You are on page 1of 96

DAFTAR OBAT PASIEN BPJS PPK 1 Januari 20 2022

1
3 4 5 6 7 10 11 12 13 14 17 18 19
1 acyclovir salep
2 acyclovir tablet
3 alegi
4 allupurinol 2 3
5 alpar tablet (droping) 20
6 ambeven
7 ambroxol syrup
8 ambroxol tablet 23 9 9 5 16 10
9 amlodipin 5mg 9 3 5
10 amoxan tablet
11 amoxicilin tablet 14 9 10 9
12 amoxycilin syrup 1
13 analsik
14 antasida syrup 1 2
15 antasida tablet 9 22
16 anti diare (droping)
17 antiflu tablet (droping)
18 argout tablet
19 asam mefanamat
20 asam traneksamat
21 atovastatin
22 betahistine mesylate
23 betametasone salep 1 1
24 batugin elixir
25 bromhexine
26 candesartan tablet 9 3
27 cefadroxyl syrup 1
28 cefadroxyl tablet 9 9 6 10
29 cefixime syrup
30 cefixime tablet 6 9 10
31 cetirizine tablet 6 9 8 3
32 chlorampenicol salep mata
33 ciprofloxacin tablet 10
34 comboivent
35 counterpain cream
36 ctm 22 14 9 30 35 35 11 37
37 curbio syrup 1
38 curcuma
39 dexametasone tablet 14 14 18 9 16 21
40 dipen injeksi
41 dispo 3cc
42 dispo 5cc
43 domperidon tablet 11 11
44 domperidon syrup 1
45 epexol tablet
46 eritromicin
47 erlamycin salep mata
48 flunarizine
49 furosemide
50 gabapentin
51 gentamicin salep 1 2 1
52 clidamicin tablet
53 glimepiride tablet 9 15 3
54 glukosamin
55 hydrocortisone salep
56 ibuprofen tablet 9 9 6 3
57 ketorolac tablet 9
58 klorfeson salep
59 lansoprazole
60 loperamid
61 Loratadin 10 3 9 3 13
62 mefinal
63 mersibio injeksi
64 metformin 37 11
65 methilprednisolone tablet 9 30 11 10 10 6
66 miconazole salep
67 mucohexin tablet
68 natrium diklofenat 30 18 7 22 9
69 neurosanbe plus 9
70 new diatabs 9
71 nistatin
72 nutriflam
73 omedon
74 omedon syrup
75 omeprazole tablet 6 9 20 15 9 9 10 9
76 ondansetron
77 oralit saset 4
78 pacdin syrup 1
79 paracetamol syrup 1 1
80 paracetamol tablet 6 9 9
81 polidemicin tetes mata
82 pregabal
83 ranitidin tablet 10 10 9
84 reclofar
85 salbutamol tablet
86 sanbe tears
87 sanmol syr 2
88 seltiford syrup 1
89 simvastatin tablet
90 sukralfat syrup
91 tablet tambah darah
92 vit B. Com 10 26 6 9 6 4 39 10 27
93 vitamin C 10 30 30 27 6
94 voltadex salep
95 zinc 3

JUMLAH OBAT
20 21 24 25 26 27 28 31 Jumlah Harga
- 10,000 -
- 900 -
- 2,000 -
5 500 2,500
3 23 - -
- 1,800 -
1 1 5,000 5,000
10 6 16 15 119 500 59,500
3 3 23 2,500 57,500
- 4,400 -
9 9 60 1,000 60,000
1 1 3 8,000 24,000
- 2,100 -
1 2 6 6,000 36,000
31 500 15,500
- - -
- - -
- 5,700 -
9 9 500 4,500
- 2,600 -
- 1,500 -
- 4,300 -
1 3 5,000 15,000
- 28,000 -
- 1,000 -
3 15 5,900 88,500
1 16,000 16,000
18 52 1,600 83,200
- 23,000 -
6 31 3,500 108,500
3 3 6 38 500 19,000
- 6,000 -
10 1,000 10,000
- 22,000 -
1 1 10,000 10,000
11 28 22 27 281 500 140,500
1 13,000 13,000
- 1,300 -
10 11 19 18 150 500 75,000
- 5,000 -
- 6,000 -
- 2,000 -
11 14 47 500 23,500
1 15,000 15,000
- 1,200 -
- 1,800 -
- 10,000 -
- 2,900 -
3 3 1,000 3,000
- 4,300 -
1 5 10,000 50,000
- 1,000 -
27 1,100 29,700
- 2,400 -
- 7,500 -
3 9 3 42 500 21,000
9 3,500 31,500
- 12,000 -
- 2,600 -
- 500 -
3 41 500 20,500
- 1,800 -
- 8,000 -
48 400 19,200
10 11 6 103 500 51,500
- 5,000 -
- 500 -
6 15 9 9 125 400 50,000
9 1,400 12,600
9 1,000 9,000
- 32,000 -
- 15,100 -
- 700 -
- 25,000 -
12 6 105 1,500 157,500
- 2,300 -
4 600 2,400
1 6,000 6,000
2 4,000 8,000
9 3 36 500 18,000
- 37,000 -
- 5,800 -
3 9 41 500 20,500
- 6,500 -
- 500 -
- 31,000 -
2 22,000 44,000
1 2 12,000 24,000
- 900 -
- 5,000 -
- 600 -
6 10 6 6 30 12 6 213 400 85,200
10 113 300 33,900
- 30,000 -
3 800 2,400

