp 346.00 Rp 86,500.00 250 Rp 346.00 Rp 86,500.00 0 Rp 346.00 Rp -
261 Ranitidin 150mg Tablet 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp -
262 Salbutamol 4 mg Tablet 500 Rp 81.00 Rp 40,500.00 0 Rp 81.00 Rp - 0 Rp 81.00 Rp - 500 Rp 81.00 Rp 40,500.00
263 Salbutamol 2 mg Tablet 600 Rp 84.00 Rp 50,400.00 0 Rp 84.00 Rp - 500 Rp 84.00 Rp 42,000.00 100 Rp 84.00 Rp 8,400.00
264 Salep 24 Kombinasi: Asam salisilat 2% + Belerang endap 4% Pot 4 Rp 3,143.00 Rp 12,572.00 0 Rp 3,143.00 Rp - 4 Rp 3,143.00 Rp 12,572.00 0 Rp 3,143.00 Rp -
265 Sefadroksil 500 mg Kapsul 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp -
266 Sefadroksil 125 mg/5 ml SK 60ml Botol 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp -
267 Serum Anti bisa Ular 5ml (ABU I) Vial 0 Rp 597,902.57 Rp - 0 Rp 597,902.57 Rp - 0 Rp 597,902.57 Rp - 0 Rp 597,902.57 Rp -
268 Serum Anti difteri (ADS) injeksi i.m 1500 UI Vial 0 Rp 1,209,035.30 Rp - 0 Rp 1,209,035.30 Rp - 0 Rp 1,209,035.30 Rp - 0 Rp 1,209,035.30 Rp -
269 Sianokobalamin (vit.B12) 500 mcg injeksi 1ml Ampul 0 Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp -
270 Simvastatin 10 mg Tablet 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - 0 Rp 270.00 Rp -
271 SIMVASTATIN TABLET 10 MG Tablet 0 Rp 116.00 Rp - 0 Rp 116.00 Rp - 0 Rp 116.00 Rp - 0 Rp 116.00 Rp -
272 SIMVASTATIN TABLET 10 MG Tablet 600 Rp 117.00 Rp 70,200.00 1650 Rp 117.00 Rp 193,050.00 1770 Rp 117.00 Rp 207,090.00 480 Rp 117.00 Rp 56,160.00
275 SIMVASTATIN TABLET 20 MG Tablet 0 Rp 235.00 Rp - 1650 Rp 235.00 Rp 387,750.00 1150 Rp 235.00 Rp 270,250.00 500 Rp 235.00 Rp 117,500.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
276 Siprofloksasin 500 mg Tablet 0 Rp 430.00 Rp - 0 Rp 430.00 Rp - 0 Rp 430.00 Rp - 0 Rp 430.00 Rp -
277 SIPROFLOKSASIN TABLET SCORED 500 MG TABLET 3800 Rp 264.00 Rp 1,003,200.00 0 Rp 264.00 Rp - 3800 Rp 264.00 Rp 1,003,200.00 0 Rp 264.00 Rp -
278 TETRASIKLIN KAPSUL 500 MG Kapsul 500 Rp 341.00 Rp 170,500.00 0 Rp 341.00 Rp - 0 Rp 341.00 Rp - 500 Rp 341.00 Rp 170,500.00
279 TETRASIKLIN KAPSUL 500 MG Kapsul Rp 324.00 Rp - 1000 Rp 324.00 Rp 324,000.00 0 Rp 324.00 Rp - 1000 Rp 324.00 Rp 324,000.00
280 Tetrasiklin kaps/kapl 250 mg Kapsul 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp -
281 TETRASIKLIN KAPSUL 250 MG Kapsul 0 Rp 181.00 Rp - 0 Rp 181.00 Rp - 0 Rp 181.00 Rp - 0 Rp 181.00 Rp -
282 Thiamphenicol Kap. 500 Mg Kapsul 0 Rp 881.00 Rp - 0 Rp 881.00 Rp - 0 Rp 881.00 Rp - 0 Rp 881.00 Rp -
284 Thiamin HCl (vit.B1) inj.100 mg/ml-1ml Ampul 0 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp -
285 Thiamin HCl (vit.B1) 50 mg Tablet 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0 Rp 42.00 Rp -
286 THIAMIN ( VIT. B1 ) TABLET 500 MG Tablet 0 Rp 90.00 Rp - 0 Rp 90.00 Rp - 0 Rp 90.00 Rp - 0 Rp 90.00 Rp -
288 THIAMIN ( VIT. B1 ) TABLET 500 MG Tablet 1900 Rp 92.00 Rp 174,800.00 4000 Rp 92.00 Rp 368,000.00 3200 Rp 92.00 Rp 294,400.00 2700 Rp 92.00 Rp 248,400.00
289 VAKSIN BCG VIAL 0 Rp 59,950.00 Rp - 0 Rp 59,950.00 Rp - 0 Rp 59,950.00 Rp - 0 Rp 59,950.00 Rp -
290 VAKSIN CAMPAK INK. S.K + PELARUT VIAL 0 Rp 28,232.00 Rp - 0 Rp 28,232.00 Rp - 0 Rp 28,232.00 Rp - 0 Rp 28,232.00 Rp -
291 Vitamin B Kompleks Tablet 0 Rp 19.01 Rp - 0 Rp 19.01 Rp - 0 Rp 19.01 Rp - 0 Rp 19.01 Rp -
293 VITAMIN B KOMPLEKS TABLET Tablet 3600 Rp 138.00 Rp 496,800.00 0 Rp 138.00 Rp - 3600 Rp 138.00 Rp 496,800.00 0 Rp 138.00 Rp -
294 VITAMIN B KOMPLEKS TABLET Tablet 0 Rp 141.00 Rp - 500 Rp 141.00 Rp 70,500.00 500 Rp 141.00 Rp 70,500.00 0 Rp 141.00 Rp -
295 VITAMIN B KOMPLEKS TABLET Tablet 0 Rp 150.00 Rp - 1400 Rp 150.00 Rp 210,000.00 200 Rp 150.00 Rp 30,000.00 1200 Rp 150.00 Rp 180,000.00
296 Vitamin D 400 IU/D-Vit tablet Tablet 0 Rp 680.00 Rp - 0 Rp 680.00 Rp - 0 Rp 680.00 Rp - 0 Rp 680.00 Rp -
297 VITAMIN B12 50 MCG TABLET Tablet 0 Rp 50.00 Rp - 0 Rp 50.00 Rp - 0 Rp 50.00 Rp - 0 Rp 50.00 Rp -
298 Zink Tablet Dispersible 20 mg Tablet 0 Rp 521.00 Rp - 0 Rp 521.00 Rp - 0 Rp 521.00 Rp - 0 Rp 521.00 Rp -
299 ZINC TABLET DISPERSIBLE 20 MG Tablet 0 Rp 617.00 Rp - 0 Rp 617.00 Rp - 0 Rp 617.00 Rp - 0 Rp 617.00 Rp -
300 Zirkum Kid Syr 20/5ml Botol 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp -
301 ZICK SULFAT SIRUP 20 MG/5 ML Botol 7 Rp 3,449.00 Rp 24,143.00 20 Rp 3,449.00 Rp 68,980.00 22 Rp 3,449.00 Rp 75,878.00 5 Rp 3,449.00 Rp 17,245.00
0 Rp - 0 Rp - 0 Rp - 0 Rp -
OBAT PATEN 0 Rp - 0 Rp - 0 Rp - 0 Rp -
1 SANMOL 500 MG Tablet 0 Rp 325.00 Rp - 0 Rp 325.00 Rp - 0 Rp 325.00 Rp - 0 Rp 325.00 Rp -
2 CARDISAN 5 MG Tablet 0 Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp -
3 PURECEMIA Tablet 0 Rp 3,268.75 Rp - 0 Rp 3,268.75 Rp - 0 Rp 3,268.75 Rp - 0 Rp 3,268.75 Rp -
4 MEFINAL 500 MG Tablet 790 Rp 1,537.50 Rp 1,214,625.00 0 Rp 1,537.50 Rp - 790 Rp 1,537.50 Rp 1,214,625.00 0 Rp 1,537.50 Rp -
5 NEUROSANBE Tablet 0 Rp 2,756.25 Rp - 0 Rp 2,756.25 Rp - 0 Rp 2,756.25 Rp - 0 Rp 2,756.25 Rp -
6 SANTA E 200 Kaplet 0 Rp 2,243.75 Rp - 0 Rp 2,243.75 Rp - 0 Rp 2,243.75 Rp - 0 Rp 2,243.75 Rp -
7 MUCOHEXIN Tablet 200 Rp 575.00 Rp 115,000.00 0 Rp 575.00 Rp - 0 Rp 575.00 Rp - 200 Rp 575.00 Rp 115,000.00
8 CHOLVASTIN Tablet 0 Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp -
9 BEVITA SYRUP 120 ML BOTOL 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp -
10 CAVIPLEX KAPLET KAPLET 0 Rp 480.00 Rp - 0 Rp 480.00 Rp - 0 Rp 480.00 Rp - 0 Rp 480.00 Rp -
11 CENDO XITROL 5 ML BOTOL 0 Rp 58,999.60 Rp - 0 Rp 58,999.60 Rp - 0 Rp 58,999.60 Rp - 0 Rp 58,999.60 Rp -
12 ERLAMYCETINE EYE DROP 0.5 % 10 ML BOTOL 0 Rp 20,000.20 Rp - 0 Rp 20,000.20 Rp - 0 Rp 20,000.20 Rp - 0 Rp 20,000.20 Rp -
13 ERLAMYCETINE SYRUP 60 ML BOTOL 0 Rp 13,999.70 Rp - 0 Rp 13,999.70 Rp - 0 Rp 13,999.70 Rp - 0 Rp 13,999.70 Rp -
14 FARBION TABLET TABLET 0 Rp 2,310.00 Rp - 0 Rp 2,310.00 Rp - 0 Rp 2,310.00 Rp - 0 Rp 2,310.00 Rp -
15 GRATAMIN TABLET TABLET 0 Rp 2,860.00 Rp - 0 Rp 2,860.00 Rp - 0 Rp 2,860.00 Rp - 0 Rp 2,860.00 Rp -
16 IMOX TABLET SALUT SELAPUT Tablet 0 Rp 13,200.00 Rp - 0 Rp 13,200.00 Rp - 0 Rp 13,200.00 Rp - 0 Rp 13,200.00 Rp -
17 INTUNAL CAPLET KAPLET 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp -
18 MY JELLY 80 GRAM LUBRICAN BOTOL 2 Rp 69,575.00 Rp 139,150.00 0 Rp 69,575.00 Rp - 2 Rp 69,575.00 Rp 139,150.00 0 Rp 69,575.00 Rp -
19 NIFUDIAR SUSPENSI 60 ML BOTOL 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp -
21 Polikresulen Cairan (Albothyl) 5 ml Botol 0 Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp -
22 PROPEPSA SUSPENSI 100 ML BOTOL 0 Rp 106,000.40 Rp - 0 Rp 106,000.40 Rp - 0 Rp 106,000.40 Rp - 0 Rp 106,000.40 Rp -
23 SUPRAVIT STRIP 10X10'S TABLET 0 Rp 770.00 Rp - 0 Rp 770.00 Rp - 0 Rp 770.00 Rp - 0 Rp 770.00 Rp -
24 VOCEFA DS 60 ML BOTOL 0 Rp 84,000.40 Rp - 0 Rp 84,000.40 Rp - 0 Rp 84,000.40 Rp - 0 Rp 84,000.40 Rp -
25 ZIRCUM KID SYRUP 60 ML BOTOL 0 Rp 52,000.30 Rp - 0 Rp 52,000.30 Rp - 0 Rp 52,000.30 Rp - 0 Rp 52,000.30 Rp -
26 Bisakodil supp 5 mg/Dulcolax Suppo 12 Rp 6,000.00 Rp 72,000.00 12 Rp 6,000.00 Rp 72,000.00 0 Rp 6,000.00 Rp - 24 Rp 6,000.00 Rp 144,000.00
27 Bisakodil supp 10 mg/Dulcolax Suppo 33 Rp 5,900.00 Rp 194,700.00 12 Rp 5,900.00 Rp 70,800.00 20 Rp 5,900.00 Rp 118,000.00 25 Rp 5,900.00 Rp 147,500.00
28 Bufacetin (Kloramfenikol Salep Kulit 2%) Tube 19 Rp 3,645.00 Rp 69,255.00 0 Rp 3,645.00 Rp - 0 Rp 3,645.00 Rp - 19 Rp 3,645.00 Rp 69,255.00
29 Pantrin (Pirantel Pamoat) tablet 250 mg Tablet 100 Rp 1,200.00 Rp 120,000.00 100 Rp 1,200.00 Rp 120,000.00 0 Rp 1,200.00 Rp - 200 Rp 1,200.00 Rp 240,000.00
30 Harmida (Glibenklamid) tab 2,5 mg Tablet 1000 Rp 216.00 Rp 216,000.00 400 Rp 216.00 Rp 86,400.00 300 Rp 216.00 Rp 64,800.00 1100 Rp 216.00 Rp 237,600.00
31 MEVITON TABLET 0 Rp 2,007.35 Rp - 200 Rp 2,007.35 Rp 401,469.82 0 Rp 2,007.35 Rp - 200 Rp 2,007.35 Rp 401,469.82
32 CORTIDEX TAB Tablet 0 Rp 367.92 Rp - 100 Rp 367.92 Rp 36,792.23 0 Rp 367.92 Rp - 100 Rp 367.92 Rp 36,792.23
33 PROPEPSA SYR 100 ML Botol 0 Rp 73,472.97 Rp - 2 Rp 73,472.97 Rp 146,945.93 0 Rp 73,472.97 Rp - 2 Rp 73,472.97 Rp 146,945.93
34 MEFINAL 500 MG Tablet 0 Rp 1,705.82 Rp - 200 Rp 1,705.82 Rp 341,164.30 0 Rp 1,705.82 Rp - 200 Rp 1,705.82 Rp 341,164.30
0 Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
OBAT KHUSUS 0 Rp - 0 Rp - 0 Rp - 0 Rp -
1 Fluoride 1 mg Tablet 0 Rp 975.98 Rp - 0 Rp 975.98 Rp - 0 Rp 975.98 Rp - 0 Rp 975.98 Rp -
2 KY Jelli Tube 1 Rp 85,000.00 Rp 85,000.00 0 Rp 85,000.00 Rp - 1 Rp 85,000.00 Rp 85,000.00 0 Rp 85,000.00 Rp -
3 Lexavit Kaplet Kaplet 0 Rp 545.00 Rp - 0 Rp 545.00 Rp - 0 Rp 545.00 Rp - 0 Rp 545.00 Rp -
4 Mefamicetin (kloramfenikol suspensi 125 mg/ml) Botol 0 Rp 8,800.00 Rp - 0 Rp 8,800.00 Rp - 0 Rp 8,800.00 Rp - 0 Rp 8,800.00 Rp -
5 Neorodial Tablet Tablet 0 Rp 1,265.00 Rp - 0 Rp 1,265.00 Rp - 0 Rp 1,265.00 Rp - 0 Rp 1,265.00 Rp -
6 Pantocain (tetracain Hcl tetes mata) Botol 0 Rp 31,687.50 Rp - 0 Rp 31,687.50 Rp - 0 Rp 31,687.50 Rp - 0 Rp 31,687.50 Rp -
7 Reco (Kloramfenicol tetes mata 3 %) Botol 0 Rp 11,440.00 Rp - 0 Rp 11,440.00 Rp - 0 Rp 11,440.00 Rp - 0 Rp 11,440.00 Rp -
8 Scabicid cream (Gmexan 10 mg, asam usnat 10 mg) Tube 0 Rp 24,716.25 Rp - 0 Rp 24,716.25 Rp - 0 Rp 24,716.25 Rp - 0 Rp 24,716.25 Rp -
9 Scopamin inj.(hiosin butilbromida inj.20 mg/ml) Ampul 0 Rp 31,687.50 Rp - 0 Rp 31,687.50 Rp - 0 Rp 31,687.50 Rp - 0 Rp 31,687.50 Rp -
10 Vical Suspensi 100 ml Botol 0 Rp 4,890.00 Rp - 0 Rp 4,890.00 Rp - 0 Rp 4,890.00 Rp - 0 Rp 4,890.00 Rp -
BAHAN MEDIS HABIS PAKAI 0 Rp - 0 Rp - 0 Rp - 0 Rp -

1 Alat Suntik 1 ml Pcs 0 Rp 1,029.60 Rp - 0 Rp 1,029.60 Rp - 0 Rp 1,029.60 Rp - 0 Rp 1,029.60 Rp -
3 Alat Suntik 1 ml Pcs 20 Rp 821.48 Rp 16,429.68 800 Rp 821.48 Rp 657,187.20 357 Rp 821.48 Rp 293,269.79 0 Rp 821.48 Rp -
Alat Suntik 1 ml Pcs 463 Rp 821.48 Rp 380,347.09 Expired
4 Alat Suntik 2,5 ml Pcs 0 Rp 1,029.60 Rp - 0 Rp 1,029.60 Rp - 0 Rp 1,029.60 Rp - 0 Rp 1,029.60 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
5 Alat Suntik 2,5 ml Pcs 200 Rp 864.72 Rp 172,944.00 400 Rp 864.72 Rp 345,888.00 300 Rp 864.72 Rp 259,416.00 300 Rp 864.72 Rp 259,416.00
7 Alat Suntik 3 ml Pcs 43 Rp 864.72 Rp 37,182.96 0 Rp 864.72 Rp - 43 Rp 864.72 Rp 37,182.96 0 Rp 864.72 Rp -
8 Alat Suntik 5 ml Pcs 10 Rp 1,185.60 Rp 11,856.00 0 Rp 1,185.60 Rp - 10 Rp 1,185.60 Rp 11,856.00 0 Rp 1,185.60 Rp -
11 Alat Suntik 10 ml Pcs 29 Rp 1,694.00 Rp 49,126.00 0 Rp 1,694.00 Rp - 11 Rp 1,694.00 Rp 18,634.00 18 Rp 1,694.00 Rp 30,492.00
14 ALKOHOL SWAB Box 25 Rp 11,500.00 Rp 287,500.00 61 Rp 11,500.00 Rp 701,500.00 63 Rp 11,500.00 Rp 724,500.00 23 Rp 11,500.00 Rp 264,500.00
15 Autocheck 3 in 1 Unit 0 Rp 1,100,000.00 Rp - 0 Rp 1,100,000.00 Rp - 0 Rp 1,100,000.00 Rp - 0 Rp 1,100,000.00 Rp -
16 Autocheck Cholestrol tes btl/10 strip Botol 0 Rp 320,000.00 Rp - 0 Rp 320,000.00 Rp - 0 Rp 320,000.00 Rp - 0 Rp 320,000.00 Rp -
18 Autocheck Cholestrol tes btl/25 strip Botol 4 Rp 147,125.00 Rp 588,500.00 0 Rp 147,125.00 Rp - 4 Rp 147,125.00 Rp 588,500.00 0 Rp 147,125.00 Rp -
19 Autocheck Cholestrol tes btl/25 strip Kotak 0 Rp 367,812.50 Rp - 4 Rp 367,812.50 Rp 1,471,250.00 2 Rp 367,812.50 Rp 735,625.00 2 Rp 367,812.50 Rp 735,625.00
20 Autocheck Cholestrol tes btl/25 strip Kotak 0 Rp 385,235.00 Rp - 4 Rp 385,235.00 Rp 1,540,940.00 0 Rp 385,235.00 Rp - 4 Rp 385,235.00 Rp 1,540,940.00
21 Autocheck Glukosa tes btl/25 strip Botol 0 Rp 180,000.00 Rp - 0 Rp 180,000.00 Rp - 0 Rp 180,000.00 Rp - 0 Rp 180,000.00 Rp -
23 Autocheck Glukosa tes btl/50 strip Botol 2 Rp 68,475.00 Rp 136,950.00 0 Rp 68,475.00 Rp - 2 Rp 68,475.00 Rp 136,950.00 0 Rp 68,475.00 Rp -
24 Autocheck Glukosa tes btl/50 strip Kotak 0 Rp 136,950.00 Rp - 11 Rp 136,950.00 Rp 1,506,450.00 4 Rp 136,950.00 Rp 547,800.00 7 Rp 136,950.00 Rp 958,650.00
25 Autocheck Uric Acid Test btl/25 strip Botol 0 Rp 240,000.00 Rp - 0 Rp 240,000.00 Rp - 0 Rp 240,000.00 Rp - 0 Rp 240,000.00 Rp -
27 Autocheck Uric Acid Test btl/50 strip Botol 2 Rp 89,100.00 Rp 178,200.00 0 Rp 89,100.00 Rp - 2 Rp 89,100.00 Rp 178,200.00 0 Rp 89,100.00 Rp -
28 Autocheck Uric Acid Test btl/50 strip Kotak 0 Rp 178,200.00 Rp - 11 Rp 178,200.00 Rp 1,960,200.00 3 Rp 178,200.00 Rp 534,600.00 8 Rp 178,200.00 Rp 1,425,600.00
29 Benang Bedah No. 2/0 (Cromic Cat Gut) Pcs 0 Rp 11,261.25 Rp - 0 Rp 11,261.25 Rp - 0 Rp 11,261.25 Rp - 0 Rp 11,261.25 Rp -
31 Benang Bedah No. 2/0 (Cromic Cat Gut) Pcs 76 Rp 8,960.21 Rp 680,975.96 0 Rp 8,960.21 Rp - 68 Rp 8,960.21 Rp 609,294.28 8 Rp 8,960.21 Rp 71,681.68
32 Benang Bedah No. 2/0 (Cromic Cat Gut) Pcs 0 Rp 8,960.21 Rp - 72 Rp 8,960.21 Rp 645,135.00 0 Rp 8,960.21 Rp - 72 Rp 8,960.21 Rp 645,135.00
33 Benang Bedah No. 2/0 (Cromic Cat Gut) PLAIN PCS 0 Rp 8,960.21 Rp - 48 Rp 8,960.21 Rp 430,090.00 0 Rp 8,960.21 Rp - 48 Rp 8,960.21 Rp 430,090.00
35 Benang Bedah No. 3/0 (Cromic Cat Gut) Pcs 96 Rp 8,960.21 Rp 860,180.16 0 Rp 8,960.21 Rp - 96 Rp 8,960.21 Rp 860,180.16 0 Rp 8,960.21 Rp -
37 Benang Bedah No. 3/0 (Cromic Cat Gut) Pcs 0 Rp 8,960.21 Rp - 96 Rp 8,960.21 Rp 860,180.00 10 Rp 8,960.21 Rp 89,602.08 86 Rp 8,960.21 Rp 770,577.92
Catheter (folley cathteter) no.12 Pcs 17 Rp 13,750.00 Rp 233,750.00 Expired
40 UROCARE FOLLEY CATHETER 2 WAY NO.14 Box 0 Rp 92,000.00 Rp - 0 Rp 92,000.00 Rp - 0 Rp 92,000.00 Rp - 0 Rp 92,000.00 Rp -
42 Catheter (folley cathteter) no.18 Pcs 0 Rp 18,018.00 Rp - 0 Rp 18,018.00 Rp - 0 Rp 18,018.00 Rp - 0 Rp 18,018.00 Rp -
43 Catheter (folley cathteter) no.18 Pcs 10 Rp 13,750.00 Rp 137,500.00 10 Rp 13,750.00 Rp 137,500.00 0 Rp 13,750.00 Rp - 20 Rp 13,750.00 Rp 275,000.00
44 Copper T Set/buah Set 0 Rp 125,482.50 Rp - 0 Rp 125,482.50 Rp - 0 Rp 125,482.50 Rp - 0 Rp 125,482.50 Rp -
45 Copper T Set/buah Set 3 Rp 125,000.00 Rp 375,000.00 0 Rp 125,000.00 Rp - 3 Rp 125,000.00 Rp 375,000.00 0 Rp 125,000.00 Rp -
46 COPPER T Pcs 30 Rp 124,300.00 Rp 3,729,000.00 0 Rp 124,300.00 Rp - 1 Rp 124,300.00 Rp 124,300.00 29 Rp 124,300.00 Rp 3,604,700.00
47 Elastic Verband 3 inchi / Tensocrape BSN Roll 0 Rp 96,000.00 Rp - 0 Rp 96,000.00 Rp - 0 Rp 96,000.00 Rp - 0 Rp 96,000.00 Rp -
48 ELASTIC VERBAND 6 INCHI Pcs 0 Rp 86,680.00 Rp - 5 Rp 86,680.00 Rp 433,400.00 0 Rp 86,680.00 Rp - 5 Rp 86,680.00 Rp 433,400.00
49 FEEDING TUBE 8FR 40CM Pcs 30 Rp 8,804.40 Rp 264,132.00 0 Rp 8,804.40 Rp - 0 Rp 8,804.40 Rp - 30 Rp 8,804.40 Rp 264,132.00
50 Hands Schoen no 7 Set 0 Rp 6,563.70 Rp - 0 Rp 6,563.70 Rp - 0 Rp 6,563.70 Rp - 0 Rp 6,563.70 Rp -
52 Hands Schoen no 7.5 Set 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
54 Hands Schoen no 7.5 Pair 0 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp -
55 Hands Schoen no 7.5 U/ manual Placenta (Long) Set 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp -
58 Hands Schoen no 8 Pair 0 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp -
59 Hands Schoen no 8 U/ manual Placenta (Long) Set 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp -
60 Hypafix 5 cm x 1 m Roll 0 Rp 17,610.00 Rp - 3 Rp 17,610.00 Rp 52,830.00 0 Rp 17,610.00 Rp - 3 Rp 17,610.00 Rp 52,830.00
62 Infusion Set Anak Set 7 Rp 8,775.00 Rp 61,425.00 0 Rp 8,775.00 Rp - 7 Rp 8,775.00 Rp 61,425.00 0 Rp 8,775.00 Rp -
63 Infusion Set Anak Set 105 Rp 6,375.00 Rp 669,375.00 0 Rp 6,375.00 Rp - 23 Rp 6,375.00 Rp 146,625.00 55 Rp 6,375.00 Rp 350,625.00
Infusion Set Anak Set 27 Rp 6,375.00 Rp 172,125.00 Expired
64 ONIONEX INFUSION SET FOR PEDIATRIC (ANAK) Pcs 0 Rp 3,556.16 Rp - 25 Rp 3,556.16 Rp 88,904.00 0 Rp 3,556.16 Rp - 25 Rp 3,556.16 Rp 88,904.00
65 Infusion Set Dewasa Set 0 Rp 8,775.00 Rp - 0 Rp 8,775.00 Rp - 0 Rp 8,775.00 Rp - 0 Rp 8,775.00 Rp -
67 IV Catheter no 16 Set 0 Rp 7,507.50 Rp - 0 Rp 7,507.50 Rp - 0 Rp 7,507.50 Rp - 0 Rp 7,507.50 Rp -
73 IV Catheter no 24 Set 4 Rp 7,507.50 Rp 30,030.00 0 Rp 7,507.50 Rp - 4 Rp 7,507.50 Rp 30,030.00 0 Rp 7,507.50 Rp -
75 IV CATHETER 24 G Pcs 0 Rp 9,461.25 Rp - 85 Rp 9,461.25 Rp 804,206.19 49 Rp 9,461.25 Rp 463,601.22 36 Rp 9,461.25 Rp 340,604.98
76 Jarum Jahit 1/2 Surgical Lusin 0 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00 0 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00
77 Jarum Jahit 1/2 Surgical Lusin 1 Rp 135,000.00 Rp 135,000.00 0 Rp 135,000.00 Rp - 1 Rp 135,000.00 Rp 135,000.00 0 Rp 135,000.00 Rp -
78 Jarum Jahit 3/8 Surgical Lusin 0 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00 0 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00
79 Jarum Jahit 3/8 Surgical Lusin 2 Rp 120,000.00 Rp 240,000.00 0 Rp 120,000.00 Rp - 2 Rp 120,000.00 Rp 240,000.00 0 Rp 120,000.00 Rp -
80 Kapas Pembalut 250 gr Roll 10 Rp 23,595.00 Rp 235,950.00 0 Rp 23,595.00 Rp - 5 Rp 23,595.00 Rp 117,975.00 5 Rp 23,595.00 Rp 117,975.00
81 Kapas Pembalut 250 gr Roll 0 Rp 22,000.00 Rp - 10 Rp 22,000.00 Rp 220,000.00 0 Rp 22,000.00 Rp - 10 Rp 22,000.00 Rp 220,000.00
82 KAPAS PEMBALUT 250G Roll 10 Rp 14,375.00 Rp 143,750.00 0 Rp 14,375.00 Rp - 0 Rp 14,375.00 Rp - 10 Rp 14,375.00 Rp 143,750.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
83 Kapas Pembalut 500 gr Roll 12 Rp 35,000.00 Rp 420,000.00 0 Rp 35,000.00 Rp - 1 Rp 35,000.00 Rp 35,000.00 11 Rp 35,000.00 Rp 385,000.00
84 Kasa Steril 18 x 22 cm Box 12 Rp 8,625.00 Rp 103,500.00 40 Rp 8,625.00 Rp 345,000.00 32 Rp 8,625.00 Rp 276,000.00 20 Rp 8,625.00 Rp 172,500.00
85 Kasa Steril 18 x 22 cm Kotak 0 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp -
86 KASA HYDROFPHIL 40 X 80 CM Roll 12 Rp 120,750.00 Rp 1,449,000.00 13 Rp 120,750.00 Rp 1,569,750.00 11 Rp 120,750.00 Rp 1,328,250.00 14 Rp 120,750.00 Rp 1,690,500.00
87 Kasa Hydrofil 36 x 80 cm Roll 0 Rp 282,750.00 Rp - 0 Rp 282,750.00 Rp - 0 Rp 282,750.00 Rp - 0 Rp 282,750.00 Rp -
89 Kasa Kompres 40/40 steril Bungkus 0 Rp 2,853.00 Rp - 0 Rp 2,853.00 Rp - 0 Rp 2,853.00 Rp - 0 Rp 2,853.00 Rp -
90 Kasa Kompres 40/40 steril Bungkus 17 Rp 2,723.00 Rp 46,291.00 0 Rp 2,723.00 Rp - 13 Rp 2,723.00 Rp 35,399.00 4 Rp 2,723.00 Rp 10,892.00
91 KASA KOMPRES STERIL 40 X 40 PCS 100 Rp 1,840.00 Rp 184,000.00 0 Rp 1,840.00 Rp - 0 Rp 1,840.00 Rp - 100 Rp 1,840.00 Rp 184,000.00
92 Kasa Pembalut 2 m x 80 cm Roll 0 Rp 13,650.00 Rp - 0 Rp 13,650.00 Rp - 0 Rp 13,650.00 Rp - 0 Rp 13,650.00 Rp -
93 Kasa Pembalut 2 m x 80 cm Roll 10 Rp 13,366.00 Rp 133,660.00 0 Rp 13,366.00 Rp - 0 Rp 13,366.00 Rp - 10 Rp 13,366.00 Rp 133,660.00
94 KASA PEMBALUT 2M X 80CM Roll 30 Rp 8,855.00 Rp 265,650.00 0 Rp 8,855.00 Rp - 0 Rp 8,855.00 Rp - 30 Rp 8,855.00 Rp 265,650.00
96 Kasa Pembalut 4 m x 10 cm Roll 10 Rp 2,601.00 Rp 26,010.00 0 Rp 2,601.00 Rp - 10 Rp 2,601.00 Rp 26,010.00 0 Rp 2,601.00 Rp -
97 Kasa Pembalut Hydrof 4 m x 15 cm Roll 0 Rp 4,022.85 Rp - 0 Rp 4,022.85 Rp - 0 Rp 4,022.85 Rp - 0 Rp 4,022.85 Rp -
101 Kasa Hydrofil 4 yard x 10 cm Roll 0 Rp 2,600.00 Rp - 0 Rp 2,600.00 Rp - 0 Rp 2,600.00 Rp - 0 Rp 2,600.00 Rp -
102 Kasa Pembalut Hydrofil 4 m x 5 cm Roll 0 Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp -
103 KASA PEMBALUT HYDROFILL 4M X 5CM Roll 50 Rp 862.50 Rp 43,125.00 0 Rp 862.50 Rp - 20 Rp 862.50 Rp 17,250.00 30 Rp 862.50 Rp 25,875.00
104 Kasa Steril 16 x 16 cm Bungkus 0 Rp 8,287.85 Rp - 0 Rp 8,287.85 Rp - 0 Rp 8,287.85 Rp - 0 Rp 8,287.85 Rp -
106 KASA HYDROFPHIL STERIL 16 X 16 Roll 9 Rp 9,200.00 Rp 82,800.00 40 Rp 9,200.00 Rp 368,000.00 27 Rp 9,200.00 Rp 248,400.00 22 Rp 9,200.00 Rp 202,400.00
107 KASA STERIL 10X10 CM,8 PLY,1X10'S Kotak 50 Rp 10,845.30 Rp 542,265.00 0 Rp 10,845.30 Rp - 0 Rp 10,845.30 Rp - 50 Rp 10,845.30 Rp 542,265.00
108 KERTAS PUYER BLANK Bungkus 21 Rp 93,500.00 Rp 1,963,500.00 0 Rp 93,500.00 Rp - 2 Rp 93,500.00 Rp 187,000.00 19 Rp 93,500.00 Rp 1,776,500.00
109 Masker Pcs 0 Rp 676.65 Rp - 0 Rp 676.65 Rp - 0 Rp 676.65 Rp - 0 Rp 676.65 Rp -
110 Masker PCS 0 Rp 495.00 Rp - 0 Rp 495.00 Rp - 0 Rp 495.00 Rp - 0 Rp 495.00 Rp -
111 SURGICAL MASK EARLOOP Box 103 Rp 18,975.00 Rp 1,954,425.00 82 Rp 18,975.00 Rp 1,555,950.00 141 Rp 18,975.00 Rp 2,675,475.00 44 Rp 18,975.00 Rp 834,900.00
112 Mata Pisau Bedah No. 10 Pcs 0 Rp 9,759.00 Rp - 0 Rp 9,759.00 Rp - 0 Rp 9,759.00 Rp - 0 Rp 9,759.00 Rp -
120 ONEJACK AUTODISABLE SYRINGE 0,05 ML PCS 0 Rp 3,795.00 Rp - 0 Rp 3,795.00 Rp - 0 Rp 3,795.00 Rp - 0 Rp 3,795.00 Rp -
121 Paper Tape 2.5 cm x 9.14 m Roll 0 Rp 131,300.00 Rp - 0 Rp 131,300.00 Rp - 0 Rp 131,300.00 Rp - 0 Rp 131,300.00 Rp -
122 Plester 5 yard x 2 inci Roll 0 Rp 22,308.00 Rp - 0 Rp 22,308.00 Rp - 0 Rp 22,308.00 Rp - 0 Rp 22,308.00 Rp -
123 Plester 5 yard x 4,5 cm Roll 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp -
125 Plester 7,5 mm x 4,5 mm Roll 0 Rp 60,650.00 Rp - 0 Rp 60,650.00 Rp - 0 Rp 60,650.00 Rp - 0 Rp 60,650.00 Rp -
126 Plester 5 mm x 4,5 mm Roll 2 Rp 25,404.00 Rp 50,808.00 0 Rp 25,404.00 Rp - 2 Rp 25,404.00 Rp 50,808.00 0 Rp 25,404.00 Rp -
128 PLESTERIN NON WOVEN ROLL 5CM X 5CM Roll 5 Rp 27,324.00 Rp 136,620.00 40 Rp 27,324.00 Rp 1,092,960.00 23 Rp 27,324.00 Rp 628,452.00 22 Rp 27,324.00 Rp 601,128.00
129 PLESTERIN NON WOVEN ROLL 15CM X 5CM Roll 7 Rp 79,948.00 Rp 559,636.00 5 Rp 79,948.00 Rp 399,740.00 5 Rp 79,948.00 Rp 399,740.00 0 Rp 79,948.00 Rp -
PLESTERIN NON WOVEN ROLL 15CM X 5CM Roll 7 Rp 79,948.00 Rp 559,636.00 Expired
130 Regulator Oksigen Pcs 0 Rp 487,500.00 Rp - 0 Rp 487,500.00 Rp - 0 Rp 487,500.00 Rp - 0 Rp 487,500.00 Rp -
131 GEA MEDICAL REGULATOR 02 XY-988 Pcs 1 Rp 453,200.00 Rp 453,200.00 5 Rp 453,200.00 Rp 2,266,000.00 6 Rp 453,200.00 Rp 2,719,200.00 0 Rp 453,200.00 Rp -
132 Silk (Benang Bedah Sultra) No. 2/0 Pcs 0 Rp 5,780.78 Rp - 0 Rp 5,780.78 Rp - 0 Rp 5,780.78 Rp - 0 Rp 5,780.78 Rp -
133 Silk (Benang Bedah Sultra) No.2/0 Pcs 0 Rp 60,018.00 Rp - 0 Rp 60,018.00 Rp - 0 Rp 60,018.00 Rp - 0 Rp 60,018.00 Rp -
134 Silk (Benang Bedah Sultra) No.2/0 pcs 36 Rp 3,513.89 Rp 126,500.04 0 Rp 3,513.89 Rp - 30 Rp 3,513.89 Rp 105,416.70 6 Rp 3,513.89 Rp 21,083.34
135 Silk (Benang Bedah Sultra) No.2/0 pcs 0 Rp 3,513.89 Rp - 36 Rp 3,513.89 Rp 126,500.00 0 Rp 3,513.89 Rp - 36 Rp 3,513.89 Rp 126,500.00
138 Silk (Benang Bedah Sultra) No.3/0 Pcs 103 Rp 4,661.49 Rp 480,133.47 0 Rp 4,661.49 Rp - 24 Rp 4,661.49 Rp 111,875.76 79 Rp 4,661.49 Rp 368,257.71
139 Silk (Benang Bedah Sultra) No.3/0 pcs 0 Rp 4,661.49 Rp - 72 Rp 4,661.49 Rp 335,627.40 0 Rp 4,661.49 Rp - 72 Rp 4,661.49 Rp 335,627.40
140 Tullegrass (Cuticell Classic) 5 cm x 5 cm Pcs 0 Rp 17,150.00 Rp - 0 Rp 17,150.00 Rp - 0 Rp 17,150.00 Rp - 0 Rp 17,150.00 Rp -
141 URINE BAG STERIL Pcs 0 Rp 3,450.00 Rp - 0 Rp 3,450.00 Rp - 0 Rp 3,450.00 Rp - 0 Rp 3,450.00 Rp -
142 Urine Bag Pcs 25 Rp 6,875.00 Rp 171,875.00 0 Rp 6,875.00 Rp - 14 Rp 6,875.00 Rp 96,250.00 11 Rp 6,875.00 Rp 75,625.00
143 Selang Oksigen pcs 8 Rp 8,250.00 Rp 66,000.00 0 Rp 8,250.00 Rp - 8 Rp 8,250.00 Rp 66,000.00 0 Rp 8,250.00 Rp -
144 Tes Kehamilan pcs 0 Rp 2,400.00 Rp - 0 Rp 2,400.00 Rp - 0 Rp 2,400.00 Rp - 0 Rp 2,400.00 Rp -
145 Folley Catheter No.10 Pcs 10 Rp 13,750.00 Rp 137,500.00 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp -
Folley Catheter No.10 Pcs 10 Rp 13,750.00 Rp 137,500.00 Expired
146 Chirurgic Gloves No.6,5 Set 0 Rp 9,500.00 Rp - 50 Rp 9,500.00 Rp 475,000.00 50 Rp 9,500.00 Rp 475,000.00 0 Rp 9,500.00 Rp -
147 Bethadin 30 ml Botol 0 Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp -
148 Examination Gloves Size S DUS 3 Rp 57,750.00 Rp 173,250.00 0 Rp 57,750.00 Rp - 3 Rp 57,750.00 Rp 173,250.00 0 Rp 57,750.00 Rp -
149 Examination Gloves Size M DUS 5 Rp 57,750.00 Rp 288,750.00 0 Rp 57,750.00 Rp - 5 Rp 57,750.00 Rp 288,750.00 0 Rp 57,750.00 Rp -
150 Examination Gloves Size L DUS 6 Rp 57,750.00 Rp 346,500.00 1 Rp 57,750.00 Rp 57,750.00 7 Rp 57,750.00 Rp 404,250.00 0 Rp 57,750.00 Rp -
151 NIPRO INFUSET " Y " pcs 57 Rp 6,343.00 Rp 361,551.00 90 Rp 6,343.00 Rp 570,870.00 147 Rp 6,343.00 Rp 932,421.00 0 Rp 6,343.00 Rp -
152 NIPRO IV CATHETER 18G X 1-1/4" pcs 20 Rp 8,947.95 Rp 178,959.00 0 Rp 8,947.95 Rp - 20 Rp 8,947.95 Rp 178,959.00 0 Rp 8,947.95 Rp -
153 NIPRO IV CATHETER 20G X 1" pcs 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp -
156 NIPRO SYRINGE 3 CC pcs 0 Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp -
157 NIPRO SYRINGE 5 CC pcs 29 Rp 1,248.23 Rp 36,198.67 15 Rp 1,248.23 Rp 18,723.45 44 Rp 1,248.23 Rp 54,922.12 0 Rp 1,248.23 Rp -
159 NIPRO IV CATHETER 18G X 2 pcs 100 Rp 8,974.95 Rp 897,495.00 100 Rp 8,974.95 Rp 897,495.00 29 Rp 8,974.95 Rp 260,273.55 171 Rp 8,974.95 Rp 1,534,716.45
160 NIPRO IV CATHETER 20G X 1-1/4" pcs 0 Rp 8,974.95 Rp - 0 Rp 8,974.95 Rp - 0 Rp 8,974.95 Rp - 0 Rp 8,974.95 Rp -
161 NIPRO IV CATHETER 24G X 1 pcs 0 Rp 8,974.95 Rp - 0 Rp 8,974.95 Rp - 0 Rp 8,974.95 Rp - 0 Rp 8,974.95 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
162 AXIMED EXAM GLOVES, SIZE S pcs 0 Rp 57,750.00 Rp - 11 Rp 57,750.00 Rp 635,250.00 11 Rp 57,750.00 Rp 635,250.00 0 Rp 57,750.00 Rp -
163 AXIMED EXAM GLOVES, SIZE M pcs 5 Rp 57,750.00 Rp 288,750.00 9 Rp 57,750.00 Rp 519,750.00 14 Rp 57,750.00 Rp 808,500.00 0 Rp 57,750.00 Rp -
164 AXIMED FOLEYCATH 2-WAY NO.14 pcs 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp -
166 AXIMED CHIRURGIC GLOVES, 7.0 pcs 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
168 AXIMED FEEDING TUBE 40CM NO. 6 pcs 0 Rp 9,212.50 Rp - 0 Rp 9,212.50 Rp - 0 Rp 9,212.50 Rp - 0 Rp 9,212.50 Rp -
170 AXIMED FEEDING TUBE 40CM NO.10 pcs 0 Rp 9,212.50 Rp - 0 Rp 9,212.50 Rp - 0 Rp 9,212.50 Rp - 0 Rp 9,212.50 Rp -
171 AXIMED NASAL OXYGEN SIZE M pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
172 AXIMED NASAL OXYGEN SIZE L pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
173 AXIMED NASAL OXYGEN SIZE XS pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
174 ANIOS DERMANIOS CHLORHEXIDIN 500 ML Botol 2 Rp 112,413.60 Rp 224,827.20 3 Rp 112,413.60 Rp 337,240.80 3 Rp 112,413.60 Rp 337,240.80 2 Rp 112,413.60 Rp 224,827.20
175 MASKER N95 Box 1 Rp 149,776.00 Rp 149,776.00 0 Rp 149,776.00 Rp - 1 Rp 149,776.00 Rp 149,776.00 0 Rp 149,776.00 Rp -
176 MASKER N95 Pcs 0 Rp 7,488.80 Rp - 73 Rp 7,488.80 Rp 546,682.40 0 Rp 7,488.80 Rp - 73 Rp 7,488.80 Rp 546,682.40
177 E.W.G SURGICAL GLOVES 7 pcs 0 Rp 5,383.38 Rp - 322 Rp 5,383.38 Rp 1,733,449.00 192 Rp 5,383.38 Rp 1,033,609.34 130 Rp 5,383.38 Rp 699,839.66
178 E.W.G SURGICAL GLOVES 7.5 Pcs 0 Rp 5,383.38 Rp - 310 Rp 5,383.38 Rp 1,668,848.42 107 Rp 5,383.38 Rp 576,021.87 203 Rp 5,383.38 Rp 1,092,826.55
179 E.W.G SURGICAL GLOVES 8 pcs 0 Rp 5,382.88 Rp - 200 Rp 5,382.88 Rp 1,076,576.40 100 Rp 5,382.88 Rp 538,288.20 100 Rp 5,382.88 Rp 538,288.20
180 NASAL OXYGEN CANULA Pcs 0 Rp 8,004.00 Rp - 30 Rp 8,004.00 Rp 240,120.00 17 Rp 8,004.00 Rp 136,068.00 13 Rp 8,004.00 Rp 104,052.00
181 AXIMED FEEDING TUBE 40 CM NO. 6 Pcs 0 Rp 8,107.00 Rp - 20 Rp 8,107.00 Rp 162,140.00 0 Rp 8,107.00 Rp - 20 Rp 8,107.00 Rp 162,140.00
184 JAYAMAS SUPERLIFE NITRILE L Box 0 Rp 65,780.00 Rp - 4 Rp 65,780.00 Rp 263,120.00 4 Rp 65,780.00 Rp 263,120.00 0 Rp 65,780.00 Rp -
185 JAYAMAS SUPERLIFE NITRILE M BOX 0 Rp 65,780.00 Rp - 2 Rp 65,780.00 Rp 131,560.00 2 Rp 65,780.00 Rp 131,560.00 0 Rp 65,780.00 Rp -
186 IV CATHETER 20 G pcs 0 Rp 7,846.25 Rp - 10 Rp 7,846.25 Rp 78,462.50 10 Rp 7,846.25 Rp 78,462.50 0 Rp 7,846.25 Rp -
0 Rp - 0 Rp - 0 Rp - 0 Rp -
REAGEN LABORATORIUM 0 Rp - 0 Rp - 0 Rp - 0 Rp -
1 Cairan Spiritus 1000 ML Bks 0 Rp 68,250.00 Rp - 0 Rp 68,250.00 Rp - 0 Rp 68,250.00 Rp - 0 Rp 68,250.00 Rp -
2 LARUTAN SPIRITUS Botol 3 Rp 52,965.00 Rp 158,895.00 0 Rp 52,965.00 Rp - 1 Rp 52,965.00 Rp 52,965.00 2 Rp 52,965.00 Rp 105,930.00
3 Tes Kehamilan Pcs 133 Rp 2,365.00 Rp 314,545.00 0 Rp 2,365.00 Rp - 133 Rp 2,365.00 Rp 314,545.00 0 Rp 2,365.00 Rp -
0 Rp - 0 Rp - 0 Rp - 0 Rp -
OBAT GIGI 0 Rp - 0 Rp - 0 Rp - 0 Rp -
1 Caviton White GC Botol 0 Rp 219,000.00 Rp - 0 Rp 219,000.00 Rp - 0 Rp 219,000.00 Rp - 0 Rp 219,000.00 Rp -
2 Cotton Roll untuk Gigi Bungkus 0 Rp 93,438.00 Rp - 0 Rp 93,438.00 Rp - 0 Rp 93,438.00 Rp - 0 Rp 93,438.00 Rp -
3 Calcium Hydroxide Botol 0 Rp 477,350.00 Rp - 0 Rp 477,350.00 Rp - 0 Rp 477,350.00 Rp - 0 Rp 477,350.00 Rp -
4 Etil Clorida Semprot Btl 0 Rp 136,750.00 Rp - 0 Rp 136,750.00 Rp - 0 Rp 136,750.00 Rp - 0 Rp 136,750.00 Rp -
6 Fuji 9 Mini Pack # Extra A2 Kotak 0 Rp 556,469.00 Rp - 0 Rp 556,469.00 Rp - 0 Rp 556,469.00 Rp - 0 Rp 556,469.00 Rp -
7 Hemospon Box 0 Rp 118,500.00 Rp - 0 Rp 118,500.00 Rp - 0 Rp 118,500.00 Rp - 0 Rp 118,500.00 Rp -
8 HYDCAL TECHNEW BOX 0 Rp 289,850.00 Rp - 0 Rp 289,850.00 Rp - 0 Rp 289,850.00 Rp - 0 Rp 289,850.00 Rp -
9 Iodoform, (Biodinamica) Botol 0 Rp 341,250.00 Rp - 0 Rp 341,250.00 Rp - 0 Rp 341,250.00 Rp - 0 Rp 341,250.00 Rp -
10 Saliva Ejector Bungkus 0 Rp 87,250.00 Rp - 0 Rp 87,250.00 Rp - 0 Rp 87,250.00 Rp - 0 Rp 87,250.00 Rp -
11 Silk Automatic dgn Jarum untuk Gigi Pcs 0 Rp 19,600.00 Rp - 0 Rp 19,600.00 Rp - 0 Rp 19,600.00 Rp - 0 Rp 19,600.00 Rp -
12 Solare Anterior # A3 GC Unit 0 Rp 487,165.00 Rp - 0 Rp 487,165.00 Rp - 0 Rp 487,165.00 Rp - 0 Rp 487,165.00 Rp -
13 Vitapex Unit 0 Rp 915,833.00 Rp - 0 Rp 915,833.00 Rp - 0 Rp 915,833.00 Rp - 0 Rp 915,833.00 Rp -
0 0 Rp - 0
NILAI OBAT IFK PKM LOEA Rp 67,160,397.66 Rp 66,710,663.94 Rp 87,184,722.149 Rp 46,686,339.46
OBAT BPJS
1 Allopurinol tab 100 mg Tablet 0 Rp 210.00 Rp - 0 Rp - Rp - 0 Rp 210.00 Rp - 0 Rp 210.00 Rp -
2 Allopurinol tab 100 mg Tablet 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp -
3 Allopurinol tab 300 mg Tablet 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
4 Ambroksol sir 15 mg/ml - 60 ml Botol 0 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp -
5 Ambroksol tab 30 mg Tablet 0 Rp 110.00 Rp - 0 Rp 110.00 Rp - 0 Rp 110.00 Rp - 0 Rp 110.00 Rp -
6 Ambroksol tab 30 mg Tablet 800 Rp 250.00 Rp 200,000.00 500 Rp 250.00 Rp 125,000.00 1300 Rp 250.00 Rp 325,000.00 0 Rp 250.00 Rp -
7 Ambroksol tab 30 mg Tablet 0 Rp 220.00 Rp - 500 Rp 220.00 Rp 110,000.00 500 Rp 220.00 Rp 110,000.00 0 Rp 220.00 Rp -
9 Amlodipin tab 5 mg Tablet 0 Rp 250.00 Rp - 700 Rp 250.00 Rp 175,000.00 0 Rp 250.00 Rp - 700 Rp 250.00 Rp 175,000.00
10 Amlodipin tab 5 mg Tablet 0 Rp 333.33 180 Rp 333.33 Rp 60,000.00 0 Rp 333.33 Rp - 180 Rp 333.33 Rp 60,000.00
11 Amlodipin tab 10 mg Tablet 0 Rp 300.00 Rp - 1500 Rp 300.00 Rp 450,000.00 1500 Rp 300.00 Rp 450,000.00 0 Rp 300.00 Rp -
12 Amlodipin tab 10 mg Tablet 0 Rp 280.00 Rp - 500 Rp 280.00 Rp 140,000.00 400 Rp 280.00 Rp 112,000.00 100 Rp 280.00 Rp 28,000.00
13 Amoxicillin syr 125 mg/5 ml Botol 0 Rp 7,000.00 Rp - 20 Rp 7,000.00 Rp 140,000.00 20 Rp 7,000.00 Rp 140,000.00 0 Rp 7,000.00 Rp -
14 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 Tablet 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp -
15 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 Tablet 0 Rp 131.00 Rp - 0 Rp 131.00 Rp - 0 Rp 131.00 Rp - 0 Rp 131.00 Rp -
16 Antasida Doen syrup Botol 0 Rp 6,000.00 Rp - 20 Rp 6,000.00 Rp 120,000.00 15 Rp 6,000.00 Rp 90,000.00 5 Rp 6,000.00 Rp 30,000.00
17 Antasida Doen syrup Botol 0 Rp 7,000.00 Rp - 35 Rp 7,000.00 Rp 245,000.00 23 Rp 7,000.00 Rp 161,000.00 12 Rp 7,000.00 Rp 84,000.00
18 Asam Ascorbat (Vitamin C) tab 50 mg Tablet 100 Rp 200.00 Rp 20,000.00 0 Rp 200.00 Rp - 100 Rp 200.00 Rp 20,000.00 0 Rp 200.00 Rp -
19 Asam Mefenamat tab 500 mg Tablet 0 Rp 400.00 Rp - 500 Rp 400.00 Rp 200,000.00 500 Rp 400.00 Rp 200,000.00 0 Rp 400.00 Rp -
20 Asam Mefenamat (Mefenamid Acid) tab 500 mg Tablet 0 Rp 330.00 Rp - 600 Rp 330.00 Rp 198,000.00 600 Rp 330.00 Rp 198,000.00 0 Rp 330.00 Rp -
21 Asiklovir tab 400 mg Tablet 0 Rp 695.00 Rp - 0 Rp 695.00 Rp - 0 Rp 695.00 Rp - 0 Rp 695.00 Rp -
22 Betametason krim 0,1 % Tube 0 Rp 4,000.00 Rp - 0 Rp 4,000.00 Rp - 0 Rp 4,000.00 Rp - 0 Rp 4,000.00 Rp -
23 Captopril tab 25 mg Tablet 0 Rp 210.00 Rp - 500 Rp 210.00 Rp 105,000.00 500 Rp 210.00 Rp 105,000.00 0 Rp 210.00 Rp -
24 Captopril tab 25 mg Tablet 0 Rp 250.00 Rp - 500 Rp 250.00 Rp 125,000.00 100 Rp 250.00 Rp 25,000.00 400 Rp 250.00 Rp 100,000.00
25 Cefadroksil kaps/tab 500 mg Kapsul 0 Rp 750.00 Rp - 0 Rp 750.00 Rp - 0 Rp 750.00 Rp - 0 Rp 750.00 Rp -
26 Cefadroksil kaps/tab 500 mg Kapsul 400 Rp 880.00 Rp 352,000.00 400 Rp 880.00 Rp 352,000.00 800 Rp 880.00 Rp 704,000.00 0 Rp 880.00 Rp -
27 Cefadroksil kaps/tab 500 mg Kapsul 0 Rp 900.00 Rp - 400 Rp 900.00 Rp 360,000.00 400 Rp 900.00 Rp 360,000.00 0 Rp 900.00 Rp -
28 Cefadroksil kaps/tab 500 mg Kapsul 0 Rp 850.00 Rp - 400 Rp 850.00 Rp 340,000.00 400 Rp 850.00 Rp 340,000.00 0 Rp 850.00 Rp -
29 Cefadroksil syr 125 mg/5 ml Botol 0 Rp 12,000.00 Rp - 2 Rp 12,000.00 Rp 24,000.00 2 Rp 12,000.00 Rp 24,000.00 0 Rp 12,000.00 Rp -
30 Cefadroksil syr 125 mg/5 ml Botol 0 Rp 15,000.00 Rp - 8 Rp 15,000.00 Rp 120,000.00 8 Rp 15,000.00 Rp 120,000.00 0 Rp 15,000.00 Rp -
31 Cetrizine tab 10 mg Tablet 0 Rp 500.00 Rp - 0 Rp 500.00 Rp - 0 Rp 500.00 Rp - 0 Rp 500.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
32 Cetrizine tab 10 mg Tablet 0 Rp 418.00 Rp - 0 Rp 418.00 Rp - 0 Rp 418.00 Rp - 0 Rp 418.00 Rp -
33 Cetrizine tab 10 mg Tablet 200 Rp 380.00 Rp 76,000.00 0 Rp 380.00 Rp - 200 Rp 380.00 Rp 76,000.00 0 Rp 380.00 Rp -
34 Cetrizine tab 10 mg Tablet 1000 Rp 370.00 Rp 370,000.00 500 Rp 370.00 Rp 185,000.00 1100 Rp 370.00 Rp 407,000.00 400 Rp 370.00 Rp 148,000.00
35 Ciprofloksasin tab 500 mg Tablet 0 Rp 550.00 Rp - 500 Rp 550.00 Rp 275,000.00 400 Rp 550.00 Rp 220,000.00 100 Rp 550.00 Rp 55,000.00
36 Deksametason tab 0,5 mg Tablet 0 Rp 125.00 Rp - 0 Rp 125.00 Rp - 0 Rp 125.00 Rp - 0 Rp 125.00 Rp -
37 Deksametason tab 0,5 mg Tablet 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0 Rp 135.00 Rp -
38 Deksametason tab 0,5 mg Tablet 0 Rp 150.00 Rp - 1000 Rp 150.00 Rp 150,000.00 1000 Rp 150.00 Rp 150,000.00 0 Rp 150.00 Rp -
39 Deksametason tab 0,5 mg Tablet 1000 Rp 140.00 Rp 140,000.00 0 Rp 140.00 Rp - 1000 Rp 140.00 Rp 140,000.00 0 Rp 140.00 Rp -
40 Deksametason tab 0,5 mg Tablet 0 Rp 170.00 Rp - 1000 Rp 170.00 Rp 170,000.00 1000 Rp 170.00 Rp 170,000.00 0 Rp 170.00 Rp -
41 Etakridin (Rivanol) lar 0,1% 100 ml Botol 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
42 Etakridin (Rivanol) lar 0,1% 100 ml Botol 6 Rp 3,500.00 Rp 21,000.00 0 Rp 3,500.00 Rp - 6 Rp 3,500.00 Rp 21,000.00 0 Rp 3,500.00 Rp -
43 Etakridin (Rivanol) lar 0,1% 100 ml Botol 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp -
44 Etanol 70 % lar 100 ml Botol 24 Rp 4,000.00 Rp 96,000.00 0 Rp 4,000.00 Rp - 24 Rp 4,000.00 Rp 96,000.00 0 Rp 4,000.00 Rp -
45 Fitomenadion (Vitamin K) injeksi Ampul 0 Rp 10,000.00 Rp - 27 Rp 10,000.00 Rp 270,000.00 15 Rp 10,000.00 Rp 150,000.00 12 Rp 10,000.00 Rp 120,000.00
46 Gentamicin salep kulit 10% Tube 30 Rp 5,000.00 Rp 150,000.00 0 Rp 5,000.00 Rp - 30 Rp 5,000.00 Rp 150,000.00 0 Rp 5,000.00 Rp -
47 Gentamicin salep kulit 10% Tube 4 Rp 4,000.00 Rp 16,000.00 0 Rp 4,000.00 Rp - 4 Rp 4,000.00 Rp 16,000.00 0 Rp 4,000.00 Rp -
48 Gentamicin salep kulit 10% Tube 0 Rp 12,000.00 Rp - 10 Rp 12,000.00 Rp 120,000.00 5 Rp 12,000.00 Rp 60,000.00 5 Rp 12,000.00 Rp 60,000.00
49 Glibenklamid tab 5 mg Tablet 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp -
50 Glibenklamid tab 5 mg Tablet 300 Rp 170.00 Rp 51,000.00 0 Rp 170.00 Rp - 300 Rp 170.00 Rp 51,000.00 0 Rp 170.00 Rp -
51 Glibenklamid tab 5 mg Tablet 0 Rp 220.00 Rp - 300 Rp 220.00 Rp 66,000.00 300 Rp 220.00 Rp 66,000.00 0 Rp 220.00 Rp -
52 Gliseril Guaikolat tab 100 mg Tablet 0 Rp 140.00 Rp - 0 Rp 140.00 Rp - 0 Rp 140.00 Rp - 0 Rp 140.00 Rp -
53 Griseofulvin tab 125 mg Tablet 200 Rp 620.00 Rp 124,000.00 0 Rp 620.00 Rp - 200 Rp 620.00 Rp 124,000.00 0 Rp 620.00 Rp -
54 Ibuprofen tab 400 mg Tablet 0 Rp 330.00 Rp - 0 Rp 330.00 Rp - 0 Rp 330.00 Rp - 0 Rp 330.00 Rp -
55 Ibuprofen tab 400 mg Tablet 0 Rp 420.00 Rp - 500 Rp 420.00 Rp 210,000.00 500 Rp 420.00 Rp 210,000.00 0 Rp 420.00 Rp -
56 Ibuprofen tab 400 mg Tablet 0 Rp 350.00 Rp - 0 Rp 350.00 Rp - 0 Rp 350.00 Rp - 0 Rp 350.00 Rp -
57 Ibuprofen tab 400 mg Tablet 0 Rp 400.00 Rp - 700 Rp 400.00 Rp 280,000.00 700 Rp 400.00 Rp 280,000.00 0 Rp 400.00 Rp -
58 Ibuprofen tab 400 mg Tablet 0 Rp 410.00 Rp - 300 Rp 410.00 Rp 123,000.00 0 Rp 410.00 Rp - 300 Rp 410.00 Rp 123,000.00
59 Kaptopril tab 25 mg Tablet 0 Rp 320.00 Rp - 0 Rp 320.00 Rp - 0 Rp 320.00 Rp - 0 Rp 320.00 Rp -
60 Kaptopril tab 25 mg Tablet 0 Rp 239.00 Rp - 0 Rp 239.00 Rp - 0 Rp 239.00 Rp - 0 Rp 239.00 Rp -
61 Klorfeniramin Maleat (CTM) tab 4 mg Tablet 1000 Rp - Rp - 0 Rp - Rp - 1000 Rp - Rp - 0 Rp - Rp -
62 Klorfeniramin Maleat (CTM) tab 4 mg Botol 0 Rp 110.00 Rp - 1100 Rp 110.00 Rp 121,000.00 900 Rp 110.00 Rp 99,000.00 200 Rp 110.00 Rp 22,000.00
63 Kotrimoxazol tab 480 mg (dewasa) Tablet 200 Rp 300.00 Rp 60,000.00 0 Rp 300.00 Rp - 200 Rp 300.00 Rp 60,000.00 0 Rp 300.00 Rp -
64 Lidokain inj 2% (infiltr/p.v.) Ampul 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp -
65 Metampiron (Antalgin) tab 500 mg Tablet 0 Rp 210.00 Rp - 0 Rp 210.00 Rp - 0 Rp 210.00 Rp - 0 Rp 210.00 Rp -
66 Metformin tab 500 mg Tablet 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - 0 Rp 270.00 Rp -
67 Metilprednisolon tab 4 mg Tablet 0 Rp 350.00 Rp - 0 Rp 350.00 Rp - 0 Rp 350.00 Rp - 0 Rp 350.00 Rp -
68 Metilprednisolon tab 4 mg Tablet 500 Rp 300.00 Rp 150,000.00 0 Rp 300.00 Rp - 500 Rp 300.00 Rp 150,000.00 0 Rp 300.00 Rp -
69 Metilprednisolon tab 4 mg Tablet 2000 Rp 310.00 Rp 620,000.00 0 Rp 310.00 Rp - 2000 Rp 310.00 Rp 620,000.00 0 Rp 310.00 Rp -
70 Metilprednisolon tab 4 mg Tablet 0 Rp 330.00 Rp - 700 Rp 330.00 Rp 231,000.00 700 Rp 330.00 Rp 231,000.00 0 Rp 330.00 Rp -
71 Metilprednisolon tab 4 mg Tablet 0 Rp 320.00 Rp - 500 Rp 320.00 Rp 160,000.00 500 Rp 320.00 Rp 160,000.00 0 Rp 320.00 Rp -
72 Metronidazol tab 500 mg Tablet 0 Rp 350.00 Rp - 1000 Rp 350.00 Rp 350,000.00 800 Rp 350.00 Rp 280,000.00 200 Rp 350.00 Rp 70,000.00
73 Miconazole krim 2% Tube 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
74 Natrium Diklofenak tab 50 mg Tablet 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
75 Oksitetrasiklin HCl salep kulit 3 % - 3,5 g Tube 50 Rp 4,000.00 Rp 200,000.00 0 Rp 4,000.00 Rp - 50 Rp 4,000.00 Rp 200,000.00 0 Rp 4,000.00 Rp -
76 Oksitetrasiklin HCl salep kulit 3 % - 3,5 g Tube 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
79 Oksitetrasiklin HCl salep kulit 3 % - 3,5 g Tube 0 Rp 7,000.00 Rp - 10 Rp 7,000.00 Rp 70,000.00 5 Rp 7,000.00 Rp 35,000.00 5 Rp 7,000.00 Rp 35,000.00
80 Oksitetrasiklin HCl salep mata 1% - 3,5 g Tube 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
81 Oksitosin inj 10 IU/ml - 1 ml Ampul 0 Rp 10,000.00 Rp - 50 Rp 10,000.00 Rp 500,000.00 10 Rp 10,000.00 Rp 100,000.00 40 Rp 10,000.00 Rp 400,000.00
82 Oksitosin inj 10 IU/ml - 1 ml Ampul 0 Rp 12,000.00 Rp - 60 Rp 12,000.00 Rp 720,000.00 0 Rp 12,000.00 Rp - 60 Rp 12,000.00 Rp 720,000.00
83 Omeprazol kaps 20 mg Kapsul 0 Rp 533.33 Rp - Rp 533.33 Rp - 0 Rp 533.33 Rp - 0 Rp 533.33 Rp -
84 Omeprazol kaps 20 mg Kapsul 360 Rp 500.00 Rp 180,000.00 0 Rp 500.00 Rp - 360 Rp 500.00 Rp 180,000.00 0 Rp 500.00 Rp -
85 Omeprazol kaps 20 mg Kapsul 0 Rp 566.67 Rp - 300 Rp 566.67 Rp 170,000.00 300 Rp 566.67 Rp 170,000.00 0 Rp 566.67 Rp -
86 Omeprazol kaps 20 mg Kapsul 0 Rp 550.00 Rp - 0 Rp 550.00 Rp - 0 Rp 550.00 Rp - 0 Rp 550.00 Rp -
87 Omeprazol kaps 20 mg Kapsul 0 Rp 633.33 Rp - 0 Rp 633.33 Rp - 0 Rp 633.33 Rp - 0 Rp 633.33 Rp -
90 Omeprazol kaps 20 mg Kapsul 0 Rp 533.33 240 Rp 533.33 Rp 128,000.00 120 Rp 533.33 Rp 64,000.00 120 Rp 533.33 Rp 64,000.00
91 Paracetamol tab 500 mg Tablet 600 Rp 180.00 Rp 108,000.00 2000 Rp 180.00 Rp 360,000.00 2600 Rp 180.00 Rp 468,000.00 0 Rp 180.00 Rp -
92 Paracetamol tab 500 mg Tablet 3000 Rp 190.00 Rp 570,000.00 0 Rp 190.00 Rp - 3000 Rp 190.00 Rp 570,000.00 0 Rp 190.00 Rp -
93 Paracetamol tab 500 mg Tablet 0 Rp 200.00 Rp - 1000 Rp 200.00 Rp 200,000.00 1000 Rp 200.00 Rp 200,000.00 0 Rp 200.00 Rp -
94 Paracetamol sir 120 mg/5 ml - 60 ml Botol 2 Rp 5,000.00 Rp 10,000.00 57 Rp 5,000.00 Rp 285,000.00 59 Rp 5,000.00 Rp 295,000.00 0 Rp 5,000.00 Rp -
95 Paracetamol sir 120 mg/5 ml - 60 ml Botol 0 Rp 4,400.00 Rp - 0 Rp 4,400.00 Rp - 0 Rp 4,400.00 Rp - 0 Rp 4,400.00 Rp -
96 Paracetamol sir 120 mg/5 ml - 60 ml Botol 10 Rp 6,500.00 Rp 65,000.00 0 Rp 6,500.00 Rp - 10 Rp 6,500.00 Rp 65,000.00 0 Rp 6,500.00 Rp -
97 Paracetamol sir 120 mg/5 ml - 60 ml Botol 60 Rp 7,000.00 Rp 420,000.00 0 Rp 7,000.00 Rp - 60 Rp 7,000.00 Rp 420,000.00 0 Rp 7,000.00 Rp -
98 Paracetamol sir 120 mg/5 ml - 60 ml Botol 0 Rp 6,000.00 Rp - 10 Rp 6,000.00 Rp 60,000.00 0 Rp 6,000.00 Rp - 10 Rp 6,000.00 Rp 60,000.00
99 Piroxicam tab 20 mg Tablet 0 Rp 260.00 Rp - 300 Rp 260.00 Rp 78,000.00 300 Rp 260.00 Rp 78,000.00 0 Rp 260.00 Rp -
100 Piroxicam tab 20 mg Tablet 0 Rp 330.00 Rp - 200 Rp 330.00 Rp 66,000.00 100 Rp 330.00 Rp 33,000.00 100 Rp 330.00 Rp 33,000.00
101 Piroxicam tab 10 mg Tablet 0 Rp 300.00 Rp - 300 Rp 300.00 Rp 90,000.00 200 Rp 300.00 Rp 60,000.00 100 Rp 300.00 Rp 30,000.00
102 Povidon Iodine lar 10% - 1000 ml Botol 0 Rp 85,000.00 Rp - 0 Rp 85,000.00 Rp - 0 Rp 85,000.00 Rp - 0 Rp 85,000.00 Rp -
103 Prednison tab 5 mg Tablet 0 Rp 102.00 Rp - 0 Rp 102.00 Rp - 0 Rp 102.00 Rp - 0 Rp 102.00 Rp -
104 Ranitidin tab 150 mg Tablet 0 Rp 220.00 Rp - 0 Rp 220.00 Rp - 0 Rp 220.00 Rp - 0 Rp 220.00 Rp -
105 Ranitidin tab 150 mg Tablet 1000 Rp 280.00 Rp 280,000.00 1000 Rp 280.00 Rp 280,000.00 1900 Rp 280.00 Rp 532,000.00 100 Rp 280.00 Rp 28,000.00
106 Ranitidin tab 150 mg Tablet 0 Rp 255.00 Rp - 0 Rp 255.00 Rp - 0 Rp 255.00 Rp - 0 Rp 255.00 Rp -
107 Ranitidin tab 150 mg Tablet 200 Rp 300.00 Rp 60,000.00 0 Rp 300.00 Rp - 200 Rp 300.00 Rp 60,000.00 0 Rp 300.00 Rp -
108 Ranitidin tab 150 mg Tablet 0 Rp 310.00 Rp - 400 Rp 310.00 Rp 124,000.00 400 Rp 310.00 Rp 124,000.00 0 Rp 310.00 Rp -
109 Ranitidin tab 150 mg Tablet 0 Rp 350.00 Rp - 1000 Rp 350.00 Rp 350,000.00 0 Rp 350.00 Rp - 1000 Rp 350.00 Rp 350,000.00
110 Ranitidin inj 25 mg/mL Ampul 18 Rp 3,500.00 Rp 63,000.00 0 Rp 3,500.00 Rp - 18 Rp 3,500.00 Rp 63,000.00 0 Rp 3,500.00 Rp -
111 Ranitidin inj 25 mg/mL Ampul 0 Rp 5,000.00 Rp - 10 Rp 5,000.00 Rp 50,000.00 0 Rp 5,000.00 Rp - 10 Rp 5,000.00 Rp 50,000.00
112 Salep 2-4 kombinasi Asam Salisilat 2% + Belerang Endap 4% Pot 14 Rp 5,000.00 Rp 70,000.00 0 Rp 5,000.00 Rp - 14 Rp 5,000.00 Rp 70,000.00 0 Rp 5,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
113 Salep 2-4 kombinasi Asam Salisilat 2% + Belerang Endap 4% pot 0 Rp 10,000.00 Rp - 10 Rp 10,000.00 Rp 100,000.00 10 Rp 10,000.00 Rp 100,000.00 0 Rp 10,000.00 Rp -
114 Sianokobalamin (Vitamin B12) tab 50 mcg Tablet 0 Rp 26.00 Rp - 0 Rp 26.00 Rp - 0 Rp 26.00 Rp - 0 Rp 26.00 Rp -
115 Sianokobalamin (Vitamin B12) inj 500 mcg/mL Ampul 0 Rp 13,000.00 Rp - 0 Rp 13,000.00 Rp - 0 Rp 13,000.00 Rp - 0 Rp 13,000.00 Rp -
116 Simvastatin tab 10 mg Tablet 0 Rp 500.00 Rp - 0 Rp 500.00 Rp - 0 Rp 500.00 Rp - 0 Rp 500.00 Rp -
118 Simvastatin tab 10 mg Tablet 400 Rp 300.00 Rp 120,000.00 0 Rp 300.00 Rp - 400 Rp 300.00 Rp 120,000.00 0 Rp 300.00 Rp -
119 Simvastatin tab 10 mg Tablet 0 Rp 310.00 Rp - 500 Rp 310.00 Rp 155,000.00 0 Rp 310.00 Rp - 500 Rp 310.00 Rp 155,000.00
123 Zinc dispersible 20 mg Tablet 0 Rp 600.00 Rp - 0 Rp 600.00 Rp - 0 Rp 600.00 Rp - 0 Rp 600.00 Rp -
124 Zinc dispersible 20 mg Tablet 200 Rp 620.00 Rp 124,000.00 0 Rp 620.00 Rp - 200 Rp 620.00 Rp 124,000.00 0 Rp 620.00 Rp -
125 Zinc Sulfat 20 mg Tablet 0 Rp 820.00 Rp - 100 Rp 820.00 Rp 82,000.00 100 Rp 820.00 Rp 82,000.00 0 Rp 820.00 Rp -
126 Asam Askorbat (Vit.C) tab 25 mg Tablet 1000 Rp 48.00 Rp 48,000.00 0 Rp 48.00 Rp - 1000 Rp 48.00 Rp 48,000.00 0 Rp 48.00 Rp -
127 Vitamin B kompleks injeksi Vial 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp -
128 Vitamin B kompleks Tablet 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp -
129 Vitamin B kompleks Tablet 0 Rp 160.00 Rp - 500 Rp 160.00 Rp 80,000.00 500 Rp 160.00 Rp 80,000.00 0 Rp 160.00 Rp -
130 Vitamin B Kompleks Tablet 0 Rp 200.00 Rp - 1000 Rp 200.00 Rp 200,000.00 1000 Rp 200.00 Rp 200,000.00 0 Rp 200.00 Rp -
131 Erlamycetin Plus tts mata (Kloramfkol+Dexa) Botol 0 Rp 11,000.00 Rp - 0 Rp 11,000.00 Rp - 0 Rp 11,000.00 Rp - 0 Rp 11,000.00 Rp -
132 Tiacinon (Oksitosin) inj 10 I.U/ml Ampul 0 Rp 7,000.00 Rp - 0 Rp 7,000.00 Rp - 0 Rp 7,000.00 Rp - 0 Rp 7,000.00 Rp -
133 Tiacinon (Oksitosin) inj 10 I.U/ml Ampul 15 Rp 10,000.00 Rp 150,000.00 0 Rp 10,000.00 Rp - 15 Rp 10,000.00 Rp 150,000.00 0 Rp 10,000.00 Rp -
134 Tiacinon (Oksitosin) inj 10 I.U/ml Ampul 0 Rp 15,000.00 Rp - 20 Rp 15,000.00 Rp 300,000.00 15 Rp 15,000.00 Rp 225,000.00 5 Rp 15,000.00 Rp 75,000.00
135 Erlamol (Paracetamol) tab 500 mg Tablet 0 Rp 230.00 Rp - 0 Rp 230.00 Rp - 0 Rp 230.00 Rp - 0 Rp 230.00 Rp -
136 Flucadex Tablet 0 Rp 580.00 Rp - 0 Rp 580.00 Rp - 0 Rp 580.00 Rp - 0 Rp 580.00 Rp -
137 Flutamol Tablet 0 Rp 365.00 Rp - 0 Rp 365.00 Rp - 0 Rp 365.00 Rp - 0 Rp 365.00 Rp -
138 Renabetic (Glibenklamid) tab 5 mg Tablet 0 Rp 170.00 Rp - 0 Rp 170.00 Rp - 0 Rp 170.00 Rp - 0 Rp 170.00 Rp -
139 Flunadin Tablet 0 Rp 400.00 Rp - 0 Rp 400.00 Rp - 0 Rp 400.00 Rp - 0 Rp 400.00 Rp -
140 Flunadin Tablet 300 Rp 440.00 Rp 132,000.00 0 Rp 440.00 Rp - 300 Rp 440.00 Rp 132,000.00 0 Rp 440.00 Rp -
141 Garabiotic (Gentamisin) salf 1 mg Tube 0 Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp -
142 Biovitan syrup Botol 0 Rp 12,000.00 Rp - 0 Rp 12,000.00 Rp - 0 Rp 12,000.00 Rp - 0 Rp 12,000.00 Rp -
143 Biovitan syrup Botol 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp -
144 Vesverum (Domperidon) syr 5 mg/5 ml Botol 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp -
145 Vesverum (Domperidon) syr 5 mg/5 ml Botol 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp -
146 Bronchosal (Salbutamol 4 mg) Tablet 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp -
147 Grafalin (Salbutamol 2 mg) Tablet 400 Rp 200.00 Rp 80,000.00 0 Rp 200.00 Rp - 400 Rp 200.00 Rp 80,000.00 0 Rp 200.00 Rp -
148 Farmalat (Nifedipin 10 mg) Tablet 90 Rp 310.00 Rp 27,900.00 0 Rp 310.00 Rp - 90 Rp 310.00 Rp 27,900.00 0 Rp 310.00 Rp -
149 Etacurvita Botol 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp -
150 Afibramol (Parasetamol) syr 120 mg/5 ml Botol 0 Rp 4,500.00 Rp - 0 Rp 4,500.00 Rp - 0 Rp 4,500.00 Rp - 0 Rp 4,500.00 Rp -
151 Afibramol (Parasetamol) syr 120 mg/5 ml Botol 0 Rp 6,500.00 Rp - 0 Rp 6,500.00 Rp - 0 Rp 6,500.00 Rp - 0 Rp 6,500.00 Rp -
152 Vapril 25 (Captopril) tab 25 mg Tablet 0 Rp 220.00 Rp - 0 Rp 220.00 Rp - 0 Rp 220.00 Rp - 0 Rp 220.00 Rp -
153 Lerzin (Cetrizin 2HCl) tab 2 mg Tablet 0 Rp 520.00 Rp - 0 Rp 520.00 Rp - 0 Rp 520.00 Rp - 0 Rp 520.00 Rp -
154 Fornero Tablet 0 Rp 430.00 Rp - 0 Rp 430.00 Rp - 0 Rp 430.00 Rp - 0 Rp 430.00 Rp -
155 Lifadrox (Cefadroksil) syr 125 mg/5 ml Botol 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp -
156 Seltifort Kids Syrup Botol 0 Rp 6,500.00 Rp - 0 Rp 6,500.00 Rp - 0 Rp 6,500.00 Rp - 0 Rp 6,500.00 Rp -
157 Nitacur Syrup Botol 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
158 Remco cough Syrup Botol 0 Rp 7,150.00 Rp - 0 Rp 7,150.00 Rp - 0 Rp 7,150.00 Rp - 0 Rp 7,150.00 Rp -
159 Remco cough Syrup Botol 0 Rp 7,000.00 Rp - 15 Rp 7,000.00 Rp 105,000.00 15 Rp 7,000.00 Rp 105,000.00 0 Rp 7,000.00 Rp -
160 Lerzyn (Cetrizin HCl) Syrup Botol 4 Rp 7,150.00 Rp 28,600.00 0 Rp 7,150.00 Rp - 0 Rp 7,150.00 Rp - 4 Rp 7,150.00 Rp 28,600.00
161 Curviplex Syrup Botol 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
162 Curviplex Syrup Botol 8 Rp 7,000.00 Rp 56,000.00 0 Rp 7,000.00 Rp - 8 Rp 7,000.00 Rp 56,000.00 0 Rp 7,000.00 Rp -
163 Curviplex Syrup Botol 24 Rp 8,000.00 Rp 192,000.00 37 Rp 8,000.00 Rp 296,000.00 61 Rp 8,000.00 Rp 488,000.00 0 Rp 8,000.00 Rp -
164 Curviplex Syrup Botol 0 Rp 9,000.00 Rp - 30 Rp 9,000.00 Rp 270,000.00 30 Rp 9,000.00 Rp 270,000.00 0 Rp 9,000.00 Rp -
165 Ramabion Tablet 0 Rp 340.00 Rp - 0 Rp 340.00 Rp - 0 Rp 340.00 Rp - 0 Rp 340.00 Rp -
166 Ramabion Tablet 0 Rp 400.00 Rp - 0 Rp 400.00 Rp - 0 Rp 400.00 Rp - 0 Rp 400.00 Rp -
167 Ramabion Tablet 0 Rp 350.00 Rp - 200 Rp 350.00 Rp 70,000.00 0 Rp 350.00 Rp - 200 Rp 350.00 Rp 70,000.00
168 Selvim (Simvastatin) tab 20 mg Tablet 0 Rp 660.00 Rp - 0 Rp 660.00 Rp - 0 Rp 660.00 Rp - 0 Rp 660.00 Rp -
169 Fundifar Tablet 0 Rp 500.00 Rp - 800 Rp 500.00 Rp 400,000.00 800 Rp 500.00 Rp 400,000.00 0 Rp 500.00 Rp -
170 Uni baby's cough Syrup Botol 0 Rp 7,000.00 Rp - 0 Rp 7,000.00 Rp - 0 Rp 7,000.00 Rp - 0 Rp 7,000.00 Rp -
171 Rhemafar (Metilprednisolon) tab 4 mg Tablet 0 Rp 510.00 Rp - 0 Rp 510.00 Rp - 0 Rp 510.00 Rp - 0 Rp 510.00 Rp -
172 Vipcol Syrup Botol 24 Rp 8,000.00 Rp 192,000.00 15 Rp 8,000.00 Rp 120,000.00 30 Rp 8,000.00 Rp 240,000.00 9 Rp 8,000.00 Rp 72,000.00
173 Vipcol Syrup Botol 12 Rp 8,500.00 Rp 102,000.00 0 Rp 8,500.00 Rp - 12 Rp 8,500.00 Rp 102,000.00 0 Rp 8,500.00 Rp -
174 Novadiar Syrup Botol 6 Rp 7,500.00 Rp 45,000.00 0 Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp - 6 Rp 7,500.00 Rp 45,000.00
175 Vicalcin Syrup Botol 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp -
176 Hufadon (Domperidon) Syrup 5 mg/5 ml Botol 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp -
177 Farmoten 25 (Captopril) tab 25 mg Tablet 300 Rp 370.00 Rp 111,000.00 0 Rp 370.00 Rp - 300 Rp 370.00 Rp 111,000.00 0 Rp 370.00 Rp -
178 Nistatin drops Botol 6 Rp 24,500.00 Rp 147,000.00 0 Rp 24,500.00 Rp - 6 Rp 24,500.00 Rp 147,000.00 0 Rp 24,500.00 Rp -
179 Nistatin drops Botol 0 Rp 28,000.00 Rp - 5 Rp 28,000.00 Rp 140,000.00 5 Rp 28,000.00 Rp 140,000.00 0 Rp 28,000.00 Rp -
180 Nisagon krim Tube 20 Rp 5,000.00 Rp 100,000.00 0 Rp 5,000.00 Rp - 20 Rp 5,000.00 Rp 100,000.00 0 Rp 5,000.00 Rp -
181 Armacort krim Tube 10 Rp 6,000.00 Rp 60,000.00 0 Rp 6,000.00 Rp - 10 Rp 6,000.00 Rp 60,000.00 0 Rp 6,000.00 Rp -
182 Ichtiol salep (Salep hitam) Pot 6 Rp 8,000.00 Rp 48,000.00 0 Rp 8,000.00 Rp - 6 Rp 8,000.00 Rp 48,000.00 0 Rp 8,000.00 Rp -
183 Ichtiol salep (Salep hitam) Pot 0 Rp 12,000.00 Rp - 5 Rp 12,000.00 Rp 60,000.00 5 Rp 12,000.00 Rp 60,000.00 0 Rp 12,000.00 Rp -
184 Lecozinc (Zink) tab Tablet 0 Rp 410.00 Rp - 300 Rp 410.00 Rp 123,000.00 300 Rp 410.00 Rp 123,000.00 0 Rp 410.00 Rp -
185 Lecozinc (Zink) tab Tablet 0 Rp 450.00 Rp - 200 Rp 450.00 Rp 90,000.00 200 Rp 450.00 Rp 90,000.00 0 Rp 450.00 Rp -
186 Lecozinc (Zink) tab Tablet 0 Rp 305.00 Rp - 100 Rp 305.00 Rp 30,500.00 0 Rp 305.00 Rp - 100 Rp 305.00 Rp 30,500.00
187 Laxana (Bisacodil) tab 5 mg Tablet 0 Rp 310.00 Rp - 100 Rp 310.00 Rp 31,000.00 100 Rp 310.00 Rp 31,000.00 0 Rp 310.00 Rp -
188 Trianta Syrup Botol 0 Rp 5,500.00 Rp - 20 Rp 5,500.00 Rp 110,000.00 20 Rp 5,500.00 Rp 110,000.00 0 Rp 5,500.00 Rp -
189 Hufamag Plus syrup Botol 0 Rp 6,500.00 Rp - 3 Rp 6,500.00 Rp 19,500.00 3 Rp 6,500.00 Rp 19,500.00 0 Rp 6,500.00 Rp -
190 Arkavit-C Tablet Tablet 0 Rp 850.00 Rp - 100 Rp 850.00 Rp 85,000.00 100 Rp 850.00 Rp 85,000.00 0 Rp 850.00 Rp -
191 Coldy's (Ibuprofen) syrup Botol 0 Rp 5,500.00 Rp - 1 Rp 5,500.00 Rp 5,500.00 1 Rp 5,500.00 Rp 5,500.00 0 Rp 5,500.00 Rp -
192 Biolysin Multivitamin Tablet 0 Rp 550.00 Rp - 800 Rp 550.00 Rp 440,000.00 400 Rp 550.00 Rp 220,000.00 400 Rp 550.00 Rp 220,000.00
193 Norvom (Metoclopramid HCl) syr 10 mg/5 ml Botol 0 Rp 7,000.00 Rp - 10 Rp 7,000.00 Rp 70,000.00 10 Rp 7,000.00 Rp 70,000.00 0 Rp 7,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
194 Coparcetin syrup Botol 0 Rp 9,000.00 Rp - 15 Rp 9,000.00 Rp 135,000.00 0 Rp 9,000.00 Rp - 15 Rp 9,000.00 Rp 135,000.00
195 Flutop-C Botol 0 Rp 9,000.00 Rp - 15 Rp 9,000.00 Rp 135,000.00 15 Rp 9,000.00 Rp 135,000.00 0 Rp 9,000.00 Rp -
196 Flutop-C Botol 0 Rp 8,000.00 Rp - 11 Rp 8,000.00 Rp 88,000.00 0 Rp 8,000.00 Rp - 11 Rp 8,000.00 Rp 88,000.00
197 Pitogin (Oxytocin) inj 10 IU/ml ampul 0 Rp 15,000.00 Rp - 10 Rp 15,000.00 Rp 150,000.00 10 Rp 15,000.00 Rp 150,000.00 0 Rp 15,000.00 Rp -
198 Yusimox (Amoxicillin) syr 125 mg/5 ml Botol 0 Rp 8,000.00 Rp - 30 Rp 8,000.00 Rp 240,000.00 10 Rp 8,000.00 Rp 80,000.00 20 Rp 8,000.00 Rp 160,000.00
199 Ketorolac Injeksi 30 mg/1 ml Ampul 0 Rp 10,000.00 Rp - 5 Rp 10,000.00 Rp 50,000.00 5 Rp 10,000.00 Rp 50,000.00 0 Rp 10,000.00 Rp -
200 Rivanol 300 ml Botol 0 Rp 10,000.00 Rp - 2 Rp 10,000.00 Rp 20,000.00 1 Rp 10,000.00 Rp 10,000.00 1 Rp 10,000.00 Rp 10,000.00
201 Bioplacenton 15 g Tube 0 Rp 30,000.00 Rp - 2 Rp 30,000.00 Rp 60,000.00 2 Rp 30,000.00 Rp 60,000.00 0 Rp 30,000.00 Rp -
202 Induxin (Oxytocin) 10 IU/ml ampul 0 Rp 15,000.00 Rp - 10 Rp 15,000.00 Rp 150,000.00 0 Rp 15,000.00 Rp - 10 Rp 15,000.00 Rp 150,000.00
203 Gratheos (Natrium Diklofenak) tab 50 mg Tablet 0 Rp 350.00 Rp - 100 Rp 350.00 Rp 35,000.00 0 Rp 350.00 Rp - 100 Rp 350.00 Rp 35,000.00
0 0 Rp - 0 Rp - 0 Rp -
BAHAN MEDIS HABIS PAKAI 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
1 Alat Suntik 3 ml pcs 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp -
2 Cholesterol test btl/10 strip Botol 0 Rp 200,000.00 Rp - 0 Rp 200,000.00 Rp - 0 Rp 200,000.00 Rp - 0 Rp 200,000.00 Rp -
3 Glukosa test btl/25 strip Botol 0 Rp 120,000.00 Rp - 4 Rp 120,000.00 Rp 480,000.00 4 Rp 120,000.00 Rp 480,000.00 0 Rp 120,000.00 Rp -
4 Hand Schoen (Examination Gloves Size M) box 0 Rp 78,000.00 Rp - 0 Rp 78,000.00 Rp - 0 Rp 78,000.00 Rp - 0 Rp 78,000.00 Rp -
5 Hand Schoen (Examination Gloves Size M) box 0 Rp 100,000.00 Rp - 7 Rp 100,000.00 Rp 700,000.00 7 Rp 100,000.00 Rp 700,000.00 0 Rp 100,000.00 Rp -
6 Infusion Set Anak set 1 Rp 10,000.00 Rp 10,000.00 0 Rp 10,000.00 Rp - 1 Rp 10,000.00 Rp 10,000.00 0 Rp 10,000.00 Rp -
7 IV Catheter no. 20 pcs 8 Rp 8,000.00 Rp 64,000.00 0 Rp 8,000.00 Rp - 8 Rp 8,000.00 Rp 64,000.00 0 Rp 8,000.00 Rp -
8 IV Catheter no. 20 pcs 0 Rp 10,000.00 Rp - 208 Rp 10,000.00 Rp 2,080,000.00 125 Rp 10,000.00 Rp 1,250,000.00 83 Rp 10,000.00 Rp 830,000.00
9 IV Catheter no. 22 pcs 0 Rp 10,000.00 Rp - 90 Rp 10,000.00 Rp 900,000.00 71 Rp 10,000.00 Rp 710,000.00 19 Rp 10,000.00 Rp 190,000.00
11 IV Catheter no. 24 pcs 0 Rp 10,000.00 Rp - 15 Rp 10,000.00 Rp 150,000.00 15 Rp 10,000.00 Rp 150,000.00 0 Rp 10,000.00 Rp -
12 Uric Acid test btl/25 strip Botol 0 Rp 120,000.00 Rp - 4 Rp 120,000.00 Rp 480,000.00 4 Rp 120,000.00 Rp 480,000.00 0 Rp 120,000.00 Rp -
13 Pengisian Tabung O2 Botol 0 Rp 100,000.00 Rp - 28 Rp 100,000.00 Rp 2,800,000.00 28 Rp 100,000.00 Rp 2,800,000.00 0 Rp 100,000.00 Rp -
14 Pengisian Tabung O2 Botol 0 Rp 150,000.00 Rp - 0 Rp 150,000.00 Rp - 0 Rp 150,000.00 Rp - 0 Rp 150,000.00 Rp -
15 Pengisian Tabung O2 Botol 0 Rp 200,000.00 Rp - 2 Rp 200,000.00 Rp 400,000.00 2 Rp 200,000.00 Rp 400,000.00 0 Rp 200,000.00 Rp -
16 Pengisian Tabung O2 Besar Botol 0 Rp 220,000.00 Rp - 0 Rp 220,000.00 Rp - 0 Rp 220,000.00 Rp - 0 Rp 220,000.00 Rp -
17 Pengisian Tabung O2 Kecil Botol 0 Rp 100,000.00 Rp - 0 Rp 100,000.00 Rp - 0 Rp 100,000.00 Rp - 0 Rp 100,000.00 Rp -
18 Sak obat pack 0 Rp 10,000.00 Rp - 6 Rp 10,000.00 Rp 60,000.00 6 Rp 10,000.00 Rp 60,000.00 0 Rp 10,000.00 Rp -
19 One Scrub Botol 0 Rp 190,000.00 Rp - 6 Rp 190,000.00 Rp 1,140,000.00 6 Rp 190,000.00 Rp 1,140,000.00 0 Rp 190,000.00 Rp -
20 Handsanitizer Liquit isi 5 liter Jergen 0 Rp 1,500,000.00 Rp - 1 Rp 1,500,000.00 Rp 1,500,000.00 1 Rp 1,500,000.00 Rp 1,500,000.00 0 Rp 1,500,000.00 Rp -
21 Handsanitizer Johnsone Botol 0 Rp 900,000.00 Rp - 2 Rp 900,000.00 Rp 1,800,000.00 2 Rp 900,000.00 Rp 1,800,000.00 0 Rp 900,000.00 Rp -
22 Alat suntik 1 cc pcs 0 Rp 1,000.00 Rp - 200 Rp 1,000.00 Rp 200,000.00 100 Rp 1,000.00 Rp 100,000.00 100 Rp 1,000.00 Rp 100,000.00
23 Alkohol 1 Liter Botol 0 Rp 150,000.00 Rp - 2 Rp 150,000.00 Rp 300,000.00 2 Rp 150,000.00 Rp 300,000.00 0 Rp 150,000.00 Rp -
24 Alkohol 1 Liter Botol 0 Rp 100,000.00 Rp - 8 Rp 100,000.00 Rp 800,000.00 0 Rp 100,000.00 Rp - 8 Rp 100,000.00 Rp 800,000.00
25 Infuset Dewasa pcs 0 Rp 10,000.00 Rp - 350 Rp 10,000.00 Rp 3,500,000.00 62 Rp 10,000.00 Rp 620,000.00 288 Rp 10,000.00 Rp 2,880,000.00
26 Bisturi no. 15 pcs 0 Rp 4,000.00 Rp - 200 Rp 4,000.00 Rp 800,000.00 0 Rp 4,000.00 Rp - 200 Rp 4,000.00 Rp 800,000.00
27 Bisturi no. 23 pcs 0 Rp 4,000.00 Rp - 201 Rp 4,000.00 Rp 804,000.00 0 Rp 4,000.00 Rp - 201 Rp 4,000.00 Rp 804,000.00
28 Etakridin (Rivanol) lar 0,1% 100 ml Botol 0 Rp 6,000.00 Rp - 26 Rp 6,000.00 Rp 156,000.00 26 Rp 6,000.00 Rp 156,000.00 0 Rp 6,000.00 Rp -
29 Oksitosin inj 10 IU/ml - 1 ml Ampul 0 Rp 10,000.00 Rp - 65 Rp 10,000.00 Rp 650,000.00 65 Rp 10,000.00 Rp 650,000.00 0 Rp 10,000.00 Rp -
30 Fitomenadion (Vitamin K) injeksi Ampul 0 Rp 10,000.00 Rp - 30 Rp 10,000.00 Rp 300,000.00 30 Rp 10,000.00 Rp 300,000.00 0 Rp 10,000.00 Rp -
OBAT KHUSUS 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
1 Pehacain inj (Lidokain HCl 2% + Epinefrin 1:80.000) ampul 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
2 Pehacain inj (Lidokain HCl 2% + Epinefrin 1:80.000) ampul 0 Rp 4,800.00 Rp - 0 Rp 4,800.00 Rp - 0 Rp 4,800.00 Rp - 0 Rp 4,800.00 Rp -
3 Pehacain inj (Lidokain HCl 2% + Epinefrin 1:80.000) ampul 40 Rp 8,000.00 Rp 320,000.00 0 Rp 8,000.00 Rp - 40 Rp 8,000.00 Rp 320,000.00 0 Rp 8,000.00 Rp -
4 Caviplex kaplet kaplet 100 Rp 650.00 Rp 65,000.00 0 Rp 650.00 Rp - 100 Rp 650.00 Rp 65,000.00 0 Rp 650.00 Rp -
5 Caviplex kaplet kaplet 800 Rp 570.00 Rp 456,000.00 0 Rp 570.00 Rp - 800 Rp 570.00 Rp 456,000.00 0 Rp 570.00 Rp -
6 Caviplex kaplet kaplet 0 Rp 920.00 Rp - 200 Rp 920.00 Rp 184,000.00 200 Rp 920.00 Rp 184,000.00 0 Rp 920.00 Rp -
7 Etagemycetin (Kloramfenikol) syrup botol 4 Rp 6,500.00 Rp 26,000.00 0 Rp 6,500.00 Rp - 4 Rp 6,500.00 Rp 26,000.00 0 Rp 6,500.00 Rp -
8 Novadium (Loperamid) tab 2 mg Tablet 0 Rp 170.00 Rp - 0 Rp 170.00 Rp - 0 Rp 170.00 Rp - 0 Rp 170.00 Rp -
9 Novadium (Loperamid) tab 2 mg Tablet 0 Rp 250.00 Rp - 600 Rp 250.00 Rp 150,000.00 200 Rp 250.00 Rp 50,000.00 400 Rp 250.00 Rp 100,000.00
10 Metolon (Metoklorperamid) tab 10 mg Tablet 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
11 Arkavit Tablet 0 Rp 310.00 Rp - 0 Rp 310.00 Rp - 0 Rp 310.00 Rp - 0 Rp 310.00 Rp -
12 Arkavit Tablet 0 Rp 390.00 Rp - 0 Rp 390.00 Rp - 0 Rp 390.00 Rp - 0 Rp 390.00 Rp -
13 Arkavit Tablet 0 Rp 400.00 Rp - 500 Rp 400.00 Rp 200,000.00 500 Rp 400.00 Rp 200,000.00 0 Rp 400.00 Rp -
14 Arkavit Tablet 0 Rp 360.00 Rp - 600 Rp 360.00 Rp 216,000.00 0 Rp 360.00 Rp - 600 Rp 360.00 Rp 216,000.00
15 Glikos (Metformin) tab 500 mg Tablet 100 Rp 270.00 Rp 27,000.00 0 Rp 270.00 Rp - 100 Rp 270.00 Rp 27,000.00 0 Rp 270.00 Rp -
16 Vesverum (Domperidon Maleat) tab 10 mg Tablet 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
17 Zidalev (Levofloxacin) tab 500 mg Tablet 0 Rp 1,300.00 Rp - 0 Rp 1,300.00 Rp - 0 Rp 1,300.00 Rp - 0 Rp 1,300.00 Rp -
18 Hufagripp Forte Tablet 1000 Rp 380.00 Rp 380,000.00 0 Rp 380.00 Rp - 1000 Rp 380.00 Rp 380,000.00 0 Rp 380.00 Rp -
19 Hufagripp Forte Tablet 0 Rp 450.00 Rp - 600 Rp 450.00 Rp 270,000.00 600 Rp 450.00 Rp 270,000.00 0 Rp 450.00 Rp -
20 Farsifen (Ibuprofen) tab 400 mg Tablet 0 Rp 400.00 Rp - 0 Rp 400.00 Rp - 0 Rp 400.00 Rp - 0 Rp 400.00 Rp -
21 Farsifen (Ibuprofen) tab 400 mg Tablet 0 Rp 420.00 Rp - 0 Rp 420.00 Rp - 0 Rp 420.00 Rp - 0 Rp 420.00 Rp -
22 Farsifen (Ibuprofen) syr 100 mg Botol 0 Rp 5,500.00 Rp - 20 Rp 5,500.00 Rp 110,000.00 20 Rp 5,500.00 Rp 110,000.00 0 Rp 5,500.00 Rp -
23 Farsiretic (Furosemid) tab 40 mg Tablet 0 Rp 250.00 Rp - 0 Rp 250.00 Rp - 0 Rp 250.00 Rp - 0 Rp 250.00 Rp -
24 Beneuron Tablet 0 Rp 350.00 Rp - 0 Rp 350.00 Rp - 0 Rp 350.00 Rp - 0 Rp 350.00 Rp -
25 Beneuron Tablet 0 Rp 550.00 Rp - 0 Rp 550.00 Rp - 0 Rp 550.00 Rp - 0 Rp 550.00 Rp -
26 Uni Baby's Cough syrup Botol 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
27 Roverton (Ambroxol HCl) syr 15 mg/5 ml Botol 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
30 Roverton (Ambroxol HCl) syr 15 mg/5 ml Botol 12 Rp 8,000.00 Rp 96,000.00 16 Rp 8,000.00 Rp 128,000.00 28 Rp 8,000.00 Rp 224,000.00 0 Rp 8,000.00 Rp -
31 Roverton (Ambroxol HCl) syr 15 mg/5 ml Botol 0 Rp 5,500.00 Rp - 13 Rp 5,500.00 Rp 71,500.00 13 Rp 5,500.00 Rp 71,500.00 0 Rp 5,500.00 Rp -
32 Histigo (Betahistin maleat) Tablet 300 Rp 660.00 Rp 198,000.00 100 Rp 660.00 Rp 66,000.00 400 Rp 660.00 Rp 264,000.00 0 Rp 660.00 Rp -
33 Histigo (Betahistin maleat) Tablet 0 Rp 740.00 Rp - 0 Rp 740.00 Rp - 0 Rp 740.00 Rp - 0 Rp 740.00 Rp -
34 Histigo (Betahistin maleat) Tablet 0 Rp 726.00 Rp - 0 Rp 726.00 Rp - 0 Rp 726.00 Rp - 0 Rp 726.00 Rp -
35 Histigo (Betahistin maleat) Tablet 100 Rp 700.00 Rp 70,000.00 800 Rp 700.00 Rp 560,000.00 500 Rp 700.00 Rp 350,000.00 400 Rp 700.00 Rp 280,000.00
36 Histigo (Betahistin maleat) Tablet 0 Rp 720.00 Rp - 150 Rp 720.00 Rp 108,000.00 150 Rp 720.00 Rp 108,000.00 0 Rp 720.00 Rp -
37 Omenizol (Metronidazol ) tab 500 mg Tablet 200 Rp 380.00 Rp 76,000.00 0 Rp 380.00 Rp - 200 Rp 380.00 Rp 76,000.00 0 Rp 380.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
38 Grantusif Tablet Tablet 0 Rp 450.00 Rp - 0 Rp 450.00 Rp - 0 Rp 450.00 Rp - 0 Rp 450.00 Rp -
39 Calcifar Plus Tablet 0 Rp 210.00 Rp - 0 Rp 210.00 Rp - 0 Rp 210.00 Rp - 0 Rp 210.00 Rp -
40 Calcifar Plus Tablet 500 Rp 260.00 Rp 130,000.00 0 Rp 260.00 Rp - 0 Rp 260.00 Rp - 500 Rp 260.00 Rp 130,000.00
41 Broadamox (Amoxicillin Trihydrate) tab 500 mg Tablet 200 Rp 60.00 Rp 12,000.00 0 Rp 60.00 Rp - 200 Rp 60.00 Rp 12,000.00 0 Rp 60.00 Rp -
42 Bromifar (Bromhexine HCl) kaplet 8 mg kaplet 200 Rp 190.00 Rp 38,000.00 0 Rp 190.00 Rp - 0 Rp 190.00 Rp - 200 Rp 190.00 Rp 38,000.00
43 Etafungal (Ketoconazole) tab 200 mg Tablet 0 Rp 720.00 Rp - 0 Rp 720.00 Rp - 0 Rp 720.00 Rp - 0 Rp 720.00 Rp -
44 Ifarsyl Plus syrup Botol 0 Rp 6,500.00 Rp - 0 Rp 6,500.00 Rp - 0 Rp 6,500.00 Rp - 0 Rp 6,500.00 Rp -
45 Lostacef (Cefadroxil) syr 125 mg Botol 20 Rp 11,000.00 Rp 220,000.00 0 Rp 11,000.00 Rp - 20 Rp 11,000.00 Rp 220,000.00 0 Rp 11,000.00 Rp -
46 Lostacef (Cefadroxil) syr 125 mg Botol 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp -
48 Lostacef (Cefadroxil) syr 125 mg Botol 0 Rp 12,000.00 Rp - 10 Rp 12,000.00 Rp 120,000.00 10 Rp 12,000.00 Rp 120,000.00 0 Rp 12,000.00 Rp -
NILAI OBAT BPJS PKM LOEA Rp 8,753,499.90 Rp 37,000,000.00 Rp 34,466,399.900 Rp 11,287,100.00
OBAT PROGRAM
1 IUD Unit 7 Rp 12,500.00 Rp 87,500.00 0 Rp 12,500.00 Rp - 1 Rp 12,500.00 Rp 12,500.00 6 Rp 12,500.00 Rp 75,000.00
2 KONDOM Lusin 0 Rp 9,880.00 Rp - 0 Rp 9,880.00 Rp - 0 Rp 9,880.00 Rp - 0 Rp 9,880.00 Rp -
3 IMPLANT Set 10 Rp 198,450.00 Rp 1,984,500.00 60 Rp 198,450.00 Rp 11,907,000.00 40 Rp 198,450.00 Rp 7,938,000.00 30 Rp 198,450.00 Rp 5,953,500.00
4 SUNTIKAN VIAL 540 Rp 6,100.00 Rp 3,294,000.00 900 Rp 6,100.00 Rp 5,490,000.00 1100 Rp 6,100.00 Rp 6,710,000.00 340 Rp 6,100.00 Rp 2,074,000.00
5 PIL Strip 1000 Rp 1,518.00 Rp 1,518,000.00 900 Rp 1,518.00 Rp 1,366,200.00 1500 Rp 1,518.00 Rp 2,277,000.00 400 Rp 1,518.00 Rp 607,200.00
6 Rapide HIV/AIDS Kit 26 Rp - Rp - 0 Rp - Rp - 26 Rp - Rp - 0 Rp - Rp -
7 Rapide HIV/AIDS pcs 0 Rp 11,975.00 Rp - 100 Rp 11,975.00 Rp 1,197,500.00 75 Rp 11,975.00 Rp 898,125.00 25 Rp 11,975.00 Rp 299,375.00
8 Rapide HbSAg Kit 40 Rp - Rp - 0 Rp - Rp - 40 Rp - Rp - 0 Rp - Rp -
9 Rapide HbSAg Kit 0 Rp 8,183.00 Rp - 100 Rp 8,183.00 Rp 818,300.00 63 Rp 8,183.00 Rp 515,529.00 37 Rp 8,183.00 Rp 302,771.00
10 Rapide Shypilis Kit 20 Rp - Rp - 0 Rp - Rp - 20 Rp - Rp - 0 Rp - Rp -
11 OAT TB KAT. 1 Paket 2 Rp 396,000.00 Rp 792,000.00 0 Rp 396,000.00 Rp - 2 Rp 396,000.00 Rp 792,000.00 0 Rp 396,000.00 Rp -
12 OAT TB KAT. 1 Paket 0 Rp 467,215.00 Rp - 7 Rp 467,215.00 Rp 3,270,505.00 7 Rp 467,215.00 Rp 3,270,505.00 0 Rp 467,215.00 Rp -
13 OAT TB KAT. 2 Paket 0 Rp 1,297,889.00 Rp - 0 Rp 1,297,889.00 Rp - 0 Rp 1,297,889.00 Rp - 0 Rp 1,297,889.00 Rp -
14 TABLET FE Box 136 Rp - Rp - 0 Rp - Rp - 136 Rp - Rp - 0 Rp - Rp -
15 VITAMIN A MERAH Botol 13 Rp 505.00 Rp 6,565.00 0 Rp 505.00 Rp - 13 Rp 505.00 Rp 6,565.00 0 Rp 505.00 Rp -
16 VITAMIN A MERAH kapsul 0 Rp 622.00 Rp - 1000 Rp 622.00 Rp 622,000.00 1000 Rp 622.00 Rp 622,000.00 0 Rp 622.00 Rp -
17 VITAMIN A BIRU Botol 76 Rp 286.00 Rp 21,736.00 0 Rp 286.00 Rp - 76 Rp 286.00 Rp 21,736.00 0 Rp 286.00 Rp -
18 VITAMIN A BIRU kapsul 0 Rp 346.00 Rp - 350 Rp 346.00 Rp 121,100.00 350 Rp 346.00 Rp 121,100.00 0 Rp 346.00 Rp -
19 VAKSIN ANTI RABIES (VAR) Vial 0 Rp 218,125.00 Rp - 40 Rp 218,125.00 Rp 8,725,000.00 40 Rp 218,125.00 Rp 8,725,000.00 0 Rp 218,125.00 Rp -
20 BCG Ampul 19 Rp 59,959.00 Rp 1,139,221.00 40 Rp 59,959.00 Rp 2,398,360.00 51 Rp 59,959.00 Rp 3,057,909.00 8 Rp 59,959.00 Rp 479,672.00
21 Pelarut/Saline Ampul 19 Rp - Rp - 40 Rp - Rp - 51 Rp - Rp - 8 Rp - Rp -
22 POLIO Vial 8 Rp 19,954.00 Rp 159,632.00 80 Rp 19,954.00 Rp 1,596,320.00 87 Rp 19,954.00 Rp 1,735,998.00 1 Rp 19,954.00 Rp 19,954.00
23 Pipet/Droper Buah 8 Rp - Rp - 80 Rp - Rp - 87 Rp - Rp - 1 Rp - Rp -
24 CAMPAK RUTIN Vial 0 Rp 28,204.00 Rp - 0 Rp 28,204.00 Rp - 0 Rp 28,204.00 Rp - 0 Rp 28,204.00 Rp -
25 Pelarut Campak Ampul 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
26 DPT-HB-HIB Vial 22 Rp 76,285.00 Rp 1,678,270.00 110 Rp 76,285.00 Rp 8,391,350.00 119 Rp 76,285.00 Rp 9,077,915.00 13 Rp 76,285.00 Rp 991,705.00
27 Hb0 UNIJECK Buah 14 Rp 76,285.00 Rp 1,067,990.00 65 Rp 76,285.00 Rp 4,958,525.00 79 Rp 76,285.00 Rp 6,026,515.00 0 Rp 76,285.00 Rp -
28 TT Vial 0 Rp 14,498.00 Rp - 0 Rp 14,498.00 Rp - 0 Rp 14,498.00 Rp - 0 Rp 14,498.00 Rp -
29 DT Vial 9 Rp 17,798.00 Rp 160,182.00 47 Rp 17,798.00 Rp 836,506.00 36 Rp 17,798.00 Rp 640,728.00 20 Rp 17,798.00 Rp 355,960.00
30 TD Vial 9 Rp 16,500.00 Rp 148,500.00 126 Rp 16,500.00 Rp 2,079,000.00 105 Rp 16,500.00 Rp 1,732,500.00 30 Rp 16,500.00 Rp 495,000.00
31 Vaksin campak MR Ampul 38 Rp - Rp - 67 Rp - Rp - 70 Rp - Rp - 35 Rp - Rp -
32 Pelarut campak MR Ampul 38 Rp - Rp - 67 Rp - Rp - 70 Rp - Rp - 35 Rp - Rp -
33 IPV (INJEKSI) Vial 6 Rp 152,900.00 Rp 917,400.00 0 Rp 152,900.00 Rp - 6 Rp 152,900.00 Rp 917,400.00 0 Rp 152,900.00 Rp -
34 DEC Butir 1068 Rp 190.00 Rp 202,920.00 15300 Rp 190.00 Rp 2,907,000.00 15209 Rp 190.00 Rp 2,889,710.00 1159 Rp 190.00 Rp 220,210.00
35 ALBENDAZOLE Buah 942 Rp 1,041.98 Rp 981,540.45 6000 Rp 1,041.98 Rp 6,251,850.00 5817 Rp 1,041.98 Rp 6,061,168.58 1125 Rp 1,041.98 Rp 1,172,221.88
36 RDT MALARIA Test 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
37 RDT MALARIA Test 11 Rp 6,476.00 Rp 71,236.00 0 Rp 6,476.00 Rp - 11 Rp 6,476.00 Rp 71,236.00 0 Rp 6,476.00 Rp -
38 RDT MALARIA Test 0 Rp 7,710.00 Rp - 25 Rp 7,710.00 Rp 192,750.00 11 Rp 7,710.00 Rp 84,810.00 14 Rp 7,710.00 Rp 107,940.00
39 DHP Tablet 24 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 24 Rp - Rp -
40 DHP Tablet 27 Rp 275.00 Rp 7,425.00 0 Rp 275.00 Rp - 0 Rp 275.00 Rp - 27 Rp 275.00 Rp 7,425.00
41 PRIMAQUINE Tablet 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
42 PRIMAQUINE Tablet 36 Rp 269.00 Rp 9,684.00 0 Rp 269.00 Rp - 0 Rp 269.00 Rp - 36 Rp 269.00 Rp 9,684.00
43 Amitriptilin 25 MG Tablet 5 Rp 167.00 Rp 835.00 0 Rp 167.00 Rp - 5 Rp 167.00 Rp 835.00 0 Rp 167.00 Rp -
44 Chlorpromazine Injeksi Ampul 30 Rp 1,495.00 Rp 44,850.00 0 Rp 1,495.00 Rp - 30 Rp 1,495.00 Rp 44,850.00 0 Rp 1,495.00 Rp -
45 Diazepam Injeksi Ampul 10 Rp 1,735.00 Rp 17,350.00 0 Rp 1,735.00 Rp - 10 Rp 1,735.00 Rp 17,350.00 0 Rp 1,735.00 Rp -
46 Diazepam Tablet Tablet 30 Rp 109.00 Rp 3,270.00 0 Rp 109.00 Rp - 30 Rp 109.00 Rp 3,270.00 0 Rp 109.00 Rp -
47 Haloperidol 5 MG Tablet 20 Rp 56.00 Rp 1,120.00 0 Rp 56.00 Rp - 20 Rp 56.00 Rp 1,120.00 0 Rp 56.00 Rp -
48 Haloperidol 0,5 MG Tablet 20 Rp 55.00 Rp 1,100.00 0 Rp 55.00 Rp - 20 Rp 55.00 Rp 1,100.00 0 Rp 55.00 Rp -
49 Haloperidol 1,5 MG Tablet 20 Rp 59.00 Rp 1,180.00 0 Rp 59.00 Rp - 20 Rp 59.00 Rp 1,180.00 0 Rp 59.00 Rp -
50 Garam Oralit Sachet 0 Rp 276.00 Rp - 0 Rp 276.00 Rp - 0 Rp 276.00 Rp - 0 Rp 276.00 Rp -
51 Garam Oralit Sachet 1800 Rp 275.00 Rp 495,000.00 0 Rp 275.00 Rp - 1800 Rp 275.00 Rp 495,000.00 0 Rp 275.00 Rp -
NILAI OBAT PROGRAM PUSKESMAS LOEA Rp 14,813,006.45 Rp 63,129,266.00 Rp 64,770,654.575 Rp 13,171,617.88
JUMLAH NILAI OBAT PUSKESMAS LOEA Rp 90,726,904.01 Rp 166,839,929.94 Rp 186,421,776.624 Rp 71,145,057.33
PUSKESMAS LADONGI JAYA

OBAT IFK
1 Air Untuk Injeksi 20 ml vial 5 Rp 2,200.00 Rp 11,000.00 0 Rp 2,200.00 Rp - 5 Rp 2,200.00 Rp 11,000.00 0 Rp 2,200.00 Rp -
2 Air Untuk Injeksi 25 ml vial 5 Rp 2,860.00 Rp 14,300.00 5 Rp 2,860.00 Rp 14,300.00 3 Rp 2,860.00 Rp 8,580.00 7 Rp 2,860.00 Rp 20,020.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
3 Albendazole tab 400 mg tablet 400 Rp 363.00 Rp 145,200.00 0 Rp 363.00 Rp - 0 Rp 363.00 Rp - 400 Rp 363.00 Rp 145,200.00
4 Albendazol tab 400 mg tablet 0 Rp 484.00 Rp - 0 Rp 484.00 Rp - 0 Rp 484.00 Rp - 0 Rp 484.00 Rp -
5 Albendazole susp 200 mg/5 ml botol 0 Rp 4,619.00 Rp - 0 Rp 4,619.00 Rp - 0 Rp 4,619.00 Rp - 0 Rp 4,619.00 Rp -
6 Allopurinol tab 100 mg tablet 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp -
7 Allopurinol tab 100 mg tablet 1600 Rp 102.00 Rp 163,200.00 0 Rp 102.00 Rp - 1600 Rp 102.00 Rp 163,200.00 0 Rp 102.00 Rp -
8 Allopurinol tab 100 mg tablet 0 Rp 108.00 Rp - 1800 Rp 108.00 Rp 194,400.00 1800 Rp 108.00 Rp 194,400.00 0 Rp 108.00 Rp -
9 Ambroksol sir 15 mg/ml - 60 ml botol 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp -
10 Ambroksol tab 30 mg tablet 0 Rp 380.00 Rp - 0 Rp 380.00 Rp - 0 Rp 380.00 Rp - 0 Rp 380.00 Rp -
11 Amlodipin tab 5 mg tablet 0 Rp 93.00 Rp - 0 Rp 93.00 Rp - 0 Rp 93.00 Rp - 0 Rp 93.00 Rp -
12 Amlodipin tab 5 mg tablet 0 Rp 78.00 Rp - 900 Rp 78.00 Rp 70,200.00 900 Rp 78.00 Rp 70,200.00 0 Rp 78.00 Rp -
14 Amlodipin tab 10 mg tablet 0 Rp 99.00 Rp - 300 Rp 99.00 Rp 29,700.00 300 Rp 99.00 Rp 29,700.00 0 Rp 99.00 Rp -
15 Amoxicillin sir forte 250 mg/5 ml botol 0 Rp 3,740.00 Rp - 180 Rp 3,740.00 Rp 673,200.00 180 Rp 3,740.00 Rp 673,200.00 0 Rp 3,740.00 Rp -
16 Amoxicillin sir forte 250 mg/5 ml botol 363 Rp 3,740.00 Rp 1,357,620.00 120 Rp 3,740.00 Rp 448,800.00 483 Rp 3,740.00 Rp 1,806,420.00 0 Rp 3,740.00 Rp -
17 Amoxicillin sir forte 250 mg/5 ml botol 0 Rp 3,797.00 Rp - 0 Rp 3,797.00 Rp - 0 Rp 3,797.00 Rp - 0 Rp 3,797.00 Rp -
18 Amoxicillin SK 125 mg/5 ml botol 0 Rp 2,560.00 Rp - 0 Rp 2,560.00 Rp - 0 Rp 2,560.00 Rp - 0 Rp 2,560.00 Rp -
19 Amoxicillin tab 250 mg tablet 7900 Rp 198.00 Rp 1,564,200.00 0 Rp 198.00 Rp - 7900 Rp 198.00 Rp 1,564,200.00 0 Rp 198.00 Rp -
20 Amoxicillin tab 500 mg tablet 2100 Rp 192.00 Rp 403,200.00 0 Rp 192.00 Rp - 2100 Rp 192.00 Rp 403,200.00 0 Rp 192.00 Rp -
21 Amoxicillin tab 500 mg tablet 0 Rp 248.00 Rp - 800 Rp 248.00 Rp 198,400.00 800 Rp 248.00 Rp 198,400.00 0 Rp 248.00 Rp -
23 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 tablet 0 Rp 2,146.00 Rp - 0 Rp 2,146.00 Rp - 0 Rp 2,146.00 Rp - 0 Rp 2,146.00 Rp -
24 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 tablet 1700 Rp 57.00 Rp 96,900.00 1000 Rp 57.00 Rp 57,000.00 2700 Rp 57.00 Rp 153,900.00 0 Rp 57.00 Rp -
25 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 tablet 0 Rp 57.00 Rp - 2000 Rp 57.00 Rp 114,000.00 1200 Rp 57.00 Rp 68,400.00 800 Rp 57.00 Rp 45,600.00
26 Antasida DOEN susp 60 ml botol 0 Rp 2,290.00 Rp - 1 Rp 2,290.00 Rp 2,290.00 1 Rp 2,290.00 Rp 2,290.00 0 Rp 2,290.00 Rp -
27 Antasida DOEN susp 60 ml botol 9 Rp 2,146.00 Rp 19,314.00 0 Rp 2,146.00 Rp - 9 Rp 2,146.00 Rp 19,314.00 0 Rp 2,146.00 Rp -
28 Anti Bakteri DOEN salep kombinasi 5 g/ Bacitracin Tube 100 Rp 3,511.00 Rp 351,100.00 75 Rp 3,511.00 Rp 263,325.00 25 Rp 3,511.00 Rp 87,775.00 150 Rp 3,511.00 Rp 526,650.00
29 Asam Ascorbat (Vitamin C) tab 50 mg tablet 200 Rp 125.00 Rp 25,000.00 0 Rp 125.00 Rp - 200 Rp 125.00 Rp 25,000.00 0 Rp 125.00 Rp -
30 Asam Ascorbat (Vitamin C) tab 50 mg tablet 0 Rp 126.00 Rp - 1500 Rp 126.00 Rp 189,000.00 1500 Rp 126.00 Rp 189,000.00 0 Rp 126.00 Rp -
31 Asam Ascorbat (Vitamin C) tab 50 mg tablet 0 Rp 126.00 Rp - 2500 Rp 126.00 Rp 315,000.00 2500 Rp 126.00 Rp 315,000.00 0 Rp 126.00 Rp -
32 Asam Mefenamat tab 500 mg tablet 0 Rp 160.00 Rp - 0 Rp 160.00 Rp - 0 Rp 160.00 Rp - 0 Rp 160.00 Rp -
33 Aciclovir tab 200 mg tablet 0 Rp 263.00 Rp - 0 Rp 263.00 Rp - 0 Rp 263.00 Rp - 0 Rp 263.00 Rp -
34 Aciclovir tab 400 mg tablet 600 Rp 440.00 Rp 264,000.00 700 Rp 440.00 Rp 308,000.00 800 Rp 440.00 Rp 352,000.00 500 Rp 440.00 Rp 220,000.00
35 Atropin Sulfat inj 0,25 mg/ml ampul 0 Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp -
36 Atropin Sulfat inj 0,25 mg/ml ampul 0 Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp -
37 Generik Antifungi DOEN kombinasi 30 g pot 0 Rp 5,757.00 Rp - 24 Rp 5,757.00 Rp 138,168.00 8 Rp 5,757.00 Rp 46,056.00 16 Rp 5,757.00 Rp 92,112.00
38 Generik Antifungi DOEN kombinasi 30 g pot 48 Rp 5,395.00 Rp 258,960.00 96 Rp 5,395.00 Rp 517,920.00 0 Rp 5,395.00 Rp - 144 Rp 5,395.00 Rp 776,880.00
39 Antihemoroid DOEN suppo supp 80 Rp 3,800.00 Rp 304,000.00 30 Rp 3,800.00 Rp 114,000.00 110 Rp 3,800.00 Rp 418,000.00 0 Rp 3,800.00 Rp -
40 Aminophillin tab 200 mg tablet 0 Rp 86.00 Rp - 0 Rp 86.00 Rp - 0 Rp 86.00 Rp - 0 Rp 86.00 Rp -
41 Aminophillin inj. 24 mg/ml ampul 0 Rp 4,204.00 Rp - 0 Rp 4,204.00 Rp - 0 Rp 4,204.00 Rp - 0 Rp 4,204.00 Rp -
42 Acetyl Cystein kaps 200 mg kapsul 0 Rp 460.00 Rp - 240 Rp 460.00 Rp 110,400.00 240 Rp 460.00 Rp 110,400.00 0 Rp 460.00 Rp -
43 Asam Folat tab 1 mg tablet 0 Rp 90.00 Rp - 1600 Rp 90.00 Rp 144,000.00 800 Rp 90.00 Rp 72,000.00 800 Rp 90.00 Rp 72,000.00
44 Alkohol 70% 1000 ml botol 0 Rp 85,124.00 Rp - 0 Rp 85,124.00 Rp - 0 Rp 85,124.00 Rp - 0 Rp 85,124.00 Rp -
45 Bedak Salisyl 2% 60gr Pcs 0 Rp 6,426.20 Rp - 5 Rp 6,426.20 Rp 32,131.00 0 Rp 6,426.20 Rp - 5 Rp 6,426.20 Rp 32,131.00
46 Betahistin tab 6 mg tablet 0 Rp 165.00 Rp - 0 Rp 165.00 Rp - 0 Rp 165.00 Rp - 0 Rp 165.00 Rp -
47 Betametason krim 0,1 % tube 0 Rp 1,450.00 Rp - 0 Rp 1,450.00 Rp - 0 Rp 1,450.00 Rp - 0 Rp 1,450.00 Rp -
48 Betametason Dipropionate 0,05% tube 0 Rp 3,350.00 Rp - 30 Rp 3,350.00 Rp 100,500.00 30 Rp 3,350.00 Rp 100,500.00 0 Rp 3,350.00 Rp -
49 Cefadroksil kaps/tab 500 mg kapsul 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp -
50 Cefiksime tab 100 mg kapsul 0 Rp 4,780.00 Rp - 0 Rp 4,780.00 Rp - 0 Rp 4,780.00 Rp - 0 Rp 4,780.00 Rp -
51 Cetrizine tab 10 mg tablet 0 Rp 620.00 Rp - 0 Rp 620.00 Rp - 0 Rp 620.00 Rp - 0 Rp 620.00 Rp -
52 Cetrizine sir 5 mg/5 ml botol 118 Rp 3,104.00 Rp 366,272.00 250 Rp 3,104.00 Rp 776,000.00 27 Rp 3,104.00 Rp 83,808.00 341 Rp 3,104.00 Rp 1,058,464.00
53 Deksametason tab 0,5 mg tablet 0 Rp 35.00 Rp - 0 Rp 35.00 Rp - 0 Rp 35.00 Rp - 0 Rp 35.00 Rp -
54 Dexamethasone tab 0,5 mg tablet 0 Rp 136.06 Rp - 300 Rp 136.06 Rp 40,818.00 300 Rp 136.06 Rp 40,818.00 0 Rp 136.06 Rp -
55 Deksamethason inj 5 mg/ml - 1 ml ampul 355 Rp 1,885.00 Rp 669,175.00 0 Rp 1,885.00 Rp - 355 Rp 1,885.00 Rp 669,175.00 0 Rp 1,885.00 Rp -
56 Dexamethasone inj 5 mg/ml (Meprofarm) Ampul 0 Rp 1,278.00 Rp - 10 Rp 1,278.00 Rp 12,780.00 0 Rp 1,278.00 Rp - 10 Rp 1,278.00 Rp 12,780.00
57 Dexamethasone inj 5 mg/ml Ampul 0 Rp 1,278.00 Rp - 0 Rp 1,278.00 Rp - 0 Rp 1,278.00 Rp - 0 Rp 1,278.00 Rp -
58 Domperidon tab 10 mg tablet 0 Rp 260.00 Rp - 0 Rp 260.00 Rp - 0 Rp 260.00 Rp - 0 Rp 260.00 Rp -
59 DHP Fermal Kombinasi Dihidroartemisin 40 mg + Piperaquin 320 mg tablet 0 Rp 2,166.00 Rp - 18 Rp 2,166.00 Rp 38,988.00 0 Rp 2,166.00 Rp - 18 Rp 2,166.00 Rp 38,988.00
60 DHP Fermal Kombinasi Dihidroartemisin 40 mg + Piperaquin 320 mg tablet 0 Rp 2,116.00 Rp - 0 Rp 2,116.00 Rp - 0 Rp 2,116.00 Rp - 0 Rp 2,116.00 Rp -
61 DIPHENHYDRAMINE HCL inj ampul 0 Rp 1,316.00 Rp - 10 Rp 1,316.00 Rp 13,160.00 0 Rp 1,316.00 Rp - 10 Rp 1,316.00 Rp 13,160.00
62 Diazepam tab 2 mg tablet 0 Rp 86.00 Rp - 0 Rp 86.00 Rp - 0 Rp 86.00 Rp - 0 Rp 86.00 Rp -
63 Diazepam inj 5 mg/ml ampul 0 Rp 2,010.00 Rp - 10 Rp 2,010.00 Rp 20,100.00 0 Rp 2,010.00 Rp - 10 Rp 2,010.00 Rp 20,100.00
64 Digoksin tab 0,25 mg tablet 100 Rp 104.00 Rp 10,400.00 200 Rp 104.00 Rp 20,800.00 300 Rp 104.00 Rp 31,200.00 0 Rp 104.00 Rp -
65 Doksisiklin kaps 100 mg kapsul 0 Rp 280.00 Rp - 300 Rp 280.00 Rp 84,000.00 100 Rp 280.00 Rp 28,000.00 200 Rp 280.00 Rp 56,000.00
66 Ephinefrin (Adrenalin ) inj 0,1% 1 ml ampul 0 Rp 2,068.00 Rp - 0 Rp 2,068.00 Rp - 0 Rp 2,068.00 Rp - 0 Rp 2,068.00 Rp -
67 Epinefrin (Adrenalin) inj 1 mg/ml Ampul 0 Rp 2,068.00 Rp - 0 Rp 2,068.00 Rp - 0 Rp 2,068.00 Rp - 0 Rp 2,068.00 Rp -
68 Eritromisin kaps 250 mg kapsul 0 Rp 666.00 Rp - 0 Rp 666.00 Rp - 0 Rp 666.00 Rp - 0 Rp 666.00 Rp -
69 Eritromisin kaps 250 mg kapsul 700 Rp 666.00 Rp 466,200.00 0 Rp 666.00 Rp - 300 Rp 666.00 Rp 199,800.00 400 Rp 666.00 Rp 266,400.00
70 Generik Eritromisin kaps 250 mg kapsul 0 Rp 711.00 Rp - 1500 Rp 711.00 Rp 1,066,500.00 500 Rp 711.00 Rp 355,500.00 1000 Rp 711.00 Rp 711,000.00
71 Erytromisin SK 200 mg/5 ml botol 581 Rp 6,622.00 Rp 3,847,382.00 0 Rp 6,622.00 Rp - 581 Rp 6,622.00 Rp 3,847,382.00 0 Rp 6,622.00 Rp -
72 Etakridin (Rivanol) lar 0,1% botol 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp -
73 Fitomenadion (Vitamin K1) inj 2mg/ml ampul 0 Rp 4,420.00 Rp - 30 Rp 4,420.00 Rp 132,600.00 30 Rp 4,420.00 Rp 132,600.00 0 Rp 4,420.00 Rp -
74 Fitomenadion (Vitamin K1) inj 2 mg/ml ampul 0 Rp 4,420.00 Rp - 10 Rp 4,420.00 Rp 44,200.00 10 Rp 4,420.00 Rp 44,200.00 0 Rp 4,420.00 Rp -
75 Fitomenadion (Vitamin K1) tab salut 10 mg tab salut 0 Rp 855.00 Rp - 0 Rp 855.00 Rp - 0 Rp 855.00 Rp - 0 Rp 855.00 Rp -
76 Formalin 40% botol 0 Rp 42,000.00 Rp - 0 Rp 42,000.00 Rp - 0 Rp 42,000.00 Rp - 0 Rp 42,000.00 Rp -
77 Fenobarbital tab 30 mg tablet 0 Rp 205.00 Rp - 0 Rp 205.00 Rp - 0 Rp 205.00 Rp - 0 Rp 205.00 Rp -
78 Furosemide tab 40 mg tablet 0 Rp 82.00 Rp - 8400 Rp 82.00 Rp 688,800.00 700 Rp 82.00 Rp 57,400.00 7700 Rp 82.00 Rp 631,400.00
79 Furosemide inj 10 mg/ml ampul 0 Rp 1,555.00 Rp - 25 Rp 1,555.00 Rp 38,875.00 0 Rp 1,555.00 Rp - 25 Rp 1,555.00 Rp 38,875.00
80 Ferro Fumarat + Asam Folat tab 0,4 mg tablet 0 Rp 427.00 Rp - 0 Rp 427.00 Rp - 0 Rp 427.00 Rp - 0 Rp 427.00 Rp -
81 Garam Oralit kombinasi sacchet 900 Rp 317.00 Rp 285,300.00 0 Rp 317.00 Rp - 900 Rp 317.00 Rp 285,300.00 0 Rp 317.00 Rp -
82 Glimepirid tab 1 mg tablet 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
84 Glimepirid tab 1 mg tablet 1500 Rp 174.00 Rp 261,000.00 200 Rp 174.00 Rp 34,800.00 550 Rp 174.00 Rp 95,700.00 1150 Rp 174.00 Rp 200,100.00
85 Glimepirid tab 2 mg tablet 400 Rp 207.00 Rp 82,800.00 100 Rp 207.00 Rp 20,700.00 500 Rp 207.00 Rp 103,500.00 0 Rp 207.00 Rp -
86 Gliseril Guaikolat tab 100 mg tablet 0 Rp 27.00 Rp - 0 Rp 27.00 Rp - 0 Rp 27.00 Rp - 0 Rp 27.00 Rp -
87 Glukosa lar infus steril 5% - 500 ml botol 0 Rp 7,363.00 Rp - 40 Rp 7,363.00 Rp 294,520.00 3 Rp 7,363.00 Rp 22,089.00 37 Rp 7,363.00 Rp 272,431.00
88 Glukosa lar infus steril 5% - 500 ml botol 140 Rp 6,900.00 Rp 966,000.00 400 Rp 6,900.00 Rp 2,760,000.00 540 Rp 6,900.00 Rp 3,726,000.00 0 Rp 6,900.00 Rp -
89 Griseofulvin tab 125 mg tablet 0 Rp 231.00 Rp - 0 Rp 231.00 Rp - 0 Rp 231.00 Rp - 0 Rp 231.00 Rp -
90 Griseofulvin tab 125 mg tablet 200 Rp 231.00 Rp 46,200.00 0 Rp 231.00 Rp - 200 Rp 231.00 Rp 46,200.00 0 Rp 231.00 Rp -
91 Griseofulvin tab 125 mg tablet 0 Rp 336.49 Rp - 500 Rp 336.49 Rp 168,245.00 500 Rp 336.49 Rp 168,245.00 0 Rp 336.49 Rp -
92 Gentamicin salep mata 0,3% tube 0 Rp 3,210.00 Rp - 30 Rp 3,210.00 Rp 96,300.00 10 Rp 3,210.00 Rp 32,100.00 20 Rp 3,210.00 Rp 64,200.00
93 Glibenklamid tab 5 mg tablet 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp -
94 Haloperidol tab 1,5 mg tablet 0 Rp 65.00 Rp - 0 Rp 65.00 Rp - 0 Rp 65.00 Rp - 0 Rp 65.00 Rp -
95 Hydroklortiazid (HCT) tab 25 mg tablet 2500 Rp 179.00 Rp 447,500.00 0 Rp 179.00 Rp - 0 Rp 179.00 Rp - 2500 Rp 179.00 Rp 447,500.00
96 Hydroklortiazid (HCT) tab 25 mg tablet 0 Rp 186.00 Rp - 500 Rp 186.00 Rp 93,000.00 500 Rp 186.00 Rp 93,000.00 0 Rp 186.00 Rp -
97 Hydroklortiazid (HCT) tab 25 mg tablet 0 Rp 186.00 Rp - 2000 Rp 186.00 Rp 372,000.00 0 Rp 186.00 Rp - 2000 Rp 186.00 Rp 372,000.00
98 Hydrokortison krim 2,5 % - 5 g tube 0 Rp 2,648.00 Rp - 0 Rp 2,648.00 Rp - 0 Rp 2,648.00 Rp - 0 Rp 2,648.00 Rp -
100 Hydrokortison krim 2,5 % - 5 g tube 113 Rp 2,648.00 Rp 299,224.00 240 Rp 2,648.00 Rp 635,520.00 120 Rp 2,648.00 Rp 317,760.00 233 Rp 2,648.00 Rp 616,984.00
101 Hydrokortison krim 2,5 % - 5 g tube 60 Rp 2,838.00 Rp 170,280.00 0 Rp 2,838.00 Rp - 24 Rp 2,838.00 Rp 68,112.00 36 Rp 2,838.00 Rp 102,168.00
102 Hidrogen Peroksida (Onemed) 3% botol 0 Rp 3,800.00 Rp - 0 Rp 3,800.00 Rp - 0 Rp 3,800.00 Rp - 0 Rp 3,800.00 Rp -
103 Ibuprofen tab 200 mg tablet 0 Rp 116.00 Rp - 0 Rp 116.00 Rp - 0 Rp 116.00 Rp - 0 Rp 116.00 Rp -
105 Ibuprofen sir 200 mg/5 ml botol 0 Rp 2,620.00 Rp - 0 Rp 2,620.00 Rp - 0 Rp 2,620.00 Rp - 0 Rp 2,620.00 Rp -
106 Ibuprofen sir 200 mg/5 ml botol 0 Rp 5,509.00 Rp - 24 Rp 5,509.00 Rp 132,216.00 24 Rp 5,509.00 Rp 132,216.00 0 Rp 5,509.00 Rp -
107 Kaptopril tab 25 mg tablet 0 Rp 181.12 Rp - 500 Rp 181.12 Rp 90,560.00 0 Rp 181.12 Rp - 500 Rp 181.12 Rp 90,560.00
108 Kaptopril tab 12,5 mg tablet 0 Rp 73.00 Rp - 200 Rp 73.00 Rp 14,600.00 100 Rp 73.00 Rp 7,300.00 100 Rp 73.00 Rp 7,300.00
109 Kaptopril tab 12,5 mg tablet 1500 Rp 68.00 Rp 102,000.00 0 Rp 68.00 Rp - 1500 Rp 68.00 Rp 102,000.00 0 Rp 68.00 Rp -
110 Klindamisin kaps 300 mg kapsul 0 Rp 2,739.99 Rp - 0 Rp 2,739.99 Rp - 0 Rp 2,739.99 Rp - 0 Rp 2,739.99 Rp -
111 Kloramfenikol kaps 250 mg kapsul 1735 Rp 275.00 Rp 477,125.00 0 Rp 275.00 Rp - 1735 Rp 275.00 Rp 477,125.00 0 Rp 275.00 Rp -
112 Kloramfenikol kaps 250 mg kapsul 200 Rp 1,110.00 Rp 221,999.80 0 Rp 1,110.00 Rp - 200 Rp 1,110.00 Rp 221,999.80 0 Rp 1,110.00 Rp -
113 Kloramfenikol salap mata 1% tube 0 Rp 2,013.00 Rp - 0 Rp 2,013.00 Rp - 0 Rp 2,013.00 Rp - 0 Rp 2,013.00 Rp -
114 Kloramfenikol salap mata 1% tube 24 Rp 1,850.00 Rp 44,400.00 0 Rp 1,850.00 Rp - 24 Rp 1,850.00 Rp 44,400.00 0 Rp 1,850.00 Rp -
115 Kloramfenikol salap mata 1% tube 48 Rp 2,013.00 Rp 96,624.00 24 Rp 2,013.00 Rp 48,312.00 0 Rp 2,013.00 Rp - 72 Rp 2,013.00 Rp 144,936.00
116 Klorfeniramin Maleat (CTM) tab 4 mg tablet 0 Rp 40.00 Rp - 0 Rp 40.00 Rp - 0 Rp 40.00 Rp - 0 Rp 40.00 Rp -
117 Kloramfeniramin Maleat (CTM) tab 4 mg tablet 0 Rp 25.00 Rp - 0 Rp 25.00 Rp - 0 Rp 25.00 Rp - 0 Rp 25.00 Rp -
118 Kodein HCL tab 10 mg tablet 0 Rp 660.00 Rp - 0 Rp 660.00 Rp - 0 Rp 660.00 Rp - 0 Rp 660.00 Rp -
119 Kotrimoxazol tab 480 mg (dewasa) tablet 500 Rp 135.00 Rp 67,500.00 0 Rp 135.00 Rp - 500 Rp 135.00 Rp 67,500.00 0 Rp 135.00 Rp -
120 Kotrimoxazol tab 480 mg (dewasa) tablet 0 Rp 129.00 Rp - 2000 Rp 129.00 Rp 258,000.00 200 Rp 129.00 Rp 25,800.00 1800 Rp 129.00 Rp 232,200.00
121 Kotrimoxazol susp 60 ml botol 7 Rp 2,464.00 Rp 17,248.00 0 Rp 2,464.00 Rp - 7 Rp 2,464.00 Rp 17,248.00 0 Rp 2,464.00 Rp -
122 Kotrimoxazol susp 60 ml botol 0 Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp -
123 Kotrimoxazol 240 mg sir (anak) botol 0 Rp 2,257.00 Rp - 50 Rp 2,257.00 Rp 112,850.00 0 Rp 2,257.00 Rp - 50 Rp 2,257.00 Rp 112,850.00
124 Kotrimoxazol tab 240 mg sir (anak) botol 0 Rp 2,115.00 Rp - 100 Rp 2,115.00 Rp 211,500.00 3 Rp 2,115.00 Rp 6,345.00 97 Rp 2,115.00 Rp 205,155.00
125 Kalsium Glukonat inj 10% ampul 0 Rp 5,362.50 Rp - 0 Rp 5,362.50 Rp - 0 Rp 5,362.50 Rp - 0 Rp 5,362.50 Rp -
126 Kalsium Laktat (Kalk) tab 500 mg tablet 2300 Rp 60.00 Rp 138,000.00 5000 Rp 60.00 Rp 300,000.00 7300 Rp 60.00 Rp 438,000.00 0 Rp 60.00 Rp -
127 Kalsium Laktat (Kalk) tab 500 mg tablet 0 Rp 64.00 Rp - 1500 Rp 64.00 Rp 96,000.00 1100 Rp 64.00 Rp 70,400.00 400 Rp 64.00 Rp 25,600.00
128 Ketokonazole krim 2% - 15 g tube 0 Rp 2,694.00 Rp - 0 Rp 2,694.00 Rp - 0 Rp 2,694.00 Rp - 0 Rp 2,694.00 Rp -
129 Ketokonazole tab 200 mg tablet 400 Rp 317.00 Rp 126,800.00 0 Rp 317.00 Rp - 400 Rp 317.00 Rp 126,800.00 0 Rp 317.00 Rp -
131 Kombinasi Ergotamin 1 mg + Kofein 50 mg tablet 0 Rp 208.00 Rp - 0 Rp 208.00 Rp - 0 Rp 208.00 Rp - 0 Rp 208.00 Rp -
132 KA-EN 3B Larutan mengandung Elektrolit (KA-EN 3B) botol 0 Rp 11,314.00 Rp - 20 Rp 11,314.00 Rp 226,280.00 0 Rp 11,314.00 Rp - 20 Rp 11,314.00 Rp 226,280.00
133 Lisol lar 1.000 ml botol 2 Rp 31,570.00 Rp 63,140.00 5 Rp 31,570.00 Rp 157,850.00 4 Rp 31,570.00 Rp 126,280.00 3 Rp 31,570.00 Rp 94,710.00
134 Lidokain inj 2% (infiltr/p.v.) ampul 14 Rp 1,375.00 Rp 19,250.00 40 Rp 1,375.00 Rp 55,000.00 34 Rp 1,375.00 Rp 46,750.00 20 Rp 1,375.00 Rp 27,500.00
135 Lidokain inj 2%+Epinefrin 1 : 80.000 inj 2 ml ampul 14 Rp 1,380.00 Rp 19,320.00 10 Rp 1,380.00 Rp 13,800.00 14 Rp 1,380.00 Rp 19,320.00 10 Rp 1,380.00 Rp 13,800.00
136 Lidokain inj 2%+Epinefrin 1 : 80.000 inj 2 ml ampul 0 Rp 1,473.00 Rp - 10 Rp 1,473.00 Rp 14,730.00 0 Rp 1,473.00 Rp - 10 Rp 1,473.00 Rp 14,730.00
137 Lidokain spray oral 10% botol 0 Rp 156,200.00 Rp - 0 Rp 156,200.00 Rp - 0 Rp 156,200.00 Rp - 0 Rp 156,200.00 Rp -
138 Loratadin tab 10 mg tablet 150 Rp 150.00 Rp 22,500.00 0 Rp 150.00 Rp - 150 Rp 150.00 Rp 22,500.00 0 Rp 150.00 Rp -
139 Magnesium Sulfat inj 20% - 25 ml vial 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp -
140 Magnesium Sulfat inj 40% - 25 ml vial 0 Rp 3,650.00 Rp - 0 Rp 3,650.00 Rp - 0 Rp 3,650.00 Rp - 0 Rp 3,650.00 Rp -
141 Meloxicam tab 15 mg tablet 0 Rp 2,380.00 Rp - 0 Rp 2,380.00 Rp - 0 Rp 2,380.00 Rp - 0 Rp 2,380.00 Rp -
142 Metampiron (Antalgin) tab 500 mg tablet 0 Rp 1,440.00 Rp - 0 Rp 1,440.00 Rp - 0 Rp 1,440.00 Rp - 0 Rp 1,440.00 Rp -
143 Metformin tab 500 mg tablet 0 Rp 165.00 Rp - 0 Rp 165.00 Rp - 0 Rp 165.00 Rp - 0 Rp 165.00 Rp -
144 Metformin tab 500 mg tablet 700 Rp 110.00 Rp 77,000.00 2100 Rp 110.00 Rp 231,000.00 2800 Rp 110.00 Rp 308,000.00 0 Rp 110.00 Rp -
145 Metilergometrin Maleat inj 0.200 mg - 1 ml ampul 15 Rp 2,750.00 Rp 41,250.00 0 Rp 2,750.00 Rp - 15 Rp 2,750.00 Rp 41,250.00 0 Rp 2,750.00 Rp -
147 Metilergometrin Maleat inj 0.200 mg - 1 ml ampul 0 Rp 3,553.00 Rp - 0 Rp 3,553.00 Rp - 0 Rp 3,553.00 Rp - 0 Rp 3,553.00 Rp -
148 Metilergometrin Maleat tab 0.125 mg tablet 0 Rp 271.00 Rp - 200 Rp 271.00 Rp 54,200.00 200 Rp 271.00 Rp 54,200.00 0 Rp 271.00 Rp -
149 Metilprednisolon tab 4 mg tablet 600 Rp 143.00 Rp 85,800.00 0 Rp 143.00 Rp - 600 Rp 143.00 Rp 85,800.00 0 Rp 143.00 Rp -
150 Metilprednisolon tab 4 mg tablet 0 Rp 153.00 Rp - 500 Rp 153.00 Rp 76,500.00 200 Rp 153.00 Rp 30,600.00 300 Rp 153.00 Rp 45,900.00
157 Metoklopramid tab 5 mg tablet 0 Rp 129.00 Rp - 500 Rp 129.00 Rp 64,500.00 0 Rp 129.00 Rp - 500 Rp 129.00 Rp 64,500.00
151 Metoklopramid tab 10 mg tablet 2500 Rp 93.00 Rp 232,500.00 4000 Rp 93.00 Rp 372,000.00 2100 Rp 93.00 Rp 195,300.00 4400 Rp 93.00 Rp 409,200.00
152 Metronidazol tab 250 mg tablet 0 Rp 97.00 Rp - 0 Rp 97.00 Rp - 0 Rp 97.00 Rp - 0 Rp 97.00 Rp -
154 Metilergometrin inj 0,2 mg/ml ampul 0 Rp 3,553.00 Rp - 0 Rp 3,553.00 Rp - 0 Rp 3,553.00 Rp - 0 Rp 3,553.00 Rp -
156 Miconazol 2% krim (Nitrat) tube 0 Rp 4,097.00 Rp - 10 Rp 4,097.00 Rp 40,970.00 10 Rp 4,097.00 Rp 40,970.00 0 Rp 4,097.00 Rp -
158 Miconazole krim 2% tube 0 Rp 4,097.00 Rp - 0 Rp 4,097.00 Rp - 0 Rp 4,097.00 Rp - 0 Rp 4,097.00 Rp -
159 Natrium Diklofenak tab 25 mg tablet 0 Rp 146.00 Rp - 0 Rp 146.00 Rp - 0 Rp 146.00 Rp - 0 Rp 146.00 Rp -
160 Natrium Diklofenak tab 25 mg tablet 0 Rp 154.00 Rp - 900 Rp 154.00 Rp 138,600.00 900 Rp 154.00 Rp 138,600.00 0 Rp 154.00 Rp -
161 Natrium Diklofenak 50 mg tablet 0 Rp 146.00 Rp - 0 Rp 146.00 Rp - 0 Rp 146.00 Rp - 0 Rp 146.00 Rp -
163 Natrium Klorida (NaCl) lar inf 0,9% - 500 ml botol 0 Rp 6,410.00 Rp - 80 Rp 6,410.00 Rp 512,800.00 20 Rp 6,410.00 Rp 128,200.00 60 Rp 6,410.00 Rp 384,600.00
164 Natrium Klorida (NaCl) lar inf 0,9% - 500 ml botol 0 Rp 6,410.00 Rp - 0 Rp 6,410.00 Rp - 0 Rp 6,410.00 Rp - 0 Rp 6,410.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
165 Nistatin tab vaginal 100.000 IU ovula 0 Rp 528.00 Rp - 0 Rp 528.00 Rp - 0 Rp 528.00 Rp - 0 Rp 528.00 Rp -
167 Nistatin tab vaginal 100.000 IU ovula 1600 Rp 675.00 Rp 1,080,000.00 500 Rp 675.00 Rp 337,500.00 500 Rp 675.00 Rp 337,500.00 1600 Rp 675.00 Rp 1,080,000.00
168 Nistatin tab vaginal 500.000 IU tablet 0 Rp 704.00 Rp - 0 Rp 704.00 Rp - 0 Rp 704.00 Rp - 0 Rp 704.00 Rp -
169 Nistatin tab vaginal 500.000 IU tablet 0 Rp 950.00 Rp - 0 Rp 950.00 Rp - 0 Rp 950.00 Rp - 0 Rp 950.00 Rp -
170 Obat Batuk Hitam (OBH) sir ERLA 100 ml botol 0 Rp 12,999.80 Rp - 0 Rp 12,999.80 Rp - 0 Rp 12,999.80 Rp - 0 Rp 12,999.80 Rp -
171 Ofloxacin tab 200 mg tablet 120 Rp 440.00 Rp 52,800.00 0 Rp 440.00 Rp - 120 Rp 440.00 Rp 52,800.00 0 Rp 440.00 Rp -
172 Ofloxacin tab 200 mg tablet 500 Rp 531.00 Rp 265,500.00 1350 Rp 531.00 Rp 716,850.00 80 Rp 531.00 Rp 42,480.00 1770 Rp 531.00 Rp 939,870.00
173 Oksitetrasiklin HCl salep mata 1% - 3,5 g tube 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp -
174 Oksitetrasiklin HCl salep mata 1% - 3,5 g tube 0 Rp 2,600.00 Rp - 20 Rp 2,600.00 Rp 52,000.00 20 Rp 2,600.00 Rp 52,000.00 0 Rp 2,600.00 Rp -
175 Oksitosin inj 10 IU/ml - 1 ml ampul 0 Rp 1,287.00 Rp - 0 Rp 1,287.00 Rp - 0 Rp 1,287.00 Rp - 0 Rp 1,287.00 Rp -
178 Omeprazol kaps 20 mg kapsul 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp -
179 Omeprazole kaps 20 mg kapsul 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp -
181 Ondansentron tab 4 mg tablet 0 Rp 546.00 Rp - 0 Rp 546.00 Rp - 0 Rp 546.00 Rp - 0 Rp 546.00 Rp -
182 Paracetamol tab 500 mg tablet 0 Rp 274.48 Rp - 600 Rp 274.48 Rp 164,688.00 600 Rp 274.48 Rp 164,688.00 0 Rp 274.48 Rp -
183 Paracetamol sir 120 mg/5 ml - 60 ml botol 0 Rp 5,041.30 Rp - 15 Rp 5,041.30 Rp 75,619.50 15 Rp 5,041.30 Rp 75,619.50 0 Rp 5,041.30 Rp -
184 Paracetamol drops 100 mg/mL botol 106 Rp 7,979.00 Rp 845,774.00 178 Rp 7,979.00 Rp 1,420,262.00 284 Rp 7,979.00 Rp 2,266,036.00 0 Rp 7,979.00 Rp -
185 Piracetam kapl 800 mg kaplet 1600 Rp 960.00 Rp 1,536,000.00 0 Rp 960.00 Rp - 1600 Rp 960.00 Rp 1,536,000.00 0 Rp 960.00 Rp -
186 Pirantel Pamoat tab 125 mg tablet 600 Rp 305.00 Rp 183,000.00 0 Rp 305.00 Rp - 100 Rp 305.00 Rp 30,500.00 500 Rp 305.00 Rp 152,500.00
187 Pirantel Pamoat tab 125 mg tablet 0 Rp 346.00 Rp - 0 Rp 346.00 Rp - 0 Rp 346.00 Rp - 0 Rp 346.00 Rp -
188 Pirantel Pamoat sir 125 mg/5 ml - 60ml botol 20 Rp 11,600.00 Rp 232,000.00 0 Rp 11,600.00 Rp - 20 Rp 11,600.00 Rp 232,000.00 0 Rp 11,600.00 Rp -
189 Piridoksin (Vitamin B6) tab 10 mg tablet 0 Rp 142.00 Rp - 0 Rp 142.00 Rp - 0 Rp 142.00 Rp - 0 Rp 142.00 Rp -
190 Piridoksin (Vitamin B6) tab 10 mg tablet 0 Rp 148.00 Rp - 4000 Rp 148.00 Rp 592,000.00 3600 Rp 148.00 Rp 532,800.00 400 Rp 148.00 Rp 59,200.00
191 Piroxicam tab 10 mg tablet 0 Rp 230.00 Rp - 0 Rp 230.00 Rp - 0 Rp 230.00 Rp - 0 Rp 230.00 Rp -
192 Povidon Iodine lar 10% - 300 ml botol 0 Rp 21,600.00 Rp - 29 Rp 21,600.00 Rp 626,400.00 16 Rp 21,600.00 Rp 345,600.00 13 Rp 21,600.00 Rp 280,800.00
193 Povidon Iodine lar. 10% - 30 ml botol 0 Rp 3,480.00 Rp - 5 Rp 3,480.00 Rp 17,400.00 4 Rp 3,480.00 Rp 13,920.00 1 Rp 3,480.00 Rp 3,480.00
194 Povidone Iodine (Onemed) 30 ml botol 0 Rp 3,480.00 Rp - 0 Rp 3,480.00 Rp - 0 Rp 3,480.00 Rp - 0 Rp 3,480.00 Rp -
195 Povidone Iodine (Onemed) 60 ml botol 0 Rp 4,440.00 Rp - 0 Rp 4,440.00 Rp - 0 Rp 4,440.00 Rp - 0 Rp 4,440.00 Rp -
196 Prednison tab 5 mg tablet 0 Rp 85.00 Rp - 0 Rp 85.00 Rp - 0 Rp 85.00 Rp - 0 Rp 85.00 Rp -
197 Prednison tab 5 mg tablet 0 Rp 74.00 Rp - 0 Rp 74.00 Rp - 0 Rp 74.00 Rp - 0 Rp 74.00 Rp -
198 Prednison tab 5 mg tablet 0 Rp 79.00 Rp - 1400 Rp 79.00 Rp 110,600.00 900 Rp 79.00 Rp 71,100.00 500 Rp 79.00 Rp 39,500.00
199 Ranitidin tab 150 mg tablet 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp -
200 Retinol (Vit A) softcap 100.000 IU softcap 3850 Rp 341.00 Rp 1,312,850.00 0 Rp 341.00 Rp - 3850 Rp 341.00 Rp 1,312,850.00 0 Rp 341.00 Rp -
201 Retinol (Vit A) softcap 100.000 IU softcap 0 Rp 346.00 Rp - 500 Rp 346.00 Rp 173,000.00 500 Rp 346.00 Rp 173,000.00 0 Rp 346.00 Rp -
202 Retinol (Vit A) softcap 200.000 IU softcap 3300 Rp 622.00 Rp 2,052,600.00 1000 Rp 622.00 Rp 622,000.00 2950 Rp 622.00 Rp 1,834,900.00 1350 Rp 622.00 Rp 839,700.00
203 Ringer Laktat lar. inf steril 500 ml botol 60 Rp 7,150.00 Rp 429,000.00 0 Rp 7,150.00 Rp - 20 Rp 7,150.00 Rp 143,000.00 40 Rp 7,150.00 Rp 286,000.00
204 Ringer Laktat lar inf steril 500 ml botol 0 Rp 7,630.00 Rp - 100 Rp 7,630.00 Rp 763,000.00 46 Rp 7,630.00 Rp 350,980.00 54 Rp 7,630.00 Rp 412,020.00
205 Rivanol 100 ml botol 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp -
206 Sianokobalamin (Vitamin B12) tab 50 mcg tablet 3000 Rp 50.00 Rp 150,000.00 0 Rp 50.00 Rp - 3000 Rp 50.00 Rp 150,000.00 0 Rp 50.00 Rp -
207 Simvastatin tab 10 mg tablet 0 Rp 116.00 Rp - 0 Rp 116.00 Rp - 0 Rp 116.00 Rp - 0 Rp 116.00 Rp -
208 Simvastatin tab 10 mg tablet 0 Rp 117.00 Rp - 1200 Rp 117.00 Rp 140,400.00 420 Rp 117.00 Rp 49,140.00 780 Rp 117.00 Rp 91,260.00
209 Simvastatin tab 20 mg tablet 0 Rp 250.00 Rp - 0 Rp 250.00 Rp - 0 Rp 250.00 Rp - 0 Rp 250.00 Rp -
210 Simvastatin tab 20 mg tablet 0 Rp 235.00 Rp - 1000 Rp 235.00 Rp 235,000.00 1000 Rp 235.00 Rp 235,000.00 0 Rp 235.00 Rp -
211 Siprofloksasin tab 500 mg tablet 2000 Rp 264.00 Rp 528,000.00 0 Rp 264.00 Rp - 2000 Rp 264.00 Rp 528,000.00 0 Rp 264.00 Rp -
213 Salbutamol tab 4 mg tablet 0 Rp 118.73 Rp - 500 Rp 118.73 Rp 59,365.00 200 Rp 118.73 Rp 23,746.00 300 Rp 118.73 Rp 35,619.00
214 Salbutamol tab 2 mg tablet 500 Rp 84.00 Rp 42,000.00 0 Rp 84.00 Rp - 500 Rp 84.00 Rp 42,000.00 0 Rp 84.00 Rp -
216 Salep 24 Kombinasi pot 0 Rp 3,143.00 Rp - 0 Rp 3,143.00 Rp - 0 Rp 3,143.00 Rp - 0 Rp 3,143.00 Rp -
217 Salep 2-4 kombinasi Asam Salisilat 2% + Belerang Endap 4% pot 36 Rp 3,143.00 Rp 113,148.00 0 Rp 3,143.00 Rp - 12 Rp 3,143.00 Rp 37,716.00 24 Rp 3,143.00 Rp 75,432.00
218 Tetrasiklin kaps 250 mg kapsul 0 Rp 181.00 Rp - 0 Rp 181.00 Rp - 0 Rp 181.00 Rp - 0 Rp 181.00 Rp -
219 Tetrasiklin kaps 500 mg kapsul 500 Rp 341.00 Rp 170,500.00 3000 Rp 341.00 Rp 1,023,000.00 500 Rp 341.00 Rp 170,500.00 3000 Rp 341.00 Rp 1,023,000.00
220 Tetrasiklin kaps 500 mg kapsul 1700 Rp 324.00 Rp 550,800.00 500 Rp 324.00 Rp 162,000.00 1700 Rp 324.00 Rp 550,800.00 500 Rp 324.00 Rp 162,000.00
221 Thiamin HCl (Vitamin B1) tab 50 mg tablet 500 Rp 90.00 Rp 45,000.00 0 Rp 90.00 Rp - 500 Rp 90.00 Rp 45,000.00 0 Rp 90.00 Rp -
222 Thiamin HCl (Vitamin B1) tab 50 mg tablet 300 Rp 92.00 Rp 27,600.00 1500 Rp 92.00 Rp 138,000.00 1400 Rp 92.00 Rp 128,800.00 400 Rp 92.00 Rp 36,800.00
223 Thiamin HCl (Vitamin B1) tab 50 mg tablet 500 Rp 92.00 Rp 46,000.00 0 Rp 92.00 Rp - 500 Rp 92.00 Rp 46,000.00 0 Rp 92.00 Rp -
224 Tablet tambah darah kombinasi Ferro Sulfat 200 mg + As.Folat 0,25 mg tablet 20100 Rp 427.00 Rp 8,582,700.00 27200 Rp 427.00 Rp 11,614,400.00 47300 Rp 427.00 Rp 20,197,100.00 0 Rp 427.00 Rp -
225 Tablet tambah darah kombinasi Ferro Sulfat 200 mg + As.Folat 0,25 mg tablet 0 Rp 112.00 Rp - 0 Rp 112.00 Rp - 0 Rp 112.00 Rp - 0 Rp 112.00 Rp -
226 Vitamin B Kompleks tablet 1100 Rp 138.00 Rp 151,800.00 100 Rp 138.00 Rp 13,800.00 1200 Rp 138.00 Rp 165,600.00 0 Rp 138.00 Rp -
227 Vitamin B Kompleks tablet 0 Rp 141.00 Rp - 470 Rp 141.00 Rp 66,270.00 470 Rp 141.00 Rp 66,270.00 0 Rp 141.00 Rp -
229 ZincPro Zinc sir 10 mg/ml botol 0 Rp 38,054.00 Rp - 0 Rp 38,054.00 Rp - 0 Rp 38,054.00 Rp - 0 Rp 38,054.00 Rp -
230 Zinc Sulfat sir 20 mg/5 ml botol 8 Rp 3,449.00 Rp 27,592.00 5 Rp 3,449.00 Rp 17,245.00 8 Rp 3,449.00 Rp 27,592.00 5 Rp 3,449.00 Rp 17,245.00
231 Zinc dispersible tab 20 mg tablet 0 Rp 617.00 Rp - 0 Rp 617.00 Rp - 0 Rp 617.00 Rp - 0 Rp 617.00 Rp -
232 Zinc dispersible tab 20 mg tablet 0 Rp 631.00 Rp - 0 Rp 631.00 Rp - 0 Rp 631.00 Rp - 0 Rp 631.00 Rp -
234 Kloramfenikol kaps 250 mg kapsul 0 Rp 275.00 Rp - 0 Rp 275.00 Rp - 0 Rp 275.00 Rp - 0 Rp 275.00 Rp -
235 Kloramfenikol salap mata 1% tube 0 Rp 1,850.00 Rp - 0 Rp 1,850.00 Rp - 0 Rp 1,850.00 Rp - 0 Rp 1,850.00 Rp -
236 Loperamid tab 2 mg tablet 0 Rp 91.00 Rp - 0 Rp 91.00 Rp - 0 Rp 91.00 Rp - 0 Rp 91.00 Rp -
237 Vaksin Campak Ink. S.K + Pelarut vial 0 Rp 28,232.00 Rp - 0 Rp 28,232.00 Rp - 0 Rp 28,232.00 Rp - 0 Rp 28,232.00 Rp -
238 Amoxicillin kapsul 250 mg kapsul 0 Rp 198.00 Rp - 0 Rp 198.00 Rp - 0 Rp 198.00 Rp - 0 Rp 198.00 Rp -
240 Amoxicillin tab 500 mg tablet 0 Rp 265.00 Rp - 0 Rp 265.00 Rp - 0 Rp 265.00 Rp - 0 Rp 265.00 Rp -
241 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 tablet 0 Rp 61.00 Rp - 0 Rp 61.00 Rp - 0 Rp 61.00 Rp - 0 Rp 61.00 Rp -
242 Aciclovir tab 200 mg tablet 0 Rp 236.00 Rp - 0 Rp 236.00 Rp - 0 Rp 236.00 Rp - 0 Rp 236.00 Rp -
244 Kalsium Laktat tablet 0 Rp 64.00 Rp - 0 Rp 64.00 Rp - 0 Rp 64.00 Rp - 0 Rp 64.00 Rp -
245 Ferro Fumarat + Asam Folat tab 0,4 mg tablet 0 Rp 427.00 Rp - 0 Rp 427.00 Rp - 0 Rp 427.00 Rp - 0 Rp 427.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
246 Kotrimoxazol tab 480 mg (dewasa) tablet 0 Rp 138.00 Rp - 0 Rp 138.00 Rp - 0 Rp 138.00 Rp - 0 Rp 138.00 Rp -
247 Metilprednisolon tab 4 mg tablet 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp -
248 Salbutamol tab 2 mg tablet 0 Rp 64.00 Rp - 0 Rp 64.00 Rp - 0 Rp 64.00 Rp - 0 Rp 64.00 Rp -
OBAT PATEN
1 Pritamox (Amoxicillin) tab 500 mg tablet 0 Rp 1,210.00 Rp - 0 Rp 1,210.00 Rp - 0 Rp 1,210.00 Rp - 0 Rp 1,210.00 Rp -
2 Sanmol (Amoxicillin) tab 500 mg tablet 0 Rp 325.00 Rp - 0 Rp 325.00 Rp - 0 Rp 325.00 Rp - 0 Rp 325.00 Rp -
3 Cardisan (Amlodipin) tab 5 mg tablet 0 Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp -
4 Puricemia (Allopurinol) tab 300 mg tablet 0 Rp 3,268.75 Rp - 0 Rp 3,268.75 Rp - 0 Rp 3,268.75 Rp - 0 Rp 3,268.75 Rp -
5 Mefinal (Asam Mefenamat) tab 500 mg tablet 0 Rp 1,705.82 Rp - 200 Rp 1,705.82 Rp 341,164.30 0 Rp 1,705.82 Rp - 200 Rp 1,705.82 Rp 341,164.30
6 Neurosanbe Santa E tablet 0 Rp 2,756.25 Rp - 0 Rp 2,756.25 Rp - 0 Rp 2,756.25 Rp - 0 Rp 2,756.25 Rp -
7 Neurosanbe inj 3 ml vial 0 Rp 6,979.37 Rp - 10 Rp 6,979.37 Rp 69,793.74 0 Rp 6,979.37 Rp - 10 Rp 6,979.37 Rp 69,793.74
8 Mucohexin (Bromhexine HCl) tab 8 mg tablet 100 Rp 575.00 Rp 57,500.00 0 Rp 575.00 Rp - 100 Rp 575.00 Rp 57,500.00 0 Rp 575.00 Rp -
9 Cholvastin (Lovastatin) tab 20 mg tablet 0 Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp -
10 Bevita sirup 120 ml botol 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp -
11 Caviplex kaplet kaplet 0 Rp 480.00 Rp - 0 Rp 480.00 Rp - 0 Rp 480.00 Rp - 0 Rp 480.00 Rp -
12 Cendo Xitrol 5 ml botol 0 Rp 58,999.60 Rp - 0 Rp 58,999.60 Rp - 0 Rp 58,999.60 Rp - 0 Rp 58,999.60 Rp -
13 Erlamycetine Eye Drops 0,5% 10 ml botol 0 Rp 20,000.20 Rp - 0 Rp 20,000.20 Rp - 0 Rp 20,000.20 Rp - 0 Rp 20,000.20 Rp -
14 Erlamycetine sirup 60 ml botol 0 Rp 13,999.70 Rp - 0 Rp 13,999.70 Rp - 0 Rp 13,999.70 Rp - 0 Rp 13,999.70 Rp -
15 Farbion tablet tablet 0 Rp 2,310.00 Rp - 0 Rp 2,310.00 Rp - 0 Rp 2,310.00 Rp - 0 Rp 2,310.00 Rp -
16 Gratamin tablet tablet 0 Rp 2,860.00 Rp - 0 Rp 2,860.00 Rp - 0 Rp 2,860.00 Rp - 0 Rp 2,860.00 Rp -
17 Imox tablet tablet 0 Rp 13,200.00 Rp - 0 Rp 13,200.00 Rp - 0 Rp 13,200.00 Rp - 0 Rp 13,200.00 Rp -
18 Intunal kaplet kaplet 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp -
19 My Jelly 80 gr Lubricant botol 0 Rp 69,575.00 Rp - 0 Rp 69,575.00 Rp - 0 Rp 69,575.00 Rp - 0 Rp 69,575.00 Rp -
20 Nifudiar susp 60 ml botol 0 Rp 77,000.00 Rp - 2 Rp 77,000.00 Rp 154,000.00 2 Rp 77,000.00 Rp 154,000.00 0 Rp 77,000.00 Rp -
21 Pantocain 0,5% 15 ml botol 0 Rp 31,000.20 Rp - 0 Rp 31,000.20 Rp - 0 Rp 31,000.20 Rp - 0 Rp 31,000.20 Rp -
22 Polireksulen Cairan (Albothyl) 5 ml botol 0 Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp -
23 Propepsa susp 100 ml botol 0 Rp 106,000.40 Rp - 0 Rp 106,000.40 Rp - 0 Rp 106,000.40 Rp - 0 Rp 106,000.40 Rp -
24 Supravit tablet tablet 0 Rp 770.00 Rp - 0 Rp 770.00 Rp - 0 Rp 770.00 Rp - 0 Rp 770.00 Rp -
25 Vocefa susp 60 ml botol 0 Rp 84,000.40 Rp - 0 Rp 84,000.40 Rp - 0 Rp 84,000.40 Rp - 0 Rp 84,000.40 Rp -
26 Zirkum Kid sirup botol 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp -
27 Neurodial tablet tablet 0 Rp 1,265.00 Rp - 0 Rp 1,265.00 Rp - 0 Rp 1,265.00 Rp - 0 Rp 1,265.00 Rp -
28 Vical suspensi botol 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp -
29 Bufacetin (Kloramfenikol) salep kulit tube 0 Rp 3,645.00 Rp - 48 Rp 3,645.00 Rp 174,960.00 4 Rp 3,645.00 Rp 14,580.00 44 Rp 3,645.00 Rp 160,380.00
30 Combivent UDV Ipratropium Bromide Monohidrate vial 0 Rp 4,550.00 Rp - 0 Rp 4,550.00 Rp - 0 Rp 4,550.00 Rp - 0 Rp 4,550.00 Rp -
31 Dulcolax (Bisakodil) supp 5 mg supp 0 Rp 6,000.00 Rp - 18 Rp 6,000.00 Rp 108,000.00 18 Rp 6,000.00 Rp 108,000.00 0 Rp 6,000.00 Rp -
32 Dulcolax (Bisakodil) supp 10 mg supp 0 Rp 5,900.00 Rp - 5 Rp 5,900.00 Rp 29,500.00 5 Rp 5,900.00 Rp 29,500.00 0 Rp 5,900.00 Rp -
33 Harmida (Glibenklamid 2,5 mg) tablet 500 Rp 216.00 Rp 108,000.00 400 Rp 216.00 Rp 86,400.00 800 Rp 216.00 Rp 172,800.00 100 Rp 216.00 Rp 21,600.00
34 Pantrin (Pirantel Pamoate) tab 250 mg tablet 0 Rp 1,200.00 Rp - 200 Rp 1,200.00 Rp 240,000.00 0 Rp 1,200.00 Rp - 200 Rp 1,200.00 Rp 240,000.00
BMHP
1 Alat Suntik 5 ml pcs 183 Rp 1,248.00 Rp 228,384.00 0 Rp 1,248.00 Rp - 183 Rp 1,248.00 Rp 228,384.00 0 Rp 1,248.00 Rp -
3 Alat Suntik 20 ml pcs 0 Rp 2,228.00 Rp - 50 Rp 2,228.00 Rp 111,400.00 0 Rp 2,228.00 Rp - 50 Rp 2,228.00 Rp 111,400.00
4 Alcohol Swab box 0 Rp 11,500.00 Rp - 0 Rp 11,500.00 Rp - 0 Rp 11,500.00 Rp - 0 Rp 11,500.00 Rp -
5 Alcohol Swab (Onemed) box 45 Rp 11,500.00 Rp 517,500.00 72 Rp 11,500.00 Rp 828,000.00 117 Rp 11,500.00 Rp 1,345,500.00 0 Rp 11,500.00 Rp -
6 Syringe (Nipro) 3 cc pcs 0 Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp -
7 Syringe (Nipro) 5 cc pcs 183 Rp 1,248.23 Rp 228,426.09 5 Rp 1,248.23 Rp 6,241.15 113 Rp 1,248.23 Rp 141,049.99 75 Rp 1,248.23 Rp 93,617.25
8 Syringe (Nipro) 10 cc pcs 100 Rp 1,654.95 Rp 165,495.00 5 Rp 1,654.95 Rp 8,274.75 21 Rp 1,654.95 Rp 34,753.95 84 Rp 1,654.95 Rp 139,015.80
9 Disposible Syringe (Onionex) 1 ml pcs 100 Rp 821.00 Rp 82,100.00 0 Rp 821.00 Rp - 100 Rp 821.00 Rp 82,100.00 0 Rp 821.00 Rp -
10 Disposible Syringe (Onionex) 1 ml Pcs 0 Rp 821.48 Rp - 420 Rp 821.48 Rp 345,023.28 420 Rp 821.48 Rp 345,023.28 0 Rp 821.48 Rp -
11 Disposible Syringe (Onionex) 2,5 ml pcs 100 Rp 865.00 Rp 86,500.00 0 Rp 865.00 Rp - 100 Rp 865.00 Rp 86,500.00 0 Rp 865.00 Rp -
12 Disposible Syringe (Onionex) 2,5 ml Pcs 0 Rp 864.72 Rp - 127 Rp 864.72 Rp 109,819.44 47 Rp 864.72 Rp 40,641.84 80 Rp 864.72 Rp 69,177.60
13 Disposible Syringe (Onionex) 3 ml Pcs 0 Rp 864.72 Rp - 0 Rp 864.72 Rp - 0 Rp 864.72 Rp - 0 Rp 864.72 Rp -
14 Union Auto Destruct Syringe 0,5 ml Pcs 0 Rp 1,385.71 Rp - 10 Rp 1,385.71 Rp 13,857.10 0 Rp 1,385.71 Rp - 10 Rp 1,385.71 Rp 13,857.10
15 Onejack Autodisable Syringe 0,005 ml pcs 700 Rp 3,795.00 Rp 2,656,500.00 0 Rp 3,795.00 Rp - 135 Rp 3,795.00 Rp 512,325.00 565 Rp 3,795.00 Rp 2,144,175.00
16 Autocheck Cholesterol Test btl 10 strip test/strip 0 Rp 58,850.00 Rp - 0 Rp 58,850.00 Rp - 0 Rp 58,850.00 Rp - 0 Rp 58,850.00 Rp -
17 Autocheck Glukosa Test btl 25 strip test/strip 0 Rp 34,237.50 Rp - 0 Rp 34,237.50 Rp - 0 Rp 34,237.50 Rp - 0 Rp 34,237.50 Rp -
18 Autocheck Uric Acid Test btl 25 strip test/strip 0 Rp 44,550.00 Rp - 0 Rp 44,550.00 Rp - 0 Rp 44,550.00 Rp - 0 Rp 44,550.00 Rp -
19 Autocheck Cholesterol Tube 25 strip kotak 0 Rp 367,812.50 Rp - 2 Rp 367,812.50 Rp 735,625.00 2 Rp 367,812.50 Rp 735,625.00 0 Rp 367,812.50 Rp -
20 Autocheck Glukosa Tube 50 strip kotak 0 Rp 136,950.00 Rp - 7 Rp 136,950.00 Rp 958,650.00 0 Rp 136,950.00 Rp - 7 Rp 136,950.00 Rp 958,650.00
21 Autocheck Uric Acid Tube 50 strip kotak 0 Rp 178,200.00 Rp - 7 Rp 178,200.00 Rp 1,247,400.00 3 Rp 178,200.00 Rp 534,600.00 4 Rp 178,200.00 Rp 712,800.00
22 Autocheck Cholesterol Test btl 25 strip kotak 0 Rp 385,235.00 Rp - 3 Rp 385,235.00 Rp 1,155,705.00 1 Rp 385,235.00 Rp 385,235.00 2 Rp 385,235.00 Rp 770,470.00
23 Autocheck Glukosa Test btl 50 strip kotak 0 Rp 68,475.00 Rp - 0 Rp 68,475.00 Rp - 0 Rp 68,475.00 Rp - 0 Rp 68,475.00 Rp -
24 Autocheck Uric Acid Test btl 50 strip kotak 0 Rp 89,100.00 Rp - 0 Rp 89,100.00 Rp - 0 Rp 89,100.00 Rp - 0 Rp 89,100.00 Rp -
25 Anios Dermanios Chlorhexidin 500 ml botol 0 Rp 112,413.60 Rp - 0 Rp 112,413.60 Rp - 0 Rp 112,413.60 Rp - 0 Rp 112,413.60 Rp -
26 Benang Bedah 2/0 (Chromic Catgut) pcs 48 Rp 199.00 Rp 9,552.00 0 Rp 199.00 Rp - 48 Rp 199.00 Rp 9,552.00 0 Rp 199.00 Rp -
27 Benang Bedah 2/0 (Chromic Catgut) Box 0 Rp 215,045.00 Rp - 4 Rp 215,045.00 Rp 860,180.00 2 Rp 215,045.00 Rp 430,090.00 2 Rp 215,045.00 Rp 430,090.00
28 Benang Bedah 2/0 (Chromic Catgut) pcs 0 Rp 2,708.33 Rp - 0 Rp 2,708.33 Rp - 0 Rp 2,708.33 Rp - 0 Rp 2,708.33 Rp -
29 Benang Bedah 3/0 (Chromic Catgut) Box 0 Rp 215,045.00 Rp - 8 Rp 215,045.00 Rp 1,720,360.00 4 Rp 215,045.00 Rp 860,180.00 4 Rp 215,045.00 Rp 860,180.00
30 Benang Bedah 3/0 (Chromic Catgut) pcs 0 Rp 2,708.33 Rp - 0 Rp 2,708.33 Rp - 0 Rp 2,708.33 Rp - 0 Rp 2,708.33 Rp -
31 Silk 2/0 + Jarum 1/2 GT (Onemed) 35 mm box 0 Rp 126,500.00 Rp - 4 Rp 126,500.00 Rp 506,000.00 0 Rp 126,500.00 Rp - 4 Rp 126,500.00 Rp 506,000.00
32 Surgical Suture + Needle Silk Black Braided 3/0 75 cm Dus 0 Rp 167,813.70 Rp - 1 Rp 167,813.70 Rp 167,813.70 0 Rp 167,813.70 Rp - 1 Rp 167,813.70 Rp 167,813.70
33 Surgical Suture + Needle Catgut Cromic 2/0 75 cm Dus 0 Rp 215,045.00 Rp - 0 Rp 215,045.00 Rp - 0 Rp 215,045.00 Rp - 0 Rp 215,045.00 Rp -
34 Surgical Suture + Needle Catgut Cromic 3/0 75 cm Dus 0 Rp 215,045.00 Rp - 0 Rp 215,045.00 Rp - 0 Rp 215,045.00 Rp - 0 Rp 215,045.00 Rp -
35 Surgical Suture + Needle Catgut Plain 2/0 75 cm Dus 0 Rp 215,045.00 Rp - 1 Rp 215,045.00 Rp 215,045.00 0 Rp 215,045.00 Rp - 1 Rp 215,045.00 Rp 215,045.00
36 Catheter (Folley Cathteter) No. 10 pcs 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp -
37 Catheter (Folley Cathteter) No. 12 pcs 30 Rp 13,750.00 Rp 412,500.00 10 Rp 13,750.00 Rp 137,500.00 40 Rp 13,750.00 Rp 550,000.00 0 Rp 13,750.00 Rp -
38 Catheter (Folley Cathteter) No. 14 pcs 0 Rp 13,750.00 Rp - 30 Rp 13,750.00 Rp 412,500.00 10 Rp 13,750.00 Rp 137,500.00 20 Rp 13,750.00 Rp 275,000.00
39 Catheter (Folley Cathteter) No. 16 pcs 0 Rp 13,750.00 Rp - 30 Rp 13,750.00 Rp 412,500.00 0 Rp 13,750.00 Rp - 30 Rp 13,750.00 Rp 412,500.00
40 Catheter (Folley Cathteter) No. 18 pcs 0 Rp 13,750.00 Rp - 30 Rp 13,750.00 Rp 412,500.00 0 Rp 13,750.00 Rp - 30 Rp 13,750.00 Rp 412,500.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
41 Catheter/Folley Cath (Aximed) 2 - Way No. 14 pcs 100 Rp 13,750.00 Rp 1,375,000.00 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - 100 Rp 13,750.00 Rp 1,375,000.00
42 Catheter/Folley Cath (Aximed) 2 - Way No. 14 pcs 0 Rp 12,100.00 Rp - 30 Rp 12,100.00 Rp 363,000.00 0 Rp 12,100.00 Rp - 30 Rp 12,100.00 Rp 363,000.00
43 Catheter/Folley Cateter (Urocare) 2 Way No. 14 Box 0 Rp 92,000.00 Rp - 2 Rp 92,000.00 Rp 184,000.00 0 Rp 92,000.00 Rp - 2 Rp 92,000.00 Rp 184,000.00
44 Catheter/Folley Cateter (Urocare) 2 Way No. 14 pcs 0 Rp 9,200.00 Rp - 50 Rp 9,200.00 Rp 460,000.00 0 Rp 9,200.00 Rp - 50 Rp 9,200.00 Rp 460,000.00
45 Folley Catheter (Aximed Folley Cath 2 Way No. 14) pcs 0 Rp 12,100.00 Rp - 0 Rp 12,100.00 Rp - 0 Rp 12,100.00 Rp - 0 Rp 12,100.00 Rp -
46 Aximed FolleyCath 2-Way No. 14 pcs 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp -
47 Copper T set 20 Rp 125,482.50 Rp 2,509,650.00 0 Rp 125,482.50 Rp - 1 Rp 125,482.50 Rp 125,482.50 19 Rp 125,482.50 Rp 2,384,167.50
48 Copper T set 0 Rp 124,300.00 Rp - 0 Rp 124,300.00 Rp - 0 Rp 124,300.00 Rp - 0 Rp 124,300.00 Rp -
49 Elastice Perband 3 inch/Tensocrape BSN roll 0 Rp 96,000.00 Rp - 0 Rp 96,000.00 Rp - 0 Rp 96,000.00 Rp - 0 Rp 96,000.00 Rp -
50 Elastice Perband 6 inci/Tensocrape BSN roll 0 Rp 86,680.00 Rp - 5 Rp 86,680.00 Rp 433,400.00 0 Rp 86,680.00 Rp - 5 Rp 86,680.00 Rp 433,400.00
51 E.W.G Surgical Gloves 7 Pcs 0 Rp 5,383.38 Rp - 350 Rp 5,383.38 Rp 1,884,183.70 350 Rp 5,383.38 Rp 1,884,183.70 0 Rp 5,383.38 Rp -
52 E.W.G Surgical Gloves 7.5 Pcs 0 Rp 5,383.38 Rp - 300 Rp 5,383.38 Rp 1,615,014.60 300 Rp 5,383.38 Rp 1,615,014.60 0 Rp 5,383.38 Rp -
53 E.W.G Surgical Gloves 8 Pcs 0 Rp 5,382.88 Rp - 100 Rp 5,382.88 Rp 538,288.20 100 Rp 5,382.88 Rp 538,288.20 0 Rp 5,382.88 Rp -
54 Hand Schoen No. 7,5 pcs 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
55 Hand Schoen No. 8 set 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
56 Hand Schoen (Chirurgic Gloves No. 6,5) set 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
57 Hand Schoen (Aximed Exam Gloves size S) box 0 Rp 57,750.00 Rp - 2 Rp 57,750.00 Rp 115,500.00 2 Rp 57,750.00 Rp 115,500.00 0 Rp 57,750.00 Rp -
58 Hand Schoen (Aximed Exam Gloves size M) box 0 Rp 57,750.00 Rp - 2 Rp 57,750.00 Rp 115,500.00 2 Rp 57,750.00 Rp 115,500.00 0 Rp 57,750.00 Rp -
59 Examination Gloves size L B0x 0 Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp -
60 Feeding Tube 8 FR 40 cm pcs 50 Rp 8,804.40 Rp 440,220.00 0 Rp 8,804.40 Rp - 0 Rp 8,804.40 Rp - 50 Rp 8,804.40 Rp 440,220.00
61 Feeding Tube (Aximed) 40 cm No. 6 pcs 0 Rp 9,212.50 Rp - 0 Rp 9,212.50 Rp - 0 Rp 9,212.50 Rp - 0 Rp 9,212.50 Rp -
62 Feeding Tube (Aximed) 40 cm No. 6 pcs 0 Rp 8,107.00 Rp - 40 Rp 8,107.00 Rp 324,280.00 0 Rp 8,107.00 Rp - 40 Rp 8,107.00 Rp 324,280.00
67 Hypafix 5 cm x 1 m roll 0 Rp 17,610.00 Rp - 8 Rp 17,610.00 Rp 140,880.00 0 Rp 17,610.00 Rp - 8 Rp 17,610.00 Rp 140,880.00
68 Hypafix 5 cm x 5 m roll 0 Rp 92,000.00 Rp - 8 Rp 92,000.00 Rp 736,000.00 1 Rp 92,000.00 Rp 92,000.00 7 Rp 92,000.00 Rp 644,000.00
69 Infusion Set Anak set 55 Rp 6,375.00 Rp 350,625.00 0 Rp 6,375.00 Rp - 20 Rp 6,375.00 Rp 127,500.00 35 Rp 6,375.00 Rp 223,125.00
70 Infusion Set Dewasa set 50 Rp 8,775.00 Rp 438,750.00 0 Rp 8,775.00 Rp - 50 Rp 8,775.00 Rp 438,750.00 0 Rp 8,775.00 Rp -
71 Infusion Set Dewasa set 0 Rp 6,375.00 Rp - 0 Rp 6,375.00 Rp - 0 Rp 6,375.00 Rp - 0 Rp 6,375.00 Rp -
72 Infusion Set for Pediatric (Onionex) Pcs 0 Rp 3,556.16 Rp - 15 Rp 3,556.16 Rp 53,342.40 0 Rp 3,556.16 Rp - 15 Rp 3,556.16 Rp 53,342.40
73 Nipro Infuset "Y" set 70 Rp 6,343.00 Rp 444,010.00 35 Rp 6,343.00 Rp 222,005.00 105 Rp 6,343.00 Rp 666,015.00 0 Rp 6,343.00 Rp -
74 IV Catheter No. 18G pcs 0 Rp 8,948.00 Rp - 0 Rp 8,948.00 Rp - 0 Rp 8,948.00 Rp - 0 Rp 8,948.00 Rp -
75 IV Catheter (Nipro IV Catheter No. 18 G x 1-1/4") pcs 128 Rp 8,947.95 Rp 1,145,337.60 0 Rp 8,947.95 Rp - 53 Rp 8,947.95 Rp 474,241.35 75 Rp 8,947.95 Rp 671,096.25
76 IV Catheter (Nipro IV Catheter No. 18 G x 1-1/4") pcs 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp -
77 IV Catheter (Nipro IV Catheter No. 18 G x 2") pcs 50 Rp 8,974.00 Rp 448,700.00 0 Rp 8,974.00 Rp - 50 Rp 8,974.00 Rp 448,700.00 0 Rp 8,974.00 Rp -
78 IV Catheter (Nipro IV Catheter No. 18 G x 2") pcs 0 Rp 8,974.95 Rp - 75 Rp 8,974.95 Rp 673,121.25 14 Rp 8,974.95 Rp 125,649.30 61 Rp 8,974.95 Rp 547,471.95
79 IV Catheter (Nipro IV Catheter No. 20 G x 1") pcs 50 Rp 8,947.95 Rp 447,397.50 0 Rp 8,947.95 Rp - 50 Rp 8,947.95 Rp 447,397.50 0 Rp 8,947.95 Rp -
80 IV Catheter (Nipro IV Catheter No. 20 G x 1-1/4") pcs 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp -
81 IV Catheter (Nipro IV Catheter No. 22 G x 1") pcs 145 Rp 8,947.95 Rp 1,297,452.75 0 Rp 8,947.95 Rp - 101 Rp 8,947.95 Rp 903,742.95 44 Rp 8,947.95 Rp 393,709.80
82 IV Catheter (Nipro IV Catheter No. 24 G x 1") pcs 1 Rp 8,947.61 Rp 8,947.61 0 Rp 8,947.61 Rp - 0 Rp 8,947.61 Rp - 1 Rp 8,947.61 Rp 8,947.61
83 IV Catheter (MF Cath Medifirst) 24G pcs 0 Rp 9,461.25 Rp - 30 Rp 9,461.25 Rp 283,837.48 13 Rp 9,461.25 Rp 122,996.24 17 Rp 9,461.25 Rp 160,841.24
84 IV Catheter (MF Cath Medifirst) 18G pcs 0 Rp 9,461.25 Rp - 70 Rp 9,461.25 Rp 662,287.45 70 Rp 9,461.25 Rp 662,287.45 0 Rp 9,461.25 Rp -
85 Jarum Jahit 1/2 Surgical lusin 0 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00 5 Rp 27,875.00 Rp 139,375.00 5 Rp 27,875.00 Rp 139,375.00
86 Jarum Jahit 3/8 Surgical lusin 0 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00 0 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00
87 kaca slide pcs 200 Rp 50,000.00 Rp 10,000,000.00 0 Rp 50,000.00 Rp - 46 Rp 50,000.00 Rp 2,300,000.00 154 Rp 50,000.00 Rp 7,700,000.00
88 Kapas Pembalut 250 g roll 0 Rp 22,000.00 Rp - 15 Rp 22,000.00 Rp 330,000.00 2 Rp 22,000.00 Rp 44,000.00 13 Rp 22,000.00 Rp 286,000.00
89 Kapas Pembalut 250 g roll 13 Rp 14,375.00 Rp 186,875.00 0 Rp 14,375.00 Rp - 8 Rp 14,375.00 Rp 115,000.00 5 Rp 14,375.00 Rp 71,875.00
91 Kasa Hydrofil 36 m x 80 cm roll 0 Rp 282,750.00 Rp - 0 Rp 282,750.00 Rp - 0 Rp 282,750.00 Rp - 0 Rp 282,750.00 Rp -
92 Kasa Hydrofil 40 m x 80 cm roll 0 Rp 120,750.00 Rp - 5 Rp 120,750.00 Rp 603,750.00 5 Rp 120,750.00 Rp 603,750.00 0 Rp 120,750.00 Rp -
93 Kasa Hydrofil 40 cm x 80 cm roll 15 Rp 120,750.00 Rp 1,811,250.00 10 Rp 120,750.00 Rp 1,207,500.00 1 Rp 120,750.00 Rp 120,750.00 24 Rp 120,750.00 Rp 2,898,000.00
94 Kasa Hydrofil 2 m x 80 cm roll 20 Rp 8,855.00 Rp 177,100.00 0 Rp 8,855.00 Rp - 0 Rp 8,855.00 Rp - 20 Rp 8,855.00 Rp 177,100.00
95 Kasa Pembalut 2 m x 80 cm roll 0 Rp 8,855.00 Rp - 0 Rp 8,855.00 Rp - 0 Rp 8,855.00 Rp - 0 Rp 8,855.00 Rp -
96 Kasa Hydrofil Steril 16 x 16 roll 0 Rp 9,200.00 Rp - 25 Rp 9,200.00 Rp 230,000.00 5 Rp 9,200.00 Rp 46,000.00 20 Rp 9,200.00 Rp 184,000.00
97 Kasa Steril 16 cm x 16 cm roll 100 Rp 6,743.00 Rp 674,300.00 0 Rp 6,743.00 Rp - 67 Rp 6,743.00 Rp 451,781.00 33 Rp 6,743.00 Rp 222,519.00
98 Kasa Hydrofil Steril 18 cm x 22 cm roll 0 Rp 8,625.00 Rp - 5 Rp 8,625.00 Rp 43,125.00 5 Rp 8,625.00 Rp 43,125.00 0 Rp 8,625.00 Rp -
99 Kasa Steril 18 cm x 22 cm roll 0 Rp 8,625.00 Rp - 0 Rp 8,625.00 Rp - 0 Rp 8,625.00 Rp - 0 Rp 8,625.00 Rp -
100 Kasa Pembalut 4 m x 10 cm roll 0 Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp -
101 Kasa Pembalut Hydrofil 4 m x 5 cm roll 109 Rp 862.00 Rp 93,958.00 0 Rp 862.00 Rp - 9 Rp 862.00 Rp 7,758.00 100 Rp 862.00 Rp 86,200.00
102 Kasa Pembalut Hydrofil 4 m x 5 cm roll 0 Rp 862.50 Rp - 50 Rp 862.50 Rp 43,125.00 0 Rp 862.50 Rp - 50 Rp 862.50 Rp 43,125.00
103 Kasa Pembalut Hydrofil 4 m x 5 cm roll 0 Rp 862.50 Rp - 0 Rp 862.50 Rp - 0 Rp 862.50 Rp - 0 Rp 862.50 Rp -
104 Kasa Pembalut Hydrofil 4 m x 10 cm roll 20 Rp 1,725.00 Rp 34,500.00 50 Rp 1,725.00 Rp 86,250.00 20 Rp 1,725.00 Rp 34,500.00 50 Rp 1,725.00 Rp 86,250.00
105 Kasa Pembalut Hydrofil 4 m x 10 cm roll 0 Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp -
106 Kasa Pembalut Hydrofil 4 m x 15 cm roll 50 Rp 2,415.00 Rp 120,750.00 0 Rp 2,415.00 Rp - 15 Rp 2,415.00 Rp 36,225.00 35 Rp 2,415.00 Rp 84,525.00
107 Kasa Pembalut Hydrofil 4 m x 15 cm roll 0 Rp 2,415.00 Rp - 0 Rp 2,415.00 Rp - 0 Rp 2,415.00 Rp - 0 Rp 2,415.00 Rp -
108 Kasa Steril 10 cm x 10 cm 8 fly 1 x 10 s pcs 0 Rp 10,845.30 Rp - 50 Rp 10,845.30 Rp 542,265.00 0 Rp 10,845.30 Rp - 50 Rp 10,845.30 Rp 542,265.00
109 Kasa Steril 10 x 10 cm 8 fly, 1 x 10 s pcs 100 Rp 10,845.00 Rp 1,084,500.00 0 Rp 10,845.00 Rp - 0 Rp 10,845.00 Rp - 100 Rp 10,845.00 Rp 1,084,500.00
110 Kasa Kompres Steril 40 cm x 40 cm bungkus 120 Rp 1,840.00 Rp 220,800.00 0 Rp 1,840.00 Rp - 0 Rp 1,840.00 Rp - 120 Rp 1,840.00 Rp 220,800.00
111 Kasa Pembalut Hydrofil (Onemed) 4 yard x 5 cm roll 0 Rp 862.50 Rp - 0 Rp 862.50 Rp - 0 Rp 862.50 Rp - 0 Rp 862.50 Rp -
112 Kasa Pembalut Hydrofil (Onemed) 4 yard x 10 cm roll 0 Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp -
113 Masker Ear Loop pcs 400 Rp 190.00 Rp 76,000.00 0 Rp 190.00 Rp - 400 Rp 190.00 Rp 76,000.00 0 Rp 190.00 Rp -
114 Masker Ear Loop box 0 Rp 18,975.00 Rp - 0 Rp 18,975.00 Rp - 0 Rp 18,975.00 Rp - 0 Rp 18,975.00 Rp -
115 Surgical Mask earloop 3 fly box 0 Rp 18,975.00 Rp - 0 Rp 18,975.00 Rp - 0 Rp 18,975.00 Rp - 0 Rp 18,975.00 Rp -
116 Surgical Mask Earloop box 0 Rp 18,975.00 Rp - 13 Rp 18,975.00 Rp 246,675.00 13 Rp 18,975.00 Rp 246,675.00 0 Rp 18,975.00 Rp -
117 Masker N95 (Onemed) box 1 Rp 149,776.00 Rp 149,776.00 0 Rp 149,776.00 Rp - 1 Rp 149,776.00 Rp 149,776.00 0 Rp 149,776.00 Rp -
118 Masker N95 (Onemed) pcs 0 Rp 7,488.80 Rp - 47 Rp 7,488.80 Rp 351,973.60 32 Rp 7,488.80 Rp 239,641.60 15 Rp 7,488.80 Rp 112,332.00
119 Mata Pisau Bedah No. 10 pcs 0 Rp 6,561.00 Rp - 0 Rp 6,561.00 Rp - 0 Rp 6,561.00 Rp - 0 Rp 6,561.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
123 Medical Regulator (GEA) pcs 0 Rp 453,200.00 Rp - 0 Rp 453,200.00 Rp - 0 Rp 453,200.00 Rp - 0 Rp 453,200.00 Rp -
124 Regulator (Gea Medical) 02 XY-988 pcs 3 Rp 453,200.00 Rp 1,359,600.00 1 Rp 453,200.00 Rp 453,200.00 0 Rp 453,200.00 Rp - 4 Rp 453,200.00 Rp 1,812,800.00
125 Nasal Oksigen (Aximed) size L pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
126 Nasal Oksigen (Aximed) size M pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
127 Nasal Oksigen (Aximed) size S pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
128 Nasal Oxigen Canula (Cosmomed) pcs 0 Rp 8,004.00 Rp - 0 Rp 8,004.00 Rp - 0 Rp 8,004.00 Rp - 0 Rp 8,004.00 Rp -
129 Oxygen Mask (Cosmomed) pcs 0 Rp 12,180.00 Rp - 5 Rp 12,180.00 Rp 60,900.00 0 Rp 12,180.00 Rp - 5 Rp 12,180.00 Rp 60,900.00
130 Oxygen Mask Dewasa dan Anak (Ekomed) pcs 0 Rp 10,559.90 Rp - 10 Rp 10,559.90 Rp 105,599.00 2 Rp 10,559.90 Rp 21,119.80 8 Rp 10,559.90 Rp 84,479.20
131 Paper Tape 2,5 cm x 9,14 m roll 0 Rp 131,300.00 Rp - 0 Rp 131,300.00 Rp - 0 Rp 131,300.00 Rp - 0 Rp 131,300.00 Rp -
132 Plester 5 yard x 2 inci roll 0 Rp 44,300.00 Rp - 0 Rp 44,300.00 Rp - 0 Rp 44,300.00 Rp - 0 Rp 44,300.00 Rp -
133 Plester 5 cm x 4,5 cm roll 2 Rp 25,404.00 Rp 50,808.00 0 Rp 25,404.00 Rp - 2 Rp 25,404.00 Rp 50,808.00 0 Rp 25,404.00 Rp -
134 Plester 7,5 cm x 4,5 m roll 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp -
135 Plesterin Non Woven Roll 5 cm x 5 cm roll 0 Rp 27,324.00 Rp - 39 Rp 27,324.00 Rp 1,065,636.00 2 Rp 27,324.00 Rp 54,648.00 37 Rp 27,324.00 Rp 1,010,988.00
136 Plesterin Non Woven Roll 5 cm x 5 cm roll 0 Rp 27,324.00 Rp - 9 Rp 27,324.00 Rp 245,916.00 1 Rp 27,324.00 Rp 27,324.00 8 Rp 27,324.00 Rp 218,592.00
137 Plesterin Non Woven Roll 5 cm x 10 cm roll 0 Rp 47,564.00 Rp - 10 Rp 47,564.00 Rp 475,640.00 4 Rp 47,564.00 Rp 190,256.00 6 Rp 47,564.00 Rp 285,384.00
138 Plesterin Non Woven Roll 5 cm x 15 cm roll 0 Rp 79,948.00 Rp - 22 Rp 79,948.00 Rp 1,758,856.00 16 Rp 79,948.00 Rp 1,279,168.00 6 Rp 79,948.00 Rp 479,688.00
139 Plesterin Non Woven Roll (Onemed) 5 cm x 5 cm roll 0 Rp 27,324.00 Rp - 0 Rp 27,324.00 Rp - 0 Rp 27,324.00 Rp - 0 Rp 27,324.00 Rp -
140 Plesterin Non Woven Roll (Onemed) 5 cm x 15 cm roll 0 Rp 79,948.00 Rp - 0 Rp 79,948.00 Rp - 0 Rp 79,948.00 Rp - 0 Rp 79,948.00 Rp -
141 Selang Oksigen pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
142 Superlife Nitrille M box 0 Rp 65,780.00 Rp - 0 Rp 65,780.00 Rp - 0 Rp 65,780.00 Rp - 0 Rp 65,780.00 Rp -
143 Superlife Nitrille L box 0 Rp 65,780.00 Rp - 0 Rp 65,780.00 Rp - 0 Rp 65,780.00 Rp - 0 Rp 65,780.00 Rp -
144 Test Kehamilan pcs 0 Rp 2,365.00 Rp - 0 Rp 2,365.00 Rp - 0 Rp 2,365.00 Rp - 0 Rp 2,365.00 Rp -
145 Tullegrass (Cutical Classic) 5 cm x 5 cm pcs 0 Rp 17,150.00 Rp - 0 Rp 17,150.00 Rp - 0 Rp 17,150.00 Rp - 0 Rp 17,150.00 Rp -
146 Urine Bag Steril pc 71 Rp 6,875.00 Rp 488,125.00 0 Rp 6,875.00 Rp - 36 Rp 6,875.00 Rp 247,500.00 35 Rp 6,875.00 Rp 240,625.00
147 Urine Bag Steril pcs 0 Rp 3,490.00 Rp - 0 Rp 3,490.00 Rp - 0 Rp 3,490.00 Rp - 0 Rp 3,490.00 Rp -
148 Urine Bag Steril pcs 0 Rp 3,450.00 Rp - 0 Rp 3,450.00 Rp - 0 Rp 3,450.00 Rp - 0 Rp 3,450.00 Rp -
149 Kapas Pembalut 250 mg roll 0 Rp 14,375.00 Rp - 0 Rp 14,375.00 Rp - 0 Rp 14,375.00 Rp - 0 Rp 14,375.00 Rp -
150 Kasa Kompres Steril 40 x 40 pcs 0 Rp 1,840.00 Rp - 0 Rp 1,840.00 Rp - 0 Rp 1,840.00 Rp - 0 Rp 1,840.00 Rp -
151 Kertas Puyer Blank bungkus 21 Rp 93,500.00 Rp 1,963,500.00 1 Rp 93,500.00 Rp 93,500.00 7 Rp 93,500.00 Rp 654,500.00 15 Rp 93,500.00 Rp 1,402,500.00
152 Kertas Puyer Blank bungkus 0 Rp 156,750.00 Rp - 0 Rp 156,750.00 Rp - 0 Rp 156,750.00 Rp - 0 Rp 156,750.00 Rp -
153 Paper Tape 9,14 m x 2,5 cm roll 0 Rp 22,550.00 Rp - 0 Rp 22,550.00 Rp - 0 Rp 22,550.00 Rp - 0 Rp 22,550.00 Rp -
BHP/REAGENT LAB
1 Larutan Spiritus botol 0 Rp 52,965.00 Rp - 2 Rp 52,965.00 Rp 105,930.00 0 Rp 52,965.00 Rp - 2 Rp 52,965.00 Rp 105,930.00
2 Hidrogen Peroxida 3% botol 0 Rp 4,032.00 Rp - 0 Rp 4,032.00 Rp - 0 Rp 4,032.00 Rp - 0 Rp 4,032.00 Rp -
3 Larutan Spiritus botol 0 Rp 63,580.00 Rp - 0 Rp 63,580.00 Rp - 0 Rp 63,580.00 Rp - 0 Rp 63,580.00 Rp -
4 Nexcare Pcs 2 Rp 131,300.00 Rp 262,600.00 0 Rp 131,300.00 Rp - 2 Rp 131,300.00 Rp 262,600.00 0 Rp 131,300.00 Rp -
GIGI
1 Calcium Hydroxide botol 0 Rp 477,350.00 Rp - 0 Rp 477,350.00 Rp - 0 Rp 477,350.00 Rp - 0 Rp 477,350.00 Rp -
2 Calcium Hydroxide/Hydcal TECHNEW set 0 Rp 303,600.00 Rp - 0 Rp 303,600.00 Rp - 0 Rp 303,600.00 Rp - 0 Rp 303,600.00 Rp -
3 Caviton White GC Pack 0 Rp 219,000.00 Rp - 0 Rp 219,000.00 Rp - 0 Rp 219,000.00 Rp - 0 Rp 219,000.00 Rp -
4 Caviton White GC pot 0 Rp 177,650.00 Rp - 0 Rp 177,650.00 Rp - 0 Rp 177,650.00 Rp - 0 Rp 177,650.00 Rp -
5 Cotton Roll pack 0 Rp 93,438.00 Rp - 0 Rp 93,438.00 Rp - 0 Rp 93,438.00 Rp - 0 Rp 93,438.00 Rp -
6 Cotton Roll pack 0 Rp 92,400.00 Rp - 0 Rp 92,400.00 Rp - 0 Rp 92,400.00 Rp - 0 Rp 92,400.00 Rp -
7 Calcipex +1 @ 2,1 g tube 0 Rp 545,600.00 Rp - 0 Rp 545,600.00 Rp - 0 Rp 545,600.00 Rp - 0 Rp 545,600.00 Rp -
8 Etil Chlorida Spray botol 0 Rp 136,750.00 Rp - 0 Rp 136,750.00 Rp - 0 Rp 136,750.00 Rp - 0 Rp 136,750.00 Rp -
9 Fuji 9 Mini Pack # Extra A2 pack 0 Rp 556,469.00 Rp - 0 Rp 556,469.00 Rp - 0 Rp 556,469.00 Rp - 0 Rp 556,469.00 Rp -
10 Fuji 9 Mini Pack New set 0 Rp 313,500.00 Rp - 0 Rp 313,500.00 Rp - 0 Rp 313,500.00 Rp - 0 Rp 313,500.00 Rp -
11 Hemospon pcs 0 Rp 118,500.00 Rp - 0 Rp 118,500.00 Rp - 0 Rp 118,500.00 Rp - 0 Rp 118,500.00 Rp -
12 Homospon/Ceraspon @ 10 s box 0 Rp 341,000.00 Rp - 0 Rp 341,000.00 Rp - 0 Rp 341,000.00 Rp - 0 Rp 341,000.00 Rp -
13 Hydcal Technew box 18 Rp 289,850.00 Rp 5,217,300.00 0 Rp 289,850.00 Rp - 18 Rp 289,850.00 Rp 5,217,300.00 0 Rp 289,850.00 Rp -
14 Iodoform (Biodinamika) botol 0 Rp 341,250.00 Rp - 0 Rp 341,250.00 Rp - 0 Rp 341,250.00 Rp - 0 Rp 341,250.00 Rp -
15 Iodoform Pasta @ 10 mg pot 0 Rp 294,800.00 Rp - 0 Rp 294,800.00 Rp - 0 Rp 294,800.00 Rp - 0 Rp 294,800.00 Rp -
16 Kalzinol Liquid @ 15 ml pot 0 Rp 409,750.00 Rp - 0 Rp 409,750.00 Rp - 0 Rp 409,750.00 Rp - 0 Rp 409,750.00 Rp -
17 Kalzinol Powder @ 40 g pot 0 Rp 508,200.00 Rp - 0 Rp 508,200.00 Rp - 0 Rp 508,200.00 Rp - 0 Rp 508,200.00 Rp -
18 Saliva Ejektor bungkus 100 Rp 87,250.00 Rp 8,725,000.00 0 Rp 87,250.00 Rp - 4 Rp 87,250.00 Rp 349,000.00 96 Rp 87,250.00 Rp 8,376,000.00
19 Silk Automatic dengan Jarum pcs 0 Rp 19,600.00 Rp - 0 Rp 19,600.00 Rp - 0 Rp 19,600.00 Rp - 0 Rp 19,600.00 Rp -
20 Solare Anterior #A3 GC box 0 Rp 487,165.00 Rp - 0 Rp 487,165.00 Rp - 0 Rp 487,165.00 Rp - 0 Rp 487,165.00 Rp -
21 Solare Anterior #A3 GC pcs 0 Rp 216,260.00 Rp - 0 Rp 216,260.00 Rp - 0 Rp 216,260.00 Rp - 0 Rp 216,260.00 Rp -
22 Vitapex box 0 Rp 915,833.00 Rp - 0 Rp 915,833.00 Rp - 0 Rp 915,833.00 Rp - 0 Rp 915,833.00 Rp -
NILAI OBAT IFK PUSKESMAS LADONGI JAYA Rp 80,755,317.35 Rp 64,456,900.65 Rp 83,333,570.552 Rp 61,878,647.44
OBAT BPJS
1 metoclopramide 10 mg tab/dos 1 Rp 13,000.00 Rp 13,000.00 0 Rp 13,000.00 Rp - 1 Rp 13,000.00 Rp 13,000.00 0 Rp 13,000.00 Rp -
2 furosemide 40 mg tab/dos 4 Rp 20,200.00 Rp 80,800.00 0 Rp 20,200.00 Rp - 4 Rp 20,200.00 Rp 80,800.00 0 Rp 20,200.00 Rp -
3 orphen tab/box 2 Rp 18,000.00 Rp 36,000.00 0 Rp 18,000.00 Rp - 2 Rp 18,000.00 Rp 36,000.00 0 Rp 18,000.00 Rp -
4 ciprofloxacin tab tab/box 2 Rp 58,000.00 Rp 116,000.00 0 Rp 58,000.00 Rp - 2 Rp 58,000.00 Rp 116,000.00 0 Rp 58,000.00 Rp -
5 allofar 100 mg tab/box 2 Rp 40,000.00 Rp 80,000.00 0 Rp 40,000.00 Rp - 2 Rp 40,000.00 Rp 80,000.00 0 Rp 40,000.00 Rp -
6 eryra 500 mg tab/box 1 Rp 90,000.00 Rp 90,000.00 0 Rp 90,000.00 Rp - 1 Rp 90,000.00 Rp 90,000.00 0 Rp 90,000.00 Rp -
7 trianta tab tab/box 3 Rp 22,000.00 Rp 66,000.00 0 Rp 22,000.00 Rp - 3 Rp 22,000.00 Rp 66,000.00 0 Rp 22,000.00 Rp -
8 calceo tab tab/box 2 Rp 21,000.00 Rp 42,000.00 0 Rp 21,000.00 Rp - 2 Rp 21,000.00 Rp 42,000.00 0 Rp 21,000.00 Rp -
9 miconasole salep tube 10 Rp 7,000.00 Rp 70,000.00 0 Rp 7,000.00 Rp - 10 Rp 7,000.00 Rp 70,000.00 0 Rp 7,000.00 Rp -
10 norvam tab/box 5 Rp 6,000.00 Rp 30,000.00 0 Rp 6,000.00 Rp - 2 Rp 6,000.00 Rp 12,000.00 3 Rp 6,000.00 Rp 18,000.00
11 methyl prednisolone tab/box 5 Rp 35,000.00 Rp 175,000.00 0 Rp 35,000.00 Rp - 5 Rp 35,000.00 Rp 175,000.00 0 Rp 35,000.00 Rp -
12 gasela tab/box 5 Rp 31,000.00 Rp 155,000.00 0 Rp 31,000.00 Rp - 5 Rp 31,000.00 Rp 155,000.00 0 Rp 31,000.00 Rp -
13 asam mefenamat tab/box 2 Rp 30,000.00 Rp 60,000.00 0 Rp 30,000.00 Rp - 2 Rp 30,000.00 Rp 60,000.00 0 Rp 30,000.00 Rp -
14 fargoxin tab/box 3 Rp 35,000.00 Rp 105,000.00 0 Rp 35,000.00 Rp - 3 Rp 35,000.00 Rp 105,000.00 0 Rp 35,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
15 paracetamol tab tab/box 8 Rp 18,000.00 Rp 144,000.00 0 Rp 18,000.00 Rp - 8 Rp 18,000.00 Rp 144,000.00 0 Rp 18,000.00 Rp -
16 acyiclovir slp tube 10 Rp 6,500.00 Rp 65,000.00 0 Rp 6,500.00 Rp - 10 Rp 6,500.00 Rp 65,000.00 0 Rp 6,500.00 Rp -
17 paracetamol sy btl 2 Rp 6,000.00 Rp 12,000.00 0 Rp 6,000.00 Rp - 2 Rp 6,000.00 Rp 12,000.00 0 Rp 6,000.00 Rp -
18 pehacain inj dos 1 Rp 91,635.46 Rp 91,635.46 0 Rp 91,635.45 Rp - 1 Rp 91,635.46 Rp 91,635.46 0 Rp 91,635.45 Rp -
19 dexametasone tab/box 2 Rp 32,727.27 Rp 65,454.55 0 Rp 32,727.27 Rp - 2 Rp 32,727.27 Rp 65,454.55 0 Rp 32,727.27 Rp -
20 cefadroxil kap/box 2 Rp 98,182.00 Rp 196,364.00 0 Rp 98,182.00 Rp - 2 Rp 98,182.00 Rp 196,364.00 0 Rp 98,182.00 Rp -
21 spoit 3 cc box 3 Rp 77,000.00 Rp 231,000.00 0 Rp 77,000.00 Rp - 3 Rp 77,000.00 Rp 231,000.00 0 Rp 77,000.00 Rp -
22 handskun steril uk.7 box 2 Rp 200,000.00 Rp 400,000.00 0 Rp 200,000.00 Rp - 2 Rp 200,000.00 Rp 400,000.00 0 Rp 200,000.00 Rp -
23 topi ok( nurse cap) box 5 Rp 43,000.00 Rp 215,000.00 0 Rp 43,000.00 Rp - 5 Rp 43,000.00 Rp 215,000.00 0 Rp 43,000.00 Rp -
24 handskun maxter gloves M box 2 Rp 55,000.00 Rp 110,000.00 0 Rp 55,000.00 Rp - 2 Rp 55,000.00 Rp 110,000.00 0 Rp 55,000.00 Rp -
25 strip autochek cholestrol box 3 Rp 200,000.00 Rp 600,000.00 0 Rp 200,000.00 Rp - 3 Rp 200,000.00 Rp 600,000.00 0 Rp 200,000.00 Rp -
26 strip autochek asam urat box 2 Rp 145,000.00 Rp 290,000.00 0 Rp 145,000.00 Rp - 2 Rp 145,000.00 Rp 290,000.00 0 Rp 145,000.00 Rp -
27 strip autochek glukosa box 3 Rp 145,000.00 Rp 435,000.00 0 Rp 145,000.00 Rp - 3 Rp 145,000.00 Rp 435,000.00 0 Rp 145,000.00 Rp -
28 langset 100 pcs box 2 Rp 45,000.00 Rp 90,000.00 0 Rp 45,000.00 Rp - 2 Rp 45,000.00 Rp 90,000.00 0 Rp 45,000.00 Rp -
29 Meloxicam tab 15 mg box 0 Rp 44,182.00 Rp - 4 Rp 44,181.82 Rp 176,727.27 4 Rp 44,181.82 Rp 176,727.27 0 Rp 44,181.82 Rp -
30 Meloxicam tab 7,5 mg box 0 Rp 38,659.00 Rp - 2 Rp 38,659.09 Rp 77,318.18 2 Rp 38,659.09 Rp 77,318.18 0 Rp 38,659.09 Rp -
31 Prednison tab 5 mg box 0 Rp 34,241.00 Rp - 5 Rp 34,240.91 Rp 171,204.55 5 Rp 34,240.91 Rp 171,204.55 0 Rp 34,240.91 Rp -
32 Gliceryl Guaikolat tab 100 mg btl 0 Rp 15,464.00 Rp - 5 Rp 15,463.64 Rp 77,318.18 5 Rp 15,463.64 Rp 77,318.18 0 Rp 15,463.64 Rp -
33 Novagesic syrup botol 0 Rp 8,284.00 Rp - 29 Rp 8,284.09 Rp 240,238.64 29 Rp 8,284.09 Rp 240,238.64 0 Rp 8,284.09 Rp -
34 Natrium Diklofenak tab 50 mg Box 0 Rp 24,300.00 Rp - 5 Rp 24,300.00 Rp 121,500.00 5 Rp 24,300.00 Rp 121,500.00 0 Rp 24,300.00 Rp -
35 Natrium Diklofenak tab 25 mg Box 0 Rp 20,986.00 Rp - 5 Rp 20,986.36 Rp 104,931.82 5 Rp 20,986.36 Rp 104,931.82 0 Rp 20,986.36 Rp -
36 Reverton Syrup botol 0 Rp 12,150.00 Rp - 11 Rp 12,150.00 Rp 133,650.00 11 Rp 12,150.00 Rp 133,650.00 0 Rp 12,150.00 Rp -
37 Ambroxol tab 30 mg Box 0 Rp 32,032.00 Rp - 2 Rp 32,031.82 Rp 64,063.64 2 Rp 32,031.82 Rp 64,063.64 0 Rp 32,031.82 Rp -
38 Dexamethasone tab 0,5 mg Box 0 Rp 32,032.00 Rp - 4 Rp 32,031.82 Rp 128,127.27 4 Rp 32,031.82 Rp 128,127.27 0 Rp 32,031.82 Rp -
39 Nifedipine Tablet 0 Rp 309.27 Rp - 100 Rp 309.27 Rp 30,927.27 100 Rp 309.27 Rp 30,927.27 0 Rp 309.27 Rp -
40 Cetrizine Box 0 Rp 41,973.00 Rp - 4 Rp 41,972.73 Rp 167,890.91 4 Rp 41,972.73 Rp 167,890.91 0 Rp 41,972.73 Rp -
41 Glibenklamide Box 0 Rp 22,091.00 Rp - 7 Rp 22,090.91 Rp 154,636.36 7 Rp 22,090.91 Rp 154,636.36 0 Rp 22,090.91 Rp -
42 Caviplex Box 0 Rp 82,841.00 Rp - 1 Rp 82,840.91 Rp 82,840.91 1 Rp 82,840.91 Rp 82,840.91 0 Rp 82,840.91 Rp -
43 Allopurinol tab 300 mg Box 0 Rp 69,586.00 Rp - 5 Rp 69,586.36 Rp 347,931.82 5 Rp 69,586.36 Rp 347,931.82 0 Rp 69,586.36 Rp -
44 Histigo Box 0 Rp 36,450.00 Rp - 5 Rp 36,450.00 Rp 182,250.00 5 Rp 36,450.00 Rp 182,250.00 0 Rp 36,450.00 Rp -
45 Farsifen syrup botol 0 Rp 9,389.00 Rp - 14 Rp 9,388.64 Rp 131,440.91 14 Rp 9,388.64 Rp 131,440.91 0 Rp 9,388.64 Rp -
46 Asam Mefenamat tab 500 mg Box 0 Rp 44,182.00 Rp - 5 Rp 44,181.82 Rp 220,909.09 5 Rp 44,181.82 Rp 220,909.09 0 Rp 44,181.82 Rp -
47 Lansoprazole Box 0 Rp 30,927.00 Rp - 2 Rp 30,927.27 Rp 61,854.55 2 Rp 30,927.27 Rp 61,854.55 0 Rp 30,927.27 Rp -
48 Cefadroxil Box 0 Rp 99,409.00 Rp - 4 Rp 99,409.09 Rp 397,636.36 4 Rp 99,409.09 Rp 397,636.36 0 Rp 99,409.09 Rp -
49 Amlodipine tab 10 mg Box 0 Rp 55,227.00 Rp - 7 Rp 55,227.27 Rp 386,590.91 7 Rp 55,227.27 Rp 386,590.91 0 Rp 55,227.27 Rp -
50 Amlodipine tab 5 mg Box 0 Rp 37,555.00 Rp - 4 Rp 37,554.55 Rp 150,218.18 4 Rp 37,554.55 Rp 150,218.18 0 Rp 37,554.55 Rp -
51 Metilprednisolon tab 4 mg Box 0 Rp 60,750.00 Rp - 3 Rp 60,750.00 Rp 182,250.00 3 Rp 60,750.00 Rp 182,250.00 0 Rp 60,750.00 Rp -
52 Piroxicam tab 10 mg Box 0 Rp 25,405.00 Rp - 3 Rp 25,404.55 Rp 76,213.64 3 Rp 25,404.55 Rp 76,213.64 0 Rp 25,404.55 Rp -
53 Piroxicam tab 20 mg Box 0 Rp 36,450.00 Rp - 3 Rp 36,450.00 Rp 109,350.00 3 Rp 36,450.00 Rp 109,350.00 0 Rp 36,450.00 Rp -
54 Lokev Box 0 Rp 35,345.00 Rp - 3 Rp 35,345.45 Rp 106,036.36 3 Rp 35,345.45 Rp 106,036.36 0 Rp 35,345.45 Rp -
55 Metronidazole Box 0 Rp 35,345.00 Rp - 1 Rp 35,345.36 Rp 35,345.36 1 Rp 35,345.36 Rp 35,345.36 0 Rp 35,345.36 Rp -
56 Metoclopramide syrup botol 0 Rp 9,941.00 Rp - 8 Rp 9,940.91 Rp 79,527.27 8 Rp 9,940.91 Rp 79,527.27 0 Rp 9,940.91 Rp -
57 Cefadroxil syrup botol 0 Rp 14,359.00 Rp - 22 Rp 14,359.09 Rp 315,900.00 22 Rp 14,359.09 Rp 315,900.00 0 Rp 14,359.09 Rp -
58 Simvastatin tab 20 mg Box 0 Rp 36,450.00 Rp - 5 Rp 36,450.00 Rp 182,250.00 5 Rp 36,450.00 Rp 182,250.00 0 Rp 36,450.00 Rp -
59 Oxitocyn injeksi ampul 0 Rp 8,284.00 Rp - 10 Rp 8,284.09 Rp 82,840.91 10 Rp 8,284.09 Rp 82,840.91 0 Rp 8,284.09 Rp -
60 Betametasone krim tube 0 Rp 5,523.00 Rp - 25 Rp 5,522.73 Rp 138,068.18 25 Rp 5,522.73 Rp 138,068.18 0 Rp 5,522.73 Rp -
61 Reco tetes telinga botol 0 Rp 13,255.00 Rp - 5 Rp 13,254.55 Rp 66,272.73 5 Rp 13,254.55 Rp 66,272.73 0 Rp 13,254.55 Rp -
62 Reco tetes mata botol 0 Rp 13,255.00 Rp - 5 Rp 13,254.55 Rp 66,272.73 5 Rp 13,254.55 Rp 66,272.73 0 Rp 13,254.55 Rp -
63 Simvastatin tab 10mg Box 0 Rp 16,568.00 Rp - 10 Rp 16,568.18 Rp 165,681.82 10 Rp 16,568.18 Rp 165,681.82 0 Rp 16,568.18 Rp -
64 Simvastatin tab 20mg Box 0 Rp 24,300.00 Rp - 7 Rp 24,300.00 Rp 170,100.00 7 Rp 24,300.00 Rp 170,100.00 0 Rp 24,300.00 Rp -
65 Novastan Box 0 Rp 40,868.00 Rp - 10 Rp 40,868.18 Rp 408,681.82 10 Rp 40,868.18 Rp 408,681.82 0 Rp 40,868.18 Rp -
66 Calcifar Box 0 Rp 25,405.00 Rp - 9 Rp 25,404.55 Rp 228,640.91 9 Rp 25,404.55 Rp 228,640.91 0 Rp 25,404.55 Rp -
67 Hufabion Box 0 Rp 38,659.00 Rp - 5 Rp 38,659.09 Rp 193,295.45 5 Rp 38,659.09 Rp 193,295.45 0 Rp 38,659.09 Rp -
68 Trianta Box 0 Rp 27,614.00 Rp - 10 Rp 27,613.64 Rp 276,136.36 10 Rp 27,613.64 Rp 276,136.36 0 Rp 27,613.64 Rp -
69 Fasidol botol 0 Rp 23,195.00 Rp - 10 Rp 23,195.45 Rp 231,954.55 10 Rp 23,195.45 Rp 231,954.55 0 Rp 23,195.45 Rp -
70 Lerzin Box 0 Rp 28,718.00 Rp - 5 Rp 28,718.18 Rp 143,590.91 5 Rp 28,718.18 Rp 143,590.91 0 Rp 28,718.18 Rp -
71 Graseric Box 0 Rp 41,973.00 Rp - 5 Rp 41,972.73 Rp 209,863.64 5 Rp 41,972.73 Rp 209,863.64 0 Rp 41,972.73 Rp -
73 Lostacef Box 0 Rp 53,018.00 Rp - 10 Rp 53,018.18 Rp 530,181.82 10 Rp 53,018.18 Rp 530,181.82 0 Rp 53,018.18 Rp -
74 Gratheos Box 0 Rp 33,136.00 Rp - 10 Rp 33,136.36 Rp 331,363.64 10 Rp 33,136.36 Rp 331,363.64 0 Rp 33,136.36 Rp -
75 Afibramel botol 0 Rp 4,970.00 Rp - 24 Rp 4,970.45 Rp 119,290.91 24 Rp 4,970.45 Rp 119,290.91 0 Rp 4,970.45 Rp -
76 Lostacef 125 botol 0 Rp 11,045.00 Rp - 24 Rp 11,045.45 Rp 265,090.91 24 Rp 11,045.45 Rp 265,090.91 0 Rp 11,045.45 Rp -
77 Hufadon botol 0 Rp 6,627.00 Rp - 10 Rp 6,627.27 Rp 66,272.73 10 Rp 6,627.27 Rp 66,272.73 0 Rp 6,627.27 Rp -
79 Antalgin box 0 Rp 37,555.00 Rp - 1 Rp 37,554.55 Rp 37,554.55 1 Rp 37,554.55 Rp 37,554.55 0 Rp 37,554.55 Rp -
80 Vitamin C IPI botol 0 Rp 4,970.00 Rp - 8 Rp 4,970.45 Rp 39,763.64 8 Rp 4,970.45 Rp 39,763.64 0 Rp 4,970.45 Rp -
81 CTM box 0 Rp 33,136.00 Rp - 1 Rp 33,136.36 Rp 33,136.36 1 Rp 33,136.36 Rp 33,136.36 0 Rp 33,136.36 Rp -
82 Metformin box 0 Rp 83,945.00 Rp - 1 Rp 83,945.45 Rp 83,945.45 1 Rp 83,945.45 Rp 83,945.45 0 Rp 83,945.45 Rp -
83 Hufafural botol 0 Rp 14,359.00 Rp - 10 Rp 14,359.09 Rp 143,590.91 7 Rp 14,359.09 Rp 100,513.64 3 Rp 14,359.09 Rp 43,077.27
84 Prednison tab 5 mg box 0 Rp 34,241.00 Rp - 4 Rp 34,240.91 Rp 136,963.64 4 Rp 34,240.91 Rp 136,963.64 0 Rp 34,240.91 Rp -
85 Meloxicam 15mg box 0 Rp 44,182.00 Rp - 2 Rp 44,181.82 Rp 88,363.64 2 Rp 44,181.82 Rp 88,363.64 0 Rp 44,181.82 Rp -
86 Ibuprofen box 0 Rp 38,659.00 Rp - 2 Rp 38,659.09 Rp 77,318.18 2 Rp 38,659.09 Rp 77,318.18 0 Rp 38,659.09 Rp -
87 GG box 0 Rp 25,405.00 Rp - 3 Rp 25,404.55 Rp 76,213.64 3 Rp 25,404.55 Rp 76,213.64 0 Rp 25,404.55 Rp -
88 Lokev (Omeprazole) box 0 Rp 35,345.00 Rp - 5 Rp 35,345.45 Rp 176,727.27 5 Rp 35,345.45 Rp 176,727.27 0 Rp 35,345.45 Rp -
89 paracetamol syrup botol 0 Rp 8,284.00 Rp - 3 Rp 8,284.09 Rp 24,852.27 3 Rp 8,284.09 Rp 24,852.27 0 Rp 8,284.09 Rp -
90 paracetamol tab 500mg box 0 Rp 20,986.00 Rp - 5 Rp 20,986.36 Rp 104,931.82 5 Rp 20,986.36 Rp 104,931.82 0 Rp 20,986.36 Rp -
91 Asam Mefenamat tab 500 mg box 0 Rp 44,182.00 Rp - 2 Rp 44,181.82 Rp 88,363.64 2 Rp 44,181.82 Rp 88,363.64 0 Rp 44,181.82 Rp -
92 Vitamin B6 box 0 Rp 22,091.00 Rp - 1 Rp 22,090.91 Rp 22,090.91 1 Rp 22,090.91 Rp 22,090.91 0 Rp 22,090.91 Rp -
93 Metoclopramide syrup box 0 Rp 9,941.00 Rp - 10 Rp 9,940.91 Rp 99,409.09 10 Rp 9,940.91 Rp 99,409.09 0 Rp 9,940.91 Rp -
94 Dexamethasone tab 0,5 mg box 0 Rp 32,032.00 Rp - 3 Rp 32,031.82 Rp 96,095.45 3 Rp 32,031.82 Rp 96,095.45 0 Rp 32,031.82 Rp -
95 Natrium Diklofenak box 0 Rp 24,300.00 Rp - 3 Rp 24,300.00 Rp 72,900.00 3 Rp 24,300.00 Rp 72,900.00 0 Rp 24,300.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
96 Ambroxol syrup/reverton botol 0 Rp 14,359.00 Rp - 5 Rp 14,359.09 Rp 71,795.45 5 Rp 14,359.09 Rp 71,795.45 0 Rp 14,359.09 Rp -
97 Ambroxol tab 30 mg Box 0 Rp 32,032.00 Rp - 4 Rp 32,031.82 Rp 128,127.27 4 Rp 32,031.82 Rp 128,127.27 0 Rp 32,031.82 Rp -
98 Nifedipine Box 0 Rp 30,927.00 Rp - 1 Rp 30,927.63 Rp 30,927.63 1 Rp 30,927.63 Rp 30,927.63 0 Rp 30,927.63 Rp -
100 Amlodipine 10 Box 0 Rp 35,345.00 Rp - 13 Rp 35,345.45 Rp 459,490.91 13 Rp 35,345.45 Rp 459,490.91 0 Rp 35,345.45 Rp -
101 Amlodipine 5 Box 0 Rp 33,136.00 Rp - 2 Rp 33,136.36 Rp 66,272.73 2 Rp 33,136.36 Rp 66,272.73 0 Rp 33,136.36 Rp -
102 Simvastatin 20mg Box 0 Rp 44,182.00 Rp - 12 Rp 44,181.82 Rp 530,181.82 12 Rp 44,181.82 Rp 530,181.82 0 Rp 44,181.82 Rp -
104 Salbutamol tab 2 mg Box 0 Rp 24,300.00 Rp - 2 Rp 24,300.00 Rp 48,600.00 2 Rp 24,300.00 Rp 48,600.00 0 Rp 24,300.00 Rp -
105 Betahistin Box 0 Rp 49,705.00 Rp - 1 Rp 49,704.55 Rp 49,704.55 1 Rp 49,704.55 Rp 49,704.55 0 Rp 49,704.55 Rp -
106 Metformin Box 0 Rp 41,973.00 Rp - 3 Rp 41,972.73 Rp 125,918.18 3 Rp 41,972.73 Rp 125,918.18 0 Rp 41,972.73 Rp -
107 Allopurinol 300mg Box 0 Rp 75,109.00 Rp - 5 Rp 75,109.09 Rp 375,545.45 5 Rp 75,109.09 Rp 375,545.45 0 Rp 75,109.09 Rp -
109 Novalgesic syrup botol 0 Rp 8,284.00 Rp - 20 Rp 8,284.09 Rp 165,681.82 20 Rp 8,284.09 Rp 165,681.82 0 Rp 8,284.09 Rp -
111 Metronidasol Box 0 Rp 35,345.00 Rp - 2 Rp 35,345.45 Rp 70,690.91 2 Rp 35,345.45 Rp 70,690.91 0 Rp 35,345.45 Rp -
112 Loratadin Box 0 Rp 22,091.00 Rp - 2 Rp 22,090.91 Rp 44,181.82 2 Rp 22,090.91 Rp 44,181.82 0 Rp 22,090.91 Rp -
113 Meloxicam 15mg Box 0 Rp 44,182.00 Rp - 3 Rp 44,181.82 Rp 132,545.45 3 Rp 44,181.82 Rp 132,545.45 0 Rp 44,181.82 Rp -
114 Meloxicam 7.5mg Box 0 Rp 41,973.00 Rp - 2 Rp 41,972.73 Rp 83,945.45 2 Rp 41,972.73 Rp 83,945.45 0 Rp 41,972.73 Rp -
115 Vitamin C botol 0 Rp 4,970.00 Rp - 16 Rp 4,970.45 Rp 79,527.27 16 Rp 4,970.45 Rp 79,527.27 0 Rp 4,970.45 Rp -
116 Amlodipin 10mg Box 0 Rp 35,345.00 Rp - 9 Rp 35,345.45 Rp 318,109.09 9 Rp 35,345.45 Rp 318,109.09 0 Rp 35,345.45 Rp -
119 Piroxicam 20mg Box 0 Rp 35,345.00 Rp - 5 Rp 35,345.45 Rp 176,727.27 5 Rp 35,345.45 Rp 176,727.27 0 Rp 35,345.45 Rp -
120 Rovalgin Box 0 Rp 37,555.00 Rp - 4 Rp 37,554.55 Rp 150,218.18 4 Rp 37,554.55 Rp 150,218.18 0 Rp 37,554.55 Rp -
121 Farsifen syrup botol 0 Rp 8,836.00 Rp - 8 Rp 8,836.36 Rp 70,690.91 8 Rp 8,836.36 Rp 70,690.91 0 Rp 8,836.36 Rp -
122 Vitamin anak botol 0 Rp 14,359.00 Rp - 7 Rp 14,359.09 Rp 100,513.64 7 Rp 14,359.09 Rp 100,513.64 0 Rp 14,359.09 Rp -
123 Ibuprofen Box 0 Rp 38,659.00 Rp - 2 Rp 38,659.09 Rp 77,318.18 2 Rp 38,659.09 Rp 77,318.18 0 Rp 38,659.09 Rp -
124 Ambroxol Box 0 Rp 32,032.00 Rp - 8 Rp 32,031.82 Rp 256,254.55 8 Rp 32,031.82 Rp 256,254.55 0 Rp 32,031.82 Rp -
125 CTM Box 0 Rp 33,136.00 Rp - 1 Rp 33,136.27 Rp 33,136.27 1 Rp 33,136.27 Rp 33,136.27 0 Rp 33,136.27 Rp -
126 Vit. B Com IPI botol 0 Rp 4,970.00 Rp - 9 Rp 4,970.45 Rp 44,734.09 9 Rp 4,970.45 Rp 44,734.09 0 Rp 4,970.45 Rp -
127 Acyclovir salep tube 0 Rp 6,075.00 Rp - 20 Rp 6,075.00 Rp 121,500.00 20 Rp 6,075.00 Rp 121,500.00 0 Rp 6,075.00 Rp -
128 Dexametason Box 0 Rp 32,032.00 Rp - 7 Rp 32,031.82 Rp 224,222.73 7 Rp 32,031.82 Rp 224,222.73 0 Rp 32,031.82 Rp -
129 GG Box 0 Rp 25,405.00 Rp - 7 Rp 25,404.55 Rp 177,831.82 7 Rp 25,404.55 Rp 177,831.82 0 Rp 25,404.55 Rp -
130 Vit. B6 Box 0 Rp 22,091.00 Rp - 1 Rp 22,090.91 Rp 22,090.91 1 Rp 22,090.91 Rp 22,090.91 0 Rp 22,090.91 Rp -
131 Paracetamol Box 0 Rp 20,986.00 Rp - 5 Rp 20,986.36 Rp 104,931.82 5 Rp 20,986.36 Rp 104,931.82 0 Rp 20,986.36 Rp -
132 Lostacef Box 0 Rp 56,332.00 Rp - 6 Rp 56,331.82 Rp 337,990.91 6 Rp 56,331.82 Rp 337,990.91 0 Rp 56,331.82 Rp -
133 Paracetamol Box 0 Rp 19,882.00 Rp - 10 Rp 19,881.82 Rp 198,818.18 10 Rp 19,881.82 Rp 198,818.18 0 Rp 19,881.82 Rp -
134 Metoclopramide Box 0 Rp 27,614.00 Rp - 5 Rp 27,613.64 Rp 138,068.18 5 Rp 27,613.64 Rp 138,068.18 0 Rp 27,613.64 Rp -
135 Gludepatic Box 0 Rp 36,450.00 Rp - 5 Rp 36,450.00 Rp 182,250.00 5 Rp 36,450.00 Rp 182,250.00 0 Rp 36,450.00 Rp -
136 Farsifen Box 0 Rp 51,914.00 Rp - 10 Rp 51,913.64 Rp 519,136.36 10 Rp 51,913.64 Rp 519,136.36 0 Rp 51,913.64 Rp -
137 Faridexon Box 0 Rp 16,568.00 Rp - 5 Rp 16,568.18 Rp 82,840.91 5 Rp 16,568.18 Rp 82,840.91 0 Rp 16,568.18 Rp -
139 Flasicox Box 0 Rp 43,077.00 Rp - 5 Rp 43,077.27 Rp 215,386.36 5 Rp 43,077.27 Rp 215,386.36 0 Rp 43,077.27 Rp -
140 Novadium Box 0 Rp 22,091.00 Rp - 5 Rp 22,090.91 Rp 110,454.55 3 Rp 22,090.91 Rp 66,272.73 2 Rp 22,090.91 Rp 44,181.82
141 Inflason Box 0 Rp 64,064.00 Rp - 3 Rp 64,063.64 Rp 192,190.91 3 Rp 64,063.64 Rp 192,190.91 0 Rp 64,063.64 Rp -
143 Grafalin 4mg Box 0 Rp 27,614.00 Rp - 5 Rp 27,613.64 Rp 138,068.18 4 Rp 27,613.64 Rp 110,454.55 1 Rp 27,613.64 Rp 27,613.64
144 Roverton Box 0 Rp 25,405.00 Rp - 5 Rp 25,404.55 Rp 127,022.73 5 Rp 25,404.55 Rp 127,022.73 0 Rp 25,404.55 Rp -
145 Asam Mefenamat tab 500 mg Box 0 Rp 36,450.00 Rp - 10 Rp 36,450.00 Rp 364,500.00 10 Rp 36,450.00 Rp 364,500.00 0 Rp 36,450.00 Rp -
146 Coldy's Syrup botol 0 Rp 6,075.00 Rp - 12 Rp 6,075.00 Rp 72,900.00 12 Rp 6,075.00 Rp 72,900.00 0 Rp 6,075.00 Rp -
147 Novalgesic syrup botol 0 Rp 6,075.00 Rp - 10 Rp 6,075.00 Rp 60,750.00 10 Rp 6,075.00 Rp 60,750.00 0 Rp 6,075.00 Rp -
148 Guanistrep syrup botol 0 Rp 6,627.00 Rp - 10 Rp 6,627.27 Rp 66,272.73 10 Rp 6,627.27 Rp 66,272.73 0 Rp 6,627.27 Rp -
149 Lostacef syrup botol 0 Rp 11,045.00 Rp - 10 Rp 11,045.45 Rp 110,454.55 10 Rp 11,045.45 Rp 110,454.55 0 Rp 11,045.45 Rp -
150 Hufaxol botol 0 Rp 6,075.00 Rp - 10 Rp 6,075.00 Rp 60,750.00 10 Rp 6,075.00 Rp 60,750.00 0 Rp 6,075.00 Rp -
154 Histigo/Betahistin Box 0 Rp 49,091.00 Rp - 2 Rp 49,090.91 Rp 98,181.82 2 Rp 49,090.91 Rp 98,181.82 0 Rp 49,090.91 Rp -
155 Methyl Prednisolone Box 0 Rp 41,455.00 Rp - 5 Rp 41,454.55 Rp 207,272.73 5 Rp 41,454.55 Rp 207,272.73 0 Rp 41,454.55 Rp -
156 Allofar 300/Allopurinol 300mg Box 0 Rp 74,182.00 Rp - 5 Rp 74,181.82 Rp 370,909.09 5 Rp 74,181.82 Rp 370,909.09 0 Rp 74,181.82 Rp -
157 Lokev/Omeprazole Box 0 Rp 38,182.00 Rp - 5 Rp 38,181.82 Rp 190,909.09 5 Rp 38,181.82 Rp 190,909.09 0 Rp 38,181.82 Rp -
158 Metanizon/ Antalgin Box 0 Rp 37,091.00 Rp - 2 Rp 37,090.91 Rp 74,181.82 2 Rp 37,090.91 Rp 74,181.82 0 Rp 37,090.91 Rp -
159 Lostacef syrup botol 0 Rp 14,182.00 Rp - 5 Rp 14,181.82 Rp 70,909.09 5 Rp 14,181.82 Rp 70,909.09 0 Rp 14,181.82 Rp -
161 Dexametason Box 0 Rp 31,636.00 Rp - 5 Rp 31,636.36 Rp 158,181.82 5 Rp 31,636.36 Rp 158,181.82 0 Rp 31,636.36 Rp -
162 Gliceryl Guaikolat tab 100 mg Box 0 Rp 25,091.00 Rp - 5 Rp 25,090.91 Rp 125,454.55 5 Rp 25,090.91 Rp 125,454.55 0 Rp 25,090.91 Rp -
163 paracetamol syrup botol 0 Rp 8,727.00 Rp - 5 Rp 8,727.27 Rp 43,636.36 5 Rp 8,727.27 Rp 43,636.36 0 Rp 8,727.27 Rp -
164 Amlodipine 5mg Box 0 Rp 20,000.00 Rp - 4 Rp 20,000.00 Rp 80,000.00 4 Rp 20,000.00 Rp 80,000.00 0 Rp 20,000.00 Rp -
165 Amlodipine 10mg Box 0 Rp 65,000.00 Rp - 4 Rp 65,000.00 Rp 260,000.00 4 Rp 65,000.00 Rp 260,000.00 0 Rp 65,000.00 Rp -
166 Omeprazole Box 0 Rp 15,000.00 Rp - 6 Rp 15,000.00 Rp 90,000.00 6 Rp 15,000.00 Rp 90,000.00 0 Rp 15,000.00 Rp -
168 Loratadine Box 0 Rp 20,000.00 Rp - 2 Rp 20,000.00 Rp 40,000.00 2 Rp 20,000.00 Rp 40,000.00 0 Rp 20,000.00 Rp -
169 Alleron/CTM Box 0 Rp 22,000.00 Rp - 2 Rp 22,000.00 Rp 44,000.00 2 Rp 22,000.00 Rp 44,000.00 0 Rp 22,000.00 Rp -
170 Captopril 25mg Box 0 Rp 20,000.00 Rp - 2 Rp 20,000.00 Rp 40,000.00 2 Rp 20,000.00 Rp 40,000.00 0 Rp 20,000.00 Rp -
171 Vit. B Kompleks botol 0 Rp 8,000.00 Rp - 2 Rp 8,000.00 Rp 16,000.00 2 Rp 8,000.00 Rp 16,000.00 0 Rp 8,000.00 Rp -
172 Paracetamol Syrup botol 0 Rp 4,500.00 Rp - 5 Rp 4,500.00 Rp 22,500.00 5 Rp 4,500.00 Rp 22,500.00 0 Rp 4,500.00 Rp -
173 Hufadon Syrup botol 0 Rp 7,000.00 Rp - 5 Rp 7,000.00 Rp 35,000.00 5 Rp 7,000.00 Rp 35,000.00 0 Rp 7,000.00 Rp -
174 Methyl Prednisolone Box 0 Rp 30,000.00 Rp - 2 Rp 30,000.00 Rp 60,000.00 2 Rp 30,000.00 Rp 60,000.00 0 Rp 30,000.00 Rp -
175 Meloxicam 15mg Box 0 Rp 42,000.00 Rp - 2 Rp 42,000.00 Rp 84,000.00 2 Rp 42,000.00 Rp 84,000.00 0 Rp 42,000.00 Rp -
176 Renadinac/ natrium diclofenak Box 0 Rp 35,000.00 Rp - 2 Rp 35,000.00 Rp 70,000.00 2 Rp 35,000.00 Rp 70,000.00 0 Rp 35,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
177 Omeprazole Box 0 Rp 16,364.00 Rp - 2 Rp 16,363.64 Rp 32,727.27 2 Rp 16,363.64 Rp 32,727.27 0 Rp 16,363.64 Rp -
178 Alofar/Allopurinol 300 Box 0 Rp 68,727.00 Rp - 2 Rp 68,727.27 Rp 137,454.55 2 Rp 68,727.27 Rp 137,454.55 0 Rp 68,727.27 Rp -
179 cefadroxil Box 0 Rp 81,818.00 Rp - 2 Rp 81,818.18 Rp 163,636.36 2 Rp 81,818.18 Rp 163,636.36 0 Rp 81,818.18 Rp -
181 Rafalgin Box 0 Rp 29,455.00 Rp - 1 Rp 29,454.55 Rp 29,454.55 1 Rp 29,454.55 Rp 29,454.55 0 Rp 29,454.55 Rp -
182 Antasida Syrup Botol 0 Rp 5,455.00 Rp - 5 Rp 5,454.55 Rp 27,272.73 5 Rp 5,454.55 Rp 27,272.73 0 Rp 5,454.55 Rp -
183 Amlodipine 5 mg Box 0 Rp 21,818.00 Rp - 2 Rp 21,818.18 Rp 43,636.36 2 Rp 21,818.18 Rp 43,636.36 0 Rp 21,818.18 Rp -
184 Amlodipine 10 mg Box 0 Rp 28,364.00 Rp - 2 Rp 28,363.64 Rp 56,727.27 2 Rp 28,363.64 Rp 56,727.27 0 Rp 28,363.64 Rp -
186 Dexa 0,5 mg Box 0 Rp 28,364.00 Rp - 2 Rp 28,363.64 Rp 56,727.27 2 Rp 28,363.64 Rp 56,727.27 0 Rp 28,363.64 Rp -
187 Glibenclamide box 0 Rp 19,636.00 Rp - 2 Rp 19,636.36 Rp 39,272.73 2 Rp 19,636.36 Rp 39,272.73 0 Rp 19,636.36 Rp -
188 Gentamisin Salf Tube 0 Rp 4,364.00 Rp - 5 Rp 4,363.64 Rp 21,818.18 5 Rp 4,363.64 Rp 21,818.18 0 Rp 4,363.64 Rp -
189 Hufadon/Domperidon Syrup Botol 0 Rp 8,182.00 Rp - 5 Rp 8,181.82 Rp 40,909.09 5 Rp 8,181.82 Rp 40,909.09 0 Rp 8,181.82 Rp -
190 Ketokonasole Salf Tube 0 Rp 7,091.00 Rp - 5 Rp 7,090.91 Rp 35,454.55 5 Rp 7,090.91 Rp 35,454.55 0 Rp 7,090.91 Rp -
191 Loratadine Box 0 Rp 21,818.00 Rp - 2 Rp 21,818.18 Rp 43,636.36 2 Rp 21,818.18 Rp 43,636.36 0 Rp 21,818.18 Rp -
192 Methyl Prednisolon 4 mg Box 0 Rp 32,727.00 Rp - 2 Rp 32,727.27 Rp 65,454.55 2 Rp 32,727.27 Rp 65,454.55 0 Rp 32,727.27 Rp -
193 Miconasole Salf Tube 0 Rp 5,455.00 Rp - 5 Rp 5,454.55 Rp 27,272.73 5 Rp 5,454.55 Rp 27,272.73 0 Rp 5,454.55 Rp -
194 Natrium Diclofenac 50 mg Box 0 Rp 16,364.00 Rp - 2 Rp 16,363.64 Rp 32,727.27 2 Rp 16,363.64 Rp 32,727.27 0 Rp 16,363.64 Rp -
195 Orphen/CTM Box 0 Rp 25,091.00 Rp - 2 Rp 25,090.91 Rp 50,181.82 2 Rp 25,090.91 Rp 50,181.82 0 Rp 25,090.91 Rp -
196 Piroxicam 20 mg Box 0 Rp 27,273.00 Rp - 2 Rp 27,272.73 Rp 54,545.45 2 Rp 27,272.73 Rp 54,545.45 0 Rp 27,272.73 Rp -
197 Ranitidine Box 0 Rp 27,273.00 Rp - 2 Rp 27,272.73 Rp 54,545.45 2 Rp 27,272.73 Rp 54,545.45 0 Rp 27,272.73 Rp -
198 Simvastatin 20 mg Box 0 Rp 17,455.00 Rp - 2 Rp 17,454.55 Rp 34,909.09 2 Rp 17,454.55 Rp 34,909.09 0 Rp 17,454.55 Rp -
199 Vitamin C Box 0 Rp 19,636.00 Rp - 2 Rp 19,636.36 Rp 39,272.73 2 Rp 19,636.36 Rp 39,272.73 0 Rp 19,636.36 Rp -
200 Vit B.Com Box 0 Rp 13,091.00 Rp - 2 Rp 13,090.91 Rp 26,181.82 2 Rp 13,090.91 Rp 26,181.82 0 Rp 13,090.91 Rp -
201 Vosea/ Metoc Syrup Botol 0 Rp 7,636.00 Rp - 5 Rp 7,636.36 Rp 38,181.82 5 Rp 7,636.36 Rp 38,181.82 0 Rp 7,636.36 Rp -
202 Meloxicam 15 mg Box 0 Rp 45,815.00 Rp - 2 Rp 45,818.00 Rp 91,636.00 2 Rp 45,818.00 Rp 91,636.00 0 Rp 45,818.00 Rp -
206 Omeprasole Box 0 Rp 16,364.00 Rp - 5 Rp 16,363.64 Rp 81,818.18 5 Rp 16,363.64 Rp 81,818.18 0 Rp 16,363.64 Rp -
207 Alofar 300/Allopurinol Box 0 Rp 68,727.00 Rp - 2 Rp 68,727.27 Rp 137,454.55 2 Rp 68,727.27 Rp 137,454.55 0 Rp 68,727.27 Rp -
209 Natrium Diclofenac 50mg Box 0 Rp 16,364.00 Rp - 2 Rp 16,363.64 Rp 32,727.27 2 Rp 16,363.64 Rp 32,727.27 0 Rp 16,363.64 Rp -
210 Simvastatin 20 mg Box 0 Rp 16,364.00 Rp - 2 Rp 16,363.64 Rp 32,727.27 2 Rp 16,363.64 Rp 32,727.27 0 Rp 16,363.64 Rp -
211 Ciprofloxacin HCL Box 0 Rp 60,000.00 Rp - 2 Rp 60,000.00 Rp 120,000.00 2 Rp 60,000.00 Rp 120,000.00 0 Rp 60,000.00 Rp -
212 Ibuprofen Box 0 Rp 38,182.00 Rp - 2 Rp 38,181.82 Rp 76,363.64 2 Rp 38,181.82 Rp 76,363.64 0 Rp 38,181.82 Rp -
213 Amlodipin 5 Mg Box 0 Rp 21,818.00 Rp - 2 Rp 21,818.18 Rp 43,636.36 2 Rp 21,818.18 Rp 43,636.36 0 Rp 21,818.18 Rp -
215 Glibenclamide 5 Mg Box 0 Rp 16,364.00 Rp - 2 Rp 16,363.64 Rp 32,727.27 2 Rp 16,363.64 Rp 32,727.27 0 Rp 16,363.64 Rp -
216 Lecozinc/ Zink Sulfat Box 0 Rp 38,182.00 Rp - 2 Rp 38,181.82 Rp 76,363.64 2 Rp 38,181.82 Rp 76,363.64 0 Rp 38,181.82 Rp -
218 Prednison 5 Mg Box 0 Rp 19,636.00 Rp - 2 Rp 19,636.36 Rp 39,272.73 2 Rp 19,636.36 Rp 39,272.73 0 Rp 19,636.36 Rp -
219 Methyl Prednisolon 4 mg Box 0 Rp 32,727.00 Rp - 2 Rp 32,727.27 Rp 65,454.55 2 Rp 32,727.27 Rp 65,454.55 0 Rp 32,727.27 Rp -
220 Meloxicam 7,5 mg Box 0 Rp 27,273.00 Rp - 2 Rp 27,272.73 Rp 54,545.45 2 Rp 27,272.73 Rp 54,545.45 0 Rp 27,272.73 Rp -
221 Meloxicam 15 mg Box 0 Rp 49,091.00 Rp - 1 Rp 49,090.91 Rp 49,090.91 1 Rp 49,090.91 Rp 49,090.91 0 Rp 49,090.91 Rp -
222 Glimepiride 2 Mg Box 0 Rp 139,636.00 Rp - 1 Rp 139,636.36 Rp 139,636.36 1 Rp 139,636.36 Rp 139,636.36 0 Rp 139,636.36 Rp -
223 Metformin 500 Mg Box 0 Rp 27,273.00 Rp - 2 Rp 27,272.73 Rp 54,545.45 2 Rp 27,272.73 Rp 54,545.45 0 Rp 27,272.73 Rp -
224 Orphen/CTM Box 0 Rp 25,091.00 Rp - 2 Rp 25,090.91 Rp 50,181.82 2 Rp 25,090.91 Rp 50,181.82 0 Rp 25,090.91 Rp -
225 Dexamethasone Box 0 Rp 29,455.00 Rp - 2 Rp 29,454.55 Rp 58,909.09 2 Rp 29,454.55 Rp 58,909.09 0 Rp 29,454.55 Rp -
226 Vit B.Com Botol 0 Rp 8,727.00 Rp - 3 Rp 8,727.27 Rp 26,181.82 3 Rp 8,727.27 Rp 26,181.82 0 Rp 8,727.27 Rp -
227 Reco Tetes Telinga Botol 0 Rp 13,091.00 Rp - 10 Rp 13,090.91 Rp 130,909.09 10 Rp 13,090.91 Rp 130,909.09 0 Rp 13,090.91 Rp -
228 Cendo Xitrol 0,6 Ml Botol 0 Rp 6,981.80 Rp - 10 Rp 6,981.80 Rp 69,818.00 10 Rp 6,981.80 Rp 69,818.00 0 Rp 6,981.80 Rp -
229 betametason krim 0,1% Tube 0 Rp 4,364.00 Rp - 10 Rp 4,363.64 Rp 43,636.36 10 Rp 4,363.64 Rp 43,636.36 0 Rp 4,363.64 Rp -
230 Oxytetracycline salf Kulit 3% Tube 0 Rp 4,909.00 Rp - 10 Rp 4,909.09 Rp 49,090.91 10 Rp 4,909.09 Rp 49,090.91 0 Rp 4,909.09 Rp -
231 Miconasole Salf Tube 0 Rp 6,000.00 Rp - 10 Rp 6,000.00 Rp 60,000.00 10 Rp 6,000.00 Rp 60,000.00 0 Rp 6,000.00 Rp -
232 Oxytetracycline salf Mata Tube 0 Rp 6,000.00 Rp - 10 Rp 6,000.00 Rp 60,000.00 10 Rp 6,000.00 Rp 60,000.00 0 Rp 6,000.00 Rp -
233 Aciclovir Krim 5% Tube 0 Rp 4,909.00 Rp - 10 Rp 4,909.09 Rp 49,090.91 10 Rp 4,909.09 Rp 49,090.91 0 Rp 4,909.09 Rp -
234 Ketokonasole krim 2% Tube 0 Rp 7,091.00 Rp - 10 Rp 7,090.91 Rp 70,909.09 10 Rp 7,090.91 Rp 70,909.09 0 Rp 7,090.91 Rp -
235 Vit B.Com IPI Botol 0 Rp 5,000.00 Rp - 1 Rp 5,000.00 Rp 5,000.00 1 Rp 5,000.00 Rp 5,000.00 0 Rp 5,000.00 Rp -
236 Gludefatic/ Metformin Box 0 Rp 50,000.00 Rp - 2 Rp 50,000.00 Rp 100,000.00 2 Rp 50,000.00 Rp 100,000.00 0 Rp 50,000.00 Rp -
237 Omeprasole/Lokev Box 0 Rp 35,000.00 Rp - 3 Rp 35,000.00 Rp 105,000.00 3 Rp 35,000.00 Rp 105,000.00 0 Rp 35,000.00 Rp -
238 Meloxicam Box 0 Rp 44,000.00 Rp - 2 Rp 44,000.00 Rp 88,000.00 2 Rp 44,000.00 Rp 88,000.00 0 Rp 44,000.00 Rp -
240 Alofar 300 box 0 Rp 68,727.27 Rp - 2 Rp 68,727.27 Rp 137,454.55 2 Rp 68,727.27 Rp 137,454.55 0 Rp 68,727.27 Rp -
241 Amlodipine 10 mg box 0 Rp 28,363.64 Rp - 7 Rp 28,363.64 Rp 198,545.45 7 Rp 28,363.64 Rp 198,545.45 0 Rp 28,363.64 Rp -
242 Cetrizine box 0 Rp 38,181.82 Rp - 5 Rp 38,181.82 Rp 190,909.09 5 Rp 38,181.82 Rp 190,909.09 0 Rp 38,181.82 Rp -
244 Dexa 0,5 mg box 0 Rp 29,454.55 Rp - 3 Rp 29,454.55 Rp 88,363.64 3 Rp 29,454.55 Rp 88,363.64 0 Rp 29,454.55 Rp -
248 Meloxicam 15 mg box 0 Rp 49,090.91 Rp - 3 Rp 49,090.91 Rp 147,272.73 3 Rp 49,090.91 Rp 147,272.73 0 Rp 49,090.91 Rp -
249 Myotonic papan 0 Rp 36,000.00 Rp - 1 Rp 36,000.00 Rp 36,000.00 1 Rp 36,000.00 Rp 36,000.00 0 Rp 36,000.00 Rp -
250 Natrium Diclofenak 50mg box 0 Rp 16,363.64 Rp - 5 Rp 16,363.64 Rp 81,818.18 5 Rp 16,363.64 Rp 81,818.18 0 Rp 16,363.64 Rp -
251 Natrium Diclofenak 25mg box 0 Rp 10,909.09 Rp - 5 Rp 10,909.09 Rp 54,545.45 5 Rp 10,909.09 Rp 54,545.45 0 Rp 10,909.09 Rp -
252 Ravalgin box 0 Rp 30,545.45 Rp - 5 Rp 30,545.45 Rp 152,727.27 2 Rp 30,545.45 Rp 61,090.91 3 Rp 30,545.45 Rp 91,636.36
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
253 Omeprasole box 0 Rp 16,363.64 Rp - 10 Rp 16,363.64 Rp 163,636.36 10 Rp 16,363.64 Rp 163,636.36 0 Rp 16,363.64 Rp -
254 Simvastatin 20mg box 0 Rp 16,363.64 Rp - 10 Rp 16,363.64 Rp 163,636.36 10 Rp 16,363.64 Rp 163,636.36 0 Rp 16,363.64 Rp -
256 Calcifar box 0 Rp 21,818.18 Rp - 5 Rp 21,818.18 Rp 109,090.91 4 Rp 21,818.18 Rp 87,272.73 1 Rp 21,818.18 Rp 21,818.18
257 Cipro box 0 Rp 54,545.45 Rp - 5 Rp 54,545.45 Rp 272,727.27 5 Rp 54,545.45 Rp 272,727.27 0 Rp 54,545.45 Rp -
258 Vit B. com botol 0 Rp 8,727.27 Rp - 5 Rp 8,727.27 Rp 43,636.36 5 Rp 8,727.27 Rp 43,636.36 0 Rp 8,727.27 Rp -
259 Nexa papan 0 Rp 25,090.91 Rp - 1 Rp 25,090.91 Rp 25,090.91 1 Rp 25,090.91 Rp 25,090.91 0 Rp 25,090.91 Rp -
260 Ibuprofen 400 box 0 Rp 41,454.55 Rp - 5 Rp 41,454.55 Rp 207,272.73 5 Rp 41,454.55 Rp 207,272.73 0 Rp 41,454.55 Rp -
261 Vit K injeksi ampul 0 Rp 7,636.36 Rp - 30 Rp 7,636.36 Rp 229,090.91 30 Rp 7,636.36 Rp 229,090.91 0 Rp 7,636.36 Rp -
262 Lidocain injeksi ampul 0 Rp 2,181.82 Rp - 30 Rp 2,181.82 Rp 65,454.55 30 Rp 2,181.82 Rp 65,454.55 0 Rp 2,181.82 Rp -
264 Cendoxytrol strip 0 Rp 36,000.00 Rp - 2 Rp 36,000.00 Rp 72,000.00 2 Rp 36,000.00 Rp 72,000.00 0 Rp 36,000.00 Rp -
265 Reco Tetes Mata tube 0 Rp 13,090.91 Rp - 10 Rp 13,090.91 Rp 130,909.09 10 Rp 13,090.91 Rp 130,909.09 0 Rp 13,090.91 Rp -
266 Horvon syrup botol 0 Rp 7,636.36 Rp - 10 Rp 7,636.36 Rp 76,363.64 10 Rp 7,636.36 Rp 76,363.64 0 Rp 7,636.36 Rp -
267 Hufadon syrup botol 0 Rp 8,181.82 Rp - 10 Rp 8,181.82 Rp 81,818.18 10 Rp 8,181.82 Rp 81,818.18 0 Rp 8,181.82 Rp -
268 Lostacef Syrup botol 0 Rp 10,909.09 Rp - 10 Rp 10,909.09 Rp 109,090.91 10 Rp 10,909.09 Rp 109,090.91 0 Rp 10,909.09 Rp -
269 Antasida Syrup botol 0 Rp 5,454.55 Rp - 10 Rp 5,454.55 Rp 54,545.45 10 Rp 5,454.55 Rp 54,545.45 0 Rp 5,454.55 Rp -
270 Metil Ergometrin Injeksi ampul 0 Rp 10,909.09 Rp - 5 Rp 10,909.09 Rp 54,545.45 5 Rp 10,909.09 Rp 54,545.45 0 Rp 10,909.09 Rp -
271 Pehacain box 0 Rp 92,727.27 Rp - 1 Rp 92,727.18 Rp 92,727.18 1 Rp 92,727.18 Rp 92,727.18 0 Rp 92,727.18 Rp -
272 Dexa Injeksi ampul 0 Rp 2,727.27 Rp - 6 Rp 2,727.27 Rp 16,363.64 6 Rp 2,727.27 Rp 16,363.64 0 Rp 2,727.27 Rp -
273 Asam Mefenamat box 0 Rp 42,545.45 Rp - 5 Rp 42,545.45 Rp 212,727.27 5 Rp 42,545.45 Rp 212,727.27 0 Rp 42,545.45 Rp -
274 Amoxicilin box 0 Rp 42,545.45 Rp - 7 Rp 42,545.45 Rp 297,818.18 7 Rp 42,545.45 Rp 297,818.18 0 Rp 42,545.45 Rp -
275 Cefadroxil box 0 Rp 81,818.18 Rp - 5 Rp 81,818.18 Rp 409,090.91 5 Rp 81,818.18 Rp 409,090.91 0 Rp 81,818.18 Rp -
276 Allopurinol 300 box 0 Rp 68,727.27 Rp - 5 Rp 68,727.27 Rp 343,636.36 5 Rp 68,727.27 Rp 343,636.36 0 Rp 68,727.27 Rp -
277 Hestigo box 0 Rp 36,000.00 Rp - 3 Rp 36,000.00 Rp 108,000.00 3 Rp 36,000.00 Rp 108,000.00 0 Rp 36,000.00 Rp -
278 Ranitidine box 0 Rp 27,272.73 Rp - 3 Rp 27,272.73 Rp 81,818.18 3 Rp 27,272.73 Rp 81,818.18 0 Rp 27,272.73 Rp -
279 Methyl 4 mg box 0 Rp 38,659.09 Rp - 3 Rp 38,659.09 Rp 115,977.27 3 Rp 38,659.09 Rp 115,977.27 0 Rp 38,659.09 Rp -
280 Meloxicam 7,5 mg box 0 Rp 27,613.64 Rp - 3 Rp 27,613.64 Rp 82,840.91 3 Rp 27,613.64 Rp 82,840.91 0 Rp 27,613.64 Rp -
281 Metronidasole box 0 Rp 33,136.36 Rp - 1 Rp 33,136.36 Rp 33,136.36 1 Rp 33,136.36 Rp 33,136.36 0 Rp 33,136.36 Rp -
282 Vit C box 0 Rp 27,613.64 Rp - 3 Rp 27,613.64 Rp 82,840.91 3 Rp 27,613.64 Rp 82,840.91 0 Rp 27,613.64 Rp -
283 Sevotan box 0 Rp 86,154.55 Rp - 1 Rp 86,154.82 Rp 86,154.82 1 Rp 86,154.82 Rp 86,154.82 0 Rp 86,154.82 Rp -
289 Simvastatin 20mg box 0 Rp 17,672.73 Rp - 10 Rp 17,672.73 Rp 176,727.27 10 Rp 17,672.73 Rp 176,727.27 0 Rp 17,672.73 Rp -
291 Calcifar box 0 Rp 22,090.91 Rp - 3 Rp 22,090.91 Rp 66,272.73 0 Rp 22,090.91 Rp - 3 Rp 22,090.91 Rp 66,272.73
292 Vit B. com box 0 Rp 16,568.18 Rp - 5 Rp 16,568.18 Rp 82,840.91 5 Rp 16,568.18 Rp 82,840.91 0 Rp 16,568.18 Rp -
293 Vit. B6 botol 0 Rp 11,045.45 Rp - 5 Rp 11,045.45 Rp 55,227.27 1 Rp 11,045.45 Rp 11,045.45 4 Rp 11,045.45 Rp 44,181.82
294 Oxytocin Injeksi ampul 0 Rp 6,627.27 Rp - 15 Rp 6,627.27 Rp 99,409.09 15 Rp 6,627.27 Rp 99,409.09 0 Rp 6,627.27 Rp -
295 Lidocain injeksi ampul 0 Rp 2,209.09 Rp - 30 Rp 2,209.09 Rp 66,272.73 30 Rp 2,209.09 Rp 66,272.73 0 Rp 2,209.09 Rp -
296 Cendoxytrol strip 0 Rp 35,345.45 Rp - 2 Rp 35,345.45 Rp 70,690.91 2 Rp 35,345.45 Rp 70,690.91 0 Rp 35,345.45 Rp -
297 Reco Tetes Mata tube 0 Rp 13,254.55 Rp - 5 Rp 13,254.55 Rp 66,272.73 5 Rp 13,254.55 Rp 66,272.73 0 Rp 13,254.55 Rp -
298 Paracetamol syrup botol 0 Rp 4,970.45 Rp - 10 Rp 4,970.45 Rp 49,704.55 10 Rp 4,970.45 Rp 49,704.55 0 Rp 4,970.45 Rp -
299 Lostacef Syrup botol 0 Rp 11,045.45 Rp - 10 Rp 11,045.45 Rp 110,454.55 10 Rp 11,045.45 Rp 110,454.55 0 Rp 11,045.45 Rp -
300 Amoxilin syrup botol 0 Rp 5,522.73 Rp - 10 Rp 5,522.73 Rp 55,227.27 10 Rp 5,522.73 Rp 55,227.27 0 Rp 5,522.73 Rp -
301 Miconazole salf tube 0 Rp 6,075.00 Rp - 10 Rp 6,075.00 Rp 60,750.00 10 Rp 6,075.00 Rp 60,750.00 0 Rp 6,075.00 Rp -
304 Methyl 4 mg box 0 Rp 38,659.09 Rp - 2 Rp 38,659.09 Rp 77,318.18 2 Rp 38,659.09 Rp 77,318.18 0 Rp 38,659.09 Rp -
305 Meloxicam 7,5 mg box 0 Rp 27,613.64 Rp - 2 Rp 27,613.64 Rp 55,227.27 2 Rp 27,613.64 Rp 55,227.27 0 Rp 27,613.64 Rp -
312 Calcifar box 0 Rp 22,090.91 Rp - 7 Rp 22,090.91 Rp 154,636.36 7 Rp 22,090.91 Rp 154,636.36 0 Rp 22,090.91 Rp -
313 Vit B. com box 0 Rp 16,568.18 Rp - 5 Rp 16,568.18 Rp 82,840.91 5 Rp 16,568.18 Rp 82,840.91 0 Rp 16,568.18 Rp -
314 Glimepiride box 0 Rp 88,363.64 Rp - 2 Rp 88,363.64 Rp 176,727.27 2 Rp 88,363.64 Rp 176,727.27 0 Rp 88,363.64 Rp -
315 Oxytocin Injeksi ampul 0 Rp 6,627.27 Rp - 15 Rp 6,627.27 Rp 99,409.09 15 Rp 6,627.27 Rp 99,409.09 0 Rp 6,627.27 Rp -
316 Lidocain injeksi ampul 0 Rp 2,209.09 Rp - 30 Rp 2,209.09 Rp 66,272.73 5 Rp 2,209.09 Rp 11,045.45 25 Rp 2,209.09 Rp 55,227.27
317 Amoxilin syrup botol 0 Rp 5,522.73 Rp - 10 Rp 5,522.73 Rp 55,227.27 10 Rp 5,522.73 Rp 55,227.27 0 Rp 5,522.73 Rp -
321 Amlodipine 10 box 0 Rp 28,718.18 Rp - 3 Rp 28,718.18 Rp 86,154.55 3 Rp 28,718.18 Rp 86,154.55 0 Rp 28,718.18 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
322 Ravalgin box 0 Rp 30,927.27 Rp - 5 Rp 30,927.27 Rp 154,636.36 5 Rp 30,927.27 Rp 154,636.36 0 Rp 30,927.27 Rp -
323 Asam mefenamat box 0 Rp 43,077.27 Rp - 5 Rp 43,077.27 Rp 215,386.36 5 Rp 43,077.27 Rp 215,386.36 0 Rp 43,077.27 Rp -
324 Cetrizine box 0 Rp 38,659.09 Rp - 5 Rp 38,659.09 Rp 193,295.45 5 Rp 38,659.09 Rp 193,295.45 0 Rp 38,659.09 Rp -
327 Vit B. com botol 0 Rp 8,727.27 Rp - 5 Rp 8,727.27 Rp 43,636.36 5 Rp 8,727.27 Rp 43,636.36 0 Rp 8,727.27 Rp -
329 Natrium Diklofenak 50 box 0 Rp 16,363.64 Rp - 7 Rp 16,363.64 Rp 114,545.45 7 Rp 16,363.64 Rp 114,545.45 0 Rp 16,363.64 Rp -
330 Vit B6 botol 0 Rp 10,909.09 Rp - 4 Rp 10,909.09 Rp 43,636.36 0 Rp 10,909.09 Rp - 4 Rp 10,909.09 Rp 43,636.36
331 Ranitidine box 0 Rp 27,272.73 Rp - 2 Rp 27,272.73 Rp 54,545.45 2 Rp 27,272.73 Rp 54,545.45 0 Rp 27,272.73 Rp -
332 Amoxicilin box 0 Rp 42,545.45 Rp - 6 Rp 42,545.45 Rp 255,272.73 6 Rp 42,545.45 Rp 255,272.73 0 Rp 42,545.45 Rp -
335 Prednison box 0 Rp 19,636.36 Rp - 2 Rp 19,636.36 Rp 39,272.73 2 Rp 19,636.36 Rp 39,272.73 0 Rp 19,636.36 Rp -
336 Diastrix box 0 Rp 21,818.18 Rp - 3 Rp 21,818.18 Rp 65,454.55 3 Rp 21,818.18 Rp 65,454.55 0 Rp 21,818.18 Rp -
337 Ambroxol box 0 Rp 21,818.18 Rp - 2 Rp 21,818.18 Rp 43,636.36 2 Rp 21,818.18 Rp 43,636.36 0 Rp 21,818.18 Rp -
339 Amlodipin 10mg box 0 Rp 28,363.64 Rp - 2 Rp 28,363.64 Rp 56,727.27 2 Rp 28,363.64 Rp 56,727.27 0 Rp 28,363.64 Rp -
340 Reco tetes mata tube 0 Rp 13,090.91 Rp - 5 Rp 13,090.91 Rp 65,454.55 5 Rp 13,090.91 Rp 65,454.55 0 Rp 13,090.91 Rp -
341 Vit K injeksi ampul 0 Rp 7,636.36 Rp - 20 Rp 7,636.36 Rp 152,727.27 20 Rp 7,636.36 Rp 152,727.27 0 Rp 7,636.36 Rp -
343 Elfazon Box 0 Rp 38,000.00 Rp - 3 Rp 38,000.00 Rp 114,000.00 3 Rp 38,000.00 Rp 114,000.00 0 Rp 38,000.00 Rp -
344 Vit B. Com IPI btl 0 Rp 7,000.00 Rp - 4 Rp 7,000.00 Rp 28,000.00 4 Rp 7,000.00 Rp 28,000.00 0 Rp 7,000.00 Rp -
346 Ambroxol Box 0 Rp 27,000.00 Rp - 3 Rp 27,000.00 Rp 81,000.00 3 Rp 27,000.00 Rp 81,000.00 0 Rp 27,000.00 Rp -
348 Natrium diklofenac 50mg Box 0 Rp 22,000.00 Rp - 3 Rp 22,000.00 Rp 66,000.00 3 Rp 22,000.00 Rp 66,000.00 0 Rp 22,000.00 Rp -
350 Cefadroxyl Syrup botol 0 Rp 11,045.45 Rp - 10 Rp 11,045.45 Rp 110,454.55 10 Rp 11,045.45 Rp 110,454.55 0 Rp 11,045.45 Rp -
351 Norvon Syrup botol 0 Rp 7,731.82 Rp - 5 Rp 7,731.82 Rp 38,659.09 5 Rp 7,731.82 Rp 38,659.09 0 Rp 7,731.82 Rp -
352 Roverton/Ambroxol box 0 Rp 26,509.09 Rp - 3 Rp 26,509.09 Rp 79,527.27 3 Rp 26,509.09 Rp 79,527.27 0 Rp 26,509.09 Rp -
353 Cefadroxyl box 0 Rp 44,181.82 Rp - 5 Rp 44,181.82 Rp 220,909.09 5 Rp 44,181.82 Rp 220,909.09 0 Rp 44,181.82 Rp -
356 loratadine box 0 Rp 19,881.82 Rp - 3 Rp 19,881.82 Rp 59,645.45 3 Rp 19,881.82 Rp 59,645.45 0 Rp 19,881.82 Rp -
358 Methyl Prednisolon box 0 Rp 38,659.09 Rp - 3 Rp 38,659.09 Rp 115,977.27 3 Rp 38,659.09 Rp 115,977.27 0 Rp 38,659.09 Rp -
359 Cetrizin box 0 Rp 38,659.09 Rp - 2 Rp 38,659.09 Rp 77,318.18 2 Rp 38,659.09 Rp 77,318.18 0 Rp 38,659.09 Rp -
360 Defemin / CTM botol 0 Rp 8,836.36 Rp - 2 Rp 8,836.36 Rp 17,672.73 2 Rp 8,836.36 Rp 17,672.73 0 Rp 8,836.36 Rp -
361 Captopril 25mg box 0 Rp 29,822.73 Rp - 10 Rp 29,822.73 Rp 298,227.27 10 Rp 29,822.73 Rp 298,227.27 0 Rp 29,822.73 Rp -
362 Ciprofloxacin box 0 Rp 55,227.27 Rp - 3 Rp 55,227.27 Rp 165,681.82 3 Rp 55,227.27 Rp 165,681.82 0 Rp 55,227.27 Rp -
363 Nifedipin box 0 Rp 22,090.91 Rp - 2 Rp 22,090.91 Rp 44,181.82 2 Rp 22,090.91 Rp 44,181.82 0 Rp 22,090.91 Rp -
365 Cefixime 100 box 0 Rp 62,959.09 Rp - 2 Rp 62,959.09 Rp 125,918.18 2 Rp 62,959.09 Rp 125,918.18 0 Rp 62,959.09 Rp -
366 Allopurinol 100mg box 0 Rp 33,136.36 Rp - 3 Rp 33,136.36 Rp 99,409.09 3 Rp 33,136.36 Rp 99,409.09 0 Rp 33,136.36 Rp -
368 Miconazole salf tube 0 Rp 6,075.00 Rp - 10 Rp 6,075.00 Rp 60,750.00 10 Rp 6,075.00 Rp 60,750.00 0 Rp 6,075.00 Rp -
369 Ketoconazole salf tube 0 Rp 7,179.55 Rp - 10 Rp 7,179.55 Rp 71,795.45 10 Rp 7,179.55 Rp 71,795.45 0 Rp 7,179.55 Rp -
370 Gentamisin salf tube 0 Rp 4,418.18 Rp - 10 Rp 4,418.18 Rp 44,181.82 10 Rp 4,418.18 Rp 44,181.82 0 Rp 4,418.18 Rp -
371 Cendo xytrol strip 0 Rp 36,450.00 Rp - 5 Rp 36,450.09 Rp 182,250.45 5 Rp 36,450.09 Rp 182,250.45 0 Rp 36,450.09 Rp -
376 Oxytocin injeksi ampul 0 Rp 11,045.45 Rp - 10 Rp 11,045.45 Rp 110,454.55 10 Rp 11,045.45 Rp 110,454.55 0 Rp 11,045.45 Rp -
377 amoxicilin syrup botol 0 Rp 6,627.27 Rp - 10 Rp 6,627.27 Rp 66,272.73 10 Rp 6,627.27 Rp 66,272.73 0 Rp 6,627.27 Rp -
378 Cefadroxil syrup botol 0 Rp 11,045.45 Rp - 10 Rp 11,045.45 Rp 110,454.55 10 Rp 11,045.45 Rp 110,454.55 0 Rp 11,045.45 Rp -
379 Norvon syrup botol 0 Rp 7,731.82 Rp - 10 Rp 7,731.82 Rp 77,318.18 10 Rp 7,731.82 Rp 77,318.18 0 Rp 7,731.82 Rp -
380 digoxin box 0 Rp 26,509.09 Rp - 1 Rp 26,509.09 Rp 26,509.09 1 Rp 26,509.09 Rp 26,509.09 0 Rp 26,509.09 Rp -
381 Simvastatin 20 box 0 Rp 38,659.09 Rp - 3 Rp 38,659.09 Rp 115,977.27 3 Rp 38,659.09 Rp 115,977.27 0 Rp 38,659.09 Rp -
382 Meloxicam 7,5mg box 0 Rp 27,613.64 Rp - 5 Rp 27,613.64 Rp 138,068.18 5 Rp 27,613.64 Rp 138,068.18 0 Rp 27,613.64 Rp -
383 ranitidin box 0 Rp 27,613.64 Rp - 3 Rp 27,613.67 Rp 82,841.00 3 Rp 27,613.67 Rp 82,841.00 0 Rp 27,613.67 Rp -
384 natrium diklofenak 50mg box 0 Rp 14,359.09 Rp - 5 Rp 14,359.09 Rp 71,795.45 5 Rp 14,359.09 Rp 71,795.45 0 Rp 14,359.09 Rp -
385 natrium diklofenak 25mg box 0 Rp 11,045.45 Rp - 5 Rp 11,045.45 Rp 55,227.27 5 Rp 11,045.45 Rp 55,227.27 0 Rp 11,045.45 Rp -
386 Methyl prednisolon box 0 Rp 38,659.09 Rp - 2 Rp 38,659.09 Rp 77,318.18 2 Rp 38,659.09 Rp 77,318.18 0 Rp 38,659.09 Rp -
387 Amoxicylin box 0 Rp 38,659.09 Rp - 10 Rp 38,659.09 Rp 386,590.91 7 Rp 38,659.09 Rp 270,613.64 3 Rp 38,659.09 Rp 115,977.27
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
BMHP KAPITASI
1 Strip Autocheck Cholesterol box 0 Rp 200,000.00 Rp - 18 Rp 200,000.00 Rp 3,600,000.00 18 Rp 200,000.00 Rp 3,600,000.00 0 Rp 200,000.00 Rp -
2 Strip Autocheck Uric Acid box 0 Rp 145,000.00 Rp - 5 Rp 145,000.00 Rp 725,000.00 5 Rp 145,000.00 Rp 725,000.00 0 Rp 145,000.00 Rp -
3 Strip Autocheck Uric Acid Box 0 Rp 150,000.00 Rp - 6 Rp 150,000.00 Rp 900,000.00 6 Rp 150,000.00 Rp 900,000.00 0 Rp 150,000.00 Rp -
4 Strip Autocheck Glucose box 0 Rp 145,000.00 Rp - 3 Rp 145,000.00 Rp 435,000.00 3 Rp 145,000.00 Rp 435,000.00 0 Rp 145,000.00 Rp -
5 Strip Autocheck Glucose Box 0 Rp 150,000.00 Rp - 10 Rp 150,000.00 Rp 1,500,000.00 8 Rp 150,000.00 Rp 1,200,000.00 2 Rp 150,000.00 Rp 300,000.00
6 Handskun steril uk.7 box 0 Rp 75,000.00 Rp - 17 Rp 75,000.00 Rp 1,275,000.00 17 Rp 75,000.00 Rp 1,275,000.00 0 Rp 75,000.00 Rp -
7 Jas Hujan Pcs 0 Rp 75,000.00 Rp - 5 Rp 75,000.00 Rp 375,000.00 5 Rp 75,000.00 Rp 375,000.00 0 Rp 75,000.00 Rp -
8 Bayclin Pcs 0 Rp 50,000.00 Rp - 6 Rp 50,000.00 Rp 300,000.00 6 Rp 50,000.00 Rp 300,000.00 0 Rp 50,000.00 Rp -
9 Oksigen Besar Pcs 0 Rp 250,000.00 Rp - 1 Rp 250,000.00 Rp 250,000.00 1 Rp 250,000.00 Rp 250,000.00 0 Rp 250,000.00 Rp -
10 Oksigen Kecil Pcs 0 Rp 150,000.00 Rp - 2 Rp 150,000.00 Rp 300,000.00 2 Rp 150,000.00 Rp 300,000.00 0 Rp 150,000.00 Rp -
11 Spoit 3cc pcs 0 Rp 1,000.00 Rp - 300 Rp 1,000.00 Rp 300,000.00 185 Rp 1,000.00 Rp 185,000.00 115 Rp 1,000.00 Rp 115,000.00
12 Alkohol 1Liter Botol 0 Rp 100,000.00 Rp - 1 Rp 100,000.00 Rp 100,000.00 1 Rp 100,000.00 Rp 100,000.00 0 Rp 100,000.00 Rp -
13 Alkohol 100 Ml Botol 0 Rp 15,000.00 Rp - 1 Rp 15,000.00 Rp 15,000.00 1 Rp 15,000.00 Rp 15,000.00 0 Rp 15,000.00 Rp -
14 Infus Set Dewasa/ Makro Pcs 0 Rp 10,000.00 Rp - 10 Rp 10,000.00 Rp 100,000.00 7 Rp 10,000.00 Rp 70,000.00 3 Rp 10,000.00 Rp 30,000.00
15 infusset makro box 0 Rp 400,000.00 Rp - 1 Rp 400,000.00 Rp 400,000.00 0 Rp 400,000.00 Rp - 1 Rp 400,000.00 Rp 400,000.00
16 Hanskun M Box 0 Rp 150,000.00 Rp - 5 Rp 150,000.00 Rp 750,000.00 5 Rp 150,000.00 Rp 750,000.00 0 Rp 150,000.00 Rp -
17 Handscound ukuran M box 0 Rp 125,000.00 Rp - 2 Rp 125,000.00 Rp 250,000.00 2 Rp 125,000.00 Rp 250,000.00 0 Rp 125,000.00 Rp -
18 Hanskun S Box 0 Rp 150,000.00 Rp - 16 Rp 150,000.00 Rp 2,400,000.00 16 Rp 150,000.00 Rp 2,400,000.00 0 Rp 150,000.00 Rp -
19 Handscound ukuran S box 0 Rp 125,000.00 Rp - 3 Rp 125,000.00 Rp 375,000.00 3 Rp 125,000.00 Rp 375,000.00 0 Rp 125,000.00 Rp -
20 Blood Lancet Gea 28G Box 0 Rp 30,000.00 Rp - 2 Rp 30,000.00 Rp 60,000.00 2 Rp 30,000.00 Rp 60,000.00 0 Rp 30,000.00 Rp -
21 Sterile Lancet 28G Box 0 Rp 30,000.00 Rp - 3 Rp 30,000.00 Rp 90,000.00 3 Rp 30,000.00 Rp 90,000.00 0 Rp 30,000.00 Rp -
22 Sterile Surgical blades no 10 pcs 0 Rp 1,200.00 Rp - 100 Rp 1,200.00 Rp 120,000.00 61 Rp 1,200.00 Rp 73,200.00 39 Rp 1,200.00 Rp 46,800.00
23 Hanskun S Box 0 Rp 80,000.00 Rp - 2 Rp 80,000.00 Rp 160,000.00 2 Rp 80,000.00 Rp 160,000.00 0 Rp 80,000.00 Rp -
24 Masker box 0 Rp 100,000.00 Rp - 6 Rp 100,000.00 Rp 600,000.00 6 Rp 100,000.00 Rp 600,000.00 0 Rp 100,000.00 Rp -
25 Penjepit Tali pusar box 0 Rp 120,000.00 Rp - 1 Rp 120,000.00 Rp 120,000.00 1 Rp 120,000.00 Rp 120,000.00 0 Rp 120,000.00 Rp -
26 Tespect box 0 Rp 140,000.00 Rp - 2 Rp 140,000.00 Rp 280,000.00 0 Rp 140,000.00 Rp - 2 Rp 140,000.00 Rp 280,000.00
203 Lidocain Ampul 0 Rp 4,000.00 Rp - 20 Rp 4,000.00 Rp 80,000.00 20 Rp 4,000.00 Rp 80,000.00 0 Rp 4,000.00 Rp -
204 Tiacinon Oxytocin 10 I.U Ampul 0 Rp 13,000.00 Rp - 10 Rp 13,000.00 Rp 130,000.00 10 Rp 13,000.00 Rp 130,000.00 0 Rp 13,000.00 Rp -
205 Vit K Ampul 0 Rp 10,000.00 Rp - 10 Rp 10,000.00 Rp 100,000.00 10 Rp 10,000.00 Rp 100,000.00 0 Rp 10,000.00 Rp -
NILAI OBAT BPJS PUSKESMAS LADONGI JAYA Rp 4,064,254.00 Rp 59,728,312.00 Rp 62,049,143.271 Rp 1,743,422.73
OBAT PROGRAM
1 Vaksin Rabies Vial 0 Rp 206,250.00 Rp - 52 Rp 206,250.00 Rp 10,725,000.00 52 Rp 206,250.00 Rp 10,725,000.00 0 Rp 206,250.00 Rp -
2 Vaksin BCG Vial 28 Rp 59,959.00 Rp 1,678,852.00 160 Rp 59,959.00 Rp 9,593,440.00 175 Rp 59,959.00 Rp 10,492,825.00 13 Rp 59,959.00 Rp 779,467.00
3 Vaksin IPV Vial 0 Rp 59,959.00 Rp - 30 Rp 59,959.00 Rp 1,798,770.00 30 Rp 59,959.00 Rp 1,798,770.00 0 Rp 59,959.00 Rp -
4 Vaksin DPT HB Hib Vial 5 Rp 76,285.00 Rp 381,425.00 290 Rp 76,285.00 Rp 22,122,650.00 283 Rp 76,285.00 Rp 21,588,655.00 12 Rp 76,285.00 Rp 915,420.00
5 Vaksin DT Vial 6 Rp 17,799.40 Rp 106,796.40 74 Rp 17,799.40 Rp 1,317,155.60 66 Rp 17,799.40 Rp 1,174,760.40 14 Rp 17,799.40 Rp 249,191.60
6 Vaksin Polio Vial 1 Rp 19,954.00 Rp 19,954.00 320 Rp 19,954.00 Rp 6,385,280.00 301 Rp 19,954.00 Rp 6,006,154.00 20 Rp 19,954.00 Rp 399,080.00
7 Vaksin Campak /MR Vial 19 Rp 28,204.00 Rp 535,876.00 240 Rp 28,204.00 Rp 6,768,960.00 222 Rp 28,204.00 Rp 6,261,288.00 37 Rp 28,204.00 Rp 1,043,548.00
8 MR Vial 3 Rp 141,648.00 Rp 424,944.00 0 Rp 141,648.00 Rp - 3 Rp 141,648.00 Rp 424,944.00 0 Rp 141,648.00 Rp -
9 Vaksin Hb Uniject Vial 29 Rp 76,285.00 Rp 2,212,265.00 220 Rp 76,285.00 Rp 16,782,700.00 244 Rp 76,285.00 Rp 18,613,540.00 5 Rp 76,285.00 Rp 381,425.00
10 Vaksin Td Vial 32 Rp 16,500.00 Rp 528,000.00 140 Rp 16,500.00 Rp 2,310,000.00 156 Rp 16,500.00 Rp 2,574,000.00 16 Rp 16,500.00 Rp 264,000.00
11 Salin pelarut Vial 29 Rp - Rp - 29 Rp - 0 Rp -
12 Safety Box 5 Liter buah 0 Rp - 7 Rp - 7 Rp - 0 Rp -
13 pelarut buah 0 Rp - 0 Rp - 0 Rp - 0 Rp -
14 ADS 0.05 ML buah 50 Rp - 200 Rp - 250 Rp - 0 Rp -
15 ADS 0.5 ML buah 30 Rp - 1600 Rp - 1630 Rp - 0 Rp -
16 ADS 5 ML buah 70 Rp - 1100 Rp - 1130 Rp - 40 Rp -
17 VITAMIN A BIRU / 100000 IU Soft Kapsul 0 Rp 364.00 Rp - 400 Rp 364.00 Rp 145,600.00 400 Rp 364.00 Rp 145,600.00 0 Rp 364.00 Rp -
18 VITAMIN A MERAH/ 100000 IU Soft Kapsul 0 Rp 622.00 Rp - 600 Rp 622.00 Rp 373,200.00 600 Rp 622.00 Rp 373,200.00 0 Rp 622.00 Rp -
19 TABLET TAMBAH DARAH Tablet 0 Rp 427.00 Rp - 11200 Rp 427.00 Rp 4,782,400.00 10700 Rp 427.00 Rp 4,568,900.00 500 Rp 427.00 Rp 213,500.00
20 Obat TB FDC Kategori I Paket 1 Rp 317,015.00 Rp 317,015.00 10 Rp 317,015.00 Rp 3,170,150.00 9 Rp 317,015.00 Rp 2,853,135.00 2 Rp 317,015.00 Rp 634,030.00
21 Obat TB FDC Kategori I Paket 0 Rp 467,215.00 Rp - 3 Rp 467,215.00 Rp 1,401,645.00 1 Rp 467,215.00 Rp 467,215.00 2 Rp 467,215.00 Rp 934,430.00
22 Obat TB FDC Kategori II Paket 0 Rp 1,661,981.00 Rp - 1 Rp 1,661,981.00 Rp 1,661,981.00 0 Rp 1,661,981.00 Rp - 1 Rp 1,661,981.00 Rp 1,661,981.00
23 Obat TB FDC Katagori Anak Paket 0 Rp 297,751.00 Rp - 1 Rp 189,195.00 Rp 189,195.00 1 Rp 189,195.00 Rp 189,195.00 0 Rp 189,195.00 Rp -
24 Albendazole 400 mg Tablet 935 Rp 363.00 Rp 339,404.20 0 Rp 363.00 Rp - 935 Rp 363.00 Rp 339,404.20 0 Rp 363.00 Rp -
25 Albendazole 400 mg box 0 Rp 208,395.00 Rp - 75 Rp 208,395.00 Rp 15,629,625.00 69 Rp 208,395.00 Rp 14,379,255.00 6 Rp 208,395.00 Rp 1,250,370.00
26 DEC Tablet 0 Rp 190.00 Rp - 40000 Rp 190.00 Rp 7,600,000.00 36888 Rp 190.00 Rp 7,008,720.00 3112 Rp 190.00 Rp 591,280.00
27 SD-HIV Pcs 0 Rp 11,975.00 Rp - 150 Rp 11,975.00 Rp 1,796,250.00 138 Rp 11,975.00 Rp 1,652,550.00 12 Rp 11,975.00 Rp 143,700.00
28 Rapid Test Hepatitis Pcs 0 Rp 9,870.00 Rp - 50 Rp 9,870.00 Rp 493,500.00 40 Rp 9,870.00 Rp 394,800.00 10 Rp 9,870.00 Rp 98,700.00
29 Rapid Test Hepatitis Pcs 0 Rp 8,183.00 Rp - 25 Rp 8,183.00 Rp 204,575.00 25 Rp 8,183.00 Rp 204,575.00 0 Rp 8,183.00 Rp -
NILAI OBAT PROGRAM PUSKESMAS LADONGI JAYA Rp 6,544,531.60 Rp 115,252,076.60 Rp 112,236,485.600 Rp 9,560,122.60
JUMLAH NILAI OBAT PUSKESMAS LADONGI JAYA Rp 91,364,102.95 Rp 239,437,289.24 Rp 257,619,199.423 Rp 73,182,192.77
PUSKESMAS DANGIA
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
OBAT IFK
1 Acetylsteine Tablet 0 Rp 460.00 Rp - 300 Rp 460.00 Rp 138,000.00 200 Rp 460.00 Rp 92,000.00 100 Rp 460.00 Rp 46,000.00
2 Albendazol Tab. 400 Tablet 200 Rp 363.00 Rp 72,600.00 0 Rp 363.00 Rp - 200 Rp 363.00 Rp 72,600.00 0 Rp 363.00 Rp -
3 Albendazol Tab. 400 Tablet 1000 Rp 484.00 Rp 484,000.00 0 Rp 484.00 Rp - 1000 Rp 484.00 Rp 484,000.00 0 Rp 484.00 Rp -
4 Albendazol Sup. 200 mg / 5 ml Botol 0 Rp 4,619.00 Rp - 0 Rp 4,619.00 Rp - 0 Rp 4,619.00 Rp - 0 Rp 4,619.00 Rp -
5 Alkohol 70% Botol 3 Rp 2,832.00 Rp 8,496.00 0 Rp 2,832.00 Rp - 3 Rp 2,832.00 Rp 8,496.00 0 Rp 2,832.00 Rp -
6 ALOPURINOL TAB. 100 mg Tablet 0 Rp 130.00 Rp - 0 Rp 130.00 Rp - 0 Rp 130.00 Rp - 0 Rp 130.00 Rp -
7 ALOPURINOL TAB. 100 mg Tablet 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp -
8 ALOPURINOL TABLET 100 mg Tablet 0 Rp 102.00 Rp - 2000 Rp 102.00 Rp 204,000.00 2000 Rp 102.00 Rp 204,000.00 0 Rp 102.00 Rp -
9 ALOPURINOL TABLET 100 mg Tablet 0 Rp 108.00 Rp - 5000 Rp 108.00 Rp 540,000.00 3600 Rp 108.00 Rp 388,800.00 1400 Rp 108.00 Rp 151,200.00
10 Air Untuk Injeksi 20 ml Vial 4 Rp 2,200.00 Rp 8,800.00 0 Rp 2,200.00 Rp - 4 Rp 2,200.00 Rp 8,800.00 0 Rp 2,200.00 Rp -
11 Air Untuk Injeksi 25 ml Vial 12 Rp 2,860.00 Rp 34,320.00 14 Rp 2,860.00 Rp 40,040.00 19 Rp 2,860.00 Rp 54,340.00 7 Rp 2,860.00 Rp 20,020.00
12 AMBROXOL SYR. 15 mg Botol 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp -
13 AMBROXOL SYR. 15 mg Botol 0 Rp 2,300.00 Rp - 0 Rp 2,300.00 Rp - 0 Rp 2,300.00 Rp - 0 Rp 2,300.00 Rp -
14 AMBROXOL TAB. 30 mg Tablet 0 Rp 380.00 Rp - 0 Rp 380.00 Rp - 0 Rp 380.00 Rp - 0 Rp 380.00 Rp -
15 AMBROXOL TAB. 30 mg Tablet 0 Rp 138.00 Rp - 0 Rp 138.00 Rp - 0 Rp 138.00 Rp - 0 Rp 138.00 Rp -
16 AMBROXOL TAB. 30 mg Tablet 0 Rp 197.34 Rp - 500 Rp 197.34 Rp 98,670.00 100 Rp 197.34 Rp 19,734.00 400 Rp 197.34 Rp 78,936.00
17 Aminofilin Inj 24 mg/ml Ampul 0 Rp 4,204.00 Rp - 0 Rp 4,204.00 Rp - 0 Rp 4,204.00 Rp - 0 Rp 4,204.00 Rp -
18 Aminofilin tab 200 mg Tablet 0 Rp 86.00 Rp - 0 Rp 86.00 Rp - 0 Rp 86.00 Rp - 0 Rp 86.00 Rp -
20 Amlodipin tab 10 mg Tablet 300 Rp 99.00 Rp 29,700.00 900 Rp 99.00 Rp 89,100.00 1200 Rp 99.00 Rp 118,800.00 0 Rp 99.00 Rp -
21 AMLODIPIN KAPLET 10 MG Tablet 250 Rp 110.00 Rp 27,500.00 0 Rp 110.00 Rp - 250 Rp 110.00 Rp 27,500.00 0 Rp 110.00 Rp -
22 AMLODIPIN KAPLET 10 MG Tablet 0 Rp 106.00 Rp - 600 Rp 106.00 Rp 63,600.00 600 Rp 106.00 Rp 63,600.00 0 Rp 106.00 Rp -
23 Amlodipin 5 mg Tablet 0 Rp 93.00 Rp - 0 Rp 93.00 Rp - 0 Rp 93.00 Rp - 0 Rp 93.00 Rp -
24 Amlodipin 5 mg Tablet 450 Rp 78.00 Rp 35,100.00 1500 Rp 78.00 Rp 117,000.00 1950 Rp 78.00 Rp 152,100.00 0 Rp 78.00 Rp -
26 Amoxicilin kapsul/kaplet 250 mg Kapsul 1000 Rp 198.00 Rp 198,000.00 2500 Rp 198.00 Rp 495,000.00 3500 Rp 198.00 Rp 693,000.00 0 Rp 198.00 Rp -
27 Amoxicilin kapsul/kaplet 500 mg Kapsul 0 Rp 336.36 Rp - 0 Rp 336.36 Rp - 0 Rp 336.36 Rp - 0 Rp 336.36 Rp -
28 AMOKSISILIN KAPLET 500 MG kapsul 0 Rp 248.00 Rp - 1500 Rp 248.00 Rp 372,000.00 1500 Rp 248.00 Rp 372,000.00 0 Rp 248.00 Rp -
29 AMOKSISILIN KAPLET 500 MG kapsul 0 Rp 265.00 Rp - 1700 Rp 265.00 Rp 450,500.00 1700 Rp 265.00 Rp 450,500.00 0 Rp 265.00 Rp -
30 AMOKSISILIN KAPLET 500 MG kapsul 0 Rp 269.00 Rp - 1500 Rp 269.00 Rp 403,500.00 0 Rp 269.00 Rp - 1500 Rp 269.00 Rp 403,500.00
32 Amoxicilin sirup kering 250 mg/5 ml Botol 0 Rp 4,730.00 Rp - 0 Rp 4,730.00 Rp - 0 Rp 4,730.00 Rp - 0 Rp 4,730.00 Rp -
33 AMOKSISILIN SIRUP KERING FORET 250 MG / 5ML Botol 10 Rp 3,797.00 Rp 37,970.00 0 Rp 3,797.00 Rp - 10 Rp 3,797.00 Rp 37,970.00 0 Rp 3,797.00 Rp -
34 AMOKSISILIN SIRUP KERING FORET 250 MG / 5ML Botol 60 Rp 3,740.00 Rp 224,400.00 180 Rp 3,740.00 Rp 673,200.00 145 Rp 3,740.00 Rp 542,300.00 0 Rp 3,740.00 Rp -
AMOKSISILIN SIRUP KERING FORET 250 MG / 5ML Botol 95 Rp 3,740.00 Rp 355,300.00 Expired
35 Antasida DOEN I Tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg Tablet 0 Rp 78.00 Rp - 0 Rp 78.00 Rp - 0 Rp 78.00 Rp - 0 Rp 78.00 Rp -
40 Antasida DOEN II Syirup, kombinasi : Aluminium Hidroksida 200 mg/5 ml M Botol 15 Rp 2,290.00 Rp 34,350.00 52 Rp 2,290.00 Rp 119,080.00 42 Rp 2,290.00 Rp 96,180.00 25 Rp 2,290.00 Rp 57,250.00
41 Anti bakteri DOEN salep kombinasi : Basitrasin 500 IU/g + Polimiksilin 10.00 Tube 0 Rp 3,511.00 Rp - 200 Rp 3,511.00 Rp 702,200.00 150 Rp 3,511.00 Rp 526,650.00 50 Rp 3,511.00 Rp 175,550.00
42 Antihemoroid DOEN kombinasi : Bismut subgalat 150 mg Heksaklorofen 2, Supp 0 Rp 3,350.00 Rp - 0 Rp 3,350.00 Rp - 0 Rp 3,350.00 Rp - 0 Rp 3,350.00 Rp -
44 ANTIFUNGI SALEP KOMBINASI Pot 0 Rp 5,757.00 Rp - 6 Rp 5,757.00 Rp 34,542.00 6 Rp 5,757.00 Rp 34,542.00 0 Rp 5,757.00 Rp -
45 ASAM ASKORBAT ( VIT. C ) TABLET 50 MG Tablet 0 Rp 125.00 Rp - 0 Rp 125.00 Rp - 0 Rp 125.00 Rp - 0 Rp 125.00 Rp -
46 ASAM ASKORBAT ( VIT. C ) TABLET 50 MG Tablet 1400 Rp 126.00 Rp 176,400.00 7100 Rp 126.00 Rp 894,600.00 7400 Rp 126.00 Rp 932,400.00 1100 Rp 126.00 Rp 138,600.00
49 Asam folat 1 mg Tablet 0 Rp 52.00 Rp - 0 Rp 52.00 Rp - 0 Rp 52.00 Rp - 0 Rp 52.00 Rp -
50 Asam folat 1 mg Tablet 100 Rp 90.00 Rp 9,000.00 900 Rp 90.00 Rp 81,000.00 700 Rp 90.00 Rp 63,000.00 300 Rp 90.00 Rp 27,000.00
54 ASAM MEFENAMAT KAPLET 500 MG Kaplet 500 Rp 103.00 Rp 51,500.00 0 Rp 103.00 Rp - 500 Rp 103.00 Rp 51,500.00 0 Rp 103.00 Rp -
55 ASIKLOVIR 200 MG Tablet 0 Rp 263.00 Rp - 0 Rp 263.00 Rp - 0 Rp 263.00 Rp - 0 Rp 263.00 Rp -
56 ASIKLOVIR 200 MG Tablet 0 Rp 236.00 Rp - 800 Rp 236.00 Rp 188,800.00 600 Rp 236.00 Rp 141,600.00 200 Rp 236.00 Rp 47,200.00
57 Asiklovir 400 mg Tablet 0 Rp 415.00 Rp - 0 Rp 415.00 Rp - 0 Rp 415.00 Rp - 0 Rp 415.00 Rp -
58 Asiklovir 400 mg Tablet 700 Rp 440.00 Rp 308,000.00 500 Rp 440.00 Rp 220,000.00 1140 Rp 440.00 Rp 501,600.00 60 Rp 440.00 Rp 26,400.00
59 Atropin injeksi i.m/i.v/s.k 0,25 mg/ml (Sulfat) Ampul 0 Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp -
62 BEDAK SALISIL SERBUK 2 % Dus 1 Rp 1,081.00 Rp 1,081.00 0 Rp 1,081.00 Rp - 1 Rp 1,081.00 Rp 1,081.00 0 Rp 1,081.00 Rp -
63 BEDAK SALISIL SERBUK 2 % pcs 0 Rp 6,426.20 Rp - 6 Rp 6,426.20 Rp 38,557.20 4 Rp 6,426.20 Rp 25,704.80 2 Rp 6,426.20 Rp 12,852.40
64 Betametason Krim 0,1 % (sebagai valerat) Tube 0 Rp 1,596.00 Rp - 0 Rp 1,596.00 Rp - 0 Rp 1,596.00 Rp - 0 Rp 1,596.00 Rp -
67 BETAMETASON DIPROPIONATE 0.05% Tube 0 Rp 3,350.00 Rp - 45 Rp 3,350.00 Rp 150,750.00 40 Rp 3,350.00 Rp 134,000.00 5 Rp 3,350.00 Rp 16,750.00
68 Betahistin Masilat 6 Mg Tablet 0 Rp 924.00 Rp - 0 Rp 924.00 Rp - 0 Rp 924.00 Rp - 0 Rp 924.00 Rp -
69 Betahistin Masilat 6 Mg Tablet 0 Rp 19,800.00 Rp - 0 Rp 19,800.00 Rp - 0 Rp 19,800.00 Rp - 0 Rp 19,800.00 Rp -
70 BETAHISTIN TABLET 6 MG Tablet 0 Rp 165.00 Rp - 0 Rp 165.00 Rp - 0 Rp 165.00 Rp - 0 Rp 165.00 Rp -
71 Captopril 12,5 mg Tablet 0 Rp 81.82 Rp - 0 Rp 81.82 Rp - 0 Rp 81.82 Rp - 0 Rp 81.82 Rp -
72 Captopril 12,5 mg Tablet 1300 Rp 68.00 Rp 88,400.00 0 Rp 68.00 Rp - 1300 Rp 68.00 Rp 88,400.00 0 Rp 68.00 Rp -
73 Captopril 12,5 mg Tablet 0 Rp 73.00 Rp - 500 Rp 73.00 Rp 36,500.00 400 Rp 73.00 Rp 29,200.00 100 Rp 73.00 Rp 7,300.00
74 Captopril 25 mg Tablet 0 Rp 125.23 Rp - 0 Rp 125.23 Rp - 0 Rp 125.23 Rp - 0 Rp 125.23 Rp -
75 Captopril 25 mg Tablet 0 Rp 181.12 Rp - 500 Rp 181.12 Rp 90,557.50 200 Rp 181.12 Rp 36,223.00 300 Rp 181.12 Rp 54,334.50
78 Cefadroxil SK 125 Mg/5 ml Kapsul 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
79 Cefixime 100 Mg Kapsul 0 Rp 1,300.00 Rp - 0 Rp 1,300.00 Rp - 0 Rp 1,300.00 Rp - 0 Rp 1,300.00 Rp -
80 CEFIXIME 100 MG KAPSUL Kapsul 0 Rp 4,780.01 Rp - 0 Rp 4,780.01 Rp - 0 Rp 4,780.01 Rp - 0 Rp 4,780.01 Rp -
81 CETIRIZINE 10 MG TABLET Tablet 0 Rp 620.00 Rp - 0 Rp 620.00 Rp - 0 Rp 620.00 Rp - 0 Rp 620.00 Rp -
82 CETIRIZINE SYR. 5 mg / 5 ml Botol 70 Rp 3,104.00 Rp 217,280.00 150 Rp 3,104.00 Rp 465,600.00 135 Rp 3,104.00 Rp 419,040.00 85 Rp 3,104.00 Rp 263,840.00
83 CLINDAMYCIN 300 MG CAPSUL KAPSUL 0 Rp 2,739.99 Rp - 50 Rp 2,739.99 Rp 136,999.50 50 Rp 2,739.99 Rp 136,999.50 0 Rp 2,739.99 Rp -
85 Deksametason Injeksi i.v/i.m 5 mg/ml Ampul 0 Rp 1,278.00 Rp - 10 Rp 1,278.00 Rp 12,780.00 10 Rp 1,278.00 Rp 12,780.00 0 Rp 1,278.00 Rp -
88 Deksametason Tablet 0,5 mg Tablet 0 Rp 136.06 Rp - 500 Rp 136.06 Rp 68,029.50 400 Rp 136.06 Rp 54,423.60 100 Rp 136.06 Rp 13,605.90
89 Domperidon Tablet 10 mg Tablet 0 Rp 260.00 Rp - 0 Rp 260.00 Rp - 0 Rp 260.00 Rp - 0 Rp 260.00 Rp -
90 Domperidon Tablet 10 mg Tablet 300 Rp 90.00 Rp 27,000.00 1300 Rp 90.00 Rp 117,000.00 1000 Rp 90.00 Rp 90,000.00 600 Rp 90.00 Rp 54,000.00
91 Doksisilin kaps 100 mg Tablet 0 Rp 280.00 Rp - 200 Rp 280.00 Rp 56,000.00 100 Rp 280.00 Rp 28,000.00 100 Rp 280.00 Rp 28,000.00
92 DIGOXIN 0,25 MG Tablet 0 Rp 104.00 Rp - 100 Rp 104.00 Rp 10,400.00 100 Rp 104.00 Rp 10,400.00 0 Rp 104.00 Rp -
93 Epinefrin (Adrenalin) Injeksi i.v/s.k/i.m 1 mg/ml Ampul 0 Rp 8,910.00 Rp - 0 Rp 8,910.00 Rp - 0 Rp 8,910.00 Rp - 0 Rp 8,910.00 Rp -
94 Epinefrin (Adrenalin) Injeksi i.v/s.k/i.m 1 mg/ml Ampul 5 Rp 2,068.00 Rp 10,340.00 0 Rp 2,068.00 Rp - 5 Rp 2,068.00 Rp 10,340.00 0 Rp 2,068.00 Rp -
95 EPINEFRIN ( ADRENALIN )INJ. 1 MG/ML ( 0,1 % ) Ampul 8 Rp 1,848.00 Rp 14,784.00 0 Rp 1,848.00 Rp - 8 Rp 1,848.00 Rp 14,784.00 0 Rp 1,848.00 Rp -
96 Eritromisin Kapsul/Kaplet 250 mg Kapsul 0 Rp 711.00 Rp - 1600 Rp 711.00 Rp 1,137,600.00 1000 Rp 711.00 Rp 711,000.00 600 Rp 711.00 Rp 426,600.00
97 Eritromisin Kapsul/Kaplet 250 mg Kapsul 200 Rp 677.00 Rp 135,400.00 0 Rp 677.00 Rp - 200 Rp 677.00 Rp 135,400.00 0 Rp 677.00 Rp -
98 ERITROMISIN SIRUP KERING 200 MG/5ML Botol 70 Rp 6,622.00 Rp 463,540.00 0 Rp 6,622.00 Rp - 70 Rp 6,622.00 Rp 463,540.00 0 Rp 6,622.00 Rp -
99 Eritromisin sirup kering 200 mg/5 ml Botol 0 Rp 8,090.00 Rp - 0 Rp 8,090.00 Rp - 0 Rp 8,090.00 Rp - 0 Rp 8,090.00 Rp -
100 Etakridin (Rivanol) Botol 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp -
105 Fitomenadion (vit.K1) injeksi i.m 2 mg/ml Ampul 0 Rp 3,754.00 Rp - 0 Rp 3,754.00 Rp - 0 Rp 3,754.00 Rp - 0 Rp 3,754.00 Rp -
106 FITOMENADION (VIT.K1) INJ. 2 MG/ML Ampul 0 Rp 4,420.00 Rp - 60 Rp 4,420.00 Rp 265,200.00 30 Rp 4,420.00 Rp 132,600.00 30 Rp 4,420.00 Rp 132,600.00
107 FITOMENADION (VIT.K1) INJ. 2 MG/ML Ampul 0 Rp 4,260.00 Rp - 0 Rp 4,260.00 Rp - 0 Rp 4,260.00 Rp - 0 Rp 4,260.00 Rp -
108 Fitomenadion (vit.K1) tablet salut gula 10 mg Tablet 0 Rp 698.00 Rp - 0 Rp 698.00 Rp - 0 Rp 698.00 Rp - 0 Rp 698.00 Rp -
109 Formalin 40 % Botol 0 Rp 42,000.00 Rp - 0 Rp 42,000.00 Rp - 0 Rp 42,000.00 Rp - 0 Rp 42,000.00 Rp -
110 Furosemid Tab. 40 mg Tablet 100 Rp 82.00 Rp 8,200.00 9000 Rp 82.00 Rp 738,000.00 5800 Rp 82.00 Rp 475,600.00 3300 Rp 82.00 Rp 270,600.00
111 Generik Antifungi Salep Kombinasi : Asam Benzoat6% + Asam Salisilat 3% Pot 0 Rp 5,395.00 Rp - 143 Rp 5,395.00 Rp 771,485.00 95 Rp 5,395.00 Rp 512,525.00 48 Rp 5,395.00 Rp 258,960.00
113 Gentamicin Salep Mata 0.3% Tube 48 Rp 3,210.00 Rp 154,080.00 0 Rp 3,210.00 Rp - 40 Rp 3,210.00 Rp 128,400.00 8 Rp 3,210.00 Rp 25,680.00
114 Glibenklamide 5 mg Tablet 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp -
115 Glibenklamide 5 mg Tablet 0 Rp 130.00 Rp - 0 Rp 130.00 Rp - 0 Rp 130.00 Rp - 0 Rp 130.00 Rp -
116 Glimefride Tab 1 mg Tablet 0 Rp 278.00 Rp - 0 Rp 278.00 Rp - 0 Rp 278.00 Rp - 0 Rp 278.00 Rp -
117 Glimefride Tab 1 mg Tablet 200 Rp 174.00 Rp 34,800.00 2500 Rp 174.00 Rp 435,000.00 2500 Rp 174.00 Rp 435,000.00 200 Rp 174.00 Rp 34,800.00
122 Glukosa Larutan Infus 5% steril Botol 0 Rp 5,720.00 Rp - 0 Rp 5,720.00 Rp - 0 Rp 5,720.00 Rp - 0 Rp 5,720.00 Rp -
GLUKOSA LARUTAN INFUS 5% Botol 460 Rp 6,900.00 Rp 3,174,000.00 Expired
124 GLUKOSA LARUTAN INFUS 5% Botol 0 Rp 7,363.00 Rp - 20 Rp 7,363.00 Rp 147,260.00 0 Rp 7,363.00 Rp - 20 Rp 7,363.00 Rp 147,260.00
125 Griseofulvin tablet 125 mg Tablet 100 Rp 230.00 Rp 23,000.00 0 Rp 230.00 Rp - 100 Rp 230.00 Rp 23,000.00 0 Rp 230.00 Rp -
126 GRISEOFULVIN TABLET 125 MG Tablet 0 Rp 266.00 Rp - 0 Rp 266.00 Rp - 0 Rp 266.00 Rp - 0 Rp 266.00 Rp -
127 GRISEOFULVIN TABLET 125 MG Tablet 700 Rp 231.00 Rp 161,700.00 0 Rp 231.00 Rp - 700 Rp 231.00 Rp 161,700.00 0 Rp 231.00 Rp -
128 HALOPERIDOL TABLET 1,5 M Tablet 0 Rp 65.00 Rp - 0 Rp 65.00 Rp - 0 Rp 65.00 Rp - 0 Rp 65.00 Rp -
129 Hidrogen Peroksida cairan konsentrat Botol 0 Rp 34,222.50 Rp - 0 Rp 34,222.50 Rp - 0 Rp 34,222.50 Rp - 0 Rp 34,222.50 Rp -
130 Hydroklortiazid (HCT) 25 mg tablet Tablet 0 Rp 76.50 Rp - 0 Rp 76.50 Rp - 0 Rp 76.50 Rp - 0 Rp 76.50 Rp -
131 HIDROKLORTIAZID TABLET 25 MG Tablet 600 Rp 179.00 Rp 107,400.00 500 Rp 179.00 Rp 89,500.00 1100 Rp 179.00 Rp 196,900.00 0 Rp 179.00 Rp -
132 HIDROKLORTIAZID TABLET 25 MG Tablet 500 Rp 186.00 Rp 93,000.00 1000 Rp 186.00 Rp 186,000.00 1000 Rp 186.00 Rp 186,000.00 500 Rp 186.00 Rp 93,000.00
133 Hydrokortison 2,5 % krim 5 gram Tube 0 Rp 2,838.00 Rp - 0 Rp 2,838.00 Rp - 0 Rp 2,838.00 Rp - 0 Rp 2,838.00 Rp -
134 Hydrokortison 2,5 % krim 5 gram Tube 25 Rp 2,648.00 Rp 66,200.00 120 Rp 2,648.00 Rp 317,760.00 145 Rp 2,648.00 Rp 383,960.00 0 Rp 2,648.00 Rp -
135 Ibuprofen suspensi 200 mg/5 ml Botol 0 Rp 2,620.00 Rp - 0 Rp 2,620.00 Rp - 0 Rp 2,620.00 Rp - 0 Rp 2,620.00 Rp -
136 Ibuprofen suspensi 200 mg/5 ml Botol 0 Rp 5,509.00 Rp - 48 Rp 5,509.00 Rp 264,432.00 48 Rp 5,509.00 Rp 264,432.00 0 Rp 5,509.00 Rp -
139 Kalsium Glukonat Inj. i.v 10% (100 mg/ml) Ampul 0 Rp 5,362.50 Rp - 0 Rp 5,362.50 Rp - 0 Rp 5,362.50 Rp - 0 Rp 5,362.50 Rp -
140 Kalsium Laktat (kalk) 500mg Tablet 0 Rp 64.00 Rp - 1500 Rp 64.00 Rp 96,000.00 0 Rp 64.00 Rp - 1500 Rp 64.00 Rp 96,000.00
141 Kalsium Laktat (kalk) 500mg Tablet 800 Rp 60.00 Rp 48,000.00 3500 Rp 60.00 Rp 210,000.00 4300 Rp 60.00 Rp 258,000.00 0 Rp 60.00 Rp -
142 Katopril Tablet Scored 25 mg Tablet 0 Rp 97.00 Rp - 0 Rp 97.00 Rp - 0 Rp 97.00 Rp - 0 Rp 97.00 Rp -
143 Karbon aktif tablet Tablet 0 Rp 126.75 Rp - 0 Rp 126.75 Rp - 0 Rp 126.75 Rp - 0 Rp 126.75 Rp -
144 Ketokonazole 200 mg Tablet 0 Rp 320.00 Rp - 0 Rp 320.00 Rp - 0 Rp 320.00 Rp - 0 Rp 320.00 Rp -
145 Ketokonazole 200 mg Tablet 100 Rp 317.00 Rp 31,700.00 0 Rp 317.00 Rp - 100 Rp 317.00 Rp 31,700.00 0 Rp 317.00 Rp -
146 Ketokonazole Cream 2% Tube 29 Rp 2,694.00 Rp 78,126.00 0 Rp 2,694.00 Rp - 29 Rp 2,694.00 Rp 78,126.00 0 Rp 2,694.00 Rp -
147 KLORAMPHENICOL 250MG CAPS Kapsul 500 Rp 1,110.00 Rp 554,999.50 0 Rp 1,110.00 Rp - 500 Rp 1,110.00 Rp 554,999.50 0 Rp 1,110.00 Rp -
149 Kloramfenikol kapsul/kaplet 250 mg kapsul 0 Rp 677.84 Rp - 1000 Rp 677.84 Rp 677,842.00 200 Rp 677.84 Rp 135,568.40 800 Rp 677.84 Rp 542,273.60
150 Kloramfenikol salep mata 1 % Tube 9 Rp 1,000.00 Rp 9,000.00 0 Rp 1,000.00 Rp - 9 Rp 1,000.00 Rp 9,000.00 0 Rp 1,000.00 Rp -
151 KLORAMFENIKOL SALEP MATA 1 % Tube 0 Rp 1,850.00 Rp - 0 Rp 1,850.00 Rp - 0 Rp 1,850.00 Rp - 0 Rp 1,850.00 Rp -
152 KLORAMFENIKOL SALEP MATA 1 % Tube 44 Rp 2,013.00 Rp 88,572.00 24 Rp 2,013.00 Rp 48,312.00 55 Rp 2,013.00 Rp 110,715.00 13 Rp 2,013.00 Rp 26,169.00
157 KLORFENIRAMINA MALEAT ( CTM ) TABLET 4 MG Tablet 200 Rp 22.00 Rp 4,400.00 0 Rp 22.00 Rp - 200 Rp 22.00 Rp 4,400.00 0 Rp 22.00 Rp -
158 KODEIN TABLET 10 MG Tablet 0 Rp 660.00 Rp - 0 Rp 660.00 Rp - 0 Rp 660.00 Rp - 0 Rp 660.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
159 KOTRIMOKSAZOL ( DEWASA ) KOMBINASI : SULFAMEKTOKSAZOL 400 Tablet 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0 Rp 135.00 Rp -
160 KOTRIMOKSAZOL ( DEWASA ) KOMBINASI : SULFAMEKTOKSAZOL 400 Tablet 1800 Rp 129.00 Rp 232,200.00 0 Rp 129.00 Rp - 1500 Rp 129.00 Rp 193,500.00 300 Rp 129.00 Rp 38,700.00
161 Kotrimoksazol suspensi kombinasi ; Sulfametoksazol 200 mg + Trimetropin Botol 0 Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp -
162 Kotrimoksazol suspensi kombinasi ; Sulfametoksazol 200 mg + Trimetropin Botol 30 Rp 2,119.00 Rp 63,570.00 0 Rp 2,119.00 Rp - 30 Rp 2,119.00 Rp 63,570.00 0 Rp 2,119.00 Rp -
163 Kotrimoksazol suspensi kombinasi ; Sulfametoksazol 200 mg + Trimetropin Botol 0 Rp 2,115.00 Rp - 50 Rp 2,115.00 Rp 105,750.00 45 Rp 2,115.00 Rp 95,175.00 5 Rp 2,115.00 Rp 10,575.00
165 KOMBINASI FERRO FUMARAT + ASAM FOLAT (TABLET TAMBAH DARA Tablet 0 Rp 427.00 Rp - 11200 Rp 427.00 Rp 4,782,400.00 11200 Rp 427.00 Rp 4,782,400.00 0 Rp 427.00 Rp -
167 Larutan mengandung elektrolit (Ringer laktat) Botol 330 Rp 5,720.00 Rp 1,887,600.00 0 Rp 5,720.00 Rp - 210 Rp 5,720.00 Rp 1,201,200.00 120 Rp 5,720.00 Rp 686,400.00
168 Larutan mengandung elektrolit (Ringer laktat) Botol 40 Rp 7,150.00 Rp 286,000.00 0 Rp 7,150.00 Rp - 0 Rp 7,150.00 Rp - 40 Rp 7,150.00 Rp 286,000.00
169 Larutan mengandung elektrolit (Ringer laktat) Botol 0 Rp 7,630.00 Rp - 20 Rp 7,630.00 Rp 152,600.00 0 Rp 7,630.00 Rp - 20 Rp 7,630.00 Rp 152,600.00
170 Lidokain Injeksi 2% Ampul 20 Rp 1,375.00 Rp 27,500.00 60 Rp 1,375.00 Rp 82,500.00 80 Rp 1,375.00 Rp 110,000.00 0 Rp 1,375.00 Rp -
171 Lidokain Injeksi 2% Ampul 0 Rp 1,467.00 Rp - 20 Rp 1,467.00 Rp 29,340.00 10 Rp 1,467.00 Rp 14,670.00 10 Rp 1,467.00 Rp 14,670.00
172 Lidokain Compsitum Inj. 2% + Epinefrin 1:80.000 Inj: Botol 30 Rp 1,380.00 Rp 41,400.00 0 Rp 1,380.00 Rp - 30 Rp 1,380.00 Rp 41,400.00 0 Rp 1,380.00 Rp -
173 Lisol Botol 0 Rp 21,500.00 Rp - 0 Rp 21,500.00 Rp - 0 Rp 21,500.00 Rp - 0 Rp 21,500.00 Rp -
174 Lisol Botol 0 Rp 31,570.00 Rp - 10 Rp 31,570.00 Rp 315,700.00 6 Rp 31,570.00 Rp 189,420.00 4 Rp 31,570.00 Rp 126,280.00
176 Loratidin tablet 10 mg Tablet 0 Rp 302.80 Rp - 0 Rp 302.80 Rp - 0 Rp 302.80 Rp - 0 Rp 302.80 Rp -
177 Loratidin tablet 10 mg Tablet 200 Rp 150.00 Rp 30,000.00 0 Rp 150.00 Rp - 200 Rp 150.00 Rp 30,000.00 0 Rp 150.00 Rp -
179 Magnesium Sulfat 40% injeksi - 25 ml Vial 0 Rp 2,000.00 Rp - 0 Rp 2,000.00 Rp - 0 Rp 2,000.00 Rp - 0 Rp 2,000.00 Rp -
181 Magnesium Sulfat serbuk 30 gram Sachet 0 Rp 3,802.00 Rp - 0 Rp 3,802.00 Rp - 0 Rp 3,802.00 Rp - 0 Rp 3,802.00 Rp -
182 MELOXICAM 15 MG TABLET Tablet 0 Rp 2,380.00 Rp - 0 Rp 2,380.00 Rp - 0 Rp 2,380.00 Rp - 0 Rp 2,380.00 Rp -
183 Metampiron (antalgin) 2 ml injeksi Ampul 0 Rp 1,925.00 Rp - 0 Rp 1,925.00 Rp - 0 Rp 1,925.00 Rp - 0 Rp 1,925.00 Rp -
184 Metampiron (antalgin) 500 mg Tablet 0 Rp 155.00 Rp - 0 Rp 155.00 Rp - 0 Rp 155.00 Rp - 0 Rp 155.00 Rp -
185 Metampiron (antalgin) 500 mg Tablet 0 Rp 1,440.00 Rp - 0 Rp 1,440.00 Rp - 0 Rp 1,440.00 Rp - 0 Rp 1,440.00 Rp -
186 METILERGOMETRIN INJ. 0,2 MG/ML Ampul 10 Rp 3,421.00 Rp 34,210.00 0 Rp 3,421.00 Rp - 10 Rp 3,421.00 Rp 34,210.00 0 Rp 3,421.00 Rp -
187 METILERGOMETRIN MALEAT Tablet 300 Rp 271.00 Rp 81,300.00 0 Rp 271.00 Rp - 100 Rp 271.00 Rp 27,100.00 200 Rp 271.00 Rp 54,200.00
188 Metilprednisolon tablet 4 mg Tablet 0 Rp 170.00 Rp - 0 Rp 170.00 Rp - 0 Rp 170.00 Rp - 0 Rp 170.00 Rp -
189 Metilprednisolon tablet 4 mg Tablet 500 Rp 143.00 Rp 71,500.00 1000 Rp 143.00 Rp 143,000.00 1500 Rp 143.00 Rp 214,500.00 0 Rp 143.00 Rp -
190 Metilprednisolon tablet 4 mg Tablet 0 Rp 153.00 Rp - 500 Rp 153.00 Rp 76,500.00 500 Rp 153.00 Rp 76,500.00 0 Rp 153.00 Rp -
193 Metformin 500 mg Tablet 2300 Rp 110.00 Rp 253,000.00 2500 Rp 110.00 Rp 275,000.00 4800 Rp 110.00 Rp 528,000.00 0 Rp 110.00 Rp -
194 Metoklorperamide tablet 5 mg Tablet 1300 Rp 129.00 Rp 167,700.00 200 Rp 129.00 Rp 25,800.00 1400 Rp 129.00 Rp 180,600.00 100 Rp 129.00 Rp 12,900.00
195 Metoklorperamide tablet 10 mg Tablet 0 Rp 100.00 Rp - 0 Rp 100.00 Rp - 0 Rp 100.00 Rp - 0 Rp 100.00 Rp -
196 METOKLOPRAMIDE TABLET 10 MG Tablet 0 Rp 93.00 Rp - 2500 Rp 93.00 Rp 232,500.00 600 Rp 93.00 Rp 55,800.00 1900 Rp 93.00 Rp 176,700.00
197 METOKLOPRAMIDE TABLET 10 MG Tablet 700 Rp 87.00 Rp 60,900.00 0 Rp 87.00 Rp - 100 Rp 87.00 Rp 8,700.00 600 Rp 87.00 Rp 52,200.00
202 Miconazole 2% krim (nitrat) Tube 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp -
203 Miconazole 2% krim (nitrat) Tube 0 Rp 4,097.00 Rp - 5 Rp 4,097.00 Rp 20,485.00 5 Rp 4,097.00 Rp 20,485.00 0 Rp 4,097.00 Rp -
205 Natrium Diklofenat tablet 25 mg Tablet 800 Rp 154.00 Rp 123,200.00 1300 Rp 154.00 Rp 200,200.00 2100 Rp 154.00 Rp 323,400.00 0 Rp 154.00 Rp -
208 Natrium Klorida (NaCl) 0.9% larutan infus 500 ml Botol 0 Rp 5,170.00 Rp - 0 Rp 5,170.00 Rp - 0 Rp 5,170.00 Rp - 0 Rp 5,170.00 Rp -
209 Natrium Klorida (NaCl) 0.9% larutan infus 500 ml Botol 93 Rp 6,410.00 Rp 596,130.00 40 Rp 6,410.00 Rp 256,400.00 133 Rp 6,410.00 Rp 852,530.00 0 Rp 6,410.00 Rp -
210 Nifedipine tablet 10 mg Tablet 0 Rp 127.00 Rp - 0 Rp 127.00 Rp - 0 Rp 127.00 Rp - 0 Rp 127.00 Rp -
211 Nistatin 500.000 IU tablet salut Tablet 0 Rp 704.00 Rp - 0 Rp 704.00 Rp - 0 Rp 704.00 Rp - 0 Rp 704.00 Rp -
212 Nistatin 500.000 IU tablet salut gula Tablet 900 Rp 950.00 Rp 855,000.00 0 Rp 950.00 Rp - 600 Rp 950.00 Rp 570,000.00 300 Rp 950.00 Rp 285,000.00
213 Nistatin 100.000 IU tablet vaginal Tablet 0 Rp 528.00 Rp - 0 Rp 528.00 Rp - 0 Rp 528.00 Rp - 0 Rp 528.00 Rp -
214 Nistatin 100.000 IU tablet vaginal Tablet 1000 Rp 675.00 Rp 675,000.00 1500 Rp 675.00 Rp 1,012,500.00 800 Rp 675.00 Rp 540,000.00 1700 Rp 675.00 Rp 1,147,500.00
215 Obat Batuk Hitam (OBH) syrup 100 ml Botol 0 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp -
216 OBH ERLA SIRUP BOTOL KACA 100 ML Botol 5 Rp 12,999.80 Rp 64,999.00 0 Rp 12,999.80 Rp - 5 Rp 12,999.80 Rp 64,999.00 0 Rp 12,999.80 Rp -
217 OFLOKSASIN TABLET 200 MG Tablet 1400 Rp 531.00 Rp 743,400.00 1500 Rp 531.00 Rp 796,500.00 900 Rp 531.00 Rp 477,900.00 2000 Rp 531.00 Rp 1,062,000.00
218 Oksitetrasiklin HCl SK 3 % Tube 0 Rp 2,009.00 Rp - 0 Rp 2,009.00 Rp - 0 Rp 2,009.00 Rp - 0 Rp 2,009.00 Rp -
219 Oksitetrasiklin HCL Salep Mata 1 % Tube 0 Rp 1,330.00 Rp - 0 Rp 1,330.00 Rp - 0 Rp 1,330.00 Rp - 0 Rp 1,330.00 Rp -
220 Oksitetrasiklin HCL Salep Mata 1 % Tube 45 Rp 2,600.00 Rp 117,000.00 10 Rp 2,600.00 Rp 26,000.00 55 Rp 2,600.00 Rp 143,000.00 0 Rp 2,600.00 Rp -
221 OXYTETRACYCLINE SALEP MATA 1% 3.5 G Tube 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp -
223 OKSITOSIN INJ 10 UI/ML Ampul 10 Rp 1,287.00 Rp 12,870.00 0 Rp 1,287.00 Rp - 10 Rp 1,287.00 Rp 12,870.00 0 Rp 1,287.00 Rp -
224 Omeprasol kapsul/kaplet 20 mg Tablet 0 Rp 371.20 Rp - 0 Rp 371.20 Rp - 0 Rp 371.20 Rp - 0 Rp 371.20 Rp -
226 OMEPRAZOL TABLET 20 MG TABLET 300 Rp 153.00 Rp 45,900.00 0 Rp 153.00 Rp - 300 Rp 153.00 Rp 45,900.00 0 Rp 153.00 Rp -
228 ONDANSENTRON TABLET 4 MG TABLET 0 Rp 546.00 Rp - 0 Rp 546.00 Rp - 0 Rp 546.00 Rp - 0 Rp 546.00 Rp -
229 Paracetamol 120 mg/5 ml syrup Botol 0 Rp 1,535.00 Rp - 0 Rp 1,535.00 Rp - 0 Rp 1,535.00 Rp - 0 Rp 1,535.00 Rp -
230 PARASETAMOL SIRUP 120 MG/ 5 ML BOTOL 0 Rp 1,190.00 Rp - 0 Rp 1,190.00 Rp - 0 Rp 1,190.00 Rp - 0 Rp 1,190.00 Rp -
231 PARASETAMOL SIRUP 120 MG/ 5 ML BOTOL 20 Rp 1,107.00 Rp 22,140.00 0 Rp 1,107.00 Rp - 20 Rp 1,107.00 Rp 22,140.00 0 Rp 1,107.00 Rp -
232 PARASETAMOL SIRUP 120 MG/ 5 ML Botol 0 Rp 5,041.30 Rp - 10 Rp 5,041.30 Rp 50,413.00 10 Rp 5,041.30 Rp 50,413.00 0 Rp 5,041.30 Rp -
233 PARASETAMOL DROP 100 MG/ML BOTOL 113 Rp 7,979.00 Rp 901,627.00 56 Rp 7,979.00 Rp 446,824.00 169 Rp 7,979.00 Rp 1,348,451.00 0 Rp 7,979.00 Rp -
234 PARASETAMOL TABLET 500 MG TABLET 100 Rp 52.00 Rp 5,200.00 0 Rp 52.00 Rp - 100 Rp 52.00 Rp 5,200.00 0 Rp 52.00 Rp -
235 PARASETAMOL TABLET 500 MG TABLET 500 Rp 63.00 Rp 31,500.00 0 Rp 63.00 Rp - 500 Rp 63.00 Rp 31,500.00 0 Rp 63.00 Rp -
236 PARASETAMOL TABLET 500 MG TABLET 0 Rp 274.48 Rp - 600 Rp 274.48 Rp 164,689.80 200 Rp 274.48 Rp 54,896.60 400 Rp 274.48 Rp 109,793.20
237 Piracetam tablet 800 mg Tablet 0 Rp 964.00 Rp - 0 Rp 964.00 Rp - 0 Rp 964.00 Rp - 0 Rp 964.00 Rp -
239 Pirantel tablet score (base) 125 mg Tablet 0 Rp 318.00 Rp - 0 Rp 318.00 Rp - 0 Rp 318.00 Rp - 0 Rp 318.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
240 Pirantel tablet score (base) 125 mg Tablet 6400 Rp 346.00 Rp 2,214,400.00 0 Rp 346.00 Rp - 6400 Rp 346.00 Rp 2,214,400.00 0 Rp 346.00 Rp -
242 Pirantel Suspensi 125 mg/5 ml Botol 0 Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp -
243 Pirantel Suspensi 125 mg/5 ml Botol 5 Rp 11,600.00 Rp 58,000.00 0 Rp 11,600.00 Rp - 5 Rp 11,600.00 Rp 58,000.00 0 Rp 11,600.00 Rp -
244 Piridoksin 10 mg (Vitamin B6) Tablet 2000 Rp 19.01 Rp 38,020.00 0 Rp 19.01 Rp - 2000 Rp 19.01 Rp 38,020.00 0 Rp 19.01 Rp -
245 PIRIDOKSIN ( VIT. B6 ) TABLET 10 MG TABLET 0 Rp 142.00 Rp - 0 Rp 142.00 Rp - 0 Rp 142.00 Rp - 0 Rp 142.00 Rp -
246 PIRIDOKSIN ( VIT. B6 ) TABLET 10 MG TABLET 0 Rp 148.00 Rp - 5000 Rp 148.00 Rp 740,000.00 5000 Rp 148.00 Rp 740,000.00 0 Rp 148.00 Rp -
249 PIROXICAM 10 MG TABLET TABLET 0 Rp 230.00 Rp - 0 Rp 230.00 Rp - 0 Rp 230.00 Rp - 0 Rp 230.00 Rp -
250 PIROXICAM 10 MG TABLET TABLET 0 Rp 146.38 Rp - 300 Rp 146.38 Rp 43,913.10 200 Rp 146.38 Rp 29,275.40 100 Rp 146.38 Rp 14,637.70
251 Pritamox Tablet Tablet 0 Rp 1,210.00 Rp - 0 Rp 1,210.00 Rp - 0 Rp 1,210.00 Rp - 0 Rp 1,210.00 Rp -
253 Povidon Iodida larutan 10%,60 ml Botol 0 Rp 4,440.00 Rp - 20 Rp 4,440.00 Rp 88,800.00 6 Rp 4,440.00 Rp 26,640.00 14 Rp 4,440.00 Rp 62,160.00
257 PREDNISON TABLET 5 MG Tablet 0 Rp 79.00 Rp - 800 Rp 79.00 Rp 63,200.00 600 Rp 79.00 Rp 47,400.00 200 Rp 79.00 Rp 15,800.00
258 Propiltiourasil tablet ( PTU) 100 mg Tablet 0 Rp 514.00 Rp - 0 Rp 514.00 Rp - 0 Rp 514.00 Rp - 0 Rp 514.00 Rp -
259 Procain benzil penisilinen serb.inj.3 juta ui ui 0 Rp 514.00 Rp - 0 Rp 514.00 Rp - 0 Rp 514.00 Rp - 0 Rp 514.00 Rp -
260 RETINOL ( VIT. A ) 100.000 KAPSUL 0 Rp 286.00 Rp - 0 Rp 286.00 Rp - 0 Rp 286.00 Rp - 0 Rp 286.00 Rp -
261 RETINOL ( VIT. A ) 100.000 KAPSUL 3900 Rp 341.00 Rp 1,329,900.00 0 Rp 341.00 Rp - 3500 Rp 341.00 Rp 1,193,500.00 400 Rp 341.00 Rp 136,400.00
264 Ranitidin 150mg Tablet 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp -
266 Salbutamol 4 mg Tablet 1100 Rp 81.00 Rp 89,100.00 0 Rp 81.00 Rp - 1000 Rp 81.00 Rp 81,000.00 100 Rp 81.00 Rp 8,100.00
267 Salep 24 Kombinasi : Asam Salisilat 2% + Belerang Endap 4% Pot 29 Rp 3,143.00 Rp 91,147.00 0 Rp 3,143.00 Rp - 29 Rp 3,143.00 Rp 91,147.00 0 Rp 3,143.00 Rp -
268 Sefadroksil 500 mg Kapsul 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp -
269 Sefadroksil 125 mg/5 ml SK 60ml Botol 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp -
270 Serum Anti bisa Ular 5ml (ABU I) Vial 0 Rp 597,902.57 Rp - 0 Rp 597,902.57 Rp - 0 Rp 597,902.57 Rp - 0 Rp 597,902.57 Rp -
271 Serum Anti difteri (ADS) injeksi i.m 1500 UI Vial 0 Rp 1,209,035.30 Rp - 0 Rp 1,209,035.30 Rp - 0 Rp 1,209,035.30 Rp - 0 Rp 1,209,035.30 Rp -
272 Sianokobalamin (vit.B12) 500 mcg injeksi 1ml Ampul 0 Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp -
273 Simvastatin 10 mg Tablet 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - 0 Rp 270.00 Rp -
275 SIMVASTATIN TABLET 10 MG Tablet 300 Rp 117.00 Rp 35,100.00 1950 Rp 117.00 Rp 228,150.00 2250 Rp 117.00 Rp 263,250.00 0 Rp 117.00 Rp -
277 SIMVASTATIN TABLET 20 MG Tablet 0 Rp 235.00 Rp - 1200 Rp 235.00 Rp 282,000.00 1200 Rp 235.00 Rp 282,000.00 0 Rp 235.00 Rp -
278 Siprofloksasin 500 mg Tablet 0 Rp 430.00 Rp - 0 Rp 430.00 Rp - 0 Rp 430.00 Rp - 0 Rp 430.00 Rp -
279 SIPROFLOKSASIN TABLET SCORED 500 MG TABLET 400 Rp 264.00 Rp 105,600.00 0 Rp 264.00 Rp - 400 Rp 264.00 Rp 105,600.00 0 Rp 264.00 Rp -
280 SIPROFLOKSASIN TABLET SCORED 500 MG TABLET 2000 Rp 292.00 Rp 584,000.00 0 Rp 292.00 Rp - 2000 Rp 292.00 Rp 584,000.00 0 Rp 292.00 Rp -
281 TETRASIKLIN KAPSUL 500 MG Kapsul 600 Rp 341.00 Rp 204,600.00 2000 Rp 341.00 Rp 682,000.00 1600 Rp 341.00 Rp 545,600.00 1000 Rp 341.00 Rp 341,000.00
282 Tetrasiklin kaps/kapl 250 mg Kapsul 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp -
283 TETRASIKLIN KAPSUL 250 MG Kapsul 900 Rp 181.00 Rp 162,900.00 0 Rp 181.00 Rp - 700 Rp 181.00 Rp 126,700.00 200 Rp 181.00 Rp 36,200.00
286 Thiamin HCl (vit.B1) inj.100 mg/ml-1ml Ampul 0 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp -
287 Thiamin HCl (vit.B1) 50 mg Tablet 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0 Rp 42.00 Rp -
288 Thiamin HCl (vit.B1) 50 mg Tablet 800 Rp 92.00 Rp 73,600.00 4000 Rp 92.00 Rp 368,000.00 3300 Rp 92.00 Rp 303,600.00 1500 Rp 92.00 Rp 138,000.00
290 VAKSIN BCG VIAL 0 Rp 59,950.00 Rp - 0 Rp 59,950.00 Rp - 0 Rp 59,950.00 Rp - 0 Rp 59,950.00 Rp -
291 VAKSIN CAMPAK INK. S.K + PELARUT VIAL 0 Rp 28,232.00 Rp - 0 Rp 28,232.00 Rp - 0 Rp 28,232.00 Rp - 0 Rp 28,232.00 Rp -
294 VITAMIN B KOMPLEKS TABLET Tablet 2500 Rp 138.00 Rp 345,000.00 2000 Rp 138.00 Rp 276,000.00 4500 Rp 138.00 Rp 621,000.00 0 Rp 138.00 Rp -
295 VITAMIN B KOMPLEKS TABLET Tablet 0 Rp 150.00 Rp - 1500 Rp 150.00 Rp 225,000.00 1000 Rp 150.00 Rp 150,000.00 500 Rp 150.00 Rp 75,000.00
296 Vitamin D 400 IU/D-Vit tablet Tablet 0 Rp 680.00 Rp - 0 Rp 680.00 Rp - 0 Rp 680.00 Rp - 0 Rp 680.00 Rp -
297 VITAMIN B12 50 MCG TABLET Tablet 1600 Rp 50.00 Rp 80,000.80 0 Rp 50.00 Rp - 1600 Rp 50.00 Rp 80,000.80 0 Rp 50.00 Rp -
298 Zink Tablet Dispersible 20 mg Tablet 0 Rp 521.00 Rp - 0 Rp 521.00 Rp - 0 Rp 521.00 Rp - 0 Rp 521.00 Rp -
301 ZINC Zulfat Syr. 20 mg / 5 ml Botol 17 Rp 3,449.00 Rp 58,633.00 10 Rp 3,449.00 Rp 34,490.00 27 Rp 3,449.00 Rp 93,123.00 0 Rp 3,449.00 Rp -
302 Zirkum Kid Syr 20/5ml Botol 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp -
1 SANMOL 500 MG Tablet 0 Rp 325.00 Rp - 0 Rp 325.00 Rp - 0 Rp 325.00 Rp - 0 Rp 325.00 Rp -

2 CARDISAN 5 MG Tablet 0 Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp -
3 PURECEMIA Tablet 0 Rp 3,268.75 Rp - 0 Rp 3,268.75 Rp - 0 Rp 3,268.75 Rp - 0 Rp 3,268.75 Rp -
4 PROPEPSA SUSPENSI 100 ML Botol 0 Rp 73,472.97 Rp - 2 Rp 73,472.97 Rp 146,945.93 2 Rp 73,472.97 Rp 146,945.93 0 Rp 73,472.97 Rp -
5 MEFINAL 500 MG Tablet 0 Rp 1,537.50 Rp - 0 Rp 1,537.50 Rp - 0 Rp 1,537.50 Rp - 0 Rp 1,537.50 Rp -
6 MEFINAL 500 MG Tablet 0 Rp 1,705.82 Rp - 200 Rp 1,705.82 Rp 341,164.30 100 Rp 1,705.82 Rp 170,582.15 100 Rp 1,705.82 Rp 170,582.15
7 MEVITON Tablet 0 Rp 2,007.35 Rp - 200 Rp 2,007.35 Rp 401,469.82 100 Rp 2,007.35 Rp 200,734.91 100 Rp 2,007.35 Rp 200,734.91
8 NEUROSANBE Tablet 0 Rp 2,756.25 Rp - 0 Rp 2,756.25 Rp - 0 Rp 2,756.25 Rp - 0 Rp 2,756.25 Rp -
9 SANTA E 200 Kaplet 0 Rp 2,243.75 Rp - 0 Rp 2,243.75 Rp - 0 Rp 2,243.75 Rp - 0 Rp 2,243.75 Rp -
10 MUCOHEXIN Tablet 0 Rp 575.00 Rp - 0 Rp 575.00 Rp - 0 Rp 575.00 Rp - 0 Rp 575.00 Rp -
11 CHOLVASTIN Tablet 0 Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp -
12 COMBIVENT UDV IPRATROVIUM BROMIDE MONOHIDRAT Vial 0 Rp 4,550.00 Rp - 10 Rp 4,550.00 Rp 45,500.00 7 Rp 4,550.00 Rp 31,850.00 3 Rp 4,550.00 Rp 13,650.00
13 BEVITA SYRUP 120 ML BOTOL 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp -
14 BISACODIL SUPPOSITRIA 10 MG SUPPO 5 Rp 5,900.00 Rp 29,500.00 5 Rp 5,900.00 Rp 29,500.00 5 Rp 5,900.00 Rp 29,500.00 5 Rp 5,900.00 Rp 29,500.00
15 BISACODIL SUPPOSITRIA 5 MG SUPPO 7 Rp 6,000.00 Rp 42,000.00 24 Rp 6,000.00 Rp 144,000.00 12 Rp 6,000.00 Rp 72,000.00 19 Rp 6,000.00 Rp 114,000.00
16 CAVIPLEX KAPLET KAPLET 0 Rp 480.00 Rp - 0 Rp 480.00 Rp - 0 Rp 480.00 Rp - 0 Rp 480.00 Rp -
17 CENDO XITROL 5 ML BOTOL 0 Rp 58,999.60 Rp - 0 Rp 58,999.60 Rp - 0 Rp 58,999.60 Rp - 0 Rp 58,999.60 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
18 ERLAMYCETINE EYE DROP 0.5 % 10 ML BOTOL 0 Rp 20,000.20 Rp - 0 Rp 20,000.20 Rp - 0 Rp 20,000.20 Rp - 0 Rp 20,000.20 Rp -
19 ERLAMYCETINE SYRUP 60 ML BOTOL 0 Rp 13,999.70 Rp - 0 Rp 13,999.70 Rp - 0 Rp 13,999.70 Rp - 0 Rp 13,999.70 Rp -
20 FARBION TABLET TABLET 0 Rp 2,310.00 Rp - 0 Rp 2,310.00 Rp - 0 Rp 2,310.00 Rp - 0 Rp 2,310.00 Rp -
21 FORMUNO MULTIVITAMIN Tablet 0 Rp 8,876.96 Rp - 30 Rp 8,876.96 Rp 266,308.84 20 Rp 8,876.96 Rp 177,539.23 10 Rp 8,876.96 Rp 88,769.61
22 GRATAMIN TABLET TABLET 0 Rp 2,860.00 Rp - 0 Rp 2,860.00 Rp - 0 Rp 2,860.00 Rp - 0 Rp 2,860.00 Rp -
23 HARMIDA GLIBENKLAMID 2.5 MG TABLET 500 Rp 216.00 Rp 108,000.00 300 Rp 216.00 Rp 64,800.00 800 Rp 216.00 Rp 172,800.00 0 Rp 216.00 Rp -
24 IMOX TABLET SALUT SELAPUT Tablet 0 Rp 13,200.00 Rp - 0 Rp 13,200.00 Rp - 0 Rp 13,200.00 Rp - 0 Rp 13,200.00 Rp -
25 INTUNAL CAPLET KAPLET 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp -
26 KLORAMPEEMICHOL SALEP KULIT 2% / BUPACETIN Tube 19 Rp 3,645.00 Rp 69,255.00 120 Rp 3,645.00 Rp 437,400.00 105 Rp 3,645.00 Rp 382,725.00 34 Rp 3,645.00 Rp 123,930.00
27 MY JELLY 80 GRAM LUBRICAN BOTOL 0 Rp 69,575.00 Rp - Rp 69,575.00 Rp - 0 Rp 69,575.00 Rp - 0 Rp 69,575.00 Rp -
28 NIFUDIAR SUSPENSI 60 ML BOTOL 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp -
NEUROSANBE INJEKSI Ampul 0 Rp 6,979.37 Rp - 10 Rp 6,979.37 Rp 69,793.74 10 Rp 6,979.37 Rp 69,793.74 0 Rp 6,979.37 Rp -
30 PANTRIN PIRANTEL PAMOAT TABLET 250 MG Tablet 0 Rp 1,200.00 Rp - 1200 Rp 1,200.00 Rp 1,440,000.00 500 Rp 1,200.00 Rp 600,000.00 700 Rp 1,200.00 Rp 840,000.00
31 PHCAIN INJEKSI Ampul 0 Rp 1,380.00 Rp - 0 Rp 1,380.00 Rp - 0 Rp 1,380.00 Rp - 0 Rp 1,380.00 Rp -
32 Polikresulen Cairan (Albothyl) 5 ml Botol 0 Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp -
33 PROPEPSA SUSPENSI 100 ML BOTOL 0 Rp 106,000.40 Rp - 0 Rp 106,000.40 Rp - 0 Rp 106,000.40 Rp - 0 Rp 106,000.40 Rp -
34 SUPRAVIT STRIP 10X10'S TABLET 0 Rp 770.00 Rp - 0 Rp 770.00 Rp - 0 Rp 770.00 Rp - 0 Rp 770.00 Rp -
35 VOCEFA DS 60 ML BOTOL 0 Rp 84,000.40 Rp - 0 Rp 84,000.40 Rp - 0 Rp 84,000.40 Rp - 0 Rp 84,000.40 Rp -
36 VOCEFA DS 60 ML BOTOL 0 Rp 57,696.90 Rp - 2 Rp 57,696.90 Rp 115,393.81 2 Rp 57,696.90 Rp 115,393.81 0 Rp 57,696.90 Rp -
37 VERSYL 50 Tablet 0 Rp 2,564.31 Rp - 50 Rp 2,564.31 Rp 128,215.34 50 Rp 2,564.31 Rp 128,215.34 0 Rp 2,564.31 Rp -
38 ZIRCUM KID SYRUP 60 ML BOTOL 0 Rp 52,000.30 Rp - 0 Rp 52,000.30 Rp - 0 Rp 52,000.30 Rp - 0 Rp 52,000.30 Rp -

4 Alat Suntik 1 ml Pcs 0 Rp 821.48 Rp - 400 Rp 821.48 Rp 328,593.60 220 Rp 821.48 Rp 180,726.48 180 Rp 821.48 Rp 147,867.12
5 Alat Suntik 1 ml Pcs 0 Rp 110,045.00 Rp - 1 Rp 110,045.00 Rp 110,045.00 0 Rp 110,045.00 Rp - 1 Rp 110,045.00 Rp 110,045.00
6 Alat Suntik 2,5 ml Pcs 0 Rp 1,029.60 Rp - 0 Rp 1,029.60 Rp - 0 Rp 1,029.60 Rp - 0 Rp 1,029.60 Rp -
7 Alat Suntik 2,5 ml Pcs 220 Rp 865.00 Rp 190,300.00 0 Rp 865.00 Rp - 220 Rp 865.00 Rp 190,300.00 0 Rp 865.00 Rp -
8 Alat Suntik 2,5 ml Pcs 0 Rp 864.72 Rp - 100 Rp 864.72 Rp 86,472.00 40 Rp 864.72 Rp 34,588.80 60 Rp 864.72 Rp 51,883.20
13 Alat Suntik 5 ml Pcs 0 Rp 1,248.23 Rp - 5 Rp 1,248.23 Rp 6,241.15 5 Rp 1,248.23 Rp 6,241.15 0 Rp 1,248.23 Rp -
15 Alat Suntik 10 ml Pcs 0 Rp 1,654.95 Rp - 10 Rp 1,654.95 Rp 16,549.50 10 Rp 1,654.95 Rp 16,549.50 0 Rp 1,654.95 Rp -
16 Alat Suntik 10 ml Pcs 0 Rp 1,694.00 Rp - 30 Rp 1,694.00 Rp 50,820.00 0 Rp 1,694.00 Rp - 30 Rp 1,694.00 Rp 50,820.00
19 ALKOHOL SWAB Box 8 Rp 11,500.00 Rp 92,000.00 52 Rp 11,500.00 Rp 598,000.00 46 Rp 11,500.00 Rp 529,000.00 14 Rp 11,500.00 Rp 161,000.00
20 ANIOS DERMANIOS CHLORHEXIDIN BOTOL 1 Rp 112,414.00 Rp 112,414.00 0 Rp 112,414.00 Rp - 1 Rp 112,414.00 Rp 112,414.00 0 Rp 112,414.00 Rp -
21 ANIOS DERMANIOS CHLORHEXIDIN BOTOL 0 Rp 112,413.60 Rp - 4 Rp 112,413.60 Rp 449,654.40 3 Rp 112,413.60 Rp 337,240.80 1 Rp 112,413.60 Rp 112,413.60
22 Autocheck 3 in 1 Unit 0 Rp 1,100,000.00 Rp - 0 Rp 1,100,000.00 Rp - 0 Rp 1,100,000.00 Rp - 0 Rp 1,100,000.00 Rp -
25 Autocheck Cholestrol tes btl/25 strip Botol 2 Rp 147,125.00 Rp 294,250.00 0 Rp 147,125.00 Rp - 2 Rp 147,125.00 Rp 294,250.00 0 Rp 147,125.00 Rp -
26 Autocheck Cholestrol tes btl/25 strip Kotak 0 Rp 367,812.50 Rp - 5 Rp 367,812.50 Rp 1,839,062.50 5 Rp 367,812.50 Rp 1,839,062.50 0 Rp 367,812.50 Rp -
27 Autocheck Cholestrol tes btl/25 strip Kotak 0 Rp 385,235.00 Rp - 4 Rp 385,235.00 Rp 1,540,940.00 3 Rp 385,235.00 Rp 1,155,705.00 1 Rp 385,235.00 Rp 385,235.00
30 Autocheck Glukosa tes btl/50 strip Botol 2 Rp 68,475.00 Rp 136,950.00 0 Rp 68,475.00 Rp - 2 Rp 68,475.00 Rp 136,950.00 0 Rp 68,475.00 Rp -
31 Autocheck Glukosa tes btl/50 strip Kotak 0 Rp 136,950.00 Rp - 12 Rp 136,950.00 Rp 1,643,400.00 10 Rp 136,950.00 Rp 1,369,500.00 2 Rp 136,950.00 Rp 273,900.00
34 Autocheck Uric Acid Test btl/50 strip Botol 2 Rp 89,100.00 Rp 178,200.00 0 Rp 89,100.00 Rp - 2 Rp 89,100.00 Rp 178,200.00 0 Rp 89,100.00 Rp -
35 Autocheck Uric Acid Test btl/50 strip Kotak 0 Rp 178,200.00 Rp - 7 Rp 178,200.00 Rp 1,247,400.00 7 Rp 178,200.00 Rp 1,247,400.00 0 Rp 178,200.00 Rp -
36 Autocheck Uric Acid Test btl/50 strip Kotak 0 Rp 195,485.00 Rp - 2 Rp 195,485.00 Rp 390,970.00 2 Rp 195,485.00 Rp 390,970.00 0 Rp 195,485.00 Rp -
45 UROCARE FOLLEY CATHETER 2 WAY NO.14 Box 0 Rp 92,000.00 Rp - 0 Rp 92,000.00 Rp - 0 Rp 92,000.00 Rp - 0 Rp 92,000.00 Rp -
47 Catheter (folley cathteter) no.18 Pcs 0 Rp 18,018.00 Rp - 0 Rp 18,018.00 Rp - 0 Rp 18,018.00 Rp - 0 Rp 18,018.00 Rp -
51 COPPER T Pcs 30 Rp 124,300.00 Rp 3,729,000.00 10 Rp 124,300.00 Rp 1,243,000.00 3 Rp 124,300.00 Rp 372,900.00 37 Rp 124,300.00 Rp 4,599,100.00
52 Cutgut 2/0 Pcs 0 Rp 11,261.25 Rp - 0 Rp 11,261.25 Rp - 0 Rp 11,261.25 Rp - 0 Rp 11,261.25 Rp -
55 E.W.G SURGICAL GLOVES 7 Pcs 0 Rp 5,383.38 Rp - 250 Rp 5,383.38 Rp 1,345,845.50 230 Rp 5,383.38 Rp 1,238,177.86 20 Rp 5,383.38 Rp 107,667.64
56 E.W.G SURGICAL GLOVES 7,5 Pcs 0 Rp 5,383.38 Rp - 180 Rp 5,383.38 Rp 969,008.76 160 Rp 5,383.38 Rp 861,341.12 20 Rp 5,383.38 Rp 107,667.64
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
57 E.W.G SURGICAL GLOVES 8 Pcs 0 Rp 5,382.88 Rp - 150 Rp 5,382.88 Rp 807,432.30 150 Rp 5,382.88 Rp 807,432.30 0 Rp 5,382.88 Rp -
58 Elastic Verband 3 inchi / Tensocrape BSN Roll 0 Rp 96,000.00 Rp - 0 Rp 96,000.00 Rp - 0 Rp 96,000.00 Rp - 0 Rp 96,000.00 Rp -
59 ELASTIC VERBAND 6 INCHI Pcs 12 Rp 86,680.00 Rp 1,040,160.00 0 Rp 86,680.00 Rp - 4 Rp 86,680.00 Rp 346,720.00 8 Rp 86,680.00 Rp 693,440.00
60 FEEDING TUBE 8FR 40CM Pcs 50 Rp 8,804.40 Rp 440,220.00 0 Rp 8,804.40 Rp - 5 Rp 8,804.40 Rp 44,022.00 45 Rp 8,804.40 Rp 396,198.00
65 Hands Schoen no 7.5 Pair 0 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp -
66 Hands Schoen no 7.5 U/ manual Placenta (Long) Set 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp -
67 Hands Schoen no 8 20 0 Rp 6,563.70 Rp - 0 Rp 6,563.70 Rp - 0 Rp 6,563.70 Rp - 0 Rp 6,563.70 Rp -
69 Hands Schoen no 8 Pair 0 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp -
70 Hands Schoen no 8 U/ manual Placenta (Long) Set 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp -
72 Hypafix 5 cm x 5 m Roll 0 Rp 92,000.00 Rp - 0 Rp 92,000.00 Rp - 0 Rp 92,000.00 Rp - 0 Rp 92,000.00 Rp -
73 Infusion Set Anak Set 45 Rp 8,775.00 Rp 394,875.00 0 Rp 8,775.00 Rp - 20 Rp 8,775.00 Rp 175,500.00 0 Rp 8,775.00 Rp -
Infusion Set Anak Set 25 Rp 8,775.00 Rp 219,375.00 Expired
74 Infusion Set Anak Set 0 Rp 6,375.00 Rp - 0 Rp 6,375.00 Rp - 0 Rp 6,375.00 Rp - 0 Rp 6,375.00 Rp -
82 IV Catheter no 20 Pcs 0 Rp 7,846.25 Rp - 20 Rp 7,846.25 Rp 156,925.00 20 Rp 7,846.25 Rp 156,925.00 0 Rp 7,846.25 Rp -
86 Jarum Jahit 1/2 Surgical Lusin 0 Rp 27,875.00 Rp - 15 Rp 27,875.00 Rp 418,125.00 10 Rp 27,875.00 Rp 278,750.00 5 Rp 27,875.00 Rp 139,375.00
87 Jarum Jahit 1/2 Surgical Lusin 0 Rp 135,000.00 Rp - 0 Rp 135,000.00 Rp - 0 Rp 135,000.00 Rp - 0 Rp 135,000.00 Rp -
88 Jarum Jahit 3/8 Surgical Lusin 0 Rp 27,875.00 Rp - 15 Rp 27,875.00 Rp 418,125.00 10 Rp 27,875.00 Rp 278,750.00 5 Rp 27,875.00 Rp 139,375.00
89 Jarum Jahit 3/8 Surgical Lusin 0 Rp 120,000.00 Rp - 0 Rp 120,000.00 Rp - 0 Rp 120,000.00 Rp - 0 Rp 120,000.00 Rp -
90 Kapas Pembalut 250 gr Roll 0 Rp 23,595.00 Rp - 0 Rp 23,595.00 Rp - 0 Rp 23,595.00 Rp - 0 Rp 23,595.00 Rp -
91 Kapas Pembalut 250 gr Roll 0 Rp 22,000.00 Rp - 10 Rp 22,000.00 Rp 220,000.00 8 Rp 22,000.00 Rp 176,000.00 2 Rp 22,000.00 Rp 44,000.00
92 KAPAS PEMBALUT 250G Roll 6 Rp 14,375.00 Rp 86,250.00 5 Rp 14,375.00 Rp 71,875.00 4 Rp 14,375.00 Rp 57,500.00 7 Rp 14,375.00 Rp 100,625.00
93 Kapas Pembalut 500 gr Roll 1 Rp 35,000.00 Rp 35,000.00 0 Rp 35,000.00 Rp - 1 Rp 35,000.00 Rp 35,000.00 0 Rp 35,000.00 Rp -
95 Kasa Steril 18 x 22 cm Kotak 0 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp -
96 KASA HYDROFPHIL 40 X 80 CM Roll 0 Rp 120,750.00 Rp - 5 Rp 120,750.00 Rp 603,750.00 0 Rp 120,750.00 Rp - 5 Rp 120,750.00 Rp 603,750.00
101 KASA KOMPRES STERIL 40 X 40 PCS 30 Rp 1,840.00 Rp 55,200.00 0 Rp 1,840.00 Rp - 20 Rp 1,840.00 Rp 36,800.00 10 Rp 1,840.00 Rp 18,400.00
103 Kasa Pembalut 2 m x 80 cm Roll 6 Rp 13,366.00 Rp 80,196.00 0 Rp 13,366.00 Rp - 6 Rp 13,366.00 Rp 80,196.00 0 Rp 13,366.00 Rp -
104 KASA PEMBALUT 2M X 80CM Roll 50 Rp 8,855.00 Rp 442,750.00 0 Rp 8,855.00 Rp - 50 Rp 8,855.00 Rp 442,750.00 0 Rp 8,855.00 Rp -
111 Kasa Hydrofil 4 yard x 10 cm Roll 0 Rp 2,600.00 Rp - 0 Rp 2,600.00 Rp - 0 Rp 2,600.00 Rp - 0 Rp 2,600.00 Rp -
112 Kasa Pembalut Hydrofil 4 m x 5 cm Roll 0 Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp -
113 KASA PEMBALUT HYDROFILL 4M X 5CM Roll 70 Rp 862.50 Rp 60,375.00 50 Rp 862.50 Rp 43,125.00 70 Rp 862.50 Rp 60,375.00 50 Rp 862.50 Rp 43,125.00
114 Kasa Steril 16 x 16 cm Bungkus 0 Rp 8,287.85 Rp - 0 Rp 8,287.85 Rp - 0 Rp 8,287.85 Rp - 0 Rp 8,287.85 Rp -
116 KASA HYDROFPHIL STERIL 16 X 16 Roll 0 Rp 9,200.00 Rp - 70 Rp 9,200.00 Rp 644,000.00 60 Rp 9,200.00 Rp 552,000.00 10 Rp 9,200.00 Rp 92,000.00
117 KASA STERIL 10X10 CM,8 PLY,1X10'S Kotak 50 Rp 10,845.30 Rp 542,265.00 36 Rp 10,845.30 Rp 390,430.80 80 Rp 10,845.30 Rp 867,624.00 6 Rp 10,845.30 Rp 65,071.80
118 KERTAS PUYER BLANK Bungkus 25 Rp 93,500.00 Rp 2,337,500.00 0 Rp 93,500.00 Rp - 0 Rp 93,500.00 Rp - 25 Rp 93,500.00 Rp 2,337,500.00
119 MF CATH PRO IV CATHETER (MF CATH MEDIFIRST) 24G PCS 0 Rp 9,461.25 Rp - 60 Rp 9,461.25 Rp 567,674.96 60 Rp 9,461.25 Rp 567,674.96 0 Rp 9,461.25 Rp -
120 MF CATH PRO IV CATHETER (MF CATH MEDIFIRST) 18G PCS 0 Rp 9,461.25 Rp - 40 Rp 9,461.25 Rp 378,449.97 30 Rp 9,461.25 Rp 283,837.48 10 Rp 9,461.25 Rp 94,612.49
121 Masker Pcs 0 Rp 676.65 Rp - 0 Rp 676.65 Rp - 0 Rp 676.65 Rp - 0 Rp 676.65 Rp -
122 Masker PCS 0 Rp 495.00 Rp - 0 Rp 495.00 Rp - 0 Rp 495.00 Rp - 0 Rp 495.00 Rp -
123 SURGICAL MASK EARLOOP Box 95 Rp 18,975.00 Rp 1,802,625.00 58 Rp 18,975.00 Rp 1,100,550.00 140 Rp 18,975.00 Rp 2,656,500.00 13 Rp 18,975.00 Rp 246,675.00
125 Mata Pisau Bedah No. 10 Pcs 3 Rp 6,561.00 Rp 19,683.00 0 Rp 6,561.00 Rp - 3 Rp 6,561.00 Rp 19,683.00 0 Rp 6,561.00 Rp -
131 Mata Pisau Bedah No. 21 Pcs 1 Rp 6,561.00 Rp 6,561.00 0 Rp 6,561.00 Rp - 1 Rp 6,561.00 Rp 6,561.00 0 Rp 6,561.00 Rp -
132 ONEJACK AUTODISABLE SYRINGE 0,05 ML PCS 150 Rp 3,795.00 Rp 569,250.00 0 Rp 3,795.00 Rp - 130 Rp 3,795.00 Rp 493,350.00 20 Rp 3,795.00 Rp 75,900.00
133 ONE MET MASKER N95 PCS 0 Rp 7,488.80 Rp - 45 Rp 7,488.80 Rp 336,996.00 20 Rp 7,488.80 Rp 149,776.00 25 Rp 7,488.80 Rp 187,220.00
134 ONE MET MASKER N95 BOX 19 Rp 149,776.00 Rp 2,845,744.00 1 Rp 149,776.00 Rp 149,776.00 20 Rp 149,776.00 Rp 2,995,520.00 0 Rp 149,776.00 Rp -
135 ONIONEX INFUSION SET FOR PEDIATRIC (ANAK) PCS 0 Rp 3,556.16 Rp - 15 Rp 3,556.16 Rp 53,342.40 10 Rp 3,556.16 Rp 35,561.60 0 Rp 3,556.16 Rp -
ONIONEX INFUSION SET FOR PEDIATRIC (ANAK) PCS 5 Rp 3,556.16 Rp 17,780.80 Expired
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
136 OXIGEN MASK PCS 0 Rp 12,180.00 Rp - 5 Rp 12,180.00 Rp 60,900.00 0 Rp 12,180.00 Rp - 5 Rp 12,180.00 Rp 60,900.00
137 OXIGEN MASK DEWASA DAN ANAK (EKOMED) PCS 0 Rp 10,559.90 Rp - 25 Rp 10,559.90 Rp 263,997.50 20 Rp 10,559.90 Rp 211,198.00 5 Rp 10,559.90 Rp 52,799.50
138 Paper Tape 2.5 cm x 9.14 m Roll 0 Rp 131,300.00 Rp - 0 Rp 131,300.00 Rp - 0 Rp 131,300.00 Rp - 0 Rp 131,300.00 Rp -
140 Plester 5 yard x 4,5 cm Roll 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp -
142 Plester 7,5 mm x 4,5 mm Roll 0 Rp 60,650.00 Rp - 0 Rp 60,650.00 Rp - 0 Rp 60,650.00 Rp - 0 Rp 60,650.00 Rp -
143 PLESTERIN NON WOVEN ROLL 10CM X 5CM Roll 4 Rp 47,564.00 Rp 190,256.00 34 Rp 47,564.00 Rp 1,617,176.00 35 Rp 47,564.00 Rp 1,664,740.00 3 Rp 47,564.00 Rp 142,692.00
144 PLESTERIN NON WOVEN ROLL 5CM X 5CM Roll 4 Rp 27,324.00 Rp 109,296.00 68 Rp 27,324.00 Rp 1,858,032.00 55 Rp 27,324.00 Rp 1,502,820.00 17 Rp 27,324.00 Rp 464,508.00
146 Regulator Oksigen Pcs 0 Rp 487,500.00 Rp - 0 Rp 487,500.00 Rp - 0 Rp 487,500.00 Rp - 0 Rp 487,500.00 Rp -
147 GEA MEDICAL REGULATOR 02 XY-988 Pcs 9 Rp 453,200.00 Rp 4,078,800.00 0 Rp 453,200.00 Rp - 0 Rp 453,200.00 Rp - 9 Rp 453,200.00 Rp 4,078,800.00
152 Silk (Benang Bedah Sultra) No.3/0 Pcs 67 Rp 4,661.00 Rp 312,287.00 0 Rp 4,661.00 Rp - 67 Rp 4,661.00 Rp 312,287.00 0 Rp 4,661.00 Rp -
153 SILK 2/0 + JARUM 1/2 GT 35 MM DUS 0 Rp 126,500.00 Rp - 3 Rp 126,500.00 Rp 379,500.00 1 Rp 126,500.00 Rp 126,500.00 2 Rp 126,500.00 Rp 253,000.00
154 SURGICAL SUTURE + NEEDLE SILK BLACK BRAIDED 3/0 75 CM DUS 0 Rp 167,813.70 Rp - 3 Rp 167,813.70 Rp 503,441.10 3 Rp 167,813.70 Rp 503,441.10 0 Rp 167,813.70 Rp -
155 SURGICAL SUTURE + NEEDLE CATGUT PLAIN 2/0 75CM DUS 0 Rp 215,045.00 Rp - 2 Rp 215,045.00 Rp 430,090.00 0 Rp 215,045.00 Rp - 2 Rp 215,045.00 Rp 430,090.00
156 SURGICAL SUTURE + NEEDLE CATGUT CROMIC 2/0 75CM DUS 0 Rp 215,045.00 Rp - 2 Rp 215,045.00 Rp 430,090.00 1 Rp 215,045.00 Rp 215,045.00 1 Rp 215,045.00 Rp 215,045.00
157 SURGICAL SUTURE + NEEDLE CATGUT CROMIC 3/0 75CM DUS 0 Rp 215,045.00 Rp - 3 Rp 215,045.00 Rp 645,135.00 3 Rp 215,045.00 Rp 645,135.00 0 Rp 215,045.00 Rp -
158 Tullegrass (Cuticell Classic) 5 cm x 5 cm Pcs 0 Rp 17,150.00 Rp - 0 Rp 17,150.00 Rp - 0 Rp 17,150.00 Rp - 0 Rp 17,150.00 Rp -
159 URINE BAG STERIL Pcs 0 Rp 3,450.00 Rp - 10 Rp 3,450.00 Rp 34,500.00 10 Rp 3,450.00 Rp 34,500.00 0 Rp 3,450.00 Rp -
160 Urine Bag Pcs 60 Rp 6,875.00 Rp 412,500.00 0 Rp 6,875.00 Rp - 15 Rp 6,875.00 Rp 103,125.00 45 Rp 6,875.00 Rp 309,375.00
161 Selang Oksigen pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
162 Tes Kehamilan pcs 0 Rp 2,400.00 Rp - 0 Rp 2,400.00 Rp - 0 Rp 2,400.00 Rp - 0 Rp 2,400.00 Rp -
163 Folley Catheter No.10 Pcs 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp -
164 Chirurgic Gloves No.6,5 Set 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
165 Chirurgic Gloves No.7 Set 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
166 Chirurgic Gloves No.7,5 Set 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
167 Chirurgic Gloves No.8 Set 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
168 Bethadin 30 ml Botol 0 Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp -
169 Examination Gloves Size S DUS 4 Rp 57,750.00 Rp 231,000.00 5 Rp 57,750.00 Rp 288,750.00 9 Rp 57,750.00 Rp 519,750.00 0 Rp 57,750.00 Rp -
170 Examination Gloves Size M DUS 4 Rp 57,750.00 Rp 231,000.00 5 Rp 57,750.00 Rp 288,750.00 9 Rp 57,750.00 Rp 519,750.00 0 Rp 57,750.00 Rp -
171 Examination Gloves Size L DUS 3 Rp 57,750.00 Rp 173,250.00 1 Rp 57,750.00 Rp 57,750.00 4 Rp 57,750.00 Rp 231,000.00 0 Rp 57,750.00 Rp -
172 NIPRO INFUSET " Y " pcs 100 Rp 6,343.00 Rp 634,300.00 10 Rp 6,343.00 Rp 63,430.00 20 Rp 6,343.00 Rp 126,860.00 90 Rp 6,343.00 Rp 570,870.00
178 NIPRO SYRINGE 5 CC pcs 85 Rp 1,248.23 Rp 106,099.55 0 Rp 1,248.23 Rp - 30 Rp 1,248.23 Rp 37,446.90 55 Rp 1,248.23 Rp 68,652.65
179 NIPRO SYRINGE 10 CC pcs 65 Rp 1,654.95 Rp 107,571.75 0 Rp 1,654.95 Rp - 30 Rp 1,654.95 Rp 49,648.50 35 Rp 1,654.95 Rp 57,923.25
180 NIPRO IV CATHETER 18G X 2 pcs 100 Rp 8,974.95 Rp 897,495.00 0 Rp 8,974.95 Rp - 90 Rp 8,974.95 Rp 807,745.50 10 Rp 8,974.95 Rp 89,749.50
182 NIPRO IV CATHETER 24G X 1 pcs 0 Rp 8,974.95 Rp - 0 Rp 8,974.95 Rp - 0 Rp 8,974.95 Rp - 0 Rp 8,974.95 Rp -
183 AXIMED EXAM GLOVES, SIZE S pcs 0 Rp 57,750.00 Rp - 1 Rp 57,750.00 Rp 57,750.00 1 Rp 57,750.00 Rp 57,750.00 0 Rp 57,750.00 Rp -
184 AXIMED EXAM GLOVES, SIZE M pcs 0 Rp 57,750.00 Rp - 1 Rp 57,750.00 Rp 57,750.00 1 Rp 57,750.00 Rp 57,750.00 0 Rp 57,750.00 Rp -
187 AXIMED FOLEYCATH 2-WAY LATEX FOLEY CATH NO.14 PCS 0 Rp 12,100.00 Rp - 20 Rp 12,100.00 Rp 242,000.00 20 Rp 12,100.00 Rp 242,000.00 0 Rp 12,100.00 Rp -
191 AXIMED FEEDING TUBE 40CM NO. 6 0 Rp 8,107.00 Rp - 20 Rp 8,107.00 Rp 162,140.00 0 Rp 8,107.00 Rp - 20 Rp 8,107.00 Rp 162,140.00
193 AXIMED FEEDING TUBE 40CM NO. 8 Pcs 0 Rp 8,107.00 Rp - 20 Rp 8,107.00 Rp 162,140.00 0 Rp 8,107.00 Rp - 20 Rp 8,107.00 Rp 162,140.00
194 AXIMED FEEDING TUBE 40CM NO.10 pcs 0 Rp 9,212.50 Rp - 0 Rp 9,212.50 Rp - 0 Rp 9,212.50 Rp - 0 Rp 9,212.50 Rp -
195 AXIMED FEEDING TUBE 40CM NO.10 pcs 0 Rp 8,107.00 Rp - 20 Rp 8,107.00 Rp 162,140.00 0 Rp 8,107.00 Rp - 20 Rp 8,107.00 Rp 162,140.00
196 AXIMED NASAL OXYGEN SIZE M pcs 20 Rp 8,250.00 Rp 165,000.00 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 20 Rp 8,250.00 Rp 165,000.00
197 AXIMED NASAL OXYGEN SIZE L pcs 15 Rp 8,250.00 Rp 123,750.00 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 15 Rp 8,250.00 Rp 123,750.00
198 AXIMED NASAL OXYGEN SIZE XS pcs 10 Rp 8,250.00 Rp 82,500.00 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 10 Rp 8,250.00 Rp 82,500.00
199 URINE BAG pcs 20 Rp 6,875.00 Rp 137,500.00 0 Rp 6,875.00 Rp - 0 Rp 6,875.00 Rp - 20 Rp 6,875.00 Rp 137,500.00
200 Fenobarbital inj Pcs 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp -
1 Cairan Spiritus 1000 ML Bks 0 Rp 68,250.00 Rp - 0 Rp 68,250.00 Rp - 0 Rp 68,250.00 Rp - 0 Rp 68,250.00 Rp -

2 LARUTAN SPIRITUS Botol 5 Rp 52,965.00 Rp 264,825.00 2 Rp 52,965.00 Rp 105,930.00 2 Rp 52,965.00 Rp 105,930.00 5 Rp 52,965.00 Rp 264,825.00
3 Tes Kehamilan Pcs 200 Rp 2,365.00 Rp 473,000.00 0 Rp 2,365.00 Rp - 170 Rp 2,365.00 Rp 402,050.00 30 Rp 2,365.00 Rp 70,950.00
4 Tes Asam urat Botol 0 Rp 240,000.00 Rp - 0 Rp 240,000.00 Rp - 0 Rp 240,000.00 Rp - 0 Rp 240,000.00 Rp -
5 Tes Gula Darah Botol 0 Rp 180,000.00 Rp - 0 Rp 180,000.00 Rp - 0 Rp 180,000.00 Rp - 0 Rp 180,000.00 Rp -
6 Tes Kolesterol Botol 0 Rp 320,000.00 Rp - 0 Rp 320,000.00 Rp - 0 Rp 320,000.00 Rp - 0 Rp 320,000.00 Rp -
7 Alat Tes Darah 3 in 1 set 0 Rp 1,100,000.00 Rp - 0 Rp 1,100,000.00 Rp - 0 Rp 1,100,000.00 Rp - 0 Rp 1,100,000.00 Rp -
1 Caviton White GC Botol 0 Rp 219,000.00 Rp - 0 Rp 219,000.00 Rp - 0 Rp 219,000.00 Rp - 0 Rp 219,000.00 Rp -