1,581,600 1,581,600
DAFTAR OBAT PASIEN BPJS PPK 1 Februar2022
1
1 2 3 4 7 8 9 10 11 13 16 17 18
acyclovir salep
acyclovir tablet
alegi
allupurinol 10
alpar tablet (droping)
ambeven 20
ambroxol syrup
ambroxol tablet 6 6 9 8 3 3
amlodipin 5mg 5 3 3 5 10
amoxan tablet
amoxicilin tablet 6 9 5
amoxycilin syrup 9 1 1 1
analsik
antasida syrup 2 2 3 1 2
antasida tablet
anti diare (droping)
antiflu tablet (droping)
argout tablet
asam mefanamat
asam traneksamat
atovastatin
betahistine mesylate
betametasone salep 1
batugin elixir
bromhexine
candesartan tablet
cefadroxyl syrup
cefadroxyl tablet 10
cefixime syrup
cefixime tablet 6 6
cetirizine tablet 10 3 3 6 10 16 9
chlorampenicol salep mata
ciprofloxacin tablet 6
comboivent
counterpain cream 1
ctm 10 9 12 9 9 3 8 6 3 3
curbio syrup 1
curcuma
dexametasone tablet 9 9 9 8 3 3 3
dipen injeksi
dispo 3cc
dispo 5cc
domperidon tablet 9
domperidon syrup
epexol tablet
eritromicin
erlamycin salep mata
flunarizine
furosemide
gabapentin
gentamicin salep 1 1 1
clidamicin tablet
glimepiride tablet
glukosamin
hydrocortisone salep 1
ibuprofen tablet 3 6 9 15 6
ketorolac tablet
klorfeson salep
lansoprazole
loperamid
Loratadin 20
mefinal
mersibio injeksi
metformin
methilprednisolone tablet 9 9 15 20
miconazole salep 1
mucohexin tablet
natrium diklofenat 6 27 18 9
neurosanbe plus 9
new diatabs 8
nistatin
nutriflam
omedon
omedon syrup
omeprazole tablet 10 12 18 9 6 12
ondansetron
oralit saset
pacdin syrup
paracetamol syrup 1 1 1
paracetamol tablet 9
polidemicin tetes mata
pregabal
ranitidin tablet 20 10
reclofar
salbutamol tablet
sanbe tears 1
sanmol syr
seltiford syrup 1
simvastatin tablet
sukralfat syrup
tablet tambah darah
vit B. Com 37 6 18 33 12 18 6 20
vitamin C 6 20 20
voltadex salep
zinc 3 3
21 22 23 24 25 28 Jumlah Harga
0 10000 0
0 900 0
0 2000 0
10 500 5000
0 0 0
20 1800 36000
0 5000 0
3 38 500 19000
26 2500 65000
0 4400 0
20 1000 20000
1 13 8000 104000
0 2100 0
10 6000 60000
0 500 0
0 0 0
0 0 0
0 5700 0
0 500 0
0 2600 0
0 1500 0
0 4300 0
1 5000 5000
0 28000 0
0 1000 0
0 5900 0
0 16000 0
10 1600 16000
0 23000 0
12 3500 42000
57 500 28500
0 6000 0
6 1000 6000
0 22000 0
1 10000 10000
12 3 3 90 500 45000
1 13000 13000
6 6 1300 7800
12 9 65 500 32500
0 5000 0
0 6000 0
0 2000 0
9 500 4500
0 15000 0
0 1200 0
0 1800 0
0 10000 0
6 6 2900 17400
0 1000 0
0 4300 0
3 10000 30000
0 1000 0
0 1100 0
3 3 2400 7200
1 7500 7500
3 9 51 500 25500
0 3500 0
0 12000 0
0 2600 0
0 500 0
20 500 10000
0 1800 0
0 8000 0
0 400 0
10 63 500 31500
1 5000 5000
0 500 0
9 9 24 102 400 40800
9 1400 12600
8 1000 8000
0 32000 0
0 15100 0
0 700 0
0 25000 0
1 9 12 89 1500 133500
0 2300 0
0 600 0
0 6000 0
3 4000 12000
9 500 4500
0 37000 0
0 5800 0
10 40 500 20000
0 6500 0
0 500 0
1 31000 31000
0 22000 0
1 2 12000 24000
0 900 0
0 5000 0
0 600 0
6 10 18 184 400 73600
10 12 10 78 300 23400
0 30000 0
6 800 4800
1041600

1,041,600 1,041,600
DAFTAR OBAT PASIEN BPJS PPK 1 Maret 2 2022
1
1 2 3 4 7 8 9 10 11 14 15
acyclovir salep
acyclovir tablet
alegi
allupurinol
alpar tablet (droping)
ambeven 10
ambroxol syrup
ambroxol tablet 10 10 3
amlodipin 5mg 10 6 5
amoxan tablet
amoxicilin tablet 5
amoxycilin syrup
analsik
antasida syrup 1
antasida tablet
anti diare (droping)
antiflu tablet (droping) 10
argout tablet
asam mefanamat 10
asam traneksamat
atovastatin
betahistine mesylate
betametasone salep
batugin elixir
bromhexine
candesartan tablet 6 10 10
cefadroxyl syrup
cefadroxyl tablet 10 10 10
cefixime syrup
cefixime tablet 6 6
cetirizine tablet 6
chlorampenicol salep mata
ciprofloxacin tablet
comboivent
counterpain cream 1
ctm 16 12 29 6
curbio syrup
curcuma 6
dexametasone tablet 14
dipen injeksi
dispo 3cc
dispo 5cc
domperidon tablet
domperidon syrup
epexol tablet
eritromicin 9
erlamycin salep mata 1
flunarizine
furosemide
gabapentin
gentamicin salep 1 1
clidamicin tablet
glimepiride tablet 3
glukosamin
hydrocortisone salep
ibuprofen tablet 12 9
ketorolac tablet
klorfeson salep
lansoprazole 10
loperamid
Loratadin 6 5
mefinal
mersibio injeksi
metformin 9
methilprednisolone tablet 16 10 10
miconazole salep
mucohexin tablet
natrium diklofenat 6 5 9 9
neurosanbe plus
new diatabs
nistatin
nutriflam
omedon
omedon syrup
omeprazole tablet 2 10 10 20 6
ondansetron
oralit saset
pacdin syrup
paracetamol syrup 1
paracetamol tablet
polidemicin tetes mata
pregabal
ranitidin tablet 10 10 20
reclofar
salbutamol tablet
sanbe tears
sanmol syr
seltiford syrup 1
simvastatin tablet
sukralfat syrup 2
tablet tambah darah
vit B. Com 23 10 9 20
vitamin C 13 10 10 30
voltadex salep
zinc

JANUARI 1,581,600
FEBRUARI 1,041,600
MARET 1,346,000
3,969,200
16 17 21 22 23 24 25 28 29 30 31 Jumlah Harga
0 10000 0
0 900 0
0 2000 0
10 10 500 5000
0 0 0
10 1800 18000
0 5000 0
3 16 9 6 3 60 500 30000
5 5 5 36 2500 90000
0 4400 0
5 10 1000 10000
1 1 2 8000 16000
0 2100 0
1 1 3 6000 18000
0 500 0
0 0 0
10 0 0
0 5700 0
9 19 500 9500
0 2600 0
0 1500 0
0 4300 0
1 1 5000 5000
0 28000 0
0 1000 0
5 5 36 5900 212400
1 1 16000 16000
9 9 9 57 1600 91200
0 23000 0
6 6 24 3500 84000
8 3 17 500 8500
0 6000 0
20 10 30 1000 30000
0 22000 0
1 10000 10000
14 19 6 9 12 123 500 61500
0 13000 0
6 1300 7800
5 19 38 500 19000
0 5000 0
0 6000 0
0 2000 0
0 500 0
1 1 15000 15000
0 1200 0
9 1800 16200
1 10000 10000
0 2900 0
0 1000 0
0 4300 0
1 3 10000 30000
0 1000 0
3 1100 3300
0 2400 0
0 7500 0
5 6 32 500 16000
10 10 3500 35000
0 12000 0
10 20 40 2600 104000
0 500 0
3 3 17 500 8500
0 1800 0
0 8000 0
9 400 3600
9 9 9 2 65 500 32500
0 5000 0
0 500 0
9 33 71 400 28400
0 1400 0
0 1000 0
0 32000 0
0 15100 0
0 700 0
0 25000 0
6 6 60 1500 90000
0 2300 0
0 600 0
0 6000 0
1 1 3 4000 12000
5 5 500 2500
0 37000 0
0 5800 0
20 60 500 30000
0 6500 0
0 500 0
0 31000 0
1 1 22000 22000
1 2 4 12000 48000
0 900 0
2 5000 10000
0 600 0
21 9 6 12 10 10 18 148 400 59200
7 10 10 3 93 300 27900
0 30000 0
0 800 0
1,346,000

1,346,000 1,346,000
DAFTAR OBAT PASIEN BPJS PPK 1 APRIL 2022
1
1 2 5 6 7 8 9 12 13 14 15 16 19 20
acyclovir salep
acyclovir tablet
alegi
allupurinol
alpar tablet (droping)
ambeven
ambroxol syrup
ambroxol tablet 6 6 9 9 10 9
amlodipin 5mg 6 3
amoxan tablet
amoxicilin tablet 18 9 1 9
amoxycilin syrup 1 1
analsik
antasida syrup 1 1 1
antasida tablet 12
anti diare (droping)
antiflu tablet (droping)
argout tablet
asam mefanamat
asam traneksamat 9
atovastatin
betahistine mesylate
betametasone salep 1
batugin elixir
bromhexine
candesartan tablet
cefadroxyl syrup
cefadroxyl tablet 6 9 9 15
cefixime syrup
cefixime tablet 6 6 3 6
cetirizine tablet 6 9 18 2 3
chlorampenicol salep mata
ciprofloxacin tablet
comboivent
counterpain cream
ctm 3 18 3 6 6 5 12 10 12
curbio syrup
curcuma
dexametasone tablet 18 9 6 6 5 3 9 10
dipen injeksi
dispo 3cc
dispo 5cc
domperidon tablet 6
domperidon syrup
epexol tablet
eritromicin
erlamycin salep mata
flunarizine
furosemide
gabapentin
gentamicin salep 1 1 1 1
clidamicin tablet
glimepiride tablet
glukosamin 6 5
hydrocortisone salep
ibuprofen tablet 7 12 6 9 6
ketorolac tablet
klorfeson salep
lansoprazole
loperamid
Loratadin 3 6 6 18 6 6
mefinal
mersibio injeksi
metformin
methilprednisolone tablet 9 9 9 9 9 9
miconazole salep
mucohexin tablet
natrium diklofenat 18 9 12 6 6 9 15
neurosanbe plus
new diatabs 9
nistatin
nutriflam
omedon
omedon syrup
omeprazole tablet 6 18 18 9 6 6
ondansetron
oralit saset
pacdin syrup
paracetamol syrup 1 1
paracetamol tablet 6 14 18 9
polidemicin tetes mata
pregabal
ranitidin tablet
reclofar
salbutamol tablet 6
sanbe tears 1
sanmol syr
seltiford syrup 1 1 1
simvastatin tablet
sukralfat syrup 1 1 1
tablet tambah darah
vit B. Com 24 12 15 18 18 9 6 6 12 12
vitamin C 6 5 6
voltadex salep 1
zinc 6 3
JUMLAH
PK 1 APRIL 2022

21 22 23 26 27 28 29 30 Jumlah Harga
0 10,000 -
0 900 -
0 2,000 -
10 10 500 5,000
0 - -
0 1,800 -
0 5,000 -
6 6 6 5 72 500 36,000
5 5 19 2,500 47,500
0 4,400 -
5 5 5 52 1,000 52,000
1 3 8,000 24,000
0 2,100 -
3 6,000 18,000
12 500 6,000
0 - -
0 - -
0 5,700 -
0 500 -
9 2,600 23,400
0 1,500 -
0 4,300 -
1 2 5,000 10,000
0 28,000 -
0 1,000 -
0 5,900 -
0 16,000 -
9 9 18 9 84 1,600 134,400
0 23,000 -
6 27 3,500 94,500
3 6 5 52 500 26,000
0 6,000 -
0 1,000 -
0 22,000 -
0 10,000 -
14 10 5 104 500 52,000
0 13,000 -
0 1,300 -
5 9 9 9 98 500 49,000
0 5,000 -
0 6,000 -
0 2,000 -
6 500 3,000
0 15,000 -
0 1,200 -
9 9 1,800 16,200
0 10,000 -
0 2,900 -
0 1,000 -
0 4,300 -
2 6 10,000 60,000
0 1,000 -
0 1,100 -
14 25 2,400 60,000
0 7,500 -
3 18 6 9 76 500 38,000
0 3,500 -
0 12,000 -
0 2,600 -
0 500 -
12 12 6 75 500 37,500
0 1,800 -
0 8,000 -
0 400 -
9 9 72 500 36,000
0 5,000 -
0 500 -
6 24 9 19 6 139 400 55,600
0 1,400 -
9 1,000 9,000
0 32,000 -
0 15,100 -
0 700 -
0 25,000 -
3 6 5 77 1,500 115,500
0 2,300 -
0 600 -
0 6,000 -
1 3 4,000 12,000
11 9 9 5 81 500 40,500
0 37,000 -
0 5,800 -
0 500 -
0 6,500 -
6 500 3,000
1 2 31,000 62,000
0 22,000 -
1 4 12,000 48,000
10 10 900 9,000
1 4 5,000 20,000
0 600 -
6 6 16 34 5 199 400 79,600
17 300 5,100
1 2 30,000 60,000
9 800 7,200
549,900 1,355,000
DAFTAR OBAT BPJS PPK 1 MEI 2022

1 2 3 4 5 6 9 10 11 12 13 16 17 18
acyclovir salep 1
acyclovir tablet
alegi
allupurinol
alpar tablet (droping)
ambeven
ambroxol syrup
ambroxol tablet 9 6
amlodipin 5mg
amoxan tablet
amoxicilin tablet 6 9
amoxycilin syrup
analsik
antasida syrup 1 2
antasida tablet
anti diare (droping)
antiflu tablet (droping)
argout tablet
asam mefanamat 9
asam traneksamat 9
atovastatin
betahistine mesylate
betametasone salep
batugin elixir
bromhexine
candesartan tablet
cefadroxyl syrup
cefadroxyl tablet 6
cefixime syrup
cefixime tablet 9
cetirizine tablet 10
chlorampenicol salep mata
ciprofloxacin tablet 12
comboivent
counterpain cream
ctm 18 18 15
curbio syrup
curcuma
dexametasone tablet 9 9 6
dipen injeksi
dispo 3cc
dispo 5cc
domperidon tablet 9
domperidon syrup
epexol tablet
eritromicin
erlamycin salep mata
flunarizine
furosemide
gabapentin
gentamicin salep 1
clidamicin tablet
glimepiride tablet 9
glukosamin
hydrocortisone salep
ibuprofen tablet 9
ketorolac tablet
klorfeson salep
lansoprazole
loperamid 9
Loratadin
mefinal
mersibio injeksi
metformin
methilprednisolone tablet
miconazole salep
mucohexin tablet
natrium diklofenat
neurosanbe plus
new diatabs
nistatin
nutriflam
omedon
omedon syrup
omeprazole tablet 6 6 12 6
ondansetron 18
oralit saset
pacdin syrup
paracetamol syrup
paracetamol tablet 9 18 9 18
polidemicin tetes mata
pregabal
ranitidin tablet
reclofar
salbutamol tablet 9
sanbe tears
sanmol syr
seltiford syrup 1
simvastatin tablet
sukralfat syrup 1 1
tablet tambah darah
vit B. Com 27 15
vitamin C
voltadex salep
zinc
JUMLAH
1 MEI 2022