2 Cotton Roll untuk Gigi Bungkus 0 Rp 93,438.00 Rp - 0 Rp 93,438.00 Rp - 0 Rp 93,438.00 Rp - 0 Rp 93,438.00 Rp -
3 Calcium Hydroxide Botol 0 Rp 477,350.00 Rp - 0 Rp 477,350.00 Rp - 0 Rp 477,350.00 Rp - 0 Rp 477,350.00 Rp -
6 Fuji 9 Mini Pack # Extra A2 Kotak 0 Rp 556,469.00 Rp - 0 Rp 556,469.00 Rp - 0 Rp 556,469.00 Rp - 0 Rp 556,469.00 Rp -
7 Hemospon Box 0 Rp 118,500.00 Rp - 0 Rp 118,500.00 Rp - 0 Rp 118,500.00 Rp - 0 Rp 118,500.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
8 HYDCAL TECHNEW BOX 0 Rp 289,850.00 Rp - 0 Rp 289,850.00 Rp - 0 Rp 289,850.00 Rp - 0 Rp 289,850.00 Rp -
9 Iodoform, (Biodinamica) Botol 0 Rp 341,250.00 Rp - 0 Rp 341,250.00 Rp - 0 Rp 341,250.00 Rp - 0 Rp 341,250.00 Rp -
10 Saliva Ejector Bungkus 0 Rp 87,250.00 Rp - 0 Rp 87,250.00 Rp - 0 Rp 87,250.00 Rp - 0 Rp 87,250.00 Rp -
11 Silk Automatic dgn Jarum untuk Gigi Pcs 0 Rp 19,600.00 Rp - 0 Rp 19,600.00 Rp - 0 Rp 19,600.00 Rp - 0 Rp 19,600.00 Rp -
12 Solare Anterior # A3 GC Unit 0 Rp 487,165.00 Rp - 0 Rp 487,165.00 Rp - 0 Rp 487,165.00 Rp - 0 Rp 487,165.00 Rp -
13 Vitapex Unit 0 Rp 915,833.00 Rp - 0 Rp 915,833.00 Rp - 0 Rp 915,833.00 Rp - 0 Rp 915,833.00 Rp -
NILAI OBAT IFK PUSKESMAS DANGIA Rp 48,444,552.78 Rp 61,818,269.82 Rp 77,559,414.238 Rp 32,703,408.37
OBAT BPJS
1 Acyclovir Tube 0 5,000 - 20 5,000 100,000 20 5,000 100,000 0 5,000 -
2 Alkohol 70 % 100ml Botol 0 4,540 - 10 4,540 45,397 10 4,540 45,397 0 4,540 -
4 Allergen Tablet 0 230 - 400 230 92,000 400 230 92,000 0 230 -
5 Alleron Tablet 0 250 - 200 250 50,000 200 250 50,000 0 250 -
6 Ambroxol Tablet 0 300 - 500 300 150,000 500 300 150,000 0 300 -
7 Amlodipin 10 mg Tablet 0 820 - 150 820 123,000 100 820 82,000 50 820 41,000
8 Amlodipin 5 mg Tablet 0 400 - 250 400 100,000 250 400 100,000 0 400 -
9 Amlodipin 5 mg Tablet 0 300 - 1050 300 315,000 1050 300 315,000 0 300 -
10 Amlodipin 5 mg Tablet 0 580 - 150 580 87,000 100 580 58,000 50 580 29,000
11 Anakonidin Botol 0 11,827 - 10 11,827 118,272 10 11,827 118,272 0 11,827 -
12 Anelat Tablet 100 260 26,000 0 260 - 100 260 26,000 0 260 -
13 Antasida Syrup Botol 0 4,500 - 20 4,500 90,000 20 4,500 90,000 0 4,500 -
14 Antasida Syrup Botol 0 5,000 - 20 5,000 100,000 20 5,000 100,000 0 5,000 -
15 Arkavit Tablet 0 350 - 100 350 35,000 100 350 35,000 0 350 -
16 Arkavit Tablet 0 400 - 400 400 160,000 300 400 120,000 100 400 40,000
17 Asam Mefenamat Tablet 0 450 - 500 450 225,000 500 450 225,000 0 450 -
22 Asam Mefenamat Tablet 0 360 - 200 360 72,000 100 360 36,000 100 360 36,000
23 Betametason Tube 0 4,000 - 75 4,000 300,000 75 4,000 300,000 0 4,000 -
24 Betametason salep Tube 0 3,203 - 25 3,203 80,080 25 3,203 80,080 0 3,203 -
25 Betametason salep Tube 0 3,880 - 50 3,880 194,000 40 3,880 155,200 10 3,880 38,800
26 Bevales Krim Tube 0 14,000 - 5 14,000 70,000 5 14,000 70,000 0 14,000 -
27 Bevalex Tube 0 11,000 - 14 11,000 154,000 14 11,000 154,000 0 11,000 -
28 Bevalex Tube 0 22,000 - 5 22,000 110,000 5 22,000 110,000 0 22,000 -
29 Bevalex Tube 0 12,000 - 14 12,000 168,000 14 12,000 168,000 0 12,000 -
30 Biolysin Tablet 0 500 - 200 500 100,000 200 500 100,000 0 500 -
31 Bioplacenton Tube 0 19,096 - 3 19,096 57,288 3 19,096 57,288 0 19,096 -
32 Bioplacenton Tube 0 22,000 - 4 22,000 88,000 4 22,000 88,000 0 22,000 -
33 Carbidu 0,5 mg Tablet 0 300 - 700 300 210,000 700 300 210,000 0 300 -
34 Caviplex Tablet 0 561 - 500 561 280,280 500 561 280,280 0 561 -
35 Cefadroxil Kapsu; 0 1,800 - 100 1,800 180,000 100 1,800 180,000 0 1,800 -
36 Ceffort Forte Tablet 0 1,000 - 300 1,000 300,000 300 1,000 300,000 0 1,000 -
37 Cefixime Tablet 50 620 31,000 0 620 - 50 620 31,000 0 620 -
38 Cendo Xitrol Strip 0 30,800 - 3 30,800 92,400 3 30,800 92,400 0 30,800 -
42 Cendo Xitrol Mini Dose Strip 0 34,500 - 2 34,500 69,000 2 34,500 69,000 0 34,500 -
43 Cetrizine Tablet 0 300 - 800 300 240,000 700 300 210,000 100 300 30,000
44 Cetrizine Tablet 0 200 - 500 200 100,000 500 200 100,000 0 200 -
45 Cetrizine Tablet 0 600 - 200 600 120,000 100 600 60,000 100 600 60,000
46 Ciprofloxacin 500mg Tablet 0 550 - 200 550 110,000 200 550 110,000 0 550 -
49 Combivent 2.5ml Vial 0 29,000 - 20 29,000 580,000 20 29,000 580,000 0 29,000 -
50 Coparcetin Tablet 0 464 - 300 464 139,296 300 464 139,296 0 464 -
51 Coparcetin Syr Botol 0 8,000 - 10 8,000 80,000 10 8,000 80,000 0 8,000 -
52 CTM Pim Pack 0 29,000 - 2 29,000 58,000 2 29,000 58,000 0 29,000 -
53 Curviplex Syr Botol 0 7,537 - 15 7,537 113,058 15 7,537 113,058 0 7,537 -
54 Dexamethasone Tablet 300 300 90,000 700 300 210,000 1000 300 300,000 0 300 -
55 Dexamethasone Tablet 0 260 - 500 260 130,000 500 260 130,000 0 260 -
56 Dexamethasone Tablet 0 350 - 500 350 175,000 500 350 175,000 0 350 -
57 Dexamethasone Mef 0.5mg Tablet 0 340 - 300 340 102,000 200 340 68,000 100 340 34,000
58 Diastrix Tablet 0 200 - 200 200 40,000 200 200 40,000 0 200 -
59 Farsifen 400 mg Tablet 0 500 - 400 500 200,000 400 500 200,000 0 500 -
60 Farsifen Syr Botol 3 8,000 24,000 0 8,000 - 3 8,000 24,000 0 8,000 -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
61 Faxiden Tablet 0 250 - 700 250 175,000 700 250 175,000 0 250 -
62 Faxiden 20 mg Tablet 0 266 - 300 266 79,877 200 266 53,251 100 266 26,626
63 Floxifar 0 630 - 200 630 126,000 200 630 126,000 0 630 -
64 Forumen Botol 0 35,000 - 2 35,000 70,000 2 35,000 70,000 0 35,000 -
65 Gentamisin Tube 0 4,087 - 12 4,087 49,049 12 4,087 49,049 0 4,087 -
66 Gentamisin Tube 0 4,100 - 10 4,100 41,000 10 4,100 41,000 0 4,100 -
67 Gentamisin Tube 0 4,500 - 20 4,500 90,000 20 4,500 90,000 0 4,500 -
68 GlimePirid 2 mg Tablet 0 330 - 300 330 99,000 200 330 66,000 100 330 33,000
69 Glyceryl Gluaicolate Tablet 0 123 - 300 123 36,960 300 123 36,960 0 123 -
70 Grafachlor Tablet 0 300 - 200 300 60,000 200 300 60,000 0 300 -
71 Grafazole Tablet 0 600 - 200 600 120,000 200 600 120,000 0 600 -
72 Helixim Tablet 0 900 - 150 900 135,000 150 900 135,000 0 900 -
73 Hufabion Tablet 0 370 - 200 370 74,000 200 370 74,000 0 370 -
74 Hufadin Tablet 0 350 - 200 350 70,000 200 350 70,000 0 350 -
75 Hufagrif Forte Tablet 0 430 - 200 430 86,000 200 430 86,000 0 430 -
76 Hydrocortisone Tube 0 6,000 - 48 6,000 288,000 48 6,000 288,000 0 6,000 -
77 Ibuprofen Tablet 300 390 117,000 0 390 - 300 390 117,000 0 390 -
78 Ibuprofen 200 mg Tablet 0 296 - 500 296 147,840 500 296 147,840 0 296 -
79 Ibuprofen 400 mg Tablet 0 340 - 500 340 170,000 200 340 68,000 300 340 102,000
82 Ibuprofen 400 mg Tablet 0 430 - 200 430 86,000 0 430 - 200 430 86,000
83 Ketokenasole Tube 0 10,000 - 10 10,000 100,000 10 10,000 100,000 0 10,000 -
84 Ketokenasole Tube 0 5,000 - 13 5,000 65,000 13 5,000 65,000 0 5,000 -
85 Ketokenasole Krim Tube 0 3,200 - 25 3,200 80,000 25 3,200 80,000 0 3,200 -
86 Ketokonazol 200mg Tablet 0 540 - 200 540 108,000 100 540 54,000 100 540 54,000
87 L Bio Pcs 3 9,125 27,375 0 9,125 - 3 9,125 27,375 0 9,125 -
88 Lidocain Ampul 20 4,000 80,000 0 4,000 - 20 4,000 80,000 0 4,000 -
89 Lokev Tablet 0 280 - 500 280 140,000 500 280 140,000 0 280 -
90 Lostacef Tablet 0 1,000 - 300 1,000 300,000 300 1,000 300,000 0 1,000 -
91 Lostacef Syrup Botol 3 10,000 30,000 0 10,000 - 3 10,000 30,000 0 10,000 -
92 Meloxicam Tablet 0 370 - 200 370 73,920 200 370 73,920 0 370 -
93 Metamizole sodium 600 mg Tablet 0 246 - 500 246 123,200 500 246 123,200 0 246 -
94 Methyl Prednisolone Tablet 0 300 - 1300 300 390,000 1300 300 390,000 0 300 -
95 Methyl Prednisolone 4mg Tablet 0 350 - 400 350 140,000 400 350 140,000 0 350 -
96 Methyl Prednisolone 4mg Tablet 0 320 - 300 320 96,000 0 320 - 300 320 96,000
97 Miconazole Cream Tube 0 4,596 - 24 4,596 110,299 24 4,596 110,299 0 4,596 -
100 Nifedipine Tablet 0 220 - 200 220 44,000 200 220 44,000 0 220 -
101 Novabion Tablet 100 390 39,000 0 390 - 100 390 39,000 0 390 -
102 Novamox syr Botol 0 6,000 - 15 6,000 90,000 15 6,000 90,000 0 6,000 -
103 Omeprazol Tablet 100 160 16,000 0 160 - 100 160 16,000 0 160 -
104 Omeprazol Tan Box 0 20,000 - 3 20,000 60,000 3 20,000 60,000 0 20,000 -
105 Orphen Tablet 0 210 - 400 210 84,000 400 210 84,000 0 210 -
106 Oxytetracyclin salep kulit Tube 0 4,000 - 20 4,000 80,000 20 4,000 80,000 0 4,000 -
107 Oxytosin Ampul 30 11,000 330,000 0 11,000 - 30 11,000 330,000 0 11,000 -
108 Oxytosin Ampul 0 9,000 - 20 9,000 180,000 20 9,000 180,000 0 9,000 -
109 Oxytosin Ampul 0 10,000 - 60 10,000 600,000 60 10,000 600,000 0 10,000 -
110 Pacdin syr Sirup 0 8,000 - 10 8,000 80,000 5 8,000 40,000 5 8,000 40,000
111 Papaverin Tablet 0 300 - 200 300 60,000 200 300 60,000 0 300 -
112 Paracetamol Tablet 0 170 - 500 170 85,000 500 170 85,000 0 170 -
113 Paracetamol Tablet 0 149 - 500 149 74,580 500 149 74,580 0 149 -
114 Paracetamol syr Botol 0 3,243 - 20 3,243 64,856 20 3,243 64,856 0 3,243 -
115 Pecdin Syr Syrup 0 8,000 - 0 8,000 - 0 8,000 - 0 8,000 -
116 Pehacain Ampul 5 4,000 20,000 0 4,000 - 5 4,000 20,000 0 4,000 -
117 Pehacain Ampul 0 4,250 - 20 4,250 85,000 20 4,250 85,000 0 4,250 -
118 Piroxicam Tablet 0 200 - 100 200 20,000 100 200 20,000 0 200 -
119 Piroxicam Tablet 0 300 - 500 300 150,000 400 300 120,000 100 300 30,000
120 Piroxicam 20 mg Tablet 0 250 - 200 250 50,000 200 250 50,000 0 250 -
121 Piroxicam 20 mg Tablet 0 260 - 600 260 156,000 400 260 104,000 200 260 52,000
122 Prednison Tablet 300 180 54,000 0 180 - 300 180 54,000 0 180 -
123 Prednison 5mg Tablet 0 100 - 200 100 20,000 200 100 20,000 0 100 -
124 Prix 25 mg 0 200 - 200 200 40,000 200 200 40,000 0 200 -
125 Ranitidin Tablet 300 280 84,000 80 280 22,400 380 280 106,400 0 280 -
126 Ranitidin Tablet 0 300 - 80 300 24,000 80 300 24,000 0 300 -
127 Renadinac 51 Tablet 0 1,000 - 400 1,000 400,000 400 1,000 400,000 0 1,000 -
128 Renadinac 51 Tablet 0 350 - 900 350 315,000 900 350 315,000 0 350 -
129 Salbutamol 2 mg Tablet 0 500 - 200 500 100,000 200 500 100,000 0 500 -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
130 Salbutamol 4 mg Tablet 0 280 - 300 280 84,000 0 280 - 300 280 84,000
131 Scopma Tablet 0 2,000 - 100 2,000 200,000 100 2,000 200,000 0 2,000 -
132 Selexon Tablet 0 150 - 300 150 45,000 300 150 45,000 0 150 -
133 Seltifort syr Botol 0 7,000 - 10 7,000 70,000 10 7,000 70,000 0 7,000 -
134 Sevaks Tablet 0 300 - 250 300 75,000 250 300 75,000 0 300 -
135 Simvastatin 10 mg Tablet 100 340 34,000 0 340 - 100 340 34,000 0 340 -
136 Simvastatin 10 mg Tablet 200 500 100,000 0 500 - 200 500 100,000 0 500 -
137 Simvastatin 10 mg Tablet 0 800 - 300 800 240,000 300 800 240,000 0 800 -
138 Simvastatin 10 mg Tablet 0 440 - 250 440 110,000 200 440 88,000 50 440 22,000
139 Tera F Tablet 0 500 - 200 500 100,000 200 500 100,000 0 500 -
140 VIT.K Tablet 0 7,000 - 35 7,000 245,000 35 7,000 245,000 0 7,000 -
141 Vitamin B Kompleks Tablet 0 80 - 300 80 24,000 200 80 16,000 100 80 8,000
142 Yusimox Syr Botol 2 7,000 14,000 0 7,000 - 2 7,000 14,000 0 7,000 -
143 Zinc Syr Botol 0 12,000 - 6 12,000 72,000 6 12,000 72,000 0 12,000 -
BMHP BPJS
1 Abocet No. 19 Pcs 0 10,000 - 32 10,000 320,000 32 10,000 320,000 0 10,000 -
2 Abocet No. 19 Pcs 0 18,000 - 50 18,000 900,000 50 18,000 900,000 0 18,000 -
3 Abocet No. 20 Pcs 15 6,900 103,500 0 6,900 - 15 6,900 103,500 0 6,900 -
4 Abocet No. 20 Pcs 0 10,000 - 51 10,000 510,000 49 10,000 490,000 2 10,000 20,000
5 Abocet No. 20 Pcs 0 18,000 - 50 18,000 900,000 50 18,000 900,000 0 18,000 -
6 Abocet No. 22 Pcs 5 6,900 34,500 0 6,900 - 5 6,900 34,500 0 6,900 -
7 Abocet No. 23 Pcs 0 10,000 - 20 10,000 200,000 20 10,000 200,000 0 10,000 -
8 Abocet No. 24 Pcs 0 10,000 - 5 10,000 50,000 5 10,000 50,000 0 10,000 -
9 Alcohol 70% Botol 1 57,500 57,500 0 57,500 - 1 57,500 57,500 0 57,500 -
10 Alcohol 70% 1L Botol 0 84,000 - 5 84,000 420,000 3 84,000 252,000 2 84,000 168,000
11 Antiseptic Gel Botol 0 125,000 - 2 125,000 250,000 2 125,000 250,000 0 125,000 -
12 Antiseptic Gel Botol 0 120,000 - 1 120,000 120,000 1 120,000 120,000 0 120,000 -
13 Betadine 1lt Botol 1 100,050 100,050 0 100,050 - 0 100,050 - 1 100,050 100,050
14 Bisturi Pcs 0 3,000 - 5 3,000 15,000 5 3,000 15,000 0 3,000 -
15 Blood Lancet Box 0 48,000 - 2 48,000 96,000 1 48,000 48,000 1 48,000 48,000
16 Cateter Pcs 5 25,000 125,000 0 25,000 - 5 25,000 125,000 0 25,000 -
17 Catgut 2/0 Box 1 250,700 250,700 0 250,700 - 1 250,700 250,700 0 250,700 -
18 Catgut 3/0 Box 1 250,700 250,700 0 250,700 - 1 250,700 250,700 0 250,700 -
19 Chloraethyl Botol 2 214,500 429,000 0 214,500 - 2 214,500 429,000 0 214,500 -
20 Handschoen Box 0 120,000 - 1 120,000 120,000 1 120,000 120,000 0 120,000 -
21 Handschoen Altamed Box 0 130,000 - 13 130,000 1,690,000 13 130,000 1,690,000 0 130,000 -
22 Handschoen Elva Box 0 135,000 - 3 135,000 405,000 3 135,000 405,000 0 135,000 -
23 Handschoen Maxter M Box 0 265,000 - 5 265,000 1,325,000 5 265,000 1,325,000 0 265,000 -
24 Handschoen Steril Box 1 460,000 460,000 0 460,000 - 1 460,000 460,000 0 460,000 -
25 Infus Set Dewasa Pcs 0 18,000 - 50 18,000 900,000 30 18,000 540,000 20 18,000 360,000
26 Infus Set Dewasa Pcs 0 15,000 - 50 15,000 750,000 50 15,000 750,000 0 15,000 -
27 Infus Set Dewasa Pcs 0 7,920 - 25 7,920 198,000 10 7,920 79,200 15 7,920 118,800
28 Infus Set Dewasa Pcs 0 18,000 - 0 18,000 - 0 18,000 - 0 18,000 -
29 Isi Ulang O3 Kali 0 150,000 - 15 150,000 2,250,000 15 150,000 2,250,000 0 150,000 -
30 Isi Ulang O2 Kali 0 250,000 - 1 250,000 250,000 1 250,000 250,000 0 250,000 -
31 Jelly Botol 1 41,400 41,400 0 41,400 - 1 41,400 41,400 0 41,400 -
32 Lancet Box 1 45,000 45,000 0 45,000 - 1 45,000 45,000 0 45,000 -
33 Lancet Box 0 25,000 - 3 25,000 75,000 3 25,000 75,000 0 25,000 -
34 Lancet Box 0 35,000 - 5 35,000 175,000 5 35,000 175,000 0 35,000 -
35 Masker Hijab Box 2 46,000 92,000 0 46,000 - 2 46,000 92,000 0 46,000 -
36 MY Jelly Tube 0 50,000 - 3 50,000 150,000 3 50,000 150,000 0 50,000 -
37 MY Jelly 82g Tube 0 90,000 - 3 90,000 270,000 3 90,000 270,000 0 90,000 -
38 OK Plastik Bandages Box 0 35,000 - 1 35,000 35,000 0 35,000 - 1 35,000 35,000
39 Plester Rol 1 50,000 50,000 0 50,000 - 1 50,000 50,000 0 50,000 -
40 Plester Rol 1 66,700 66,700 0 66,700 - 1 66,700 66,700 0 66,700 -
41 Plester Kecil Rol 1 10,000 10,000 0 10,000 - 1 10,000 10,000 0 10,000 -
42 Protein Urine Box 0 85,000 - 1 85,000 85,000 1 85,000 85,000 0 85,000 -
43 Rivanol Botol 2 11,600 23,200 0 11,600 - 2 11,600 23,200 0 11,600 -
44 Spoid 3 cc Pcs 180 978 175,950 0 978 - 180 978 175,950 0 978 -
45 Spoid 3 cc Pcs 0 850 - 30 850 25,500 30 850 25,500 0 850 -
46 Spoid 3 cc Pcs 0 5,000 - 50 5,000 250,000 50 5,000 250,000 0 5,000 -
47 Spoid 5 cc Pcs 0 850 - 100 850 85,000 100 850 85,000 0 850 -
48 Strip Asam Urat Autocheck Botol 1 145,000 145,000 0 145,000 - 1 145,000 145,000 0 145,000 -
49 Strip Kolesterol Botol 1 200,000 200,000 5 200,000 1,000,000 5 200,000 1,000,000 1 200,000 200,000
50 Strip Kolesterol Botol 0 180,000 - 1 180,000 180,000 0 180,000 - 1 180,000 180,000
51 Tabung EDTA Buah 55 3,000 165,000 0 3,000 - 35 3,000 105,000 20 3,000 60,000
52 Tes Kehamilan Pcs 0 5,000 - 50 5,000 250,000 40 5,000 200,000 10 5,000 50,000
53 Tespack Pcs 5 4,800 24,000 0 4,800 - 5 4,800 24,000 0 4,800 -
54 Tespack Box 1 97,750 97,750 0 97,750 - 1 97,750 97,750 0 97,750 -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
55 Tespack Box 0 85,000 - 1 85,000 85,000 1 85,000 85,000 0 85,000 -
56 Tespack Pcs 0 3,167 - 3 3,167 9,500 3 3,167 9,500 0 3,167 -
57 Torniquet Pcs 0 35,000 - 1 35,000 35,000 1 35,000 35,000 0 35,000 -
58 Ultrasound Gel Botol 0 30,000 - 2 30,000 60,000 2 30,000 60,000 0 30,000 -
59 Underpath Pcs 5 50,000 250,000 7 50,000 350,000 11 50,000 550,000 1 50,000 50,000
60 Underpath sensi Pcs 0 55,000 - 1 55,000 55,000 0 55,000 - 1 55,000 55,000
61 Upad 60*91 Pcs 0 18,000 - 20 18,000 360,000 10 18,000 180,000 10 18,000 180,000
NILAI OBAT BPJS PUSKESMAS DANGIA Rp 4,313,325.00 Rp 31,237,171.80 Rp 32,983,221.133 Rp 2,567,275.67
OBAT PROGRAM
1 Vaksin rabies Vial 0 Rp 206,250.00 Rp - 0 Rp 206,250.00 Rp - 0 Rp 206,250.00 Rp - 0 Rp 206,250.00 Rp -
2 Vaksin BCG Vial 9 Rp 59,959.00 Rp 539,631.00 89 Rp 59,959.00 Rp 5,336,351.00 89 Rp 59,959.00 Rp 5,336,351.00 9 Rp 59,959.00 Rp 539,631.00
3 Vaksin IPV Vial 0 Rp 59,959.00 Rp - 0 Rp 59,959.00 Rp - 0 Rp 59,959.00 Rp - 0 Rp 59,959.00 Rp -
4 Vaksin IPV Vial 5 Rp 152,900.00 Rp 764,500.00 45 Rp 152,900.00 Rp 6,880,500.00 45 Rp 152,900.00 Rp 6,880,500.00 5 Rp 152,900.00 Rp 764,500.00
5 Vaksin DPT HB Hib Vial 14 Rp 76,285.00 Rp 1,067,990.00 184 Rp 76,285.00 Rp 14,036,440.00 170 Rp 76,285.00 Rp 12,968,450.00 28 Rp 76,285.00 Rp 2,135,980.00
6 Vaksin DT Vial 0 Rp 17,798.00 Rp - 20 Rp 17,798.00 Rp 355,960.00 20 Rp 17,798.00 Rp 355,960.00 0 Rp 17,798.00 Rp -
7 Vaksin polio Vial 13 Rp 19,954.00 Rp 259,402.00 183 Rp 19,954.00 Rp 3,651,582.00 164 Rp 19,954.00 Rp 3,272,456.00 32 Rp 19,954.00 Rp 638,528.00
8 Vaksin campak Vial 10 Rp 28,204.00 Rp 282,040.00 150 Rp 28,204.00 Rp 4,230,600.00 131 Rp 28,204.00 Rp 3,694,724.00 29 Rp 28,204.00 Rp 817,916.00
9 Vaksin Hb Uniject Vial 7 Rp 76,285.00 Rp 533,995.00 167 Rp 76,285.00 Rp 12,739,595.00 166 Rp 76,285.00 Rp 12,663,310.00 8 Rp 76,285.00 Rp 610,280.00
10 Vaksin Td Vial 15 Rp 16,500.00 Rp 247,500.00 105 Rp 16,500.00 Rp 1,732,500.00 75 Rp 16,500.00 Rp 1,237,500.00 45 Rp 16,500.00 Rp 742,500.00
11 Vitamin A 100000 IU Soft Kapsul 0 Rp 341.00 Rp - 0 Rp 341.00 Rp - 0 Rp 341.00 Rp - 0 Rp 341.00 Rp -
14 Obat TB kategori I Paket 0 Rp 498,565.00 Rp - 6 Rp 498,565.00 Rp 2,991,390.00 1 Rp 498,565.00 Rp 498,565.00 5 Rp 498,565.00 Rp 2,492,825.00
15 Obat TB kategori I Paket 1 Rp 396,000.00 Rp 396,000.00 0 Rp 396,000.00 Rp - 1 Rp 396,000.00 Rp 396,000.00 0 Rp 396,000.00 Rp -
16 Obat TB kategori I Paket 0 Rp 467,215.00 Rp - 7 Rp 467,215.00 Rp 3,270,505.00 7 Rp 467,215.00 Rp 3,270,505.00 0 Rp 467,215.00 Rp -
17 Obat TB kategori II Paket 1 Rp 1,199,985.00 Rp 1,199,985.00 0 Rp 1,199,985.00 Rp - 1 Rp 1,199,985.00 Rp 1,199,985.00 0 Rp 1,199,985.00 Rp -
18 Obat TB anak Paket 2 Rp 257,986.00 Rp 515,972.00 0 Rp 257,986.00 Rp - 0 Rp 257,986.00 Rp - 2 Rp 257,986.00 Rp 515,972.00
19 Masker TB Pcs 0 Rp 386.00 Rp - 150 Rp 386.00 Rp 57,900.00 50 Rp 386.00 Rp 19,300.00 100 Rp 386.00 Rp 38,600.00
20 Pot Dahak Pot 0 Rp 2,968.00 Rp - 100 Rp 2,968.00 Rp 296,800.00 20 Rp 2,968.00 Rp 59,360.00 80 Rp 2,968.00 Rp 237,440.00
21 SD-HIV Test 0 Rp 11,975.00 Rp - 150 Rp 11,975.00 Rp 1,796,250.00 100 Rp 11,975.00 Rp 1,197,500.00 50 Rp 11,975.00 Rp 598,750.00
22 Rapid Test Hepatitis Pcs 0 Rp 9,870.00 Rp - 50 Rp 9,870.00 Rp 493,500.00 50 Rp 9,870.00 Rp 493,500.00 0 Rp 9,870.00 Rp -
24 SD-Shypilis Test 0 Rp 20,400.00 Rp - 25 Rp 20,400.00 Rp 510,000.00 25 Rp 20,400.00 Rp 510,000.00 0 Rp 20,400.00 Rp -
25 SD-Shypilis Test 0 Rp 9,300.00 Rp - 25 Rp 9,300.00 Rp 232,500.00 25 Rp 9,300.00 Rp 232,500.00 0 Rp 9,300.00 Rp -
26 Tablet tambah darah Tablet 36000 Rp 45.00 Rp 1,620,000.00 0 Rp 45.00 Rp - 36000 Rp 45.00 Rp 1,620,000.00 0 Rp 45.00 Rp -
27 Tablet tambah darah Tablet 0 Rp 354.00 Rp - 3500 Rp 354.00 Rp 1,239,000.00 3402 Rp 354.00 Rp 1,204,308.00 98 Rp 354.00 Rp 34,692.00
28 Albendasole 400 mg Tablet 1631 Rp 484.00 Rp 789,404.00 0 Rp 484.00 Rp - 0 Rp 484.00 Rp - 1631 Rp 484.00 Rp 789,404.00
29 Albendasole 400 mg Tablet 0 Rp 1,041.98 Rp - 8000 Rp 1,041.98 Rp 8,335,800.00 7506 Rp 1,041.98 Rp 7,821,064.35 494 Rp 1,041.98 Rp 514,735.65
30 DEC Tablet 4991 Rp 202.07 Rp 726,020.00 0 Rp 202.07 Rp - 0 Rp 202.07 Rp - 4991 Rp 202.07 Rp 726,020.00
31 DEC Tablet 0 Rp 190.00 Rp - 21300 Rp 190.00 Rp 4,047,000.00 20651 Rp 190.00 Rp 3,923,690.00 649 Rp 190.00 Rp 123,310.00
32 Oksitosin Injeksi Ampul 0 Rp 1,287.00 Rp - 10 Rp 1,287.00 Rp 12,870.00 10 Rp 1,287.00 Rp 12,870.00 0 Rp 1,287.00 Rp -
33 Dizepam injeksi Ampul 15 Rp 2,010.00 Rp 30,150.00 0 Rp 2,010.00 Rp - 15 Rp 2,010.00 Rp 30,150.00 0 Rp 2,010.00 Rp -
34 Diazepam tablet Tablet 0 Rp 218.00 Rp - 0 Rp 218.00 Rp - 0 Rp 218.00 Rp - 0 Rp 218.00 Rp -
35 Fenobarbital Injeksi Ampul 10 Rp 57.00 Rp 570.00 0 Rp 57.00 Rp - 10 Rp 57.00 Rp 570.00 0 Rp 57.00 Rp -
36 Haloperidol 5 mg Tablet 30 Rp 57.00 Rp 1,710.00 0 Rp 57.00 Rp - 30 Rp 57.00 Rp 1,710.00 0 Rp 57.00 Rp -
37 Garam oralit Sachet 1940 Rp 275.00 Rp 533,500.00 500 Rp 275.00 Rp 137,500.00 2000 Rp 275.00 Rp 550,000.00 440 Rp 275.00 Rp 121,000.00
NILAI OBAT PROGRAM PUSKESMAS DANGIA Rp 9,508,369.00 Rp 73,197,543.00 Rp 69,857,328.350 Rp 12,848,583.65
JUMLAH NILAI OBAT PUSKESMAS DANGIA Rp 62,266,246.78 Rp 166,252,984.62 Rp 180,399,963.721 Rp 48,119,267.68
PUSKESMAS POLI-POLIA
OBAT IFK
1 Air Untuk Injeksi 20 ml vial 12 Rp 2,860.00 Rp 34,320.00 6 Rp 2,860.00 Rp 17,160.00 7 Rp 2,860.00 Rp 20,020.00 11 Rp 2,860.00 Rp 31,460.00
2 Albendazole tab 400 mg tablet 88 Rp 363.00 Rp 31,944.00 0 Rp 363.00 Rp - 88 Rp 363.00 Rp 31,944.00 0 Rp 363.00 Rp -
3 Acetyl cystein Tablet 180 Rp 460.00 Rp 82,800.00 120 Rp 460.00 Rp 55,200.00 300 Rp 460.00 Rp 138,000.00 0 Rp 460.00 Rp -
4 Allopurinol tab 100 mg tablet 800 Rp 102.00 Rp 81,600.00 500 Rp 102.00 Rp 51,000.00 1300 Rp 102.00 Rp 132,600.00 0 Rp 102.00 Rp -
5 Allopurinol tab 100 mg tablet Rp 108.00 Rp - 2500 Rp 108.00 Rp 270,000.00 700 Rp 108.00 Rp 75,600.00 1800 Rp 108.00 Rp 194,400.00
6 Ambroksol sir 15 mg/ml - 60 ml botol Rp 4,959.90 Rp - 10 Rp 4,959.90 Rp 49,599.00 0 Rp 4,959.90 Rp - 10 Rp 4,959.90 Rp 49,599.00
7 Ambroksol tab 30 mg tablet Rp 197.34 Rp - 500 Rp 197.34 Rp 98,670.00 100 Rp 197.34 Rp 19,734.00 400 Rp 197.34 Rp 78,936.00
8 Amlodipin tab 5 mg tablet Rp 83.00 Rp - 600 Rp 83.00 Rp 49,800.00 600 Rp 83.00 Rp 49,800.00 0 Rp 83.00 Rp -
9 Amlodipin tab 5 mg tablet 350 Rp 78.00 Rp 27,300.00 900 Rp 78.00 Rp 70,200.00 1250 Rp 78.00 Rp 97,500.00 0 Rp 78.00 Rp -
12 Amoxicillin sir forte 250 mg/5 ml botol 200 Rp 3,740.00 Rp 748,000.00 300 Rp 3,740.00 Rp 1,122,000.00 500 Rp 3,740.00 Rp 1,870,000.00 0 Rp 3,740.00 Rp -
13 Amoxicillin tab 250 mg tablet 4000 Rp 198.00 Rp 792,000.00 1000 Rp 198.00 Rp 198,000.00 5000 Rp 198.00 Rp 990,000.00 0 Rp 198.00 Rp -
15 Amoxicillin tab 500 mg tablet Rp 269.00 Rp - 1500 Rp 269.00 Rp 403,500.00 1100 Rp 269.00 Rp 295,900.00 400 Rp 269.00 Rp 107,600.00
16 Amoxicillin tab 500 mg tablet Rp 248.00 Rp - 1000 Rp 248.00 Rp 248,000.00 1000 Rp 248.00 Rp 248,000.00 0 Rp 248.00 Rp -
18 Antasida DOEN susp 60 ml botol 0 Rp 2,290.00 Rp - 2 Rp 2,290.00 Rp 4,580.00 2 Rp 2,290.00 Rp 4,580.00 0 Rp 2,290.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
20 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 tablet 1300 Rp 57.00 Rp 74,100.00 9000 Rp 57.00 Rp 513,000.00 7500 Rp 57.00 Rp 427,500.00 2800 Rp 57.00 Rp 159,600.00
21 Anti Bakteri DOEN salep kombinasi 5 g pot 43 Rp 3,511.00 Rp 150,973.00 75 Rp 3,511.00 Rp 263,325.00 92 Rp 3,511.00 Rp 323,012.00 26 Rp 3,511.00 Rp 91,286.00
Generik antifungi salep, kombinasi: Asam benzoat 6 % + Asam salisilat 3
22 tube Rp 5,757.00 Rp - 24 Rp 5,757.00 Rp 138,168.00 24 Rp 5,757.00 Rp 138,168.00 0 Rp 5,757.00 Rp -
%
Generik antifungi salep, kombinasi: Asam benzoat 6 % + Asam salisilat 3
23 tube 10 Rp 5,395.00 Rp 53,950.00 96 Rp 5,395.00 Rp 517,920.00 46 Rp 5,395.00 Rp 248,170.00 60 Rp 5,395.00 Rp 323,700.00
%
24 Antihemoroid kombinasi : bismut subgalat Supp 8 Rp 3,800.00 Rp 30,400.00 30 Rp 3,800.00 Rp 114,000.00 28 Rp 3,800.00 Rp 106,400.00 10 Rp 3,800.00 Rp 38,000.00
25 Asam Ascorbat (Vitamin C) tab 50 mg tablet 3000 Rp 126.00 Rp 378,000.00 5500 Rp 126.00 Rp 693,000.00 6200 Rp 126.00 Rp 781,200.00 2300 Rp 126.00 Rp 289,800.00
27 Asam Mefenamat tab 500 mg tablet 700 Rp 160.00 Rp 112,000.00 0 Rp 160.00 Rp - 700 Rp 160.00 Rp 112,000.00 0 Rp 160.00 Rp -
28 Asiklovir tab 200 mg tablet 1000 Rp 263.00 Rp 263,000.00 0 Rp 263.00 Rp - 1000 Rp 263.00 Rp 263,000.00 0 Rp 263.00 Rp -
29 Asiklovir tab 200 mg tablet Rp 236.00 Rp - 2800 Rp 236.00 Rp 660,800.00 1400 Rp 236.00 Rp 330,400.00 1400 Rp 236.00 Rp 330,400.00
30 Asiklovir tab 400 mg tablet 1000 Rp 440.00 Rp 440,000.00 0 Rp 440.00 Rp - 900 Rp 440.00 Rp 396,000.00 100 Rp 440.00 Rp 44,000.00
31 Betametason krim 0,1 mg/g tube 0 Rp 3,350.00 Rp - 25 Rp 3,350.00 Rp 83,750.00 25 Rp 3,350.00 Rp 83,750.00 0 Rp 3,350.00 Rp -
32 Betametason krim 0,05 % tube 0 Rp 3,350.00 Rp - 25 Rp 3,350.00 Rp 83,750.00 Rp 3,350.00 Rp - 25 Rp 3,350.00 Rp 83,750.00
33 Bisakodil sup 5 mg supp 0 Rp 6,000.00 Rp - 30 Rp 6,000.00 Rp 180,000.00 24 Rp 6,000.00 Rp 144,000.00 6 Rp 6,000.00 Rp 36,000.00
34 Bisakodil sup 10 mg supp 0 Rp 5,900.00 Rp - 10 Rp 5,900.00 Rp 59,000.00 10 Rp 5,900.00 Rp 59,000.00 0 Rp 5,900.00 Rp -
35 Cetrizine sir 5 mg/5 ml botol 50 Rp 3,104.00 Rp 155,200.00 250 Rp 3,104.00 Rp 776,000.00 166 Rp 3,104.00 Rp 515,264.00 134 Rp 3,104.00 Rp 415,936.00
36 Copper T set/buah 2 Rp 125,000.00 Rp 250,000.00 0 Rp 125,000.00 Rp - 2 Rp 125,000.00 Rp 250,000.00 0 Rp 125,000.00 Rp -
37 Deksametason tab 0,5 mg tablet Rp 136.06 Rp - 300 Rp 136.06 Rp 40,817.70 Rp 136.06 Rp - 300 Rp 136.06 Rp 40,817.70
38 Deksamethason inj 5 mg/ml - 1 ml ampul 100 Rp 1,278.00 Rp 127,800.00 10 Rp 1,278.00 Rp 12,780.00 100 Rp 1,278.00 Rp 127,800.00 10 Rp 1,278.00 Rp 12,780.00
39 DHP Frimal kombinasi dihidroartemisin 40 mg Tablet Rp 2,166.00 Rp - 36 Rp 2,166.00 Rp 77,976.00 36 Rp 2,166.00 Rp 77,976.00 0 Rp 2,166.00 Rp -
40 Domperidon tab 10 mg tablet Rp 96.00 Rp - 200 Rp 96.00 Rp 19,200.00 Rp 96.00 Rp - 200 Rp 96.00 Rp 19,200.00
41 Domperidon tab 10 mg tablet 0 Rp 90.00 Rp - 1500 Rp 90.00 Rp 135,000.00 600 Rp 90.00 Rp 54,000.00 900 Rp 90.00 Rp 81,000.00
42 Ephinefrin (Adrenalin ) inj 0,1% 1 ml ampul 18 Rp 1,848.00 Rp 33,264.00 0 Rp 1,848.00 Rp - 18 Rp 1,848.00 Rp 33,264.00 0 Rp 1,848.00 Rp -
43 Eritromisin kaps 250 mg kapsul 0 Rp 711.00 Rp - 1000 Rp 711.00 Rp 711,000.00 900 Rp 711.00 Rp 639,900.00 100 Rp 711.00 Rp 71,100.00
44 Erytromisin SK 200 mg/5 ml botol 300 Rp 6,622.00 Rp 1,986,600.00 60 Rp 6,622.00 Rp 397,320.00 360 Rp 6,622.00 Rp 2,383,920.00 0 Rp 6,622.00 Rp -
45 Fenobarbital inj 50 mg/ml-1 ml ampul 30 Rp 1,980.00 Rp 59,400.00 0 Rp 1,980.00 Rp - 30 Rp 1,980.00 Rp 59,400.00 0 Rp 1,980.00 Rp -
46 Fitomenadion (Vitamin K1) tab salut 10 mg tab salut 100 Rp 855.00 Rp 85,500.00 0 Rp 855.00 Rp - 100 Rp 855.00 Rp 85,500.00 0 Rp 855.00 Rp -
47 Fitomenadion (Vitamin K1) inj 2 mg/ml ampul 30 Rp 4,420.00 Rp 132,600.00 30 Rp 4,420.00 Rp 132,600.00 30 Rp 4,420.00 Rp 132,600.00 30 Rp 4,420.00 Rp 132,600.00
48 Furosemid tab 40 mg tablet 940 Rp 82.00 Rp 77,080.00 6800 Rp 82.00 Rp 557,600.00 6340 Rp 82.00 Rp 519,880.00 1400 Rp 82.00 Rp 114,800.00
49 Gentamicin salep mata 0,3% tube 50 Rp 3,210.00 Rp 160,500.00 5 Rp 3,210.00 Rp 16,050.00 45 Rp 3,210.00 Rp 144,450.00 10 Rp 3,210.00 Rp 32,100.00
50 Glibenklamid tab 5 mg tablet 200 Rp 216.00 Rp 43,200.00 0 Rp 216.00 Rp - 200 Rp 216.00 Rp 43,200.00 0 Rp 216.00 Rp -
53 Glimepirid tab 1 mg tablet 500 Rp 200.00 Rp 100,000.00 0 Rp 200.00 Rp - 500 Rp 200.00 Rp 100,000.00 0 Rp 200.00 Rp -
54 Glimepirid tab 2 mg tablet Rp 207.00 Rp - 500 Rp 207.00 Rp 103,500.00 Rp 207.00 Rp - 500 Rp 207.00 Rp 103,500.00
55 Glukosa lar infus steril 5% - 500 ml botol 24 Rp 5,720.00 Rp 137,280.00 0 Rp 5,720.00 Rp - 24 Rp 5,720.00 Rp 137,280.00 0 Rp 5,720.00 Rp -
56 Glukosa lar infus steril 5% - 500 ml botol 280 Rp 6,900.00 Rp 1,932,000.00 700 Rp 6,900.00 Rp 4,830,000.00 980 Rp 6,900.00 Rp 6,762,000.00 0 Rp 6,900.00 Rp -
57 Griseofulvin tab 125 mg tablet Rp 336.49 Rp - 700 Rp 336.49 Rp 235,543.00 200 Rp 336.49 Rp 67,298.00 500 Rp 336.49 Rp 168,245.00
58 Hydroklortiazid (HCT) tab 25 mg tablet 400 Rp 179.00 Rp 71,600.00 1000 Rp 179.00 Rp 179,000.00 1100 Rp 179.00 Rp 196,900.00 300 Rp 179.00 Rp 53,700.00
59 Hydrokortison krim 2,5 % - 5 g tube 20 Rp 2,648.00 Rp 52,960.00 384 Rp 2,648.00 Rp 1,016,832.00 232 Rp 2,648.00 Rp 614,336.00 172 Rp 2,648.00 Rp 455,456.00
60 Ibuprofen sir 100 mg/5 ml botol Rp 5,709.00 Rp - 36 Rp 5,709.00 Rp 205,524.00 Rp 5,709.00 Rp - 36 Rp 5,709.00 Rp 205,524.00
61 Ibuprofen sir 200 mg/5 ml botol 0 Rp 5,509.00 Rp - 36 Rp 5,509.00 Rp 198,324.00 10 Rp 5,509.00 Rp 55,090.00 26 Rp 5,509.00 Rp 143,234.00
62 Kalsium Laktat (Kalk) tab 500 mg tablet Rp 64.00 Rp - 2000 Rp 64.00 Rp 128,000.00 Rp 64.00 Rp - 2000 Rp 64.00 Rp 128,000.00
63 Kalsium Laktat (Kalk) tab 500 mg tablet 1100 Rp 60.00 Rp 66,000.00 5100 Rp 60.00 Rp 306,000.00 5600 Rp 60.00 Rp 336,000.00 600 Rp 60.00 Rp 36,000.00
64 Kaptopril tab 12,5 mg tablet Rp 73.00 Rp - 300 Rp 73.00 Rp 21,900.00 100 Rp 73.00 Rp 7,300.00 200 Rp 73.00 Rp 14,600.00
65 Kaptopril tab 12,5 mg tablet 400 Rp 68.00 Rp 27,200.00 0 Rp 68.00 Rp - 400 Rp 68.00 Rp 27,200.00 0 Rp 68.00 Rp -
66 Kaptopril tab 25 mg tablet Rp 181.12 Rp - 500 Rp 181.12 Rp 90,557.50 400 Rp 181.12 Rp 72,446.00 100 Rp 181.12 Rp 18,111.50
67 Ketokonazole tab 200 mg tablet 500 Rp 317.00 Rp 158,500.00 0 Rp 317.00 Rp - 400 Rp 317.00 Rp 126,800.00 100 Rp 317.00 Rp 31,700.00
68 Kloramfenikol salap mata 1% tube 20 Rp 2,013.00 Rp 40,260.00 24 Rp 2,013.00 Rp 48,312.00 24 Rp 2,013.00 Rp 48,312.00 20 Rp 2,013.00 Rp 40,260.00
69 Kloramfenikol salep kulit 2% tube 71 Rp 3,645.00 Rp 258,795.00 0 Rp 3,645.00 Rp - 71 Rp 3,645.00 Rp 258,795.00 0 Rp 3,645.00 Rp -
70 Kotrimoxazol tab 480 mg (adult) tablet 200 Rp 135.00 Rp 27,000.00 0 Rp 135.00 Rp - 200 Rp 135.00 Rp 27,000.00 0 Rp 135.00 Rp -
71 Kotrimoxazol tab 480 mg (adult) tablet Rp 129.00 Rp - 4000 Rp 129.00 Rp 516,000.00 2500 Rp 129.00 Rp 322,500.00 1500 Rp 129.00 Rp 193,500.00
72 Kotrimoxazol susp 60 ml botol 0 Rp 2,115.00 Rp - 136 Rp 2,115.00 Rp 287,640.00 108 Rp 2,115.00 Rp 228,420.00 28 Rp 2,115.00 Rp 59,220.00
73 Kotrimoxazol susp 40mg/5ml botol Rp 2,257.00 Rp - 100 Rp 2,257.00 Rp 225,700.00 Rp 2,257.00 Rp - 100 Rp 2,257.00 Rp 225,700.00
74 Lidokain inj 2% (infiltr/p.v.) ampul 40 Rp 1,375.00 Rp 55,000.00 70 Rp 1,375.00 Rp 96,250.00 107 Rp 1,375.00 Rp 147,125.00 3 Rp 1,375.00 Rp 4,125.00
75 Lidocain compositum injeksi 2 % + Epineprin 1 : 80000 inj 2 ml ampul Rp 1,380.00 Rp - 10 Rp 1,380.00 Rp 13,800.00 10 Rp 1,380.00 Rp 13,800.00 0 Rp 1,380.00 Rp -
78 Metformin tab 500 mg tablet 0 Rp 110.00 Rp - 1400 Rp 110.00 Rp 154,000.00 1400 Rp 110.00 Rp 154,000.00 0 Rp 110.00 Rp -
79 Metformin tab 500 mg tablet 300 Rp 165.00 Rp 49,500.00 0 Rp 165.00 Rp - 300 Rp 165.00 Rp 49,500.00 0 Rp 165.00 Rp -
80 Metilergometrin Maleat tab 0.125 mg tablet 250 Rp 271.00 Rp 67,750.00 0 Rp 271.00 Rp - 250 Rp 271.00 Rp 67,750.00 0 Rp 271.00 Rp -
81 Metilergometrin Maleat inj 0.200 mg - 1 ml ampul 9 Rp 3,553.00 Rp 31,977.00 50 Rp 3,553.00 Rp 177,650.00 59 Rp 3,553.00 Rp 209,627.00 0 Rp 3,553.00 Rp -
82 Metilprednisolon tab 4 mg tablet Rp 153.00 Rp - 300 Rp 153.00 Rp 45,900.00 Rp 153.00 Rp - 300 Rp 153.00 Rp 45,900.00
83 Metilprednisolon tab 4 mg tablet 1600 Rp 143.00 Rp 228,800.00 0 Rp 143.00 Rp - 1600 Rp 143.00 Rp 228,800.00 0 Rp 143.00 Rp -
84 Metoklopramid tab 5 mg tablet 1000 Rp 129.00 Rp 129,000.00 0 Rp 129.00 Rp - 910 Rp 129.00 Rp 117,390.00 90 Rp 129.00 Rp 11,610.00
87 Metronidazol tab 250 mg tablet 200 Rp 97.00 Rp 19,400.00 0 Rp 97.00 Rp - 200 Rp 97.00 Rp 19,400.00 0 Rp 97.00 Rp -
88 Miconazole krim 2% tube 0 Rp 4,097.00 Rp - 34 Rp 4,097.00 Rp 139,298.00 10 Rp 4,097.00 Rp 40,970.00 24 Rp 4,097.00 Rp 98,328.00
89 Natrium Diklofenak tab 25 mg tablet 700 Rp 154.00 Rp 107,800.00 1000 Rp 154.00 Rp 154,000.00 1700 Rp 154.00 Rp 261,800.00 0 Rp 154.00 Rp -
90 Natrium Diklofenak tab 25 mg tablet 500 Rp 146.00 Rp 73,000.00 0 Rp 146.00 Rp - 500 Rp 146.00 Rp 73,000.00 0 Rp 146.00 Rp -
91 Natrium Klorida (NaCl) lar inf 0,9% - 500 ml botol 2 Rp 5,170.00 Rp 10,340.00 0 Rp 5,170.00 Rp - 2 Rp 5,170.00 Rp 10,340.00 0 Rp 5,170.00 Rp -
92 Natrium Klorida (NaCl) lar inf 0,9% - 500 ml botol 78 Rp 6,410.00 Rp 499,980.00 200 Rp 6,410.00 Rp 1,282,000.00 166 Rp 6,410.00 Rp 1,064,060.00 112 Rp 6,410.00 Rp 717,920.00
93 Nistatin tab vaginal 100.000 IU ovula 280 Rp 528.00 Rp 147,840.00 0 Rp 528.00 Rp - 280 Rp 528.00 Rp 147,840.00 0 Rp 528.00 Rp -
94 Nistatin tab vaginal 100.000 IU ovula 20 Rp 675.00 Rp 13,500.00 1800 Rp 675.00 Rp 1,215,000.00 1330 Rp 675.00 Rp 897,750.00 490 Rp 675.00 Rp 330,750.00
95 Nistatin tab vaginal 500.000 IU tablet 400 Rp 950.00 Rp 380,000.00 0 Rp 950.00 Rp - 400 Rp 950.00 Rp 380,000.00 0 Rp 950.00 Rp -
96 Ofloxacin tab 200 mg tablet 300 Rp 531.00 Rp 159,300.00 1000 Rp 531.00 Rp 531,000.00 1200 Rp 531.00 Rp 637,200.00 100 Rp 531.00 Rp 53,100.00
97 Oksitetrasiklin HCl salep mata 1% - 3,5 g tube Rp 2,774.00 Rp - 15 Rp 2,774.00 Rp 41,610.00 7 Rp 2,774.00 Rp 19,418.00 8 Rp 2,774.00 Rp 22,192.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
98 Oksitetrasiklin HCl salep mata 1% - 3,5 g tube 15 Rp 2,600.00 Rp 39,000.00 25 Rp 2,600.00 Rp 65,000.00 20 Rp 2,600.00 Rp 52,000.00 20 Rp 2,600.00 Rp 52,000.00
99 Omeprazol kaps 20 mg kapsul 1000 Rp 153.00 Rp 153,000.00 0 Rp 153.00 Rp - 1000 Rp 153.00 Rp 153,000.00 0 Rp 153.00 Rp -
100 Ondansentron 4 mg Tablet 128 Rp 546.00 Rp 69,888.00 0 Rp 546.00 Rp - 128 Rp 546.00 Rp 69,888.00 0 Rp 546.00 Rp -
101 Paracetamol tab 500 mg tablet Rp 274.48 Rp - 500 Rp 274.48 Rp 137,241.50 Rp 274.48 Rp - 500 Rp 274.48 Rp 137,241.50
102 Paracetamol tab 500 mg tablet 300 Rp 49.00 Rp 14,700.00 0 Rp 49.00 Rp - 300 Rp 49.00 Rp 14,700.00 0 Rp 49.00 Rp -
103 Paracetamol sir botol Rp 5,041.30 Rp - 10 Rp 5,041.30 Rp 50,413.00 Rp 5,041.30 Rp - 10 Rp 5,041.30 Rp 50,413.00
104 Paracetamol tts 60 mg/0,6 mL botol 50 Rp 7,979.00 Rp 398,950.00 224 Rp 7,979.00 Rp 1,787,296.00 274 Rp 7,979.00 Rp 2,186,246.00 0 Rp 7,979.00 Rp -
105 Pirantel Pamoat tab 125 mg tablet 252 Rp 346.00 Rp 87,192.00 0 Rp 346.00 Rp - 152 Rp 346.00 Rp 52,592.00 100 Rp 346.00 Rp 34,600.00
106 Pirantel Pamoat tab 125 mg tablet 200 Rp 11,600.00 Rp 2,320,000.00 0 Rp 11,600.00 Rp - 200 Rp 11,600.00 Rp 2,320,000.00 0 Rp 11,600.00 Rp -
107 Pirantel Pamoat sir 125 mg/5 ml - 60ml botol 8 Rp 11,600.00 Rp 92,800.00 0 Rp 11,600.00 Rp - 6 Rp 11,600.00 Rp 69,600.00 2 Rp 11,600.00 Rp 23,200.00
108 Piridoksin (Vitamin B6) tab 10 mg tablet 0 Rp 148.00 Rp - 4000 Rp 148.00 Rp 592,000.00 3200 Rp 148.00 Rp 473,600.00 800 Rp 148.00 Rp 118,400.00
109 Povidon Iodida lar 10% - 300 ml botol 2 Rp 21,600.00 Rp 43,200.00 13 Rp 21,600.00 Rp 280,800.00 7 Rp 21,600.00 Rp 151,200.00 8 Rp 21,600.00 Rp 172,800.00
110 Povidon Iodida lar 10% - 30 ml botol 0 Rp 3,480.00 Rp - 20 Rp 3,480.00 Rp 69,600.00 5 Rp 3,480.00 Rp 17,400.00 15 Rp 3,480.00 Rp 52,200.00
111 Prednison tab 5 mg tablet 0 Rp 79.00 Rp - 800 Rp 79.00 Rp 63,200.00 700 Rp 79.00 Rp 55,300.00 100 Rp 79.00 Rp 7,900.00
112 Prednison tab 5 mg tablet 100 Rp 74.00 Rp 7,400.00 0 Rp 74.00 Rp - 100 Rp 74.00 Rp 7,400.00 0 Rp 74.00 Rp -
115 Retinol (Vit A) softcap 200.000 IU softcap 1000 Rp 622.00 Rp 622,000.00 500 Rp 622.00 Rp 311,000.00 1100 Rp 622.00 Rp 684,200.00 400 Rp 622.00 Rp 248,800.00
116 Ringer Laktat lar inf steril 500 ml botol Rp 7,630.00 Rp - 240 Rp 7,630.00 Rp 1,831,200.00 240 Rp 7,630.00 Rp 1,831,200.00 0 Rp 7,630.00 Rp -
117 Ringer Laktat lar inf steril 500 ml botol 40 Rp 7,150.00 Rp 286,000.00 20 Rp 7,150.00 Rp 143,000.00 60 Rp 7,150.00 Rp 429,000.00 0 Rp 7,150.00 Rp -
118 Salbutamol tab 2 mg tablet Rp 113.28 Rp - 300 Rp 113.28 Rp 33,983.40 Rp 113.28 Rp - 300 Rp 113.28 Rp 33,983.40
119 Salbutamol tab 2 mg tablet 1 Rp 113.16 Rp 113.16 Rp 113.16 Rp - 1 Rp 113.16 Rp 113.16 0 Rp 113.16 Rp -
124 Sianokobalamin (Vitamin B12) inj 500 mcg/mL ampul 0 Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp - Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp -
125 Simvastatin tab 10 mg tablet 800 Rp 117.00 Rp 93,600.00 1100 Rp 117.00 Rp 128,700.00 1720 Rp 117.00 Rp 201,240.00 180 Rp 117.00 Rp 21,060.00
129 Spironolakton tab 25 mg tablet 0 Rp 350.00 Rp - 0 Rp 350.00 Rp - Rp 350.00 Rp - 0 Rp 350.00 Rp -
130 Streptomisin serb inj 1,000 mg/vial vial 0 Rp 4,015.00 Rp - 0 Rp 4,015.00 Rp - Rp 4,015.00 Rp - 0 Rp 4,015.00 Rp -
131 Tablet tambah darah kombinasi Ferro Sulfat 200 mg + As.Folat 0,25 mg tablet 21200 Rp 427.00 Rp 9,052,400.00 33600 Rp 427.00 Rp 14,347,200.00 54800 Rp 427.00 Rp 23,399,600.00 0 Rp 427.00 Rp -
132 Tetrasiklin kaps 500 mg kapsul Rp 324.00 Rp - 500 Rp 324.00 Rp 162,000.00 50 Rp 324.00 Rp 16,200.00 450 Rp 324.00 Rp 145,800.00
133 Tetrasiklin kaps 500 mg kapsul 90 Rp 325.00 Rp 29,250.00 0 Rp 325.00 Rp - 90 Rp 325.00 Rp 29,250.00 0 Rp 325.00 Rp -
134 Tetrasiklin kaps 500 mg kapsul Rp 341.00 Rp - 1000 Rp 341.00 Rp 341,000.00 1000 Rp 341.00 Rp 341,000.00 0 Rp 341.00 Rp -
136 Vitamin B Kompleks tablet Rp 150.00 Rp - 500 Rp 150.00 Rp 75,000.00 Rp 150.00 Rp - 500 Rp 150.00 Rp 75,000.00
137 Vitamin B Kompleks tablet 500 Rp 112.00 Rp 56,000.00 0 Rp 112.00 Rp - 500 Rp 112.00 Rp 56,000.00 0 Rp 112.00 Rp -
140 Zinc sir 20 mg/5 ml botol 0 Rp 3,449.00 Rp - 35 Rp 3,449.00 Rp 120,715.00 35 Rp 3,449.00 Rp 120,715.00 0 Rp 3,449.00 Rp -
141 Zinc dispersible 20 mg tablet 500 Rp 631.00 Rp 315,500.00 0 Rp 631.00 Rp - 500 Rp 631.00 Rp 315,500.00 0 Rp 631.00 Rp -
142 Piracetam 800 mg tablet 500 Rp 960.00 Rp 480,001.50 0 Rp 960.00 Rp - 500 Rp 960.00 Rp 480,001.50 0 Rp 960.00 Rp -

1 Alat Suntik 1 ml pcs 100 Rp 821.48 Rp 82,148.00 0 Rp 821.48 Rp - 40 Rp 821.48 Rp 32,859.20 60 Rp 821.48 Rp 49,288.80
2 Alat Suntik 20 ml pcs 50 Rp 2,228.00 Rp 111,400.00 0 Rp 2,228.00 Rp - 25 Rp 2,228.00 Rp 55,700.00 25 Rp 2,228.00 Rp 55,700.00
3 Catgut no.2/0 pcs 50 Rp 8,960.21 Rp 448,010.42 72 Rp 8,960.21 Rp 645,135.00 38 Rp 8,960.21 Rp 340,487.92 84 Rp 8,960.21 Rp 752,657.50
4 Catgut no.2/0 pcs 50 Rp 198.95 Rp 9,947.50 0 Rp 198.95 Rp - 50 Rp 198.95 Rp 9,947.50 0 Rp 198.95 Rp -
5 Catgut no.2/0 pcs Rp 8,960.21 Rp - 0 Rp 8,960.21 Rp - Rp 8,960.21 Rp - 0 Rp 8,960.21 Rp -
6 Catgut no.3/0 pcs 24 Rp 8,960.21 Rp 215,045.00 72 Rp 8,960.21 Rp 645,135.00 74 Rp 8,960.21 Rp 663,055.42 22 Rp 8,960.21 Rp 197,124.58
7 Catgut no.3/0 pcs 20 Rp 198.95 Rp 3,979.00 0 Rp 198.95 Rp - 20 Rp 198.95 Rp 3,979.00 0 Rp 198.95 Rp -
8 Catheter (Aximed Foleycath 2-Way no.14) pcs 4 Rp 11,000.00 Rp 44,000.00 0 Rp 11,000.00 Rp - Rp 11,000.00 Rp - 4 Rp 11,000.00 Rp 44,000.00
9 Urocare folley catheter 2 way no 14 3 Rp 92,000.00 Rp 276,000.00 5 Rp 92,000.00 Rp 460,000.00 3 Rp 92,000.00 Rp 276,000.00 5 Rp 92,000.00 Rp 460,000.00
10 Aximed foleycath,2 way latex foley cath, no.14 pcs Rp 12,100.00 Rp - 30 Rp 12,100.00 Rp 363,000.00 Rp 12,100.00 Rp - 30 Rp 12,100.00 Rp 363,000.00
11 Catheter (folley cathteter) no.10 pcs 6 Rp 13,750.00 Rp 82,500.00 0 Rp 13,750.00 Rp - Rp 13,750.00 Rp - 6 Rp 13,750.00 Rp 82,500.00
12 Catheter (folley cathteter) no.12 pcs 26 Rp 13,750.00 Rp 357,500.00 20 Rp 13,750.00 Rp 275,000.00 Rp 13,750.00 Rp - 46 Rp 13,750.00 Rp 632,500.00
13 Catheter (folley cathteter) no.14 pcs 56 Rp 13,750.00 Rp 770,000.00 20 Rp 13,750.00 Rp 275,000.00 Rp 13,750.00 Rp - 76 Rp 13,750.00 Rp 1,045,000.00
16 Autochek Cholesterol test btl/25 strip kotak Rp 385,235.00 Rp - 2 Rp 385,235.00 Rp 770,470.00 Rp 385,235.00 Rp - 2 Rp 385,235.00 Rp 770,470.00
17 Autochek Cholesterol test btl/25 strip botol 0 Rp 367,812.50 Rp - 3 Rp 367,812.50 Rp 1,103,437.50 2 Rp 367,812.50 Rp 735,625.00 1 Rp 367,812.50 Rp 367,812.50
18 Copper T set 10 Rp 125,000.00 Rp 1,250,000.00 0 Rp 125,000.00 Rp - 1 Rp 125,000.00 Rp 125,000.00 9 Rp 125,000.00 Rp 1,125,000.00
19 Autochek Glukosa test btl/50 strip kotak 1 Rp 136,950.00 Rp 136,950.00 9 Rp 136,950.00 Rp 1,232,550.00 4 Rp 136,950.00 Rp 547,800.00 6 Rp 136,950.00 Rp 821,700.00
20 Glukosa test btl/25 strip botol 1 Rp 180,000.00 Rp 180,000.00 0 Rp 180,000.00 Rp - 1 Rp 180,000.00 Rp 180,000.00 0 Rp 180,000.00 Rp -
21 E.W.G SURGICAL GLOVES 7 pcs 0 Rp 5,383.38 Rp - 190 Rp 5,383.38 Rp 1,022,842.58 50 Rp 5,383.38 Rp 269,169.10 140 Rp 5,383.38 Rp 753,673.48
22 E.W.G SURGICAL GLOVES 7,5 pcs 0 Rp 5,383.38 Rp - 230 Rp 5,383.38 Rp 1,238,177.86 161 Rp 5,383.38 Rp 866,724.50 69 Rp 5,383.38 Rp 371,453.36
23 E.W.G SURGICAL GLOVES 8 pcs Rp 5,382.88 Rp - 50 Rp 5,382.88 Rp 269,144.10 20 Rp 5,382.88 Rp 107,657.64 30 Rp 5,382.88 Rp 161,486.46
24 Hand Schoen (Aximed Exam Gloves size S) pcs 0 Rp 57,750.00 Rp - 3 Rp 57,750.00 Rp 173,250.00 3 Rp 57,750.00 Rp 173,250.00 0 Rp 57,750.00 Rp -
25 Hand Schoen (Aximed Exam Gloves size M) pcs 0 Rp 57,750.00 Rp - 4 Rp 57,750.00 Rp 231,000.00 4 Rp 57,750.00 Rp 231,000.00 0 Rp 57,750.00 Rp -
26 Hand Schoen (Examination Gloves Size S) set 7 Rp 57,750.00 Rp 404,250.00 0 Rp 57,750.00 Rp - 7 Rp 57,750.00 Rp 404,250.00 0 Rp 57,750.00 Rp -
27 Hand Schoen (Examination Gloves Size M) set 7 Rp 57,750.00 Rp 404,250.00 0 Rp 57,750.00 Rp - 7 Rp 57,750.00 Rp 404,250.00 0 Rp 57,750.00 Rp -
28 Hand Schoen (Examination Gloves Size L) set 2 Rp 57,750.00 Rp 115,500.00 0 Rp 57,750.00 Rp - 2 Rp 57,750.00 Rp 115,500.00 0 Rp 57,750.00 Rp -
29 Infusion Set Anak set 0 Rp 3,556.16 Rp - 20 Rp 3,556.16 Rp 71,123.20 20 Rp 3,556.16 Rp 71,123.20 0 Rp 3,556.16 Rp -
31 IV Catheter no. 18 pcs Rp 9,461.25 Rp - 25 Rp 9,461.25 Rp 236,531.23 15 Rp 9,461.25 Rp 141,918.74 10 Rp 9,461.25 Rp 94,612.49
32 IV Catheter no. 24 pcs Rp 9,461.25 Rp - 20 Rp 9,461.25 Rp 189,224.99 20 Rp 9,461.25 Rp 189,224.99 0 Rp 9,461.25 Rp -
33 IV Catheter (Nipro IV Catheter no. 18 G x 2") pcs 50 Rp 8,974.95 Rp 448,747.50 0 Rp 8,974.95 Rp - 50 Rp 8,974.95 Rp 448,747.50 0 Rp 8,974.95 Rp -
34 IV Catheter (Nipro IV Catheter no. 24 G x 1") pcs 0 Rp 9,461.25 Rp - 40 Rp 9,461.25 Rp 378,449.97 40 Rp 9,461.25 Rp 378,449.97 0 Rp 9,461.25 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
35 NIPRO SYRINGE 3 CC pcs 50 Rp 864.72 Rp 43,236.00 0 Rp 864.72 Rp - 50 Rp 864.72 Rp 43,236.00 0 Rp 864.72 Rp -
36 NIPRO SYRINGE 5 CC pcs 50 Rp 1,248.23 Rp 62,411.50 10 Rp 1,248.23 Rp 12,482.30 60 Rp 1,248.23 Rp 74,893.80 0 Rp 1,248.23 Rp -
37 NIPRO SYRINGE 10 CC pcs 50 Rp 1,654.95 Rp 82,747.50 0 Rp 1,654.95 Rp - 50 Rp 1,654.95 Rp 82,747.50 0 Rp 1,654.95 Rp -
38 NIPRO SYRINGE 10 CC pcs 20 Rp 1,654.95 Rp 33,099.00 0 Rp 1,654.95 Rp - 20 Rp 1,654.95 Rp 33,099.00 0 Rp 1,654.95 Rp -
39 NIPRO INFUSET "Y" pcs 0 Rp 6,343.00 Rp - 68 Rp 6,343.00 Rp 431,324.00 68 Rp 6,343.00 Rp 431,324.00 0 Rp 6,343.00 Rp -
40 jayamas superlife nitrile L box Rp 65,780.00 Rp - 1 Rp 65,780.00 Rp 65,780.00 1 Rp 65,780.00 Rp 65,780.00 0 Rp 65,780.00 Rp -
41 Jarum Jahit 1/2 Surgical lusin Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00
42 Jarum Jahit 1/2 Surgical lusin 2 Rp 135,000.00 Rp 270,000.00 0 Rp 135,000.00 Rp - 2 Rp 135,000.00 Rp 270,000.00 0 Rp 135,000.00 Rp -
44 Jarum Jahit 3/8 Surgical lusin 3 Rp 120,000.00 Rp 360,000.00 0 Rp 120,000.00 Rp - 3 Rp 120,000.00 Rp 360,000.00 0 Rp 120,000.00 Rp -
45 Kapas Pembalut 250 g roll 0 Rp 22,000.00 Rp - 5 Rp 22,000.00 Rp 110,000.00 2 Rp 22,000.00 Rp 44,000.00 3 Rp 22,000.00 Rp 66,000.00
46 Kapas Pembalut 250 g roll 5 Rp 14,375.00 Rp 71,875.00 5 Rp 14,375.00 Rp 71,875.00 5 Rp 14,375.00 Rp 71,875.00 5 Rp 14,375.00 Rp 71,875.00
48 Kasa Hydrofil 18 yard x 22 cm roll 0 Rp 8,625.00 Rp - 10 Rp 8,625.00 Rp 86,250.00 10 Rp 8,625.00 Rp 86,250.00 0 Rp 8,625.00 Rp -
49 Kasa Hydrofil 40 yard x 80 cm roll 15 Rp 120,750.00 Rp 1,811,250.00 5 Rp 120,750.00 Rp 603,750.00 20 Rp 120,750.00 Rp 2,415,000.00 0 Rp 120,750.00 Rp -
50 Kasa Kompres Steril 40 x 40 cm bungkus 50 Rp 1,840.00 Rp 92,000.00 50 Rp 1,840.00 Rp 92,000.00 33 Rp 1,840.00 Rp 60,720.00 67 Rp 1,840.00 Rp 123,280.00
51 Kasa Pembalut 2 m x 80 cm roll 6 Rp 8,855.00 Rp 53,130.00 5 Rp 8,855.00 Rp 44,275.00 6 Rp 8,855.00 Rp 53,130.00 5 Rp 8,855.00 Rp 44,275.00
52 Kasa Pembalut 4 m x 5 cm roll 50 Rp 862.50 Rp 43,125.00 0 Rp 862.50 Rp - 30 Rp 862.50 Rp 25,875.00 20 Rp 862.50 Rp 17,250.00
53 Kasa Pembalut 4 m x 10 cm roll 50 Rp 1,725.00 Rp 86,250.00 0 Rp 1,725.00 Rp - 50 Rp 1,725.00 Rp 86,250.00 0 Rp 1,725.00 Rp -
55 Kasa Pembalut Hydrofil 4 yard x 5 cm roll 0 Rp 862.50 Rp - 50 Rp 862.50 Rp 43,125.00 50 Rp 862.50 Rp 43,125.00 0 Rp 862.50 Rp -
56 Kasa Pembalut Hydrofil 4 yard x 10 cm roll 0 Rp 1,725.00 Rp - 150 Rp 1,725.00 Rp 258,750.00 150 Rp 1,725.00 Rp 258,750.00 0 Rp 1,725.00 Rp -
57 Kasa Pembalut Hydrofil 4 yard x 15 cm roll 0 Rp 2,415.00 Rp - 50 Rp 2,415.00 Rp 120,750.00 50 Rp 2,415.00 Rp 120,750.00 0 Rp 2,415.00 Rp -
58 Kasa Steril 16 cm x 16 cm box 20 Rp 6,743.00 Rp 134,860.00 0 Rp 6,743.00 Rp - 20 Rp 6,743.00 Rp 134,860.00 0 Rp 6,743.00 Rp -
59 Kasa Steril 16 cm x 16 cm box 0 Rp 9,200.00 Rp - 90 Rp 9,200.00 Rp 828,000.00 53 Rp 9,200.00 Rp 487,600.00 37 Rp 9,200.00 Rp 340,400.00
61 Kasa steril 10 x 10 cm, 8 ply,1 x 10's kotak Rp 10,845.30 Rp - 50 Rp 10,845.30 Rp 542,265.00 50 Rp 10,845.30 Rp 542,265.00 0 Rp 10,845.30 Rp -
62 Masker Ear Loop Pcs 0 Rp 495.00 Rp - 0 Rp 495.00 Rp - Rp 495.00 Rp - 0 Rp 495.00 Rp -
63 Surgical mask earloop Box 60 Rp 18,975.00 Rp 1,138,500.00 44 Rp 18,975.00 Rp 834,900.00 93 Rp 18,975.00 Rp 1,764,675.00 11 Rp 18,975.00 Rp 208,725.00
64 onemed masker N95 Pcs Rp 7,488.80 Rp - 40 Rp 7,488.80 Rp 299,552.00 40 Rp 7,488.80 Rp 299,552.00 0 Rp 7,488.80 Rp -
65 onemed masker N95 box Rp 149,776.00 Rp - 2 Rp 149,776.00 Rp 299,552.00 2 Rp 149,776.00 Rp 299,552.00 0 Rp 149,776.00 Rp -
66 Regulator Oxygen pcs 0 Rp 453,200.00 Rp - 3 Rp 453,200.00 Rp 1,359,600.00 1 Rp 453,200.00 Rp 453,200.00 2 Rp 453,200.00 Rp 906,400.00
67 Silk (benang bedah sutra) no.2/0 pcs 0 Rp 3,513.89 Rp - 108 Rp 3,513.89 Rp 379,500.00 8 Rp 3,513.89 Rp 28,111.11 100 Rp 3,513.89 Rp 351,388.89
68 Silk (benang bedah sutra) no.3/0 pcs 66 Rp 4,661.49 Rp 307,658.45 72 Rp 4,661.49 Rp 335,627.40 44 Rp 4,661.49 Rp 205,105.63 94 Rp 4,661.49 Rp 438,180.22
69 Autochek Uric Acid test btl/50 strip botol 2 Rp 178,200.00 Rp 356,400.00 11 Rp 178,200.00 Rp 1,960,200.00 7 Rp 178,200.00 Rp 1,247,400.00 6 Rp 178,200.00 Rp 1,069,200.00
70 Urine bag pcs 20 Rp 6,875.00 Rp 137,500.00 0 Rp 6,875.00 Rp - 10 Rp 6,875.00 Rp 68,750.00 10 Rp 6,875.00 Rp 68,750.00
71 Urine bag teril Rp 3,450.00 Rp - 50 Rp 3,450.00 Rp 172,500.00 41 Rp 3,450.00 Rp 141,450.00 9 Rp 3,450.00 Rp 31,050.00
72 Alkohol swabs Box 20 Rp 11,500.00 Rp 230,000.00 85 Rp 11,500.00 Rp 977,500.00 99 Rp 11,500.00 Rp 1,138,500.00 6 Rp 11,500.00 Rp 69,000.00
73 Plesterin Non Woven Roll 5 cm x 5 cm 9 Rp 27,324.00 Rp 245,916.00 9 Rp 27,324.00 Rp 245,916.00 17 Rp 27,324.00 Rp 464,508.00 1 Rp 27,324.00 Rp 27,324.00
74 Plesterin Non Woven Roll 5 cm x 10 cm Roll 10 Rp 47,564.00 Rp 475,640.00 14 Rp 47,564.00 Rp 665,896.00 7 Rp 47,564.00 Rp 332,948.00 17 Rp 47,564.00 Rp 808,588.00
75 Plesterin Non Woven Roll 5 cm x 15 cm 8 Rp 79,948.00 Rp 639,584.00 17 Rp 79,948.00 Rp 1,359,116.00 22 Rp 79,948.00 Rp 1,758,856.00 3 Rp 79,948.00 Rp 239,844.00
76 hypafix 5 cm x 1 m Roll Rp 17,610.00 Rp - 6 Rp 17,610.00 Rp 105,660.00 1 Rp 17,610.00 Rp 17,610.00 5 Rp 17,610.00 Rp 88,050.00
77 hypafix 5 cm x5 m Roll Rp 92,000.00 Rp - 6 Rp 92,000.00 Rp 552,000.00 1 Rp 92,000.00 Rp 92,000.00 5 Rp 92,000.00 Rp 460,000.00
78 kertas puyer Bungkus 25 Rp 93,500.00 Rp 2,337,500.00 0 Rp 93,500.00 Rp - 10 Rp 93,500.00 Rp 935,000.00 15 Rp 93,500.00 Rp 1,402,500.00
79 onionex disp syringe 1 ml pcs 200 Rp 821.48 Rp 164,296.80 526 Rp 821.48 Rp 432,100.58 700 Rp 821.48 Rp 575,038.80 26 Rp 821.48 Rp 21,358.58
80 onionex disp syringe 2,5 ml pcs 200 Rp 864.72 Rp 172,944.00 200 Rp 864.72 Rp 172,944.00 400 Rp 864.72 Rp 345,888.00 0 Rp 864.72 Rp -
81 Oxygen mask pcs Rp 12,180.00 Rp - 5 Rp 12,180.00 Rp 60,900.00 1 Rp 12,180.00 Rp 12,180.00 4 Rp 12,180.00 Rp 48,720.00
82 Oxygen mask dewasa an anak pcs Rp 10,559.90 Rp - 10 Rp 10,559.90 Rp 105,599.00 7 Rp 10,559.90 Rp 73,919.30 3 Rp 10,559.90 Rp 31,679.70
83 KA-EN 3B botol Rp 11,314.00 Rp - 40 Rp 11,314.00 Rp 452,560.00 Rp 11,314.00 Rp - 40 Rp 11,314.00 Rp 452,560.00
BHP/REAGENT LAB
1 Cairan Spritus 1000 ml botol 6 Rp 52,965.00 Rp 317,790.00 2 Rp 52,965.00 Rp 105,930.00 1 Rp 52,965.00 Rp 52,965.00 7 Rp 52,965.00 Rp 370,755.00
2 Test Asam Urat test 2 Rp 89,100.00 Rp 178,200.00 0 Rp 89,100.00 Rp - 2 Rp 89,100.00 Rp 178,200.00 0 Rp 89,100.00 Rp -
3 Test Gula Darah test 2 Rp 68,475.00 Rp 136,950.00 0 Rp 68,475.00 Rp - 2 Rp 68,475.00 Rp 136,950.00 0 Rp 68,475.00 Rp -
4 Test Kehamilan strip 100 Rp 2,400.00 Rp 240,000.00 0 Rp 2,400.00 Rp - 100 Rp 2,400.00 Rp 240,000.00 0 Rp 2,400.00 Rp -
6 Test Kolesterol test 4 Rp 147,125.00 Rp 588,500.00 0 Rp 147,125.00 Rp - 4 Rp 147,125.00 Rp 588,500.00 0 Rp 147,125.00 Rp -
GIGI
1 Air raksa Dental Use - 0 Rp 108,195.00 Rp - 0 Rp 108,195.00 Rp - Rp 108,195.00 Rp - 0 Rp 108,195.00 Rp -
2 Devitalisasi pasta (arsen) kotak 0 Rp 390,000.00 Rp - 0 Rp 390,000.00 Rp - Rp 390,000.00 Rp - 0 Rp 390,000.00 Rp -
3 Eugenol cairan 10 ml botol 0 Rp 18,333.00 Rp - 0 Rp 18,333.00 Rp - Rp 18,333.00 Rp - 0 Rp 18,333.00 Rp -
4 Fluoride 0.5 mg tablet 0 Rp 30,000.00 Rp - 0 Rp 30,000.00 Rp - Rp 30,000.00 Rp - 0 Rp 30,000.00 Rp -
5 Fluoride 1 mg tablet 0 Rp 4,456.00 Rp - 0 Rp 4,456.00 Rp - Rp 4,456.00 Rp - 0 Rp 4,456.00 Rp -
6 Hemospon (Spongostan Dental) pcs 0 Rp 536,250.00 Rp - 0 Rp 536,250.00 Rp - Rp 536,250.00 Rp - 0 Rp 536,250.00 Rp -
7 Iodoform Pasta (Mumyfyng Pasta) set 0 Rp 380,250.00 Rp - 0 Rp 380,250.00 Rp - Rp 380,250.00 Rp - 0 Rp 380,250.00 Rp -
8 Jarum Jahit u/ Gusi bentuk bulan sabit lusin 0 Rp 18,500.00 Rp - 0 Rp 18,500.00 Rp - Rp 18,500.00 Rp - 0 Rp 18,500.00 Rp -
9 Kalsium Hidroksida Pasta tube 0 Rp 341,250.00 Rp - 0 Rp 341,250.00 Rp - Rp 341,250.00 Rp - 0 Rp 341,250.00 Rp -
10 Klorheksidin lar 0,2% botol 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
11 Klorheksidin lar 15% botol 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
12 Mata Bor Gigi pcs 0 Rp 48,750.00 Rp - 0 Rp 48,750.00 Rp - Rp 48,750.00 Rp - 0 Rp 48,750.00 Rp -
13 Paramono (Klorfenol Kamfer Mentol (CHKM) 10 ml) botol 0 Rp 92,527.50 Rp - 0 Rp 92,527.50 Rp - Rp 92,527.50 Rp - 0 Rp 92,527.50 Rp -
14 Semen Seng Fosfat serbuk/cair 30 gram botol 0 Rp 93,500.00 Rp - 0 Rp 93,500.00 Rp - Rp 93,500.00 Rp - 0 Rp 93,500.00 Rp -
15 Trikresol Formalin (TKF) cairan botol 0 Rp 7,239.00 Rp - 0 Rp 7,239.00 Rp - Rp 7,239.00 Rp - 0 Rp 7,239.00 Rp -
16 Etil Clorida Semprot Btl 0 Rp 90,000.00 Rp - 0 Rp 90,000.00 Rp - Rp 90,000.00 Rp - 0 Rp 90,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
OBAT KHUSUS Rp - Rp - Rp - 0 Rp -
1 Pehacain inj (Lidokain HCl 2% + Epinefrin 1:80.000) ampul 0 Rp 78,915.82 Rp - 0 Rp 78,915.82 Rp - Rp 78,915.82 Rp - 0 Rp 78,915.82 Rp -
2 Albothyl (Polikresulen) lar 36% (g/g) - 5 mL botol 1 Rp 24,082.50 Rp 24,082.50 0 Rp 24,082.50 Rp - 1 Rp 24,082.50 Rp 24,082.50 0 Rp 24,082.50 Rp -
3 Neurodial (Metampiron 500 mg + Diazepam 2 mg) kaplet kaplet 63 Rp 1,265.00 Rp 79,695.00 0 Rp 1,265.00 Rp - 63 Rp 1,265.00 Rp 79,695.00 0 Rp 1,265.00 Rp -
4 Mefinal (Asam Mefenamat) 500 mg kaplet 100 Rp 1,537.50 Rp 153,750.00 0 Rp 1,537.50 Rp - 100 Rp 1,537.50 Rp 153,750.00 0 Rp 1,537.50 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
5 Kloramfenikol salep kulit 2% / Bufacetine Tube Rp 3,645.00 Rp - 96 Rp 3,645.00 Rp 349,920.00 28 Rp 3,645.00 Rp 102,060.00 68 Rp 3,645.00 Rp 247,860.00
6 Gratamin tablet 0 Rp 2,860.00 Rp - 0 Rp 2,860.00 Rp - Rp 2,860.00 Rp - 0 Rp 2,860.00 Rp -
7 MY JELLY 80 GRAM LUBRICAN botol 0 Rp 69,575.00 Rp - 4 Rp 69,575.00 Rp 278,300.00 4 Rp 69,575.00 Rp 278,300.00 0 Rp 69,575.00 Rp -
8 ZIRCUM KID SYRUP 60 ML BOTOL 0 Rp 52,000.30 Rp - 0 Rp 52,000.30 Rp - Rp 52,000.30 Rp - 0 Rp 52,000.30 Rp -
9 First Response Malaria Antigen Combo Card Test set 0 Rp 440,850.00 Rp - 10 Rp 440,850.00 Rp 4,408,500.00 10 Rp 440,850.00 Rp 4,408,500.00 0 Rp 440,850.00 Rp -
NILAI OBAT IFK PUSKESMAS POLI-POLIA Rp 46,582,567.08 Rp 73,834,062.62 Rp 94,618,412.229 Rp 25,798,217.46
OBAT BPJS
1 Ambroksol tab 30 mg Tablet Rp 200.00 Rp - 1000 Rp 220.00 Rp 220,000.00 1000 Rp 220.00 Rp 220,000.00 0 Rp 200.00 Rp -
2 Ambroksol tab 30 mg Tablet Rp 300.00 Rp - 100 Rp 334.50 Rp 33,450.00 100 Rp 334.50 Rp 33,450.00 0 Rp 300.00 Rp -
3 Amlodiphine 5 mg Tablet Rp 700.00 Rp - 780.5 Rp 200.00 Rp 156,100.00 780.5 Rp 200.00 Rp 156,100.00 0 Rp 700.00 Rp -
4 Amlodiphine 5 mg Tablet Rp 200.00 Rp - 700 Rp 200.00 Rp 140,000.00 700 Rp 200.00 Rp 140,000.00 0 Rp 200.00 Rp -
5 Amlodiphine 5 mg Tablet Rp 1,500.00 Rp - 700 Rp 223.00 Rp 156,100.00 700 Rp 223.00 Rp 156,100.00 0 Rp 1,500.00 Rp -
6 Amlodiphine 5 mg Tablet Rp 260.00 Rp - 100 Rp 770.00 Rp 77,000.00 100 Rp 770.00 Rp 77,000.00 0 Rp 260.00 Rp -
8 Amlodiphine 10 mg Tablet Rp 7,000.00 Rp - 100 Rp 1,672.50 Rp 167,250.00 100 Rp 1,672.50 Rp 167,250.00 0 Rp 7,000.00 Rp -
9 Amlodiphine 10 mg Tablet Rp 5,000.00 Rp - 100 Rp 1,650.00 Rp 165,000.00 100 Rp 1,650.00 Rp 165,000.00 0 Rp 5,000.00 Rp -
11 Amoxicillin SK 125 mg/5 ml Botol Rp 350.00 Rp - 20 Rp 5,575.00 Rp 111,500.00 20 Rp 5,575.00 Rp 111,500.00 0 Rp 350.00 Rp -
12 Amoxicillin SK 125 mg/5 ml Botol Rp 390.00 Rp - 20 Rp 7,000.00 Rp 140,000.00 20 Rp 7,000.00 Rp 140,000.00 0 Rp 390.00 Rp -
13 Antasida DOEN susp 60 ml Botol Rp 500.00 Rp - 10 Rp 5,575.00 Rp 55,750.00 10 Rp 5,575.00 Rp 55,750.00 0 Rp 500.00 Rp -
14 Antasida DOEN susp 60 ml Botol Rp 660.00 Rp - 20 Rp 6,690.00 Rp 133,800.00 20 Rp 6,690.00 Rp 133,800.00 0 Rp 660.00 Rp -
15 Asam Mefenamat tab 500 mg Tablet Rp 700.00 Rp - 500 Rp 350.00 Rp 175,000.00 500 Rp 350.00 Rp 175,000.00 0 Rp 700.00 Rp -
16 Asam Mefenamat tab 500 mg Tablet Rp 800.00 Rp - 500 Rp 429.00 Rp 214,500.00 500 Rp 429.00 Rp 214,500.00 0 Rp 800.00 Rp -
17 Asam Mefenamat tab 500 mg Tablet Rp 1,000.00 Rp - 500 Rp 557.50 Rp 278,750.00 500 Rp 557.50 Rp 278,750.00 0 Rp 1,000.00 Rp -
18 Betahistin tab 6 mg Tablet Rp 1,100.00 Rp - 250 Rp 726.00 Rp 181,500.00 250 Rp 726.00 Rp 181,500.00 0 Rp 1,100.00 Rp -
19 Betahistin tab 6 mg Tablet Rp 10,000.00 Rp - 250 Rp 780.50 Rp 195,125.00 250 Rp 780.50 Rp 195,125.00 0 Rp 10,000.00 Rp -
20 Cefadroksil kaps/tab 500 mg Tablet Rp 12,000.00 Rp - 500 Rp 892.00 Rp 446,000.00 500 Rp 892.00 Rp 446,000.00 0 Rp 12,000.00 Rp -
21 Cefadroksil kaps/tab 500 mg Tablet Rp 1,700.00 Rp - 200 Rp 800.00 Rp 160,000.00 200 Rp 800.00 Rp 160,000.00 0 Rp 1,700.00 Rp -
22 Cefadroksil kaps/tab 500 mg Tablet Rp 1,200.00 Rp - 100 Rp 1,100.00 Rp 110,000.00 100 Rp 1,100.00 Rp 110,000.00 0 Rp 1,200.00 Rp -
23 Cefadroksil kaps/tab 500 mg Tablet Rp 43,000.00 Rp - 100 Rp 1,226.50 Rp 122,650.00 100 Rp 1,226.50 Rp 122,650.00 0 Rp 43,000.00 Rp -
24 Cefadroksil SK 125 mg/5 mL Botol Rp 500.00 Rp - 15 Rp 10,000.00 Rp 150,000.00 15 Rp 10,000.00 Rp 150,000.00 0 Rp 500.00 Rp -
27 Cefiksime tab 100 mg Tablet Rp 150.00 Rp - 50 Rp 1,870.00 Rp 93,500.00 50 Rp 1,870.00 Rp 93,500.00 0 Rp 150.00 Rp -
28 Cefiksime tab 100 mg Tablet Rp 7,000.00 Rp - 150 Rp 1,200.00 Rp 180,000.00 150 Rp 1,200.00 Rp 180,000.00 0 Rp 7,000.00 Rp -
29 Cefiksime tab 100 mg Tablet Rp 8,000.00 Rp - 250 Rp 1,338.00 Rp 334,500.00 250 Rp 1,338.00 Rp 334,500.00 0 Rp 8,000.00 Rp -
30 Cefiksime Syrup Botol Rp 10,000.00 Rp - 5 Rp 47,945.00 Rp 239,725.00 5 Rp 47,945.00 Rp 239,725.00 0 Rp 10,000.00 Rp -
31 Cetrizine tab 10 mg Tablet Rp 21,000.00 Rp - 100 Rp 550.00 Rp 55,000.00 100 Rp 550.00 Rp 55,000.00 0 Rp 21,000.00 Rp -
34 Cetrizine tab 10 mg Tablet Rp 150.00 Rp - 500 Rp 390.25 Rp 195,125.00 500 Rp 390.25 Rp 195,125.00 0 Rp 150.00 Rp -
35 Cetrizine tab 10 mg Tablet Rp 400.00 Rp - 500 Rp 385.00 Rp 192,500.00 500 Rp 385.00 Rp 192,500.00 0 Rp 400.00 Rp -
37 Deksametason tab 0,5 mg Tablet Rp 200.00 Rp - 1000 Rp 167.25 Rp 167,250.00 1000 Rp 167.25 Rp 167,250.00 0 Rp 200.00 Rp -
38 Domperidon susp 5 mg/5 ml Botol Rp 7,000.00 Rp - 10 Rp 7,700.00 Rp 77,000.00 10 Rp 7,700.00 Rp 77,000.00 0 Rp 7,000.00 Rp -
39 Domperidon susp 5 mg/5 ml Botol Rp 80.00 Rp - 10 Rp 8,920.00 Rp 89,200.00 10 Rp 8,920.00 Rp 89,200.00 0 Rp 80.00 Rp -
40 Fitomenadion (Vitamin K1) inj 2 mg/ml Ampul Rp 250.00 Rp - 20 Rp 11,150.00 Rp 223,000.00 20 Rp 11,150.00 Rp 223,000.00 0 Rp 250.00 Rp -
41 Gentamicin salep kulit 10% Tube Rp 6,000.00 Rp - 20 Rp 4,460.00 Rp 89,200.00 20 Rp 4,460.00 Rp 89,200.00 0 Rp 6,000.00 Rp -
42 Gentamicin salep kulit 10% Tube Rp 250.00 Rp - 20 Rp 4,400.00 Rp 88,000.00 20 Rp 4,400.00 Rp 88,000.00 0 Rp 250.00 Rp -
43 Gentamicin salep kulit 10% Tube Rp 3,000.00 Rp - 20 Rp 4,000.00 Rp 80,000.00 20 Rp 4,000.00 Rp 80,000.00 0 Rp 3,000.00 Rp -
44 Guafenisin Tablet Rp 200.00 Rp - 500 Rp 165.00 Rp 82,500.00 500 Rp 165.00 Rp 82,500.00 0 Rp 200.00 Rp -
45 Ibuprofen tab 400 mg Tablet Rp 350.00 Rp - 1000 Rp 446.00 Rp 446,000.00 1000 Rp 446.00 Rp 446,000.00 0 Rp 350.00 Rp -
48 Kaptopril tab 25 mg Tablet Rp 500.00 Rp - 500 Rp 220.00 Rp 110,000.00 500 Rp 220.00 Rp 110,000.00 0 Rp 500.00 Rp -
51 Ketorolac inj Ampul Rp 400.00 Rp - 20 Rp 7,805.00 Rp 156,100.00 20 Rp 7,805.00 Rp 156,100.00 0 Rp 400.00 Rp -
52 Klorfeniramin Maleat (CTM) tab 4 mg Tablet Rp 5,000.00 Rp - 500 Rp 88.00 Rp 44,000.00 500 Rp 88.00 Rp 44,000.00 0 Rp 5,000.00 Rp -
53 Klorfeniramin Maleat (CTM) tab 4 mg Tablet Rp 6,000.00 Rp - 500 Rp 278.75 Rp 139,375.00 500 Rp 278.75 Rp 139,375.00 0 Rp 6,000.00 Rp -
54 Kotrimoxazol susp 60 ml Botol Rp 200.00 Rp - 10 Rp 6,600.00 Rp 66,000.00 10 Rp 6,600.00 Rp 66,000.00 0 Rp 200.00 Rp -
55 Kotrimoxazol 480 mg Tablet Rp 500.00 Rp - 500 Rp 275.00 Rp 137,500.00 500 Rp 275.00 Rp 137,500.00 0 Rp 500.00 Rp -
56 Lidokain inj 2% (infiltr/p.v.) Tablet Rp 260.00 Rp - 60 Rp 3,345.00 Rp 200,700.00 60 Rp 3,345.00 Rp 200,700.00 0 Rp 260.00 Rp -
57 Lidokain inj 2% (infiltr/p.v.) Tablet Rp 300.00 Rp - 30 Rp 3,300.00 Rp 99,000.00 30 Rp 3,300.00 Rp 99,000.00 0 Rp 300.00 Rp -
58 Loperamid 2 mg Tablet Rp 500.00 Rp - 500 Rp 220.00 Rp 110,000.00 500 Rp 220.00 Rp 110,000.00 0 Rp 500.00 Rp -
59 Loperamid 2 mg Tablet Rp 3,000.00 Rp - 500 Rp 223.00 Rp 111,500.00 500 Rp 223.00 Rp 111,500.00 0 Rp 3,000.00 Rp -
60 Loperamid 2 mg Tablet Rp 10,000.00 Rp - 500 Rp 200.00 Rp 100,000.00 500 Rp 200.00 Rp 100,000.00 0 Rp 10,000.00 Rp -
61 Loratadin tab 10 mg Tablet Rp 520.00 Rp - 500 Rp 350.00 Rp 175,000.00 500 Rp 350.00 Rp 175,000.00 0 Rp 520.00 Rp -
62 Loratadin tab 10 mg Tablet Rp 500.00 Rp - 500 Rp 390.25 Rp 195,125.00 500 Rp 390.25 Rp 195,125.00 0 Rp 500.00 Rp -
63 Loratadin tab 10 mg Tablet Rp 1,000.00 Rp - 150 Rp 446.00 Rp 66,900.00 150 Rp 446.00 Rp 66,900.00 0 Rp 1,000.00 Rp -
64 Metilprednisolon 4 mg Tablet Rp 8,000.00 Rp - 500 Rp 334.50 Rp 167,250.00 500 Rp 334.50 Rp 167,250.00 0 Rp 8,000.00 Rp -
65 Metilprednisolon 4 mg Tablet Rp 300.00 Rp - 500 Rp 300.00 Rp 150,000.00 500 Rp 300.00 Rp 150,000.00 0 Rp 300.00 Rp -
66 Metilprednisolon 4 mg Tablet Rp 170.00 Rp - 500 Rp 334.50 Rp 167,250.00 500 Rp 334.50 Rp 167,250.00 0 Rp 170.00 Rp -
67 Metilprednisolon 4 mg Tablet Rp 5,000.00 Rp - 100 Rp 550.00 Rp 55,000.00 100 Rp 550.00 Rp 55,000.00 0 Rp 5,000.00 Rp -
68 Metformin tab 500 mg Tablet Rp 4,000.00 Rp - 500 Rp 250.00 Rp 125,000.00 500 Rp 250.00 Rp 125,000.00 0 Rp 4,000.00 Rp -
69 Metronidazol tab 500 mg Tablet Rp 210.00 Rp - 500 Rp 330.00 Rp 165,000.00 500 Rp 330.00 Rp 165,000.00 0 Rp 210.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
73 Micoazole 2 % Tube Rp 400.00 Rp - 44 Rp 5,500.00 Rp 242,000.00 44 Rp 5,500.00 Rp 242,000.00 0 Rp 400.00 Rp -
76 Natrium Diklofenak tab 25 mg Tablet Rp 4,000.00 Rp - 100 Rp 500.00 Rp 50,000.00 100 Rp 500.00 Rp 50,000.00 0 Rp 4,000.00 Rp -
78 Natrium Diklofenak tab 50 mg Tablet Rp 150.00 Rp - 250 Rp 286.00 Rp 71,500.00 250 Rp 286.00 Rp 71,500.00 0 Rp 150.00 Rp -
82 Oksitetrasiklin HCl salep kulit 3 % - 3,5 g Tube Rp 10,000.00 Rp - 25 Rp 3,300.00 Rp 82,500.00 25 Rp 3,300.00 Rp 82,500.00 0 Rp 10,000.00 Rp -
83 Oksitosin inj 10 IU/ml - 1 ml Ampul Rp 11,150.00 Rp - 60 Rp 11,150.00 Rp 669,000.00 60 Rp 11,150.00 Rp 669,000.00 0 Rp 10,000.00 Rp -
84 Omeprazol kaps 20 mg Tablet Rp 572.00 Rp - 250 Rp 572.00 Rp 143,000.00 250 Rp 572.00 Rp 143,000.00 0 Rp 10,000.00 Rp -
85 Omeprazol kaps 20 mg Tablet Rp 557.50 Rp - 150 Rp 557.50 Rp 83,625.00 150 Rp 557.50 Rp 83,625.00 0 Rp 10,000.00 Rp -
86 Omeprazol kaps 20 mg Tablet Rp 1,000.00 Rp - 150 Rp 1,000.00 Rp 150,000.00 150 Rp 1,000.00 Rp 150,000.00 0 Rp 10,000.00 Rp -
87 Omeprazol kaps 20 mg Rp 557.50 Rp - 300 Rp 557.50 Rp 167,250.00 300 Rp 557.50 Rp 167,250.00 0 Rp 10,000.00 Rp -
88 Omeprazol kaps 20 mg Rp 300.00 Rp - 250 Rp 300.00 Rp 75,000.00 250 Rp 300.00 Rp 75,000.00 0 Rp 10,000.00 Rp -
89 Ondansetron inj Ampul Rp 8,920.00 Rp - 20 Rp 8,920.00 Rp 178,400.00 20 Rp 8,920.00 Rp 178,400.00 0 Rp 10,000.00 Rp -
90 Paracetamol tab 500 mg Tablet Rp 334.50 Rp - 100 Rp 334.50 Rp 33,450.00 100 Rp 334.50 Rp 33,450.00 0 Rp 10,000.00 Rp -
91 Paracetamol tab 500 mg Botol Rp 187.00 Rp - 3200 Rp 187.00 Rp 598,400.00 3200 Rp 187.00 Rp 598,400.00 0 Rp 10,000.00 Rp -
92 Paracetamol sir 120 mg/5 ml - 60 ml Tablet Rp 5,575.00 Rp - 10 Rp 5,575.00 Rp 55,750.00 10 Rp 5,575.00 Rp 55,750.00 0 Rp 10,000.00 Rp -
93 Paracetamol sir 120 mg/5 ml - 60 ml Tablet Rp 4,400.00 Rp - 10 Rp 4,400.00 Rp 44,000.00 10 Rp 4,400.00 Rp 44,000.00 0 Rp 10,000.00 Rp -
94 Piroxicam tab 10 mg Tablet Rp 200.00 Rp - 500 Rp 200.00 Rp 100,000.00 500 Rp 200.00 Rp 100,000.00 0 Rp 10,000.00 Rp -
98 Prednison 10 mg Tablet Rp 198.00 Rp - 500 Rp 198.00 Rp 99,000.00 500 Rp 198.00 Rp 99,000.00 0 Rp 10,000.00 Rp -
99 Ranitidin tab 150 mg Tablet Rp 250.00 Rp - 500 Rp 250.00 Rp 125,000.00 500 Rp 250.00 Rp 125,000.00 0 Rp 10,000.00 Rp -
106 Ranitidin inj 25 mg/mL Tablet Rp 4,460.00 Rp - 20 Rp 4,460.00 Rp 89,200.00 20 Rp 4,460.00 Rp 89,200.00 0 Rp 10,000.00 Rp -
109 Vitamin B Kompleks Tablet Rp 150.00 Rp - 500 Rp 150.00 Rp 75,000.00 500 Rp 150.00 Rp 75,000.00 0 Rp 10,000.00 Rp -
110 Zinc Syrup Botol Rp 11,150.00 Rp - 10 Rp 11,150.00 Rp 111,500.00 10 Rp 11,150.00 Rp 111,500.00 0 Rp 10,000.00 Rp -
111 Asyclovir salep Tube Rp 5,575.00 Rp - 40 Rp 5,575.00 Rp 223,000.00 40 Rp 5,575.00 Rp 223,000.00 0 Rp 10,000.00 Rp -
112 Asyclovir salep Tube Rp 5,000.00 Rp - 17 Rp 5,000.00 Rp 85,000.00 17 Rp 5,000.00 Rp 85,000.00 0 Rp 10,000.00 Rp -
OBAT KHUSUS Rp - Rp - Rp - 0 Rp 10,000.00 Rp -
1 Biovitan syrup Botol Rp 7,000.00 Rp - 10 Rp 7,805.00 Rp 78,050.00 10 Rp 7,805.00 Rp 78,050.00 0 Rp 10,000.00 Rp -
2 Cendocytrol mini pcs Rp 6,600.00 Rp - 5 Rp 7,260.00 Rp 36,300.00 5 Rp 7,260.00 Rp 36,300.00 0 Rp 10,000.00 Rp -
3 Cendocytrol mini pcs Rp 600.00 Rp - 25 Rp 7,359.00 Rp 183,975.00 25 Rp 7,359.00 Rp 183,975.00 0 Rp 10,000.00 Rp -
4 Caviplex Tablet Rp 400.00 Rp - 500 Rp 669.00 Rp 334,500.00 500 Rp 669.00 Rp 334,500.00 0 Rp 10,000.00 Rp -
5 Flunadin Tablet Rp 340.00 Rp - 500 Rp 440.00 Rp 220,000.00 500 Rp 440.00 Rp 220,000.00 0 Rp 10,000.00 Rp -
6 Arkavit Tablet Rp 400.00 Rp - 500 Rp 374.00 Rp 187,000.00 500 Rp 374.00 Rp 187,000.00 0 Rp 10,000.00 Rp -
7 Arkavit Tablet Rp 32,000.00 Rp - 200 Rp 446.00 Rp 89,200.00 200 Rp 446.00 Rp 89,200.00 0 Rp 10,000.00 Rp -
8 Forumen (tts telinga) Botol Rp - 3 Rp 35,680.00 Rp 107,040.00 3 Rp 35,680.00 Rp 107,040.00 0 Rp 10,000.00 Rp -
Rp - 0 Rp 10,000.00 Rp -
BHP Rp - Rp - 0 Rp 10,000.00 Rp -
1 Alat Suntik 3 ml pcs Rp 800.00 Rp - 600 Rp 850.00 Rp 510,000.00 600 Rp 850.00 Rp 510,000.00 0 Rp 10,000.00 Rp -
2 Alat Suntik 3 ml pcs Rp 850.00 Rp - 100 Rp 990.00 Rp 99,000.00 100 Rp 990.00 Rp 99,000.00 0 Rp 10,000.00 Rp -
3 Blood luncet Box Rp 900.00 Rp - 1 Rp 19,800.00 Rp 19,800.00 1 Rp 19,800.00 Rp 19,800.00 0 Rp 10,000.00 Rp -
4 Blood luncet Box Rp 18,000.00 Rp - 5 Rp 30,000.00 Rp 150,000.00 5 Rp 30,000.00 Rp 150,000.00 0 Rp 10,000.00 Rp -
5 Bisturi pcs Rp 30,000.00 Rp - 10 Rp 15,000.00 Rp 150,000.00 10 Rp 15,000.00 Rp 150,000.00 0 Rp 10,000.00 Rp -
6 Bisturi Bos Rp 15,000.00 Rp - 1 Rp 100,000.00 Rp 100,000.00 1 Rp 100,000.00 Rp 100,000.00 0 Rp 10,000.00 Rp -
7 Etakridin (Rivanol) lar 0,1% 300 ml Botol Rp 100,000.00 Rp - 4 Rp 21,000.00 Rp 84,000.00 4 Rp 21,000.00 Rp 84,000.00 0 Rp 10,000.00 Rp -
8 Etakridin (Rivanol) lar 0,1% Botol Rp 100,000.00 Rp - 4 Rp 10,000.00 Rp 40,000.00 4 Rp 10,000.00 Rp 40,000.00 0 Rp 10,000.00 Rp -
9 Etanol 70 % 60 ml pcs Rp 140,000.00 Rp - 5 Rp 10,000.00 Rp 50,000.00 5 Rp 10,000.00 Rp 50,000.00 0 Rp 10,000.00 Rp -
10 Handscoon M Box Rp 100,000.00 Rp - 5 Rp 110,000.00 Rp 550,000.00 5 Rp 110,000.00 Rp 550,000.00 0 Rp 10,000.00 Rp -
14 Handscoon M Box Rp 150,000.00 Rp - 11 Rp 160,000.00 Rp 1,760,000.00 11 Rp 160,000.00 Rp 1,760,000.00 0 Rp 10,000.00 Rp -
15 Handscoon L Box Rp 10,000.00 Rp - 4 Rp 100,000.00 Rp 400,000.00 4 Rp 100,000.00 Rp 400,000.00 0 Rp 10,000.00 Rp -
16 Handscoon S Box Rp 8,000.00 Rp - 2 Rp 100,000.00 Rp 200,000.00 2 Rp 100,000.00 Rp 200,000.00 0 Rp 10,000.00 Rp -
17 Handscoon Box Rp 6,000.00 Rp - 3 Rp 110,000.00 Rp 330,000.00 3 Rp 110,000.00 Rp 330,000.00 0 Rp 10,000.00 Rp -
18 Iv catheter 18 pcs Rp 10,000.00 Rp - 10 Rp 10,000.00 Rp 100,000.00 10 Rp 10,000.00 Rp 100,000.00 0 Rp 10,000.00 Rp -
26 Infuset dewasa pcs Rp 500.00 Rp - 45 Rp 10,000.00 Rp 450,000.00 45 Rp 10,000.00 Rp 450,000.00 0 Rp 10,000.00 Rp -
27 Infuset Anak pcs Rp 1,000.00 Rp - 50 Rp 7,000.00 Rp 350,000.00 50 Rp 7,000.00 Rp 350,000.00 0 Rp 10,000.00 Rp -
28 Ringer laktat Botol Rp 70,000.00 Rp - 40 Rp 9,900.00 Rp 396,000.00 40 Rp 9,900.00 Rp 396,000.00 0 Rp 10,000.00 Rp -
29 Ringer laktat Botol Rp 9,000.00 Rp - 100 Rp 9,000.00 Rp 900,000.00 100 Rp 9,000.00 Rp 900,000.00 0 Rp 10,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
30 Tes Gula darah Botol Rp 110,000.00 Rp - 1 Rp 110,000.00 Rp 110,000.00 1 Rp 110,000.00 Rp 110,000.00 0 Rp 10,000.00 Rp -
31 Test Asam Urat Botol Rp 121,000.00 Rp - 1 Rp 121,000.00 Rp 121,000.00 1 Rp 121,000.00 Rp 121,000.00 0 Rp 10,000.00 Rp -
32 Sendok obat pcs Rp 500.00 Rp - 20 Rp 500.00 Rp 10,000.00 20 Rp 500.00 Rp 10,000.00 0 Rp 10,000.00 Rp -
33 Sendok obat pcs Rp 1,000.00 Rp - 50 Rp 1,000.00 Rp 50,000.00 50 Rp 1,000.00 Rp 50,000.00 0 Rp 10,000.00 Rp -
34 Handsanitizer Botol Rp 77,000.00 Rp - 6 Rp 77,000.00 Rp 462,000.00 6 Rp 77,000.00 Rp 462,000.00 0 Rp 10,000.00 Rp -
NILAI OBAT BPJS PUSKESMAS POLI-POLIA Rp - Rp 28,870,370.00 Rp 28,870,370.000 Rp -
OBAT PROGRAM
2 Retinol (Vit A) softcap 200.000 IU softcap 0 Rp 622.00 Rp - 4000 Rp 622.00 Rp 2,488,000.00 4000 Rp 622.00 Rp 2,488,000.00 0 Rp 622.00 Rp -
3 Tablet Fe Tablet 0 Rp 427.00 Rp - 22400 Rp 427.00 Rp 9,564,800.00 5800 Rp 427.00 Rp 2,476,600.00 16600 Rp 427.00 Rp 7,088,200.00
4 Vak. BCG Vial 24 Rp - Rp - 110 Rp - Rp - 99 Rp - Rp - 35 Rp - Rp -
5 IPV Vial 8 Rp - Rp - 20 Rp - Rp - 5 Rp - Rp - 23 Rp - Rp -
6 Vak. DPT-HB-Hib Vial 25 Rp - Rp - 180 Rp - Rp - 181 Rp - Rp - 24 Rp - Rp -
7 Vak. POLIO Vial 5 Rp - Rp - 180 Rp - Rp - 185 Rp - Rp - 0 Rp - Rp -
8 Vak. CAMPAK Vial 0 Rp - Rp - 235 Rp - Rp - 186 Rp - Rp - 49 Rp - Rp -
9 Vak. HB. UNIJECT Vial 20 Rp - Rp - 110 Rp - Rp - 106 Rp - Rp - 24 Rp - Rp -
10 Vak. Td Vial 6 Rp - Rp - 140 Rp - Rp - 106 Rp - Rp - 40 Rp - Rp -
11 vak DT Vial 0 Rp - Rp - 80 Rp - Rp - 22 Rp - Rp - 58 Rp - Rp -
12 ADS 5 ml Pcs 129 Rp - Rp - 200 Rp - Rp - 266 Rp - Rp - 63 Rp - Rp -
13 ADS 0,5 ml Pcs 484 Rp - Rp - 400 Rp - Rp - 552 Rp - Rp - 332 Rp - Rp -
14 ADS 0,0 5 ml Pcs 209 Rp - Rp - 100 Rp - Rp - 101 Rp - Rp - 208 Rp - Rp -
15 Vaksin Rabies Kur 6 Rp 206,250.00 Rp 1,237,500.00 50 Rp 206,250.00 Rp 10,312,500.00 48 Rp 206,250.00 Rp 9,900,000.00 8 Rp 206,250.00 Rp 1,650,000.00
16 Abate Botol 0 Rp - Rp - Rp - Rp - Rp - Rp - 0 Rp - Rp -
17 OAT KDT Kategori I tablet 896 Rp 10,194.00 Rp 9,133,824.00 Rp 10,194.00 Rp - 896 Rp 10,194.00 Rp 9,133,824.00 0 Rp 10,194.00 Rp -
18 OAT KDT Kategori I tablet 1 Rp 609.00 Rp 609.00 Rp 609.00 Rp - 1 Rp 609.00 Rp 609.00 0 Rp 609.00 Rp -
19 OAT KDT Kategori I paket Rp 467,215.00 Rp - 3 Rp 467,215.00 Rp 1,401,645.00 2 Rp 467,215.00 Rp 934,430.00 1 Rp 467,215.00 Rp 467,215.00
20 OAT KDT Anak paket Rp 498,565.00 Rp - 1 Rp 498,565.00 Rp 498,565.00 Rp 498,565.00 Rp - 1 Rp 498,565.00 Rp 498,565.00
21 OAT KDT Anak Tablet 3572 Rp - Rp - Rp - Rp - 3572 Rp - Rp - 0 Rp - Rp -
22 Albendazole tab 400 mg Botol 3 Rp 208,395.00 Rp 625,185.00 59 Rp 208,395.00 Rp 12,295,305.00 61 Rp 208,395.00 Rp 12,712,095.00 1 Rp 208,395.00 Rp 208,395.00
23 Dietilkarbamacepin tablet 550 Rp 190.00 Rp 104,500.00 23200 Rp 190.00 Rp 4,408,000.00 23750 Rp 190.00 Rp 4,512,500.00 0 Rp 190.00 Rp -
24 DHP/ DAK 2018 Tablet 0 Rp 2,166.00 Rp - 63 Rp 2,166.00 Rp 136,458.00 Rp 2,166.00 Rp - 63 Rp 2,166.00 Rp 136,458.00
25 RDT test 0 Rp 6,476.00 Rp - Rp 6,476.00 Rp - Rp 6,476.00 Rp - 0 Rp 6,476.00 Rp -
26 Primaquin Tablet 0 Rp 269.00 Rp - 30 Rp 269.00 Rp 8,070.00 Rp 269.00 Rp - 30 Rp 269.00 Rp 8,070.00
27 MDT-Combi Tablet 0 Rp - Rp - 192 Rp - Rp - 192 Rp - Rp - 0 Rp - Rp -
28 Chlorpromazine HCL 100 mg Tablet 45 Rp 297.00 Rp 13,365.00 Rp 297.00 Rp - 45 Rp 297.00 Rp 13,365.00 0 Rp 297.00 Rp -
29 Diazepam inj Ampul 5 Rp 2,010.00 Rp 10,050.00 5 Rp 2,010.00 Rp 10,050.00 10 Rp 2,010.00 Rp 20,100.00 0 Rp 2,010.00 Rp -
30 Diazepam 5mg Tablet 28 Rp 218.00 Rp 6,104.00 Rp 218.00 Rp - 6 Rp 218.00 Rp 1,308.00 22 Rp 218.00 Rp 4,796.00
31 Triheksiphenidil Tablet 0 Rp 99.00 Rp - Rp 99.00 Rp - Rp 99.00 Rp - 0 Rp 99.00 Rp -
32 Haloperidol Tablet 30 Rp 57.00 Rp 1,710.00 Rp 57.00 Rp - 30 Rp 57.00 Rp 1,710.00 0 Rp 57.00 Rp -
33 SD-HIV PCS 0 Rp 11,975.00 Rp - 75 Rp 11,975.00 Rp 898,125.00 50 Rp 11,975.00 Rp 598,750.00 25 Rp 11,975.00 Rp 299,375.00
NILAI OBAT PROGRAM PUSKESMAS POLI-POLIA Rp 11,132,847.00 Rp 42,367,518.00 Rp 43,139,291.000 Rp 10,361,074.00
JUMLAH NILAI OBAT PUSKESMAS POLI-POLIA Rp 57,715,414.08 Rp 145,071,950.62 Rp 166,628,073.229 Rp 36,159,291.46
PUSKESMAS LAMBANDIA
OBAT IFK
1 ACETYL CESTEINE/N-ASETIL SISTEIN tablet 0 Rp 460.00 Rp - 480 Rp 460.00 Rp 220,800.00 480 Rp 460.00 Rp 220,800.00 0 Rp 460.00 Rp -
2 ALOPURINOL 100 MG tablet 3400 Rp 102.00 Rp 346,800.00 1800 Rp 102.00 Rp 183,600.00 3600 Rp 102.00 Rp 367,200.00 1600 Rp 102.00 Rp 163,200.00
3 ALOPURINOL 100 MG tablet 0 Rp 108.00 Rp - 1000 Rp 108.00 Rp 108,000.00 0 Rp 108.00 Rp - 1000 Rp 108.00 Rp 108,000.00
4 AIR UNTUK INJEKSI 25 ML botol 22 Rp 2,860.00 Rp 62,920.00 46 Rp 2,860.00 Rp 131,560.00 60 Rp 2,860.00 Rp 171,600.00 8 Rp 2,860.00 Rp 22,880.00
5 ALBENDAZOLE 400 MG tablet 400 Rp 363.00 Rp 145,200.00 0 Rp 363.00 Rp - 400 Rp 363.00 Rp 145,200.00 Rp 363.00 Rp -
6 AMLODIPINE 10 MG tablet 1560 Rp 99.00 Rp 154,440.00 900 Rp 99.00 Rp 89,100.00 2460 Rp 99.00 Rp 243,540.00 Rp 99.00 Rp -
7 AMLODIPINE 10 MG tablet 0 Rp 106.00 Rp - 600 Rp 106.00 Rp 63,600.00 300 Rp 106.00 Rp 31,800.00 300 Rp 106.00 Rp 31,800.00
8 AMOKSISILIN 250 MG kapsul 1800 Rp 198.00 Rp 356,400.00 0 Rp 198.00 Rp - 1800 Rp 198.00 Rp 356,400.00 Rp 198.00 Rp -
9 AMOKSISILIN 500 MG kaplet 1000 Rp 192.00 Rp 192,000.00 0 Rp 192.00 Rp - 1000 Rp 192.00 Rp 192,000.00 Rp 192.00 Rp -
10 AMOKSISILIN 500 MG kaplet 0 Rp 248.00 Rp - 2000 Rp 248.00 Rp 496,000.00 2000 Rp 248.00 Rp 496,000.00 Rp 248.00 Rp -
11 AMOKSISILIN 500 MG kaplet 0 Rp 265.00 Rp - 1800 Rp 265.00 Rp 477,000.00 1800 Rp 265.00 Rp 477,000.00 Rp 265.00 Rp -
12 AMOKSISILIN 500 MG kaplet 0 Rp 269.00 Rp - 1000 Rp 269.00 Rp 269,000.00 0 Rp 269.00 Rp - 1000 Rp 269.00 Rp 269,000.00
13 AMOKSISILIN SIRUP KERING FORTE 250 MG/5 ML botol 60 Rp 3,740.00 Rp 224,400.00 240 Rp 3,740.00 Rp 897,600.00 300 Rp 3,740.00 Rp 1,122,000.00 0 Rp 3,740.00 Rp -
14 AMLODIPINE 5 MG tablet 0 Rp 78.00 Rp - 1500 Rp 78.00 Rp 117,000.00 1500 Rp 78.00 Rp 117,000.00 0 Rp 78.00 Rp -
15 AMLODIPINE 5 MG tablet 2187 Rp 93.00 Rp 203,391.00 0 Rp 93.00 Rp - 2187 Rp 93.00 Rp 203,391.00 0 Rp 93.00 Rp -
16 AMLODIPINE 5 MG tablet 0 Rp 83.00 Rp - 600 Rp 83.00 Rp 49,800.00 300 Rp 83.00 Rp 24,900.00 300 Rp 83.00 Rp 24,900.00
17 ANTASIDA DOEN TABLET KUNYAH tablet 2400 Rp 57.00 Rp 136,800.00 9000 Rp 57.00 Rp 513,000.00 8100 Rp 57.00 Rp 461,700.00 3300 Rp 57.00 Rp 188,100.00
18 ANTASIDA DOEN SIRUP botol 22 Rp 2,290.00 Rp 50,380.00 55 Rp 2,290.00 Rp 125,950.00 27 Rp 2,290.00 Rp 61,830.00 50 Rp 2,290.00 Rp 114,500.00
19 ANTI FUNGI DOEN KOMBINASI pot 13 Rp 5,395.00 Rp 70,135.00 0 Rp 5,395.00 Rp - 1 Rp 5,395.00 Rp 5,395.00 12 Rp 5,395.00 Rp 64,740.00
20 ANTI BAKTERI DOEN SALEP KOMBINASI tube 0 Rp 3,511.00 Rp - 50 Rp 3,511.00 Rp 175,550.00 0 Rp 3,511.00 Rp - 50 Rp 3,511.00 Rp 175,550.00
21 ANTI HEMORROID KOMBINASI BISMUT SUBGALAT suppo 18 Rp 3,800.00 Rp 68,400.00 60 Rp 3,800.00 Rp 228,000.00 64 Rp 3,800.00 Rp 243,200.00 14 Rp 3,800.00 Rp 53,200.00
22 ASAM ASKORBAT (VITAMIN C) 50 MG tablet 4000 Rp 126.00 Rp 504,000.00 5500 Rp 126.00 Rp 693,000.00 6100 Rp 126.00 Rp 768,600.00 3400 Rp 126.00 Rp 428,400.00
23 ASAM FOLAT 1 MG tablet 0 Rp 90.00 Rp - 700 Rp 90.00 Rp 63,000.00 300 Rp 90.00 Rp 27,000.00 400 Rp 90.00 Rp 36,000.00
24 ASIKLOVIR 200 MG GENERIK kaplet 100 Rp 263.00 Rp 26,300.00 0 Rp 263.00 Rp - 50 Rp 263.00 Rp 13,150.00 50 Rp 263.00 Rp 13,150.00
25 ASIKLOVIR 200 MG GENERIK kaplet 0 Rp 236.00 Rp - 500 Rp 236.00 Rp 118,000.00 0 Rp 236.00 Rp - 500 Rp 236.00 Rp 118,000.00
26 ASIKLOVIR 400 MG GENERIK tablet 150 Rp 440.00 Rp 66,000.00 0 Rp 440.00 Rp - 150 Rp 440.00 Rp 66,000.00 0 Rp 440.00 Rp -
27 ATROPIN INJEKSI 0,25 MG/ML ampul 20 Rp 1,540.00 Rp 30,800.00 140 Rp 1,540.00 Rp 215,600.00 0 Rp 1,540.00 Rp - 160 Rp 1,540.00 Rp 246,400.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
28 BETAMETASONE DIPROPIONATE 0,05% tube 0 Rp 3,350.00 Rp - 50 Rp 3,350.00 Rp 167,500.00 31 Rp 3,350.00 Rp 103,850.00 19 Rp 3,350.00 Rp 63,650.00
29 BEDAK SALICYL 2% 60 GRAM pcs 0 Rp 6,426.20 Rp - 6 Rp 6,426.20 Rp 38,557.20 1 Rp 6,426.20 Rp 6,426.20 5 Rp 6,426.20 Rp 32,131.00
30 CAPTOPRIL 12,5 MG tablet 400 Rp 68.00 Rp 27,200.00 0 Rp 68.00 Rp - 300 Rp 68.00 Rp 20,400.00 100 Rp 68.00 Rp 6,800.00
31 CAPTOPRIL 25 MG tablet 800 Rp 125.23 Rp 100,184.00 0 Rp 125.23 Rp - 700 Rp 125.23 Rp 87,661.00 100 Rp 125.23 Rp 12,523.00
32 CLYNDAMYCIN 300 MG kapsul 150 Rp 2,739.99 Rp 410,998.50 0 Rp 2,739.99 Rp - 50 Rp 2,739.99 Rp 136,999.50 100 Rp 2,739.99 Rp 273,999.00
33 CETIRIZINE SIRUP 5 MG/5 ML botol 200 Rp 3,104.00 Rp 620,800.00 100 Rp 3,104.00 Rp 310,400.00 239 Rp 3,104.00 Rp 741,856.00 61 Rp 3,104.00 Rp 189,344.00
34 DEXAMETHASONE INJ 5MG/ML ampul 40 Rp 1,885.00 Rp 75,400.00 0 Rp 1,885.00 Rp - 40 Rp 1,885.00 Rp 75,400.00 Rp 1,885.00 Rp -
35 DEXAMETHASONE 0,5 MG TABLET tablet 0 Rp 136.06 Rp - 500 Rp 136.06 Rp 68,029.50 0 Rp 136.06 Rp - 500 Rp 136.06 Rp 68,029.50
36 DIAZEPAM INJEKSI 5 MG/ML ampul 0 Rp 2,010.00 Rp - 20 Rp 2,010.00 Rp 40,200.00 20 Rp 2,010.00 Rp 40,200.00 Rp 2,010.00 Rp -
37 DIGOKSIN 0,25 MG tablet 0 Rp 104.00 Rp - 200 Rp 104.00 Rp 20,800.00 120 Rp 104.00 Rp 12,480.00 80 Rp 104.00 Rp 8,320.00
38 DIFENHIDRAMINE INJEKSI ampul 0 Rp 1,316.00 Rp - 10 Rp 1,316.00 Rp 13,160.00 0 Rp 1,316.00 Rp - 10 Rp 1,316.00 Rp 13,160.00
39 DOMPERIDONE TABLET 10 MG tablet 0 Rp 90.00 Rp - 1000 Rp 90.00 Rp 90,000.00 0 Rp 90.00 Rp - 1000 Rp 90.00 Rp 90,000.00
40 ERITROMICIN 250 MG kapsul 200 Rp 666.00 Rp 133,200.00 0 Rp 666.00 Rp - 200 Rp 666.00 Rp 133,200.00 0 Rp 666.00 Rp -
41 ERITROMICIN 250 MG kapsul 0 Rp 711.00 Rp - 500 Rp 711.00 Rp 355,500.00 0 Rp 711.00 Rp - 500 Rp 711.00 Rp 355,500.00
42 EPHINEFRIN INJEKSI ampul 18 Rp 1,848.00 Rp 33,264.00 0 Rp 1,848.00 Rp - 18 Rp 1,848.00 Rp 33,264.00 Rp 1,848.00 Rp -
43 FITOMENADION 10 MG GENERIK tablet 700 Rp 855.00 Rp 598,500.00 0 Rp 855.00 Rp - 500 Rp 855.00 Rp 427,500.00 200 Rp 855.00 Rp 171,000.00
44 FITOMENADION 10 MG GENERIK tablet 0 Rp 912.00 Rp - 200 Rp 912.00 Rp 182,400.00 -300 Rp 912.00 -Rp 273,600.00 500 Rp 912.00 Rp 456,000.00
45 FUROSEMID 40 MG GENERIK tablet 400 Rp 82.00 Rp 32,800.00 19200 Rp 82.00 Rp 1,574,400.00 5200 Rp 82.00 Rp 426,400.00 14400 Rp 82.00 Rp 1,180,800.00
46 FENOBARBITAL INJEKSI 50 MG/ML ampul 56 Rp 1,980.00 Rp 110,880.00 0 Rp 1,980.00 Rp - 56 Rp 1,980.00 Rp 110,880.00 0 Rp 1,980.00 Rp -
47 FORMALIN 40% botol 7 Rp 42,000.00 Rp 294,000.00 0 Rp 42,000.00 Rp - 2 Rp 42,000.00 Rp 84,000.00 5 Rp 42,000.00 Rp 210,000.00
48 GARAM ORALIT KOMBINASI sachet 0 Rp 317.00 Rp - 0 Rp 317.00 Rp - 0 Rp 317.00 Rp - Rp 317.00 Rp -
49 GENTAMICIN SULFAT SALEP MATA 0,3% tube 0 Rp 3,210.00 Rp - 20 Rp 3,210.00 Rp 64,200.00 10 Rp 3,210.00 Rp 32,100.00 10 Rp 3,210.00 Rp 32,100.00
50 GRISEOFULVIN 125 MG tablet 2200 Rp 230.00 Rp 506,000.00 0 Rp 230.00 Rp - 2200 Rp 230.00 Rp 506,000.00 Rp 230.00 Rp -
51 GLIMEPIRIDE 1 MG tablet 0 Rp 174.00 Rp - 600 Rp 174.00 Rp 104,400.00 0 Rp 174.00 Rp - 600 Rp 174.00 Rp 104,400.00
52 GLUKOSA 5% LARUTAN INFUS botol 320 Rp 6,900.00 Rp 2,208,000.00 600 Rp 6,900.00 Rp 4,140,000.00 920 Rp 6,900.00 Rp 6,348,000.00 0 Rp 6,900.00 Rp -
53 GLUKOSA 5% LARUTAN INFUS botol 0 Rp 7,363.00 Rp - 180 Rp 7,363.00 Rp 1,325,340.00 80 Rp 7,363.00 Rp 589,040.00 100 Rp 7,363.00 Rp 736,300.00
54 ETAKRIDIN (RIVANOL) botol 13 Rp 6,000.00 Rp 78,000.00 0 Rp 6,000.00 Rp - 13 Rp 6,000.00 Rp 78,000.00 Rp 6,000.00 Rp -
55 HYDROKORTISON KRIM 2% tube 96 Rp 2,648.00 Rp 254,208.00 1320 Rp 2,648.00 Rp 3,495,360.00 1080 Rp 2,648.00 Rp 2,859,840.00 336 Rp 2,648.00 Rp 889,728.00
56 HYDROCLORTIAZIDE (HCT) 25 MG tablet 1100 Rp 179.00 Rp 196,900.00 0 Rp 179.00 Rp - 100 Rp 179.00 Rp 17,900.00 1000 Rp 179.00 Rp 179,000.00
57 IBUPROFEN SUSPENSI 200 MG/5 MG botol 0 Rp 5,509.00 Rp - 38 Rp 5,509.00 Rp 209,342.00 32 Rp 5,509.00 Rp 176,288.00 6 Rp 5,509.00 Rp 33,054.00
58 KALSIUM LAKTAT 500 MG tablet 600 Rp 60.00 Rp 36,000.00 12000 Rp 60.00 Rp 720,000.00 12600 Rp 60.00 Rp 756,000.00 0 Rp 60.00 Rp -
59 KALSIUM LAKTAT 500 MG tablet 0 Rp 64.00 Rp - 3000 Rp 64.00 Rp 192,000.00 900 Rp 64.00 Rp 57,600.00 2100 Rp 64.00 Rp 134,400.00
60 KARBOGLISERIN TETES TELINGA 10% botol 0 Rp 2,764.00 Rp - 10 Rp 2,764.00 Rp 27,640.00 0 Rp 2,764.00 Rp - 10 Rp 2,764.00 Rp 27,640.00
61 KLORAMFENIKOL 250 MG kapsul 2900 Rp 1,110.00 Rp 3,218,997.10 0 Rp 1,110.00 Rp - 2900 Rp 1,110.00 Rp 3,218,997.10 0 Rp 1,110.00 Rp -
62 KLORAMFENIKOL 250 MG kapsul 0 Rp 677.84 Rp - 500 Rp 677.84 Rp 338,921.00 100 Rp 677.84 Rp 67,784.20 400 Rp 677.84 Rp 271,136.80
63 KLORAMFENIKOL SALEP MATA 1% tube 48 Rp 2,013.00 Rp 96,624.00 0 Rp 2,013.00 Rp - 24 Rp 2,013.00 Rp 48,312.00 24 Rp 2,013.00 Rp 48,312.00
64 KETOCONAZOLE TABLET 200 MG tablet 1350 Rp 317.00 Rp 427,950.00 0 Rp 317.00 Rp - 1300 Rp 317.00 Rp 412,100.00 50 Rp 317.00 Rp 15,850.00
65 KETOCONAZOLE KRIM 2% tube 85 Rp 2,694.00 Rp 228,990.00 0 Rp 2,694.00 Rp - 60 Rp 2,694.00 Rp 161,640.00 25 Rp 2,694.00 Rp 67,350.00
66 KOTRIMOKSAZOLE 480 MG tablet 0 Rp 129.00 Rp - 2000 Rp 129.00 Rp 258,000.00 1500 Rp 129.00 Rp 193,500.00 500 Rp 129.00 Rp 64,500.00
67 TABLET TAMBAH DARAH tablet 34200 Rp 427.00 Rp 14,603,400.00 44800 Rp 427.00 Rp 19,129,600.00 79000 Rp 427.00 Rp 33,733,000.00 0 Rp 427.00 Rp -
68 KOTRIMOKSAZOLE SUSPENSI botol 0 Rp 2,115.00 Rp - 200 Rp 2,115.00 Rp 423,000.00 200 Rp 2,115.00 Rp 423,000.00 0 Rp 2,115.00 Rp -
69 KOTRIMOKSAZOLE SUSPENSI botol 0 Rp 2,257.00 Rp - 100 Rp 2,257.00 Rp 225,700.00 52 Rp 2,257.00 Rp 117,364.00 48 Rp 2,257.00 Rp 108,336.00
70 KOMBINASI ERGOTAMIN 1 MG + KOFFEIN 50 MG tablet 0 Rp 208.00 Rp - 300 Rp 208.00 Rp 62,400.00 100 Rp 208.00 Rp 20,800.00 200 Rp 208.00 Rp 41,600.00
71 LIDOCAIN 2% ampul 0 Rp 1,375.00 Rp - 210 Rp 1,375.00 Rp 288,750.00 210 Rp 1,375.00 Rp 288,750.00 0 Rp 1,375.00 Rp -
72 LIDOCAIN COMPOSITUM ampul 40 Rp 1,380.00 Rp 55,200.00 40 Rp 1,380.00 Rp 55,200.00 80 Rp 1,380.00 Rp 110,400.00 0 Rp 1,380.00 Rp -
73 LORATADINE 10 MG tablet 1100 Rp 150.00 Rp 165,000.00 0 Rp 150.00 Rp - 1100 Rp 150.00 Rp 165,000.00 0 Rp 150.00 Rp -
74 LOPERAMID 2 MG tablet 300 Rp 91.00 Rp 27,300.00 0 Rp 91.00 Rp - 300 Rp 91.00 Rp 27,300.00 0 Rp 91.00 Rp -
75 METILERGOMETRIN MALEAT 0,125 mg tablet 800 Rp 271.00 Rp 216,800.00 300 Rp 271.00 Rp 81,300.00 800 Rp 271.00 Rp 216,800.00 300 Rp 271.00 Rp 81,300.00
76 RINGER LAKTAT botol 160 Rp 7,150.00 Rp 1,144,000.00 360 Rp 7,150.00 Rp 2,574,000.00 520 Rp 7,150.00 Rp 3,718,000.00 0 Rp 7,150.00 Rp -
77 RINGER LAKTAT botol 0 Rp 7,630.00 Rp - 1000 Rp 7,630.00 Rp 7,630,000.00 900 Rp 7,630.00 Rp 6,867,000.00 100 Rp 7,630.00 Rp 763,000.00
78 K-EN 3 B LARUTAN ELEKTROLIT botol 20 Rp 11,314.00 Rp 226,280.00 40 Rp 11,314.00 Rp 452,560.00 20 Rp 11,314.00 Rp 226,280.00 40 Rp 11,314.00 Rp 452,560.00
79 MAGNESIUM SULFAT 20 % INJEKSI botol 0 Rp 3,328.00 Rp - 10 Rp 3,328.00 Rp 33,280.00 0 Rp 3,328.00 Rp - 10 Rp 3,328.00 Rp 33,280.00
80 MAGNESIUM SULFAT 40% INJEKSI botol 0 Rp 3,796.00 Rp - 10 Rp 3,796.00 Rp 37,960.00 0 Rp 3,796.00 Rp - 10 Rp 3,796.00 Rp 37,960.00
81 MAGNESIUM SULFAT 40% (MGSO4) botol 23 Rp 3,650.00 Rp 83,950.00 0 Rp 3,650.00 Rp - 23 Rp 3,650.00 Rp 83,950.00 0 Rp 3,650.00 Rp -
82 METOKLOPRAMIDE 10 MG tablet 2200 Rp 93.00 Rp 204,600.00 7200 Rp 93.00 Rp 669,600.00 5200 Rp 93.00 Rp 483,600.00 4200 Rp 93.00 Rp 390,600.00
83 METOKLOPRAMIDE 5 MG tablet 1400 Rp 129.00 Rp 180,600.00 0 Rp 129.00 Rp - 800 Rp 129.00 Rp 103,200.00 600 Rp 129.00 Rp 77,400.00
84 METRODINAZOLE 500 MG tablet 200 Rp 169.00 Rp 33,800.00 0 Rp 169.00 Rp - 200 Rp 169.00 Rp 33,800.00 Rp 169.00 Rp -
85 METFORMIN 500 MG tablet 1700 Rp 110.00 Rp 187,000.00 1000 Rp 110.00 Rp 110,000.00 1200 Rp 110.00 Rp 132,000.00 1500 Rp 110.00 Rp 165,000.00
86 METHILERGOMETRIN MALEAT INJEKSI ampul 19 Rp 3,421.00 Rp 64,999.00 0 Rp 3,421.00 Rp - 19 Rp 3,421.00 Rp 64,999.00 Rp 3,421.00 Rp -
87 METHILPREDNISOLONE 4 MG tablet 1900 Rp 170.00 Rp 323,000.00 0 Rp 170.00 Rp - 1800 Rp 170.00 Rp 306,000.00 100 Rp 170.00 Rp 17,000.00
88 MY JELLY tube 7 Rp 69,575.00 Rp 487,025.00 9 Rp 69,575.00 Rp 626,175.00 16 Rp 69,575.00 Rp 1,113,200.00 0 Rp 69,575.00 Rp -
89 MICONAZOLE KRIM 2% tube 0 Rp 4,097.00 Rp - 20 Rp 4,097.00 Rp 81,940.00 20 Rp 4,097.00 Rp 81,940.00 Rp 4,097.00 Rp -
90 NATRIUM DIKLOFENAK 25 MG tablet 950 Rp 154.00 Rp 146,300.00 1900 Rp 154.00 Rp 292,600.00 2850 Rp 154.00 Rp 438,900.00 Rp 154.00 Rp -
91 NATRIUM DIKLOFENAK 50 MG tablet 1300 Rp 146.00 Rp 189,800.00 0 Rp 146.00 Rp - 1300 Rp 146.00 Rp 189,800.00 Rp 146.00 Rp -
92 NATRIUM KLORIDA (NACL) LAR.INFUS botol 310 Rp 5,170.00 Rp 1,602,700.00 0 Rp 5,170.00 Rp - 310 Rp 5,170.00 Rp 1,602,700.00 0 Rp 5,170.00 Rp -
93 NATRIUM KLORIDA (NACL) LAR.INFUS botol 0 Rp 6,410.00 Rp - 84 Rp 6,410.00 Rp 538,440.00 64 Rp 6,410.00 Rp 410,240.00 20 Rp 6,410.00 Rp 128,200.00
94 NEURODIAL tablet 185 Rp 1,265.00 Rp 234,025.00 10 Rp 1,265.00 Rp 12,650.00 195 Rp 1,265.00 Rp 246,675.00 Rp 1,265.00 Rp -
95 NISTATIN 100.000 IU TABLET VAGINAL OVULA 100 Rp 528.00 Rp 52,800.00 0 Rp 528.00 Rp - 100 Rp 528.00 Rp 52,800.00 0 Rp 528.00 Rp -
96 NISTATIN 100.000 IU TABLET VAGINAL OVULA 0 Rp 675.00 Rp - 300 Rp 675.00 Rp 202,500.00 170 Rp 675.00 Rp 114,750.00 130 Rp 675.00 Rp 87,750.00
97 NIFUDIAR botol 12 Rp 77,000.00 Rp 924,000.00 2 Rp 77,000.00 Rp 154,000.00 14 Rp 77,000.00 Rp 1,078,000.00 Rp 77,000.00 Rp -
98 OFLOXACIN 200 MG tablet 600 Rp 531.00 Rp 318,600.00 300 Rp 531.00 Rp 159,300.00 0 Rp 531.00 Rp - 900 Rp 531.00 Rp 477,900.00
99 OKSITOSIN INJ 10 IU/ML ampul 30 Rp 1,287.00 Rp 38,610.00 15 Rp 1,287.00 Rp 19,305.00 45 Rp 1,287.00 Rp 57,915.00 Rp 1,287.00 Rp -
100 OBH ERLA SIRUP BOTOL KACA 100 ML botol 0 Rp 12,999.80 Rp - 0 Rp 12,999.80 Rp - 0 Rp 12,999.80 Rp - Rp 12,999.80 Rp -
101 OMEPRAZOLE 20 MG kapsul 120 Rp 153.00 Rp 18,360.00 90 Rp 153.00 Rp 13,770.00 210 Rp 153.00 Rp 32,130.00 Rp 153.00 Rp -
102 OMEPRAZOLE 20 MG kapsul 0 Rp 659.85 Rp - 300 Rp 659.85 Rp 197,956.00 0 Rp 659.85 Rp - 300 Rp 659.85 Rp 197,956.00
103 OKSITETRASIKLIN 1% SALEP MATA tube 10 Rp 2,600.00 Rp 26,000.00 25 Rp 2,600.00 Rp 65,000.00 19 Rp 2,600.00 Rp 49,400.00 16 Rp 2,600.00 Rp 41,600.00
104 ONDANSENTRON 4 MG tablet 1296 Rp 546.00 Rp 707,616.00 0 Rp 546.00 Rp - 1296 Rp 546.00 Rp 707,616.00 Rp 546.00 Rp -
105 PARACETAMOL SIRUP 120 MG/5 ML botol 20 Rp 1,107.00 Rp 22,140.00 0 Rp 1,107.00 Rp - 20 Rp 1,107.00 Rp 22,140.00 0 Rp 1,107.00 Rp -
106 PARACETAMOL SIRUP 120 MG/5 ML botol 0 Rp 5,041.30 Rp - 20 Rp 5,041.30 Rp 100,826.00 0 Rp 5,041.30 Rp - 20 Rp 5,041.30 Rp 100,826.00
107 PARACETAMOL 500 MG TABLET tablet 0 Rp 274.48 Rp - 500 Rp 274.48 Rp 137,241.50 0 Rp 274.48 Rp - 500 Rp 274.48 Rp 137,241.50
108 PARACETAMOL DROPS 100 MG/ML botol 0 Rp 7,979.00 Rp - 300 Rp 7,979.00 Rp 2,393,700.00 300 Rp 7,979.00 Rp 2,393,700.00 0 Rp 7,979.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
109 PIRIDOKSINE 10 MG (VITAMIN B6) tablet 14000 Rp 148.00 Rp 2,072,000.00 6500 Rp 148.00 Rp 962,000.00 17300 Rp 148.00 Rp 2,560,400.00 3200 Rp 148.00 Rp 473,600.00
110 PIRACETAM 800 MG kaplet 900 Rp 960.00 Rp 864,002.70 0 Rp 960.00 Rp - 900 Rp 960.00 Rp 864,002.70 0 Rp 960.00 Rp -
111 PIRACETAM 800 MG kaplet 0 Rp 960.00 Rp - 0 Rp 960.00 Rp - 0 Rp 960.00 Rp - 0 Rp 960.00 Rp -
112 PIRANTEL TABLET SCORE 125 MG tablet 0 Rp 305.00 Rp - 0 Rp 305.00 Rp - 0 Rp 305.00 Rp - 0 Rp 305.00 Rp -
113 PIRANTEL TABLET SCORE 125 MG tablet 500 Rp 346.00 Rp 173,000.00 0 Rp 346.00 Rp - 500 Rp 346.00 Rp 173,000.00 0 Rp 346.00 Rp -
114 PIROXICAM 10 MG tablet 0 Rp 146.38 Rp - 1000 Rp 146.38 Rp 146,377.00 500 Rp 146.38 Rp 73,188.50 500 Rp 146.38 Rp 73,188.50
115 POVIDONE IODINE 30 ML botol 79 Rp 3,480.00 Rp 274,920.00 40 Rp 3,480.00 Rp 139,200.00 109 Rp 3,480.00 Rp 379,320.00 10 Rp 3,480.00 Rp 34,800.00
116 POVIDONE IODINE 300 ML botol 5 Rp 21,600.00 Rp 108,000.00 0 Rp 21,600.00 Rp - 5 Rp 21,600.00 Rp 108,000.00 0 Rp 21,600.00 Rp -
117 PREDNISONE TABLET 5 MG tablet 0 Rp 79.00 Rp - 4300 Rp 79.00 Rp 339,700.00 4300 Rp 79.00 Rp 339,700.00 0 Rp 79.00 Rp -
118 RETINOL (VITAMIN A)100.000 IU soft capsule 0 Rp 346.00 Rp - 1000 Rp 346.00 Rp 346,000.00 1000 Rp 346.00 Rp 346,000.00 0 Rp 346.00 Rp -
119 RETINOL (VITAMIN A)200.000 IU soft capsule 0 Rp 622.00 Rp - 100 Rp 622.00 Rp 62,200.00 50 Rp 622.00 Rp 31,100.00 50 Rp 622.00 Rp 31,100.00
120 SALBUTAMOL 4 MG tablet 800 Rp 81.00 Rp 64,800.00 0 Rp 81.00 Rp - 700 Rp 81.00 Rp 56,700.00 100 Rp 81.00 Rp 8,100.00
121 SALBUTAMOL 4 MG tablet 0 Rp 118.73 Rp - 500 Rp 118.73 Rp 59,367.00 0 Rp 118.73 Rp - 500 Rp 118.73 Rp 59,367.00
122 SIPROFLOXACIN 500 MG tablet 400 Rp 292.00 Rp 116,800.00 0 Rp 292.00 Rp - 400 Rp 292.00 Rp 116,800.00 Rp 292.00 Rp -
123 SIMVASTATIN 10 MG tablet 600 Rp 117.00 Rp 70,200.00 1650 Rp 117.00 Rp 193,050.00 2160 Rp 117.00 Rp 252,720.00 90 Rp 117.00 Rp 10,530.00
124 SIMVASTATIN 20 MG tablet 0 Rp 235.00 Rp - 750 Rp 235.00 Rp 176,250.00 250 Rp 235.00 Rp 58,750.00 500 Rp 235.00 Rp 117,500.00
125 TETRASIKLIN 500 MG kapsul 700 Rp 341.00 Rp 238,700.00 5500 Rp 341.00 Rp 1,875,500.00 4100 Rp 341.00 Rp 1,398,100.00 2100 Rp 341.00 Rp 716,100.00
126 THIAMIN (VITAMIN B1) 50 MG tablet 1000 Rp 92.00 Rp 92,000.00 2000 Rp 92.00 Rp 184,000.00 1400 Rp 92.00 Rp 128,800.00 1600 Rp 92.00 Rp 147,200.00
127 VITAMIN B KOMPLEKS TABLET tablet 1100 Rp 138.00 Rp 151,800.00 0 Rp 138.00 Rp - 1100 Rp 138.00 Rp 151,800.00 0 Rp 138.00 Rp -
128 VITAMIN B KOMPLEKS TABLET tablet 0 Rp 141.00 Rp - 500 Rp 141.00 Rp 70,500.00 500 Rp 141.00 Rp 70,500.00 0 Rp 141.00 Rp -
129 VITAMIN B KOMPLEKS TABLET tablet 0 Rp 150.00 Rp - 1000 Rp 150.00 Rp 150,000.00 400 Rp 150.00 Rp 60,000.00 600 Rp 150.00 Rp 90,000.00
130 ZINC SULFAT SIRUP 20 MG/5 ML botol 50 Rp 3,449.00 Rp 172,450.00 10 Rp 3,449.00 Rp 34,490.00 32 Rp 3,449.00 Rp 110,368.00 28 Rp 3,449.00 Rp 96,572.00
131 ZINC DISPERSAL 20 MG tablet 100 Rp 631.00 Rp 63,100.00 0 Rp 631.00 Rp - 100 Rp 631.00 Rp 63,100.00 0 Rp 631.00 Rp -
OBAT PATEN Rp - Rp - Rp -
1 DULCOLAX 5 MG SUPPOSITORIA suppo 22 Rp 6,000.00 Rp 132,000.00 0 Rp 6,000.00 Rp - 12 Rp 6,000.00 Rp 72,000.00 10 Rp 6,000.00 Rp 60,000.00
2 DULCOLAX 10 MG SUPPOSITORIA suppo 16 Rp 5,900.00 Rp 94,400.00 10 Rp 5,900.00 Rp 59,000.00 15 Rp 5,900.00 Rp 88,500.00 11 Rp 5,900.00 Rp 64,900.00
3 BUFACETIN(KLORAMFENIKOL SALEP KULIT 2% tube 48 Rp 3,645.00 Rp 174,960.00 24 Rp 3,645.00 Rp 87,480.00 39 Rp 3,645.00 Rp 142,155.00 33 Rp 3,645.00 Rp 120,285.00
4 COMBIVENT UDV IPATROPIUM BROMIDE MONOHIDRATE vial 0 Rp 4,550.00 Rp - 20 Rp 4,550.00 Rp 91,000.00 20 Rp 4,550.00 Rp 91,000.00 0 Rp 4,550.00 Rp -
5 CORTIDEX tablet 0 Rp 367.92 Rp - 300 Rp 367.92 Rp 110,376.69 0 Rp 367.92 Rp - 300 Rp 367.92 Rp 110,376.69
6 EPEXOL 30 MG tablet 0 Rp 1,052.48 Rp - 200 Rp 1,052.48 Rp 210,496.14 0 Rp 1,052.48 Rp - 200 Rp 1,052.48 Rp 210,496.14
7 HARMIDA (GLIBENCLAMID 2,5 MG) tablet 500 Rp 216.00 Rp 108,000.00 200 Rp 216.00 Rp 43,200.00 0 Rp 216.00 Rp - 700 Rp 216.00 Rp 151,200.00
8 IMBOOST TAB 50'S tablet 0 Rp 4,013.60 Rp - 200 Rp 4,013.60 Rp 802,719.65 100 Rp 4,013.60 Rp 401,359.82 100 Rp 4,013.60 Rp 401,359.82
9 MEVITON tablet 0 Rp 2,007.35 Rp - 500 Rp 2,007.35 Rp 1,003,674.54 500 Rp 2,007.35 Rp 1,003,674.54 0 Rp 2,007.35 Rp -
10 MEFINAL tablet 0 Rp 1,705.82 Rp - 500 Rp 1,705.82 Rp 852,910.75 100 Rp 1,705.82 Rp 170,582.15 400 Rp 1,705.82 Rp 682,328.60
11 NEUROSANBE tablet Rp 3,266.70 Rp - 100 Rp 3,266.70 Rp 326,670.39 100 Rp 3,266.70 Rp 326,670.39 0 Rp 3,266.70 Rp -
12 NEUROSANBE INJEKSI 3 ML ampul Rp 6,979.37 Rp - 20 Rp 6,979.37 Rp 139,587.49 6 Rp 6,979.37 Rp 41,876.25 14 Rp 6,979.37 Rp 97,711.24
13 PROPEPSA SIRUP botol Rp 73,472.97 Rp - 8 Rp 73,472.97 Rp 587,783.72 2 Rp 73,472.97 Rp 146,945.93 6 Rp 73,472.97 Rp 440,837.79
14 PURICEMIA tablet 0 Rp 3,268.75 Rp - 130 Rp 3,268.75 Rp 424,937.50 130 Rp 3,268.75 Rp 424,937.50 0 Rp 3,268.75 Rp -
15 PANTRIN PIRANTEL PAMOAT TABLET 250 MG tablet 0 Rp 1,200.00 Rp - 500 Rp 1,200.00 Rp 600,000.00 0 Rp 1,200.00 Rp - 500 Rp 1,200.00 Rp 600,000.00
16 VERSYL TAB 50'S tablet 0 Rp 2,564.31 Rp - 200 Rp 2,564.31 Rp 512,861.37 100 Rp 2,564.31 Rp 256,430.68 100 Rp 2,564.31 Rp 256,430.68
17 VOCEFA SYRUP botol 0 Rp 57,696.90 Rp - 8 Rp 57,696.90 Rp 461,575.23 2 Rp 57,696.90 Rp 115,393.81 6 Rp 57,696.90 Rp 346,181.42
BAHAN MEDIS HABIS PAKAI Rp - Rp - Rp -
1 FOLEY CATHETER NO 10 pcs 39 Rp 13,750.00 Rp 536,250.00 0 Rp 13,750.00 Rp - 29 Rp 13,750.00 Rp 398,750.00 10 Rp 13,750.00 Rp 137,500.00
2 FOLEY CATHETER NO 12 pcs 50 Rp 13,750.00 Rp 687,500.00 0 Rp 13,750.00 Rp - 50 Rp 13,750.00 Rp 687,500.00 0 Rp 13,750.00 Rp -
3 FOLEY CATHETER NO 14 pcs 38 Rp 13,750.00 Rp 522,500.00 10 Rp 13,750.00 Rp 137,500.00 20 Rp 13,750.00 Rp 275,000.00 28 Rp 13,750.00 Rp 385,000.00
4 FOLEY CATHETER NO 16 pcs 37 Rp 13,750.00 Rp 508,750.00 20 Rp 13,750.00 Rp 275,000.00 36 Rp 13,750.00 Rp 495,000.00 21 Rp 13,750.00 Rp 288,750.00
5 FOLEY CATHETER NO 18 pcs 14 Rp 13,750.00 Rp 192,500.00 0 Rp 13,750.00 Rp - 14 Rp 13,750.00 Rp 192,500.00 0 Rp 13,750.00 Rp -
6 KAPAS PEMBALUT 500 GRAM pcs 2 Rp 35,000.00 Rp 70,000.00 0 Rp 35,000.00 Rp - 2 Rp 35,000.00 Rp 70,000.00 0 Rp 35,000.00 Rp -
8 KASA PEMBALUT 2 M X 80 CM pcs 46 Rp 13,650.00 Rp 627,900.00 0 Rp 13,650.00 Rp - 33 Rp 13,650.00 Rp 450,450.00 13 Rp 13,650.00 Rp 177,450.00
9 KASA HYDROFIL STERIL 16x16 roll 0 Rp 9,200.00 Rp - 20 Rp 9,200.00 Rp 184,000.00 19 Rp 9,200.00 Rp 174,800.00 1 Rp 9,200.00 Rp 9,200.00
10 REGULATOR OKSIGEN pcs 5 Rp 487,500.00 Rp 2,437,500.00 0 Rp 487,500.00 Rp - 3 Rp 487,500.00 Rp 1,462,500.00 2 Rp 487,500.00 Rp 975,000.00
11 SELANG OKSIGEN pcs 32 Rp 8,250.00 Rp 264,000.00 0 Rp 8,250.00 Rp - 7 Rp 8,250.00 Rp 57,750.00 25 Rp 8,250.00 Rp 206,250.00
14 URINE BAG pcs 50 Rp 6,875.00 Rp 343,750.00 0 Rp 6,875.00 Rp - 40 Rp 6,875.00 Rp 275,000.00 10 Rp 6,875.00 Rp 68,750.00
15 URINE BAG pcs 0 Rp 3,450.00 Rp - 20 Rp 3,450.00 Rp 69,000.00 0 Rp 3,450.00 Rp - 20 Rp 3,450.00 Rp 69,000.00
16 JARUM JAHIT 1/2 SURGICAL Lusin 0 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00 0 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00
17 JARUM JAHIT 3/8 SURGICAL Lusin 0 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00 0 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00
18 KASA STERIL 10 X 10 CM pcs 0 Rp 10,845.30 Rp - 50 Rp 10,845.30 Rp 542,265.00 0 Rp 10,845.30 Rp - 50 Rp 10,845.30 Rp 542,265.00
19 ALKOHOL 70% 1 LITER botol 0 Rp 34,375.00 Rp - 2 Rp 34,375.00 Rp 68,750.00 0 Rp 34,375.00 Rp - 2 Rp 34,375.00 Rp 68,750.00
20 ALKOHOL SWAB box 23 Rp 11,500.00 Rp 264,500.00 135 Rp 11,500.00 Rp 1,552,500.00 158 Rp 11,500.00 Rp 1,817,000.00 0 Rp 11,500.00 Rp -
21 ASEPTAN 2% SOL 500 ML botol 0 Rp 80,745.00 Rp - 2 Rp 80,745.00 Rp 161,490.00 0 Rp 80,745.00 Rp - 2 Rp 80,745.00 Rp 161,490.00
22 AUTOCHECK CHOLESTEROL TES kotak 0 Rp 367,812.50 Rp - 8 Rp 367,812.50 Rp 2,942,500.00 5 Rp 367,812.50 Rp 1,839,062.50 3 Rp 367,812.50 Rp 1,103,437.50
23 AUTOCHECK CHOLESTEROL TES kotak 2 Rp 147,125.00 Rp 294,250.00 0 Rp 147,125.00 Rp - 2 Rp 147,125.00 Rp 294,250.00 0 Rp 147,125.00 Rp -
24 AUTOCHECK CHOLESTEROL TES kotak 0 Rp 385,235.00 Rp - 2 Rp 385,235.00 Rp 770,470.00 0 Rp 385,235.00 Rp - 2 Rp 385,235.00 Rp 770,470.00
25 AUTOCHECK GLUKOSA TES kotak 0 Rp 136,950.00 Rp - 6 Rp 136,950.00 Rp 821,700.00 4 Rp 136,950.00 Rp 547,800.00 2 Rp 136,950.00 Rp 273,900.00
26 AUTOCHECK URIC ACID TES kotak 0 Rp 178,200.00 Rp - 6 Rp 178,200.00 Rp 1,069,200.00 3 Rp 178,200.00 Rp 534,600.00 3 Rp 178,200.00 Rp 534,600.00
27 BENANG BEDAH NO 2/0 (CROMIC CAT GUT) pcs 84 Rp 8,960.21 Rp 752,657.64 0 Rp 8,960.21 Rp - 84 Rp 8,960.21 Rp 752,657.64 0 Rp 8,960.21 Rp -
28 BENANG BEDAH NO 3/0 (CROMIC CAT GUT) pcs 84 Rp 8,960.21 Rp 752,657.64 0 Rp 8,960.21 Rp - 84 Rp 8,960.21 Rp 752,657.64 0 Rp 8,960.21 Rp -
29 COPPER T pcs 0 Rp 124,300.00 Rp - 5 Rp 124,300.00 Rp 621,500.00 0 Rp 124,300.00 Rp - 5 Rp 124,300.00 Rp 621,500.00
30 AXIMED FOLLEYCATH 2-WAY NO 14 pcs 100 Rp 13,750.00 Rp 1,375,000.00 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - 100 Rp 13,750.00 Rp 1,375,000.00
31 EWG SURGICAL GLOVES SIZE 7 pcs 0 Rp 5,383.38 Rp - 350 Rp 5,383.38 Rp 1,884,183.70 350 Rp 5,383.38 Rp 1,884,183.70 Rp 5,383.38 Rp -
32 EWG SURGICAL GLOVES SIZE 7,5 pcs 0 Rp 5,383.38 Rp - 300 Rp 5,383.38 Rp 1,615,014.60 300 Rp 5,383.38 Rp 1,615,014.60 Rp 5,383.38 Rp -
33 EWG SURGICAL GLOVES SIZE 8 pcs 0 Rp 5,382.88 Rp - 150 Rp 5,382.88 Rp 807,432.30 150 Rp 5,382.88 Rp 807,432.30 Rp 5,382.88 Rp -
34 GEA MEDICAL REGULATOR 02 XY-988 pcs 0 Rp 453,200.00 Rp - 8 Rp 453,200.00 Rp 3,625,600.00 0 Rp 453,200.00 Rp - 8 Rp 453,200.00 Rp 3,625,600.00
35 IV-CATH NP NO 20 pcs 0 Rp 7,846.25 Rp - 50 Rp 7,846.25 Rp 392,312.50 50 Rp 7,846.25 Rp 392,312.50 Rp 7,846.25 Rp -
36 IV-CATH NP NO 22 pcs 0 Rp 7,798.75 Rp - 50 Rp 7,798.75 Rp 389,937.50 50 Rp 7,798.75 Rp 389,937.50 Rp 7,798.75 Rp -
37 JAYAMAS SUPERLIFE NITRILITE M box 0 Rp 65,780.00 Rp - 4 Rp 65,780.00 Rp 263,120.00 4 Rp 65,780.00 Rp 263,120.00 Rp 65,780.00 Rp -
38 JAYAMAS SUPERLIFE NITRILITE L box 0 Rp 65,780.00 Rp - 1 Rp 65,780.00 Rp 65,780.00 1 Rp 65,780.00 Rp 65,780.00 Rp 65,780.00 Rp -
39 SILK (BENANG BEDAH SULTRA) 3/0 pcs 107 Rp 4,661.49 Rp 498,779.43 0 Rp 4,661.49 Rp - 107 Rp 4,661.49 Rp 498,779.43 0 Rp 4,661.49 Rp -
40 SURGICAL SUTURE+NEEDLE CATGUT CROMIC 2/0 75 CM box 0 Rp 215,045.00 Rp - 2 Rp 215,045.00 Rp 430,090.00 0 Rp 215,045.00 Rp - 2 Rp 215,045.00 Rp 430,090.00
41 ELASTIC VERBAND 6 INCHI roll 7 Rp 86,680.00 Rp 606,760.00 12 Rp 86,680.00 Rp 1,040,160.00 7 Rp 86,680.00 Rp 606,760.00 12 Rp 86,680.00 Rp 1,040,160.00
42 KAPAS PEMBALUT 250 GRAM roll 2 Rp 14,375.00 Rp 28,750.00 0 Rp 14,375.00 Rp - 2 Rp 14,375.00 Rp 28,750.00 0 Rp 14,375.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
43 KAPAS PEMBALUT 250 GRAM roll 0 Rp 22,000.00 Rp - 10 Rp 22,000.00 Rp 220,000.00 6 Rp 22,000.00 Rp 132,000.00 4 Rp 22,000.00 Rp 88,000.00
44 KASA HIDROFIL 40x80 CM roll 10 Rp 120,750.00 Rp 1,207,500.00 0 Rp 120,750.00 Rp - 10 Rp 120,750.00 Rp 1,207,500.00 0 Rp 120,750.00 Rp -
45 KASA PEMBALUT HYDROFILL 4 M X 15 CM roll 0 Rp 2,415.00 Rp - 100 Rp 2,415.00 Rp 241,500.00 0 Rp 2,415.00 Rp - 100 Rp 2,415.00 Rp 241,500.00
46 KASA PEMBALUT HYDROFILL 4 M X 10 CM roll 0 Rp 1,725.00 Rp - 100 Rp 1,725.00 Rp 172,500.00 30 Rp 1,725.00 Rp 51,750.00 70 Rp 1,725.00 Rp 120,750.00
47 KASA PEMBALUT HYDROFILL 4 M X 5 CM roll 0 Rp 862.50 Rp - 100 Rp 862.50 Rp 86,250.00 0 Rp 862.50 Rp - 100 Rp 862.50 Rp 86,250.00
48 KERTAS PUYER BLANK bungkus 10 Rp 93,500.00 Rp 935,000.00 0 Rp 93,500.00 Rp - 4 Rp 93,500.00 Rp 374,000.00 6 Rp 93,500.00 Rp 561,000.00
49 ONIONEX DISP SYRINGE 1 ML pcs 124 Rp 821.48 Rp 101,864.02 600 Rp 821.48 Rp 492,890.40 724 Rp 821.48 Rp 594,754.42 0 Rp 821.48 Rp -
50 ONIONEX DISP SYRINGE 2,5 ML pcs 100 Rp 864.72 Rp 86,472.00 500 Rp 864.72 Rp 432,360.00 600 Rp 864.72 Rp 518,832.00 0 Rp 864.72 Rp -
51 ONIONEX DISP SYRINGE 3 ML pcs 0 Rp 864.72 Rp - 0 Rp 864.72 Rp - 0 Rp 864.72 Rp - 0 Rp 864.72 Rp -
52 ONIONEX INFUSION SET FOR PEDIATRIC pcs 0 Rp 3,556.16 Rp - 68 Rp 3,556.16 Rp 241,818.88 59 Rp 3,556.16 Rp 209,813.44 9 Rp 3,556.16 Rp 32,005.44
53 ONEMED SILK 2/0+JARUM 1/2 GT 35 MM pcs 0 Rp 126,500.00 Rp - 3 Rp 126,500.00 Rp 379,500.00 1 Rp 126,500.00 Rp 126,500.00 2 Rp 126,500.00 Rp 253,000.00
54 OXYGEN MASK pcs 0 Rp 12,180.00 Rp - 5 Rp 12,180.00 Rp 60,900.00 0 Rp 12,180.00 Rp - 5 Rp 12,180.00 Rp 60,900.00
55 OXYGEN MASK DEWASA DAN ANAK pcs 0 Rp 10,559.90 Rp - 10 Rp 10,559.90 Rp 105,599.00 0 Rp 10,559.90 Rp - 10 Rp 10,559.90 Rp 105,599.00
56 MASKER N 95 box 0 Rp 7,488.80 Rp - 70 Rp 7,488.80 Rp 524,216.00 55 Rp 7,488.80 Rp 411,884.00 15 Rp 7,488.80 Rp 112,332.00
57 MF CATH PRO MEDIFIRST MF CATH PRO IV CATHETER 24 G pcs 0 Rp 9,461.25 Rp - 100 Rp 9,461.25 Rp 946,124.93 60 Rp 9,461.25 Rp 567,674.96 40 Rp 9,461.25 Rp 378,449.97
58 MY JELLY 82 GRAM pcs 0 Rp 36,937.50 Rp - 5 Rp 36,937.50 Rp 184,687.50 0 Rp 36,937.50 Rp - 5 Rp 36,937.50 Rp 184,687.50
59 SURGICAL MASK EARLOOP box 73 Rp 18,975.00 Rp 1,385,175.00 80 Rp 18,975.00 Rp 1,518,000.00 149 Rp 18,975.00 Rp 2,827,275.00 4 Rp 18,975.00 Rp 75,900.00
60 NASAL OXYGEN CANULA PCS 0 Rp 8,004.00 Rp - 5 Rp 8,004.00 Rp 40,020.00 0 Rp 8,004.00 Rp - 5 Rp 8,004.00 Rp 40,020.00
61 NIPRO INFUSET "Y" pcs 100 Rp 6,343.00 Rp 634,300.00 175 Rp 6,343.00 Rp 1,110,025.00 275 Rp 6,343.00 Rp 1,744,325.00 0 Rp 6,343.00 Rp -
62 PAPER TAPE 2,5 cm x 9,14 m roll 0 Rp 22,550.00 Rp - 12 Rp 22,550.00 Rp 270,600.00 12 Rp 22,550.00 Rp 270,600.00 0 Rp 22,550.00 Rp -
63 AXIMED EXAM GLOVES, SIZE S box 9 Rp 57,750.00 Rp 519,750.00 8 Rp 57,750.00 Rp 462,000.00 17 Rp 57,750.00 Rp 981,750.00 0 Rp 57,750.00 Rp -
64 AXIMED EXAM GLOVES, SIZE M box 7 Rp 57,750.00 Rp 404,250.00 6 Rp 57,750.00 Rp 346,500.00 13 Rp 57,750.00 Rp 750,750.00 0 Rp 57,750.00 Rp -
65 AXIMED NASAL OXYGEN SIZE L box 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
66 ANIOS DERMANIOS CHLORHEXIDIN 500 ML botol 0 Rp 112,413.60 Rp - 2 Rp 112,413.60 Rp 224,827.20 2 Rp 112,413.60 Rp 224,827.20 0 Rp 112,413.60 Rp -
OBAT GIGI Rp - Rp - Rp -
1 CAVITON WHITE GC pack 0 Rp 177,650.00 Rp - 10 Rp 177,650.00 Rp 1,776,500.00 0 Rp 177,650.00 Rp - 10 Rp 177,650.00 Rp 1,776,500.00
2 HEMOSPON box 10 Rp 118,500.00 Rp 1,185,000.00 0 Rp 118,500.00 Rp - 10 Rp 118,500.00 Rp 1,185,000.00 0 Rp 118,500.00 Rp -
3 HEMOSPON box 0 Rp 341,000.00 Rp - 20 Rp 341,000.00 Rp 6,820,000.00 0 Rp 341,000.00 Rp - 20 Rp 341,000.00 Rp 6,820,000.00
4 MATA BOR GIGI pcs 18 Rp 48,750.00 Rp 877,500.00 0 Rp 48,750.00 Rp - 18 Rp 48,750.00 Rp 877,500.00 0 Rp 48,750.00 Rp -
5 IODORM PASTA botol 0 Rp 294,800.00 Rp - 2 Rp 294,800.00 Rp 589,600.00 0 Rp 294,800.00 Rp - 2 Rp 294,800.00 Rp 589,600.00
6 VITAPEX box 1 Rp 915,833.00 Rp 915,833.00 0 Rp 915,833.00 Rp - 1 Rp 915,833.00 Rp 915,833.00 0 Rp 915,833.00 Rp -
7 KALZINOL LIQUID @15 ML POT 0 Rp 409,750.00 Rp - 2 Rp 409,750.00 Rp 819,500.00 0 Rp 409,750.00 Rp - 2 Rp 409,750.00 Rp 819,500.00
8 KALZINOL POWDER @40 GRAM POT 0 Rp 508,200.00 Rp - 2 Rp 508,200.00 Rp 1,016,400.00 0 Rp 508,200.00 Rp - 2 Rp 508,200.00 Rp 1,016,400.00
9 SOLARE ANTERIOR #A3 GC box 0 Rp 216,260.00 Rp - 5 Rp 216,260.00 Rp 1,081,300.00 0 Rp 216,260.00 Rp - 5 Rp 216,260.00 Rp 1,081,300.00
10 SALIVA EJECTOR bungkus 2 Rp 87,250.00 Rp 174,500.00 3 Rp 87,250.00 Rp 261,750.00 0 Rp 87,250.00 Rp - 5 Rp 87,250.00 Rp 436,250.00
11 HYDCAL TECHNEW box 0 Rp 303,600.00 Rp - 5 Rp 303,600.00 Rp 1,518,000.00 0 Rp 303,600.00 Rp - 5 Rp 303,600.00 Rp 1,518,000.00
12 SILK AUTOMATIC DENGAN JARUM UNTUK GIGI pcs 0 Rp 19,600.00 Rp - 0 Rp 19,600.00 Rp - 0 Rp 19,600.00 Rp - 0 Rp 19,600.00 Rp -
13 COTTON ROLL UNTUK GIGI roll 0 Rp 92,400.00 Rp - 2 Rp 92,400.00 Rp 184,800.00 0 Rp 92,400.00 Rp - 2 Rp 92,400.00 Rp 184,800.00
14 CALCIPEX +1 @2,1 GRAM tube 0 Rp 545,600.00 Rp - 15 Rp 545,600.00 Rp 8,184,000.00 0 Rp 545,600.00 Rp - 15 Rp 545,600.00 Rp 8,184,000.00
REAGEN LABORATORIUM Rp - Rp - Rp -
1 LARUTAN SPIRITUS botol 2 Rp 52,965.00 Rp 105,930.00 5 Rp 52,965.00 Rp 264,825.00 2 Rp 52,965.00 Rp 105,930.00 5 Rp 52,965.00 Rp 264,825.00
2 TES KEHAMILAN pcs 100 Rp 2,365.00 Rp 236,500.00 0 Rp 2,365.00 Rp - 100 Rp 2,365.00 Rp 236,500.00 0 Rp 2,365.00 Rp -
3 HIDROGEN PEROKSIDA 3% 100 ML botol 0 Rp 4,032.00 Rp - 2 Rp 4,032.00 Rp 8,064.00 0 Rp 4,032.00 Rp - 2 Rp 4,032.00 Rp 8,064.00
OBAT PROGRAM Rp - Rp - Rp -
1 FIRST RESPONSE MALARIA ANTIGEN COMBO CARD TEST set 0 Rp 440,850.00 Rp - 17 Rp 440,850.00 Rp 7,494,450.00 2 Rp 440,850.00 Rp 881,700.00 15 Rp 440,850.00 Rp 6,612,750.00
NILAI OBAT IFK PUSKESMAS LAMBANDIA Rp 59,115,878.03 Rp 125,159,484.19 Rp 122,668,795.102 Rp 61,606,567.11
OBAT BPJS
1 RINGER LACTATE 500 ML (SATORIA) Botol 0 Rp - Rp - 300 Rp 7,733.64 Rp 2,320,092.00 300 Rp 7,733.64 Rp 2,320,092.00 0 Rp 7,733.64 Rp -
2 RAVALGIN 500 MG KAPLET Box 0 Rp - Rp - 5 Rp 22,502.93 Rp 112,514.65 5 Rp 22,502.93 Rp 112,514.65 0 Rp 22,502.93 Rp -
3 MEFENAMIC ACID KAPLET (NOVA) Box 0 Rp - Rp - 20 Rp 30,662.50 Rp 613,250.00 20 Rp 30,662.50 Rp 613,250.00 0 Rp 30,662.50 Rp -
4 HISTIGO KAPLET (IFARS) Box 0 Rp - Rp - 6 Rp 26,145.64 Rp 156,873.81 6 Rp 26,145.64 Rp 156,873.81 0 Rp 26,145.64 Rp -
5 OMEPRAZOLE KAPSUL (NOVA) Box 0 Rp - Rp - 15 Rp 10,369.50 Rp 155,542.50 15 Rp 10,369.50 Rp 155,542.50 0 Rp 10,369.50 Rp -
6 FARIDEXON KAPLET BLISTER Box 0 Rp - Rp - 60 Rp 9,809.77 Rp 588,586.20 56 Rp 9,809.77 Rp 549,347.12 4 Rp 9,809.77 Rp 39,239.08
7 METRONIDAZOLE 500 MG KAPLET 100'S Box 0 Rp - Rp - 5 Rp 27,249.49 Rp 136,247.43 5 Rp 27,249.49 Rp 136,247.43 0 Rp 27,249.49 Rp -
8 GUAIFENESIN TABLET Box 0 Rp - Rp - 15 Rp 9,934.65 Rp 149,019.75 8 Rp 9,934.65 Rp 79,477.20 7 Rp 9,934.65 Rp 69,542.55
9 NORVOM SYRUP (IFARS) Botol 0 Rp - Rp - 50 Rp 5,523.71 Rp 276,185.50 25 Rp 5,523.71 Rp 138,092.75 25 Rp 5,523.71 Rp 138,092.75
10 ALERMAX KAPLET BLISTER 100'S Box 0 Rp - Rp - 23 Rp 7,770.44 Rp 178,720.01 23 Rp 7,770.44 Rp 178,720.01 0 Rp 7,770.44 Rp -
11 OXYTETRACYCLIN 3% SALEP KULIT Tube 0 Rp - Rp - 25 Rp 2,730.64 Rp 68,265.88 25 Rp 2,730.64 Rp 68,265.88 0 Rp 2,730.64 Rp -
12 PARACETAMOL 500 MG KAPLET (NOVA) Box 0 Rp - Rp - 30 Rp 14,166.08 Rp 424,982.25 30 Rp 14,166.08 Rp 424,982.25 0 Rp 14,166.08 Rp -
13 SALBUTAMOL 2 MG 10X10'S Box 0 Rp - Rp - 5 Rp 11,554.75 Rp 57,773.73 5 Rp 11,554.75 Rp 57,773.73 0 Rp 11,554.75 Rp -
14 LOPERAMIDE TAB 100'S (IFARS) Box 0 Rp - Rp - 6 Rp 13,258.47 Rp 79,550.79 6 Rp 13,258.47 Rp 79,550.79 0 Rp 13,258.47 Rp -
15 LECOZINC 20 MG TABLET 100'S Box 0 Rp - Rp - 6 Rp 28,153.75 Rp 168,922.50 4 Rp 28,153.75 Rp 112,615.00 2 Rp 28,153.75 Rp 56,307.50
16 RINGER LACTAT INFUS 500 ML Botol 0 Rp - Rp - 163 Rp 9,680.00 Rp 1,577,840.00 163 Rp 9,680.00 Rp 1,577,840.00 0 Rp 9,680.00 Rp -
17 THIAMEX 500 KAPSUL 100'S Box 0 Rp - Rp - 5 Rp 87,725.00 Rp 438,625.00 5 Rp 87,725.00 Rp 438,625.00 0 Rp 87,725.00 Rp -
18 OXYTOCYN INJ Ampul 0 Rp - Rp - 110 Rp 10,000.00 Rp 1,100,000.00 110 Rp 10,000.00 Rp 1,100,000.00 0 Rp 10,000.00 Rp -
19 BENEURON DRAGEE @100 Box 0 Rp - Rp - 10 Rp 78,050.00 Rp 780,500.00 7 Rp 78,050.00 Rp 546,350.00 3 Rp 78,050.00 Rp 234,150.00
20 BENODEX 5MG INJ @5AMP Box 0 Rp - Rp - 5 Rp 33,450.00 Rp 167,250.00 2 Rp 33,450.00 Rp 66,900.00 3 Rp 33,450.00 Rp 100,350.00
21 CHLORAMPHENICOL 250MG@100 Box 0 Rp - Rp - 5 Rp 66,900.00 Rp 334,500.00 1 Rp 66,900.00 Rp 66,900.00 4 Rp 66,900.00 Rp 267,600.00
22 METOLON DROPS Botol 0 Rp - Rp - 5 Rp 22,300.00 Rp 111,500.00 5 Rp 22,300.00 Rp 111,500.00 0 Rp 22,300.00 Rp -
23 PIRACETAM 1G/5ML INJ@10 Box 0 Rp - Rp - 1 Rp 66,900.00 Rp 66,900.00 1 Rp 66,900.00 Rp 66,900.00 0 Rp 66,900.00 Rp -
24 PIRACETAM 800 MG KAP @100 Box 0 Rp - Rp - 2 Rp 97,674.00 Rp 195,348.00 2 Rp 97,674.00 Rp 195,348.00 0 Rp 97,674.00 Rp -
25 CEFIXIME CAP. 100 MG 50'S Box 0 Rp - Rp - 2 Rp 72,475.00 Rp 144,950.00 2 Rp 72,475.00 Rp 144,950.00 0 Rp 72,475.00 Rp -
26 CIPROFLOXACIN 500MG 100TA Box 0 Rp - Rp - 11 Rp 47,945.00 Rp 527,395.00 6 Rp 47,945.00 Rp 287,670.00 5 Rp 47,945.00 Rp 239,725.00
27 IFEN 400 MG 10X10 Box 0 Rp - Rp - 10 Rp 72,475.00 Rp 724,750.00 8 Rp 72,475.00 Rp 579,800.00 2 Rp 72,475.00 Rp 144,950.00
28 ONDANSETRON INJ 4MG/2ML Box 0 Rp - Rp - 10 Rp 27,875.00 Rp 278,750.00 10 Rp 27,875.00 Rp 278,750.00 0 Rp 27,875.00 Rp -
29 RANITIDINE INJ 10 AMPUL Box 0 Rp - Rp - 10 Rp 26,050.86 Rp 260,508.60 2 Rp 26,050.86 Rp 52,101.72 8 Rp 26,050.86 Rp 208,406.88
30 SPUIT DISP 5 CC X 22 G Box 0 Rp - Rp - 1 Rp 78,050.00 Rp 78,050.00 1 Rp 78,050.00 Rp 78,050.00 0 Rp 78,050.00 Rp -
31 TITAN 150 MG Box 0 Rp - Rp - 10 Rp 50,175.00 Rp 501,750.00 10 Rp 50,175.00 Rp 501,750.00 0 Rp 50,175.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
32 AMOXICILLIN 125 MG DRY SYR Botol 0 Rp - Rp - 90 Rp 6,690.00 Rp 602,100.00 50 Rp 6,690.00 Rp 334,500.00 40 Rp 6,690.00 Rp 267,600.00
33 LASAL NEBU Box 0 Rp - Rp - 1 Rp 178,400.00 Rp 178,400.00 1 Rp 178,400.00 Rp 178,400.00 0 Rp 178,400.00 Rp -
34 VIT K1 INJ @100AMPUL Ampul 0 Rp - Rp - 1 Rp 892,000.00 Rp 892,000.00 1 Rp 892,000.00 Rp 892,000.00 0 Rp 892,000.00 Rp -
35 ARKAVIT C @10 STRIP Box 0 Rp - Rp - 15 Rp 83,625.00 Rp 1,254,375.00 10 Rp 83,625.00 Rp 836,250.00 5 Rp 83,625.00 Rp 418,125.00
36 MELOXICAM 7,5 MG Box 0 Rp - Rp - 15 Rp 21,185.00 Rp 317,775.00 2 Rp 21,185.00 Rp 42,370.00 13 Rp 21,185.00 Rp 275,405.00
37 SFRI CLEANER 3.1 HSG305 LITER 0 Rp - Rp - 2 Rp 3,623,750.00 Rp 7,247,500.00 2 Rp 3,623,750.00 Rp 7,247,500.00 0 Rp 3,623,750.00 Rp -
38 SFRI LYSE 3.1 (500 ML) HSL 302 BOTOL 0 Rp - Rp - 1 Rp 3,345,000.00 Rp 3,345,000.00 1 Rp 3,345,000.00 Rp 3,345,000.00 0 Rp 3,345,000.00 Rp -
39 CYBOW STRIP 100'S TUB 0 Rp - Rp - 1 Rp 334,500.00 Rp 334,500.00 1 Rp 334,500.00 Rp 334,500.00 0 Rp 334,500.00 Rp -
40 ASEPTIC GEL BOTOL 0 Rp - Rp - 2 Rp 83,625.00 Rp 167,250.00 2 Rp 83,625.00 Rp 167,250.00 0 Rp 83,625.00 Rp -
41 IV CATHETER NO. 20 BOX 0 Rp - Rp - 2 Rp 446,000.00 Rp 892,000.00 2 Rp 446,000.00 Rp 892,000.00 0 Rp 446,000.00 Rp -
42 IV CATHETER NO. 22 BOX 0 Rp - Rp - 2 Rp 446,000.00 Rp 892,000.00 2 Rp 446,000.00 Rp 892,000.00 0 Rp 446,000.00 Rp -
43 DISPOSABLE INFUSION SET DEWASA PCS 0 Rp - Rp - 100 Rp 7,805.00 Rp 780,500.00 100 Rp 7,805.00 Rp 780,500.00 0 Rp 7,805.00 Rp -
44 BLOOD LANCET BOX 0 Rp - Rp - 4 Rp 39,025.00 Rp 156,100.00 4 Rp 39,025.00 Rp 156,100.00 0 Rp 39,025.00 Rp -
45 MAXTER HANDSCOON BOX 0 Rp - Rp - 4 Rp 133,800.00 Rp 535,200.00 4 Rp 133,800.00 Rp 535,200.00 0 Rp 133,800.00 Rp -
46 HANDSCOON OBGYN PCS 0 Rp - Rp - 2 Rp 44,600.00 Rp 89,200.00 2 Rp 44,600.00 Rp 89,200.00 0 Rp 44,600.00 Rp -
NILAI OBAT BPJS PUSKESMAS LAMBANDIA Rp - Rp 30,459,043.58 Rp 27,999,549.820 Rp 2,459,493.76
OBAT PROGRAM
1 Verorab vaksin (rabies) vial 8 Rp 218,125.00 Rp 1,745,000.00 44 Rp 218,125.00 Rp 9,597,500.00 49 Rp 218,125.00 Rp 10,688,125.00 3 Rp 218,125.00 Rp 654,375.00
2 Vaksin BCG Vial 31 Rp 59,959.00 Rp 1,858,729.00 155 Rp 59,959.00 Rp 9,293,645.00 158 Rp 59,959.00 Rp 9,473,522.00 28 Rp 59,959.00 Rp 1,678,852.00
Vaksin IPV Vial 6 Rp 152,900.00 Rp 917,400.00 30 Rp 152,900.00 Rp 4,587,000.00 17 Rp 152,900.00 Rp 2,599,300.00 19 Rp 152,900.00 Rp 2,905,100.00
4 Vaksin DPT HB Hib Vial 15 Rp 76,285.00 Rp 1,144,275.00 350 Rp 76,285.00 Rp 26,699,750.00 362 Rp 76,285.00 Rp 27,615,170.00 3 Rp 76,285.00 Rp 228,855.00
5 Vaksin DT Vial 12 Rp 17,798.00 Rp 213,576.00 50 Rp 17,798.00 Rp 889,900.00 42 Rp 17,798.00 Rp 747,516.00 20 Rp 17,798.00 Rp 355,960.00
6 Vaksin polio Vial 19 Rp 19,954.00 Rp 379,126.00 260 Rp 19,954.00 Rp 5,188,040.00 263 Rp 19,954.00 Rp 5,247,902.00 16 Rp 19,954.00 Rp 319,264.00
7 Vaksin Hb Uniject Vial 43 Rp 76,285.00 Rp 3,280,255.00 240 Rp 76,285.00 Rp 18,308,400.00 267 Rp 76,285.00 Rp 20,368,095.00 16 Rp 76,285.00 Rp 1,220,560.00
8 Vaksin Td Vial 0 Rp 16,500.00 Rp - 270 Rp 16,500.00 Rp 4,455,000.00 234 Rp 16,500.00 Rp 3,861,000.00 36 Rp 16,500.00 Rp 594,000.00
9 Vaksin MR vial 0 Rp 141,684.00 Rp - 245 Rp 141,684.00 Rp 34,712,580.00 219 Rp 141,684.00 Rp 31,028,796.00 26 Rp 141,684.00 Rp 3,683,784.00
10 Vitamin A 100000 IU Soft Kapsul 7730 Rp 286.00 Rp 2,210,780.00 0 Rp 286.00 Rp - 7730 Rp 286.00 Rp 2,210,780.00 0 Rp 286.00 Rp -
11 Vitamin A 200000 IU Soft Kapsul 1250 Rp 505.00 Rp 631,250.00 0 Rp 505.00 Rp - 1250 Rp 505.00 Rp 631,250.00 0 Rp 505.00 Rp -
12 Obat TB kategori I Paket 0 Rp 467,215.00 Rp - 20 Rp 467,215.00 Rp 9,344,300.00 19 Rp 467,215.00 Rp 8,877,085.00 1 Rp 467,215.00 Rp 467,215.00
13 Obat TB kategori II Paket 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
14 Obat TB anak Paket 4 Rp 189,195.00 Rp 756,780.00 0 Rp 189,195.00 Rp - 0 Rp 189,195.00 Rp - 0 Rp 189,195.00 Rp -
Obat TB anak Paket 4 Rp 189,195.00 Rp 756,780.00 Expired
15 Reagen TB Kit 2 Rp - Rp - 0 Rp - Rp - 2 Rp - Rp - 0 Rp - Rp -
16 MDT MB ADULT Blister 3 Rp 30,595.00 Rp 91,785.00 0 Rp 30,595.00 Rp - 0 Rp 30,595.00 Rp - 3 Rp 30,595.00 Rp 91,785.00
17 Abate Botol 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
18 Tablet tambah darah Tablet 0 Rp 112.00 Rp - 0 Rp 112.00 Rp - 0 Rp 112.00 Rp - 0 Rp 112.00 Rp -
19 Tablet tambah darah Tablet 0 Rp 45.00 Rp - 11200 Rp 45.00 Rp 504,000.00 10000 Rp 45.00 Rp 450,000.00 1200 Rp 45.00 Rp 54,000.00
20 Oksitosin Injeksi Ampul 0 Rp 1,900.00 Rp - 20 Rp 1,900.00 Rp 38,000.00 20 Rp 1,900.00 Rp 38,000.00 0 Rp 1,900.00 Rp -
21 Calsium Glukonat 30 mg/ml Ampul 30 Rp 7,800.00 Rp 234,000.00 0 Rp 7,800.00 Rp - 4 Rp 7,800.00 Rp 31,200.00 0 Rp 7,800.00 Rp -
Calsium Glukonat 30 mg/ml Ampul 26 Rp 7,800.00 Rp 202,800.00 Expired
22 Methilergometrin Maleat inj Ampul 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp -
23 Fenobarbital injeksi Ampul 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp -
24 Gentamicin 40 mg/ml Ampul 0 Rp 3,739.00 Rp - 0 Rp 3,739.00 Rp - 0 Rp 3,739.00 Rp - 0 Rp 3,739.00 Rp -
25 Fitomenadion inj Ampul 0 Rp 4,420.00 Rp - 0 Rp 4,420.00 Rp - 0 Rp 4,420.00 Rp - 0 Rp 4,420.00 Rp -
26 Albendazole 400 mg Tablet 1040 Rp 363.00 Rp 377,520.00 0 Rp 363.00 Rp - 1040 Rp 363.00 Rp 377,520.00 0 Rp 363.00 Rp -
27 Albendazole 400 mg Tablet 1261 Rp 1,041.98 Rp 1,313,930.48 16000 Rp 1,041.98 Rp 16,671,600.00 15855 Rp 1,041.98 Rp 16,520,513.63 1406 Rp 1,041.98 Rp 1,465,016.85
28 DEC Tablet 4060 Rp - Rp - 42500 Rp - Rp - 43112 Rp - Rp - 3448 Rp - Rp -
29 DEC Tablet 3101 Rp 202.07 Rp 626,603.57 0 Rp 202.07 Rp - 3101 Rp 202.07 Rp 626,603.57 0 Rp 202.07 Rp -
30 Obat malaria DHP Tablet 27 Rp - Rp - 0 Rp - Rp - 27 Rp - Rp - 0 Rp - Rp -
31 Obat malaria DHP Tablet 0 Rp 2,166.00 Rp - 135 Rp 2,166.00 Rp 292,410.00 18 Rp 2,166.00 Rp 38,988.00 117 Rp 2,166.00 Rp 253,422.00
32 RDT Malaria Test 4 Rp - Rp - 0 Rp - Rp - 4 Rp - Rp - 0 Rp - Rp -
33 RDT Malaria Test 0 Rp 6,476.00 Rp - 25 Rp 6,476.00 Rp 161,900.00 25 Rp 6,476.00 Rp 161,900.00 0 Rp 6,476.00 Rp -
34 Primaquine Blister 55 Rp 269.00 Rp 14,795.00 100 Rp 269.00 Rp 26,900.00 39 Rp 269.00 Rp 10,491.00 116 Rp 269.00 Rp 31,204.00
35 Zinc Dispersal 20 mg Tablet 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
36 Oralit Sachet 2700 Rp 275.00 Rp 742,500.00 1500 Rp 275.00 Rp 412,500.00 2800 Rp 275.00 Rp 770,000.00 1400 Rp 275.00 Rp 385,000.00
37 SD HIV Pcs 44 Rp 11,975.00 Rp 526,900.00 400 Rp 11,975.00 Rp 4,790,000.00 350 Rp 11,975.00 Rp 4,191,250.00 94 Rp 11,975.00 Rp 1,125,650.00
38 Rapid test HbSAg Pcs 60 Rp 9,870.00 Rp 592,200.00 290 Rp 9,870.00 Rp 2,862,300.00 346 Rp 9,870.00 Rp 3,415,020.00 4 Rp 9,870.00 Rp 39,480.00
39 Rapid test HbSAg Pcs 0 Rp 8,183.00 Rp - 0 Rp - Rp - 0 Rp 8,183.00 Rp - 0 Rp 8,183.00 Rp -
40 Hepatitis B Immune Globulin vial 2 Rp - Rp - 0 Rp - Rp - 2 Rp - Rp - 0 Rp - Rp -
NILAI OBAT PROGRAM PUSKESMAS LAMBANDIA Rp 17,657,405.04 Rp 148,835,725.00 Rp 150,939,607.190 Rp 15,553,522.85
JUMLAH NILAI OBAT PUSKESMAS LAMBANDIA Rp 76,773,283.07 Rp 304,454,252.77 Rp 301,607,952.112 Rp 79,619,583.72
PUSKESMAS AERE
OBAT IFK
1 Air Untuk Injeksi 20 ml vial 28 Rp 2,200.00 Rp 61,600.00 0 Rp 2,200.00 Rp - 28 Rp 2,200.00 Rp 61,600.00 0 Rp 2,200.00 Rp -
2 Air Untuk Injeksi 20 ml vial Rp 2,860.00 Rp - 4 Rp 2,860.00 Rp 11,440.00 2 Rp 2,860.00 Rp 5,720.00 2 Rp 2,860.00 Rp 5,720.00
3 Acetylcesteine tab Rp 460.00 Rp - 120 Rp 460.00 Rp 55,200.00 60 Rp 460.00 Rp 27,600.00 60 Rp 460.00 Rp 27,600.00
4 Albendazole tab 400 mg tablet Rp 363.00 Rp - 0 Rp 363.00 Rp - Rp 363.00 Rp - 0 Rp 363.00 Rp -
5 Albendazole tab 400 mg tablet 200 Rp 484.00 Rp 96,800.00 0 Rp 484.00 Rp - Rp 484.00 Rp - 200 Rp 484.00 Rp 96,800.00
6 Albendazole susp 200 mg/5 ml botol Rp 4,619.00 Rp - 0 Rp 4,619.00 Rp - Rp 4,619.00 Rp - 0 Rp 4,619.00 Rp -
7 Allopurinol tab 100 mg tablet Rp 108.00 Rp - 4000 Rp 108.00 Rp 432,000.00 1500 Rp 108.00 Rp 162,000.00 2500 Rp 108.00 Rp 270,000.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
9 Allopurinol tab 300 mg tablet 0 Rp 249.00 Rp - 0 Rp 249.00 Rp - Rp 249.00 Rp - 0 Rp 249.00 Rp -
10 Ambroksol sir 15 mg/ml - 60 ml botol 0 Rp 4,959.90 Rp - 20 Rp 4,959.90 Rp 99,198.00 Rp 4,959.90 Rp - 20 Rp 4,959.90 Rp 99,198.00
11 Ambroksol sir 15 mg/ml - 60 ml botol Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
12 Ambroksol tab 30 mg tablet 0 Rp 197.34 Rp - 500 Rp 197.34 Rp 98,670.00 500 Rp 197.34 Rp 98,670.00 0 Rp 197.34 Rp -
13 Ambroksol tab 30 mg tablet Rp 380.00 Rp - 0 Rp 380.00 Rp - Rp 380.00 Rp - 0 Rp 380.00 Rp -
14 Aminophyllin tab 200 mg tablet 0 Rp 86.00 Rp - 0 Rp 86.00 Rp - Rp 86.00 Rp - 0 Rp 86.00 Rp -
15 Aminophyllin inj 24 mg ampul 0 Rp 4,204.00 Rp - 0 Rp 4,204.00 Rp - Rp 4,204.00 Rp - 0 Rp 4,204.00 Rp -
16 Amitriptiline HCl tab 25 mg tablet 0 Rp 123.00 Rp - 0 Rp 123.00 Rp - Rp 123.00 Rp - 0 Rp 123.00 Rp -
18 Amlodipin tab 5 mg tablet Rp 93.00 Rp - 0 Rp 93.00 Rp - Rp 93.00 Rp - 0 Rp 93.00 Rp -
21 Amlodipin tab 10 mg tablet Rp 110.00 Rp - 0 Rp 110.00 Rp - Rp 110.00 Rp - 0 Rp 110.00 Rp -
22 Amlodipin tab 10 mg tablet Rp 106.00 Rp - 750 Rp 106.00 Rp 79,500.00 300 Rp 106.00 Rp 31,800.00 450 Rp 106.00 Rp 47,700.00
23 Amoxicillin sir forte 250 mg/5 ml botol 18 Rp 3,797.00 Rp 68,346.00 0 Rp 3,797.00 Rp - 18 Rp 3,797.00 Rp 68,346.00 0 Rp 3,797.00 Rp -
24 Amoxicillin sir forte 250 mg/5 ml botol Rp 3,740.00 Rp - 120 Rp 3,740.00 Rp 448,800.00 120 Rp 3,740.00 Rp 448,800.00 0 Rp 3,740.00 Rp -
25 Amoxicillin SK 125 mg/5 ml botol 0 Rp 4,730.00 Rp - 0 Rp 4,730.00 Rp - Rp 4,730.00 Rp - 0 Rp 4,730.00 Rp -
28 Amoxicillin tab 500 mg tablet Rp 248.00 Rp - 1600 Rp 248.00 Rp 396,800.00 1000 Rp 248.00 Rp 248,000.00 600 Rp 248.00 Rp 148,800.00
31 Ampicillin serb inj 1000 mg vial 0 Rp 5,610.00 Rp - 0 Rp 5,610.00 Rp - Rp 5,610.00 Rp - 0 Rp 5,610.00 Rp -
33 Antasida DOEN susp 60 ml botol 0 Rp 2,290.00 Rp - 0 Rp 2,290.00 Rp - Rp 2,290.00 Rp - 0 Rp 2,290.00 Rp -
35 Anti Bakteri DOEN salep kombinasi 5 g (Bacitrasin) tube 0 Rp 3,511.00 Rp - 100 Rp 3,511.00 Rp 351,100.00 36 Rp 3,511.00 Rp 126,396.00 64 Rp 3,511.00 Rp 224,704.00
36 Antifungi DOEN kombinasi 30 g pot 48 Rp 5,395.00 Rp 258,960.00 120 Rp 5,395.00 Rp 647,400.00 10 Rp 5,395.00 Rp 53,950.00 158 Rp 5,395.00 Rp 852,410.00
37 Antihemoroid DOEN suppo supp 145 Rp 3,800.00 Rp 551,000.00 10 Rp 3,800.00 Rp 38,000.00 45 Rp 3,800.00 Rp 171,000.00 110 Rp 3,800.00 Rp 418,000.00
38 Asam Ascorbat (Vitamin C) tab 50 mg tablet 2000 Rp 126.00 Rp 252,000.00 3500 Rp 126.00 Rp 441,000.00 4000 Rp 126.00 Rp 504,000.00 1500 Rp 126.00 Rp 189,000.00
39 Asam Ascorbat (Vitamin C) tab 50 mg tablet Rp 125.00 Rp - 0 Rp 125.00 Rp - Rp 125.00 Rp - 0 Rp 125.00 Rp -
40 Asam Ascorbat (Vitamin C) tab 250 mg tablet 0 Rp 167.00 Rp - 0 Rp 167.00 Rp - Rp 167.00 Rp - 0 Rp 167.00 Rp -
41 Asam Folat tab 0,4 mg tablet 0 Rp 104.00 Rp - 0 Rp 104.00 Rp - Rp 104.00 Rp - 0 Rp 104.00 Rp -
43 Asam Mefenamat tab 250 mg tablet 0 Rp 175.00 Rp - 0 Rp 175.00 Rp - Rp 175.00 Rp - 0 Rp 175.00 Rp -
45 Asam Mefenamat tab 500 mg tablet Rp 160.00 Rp - 0 Rp 160.00 Rp - Rp 160.00 Rp - 0 Rp 160.00 Rp -
46 Asam Mefenamat tab 500 mg tablet Rp 105.00 Rp - 0 Rp 105.00 Rp - Rp 105.00 Rp - 0 Rp 105.00 Rp -
47 Asam Traneksamat inj 50 mg/mL ampul 0 Rp 2,950.00 Rp - 0 Rp 2,950.00 Rp - Rp 2,950.00 Rp - 0 Rp 2,950.00 Rp -
48 Asiklovir tab 200 mg tablet Rp 236.00 Rp - 600 Rp 236.00 Rp 141,600.00 100 Rp 236.00 Rp 23,600.00 500 Rp 236.00 Rp 118,000.00
49 Asiklovir tab 400 mg tablet 200 Rp 440.00 Rp 88,000.00 0 Rp 440.00 Rp - 200 Rp 440.00 Rp 88,000.00 0 Rp 440.00 Rp -
50 Asiklovir tab 400 mg tablet Rp 415.00 Rp - 0 Rp 415.00 Rp - Rp 415.00 Rp - 0 Rp 415.00 Rp -
51 Bedak Salisil serb 2% Kotak 0 Rp 1,350.00 Rp - 0 Rp 1,350.00 Rp - Rp 1,350.00 Rp - 0 Rp 1,350.00 Rp -
52 Bedak Salisil serb 2% Kotak Rp 1,081.00 Rp - 0 Rp 1,081.00 Rp - Rp 1,081.00 Rp - 0 Rp 1,081.00 Rp -
53 Benzatin Benzil Penisilin 1,2 juta IU/ vial vial 0 Rp 10,780.00 Rp - 0 Rp 10,780.00 Rp - Rp 10,780.00 Rp - 0 Rp 10,780.00 Rp -
54 Benzatin Benzil Penisilin 2,4 juta IU/ vial vial 0 Rp 14,740.00 Rp - 0 Rp 14,740.00 Rp - Rp 14,740.00 Rp - 0 Rp 14,740.00 Rp -
55 Betametason krim 0,05 % tube 0 Rp 3,350.00 Rp - 35 Rp 3,350.00 Rp 117,250.00 17 Rp 3,350.00 Rp 56,950.00 18 Rp 3,350.00 Rp 60,300.00
56 Betametason krim 0,1 % tube Rp 1,450.00 Rp - 0 Rp 1,450.00 Rp - Rp 1,450.00 Rp - 0 Rp 1,450.00 Rp -
57 Betametason tts mata 1 mg/ml botol 0 Rp 25,106.00 Rp - 0 Rp 25,106.00 Rp - Rp 25,106.00 Rp - 0 Rp 25,106.00 Rp -
58 Cefadroksil kaps 250 mg kapsul 0 Rp 564.00 Rp - 0 Rp 564.00 Rp - Rp 564.00 Rp - 0 Rp 564.00 Rp -
59 Cefadroksil kaps/tab 500 mg kapsul Rp 764.00 Rp - 0 Rp 764.00 Rp - Rp 764.00 Rp - 0 Rp 764.00 Rp -
60 Cefadroksil kaps/tab 500 mg kapsul 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - Rp 200.00 Rp - 0 Rp 200.00 Rp -
61 Cefadroksil SK 125 mg/5 mL botol 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp - Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp -
62 Cefadroksil SK 250 mg/5 mL botol 0 Rp 50.00 Rp - 0 Rp 50.00 Rp - Rp 50.00 Rp - 0 Rp 50.00 Rp -
63 Cefiksime tab 100 mg kapsul 0 Rp 1,300.00 Rp - 0 Rp 1,300.00 Rp - Rp 1,300.00 Rp - 0 Rp 1,300.00 Rp -
64 Cefiksime tab 100 mg kapsul Rp 4,780.01 Rp - 0 Rp 4,780.01 Rp - Rp 4,780.01 Rp - 0 Rp 4,780.01 Rp -
65 Cefiksime sir 100 mg/5 mL botol 0 Rp 9,400.00 Rp - 0 Rp 9,400.00 Rp - Rp 9,400.00 Rp - 0 Rp 9,400.00 Rp -
66 Ceftriaxone serb inj 1.000 mg/vial vial 0 Rp 3,900.00 Rp - 0 Rp 3,900.00 Rp - Rp 3,900.00 Rp - 0 Rp 3,900.00 Rp -
67 Cetrizine tab 10 mg tablet Rp 406.89 Rp - 120 Rp 406.89 Rp 48,826.89 30 Rp 406.89 Rp 12,206.72 90 Rp 406.89 Rp 36,620.16
69 Cimetidine tab 200 mg tablet 0 Rp 205.00 Rp - 0 Rp 205.00 Rp - Rp 205.00 Rp - 0 Rp 205.00 Rp -
70 Copper T set/buah Rp 125,482.50 Rp - 0 Rp 125,482.50 Rp - Rp 125,482.50 Rp - 0 Rp 125,482.50 Rp -
71 Deksametason tab 0,5 mg tablet Rp 136.06 Rp - 300 Rp 136.06 Rp 40,817.70 Rp 136.06 Rp - 300 Rp 136.06 Rp 40,817.70
72 Deksametason tab 0,5 mg tablet Rp 46.00 Rp - 0 Rp 46.00 Rp - Rp 46.00 Rp - 0 Rp 46.00 Rp -
74 Deksamethason inj 5 mg/ml - 1 ml ampul 0 Rp 1,848.00 Rp - 0 Rp 1,848.00 Rp - Rp 1,848.00 Rp - 0 Rp 1,848.00 Rp -
75 Doksisiklin kaps 100 mg kapsul 0 Rp 298.00 Rp - 0 Rp 298.00 Rp - Rp 298.00 Rp - 0 Rp 298.00 Rp -
76 Domperidon susp 5 mg/5 ml botol 0 Rp 3,490.00 Rp - 0 Rp 3,490.00 Rp - Rp 3,490.00 Rp - 0 Rp 3,490.00 Rp -
77 Domperidon tab 10 mg tablet 1000 Rp 90.00 Rp 90,000.00 0 Rp 90.00 Rp - 600 Rp 90.00 Rp 54,000.00 400 Rp 90.00 Rp 36,000.00
78 Efedrin inj 50 mg/mL tablet 0 Rp 14,650.00 Rp - 0 Rp 14,650.00 Rp - Rp 14,650.00 Rp - 0 Rp 14,650.00 Rp -
79 Ephinefrin (Adrenalin ) inj 0,1% 1 ml ampul 0 Rp 8,910.00 Rp - 0 Rp 8,910.00 Rp - Rp 8,910.00 Rp - 0 Rp 8,910.00 Rp -
81 Ergokalsiferol (Vitamin D2) kaps 50.000 UI kapsul 0 Rp 680.00 Rp - 0 Rp 680.00 Rp - Rp 680.00 Rp - 0 Rp 680.00 Rp -
82 Ergokalsiferol (Vitamin D2) susp 10.000 UI/mL botol 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp -
83 Eritromisin kaps 250 mg kapsul 500 Rp 666.00 Rp 333,000.00 0 Rp 666.00 Rp - 500 Rp 666.00 Rp 333,000.00 0 Rp 666.00 Rp -
84 Eritromisin kaps 250 mg kapsul Rp 711.00 Rp - 800 Rp 711.00 Rp 568,800.00 Rp 711.00 Rp - 800 Rp 711.00 Rp 568,800.00
85 Eritromisin kaps 500 mg kapsul 0 Rp 1,023.00 Rp - 0 Rp 1,023.00 Rp - Rp 1,023.00 Rp - 0 Rp 1,023.00 Rp -
86 Erytromisin SK 200 mg/5 ml botol 0 Rp 8,090.00 Rp - 0 Rp 8,090.00 Rp - Rp 8,090.00 Rp - 0 Rp 8,090.00 Rp -
87 Erytromisin SK 200 mg/5 ml botol 0 Rp 8,090.00 Rp - 0 Rp 8,090.00 Rp - Rp 8,090.00 Rp - 0 Rp 8,090.00 Rp -
88 Erytromisin SK 200 mg/5 ml botol 341 Rp 6,622.00 Rp 2,258,102.00 120 Rp 6,622.00 Rp 794,640.00 461 Rp 6,622.00 Rp 3,052,742.00 0 Rp 6,622.00 Rp -
89 Etakridin (Rivanol) lar 0,1% botol Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
90 Fitomenadion (Vitamin K1) tab salut 10 mg tab salut 0 Rp 698.00 Rp - 0 Rp 698.00 Rp - Rp 698.00 Rp - 0 Rp 698.00 Rp -
91 Fitomenadion (Vitamin K1) inj 2 mg/ml ampul 60 Rp 4,260.00 Rp 255,600.00 0 Rp 4,260.00 Rp - 60 Rp 4,260.00 Rp 255,600.00 0 Rp 4,260.00 Rp -
92 Fitomenadion (Vitamin K1) inj 2 mg/ml ampul Rp 4,420.00 Rp - 30 Rp 4,420.00 Rp 132,600.00 10 Rp 4,420.00 Rp 44,200.00 20 Rp 4,420.00 Rp 88,400.00
93 Flukonazol kaps 150 mg kapsul 0 Rp 24,200.00 Rp - 0 Rp 24,200.00 Rp - Rp 24,200.00 Rp - 0 Rp 24,200.00 Rp -
94 Fluor tab 0,5 mg tablet 0 Rp 975.00 Rp - 0 Rp 975.00 Rp - Rp 975.00 Rp - 0 Rp 975.00 Rp -
95 Furosemid tab 40 mg tablet 400 Rp 82.00 Rp 32,800.00 8800 Rp 82.00 Rp 721,600.00 4200 Rp 82.00 Rp 344,400.00 5000 Rp 82.00 Rp 410,000.00
96 Furosemide inj 10 mg/ml ampul 0 Rp 2,012.00 Rp - 0 Rp 2,012.00 Rp - Rp 2,012.00 Rp - 0 Rp 2,012.00 Rp -
97 Gameksan lotion 1% - 30 ml botol 0 Rp 2,420.00 Rp - 0 Rp 2,420.00 Rp - Rp 2,420.00 Rp - 0 Rp 2,420.00 Rp -
100 Gemfibrozil kaps 300 mg kapsul 0 Rp 318.00 Rp - 0 Rp 318.00 Rp - Rp 318.00 Rp - 0 Rp 318.00 Rp -
102 Glimepirid tab 1 mg tablet 900 Rp 174.00 Rp 156,600.00 0 Rp 174.00 Rp - 300 Rp 174.00 Rp 52,200.00 600 Rp 174.00 Rp 104,400.00
104 Glimepirid tab 1 mg tablet Rp 200.00 Rp - 0 Rp 200.00 Rp - Rp 200.00 Rp - 0 Rp 200.00 Rp -
105 Glimepirid tab 2 mg tablet 0 Rp 207.00 Rp - 200 Rp 207.00 Rp 41,400.00 200 Rp 207.00 Rp 41,400.00 0 Rp 207.00 Rp -
106 Glipizid tab 5 mg tablet 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp - Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp -
107 Gliseril Guaikolat tab 100 mg tablet 0 Rp 26.62 Rp - 0 Rp 26.62 Rp - Rp 26.62 Rp - 0 Rp 26.62 Rp -
108 Gliseril Guaikolat tab 100 mg tablet 0 Rp 127.00 Rp - 0 Rp 127.00 Rp - Rp 127.00 Rp - 0 Rp 127.00 Rp -
109 Gliseril Trinitrat tab sublingual 0,5 mg tablet sub 0 Rp 1,650.00 Rp - 0 Rp 1,650.00 Rp - Rp 1,650.00 Rp - 0 Rp 1,650.00 Rp -
110 Gliserin lar 50% botol 0 Rp 5,867.00 Rp - 0 Rp 5,867.00 Rp - Rp 5,867.00 Rp - 0 Rp 5,867.00 Rp -
113 Glukosa lar infus steril 5% - 500 ml botol Rp 7,363.00 Rp - 80 Rp 7,363.00 Rp 589,040.00 20 Rp 7,363.00 Rp 147,260.00 60 Rp 7,363.00 Rp 441,780.00
114 Glukosa lar Infus steril 10% - 500 ml botol 0 Rp 6,270.00 Rp - 0 Rp 6,270.00 Rp - Rp 6,270.00 Rp - 0 Rp 6,270.00 Rp -
115 Griseofulvin tab 125 mg tablet Rp 336.49 Rp - 500 Rp 336.49 Rp 168,245.00 Rp 336.49 Rp - 500 Rp 336.49 Rp 168,245.00
117 Hidrogen Peroksida lar konsentrat 3% botol 0 Rp 34,222.50 Rp - 0 Rp 34,222.50 Rp - Rp 34,222.50 Rp - 0 Rp 34,222.50 Rp -
118 Hiosina Butilbromida tab 10 mg tablet 0 Rp 648.00 Rp - 0 Rp 648.00 Rp - Rp 648.00 Rp - 0 Rp 648.00 Rp -
119 Hydroklortiazid (HCT) tab 25 mg tablet 300 Rp 77.00 Rp 23,100.00 0 Rp 77.00 Rp - Rp 77.00 Rp - 300 Rp 77.00 Rp 23,100.00
120 Hydroklortiazid (HCT) tab 25 mg tablet 1000 Rp 179.00 Rp 179,000.00 0 Rp 179.00 Rp - Rp 179.00 Rp - 1000 Rp 179.00 Rp 179,000.00
121 Hydroklortiazid (HCT) tab 25 mg tablet Rp 179.00 Rp - 500 Rp 179.00 Rp 89,500.00 Rp 179.00 Rp - 500 Rp 179.00 Rp 89,500.00
123 Hydrokortison krim 2,5 % - 5 g tube Rp 2,838.00 Rp - 0 Rp 2,838.00 Rp - Rp 2,838.00 Rp - 0 Rp 2,838.00 Rp -
124 Ibuprofen tab 200 mg tablet 0 Rp 116.00 Rp - 0 Rp 116.00 Rp - Rp 116.00 Rp - 0 Rp 116.00 Rp -
125 Ibuprofen tab 400 mg tablet 0 Rp 112.00 Rp - 0 Rp 112.00 Rp - Rp 112.00 Rp - 0 Rp 112.00 Rp -
126 Ibuprofen sir 200 mg/5 ml botol Rp 5,509.00 Rp - 34 Rp 5,509.00 Rp 187,306.00 23 Rp 5,509.00 Rp 126,707.00 11 Rp 5,509.00 Rp 60,599.00
127 Ibuprofen sir 200 mg/5 ml botol 0 Rp 4,949.00 Rp - 0 Rp 4,949.00 Rp - Rp 4,949.00 Rp - 0 Rp 4,949.00 Rp -
129 Kalsium Laktat (Kalk) tab 500 mg tablet Rp 64.00 Rp - 1000 Rp 64.00 Rp 64,000.00 1000 Rp 64.00 Rp 64,000.00 0 Rp 64.00 Rp -
130 Kanamisin inj 1.000 mg/vial vial 0 Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp - Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp -
131 Kaptopril tab 12,5 mg tablet 1500 Rp 68.00 Rp 102,000.00 0 Rp 68.00 Rp - 1300 Rp 68.00 Rp 88,400.00 200 Rp 68.00 Rp 13,600.00
132 Kaptopril tab 12,5 mg tablet 0 Rp 73.00 Rp - 200 Rp 73.00 Rp 14,600.00 Rp 73.00 Rp - 200 Rp 73.00 Rp 14,600.00
133 Kaptopril tab 25 mg tablet 0 Rp 181.12 Rp - 500 Rp 181.12 Rp 90,557.50 300 Rp 181.12 Rp 54,334.50 200 Rp 181.12 Rp 36,223.00
134 Kaptopril tab 50 mg tablet 0 Rp 144.00 Rp - 0 Rp 144.00 Rp - Rp 144.00 Rp - 0 Rp 144.00 Rp -
135 Ketokonazole krim 2% - 15 g tube 10 Rp 2,694.00 Rp 26,940.00 0 Rp 2,694.00 Rp - Rp 2,694.00 Rp - 10 Rp 2,694.00 Rp 26,940.00
136 Ketokonazole tab 200 mg tablet 350 Rp 2,694.00 Rp 942,900.00 0 Rp 2,694.00 Rp - 150 Rp 2,694.00 Rp 404,100.00 200 Rp 2,694.00 Rp 538,800.00
137 Klaritromisin tab 500 mg tablet 0 Rp 3,600.00 Rp - 0 Rp 3,600.00 Rp - Rp 3,600.00 Rp - 0 Rp 3,600.00 Rp -
138 Klindamisin kaps 150 mg kapsul 0 Rp 405.00 Rp - 0 Rp 405.00 Rp - Rp 405.00 Rp - 0 Rp 405.00 Rp -
139 Klindamisin kaps 300 mg kapsul 0 Rp 2,739.99 Rp - 0 Rp 2,739.99 Rp - Rp 2,739.99 Rp - 0 Rp 2,739.99 Rp -
140 Kloramfenikol susp 125 mg/5 ml - 60 ml botol 0 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp - Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp -
141 Kloramfenikol kaps 250 mg kapsul 200 Rp 1,110.00 Rp 222,000.00 0 Rp 1,110.00 Rp - 200 Rp 1,110.00 Rp 222,000.00 0 Rp 1,110.00 Rp -
142 Kloramfenikol kaps 250 mg kapsul Rp 677.84 Rp - 2000 Rp 677.84 Rp 1,355,684.00 100 Rp 677.84 Rp 67,784.20 1900 Rp 677.84 Rp 1,287,899.80
143 Kloramfenikol kaps 500 mg kapsul 0 Rp 935.00 Rp - 0 Rp 935.00 Rp - Rp 935.00 Rp - 0 Rp 935.00 Rp -
144 Kloramfenikol salap mata 1% tube 24 Rp 2,013.00 Rp 48,312.00 24 Rp 2,013.00 Rp 48,312.00 48 Rp 2,013.00 Rp 96,624.00 0 Rp 2,013.00 Rp -
145 Kloramfenikol salap mata 1% tube Rp 1,850.00 Rp - 0 Rp 1,850.00 Rp - Rp 1,850.00 Rp - 0 Rp 1,850.00 Rp -
146 Kloramfenikol salep kulit 2% tube 0 Rp 4,138.00 Rp - 0 Rp 4,138.00 Rp - Rp 4,138.00 Rp - 0 Rp 4,138.00 Rp -
147 Kloramfenikol susp 125 mg/5 ml botol 0 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp - Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp -
148 Kloramfenikol tts mata 0,5% botol Rp 20,000.00 Rp - 0 Rp 20,000.00 Rp - Rp 20,000.00 Rp - 0 Rp 20,000.00 Rp -
149 Kloramfenikol tts telinga 3% botol 0 Rp 11,440.00 Rp - 0 Rp 11,440.00 Rp - Rp 11,440.00 Rp - 0 Rp 11,440.00 Rp -
150 Klorfeniramin Maleat (CTM) tab 4 mg tablet Rp 22.00 Rp - 0 Rp 22.00 Rp - Rp 22.00 Rp - 0 Rp 22.00 Rp -
154 Kotrimoxazol tab 480 mg (dewasa) tablet Rp 129.00 Rp - 1000 Rp 129.00 Rp 129,000.00 Rp 129.00 Rp - 1000 Rp 129.00 Rp 129,000.00
155 Kotrimoxazol tab 480 mg (dewasa) tablet 500 Rp 152.00 Rp 76,000.00 0 Rp 152.00 Rp - 200 Rp 152.00 Rp 30,400.00 300 Rp 152.00 Rp 45,600.00
156 Kotrimoxazol tab 480 mg (dewasa) tablet Rp 135.00 Rp - 0 Rp 135.00 Rp - Rp 135.00 Rp - 0 Rp 135.00 Rp -
158 Kotrimoxazol susp 60 ml botol Rp 2,115.00 Rp - 100 Rp 2,115.00 Rp 211,500.00 Rp 2,115.00 Rp - 100 Rp 2,115.00 Rp 211,500.00
159 Kuinin tab 200 mg tablet 0 Rp 737.00 Rp - 0 Rp 737.00 Rp - Rp 737.00 Rp - 0 Rp 737.00 Rp -
160 Kuinin tab 222 mg tablet 0 Rp 594.00 Rp - 0 Rp 594.00 Rp - Rp 594.00 Rp - 0 Rp 594.00 Rp -
161 Kuinin inj 25% (i.v) ampul 0 Rp 6,820.00 Rp - 0 Rp 6,820.00 Rp - Rp 6,820.00 Rp - 0 Rp 6,820.00 Rp -
162 Levofloxacin tab 500 mg tablet 0 Rp 581.00 Rp - 0 Rp 581.00 Rp - Rp 581.00 Rp - 0 Rp 581.00 Rp -
163 Lisol lar 1.000 ml botol 0 Rp 21,500.00 Rp - 0 Rp 21,500.00 Rp - Rp 21,500.00 Rp - 0 Rp 21,500.00 Rp -
166 Magnesium Sulfat serb 30 g sacchet 0 Rp 3,802.00 Rp - 0 Rp 3,802.00 Rp - Rp 3,802.00 Rp - 0 Rp 3,802.00 Rp -
167 Magnesium Sulfat inj 20% - 25 ml vial Rp 3,328.00 Rp - 10 Rp 3,328.00 Rp 33,280.00 Rp 3,328.00 Rp - 10 Rp 3,328.00 Rp 33,280.00
168 Magnesium Sulfat inj 40% - 25 ml vial Rp 3,650.00 Rp - 0 Rp 3,650.00 Rp - Rp 3,650.00 Rp - 0 Rp 3,650.00 Rp -
169 Magnesium Sulfat inj 40% - 25 ml vial 3 Rp 3,796.00 Rp 11,388.00 10 Rp 3,796.00 Rp 37,960.00 3 Rp 3,796.00 Rp 11,388.00 10 Rp 3,796.00 Rp 37,960.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
170 Mebendazol tab 100 mg tablet 0 Rp 7,150.00 Rp - 0 Rp 7,150.00 Rp - Rp 7,150.00 Rp - 0 Rp 7,150.00 Rp -
171 Mebendazol tab 500 mg tablet 0 Rp 7,854.00 Rp - 0 Rp 7,854.00 Rp - Rp 7,854.00 Rp - 0 Rp 7,854.00 Rp -
172 Mebendazol sir 100 mg/5 ml - 30 ml botol 0 Rp 3,740.00 Rp - 0 Rp 3,740.00 Rp - Rp 3,740.00 Rp - 0 Rp 3,740.00 Rp -
173 Metampiron (Antalgin) inj 250 mg/ml - 2 ml ampul 0 Rp 1,925.00 Rp - 0 Rp 1,925.00 Rp - Rp 1,925.00 Rp - 0 Rp 1,925.00 Rp -
174 Metampiron (Antalgin) tab 500 mg tablet Rp 155.00 Rp - 0 Rp 155.00 Rp - Rp 155.00 Rp - 0 Rp 155.00 Rp -
175 Metformin tab 500 mg tablet 400 Rp 110.00 Rp 44,000.00 2800 Rp 110.00 Rp 308,000.00 2700 Rp 110.00 Rp 297,000.00 500 Rp 110.00 Rp 55,000.00
176 Metformin tab 500 mg tablet Rp 165.00 Rp - 0 Rp 165.00 Rp - Rp 165.00 Rp - 0 Rp 165.00 Rp -
177 Metformin tab 850 mg tablet 0 Rp 280.00 Rp - 0 Rp 280.00 Rp - Rp 280.00 Rp - 0 Rp 280.00 Rp -
178 Metilergometrin Maleat tab 0.125 mg tablet 200 Rp 271.00 Rp 54,200.00 200 Rp 271.00 Rp 54,200.00 300 Rp 271.00 Rp 81,300.00 100 Rp 271.00 Rp 27,100.00
179 Metilergometrin Maleat inj 0.200 mg - 1 ml ampul Rp 3,553.00 Rp - 100 Rp 3,553.00 Rp 355,300.00 Rp 3,553.00 Rp - 100 Rp 3,553.00 Rp 355,300.00
181 Metilprednisolon tab 4 mg tablet 1000 Rp 143.00 Rp 143,000.00 580 Rp 143.00 Rp 82,940.00 1580 Rp 143.00 Rp 225,940.00 0 Rp 143.00 Rp -
182 Metilprednisolon tab 4 mg tablet Rp 153.00 Rp - 1500 Rp 153.00 Rp 229,500.00 400 Rp 153.00 Rp 61,200.00 1100 Rp 153.00 Rp 168,300.00
183 Metilprednisolon tab 8 mg tablet 0 Rp 390.00 Rp - 0 Rp 390.00 Rp - Rp 390.00 Rp - 0 Rp 390.00 Rp -
184 Metilprednisolon tab 16 mg tablet 0 Rp 875.00 Rp - 0 Rp 875.00 Rp - Rp 875.00 Rp - 0 Rp 875.00 Rp -
185 Metoklopramid tab 5 mg tablet 0 Rp 113.00 Rp - 0 Rp 113.00 Rp - Rp 113.00 Rp - 0 Rp 113.00 Rp -
187 Metoklopramid tab 10 mg tablet Rp 100.00 Rp - 0 Rp 100.00 Rp - Rp 100.00 Rp - 0 Rp 100.00 Rp -
190 Metronidazol tab 250 mg tablet Rp 116.00 Rp - 0 Rp 116.00 Rp - Rp 116.00 Rp - 0 Rp 116.00 Rp -
191 Metronidazol tab 500 mg tablet Rp 169.00 Rp - 0 Rp 169.00 Rp - Rp 169.00 Rp - 0 Rp 169.00 Rp -
192 Metronidazol sir 125 mg/5 ml botol 0 Rp 4,350.00 Rp - 0 Rp 4,350.00 Rp - Rp 4,350.00 Rp - 0 Rp 4,350.00 Rp -
193 Metronidazol lar inf 5 mg/mL botol 0 Rp 12,980.00 Rp - 0 Rp 12,980.00 Rp - Rp 12,980.00 Rp - 0 Rp 12,980.00 Rp -
194 Miconazole krim 2% tube 20 Rp 4,097.00 Rp 81,940.00 12 Rp 4,097.00 Rp 49,164.00 21 Rp 4,097.00 Rp 86,037.00 11 Rp 4,097.00 Rp 45,067.00
195 Miconazole krim 2% tube Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp - Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp -
196 Natrium Diklofenak tab 25 mg tablet 600 Rp 154.00 Rp 92,400.00 1200 Rp 154.00 Rp 184,800.00 1800 Rp 154.00 Rp 277,200.00 0 Rp 154.00 Rp -
197 Natrium Diklofenak tab 25 mg tablet Rp 146.00 Rp - 0 Rp 146.00 Rp - Rp 146.00 Rp - 0 Rp 146.00 Rp -
198 Natrium Diklofenak tab 50 mg tablet 0 Rp 146.00 Rp - 0 Rp 146.00 Rp - Rp 146.00 Rp - 0 Rp 146.00 Rp -
200 Natrium Klorida (NaCl) lar inf 0,9% - 500 ml botol 0 Rp 6,410.00 Rp - 280 Rp 6,410.00 Rp 1,794,800.00 99 Rp 6,410.00 Rp 634,590.00 181 Rp 6,410.00 Rp 1,160,210.00
201 Nifedipine tab 10 mg tablet 0 Rp 127.00 Rp - 0 Rp 127.00 Rp - Rp 127.00 Rp - 0 Rp 127.00 Rp -
202 Nistatin tab vaginal 100.000 IU ovula Rp 528.00 Rp - 0 Rp 528.00 Rp - Rp 528.00 Rp - 0 Rp 528.00 Rp -
203 Nistatin tab vaginal 100.000 IU ovula 1000 Rp 675.00 Rp 675,000.00 1500 Rp 675.00 Rp 1,012,500.00 100 Rp 675.00 Rp 67,500.00 2400 Rp 675.00 Rp 1,620,000.00
204 Nistatin tab vaginal 500.000 IU tablet Rp 704.00 Rp - 0 Rp 704.00 Rp - Rp 704.00 Rp - 0 Rp 704.00 Rp -
205 Obat Batuk Hitam (OBH) sir ERLA 100 ml botol 5 Rp 1,500.00 Rp 7,500.00 0 Rp 1,500.00 Rp - 5 Rp 1,500.00 Rp 7,500.00 0 Rp 1,500.00 Rp -
206 Obat Batuk Hitam (OBH) sir ERLA 100 ml botol Rp 12,999.80 Rp - 0 Rp 12,999.80 Rp - Rp 12,999.80 Rp - 0 Rp 12,999.80 Rp -
207 Ofloxacin tab 200 mg tablet 1150 Rp 531.00 Rp 610,650.00 0 Rp 531.00 Rp - Rp 531.00 Rp - 1150 Rp 531.00 Rp 610,650.00
208 Ofloxacin tab 400 mg tablet 0 Rp 700.00 Rp - 0 Rp 700.00 Rp - Rp 700.00 Rp - 0 Rp 700.00 Rp -
209 Oksitetrasiklin HCl salep kulit 3 % - 3,5 g tube 0 Rp 2,009.00 Rp - 0 Rp 2,009.00 Rp - Rp 2,009.00 Rp - 0 Rp 2,009.00 Rp -
210 Oksitetrasiklin HCl salep mata 1% - 3,5 g tube 0 Rp 2,774.00 Rp - 50 Rp 2,774.00 Rp 138,700.00 6 Rp 2,774.00 Rp 16,644.00 44 Rp 2,774.00 Rp 122,056.00
211 Oksitosin inj 10 IU/ml - 1 ml ampul 2 Rp 1,287.00 Rp 2,574.00 0 Rp 1,287.00 Rp - 2 Rp 1,287.00 Rp 2,574.00 0 Rp 1,287.00 Rp -
212 Olopatadin tts mata 0,1% botol 0 Rp 68,000.00 Rp - 0 Rp 68,000.00 Rp - Rp 68,000.00 Rp - 0 Rp 68,000.00 Rp -
213 Omeprazol kaps 20 mg kapsul 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - Rp 143.00 Rp - 0 Rp 143.00 Rp -
214 Omeprazol kaps 20 mg kapsul Rp 154.00 Rp - 0 Rp 154.00 Rp - Rp 154.00 Rp - 0 Rp 154.00 Rp -
216 Omeprazol inj 40 mg/10 mL vial 0 Rp 42,000.00 Rp - 0 Rp 42,000.00 Rp - Rp 42,000.00 Rp - 0 Rp 42,000.00 Rp -
217 Paracetamol tab 500 mg tablet Rp 274.48 Rp - 500 Rp 274.48 Rp 137,241.50 500 Rp 274.48 Rp 137,241.50 0 Rp 274.48 Rp -
218 Paracetamol tab 500 mg tablet Rp 52.00 Rp - 0 Rp 52.00 Rp - Rp 52.00 Rp - 0 Rp 52.00 Rp -
219 Paracetamol sir 120 mg/5 ml - 60 ml botol Rp 5,041.30 Rp - 15 Rp 5,041.30 Rp 75,619.50 1 Rp 5,041.30 Rp 5,041.30 14 Rp 5,041.30 Rp 70,578.20
220 Paracetamol sir 120 mg/5 ml - 60 ml botol Rp 1,190.00 Rp - 0 Rp 1,190.00 Rp - Rp 1,190.00 Rp - 0 Rp 1,190.00 Rp -
221 Paracetamol tts 60 mg/0,6 mL botol 0 Rp 7,350.00 Rp - 0 Rp 7,350.00 Rp - Rp 7,350.00 Rp - 0 Rp 7,350.00 Rp -
222 Perak Sulfadiazin krim 1% tube 0 Rp 25,350.00 Rp - 0 Rp 25,350.00 Rp - Rp 25,350.00 Rp - 0 Rp 25,350.00 Rp -
223 Permetrin krim 5% tube 0 Rp 11,475.00 Rp - 0 Rp 11,475.00 Rp - Rp 11,475.00 Rp - 0 Rp 11,475.00 Rp -
224 Pirantel Pamoat tab 125 mg tablet 1900 Rp 346.00 Rp 657,400.00 0 Rp 346.00 Rp - 1900 Rp 346.00 Rp 657,400.00 0 Rp 346.00 Rp -
225 Pirantel Pamoat tab 125 mg tablet Rp 305.00 Rp - 0 Rp 305.00 Rp - Rp 305.00 Rp - 0 Rp 305.00 Rp -
226 Pirantel Pamoat sir 125 mg/5 ml - 60ml botol 0 Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp - Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp -
227 Pirazinamid tab 500 mg tablet 0 Rp 225.00 Rp - 0 Rp 225.00 Rp - Rp 225.00 Rp - 0 Rp 225.00 Rp -
228 Piridoksin (Vitamin B6) inj 100 mg/ml ampul 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp - Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp -
229 Piridoksin (Vitamin B6) tab 10 mg tablet 13700 Rp 148.00 Rp 2,027,600.00 3400 Rp 148.00 Rp 503,200.00 16000 Rp 148.00 Rp 2,368,000.00 1100 Rp 148.00 Rp 162,800.00
230 Piridoksin (Vitamin B6) tab 10 mg tablet Rp 142.00 Rp - 0 Rp 142.00 Rp - Rp 142.00 Rp - 0 Rp 142.00 Rp -
231 Piroxicam tab 10 mg tablet Rp 146.38 Rp - 300 Rp 146.38 Rp 43,913.10 200 Rp 146.38 Rp 29,275.40 100 Rp 146.38 Rp 14,637.70
232 Povidon Iodine lar 10% - 1000 ml botol 0 Rp 40,202.00 Rp - 0 Rp 40,202.00 Rp - Rp 40,202.00 Rp - 0 Rp 40,202.00 Rp -
233 Povidon Iodine lar 10% - 300 ml botol 13 Rp 21,600.00 Rp 280,800.00 18 Rp 21,600.00 Rp 388,800.00 19 Rp 21,600.00 Rp 410,400.00 12 Rp 21,600.00 Rp 259,200.00
234 Povidon Iodine lar 10% - 60 ml botol 0 Rp 6,500.00 Rp - 0 Rp 6,500.00 Rp - Rp 6,500.00 Rp - 0 Rp 6,500.00 Rp -
235 Povidon Iodine lar 10% - 30 ml botol 25 Rp 3,480.00 Rp 87,000.00 0 Rp 3,480.00 Rp - 16 Rp 3,480.00 Rp 55,680.00 9 Rp 3,480.00 Rp 31,320.00
236 Prednison tab 5 mg tablet Rp 79.00 Rp - 700 Rp 79.00 Rp 55,300.00 600 Rp 79.00 Rp 47,400.00 100 Rp 79.00 Rp 7,900.00
237 Prednison tab 5 mg tablet Rp 85.00 Rp - 0 Rp 85.00 Rp - Rp 85.00 Rp - 0 Rp 85.00 Rp -
238 Primakuin tab 15 mg tablet 0 Rp 205.00 Rp - 0 Rp 205.00 Rp - Rp 205.00 Rp - 0 Rp 205.00 Rp -
239 Probenesid tab 500 mg tablet 0 Rp 1,815.00 Rp - 0 Rp 1,815.00 Rp - Rp 1,815.00 Rp - 0 Rp 1,815.00 Rp -
240 Procain Benzil Penicillin G serb inj 3 Juta UI vial 0 Rp 9,768.00 Rp - 0 Rp 9,768.00 Rp - Rp 9,768.00 Rp - 0 Rp 9,768.00 Rp -
241 Propranolol tab 10 mg tablet 0 Rp 80.00 Rp - 0 Rp 80.00 Rp - Rp 80.00 Rp - 0 Rp 80.00 Rp -
242 Propiltiourasil ( PTU) tab 100 mg tablet Rp 514.00 Rp - 0 Rp 514.00 Rp - Rp 514.00 Rp - 0 Rp 514.00 Rp -
243 Ranitidin tab 150 mg tablet Rp 200.00 Rp - 0 Rp 200.00 Rp - Rp 200.00 Rp - 0 Rp 200.00 Rp -
244 Ranitidin inj 25 mg/mL ampul 0 Rp 1,340.00 Rp - 0 Rp 1,340.00 Rp - Rp 1,340.00 Rp - 0 Rp 1,340.00 Rp -
246 Retinol (Vit A) softcap 100.000 IU softcap Rp 346.00 Rp - 500 Rp 346.00 Rp 173,000.00 500 Rp 346.00 Rp 173,000.00 0 Rp 346.00 Rp -
247 Retinol (Vit A) softcap 200.000 IU softcap Rp 505.00 Rp - 0 Rp 505.00 Rp - Rp 505.00 Rp - 0 Rp 505.00 Rp -
248 Retinol (Vit A) softcap 200.000 IU softcap 550 Rp 622.00 Rp 342,100.00 2000 Rp 622.00 Rp 1,244,000.00 1250 Rp 622.00 Rp 777,500.00 1300 Rp 622.00 Rp 808,600.00
249 Ringer Laktat lar inf steril 500 ml botol 80 Rp 7,150.00 Rp 572,000.00 0 Rp 7,150.00 Rp - 80 Rp 7,150.00 Rp 572,000.00 0 Rp 7,150.00 Rp -
250 Ringer Laktat lar inf steril 500 ml botol Rp 5,720.00 Rp - 0 Rp 5,720.00 Rp - Rp 5,720.00 Rp - 0 Rp 5,720.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
251 Ringer Laktat lar inf steril 500 ml botol Rp 7,630.00 Rp - 200 Rp 7,630.00 Rp 1,526,000.00 139 Rp 7,630.00 Rp 1,060,570.00 61 Rp 7,630.00 Rp 465,430.00
252 Salbutamol tab 2 mg tablet 900 Rp 84.00 Rp 75,600.00 0 Rp 84.00 Rp - 600 Rp 84.00 Rp 50,400.00 300 Rp 84.00 Rp 25,200.00
253 Salbutamol tab 4 mg tablet 300 Rp 81.00 Rp 24,300.00 0 Rp 81.00 Rp - 200 Rp 81.00 Rp 16,200.00 100 Rp 81.00 Rp 8,100.00
255 Salbutamol cairan ih 0,1% botol 0 Rp 7,260.00 Rp - 0 Rp 7,260.00 Rp - Rp 7,260.00 Rp - 0 Rp 7,260.00 Rp -
256 Salep 2-4 kombinasi Asam Salisilat 2% + Belerang Endap 4% pot 5 Rp 3,143.00 Rp 15,715.00 0 Rp 3,143.00 Rp - 5 Rp 3,143.00 Rp 15,715.00 0 Rp 3,143.00 Rp -
258 Sianokobalamin (Vitamin B12) inj 500 mcg/mL ampul 0 Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp - Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp -
259 Simvastatin tab 10 mg tablet 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - Rp 270.00 Rp - 0 Rp 270.00 Rp -
260 Simvastatin tab 10 mg tablet 480 Rp 117.00 Rp 56,160.00 1200 Rp 117.00 Rp 140,400.00 1680 Rp 117.00 Rp 196,560.00 0 Rp 117.00 Rp -
261 Simvastatin tab 20 mg tablet Rp 235.00 Rp - 350 Rp 235.00 Rp 82,250.00 250 Rp 235.00 Rp 58,750.00 100 Rp 235.00 Rp 23,500.00
264 Spironolakton tab 25 mg tablet 0 Rp 350.00 Rp - 0 Rp 350.00 Rp - Rp 350.00 Rp - 0 Rp 350.00 Rp -
265 Tablet tambah darah kombinasi Ferro Sulfat 200 mg + As.Folat 0,25 mg tablet 39200 Rp 427.00 Rp 16,738,400.00 33600 Rp 427.00 Rp 14,347,200.00 72194 Rp 427.00 Rp 30,826,838.00 606 Rp 427.00 Rp 258,762.00
266 Tetracain HCl tts mata 0,5% - 5 ml botol 0 Rp 11,500.00 Rp - 0 Rp 11,500.00 Rp - Rp 11,500.00 Rp - 0 Rp 11,500.00 Rp -
267 Tetrasiklin kaps 250 mg kapsul 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - Rp 120.00 Rp - 0 Rp 120.00 Rp -
268 Tetrasiklin kaps 500 mg kapsul 1500 Rp 324.00 Rp 486,000.00 1000 Rp 324.00 Rp 324,000.00 Rp 324.00 Rp - 2500 Rp 324.00 Rp 810,000.00
269 Tetrasiklin kaps 500 mg kapsul 200 Rp 341.00 Rp 68,200.00 1000 Rp 341.00 Rp 341,000.00 200 Rp 341.00 Rp 68,200.00 1000 Rp 341.00 Rp 341,000.00
270 Thiamfenikol kaps 500 mg kapsul 0 Rp 881.00 Rp - 0 Rp 881.00 Rp - Rp 881.00 Rp - 0 Rp 881.00 Rp -
272 Thiamin HCl (Vitamin B1) tab 50 mg tablet Rp 42.00 Rp - 0 Rp 42.00 Rp - Rp 42.00 Rp - 0 Rp 42.00 Rp -
273 Thiamin HCl (Vitamin B1) tab 50 mg tablet 0 Rp 90.00 Rp - 0 Rp 90.00 Rp - Rp 90.00 Rp - 0 Rp 90.00 Rp -
274 Thiamin HCl (Vitamin B1) inj 100 mg/ml - 1 ml ampul 0 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp - Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp -
275 Vitamin B Kompleks tablet 0 Rp 150.00 Rp - 1500 Rp 150.00 Rp 225,000.00 1300 Rp 150.00 Rp 195,000.00 200 Rp 150.00 Rp 30,000.00
276 Vitamin B Kompleks tablet 0 Rp 141.00 Rp - 0 Rp 141.00 Rp - Rp 141.00 Rp - 0 Rp 141.00 Rp -
278 Zinc sir 10 mg/ml botol 0 Rp 16,478.00 Rp - 0 Rp 16,478.00 Rp - Rp 16,478.00 Rp - 0 Rp 16,478.00 Rp -
279 Zinc sir 20 mg/5 ml botol 0 Rp 3,449.00 Rp - 20 Rp 3,449.00 Rp 68,980.00 17 Rp 3,449.00 Rp 58,633.00 3 Rp 3,449.00 Rp 10,347.00
281 Alprazolam tab 1 mg tablet 0 Rp 245.00 Rp - 0 Rp 245.00 Rp - Rp 245.00 Rp - 0 Rp 245.00 Rp -
282 Betahistin tab 6 mg tablet Rp 924.00 Rp - 0 Rp 924.00 Rp - Rp 924.00 Rp - 0 Rp 924.00 Rp -
283 Idometasin kapl 25 mg kaplet 0 Rp 380.25 Rp - 0 Rp 380.25 Rp - Rp 380.25 Rp - 0 Rp 380.25 Rp -
284 Karbon Aktif tab 125 mg tablet 0 Rp 126.75 Rp - 0 Rp 126.75 Rp - Rp 126.75 Rp - 0 Rp 126.75 Rp -
285 Klobazam tab 10 mg tablet 0 Rp 950.00 Rp - 0 Rp 950.00 Rp - Rp 950.00 Rp - 0 Rp 950.00 Rp -
286 Lidokain 2% inj 2 ml ampul Rp 1,467.00 Rp - 20 Rp 1,467.00 Rp 29,340.00 20 Rp 1,467.00 Rp 29,340.00 0 Rp 1,467.00 Rp -
287 Lidokain 2% inj 2 ml ampul 10 Rp 1,375.00 Rp 13,750.00 20 Rp 1,375.00 Rp 27,500.00 30 Rp 1,375.00 Rp 41,250.00 0 Rp 1,375.00 Rp -
288 Lidokain 2% (HCl) + Epinefrin 1 : 80.000 inj 2 ml ampul 30 Rp 1,380.00 Rp 41,400.00 0 Rp 1,380.00 Rp - 30 Rp 1,380.00 Rp 41,400.00 0 Rp 1,380.00 Rp -
289 Loperamid tab 2 mg tablet 150 Rp 91.00 Rp 13,650.00 0 Rp 91.00 Rp - 150 Rp 91.00 Rp 13,650.00 0 Rp 91.00 Rp -
290 Petidin inj i.m/s.k/i.v 50 mg/ml (HCl) - 2 ml ampul 0 Rp 15,950.00 Rp - 0 Rp 15,950.00 Rp - Rp 15,950.00 Rp - 0 Rp 15,950.00 Rp -
291 Ondasentron tab 4 mg tablet 216 Rp 546.00 Rp 117,936.00 0 Rp 546.00 Rp - 216 Rp 546.00 Rp 117,936.00 0 Rp 546.00 Rp -
292 Fitomenadion (Vitamin K1) inj 10 mg/ml ampul 0 Rp 4,167.00 Rp - 0 Rp 4,167.00 Rp - Rp 4,167.00 Rp - 0 Rp 4,167.00 Rp -
293 Kotrimoxazol tab 240 mg (anak) tablet 0 Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp - Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp -
294 Piracetam kapl 800 mg kaplet 540 Rp 960.00 Rp 518,400.00 0 Rp 960.00 Rp - 540 Rp 960.00 Rp 518,400.00 0 Rp 960.00 Rp -
295 Meloxicam tab 15 mg tablet Rp 2,380.00 Rp - 0 Rp 2,380.00 Rp - Rp 2,380.00 Rp - 0 Rp 2,380.00 Rp -
296 Asam Tranexamat 500 mg tablet 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
297 Ketorolac injeksi 10 mg/ml ampul 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
298 Metoclopramide injek ampul 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
299 Asiklovir krim tube 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
300 etanol 300 ml botol 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
301 Ampicillin 500 mg tablet 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
302 Ondansetron inj ampul 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
303 Paracetamol Drops 100 mg/ml kaplet 71 Rp 7,979.00 Rp 566,509.00 185 Rp 7,979.00 Rp 1,476,115.00 255 Rp 7,979.00 Rp 2,034,645.00 1 Rp 7,979.00 Rp 7,979.00
304 Gentamicin Salep Mata 0,3% tube 3 Rp 3,210.00 Rp 9,630.00 10 Rp 3,210.00 Rp 32,100.00 13 Rp 3,210.00 Rp 41,730.00 0 Rp 3,210.00 Rp -
305 Larutan KA-EN 3B botol Rp 11,314.00 Rp - 20 Rp 11,314.00 Rp 226,280.00 Rp 11,314.00 Rp - 20 Rp 11,314.00 Rp 226,280.00
0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
BAHAN MEDIS HABIS PAKAI 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
1 Alat Suntik 1 ml pcs Rp 1,100.45 Rp - 150 Rp 1,100.45 Rp 165,067.50 44 Rp 1,100.45 Rp 48,419.80 106 Rp 1,100.45 Rp 116,647.70
2 Alat Suntik 1 ml pcs Rp 821.48 Rp - 230 Rp 821.48 Rp 188,941.32 230 Rp 821.48 Rp 188,941.32 0 Rp 821.48 Rp -
3 Alat Suntik 1 ml pcs 273 Rp 821.00 Rp 224,133.00 0 Rp 821.00 Rp - 273 Rp 821.00 Rp 224,133.00 0 Rp 821.00 Rp -
4 Alat Suntik 2.5 ml pcs Rp 864.72 Rp - 300 Rp 864.72 Rp 259,416.00 170 Rp 864.72 Rp 147,002.40 130 Rp 864.72 Rp 112,413.60
5 Alat Suntik 2.5 ml pcs 80 Rp 864.00 Rp 69,120.00 0 Rp 864.00 Rp - 80 Rp 864.00 Rp 69,120.00 0 Rp 864.00 Rp -
6 Alat Suntik 3 ml pcs 0 Rp 1,109.73 Rp - 30 Rp 1,109.73 Rp 33,291.75 30 Rp 1,109.73 Rp 33,291.75 0 Rp 1,109.73 Rp -
7 Alat Suntik 5 ml pcs 0 Rp 1,185.00 Rp - 0 Rp 1,185.00 Rp - Rp 1,185.00 Rp - 0 Rp 1,185.00 Rp -
8 Alat Suntik 10 ml pcs 0 Rp 1,654.95 Rp - 55 Rp 1,654.95 Rp 91,022.25 3 Rp 1,654.95 Rp 4,964.85 52 Rp 1,654.95 Rp 86,057.40
9 Alat Suntik 10 ml pcs 0 Rp 1,694.00 Rp - 10 Rp 1,694.00 Rp 16,940.00 10 Rp 1,694.00 Rp 16,940.00 0 Rp 1,694.00 Rp -
11 Alat Suntik 50 ml pcs 0 Rp 10,350.00 Rp - 0 Rp 10,350.00 Rp - Rp 10,350.00 Rp - 0 Rp 10,350.00 Rp -
12 Alat Suntik ADS 0,5 ml pcs 0 Rp 1,925.00 Rp - 0 Rp 1,925.00 Rp - Rp 1,925.00 Rp - 0 Rp 1,925.00 Rp -
13 Alat Suntik ADS 3 ml (BD) pcs 0 Rp 1,796.85 Rp - 0 Rp 1,796.85 Rp - Rp 1,796.85 Rp - 0 Rp 1,796.85 Rp -
15 Alat Suntik ADS 5 ml BCG pcs 0 Rp 2,585.00 Rp - 0 Rp 2,585.00 Rp - Rp 2,585.00 Rp - 0 Rp 2,585.00 Rp -
17 Alat Suntik (Nipro Syringe) 0,5 ml pcs 0 Rp 1,385.71 Rp - 10 Rp 1,385.71 Rp 13,857.10 4 Rp 1,385.71 Rp 5,542.84 6 Rp 1,385.71 Rp 8,314.26
18 Alat Suntik (Nipro Syringe) 3 ml pcs 0 Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp - Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp -
19 Alat Suntik (Nipro Syringe) 5 ml pcs 68 Rp 1,248.23 Rp 84,879.64 15 Rp 1,248.23 Rp 18,723.45 Rp 1,248.23 Rp - 83 Rp 1,248.23 Rp 103,603.09
20 Alat Suntik (Nipro Syringe) 10 ml pcs 56 Rp 1,654.95 Rp 92,677.20 10 Rp 1,654.95 Rp 16,549.50 Rp 1,654.95 Rp - 66 Rp 1,654.95 Rp 109,226.70
21 Alat Test Darah 3 in 1 (gula darah, asam urat, kolesterol) Unit Rp 1,100,000.00 Rp - 0 Rp 1,100,000.00 Rp - Rp 1,100,000.00 Rp - 0 Rp 1,100,000.00 Rp -
22 Catgut Cromic no.2/0 chromic pcs 78 Rp 8,960.00 Rp 698,880.00 0 Rp 8,960.00 Rp - 78 Rp 8,960.00 Rp 698,880.00 0 Rp 8,960.00 Rp -
23 Catgut Cromic no.2/0 chromic pcs Rp 8,960.21 Rp - 72 Rp 8,960.21 Rp 645,135.00 Rp 8,960.21 Rp - 72 Rp 8,960.21 Rp 645,135.00
24 Catgut Cromic no.2/0 plain pcs Rp 8,960.21 Rp - 48 Rp 8,960.21 Rp 430,090.00 Rp 8,960.21 Rp - 48 Rp 8,960.21 Rp 430,090.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
25 Catgut Cromic no.3/0 chromic pcs 67 Rp 8,960.00 Rp 600,320.00 0 Rp 8,960.00 Rp - 67 Rp 8,960.00 Rp 600,320.00 0 Rp 8,960.00 Rp -
26 Catgut Cromic no.3/0 chromic pcs Rp 8,960.21 Rp - 168 Rp 8,960.21 Rp 1,505,315.00 120 Rp 8,960.21 Rp 1,075,225.00 48 Rp 8,960.21 Rp 430,090.00
27 Catheter (Aximed Foleycath 2-Way no.14) pcs 70 Rp 13,750.00 Rp 962,500.00 0 Rp 13,750.00 Rp - Rp 13,750.00 Rp - 70 Rp 13,750.00 Rp 962,500.00
28 Catheter (Aximed Foleycath 2-Way no.14) pcs Rp 9,200.00 Rp - 50 Rp 9,200.00 Rp 460,000.00 Rp 9,200.00 Rp - 50 Rp 9,200.00 Rp 460,000.00
29 Catheter (folley cathteter) no.10 pcs 2 Rp 13,750.00 Rp 27,500.00 0 Rp 13,750.00 Rp - 2 Rp 13,750.00 Rp 27,500.00 0 Rp 13,750.00 Rp -
30 Catheter (folley cathteter) no.12 pcs 3 Rp 13,750.00 Rp 41,250.00 10 Rp 13,750.00 Rp 137,500.00 3 Rp 13,750.00 Rp 41,250.00 10 Rp 13,750.00 Rp 137,500.00
34 Cholesterol test btl/10 strip botol 0 Rp 279,400.00 Rp - 0 Rp 279,400.00 Rp - Rp 279,400.00 Rp - 0 Rp 279,400.00 Rp -
35 Copper T set 23 Rp 124,300.00 Rp 2,858,900.00 0 Rp 124,300.00 Rp - Rp 124,300.00 Rp - 23 Rp 124,300.00 Rp 2,858,900.00
36 Feeding Tube (Aximed) 40 cm no. 6 pcs 20 Rp 8,107.00 Rp 162,140.00 0 Rp 8,107.00 Rp - Rp 8,107.00 Rp - 20 Rp 8,107.00 Rp 162,140.00
39 Glukosa test btl/25 strip botol 0 Rp 179,850.00 Rp - 0 Rp 179,850.00 Rp - Rp 179,850.00 Rp - 0 Rp 179,850.00 Rp -
40 Hand Schoen no 7 set 0 Rp 5,383.38 Rp - 150 Rp 5,383.38 Rp 807,507.30 150 Rp 5,383.38 Rp 807,507.30 0 Rp 5,383.38 Rp -
41 Hand Schoen no 7.5 set 11 Rp 5,383.00 Rp 59,213.00 0 Rp 5,383.00 Rp - 11 Rp 5,383.00 Rp 59,213.00 0 Rp 5,383.00 Rp -
42 Hand Schoen no 7.5 set Rp 5,383.38 Rp - 160 Rp 5,383.38 Rp 861,341.12 139 Rp 5,383.38 Rp 748,290.10 21 Rp 5,383.38 Rp 113,051.02
43 Hand Schoen no 7.5 set Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
44 Hand Schoen no 7.5 U/ manual Placenta ( Long) set 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp - Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp -
45 Hand Schoen no 8 set Rp 5,383.38 Rp - 0 Rp 5,383.38 Rp - Rp 5,383.38 Rp - 0 Rp 5,383.38 Rp -
46 Hand Schoen no 8 set Rp 5,382.88 Rp - 150 Rp 5,382.88 Rp 807,432.30 83 Rp 5,382.88 Rp 446,779.21 67 Rp 5,382.88 Rp 360,653.09
47 Hand Schoen no 8 set 36 Rp 9,500.00 Rp 342,000.00 0 Rp 9,500.00 Rp - 36 Rp 9,500.00 Rp 342,000.00 0 Rp 9,500.00 Rp -
48 Hand Schoen no 8 U/ manual Placenta ( Long) set 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp - Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp -
49 Hand Schoen (Aximed Exam Gloves size S) pcs 0 Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp - Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp -
50 Hand Schoen (Aximed Exam Gloves size M) pcs 0 Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp - Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp -
51 Hand Schoen (jayamas superlife size M) box 0 Rp 65,780.00 Rp - 1 Rp 65,780.00 Rp 65,780.00 1 Rp 65,780.00 Rp 65,780.00 0 Rp 65,780.00 Rp -
52 Hand Schoen (Aximed Chirurgic Gloves no. 7,0) pcs 0 Rp 7,600.00 Rp - 0 Rp 7,600.00 Rp - Rp 7,600.00 Rp - 0 Rp 7,600.00 Rp -
53 Hand Schoen (Aximed Chirurgic Gloves no. 8,0) pcs 0 Rp 7,600.00 Rp - 0 Rp 7,600.00 Rp - Rp 7,600.00 Rp - 0 Rp 7,600.00 Rp -
54 Hand Schoen (Chirurgic Gloves no. 6,5) set 12 Rp 9,500.00 Rp 114,000.00 145 Rp 9,500.00 Rp 1,377,500.00 157 Rp 9,500.00 Rp 1,491,500.00 0 Rp 9,500.00 Rp -
55 Hand Schoen (Chirurgic Gloves no. 7,0) set 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
58 Hand Schoen (Examination Gloves Size S) set Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp - Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp -
60 Hand Schoen (Examination Gloves Size L) set 2 Rp 57,750.00 Rp 115,500.00 0 Rp 57,750.00 Rp - 2 Rp 57,750.00 Rp 115,500.00 0 Rp 57,750.00 Rp -
62 Infusion Set Anak set Rp 8,775.00 Rp - 0 Rp 8,775.00 Rp - Rp 8,775.00 Rp - 0 Rp 8,775.00 Rp -
63 Infusion Set Dewasa set 0 Rp 8,775.00 Rp - 0 Rp 8,775.00 Rp - Rp 8,775.00 Rp - 0 Rp 8,775.00 Rp -
64 Infusion Set Dewasa set 45 Rp 6,343.00 Rp 285,435.00 74 Rp 6,343.00 Rp 469,382.00 119 Rp 6,343.00 Rp 754,817.00 0 Rp 6,343.00 Rp -
65 Infusion Set for pediatrik pcs 0 Rp 3,556.16 Rp - 25 Rp 3,556.16 Rp 88,904.00 25 Rp 3,556.16 Rp 88,904.00 0 Rp 3,556.16 Rp -
66 IV Catheter no. 16 pcs 0 Rp 7,507.50 Rp - 0 Rp 7,507.50 Rp - Rp 7,507.50 Rp - 0 Rp 7,507.50 Rp -
72 IV Catheter (Nipro IV Catheter no. 18 G x 1 - 1/4") pcs 200 Rp 8,947.95 Rp 1,789,590.00 0 Rp 8,947.95 Rp - 41 Rp 8,947.95 Rp 366,865.95 159 Rp 8,947.95 Rp 1,422,724.05
73 IV Catheter (Nipro IV Catheter no. 18 G x 2") pcs 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp -
74 IV Catheter (Nipro IV Catheter no. 18 G x 2") pcs Rp 8,974.95 Rp - 50 Rp 8,974.95 Rp 448,747.50 Rp 8,974.95 Rp - 50 Rp 8,974.95 Rp 448,747.50
75 IV Catheter (Nipro IV Catheter no. 20 G x 1 - 1/4") pcs 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp -
76 IV Catheter (Nipro IV Catheter no. 20 G x 1 - 1/4") pcs Rp 8,974.95 Rp - 0 Rp 8,974.95 Rp - Rp 8,974.95 Rp - 0 Rp 8,974.95 Rp -
80 Jarum Jahit Otot all size lusin 0 Rp 18,500.00 Rp - 0 Rp 18,500.00 Rp - Rp 18,500.00 Rp - 0 Rp 18,500.00 Rp -
83 Kaca Slide pcs 0 Rp 50,000.00 Rp - 0 Rp 50,000.00 Rp - Rp 50,000.00 Rp - 0 Rp 50,000.00 Rp -
84 Kapas Pembalut 250 g roll 5 Rp 22,000.00 Rp 110,000.00 5 Rp 22,000.00 Rp 110,000.00 Rp 22,000.00 Rp - 10 Rp 22,000.00 Rp 220,000.00
86 Kapas Pembalut 250 g roll Rp 23,595.00 Rp - 0 Rp 23,595.00 Rp - Rp 23,595.00 Rp - 0 Rp 23,595.00 Rp -
88 Kasa Hydrofil 18 yard x 22 cm roll Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp - Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp -
89 Kasa Hydrofil 40 yard x 80 cm roll 8 Rp 120,750.00 Rp 966,000.00 10 Rp 120,750.00 Rp 1,207,500.00 8 Rp 120,750.00 Rp 966,000.00 10 Rp 120,750.00 Rp 1,207,500.00
90 Kasa Kompres Steril 40 x 40 cm bungkus 0 Rp 1,840.00 Rp - 0 Rp 1,840.00 Rp - Rp 1,840.00 Rp - 0 Rp 1,840.00 Rp -
91 Kasa Pembalut 2 m x 80 cm roll Rp 13,366.00 Rp - 0 Rp 13,366.00 Rp - Rp 13,366.00 Rp - 0 Rp 13,366.00 Rp -
92 Kasa Pembalut 4 m x 5 cm roll 0 Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp - Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp -
93 Kasa Pembalut 4 m x 10 cm roll 0 Rp 2,601.00 Rp - 0 Rp 2,601.00 Rp - Rp 2,601.00 Rp - 0 Rp 2,601.00 Rp -
95 Kasa Pembalut 4 m x 15 cm roll 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
96 Kasa Pembalut Hydrofil 4 yard x 5 cm roll 61 Rp 862.50 Rp 52,612.50 30 Rp 862.50 Rp 25,875.00 91 Rp 862.50 Rp 78,487.50 0 Rp 862.50 Rp -
97 Kasa Pembalut Hydrofil 4 yard x 10 cm roll 50 Rp 1,725.00 Rp 86,250.00 0 Rp 1,725.00 Rp - Rp 1,725.00 Rp - 50 Rp 1,725.00 Rp 86,250.00
98 Kasa Pembalut Hydrofil 4 yard x 15 cm roll 0 Rp 3,638.00 Rp - 0 Rp 3,638.00 Rp - Rp 3,638.00 Rp - 0 Rp 3,638.00 Rp -
99 Kasa Pembalut Hydrofil 4 yard x 15 cm roll 17 Rp 2,415.00 Rp 41,055.00 25 Rp 2,415.00 Rp 60,375.00 31 Rp 2,415.00 Rp 74,865.00 11 Rp 2,415.00 Rp 26,565.00
100 Kasa Steril 16 cm x 16 cm roll 0 Rp 9,200.00 Rp - 100 Rp 9,200.00 Rp 920,000.00 100 Rp 9,200.00 Rp 920,000.00 0 Rp 9,200.00 Rp -
102 Kasa Steril 18 cm x 22 cm box 1 Rp 8,625.00 Rp 8,625.00 100 Rp 8,625.00 Rp 862,500.00 101 Rp 8,625.00 Rp 871,125.00 0 Rp 8,625.00 Rp -
103 Kasa Steril 18 cm x 22 cm box Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp - Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp -
104 Masker Ear Loop Pcs 0 Rp 495.00 Rp - 0 Rp 495.00 Rp - Rp 495.00 Rp - 0 Rp 495.00 Rp -
105 Masker Ear Loop Pcs 108 Rp 18,975.00 Rp 2,049,300.00 87 Rp 18,975.00 Rp 1,650,825.00 195 Rp 18,975.00 Rp 3,700,125.00 0 Rp 18,975.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
106 Mata Pisau Bedah No. 10 pcs 0 Rp 9,760.00 Rp - 0 Rp 9,760.00 Rp - Rp 9,760.00 Rp - 0 Rp 9,760.00 Rp -
107 Mata Pisau Bedah No. 11 Pcs 0 Rp 9,760.00 Rp - 0 Rp 9,760.00 Rp - Rp 9,760.00 Rp - 0 Rp 9,760.00 Rp -
110 Nasal Oxygen (Aximed) size M Pcs 5 Rp 8,250.00 Rp 41,250.00 0 Rp 8,250.00 Rp - 5 Rp 8,250.00 Rp 41,250.00 0 Rp 8,250.00 Rp -
111 Nasal Oxygen (Aximed) size L Pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
112 Nasal Oxygen (Aximed) size XS Pcs Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
113 Plester 5 yard x 2 inchi roll 0 Rp 7,186.00 Rp - 0 Rp 7,186.00 Rp - Rp 7,186.00 Rp - 0 Rp 7,186.00 Rp -
114 Plester 5 cm x 4,5 cm roll 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp -
115 Plester 7,5 cm x 4,5 cm roll Rp 60,650.00 Rp - 0 Rp 60,650.00 Rp - Rp 60,650.00 Rp - 0 Rp 60,650.00 Rp -
115 Pot Sputum pot 0 Rp 2,000.00 Rp - 0 Rp 2,000.00 Rp - Rp 2,000.00 Rp - 0 Rp 2,000.00 Rp -
116 RDT pcs 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
117 Regulator Oxygen pcs 7 Rp 453,200.00 Rp 3,172,400.00 8 Rp 453,200.00 Rp 3,625,600.00 2 Rp 453,200.00 Rp 906,400.00 13 Rp 453,200.00 Rp 5,891,600.00
118 Safety Box kotak 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
119 Selang Oxygen pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
120 Silk (benang bedah sutra) no.2/0 pcs Rp 5,781.00 Rp - 0 Rp 5,781.00 Rp - Rp 5,781.00 Rp - 0 Rp 5,781.00 Rp -
121 Silk (benang bedah sutra) no.3/0 pcs Rp 4,661.49 Rp - 72 Rp 4,661.49 Rp 335,627.40 45 Rp 4,661.49 Rp 209,767.12 27 Rp 4,661.49 Rp 125,860.27
122 Silk (benang bedah sutra) no.3/0 pcs 57 Rp 4,661.00 Rp 265,677.00 0 Rp 4,661.00 Rp - 57 Rp 4,661.00 Rp 265,677.00 0 Rp 4,661.00 Rp -
123 Sound Timer unit 0 Rp 1,219,143.00 Rp - 0 Rp 1,219,143.00 Rp - Rp 1,219,143.00 Rp - 0 Rp 1,219,143.00 Rp -
124 Stempel ISPA pcs 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
125 Uric Acid test btl/25 strip botol 0 Rp 239,800.00 Rp - 0 Rp 239,800.00 Rp - Rp 239,800.00 Rp - 0 Rp 239,800.00 Rp -
126 Urine bag pcs 39 Rp 6,875.00 Rp 268,125.00 0 Rp 6,875.00 Rp - 26 Rp 6,875.00 Rp 178,750.00 13 Rp 6,875.00 Rp 89,375.00
127 Urine bag pcs Rp 3,450.00 Rp - 20 Rp 3,450.00 Rp 69,000.00 Rp 3,450.00 Rp - 20 Rp 3,450.00 Rp 69,000.00
128 Alkohol Swab box 13 Rp 11,500.00 Rp 149,500.00 82 Rp 11,500.00 Rp 943,000.00 47 Rp 11,500.00 Rp 540,500.00 48 Rp 11,500.00 Rp 552,000.00
129 Plesterin Non woven Roll 5 cm x 5 cm roll 14 Rp 27,324.00 Rp 382,536.00 48 Rp 27,324.00 Rp 1,311,552.00 14 Rp 27,324.00 Rp 382,536.00 48 Rp 27,324.00 Rp 1,311,552.00
130 Plesterin Non woven Roll 5 cm x 10 cm roll 13 Rp 47,564.00 Rp 618,332.00 24 Rp 47,564.00 Rp 1,141,536.00 13 Rp 47,564.00 Rp 618,332.00 24 Rp 47,564.00 Rp 1,141,536.00
131 Plesterin Non woven Roll 5 cm x 15 cm roll 17 Rp 79,948.00 Rp 1,359,116.00 0 Rp 79,948.00 Rp - 11 Rp 79,948.00 Rp 879,428.00 6 Rp 79,948.00 Rp 479,688.00
132 Kasa Steril 10 x 10 cm, 8 ply, 1 x 10'S pack 0 Rp 10,845.30 Rp - 100 Rp 10,845.30 Rp 1,084,530.00 66 Rp 10,845.30 Rp 715,789.80 34 Rp 10,845.30 Rp 368,740.20
133 Feeding Tube 8 FR 40 cm pcs 10 Rp 8,804.40 Rp 88,044.00 0 Rp 8,804.40 Rp - 1 Rp 8,804.40 Rp 8,804.40 9 Rp 8,804.40 Rp 79,239.60
134 Urocare Folley Catheter 2 Way no. 14 box 0 Rp 92,000.00 Rp - 0 Rp 92,000.00 Rp - Rp 92,000.00 Rp - 0 Rp 92,000.00 Rp -
135 Elastic Verband 6 inchi pcs 2 Rp 86,680.00 Rp 173,360.00 0 Rp 86,680.00 Rp - Rp 86,680.00 Rp - 2 Rp 86,680.00 Rp 173,360.00
136 Kertas Puyer Blank bgks 12 Rp 93,500.00 Rp 1,122,000.00 15 Rp 93,500.00 Rp 1,402,500.00 11 Rp 93,500.00 Rp 1,028,500.00 16 Rp 93,500.00 Rp 1,496,000.00
137 Anios Dermanions Chlorhexidin 500 ml botol 1 Rp 112,413.28 Rp 112,413.28 0 Rp 112,413.28 Rp - 1 Rp 112,413.28 Rp 112,413.28 0 Rp 112,413.28 Rp -
138 One Med Masker N95 Pcs Rp 7,488.80 Rp - 40 Rp 7,488.80 Rp 299,552.00 12 Rp 7,488.80 Rp 89,865.60 28 Rp 7,488.80 Rp 209,686.40
139 One Med Masker N95 Pcs 20 Rp 7,488.00 Rp 149,760.00 0 Rp 7,488.00 Rp - 20 Rp 7,488.00 Rp 149,760.00 0 Rp 7,488.00 Rp -
140 Oxygen Mask Dewasa dan Anak Pcs Rp 10,559.90 Rp - 25 Rp 10,559.90 Rp 263,997.50 3 Rp 10,559.90 Rp 31,679.70 22 Rp 10,559.90 Rp 232,317.80
141 Cosmonel nasal oxygen canula Pcs Rp 8,004.00 Rp - 30 Rp 8,004.00 Rp 240,120.00 18 Rp 8,004.00 Rp 144,072.00 12 Rp 8,004.00 Rp 96,048.00
142 IV-CATH NP.PEN TYPE, No.20 Pcs Rp 7,846.25 Rp - 15 Rp 7,846.25 Rp 117,693.75 15 Rp 7,846.25 Rp 117,693.75 0 Rp 7,846.25 Rp -
BHP/REAGENT LAB 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
1 Cairan Spritus 1000 ml botol 3 Rp 52,965.00 Rp 158,895.00 2 Rp 52,965.00 Rp 105,930.00 Rp 52,965.00 Rp - 5 Rp 52,965.00 Rp 264,825.00
2 Cairan Spritus 1000 ml botol Rp 68,250.00 Rp - 0 Rp 68,250.00 Rp - Rp 68,250.00 Rp - 0 Rp 68,250.00 Rp -
3 Autocheck Cholesterol test btl/25 strip test 0 Rp 385,235.00 Rp - 6 Rp 385,235.00 Rp 2,311,410.00 4 Rp 385,235.00 Rp 1,540,940.00 2 Rp 385,235.00 Rp 770,470.00
4 Autocheck Cholesterol test btl/25 strip test 0 Rp 367,812.50 Rp - 7 Rp 367,812.50 Rp 2,574,687.50 7 Rp 367,812.50 Rp 2,574,687.50 0 Rp 367,812.50 Rp -
5 Autocheck Uric Acid test btl/50 strip test 0 Rp 178,200.00 Rp - 18 Rp 178,200.00 Rp 3,207,600.00 15 Rp 178,200.00 Rp 2,673,000.00 3 Rp 178,200.00 Rp 534,600.00
7 Autocheck Glukosa test btl/50 strip test 0 Rp 136,950.00 Rp - 19 Rp 136,950.00 Rp 2,602,050.00 15 Rp 136,950.00 Rp 2,054,250.00 4 Rp 136,950.00 Rp 547,800.00
GIGI 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
1 Hemospon (Spongostan Dental) pcs Rp 118,500.00 Rp - 0 Rp 118,500.00 Rp - Rp 118,500.00 Rp - 0 Rp 118,500.00 Rp -
2 Iodoform Pasta (Biodinamica) set Rp 341,250.00 Rp - 0 Rp 341,250.00 Rp - Rp 341,250.00 Rp - 0 Rp 341,250.00 Rp -
OBAT KHUSUS 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
1 Pehacain inj (Lidokain HCl 2% + Epinefrin 1:80.000) ampul 0 Rp 78,915.82 Rp - 0 Rp 78,915.82 Rp - Rp 78,915.82 Rp - 0 Rp 78,915.82 Rp -
2 Albothyl (Polikresulen) lar 36% (g/g) - 5 mL botol Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp - Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp -
3 Bisakodil Suppositoria 10 mg supp 0 Rp 5,900.00 Rp - 8 Rp 5,900.00 Rp 47,200.00 Rp 5,900.00 Rp - 8 Rp 5,900.00 Rp 47,200.00
3 Bisakodil Suppositoria 5 mg supp 0 Rp 6,000.00 Rp - 24 Rp 6,000.00 Rp 144,000.00 12 Rp 6,000.00 Rp 72,000.00 12 Rp 6,000.00 Rp 72,000.00
4 cortidex 0,5 mg tablet 0 Rp 367.92 Rp - 100 Rp 367.92 Rp 36,792.23 Rp 367.92 Rp - 100 Rp 367.92 Rp 36,792.23
5 DHP Primal Kombinasi Dihidroartemisin 40 mg + piperkuin 320 tab tablet Rp 2,166.00 Rp - 90 Rp 2,166.00 Rp 194,940.00 Rp 2,166.00 Rp - 90 Rp 2,166.00 Rp 194,940.00
6 First Response Malaria Antigen Combo Card test set 0 Rp 440,850.00 Rp - 7 Rp 440,850.00 Rp 3,085,950.00 Rp 440,850.00 Rp - 7 Rp 440,850.00 Rp 3,085,950.00
7 imboost tablet tablet 0 Rp 4,013.60 Rp - 100 Rp 4,013.60 Rp 401,359.82 50 Rp 4,013.60 Rp 200,679.91 50 Rp 4,013.60 Rp 200,679.91
8 KY Jelly tube 0 Rp 85,000.00 Rp - 0 Rp 85,000.00 Rp - Rp 85,000.00 Rp - 0 Rp 85,000.00 Rp -
9 Meviton tablet 0 Rp 2,007.35 Rp - 100 Rp 2,007.35 Rp 200,734.91 Rp 2,007.35 Rp - 100 Rp 2,007.35 Rp 200,734.91
10 epexol 30 mg tablet 0 Rp 1,052.48 Rp - 100 Rp 1,052.48 Rp 105,248.07 Rp 1,052.48 Rp - 100 Rp 1,052.48 Rp 105,248.07
11 Pantocain (Tetrakain HCl) tetes mata botol Rp 31,688.00 Rp - 0 Rp 31,688.00 Rp - Rp 31,688.00 Rp - 0 Rp 31,688.00 Rp -
12 Pantocain (Tetrakain HCl) tetes mata botol 10 Rp 31,000.20 Rp 310,002.00 0 Rp 31,000.20 Rp - Rp 31,000.20 Rp - 10 Rp 31,000.20 Rp 310,002.00
13 Phenolgliserol botol 0 Rp 2,764.00 Rp - 7 Rp 2,764.00 Rp 19,348.00 Rp 2,764.00 Rp - 7 Rp 2,764.00 Rp 19,348.00
14 Propepsa susp 100 ml botol 0 Rp 73,472.97 Rp - 5 Rp 73,472.97 Rp 367,364.83 1 Rp 73,472.97 Rp 73,472.97 4 Rp 73,472.97 Rp 293,891.86
15 Reco (Kloramfenikol) tts telinga 3% botol 0 Rp 11,440.00 Rp - 0 Rp 11,440.00 Rp - Rp 11,440.00 Rp - 0 Rp 11,440.00 Rp -
16 Scabicid krim (Gamexan 10 mg, Asam usnat 10 mg) tube 0 Rp 24,716.25 Rp - 0 Rp 24,716.25 Rp - Rp 24,716.25 Rp - 0 Rp 24,716.25 Rp -
17 Scopamin inj (Hiosin Butilbromida) inj 20 mg/ml ampul 0 Rp 31,687.50 Rp - 0 Rp 31,687.50 Rp - Rp 31,687.50 Rp - 0 Rp 31,687.50 Rp -
18 Vaksin Antirabies Vero (VAR) vial 0 Rp 48,400.00 Rp - 0 Rp 48,400.00 Rp - Rp 48,400.00 Rp - 0 Rp 48,400.00 Rp -
19 Zircum Kid (Zinc) sir 20 mg/ml - 60 ml botol 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp - Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp -
20 Zircum Kid (Zinc) sir 20 mg/ml - 60 ml botol Rp 52,000.00 Rp - 0 Rp 52,000.00 Rp - Rp 52,000.00 Rp - 0 Rp 52,000.00 Rp -
21 Cendo Xytrol TM 5 ml botol 0 Rp 35,850.00 Rp - 0 Rp 35,850.00 Rp - Rp 35,850.00 Rp - 0 Rp 35,850.00 Rp -
22 Cendo Xytrol TM 5 ml botol 0 Rp 58,999.60 Rp - 0 Rp 58,999.60 Rp - Rp 58,999.60 Rp - 0 Rp 58,999.60 Rp -
23 Formalin 40 % botol Rp 42,000.00 Rp - 5 Rp 42,000.00 Rp 210,000.00 2 Rp 42,000.00 Rp 84,000.00 3 Rp 42,000.00 Rp 126,000.00
24 Lexavit (Multivitamin dan Mineral) kaplet kaplet 0 Rp 545.00 Rp - 0 Rp 545.00 Rp - Rp 545.00 Rp - 0 Rp 545.00 Rp -
25 Neurodial (Metampiron 500 mg + Diazepam 2 mg) kaplet kaplet Rp 1,265.00 Rp - 0 Rp 1,265.00 Rp - Rp 1,265.00 Rp - 0 Rp 1,265.00 Rp -
26 Pritamox (Amoxicillin) tab 500 mg tablet 0 Rp 297.00 Rp - 0 Rp 297.00 Rp - Rp 297.00 Rp - 0 Rp 297.00 Rp -
27 Pritamox (Amoxicillin) tab 500 mg tablet 0 Rp 1,210.00 Rp - 0 Rp 1,210.00 Rp - Rp 1,210.00 Rp - 0 Rp 1,210.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
28 Thiamex (Thiamfenikol) kaps 500 mg kapsul 0 Rp 14,469.00 Rp - 0 Rp 14,469.00 Rp - Rp 14,469.00 Rp - 0 Rp 14,469.00 Rp -
29 Vical susp 100 ml botol 0 Rp 4,890.00 Rp - 0 Rp 4,890.00 Rp - Rp 4,890.00 Rp - 0 Rp 4,890.00 Rp -
30 Vitamin D 400 IU/D-Vit tablet tablet 0 Rp 680.00 Rp - 0 Rp 680.00 Rp - Rp 680.00 Rp - 0 Rp 680.00 Rp -
31 Vinafluor (Fluoride) kapl 1 mg kaplet 0 Rp - Rp - 0 Rp - Rp - Rp - Rp - 0 Rp - Rp -
32 Sanmol (Parasetamol) 500 mg tablet Rp 367.92 Rp - 200 Rp 367.92 Rp 73,584.46 200 Rp 367.92 Rp 73,584.46 0 Rp 367.92 Rp -
33 Cardisan ( Amlodipine) 5 mg tablet 0 Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp - Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp -
34 Purecemia (Allopurinol) 300 mg tablet 100 Rp 3,268.75 Rp 326,875.00 30 Rp 3,268.75 Rp 98,062.50 130 Rp 3,268.75 Rp 424,937.50 0 Rp 3,268.75 Rp -
35 Mefinal (Asam Mefenamat) 500 mg kaplet 0 Rp 1,705.82 Rp - 100 Rp 1,705.82 Rp 170,582.15 Rp 1,705.82 Rp - 100 Rp 1,705.82 Rp 170,582.15
36 Neurosanbe (Vit. B1 100 mg, B6 200 mg, B12 200 mg) tablet 0 Rp 3,266.70 Rp - 100 Rp 3,266.70 Rp 326,670.39 Rp 3,266.70 Rp - 100 Rp 3,266.70 Rp 326,670.39
37 Neurosanbe injeksi vial 0 Rp 6,979.37 Rp - 10 Rp 6,979.37 Rp 69,793.74 Rp 6,979.37 Rp - 10 Rp 6,979.37 Rp 69,793.74
38 Santa E 200 (dl. α -Tocopheryl Acetate) 200 mg kaplet 0 Rp 2,243.75 Rp - 0 Rp 2,243.75 Rp - Rp 2,243.75 Rp - 0 Rp 2,243.75 Rp -
39 Mucohexin (Bromhexine HCl) 8 mg tablet Rp 575.00 Rp - 0 Rp 575.00 Rp - Rp 575.00 Rp - 0 Rp 575.00 Rp -
40 Cholvastin (Lovastatin) 20 mg tablet 0 Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp - Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp -
41 OBH Erla sir 100 ml botol 0 Rp 11,818.00 Rp - 0 Rp 11,818.00 Rp - Rp 11,818.00 Rp - 0 Rp 11,818.00 Rp -
42 Caviplex kaplet kaplet 0 Rp 480.00 Rp - 0 Rp 480.00 Rp - Rp 480.00 Rp - 0 Rp 480.00 Rp -
43 SupraVit tablet tablet Rp 770.00 Rp - 0 Rp 770.00 Rp - Rp 770.00 Rp - 0 Rp 770.00 Rp -
44 Erlamycetin sirup 60 ml botol 0 Rp 13,999.70 Rp - 0 Rp 13,999.70 Rp - Rp 13,999.70 Rp - 0 Rp 13,999.70 Rp -
45 Bevita sirup 120 ml botol 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp -
46 pirofel 10 mg tablet Rp 685.67 Rp - 200 Rp 685.67 Rp 137,134.67 Rp 685.67 Rp - 200 Rp 685.67 Rp 137,134.67
47 versyl tab 50's tablet 0 Rp 2,564.31 Rp - 100 Rp 2,564.31 Rp 256,430.68 Rp 2,564.31 Rp - 100 Rp 2,564.31 Rp 256,430.68
48 Vocefa susp 60 ml botol Rp 57,696.90 Rp - 3 Rp 57,696.90 Rp 173,090.71 Rp 57,696.90 Rp - 3 Rp 57,696.90 Rp 173,090.71
49 Nifudiar susp 60 ml botol Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp -
50 Intunal kaplet kaplet Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp - Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp -
51 Farbion tablet tablet Rp 2,310.00 Rp - 0 Rp 2,310.00 Rp - Rp 2,310.00 Rp - 0 Rp 2,310.00 Rp -
52 Pantrin Pirantel Pamoat 250 mg tablet Rp 1,200.00 Rp - 400 Rp 1,200.00 Rp 480,000.00 Rp 1,200.00 Rp - 400 Rp 1,200.00 Rp 480,000.00
53 MY Jelly 80 gram lubrican botol 2 Rp 69,575.00 Rp 139,150.00 0 Rp 69,575.00 Rp - 2 Rp 69,575.00 Rp 139,150.00 0 Rp 69,575.00 Rp -
54 Bufacetin (Kloramfenikol Salep Kulit 2 %) tube Rp 3,645.00 Rp - 24 Rp 3,645.00 Rp 87,480.00 9 Rp 3,645.00 Rp 32,805.00 15 Rp 3,645.00 Rp 54,675.00
55 Harmida (Glibenklamid 2,5 mg) tablet Rp 216.00 Rp - 0 Rp 216.00 Rp - Rp 216.00 Rp - 0 Rp 216.00 Rp -
NILAI OBAT IFK PUSKESMAS AERE Rp 61,921,675.17 Rp 84,028,711.80 Rp 95,312,252.175 Rp 50,638,134.79
OBAT BPJS
1 Allopurinol tab 100 mg tablet Rp - 500 Rp 250.00 Rp 125,000.00 500 Rp 250.00 Rp 125,000.00 0 Rp 250.00 Rp -
2 Ambroksol tab 30 mg tablet 300 Rp 200.00 Rp 60,000.00 500 Rp 200.00 Rp 100,000.00 800 Rp 200.00 Rp 160,000.00 0 Rp 200.00 Rp -
3 Ambroksol tab 30 mg tablet Rp 220.00 Rp - 300 Rp 220.00 Rp 66,000.00 300 Rp 220.00 Rp 66,000.00 0 Rp 220.00 Rp -
4 Amlodipin tab 5 mg tablet Rp 550.00 Rp - 300 Rp 200.00 Rp 60,000.00 100 Rp 200.00 Rp 20,000.00 200 Rp 200.00 Rp 40,000.00
5 Antasida DOEN susp 60 ml botol Rp 5,500.00 Rp - 20 Rp 5,500.00 Rp 110,000.00 20 Rp 5,500.00 Rp 110,000.00 0 Rp 5,500.00 Rp -
6 Antasida DOEN susp 60 ml botol Rp - 20 Rp 6,000.00 Rp 120,000.00 20 Rp 6,000.00 Rp 120,000.00 0 Rp 6,000.00 Rp -
6 Antasida DOEN susp 60 ml botol Rp - 25 Rp 7,000.00 Rp 175,000.00 18 Rp 7,000.00 Rp 126,000.00 7 Rp 7,000.00 Rp 49,000.00
7 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 tablet 50 Rp 140.00 Rp 7,000.00 Rp 140.00 Rp - 50 Rp 140.00 Rp 7,000.00 0 Rp 140.00 Rp -
8 Asam Mefenamat tab 500 mg tablet 250 Rp 400.00 Rp 100,000.00 500 Rp 400.00 Rp 200,000.00 750 Rp 400.00 Rp 300,000.00 0 Rp 400.00 Rp -
9 Cefadroksil kaps/tab 500 mg kapsul Rp - 400 Rp 825.00 Rp 330,000.00 400 Rp 825.00 Rp 330,000.00 0 Rp 825.00 Rp -
10 Cefadroksil kaps/tab 500 mg kapsul 200 Rp 750.00 Rp 150,000.00 Rp 750.00 Rp - 200 Rp 750.00 Rp 150,000.00 0 Rp 750.00 Rp -
11 Cefadroksil kaps/tab 500 mg kapsul Rp 1,125.00 Rp - 500 Rp 800.00 Rp 400,000.00 300 Rp 800.00 Rp 240,000.00 200 Rp 800.00 Rp 160,000.00
11 Cefadroksil kaps/tab 500 mg kapsul Rp 1,125.00 Rp - 200 Rp 840.00 Rp 168,000.00 200 Rp 840.00 Rp 168,000.00 0 Rp 840.00 Rp -
11 Cefadroksil kaps/tab 500 mg kapsul Rp 1,125.00 Rp - 300 Rp 1,000.00 Rp 300,000.00 300 Rp 1,000.00 Rp 300,000.00 0 Rp 1,000.00 Rp -
12 Cetirizine 10 mg tablet Rp - 200 Rp 385.00 Rp 77,000.00 200 Rp 385.00 Rp 77,000.00 0 Rp 385.00 Rp -
13 Cetirizine 10 mg tablet 100 Rp 240.00 Rp 24,000.00 Rp 240.00 Rp - 100 Rp 240.00 Rp 24,000.00 0 Rp 240.00 Rp -
14 Cetirizine 10 mg tablet Rp - 1300 Rp 350.00 Rp 455,000.00 900 Rp 350.00 Rp 315,000.00 400 Rp 350.00 Rp 140,000.00
15 Cetirizine 10 mg tablet Rp - 800 Rp 400.00 Rp 320,000.00 800 Rp 400.00 Rp 320,000.00 0 Rp 400.00 Rp -
15 Ciprofloksasin tablet Rp - 200 Rp 500.00 Rp 100,000.00 Rp 500.00 Rp - 200 Rp 500.00 Rp 100,000.00
15 Ciprofloksasin tablet Rp - 200 Rp 600.00 Rp 120,000.00 200 Rp 600.00 Rp 120,000.00 0 Rp 600.00 Rp -
16 Deksametason tab 0,5 mg tablet Rp - 500 Rp 120.00 Rp 60,000.00 200 Rp 120.00 Rp 24,000.00 300 Rp 120.00 Rp 36,000.00
16 Deksametason tab 0,5 mg tablet Rp - 400 Rp 137.50 Rp 55,000.00 400 Rp 137.50 Rp 55,000.00 0 Rp 137.50 Rp -
16 Deksametason tab 0,5 mg tablet Rp - 400 Rp 140.00 Rp 56,000.00 200 Rp 140.00 Rp 28,000.00 200 Rp 140.00 Rp 28,000.00
17 Deksametason tab 0,5 mg tablet Rp 150.00 Rp - 600 Rp 150.00 Rp 90,000.00 600 Rp 150.00 Rp 90,000.00 0 Rp 150.00 Rp -
18 Deksametason tab 0,5 mg tablet 400 Rp 130.00 Rp 52,000.00 Rp 130.00 Rp - Rp 130.00 Rp - 400 Rp 130.00 Rp 52,000.00
19 Gliseril Guaikolat tab 100 mg tablet Rp 130.00 Rp - 400 Rp 130.00 Rp 52,000.00 400 Rp 130.00 Rp 52,000.00 0 Rp 130.00 Rp -
19 Gliseril Guaikolat tab 100 mg tablet 300 Rp 120.00 Rp 36,000.00 Rp 120.00 Rp - 300 Rp 120.00 Rp 36,000.00 0 Rp 120.00 Rp -
20 Guaefenesin tablet Rp 160.00 Rp - 500 Rp 160.00 Rp 80,000.00 500 Rp 160.00 Rp 80,000.00 0 Rp 160.00 Rp -
21 Ibuprofen tab 400 mg tablet Rp 400.00 Rp - 500 Rp 490.00 Rp 245,000.00 500 Rp 490.00 Rp 245,000.00 0 Rp 490.00 Rp -
22 Ibuprofen tab 400 mg tablet 100 Rp 340.00 Rp 34,000.00 Rp 340.00 Rp - 100 Rp 340.00 Rp 34,000.00 0 Rp 340.00 Rp -
23 Klorfeniramin Maleat (CTM) tab 4 mg tablet Rp 70.00 Rp - 500 Rp 70.00 Rp 35,000.00 500 Rp 70.00 Rp 35,000.00 0 Rp 70.00 Rp -
24 Klorfeniramin Maleat (CTM) tab 4 mg tablet 300 Rp 75.00 Rp 22,500.00 Rp 75.00 Rp - 300 Rp 75.00 Rp 22,500.00 0 Rp 75.00 Rp -
25 Klorfeniramin Maleat (CTM) tab 4 mg tablet Rp - 1300 Rp 80.00 Rp 104,000.00 1000 Rp 80.00 Rp 80,000.00 300 Rp 80.00 Rp 24,000.00
25 Klorfeniramin Maleat (CTM) tab 4 mg tablet 200 Rp 135.00 Rp 27,000.00 Rp 135.00 Rp - 200 Rp 135.00 Rp 27,000.00 0 Rp 135.00 Rp -
26 Metil Prednisolone 4 mg tablet 100 Rp 260.00 Rp 26,000.00 Rp 260.00 Rp - 100 Rp 260.00 Rp 26,000.00 0 Rp 260.00 Rp -
26 Metil Prednisolone 4 mg tablet Rp 260.00 Rp - 400 Rp 300.00 Rp 120,000.00 200 Rp 300.00 Rp 60,000.00 200 Rp 300.00 Rp 60,000.00
26 Metil Prednisolone 4 mg tablet Rp 260.00 Rp - 400 Rp 380.00 Rp 152,000.00 100 Rp 380.00 Rp 38,000.00 300 Rp 380.00 Rp 114,000.00
26 Natrium Diklofenac 25 mg tablet Rp 260.00 Rp - 900 Rp 150.00 Rp 135,000.00 900 Rp 150.00 Rp 135,000.00 0 Rp 150.00 Rp -
26 Natrium Diklofenac 50 mg tablet Rp 260.00 Rp - 500 Rp 200.00 Rp 100,000.00 400 Rp 200.00 Rp 80,000.00 100 Rp 200.00 Rp 20,000.00
27 Oksitetrasiklin HCl salep kulit 3 % - 3,5 g tube 3 Rp 5,000.00 Rp 15,000.00 10 Rp 5,000.00 Rp 50,000.00 13 Rp 5,000.00 Rp 65,000.00 0 Rp 5,000.00 Rp -
28 Oksitetrasiklin HCl salep kulit 3 % - 3,5 g tube Rp - 20 Rp 5,500.00 Rp 110,000.00 20 Rp 5,500.00 Rp 110,000.00 0 Rp 5,500.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
28 Oksitetrasiklin HCl salep mata tube Rp - 10 Rp 7,000.00 Rp 70,000.00 4 Rp 7,000.00 Rp 28,000.00 6 Rp 7,000.00 Rp 42,000.00
29 Paracetamol tab 500 mg tablet 1400 Rp 180.00 Rp 252,000.00 Rp 180.00 Rp - 1400 Rp 180.00 Rp 252,000.00 0 Rp 180.00 Rp -
29 Paracetamol tab 500 mg tablet Rp 200.00 Rp - 1000 Rp 200.00 Rp 200,000.00 1000 Rp 200.00 Rp 200,000.00 0 Rp 200.00 Rp -
30 Paracetamol sir 120 mg/5 ml - 60 ml botol 5 Rp 5,500.00 Rp 27,500.00 35 Rp 5,500.00 Rp 192,500.00 40 Rp 5,500.00 Rp 220,000.00 0 Rp 5,500.00 Rp -
31 Piroxicam tab 10 mg tablet Rp - 500 Rp 200.00 Rp 100,000.00 500 Rp 200.00 Rp 100,000.00 0 Rp 200.00 Rp -
33 Prednison tab 5 mg tablet 200 Rp 250.00 Rp 50,000.00 Rp 250.00 Rp - 200 Rp 250.00 Rp 50,000.00 0 Rp 250.00 Rp -
34 Ranitidin 150 mg tablet Rp - 800 Rp 275.00 Rp 220,000.00 800 Rp 275.00 Rp 220,000.00 0 Rp 275.00 Rp -
35 Ranitidin 150 mg tablet Rp - 1200 Rp 250.00 Rp 300,000.00 800 Rp 250.00 Rp 200,000.00 400 Rp 250.00 Rp 100,000.00
36 Salbutamol tab 4 mg tablet 250 Rp 160.00 Rp 40,000.00 Rp 160.00 Rp - 150 Rp 160.00 Rp 24,000.00 100 Rp 160.00 Rp 16,000.00
37 Simvastatin tab 10 mg tablet Rp - 400 Rp 260.00 Rp 104,000.00 400 Rp 260.00 Rp 104,000.00 0 Rp 260.00 Rp -
37 Simvastatin tab 10 mg tablet Rp - 300 Rp 300.00 Rp 90,000.00 300 Rp 300.00 Rp 90,000.00 0 Rp 300.00 Rp -
38 Simvastatin tab 10 mg tablet 400 Rp 250.00 Rp 100,000.00 Rp 250.00 Rp - 400 Rp 250.00 Rp 100,000.00 0 Rp 250.00 Rp -
39 Vitamin B Kompleks tablet Rp 130.00 Rp - 500 Rp 130.00 Rp 65,000.00 500 Rp 130.00 Rp 65,000.00 0 Rp 130.00 Rp -
42 Asiklovir krim Tube 0 Rp - Rp - 20 Rp 6,000.00 Rp 120,000.00 13 Rp 6,000.00 Rp 78,000.00 7 Rp 6,000.00 Rp 42,000.00
42 Asiklovir krim Tube 0 Rp - Rp - 10 Rp 5,500.00 Rp 55,000.00 10 Rp 5,500.00 Rp 55,000.00 0 Rp 5,500.00 Rp -
43 Asiklovir krim Tube 4 Rp 4,500.00 Rp 18,000.00 Rp 4,500.00 Rp - 4 Rp 4,500.00 Rp 18,000.00 0 Rp 4,500.00 Rp -
44 Domperidon 10 mg tablet 200 Rp 400.00 Rp 80,000.00 Rp 400.00 Rp - 200 Rp 400.00 Rp 80,000.00 0 Rp 400.00 Rp -
45 Domperidon Sirup botol Rp - 10 Rp 9,000.00 Rp 90,000.00 10 Rp 9,000.00 Rp 90,000.00 0 Rp 9,000.00 Rp -
45 Domperidon Sirup botol Rp - 5 Rp 6,000.00 Rp 30,000.00 3 Rp 6,000.00 Rp 18,000.00 2 Rp 6,000.00 Rp 12,000.00
46 Omeprazole 10 mg tablet Rp - 300 Rp 500.00 Rp 150,000.00 300 Rp 500.00 Rp 150,000.00 0 Rp 500.00 Rp -
47 Omeprazole 10 mg box Rp - 10 Rp 20,000.00 Rp 200,000.00 10 Rp 20,000.00 Rp 200,000.00 0 Rp 20,000.00 Rp -
47 Omeprazole 10 mg box Rp - 6 Rp 24,000.00 Rp 144,000.00 6 Rp 24,000.00 Rp 144,000.00 0 Rp 24,000.00 Rp -
47 Omeprazole 10 mg box Rp - 20 Rp 15,000.00 Rp 300,000.00 17 Rp 15,000.00 Rp 255,000.00 3 Rp 15,000.00 Rp 45,000.00
48 Reco Tetes Telinga botol Rp - 10 Rp 13,000.00 Rp 130,000.00 4 Rp 13,000.00 Rp 52,000.00 6 Rp 13,000.00 Rp 78,000.00
48 Ketokonazole salep tube Rp - 10 Rp 7,000.00 Rp 70,000.00 10 Rp 7,000.00 Rp 70,000.00 0 Rp 7,000.00 Rp -
48 Betametasone salep tube Rp - 10 Rp 5,000.00 Rp 50,000.00 3 Rp 5,000.00 Rp 15,000.00 7 Rp 5,000.00 Rp 35,000.00
48 Asam Tranexamat tablet Rp - 100 Rp 2,100.00 Rp 210,000.00 50 Rp 2,100.00 Rp 105,000.00 50 Rp 2,100.00 Rp 105,000.00
48 Pantocain drops Rp - 2 Rp 20,000.00 Rp 40,000.00 Rp 20,000.00 Rp - 2 Rp 20,000.00 Rp 40,000.00
48 Amoksisilin sirup botol Rp - 15 Rp 7,000.00 Rp 105,000.00 12 Rp 7,000.00 Rp 84,000.00 3 Rp 7,000.00 Rp 21,000.00
48 Miconazole Salep tube Rp - 10 Rp 7,000.00 Rp 70,000.00 10 Rp 7,000.00 Rp 70,000.00 0 Rp 7,000.00 Rp -
OBAT KHUSUS
1 Novadium (Loperamide) tablet Rp - 500 Rp 200.00 Rp 100,000.00 500 Rp 200.00 Rp 100,000.00 0 Rp 200.00 Rp -
2 Lecozink tablet Rp - 300 Rp 360.00 Rp 108,000.00 300 Rp 360.00 Rp 108,000.00 0 Rp 360.00 Rp -
2 Lecozink tablet Rp - 300 Rp 350.00 Rp 105,000.00 100 Rp 350.00 Rp 35,000.00 200 Rp 350.00 Rp 70,000.00
3 Forumen TT botol Rp - 8 Rp 35,000.00 Rp 280,000.00 5 Rp 35,000.00 Rp 175,000.00 3 Rp 35,000.00 Rp 105,000.00
4 Histigo (Betahistin) 6 mg tablet Rp - 100 Rp 800.00 Rp 80,000.00 100 Rp 800.00 Rp 80,000.00 0 Rp 800.00 Rp -
4 Histigo (Betahistin) 6 mg tablet Rp - 200 Rp 680.00 Rp 136,000.00 100 Rp 680.00 Rp 68,000.00 100 Rp 680.00 Rp 68,000.00
5 Flunadin tablet Rp - 300 Rp 440.00 Rp 132,000.00 300 Rp 440.00 Rp 132,000.00 0 Rp 440.00 Rp -
6 Flunadin tablet Rp - 200 Rp 450.00 Rp 90,000.00 200 Rp 450.00 Rp 90,000.00 0 Rp 450.00 Rp -
7 Biovitan Sirup tablet Rp 6,000.00 Rp - Rp 6,000.00 Rp - Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp -
8 Biovitan Sirup tablet Rp 7,000.00 Rp - 11 Rp 7,000.00 Rp 77,000.00 11 Rp 7,000.00 Rp 77,000.00 0 Rp 7,000.00 Rp -
9 Arkavit tablet Rp 340.00 Rp - Rp 340.00 Rp - Rp 340.00 Rp - 0 Rp 340.00 Rp -
10 Hufagrip Forte tablet Rp 440.00 Rp - Rp 440.00 Rp - Rp 440.00 Rp - 0 Rp 440.00 Rp -
10 Cendo citrol minidose mini drops Rp - 35 Rp 8,000.00 Rp 280,000.00 35 Rp 8,000.00 Rp 280,000.00 0 Rp 8,000.00 Rp -