19 20 23 24 25 26 27 30 31 Jumlah Harga
1 10,000 10,000
0 900 -
0 2,000 -
1 1 500 500
0 - -
0 1,800 -
0 5,000 -
4 19 500 9,500
0 2,500 -
0 4,400 -
3 9 27 1,000 27,000
1 1 8,000 8,000
0 2,100 -
3 6,000 18,000
9 9 500 4,500
0 - -
0 - -
0 5,700 -
9 500 4,500
9 2,600 23,400
0 1,500 -
9 9 4,300 38,700
0 5,000 -
0 28,000 -
0 1,000 -
0 5,900 -
0 16,000 -
6 1,600 9,600
0 23,000 -
9 3,500 31,500
6 9 25 500 12,500
1 1 6,000 6,000
12 1,000 12,000
0 22,000 -
0 10,000 -
3 54 500 27,000
0 13,000 -
0 1,300 -
12 36 500 18,000
0 5,000 -
0 6,000 -
0 2,000 -
9 18 500 9,000
0 15,000 -
0 1,200 -
0 1,800 -
0 10,000 -
0 2,900 -
0 1,000 -
0 4,300 -
1 2 10,000 20,000
0 1,000 -
9 1,100 9,900
0 2,400 -
0 7,500 -
9 18 500 9,000
0 3,500 -
0 12,000 -
0 2,600 -
9 500 4,500
0 500 -
0 1,800 -
0 8,000 -
0 400 -
0 500 -
0 5,000 -
0 500 -
6 6 400 2,400
0 1,400 -
0 1,000 -
0 32,000 -
0 15,100 -
0 700 -
0 25,000 -
30 1,500 45,000
18 2,300 41,400
0 600 -
0 6,000 -
0 4,000 -
3 9 66 500 33,000
0 37,000 -
0 5,800 -
0 500 -
0 6,500 -
9 500 4,500
0 31,000 -
0 22,000 -
1 12,000 12,000
0 900 -
2 5,000 10,000
0 600 -
6 48 400 19,200
1 6 7 300 2,100
0 30,000 -
0 800
482,700
DAFTAR OBAT BPJS PPK I JUNI 2022

1 2 3 6 7 8 9 10 13 14 15 16 17 20
acyclovir salep
acyclovir tablet 2
alegi 2
allupurinol 6 6 10
alpar tablet (droping)
ambeven
ambroxol syrup 3
ambroxol tablet 36 9 6 9 9
amlodipin 5mg 9 3
amoxan tablet 9
amoxicilin tablet 10 8 6 9
amoxycilin syrup
analsik
antasida syrup 4
antasida tablet 27 3 6
anti diare (droping)
antiflu tablet (droping)
argout tablet
asam mefanamat 9
asam traneksamat 9 7
atovastatin
betahistine mesylate 3
betametasone salep
batugin elixir
bromhexine 99
candesartan tablet 18
cefadroxyl syrup 1
cefadroxyl tablet 9 9
cefixime syrup 1 2
cefixime tablet 12 6
cetirizine tablet 21 6 6 6
chlorampenicol salep mata 12
ciprofloxacin tablet 12
comboivent
counterpain cream
ctm 9 3 3 3 3 18
curbio syrup
curcuma
dexametasone tablet 24 12 3 12 9
dipen injeksi 10
dispo 3cc
dispo 5cc
domperidon tablet 18 9 9
domperidon syrup 12 2
epexol tablet
eritromicin
erlamycin salep mata 1
flunarizine
furosemide
gabapentin
gentamicin salep
clidamicin tablet
glimepiride tablet
glukosamin
hydrocortisone salep
ibuprofen tablet 9 9
ketorolac tablet
klorfeson salep
lansoprazole
loperamid
Loratadin 6
mefinal
mersibio injeksi
metformin 6
methilprednisolone tablet 9
miconazole salep 1
mucohexin tablet
natrium diklofenat 9 6 6
neurosanbe plus
new diatabs
nistatin
nutriflam
omedon
omedon syrup
omeprazole tablet 12 9 6
ondansetron
oralit saset 3
pacdin syrup
paracetamol syrup 1 1
paracetamol tablet 46 18 9 8 9 9 9
polidemicin tetes mata
pregabal
ranitidin tablet
reclofar
salbutamol tablet
sanbe tears
sanmol syr
seltiford syrup 2
simvastatin tablet
sukralfat syrup 3 2
tablet tambah darah
vit B. Com 45 18 12 6
vitamin C 6 6 4 3
voltadex salep
zinc 3
JUMLAH
I JUNI 2022

21 22 23 24 27 28 29 30 Jumlah Harga
9 1 10 10,000 100,000
2 900 1,800
10 12 2,000 24,000
22 500 11,000
0 - -
0 1,800 -
3 5,000 15,000
6 75 500 37,500
12 2,500 30,000
9 4,400 39,600
9 42 1,000 42,000
2 2 8,000 16,000
0 2,100 -
4 6,000 24,000
9 45 500 22,500
0 - -
0 - -
0 5,700 -
9 500 4,500
16 2,600 41,600
0 1,500 -
3 4,300 12,900
0 5,000 -
0 28,000 -
99 1,000 99,000
18 5,900 106,200
1 16,000 16,000
18 1,600 28,800
3 23,000 69,000
18 3,500 63,000
39 500 19,500
12 6,000 72,000
12 1,000 12,000
0 22,000 -
0 10,000 -
9 30 78 500 39,000
0 13,000 -
0 1,300 -
26 86 500 43,000
10 5,000 50,000
0 6,000 -
0 2,000 -
36 500 18,000
14 15,000 210,000
0 1,200 -
0 1,800 -
1 10,000 10,000
0 2,900 -
0 1,000 -
0 4,300 -
0 10,000 -
0 1,000 -
0 1,100 -
0 2,400 -
0 7,500 -
18 500 9,000
0 3,500 -
0 12,000 -
0 2,600 -
0 500 -
6 500 3,000
0 1,800 -
0 8,000 -
6 400 2,400
9 500 4,500
1 5,000 5,000
0 500 -
21 400 8,400
0 1,400 -
0 1,000 -
0 32,000 -
0 15,100 -
0 700 -
0 25,000 -
27 1,500 40,500
0 2,300 -
3 600 1,800
0 6,000 -
2 4 4,000 16,000
8 18 18 152 500 76,000
0 37,000 -
0 5,800 -
0 500 -
0 6,500 -
0 500 -
0 31,000 -
0 22,000 -
2 12,000 24,000
0 900 -
1 6 5,000 30,000
0 600 -
9 90 400 36,000
12 6 9 46 300 13,800
0 30,000 -
3 800 2,400
1,550,700
DAFTAR OBAT PASIEN BPJS PPK 1 Juli 2022 2
1 4 5 6 7 8 11 12 13 14 15 18 19 20

acyclovir salep 1
acyclovir tablet
alegi
allupurinol 3
alpar tablet (droping)
ambeven
ambroxol syrup
ambroxol tablet 9 9 9
amlodipin 5mg 9 9 6
amoxan tablet
amoxicilin tablet 9 9 6 3
amoxycilin syrup 1
analsik
antasida syrup 1 1
antasida tablet 3
anti diare (droping)
antiflu tablet (droping) 6
argout tablet
asam mefanamat
asam traneksamat
atovastatin
betahistine mesylate
betametasone salep 1
batugin elixir
bromhexine
candesartan tablet
cefadroxyl syrup
cefadroxyl tablet 9 27 18
cefixime syrup
cefixime tablet 3 3
cetirizine tablet 9 9 3
chlorampenicol salep mata
ciprofloxacin tablet
comboivent
counterpain cream
ctm 9 3 6
curbio syrup
curcuma
dexametasone tablet 9 9 36 31 6
dipen injeksi
dispo 3cc
dispo 5cc
domperidon tablet 9 9 9 6
domperidon syrup
epexol tablet
eritromicin
erlamycin salep mata
flunarizine
furosemide
gabapentin
gentamicin salep 1
clidamicin tablet
glimepiride tablet
glukosamin
hydrocortisone salep 6
ibuprofen tablet 9 9 9 3
ketorolac tablet
klorfeson salep
lansoprazole 6 3
loperamid
Loratadin 6 3 3
mefinal
mersibio injeksi
metformin
methilprednisolone tablet 9 9 6 3
miconazole salep
mucohexin tablet
natrium diklofenat 6
neurosanbe plus
new diatabs
nistatin
nutriflam
omedon
omedon syrup
omeprazole tablet 9 8 8 36 3 6
ondansetron
oralit saset
pacdin syrup
paracetamol syrup
paracetamol tablet 9 9 36 18 3 3 6
polidemicin tetes mata
pregabal
ranitidin tablet 8 8
reclofar
salbutamol tablet
sanbe tears 1
sanmol syr 1
seltiford syrup 1
simvastatin tablet
sukralfat syrup
tablet tambah darah
vit B. Com 12 6 6 18 27 3 6 3
vitamin C 6
voltadex salep
zinc 6
21 22 25 26 27 28 29 30
Jumlah Harga
1 10000 10000
0 900 0
0 2000 0
3 500 1500
0 0 0
0 1800 0
1 1 5000 5000
3 30 500 15000
24 2500 60000
0 4400 0
3 3 33 1000 33000
1 8000 8000
0 2100 0
1 1 1 1 1 7 6000 42000
3 500 1500
0 0 0
6 0 0
0 5700 0
0 500 0
0 2600 0
0 1500 0
0 4300 0
1 1 3 5000 15000
0 28000 0
0 1000 0
0 5900 0
0 16000 0
54 1600 86400
1 1 23000 23000
3 3 12 3500 42000
21 500 10500
0 6000 0
0 1000 0
0 22000 0
0 10000 0
6 24 500 12000
0 13000 0
0 1300 0
3 94 500 47000
2 2 5000 10000
0 6000 0
0 2000 0
3 3 39 500 19500
1 1 15000 15000
0 1200 0
0 1800 0
0 10000 0
0 2900 0
0 1000 0
0 4300 0
1 2 10000 20000
0 1000 0
3 3 1100 3300
0 2400 0
6 7500 45000
3 33 500 16500
0 3500 0
0 12000 0
9 2600 23400
0 500 0
12 500 6000
0 1800 0
0 8000 0
0 400 0
3 3 3 36 500 18000
0 5000 0
0 500 0
6 400 2400
0 1400 0
0 1000 0
0 32000 0
0 15100 0
0 700 0
0 25000 0
3 3 76 1500 114000
0 2300 0
1 1 600 600
0 6000 0
1 1 1 3 4000 12000
6 90 500 45000
0 37000 0
0 5800 0
16 500 8000
0 6500 0
0 500 0
1 31000 31000
1 22000 22000
1 12000 12000
0 900 0
0 5000 0
0 600 0
6 3 9 99 400 39600
6 300 1800
0 30000 0
6 800 4800
JUMLAH 881800
DAFTAR OBAT PASIEN BPJS PPK 1 Agustus 2022
1
1 2 3 4 5 8 9 10 11 12 15 16
acyclovir salep
acyclovir tablet
alegi
allupurinol
alpar tablet (droping) 9 18
ambeven
ambroxol syrup
ambroxol tablet 18 16 7 6 9 29
amlodipin 5mg
amoxan tablet
amoxicilin tablet 3 16 18 6 2
amoxycilin syrup
analsik
antasida syrup
antasida tablet 9 9
anti diare (droping)
antiflu tablet (droping)
argout tablet
asam mefanamat 18
asam traneksamat 6
atovastatin
betahistine mesylate 9 9 9 9
betametasone salep
batugin elixir
bromhexine
candesartan tablet
cefadroxyl syrup
cefadroxyl tablet 6 10 6 24
cefixime syrup
cefixime tablet 12 9 10 6 12
cetirizine tablet 6 6 6 12 10 6
chlorampenicol salep mata
ciprofloxacin tablet 6
comboivent
counterpain cream
ctm 12 16 9 9 20
curbio syrup
curcuma
dexametasone tablet 12 16 7 9 27 29
dipen injeksi
dispo 3cc
dispo 5cc
domperidon tablet
domperidon syrup
epexol tablet
eritromicin
erlamycin salep mata
flunarizine
furosemide
gabapentin
gentamicin salep 1
clidamicin tablet
glimepiride tablet
glukosamin
hydrocortisone salep
ibuprofen tablet 18 9
ketorolac tablet
klorfeson salep
lansoprazole 6
loperamid
Loratadin 9 6
mefinal
mersibio injeksi
metformin
methilprednisolone tablet 9
miconazole salep
mucohexin tablet
natrium diklofenat 9 9 6
neurosanbe plus
new diatabs
nistatin
nutriflam
omedon
omedon syrup
omeprazole tablet 6 6
ondansetron
oralit saset
pacdin syrup
paracetamol syrup
paracetamol tablet 3 25 27 27 30
polidemicin tetes mata
pregabal
ranitidin tablet
reclofar
salbutamol tablet 1
sanbe tears
sanmol syr
seltiford syrup 1 1 1 1
simvastatin tablet
sukralfat syrup
tablet tambah darah
vit B. Com 12 6 15 12 18
vitamin C 6
voltadex salep
zinc 6
17 18 19 22 23 24 25 26 29 30 31 Jumlah Harga
0 10000 0
0 900 0
0 2000 0
6 6 500 3000
9 18 54 0 0
0 1800 0
0 5000 0
32 18 18 153 500 76500
0 2500 0
0 500 0
15 9 9 78 0
0 0
0 2100 0
0 6000 0
18 500 9000
0 0 0
0 0 0
0 5700 0
18 500 9000
6 2600 15600
0 1500 0
36 4300 154800
0 5000 0
0 28000 0
0 1000 0
0 5900 0
0 16000 0
12 18 76 1600 121600
0 23000 0
12 6 12 79 3500 276500
6 12 36 100 500 50000
0 6000 0
6 1000 6000
0 22000 0
0 10000 0
18 6 90 500 45000
0 13000 0
0 1300 0
24 27 49 200 500 100000
0 5000 0
0 6000 0
0 2000 0
9 9 500 4500
0 15000 0
0 1200 0
0 1800 0
0 10000 0
0 2900 0
0 1000 0
0 4300 0
1 10000 10000
0 1000 0
0 1100 0
0 2400 0
0 7500 0
27 9 6 69 500 34500
0 3500 0
0 12000 0
6 12 2600 31200
0 500 0
15 500 7500
0 1800 0
0 8000 0
0 400 0
9 500 4500
0 5000 0
0 500 0
6 30 400 12000
0 1400 0
0 1000 0
0 32000 0
0 15100 0
0 700 0
0 25000 0
12 1500 18000
0 2300 0
0 600 0
0 6000 0
0 4000 0
19 18 6 155 500 77500
0 37000 0
0 5800 0
0 500 0
0 6500 0
1 500 500
0 31000 0
0 22000 0
1 1 6 12000 72000
0 900 0
1 1 5000 5000
0 600 0
18 33 114 400 45600
6 300 1800
0 30000 0
6 800 4800