1 Alat Suntik 1 ml pcs 50 Rp 1,000.00 Rp 50,000.00 Rp 1,000.00 Rp - 50 Rp 1,000.00 Rp 50,000.00 0 Rp 1,000.00 Rp -
2 Alat Suntik 3 ml pcs 190 Rp 815.00 Rp 154,850.00 Rp 815.00 Rp - 190 Rp 815.00 Rp 154,850.00 0 Rp 815.00 Rp -
3 Alat Suntik 3 ml pcs Rp 960.00 Rp - 400 Rp 1,000.00 Rp 400,000.00 334 Rp 1,000.00 Rp 334,000.00 66 Rp 1,000.00 Rp 66,000.00
3 Alat Suntik 3 ml pcs Rp 960.00 Rp - 100 Rp 850.00 Rp 85,000.00 100 Rp 850.00 Rp 85,000.00 0 Rp 850.00 Rp -
4 Bisturi No.21 box Rp 140,000.00 Rp - 1 Rp 140,000.00 Rp 140,000.00 1 Rp 140,000.00 Rp 140,000.00 0 Rp 140,000.00 Rp -
5 Hand Schoen (Aximed Exam Gloves size M) pcs Rp 100,000.00 Rp - 5 Rp 160,000.00 Rp 800,000.00 5 Rp 160,000.00 Rp 800,000.00 0 Rp 160,000.00 Rp -
5 Hand Schoen (Aximed Exam Gloves size M) pcs Rp 100,000.00 Rp - 5 Rp 150,000.00 Rp 750,000.00 5 Rp 150,000.00 Rp 750,000.00 0 Rp 150,000.00 Rp -
5 Hand Schoen (Aximed Exam Gloves size M) pcs Rp 100,000.00 Rp - 12 Rp 100,000.00 Rp 1,200,000.00 12 Rp 100,000.00 Rp 1,200,000.00 0 Rp 100,000.00 Rp -
6 Hand Schoen (Aximed Exam Gloves size M) box Rp - 17 Rp 120,000.00 Rp 2,040,000.00 17 Rp 120,000.00 Rp 2,040,000.00 0 Rp 120,000.00 Rp -
7 Hand Schoen (Aximed Exam Gloves size M) box Rp - 4 Rp 65,000.00 Rp 260,000.00 4 Rp 65,000.00 Rp 260,000.00 0 Rp 65,000.00 Rp -
10 Hand Schoen Manual Plasenta pcs 3 Rp 25,000.00 Rp 75,000.00 Rp 25,000.00 Rp - 3 Rp 25,000.00 Rp 75,000.00 0 Rp 25,000.00 Rp -
11 IV Catheter no. 20 (Abocath) pcs Rp - 60 Rp 8,500.00 Rp 510,000.00 54 Rp 8,500.00 Rp 459,000.00 6 Rp 8,500.00 Rp 51,000.00
11 IV Catheter no. 20 (Abocath) pcs Rp - 20 Rp 8,000.00 Rp 160,000.00 20 Rp 8,000.00 Rp 160,000.00 0 Rp 8,000.00 Rp -
11 IV Catheter no. 22 (Abocath) pcs Rp - 10 Rp 7,000.00 Rp 70,000.00 4 Rp 7,000.00 Rp 28,000.00 6 Rp 7,000.00 Rp 42,000.00
12 Deksamethason inj 5 mg/ml - 1 ml ampul 0 Rp 3,000.00 Rp - 10 Rp 3,000.00 Rp 30,000.00 10 Rp 3,000.00 Rp 30,000.00 0 Rp 3,000.00 Rp -
13 Oksitosin inj 10 IU/ml - 1 ml ampul 19 Rp 10,000.00 Rp 190,000.00 70 Rp 10,000.00 Rp 700,000.00 79 Rp 10,000.00 Rp 790,000.00 10 Rp 10,000.00 Rp 100,000.00
13 Oksitosin inj 10 IU/ml - 1 ml ampul Rp 10,000.00 Rp - 20 Rp 11,000.00 Rp 220,000.00 20 Rp 11,000.00 Rp 220,000.00 0 Rp 11,000.00 Rp -
14 Ranitidin inj 25 mg/mL ampul 0 Rp - 40 Rp 4,000.00 Rp 160,000.00 40 Rp 4,000.00 Rp 160,000.00 0 Rp 4,000.00 Rp -
15 Ranitidin inj 25 mg/mL ampul 20 Rp 3,500.00 Rp 70,000.00 150 Rp 3,500.00 Rp 525,000.00 150 Rp 3,500.00 Rp 525,000.00 20 Rp 3,500.00 Rp 70,000.00
16 Ketorolac injeksi 10 mg/ml ampul 4 Rp 10,000.00 Rp 40,000.00 Rp 10,000.00 Rp - 4 Rp 10,000.00 Rp 40,000.00 0 Rp 10,000.00 Rp -
17 Ketorolac injeksi 10 mg/ml ampul 0 Rp - 50 Rp 7,000.00 Rp 350,000.00 26 Rp 7,000.00 Rp 182,000.00 24 Rp 7,000.00 Rp 168,000.00
18 Ketorolac injeksi 10 mg/ml ampul 0 Rp - 10 Rp 9,000.00 Rp 90,000.00 10 Rp 9,000.00 Rp 90,000.00 0 Rp 9,000.00 Rp -
18 Ketorolac injeksi 10 mg/ml ampul 0 Rp - 12 Rp 10,000.00 Rp 120,000.00 12 Rp 10,000.00 Rp 120,000.00 0 Rp 10,000.00 Rp -
19 Mersibion Injeksi ampul Rp 7,000.00 Rp - 20 Rp 7,000.00 Rp 140,000.00 10 Rp 7,000.00 Rp 70,000.00 10 Rp 7,000.00 Rp 70,000.00
19 Mersibion Injeksi ampul Rp 8,000.00 Rp - 20 Rp 8,000.00 Rp 160,000.00 20 Rp 8,000.00 Rp 160,000.00 0 Rp 8,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
20 Neurosanbe Injeksi ampul 10 Rp 7,000.00 Rp 70,000.00 Rp 7,000.00 Rp - 10 Rp 7,000.00 Rp 70,000.00 0 Rp 7,000.00 Rp -
20 Neurosanbe Injeksi ampul Rp 10,000.00 Rp - 20 Rp 10,000.00 Rp 200,000.00 20 Rp 10,000.00 Rp 200,000.00 0 Rp 10,000.00 Rp -
21 Ondansetron inj Ampul Rp - 30 Rp 7,000.00 Rp 210,000.00 30 Rp 7,000.00 Rp 210,000.00 0 Rp 7,000.00 Rp -
21 Ondansetron inj Ampul Rp - 20 Rp 8,000.00 Rp 160,000.00 15 Rp 8,000.00 Rp 120,000.00 5 Rp 8,000.00 Rp 40,000.00
22 lidocain ampul Rp - 80 Rp 3,000.00 Rp 240,000.00 45 Rp 3,000.00 Rp 135,000.00 35 Rp 3,000.00 Rp 105,000.00
23 Jarum Lanset pcs 200 Rp 250.00 Rp 50,000.00 Rp 250.00 Rp - 200 Rp 250.00 Rp 50,000.00 0 Rp 250.00 Rp -
24 Etanol (Alkohol) 300 ml botol 4 Rp 11,000.00 Rp 44,000.00 Rp 11,000.00 Rp - 4 Rp 11,000.00 Rp 44,000.00 0 Rp 11,000.00 Rp -
25 Etanol (Alkohol) 300 ml botol Rp 14,000.00 Rp - 5 Rp 14,000.00 Rp 70,000.00 5 Rp 14,000.00 Rp 70,000.00 0 Rp 14,000.00 Rp -
26 Combivent Injeksi ampul 15 Rp 20,000.00 Rp 300,000.00 Rp 20,000.00 Rp - 15 Rp 20,000.00 Rp 300,000.00 0 Rp 20,000.00 Rp -
27 Combivent Injeksi ampul 0 Rp - 20 Rp 10,000.00 Rp 200,000.00 20 Rp 10,000.00 Rp 200,000.00 0 Rp 10,000.00 Rp -
27 Combivent Injeksi ampul 0 Rp - 10 Rp 14,000.00 Rp 140,000.00 10 Rp 14,000.00 Rp 140,000.00 0 Rp 14,000.00 Rp -
28 Farbivent ampul 0 Rp - 10 Rp 14,000.00 Rp 140,000.00 8 Rp 14,000.00 Rp 112,000.00 2 Rp 14,000.00 Rp 28,000.00
33 oksigen besar Tabung 0 Rp 100,000.00 Rp - 1 Rp 200,000.00 Rp 200,000.00 1 Rp 200,000.00 Rp 200,000.00 0 Rp 200,000.00 Rp -
33 oksigen kecil Tabung 0 Rp 100,000.00 Rp - 2 Rp 120,000.00 Rp 240,000.00 2 Rp 120,000.00 Rp 240,000.00 0 Rp 120,000.00 Rp -
33 Baju hazmat box 0 Rp 100,000.00 Rp - 4 Rp 100,000.00 Rp 400,000.00 4 Rp 100,000.00 Rp 400,000.00 0 Rp 100,000.00 Rp -
33 Baju hazmat box 0 Rp 100,000.00 Rp - 2 Rp 135,000.00 Rp 270,000.00 2 Rp 135,000.00 Rp 270,000.00 0 Rp 135,000.00 Rp -
31 Ringer Laktat botol 0 Rp 10,000.00 Rp - 80 Rp 10,000.00 Rp 800,000.00 80 Rp 10,000.00 Rp 800,000.00 0 Rp 10,000.00 Rp -
32 Ringer Laktat botol 0 Rp 9,000.00 Rp - 40 Rp 9,000.00 Rp 360,000.00 40 Rp 9,000.00 Rp 360,000.00 0 Rp 9,000.00 Rp -
33 Vigel Gel Tube 0 Rp 27,500.00 Rp - 3 Rp 30,000.00 Rp 90,000.00 Rp 30,000.00 Rp - 3 Rp 30,000.00 Rp 90,000.00
33 Vigel Gel Tube 0 Rp 27,500.00 Rp - 6 Rp 27,500.00 Rp 165,000.00 6 Rp 27,500.00 Rp 165,000.00 0 Rp 27,500.00 Rp -
33 Pehacain ampul 0 Rp 4,000.00 Rp - 40 Rp 4,500.00 Rp 180,000.00 40 Rp 4,500.00 Rp 180,000.00 0 Rp 4,500.00 Rp -
33 Pehacain ampul 0 Rp 4,000.00 Rp - 40 Rp 4,000.00 Rp 160,000.00 40 Rp 4,000.00 Rp 160,000.00 0 Rp 4,000.00 Rp -
33 Masker box 0 Rp 100,000.00 Rp - 10 Rp 100,000.00 Rp 1,000,000.00 2 Rp 100,000.00 Rp 200,000.00 8 Rp 100,000.00 Rp 800,000.00
33 Infuset Dewasa box 0 Rp 100,000.00 Rp - 30 Rp 8,000.00 Rp 240,000.00 6 Rp 8,000.00 Rp 48,000.00 24 Rp 8,000.00 Rp 192,000.00
NILAI OBAT BPJS PUSKESMAS AERE Rp 2,164,850.00 Rp 26,110,000.00 Rp 24,800,850.000 Rp 3,474,000.00
OBAT PROGRAM
1 Albendasol 400 mg botol 200 Rp - Rp - Rp - 200 Rp - Rp - 0 Rp - Rp -
2 Albendasol 400 mg botol 4 Rp 208,395.00 Rp 833,580.00 34 Rp 208,395.00 Rp 7,085,430.00 33 Rp 208,395.00 Rp 6,877,035.00 5 Rp 208,395.00 Rp 1,041,975.00
3 Dietil Karbamazin tab100 mg botol 1597 Rp 190.00 Rp 303,430.00 18900 Rp 190.00 Rp 3,591,000.00 19350 Rp 190.00 Rp 3,676,500.00 1147 Rp 190.00 Rp 217,930.00
4 Dietil Karbamazin tab100 mg botol Rp - Rp - Rp - Rp - Rp - 0 Rp - Rp -
5 Obat Anti TB Kategori I paket 18 Rp 467,215.00 Rp 8,409,870.00 3 Rp 467,215.00 Rp 1,401,645.00 17 Rp 467,215.00 Rp 7,942,655.00 4 Rp 467,215.00 Rp 1,868,860.00
6 Obat Anti TB Kategori I paket Rp 317,015.00 Rp - Rp 317,015.00 Rp - Rp 317,015.00 Rp - 0 Rp 317,015.00 Rp -
7 Obat Anti TB FDC Kategori 1 paket 5 Rp 396,000.00 Rp 1,980,000.00 Rp 396,000.00 Rp - Rp 396,000.00 Rp - 5 Rp 396,000.00 Rp 1,980,000.00
8 Retinol (Vit A) softcap 100.000 IU Softcaps Rp 341.00 Rp - 500 Rp 346.00 Rp 173,000.00 500 Rp 346.00 Rp 173,000.00 0 Rp 346.00 Rp -
9 Retinol (Vit A) softcap 200.000 IU Softcaps Rp 505.00 Rp - Rp 505.00 Rp - Rp 505.00 Rp - 0 Rp 505.00 Rp -
10 Retinol (Vit A) softcap 200.000 IU Softcaps Rp 622.00 Rp - Rp 622.00 Rp - Rp 622.00 Rp - 0 Rp 622.00 Rp -
11 tablet tambah darah tablet Rp - Rp - Rp - Rp - Rp - 0 Rp - Rp -
12 tablet tambah darah tablet 10880 Rp 427.00 Rp 4,645,760.00 22400 Rp 427.00 Rp 9,564,800.00 17405 Rp 427.00 Rp 7,431,935.00 15269 Rp 427.00 Rp 6,519,863.00
tablet tambah darah tablet 606 Rp 427.00 Rp 258,762.00 Expired
13 vaksin BCG vial 16 Rp 59,959.00 Rp 959,344.00 70 Rp 59,959.00 Rp 4,197,130.00 64 Rp 59,959.00 Rp 3,837,376.00 22 Rp 59,959.00 Rp 1,319,098.00
14 polio vial 2 Rp 19,954.00 Rp 39,908.00 110 Rp 19,954.00 Rp 2,194,940.00 105 Rp 19,954.00 Rp 2,095,170.00 7 Rp 19,954.00 Rp 139,678.00
15 DPT-HB vial 2 Rp 6,285.00 Rp 12,570.00 90 Rp 6,285.00 Rp 565,650.00 90 Rp 6,285.00 Rp 565,650.00 2 Rp 6,285.00 Rp 12,570.00
16 Campak vial Rp 28,204.00 Rp - 165 Rp 28,204.00 Rp 4,653,660.00 134 Rp 28,204.00 Rp 3,779,336.00 31 Rp 28,204.00 Rp 874,324.00
17 IPV vial 3 Rp 12,000.00 Rp 36,000.00 40 Rp 12,000.00 Rp 480,000.00 33 Rp 12,000.00 Rp 396,000.00 10 Rp 12,000.00 Rp 120,000.00
18 Heb.B UNINJECK tablet 12 Rp 76,285.00 Rp 915,420.00 60 Rp 76,285.00 Rp 4,577,100.00 56 Rp 76,285.00 Rp 4,271,960.00 16 Rp 76,285.00 Rp 1,220,560.00
19 DT vial Rp 17,798.00 Rp - 30 Rp 240.00 Rp 7,200.00 15 Rp 240.00 Rp 3,600.00 15 Rp 240.00 Rp 3,600.00
20 TD vial Rp 16,500.00 Rp - 70 Rp 16,500.00 Rp 1,155,000.00 37 Rp 16,500.00 Rp 610,500.00 33 Rp 16,500.00 Rp 544,500.00
21 MDT-MB Dewasa blister Rp 38,595.00 Rp - Rp 38,595.00 Rp - Rp 38,595.00 Rp - 0 Rp 38,595.00 Rp -
22 Rabipur ( Vaksin Rabies) vial Rp 206,250.00 Rp - 8 Rp 206,250.00 Rp 1,650,000.00 8 Rp 206,250.00 Rp 1,650,000.00 0 Rp 206,250.00 Rp -
23 Primaquin tablet Rp 363.00 Rp - Rp 363.00 Rp - Rp 363.00 Rp - 0 Rp 363.00 Rp -
24 DHP tablet Rp 550.00 Rp - Rp 550.00 Rp - Rp 550.00 Rp - 0 Rp 550.00 Rp -
25 RDT Malaria pcs Rp - Rp - Rp - Rp - Rp - 0 Rp - Rp -
26 Pipet 0,05 ml pcs Rp - 100 Rp - Rp - 90 Rp - Rp - 10 Rp - Rp -
27 Pipet 0,5 ml pcs Rp - 600 Rp - Rp - 471 Rp - Rp - 129 Rp - Rp -
28 Pipet 5 ml pcs Rp - 400 Rp - Rp - Rp - Rp - 400 Rp - Rp -
29 Pipet 5 liter pcs Rp - 6 Rp - Rp - Rp - Rp - 6 Rp - Rp -
30 RDT pcs Rp - Rp - Rp - Rp - Rp - 0 Rp - Rp -
31 Zink tablet Rp 641.00 Rp - Rp 641.00 Rp - Rp 641.00 Rp - 0 Rp 641.00 Rp -
32 PMT Balita kg 176 Rp 55,385.00 Rp 9,747,760.00 Rp 55,385.00 Rp - 176 Rp 55,385.00 Rp 9,747,760.00 0 Rp 55,385.00 Rp -
33 PMT Balita kg 30 Rp 73,645.00 Rp 2,209,350.00 Rp 73,645.00 Rp - 30 Rp 73,645.00 Rp 2,209,350.00 0 Rp 73,645.00 Rp -
34 PMT Bumil kg 37 Rp 69,162.00 Rp 2,558,994.00 Rp 69,162.00 Rp - 37 Rp 69,162.00 Rp 2,558,994.00 0 Rp 69,162.00 Rp -
35 PMT Bumil kg 129 Rp 88,275.00 Rp 11,387,475.00 Rp 88,275.00 Rp - 129 Rp 88,275.00 Rp 11,387,475.00 0 Rp 88,275.00 Rp -
36 Rapid HIV + Pipet pcs Rp 11,975.00 Rp - Rp 11,975.00 Rp - Rp 11,975.00 Rp - 0 Rp 11,975.00 Rp -
37 Rapid HBSAG pcs Rp 9,870.00 Rp - Rp 9,870.00 Rp - Rp 9,870.00 Rp - 0 Rp 9,870.00 Rp -
38 Diazepam Injeksi 5 mg/ml vial Rp 2,010.00 Rp - Rp 2,010.00 Rp - Rp 2,010.00 Rp - 0 Rp 2,010.00 Rp -
39 Diazepam 5 mg tablet Rp 109.00 Rp - Rp 109.00 Rp - Rp 109.00 Rp - 0 Rp 109.00 Rp -
40 Haloperidol 1,5 mg tablet Rp 65.00 Rp - Rp 65.00 Rp - Rp 65.00 Rp - 0 Rp 65.00 Rp -
41 Haloperidol 1,5 mg tablet Rp 59.00 Rp - Rp 59.00 Rp - Rp 59.00 Rp - 0 Rp 59.00 Rp -
42 Haloperidol 5 mg tablet Rp 56.00 Rp - Rp 56.00 Rp - Rp 56.00 Rp - 0 Rp 56.00 Rp -
43 Amitripilin 25 mg tablet Rp 167.00 Rp - Rp 167.00 Rp - Rp 167.00 Rp - 0 Rp 167.00 Rp -
44 Fitomenadion Injeksi vial Rp 4,420.00 Rp - Rp 4,420.00 Rp - Rp 4,420.00 Rp - 0 Rp 4,420.00 Rp -
45 SD-HIV pcs Rp 11,975.00 Rp - 300 Rp 11,975.00 Rp 3,592,500.00 300 Rp 11,975.00 Rp 3,592,500.00 0 Rp 11,975.00 Rp -
46 SD-Shypilis pcs Rp 9,300.00 Rp - 100 Rp 9,300.00 Rp 930,000.00 100 Rp 9,300.00 Rp 930,000.00 0 Rp 9,300.00 Rp -
47 Rapid Test Hepatitis pcs Rp 9,870.00 Rp - 150 Rp 9,870.00 Rp 1,480,500.00 150 Rp 9,870.00 Rp 1,480,500.00 0 Rp 9,870.00 Rp -
48 Rapid Test Shypilis pcs Rp 20,400.00 Rp - 50 Rp 20,400.00 Rp 1,020,000.00 50 Rp 20,400.00 Rp 1,020,000.00 0 Rp 20,400.00 Rp -
49 Micro Pipet Tips 60 pcs Rp 179.00 Rp - Rp 179.00 Rp - Rp 179.00 Rp - 0 Rp 179.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
50 Micro Pipet Tips 61 pcs Rp 230.00 Rp - Rp 230.00 Rp - Rp 230.00 Rp - 0 Rp 230.00 Rp -
51 RDT Malaria pcs Rp 6,476.00 Rp - 25 Rp 6,476.00 Rp 161,900.00 25 Rp 6,476.00 Rp 161,900.00 0 Rp 6,476.00 Rp -
52 RDT Malaria pcs Rp 7,710.00 25 Rp 7,710.00 Rp 192,750.00 25 Rp 7,710.00 Rp 192,750.00 0 Rp 7,710.00 Rp -
53 POT Dahak pcs Rp 2,968.00 100 Rp 2,968.00 Rp 296,800.00 100 Rp 2,968.00 Rp 296,800.00 0 Rp 2,968.00 Rp -
NILAI OBAT PROGRAM PUSKESMAS AERE Rp 44,039,461.00 Rp 48,971,005.00 Rp 77,147,508.000 Rp 15,862,958.00
JUMLAH NILAI OBAT PUSKESMAS AERE Rp 108,125,986.17 Rp 159,109,716.80 Rp 197,260,610.175 Rp 69,975,092.79
PUSKESMAS LALOLAE
OBAT IFK
1 Albendazol tab. 400 Tablet 400 Rp 363.00 Rp 145,200.00 Rp 363.00 Rp - Rp 363.00 Rp - 400 Rp 363.00 Rp 145,200.00
2 Albendazol tab. 400 Tablet 0 Rp 484.00 Rp - 100 Rp 484.00 Rp 48,400.00 0 Rp 484.00 Rp - 100 Rp 484.00 Rp 48,400.00
3 ALBENDAZOL SUP 200 MG/5ML Botol 65 Rp 4,619.00 Rp 300,235.00 0 Rp 4,619.00 Rp 4,619.00 Rp - 0 Rp 4,619.00 Rp -
ALBENDAZOL SUP 200 MG/5ML Botol 65 Rp 4,619.00 Rp 300,235.00 Expired
4 ACETYL CISTEIN KAPSUL 200 MG Kapsul 0 Rp 460.00 Rp - Rp 460.00 Rp - 0 Rp 460.00 Rp - 0 Rp 130.00 Rp -
5 ALOPURINOL TABLET 100 MG SATUAN 0 Rp 108.00 Rp - 2000 Rp 108.00 Rp 216,000.00 700 Rp 108.00 Rp 75,600.00 1300 Rp 108.00 Rp 140,400.00
6 ALOPURINOL TABLET 100 MG Tablet 200 Rp 102.00 Rp 20,400.00 1200 Rp 102.00 Rp 122,400.00 900 Rp 102.00 Rp 91,800.00 500 Rp 102.00 Rp 51,000.00
7 Air untuk injeksi 25 ml Vial 0 Rp 2,860.00 Rp - 6 Rp 2,860.00 Rp 17,160.00 Rp 2,860.00 Rp - 6 Rp 2,860.00 Rp 17,160.00
8 Ambroxol syr 15 mg Botol 0 Rp 4,999.50 Rp - Rp 4,999.50 Rp - Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp -
9 Ambroxol syr 15 mg Botol 0 Rp 2,300.00 Rp - Rp 2,300.00 Rp - Rp 2,300.00 Rp - 0 Rp 2,300.00 Rp -
10 Ambroxol tab. 30 mg Tablet 0 Rp 380.00 Rp - Rp 380.00 Rp - Rp 380.00 Rp - 0 Rp 380.00 Rp -
11 Ambroxol tab. 30 mg Tablet 0 Rp 138.00 Rp - Rp 138.00 Rp - Rp 138.00 Rp - 0 Rp 138.00 Rp -
12 Aminofilin Inj 24 mg/ml Ampul 0 Rp 4,204.00 Rp - Rp 4,204.00 Rp - Rp 4,204.00 Rp - 0 Rp 4,204.00 Rp -
13 Amlodipin tab 10 mg Tablet 200 Rp 99.00 Rp 19,800.00 600 Rp 99.00 Rp 59,400.00 800 Rp 99.00 Rp 79,200.00 0 Rp 99.00 Rp -
14 AMLODIPIN KAPLET 10 MG Tablet 0 Rp 110.00 Rp - Rp 110.00 Rp 110.00 Rp - 0 Rp 110.00 Rp -
15 AMLODIPIN 10 MG Tablet 0 Rp 106.00 Rp - 300 Rp 106.00 Rp 31,800.00 300 Rp 106.00 Rp 31,800.00 0 Rp 106.00 Rp -
16 Amlodipin 5 mg Tablet 600 Rp 78.00 Rp 46,800.00 1500 Rp 78.00 Rp 117,000.00 2100 Rp 78.00 Rp 163,800.00 0 Rp 78.00 Rp -
18 Amlodipin 5 mg Tablet Rp 93.00 Rp - Rp 93.00 Rp 93.00 Rp - 0 Rp 93.00 Rp -
19 Amoxicilin kapsul/kaplet 250 mg Kapsul 2000 Rp 198.00 Rp 396,000.00 3000 Rp 198.00 Rp 594,000.00 600 Rp 198.00 Rp 118,800.00 0 Rp 198.00 Rp -
Amoxicilin kapsul/kaplet 250 mg 4400 Rp 198.00 Rp 871,200.00 Expired
20 Amoxicilin kapsul/kaplet 500 mg Kapsul 2600 Rp 336.36 Rp 874,536.00 Rp 336.36 Rp 336.36 Rp - 0 Rp 336.36 Rp -
Amoxicilin kapsul/kaplet 500 mg 2600 Rp 336.36 Rp 874,536.00 Expired
21 AMOKSISILIN KAPLET 500 MG Tablet 0 Rp 248.00 Rp - 2900 Rp 248.00 Rp 719,200.00 2900 Rp 248.00 Rp 719,200.00 0 Rp 248.00 Rp -
22 AMOKSISILIN KAPLET 500 MG Tablet 0 Rp 265.00 Rp - 1000 Rp 265.00 Rp 265,000.00 1000 Rp 265.00 Rp 265,000.00 0 Rp 265.00 Rp -
23 AMOKSISILIN KAPLET 500 MG Tablet 0 Rp 269.00 Rp - 1000 Rp 269.00 Rp 269,000.00 500 Rp 269.00 Rp 134,500.00 500 Rp 269.00 Rp 134,500.00
24 AMOKSISILIN KAPLET 500 MG KAPLET 500 Rp 192.00 Rp 96,000.00 Rp 192.00 500 Rp 192.00 Rp 96,000.00 0 Rp - Rp -
25 Amoxicilin sirup kering 250 mg/5 ml Botol 0 Rp 3,740.00 240 Rp 3,740.00 Rp 897,600.00 40 Rp 3,740.00 Rp 149,600.00 200 Rp 3,740.00 Rp 748,000.00
26 Amoxicilin sirup kering 250 mg/5 ml Botol 0 Rp 4,730.00 Rp - Rp 4,730.00 Rp 4,730.00 Rp - 0 Rp 4,730.00 Rp -
27 AMOKSISILIN SIRUP KERING FORET 250 MG / 5ML Botol 0 Rp 3,797.00 Rp - Rp 3,797.00 Rp 3,797.00 Rp - 0 Rp 3,797.00 Rp -
28 Antasida DOEN I Tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg Tablet 0 Rp 78.00 Rp - Rp 78.00 Rp 78.00 Rp - 0 Rp 78.00 Rp -
29 ANTASIDA DOEN I TABLET KUNYAH, KOMBINASI : ALUMINIUM HIDROK Tablet 0 Rp 57.00 Rp - 5000 Rp 57.00 Rp 285,000.00 4500 Rp 57.00 Rp 256,500.00 500 Rp 57.00 Rp 28,500.00
30 Antasida DOEN II Syirup, kombinasi : Aluminium Hidroksida 200 mg/5 ml M Botol Rp 2,290.00 Rp - Rp 2,290.00 Rp 2,290.00 Rp - 0 Rp 2,290.00 Rp -
32 Anti bakteri DOEN salep kombinasi : Basitrasin 500 IU/g + Polimiksilin 10.00 Tube 0 Rp 3,511.00 Rp - 50 Rp 3,511.00 Rp 175,550.00 50 Rp 3,511.00 Rp 175,550.00 0 Rp 3,511.00 Rp -
34 ASAM ASKORBAT ( VIT. C ) TABLET 50 MG Tablet 0 Rp 125.00 Rp - Rp 125.00 Rp 125.00 Rp - 0 Rp 125.00 Rp -
36 Asam askorbat (Vit.C) 250 mg Tablet 0 Rp 167.00 Rp - Rp 167.00 Rp 167.00 Rp - 0 Rp 167.00 Rp -
37 Asam folat 1 mg Tablet 200 Rp 90.00 Rp 18,000.00 500 Rp 90.00 Rp 45,000.00 400 Rp 90.00 Rp 36,000.00 300 Rp 90.00 Rp 27,000.00
38 Asam mefenamat kaps/kapl 500 mg Tablet 0 Rp 127.00 Rp - Rp 127.00 Rp 127.00 Rp - 0 Rp 127.00 Rp -
39 Asam mefenamat kaps/kapl 500 mg Tablet 0 Rp 160.00 Rp - Rp 160.00 Rp 160.00 Rp - 0 Rp 160.00 Rp -
40 ASAM MEFENAMAT KAPLET 500 MG Kaplet 0 Rp 105.00 Rp - Rp 105.00 Rp 105.00 Rp - 0 Rp 105.00 Rp -
41 ASIKLOVIR 200 MG Tablet 0 Rp 263.00 Rp - Rp 263.00 Rp 263.00 Rp - 0 Rp 263.00 Rp -
42 ASIKLOVIR 200 MG Tablet 0 Rp 236.00 Rp - 1800 Rp 236.00 Rp 424,800.00 0 Rp 236.00 Rp - 1800 Rp 236.00 Rp 424,800.00
43 Asiklovir 400 mg Tablet 200 Rp 440.00 Rp 88,000.00 600 Rp 440.00 Rp 264,000.00 100 Rp 440.00 Rp 44,000.00 0 Rp 440.00 Rp -
Asiklovir 400 mg Tablet 700 Rp 440.00 Rp 308,000.00 Expired
44 Asiklovir 400 mg Tablet 300 Rp 415.00 Rp 124,500.00 Rp 415.00 Rp 415.00 Rp - 0 Rp 415.00 Rp -
Asiklovir 400 mg Tablet 300 Rp 415.00 Rp 124,500.00 Expired
45 ACETIL CYSTEIN Tablet 0 Rp 460.00 Rp - 60 Rp 460.00 Rp 27,600.00 30 Rp 460.00 Rp 13,800.00 0 Rp 460.00 Rp -
ACETIL CYSTEIN Tablet 30 Rp 460.00 Rp 13,800.00 Expired
46 Atropin injeksi i.m/i.v/s.k 0,25 mg/ml (Sulfat) Ampul 9 Rp 1,540.00 Rp 13,860.00 Rp 1,540.00 Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp -
Atropin injeksi i.m/i.v/s.k 0,25 mg/ml (Sulfat) Ampul 9 Rp 1,540.00 Rp 13,860.00 Expired
47 Bedak Salisilk Serbuk 2 % Pot 0 Rp 6,337.00 Rp - Rp 6,337.00 Rp 6,337.00 Rp - 0 Rp 6,337.00 Rp -
48 Bedak Salisilk Serbuk 2 % Pot 0 Rp 1,350.00 Rp - Rp 1,350.00 Rp 1,350.00 Rp - 0 Rp 1,350.00 Rp -
49 BEDAK SALISIL SERBUK 2 % Dus 0 Rp 1,081.00 Rp - Rp 1,081.00 Rp 1,081.00 Rp - 0 Rp 1,081.00 Rp -
50 BETAMETASON DIPROPIONATE 0,05% Tube 0 Rp 3,350.00 Rp - 35 Rp 3,350.00 Rp 117,250.00 35 Rp 3,350.00 Rp 117,250.00 0 Rp 1,596.00 Rp -
51 BETAMETASON KRIM 0,1% Tube 0 Rp 1,450.00 Rp - Rp 1,450.00 Rp 1,450.00 Rp - 0 Rp 1,450.00 Rp -
52 Betahistin Masilat 6 Mg Tablet 0 Rp 924.00 Rp - Rp 924.00 Rp 924.00 Rp - 0 Rp 924.00 Rp -
53 BETAHISTIN TABLET 6 MG Tablet 0 Rp 165.00 Rp - Rp 165.00 0 Rp 165.00 Rp - 0 Rp 165.00 Rp -
54 Captopril 12,5 mg Tablet 1000 Rp 68.00 Rp 68,000.00 Rp 68.00 1000 Rp 68.00 Rp 68,000.00 0 Rp 68.00 Rp -
55 Captopril 12,5 mg Tablet 0 Rp 73.00 Rp - 400 Rp 73.00 Rp 29,200.00 400 Rp 73.00 Rp 29,200.00 0 Rp 73.00 Rp -
56 Cefadroxil 500 Mg Kapsul 0 Rp 763.64 Rp - Rp 763.64 Rp 763.64 Rp - 0 Rp 763.64 Rp -
57 Cefixime 100 Mg Kapsul 0 Rp 1,300.00 Rp - Rp 1,300.00 Rp 1,300.00 Rp - 0 Rp 1,300.00 Rp -
58 CEFIXIME 100 MG KAPSUL Kapsul 0 Rp 4,780.01 Rp - Rp 4,780.01 Rp 4,780.01 Rp - 0 Rp 4,780.01 Rp -
59 DIAZEPAM 2 MG Tablet 0 Rp 86.00 Rp - 100 Rp 86.00 Rp 8,600.00 0 Rp 86.00 Rp - 100 Rp 86.00 Rp 8,600.00
60 DIAZEPAM 5 MG INJ Ampul 0 Rp 2,010.00 Rp - 10 Rp 2,010.00 Rp 20,100.00 Rp 2,010.00 Rp - 10 Rp 2,010.00 Rp 20,100.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
61 cetrizine sir 5 mg/ Botol 45 Rp 3,104.00 Rp 139,680.00 150 Rp 3,104.00 Rp 465,600.00 Rp 3,104.00 Rp - 195 Rp 3,104.00 Rp 605,280.00
62 CETIRIZINE 10 MG TABLET Tablet 0 Rp 620.00 Rp - Rp 620.00 Rp 620.00 Rp - 0 Rp 620.00 Rp -
63 CLINDAMYCIN 300 MG CAPSUL KAPSUL 0 Rp 2,739.99 Rp - Rp 2,739.99 Rp 2,739.99 Rp - 0 Rp 2,739.99 Rp -
64 Deksametason Injeksi i.v/i.m 5 mg/ml Ampul 365 Rp 1,278.00 Rp 466,470.00 Rp 1,278.00 Rp 1,278.00 Rp - 0 Rp 1,278.00 Rp -
Deksametason Injeksi i.v/i.m 5 mg/ml Ampul 365 Rp 1,278.00 Rp 466,470.00 Expired
65 Deksametason Tablet 0,5 mg Tablet 200 Rp 35.00 Rp 7,000.00 Rp 35.00 Rp 35.00 Rp - 200 Rp 35.00 Rp 7,000.00
66 Domperidon Tablet 10 mg Tablet 200 Rp 260.00 Rp 52,000.00 Rp 260.00 200 Rp 260.00 Rp 52,000.00 0 Rp 260.00 Rp -
67 Domperidon Tablet 10 mg Tablet Rp 90.00 Rp - 1100 Rp 90.00 Rp 99,000.00 500 Rp 90.00 Rp 45,000.00 600 Rp 90.00 Rp 54,000.00
68 Epinefrin (Adrenalin) Injeksi i.v/s.k/i.m 1 mg/ml Ampul 8 Rp 8,910.00 Rp 71,280.00 Rp 8,910.00 Rp 8,910.00 Rp - 8 Rp 8,910.00 Rp 71,280.00
69 EPINEFRIN ( ADRENALIN )INJ. 1 MG/ML ( 0,1 % ) Ampul 29 Rp 1,848.00 Rp 53,592.00 Rp 1,848.00 Rp 1,848.00 Rp - 0 Rp 1,848.00 Rp -
EPINEFRIN ( ADRENALIN )INJ. 1 MG/ML ( 0,1 % ) Ampul 29 Rp 1,848.00 Rp 53,592.00 Expired
70 Eritromisin Kapsul/Kaplet 250 mg Kapsul 400 Rp 677.00 Rp 270,800.00 Rp 677.00 Rp 677.00 Rp - 0 Rp 677.00 Rp -
Eritromisin Kapsul/Kaplet 250 mg Kapsul 400 Rp 677.00 Rp 270,800.00 Expired
71 Eritromisin Kapsul/Kaplet 250 mg Kapsul 0 Rp 711.00 Rp - 1100 Rp 711.00 Rp 782,100.00 Rp 711.00 Rp - 1100 Rp 711.00 Rp 782,100.00
72 ERITROMISIN SIRUP KERING 200 MG/5ML Botol 145 Rp 6,622.00 Rp 960,190.00 120 Rp 6,622.00 Rp 794,640.00 50 Rp 6,622.00 Rp 331,100.00 0 Rp 6,622.00 Rp -
ERITROMISIN SIRUP KERING 200 MG/5ML Botol 215 Rp 6,622.00 Rp 1,423,730.00 Expired
73 Eritromisin sirup kering 200 mg/5 ml Botol 0 Rp 8,090.00 Rp - Rp 8,090.00 Rp 8,090.00 Rp - 0 Rp 8,090.00 Rp -
74 Etakridin (Rivanol) Botol 0 Rp 6,000.00 Rp - Rp 6,000.00 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp -
75 furosemide 40 mg tablet 0 Rp 82.00 Rp - 2000 Rp 82.00 Rp 164,000.00 100 Rp 82.00 Rp 8,200.00 1900 Rp 82.00 Rp 155,800.00
76 Fitomenadion (vit.K1) injeksi 10 mg/ml Ampul 0 Rp 4,167.00 Rp - Rp 4,167.00 Rp 4,167.00 Rp - 0 Rp 4,167.00 Rp -
77 Fitomenadion (vit.K1) injeksi i.m 2 mg/ml Ampul 0 Rp 3,754.00 Rp - Rp 3,754.00 Rp 3,754.00 Rp - 0 Rp 3,754.00 Rp -
78 FITOMENADION (VIT.K1) INJ. 2 MG/ML Ampul 0 Rp 4,420.00 Rp - 10 Rp 4,420.00 Rp 44,200.00 10 Rp 4,420.00 Rp 44,200.00 0 Rp 4,260.00 Rp -
79 Fitomenadion (vit.K1) tablet salut gula 10 mg Tablet 0 Rp 855.00 Rp - Rp 855.00 Rp 855.00 Rp - 0 Rp 855.00 Rp -
80 Formalin 40 % Botol 1 Rp 42,000.00 Rp 42,000.00 Rp 42,000.00 Rp 42,000.00 Rp - 1 Rp 42,000.00 Rp 42,000.00
81 Garam Oralit Serbuk , kombinasi : Natrium klorida 0,52 g, Kalium klorida 0,30 saccet 1100 Rp 317.00 Rp 348,700.00 Rp 317.00 300 Rp 317.00 Rp 95,100.00 0 Rp 317.00 Rp -
Garam Oralit Serbuk , kombinasi : Natrium klorida 0,52 g, Kalium klorida 0,30 saccet 800 Rp 317.00 Rp 253,600.00 Expired
82 gentamicin salep mata 0,3% tube 9 Rp 3,210.00 Rp 28,890.00 10 Rp 3,210.00 Rp 32,100.00 10 Rp 3,210.00 Rp 32,100.00 9 Rp 3,210.00 Rp 28,890.00
83 glibenklamide 5 mg Tablet 100 Rp 143.00 Rp 14,300.00 Rp 143.00 100 Rp 143.00 Rp 14,300.00 0 Rp 143.00 Rp -
85 GLIMEPERIDE TABLET 1 MG Tablet 0 Rp 200.00 Rp - Rp 200.00 Rp 200.00 Rp - 0 Rp 200.00 Rp -
86 GLIMEPERIDE TABLET 2 MG Tablet 500 Rp 207.00 Rp 103,500.00 Rp 207.00 Rp 207.00 Rp - 500 Rp 207.00 Rp 103,500.00
87 Gliseril Guaikolat (GG) 100 mg Tablet 0 Rp 26.62 Rp - Rp 26.62 Rp 26.62 Rp - 0 Rp 26.62 Rp -
88 Gliseril Guaikolat (GG) 100 mg Tablet 0 Rp 127.00 Rp - Rp 127.00 Rp 127.00 Rp - 0 Rp 127.00 Rp -
89 Glukosa Larutan Infus 5% steril Botol 4118 Rp 5,720.00 Rp 23,554,960.00 Rp 5,720.00 0 Rp 5,720.00 Rp - 0 Rp 5,720.00 Rp -
Glukosa Larutan Infus 5% steril Botol 4118 Rp 5,720.00 Rp 23,554,960.00 Expired
90 GLUKOSA LARUTAN INFUS 5% Botol 60 Rp 6,900.00 Rp 414,000.00 400 Rp 6,900.00 Rp 2,760,000.00 50 Rp 6,900.00 Rp 345,000.00 0 Rp 6,900.00 Rp -
GLUKOSA LARUTAN INFUS 5% Botol 410 Rp 6,900.00 Rp 2,829,000.00 Expired
91 Griseofulvin tablet 125 mg Tablet 400 Rp 230.00 Rp 92,000.00 Rp 230.00 Rp 230.00 Rp - 400 Rp 230.00 Rp 92,000.00
92 GENERIk ANTIFUNGI SALEP Pot 0 Rp 5,395.00 Rp - 72 Rp 5,395.00 Rp 388,440.00 35 Rp 5,395.00 Rp 188,825.00 37 Rp 5,395.00 Rp 199,615.00
93 HALOPERIDOL TABLET 1,5 M Tablet 0 Rp 65.00 Rp - Rp 65.00 Rp 65.00 Rp - 0 Rp 65.00 Rp -
94 Hidrogen Peroksida cairan konsentrat Botol 0 Rp 34,222.50 Rp - Rp 34,222.50 Rp 34,222.50 Rp - 0 Rp 34,222.50 Rp -
95 Hydroklortiazid (HCT) 25 mg tablet Tablet 0 Rp 186.00 Rp - 4500 Rp 186.00 Rp 837,000.00 Rp 186.00 Rp - 4500 Rp 186.00 Rp 837,000.00
96 HIDROKLORTIAZID TABLET 25 MG Tablet 0 Rp 179.00 Rp - Rp 179.00 Rp 179.00 Rp - 0 Rp 179.00 Rp -
97 Hydrokortison 2,5 % krim 5 gram Tube 46 Rp 2,648.00 Rp 121,808.00 360 Rp 2,648.00 Rp 953,280.00 118 Rp 2,648.00 Rp 312,464.00 288 Rp 2,648.00 Rp 762,624.00
98 Ibuprofen suspensi 200 mg/5 ml Botol 0 Rp 5,509.00 Rp - 54 Rp 5,509.00 Rp 297,486.00 Rp 5,509.00 Rp - 54 Rp 5,509.00 Rp 297,486.00
99 Ibuprofen suspensi 200 mg/5 ml Botol 0 Rp 2,620.00 Rp - Rp 2,620.00 Rp 2,620.00 Rp - 0 Rp 2,620.00 Rp -
100 Ibuprofen suspensi 100 mg/5 ml Botol 0 Rp 5,709.00 Rp - 36 Rp 5,709.00 Rp 205,524.00 Rp 5,709.00 Rp - 36 Rp 5,709.00 Rp 205,524.00
101 Ibuprofen tablet 200 mg Tablet 0 Rp 116.00 Rp 116.00 Rp 116.00 Rp - 0 Rp 116.00 Rp -
102 Kalsium Glukonat Inj. i.v 10% (100 mg/ml) Ampul 0 Rp 5,362.50 Rp - Rp 5,362.50 Rp 5,362.50 Rp - 0 Rp 5,362.50 Rp -
103 Kalsium Laktat (kalk) 500mg Tablet 0 Rp 64.00 Rp - Rp 64.00 Rp 64.00 Rp - 0 Rp 64.00 Rp -
104 Kalsium Laktat (kalk) 500mg Tablet 200 Rp 60.00 Rp 12,000.00 5000 Rp 60.00 Rp 300,000.00 1400 Rp 60.00 Rp 84,000.00 3800 Rp 60.00 Rp 228,000.00
105 Katopril Tablet Scored 12,5 mg Tablet 0 Rp 73.00 Rp - 0 Rp 73.00 Rp - 0 Rp 73.00 Rp - 0 Rp 73.00 Rp -
106 Karbon aktif tablet Tablet 0 Rp 126.75 Rp - Rp 126.75 Rp 126.75 Rp - 0 Rp 126.75 Rp -
107 Ketokonazole 200 mg Tablet 5 Rp 2,694.00 Rp 13,470.00 Rp 2,694.00 5 Rp 2,694.00 Rp 13,470.00 0 Rp 320.00 Rp -
108 KLORAMPHENICOL 250MG CAPS Kapsul Rp 1,110.00 Rp - Rp 1,110.00 Rp 1,110.00 Rp - 0 Rp 1,110.00 Rp -
109 Kloramfenikol kapsul/kaplet 250 mg Kapsul 1900 Rp 275.00 Rp 522,500.00 0 Rp 275.00 Rp - 0 Rp 275.00 Rp - 0 Rp 275.00 Rp -
Kloramfenikol kapsul/kaplet 250 mg Kapsul 1900 Rp 275.00 Rp 522,500.00 Expired
110 Kloramfenikol salep mata 1 % Tube 0 Rp 1,000.00 Rp - Rp 1,000.00 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp -
111 KLORAMFENIKOL SALEP MATA 1 % Tube 0 Rp 1,850.00 Rp - Rp 1,850.00 Rp 1,850.00 Rp - 0 Rp 1,850.00 Rp -
112 Kloramfenikol salep kulit 2 % tube 6 Rp 3,645.00 Rp 21,870.00 Rp 3,645.00 Rp 3,645.00 Rp - 6 Rp 3,645.00 Rp 21,870.00
113 kombinasi:ferro fumarat 60 mg+asam folat Tablet 0 Rp 427.00 Rp - 28000 Rp 427.00 Rp 11,956,000.00 1400 Rp 427.00 Rp 597,800.00 0 Rp 427.00 Rp -
kombinasi:ferro fumarat 60 mg+asam folat Tablet 26600 Rp 427.00 Rp 11,358,200.00 Expired
114 Klorfeniramin Maleat (CTM) 4mg Tablet 0 Rp 16.00 Rp - Rp 16.00 Rp 16.00 Rp - 0 Rp 16.00 Rp -
115 Klorfeniramin Maleat (CTM) 4mg sssss 0 Rp 25.00 Rp - Rp 25.00 Rp 25.00 Rp - 0 Rp 25.00 Rp -
116 KLORFENIRAMINA MALEAT ( CTM ) TABLET 4 MG Tablet 1400 Rp 40.00 Rp 56,000.00 Rp 40.00 Rp 40.00 Rp - 1400 Rp 40.00 Rp 56,000.00
117 KODEIN TABLET 10 MG Tablet 0 Rp 660.00 Rp - Rp 660.00 Rp 660.00 Rp - 0 Rp 660.00 Rp -
118 KOTRIMOKSAZOL ( DEWASA ) KOMBINASI : SULFAMEKTOKSAZOL 400 Tablet 500 Rp 135.00 Rp 67,500.00 Rp 135.00 Rp 135.00 Rp - 500 Rp 135.00 Rp 67,500.00
119 Rp - Rp - Rp - 0 Rp -
120 KOTRIMOKSAZOL ( DEWASA ) KOMBINASI : SULFAMEKTOKSAZOL 400 Tablet 200 Rp 129.00 Rp 25,800.00 6500 Rp 129.00 Rp 838,500.00 1700 Rp 129.00 Rp 219,300.00 5000 Rp 129.00 Rp 645,000.00
121 Kotrimoksazol suspensi kombinasi ; Sulfametoksazol 200 mg + Trimetropin Botol 0 Rp 2,462.00 Rp - Rp 2,462.00 Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp -
122 Kotrimoksazol suspensi kombinasi ; Sulfametoksazol 200 mg + Trimetropin Botol 10 Rp 2,115.00 Rp 21,150.00 220 Rp 2,115.00 Rp 465,300.00 20 Rp 2,115.00 Rp 42,300.00 210 Rp 2,115.00 Rp 444,150.00
123 Kotrimoksazol suspensi kombinasi ; Sulfametoksazol 200 mg + Trimetropin Botol 0 2,257.00 Rp - 175 Rp 2,257.00 Rp 394,975.00 2,257.00 Rp - 175 Rp 2,257.00 Rp 394,975.00
124 Larutan elektrolit KAEN 3B Botol 0 Rp 11,314.00 Rp - 100 Rp 11,314.00 Rp 1,131,400.00 Rp 11,314.00 Rp - 100 Rp 11,314.00 Rp 1,131,400.00
125 Larutan mengandung elektrolit (Ringer laktat) Botol 80 Rp 7,150.00 Rp 572,000.00 Rp 7,150.00 80 Rp 7,150.00 Rp 572,000.00 0 Rp 7,150.00 Rp -
126 Larutan mengandung elektrolit (Ringer laktat) Botol 0 7,630,00 Rp - 100 Rp 7,630.00 Rp 763,000.00 55 Rp 7,630.00 Rp 419,650.00 45 Rp 7,630.00 Rp 343,350.00
127 Lisol Botol 0 Rp 21,500.00 Rp - Rp 21,500.00 Rp 21,500.00 Rp - 0 Rp 21,500.00 Rp -
128 Lisol Botol 4 Rp 31,570.00 Rp 126,280.00 5 Rp 31,570.00 Rp 157,850.00 9 Rp 31,570.00 Rp 284,130.00 0 Rp 31,570.00 Rp -
129 lidocain inj 2 % ampul 15 Rp 1,375.00 Rp 20,625.00 40 Rp 1,375.00 Rp 55,000.00 45 Rp 1,375.00 Rp 61,875.00 10 Rp 1,375.00 Rp 13,750.00
130 Loperamid tablet 2 mg Tablet 500 Rp 91.00 Rp 45,500.00 Rp 91.00 200 Rp 91.00 Rp 18,200.00 0 Rp 91.00 Rp -
Loperamid tablet 2 mg Tablet 300 Rp 91.00 Rp 27,300.00 Expired
131 Loratidin tablet 10 mg Tablet 0 Rp 302.80 Rp - Rp 302.80 Rp 302.80 Rp - 0 Rp 302.80 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
132 MAGNESIUM SULFAT INJEKSI 20 % ( MGSO4 ) 20 Ampul 20 Rp 3,200.00 Rp 64,000.00 Rp 3,200.00 Rp 3,200.00 Rp - 20 Rp 3,200.00 Rp 64,000.00
133 Magnesium Sulfat 40% injeksi - 25 ml Vial 0 Rp 2,000.00 Rp - Rp 2,000.00 Rp 2,000.00 Rp - 0 Rp 2,000.00 Rp -
134 MAGNESIUM SULFAT INJEKSI 40 % ( MGSO4 ) 40 Ampul 20 Rp 3,650.00 Rp 73,000.00 Rp 3,650.00 Rp 3,650.00 Rp - 20 Rp 3,650.00 Rp 73,000.00
135 Magnesium Sulfat serbuk 30 gram Sachet 0 Rp 3,802.00 Rp - Rp 3,802.00 Rp 3,802.00 Rp - 0 Rp 3,802.00 Rp -
136 MELOXICAM 15 MG TABLET Tablet 0 Rp 2,380.00 Rp - Rp 2,380.00 Rp 2,380.00 Rp - 0 Rp 2,380.00 Rp -
137 Metampiron (antalgin) 2 ml injeksi Ampul 0 Rp 1,925.00 Rp - Rp 1,925.00 Rp 1,925.00 Rp - 0 Rp 1,925.00 Rp -
138 Metampiron (antalgin) 500 mg Tablet 0 Rp 155.00 Rp - Rp 155.00 Rp 155.00 Rp - 0 Rp 155.00 Rp -
139 Metampiron (antalgin) 500 mg Tablet 300 Rp 1,440.00 Rp 431,999.70 Rp 1,440.00 Rp 1,440.00 Rp - 300 Rp 1,440.00 Rp 431,999.70
140 METILERGOMETRIN INJ. 0,2 MG/ML Ampul 20 Rp 3,421.00 Rp 68,420.00 Rp 3,421.00 Rp 3,421.00 Rp - 20 Rp 3,421.00 Rp 68,420.00
141 METILERGOMETRIN INJ. 0,125 MG Tablet 0 Rp 271.00 Rp - 300 Rp 271.00 Rp 81,300.00 Rp 271.00 Rp - 300 Rp 271.00 Rp 81,300.00
142 Metilprednisolon tablet 4 mg Tablet Rp 170.00 Rp - Rp 170.00 0 Rp 170.00 Rp - 0 Rp 170.00 Rp -
143 Metilprednisolon tablet 4 mg Tablet 400 Rp 143.00 Rp 57,200.00 700 Rp 143.00 Rp 100,100.00 100 Rp 143.00 Rp 14,300.00 0 Rp 143.00 Rp -
Metilprednisolon tablet 4 mg Tablet 1000 Rp 143.00 Rp 143,000.00 Expired
144 Metformin 500 mg Tablet Rp 165.00 Rp - Rp 165.00 0 Rp 165.00 Rp - 0 Rp 165.00 Rp -
145 Metformin 500 mg Tablet 400 Rp 110.00 Rp 44,000.00 1400 Rp 110.00 Rp 154,000.00 1800 Rp 110.00 Rp 198,000.00 0 Rp 110.00 Rp -
146 Metoklorperamide tablet 5 mg Tablet 0 Rp 129.00 Rp - 1000 Rp 129.00 Rp 129,000.00 Rp 129.00 Rp - 1000 Rp 129.00 Rp 129,000.00
148 Metoklorperamide tablet 10 mg Tablet 400 Rp 87.00 Rp 34,800.00 2000 Rp 87.00 Rp 174,000.00 500 Rp 87.00 Rp 43,500.00 1900 Rp 87.00 Rp 165,300.00
149 Metronidazol tablet 250 mg Tablet 500 Rp 116.00 Rp 58,000.00 Rp 116.00 500 Rp 116.00 Rp 58,000.00 0 Rp 116.00 Rp -
150 METRONIDAZOLE TABLET 250 MG Tablet 0 Rp 97.00 Rp - Rp 97.00 Rp 97.00 Rp - 0 Rp 97.00 Rp -
151 Metronidazol tablet 500 mg Tablet 900 Rp 169.00 Rp 152,100.00 Rp 169.00 Rp 169.00 Rp - 900 Rp 169.00 Rp 152,100.00
152 METRONIDAZOLE TABLET 500 MG Tablet 0 Rp 117.00 Rp - Rp 117.00 Rp 117.00 Rp - 0 Rp 117.00 Rp -
153 Miconazole 2% krim (nitrat) Tube 5 Rp 4,097.00 Rp 20,485.00 Rp 4,097.00 5 Rp 4,097.00 Rp 20,485.00 0 Rp 4,097.00 Rp -
154 Natrium Diklofenat tablet 25 mg Tablet 0 Rp 146.00 Rp - Rp 146.00 Rp 146.00 Rp - 0 Rp 146.00 Rp -
155 Natrium Diklofenat tablet 50 mg Tablet 0 Rp 193.00 Rp - Rp 193.00 Rp 193.00 Rp - 0 Rp 193.00 Rp -
156 Natrium Diklofenat tablet 25 mg Tablet 600 Rp 154.00 Rp 92,400.00 1800 Rp 154.00 Rp 277,200.00 2000 Rp 154.00 Rp 308,000.00 400 Rp 154.00 Rp 61,600.00
157 Natrium Diklofenat tablet 50 mg Tablet 100 Rp 146.00 Rp 14,600.00 Rp 146.00 Rp 146.00 Rp - 100 Rp 146.00 Rp 14,600.00
158 Natrium Klorida (NaCl) 0.9% larutan infus 500 ml Botol 0 Rp 5,170.00 Rp - Rp 5,170.00 Rp 5,170.00 Rp - 0 Rp 5,170.00 Rp -
159 Natrium Klorida (NaCl) 0.9% larutan infus 500 ml Botol 25 Rp 6,410.00 Rp 160,250.00 60 Rp 6,410.00 Rp 384,600.00 23 Rp 6,410.00 Rp 147,430.00 62 Rp 6,410.00 Rp 397,420.00
160 Nifedipine tablet 10 mg Tablet 0 Rp 127.00 Rp - Rp 127.00 Rp 127.00 Rp - 0 Rp 127.00 Rp -
161 Nistatin 500.000 IU tablet salut Tablet 0 Rp 704.00 Rp - Rp 704.00 Rp 704.00 Rp - 0 Rp 704.00 Rp -
162 Nystatin salut gula 500.000 IU Tablet 0 Rp 950.00 Rp - 500 Rp 950.00 Rp 475,000.00 Rp 950.00 Rp - 500 Rp 950.00 Rp 475,000.00
163 Nistatin 100.000 IU tablet vaginal Tablet 100 Rp 675.00 Rp 67,500.00 1200 Rp 675.00 Rp 810,000.00 100 Rp 675.00 Rp 67,500.00 1200 Rp 675.00 Rp 810,000.00
164 Nistatin 100.000 IU tablet vaginal Tablet 300 Rp 528.00 Rp 158,400.00 Rp 528.00 Rp 528.00 Rp - 300 Rp 528.00 Rp 158,400.00
165 Obat Batuk Hitam (OBH) syrup 100 ml Botol 0 Rp 1,500.00 Rp - Rp 1,500.00 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp -
166 OBH ERLA SIRUP BOTOL KACA 100 ML Botol 25 Rp 12,999.80 Rp 324,995.00 Rp 12,999.80 Rp 12,999.80 Rp - 0 Rp 12,999.80 Rp -
OBH ERLA SIRUP BOTOL KACA 100 ML Botol 25 Rp 12,999.80 Rp 324,995.00 Expired
167 OFLOKSASIN TABLET 200 MG Tablet 420 Rp 531.00 Rp 223,020.00 500 Rp 531.00 Rp 265,500.00 100 Rp 531.00 Rp 53,100.00 820 Rp 531.00 Rp 435,420.00
168 Oksitetrasiklin HCl SK 3 % Tube 0 Rp 2,009.00 Rp - Rp 2,009.00 Rp 2,009.00 Rp - 0 Rp 2,009.00 Rp -
169 Oksitetrasiklin HCL Salep Mata 1 % Tube 0 Rp 1,330.00 Rp - Rp 1,330.00 Rp 1,330.00 Rp - 0 Rp 1,330.00 Rp -
170 OXYTETRACYCLINE SALEP MATA 1% 3.5 G Tube 0 Rp 2,600.00 Rp - 8 Rp 2,600.00 Rp 20,800.00 8 Rp 2,600.00 Rp 20,800.00 0 Rp 2,600.00 Rp -
171 OKSITOSIN INJ 10 UI/ML Ampul 0 Rp 1,900.00 Rp - Rp 1,900.00 Rp 1,900.00 Rp - 0 Rp 1,900.00 Rp -
172 Omeprasol kapsul/kaplet 20 mg Tablet 0 Rp 371.20 Rp - Rp 371.20 Rp 371.20 Rp - 0 Rp 371.20 Rp -
173 OMEPRAZOL TABLET 20 MG TABLET 0 Rp 143.00 Rp - Rp 143.00 Rp 143.00 Rp - 0 Rp 143.00 Rp -
174 OMEPRAZOL TABLET 20 MG TABLET 200 Rp 153.00 Rp 30,600.00 Rp 153.00 200 Rp 153.00 Rp 30,600.00 0 Rp 153.00 Rp -
175 ONDANSENTRON TABLET 4 MG TABLET 100 Rp 546.00 Rp 54,600.00 Rp 546.00 100 Rp 546.00 Rp 54,600.00 0 Rp 546.00 Rp -
176 Paracetamol drop 100mg/ml Botol 62 Rp 7,979.00 Rp 494,698.00 168 Rp 7,979.00 Rp 1,340,472.00 30 Rp 7,979.00 Rp 239,370.00 0 Rp 7,979.00 Rp -
Paracetamol drop 100mg/ml Botol 200 Rp 7,979.00 Rp 1,595,800.00 Expired
177 Paracetamol 120 mg/5 ml syrup Botol 0 Rp 1,535.00 Rp - Rp 1,535.00 Rp 1,535.00 Rp - 0 Rp 1,535.00 Rp -
178 PARASETAMOL SIRUP 120 MG/ 5 ML BOTOL 0 Rp 1,190.00 Rp - Rp 1,190.00 Rp 1,190.00 Rp - 0 Rp 1,190.00 Rp -
179 PARASETAMOL TABLET 500 MG TABLET 0 Rp 52.00 Rp - Rp 52.00 Rp 52.00 Rp - 0 Rp 52.00 Rp -
180 Piracetam tablet 800 mg Tablet 0 Rp 964.00 Rp - Rp 964.00 Rp 964.00 Rp - 0 Rp 964.00 Rp -
181 PIRACETAM 800 MG CAPLET KAPLET 200 Rp 960.00 Rp 192,000.60 Rp 960.00 Rp 960.00 Rp - 200 Rp 960.00 Rp 192,000.60
182 Pirantel tablet score (base) 125 mg Tablet 100 Rp 346.00 Rp 34,600.00 Rp 346.00 Rp 346.00 Rp - 100 Rp 346.00 Rp 34,600.00
183 PIRANTEL PAMOAT TABLET 125 MG Tablet 2500 Rp 305.00 Rp 762,500.00 Rp 305.00 Rp 305.00 Rp - 0 Rp 305.00 Rp -
PIRANTEL PAMOAT TABLET 125 MG Tablet 2500 Rp 305.00 Rp 762,500.00 Expired
184 Pirantel Suspensi 125 mg/5 ml Botol 10 Rp 11,600.00 Rp 116,000.00 Rp 11,600.00 Rp 11,600.00 Rp - 10 Rp 11,600.00 Rp 116,000.00
185 Piridoksin 10 mg (Vitamin B6) Tablet 12500 Rp 148.00 Rp 1,850,000.00 9000 Rp 148.00 Rp 1,332,000.00 13300 Rp 148.00 Rp 1,968,400.00 0 Rp 148.00 Rp -
Piridoksin 10 mg (Vitamin B6) Tablet 8200 Rp 148.00 Rp 1,213,600.00 Expired
186 PIRIDOKSIN ( VIT. B6 ) TABLET 10 MG TABLET 0 Rp 142.00 Rp - Rp 142.00 Rp 142.00 Rp - 0 Rp 142.00 Rp -
187 Piroksikam 10 mg Tablet Rp 148.00 Rp - Rp 148.00 Rp 148.00 Rp - 0 Rp 148.00 Rp -
188 Piroksikam 10 mg Tablet 0 Rp 131.00 Rp - Rp 131.00 Rp 131.00 Rp - 0 Rp 131.00 Rp -
189 PIROXICAM 10 MG TABLET TABLET 900 Rp 230.00 Rp 206,999.10 Rp 230.00 Rp 230.00 Rp - 900 Rp 230.00 Rp 206,999.10
190 Pritamox Tablet Tablet 0 Rp 1,210.00 Rp - Rp 1,210.00 Rp 1,210.00 Rp - 0 Rp 1,210.00 Rp -
191 Povidon Iodida larutan 10%,30 ml Botol Rp 3,480.00 Rp - 20 Rp 3,480.00 Rp 69,600.00 1 Rp 3,480.00 Rp 3,480.00 19 Rp 3,480.00 Rp 66,120.00
192 Povidon Iodida larutan 10%,300 ml Botol 0 Rp 21,600.00 Rp - 13 Rp 21,600.00 Rp 280,800.00 2 Rp 21,600.00 Rp 43,200.00 11 Rp 21,600.00 Rp 237,600.00
193 PREDNISON TABLET 5 MG Tablet 0 Rp 79.00 Rp - 1500 Rp 79.00 Rp 118,500.00 900 Rp 79.00 Rp 71,100.00 600 Rp 79.00 Rp 47,400.00
194 PREDNISON TABLET 5 MG Tablet 1400 Rp 85.00 Rp 119,000.00 Rp 85.00 Rp 85.00 Rp - 0 Rp 85.00 Rp -
PREDNISON TABLET 5 MG Tablet 1400 Rp 85.00 Rp 119,000.00 Expired
195 Propiltiourasil tablet ( PTU) 100 mg Tablet 100 Rp 514.00 Rp 51,400.00 Rp 514.00 Rp 514.00 Rp - 100 Rp 514.00 Rp 51,400.00
196 RETINOL ( VIT. A ) 200.000 KAPSUL 0 Rp 505.00 Rp - Rp 505.00 Rp 505.00 Rp - 0 Rp 505.00 Rp -
197 RETINOL ( VIT. A ) 200.000 KAPSUL 0 Rp 346.00 Rp - 750 Rp 346.00 Rp 259,500.00 50 Rp 346.00 Rp 17,300.00 0 Rp 346.00 Rp -
700 Rp 346.00 Rp 242,200.00 Expired
198 RETINOL ( VIT. A ) 100.000 KAPSUL 0 Rp 341.00 Rp - Rp 341.00 Rp - Rp 341.00 Rp - 0 Rp 341.00 Rp -
199 Ranitidin 150mg Tablet 0 Rp 200.00 Rp - Rp 200.00 Rp 200.00 Rp - 0 Rp 200.00 Rp -
200 salep 24 kombinasi pot 38 Rp 3,143.00 Rp 119,434.00 Rp 3,143.00 38 Rp 3,143.00 Rp 119,434.00 0 Rp 3,143.00 Rp -
201 Sefadroksil 500 mg Kapsul 0 Rp 200.00 Rp - Rp 200.00 Rp 200.00 Rp - 0 Rp 200.00 Rp -
202 Sefadroksil 125 mg/5 ml SK 60ml Botol 0 Rp 3,421.00 Rp - Rp 3,421.00 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp -
203 Serum Anti bisa Ular 5ml (ABU I) Vial 0 Rp 597,902.57 Rp - Rp 597,902.57 Rp 597,902.57 Rp - 0 Rp 597,902.57 Rp -
204 Sianokobalamin (vit.B12) 500 mcg injeksi 1ml Ampul 0 Rp 10,560.00 Rp - Rp 10,560.00 Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp -
205 Simvastatin 10 mg Tablet 0 Rp 270.00 Rp - Rp 270.00 Rp 270.00 Rp - 0 Rp 270.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
206 Simvastatin 10 mg Tablet 400 Rp 117.00 Rp 46,800.00 1110 Rp 117.00 Rp 129,870.00 1210 Rp 117.00 Rp 141,570.00 300 Rp 117.00 Rp 35,100.00
207 SIMVASTATIN 20 MG Tablet 0 Rp 235.00 Rp - 1250 Rp 235.00 Rp 293,750.00 800 Rp 235.00 Rp 188,000.00 450 Rp 235.00 Rp 105,750.00
208 SIMVASTATIN TABLET 10 MG Tablet 0 Rp 116.00 Rp - Rp 116.00 Rp 116.00 Rp - 0 Rp 116.00 Rp -
209 salbutamol 4 mg Tablet 0 Rp 81.00 Rp - Rp 81.00 Rp 81.00 Rp - 0 Rp 81.00 Rp -
210 Siprofloksasin 500 mg Tablet 0 Rp 430.00 Rp - Rp 430.00 Rp 430.00 Rp - 0 Rp 430.00 Rp -
211 SIPROFLOKSASIN TABLET SCORED 500 MG TABLET 1500 Rp 264.00 Rp 396,000.00 Rp 264.00 Rp 264.00 Rp - 1500 Rp 264.00 Rp 396,000.00
212 TETRASIKLIN KAPSUL 500 MG Kapsul 500 Rp 341.00 Rp 170,500.00 Rp 341.00 Rp 341.00 Rp - 500 Rp 341.00 Rp 170,500.00
213 TETRASIKLIN KAPSUL 500 MG KAPSUL 0 Rp 324.00 Rp - 2500 Rp 324.00 Rp 810,000.00 200 Rp 324.00 Rp 64,800.00 0 Rp 324.00 Rp -
TETRASIKLIN KAPSUL 500 MG KAPSUL 2300 Rp 324.00 Rp 745,200.00 Expired
214 Tetrasiklin kaps/kapl 250 mg Kapsul 300 Rp 120.00 Rp 36,000.00 Rp 120.00 Rp 120.00 Rp - 300 Rp 120.00 Rp 36,000.00
215 TETRASIKLIN KAPSUL 250 MG Kapsul 0 Rp 181.00 Rp - Rp 181.00 Rp 181.00 Rp - 0 Rp 181.00 Rp -
216 Thiamphenicol Kap. 500 Mg Kapsul 0 Rp 881.00 Rp - Rp 881.00 Rp 881.00 Rp - 0 Rp 881.00 Rp -
217 Thiamphenicol Kap. 250 Mg Kapsul 600 Rp 138.00 Rp 82,800.00 Rp 138.00 Rp 138.00 Rp - 600 Rp 138.00 Rp 82,800.00
218 Thiamin HCl (vit.B1) inj.100 mg/ml-1ml Ampul 0 Rp 1,500.00 Rp - Rp 1,500.00 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp -
219 Thiamin HCl (vit.B1) 50 mg Tablet 1000 Rp 42.00 Rp 42,000.00 0 Rp 42.00 1000 Rp 42.00 Rp 42,000.00 0 Rp 42.00 Rp -
220 THIAMIN HCL VIT B1 Tablet 0 Rp 92.00 Rp - 4700 Rp 92.00 Rp 432,400.00 1400 Rp 92.00 Rp 128,800.00 3300 Rp 92.00 Rp 303,600.00
221 THIAMIN ( VIT. B1 ) TABLET 500 MG Tablet 400 Rp 90.00 Rp 36,000.00 0 Rp 90.00 400 Rp 90.00 Rp 36,000.00 0 Rp 90.00 Rp -
222 VITAMIN B KOMPLEKS TABLET Tablet 8700 Rp 138.00 Rp 1,200,600.00 3000 Rp 138.00 Rp 414,000.00 3000 Rp 138.00 Rp 414,000.00 8700 Rp 138.00 Rp 1,200,600.00
223 Vitamin D 400 IU/D-Vit tablet Tablet 0 Rp 680.00 Rp - Rp 680.00 Rp 680.00 Rp - 0 Rp 680.00 Rp -
224 VITAMIN B12 50 MCG TABLET Tablet 500 Rp 50.00 Rp 25,000.25 Rp 50.00 Rp 50.00 Rp - 500 Rp 50.00 Rp 25,000.25
225 ZINK SULFAT SIRUP 20 MG/5 ML BOTOL 0 Rp 3,449.00 Rp - 30 Rp 3,449.00 Rp 103,470.00 25 Rp 3,449.00 Rp 86,225.00 5 Rp 3,449.00 Rp 17,245.00
226 ZINC TABLET DISPERSIBLE 20 MG Tablet 600 Rp 617.00 Rp 370,200.00 Rp 617.00 600 Rp 617.00 Rp 370,200.00 0 Rp 617.00 Rp -
227 Zirkum Kid Syr 20/5ml Botol 0 Rp 8,140.00 Rp - Rp 8,140.00 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp -
228 Zirkum Kid Syr 20/5ml Botol 5 Rp 3,449.00 Rp 17,245.00 Rp 3,449.00 5 Rp 3,449.00 Rp 17,245.00 0 Rp 3,449.00 Rp -
OBAT PATEN Rp - Rp - Rp - 0 Rp -
1 SANMOL 500 MG Tablet 0 Rp 325.00 Rp 325.00 Rp 325.00 Rp - 0 Rp 325.00 Rp -
2 CARDISAN 5 MG Tablet 0 Rp 11,918.74 Rp - Rp 11,918.74 Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp -
3 PURECEMIA Tablet 0 Rp 3,268.75 Rp - Rp 3,268.75 Rp 3,268.75 Rp - 0 Rp 3,268.75 Rp -
4 MEFINAL 500 MG Tablet 0 Rp 1,537.50 Rp - Rp 1,537.50 Rp 1,537.50 Rp - 0 Rp 1,537.50 Rp -
5 NEUROSANBE Tablet 0 Rp 2,756.25 Rp - Rp 2,756.25 Rp 2,756.25 Rp - 0 Rp 2,756.25 Rp -
6 SANTA E 200 Kaplet 0 Rp 2,243.75 Rp - Rp 2,243.75 Rp 2,243.75 Rp - 0 Rp 2,243.75 Rp -
7 MUCOHEXIN Tablet 0 Rp 575.00 Rp - Rp 575.00 Rp 575.00 Rp - 0 Rp 575.00 Rp -
8 CHOLVASTIN Tablet 0 Rp 12,043.73 Rp - Rp 12,043.73 Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp -
9 BEVITA SYRUP 120 ML BOTOL 0 Rp 77,000.00 Rp - Rp 77,000.00 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp -
BUFACETIN (Kloramfenikol salep) tube 0 Rp 3,645.00 Rp - 24 Rp 3,645.00 Rp 87,480.00 0 Rp 3,645.00 Rp - 24 Rp 3,645.00 Rp 87,480.00
10 CAVIPLEX KAPLET KAPLET 0 Rp 480.00 Rp - Rp 480.00 Rp 480.00 Rp - 0 Rp 480.00 Rp -
11 CENDO XITROL 5 ML BOTOL 0 Rp 58,999.60 Rp - Rp 58,999.60 Rp 58,999.60 Rp - 0 Rp 58,999.60 Rp -
12 ERLAMYCETINE EYE DROP 0.5 % 10 ML BOTOL 0 Rp 20,000.20 Rp - Rp 20,000.20 Rp 20,000.20 Rp - 0 Rp 20,000.20 Rp -
13 ERLAMYCETINE SYRUP 60 ML BOTOL 8 Rp 13,999.70 Rp 111,997.60 Rp 13,999.70 Rp 13,999.70 Rp - 8 Rp 13,999.70 Rp 111,997.60
14 FARBION TABLET TABLET 0 Rp 2,310.00 Rp - Rp 2,310.00 Rp 2,310.00 Rp - 0 Rp 2,310.00 Rp -
15 GRATAMIN TABLET TABLET 0 Rp 2,860.00 Rp - Rp 2,860.00 Rp 2,860.00 Rp - 0 Rp 2,860.00 Rp -
HARMIDA GLIBENKLAMID 2,5 MG Tablet 0 Rp 216.00 Rp - 400 Rp 216.00 Rp 86,400.00 400 Rp 216.00 Rp 86,400.00 0 Rp 216.00 Rp -
16 IMOX TABLET SALUT SELAPUT Tablet 0 Rp 13,200.00 Rp - Rp 13,200.00 Rp 13,200.00 Rp - 0 Rp 13,200.00 Rp -
17 INTUNAL CAPLET KAPLET 0 Rp 1,100.00 Rp - Rp 1,100.00 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp -
18 MY JELLY 80 GRAM LUBRICAN BOTOL 2 Rp 69,575.00 Rp 139,150.00 15 Rp 69,575.00 Rp 1,043,625.00 3 Rp 69,575.00 Rp 208,725.00 14 Rp 69,575.00 Rp 974,050.00
19 NIFUDIAR SUSPENSI 60 ML BOTOL 0 Rp 77,000.00 Rp - Rp 77,000.00 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp -
20 PANTOCAIN 0.5 % 15 ML BOTOL 0 Rp 31,000.20 Rp - Rp 31,000.20 Rp 31,000.20 Rp - 0 Rp 31,000.20 Rp -
21 Polikresulen Cairan (Albothyl) 5 ml Botol 0 Rp 37,500.00 Rp - Rp 37,500.00 Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp -
22 PANTRIN PIRANTEL PAMOAT TAB 250 Tablet 0 Rp 1,200.00 Rp - 300 Rp 1,200.00 Rp 360,000.00 Rp 1,200.00 Rp - 300 Rp 1,200.00 Rp 360,000.00
23 SUPRAVIT STRIP 10X10'S TABLET 0 Rp 770.00 Rp - Rp 770.00 Rp 770.00 Rp - 0 Rp 770.00 Rp -
24 VOCEFA DS 60 ML BOTOL 0 Rp 84,000.40 Rp - Rp 84,000.40 Rp 84,000.40 Rp - 0 Rp 84,000.40 Rp -
25 ZIRCUM KID SYRUP 60 ML BOTOL 0 Rp 52,000.30 Rp - Rp 52,000.30 Rp 52,000.30 Rp - 0 Rp 52,000.30 Rp -
Rp - Rp - Rp - 0 Rp -
1 Fluoride 1 mg Tablet 0 Rp 975.98 Rp - Rp 975.98 Rp 975.98 Rp - 0 Rp 975.98 Rp -
2 KY Jelli Tube 0 Rp 85,000.00 Rp - Rp 85,000.00 Rp 85,000.00 Rp - 0 Rp 85,000.00 Rp -
3 Lexavit Kaplet Kaplet 0 Rp 545.00 Rp - Rp 545.00 Rp 545.00 Rp - 0 Rp 545.00 Rp -
4 Mefamicetin (kloramfenikol suspensi 125 mg/ml) Botol 0 Rp 8,800.00 Rp - Rp 8,800.00 Rp 8,800.00 Rp - 0 Rp 8,800.00 Rp -
5 Neorodial Tablet Tablet 0 Rp 1,265.00 Rp - Rp 1,265.00 Rp 1,265.00 Rp - 0 Rp 1,265.00 Rp -
6 Pantocain (tetracain Hcl tetes mata) Botol 0 Rp 31,687.50 Rp - Rp 31,687.50 Rp 31,687.50 Rp - 0 Rp 31,687.50 Rp -
7 Reco (Kloramfenicol tetes mata 3 %) Botol 0 Rp 11,440.00 Rp - Rp 11,440.00 Rp 11,440.00 Rp - 0 Rp 11,440.00 Rp -
8 Scabicid cream (Gmexan 10 mg, asam usnat 10 mg) Tube 0 Rp 24,716.25 Rp - Rp 24,716.25 Rp 24,716.25 Rp - 0 Rp 24,716.25 Rp -
9 Scopamin inj.(hiosin butilbromida inj.20 mg/ml) Ampul 0 Rp 31,687.50 Rp - Rp 31,687.50 Rp 31,687.50 Rp - 0 Rp 31,687.50 Rp -
10 Vical Suspensi 100 ml Botol 0 Rp 4,890.00 Rp - Rp 4,890.00 Rp 4,890.00 Rp - 0 Rp 4,890.00 Rp -
Rp - Rp - Rp - Rp - 0 Rp -
REAGEN LABORATORIUM Rp - Rp - Rp - 0 Rp -
1 Cairan Spiritus 1000 ML Bks 0 Rp 68,250.00 Rp - Rp 68,250.00 Rp 68,250.00 Rp - 0 Rp 68,250.00 Rp -
2 LARUTAN SPIRITUS Botol 0 Rp 52,965.00 Rp - Rp 52,965.00 Rp 52,965.00 Rp - 0 Rp 52,965.00 Rp -
4 Tes Kehamilan Pcs Rp 2,365.00 Rp - Rp 2,365.00 Rp 2,365.00 Rp - 0 Rp 2,365.00 Rp -
OBAT GIGI Rp - Rp - Rp - 0 Rp -
1 Caviton White GC Botol 2 Rp 219,000.00 Rp 438,000.00 Rp 219,000.00 Rp 219,000.00 Rp - 2 Rp 219,000.00 Rp 438,000.00
2 Cotton Roll untuk Gigi Bungkus 0 Rp 93,438.00 Rp - Rp 93,438.00 Rp 93,438.00 Rp - 0 Rp 93,438.00 Rp -
3 Calcium Hydroxide Botol 2 Rp 477,350.00 Rp 954,700.00 Rp 477,350.00 Rp 477,350.00 Rp - 2 Rp 477,350.00 Rp 954,700.00
4 Etil Clorida Semprot Btl 0 Rp 136,750.00 Rp - Rp 136,750.00 Rp 136,750.00 Rp - 0 Rp 136,750.00 Rp -
5 Etil Clorida Semprot Btl 0 Rp 90,000.00 Rp - Rp 90,000.00 Rp 90,000.00 Rp - 0 Rp 90,000.00 Rp -
6 Fuji 9 Mini Pack # Extra A2 Kotak 0 Rp 556,469.00 Rp - Rp 556,469.00 Rp 556,469.00 Rp - 0 Rp 556,469.00 Rp -
7 Hemospon Box 4 Rp 118,500.00 Rp 474,000.00 Rp 118,500.00 Rp 118,500.00 Rp - 0 Rp 118,500.00 Rp -
Hemospon Box 4 Rp 118,500.00 Rp 474,000.00 Expired
8 HYDCAL TECHNEW BOX 10 Rp 289,850.00 Rp 2,898,500.00 Rp 289,850.00 Rp 289,850.00 Rp - 0 Rp 289,850.00 Rp -
HYDCAL TECHNEW BOX 10 Rp 289,850.00 Rp 2,898,500.00 Expired
9 Iodoform, (Biodinamica) Botol 2 Rp 341,250.00 Rp 682,500.00 Rp 341,250.00 Rp 341,250.00 Rp - 2 Rp 341,250.00 Rp 682,500.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
10 Saliva Ejector Bungkus 1 Rp 87,250.00 Rp 87,250.00 Rp 87,250.00 Rp 87,250.00 Rp - 1 Rp 87,250.00 Rp 87,250.00
11 Silk Automatic dgn Jarum untuk Gigi Pcs 5 Rp 19,600.00 Rp 98,000.00 Rp 19,600.00 Rp 19,600.00 Rp - 5 Rp 19,600.00 Rp 98,000.00
12 Solare Anterior # A3 GC Unit 1 Rp 487,165.00 Rp 487,165.00 Rp 487,165.00 Rp 487,165.00 Rp - 1 Rp 487,165.00 Rp 487,165.00
13 Vitapex Unit 3 Rp 915,833.00 Rp 2,747,499.00 Rp 915,833.00 Rp 915,833.00 Rp - 0 Rp 915,833.00 Rp -
Vitapex Unit 3 Rp 915,833.00 Rp 2,747,499.00 Expired
BAHAN MEDIS HABIS PAKAI Rp - Rp - Rp - 0 Rp -