1196400 1196400
DAFTAR OBAT PASIEN BPJS PPK 1 September 2022
1
1 2 3 4 5 8 9 10 11 12 15 16
acyclovir salep
acyclovir tablet
alegi
allupurinol
alpar tablet (droping)
ambeven
ambroxol syrup
ambroxol tablet
amlodipin 5mg
amoxan tablet
amoxicilin tablet
amoxycilin syrup
analsik
antasida syrup
antasida tablet
anti diare (droping)
antiflu tablet (droping)
argout tablet
asam mefanamat
asam traneksamat
atovastatin
betahistine mesylate
betametasone salep
batugin elixir
bromhexine
candesartan tablet 6 10 10 5
cefadroxyl syrup
cefadroxyl tablet 10 10 10
cefixime syrup
cefixime tablet 6 6 6
cetirizine tablet 6 8
chlorampenicol salep mata
ciprofloxacin tablet
comboivent
counterpain cream
ctm
curbio syrup
curcuma
dexametasone tablet
dipen injeksi
dispo 3cc
dispo 5cc
domperidon tablet
domperidon syrup
epexol tablet
eritromicin
erlamycin salep mata
flunarizine
furosemide
gabapentin
gentamicin salep
clidamicin tablet
glimepiride tablet
glukosamin
hydrocortisone salep
ibuprofen tablet
ketorolac tablet
klorfeson salep
lansoprazole
loperamid
Loratadin
mefinal
mersibio injeksi
metformin 9
methilprednisolone tablet 16 10 10 9
miconazole salep
mucohexin tablet
natrium diklofenat 6 5 9 9
neurosanbe plus
new diatabs
nistatin
nutriflam
omedon
omedon syrup
omeprazole tablet
ondansetron
oralit saset
pacdin syrup
paracetamol syrup
paracetamol tablet
polidemicin tetes mata
pregabal
ranitidin tablet
reclofar
salbutamol tablet
sanbe tears
sanmol syr
seltiford syrup
simvastatin tablet
sukralfat syrup
tablet tambah darah
vit B. Com
vitamin C
voltadex salep
zinc
17 18 19 22 23 24 25 26 29 30 31 Jumlah Harga
0 10000 0
0 900 0
0 2000 0
0 500 0
0 0 0
0 1800 0
0 5000 0
0 500 0
0 2500 0
0 4400 0
0 1000 0
0 8000 0
0 2100 0
0 6000 0
0 500 0
0 0 0
0 0 0
0 5700 0
0 500 0
0 2600 0
0 1500 0
0 4300 0
0 5000 0
0 28000 0
0 1000 0
5 36 5900 212400
1 1 16000 16000
9 9 9 57 1600 91200
0 23000 0
6 24 3500 84000
3 17 500 8500
0 6000 0
20 10 30 1000 30000
0 22000 0
0 10000 0
0 500 0
0 13000 0
0 1300 0
0 500 0
0 5000 0
0 6000 0
0 2000 0
0 500 0
0 15000 0
0 1200 0
0 1800 0
0 10000 0
0 2900 0
0 1000 0
0 4300 0
0 10000 0
0 1000 0
0 1100 0
0 2400 0
0 7500 0
0 500 0
0 3500 0
0 12000 0
0 2600 0
0 500 0
0 500 0
0 1800 0
0 8000 0
9 400 3600
9 9 2 65 500 32500
0 5000 0
0 500 0
9 33 71 400 28400
0 1400 0
0 1000 0
0 32000 0
0 15100 0
0 700 0
0 25000 0
0 1500 0
0 2300 0
0 600 0
0 6000 0
0 4000 0
0 500 0
0 37000 0
0 5800 0
0 500 0
0 6500 0
0 500 0
0 31000 0
0 22000 0
0 12000 0
0 900 0
0 5000 0
0 600 0
0 400 0
0 300 0
0 30000 0
0 800 0

506600 506600
DAFTAR OBAT PASIEN BPJS PPK 1 Oktober 2022
1
3 4 5 6 7 10 11 12 13 14 17 18 19 20 21
acyclovir salep
acyclovir tablet
alegi
allupurinol
alpar tablet (droping)
ambeven
ambroxol syrup
ambroxol tablet
amlodipin 5mg
amoxan tablet
amoxicilin tablet
amoxycilin syrup
analsik
antasida syrup
antasida tablet
anti diare (droping)
antiflu tablet (droping)
argout tablet
asam mefanamat
asam traneksamat
atovastatin
betahistine mesylate
betametasone salep
batugin elixir
bromhexine
candesartan tablet 6 10 10 5
cefadroxyl syrup
cefadroxyl tablet 10 10 10 9
cefixime syrup
cefixime tablet 6 6 6
cetirizine tablet 6 8
chlorampenicol salep mata
ciprofloxacin tablet
comboivent
counterpain cream
ctm
curbio syrup
curcuma
dexametasone tablet
dipen injeksi
dispo 3cc
dispo 5cc
domperidon tablet
domperidon syrup
epexol tablet
eritromicin
erlamycin salep mata
flunarizine
furosemide
gabapentin
gentamicin salep
clidamicin tablet
glimepiride tablet
glukosamin
hydrocortisone salep
ibuprofen tablet
ketorolac tablet
klorfeson salep
lansoprazole
loperamid
Loratadin
mefinal
mersibio injeksi
metformin 9
methilprednisolone tablet 16 10 12 9
miconazole salep
mucohexin tablet
natrium diklofenat 6 5 9 9
neurosanbe plus
new diatabs
nistatin
nutriflam
omedon
omedon syrup
omeprazole tablet
ondansetron
oralit saset
pacdin syrup
paracetamol syrup
paracetamol tablet
polidemicin tetes mata
pregabal
ranitidin tablet
reclofar
salbutamol tablet
sanbe tears
sanmol syr
seltiford syrup
simvastatin tablet
sukralfat syrup
tablet tambah darah
vit B. Com
vitamin C
voltadex salep
zinc
24 25 26 27 28 Jumlah Harga
0 10000 0
0 900 0
0 2000 0
0 500 0
0 0 0
0 1800 0
0 5000 0
0 500 0
0 2500 0
0 4400 0
0 1000 0
0 8000 0
0 2100 0
0 6000 0
0 500 0
0 0 0
0 0 0
0 5700 0
0 500 0
0 2600 0
0 1500 0
0 4300 0
0 5000 0
0 28000 0
0 1000 0
31 5900 182900
0 16000 0
9 9 57 1600 91200
0 23000 0
18 3500 63000
3 17 500 8500
0 6000 0
20 20 1000 20000
0 22000 0
0 10000 0
0 500 0
0 13000 0
0 1300 0
0 500 0
0 5000 0
0 6000 0
0 2000 0
0 500 0
0 15000 0
0 1200 0
0 1800 0
0 10000 0
0 2900 0
0 1000 0
0 4300 0
0 10000 0
0 1000 0
0 1100 0
0 2400 0
0 7500 0
0 500 0
0 3500 0
0 12000 0
0 2600 0
0 500 0
0 500 0
0 1800 0
0 8000 0
9 400 3600
13 9 69 500 34500
0 5000 0
0 500 0
7 9 45 400 18000
0 1400 0
0 1000 0
0 32000 0
0 15100 0
0 700 0
0 25000 0
0 1500 0
0 2300 0
0 600 0
0 6000 0
0 4000 0
0 500 0
0 37000 0
0 5800 0
0 500 0
0 6500 0
0 500 0
0 31000 0
0 22000 0
0 12000 0
0 900 0
0 5000 0
0 600 0
0 400 0
0 300 0
0 30000 0
0 800 0