1 Alat Suntik 1 ml Pcs 60 Rp 821.48 Rp 49,288.80 Rp 821.48 Rp - 60 Rp 821.48 Rp 49,288.80 0 Rp 821.48 Rp -
2 Alat Suntik 1 ml Pcs 0 Rp 1,262.00 Rp - Rp 1,262.00 Rp 1,262.00 Rp - 0 Rp 1,262.00 Rp -
3 Alat Suntik 2,5 ml Pcs 0 Rp 864.72 Rp - Rp 864.72 Rp 864.72 Rp - 0 Rp 864.72 Rp -
4 Alat Suntik 3 ml Pcs 0 Rp 864.72 Rp 864.72 Rp 864.72 Rp - 0 Rp 864.72 Rp -
6 Alat Suntik 5 ml Pcs 5 Rp 1,185.60 Rp 5,928.00 Rp 1,185.60 Rp 1,185.60 Rp - 5 Rp 1,185.60 Rp 5,928.00
7 Alat Suntik 5 ml Pcs 20 Rp 1,248.00 Rp 24,960.00 Rp 1,248.00 Rp 1,248.00 Rp - 20 Rp 1,248.00 Rp 24,960.00
9 Alat Suntik 10 ml Pcs 20 Rp 1,694.00 Rp 33,880.00 10 Rp 1,694.00 Rp 16,940.00 10 Rp 1,694.00 Rp 16,940.00 20 Rp 1,694.00 Rp 33,880.00
12 ALKOHOL SWAB Box 34 Rp 11,500.00 Rp 391,000.00 77 Rp 11,500.00 Rp 885,500.00 77 Rp 11,500.00 Rp 885,500.00 0 Rp 11,500.00 Rp -
ALKOHOL SWAB Box 34 Rp 11,500.00 Rp 391,000.00 Expired
13 Autocheck Cholestrol tes btl/25 strip Botol 0 Rp 367,812.50 Rp - 6 Rp 367,812.50 Rp 2,206,875.00 6 Rp 367,812.50 Rp 2,206,875.00 0 Rp 367,812.50 Rp -
14 Autocheck cholesterol tes btl/25 str botol 0 Rp 385,235.00 Rp - 4 Rp 385,235.00 Rp 1,540,940.00 4 Rp 385,235.00 Rp 1,540,940.00 0 Rp 385,235.00 Rp -
15 Autocheck Cholestrol tes btl/10 strip Botol 3 Rp 147,125.00 Rp 441,375.00 Rp 147,125.00 Rp - 0 Rp 147,125.00 Rp - 3 Rp 147,125.00 Rp 441,375.00
16 Autocheck Glukosa tes btl/50 strip Botol 0 Rp 136,950.00 Rp - 11 Rp 136,950.00 Rp 1,506,450.00 2 Rp 136,950.00 Rp 273,900.00 9 Rp 136,950.00 Rp 1,232,550.00
17 Autocheck Glukosa tes btl/50 strip botol 1 Rp 68,475.00 Rp 68,475.00 Rp 68,475.00 Rp 68,475.00 Rp - 1 Rp 68,475.00 Rp 68,475.00
18 Autocheck Glukosa tes btl/25 strip Botol 0 Rp 179,850.00 Rp - Rp 179,850.00 Rp 179,850.00 Rp - 0 Rp 179,850.00 Rp -
19 autocheck urid acid tes btl/50 strip Botol 1 Rp 89,100.00 Rp 89,100.00 Rp 89,100.00 Rp 89,100.00 Rp - 1 Rp 89,100.00 Rp 89,100.00
20 Autocheck Uric Acid Test btl/50 strip Botol 0 Rp 178,200.00 Rp - 8 Rp 178,200.00 Rp 1,425,600.00 2 Rp 178,200.00 Rp 356,400.00 6 Rp 178,200.00 Rp 1,069,200.00
21 Autocheck Uric Acid Test btl/25 strip Botol 0 Rp 239,800.00 Rp - Rp 239,800.00 Rp - Rp 239,800.00 Rp - 0 Rp 239,800.00 Rp -
22 Benang Bedah No. 2/0 (Cromic Cat Gut) Pcs 0 Rp 11,261.25 Rp - Rp 11,261.25 Rp 11,261.25 Rp - 0 Rp 11,261.25 Rp -
23 Benang Bedah No. 2/0 (Cromic Cat Gut) Pcs 36 Rp 8,960.21 Rp 322,567.56 Rp 8,960.21 Rp 8,960.21 Rp - 0 Rp 8,960.21 Rp -
Benang Bedah No. 2/0 (Cromic Cat Gut) 36 Rp 8,960.21 Rp 322,567.56 Expired
24 Benang Bedah No. 3/0 (Cromic Cat Gut) Pcs Rp 8,960.21 Rp 8,960.21 Rp 8,960.21 Rp - 0 Rp 8,960.21 Rp -
28 Catheter (folley cathteter) no.12 Pcs 10 Rp 13,750.00 Rp 137,500.00 Rp 13,750.00 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp -
29 Catheter (folley cathteter) no.14 Pcs 55 Rp 13,750.00 Rp 756,250.00 Rp 13,750.00 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp -
30 UROCARE FOLLEY CATHETER 2 WAY NO.14 Box 0 Rp 92,000.00 Rp - Rp 92,000.00 Rp 92,000.00 Rp - 0 Rp 92,000.00 Rp -
31 Catheter (folley cathteter) no.16 Pcs 8 Rp 13,750.00 Rp 110,000.00 20 Rp 13,750.00 Rp 275,000.00 Rp 13,750.00 Rp - 28 Rp 13,750.00 Rp 385,000.00
32 Catheter (folley cathteter) no.18 Pcs 0 Rp 18,018.00 Rp - Rp 18,018.00 Rp 18,018.00 Rp - 0 Rp 18,018.00 Rp -
33 Catheter (folley cathteter) no.18 Pcs 10 Rp 13,750.00 Rp 137,500.00 Rp 13,750.00 5 Rp 13,750.00 Rp 68,750.00 5 Rp 13,750.00 Rp 68,750.00
34 COSMOMED OKXIGEN MASKER Set 0 Rp 12,180.00 Rp - 10 Rp 12,180.00 Rp 121,800.00 2 Rp 12,180.00 Rp 24,360.00 8 Rp 12,180.00 Rp 97,440.00
35 CATGUT CROMIC 2/0 75 CM DUS 0 Rp 215,045.00 Rp - 2 Rp 215,045.00 Rp 430,090.00 Rp 215,045.00 Rp - 2 Rp 215,045.00 Rp 430,090.00
36 CATGUT CROMIC 3/0 75 CM DUS 0 Rp 215,045.00 Rp - 1 Rp 215,045.00 Rp 215,045.00 Rp 215,045.00 Rp - 1 Rp 215,045.00 Rp 215,045.00
37 COPPER T Pcs 8 Rp 124,300.00 Rp 994,400.00 10 Rp 124,300.00 Rp 1,243,000.00 Rp 124,300.00 Rp - 18 Rp 124,300.00 Rp 2,237,400.00
38 Elastic Verband 3 inchi / Tensocrape BSN Roll 0 Rp 96,000.00 Rp - Rp 96,000.00 Rp 96,000.00 Rp - 0 Rp 96,000.00 Rp -
39 ELASTIC VERBAND 6 INCHI Pcs 0 Rp 86,680.00 Rp - Rp 86,680.00 Rp 86,680.00 Rp - 0 Rp 86,680.00 Rp -
40 FEEDING TUBE 8FR 40CM Pcs 3 Rp 8,804.40 Rp 26,413.20 Rp 8,804.40 Rp 8,804.40 Rp - 3 Rp 8,804.40 Rp 26,413.20
41 Hands Schoen no 7 Set 0 Rp 6,563.70 Rp - Rp 6,563.70 Rp 6,563.70 Rp - 0 Rp 6,563.70 Rp -
42 Hands Schoen no 7 Set 0 Rp 9,500.00 Rp - Rp 9,500.00 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
43 Hands Schoen no 7.5 Set 0 Rp 9,500.00 Rp - Rp 9,500.00 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
44 Hands Schoen no 7.5 Set 0 Rp 4,675.00 Rp - Rp 4,675.00 Rp 4,675.00 Rp - 0 Rp 4,675.00 Rp -
45 Hands Schoen no 7.5 Pair 0 Rp 23,750.00 Rp - Rp 23,750.00 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp -
46 Hands Schoen no 7.5 U/ manual Placenta (Long) Set 0 Rp 16,731.00 Rp - Rp 16,731.00 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp -
47 E W G Surgikal gloves 8 PCS 0 Rp 5,382.88 Rp - 150 Rp 5,382.88 Rp 807,432.30 125 Rp 5,382.88 Rp 672,860.25 25 Rp 5,382.88 Rp 134,572.05
48 E W G Surgikal gloves 7,5 PCS 0 Rp 5,383.38 Rp - 150 Rp 5,383.38 Rp 807,507.30 125 Rp 5,383.38 Rp 672,922.75 25 Rp 5,383.38 Rp 134,584.55
49 E.W.G Surgikal gloves no 7 PCS 0 Rp 5,383.38 Rp - 200 Rp 5,383.38 Rp 1,076,676.40 175 Rp 5,383.38 Rp 942,091.85 25 Rp 5,383.38 Rp 134,584.55
50 Hands Schoen no 8 U/ manual Placenta (Long) Set 0 Rp 16,731.00 Rp - Rp 16,731.00 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp -
51 Hypafix 5 cm x 1 m Roll 1 Rp 17,610.00 Rp 17,610.00 3 Rp 17,610.00 Rp 52,830.00 Rp 17,610.00 Rp - 4 Rp 17,610.00 Rp 70,440.00
52 Hypafix 5 cm x 5 m Roll 1 Rp 92,000.00 Rp 92,000.00 3 Rp 92,000.00 Rp 276,000.00 Rp 92,000.00 Rp - 4 Rp 92,000.00 Rp 368,000.00
53 Infusion Set Anak Set 20 Rp 6,375.00 Rp 127,500.00 Rp 6,375.00 Rp 6,375.00 Rp - 20 Rp 6,375.00 Rp 127,500.00
54 INFUSION SET FOR FEDIATRIC Pcs 0 Rp 3,556.16 Rp - 45 Rp 3,556.16 Rp 160,027.20 7 Rp 3,556.16 Rp 24,893.12 0 Rp 3,556.16 Rp -
INFUSION SET FOR FEDIATRIC Pcs 38 Rp 3,556.16 Rp 135,134.08 Expired
55 Infusion Set Dewasa Set 40 Rp 8,775.00 Rp 351,000.00 Rp 8,775.00 Rp 8,775.00 Rp - 40 Rp 8,775.00 Rp 351,000.00
56 Infusion Set Dewasa Set 0 Rp 6,343.00 Rp - Rp 6,343.00 Rp 6,343.00 Rp - 0 Rp 6,343.00 Rp -
57 IV Catheter no 16 Set 0 Rp 7,507.50 Rp - Rp 7,507.50 Rp 7,507.50 Rp - 0 Rp 7,507.50 Rp -
63 IV Catheter no 24 Set 20 Rp 7,507.50 Rp 150,150.00 Rp 7,507.50 20 Rp 7,507.50 Rp 150,150.00 0 Rp 7,507.50 Rp -
64 IV Catheter no 24G Set 0 Rp 9,461.25 Rp - 20 Rp 9,461.25 Rp 189,224.99 20 Rp 9,461.25 Rp 189,224.99 0 Rp 9,461.25 Rp -
65 Jarum Jahit 1/2 Surgical Lusin 2 Rp 27,875.00 Rp 55,750.00 Rp 27,875.00 Rp 27,875.00 Rp - 2 Rp 27,875.00 Rp 55,750.00
66 Jarum Jahit 1/2 Surgical Lusin 0 Rp 135,000.00 Rp - Rp 135,000.00 Rp 135,000.00 Rp - 0 Rp 135,000.00 Rp -
69 Kapas Pembalut 250 gr Roll 0 Rp 23,595.00 Rp - Rp 23,595.00 Rp 23,595.00 Rp - 0 Rp 23,595.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
70 Kapas Pembalut 250 gr Roll 0 Rp 22,000.00 Rp - Rp 22,000.00 Rp 22,000.00 Rp - 0 Rp 22,000.00 Rp -
71 KAPAS PEMBALUT 250G Roll 4 Rp 14,375.00 Rp 57,500.00 Rp 14,375.00 Rp 14,375.00 Rp - 4 Rp 14,375.00 Rp 57,500.00
72 Kapas Pembalut 500 gr Roll 12 Rp 35,000.00 Rp 420,000.00 Rp 35,000.00 Rp 35,000.00 Rp - 12 Rp 35,000.00 Rp 420,000.00
74 Kasa Steril 18 x 22 cm Kotak 0 Rp 16,500.00 Rp - Rp 16,500.00 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp -
75 KASA HYDROFPHIL 40 X 80 CM Roll 17 Rp 120,750.00 Rp 2,052,750.00 5 Rp 120,750.00 Rp 603,750.00 4 Rp 120,750.00 Rp 483,000.00 18 Rp 120,750.00 Rp 2,173,500.00
76 Kasa Hydrofil 36 x 80 cm Roll 0 Rp 282,750.00 Rp - Rp 282,750.00 Rp 282,750.00 Rp - 0 Rp 282,750.00 Rp -
77 Kasa Hydrofil 36 x 80 cm Roll 0 Rp 122,550.00 Rp - Rp 122,550.00 Rp 122,550.00 Rp - 0 Rp 122,550.00 Rp -
78 Kasa Kompres 40/40 steril Bungkus 0 Rp 2,853.00 Rp - Rp 2,853.00 Rp 2,853.00 Rp - 0 Rp 2,853.00 Rp -
79 Kasa Kompres 40/40 steril Bungkus 0 Rp 2,723.00 Rp - Rp 2,723.00 Rp 2,723.00 Rp - 0 Rp 2,723.00 Rp -
80 KASA KOMPRES STERIL 40 X 40 PCS 0 Rp 1,840.00 Rp - 200 Rp 1,840.00 Rp 368,000.00 10 Rp 1,840.00 Rp 18,400.00 190 Rp 1,840.00 Rp 349,600.00
81 Kasa Pembalut 2 m x 80 cm Roll 0 Rp 13,650.00 Rp - Rp 13,650.00 Rp 13,650.00 Rp - 0 Rp 13,650.00 Rp -
83 KASA PEMBALUT 2M X 80CM Roll 0 Rp 8,855.00 Rp - 20 Rp 8,855.00 Rp 177,100.00 Rp 8,855.00 Rp - 20 Rp 8,855.00 Rp 177,100.00
86 Kasa Pembalut Hydrof 4 m x 15 cm Roll 0 Rp 4,022.85 Rp - Rp 4,022.85 Rp 4,022.85 Rp - 0 Rp 4,022.85 Rp -
87 Kasa Pembalut Hydrof 4 m x 15 cm Roll 0 Rp 3,638.00 Rp - Rp 3,638.00 Rp 3,638.00 Rp - 0 Rp 3,638.00 Rp -
88 KASA PEMBALUT HYDROFILL 4M X 15CM Roll 81 Rp 2,415.00 Rp 195,615.00 100 Rp 2,415.00 Rp 241,500.00 Rp 2,415.00 Rp - 181 Rp 2,415.00 Rp 437,115.00
89 KASA PEMBALUT HYDROFILL 4M X 10CM Roll 44 Rp 1,725.00 Rp 75,900.00 85 Rp 1,725.00 Rp 146,625.00 Rp 1,725.00 Rp - 129 Rp 1,725.00 Rp 222,525.00
90 Kasa Hydrofil 4 yard x 10 cm Roll 0 Rp 2,600.00 Rp - Rp 2,600.00 Rp 2,600.00 Rp - 0 Rp 2,600.00 Rp -
91 Kasa Pembalut Hydrofil 4 m x 5 cm Roll 0 Rp 1,248.00 Rp - Rp 1,248.00 Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp -
92 KASA PEMBALUT HYDROFILL 4M X 5CM Roll 58 Rp 862.50 Rp 50,025.00 Rp 862.50 Rp 862.50 Rp - 58 Rp 862.50 Rp 50,025.00
93 Kasa Steril 16 x 16 cm Bungkus 0 Rp 8,287.85 Rp - Rp 8,287.85 Rp 8,287.85 Rp - 0 Rp 8,287.85 Rp -
94 Kasa Steril 16 x 16 cm Kotak 0 Rp 6,743.00 Rp - Rp 6,743.00 Rp 6,743.00 Rp - 0 Rp 6,743.00 Rp -
95 KASA HYDROFPHIL STERIL 16 X 16 Roll 0 Rp 9,200.00 Rp - 30 Rp 9,200.00 Rp 276,000.00 17 Rp 9,200.00 Rp 156,400.00 13 Rp 9,200.00 Rp 119,600.00
96 KASA STERIL 10X10 CM,8 PLY,1X10'S Kotak 10 Rp 10,845.30 Rp 108,453.00 105 Rp 10,845.30 Rp 1,138,756.50 17 Rp 10,845.30 Rp 184,370.10 98 Rp 10,845.30 Rp 1,062,839.40
97 KERTAS PUYER BLANK Bungkus 24 Rp 93,500.00 Rp 2,244,000.00 2 Rp 93,500.00 Rp 187,000.00 10 Rp 93,500.00 Rp 935,000.00 16 Rp 93,500.00 Rp 1,496,000.00
98 ONEMED MASKER N95 Pcs 0 Rp 7,488.80 Rp - 40 Rp 7,488.80 Rp 299,552.00 35 Rp 7,488.80 Rp 262,108.00 5 Rp 7,488.80 Rp 37,444.00
99 JAYAMAS IODIONE 30 ML BOTOL 0 Rp 3,480.00 Rp - 10 Rp 3,480.00 Rp 34,800.00 Rp 3,480.00 Rp - 10 Rp 3,480.00 Rp 34,800.00
100 Masker PCS 0 Rp 495.00 Rp - Rp 495.00 Rp 495.00 Rp - 0 Rp 495.00 Rp -
101 SURGICAL MASK EARLOOP Box 30 Rp 18,975.00 Rp 569,250.00 55 Rp 18,975.00 Rp 1,043,625.00 85 Rp 18,975.00 Rp 1,612,875.00 0 Rp 18,975.00 Rp -
102 Mata Pisau Bedah No. 10 Pcs 0 Rp 9,759.00 Rp - Rp 9,759.00 Rp 9,759.00 Rp - 0 Rp 9,759.00 Rp -
110 ONEJACK AUTODISABLE SYRINGE 0,05 ML PCS 0 Rp 3,795.00 Rp - Rp 3,795.00 Rp 3,795.00 Rp - 0 Rp 3,795.00 Rp -
111 Paper Tape 2.5 cm x 9.14 m Roll 0 Rp 131,300.00 Rp - Rp 131,300.00 Rp 131,300.00 Rp - 0 Rp 131,300.00 Rp -
112 Plester 5 yard x 2 inci Roll 0 Rp 22,308.00 Rp - Rp 22,308.00 Rp 22,308.00 Rp - 0 Rp 22,308.00 Rp -
113 Plester 5 yard x 4,5 cm Roll 0 Rp 65,000.00 Rp - Rp 65,000.00 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp -
114 Plester 5 yard x 4,5 cm Roll 1 Rp 25,404.00 Rp 25,404.00 Rp 25,404.00 1 Rp 25,404.00 Rp 25,404.00 0 Rp 25,404.00 Rp -
115 Plester 5 yard x 2 inci Roll 0 Rp 44,300.00 Rp - Rp 44,300.00 Rp 44,300.00 Rp - 0 Rp 44,300.00 Rp -
116 Plester 7,5 mm x 4,5 mm Roll 0 Rp 60,650.00 Rp - Rp 60,650.00 Rp 60,650.00 Rp - 0 Rp 60,650.00 Rp -
117 PLESTERIN NON WOVEN ROLL 10CM X 5CM Roll 10 Rp 47,564.00 Rp 475,640.00 34 Rp 47,564.00 Rp 1,617,176.00 15 Rp 47,564.00 Rp 713,460.00 29 Rp 47,564.00 Rp 1,379,356.00
118 PLESTERIN NON WOVEN ROLL 5CM X 5CM Roll 9 Rp 27,324.00 Rp 245,916.00 75 Rp 27,324.00 Rp 2,049,300.00 35 Rp 27,324.00 Rp 956,340.00 49 Rp 27,324.00 Rp 1,338,876.00
119 PLESTERIN NON WOVEN ROLL 15CM X 5CM Roll 5 Rp 79,948.00 Rp 399,740.00 47 Rp 79,948.00 Rp 3,757,556.00 22 Rp 79,948.00 Rp 1,758,856.00 30 Rp 79,948.00 Rp 2,398,440.00
120 Regulator Oksigen Pcs 0 Rp 487,500.00 Rp - Rp 487,500.00 Rp 487,500.00 Rp - 0 Rp 487,500.00 Rp -
121 GEA MEDICAL REGULATOR 02 XY-988 Pcs 0 Rp 453,200.00 Rp - 3 Rp 453,200.00 Rp 1,359,600.00 Rp 453,200.00 Rp - 3 Rp 453,200.00 Rp 1,359,600.00
122 Silk (Benang Bedah Sultra) No. 2/0 Pcs 0 Rp 5,780.78 Rp - Rp 5,780.78 Rp 5,780.78 Rp - 0 Rp 5,780.78 Rp -
123 Silk (Benang Bedah Sultra) No.2/0 Pcs 0 Rp 60,018.00 Rp - Rp 60,018.00 Rp 60,018.00 Rp - 0 Rp 60,018.00 Rp -
124 Silk (Benang Bedah Sultra) No. 3/0 Pcs 24 Rp 4,661.49 Rp 111,875.76 Rp 4,661.49 Rp 4,661.49 Rp - 0 Rp 4,661.49 Rp -
Silk (Benang Bedah Sultra) No. 3/0 Pcs 24 Rp 4,661.49 Rp 111,875.76 Expired
125 Silk (Benang Bedah Sultra) No.3/0 Pcs 0 Rp 54,900.00 Rp - Rp 54,900.00 Rp 54,900.00 Rp - 0 Rp 54,900.00 Rp -
126 Tullegrass (Cuticell Classic) 5 cm x 5 cm Pcs 0 Rp 17,150.00 Rp - Rp 17,150.00 Rp 17,150.00 Rp - 0 Rp 17,150.00 Rp -
127 URINE BAG STERIL Pcs 0 Rp 3,450.00 Rp - 10 Rp 3,450.00 Rp 34,500.00 Rp 3,450.00 Rp - 10 Rp 3,450.00 Rp 34,500.00
128 Urine Bag Pcs 3 Rp 6,875.00 Rp 20,625.00 Rp 6,875.00 Rp 6,875.00 Rp - 0 Rp 6,875.00 Rp -
Urine Bag Pcs 3 Rp 6,875.00 Rp 20,625.00 Expired
129 Oxygen masker dewasa dan anak pcs 0 Rp 10,559.90 Rp - 10 Rp 10,559.90 Rp 105,599.00 3 Rp 10,559.90 Rp 31,679.70 7 Rp 10,559.90 Rp 73,919.30
130 Tes Kehamilan pcs 0 Rp 2,400.00 Rp - Rp 2,400.00 Rp 2,400.00 Rp - 0 Rp 2,400.00 Rp -
131 Folley Catheter No.10 Pcs 0 Rp 13,750.00 Rp - Rp 13,750.00 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp -
132 Chirurgic Gloves No.6,5 Set 0 Rp 9,500.00 Rp - 5 Rp 9,500.00 Rp 47,500.00 5 Rp 9,500.00 Rp 47,500.00 0 Rp 9,500.00 Rp -
133 Bethadin 30 ml Botol 0 Rp 35,000.00 Rp - Rp 35,000.00 Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp -
134 AXIMED EXAM Gloves Size S DUS 0 Rp 57,750.00 Rp - 1 Rp 57,750.00 Rp 57,750.00 1 Rp 57,750.00 Rp 57,750.00 0 Rp 57,750.00 Rp -
135 AXIMEX EXAM Gloves Size M DUS 1 Rp 57,750.00 Rp 57,750.00 9 Rp 57,750.00 Rp 519,750.00 9 Rp 57,750.00 Rp 519,750.00 1 Rp 57,750.00 Rp 57,750.00
136 Examination Gloves Size L DUS 1 Rp 57,750.00 Rp 57,750.00 Rp 57,750.00 Rp 57,750.00 Rp - 1 Rp 57,750.00 Rp 57,750.00
137 NIPRO INFUSET " Y " pcs 135 Rp 6,343.00 Rp 856,305.00 20 Rp 6,343.00 Rp 126,860.00 10 Rp 6,343.00 Rp 63,430.00 0 Rp 6,343.00 Rp -
NIPRO INFUSET " Y " pcs 145 Rp 6,343.00 Rp 919,735.00 Expired
138 NIPRO IV CATHETER 18G X 1-1/4" pcs 73 Rp 8,947.95 Rp 653,200.35 Rp 8,947.95 60 Rp 8,947.95 Rp 536,877.00 13 Rp 8,947.95 Rp 116,323.35
139 NIPRO IV CATHETER 20G X 1" pcs 70 Rp 8,947.95 Rp 626,356.50 Rp 8,947.95 60 Rp 8,947.95 Rp 536,877.00 10 Rp 8,947.95 Rp 89,479.50
140 NIPRO IV CATHETER 22G X 1" pcs 30 Rp 8,947.95 Rp 268,438.50 Rp 8,947.95 30 Rp 8,947.95 Rp 268,438.50 0 Rp 8,947.95 Rp -
141 NIPRO IV CATHETER 24G X 1" pcs 10 Rp 8,947.95 Rp 89,479.50 Rp 8,947.95 10 Rp 8,947.95 Rp 89,479.50 0 Rp 8,947.95 Rp -
142 NIPRO SYRINGE 3 CC pcs 0 Rp 1,009.80 Rp - Rp 1,009.80 Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp -
143 NIPRO SYRINGE 5 CC pcs 50 Rp 1,248.23 Rp 62,411.50 15 Rp 1,248.23 Rp 18,723.45 25 Rp 1,248.23 Rp 31,205.75 40 Rp 1,248.23 Rp 49,929.20
144 NIPRO SYRINGE 10 CC pcs 0 Rp 1,654.95 Rp - 15 Rp 1,654.95 Rp 24,824.25 5 Rp 1,654.95 Rp 8,274.75 10 Rp 1,654.95 Rp 16,549.50
145 NIPRO IV CATHETER 18G X 2 pcs 0 Rp 8,974.95 Rp - Rp 8,974.95 Rp 8,974.95 Rp - 0 Rp 8,974.95 Rp -
146 NIPRO IV CATHETER 20G X 1-1/4" pcs 0 Rp 8,974.95 Rp - Rp 8,974.95 Rp 8,974.95 Rp - 0 Rp 8,974.95 Rp -
147 NIPRO IV CATHETER 24G X 1 pcs 0 Rp 8,974.95 Rp - Rp 8,974.95 Rp 8,974.95 Rp - 0 Rp 8,974.95 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
148 anios dermanios chlorhexidin 500 ml botol 2 Rp 112,413.60 Rp 224,827.20 Rp 112,413.60 Rp 112,413.60 Rp - 2 Rp 112,413.60 Rp 224,827.20
149 onionex disp syringe 1 ml pcs 100 Rp 821.48 Rp 82,148.40 200 Rp 821.48 Rp 164,296.80 100 Rp 821.48 Rp 82,148.40 0 Rp 821.48 Rp -
onionex disp syringe 1 ml pcs 200 Rp 821.48 Rp 164,296.80 Expired
150 onionex disp syringe 3 ml pcs 50 Rp 864.72 Rp 43,236.00 Rp 864.72 50 Rp 864.72 Rp 43,236.00 0 Rp 864.72 Rp -
151 examination CHIRURGIC GLOVES, 7,5 pcs 90 Rp 5,383.38 Rp 484,504.38 Rp 5,383.38 90 Rp 5,383.38 Rp 484,504.38 0 Rp 5,383.38 Rp -
152 AXIMED FEEDING TUBE 40CM NO. 6 pcs 0 Rp 8,107.00 Rp - 40 Rp 8,107.00 Rp 324,280.00 Rp 8,107.00 Rp - 0 Rp 8,107.00 Rp -
AXIMED FEEDING TUBE 40CM NO. 6 pcs 40 Rp 8,107.00 Rp 324,280.00 Expired
153 AXIMED FEEDING TUBE 40CM NO. 8 pcs 0 Rp 8,107.00 Rp - 40 Rp 8,107.00 Rp 324,280.00 Rp 8,107.00 Rp - 0 Rp 8,107.00 Rp -
AXIMED FEEDING TUBE 40CM NO. 8 pcs 40 Rp 8,107.00 Rp 324,280.00 Expired
154 AXIMED FEEDING TUBE 40CM NO.10 pcs 0 Rp 8,107.00 Rp - 20 Rp 8,107.00 Rp 162,140.00 Rp 8,107.00 Rp - 0 Rp 8,107.00 Rp -
AXIMED FEEDING TUBE 40CM NO.10 pcs 20 Rp 8,107.00 Rp 162,140.00 Expired
155 AXIMED NASAL OXYGEN SIZE M pcs 290 Rp 8,250.00 Rp 2,392,500.00 Rp 8,250.00 290 Rp 8,250.00 Rp 2,392,500.00 0 Rp 8,250.00 Rp -
156 AXIMED NASAL OXYGEN SIZE L pcs 0 Rp 8,250.00 Rp - Rp 8,250.00 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
157 AXIMED NASAL OXYGEN SIZE S pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
158 URINE BAG pcs 15 Rp 6,875.00 Rp 103,125.00 Rp 6,875.00 Rp 6,875.00 Rp - 0 Rp 6,875.00 Rp -
URINE BAG pcs 15 Rp 6,875.00 Rp 103,125.00 Expired
159 FIRST RESPONSE MALARIA ANTIGEN COMBO CARD TEST SET 0 Rp 440,850.00 Rp - 4 Rp 440,850.00 Rp 1,763,400.00 4 Rp 440,850.00 Rp 1,763,400.00 0 Rp 440,850.00 Rp -
NILAI OBAT IFK PUSKESMAS LALOLAE Rp 66,289,877.90 Rp 69,932,854.19 Rp 92,917,850.037 Rp 43,304,882.05
OBAT BPJS
1 Paracetamol Box Rp 18,000.00 Rp - 25 Rp 18,000.00 Rp 450,000.00 25 Rp 18,000.00 Rp 450,000.00 0 Rp 18,000.00 Rp -
2 Asam Mefenamat Box Rp 38,000.00 Rp - 15 Rp 38,000.00 Rp 570,000.00 15 Rp 38,000.00 Rp 570,000.00 0 Rp 38,000.00 Rp -
3 GG Box Rp 18,000.00 Rp - 15 Rp 18,000.00 Rp 270,000.00 15 Rp 18,000.00 Rp 270,000.00 0 Rp 18,000.00 Rp -
4 Farsifen (Ibuprofen) Box Rp 25,000.00 Rp - 5 Rp 25,000.00 Rp 125,000.00 5 Rp 25,000.00 Rp 125,000.00 0 Rp 25,000.00 Rp -
5 Faxiden (Piroxicam) Box Rp 25,000.00 Rp - 5 Rp 25,000.00 Rp 125,000.00 5 Rp 25,000.00 Rp 125,000.00 0 Rp 25,000.00 Rp -
6 Divoltar (Diclovenac Sodium) Box Rp 20,000.00 Rp - 3 Rp 20,000.00 Rp 60,000.00 3 Rp 20,000.00 Rp 60,000.00 0 Rp 20,000.00 Rp -
7 Paracetamol Syr Botol Rp 5,000.00 Rp - 5 Rp 5,000.00 Rp 25,000.00 5 Rp 5,000.00 Rp 25,000.00 0 Rp 5,000.00 Rp -
8 Caviplex Box Rp 47,000.00 Rp - 5 Rp 47,000.00 Rp 235,000.00 5 Rp 47,000.00 Rp 235,000.00 0 Rp 47,000.00 Rp -
9 CTM Box Rp 10,000.00 Rp - 10 Rp 10,000.00 Rp 100,000.00 10 Rp 10,000.00 Rp 100,000.00 0 Rp 10,000.00 Rp -
10 B1 Box Rp 20,000.00 Rp - 1 Rp 20,000.00 Rp 20,000.00 1 Rp 20,000.00 Rp 20,000.00 0 Rp 20,000.00 Rp -
11 Roverton (Ambroxol) Box Rp 25,000.00 Rp - 10 Rp 25,000.00 Rp 250,000.00 10 Rp 25,000.00 Rp 250,000.00 0 Rp 25,000.00 Rp -
13 Gricin (Griseofulvin) Box Rp 35,000.00 Rp - 3 Rp 35,000.00 Rp 105,000.00 3 Rp 35,000.00 Rp 105,000.00 0 Rp 35,000.00 Rp -
14 Cetrizine Box Rp 30,000.00 Rp - 3 Rp 30,000.00 Rp 90,000.00 3 Rp 30,000.00 Rp 90,000.00 0 Rp 30,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
15 Oxy Salep Kulit Pcs Rp 5,000.00 Rp - 5 Rp 5,000.00 Rp 25,000.00 5 Rp 5,000.00 Rp 25,000.00 0 Rp 5,000.00 Rp -
16 Natrium Diclofenak 50 mg Box Rp 20,000.00 Rp - 3 Rp 20,000.00 Rp 60,000.00 3 Rp 20,000.00 Rp 60,000.00 0 Rp 20,000.00 Rp -
18 Cefadroxil Box Rp 90,000.00 Rp - 1 Rp 90,000.00 Rp 90,000.00 1 Rp 90,000.00 Rp 90,000.00 0 Rp 90,000.00 Rp -
19 Ambroxol Box Rp 20,000.00 Rp - 3 Rp 20,000.00 Rp 60,000.00 3 Rp 20,000.00 Rp 60,000.00 0 Rp 20,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
22 Paracetamol 500 mg Box Rp 22,000.00 Rp - 20 Rp 22,000.00 Rp 440,000.00 20 Rp 22,000.00 Rp 440,000.00 0 Rp 22,000.00 Rp -
23 Dehista (CTM) Box Rp 25,000.00 Rp - 15 Rp 25,000.00 Rp 375,000.00 15 Rp 25,000.00 Rp 375,000.00 0 Rp 25,000.00 Rp -
25 Piroxicam 10 mg Box Rp 21,000.00 Rp - 5 Rp 21,000.00 Rp 105,000.00 5 Rp 21,000.00 Rp 105,000.00 0 Rp 21,000.00 Rp -
26 Farsifen 200 mg (Ibuprofen) Box Rp 26,000.00 Rp - 5 Rp 26,000.00 Rp 130,000.00 5 Rp 26,000.00 Rp 130,000.00 0 Rp 26,000.00 Rp -
27 Cefford Forte (Cefadroxil) Box Rp 95,000.00 Rp - 3 Rp 95,000.00 Rp 285,000.00 3 Rp 95,000.00 Rp 285,000.00 0 Rp 95,000.00 Rp -
28 Fasidol 500 mg (Pct Syr) Botol Rp 6,000.00 Rp - 15 Rp 6,000.00 Rp 90,000.00 15 Rp 6,000.00 Rp 90,000.00 0 Rp 6,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
29 B. Com Box Rp 15,000.00 Rp - 10 Rp 15,000.00 Rp 150,000.00 10 Rp 15,000.00 Rp 150,000.00 0 Rp 15,000.00 Rp -
30 Omeprazole Box Rp 20,000.00 Rp - 5 Rp 20,000.00 Rp 100,000.00 5 Rp 20,000.00 Rp 100,000.00 0 Rp 20,000.00 Rp -
31 Nifedipine Box Rp 30,000.00 Rp - 3 Rp 30,000.00 Rp 90,000.00 3 Rp 30,000.00 Rp 90,000.00 0 Rp 30,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
32 Dehista (CTM) Box Rp 35,000.00 Rp - 6 Rp 35,000.00 Rp 210,000.00 6 Rp 35,000.00 Rp 210,000.00 0 Rp 35,000.00 Rp -
33 Cetirizine Hydro Box Rp 45,000.00 Rp - 2 Rp 45,000.00 Rp 90,000.00 2 Rp 45,000.00 Rp 90,000.00 0 Rp 45,000.00 Rp -
35 Lecozinc (Zink) Box Rp 16,000.00 Rp - 3 Rp 16,000.00 Rp 48,000.00 3 Rp 16,000.00 Rp 48,000.00 0 Rp 16,000.00 Rp -
36 B.Com Box Rp 18,000.00 Rp - 15 Rp 18,000.00 Rp 270,000.00 15 Rp 18,000.00 Rp 270,000.00 0 Rp 18,000.00 Rp -
37 Griseofulvin Box Rp 35,000.00 Rp - 2 Rp 35,000.00 Rp 70,000.00 2 Rp 35,000.00 Rp 70,000.00 0 Rp 35,000.00 Rp -
38 Oxy Salep Kulit Box Rp 5,000.00 Rp - 5 Rp 5,000.00 Rp 25,000.00 5 Rp 5,000.00 Rp 25,000.00 0 Rp 5,000.00 Rp -
39 Ibuprofen 400mg Box Rp 36,000.00 Rp - 3 Rp 36,000.00 Rp 108,000.00 3 Rp 36,000.00 Rp 108,000.00 0 Rp 36,000.00 Rp -
40 Piroxicam Box Rp 22,000.00 Rp - 3 Rp 22,000.00 Rp 66,000.00 3 Rp 22,000.00 Rp 66,000.00 0 Rp 22,000.00 Rp -
41 Cefford Forte (Cefadroxil) Box Rp 95,000.00 Rp - 3 Rp 95,000.00 Rp 285,000.00 3 Rp 95,000.00 Rp 285,000.00 0 Rp 95,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
43 Antasida Syr Botol Rp 5,000.00 Rp - 5 Rp 5,000.00 Rp 25,000.00 5 Rp 5,000.00 Rp 25,000.00 0 Rp 5,000.00 Rp -
44 Pritamox Syr Botol Rp 7,000.00 Rp - 5 Rp 7,000.00 Rp 35,000.00 5 Rp 7,000.00 Rp 35,000.00 0 Rp 7,000.00 Rp -
46 Metronidazole Box Rp 25,000.00 Rp - 2 Rp 25,000.00 Rp 50,000.00 2 Rp 25,000.00 Rp 50,000.00 0 Rp 25,000.00 Rp -
47 Histigo (Betahistine Mesilate) Box Rp 36,000.00 Rp - 1 Rp 36,000.00 Rp 36,000.00 1 Rp 36,000.00 Rp 36,000.00 0 Rp 36,000.00 Rp -
48 Cefadroxil Monohydrate Box Rp 90,000.00 Rp - 2 Rp 90,000.00 Rp 180,000.00 2 Rp 90,000.00 Rp 180,000.00 0 Rp 90,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
49 B.Com Box Rp 15,000.00 Rp - 15 Rp 15,000.00 Rp 225,000.00 15 Rp 15,000.00 Rp 225,000.00 0 Rp 15,000.00 Rp -
50 Ibuprofen Box Rp 27,000.00 Rp - 3 Rp 27,000.00 Rp 81,000.00 3 Rp 27,000.00 Rp 81,000.00 0 Rp 27,000.00 Rp -
51 Amlodipin 5mg Box Rp 100,000.00 Rp - 1 Rp 100,000.00 Rp 100,000.00 1 Rp 100,000.00 Rp 100,000.00 0 Rp 100,000.00 Rp -
52 Diclofenac Sodium Box Rp 27,000.00 Rp - 5 Rp 27,000.00 Rp 135,000.00 5 Rp 27,000.00 Rp 135,000.00 0 Rp 27,000.00 Rp -
53 Pharma Fix (Cefixime) Box Rp 90,000.00 Rp - 1 Rp 90,000.00 Rp 90,000.00 1 Rp 90,000.00 Rp 90,000.00 0 Rp 90,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
54 Gricin 125 (Griseofulvin) Box Rp 45,000.00 Rp - 2 Rp 45,000.00 Rp 90,000.00 2 Rp 45,000.00 Rp 90,000.00 0 Rp 45,000.00 Rp -
55 Piroxicam 20mg Box Rp 20,000.00 Rp - 3 Rp 20,000.00 Rp 60,000.00 3 Rp 20,000.00 Rp 60,000.00 0 Rp 20,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
56 Natrium Diklofenak 50 mg Box Rp 30,000.00 Rp - 10 Rp 30,000.00 Rp 300,000.00 10 Rp 30,000.00 Rp 300,000.00 0 Rp 30,000.00 Rp -
57 Betahistine Mesilate 6 mg Box Rp 120,000.00 Rp - 2 Rp 120,000.00 Rp 240,000.00 2 Rp 120,000.00 Rp 240,000.00 0 Rp 120,000.00 Rp -
58 Vitamin B Complex Box Rp 20,000.00 Rp - 4 Rp 20,000.00 Rp 80,000.00 4 Rp 20,000.00 Rp 80,000.00 0 Rp 20,000.00 Rp -
60 Yusimox (Amoxicillin) Syr Botol Rp 6,000.00 Rp - 20 Rp 6,000.00 Rp 120,000.00 20 Rp 6,000.00 Rp 120,000.00 0 Rp 6,000.00 Rp -
61 Antasida Doen Syr Botol Rp 5,000.00 Rp - 10 Rp 5,000.00 Rp 50,000.00 10 Rp 5,000.00 Rp 50,000.00 0 Rp 5,000.00 Rp -
62 Omeprazole 20 mg Box Rp 20,000.00 Rp - 5 Rp 20,000.00 Rp 100,000.00 5 Rp 20,000.00 Rp 100,000.00 0 Rp 20,000.00 Rp -
63 Novaxifen 400 (Ibuprofen) Botol Rp 50,000.00 Rp - 5 Rp 50,000.00 Rp 250,000.00 5 Rp 50,000.00 Rp 250,000.00 0 Rp 50,000.00 Rp -
64 Amlodipine 5 mg Botol Rp 110,000.00 Rp - 10 Rp 110,000.00 Rp 1,100,000.00 10 Rp 110,000.00 Rp 1,100,000.00 0 Rp 110,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
65 Carpule Pcs Rp 17,000.00 Rp - 50 Rp 17,000.00 Rp 850,000.00 50 Rp 17,000.00 Rp 850,000.00 0 Rp 17,000.00 Rp -
66 Plasminex (Asam Traneksamat) Strip Rp 36,000.00 Rp - 1 Rp 36,000.00 Rp 36,000.00 1 Rp 36,000.00 Rp 36,000.00 0 Rp 36,000.00 Rp -
67 Farsifen (Ibuprofen) Box Rp 46,000.00 Rp - 1 Rp 46,000.00 Rp 46,000.00 1 Rp 46,000.00 Rp 46,000.00 0 Rp 46,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
69 Ibuprofen 400 mg Box Rp 35,000.00 Rp - 3 Rp 35,000.00 Rp 105,000.00 3 Rp 35,000.00 Rp 105,000.00 0 Rp 35,000.00 Rp -
70 Novadium (Loperamid) Box Rp 30,000.00 Rp - 3 Rp 30,000.00 Rp 90,000.00 3 Rp 30,000.00 Rp 90,000.00 0 Rp 30,000.00 Rp -
71 Orphen (CTM) Box Rp 26,000.00 Rp - 1 Rp 26,000.00 Rp 26,000.00 1 Rp 26,000.00 Rp 26,000.00 0 Rp 26,000.00 Rp -
72 Amlodipine 10 mg Box Rp 100,000.00 Rp - 2 Rp 100,000.00 Rp 200,000.00 2 Rp 100,000.00 Rp 200,000.00 0 Rp 100,000.00 Rp -
75 Mefenamic Acid Box Rp 37,000.00 Rp - 3 Rp 37,000.00 Rp 111,000.00 3 Rp 37,000.00 Rp 111,000.00 0 Rp 37,000.00 Rp -
77 Pehacain Box Rp 75,000.00 Rp - 1 Rp 75,000.00 Rp 75,000.00 1 Rp 75,000.00 Rp 75,000.00 0 Rp 75,000.00 Rp -
78 Oxytocin Ampul Rp 10,000.00 Rp - 20 Rp 10,000.00 Rp 200,000.00 20 Rp 10,000.00 Rp 200,000.00 0 Rp 10,000.00 Rp -
BMHP
79 Alkohol 70% 1000 ml Botol Rp 49,000.00 Rp - 3 Rp 49,000.00 Rp 147,000.00 3 Rp 49,000.00 Rp 147,000.00 0 Rp 49,000.00 Rp -
80 Rivanol 300 ml Botol Rp 10,000.00 Rp - 2 Rp 10,000.00 Rp 20,000.00 2 Rp 10,000.00 Rp 20,000.00 0 Rp 10,000.00 Rp -
81 Steril Lanset Box Rp 35,000.00 Rp - 1 Rp 35,000.00 Rp 35,000.00 1 Rp 35,000.00 Rp 35,000.00 0 Rp 35,000.00 Rp -
82 Strip HB Easy Touch Box Rp 156,000.00 Rp - 1 Rp 156,000.00 Rp 156,000.00 1 Rp 156,000.00 Rp 156,000.00 0 Rp 156,000.00 Rp -
83 Isi Ulang Tabung Oksigen Botol Rp 100,000.00 Rp - 2 Rp 100,000.00 Rp 200,000.00 2 Rp 100,000.00 Rp 200,000.00 0 Rp 100,000.00 Rp -
84 Strip Gula Easy Touch Box Rp 140,000.00 Rp - 1 Rp 140,000.00 Rp 140,000.00 1 Rp 140,000.00 Rp 140,000.00 0 Rp 140,000.00 Rp -
85 Strip Asam Urat Easy Touch Box Rp 150,000.00 Rp - 1 Rp 150,000.00 Rp 150,000.00 1 Rp 150,000.00 Rp 150,000.00 0 Rp 150,000.00 Rp -
86 Strip Cholestrol Easy Touch Box Rp 240,000.00 Rp - 1 Rp 240,000.00 Rp 240,000.00 1 Rp 240,000.00 Rp 240,000.00 0 Rp 240,000.00 Rp -
87 Strip HB Easy Touch Box Rp 155,000.00 Rp - 1 Rp 155,000.00 Rp 155,000.00 1 Rp 155,000.00 Rp 155,000.00 0 Rp 155,000.00 Rp -
88 Oxytocin inj Pcs Rp 6,000.00 Rp - 10 Rp 6,000.00 Rp 60,000.00 10 Rp 6,000.00 Rp 60,000.00 0 Rp 6,000.00 Rp -
89 Pehacain Inj Box Rp 85,000.00 Rp - 1 Rp 85,000.00 Rp 85,000.00 1 Rp 85,000.00 Rp 85,000.00 0 Rp 85,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
91 Selang Oksigen Anak Pcs Rp 22,000.00 Rp - 5 Rp 22,000.00 Rp 110,000.00 5 Rp 22,000.00 Rp 110,000.00 0 Rp 22,000.00 Rp -
92 Selang Oksigen Dewasa Pcs Rp 22,000.00 Rp - 5 Rp 22,000.00 Rp 110,000.00 5 Rp 22,000.00 Rp 110,000.00 0 Rp 22,000.00 Rp -
93 Steril Lanset Box Rp 36,000.00 Rp - 2 Rp 36,000.00 Rp 72,000.00 2 Rp 36,000.00 Rp 72,000.00 0 Rp 36,000.00 Rp -
94 Handscoen Box Rp 65,000.00 Rp - 3 Rp 65,000.00 Rp 195,000.00 3 Rp 65,000.00 Rp 195,000.00 0 Rp 65,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
95 Handscoen Box Rp 75,000.00 Rp - 5 Rp 75,000.00 Rp 375,000.00 5 Rp 75,000.00 Rp 375,000.00 0 Rp 75,000.00 Rp -
96 Ethyl Botol Rp 250,000.00 Rp - 1 Rp 250,000.00 Rp 250,000.00 1 Rp 250,000.00 Rp 250,000.00 0 Rp 250,000.00 Rp -
97 Abocath 24 Pcs Rp 15,000.00 Rp - 10 Rp 15,000.00 Rp 150,000.00 10 Rp 15,000.00 Rp 150,000.00 0 Rp 15,000.00 Rp -
98 Alkohol 100ml Botol Rp 30,000.00 Rp - 4 Rp 30,000.00 Rp 120,000.00 4 Rp 30,000.00 Rp 120,000.00 0 Rp 30,000.00 Rp -
99 Jelly Ultrasound Botol Rp 50,000.00 Rp - 2 Rp 50,000.00 Rp 100,000.00 2 Rp 50,000.00 Rp 100,000.00 0 Rp 50,000.00 Rp -
100 Baju APD Sederhana Pcs Rp 15,000.00 Rp - 3 Rp 15,000.00 Rp 45,000.00 3 Rp 15,000.00 Rp 45,000.00 0 Rp 15,000.00 Rp -
101 Baju APD set celana Pcs Rp 100,000.00 Rp - 2 Rp 100,000.00 Rp 200,000.00 2 Rp 100,000.00 Rp 200,000.00 0 Rp 100,000.00 Rp -
102 Bayclin 1000ml Botol Rp 15,000.00 Rp - 12 Rp 15,000.00 Rp 180,000.00 12 Rp 15,000.00 Rp 180,000.00 0 Rp 15,000.00 Rp -
103 Pitogin (Oxytocin) Pcs Rp 10,000.00 Rp - 10 Rp 10,000.00 Rp 100,000.00 10 Rp 10,000.00 Rp 100,000.00 0 Rp 10,000.00 Rp -
104 Alkohol 70% 300ml Botol Rp 90,000.00 Rp - 5 Rp 90,000.00 Rp 450,000.00 5 Rp 90,000.00 Rp 450,000.00 0 Rp 90,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
Rp - Rp - Rp - 0 Rp -
107 Selang Oksigen Dewasa Buah Rp 20,000.00 Rp - 10 Rp 20,000.00 Rp 200,000.00 10 Rp 20,000.00 Rp 200,000.00 0 Rp 20,000.00 Rp -
108 Selang Oksigen Anak Buah Rp 20,000.00 Rp - 4 Rp 20,000.00 Rp 80,000.00 4 Rp 20,000.00 Rp 80,000.00 0 Rp 20,000.00 Rp -
109 Selang Oksigen Bayi Buah Rp 20,000.00 Rp - 3 Rp 20,000.00 Rp 60,000.00 3 Rp 20,000.00 Rp 60,000.00 0 Rp 20,000.00 Rp -
110 Lancet Box Rp 36,000.00 Rp - 2 Rp 36,000.00 Rp 72,000.00 2 Rp 36,000.00 Rp 72,000.00 0 Rp 36,000.00 Rp -
111 Plester Coklat Buah Rp 12,000.00 Rp - 4 Rp 12,000.00 Rp 48,000.00 4 Rp 12,000.00 Rp 48,000.00 0 Rp 12,000.00 Rp -
112 Rivanol 300ml Botol Rp 15,000.00 Rp - 2 Rp 15,000.00 Rp 30,000.00 2 Rp 15,000.00 Rp 30,000.00 0 Rp 15,000.00 Rp -
113 Pembersih Serba guna RJK Botol Rp 50,000.00 Rp - 1 Rp 50,000.00 Rp 50,000.00 1 Rp 50,000.00 Rp 50,000.00 0 Rp 50,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
115 Alkohol 70% 300ml Botol Rp 30,000.00 Rp - 5 Rp 30,000.00 Rp 150,000.00 5 Rp 30,000.00 Rp 150,000.00 0 Rp 30,000.00 Rp -
116 Abocat 22 Buah Rp 25,000.00 Rp - 5 Rp 25,000.00 Rp 125,000.00 5 Rp 25,000.00 Rp 125,000.00 0 Rp 25,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
121 Strip Hb Easy Touch Buah Rp 200,000.00 Rp - 2 Rp 200,000.00 Rp 400,000.00 2 Rp 200,000.00 Rp 400,000.00 0 Rp 200,000.00 Rp -
122 Leukoplast Buah Rp 55,000.00 Rp - 2 Rp 55,000.00 Rp 110,000.00 2 Rp 55,000.00 Rp 110,000.00 0 Rp 55,000.00 Rp -
123 Lancet Buah Rp 35,000.00 Rp - 2 Rp 35,000.00 Rp 70,000.00 2 Rp 35,000.00 Rp 70,000.00 0 Rp 35,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Rp - Rp - Rp - 0 Rp -
125 Klem Tali Pusat Buah Rp 5,000.00 Rp - 20 Rp 5,000.00 Rp 100,000.00 20 Rp 5,000.00 Rp 100,000.00 0 Rp 5,000.00 Rp -
127 Test Kehamilan (One Med) Box Rp 100,000.00 Rp - 1 Rp 100,000.00 Rp 100,000.00 1 Rp 100,000.00 Rp 100,000.00 0 Rp 100,000.00 Rp -
128 Isi Ulang Tabung Oksigen Besar Botol Rp 250,000.00 Rp - 1 Rp 250,000.00 Rp 250,000.00 1 Rp 250,000.00 Rp 250,000.00 0 Rp 250,000.00 Rp -
129 Isi Ulang Tabung Oksigen Kecil Botol Rp 100,000.00 Rp - 3 Rp 100,000.00 Rp 300,000.00 3 Rp 100,000.00 Rp 300,000.00 0 Rp 100,000.00 Rp -
Rp - Rp - Rp - 0 Rp -
Rp - Rp - Rp - 0 Rp -
131 Rivanol 100 ml Botol Rp 5,000.00 Rp - 3 Rp 5,000.00 Rp 15,000.00 3 Rp 5,000.00 Rp 15,000.00 0 Rp 5,000.00 Rp -
132 Abocath 20 Buah Rp 24,000.00 Rp - 15 Rp 24,000.00 Rp 360,000.00 15 Rp 24,000.00 Rp 360,000.00 0 Rp 24,000.00 Rp -
133 Lancet Box Rp 35,000.00 Rp - 2 Rp 35,000.00 Rp 70,000.00 2 Rp 35,000.00 Rp 70,000.00 0 Rp 35,000.00 Rp -
134 Handscoon uk L Box Rp 145,000.00 Rp - 1 Rp 145,000.00 Rp 145,000.00 1 Rp 145,000.00 Rp 145,000.00 0 Rp 145,000.00 Rp -
NILAI OBAT BPJS PUSKESMAS LALOLAE Rp - Rp 20,700,000.00 Rp 20,700,000.000 Rp -
OBAT PROGRAM
1 Vaksin rabies Vial 0 Rp 206,250.00 Rp - 0 Rp 206,250.00 Rp - 0 Rp 206,250.00 Rp - 0 Rp 206,250.00 Rp -
2 Vaksin BCG Vial 0 Rp 59,959.00 Rp - 35 Rp 59,959.00 Rp 2,098,565.00 35 Rp 59,959.00 Rp 2,098,565.00 0 Rp 59,959.00 Rp -
3 Vaksin IPV Vial 0 Rp 59,959.00 Rp - 0 Rp 59,959.00 Rp - 0 Rp 59,959.00 Rp - 0 Rp 59,959.00 Rp -
4 Vaksin DPT HB Hib Vial 0 Rp 76,285.00 Rp - 40 Rp 76,285.00 Rp 3,051,400.00 40 Rp 76,285.00 Rp 3,051,400.00 0 Rp 76,285.00 Rp -
5 Vaksin DT Vial 0 Rp 17,798.00 Rp - 20 Rp 17,798.00 Rp 355,960.00 20 Rp 17,798.00 Rp 355,960.00 0 Rp 17,798.00 Rp -
6 Vaksin polio 10 Vial 0 Rp 19,954.00 Rp - 120 Rp 19,954.00 Rp 2,394,480.00 110 Rp 19,954.00 Rp 2,194,940.00 10 Rp 19,954.00 Rp 199,540.00
7 Vaksin campak/MR Vial 0 Rp 28,204.00 Rp - 120 Rp 28,204.00 Rp 3,384,480.00 120 Rp 28,204.00 Rp 3,384,480.00 0 Rp 28,204.00 Rp -
8 Vaksin Hb Uniject Vial 0 Rp 76,285.00 Rp - 40 Rp 76,285.00 Rp 3,051,400.00 20 Rp 76,285.00 Rp 1,525,700.00 20 Rp 76,285.00 Rp 1,525,700.00
10 Vaksin MMR Vial 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
12 Vitamin A 100000 IU Soft Kapsul 318 Rp 386.00 Rp 122,748.00 0 Rp 386.00 Rp - 45 Rp 386.00 Rp 17,370.00 273 Rp 386.00 Rp 105,378.00
13 Vitamin A 100000 IU Soft Kapsul 0 Rp 346.00 Rp - 100 Rp 346.00 Rp 34,600.00 25 Rp 346.00 Rp 8,650.00 75 Rp 346.00 Rp 25,950.00
14 Vitamin A 200000 IU Soft Kapsul 645 Rp 505.00 Rp 325,725.00 0 Rp 505.00 Rp - 350 Rp 505.00 Rp 176,750.00 295 Rp 505.00 Rp 148,975.00
15 Vitamin A 200000 IU SOft Kapsul 0 Rp 622.00 Rp - 300 Rp 622.00 Rp 186,600.00 230 Rp 622.00 Rp 143,060.00 70 Rp 622.00 Rp 43,540.00
17 Obat TB anak Paket 0 Rp 189,195.00 Rp - 1 Rp 189,195.00 Rp 189,195.00 1 Rp 189,195.00 Rp 189,195.00 0 Rp 189,195.00 Rp -
18 Reagen TB Kit 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
19 Obat Kusta Blister 0 Rp 38,395.00 Rp - 0 Rp 38,395.00 Rp - 0 Rp 38,395.00 Rp - 0 Rp 38,395.00 Rp -
20 Abate Botol 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
21 Tablet tambah darah Tablet 7972 Rp 112.00 Rp 892,864.00 Rp 112.00 Rp - 1400 Rp 112.00 Rp 156,800.00 6572 Rp 112.00 Rp 736,064.00
22 Tablet tambah darah Tablet 0 Rp 427.00 Rp - 5600 Rp 427.00 Rp 2,391,200.00 1400 Rp 427.00 Rp 597,800.00 4200 Rp 427.00 Rp 1,793,400.00
23 Tablet tambah darah Tablet 0 Rp 427.00 Rp - 5600 Rp 427.00 Rp 2,391,200.00 2100 Rp 427.00 Rp 896,700.00 3500 Rp 427.00 Rp 1,494,500.00
24 Oksitosin Injeksi Ampul 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp -
25 Calsium Glukonat 30 mg/ml Ampul 0 Rp 7,800.00 Rp - 0 Rp 7,800.00 Rp - 0 Rp 7,800.00 Rp - 0 Rp 7,800.00 Rp -
26 Methilergometrin Maleat inj Ampul 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp -
27 Fenobarbital injeksi Ampul 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp -
28 Gentamicin 40 mg/ml Ampul 0 Rp 3,739.00 Rp - 0 Rp 3,739.00 Rp - 0 Rp 3,739.00 Rp - 0 Rp 3,739.00 Rp -
29 Fitomenadion inj Ampul 0 Rp 4,167.00 Rp - 0 Rp 4,167.00 Rp - 0 Rp 4,167.00 Rp - 0 Rp 4,167.00 Rp -
30 Albendazole 400 mg Tablet 0 Rp 363.00 Rp - 0 Rp 363.00 Rp - 0 Rp 363.00 Rp - 0 Rp 363.00 Rp -
31 Albendazole 400 mg Botol 0 Rp 1,041.98 Rp - 3600 Rp 1,041.98 Rp 3,751,110.00 3422 Rp 1,041.98 Rp 3,565,638.45 178 Rp 1,041.98 Rp 185,471.55
32 DEC Tablet 0 Rp 190.00 Rp - 6800 Rp 190.00 Rp 1,292,000.00 0 Rp 190.00 Rp - 6800 Rp 190.00 Rp 1,292,000.00
33 Obat malaria DHP Tablet 18 Rp 3,498.00 Rp 62,964.00 0 Rp 3,498.00 Rp - 0 Rp 3,498.00 Rp - 18 Rp 3,498.00 Rp 62,964.00
34 Obat malaria DHP Tablet 0 Rp 2,166.00 Rp - 27 Rp 2,166.00 Rp 58,482.00 0 Rp 2,166.00 Rp - 27 Rp 2,166.00 Rp 58,482.00
35 RDT Malaria Pcs 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
36 Primaquine Blister 50 Rp 253.00 Rp 12,650.00 0 Rp 253.00 Rp - 0 Rp 253.00 Rp - 50 Rp 253.00 Rp 12,650.00
37 Zinc Dispersal 20 mg Tablet 600 Rp 276.00 Rp 165,600.00 0 Rp 276.00 Rp - 0 Rp 276.00 Rp - 600 Rp 276.00 Rp 165,600.00
38 Zinc Dispersal 20 mg Tablet 0 Rp 631.00 Rp - 500 Rp 631.00 Rp 315,500.00 300 Rp 631.00 Rp 189,300.00 200 Rp 631.00 Rp 126,200.00
39 Oralit Sachet 500 Rp 617.00 Rp 308,500.00 0 Rp 617.00 Rp - 0 Rp 617.00 Rp - 500 Rp 617.00 Rp 308,500.00
40 Oralit sachet 0 Rp 275.00 Rp - 1000 Rp 275.00 Rp 275,000.00 0 Rp 275.00 1000 Rp 275.00 Rp 275,000.00
41 Obat TB kategori II Paket 0 Rp - Rp - 1 Rp - Rp - 0 Rp - Rp - 1 Rp - Rp -
42 RDT HIV Pcs 0 Rp 6,479.00 Rp - 0 Rp 6,479.00 Rp - 0 Rp 6,479.00 Rp - 0 Rp 6,479.00 Rp -
43 RDT HIV PCS 0 Rp 11,975.00 Rp - 100 Rp 11,975.00 Rp 1,197,500.00 100 Rp 11,975.00 Rp 1,197,500.00 0 Rp 11,975.00 Rp -
44 RDT Hepatitis Pcs 0 Rp 8,183.00 Rp - 100 Rp 8,183.00 Rp 818,300.00 100 Rp 8,183.00 Rp 818,300.00 0 Rp 8,183.00 Rp -
45 Alat deteksi resiko ibu hamil Paket 0 Rp 409,816.00 Rp - 0 Rp 409,816.00 Rp - 0 Rp 409,816.00 Rp - 0 Rp 409,816.00 Rp -
NILAI OBAT PROGRAM PUSKESMAS LALOLAE Rp 1,891,051.00 Rp 30,928,092.00 Rp 23,859,713.450 Rp 8,959,429.55
JUMLAH NILAI OBAT PUSKESMAS LALOLAE Rp 68,180,928.90 Rp 121,560,946.19 Rp 137,477,563.487 Rp 52,264,311.60
PUSKESMAS TINONDO
OBAT IFK
1 Albendazol tab. 400 Tablet 470 363.00 Rp 170,610.00 Rp - Rp 363.00 Rp - 470 Rp 363.00 Rp 170,610.00
2 ALBENDAZOL SUP 200 MG/5ML Botol 0 Rp 4,619.00 Rp - Rp - Rp 4,619.00 Rp - 0 Rp 4,619.00 Rp -
3 ALOPURINOL TABLET 100 MG Tablet 0 Rp 108.00 Rp - 2700 Rp 108.00 Rp 291,600.00 2000 Rp 108.00 Rp 216,000.00 700 Rp 108.00 Rp 75,600.00
4 ALOPURINOL TABLET 100 MG Tablet 400 120.00 Rp 48,000.00 0 Rp 120.00 Rp - 400 Rp 120.00 Rp 48,000.00 0 Rp 120.00 Rp -
5 ALOPURINOL TABLET 100 MG Tablet 0 102.00 Rp - 2000 Rp 102.00 Rp 204,000.00 2000 Rp 102.00 Rp 204,000.00 0 Rp 102.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
6 Air untuk injeksi 25 ml Ampul 10 2,860.00 Rp 28,600.00 Rp - 10 Rp 2,860.00 Rp 28,600.00 0 Rp 2,860.00 Rp -
7 AIR UNTUK INJEKSI 25 ML BOTOL 0 Rp 2,860.00 Rp - 6 Rp 2,860.00 Rp 17,160.00 1 Rp 2,860.00 Rp 2,860.00 5 Rp 2,860.00 Rp 14,300.00
8 AMBROXOL 15MG/ML SYR 60 ML SIRUP 0 Rp 4,959.90 Rp - 10 Rp 4,959.90 Rp 49,599.00 10 Rp 4,959.90 Rp 49,599.00 0 Rp 4,959.90 Rp -
9 AMBROXOL 30MG TAB TABLET 0 Rp 197.34 Rp - 500 Rp 197.34 Rp 98,670.00 500 Rp 197.34 Rp 98,670.00 0 Rp 197.34 Rp -
10 Ambroxol tab. 30 mg Tablet 0 Rp 138.00 Rp - Rp - Rp 138.00 Rp - 0 Rp 138.00 Rp -
11 Aminofilin Inj 24 mg/ml Ampul 0 Rp 4,204.00 Rp - Rp - Rp 4,204.00 Rp - 0 Rp 4,204.00 Rp -
12 Amlodipin 5 mg Tablet 600 78.00 Rp 46,800.00 900 Rp 78.00 Rp 70,200.00 1500 Rp 78.00 Rp 117,000.00 0 Rp 78.00 Rp -
13 Amlodipin tab 10 mg Tablet 300 850.00 Rp 255,000.00 0 Rp 99.00 Rp - 300 Rp 850.00 Rp 255,000.00 0 Rp 99.00 Rp -
14 Amlodipin tab 10 mg Tablet 0 99.00 Rp - 300 Rp 99.00 Rp 29,700.00 300 Rp 99.00 Rp 29,700.00 0 Rp 99.00 Rp -
17 Amoxicilin kapsul/kaplet 250 mg Kapsul 3700 198.00 Rp 732,600.00 Rp - 3700 Rp 198.00 Rp 732,600.00 0 Rp 198.00 Rp -
18 AMOKSISILIN 500 MG Kapsul 0 Rp 248.00 Rp - 1000 Rp 248.00 Rp 248,000.00 1000 Rp 248.00 Rp 248,000.00 0 Rp 248.00 Rp -
19 AMOKSISILIN KAPLET 500 MG Kapsul 3100 192.00 Rp 595,200.00 Rp - 3100 Rp 192.00 Rp 595,200.00 0 Rp 192.00 Rp -
20 Amoxicilin sirup kering 250 mg/5 ml Botol 71 3,740.00 Rp 265,540.00 300 Rp 3,740.00 Rp 1,122,000.00 371 Rp 3,740.00 Rp 1,387,540.00 0 Rp 3,740.00 Rp -
21 AMOKSISILIN 500 MG Kapsul 0 Rp 265.00 Rp - 2000 Rp 265.00 Rp 530,000.00 2000 Rp 265.00 Rp 530,000.00 0 Rp 265.00 Rp -
22 AMOKSISILIN 500 MG Kapsul 0 Rp 269.00 Rp - 2000 Rp 269.00 Rp 538,000.00 1600 Rp 269.00 Rp 430,400.00 400 Rp 269.00 Rp 107,600.00
23 ANTASIDA DOEN I TABLET KUNYAH, KOMBINASI : ALUMINIUM HIDROK Tablet 1500 57.00 Rp 85,500.00 6500 Rp 57.00 Rp 370,500.00 7600 Rp 57.00 Rp 433,200.00 400 Rp 57.00 Rp 22,800.00
24 Antasida DOEN II Syirup, kombinasi : Aluminium Hidroksida 200 mg/5 ml M Botol 20 2,146.00 Rp 42,920.00 Rp - 20 Rp 2,146.00 Rp 42,920.00 0 Rp 2,146.00 Rp -
25 Antasida DOEN II Syirup, kombinasi : Aluminium Hidroksida 200 mg/5 ml M Botol 4 2,290.00 Rp 9,160.00 Rp - 4 Rp 2,290.00 Rp 9,160.00 0 Rp 2,290.00 Rp -
26 Anti bakteri DOEN salep kombinasi : Basitrasin 500 IU/g + Polimiksilin 10.00 Tube 91 3,511.00 Rp 319,501.00 100 Rp 3,511.00 Rp 351,100.00 141 Rp 3,511.00 Rp 495,051.00 50 Rp 3,511.00 Rp 175,550.00
27 ANTIHEMOROID KOMBINASI: BISMUT SUBGALAT 150MG+HEKSAKLOROF Supp 8 3,800.00 Rp 30,400.00 100 Rp 3,800.00 Rp 380,000.00 87 Rp 3,800.00 Rp 330,600.00 21 Rp 3,800.00 Rp 79,800.00
28 ASAM ASKORBAT ( VIT. C ) TABLET 50 MG Tablet 0 Rp 125.00 Rp - Rp - Rp 125.00 Rp - 0 Rp 125.00 Rp -
29 Asam askorbat (Vit.C) 50 mg Tablet 2200 31.69 Rp 69,718.00 0 Rp 31.69 Rp - 2200 Rp 31.69 Rp 69,718.00 0 Rp 31.69 Rp -
30 Asam askorbat (Vit.C) 50 mg Tablet 0 126.00 Rp - 6500 Rp 126.00 Rp 819,000.00 5950 Rp 126.00 Rp 749,700.00 550 Rp 126.00 Rp 69,300.00
31 Asam askorbat (Vit.C) 250 mg Tablet 0 Rp 167.00 Rp - Rp - Rp 167.00 Rp - 0 Rp 167.00 Rp -
32 Alkohol 70 % 100 ml Botol 0 Rp 2,832.00 Rp - Rp - Rp 2,832.00 Rp - 0 Rp 2,832.00 Rp -
33 Asam mefenamat kaps/kapl 500 mg Tablet 0 Rp 127.00 Rp - Rp - Rp 127.00 Rp - 0 Rp 127.00 Rp -
34 Asam mefenamat kaps/kapl 500 mg Tablet 0 Rp 160.00 Rp - Rp - Rp 160.00 Rp - 0 Rp 160.00 Rp -
35 ASAM MEFENAMAT KAPLET 500 MG Kaplet 0 Rp 105.00 Rp - Rp - Rp 105.00 Rp - 0 Rp 105.00 Rp -
36 ASIKLOVIR 200 MG Tablet 50 263.00 Rp 13,150.00 Rp - 50 Rp 263.00 Rp 13,150.00 0 Rp 263.00 Rp -
37 Asiklovir 400 mg Tablet 250 415.00 Rp 103,750.00 Rp - 250 Rp 415.00 Rp 103,750.00 0 Rp 415.00 Rp -
38 ACYCLOVIR 200 MG Tablet 0 Rp 236.00 Rp - 1000 Rp 236.00 Rp 236,000.00 790 Rp 236.00 Rp 186,440.00 210 Rp 236.00 Rp 49,560.00
39 ASIKLOVIR TAB 400 MG Tablet 0 Rp 440.00 Rp - 200 Rp 440.00 Rp 88,000.00 60 Rp 440.00 Rp 26,400.00 140 Rp 440.00 Rp 61,600.00
40 Bedak Salisilk Serbuk 2 % Pot 0 Rp 1,350.00 Rp - Rp - Rp 1,350.00 Rp - 0 Rp 1,350.00 Rp -
41 BEDAK SALICYL 2% 60Gr Pcs 0 Rp 6,426.20 Rp - 5 Rp 6,426.20 Rp 32,131.00 5 Rp 6,426.20 Rp 32,131.00 0 Rp 6,426.20 Rp -
42 BETAMETASON DIPROPIONATE 0,05 % Tube 0 Rp 3,350.00 Rp - 63 Rp 3,350.00 Rp 211,050.00 43 Rp 3,350.00 Rp 144,050.00 20 Rp 3,350.00 Rp 67,000.00
43 BETAMETASON KRIM 0,1% Tube 0 Rp 1,450.00 Rp - Rp - Rp 1,450.00 Rp - 0 Rp 1,450.00 Rp -
44 Betahistin Masilat 6 Mg Tablet 0 Rp 924.00 Rp - Rp - Rp 924.00 Rp - 0 Rp 924.00 Rp -
45 BETAHISTIN TABLET 6 MG Tablet 0 Rp 165.00 Rp - Rp - Rp 165.00 Rp - 0 Rp 165.00 Rp -
46 Captopril 12,5 mg Tablet 300 81.82 Rp 24,546.00 Rp - 300 81.82 Rp 24,546.00 0 Rp 68.00 Rp -
47 DIFENHIDRAMIN INJEKSI AMPUL 0 Rp 1,316.00 Rp - 5 Rp 1,316.00 Rp 6,580.00 Rp 1,316.00 Rp - 5 Rp 1,316.00 Rp 6,580.00
48 Cefadroxil 500 Mg Kapsul 0 Rp 763.64 Rp - Rp - Rp 763.64 Rp - 0 Rp 763.64 Rp -
49 CETIRIZINE SYRUP 5 mg/ml Botol 100 3,104.00 Rp 310,400.00 50 Rp 3,104.00 Rp 155,200.00 103 Rp 3,104.00 Rp 319,712.00 47 Rp 3,104.00 Rp 145,888.00
50 DIAZEPAM INJ 5 MG Ampul 0 Rp 2,010.00 Rp - 10 Rp 2,010.00 Rp 20,100.00 Rp 2,010.00 Rp - 10 Rp 2,010.00 Rp 20,100.00
51 DIAZEPAM 2 MG Tablet 0 Rp 86.00 Rp - 100 Rp 86.00 Rp 8,600.00 Rp 86.00 Rp - 100 Rp 86.00 Rp 8,600.00
52 DEXAMETASON INJ 5 MG/ML (MEPROFARM) AMPUL 0 Rp 1,278.00 Rp - 10 Rp 1,278.00 Rp 12,780.00 Rp 1,278.00 Rp - 10 Rp 1,278.00 Rp 12,780.00
53 Deksametason Injeksi i.v/i.m 5 mg/ml Ampul 24 1,885.00 Rp 45,240.00 Rp - 24 Rp 1,885.00 Rp 45,240.00 0 Rp 1,885.00 Rp -
54 DEXAMETASON 0,5 MG TABLET 0 Rp 136.06 Rp - 500 Rp 136.06 Rp 68,029.50 500 Rp 136.06 Rp 68,029.50 0 Rp 136.06 Rp -
55 DOMPERIDONE TABLET/KAPSIL/KAPLET 10 MG Tablet 0 Rp 96.00 Rp - 500 Rp 96.00 Rp 48,000.00 500 Rp 96.00 Rp 48,000.00 0 Rp 96.00 Rp -
56 Epinefrin (Adrenalin) Injeksi i.v/s.k/i.m 1 mg/ml Ampul 10 2,068.00 Rp 20,680.00 Rp - 10 Rp 2,068.00 Rp 20,680.00 0 Rp 2,068.00 Rp -
57 EPINEFRIN ( ADRENALIN )INJ. 1 MG/ML ( 0,1 % ) Ampul 10 1,848.00 Rp 18,480.00 Rp - 10 Rp 1,848.00 Rp 18,480.00 0 Rp 1,848.00 Rp -
58 Eritromisin Kapsul/Kaplet 250 mg Kapsul 450 677.00 Rp 304,650.00 Rp - 450 677.00 Rp 304,650.00 0 Rp 666.00 Rp -
59 ERITROMISIN SIRUP KERING 200 MG/5ML Botol 83 6,622.00 Rp 549,626.00 Rp - 83 Rp 6,622.00 Rp 549,626.00 0 Rp 6,622.00 Rp -
60 GENERIK ERITROMISIN 250 MG Tablet 0 Rp 711.00 Rp - 1600 Rp 711.00 Rp 1,137,600.00 1130 Rp 711.00 Rp 803,430.00 470 Rp 711.00 Rp 334,170.00
61 Etakridin (Rivanol) Botol 0 Rp 6,000.00 Rp - Rp - Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp -
62 Etanol 70 % cairan 100 ml Botol 0 Rp 2,625.00 Rp - Rp - Rp 2,625.00 Rp - 0 Rp 2,625.00 Rp -
63 Fitomenadion (vit.K1) injeksi 10 mg/ml Ampul 56 4,167.00 Rp 233,352.00 Rp - 56 Rp 4,167.00 Rp 233,352.00 0 Rp 4,167.00 Rp -
64 FITOMENADION INJEKSI2 MG/ML AMPUL 0 Rp 4,420.00 Rp - 20 Rp 4,420.00 Rp 88,400.00 12 Rp 4,420.00 Rp 53,040.00 8 Rp 4,420.00 Rp 35,360.00
65 Fitomenadion (vit.K1) tablet salut gula 10 mg Tablet 300 855.00 Rp 256,500.00 Rp - 160 Rp 855.00 Rp 136,800.00 140 Rp 855.00 Rp 119,700.00
66 Furosemid 40 mg Tablet 1600 82.00 Rp 131,200.00 4400 Rp 82.00 Rp 360,800.00 1850 Rp 82.00 Rp 151,700.00 4150 Rp 82.00 Rp 340,300.00
67 Formalin 40 % Botol 2 42,000.00 Rp 84,000.00 Rp - Rp 42,000.00 Rp - 2 Rp 42,000.00 Rp 84,000.00
68 Garam Oralit Serbuk , kombinasi : Natrium klorida 0,52 g, Kalium klorida 0,30 Sachet 80 317.00 Rp 25,360.00 Rp - 80 Rp 317.00 Rp 25,360.00 0 Rp 317.00 Rp -
69 GLUKOSA LARUTAN INFUS 5% BOTOL 0 Rp 7,363.00 Rp - 20 Rp 7,363.00 Rp 147,260.00 Rp 7,363.00 Rp - 20 Rp 7,363.00 Rp 147,260.00
70 GLIMEPERIDE TABLET 1 MG Tablet 0 Rp 174.00 Rp - 500 Rp 174.00 Rp 87,000.00 350 Rp 174.00 Rp 60,900.00 150 Rp 174.00 Rp 26,100.00
71 Glibenklamid tab 5 mg Tablet 4 150.08 Rp 600.32 Rp - 4 150.08 Rp 600.32 0 Rp 143.00 Rp -
72 GENTAMISIN SULFATE SALEP MATA 0,3% Tablet 0 Rp 3,210.00 Rp - 68 Rp 3,210.00 Rp 218,280.00 24 Rp 3,210.00 Rp 77,040.00 44 Rp 3,210.00 Rp 141,240.00
73 Glukosa Larutan Infus 5% steril Botol 110 5,720.00 Rp 629,200.00 Rp - 110 Rp 5,720.00 Rp 629,200.00 0 Rp 5,720.00 Rp -
74 GLUKOSA LARUTAN INFUS 5% Botol 100 6,900.00 Rp 690,000.00 500 Rp 6,900.00 Rp 3,450,000.00 600 Rp 6,900.00 Rp 4,140,000.00 0 Rp 6,900.00 Rp -
75 Griseofulvin tablet 125 mg Tablet 100 230.00 Rp 23,000.00 Rp - 100 Rp 230.00 Rp 23,000.00 0 Rp 231.00 Rp -
76 GRISEOFULVIN TABLET 125 MG TABLET 0 Rp 336.49 Rp - 500 Rp 336.49 Rp 168,245.00 340 Rp 336.49 Rp 114,406.60 160 Rp 336.49 Rp 53,838.40
77 GENERIK ANTIFUNGI SALEP, KOMBINASI: ASAM BENZOAT 6% + ASAM Pot 0 Rp 5,395.00 Rp - 96 Rp 5,395.00 Rp 517,920.00 18 Rp 5,395.00 Rp 97,110.00 78 Rp 5,395.00 Rp 420,810.00
78 GENERIK NISTATIN VAGINAL 100.000 IU Tablet 0 Rp 675.00 Rp - 300 Rp 675.00 Rp 202,500.00 Rp 675.00 Rp - 300 Rp 675.00 Rp 202,500.00
79 Hydroklortiazid (HCT) 25 mg tablet Tablet 0 Rp 186.00 Rp - 1000 Rp 186.00 Rp 186,000.00 Rp 186.00 Rp - 1000 Rp 186.00 Rp 186,000.00
80 HIDROKLORTIAZID TABLET 25 MG Tablet 1400 179.00 Rp 250,600.00 900 Rp 179.00 Rp 161,100.00 200 Rp 179.00 Rp 35,800.00 2100 Rp 179.00 Rp 375,900.00
81 Hydrokortison 2,5 % krim 5 gram Tube 0 Rp 2,838.00 Rp - Rp - Rp 2,838.00 Rp - 0 Rp 2,838.00 Rp -
82 Hydrokortison 2,5 % krim 5 gram Tube 34 2,648.00 Rp 90,032.00 240 Rp 2,648.00 Rp 635,520.00 164 Rp 2,648.00 Rp 434,272.00 110 Rp 2,648.00 Rp 291,280.00
83 Ibuprofen suspensi 200 mg/5 ml Botol 0 Rp 5,509.00 Rp - 48 Rp 5,509.00 Rp 264,432.00 48 Rp 5,509.00 Rp 264,432.00 0 Rp 5,509.00 Rp -
84 Ibuprofen tablet 200 mg Tablet 0 Rp 116.00 Rp - Rp - Rp 116.00 Rp - 0 Rp 116.00 Rp -
85 IBURPOFEN SUSPENSI 200 MG/5 ML BOTOL 0 Rp 5,709.00 Rp - 36 Rp 5,709.00 Rp 205,524.00 18 Rp 5,709.00 Rp 102,762.00 18 Rp 5,709.00 Rp 102,762.00
86 Kalsium Laktat (kalk) 500mg Tablet 2000 60.00 Rp 120,000.00 6000 Rp 60.00 Rp 360,000.00 6300 Rp 60.00 Rp 378,000.00 1700 Rp 60.00 Rp 102,000.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
87 KAPTOPRIL 12,5 MG Tablet 0 Rp 73.00 Rp - 500 Rp 73.00 Rp 36,500.00 500 Rp 73.00 Rp 36,500.00 0 Rp 73.00 Rp -
88 KAPTOPRIL 25 MG TABLET 0 Rp 181.12 Rp - 500 Rp 181.12 Rp 90,557.50 500 Rp 181.12 Rp 90,557.50 0 Rp 181.12 Rp -
89 Ketokonazole 200 mg Tablet 450 317.00 Rp 142,650.00 Rp - 450 Rp 317.00 Rp 142,650.00 0 Rp 317.00 Rp -
90 KOMBINASI FERRO FUMARAT 60 MG + AS. FOLAT 0,4 MG (TAB TAMBA Tube 0 Rp 427.00 Rp - 33600 Rp 427.00 Rp 14,347,200.00 33600 Rp 427.00 Rp 14,347,200.00 0 Rp 427.00 Rp -
91 Kloramfenikol kapsul/kaplet 250 mg Kapsul 700 275.00 Rp 192,500.00 0 700 Rp 275.00 Rp 192,500.00 0 Rp 275.00 Rp -
92 Kloramfenikol salep mata 1 % Tube 0 Rp 2,013.00 Rp - 24 Rp 2,013.00 Rp 48,312.00 18 Rp 2,013.00 Rp 36,234.00 6 Rp 2,013.00 Rp 12,078.00
93 KLORAMFENIKOL SALEP MATA 1 % Tube 18 1,850.00 Rp 33,300.00 Rp - 18 Rp 1,850.00 Rp 33,300.00 0 Rp 1,850.00 Rp -
94 CHLORAMFENIKOL 250 MG TABLET 0 Rp 677.84 Rp - 500 Rp 677.84 Rp 338,921.00 160 Rp 677.84 Rp 108,454.72 340 Rp 677.84 Rp 230,466.28
95 Klorfeniramin Maleat (CTM) 4mg Tablet 0 Rp 27.00 Rp - Rp - Rp 27.00 Rp - 0 Rp 27.00 Rp -
96 KLORFENIRAMINA MALEAT ( CTM ) TABLET 4 MG Tablet 0 Rp 40.00 Rp - Rp - Rp 40.00 Rp - 0 Rp 40.00 Rp -
97 Kotrimoksazol suspensi kombinasi ; Sulfametoksazol 200 mg + Trimetropin Botol 0 Rp 2,257.00 Rp - 125 Rp 2,257.00 Rp 282,125.00 Rp 2,257.00 Rp - 125 Rp 2,257.00 Rp 282,125.00
99 KOTRIMOKSAZOL ( DEWASA ) KOMBINASI : SULFAMEKTOKSAZOL 400 Tablet 1800 129.00 Rp 232,200.00 5000 Rp 129.00 Rp 645,000.00 5460 Rp 129.00 Rp 704,340.00 1340 Rp 129.00 Rp 172,860.00
100 Kotrimoksazol suspensi kombinasi ; Sulfametoksazol 200 mg + Trimetropin Botol 94 2,462.00 Rp 231,428.00 Rp - 94 Rp 2,462.00 Rp 231,428.00 0 Rp 2,462.00 Rp -
101 Larutan mengandung elektrolit (Ringer laktat) Botol 0 Rp 7,630.00 Rp - 100 Rp 7,630.00 Rp 763,000.00 60 Rp 7,630.00 Rp 457,800.00 40 Rp 7,630.00 Rp 305,200.00
102 Larutan mengandung elektrolit (Ringer laktat) Botol 20 5,720.00 Rp 114,400.00 Rp - 20 Rp 5,720.00 Rp 114,400.00 0 Rp 5,720.00 Rp -
103 Larutan mengandung elektrolit (Ringer laktat) Botol 40 7,150.00 Rp 286,000.00 Rp - 40 Rp 7,150.00 Rp 286,000.00 0 Rp 7,150.00 Rp -
104 LIDOKAIN INJEKSI 2% Vial 0 Rp 1,375.00 Rp - 70 Rp 1,375.00 Rp 96,250.00 70 Rp 1,375.00 Rp 96,250.00 0 Rp 1,375.00 Rp -
105 Lisol Botol 8 31,570.00 Rp 252,560.00 5 Rp 31,570.00 Rp 157,850.00 12 Rp 31,570.00 Rp 378,840.00 1 Rp 31,570.00 Rp 31,570.00
106 Loperamid tablet 2 mg Tablet 0 Rp 91.00 Rp - Rp - Rp 91.00 Rp - 0 Rp 91.00 Rp -
107 Loratadin tablet 10 mg Tablet 150 150.00 Rp 22,500.00 Rp - 150 Rp 150.00 Rp 22,500.00 0 Rp 150.00 Rp -
108 LIDOKAIN COMPOSITUM INJEKSI 2% + EPINEFRIN 1: 80.000 INJ 2 ML Botol 0 Rp 1,380.00 Rp - 10 Rp 1,380.00 Rp 13,800.00 10 Rp 1,380.00 Rp 13,800.00 0 Rp 1,380.00 Rp -
109 LARUTAN MENGANDUNG ELEKTROLIT KA-EN 3B Botol 0 Rp 11,314.00 Rp - 20 Rp 11,314.00 Rp 226,280.00 Rp 11,314.00 Rp - 20 Rp 11,314.00 Rp 226,280.00
110 LIDOKAIN HCL 2% AMPUL 0 Rp 1,467.00 Rp - 20 Rp 1,467.00 Rp 29,340.00 10 Rp 1,467.00 Rp 14,670.00 10 Rp 1,467.00 Rp 14,670.00
111 Metronidazol tablet 250 mg Tablet 950 116.00 Rp 110,200.00 Rp - 950 Rp 116.00 Rp 110,200.00 0 Rp 116.00 Rp -
112 LIDOKAIN INJ 2% + EPINEFRIN AMPUL 0 Rp 1,473.00 Rp - 20 Rp 1,473.00 Rp 29,460.00 Rp 1,473.00 Rp - 20 Rp 1,473.00 Rp 29,460.00
113 METILERGOMETRIN TAB 0,125 MG Tablet 0 Rp 271.00 Rp - 200 Rp 271.00 Rp 54,200.00 Rp 271.00 Rp - 200 Rp 271.00 Rp 54,200.00
114 METILERGOMETRIN MALEAT TAB Tablet 400 271.00 Rp 108,400.00 Rp - 400 Rp 271.00 Rp 108,400.00 0 Rp 271.00 Rp -
115 METILERGOMETRIN INJ. 0,2 MG/ML Ampul 21 3,553.00 Rp 74,613.00 Rp - 21 Rp 3,553.00 Rp 74,613.00 0 Rp 3,553.00 Rp -
116 METILERGOMETRIN INJ. 0,2 MG/ML Ampul 0 Rp 3,421.00 Rp - Rp - Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp -
117 METILPREDNISOLONE TABLET/KAPSIL/KAPLET 4 MG Tablet 0 Rp 153.00 Rp - 500 Rp 153.00 Rp 76,500.00 300 Rp 153.00 Rp 45,900.00 200 Rp 153.00 Rp 30,600.00
118 Metformin 500 mg Tablet 0 Rp 165.00 Rp - Rp - Rp 165.00 Rp - 0 Rp 165.00 Rp -
119 METFORMIN 500 MG Tablet 400 110.00 Rp 44,000.00 1700 Rp 110.00 Rp 187,000.00 2020 Rp 110.00 Rp 222,200.00 80 Rp 110.00 Rp 8,800.00
120 METOKLOPRAMIDE TABLET 10 MG Tablet 800 87.00 Rp 69,600.00 1000 Rp 87.00 Rp 87,000.00 Rp 87.00 Rp - 1800 Rp 87.00 Rp 156,600.00
121 Metilprednisolon tablet 4 mg Tablet 450 143.00 Rp 64,350.00 200 Rp 143.00 Rp 28,600.00 650 Rp 143.00 Rp 92,950.00 0 Rp 143.00 Rp -
123 Metronidazol tablet 500 mg Tablet 0 Rp 169.00 Rp - Rp - Rp 169.00 Rp - 0 Rp 169.00 Rp -
124 Miconazole 2% krim Tube 3 3,414.00 Rp 10,242.00 Rp - 3 Rp 3,414.00 Rp 10,242.00 0 Rp 3,414.00 Rp -
125 MIKONAZOLE KRIM 2% TUBE 0 Rp 4,097.00 Rp - 5 Rp 4,097.00 Rp 20,485.00 5 Rp 4,097.00 Rp 20,485.00 0 Rp 4,097.00 Rp -
126 NATRIUM DIKLOFENAK 25 MG Tablet 0 Rp 154.00 Rp - 1000 Rp 154.00 Rp 154,000.00 1000 Rp 154.00 Rp 154,000.00 0 Rp 154.00 Rp -
127 Natrium Diklofenat tablet 50 mg Tablet 0 Rp 146.00 Rp - Rp - Rp 146.00 Rp - 0 Rp 146.00 Rp -
128 Natrium Diklofenat tablet 25 mg Tablet 400 154.00 Rp 61,600.00 Rp - 400 Rp 154.00 Rp 61,600.00 0 Rp 154.00 Rp -
129 Natrium Klorida (NaCl) 0.9% larutan infus 500 ml Botol 23 6,410.00 Rp 147,430.00 100 Rp 6,410.00 Rp 641,000.00 70 Rp 6,410.00 Rp 448,700.00 53 Rp 6,410.00 Rp 339,730.00
130 Nifedipine tablet 10 mg Tablet 0 Rp 127.00 Rp - Rp - Rp 127.00 Rp - 0 Rp 127.00 Rp -
131 NYSTATIN VAGINAL TABLET 100.000 IU Tablet 0 Rp 675.00 Rp - 100 Rp 675.00 Rp 67,500.00 Rp 675.00 Rp - 100 Rp 675.00 Rp 67,500.00
132 NYSTATIN TABLET SALUT GULA 500.000 IU Tablet 0 Rp 950.00 Rp - 400 Rp 950.00 Rp 380,000.00 210 Rp 950.00 Rp 199,500.00 190 Rp 950.00 Rp 180,500.00
133 Obat Batuk Hitam (OBH) syrup 100 ml Botol 0 Rp 1,500.00 Rp - Rp - Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp -
134 OBH ERLA SIRUP BOTOL KACA 100 ML Botol 0 Rp 12,999.80 Rp - Rp - Rp 12,999.80 Rp - 0 Rp 12,999.80 Rp -
135 OFLOKSASIN TABLET 200 MG Tablet 700 531.00 Rp 371,700.00 500 Rp 531.00 Rp 265,500.00 810 Rp 531.00 Rp 430,110.00 390 Rp 531.00 Rp 207,090.00
136 Oksitetrasiklin HCl SK 3 % Tube 0 Rp 2,009.00 Rp - Rp - Rp 2,009.00 Rp - 0 Rp 2,009.00 Rp -
137 Oksitetrasiklin HCL Salep Mata 1 % Tube 18 2,600.00 Rp 46,800.00 Rp - 18 Rp 2,600.00 Rp 46,800.00 0 Rp 2,600.00 Rp -
138 OXYTETRACYCLINE SALEP MATA 1% 3.5 G Tube 0 Rp 2,600.00 Rp - 15 Rp 2,600.00 Rp 39,000.00 15 Rp 2,600.00 Rp 39,000.00 0 Rp 2,600.00 Rp -
139 OKSITOSIN INJ 10 UI/ML Ampul 0 Rp 1,287.00 Rp - Rp - Rp 1,287.00 Rp - 0 Rp 1,287.00 Rp -
140 Omeprasol kapsul/kaplet 20 mg Tablet 0 Rp 153.00 Rp - Rp - Rp 153.00 Rp - 0 Rp 153.00 Rp -
141 OMEPRAZOL TABLET 20 MG TABLET 0 Rp 143.00 Rp - Rp - Rp 143.00 Rp - 0 Rp 143.00 Rp -
142 ONDANSENTRON TABLET 4 MG TABLET 324 546.00 Rp 176,904.00 Rp - 324 Rp 546.00 Rp 176,904.00 0 Rp 546.00 Rp -
143 Paracetamol 120 mg/5 ml syrup Botol 0 Rp 1,338.00 Rp - Rp - Rp 1,338.00 Rp - 0 Rp 1,338.00 Rp -
144 PARACETAMOL TAB 500MG TABLET 0 Rp 274.48 Rp - 1000 Rp 274.48 Rp 274,483.00 700 Rp 274.48 Rp 192,138.10 300 Rp 274.48 Rp 82,344.90
145 PARACETAMOL SIR SIRUP 0 Rp 5,041.30 Rp - 10 Rp 5,041.30 Rp 50,413.00 10 Rp 5,041.30 Rp 50,413.00 0 Rp 5,041.30 Rp -
146 PARASETAMOL DROPS 100 MG/ML Botol 67 7,979.00 Rp 534,593.00 178 Rp 7,979.00 Rp 1,420,262.00 245 Rp 7,979.00 Rp 1,954,855.00 0 Rp 7,979.00 Rp -
147 PIRACETAM 800 MG CAPLET KAPLET 300 960.00 Rp 288,000.90 Rp - 300 Rp 960.00 Rp 288,000.90 0 Rp 960.00 Rp -
148 Pirantel tablet score (base) 125 mg Tablet 370 346.00 Rp 128,020.00 Rp - 370 Rp 346.00 Rp 128,020.00 0 Rp 346.00 Rp -
149 PIRANTEL PAMOAT TABLET 125 MG Tablet 0 Rp 305.00 Rp - Rp - Rp 305.00 Rp - 0 Rp 305.00 Rp -
150 PIRANTEL PAMOAT SUSP 125 MG / 5 ML Botol 13 11,600.00 Rp 150,800.00 2 Rp 11,600.00 Rp 23,200.00 13 Rp 11,600.00 Rp 150,800.00 2 Rp 11,600.00 Rp 23,200.00
151 PIRIDOKSIN ( VIT. B6 ) TABLET 10 MG TABLET 0 Rp 148.00 Rp - 6000 Rp 148.00 Rp 888,000.00 4800 Rp 148.00 Rp 710,400.00 1200 Rp 148.00 Rp 177,600.00
152 PIRIDOKSIN ( VIT. B6 ) TABLET 10 MG TABLET 0 Rp 142.00 Rp - Rp - Rp 142.00 Rp - 0 Rp 142.00 Rp -
153 PIROXICAM 10 MG TABLET TABLET 0 Rp 146.38 Rp - 300 Rp 146.38 Rp 43,913.10 300 Rp 146.38 Rp 43,913.10 0 Rp 146.38 Rp -
154 Piroksikam 10 mg Tablet 0 Rp 131.00 Rp - Rp - Rp 131.00 Rp - 0 Rp 131.00 Rp -
155 PIROXICAM 10 MG TABLET TABLET 0 Rp 230.00 Rp - Rp - Rp 230.00 Rp - 0 Rp 230.00 Rp -
156 Pritamox Tablet Tablet 0 Rp 1,210.00 Rp - Rp - Rp 1,210.00 Rp - 0 Rp 1,210.00 Rp -
157 Povidon Iodida larutan 10%,30 ml Botol 28 3,480.00 Rp 97,440.00 30 Rp 3,480.00 Rp 104,400.00 58 Rp 3,480.00 Rp 201,840.00 0 Rp 3,480.00 Rp -
158 Povidon Iodida larutan 10%,300 ml Botol 9 21,600.00 Rp 194,400.00 23 Rp 21,600.00 Rp 496,800.00 19 Rp 21,600.00 Rp 410,400.00 13 Rp 21,600.00 Rp 280,800.00
159 PREDNISON TABLET 5 MG Tablet 650 79.00 Rp 51,350.00 2000 Rp 79.00 Rp 158,000.00 2550 Rp 79.00 Rp 201,450.00 100 Rp 79.00 Rp 7,900.00
160 RETINOL ( VITAMIN A ) KAPSUL LUNAK 100.000 IU KAPSUL Rp 346.00 Rp - 650 Rp 346.00 Rp 224,900.00 650 Rp 346.00 Rp 224,900.00 0 Rp 346.00 Rp -
161 RETINOL ( VIT. A ) 100.000 KAPSUL 200 341.00 Rp 68,200.00 Rp - 200 Rp 341.00 Rp 68,200.00 0 Rp 341.00 Rp -
162 RETINOL ( VITAMIN A ) KAPSUL LUNAK 200.000 IU KAPSUL 0 Rp 622.00 Rp - 3200 Rp 622.00 Rp 1,990,400.00 1800 Rp 622.00 Rp 1,119,600.00 1400 Rp 622.00 Rp 870,800.00
163 Salbutamol 2 mg Tablet 300 84.00 Rp 25,200.00 Rp - 300 Rp 84.00 Rp 25,200.00 0 Rp 84.00 Rp -
164 Sefadroksil 125 mg/5 ml SK 60ml Botol 0 Rp 3,421.00 Rp - Rp - Rp 3,421.00 Rp - 0 Rp 3,421.00 Rp -
165 Salep 24 kombinasi: asam salisilat 2% + belerang endap 4 % Pot 8 3,143.00 Rp 25,144.00 Rp - 8 Rp 3,143.00 Rp 25,144.00 0 Rp 3,143.00 Rp -
166 SALBUTAMOL 2 MG TABLET 0 Rp 113.28 Rp - 300 Rp 113.28 Rp 33,983.40 100 Rp 113.28 Rp 11,327.80 200 Rp 113.28 Rp 22,655.60
167 SALBUTAMOL 4 MG TABLET 0 Rp 118.73 Rp - 300 Rp 118.73 Rp 35,620.20 100 Rp 118.73 Rp 11,873.40 200 Rp 118.73 Rp 23,746.80
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
168 Simvastatin 10 mg Tablet 0 Rp 270.00 Rp - Rp - Rp 270.00 Rp - 0 Rp 270.00 Rp -
169 SIMVASTATIN TABLET 10 MG Tablet 510 117.00 Rp 59,670.00 1200 Rp 117.00 Rp 140,400.00 1710 Rp 117.00 Rp 200,070.00 0 Rp 117.00 Rp -
170 SIMVASTATIN TABLET 20 MG Tablet 0 Rp 235.00 Rp - 1500 Rp 235.00 Rp 352,500.00 1500 Rp 235.00 Rp 352,500.00 0 Rp 235.00 Rp -
171 Siprofloksasin 500 mg Tablet 0 Rp 292.00 Rp - Rp - Rp 292.00 Rp - 0 Rp 292.00 Rp -
172 SIPROFLOKSASIN TABLET SCORED 500 MG TABLET 2300 264.00 Rp 607,200.00 Rp - 2300 Rp 264.00 Rp 607,200.00 0 Rp 264.00 Rp -
173 TETRASIKLIN KAPSUL 500 MG Kapsul 550 341.00 Rp 187,550.00 2000 Rp 341.00 Rp 682,000.00 1920 Rp 341.00 Rp 654,720.00 630 Rp 341.00 Rp 214,830.00
174 TETRASIKLIN KAPSUL 500 MG Kapsul 0 Rp 324.00 Rp - 1000 Rp 324.00 Rp 324,000.00 Rp 324.00 Rp - 1000 Rp 324.00 Rp 324,000.00
175 TETRASIKLIN KAPSUL 250 MG Kapsul 0 Rp 181.00 Rp - Rp - Rp 181.00 Rp - 0 Rp 181.00 Rp -
176 Thiamphenicol Kap. 500 Mg Kapsul 0 Rp 881.00 Rp - Rp - Rp 881.00 Rp - 0 Rp 881.00 Rp -
177 Thiamphenicol Kap. 250 Mg Kapsul 0 Rp 318.00 Rp - Rp - Rp 318.00 Rp - 0 Rp 318.00 Rp -
178 Thiamin HCl (vit.B1) inj.100 mg/ml-1ml Ampul 0 Rp 1,500.00 Rp - Rp - Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp -
179 Thiamin HCl (vit.B1) 50 mg Tablet 800 92.00 Rp 73,600.00 3100 Rp 92.00 Rp 285,200.00 3400 Rp 92.00 Rp 312,800.00 500 Rp 92.00 Rp 46,000.00
180 THIAMIN ( VIT. B1 ) TABLET 500 MG Tablet 0 Rp 90.00 Rp - Rp - Rp 90.00 Rp - 0 Rp 90.00 Rp -
181 VAKSIN BCG VIAL 0 Rp 59,950.00 Rp - Rp - Rp 59,950.00 Rp - 0 Rp 59,950.00 Rp -
182 VAKSIN CAMPAK INK. S.K + PELARUT VIAL 0 Rp 28,232.00 Rp - Rp - Rp 28,232.00 Rp - 0 Rp 28,232.00 Rp -
183 Vitamin B Kompleks Tablet 900 141.00 Rp 126,900.00 1000 Rp 141.00 Rp 141,000.00 1900 Rp 141.00 Rp 267,900.00 0 Rp 141.00 Rp -
184 VITAMIN B KOMPLEKS Tablet 0 Rp 150.00 Rp - 1500 Rp 150.00 Rp 225,000.00 1500 Rp 150.00 Rp 225,000.00 0 Rp 150.00 Rp -
185 VITAMIN B KOMPLEKS TABLET Tablet 0 Rp 138.00 Rp - Rp - Rp 138.00 Rp - 0 Rp 138.00 Rp -
186 Vitamin D 400 IU/D-Vit tablet Tablet 0 Rp 680.00 Rp - Rp - Rp 680.00 Rp - 0 Rp 680.00 Rp -
187 VITAMIN B12 50 MCG TABLET Tablet 1000 50.00 Rp 50,000.50 Rp - 1000 Rp 50.00 Rp 50,000.50 0 Rp 50.00 Rp -
188 ZINK SULFAT SIRUP 20 MG/5 ML Botol 4 3,449.00 Rp 13,796.00 Rp - 4 Rp 3,449.00 Rp 13,796.00 0 Rp 3,449.00 Rp -
189 ZINC TABLET DISPERSIBLE 20 MG Tablet 0 Rp 617.00 Rp - Rp - Rp 617.00 Rp - 0 Rp 617.00 Rp -
190 Zirkum Kid Syr 20/5ml Botol 0 Rp 8,140.00 Rp - Rp - Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp -
Rp - Rp - Rp - 0 Rp -
OBAT PATEN Rp - Rp - Rp - 0 Rp -
1 MEVITON Tablet 0 Rp 2,007.35 Rp - 200 Rp 2,007.35 Rp 401,469.82 200 Rp 2,007.35 Rp 401,469.82 0 Rp 1,824.86 Rp -
2 MEFINAL 500 MG Tablet 0 Rp 1,705.82 Rp - 200 Rp 1,705.82 Rp 341,164.30 200 Rp 1,705.82 Rp 341,164.30 0 Rp 1,550.75 Rp -
3 PURECEMIA Tablet 0 Rp 3,268.75 Rp - 30 Rp 3,268.75 Rp 98,062.50 30 Rp 3,268.75 Rp 98,062.50 0 Rp 3,268.75 Rp -
4 KLORAMFENIKOL SALEP KULIT 2%/BUFACETINE Tube 56 3,645.00 Rp 204,120.00 Rp - 32 Rp 3,645.00 Rp 116,640.00 24 Rp 3,645.00 Rp 87,480.00
5 HARMIDA/GLIBENKLAMID 2,5 MG Tablet 400 216.00 Rp 86,400.00 200 Rp 216.00 Rp 43,200.00 600 Rp 216.00 Rp 129,600.00 0 Rp 216.00 Rp -
6 FORMUNO MULTIVITAMIN Tablet 0 Rp 8,876.96 Rp - 30 Rp 8,876.96 Rp 266,308.84 30 Rp 8,876.96 Rp 266,308.84 0 Rp 8,069.96 Rp -
7 PANTRIN PIRANTEL PAMOAT TABLET 250 MG Tablet 200 1,200.00 Rp 240,000.00 300 Rp 1,200.00 Rp 360,000.00 Rp 1,200.00 Rp - 500 Rp 1,200.00 Rp 600,000.00
8 BISAKODIL SUPPOSITORIA 10 MG Supp 0 Rp 5,900.00 Rp - 10 Rp 5,900.00 Rp 59,000.00 10 Rp 5,900.00 Rp 59,000.00 0 Rp 5,900.00 Rp -
9 BISAKODIL SUPPOSITORIA 5 MG Supp 0 Rp 6,000.00 Rp - 18 Rp 6,000.00 Rp 108,000.00 17 Rp 6,000.00 Rp 102,000.00 1 Rp 6,000.00 Rp 6,000.00
10 MY JELLY 80 GRAM LUBRICAN BOTOL 4 69,575.00 Rp 278,300.00 Rp - 4 Rp 69,575.00 Rp 278,300.00 0 Rp 69,575.00 Rp -
11 NIFUDIAR SUSPENSI 60 ML BOTOL 2 77,000.00 Rp 154,000.00 2 Rp 77,000.00 Rp 154,000.00 1 Rp 77,000.00 Rp 77,000.00 3 Rp 77,000.00 Rp 231,000.00
12 PANTOCAIN 0.5 % 15 ML BOTOL 0 Rp 31,000.20 Rp - Rp - Rp 31,000.20 Rp - 0 Rp 31,000.20 Rp -
13 Polikresulen Cairan (Albothyl) 5 ml Botol 0 Rp 37,500.00 Rp - Rp - Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp -
14 PROPEPSA SUSPENSI 100 ML BOTOL 0 Rp 106,000.40 Rp - Rp - Rp 106,000.40 Rp - 0 Rp 106,000.40 Rp -
15 SUPRAVIT STRIP 10X10'S TABLET 0 Rp 770.00 Rp - Rp - Rp 770.00 Rp - 0 Rp 770.00 Rp -
16 VOCEFA DS 60 ML BOTOL 1 84,000.40 Rp 84,000.40 Rp - 1 Rp 84,000.40 Rp 84,000.40 0 Rp 84,000.40 Rp -
17 ZIRCUM KID SYRUP 60 ML BOTOL 0 Rp 52,000.30 Rp - Rp - Rp 52,000.30 Rp - 0 Rp 52,000.30 Rp -
Rp - Rp - Rp - 0 Rp -
1 Neorodial Tablet Tablet 160 1,265.00 Rp 202,400.00 Rp - 160 Rp 1,265.00 Rp 202,400.00 0 Rp 1,265.00 Rp -
Rp - Rp - 0 Rp -
BAHAN MEDIS HABIS PAKAI Rp - Rp - Rp - 0 Rp -
1 Alat Suntik 1 ml Pcs 185 821.48 Rp 151,973.80 Rp - 185 Rp 821.48 Rp 151,973.80 0 Rp 821.48 Rp -
2 Alat Suntik 2,5 ml Pcs 100 864.72 Rp 86,472.00 Rp - 100 Rp 864.72 Rp 86,472.00 0 Rp 864.72 Rp -
3 Alat Suntik 2,5 ml Pcs 0 Rp 1,029.60 Rp - Rp - Rp 1,029.60 Rp - 0 Rp 1,029.60 Rp -
4 Alat Suntik 3 ml Pcs 0 Rp 864.72 Rp - Rp - Rp 864.72 Rp - 0 Rp 864.72 Rp -
5 Alat Suntik 5 ml Pcs 0 Rp 1,185.60 Rp - Rp - Rp 1,185.60 Rp - 0 Rp 1,185.60 Rp -
9 AUTHOCHECK URIC ACID TUBE @50 STRIP KOTAK 0 Rp 195,485.00 Rp - 2 Rp 195,485.00 Rp 390,970.00 2 Rp 195,485.00 Rp 390,970.00 0 Rp 195,485.00 Rp -
10 AUTHOCHECK CHOLESTEROL TUBE @25 STRIP KOTAK 0 Rp 385,235.00 Rp - 2 Rp 385,235.00 Rp 770,470.00 2 Rp 385,235.00 Rp 770,470.00 0 Rp 385,235.00 Rp -
11 ALKOHOL SWAB Box 23 11,500.00 Rp 264,500.00 80 Rp 11,500.00 Rp 920,000.00 80 Rp 11,500.00 Rp 920,000.00 0 Rp 11,500.00 Rp -
ALKOHOL SWAB Box 23 Rp 11,500.00 Rp 264,500.00 Expired
12 AUTHOCHECK URIC ACID TUBE @50 STRIP KOTAK 0 Rp 178,200.00 Rp - 2 Rp 178,200.00 Rp 356,400.00 2 Rp 178,200.00 Rp 356,400.00 0 Rp 178,200.00 Rp -
13 Autocheck Cholestrol tes btl/25 strip Botol 3 147,125.00 Rp 441,375.00 Rp - 3 Rp 147,125.00 Rp 441,375.00 0 Rp 147,125.00 Rp -
14 AUTHOCHECK CHOLESTEROL TUBE @25 STRIP KOTAK 0 Rp 367,812.50 Rp - 2 Rp 367,812.50 Rp 735,625.00 2 Rp 367,812.50 Rp 735,625.00 0 Rp 367,812.50 Rp -
15 Autocheck Glukosa tes btl/50 strip Botol 2 68,475.00 Rp 136,950.00 Rp - 2 Rp 68,475.00 Rp 136,950.00 0 Rp 68,475.00 Rp -
16 AUTHOCHECK GLUKOSA TUBE @50 STRIP KOTAK 0 Rp 136,950.00 Rp - 4 Rp 136,950.00 Rp 547,800.00 4 Rp 136,950.00 Rp 547,800.00 0 Rp 136,950.00 Rp -
17 Autocheck Uric Acid Test btl/50 strip Botol 2 89,100.00 Rp 178,200.00 Rp - 2 Rp 89,100.00 Rp 178,200.00 0 Rp 89,100.00 Rp -
18 Benang Bedah No. 2/0 (Cromic Cat Gut)PLAIN Dus 0 Rp 215,045.00 Rp - 1 Rp 215,045.00 Rp 215,045.00 1 Rp 215,045.00 Rp 215,045.00 0 Rp 215,045.00 Rp -
19 Benang Bedah No. 2/0 (Cromic Cat Gut) Dus 0 Rp 215,045.00 Rp - 2 Rp 215,045.00 Rp 430,090.00 2 Rp 215,045.00 Rp 430,090.00 0 Rp 215,045.00 Rp -
20 Benang Bedah No. 2/0 (Cromic Cat Gut) Pcs 70 8,960.21 Rp 627,214.70 Rp - 70 Rp 8,960.21 Rp 627,214.70 0 Rp 8,960.21 Rp -
21 Benang Bedah No. 3/0 (Cromic Cat Gut) Pcs 77 8,960.21 Rp 689,936.17 Rp - 77 Rp 8,960.21 Rp 689,936.17 0 Rp 8,960.21 Rp -
22 Benang Bedah No. 3/0 (Cromic Cat Gut) Dus 0 Rp 215,045.00 Rp - 2 Rp 215,045.00 Rp 430,090.00 Rp 215,045.00 Rp - 2 Rp 215,045.00 Rp 430,090.00
23 Catheter (folley cathteter) no.12 Pcs 10 13,750.00 Rp 137,500.00 Rp - Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp -
24 Catheter (folley cathteter) no.14 Pcs 10 13,750.00 Rp 137,500.00 10 Rp 13,750.00
Rp 137,500.00 1 Rp 13,750.00 Rp 13,750.00 19 Rp 13,750.00 Rp 261,250.00
25 UROCARE FOLLEY CATHETER 2 WAY NO.14 Box 0 Rp 92,000.00 Rp - 5 Rp 92,000.00
Rp 460,000.00 Rp 92,000.00 Rp - 5 Rp 92,000.00 Rp 460,000.00
26 Catheter (folley cathteter) no.16 Pcs 13 13,750.00 Rp 178,750.00 Rp - Rp 13,750.00 Rp - 13 Rp 13,750.00 Rp 178,750.00
27 Catheter (folley cathteter) no.18 Pcs 0 Rp 18,018.00 Rp - Rp - Rp 18,018.00 Rp - 0 Rp 18,018.00 Rp -
28 Catheter (folley cathteter) no.18 Pcs 14 13,750.00 Rp 192,500.00 Rp - Rp 13,750.00 Rp - 14 Rp 13,750.00 Rp 192,500.00
29 Copper T Set/buah Set 0 Rp 125,482.50 Rp - Rp - Rp 125,482.50 Rp - 0 Rp 125,482.50 Rp -
30 Copper T Set/buah Set 0 Rp 125,000.00 Rp - Rp - Rp 125,000.00 Rp - 0 Rp 125,000.00 Rp -
31 COPPER T Pcs 30 124,300.00 Rp 3,729,000.00 10 Rp 124,300.00 Rp 1,243,000.00 Rp 124,300.00 Rp - 40 Rp 124,300.00 Rp 4,972,000.00
32 Elastic Verband 3 inchi / Tensocrape BSN Roll 0 Rp 96,000.00 Rp - Rp - Rp 96,000.00 Rp - 0 Rp 96,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
33 ELASTIC VERBAND 6 INCHI Pcs 2 86,680.00 Rp 173,360.00 3 Rp 86,680.00 Rp 260,040.00 2 Rp 86,680.00 Rp 173,360.00 3 Rp 86,680.00 Rp 260,040.00
34 E.W.G SURGICAL GLOVES 7 Pcs 0 Rp 5,383.38 Rp - 210 Rp 5,383.38 Rp 1,130,510.22 149 Rp 5,383.38 Rp 802,123.92 61 Rp 5,383.38 Rp 328,386.30
35 E.W.G SURGICAL GLOVES 7.5 Pcs 0 Rp 5,383.38 Rp - 300 Rp 5,383.38 Rp 1,615,014.60 150 Rp 5,383.38 Rp 807,507.30 150 Rp 5,383.38 Rp 807,507.30
36 E.W.G SURGICAL GLOVES 8 Pcs 0 Rp 5,382.88 Rp - 0 Rp 5,382.88 Rp - 0 Rp 5,382.88 Rp - 0 Rp 5,382.88 Rp -
37 Hands Schoen no 7.5 Set 0 Rp 9,500.00 Rp - Rp - Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
38 Hands Schoen no 7.5 Set 0 Rp 4,675.00 Rp - Rp - Rp 4,675.00 Rp - 0 Rp 4,675.00 Rp -
39 Hands Schoen no 7.5 Pair 0 Rp 23,750.00 Rp - Rp - Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp -
40 Hands Schoen no 7.5 U/ manual Placenta (Long) Set 0 Rp 16,731.00 Rp - Rp - Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp -
41 Hands Schoen no 8 20 0 Rp 6,563.70 Rp - Rp - Rp 6,563.70 Rp - 0 Rp 6,563.70 Rp -
42 Hands Schoen no 8 Set 0 Rp 9,500.00 Rp - Rp - Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
43 Hands Schoen no 8 Pair 0 Rp 23,750.00 Rp - Rp - Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp -
44 Hands Schoen no 8 U/ manual Placenta (Long) Set 0 Rp 16,731.00 Rp - Rp - Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp -
45 Hypafix 5 cm x 1 m Roll 0 Rp 17,610.00 Rp - 10 Rp 17,610.00 Rp 176,100.00 7 Rp 17,610.00 Rp 123,270.00 3 Rp 17,610.00 Rp 52,830.00
46 Hypafix 5 cm x 5 m Roll 0 Rp 92,000.00 Rp - 10 Rp 92,000.00 Rp 920,000.00 7 Rp 92,000.00 Rp 644,000.00 3 Rp 92,000.00 Rp 276,000.00
47 Infusion Set Anak Set 0 Rp 8,775.00 Rp - Rp - Rp 8,775.00 Rp - 0 Rp 8,775.00 Rp -
48 Infusion Set Anak Set 35 6,375.00 Rp 223,125.00 Rp - 35 Rp 6,375.00 Rp 223,125.00 0 Rp 6,375.00 Rp -
49 Infusion Set Dewasa Set 0 Rp 8,775.00 Rp - Rp - Rp 8,775.00 Rp - 0 Rp 8,775.00 Rp -
50 Infusion Set Dewasa Set 0 Rp 6,343.00 Rp - Rp - Rp 6,343.00 Rp - 0 Rp 6,343.00 Rp -
51 IV Catheter no 16 Set 0 Rp 7,507.50 Rp - Rp - Rp 7,507.50 Rp - 0 Rp 7,507.50 Rp -
52 IV Catheter no 18 Set 4 7,507.50 Rp 30,030.00 Rp - Rp 7,507.50 Rp - 4 Rp 7,507.50 Rp 30,030.00
54 IV CATHETER 20G Pcs 0 Rp 7,846.25 Rp - 10 Rp 7,846.25 Rp 78,462.50 Rp 7,846.25 Rp - 10 Rp 7,846.25 Rp 78,462.50
57 JAYAMAS SUPERLIFE NITRILE M BOX 0 Rp 65,780.00 Rp - 1 Rp 65,780.00 Rp 65,780.00 1 Rp 65,780.00 Rp 65,780.00 0 Rp 65,780.00 Rp -
58 JAYAMAS SUPERLIFE NITRILE L BOX 0 Rp 65,780.00 Rp - 1 Rp 65,780.00 Rp 65,780.00 1 Rp 65,780.00 Rp 65,780.00 0 Rp 65,780.00 Rp -
59 Jarum Jahit 1/2 Surgical Lusin 0 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00
60 Jarum Jahit 1/2 Surgical Lusin 0 Rp 135,000.00 Rp - Rp - Rp 135,000.00 Rp - 0 Rp 135,000.00 Rp -
61 Jarum Jahit 3/8 Surgical Lusin 0 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00 Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00
62 Jarum Jahit 3/8 Surgical Lusin 0 Rp 120,000.00 Rp - Rp - Rp 120,000.00 Rp - 0 Rp 120,000.00 Rp -
63 Kapas Pembalut 250 gr Roll 0 Rp 23,595.00 Rp - Rp - Rp 23,595.00 Rp - 0 Rp 23,595.00 Rp -
64 Kapas Pembalut 250 gr Roll 3 22,000.00 Rp 66,000.00 10 Rp 22,000.00 Rp 220,000.00 2 Rp 22,000.00 Rp 44,000.00 11 Rp 22,000.00 Rp 242,000.00
65 KAPAS PEMBALUT 250G Roll 4 14,375.00 Rp 57,500.00 Rp - 4 Rp 14,375.00 Rp 57,500.00 0 Rp 14,375.00 Rp -
66 Kapas Pembalut 500 gr Roll 6 35,000.00 Rp 210,000.00 Rp - Rp 35,000.00 Rp - 6 Rp 35,000.00 Rp 210,000.00
67 Kasa Steril 18 x 22 cm Box 13 8,625.00 Rp 112,125.00 30 Rp 8,625.00 Rp 258,750.00 30 Rp 8,625.00 Rp 258,750.00 13 Rp 8,625.00 Rp 112,125.00
68 Kasa Steril 18 x 22 cm Kotak 0 Rp 16,500.00 Rp - Rp - Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp -
69 KASA HYDROFPHIL 40 X 80 CM Roll 8 120,750.00 Rp 966,000.00 2 Rp 120,750.00 Rp 241,500.00 10 Rp 120,750.00 Rp 1,207,500.00 0 Rp 120,750.00 Rp -
70 KASA HYDROFPHIL 40 X 80 CM Roll 0 Rp 120,750.00 Rp - 11 Rp 120,750.00 Rp 1,328,250.00 6 Rp 120,750.00 Rp 724,500.00 5 Rp 120,750.00 Rp 603,750.00
71 Kasa Hydrofil 36 x 80 cm Roll 0 Rp 122,550.00 Rp - Rp - Rp 122,550.00 Rp - 0 Rp 122,550.00 Rp -
72 Kasa Kompres 40/40 steril Bungkus 0 Rp 2,853.00 Rp - Rp - Rp 2,853.00 Rp - 0 Rp 2,853.00 Rp -
73 Kasa Kompres 40/40 steril Bungkus 0 Rp 2,723.00 Rp - Rp - Rp 2,723.00 Rp - 0 Rp 2,723.00 Rp -
74 KASA KOMPRES STERIL 40 X 40 PCS 109 1,840.00 Rp 200,560.00 10 Rp 1,840.00 Rp 18,400.00 74 Rp 1,840.00 Rp 136,160.00 45 Rp 1,840.00 Rp 82,800.00
75 KASA PEMBALUT HYDROFILL 4M X 15CM Roll 0 Rp 2,415.00 Rp - 50 Rp 2,415.00 Rp 120,750.00 Rp 2,415.00 Rp - 50 Rp 2,415.00 Rp 120,750.00
76 KASA PEMBALUT HYDROFILL 4M X 10CM Roll 0 Rp 1,725.00 Rp - 50 Rp 1,725.00 Rp 86,250.00 15 Rp 1,725.00 Rp 25,875.00 35 Rp 1,725.00 Rp 60,375.00
77 Kasa Hydrofil 4 yard x 10 cm Roll 0 Rp 2,600.00 Rp - Rp - Rp 2,600.00 Rp - 0 Rp 2,600.00 Rp -
78 Kasa Pembalut Hydrofil 4 m x 5 cm Roll 0 Rp 1,248.00 Rp - Rp - Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp -
79 KASA PEMBALUT HYDROFILL 4M X 5CM Roll 0 Rp 862.50 Rp - Rp - Rp 862.50 Rp - 0 Rp 862.50 Rp -
80 Kasa Steril 16 x 16 cm Bungkus 0 Rp 8,287.85 Rp - Rp - Rp 8,287.85 Rp - 0 Rp 8,287.85 Rp -
81 Kasa Steril 16 x 16 cm Kotak 16 Rp 6,743.00 Rp 107,888.00 Rp - 16 Rp 6,743.00 Rp 107,888.00 0 Rp 6,743.00 Rp -
82 KASA HYDROFPHIL STERIL 16 X 16 Roll 7 Rp 9,200.00 Rp 64,400.00 30 Rp 9,200.00 Rp 276,000.00 29 Rp 9,200.00 Rp 266,800.00 8 Rp 9,200.00 Rp 73,600.00
83 KASA STERIL 10X10 CM,8 PLY,1X10'S Kotak 0 Rp 10,845.30 Rp - Rp - Rp 10,845.30 Rp - 0 Rp 10,845.30 Rp -
84 KERTAS PUYER BLANK Bungkus 3 Rp 93,500.00 Rp 280,500.00 5 Rp 93,500.00 Rp 467,500.00 3 Rp 93,500.00 Rp 280,500.00 5 Rp 93,500.00 Rp 467,500.00
85 Masker Pcs 0 Rp 676.65 Rp - Rp - Rp 676.65 Rp - 0 Rp 676.65 Rp -
86 Masker PCS 0 Rp 495.00 Rp - Rp - Rp 495.00 Rp - 0 Rp 495.00 Rp -
87 SURGICAL MASK EARLOOP Box 11 Rp 18,975.00 Rp 208,725.00 65 Rp 18,975.00 Rp 1,233,375.00 76 Rp 18,975.00 Rp 1,442,100.00 0 Rp 18,975.00 Rp -
88 Mata Pisau Bedah No. 10 Pcs 0 Rp 9,759.00 Rp - Rp - Rp 9,759.00 Rp - 0 Rp 9,759.00 Rp -
91 ONIONEX INFUSION SET FOR PEDIATRIC (ANAK) Pcs 0 Rp 3,556.16 Rp - 60 Rp 3,556.16 Rp 213,369.60 60 Rp 3,556.16 Rp 213,369.60 0 Rp 3,556.16 Rp -
92 ONIONEX DISP SYRINGE 1 ML Pcs 0 Rp 821.48 Rp - 250 Rp 821.48 Rp 205,371.00 160 Rp 821.48 Rp 131,437.44 0 Rp 821.48 Rp -
90 Rp 821.48 Rp 73,933.56 Expired
93 ONIONEX DISP SYRINGE 2.5 ML PCS 0 Rp 864.72 Rp - 400 Rp 864.72 Rp 345,888.00 386 Rp 864.72 Rp 333,781.92 14 Rp 864.72 Rp 12,106.08
94 MF CATH PRO MEDIFIRST MF CATH PRO IV CATHETER 24G pcs 0 Rp 9,461.25 Rp - 55 Rp 9,461.25 Rp 520,368.71 55 Rp 9,461.25 Rp 520,368.71 0 Rp 9,461.25 Rp -
95 MF CATH PRO MEDIFIRST MF CATH PRO IV CATHETER 18G pcs 0 Rp 9,461.25 Rp - 10 Rp 9,461.25 Rp 94,612.49 Rp 9,461.25 Rp - 10 Rp 9,461.25 Rp 94,612.49
96 ONEJACK AUTODISABLE SYRINGE 0,05 ML PCS 0 Rp 3,795.00 Rp - Rp - Rp 3,795.00 Rp - 0 Rp 3,795.00 Rp -
97 ONEMED SILK 2/0+JARUM 1/2 GT 35MM Dus 0 Rp 126,500.00 Rp - 2 Rp 126,500.00 Rp 253,000.00 2 Rp 126,500.00 Rp 253,000.00 0 Rp 126,500.00 Rp -
98 OXYGEN MASK DEWASA DAN ANAK Pcs 0 Rp 10,559.90 Rp - 20 Rp 10,559.90 Rp 211,198.00 10 Rp 10,559.90 Rp 105,599.00 10 Rp 10,559.90 Rp 105,599.00
99 ONEMED MASKER N95 Pcs 0 Rp 7,488.80 Rp - 68 Rp 7,488.80 Rp 509,238.40 68 Rp 7,488.80 Rp 509,238.40 0 Rp 7,488.80 Rp -
100 Plester 5 yard x 2 inci Roll 0 Rp 44,300.00 Rp - Rp - Rp 44,300.00 Rp - 0 Rp 44,300.00 Rp -
101 Plester 5 mm x 4,5 mm Roll 0 Rp 25,404.00 Rp - Rp - Rp 25,404.00 Rp - 0 Rp 25,404.00 Rp -
102 PLESTERIN NON WOVEN ROLL 10CM X 5CM Roll 0 Rp 47,564.00 Rp - 13 Rp 47,564.00 Rp 618,332.00 9 Rp 47,564.00 Rp 428,076.00 4 Rp 47,564.00 Rp 190,256.00
103 PLESTERIN NON WOVEN ROLL 5CM X 5CM Roll 0 Rp 27,324.00 Rp - 8 Rp 27,324.00 Rp 218,592.00 8 Rp 27,324.00 Rp 218,592.00 0 Rp 27,324.00 Rp -
104 PLESTERIN NON WOVEN ROLL 15CM X 5CM Roll 4 Rp 79,948.00 Rp 319,792.00 29 Rp 79,948.00 Rp 2,318,492.00 29 Rp 79,948.00 Rp 2,318,492.00 0 Rp 79,948.00 Rp -
PLESTERIN NON WOVEN ROLL 15CM X 5CM Roll 4 Rp 79,948.00 Rp 319,792.00 Expired
105 Regulator Oksigen Pcs 2 Rp 487,500.00 Rp 975,000.00 Rp - Rp 487,500.00 Rp - 2 Rp 487,500.00 Rp 975,000.00
106 SURGICAL SUTURE+NEEDLE CATGUT PLAIN 2/0 75 CM Dus 0 Rp 215,045.00 Rp - 2 Rp 215,045.00 Rp 430,090.00 Rp 215,045.00 Rp - 2 Rp 215,045.00 Rp 430,090.00
107 SURGICAL SUTURE+NEEDLE SILK BLACK BRAIDED 3/0 75 CM Dus 0 Rp 167,813.70 Rp - 2 Rp 167,813.70 Rp 335,627.40 Rp 167,813.70 Rp - 2 Rp 167,813.70 Rp 335,627.40
108 SURGICAL SUTURE+NEEDLE CATGUT CROMIC 3/0 75 CM Dus 0 Rp 215,045.00 Rp - 2 Rp 215,045.00 Rp 430,090.00 Rp 215,045.00 Rp - 2 Rp 215,045.00 Rp 430,090.00
109 Silk (Benang Bedah Sultra) No.3/0 Dus 0 Rp 167,813.70 Rp - 2 Rp 167,813.70 Rp 335,627.40 2 Rp 167,813.70 Rp 335,627.40 0 Rp 167,813.70 Rp -
110 SURGICAL SUTURE+NEEDLE CATGUT CROMIC 2/0 75 CM Dus 0 Rp 215,045.00 Rp - 1 Rp 215,045.00 Rp 215,045.00 Rp 215,045.00 Rp - 1 Rp 215,045.00 Rp 215,045.00
111 UNION AUTO DESTRUCT SYRINGE 0.5 ML PCS 0 Rp 1,385.71 Rp - 20 Rp 1,385.71 Rp 27,714.20 10 Rp 1,385.71 Rp 13,857.10 10 Rp 1,385.71 Rp 13,857.10
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
112 URINE BAG pcs 0 Rp 3,450.00 Rp - 20 Rp 3,450.00 Rp 69,000.00 Rp 3,450.00 Rp - 20 Rp 3,450.00 Rp 69,000.00
113 Urine Bag Pcs 15 Rp 6,875.00 Rp 103,125.00 Rp - 10 Rp 6,875.00 Rp 68,750.00 0 Rp 6,875.00 Rp -
Urine Bag Pcs 5 Rp 6,875.00 Rp 34,375.00 Expired
114 Selang Oksigen pcs 10 Rp 8,250.00 Rp 82,500.00 Rp - 10 Rp 8,250.00 Rp 82,500.00 0 Rp 8,250.00 Rp -
115 Tes Kehamilan pcs 0 Rp 2,400.00 Rp - Rp - Rp 2,400.00 Rp - 0 Rp 2,400.00 Rp -
116 Folley Catheter No.10 Pcs 0 Rp 13,750.00 Rp - Rp - Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp -
117 Chirurgic Gloves No.6,5 Set 0 Rp 9,500.00 Rp - Rp - Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
118 Bethadin 30 ml Botol 0 Rp 35,000.00 Rp - Rp - Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp -
119 Examination Gloves Size S DUS 0 Rp 57,750.00 Rp - Rp - Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp -
120 Examination Gloves Size M DUS 0 Rp 57,750.00 Rp - Rp - Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp -
121 Examination Gloves Size L DUS 1 Rp 57,750.00 Rp 57,750.00 Rp - 1 Rp 57,750.00 Rp 57,750.00 0 Rp 57,750.00 Rp -
122 NIPRO INFUSET " Y " pcs 162 Rp 6,343.00 Rp 1,027,566.00 5 Rp 6,343.00 Rp 31,715.00 167 Rp 6,343.00 Rp 1,059,281.00 0 Rp 6,343.00 Rp -
123 NIPRO IV CATHETER 18G X 1-1/4" pcs 15 Rp 8,947.95 Rp 134,219.25 Rp - 15 Rp 8,947.95 Rp 134,219.25 0 Rp 8,947.95 Rp -
124 NIPRO IV CATHETER 20G X 1" pcs 0 Rp 8,947.95 Rp - Rp - Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp -
127 NIPRO SYRINGE 3 CC pcs 0 Rp 1,009.80 Rp - Rp - Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp -
128 NIPRO SYRINGE 5 CC pcs 40 Rp 1,248.23 Rp 49,929.20 Rp - 40 Rp 1,248.23 Rp 49,929.20 0 Rp 1,248.23 Rp -
129 NIPRO SYRINGE 10 CC pcs 45 Rp 1,654.95 Rp 74,472.75 Rp - 41 Rp 1,654.95 Rp 67,852.95 4 Rp 1,654.95 Rp 6,619.80
130 NIPRO IV CATHETER 18G X 2 pcs 46 Rp 8,974.95 Rp 412,847.70 Rp - 30 Rp 8,974.95 Rp 269,248.50 16 Rp 8,974.95 Rp 143,599.20
131 NIPRO IV CATHETER 18G X 2 pcs 0 Rp 8,974.95 Rp - 9 Rp 8,974.95 Rp 80,774.55 9 Rp 8,974.95 Rp 80,774.55 0 Rp 8,974.95 Rp -
132 NIPRO IV CATHETER 24G X 1 pcs 0 Rp 8,974.95 Rp - Rp - Rp 8,974.95 Rp - 0 Rp 8,974.95 Rp -
133 AXIMED EXAM GLOVES, SIZE S Box 2 Rp 57,750.00 Rp 115,500.00 2 Rp 57,750.00 Rp 115,500.00 4 Rp 57,750.00 Rp 231,000.00 0 Rp 57,750.00 Rp -
134 AXIMED EXAM GLOVES, SIZE M Box 2 Rp 57,750.00 Rp 115,500.00 2 Rp 57,750.00 Rp 115,500.00 4 Rp 57,750.00 Rp 231,000.00 0 Rp 57,750.00 Rp -
135 JAYA MAS ONE MAD MASKER N95 Box 1 Rp 149,776.00 Rp 149,776.00 Rp - Rp 149,776.00 Rp - 1 Rp 149,776.00 Rp 149,776.00
136 AXIMED NASAL OXYGEN SIZE M pcs 5 Rp 8,250.00 Rp 41,250.00 Rp - 5 Rp 8,250.00 Rp 41,250.00 0 Rp 8,250.00 Rp -
137 AXIMED NASAL OXYGEN SIZE L pcs 8 Rp 8,250.00 Rp 66,000.00 Rp - 8 Rp 8,250.00 Rp 66,000.00 0 Rp 8,250.00 Rp -
138 AXIMED NASAL OXYGEN SIZE XS pcs 8 Rp 8,250.00 Rp 66,000.00 Rp - 8 Rp 8,250.00 Rp 66,000.00 0 Rp 8,250.00 Rp -
139 URINE BAG pcs 3 Rp 6,875.00 Rp 20,625.00 Rp - Rp 6,875.00 Rp - 0 Rp 6,875.00 Rp -
URINE BAG pcs 3 Rp 6,875.00 Rp 20,625.00 Expired
Rp -
REAGEN LABORATORIUM Rp - Rp - Rp - 0 Rp -
1 Cairan Spiritus 1000 ML Bks 0 Rp 68,250.00 Rp - Rp - Rp 68,250.00 Rp - 0 Rp 68,250.00 Rp -
2 LARUTAN SPIRITUS Botol 5 Rp 52,965.00 Rp 264,825.00 Rp - 1 Rp 52,965.00 Rp 52,965.00 4 Rp 52,965.00 Rp 211,860.00
3 Tes Kehamilan Pcs 70 Rp 2,365.00 Rp 165,550.00 Rp - 70 Rp 2,365.00 Rp 165,550.00 0 Rp 2,365.00 Rp -
0
NILAI OBAT IFK PUSKESMAS TINONDO Rp 27,242,689.69 Rp 67,109,139.23 Rp 70,481,879.765 Rp 23,869,949.16
OBAT BPJS
1 Kalmetazone Box Rp 26,000.00 Rp - 5 Rp 26,000.00 Rp 130,000.00 5 Rp 26,000.00 Rp 130,000.00 0 Rp 26,000.00 Rp -
2 Parizd Box Rp 33,000.00 Rp - 3 Rp 33,000.00 Rp 99,000.00 3 Rp 33,000.00 Rp 99,000.00 0 Rp 33,000.00 Rp -
3 Prix 125 Box Rp 20,000.00 Rp - 5 Rp 20,000.00 Rp 100,000.00 5 Rp 20,000.00 Rp 100,000.00 0 Rp 20,000.00 Rp -
4 Demacdin Box Rp 53,000.00 Rp - 2 Rp 53,000.00 Rp 106,000.00 2 Rp 53,000.00 Rp 106,000.00 0 Rp 53,000.00 Rp -
5 Omeyus Box Rp 12,000.00 Rp - 10 Rp 12,000.00 Rp 120,000.00 10 Rp 12,000.00 Rp 120,000.00 0 Rp 12,000.00 Rp -
7 Simvastatin 10 mg Box Rp 25,000.00 Rp - 10 Rp 25,000.00 Rp 250,000.00 10 Rp 25,000.00 Rp 250,000.00 0 Rp 25,000.00 Rp -
8 Pimtrakol Botol Rp 14,000.00 Rp - 12 Rp 14,000.00 Rp 168,000.00 12 Rp 14,000.00 Rp 168,000.00 0 Rp 14,000.00 Rp -
9 Caviplex Botol Rp 9,500.00 Rp - 20 Rp 9,500.00 Rp 190,000.00 20 Rp 9,500.00 Rp 190,000.00 0 Rp 9,500.00 Rp -
10 Betametazone Buah Rp 4,000.00 Rp - 25 Rp 4,000.00 Rp 100,000.00 25 Rp 4,000.00 Rp 100,000.00 0 Rp 4,000.00 Rp -
11 Orphen Ampul Rp 20,000.00 Rp - 10 Rp 20,000.00 Rp 200,000.00 10 Rp 20,000.00 Rp 200,000.00 0 Rp 20,000.00 Rp -
12 Mefenamic Box Rp 33,000.00 Rp - 10 Rp 33,000.00 Rp 330,000.00 10 Rp 33,000.00 Rp 330,000.00 0 Rp 33,000.00 Rp -
13 Bevalex Box Rp 11,000.00 Rp - 24 Rp 11,000.00 Rp 264,000.00 24 Rp 11,000.00 Rp 264,000.00 0 Rp 11,000.00 Rp -
14 Xicalom Box Rp 28,000.00 Rp - 6 Rp 28,000.00 Rp 168,000.00 6 Rp 28,000.00 Rp 168,000.00 0 Rp 28,000.00 Rp -
15 Arfhen Box Rp 42,000.00 Rp - 10 Rp 42,000.00 Rp 420,000.00 10 Rp 42,000.00 Rp 420,000.00 0 Rp 42,000.00 Rp -
16 Afibramol Box Rp 4,500.00 Rp - 24 Rp 4,500.00 Rp 108,000.00 24 Rp 4,500.00 Rp 108,000.00 0 Rp 4,500.00 Rp -
17 Novoekum Box Rp 20,000.00 Rp - 5 Rp 20,000.00 Rp 100,000.00 5 Rp 20,000.00 Rp 100,000.00 0 Rp 20,000.00 Rp -
18 Ruducoz Box Rp 28,000.00 Rp - 5 Rp 28,000.00 Rp 140,000.00 5 Rp 28,000.00 Rp 140,000.00 0 Rp 28,000.00 Rp -
19 Roverton Box Rp 23,000.00 Rp - 2 Rp 23,000.00 Rp 46,000.00 2 Rp 23,000.00 Rp 46,000.00 0 Rp 23,000.00 Rp -
20 gasida Box Rp 32,000.00 Rp - 2 Rp 32,000.00 Rp 64,000.00 2 Rp 32,000.00 Rp 64,000.00 0 Rp 32,000.00 Rp -
22 Flutamol Box Rp 45,000.00 Rp - 10 Rp 45,000.00 Rp 450,000.00 10 Rp 45,000.00 Rp 450,000.00 0 Rp 45,000.00 Rp -
23 Asame Fenamat Box Rp 45,000.00 Rp - 15 Rp 45,000.00 Rp 675,000.00 15 Rp 45,000.00 Rp 675,000.00 0 Rp 45,000.00 Rp -
24 Amlodipin 5 mg Box Rp 60,000.00 Rp - 6 Rp 60,000.00 Rp 360,000.00 6 Rp 60,000.00 Rp 360,000.00 0 Rp 60,000.00 Rp -
25 Ibu Fropen Botol Rp 45,000.00 Rp - 9 Rp 45,000.00 Rp 405,000.00 9 Rp 45,000.00 Rp 405,000.00 0 Rp 45,000.00 Rp -
26 Induxin Ampul Rp 13,000.00 Rp - 30 Rp 13,000.00 Rp 390,000.00 30 Rp 13,000.00 Rp 390,000.00 0 Rp 13,000.00 Rp -
27 RL Botol Rp 14,000.00 Rp - 9 Rp 14,000.00 Rp 126,000.00 9 Rp 14,000.00 Rp 126,000.00 0 Rp 14,000.00 Rp -
28 Mefentan Tab Tab Rp 900.00 Rp - 200 Rp 900.00 Rp 180,000.00 200 Rp 900.00 Rp 180,000.00 0 Rp 900.00 Rp -
29 Cortidex Tab Tab Rp 400.00 Rp - 100 Rp 400.00 Rp 40,000.00 100 Rp 400.00 Rp 40,000.00 0 Rp 400.00 Rp -
30 Ambroxol Tab Box Rp 400.00 Rp - 400 Rp 400.00 Rp 160,000.00 400 Rp 400.00 Rp 160,000.00 0 Rp 400.00 Rp -
31 Sanmol Infus Botol Rp 85,000.00 Rp - 2 Rp 85,000.00 Rp 170,000.00 2 Rp 85,000.00 Rp 170,000.00 0 Rp 85,000.00 Rp -
32 Piroxicam 10 mg Box Rp 180.00 Rp - 10 Rp 180.00 Rp 1,800.00 10 Rp 180.00 Rp 1,800.00 0 Rp 180.00 Rp -
33 CTM Tab Rp 200.00 Rp - 120 Rp 200.00 Rp 24,000.00 120 Rp 200.00 Rp 24,000.00 0 Rp 200.00 Rp -
34 Methylprenisolone Box Rp 30,000.00 Rp - 10 Rp 30,000.00 Rp 300,000.00 10 Rp 30,000.00 Rp 300,000.00 0 Rp 30,000.00 Rp -
35 Faridexon Box Rp 15,000.00 Rp - 7 Rp 15,000.00 Rp 105,000.00 7 Rp 15,000.00 Rp 105,000.00 0 Rp 15,000.00 Rp -
36 Histigo Box Rp 35,000.00 Rp - 3 Rp 35,000.00 Rp 105,000.00 3 Rp 35,000.00 Rp 105,000.00 0 Rp 35,000.00 Rp -
37 Hufadine Box Rp 35,000.00 Rp - 6 Rp 35,000.00 Rp 210,000.00 6 Rp 35,000.00 Rp 210,000.00 0 Rp 35,000.00 Rp -
38 Lokev Box Rp 28,000.00 Rp - 5 Rp 28,000.00 Rp 140,000.00 5 Rp 28,000.00 Rp 140,000.00 0 Rp 28,000.00 Rp -
39 caviplex Box Rp 95,000.00 Rp - 10 Rp 95,000.00 Rp 950,000.00 10 Rp 95,000.00 Rp 950,000.00 0 Rp 95,000.00 Rp -
40 Pimtrakol Box Rp 15,000.00 Rp - 36 Rp 15,000.00 Rp 540,000.00 36 Rp 15,000.00 Rp 540,000.00 0 Rp 15,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
41 Hufagrip Box Rp 43,000.00 Rp - 7 Rp 43,000.00 Rp 301,000.00 7 Rp 43,000.00 Rp 301,000.00 0 Rp 43,000.00 Rp -
42 Mufenamic Acid Box Rp 33,000.00 Rp - 15 Rp 33,000.00 Rp 495,000.00 15 Rp 33,000.00 Rp 495,000.00 0 Rp 33,000.00 Rp -
43 Combevent Tab Rp 25,000.00 Rp - 4 Rp 25,000.00 Rp 100,000.00 4 Rp 25,000.00 Rp 100,000.00 0 Rp 25,000.00 Rp -
44 Mefemenamic Box Rp 45,000.00 Rp - 15 Rp 45,000.00 Rp 675,000.00 15 Rp 45,000.00 Rp 675,000.00 0 Rp 45,000.00 Rp -
45 Roverton Box Rp 27,000.00 Rp - 15 Rp 27,000.00 Rp 405,000.00 15 Rp 27,000.00 Rp 405,000.00 0 Rp 27,000.00 Rp -
46 Metilprednisolon Box Rp 35,000.00 Rp - 20 Rp 35,000.00 Rp 700,000.00 20 Rp 35,000.00 Rp 700,000.00 0 Rp 35,000.00 Rp -
48 Cairan RL Botol Rp 16,000.00 Rp - 80 Rp 16,000.00 Rp 1,280,000.00 80 Rp 16,000.00 Rp 1,280,000.00 0 Rp 16,000.00 Rp -
52 Miconazole Box Rp 134,000.00 Rp - 1 Rp 134,000.00 Rp 134,000.00 1 Rp 134,000.00 Rp 134,000.00 0 Rp 134,000.00 Rp -
54 Paracetamol 500 mg Box Rp 33,000.00 Rp - 10 Rp 33,000.00 Rp 330,000.00 10 Rp 33,000.00 Rp 330,000.00 0 Rp 33,000.00 Rp -
55 Amoxcilin 500 mg Box Rp 45,000.00 Rp - 10 Rp 45,000.00 Rp 450,000.00 10 Rp 45,000.00 Rp 450,000.00 0 Rp 45,000.00 Rp -
57 Ranitidine Injeksi ampul Rp 5,000.00 Rp - 3 Rp 5,000.00 Rp 15,000.00 3 Rp 5,000.00 Rp 15,000.00 0 Rp 5,000.00 Rp -
58 Dexametazone Box Rp 28,000.00 Rp - 4 Rp 28,000.00 Rp 112,000.00 4 Rp 28,000.00 Rp 112,000.00 0 Rp 28,000.00 Rp -
59 Cairan RL Buah Rp 16,000.00 Rp - 80 Rp 16,000.00 Rp 1,280,000.00 80 Rp 16,000.00 Rp 1,280,000.00 0 Rp 16,000.00 Rp -
60 Amoxcilin Box Rp 45,000.00 Rp - 10 Rp 45,000.00 Rp 450,000.00 10 Rp 45,000.00 Rp 450,000.00 0 Rp 45,000.00 Rp -
62 Captopril Box Rp 26,000.00 Rp - 5 Rp 26,000.00 Rp 130,000.00 5 Rp 26,000.00 Rp 130,000.00 0 Rp 26,000.00 Rp -
65 Pimtrakol syr Botol Rp 14,400.00 Rp - 10 Rp 14,400.00 Rp 144,000.00 10 Rp 14,400.00 Rp 144,000.00 0 Rp 14,400.00 Rp -
66 Caviplex Syr Box Rp 12,000.00 Rp - 7 Rp 12,000.00 Rp 84,000.00 7 Rp 12,000.00 Rp 84,000.00 0 Rp 12,000.00 Rp -
68 Combivent pcs Rp 15,000.00 Rp - 3 Rp 15,000.00 Rp 45,000.00 3 Rp 15,000.00 Rp 45,000.00 0 Rp 15,000.00 Rp -
70 Piroxicam Box Rp 31,000.00 Rp - 2 Rp 31,000.00 Rp 62,000.00 2 Rp 31,000.00 Rp 62,000.00 0 Rp 31,000.00 Rp -
71 Oxitocin Injeksi Ampul Rp 10,000.00 Rp - 10 Rp 10,000.00 Rp 100,000.00 10 Rp 10,000.00 Rp 100,000.00 0 Rp 10,000.00 Rp -
72 Pehacain Injeksi Ampul Rp 4,300.00 Rp - 20 Rp 4,300.00 Rp 86,000.00 20 Rp 4,300.00 Rp 86,000.00 0 Rp 4,300.00 Rp -
73 Cefadroxil Box Rp 107,000.00 Rp - 3 Rp 107,000.00 Rp 321,000.00 3 Rp 107,000.00 Rp 321,000.00 0 Rp 107,000.00 Rp -
74 Natrium Diklofenak Box Rp 15,000.00 Rp - 5 Rp 15,000.00 Rp 75,000.00 5 Rp 15,000.00 Rp 75,000.00 0 Rp 15,000.00 Rp -
75 Ibuprofen Box Rp 41,000.00 Rp - 8 Rp 41,000.00 Rp 328,000.00 8 Rp 41,000.00 Rp 328,000.00 0 Rp 41,000.00 Rp -
76 Ciprofloxacin Box Rp 66,000.00 Rp - 7 Rp 66,000.00 Rp 462,000.00 7 Rp 66,000.00 Rp 462,000.00 0 Rp 66,000.00 Rp -
77 Forumen Botol Rp 32,500.00 Rp - 4 Rp 32,500.00 Rp 130,000.00 4 Rp 32,500.00 Rp 130,000.00 0 Rp 32,500.00 Rp -
78 Dexa Box Rp 28,000.00 Rp - 2 Rp 28,000.00 Rp 56,000.00 2 Rp 28,000.00 Rp 56,000.00 0 Rp 28,000.00 Rp -
79 Dexa Injeksi Ampul Rp 4,000.00 Rp - 3 Rp 4,000.00 Rp 12,000.00 3 Rp 4,000.00 Rp 12,000.00 0 Rp 4,000.00 Rp -
80 Sidiadyl Injeksi Ampil Rp 10,000.00 Rp - 3 Rp 10,000.00 Rp 30,000.00 3 Rp 10,000.00 Rp 30,000.00 0 Rp 10,000.00 Rp -
81 Ondersetrum Injeksi Ampul Rp 7,000.00 Rp - 10 Rp 7,000.00 Rp 70,000.00 10 Rp 7,000.00 Rp 70,000.00 0 Rp 7,000.00 Rp -
82 Histigo Box Rp 39,000.00 Rp - 4 Rp 39,000.00 Rp 156,000.00 4 Rp 39,000.00 Rp 156,000.00 0 Rp 39,000.00 Rp -
83 Amlodipin 5 Mg Box Rp 60,000.00 Rp - 5 Rp 60,000.00 Rp 300,000.00 5 Rp 60,000.00 Rp 300,000.00 0 Rp 60,000.00 Rp -
84 Betametason s.k Tube Rp 55,000.00 Rp - 6 Rp 55,000.00 Rp 330,000.00 6 Rp 55,000.00 Rp 330,000.00 0 Rp 55,000.00 Rp -
85 Erlamycetrin TT Bate Rp 4,500.00 Rp - 15 Rp 4,500.00 Rp 67,500.00 15 Rp 4,500.00 Rp 67,500.00 0 Rp 4,500.00 Rp -
86 Donperidon Syr Botol Rp 10,000.00 Rp - 4 Rp 10,000.00 Rp 40,000.00 4 Rp 10,000.00 Rp 40,000.00 0 Rp 10,000.00 Rp -
87 Asamefenamat Box Rp 43,000.00 Rp - 15 Rp 43,000.00 Rp 645,000.00 15 Rp 43,000.00 Rp 645,000.00 0 Rp 43,000.00 Rp -
89 Vit. B6 Botol Rp 13,000.00 Rp - 5 Rp 13,000.00 Rp 65,000.00 5 Rp 13,000.00 Rp 65,000.00 0 Rp 13,000.00 Rp -
90 Metronidazol 500 mg Box Rp 40,000.00 Rp - 4 Rp 40,000.00 Rp 160,000.00 4 Rp 40,000.00 Rp 160,000.00 0 Rp 40,000.00 Rp -
91 Dexamethason Tab Box Rp 32,000.00 Rp - 4 Rp 32,000.00 Rp 128,000.00 4 Rp 32,000.00 Rp 128,000.00 0 Rp 32,000.00 Rp -
93 Amoxicilin Box Rp 45,000.00 Rp - 10 Rp 45,000.00 Rp 450,000.00 10 Rp 45,000.00 Rp 450,000.00 0 Rp 45,000.00 Rp -
94 Amoxicilin Syr Botol Rp 7,000.00 Rp - 20 Rp 7,000.00 Rp 140,000.00 20 Rp 7,000.00 Rp 140,000.00 0 Rp 7,000.00 Rp -
95 Amlodipin 5mg Box Rp 60,000.00 Rp - 7 Rp 60,000.00 Rp 420,000.00 7 Rp 60,000.00 Rp 420,000.00 0 Rp 60,000.00 Rp -
96 Captopril 50 mg Box Rp 32,000.00 Rp - 3 Rp 32,000.00 Rp 96,000.00 3 Rp 32,000.00 Rp 96,000.00 0 Rp 32,000.00 Rp -
99 Paracetamol Infus Botol Rp 52,000.00 Rp - 2 Rp 52,000.00 Rp 104,000.00 2 Rp 52,000.00 Rp 104,000.00 0 Rp 52,000.00 Rp -
100 Asamefenamat Box Rp 45,000.00 Rp - 10 Rp 45,000.00 Rp 450,000.00 10 Rp 45,000.00 Rp 450,000.00 0 Rp 45,000.00 Rp -
101 Pimtrakol Box Rp 18,000.00 Rp - 10 Rp 18,000.00 Rp 180,000.00 10 Rp 18,000.00 Rp 180,000.00 0 Rp 18,000.00 Rp -
102 Salbutamol 4 mg Box Rp 15,000.00 Rp - 9 Rp 15,000.00 Rp 135,000.00 9 Rp 15,000.00 Rp 135,000.00 0 Rp 15,000.00 Rp -
103 Cetirizine Box Rp 27,000.00 Rp - 5 Rp 27,000.00 Rp 135,000.00 5 Rp 27,000.00 Rp 135,000.00 0 Rp 27,000.00 Rp -
104 Caviplex Syr Botol Rp 12,000.00 Rp - 10 Rp 12,000.00 Rp 120,000.00 10 Rp 12,000.00 Rp 120,000.00 0 Rp 12,000.00 Rp -
105 Nifedipin Box Rp 38,000.00 Rp - 1 Rp 38,000.00 Rp 38,000.00 1 Rp 38,000.00 Rp 38,000.00 0 Rp 38,000.00 Rp -
109 Natri 25 mg Box Rp 39,000.00 Rp - 5 Rp 39,000.00 Rp 195,000.00 5 Rp 39,000.00 Rp 195,000.00 0 Rp 39,000.00 Rp -
110 Vit B. Complet Box Rp 25,000.00 Rp - 3 Rp 25,000.00 Rp 75,000.00 3 Rp 25,000.00 Rp 75,000.00 0 Rp 25,000.00 Rp -
111 Oxytetrasiclin Buah Rp 4,500.00 Rp - 25 Rp 4,500.00 Rp 112,500.00 25 Rp 4,500.00 Rp 112,500.00 0 Rp 4,500.00 Rp -
112 Oxytocin Ampul Rp 10,000.00 Rp - 20 Rp 10,000.00 Rp 200,000.00 20 Rp 10,000.00 Rp 200,000.00 0 Rp 10,000.00 Rp -
113 Anabion Box Rp 6,500.00 Rp - 20 Rp 6,500.00 Rp 130,000.00 20 Rp 6,500.00 Rp 130,000.00 0 Rp 6,500.00 Rp -
114 Divoltar Box Rp 27,000.00 Rp - 5 Rp 27,000.00 Rp 135,000.00 5 Rp 27,000.00 Rp 135,000.00 0 Rp 27,000.00 Rp -
115 Mexon Box Rp 28,000.00 Rp - 2 Rp 28,000.00 Rp 56,000.00 2 Rp 28,000.00 Rp 56,000.00 0 Rp 28,000.00 Rp -
116 lerzin Box Rp 27,000.00 Rp - 2 Rp 27,000.00 Rp 54,000.00 2 Rp 27,000.00 Rp 54,000.00 0 Rp 27,000.00 Rp -
117 Kalmethazone Box Rp 28,000.00 Rp - 5 Rp 28,000.00 Rp 140,000.00 5 Rp 28,000.00 Rp 140,000.00 0 Rp 28,000.00 Rp -
118 Tifertan Forte Box Rp 37,000.00 Rp - 5 Rp 37,000.00 Rp 185,000.00 5 Rp 37,000.00 Rp 185,000.00 0 Rp 37,000.00 Rp -
119 Orehen Box Rp 21,000.00 Rp - 4 Rp 21,000.00 Rp 84,000.00 4 Rp 21,000.00 Rp 84,000.00 0 Rp 21,000.00 Rp -
120 Alleron Box Rp 26,000.00 Rp - 4 Rp 26,000.00 Rp 104,000.00 4 Rp 26,000.00 Rp 104,000.00 0 Rp 26,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
122 Xicalom Box Rp 30,000.00 Rp - 5 Rp 30,000.00 Rp 150,000.00 5 Rp 30,000.00 Rp 150,000.00 0 Rp 30,000.00 Rp -
123 Novamox Botol Rp 6,000.00 Rp - 7 Rp 6,000.00 Rp 42,000.00 7 Rp 6,000.00 Rp 42,000.00 0 Rp 6,000.00 Rp -
124 Mdexrw Box Rp 60,000.00 Rp - 2 Rp 60,000.00 Rp 120,000.00 2 Rp 60,000.00 Rp 120,000.00 0 Rp 60,000.00 Rp -
125 Alpara Box Rp 100,000.00 Rp - 3 Rp 100,000.00 Rp 300,000.00 3 Rp 100,000.00 Rp 300,000.00 0 Rp 100,000.00 Rp -
126 Tera- F Box Rp 45,000.00 Rp - 3 Rp 45,000.00 Rp 135,000.00 3 Rp 45,000.00 Rp 135,000.00 0 Rp 45,000.00 Rp -
127 Selebrox Box Rp 19,000.00 Rp - 1 Rp 19,000.00 Rp 19,000.00 1 Rp 19,000.00 Rp 19,000.00 0 Rp 19,000.00 Rp -
128 Grafalin 2 mg Box Rp 20,000.00 Rp - 1 Rp 20,000.00 Rp 20,000.00 1 Rp 20,000.00 Rp 20,000.00 0 Rp 20,000.00 Rp -
129 Selkom - c Box Rp 130,000.00 Rp - 1 Rp 130,000.00 Rp 130,000.00 1 Rp 130,000.00 Rp 130,000.00 0 Rp 130,000.00 Rp -
130 Salbutamol 4 mg Box Rp 21,000.00 Rp - 5 Rp 21,000.00 Rp 105,000.00 5 Rp 21,000.00 Rp 105,000.00 0 Rp 21,000.00 Rp -
131 Ambroxol Box Rp 31,000.00 Rp - 5 Rp 31,000.00 Rp 155,000.00 5 Rp 31,000.00 Rp 155,000.00 0 Rp 31,000.00 Rp -
132 Omeprazole Dos Rp 21,000.00 Rp - 3 Rp 21,000.00 Rp 63,000.00 3 Rp 21,000.00 Rp 63,000.00 0 Rp 21,000.00 Rp -
133 Cefadroxil Dos Rp 107,000.00 Rp - 3 Rp 107,000.00 Rp 321,000.00 3 Rp 107,000.00 Rp 321,000.00 0 Rp 107,000.00 Rp -
134 Ranitidin Dos Rp 32,000.00 Rp - 5 Rp 32,000.00 Rp 160,000.00 5 Rp 32,000.00 Rp 160,000.00 0 Rp 32,000.00 Rp -
135 Oxytocin Injeksi Ampul Rp 10,000.00 Rp - 20 Rp 10,000.00 Rp 200,000.00 20 Rp 10,000.00 Rp 200,000.00 0 Rp 10,000.00 Rp -
136 Ranitidin Injeksi Ampul Rp 5,000.00 Rp - 5 Rp 5,000.00 Rp 25,000.00 5 Rp 5,000.00 Rp 25,000.00 0 Rp 5,000.00 Rp -
137 Dexa injeksi Ampul Rp 4,000.00 Rp - 5 Rp 4,000.00 Rp 20,000.00 5 Rp 4,000.00 Rp 20,000.00 0 Rp 4,000.00 Rp -
138 Molexflu Box Rp 55,000.00 Rp - 2 Rp 55,000.00 Rp 110,000.00 2 Rp 55,000.00 Rp 110,000.00 0 Rp 55,000.00 Rp -
139 Amoxicilin Box Rp 45,000.00 Rp - 15 Rp 45,000.00 Rp 675,000.00 15 Rp 45,000.00 Rp 675,000.00 0 Rp 45,000.00 Rp -
140 Asmef Box Rp 43,000.00 Rp - 20 Rp 43,000.00 Rp 860,000.00 20 Rp 43,000.00 Rp 860,000.00 0 Rp 43,000.00 Rp -
141 Ibu Fropen 400 mg Box Rp 50,000.00 Rp - 7 Rp 50,000.00 Rp 350,000.00 7 Rp 50,000.00 Rp 350,000.00 0 Rp 50,000.00 Rp -
142 Ranitidin Box Rp 32,000.00 Rp - 5 Rp 32,000.00 Rp 160,000.00 5 Rp 32,000.00 Rp 160,000.00 0 Rp 32,000.00 Rp -
143 Salep Ichtiol Box Rp 135,000.00 Rp - 1 Rp 135,000.00 Rp 135,000.00 1 Rp 135,000.00 Rp 135,000.00 0 Rp 135,000.00 Rp -
144 Pimtrakol Pack Rp 173,000.00 Rp - 2 Rp 173,000.00 Rp 346,000.00 2 Rp 173,000.00 Rp 346,000.00 0 Rp 173,000.00 Rp -
145 Donperidon Syr Botol Rp 10,000.00 Rp - 10 Rp 10,000.00 Rp 100,000.00 10 Rp 10,000.00 Rp 100,000.00 0 Rp 10,000.00 Rp -
146 Erla T.T Box Rp 12,000.00 Rp - 10 Rp 12,000.00 Rp 120,000.00 10 Rp 12,000.00 Rp 120,000.00 0 Rp 12,000.00 Rp -
147 Curcuma Syr Botol Rp 14,000.00 Rp - 15 Rp 14,000.00 Rp 210,000.00 15 Rp 14,000.00 Rp 210,000.00 0 Rp 14,000.00 Rp -
148 Curcuma Tab Box Rp 140,000.00 Rp - 2 Rp 140,000.00 Rp 280,000.00 2 Rp 140,000.00 Rp 280,000.00 0 Rp 140,000.00 Rp -
149 Zink Syr Botol Rp 38,000.00 Rp - 10 Rp 38,000.00 Rp 380,000.00 10 Rp 38,000.00 Rp 380,000.00 0 Rp 38,000.00 Rp -
150 Oxytetra Siklin Box Rp 100,000.00 Rp - 1 Rp 100,000.00 Rp 100,000.00 1 Rp 100,000.00 Rp 100,000.00 0 Rp 100,000.00 Rp -
151 Soldextan Box Rp 60,000.00 Rp - 2 Rp 60,000.00 Rp 120,000.00 2 Rp 60,000.00 Rp 120,000.00 0 Rp 60,000.00 Rp -
152 Amlodipine Box Rp 60,000.00 Rp - 5 Rp 60,000.00 Rp 300,000.00 5 Rp 60,000.00 Rp 300,000.00 0 Rp 60,000.00 Rp -
153 Insto Box Rp 15,000.00 Rp - 12 Rp 15,000.00 Rp 180,000.00 12 Rp 15,000.00 Rp 180,000.00 0 Rp 15,000.00 Rp -
BMHP BPJS
1 Handscoon Steril Box 0 Rp 300,000.00 Rp - 1 Rp 300,000.00 Rp 300,000.00 1 Rp 300,000.00 Rp 300,000.000 0 Rp 300,000.00 Rp -
2 Alkohol Swabs Liter 0 Rp 30,000.00 Rp - 2 Rp 30,000.00 Rp 60,000.00 2 Rp 30,000.00 Rp 60,000.000 0 Rp 30,000.00 Rp -
3 Abocat 22 Buah 0 Rp 10,000.00 Rp - 24 Rp 10,000.00 Rp 240,000.00 24 Rp 10,000.00 Rp 240,000.000 0 Rp 10,000.00 Rp -
5 Rivanol 100 ml Botol 0 Rp 5,000.00 Rp - 5 Rp 5,000.00 Rp 25,000.00 5 Rp 5,000.00 Rp 25,000.000 0 Rp 5,000.00 Rp -
6 Handscoon Unggu Box 0 Rp 75,000.00 Rp - 4 Rp 75,000.00 Rp 300,000.00 4 Rp 75,000.00 Rp 300,000.000 0 Rp 75,000.00 Rp -
7 Pencepit Tali Pusat Box 0 Rp 128,000.00 Rp - 2 Rp 128,000.00 Rp 256,000.00 2 Rp 128,000.00 Rp 256,000.000 0 Rp 128,000.00 Rp -
8 Leukoplas 7,5 cm x 4,5 m pcs 0 Rp 75,000.00 Rp - 2 Rp 75,000.00 Rp 150,000.00 2 Rp 75,000.00 Rp 150,000.000 0 Rp 75,000.00 Rp -
9 Hypafix 5 cmx 1 m pcs 0 Rp 30,000.00 Rp - 2 Rp 30,000.00 Rp 60,000.00 2 Rp 30,000.00 Rp 60,000.000 0 Rp 30,000.00 Rp -
10 Silk Braided pcs 0 Rp 150,000.00 Rp - 1 Rp 150,000.00 Rp 150,000.00 1 Rp 150,000.00 Rp 150,000.000 0 Rp 150,000.00 Rp -
11 Alkohol 100 ml Box 0 Rp 7,000.00 Rp - 12 Rp 7,000.00 Rp 84,000.00 12 Rp 7,000.00 Rp 84,000.000 0 Rp 7,000.00 Rp -
12 Alkohol 70 Box 0 Rp 12,000.00 Rp - 20 Rp 12,000.00 Rp 240,000.00 20 Rp 12,000.00 Rp 240,000.000 0 Rp 12,000.00 Rp -
13 Abocat 22 Box 0 Rp 13,000.00 Rp - 42 Rp 13,000.00 Rp 546,000.00 42 Rp 13,000.00 Rp 546,000.000 0 Rp 13,000.00 Rp -
14 Hansdcun Dos 0 Rp 130,000.00 Rp - 1 Rp 130,000.00 Rp 130,000.00 1 Rp 130,000.00 Rp 130,000.000 0 Rp 130,000.00 Rp -
15 Alkohol 70% Box 0 Rp 90,000.00 Rp - 10 Rp 90,000.00 Rp 900,000.00 10 Rp 90,000.00 Rp 900,000.000 0 Rp 90,000.00 Rp -
16 Lancet Box 0 Rp 35,000.00 Rp - 2 Rp 35,000.00 Rp 70,000.00 2 Rp 35,000.00 Rp 70,000.000 0 Rp 35,000.00 Rp -
17 Rivanol Buah 0 Rp 10,000.00 Rp - 15 Rp 10,000.00 Rp 150,000.00 15 Rp 10,000.00 Rp 150,000.000 0 Rp 10,000.00 Rp -
18 Bisturi Box 0 Rp 130,000.00 Rp - 1 Rp 130,000.00 Rp 130,000.00 1 Rp 130,000.00 Rp 130,000.000 0 Rp 130,000.00 Rp -
19 Handscoon Altamed Box 0 Rp 190,000.00 Rp - 5 Rp 190,000.00 Rp 950,000.00 5 Rp 190,000.00 Rp 950,000.000 0 Rp 190,000.00 Rp -
22 Tes Kehamilan Instant Buah 0 Rp 4,000.00 Rp - 50 Rp 4,000.00 Rp 200,000.00 50 Rp 4,000.00 Rp 200,000.000 0 Rp 4,000.00 Rp -
23 Hanscoon Steril Box 0 Rp 300,000.00 Rp - 1 Rp 300,000.00 Rp 300,000.00 1 Rp 300,000.00 Rp 300,000.000 0 Rp 300,000.00 Rp -
26 Lancet Box 0 Rp 35,000.00 Rp - 2 Rp 35,000.00 Rp 70,000.00 2 Rp 35,000.00 Rp 70,000.000 0 Rp 35,000.00 Rp -
29 Abocat 20 pcs 0 Rp 12,000.00 Rp - 15 Rp 12,000.00 Rp 180,000.00 15 Rp 12,000.00 Rp 180,000.000 0 Rp 12,000.00 Rp -
30 Abocat 22 pcs 0 Rp 12,000.00 Rp - 10 Rp 12,000.00 Rp 120,000.00 10 Rp 12,000.00 Rp 120,000.000 0 Rp 12,000.00 Rp -
31 Alkohol Liter 0 Rp 130,000.00 Rp - 1 Rp 130,000.00 Rp 130,000.00 0 Rp 130,000.00 Rp - 1 Rp 130,000.00 Rp 130,000.000
32 Alkohol Box 0 Rp 130,000.00 Rp - 1 Rp 130,000.00 Rp 130,000.00 0 Rp 130,000.00 Rp - 1 Rp 130,000.00 Rp 130,000.000
33 Tespek Box 0 Rp 100,000.00 Rp - 1 Rp 100,000.00 Rp 100,000.00 1 Rp 100,000.00 Rp 100,000.000 0 Rp 100,000.00 Rp -
35 Glukosa Autocnak Buah 0 Rp 125,000.00 Rp - 1 Rp 125,000.00 Rp 125,000.00 1 Rp 125,000.00 Rp 125,000.000 0 Rp 125,000.00 Rp -
36 U.a Autocnak Buah 0 Rp 120,000.00 Rp - 1 Rp 120,000.00 Rp 120,000.00 1 Rp 120,000.00 Rp 120,000.000 0 Rp 120,000.00 Rp -
37 Alkohol Botol 0 Rp 130,000.00 Rp - 1 Rp 130,000.00 Rp 130,000.00 0 Rp 130,000.00 Rp - 1 Rp 130,000.00 Rp 130,000.000
39 Reagen Golda Kit 0 Rp 350,000.00 Rp - 1 Rp 350,000.00 Rp 350,000.00 1 Rp 350,000.00 Rp 350,000.000 0 Rp 350,000.00 Rp -
40 Spot 3 ML Box 0 Rp 85,000.00 Rp - 1 Rp 85,000.00 Rp 85,000.00 1 Rp 85,000.00 Rp 85,000.000 0 Rp 85,000.00 Rp -
41 Infus Dewasa pcs 0 Rp 12,000.00 Rp - 20 Rp 12,000.00 Rp 240,000.00 20 Rp 12,000.00 Rp 240,000.000 0 Rp 12,000.00 Rp -
42 Alkohol 70 % 300 ml Botol 0 Rp 30,000.00 Rp - 10 Rp 30,000.00 Rp 300,000.00 5 Rp 30,000.00 Rp 150,000.000 5 Rp 30,000.00 Rp 150,000.000
43 Alkohol 70 %100 ml Botol 0 Rp 15,000.00 Rp - 10 Rp 15,000.00 Rp 150,000.00 5 Rp 15,000.00 Rp 75,000.000 5 Rp 15,000.00 Rp 75,000.000
44 Rivanol 100 ml Botol 0 Rp 5,000.00 Rp - 5 Rp 5,000.00 Rp 25,000.00 2 Rp 5,000.00 Rp 10,000.000 3 Rp 5,000.00 Rp 15,000.000
45 Strip Gula Autocek Dus 0 Rp 125,000.00 Rp - 1 Rp 125,000.00 Rp 125,000.00 1 Rp 125,000.00 Rp 125,000.000 0 Rp 125,000.00 Rp -
46 Srip clolesterol autocek Dus 0 Rp 200,000.00 Rp - 1 Rp 200,000.00 Rp 200,000.00 1 Rp 200,000.00 Rp 200,000.000 0 Rp 200,000.00 Rp -
47 Srip Asam Urat autocek Dus 0 Rp 145,000.00 Rp - 1 Rp 145,000.00 Rp 145,000.00 0 Rp 145,000.00 Rp - 1 Rp 145,000.00 Rp 145,000.000
48 Umbilical card Box 0 Rp 100,000.00 Rp - 1 Rp 100,000.00 Rp 100,000.00 1 Rp 100,000.00 Rp 100,000.000 0 Rp 100,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
49 Handcoen Sensi Box 0 Rp 150,000.00 Rp - 2 Rp 150,000.00 Rp 300,000.00 0 Rp 150,000.00 Rp - 2 Rp 150,000.00 Rp 300,000.000
50 Autocek Cholesterol Dos 0 Rp 200,000.00 Rp - 1 Rp 200,000.00 Rp 200,000.00 1 Rp 200,000.00 Rp 200,000.000 0 Rp 200,000.00 Rp -
51 Masker 4 ply Box 0 Rp 120,000.00 Rp - 3 Rp 120,000.00 Rp 360,000.00 3 Rp 120,000.00 Rp 360,000.000 0 Rp 120,000.00 Rp -
52 Masker Hijab Dus 0 Rp 135,000.00 Rp - 1 Rp 135,000.00 Rp 135,000.00 1 Rp 135,000.00 Rp 135,000.000 0 Rp 135,000.00 Rp -
53 Underpaad Onemed Box 0 Rp 50,000.00 Rp - 1 Rp 50,000.00 Rp 50,000.00 0 Rp 50,000.00 Rp - 1 Rp 50,000.00 Rp 50,000.000
54 Infuset Dewasa Box 0 Rp 400,000.00 Rp - 1 Rp 400,000.00 Rp 400,000.00 1 Rp 400,000.00 Rp 400,000.000 0 Rp 400,000.00 Rp -
55 Alkohol 70 % Botol 0 Rp 70,000.00 Rp - 1 Rp 70,000.00 Rp 70,000.00 0 Rp 70,000.00 Rp - 1 Rp 70,000.00 Rp 70,000.000
56 Autocek Cholesterol Dos 0 Rp 200,000.00 Rp - 1 Rp 200,000.00 Rp 200,000.00 1 Rp 200,000.00 Rp 200,000.000 0 Rp 200,000.00 Rp -
57 Hand Sanitizer 500 Ml Botol 0 Rp 123,000.00 Rp - 5 Rp 123,000.00 Rp 615,000.00 5 Rp 123,000.00 Rp 615,000.000 0 Rp 123,000.00 Rp -
58 Handcund Supremem Box 0 Rp 160,000.00 Rp - 1 Rp 160,000.00 Rp 160,000.00 1 Rp 160,000.00 Rp 160,000.000 0 Rp 160,000.00 Rp -
NILAI OBAT BPJS PUSKESMAS TINONDO Rp - Rp 49,043,800.00 Rp 47,848,800.000 Rp 1,195,000.00

0
OBAT PROGRAM
1 Vaksin rabies Vial 0 Rp 206,250.00 Rp - 8 Rp 206,250.00 Rp 1,650,000.00 8 Rp 206,250.00 Rp 1,650,000.00 0 Rp 206,250.00 Rp -
2 Vaksin BCG Vial 0 Rp 59,959.00 Rp - 150 Rp 59,959.00 Rp 8,993,850.00 130 Rp 59,959.00 Rp 7,794,670.00 20 Rp 59,959.00 Rp 1,199,180.00
3 Vaksin IPV Vial 0 Rp 59,959.00 Rp - 50 Rp 152,900.00 Rp 7,645,000.00 24 Rp 152,900.00 Rp 3,669,600.00 26 Rp 152,900.00 Rp 3,975,400.00
4 Vaksin DPT HB Hib Vial 13 Rp 76,282.00 Rp 991,666.00 210 Rp 76,282.00 Rp 16,019,220.00 198 Rp 76,282.00 Rp 15,103,836.00 25 Rp 76,282.00 Rp 1,907,050.00
5 Vaksin DT Vial 0 Rp 17,798.00 Rp - 30 Rp 17,798.00 Rp 533,940.00 20 Rp 17,798.00 Rp 355,960.00 10 Rp 17,798.00 Rp 177,980.00
6 Vaksin Polio Bovp (10) Vial 11 Rp 19,954.00 Rp 219,494.00 230 Rp 19,954.00 Rp 4,589,420.00 223 Rp 19,954.00 Rp 4,449,742.00 18 Rp 19,954.00 Rp 359,172.00
8 Vaksin campak Vial 0 Rp 28,204.00 Rp - Rp - Rp - 0 Rp -
9 Vaksin Hb Uniject Vial 16 Rp 76,285.00 Rp 1,220,560.00 110 Rp 76,285.00 Rp 8,391,350.00 116 Rp 76,285.00 Rp 8,849,060.00 10 Rp 76,285.00 Rp 762,850.00
11 Vaksin MR Vial 0 Rp 141,648.00 Rp - 245 Rp 141,648.00 Rp 34,703,760.00 225 Rp 141,648.00 Rp 31,870,800.00 20 Rp 141,648.00 Rp 2,832,960.00
12 Vitamin A 100000 IU Soft Kapsul 200 Rp 341.00 Rp 68,200.00 0 Rp 341.00 Rp - 200 Rp 341.00 Rp 68,200.00 0 Rp 341.00 Rp -
14 Tablet tambah darah Tablet 24600 Rp 112.00 Rp 2,755,200.00 0 Rp 112.00 Rp - 24600 Rp 112.00 Rp 2,755,200.00 0 Rp 112.00 Rp -
15 Tablet tambah darah (FE) Tablet 0 Rp 427.00 Rp - 5600 Rp 427.00 Rp 2,391,200.00 2300 Rp 427.00 Rp 982,100.00 3300 Rp 427.00 Rp 1,409,100.00
16 Obat TB kategori I Paket 2 Rp 317,015.00 Rp 634,030.00 0 Rp 317,015.00 Rp - 2 Rp 317,015.00 Rp 634,030.00 0 Rp 317,015.00 Rp -
18 Obat TB kategori II Paket 0 Rp 317,015.00 Rp - 1 Rp 1,661,981.00 Rp 1,661,981.00 1 Rp 1,661,981.00 Rp 1,661,981.00 0 Rp 1,661,981.00 Rp -
19 SD-SHYPILIS Test 0 Rp 20,400.00 Rp - 25 Rp 20,400.00 Rp 510,000.00 24 Rp 20,400.00 Rp 489,600.00 1 Rp 20,400.00 Rp 20,400.00
22 RDT Malaria Test 0 Rp 7,710.00 Rp - 25 Rp 7,710.00 Rp 192,750.00 0 Rp 7,710.00 Rp - 25 Rp 7,710.00 Rp 192,750.00
23 Obat Kusta Blister 2 Rp 38,395.00 Rp 76,790.00 Rp 38,395.00 Rp - 2 Rp 38,395.00 Rp 76,790.00 0 Rp 38,395.00 Rp -
24 Obat Kusta Tipe MB Blister 0 Rp 41,784.00 Rp - 9 Rp 41,784.00 Rp 376,056.00 9 Rp 41,784.00 Rp 376,056.00 0 Rp 41,784.00 Rp -
25 Oksitosin inj Ampul 0 Rp 1,287.00 Rp - 10 Rp 1,287.00 Rp 12,870.00 10 Rp 1,287.00 Rp 12,870.00 0 Rp 1,287.00 Rp -
26 Metilergometrin Inj 0,02% Ampul 0 Rp 3,553.00 Rp - 100 Rp 3,553.00 Rp 355,300.00 100 Rp 3,553.00 Rp 355,300.00 0 Rp 3,553.00 Rp -
27 Albendazole 400 mg Tablet 200's Botol 0 Rp 52,392.00 Rp - 35 Rp 208,395.00 Rp 7,293,825.00 35 Rp 208,395.00 Rp 7,293,825.00 0 Rp 208,395.00 Rp -
28 Dhiethyl Carbamazine Citrate Tablet 100 mg DEC Tablet 0 Rp 202,065.00 Rp - 20500 Rp 190.00 Rp 3,895,000.00 20500 Rp 190.00 Rp 3,895,000.00 0 Rp 190.00 Rp -
NILAI OBAT PROGRAM PUSKESMAS TINONDO Rp 5,965,940.00 Rp 103,767,497.00 Rp 95,389,171.000 Rp 14,344,266.00
JUMLAH NILAI OBAT PUSKESMAS TINONDO Rp 33,208,629.69 Rp 219,920,436.23 Rp 213,719,850.765 Rp 39,409,215.16
PUSKESMAS MOWEWE
OBAT IFK
1 Air Untuk Injeksi 20 ml vial 20 Rp 2,200.00 Rp 44,000.00 0 Rp 2,200.00 Rp - 20 Rp 2,200.00 Rp 44,000.00 Rp 2,200.00 Rp -
2 Albendazole tab 400 mg tablet 224 Rp 363.00 Rp 81,312.00 0 Rp 363.00 Rp - 124 Rp 363.00 Rp 45,012.00 100 Rp 363.00 Rp 36,300.00
3 Albendazole susp 200 mg/5 ml botol Rp 4,619.00 Rp - 0 Rp 4,619.00 Rp - 0 Rp 4,619.00 Rp - Rp 4,619.00 Rp -
4 Allopurinol tab 100 mg tablet Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - Rp 120.00 Rp -
5 Ambroksol sir 15 mg/ml - 60 ml botol Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - Rp 4,999.50 Rp -
6 Ambroksol tab 30 mg tablet Rp 380.00 Rp - 0 Rp 380.00 Rp - 0 Rp 380.00 Rp - Rp 380.00 Rp -
7 Amlodipin tab 5 mg tablet Rp 93.00 Rp - 0 Rp 93.00 Rp - 0 Rp 93.00 Rp - Rp 93.00 Rp -
8 Amlodipin tab 10 mg tablet 900 Rp 110.00 Rp 99,000.00 0 Rp 110.00 Rp - 900 Rp 110.00 Rp 99,000.00 Rp 110.00 Rp -
9 Amoxicillin sir forte 250 mg/5 ml botol 139 Rp 3,797.00 Rp 527,783.00 0 Rp 3,797.00 Rp - 139 Rp 3,797.00 Rp 527,783.00 Rp 3,797.00 Rp -
10 Amoxicillin tab 250 mg tablet 980 Rp 198.00 Rp 194,040.00 0 Rp 198.00 Rp - 980 Rp 198.00 Rp 194,040.00 Rp 198.00 Rp -
11 Amoxicillin tab 500 mg tablet 2070 Rp 192.00 Rp 397,440.00 0 Rp 192.00 Rp - 2070 Rp 192.00 Rp 397,440.00 Rp 192.00 Rp -
12 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 tablet Rp 2,146.00 Rp - 0 Rp 2,146.00 Rp - 0 Rp 2,146.00 Rp - Rp 2,146.00 Rp -
13 Anti Bakteri DOEN salep kombinasi 5 g pot Rp 3,511.00 Rp - 100 Rp 3,511.00 Rp 351,100.00 0 Rp 3,511.00 Rp - 100 Rp 3,511.00 Rp 351,100.00
14 Asam Ascorbat (Vitamin C) tab 50 mg tablet Rp 125.00 Rp - 0 Rp 125.00 Rp - 0 Rp 125.00 Rp - Rp 125.00 Rp -
15 Asam Mefenamat tab 500 mg tablet Rp 160.00 Rp - 0 Rp 160.00 Rp - 0 Rp 160.00 Rp - Rp 160.00 Rp -
16 Aciclovir tab 200 mg tablet 200 Rp 263.00 Rp 52,600.00 0 Rp 263.00 Rp - 200 Rp 263.00 Rp 52,600.00 Rp 263.00 Rp -
17 Aciclovir tab 400 mg tablet 220 Rp 415.00 Rp 91,300.00 0 Rp 415.00 Rp - 220 Rp 415.00 Rp 91,300.00 Rp 415.00 Rp -
18 Atropin Sulfat inj 0,25 mg/ml ampul Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp - Rp 1,540.00 Rp -
19 Bedak Salisil serb 2% Kotak Rp 1,081.00 Rp - 0 Rp 1,081.00 Rp - 0 Rp 1,081.00 Rp - Rp 1,081.00 Rp -
20 Betahistin tab 6 mg tablet Rp 165.00 Rp - 0 Rp 165.00 Rp - 0 Rp 165.00 Rp - Rp 165.00 Rp -
21 Betametason krim 0,1 % tube Rp 1,450.00 Rp - 0 Rp 1,450.00 Rp - 0 Rp 1,450.00 Rp - Rp 1,450.00 Rp -
22 Cefadroksil kaps/tab 500 mg kapsul Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - Rp 200.00 Rp -
23 Cefiksime tab 100 mg kapsul Rp 4,780.00 Rp - 0 Rp 4,780.00 Rp - 0 Rp 4,780.00 Rp - Rp 4,780.00 Rp -
24 Cetrizine tab 10 mg tablet Rp 620.00 Rp - 0 Rp 620.00 Rp - 0 Rp 620.00 Rp - Rp 620.00 Rp -
25 Deksametason tab 0,5 mg tablet Rp 35.00 Rp - 0 Rp 35.00 Rp - 0 Rp 35.00 Rp - Rp 35.00 Rp -
26 Deksamethason inj 5 mg/ml - 1 ml ampul 55 Rp 1,885.00 Rp 103,675.00 0 Rp 1,885.00 Rp - 55 Rp 1,885.00 Rp 103,675.00 Rp 1,885.00 Rp -
27 Domperidon tab 10 mg tablet Rp 260.00 Rp - 0 Rp 260.00 Rp - 0 Rp 260.00 Rp - Rp 260.00 Rp -
28 Ephinefrin (Adrenalin ) inj 0,1% 1 ml ampul 90 Rp 8,910.00 Rp 801,900.00 0 Rp 8,910.00 Rp - 90 Rp 8,910.00 Rp 801,900.00 Rp 8,910.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
29 Eritromisin kaps 250 mg kapsul 960 Rp 666.00 Rp 639,360.00 0 Rp 666.00 Rp - 960 Rp 666.00 Rp 639,360.00 Rp 666.00 Rp -
30 Erytromisin SK 200 mg/5 ml botol 245 Rp 6,622.00 Rp 1,622,390.00 0 Rp 6,622.00 Rp - 245 Rp 6,622.00 Rp 1,622,390.00 Rp 6,622.00 Rp -
31 Etakridin (Rivanol) lar 0,1% botol Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - Rp 6,000.00 Rp -
32 Fitomenadion (Vitamin K1) inj 10 mg/ml ampul 69 Rp 4,167.00 Rp 287,523.00 0 Rp 4,167.00 Rp - 69 Rp 4,167.00 Rp 287,523.00 Rp 4,167.00 Rp -
33 Formalin 40% botol Rp 42,000.00 Rp - 0 Rp 42,000.00 Rp - 0 Rp 42,000.00 Rp - Rp 42,000.00 Rp -
34 Garam Oralit kombinasi sacchet Rp 317.00 Rp - 0 Rp 317.00 Rp - 0 Rp 317.00 Rp - Rp 317.00 Rp -
36 Gliseril Guaikolat tab 100 mg tablet Rp 27.00 Rp - 0 Rp 27.00 Rp - 0 Rp 27.00 Rp - Rp 27.00 Rp -
37 Glukosa lar infus steril 5% - 500 ml botol 13 Rp 5,720.00 Rp 74,360.00 0 Rp 5,720.00 Rp - 13 Rp 5,720.00 Rp 74,360.00 Rp 5,720.00 Rp -
38 Griseofulvin tab 125 mg tablet Rp 231.00 Rp - 0 Rp 231.00 Rp - 0 Rp 231.00 Rp - Rp 231.00 Rp -
39 Haloperidol tab 1,5 mg tablet Rp 65.00 Rp - 0 Rp 65.00 Rp - 0 Rp 65.00 Rp - Rp 65.00 Rp -
40 Hydroklortiazid (HCT) tab 25 mg tablet 2000 Rp 179.00 Rp 358,000.00 1000 Rp 179.00 Rp 179,000.00 300 Rp 179.00 Rp 53,700.00 2700 Rp 179.00 Rp 483,300.00
41 Hydrokortison krim 2,5 % - 5 g tube 57 Rp 2,648.00 Rp 150,936.00 0 Rp 2,648.00 Rp - 57 Rp 2,648.00 Rp 150,936.00 Rp 2,648.00 Rp -
42 Ibuprofen tab 200 mg tablet Rp 116.00 Rp - 0 Rp 116.00 Rp - 0 Rp 116.00 Rp - Rp 116.00 Rp -
43 Ibuprofen sir 200 mg/5 ml botol Rp 2,620.00 Rp - 0 Rp 2,620.00 Rp - 0 Rp 2,620.00 Rp - Rp 2,620.00 Rp -
44 Kaptopril tab 25 mg tablet Rp 125.23 Rp - 0 Rp 125.23 Rp - 0 Rp 125.23 Rp - Rp 125.23 Rp -
45 Klindamisin kaps 300 mg kapsul Rp 2,739.99 Rp - 0 Rp 2,739.99 Rp - 0 Rp 2,739.99 Rp - Rp 2,739.99 Rp -
46 Kloramfenikol kaps 250 mg kapsul 1800 Rp 1,110.00 Rp 1,998,000.00 0 Rp 1,110.00 Rp - 1800 Rp 1,110.00 Rp 1,998,000.00 Rp 1,110.00 Rp -
47 Kloramfenikol salap mata 1% tube Rp 2,013.00 Rp - 0 Rp 2,013.00 Rp - 0 Rp 2,013.00 Rp - Rp 2,013.00 Rp -
48 Klorfeniramin Maleat (CTM) tab 4 mg tablet Rp 40.00 Rp - 0 Rp 40.00 Rp - 0 Rp 40.00 Rp - Rp 40.00 Rp -
49 Kodein HCL tab 10 mg tablet Rp 660.00 Rp - 0 Rp 660.00 Rp - 0 Rp 660.00 Rp - Rp 660.00 Rp -
50 Kotrimoxazol tab 480 mg (dewasa) tablet 1900 Rp 135.00 Rp 256,500.00 0 Rp 135.00 Rp - 1900 Rp 135.00 Rp 256,500.00 Rp 135.00 Rp -
51 Kotrimoxazol susp 60 ml botol Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp - Rp 2,462.00 Rp -
53 Magnesium Sulfat inj 20% - 25 ml vial Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - Rp 3,200.00 Rp -
54 Magnesium Sulfat inj 40% - 25 ml vial Rp 3,650.00 Rp - 0 Rp 3,650.00 Rp - 0 Rp 3,650.00 Rp - Rp 3,650.00 Rp -
55 Meloxicam tab 15 mg tablet Rp 2,380.00 Rp - 0 Rp 2,380.00 Rp - 0 Rp 2,380.00 Rp - Rp 2,380.00 Rp -
56 Metampiron (Antalgin) tab 500 mg tablet Rp 1,440.00 Rp - 0 Rp 1,440.00 Rp - 0 Rp 1,440.00 Rp - Rp 1,440.00 Rp -
57 Metformin tab 500 mg tablet 790 Rp 165.00 Rp 130,350.00 0 Rp 165.00 Rp - 790 Rp 165.00 Rp 130,350.00 Rp 165.00 Rp -
58 Metilergometrin Maleat inj 0.200 mg - 1 ml ampul 50 Rp 3,421.00 Rp 171,050.00 0 Rp 3,421.00 Rp - 50 Rp 3,421.00 Rp 171,050.00 Rp 3,421.00 Rp -
59 Metilprednisolon tab 4 mg tablet Rp 170.00 Rp - 0 Rp 170.00 Rp - 0 Rp 170.00 Rp - Rp 170.00 Rp -
60 Metoklopramid tab 10 mg tablet Rp 93.00 Rp - 2000 Rp 93.00 Rp 186,000.00 700 Rp 93.00 Rp 65,100.00 1300 Rp 93.00 Rp 120,900.00
61 Metronidazol tab 250 mg tablet Rp 97.00 Rp - 0 Rp 97.00 Rp - 0 Rp 97.00 Rp - Rp 97.00 Rp -
62 Metronidazol tab 500 mg tablet Rp 117.00 Rp - 0 Rp 117.00 Rp - 0 Rp 117.00 Rp - Rp 117.00 Rp -
63 Natrium Diklofenak tab 25 mg tablet Rp 146.00 Rp - 0 Rp 146.00 Rp - 0 Rp 146.00 Rp - Rp 146.00 Rp -
64 Natrium Klorida (NaCl) lar inf 0,9% - 500 ml botol Rp 6,410.00 Rp - 0 Rp 6,410.00 Rp - 0 Rp 6,410.00 Rp - Rp 6,410.00 Rp -
65 Nistatin tab vaginal 100.000 IU ovula Rp 528.00 Rp - 0 Rp 528.00 Rp - 0 Rp 528.00 Rp - Rp 528.00 Rp -
66 Nistatin tab vaginal 500.000 IU tablet 100 Rp 704.00 Rp 70,400.00 0 Rp 704.00 Rp - 100 Rp 704.00 Rp 70,400.00 Rp 704.00 Rp -
67 Obat Batuk Hitam (OBH) sir ERLA 100 ml botol Rp 12,999.80 Rp - 0 Rp 12,999.80 Rp - 0 Rp 12,999.80 Rp - Rp 12,999.80 Rp -
68 Ofloxacin tab 200 mg tablet 1000 Rp 531.00 Rp 531,000.00 0 Rp 531.00 Rp - 150 Rp 531.00 Rp 79,650.00 850 Rp 531.00 Rp 451,350.00
69 Oksitetrasiklin HCl salep mata 1% - 3,5 g tube Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - Rp 4,999.50 Rp -
70 Oksitosin inj 10 IU/ml - 1 ml ampul Rp 1,287.00 Rp - 0 Rp 1,287.00 Rp - 0 Rp 1,287.00 Rp - Rp 1,287.00 Rp -
71 Omeprazol kaps 20 mg kapsul Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - Rp 143.00 Rp -
72 Ondansentron tab 4 mg tablet 140 Rp 546.00 Rp 76,440.00 0 Rp 546.00 Rp - 140 Rp 546.00 Rp 76,440.00 Rp 546.00 Rp -
73 Paracetamol tab 500 mg tablet Rp 52.00 Rp - 0 Rp 52.00 Rp - 0 Rp 52.00 Rp - Rp 52.00 Rp -
74 Paracetamol sir 120 mg/5 ml - 60 ml botol 10 Rp 1,338.00 Rp 13,380.00 0 Rp 1,338.00 Rp - 10 Rp 1,338.00 Rp 13,380.00 Rp 1,338.00 Rp -
75 Piracetam kapl 800 mg kaplet 176 Rp 960.00 Rp 168,960.53 120 Rp 960.00 Rp 115,200.36 296 Rp 960.00 Rp 284,160.89 Rp 960.00 Rp -
76 Pirantel Pamoat tab 125 mg tablet Rp 305.00 Rp - 0 Rp 305.00 Rp - 0 Rp 305.00 Rp - Rp 305.00 Rp -
77 Piridoksin (Vitamin B6) tab 10 mg tablet Rp 142.00 Rp - 0 Rp 142.00 Rp - 0 Rp 142.00 Rp - Rp 142.00 Rp -
78 Piroxicam tab 10 mg tablet Rp 230.00 Rp - 0 Rp 230.00 Rp - 0 Rp 230.00 Rp - Rp 230.00 Rp -
79 Povidon Iodine lar. 10% - 300 ml botol Rp 21,600.00 Rp - 0 Rp 21,600.00 Rp - 0 Rp 21,600.00 Rp - Rp 21,600.00 Rp -
80 Povidon Iodine lar. 10% - 30 ml botol Rp 3,480.00 Rp - 0 Rp 3,480.00 Rp - 0 Rp 3,480.00 Rp - Rp 3,480.00 Rp -
81 Prednison tab 5 mg tablet Rp 85.00 Rp - 0 Rp 85.00 Rp - 0 Rp 85.00 Rp - Rp 85.00 Rp -
82 Ranitidin tab 150 mg tablet Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - Rp 200.00 Rp -
83 Retinol (Vit A) softcap 100.000 IU softcap Rp 341.00 Rp - 0 Rp 341.00 Rp - 0 Rp 341.00 Rp - Rp 341.00 Rp -
84 Ringer Laktat lar. inf steril 500 ml botol 60 Rp 7,150.00 Rp 429,000.00 0 Rp 7,150.00 Rp - 60 Rp 7,150.00 Rp 429,000.00 Rp 7,150.00 Rp -
85 Sianokobalamin (Vitamin B12) tab 50 mcg tablet 1000 Rp 50.00 Rp 50,000.50 0 Rp 50.00 Rp - 0 Rp 50.00 Rp - 1000 Rp 50.00 Rp 50,000.50
86 Simvastatin tab 10 mg tablet Rp 116.00 Rp - 0 Rp 116.00 Rp - 0 Rp 116.00 Rp - Rp 116.00 Rp -
88 Siprofloksasin tab 500 mg tablet 2640 Rp 264.00 Rp 696,960.00 0 Rp 264.00 Rp - 2640 Rp 264.00 Rp 696,960.00 Rp 264.00 Rp -
89 Tetrasiklin kaps 250 mg kapsul Rp 181.00 Rp - 0 Rp 181.00 Rp - 0 Rp 181.00 Rp - Rp 181.00 Rp -
90 Tetrasiklin kaps 500 mg kapsul 1260 Rp 341.00 Rp 429,660.00 4000 Rp 341.00 Rp 1,364,000.00 1610 Rp 341.00 Rp 549,010.00 3650 Rp 341.00 Rp 1,244,650.00
91 Thiamin HCl (Vitamin B1) tab 50 mg tablet Rp 90.00 Rp - 0 Rp 90.00 Rp - 0 Rp 90.00 Rp - Rp 90.00 Rp -
92 Vitamin B Kompleks tablet Rp 138.00 Rp - 3000 Rp 138.00 Rp 414,000.00 3000 Rp 138.00 Rp 414,000.00 Rp 138.00 Rp -
93 Zinc dispersible tab 20 mg tablet Rp 617.00 Rp - 0 Rp 617.00 Rp - 0 Rp 617.00 Rp - Rp 617.00 Rp -
94 Pritamox (Amoxicillin) tab 500 mg tablet Rp 1,210.00 Rp - 0 Rp 1,210.00 Rp - 0 Rp 1,210.00 Rp - Rp 1,210.00 Rp -
95 Sanmol (Amoxicillin) tab 500 mg tablet Rp 325.00 Rp - 0 Rp 325.00 Rp - 0 Rp 325.00 Rp - Rp 325.00 Rp -
96 Cardisan (Amlodipin) tab 5 mg tablet Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp - Rp 11,918.74 Rp -
97 Puricemia (Allopurinol) tab 300 mg tablet Rp 3,268.75 Rp - 0 Rp 3,268.75 Rp - 0 Rp 3,268.75 Rp - Rp 3,268.75 Rp -
98 Mefinal (Asam Mefenamat) tab 500 mg tablet Rp 1,537.50 Rp - 0 Rp 1,537.50 Rp - 0 Rp 1,537.50 Rp - Rp 1,537.50 Rp -
99 Neurosanbe Santa E tablet Rp 2,756.25 Rp - 0 Rp 2,756.25 Rp - 0 Rp 2,756.25 Rp - Rp 2,756.25 Rp -
100 Mucohexin (Bromhexine HCl) tab 8 mg tablet Rp 575.00 Rp - 0 Rp 575.00 Rp - 0 Rp 575.00 Rp - Rp 575.00 Rp -
101 Cholvastin (Lovastatin) tab 20 mg tablet Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp - Rp 12,043.73 Rp -
102 Bevita sirup 120 ml botol Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - Rp 77,000.00 Rp -
103 Caviplex kaplet kaplet Rp 480.00 Rp - 0 Rp 480.00 Rp - 0 Rp 480.00 Rp - Rp 480.00 Rp -
104 Cendo Xitrol 5 ml botol Rp 58,999.60 Rp - 0 Rp 58,999.60 Rp - 0 Rp 58,999.60 Rp - Rp 58,999.60 Rp -
105 Erlamycetine Eye Drops 0,5% 10 ml botol Rp 20,000.20 Rp - 0 Rp 20,000.20 Rp - 0 Rp 20,000.20 Rp - Rp 20,000.20 Rp -
106 Erlamycetine sirup 60 ml botol Rp 13,999.70 Rp - 0 Rp 13,999.70 Rp - 0 Rp 13,999.70 Rp - Rp 13,999.70 Rp -
107 Farbion tablet tablet Rp 2,310.00 Rp - 0 Rp 2,310.00 Rp - 0 Rp 2,310.00 Rp - Rp 2,310.00 Rp -
108 Gratamin tablet tablet Rp 2,860.00 Rp - 0 Rp 2,860.00 Rp - 0 Rp 2,860.00 Rp - Rp 2,860.00 Rp -
109 Imox tablet tablet Rp 13,200.00 Rp - 0 Rp 13,200.00 Rp - 0 Rp 13,200.00 Rp - Rp 13,200.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
110 Intunal kaplet kaplet Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp - Rp 1,100.00 Rp -
111 My Jelly 80 gr Lubricant botol Rp 69,575.00 Rp - 25 Rp 69,575.00 Rp 1,739,375.00 25 Rp 69,575.00 Rp 1,739,375.00 Rp 69,575.00 Rp -
112 Nifudiar susp 60 ml botol Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - Rp 77,000.00 Rp -
113 Pantocain 0,5% 15 ml botol Rp 31,000.20 Rp - 0 Rp 31,000.20 Rp - 0 Rp 31,000.20 Rp - Rp 31,000.20 Rp -
114 Polireksulen Cairan (Albothyl) 5 ml botol Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp - Rp 37,500.00 Rp -
115 Propepsa susp 100 ml botol Rp 106,000.40 Rp - 0 Rp 106,000.40 Rp - 0 Rp 106,000.40 Rp - Rp 106,000.40 Rp -
116 Supravit tablet tablet Rp 770.00 Rp - 0 Rp 770.00 Rp - 0 Rp 770.00 Rp - Rp 770.00 Rp -
117 Vocefa susp 60 ml botol Rp 84,000.40 Rp - 0 Rp 84,000.40 Rp - 0 Rp 84,000.40 Rp - Rp 84,000.40 Rp -
118 Zirkum Kid sirup botol Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp - Rp 8,140.00 Rp -
119 Neurodial tablet tablet 225 Rp 1,265.00 Rp 284,625.00 0 Rp 1,265.00 Rp - 225 Rp 1,265.00 Rp 284,625.00 Rp 1,265.00 Rp -
120 Vical suspensi botol Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp - Rp 8,140.00 Rp -
OBAT P. 2018
1 Amoxicillin SK 125 mg/5 ml botol Rp 2,560.00 Rp - 0 Rp 2,560.00 Rp - 0 Rp 2,560.00 Rp - Rp 2,560.00 Rp -
2 Antasida DOEN susp 60 ml botol Rp 2,146.00 Rp - 0 Rp 2,146.00 Rp - 0 Rp 2,146.00 Rp - Rp 2,146.00 Rp -
3 Antihemoroid kombinasi suppo supp Rp 3,800.00 Rp - 20 Rp 3,800.00 Rp 76,000.00 20 Rp 3,800.00 Rp 76,000.00 Rp 3,800.00 Rp -
5 Asam Ascorbat (Vitamin C) tab 50 mg tablet 3880 Rp 126.00 Rp 488,880.00 5500 Rp 126.00 Rp 693,000.00 9380 Rp 126.00 Rp 1,181,880.00 Rp 126.00 Rp -
6 Aciclovir tab 400 mg tablet 200 Rp 440.00 Rp 88,000.00 100 Rp 440.00 Rp 44,000.00 100 Rp 440.00 Rp 44,000.00 200 Rp 440.00 Rp 88,000.00
7 Kaptopril tab 12,5 mg tablet Rp 68.00 Rp - 0 Rp 68.00 Rp - 0 Rp 68.00 Rp - Rp 68.00 Rp -
8 Dexamethasone tab 0,5 mg tablet 50 Rp 35.00 Rp 1,750.00 0 Rp 35.00 Rp - 50 Rp 35.00 Rp 1,750.00 Rp 35.00 Rp -
9 Dexamethasone inj 5 mg/ml Ampul 290 Rp 1,278.00 Rp 370,620.00 0 Rp 1,278.00 Rp - 290 Rp 1,278.00 Rp 370,620.00 Rp 1,278.00 Rp -
10 Epinefrin (Adrenalin) inj 1 mg/ml Ampul 10 Rp 2,068.00 Rp 20,680.00 0 Rp 2,068.00 Rp - 10 Rp 2,068.00 Rp 20,680.00 Rp 2,068.00 Rp -
11 Eritromisin kaps 250 mg kapsul Rp 666.00 Rp - 0 Rp 666.00 Rp - 0 Rp 666.00 Rp - Rp 666.00 Rp -
12 Ferro Fumarat + Asam Folat tab 0,4 mg tablet Rp 427.00 Rp - 0 Rp 427.00 Rp - 0 Rp 427.00 Rp - Rp 427.00 Rp -
13 Glimepirid tab 1 mg tablet Rp 174.00 Rp - 0 Rp 174.00 Rp - 0 Rp 174.00 Rp - Rp 174.00 Rp -
15 Glukosa lar infus steril 5% - 500 ml botol 220 Rp 6,900.00 Rp 1,518,000.00 400 Rp 6,900.00 Rp 2,760,000.00 620 Rp 6,900.00 Rp 4,278,000.00 Rp 6,900.00 Rp -
17 Hydroklortiazid (HCT) tab 25 mg tablet Rp 186.00 Rp - 0 Rp 186.00 Rp - 0 Rp 186.00 Rp - Rp 186.00 Rp -
18 Hydrokortison krim 2,5 % - 5 g tube Rp 2,648.00 Rp - 360 Rp 2,648.00 Rp 953,280.00 125 Rp 2,648.00 Rp 331,000.00 235 Rp 2,648.00 Rp 622,280.00
19 Ibuprofen tab 200 mg tablet Rp 116.00 Rp - 0 Rp 116.00 Rp - 0 Rp 116.00 Rp - Rp 116.00 Rp -
20 Kloramfeniramin Maleat (CTM) tab 4 mg tablet Rp 25.00 Rp - 0 Rp 25.00 Rp - 0 Rp 25.00 Rp - Rp 25.00 Rp -
21 Kloramfenikol salap mata 1% tube 24 Rp 2,013.00 Rp 48,312.00 0 Rp 2,013.00 Rp - 24 Rp 2,013.00 Rp 48,312.00 Rp 2,013.00 Rp -
22 Metilergometrin inj 0,2 mg/ml ampul Rp 3,553.00 Rp - 0 Rp 3,553.00 Rp - 0 Rp 3,553.00 Rp - Rp 3,553.00 Rp -
23 Metoklopramid tab 10 mg tablet 2550 Rp 87.00 Rp 221,850.00 0 Rp 87.00 Rp - 2550 Rp 87.00 Rp 221,850.00 Rp 87.00 Rp -
24 Miconazol 2% krim (Nitrat) tube 12 Rp 4,097.00 Rp 49,164.00 0 Rp 4,097.00 Rp - 12 Rp 4,097.00 Rp 49,164.00 Rp 4,097.00 Rp -
25 Natrium Diklofenak 50 mg tablet Rp 146.00 Rp - 0 Rp 146.00 Rp - 0 Rp 146.00 Rp - Rp 146.00 Rp -
26 Natrium Klorida (NaCl) lar inf 0,9% - 500 ml botol 220 Rp 6,410.00 Rp 1,410,200.00 140 Rp 6,410.00 Rp 897,400.00 146 Rp 6,410.00 Rp 935,860.00 214 Rp 6,410.00 Rp 1,371,740.00
27 Nistatin tab vaginal 100.000 IU ovula 100 Rp 675.00 Rp 67,500.00 500 Rp 675.00 Rp 337,500.00 100 Rp 675.00 Rp 67,500.00 500 Rp 675.00 Rp 337,500.00
28 Oksitosin inj 10 IU/ml - 1 ml ampul Rp 1,287.00 Rp - 15 Rp 1,287.00 Rp 19,305.00 15 Rp 1,287.00 Rp 19,305.00 Rp 1,287.00 Rp -
29 Omeprazole kaps 20 mg kapsul Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - Rp 143.00 Rp -
30 Pirantel Pamoat tab 125 mg tablet 200 Rp 346.00 Rp 69,200.00 0 Rp 346.00 Rp - 200 Rp 346.00 Rp 69,200.00 Rp 346.00 Rp -
31 Piridoksin (Vitamin B6) tab 10 mg tablet Rp 148.00 Rp - 4000 Rp 148.00 Rp 592,000.00 1550 Rp 148.00 Rp 229,400.00 2450 Rp 148.00 Rp 362,600.00
34 Prednison tab 5 mg tablet Rp 74.00 Rp - 0 Rp 74.00 Rp - 0 Rp 74.00 Rp - Rp 74.00 Rp -
35 Salbutamol tab 4 mg tablet Rp 81.00 Rp - 0 Rp 81.00 Rp - 0 Rp 81.00 Rp - Rp 81.00 Rp -
36 Salep 24 Kombinasi pot 16 Rp 3,143.00 Rp 50,288.00 0 Rp 3,143.00 Rp - 16 Rp 3,143.00 Rp 50,288.00 Rp 3,143.00 Rp -
37 Siprofloksasin tab 500 mg tablet 500 Rp 292.00 Rp 146,000.00 0 Rp 292.00 Rp - 500 Rp 292.00 Rp 146,000.00 Rp 292.00 Rp -
38 Tetrasiklin kaps 500 mg kapsul Rp 324.00 Rp - 3500 Rp 324.00 Rp 1,134,000.00 500 Rp 324.00 Rp 162,000.00 3000 Rp 324.00 Rp 972,000.00
40 Vitamin B Kompleks tablet 420 Rp 141.00 Rp 59,220.00 0 Rp 141.00 Rp - 420 Rp 141.00 Rp 59,220.00 Rp 141.00 Rp -
OBAT P. 2019
1 Acetyl Cystein kaps 200 mg kapsul Rp 460.00 Rp - 0 Rp 460.00 Rp - 0 Rp 460.00 Rp - Rp 460.00 Rp -
2 Air Untuk Injeksi 25 ml ampul 12 Rp 2,860.00 Rp 34,320.00 6 Rp 2,860.00 Rp 17,160.00 18 Rp 2,860.00 Rp 51,480.00 Rp 2,860.00 Rp -
3 Allopurinol tab 100 mg tablet 2180 Rp 102.00 Rp 222,360.00 400 Rp 102.00 Rp 40,800.00 2580 Rp 102.00 Rp 263,160.00 Rp 102.00 Rp -
4 Albendazol tab 400 mg tablet 200 Rp 484.00 Rp 96,800.00 0 Rp 484.00 Rp - 0 Rp 484.00 Rp - 200 Rp 484.00 Rp 96,800.00
5 Alkohol 70% 1000 ml botol Rp 85,124.00 Rp - 0 Rp 85,124.00 Rp - 0 Rp 85,124.00 Rp - Rp 85,124.00 Rp -
6 Aminophillin tab 200 mg tablet Rp 86.00 Rp - 0 Rp 86.00 Rp - 0 Rp 86.00 Rp - Rp 86.00 Rp -
7 Aminophillin inj. 24 mg/ml ampul Rp 4,204.00 Rp - 0 Rp 4,204.00 Rp - 0 Rp 4,204.00 Rp - Rp 4,204.00 Rp -
8 Amlodipin tab 5 mg tablet 495 Rp 78.00 Rp 38,610.00 1200 Rp 78.00 Rp 93,600.00 1695 Rp 78.00 Rp 132,210.00 Rp 78.00 Rp -
9 Amlodipin tab 10 mg tablet Rp 99.00 Rp - 600 Rp 99.00 Rp 59,400.00 600 Rp 99.00 Rp 59,400.00 Rp 99.00 Rp -
10 Amoxicillin tab 500 mg tablet Rp 248.00 Rp - 2300 Rp 248.00 Rp 570,400.00 2300 Rp 248.00 Rp 570,400.00 Rp 248.00 Rp -
13 Antifungi DOEN kombinasi 30 g pot Rp 5,757.00 Rp - 36 Rp 5,757.00 Rp 207,252.00 0 Rp 5,757.00 Rp - 36 Rp 5,757.00 Rp 207,252.00
14 Antihemoroid DOEN suppo supp Rp 3,800.00 Rp - 30 Rp 3,800.00 Rp 114,000.00 22 Rp 3,800.00 Rp 83,600.00 8 Rp 3,800.00 Rp 30,400.00
15 Asam Ascorbat (Vitamin C) tab 50 mg tablet Rp 126.00 Rp - 1000 Rp 126.00 Rp 126,000.00 150 Rp 126.00 Rp 18,900.00 850 Rp 126.00 Rp 107,100.00
16 Asam Folat tab 1 mg tablet Rp 90.00 Rp - 700 Rp 90.00 Rp 63,000.00 0 Rp 90.00 Rp - 700 Rp 90.00 Rp 63,000.00
17 Asiklovir tab 400 mg tablet Rp 440.00 Rp - 0 Rp 440.00 Rp - 0 Rp 440.00 Rp - Rp 440.00 Rp -
18 Atropin Sulfat inj 0,25 mg/ml ampul Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp - 0 Rp 1,540.00 Rp - Rp 1,540.00 Rp -
19 Betametason Dipropionate 0,05% tube Rp 3,350.00 Rp - 75 Rp 3,350.00 Rp 251,250.00 75 Rp 3,350.00 Rp 251,250.00 Rp 3,350.00 Rp -
21 DHP Fermal Kombinasi Dihidroartemisin 40 mg + Piperaquin 320 mg tablet Rp 2,116.00 Rp - 0 Rp 2,116.00 Rp - 0 Rp 2,116.00 Rp - Rp 2,116.00 Rp -
22 Diazepam tab 2 mg tablet Rp 86.00 Rp - 0 Rp 86.00 Rp - 0 Rp 86.00 Rp - Rp 86.00 Rp -
23 Diazepam inj 5 mg/ml ampul Rp 2,010.00 Rp - 0 Rp 2,010.00 Rp - 0 Rp 2,010.00 Rp - Rp 2,010.00 Rp -
24 Digoksin tab 0,25 mg tablet Rp 104.00 Rp - 100 Rp 104.00 Rp 10,400.00 0 Rp 104.00 Rp - 100 Rp 104.00 Rp 10,400.00
25 Doksisiklin kaps 100 mg kapsul Rp 280.00 Rp - 0 Rp 280.00 Rp - 0 Rp 280.00 Rp - Rp 280.00 Rp -
26 Eritromisin kaps 250 mg kapsul Rp 711.00 Rp - 700 Rp 711.00 Rp 497,700.00 550 Rp 711.00 Rp 391,050.00 150 Rp 711.00 Rp 106,650.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
27 Fenobarbital tab 30 mg tablet Rp 205.00 Rp - 0 Rp 205.00 Rp - 0 Rp 205.00 Rp - Rp 205.00 Rp -
28 Fitomenadion (Vitamin K1) tab salut 10 mg tab salut 400 Rp 855.00 Rp 342,000.00 0 Rp 855.00 Rp - 100 Rp 855.00 Rp 85,500.00 300 Rp 855.00 Rp 256,500.00
29 Fitomenadion (Vitamin K1) inj 2 mg/ml ampul Rp 4,420.00 Rp - 60 Rp 4,420.00 Rp 265,200.00 60 Rp 4,420.00 Rp 265,200.00 Rp 4,420.00 Rp -
30 Furosemid tab 40 mg tablet 800 Rp 82.00 Rp 65,600.00 5800 Rp 82.00 Rp 475,600.00 0 Rp 82.00 Rp - 6600 Rp 82.00 Rp 541,200.00
31 Furosemide inj 10 mg/ml ampul Rp 1,555.00 Rp - 0 Rp 1,555.00 Rp - 0 Rp 1,555.00 Rp - Rp 1,555.00 Rp -
32 Gentamicin salep mata 0,3% tube Rp 3,210.00 Rp - 0 Rp 3,210.00 Rp - 0 Rp 3,210.00 Rp - Rp 3,210.00 Rp -
33 Glibenklamid tab 5 mg tablet 550 Rp 143.00 Rp 78,650.00 0 Rp 143.00 Rp - 550 Rp 143.00 Rp 78,650.00 Rp 143.00 Rp -
36 Hidrogen Peroksida (Onemed) 3% botol Rp 3,800.00 Rp - 0 Rp 3,800.00 Rp - 0 Rp 3,800.00 Rp - Rp 3,800.00 Rp -
37 Hydrokortison krim 2,5 % - 5 g tube Rp 2,648.00 Rp - 0 Rp 2,648.00 Rp - 0 Rp 2,648.00 Rp - Rp 2,648.00 Rp -
38 Ibuprofen sir 200 mg/5 ml botol Rp 5,509.00 Rp - 60 Rp 5,509.00 Rp 330,540.00 60 Rp 5,509.00 Rp 330,540.00 Rp 5,509.00 Rp -
39 Kalsium Glukonat inj 10% ampul Rp 5,362.50 Rp - 0 Rp 5,362.50 Rp - 0 Rp 5,362.50 Rp - Rp 5,362.50 Rp -
40 Kalsium Laktat (Kalk) tab 500 mg tablet 9920 Rp 60.00 Rp 595,200.00 0 Rp 60.00 Rp - 7220 Rp 60.00 Rp 433,200.00 2700 Rp 60.00 Rp 162,000.00
41 Kaptopril tab 12,5 mg tablet 2660 Rp 68.00 Rp 180,880.00 0 Rp 68.00 Rp - 2660 Rp 68.00 Rp 180,880.00 Rp 68.00 Rp -
42 Ketokonazole krim 2% - 15 g tube 39 Rp 2,694.00 Rp 105,066.00 0 Rp 2,694.00 Rp - 39 Rp 2,694.00 Rp 105,066.00 Rp 2,694.00 Rp -
43 Ketokonazole tab 200 mg tablet 100 Rp 317.00 Rp 31,700.00 0 Rp 317.00 Rp - 100 Rp 317.00 Rp 31,700.00 Rp 317.00 Rp -
44 Klorfeniramin Maleat (CTM) tab 4 mg tablet Rp 27.00 Rp - 0 Rp 27.00 Rp - 0 Rp 27.00 Rp - Rp 27.00 Rp -
45 Kombinasi Ergotamin 1 mg + Kofein 50 mg tablet Rp 208.00 Rp - 0 Rp 208.00 Rp - 0 Rp 208.00 Rp - Rp 208.00 Rp -
46 Kotrimoxazol tab 480 mg (dewasa) tablet Rp 129.00 Rp - 4000 Rp 129.00 Rp 516,000.00 2800 Rp 129.00 Rp 361,200.00 1200 Rp 129.00 Rp 154,800.00
47 Kotrimoxazol tab 240 mg sir (anak) botol Rp 2,115.00 Rp - 250 Rp 2,115.00 Rp 528,750.00 89 Rp 2,115.00 Rp 188,235.00 161 Rp 2,115.00 Rp 340,515.00
48 Kotrimoxazol susp 60 ml botol Rp 2,257.00 Rp - 50 Rp 2,257.00 Rp 112,850.00 0 Rp 2,257.00 Rp - 50 Rp 2,257.00 Rp 112,850.00
49 KA-EN 3B Larutan mengandung Elektrolit (KA-EN 3B) botol Rp 11,314.00 Rp - 0 Rp 11,314.00 Rp - 0 Rp 11,314.00 Rp - Rp 11,314.00 Rp -
50 Lidokain inj 2% (infiltr/p.v.) ampul 30 Rp 1,375.00 Rp 41,250.00 170 Rp 1,375.00 Rp 233,750.00 200 Rp 1,375.00 Rp 275,000.00 Rp 1,375.00 Rp -
51 Lidokain inj 2%+Epinefrin 1 : 80.000 inj 2 ml ampul 30 Rp 1,380.00 Rp 41,400.00 30 Rp 1,380.00 Rp 41,400.00 60 Rp 1,380.00 Rp 82,800.00 Rp 1,380.00 Rp -
52 Lidokain spray oral 10% botol Rp 156,200.00 Rp - 0 Rp 156,200.00 Rp - 0 Rp 156,200.00 Rp - Rp 156,200.00 Rp -
53 Loratadin tab 10 mg tablet 750 Rp 150.00 Rp 112,500.00 0 Rp 150.00 Rp - 750 Rp 150.00 Rp 112,500.00 Rp 150.00 Rp -
54 Metformin tab 500 mg tablet Rp 110.00 Rp - 1500 Rp 110.00 Rp 165,000.00 1230 Rp 110.00 Rp 135,300.00 270 Rp 110.00 Rp 29,700.00
55 Metilergometrin Maleat tab 0.125 mg tablet 200 Rp 271.00 Rp 54,200.00 0 Rp 271.00 Rp - 200 Rp 271.00 Rp 54,200.00 Rp 271.00 Rp -
56 Metilergometrin Maleat inj 0.200 mg - 1 ml ampul 10 Rp 3,553.00 Rp 35,530.00 0 Rp 3,553.00 Rp - 10 Rp 3,553.00 Rp 35,530.00 Rp 3,553.00 Rp -
57 Metoklopramid tab 5 mg tablet 1000 Rp 129.00 Rp 129,000.00 0 Rp 129.00 Rp - 0 Rp 129.00 Rp - 1000 Rp 129.00 Rp 129,000.00
58 Miconazole krim 2% tube Rp 4,097.00 Rp - 15 Rp 4,097.00 Rp 61,455.00 15 Rp 4,097.00 Rp 61,455.00 Rp 4,097.00 Rp -
59 Natrium Diklofenak tab 25 mg tablet 510 Rp 154.00 Rp 78,540.00 2500 Rp 154.00 Rp 385,000.00 3010 Rp 154.00 Rp 463,540.00 Rp 154.00 Rp -
60 Natrium Diklofenak tab 50 mg tablet Rp 146.00 Rp - 0 Rp 146.00 Rp - 0 Rp 146.00 Rp - Rp 146.00 Rp -
61 Nistatin tab vaginal 100.000 IU ovula Rp 675.00 Rp - 0 Rp 675.00 Rp - 0 Rp 675.00 Rp - Rp 675.00 Rp -
62 Nistatin tab vaginal 500.000 IU tablet 300 Rp 950.00 Rp 285,000.00 0 Rp 950.00 Rp - 0 Rp 950.00 Rp - 300 Rp 950.00 Rp 285,000.00
63 Oksitetrasiklin HCl salep mata 1% - 3,5 g tube Rp 2,600.00 Rp - 50 Rp 2,600.00 Rp 130,000.00 50 Rp 2,600.00 Rp 130,000.00 Rp 2,600.00 Rp -
64 Oksitosin inj 10 IU/ml - 1 ml ampul Rp 1,287.00 Rp - 0 Rp 1,287.00 Rp - 0 Rp 1,287.00 Rp - Rp 1,287.00 Rp -
65 Omeprazol kaps 20 mg kapsul 215 Rp 153.00 Rp 32,895.00 0 Rp 153.00 Rp - 215 Rp 153.00 Rp 32,895.00 Rp 153.00 Rp -
66 Paracetamol drops 100 mg/mL botol 44 Rp 7,979.00 Rp 351,076.00 168 Rp 7,979.00 Rp 1,340,472.00 212 Rp 7,979.00 Rp 1,691,548.00 Rp 7,979.00 Rp -
67 Pirantel Pamoat sir 125 mg/5 ml - 60ml botol 13 Rp 11,600.00 Rp 150,800.00 0 Rp 11,600.00 Rp - 13 Rp 11,600.00 Rp 150,800.00 Rp 11,600.00 Rp -
68 Povidone Iodine (Onemed) 30 ml botol Rp 3,480.00 Rp - 20 Rp 3,480.00 Rp 69,600.00 0 Rp 3,480.00 Rp - 20 Rp 3,480.00 Rp 69,600.00
69 Povidone Iodine (Onemed) 60 ml botol Rp 4,440.00 Rp - 0 Rp 4,440.00 Rp - 0 Rp 4,440.00 Rp - Rp 4,440.00 Rp -
70 Prednison tab 5 mg tablet Rp 79.00 Rp - 3000 Rp 79.00 Rp 237,000.00 3000 Rp 79.00 Rp 237,000.00 Rp 79.00 Rp -
71 Retinol (Vit A) softcap 100.000 IU softcap Rp 346.00 Rp - 500 Rp 346.00 Rp 173,000.00 500 Rp 346.00 Rp 173,000.00 Rp 346.00 Rp -
72 Retinol (Vit A) softcap 200.000 IU softcap Rp 622.00 Rp - 1000 Rp 622.00 Rp 622,000.00 250 Rp 622.00 Rp 155,500.00 750 Rp 622.00 Rp 466,500.00
73 Ringer Laktat lar inf steril 500 ml botol Rp 7,150.00 Rp - 80 Rp 7,150.00 Rp 572,000.00 80 Rp 7,150.00 Rp 572,000.00 Rp 7,150.00 Rp -
74 Rivanol 100 ml botol Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - Rp 6,000.00 Rp -
75 Salep 2-4 kombinasi Asam Salisilat 2% + Belerang Endap 4% pot Rp 3,143.00 Rp - 0 Rp 3,143.00 Rp - 0 Rp 3,143.00 Rp - Rp 3,143.00 Rp -
76 Simvastatin tab 10 mg tablet 570 Rp 117.00 Rp 66,690.00 840 Rp 117.00 Rp 98,280.00 1410 Rp 117.00 Rp 164,970.00 Rp 117.00 Rp -
77 Simvastatin tab 20 mg tablet Rp 235.00 Rp - 2000 Rp 235.00 Rp 470,000.00 2000 Rp 235.00 Rp 470,000.00 Rp 235.00 Rp -
78 Tablet tambah darah kombinasi Ferro Sulfat 200 mg + As.Folat 0,25 mg tablet 14470 Rp 427.00 Rp 6,178,690.00 44800 Rp 427.00 Rp 19,129,600.00 59270 Rp 427.00 Rp 25,308,290.00 Rp 427.00 Rp -
80 ZincPro Zinc sir 10 mg/ml botol Rp 38,054.00 Rp - 0 Rp 38,054.00 Rp - 0 Rp 38,054.00 Rp - Rp 38,054.00 Rp -
81 Zinc Sulfat sir 20 mg/5 ml botol 4 Rp 3,449.00 Rp 13,796.00 30 Rp 3,449.00 Rp 103,470.00 34 Rp 3,449.00 Rp 117,266.00 Rp 3,449.00 Rp -
82 Zinc dispersible tab 20 mg tablet 230 Rp 631.00 Rp 145,130.00 0 Rp 631.00 Rp - 230 Rp 631.00 Rp 145,130.00 Rp 631.00 Rp -
83 Bufacetin (Kloramfenikol) salep kulit tube 21 Rp 3,645.00 Rp 76,545.00 24 Rp 3,645.00 Rp 87,480.00 21 Rp 3,645.00 Rp 76,545.00 24 Rp 3,645.00 Rp 87,480.00
84 Combivent UDV Ipratropium Bromide Monohidrate vial Rp 4,550.00 Rp - 0 Rp 4,550.00 Rp - 0 Rp 4,550.00 Rp - Rp 4,550.00 Rp -
85 Dulcolax (Bisakodil) supp 5 mg supp 33 Rp 6,000.00 Rp 198,000.00 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 33 Rp 6,000.00 Rp 198,000.00
86 Dulcolax (Bisakodil) supp 10 mg supp 23 Rp 5,900.00 Rp 135,700.00 0 Rp 5,900.00 Rp - 11 Rp 5,900.00 Rp 64,900.00 12 Rp 5,900.00 Rp 70,800.00
87 Harmida (Glibenklamid 2,5 mg) tablet 500 Rp 216.00 Rp 108,000.00 400 Rp 216.00 Rp 86,400.00 700 Rp 216.00 Rp 151,200.00 200 Rp 216.00 Rp 43,200.00
88 Pantrin (Pirantel Pamoate) tab 250 mg tablet Rp 1,200.00 Rp - 200 Rp 1,200.00 Rp 240,000.00 0 Rp 1,200.00 Rp - 200 Rp 1,200.00 Rp 240,000.00
BMHP (BAHAN MEDIS HABIS PAKAI)

BMHP P. 2015 - 2017
1 Alat Suntik 5 ml pcs Rp 1,248.23 Rp - 10 Rp 1,248.23 Rp 12,482.30 10 Rp 1,248.23 Rp 12,482.30 Rp 1,248.23 Rp -
2 Alat Suntik 10 ml pcs Rp 1,694.00 Rp - 0 Rp 1,694.00 Rp - 0 Rp 1,694.00 Rp - Rp 1,694.00 Rp -
4 Alcohol Swab box Rp 11,500.00 Rp - 0 Rp 11,500.00 Rp - 0 Rp 11,500.00 Rp - Rp 11,500.00 Rp -
5 Autocheck Cholesterol Test btl 10 strip test/strip Rp 58,850.00 Rp - 0 Rp 58,850.00 Rp - 0 Rp 58,850.00 Rp - Rp 58,850.00 Rp -
6 Autocheck Glukosa Test btl 25 strip test/strip Rp 34,237.50 Rp - 0 Rp 34,237.50 Rp - 0 Rp 34,237.50 Rp - Rp 34,237.50 Rp -
7 Autocheck Uric Acid Test btl 25 strip test/strip Rp 44,550.00 Rp - 0 Rp 44,550.00 Rp - 0 Rp 44,550.00 Rp - Rp 44,550.00 Rp -
8 Benang Bedah 2/0 (Chromic Catgut) pcs Rp 2,708.33 Rp - 0 Rp 2,708.33 Rp - 0 Rp 2,708.33 Rp - Rp 2,708.33 Rp -
9 Benang Bedah 3/0 (Chromic Catgut) pcs Rp 2,708.33 Rp - 0 Rp 2,708.33 Rp - 0 Rp 2,708.33 Rp - Rp 2,708.33 Rp -
10 Catheter (Folley Cathteter) No. 10 pcs Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - Rp 13,750.00 Rp -
11 Catheter (Folley Cathteter) No. 12 pcs Rp 13,750.00 Rp - 30 Rp 13,750.00 Rp 412,500.00 20 Rp 13,750.00 Rp 275,000.00 10 Rp 13,750.00 Rp 137,500.00
12 Catheter (Folley Cathteter) No. 14 pcs 60 Rp 13,750.00 Rp 825,000.00 30 Rp 13,750.00 Rp 412,500.00 10 Rp 13,750.00 Rp 137,500.00 80 Rp 13,750.00 Rp 1,100,000.00
13 Catheter (Folley Cathteter) No. 16 pcs 18 Rp 13,750.00 Rp 247,500.00 20 Rp 13,750.00 Rp 275,000.00 10 Rp 13,750.00 Rp 137,500.00 28 Rp 13,750.00 Rp 385,000.00
14 Catheter (Folley Cathteter) No. 18 pcs 50 Rp 13,750.00 Rp 687,500.00 10 Rp 13,750.00 Rp 137,500.00 0 Rp 13,750.00 Rp - 60 Rp 13,750.00 Rp 825,000.00
15 Catheter/Folley Cath (Aximed) 2 - Way No. 14 pcs Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - Rp 13,750.00 Rp -
16 Catheter/Folley Cateter (Urocare) 2 Way No. 14 pcs Rp 92,000.00 Rp - 0 Rp 92,000.00 Rp - 0 Rp 92,000.00 Rp - Rp 92,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
17 Copper T set 6 Rp 124,300.00 Rp 745,800.00 5 Rp 124,300.00 Rp 621,500.00 2 Rp 124,300.00 Rp 248,600.00 9 Rp 124,300.00 Rp 1,118,700.00
18 Elastice Perband 3 inch/Tensocrape BSN roll Rp 96,000.00 Rp - 0 Rp 96,000.00 Rp - 0 Rp 96,000.00 Rp - Rp 96,000.00 Rp -
19 Elastice Perband 6 inci/Tensocrape BSN roll Rp 86,680.00 Rp - 4 Rp 86,680.00 Rp 346,720.00 1 Rp 86,680.00 Rp 86,680.00 3 Rp 86,680.00 Rp 260,040.00
20 Feeding Tube 8 FR 40 cm pcs Rp 8,804.40 Rp - 0 Rp 8,804.40 Rp - 0 Rp 8,804.40 Rp - Rp 8,804.40 Rp -
21 Feeding Tube (Aximed) 40 cm No. 6 pcs Rp 9,212.50 Rp - 0 Rp 9,212.50 Rp - 0 Rp 9,212.50 Rp - Rp 9,212.50 Rp -
23 Feeding Tube (Aximed) 40 cm No. 10 pcs 10 Rp 9,212.50 Rp 92,125.00 0 Rp 9,212.50 Rp - 10 Rp 9,212.50 Rp 92,125.00 Rp 9,212.50 Rp -
24 Hand Schoen No. 7,5 pcs Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - Rp 9,500.00 Rp -
25 Hand Schoen No. 8 set Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - Rp 9,500.00 Rp -
26 Hand Schoen (Chirurgic Gloves No. 6,5) set Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - Rp 9,500.00 Rp -
27 Hand Schoen (Aximed Exam Gloves size S) pcs Rp 57,750.00 Rp - 9 Rp 57,750.00 Rp 519,750.00 9 Rp 57,750.00 Rp 519,750.00 Rp 57,750.00 Rp -
28 Hand Schoen (Aximed Exam Gloves size M) pcs 2 Rp 57,750.00 Rp 115,500.00 9 Rp 57,750.00 Rp 519,750.00 11 Rp 57,750.00 Rp 635,250.00 Rp 57,750.00 Rp -
29 Hypafix 5 cm x 1 m roll Rp 17,610.00 Rp - 5 Rp 17,610.00 Rp 88,050.00 1 Rp 17,610.00 Rp 17,610.00 4 Rp 17,610.00 Rp 70,440.00
30 Hypafix 5 cm x 5 m roll Rp 92,000.00 Rp - 5 Rp 92,000.00 Rp 460,000.00 3 Rp 92,000.00 Rp 276,000.00 2 Rp 92,000.00 Rp 184,000.00
32 Infusion Set Dewasa set 62 Rp 6,343.00 Rp 393,266.00 0 Rp 6,343.00 Rp - 62 Rp 6,343.00 Rp 393,266.00 Rp 6,343.00 Rp -
33 IV Catheter No. 18 pcs Rp 8,948.00 Rp - 0 Rp 8,948.00 Rp - 0 Rp 8,948.00 Rp - Rp 8,948.00 Rp -
34 IV Catheter (Nipro IV Catheter No. 18 G x 1-1/4") pcs Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - Rp 8,947.95 Rp -
35 IV Catheter (Nipro IV Catheter No. 18 G x 2") pcs 90 Rp 8,974.95 Rp 807,745.50 100 Rp 8,974.95 Rp 897,495.00 90 Rp 8,974.95 Rp 807,745.50 100 Rp 8,974.95 Rp 897,495.00
36 IV Catheter (Nipro IV Catheter No. 20 G x 1") pcs Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - Rp 8,947.95 Rp -
37 IV Catheter (Nipro IV Catheter No. 20 G x 1-1/4") pcs Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - Rp 8,947.95 Rp -
40 Infuset Nipro "Y" set Rp 6,343.00 Rp - 90 Rp 6,343.00 Rp 570,870.00 90 Rp 6,343.00 Rp 570,870.00 Rp 6,343.00 Rp -
41 Jarum Jahit 1/2 Surgical lusin Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00 1 Rp 27,875.00 Rp 27,875.00 9 Rp 27,875.00 Rp 250,875.00
42 Jarum Jahit 3/8 Surgical lusin Rp 27,875.00 Rp - 10 Rp 27,875.00 Rp 278,750.00 1 Rp 27,875.00 Rp 27,875.00 9 Rp 27,875.00 Rp 250,875.00
43 Kapas Pembalut 250 g roll Rp 22,000.00 Rp - 5 Rp 22,000.00 Rp 110,000.00 5 Rp 22,000.00 Rp 110,000.00 Rp 22,000.00 Rp -
44 Kapas Pembalut 500 g roll 1 Rp 35,000.00 Rp 35,000.00 0 Rp 35,000.00 Rp - 1 Rp 35,000.00 Rp 35,000.00 Rp 35,000.00 Rp -
45 Kasa Hydrofil 36 m x 80 cm roll Rp 282,750.00 Rp - 0 Rp 282,750.00 Rp - 0 Rp 282,750.00 Rp - Rp 282,750.00 Rp -
46 Kasa Hydrofil 40 m x 80 cm roll 12 Rp 120,750.00 Rp 1,449,000.00 5 Rp 120,750.00 Rp 603,750.00 17 Rp 120,750.00 Rp 2,052,750.00 Rp 120,750.00 Rp -
47 Kasa Hydrofil 2 m x 80 cm roll Rp 8,855.00 Rp - 0 Rp 8,855.00 Rp - 0 Rp 8,855.00 Rp - Rp 8,855.00 Rp -
48 Kasa Hydrofil Steril 16 x 16 roll Rp 9,200.00 Rp - 60 Rp 9,200.00 Rp 552,000.00 58 Rp 9,200.00 Rp 533,600.00 2 Rp 9,200.00 Rp 18,400.00
49 Kasa Pembalut 4 m x 10 cm roll Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp - Rp 1,725.00 Rp -
50 Kasa Pembalut Hydrofil 4 m x 5 cm roll Rp 862.50 Rp - 0 Rp 862.50 Rp - 0 Rp 862.50 Rp - Rp 862.50 Rp -
51 Kasa Pembalut Hydrofil 4 m x 10 cm roll Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp - Rp 1,725.00 Rp -
52 Kasa Pembalut Hydrofil 4 m x 15 cm roll Rp 2,415.00 Rp - 0 Rp 2,415.00 Rp - 0 Rp 2,415.00 Rp - Rp 2,415.00 Rp -
53 Kasa Steril 16 cm x 16 cm box 10 Rp 6,743.00 Rp 67,430.00 0 Rp 6,743.00 Rp - 10 Rp 6,743.00 Rp 67,430.00 Rp 6,743.00 Rp -
54 Kasa Steril 10 cm x 10 cm 8 fly 1 x 10 s box Rp 10,845.30 Rp - 0 Rp 10,845.30 Rp - 0 Rp 10,845.30 Rp - Rp 10,845.30 Rp -
55 Kasa Steril 18 cm x 22 cm box Rp 8,625.00 Rp - 55 Rp 8,625.00 Rp 474,375.00 49 Rp 8,625.00 Rp 422,625.00 6 Rp 8,625.00 Rp 51,750.00
56 Masker Ear Loop box 61 Rp 18,975.00 Rp 1,157,475.00 0 Rp 18,975.00 Rp - 61 Rp 18,975.00 Rp 1,157,475.00 Rp 18,975.00 Rp -
57 Mata Pisau Bedah No. 10 pcs Rp 6,561.00 Rp - 0 Rp 6,561.00 Rp - 0 Rp 6,561.00 Rp - Rp 6,561.00 Rp -
61 Medical Regulator pcs 1 Rp 487,500.00 Rp 487,500.00 0 Rp 487,500.00 Rp - 1 Rp 487,500.00 Rp 487,500.00 Rp 487,500.00 Rp -
62 Nasal Oksigen (Aximed) size L pcs Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - Rp 8,250.00 Rp -
63 Nasal Oksigen (Aximed) size M pcs Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - Rp 8,250.00 Rp -
64 Nasal Oksigen (Aximed) size S pcs Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - Rp 8,250.00 Rp -
65 Onejack Autodisable Syringe 0,005 ml pcs Rp 3,795.00 Rp - 300 Rp 3,795.00 Rp 1,138,500.00 0 Rp 3,795.00 Rp - 300 Rp 3,795.00 Rp 1,138,500.00
66 Paper Tape 2,5 cm x 9,14 m roll Rp 131,300.00 Rp - 0 Rp 131,300.00 Rp - 0 Rp 131,300.00 Rp - Rp 131,300.00 Rp -
67 Plester 5 yard x 2 inci roll Rp 44,300.00 Rp - 0 Rp 44,300.00 Rp - 0 Rp 44,300.00 Rp - Rp 44,300.00 Rp -
68 Plester 7,5 cm x 4,5 m roll Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - Rp 65,000.00 Rp -
69 Plesterin Non Woven Roll 5 cm x 5 cm roll Rp 27,324.00 Rp - 0 Rp 27,324.00 Rp - 0 Rp 27,324.00 Rp - Rp 27,324.00 Rp -
72 Selang Oksigen pcs Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - Rp 8,250.00 Rp -
73 Surgical Mask earloop 3 fly box Rp 18,975.00 Rp - 0 Rp 18,975.00 Rp - 0 Rp 18,975.00 Rp - Rp 18,975.00 Rp -
74 Syringe (Nipro) 3 cc pcs Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp - Rp 1,009.80 Rp -
75 Syringe (Nipro) 5 cc pcs 96 Rp 1,248.23 Rp 119,830.08 0 Rp 1,248.23 Rp - 96 Rp 1,248.23 Rp 119,830.08 Rp 1,248.23 Rp -
76 Syringe (Nipro) 10 cc pcs 6 Rp 1,654.95 Rp 9,929.70 30 Rp 1,654.95 Rp 49,648.50 36 Rp 1,654.95 Rp 59,578.20 Rp 1,654.95 Rp -
77 Test Kehamilan pcs 115 Rp 2,365.00 Rp 271,975.00 0 Rp 2,365.00 Rp - 115 Rp 2,365.00 Rp 271,975.00 Rp 2,365.00 Rp -
78 Tullegrass (Cutical Classic) 5 cm x 5 cm pcs Rp 17,150.00 Rp - 0 Rp 17,150.00 Rp - 0 Rp 17,150.00 Rp - Rp 17,150.00 Rp -
BMHP P. 2018
1 Alcohol Swab box 29 Rp 11,500.00 Rp 333,500.00 113 Rp 11,500.00 Rp 1,299,500.00 142 Rp 11,500.00 Rp 1,633,000.00 Rp 11,500.00 Rp -
3 Feeding Tube (Aximed) 40 cm No. 8 pcs 24 Rp 8,804.40 Rp 211,305.60 0 Rp 8,804.40 Rp - 0 Rp 8,804.40 Rp - 24 Rp 8,804.40 Rp 211,305.60
5 Folley Catheter (Aximed Folley Cath 2 Way No. 14) pcs Rp 12,100.00 Rp - 0 Rp 12,100.00 Rp - 0 Rp 12,100.00 Rp - Rp 12,100.00 Rp -
7 Kasa Hydrofil 40 cm x 80 cm roll Rp 120,750.00 Rp - 10 Rp 120,750.00 Rp 1,207,500.00 0 Rp 120,750.00 Rp - 10 Rp 120,750.00 Rp 1,207,500.00
8 Kasa Hydrofil Steril 16 x 16 bungkus Rp 9,200.00 Rp - 0 Rp 9,200.00 Rp - 0 Rp 9,200.00 Rp - Rp 9,200.00 Rp -
9 Kasa Hydrofil Steril 18 cm x 22 cm roll Rp 8,625.00 Rp - 0 Rp 8,625.00 Rp - 0 Rp 8,625.00 Rp - Rp 8,625.00 Rp -
10 Kasa Pembalut 2 m x 80 cm roll 45 Rp 8,855.00 Rp 398,475.00 0 Rp 8,855.00 Rp - 22 Rp 8,855.00 Rp 194,810.00 23 Rp 8,855.00 Rp 203,665.00
11 Kasa Pembalut Hydrofil 4 m x 5 cm roll 8 Rp 862.50 Rp 6,900.00 50 Rp 862.50 Rp 43,125.00 38 Rp 862.50 Rp 32,775.00 20 Rp 862.50 Rp 17,250.00
14 Kasa Steril 10 x 10 cm 8 fly, 1 x 10 s kotak Rp 10,845.30 Rp - 50 Rp 10,845.30 Rp 542,265.00 50 Rp 10,845.30 Rp 542,265.00 Rp 10,845.30 Rp -
15 Kasa Kompres Steril 40 cm x 40 cm bungkus 53 Rp 1,840.00 Rp 97,520.00 0 Rp 1,840.00 Rp - 42 Rp 1,840.00 Rp 77,280.00 11 Rp 1,840.00 Rp 20,240.00
16 Plesterin Non Woven Roll 5 cm x 5 cm roll 10 Rp 27,324.00 Rp 273,240.00 58 Rp 27,324.00 Rp 1,584,792.00 13 Rp 27,324.00 Rp 355,212.00 55 Rp 27,324.00 Rp 1,502,820.00
17 Plesterin Non Woven Roll 5 cm x 10 cm roll 18 Rp 47,564.00 Rp 856,152.00 34 Rp 47,564.00 Rp 1,617,176.00 16 Rp 47,564.00 Rp 761,024.00 36 Rp 47,564.00 Rp 1,712,304.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
18 Plesterin Non Woven Roll 5 cm x 15 cm roll 25 Rp 79,948.00 Rp 1,998,700.00 31 Rp 79,948.00 Rp 2,478,388.00 30 Rp 79,948.00 Rp 2,398,440.00 26 Rp 79,948.00 Rp 2,078,648.00
19 Surgical Mask Earloop box Rp 18,975.00 Rp - 115 Rp 18,975.00 Rp 2,182,125.00 115 Rp 18,975.00 Rp 2,182,125.00 Rp 18,975.00 Rp -
20 Urine Bag Steril pcs 13 Rp 3,450.00 Rp 44,850.00 30 Rp 3,450.00 Rp 103,500.00 12 Rp 3,450.00 Rp 41,400.00 31 Rp 3,450.00 Rp 106,950.00
BMHP P. 2019
1 Alcohol Swab (Onemed) box Rp 11,500.00 Rp - 15 Rp 11,500.00 Rp 172,500.00 6 Rp 11,500.00 Rp 69,000.00 9 Rp 11,500.00 Rp 103,500.00
2 Anios Dermanios Chlorhexidin 500 ml botol Rp 112,413.60 Rp - 2 Rp 112,413.60 Rp 224,827.20 2 Rp 112,413.60 Rp 224,827.20 Rp 112,413.60 Rp -
3 Disposible Syringe (Onionex) 1 ml Pcs 163 Rp 821.48 Rp 133,901.24 0 Rp 821.48 Rp - 163 Rp 821.48 Rp 133,901.24 Rp 821.48 Rp -
4 Disposible Syringe (Onionex) 1 ml Pcs Rp 821.48 Rp - 300 Rp 821.48 Rp 246,445.20 250 Rp 821.48 Rp 205,371.00 50 Rp 821.48 Rp 41,074.20
5 Disposible Syringe (Onionex) 2,5 ml Pcs 248 Rp 864.72 Rp 214,450.56 300 Rp 864.72 Rp 259,416.00 548 Rp 864.72 Rp 473,866.56 Rp 864.72 Rp -
6 Disposible Syringe (Onionex) 3 ml Pcs 92 Rp 864.72 Rp 79,554.24 0 Rp 864.72 Rp - 92 Rp 864.72 Rp 79,554.24 Rp 864.72 Rp -
7 E.W.G Surgical Gloves 7 Pcs Rp 5,383.38 Rp - 324 Rp 5,383.38 Rp 1,744,215.77 314 Rp 5,383.38 Rp 1,690,381.95 10 Rp 5,383.38 Rp 53,833.82
8 E.W.G Surgical Gloves 7.5 Pcs Rp 5,383.38 Rp - 460 Rp 5,383.38 Rp 2,476,355.72 440 Rp 5,383.38 Rp 2,368,688.08 20 Rp 5,383.38 Rp 107,667.64
9 E.W.G Surgical Gloves 8 Pcs Rp 5,382.88 Rp - 460 Rp 5,382.88 Rp 2,476,125.72 420 Rp 5,382.88 Rp 2,260,810.44 40 Rp 5,382.88 Rp 215,315.28
10 Infusion Set for Pediatric (Onionex) Pcs Rp 3,556.16 Rp - 45 Rp 3,556.16 Rp 160,027.20 45 Rp 3,556.16 Rp 160,027.20 Rp 3,556.16 Rp -
11 Kasa Pembalut Hydrofil (Onemed) 4 yard x 5 cm roll Rp 862.50 Rp - 0 Rp 862.50 Rp - 0 Rp 862.50 Rp - Rp 862.50 Rp -
12 Kasa Pembalut Hydrofil (Onemed) 4 yard x 10 cm roll Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp - 0 Rp 1,725.00 Rp - Rp 1,725.00 Rp -
13 Masker N95 (Onemed) box Rp 7,488.80 Rp - 107 Rp 7,488.80 Rp 801,301.60 67 Rp 7,488.80 Rp 501,749.60 40 Rp 7,488.80 Rp 299,552.00
14 Mf Cath Pro IV Catheter (MF Cath Medifirst) 24G pcs Rp 9,461.25 Rp - 50 Rp 9,461.25 Rp 473,062.47 26 Rp 9,461.25 Rp 245,992.48 24 Rp 9,461.25 Rp 227,069.98
15 Mf Cath Pro IV Catheter (MF Cath Medifirst) 18G pcs Rp 9,461.25 Rp - 10 Rp 9,461.25 Rp 94,612.49 10 Rp 9,461.25 Rp 94,612.49 Rp 9,461.25 Rp -
16 Nasal Oxigen Canula (Cosmomed) pcs Rp 8,004.00 Rp - 5 Rp 8,004.00 Rp 40,020.00 5 Rp 8,004.00 Rp 40,020.00 Rp 8,004.00 Rp -
17 Oxygen Mask Anak (Ekomed) pcs Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp - Rp 10,560.00 Rp -
18 Oxygen Mask Dewasa dan Anak (Ekomed) pcs Rp 10,559.90 Rp - 88 Rp 10,559.90 Rp 929,271.20 63 Rp 10,559.90 Rp 665,273.70 25 Rp 10,559.90 Rp 263,997.50
19 Plesterin Non Woven Roll (Onemed) 5 cm x 5 cm roll Rp 27,324.00 Rp - 0 Rp 27,324.00 Rp - 0 Rp 27,324.00 Rp - Rp 27,324.00 Rp -
20 Plesterin Non Woven Roll (Onemed) 5 cm x 15 cm roll Rp 79,948.00 Rp - 0 Rp 79,948.00 Rp - 0 Rp 79,948.00 Rp - Rp 79,948.00 Rp -
21 Silk 2/0 + Jarum 1/2 GT (Onemed) 35 mm box Rp 3,513.89 Rp - 72 Rp 3,513.89 Rp 253,000.00 37 Rp 3,513.89 Rp 130,013.89 35 Rp 3,513.89 Rp 122,986.11
22 Superlife Nitrille M box Rp 65,780.00 Rp - 0 Rp 65,780.00 Rp - 0 Rp 65,780.00 Rp - Rp 65,780.00 Rp -
23 Superlife Nitrille L box Rp 65,780.00 Rp - 0 Rp 65,780.00 Rp - 0 Rp 65,780.00 Rp - Rp 65,780.00 Rp -
24 Surgical Suture + Needle Silk Black Braided 3/0 75 cm Pcs 119 Rp 4,661.49 Rp 554,717.31 0 Rp 4,661.49 Rp - 76 Rp 4,661.49 Rp 354,273.24 43 Rp 4,661.49 Rp 200,444.07
25 Surgical Suture + Needle Catgut Cromic 2/0 75 cm Pcs 72 Rp 8,960.21 Rp 645,135.13 0 Rp 8,960.21 Rp - 72 Rp 8,960.21 Rp 645,135.13 Rp 8,960.21 Rp -
26 Surgical Suture + Needle Catgut Cromic 2/0 75 cm Pcs Rp 8,960.21 Rp - 144 Rp 8,960.21 Rp 1,290,270.00 88 Rp 8,960.21 Rp 788,498.33 56 Rp 8,960.21 Rp 501,771.67
27 Surgical Suture + Needle Catgut Cromic 3/0 75 cm Pcs 115 Rp 8,960.21 Rp 1,030,424.15 0 Rp 8,960.21 Rp - 97 Rp 8,960.21 Rp 869,140.37 18 Rp 8,960.21 Rp 161,283.78
28 Surgical Suture + Needle Catgut Cromic 3/0 75 cm Pcs Rp 8,960.21 Rp - 48 Rp 8,960.21 Rp 430,090.00 0 Rp 8,960.21 Rp - 48 Rp 8,960.21 Rp 430,090.00
29 Benang Bedah No. 2/0 (Cromic Catgut) PLAIN Pcs Rp 215,045.00 Rp - 1 Rp 215,045.00 Rp 215,045.00 1 Rp 215,045.00 Rp 215,045.00 Rp 215,045.00 Rp -
30 Silk (Benang Bedah Sultra) No. 3/0 Pcs Rp 4,661.49 Rp - 216 Rp 4,661.49 Rp 1,006,882.20 0 Rp 4,661.49 Rp - 216 Rp 4,661.49 Rp 1,006,882.20
BHP/REAGENT LAB. P. 2015 - 2017

1 Larutan Spiritus botol 8 Rp 52,965.00 Rp 423,720.00 2 Rp 52,965.00 Rp 105,930.00 3 Rp 52,965.00 Rp 158,895.00 7 Rp 52,965.00 Rp 370,755.00
OBAT TAMBAHAHAN
1 Amoxicillin sir forte 250 mg/5 ml (.a) botol Rp 3,740.00 Rp - 180 Rp 3,740.00 Rp 673,200.00 180 Rp 3,740.00 Rp 673,200.00 Rp 3,740.00 Rp -
2 Air untuk injeksi (2020) kapsul Rp 2,860.00 Rp - 18 Rp 2,860.00 Rp 51,480.00 2 Rp 2,860.00 Rp 5,720.00 16 Rp 2,860.00 Rp 45,760.00
3 Kloramfenikol salap mata 1% (.a) tube 1 Rp 1,850.00 Rp 1,850.00 0 Rp 1,850.00 Rp - 1 Rp 1,850.00 Rp 1,850.00 Rp 1,850.00 Rp -
4 Ambroxol 30 mg tab (2020) tablet Rp 197.34 Rp - 1200 Rp 197.34 Rp 236,808.00 300 Rp 197.34 Rp 59,202.00 900 Rp 197.34 Rp 177,606.00
5 Amlodipine 10 mg (2020) tablet Rp 106.00 Rp - 600 Rp 106.00 Rp 63,600.00 330 Rp 106.00 Rp 34,980.00 270 Rp 106.00 Rp 28,620.00
6 Amlodipine 5 mg (2020) tablet Rp 83.00 Rp - 600 Rp 83.00 Rp 49,800.00 300 Rp 83.00 Rp 24,900.00 300 Rp 83.00 Rp 24,900.00
7 Allopurinol tab 100 mg (.c) tablet Rp 108.00 Rp - 2500 Rp 108.00 Rp 270,000.00 1550 Rp 108.00 Rp 167,400.00 950 Rp 108.00 Rp 102,600.00
8 Amoxicillin tab 500 mg (.c) tablet Rp 265.00 Rp - 1900 Rp 265.00 Rp 503,500.00 1900 Rp 265.00 Rp 503,500.00 Rp 265.00 Rp -
9 Amoxicillin tab 500 mg (2020) tablet Rp 269.00 Rp - 1500 Rp 269.00 Rp 403,500.00 1320 Rp 269.00 Rp 355,080.00 180 Rp 269.00 Rp 48,420.00
10 Aciclovir tab 200 mg (.c) tablet Rp 236.00 Rp - 1000 Rp 236.00 Rp 236,000.00 100 Rp 236.00 Rp 23,600.00 900 Rp 236.00 Rp 212,400.00
11 Domperidon tab 10 mg (.c) tablet 350 Rp 90.00 Rp 31,500.00 1100 Rp 90.00 Rp 99,000.00 1170 Rp 90.00 Rp 105,300.00 280 Rp 90.00 Rp 25,200.00
12 Bedak salicyl 2% (2020) pot Rp 6,426.20 Rp - 8 Rp 6,426.20 Rp 51,409.60 6 Rp 6,426.20 Rp 38,557.20 2 Rp 6,426.20 Rp 12,852.40
13 Betamethasone krim 0,005 (2020) tube Rp 3,350.00 Rp - 50 Rp 3,350.00 Rp 167,500.00 25 Rp 3,350.00 Rp 83,750.00 25 Rp 3,350.00 Rp 83,750.00
14 katopril 25 mg (2020) tablet Rp 181.12 Rp - 1300 Rp 181.12 Rp 235,449.50 350 Rp 181.12 Rp 63,390.25 950 Rp 181.12 Rp 172,059.25
15 Metilprednisolon tab 4 mg (.c) tablet 670 Rp 143.00 Rp 95,810.00 400 Rp 143.00 Rp 57,200.00 1070 Rp 143.00 Rp 153,010.00 Rp 143.00 Rp -
16 Salbutamol tab 2 mg (.c) tablet Rp 64.00 Rp - 400 Rp 64.00 Rp 25,600.00 400 Rp 64.00 Rp 25,600.00 Rp 64.00 Rp -
17 Dexamethasone 0,5 mg (2020) tablet Rp 136.06 Rp - 1000 Rp 136.06 Rp 136,059.00 50 Rp 136.06 Rp 6,802.95 950 Rp 136.06 Rp 129,256.05
18 Dexamethasone inj 5 mg/ml (2020) ampul Rp 1,278.00 Rp - 20 Rp 1,278.00 Rp 25,560.00 5 Rp 1,278.00 Rp 6,390.00 15 Rp 1,278.00 Rp 19,170.00
19 Glukosa Larutan Infus 5 mg botol Rp 7,363.00 Rp - 20 Rp 7,363.00 Rp 147,260.00 0 Rp 7,363.00 Rp - 20 Rp 7,363.00 Rp 147,260.00
20 Ketokonazole tab 200 mg tablet 1000 Rp 2,694.00 Rp 2,694,000.00 0 Rp 2,694.00 Rp - 800 Rp 2,694.00 Rp 2,155,200.00 200 Rp 2,694.00 Rp 538,800.00
21 Aciclovir salep tube Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - Rp 10,000.00 Rp -
22 Nexa (Asam Traneksamat) tab 500 mg tablet Rp 700.00 Rp - 0 Rp 700.00 Rp - 0 Rp 700.00 Rp - Rp 700.00 Rp -
23 Antidia (Loperamide) tablet Rp 300.00 Rp - 0 Rp 300.00 Rp - 0 Rp 300.00 Rp - Rp 300.00 Rp -
24 Metolon Syr (Metoclorpramide Syr) botol Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - Rp 8,000.00 Rp -
25 Amitritiline HCl Tab 25 mg tablet Rp 167.00 Rp - 0 Rp 167.00 Rp - 0 Rp 167.00 Rp - Rp 167.00 Rp -
26 kloramfenikol 250 mg (2020) tablet Rp 677.84 Rp - 1000 Rp 677.84 Rp 677,842.00 400 Rp 677.84 Rp 271,136.80 600 Rp 677.84 Rp 406,705.20
27 Alkohol 70% 100 ml botol Rp 2,832.00 Rp - 0 Rp 2,832.00 Rp - 0 Rp 2,832.00 Rp - Rp 2,832.00 Rp -
28 Salbutamol Tab 2 mg tablet 950 Rp 84.00 Rp 79,800.00 0 Rp 84.00 Rp - 950 Rp 84.00 Rp 79,800.00 Rp 84.00 Rp -
29 Ringer Laktat (2020) botol Rp 7,630.00 Rp - 260 Rp 7,630.00 Rp 1,983,800.00 180 Rp 7,630.00 Rp 1,373,400.00 80 Rp 7,630.00 Rp 610,400.00
30 Mefinal (asam mefenamat) tablet Rp 1,705.82 Rp - 400 Rp 1,705.82 Rp 682,328.60 400 Rp 1,705.82 Rp 682,328.60 Rp 1,705.82 Rp -
31 Salbutamol 2 mg (2020) tablet Rp 113.28 Rp - 800 Rp 113.28 Rp 90,622.40 50 Rp 113.28 Rp 5,663.90 750 Rp 113.28 Rp 84,958.50
32 Metilprednisolon tab 4 mg (2020) tablet Rp 153.00 Rp - 800 Rp 153.00 Rp 122,400.00 300 Rp 153.00 Rp 45,900.00 500 Rp 153.00 Rp 76,500.00
33 Paracetamol (2020) tablet Rp 274.48 Rp - 1500 Rp 274.48 Rp 411,724.50 1000 Rp 274.48 Rp 274,483.00 500 Rp 274.48 Rp 137,241.50
34 Piroxicam (2020) tablet Rp 146.38 Rp - 600 Rp 146.38 Rp 87,826.20 100 Rp 146.38 Rp 14,637.70 500 Rp 146.38 Rp 73,188.50
35 Salbutamol 4 mg (2020) tablet Rp 118.73 Rp - 800 Rp 118.73 Rp 94,987.20 300 Rp 118.73 Rp 35,620.20 500 Rp 118.73 Rp 59,367.00
36 Vitamin B Comb tablet Rp 150.00 Rp - 1500 Rp 150.00 Rp 225,000.00 750 Rp 150.00 Rp 112,500.00 750 Rp 150.00 Rp 112,500.00
37 Magnesium Sulfat inj 20% - 25 ml vial Rp 3,328.00 Rp - 6 Rp 3,328.00 Rp 19,968.00 0 Rp 3,328.00 Rp - 6 Rp 3,328.00 Rp 19,968.00
38 Magnesium Sulfat inj 40% - 25 ml vial Rp 3,796.00 Rp - 6 Rp 3,796.00 Rp 22,776.00 3 Rp 3,796.00 Rp 11,388.00 3 Rp 3,796.00 Rp 11,388.00
39 Lidokain inj 2% (infiltr/p.v.) ampul Rp 1,467.00 Rp - 30 Rp 1,467.00 Rp 44,010.00 16 Rp 1,467.00 Rp 23,472.00 14 Rp 1,467.00 Rp 20,538.00
40 Lidokain inj 2%+Epinefrin 1 : 80.000 inj 2 ml ampul Rp 1,473.00 Rp - 20 Rp 1,473.00 Rp 29,460.00 15 Rp 1,473.00 Rp 22,095.00 5 Rp 1,473.00 Rp 7,365.00
41 Paracetamol Syr 100 mg/mL botol Rp 5,041.30 Rp - 35 Rp 5,041.30 Rp 176,445.50 20 Rp 5,041.30 Rp 100,826.00 15 Rp 5,041.30 Rp 75,619.50
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
42 Griseofulvin 125 mg (2020) tablet Rp 336.49 Rp - 1000 Rp 336.49 Rp 336,490.00 100 Rp 336.49 Rp 33,649.00 900 Rp 336.49 Rp 302,841.00
43 Meviton (2020) tablet Rp 2,007.35 Rp - 300 Rp 2,007.35 Rp 602,204.72 300 Rp 2,007.35 Rp 602,204.72 Rp 2,007.35 Rp -
44 IM Boost (2020) tablet Rp 4,013.60 Rp - 50 Rp 4,013.60 Rp 200,679.91 50 Rp 4,013.60 Rp 200,679.91 Rp 4,013.60 Rp -
45 Propepsa Syr (2020) botol Rp 73,472.97 Rp - 4 Rp 73,472.97 Rp 293,891.86 4 Rp 73,472.97 Rp 293,891.86 Rp 73,472.97 Rp -
46 Neurosanbe (2020) tablet Rp 3,266.70 Rp - 200 Rp 3,266.70 Rp 653,340.79 200 Rp 3,266.70 Rp 653,340.79 Rp 3,266.70 Rp -
47 Vocefa Syr (2020) botol Rp 57,696.90 Rp - 2 Rp 57,696.90 Rp 115,393.81 2 Rp 57,696.90 Rp 115,393.81 Rp 57,696.90 Rp -
48 Sanmol (2020) tablet Rp 367.92 Rp - 100 Rp 367.92 Rp 36,792.23 0 Rp 367.92 Rp - 100 Rp 367.92 Rp 36,792.23
49 Alkohol 70% 1000 ml botol Rp 34,375.00 Rp - 1 Rp 34,375.00 Rp 34,375.00 0 Rp 34,375.00 Rp - 1 Rp 34,375.00 Rp 34,375.00
50 Antasida suspensi botol Rp 2,290.00 Rp - 50 Rp 2,290.00 Rp 114,500.00 0 Rp 2,290.00 Rp - 50 Rp 2,290.00 Rp 114,500.00
51 Ambroxol 15 mg/ml syr 60 ml (2020) botol Rp 4,959.90 Rp - 10 Rp 4,959.90 Rp 49,599.00 0 Rp 4,959.90 Rp - 10 Rp 4,959.90 Rp 49,599.00
52 Larutan mengandung elektrolit KA-EN 3A (2020) botol Rp 11,314.00 Rp - 20 Rp 11,314.00 Rp 226,280.00 0 Rp 11,314.00 Rp - 20 Rp 11,314.00 Rp 226,280.00
53 Larutan mengandung elektrolit KA-EN 3B (2020) botol Rp 11,314.00 Rp - 20 Rp 11,314.00 Rp 226,280.00 0 Rp 11,314.00 Rp - 20 Rp 11,314.00 Rp 226,280.00
54 Metilergometrin 0,125 mg (2020) Tablet Rp 271.00 Rp - 200 Rp 271.00 Rp 54,200.00 0 Rp 271.00 Rp - 200 Rp 271.00 Rp 54,200.00
55 Omeprazol kaps 20 mg kapsul Rp 659.85 Rp - 210 Rp 659.85 Rp 138,569.20 90 Rp 659.85 Rp 59,386.80 120 Rp 659.85 Rp 79,182.40
56 My Jelly 82 gr (2020) Pcs Rp 36,937.50 Rp - 2 Rp 36,937.50 Rp 73,875.00 2 Rp 36,937.50 Rp 73,875.00 Rp 36,937.50 Rp -
57 Ibu Propen SYR (2020) botol Rp 5,709.00 Rp - 20 Rp 5,709.00 Rp 114,180.00 6 Rp 5,709.00 Rp 34,254.00 14 Rp 5,709.00 Rp 79,926.00
58 Thiamin (Vit. B1) 2020 Tablet Rp 98.00 Rp - 500 Rp 98.00 Rp 49,000.00 500 Rp 98.00 Rp 49,000.00 Rp 98.00 Rp -
59 Pirofel (Piroxicam 10 gr) 2020 Tablet Rp 685.67 Rp - 100 Rp 685.67 Rp 68,567.34 0 Rp 685.67 Rp - 100 Rp 685.67 Rp 68,567.34
BHP TAMBAHAN
1 Kapas Pembalut 250 mg (.a) roll Rp 14,375.00 Rp - 0 Rp 14,375.00 Rp - 0 Rp 14,375.00 Rp - Rp 14,375.00 Rp -
2 Kasa Kompres Steril 40 x 40 (.a) pcs Rp 1,840.00 Rp - 0 Rp 1,840.00 Rp - 0 Rp 1,840.00 Rp - Rp 1,840.00 Rp -
3 Kertas Puyer Blank (.a) bungkus 17 Rp 93,500.00 Rp 1,589,500.00 5 Rp 93,500.00 Rp 467,500.00 0 Rp 93,500.00 Rp - 22 Rp 93,500.00 Rp 2,057,000.00
4 Examination Gloves size L (.a) bungkus 1 Rp 57,750.00 Rp 57,750.00 0 Rp 57,750.00 Rp - 1 Rp 57,750.00 Rp 57,750.00 Rp 57,750.00 Rp -
5 Aximed FolleyCath 2-Way No. 14 (.a) pcs Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - 0 Rp 13,750.00 Rp - Rp 13,750.00 Rp -
6 Regulator (Gea Medical) 02 XY-988 (.b) pcs 3 Rp 453,200.00 Rp 1,359,600.00 3 Rp 453,200.00 Rp 1,359,600.00 1 Rp 453,200.00 Rp 453,200.00 5 Rp 453,200.00 Rp 2,266,000.00
7 Autocheck Cholesterol Test btl 25 strip (.c) kotak Rp 367,812.50 Rp - 11 Rp 367,812.50 Rp 4,045,937.50 11 Rp 367,812.50 Rp 4,045,937.50 Rp 367,812.50 Rp -
8 Autocheck Glukosa Test btl 50 strip (.c) kotak Rp 136,950.00 Rp - 13 Rp 136,950.00 Rp 1,780,350.00 3 Rp 136,950.00 Rp 410,850.00 10 Rp 136,950.00 Rp 1,369,500.00
9 Autocheck Uric Acid Test btl 50 strip (.c) kotak Rp 178,200.00 Rp - 13 Rp 178,200.00 Rp 2,316,600.00 6 Rp 178,200.00 Rp 1,069,200.00 7 Rp 178,200.00 Rp 1,247,400.00
10 IV-CATH NP, PEN TYPE, NO. 20 pcs Rp 7,846.25 Rp - 20 Rp 7,846.25 Rp 156,925.00 20 Rp 7,846.25 Rp 156,925.00 Rp 7,846.25 Rp -
11 Autocheck Cholesterol Test btl 25 strip kotak Rp 385,235.00 Rp - 3 Rp 385,235.00 Rp 1,155,705.00 3 Rp 385,235.00 Rp 1,155,705.00 Rp 385,235.00 Rp -
12 Union Auto Destruch Syringe 0,5 ml (2019) pcs Rp 1,385.71 Rp - 10 Rp 1,385.71 Rp 13,857.10 0 Rp 1,385.71 Rp - 10 Rp 1,385.71 Rp 13,857.10
13 Onescraub 2% 500 ml + Dispenser botol Rp 68,775.00 Rp - 2 Rp 68,775.00 Rp 137,550.00 1 Rp 68,775.00 Rp 68,775.00 1 Rp 68,775.00 Rp 68,775.00
14 Autocheck Uric Acid Test btl 50 strip (2020) kotak Rp 195,485.00 Rp - 1 Rp 195,485.00 Rp 195,485.00 0 Rp 195,485.00 Rp - 1 Rp 195,485.00 Rp 195,485.00
15 Syringe (Nipro) 1 cc pcs Rp 1,100.45 Rp - 22 Rp 1,100.45 Rp 24,209.90 0 Rp 1,100.45 Rp - 22 Rp 1,100.45 Rp 24,209.90
16 Syringe (Nipro) 3 cc pcs Rp 1,109.73 Rp - 20 Rp 1,109.73 Rp 22,194.50 15 Rp 1,109.73 Rp 16,645.88 5 Rp 1,109.73 Rp 5,548.63
NILAI OBAT IFK PUSKESMAS MOWEWE Rp 49,138,739.53 Rp 100,484,613.29 Rp 106,377,132.981 Rp 43,246,219.84
OBAT BPJS
1 Acylovir salep 5 mg Tube Rp 7,000.00 Rp - 20 Rp 7,000.00 Rp 140,000.00 9 Rp 7,000.00 Rp 63,000.00 11 Rp 7,000.00 Rp 77,000.00
2 Allopurinol tab 300 mg tablet 6 Rp 10,000.00 Rp 60,000.00 0 Rp 10,000.00 Rp - 6 Rp 10,000.00 Rp 60,000.00 Rp 10,000.00 Rp -
3 Alkohol (Etanol) 70 % 1000 ml pcs Rp 200,000.00 Rp - 3 Rp 200,000.00 Rp 600,000.00 3 Rp 200,000.00 Rp 600,000.00 Rp 200,000.00 Rp -
5 Ambroksol tab 30 mg tablet Rp 270.00 Rp - 3200 Rp 270.00 Rp 864,000.00 3200 Rp 270.00 Rp 864,000.00 Rp 270.00 Rp -
6 Ambroksol tab 30 mg tablet 275 Rp 200.00 Rp 55,000.00 0 Rp 200.00 Rp - 275 Rp 200.00 Rp 55,000.00 Rp 200.00 Rp -
8 Ambroksol sir 15 mg/ml - 60 ml tablet Rp 6,000.00 Rp - 10 Rp 6,000.00 Rp 60,000.00 10 Rp 6,000.00 Rp 60,000.00 Rp 6,000.00 Rp -
9 Ambroksol sir 15 mg/ml - 60 ml botol Rp 8,000.00 Rp - 68 Rp 8,000.00 Rp 544,000.00 68 Rp 8,000.00 Rp 544,000.00 Rp 8,000.00 Rp -
10 Amlodiine 10 mg botol Rp 666.67 Rp - 150 Rp 666.67 Rp 100,000.00 150 Rp 666.67 Rp 100,000.00 Rp 666.67 Rp -
11 Amlodiine 5 mg tablet Rp 666.67 Rp - 210 Rp 666.67 Rp 140,000.00 210 Rp 666.67 Rp 140,000.00 Rp 666.67 Rp -
12 Amlodiine 5 mg tablet Rp 600.00 Rp - 1500 Rp 600.00 Rp 900,000.00 1500 Rp 600.00 Rp 900,000.00 Rp 600.00 Rp -
13 Amoxicillin tab 500 mg tablet Rp 500.00 Rp - 2600 Rp 500.00 Rp 1,300,000.00 2600 Rp 500.00 Rp 1,300,000.00 Rp 500.00 Rp -
16 Antasida DOEN susp 60 ml botol Rp 6,000.00 Rp - 50 Rp 6,000.00 Rp 300,000.00 45 Rp 6,000.00 Rp 270,000.00 5 Rp 6,000.00 Rp 30,000.00
17 Asam Mefenamat tab 500 mg tablet Rp 500.00 Rp - 500 Rp 500.00 Rp 250,000.00 400 Rp 500.00 Rp 200,000.00 100 Rp 500.00 Rp 50,000.00
18 Asam Mefenamat tab 500 mg tablet Rp 400.00 Rp - 2000 Rp 400.00 Rp 800,000.00 2000 Rp 400.00 Rp 800,000.00 Rp 400.00 Rp -
19 Asam Mefenamat tab 500 mg tablet Rp 380.00 Rp - 1400 Rp 380.00 Rp 532,000.00 1400 Rp 380.00 Rp 532,000.00 Rp 380.00 Rp -
20 Betametason krim 0,1 % tube 8 Rp 8,000.00 Rp 64,000.00 0 Rp 8,000.00 Rp - 8 Rp 8,000.00 Rp 64,000.00 Rp 8,000.00 Rp -
21 Betametason krim 0,1 % tube Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - Rp 6,000.00 Rp -
22 Cefadroksil kaps 250 mg kapsul Rp 2,000.00 Rp - 200 Rp 2,000.00 Rp 400,000.00 200 Rp 2,000.00 Rp 400,000.00 Rp 2,000.00 Rp -
23 Cefadroksil kaps 250 mg kapsul Rp 1,100.00 Rp - 100 Rp 1,100.00 Rp 110,000.00 100 Rp 1,100.00 Rp 110,000.00 Rp 1,100.00 Rp -
24 Cefadroksil kaps 250 mg kapsul Rp 900.00 Rp - 200 Rp 900.00 Rp 180,000.00 200 Rp 900.00 Rp 180,000.00 Rp 900.00 Rp -
25 Cefadroksil kaps 250 mg kapsul Rp 850.00 Rp - 0 Rp 850.00 Rp - 0 Rp 850.00 Rp - Rp 850.00 Rp -
26 Cefadroksil kaps 250 mg kapsul Rp 500.00 Rp - 0 Rp 500.00 Rp - 0 Rp 500.00 Rp - Rp 500.00 Rp -
27 Cetrizine tab 10 mg tablet Rp 280.00 Rp - 1000 Rp 280.00 Rp 280,000.00 1000 Rp 280.00 Rp 280,000.00 Rp 280.00 Rp -
29 Cetrizine tab 10 mg tablet Rp 666.67 Rp - 0 Rp 666.67 Rp - 0 Rp 666.67 Rp - Rp 666.67 Rp -
31 Cetrizine tab 10 mg tablet 70 Rp 280.00 Rp 19,600.00 0 Rp 280.00 Rp - 70 Rp 280.00 Rp 19,600.00 Rp 280.00 Rp -
32 Deksametason tab 0,5 mg tablet Rp 250.00 Rp - 1000 Rp 250.00 Rp 250,000.00 1000 Rp 250.00 Rp 250,000.00 Rp 250.00 Rp -
33 Deksametason tab 0,5 mg tablet Rp 230.00 Rp - 300 Rp 230.00 Rp 69,000.00 300 Rp 230.00 Rp 69,000.00 Rp 230.00 Rp -
34 Deksametason tab 0,5 mg tablet Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - Rp 200.00 Rp -
35 Domperidon susp 5 mg/5 ml botol Rp 10,000.00 Rp - 40 Rp 10,000.00 Rp 400,000.00 40 Rp 10,000.00 Rp 400,000.00 Rp 10,000.00 Rp -
36 Domperidon susp 5 mg/5 ml botol Rp 8,000.00 Rp - 10 Rp 8,000.00 Rp 80,000.00 10 Rp 8,000.00 Rp 80,000.00 Rp 8,000.00 Rp -
37 Domperidon susp 5 mg/5 ml botol Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - Rp 6,000.00 Rp -
38 Domperidon tab 10 mg tablet Rp 480.00 Rp - 0 Rp 480.00 Rp - 0 Rp 480.00 Rp - Rp 480.00 Rp -
39 Glibenklamid tab 5 mg tablet 375 Rp 200.00 Rp 75,000.00 0 Rp 200.00 Rp - 375 Rp 200.00 Rp 75,000.00 Rp 200.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
42 Guaifenesin 100 mg tablet Rp 260.00 Rp - 1400 Rp 260.00 Rp 364,000.00 1400 Rp 260.00 Rp 364,000.00 Rp 260.00 Rp -
43 Hydrokortison krim 2,5 % - 5 g tube Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - Rp 5,000.00 Rp -
44 Ibuprofen tab 400 mg tablet Rp 450.00 Rp - 400 Rp 450.00 Rp 180,000.00 200 Rp 450.00 Rp 90,000.00 200 Rp 450.00 Rp 90,000.00
45 Ibuprofen tab 400 mg tablet Rp 400.00 Rp - 1700 Rp 400.00 Rp 680,000.00 1700 Rp 400.00 Rp 680,000.00 Rp 400.00 Rp -
46 Ibuprofen tab 400 mg tablet Rp 380.00 Rp - 1500 Rp 380.00 Rp 570,000.00 1500 Rp 380.00 Rp 570,000.00 Rp 380.00 Rp -
47 Isosorbid Dinitrat tab 5 mg tablet 75 Rp 350.00 Rp 26,250.00 0 Rp 350.00 Rp - 75 Rp 350.00 Rp 26,250.00 Rp 350.00 Rp -
48 Kalsium Laktat (Kalk) tab 500 mg tablet 100 Rp 400.00 Rp 40,000.00 0 Rp 400.00 Rp - 100 Rp 400.00 Rp 40,000.00 Rp 400.00 Rp -
49 Kalsium Laktat (Kalk) tab 500 mg tablet 700 Rp 250.00 Rp 175,000.00 0 Rp 250.00 Rp - 700 Rp 250.00 Rp 175,000.00 Rp 250.00 Rp -
50 Kaptopril tab 25 mg tablet Rp 200.00 Rp - 200 Rp 200.00 Rp 40,000.00 0 Rp 200.00 Rp - 200 Rp 200.00 Rp 40,000.00
51 Ketokonazole tab 200 mg tablet 150 Rp 800.00 Rp 120,000.00 0 Rp 800.00 Rp - 0 Rp 800.00 Rp - 150 Rp 800.00 Rp 120,000.00
52 Klorfeniramin Maleat (CTM) tab 4 mg tablet Rp 250.00 Rp - 400 Rp 250.00 Rp 100,000.00 400 Rp 250.00 Rp 100,000.00 Rp 250.00 Rp -
53 Klorfeniramin Maleat (CTM) tab 4 mg tablet Rp 291.67 Rp - 816 Rp 291.67 Rp 238,000.00 816 Rp 291.67 Rp 238,000.00 Rp 291.67 Rp -
54 Klorfeniramin Maleat (CTM) tab 4 mg tablet Rp 200.00 Rp - 1000 Rp 200.00 Rp 200,000.00 800 Rp 200.00 Rp 160,000.00 200 Rp 200.00 Rp 40,000.00
55 Kotrimoxazol tab 480 mg (dewasa) tablet 210 Rp 400.00 Rp 84,000.00 0 Rp 400.00 Rp - 210 Rp 400.00 Rp 84,000.00 Rp 400.00 Rp -
56 Lidokain inj 2% (infiltr/p.v.) ampul Rp 10,000.00 Rp - 20 Rp 10,000.00 Rp 200,000.00 8 Rp 10,000.00 Rp 80,000.00 12 Rp 10,000.00 Rp 120,000.00
57 Lidokain inj 2% (infiltr/p.v.) ampul Rp 7,000.00 Rp - 80 Rp 7,000.00 Rp 560,000.00 80 Rp 7,000.00 Rp 560,000.00 Rp 7,000.00 Rp -
58 Metrinidazole 500 mg tablet Rp 350.00 Rp - 300 Rp 350.00 Rp 105,000.00 300 Rp 350.00 Rp 105,000.00 Rp 350.00 Rp -
59 Metilprednisolon tab 4 mg tablet Rp 500.00 Rp - 1000 Rp 500.00 Rp 500,000.00 1000 Rp 500.00 Rp 500,000.00 Rp 500.00 Rp -
62 Natrium Diklofenat 50 mg tablet Rp 250.00 Rp - 400 Rp 250.00 Rp 100,000.00 200 Rp 250.00 Rp 50,000.00 200 Rp 250.00 Rp 50,000.00
63 Nifedipine tab 10 mg tablet 290 Rp 300.00 Rp 87,000.00 0 Rp 300.00 Rp - 190 Rp 300.00 Rp 57,000.00 100 Rp 300.00 Rp 30,000.00
64 Oksitetrasiklin HCl salep kulit 3 % - 3,5 g tube Rp 8,000.00 Rp - 45 Rp 8,000.00 Rp 360,000.00 45 Rp 8,000.00 Rp 360,000.00 Rp 8,000.00 Rp -
65 Oksitetrasiklin HCl salep kulit 3 % - 3,5 g tube Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - Rp 5,000.00 Rp -
66 Oksitosin inj 10 IU/ml - 1 ml ampul Rp 10,000.00 Rp - 55 Rp 10,000.00 Rp 550,000.00 50 Rp 10,000.00 Rp 500,000.00 5 Rp 10,000.00 Rp 50,000.00
67 Oksitosin inj 10 IU/ml - 1 ml botol 5 Rp 5,000.00 Rp 25,000.00 0 Rp 5,000.00 Rp - 5 Rp 5,000.00 Rp 25,000.00 Rp 5,000.00 Rp -
68 Omeprazol kaps 20 mg kapsul Rp 833.33 Rp - 300 Rp 833.33 Rp 250,000.00 300 Rp 833.33 Rp 250,000.00 Rp 833.33 Rp -
69 Omeprazol kaps 20 mg kapsul Rp 666.67 Rp - 270 Rp 666.67 Rp 180,000.00 270 Rp 666.67 Rp 180,000.00 Rp 666.67 Rp -
70 Paracetamol tab 500 mg tablet Rp 270.00 Rp - 7300 Rp 270.00 Rp 1,971,000.00 7200 Rp 270.00 Rp 1,944,000.00 100 Rp 270.00 Rp 27,000.00
73 Paracetamol sir 120 mg/5 ml - 60 ml botol Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - Rp 10,000.00 Rp -
74 Paracetamol sir 120 mg/5 ml - 60 ml botol Rp 8,000.00 Rp - 67 Rp 8,000.00 Rp 536,000.00 67 Rp 8,000.00 Rp 536,000.00 Rp 8,000.00 Rp -
75 Paracetamol sir 120 mg/5 ml - 60 ml tube Rp 6,000.00 Rp - 30 Rp 6,000.00 Rp 180,000.00 30 Rp 6,000.00 Rp 180,000.00 Rp 6,000.00 Rp -
77 Piroxicam tab 10 mg tablet 300 Rp 300.00 Rp 90,000.00 0 Rp 300.00 Rp - 300 Rp 300.00 Rp 90,000.00 Rp 300.00 Rp -
78 Piroxicam tab 10 mg tablet Rp 280.00 Rp - 0 Rp 280.00 Rp - 0 Rp 280.00 Rp - Rp 280.00 Rp -
79 Papaverin 40 ml tablet Rp 250.00 Rp - 200 Rp 250.00 Rp 50,000.00 100 Rp 250.00 Rp 25,000.00 100 Rp 250.00 Rp 25,000.00
80 Prednison tab 5 mg tablet Rp 280.00 Rp - 300 Rp 280.00 Rp 84,000.00 300 Rp 280.00 Rp 84,000.00 Rp 280.00 Rp -
81 Simvastatin tab 10 mg tablet Rp 400.00 Rp - 500 Rp 400.00 Rp 200,000.00 500 Rp 400.00 Rp 200,000.00 Rp 400.00 Rp -
83 Salbutamol 2 mg tablet Rp 200.00 Rp - 200 Rp 200.00 Rp 40,000.00 200 Rp 200.00 Rp 40,000.00 Rp 200.00 Rp -
85 Thiamin HCl (Vitamin B1) tab 50 mg tablet 200 Rp 200.00 Rp 40,000.00 0 Rp 200.00 Rp - 200 Rp 200.00 Rp 40,000.00 Rp 200.00 Rp -
87 Vitamin B Kompleks tablet Rp 200.00 Rp - 1000 Rp 200.00 Rp 200,000.00 1000 Rp 200.00 Rp 200,000.00 Rp 200.00 Rp -
88 Zinc sir 20 mg/5 ml botol Rp 15,000.00 Rp - 7 Rp 15,000.00 Rp 105,000.00 7 Rp 15,000.00 Rp 105,000.00 Rp 15,000.00 Rp -
89 Zinc dispersible 20 mg tablet Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - Rp 1,000.00 Rp -
90 Zinc dispersible 20 mg tablet Rp 200.00 Rp - 100 Rp 200.00 Rp 20,000.00 100 Rp 200.00 Rp 20,000.00 Rp 200.00 Rp -
91 Betahistin tab 6 mg tablet Rp 1,000.00 Rp - 200 Rp 1,000.00 Rp 200,000.00 120 Rp 1,000.00 Rp 120,000.00 80 Rp 1,000.00 Rp 80,000.00
92 Betahistin tab 6 mg tablet Rp 1,100.00 Rp - 700 Rp 1,100.00 Rp 770,000.00 600 Rp 1,100.00 Rp 660,000.00 100 Rp 1,100.00 Rp 110,000.00
93 Histigo tablet 30 Rp 800.00 Rp 24,000.00 0 Rp 800.00 Rp - 30 Rp 800.00 Rp 24,000.00 Rp 800.00 Rp -
94 Loperamid tab 2 mg tablet Rp 300.00 Rp - 0 Rp 300.00 Rp - 0 Rp 300.00 Rp - Rp 300.00 Rp -
95 Asiklovir krim 5% tube Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - Rp 10,000.00 Rp -
96 Metoclorpramide syr botol Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - 0 Rp 10,000.00 Rp - Rp 10,000.00 Rp -
97 Metoclorpramide syr botol Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - Rp 6,000.00 Rp -
0 0
OBAT KHUSUS Rp - 0 0
1 Denicam 20 mg (Piroxicam) kaplet Rp 500.00 Rp - 1000 Rp 500.00 Rp 500,000.00 1000 Rp 500.00 Rp 500,000.00 Rp 500.00 Rp -
2 Eltazon (Prednison) tablet Rp 300.00 Rp - 1000 Rp 300.00 Rp 300,000.00 970 Rp 300.00 Rp 291,000.00 30 Rp 300.00 Rp 9,000.00
3 Caviplex kaplet kaplet Rp 1,000.00 Rp - 1000 Rp 1,000.00 Rp 1,000,000.00 1000 Rp 1,000.00 Rp 1,000,000.00 Rp 1,000.00 Rp -
4 Caviplex kaplet kaplet Rp 800.00 Rp - 500 Rp 800.00 Rp 400,000.00 500 Rp 800.00 Rp 400,000.00 Rp 800.00 Rp -
5 Caviplex kaplet kaplet Rp 700.00 Rp - 700 Rp 700.00 Rp 490,000.00 700 Rp 700.00 Rp 490,000.00 Rp 700.00 Rp -
6 Carbidu 0,5 mg (Deksamethasone) tablet Rp 185.00 Rp - 2000 Rp 185.00 Rp 370,000.00 800 Rp 185.00 Rp 148,000.00 1200 Rp 185.00 Rp 222,000.00
7 Fenaren tablet Rp 500.00 Rp - 400 Rp 500.00 Rp 200,000.00 400 Rp 500.00 Rp 200,000.00 Rp 500.00 Rp -
8 Procurma Syr Botol Rp 12,000.00 Rp - 10 Rp 12,000.00 Rp 120,000.00 10 Rp 12,000.00 Rp 120,000.00 Rp 12,000.00 Rp -
9 Caviplex SYR Botol Rp 12,000.00 Rp - 50 Rp 12,000.00 Rp 600,000.00 50 Rp 12,000.00 Rp 600,000.00 Rp 12,000.00 Rp -
10 Histigo Tablet Rp 1,100.00 Rp - 250 Rp 1,100.00 Rp 275,000.00 250 Rp 1,100.00 Rp 275,000.00 Rp 1,100.00 Rp -
11 Orphen (CTM) Tablet Rp 150.00 Rp - 200 Rp 150.00 Rp 30,000.00 200 Rp 150.00 Rp 30,000.00 Rp 150.00 Rp -
12 Nexa 500 mg (Asam traneksamat) Tablet 100 Rp 700.00 Rp 70,000.00 0 Rp 700.00 Rp - 100 Rp 700.00 Rp 70,000.00 Rp 700.00 Rp -
13 Neurosanbe inj Ampul Rp 12,000.00 Rp - 10 Rp 12,000.00 Rp 120,000.00 10 Rp 12,000.00 Rp 120,000.00 Rp 12,000.00 Rp -
14 Vosea Syr (Metoclorptamide) Botol Rp 12,000.00 Rp - 10 Rp 12,000.00 Rp 120,000.00 10 Rp 12,000.00 Rp 120,000.00 Rp 12,000.00 Rp -
15 Alleron (CTM) Tablet Rp 150.00 Rp - 2400 Rp 150.00 Rp 360,000.00 2400 Rp 150.00 Rp 360,000.00 Rp 150.00 Rp -
18 Renadinace 50 mg ( Nadik) Tablet Rp 400.00 Rp - 500 Rp 400.00 Rp 200,000.00 500 Rp 400.00 Rp 200,000.00 Rp 400.00 Rp -
19 Renadinace 50 mg ( Nadik) Tablet Rp 300.00 Rp - 100 Rp 300.00 Rp 30,000.00 100 Rp 300.00 Rp 30,000.00 Rp 300.00 Rp -
20 Antidia (Loperamide) Tablet Rp 500.00 Rp - 400 Rp 500.00 Rp 200,000.00 200 Rp 500.00 Rp 100,000.00 200 Rp 500.00 Rp 100,000.00
21 Antidia (Loperamide) Tablet 280 Rp 300.00 Rp 84,000.00 0 Rp 300.00 Rp - 280 Rp 300.00 Rp 84,000.00 Rp 300.00 Rp -
22 Etagastrin (Omeprazole 20 mg) Tablet Rp 900.00 Rp - 150 Rp 900.00 Rp 135,000.00 150 Rp 900.00 Rp 135,000.00 Rp 900.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
23 Vitacaps (Multivitamin) Tablet Rp 1,000.00 Rp - 200 Rp 1,000.00 Rp 200,000.00 200 Rp 1,000.00 Rp 200,000.00 Rp 1,000.00 Rp -
24 Lecozink Syr Botol Rp 12,000.00 Rp - 10 Rp 12,000.00 Rp 120,000.00 10 Rp 12,000.00 Rp 120,000.00 Rp 12,000.00 Rp -
25 Metolon Syr (metoclorpramide syr) Botol 9 Rp 8,000.00 Rp 72,000.00 0 Rp 8,000.00 Rp - 9 Rp 8,000.00 Rp 72,000.00 Rp 8,000.00 Rp -
26 Farziven 400 mg ( Ibu Propen) Tablet Rp 550.00 Rp - 700 Rp 550.00 Rp 385,000.00 700 Rp 550.00 Rp 385,000.00 Rp 550.00 Rp -
27 Provinas (Ibu Profen 400 mg) Tablet Rp 600.00 Rp - 300 Rp 600.00 Rp 180,000.00 300 Rp 600.00 Rp 180,000.00 Rp 600.00 Rp -
28 Cefford Forte (Cefadroxil) Tablet Rp 2,200.00 Rp - 100 Rp 2,200.00 Rp 220,000.00 100 Rp 2,200.00 Rp 220,000.00 Rp 2,200.00 Rp -
29 Ovtelis 20 mg ( Piroxicam) Tablet Rp 400.00 Rp - 500 Rp 400.00 Rp 200,000.00 500 Rp 400.00 Rp 200,000.00 Rp 400.00 Rp -
30 Etamol syr (Amoxicillin syr) Botol Rp 10,000.00 Rp - 20 Rp 10,000.00 Rp 200,000.00 16 Rp 10,000.00 Rp 160,000.00 4 Rp 10,000.00 Rp 40,000.00
31 Yusimox Syr (Amoxicillin syr) Botol Rp 12,000.00 Rp - 10 Rp 12,000.00 Rp 120,000.00 10 Rp 12,000.00 Rp 120,000.00 Rp 12,000.00 Rp -
32 Curviplex syr Botol Rp 10,000.00 Rp - 10 Rp 10,000.00 Rp 100,000.00 10 Rp 10,000.00 Rp 100,000.00 Rp 10,000.00 Rp -
33 Omeprazole tab Tablet Rp 600.00 Rp - 1000 Rp 600.00 Rp 600,000.00 400 Rp 600.00 Rp 240,000.00 600 Rp 600.00 Rp 360,000.00
34 Vit. Arkavit Tablet Rp 600.00 Rp - 200 Rp 600.00 Rp 120,000.00 200 Rp 600.00 Rp 120,000.00 Rp 600.00 Rp -
35 Lexacovt (prednison) Tablet Rp 250.00 Rp - 200 Rp 250.00 Rp 50,000.00 0 Rp 250.00 Rp - 200 Rp 250.00 Rp 50,000.00
36 Vitalysin Syr Botol Rp 16,000.00 Rp - 5 Rp 16,000.00 Rp 80,000.00 5 Rp 16,000.00 Rp 80,000.00 Rp 16,000.00 Rp -

3 Baju Hazmat pcs Rp 130,000.00 Rp - 3 Rp 130,000.00 Rp 390,000.00 3 Rp 130,000.00 Rp 390,000.00 Rp 130,000.00 Rp -
4 Dettol Antiseptik botol Rp 55,000.00 Rp - 3 Rp 55,000.00 Rp 165,000.00 3 Rp 55,000.00 Rp 165,000.00 Rp 55,000.00 Rp -
5 Hand Schoen dos Rp 180,000.00 Rp - 10 Rp 180,000.00 Rp 1,800,000.00 10 Rp 180,000.00 Rp 1,800,000.00 Rp 180,000.00 Rp -
6 Hand Schoen dos Rp 200,000.00 Rp - 1 Rp 200,000.00 Rp 200,000.00 1 Rp 200,000.00 Rp 200,000.00 Rp 200,000.00 Rp -
7 Hand Schoen (Aximed Exam Gloves size S) dos Rp 250,000.00 Rp - 2 Rp 250,000.00 Rp 500,000.00 2 Rp 250,000.00 Rp 500,000.00 Rp 250,000.00 Rp -
8 Hand Schoen (Aximed Exam Gloves size M) dos Rp 250,000.00 Rp - 3 Rp 250,000.00 Rp 750,000.00 3 Rp 250,000.00 Rp 750,000.00 Rp 250,000.00 Rp -
9 Hand Schoen (Aximed Exam Gloves size M) dos Rp 170,000.00 Rp - 4 Rp 170,000.00 Rp 680,000.00 4 Rp 170,000.00 Rp 680,000.00 Rp 170,000.00 Rp -
10 Handzanitiser botol Rp 50,000.00 Rp - 6 Rp 50,000.00 Rp 300,000.00 6 Rp 50,000.00 Rp 300,000.00 Rp 50,000.00 Rp -
11 IV Catheter (Nipro IV Catheter no. 20 G x 1 - 1/4") pcs 30 Rp 20,000.00 Rp 600,000.00 40 Rp 20,000.00 Rp 800,000.00 56 Rp 20,000.00 Rp 1,120,000.00 14 Rp 20,000.00 Rp 280,000.00
12 IV Catheter (Nipro IV Catheter no. 20 G x 1") pcs Rp 25,000.00 Rp - 66 Rp 25,000.00 Rp 1,650,000.00 66 Rp 25,000.00 Rp 1,650,000.00 Rp 25,000.00 Rp -
13 IV Catheter (Nipro IV Catheter no. 22 G x 1") pcs Rp 25,000.00 Rp - 47 Rp 25,000.00 Rp 1,175,000.00 47 Rp 25,000.00 Rp 1,175,000.00 Rp 25,000.00 Rp -
14 IV Catheter (Nipro IV Catheter no. 22 G x 1") pcs Rp 20,000.00 Rp - 39 Rp 20,000.00 Rp 780,000.00 34 Rp 20,000.00 Rp 680,000.00 5 Rp 20,000.00 Rp 100,000.00
15 IV Catheter (Nipro IV Catheter no. 24 G x 1") lusin Rp 25,000.00 Rp - 64 Rp 25,000.00 Rp 1,600,000.00 56 Rp 25,000.00 Rp 1,400,000.00 8 Rp 25,000.00 Rp 200,000.00
16 IV Catheter (Nipro IV Catheter no. 24 G x 1") lusin Rp 20,000.00 Rp - 7 Rp 20,000.00 Rp 140,000.00 0 Rp 20,000.00 Rp - 7 Rp 20,000.00 Rp 140,000.00
17 Infuset Makro pcs Rp 20,000.00 Rp - 30 Rp 20,000.00 Rp 600,000.00 30 Rp 20,000.00 Rp 600,000.00 Rp 20,000.00 Rp -
18 Mata Pisau Bedah No. 11 Pcs 5 Rp 15,000.00 Rp 75,000.00 10 Rp 15,000.00 Rp 150,000.00 15 Rp 15,000.00 Rp 225,000.00 Rp 15,000.00 Rp -
19 Masker Hijab Box Rp 130,000.00 Rp - 4 Rp 130,000.00 Rp 520,000.00 4 Rp 130,000.00 Rp 520,000.00 Rp 130,000.00 Rp -
21 One Scrub botol Rp 230,000.00 Rp - 3 Rp 230,000.00 Rp 690,000.00 3 Rp 230,000.00 Rp 690,000.00 Rp 230,000.00 Rp -
22 Ringer Laktat (RL) botol Rp 20,000.00 Rp - 40 Rp 20,000.00 Rp 800,000.00 40 Rp 20,000.00 Rp 800,000.00 Rp 20,000.00 Rp -
23 Rivanol botol Rp 15,000.00 Rp - 6 Rp 15,000.00 Rp 90,000.00 6 Rp 15,000.00 Rp 90,000.00 Rp 15,000.00 Rp -
24 Rivanol botol Rp 8,000.00 Rp - 4 Rp 8,000.00 Rp 32,000.00 4 Rp 8,000.00 Rp 32,000.00 Rp 8,000.00 Rp -
25 Selang Oxygen pcs 15 Rp 35,000.00 Rp 525,000.00 0 Rp 35,000.00 Rp - 15 Rp 35,000.00 Rp 525,000.00 Rp 35,000.00 Rp -
26 Etakridin (Rivanol) lar 0,1% botol Rp 25,000.00 Rp - 3 Rp 25,000.00 Rp 75,000.00 3 Rp 25,000.00 Rp 75,000.00 Rp 25,000.00 Rp -
27 Etakridin (Rivanol) lar 0,1% tablet Rp 16,000.00 Rp - 0 Rp 16,000.00 Rp - 0 Rp 16,000.00 Rp - Rp 16,000.00 Rp -
28 Selang Oksigen Anak picis 3 Rp 40,000.00 Rp 120,000.00 0 Rp 40,000.00 Rp - 3 Rp 40,000.00 Rp 120,000.00 Rp 40,000.00 Rp -
29 Selang Oksigen Anak picis Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp - Rp 35,000.00 Rp -
30 Selang Oksigen Anak picis Rp 25,000.00 Rp - 0 Rp 25,000.00 Rp - 0 Rp 25,000.00 Rp - Rp 25,000.00 Rp -
31 Lanset Gea box Rp 55,000.00 Rp - 7 Rp 55,000.00 Rp 385,000.00 7 Rp 55,000.00 Rp 385,000.00 Rp 55,000.00 Rp -
32 Tabung Oksigen tabung Rp 100,000.00 Rp - 76 Rp 100,000.00 Rp 7,600,000.00 76 Rp 100,000.00 Rp 7,600,000.00 Rp 100,000.00 Rp -
33 Rivanol botol Rp 27,000.00 Rp - 3 Rp 27,000.00 Rp 81,000.00 2 Rp 27,000.00 Rp 54,000.00 1 Rp 27,000.00 Rp 27,000.00
35 Infuset Makro pcs Rp 35,000.00 Rp - 11 Rp 35,000.00 Rp 385,000.00 11 Rp 35,000.00 Rp 385,000.00 Rp 35,000.00 Rp -
36 Masker Box Rp 150,000.00 Rp - 3 Rp 150,000.00 Rp 450,000.00 3 Rp 150,000.00 Rp 450,000.00 Rp 150,000.00 Rp -
NILAI OBAT BPJS PUSKESMAS MOWEWE Rp 2,530,850.00 Rp 50,021,000.00 Rp 50,053,850.000 Rp 2,498,000.00
OBAT PROGRAM
1 Retinol (Vit A) softcap 100.000 IU softcap 0 Rp 286.00 Rp - 0 Rp 286.00 Rp - 0 Rp 286.00 Rp - 0 Rp 286.00 Rp -
3 Tablet tambah darah kombinasi Ferro Sulfat 200 mg + As.Folat tablet 0 Rp 427.00 Rp - 16800 Rp 427.00 Rp 7,173,600.00 11100 Rp 427.00 Rp 4,739,700.00 5700 Rp 427.00 Rp 2,433,900.00
4 BCG ampul 14 Rp 59,959.00 Rp 839,426.00 50 Rp 59,959.00 Rp 2,997,950.00 34 Rp 59,959.00 Rp 2,038,606.00 30 Rp 59,959.00 Rp 1,798,770.00
5 POLIO vial 19 Rp 19,954.00 Rp 379,126.00 80 Rp 19,954.00 Rp 1,596,320.00 65 Rp 19,954.00 Rp 1,297,010.00 34 Rp 19,954.00 Rp 678,436.00
6 SALINE/PELARUT BCG vial 0 Rp - Rp - 30 Rp - 0 Rp - 30 Rp - Rp -
7 PIPET/DROPER buah 19 Rp - Rp - 50 Rp - 35 Rp - 34 Rp - Rp -
8 DPT-HB-HIB vial 10 Rp 76,285.00 Rp 762,850.00 100 Rp 76,285.00 Rp 7,628,500.00 70 Rp 76,285.00 Rp 5,339,950.00 40 Rp 76,285.00 Rp 3,051,400.00
9 Heb. B UNIJECK buah 0 Rp 76,285.00 Rp - 70 Rp 76,285.00 Rp 5,339,950.00 35 Rp 76,285.00 Rp 2,669,975.00 35 Rp 76,285.00 Rp 2,669,975.00
10 Td vial 0 Rp 16,500.00 Rp - 50 Rp 16,500.00 Rp 825,000.00 30 Rp 16,500.00 Rp 495,000.00 20 Rp 16,500.00 Rp 330,000.00
11 VAKSIN MR vial 16 Rp 141,648.00 Rp 2,266,368.00 60 Rp 141,648.00 Rp 8,498,880.00 46 Rp 141,648.00 Rp 6,515,808.00 30 Rp 141,648.00 Rp 4,249,440.00
12 PELARUT vial 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp - Rp -
13 IPV ampul 6 Rp 152,900.00 Rp 917,400.00 50 Rp 152,900.00 Rp 7,645,000.00 6 Rp 152,900.00 Rp 917,400.00 50 Rp 152,900.00 Rp 7,645,000.00
14 SPOIT 0,5 ML Picis 0 Rp 1,385.71 Rp - 600 Rp 1,385.71 Rp 831,426.00 350 Rp 1,385.71 Rp 484,998.50 250 Rp 1,385.71 Rp 346,427.50
15 SPOIT 5 ML Picis 20 Rp - Rp - 0 Rp - 20 Rp - 0 Rp - Rp -
16 ALBENDAZOLE 400 MG botol 0 Rp 208,395.00 Rp - 37 Rp 208,395.00 Rp 7,710,615.00 37 Rp 208,395.00 Rp 7,710,615.00 0 Rp 208,395.00 Rp -
17 DEC 100 MG botol 0 Rp 190.00 Rp - 19600 Rp 190.00 Rp 3,724,000.00 19600 Rp 190.00 Rp 3,724,000.00 0 Rp 190.00 Rp -
18 DIAZEPAM tablet 5 Rp 218.00 Rp 1,090.00 0 Rp 218.00 Rp - 5 Rp 218.00 Rp 1,090.00 0 Rp 218.00 Rp -
19 DIAZEPAM tab 5 mg tablet 0 Rp 109.00 Rp - 0 Rp 109.00 Rp - 0 Rp 109.00 Rp - 0 Rp 109.00 Rp -
20 DIAZEPAM INJ. ampul 10 Rp 2,010.00 Rp 20,100.00 0 Rp 2,010.00 Rp - 10 Rp 2,010.00 Rp 20,100.00 0 Rp 2,010.00 Rp -
21 AMIPTIPTILIN 25 MG tablet 20 Rp 167.00 Rp 3,340.00 0 Rp 167.00 Rp - 20 Rp 167.00 Rp 3,340.00 0 Rp 167.00 Rp -
22 CHLORPROMAZINE INJ. ampul 10 Rp 1,495.00 Rp 14,950.00 0 Rp 1,495.00 Rp - 10 Rp 1,495.00 Rp 14,950.00 0 Rp 1,495.00 Rp -
23 HALOPERIDOL 0,5 MG tablet 0 Rp 55.00 Rp - 0 Rp 55.00 Rp - 0 Rp 55.00 Rp - 0 Rp 55.00 Rp -
24 HALOPERIDOL 1,5 MG tablet 0 Rp 59.00 Rp - 0 Rp 59.00 Rp - 0 Rp 59.00 Rp - 0 Rp 59.00 Rp -
25 Kusta Tipe MB Dewasa blister 0 Rp 41,784.00 Rp - 12 Rp 41,784.00 Rp 501,408.00 12 Rp 41,784.00 Rp 501,408.00 0 Rp 41,784.00 Rp -
26 OAT TB KATEGORI I Paket 0 Rp 467,215.00 Rp - 13 Rp 467,215.00 Rp 6,073,795.00 10 Rp 467,215.00 Rp 4,672,150.00 3 Rp 467,215.00 Rp 1,401,645.00
27 OAT TB KATEGORI I Paket 2 Rp 359,990.00 Rp 719,980.00 0 Rp 359,990.00 Rp - 2 Rp 359,990.00 Rp 719,980.00 0 Rp 359,990.00 Rp -
28 OAT TB KATEGORI II Paket 1 Rp 1,199,985.00 Rp 1,199,985.00 0 Rp 1,199,985.00 Rp - 1 Rp 1,199,985.00 Rp 1,199,985.00 0 Rp 1,199,985.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
29 STRIP HIV/ AIDS ( Repid Test) Kit 25 Rp 11,975.00 Rp 299,375.00 500 Rp 11,975.00 Rp 5,987,500.00 325 Rp 11,975.00 Rp 3,891,875.00 200 Rp 11,975.00 Rp 2,395,000.00
30 STRIP HbSAg ( Repid Test) Kit 0 Rp 9,870.00 Rp - 0 Rp 9,870.00 Rp - 0 Rp 9,870.00 Rp - 0 Rp 9,870.00 Rp -
31 Rapid Test Hepatitis Test 0 Rp 8,183.00 Rp - 200 Rp 8,183.00 Rp 1,636,600.00 125 Rp 8,183.00 Rp 1,022,875.00 75 Rp 8,183.00 Rp 613,725.00
32 RIAGEN ZIELH NELSER Paket 0 Rp 269,000.00 Rp - 6 Rp 269,000.00 Rp 1,614,000.00 4 Rp 269,000.00 Rp 1,076,000.00 2 Rp 269,000.00 Rp 538,000.00
33 KACA SLIDE / OBJEK GLASS Picis 46 Rp - Rp - 0 Rp - Rp - 46 Rp - 0 Rp -
KACA SLIDE / OBJEK GLASS Picis 0 Rp 257.00 Rp - 144 Rp 257.00 Rp 37,008.00 72 Rp 257.00 Rp 18,504.00 72 Rp 257.00 Rp 18,504.00
POT DAHAK Picis 190 Rp 2,968.00 Rp 563,920.00 0 Rp 2,968.00 Rp - 170 Rp 2,968.00 Rp 504,560.00 20 Rp 2,968.00 Rp 59,360.00
35 Masker Ear Loop Picis 0 Rp 330.00 Rp - 150 Rp 330.00 Rp 49,500.00 150 Rp 330.00 Rp 49,500.00 0 Rp 330.00 Rp -
36 Box Slide 0 Rp - Rp - 3 Rp - Rp - 3 Rp - Rp - Rp -
37 Metilergometrin Inj. 0,02 % Ampul 0 Rp 3,553.00 Rp - 200 Rp 3,553.00 Rp 710,600.00 200 Rp 3,553.00 Rp 710,600.00 0 Rp 3,553.00 Rp -
38 Oksitosin Inj. 0 Rp 1,287.00 Rp - 10 Rp 1,287.00 Rp 12,870.00 10 Rp 1,287.00 Rp 12,870.00 0 Rp 1,287.00 Rp -
NILAI OBAT PROGRAM PUSKESMAS MOWEWE Rp 7,987,910.00 Rp 70,594,522.00 Rp 50,352,849.500 Rp 28,229,582.50
JUMLAH NILAI OBAT PUSKESMAS MOWEWE Rp 59,657,499.53 Rp 221,100,135.29 Rp 206,783,832.481 Rp 73,973,802.34
PUSKESMAS SANGGONA
OBAT IFK
1 Air untuk injeksi 20 ml vial 0 Rp 2,200.00 Rp - 0 Rp 2,200.00 Rp - 0 Rp 2,200.00 Rp - 0 Rp 2,200.00 Rp -
2 Albendazole susp 250 mg/ 5 ml botol 174 Rp 4,619.00 Rp 803,706.00 0 Rp 4,619.00 Rp - 174 Rp 4,619.00 Rp 803,706.00 0 Rp 4,619.00 Rp -
3 Albendazole tab 400 mg tablet 40 Rp 363.00 Rp 14,520.00 0 Rp 363.00 Rp - 40 Rp 363.00 Rp 14,520.00 0 Rp 363.00 Rp -
4 Allopurinol 100 mg tablet 3140 Rp 130.00 Rp 408,200.00 0 Rp 130.00 Rp - 2040 Rp 130.00 Rp 265,200.00 1100 Rp 130.00 Rp 143,000.00
5 Allopurinol 100 mg tablet 0 Rp 102.00 Rp - 500 Rp 102.00 Rp 51,000.00 0 Rp 102.00 Rp - 500 Rp 102.00 Rp 51,000.00
6 Allopurinol 100 mg tablet 0 Rp 108.00 Rp - 1500 Rp 108.00 Rp 162,000.00 0 Rp 108.00 Rp - 1500 Rp 108.00 Rp 162,000.00
7 Allopurinol 300 mg tablet 0 Rp 249.00 Rp - 0 Rp 249.00 Rp - 0 Rp 249.00 Rp - 0 Rp 249.00 Rp -
8 Ambroksol sir 15 mg/ml-60 ml botol 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp - 0 Rp 4,999.50 Rp -
9 Ambroksol tab 30 mg tablet 0 Rp 197.34 Rp - 500 Rp 197.34 Rp 98,670.00 500 Rp 197.34 Rp 98,670.00 0 Rp 197.34 Rp -
10 Amoksisilin sir forte 250 mg/5 ml botol 989 Rp 4,730.00 Rp 4,677,970.00 0 Rp 4,730.00 Rp - 989 Rp 4,730.00 Rp 4,677,970.00 0 Rp 4,730.00 Rp -
11 Amoksisilin sir forte 250 mg/5 ml botol 0 Rp 3,740.00 Rp - 180 Rp 3,740.00 Rp 673,200.00 180 Rp 3,740.00 Rp 673,200.00 0 Rp 3,740.00 Rp -
12 Amoksisilin SK 125 mg/5ml botol Rp 2,560.00 Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
13 Amoksisilin tab 250 mg tablet 12138 Rp 198.00 Rp 2,403,324.00 200 Rp 198.00 Rp 39,600.00 12338 Rp 198.00 Rp 2,442,924.00 0 Rp 198.00 Rp -
14 Amoksisilin tab 500 mg tablet 21739 Rp 336.36 Rp 7,312,130.04 0 Rp 336.36 Rp - 21484 Rp 336.36 Rp 7,226,358.24 255 Rp 336.36 Rp 85,771.80
15 Amoksisilin tab 500 mg tablet 0 Rp 265.00 Rp - 300 Rp 265.00 Rp 79,500.00 0 Rp 265.00 Rp - 300 Rp 265.00 Rp 79,500.00
18 Amlodipine 5 mg tablet 1879 Rp 93.00 Rp 174,747.00 0 Rp 93.00 Rp - 1879 Rp 93.00 Rp 174,747.00 0 Rp 93.00 Rp -
19 Amlodipin 5 mg tablet 0 Rp 78.00 Rp - 600 Rp 78.00 Rp 46,800.00 600 Rp 78.00 Rp 46,800.00 0 Rp 78.00 Rp -
20 Amlodipin 5 mg tablet 0 Rp 83.00 Rp - 600 Rp 83.00 Rp 49,800.00 440 Rp 83.00 Rp 36,520.00 160 Rp 83.00 Rp 13,280.00
21 Amlodipine 10 mg tablet 1807 Rp 850.00 Rp 1,535,950.00 0 Rp 850.00 Rp - 1807 Rp 850.00 Rp 1,535,950.00 0 Rp 850.00 Rp -
22 Amlodipin 10 mg tablet 0 Rp 99.00 Rp - 300 Rp 99.00 Rp 29,700.00 300 Rp 99.00 Rp 29,700.00 0 Rp 99.00 Rp -
23 Amlodipin 10 mg tablet 0 Rp 106.00 Rp - 600 Rp 106.00 Rp 63,600.00 310 Rp 106.00 Rp 32,860.00 290 Rp 106.00 Rp 30,740.00
24 Antasida DOEN tab kombinasi tablet 2679 Rp 78.00 Rp 208,962.00 0 Rp 78.00 Rp - 2679 Rp 78.00 Rp 208,962.00 0 Rp 78.00 Rp -
25 Antasida DOEN tab kombinasi tablet 0 Rp 57.00 Rp - 4500 Rp 57.00 Rp 256,500.00 4460 Rp 57.00 Rp 254,220.00 40 Rp 57.00 Rp 2,280.00
26 Antasida DOEN susp 60ml tablet 47 Rp 2,091.00 Rp 98,277.00 0 Rp 2,091.00 Rp - 47 Rp 2,091.00 Rp 98,277.00 0 Rp 2,091.00 Rp -
27 Anti Bakteri DOEN salep kombinasi Tube 0 Rp 3,511.00 Rp - 0 Rp 3,511.00 Rp - 0 Rp 3,511.00 Rp - 0 Rp 3,511.00 Rp -
28 Antihemoroid Kombinasi supp 0 Rp 3,800.00 Rp - 21 Rp 3,800.00 Rp 79,800.00 0 Rp 3,800.00 Rp - 21 Rp 3,800.00 Rp 79,800.00
29 Antihemoroid DOEN suppo supp 66 Rp 3,350.00 Rp 221,100.00 0 Rp 3,350.00 Rp - 19 Rp 3,350.00 Rp 63,650.00 47 Rp 3,350.00 Rp 157,450.00
30 Asam Ascorbat (Vitamin C) 50 mg tablet 5800 Rp 31.69 Rp 183,802.00 0 Rp 31.69 Rp - 5800 Rp 31.69 Rp 183,802.00 0 Rp 31.69 Rp -
31 Asam Ascorbat (Vitamin C) 50 mg tablet 0 Rp 126.00 Rp - 500 Rp 126.00 Rp 63,000.00 500 Rp 126.00 Rp 63,000.00 0 Rp 126.00 Rp -
32 Asam Ascorbat (Vitamin C) 50 mg tablet 0 Rp 126.00 Rp - 2800 Rp 126.00 Rp 352,800.00 1582 Rp 126.00 Rp 199,332.00 1218 Rp 126.00 Rp 153,468.00
33 Asam Folat 1 mg tablet 0 Rp 90.00 Rp - 500 Rp 90.00 Rp 45,000.00 90 Rp 90.00 Rp 8,100.00 410 Rp 90.00 Rp 36,900.00
34 Asam Mefenamat 500 mg tablet 7500 Rp 127.00 Rp 952,500.00 0 Rp 127.00 Rp - 7500 Rp 127.00 Rp 952,500.00 0 Rp 127.00 Rp -
35 Asam Mefenamat 500 mg tablet 2401 Rp 160.00 Rp 384,160.00 0 Rp 160.00 Rp - 2401 Rp 160.00 Rp 384,160.00 0 Rp 160.00 Rp -
36 Asam Mefenamat 500 mg (Mefinal) tablet 300 Rp 1,537.50 Rp 461,250.00 0 Rp 1,537.50 Rp - 300 Rp 1,537.50 Rp 461,250.00 0 Rp 1,537.50 Rp -
37 Asiklovir 200 mg tablet 710 Rp 263.00 Rp 186,730.00 0 Rp 263.00 Rp - 310 Rp 263.00 Rp 81,530.00 400 Rp 263.00 Rp 105,200.00
38 Asiklovir 200 mg tablet 0 Rp 236.00 Rp - 300 Rp 236.00 Rp 70,800.00 0 Rp 236.00 Rp - 300 Rp 236.00 Rp 70,800.00
39 Asiklovir 400 mg tablet 364 Rp 415.00 Rp 151,060.00 0 Rp 415.00 Rp - 349 Rp 415.00 Rp 144,835.00 15 Rp 415.00 Rp 6,225.00
40 Bedak salisil serb 2% pot 0 Rp 6,426.20 Rp - 6 Rp 6,426.20 Rp 38,557.20 6 Rp 6,426.20 Rp 38,557.20 0 Rp 6,426.20 Rp -
41 Betahistin tab 6 mg tablet 27 Rp 924.00 Rp 24,948.00 0 Rp 924.00 Rp - 27 Rp 924.00 Rp 24,948.00 0 Rp 924.00 Rp -
42 Betametason Dipropionate krim tube 0 Rp 3,350.00 Rp - 60 Rp 3,350.00 Rp 201,000.00 41 Rp 3,350.00 Rp 137,350.00 19 Rp 3,350.00 Rp 63,650.00
43 Bevita Sirup 120 ml botol 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp -
44 Bisakodil sup 5mg supp 24 Rp 6,000.00 Rp 144,000.00 24 Rp 6,000.00 Rp 144,000.00 11 Rp 6,000.00 Rp 66,000.00 37 Rp 6,000.00 Rp 222,000.00
45 Bisakodil sup 10mg supp 25 Rp 5,900.00 Rp 147,500.00 0 Rp 5,900.00 Rp - 23 Rp 5,900.00 Rp 135,700.00 2 Rp 5,900.00 Rp 11,800.00
46 Caviplex kaplet 0 Rp 480.00 Rp - 0 Rp 480.00 Rp - 0 Rp 480.00 Rp - 0 Rp 480.00 Rp -
47 Cefadroksil kap 250 mg kapsul 0 Rp 564.00 Rp - 0 Rp 564.00 Rp - 0 Rp 564.00 Rp - 0 Rp 564.00 Rp -
48 Cefadroksil kap 500 mg kapsul 1044 Rp 763.64 Rp 797,240.16 0 Rp 763.64 Rp - 783 Rp 763.64 Rp 597,930.12 261 Rp 763.64 Rp 199,310.04
49 Cefixime 100 mg tablet 333 Rp 1,300.00 Rp 432,900.00 0 Rp 1,300.00 Rp - 327 Rp 1,300.00 Rp 425,100.00 6 Rp 1,300.00 Rp 7,800.00
50 Cetirizine sir 5mg/5ml botol 125 Rp 8,799.00 Rp 1,099,875.00 0 Rp 8,799.00 Rp - 125 Rp 8,799.00 Rp 1,099,875.00 0 Rp 8,799.00 Rp -
51 Cetirizine sir 5mg/5ml botol 0 Rp 3,104.00 Rp - 300 Rp 3,104.00 Rp 931,200.00 96 Rp 3,104.00 Rp 297,984.00 204 Rp 3,104.00 Rp 633,216.00
52 Cetirizine tab 10 mg tablet 0 Rp 620.00 Rp - 0 Rp 620.00 Rp - 0 Rp 620.00 Rp - 0 Rp 620.00 Rp -
53 Deksamethasone 0,5 mg tablet 3733 Rp 46.00 Rp 171,718.00 0 Rp 46.00 Rp - 624 Rp 46.00 Rp 28,704.00 3109 Rp 46.00 Rp 143,014.00
54 Deksamethasone inj 5mg/ml-1 ml ampul 0 Rp 1,278.00 Rp - 10 Rp 1,278.00 Rp 12,780.00 10 Rp 1,278.00 Rp 12,780.00 0 Rp 1,278.00 Rp -
55 Domperidone susp 5mg/5ml botol 0 Rp 3,490.00 Rp - 0 Rp 3,490.00 Rp - 0 Rp 3,490.00 Rp - 0 Rp 3,490.00 Rp -
56 Domperidone tab 10 mg tablet 0 Rp 90.00 Rp - 300 Rp 90.00 Rp 27,000.00 300 Rp 90.00 Rp 27,000.00 0 Rp 90.00 Rp -
57 Ephinefrin (Adrenalin) inj ampul 23 Rp 8,910.00 Rp 204,930.00 0 Rp 8,910.00 Rp - 23 Rp 8,910.00 Rp 204,930.00 0 Rp 8,910.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
58 Eritromisin kaps 250 mg kapsul 1256 Rp 677.00 Rp 850,312.00 0 Rp 677.00 Rp - 956 Rp 677.00 Rp 647,212.00 300 Rp 677.00 Rp 203,100.00
59 Eritromisin Kapsul/Kaplet 250 mg tablet 0 Rp 711.00 Rp - 500 Rp 711.00 Rp 355,500.00 0 Rp 711.00 Rp - 500 Rp 711.00 Rp 355,500.00
60 Eritromisin kaps 500 mg kapsul 590 Rp 1,023.00 Rp 603,570.00 0 Rp 1,023.00 Rp - 590 Rp 1,023.00 Rp 603,570.00 0 Rp 1,023.00 Rp -
61 Eritromisin SK 200 mg/5ml botol 270 Rp 6,622.00 Rp 1,787,940.00 120 Rp 6,622.00 Rp 794,640.00 2 Rp 6,622.00 Rp 13,244.00 0 Rp 6,622.00 Rp -
Eritromisin SK 200 mg/5ml botol 388 Rp 6,622.00 Rp 2,569,336.00 Expired
62 Erlamycetin (Kloramfenikol) tts mata botol 11 Rp 20,000.00 Rp 220,000.00 0 Rp 20,000.00 Rp - 11 Rp 20,000.00 Rp 220,000.00 0 Rp 20,000.00 Rp -
63 Erlamycetin Syrup 60 ml botol 24 Rp 13,999.00 Rp 335,976.00 0 Rp 13,999.00 Rp - 24 Rp 13,999.00 Rp 335,976.00 0 Rp 13,999.00 Rp -
64 Etakridin (Rivanol) lar 0,1% botol 18 Rp 6,000.00 Rp 108,000.00 0 Rp 6,000.00 Rp - 18 Rp 6,000.00 Rp 108,000.00 0 Rp 6,000.00 Rp -
65 Etanol 70% lar 100 ml botol 0 Rp 2,625.00 Rp - 0 Rp 2,625.00 Rp - 0 Rp 2,625.00 Rp - 0 Rp 2,625.00 Rp -
66 Etil klorid semprot 100 ml botol 0 Rp 90,000.00 Rp - 0 Rp 90,000.00 Rp - 0 Rp 90,000.00 Rp - 0 Rp 90,000.00 Rp -
67 Farbion tablet 165 Rp 2,310.00 Rp 381,150.00 0 Rp 2,310.00 Rp - 165 Rp 2,310.00 Rp 381,150.00 0 Rp 2,310.00 Rp -
68 Fenobarbital injeksi 50 mg/ml ampul 10 Rp 1,980.00 Rp 19,800.00 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 10 Rp 1,980.00 Rp 19,800.00
69 Fitomenadion (Vit K) tablet salut 10mg tablet 620 Rp 4,167.00 Rp 2,583,540.00 0 Rp 4,167.00 Rp - 120 Rp 4,167.00 Rp 500,040.00 500 Rp 4,167.00 Rp 2,083,500.00
70 Fitomenadion (Vit K) inj 2mg/ml ampul 56 Rp 3,754.00 Rp 210,224.00 0 Rp 3,754.00 Rp - 56 Rp 3,754.00 Rp 210,224.00 0 Rp 3,754.00 Rp -
71 Fitomenadion (Vit K) inj 2mg/ml ampul 0 Rp 4,420.00 Rp - 30 Rp 4,420.00 Rp 132,600.00 30 Rp 4,420.00 Rp 132,600.00 0 Rp 4,420.00 Rp -
72 Furosemid tab 40mg tablet 587 Rp 84.00 Rp 49,308.00 0 Rp 84.00 Rp - 335 Rp 84.00 Rp 28,140.00 252 Rp 84.00 Rp 21,168.00
73 Furosemid tab 40mg tablet 0 Rp 82.00 Rp - 400 Rp 82.00 Rp 32,800.00 0 Rp 82.00 Rp - 400 Rp 82.00 Rp 32,800.00
74 Furosemid tab Inj 10 mg/ml ampul 0 Rp 1,555.00 Rp - 25 Rp 1,555.00 Rp 38,875.00 0 Rp 1,555.00 Rp - 25 Rp 1,555.00 Rp 38,875.00
75 Garam oralit kombinasi sachet 0 Rp 317.00 Rp - 0 Rp 317.00 Rp - 0 Rp 317.00 Rp - 0 Rp 317.00 Rp -
76 Gentamisin salep mata tube 33 Rp 3,210.00 Rp 105,930.00 39 Rp 3,210.00 Rp 125,190.00 48 Rp 3,210.00 Rp 154,080.00 24 Rp 3,210.00 Rp 77,040.00
77 Glimepirid 1 mg tablet 836 Rp 200.00 Rp 167,200.00 0 Rp 200.00 Rp - 711 Rp 200.00 Rp 142,200.00 125 Rp 200.00 Rp 25,000.00
78 Glimepirid 1 mg tablet 0 Rp 174.00 Rp - 800 Rp 174.00 Rp 139,200.00 0 Rp 174.00 Rp - 800 Rp 174.00 Rp 139,200.00
79 Glimepirid 2 mg tablet 425 Rp 261.34 Rp 111,068.33 0 Rp 261.34 Rp - 0 Rp 261.34 Rp - 425 Rp 261.34 Rp 111,068.33
80 Gliseril Guaiakolat tab 100 mg tablet 123 Rp 26.62 Rp 3,274.26 0 Rp 26.62 Rp - 123 Rp 26.62 Rp 3,274.26 0 Rp 26.62 Rp -
81 Glukosa lar infus 5% botol 173 Rp 5,720.00 Rp 989,560.00 0 Rp 5,720.00 Rp - 173 Rp 5,720.00 Rp 989,560.00 0 Rp 5,720.00 Rp -
82 Glukosa lar infus 5% botol 0 Rp 7,363.00 Rp - 40 Rp 7,363.00 Rp 294,520.00 40 Rp 7,363.00 Rp 294,520.00 0 Rp 7,363.00 Rp -
83 Glukosa lar infus 5% botol 0 Rp 6,900.00 Rp - 300 Rp 6,900.00 Rp 2,070,000.00 290 Rp 6,900.00 Rp 2,001,000.00 10 Rp 6,900.00 Rp 69,000.00
84 Gratamin tablet 1590 Rp 2,860.00 Rp 4,547,400.00 0 Rp 2,860.00 Rp - 1590 Rp 2,860.00 Rp 4,547,400.00 0 Rp 2,860.00 Rp -
85 Griseofulvin tab 125 mg tablet 9929 Rp 266.00 Rp 2,641,114.00 0 Rp 266.00 Rp - 9929 Rp 266.00 Rp 2,641,114.00 0 Rp 266.00 Rp -
86 Griseofulvin tab 125 mg tablet 0 Rp 336.49 Rp - 300 Rp 336.49 Rp 100,947.00 100 Rp 336.49 Rp 33,649.00 200 Rp 336.49 Rp 67,298.00
87 Hydroklortiazid (HCT) tab 25 mg tablet 1000 Rp 76.50 Rp 76,500.00 0 Rp 76.50 Rp - 80 Rp 76.50 Rp 6,120.00 920 Rp 76.50 Rp 70,380.00
89 Hidrokortison krim 2,5% tube 325 Rp 2,838.00 Rp 922,350.00 0 Rp 2,838.00 Rp - 325 Rp 2,838.00 Rp 922,350.00 0 Rp 2,838.00 Rp -
90 Hidrokortison krim 2,5% tube 0 Rp 2,648.00 Rp - 456 Rp 2,648.00 Rp 1,207,488.00 126 Rp 2,648.00 Rp 333,648.00 330 Rp 2,648.00 Rp 873,840.00
91 Ibuprofen tab 200mg tablet 0 Rp 116.00 Rp - 0 Rp 116.00 Rp - 0 Rp 116.00 Rp - 0 Rp 116.00 Rp -
92 ibuprofen 400 mg tablet 0 Rp 157.00 Rp - 0 Rp 157.00 Rp - 0 Rp 157.00 Rp - 0 Rp 157.00 Rp -
93 ibuprofen suspensi 100 mg/5ml botol 106 Rp 2,620.00 Rp 277,720.00 0 Rp 2,620.00 Rp - 73 Rp 2,620.00 Rp 191,260.00 33 Rp 2,620.00 Rp 86,460.00
94 ibuprofen suspensi 100 mg/5ml botol 0 Rp 5,709.00 Rp - 36 Rp 5,709.00 Rp 205,524.00 1 Rp 5,709.00 Rp 5,709.00 35 Rp 5,709.00 Rp 199,815.00
95 ibuprofen suspensi 200 mg/5ml botol 288 Rp 2,620.00 Rp 754,560.00 0 Rp 2,620.00 Rp - 262 Rp 2,620.00 Rp 686,440.00 26 Rp 2,620.00 Rp 68,120.00
96 ibuprofen suspensi 200 mg/5ml botol 0 Rp 5,509.00 Rp - 36 Rp 5,509.00 Rp 198,324.00 0 Rp 5,509.00 Rp - 36 Rp 5,509.00 Rp 198,324.00
97 Imox tablet 160 Rp 13,200.00 Rp 2,112,000.00 0 Rp 13,200.00 Rp - 160 Rp 13,200.00 Rp 2,112,000.00 0 Rp 13,200.00 Rp -
98 Intunal kaplet 1027 Rp 1,100.00 Rp 1,129,700.00 0 Rp 1,100.00 Rp - 1027 Rp 1,100.00 Rp 1,129,700.00 0 Rp 1,100.00 Rp -
99 Isosorbid Dinitrat atb 5mg tablet 0 Rp 98.00 Rp - 0 Rp 98.00 Rp - 0 Rp 98.00 Rp - 0 Rp 98.00 Rp -
100 my jelly tube 8 Rp 69,575.00 Rp 556,600.00 0 Rp 69,575.00 Rp - 0 Rp 69,575.00 Rp - 8 Rp 69,575.00 Rp 556,600.00
101 Kalsium laktat 500 mg tablet 4864 Rp 64.00 Rp 311,296.00 0 Rp 64.00 Rp - 4064 Rp 64.00 Rp 260,096.00 800 Rp 64.00 Rp 51,200.00
102 Kalsium laktat 500 mg tablet 0 Rp 60.00 Rp - 2000 Rp 60.00 Rp 120,000.00 0 Rp 60.00 Rp - 2000 Rp 60.00 Rp 120,000.00
103 Kaptopril 12,5 mg tablet 2185 Rp 81.00 Rp 176,985.00 0 Rp 81.00 Rp - 2185 Rp 81.00 Rp 176,985.00 0 Rp 81.00 Rp -
104 Kaptopril 12,5 mg tablet 0 Rp 73.00 Rp - 1200 Rp 73.00 Rp 87,600.00 300 Rp 73.00 Rp 21,900.00 900 Rp 73.00 Rp 65,700.00
105 Kaptopril 25 mg tablet 0 Rp 181.12 Rp - 500 Rp 181.12 Rp 90,557.50 500 Rp 181.12 Rp 90,557.50 0 Rp 181.12 Rp -
106 Ketokonazole krim 2% tube 33 Rp 5,150.00 Rp 169,950.00 0 Rp 5,150.00 Rp - 12 Rp 5,150.00 Rp 61,800.00 21 Rp 5,150.00 Rp 108,150.00
107 Ketokonazole tab 200mg tablet 490 Rp 320.00 Rp 156,800.00 0 Rp 320.00 Rp - 30 Rp 320.00 Rp 9,600.00 460 Rp 320.00 Rp 147,200.00
108 Kloramfenikol kap 250 mg kapsul 4464 Rp 275.00 Rp 1,227,600.00 0 Rp 275.00 Rp - 4464 Rp 275.00 Rp 1,227,600.00 0 Rp 275.00 Rp -
109 Kloramfenikol kap 250 mg kapsul 0 Rp 677.84 Rp - 1000 Rp 677.84 Rp 677,842.00 100 Rp 677.84 Rp 67,784.20 900 Rp 677.84 Rp 610,057.80
110 Kloramfenikol salep mata 1% tube 58 Rp 1,000.00 Rp 58,000.00 0 Rp 1,000.00 Rp - 42 Rp 1,000.00 Rp 42,000.00 16 Rp 1,000.00 Rp 16,000.00
111 Kloramfenikol salep kulit tube 0 Rp 4,138.00 Rp - 0 Rp 4,138.00 Rp - 0 Rp 4,138.00 Rp - 0 Rp 4,138.00 Rp -
112 Klorfeniramin maleat 4 mg tablet 180 Rp 54.00 Rp 9,720.00 0 Rp 54.00 Rp - 180 Rp 54.00 Rp 9,720.00 0 Rp 54.00 Rp -
113 Kotrimoksazole 480 mg tablet 3479 Rp 135.00 Rp 469,665.00 0 Rp 135.00 Rp - 3479 Rp 135.00 Rp 469,665.00 0 Rp 135.00 Rp -
114 Kotrimoksazole 480 mg tablet 0 Rp 129.00 Rp - 1500 Rp 129.00 Rp 193,500.00 300 Rp 129.00 Rp 38,700.00 1200 Rp 129.00 Rp 154,800.00
115 Kotrimoksazole suspensi 60 ml botol 397 Rp 545.00 Rp 216,365.00 0 Rp 545.00 Rp - 307 Rp 545.00 Rp 167,315.00 90 Rp 545.00 Rp 49,050.00
116 Kotrimoksazole anak suspensi botol 0 Rp 2,115.00 Rp - 100 Rp 2,115.00 Rp 211,500.00 0 Rp 2,115.00 Rp - 100 Rp 2,115.00 Rp 211,500.00
117 KY Jelly tube 3 Rp 85,000.00 Rp 255,000.00 0 Rp 85,000.00 Rp - 0 Rp 85,000.00 Rp - 3 Rp 85,000.00 Rp 255,000.00
118 Lexavit (multivitamin) tablet 0 Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp -
119 Lidokain inj 2% botol 63 Rp 1,375.00 Rp 86,625.00 50 Rp 1,375.00 Rp 68,750.00 113 Rp 1,375.00 Rp 155,375.00 0 Rp 1,375.00 Rp -
120 Lidokain inj 2% botol 0 Rp 1,467.00 Rp - 20 Rp 1,467.00 Rp 29,340.00 0 Rp 1,467.00 Rp - 20 Rp 1,467.00 Rp 29,340.00
121 Lidokain inj 2%(HCl) + epinefrin ampul 20 Rp 1,380.00 Rp 27,600.00 10 Rp 1,380.00 Rp 13,800.00 30 Rp 1,380.00 Rp 41,400.00 0 Rp 1,380.00 Rp -
122 Lisol lar 1000 ml ampul 20 Rp 21,500.00 Rp 430,000.00 0 Rp 21,500.00 Rp - 10 Rp 21,500.00 Rp 215,000.00 10 Rp 21,500.00 Rp 215,000.00
123 Loperamid tab 2 mg tablet 5323 Rp 91.00 Rp 484,393.00 0 Rp 91.00 Rp - 5243 Rp 91.00 Rp 477,113.00 80 Rp 91.00 Rp 7,280.00
125 Magnesium sulfat inj 20% botol 16 Rp 3,200.00 Rp 51,200.00 0 Rp 3,200.00 Rp - 16 Rp 3,200.00 Rp 51,200.00 0 Rp 3,200.00 Rp -
126 Magnesium sulfat inj 20% botol 0 Rp 3,328.00 Rp - 12 Rp 3,328.00 Rp 39,936.00 12 Rp 3,328.00 Rp 39,936.00 0 Rp 3,328.00 Rp -
127 Magnesium sulfat inj 40% botol 8 Rp 3,650.00 Rp 29,200.00 0 Rp 3,650.00 Rp - 8 Rp 3,650.00 Rp 29,200.00 0 Rp 3,650.00 Rp -
128 Magnesium sulfat inj 40% botol 0 Rp 3,796.00 Rp - 12 Rp 3,796.00 Rp 45,552.00 12 Rp 3,796.00 Rp 45,552.00 0 Rp 3,796.00 Rp -
129 Meloxicam 15 mg tablet 355 Rp 2,380.00 Rp 844,900.00 0 Rp 2,380.00 Rp - 355 Rp 2,380.00 Rp 844,900.00 0 Rp 2,380.00 Rp -
130 Metampiron inj 250 mg/ml ampul 25 Rp 1,925.00 Rp 48,125.00 0 Rp 1,925.00 Rp - 25 Rp 1,925.00 Rp 48,125.00 0 Rp 1,925.00 Rp -
131 Metampiron tab 500 mg tablet 0 Rp 155.00 Rp - 0 Rp 155.00 Rp - 0 Rp 155.00 Rp - 0 Rp 155.00 Rp -
133 Metformin tab 500 mg tablet 0 Rp 110.00 Rp - 2400 Rp 110.00 Rp 264,000.00 2385 Rp 110.00 Rp 262,350.00 15 Rp 110.00 Rp 1,650.00
134 Metilergometrin Maleat inj. 0.200 mg/ml ampul 418 Rp 3,421.00 Rp 1,429,978.00 0 Rp 3,421.00 Rp - 11 Rp 3,421.00 Rp 37,631.00 0 Rp 3,421.00 Rp -
Metilergometrin Maleat inj. 0.200 mg/ml ampul 407 Rp 3,421.00 Rp 1,392,347.00 Expired
135 Metil prednisolon 4 mg tablet 0 Rp 143.00 Rp - 300 Rp 143.00 Rp 42,900.00 300 Rp 143.00 Rp 42,900.00 0 Rp 143.00 Rp -
136 Metil prednisolon 4 mg tablet 0 Rp 153.00 Rp - 500 Rp 153.00 Rp 76,500.00 500 Rp 153.00 Rp 76,500.00 0 Rp 153.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
137 Metoklopramide tab 5 mg tablet 3000 Rp 113.00 Rp 339,000.00 0 Rp 113.00 Rp - 600 Rp 113.00 Rp 67,800.00 2400 Rp 113.00 Rp 271,200.00
138 Metoklopramide tab 10 mg tablet 8515 Rp 100.00 Rp 851,500.00 0 Rp 100.00 Rp - 3403 Rp 100.00 Rp 340,300.00 5112 Rp 100.00 Rp 511,200.00
139 Metoklopramide tab 10 mg tablet 0 Rp 93.00 Rp - 1000 Rp 93.00 Rp 93,000.00 0 Rp 93.00 Rp - 1000 Rp 93.00 Rp 93,000.00
140 Metoklopramide tab 10 mg tablet 0 Rp 87.00 Rp - 1000 Rp 87.00 Rp 87,000.00 0 Rp 87.00 Rp - 1000 Rp 87.00 Rp 87,000.00
141 Metrodinazole tab 250 mg tablet 240 Rp 116.00 Rp 27,840.00 0 Rp 116.00 Rp - 40 Rp 116.00 Rp 4,640.00 200 Rp 116.00 Rp 23,200.00
142 Metrodinazole tab 500 mg tablet 5491 Rp 169.00 Rp 927,979.00 0 Rp 169.00 Rp - 3991 Rp 169.00 Rp 674,479.00 1500 Rp 169.00 Rp 253,500.00
143 Miconazole krim 2% tube 286 Rp 3,000.00 Rp 858,000.00 0 Rp 3,000.00 Rp - 243 Rp 3,000.00 Rp 729,000.00 43 Rp 3,000.00 Rp 129,000.00
144 Mucohexin (Bromheksin HCl 8 mg) tablet 0 Rp 575.00 Rp - 0 Rp 575.00 Rp - 0 Rp 575.00 Rp - 0 Rp 575.00 Rp -
145 Natrium diklofenac 25 mg tablet 766 Rp 146.00 Rp 111,836.00 0 Rp 146.00 Rp - 766 Rp 146.00 Rp 111,836.00 0 Rp 146.00 Rp -
146 Natrium Diklofenac 25 mg tablet 0 Rp 154.00 Rp - 650 Rp 154.00 Rp 100,100.00 650 Rp 154.00 Rp 100,100.00 0 Rp 154.00 Rp -
147 Natrium diklofenac 50 mg tablet 580 Rp 193.00 Rp 111,940.00 0 Rp 193.00 Rp - 580 Rp 193.00 Rp 111,940.00 0 Rp 193.00 Rp -
148 Natrium Klorida lar infus botol 39 Rp 5,170.00 Rp 201,630.00 0 Rp 5,170.00 Rp - 39 Rp 5,170.00 Rp 201,630.00 0 Rp 5,170.00 Rp -
149 Natrium Klorida lar infus botol 0 Rp 6,410.00 Rp - 280 Rp 6,410.00 Rp 1,794,800.00 230 Rp 6,410.00 Rp 1,474,300.00 50 Rp 6,410.00 Rp 320,500.00
150 Neurodial (antalgin+diazepam) tablet 112 Rp 1,265.00 Rp 141,680.00 0 Rp 1,265.00 Rp - 112 Rp 1,265.00 Rp 141,680.00 0 Rp 1,265.00 Rp -
151 Neurosanbe tablet 140 Rp 2,756.25 Rp 385,875.00 0 Rp 2,756.25 Rp - 140 Rp 2,756.25 Rp 385,875.00 0 Rp 2,756.25 Rp -
152 Neurosanbe tablet 0 Rp 3,266.70 Rp - 100 Rp 3,266.70 Rp 326,670.39 80 Rp 3,266.70 Rp 261,336.31 20 Rp 3,266.70 Rp 65,334.08
153 Neurosanbe inj 3 ml vial 0 Rp 6,979.37 Rp - 10 Rp 6,979.37 Rp 69,793.74 0 Rp 6,979.37 Rp - 10 Rp 6,979.37 Rp 69,793.74
154 Nifedipine tab 10 mg tablet 0 Rp 127.00 Rp - 0 Rp 127.00 Rp - 0 Rp 127.00 Rp - 0 Rp 127.00 Rp -
155 Nifudiar Susp 60 ml botol 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp - 0 Rp 77,000.00 Rp -
156 Nystatin Tablet Salut Gula 500.000 IU tablet 0 Rp 950.00 500 Rp 950.00 Rp 475,000.00 0 Rp 950.00 Rp - 500 Rp 950.00 Rp 475,000.00
157 Nistatin tab vaginal 100.000 IU tablet 1246 Rp 528.00 Rp 657,888.00 0 Rp 528.00 Rp - 420 Rp 528.00 Rp 221,760.00 826 Rp 528.00 Rp 436,128.00
158 Nistatin Vaginal 100.000 IU generik tablet 0 Rp 675.00 1000 Rp 675.00 Rp 675,000.00 0 Rp 675.00 Rp - 1000 Rp 675.00 Rp 675,000.00
159 Obat Batuk Hitam botol 36 Rp 1,500.00 Rp 54,000.00 0 Rp 1,500.00 Rp - 3 Rp 1,500.00 Rp 4,500.00 33 Rp 1,500.00 Rp 49,500.00
160 Ofloxacin 200 mg tablet 913 Rp 531.00 Rp 484,803.00 1000 Rp 531.00 Rp 531,000.00 206 Rp 531.00 Rp 109,386.00 1707 Rp 531.00 Rp 906,417.00
161 Oksitetrasiklin salep mata 1% tube 0 Rp 2,600.00 10 Rp 2,600.00 Rp 26,000.00 10 Rp 2,600.00 Rp 26,000.00 0 Rp 2,600.00 Rp -
162 Oksitosin inj. 10 IU/ml-1 ml ampul 1 Rp 1,900.00 Rp 1,900.00 0 Rp 1,900.00 Rp - 1 Rp 1,900.00 Rp 1,900.00 0 Rp 1,900.00 Rp -
163 Omeprazole kap 20 mg kapsul 376 Rp 154.00 Rp 57,904.00 0 Rp 154.00 Rp - 376 Rp 154.00 Rp 57,904.00 0 Rp 154.00 Rp -
164 Ondasentron 4 mg tablet 138 Rp 546.00 Rp 75,348.00 0 Rp 546.00 Rp - 138 Rp 546.00 Rp 75,348.00 0 Rp 546.00 Rp -
165 paracetamol tab 500 mg tablet 793 Rp 52.00 Rp 41,236.00 0 Rp 52.00 Rp - 793 Rp 52.00 Rp 41,236.00 0 Rp 52.00 Rp -
166 paracetamol tab 500 mg tablet 0 Rp 274.48 Rp - 1000 Rp 274.48 Rp 274,483.00 1000 Rp 274.48 Rp 274,483.00 0 Rp 274.48 Rp -
167 Parasetamol tab 500 mg (Sanmol) tablet 190 Rp 325.00 Rp 61,750.00 0 Rp 325.00 Rp - 190 Rp 325.00 Rp 61,750.00 0 Rp 325.00 Rp -
168 Parasetamol tab 500 mg (Sanmol) tablet 0 Rp 367.92 Rp - 100 Rp 367.92 Rp 36,792.23 100 Rp 367.92 Rp 36,792.23 0 Rp 367.92 Rp -
169 Parasetamol tts 60mg/0,6ml botol 403 Rp 7,350.00 Rp 2,962,050.00 0 Rp 7,350.00 Rp - 403 Rp 7,350.00 Rp 2,962,050.00 0 Rp 7,350.00 Rp -
170 Parasetamol Drops 100 mg/ml botol 0 Rp 7,979.00 Rp - 112 Rp 7,979.00 Rp 893,648.00 112 Rp 7,979.00 Rp 893,648.00 0 Rp 7,979.00 Rp -
171 Parasetamol sirup 120 mg/5ml botol 41 Rp 1,190.00 Rp 48,790.00 0 Rp 1,190.00 Rp - 40 Rp 1,190.00 Rp 47,600.00 1 Rp 1,190.00 Rp 1,190.00
172 piracetam 800 mg tablet 214 Rp 964.00 Rp 206,296.00 0 Rp 964.00 Rp - 20 Rp 964.00 Rp 19,280.00 194 Rp 964.00 Rp 187,016.00
173 Pirantel palmoat tab 125 mg tablet 1100 Rp 318.00 Rp 349,800.00 0 Rp 318.00 Rp - 1030 Rp 318.00 Rp 327,540.00 70 Rp 318.00 Rp 22,260.00
174 Pirantel palmoat sir 125 mg botol 19 Rp 7,500.00 Rp 142,500.00 0 Rp 7,500.00 Rp - 9 Rp 7,500.00 Rp 67,500.00 10 Rp 7,500.00 Rp 75,000.00
175 Piridoksin (Vit B6) tab 10 mg tablet 16743 Rp 19.01 Rp 318,284.43 0 Rp 19.01 Rp - 16743 Rp 19.01 Rp 318,284.43 0 Rp 19.01 Rp -
176 Piridoksin (Vit B6) tab 10 mg tablet 0 Rp 148.00 Rp - 4000 Rp 148.00 Rp 592,000.00 1900 Rp 148.00 Rp 281,200.00 2100 Rp 148.00 Rp 310,800.00
177 Piroxicam tab 10 mg tablet 1283 Rp 230.00 Rp 295,090.00 0 Rp 230.00 Rp - 225 Rp 230.00 Rp 51,750.00 1058 Rp 230.00 Rp 243,340.00
178 Povidone iodine lar 10 ml-300 ml botol 29 Rp 21,600.00 Rp 626,400.00 8 Rp 21,600.00 Rp 172,800.00 37 Rp 21,600.00 Rp 799,200.00 0 Rp 21,600.00 Rp -
179 Povidone iodine lar 10 ml-30 ml botol 19 Rp 35,000.00 Rp 665,000.00 0 Rp 35,000.00 Rp - 19 Rp 35,000.00 Rp 665,000.00 0 Rp 35,000.00 Rp -
180 Povidone iodine lar 10 ml-30 ml botol 0 Rp 3,480.00 Rp - 5 Rp 3,480.00 Rp 17,400.00 5 Rp 3,480.00 Rp 17,400.00 0 Rp 3,480.00 Rp -
181 Prednison 5 mg tablet 2466 Rp 85.00 Rp 209,610.00 0 Rp 85.00 Rp - 2466 Rp 85.00 Rp 209,610.00 0 Rp 85.00 Rp -
182 Prednison 5 mg tablet 0 Rp 79.00 Rp - 500 Rp 79.00 Rp 39,500.00 300 Rp 79.00 Rp 23,700.00 200 Rp 79.00 Rp 15,800.00
183 Primakuin tab 15mg tablet 0 Rp 205.00 Rp - 0 Rp 205.00 Rp - 0 Rp 205.00 Rp - 0 Rp 205.00 Rp -
184 Pritamox (Amoxicillin) 500 mg tablet 400 Rp 1,210.00 Rp 484,000.00 0 Rp 1,210.00 Rp - 400 Rp 1,210.00 Rp 484,000.00 0 Rp 1,210.00 Rp -
185 Propepsa Susp 100 ml botol 1 Rp 106,000.00 Rp 106,000.00 0 Rp 106,000.00 Rp - 1 Rp 106,000.00 Rp 106,000.00 0 Rp 106,000.00 Rp -
186 Propepsa Susp 100 ml botol 0 Rp 73,472.97 Rp - 2 Rp 73,472.97 Rp 146,945.93 2 Rp 73,472.97 Rp 146,945.93 0 Rp 73,472.97 Rp -
187 Puricemia 300 mg tablet 200 Rp 3,268.75 Rp 653,750.00 0 Rp 3,268.75 Rp - 0 Rp 3,268.75 Rp - 200 Rp 3,268.75 Rp 653,750.00
188 Propanolol tab 10mg tablet 0 Rp 80.00 Rp - 0 Rp 80.00 Rp - 0 Rp 80.00 Rp - 0 Rp 80.00 Rp -
189 Ranitidin 150 mg tablet 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp -
190 Retinol(Vit A) softcapsul 100.000 IU softcapsul 5601 Rp 341.00 Rp 1,909,941.00 0 Rp 341.00 Rp - 5601 Rp 341.00 Rp 1,909,941.00 0 Rp 341.00 Rp -
191 Retinol(Vit A) softcapsul 200.000 IU softcapsul 3965 Rp 505.00 Rp 2,002,325.00 0 Rp 505.00 Rp - 3965 Rp 505.00 Rp 2,002,325.00 0 Rp 505.00 Rp -
192 Retinol(Vit A) softcapsul 200.000 IU kapsul 0 Rp 622.00 Rp - 1000 Rp 622.00 Rp 622,000.00 860 Rp 622.00 Rp 534,920.00 140 Rp 622.00 Rp 87,080.00
193 Ringer laktat lar infus steril 500 ml botol 388 Rp 5,720.00 Rp 2,219,360.00 0 Rp 5,720.00 Rp - 388 Rp 5,720.00 Rp 2,219,360.00 0 Rp 5,720.00 Rp -
194 Ringer laktat lar infus steril 500 ml botol 0 Rp 7,630.00 Rp - 100 Rp 7,630.00 Rp 763,000.00 60 Rp 7,630.00 Rp 457,800.00 40 Rp 7,630.00 Rp 305,200.00
195 Santa E 200 kaplet 48 Rp 2,243.75 Rp 107,700.00 0 Rp 2,243.75 Rp - 48 Rp 2,243.75 Rp 107,700.00 0 Rp 2,243.75 Rp -
198 Salbutamol tab 4 mg tablet 0 Rp 118.73 Rp - 300 Rp 118.73 Rp 35,620.20 300 Rp 118.73 Rp 35,620.20 0 Rp 118.73 Rp -
199 Salep 2-4 tube 26 Rp 2,200.00 Rp 57,200.00 0 Rp 2,200.00 Rp - 7 Rp 2,200.00 Rp 15,400.00 19 Rp 2,200.00 Rp 41,800.00
200 Salep Basitrasin tube 86 Rp 3,511.00 Rp 301,946.00 75 Rp 3,511.00 Rp 263,325.00 114 Rp 3,511.00 Rp 400,254.00 47 Rp 3,511.00 Rp 165,017.00
201 Sianokobalamin (B12) tablet tablet 9576 Rp 50.00 Rp 478,800.00 0 Rp 50.00 Rp - 576 Rp 50.00 Rp 28,800.00 9000 Rp 50.00 Rp 450,000.00
202 Sianokobalamin (B12) inj ampul 0 Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp - 0 Rp 10,560.00 Rp -
203 Simvastatin tab 10 mg tablet 0 Rp 117.00 Rp - 1200 Rp 117.00 Rp 140,400.00 1200 Rp 117.00 Rp 140,400.00 0 Rp 117.00 Rp -
204 Simvastatin tab 20 mg tablet 315 Rp 250.00 Rp 78,750.00 0 Rp 250.00 Rp - 315 Rp 250.00 Rp 78,750.00 0 Rp 250.00 Rp -
206 siproploksasin tab 500 mg tablet 3208 Rp 430.00 Rp 1,379,440.00 0 Rp 430.00 Rp - 3208 Rp 430.00 Rp 1,379,440.00 0 Rp 430.00 Rp -
207 Spironolakton tab 25mg tablet 0 Rp 350.00 Rp - 0 Rp 350.00 Rp - 0 Rp 350.00 Rp - 0 Rp 350.00 Rp -
208 Supravit tablet 0 Rp 770.00 Rp - 0 Rp 770.00 Rp - 0 Rp 770.00 Rp - 0 Rp 770.00 Rp -
209 Tablet Tambah Darah tablet 21690 Rp 112.00 Rp 2,429,280.00 0 Rp 112.00 Rp - 21690 Rp 112.00 Rp 2,429,280.00 0 Rp 112.00 Rp -
210 Tablet Tambah Darah tablet 0 Rp 427.00 Rp - 16800 Rp 427.00 Rp 7,173,600.00 14600 Rp 427.00 Rp 6,234,200.00 2200 Rp 427.00 Rp 939,400.00
211 Tetrasiklin 250 mg kapsul 968 Rp 120.00 Rp 116,160.00 0 Rp 120.00 Rp - 968 Rp 120.00 Rp 116,160.00 0 Rp 120.00 Rp -
212 tetrasiklin tab 500 mg tablet 2490 Rp 341.00 Rp 849,090.00 0 Rp 341.00 Rp - 2490 Rp 341.00 Rp 849,090.00 0 Rp 341.00 Rp -
213 tetrasiklin tab 500 mg tablet 0 Rp 324.00 Rp - 1500 Rp 324.00 Rp 486,000.00 0 Rp 324.00 Rp - 1500 Rp 324.00 Rp 486,000.00
214 Thiamin HCl (Vit B1) tablet 3391 Rp 42.00 Rp 142,422.00 0 Rp 42.00 Rp - 3371 Rp 42.00 Rp 141,582.00 20 Rp 42.00 Rp 840.00
215 Thiamin HCl (Vit B1) tablet 0 Rp 92.00 Rp - 2000 Rp 92.00 Rp 184,000.00 0 Rp 92.00 Rp - 2000 Rp 92.00 Rp 184,000.00
216 Vitamin B kompleks tablet 2816 Rp 138.00 Rp 388,608.00 0 Rp 138.00 Rp - 2816 Rp 138.00 Rp 388,608.00 0 Rp 138.00 Rp -
217 Vitamin B kompleks Generik tablet 0 Rp 150.00 Rp - 2000 Rp 150.00 Rp 300,000.00 1260 Rp 150.00 Rp 189,000.00 740 Rp 150.00 Rp 111,000.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
218 Vitamin B kompleks Generik tablet 0 Rp 141.00 Rp - 200 Rp 141.00 Rp 28,200.00 0 Rp 141.00 Rp - 200 Rp 141.00 Rp 28,200.00
219 Vical suspensi(multivitamin) botol 0 Rp 4,890.00 Rp - 0 Rp 4,890.00 Rp - 0 Rp 4,890.00 Rp - 0 Rp 4,890.00 Rp -
220 Vitamin D3 tablet 0 Rp 680.00 Rp - 0 Rp 680.00 Rp - 0 Rp 680.00 Rp - 0 Rp 680.00 Rp -
221 Vocefa susp 60 ml botol 1 Rp 84,000.00 Rp 84,000.00 0 Rp 84,000.00 Rp - 1 Rp 84,000.00 Rp 84,000.00 0 Rp 84,000.00 Rp -
222 Zinc Sulfat Sirup botol 0 Rp 3,449.00 Rp - 30 Rp 3,449.00 Rp 103,470.00 30 Rp 3,449.00 Rp 103,470.00 0 Rp 3,449.00 Rp -
223 Zinc dispersal tab 20 mg tablet 2645 Rp 521.00 Rp 1,378,045.00 0 Rp 521.00 Rp - 2645 Rp 521.00 Rp 1,378,045.00 0 Rp 521.00 Rp -
224 Zircum kid (zinc) sir20 mg/ml botol 0 Rp 52,000.30 Rp - 0 Rp 52,000.30 Rp - 0 Rp 52,000.30 Rp - 0 Rp 52,000.30 Rp -
225 Zircum kid (zinc) sir10 mg/ml botol 0 Rp 16,478.00 Rp - 0 Rp 16,478.00 Rp - 0 Rp 16,478.00 Rp - 0 Rp 16,478.00 Rp -
226 Cardisan 5 mg tablet 100 Rp 11,918.74 Rp 1,191,874.00 0 Rp 11,918.74 Rp - 100 Rp 11,918.74 Rp 1,191,874.00 0 Rp 11,918.74 Rp -
227 Cholvastin tablet 0 Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp - 0 Rp 12,043.73 Rp -
228 Antifungi DOEN KOMBINASI 30G tube 48 Rp 5,395.00 Rp 258,960.00 96 Rp 5,395.00 Rp 517,920.00 5 Rp 5,395.00 Rp 26,975.00 139 Rp 5,395.00 Rp 749,905.00
229 Albothyl botol 0 Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp - 0 Rp 37,500.00 Rp -
230 Larutan Elektrolit KA-EN 3B botol 20 Rp 11,314.00 Rp 226,280.00 0 Rp 11,314.00 Rp - 20 Rp 11,314.00 Rp 226,280.00 0 Rp 11,314.00 Rp -
231 Asetil Sistein tablet 0 Rp 460.00 Rp - 60 Rp 460.00 Rp 27,600.00 60 Rp 460.00 Rp 27,600.00 0 Rp 460.00 Rp -
232 Bufacetin (Kloramfenikol SK 2%) tube 48 Rp 3,645.00 Rp 174,960.00 24 Rp 3,645.00 Rp 87,480.00 45 Rp 3,645.00 Rp 164,025.00 27 Rp 3,645.00 Rp 98,415.00
233 Harmida (Glibenklamid) tablet 500 Rp 216.00 Rp 108,000.00 100 Rp 216.00 Rp 21,600.00 100 Rp 216.00 Rp 21,600.00 500 Rp 216.00 Rp 108,000.00
234 Pantrin Pirantel Pamoat tablet 0 Rp 1,200.00 Rp - 300 Rp 1,200.00 Rp 360,000.00 200 Rp 1,200.00 Rp 240,000.00 100 Rp 1,200.00 Rp 120,000.00
235 Karbogliserin TTS Telinga 10%/Phenol Gliserol botol 0 Rp 2,764.00 Rp - 10 Rp 2,764.00 Rp 27,640.00 0 Rp 2,764.00 Rp - 10 Rp 2,764.00 Rp 27,640.00
236 Difenhidramin injeksi ampul 0 Rp 1,316.00 Rp - 10 Rp 1,316.00 Rp 13,160.00 0 Rp 1,316.00 Rp - 10 Rp 1,316.00 Rp 13,160.00
237 Meviton tablet 0 Rp 2,007.35 Rp - 500 Rp 2,007.35 Rp 1,003,674.54 150 Rp 2,007.35 Rp 301,102.36 350 Rp 2,007.35 Rp 702,572.18
238 Im Boost tablet 0 Rp 4,013.60 Rp - 100 Rp 4,013.60 Rp 401,359.82 100 Rp 4,013.60 Rp 401,359.82 0 Rp 4,013.60 Rp -
239 Versyl tablet 0 Rp 2,564.31 Rp - 80 Rp 2,564.31 Rp 205,144.55 40 Rp 2,564.31 Rp 102,572.28 40 Rp 2,564.31 Rp 102,572.28
240 Amoksisilin SK 125 mg/5ml botol 0 Rp 2,560.00 Rp - 0 Rp 2,560.00 Rp - Rp 2,560.00 Rp - 0 Rp 2,560.00 Rp -
BAHAN HABIS PAKAI FARMASI

1 Alat suntik 1 ml pcs 35 Rp 821.48 Rp 28,751.80 0 Rp 821.48 Rp - 35 Rp 821.48 Rp 28,751.80 0 Rp 821.48 Rp -
2 Alat suntik 1 ml pcs Rp 821.48 100 Rp 821.48 Rp 82,148.40 100 Rp 821.48 Rp 82,148.40 0 Rp 821.48
3 Alat suntik 2,5 ml pcs 25 Rp 864.72 Rp 21,618.00 200 Rp 864.72 Rp 172,944.00 200 Rp 864.72 Rp 172,944.00 25 Rp 864.72 Rp 21,618.00
4 Alat suntik 3 ml pcs 0 Rp 1,010.00 Rp - 0 Rp 1,010.00 Rp - Rp 1,010.00 Rp - 0 Rp 1,010.00 Rp -
5 Alat suntik 5 ml pcs 0 Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp - Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp -
6 Alat suntik 10 ml pcs 46 Rp 1,694.00 Rp 77,924.00 0 Rp 1,694.00 Rp - 15 Rp 1,694.00 Rp 25,410.00 31 Rp 1,694.00 Rp 52,514.00
7 Alat suntik ADS 0.5 ml pcs 0 Rp 1,925.00 Rp - 0 Rp 1,925.00 Rp - Rp 1,925.00 Rp - 0 Rp 1,925.00 Rp -
8 Alat suntik (Nipro Syringe) 3 ml pcs 0 Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp - Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp -
11 Alat Test Darah 3 in 1 set 0 Rp 1,100,000.00 Rp - 0 Rp 1,100,000.00 Rp - Rp 1,100,000.00 Rp - 0 Rp 1,100,000.00 Rp -
12 Asam urat test strip botol 1 Rp 89,100.00 Rp 89,100.00 0 Rp 89,100.00 Rp - 1 Rp 89,100.00 Rp 89,100.00 0 Rp 89,100.00 Rp -
13 Asam urat test strip botol 0 Rp 239,800.00 Rp - 0 Rp 239,800.00 Rp - Rp 239,800.00 Rp - 0 Rp 239,800.00 Rp -
14 Autocheck Cholesterol tes btl/25 strip kotak Rp 367,812.50 7 Rp 367,812.50 Rp 2,574,687.50 7 Rp 367,812.50 Rp 2,574,687.50 0 Rp 367,812.50 Rp -
15 Autocheck Cholesterol tes btl/25 strip kotak Rp 385,235.00 2 Rp 385,235.00 Rp 770,470.00 Rp 385,235.00 Rp - 2 Rp 385,235.00 Rp 770,470.00
16 Autocheck Glukosa tes btl/50 strip kotak Rp 136,950.00 23 Rp 136,950.00 Rp 3,149,850.00 3 Rp 136,950.00 Rp 410,850.00 20 Rp 136,950.00 Rp 2,739,000.00
17 Autocheck Uric Acid tes btl/50 strip kotak Rp 178,200.00 18 Rp 178,200.00 Rp 3,207,600.00 5 Rp 178,200.00 Rp 891,000.00 13 Rp 178,200.00 Rp 2,316,600.00
18 Autocheck Uric Acid tes btl/50 strip kotak Rp 195,485.00 2 Rp 195,485.00 Rp 390,970.00 Rp 195,485.00 Rp - 2 Rp 195,485.00 Rp 390,970.00
19 Aximed Exam Gloves S box Rp 57,750.00 9 Rp 57,750.00 Rp 519,750.00 9 Rp 57,750.00 Rp 519,750.00 0 Rp 57,750.00 Rp -
20 Aximed Exam Gloves M box Rp 57,750.00 9 Rp 57,750.00 Rp 519,750.00 9 Rp 57,750.00 Rp 519,750.00 0 Rp 57,750.00 Rp -
21 Benang Bedah No.2/0 (Cromic Cat Gut) dus Rp 215,045.00 4 Rp 215,045.00 Rp 860,180.00 Rp 215,045.00 Rp - 4 Rp 215,045.00 Rp 860,180.00
22 Benang Bedah No.3/0 (Cromic Cat Gut) dus Rp 215,045.00 6 Rp 215,045.00 Rp 1,290,270.00 2 Rp 215,045.00 Rp 430,090.00 4 Rp 215,045.00 Rp 860,180.00
23 Benang Bedah No.3/0 (Silk Black Braided) dus Rp 167,813.70 1 Rp 167,813.70 Rp 167,813.70 Rp 167,813.70 Rp - 1 Rp 167,813.70 Rp 167,813.70
24 Catgut 2/0 pcs 32 Rp 11,261.25 Rp 360,360.00 0 Rp 11,261.25 Rp - 32 Rp 11,261.25 Rp 360,360.00 0 Rp 11,261.25 Rp -
25 Catgut 3/0 pcs 17 Rp 11,261.25 Rp 191,441.25 0 Rp 11,261.25 Rp - 17 Rp 11,261.25 Rp 191,441.25 0 Rp 11,261.25 Rp -
26 Foley cateter No 10 pcs 30 Rp 13,750.00 Rp 412,500.00 0 Rp 13,750.00 Rp - Rp 13,750.00 Rp - 30 Rp 13,750.00 Rp 412,500.00
27 Foley cateter No 12 pcs 30 Rp 13,750.00 Rp 412,500.00 10 Rp 13,750.00 Rp 137,500.00 Rp 13,750.00 Rp - 40 Rp 13,750.00 Rp 550,000.00
28 Foley cateter No 14 pcs 90 Rp 13,750.00 Rp 1,237,500.00 10 Rp 13,750.00 Rp 137,500.00 Rp 13,750.00 Rp - 100 Rp 13,750.00 Rp 1,375,000.00
31 Urocare Folley Cathteter 2 way No.14 box Rp 92,000.00 5 Rp 92,000.00 Rp 460,000.00 Rp 92,000.00 Rp - 5 Rp 92,000.00 Rp 460,000.00
32 Elastic perband 3 inch roll 0 Rp 96,000.00 Rp - 0 Rp 96,000.00 Rp - Rp 96,000.00 Rp - 0 Rp 96,000.00 Rp -
33 E.W.G Surgical Gloves 7 pcs Rp 5,383.38 90 Rp 5,383.38 Rp 484,504.38 90 Rp 5,383.38 Rp 484,504.38 0 Rp 5,383.38 Rp -
34 E.W.G Surgical Gloves 7,5 pcs Rp 5,383.38 100 Rp 5,383.38 Rp 538,338.20 100 Rp 5,383.38 Rp 538,338.20 0 Rp 5,383.38 Rp -
35 E.W.G Surgical Gloves 8 pcs Rp 5,382.88 60 Rp 5,382.88 Rp 322,972.92 60 Rp 5,382.88 Rp 322,972.92 0 Rp 5,382.88 Rp -
36 Cholesterol test strip botol 4 Rp 147,125.00 Rp 588,500.00 0 Rp 147,125.00 Rp - 4 Rp 147,125.00 Rp 588,500.00 0 Rp 147,125.00 Rp -
37 Cholesterol test strip botol 0 Rp 320,000.00 Rp - 0 Rp 320,000.00 Rp - Rp 320,000.00 Rp - 0 Rp 320,000.00 Rp -
38 Cooper T set 0 Rp 124,300.00 Rp - 0 Rp 124,300.00 Rp - Rp 124,300.00 Rp - 0 Rp 124,300.00 Rp -
39 Cooper T set 32 Rp 125,000.00 Rp 4,000,000.00 0 Rp 125,000.00 Rp - Rp 125,000.00 Rp - 32 Rp 125,000.00 Rp 4,000,000.00
40 Feeding tube (Aximed) 40cm no.6 pcs 40 Rp 8,107.00 Rp 324,280.00 0 Rp 8,107.00 Rp - Rp 8,107.00 Rp - 40 Rp 8,107.00 Rp 324,280.00
43 Glukosa test strip botol 0 Rp 179,850.00 Rp - 0 Rp 179,850.00 Rp - Rp 179,850.00 Rp - 0 Rp 179,850.00 Rp -
44 Glukosa test strip botol 7 Rp 180,000.00 Rp 1,260,000.00 0 Rp 180,000.00 Rp - 7 Rp 180,000.00 Rp 1,260,000.00 0 Rp 180,000.00 Rp -
45 Hand scoen no 7 pcs 0 Rp 6,563.70 Rp - 0 Rp 6,563.70 Rp - Rp 6,563.70 Rp - 0 Rp 6,563.70 Rp -
46 Hand scoen no 7,5 pcs 0 Rp 4,675.00 Rp - 0 Rp 4,675.00 Rp - Rp 4,675.00 Rp - 0 Rp 4,675.00 Rp -
47 Hand scoen no 8 pcs 0 Rp 6,563.70 Rp - 0 Rp 6,563.70 Rp - Rp 6,563.70 Rp - 0 Rp 6,563.70 Rp -
48 Handscoen (Chirurguc Gloves no 6,5) set 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
52 Handscoen (Examination size S) pcs 1 Rp 57,750.00 Rp 57,750.00 0 Rp 57,750.00 Rp - 1 Rp 57,750.00 Rp 57,750.00 0 Rp 57,750.00 Rp -
53 Handscoen (Examination size M) pcs 1 Rp 57,750.00 Rp 57,750.00 0 Rp 57,750.00 Rp - 1 Rp 57,750.00 Rp 57,750.00 0 Rp 57,750.00 Rp -
54 Handscoen (Examination size L) pcs 0 Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp - Rp 57,750.00 Rp - 0 Rp 57,750.00 Rp -
55 Hypafix 5 cm x 1 m roll Rp 17,610.00 3 Rp 17,610.00 Rp 52,830.00 Rp 17,610.00 Rp - 3 Rp 17,610.00 Rp 52,830.00
56 Hypafix 5 cm x 5 m roll Rp 92,000.00 3 Rp 92,000.00 Rp 276,000.00 Rp 92,000.00 Rp - 3 Rp 92,000.00 Rp 276,000.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
57 Infusion set anak pcs 43 Rp 8,775.00 Rp 377,325.00 0 Rp 8,775.00 Rp - 43 Rp 8,775.00 Rp 377,325.00 0 Rp 8,775.00 Rp -
58 Infusion set anak pcs 0 Rp 3,556.16 Rp - 20 Rp 3,556.16 Rp 71,123.20 10 Rp 3,556.16 Rp 35,561.60 10 Rp 3,556.16 Rp 35,561.60
59 Infusion set dewasa pcs 17 Rp 8,775.00 Rp 149,175.00 0 Rp 8,775.00 Rp - 17 Rp 8,775.00 Rp 149,175.00 0 Rp 8,775.00 Rp -
60 Infuset (Nipro) Y pcs 110 Rp 6,343.00 Rp 697,730.00 10 Rp 6,343.00 Rp 63,430.00 90 Rp 6,343.00 Rp 570,870.00 30 Rp 6,343.00 Rp 190,290.00
61 IV catheter no 16 pcs 0 Rp 7,507.50 Rp - 0 Rp 7,507.50 Rp - Rp 7,507.50 Rp - 0 Rp 7,507.50 Rp -
64 IV catheter no 24 pcs 0 Rp 9,461.25 Rp - 10 Rp 9,461.25 Rp 94,612.49 Rp 9,461.25 Rp - 10 Rp 9,461.25 Rp 94,612.49
65 IV Catheter (Nipro IV Catheter No. 18 G x 1,4 ") pcs 100 Rp 8,947.95 Rp 894,795.00 0 Rp 8,947.95 Rp - 100 Rp 8,947.95 Rp 894,795.00 0 Rp 8,947.95 Rp -
66 IV Catheter (Nipro IV Catheter No. 18 G x 2 ") pcs 100 Rp 8,947.95 Rp 894,795.00 0 Rp 8,947.95 Rp - 100 Rp 8,947.95 Rp 894,795.00 0 Rp 8,947.95 Rp -
67 IV Catheter (Nipro IV Catheter No. 18 G x 2 ") pcs Rp 8,974.95 30 Rp 8,974.95 Rp 269,248.50 20 Rp 8,974.95 Rp 179,499.00 10 Rp 8,974.95 Rp 89,749.50
68 IV Catheter (Nipro IV Catheter No. 20 G x 1-1/4 ") pcs 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp -
71 Jarum jahit 1/2 surgical lusin 24 Rp 27,875.00 Rp 669,000.00 10 Rp 27,875.00 Rp 278,750.00 Rp 27,875.00 Rp - 34 Rp 27,875.00 Rp 947,750.00
72 Jarum jahit 3/8 surgical lusin 3 Rp 27,875.00 Rp 83,625.00 10 Rp 27,875.00 Rp 278,750.00 Rp 27,875.00 Rp - 13 Rp 27,875.00 Rp 362,375.00
73 Jayamas Onemed Povidone Iodine 30 ml botol Rp 3,480.00 10 Rp 3,480.00 Rp 34,800.00 10 Rp 3,480.00 Rp 34,800.00 0 Rp 3,480.00 Rp -
74 Jayamas Onemed Povidone Iodine 60 ml botol Rp 4,440.00 5 Rp 4,440.00 Rp 22,200.00 5 Rp 4,440.00 Rp 22,200.00 0 Rp 4,440.00 Rp -
75 Jayamas Onemed Masker N95 pcs Rp 7,488.80 40 Rp 7,488.80 Rp 299,552.00 40 Rp 7,488.80 Rp 299,552.00 0 Rp 7,488.80 Rp -
76 Jayamas Superlife Nitrile M box Rp 65,780.00 1 Rp 65,780.00 Rp 65,780.00 1 Rp 65,780.00 Rp 65,780.00 0 Rp 65,780.00 Rp -
77 Jayamas Superlife Nitrile L box Rp 65,780.00 1 Rp 65,780.00 Rp 65,780.00 1 Rp 65,780.00 Rp 65,780.00 0 Rp 65,780.00 Rp -
78 Kaca Slide pcs 85 Rp 50,000.00 Rp 4,250,000.00 0 Rp 50,000.00 Rp - 50 Rp 50,000.00 Rp 2,500,000.00 35 Rp 50,000.00 Rp 1,750,000.00
79 Kapas pembalut 250 gram pcs 16 Rp 23,595.00 Rp 377,520.00 0 Rp 23,595.00 Rp - Rp 23,595.00 Rp - 16 Rp 23,595.00 Rp 377,520.00
80 Kapas pembalut 250 gram roll 0 Rp 22,000.00 Rp - 10 Rp 22,000.00 Rp 220,000.00 Rp 22,000.00 Rp - 10 Rp 22,000.00 Rp 220,000.00
81 Kapas pembalut 500 gram pcs 10 Rp 35,000.00 Rp 350,000.00 0 Rp 35,000.00 Rp - Rp 35,000.00 Rp - 10 Rp 35,000.00 Rp 350,000.00
82 Kasa hydrofil 40x80 cm roll 14 Rp 282,750.00 Rp 3,958,500.00 0 Rp 282,750.00 Rp - 10 Rp 282,750.00 Rp 2,827,500.00 4 Rp 282,750.00 Rp 1,131,000.00
83 Kasa hydrofil 40x80 cm roll 0 Rp 120,750.00 Rp - 10 Rp 120,750.00 Rp 1,207,500.00 Rp 120,750.00 Rp - 10 Rp 120,750.00 Rp 1,207,500.00
84 Kasa hydrofil 40x80 cm roll 0 Rp 122,550.00 Rp - 0 Rp 122,550.00 Rp - Rp 122,550.00 Rp - 0 Rp 122,550.00 Rp -
85 Kasa kompres 40x40 cm bungkus Rp 1,840.00 100 Rp 1,840.00 Rp 184,000.00 10 Rp 1,840.00 Rp 18,400.00 90 Rp 1,840.00 Rp 165,600.00
86 Kasa kompres 40x40 cm bungkus 77 Rp 2,723.00 Rp 209,671.00 0 Rp 2,723.00 Rp - 77 Rp 2,723.00 Rp 209,671.00 0 Rp 2,723.00 Rp -
87 Kasa pembalut 2m x 80 cm roll 23 Rp 13,650.00 Rp 313,950.00 0 Rp 13,650.00 Rp - Rp 13,650.00 Rp - 23 Rp 13,650.00 Rp 313,950.00
88 Kasa pembalut 4 mx 5 cm roll 0 Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp - Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp -
89 Kasa pembalut 4 m x 10 cm roll 0 Rp 2,895.00 Rp - 0 Rp 2,895.00 Rp - Rp 2,895.00 Rp - 0 Rp 2,895.00 Rp -
90 Kasa pembalut 4 m x 15 cm roll 0 Rp 3,638.00 Rp - 0 Rp 3,638.00 Rp - Rp 3,638.00 Rp - 0 Rp 3,638.00 Rp -
91 Kasa pembalut hydrofil 4 yard x 5 cm roll 60 Rp 862.50 Rp 51,750.00 50 Rp 862.50 Rp 43,125.00 90 Rp 862.50 Rp 77,625.00 20 Rp 862.50 Rp 17,250.00
92 Kasa pembalut hydrofil 4 yard x 10 cm roll 75 Rp 1,725.00 Rp 129,375.00 50 Rp 1,725.00 Rp 86,250.00 75 Rp 1,725.00 Rp 129,375.00 50 Rp 1,725.00 Rp 86,250.00
93 Kasa pembalut hydrofil 4 yard x 15 cm roll 80 Rp 2,415.00 Rp 193,200.00 100 Rp 2,415.00 Rp 241,500.00 55 Rp 2,415.00 Rp 132,825.00 125 Rp 2,415.00 Rp 301,875.00
94 Kasa Steril 16 cm x 16 cm box Rp 9,200.00 20 Rp 9,200.00 Rp 184,000.00 Rp 9,200.00 Rp - 20 Rp 9,200.00 Rp 184,000.00
95 Kasa Steril 16 cm x 16 cm box 115 Rp 6,743.00 Rp 775,445.00 0 Rp 6,743.00 Rp - 65 Rp 6,743.00 Rp 438,295.00 50 Rp 6,743.00 Rp 337,150.00
96 Kasa Steril 18 cm x 22 cm box 115 Rp 8,625.00 Rp 991,875.00 30 Rp 8,625.00 Rp 258,750.00 60 Rp 8,625.00 Rp 517,500.00 85 Rp 8,625.00 Rp 733,125.00
97 Kertas puyer bungkus 16 Rp 93,500.00 Rp 1,496,000.00 1 Rp 93,500.00 Rp 93,500.00 7 Rp 93,500.00 Rp 654,500.00 10 Rp 93,500.00 Rp 935,000.00
98 nipro syringe 3 cc psc 0 Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp - Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp -
99 Masker pcs 80 Rp 495.00 Rp 39,600.00 0 Rp 495.00 Rp - 80 Rp 495.00 Rp 39,600.00 0 Rp 495.00 Rp -
100 Masker Ear Loop box 0 Rp 18,975.00 Rp - 30 Rp 18,975.00 Rp 569,250.00 30 Rp 18,975.00 Rp 569,250.00 0 Rp 18,975.00 Rp -
101 Masker N95 box 15 Rp 149,776.00 Rp 2,246,640.00 0 Rp 149,776.00 Rp - 15 Rp 149,776.00 Rp 2,246,640.00 0 Rp 149,776.00 Rp -
102 Mata pisau bedah No 10 pcs 0 Rp 9,759.00 Rp - 0 Rp 9,759.00 Rp - Rp 9,759.00 Rp - 0 Rp 9,759.00 Rp -
106 MF Cath Pro Medifirst MF Cath Pro IV Cath 18G pcs Rp 9,461.25 30 Rp 9,461.25 Rp 283,837.48 20 Rp 9,461.25 Rp 189,224.99 10 Rp 9,461.25 Rp 94,612.49
107 MF Cath Pro Medifirst MF Cath Pro IV Cath 24G pcs Rp 9,461.25 45 Rp 9,461.25 Rp 425,756.22 20 Rp 9,461.25 Rp 189,224.99 25 Rp 9,461.25 Rp 236,531.23
108 Nasal Oxygen (Aximed) size M pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
109 Nasal Oxygen (Aximed) size L pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
110 Nasal Oxygen (Aximed) size XS pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
111 Nipro syringe 5 cc pcs Rp 1,248.23 10 Rp 1,248.23 Rp 12,482.30 Rp 1,248.23 Rp - 10 Rp 1,248.23 Rp 12,482.30
112 Nipro syringe 10 cc pcs Rp 1,654.95 10 Rp 1,654.95 Rp 16,549.50 Rp 1,654.95 Rp - 10 Rp 1,654.95 Rp 16,549.50
113 Onionex Infusion Set For Pediatric pcs Rp 3,556.16 35 Rp 3,556.16 Rp 124,465.60 20 Rp 3,556.16 Rp 71,123.20 15 Rp 3,556.16 Rp 53,342.40
114 Onionex Disp Syringe 1 ml pcs Rp 821.48 300 Rp 821.48 Rp 246,445.20 260 Rp 821.48 Rp 213,585.84 40 Rp 821.48 Rp 32,859.36
115 Onionex Disp Syringe 2,5 ml pcs Rp 864.72 300 Rp 864.72 Rp 259,416.00 240 Rp 864.72 Rp 207,532.80 60 Rp 864.72 Rp 51,883.20
116 Onemed SILK 2/0+Jarum 1/2 GT 35MM dus Rp 126,500.00 2 Rp 126,500.00 Rp 253,000.00 Rp 126,500.00 Rp - 2 Rp 126,500.00 Rp 253,000.00
117 Oxygen Mask pcs Rp 12,180.00 10 Rp 12,180.00 Rp 121,800.00 Rp 12,180.00 Rp - 10 Rp 12,180.00 Rp 121,800.00
118 Oxygen Mask Dewasa dan Anak pcs Rp 10,559.90 10 Rp 10,559.90 Rp 105,599.00 Rp 10,559.90 Rp - 10 Rp 10,559.90 Rp 105,599.00
119 Paper tape 2,5 cm x 9,14 m roll 0 Rp 131,300.00 Rp - 0 Rp 131,300.00 Rp - Rp 131,300.00 Rp - 0 Rp 131,300.00 Rp -
120 Plester 5 cm x 4,5 M roll 6 Rp 65,000.00 Rp 390,000.00 0 Rp 65,000.00 Rp - Rp 65,000.00 Rp - 6 Rp 65,000.00 Rp 390,000.00
121 Plester 7,5 cm x 4,5 M roll 4 Rp 60,650.00 Rp 242,600.00 0 Rp 60,650.00 Rp - Rp 60,650.00 Rp - 4 Rp 60,650.00 Rp 242,600.00
122 Pot Sputum pot 22 Rp 2,000.00 Rp 44,000.00 0 Rp 2,000.00 Rp - 22 Rp 2,000.00 Rp 44,000.00 0 Rp 2,000.00 Rp -
123 Regulator oksigen pcs 0 Rp 487,500.00 Rp - 0 Rp 487,500.00 Rp - Rp 487,500.00 Rp - 0 Rp 487,500.00 Rp -
124 Silk (Benang Bedah Sutra) No.3/0 dus Rp 167,813.70 1 Rp 167,813.70 Rp 167,813.70 Rp 167,813.70 Rp - 1 Rp 167,813.70 Rp 167,813.70
125 Cuticell classic 5 cm x 5 cm pcs 0 Rp 17,150.00 Rp - 0 Rp 17,150.00 Rp - Rp 17,150.00 Rp - 0 Rp 17,150.00 Rp -
126 Selang oksigen pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
127 Urine bag pcs Rp 3,450.00 10 Rp 3,450.00 Rp 34,500.00 Rp 3,450.00 Rp - 10 Rp 3,450.00 Rp 34,500.00
128 Urine bag PCS 12 Rp 6,875.00 Rp 82,500.00 0 Rp 6,875.00 Rp - Rp 6,875.00 Rp - 12 Rp 6,875.00 Rp 82,500.00
129 Uric Acid test botol/25strip botol 0 Rp 240,000.00 Rp - 0 Rp 240,000.00 Rp - Rp 240,000.00 Rp - 0 Rp 240,000.00 Rp -
130 Alkohol swab pcs 58 Rp 11,500.00 Rp 667,000.00 35 Rp 11,500.00 Rp 402,500.00 56 Rp 11,500.00 Rp 644,000.00 37 Rp 11,500.00 Rp 425,500.00
131 Plesterin Non Womel roll 5 cm x 5 cm roll 70 Rp 27,324.00 Rp 1,912,680.00 31 Rp 27,324.00 Rp 847,044.00 36 Rp 27,324.00 Rp 983,664.00 65 Rp 27,324.00 Rp 1,776,060.00
132 Plesterin Non Womel roll 5 cm x 10 cm roll 27 Rp 47,564.00 Rp 1,284,228.00 15 Rp 47,564.00 Rp 713,460.00 17 Rp 47,564.00 Rp 808,588.00 25 Rp 47,564.00 Rp 1,189,100.00
133 Plesterin Non Womel roll 5 cm x 15 cm roll 38 Rp 79,948.00 Rp 3,038,024.00 15 Rp 79,948.00 Rp 1,199,220.00 42 Rp 79,948.00 Rp 3,357,816.00 11 Rp 79,948.00 Rp 879,428.00
134 Feeding Tube 8 FR 40 cm pcs 0 Rp 8,804.40 Rp - 0 Rp 8,804.40 Rp - Rp 8,804.40 Rp - 0 Rp 8,804.40 Rp -
135 Elastic perband 6 inch roll 19 Rp 86,680.00 Rp 1,646,920.00 5 Rp 86,680.00 Rp 433,400.00 Rp 86,680.00 Rp - 24 Rp 86,680.00 Rp 2,080,320.00
136 Kasa steril 10x10cm box 50 Rp 10,845.30 Rp 542,265.00 0 Rp 10,845.30 Rp - 45 Rp 10,845.30 Rp 488,038.50 5 Rp 10,845.30 Rp 54,226.50
137 Silk No.2.0 pcs 36 Rp 3,513.89 Rp 126,500.04 0 Rp 3,513.89 Rp - 36 Rp 3,513.89 Rp 126,500.04 0 Rp 3,513.89 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
138 Silk No.3.0 pcs 28 Rp 4,664.49 Rp 130,605.72 0 Rp 4,664.49 Rp - 28 Rp 4,664.49 Rp 130,605.72 0 Rp 4,664.49 Rp -
139 GEA MEDICAL REGULATOR 02 XY-988 pcs 0 Rp 453,200.00 Rp - 2 Rp 453,200.00 Rp 906,400.00 Rp 453,200.00 Rp - 2 Rp 453,200.00 Rp 906,400.00
140 Anios Dermanios Chloehexidin 500ml botol 0 Rp 112,413.60 Rp - 0 Rp 112,413.60 Rp - Rp 112,413.60 Rp - 0 Rp 112,413.60 Rp -
0 Rp - Rp - 0
REAGENT LAB 0 Rp - Rp - 0
1 Tes Kehamilan strip 40 Rp 2,400.00 Rp 96,000.00 0 Rp 2,400.00 Rp - 40 Rp 2,400.00 Rp 96,000.00 0 Rp 2,400.00 Rp -
2 Cairan Spiritus 1000 ml botol Rp 52,965.00 2 Rp 52,965.00 Rp 105,930.00 Rp 52,965.00 Rp - 2 Rp 52,965.00 Rp 105,930.00
3 Cairan Spiritus 1000 ml botol 7 Rp 68,250.00 Rp 477,750.00 0 Rp 68,250.00 Rp - Rp 68,250.00 Rp - 7 Rp 68,250.00 Rp 477,750.00
4 First Response Malaria Antigen Combo Card Test set Rp 440,850.00 4 Rp 440,850.00 Rp 1,763,400.00 1 Rp 440,850.00 Rp 440,850.00 3 Rp 440,850.00 Rp 1,322,550.00
NILAI OBAT IFK PUSKESMAS SANGGONA Rp 120,650,749.48 Rp 60,598,802.80 Rp 122,074,605.158 Rp 59,174,947.12
OBAT BPJS
1 GG box Rp 18,000.00 7 Rp 18,000.00 Rp 126,000.00 7 Rp 18,000.00 Rp 126,000.00 0 Rp 18,000.00 Rp -
2 Ambroxol box Rp 18,000.00 7 Rp 18,000.00 Rp 126,000.00 7 Rp 18,000.00 Rp 126,000.00 0 Rp 18,000.00 Rp -
3 Alleron ( CTM ) box Rp 23,000.00 7 Rp 23,000.00 Rp 161,000.00 7 Rp 23,000.00 Rp 161,000.00 0 Rp 23,000.00 Rp -
4 Cetrizin box Rp 40,000.00 7 Rp 40,000.00 Rp 280,000.00 7 Rp 40,000.00 Rp 280,000.00 0 Rp 40,000.00 Rp -
5 Captopril 25 Mg box Rp 18,000.00 7 Rp 18,000.00 Rp 126,000.00 7 Rp 18,000.00 Rp 126,000.00 0 Rp 18,000.00 Rp -
6 Metronidazol box Rp 30,000.00 5 Rp 30,000.00 Rp 150,000.00 5 Rp 30,000.00 Rp 150,000.00 0 Rp 30,000.00 Rp -
7 Piroxicam 20 Mg box Rp 18,000.00 5 Rp 18,000.00 Rp 90,000.00 5 Rp 18,000.00 Rp 90,000.00 0 Rp 18,000.00 Rp -
8 Ibuprofen syrup botol Rp 6,000.00 10 Rp 6,000.00 Rp 60,000.00 10 Rp 6,000.00 Rp 60,000.00 0 Rp 6,000.00 Rp -
9 Ibuprofen Tablet 400 mg box Rp 30,000.00 5 Rp 30,000.00 Rp 150,000.00 5 Rp 30,000.00 Rp 150,000.00 0 Rp 30,000.00 Rp -
10 Paratusin syrup botol Rp 30,000.00 9 Rp 30,000.00 Rp 270,000.00 9 Rp 30,000.00 Rp 270,000.00 0 Rp 30,000.00 Rp -
11 Asam Mefenamat box Rp 35,000.00 5 Rp 35,000.00 Rp 175,000.00 5 Rp 35,000.00 Rp 175,000.00 0 Rp 35,000.00 Rp -
12 Nifedipine box Rp 22,000.00 5 Rp 22,000.00 Rp 110,000.00 5 Rp 22,000.00 Rp 110,000.00 0 Rp 22,000.00 Rp -
13 Betahistin box Rp 82,000.00 5 Rp 82,000.00 Rp 410,000.00 5 Rp 82,000.00 Rp 410,000.00 0 Rp 82,000.00 Rp -
14 Curcuma Tablet box Rp 99,000.00 5 Rp 99,000.00 Rp 495,000.00 5 Rp 99,000.00 Rp 495,000.00 0 Rp 99,000.00 Rp -
15 Orphen (CTM) box Rp 25,000.00 2 Rp 25,000.00 Rp 50,000.00 2 Rp 25,000.00 Rp 50,000.00 0 Rp 25,000.00 Rp -
16 Vit. B Complex box Rp 20,000.00 2 Rp 20,000.00 Rp 40,000.00 2 Rp 20,000.00 Rp 40,000.00 0 Rp 20,000.00 Rp -
17 Omeprazole box Rp 20,000.00 4 Rp 20,000.00 Rp 80,000.00 4 Rp 20,000.00 Rp 80,000.00 0 Rp 20,000.00 Rp -
18 Cetrizin box Rp 16,000.00 4 Rp 16,000.00 Rp 64,000.00 4 Rp 16,000.00 Rp 64,000.00 0 Rp 16,000.00 Rp -
19 GG box Rp 20,000.00 2 Rp 20,000.00 Rp 40,000.00 2 Rp 20,000.00 Rp 40,000.00 0 Rp 20,000.00 Rp -
20 Renadinac (Natrium Diklofenak 25 mg) box Rp 30,000.00 2 Rp 30,000.00 Rp 60,000.00 2 Rp 30,000.00 Rp 60,000.00 0 Rp 30,000.00 Rp -
21 Metilprednisolone 4 mg box Rp 35,000.00 1 Rp 35,000.00 Rp 35,000.00 1 Rp 35,000.00 Rp 35,000.00 0 Rp 35,000.00 Rp -
22 Captopril 50 mg box Rp 35,000.00 2 Rp 35,000.00 Rp 70,000.00 2 Rp 35,000.00 Rp 70,000.00 0 Rp 35,000.00 Rp -
23 Asam Mefenamat box Rp 40,000.00 2 Rp 40,000.00 Rp 80,000.00 2 Rp 40,000.00 Rp 80,000.00 0 Rp 40,000.00 Rp -
24 Captopril 25 Mg box Rp 22,000.00 2 Rp 22,000.00 Rp 44,000.00 2 Rp 22,000.00 Rp 44,000.00 0 Rp 22,000.00 Rp -
25 Simvastatin 10 mg box Rp 50,000.00 2 Rp 50,000.00 Rp 100,000.00 2 Rp 50,000.00 Rp 100,000.00 0 Rp 50,000.00 Rp -
26 Fasorbit 2 mg box Rp 35,000.00 2 Rp 35,000.00 Rp 70,000.00 2 Rp 35,000.00 Rp 70,000.00 0 Rp 35,000.00 Rp -
27 Paracetamol 500 mg box Rp 18,000.00 4 Rp 18,000.00 Rp 72,000.00 4 Rp 18,000.00 Rp 72,000.00 0 Rp 18,000.00 Rp -
28 Gludepatik 500 mg box Rp 35,000.00 3 Rp 35,000.00 Rp 105,000.00 3 Rp 35,000.00 Rp 105,000.00 0 Rp 35,000.00 Rp -
29 Farmoten 25 mg box Rp 32,000.00 3 Rp 32,000.00 Rp 96,000.00 3 Rp 32,000.00 Rp 96,000.00 0 Rp 32,000.00 Rp -
30 Omeprazole box Rp 15,000.00 8 Rp 15,000.00 Rp 120,000.00 8 Rp 15,000.00 Rp 120,000.00 0 Rp 15,000.00 Rp -
31 Amlodipine box Rp 97,500.00 4 Rp 97,500.00 Rp 390,000.00 4 Rp 97,500.00 Rp 390,000.00 0 Rp 97,500.00 Rp -
32 Captopril 25 mg box Rp 18,000.00 10 Rp 18,000.00 Rp 180,000.00 10 Rp 18,000.00 Rp 180,000.00 0 Rp 18,000.00 Rp -
33 Simvastatin 20 mg box Rp 80,000.00 4 Rp 80,000.00 Rp 320,000.00 4 Rp 80,000.00 Rp 320,000.00 0 Rp 80,000.00 Rp -
34 Allopurinol 100 box Rp 18,000.00 5 Rp 18,000.00 Rp 90,000.00 0 Rp 18,000.00 Rp - 5 Rp 18,000.00 Rp 90,000.00
35 Amoxcilin 250 box Rp 40,000.00 8 Rp 40,000.00 Rp 320,000.00 8 Rp 40,000.00 Rp 320,000.00 0 Rp 40,000.00 Rp -
36 Amoxcilin 250 sirup botol Rp 10,000.00 8 Rp 10,000.00 Rp 80,000.00 8 Rp 10,000.00 Rp 80,000.00 0 Rp 10,000.00 Rp -
37 Oksitetrasiklin tube Rp 4,000.00 50 Rp 4,000.00 Rp 200,000.00 25 Rp 4,000.00 Rp 100,000.00 25 Rp 4,000.00 Rp 100,000.00
38 Aspilets Chewable box Rp 80,000.00 1 Rp 80,000.00 Rp 80,000.00 1 Rp 80,000.00 Rp 80,000.00 0 Rp 80,000.00 Rp -
39 Catropril 25 mg box Rp 18,000.00 10 Rp 18,000.00 Rp 180,000.00 3 Rp 18,000.00 Rp 54,000.00 7 Rp 18,000.00 Rp 126,000.00
40 Amlodipine 5 mg box Rp 60,000.00 2 Rp 60,000.00 Rp 120,000.00 1 Rp 60,000.00 Rp 60,000.00 1 Rp 60,000.00 Rp 60,000.00
41 Amlodipine 10 mg box Rp 100,000.00 2 Rp 100,000.00 Rp 200,000.00 0 Rp 100,000.00 Rp - 2 Rp 100,000.00 Rp 200,000.00
42 Dexametasone Injeksi ampul Rp 3,500.00 20 Rp 3,500.00 Rp 70,000.00 5 Rp 3,500.00 Rp 17,500.00 15 Rp 3,500.00 Rp 52,500.00
43 Metformin strip Rp 3,000.00 40 Rp 3,000.00 Rp 120,000.00 Rp 3,000.00 Rp - 40 Rp 3,000.00 Rp 120,000.00
44 Captopril 25 mg strip Rp 2,000.00 20 Rp 2,000.00 Rp 40,000.00 Rp 2,000.00 Rp - 20 Rp 2,000.00 Rp 40,000.00
45 Amlodipin 10 mg strip Rp 4,000.00 90 Rp 4,000.00 Rp 360,000.00 Rp 4,000.00 Rp - 90 Rp 4,000.00 Rp 360,000.00
46 Cetrizin strip Rp 5,000.00 40 Rp 5,000.00 Rp 200,000.00 Rp 5,000.00 Rp - 40 Rp 5,000.00 Rp 200,000.00
47 Parasetamol Sirup botol Rp 4,000.00 40 Rp 4,000.00 Rp 160,000.00 Rp 4,000.00 Rp - 40 Rp 4,000.00 Rp 160,000.00
48 Metilprednisolone 4 mg strip Rp 5,000.00 40 Rp 5,000.00 Rp 200,000.00 Rp 5,000.00 Rp - 40 Rp 5,000.00 Rp 200,000.00
49 Omeprazole strip Rp 7,000.00 40 Rp 7,000.00 Rp 280,000.00 Rp 7,000.00 Rp - 40 Rp 7,000.00 Rp 280,000.00
50 Amoksicilin Sirup botol Rp 5,000.00 27 Rp 5,000.00 Rp 135,000.00 Rp 5,000.00 Rp - 27 Rp 5,000.00 Rp 135,000.00
51 Paracetamol Tab 500 mg strip Rp 2,000.00 60 Rp 2,000.00 Rp 120,000.00 Rp 2,000.00 Rp - 60 Rp 2,000.00 Rp 120,000.00
52 Amoksicilin Tab 500 mg strip Rp 5,000.00 60 Rp 5,000.00 Rp 300,000.00 Rp 5,000.00 Rp - 60 Rp 5,000.00 Rp 300,000.00
53 Zinc Tab Box 1 Rp 72,000.00 Rp 72,000.00 0 Rp 72,000.00 Rp - 1 Rp 72,000.00 Rp 72,000.00 0 Rp 72,000.00 Rp -
BMHP BPJS 2020