421,700 421,700
DAFTAR OBAT PASIEN BPJS PPK 1 November 2022
1
1 2 3 4 7 8 9 10 11 14 15 16 17 18 21
acyclovir salep
acyclovir tablet
alegi
allupurinol
alpar tablet (droping)
ambeven
ambroxol syrup
ambroxol tablet 2 4 9 9 2 9 9 32
amlodipin 5mg 1
amoxan tablet
amoxicilin tablet 5 12 9 9 2 9 13
amoxycilin syrup
analsik
antasida syrup
antasida tablet 9 9 9 9
anti diare (droping)
antiflu tablet (droping)
argout tablet
asam mefanamat 9
asam traneksamat
atovastatin
betahistine mesylate 9
betametasone salep
batugin elixir
bromhexine
candesartan tablet
cefadroxyl syrup
cefadroxyl tablet 12 6 6 6
cefixime syrup
cefixime tablet 3 6 9
cetirizine tablet 3 3 3 3
chlorampenicol salep mata
ciprofloxacin tablet 6 9
comboivent
counterpain cream
ctm 2 1 3 9 2 13 22
curbio syrup
curcuma
dexametasone tablet 18 4 9 9 31 13
dipen injeksi
dispo 3cc
dispo 5cc
domperidon tablet 3 9 9
domperidon syrup
epexol tablet
eritromicin
erlamycin salep mata
flunarizine
furosemide
gabapentin
gentamicin salep 1
clidamicin tablet
glimepiride tablet
glukosamin
hydrocortisone salep
ibuprofen tablet 6
ketorolac tablet
klorfeson salep
lansoprazole 12 3 6
loperamid 9
Loratadin
mefinal
mersibio injeksi
metformin 3
methilprednisolone tablet
miconazole salep
mucohexin tablet
natrium diklofenat 6
neurosanbe plus
new diatabs
nistatin
nutriflam
omedon
omedon syrup
omeprazole tablet 6
ondansetron
oralit saset 2
pacdin syrup
paracetamol syrup
paracetamol tablet 34 15 24 4 12 9 9 9 9 24 9 13
polidemicin tetes mata
pregabal
ranitidin tablet
reclofar
salbutamol tablet 4
sanbe tears
sanmol syr
seltiford syrup
simvastatin tablet
sukralfat syrup 1 2
tablet tambah darah
vit B. Com 3 12 2 9 14 6 5
vitamin C 3
voltadex salep
zinc
22 23 24 25 28 29 30 Jumlah Harga
0 10000 0
0 900 0
0 2000 0
0 500 0
0 0 0
0 1800 0
0 5000 0
18 3 11 1 109 500 54500
1 2 2500 5000
0 4400 0
23 12 94 1000 94000
0 8000 0
0 2100 0
0 6000 0
36 500 18000
0 0 0
0 0 0
0 5700 0
9 500 4500
0 2600 0
0 1500 0
9 4300 38700
0 5000 0
0 28000 0
0 1000 0
0 5900 0
0 16000 0
30 1600 48000
0 23000 0
18 3500
3 6 6 27 500
0 6000 0
15 1000
0 22000 0
0 10000 0
21 4 3 80 500 40000
0 13000 0
0 1300 0
4 6 3 9 2 108 500 54000
0 5000 0
0 6000 0
0 2000 0
9 30 500 15000
0 15000 0
0 1200 0
0 1800 0
0 10000 0
0 2900 0
0 1000 0
0 4300 0
1 2 10000 20000
0 1000 0
0 1100 0
0 2400 0
0 7500 0
6 6 18 500 9000
0 3500 0
0 12000 0
21 2600 54600
9 18 500 9000
3 3 500 1500
0 1800 0
0 8000 0
3 400
0 500
0 5000 0
0 500 0
6 6 18 400
0 1400 0
0 1000 0
0 32000 0
0 15100 0
0 700 0
0 25000 0
6 6 18 1500 27000
0 2300 0
1 3 600 1800
0 6000 0
0 4000 0
24 13 10 9 227 500 113500
0 37000 0
0 5800 0
0 500 0
0 6500 0
4 500 2000
0 31000 0
0 22000 0
0 12000 0
0 900 0
1 2 1 7 5000 35000
0 600 0
18 12 6 3 13 103 400 41200
3 300 900
0 30000 0
0 800 0

687,200 687,200
DAFTAR OBAT PASIEN BPJS PPK 1 DESEMBER
1
1 2 3 4 7 8 9 10 11 14 15 16 17 18 21
acyclovir salep
acyclovir tablet
alegi
allupurinol
alpar tablet (droping)
ambeven
ambroxol syrup
ambroxol tablet 2 4 9 9 2 9 9 32
amlodipin 5mg 1
amoxan tablet
amoxicilin tablet 5 12 9 9 2 9 13
amoxycilin syrup
analsik
antasida syrup
antasida tablet 9 9 9 9
anti diare (droping)
antiflu tablet (droping)
argout tablet
asam mefanamat 9
asam traneksamat
atovastatin
betahistine mesylate 9
betametasone salep
batugin elixir
bromhexine
candesartan tablet
cefadroxyl syrup
cefadroxyl tablet 12 6 6 6
cefixime syrup
cefixime tablet 3 6 9
cetirizine tablet 3 3 3 3
chlorampenicol salep mata
ciprofloxacin tablet 6 9
comboivent
counterpain cream
ctm 2 1 3 9 2 13 22
curbio syrup
curcuma
dexametasone tablet 18 4 9 9 31 13
dipen injeksi
dispo 3cc
dispo 5cc
domperidon tablet 3 9 9
domperidon syrup
epexol tablet
eritromicin
erlamycin salep mata
flunarizine
furosemide
gabapentin
gentamicin salep 1
clidamicin tablet
glimepiride tablet
glukosamin
hydrocortisone salep
ibuprofen tablet 6
ketorolac tablet
klorfeson salep
lansoprazole 12 3 6
loperamid 9
Loratadin
mefinal
mersibio injeksi
metformin 3
methilprednisolone tablet
miconazole salep
mucohexin tablet
natrium diklofenat 6
neurosanbe plus
new diatabs
nistatin
nutriflam
omedon
omedon syrup
omeprazole tablet 6
ondansetron
oralit saset 2
pacdin syrup
paracetamol syrup
paracetamol tablet 34 15 24 4 12 9 9 9 9 24 9 13
polidemicin tetes mata
pregabal
ranitidin tablet
reclofar
salbutamol tablet 4
sanbe tears
sanmol syr
seltiford syrup
simvastatin tablet
sukralfat syrup 1 2
tablet tambah darah
vit B. Com 3 12 2 9 14 6 5
vitamin C 3
voltadex salep
zinc
22 23 24 25 28 29 30 Jumlah Harga
0 10000 0
0 900 0
0 2000 0
0 500 0
0 0 0
0 1800 0
0 5000 0
18 3 11 1 109 500 54500
1 2 2500 5000
0 4400 0
23 12 94 1000 94000
0 8000 0
0 2100 0
0 6000 0
36 500 18000
0 0 0
0 0 0
0 5700 0
9 500 4500
0 2600 0
0 1500 0
9 4300 38700
0 5000 0
0 28000 0
0 1000 0
0 5900 0
0 16000 0
30 1600 48000
0 23000 0
18 3500
3 6 6 27 500
0 6000 0
15 1000
0 22000 0
0 10000 0
21 4 3 80 500 40000
0 13000 0
0 1300 0
4 6 3 9 2 108 500 54000
0 5000 0
0 6000 0
0 2000 0
9 30 500 15000
0 15000 0
0 1200 0
0 1800 0
0 10000 0
0 2900 0
0 1000 0
0 4300 0
1 2 10000 20000
0 1000 0
0 1100 0
0 2400 0
0 7500 0
6 6 18 500 9000
0 3500 0
0 12000 0
21 2600 54600
9 18 500 9000
3 3 500 1500
0 1800 0
0 8000 0
3 400
0 500
0 5000 0
0 500 0
6 6 18 400
0 1400 0
0 1000 0
0 32000 0
0 15100 0
0 700 0
0 25000 0
6 6 18 1500 27000
0 2300 0
1 3 600 1800
0 6000 0
0 4000 0
24 13 10 9 227 500 113500
0 37000 0
0 5800 0
0 500 0
0 6500 0
4 500 2000
0 31000 0
0 22000 0
0 12000 0
0 900 0
1 2 1 7 5000 35000
0 600 0
18 12 6 3 13 103 400 41200
3 300 900
0 30000 0
0 800 0