4 Benang Catgut pcs Rp 18,000.00 55 Rp 18,000.00 Rp 990,000.00 55 Rp 18,000.00 Rp 990,000.00 0 Rp 18,000.00 Rp -
5 Benang Catgut pcs Rp 18,000.00 48 Rp 18,000.00 Rp 864,000.00 48 Rp 18,000.00 Rp 864,000.00 0 Rp 18,000.00 Rp -
6 Handschoen dus Rp 200,000.00 3 Rp 200,000.00 Rp 600,000.00 3 Rp 200,000.00 Rp 600,000.00 0 Rp 200,000.00 Rp -
7 Handschoen dus Rp 110,000.00 1 Rp 110,000.00 Rp 110,000.00 1 Rp 110,000.00 Rp 110,000.00 0 Rp 110,000.00 Rp -
8 Handschoen non steril dus Rp 150,000.00 2 Rp 150,000.00 Rp 300,000.00 2 Rp 150,000.00 Rp 300,000.00 0 Rp 150,000.00 Rp -
11 Infuset Makro pcs Rp 7,000.00 10 Rp 7,000.00 Rp 70,000.00 10 Rp 7,000.00 Rp 70,000.00 0 Rp 7,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
12 Jas Hujan Tipis pcs Rp 15,000.00 10 Rp 15,000.00 Rp 150,000.00 10 Rp 15,000.00 Rp 150,000.00 0 Rp 15,000.00 Rp -
13 Jas Hujan Tebal pcs Rp 100,000.00 5 Rp 100,000.00 Rp 500,000.00 5 Rp 100,000.00 Rp 500,000.00 0 Rp 100,000.00 Rp -
14 Masker Hijab dus Rp 135,000.00 2 Rp 135,000.00 Rp 270,000.00 2 Rp 135,000.00 Rp 270,000.00 0 Rp 135,000.00 Rp -
15 Masker Non Medis dus Rp 75,000.00 2 Rp 75,000.00 Rp 150,000.00 2 Rp 75,000.00 Rp 150,000.00 0 Rp 75,000.00 Rp -
16 Masker Hijab Sensi dus Rp 150,000.00 2 Rp 150,000.00 Rp 300,000.00 2 Rp 150,000.00 Rp 300,000.00 0 Rp 150,000.00 Rp -
17 Masker Medis dus Rp 100,420.00 1 Rp 100,420.00 Rp 100,420.00 1 Rp 100,420.00 Rp 100,420.00 0 Rp 100,420.00 Rp -
18 Lidocain 2% Inj Ampul Rp 4,000.00 30 Rp 4,000.00 Rp 120,000.00 30 Rp 4,000.00 Rp 120,000.00 0 Rp 4,000.00 Rp -
21 Nurse Cap dus Rp 145,000.00 1 Rp 145,000.00 Rp 145,000.00 1 Rp 145,000.00 Rp 145,000.00 0 Rp 145,000.00 Rp -
22 Oksitosin Inj Ampul Rp 7,000.00 30 Rp 7,000.00 Rp 210,000.00 30 Rp 7,000.00 Rp 210,000.00 0 Rp 7,000.00 Rp -
23 Metilergometrin Inj Ampul Rp 7,000.00 30 Rp 7,000.00 Rp 210,000.00 30 Rp 7,000.00 Rp 210,000.00 0 Rp 7,000.00 Rp -
24 Pelindung Wajah pcs Rp 35,000.00 20 Rp 35,000.00 Rp 700,000.00 20 Rp 35,000.00 Rp 700,000.00 0 Rp 35,000.00 Rp -
25 Pelindung Wajah pcs Rp 18,000.00 30 Rp 18,000.00 Rp 540,000.00 30 Rp 18,000.00 Rp 540,000.00 0 Rp 18,000.00 Rp -
26 Sabun Lifebuoy pcs Rp 30,000.00 4 Rp 30,000.00 Rp 120,000.00 4 Rp 30,000.00 Rp 120,000.00 0 Rp 30,000.00 Rp -
27 Vanish 150 ml pcs Rp 15,000.00 15 Rp 15,000.00 Rp 225,000.00 15 Rp 15,000.00 Rp 225,000.00 0 Rp 15,000.00 Rp -
30 Tabung O2 tabung Rp 100,000.00 28 Rp 100,000.00 Rp 2,800,000.00 28 Rp 100,000.00 Rp 2,800,000.00 0 Rp 100,000.00 Rp -
31 Povidone lodine 1000 ml Botol 1 Rp 86,400.00 Rp 86,400.00 0 Rp 86,400.00 Rp - 1 Rp 86,400.00 Rp 86,400.00 0 Rp 86,400.00 Rp -
32 Strip Cholestrol Botol 0 Rp 288,000.00 Rp - 5 Rp 288,000.00 Rp 1,440,000.00 5 Rp 288,000.00 Rp 1,440,000.00 0 Rp 288,000.00 Rp -
33 Strip Glukosa Botol 0 Rp 216,000.00 Rp - 3 Rp 216,000.00 Rp 648,000.00 3 Rp 216,000.00 Rp 648,000.00 0 Rp 216,000.00 Rp -
34 Strip Asam Urat Botol 0 Rp 216,000.00 Rp - 4 Rp 216,000.00 Rp 864,000.00 4 Rp 216,000.00 Rp 864,000.00 0 Rp 216,000.00 Rp -
35 Pehacain Amp 13 Rp 4,800.00 Rp 62,400.00 0 Rp 4,800.00 Rp - 13 Rp 4,800.00 Rp 62,400.00 0 Rp 4,800.00 Rp -
NILAI OBAT BPJS PUSKESMAS SANGGONA Rp 220,800.00 Rp 22,912,420.00 Rp 20,589,720.000 Rp 2,543,500.00
OBAT PROGRAM
1 RDT TEST 0 Rp 6,476.00 Rp - 25 Rp 6,476.00 Rp 161,900.00 25 Rp 6,476.00 Rp 161,900.00 0 Rp 6,476.00 Rp -
2 RDT TEST 0 Rp 7,710.00 Rp - 25 Rp 7,710.00 Rp 192,750.00 25 Rp 7,710.00 Rp 192,750.00 0 Rp 7,710.00 Rp -
1 Oralit Sachet Rp 275.00 Rp - 500 Rp 275.00 Rp 137,500.00 500 Rp 275.00 Rp 137,500.00 0 Rp 275.00 Rp -
2 Tablet Tambah Darah (FE) Tablet Rp 427.00 Rp - 5600 Rp 427.00 Rp 2,391,200.00 3400 Rp 427.00 Rp 1,451,800.00 2200 Rp 427.00 Rp 939,400.00
1 Oksitetrasiklin Salep Mata Tube Rp 2,500.00 Rp - 50 Rp 2,500.00 Rp 125,000.00 50 Rp 2,500.00 Rp 125,000.00 0 Rp 2,500.00 Rp -
2 Metilergometrin Inj Ampul Rp 3,553.00 Rp - 100 Rp 3,553.00 Rp 355,300.00 100 Rp 3,553.00 Rp 355,300.00 0 Rp 3,553.00 Rp -
3 Fitomenadion Inj Ampul Rp 3,682.00 Rp - 60 Rp 3,682.00 Rp 220,920.00 60 Rp 3,682.00 Rp 220,920.00 0 Rp 3,682.00 Rp -
1 SD-SHYPILIS TEST 0 Rp 20,400.00 Rp - 145 Rp 20,400.00 Rp 2,958,000.00 10 Rp 20,400.00 Rp 204,000.00 135 Rp 20,400.00 Rp 2,754,000.00
2 RAPID HEPATITIS TEST 0 Rp 9,870.00 Rp - 300 Rp 9,870.00 Rp 2,961,000.00 173 Rp 9,870.00 Rp 1,707,510.00 127 Rp 9,870.00 Rp 1,253,490.00
3 RAPID HIV TEST 42 Rp 11,975.00 Rp 502,950.00 350 Rp 11,975.00 Rp 4,191,250.00 377 Rp 11,975.00 Rp 4,514,575.00 15 Rp 11,975.00 Rp 179,625.00
4 MIKROPIPET TIPS 61 PCS 100 Rp 230.60 Rp 23,060.00 Rp 230.60 Rp - 100 Rp 230.60 Rp 23,060.00 0 Rp 230.60 Rp -
1 Vaksin BCG Ampul 11 Rp 59,959.00 Rp 659,549.00 50 Rp 59,959.00 Rp 2,997,950.00 27 Rp 59,959.00 Rp 1,618,893.00 34 Rp 59,959.00 Rp 2,038,606.00
2 Vaksin DPT HB Vial 28 Rp 76,285.00 Rp 2,135,980.00 100 Rp 76,285.00 Rp 7,628,500.00 57 Rp 76,285.00 Rp 4,348,245.00 71 Rp 76,285.00 Rp 5,416,235.00
3 Vaksin Polio Vial 38 Rp 19,954.00 Rp 758,252.00 110 Rp 19,954.00 Rp 2,194,940.00 39 Rp 19,954.00 Rp 778,206.00 109 Rp 19,954.00 Rp 2,174,986.00
4 Vaksin Campak Vial 42 Rp 28,204.00 Rp 1,184,568.00 Rp 28,204.00 Rp - 42 Rp 28,204.00 Rp 1,184,568.00 0 Rp 28,204.00 Rp -
5 Vaksin Unijek Buah 29 Rp 76,285.00 Rp 2,212,265.00 50 Rp 76,285.00 Rp 3,814,250.00 54 Rp 76,285.00 Rp 4,119,390.00 25 Rp 76,285.00 Rp 1,907,125.00
6 Vaksin TT Vial 32 Rp 14,498.00 Rp 463,936.00 Rp 14,498.00 Rp - 32 Rp 14,498.00 Rp 463,936.00 0 Rp 14,498.00 Rp -
7 Vaksin IPV Vial 15 Rp 152,800.00 Rp 2,292,000.00 40 Rp 152,800.00 Rp 6,112,000.00 6 Rp 152,800.00 Rp 916,800.00 49 Rp 152,800.00 Rp 7,487,200.00
8 MR Vial Rp 141,648.00 Rp - 160 Rp 141,648.00 Rp 22,663,680.00 117 Rp 141,648.00 Rp 16,572,816.00 43 Rp 141,648.00 Rp 6,090,864.00
9 Td Vial Rp 16,500.00 Rp - 110 Rp 16,500.00 Rp 1,815,000.00 33 Rp 16,500.00 Rp 544,500.00 77 Rp 16,500.00 Rp 1,270,500.00
10 DT Vial Rp 17,798.00 Rp - 30 Rp 17,798.00 Rp 533,940.00 5 Rp 17,798.00 Rp 88,990.00 25 Rp 17,798.00 Rp 444,950.00
11 ADS 0,05 PCS Rp - 100 Rp - Rp - 100 Rp - Rp - 0 Rp - Rp -
12 ADS 0,5 PCS Rp - 500 Rp - Rp - 337 Rp - Rp - 163 Rp - Rp -
13 ADS 5 PCS Rp - 300 Rp - Rp - 101 Rp - Rp - 199 Rp - Rp -
1 Albendazole 400 mg Tablet 781 Rp 1,041.98 Rp 813,782.48 Rp 1,041.98 Rp - Rp 1,041.98 Rp - 781 Rp 1,041.98 Rp 813,782.48
2 DEC 100 mg Tablet 725 Rp 202.07 Rp 146,497.52 Rp 202.07 Rp - Rp 202.07 Rp - 725 Rp 202.07 Rp 146,497.52
1 Obat Anti TB Kategori I Paket 1 Rp 396,000.00 Rp 396,000.00 Rp 396,000.00 Rp - 1 Rp 396,000.00 Rp 396,000.00 0 Rp 396,000.00 Rp -
2 Obat Anti TB Katergori I Paket 0 Rp 498,565.00 Rp - 3 Rp 498,565.00 Rp 1,495,695.00 Rp 498,565.00 Rp - 3 Rp 498,565.00 Rp 1,495,695.00
3 Obat Anti TB Kategori Anak Paket 0 Rp 257,986.00 Rp - Rp 257,986.00 Rp - Rp 257,986.00 Rp - 0 Rp 257,986.00 Rp -
4 Pot Dahak Pot 0 Rp 2,968.00 Rp - 150 Rp 2,968.00 Rp 445,200.00 90 Rp 2,968.00 Rp 267,120.00 60 Rp 2,968.00 Rp 178,080.00
5 Masker TB MDR PCS 0 Rp 368.00 Rp - 100 Rp 368.00 Rp 36,800.00 Rp 368.00 Rp - 100 Rp 368.00 Rp 36,800.00
6 Reagen BTA Paket Rp 269,000.00 Rp - 2 Rp 269,000.00 Rp 538,000.00 1 Rp 269,000.00 Rp 269,000.00 1 Rp 269,000.00 Rp 269,000.00
NILAI OBAT PROGRAM PUSKESMAS SANGGONA Rp 11,588,840.00 Rp 63,970,775.00 Rp 40,662,779.000 Rp 34,896,836.00
JUMLAH NILAI OBAT PUSKESMAS SANGGONA Rp 132,460,389.48 Rp 147,481,997.80 Rp 183,327,104.158 Rp 96,615,283.12
PUSKESMAS UEESI
OBAT IFK
1 Air Untuk Injeksi 20 ml vial 0 Rp 2,200.00 Rp - 0 Rp 2,200.00 Rp - 0 Rp 2,200.00 Rp - 0 Rp 2,200.00 Rp -
2 Air Untuk Injeksi 25 ml vial 0 Rp 2,860.00 Rp - 10 Rp 2,860.00 Rp 28,600.00 0 Rp 2,860.00 Rp - 10 Rp 2,860.00 Rp 28,600.00
3 Albendazole tab 400 mg tablet 0 Rp 363.00 Rp - 0 Rp 363.00 Rp - 0 Rp 363.00 Rp - 0 Rp 363.00 Rp -
4 Albendazole susp 200 mg/5 ml botol 29 Rp 41,619.00 Rp 1,206,951.00 0 Rp 41,619.00 Rp - 29 Rp 41,619.00 Rp 1,206,951.00 0 Rp 41,619.00 Rp -
6 Allopurinol tab 100 mg tablet 1530 Rp 102.00 Rp 156,060.00 500 Rp 102.00 Rp 51,000.00 930 Rp 102.00 Rp 94,860.00 1100 Rp 102.00 Rp 112,200.00
15 Acetyl cysteine 200 mg kapsul 80 Rp 460.00 Rp 36,800.00 100 Rp 460.00 Rp 46,000.00 180 Rp 460.00 Rp 82,800.00 0 Rp 460.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
16 Amlodipin tab 5 mg tablet 0 Rp 83.00 Rp - 300 Rp 83.00 Rp 24,900.00 0 Rp 83.00 Rp - 300 Rp 83.00 Rp 24,900.00
17 Amlodipin tab 5 mg tablet 2210 Rp 78.00 Rp 172,380.00 900 Rp 78.00 Rp 70,200.00 2910 Rp 78.00 Rp 226,980.00 200 Rp 78.00 Rp 15,600.00
20 Amlodipin tab 10 mg tablet 146 Rp 110.00 Rp 16,060.00 0 Rp 110.00 Rp - 146 Rp 110.00 Rp 16,060.00 0 Rp 110.00 Rp -
21 Amlodipin tab 10 mg tablet 0 Rp 106.00 Rp - 900 Rp 106.00 Rp 95,400.00 0 Rp 106.00 Rp - 900 Rp 106.00 Rp 95,400.00
23 Amoxicillin sir forte 250 mg/5 ml botol 1000 Rp 3,797.00 Rp 3,797,000.00 0 Rp 3,797.00 Rp - 1000 Rp 3,797.00 Rp 3,797,000.00 0 Rp 3,797.00 Rp -
24 Amoxicillin sir Sirup Kering 250 mg/5 ml botol 360 Rp 3,740.00 Rp 1,346,400.00 120 Rp 3,740.00 Rp 448,800.00 480 Rp 3,740.00 Rp 1,795,200.00 0 Rp 3,740.00 Rp -
25 Amoxicillin SK 125 mg/5 ml botol 0 Rp 2,560.00 Rp - 0 Rp 2,560.00 Rp - 0 Rp 2,560.00 Rp - 0 Rp 2,560.00 Rp -
28 Amoxicillin tab 500 mg tablet 3550 Rp 192.00 Rp 681,600.00 0 Rp 192.00 Rp - 750 Rp 192.00 Rp 144,000.00 2800 Rp 192.00 Rp 537,600.00
29 Amoxicillin tab 500 mg kapsul 0 Rp 248.00 Rp - 500 Rp 248.00 Rp 124,000.00 150 Rp 248.00 Rp 37,200.00 350 Rp 248.00 Rp 86,800.00
30 Amoxicillin kaplet 500 mg kapslet 0 Rp 265.00 Rp - 1000 Rp 265.00 Rp 265,000.00 0 Rp 265.00 Rp - 1000 Rp 265.00 Rp 265,000.00
31 Amoxicillin kaplet 500 mg kapslet 0 Rp 269.00 Rp - 1000 Rp 269.00 Rp 269,000.00 0 Rp 269.00 Rp - 1000 Rp 269.00 Rp 269,000.00
33 Antasida DOEN susp 60 ml botol 0 Rp 2,019.00 Rp - 0 Rp 2,019.00 Rp - 0 Rp 2,019.00 Rp - 0 Rp 2,019.00 Rp -
34 Antasida DOEN II sirup kombinasi : Allu 200 botol 75 Rp 2,146.00 Rp 160,950.00 0 Rp 2,146.00 Rp - 45 Rp 2,146.00 Rp 96,570.00 30 Rp 2,146.00 Rp 64,380.00
35 Antasida DOEN II sirup kombinasi : Allu 200 botol 0 Rp 2,290.00 Rp - 0 Rp 2,290.00 Rp - 0 Rp 2,290.00 Rp - 0 Rp 2,290.00 Rp -
36 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 tablet 0 Rp 78.00 Rp - 0 Rp 78.00 Rp - 0 Rp 78.00 Rp - 0 Rp 78.00 Rp -
38 Anti Bakteri DOEN salep kombinasi 5 g pot 100 Rp 3,511.00 Rp 351,100.00 50 Rp 3,511.00 Rp 175,550.00 150 Rp 3,511.00 Rp 526,650.00 0 Rp 3,511.00 Rp -
39 Antifungi DOEN kombinasi 30 g pot 0 Rp 1,890.00 Rp - 0 Rp 1,890.00 Rp - 0 Rp 1,890.00 Rp - 0 Rp 1,890.00 Rp -
41 Antifungi Salep Kombinasi pot 0 Rp 5,757.00 Rp - 12 Rp 5,757.00 Rp 69,084.00 12 Rp 5,757.00 Rp 69,084.00 0 Rp 5,757.00 Rp -
42 Antihemoroid DOEN suppo supp 30 Rp 3,800.00 Rp 114,000.00 30 Rp 3,800.00 Rp 114,000.00 20 Rp 3,800.00 Rp 76,000.00 40 Rp 3,800.00 Rp 152,000.00
43 Antihemoroid DOEN suppo supp 0 Rp 3,350.00 Rp - 0 Rp 3,350.00 Rp - 0 Rp 3,350.00 Rp - 0 Rp 3,350.00 Rp -
51 Asam Ascorbat (Vitamin C) tab 50 mg tablet 2300 Rp 31.69 Rp 72,887.00 0 Rp 31.69 Rp - 1800 Rp 31.69 Rp 57,042.00 500 Rp 31.69 Rp 15,845.00
52 Asam Askorbat (Vit C) 50 mg tablet 6780 Rp 126.00 Rp 854,280.00 3000 Rp 126.00 Rp 378,000.00 7780 Rp 126.00 Rp 980,280.00 2000 Rp 126.00 Rp 252,000.00
56 Asam Folat tab 0,4 mg tablet 0 Rp 104.00 Rp - 0 Rp 104.00 Rp - 0 Rp 104.00 Rp - 0 Rp 104.00 Rp -
57 Asam Folat tab 1 mg tablet 400 Rp 90.00 Rp 36,000.00 500 Rp 90.00 Rp 45,000.00 400 Rp 90.00 Rp 36,000.00 500 Rp 90.00 Rp 45,000.00
58 Asam Folat tab 1 mg tablet 0 Rp 52.00 Rp - 0 Rp 52.00 Rp - 0 Rp 52.00 Rp - 0 Rp 52.00 Rp -
60 Asam Mefenamat tab 500 mg tablet 3304 Rp 127.00 Rp 419,608.00 0 Rp 127.00 Rp - 2104 Rp 127.00 Rp 267,208.00 1200 Rp 127.00 Rp 152,400.00
63 Asam Traneksamat inj 50 mg/mL ampul 0 Rp 2,950.00 Rp - 0 Rp 2,950.00 Rp - 0 Rp 2,950.00 Rp - 0 Rp 2,950.00 Rp -
64 Asiklovir tab 200 mg tablet 0 Rp 236.00 Rp - 1300 Rp 236.00 Rp 306,800.00 0 Rp 236.00 Rp - 1300 Rp 236.00 Rp 306,800.00
65 Asiklovir tab 200 mg tablet 0 Rp 263.00 Rp - 0 Rp 263.00 Rp - 0 Rp 263.00 Rp - 0 Rp 263.00 Rp -
66 Asiklovir tab 200 mg tablet 0 Rp 440.00 Rp - 0 Rp 440.00 Rp - 0 Rp 440.00 Rp - 0 Rp 440.00 Rp -
67 Asiklovir tab 400 mg tablet 950 Rp 415.00 Rp 394,250.00 0 Rp 415.00 Rp - 750 Rp 415.00 Rp 311,250.00 200 Rp 415.00 Rp 83,000.00
68 Asiklovir 400 mg tablet 0 Rp 440.00 Rp - 0 Rp 440.00 Rp - 0 Rp 440.00 Rp - 0 Rp 440.00 Rp -
74 Bedak Salisil serb 2% Tablet 0 Rp 6,426.20 Rp - 8 Rp 6,426.20 Rp 51,409.60 0 Rp 6,426.20 Rp - 8 Rp 6,426.20 Rp 51,409.60
79 Betametason Dipropionat 0,05 % tube 0 Rp 3,350.00 Rp - 35 Rp 3,350.00 Rp 117,250.00 10 Rp 3,350.00 Rp 33,500.00 25 Rp 3,350.00 Rp 83,750.00
80 Betametason tts mata 1 mg/ml botol 0 Rp 25,106.00 Rp - 0 Rp 25,106.00 Rp - 0 Rp 25,106.00 Rp - 0 Rp 25,106.00 Rp -
81 Bisakodil sup 5 mg supp 31 Rp 6,000.00 Rp 186,000.00 36 Rp 6,000.00 Rp 216,000.00 17 Rp 6,000.00 Rp 102,000.00 50 Rp 6,000.00 Rp 300,000.00
82 Bisakodil sup 5 mg supp 0 Rp 4,990.00 Rp - 0 Rp 4,990.00 Rp - 0 Rp 4,990.00 Rp - 0 Rp 4,990.00 Rp -
83 Bisakodil sup 10 mg supp 24 Rp 5,900.00 Rp 141,600.00 0 Rp 5,900.00 Rp - 14 Rp 5,900.00 Rp 82,600.00 10 Rp 5,900.00 Rp 59,000.00
92 Cefiksime tab 100 mg kapsul 150 Rp 4,780.01 Rp 717,001.50 0 Rp 4,780.01 Rp - 150 Rp 4,780.01 Rp 717,001.50 0 Rp 4,780.01 Rp -
95 Cetrizine tab 10 mg tablet 64 Rp 620.00 Rp 39,680.00 0 Rp 620.00 Rp - 64 Rp 620.00 Rp 39,680.00 0 Rp 620.00 Rp -
97 Cetrizine sir 5 mg/5 ml botol 0 Rp 8,799.00 Rp - 0 Rp 8,799.00 Rp - 0 Rp 8,799.00 Rp - 0 Rp 8,799.00 Rp -
98 Cimetidine tab 200 mg tablet 0 Rp 205.00 Rp - 0 Rp 205.00 Rp - 0 Rp 205.00 Rp - 0 Rp 205.00 Rp -
99 Copper T set/buah 10 Rp 125,482.50 Rp 1,254,825.00 0 Rp 125,482.50 Rp - 0 Rp 125,482.50 Rp - 10 Rp 125,482.50 Rp 1,254,825.00
100 Deksametason tab 0,5 mg tablet 0 Rp 136.06 Rp - 500 Rp 136.06 Rp 68,029.50 0 Rp 136.06 Rp - 500 Rp 136.06 Rp 68,029.50
101 Deksametason tab 0,5 mg tablet 200 Rp 35.00 Rp 7,000.00 0 Rp 35.00 Rp - 200 Rp 35.00 Rp 7,000.00 0 Rp 35.00 Rp -
103 Deksamethason inj 5 mg/ml - 1 ml ampul 35 Rp 1,278.00 Rp 44,730.00 30 Rp 1,278.00 Rp 38,340.00 35 Rp 1,278.00 Rp 44,730.00 30 Rp 1,278.00 Rp 38,340.00
110 Difenhidramin HCl inj 10 mg/mL (i.v./i.m.) ampul 0 Rp 1,316.00 Rp - 15 Rp 1,316.00 Rp 19,740.00 1 Rp 1,316.00 Rp 1,316.00 14 Rp 1,316.00 Rp 18,424.00
116 DHP Primal Kombinasi tablet 0 Rp 2,166.00 Rp - 18 Rp 2,166.00 Rp 38,988.00 0 Rp 2,166.00 Rp - 18 Rp 2,166.00 Rp 38,988.00
117 Doksisiklin kaps 100 mg kapsul 0 Rp 298.00 Rp - 0 Rp 298.00 Rp - 0 Rp 298.00 Rp - 0 Rp 298.00 Rp -
118 Domperidon susp 5 mg/5 ml botol 0 Rp 3,490.00 Rp - 0 Rp 3,490.00 Rp - 0 Rp 3,490.00 Rp - 0 Rp 3,490.00 Rp -
119 Domperidon tab 10 mg tablet 830 Rp 90.00 Rp 74,700.00 0 Rp 90.00 Rp - 430 Rp 90.00 Rp 38,700.00 400 Rp 90.00 Rp 36,000.00
121 Efedrin inj 50 mg/mL tablet 0 Rp 14,650.00 Rp - 0 Rp 14,650.00 Rp - 0 Rp 14,650.00 Rp - 0 Rp 14,650.00 Rp -
124 Ergokalsiferol (Vitamin D2) kaps 50.000 UI kapsul 0 Rp 680.00 Rp - 0 Rp 680.00 Rp - 0 Rp 680.00 Rp - 0 Rp 680.00 Rp -
125 Ergokalsiferol (Vitamin D2) susp 10.000 UI/mL botol 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp -
126 Eritromisin kaps 250 mg tablet 0 Rp 711.00 Rp - 1500 Rp 711.00 Rp 1,066,500.00 500 Rp 711.00 Rp 355,500.00 1000 Rp 711.00 Rp 711,000.00
127 Eritromisin kaps 250 mg kapsul 30 Rp 677.00 Rp 20,310.00 0 Rp 677.00 Rp - 30 Rp 677.00 Rp 20,310.00 0 Rp 677.00 Rp -
128 Eritromisin kaps 250 mg kapsul 1750 Rp 666.00 Rp 1,165,500.00 0 Rp 666.00 Rp - 1750 Rp 666.00 Rp 1,165,500.00 0 Rp 666.00 Rp -
129 Eritromisin kaps 500 mg kapsul 0 Rp 677.00 Rp - 0 Rp 677.00 Rp - 0 Rp 677.00 Rp - 0 Rp 677.00 Rp -
130 Erytromisin SK 200 mg/5 ml botol 120 Rp 8,090.00 Rp 970,800.00 0 Rp 8,090.00 Rp - 120 Rp 8,090.00 Rp 970,800.00 0 Rp 8,090.00 Rp -
131 Erytromisin SK 200 mg/5 ml botol 191 Rp 6,622.00 Rp 1,264,802.00 0 Rp 6,622.00 Rp - 191 Rp 6,622.00 Rp 1,264,802.00 0 Rp 6,622.00 Rp -
140 Fenobarbital inj 50 mg/ml-1 ml ampul 4 Rp 1,980.00 Rp 7,920.00 0 Rp 1,980.00 Rp - 4 Rp 1,980.00 Rp 7,920.00 0 Rp 1,980.00 Rp -
141 Fenol Gliserol tts telinga 10% botol 0 Rp 1,920.00 Rp - 0 Rp 1,920.00 Rp - 0 Rp 1,920.00 Rp - 0 Rp 1,920.00 Rp -
142 Fitomenadion (Vitamin K1) tab salut 10 mg tab salut 0 Rp 4,167.00 Rp - 0 Rp 4,167.00 Rp - 0 Rp 4,167.00 Rp - 0 Rp 4,167.00 Rp -
143 Fitomenadion (Vitamin K1) tab salut 10 mg tab salut 0 Rp 912.00 Rp - 300 Rp 912.00 Rp 273,600.00 0 Rp 912.00 Rp - 300 Rp 912.00 Rp 273,600.00
144 Fitomenadion (Vitamin K1) tab salut 10 mg tab salut 446 Rp 855.00 Rp 381,330.00 0 Rp 855.00 Rp - 446 Rp 855.00 Rp 381,330.00 0 Rp 855.00 Rp -
145 Fitomenadion (Vitamin K1) inj 2 mg/ml ampul 0 Rp 3,754.00 Rp - 0 Rp 3,754.00 Rp - 0 Rp 3,754.00 Rp - 0 Rp 3,754.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
146 Fitomenadion (Vitamin K1) inj 2 mg/ml ampul 25 Rp 4,260.00 Rp 106,500.00 0 Rp 4,260.00 Rp - 25 Rp 4,260.00 Rp 106,500.00 0 Rp 4,260.00 Rp -
147 Fitomenadion (Vitamin K1) inj 2 mg/ml ampul 0 Rp 4,420.00 Rp - 30 Rp 4,420.00 Rp 132,600.00 30 Rp 4,420.00 Rp 132,600.00 0 Rp 4,420.00 Rp -
148 Flukonazol kaps 150 mg kapsul 0 Rp 24,200.00 Rp - 0 Rp 24,200.00 Rp - 0 Rp 24,200.00 Rp - 0 Rp 24,200.00 Rp -
149 Fluor tab 0,5 mg tablet 0 Rp 975.00 Rp - 0 Rp 975.00 Rp - 0 Rp 975.00 Rp - 0 Rp 975.00 Rp -
150 Furosemid tab 40 mg tablet 2700 Rp 82.00 Rp 221,400.00 2600 Rp 82.00 Rp 213,200.00 0 Rp 82.00 Rp - 5300 Rp 82.00 Rp 434,600.00
151 Furosemid tab 40 mg tablet 0 Rp 84.00 Rp - 0 Rp 84.00 Rp - 0 Rp 84.00 Rp - 0 Rp 84.00 Rp -
152 Furosemid Inj 10 mg/ml ampul 0 Rp 1,555.00 Rp - 25 Rp 1,555.00 Rp 38,875.00 1 Rp 1,555.00 Rp 1,555.00 24 Rp 1,555.00 Rp 37,320.00
153 Furosemide inj 10 mg/ml ampul 0 Rp 2,012.00 Rp - 0 Rp 2,012.00 Rp - 0 Rp 2,012.00 Rp - 0 Rp 2,012.00 Rp -
154 Gameksan lotion 1% - 30 ml botol 0 Rp 2,420.00 Rp - 0 Rp 2,420.00 Rp - 0 Rp 2,420.00 Rp - 0 Rp 2,420.00 Rp -
155 Garam Oralit kombinasi sacchet 2806 Rp 317.00 Rp 889,502.00 0 Rp 317.00 Rp - 2751 Rp 317.00 Rp 872,067.00 55 Rp 317.00 Rp 17,435.00
156 Gemfibrozil kaps 300 mg kapsul 0 Rp 318.00 Rp - 0 Rp 318.00 Rp - 0 Rp 318.00 Rp - 0 Rp 318.00 Rp -
157 Gentamicin krim 10% tube 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
158 Gentamicin salep kulit 10% tube 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
159 Gentamicin salep mata 0,3% tube 53 Rp 3,210.00 Rp 170,130.00 10 Rp 3,210.00 Rp 32,100.00 63 Rp 3,210.00 Rp 202,230.00 0 Rp 3,210.00 Rp -
171 Glipizid tab 5 mg tablet 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp -
172 Gliseril Guaikolat tab 100 mg tablet 2041 Rp 26.62 Rp 54,327.34 0 Rp 26.62 Rp - 2041 Rp 26.62 Rp 54,327.34 0 Rp 26.62 Rp -
173 Gliseril Guaikolat tab 100 mg tablet 1550 Rp 127.00 Rp 196,850.00 0 Rp 127.00 Rp - 1550 Rp 127.00 Rp 196,850.00 0 Rp 127.00 Rp -
174 Gliseril Trinitrat tab sublingual 0,5 mg tablet sub 0 Rp 1,650.00 Rp - 0 Rp 1,650.00 Rp - 0 Rp 1,650.00 Rp - 0 Rp 1,650.00 Rp -
175 Gliserin lar 50% botol 0 Rp 5,867.00 Rp - 0 Rp 5,867.00 Rp - 0 Rp 5,867.00 Rp - 0 Rp 5,867.00 Rp -
178 Glukosa lar infus steril 5% - 500 ml botol 0 Rp 7,363.00 Rp - 40 Rp 7,363.00 Rp 294,520.00 0 Rp 7,363.00 Rp - 40 Rp 7,363.00 Rp 294,520.00
186 Hidrogen Peroksida lar konsentrat 3% botol 1 Rp 18,472.50 Rp 18,472.50 0 Rp 18,472.50 Rp - 1 Rp 18,472.50 Rp 18,472.50 0 Rp 18,472.50 Rp -
190 Hydroklortiazid (HCT) tab 25 mg tablet 3040 Rp 179.00 Rp 544,160.00 0 Rp 179.00 Rp - 40 Rp 179.00 Rp 7,160.00 3000 Rp 179.00 Rp 537,000.00
194 Ibuprofen tab 200 mg tablet 100 Rp 116.00 Rp 11,600.00 0 Rp 116.00 Rp - 100 Rp 116.00 Rp 11,600.00 0 Rp 116.00 Rp -
196 Ibuprofen sir 100 mg/5 ml botol 0 Rp 5,709.00 Rp - 36 Rp 5,709.00 Rp 205,524.00 0 Rp 5,709.00 Rp - 36 Rp 5,709.00 Rp 205,524.00
197 Ibuprofen sir 200 mg/5 ml botol 125 Rp 2,620.00 Rp 327,500.00 0 Rp 2,620.00 Rp - 125 Rp 2,620.00 Rp 327,500.00 0 Rp 2,620.00 Rp -
198 Ibuprofen sir 200 mg/5 ml botol 0 Rp 5,509.00 Rp - 24 Rp 5,509.00 Rp 132,216.00 24 Rp 5,509.00 Rp 132,216.00 0 Rp 5,509.00 Rp -
202 KA-EN 3B botol 0 Rp 11,314.00 Rp - 40 Rp 11,314.00 Rp 452,560.00 20 Rp 11,314.00 Rp 226,280.00 20 Rp 11,314.00 Rp 226,280.00
203 Kalsium Glukonat inj 100 mg/mL ampul 0 Rp 7,800.00 Rp - 0 Rp 7,800.00 Rp - 0 Rp 7,800.00 Rp - 0 Rp 7,800.00 Rp -
204 Kalsium Karbonat tab 500 mg tablet 0 Rp 448.00 Rp - 0 Rp 448.00 Rp - 0 Rp 448.00 Rp - 0 Rp 448.00 Rp -
205 Kalsium Laktat (Kalk) tab 500 mg tablet 1000 Rp 64.00 Rp 64,000.00 0 Rp 64.00 Rp - 1000 Rp 64.00 Rp 64,000.00 0 Rp 64.00 Rp -
207 Kanamisin inj 1.000 mg/vial vial 0 Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp -
208 Kaptopril tab 12,5 mg tablet 0 Rp 73.00 Rp - 300 Rp 73.00 Rp 21,900.00 0 Rp 73.00 Rp - 300 Rp 73.00 Rp 21,900.00
209 Kaptopril 12,5 mg Tablet 2150 Rp 68.00 Rp 146,200.00 0 Rp 68.00 Rp - 1650 Rp 68.00 Rp 112,200.00 500 Rp 68.00 Rp 34,000.00
210 Kaptopril tab 25 mg tablet 0 Rp 181.12 Rp - 1100 Rp 181.12 Rp 199,226.50 0 Rp 181.12 Rp - 1100 Rp 181.12 Rp 199,226.50
219 Ketokonazole krim 2% - 15 g tube 23 Rp 2,694.00 Rp 61,962.00 0 Rp 2,694.00 Rp - 23 Rp 2,694.00 Rp 61,962.00 0 Rp 2,694.00 Rp -
220 Ketokonazole krim 2% - 15 g tube 0 Rp 5,150.00 Rp - 0 Rp 5,150.00 Rp - 0 Rp 5,150.00 Rp - 0 Rp 5,150.00 Rp -
221 Ketokonazole tab 200 mg tablet 0 Rp 320.00 Rp - 0 Rp 320.00 Rp - 0 Rp 320.00 Rp - 0 Rp 320.00 Rp -
222 Ketokonazole tab 200 mg tablet 1150 Rp 317.00 Rp 364,550.00 0 Rp 317.00 Rp - 600 Rp 317.00 Rp 190,200.00 550 Rp 317.00 Rp 174,350.00
227 Kloramfenikol kaps 250 mg kapsul 100 Rp 275.00 Rp 27,500.00 0 Rp 275.00 Rp - 100 Rp 275.00 Rp 27,500.00 0 Rp 275.00 Rp -
228 Kloramfenikol kaps 250 mg kapsul 0 Rp 677.84 Rp - 2000 Rp 677.84 Rp 1,355,684.00 0 Rp 677.84 Rp - 2000 Rp 677.84 Rp 1,355,684.00
229 Kloramfenikol kaps 250 mg kapsul 2150 Rp 1,110.00 Rp 2,386,500.00 0 Rp 1,110.00 Rp - 2150 Rp 1,110.00 Rp 2,386,500.00 0 Rp 1,110.00 Rp -
230 Kloramfenikol kaps 500 mg kapsul 0 Rp 935.00 Rp - 0 Rp 935.00 Rp - 0 Rp 935.00 Rp - 0 Rp 935.00 Rp -
233 Kloramfenikol salep kulit 2% bufacetin tube 58 Rp 3,645.00 Rp 211,410.00 0 Rp 3,645.00 Rp - 0 Rp 3,645.00 Rp - 58 Rp 3,645.00 Rp 211,410.00
238 Klorfeniramin Maleat (CTM) tab 4 mg tablet 650 Rp 27.00 Rp 17,550.00 0 Rp 27.00 Rp - 650 Rp 27.00 Rp 17,550.00 0 Rp 27.00 Rp -
240 Klorfeniramin Maleat (CTM) tab 4 mg tablet 1750 Rp 40.00 Rp 70,000.00 0 Rp 40.00 Rp - 1580 Rp 40.00 Rp 63,200.00 170 Rp 40.00 Rp 6,800.00
241 Klorpromazin HCl tab 25 mg tablet 0 Rp 75.00 Rp - 0 Rp 75.00 Rp - 0 Rp 75.00 Rp - 0 Rp 75.00 Rp -
247 Kotrimoxazol tab 480 mg (dewasa) tablet 5650 Rp 135.00 Rp 762,750.00 0 Rp 135.00 Rp - 5350 Rp 135.00 Rp 722,250.00 300 Rp 135.00 Rp 40,500.00
248 Kotrimoxazol tab 480 mg (dewasa) tablet 0 Rp 129.00 Rp - 1500 Rp 129.00 Rp 193,500.00 300 Rp 129.00 Rp 38,700.00 1200 Rp 129.00 Rp 154,800.00
250 Kotrimoxazol susp 60 ml botol 0 Rp 2,257.00 Rp - 100 Rp 2,257.00 Rp 225,700.00 0 Rp 2,257.00 Rp - 100 Rp 2,257.00 Rp 225,700.00
251 Kotrimoxazol susp 60 ml botol 100 Rp 2,119.00 Rp 211,900.00 0 Rp 2,119.00 Rp - 62 Rp 2,119.00 Rp 131,378.00 38 Rp 2,119.00 Rp 80,522.00
252 Kotrimoxazol susp 60 ml botol 0 Rp 2,115.00 Rp - 50 Rp 2,115.00 Rp 105,750.00 50 Rp 2,115.00 Rp 105,750.00 0 Rp 2,115.00 Rp -
260 Lidokain inj 2% (infiltr/p.v.) botol 30 Rp 1,375.00 Rp 41,250.00 70 Rp 1,375.00 Rp 96,250.00 73 Rp 1,375.00 Rp 100,375.00 27 Rp 1,375.00 Rp 37,125.00
261 Lidokain inj 2% (infiltr/p.v.) ampul 0 Rp 1,499.00 Rp - 0 Rp 1,499.00 Rp - 0 Rp 1,499.00 Rp - 0 Rp 1,499.00 Rp -
262 lidokain compositum injeksi 2%+epinefrin botol 20 Rp 1,380.00 Rp 27,600.00 0 Rp 1,380.00 Rp - 20 Rp 1,380.00 Rp 27,600.00 0 Rp 1,380.00 Rp -
263 lidokain compositum injeksi 2%+epinefrin ampul 0 Rp 1,473.00 Rp - 30 Rp 1,473.00 Rp 44,190.00 0 Rp 1,473.00 Rp - 30 Rp 1,473.00 Rp 44,190.00
264 Lidokain gel 2% botol 0 Rp 40,000.00 Rp - 0 Rp 40,000.00 Rp - 0 Rp 40,000.00 Rp - 0 Rp 40,000.00 Rp -
265 Lidokain semprot 10% botol 0 Rp 156,200.00 Rp - 0 Rp 156,200.00 Rp - 0 Rp 156,200.00 Rp - 0 Rp 156,200.00 Rp -
266 Lisol lar 1.000 ml botol 0 Rp 21,500.00 Rp - 0 Rp 21,500.00 Rp - 0 Rp 21,500.00 Rp - 0 Rp 21,500.00 Rp -
268 Loratadin tab 10 mg tablet 650 Rp 150.00 Rp 97,500.00 0 Rp 150.00 Rp - 350 Rp 150.00 Rp 52,500.00 300 Rp 150.00 Rp 45,000.00
269 Loratadin tab 10 mg tablet 0 Rp 302.80 Rp - 0 Rp 302.80 Rp - 0 Rp 302.80 Rp - 0 Rp 302.80 Rp -
270 Magnesium Sulfat serb 30 g sacchet 0 Rp 3,803.00 Rp - 0 Rp 3,803.00 Rp - 0 Rp 3,803.00 Rp - 0 Rp 3,803.00 Rp -
271 Magnesium Sulfat inj 20% - 25 ml botol 0 Rp 3,328.00 Rp - 12 Rp 3,328.00 Rp 39,936.00 0 Rp 3,328.00 Rp - 12 Rp 3,328.00 Rp 39,936.00
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
272 Magnesium Sulfat inj 20% - 25 ml vial 65 Rp 5,500.00 Rp 357,500.00 0 Rp 5,500.00 Rp - 65 Rp 5,500.00 Rp 357,500.00 0 Rp 5,500.00 Rp -
273 Magnesium Sulfat inj 40% - 25 ml vial 30 Rp 3,650.00 Rp 109,500.00 0 Rp 3,650.00 Rp - 30 Rp 3,650.00 Rp 109,500.00 0 Rp 3,650.00 Rp -
274 Magnesium Sulfat inj 40% - 25 ml botol 0 Rp 3,796.00 Rp - 12 Rp 3,796.00 Rp 45,552.00 0 Rp 3,796.00 Rp - 12 Rp 3,796.00 Rp 45,552.00
282 Metformin tab 500 mg tablet 0 Rp 110.00 Rp - 1800 Rp 110.00 Rp 198,000.00 1200 Rp 110.00 Rp 132,000.00 600 Rp 110.00 Rp 66,000.00
283 Metformin tab 850 mg tablet 0 Rp 280.00 Rp - 0 Rp 280.00 Rp - 0 Rp 280.00 Rp - 0 Rp 280.00 Rp -
284 Metilergometrin Maleat tab 0.125 mg tablet 800 Rp 271.00 Rp 216,800.00 0 Rp 271.00 Rp - 500 Rp 271.00 Rp 135,500.00 300 Rp 271.00 Rp 81,300.00
285 Metilergometrin Maleat tab 0.125 mg tablet 390 Rp 169.00 Rp 65,910.00 0 Rp 169.00 Rp - 390 Rp 169.00 Rp 65,910.00 0 Rp 169.00 Rp -
287 Metilprednisolon tab 4 mg tablet 500 Rp 143.00 Rp 71,500.00 400 Rp 143.00 Rp 57,200.00 900 Rp 143.00 Rp 128,700.00 0 Rp 143.00 Rp -
288 Metilprednisolon tab 4 mg tablet 0 Rp 153.00 Rp - 500 Rp 153.00 Rp 76,500.00 0 Rp 153.00 Rp - 500 Rp 153.00 Rp 76,500.00
289 Metilprednisolon tab 4 mg tablet 1590 Rp 170.00 Rp 270,300.00 0 Rp 170.00 Rp - 1490 Rp 170.00 Rp 253,300.00 100 Rp 170.00 Rp 17,000.00
293 Metoklopramid tab 5 mg tablet 1900 Rp 113.00 Rp 214,700.00 0 Rp 113.00 Rp - 1800 Rp 113.00 Rp 203,400.00 100 Rp 113.00 Rp 11,300.00
294 Metoklopramid tab 10 mg tablet 3080 Rp 87.00 Rp 267,960.00 0 Rp 87.00 Rp - 0 Rp 87.00 Rp - 3080 Rp 87.00 Rp 267,960.00
295 Metoklopramid tab 10 mg tablet 0 Rp 100.00 Rp - 0 Rp 100.00 Rp - 0 Rp 100.00 Rp - 0 Rp 100.00 Rp -
299 Metronidazol tab 500 mg tablet 1800 Rp 169.00 Rp 304,200.00 0 Rp 169.00 Rp - 1400 Rp 169.00 Rp 236,600.00 400 Rp 169.00 Rp 67,600.00
303 Miconazole krim 2% tube 10 Rp 3,000.00 Rp 30,000.00 0 Rp 3,000.00 Rp - 10 Rp 3,000.00 Rp 30,000.00 0 Rp 3,000.00 Rp -
304 Miconazole krim 2% tube 101 Rp 4,097.00 Rp 413,797.00 0 Rp 4,097.00 Rp - 101 Rp 4,097.00 Rp 413,797.00 0 Rp 4,097.00 Rp -
305 Natrium Diklofenak tab 25 mg tablet 0 Rp 154.00 Rp - 350 Rp 154.00 Rp 53,900.00 300 Rp 154.00 Rp 46,200.00 50 Rp 154.00 Rp 7,700.00
306 Natrium Diklofenak tab 25 mg tablet 2200 Rp 146.00 Rp 321,200.00 0 Rp 146.00 Rp - 900 Rp 146.00 Rp 131,400.00 1300 Rp 146.00 Rp 189,800.00
307 Natrium Diklofenak tab 50 mg tablet 1220 Rp 146.00 Rp 178,120.00 0 Rp 146.00 Rp - 1220 Rp 146.00 Rp 178,120.00 0 Rp 146.00 Rp -
310 Natrium Klorida (NaCl) lar inf 0,9% - 500 ml botol 35 Rp 6,410.00 Rp 224,350.00 100 Rp 6,410.00 Rp 641,000.00 35 Rp 6,410.00 Rp 224,350.00 100 Rp 6,410.00 Rp 641,000.00
311 Nifedipine tab 10 mg tablet 150 Rp 127.00 Rp 19,050.00 0 Rp 127.00 Rp - 150 Rp 127.00 Rp 19,050.00 0 Rp 127.00 Rp -
312 Nistatin tab vaginal 100.000 IU tablet 0 Rp 675.00 Rp - 500 Rp 675.00 Rp 337,500.00 100 Rp 675.00 Rp 67,500.00 400 Rp 675.00 Rp 270,000.00
314 Nistatin tab vaginal 500.000 IU tablet 600 Rp 704.00 Rp 422,400.00 0 Rp 704.00 Rp - 600 Rp 704.00 Rp 422,400.00 0 Rp 704.00 Rp -
324 Obat Batuk Hitam (OBH) sir 100 ml botol 179 Rp 1,500.00 Rp 268,500.00 0 Rp 1,500.00 Rp - 179 Rp 1,500.00 Rp 268,500.00 0 Rp 1,500.00 Rp -
325 Ofloxacin tab 200 mg tablet 600 Rp 531.00 Rp 318,600.00 0 Rp 531.00 Rp - 200 Rp 531.00 Rp 106,200.00 400 Rp 531.00 Rp 212,400.00
326 Ofloxacin tab 400 mg tablet 0 Rp 700.00 Rp - 0 Rp 700.00 Rp - 0 Rp 700.00 Rp - 0 Rp 700.00 Rp -
327 Oksimetazolin tts hidung 0,025 % botol 0 Rp 30,305.00 Rp - 0 Rp 30,305.00 Rp - 0 Rp 30,305.00 Rp - 0 Rp 30,305.00 Rp -
328 Oksimetazolin tts hidung 0,050 % botol 0 Rp 32,000.00 Rp - 0 Rp 32,000.00 Rp - 0 Rp 32,000.00 Rp - 0 Rp 32,000.00 Rp -
329 Oksitetrasiklin HCl salep kulit 3 % - 3,5 g tube 0 Rp 2,816.00 Rp - 0 Rp 2,816.00 Rp - 0 Rp 2,816.00 Rp - 0 Rp 2,816.00 Rp -
330 Oksitetrasiklin HCl salep mata 1% - 3,5 g tube 0 Rp 1,330.00 Rp - 0 Rp 1,330.00 Rp - 0 Rp 1,330.00 Rp - 0 Rp 1,330.00 Rp -
331 Oksitetrasiklin HCl salep mata 1% - 3,5 g tube 38 Rp 4,999.50 Rp 189,981.00 0 Rp 4,999.50 Rp - 18 Rp 4,999.50 Rp 89,991.00 20 Rp 4,999.50 Rp 99,990.00
332 Oksitetrasiklin HCl salep mata 1% - 3,5 g tube 0 Rp 2,600.00 Rp - 10 Rp 2,600.00 Rp 26,000.00 0 Rp 2,600.00 Rp - 10 Rp 2,600.00 Rp 26,000.00
333 Oksitosin inj 10 IU/ml - 1 ml ampul 22 Rp 1,287.00 Rp 28,314.00 0 Rp 1,287.00 Rp - 22 Rp 1,287.00 Rp 28,314.00 0 Rp 1,287.00 Rp -
343 Paracetamol sir 120 mg/5 ml - 60 ml botol 0 Rp 1,190.00 Rp - 0 Rp 1,190.00 Rp - 0 Rp 1,190.00 Rp - 0 Rp 1,190.00 Rp -
344 Paracetamol tts 60 mg/0,6 mL botol 110 Rp 7,979.00 Rp 877,690.00 135 Rp 7,979.00 Rp 1,077,165.00 245 Rp 7,979.00 Rp 1,954,855.00 0 Rp 7,979.00 Rp -
350 Pirantel tablet score (base) tab 125 mg tablet 210 Rp 1,200.00 Rp 252,000.00 0 Rp 1,200.00 Rp - 210 Rp 1,200.00 Rp 252,000.00 0 Rp 1,200.00 Rp -
351 Pirantel tablet score (base) tab 125 mg tablet 0 Rp 346.00 Rp - 0 Rp 346.00 Rp - 0 Rp 346.00 Rp - 0 Rp 346.00 Rp -
352 Pirantel Pamoat sir 125 mg/5 ml - 60ml botol 20 Rp 11,600.00 Rp 232,000.00 0 Rp 11,600.00 Rp - 0 Rp 11,600.00 Rp - 20 Rp 11,600.00 Rp 232,000.00
356 Piridoksin (Vitamin B6) tab 10 mg tablet 13500 Rp 19.01 Rp 256,635.00 0 Rp 19.01 Rp - 13500 Rp 19.01 Rp 256,635.00 0 Rp 19.01 Rp -
357 Piridoksin (Vitamin B6) tab 10 mg tablet 1800 Rp 142.00 Rp 255,600.00 0 Rp 142.00 Rp - 1800 Rp 142.00 Rp 255,600.00 0 Rp 142.00 Rp -
358 Piridoksin (Vitamin B6) tab 10 mg tablet 16900 Rp 148.00 Rp 2,501,200.00 3000 Rp 148.00 Rp 444,000.00 17800 Rp 148.00 Rp 2,634,400.00 2100 Rp 148.00 Rp 310,800.00
362 Povidon Iodine lar 10% - 60 ml botol 0 Rp 6,500.00 Rp - 0 Rp 6,500.00 Rp - 0 Rp 6,500.00 Rp - 0 Rp 6,500.00 Rp -
363 Povidon Iodine lar 10% - 60 ml botol 0 Rp 4,440.00 Rp - 10 Rp 4,440.00 Rp 44,400.00 0 Rp 4,440.00 Rp - 10 Rp 4,440.00 Rp 44,400.00
365 Prednison tab 5 mg tablet 500 Rp 74.00 Rp 37,000.00 0 Rp 74.00 Rp - 300 Rp 74.00 Rp 22,200.00 200 Rp 74.00 Rp 14,800.00
366 Prednison tab 5 mg tablet 0 Rp 79.00 Rp - 1200 Rp 79.00 Rp 94,800.00 1200 Rp 79.00 Rp 94,800.00 0 Rp 79.00 Rp -
367 Prednison tab 5 mg tablet 5000 Rp 85.00 Rp 425,000.00 0 Rp 85.00 Rp - 5000 Rp 85.00 Rp 425,000.00 0 Rp 85.00 Rp -
370 Procain Benzil Penicillin G serb inj 3 Juta UI vial 62 Rp 9,768.00 Rp 605,616.00 0 Rp 9,768.00 Rp - 62 Rp 9,768.00 Rp 605,616.00 0 Rp 9,768.00 Rp -
378 Ringer Laktat lar inf steril 500 ml botol 320 Rp 5,720.00 Rp 1,830,400.00 0 Rp 5,720.00 Rp - 257 Rp 5,720.00 Rp 1,470,040.00 63 Rp 5,720.00 Rp 360,360.00
379 Retinol (vit A) 100.000 kapsul 2500 Rp 341.00 Rp 852,500.00 0 Rp 341.00 Rp - 2500 Rp 341.00 Rp 852,500.00 0 Rp 341.00 Rp -
380 Retinol (vit A) kapsul lunak 200.000 IU kapsul 2000 Rp 622.00 Rp 1,244,000.00 500 Rp 622.00 Rp 311,000.00 1300 Rp 622.00 Rp 808,600.00 1200 Rp 622.00 Rp 746,400.00
381 Ringer Laktat lar inf steril 500 ml botol 260 Rp 7,150.00 Rp 1,859,000.00 0 Rp 7,150.00 Rp - 260 Rp 7,150.00 Rp 1,859,000.00 0 Rp 7,150.00 Rp -
382 Ringer Laktat lar inf steril 500 ml botol 0 Rp 7,630.00 Rp - 20 Rp 7,630.00 Rp 152,600.00 20 Rp 7,630.00 Rp 152,600.00 0 Rp 7,630.00 Rp -
385 Salbutamol tab 2 mg tablet 0 Rp 113.28 Rp - 1000 Rp 113.28 Rp 113,278.00 0 Rp 113.28 Rp - 1000 Rp 113.28 Rp 113,278.00
388 Salbutamol tab 4 mg tablet 0 Rp 118.73 Rp - 1000 Rp 118.73 Rp 118,734.00 0 Rp 118.73 Rp - 1000 Rp 118.73 Rp 118,734.00
399 Sianokobalamin (Vitamin B12) inj 500 mcg/mL ampul 0 Rp 1,150.00 Rp - 0 Rp 1,150.00 Rp - 0 Rp 1,150.00 Rp - 0 Rp 1,150.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
403 Simvastatin tab 10 mg tablet 810 Rp 270.00 Rp 218,700.00 0 Rp 270.00 Rp - 690 Rp 270.00 Rp 186,300.00 120 Rp 270.00 Rp 32,400.00
406 Siprofloksasin tab 500 mg tablet 5600 Rp 264.00 Rp 1,478,400.00 0 Rp 264.00 Rp - 5600 Rp 264.00 Rp 1,478,400.00 0 Rp 264.00 Rp -
410 Tablet tambah darah kombinasi Ferro Sulfat 200 mg + As.Folat 0,25 mg tablet 0 Rp 427.00 Rp - 11200 Rp 427.00 Rp 4,782,400.00 11200 Rp 427.00 Rp 4,782,400.00 0 Rp 427.00 Rp -
411 Tablet tambah darah kombinasi Ferro Sulfat 200 mg + As.Folat 0,25 mg tablet 0 Rp 112.00 Rp - 0 Rp 112.00 Rp - 0 Rp 112.00 Rp - 0 Rp 112.00 Rp -
412 Tetracain HCl tts mata 0,5% - 5 ml botol 0 Rp 11,500.00 Rp - 0 Rp 11,500.00 Rp - 0 Rp 11,500.00 Rp - 0 Rp 11,500.00 Rp -
415 Tetrasiklin kaps 500 mg kapsul 300 Rp 324.00 Rp 97,200.00 1500 Rp 324.00 Rp 486,000.00 0 Rp 324.00 Rp - 1800 Rp 324.00 Rp 583,200.00
416 Tetrasiklin kaps 500 mg kapsul 1480 Rp 341.00 Rp 504,680.00 0 Rp 341.00 Rp - 0 Rp 341.00 Rp - 1480 Rp 341.00 Rp 504,680.00
417 Thiamfenikol kaps 500 mg kapsul 0 Rp 881.00 Rp - 0 Rp 881.00 Rp - 0 Rp 881.00 Rp - 0 Rp 881.00 Rp -
419 Thiamin HCl (Vitamin B1) tab 50 mg tablet 3350 Rp 90.00 Rp 301,500.00 0 Rp 90.00 Rp - 550 Rp 90.00 Rp 49,500.00 2800 Rp 90.00 Rp 252,000.00
420 Thiamin HCl (Vitamin B1) tab 50 mg tablet 1700 Rp 42.00 Rp 71,400.00 0 Rp 42.00 Rp - 750 Rp 42.00 Rp 31,500.00 950 Rp 42.00 Rp 39,900.00
429 Vitamin B Kompleks tablet 11766 Rp 138.00 Rp 1,623,708.00 0 Rp 138.00 Rp - 11766 Rp 138.00 Rp 1,623,708.00 0 Rp 138.00 Rp -
431 Vitamin B Kompleks tablet 8700 Rp 138.00 Rp 1,200,600.00 0 Rp 138.00 Rp - 8700 Rp 138.00 Rp 1,200,600.00 0 Rp 138.00 Rp -
432 Vitamin B Kompleks tablet 0 Rp 141.00 Rp - 300 Rp 141.00 Rp 42,300.00 200 Rp 141.00 Rp 28,200.00 100 Rp 141.00 Rp 14,100.00
433 Vitamin B Kompleks tablet 0 Rp 150.00 Rp - 1000 Rp 150.00 Rp 150,000.00 0 Rp 150.00 Rp - 1000 Rp 150.00 Rp 150,000.00
434 Zinc sir 10 mg/ml botol 0 Rp 16,478.00 Rp - 0 Rp 16,478.00 Rp - 0 Rp 16,478.00 Rp - 0 Rp 16,478.00 Rp -
435 Zinc sir 20 mg/5 ml botol 28 Rp 3,449.00 Rp 96,572.00 0 Rp 3,449.00 Rp - 28 Rp 3,449.00 Rp 96,572.00 0 Rp 3,449.00 Rp -
436 Zinc sir 20 mg/5 ml botol 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp - 0 Rp 8,140.00 Rp -
439 Alprazolam tab 1 mg tablet 0 Rp 245.00 Rp - 0 Rp 245.00 Rp - 0 Rp 245.00 Rp - 0 Rp 245.00 Rp -
440 Betahistin tab 6 mg tablet 663 Rp 924.00 Rp 612,612.00 0 Rp 924.00 Rp - 663 Rp 924.00 Rp 612,612.00 0 Rp 924.00 Rp -
447 Ondasentron tab 4 mg tablet 280 Rp 546.00 Rp 152,880.00 0 Rp 546.00 Rp - 280 Rp 546.00 Rp 152,880.00 0 Rp 546.00 Rp -
448 Fitomenadion (Vitamin K1) inj 10 mg/ml ampul 0 Rp 4,167.00 Rp - 0 Rp 4,167.00 Rp - 0 Rp 4,167.00 Rp - 0 Rp 4,167.00 Rp -
449 Kotrimoxazol tab 240 mg (anak) tablet 0 Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp - 0 Rp 2,462.00 Rp -
450 Piracetam kapl 800 mg kaplet 2315 Rp 960.00 Rp 2,222,400.00 0 Rp 960.00 Rp - 2315 Rp 960.00 Rp 2,222,400.00 0 Rp 960.00 Rp -
451 Meloxicam tab 15 mg tablet 220 Rp 1,030.00 Rp 226,600.00 0 Rp 1,030.00 Rp - 220 Rp 1,030.00 Rp 226,600.00 0 Rp 1,030.00 Rp -
452 Papaverin tablet 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
453 Vical susp 100 ml botol 20 Rp 4,890.00 Rp 97,800.00 0 Rp 4,890.00 Rp - 20 Rp 4,890.00 Rp 97,800.00 0 Rp 4,890.00 Rp -
454 Vitamin D3 00 IU/D-Vit tablet tablet 180 Rp 680.00 Rp 122,400.00 0 Rp 680.00 Rp - 180 Rp 680.00 Rp 122,400.00 0 Rp 680.00 Rp -
455 Vinafluor (Fluoride) kapl 1 mg kaplet 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
456 Sanmol (Parasetamol) 500 mg tablet 750 Rp 325.00 Rp 243,750.00 0 Rp 325.00 Rp - 750 Rp 325.00 Rp 243,750.00 0 Rp 325.00 Rp -
457 Cardisan ( Amlodipine) 5 mg tablet 0 Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp - 0 Rp 11,918.74 Rp -
458 Purecemia (Allopurinol) 300 mg tablet 50 Rp 3,268.75 Rp 163,437.50 0 Rp 3,268.75 Rp - 50 Rp 3,268.75 Rp 163,437.50 0 Rp 3,268.75 Rp -
459 Mefinal (Asam Mefenamat) 500 mg kaplet 50 Rp 1,537.50 Rp 76,875.00 0 Rp 1,537.50 Rp - 50 Rp 1,537.50 Rp 76,875.00 0 Rp 1,537.50 Rp -
460 Neurosanbe (Vit. B1 100 mg, B6 200 mg, B12 200 mg) tablet 0 Rp 3,266.70 Rp - 100 Rp 3,266.70 Rp 326,670.39 10 Rp 3,266.70 Rp 32,667.04 90 Rp 3,266.70 Rp 294,003.35
461 Neurosanbe injeksi Vial 0 Rp 6,979.37 Rp - 10 Rp 6,979.37 Rp 69,793.74 0 Rp 6,979.37 Rp - 10 Rp 6,979.37 Rp 69,793.74
462 Santa E 200 (dl. α -Tocopheryl Acetate) 200 mg kaplet 0 Rp 2,243.75 Rp - 0 Rp 2,243.75 Rp - 0 Rp 2,243.75 Rp - 0 Rp 2,243.75 Rp -
463 Mucohexin (Bromhexine HCl) 8 mg tablet 0 Rp 575.00 Rp - 0 Rp 575.00 Rp - 0 Rp 575.00 Rp - 0 Rp 575.00 Rp -
464 Cholvastin (Lovastatin) 20 mg tablet 70 Rp 12,043.73 Rp 843,061.10 0 Rp 12,043.73 Rp - 70 Rp 12,043.73 Rp 843,061.10 0 Rp 12,043.73 Rp -
465 OBH Erla sir 100 ml botol 0 Rp 11,818.00 Rp - 0 Rp 11,818.00 Rp - 0 Rp 11,818.00 Rp - 0 Rp 11,818.00 Rp -
466 OBH Erla sir 100 ml botol 8 Rp 12,999.80 Rp 103,998.40 0 Rp 12,999.80 Rp - 8 Rp 12,999.80 Rp 103,998.40 0 Rp 12,999.80 Rp -
471 Imox tablet tablet 45 Rp 13,200.00 Rp 594,000.00 0 Rp 13,200.00 Rp - 45 Rp 13,200.00 Rp 594,000.00 0 Rp 13,200.00 Rp -
472 Propepsa susp 100 ml botol 0 Rp 106,000.00 Rp - 0 Rp 106,000.00 Rp - 0 Rp 106,000.00 Rp - 0 Rp 106,000.00 Rp -
473 Vocefa susp 60 ml botol 1 Rp 84,000.40 Rp 84,000.40 0 Rp 84,000.40 Rp - 1 Rp 84,000.40 Rp 84,000.40 0 Rp 84,000.40 Rp -
477 Gratamin tablet tablet 464 Rp 2,860.00 Rp 1,327,040.00 0 Rp 2,860.00 Rp - 464 Rp 2,860.00 Rp 1,327,040.00 0 Rp 2,860.00 Rp -
478 MY Jelly 80 gram lubrican botol 4 Rp 69,575.00 Rp 278,300.00 4 Rp 69,575.00 Rp 278,300.00 8 Rp 69,575.00 Rp 556,600.00 0 Rp 69,575.00 Rp -
483 Imbost tablet 0 Rp 4,013.60 Rp - 100 Rp 4,013.60 Rp 401,359.82 60 Rp 4,013.60 Rp 240,815.89 40 Rp 4,013.60 Rp 160,543.93
484 Formuno tablet 0 Rp 8,876.96 Rp - 30 Rp 8,876.96 Rp 266,308.84 0 Rp 8,876.96 Rp - 30 Rp 8,876.96 Rp 266,308.84
485 Novatrin tablet 7 Rp - Rp - 0 Rp - Rp - 7 Rp - Rp - 0 Rp - Rp -
486 Celediar tablet 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
487 Omelegar tablet 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
488 Pantrin pirantel pamoate tab 250 mg tablet 200 Rp 1,200.00 Rp 240,000.00 300 Rp 1,200.00 Rp 360,000.00 0 Rp 1,200.00 Rp - 500 Rp 1,200.00 Rp 600,000.00
489 harmida glibenklamid 2,5 mg tablet 500 Rp 216.00 Rp 108,000.00 0 Rp 216.00 Rp - 0 Rp 216.00 Rp - 500 Rp 216.00 Rp 108,000.00
490 virpes tablet 200 Rp - Rp - 0 Rp - Rp - 200 Rp - Rp - 0 Rp - Rp -
491 Burnasin tube 1 Rp - Rp - 0 Rp - Rp - 1 Rp - Rp - 0 Rp - Rp -
492 Permicetin tube 1 Rp - Rp - 0 Rp - Rp - 1 Rp - Rp - 0 Rp - Rp -
BAHAN MEDIS HABIS PAKAI 0 Rp - 0 Rp - Rp - 0 Rp -
1 Alat Suntik 1 ml pcs 100 Rp 760.00 Rp 76,000.00 0 Rp 760.00 Rp - 100 Rp 760.00 Rp 76,000.00 0 Rp 760.00 Rp -
2 Alat Suntik 1 ml pcs 0 Rp 1,100.45 Rp - 100 Rp 1,100.45 Rp 110,045.00 0 Rp 1,100.45 Rp - 100 Rp 1,100.45 Rp 110,045.00
3 Alat Suntik 2.5 ml pcs 0 Rp 800.00 Rp - 0 Rp 800.00 Rp - 0 Rp 800.00 Rp - 0 Rp 800.00 Rp -
4 Alat Suntik 2.5 ml pcs 0 Rp 1,102.00 Rp - 0 Rp 1,102.00 Rp - 0 Rp 1,102.00 Rp - 0 Rp 1,102.00 Rp -
5 Alat Suntik 3 ml pcs 30 Rp 800.00 Rp 24,000.00 0 Rp 800.00 Rp - 10 Rp 800.00 Rp 8,000.00 20 Rp 800.00 Rp 16,000.00
9 Alat Suntik 10 ml pcs 45 Rp 1,881.75 Rp 84,678.75 0 Rp 1,881.75 Rp - 5 Rp 1,881.75 Rp 9,408.75 40 Rp 1,881.75 Rp 75,270.00
10 Alat Suntik 20 ml pcs 5 Rp 2,228.00 Rp 11,140.00 70 Rp 2,228.00 Rp 155,960.00 55 Rp 2,228.00 Rp 122,540.00 20 Rp 2,228.00 Rp 44,560.00
17 Alat Suntik (ONIONEX Syringe) 1 ml pcs 198 Rp 821.00 Rp 162,558.00 0 Rp 821.00 Rp - 198 Rp 821.00 Rp 162,558.00 0 Rp 821.00 Rp -
18 Alat Suntik (ONIONEX Syringe) 1 ml pcs 0 Rp 821.48 Rp - 100 Rp 821.48 Rp 82,148.40 100 Rp 821.48 Rp 82,148.40 0 Rp 821.48 Rp -
19 Alat Suntik (ONIONEX Syringe) 2,5 ml pcs 295 Rp 864.00 Rp 254,880.00 0 Rp 864.00 Rp - 295 Rp 864.00 Rp 254,880.00 0 Rp 864.00 Rp -
20 Alat Suntik (ONIONEX Syringe) 2,5 ml pcs 0 Rp 864.72 Rp - 400 Rp 864.72 Rp 345,888.00 0 Rp 864.72 Rp - 400 Rp 864.72 Rp 345,888.00
21 Alat Suntik (ONIONEX Syringe) 3 ml pcs 13 Rp 864.00 Rp 11,232.00 0 Rp 864.00 Rp - 13 Rp 864.00 Rp 11,232.00 0 Rp 864.00 Rp -
22 Alat Suntik (Nipro Syringe) 3 ml pcs 0 Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp - 0 Rp 1,009.80 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
26 Catgut Cromic no.2/0 pcs 70 Rp 8,960.21 Rp 627,214.70 0 Rp 8,960.21 Rp - 70 Rp 8,960.21 Rp 627,214.70 0 Rp 8,960.21 Rp -
27 Catgut Cromic no.2/0 pcs 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp -
28 Catgut Cromic no.2/0 pcs 0 Rp 11,261.25 Rp - 0 Rp 11,261.25 Rp - 0 Rp 11,261.25 Rp - 0 Rp 11,261.25 Rp -
29 Catgut Cromic no.2/0 dus 0 Rp 215,045.00 Rp - 4 Rp 215,045.00 Rp 860,180.00 1 Rp 215,045.00 Rp 215,045.00 3 Rp 215,045.00 Rp 645,135.00
30 Catgut Cromic no.3/0 pcs 69 Rp 8,960.21 Rp 618,254.49 0 Rp 8,960.21 Rp - 69 Rp 8,960.21 Rp 618,254.49 0 Rp 8,960.21 Rp -
33 Catgut Cromic no.3/0 Dus 0 Rp 215,045.00 Rp - 4 Rp 215,045.00 Rp 860,180.00 2 Rp 215,045.00 Rp 430,090.00 2 Rp 215,045.00 Rp 430,090.00
34 Catgut Plain 2/0 Dus 0 Rp 215,045.00 Rp - 3 Rp 215,045.00 Rp 645,135.00 1 Rp 215,045.00 Rp 215,045.00 2 Rp 215,045.00 Rp 430,090.00
35 Catheter (Aximed Foleycath 2-Way no.14) pcs 0 Rp 11,000.00 Rp - 0 Rp 11,000.00 Rp - 0 Rp 11,000.00 Rp - 0 Rp 11,000.00 Rp -
36 Catheter (folley cathteter) no.10 pcs 9 Rp 13,750.00 Rp 123,750.00 0 Rp 13,750.00 Rp - 9 Rp 13,750.00 Rp 123,750.00 0 Rp 13,750.00 Rp -
39 AXIMED FOLEYCATH, 2 WAY LATEX FOLEY CATH, NO. 14 pcs 0 Rp 12,100.00 Rp - 20 Rp 12,100.00 Rp 242,000.00 15 Rp 12,100.00 Rp 181,500.00 5 Rp 12,100.00 Rp 60,500.00
42 Catheter (folley cathteter) no.18 pcs 30 Rp 18,018.00 Rp 540,540.00 0 Rp 18,018.00 Rp - 10 Rp 18,018.00 Rp 180,180.00 20 Rp 18,018.00 Rp 360,360.00
43 Cholesterol test btl/10 strip botol 0 Rp 320,000.00 Rp - 0 Rp 320,000.00 Rp - 0 Rp 320,000.00 Rp - 0 Rp 320,000.00 Rp -
44 Cholesterol test btl/10 strip botol 0 Rp 279,400.00 Rp - 0 Rp 279,400.00 Rp - 0 Rp 279,400.00 Rp - 0 Rp 279,400.00 Rp -
45 Cholesterol test btl/25 strip botol 4 Rp 147,125.00 Rp 588,500.00 0 Rp 147,125.00 Rp - 4 Rp 147,125.00 Rp 588,500.00 0 Rp 147,125.00 Rp -
46 Cholesterol test btl/25 strip botol 0 Rp 367,812.50 Rp - 6 Rp 367,812.50 Rp 2,206,875.00 5 Rp 367,812.50 Rp 1,839,062.50 1 Rp 367,812.50 Rp 367,812.50
47 Cholesterol test btl/25 strip botol 0 Rp 385,235.00 Rp - 5 Rp 385,235.00 Rp 1,926,175.00 0 Rp 385,235.00 Rp - 5 Rp 385,235.00 Rp 1,926,175.00
48 Copper T set 6 Rp 124,300.00 Rp 745,800.00 10 Rp 124,300.00 Rp 1,243,000.00 16 Rp 124,300.00 Rp 1,988,800.00 0 Rp 124,300.00 Rp -
49 Feeding Tube (Aximed) 40 cm no. 6 pcs 0 Rp 8,107.00 Rp - 20 Rp 8,107.00 Rp 162,140.00 20 Rp 8,107.00 Rp 162,140.00 0 Rp 8,107.00 Rp -
50 Feeding Tube (Aximed) 40 cm no. 6 pcs 100 Rp 9,212.50 Rp 921,250.00 0 Rp 9,212.50 Rp - 100 Rp 9,212.50 Rp 921,250.00 0 Rp 9,212.50 Rp -
51 Feeding Tube (Aximed) 40 cm no. 8 pcs 100 Rp 9,212.50 Rp 921,250.00 0 Rp 9,212.50 Rp - 70 Rp 9,212.50 Rp 644,875.00 30 Rp 9,212.50 Rp 276,375.00
54 Feeding Tube (Aximed) 40 cm no. 10 pcs 100 Rp 9,212.50 Rp 921,250.00 0 Rp 9,212.50 Rp - 100 Rp 9,212.50 Rp 921,250.00 0 Rp 9,212.50 Rp -
55 Feeding Tube (Aximed) 40 cm no. 10 pcs 0 Rp 8,107.00 Rp - 20 Rp 8,107.00 Rp 162,140.00 15 Rp 8,107.00 Rp 121,605.00 5 Rp 8,107.00 Rp 40,535.00
56 Glukosa test btl/25 strip botol 2 Rp 68,475.00 Rp 136,950.00 0 Rp 68,475.00 Rp - 2 Rp 68,475.00 Rp 136,950.00 0 Rp 68,475.00 Rp -
57 Glukosa test btl/25 strip botol 0 Rp 180,000.00 Rp - 0 Rp 180,000.00 Rp - 0 Rp 180,000.00 Rp - 0 Rp 180,000.00 Rp -
58 Glukosa test btl/25 strip botol 0 Rp 179,850.00 Rp - 0 Rp 179,850.00 Rp - 0 Rp 179,850.00 Rp - 0 Rp 179,850.00 Rp -
59 Glukosa test btl/50 strip botol 0 Rp 136,950.00 Rp - 12 Rp 136,950.00 Rp 1,643,400.00 6 Rp 136,950.00 Rp 821,700.00 6 Rp 136,950.00 Rp 821,700.00
60 Hand Schoen no 7 Pcs 98 Rp 5,383.00 Rp 527,534.00 0 Rp 5,383.00 Rp - 98 Rp 5,383.00 Rp 527,534.00 0 Rp 5,383.00 Rp -
61 Hand Schoen no 7 Pcs 0 Rp 5,383.38 Rp - 210 Rp 5,383.38 Rp 1,130,510.22 210 Rp 5,383.38 Rp 1,130,510.22 0 Rp 5,383.38 Rp -
62 Hand Schoen no 7 set 0 Rp 14,850.00 Rp - 0 Rp 14,850.00 Rp - 0 Rp 14,850.00 Rp - 0 Rp 14,850.00 Rp -
63 Hand Schoen no 7.5 pcs 0 Rp 5,383.38 Rp - 260 Rp 5,383.38 Rp 1,399,679.32 260 Rp 5,383.38 Rp 1,399,679.32 0 Rp 5,383.38 Rp -
64 Hand Schoen no 7.5 set 0 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp - 0 Rp 23,750.00 Rp -
65 Hand Schoen no 7.5 U/ manual Placenta ( Long) set 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp - 0 Rp 16,731.00 Rp -
66 Hand Schoen no 8 pcs 0 Rp 5,382.88 Rp - 260 Rp 5,382.88 Rp 1,399,549.32 260 Rp 5,382.88 Rp 1,399,549.32 0 Rp 5,382.88 Rp -
67 Hand Schoen no 8 set 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp - 0 Rp 9,500.00 Rp -
68 Hand Schoen no 8 U/ manual Placenta ( Long) set 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp -
69 Hand Schoen (Aximed Exam Gloves size S) pcs 1 Rp 57,750.00 Rp 57,750.00 2 Rp 57,750.00 Rp 115,500.00 3 Rp 57,750.00 Rp 173,250.00 0 Rp 57,750.00 Rp -
70 Hand Schoen (Aximed Exam Gloves size M) pcs 0 Rp 57,750.00 Rp - 4 Rp 57,750.00 Rp 231,000.00 4 Rp 57,750.00 Rp 231,000.00 0 Rp 57,750.00 Rp -
71 Hand Schoen (superlife nitrile size M) box 0 Rp 65,780.00 Rp - 1 Rp 65,780.00 Rp 65,780.00 0 Rp 65,780.00 Rp - 1 Rp 65,780.00 Rp 65,780.00
78 Hand Schoen (Examination Gloves Size S) set 2 Rp 57,750.00 Rp 115,500.00 0 Rp 57,750.00 Rp - 2 Rp 57,750.00 Rp 115,500.00 0 Rp 57,750.00 Rp -
80 Hand Schoen (Examination Gloves Size L) set 1 Rp 57,750.00 Rp 57,750.00 1 Rp 57,750.00 Rp 57,750.00 1 Rp 57,750.00 Rp 57,750.00 1 Rp 57,750.00 Rp 57,750.00
81 Infusion nak (Onionex) pcs 0 Rp 3,556.16 Rp - 5 Rp 3,556.16 Rp 17,780.80 5 Rp 3,556.16 Rp 17,780.80 0 Rp 3,556.16 Rp -
84 Infusion Set Dewasa set 3 Rp 8,775.00 Rp 26,325.00 0 Rp 8,775.00 Rp - 3 Rp 8,775.00 Rp 26,325.00 0 Rp 8,775.00 Rp -
85 Infusion Set Dewasa set 50 Rp 6,343.00 Rp 317,150.00 0 Rp 6,343.00 Rp - 14 Rp 6,343.00 Rp 88,802.00 36 Rp 6,343.00 Rp 228,348.00
86 Infusion Set Macro 2 Cabang set 0 Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp -
87 IV Catheter no. 16 pcs 0 Rp 7,507.50 Rp - 0 Rp 7,507.50 Rp - 0 Rp 7,507.50 Rp - 0 Rp 7,507.50 Rp -
90 IV Catheter no. 20 pcs 0 Rp 8,948.00 Rp - 0 Rp 8,948.00 Rp - 0 Rp 8,948.00 Rp - 0 Rp 8,948.00 Rp -
91 IV Catheter no. 20 pcs 3 Rp 7,507.50 Rp 22,522.50 0 Rp 7,507.50 Rp - 0 Rp 7,507.50 Rp - 3 Rp 7,507.50 Rp 22,522.50
92 IV Catheter no. 22 pcs 4 Rp 8,948.00 Rp 35,792.00 0 Rp 8,948.00 Rp - 0 Rp 8,948.00 Rp - 4 Rp 8,948.00 Rp 35,792.00
93 IV Catheter no. 24 pcs 24 Rp 8,948.00 Rp 214,752.00 0 Rp 8,948.00 Rp - 20 Rp 8,948.00 Rp 178,960.00 4 Rp 8,948.00 Rp 35,792.00
94 IV Catheter (Nipro IV Catheter no. 18 G x 1 - 1/4") pcs 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp - 0 Rp 8,947.95 Rp -
95 IV Catheter (Nipro IV Catheter no. 18 G x 2") pcs 140 Rp 8,947.95 Rp 1,252,713.00 0 Rp 8,947.95 Rp - 110 Rp 8,947.95 Rp 984,274.50 30 Rp 8,947.95 Rp 268,438.50
96 IV Catheter (Nipro IV Catheter no. 18 G x 2") pcs 0 Rp 8,974.95 Rp - 21 Rp 8,974.95 Rp 188,473.95 20 Rp 8,974.95 Rp 179,499.00 1 Rp 8,974.95 Rp 8,974.95
97 IV Catheter (Nipro IV Catheter no. 20 G x 1 - 1/4") pcs 20 Rp 8,947.95 Rp 178,959.00 0 Rp 8,947.95 Rp - 20 Rp 8,947.95 Rp 178,959.00 0 Rp 8,947.95 Rp -
100 IV Catheter (Nipro IV Catheter no. 24 G x 1") pcs 98 Rp 8,947.95 Rp 876,899.10 0 Rp 8,947.95 Rp - 73 Rp 8,947.95 Rp 653,200.35 25 Rp 8,947.95 Rp 223,698.75
101 IV Catheter (MF Cath Pro Medifirst NO 24 G) pcs 0 Rp 9,461.25 Rp - 15 Rp 9,461.25 Rp 141,918.74 0 Rp 9,461.25 Rp - 15 Rp 9,461.25 Rp 141,918.74
102 Nipro Infuset "Y" pcs 60 Rp 6,343.00 Rp 380,580.00 5 Rp 6,343.00 Rp 31,715.00 45 Rp 6,343.00 Rp 285,435.00 20 Rp 6,343.00 Rp 126,860.00
103 Jarum Jahit Otot all size lusin 0 Rp 18,500.00 Rp - 0 Rp 18,500.00 Rp - 0 Rp 18,500.00 Rp - 0 Rp 18,500.00 Rp -
104 Jarum Jahit 1/2 Surgical lusin 0 Rp 135,000.00 Rp - 0 Rp 135,000.00 Rp - 0 Rp 135,000.00 Rp - 0 Rp 135,000.00 Rp -
106 Jarum Jahit 3/8 Surgical lusin 0 Rp 120,000.00 Rp - 0 Rp 120,000.00 Rp - 0 Rp 120,000.00 Rp - 0 Rp 120,000.00 Rp -
108 Kaca Slide pcs 0 Rp 50,000.00 Rp - 0 Rp 50,000.00 Rp - 0 Rp 50,000.00 Rp - 0 Rp 50,000.00 Rp -
110 Kapas Pembalut 250 g roll 0 Rp 23,595.00 Rp - 0 Rp 23,595.00 Rp - 0 Rp 23,595.00 Rp - 0 Rp 23,595.00 Rp -
111 Kapas Pembalut 250 g roll 0 Rp 22,000.00 Rp - 10 Rp 22,000.00 Rp 220,000.00 0 Rp 22,000.00 Rp - 10 Rp 22,000.00 Rp 220,000.00
112 Kapas Pembalut 500 g roll 0 Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp - 0 Rp 35,000.00 Rp -
113 Kasa Hydrofil 18 yard x 22 cm roll 16 Rp 4,750.00 Rp 76,000.00 0 Rp 4,750.00 Rp - 16 Rp 4,750.00 Rp 76,000.00 0 Rp 4,750.00 Rp -
114 Kasa Hydrofil 40 yard x 80 cm roll 0 Rp 122,550.00 Rp - 0 Rp 122,550.00 Rp - 0 Rp 122,550.00 Rp - 0 Rp 122,550.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
115 Kasa Hydrofil 40 yard x 80 cm roll 0 Rp 120,750.00 Rp - 10 Rp 120,750.00 Rp 1,207,500.00 5 Rp 120,750.00 Rp 603,750.00 5 Rp 120,750.00 Rp 603,750.00
116 Kasa Kompres Steril 40 x 40 cm bungkus 62 Rp 1,840.00 Rp 114,080.00 100 Rp 1,840.00 Rp 184,000.00 116 Rp 1,840.00 Rp 213,440.00 46 Rp 1,840.00 Rp 84,640.00
120 Kasa Pembalut 4 m x 5 cm roll 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
122 Kasa Pembalut 4 m x 15 cm roll 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
123 Kasa Pembalut Hydrofil 4 yard x 5 cm roll 19 Rp 862.00 Rp 16,378.00 0 Rp 862.00 Rp - 19 Rp 862.00 Rp 16,378.00 0 Rp 862.00 Rp -
124 Kasa Pembalut Hydrofil 4 yard x 5 cm roll 0 Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp - 0 Rp 1,248.00 Rp -
125 Kasa Pembalut Hydrofil 4 yard x 10 cm roll 15 Rp 1,725.00 Rp 25,875.00 0 Rp 1,725.00 Rp - 15 Rp 1,725.00 Rp 25,875.00 0 Rp 1,725.00 Rp -
127 Kasa Pembalut Hydrofil 4 yard x 15 cm roll 15 Rp 2,415.00 Rp 36,225.00 150 Rp 2,415.00 Rp 362,250.00 20 Rp 2,415.00 Rp 48,300.00 145 Rp 2,415.00 Rp 350,175.00
129 Kasa Steril 10x10 cm, 8 ply, 1x10 s' pcs 0 Rp 10,845.30 Rp - 9 Rp 10,845.30 Rp 97,607.70 9 Rp 10,845.30 Rp 97,607.70 0 Rp 10,845.30 Rp -
131 Kasa Steril 16 cm x 16 cm box 0 Rp 8,287.85 Rp - 0 Rp 8,287.85 Rp - 0 Rp 8,287.85 Rp - 0 Rp 8,287.85 Rp -
132 Kasa Steril 16 cm x 16 cm box 0 Rp 6,743.00 Rp - 0 Rp 6,743.00 Rp - 0 Rp 6,743.00 Rp - 0 Rp 6,743.00 Rp -
133 Kasa Hidrofil steril 16x16 kotak 0 Rp 9,200.00 Rp - 25 Rp 9,200.00 Rp 230,000.00 9 Rp 9,200.00 Rp 82,800.00 16 Rp 9,200.00 Rp 147,200.00
134 Kasa Steril 18 cm x 22 cm box 100 Rp 8,625.00 Rp 862,500.00 15 Rp 8,625.00 Rp 129,375.00 105 Rp 8,625.00 Rp 905,625.00 10 Rp 8,625.00 Rp 86,250.00
136 Masker Ear Loop Pcs 0 Rp 495.00 Rp - 0 Rp 495.00 Rp - 0 Rp 495.00 Rp - 0 Rp 495.00 Rp -
137 Masker Ear Loop Pcs 142 Rp 18,975.00 Rp 2,694,450.00 56 Rp 18,975.00 Rp 1,062,600.00 177 Rp 18,975.00 Rp 3,358,575.00 21 Rp 18,975.00 Rp 398,475.00
138 masker N95 pcs 0 Rp 7,488.80 Rp - 85 Rp 7,488.80 Rp 636,548.00 69 Rp 7,488.80 Rp 516,727.20 16 Rp 7,488.80 Rp 119,820.80
139 Masker Oxygen Dewasa dan anak pcs 0 Rp 10,559.90 Rp - 65 Rp 10,559.90 Rp 686,393.50 15 Rp 10,559.90 Rp 158,398.50 50 Rp 10,559.90 Rp 527,995.00
140 Masker Oxygen Cosmomed pcs 0 Rp 12,180.00 Rp - 8 Rp 12,180.00 Rp 97,440.00 7 Rp 12,180.00 Rp 85,260.00 1 Rp 12,180.00 Rp 12,180.00
148 Nasal Oxygen (Aximed) size M Pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
149 Nasal Oxygen (Aximed) size L Pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
150 Nasal Oxygen (Aximed) size XS Pcs 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
151 Nasal Oxygen Canula pcs 0 Rp 8,004.00 Rp - 10 Rp 8,004.00 Rp 80,040.00 1 Rp 8,004.00 Rp 8,004.00 9 Rp 8,004.00 Rp 72,036.00
152 Plester 5 yard x 2 inchi roll 0 Rp 44,300.00 Rp - 0 Rp 44,300.00 Rp - 0 Rp 44,300.00 Rp - 0 Rp 44,300.00 Rp -
153 Plester 5 cm x 4,5 cm roll 2 Rp 65,000.00 Rp 130,000.00 0 Rp 65,000.00 Rp - 2 Rp 65,000.00 Rp 130,000.00 0 Rp 65,000.00 Rp -
154 Plester 7,5 cm x 4,5 cm roll 0 Rp 60,650.00 Rp - 0 Rp 60,650.00 Rp - 0 Rp 60,650.00 Rp - 0 Rp 60,650.00 Rp -
155 Pot Sputum pot 0 Rp 2,000.00 Rp - 0 Rp 2,000.00 Rp - 0 Rp 2,000.00 Rp - 0 Rp 2,000.00 Rp -
156 RDT pcs 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
157 Regulator Oxygen Pcs 0 Rp 453,200.00 Rp - 1 Rp 453,200.00 Rp 453,200.00 1 Rp 453,200.00 Rp 453,200.00 0 Rp 453,200.00 Rp -
158 Regulator Oxygen pcs 3 Rp 487,500.00 Rp 1,462,500.00 0 Rp 487,500.00 Rp - 3 Rp 487,500.00 Rp 1,462,500.00 0 Rp 487,500.00 Rp -
159 Safety Box kotak 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
160 Selang Oxygen pcs 11 Rp 8,250.00 Rp 90,750.00 0 Rp 8,250.00 Rp - 1 Rp 8,250.00 Rp 8,250.00 10 Rp 8,250.00 Rp 82,500.00
163 Silk (benang bedah sutra) no.2/0 dus 0 Rp 126,500.00 Rp - 3 Rp 126,500.00 Rp 379,500.00 1 Rp 126,500.00 Rp 126,500.00 2 Rp 126,500.00 Rp 253,000.00
166 Silk (benang bedah sutra) no.3/0 dus 0 Rp 167,813.70 Rp - 4 Rp 167,813.70 Rp 671,254.80 1 Rp 167,813.70 Rp 167,813.70 3 Rp 167,813.70 Rp 503,441.10
167 Sound Timer unit 0 Rp 1,219,143.00 Rp - 0 Rp 1,219,143.00 Rp - 0 Rp 1,219,143.00 Rp - 0 Rp 1,219,143.00 Rp -
168 Stempel ISPA pcs 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
169 Uric Acid test btl/25 strip botol 0 Rp 240,000.00 Rp - 0 Rp 240,000.00 Rp - 0 Rp 240,000.00 Rp - 0 Rp 240,000.00 Rp -
170 Uric Acid test btl/25 strip botol 0 Rp 239,800.00 Rp - 0 Rp 239,800.00 Rp - 0 Rp 239,800.00 Rp - 0 Rp 239,800.00 Rp -
171 Uric Acid test btl/50 strip botol 2 Rp 89,100.00 Rp 178,200.00 0 Rp 89,100.00 Rp - 2 Rp 89,100.00 Rp 178,200.00 0 Rp 89,100.00 Rp -
172 Uric Acid test btl/50 strip botol 0 Rp 178,200.00 Rp - 9 Rp 178,200.00 Rp 1,603,800.00 6 Rp 178,200.00 Rp 1,069,200.00 3 Rp 178,200.00 Rp 534,600.00
173 Uric Acid test btl/50 strip Kotak 0 Rp 195,485.00 Rp - 3 Rp 195,485.00 Rp 586,455.00 0 Rp 195,485.00 Rp - 3 Rp 195,485.00 Rp 586,455.00
174 Urine bag pcs 0 Rp 3,450.00 Rp - 10 Rp 3,450.00 Rp 34,500.00 10 Rp 3,450.00 Rp 34,500.00 0 Rp 3,450.00 Rp -
175 Urine bag pcs 10 Rp 6,875.00 Rp 68,750.00 0 Rp 6,875.00 Rp - 10 Rp 6,875.00 Rp 68,750.00 0 Rp 6,875.00 Rp -
176 Alkohol Swab box 39 Rp 11,500.00 Rp 448,500.00 20 Rp 11,500.00 Rp 230,000.00 51 Rp 11,500.00 Rp 586,500.00 8 Rp 11,500.00 Rp 92,000.00
177 Plesterin Non woven Roll 5 cm x 5 cm roll 19 Rp 27,324.00 Rp 519,156.00 68 Rp 27,324.00 Rp 1,858,032.00 44 Rp 27,324.00 Rp 1,202,256.00 43 Rp 27,324.00 Rp 1,174,932.00
178 Plesterin Non woven Roll 5 cm x 10 cm roll 10 Rp 47,564.00 Rp 475,640.00 15 Rp 47,564.00 Rp 713,460.00 15 Rp 47,564.00 Rp 713,460.00 10 Rp 47,564.00 Rp 475,640.00
179 Plesterin Non woven Roll 5 cm x 15 cm roll 10 Rp 79,948.00 Rp 799,480.00 10 Rp 79,948.00 Rp 799,480.00 10 Rp 79,948.00 Rp 799,480.00 10 Rp 79,948.00 Rp 799,480.00
180 Kasa Steril 10 x 10 cm, 8 ply, 1 x 10'S pack 0 Rp 10,845.00 Rp - 0 Rp 10,845.00 Rp - 0 Rp 10,845.00 Rp - 0 Rp 10,845.00 Rp -
181 Feeding Tube 8 FR 40 cm pcs 0 Rp 8,804.00 Rp - 0 Rp 8,804.00 Rp - 0 Rp 8,804.00 Rp - 0 Rp 8,804.00 Rp -
182 Urocare Folley Catheter 2 Way no. 14 box 2 Rp 92,000.00 Rp 184,000.00 0 Rp 92,000.00 Rp - 0 Rp 92,000.00 Rp - 2 Rp 92,000.00 Rp 184,000.00
183 Elastic Verband 6 inchi pcs 0 Rp 86,680.00 Rp - 4 Rp 86,680.00 Rp 346,720.00 0 Rp 86,680.00 Rp - 4 Rp 86,680.00 Rp 346,720.00
184 anions dermanions chlorhexidin 500 ml botol 0 Rp 112,413.60 Rp - 0 Rp 112,413.60 Rp - 0 Rp 112,413.60 Rp - 0 Rp 112,413.60 Rp -
185 Kertas Puyer Blank bgks 0 Rp 93,500.00 Rp - 5 Rp 93,500.00 Rp 467,500.00 0 Rp 93,500.00 Rp - 5 Rp 93,500.00 Rp 467,500.00
186 Cairan Spritus 1000 ml botol 0 Rp 52,965.00 Rp - 2 Rp 52,965.00 Rp 105,930.00 2 Rp 52,965.00 Rp 105,930.00 0 Rp 52,965.00 Rp -
187 Cairan Spritus 1000 ml botol 1 Rp 68,250.00 Rp 68,250.00 0 Rp 68,250.00 Rp - 1 Rp 68,250.00 Rp 68,250.00 0 Rp 68,250.00 Rp -
NILAI OBAT IFK PUSKESMAS UEESI Rp 88,076,240.92 Rp 54,319,131.75 Rp 103,689,989.612 Rp 38,705,383.06
OBAT BPJS
1 Paracetamol box Rp 25,000.00 Rp - 40 Rp 25,000.00 Rp 1,000,000.00 40 Rp 25,000.00 Rp 1,000,000.00 0 Rp 25,000.00 Rp -
2 Lidokain dos Rp 165,000.00 Rp - 4 Rp 165,000.00 Rp 660,000.00 4 Rp 165,000.00 Rp 660,000.00 0 Rp 165,000.00 Rp -
3 Piroxicam box Rp 25,000.00 Rp - 20 Rp 25,000.00 Rp 500,000.00 20 Rp 25,000.00 Rp 500,000.00 0 Rp 25,000.00 Rp -
4 Antasida DOEN sirup botol Rp 7,000.00 Rp - 40 Rp 7,000.00 Rp 280,000.00 40 Rp 7,000.00 Rp 280,000.00 0 Rp 7,000.00 Rp -
5 Flutamol Tab box Rp 60,000.00 Rp - 1 Rp 60,000.00 Rp 60,000.00 1 Rp 60,000.00 Rp 60,000.00 0 Rp 60,000.00 Rp -
6 vitamin K Box Rp 100,000.00 Rp - 1 Rp 100,000.00 Rp 100,000.00 1 Rp 100,000.00 Rp 100,000.00 0 Rp 100,000.00 Rp -
7 oxitosin Box Rp 100,000.00 Rp - 1 Rp 100,000.00 Rp 100,000.00 1 Rp 100,000.00 Rp 100,000.00 0 Rp 100,000.00 Rp -
8 B12 injeksi Box Rp 150,000.00 Rp - 1 Rp 150,000.00 Rp 150,000.00 1 Rp 150,000.00 Rp 150,000.00 0 Rp 150,000.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
9 Pharmafix box Rp 80,000.00 Rp - 1 Rp 80,000.00 Rp 80,000.00 1 Rp 80,000.00 Rp 80,000.00 0 Rp 80,000.00 Rp -
10 Simvastin 10 mg box Rp 30,000.00 Rp - 15 Rp 30,000.00 Rp 450,000.00 15 Rp 30,000.00 Rp 450,000.00 0 Rp 30,000.00 Rp -
11 Catopril 25 mg box Rp 15,000.00 Rp - 10 Rp 15,000.00 Rp 150,000.00 10 Rp 15,000.00 Rp 150,000.00 0 Rp 15,000.00 Rp -
12 Fastamol box Rp 52,000.00 Rp - 5 Rp 52,000.00 Rp 260,000.00 5 Rp 52,000.00 Rp 260,000.00 0 Rp 52,000.00 Rp -
13 Harsfan 400 mg box Rp 47,000.00 Rp - 3 Rp 47,000.00 Rp 141,000.00 3 Rp 47,000.00 Rp 141,000.00 0 Rp 47,000.00 Rp -
14 Lekov box Rp 30,000.00 Rp - 6 Rp 30,000.00 Rp 180,000.00 6 Rp 30,000.00 Rp 180,000.00 0 Rp 30,000.00 Rp -
15 Amoldipin 5 mg box Rp 25,000.00 Rp - 10 Rp 25,000.00 Rp 250,000.00 10 Rp 25,000.00 Rp 250,000.00 0 Rp 25,000.00 Rp -
16 Lecozin c box Rp 32,000.00 Rp - 5 Rp 32,000.00 Rp 160,000.00 2 Rp 32,000.00 Rp 64,000.00 3 Rp 32,000.00 Rp 96,000.00
17 Ranitidine Inj box Rp 6,000.00 Rp - 20 Rp 6,000.00 Rp 120,000.00 20 Rp 6,000.00 Rp 120,000.00 0 Rp 6,000.00 Rp -
18 Ciprofxaxin tab box Rp 55,000.00 Rp - 4 Rp 55,000.00 Rp 220,000.00 4 Rp 55,000.00 Rp 220,000.00 0 Rp 55,000.00 Rp -
19 Salbutamol 4 mg box Rp 30,000.00 Rp - 3 Rp 30,000.00 Rp 90,000.00 3 Rp 30,000.00 Rp 90,000.00 0 Rp 30,000.00 Rp -
20 Salbutamol 2 mg box Rp 30,000.00 Rp - 3 Rp 30,000.00 Rp 90,000.00 3 Rp 30,000.00 Rp 90,000.00 0 Rp 30,000.00 Rp -
21 Simvastin 20 mg box Rp 39,000.00 Rp - 10 Rp 39,000.00 Rp 390,000.00 8 Rp 39,000.00 Rp 312,000.00 2 Rp 39,000.00 Rp 78,000.00
22 Oxytetracikin box Rp 100,000.00 Rp - 2 Rp 100,000.00 Rp 200,000.00 0 Rp 100,000.00 Rp - 2 Rp 100,000.00 Rp 200,000.00
23 Omeprazol box Rp 29,000.00 Rp - 20 Rp 29,000.00 Rp 580,000.00 20 Rp 29,000.00 Rp 580,000.00 0 Rp 29,000.00 Rp -
24 Ibuprofen box Rp 50,000.00 Rp - 15 Rp 50,000.00 Rp 750,000.00 15 Rp 50,000.00 Rp 750,000.00 0 Rp 50,000.00 Rp -
25 Amoldipin box Rp 65,000.00 Rp - 15 Rp 65,000.00 Rp 975,000.00 15 Rp 65,000.00 Rp 975,000.00 0 Rp 65,000.00 Rp -
26 Antasida Syr botol Rp 6,000.00 Rp - 30 Rp 6,000.00 Rp 180,000.00 30 Rp 6,000.00 Rp 180,000.00 0 Rp 6,000.00 Rp -
27 Cefadroxil box Rp 82,000.00 Rp - 3 Rp 82,000.00 Rp 246,000.00 3 Rp 82,000.00 Rp 246,000.00 0 Rp 82,000.00 Rp -
28 Salep Ketokonazole tube Rp 8,000.00 Rp - 25 Rp 8,000.00 Rp 200,000.00 25 Rp 8,000.00 Rp 200,000.00 0 Rp 8,000.00 Rp -
29 Piroksikam box Rp 39,000.00 Rp - 10 Rp 39,000.00 Rp 390,000.00 2 Rp 39,000.00 Rp 78,000.00 8 Rp 39,000.00 Rp 312,000.00
30 Molacort box Rp 65,000.00 Rp - 4 Rp 65,000.00 Rp 260,000.00 2 Rp 65,000.00 Rp 130,000.00 2 Rp 65,000.00 Rp 130,000.00
31 Flutamol box Rp 95,000.00 Rp - 5 Rp 95,000.00 Rp 475,000.00 4 Rp 95,000.00 Rp 380,000.00 1 Rp 95,000.00 Rp 95,000.00
32 Ciprofloxacin box Rp 55,000.00 Rp - 4 Rp 55,000.00 Rp 220,000.00 2 Rp 55,000.00 Rp 110,000.00 2 Rp 55,000.00 Rp 110,000.00
33 Salbutamol 4 mg box Rp 30,000.00 Rp - 5 Rp 30,000.00 Rp 150,000.00 2 Rp 30,000.00 Rp 60,000.00 3 Rp 30,000.00 Rp 90,000.00
34 Simvastasin 20 mg box Rp 39,000.00 Rp - 5 Rp 39,000.00 Rp 195,000.00 5 Rp 39,000.00 Rp 195,000.00 0 Rp 39,000.00 Rp -
35 Handskun S Dus Rp 160,000.00 Rp - 3 Rp 160,000.00 Rp 480,000.00 3 Rp 160,000.00 Rp 480,000.00 0 Rp 160,000.00 Rp -
36 Alat Suntik 1 ml Buah Rp 3,000.00 Rp - 50 Rp 3,000.00 Rp 150,000.00 50 Rp 3,000.00 Rp 150,000.00 0 Rp 3,000.00 Rp -
37 Alat Suntik 3 ml buah Rp 3,000.00 Rp - 50 Rp 3,000.00 Rp 150,000.00 50 Rp 3,000.00 Rp 150,000.00 0 Rp 3,000.00 Rp -
38 Stril Gula Darah Botol Rp 120,000.00 Rp - 2 Rp 120,000.00 Rp 240,000.00 2 Rp 120,000.00 Rp 240,000.00 0 Rp 120,000.00 Rp -
39 Strip Asam Urat Botol Rp 125,000.00 Rp - 1 Rp 125,000.00 Rp 125,000.00 1 Rp 125,000.00 Rp 125,000.00 0 Rp 125,000.00 Rp -
40 Kasa Hidrofil Buah Rp 25,000.00 Rp - 4 Rp 25,000.00 Rp 100,000.00 4 Rp 25,000.00 Rp 100,000.00 0 Rp 25,000.00 Rp -
41 Blood Lancet strip Rp 200.00 Rp - 25 Rp 200.00 Rp 5,000.00 25 Rp 200.00 Rp 5,000.00 0 Rp 200.00 Rp -
42 TestPack Onemed box Rp 150,000.00 Rp - 3 Rp 150,000.00 Rp 450,000.00 3 Rp 150,000.00 Rp 450,000.00 0 Rp 150,000.00 Rp -
43 Strip Colestrol boto Rp 190,000.00 Rp - 4 Rp 190,000.00 Rp 760,000.00 4 Rp 190,000.00 Rp 760,000.00 0 Rp 190,000.00 Rp -
44 Handskun On Safe Glove box Rp 110,000.00 Rp - 2 Rp 110,000.00 Rp 220,000.00 2 Rp 110,000.00 Rp 220,000.00 0 Rp 110,000.00 Rp -
45 Aseptic gelfoec botol Rp 63,000.00 Rp - 4 Rp 63,000.00 Rp 252,000.00 4 Rp 63,000.00 Rp 252,000.00 0 Rp 63,000.00 Rp -
46 Hand Sanitaizer 250 ml botol Rp 35,000.00 Rp - 5 Rp 35,000.00 Rp 175,000.00 5 Rp 35,000.00 Rp 175,000.00 0 Rp 35,000.00 Rp -
47 Face Shiled buah Rp 20,000.00 Rp - 6 Rp 20,000.00 Rp 120,000.00 6 Rp 20,000.00 Rp 120,000.00 0 Rp 20,000.00 Rp -
48 Pengisian Tabung O2 Buah Rp 200,000.00 Rp - 3 Rp 200,000.00 Rp 600,000.00 3 Rp 200,000.00 Rp 600,000.00 0 Rp 200,000.00 Rp -
49 alkohol 300 ml botol Rp 50,000.00 Rp - 6 Rp 50,000.00 Rp 300,000.00 6 Rp 50,000.00 Rp 300,000.00 0 Rp 50,000.00 Rp -
50 Kertas Lakmus dos Rp 50,000.00 Rp - 1 Rp 50,000.00 Rp 50,000.00 1 Rp 50,000.00 Rp 50,000.00 0 Rp 50,000.00 Rp -
51 handskun on safe gloves uk m box Rp 110,000.00 Rp - 6 Rp 110,000.00 Rp 660,000.00 6 Rp 110,000.00 Rp 660,000.00 0 Rp 110,000.00 Rp -
52 handskun on safe gloves uk s box Rp 110,000.00 Rp - 6 Rp 110,000.00 Rp 660,000.00 6 Rp 110,000.00 Rp 660,000.00 0 Rp 110,000.00 Rp -
53 selang NGT no 10 Pcs Rp 85,000.00 Rp - 2 Rp 85,000.00 Rp 170,000.00 2 Rp 85,000.00 Rp 170,000.00 0 Rp 85,000.00 Rp -
54 Selang NGT no 16 PACS Rp 85,000.00 Rp - 1 Rp 85,000.00 Rp 85,000.00 1 Rp 85,000.00 Rp 85,000.00 0 Rp 85,000.00 Rp -
55 Underpad pacs Rp 50,000.00 Rp - 3 Rp 50,000.00 Rp 150,000.00 3 Rp 50,000.00 Rp 150,000.00 0 Rp 50,000.00 Rp -
56 Masker 3 ply box Rp 100,000.00 Rp - 5 Rp 100,000.00 Rp 500,000.00 5 Rp 100,000.00 Rp 500,000.00 0 Rp 100,000.00 Rp -
57 Handskun M Box Rp 100,000.00 Rp - 5 Rp 100,000.00 Rp 500,000.00 5 Rp 100,000.00 Rp 500,000.00 0 Rp 100,000.00 Rp -
NILAI OBAT BPJS PUSKESMAS UEESI Rp - Rp 17,154,000.00 Rp 16,043,000.000 Rp 1,111,000.00
OBAT PROGRAM
3 Tablet FE Tablet 0 Rp 427.00 Rp - 5600 Rp 427.00 Rp 2,391,200.00 3150 Rp 427.00 Rp 1,345,050.00 2450 Rp 427.00 Rp 1,046,150.00
4 Obat Anti TB Kategori I Paket 2 Rp 396,000.00 Rp 792,000.00 10 Rp 396,000.00 Rp 3,960,000.00 6 Rp 396,000.00 Rp 2,376,000.00 6 Rp 396,000.00 Rp 2,376,000.00
5 Obat Anti TB Kategori Anak Paket 0 Rp 257,986.00 Rp - 1 Rp 257,986.00 Rp 257,986.00 1 Rp 257,986.00 Rp 257,986.00 0 Rp 257,986.00 Rp -
6 Reagen Paket 0 Rp 269,000.00 Rp - 2 Rp 269,000.00 Rp 538,000.00 0 Rp 269,000.00 Rp - 2 Rp 269,000.00 Rp 538,000.00
7 Abate Botol 0 Rp - 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp -
8 Haloperidol 5 mg Tablet 0 Rp 57.00 Rp - 0 Rp 57.00 Rp - 0 Rp 57.00 Rp - 0 Rp 57.00 Rp -
9 Chlorpromazine 100 mg Tablet 0 Rp 297.00 Rp - 0 Rp 297.00 Rp - 0 Rp 297.00 Rp - 0 Rp 297.00 Rp -
10 Trihexyfenidil 2 mg Tablet 0 Rp 99.00 Rp - 0 Rp 99.00 Rp - 0 Rp 99.00 Rp - 0 Rp 99.00 Rp -
11 Albendazole 400 mg Tablet 540 Rp 1,041.98 Rp 562,666.61 0 Rp 1,041.98 Rp - 540 Rp 1,041.98 Rp 562,666.61 0 Rp 1,041.98 Rp -
12 Albendazole 400 mg Botol 0 Rp 208,395.00 Rp - 15 Rp 208,395.00 Rp 3,125,925.00 13 Rp 208,395.00 Rp 2,709,135.00 2 Rp 208,395.00 Rp 416,790.00
13 DEC 100 mg Tablet 1496 Rp 202.07 Rp 302,289.39 0 Rp 202.07 Rp - 1496 Rp 202.07 Rp 302,289.39 0 Rp 202.07 Rp -
14 DEC 100 mg Tablet 0 Rp 190.00 Rp - 8000 Rp 190.00 Rp 1,520,000.00 6709 Rp 190.00 Rp 1,274,710.00 1291 Rp 190.00 Rp 245,290.00
15 Oralit Sachet 0 Rp 275.00 Rp - 800 Rp 275.00 Rp 220,000.00 200 Rp 275.00 Rp 55,000.00 600 Rp 275.00 Rp 165,000.00
16 Zink Tablet 0 Rp 631.00 Rp - 500 Rp 631.00 Rp 315,500.00 500 Rp 631.00 Rp 315,500.00 0 Rp 631.00 Rp -
17 Parasetamol sirup Botol 0 Rp 1,107.00 Rp - 15 Rp 1,107.00 Rp 16,605.00 15 Rp 1,107.00 Rp 16,605.00 0 Rp 1,107.00 Rp -
18 Oxytetrasiklin salep mata Tube 0 Rp 2,500.00 Rp - 50 Rp 2,500.00 Rp 125,000.00 2 Rp 2,500.00 Rp 5,000.00 48 Rp 2,500.00 Rp 120,000.00
19 Metronidazol infus Botol 0 Rp 6,250.00 Rp - 2 Rp 6,250.00 Rp 12,500.00 0 Rp 6,250.00 Rp - 2 Rp 6,250.00 Rp 12,500.00
20 Diazepam ampul 0 Rp 2,010.00 Rp - 20 Rp 2,010.00 Rp 40,200.00 0 Rp 2,010.00 Rp - 20 Rp 2,010.00 Rp 40,200.00
21 Metilergometrin injeksi ampul 0 Rp 3,553.00 Rp - 100 Rp 3,553.00 Rp 355,300.00 0 Rp 3,553.00 Rp - 0 Rp 3,553.00 Rp -
Metilergometrin injeksi ampul 100 Rp 3,553.00 Rp 355,300.00 Expired
22 Vaksin BCG Ampul 11 Rp 59,959.00 Rp 659,549.00 60 Rp 59,959.00 Rp 3,597,540.00 48 Rp 59,959.00 Rp 2,878,032.00 23 Rp 59,959.00 Rp 1,379,057.00
23 Vaksin POLIO Vial 35 Rp 19,954.00 Rp 698,390.00 80 Rp 19,954.00 Rp 1,596,320.00 69 Rp 19,954.00 Rp 1,376,826.00 46 Rp 19,954.00 Rp 917,884.00
24 Vaksin CAMPAK Vial 8 Rp 28,204.00 Rp 225,632.00 0 Rp 28,204.00 Rp - 8 Rp 28,204.00 Rp 225,632.00 0 Rp 28,204.00 Rp -
25 Vaksin MR Vial 0 Rp 141,648.00 Rp - 100 Rp 141,648.00 Rp 14,164,800.00 69 Rp 141,648.00 Rp 9,773,712.00 31 Rp 141,648.00 Rp 4,391,088.00
26 Vaksin TT Vial 10 Rp 14,498.00 Rp 144,980.00 0 Rp 14,498.00 Rp - 10 Rp 14,498.00 Rp 144,980.00 0 Rp 14,498.00 Rp -
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
27 Vaksin Td Vial 0 Rp 16,500.00 Rp - 90 Rp 16,500.00 Rp 1,485,000.00 50 Rp 16,500.00 Rp 825,000.00 40 Rp 16,500.00 Rp 660,000.00
28 Vaksin DT Vial 0 Rp 17,798.00 Rp - 20 Rp 17,798.00 Rp 355,960.00 0 Rp 17,798.00 Rp - 20 Rp 17,798.00 Rp 355,960.00
29 Ads 5 ml Pcs 0 Rp - Rp - 300 Rp - Rp - 300 Rp - Rp - 0 Rp - Rp -
30 Ads 0,5 ml Pcs 0 Rp - Rp - 300 Rp - Rp - 300 Rp - Rp - 0 Rp - Rp -
31 Ads 0,05 ml Pcs 0 Rp - Rp - 100 Rp - Rp - 79 Rp - Rp - 21 Rp - Rp -
32 Vaksin Unijek Vial 38 Rp 76,285.00 Rp 2,898,830.00 80 Rp 76,285.00 Rp 6,102,800.00 78 Rp 76,285.00 Rp 5,950,230.00 40 Rp 76,285.00 Rp 3,051,400.00
33 Vaksin IPV Vial 2 Rp 152,800.00 Rp 305,600.00 0 Rp 152,800.00 Rp - 0 Rp 152,800.00 Rp - 2 Rp 152,800.00 Rp 305,600.00
34 Vaksin DPT HB Vial 29 Rp 76,285.00 Rp 2,212,265.00 120 Rp 76,285.00 Rp 9,154,200.00 93 Rp 76,285.00 Rp 7,094,505.00 56 Rp 76,285.00 Rp 4,271,960.00
35 SD HIV Pcs 0 Rp 11,975.00 Rp - 100 Rp 11,975.00 Rp 1,197,500.00 0 Rp 11,975.00 Rp - 0 Rp 11,975.00 Rp -
SD HIV Pcs 100 Rp 11,975.00 Rp 1,197,500.00 Expired
36 RDT SHYPILIS Pcs 0 Rp 9,300.00 Rp - 50 Rp 9,300.00 Rp 465,000.00 20 Rp 9,300.00 Rp 186,000.00 30 Rp 9,300.00 Rp 279,000.00
NILAI OBAT PROGRAM PUSKESMAS UEESI Rp 8,802,202.00 Rp 50,997,336.00 Rp 39,227,658.998 Rp 20,571,879.00
JUMLAH NILAI OBAT PUSKESMAS UEESI Rp 96,878,442.92 Rp 122,470,467.75 Rp 158,960,648.609 Rp 60,388,262.06
JUMLAH KESELURUHAN NILAI OBAT DINAS KESEHATAN TA 2020 Rp 3,689,132,671.05 Rp 5,621,894,802.06 Rp 5,024,653,626.876 Rp 4,286,373,846.23
Tirawuta, 31 Desember 2020

Mengetahui,
Kepala Dinas Kesehatan Bendahara Pengurus Barang Kepala UPTD Instalasi Farmasi Kabupaten
Ir. Barwik Sirait, M.Si, MPH Muh. Taufiq S., S. KM Marben, SKM
Pembina Utama Muda, Gol. IV/c NIP. 19900709 201504 1 001 NIP. 19810612 200701 1 011
NIP. 19630910 198503 1 002
PEMERINTAH K
DIN
UPTD PU
REKAPITULASI STOK PERS
PERSEDIAAN 01 JANUARI 2020
NO NAMA OBAT SATUAN
JUMLAH HARGA SATUAN
1 2 3 4 5
PUSKESMAS LALOLAE
OBAT IFK
1 Albendazol tab. 400 Tablet 400 Rp 363.00
3 ALBENDAZOL SUP 200 MG/5ML Botol 0 Rp 4,619.00
4 ACETYL CISTEIN KAPSUL 200 MG Kapsul 0 Rp 130.00
5 ALOPURINOL TABLET 100 MG SATUAN 1300 Rp 108.00
6 ALOPURINOL TABLET 100 MG Tablet 500 Rp 102.00
ALOPURINOL TABLET 300 MG Tablet 0 Rp 531.25
7 Air untuk injeksi 25 ml Botol 6 Rp 2,860.00
8 Ambroxol syr 15 mg Botol 0 Rp 4,999.50
10 Ambroxol tab. 30 mg Tablet 0 Rp 197.34
12 Aminofilin Inj 24 mg/ml Ampul 0 Rp 3,071.00
13 Amlodipin tab 10 mg Tablet 0 Rp 99.00
14 AMLODIPIN 10 MG Tablet 0 Rp 472.00
16 Amlodipin 5 mg Tablet 0 Rp 78.00
19 Amoxicilin kapsul/kaplet 250 mg Kapsul 0 Rp 198.00
21 AMOKSISILIN KAPLET 500 MG Tablet 0 Rp 248.00
25 Amoxicilin sirup kering 250 mg/5 ml Botol 200 Rp 3,740.00
27 AMOKSISILIN SIRUP KERING FORET 250 MG / Botol 0 Rp 4,375.00
28 Antasida DOEN I Tablet kunyah, kombinasi : Alu Tablet 0 Rp 78.00
29 ANTASIDA DOEN I TABLET KUNYAH, KOMBINA Tablet 500 Rp 57.00
30 Antasida DOEN II Syirup, kombinasi : Aluminium Botol 0 Rp 2,290.00
32 Anti bakteri DOEN salep kombinasi : Basitrasin 500 Tube 0 Rp 3,511.00
ANTIFUNGI SALEP KOMBINASI Pot 0 Rp 5,757.00
33 Antihemoroid DOEN kombinasi : Bismut subgalat Supp 30 Rp 3,800.00
34 ASAM ASKORBAT ( VIT. C ) TABLET 50 MG Tablet 0 Rp 125.00
35 Asam askorbat (Vit.C) 50 mg Tablet 2000 Rp 126.00
37 Asam folat 1 mg Tablet 300 Rp 90.00
38 Asam mefenamat kaps/kapl 500 mg Tablet 0 Rp 127.00
40 ASAM MEFENAMAT KAPLET 500 MG Kaplet 0 Rp 262.50
41 ASIKLOVIR 200 MG Tablet 0 Rp 263.00
43 Asiklovir 400 mg Tablet 0 Rp 440.00
45 ACETIL CYSTEIN Tablet 0 Rp 460.00
46 Atropin injeksi i.m/i.v/s.k 0,25 mg/ml (Sulfat) Ampul 0 Rp 1,540.00
47 Bedak Salisilk Serbuk 2 % Pot 0 Rp 6,426.20
49 BEDAK SALISIL SERBUK 2 % Dus 0 Rp 1,081.00
50 BETAMETASON DIPROPIONATE 0,05% Tube 0 Rp 3,350.00
51 BETAMETASON KRIM 0,1% Tube 0 Rp 1,450.00
52 Betahistin Masilat 6 Mg Tablet 0 Rp 924.00
53 BETAHISTIN TABLET 6 MG Tablet 0 Rp 165.00
54 Captopril 12,5 mg Tablet 0 Rp 68.00
Captopril 25 mg Tablet 0 Rp 181.12
56 Cefadroxil 500 Mg Kapsul 0 Rp 763.64
57 Cefadroxil SYR 250 MG Botol 0 Rp 25,450.00
57 Cefixime 100 Mg Kapsul 0 Rp 1,300.00
58 CEFIXIME 100 MG KAPSUL Kapsul 0 Rp 4,780.01
59 DIAZEPAM 2 MG Tablet 100 Rp 86.00
60 DIAZEPAM 5 MG INJ Ampul 10 Rp 2,010.00
61 CETIRIZINE HIDROKLORIDA 5MG/ML Botol 195 Rp 3,104.00
62 CETIRIZINE 10 MG TABLET Tablet 0 Rp 406.89
CIPROFLOKSACIN Tablet 0 Rp 453.75
CTM Tablet 0 Rp 50.00
63 CLINDAMYCIN 300 MG CAPSUL KAPSUL 0 Rp 2,739.99
64 Deksametason Injeksi i.v/i.m 5 mg/ml Ampul 0 Rp 1,278.00
65 Deksametason Tablet 0,5 mg Tablet 200 Rp 35.00
Deksametason Tablet 0,5 mg Tablet 0 Rp 136.06
66 Domperidon Tablet 10 mg Tablet 0 Rp 96.00
DOKSISIKLIN TAB 100 MG Tablet 0 Rp 280.00
DHP FERMINAL KOMBINASI 40 MG + 320 TAB Tablet 0 Rp 2,166.00
DIFENHIDRAMIN INJEKSI Ampul 0 Rp 1,316.00
DIGOKSIN 0,25 MG Tablet 0 Rp 104.00
68 Epinefrin (Adrenalin) Injeksi i.v/s.k/i.m 1 mg/ml Ampul 8 Rp 8,910.00
69 EPINEFRIN ( ADRENALIN )INJ. 1 MG/ML ( 0,1 % Ampul 0 Rp 2,068.00
70 Eritromisin Kapsul/Kaplet 500 mg Kapsul 0 Rp 781.00
72 ERITROMISIN SIRUP KERING 200 MG/5ML Botol 0 Rp 6,622.00
73 Eritromisin sirup kering 200 mg/5 ml Botol 0 Rp 8,090.00
74 Etakridin (Rivanol) Botol 0 Rp 6,000.00
75 furosemide 40 mg tablet 1900 Rp 82.00
furosemide 40 mg tablet 0 Rp 88.00
furosemide INJ 10 MG/ML Ampul 0 Rp 1,555.00
76 Fitomenadion (vit.K1) injeksi 10 mg/ml Ampul 0 Rp 4,167.00
77 Fitomenadion (vit.K1) injeksi i.m 2 mg/ml Ampul 0 Rp 3,754.00
78 FITOMENADION (VIT.K1) INJ. 2 MG/ML Ampul 0 Rp 4,420.00
79 Fitomenadion (vit.K1) tablet salut gula 10 mg Tablet 0 Rp 912.00
80 Formalin 40 % Botol 1 Rp 42,000.00
81 Garam Oralit Serbuk , kombinasi : Natrium klorida 0 saccet 0 Rp 317.00
82 gentamicin salep mata 0,3% tube 9 Rp 3,210.00
83 glibenklamide 5 mg Tablet 0 Rp 143.00
84 GLIMEPERIDE TABLET 1 MG Tablet 500 Rp 174.00
87 Gliseril Guaikolat (GG) 100 mg Tablet 0 Rp 26.62
89 Glukosa Larutan Infus 5% steril Botol 0 Rp 5,720.00
90 GLUKOSA LARUTAN INFUS 5% Botol 0 Rp 7,363.00
91 Griseofulvin tablet 125 mg Tablet 400 Rp 230.00
Griseofulvin tablet 125 mg Tablet 0 Rp 336.49
92 GENERIk ANTIFUNGI SALEP Pot 37 Rp 5,395.00
93 HALOPERIDOL TABLET 1,5 M Tablet 0 Rp 65.00
94 Hidrogen Peroksida cairan konsentrat Botol 0 Rp 4,032.00
95 Hydroklortiazid (HCT) 25 mg tablet Tablet 4500 Rp 186.00
96 HIDROKLORTIAZID TABLET 25 MG Tablet 0 Rp 179.00
97 Hydrokortison 2,5 % krim 5 gram Tube 288 Rp 2,648.00
98 Ibuprofen suspensi 200 mg/5 ml Botol 54 Rp 5,509.00
101 Ibuprofen TAB 400 mg Tablet 0 Rp 300.00
102 Kalsium Glukonat Inj. i.v 10% (100 mg/ml) Ampul 0 Rp 10,351.00
103 Kalsium Laktat (kalk) 500mg Tablet 0 Rp 64.00
105 Katopril Tablet Scored 12,5 mg Tablet 0 Rp 73.00
106 KARBOGLISERIN TTS TELINGA 10%/ PHENOL Botol 0 Rp 2,764.00
107 Ketokonazole 200 mg Tablet 0 Rp 320.00
108 KLORAMPHENICOL 250MG CAPS Kapsul 0 Rp 677.84
109 Kloramfenikol kapsul/kaplet 250 mg Kapsul 0 Rp 275.00
110 Kloramfenikol salep mata 1 % Tube 0 Rp 1,000.00
111 KLORAMFENIKOL SALEP MATA 1 % Tube 0 Rp 2,013.00
112 Kloramfenikol salep kulit 2 % tube 6 Rp 3,645.00
113 kombinasi:ferro fumarat 60 mg+asam folat Tablet 0 Rp 427.00
114 Klorfeniramin Maleat (CTM) 4mg Tablet 0 Rp 16.00
115 Klorfeniramin Maleat (CTM) 4mg sssss 0 Rp 25.00
116 KLORFENIRAMINA MALEAT ( CTM ) TABLET 4 Tablet 1400 Rp 40.00
117 KODEIN TABLET 10 MG Tablet 0 Rp 660.00
118 KOTRIMOKSAZOL ( DEWASA ) KOMBINASI : S Tablet 500 Rp 135.00
120 KOTRIMOKSAZOL ( DEWASA ) KOMBINASI : S Tablet 5000 Rp 129.00
121 Kotrimoksazol suspensi kombinasi ; Sulfametoksa Botol 0 Rp 2,462.00
124 Larutan elektrolit KAEN 3B Botol 100 Rp 11,314.00
Larutan elektrolit KAEN 3A Botol 0 Rp 11,314.00
125 Larutan mengandung elektrolit (Ringer laktat) Botol 0 Rp 7,150.00
126 Larutan mengandung elektrolit (Ringer laktat 500 Botol 45 Rp 7,630.00
127 Lisol Botol 0 Rp 21,500.00
129 lidocain inj 2 % ampul 10 Rp 1,375.00
lidocain HCL inj 2 % ampul 0 Rp 1,467.00
lidocain inj 2 % + EPINEFRIN ampul 0 Rp 1,473.00
130 Loperamid tablet 2 mg Tablet 0 Rp 91.00
131 Loratidin tablet 10 mg Tablet 0 Rp 175.00
132 MAGNESIUM SULFAT INJEKSI 20 % ( MGSO4 ) Ampul 20 Rp 3,200.00
133 MAGNESIUM SULFAT 20 % ( MGSO4 ) 20 Botol 0 Rp 3,328.00
133 Magnesium Sulfat 40% injeksi - 25 ml Vial 0 Rp 2,000.00
134 MAGNESIUM SULFAT INJEKSI 40 % ( MGSO4 ) Ampul 20 Rp 3,650.00
MAGNESIUM SULFAT 40 % ( MGSO4 ) 40 Botol 0 Rp 3,796.00
135 Magnesium Sulfat serbuk 30 gram Sachet 0 Rp 3,802.00
136 MELOXICAM 15 MG TABLET Tablet 0 Rp 485.00
137 Metampiron (antalgin) 2 ml injeksi Ampul 0 Rp 1,925.00
138 METAMIZOLE / Metampiron (antalgin) 500 mg Tablet 0 Rp 212.50
139 Metampiron (antalgin) 500 mg Tablet 300 Rp 1,440.00
140 METILERGOMETRIN INJ. 0,2 MG/ML Ampul 20 Rp 3,421.00
METILERGOMETRIN INJ. 0,2 MG/ML Ampul 0 Rp 3,553.00
141 METILERGOMETRIN 0,125 MG Tablet 300 Rp 271.00
142 Metilprednisolon tablet 4 mg Tablet 0 Rp 170.00
144 Metformin 500 mg Tablet 0 Rp 165.00
146 Metoklorperamide tablet 5 mg Tablet 0 Rp 129.00
147 METOKLOPRAMIDE TABLET 10 MG Tablet 1900 Rp 93.00
149 Metronidazol tablet 250 mg Tablet 0 Rp 116.00
150 METRONIDAZOLE SUSP 125 MG/ML/OMENIZO Botol 0 Rp 11,200.00
152 METRONIDAZOLE TABLET 500 MG Tablet 0 Rp 117.00
153 Miconazole 2% krim (nitrat) Tube 0 Rp 4,097.00
154 Natrium Diklofenat tablet 25 mg Tablet 0 Rp 146.00
Natrium Diklofenat tablet 50 mg Tablet 0 Rp 200.00
158 Natrium Klorida (NaCl) 0.9% larutan infus 500 ml Botol 0 Rp 5,170.00
159 Natrium Klorida (NaCl) 0.9% larutan infus 500 ml Botol 62 Rp 6,410.00
160 Nifedipine tablet 10 mg Tablet 0 Rp 127.00
161 Nistatin 500.000 IU tablet salut Tablet 0 Rp 704.00
162 Nystatin salut gula 500.000 IU Tablet 500 Rp 950.00
163 Nistatin 100.000 IU tablet vaginal Tablet 1200 Rp 675.00
165 Obat Batuk Hitam (OBH) syrup 100 ml Botol 0 Rp 1,500.00
166 OBH ERLA SIRUP BOTOL KACA 100 ML Botol 0 Rp 12,999.80
OFLOKSASIN TAB 200 MG Tablet 0 Rp 531.00
168 Oksitetrasiklin HCl SK 3 % Tube 0 Rp 2,009.00
169 Oksitetrasiklin HCL Salep Mata 1 % Tube 0 Rp 1,330.00
170 OXYTETRACYCLINE SALEP MATA 1% 3.5 G Tube 0 Rp 2,774.00
171 OKSITOSIN INJ 10 UI/ML Ampul 0 Rp 1,287.00
172 OKSITOSIN INJEKSI Ampul 0 Rp 5,029.06
172 Omeprasol kapsul/kaplet 20 mg Tablet 0 Rp 371.20
173 OMEPRAZOL TABLET 20 MG TABLET 0 Rp 659.85
175 ONDANSENTRON TABLET 4 MG TABLET 0 Rp 546.00
176 Paracetamol drop 100mg/ml Botol 0 Rp 7,979.00
177 Paracetamol 120 mg/5 ml syrup Botol 0 Rp 1,535.00
178 PARACETAMOL SYR 120 MG/ 5 ML BOTOL 0 Rp 5,041.30
179 PARACETAMOL TAB 500 MG TABLET 0 Rp 274.48
180 Piracetam tablet 800 mg Tablet 0 Rp 1,240.00
181 PIRACETAM 800 MG CAPLET KAPLET 200 Rp 960.00
182 Pirantel tablet score (base) 125 mg Tablet 100 Rp 346.00
183 PIRANTEL PAMOAT TABLET 125 MG Tablet 0 Rp 305.00
184 Pirantel Suspensi 125 mg/5 ml Botol 10 Rp 11,600.00
185 Piridoksin 10 mg (Vitamin B6) Tablet 0 Rp 148.00
186 PIRIDOKSIN HCL ( VIT. B6 ) INJEKSI 100 ML Ampul 0 Rp 1,195.00
187 Piroksikam 10 mg Tablet 0 Rp 146.38
189 PIROXICAM 10 MG TABLET TABLET 900 Rp 230.00
190 Pritamox Tablet Tablet 0 Rp 1,210.00
191 Povidon Iodida larutan 10%,30 ml Botol 19 Rp 3,480.00
193 PREDNISON TABLET 5 MG Tablet 600 Rp 79.00
195 Propiltiourasil tablet ( PTU) 100 mg Tablet 100 Rp 514.00
196 RETINOL ( VIT. A ) 200.000 KAPSUL 0 Rp 505.00
197 RETINOL ( VIT. A ) 200.000 IU KAPSUL 0 Rp 622.00
199 Ranitidin 150mg Tablet 0 Rp 137.50
200 salep 24 kombinasi pot 0 Rp 3,143.00
201 Sefadroksil 500 mg Kapsul 0 Rp 200.00
202 Sefadroksil 125 mg/5 ml SK 60ml Botol 0 Rp 3,421.00
203 Serum Anti bisa Ular 5ml (ABU I) Vial 0 Rp 597,902.57
204 Sianokobalamin ( VITAMIN B12) Tablet 0 Rp 120.50
205 Simvastatin 10 mg Tablet 0 Rp 270.00
207 SIMVASTATIN 20 MG Tablet 450 Rp 235.00
208 SIMVASTATIN TABLET 10 MG Tablet 0 Rp 116.00
209 salbutamol 4 mg Tablet 0 Rp 118.73
salbutamol 2 mg Tablet 0 Rp 113.28
210 Siprofloksasin 500 mg Tablet 0 Rp 430.00
211 SIPROFLOKSASIN TABLET SCORED 500 MG TABLET 1500 Rp 264.00
212 TETRASIKLIN KAPSUL 500 MG Kapsul 500 Rp 341.00
213 TETRASIKLIN KAPSUL 500 MG KAPSUL 0 Rp 324.00
214 Tetrasiklin kaps/kapl 250 mg Kapsul 300 Rp 120.00
216 Thiamphenicol Kap. 500 Mg Kapsul 0 Rp 881.00
218 Thiamin HCl (vit.B1) inj.100 mg/ml-1ml Ampul 0 Rp 1,500.00
219 Thiamin HCl (vit.B1) 50 mg Tablet 0 Rp 42.00
220 THIAMIN HCL VIT B1 Tablet 3300 Rp 92.00
221 THIAMIN ( VIT. B1 ) TABLET 50 MG Tablet 0 Rp 98.00
222 VITAMIN B KOMPLEKS TABLET Tablet 8700 Rp 138.00
VITAMIN B KOMPLEKS TABLET Tablet 0 Rp 150.00
223 Vitamin D 400 IU/D-Vit tablet Tablet 0 Rp 680.00
224 VITAMIN B12 50 MCG TABLET Tablet 500 Rp 50.00
225 ZINK SULFAT SIRUP 20 MG/5 ML BOTOL 5 Rp 3,449.00
226 ZINC TABLET DISPERSIBLE 20 MG Tablet 0 Rp 733.50
227 Zirkum Kid Syr 20/5ml Botol 0 Rp 8,140.00
OBAT PATEN
1 SANMOL 500 MG Tablet 0 Rp 367.92
2 CORTIDEX ( DEXAMETASONE ) Tablet 0 Rp 367.92
3 MEFINAL 500 MG Tablet 0 Rp 1,705.82
4 NEUROSANBE Tablet 0 Rp 3,266.70
5 NEUROSANBE INJ 3 ML Ampul 0 Rp 6,979.37
6 SANTA E 200 Kaplet 0 Rp 2,243.75
7 MUCOHEXIN Tablet 0 Rp 575.00
8 CHOLVASTIN Tablet 0 Rp 12,043.73
9 BEVITA SYRUP 120 ML BOTOL 0 Rp 77,000.00
10 BISAKODIL ( DULCOLAX ) 5 MG SUPP 0 Rp 6,000.00
11 BUFACETIN (Kloramfenikol salep) tube 24 Rp 3,645.00
12 CAVIPLEX (MULTIVITAMIN) KAPLET 0 Rp 806.00
13 COMVIT C (MULTIVITAMIN DAN MINERAL) KAPLET 0 Rp 1,181.82
14 CAMIVIT E 200 IU KAPLET 0 Rp 1,625.00
15 CENDO XITROL 5 ML BOTOL 0 Rp 58,999.60
16 DEHISTA ( CTM ) Tablet 0 Rp 227.50
17 ERLAMYCETINE EYE DROP 0.5 % 10 ML BOTOL 0 Rp 20,000.20
18 ERLAMYCETINE SYRUP 60 ML BOTOL 8 Rp 13,999.70
19 EPEXOL ( AMBROXOL ) Tablet 0 Rp 1,052.48
20 ELTAZON ( PREDNISON ) Tablet 0 Rp 189.80
21 FARBION TABLET TABLET 0 Rp 2,310.00
22 FARGETIX (ASAM MEFENAMAT) TABLET 0 Rp 338.00
23 FLUKADEX TABLET 0 Rp 698.19
24 GLUDEPATIC (METFORMIN) TABLET 0 Rp 354.25
25 GRATAMIN TABLET TABLET 0 Rp 2,860.00
26 GRATOES ( NATRIUM DIKLOFENAK 50 MG) TABLET 0 Rp 279.50
27 HARMIDA (GLIBENKLAMID 2,5 MG) Tablet 0 Rp 230.00
28 HUFANOXIL (AMIXICILLIN SYRUP) BOTOL 0 Rp 5,250.00
29 HUFADIN (RANITIDIN TABLET) Tablet 0 Rp 360.10
30 INFALGIN ( METAMPIRON / ANTALGIN ) Tablet 0 Rp 364.00
31 IM BOOST TAB 50'S Tablet 0 Rp 4,013.60
32 INTUNAL CAPLET KAPLET 0 Rp 819.00
33 LOKEV (OMEPRAZOLE) KAPLET 0 Rp 827.67
34 MY JELLY 80 GRAM LUBRICAN BOTOL 14 Rp 69,575.00
35 MEVITON Tablet 0 Rp 2,007.35
36 NIFUDIAR SUSPENSI 60 ML BOTOL 0 Rp 77,000.00
37 OMELEGAR ( LORATADIN ) Tablet 0 Rp 273.00
38 PANTOCAIN 0.5 % 15 ML BOTOL 0 Rp 31,000.20
39 Polikresulen Cairan (Albothyl) 5 ml Botol 0 Rp 37,500.00
40 PROMUXOL (AMBROXOL SYR) Botol 0 Rp 32,053.84
41 PROPEPSA SYR 100 ML Botol 0 Rp 73,472.97
42 PROVINAS (IBUPROFEN 400 MG) Tablet 0 Rp 514.80
43 PANTRIN PIRANTEL PAMOAT TAB 250 Tablet 300 Rp 1,200.00
44 RENADINAC (NATRIUM DIKLOFENAK 25 MG) Tablet 0 Rp 274.30
45 RAMVIT C ( VITAMIN C 500 MG ) Tablet 0 Rp 858.00
46 SUPRAVIT STRIP 10X10'S TABLET 0 Rp 770.00
47 TRIMABION ( VITAMIN B COMPLEKS ) TABLET 0 Rp 455.00
48 VOCEFA SYRUP BOTOL 0 Rp 57,696.90
49 ZIRCUM KID SYRUP 60 ML BOTOL 0 Rp 52,000.30
0
OBAT KHUSUS 0
1 Fluoride 1 mg Tablet 0 Rp 975.98
2 KY Jelli Tube 0 Rp 85,000.00
3 Lexavit Kaplet Kaplet 0 Rp 545.00
4 Mefamicetin (kloramfenikol suspensi 125 mg/ml) Botol 0 Rp 8,800.00
5 Neorodial Tablet Tablet 0 Rp 1,265.00
6 Pantocain (tetracain Hcl tetes mata) Botol 0 Rp 31,687.50
7 Reco (Kloramfenicol tetes mata 3 %) Botol 0 Rp 11,440.00
8 Scabicid cream (Gmexan 10 mg, asam usnat 10 Tube 0 Rp 24,716.25
9 Scopamin inj.(hiosin butilbromida inj.20 mg/ml) Ampul 0 Rp 31,687.50
10 Vical Suspensi 100 ml Botol 0 Rp 4,890.00
0
REAGEN LABORATORIUM 0
1 Cairan Spiritus 1000 ML Bks 0 Rp 68,250.00
2 LARUTAN SPIRITUS Botol 0 Rp 52,965.00
4 Tes Kehamilan Pcs 0 Rp 2,365.00
OBAT GIGI 0
1 Caviton White GC Botol 2 Rp 219,000.00
2 Cotton Roll untuk Gigi Bungkus 0 Rp 93,438.00
3 Calcium Hydroxide Botol 2 Rp 477,350.00
4 Etil Clorida Semprot Btl 0 Rp 136,750.00
6 Fuji 9 Mini Pack # Extra A2 Kotak 0 Rp 556,469.00
7 Hemospon Box 0 Rp 118,500.00
8 HYDCAL TECHNEW BOX 0 Rp 289,850.00
9 Iodoform, (Biodinamica) Botol 2 Rp 341,250.00
10 Saliva Ejector Bungkus 1 Rp 87,250.00
11 Silk Automatic dgn Jarum untuk Gigi Pcs 5 Rp 19,600.00
12 Solare Anterior # A3 GC Unit 1 Rp 487,165.00
13 Vitapex Unit 0 Rp 915,833.00

1 Alat Suntik 1 ml Pcs 0 Rp 821.48
2 Alat Suntik 1 ml Pcs 0 Rp 1,262.00
3 Alat Suntik 2,5 ml Pcs 0 Rp 864.72
12 ALKOHOL SWAB Box 0 Rp 11,500.00
13 ALKOHOL 70 % BOTOL 0 Rp 34,375.00
14 ASEPTAN 2% SOL 500 ML BOTOL 0 Rp 80,745.00
15 Autocheck Cholestrol tes btl/25 strip Botol 0 Rp 367,812.50
16 Autocheck cholesterol tes btl/25 str Kotak 0 Rp 385,235.00
18 Autocheck Glukosa tes btl/50 strip Botol 9 Rp 136,950.00
19 Autocheck Glukosa tes btl/50 strip botol 1 Rp 68,475.00
20 Autocheck Glukosa tes btl/50 strip Kotak 0 Rp 154,235.00
22 autocheck urid acid tes btl/50 strip Botol 1 Rp 89,100.00
23 Autocheck Uric Acid Test btl/50 strip Botol 6 Rp 178,200.00
24 Autocheck Uric Acid Test btl/50 strip Kotak 0 Rp 195,485.00
25 Benang Bedah No. 2/0 (Cromic Cat Gut) Pcs 0 Rp 11,261.25
31 BLOOD LANCET NO.26 BOX 0 Rp 16,800.00
32 Catheter (folley cathteter) no.12 Pcs 0 Rp 13,750.00
34 UROCARE FOLLEY CATHETER 2 WAY NO.14 Box 0 Rp 92,000.00
38 COSMOMED OKXIGEN MASKER Set 8 Rp 12,180.00
39 CATGUT CROMIC 2/0 75 CM DUS 2 Rp 215,045.00
41 COPPER T Pcs 18 Rp 124,300.00
42 CHLODINE HANDRUB 0.5% 5 L Botol 0 Rp 395,250.00
43 CHIRURGIC GLOVES, SIZE 7.0 PCS 0 Rp 9,840.00
46 Elastic Verband 3 inchi / Tensocrape BSN Roll 0 Rp 96,000.00
47 ELASTIC VERBAND 6 INCHI Pcs 0 Rp 86,680.00
48 FEEDING TUBE 8FR 40CM Pcs 3 Rp 8,804.40
49 HANDSCHOEN NON STERIL S BOX 0 Rp 200,475.00
50 HANDSCHOEN NON STERIL M BOX 0 Rp 200,475.00
51 HANDSCHOEN NON STERIL L BOX 0 Rp 200,475.00
52 Hands Schoen no 7.5 Set 0 Rp 4,675.00
53 Hands Schoen no 7.5 Pair 0 Rp 23,750.00
54 Hands Schoen no 7.5 U/ manual Placenta (Long) Set 0 Rp 16,731.00
55 E W G Surgikal gloves 8 PCS 25 Rp 5,382.88
56 E W G Surgikal gloves 7,5 PCS 25 Rp 5,383.38
57 E.W.G Surgikal gloves no 7 PCS 25 Rp 5,383.38
58 Hands Schoen no 8 U/ manual Placenta (Long) Set 0 Rp 16,731.00
59 Hypafix 5 cm x 1 m Roll 4 Rp 17,610.00
61 Infusion Set Anak Set 20 Rp 6,375.00
62 INFUSET ANAK TYPE Y PCS 0 Rp 7,438.80
63 INFUSION SET FOR FEDIATRIC Pcs 0 Rp 3,556.16
64 Infusion Set Dewasa Set 40 Rp 8,775.00
65 Infusion Set Dewasa PCS 0 Rp 7,425.00
66 IV Catheter no 16 Set 0 Rp 7,507.50
67 IV Catheter no 18G Pcs 0 Rp 9,461.25
73 IV Catheter no 24G Pcs 0 Rp 9,461.25
74 IV-CATH NP, PEN TYPE, NO. 18 PCS 0 Rp 7,846.25
79 Jarum Jahit 1/2 Surgical Lusin 2 Rp 27,875.00
83 JAYAMAS SUPERLIFE NITRILE L BOX 0 Rp 65,780.00
84 Kapas Pembalut 250 gr Roll 0 Rp 23,595.00
86 KAPAS PEMBALUT 250G Roll 4 Rp 14,375.00
88 Kasa Steril 18 x 22 cm Box 24 Rp 8,625.00
89 Kasa Steril 18 x 22 cm Kotak 0 Rp 16,500.00
90 KASA HYDROFPHIL 40 X 80 CM Roll 18 Rp 120,750.00
91 Kasa Hydrofil 36 x 80 cm Roll 0 Rp 282,750.00
93 Kasa Kompres 40/40 steril Bungkus 0 Rp 2,853.00
95 KASA KOMPRES STERIL 40 X 40 PCS 190 Rp 1,840.00
96 Kasa Pembalut 2 m x 80 cm Roll 0 Rp 13,650.00
98 KASA PEMBALUT 2M X 80CM Roll 20 Rp 8,855.00
101 Kasa Pembalut Hydrof 4 m x 15 cm Roll 0 Rp 4,022.85
103 KASA PEMBALUT HYDROFILL 4M X 15CM Roll 181 Rp 2,415.00
104 KASA PEMBALUT HYDROFILL 4M X 10CM Roll 129 Rp 1,725.00
105 Kasa Hydrofil 4 yard x 10 cm Roll 0 Rp 2,600.00
106 Kasa Pembalut Hydrofil 4 m x 5 cm Roll 0 Rp 1,248.00
107 KASA PEMBALUT HYDROFILL 4M X 5CM Roll 58 Rp 862.50
108 Kasa Steril 16 x 16 cm Bungkus 0 Rp 8,287.85
110 KASA HYDROFPHIL STERIL 16 X 16 Roll 13 Rp 9,200.00
111 KASA STERIL 10X10 CM,8 PLY,1X10'S Kotak 98 Rp 10,845.30
112 KERTAS PUYER BLANK Bungkus 16 Rp 93,500.00
114 ONEMED MASKER N95 Pcs 5 Rp 7,488.80
115 JAYAMAS IODIONE 30 ML BOTOL 10 Rp 3,480.00
116 JAYAMAS ONEMED IODIONE 60 ML BOTOL 0 Rp 4,440.00
117 MASKER 3 FLY TIE ON BOX 0 Rp 133,650.00
118 MASKER 3 FLY EARLOOP BOX 0 Rp 133,650.00
119 SURGICAL MASK EARLOOP Box 0 Rp 18,975.00
120 Mata Pisau Bedah No. 10 Pcs 0 Rp 9,759.00
128 MY JELLY 82 GRAM Pcs 0 Rp 36,937.50
129 NURSE CAP Pcs 0 Rp 1,113.75
130 ONEJACK AUTODISABLE SYRINGE 0,05 ML PCS 0 Rp 3,795.00
131 Paper Tape 2.5 cm x 9.14 m Roll 0 Rp 131,300.00
132 Plester 5 yard x 2 inci Roll 0 Rp 22,308.00
133 Plester 5 yard x 4,5 cm Roll 0 Rp 65,000.00
136 Plester 7,5 mm x 4,5 mm Roll 0 Rp 60,650.00
137 PLESTERIN NON WOVEN ROLL 10CM X 5CM Roll 29 Rp 47,564.00
140 PLESTERIN FIRST AID ELASTIS BOX ISI 100 BOX 0 Rp 23,032.80
141 POT DAHAK STERIL POT 0 Rp 3,856.00
142 Regulator Oksigen Pcs 0 Rp 487,500.00
143 GEA MEDICAL REGULATOR 02 XY-988 Pcs 3 Rp 453,200.00
144 SAFEWELL INFUSION SET Pcs 0 Rp 16,531.20
145 Silk (Benang Bedah Sultra) No. 2/0 Pcs 0 Rp 5,780.78
146 Silk (Benang Bedah Sultra) No.2/0 Pcs 0 Rp 60,018.00
149 SILK 2/0+JARUM 1/2 GT 35 MM DUS 0 Rp 126,500.00
150 SURGICAL SILK BLACK BRAIDED 3/0 75 CM DUS 0 Rp 167,813.70
151 SURGICAL CATGUT CROMIC 2/0 75 CM DUS 0 Rp 215,045.00
152 SURGICAL CATGUT CROMIC 3/0 75 CM DUS 0 Rp 215,045.00
153 SURGICAL CATGUT PLAIN 2/0 75 CM DUS 0 Rp 215,045.00
154 SYRINGE 0,5 ML PCS 0 Rp 1,385.71
155 SYRINGE 1 CC Pcs 0 Rp 1,100.45
156 SYRINGE 2,5 CC Pcs 0 Rp 864.72
157 SYRINGE 3 CC Pcs 0 Rp 1,109.73
158 SPOIT 3 ML Pcs 0 Rp 1,113.75
159 SPOIT 5 ML Pcs 0 Rp 1,262.25
160 SPOIT 10 ML Pcs 0 Rp 2,227.50
161 SD BIOLINE SYPHILIS 3.0 O6FK10 DUS 0 Rp 488,250.00
162 Tullegrass (Cuticell Classic) 5 cm x 5 cm Pcs 0 Rp 17,150.00
163 URINE BAG STERIL Pcs 10 Rp 3,450.00
164 Urine Bag Pcs 0 Rp 6,875.00
165 ULTRAONE TES HAMIL Pcs 0 Rp 2,280.00
166 UNDERPAD BUngkus 0 Rp 66,825.00
167 Oxygen masker dewasa dan anak (EKOMED) pcs 7 Rp 10,559.90
168 Tes Kehamilan pcs 0 Rp 2,400.00
169 Folley Catheter No.10 Pcs 0 Rp 13,750.00
170 Chirurgic Gloves No.6,5 Set 0 Rp 9,500.00
171 Bethadin 30 ml Botol 0 Rp 35,000.00
172 AXIMED EXAM Gloves Size S DUS 0 Rp 57,750.00
173 AXIMEX EXAM Gloves Size M DUS 1 Rp 57,750.00
174 Examination Gloves Size L DUS 1 Rp 57,750.00
175 NIPRO INFUSET " Y " pcs 0 Rp 6,343.00
176 NIPRO IV CATHETER 18G X 1-1/4" pcs 13 Rp 8,947.95
177 NIPRO IV CATHETER 20G X 1" pcs 10 Rp 8,947.95
180 NIPRO SYRINGE 3 CC pcs 0 Rp 1,009.80
183 NIPRO IV CATHETER 18G X 2 pcs 0 Rp 8,974.95
186 anios dermanios chlorhexidin 500 ml botol 2 Rp 112,413.60
187 onionex disp syringe 1 ml pcs 0 Rp 821.48
189 examination CHIRURGIC GLOVES, 7,5 pcs 0 Rp 5,383.38
190 AXIMED FEEDING TUBE 40CM NO. 6 pcs 0 Rp 8,107.00
191 AXIMED FEEDING TUBE 40CM NO. 8 pcs 0 Rp 8,107.00
192 AXIMED FEEDING TUBE 40CM NO.10 pcs 0 Rp 8,107.00
193 AXIMED NASAL OXYGEN SIZE M pcs 0 Rp 8,250.00
194 AXIMED NASAL OXYGEN SIZE L pcs 0 Rp 8,250.00
195 AXIMED NASAL OXYGEN SIZE S pcs 0 Rp 8,250.00
196 URINE BAG pcs 0 Rp 6,875.00
197 FIRST RESPONSE MALARIA ANTIGEN COMBO SET 0 Rp 440,850.00
NILAI OBAT IFK PUSKESMAS LALOLAE
OBAT BPJS
1 Paracetamol Box 0 Rp 18,000.00
2 Asam Mefenamat Box 0 Rp 38,000.00
3 GG Box 0 Rp 18,000.00
4 Farsifen (Ibuprofen) Box 0 Rp 25,000.00
5 Faxiden (Piroxicam) Box 0 Rp 25,000.00
6 Divoltar (Diclovenac Sodium) Box 0 Rp 20,000.00
7 Paracetamol Syr Botol 0 Rp 5,000.00
8 Caviplex Box 0 Rp 47,000.00
9 CTM Box 0 Rp 10,000.00
10 B1 Box 0 Rp 20,000.00
11 Roverton (Ambroxol) Box 0 Rp 25,000.00
12 Paracetamol Syr Botol 0 Rp 4,000.00
13 Gricin (Griseofulvin) Box 0 Rp 35,000.00
14 Cetrizine Box 0 Rp 30,000.00
15 Oxy Salep Kulit Pcs 0 Rp 5,000.00
16 Natrium Diclofenak 50 mg Box 0 Rp 20,000.00
17 GG Box 0 Rp 18,000.00
18 Cefadroxil Box 0 Rp 90,000.00
19 Ambroxol Box 0 Rp 20,000.00
20 Caviplex Box 0 Rp 47,000.00
22 Paracetamol 500 mg Box 0 Rp 22,000.00
23 Dehista (CTM) Box 0 Rp 25,000.00
24 GG Box 0 Rp 18,000.00
25 Piroxicam 10 mg Box 0 Rp 21,000.00
26 Farsifen 200 mg (Ibuprofen) Box 0 Rp 26,000.00
27 Cefford Forte (Cefadroxil) Box 0 Rp 95,000.00
28 Fasidol 500 mg (Pct Syr) Botol 0 Rp 6,000.00
29 B. Com Box 0 Rp 15,000.00
30 Omeprazole Box 0 Rp 20,000.00
31 Nifedipine Box 0 Rp 30,000.00
32 Dehista (CTM) Box 0 Rp 35,000.00
33 Cetirizine Hydro Box 0 Rp 45,000.00
34 GG Box 0 Rp 20,000.00
35 Lecozinc (Zink) Box 0 Rp 16,000.00
36 B.Com Box 0 Rp 18,000.00
37 Griseofulvin Box 0 Rp 35,000.00
38 Oxy Salep Kulit Box 0 Rp 5,000.00
39 Ibuprofen 400mg Box 0 Rp 36,000.00
40 Piroxicam Box 0 Rp 22,000.00
41 Cefford Forte (Cefadroxil) Box 0 Rp 95,000.00
42 Asam Mefenamat Box 0 Rp 38,000.00
43 Antasida Syr Botol 0 Rp 5,000.00
44 Pritamox Syr Botol 0 Rp 7,000.00
46 Metronidazole Box 0 Rp 25,000.00
47 Histigo (Betahistine Mesilate) Box 0 Rp 36,000.00
48 Cefadroxil Monohydrate Box 0 Rp 90,000.00
0
49 B.Com Box 0 Rp 15,000.00
50 Ibuprofen Box 0 Rp 27,000.00
51 Amlodipin 5mg Box 0 Rp 100,000.00
52 Diclofenac Sodium Box 0 Rp 27,000.00
53 Pharma Fix (Cefixime) Box 0 Rp 90,000.00
54 Gricin 125 (Griseofulvin) Box 0 Rp 45,000.00
55 Piroxicam 20mg Box 0 Rp 20,000.00
0
56 Natrium Diklofenak 50 mg Box 0 Rp 30,000.00
57 Betahistine Mesilate 6 mg Box 0 Rp 120,000.00
58 Vitamin B Complex Box 0 Rp 20,000.00
59 Piroxicam 10 mg Box 0 Rp 30,000.00
60 Yusimox (Amoxicillin) Syr Botol 0 Rp 6,000.00
61 Antasida Doen Syr Botol 0 Rp 5,000.00
62 Omeprazole 20 mg Box 0 Rp 20,000.00
63 Novaxifen 400 (Ibuprofen) Botol 0 Rp 50,000.00
64 Amlodipine 5 mg Botol 0 Rp 110,000.00
0
65 Carpule Pcs 0 Rp 17,000.00
66 Plasminex (Asam Traneksamat) Strip 0 Rp 36,000.00
67 Farsifen (Ibuprofen) Box 0 Rp 46,000.00
0
69 Ibuprofen 400 mg Box 0 Rp 35,000.00
70 Novadium (Loperamid) Box 0 Rp 30,000.00
71 Orphen (CTM) Box 0 Rp 26,000.00
72 Amlodipine 10 mg Box 0 Rp 100,000.00
73 Amlodipine 5 mg Box 0 Rp 25,000.00
75 Mefenamic Acid Box 0 Rp 37,000.00
76 Omeprazole 20 mg Box 0 Rp 10,000.00
77 Pehacain Box 0 Rp 75,000.00
78 Oxytocin Ampul 0 Rp 10,000.00
BMHP
79 Alkohol 70% 1000 ml Botol 0 Rp 49,000.00
80 Rivanol 300 ml Botol 0 Rp 10,000.00
81 Steril Lanset Box 0 Rp 35,000.00
82 Strip HB Easy Touch Box 0 Rp 156,000.00
83 Isi Ulang Tabung Oksigen Botol 0 Rp 100,000.00
84 Strip Gula Easy Touch Box 0 Rp 140,000.00
85 Strip Asam Urat Easy Touch Box 0 Rp 150,000.00
86 Strip Cholestrol Easy Touch Box 0 Rp 240,000.00
87 Strip HB Easy Touch Box 0 Rp 155,000.00
88 Oxytocin inj Pcs 0 Rp 6,000.00
89 Pehacain Inj Box 0 Rp 85,000.00
0
91 Selang Oksigen Anak Pcs 0 Rp 22,000.00
92 Selang Oksigen Dewasa Pcs 0 Rp 22,000.00
93 Steril Lanset Box 0 Rp 36,000.00
94 Handscoen Box 0 Rp 65,000.00
0
95 Handscoen Box 0 Rp 75,000.00
96 Ethyl Botol 0 Rp 250,000.00
97 Abocath 24 Pcs 0 Rp 15,000.00
98 Alkohol 100ml Botol 0 Rp 30,000.00
99 Jelly Ultrasound Botol 0 Rp 50,000.00
100 Baju APD Sederhana Pcs 0 Rp 15,000.00
101 Baju APD set celana Pcs 0 Rp 100,000.00
102 Bayclin 1000ml Botol 0 Rp 15,000.00
103 Pitogin (Oxytocin) Pcs 0 Rp 10,000.00
104 Alkohol 70% 300ml Botol 0 Rp 90,000.00
107 Selang Oksigen Dewasa Buah 0 Rp 20,000.00
108 Selang Oksigen Anak Buah 0 Rp 20,000.00
109 Selang Oksigen Bayi Buah 0 Rp 20,000.00
110 Lancet Box 0 Rp 36,000.00
111 Plester Coklat Buah 0 Rp 12,000.00
112 Rivanol 300ml Botol 0 Rp 15,000.00
113 Pembersih Serba guna RJK Botol 0 Rp 50,000.00
115 Alkohol 70% 300ml Botol 0 Rp 30,000.00
116 Abocat 22 Buah 0 Rp 25,000.00
117 Abocat 20 Buah 0 Rp 25,000.00
119 Abocat 22 Buah 0 Rp 24,000.00
120 Abocat 20 Buah 0 Rp 24,000.00
121 Strip Hb Easy Touch Buah 0 Rp 200,000.00
122 Leukoplast Buah 0 Rp 55,000.00
123 Lancet Buah 0 Rp 35,000.00
0
125 Klem Tali Pusat Buah 0 Rp 5,000.00
127 Test Kehamilan (One Med) Box 0 Rp 100,000.00
128 Isi Ulang Tabung Oksigen Besar Botol 0 Rp 250,000.00
129 Isi Ulang Tabung Oksigen Kecil Botol 0 Rp 100,000.00
0
131 Rivanol 100 ml Botol 0 Rp 5,000.00
132 Abocath 20 Buah 0 Rp 24,000.00
133 Lancet Box 0 Rp 35,000.00
134 Handscoon uk L Box 0 Rp 145,000.00
NILAI OBAT BPJS PUSKESMAS LALOLAE
OBAT PROGRAM
1 Vaksin rabies Vial 0 Rp 206,250.00
2 Vaksin BCG Vial 0 Rp 59,959.00
3 Vaksin IPV Vial 0 Rp 59,959.00
4 Vaksin DPT HB Hib Vial 0 Rp 76,285.00
5 Vaksin DT Vial 0 Rp 17,798.00
6 Vaksin polio 10 Vial 10 Rp 19,954.00
7 Vaksin campak/MR Vial 0 Rp 28,204.00
8 Vaksin Hb Uniject Vial 20 Rp 76,285.00
9 Vaksin Td Vial 5 Rp 16,500.00
10 Vaksin MMR Vial 0 Rp -
11 Vitamin A 100000 IU Soft Kapsul 0 Rp 341.00
15 Vitamin A 200000 IU SOft Kapsul 70 Rp 622.00
16 Obat TB kategori I Paket 1 Rp 317,015.00
17 Obat TB anak Paket 0 Rp 189,195.00
18 Reagen TB Kit 0 Rp -
19 Obat Kusta Blister 0 Rp 38,395.00
20 Abate Botol 0 Rp -
21 Tablet tambah darah Tablet 6572 Rp 112.00
24 Oksitosin Injeksi Ampul 0 Rp 4,999.50
25 Calsium Glukonat 30 mg/ml Ampul 0 Rp 7,800.00
26 Methilergometrin Maleat inj Ampul 0 Rp 3,421.00
27 Fenobarbital injeksi Ampul 0 Rp 1,980.00
28 Gentamicin 40 mg/ml Ampul 0 Rp 3,739.00
29 Fitomenadion inj Ampul 0 Rp 4,167.00
30 Albendazole 400 mg Tablet 0 Rp 363.00
31 Albendazole 400 mg Botol 178 Rp 1,041.98
32 DEC Tablet 6800 Rp 190.00
33 Obat malaria DHP Tablet 18 Rp 3,498.00
35 RDT Malaria Pcs 0 Rp -
36 Primaquine Blister 50 Rp 253.00
37 Zinc Dispersal 20 mg Tablet 600 Rp 276.00
39 Oralit Sachet 500 Rp 617.00
40 Oralit sachet 1000 Rp 275.00
41 Obat TB kategori II Paket 1 Rp -
42 RDT HIV Pcs 0 Rp 6,479.00
43 RDT HIV PCS 0 Rp 11,975.00
44 RDT Hepatitis Pcs 0 Rp 8,183.00
45 Alat deteksi resiko ibu hamil Paket 0 Rp 409,816.00
NILAI OBAT PROGRAM PUSKESMAS LALOLAE
JUMLAH NILAI OBAT PUSKESMAS LALOLAE

DINAS KESEHATAN
UPTD PUSKESMAS LALOLAE
ULASI STOK PERSEDIAAN OBAT PER - 31 DESEMBER 2021
AN 01 JANUARI 2020 PER MASUK PER- 31 DES 2021 PER KELUAR PER- 31 DES 2021
TOTAL JUMLAH TOTAL JUMLAH
6 7 8 9
Rp 145,200.00 0 Rp - 400
Rp 48,400.00 500 Rp 242,000.00 600
Rp - Rp -
Rp - Rp -
Rp 140,400.00 5000 Rp 540,000.00 4200
Rp 51,000.00 0 Rp - 500
Rp - 500 Rp 265,625.00 300
Rp 17,160.00 60 Rp 171,600.00 54
Rp - 50 Rp 249,975.00 45
Rp - Rp -
Rp - 3800 Rp 749,892.00 1300
Rp - Rp -
Rp - 10 Rp 30,710.00
Rp - Rp -
Rp - 300 Rp 141,600.00 300
Rp - 3300 Rp 349,800.00 3300
Rp - Rp -
Rp - 3600 Rp 298,800.00 3600
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 134,500.00 11000 Rp 2,959,000.00 11500
Rp 748,000.00 40 Rp 149,600.00 240
Rp - Rp -
Rp - 65 Rp 284,375.00 65
Rp - Rp -
Rp 28,500.00 12200 Rp 695,400.00 10200
Rp - 50 Rp 114,500.00 30
Rp - 100 Rp 351,100.00
Rp - 24 Rp 138,168.00
Rp 114,000.00 Rp -
Rp - Rp -
Rp 252,000.00 3000 Rp 378,000.00 3500
Rp - Rp -
Rp 27,000.00 500 Rp 45,000.00 500
Rp - Rp -
Rp - Rp -
Rp - 600 Rp 157,500.00 600
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - 33 Rp 212,064.60 31
Rp - Rp -
Rp - Rp -
Rp - 275 Rp 921,250.00 150
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - 500 Rp 36,500.00 500
Rp - 1100 Rp 199,232.00 1000
Rp - Rp -
Rp - 40 Rp 1,018,000.00
Rp - Rp -
Rp - Rp -
Rp 8,600.00 Rp -
Rp 20,100.00 20 Rp 40,200.00
Rp 605,280.00 105 Rp 325,920.00 80
Rp - 1800 Rp 732,402.00 1770
Rp - 1000 Rp 453,750.00 600
Rp - 900 Rp 45,000.00 900
Rp - 50 Rp 136,999.50 50
Rp - 10 Rp 12,780.00
Rp 7,000.00 Rp - 200
Rp - 900 Rp 122,454.00 900
Rp - 300 Rp 28,800.00
Rp 54,000.00 Rp - 600
Rp - 100 Rp 28,000.00 100
Rp - 9 Rp 19,494.00 9
Rp - 10 Rp 13,160.00 10
Rp - 200 Rp 20,800.00 200
Rp 71,280.00 Rp - 8
Rp - 25 Rp 51,700.00 5
Rp - 1000 Rp 781,000.00 1000
Rp 782,100.00 1500 Rp 1,066,500.00 1100
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 155,800.00 Rp - 1900
Rp - 400 Rp 35,200.00 200
Rp - 10 Rp 15,550.00 10
Rp - Rp -
Rp - Rp -
Rp - 90 Rp 397,800.00 50
Rp - 1000 Rp 912,000.00 500
Rp 42,000.00 Rp - 1
Rp - Rp -
Rp 28,890.00 Rp - 9
Rp - Rp -
Rp 87,000.00 500 Rp 87,000.00 1000
Rp - Rp -
Rp 103,500.00 300 Rp 62,100.00 800
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - 100 Rp 736,300.00
Rp 92,000.00 Rp - 400
Rp - 900 Rp 302,841.00 500
Rp 199,615.00 120 Rp 647,400.00 37
Rp - Rp -
Rp - 2 Rp 8,064.00 2
Rp 837,000.00 2500 Rp 465,000.00
Rp - Rp -
Rp 762,624.00 48 Rp 127,104.00
Rp 297,486.00 Rp - 54
Rp - 191 Rp 1,090,419.00
Rp 205,524.00 Rp - 36
Rp - 400 Rp 120,000.00 400
Rp - 72 Rp 745,272.00
Rp - 3500 Rp 224,000.00 2000
Rp 228,000.00 Rp - 3800
Rp - Rp -
Rp - 10 Rp 27,640.00 5
Rp - Rp -
Rp - 1500 Rp 1,016,760.00 1500
Rp - Rp -
Rp - Rp -
Rp - 24 Rp 48,312.00 24
Rp 21,870.00 Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 56,000.00 Rp - 1400
Rp - Rp -
Rp 67,500.00 Rp - 500
Rp 645,000.00 600 Rp 77,400.00 400
Rp - Rp -
Rp 444,150.00 Rp - 210
Rp 394,975.00 100 Rp 225,700.00
Rp 1,131,400.00 20 Rp 226,280.00 60
Rp - 20 Rp 226,280.00 20
Rp - Rp -
Rp 343,350.00 160 Rp 1,220,800.00 185
Rp - Rp -
Rp - 13 Rp 410,410.00 13
Rp 13,750.00 Rp - 10
Rp - 105 Rp 154,035.00 80
Rp - 70 Rp 103,110.00 50
Rp - Rp -
Rp - 200 Rp 35,000.00 100
Rp 64,000.00 Rp - 20
Rp - 30 Rp 99,840.00 12
Rp - Rp -
Rp 73,000.00 Rp - 20
Rp - 18 Rp 68,328.00 6
Rp - Rp -
Rp - 700 Rp 339,500.00 700
Rp - Rp -
Rp - 200 Rp 42,500.00 200
Rp 431,999.70 Rp - 300
Rp 68,420.00 Rp - 20
Rp - 20 Rp 71,060.00 10
Rp 81,300.00 700 Rp 189,700.00 400
Rp - Rp -
Rp - 600 Rp 91,800.00 400
Rp - Rp -
Rp - 1000 Rp 212,500.00 1000
Rp - Rp -
Rp 176,700.00 Rp -
Rp 165,300.00 6200 Rp 539,400.00
Rp - Rp -
Rp - 10 Rp 112,000.00
Rp 152,100.00 Rp - 900
Rp - Rp -
Rp - 132 Rp 540,804.00 108
Rp - Rp -
Rp - 900 Rp 213,750.00 900
Rp 61,600.00 Rp - 400
Rp 14,600.00 Rp - 100
Rp - 800 Rp 160,000.00 800
Rp - Rp -
Rp 397,420.00 100 Rp 641,000.00 122
Rp - Rp -
Rp - Rp -
Rp 475,000.00 Rp - 500
Rp 810,000.00 500 Rp 337,500.00 200
Rp 158,400.00 Rp - 300
Rp - Rp -
Rp - Rp -
Rp - 500 Rp 265,500.00 500
Rp - Rp -
Rp - Rp -
Rp - 25 Rp 69,350.00
Rp - 30 Rp 38,610.00 30
Rp - 65 Rp 326,888.90 30
Rp - Rp -
Rp - 1410 Rp 930,388.50 1110
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - 36 Rp 181,486.80 36
Rp - 6300 Rp 1,729,224.00 6300
Rp - 200 Rp 248,000.00
Rp 192,000.60 Rp - 200
Rp 34,600.00 Rp - 100
Rp - Rp -
Rp 116,000.00 Rp - 10
Rp - Rp -
Rp - 10 Rp 11,950.00 10
Rp - 1600 Rp 234,208.00 1600
Rp - Rp -
Rp 206,999.10 Rp - 900
Rp - Rp -
Rp 66,120.00 Rp - 19
Rp 237,600.00 17 Rp 367,200.00 16
Rp 47,400.00 Rp - 600
Rp - 600 Rp 78,750.00 600
Rp 51,400.00 Rp - 100
Rp - Rp -
Rp - 1000 Rp 622,000.00 1000
Rp - Rp -
Rp - 400 Rp 55,000.00 400
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - 250 Rp 30,125.00 250
Rp - Rp -
Rp 35,100.00 Rp - 300
Rp 105,750.00 250 Rp 58,750.00 700
Rp - Rp -
Rp - 900 Rp 106,857.00 400
Rp - 900 Rp 101,952.00 500
Rp - Rp -
Rp 396,000.00 Rp - 1500
Rp 170,500.00 Rp - 500
Rp - 1200 Rp 388,800.00 1200
Rp 36,000.00 Rp - 300
Rp - Rp -
Rp - Rp -
Rp 82,800.00 Rp - 600
Rp - Rp -
Rp - Rp -
Rp 303,600.00 Rp - 3300
Rp - 1500 Rp 147,000.00 300
Rp 1,200,600.00 Rp - 8700
Rp - 50500 Rp 7,575,000.00 50500
Rp - Rp -
Rp 25,000.25 Rp - 500
Rp 17,245.00 30 Rp 103,470.00 35
Rp - 400 Rp 293,400.00 400
Rp - Rp -
Rp - Rp -
Rp - 900 Rp 331,128.00 900

Rp - 400 Rp 147,168.00 400
Rp - 1400 Rp 2,388,148.00 1400
Rp - 180 Rp 588,006.00 180
Rp - 20 Rp 139,587.40 20
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - 42 Rp 252,000.00 36
Rp 87,480.00 48 Rp 174,960.00 48
Rp - 1800 Rp 1,450,800.00 1800
Rp - 800 Rp 945,456.00 500
Rp - 160 Rp 260,000.00 120
Rp - Rp -
Rp - 1400 Rp 318,500.00 1400
Rp - Rp -
Rp 111,997.60 Rp - 8
Rp - 700 Rp 736,736.00 700
Rp - 300 Rp 56,940.00 200
Rp - Rp -
Rp - 600 Rp 202,800.00 600
Rp - 1600 Rp 1,117,104.00 1600
Rp - 1000 Rp 354,250.00 1000
Rp - Rp -
Rp - 700 Rp 195,650.00 700
Rp - 1500 Rp 345,000.00 1500
Rp - 5 Rp 26,250.00 5
Rp - 700 Rp 252,070.00 400
Rp - 100 Rp 36,400.00 100
Rp - 50 Rp 200,680.00 50
Rp - 1700 Rp 1,392,300.00 1400
Rp - 100 Rp 82,767.00 100
Rp 974,050.00 Rp - 14
Rp - 2200 Rp 4,416,170.00 2200
Rp - Rp -
Rp - 200 Rp 54,600.00 100
Rp - Rp -
Rp - Rp -
Rp - 17 Rp 544,915.28 9
Rp - 5 Rp 367,364.85 5
Rp - 800 Rp 411,840.00 800
Rp 360,000.00 Rp -
Rp - 600 Rp 164,580.00 600
Rp - 300 Rp 257,400.00 300
Rp - Rp -
Rp - 800 Rp 364,000.00 800
Rp - 3 Rp 173,090.70 3
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 438,000.00 Rp - 2
Rp - Rp -
Rp 954,700.00 Rp - 2
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 682,500.00 Rp - 2
Rp 87,250.00 Rp - 1
Rp 98,000.00 Rp - 5
Rp 487,165.00 Rp - 1
Rp - Rp -
Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 5,928.00 Rp - 5
Rp 24,960.00 Rp - 20
Rp - Rp -
Rp 33,880.00 4 Rp 6,776.00 24
Rp - Rp -
Rp - Rp -
Rp - 28 Rp 322,000.00 18
Rp - 9 Rp 309,375.00 8
Rp - 6 Rp 484,470.00 5
Rp - Rp -
Rp - 8 Rp 3,081,880.00 8
Rp 441,375.00 Rp - 3
Rp 1,232,550.00 5 Rp 684,750.00 14
Rp 68,475.00 Rp - 1
Rp - 13 Rp 2,005,055.00 13
Rp - Rp -
Rp 89,100.00 Rp - 1
Rp 1,069,200.00 Rp - 6
Rp - 12 Rp 2,345,820.00 12
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - 14 Rp 235,200.00 12
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 68,750.00 Rp - 5
Rp 97,440.00 2 Rp 24,360.00 8
Rp 430,090.00 Rp - 2
Rp 215,045.00 Rp - 1
Rp 2,237,400.00 5 Rp 621,500.00 23
Rp - 4 Rp 1,581,000.00 3
Rp - 150 Rp 1,476,000.00 150
Rp - 100 Rp 984,000.00 100
Rp - 200 Rp 1,968,000.00 200
Rp - Rp -
Rp - 6 Rp 520,080.00 4
Rp 26,413.20 Rp - 3
Rp - 4 Rp 801,900.00 4
Rp - 3 Rp 601,425.00 3
Rp - 3 Rp 601,425.00 3
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 134,572.05 250 Rp 1,345,720.50 275
Rp 134,584.55 100 Rp 538,338.20 125
Rp 134,584.55 70 Rp 376,836.74 95
Rp - Rp -
Rp 70,440.00 Rp - 4
Rp 368,000.00 Rp - 4
Rp 127,500.00 Rp - 20
Rp - 135 Rp 1,004,238.00 75
Rp - Rp -
Rp 351,000.00 Rp - 40
Rp - 60 Rp 445,500.00 40
Rp - Rp -
Rp - 35 Rp 331,143.75 10
Rp - Rp -
Rp - 50 Rp 371,250.00 35
Rp - Rp -
Rp - 45 Rp 334,125.00 30
Rp - Rp -
Rp - 20 Rp 189,224.99 10
Rp - 90 Rp 706,162.50 40
Rp - 65 Rp 510,006.25 55
Rp - 60 Rp 467,925.00 50
Rp - 95 Rp 740,881.25 30
Rp - 105 Rp 1,057,218.75 30
Rp 55,750.00 Rp - 2
Rp - Rp -
Rp 83,625.00 Rp - 3
Rp 240,000.00 Rp - 2
Rp - 1 Rp 65,780.00 1
Rp - Rp -
Rp - Rp -
Rp 57,500.00 10 Rp 143,750.00 6
Rp 420,000.00 Rp - 12
Rp 207,000.00 Rp - 24
Rp - Rp -
Rp 2,173,500.00 25 Rp 3,018,750.00 35
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 349,600.00 100 Rp 184,000.00 90
Rp - Rp -
Rp - Rp -
Rp 177,100.00 60 Rp 531,300.00 20
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 437,115.00 150 Rp 362,250.00 181
Rp 222,525.00 50 Rp 86,250.00 129
Rp - Rp -
Rp - Rp -
Rp 50,025.00 100 Rp 86,250.00 158
Rp - Rp -
Rp - Rp -
Rp 119,600.00 Rp - 13
Rp 1,062,839.40 Rp - 48
Rp 1,496,000.00 3 Rp 280,500.00 9
Rp - 10 Rp 1,567,500.00
Rp 37,444.00 7 Rp 52,421.60 12
Rp 34,800.00 155 Rp 539,400.00 15
Rp - 10 Rp 44,400.00 10
Rp - 20 Rp 2,673,000.00 20
Rp - 11 Rp 1,470,150.00 11
Rp - 20 Rp 379,500.00 20
Rp - Rp -
Rp - Rp -
Rp - 10 Rp 11,137.50 10
Rp - Rp -
Rp - 30 Rp 33,412.50 30
Rp - Rp -
Rp - 30 Rp 33,412.50 30
Rp - Rp -
Rp - 3 Rp 110,812.50 3
Rp - 25 Rp 27,843.75 20
Rp - 200 Rp 759,000.00 200
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 1,379,356.00 24 Rp 1,141,536.00 19
Rp 1,338,876.00 48 Rp 1,311,552.00 29
Rp 2,398,440.00 48 Rp 3,837,504.00 15
Rp - 8 Rp 184,262.40 7
Rp - 60 Rp 231,360.00 40
Rp - Rp -
Rp 1,359,600.00 2 Rp 906,400.00 3
Rp - 80 Rp 1,322,496.00 60
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - 6 Rp 759,000.00 2
Rp - 6 Rp 1,006,882.20 2
Rp - 4 Rp 860,180.00 2
Rp - 4 Rp 860,180.00 2
Rp - 4 Rp 860,180.00 2
Rp - 11 Rp 15,242.81 11
Rp - 382 Rp 420,371.90 182
Rp - 200 Rp 172,944.00 200
Rp - 40 Rp 44,389.20 40
Rp - 80 Rp 89,100.00 80
Rp - 140 Rp 176,715.00 105
Rp - 70 Rp 155,925.00 30
Rp - 2 Rp 976,500.00 1
Rp - Rp -
Rp 34,500.00 10 Rp 34,500.00
Rp - Rp -
Rp - 200 Rp 456,000.00 150
Rp - 1 Rp 66,825.00 1
Rp 73,919.30 20 Rp 211,198.00 17
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 57,750.00 Rp - 1
Rp 57,750.00 Rp - 1
Rp - Rp -
Rp 116,323.35 Rp - 13
Rp 89,479.50 Rp - 10
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 49,929.20 Rp - 40
Rp 16,549.50 Rp - 10
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 224,827.20 Rp - 2
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 41,930,662.05 Rp 116,334,332.32
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp -
Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 199,540.00 Rp - 10
Rp - Rp -
Rp 1,525,700.00 Rp - 20
Rp 82,500.00 Rp - 5
Rp - Rp -
Rp - Rp -
Rp 105,378.00 Rp - 273
Rp 25,950.00 Rp - 75
Rp 148,975.00 Rp - 295
Rp 43,540.00 Rp - 70
Rp 317,015.00 Rp - 1
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 736,064.00 Rp - 6572
Rp 1,793,400.00 Rp - 4200
Rp 1,494,500.00 Rp - 3500
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 185,471.55 Rp - 178
Rp 1,292,000.00 Rp - 6800
Rp 62,964.00 Rp - 18
Rp 58,482.00 Rp - 27
Rp - Rp -
Rp 12,650.00 Rp - 50
Rp 165,600.00 Rp - 600
Rp 126,200.00 Rp - 200
Rp 308,500.00 Rp - 500
Rp 275,000.00 Rp - 1000
Rp - Rp - 1
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 8,959,429.55 Rp -
Rp 50,890,091.60 Rp 116,334,332.32
BER 2021
PER KELUAR PER- 31 DES 2021 PERSEDIAAN 31 DESEMBER 2021
TOTAL JUMLAH TOTAL
10 11 12
Rp 145,200.00 0 Rp -
Rp 290,400.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 453,600.00 2100 Rp 226,800.00
Rp 51,000.00 0 Rp -
Rp 159,375.00 200 Rp 106,250.00
Rp 154,440.00 12 Rp 34,320.00
Rp 224,977.50 5 Rp 24,997.50
Rp - 0 Rp -
Rp 256,542.00 2500 Rp 493,350.00
Rp - 0 Rp -
Rp - 10 Rp 30,710.00
Rp - 0 Rp -
Rp 141,600.00 0 Rp -
Rp 349,800.00 0 Rp -
Rp - 0 Rp -
Rp 298,800.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 3,093,500.00 0 Rp -
Rp 897,600.00 0 Rp -
Rp - 0 Rp -
Rp 284,375.00 0 Rp -
Rp - 0 Rp -
Rp 581,400.00 2500 Rp 142,500.00
Rp 68,700.00 20 Rp 45,800.00
Rp - 100 Rp 351,100.00
Rp - 24 Rp 138,168.00
Rp - 30 Rp 114,000.00
Rp - 0 Rp -
Rp 441,000.00 1500 Rp 189,000.00
Rp - 0 Rp -
Rp 45,000.00 300 Rp 27,000.00
Rp - 0 Rp -
Rp - 0 Rp -
Rp 157,500.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 199,212.20 2 Rp 12,852.40
Rp - 0 Rp -
Rp - 0 Rp -
Rp 502,500.00 125 Rp 418,750.00
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 36,500.00 0 Rp -
Rp 181,120.00 100 Rp 18,112.00
Rp - 0 Rp -
Rp - 40 Rp 1,018,000.00
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 100 Rp 8,600.00
Rp - 30 Rp 60,300.00
Rp 248,320.00 220 Rp 682,880.00
Rp 720,195.30 30 Rp 12,206.70
Rp 272,250.00 400 Rp 181,500.00
Rp 45,000.00 0 Rp -
Rp 136,999.50 0 Rp -
Rp - 10 Rp 12,780.00
Rp 7,000.00 0 Rp -
Rp 122,454.00 0 Rp -
Rp - 300 Rp 28,800.00
Rp 54,000.00 0 Rp -
Rp 28,000.00 0 Rp -
Rp 19,494.00 0 Rp -
Rp 13,160.00 0 Rp -
Rp 20,800.00 0 Rp -
Rp 71,280.00 0 Rp -
Rp 10,340.00 20 Rp 41,360.00
Rp 781,000.00 0 Rp -
Rp 782,100.00 1500 Rp 1,066,500.00
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 155,800.00 0 Rp -
Rp 17,600.00 200 Rp 17,600.00
Rp 15,550.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 221,000.00 40 Rp 176,800.00
Rp 456,000.00 500 Rp 456,000.00
Rp 42,000.00 0 Rp -
Rp - 0 Rp -
Rp 28,890.00 0 Rp -
Rp - 0 Rp -
Rp 174,000.00 0 Rp -
Rp - 0 Rp -
Rp 165,600.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 100 Rp 736,300.00
Rp 92,000.00 0 Rp -
Rp 168,245.00 400 Rp 134,596.00
Rp 199,615.00 120 Rp 647,400.00
Rp - 0 Rp -
Rp 8,064.00 0 Rp -
Rp - 7000 Rp 1,302,000.00
Rp - 0 Rp -
Rp - 336 Rp 889,728.00
Rp 297,486.00 0 Rp -
Rp - 191 Rp 1,090,419.00
Rp 205,524.00 0 Rp -
Rp 120,000.00 0 Rp -
Rp - 72 Rp 745,272.00
Rp 128,000.00 1500 Rp 96,000.00
Rp 228,000.00 0 Rp -
Rp - 0 Rp -
Rp 13,820.00 5 Rp 13,820.00
Rp - 0 Rp -
Rp 1,016,760.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 48,312.00 0 Rp -
Rp - 6 Rp 21,870.00
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 56,000.00 0 Rp -
Rp - 0 Rp -
Rp 67,500.00 0 Rp -
Rp 51,600.00 5200 Rp 670,800.00
Rp - 0 Rp -
Rp 444,150.00 0 Rp -
Rp - 275 Rp 620,675.00
Rp 678,840.00 60 Rp 678,840.00
Rp 226,280.00 0 Rp -
Rp - 0 Rp -
Rp 1,411,550.00 20 Rp 152,600.00
Rp - 0 Rp -
Rp 410,410.00 0 Rp -
Rp 13,750.00 0 Rp -
Rp 117,360.00 25 Rp 36,675.00
Rp 73,650.00 20 Rp 29,460.00
Rp - 0 Rp -
Rp 17,500.00 100 Rp 17,500.00
Rp 64,000.00 0 Rp -
Rp 39,936.00 18 Rp 59,904.00
Rp - 0 Rp -
Rp 73,000.00 0 Rp -
Rp 22,776.00 12 Rp 45,552.00
Rp - 0 Rp -
Rp 339,500.00 0 Rp -
Rp - 0 Rp -
Rp 42,500.00 0 Rp -
Rp 431,999.70 0 Rp -
Rp 68,420.00 0 Rp -
Rp 35,530.00 10 Rp 35,530.00
Rp 108,400.00 600 Rp 162,600.00
Rp - 0 Rp -
Rp 61,200.00 200 Rp 30,600.00
Rp - 0 Rp -
Rp 212,500.00 0 Rp -
Rp - 0 Rp -
Rp - 1900 Rp 176,700.00
Rp - 8100 Rp 704,700.00
Rp - 0 Rp -
Rp - 10 Rp 112,000.00
Rp 152,100.00 0 Rp -
Rp - 0 Rp -
Rp 442,476.00 24 Rp 98,328.00
Rp - 0 Rp -
Rp 213,750.00 0 Rp -
Rp 61,600.00 0 Rp -
Rp 14,600.00 0 Rp -
Rp 160,000.00 0 Rp -
Rp - 0 Rp -
Rp 782,020.00 40 Rp 256,400.00
Rp - 0 Rp -
Rp - 0 Rp -
Rp 475,000.00 0 Rp -
Rp 135,000.00 1500 Rp 1,012,500.00
Rp 158,400.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 265,500.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 25 Rp 69,350.00
Rp 38,610.00 0 Rp -
Rp 150,871.80 35 Rp 176,017.10
Rp - 0 Rp -
Rp 732,433.50 300 Rp 197,955.00
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 181,486.80 0 Rp -
Rp 1,729,224.00 0 Rp -
Rp - 200 Rp 248,000.00
Rp 192,000.60 0 Rp -
Rp 34,600.00 0 Rp -
Rp - 0 Rp -
Rp 116,000.00 0 Rp -
Rp - 0 Rp -
Rp 11,950.00 0 Rp -
Rp 234,208.00 0 Rp -
Rp - 0 Rp -
Rp 206,999.10 0 Rp -
Rp - 0 Rp -
Rp 66,120.00 0 Rp -
Rp 345,600.00 12 Rp 259,200.00
Rp 47,400.00 0 Rp -
Rp 78,750.00 0 Rp -
Rp 51,400.00 0 Rp -
Rp - 0 Rp -
Rp 622,000.00 0 Rp -
Rp - 0 Rp -
Rp 55,000.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 30,125.00 0 Rp -
Rp - 0 Rp -
Rp 35,100.00 0 Rp -
Rp 164,500.00 0 Rp -
Rp - 0 Rp -
Rp 47,492.00 500 Rp 59,365.00
Rp 56,640.00 400 Rp 45,312.00
Rp - 0 Rp -
Rp 396,000.00 0 Rp -
Rp 170,500.00 0 Rp -
Rp 388,800.00 0 Rp -
Rp 36,000.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 82,800.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 303,600.00 0 Rp -
Rp 29,400.00 1200 Rp 117,600.00
Rp 1,200,600.00 0 Rp -
Rp 7,575,000.00 0 Rp -
Rp - 0 Rp -
Rp 25,000.25 0 Rp -
Rp 120,715.00 0 Rp -
Rp 293,400.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 331,128.00 0 Rp -
Rp 147,168.00 0 Rp -
Rp 2,388,148.00 0 Rp -
Rp 588,006.00 0 Rp -
Rp 139,587.40 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 216,000.00 6 Rp 36,000.00
Rp 174,960.00 24 Rp 87,480.00
Rp 1,450,800.00 0 Rp -
Rp 590,910.00 300 Rp 354,546.00
Rp 195,000.00 40 Rp 65,000.00
Rp - 0 Rp -
Rp 318,500.00 0 Rp -
Rp - 0 Rp -
Rp 111,997.60 0 Rp -
Rp 736,736.00 0 Rp -
Rp 37,960.00 100 Rp 18,980.00
Rp - 0 Rp -
Rp 202,800.00 0 Rp -
Rp 1,117,104.00 0 Rp -
Rp 354,250.00 0 Rp -
Rp - 0 Rp -
Rp 195,650.00 0 Rp -
Rp 345,000.00 0 Rp -
Rp 26,250.00 0 Rp -
Rp 144,040.00 300 Rp 108,030.00
Rp 36,400.00 0 Rp -
Rp 200,680.00 0 Rp -
Rp 1,146,600.00 300 Rp 245,700.00
Rp 82,767.00 0 Rp -
Rp 974,050.00 0 Rp -
Rp 4,416,170.00 0 Rp -
Rp - 0 Rp -
Rp 27,300.00 100 Rp 27,300.00
Rp - 0 Rp -
Rp - 0 Rp -
Rp 288,484.56 8 Rp 256,430.72
Rp 367,364.85 0 Rp -
Rp 411,840.00 0 Rp -
Rp - 300 Rp 360,000.00
Rp 164,580.00 0 Rp -
Rp 257,400.00 0 Rp -
Rp - 0 Rp -
Rp 364,000.00 0 Rp -
Rp 173,090.70 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 438,000.00 0 Rp -
Rp - 0 Rp -
Rp 954,700.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 682,500.00 0 Rp -
Rp 87,250.00 0 Rp -
Rp 98,000.00 0 Rp -
Rp 487,165.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 5,928.00 0 Rp -
Rp 24,960.00 0 Rp -
Rp - 0 Rp -
Rp 40,656.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 207,000.00 10 Rp 115,000.00
Rp 275,000.00 1 Rp 34,375.00
Rp 403,725.00 1 Rp 80,745.00
Rp - 0 Rp -
Rp 3,081,880.00 0 Rp -
Rp 441,375.00 0 Rp -
Rp 1,917,300.00 0 Rp -
Rp 68,475.00 0 Rp -
Rp 2,005,055.00 0 Rp -
Rp - 0 Rp -
Rp 89,100.00 0 Rp -
Rp 1,069,200.00 0 Rp -
Rp 2,345,820.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 201,600.00 2 Rp 33,600.00
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 68,750.00 0 Rp -
Rp 97,440.00 2 Rp 24,360.00
Rp 430,090.00 0 Rp -
Rp 215,045.00 0 Rp -
Rp 2,858,900.00 0 Rp -
Rp 1,185,750.00 1 Rp 395,250.00
Rp 1,476,000.00 0 Rp -
Rp 984,000.00 0 Rp -
Rp 1,968,000.00 0 Rp -
Rp - 0 Rp -
Rp 346,720.00 2 Rp 173,360.00
Rp 26,413.20 0 Rp -
Rp 801,900.00 0 Rp -
Rp 601,425.00 0 Rp -
Rp 601,425.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 1,480,292.55 0 Rp -
Rp 672,922.75 0 Rp -
Rp 511,421.29 0 Rp -
Rp - 0 Rp -
Rp 70,440.00 0 Rp -
Rp 368,000.00 0 Rp -
Rp 127,500.00 0 Rp -
Rp 557,910.00 60 Rp 446,328.00
Rp - 0 Rp -
Rp 351,000.00 0 Rp -
Rp 297,000.00 20 Rp 148,500.00
Rp - 0 Rp -
Rp 94,612.50 25 Rp 236,531.25
Rp - 0 Rp -
Rp 259,875.00 15 Rp 111,375.00
Rp - 0 Rp -
Rp 222,750.00 15 Rp 111,375.00
Rp - 0 Rp -
Rp 94,612.49 10 Rp 94,612.49
Rp 313,850.00 50 Rp 392,312.50
Rp 431,543.75 10 Rp 78,462.50
Rp 389,937.50 10 Rp 77,987.50
Rp 233,962.50 65 Rp 506,918.75
Rp 302,062.50 75 Rp 755,156.25
Rp 55,750.00 0 Rp -
Rp - 0 Rp -
Rp 83,625.00 0 Rp -
Rp 240,000.00 0 Rp -
Rp 65,780.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 86,250.00 8 Rp 115,000.00
Rp 420,000.00 0 Rp -
Rp 207,000.00 0 Rp -
Rp - 0 Rp -
Rp 4,226,250.00 8 Rp 966,000.00
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 165,600.00 200 Rp 368,000.00
Rp - 0 Rp -
Rp - 0 Rp -
Rp 177,100.00 60 Rp 531,300.00
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 437,115.00 150 Rp 362,250.00
Rp 222,525.00 50 Rp 86,250.00
Rp - 0 Rp -
Rp - 0 Rp -
Rp 136,275.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 119,600.00 0 Rp -
Rp 520,574.40 50 Rp 542,265.00
Rp 841,500.00 10 Rp 935,000.00
Rp - 10 Rp 1,567,500.00
Rp 89,865.60 0 Rp -
Rp 52,200.00 150 Rp 522,000.00
Rp 44,400.00 0 Rp -
Rp 2,673,000.00 0 Rp -
Rp 1,470,150.00 0 Rp -
Rp 379,500.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 11,137.50 0 Rp -
Rp - 0 Rp -
Rp 33,412.50 0 Rp -
Rp - 0 Rp -
Rp 33,412.50 0 Rp -
Rp - 0 Rp -
Rp 110,812.50 0 Rp -
Rp 22,275.00 5 Rp 5,568.75
Rp 759,000.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 903,716.00 34 Rp 1,617,176.00
Rp 792,396.00 68 Rp 1,858,032.00
Rp 1,199,220.00 63 Rp 5,036,724.00
Rp 161,229.60 1 Rp 23,032.80
Rp 154,240.00 20 Rp 77,120.00
Rp - 0 Rp -
Rp 1,359,600.00 2 Rp 906,400.00
Rp 991,872.00 20 Rp 330,624.00
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 253,000.00 4 Rp 506,000.00
Rp 335,627.40 4 Rp 671,254.80
Rp 430,090.00 2 Rp 430,090.00
Rp 430,090.00 2 Rp 430,090.00
Rp 430,090.00 2 Rp 430,090.00
Rp 15,242.81 0 Rp -
Rp 200,281.90 200 Rp 220,090.00
Rp 172,944.00 0 Rp -
Rp 44,389.20 0 Rp -
Rp 89,100.00 0 Rp -
Rp 132,536.25 35 Rp 44,178.75
Rp 66,825.00 40 Rp 89,100.00
Rp 488,250.00 1 Rp 488,250.00
Rp - 0 Rp -
Rp - 20 Rp 69,000.00
Rp - 0 Rp -
Rp 342,000.00 50 Rp 114,000.00
Rp 66,825.00 0 Rp -
Rp 179,518.30 10 Rp 105,599.00
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 57,750.00 0 Rp -
Rp 57,750.00 0 Rp -
Rp - 0 Rp -
Rp 116,323.35 0 Rp -
Rp 89,479.50 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 49,929.20 0 Rp -
Rp 16,549.50 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 224,827.20 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 115,552,688.60 Rp 42,712,305.76
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 199,540.00 0 Rp -
Rp - 0 Rp -
Rp 1,525,700.00 0 Rp -
Rp 82,500.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 105,378.00 0 Rp -
Rp 25,950.00 0 Rp -
Rp 148,975.00 0 Rp -
Rp 43,540.00 0 Rp -
Rp 317,015.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 736,064.00 0 Rp -
Rp 1,793,400.00 0 Rp -
Rp 1,494,500.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 185,471.55 0 Rp -
Rp 1,292,000.00 0 Rp -
Rp 62,964.00 0 Rp -
Rp 58,482.00 0 Rp -
Rp - 0 Rp -
Rp 12,650.00 0 Rp -
Rp 165,600.00 0 Rp -
Rp 126,200.00 0 Rp -
Rp 308,500.00 0 Rp -
Rp 275,000.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 8,959,429.55 Rp -
Rp 115,552,688.60 Rp 51,671,735.31
PEMERINTAH KABUPAT
DINAS KESE
UPTD PUSKESMA
REKAPITULASI STOK PERSEDIAAN O
PERSEDIAAN 01 JANUARI 2020

NO NAMA OBAT SATUAN
JUMLAH HARGA SATUAN
1 2 3 4 5
4 ACETYL CISTEIN KAPSUL 200 MG Kapsul 0 Rp 130.00
5 ALOPURINOL TABLET 100 MG SATUAN 1300 Rp 108.00
6 ALOPURINOL TABLET 100 MG Tablet 500 Rp 102.00
7 Air untuk injeksi 25 ml Vial 6 Rp 2,860.00
12 Aminofilin Inj 24 mg/ml Ampul 0 Rp 4,204.00
13 Amlodipin tab 10 mg Tablet 0 Rp 99.00
14 AMLODIPIN KAPLET 10 MG Tablet 0 Rp 110.00
28 Antasida DOEN I Tablet kunyah, kombinas Tablet 0 Rp 61.00
29 ANTASIDA DOEN I TABLET KUNYAH, KO Tablet 500 Rp 57.00
30 Antasida DOEN II Syirup, kombinasi : Alu Botol 0 Rp 2,290.00
32 Anti bakteri DOEN salep kombinasi : Basitr Tube 0 Rp 3,511.00
33 Antihemoroid DOEN kombinasi : Bismut su Supp 30 Rp 3,800.00
34 ASAM ASKORBAT ( VIT. C ) TABLET 50 Tablet 0 Rp 125.00
37 Asam folat 1 mg Tablet 300 Rp 90.00
40 ASAM MEFENAMAT KAPLET 500 MG Kaplet 0 Rp 105.00
45 ACETIL CYSTEIN Tablet 0 Rp 460.00
46 Atropin injeksi i.m/i.v/s.k 0,25 mg/ml (Sulfat Ampul 0 Rp 1,540.00
49 BEDAK SALISIL SERBUK 2 % Dus 0 Rp 1,081.00
50 BETAMETASON DIPROPIONATE 0,05% Tube 0 Rp 3,350.00
51 BETAMETASON KRIM 0,1% Tube 0 Rp 1,450.00
52 Betahistin Masilat 6 Mg Tablet 0 Rp 924.00
53 BETAHISTIN TABLET 6 MG Tablet 0 Rp 165.00
56 Cefadroxil 500 Mg Kapsul 0 Rp 763.64
57 Cefixime 100 Mg Kapsul 0 Rp 1,300.00
58 CEFIXIME 100 MG KAPSUL Kapsul 0 Rp 4,780.01
59 DIAZEPAM 2 MG Tablet 100 Rp 86.00
60 DIAZEPAM 5 MG INJ Ampul 10 Rp 2,010.00
61 cetrizine sir 5 mg/ Botol 195 Rp 3,104.00
62 CETIRIZINE 10 MG TABLET Tablet 0 Rp 406.89
CETIRIZINE HIDROKLORIDA 5 MG/ML Botol 0 Rp 3,104.00
63 CLINDAMYCIN 300 MG CAPSUL KAPSUL 0 Rp 2,739.99
64 Deksametason Injeksi i.v/i.m 5 mg/ml Ampul 0 Rp 1,278.00
65 Deksametason Tablet 0,5 mg Tablet 200 Rp 35.00
Deksametason Tablet 0,5 mg Tablet 0 Rp 136.06
68 Epinefrin (Adrenalin) Injeksi i.v/s.k/i.m 1 m Ampul 8 Rp 8,910.00
69 EPINEFRIN ( ADRENALIN )INJ. 1 MG/ML ( Ampul 0 Rp 1,848.00
70 Eritromisin Kapsul 500 MG Kapsul 0 Rp 781.00
72 ERITROMISIN SIRUP KERING 200 MG/5 Botol 0 Rp 6,622.00
73 Eritromisin sirup kering 200 mg/5 ml Botol 0 Rp 8,090.00
74 Etakridin (Rivanol) Botol 0 Rp 6,000.00
75 furosemide 40 mg tablet 1900 Rp 82.00
furosemide 40 mg tablet 0 Rp 88.00
76 Fitomenadion (vit.K1) injeksi 10 mg/ml Ampul 0 Rp 4,420.00
78 FITOMENADION (VIT.K1) INJ. 2 MG/ML Ampul 0 Rp 4,260.00
79 Fitomenadion (vit.K1) tablet salut gula 10 Tablet 0 Rp 912.00
80 Formalin 40 % Botol 1 Rp 42,000.00
81 Garam Oralit Serbuk , kombinasi : Natrium k saccet 0 Rp 317.00
82 gentamicin salep mata 0,3% tube 9 Rp 3,210.00
83 glibenklamide 5 mg Tablet 0 Rp 143.00
89 Glukosa Larutan Infus 5% steril Botol 0 Rp 5,720.00
90 GLUKOSA LARUTAN INFUS 5% Botol 0 Rp 6,900.00
91 Griseofulvin tablet 125 mg Tablet 400 Rp 230.00
Griseofulvin tablet 125 mg Tablet 0 Rp 336.49
92 GENERIk ANTIFUNGI SALEP Pot 37 Rp 5,395.00
93 HALOPERIDOL TABLET 1,5 M Tablet 0 Rp 65.00
94 Hidrogen Peroksida cairan konsentrat Botol 0 Rp 34,222.50
95 Hydroklortiazid (HCT) 25 mg tablet Tablet 4500 Rp 186.00
96 HIDROKLORTIAZID TABLET 25 MG Tablet 0 Rp 179.00
97 Hydrokortison 2,5 % krim 5 gram Tube 288 Rp 2,648.00
101 Ibuprofen tablet 200 mg Tablet 0 Rp 116.00
102 Kalsium Glukonat Inj. i.v 10% (100 mg/ml) Ampul 0 Rp 5,362.50
105 Katopril Tablet Scored 12,5 mg Tablet 0 Rp 73.00
106 Karbon aktif tablet Tablet 0 Rp 126.75
107 Ketokonazole 200 mg Tablet 0 Rp 320.00
108 KLORAMPHENICOL 250MG CAPS Kapsul 0 Rp 1,110.00
109 Kloramfenikol kapsul/kaplet 250 mg Kapsul 0 Rp 275.00
110 Kloramfenikol salep mata 1 % Tube 0 Rp 1,000.00
111 KLORAMFENIKOL SALEP MATA 1 % Tube 0 Rp 1,850.00
112 Kloramfenikol salep kulit 2 % tube 6 Rp 3,645.00
113 kombinasi:ferro fumarat 60 mg+asam folat Tablet 0 Rp 427.00
114 Klorfeniramin Maleat (CTM) 4mg Tablet 0 Rp 16.00
115 Klorfeniramin Maleat (CTM) 4mg sssss 0 Rp 25.00
116 KLORFENIRAMINA MALEAT ( CTM ) TAB Tablet 1400 Rp 40.00
117 KODEIN TABLET 10 MG Tablet 0 Rp 660.00
118 KOTRIMOKSAZOL ( DEWASA ) KOMBINA Tablet 500 Rp 135.00
119 0
120 KOTRIMOKSAZOL ( DEWASA ) KOMBINA Tablet 5000 Rp 129.00
121 Kotrimoksazol suspensi kombinasi ; Sulfa Botol 0 Rp 2,462.00
124 Larutan elektrolit KAEN 3B Botol 100 Rp 11,314.00
125 Larutan mengandung elektrolit (Ringer lakt Botol 0 Rp 7,150.00
126 Larutan mengandung elektrolit (Ringer lakt Botol 45 Rp 7,630.00
129 lidocain inj 2% + Epinefrin ampul 0 Rp 1,473.00
130 Loperamid tablet 2 mg Tablet 0 Rp 91.00
131 Loratidin tablet 10 mg Tablet 0 Rp 302.80
132 MAGNESIUM SULFAT INJEKSI 20 % ( MG Ampul 20 Rp 3,200.00
133 MAGNESIUM SULFAT INJEKSI 20 % ( MG Botol 0 Rp 3,328.00
134 MAGNESIUM SULFAT INJEKSI 40 % ( MG Ampul 20 Rp 3,650.00
135 MAGNESIUM SULFAT INJEKSI 40 % ( MG Botol 0 Rp 3,796.00
136 MELOXICAM 15 MG TABLET Tablet 0 Rp 2,380.00
137 Metampiron (antalgin) 2 ml injeksi Ampul 0 Rp 1,925.00
138 Metampiron (antalgin) 500 mg Tablet 0 Rp 155.00
139 Metampiron (antalgin) 500 mg Tablet 300 Rp 1,440.00
140 METILERGOMETRIN INJ. 0,2 MG/ML Ampul 20 Rp 3,421.00
141 METILERGOMETRIN INJ. 0,125 MG Tablet 300 Rp 271.00
147 METOKLOPRAMIDE TABLET 10 MG Tablet 1900 Rp 93.00
153 Miconazole 2% krim (nitrat) Tube 0 Rp 4,097.00
158 Natrium Klorida (NaCl) 0.9% larutan infus Botol 0 Rp 5,170.00
159 Natrium Klorida (NaCl) 0.9% larutan infus Botol 62 Rp 6,410.00
160 Nifedipine tablet 10 mg Tablet 0 Rp 127.00
161 Nistatin 500.000 IU tablet salut Tablet 0 Rp 704.00
162 Nystatin salut gula 500.000 IU Tablet 500 Rp 950.00
165 Obat Batuk Hitam (OBH) syrup 100 ml Botol 0 Rp 1,500.00
166 OBH ERLA SIRUP BOTOL KACA 100 ML Botol 0 Rp 12,999.80
167 OFLOKSASIN TABLET 200 MG Tablet 0 Rp 531.00
168 Oksitetrasiklin HCl SK 3 % Tube 0 Rp 2,009.00
169 Oksitetrasiklin HCL Salep Mata 1 % Tube 0 Rp 1,330.00
170 OXYTETRACYCLINE SALEP MATA 1% 3. Tube 0 Rp 2,600.00
171 OKSITOSIN INJ 10 UI/ML Ampul 0 Rp 1,287.00
172 Omeprasol kapsul/kaplet 20 mg Tablet 0 Rp 658.85
175 ONDANSENTRON TABLET 4 MG TABLET 0 Rp 546.00
176 Paracetamol drop 100mg/ml Botol 0 Rp 7,979.00
177 Paracetamol 120 mg/5 ml syrup Botol 0 Rp 5,041.30
178 PARASETAMOL SIRUP 120 MG/ 5 ML BOTOL 0 Rp 1,190.00
179 PARASETAMOL TABLET 500 MG TABLET 0 Rp 274.48
180 Piracetam tablet 800 mg Tablet 0 Rp 964.00
181 PIRACETAM 800 MG CAPLET KAPLET 200 Rp 960.00
182 Pirantel tablet score (base) 125 mg Tablet 100 Rp 346.00
183 PIRANTEL PAMOAT TABLET 125 MG Tablet 0 Rp 305.00
184 Pirantel Suspensi 125 mg/5 ml Botol 10 Rp 11,600.00
185 Piridoksin 10 mg (Vitamin B6) Tablet 0 Rp 148.00
186 PIRIDOKSIN ( VIT. B6 ) TABLET 10 MG TABLET 0 Rp 142.00
189 PIROXICAM 10 MG TABLET TABLET 900 Rp 230.00
190 Pritamox Tablet Tablet 0 Rp 1,210.00
195 Propiltiourasil tablet ( PTU) 100 mg Tablet 100 Rp 514.00
199 Ranitidin 150mg Tablet 0 Rp 200.00
200 salep 24 kombinasi pot 0 Rp 3,143.00
201 Sefadroksil 500 mg Kapsul 0 Rp 200.00
202 Sefadroksil 125 mg/5 ml SK 60ml Botol 0 Rp 3,421.00
203 Serum Anti bisa Ular 5ml (ABU I) Vial 0 Rp 597,902.57
204 Sianokobalamin (vit.B12) 500 mcg injeksi Ampul 0 Rp 10,560.00
207 SIMVASTATIN 20 MG Tablet 450 Rp 235.00
208 SIMVASTATIN TABLET 10 MG Tablet 0 Rp 116.00
209 salbutamol 2 mg Tablet 0 Rp 113.28
salbutamol 4 mg Tablet 0 Rp 118.73
210 Siprofloksasin 500 mg Tablet 0 Rp 453.75
211 SIPROFLOKSASIN TABLET SCORED 50 TABLET 1500 Rp 264.00
213 TETRASIKLIN KAPSUL 500 MG KAPSUL 0 Rp 324.00
214 Tetrasiklin kaps/kapl 250 mg Kapsul 300 Rp 120.00
218 Thiamin HCl (vit.B1) inj.100 mg/ml-1ml Ampul 0 Rp 1,500.00
219 Thiamin HCl (vit.B1) 50 mg Tablet 0 Rp 42.00
220 THIAMIN HCL VIT B1 Tablet 3300 Rp 92.00
221 THIAMIN ( VIT. B1 ) TABLET 500 MG Tablet 0 Rp 90.00
222 VITAMIN B KOMPLEKS TABLET Tablet 8700 Rp 138.00
VITAMIN B KOMPLEKS TABLET Tablet 0 Rp 150.00
223 Vitamin D 400 IU/D-Vit tablet Tablet 0 Rp 680.00
224 VITAMIN B12 50 MCG TABLET Tablet 500 Rp 50.00
225 ZINK SULFAT SIRUP 20 MG/5 ML BOTOL 5 Rp 3,449.00
226 ZINC TABLET DISPERSIBLE 20 MG Tablet 0 Rp 733.50
OBAT PATEN 0
BISAKODIL SUPPOSITORIA 5 MG (DULC Supp 0 Rp 6,000.00
1 SANMOL 500 MG Tablet 0 Rp 325.00
2 CARDISAN 5 MG Tablet 0 Rp 11,918.74
3 PURECEMIA Tablet 0 Rp 3,268.75
4 MEFINAL 500 MG Tablet 0 Rp 1,537.50
5 NEUROSANBE Tablet 0 Rp 2,756.25
6 SANTA E 200 Kaplet 0 Rp 2,243.75
7 MUCOHEXIN Tablet 0 Rp 575.00
8 CHOLVASTIN Tablet 0 Rp 12,043.73
9 BEVITA SYRUP 120 ML BOTOL 0 Rp 77,000.00
BUFACETIN (Kloramfenikol salep) tube 24 Rp 3,645.00
10 CAVIPLEX KAPLET KAPLET 0 Rp 806.00
11 CENDO XITROL 5 ML BOTOL 0 Rp 58,999.60
DEHISTA (CTM) Tablet 0 Rp 227.50
EPEXOL 30 MG Tablet 0 Rp 944.00
12 ERLAMYCETINE EYE DROP 0.5 % 10 ML BOTOL 0 Rp 20,000.20
13 ERLAMYCETINE SYRUP 60 ML BOTOL 8 Rp 13,999.70
14 FARBION TABLET TABLET 0 Rp 2,310.00
FLUCADEX Tablet 0 Rp 698.19
15 GRATAMIN TABLET TABLET 0 Rp 2,860.00
GLUDAPETIC (METFORMIN) Tablet 0 Rp 354.25
HARMIDA GLIBENKLAMID 2,5 MG Tablet 0 Rp 216.00
16 IMOX TABLET SALUT SELAPUT Tablet 0 Rp 13,200.00
17 INTUNAL CAPLET KAPLET 0 Rp 819.00
MEVITON Tablet 0 Rp 2,007.35
18 MY JELLY 80 GRAM LUBRICAN BOTOL 14 Rp 69,575.00
19 NIFUDIAR SUSPENSI 60 ML BOTOL 0 Rp 77,000.00
20 PANTOCAIN 0.5 % 15 ML BOTOL 0 Rp 31,000.20
21 Polikresulen Cairan (Albothyl) 5 ml Botol 0 Rp 37,500.00
22 PANTRIN PIRANTEL PAMOAT TAB 250 Tablet 300 Rp 1,200.00
PROPEPSA SYR 100 ML BOTOL 0 Rp 65,900.00
PROVINAS (IBUPROFEN 400 MG) Tablet 0 Rp 514.80
23 SUPRAVIT STRIP 10X10'S TABLET 0 Rp 770.00
24 VOCEFA DS 60 ML BOTOL 0 Rp 84,000.40
25 ZIRCUM KID SYRUP 60 ML BOTOL 0 Rp 52,000.30
0
OBAT KHUSUS 0
1 Fluoride 1 mg Tablet 0 Rp 975.98
2 KY Jelli Tube 0 Rp 85,000.00
3 Lexavit Kaplet Kaplet 0 Rp 545.00
4 Mefamicetin (kloramfenikol suspensi 125 Botol 0 Rp 8,800.00
5 Neorodial Tablet Tablet 0 Rp 1,265.00
6 Pantocain (tetracain Hcl tetes mata) Botol 0 Rp 31,687.50
7 Reco (Kloramfenicol tetes mata 3 %) Botol 0 Rp 11,440.00
8 Scabicid cream (Gmexan 10 mg, asam usn Tube 0 Rp 24,716.25
9 Scopamin inj.(hiosin butilbromida inj.20 mg Ampul 0 Rp 31,687.50
10 Vical Suspensi 100 ml Botol 0 Rp 4,890.00
0
REAGEN LABORATORIUM 0
1 Cairan Spiritus 1000 ML Bks 0 Rp 68,250.00
2 LARUTAN SPIRITUS Botol 0 Rp 52,965.00
4 Tes Kehamilan Pcs 0 Rp 2,365.00
OBAT GIGI 0
1 Caviton White GC Botol 2 Rp 219,000.00
2 Cotton Roll untuk Gigi Bungkus 0 Rp 93,438.00
3 Calcium Hydroxide Botol 2 Rp 477,350.00
6 Fuji 9 Mini Pack # Extra A2 Kotak 0 Rp 556,469.00
7 Hemospon Box 0 Rp 118,500.00
8 HYDCAL TECHNEW BOX 0 Rp 289,850.00
9 Iodoform, (Biodinamica) Botol 2 Rp 341,250.00
10 Saliva Ejector Bungkus 1 Rp 87,250.00
11 Silk Automatic dgn Jarum untuk Gigi Pcs 5 Rp 19,600.00
12 Solare Anterior # A3 GC Unit 1 Rp 487,165.00
13 Vitapex Unit 0 Rp 915,833.00
BAHAN MEDIS HABIS PAKAI 0

3 Alat Suntik 2,5 ml Pcs 0 Rp 864.72
12 ALKOHOL SWAB Box 0 Rp 11,500.00
ALKOHOL 70% Botol 0 Rp 34,375.00
14 Autocheck cholesterol tes btl/25 str botol 0 Rp 385,235.00
17 Autocheck Glukosa tes btl/50 strip botol 1 Rp 68,475.00
19 autocheck urid acid tes btl/50 strip Botol 1 Rp 89,100.00
30 UROCARE FOLLEY CATHETER 2 WAY N Box 0 Rp 92,000.00
34 COSMOMED OKXIGEN MASKER Set 8 Rp 12,180.00
37 COPPER T Pcs 18 Rp 124,300.00
CHOLODINE HANDRUB 0,5% 5 L Botol 0 Rp 395,250.00
38 Elastic Verband 3 inchi / Tensocrape BSN Roll 0 Rp 96,000.00
39 ELASTIC VERBAND 6 INCHI Pcs 0 Rp 86,680.00
40 FEEDING TUBE 8FR 40CM Pcs 3 Rp 8,804.40
41 Hands Schoen no 7 Set 0 Rp 6,563.70
42 Hands Schoen no 7 Set 0 Rp 9,500.00
45 Hands Schoen no 7.5 Pair 0 Rp 23,750.00
46 Hands Schoen no 7.5 U/ manual Placenta Set 0 Rp 16,731.00
47 E W G Surgikal gloves 8 PCS 25 Rp 5,382.88
48 E W G Surgikal gloves 7,5 PCS 25 Rp 5,383.38
49 E.W.G Surgikal gloves no 7 PCS 25 Rp 5,383.38
HANDSCHCOEN NON STERIL S Box 0 Rp 200,475.00
50 Hands Schoen no 8 U/ manual Placenta (L Set 0 Rp 16,731.00
53 Infusion Set Anak Set 20 Rp 6,375.00
54 INFUSION SET FOR FEDIATRIC Pcs 0 Rp 3,556.16
61 IV-CATH NP, PEN TYPE, NO. 20 Pcs 0 Rp 7,846.25
IV-CATH NP, PEN TYPE, NO. 22 Pcs 0 Rp 7,798.75
64 IV Catheter no 24G Set 0 Rp 9,461.25
71 KAPAS PEMBALUT 250G Roll 4 Rp 14,375.00
73 Kasa Steril 18 x 22 cm Box 24 Rp 8,625.00
75 KASA HYDROFPHIL 40 X 80 CM Roll 18 Rp 120,750.00
80 KASA KOMPRES STERIL 40 X 40 PCS 190 Rp 1,840.00
83 KASA PEMBALUT 2M X 80CM Roll 20 Rp 8,855.00
88 KASA PEMBALUT HYDROFILL 4M X 15C Roll 181 Rp 2,415.00
89 KASA PEMBALUT HYDROFILL 4M X 10C Roll 129 Rp 1,725.00
90 Kasa Hydrofil 4 yard x 10 cm Roll 0 Rp 2,600.00
91 Kasa Pembalut Hydrofil 4 m x 5 cm Roll 0 Rp 1,248.00
92 KASA PEMBALUT HYDROFILL 4M X 5C Roll 58 Rp 862.50
93 Kasa Steril 16 x 16 cm Bungkus 0 Rp 8,287.85
95 KASA HYDROFPHIL STERIL 16 X 16 Roll 13 Rp 9,200.00
96 KASA STERIL 10X10 CM,8 PLY,1X10'S Kotak 98 Rp 10,845.30
98 ONEMED MASKER N95 Pcs 5 Rp 7,488.80
99 JAYAMAS IODIONE 30 ML BOTOL 10 Rp 3,480.00
100 Masker PCS 0 Rp 495.00
MASKER 3 FLY TIE ON Box 0 Rp 133,650.00
101 SURGICAL MASK EARLOOP Box 0 Rp 18,975.00
110 ONEJACK AUTODISABLE SYRINGE 0,05 PCS 0 Rp 3,795.00
111 Paper Tape 2.5 cm x 9.14 m Roll 0 Rp 131,300.00
116 Plester 7,5 mm x 4,5 mm Roll 0 Rp 60,650.00
117 PLESTERIN NON WOVEN ROLL 10CM X Roll 29 Rp 47,564.00
120 Regulator Oksigen Pcs 0 Rp 487,500.00
121 GEA MEDICAL REGULATOR 02 XY-988 Pcs 3 Rp 453,200.00
124 Silk (Benang Bedah Sultra) No. 3/0 Pcs #REF! Rp 4,661.49
Silk (Benang Bedah Sultra) No. 3/0 Pcs
126 Tullegrass (Cuticell Classic) 5 cm x 5 cm Pcs 0 Rp 17,150.00
127 URINE BAG STERIL Pcs 10 Rp 3,450.00
128 Urine Bag Pcs #REF! Rp 6,875.00
Urine Bag Pcs
129 Oxygen masker dewasa dan anak pcs 7 Rp 10,559.90
130 Tes Kehamilan pcs 0 Rp 2,400.00
131 Folley Catheter No.10 Pcs 0 Rp 13,750.00
132 Chirurgic Gloves No.6,5 Set 0 Rp 9,500.00
133 Bethadin 30 ml Botol 0 Rp 35,000.00
134 AXIMED EXAM Gloves Size S DUS 0 Rp 57,750.00
135 AXIMEX EXAM Gloves Size M DUS 1 Rp 57,750.00
136 Examination Gloves Size L DUS 1 Rp 57,750.00
137 NIPRO INFUSET " Y " pcs #REF! Rp 6,343.00
NIPRO INFUSET " Y " pcs
148 anios dermanios chlorhexidin 500 ml botol 2 Rp 112,413.60
149 onionex disp syringe 1 ml pcs #REF! Rp 821.48
onionex disp syringe 1 ml pcs
151 examination CHIRURGIC GLOVES, 7,5 pcs 0 Rp 5,383.38
152 AXIMED FEEDING TUBE 40CM NO. 6 pcs #REF! Rp 8,107.00
AXIMED FEEDING TUBE 40CM NO. 6 pcs
153 AXIMED FEEDING TUBE 40CM NO. 8 pcs #REF! Rp 8,107.00
AXIMED FEEDING TUBE 40CM NO. 8 pcs
154 AXIMED FEEDING TUBE 40CM NO.10 pcs #REF! Rp 8,107.00
AXIMED FEEDING TUBE 40CM NO.10 pcs
155 AXIMED NASAL OXYGEN SIZE M pcs 0 Rp 8,250.00
156 AXIMED NASAL OXYGEN SIZE L pcs 0 Rp 8,250.00
157 AXIMED NASAL OXYGEN SIZE S pcs 0 Rp 8,250.00
158 URINE BAG pcs #REF! Rp 6,875.00
URINE BAG pcs
159 FIRST RESPONSE MALARIA ANTIGEN SET 0 Rp 440,850.00
NILAI OBAT IFK PUSKESMAS LALOLAE
OBAT BPJS
1 Paracetamol Box #REF! Rp 18,000.00
2 Asam Mefenamat Box #REF! Rp 38,000.00
3 GG Box #REF! Rp 18,000.00
4 Farsifen (Ibuprofen) Box #REF! Rp 25,000.00
5 Faxiden (Piroxicam) Box #REF! Rp 25,000.00
6 Divoltar (Diclovenac Sodium) Box #REF! Rp 20,000.00
7 Paracetamol Syr Botol #REF! Rp 5,000.00
8 Caviplex Box #REF! Rp 47,000.00
9 CTM Box #REF! Rp 10,000.00
10 B1 Box #REF! Rp 20,000.00
11 Roverton (Ambroxol) Box #REF! Rp 25,000.00
12 Paracetamol Syr Botol #REF! Rp 4,000.00
13 Gricin (Griseofulvin) Box #REF! Rp 35,000.00
14 Cetrizine Box #REF! Rp 30,000.00
#REF!
15 Oxy Salep Kulit Pcs #REF! Rp 5,000.00
16 Natrium Diclofenak 50 mg Box #REF! Rp 20,000.00
17 GG Box #REF! Rp 18,000.00
18 Cefadroxil Box #REF! Rp 90,000.00
19 Ambroxol Box #REF! Rp 20,000.00
20 Caviplex Box #REF! Rp 47,000.00
#REF!
22 Paracetamol 500 mg Box #REF! Rp 22,000.00
23 Dehista (CTM) Box #REF! Rp 25,000.00
24 GG Box #REF! Rp 18,000.00
25 Piroxicam 10 mg Box #REF! Rp 21,000.00
26 Farsifen 200 mg (Ibuprofen) Box #REF! Rp 26,000.00
27 Cefford Forte (Cefadroxil) Box #REF! Rp 95,000.00
28 Fasidol 500 mg (Pct Syr) Botol #REF! Rp 6,000.00
#REF!
29 B. Com Box #REF! Rp 15,000.00
30 Omeprazole Box #REF! Rp 20,000.00
31 Nifedipine Box #REF! Rp 30,000.00
#REF!
32 Dehista (CTM) Box #REF! Rp 35,000.00
33 Cetirizine Hydro Box #REF! Rp 45,000.00
34 GG Box #REF! Rp 20,000.00
35 Lecozinc (Zink) Box #REF! Rp 16,000.00
36 B.Com Box #REF! Rp 18,000.00
37 Griseofulvin Box #REF! Rp 35,000.00
38 Oxy Salep Kulit Box #REF! Rp 5,000.00
39 Ibuprofen 400mg Box #REF! Rp 36,000.00
40 Piroxicam Box #REF! Rp 22,000.00
41 Cefford Forte (Cefadroxil) Box #REF! Rp 95,000.00
#REF!
42 Asam Mefenamat Box #REF! Rp 38,000.00
43 Antasida Syr Botol #REF! Rp 5,000.00
44 Pritamox Syr Botol #REF! Rp 7,000.00
46 Metronidazole Box #REF! Rp 25,000.00
47 Histigo (Betahistine Mesilate) Box #REF! Rp 36,000.00
48 Cefadroxil Monohydrate Box #REF! Rp 90,000.00
#REF!
49 B.Com Box #REF! Rp 15,000.00
50 Ibuprofen Box #REF! Rp 27,000.00
51 Amlodipin 5mg Box #REF! Rp 100,000.00
52 Diclofenac Sodium Box #REF! Rp 27,000.00
53 Pharma Fix (Cefixime) Box #REF! Rp 90,000.00
54 Gricin 125 (Griseofulvin) Box #REF! Rp 45,000.00
55 Piroxicam 20mg Box #REF! Rp 20,000.00
#REF!
56 Natrium Diklofenak 50 mg Box #REF! Rp 30,000.00
57 Betahistine Mesilate 6 mg Box #REF! Rp 120,000.00
58 Vitamin B Complex Box #REF! Rp 20,000.00
59 Piroxicam 10 mg Box #REF! Rp 30,000.00
60 Yusimox (Amoxicillin) Syr Botol #REF! Rp 6,000.00
61 Antasida Doen Syr Botol #REF! Rp 5,000.00
62 Omeprazole 20 mg Box #REF! Rp 20,000.00
63 Novaxifen 400 (Ibuprofen) Botol #REF! Rp 50,000.00
64 Amlodipine 5 mg Botol #REF! Rp 110,000.00
#REF!
65 Carpule Pcs #REF! Rp 17,000.00
66 Plasminex (Asam Traneksamat) Strip #REF! Rp 36,000.00
67 Farsifen (Ibuprofen) Box #REF! Rp 46,000.00
#REF!
69 Ibuprofen 400 mg Box #REF! Rp 35,000.00
70 Novadium (Loperamid) Box #REF! Rp 30,000.00
71 Orphen (CTM) Box #REF! Rp 26,000.00
72 Amlodipine 10 mg Box #REF! Rp 100,000.00
73 Amlodipine 5 mg Box #REF! Rp 25,000.00
75 Mefenamic Acid Box #REF! Rp 37,000.00
76 Omeprazole 20 mg Box #REF! Rp 10,000.00
77 Pehacain Box #REF! Rp 75,000.00
78 Oxytocin Ampul #REF! Rp 10,000.00
BMHP
79 Alkohol 70% 1000 ml Botol #REF! Rp 49,000.00
80 Rivanol 300 ml Botol #REF! Rp 10,000.00
81 Steril Lanset Box #REF! Rp 35,000.00
82 Strip HB Easy Touch Box #REF! Rp 156,000.00
83 Isi Ulang Tabung Oksigen Botol #REF! Rp 100,000.00
84 Strip Gula Easy Touch Box #REF! Rp 140,000.00
85 Strip Asam Urat Easy Touch Box #REF! Rp 150,000.00
86 Strip Cholestrol Easy Touch Box #REF! Rp 240,000.00
87 Strip HB Easy Touch Box #REF! Rp 155,000.00
88 Oxytocin inj Pcs #REF! Rp 6,000.00
89 Pehacain Inj Box #REF! Rp 85,000.00
#REF!
91 Selang Oksigen Anak Pcs #REF! Rp 22,000.00
92 Selang Oksigen Dewasa Pcs #REF! Rp 22,000.00
93 Steril Lanset Box #REF! Rp 36,000.00
94 Handscoen Box #REF! Rp 65,000.00
#REF!
95 Handscoen Box #REF! Rp 75,000.00
96 Ethyl Botol #REF! Rp 250,000.00
97 Abocath 24 Pcs #REF! Rp 15,000.00
98 Alkohol 100ml Botol #REF! Rp 30,000.00
99 Jelly Ultrasound Botol #REF! Rp 50,000.00
100 Baju APD Sederhana Pcs #REF! Rp 15,000.00
101 Baju APD set celana Pcs #REF! Rp 100,000.00
102 Bayclin 1000ml Botol #REF! Rp 15,000.00
103 Pitogin (Oxytocin) Pcs #REF! Rp 10,000.00
104 Alkohol 70% 300ml Botol #REF! Rp 90,000.00
#REF!
#REF!
107 Selang Oksigen Dewasa Buah #REF! Rp 20,000.00
108 Selang Oksigen Anak Buah #REF! Rp 20,000.00
109 Selang Oksigen Bayi Buah #REF! Rp 20,000.00
110 Lancet Box #REF! Rp 36,000.00
111 Plester Coklat Buah #REF! Rp 12,000.00
112 Rivanol 300ml Botol #REF! Rp 15,000.00
113 Pembersih Serba guna RJK Botol #REF! Rp 50,000.00
#REF!
115 Alkohol 70% 300ml Botol #REF! Rp 30,000.00
116 Abocat 22 Buah #REF! Rp 25,000.00
#REF!
121 Strip Hb Easy Touch Buah #REF! Rp 200,000.00
122 Leukoplast Buah #REF! Rp 55,000.00
123 Lancet Buah #REF! Rp 35,000.00
#REF!
125 Klem Tali Pusat Buah #REF! Rp 5,000.00
127 Test Kehamilan (One Med) Box #REF! Rp 100,000.00
128 Isi Ulang Tabung Oksigen Besar Botol #REF! Rp 250,000.00
129 Isi Ulang Tabung Oksigen Kecil Botol #REF! Rp 100,000.00
#REF!
#REF!
131 Rivanol 100 ml Botol #REF! Rp 5,000.00
132 Abocath 20 Buah #REF! Rp 24,000.00
133 Lancet Box #REF! Rp 35,000.00
134 Handscoon uk L Box #REF! Rp 145,000.00
NILAI OBAT BPJS PUSKESMAS LALOLAE
OBAT PROGRAM
1 Vaksin rabies Vial 0 Rp 206,250.00
2 Vaksin BCG Vial 0 Rp 59,959.00
3 Vaksin IPV Vial 0 Rp 59,959.00
4 Vaksin DPT HB Hib Vial 0 Rp 76,285.00
5 Vaksin DT Vial 0 Rp 17,798.00
6 Vaksin polio 10 Vial 10 Rp 19,954.00
7 Vaksin campak/MR Vial 0 Rp 28,204.00
8 Vaksin Hb Uniject Vial 20 Rp 76,285.00
9 Vaksin Td Vial 5 Rp 16,500.00
10 Vaksin MMR Vial 0 Rp -
15 Vitamin A 200000 IU SOft Kapsul 70 Rp 622.00
16 Obat TB kategori I Paket 1 Rp 317,015.00
17 Obat TB anak Paket 0 Rp 189,195.00
18 Reagen TB Kit 0 Rp -
19 Obat Kusta Blister 0 Rp 38,395.00
20 Abate Botol 0 Rp -
24 Oksitosin Injeksi Ampul 0 Rp 4,999.50
25 Calsium Glukonat 30 mg/ml Ampul 0 Rp 7,800.00
26 Methilergometrin Maleat inj Ampul 0 Rp 3,421.00
27 Fenobarbital injeksi Ampul 0 Rp 1,980.00
28 Gentamicin 40 mg/ml Ampul 0 Rp 3,739.00
29 Fitomenadion inj Ampul 0 Rp 4,167.00
30 Albendazole 400 mg Tablet 0 Rp 363.00
31 Albendazole 400 mg Botol 178 Rp 1,041.98
32 DEC Tablet 6800 Rp 190.00
35 RDT Malaria Pcs 0 Rp -
36 Primaquine Blister 50 Rp 253.00
39 Oralit Sachet 500 Rp 617.00
40 Oralit sachet 1000 Rp 275.00
41 Obat TB kategori II Paket 1 Rp -
42 RDT HIV Pcs 0 Rp 6,479.00
43 RDT HIV PCS 0 Rp 11,975.00
44 RDT Hepatitis Pcs 0 Rp 8,183.00
45 Alat deteksi resiko ibu hamil Paket 0 Rp 409,816.00
NILAI OBAT PROGRAM PUSKESMAS LALOLAE
JUMLAH NILAI OBAT PUSKESMAS LALOLAE

NTAH KABUPATEN KOLAKA TIMUR
DINAS KESEHATAN
PTD PUSKESMAS LALOLAE
K PERSEDIAAN OBAT PER - 31 DESEMBER 2021
N 01 JANUARI 2020 PERSEDIAAN MASUK 2021
TOTAL JAN FEB MARET APRIL MEI JUNI JULI AGUS SEP
6 7 8 9 10 11 12 13 14 15
Rp 145,200.00
Rp 48,400.00
Rp -
Rp 140,400.00 500 500
Rp 51,000.00
Rp 17,160.00 12 12
Rp - 10
Rp -
Rp -
Rp - 300 300
Rp -
Rp -
Rp -
Rp - 300 300 300 300
Rp -
Rp - 300 300 300 300
Rp -
Rp -
Rp -
Rp -
Rp 134,500.00 1000 1000 1000 1000
Rp 748,000.00
Rp - 15
Rp -
Rp 28,500.00 1600 1000
Rp -
Rp -
Rp 114,000.00
Rp -
Rp 252,000.00 500 500
Rp -
Rp 27,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 12
Rp -
Rp -
Rp - 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 8,600.00
Rp 20,100.00
Rp 605,280.00
Rp - 300 300 300
5
Rp -
Rp -
Rp 7,000.00
Rp - 300
Rp - 300
Rp 54,000.00
Rp 71,280.00
Rp -
Rp - 1000
Rp 782,100.00
Rp -
Rp -
Rp -
Rp 155,800.00
Rp - 200
Rp - 30
Rp -
Rp - 300
Rp 42,000.00
Rp -
Rp 28,890.00
Rp -
Rp 87,000.00
Rp -
Rp 103,500.00
Rp -
Rp -
Rp -
Rp -
Rp 92,000.00
Rp - 300 300
Rp 199,615.00
Rp -
Rp -
Rp 837,000.00
Rp -
Rp 762,624.00
Rp 297,486.00
Rp -
Rp 205,524.00
Rp -
Rp -
Rp -
Rp 228,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 21,870.00
Rp -
Rp -
Rp -
Rp 56,000.00
Rp -
Rp 67,500.00
Rp -
Rp 645,000.00
Rp -
Rp 444,150.00
Rp 394,975.00
Rp 1,131,400.00
Rp -
Rp 343,350.00
Rp -
Rp - 5
Rp 13,750.00
Rp - 20
Rp -
Rp -
Rp -
Rp 64,000.00
Rp - 6
Rp 73,000.00
Rp - 6
Rp -
Rp -
Rp -
Rp 431,999.70
Rp 68,420.00
Rp 81,300.00
Rp -
Rp -
Rp - 200
Rp -
Rp 176,700.00
Rp 165,300.00
Rp -
Rp -
Rp 152,100.00
Rp -
Rp - 50
Rp -
Rp - 200 200
Rp 61,600.00
Rp 14,600.00
Rp -
Rp 397,420.00
Rp -
Rp -
Rp 475,000.00
Rp 810,000.00
Rp 158,400.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 600
Rp -
Rp -
Rp -
Rp -
Rp - 15
Rp -
Rp - 500 1000
Rp -
Rp 192,000.60
Rp 34,600.00
Rp -
Rp 116,000.00
Rp -
Rp -
Rp - 500 300
Rp -
Rp 206,999.10
Rp -
Rp 66,120.00
Rp 237,600.00
Rp 47,400.00
Rp -
Rp 51,400.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 35,100.00
Rp 105,750.00
Rp -
Rp - 500
Rp - 500
Rp - 500
Rp 396,000.00
Rp 170,500.00
Rp -
Rp 36,000.00
Rp -
Rp -
Rp 82,800.00
Rp -
Rp -
Rp 303,600.00
Rp -
Rp 1,200,600.00
Rp - 2000
Rp -
Rp 25,000.25
Rp 17,245.00 10
Rp - 200
Rp -
Rp -
Rp -
Rp - 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 87,480.00
Rp - 300
Rp -
Rp - 400
Rp - 300
Rp -
Rp 111,997.60
Rp -
Rp - 500
Rp -
Rp - 200
Rp -
Rp -
Rp - 300
Rp - 300
Rp 974,050.00
Rp -
Rp -
Rp -
Rp 360,000.00
Rp - 2
Rp - 300
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 438,000.00
Rp -
Rp 954,700.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 682,500.00
Rp 87,250.00
Rp 98,000.00
Rp 487,165.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 5,928.00
Rp 24,960.00
Rp -
Rp 33,880.00
Rp -
Rp -
Rp -
Rp - 3
Rp -
Rp -
Rp 441,375.00
Rp 1,232,550.00
Rp 68,475.00
Rp -
Rp 89,100.00
Rp 1,069,200.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 68,750.00
Rp 97,440.00
Rp 430,090.00
Rp 215,045.00
Rp 2,237,400.00
Rp - 1
Rp -
Rp -
Rp 26,413.20
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 134,572.05
Rp 134,584.55
Rp 134,584.55
Rp - 1
Rp -
Rp 70,440.00
Rp 368,000.00
Rp 127,500.00
Rp -
Rp 351,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 15
Rp - 15
15
15
Rp -
Rp -
Rp -
Rp 55,750.00
Rp -
Rp 83,625.00
Rp 240,000.00
Rp -
Rp -
Rp 57,500.00
Rp 420,000.00
Rp 207,000.00
Rp -
Rp 2,173,500.00
Rp -
Rp -
Rp -
Rp -
Rp 349,600.00
Rp -
Rp -
Rp 177,100.00
Rp -
Rp -
Rp -
Rp -
Rp 437,115.00
Rp 222,525.00
Rp -
Rp -
Rp 50,025.00
Rp -
Rp -
Rp 119,600.00
Rp 1,062,839.40
Rp 1,496,000.00
Rp 37,444.00
Rp 34,800.00
Rp -
Rp - 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,379,356.00
Rp 1,338,876.00
Rp 2,398,440.00
Rp -
Rp 1,359,600.00
Rp -
Rp -
#REF!
Rp -
Rp -
Rp 34,500.00
#REF!
Rp 73,919.30
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 57,750.00
Rp 57,750.00
#REF!
Rp 116,323.35
Rp 89,479.50
Rp -
Rp -
Rp -
Rp 49,929.20
Rp 16,549.50
Rp -
Rp -
Rp -
Rp 224,827.20
#REF!
Rp -
Rp -
#REF!
#REF!
#REF!
Rp -
Rp -
Rp -
#REF!
Rp -
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 199,540.00
Rp -
Rp 1,525,700.00
Rp 82,500.00
Rp -
Rp -
Rp 105,378.00
Rp 25,950.00
Rp 148,975.00
Rp 43,540.00
Rp 317,015.00
Rp -
Rp -
Rp -
Rp -
Rp 736,064.00
Rp 1,793,400.00
Rp 1,494,500.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 185,471.55
Rp 1,292,000.00
Rp 62,964.00
Rp 58,482.00
Rp -
Rp 12,650.00
Rp 165,600.00
Rp 126,200.00
Rp 308,500.00
Rp 275,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 8,959,429.55
#REF!
PERSEDIAAN KE
JUMLAH
OKT NOV DES TOTAL JANUARI FEBRUARI MARET APRIL MEI
LALOLAE
16 17 18 19 20 11 12 13 14 15
0 400
0 100
0 0
1000 2300
0 500
12 36 42
10 10
0 0
0 0
600 600
0 0
0 0
0 0
1200 1200
0 0
1200 1200
0 0
0 0
0 0
0 0
500 4500 5000
0 200
15 15
2000 2000 2000
2600 3100
50 50 50
0 0
0 30
0 0
500 1500 3500
0 0
0 300
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 18 18
0 0
0 0
100 100
0 0
0 0
0 0
0 0
500 500 500
0 0
0 0
0 0
0 100
0 10
0 195
600 1500 1500
0 0
10 10 10
0 200
300 300
300 300
0 600
0 8
0 0
1000 1000
0 1100
0 0
0 0
0 0
0 1900
30 30
0 0
300 300
0 1
0 0
0 9
0 0
0 500
0 0
0 500
0 0
0 0
0 0
0 0
0 400
500 1100 1100
0 37
0 0
0 0
0 4500
0 0
0 288
0 54
0 0
0 36
0 0
0 0
0 0
0 3800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 6
0 0
0 0
0 0
0 1400
0 0
0 500
0 0
0 5000
0 0
0 210
0 175
0 100
0 0
0 45
0 0
5 5
0 10
40 60 60
30 30 30
0 0
0 0
0 20
6 6
0 20
6 6
0 0
0 0
0 0
0 300
0 20
0 300
0 0
0 0
200 200
0 0
0 1900
0 1900
0 0
0 0
0 900
0 0
50 50
0 0
400 400
0 400
0 100
0 0
0 62
0 0
0 0
0 500
0 1200
0 300
0 0
0 0
0 0
0 0
0 0
0 0
0 0
600 600
0 0
0 0
0 0
0 0
15 15
0 0
1500 1500
0 0
0 200
0 100
0 0
0 10
0 0
0 0
800 800
0 0
0 900
0 0
0 19
0 11
0 600
0 0
0 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 300
0 450
0 0
500 500
500 500
500 500
0 1500
0 500
0 0
0 300
0 0
0 0
0 600
0 0
0 0
0 3300
0 0
0 8700
2000 2000
0 0
0 500
10 15
200 200
0 0
0 0
0 0
18 18
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 24
300 300
0 0
400 400
300 300
0 0
0 8
0 0
500 500
0 0
200 200
0 0
0 0
300 300
300 300
0 14
0 0
0 0
0 0
0 300
2 2
300 300
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 2
0 0
0 2
0 0
0 0
0 0
0 0
0 0
0 2
0 1
0 5
0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 5
0 20
0 0
0 20
0 0
0 0
0 0
3 3
0 0
0 0
0 3
0 9
0 1
0 0
0 1
0 6
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 5
0 8
0 2
0 1
0 18
1 1
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 0
0 0
0 25
0 25
0 25
1 1
0 0
0 4
0 4
0 20
0 0
0 40
0 0
0 0
0 0
0 0
0 0
15 15
15 15
15 15
15 15
0 0
0 0
0 0
0 2
0 0
0 3
0 2
0 0
0 0
0 4
0 12
0 24
0 0
0 18
0 0
0 0
0 0
0 0
0 190
0 0
0 0
0 20
0 0
0 0
0 0
0 0
0 181
0 129
0 0
0 0
0 58
0 0
0 0
0 13
0 98
0 16
0 5
0 10
0 0
5 5
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 29
0 49
0 30
0 0
0 3
0 0
0 0
0 #REF!
0 0
0 0
0 0
0 10
0 #REF!
0 0
0 7
0 0
0 0
0 0
0 0
0 0
0 1
0 1
0 #REF!
0 0
0 13
0 10
0 0
0 0
0 0
0 40
0 10
0 0
0 0
0 0
0 2
0 #REF!
0 0
0 0
0 0
0 #REF!
0 0
0 #REF!
0 0
0 #REF!
0 0
0 0
0 0
0 0
0 #REF!
0 0
0 0
0 0
0 0
0 0
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0 0
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0 10
0 0
0 20
0 5
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0 273
0 75
0 295
0 70
0 1
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0 0
0 0
0 0
0 6572
0 4200
0 3500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 178
0 6800
0 18
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0 1
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0 0
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PERSEDIAAN KELUAR 2020
SISA STOK
JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOVEMBER DESEMBER TOTAL
16 17 18 19 20 21 22 23 24 (9-23)
DINAS KESEHATAN
REKAPITULASI STOK PERSEDIAAN ATK PER 30 DESEMBER 2020
Persediaan 1 Januari 2020 Persediaan Masuk 2020 Persediaan Keluar 2020 Persediaan Per 30 Desember 2020
No. Uraian Persediaan Satuan Ket.
Jumlah Harga Satuan Total Harga Jumlah Harga Satuan Total Harga Jumlah Harga Satuan Total Harga Jumlah Harga Satuan Total Harga
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
DINAS KESEHATAN
1 Kertas F4 rim 0 Rp 65,000 Rp - 80 Rp 65,000 Rp 5,200,000 80 Rp 65,000 Rp 5,200,000 0 Rp 65,000 Rp -
2 Kertas A4 rim 0 Rp 65,000 Rp - 10 Rp 65,000 Rp 650,000 10 Rp 65,000 Rp 650,000 0 Rp 65,000 Rp -
3 Kertas NCR rim 0 Rp 70,000 Rp - 64 Rp 70,000 Rp 4,480,000 64 Rp 70,000 Rp 4,480,000 0 Rp 70,000 Rp -
4 Catridge Hitam Canon buah 0 Rp 250,000 Rp - 7 Rp 250,000 Rp 1,750,000 7 Rp 250,000 Rp 1,750,000 0 Rp 250,000 Rp -
5 Catridge Warna canon buah 0 Rp 300,000 Rp - 6 Rp 300,000 Rp 1,800,000 6 Rp 300,000 Rp 1,800,000 0 Rp 300,000 Rp -
6 Map Ordner buah 0 Rp 40,000 Rp - 50 Rp 40,000 Rp 2,000,000 50 Rp 40,000 Rp 2,000,000 0 Rp 40,000 Rp -
7 Map Snel Hekter lembar 0 Rp 7,000 Rp - 352 Rp 7,000 Rp 2,464,000 343 Rp 7,000 Rp 2,401,000 9 Rp 7,000 Rp 63,000
8 Tinta Print Black Canon botol 0 Rp 40,000 Rp - 60 Rp 40,000 Rp 2,400,000 59 Rp 40,000 Rp 2,360,000 1 Rp 40,000 Rp 40,000
9 Tinta Print Colour Canon botol 0 Rp 40,000 Rp - 83 Rp 40,000 Rp 3,320,000 77 Rp 40,000 Rp 3,080,000 6 Rp 40,000 Rp 240,000
10 Isi Heckter Besar No. 50 dus 0 Rp 8,000 Rp - 12 Rp 8,000 Rp 96,000 12 Rp 8,000 Rp 96,000 0 Rp 8,000 Rp -
11 Isi Heckter Kecil No. 10 dus 0 Rp 3,000 Rp - 39 Rp 3,000 Rp 117,000 39 Rp 3,000 Rp 117,000 0 Rp 3,000 Rp -
12 Amplop Paperline dus 0 Rp 25,000 Rp - 20 Rp 25,000 Rp 500,000 20 Rp 25,000 Rp 500,000 0 Rp 25,000 Rp -
13 Spidol snowman buah 0 Rp 10,000 Rp - 28 Rp 10,000 Rp 280,000 28 Rp 10,000 Rp 280,000 0 Rp 10,000 Rp -
14 Gunting Besar Buah 0 Rp 15,000 Rp - 14 Rp 15,000 Rp 210,000 14 Rp 15,000 Rp 210,000 0 Rp 15,000 Rp -
15 Pulpen Snowman dus 0 Rp 25,000 Rp - 22 Rp 25,000 Rp 550,000 21 Rp 25,000 Rp 525,000 1 Rp 25,000 Rp 25,000
16 Lem Kertas Buah 0 Rp 5,000 Rp - 24 Rp 5,000 Rp 120,000 24 Rp 5,000 Rp 120,000 0 Rp 5,000 Rp -
17 Lakban Hitam Besar Buah 0 Rp 25,000 Rp - 4 Rp 25,000 Rp 100,000 4 Rp 25,000 Rp 100,000 0 Rp 25,000 Rp -
18 Mistar Besi 30 cm buah 0 Rp 15,000 Rp - 2 Rp 15,000 Rp 30,000 2 Rp 15,000 Rp 30,000 0 Rp 15,000 Rp -
19 Stabilo Buah 0 Rp 13,000 Rp - 50 Rp 13,000 Rp 650,000 49 Rp 13,000 Rp 637,000 1 Rp 13,000 Rp 13,000
20 Tinta Print Black Epson Botol 0 Rp 110,000 Rp - 10 Rp 110,000 Rp 1,100,000 10 Rp 110,000 Rp 1,100,000 0 Rp 110,000 Rp -
21 Tinta Print Colour Epson Botol 0 Rp 110,000 Rp - 12 Rp 110,000 Rp 1,320,000 12 Rp 110,000 Rp 1,320,000 0 Rp 110,000 Rp -
22 Paper Clip dus 0 Rp 5,000 Rp - 30 Rp 5,000 Rp 150,000 30 Rp 5,000 Rp 150,000 0 Rp 5,000 Rp -
23 Pensil buah 0 Rp 5,000 Rp - 17 Rp 5,000 Rp 85,000 17 Rp 5,000 Rp 85,000 0 Rp 5,000 Rp -
24 Penghapus Pensil buah 0 Rp 600 Rp - 10 Rp 600 Rp 6,000 10 Rp 600 Rp 6,000 0 Rp 600 Rp -
25 Hekter Tembak Besar buah 0 Rp 400,000 Rp - 3 Rp 400,000 Rp 1,200,000 3 Rp 400,000 Rp 1,200,000 0 Rp 400,000 Rp -
26 Hekter Tembak Kecil buah 0 Rp 300,000 Rp - 5 Rp 300,000 Rp 1,500,000 5 Rp 300,000 Rp 1,500,000 0 Rp 300,000 Rp -
27 Stik Note buah 0 Rp 10,000 Rp - 20 Rp 10,000 Rp 200,000 20 Rp 10,000 Rp 200,000 0 Rp 10,000 Rp -
28 Lakban Bening buah 0 Rp 25,000 Rp - 4 Rp 25,000 Rp 100,000 4 Rp 25,000 Rp 100,000 0 Rp 25,000 Rp -
29 Map Batik lembar 0 Rp 12,500 Rp - 20 Rp 12,500 Rp 250,000 20 Rp 12,500 Rp 250,000 0 Rp 12,500 Rp -
30 Double Tip buah 0 Rp 25,000 Rp - 4 Rp 25,000 Rp 100,000 3 Rp 25,000 Rp 75,000 1 Rp 25,000 Rp 25,000
31 Tinta Print Black Epson Botol 0 Rp 120,000 Rp - 2 Rp 120,000 Rp 240,000 2 Rp 120,000 Rp 240,000 0 Rp 120,000 Rp -
32 Tinta Print Colour Epson Botol 0 Rp 120,000 Rp - 3 Rp 120,000 Rp 360,000 3 Rp 120,000 Rp 360,000 0 Rp 120,000 Rp -
33 Pulpen Snowman dus 0 Rp 28,000 Rp - 3 Rp 28,000 Rp 84,000 3 Rp 28,000 Rp 84,000 0 Rp 28,000 Rp -
34 Penjepit Kertas dus 0 Rp 10,000 Rp - 20 Rp 10,000 Rp 200,000 20 Rp 10,000 Rp 200,000 0 Rp 10,000 Rp -
35 Pulpen Baliner dus 0 Rp 240,000 Rp - 8 Rp 240,000 Rp 1,920,000 8 Rp 240,000 Rp 1,920,000 0 Rp 240,000 Rp -
36 Tipe-x buah 0 Rp 5,000 Rp - 4 Rp 5,000 Rp 20,000 3 Rp 5,000 Rp 15,000 1 Rp 5,000 Rp 5,000
37 Map Ordner buah 0 Rp 45,000 Rp - 12 Rp 45,000 Rp 540,000 12 Rp 45,000 Rp 540,000 0 Rp 45,000 Rp -
38 Map Batik Lembar 0 Rp 5,000 Rp - 24 Rp 5,000 Rp 120,000 24 Rp 5,000 Rp 120,000 0 Rp 5,000 Rp -
39 Map Snel Hekter lembar 0 Rp 5,000 Rp - 72 Rp 5,000 Rp 360,000 72 Rp 5,000 Rp 360,000 0 Rp 5,000 Rp -
40 Isi Heckter Besar dus 0 Rp 10,000 Rp - 5 Rp 10,000 Rp 50,000 4 Rp 10,000 Rp 40,000 1 Rp 10,000 Rp 10,000
41 Map tulang buah 0 Rp 10,000 Rp - 22 Rp 10,000 Rp 220,000 22 Rp 10,000 Rp 220,000 0 Rp 10,000 Rp -
42 Mistar Besi 60 cm buah 0 Rp 25,000 Rp - 2 Rp 25,000 Rp 50,000 2 Rp 25,000 Rp 50,000 0 Rp 25,000 Rp -
43 Stik Note Premium buah 0 Rp 18,000 Rp - 12 Rp 18,000 Rp 216,000 12 Rp 18,000 Rp 216,000 0 Rp 18,000 Rp -
44 Kertas F4 rim 0 Rp 60,000 Rp - 95 Rp 60,000 Rp 5,700,000 85 Rp 60,000 Rp 5,100,000 10 Rp 60,000 Rp 600,000
45 Penghapus Pensil buah 0 Rp 1,000 Rp - 10 Rp 1,000 Rp 10,000 10 Rp 1,000 Rp 10,000 0 Rp 1,000 Rp -
46 Hekter (Stapler) Besar buah 0 Rp 60,000 Rp - 3 Rp 60,000 Rp 180,000 3 Rp 60,000 Rp 180,000 0 Rp 60,000 Rp -
47 Hekter (Stapler) Kecil buah 0 Rp 27,000 Rp - 5 Rp 27,000 Rp 135,000 5 Rp 27,000 Rp 135,000 0 Rp 27,000 Rp -
48 Catridge Warna canon buah 0 Rp 250,000 Rp - 2 Rp 250,000 Rp 500,000 2 Rp 250,000 Rp 500,000 0 Rp 250,000 Rp -
49 Map Batik buah 0 Rp 10,000 Rp - 20 Rp 10,000 Rp 200,000 20 Rp 10,000 Rp 200,000 0 Rp 10,000 Rp -
50 Pulpen Baliner Biru buah 0 Rp 15,000 Rp - 12 Rp 15,000 Rp 180,000 12 Rp 15,000 Rp 180,000 0 Rp 15,000 Rp -
51 Pulpen Baliner Hitam buah 0 Rp 15,000 Rp - 12 Rp 15,000 Rp 180,000 12 Rp 15,000 Rp 180,000 0 Rp 15,000 Rp -
52 Buku Album 100 lembar buah 0 Rp 20,000 Rp - 6 Rp 20,000 Rp 120,000 5 Rp 20,000 Rp 100,000 1 Rp 20,000 Rp 20,000
53 Pelubang Kertas Kecil buah 0 Rp 30,000 Rp - 5 Rp 30,000 Rp 150,000 5 Rp 30,000 Rp 150,000 0 Rp 30,000 Rp -
54 Pelubang Kertas Besar buah 0 Rp 60,000 Rp - 5 Rp 60,000 Rp 300,000 5 Rp 60,000 Rp 300,000 0 Rp 60,000 Rp -
55 Map Dokumen buah 0 Rp 55,000 Rp - 5 Rp 55,000 Rp 275,000 5 Rp 55,000 Rp 275,000 0 Rp 55,000 Rp -
56 Buku Album 200 lembar buah 0 Rp 30,000 Rp - 5 Rp 30,000 Rp 150,000 4 Rp 30,000 Rp 120,000 1 Rp 30,000 Rp 30,000
57 Box File buah 0 Rp 25,000 Rp - 24 Rp 25,000 Rp 600,000 24 Rp 25,000 Rp 600,000 0 Rp 25,000 Rp -
58 Mistar Plastik 30 cm buah 0 Rp 7,000 Rp - 5 Rp 7,000 Rp 35,000 5 Rp 7,000 Rp 35,000 0 Rp 7,000 Rp -
59 Mistar Plastik 60 cm buah 0 Rp 10,000 Rp - 5 Rp 10,000 Rp 50,000 5 Rp 10,000 Rp 50,000 0 Rp 10,000 Rp -
60 Stik Note buah 0 Rp 12,000 Rp - 15 Rp 12,000 Rp 180,000 15 Rp 12,000 Rp 180,000 0 Rp 12,000 Rp -
61 Map Snel Hekter Lusin 0 Rp 55,000 Rp - 34 Rp 55,000 Rp 1,870,000 34 Rp 55,000 Rp 1,870,000 0 Rp 55,000 Rp -
62 Lem Kertas buah 0 Rp 15,000 Rp - 20 Rp 15,000 Rp 300,000 18 Rp 15,000 Rp 270,000 2 Rp 15,000 Rp 30,000
63 Pelubang Kertas Besar buah 0 Rp 45,000 Rp - 7 Rp 45,000 Rp 315,000 6 Rp 45,000 Rp 270,000 1 Rp 45,000 Rp 45,000
65 Binder Clip dus 0 Rp 5,000 Rp - 20 Rp 5,000 Rp 100,000 17 Rp 5,000 Rp 85,000 3 Rp 5,000 Rp 15,000
66 Penjepit Kertas Besar buah 0 Rp 3,300 Rp - 29 Rp 3,300 Rp 95,700 28 Rp 3,300 Rp 92,400 1 Rp 3,300 Rp 3,300
67 Pulpen Baliner dus 0 Rp 210,000 Rp - 5 Rp 210,000 Rp 1,050,000 4 Rp 210,000 Rp 840,000 1 Rp 210,000 Rp 210,000
68 Isi Heckter Kecil No. 10 dus 0 Rp 5,000 Rp - 5 Rp 5,000 Rp 25,000 5 Rp 5,000 Rp 25,000 0 Rp 5,000 Rp -
70 Tipe-x buah 0 Rp 7,200 Rp - 4 Rp 7,200 Rp 28,800 2 Rp 7,200 Rp 14,400 2 Rp 7,200 Rp 14,400
71 Gunting Besar buah 0 Rp 14,500 Rp - 3 Rp 14,500 Rp 43,500 2 Rp 14,500 Rp 29,000 1 Rp 14,500 Rp 14,500
Rp -
JUMLAH PERSEDIAAN ATK DINAS KESEHATAN Rp - Rp 50,000,000 Rp 48,596,800 Rp 1,403,200
PUSKESMAS TIRAWUTA
ATK BOK
1 Kertas F4 Rim 0 Rp 65,000 Rp - 179 Rp 65,000 Rp 11,635,000 179 Rp 65,000 Rp 11,635,000 0 Rp 65,000 Rp -
2 Map Bundel Besar BH 0 Rp 35,000 Rp - 34 Rp 35,000 Rp 1,190,000 34 Rp 35,000 Rp 1,190,000 0 Rp 35,000 Rp -
3 Map Plastik BH 0 Rp 10,000 Rp - 44 Rp 10,000 Rp 440,000 44 Rp 10,000 Rp 440,000 0 Rp 10,000 Rp -
4 Materai 6000 Lbr 0 Rp 8,000 Rp - 54 Rp 8,000 Rp 432,000 54 Rp 8,000 Rp 432,000 0 Rp 8,000 Rp -
5 Materai 3000 Lbr 0 Rp 5,000 Rp - 28 Rp 5,000 Rp 140,000 28 Rp 5,000 Rp 140,000 0 Rp 5,000 Rp -
6 Tinta Print Botol Hitam Btl 0 Rp 60,000 Rp - 27 Rp 60,000 Rp 1,620,000 27 Rp 60,000 Rp 1,620,000 0 Rp 60,000 Rp -
7 Tinta Print Botol Warna Btl 0 Rp 60,000 Rp - 32 Rp 60,000 Rp 1,920,000 32 Rp 60,000 Rp 1,920,000 0 Rp 60,000 Rp -
8 Batu Hecter Besar Dos 0 Rp 8,000 Rp - 10 Rp 8,000 Rp 80,000 10 Rp 8,000 Rp 80,000 0 Rp 8,000 Rp -
9 Batu Hecter Kecil Dos 0 Rp 4,000 Rp - 22 Rp 4,000 Rp 88,000 22 Rp 4,000 Rp 88,000 0 Rp 4,000 Rp -
10 Pulpen BH 0 Rp 5,000 Rp - 85 Rp 5,000 Rp 425,000 85 Rp 5,000 Rp 425,000 0 Rp 5,000 Rp -
11 Amplop Besar Dos 0 Rp 30,000 Rp - 23 Rp 30,000 Rp 690,000 23 Rp 30,000 Rp 690,000 0 Rp 30,000 Rp -
12 Amplop Kecil Dos 0 Rp 20,000 Rp - 8 Rp 20,000 Rp 160,000 8 Rp 20,000 Rp 160,000 0 Rp 20,000 Rp -
13 Penjepit Kertas Dos 0 Rp 20,000 Rp - 19 Rp 20,000 Rp 380,000 19 Rp 20,000 Rp 380,000 0 Rp 20,000 Rp -
NILAI ATK BOK PUSKESMAS TIRAWUTA Rp - Rp 19,200,000 Rp 19,200,000 Rp -
ATK BPJS
1 Kertas HVS 70 gr Rim 0 Rp 60,000 Rp - 25 Rp 60,000 Rp 1,500,000 25 Rp 60,000 Rp 1,500,000 0 Rp 60,000 Rp -
2 Kertas HVS 70 gr Rim 0 Rp 65,000 Rp - 92 Rp 65,000 Rp 5,980,000 92 Rp 65,000 Rp 5,980,000 0 Rp 65,000 Rp -
3 Tinta Printer Btl 0 Rp 60,000 Rp - 4 Rp 60,000 Rp 240,000 4 Rp 60,000 Rp 240,000 0 Rp 60,000 Rp -
4 Tinta Printer Btl 0 Rp 65,000 Rp - 37 Rp 65,000 Rp 2,405,000 37 Rp 65,000 Rp 2,405,000 0 Rp 65,000 Rp -
5 Buku Polio Paperline Isi 200 Bh 0 Rp 49,500 Rp - 29 Rp 49,500 Rp 1,435,500 29 Rp 49,500 Rp 1,435,500 0 Rp 49,500 Rp -
6 Buku Polio Paperline Isi 100 Bh 0 Rp 35,000 Rp - 12 Rp 35,000 Rp 420,000 12 Rp 35,000 Rp 420,000 0 Rp 35,000 Rp -
7 Pulpen Snowman Lusin 0 Rp 35,000 Rp - 30 Rp 35,000 Rp 1,050,000 30 Rp 35,000 Rp 1,050,000 0 Rp 35,000 Rp -
8 Amplop Box 0 Rp 27,500 Rp - 13 Rp 27,500 Rp 357,500 13 Rp 27,500 Rp 357,500 0 Rp 27,500 Rp -
9 Map Skripsi Bh 0 Rp 5,000 Rp - 20 Rp 5,000 Rp 100,000 20 Rp 5,000 Rp 100,000 0 Rp 5,000 Rp -
10 Map Snalhekter Plastik Bh 0 Rp 5,000 Rp - 90 Rp 5,000 Rp 450,000 90 Rp 5,000 Rp 450,000 0 Rp 5,000 Rp -
11 Kertas Jilid Warna Pak 0 Rp 40,000 Rp - 2 Rp 40,000 Rp 80,000 2 Rp 40,000 Rp 80,000 0 Rp 40,000 Rp -
14 Buku Tulis 58 Lembar Bh 0 Rp 10,000 Rp - 5 Rp 10,000 Rp 50,000 5 Rp 10,000 Rp 50,000 0 Rp 10,000 Rp -
15 Pelubang Kertas Bh 0 Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
16 Plastik Jilid Bening Pak 0 Rp 45,000 Rp - 2 Rp 45,000 Rp 90,000 2 Rp 45,000 Rp 90,000 0 Rp 45,000 Rp -
17 Lakban Bening Bh 0 Rp 20,000 Rp - 3 Rp 20,000 Rp 60,000 3 Rp 20,000 Rp 60,000 0 Rp 20,000 Rp -
18 Binder Clips Box 0 Rp 40,000 Rp - 13 Rp 40,000 Rp 520,000 13 Rp 40,000 Rp 520,000 0 Rp 40,000 Rp -
19 Pan Tinta Tiso Bh 0 Rp 20,000 Rp - 3 Rp 20,000 Rp 60,000 3 Rp 20,000 Rp 60,000 0 Rp 20,000 Rp -
20 Pulpen Tanda Tangan Bh 0 Rp 17,500 Rp - 1 Rp 17,500 Rp 17,500 1 Rp 17,500 Rp 17,500 0 Rp 17,500 Rp -
21 Type X Bh 0 Rp 10,000 Rp - 5 Rp 10,000 Rp 50,000 5 Rp 10,000 Rp 50,000 0 Rp 10,000 Rp -
22 Hero Stamp Pad Bh 0 Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
23 Map File Bh 0 Rp 45,000 Rp - 1 Rp 45,000 Rp 45,000 1 Rp 45,000 Rp 45,000 0 Rp 45,000 Rp -
24 Map L Pak 0 Rp 50,000 Rp - 1 Rp 50,000 Rp 50,000 1 Rp 50,000 Rp 50,000 0 Rp 50,000 Rp -
25 Map Plastik L Bh 0 Rp 5,000 Rp - 14 Rp 5,000 Rp 70,000 14 Rp 5,000 Rp 70,000 0 Rp 5,000 Rp -
26 Map Kertas Pak 0 Rp 55,000 Rp - 2 Rp 55,000 Rp 110,000 2 Rp 55,000 Rp 110,000 0 Rp 55,000 Rp -
27 Spidol Permanent Bh 0 Rp 10,000 Rp - 15 Rp 10,000 Rp 150,000 15 Rp 10,000 Rp 150,000 0 Rp 10,000 Rp -
28 Staples Box 0 Rp 70,000 Rp - 1 Rp 70,000 Rp 70,000 1 Rp 70,000 Rp 70,000 0 Rp 70,000 Rp -
29 Dataflex Ordner Bh 0 Rp 50,000 Rp - 15 Rp 50,000 Rp 750,000 15 Rp 50,000 Rp 750,000 0 Rp 50,000 Rp -
30 Map Skripsi Bh 0 Rp 5,000 Rp - 20 Rp 5,000 Rp 100,000 20 Rp 5,000 Rp 100,000 0 Rp 5,000 Rp -
31 Box File Bh 0 Rp 25,000 Rp - 40 Rp 25,000 Rp 1,000,000 40 Rp 25,000 Rp 1,000,000 0 Rp 25,000 Rp -
32 Stick Notes Deli Sign Bh 0 Rp 17,000 Rp - 2 Rp 17,000 Rp 34,000 2 Rp 17,000 Rp 34,000 0 Rp 17,000 Rp -
33 Materai 6000 Bh 0 Rp 8,000 Rp - 50 Rp 8,000 Rp 400,000 50 Rp 8,000 Rp 400,000 0 Rp 8,000 Rp -
NILAI ATK BPJS PUSKESMAS TIRAWUTA Rp - Rp 17,997,000 Rp 17,997,000 Rp -
JUMLAH PERSEDIAAN ATK PUSKESMAS TIRAWUTA Rp - Rp 37,197,000 Rp 37,197,000 Rp -
PUSKESMAS LOEA
ATK BOK
1 Amplop Dos 0 Rp 25,000 Rp - 36 Rp 25,000 Rp 900,000 36 Rp 25,000 Rp 900,000 0 Rp 25,000 Rp -
2 Amplop Dos 0 Rp 20,000 Rp - 12 Rp 20,000 Rp 240,000 12 Rp 20,000 Rp 240,000 0 Rp 20,000 Rp -
3 Amplop Kecil Dos 0 Rp 15,000 Rp - 1 Rp 15,000 Rp 15,000 1 Rp 15,000 Rp 15,000 0 Rp 15,000 Rp -
4 Buku Album Buah 0 Rp 30,000 Rp - 5 Rp 30,000 Rp 150,000 5 Rp 30,000 Rp 150,000 0 Rp 30,000 Rp -
5 Buku Album Buah 0 Rp 25,000 Rp - 4 Rp 25,000 Rp 100,000 4 Rp 25,000 Rp 100,000 0 Rp 25,000 Rp -
6 Bundel Arsip Buah 0 Rp 30,000 Rp - 38 Rp 30,000 Rp 1,140,000 38 Rp 30,000 Rp 1,140,000 0 Rp 30,000 Rp -
7 Catridge Hitam Buah 0 Rp 250,000 Rp - 1 Rp 250,000 Rp 250,000 1 Rp 250,000 Rp 250,000 0 Rp 250,000 Rp -
8 Catridge Warna Buah 0 Rp 300,000 Rp - 1 Rp 300,000 Rp 300,000 1 Rp 300,000 Rp 300,000 0 Rp 300,000 Rp -
9 Goodie Bag Pack 0 Rp 60,000 Rp - 8 Rp 60,000 Rp 480,000 8 Rp 60,000 Rp 480,000 0 Rp 60,000 Rp -
12 Gunting Kecil Buah 0 Rp 15,000 Rp - 14 Rp 15,000 Rp 210,000 14 Rp 15,000 Rp 210,000 0 Rp 15,000 Rp -
13 Gunting Kecil Buah 0 Rp 10,000 Rp - 2 Rp 10,000 Rp 20,000 2 Rp 10,000 Rp 20,000 0 Rp 10,000 Rp -
14 Hecter Besar Buah 0 Rp 45,000 Rp - 4 Rp 45,000 Rp 180,000 4 Rp 45,000 Rp 180,000 0 Rp 45,000 Rp -
15 Hecter Besar Buah 0 Rp 25,000 Rp - 5 Rp 25,000 Rp 125,000 5 Rp 25,000 Rp 125,000 0 Rp 25,000 Rp -
16 Hecter Kecil Buah 0 Rp 20,000 Rp - 2 Rp 20,000 Rp 40,000 2 Rp 20,000 Rp 40,000 0 Rp 20,000 Rp -
17 Hecter Kecil Buah 0 Rp 15,000 Rp - 7 Rp 15,000 Rp 105,000 7 Rp 15,000 Rp 105,000 0 Rp 15,000 Rp -
18 Id Card Buah 0 Rp 30,000 Rp - 3 Rp 30,000 Rp 90,000 3 Rp 30,000 Rp 90,000 0 Rp 30,000 Rp -
19 Id Card Buah 0 Rp 20,000 Rp - 27 Rp 20,000 Rp 540,000 27 Rp 20,000 Rp 540,000 0 Rp 20,000 Rp -
20 Id Card Buah 0 Rp 15,000 Rp - 97 Rp 15,000 Rp 1,455,000 97 Rp 15,000 Rp 1,455,000 0 Rp 15,000 Rp -
21 Lem Besar Buah 0 Rp 10,000 Rp - 1 Rp 10,000 Rp 10,000 1 Rp 10,000 Rp 10,000 0 Rp 10,000 Rp -
22 Lem Kecil Buah 0 Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
23 Lakban Hitam Buah 0 Rp 25,000 Rp - 7 Rp 25,000 Rp 175,000 7 Rp 25,000 Rp 175,000 0 Rp 25,000 Rp -
24 Lakban Hitam Buah 0 Rp 20,000 Rp - 21 Rp 20,000 Rp 420,000 21 Rp 20,000 Rp 420,000 0 Rp 20,000 Rp -
25 Lakban Bening Buah 0 Rp 15,000 Rp - 6 Rp 15,000 Rp 90,000 6 Rp 15,000 Rp 90,000 0 Rp 15,000 Rp -
26 Lakban Bening Buah 0 Rp 10,000 Rp - 2 Rp 10,000 Rp 20,000 2 Rp 10,000 Rp 20,000 0 Rp 10,000 Rp -
27 Kertas HVS RIM 0 Rp 70,000 Rp - 104 Rp 70,000 Rp 7,280,000 104 Rp 70,000 Rp 7,280,000 0 Rp 70,000 Rp -
28 Kertas Cartoon Buah 0 Rp 10,000 Rp - 6 Rp 10,000 Rp 60,000 6 Rp 10,000 Rp 60,000 0 Rp 10,000 Rp -
29 Map Plastik Kancing Pack 0 Rp 50,000 Rp - 6 Rp 50,000 Rp 300,000 6 Rp 50,000 Rp 300,000 0 Rp 50,000 Rp -
30 Map Plastik/ Snelhekter Buah 0 Rp 10,000 Rp - 62 Rp 10,000 Rp 620,000 62 Rp 10,000 Rp 620,000 0 Rp 10,000 Rp -
31 Map Kertas/Batik Buah 0 Rp 10,000 Rp - 80 Rp 10,000 Rp 800,000 80 Rp 10,000 Rp 800,000 0 Rp 10,000 Rp -
32 Mistar Besi Buah 0 Rp 15,000 Rp - 5 Rp 15,000 Rp 75,000 5 Rp 15,000 Rp 75,000 0 Rp 15,000 Rp -
33 Mistar Kecil Pack 0 Rp 15,000 Rp - 6 Rp 15,000 Rp 90,000 6 Rp 15,000 Rp 90,000 0 Rp 15,000 Rp -
34 Note Book Pack 0 Rp 35,000 Rp - 3 Rp 35,000 Rp 105,000 3 Rp 35,000 Rp 105,000 0 Rp 35,000 Rp -
35 Note Book Pack 0 Rp 15,000 Rp - 8 Rp 15,000 Rp 120,000 8 Rp 15,000 Rp 120,000 0 Rp 15,000 Rp -
36 Note Book Buah 0 Rp 5,000 Rp - 76 Rp 5,000 Rp 380,000 76 Rp 5,000 Rp 380,000 0 Rp 5,000 Rp -
37 Paper Bag Buah 0 Rp 25,000 Rp - 6 Rp 25,000 Rp 150,000 6 Rp 25,000 Rp 150,000 0 Rp 25,000 Rp -
38 Paper Bag Buah 0 Rp 20,000 Rp - 18 Rp 20,000 Rp 360,000 18 Rp 20,000 Rp 360,000 0 Rp 20,000 Rp -
39 Pelubang Kertas Besar Buah 0 Rp 45,000 Rp - 1 Rp 45,000 Rp 45,000 1 Rp 45,000 Rp 45,000 0 Rp 45,000 Rp -
40 Pelubang Kertas Kecil Buah 0 Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
41 Penjepit Kertas Besar Buah 0 Rp 45,500 Rp - 1 Rp 45,500 Rp 45,500 1 Rp 45,500 Rp 45,500 0 Rp 45,500 Rp -
42 Penjepit Kertas Besar Dos 0 Rp 45,000 Rp - 19 Rp 45,000 Rp 855,000 19 Rp 45,000 Rp 855,000 0 Rp 45,000 Rp -
43 Penjepit Kertas Besar Dos 0 Rp 40,000 Rp - 1 Rp 40,000 Rp 40,000 1 Rp 40,000 Rp 40,000 0 Rp 40,000 Rp -
44 Penjepit Kertas Kecil Dos 0 Rp 25,000 Rp - 16 Rp 25,000 Rp 400,000 16 Rp 25,000 Rp 400,000 0 Rp 25,000 Rp -
45 Pisau Cutter Buah 0 Rp 10,000 Rp - 1 Rp 10,000 Rp 10,000 1 Rp 10,000 Rp 10,000 0 Rp 10,000 Rp -
46 Polpen Snowman Dos 0 Rp 30,000 Rp - 10 Rp 30,000 Rp 300,000 10 Rp 30,000 Rp 300,000 0 Rp 30,000 Rp -
47 Polpen Snowman Dos 0 Rp 25,000 Rp - 17 Rp 25,000 Rp 425,000 17 Rp 25,000 Rp 425,000 0 Rp 25,000 Rp -
48 Polpen Dos 0 Rp 20,000 Rp - 9 Rp 20,000 Rp 180,000 9 Rp 20,000 Rp 180,000 0 Rp 20,000 Rp -
49 Polpen Buah 0 Rp 13,000 Rp - 1 Rp 13,000 Rp 13,000 1 Rp 13,000 Rp 13,000 0 Rp 13,000 Rp -
50 Polpen Biasa Buah 0 Rp 5,000 Rp - 24 Rp 5,000 Rp 120,000 24 Rp 5,000 Rp 120,000 0 Rp 5,000 Rp -
51 Spidol Besar Buah 0 Rp 15,000 Rp - 8 Rp 15,000 Rp 120,000 8 Rp 15,000 Rp 120,000 0 Rp 15,000 Rp -
52 Spidol Besar Buah 0 Rp 10,000 Rp - 11 Rp 10,000 Rp 110,000 11 Rp 10,000 Rp 110,000 0 Rp 10,000 Rp -
53 Spidol White Board Buah 0 Rp 12,500 Rp - 6 Rp 12,500 Rp 75,000 6 Rp 12,500 Rp 75,000 0 Rp 12,500 Rp -
54 Spidol Kecil Pack 0 Rp 10,000 Rp - 3 Rp 10,000 Rp 30,000 3 Rp 10,000 Rp 30,000 0 Rp 10,000 Rp -
55 Stabillo Buah 0 Rp 15,000 Rp - 1 Rp 15,000 Rp 15,000 1 Rp 15,000 Rp 15,000 0 Rp 15,000 Rp -
56 Staples Besar Dos 0 Rp 40,000 Rp - 1 Rp 40,000 Rp 40,000 1 Rp 40,000 Rp 40,000 0 Rp 40,000 Rp -
57 Staples Kecil Dos 0 Rp 20,000 Rp - 4 Rp 20,000 Rp 80,000 4 Rp 20,000 Rp 80,000 0 Rp 20,000 Rp -
58 Staples Kecil Dos 0 Rp 5,000 Rp - 2 Rp 5,000 Rp 10,000 2 Rp 5,000 Rp 10,000 0 Rp 5,000 Rp -
59 Stempel Buah 0 Rp 70,000 Rp - 1 Rp 70,000 Rp 70,000 1 Rp 70,000 Rp 70,000 0 Rp 70,000 Rp -
60 Tinta Hitam Epson Botol 0 Rp 100,000 Rp - 35 Rp 100,000 Rp 3,500,000 35 Rp 100,000 Rp 3,500,000 0 Rp 100,000 Rp -
61 Tinta Warna Epson Botol 0 Rp 100,000 Rp - 36 Rp 100,000 Rp 3,600,000 36 Rp 100,000 Rp 3,600,000 0 Rp 100,000 Rp -
62 Tinta Hitam Canon Botol 0 Rp 50,000 Rp - 17 Rp 50,000 Rp 850,000 17 Rp 50,000 Rp 850,000 0 Rp 50,000 Rp -
63 Tinta Warna Canon Botol 0 Rp 60,000 Rp - 14 Rp 60,000 Rp 840,000 14 Rp 60,000 Rp 840,000 0 Rp 60,000 Rp -
64 Tip X Pack 0 Rp 10,000 Rp - 3 Rp 10,000 Rp 30,000 3 Rp 10,000 Rp 30,000 0 Rp 10,000 Rp -
65 Tip X Buah 0 Rp 5,000 Rp - 4 Rp 5,000 Rp 20,000 4 Rp 5,000 Rp 20,000 0 Rp 5,000 Rp -
NILAI ATK BOK PUSKESMAS LOEA Rp - Rp 29,288,500 Rp 29,288,500 Rp -
ATK BPJS
1 Tinta Printer Buah 0 Rp 100,000 Rp - 5 Rp 100,000 Rp 500,000 5 Rp 100,000 Rp 500,000 0 Rp 100,000 Rp -
2 Tinta Printer Warna Buah 0 Rp 100,000 Rp - 4 Rp 100,000 Rp 400,000 4 Rp 100,000 Rp 400,000 0 Rp 100,000 Rp -
3 Tinta Warna Buah 0 Rp 60,000 Rp - 1 Rp 60,000 Rp 60,000 1 Rp 60,000 Rp 60,000 0 Rp 60,000 Rp -
4 Tinta Hitam Buah 0 Rp 60,000 Rp - 1 Rp 60,000 Rp 60,000 1 Rp 60,000 Rp 60,000 0 Rp 60,000 Rp -
5 Kertas HVS Rim 0 Rp 60,000 Rp - 3 Rp 60,000 Rp 180,000 3 Rp 60,000 Rp 180,000 0 Rp 60,000 Rp -
6 Kertas HVS Rim 0 Rp 55,000 Rp - 8 Rp 55,000 Rp 440,000 8 Rp 55,000 Rp 440,000 0 Rp 55,000 Rp -
7 Map Snelhecter Buah 0 Rp 5,000 Rp - 48 Rp 5,000 Rp 240,000 48 Rp 5,000 Rp 240,000 0 Rp 5,000 Rp -
8 Bolpoint Snowman Buah 0 Rp 2,500 Rp - 12 Rp 2,500 Rp 30,000 12 Rp 2,500 Rp 30,000 0 Rp 2,500 Rp -
9 Spidol Buah 0 Rp 5,000 Rp - 4 Rp 5,000 Rp 20,000 4 Rp 5,000 Rp 20,000 0 Rp 5,000 Rp -
10 Lakban Buah 0 Rp 14,000 Rp - 5 Rp 14,000 Rp 70,000 5 Rp 14,000 Rp 70,000 0 Rp 14,000 Rp -
NILAI ATK BPJS PUSKESMAS LOEA Rp - Rp 2,000,000 Rp 2,000,000 Rp -
JUMLAH PERSEDIAAN ATK PUSKESMAS LOEA Rp - Rp 31,288,500 Rp 31,288,500 Rp -
PUSKESMAS LADONGI JAYA

ATK BOK
1 Kertas HVS rim 0 Rp 60,000 Rp - 10 Rp 60,000 Rp 600,000 10 Rp 60,000 Rp 600,000 0 Rp 60,000 Rp -
2 Bundel buah 0 Rp 45,000 Rp - 10 Rp 45,000 Rp 450,000 10 Rp 45,000 Rp 450,000 0 Rp 45,000 Rp -
3 Tinta Print Epson Hitam buah 0 Rp 110,000 Rp - 1 Rp 110,000 Rp 110,000 1 Rp 110,000 Rp 110,000 0 Rp 110,000 Rp -
4 Map palstik lusin 0 Rp 35,000 Rp - 2 Rp 35,000 Rp 70,000 2 Rp 35,000 Rp 70,000 0 Rp 35,000 Rp -
5 Mistar buah 0 Rp 10,000 Rp - 2 Rp 10,000 Rp 20,000 2 Rp 10,000 Rp 20,000 0 Rp 10,000 Rp -
8 Tinta Print Epson Kuning buah 0 Rp 125,000 Rp - 1 Rp 125,000 Rp 125,000 1 Rp 125,000 Rp 125,000 0 Rp 125,000 Rp -
9 Tinta Print Epson Merah buah 0 Rp 125,000 Rp - 1 Rp 125,000 Rp 125,000 1 Rp 125,000 Rp 125,000 0 Rp 125,000 Rp -
10 Tinta Print Epson Biru buah 0 Rp 125,000 Rp - 1 Rp 125,000 Rp 125,000 1 Rp 125,000 Rp 125,000 0 Rp 125,000 Rp -
11 Pulpen buah 0 Rp 45,000 Rp - 2 Rp 45,000 Rp 90,000 2 Rp 45,000 Rp 90,000 0 Rp 45,000 Rp -
12 Anak Hekter Besar buah 0 Rp 25,000 Rp - 3 Rp 25,000 Rp 75,000 3 Rp 25,000 Rp 75,000 0 Rp 25,000 Rp -
13 Kertas HVS berwarna rim 0 Rp 60,000 Rp - 10 Rp 60,000 Rp 600,000 10 Rp 60,000 Rp 600,000 0 Rp 60,000 Rp -
14 Buku Album buah 0 Rp 25,000 Rp - 10 Rp 25,000 Rp 250,000 10 Rp 25,000 Rp 250,000 0 Rp 25,000 Rp -
15 Hekter Besar buah 0 Rp 40,000 Rp - 2 Rp 40,000 Rp 80,000 2 Rp 40,000 Rp 80,000 0 Rp 40,000 Rp -
16 Penjepit Kertas Lusin 0 Rp 30,000 Rp - 4 Rp 30,000 Rp 120,000 4 Rp 30,000 Rp 120,000 0 Rp 30,000 Rp -
17 Pelubang Kertas buah 0 Rp 50,000 Rp - 2 Rp 50,000 Rp 100,000 2 Rp 50,000 Rp 100,000 0 Rp 50,000 Rp -
23 Materai 6000 lembar 0 Rp 8,000 Rp - 10 Rp 8,000 Rp 80,000 10 Rp 8,000 Rp 80,000 0 Rp 8,000 Rp -
24 Kalkulator buah 0 Rp 42,500 Rp - 2 Rp 42,500 Rp 85,000 2 Rp 42,500 Rp 85,000 0 Rp 42,500 Rp -
29 Materai 6000 lembar 0 Rp 8,000 Rp - 11 Rp 8,000 Rp 88,000 11 Rp 8,000 Rp 88,000 0 Rp 8,000 Rp -
30 Penjepit Kertas buah 0 Rp 31,000 Rp - 2 Rp 31,000 Rp 62,000 2 Rp 31,000 Rp 62,000 0 Rp 31,000 Rp -
31 Kertas HVS berwarna rim 0 Rp 60,000 Rp - 10 Rp 60,000 Rp 600,000 10 Rp 60,000 Rp 600,000 0 Rp 60,000 Rp -
33 Hekter Besar buah 0 Rp 40,000 Rp - 2 Rp 40,000 Rp 80,000 2 Rp 40,000 Rp 80,000 0 Rp 40,000 Rp -
34 Penjepit Kertas Lusin 0 Rp 30,000 Rp - 4 Rp 30,000 Rp 120,000 4 Rp 30,000 Rp 120,000 0 Rp 30,000 Rp -
35 Pelubang Kertas buah 0 Rp 50,000 Rp - 2 Rp 50,000 Rp 100,000 2 Rp 50,000 Rp 100,000 0 Rp 50,000 Rp -
37 Materai 6000 buah 0 Rp 8,000 Rp - 15 Rp 8,000 Rp 120,000 15 Rp 8,000 Rp 120,000 0 Rp 8,000 Rp -
42 File Box buah 0 Rp 45,000 Rp - 3 Rp 45,000 Rp 135,000 3 Rp 45,000 Rp 135,000 0 Rp 45,000 Rp -
43 Anak Kelip buah 0 Rp 40,000 Rp - 4 Rp 40,000 Rp 160,000 4 Rp 40,000 Rp 160,000 0 Rp 40,000 Rp -
48 Pulpen lusin 0 Rp 42,000 Rp - 2 Rp 42,000 Rp 84,000 2 Rp 42,000 Rp 84,000 0 Rp 42,000 Rp -
78 Spidol buah 0 Rp 10,000 Rp - 2 Rp 10,000 Rp 20,000 2 Rp 10,000 Rp 20,000 0 Rp 10,000 Rp -
NILAI ATK BOK PUSKESMAS LADONGI JAYA Rp - Rp 15,800,000 Rp 15,800,000 Rp -
ATK BPJS
Kertas HVS Sidu Rim Rp 60,000 Rp - 10 Rp 60,000 Rp 600,000 10 Rp 60,000 Rp 600,000 0 Rp 60,000 Rp -
karton Jilid Warna Orange buah Rp 45,000 Rp - 1 Rp 45,000 Rp 45,000 1 Rp 45,000 Rp 45,000 0 Rp 45,000 Rp -
Plastik Mika Jilid Rim Rp 35,000 Rp - 1 Rp 35,000 Rp 35,000 1 Rp 35,000 Rp 35,000 0 Rp 35,000 Rp -
Materai 6000 buah Rp 8,000 Rp - 20 Rp 8,000 Rp 160,000 20 Rp 8,000 Rp 160,000 0 Rp 8,000 Rp -
Gunting buah Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
Kwitansi buah Rp 17,000 Rp - 1 Rp 17,000 Rp 17,000 1 Rp 17,000 Rp 17,000 0 Rp 17,000 Rp -
Buku Album buah Rp 28,000 Rp - 2 Rp 28,000 Rp 56,000 2 Rp 28,000 Rp 56,000 0 Rp 28,000 Rp -
Kertas Jilid buah Rp 50,000 Rp - 2 Rp 50,000 Rp 100,000 2 Rp 50,000 Rp 100,000 0 Rp 50,000 Rp -
Tinta Epson 664 buah Rp 120,000 Rp - 1 Rp 120,000 Rp 120,000 1 Rp 120,000 Rp 120,000 0 Rp 120,000 Rp -
Tinta Epson 003 buah Rp 130,000 Rp - 1 Rp 130,000 Rp 130,000 1 Rp 130,000 Rp 130,000 0 Rp 130,000 Rp -
Kertas Jilid buah Rp 50,000 Rp - 1 Rp 50,000 Rp 50,000 1 Rp 50,000 Rp 50,000 0 Rp 50,000 Rp -
Lakban buah Rp 15,000 Rp - 1 Rp 15,000 Rp 15,000 1 Rp 15,000 Rp 15,000 0 Rp 15,000 Rp -
Mika Jilid buah Rp 58,000 Rp - 1 Rp 58,000 Rp 58,000 1 Rp 58,000 Rp 58,000 0 Rp 58,000 Rp -
Isolasi Double tip buah Rp 12,000 Rp - 3 Rp 12,000 Rp 36,000 3 Rp 12,000 Rp 36,000 0 Rp 12,000 Rp -
Cutter buah Rp 13,000 Rp - 1 Rp 13,000 Rp 13,000 1 Rp 13,000 Rp 13,000 0 Rp 13,000 Rp -
Map Sneilhekter buah Rp 5,000 Rp - 10 Rp 5,000 Rp 50,000 10 Rp 5,000 Rp 50,000 0 Rp 5,000 Rp -
Box File buah Rp 25,000 Rp - 24 Rp 25,000 Rp 600,000 24 Rp 25,000 Rp 600,000 0 Rp 25,000 Rp -
karton Jilid Warna Orange rim Rp 50,000 Rp - 3 Rp 50,000 Rp 150,000 3 Rp 50,000 Rp 150,000 0 Rp 50,000 Rp -
Jepit Kertas Ukuran 200 buah Rp 4,000 Rp - 12 Rp 4,000 Rp 48,000 12 Rp 4,000 Rp 48,000 0 Rp 4,000 Rp -
Tinta Stempel botol Rp 18,000 Rp - 1 Rp 18,000 Rp 18,000 1 Rp 18,000 Rp 18,000 0 Rp 18,000 Rp -
Kertas HVS Sidu rim Rp 60,000 Rp - 10 Rp 60,000 Rp 600,000 10 Rp 60,000 Rp 600,000 0 Rp 60,000 Rp -
Karton Jilid Warna Orange rim Rp 50,000 Rp - 2 Rp 50,000 Rp 100,000 2 Rp 50,000 Rp 100,000 0 Rp 50,000 Rp -
Buku Album buah Rp 30,000 Rp - 5 Rp 30,000 Rp 150,000 5 Rp 30,000 Rp 150,000 0 Rp 30,000 Rp -
Materai 6000 buah Rp 8,000 Rp - 10 Rp 8,000 Rp 80,000 10 Rp 8,000 Rp 80,000 0 Rp 8,000 Rp -
Tinta Printer Epson 003 botol Rp 135,000 Rp - 4 Rp 135,000 Rp 540,000 4 Rp 135,000 Rp 540,000 0 Rp 135,000 Rp -
Map sneilhecter buah Rp 6,000 Rp - 5 Rp 6,000 Rp 30,000 5 Rp 6,000 Rp 30,000 0 Rp 6,000 Rp -
Karton Jilid rim Rp 50,000 Rp - 5 Rp 50,000 Rp 250,000 5 Rp 50,000 Rp 250,000 0 Rp 50,000 Rp -
Lakban buah Rp 15,000 Rp - 1 Rp 15,000 Rp 15,000 1 Rp 15,000 Rp 15,000 0 Rp 15,000 Rp -
Tinta Printer Epson 003 hitam botol Rp 170,000 Rp - 1 Rp 170,000 Rp 170,000 1 Rp 170,000 Rp 170,000 0 Rp 170,000 Rp -
Tinta Printer Epson 003 Cyan botol Rp 170,000 Rp - 1 Rp 170,000 Rp 170,000 1 Rp 170,000 Rp 170,000 0 Rp 170,000 Rp -
Baterai ABC ukuran sedang box Rp 50,000 Rp - 1 Rp 50,000 Rp 50,000 1 Rp 50,000 Rp 50,000 0 Rp 50,000 Rp -
Baterai ABC ukuran sedang box Rp 50,000 Rp - 1 Rp 50,000 Rp 50,000 1 Rp 50,000 Rp 50,000 0 Rp 50,000 Rp -
Binder Clip Ukuran 200 buah Rp 4,000 Rp - 12 Rp 4,000 Rp 48,000 12 Rp 4,000 Rp 48,000 0 Rp 4,000 Rp -
Box file buah Rp 24,000 Rp - 24 Rp 24,000 Rp 576,000 24 Rp 24,000 Rp 576,000 0 Rp 24,000 Rp -
Map Sneilhecter buah Rp 5,000 Rp - 12 Rp 5,000 Rp 60,000 12 Rp 5,000 Rp 60,000 0 Rp 5,000 Rp -
NILAI ATK BPJS PUSKESMAS LADONGI JAYA Rp - Rp 10,223,000 Rp 10,223,000 Rp -
JUMLAH PERSEDIAAN ATK PUSKESMAS LADONGI Rp - Rp 26,023,000 Rp 26,023,000 Rp -
PUSKESMAS DANGIA
ATK BOK
1 Catrige Warna Buah Rp 300,000 Rp - 1 Rp 300,000 Rp 300,000 1 Rp 300,000 Rp 300,000 0 Rp 300,000 Rp -
2 Catrige Hitam Buah Rp 250,000 Rp - 2 Rp 250,000 Rp 500,000 2 Rp 250,000 Rp 500,000 0 Rp 250,000 Rp -
3 Kertas F4 Rim Rp 60,000 Rp - 95 Rp 60,000 Rp 5,700,000 95 Rp 60,000 Rp 5,700,000 0 Rp 60,000 Rp -
4 Bundel Buah Rp 50,000 Rp - 41 Rp 50,000 Rp 2,050,000 41 Rp 50,000 Rp 2,050,000 0 Rp 50,000 Rp -
5 Map Plastik Buah Rp 5,000 Rp - 18 Rp 5,000 Rp 90,000 18 Rp 5,000 Rp 90,000 0 Rp 5,000 Rp -
6 Blinder Clips Besar Pak Rp 24,000 Rp - 25 Rp 24,000 Rp 600,000 25 Rp 24,000 Rp 600,000 0 Rp 24,000 Rp -
7 Blinder Clips Kecil Pak Rp 15,000 Rp - 12 Rp 15,000 Rp 180,000 12 Rp 15,000 Rp 180,000 0 Rp 15,000 Rp -
8 Kertas F4 Warna Rim Rp 100,000 Rp - 1 Rp 100,000 Rp 100,000 1 Rp 100,000 Rp 100,000 0 Rp 100,000 Rp -
9 Polpen Snowman Pak Rp 30,000 Rp - 3 Rp 30,000 Rp 90,000 3 Rp 30,000 Rp 90,000 0 Rp 30,000 Rp -
10 Materai 6000 Buah Rp 8,000 Rp - 24 Rp 8,000 Rp 192,000 24 Rp 8,000 Rp 192,000 0 Rp 8,000 Rp -
11 Amplop Panjang Pak Rp 25,000 Rp - 15 Rp 25,000 Rp 375,000 15 Rp 25,000 Rp 375,000 0 Rp 25,000 Rp -
12 TipeX Buah Rp 14,000 Rp - 4 Rp 14,000 Rp 56,000 4 Rp 14,000 Rp 56,000 0 Rp 14,000 Rp -
13 Tinta Hitam Epson 100 ml Botol Rp 110,000 Rp - 12 Rp 110,000 Rp 1,320,000 12 Rp 110,000 Rp 1,320,000 0 Rp 110,000 Rp -
14 Tinta Warna Merah Epson 100 ml Botol Rp 115,000 Rp - 1 Rp 115,000 Rp 115,000 1 Rp 115,000 Rp 115,000 0 Rp 115,000 Rp -
15 Tinta Warna Biru Epson 100 ml Botol Rp 115,000 Rp - 1 Rp 115,000 Rp 115,000 1 Rp 115,000 Rp 115,000 0 Rp 115,000 Rp -
17 Tas Map Besar Buah Rp 30,000 Rp - 3 Rp 30,000 Rp 90,000 3 Rp 30,000 Rp 90,000 0 Rp 30,000 Rp -
18 Lem Kertas Buah Rp 10,000 Rp - 2 Rp 10,000 Rp 20,000 2 Rp 10,000 Rp 20,000 0 Rp 10,000 Rp -
19 Buku Album Kecil Buah Rp 15,000 Rp - 6 Rp 15,000 Rp 90,000 6 Rp 15,000 Rp 90,000 0 Rp 15,000 Rp -
20 Buku Album Besar Buah Rp 20,000 Rp - 18 Rp 20,000 Rp 360,000 18 Rp 20,000 Rp 360,000 0 Rp 20,000 Rp -
21 Pelobang Kertas Buah Rp 50,000 Rp - 2 Rp 50,000 Rp 100,000 2 Rp 50,000 Rp 100,000 0 Rp 50,000 Rp -
22 Map Kertas Buah Rp 5,000 Rp - 6 Rp 5,000 Rp 30,000 6 Rp 5,000 Rp 30,000 0 Rp 5,000 Rp -
23 Hecter Buah Rp 35,000 Rp - 1 Rp 35,000 Rp 35,000 1 Rp 35,000 Rp 35,000 0 Rp 35,000 Rp -
24 Note Book Buah Rp 10,000 Rp - 10 Rp 10,000 Rp 100,000 10 Rp 10,000 Rp 100,000 0 Rp 10,000 Rp -
25 Tinta Warna Kuning Epson Botol Rp 115,000 Rp - 1 Rp 115,000 Rp 115,000 1 Rp 115,000 Rp 115,000 0 Rp 115,000 Rp -
26 Lakban Hitam Buah Rp 12,000 Rp - 1 Rp 12,000 Rp 12,000 1 Rp 12,000 Rp 12,000 0 Rp 12,000 Rp -
27 Kertas A4 Rim Rp 55,000 Rp - 1 Rp 55,000 Rp 55,000 1 Rp 55,000 Rp 55,000 0 Rp 55,000 Rp -
28 Gunting Buah Rp 12,000 Rp - 2 Rp 12,000 Rp 24,000 2 Rp 12,000 Rp 24,000 0 Rp 12,000 Rp -
29 Lem Putih Fox 500 g Buah Rp 35,000 Rp - 1 Rp 35,000 Rp 35,000 1 Rp 35,000 Rp 35,000 0 Rp 35,000 Rp -
30 Kertas Laminating Secure F4 Pak Rp 71,000 Rp - 1 Rp 71,000 Rp 71,000 1 Rp 71,000 Rp 71,000 0 Rp 71,000 Rp -
31 Spidol Buah Rp 15,000 Rp - 3 Rp 15,000 Rp 45,000 3 Rp 15,000 Rp 45,000 0 Rp 15,000 Rp -
32 Map Plastik Pak Rp 60,000 Rp - 2.5 Rp 60,000 Rp 150,000 2.5 Rp 60,000 Rp 150,000 0 Rp 60,000 Rp -
33 Pen Balliner Buah Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
34 Stabilo Buah Rp 7,000 Rp - 2 Rp 7,000 Rp 14,000 2 Rp 7,000 Rp 14,000 0 Rp 7,000 Rp -
35 Tinta Epson Cyan Botol Rp 110,000 Rp - 4 Rp 110,000 Rp 440,000 4 Rp 110,000 Rp 440,000 0 Rp 110,000 Rp -
36 Tinta Epson Magenta Botol Rp 110,000 Rp - 5 Rp 110,000 Rp 550,000 5 Rp 110,000 Rp 550,000 0 Rp 110,000 Rp -
37 Tinta Epson Yellow Botol Rp 110,000 Rp - 3 Rp 110,000 Rp 330,000 3 Rp 110,000 Rp 330,000 0 Rp 110,000 Rp -
38 Lakban Jilid Buah Rp 20,000 Rp - 2 Rp 20,000 Rp 40,000 2 Rp 20,000 Rp 40,000 0 Rp 20,000 Rp -
39 Kertas A4 Rim Rp 60,000 Rp - 1 Rp 60,000 Rp 60,000 1 Rp 60,000 Rp 60,000 0 Rp 60,000 Rp -
40 Blinder Clips Kecil Pak Rp 13,000 Rp - 8 Rp 13,000 Rp 104,000 8 Rp 13,000 Rp 104,000 0 Rp 13,000 Rp -
41 Batu Hecter Besar Dos Rp 8,000 Rp - 1 Rp 8,000 Rp 8,000 1 Rp 8,000 Rp 8,000 0 Rp 8,000 Rp -
42 Batu Hecter Kecil Dos Rp 4,000 Rp - 9 Rp 4,000 Rp 36,000 9 Rp 4,000 Rp 36,000 0 Rp 4,000 Rp -
43 Nota Kontan Buah Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
44 Lem Stick Buah Rp 10,000 Rp - 2 Rp 10,000 Rp 20,000 2 Rp 10,000 Rp 20,000 0 Rp 10,000 Rp -
45 Correction Tape Buah Rp 15,000 Rp - 19 Rp 15,000 Rp 285,000 19 Rp 15,000 Rp 285,000 0 Rp 15,000 Rp -
46 Map Snalhekter Buah Rp 5,000 Rp - 50 Rp 5,000 Rp 250,000 50 Rp 5,000 Rp 250,000 0 Rp 5,000 Rp -
47 Tissue Buah Rp 11,000 Rp - 1 Rp 11,000 Rp 11,000 1 Rp 11,000 Rp 11,000 0 Rp 11,000 Rp -
48 Kertas Foto E-Print Pak Rp 40,000 Rp - 1 Rp 40,000 Rp 40,000 1 Rp 40,000 Rp 40,000 0 Rp 40,000 Rp -
49 HVS Warna Rim Rp 65,000 Rp - 1 Rp 65,000 Rp 65,000 1 Rp 65,000 Rp 65,000 0 Rp 65,000 Rp -
50 Karton Jilid Pak Rp 37,000 Rp - 1 Rp 37,000 Rp 37,000 1 Rp 37,000 Rp 37,000 0 Rp 37,000 Rp -
51 TipeX Buah Rp 11,000 Rp - 5 Rp 11,000 Rp 55,000 5 Rp 11,000 Rp 55,000 0 Rp 11,000 Rp -
52 Kwitansi Buah Rp 25,000 Rp - 2 Rp 25,000 Rp 50,000 2 Rp 25,000 Rp 50,000 0 Rp 25,000 Rp -
53 Kertas Warna Hijau Rim Rp 65,000 Rp - 2 Rp 65,000 Rp 130,000 2 Rp 65,000 Rp 130,000 0 Rp 65,000 Rp -
54 Kertas Warna Pink Rim Rp 65,000 Rp - 2 Rp 65,000 Rp 130,000 2 Rp 65,000 Rp 130,000 0 Rp 65,000 Rp -
56 Lakban Bening Buah Rp 20,000 Rp - 5 Rp 20,000 Rp 100,000 5 Rp 20,000 Rp 100,000 0 Rp 20,000 Rp -
57 Tinta Epson Yellow Botol Rp 115,000 Rp - 1 Rp 115,000 Rp 115,000 1 Rp 115,000 Rp 115,000 0 Rp 115,000 Rp -
NILAI ATK BOK PUSKESMAS DANGIA Rp - Rp 16,200,000 Rp 16,200,000 Rp -
ATK BPJS
1 Tinta Print Canon G3010 Buah Rp 150,000 Rp - 3 Rp 150,000 Rp 450,000 3 Rp 150,000 Rp 450,000 0 Rp 150,000 Rp -
2 Pen linko LK1 Lusin Rp 24,000 Rp - 3 Rp 24,000 Rp 72,000 3 Rp 24,000 Rp 72,000 0 Rp 24,000 Rp -
3 Binder Clip No.260 Dus Rp 35,000 Rp - 1 Rp 35,000 Rp 35,000 1 Rp 35,000 Rp 35,000 0 Rp 35,000 Rp -
4 Kertas F4 Sidu Rim Rp 60,000 Rp - 32 Rp 60,000 Rp 1,920,000 32 Rp 60,000 Rp 1,920,000 0 Rp 60,000 Rp -
5 Map Snelhekter Buah Rp 5,000 Rp - 61 Rp 5,000 Rp 305,000 61 Rp 5,000 Rp 305,000 0 Rp 5,000 Rp -
6 Staples No. 2 4/6 Dus Rp 6,000 Rp - 3 Rp 6,000 Rp 18,000 3 Rp 6,000 Rp 18,000 0 Rp 6,000 Rp -
7 Staples No.10 Dus Rp 3,500 Rp - 18 Rp 3,500 Rp 63,000 18 Rp 3,500 Rp 63,000 0 Rp 3,500 Rp -
8 Amplop 90 pps Dus Rp 26,000 Rp - 3 Rp 26,000 Rp 78,000 3 Rp 26,000 Rp 78,000 0 Rp 26,000 Rp -
9 Kertas Folio warna Lembar Rp 250 Rp - 26 Rp 250 Rp 6,500 26 Rp 250 Rp 6,500 0 Rp 250 Rp -
10 Amplop Paperline 104 Dus Rp 18,000 Rp - 1 Rp 18,000 Rp 18,000 1 Rp 18,000 Rp 18,000 0 Rp 18,000 Rp -
11 Binder Clip no. 111 Dus Rp 13,000 Rp - 4 Rp 13,000 Rp 52,000 4 Rp 13,000 Rp 52,000 0 Rp 13,000 Rp -
12 Tinta E-print 100ml Botol Rp 35,000 Rp - 4 Rp 35,000 Rp 140,000 4 Rp 35,000 Rp 140,000 0 Rp 35,000 Rp -
13 Map Folio Kertas Lembar Rp 1,000 Rp - 16 Rp 1,000 Rp 16,000 16 Rp 1,000 Rp 16,000 0 Rp 1,000 Rp -
14 Album Folio isi 50 Buah Rp 15,000 Rp - 3 Rp 15,000 Rp 45,000 3 Rp 15,000 Rp 45,000 0 Rp 15,000 Rp -
15 Pen snowman V-1 Buah Rp 3,000 Rp - 27 Rp 3,000 Rp 81,000 27 Rp 3,000 Rp 81,000 0 Rp 3,000 Rp -
16 Typex pen joyko Buah Rp 7,500 Rp - 1 Rp 7,500 Rp 7,500 1 Rp 7,500 Rp 7,500 0 Rp 7,500 Rp -
17 Materai Buah Rp 8,000 Rp - 46 Rp 8,000 Rp 368,000 46 Rp 8,000 Rp 368,000 0 Rp 8,000 Rp -
18 Kertas Jilid Lembar Rp 1,000 Rp - 34 Rp 1,000 Rp 34,000 34 Rp 1,000 Rp 34,000 0 Rp 1,000 Rp -
19 Plastik Jilid Lembar Rp 1,000 Rp - 34 Rp 1,000 Rp 34,000 34 Rp 1,000 Rp 34,000 0 Rp 1,000 Rp -
20 Lakban jilid 2 inch Buah Rp 17,000 Rp - 5 Rp 17,000 Rp 85,000 5 Rp 17,000 Rp 85,000 0 Rp 17,000 Rp -
21 Lakban Jilid 1,5 inch Buah Rp 15,000 Rp - 3 Rp 15,000 Rp 45,000 3 Rp 15,000 Rp 45,000 0 Rp 15,000 Rp -
22 Kertas A4 Sidu Rim Rp 55,000 Rp - 3 Rp 55,000 Rp 165,000 3 Rp 55,000 Rp 165,000 0 Rp 55,000 Rp -
23 Binder Clip No.155 Buah Rp 2,500 Rp - 9 Rp 2,500 Rp 22,500 9 Rp 2,500 Rp 22,500 0 Rp 2,500 Rp -
24 Album Folio isi 100 Buah Rp 24,000 Rp - 4 Rp 24,000 Rp 96,000 4 Rp 24,000 Rp 96,000 0 Rp 24,000 Rp -
25 Sticknote Linko Buah Rp 14,000 Rp - 6 Rp 14,000 Rp 84,000 6 Rp 14,000 Rp 84,000 0 Rp 14,000 Rp -
26 Gunting SDW 7 Buah Rp 10,000 Rp - 1 Rp 10,000 Rp 10,000 1 Rp 10,000 Rp 10,000 0 Rp 10,000 Rp -
27 Stypex Pen Buah Rp 7,500 Rp - 1 Rp 7,500 Rp 7,500 1 Rp 7,500 Rp 7,500 0 Rp 7,500 Rp -
28 Lem gluestick 2RM Buah Rp 9,000 Rp - 8 Rp 9,000 Rp 72,000 8 Rp 9,000 Rp 72,000 0 Rp 9,000 Rp -
29 Staples No.10 Etona Dus Rp 3,500 Rp - 1 Rp 3,500 Rp 3,500 1 Rp 3,500 Rp 3,500 0 Rp 3,500 Rp -
30 Binder Clip No. 200 Buah Rp 3,000 Rp - 3 Rp 3,000 Rp 9,000 3 Rp 3,000 Rp 9,000 0 Rp 3,000 Rp -
31 Kertas Foto A4 glosi Lembar Rp 3,000 Rp - 3 Rp 3,000 Rp 9,000 3 Rp 3,000 Rp 9,000 0 Rp 3,000 Rp -
32 Lakban Bening 2 inch Buah Rp 18,000 Rp - 1 Rp 18,000 Rp 18,000 1 Rp 18,000 Rp 18,000 0 Rp 18,000 Rp -
33 Pen Balliner Buah Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
34 Map L Buah Rp 5,000 Rp - 3 Rp 5,000 Rp 15,000 3 Rp 5,000 Rp 15,000 0 Rp 5,000 Rp -
35 Kertas F4 Berwarna Lembar Rp 200 Rp - 70 Rp 200 Rp 14,000 70 Rp 200 Rp 14,000 0 Rp 200 Rp -
36 Map File Kasper Buah Rp 22,000 Rp - 3 Rp 22,000 Rp 66,000 3 Rp 22,000 Rp 66,000 0 Rp 22,000 Rp -
37 Map File Ordner Bambi Buah Rp 35,000 Rp - 10 Rp 35,000 Rp 350,000 10 Rp 35,000 Rp 350,000 0 Rp 35,000 Rp -
38 Binder Clip No.260 Dus Rp 33,000 Rp - 4 Rp 33,000 Rp 132,000 4 Rp 33,000 Rp 132,000 0 Rp 33,000 Rp -
39 Pen linko LK1 Lusin Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
41 Staples No. 2 4/6 Dus Rp 6,500 Rp - 5 Rp 6,500 Rp 32,500 5 Rp 6,500 Rp 32,500 0 Rp 6,500 Rp -
42 Binder Clip No.260 Buah Rp 3,500 Rp - 20 Rp 3,500 Rp 70,000 20 Rp 3,500 Rp 70,000 0 Rp 3,500 Rp -
44 Lakban jilid 2 inch Buah Rp 20,000 Rp - 3 Rp 20,000 Rp 60,000 3 Rp 20,000 Rp 60,000 0 Rp 20,000 Rp -
45 Staples No.10 Etona Dus Rp 4,000 Rp - 2 Rp 4,000 Rp 8,000 2 Rp 4,000 Rp 8,000 0 Rp 4,000 Rp -
46 Lem gluesticck Buah Rp 9,500 Rp - 1 Rp 9,500 Rp 9,500 1 Rp 9,500 Rp 9,500 0 Rp 9,500 Rp -
47 Map Snelhekter Buah Rp 8,000 Rp - 4 Rp 8,000 Rp 32,000 4 Rp 8,000 Rp 32,000 0 Rp 8,000 Rp -
48 Tinta Epson hitam 003 Botol Rp 130,000 Rp - 1 Rp 130,000 Rp 130,000 1 Rp 130,000 Rp 130,000 0 Rp 130,000 Rp -
NILAI ATK BPJS PUSKESMAS DANGIA Rp - Rp 5,654,500 Rp 5,654,500 Rp -
JUMLAH PERSEDIAAN ATK PUSKESMAS DANGIA Rp - Rp 21,854,500 Rp 21,854,500 Rp -
PUSKESMAS POLI-POLIA
ATK BOK
1 Kertas HVS Rim Rp 60,000 Rp - 128 Rp 60,000 Rp 7,680,000 128 Rp 60,000 Rp 7,680,000 0 Rp 60,000 Rp -
2 Kertas HVS Warna Hijau Rim Rp 70,000 Rp - 3 Rp 70,000 Rp 210,000 3 Rp 70,000 Rp 210,000 0 Rp 70,000 Rp -
3 Pulpen Snowman Dos Rp 25,000 Rp - 9 Rp 25,000 Rp 225,000 9 Rp 25,000 Rp 225,000 0 Rp 25,000 Rp -
4 Pulpen Pilot Ball Liner Buah Rp 20,000 Rp - 6 Rp 20,000 Rp 120,000 6 Rp 20,000 Rp 120,000 0 Rp 20,000 Rp -
6 Pulpen Pilot Lusin Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
7 Hekter Kecil Buah Rp 20,000 Rp - 2 Rp 20,000 Rp 40,000 2 Rp 20,000 Rp 40,000 0 Rp 20,000 Rp -
9 Pensil 2 B Lusin Rp 40,000 Rp - 5 Rp 40,000 Rp 200,000 5 Rp 40,000 Rp 200,000 0 Rp 40,000 Rp -
10 Tinta Hitam Epson Buah Rp 110,000 Rp - 8 Rp 110,000 Rp 880,000 8 Rp 110,000 Rp 880,000 0 Rp 110,000 Rp -
11 Tinta Warna Epson Buah Rp 110,000 Rp - 21 Rp 110,000 Rp 2,310,000 21 Rp 110,000 Rp 2,310,000 0 Rp 110,000 Rp -
12 Peluru Hecter Kecil Dos Rp 15,000 Rp - 1 Rp 15,000 Rp 15,000 1 Rp 15,000 Rp 15,000 0 Rp 15,000 Rp -
13 Kalkulator Buah Rp 120,000 Rp - 1 Rp 120,000 Rp 120,000 1 Rp 120,000 Rp 120,000 0 Rp 120,000 Rp -
14 Kalkulator Buah Rp 150,000 Rp - 2 Rp 150,000 Rp 300,000 2 Rp 150,000 Rp 300,000 0 Rp 150,000 Rp -
15 Bundel Tebal Buah Rp 45,000 Rp - 44 Rp 45,000 Rp 1,980,000 44 Rp 45,000 Rp 1,980,000 0 Rp 45,000 Rp -
16 Buku Album Kecil Buah Rp 10,000 Rp - 11 Rp 10,000 Rp 110,000 11 Rp 10,000 Rp 110,000 0 Rp 10,000 Rp -
17 Buku Album Sedang Buah Rp 20,000 Rp - 5 Rp 20,000 Rp 100,000 5 Rp 20,000 Rp 100,000 0 Rp 20,000 Rp -
19 Map Plastik Snall Hecter Buah Rp 5,000 Rp - 96 Rp 5,000 Rp 480,000 96 Rp 5,000 Rp 480,000 0 Rp 5,000 Rp -
20 Map plastik Lusin Rp 40,000 Rp - 10 Rp 40,000 Rp 400,000 10 Rp 40,000 Rp 400,000 0 Rp 40,000 Rp -
21 Map Snal Hecter Lusin Rp 35,000 Rp - 2 Rp 35,000 Rp 70,000 2 Rp 35,000 Rp 70,000 0 Rp 35,000 Rp -
22 Mistar Besi 30 Cm Buah Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
23 Amplop Dunia Panjang Dos Rp 30,000 Rp - 3 Rp 30,000 Rp 90,000 3 Rp 30,000 Rp 90,000 0 Rp 30,000 Rp -
24 Mistar Besi Kecil Buah Rp 15,000 Rp - 2 Rp 15,000 Rp 30,000 2 Rp 15,000 Rp 30,000 0 Rp 15,000 Rp -
NILAI ATK BOK PUSKESMAS POLI-POLIA Rp - Rp 16,600,000 Rp 16,600,000 Rp -
ATK BPJS
1 Kertas HVS Rim Rp 65,000 Rp - 20 Rp 65,000 Rp 1,300,000 20 Rp 65,000 Rp 1,300,000 0 Rp 65,000 Rp -
2 Amplop Kecil dos Rp 25,000 Rp - 2 Rp 25,000 Rp 50,000 2 Rp 25,000 Rp 50,000 0 Rp 25,000 Rp -
3 Penjepit kertas dos Rp 25,000 Rp - 2 Rp 25,000 Rp 50,000 2 Rp 25,000 Rp 50,000 0 Rp 25,000 Rp -
4 Pulpen Snowman hitam dos Rp 24,000 Rp - 1 Rp 24,000 Rp 24,000 1 Rp 24,000 Rp 24,000 0 Rp 24,000 Rp -
5 Buku album besar pcs Rp 25,000 Rp - 2 Rp 25,000 Rp 50,000 2 Rp 25,000 Rp 50,000 0 Rp 25,000 Rp -
6 Tinta hitam epson botol Rp 105,000 Rp - 1 Rp 105,000 Rp 105,000 1 Rp 105,000 Rp 105,000 0 Rp 105,000 Rp -
7 Lem kertas buah Rp 15,000 Rp - 2 Rp 15,000 Rp 30,000 2 Rp 15,000 Rp 30,000 0 Rp 15,000 Rp -
8 Map snalhekter lusin Rp 60,000 Rp - 2 Rp 60,000 Rp 120,000 2 Rp 60,000 Rp 120,000 0 Rp 60,000 Rp -
9 Pulpen tinta hitam dos Rp 30,000 Rp - 1 Rp 30,000 Rp 30,000 1 Rp 30,000 Rp 30,000 0 Rp 30,000 Rp -
10 Pulpen tindis warna pcs Rp 10,000 Rp - 1 Rp 10,000 Rp 10,000 1 Rp 10,000 Rp 10,000 0 Rp 10,000 Rp -
11 Pulpen bold blue pcs Rp 20,000 Rp - 4 Rp 20,000 Rp 80,000 4 Rp 20,000 Rp 80,000 0 Rp 20,000 Rp -
12 Buku album sedang Buah Rp 15,000 Rp - 1 Rp 15,000 Rp 15,000 1 Rp 15,000 Rp 15,000 0 Rp 15,000 Rp -
13 Tinta epson warna hitam botol Rp 110,000 Rp - 3 Rp 110,000 Rp 330,000 3 Rp 110,000 Rp 330,000 0 Rp 110,000 Rp -
14 Tinta epson warna kuning botol Rp 110,000 Rp - 1 Rp 110,000 Rp 110,000 1 Rp 110,000 Rp 110,000 0 Rp 110,000 Rp -
15 Materai 6000 buah Rp 8,000 Rp - 46 Rp 8,000 Rp 368,000 46 Rp 8,000 Rp 368,000 0 Rp 8,000 Rp -
16 Buku Diary buah Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
17 Amplop Kecil dos Rp 30,000 Rp - 4 Rp 30,000 Rp 120,000 4 Rp 30,000 Rp 120,000 0 Rp 30,000 Rp -
18 Tinta Epson Warna Merah botol Rp 110,000 Rp - 2 Rp 110,000 Rp 220,000 2 Rp 110,000 Rp 220,000 0 Rp 110,000 Rp -
19 Catrige warna cannon ip2770 buah Rp 375,000 Rp - 1 Rp 375,000 Rp 375,000 1 Rp 375,000 Rp 375,000 0 Rp 375,000 Rp -
20 Peluru Hekter buah Rp 3,000 Rp - 10 Rp 3,000 Rp 30,000 10 Rp 3,000 Rp 30,000 0 Rp 3,000 Rp -
21 Hekter buah Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
22 Catrige Cannon warna hitam ip2770 buah Rp 300,000 Rp - 1 Rp 300,000 Rp 300,000 1 Rp 300,000 Rp 300,000 0 Rp 300,000 Rp -
23 Tinta cannon Warna Hitam botol Rp 60,000 Rp - 1 Rp 60,000 Rp 60,000 1 Rp 60,000 Rp 60,000 0 Rp 60,000 Rp -
24 Tinta Epson warna Biru botol Rp 110,000 Rp - 1 Rp 110,000 Rp 110,000 1 Rp 110,000 Rp 110,000 0 Rp 110,000 Rp -
25 Tinta Cannon wWarna Merah botol Rp 60,000 Rp - 1 Rp 60,000 Rp 60,000 1 Rp 60,000 Rp 60,000 0 Rp 60,000 Rp -
NILAI ATK BPJS PUSKESMAS POLI-POLIA Rp - Rp 3,997,000 Rp 3,997,000 Rp -
JUMLAH PERSEDIAAN ATK PUSKESMAS POLI-POLIA Rp - Rp 20,597,000 Rp 20,597,000 Rp -
PUSKESMAS LAMBANDIA
ATK BOK
1 Kertas F4 70 GSM SiDU RIM 3 Rp 60,000 Rp 180,000 111 Rp 60,000 Rp 6,660,000 114 Rp 60,000 Rp 6,840,000 0 Rp 60,000 Rp -
2 Kertas F4 70 GSM SiDU DOS 0 Rp 300,000 Rp - 25 Rp 300,000 Rp 7,500,000 20 Rp 300,000 Rp 6,000,000 5 Rp 300,000 Rp 1,500,000
3 Peluru Staples Etona 10 KOTAK 6 Rp 5,000 Rp 30,000 30 Rp 5,000 Rp 150,000 36 Rp 5,000 Rp 180,000 0 Rp 5,000 Rp -
4 Peluru Staples SDI 10 KOTAK 3 Rp 6,000 Rp 18,000 11 Rp 6,000 Rp 66,000 9 Rp 6,000 Rp 54,000 5 Rp 6,000 Rp 30,000
5 Amplop Paperline DOS 1 Rp 25,000 Rp 25,000 20 Rp 25,000 Rp 500,000 21 Rp 25,000 Rp 525,000 0 Rp 25,000 Rp -
6 Lakban Hitam BUAH 2 Rp 10,000 Rp 20,000 80 Rp 10,000 Rp 800,000 77 Rp 10,000 Rp 770,000 5 Rp 10,000 Rp 50,000
7 Tinta Epson Merk e-print K 1 Kg BOTOL 0 Rp 150,000 Rp - 11 Rp 150,000 Rp 1,650,000 11 Rp 150,000 Rp 1,650,000 0 Rp 150,000 Rp -
8 Tinta Epson Merk e-print M 1 Kg BOTOL 0 Rp 150,000 Rp - 11 Rp 150,000 Rp 1,650,000 11 Rp 150,000 Rp 1,650,000 0 Rp 150,000 Rp -
9 Tinta Epson Merk e-print Y 1 Kg BOTOL 0 Rp 150,000 Rp - 9 Rp 150,000 Rp 1,350,000 9 Rp 150,000 Rp 1,350,000 0 Rp 150,000 Rp -
10 Tinta Epson Merk e-print C 1 Kg BOTOL 0 Rp 150,000 Rp - 9 Rp 150,000 Rp 1,350,000 9 Rp 150,000 Rp 1,350,000 0 Rp 150,000 Rp -
11 Tinta Epson Merk e-print K 80 ml BOTOL 0 Rp 25,000 Rp - 4 Rp 25,000 Rp 100,000 4 Rp 25,000 Rp 100,000 0 Rp 25,000 Rp -
12 Tinta Epson Merk e-print C 80 ml BOTOL 0 Rp 25,000 Rp - 4 Rp 25,000 Rp 100,000 4 Rp 25,000 Rp 100,000 0 Rp 25,000 Rp -
13 Tinta Epson Merk e-print M 80 ml BOTOL 0 Rp 25,000 Rp - 4 Rp 25,000 Rp 100,000 4 Rp 25,000 Rp 100,000 0 Rp 25,000 Rp -
14 Tinta Epson Merk e-print Y 80 ml BOTOL 0 Rp 25,000 Rp - 4 Rp 25,000 Rp 100,000 4 Rp 25,000 Rp 100,000 0 Rp 25,000 Rp -
15 Map Snalhacter LUSIN 0 Rp 40,000 Rp - 22 Rp 40,000 Rp 880,000 22 Rp 40,000 Rp 880,000 0 Rp 40,000 Rp -
16 Buku Notes BUAH 0 Rp 5,000 Rp - 70 Rp 5,000 Rp 350,000 70 Rp 5,000 Rp 350,000 0 Rp 5,000 Rp -
17 Buku Notes Lusin 0 Rp 60,000 Rp - 12 Rp 60,000 Rp 720,000 10 Rp 60,000 Rp 600,000 2 Rp 60,000 Rp 120,000
18 Pulpen Faster LUSIN 0 Rp 20,000 Rp - 5 Rp 20,000 Rp 100,000 5 Rp 20,000 Rp 100,000 0 Rp 20,000 Rp -
19 Buku Album Expedisi BUAH 1 Rp 15,000 Rp 15,000 30 Rp 15,000 Rp 450,000 31 Rp 15,000 Rp 465,000 0 Rp 15,000 Rp -
20 Map Tali Plastik LUSIN 0 Rp 62,000 Rp - 9 Rp 62,000 Rp 558,000 9 Rp 62,000 Rp 558,000 0 Rp 62,000 Rp -
21 Kertas Stiker RIM 0 Rp 50,000 Rp - 45 Rp 50,000 Rp 2,250,000 35 Rp 50,000 Rp 1,750,000 10 Rp 50,000 Rp 500,000
22 Kertas Sampul RIM 2 Rp 85,000 Rp 170,000 21 Rp 85,000 Rp 1,785,000 23 Rp 85,000 Rp 1,955,000 0 Rp 85,000 Rp -
23 Amplop Sidu DOS 3 Rp 25,000 Rp 75,000 50 Rp 25,000 Rp 1,250,000 43 Rp 25,000 Rp 1,075,000 10 Rp 25,000 Rp 250,000
24 Pulpen Tanda Tangan LUSIN 0 Rp 200,000 Rp - 2 Rp 200,000 Rp 400,000 2 Rp 200,000 Rp 400,000 0 Rp 200,000 Rp -
25 Pulpen Snowman LUSIN 0 Rp 25,000 Rp - 5 Rp 25,000 Rp 125,000 5 Rp 25,000 Rp 125,000 0 Rp 25,000 Rp -
26 Mata Cutter KOTAK 1 Rp 20,000 Rp 20,000 21 Rp 20,000 Rp 420,000 22 Rp 20,000 Rp 440,000 0 Rp 20,000 Rp -
27 Toner Mesin Foto Copy Brother BUAH 0 Rp 215,000 Rp - 3 Rp 215,000 Rp 645,000 3 Rp 215,000 Rp 645,000 0 Rp 215,000 Rp -
28 Catrik Laser Jet BUAH 0 Rp 500,000 Rp - 2 Rp 500,000 Rp 1,000,000 2 Rp 500,000 Rp 1,000,000 0 Rp 500,000 Rp -
29 Gunting BUAH 2 Rp 10,000 Rp 20,000 7 Rp 10,000 Rp 70,000 9 Rp 10,000 Rp 90,000 0 Rp 10,000 Rp -
30 Binder Clips 51 mm DELI BOX 2 Rp 25,000 Rp 50,000 0 Rp 25,000 Rp - 2 Rp 25,000 Rp 50,000 0 Rp 25,000 Rp -
31 Binder Clips 1 5/8 Inch 2RM BOX 0 Rp 20,000 Rp - 14 Rp 20,000 Rp 280,000 14 Rp 20,000 Rp 280,000 0 Rp 20,000 Rp -
32 Binder Clips 3/4 Inch 2RM BOX 0 Rp 35,000 Rp - 10 Rp 35,000 Rp 350,000 10 Rp 35,000 Rp 350,000 0 Rp 35,000 Rp -
33 Binder Clips 1 Inch 2RM BOX 0 Rp 60,000 Rp - 10 Rp 60,000 Rp 600,000 10 Rp 60,000 Rp 600,000 0 Rp 60,000 Rp -
34 Pelubang Kertas / Perforator BUAH 5 Rp 20,000 Rp 100,000 19 Rp 20,000 Rp 380,000 24 Rp 20,000 Rp 480,000 0 Rp 20,000 Rp -
35 Stapler BUAH 3 Rp 15,000 Rp 45,000 10 Rp 15,000 Rp 150,000 13 Rp 15,000 Rp 195,000 0 Rp 15,000 Rp -
36 Stabillo BUAH 3 Rp 15,000 Rp 45,000 0 Rp 15,000 Rp - 3 Rp 15,000 Rp 45,000 0 Rp 15,000 Rp -
37 Lem Kertas BUAH 1 Rp 10,000 Rp 10,000 10 Rp 10,000 Rp 100,000 11 Rp 10,000 Rp 110,000 0 Rp 10,000 Rp -
38 Double Tip BUAH 3 Rp 15,000 Rp 45,000 0 Rp 15,000 Rp - 3 Rp 15,000 Rp 45,000 0 Rp 15,000 Rp -
39 Map Daito Buah Rp 36,000 Rp - 20 Rp 36,000 Rp 720,000 20 Rp 36,000 Rp 720,000 0 Rp 36,000 Rp -
40 Peluru Staples Eagle 23/15 Buah Rp 15,000 Rp - 12 Rp 15,000 Rp 180,000 10 Rp 15,000 Rp 150,000 2 Rp 15,000 Rp 30,000
41 Peluru Staples Eagle 23/17 Buah Rp 25,000 Rp - 17 Rp 25,000 Rp 425,000 13 Rp 25,000 Rp 325,000 4 Rp 25,000 Rp 100,000
42 Tinta Epson Genoin Y 70 ml Botol Rp 85,000 Rp - 7 Rp 85,000 Rp 595,000 7 Rp 85,000 Rp 595,000 0 Rp 85,000 Rp -
43 Tinta Epson Genoin K 70 ml Botol Rp 85,000 Rp - 7 Rp 85,000 Rp 595,000 7 Rp 85,000 Rp 595,000 0 Rp 85,000 Rp -
44 Tinta Epson Genoin C 70 ml Botol Rp 85,000 Rp - 7 Rp 85,000 Rp 595,000 7 Rp 85,000 Rp 595,000 0 Rp 85,000 Rp -
45 Tinta Epson Genoin M 70 ml Botol Rp 85,000 Rp - 7 Rp 85,000 Rp 595,000 7 Rp 85,000 Rp 595,000 0 Rp 85,000 Rp -
46 Pelubang Kertas Buah Rp 20,000 Rp - 5 Rp 20,000 Rp 100,000 5 Rp 20,000 Rp 100,000 0 Rp 20,000 Rp -
47 Toner Fotocopy Canon Buah Rp 250,000 Rp - 9 Rp 250,000 Rp 2,250,000 7 Rp 250,000 Rp 1,750,000 2 Rp 250,000 Rp 500,000
48 Gantungan ID card Lusin Rp 60,000 Rp - 3 Rp 60,000 Rp 180,000 3 Rp 60,000 Rp 180,000 0 Rp 60,000 Rp -
49 Buku Alum Kyky 50 BUAH Rp 15,000 Rp - 20 Rp 15,000 Rp 300,000 20 Rp 15,000 Rp 300,000 0 Rp 15,000 Rp -
52 Pita Mesin Ketik Brother BUAH Rp 20,000 Rp - 10 Rp 20,000 Rp 200,000 10 Rp 20,000 Rp 200,000 0 Rp 20,000 Rp -
NILAI ATK BOK PUSKESMAS LAMBANDIA Rp 868,000 Rp 42,714,000 Rp 40,502,000 Rp 3,080,000
ATK BPJS
1 Kertas SIDU F4 70 Gram Rim Rp 66,900 Rp - 325 Rp 66,900 Rp 21,742,500 325 Rp 66,900 Rp 21,742,500 0 Rp 66,900 Rp -
2 Kertas Laminating e-Print Rim Rp 33,450 Rp - 20 Rp 33,450 Rp 669,000 20 Rp 33,450 Rp 669,000 0 Rp 33,450 Rp -
3 Kertas Sticker Rim Rp 50,175 Rp - 5 Rp 50,175 Rp 250,875 5 Rp 50,175 Rp 250,875 0 Rp 50,175 Rp -
4 Kertas Jilid Rim Rp 72,475 Rp - 15 Rp 72,475 Rp 1,087,125 15 Rp 72,475 Rp 1,087,125 0 Rp 72,475 Rp -
5 Kertas Jilid Rim Rp 61,325 Rp - 10 Rp 61,325 Rp 613,250 10 Rp 61,325 Rp 613,250 0 Rp 61,325 Rp -
6 Lakban Sedang Buah Rp 11,150 Rp - 10 Rp 11,150 Rp 111,500 10 Rp 11,150 Rp 111,500 0 Rp 11,150 Rp -
7 Lakban Besar Buah Rp 24,530 Rp - 11 Rp 24,530 Rp 269,830 11 Rp 24,530 Rp 269,830 0 Rp 24,530 Rp -
8 Materai 6000 Lembar Rp 8,920 Rp - 150 Rp 8,920 Rp 1,338,000 150 Rp 8,920 Rp 1,338,000 0 Rp 8,920 Rp -
9 Amplop Merk Paperline Dos Rp 27,875 Rp - 18 Rp 27,875 Rp 501,750 18 Rp 27,875 Rp 501,750 0 Rp 27,875 Rp -
10 Tinta Print Epson 1 Kg Botol Rp 223,000 Rp - 3 Rp 223,000 Rp 669,000 3 Rp 223,000 Rp 669,000 0 Rp 223,000 Rp -
11 Tinta Print Merk Printech 100 ml Buah Rp 39,025 Rp - 7 Rp 39,025 Rp 273,175 7 Rp 39,025 Rp 273,175 0 Rp 39,025 Rp -
12 Toner Foto Copy Merk Canon Buah Rp 144,950 Rp - 1 Rp 144,950 Rp 144,950 1 Rp 144,950 Rp 144,950 0 Rp 144,950 Rp -
13 Toner Mono Merk Brother Reguler IF Buah Rp 122,650 Rp - 1 Rp 122,650 Rp 122,650 1 Rp 122,650 Rp 122,650 0 Rp 122,650 Rp -
14 Plastik Jilid Rim Rp 44,600 Rp - 2 Rp 44,600 Rp 89,200 2 Rp 44,600 Rp 89,200 0 Rp 44,600 Rp -
15 Kertas SIDU F4 70 Gram Rim Rp 60,000 Rp - 70 Rp 60,000 Rp 4,200,000 70 Rp 60,000 Rp 4,200,000 0 Rp 60,000 Rp -
NILAI ATK BPJS PUSKESMAS LAMBANDIA Rp - Rp 32,082,805 Rp 32,082,805 Rp -
JUMLAH PERSEDIAAN ATK PUSKESMAS LAMBANDIA Rp 868,000 Rp 74,796,805 Rp 72,584,805 Rp 3,080,000
PUSKESMAS AERE
ATK BOK
1 Kertas HVS Rim Rp 60,000 Rp - 6 Rp 60,000 Rp 360,000 6 Rp 60,000 Rp 360,000 0 Rp 60,000 Rp -
2 Catridge Collor Buah Rp 270,000 Rp - 1 Rp 270,000 Rp 270,000 1 Rp 270,000 Rp 270,000 0 Rp 270,000 Rp -
3 Catridge Black Buah Rp 255,000 Rp - 2 Rp 255,000 Rp 510,000 2 Rp 255,000 Rp 510,000 0 Rp 255,000 Rp -
4 Tinta Print Collor Dos Rp 45,000 Rp - 2 Rp 45,000 Rp 90,000 2 Rp 45,000 Rp 90,000 0 Rp 45,000 Rp -
5 Tinta Print Black Dos Rp 45,000 Rp - 2 Rp 45,000 Rp 90,000 2 Rp 45,000 Rp 90,000 0 Rp 45,000 Rp -
6 Amplop Putih Panjang Dos Rp 35,000 Rp - 2 Rp 35,000 Rp 70,000 2 Rp 35,000 Rp 70,000 0 Rp 35,000 Rp -
8 Jilid laporan Besar Buah Rp 25,000 Rp - 10 Rp 25,000 Rp 250,000 10 Rp 25,000 Rp 250,000 0 Rp 25,000 Rp -
9 Hecter Beser Buah Rp 30,000 Rp - 2 Rp 30,000 Rp 60,000 2 Rp 30,000 Rp 60,000 0 Rp 30,000 Rp -
10 Peluru Hecter Besar Dos Rp 20,000 Rp - 2 Rp 20,000 Rp 40,000 2 Rp 20,000 Rp 40,000 0 Rp 20,000 Rp -
11 Pulpen Snowman Lusin Rp 36,000 Rp - 2 Rp 36,000 Rp 72,000 2 Rp 36,000 Rp 72,000 0 Rp 36,000 Rp -
12 Lem Kertas Sedang Buah Rp 8,000 Rp - 1 Rp 8,000 Rp 8,000 1 Rp 8,000 Rp 8,000 0 Rp 8,000 Rp -
14 Tinta Print Collor Botol Rp 35,000 Rp - 18 Rp 35,000 Rp 630,000 18 Rp 35,000 Rp 630,000 0 Rp 35,000 Rp -
15 Tinta Print Black Botol Rp 35,000 Rp - 18 Rp 35,000 Rp 630,000 18 Rp 35,000 Rp 630,000 0 Rp 35,000 Rp -
17 Spidol Besar Buah Rp 10,000 Rp - 18 Rp 10,000 Rp 180,000 18 Rp 10,000 Rp 180,000 0 Rp 10,000 Rp -
18 Guting Besar Buah Rp 10,000 Rp - 6 Rp 10,000 Rp 60,000 6 Rp 10,000 Rp 60,000 0 Rp 10,000 Rp -
22 Tinta Print Collor Botol Rp 35,000 Rp - 15 Rp 35,000 Rp 525,000 15 Rp 35,000 Rp 525,000 0 Rp 35,000 Rp -
23 Tinta Print Black Botol Rp 35,000 Rp - 15 Rp 35,000 Rp 525,000 15 Rp 35,000 Rp 525,000 0 Rp 35,000 Rp -
25 Spidol Besar Buah Rp 10,000 Rp - 15 Rp 10,000 Rp 150,000 15 Rp 10,000 Rp 150,000 0 Rp 10,000 Rp -
26 Guting Besar Buah Rp 10,000 Rp - 5 Rp 10,000 Rp 50,000 5 Rp 10,000 Rp 50,000 0 Rp 10,000 Rp -
41 Pin Dokter Kecil Buah Rp 10,000 Rp - 90 Rp 10,000 Rp 900,000 90 Rp 10,000 Rp 900,000 0 Rp 10,000 Rp -
42 Buku Tulis Buah Rp 5,000 Rp - 90 Rp 5,000 Rp 450,000 90 Rp 5,000 Rp 450,000 0 Rp 5,000 Rp -
43 Stiker Label Pak Rp 25,000 Rp - 6 Rp 25,000 Rp 150,000 6 Rp 25,000 Rp 150,000 0 Rp 25,000 Rp -
46 Map Plastik Lusin Rp 60,000 Rp - 6 Rp 60,000 Rp 360,000 6 Rp 60,000 Rp 360,000 0 Rp 60,000 Rp -
47 Tipe-X Buah Rp 14,000 Rp - 6 Rp 14,000 Rp 84,000 6 Rp 14,000 Rp 84,000 0 Rp 14,000 Rp -
51 Foto Copy Format Pendaan Lembar Rp 300 Rp - 3900 Rp 300 Rp 1,170,000 3900 Rp 300 Rp 1,170,000 0 Rp 300 Rp -
54 Map Plastik Lusin Rp 60,000 Rp - 5 Rp 60,000 Rp 300,000 5 Rp 60,000 Rp 300,000 0 Rp 60,000 Rp -
55 Tipe-X Dos Rp 14,000 Rp - 5 Rp 14,000 Rp 70,000 5 Rp 14,000 Rp 70,000 0 Rp 14,000 Rp -
59 Foto Copy Format Pendataan Lembar Rp 300 Rp - 3250 Rp 300 Rp 975,000 3250 Rp 300 Rp 975,000 0 Rp 300 Rp -
76 Peluru Hecter Besar Buah Rp 10,000 Rp - 21 Rp 10,000 Rp 210,000 21 Rp 10,000 Rp 210,000 0 Rp 10,000 Rp -
78 Buku Album Buah Rp 20,000 Rp - 3 Rp 20,000 Rp 60,000 3 Rp 20,000 Rp 60,000 0 Rp 20,000 Rp -
84 Peluru Hecter Besar Buah Rp 10,000 Rp - 21 Rp 10,000 Rp 210,000 21 Rp 10,000 Rp 210,000 0 Rp 10,000 Rp -
110 Tinta Epson Black Botol Rp 115,000 Rp - 2 Rp 115,000 Rp 230,000 2 Rp 115,000 Rp 230,000 0 Rp 115,000 Rp -
111 Tinta Epson Collor Botol Rp 115,000 Rp - 3 Rp 115,000 Rp 345,000 3 Rp 115,000 Rp 345,000 0 Rp 115,000 Rp -
114 Notebook Buah Rp 5,000 Rp - 12 Rp 5,000 Rp 60,000 12 Rp 5,000 Rp 60,000 0 Rp 5,000 Rp -
120 Lakban Buah Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
NILAI ATK BOK PUSKESMAS AERE Rp - Rp 25,400,000 Rp 25,400,000 Rp -
ATK BPJS
2 Catrige canon pixma hitam item Rp 250,000 Rp - 1 Rp 250,000 Rp 250,000 1 Rp 250,000 Rp 250,000 0 Rp 250,000 Rp -
3 Amplop panjang dos Rp 35,000 Rp - 1 Rp 35,000 Rp 35,000 1 Rp 35,000 Rp 35,000 0 Rp 35,000 Rp -
4 Lakban hitam rol Rp 15,000 Rp - 1 Rp 15,000 Rp 15,000 1 Rp 15,000 Rp 15,000 0 Rp 15,000 Rp -
5 Kertas jilid pcs Rp 45,000 Rp - 1 Rp 45,000 Rp 45,000 1 Rp 45,000 Rp 45,000 0 Rp 45,000 Rp -
6 Plastik jilid pcs Rp 45,000 Rp - 1 Rp 45,000 Rp 45,000 1 Rp 45,000 Rp 45,000 0 Rp 45,000 Rp -
7 Kertas HVS rim Rp 60,000 Rp - 4 Rp 60,000 Rp 240,000 4 Rp 60,000 Rp 240,000 0 Rp 60,000 Rp -
8 Tinta epson warna hitam btl Rp 65,000 Rp - 2 Rp 65,000 Rp 130,000 2 Rp 65,000 Rp 130,000 0 Rp 65,000 Rp -
9 Tinta canon warna hitam btl Rp 45,000 Rp - 1 Rp 45,000 Rp 45,000 1 Rp 45,000 Rp 45,000 0 Rp 45,000 Rp -
10 Amplop panjang pcs Rp 35,000 Rp - 1 Rp 35,000 Rp 35,000 1 Rp 35,000 Rp 35,000 0 Rp 35,000 Rp -
11 Map snelkekter item Rp 5,000 Rp - 10 Rp 5,000 Rp 50,000 10 Rp 5,000 Rp 50,000 0 Rp 5,000 Rp -
12 Kertas HVS rim Rp 60,000 Rp - 4 Rp 60,000 Rp 240,000 4 Rp 60,000 Rp 240,000 0 Rp 60,000 Rp -
14 Peluru hekter dos Rp 15,000 Rp - 1 Rp 15,000 Rp 15,000 1 Rp 15,000 Rp 15,000 0 Rp 15,000 Rp -
15 Kertas hvs rim Rp 65,000 Rp - 3 Rp 65,000 Rp 195,000 3 Rp 65,000 Rp 195,000 0 Rp 65,000 Rp -
16 Amplop panjang dos Rp 45,000 Rp - 1 Rp 45,000 Rp 45,000 1 Rp 45,000 Rp 45,000 0 Rp 45,000 Rp -
17 Peluru hekter dos Rp 15,000 Rp - 1 Rp 15,000 Rp 15,000 1 Rp 15,000 Rp 15,000 0 Rp 15,000 Rp -
18 Keertas jilid pcs Rp 70,000 Rp - 2 Rp 70,000 Rp 140,000 2 Rp 70,000 Rp 140,000 0 Rp 70,000 Rp -
19 Tinta epson hitam btl Rp 65,000 Rp - 1 Rp 65,000 Rp 65,000 1 Rp 65,000 Rp 65,000 0 Rp 65,000 Rp -
20 Tinta epson kuning btl Rp 65,000 Rp - 1 Rp 65,000 Rp 65,000 1 Rp 65,000 Rp 65,000 0 Rp 65,000 Rp -
21 Ballpoint pcs Rp 45,000 Rp - 1 Rp 45,000 Rp 45,000 1 Rp 45,000 Rp 45,000 0 Rp 45,000 Rp -
23 Catrige canon warna item Rp 250,000 Rp - 1 Rp 250,000 Rp 250,000 1 Rp 250,000 Rp 250,000 0 Rp 250,000 Rp -
24 Pembatas kertas pcs Rp 15,000 Rp - 1 Rp 15,000 Rp 15,000 1 Rp 15,000 Rp 15,000 0 Rp 15,000 Rp -
26 Map bundel kuning buah Rp 50,000 Rp - 4 Rp 50,000 Rp 200,000 4 Rp 50,000 Rp 200,000 0 Rp 50,000 Rp -
28 Map snelhekter lusin Rp 60,000 Rp - 2 Rp 60,000 Rp 120,000 2 Rp 60,000 Rp 120,000 0 Rp 60,000 Rp -
30 Map biasa pcs Rp 50,000 Rp - 2 Rp 50,000 Rp 100,000 2 Rp 50,000 Rp 100,000 0 Rp 50,000 Rp -
32 Kertas sticker pcs Rp 90,000 Rp - 2 Rp 90,000 Rp 180,000 2 Rp 90,000 Rp 180,000 0 Rp 90,000 Rp -
NILAI ATK BPJS PUSKESMAS AERE Rp - Rp 4,000,000 Rp 4,000,000 Rp -
JUMLAH PERSEDIAAN ATK PUSKESMAS AERE Rp - Rp 29,400,000 Rp 29,400,000 Rp -
PUSKESMAS LALOLAE
ATK BOK
2 Tinta Epson Kode 003 Botol Rp 125,000 Rp - 3 Rp 125,000 Rp 375,000 3 Rp 125,000 Rp 375,000 0 Rp 125,000 Rp -
3 Buku Album isi 50 Lembar Buah Rp 12,000 Rp - 4 Rp 12,000 Rp 48,000 4 Rp 12,000 Rp 48,000 0 Rp 12,000 Rp -
4 Materai 6000 lembar Rp 8,000 Rp - 4 Rp 8,000 Rp 32,000 4 Rp 8,000 Rp 32,000 0 Rp 8,000 Rp -
6 Kertas HVS Warna Hijau Rim Rp 65,000 Rp - 1 Rp 65,000 Rp 65,000 1 Rp 65,000 Rp 65,000 0 Rp 65,000 Rp -
7 kertas HVS Rim Rp 70,000 Rp - 3 Rp 70,000 Rp 210,000 3 Rp 70,000 Rp 210,000 0 Rp 70,000 Rp -
8 Catridge Hitam Canon Buah Rp 250,000 Rp - 1 Rp 250,000 Rp 250,000 1 Rp 250,000 Rp 250,000 0 Rp 250,000 Rp -
9 Bundel Merek Bamby Buah Rp 35,000 Rp - 3 Rp 35,000 Rp 105,000 3 Rp 35,000 Rp 105,000 0 Rp 35,000 Rp -
10 stapler Buah Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
12 materai 3000 lembar Rp 5,000 Rp - 2 Rp 5,000 Rp 10,000 2 Rp 5,000 Rp 10,000 0 Rp 5,000 Rp -
13 pulpen Dos Rp 45,000 Rp - 2 Rp 45,000 Rp 90,000 2 Rp 45,000 Rp 90,000 0 Rp 45,000 Rp -
14 pelubang kertas Buah Rp 30,000 Rp - 1 Rp 30,000 Rp 30,000 1 Rp 30,000 Rp 30,000 0 Rp 30,000 Rp -
16 catridge warna Canon Buah Rp 250,000 Rp - 1 Rp 250,000 Rp 250,000 1 Rp 250,000 Rp 250,000 0 Rp 250,000 Rp -
17 map snelhekter Buah Rp 5,000 Rp - 10 Rp 5,000 Rp 50,000 10 Rp 5,000 Rp 50,000 0 Rp 5,000 Rp -
18 Stapler Kecil Buah Rp 16,000 Rp - 1 Rp 16,000 Rp 16,000 1 Rp 16,000 Rp 16,000 0 Rp 16,000 Rp -
20 materai 3000 Buah Rp 5,000 Rp - 2 Rp 5,000 Rp 10,000 2 Rp 5,000 Rp 10,000 0 Rp 5,000 Rp -
21 Jepitan Kertas Buah Rp 5,000 Rp - 20 Rp 5,000 Rp 100,000 20 Rp 5,000 Rp 100,000 0 Rp 5,000 Rp -
22 Peluru Stapler Dos Rp 4,000 Rp - 2 Rp 4,000 Rp 8,000 2 Rp 4,000 Rp 8,000 0 Rp 4,000 Rp -
23 Penggaris buah Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
24 Buku Tulis pak Rp 30,000 Rp - 2 Rp 30,000 Rp 60,000 2 Rp 30,000 Rp 60,000 0 Rp 30,000 Rp -
25 amplop Dos Rp 30,000 Rp - 1 Rp 30,000 Rp 30,000 1 Rp 30,000 Rp 30,000 0 Rp 30,000 Rp -
27 Tinta Epson Kode 003 Botol Rp 125,000 Rp - 3 Rp 125,000 Rp 375,000 3 Rp 125,000 Rp 375,000 0 Rp 125,000 Rp -
28 pensil Buah Rp 1,000 Rp - 1 Rp 1,000 Rp 1,000 1 Rp 1,000 Rp 1,000 0 Rp 1,000 Rp -
31 kertas HVS pink Rim Rp 65,000 Rp - 1 Rp 65,000 Rp 65,000 1 Rp 65,000 Rp 65,000 0 Rp 65,000 Rp -
32 sticky notes Buah Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
33 pulpen Balliner Buah Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
35 Catridgge hitam canon Buah Rp 250,000 Rp - 1 Rp 250,000 Rp 250,000 1 Rp 250,000 Rp 250,000 0 Rp 250,000 Rp -
36 bundel besar Buah Rp 35,000 Rp - 3 Rp 35,000 Rp 105,000 3 Rp 35,000 Rp 105,000 0 Rp 35,000 Rp -
37 peluru stapler Dos Rp 4,000 Rp - 1 Rp 4,000 Rp 4,000 1 Rp 4,000 Rp 4,000 0 Rp 4,000 Rp -
40 stick Glue Buah Rp 10,000 Rp - 2 Rp 10,000 Rp 20,000 2 Rp 10,000 Rp 20,000 0 Rp 10,000 Rp -
41 tinta epson Hitam Botol Rp 125,000 Rp - 1 Rp 125,000 Rp 125,000 1 Rp 125,000 Rp 125,000 0 Rp 125,000 Rp -
43 map business file transparan buah Rp 8,000 Rp - 10 Rp 8,000 Rp 80,000 10 Rp 8,000 Rp 80,000 0 Rp 8,000 Rp -
44 tinta epson hitam kode 003 botol Rp 125,000 Rp - 1 Rp 125,000 Rp 125,000 1 Rp 125,000 Rp 125,000 0 Rp 125,000 Rp -
47 Binder clips Buah Rp 5,000 Rp - 10 Rp 5,000 Rp 50,000 10 Rp 5,000 Rp 50,000 0 Rp 5,000 Rp -
48 amplop Dos Rp 30,000 Rp - 1 Rp 30,000 Rp 30,000 1 Rp 30,000 Rp 30,000 0 Rp 30,000 Rp -
49 penggaris Buah Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
50 paper clips Dos Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
51 pulpen balliner Buah Rp 25,000 Rp - 2 Rp 25,000 Rp 50,000 2 Rp 25,000 Rp 50,000 0 Rp 25,000 Rp -
52 kerta HVS Rim Rp 70,000 Rp - 3 Rp 70,000 Rp 210,000 3 Rp 70,000 Rp 210,000 0 Rp 70,000 Rp -
53 Bundel Besar Buah Rp 45,000 Rp - 2 Rp 45,000 Rp 90,000 2 Rp 45,000 Rp 90,000 0 Rp 45,000 Rp -
54 Tinta Epson Botol Rp 125,000 Rp - 2 Rp 125,000 Rp 250,000 2 Rp 125,000 Rp 250,000 0 Rp 125,000 Rp -
55 pulpen Buah Rp 3,500 Rp - 6 Rp 3,500 Rp 21,000 6 Rp 3,500 Rp 21,000 0 Rp 3,500 Rp -
58 sticky notes Buah Rp 5,000 Rp - 3 Rp 5,000 Rp 15,000 3 Rp 5,000 Rp 15,000 0 Rp 5,000 Rp -
60 tinta epson 003 Botol Rp 125,000 Rp - 2 Rp 125,000 Rp 250,000 2 Rp 125,000 Rp 250,000 0 Rp 125,000 Rp -
61 materai 3000 lbr Rp 5,000 Rp - 21 Rp 5,000 Rp 105,000 21 Rp 5,000 Rp 105,000 0 Rp 5,000 Rp -
62 materai 6000 dos Rp 8,000 Rp - 15 Rp 8,000 Rp 120,000 15 Rp 8,000 Rp 120,000 0 Rp 8,000 Rp -
63 bundel besar Buah Rp 45,000 Rp - 1 Rp 45,000 Rp 45,000 1 Rp 45,000 Rp 45,000 0 Rp 45,000 Rp -
64 pulpen Balliner Buah Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
65 kertas hvs Rim Rp 70,000 Rp - 3 Rp 70,000 Rp 210,000 3 Rp 70,000 Rp 210,000 0 Rp 70,000 Rp -
66 Map Business File buah Rp 5,000 Rp - 15 Rp 5,000 Rp 75,000 15 Rp 5,000 Rp 75,000 0 Rp 5,000 Rp -
69 tinta epson hitam botol Rp 125,000 Rp - 1 Rp 125,000 Rp 125,000 1 Rp 125,000 Rp 125,000 0 Rp 125,000 Rp -
71 pul[en balliner Buah Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
72 peluru stapler Dos Rp 4,000 Rp - 1 Rp 4,000 Rp 4,000 1 Rp 4,000 Rp 4,000 0 Rp 4,000 Rp -
73 bundel Buah Rp 40,000 Rp - 1 Rp 40,000 Rp 40,000 1 Rp 40,000 Rp 40,000 0 Rp 40,000 Rp -
76 tinta Epson kode 003 Botol Rp 125,000 Rp - 3 Rp 125,000 Rp 375,000 3 Rp 125,000 Rp 375,000 0 Rp 125,000 Rp -
79 Amplop Dos Rp 30,000 Rp - 1 Rp 30,000 Rp 30,000 1 Rp 30,000 Rp 30,000 0 Rp 30,000 Rp -
81 Tinta Epson Botol Rp 125,000 Rp - 1 Rp 125,000 Rp 125,000 1 Rp 125,000 Rp 125,000 0 Rp 125,000 Rp -
85 Stapler buah Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
86 sticky note buah Rp 5,000 Rp - 2 Rp 5,000 Rp 10,000 2 Rp 5,000 Rp 10,000 0 Rp 5,000 Rp -
87 Pulpen Balliner buah Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
88 map business file transparan buah Rp 8,000 Rp - 10 Rp 8,000 Rp 80,000 10 Rp 8,000 Rp 80,000 0 Rp 8,000 Rp -
90 Bundel buah Rp 45,000 Rp - 2 Rp 45,000 Rp 90,000 2 Rp 45,000 Rp 90,000 0 Rp 45,000 Rp -
93 Tinta Hitam epson Botol Rp 125,000 Rp - 2 Rp 125,000 Rp 250,000 2 Rp 125,000 Rp 250,000 0 Rp 125,000 Rp -
94 Lem buah Rp 5,000 Rp - 2 Rp 5,000 Rp 10,000 2 Rp 5,000 Rp 10,000 0 Rp 5,000 Rp -
95 Pulpen Balliner buah Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
96 isi/Peluru Stapler Dos Rp 4,000 Rp - 1 Rp 4,000 Rp 4,000 1 Rp 4,000 Rp 4,000 0 Rp 4,000 Rp -
NILAI ATK BOK PUSKESMAS LALOLAE Rp - Rp 9,060,000 Rp 9,060,000 Rp -

ATK BPJS
2 Buku Album Tebal Buah Rp 20,000 Rp - 5 Rp 20,000 Rp 100,000 5 Rp 20,000 Rp 100,000 0 Rp 20,000 Rp -
3 Buku Album kecil Buah Rp 15,000 Rp - 15 Rp 15,000 Rp 225,000 15 Rp 15,000 Rp 225,000 0 Rp 15,000 Rp -
5 Map Snelhecter Plastik Buah Rp 5,000 Rp - 30 Rp 5,000 Rp 150,000 30 Rp 5,000 Rp 150,000 0 Rp 5,000 Rp -
6 Map Plastik Jepit Buah Rp 10,000 Rp - 5 Rp 10,000 Rp 50,000 5 Rp 10,000 Rp 50,000 0 Rp 10,000 Rp -
7 Gunting Besar Buah Rp 15,000 Rp - 1 Rp 15,000 Rp 15,000 1 Rp 15,000 Rp 15,000 0 Rp 15,000 Rp -
8 Mistar Buah Rp 10,000 Rp - 1 Rp 10,000 Rp 10,000 1 Rp 10,000 Rp 10,000 0 Rp 10,000 Rp -
9 Stapler Besar Buah Rp 40,000 Rp - 1 Rp 40,000 Rp 40,000 1 Rp 40,000 Rp 40,000 0 Rp 40,000 Rp -
10 Box File Buah Rp 15,000 Rp - 4 Rp 15,000 Rp 60,000 4 Rp 15,000 Rp 60,000 0 Rp 15,000 Rp -
11 Map Ordner Buah Rp 35,000 Rp - 5 Rp 35,000 Rp 175,000 5 Rp 35,000 Rp 175,000 0 Rp 35,000 Rp -
12 Pulpen Snowman Pak Rp 24,000 Rp - 1 Rp 24,000 Rp 24,000 1 Rp 24,000 Rp 24,000 0 Rp 24,000 Rp -
13 Tip X Buah Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
17 Map Snelhecter Plastik Buah Rp 4,000 Rp - 60 Rp 4,000 Rp 240,000 60 Rp 4,000 Rp 240,000 0 Rp 4,000 Rp -
20 Tinta Epson Black 003 Buah Rp 100,000 Rp - 1 Rp 100,000 Rp 100,000 1 Rp 100,000 Rp 100,000 0 Rp 100,000 Rp -
21 Tinta Epson Black 664 Buah Rp 96,000 Rp - 1 Rp 96,000 Rp 96,000 1 Rp 96,000 Rp 96,000 0 Rp 96,000 Rp -
24 Hekter Besar Buah Rp 30,000 Rp - 1 Rp 30,000 Rp 30,000 1 Rp 30,000 Rp 30,000 0 Rp 30,000 Rp -
26 Peluru Hekter Kecil Pak Rp 3,000 Rp - 2 Rp 3,000 Rp 6,000 2 Rp 3,000 Rp 6,000 0 Rp 3,000 Rp -
27 Amplop Besar Pak Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
28 Amplop Kecil Buah Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
29 Klip Kertas Buah Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
30 Klip Binder Buah Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
31 Spidol Snowman Buah Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
32 Bundel Buah Rp 45,000 Rp - 2 Rp 45,000 Rp 90,000 2 Rp 45,000 Rp 90,000 0 Rp 45,000 Rp -
34 Map Snelhecter Plastik Pak Rp 48,000 Rp - 14 Rp 48,000 Rp 672,000 14 Rp 48,000 Rp 672,000 0 Rp 48,000 Rp -
35 Polpen Tempel Buah Rp 20,000 Rp - 6 Rp 20,000 Rp 120,000 6 Rp 20,000 Rp 120,000 0 Rp 20,000 Rp -
36 Polpen Pilot Buah Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
37 Pulpen Snowman Pak Rp 20,000 Rp - 2 Rp 20,000 Rp 40,000 2 Rp 20,000 Rp 40,000 0 Rp 20,000 Rp -
38 Double Tape Buah Rp 7,000 Rp - 1 Rp 7,000 Rp 7,000 1 Rp 7,000 Rp 7,000 0 Rp 7,000 Rp -
39 Tinta Stempel Buah Rp 15,000 Rp - 1 Rp 15,000 Rp 15,000 1 Rp 15,000 Rp 15,000 0 Rp 15,000 Rp -
46 Buku Kecil Pak Rp 40,000 Rp - 1 Rp 40,000 Rp 40,000 1 Rp 40,000 Rp 40,000 0 Rp 40,000 Rp -
47 Map Plastik Jepit Buah Rp 15,000 Rp - 2 Rp 15,000 Rp 30,000 2 Rp 15,000 Rp 30,000 0 Rp 15,000 Rp -
48 Spidol Snowman Buah Rp 5,000 Rp - 2 Rp 5,000 Rp 10,000 2 Rp 5,000 Rp 10,000 0 Rp 5,000 Rp -
52 Tinta Epson 003 Black Buah Rp 110,000 Rp - 1 Rp 110,000 Rp 110,000 1 Rp 110,000 Rp 110,000 0 Rp 110,000 Rp -
53 Tinta Epson 003 Yellow Buah Rp 112,000 Rp - 1 Rp 112,000 Rp 112,000 1 Rp 112,000 Rp 112,000 0 Rp 112,000 Rp -
55 Pulpen Snowman Buah Rp 20,000 Rp - 3 Rp 20,000 Rp 60,000 3 Rp 20,000 Rp 60,000 0 Rp 20,000 Rp -
56 Gunting Besar Buah Rp 15,000 Rp - 1 Rp 15,000 Rp 15,000 1 Rp 15,000 Rp 15,000 0 Rp 15,000 Rp -
57 Keranjang Map Buah Rp 35,000 Rp - 1 Rp 35,000 Rp 35,000 1 Rp 35,000 Rp 35,000 0 Rp 35,000 Rp -
58 Bundel Buah Rp 45,000 Rp - 1 Rp 45,000 Rp 45,000 1 Rp 45,000 Rp 45,000 0 Rp 45,000 Rp -
63 Keranjang Map Buah Rp 25,000 Rp - 5 Rp 25,000 Rp 125,000 5 Rp 25,000 Rp 125,000 0 Rp 25,000 Rp -
66 Kertas Jilid Warna Orange Buah Rp 47,000 Rp - 1 Rp 47,000 Rp 47,000 1 Rp 47,000 Rp 47,000 0 Rp 47,000 Rp -
68 Buku Tulis Pak Rp 35,000 Rp - 1 Rp 35,000 Rp 35,000 1 Rp 35,000 Rp 35,000 0 Rp 35,000 Rp -
70 Penjepit Kertas No.155 Pak Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
71 Pulpen Pilot Buah Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
72 Pulpen Nevada Pak Rp 12,000 Rp - 3 Rp 12,000 Rp 36,000 3 Rp 12,000 Rp 36,000 0 Rp 12,000 Rp -
74 Tinta Hitam Epson 003 Buah Rp 110,000 Rp - 1 Rp 110,000 Rp 110,000 1 Rp 110,000 Rp 110,000 0 Rp 110,000 Rp -
75 Tinta Kuning Epson 664 Buah Rp 115,000 Rp - 1 Rp 115,000 Rp 115,000 1 Rp 115,000 Rp 115,000 0 Rp 115,000 Rp -
78 Map Ordner Buah Rp 38,000 Rp - 10 Rp 38,000 Rp 380,000 10 Rp 38,000 Rp 380,000 0 Rp 38,000 Rp -
83 Pulpen Pilot Baliner Buah Rp 25,000 Rp - 2 Rp 25,000 Rp 50,000 2 Rp 25,000 Rp 50,000 0 Rp 25,000 Rp -
84 Pulpen Gel Buah Rp 12,000 Rp - 1 Rp 12,000 Rp 12,000 1 Rp 12,000 Rp 12,000 0 Rp 12,000 Rp -
85 Penjepit Kertas No.155 Dos Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
86 Amplop Besar Dos Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
88 Tinta Cyan Epson 003 Buah Rp 112,000 Rp - 1 Rp 112,000 Rp 112,000 1 Rp 112,000 Rp 112,000 0 Rp 112,000 Rp -
NILAI ATK BPJS PUSKESMAS LALOLAE Rp - Rp 8,476,000 Rp 8,476,000 Rp -
JUMLAH PERSEDIAAN ATK PUSKESMAS LALOLAE Rp - Rp 17,536,000 Rp 17,536,000 Rp -
PUSKESMAS TINONDO
ATK BOK
1 Kertas HVS F4 Rim Rp 65,000 Rp - 13 Rp 65,000 Rp 845,000 13 Rp 65,000 Rp 845,000 0 Rp 65,000 Rp -
2 Map Plastik BH Rp 10,000 Rp - 3 Rp 10,000 Rp 30,000 3 Rp 10,000 Rp 30,000 0 Rp 10,000 Rp -
3 Materai 6000 Lbr Rp 8,000 Rp - 3 Rp 8,000 Rp 24,000 3 Rp 8,000 Rp 24,000 0 Rp 8,000 Rp -
5 Tinta Print Botol Hitam Btl Rp 60,000 Rp - 3 Rp 60,000 Rp 180,000 3 Rp 60,000 Rp 180,000 0 Rp 60,000 Rp -
6 Tinta Print Botol Warna Btl Rp 60,000 Rp - 1 Rp 60,000 Rp 60,000 1 Rp 60,000 Rp 60,000 0 Rp 60,000 Rp -
9 Pulpen BH Rp 5,000 Rp - 5 Rp 5,000 Rp 25,000 5 Rp 5,000 Rp 25,000 0 Rp 5,000 Rp -
11 Amplop Kecil Dos Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
12 Penjempit Kertas Dos Rp 20,000 Rp - 2 Rp 20,000 Rp 40,000 2 Rp 20,000 Rp 40,000 0 Rp 20,000 Rp -
13 Kertas HVS F4 Rim Rp 65,000 Rp - 14 Rp 65,000 Rp 910,000 14 Rp 65,000 Rp 910,000 0 Rp 65,000 Rp -
18 Tinta Print Botol Warna Btl Rp 60,000 Rp - 1 Rp 60,000 Rp 60,000 1 Rp 60,000 Rp 60,000 0 Rp 60,000 Rp -
25 Kertas F4 Rim Rp 65,000 Rp - 15 Rp 65,000 Rp 975,000 15 Rp 65,000 Rp 975,000 0 Rp 65,000 Rp -
35 Lem Kertas BH Rp 10,000 Rp - 1 Rp 10,000 Rp 10,000 1 Rp 10,000 Rp 10,000 0 Rp 10,000 Rp -
36 Tissue BH Rp 20,000 Rp - 2 Rp 20,000 Rp 40,000 2 Rp 20,000 Rp 40,000 0 Rp 20,000 Rp -
80 Tinta Stempel Btl Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
91 Pengaris Besi 60 cm BH Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
102 Pengaris Besi 60 cm BH Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
113 Baterai Alkaline Dos Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
124 Baterai Alkaline Dos Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
132 Foto Copy Formulir SMD Lbr Rp 300 Rp - 1000 Rp 300 Rp 300,000 1000 Rp 300 Rp 300,000 0 Rp 300 Rp -
NILAI ATK BOK PUSKESMAS TINONDO Rp - Rp - Rp 15,800,000 Rp - Rp 15,800,000 0 Rp - Rp -
ATK BPJS
1 Kertas HVS F4 RIM 0 Rp 60,000 Rp - 60 Rp 60,000 Rp 3,600,000 60 Rp 60,000 Rp 3,600,000 0 Rp 60,000 Rp -
NILAI ATK BPJS PUSKESMAS TINONDO Rp - Rp 3,600,000 Rp 3,600,000 Rp -
JUMLAH PERSEDIAAN ATK PUSKESMAS TINONDO Rp - Rp 19,400,000 Rp 19,400,000 Rp -
PUSKESMAS MOWEWE
ATK BOK
2 Buku Album Sedang Bh Rp 15,000 Rp - 20 Rp 15,000 Rp 300,000 20 Rp 15,000 Rp 300,000 0 Rp 15,000 Rp -
3 Polpen Snowman Dos Rp 25,000 Rp - 10 Rp 25,000 Rp 250,000 10 Rp 25,000 Rp 250,000 0 Rp 25,000 Rp -
4 Lem Fox Bh Rp 15,000 Rp - 3 Rp 15,000 Rp 45,000 3 Rp 15,000 Rp 45,000 0 Rp 15,000 Rp -
5 Lakban Bh Rp 20,000 Rp - 3 Rp 20,000 Rp 60,000 3 Rp 20,000 Rp 60,000 0 Rp 20,000 Rp -
6 Map Plastik Bh Rp 10,000 Rp - 10 Rp 10,000 Rp 100,000 10 Rp 10,000 Rp 100,000 0 Rp 10,000 Rp -
7 Mistar Bh Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
9 Amplop Besar Bh Rp 35,000 Rp - 4 Rp 35,000 Rp 140,000 4 Rp 35,000 Rp 140,000 0 Rp 35,000 Rp -
10 Tinta Epson 003 ( Hitam ) Bh Rp 125,000 Rp - 1 Rp 125,000 Rp 125,000 1 Rp 125,000 Rp 125,000 0 Rp 125,000 Rp -
11 Tinta Epson 003 ( Kuning ) Bh Rp 125,000 Rp - 1 Rp 125,000 Rp 125,000 1 Rp 125,000 Rp 125,000 0 Rp 125,000 Rp -
12 Tinta Epson 003 ( Merah ) Bh Rp 125,000 Rp - 1 Rp 125,000 Rp 125,000 1 Rp 125,000 Rp 125,000 0 Rp 125,000 Rp -
15 Catrige 810 Hitam Bh Rp 250,000 Rp - 1 Rp 250,000 Rp 250,000 1 Rp 250,000 Rp 250,000 0 Rp 250,000 Rp -
16 Cops Paper Biasa Dos Rp 25,000 Rp - 3 Rp 25,000 Rp 75,000 3 Rp 25,000 Rp 75,000 0 Rp 25,000 Rp -
17 Polpen Balliner Biru Bh Rp 15,000 Rp - 3 Rp 15,000 Rp 45,000 3 Rp 15,000 Rp 45,000 0 Rp 15,000 Rp -
18 Buku Album Bh Rp 35,000 Rp - 11 Rp 35,000 Rp 385,000 11 Rp 35,000 Rp 385,000 0 Rp 35,000 Rp -
19 Anak Hecter Kecil Bh Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
22 Cops Paper Biasa Dos Rp 25,000 Rp - 3 Rp 25,000 Rp 75,000 3 Rp 25,000 Rp 75,000 0 Rp 25,000 Rp -
24 Bundel Besar Bh Rp 60,000 Rp - 6 Rp 60,000 Rp 360,000 6 Rp 60,000 Rp 360,000 0 Rp 60,000 Rp -
33 Tinta Epson 003 ( Kuning ) Bh Rp 125,000 Rp - 1 Rp 125,000 Rp 125,000 1 Rp 125,000 Rp 125,000 0 Rp 125,000 Rp -
34 Tinta Epson 003 ( Merah ) Bh Rp 125,000 Rp - 2 Rp 125,000 Rp 250,000 2 Rp 125,000 Rp 250,000 0 Rp 125,000 Rp -
38 Buku album Sedang Bh Rp 15,000 Rp - 20 Rp 15,000 Rp 300,000 20 Rp 15,000 Rp 300,000 0 Rp 15,000 Rp -
39 Polpen Snowman Bh Rp 25,000 Rp - 10 Rp 25,000 Rp 250,000 10 Rp 25,000 Rp 250,000 0 Rp 25,000 Rp -
40 Lem Fox Bh Rp 15,000 Rp - 3 Rp 15,000 Rp 45,000 3 Rp 15,000 Rp 45,000 0 Rp 15,000 Rp -
42 Map Plastik Bh Rp 10,000 Rp - 10 Rp 10,000 Rp 100,000 10 Rp 10,000 Rp 100,000 0 Rp 10,000 Rp -
45 Tinta Epson 003 ( Hitam ) Btl Rp 125,000 Rp - 4 Rp 125,000 Rp 500,000 4 Rp 125,000 Rp 500,000 0 Rp 125,000 Rp -
46 Tinta Epson 003 ( Biru ) Btl Rp 125,000 Rp - 1 Rp 125,000 Rp 125,000 1 Rp 125,000 Rp 125,000 0 Rp 125,000 Rp -
47 Tinta Epson 003 ( Merah ) Btl Rp 125,000 Rp - 1 Rp 125,000 Rp 125,000 1 Rp 125,000 Rp 125,000 0 Rp 125,000 Rp -
48 Tinta Epson 003 ( Kuning ) Btl Rp 125,000 Rp - 1 Rp 125,000 Rp 125,000 1 Rp 125,000 Rp 125,000 0 Rp 125,000 Rp -
51 Tinta Epson 003 ( Biru ) Btl Rp 125,000 Rp - 2 Rp 125,000 Rp 250,000 2 Rp 125,000 Rp 250,000 0 Rp 125,000 Rp -
52 Tinta Epson 003 ( Kuning ) Btl Rp 125,000 Rp - 2 Rp 125,000 Rp 250,000 2 Rp 125,000 Rp 250,000 0 Rp 125,000 Rp -
55 Penjepit Kertas / Binder Clips Dos Rp 20,000 Rp - 2 Rp 20,000 Rp 40,000 2 Rp 20,000 Rp 40,000 0 Rp 20,000 Rp -
57 Tinta Epson 003 ( HITAM ) Btl Rp 125,000 Rp - 2 Rp 125,000 Rp 250,000 2 Rp 125,000 Rp 250,000 0 Rp 125,000 Rp -
60 Polpen snowman Dos Rp 15,000 Rp - 3 Rp 15,000 Rp 45,000 3 Rp 15,000 Rp 45,000 0 Rp 15,000 Rp -
61 Penjepit Kertas / Binder Clips Dos Rp 20,000 Rp - 2 Rp 20,000 Rp 40,000 2 Rp 20,000 Rp 40,000 0 Rp 20,000 Rp -
67 Hecter Bh Rp 25,000 Rp - 2 Rp 25,000 Rp 50,000 2 Rp 25,000 Rp 50,000 0 Rp 25,000 Rp -
68 Map Biasa Bh Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
71 Tinta Epson 003 ( HITAM ) Btl Rp 125,000 Rp - 2 Rp 125,000 Rp 250,000 2 Rp 125,000 Rp 250,000 0 Rp 125,000 Rp -
73 Spidol Hitam Bh Rp 20,000 Rp - 6 Rp 20,000 Rp 120,000 6 Rp 20,000 Rp 120,000 0 Rp 20,000 Rp -
74 Map Biasa Bh Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
75 Polpen Snowman Dos Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
NILAI ATK BOK PUSKESMAS MOWEWE Rp - Rp - Rp 12,000,000 Rp - Rp 12,000,000 0 Rp - Rp -
ATK BPJS
Buku Album 50 Lmbr Buah Rp 25,000 Rp - 10 Rp 25,000 Rp 250,000 10 Rp 25,000 Rp 250,000 0 Rp 25,000 Rp -
Buku Album 100 Lmbr Buah Rp 30,000 Rp - 1 Rp 30,000 Rp 30,000 1 Rp 30,000 Rp 30,000 0 Rp 30,000 Rp -
Kertas HVS Rim Rp 60,000 Rp - 2 Rp 60,000 Rp 120,000 2 Rp 60,000 Rp 120,000 0 Rp 60,000 Rp -
Materai 6000 Bh Rp 8,000 Rp - 5 Rp 8,000 Rp 40,000 5 Rp 8,000 Rp 40,000 0 Rp 8,000 Rp -
Amplop Besar Dos Rp 35,000 Rp - 2 Rp 35,000 Rp 70,000 2 Rp 35,000 Rp 70,000 0 Rp 35,000 Rp -
Kertas Jilid Bh Rp 2,000 Rp - 10 Rp 2,000 Rp 20,000 10 Rp 2,000 Rp 20,000 0 Rp 2,000 Rp -
Lakban Hitam Bh Rp 25,000 Rp - 2 Rp 25,000 Rp 50,000 2 Rp 25,000 Rp 50,000 0 Rp 25,000 Rp -
Map Biasa Pak Rp 70,000 Rp - 10 Rp 70,000 Rp 700,000 10 Rp 70,000 Rp 700,000 0 Rp 70,000 Rp -
Tinta Print Epson 003 ( Black ) Bh Rp 140,000 Rp - 2 Rp 140,000 Rp 280,000 2 Rp 140,000 Rp 280,000 0 Rp 140,000 Rp -
Tinta Print Epson 003 ( Y ) Bh Rp 140,000 Rp - 1 Rp 140,000 Rp 140,000 1 Rp 140,000 Rp 140,000 0 Rp 140,000 Rp -
Kertas Jilid Rim Rp 75,000 Rp - 4 Rp 75,000 Rp 300,000 4 Rp 75,000 Rp 300,000 0 Rp 75,000 Rp -
Anak Hecter Bh Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
Anak Hecter Bh Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
Map Polio Rim Rp 60,000 Rp - 2 Rp 60,000 Rp 120,000 2 Rp 60,000 Rp 120,000 0 Rp 60,000 Rp -
Kertas Jilid Rim Rp 75,000 Rp - 1 Rp 75,000 Rp 75,000 1 Rp 75,000 Rp 75,000 0 Rp 75,000 Rp -
Ampop Kecil Dos Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
Map Biasa Rim Rp 70,000 Rp - 1 Rp 70,000 Rp 70,000 1 Rp 70,000 Rp 70,000 0 Rp 70,000 Rp -
Ampop Kecil Dos Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
Anak Heckter Bh Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
Map Biasa Rim Rp 70,000 Rp - 1 Rp 70,000 Rp 70,000 1 Rp 70,000 Rp 70,000 0 Rp 70,000 Rp -
Polpen Snowman Dos Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000 Rp 25,000 0 Rp 25,000 Rp -
Anak Heckter Bh Rp 5,000 Rp - 1 Rp 5,000 Rp 5,000 1 Rp 5,000 Rp 5,000 0 Rp 5,000 Rp -
NILAI ATK BPJS PUSKESMAS MOWEWE Rp - Rp - Rp 3,200,000 Rp - Rp 3,200,000 0 Rp - Rp -
JUMLAH PERSEDIAAN ATK PUSKESMAS MOWEWE Rp - Rp 15,200,000 Rp 15,200,000 Rp -
PUSKESMAS SANGGONA
ATK BOK
1 Kertas HVS F4 70 gr Rim Rp 60,000 Rp - 88 Rp 60,000 Rp 5,280,000 88 Rp 60,000 Rp 5,280,000 0 Rp 60,000 Rp -
2 Kertas HVS F4 70 gr warna Rim Rp 85,000 Rp - 9 Rp 85,000 Rp 765,000 9 Rp 85,000 Rp 765,000 0 Rp 85,000 Rp -
3 Buku Album Besar Dos Rp 25,000 Rp - 12 Rp 25,000 Rp 300,000 12 Rp 25,000 Rp 300,000 0 Rp 25,000 Rp -
6 Pensil Buah Rp 5,000 Rp - 4 Rp 5,000 Rp 20,000 4 Rp 5,000 Rp 20,000 0 Rp 5,000 Rp -
7 Map Biasa Buah Rp 2,000 Rp - 57 Rp 2,000 Rp 114,000 57 Rp 2,000 Rp 114,000 0 Rp 2,000 Rp -
8 Map Plastik Tulang Buah Rp 5,000 Rp - 155 Rp 5,000 Rp 775,000 155 Rp 5,000 Rp 775,000 0 Rp 5,000 Rp -
9 hekter Sedang Buah Rp 25,000 Rp - 2 Rp 25,000 Rp 50,000 2 Rp 25,000 Rp 50,000 0 Rp 25,000 Rp -
10 Peluru Hekter sedang Dos Rp 5,000 Rp - 79 Rp 5,000 Rp 395,000 79 Rp 5,000 Rp 395,000 0 Rp 5,000 Rp -
11 Tinta Printer Canon Hitam botol Rp 65,000 Rp - 6 Rp 65,000 Rp 390,000 6 Rp 65,000 Rp 390,000 0 Rp 65,000 Rp -
12 Tinta Printer Canon warna botol Rp 65,000 Rp - 9 Rp 65,000 Rp 585,000 9 Rp 65,000 Rp 585,000 0 Rp 65,000 Rp -
13 Tinta Printer Epson Hitam botol Rp 110,000 Rp - 9 Rp 110,000 Rp 990,000 9 Rp 110,000 Rp 990,000 0 Rp 110,000 Rp -
14 Tinta Printer Epson Warna botol Rp 110,000 Rp - 8 Rp 110,000 Rp 880,000 8 Rp 110,000 Rp 880,000 0 Rp 110,000 Rp -
15 Cetrik Canon Black 810 Buah Rp 220,000 Rp - 8 Rp 220,000 Rp 1,760,000 8 Rp 220,000 Rp 1,760,000 0 Rp 220,000 Rp -
16 Cetrik Canon Warna 811 Buah Rp 250,000 Rp - 8 Rp 250,000 Rp 2,000,000 8 Rp 250,000 Rp 2,000,000 0 Rp 250,000 Rp -
17 Tissue Dos Rp 15,000 Rp - 1 Rp 15,000 Rp 15,000 1 Rp 15,000 Rp 15,000 0 Rp 15,000 Rp -
19 Materai 6.000 Lembar Rp 8,000 Rp - 11 Rp 8,000 Rp 88,000 11 Rp 8,000 Rp 88,000 0 Rp 8,000 Rp -
20 Materai 3.000 Lembar Rp 4,000 Rp - 17 Rp 4,000 Rp 68,000 17 Rp 4,000 Rp 68,000 0 Rp 4,000 Rp -
NILAI ATK BOK PUSKESMAS SANGGONA Rp - Rp - Rp 15,600,000 Rp - Rp 15,600,000 0 Rp - Rp -
ATK BPJS
1 Kertas HVS F4 70 gr Rim Rp 60,000 Rp - 12 Rp 60,000 Rp 720,000 12 Rp 60,000 Rp 720,000 0 Rp 60,000 Rp -
3 Pulpen Snowman buah Rp 3,000 Rp - 1 Rp 3,000 Rp 3,000 1 Rp 3,000 Rp 3,000 0 Rp 3,000 Rp -
4 Map Biasa Buah Rp 2,000 Rp - 3 Rp 2,000 Rp 6,000 3 Rp 2,000 Rp 6,000 0 Rp 2,000 Rp -
5 Map Plastik Tulang Buah Rp 5,000 Rp - 29 Rp 5,000 Rp 145,000 29 Rp 5,000 Rp 145,000 0 Rp 5,000 Rp -
6 Tinta Printer Epson Hitam Buah Rp 100,000 Rp - 3 Rp 100,000 Rp 300,000 3 Rp 100,000 Rp 300,000 0 Rp 100,000 Rp -
7 Tinta Printer Epson Black Buah Rp 106,000 Rp - 2 Rp 106,000 Rp 212,000 2 Rp 106,000 Rp 212,000 0 Rp 106,000 Rp -
8 Materai 6.000 Buah Rp 7,000 Rp - 12 Rp 7,000 Rp 84,000 12 Rp 7,000 Rp 84,000 0 Rp 7,000 Rp -
NILAI ATK BPJS PUSKESMAS SANGGONA Rp - Rp - Rp 1,500,000 Rp - Rp 1,500,000 0 Rp - Rp -
JUMLAH PERSEDIAAN ATK PUSKESMAS SANGGONA Rp - Rp 17,100,000 Rp 17,100,000 Rp -
PUSKESMAS UEESI
ATK BOK
1 Pulpen Lusin Rp 25,000 Rp - 11 Rp 25,000 Rp 275,000 11 Rp 25,000 Rp 275,000 0 Rp 25,000 Rp -
2 Tinta Printer Hitam Btl Rp 60,000 Rp - 19 Rp 60,000 Rp 1,140,000 19 Rp 60,000 Rp 1,140,000 0 Rp 60,000 Rp -
3 Kertas Hvs Folio Rim Rp 60,000 Rp - 114 Rp 60,000 Rp 6,840,000 114 Rp 60,000 Rp 6,840,000 0 Rp 60,000 Rp -
5 Pelubang Kertas Besar Buah Rp 50,000 Rp - 5 Rp 50,000 Rp 250,000 5 Rp 50,000 Rp 250,000 0 Rp 50,000 Rp -
6 Map Plastik Snel Hecter Lusin Rp 60,000 Rp - 7 Rp 60,000 Rp 420,000 7 Rp 60,000 Rp 420,000 0 Rp 60,000 Rp -
7 Cadrige Hitam Buah Rp 200,000 Rp - 3 Rp 200,000 Rp 600,000 3 Rp 200,000 Rp 600,000 0 Rp 200,000 Rp -
8 Hecter Kecil buah Rp 15,000 Rp - 7 Rp 15,000 Rp 105,000 7 Rp 15,000 Rp 105,000 0 Rp 15,000 Rp -
9 Hecter Besar Buah Rp 25,000 Rp - 18 Rp 25,000 Rp 450,000 18 Rp 25,000 Rp 450,000 0 Rp 25,000 Rp -
10 Penjepit Kerrtas Dos Rp 50,000 Rp - 9 Rp 50,000 Rp 450,000 9 Rp 50,000 Rp 450,000 0 Rp 50,000 Rp -
11 Tinta Print Warnah Btl Rp 60,000 Rp - 14 Rp 60,000 Rp 840,000 14 Rp 60,000 Rp 840,000 0 Rp 60,000 Rp -
14 Buku Tulis Pack Rp 40,000 Rp - 3 Rp 40,000 Rp 120,000 3 Rp 40,000 Rp 120,000 0 Rp 40,000 Rp -
15 Tinta Epson Hitam Btl Rp 80,000 Rp - 9 Rp 80,000 Rp 720,000 9 Rp 80,000 Rp 720,000 0 Rp 80,000 Rp -
18 Tipex Buah Rp 10,000 Rp - 13 Rp 10,000 Rp 130,000 13 Rp 10,000 Rp 130,000 0 Rp 10,000 Rp -
19 Penghapus Buah Rp 2,500 Rp - 4 Rp 2,500 Rp 10,000 4 Rp 2,500 Rp 10,000 0 Rp 2,500 Rp -
20 Stick Note Buah Rp 20,000 Rp - 10 Rp 20,000 Rp 200,000 10 Rp 20,000 Rp 200,000 0 Rp 20,000 Rp -
21 Bundel Tulang Buah Rp 40,000 Rp - 52 Rp 40,000 Rp 2,080,000 52 Rp 40,000 Rp 2,080,000 0 Rp 40,000 Rp -
22 Mistar Besi Buah Rp 40,000 Rp - 4 Rp 40,000 Rp 160,000 4 Rp 40,000 Rp 160,000 0 Rp 40,000 Rp -
23 Bundel Kecil Buah Rp 15,000 Rp - 2 Rp 15,000 Rp 30,000 2 Rp 15,000 Rp 30,000 0 Rp 15,000 Rp -
24 Peluru Hecter Kecil Buah Rp 5,000 Rp - 7 Rp 5,000 Rp 35,000 7 Rp 5,000 Rp 35,000 0 Rp 5,000 Rp -
25 Tinta Epson Yelow Btl Rp 80,000 Rp - 1 Rp 80,000 Rp 80,000 1 Rp 80,000 Rp 80,000 0 Rp 80,000 Rp -
26 Tinta Epson Blue Btl Rp 80,000 Rp - 1 Rp 80,000 Rp 80,000 1 Rp 80,000 Rp 80,000 0 Rp 80,000 Rp -
27 Tinta Epson Magenta Btl Rp 80,000 Rp - 1 Rp 80,000 Rp 80,000 1 Rp 80,000 Rp 80,000 0 Rp 80,000 Rp -
29 Pensil Box Rp 25,000 Rp - 2 Rp 25,000 Rp 50,000 2 Rp 25,000 Rp 50,000 0 Rp 25,000 Rp -
32 Cuter Buah Rp 25,000 Rp - 3 Rp 25,000 Rp 75,000 3 Rp 25,000 Rp 75,000 0 Rp 25,000 Rp -
33 Pisau Cuter Box Rp 10,000 Rp - 2 Rp 10,000 Rp 20,000 2 Rp 10,000 Rp 20,000 0 Rp 10,000 Rp -
34 Map Plastik Snel Hecter Buah Rp 5,000 Rp - 22 Rp 5,000 Rp 110,000 22 Rp 5,000 Rp 110,000 0 Rp 5,000 Rp -
35 Kertas Sidu A4 Rim Rp 50,000 Rp - 1 Rp 50,000 Rp 50,000 1 Rp 50,000 Rp 50,000 0 Rp 50,000 Rp -
36 Pulpen balliner Buah Rp 15,000 Rp - 3 Rp 15,000 Rp 45,000 3 Rp 15,000 Rp 45,000 0 Rp 15,000 Rp -
37 Tinta Stempel Biru Btl Rp 15,000 Rp - 1 Rp 15,000 Rp 15,000 1 Rp 15,000 Rp 15,000 0 Rp 15,000 Rp -
38 Papan Stempel Biru Buah Rp 20,000 Rp - 2 Rp 20,000 Rp 40,000 2 Rp 20,000 Rp 40,000 0 Rp 20,000 Rp -
39 Papan Stempel Violet Buah Rp 20,000 Rp - 2 Rp 20,000 Rp 40,000 2 Rp 20,000 Rp 40,000 0 Rp 20,000 Rp -
40 Pulpen lLusin Rp 30,000 Rp - 10 Rp 30,000 Rp 300,000 10 Rp 30,000 Rp 300,000 0 Rp 30,000 Rp -
41 Tinta stemepel otomatis Botol Rp 45,000 Rp - 3 Rp 45,000 Rp 135,000 3 Rp 45,000 Rp 135,000 0 Rp 45,000 Rp -
42 Materai @ 6000 Buah Rp 8,000 Rp - 20 Rp 8,000 Rp 160,000 20 Rp 8,000 Rp 160,000 0 Rp 8,000 Rp -
43 Kertas sertifikat Pak Rp 120,000 Rp - 1 Rp 120,000 Rp 120,000 1 Rp 120,000 Rp 120,000 0 Rp 120,000 Rp -
44 Lakbang benig besar Buah Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
45 Pulpen snowman kecil Pak Rp 17,600 Rp - 10 Rp 17,600 Rp 176,000 10 Rp 17,600 Rp 176,000 0 Rp 17,600 Rp -
46 map miko Lembar Rp 8,000 Rp - 22 Rp 8,000 Rp 176,000 22 Rp 8,000 Rp 176,000 0 Rp 8,000 Rp -
47 Id Card Lembar Rp 4,000 Rp - 22 Rp 4,000 Rp 88,000 22 Rp 4,000 Rp 88,000 0 Rp 4,000 Rp -
48 Block Note Pack Rp 35,000 Rp - 2 Rp 35,000 Rp 70,000 2 Rp 35,000 Rp 70,000 0 Rp 35,000 Rp -
49 Stik Note Buah Rp 15,000 Rp - 2 Rp 15,000 Rp 30,000 2 Rp 15,000 Rp 30,000 0 Rp 15,000 Rp -
52 Kertas Manila Lembar Rp 5,000 Rp - 11 Rp 5,000 Rp 55,000 11 Rp 5,000 Rp 55,000 0 Rp 5,000 Rp -
53 Kertas HVS Warnah Rim Rp 60,000 Rp - 1 Rp 60,000 Rp 60,000 1 Rp 60,000 Rp 60,000 0 Rp 60,000 Rp -
54 Lem Kertas Cair Botol Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
55 Penjepit Kertas Kawat Pack Rp 15,000 Rp - 2 Rp 15,000 Rp 30,000 2 Rp 15,000 Rp 30,000 0 Rp 15,000 Rp -
56 Pulpen Pilot Lusin Rp 20,000 Rp - 2 Rp 20,000 Rp 40,000 2 Rp 20,000 Rp 40,000 0 Rp 20,000 Rp -
NILAI ATK BOK PUSKESMAS UEESI Rp - Rp - Rp 18,450,000 Rp - Rp 18,450,000 0 Rp - Rp -
ATK BPJS
1 Kertas F4 rim Rp 60,000 Rp - 18 Rp 60,000 Rp 1,080,000 18 Rp 60,000 Rp 1,080,000 0 Rp 60,000 Rp -
3 Tinta Print Hitam botol Rp 50,000 Rp - 1 Rp 50,000 Rp 50,000 1 Rp 50,000 Rp 50,000 0 Rp 50,000 Rp -
3 Materai 6000 pack Rp 10,000 Rp - 15 Rp 10,000 Rp 150,000 15 Rp 10,000 Rp 150,000 0 Rp 10,000 Rp -
4 Tinta Spidol buah Rp 20,000 Rp - 2 Rp 20,000 Rp 40,000 2 Rp 20,000 Rp 40,000 0 Rp 20,000 Rp -
5 Lakban Kecil buah Rp 5,000 Rp - 12 Rp 5,000 Rp 60,000 12 Rp 5,000 Rp 60,000 0 Rp 5,000 Rp -
6 Penjepit kertas Buah Rp 20,000 Rp - 2 Rp 20,000 Rp 40,000 2 Rp 20,000 Rp 40,000 0 Rp 20,000 Rp -
10 Buku Album buah Rp 10,000 Rp - 4 Rp 10,000 Rp 40,000 4 Rp 10,000 Rp 40,000 0 Rp 10,000 Rp -
11 Bantalan Stempel buah Rp 20,000 Rp - 1 Rp 20,000 Rp 20,000 1 Rp 20,000 Rp 20,000 0 Rp 20,000 Rp -
12 Pulpen snowman pack Rp 30,000 Rp - 7 Rp 30,000 Rp 210,000 7 Rp 30,000 Rp 210,000 0 Rp 30,000 Rp -
12 Pulpen pilot pack Rp 10,000 Rp - 1 Rp 10,000 Rp 10,000 1 Rp 10,000 Rp 10,000 0 Rp 10,000 Rp -
NILAI ATK BPJS PUSKESMAS UEESI Rp - Rp - Rp 1,700,000 Rp - Rp 1,700,000 0 Rp - Rp -
JUMLAH PERSEDIAAN ATK PUSKESMAS UEESI Rp - Rp - Rp 20,150,000 Rp - Rp 20,150,000 0 Rp - Rp -
JUMLAH PERSEDIAAN ATK DINAS KESEHATAN TA. 2020 Rp 868,000 Rp - Rp 380,542,805 Rp - Rp 376,927,605 0 Rp - Rp 4,483,200
Tirawuta, 30 Desember 2020

Mengetahui,
Kepala Dinas Kesehatan Bendahara Pengurus Barang
Ir. Barwik Sirait, M.Si, MPH Muh. Taufiq S., S. KM

Pembina Utama Muda, Gol. IV/c NIP. 19900709 201504 1 001
NIP. 19630910 198503 1 002
DINAS KESEHATAN
LAPORAN STOK OPNAME PERSEDIAAN PMT GIZI PER - 30 DESEMBER 2020
PERSEDIAAN 1 JANUARI 2020 PERSEDIAAN MASUK TAHUN 2020 PERSEDIAAN KELUAR TAHUN 2020 PERSEDIAAN 30 DESEMBER 2020
NO URAIAN PERSEDIAAN SATUAN HARGA HARGA HARGA HARGA
JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL
SATUAN SATUAN SATUAN SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 PUSKESMAS TIRAWUTA
PMT BUMIL 2018 KG 1.68 Rp 88,275 Rp 148,302.00 0.00 Rp 88,275 Rp - 1.68 Rp 88,275 Rp 148,302.00 0.00 Rp 88,275 Rp 0.00
PMT BALITA 2018 KG 6.72 Rp 73,645 Rp 494,894.40 0.00 Rp 73,645 Rp - 6.72 Rp 73,645 Rp 494,894.40 0.00 Rp 73,645 Rp 0.00
PMT BUMIL 2019 KG 75.60 Rp 68,035 Rp 5,143,446.00 0.00 Rp 68,035 Rp - 75.60 Rp 68,035 Rp 5,143,446.00 0.00 Rp 68,035 Rp -
PMT BALITA 2019 KG 252.00 Rp 55,385 Rp 13,957,020.00 0.00 Rp 55,385 Rp - 211.68 Rp 55,385 Rp 11,723,896.80 40.32 Rp 55,385 Rp 2,233,123.20
PMT BUMIL 2020 KG 0.00 Rp 100,084 Rp - 383.40 Rp 100,084 Rp 38,372,205.60 104.16 Rp 100,084 Rp 10,424,749.44 279.24 Rp 100,084 Rp 27,947,456.16
PMT BALITA 2020 KG 0.00 Rp 81,827 Rp - 216.00 Rp 81,827 Rp 17,674,632.00 0.00 Rp 81,827 Rp - 216.00 Rp 81,827 Rp 17,674,632.00
SUSU PROTEN 2020 SACHET 0.00 Rp 12,700 Rp - 3420 Rp 12,700 Rp 43,434,000.00 0.00 Rp 12,700 Rp - 3420 Rp 12,700 Rp 43,434,000.00
JUMLAH STOK 336.00 Rp 19,743,662.40 4019.40 Rp 99,480,837.60 399.84 Rp 27,935,288.64 3955.56 Rp 91,289,211.36
2 PUSKESMAS LOEA
PMT BUMIL 2020 KG 0.00 Rp 100,084 Rp - 172.80 Rp 100,084 Rp 17,294,515.20 0.00 Rp 100,084 Rp - 172.80 Rp 100,084 Rp 17,294,515.20
3 PUSKESMAS LADONGI JAYA
PMT BALITA 2019 KG 131.04 Rp 55,385 Rp 7,257,650.40 0.00 Rp 55,385 Rp - 131.04 Rp 55,385 Rp 7,257,650.40 0.00 Rp 55,385 Rp -
PMT BALITA 2020 KG 0.00 Rp 81,827 Rp - 162.00 Rp 81,827 Rp 13,255,974.00 70.60 Rp 81,827 Rp 5,776,986.20 91.40 Rp 81,827 Rp 7,478,987.80
SUSU PROTEN 2020 SACHET 0.00 Rp 12,700 Rp - 540 Rp 12,700 Rp 6,858,000.00 60 Rp 12,700 Rp 762,000.00 480 Rp 12,700 Rp 6,096,000.00
4 PUSKESMAS DANGIA
PMT BALITA 2019 KG 252.00 Rp 55,385 Rp 13,957,020.00 0.00 Rp 55,385 Rp - 8.54 Rp 55,385 Rp 472,987.90 243.46 Rp 55,385 Rp 13,484,032.10
SUSU PROTEN 2020 SACHET 0.00 Rp 12,700 Rp - 2340 Rp 12,700 Rp 29,718,000.00 0.00 Rp 12,700 Rp - 2340 Rp 12,700 Rp 29,718,000.00
5 PUSKESMAS POLI-POLIA
PMT BUMIL 2020 KG 0.00 Rp 100,084 Rp - 178.20 Rp 100,084 Rp 17,834,968.80 8.96 Rp 100,084 Rp 896,752.64 169.24 Rp 100,084 Rp 16,938,216.16
SUSU PROTEN 2020 SACHET 0.00 Rp 12,700 Rp - 1890 Rp 12,700 Rp 24,003,000.00 210 Rp 12,700 Rp 2,667,000.00 1680 Rp 12,700 Rp 21,336,000.00
6 PUSKESMAS AERE
7 PUSKESMAS LAMBANDIA
SUSU PROTEN 2020 SACHET 0.00 Rp 12,700 Rp - 180 Rp 12,700 Rp 2,286,000.00 0 Rp 12,700 Rp - 180 Rp 12,700 Rp 2,286,000.00
8 PUSKESMAS TINONDO
PMT BUMIL 2018 KG 8.44 Rp 88,275 Rp 745,041.00 0.00 Rp 88,275 Rp - 8.44 Rp 88,275 Rp 745,041.00 0.00 Rp 88,275 Rp -
PMT BALITA 2018 KG 5.20 Rp 73,645 Rp 382,954.00 0.00 Rp 73,645 Rp - 5.20 Rp 73,645 Rp 382,954.00 0.00 Rp 73,645 Rp -
PMT BUMIL 2020 KG 0.00 Rp 100,084 Rp - 356.40 Rp 100,084 Rp 35,669,937.60 6.72 Rp 100,084 Rp 672,564.48 349.68 Rp 100,084 Rp 34,997,373.12
PMT BALITA 2020 KG 0.00 Rp 81,827 Rp - 244.80 Rp 81,827 Rp 20,031,249.60 6.72 Rp 81,827 Rp 549,877.44 238.08 Rp 81,827 Rp 19,481,372.16
SUSU PROTEN 2020 SACHET 0.00 Rp 12,700 Rp - 360 Rp 12,700 Rp 4,572,000.00 360 Rp 12,700 Rp 4,572,000.00 0 Rp 12,700 Rp -
9 PUSKESMAS LALOLAE
SUSU PROTEN 2020 SACHET 0.00 Rp 12,700 Rp - 360 Rp 12,700 Rp 4,572,000.00 360 Rp 12,700 Rp 4,572,000.00 0 Rp 12,700 Rp -
10 PUSKESMAS MOWEWE
11 PUSKESMAS SANGGONA
PMT BUMIL 2018 KG 255.36 Rp 88,275 Rp 22,541,639.18 0.00 Rp 88,275 Rp - 147.84 Rp 88,275 Rp 13,050,576.00 107.52 Rp 88,275 Rp 9,491,063.18
PMT BUMIL 2019 KG 75.60 Rp 68,035 Rp 5,143,446.00 0.00 Rp 68,035 Rp - 38.64 Rp 68,035 Rp 2,628,872.40 36.96 Rp 68,035 Rp 2,514,573.60
12 PUSKESMAS UEESI
JUMLAH TOTAL = 5541.14 Rp 370,243,055.88 21700.80 Rp 741,973,104.00 10007.20 Rp 470,329,778.28 17234.74 Rp 641,886,381.60
Mengetahui,
Kepala Dinas Kesehatan Bendahara Pengurus Barang Kasie. Kesga & Gizi Masyarakat
Selaku Pj. PMT Gizi
Ir. Barwik Sirait. M. Si, MPH Muh. Taufiq S., SKM Dahlia Yuli Astuti, S.SiT, MPH
Pembina Utama Muda, Gol. IV/c NIP. 19900709 201504 1 001 NIP. 19700606 199002 2 001
NIP. 19630910 198502 1 002
3958.00 Rp 291,486,910.00
3274.00 Rp 289,012,350.00
7232.00 Rp 580,499,260.00
#REF! #REF!

Laporan Persediaan Gabungan Dinas Kesehatan 2020 Terbaru

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Laporan Persediaan Gabungan Dinas Kesehatan 2020 Terbaru

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PEMERINTAH KABUPATEN KOLAKA TIMUR

INSTALASI FARMASI KABUPATEN

ANTASIDA DOEN I TABLET KUNYAH, KOMBINASI : ALUMINIUM

ANTASIDA DOEN I TABLET KUNYAH, KOMBINASI : ALUMINIUM

Antasida DOEN II Syirup, kombinasi : Aluminium Hidroksida 200

NILAI OBAT IFK Rp 2,066,072,826.93 Rp 2,148,329,847.19 Rp 1,072,964,649.152 Rp 3,141,438,024.97

OBAT BUFFER PKD PROVINSI

NILAI OBAT PROGRAM Rp 658,668,563.00 Rp 1,084,725,102.00 Rp 1,375,563,872.000 Rp 367,829,793.00

NILAI OBAT BPJS PKM TIRAWUTA Rp 30,906,269.37 Rp 106,733,009.00 Rp 127,058,862.366 Rp 10,580,416.00

JUMLAH NILAI OBAT PUSKESMAS TIRAWUTA Rp 87,033,453.55 Rp 375,139,745.63 Rp 385,918,530.940 Rp 76,254,668.23

BAHAN MEDIS HABIS PAKAI 0 Rp - 0 Rp - 0 Rp - 0 Rp -

NILAI OBAT BPJS PKM LOEA Rp 8,753,499.90 Rp 37,000,000.00 Rp 34,466,399.900 Rp 11,287,100.00

NILAI OBAT PROGRAM PUSKESMAS LOEA Rp 14,813,006.45 Rp 63,129,266.00 Rp 64,770,654.575 Rp 13,171,617.88

JUMLAH NILAI OBAT PUSKESMAS LOEA Rp 90,726,904.01 Rp 166,839,929.94 Rp 186,421,776.624 Rp 71,145,057.33

PUSKESMAS LADONGI JAYA

1 SANMOL 500 MG Tablet 0 Rp 325.00 Rp - 0 Rp 325.00 Rp - 0 Rp 325.00 Rp - 0 Rp 325.00 Rp -

1 Alat Suntik 1 ml Pcs 0 Rp 1,029.60 Rp - 0 Rp 1,029.60 Rp - 0 Rp 1,029.60 Rp - 0 Rp 1,029.60 Rp -

1 Cairan Spiritus 1000 ML Bks 0 Rp 68,250.00 Rp - 0 Rp 68,250.00 Rp - 0 Rp 68,250.00 Rp - 0 Rp 68,250.00 Rp -

1 Caviton White GC Botol 0 Rp 219,000.00 Rp - 0 Rp 219,000.00 Rp - 0 Rp 219,000.00 Rp - 0 Rp 219,000.00 Rp -

NILAI OBAT IFK PUSKESMAS DANGIA Rp 48,444,552.78 Rp 61,818,269.82 Rp 77,559,414.238 Rp 32,703,408.37

NILAI OBAT BPJS PUSKESMAS DANGIA Rp 4,313,325.00 Rp 31,237,171.80 Rp 32,983,221.133 Rp 2,567,275.67

NILAI OBAT PROGRAM PUSKESMAS DANGIA Rp 9,508,369.00 Rp 73,197,543.00 Rp 69,857,328.350 Rp 12,848,583.65

JUMLAH NILAI OBAT PUSKESMAS DANGIA Rp 62,266,246.78 Rp 166,252,984.62 Rp 180,399,963.721 Rp 48,119,267.68

BAHAN MEDIS HABIS PAKAI

NILAI OBAT IFK PUSKESMAS POLI-POLIA Rp 46,582,567.08 Rp 73,834,062.62 Rp 94,618,412.229 Rp 25,798,217.46

NILAI OBAT BPJS PUSKESMAS POLI-POLIA Rp - Rp 28,870,370.00 Rp 28,870,370.000 Rp -

NILAI OBAT PROGRAM PUSKESMAS POLI-POLIA Rp 11,132,847.00 Rp 42,367,518.00 Rp 43,139,291.000 Rp 10,361,074.00

JUMLAH NILAI OBAT PUSKESMAS POLI-POLIA Rp 57,715,414.08 Rp 145,071,950.62 Rp 166,628,073.229 Rp 36,159,291.46

NILAI OBAT IFK PUSKESMAS LAMBANDIA Rp 59,115,878.03 Rp 125,159,484.19 Rp 122,668,795.102 Rp 61,606,567.11

NILAI OBAT BPJS PUSKESMAS LAMBANDIA Rp - Rp 30,459,043.58 Rp 27,999,549.820 Rp 2,459,493.76

NILAI OBAT PROGRAM PUSKESMAS LAMBANDIA Rp 17,657,405.04 Rp 148,835,725.00 Rp 150,939,607.190 Rp 15,553,522.85

JUMLAH NILAI OBAT PUSKESMAS LAMBANDIA Rp 76,773,283.07 Rp 304,454,252.77 Rp 301,607,952.112 Rp 79,619,583.72

NILAI OBAT IFK PUSKESMAS AERE Rp 61,921,675.17 Rp 84,028,711.80 Rp 95,312,252.175 Rp 50,638,134.79

BAHAN MEDIS HABIS PAKAI

NILAI OBAT BPJS PUSKESMAS AERE Rp 2,164,850.00 Rp 26,110,000.00 Rp 24,800,850.000 Rp 3,474,000.00

NILAI OBAT PROGRAM PUSKESMAS AERE Rp 44,039,461.00 Rp 48,971,005.00 Rp 77,147,508.000 Rp 15,862,958.00

JUMLAH NILAI OBAT PUSKESMAS AERE Rp 108,125,986.17 Rp 159,109,716.80 Rp 197,260,610.175 Rp 69,975,092.79

BAHAN MEDIS HABIS PAKAI Rp - Rp - Rp - 0 Rp -

NILAI OBAT IFK PUSKESMAS LALOLAE Rp 66,289,877.90 Rp 69,932,854.19 Rp 92,917,850.037 Rp 43,304,882.05

NILAI OBAT BPJS PUSKESMAS LALOLAE Rp - Rp 20,700,000.00 Rp 20,700,000.000 Rp -

NILAI OBAT PROGRAM PUSKESMAS LALOLAE Rp 1,891,051.00 Rp 30,928,092.00 Rp 23,859,713.450 Rp 8,959,429.55

JUMLAH NILAI OBAT PUSKESMAS LALOLAE Rp 68,180,928.90 Rp 121,560,946.19 Rp 137,477,563.487 Rp 52,264,311.60

NILAI OBAT BPJS PUSKESMAS TINONDO Rp - Rp 49,043,800.00 Rp 47,848,800.000 Rp 1,195,000.00

NILAI OBAT PROGRAM PUSKESMAS TINONDO Rp 5,965,940.00 Rp 103,767,497.00 Rp 95,389,171.000 Rp 14,344,266.00

JUMLAH NILAI OBAT PUSKESMAS TINONDO Rp 33,208,629.69 Rp 219,920,436.23 Rp 213,719,850.765 Rp 39,409,215.16

BMHP (BAHAN MEDIS HABIS PAKAI)

BHP/REAGENT LAB. P. 2015 - 2017

NILAI OBAT IFK PUSKESMAS MOWEWE Rp 49,138,739.53 Rp 100,484,613.29 Rp 106,377,132.981 Rp 43,246,219.84

BAHAN MEDIS HABIS PAKAI

NILAI OBAT BPJS PUSKESMAS MOWEWE Rp 2,530,850.00 Rp 50,021,000.00 Rp 50,053,850.000 Rp 2,498,000.00

NILAI OBAT PROGRAM PUSKESMAS MOWEWE Rp 7,987,910.00 Rp 70,594,522.00 Rp 50,352,849.500 Rp 28,229,582.50

JUMLAH NILAI OBAT PUSKESMAS MOWEWE Rp 59,657,499.53 Rp 221,100,135.29 Rp 206,783,832.481 Rp 73,973,802.34

BAHAN HABIS PAKAI FARMASI

NILAI OBAT IFK PUSKESMAS SANGGONA Rp 120,650,749.48 Rp 60,598,802.80 Rp 122,074,605.158 Rp 59,174,947.12

BMHP BPJS 2020

NILAI OBAT BPJS PUSKESMAS SANGGONA Rp 220,800.00 Rp 22,912,420.00 Rp 20,589,720.000 Rp 2,543,500.00

NILAI OBAT PROGRAM PUSKESMAS SANGGONA Rp 11,588,840.00 Rp 63,970,775.00 Rp 40,662,779.000 Rp 34,896,836.00

JUMLAH NILAI OBAT PUSKESMAS SANGGONA Rp 132,460,389.48 Rp 147,481,997.80 Rp 183,327,104.158 Rp 96,615,283.12

NILAI OBAT IFK PUSKESMAS UEESI Rp 88,076,240.92 Rp 54,319,131.75 Rp 103,689,989.612 Rp 38,705,383.06

NILAI OBAT BPJS PUSKESMAS UEESI Rp - Rp 17,154,000.00 Rp 16,043,000.000 Rp 1,111,000.00

NILAI OBAT PROGRAM PUSKESMAS UEESI Rp 8,802,202.00 Rp 50,997,336.00 Rp 39,227,658.998 Rp 20,571,879.00

JUMLAH NILAI OBAT PUSKESMAS UEESI Rp 96,878,442.92 Rp 122,470,467.75 Rp 158,960,648.609 Rp 60,388,262.06

Tirawuta, 31 Desember 2020

BAHAN MEDIS HABIS PAKAI