687,200 687,200
DAFTAR OBAT PASIEN BPJS PPK 1 Januari 2023
1
2 3 4 5 6 9 10 11 12 13 16
acyclovir salep
acyclovir tablet
alegi
allupurinol
alpar tablet (droping)
ambeven 10
ambroxol syrup
ambroxol tablet 9 9 3
amlodipin 5mg 10 6 5
amoxan tablet
amoxicilin tablet 5
amoxycilin syrup
analsik
antasida syrup 1
antasida tablet
anti diare (droping)
antiflu tablet (droping) 9
argout tablet
asam mefanamat 10
asam traneksamat
atovastatin
betahistine mesylate
betametasone salep
batugin elixir
bromhexine
candesartan tablet 6 6 9
cefadroxyl syrup
cefadroxyl tablet 10 10 10
cefixime syrup
cefixime tablet 6 6
cetirizine tablet 6
chlorampenicol salep mata
ciprofloxacin tablet
comboivent
counterpain cream 1
ctm 16 12 29 6
curbio syrup
curcuma 6
dexametasone tablet 14
dipen injeksi
dispo 3cc
dispo 5cc
domperidon tablet
domperidon syrup
epexol tablet
eritromicin 9
erlamycin salep mata 1
flunarizine
furosemide
gabapentin
gentamicin salep 1 1
clidamicin tablet
glimepiride tablet 3
glukosamin
hydrocortisone salep
ibuprofen tablet 12 9
ketorolac tablet
klorfeson salep
lansoprazole 10 6
loperamid
Loratadin 6 5
mefinal
mersibio injeksi
metformin 9
methilprednisolone tablet 12 24 20
miconazole salep
mucohexin tablet
natrium diklofenat 6 9 6
neurosanbe plus
new diatabs
nistatin
nutriflam
omedon
omedon syrup
omeprazole tablet 2 10 10 20 6
ondansetron
oralit saset
pacdin syrup
paracetamol syrup 1
paracetamol tablet
polidemicin tetes mata
pregabal
ranitidin tablet 10 10 20
reclofar
salbutamol tablet
sanbe tears
sanmol syr
seltiford syrup 1
simvastatin tablet
sukralfat syrup 2
tablet tambah darah
vit B. Com 6 9
vitamin C 12 6 6 6 24
voltadex salep
zinc 3
17 18 19 20 23 24 25 26 27 30 31 Jumlah Harga
0 10000 0
0 900 0
0 2000 0
10 10 500 5000
0 0 0
10 1800 18000
0 5000 0
3 12 9 3 48 500 24000
5 5 5 36 2500 90000
0 4400 0
5 10 1000 10000
3 3 8000 24000
0 2100 0
1 1 3 6000 18000
0 500 0
0 0 0
9 0 0
0 5700 0
9 19 500 9500
0 2600 0
0 1500 0
0 4300 0
1 1 5000 5000
0 28000 0
0 1000 0
5 5 31 5900 182900
1 1 16000 16000
9 9 9 57 1600 91200
0 23000 0
6 6 24 3500 84000
8 3 17 500 8500
0 6000 0
20 10 30 1000 30000
0 22000 0
1 10000 10000
14 19 6 9 12 123 500 61500
0 13000 0
6 1300 7800
5 19 38 500 19000
0 5000 0
0 6000 0
0 2000 0
0 500 0
1 1 15000 15000
0 1200 0
9 1800 16200
1 10000 10000
0 2900 0
0 1000 0
0 4300 0
1 3 10000 30000
0 1000 0
3 1100 3300
0 2400 0
0 7500 0
5 6 32 500 16000
10 10 3500 35000
0 12000 0
6 15 37 2600 96200
0 500 0
3 3 17 500 8500
0 1800 0
0 8000 0
9 400 3600
9 6 9 2 82 500 41000
0 5000 0
0 500 0
9 24 54 400 21600
0 1400 0
0 1000 0
0 32000 0
0 15100 0
0 700 0
0 25000 0
6 6 60 1500 90000
0 2300 0
0 600 0
0 6000 0
1 1 3 4000 12000
5 5 500 2500
0 37000 0
0 5800 0
20 60 500 30000
0 6500 0
0 500 0
0 31000 0
1 1 22000 22000
1 2 4 12000 48000
0 900 0
2 5000 10000
0 600 0
12 20 6 6 24 83 400 33200
6 8 9 77 300 23100
0 30000 0
3 800 2400
1,284,000
DAFTAR OBAT PASIEN BPJS PPK 1 Februari 2023
1
1 2 3 6 7 8 9 10 13 14 15 16 17 20 21
acyclovir salep
acyclovir tablet
alegi
allupurinol
alpar tablet (droping)
ambeven
ambroxol syrup
ambroxol tablet 3 6 9
amlodipin 5mg
amoxan tablet
amoxicilin tablet 9 12 18 6 9 2 9 6
amoxycilin syrup
analsik
antasida syrup
antasida tablet 9 6 9 6 12 12 9
anti diare (droping)
antiflu tablet (droping) 6 12 6 9 24 12
argout tablet
asam mefanamat 9
asam traneksamat 6 9 12 9 12 12 24 6 12
atovastatin
betahistine mesylate
betametasone salep
batugin elixir
bromhexine
candesartan tablet
cefadroxyl syrup
cefadroxyl tablet 6
cefixime syrup
cefixime tablet 6 9
cetirizine tablet 6
chlorampenicol salep mata
ciprofloxacin tablet
comboivent
counterpain cream
ctm 2 9
curbio syrup
curcuma
dexametasone tablet 9 9
dipen injeksi
dispo 3cc
dispo 5cc
domperidon tablet 9 18 9 12 6 12 9 12 18
domperidon syrup
epexol tablet
eritromicin
erlamycin salep mata
flunarizine
furosemide
gabapentin
gentamicin salep 1
clidamicin tablet
glimepiride tablet
glukosamin
hydrocortisone salep
ibuprofen tablet 9 6 12
ketorolac tablet
klorfeson salep
lansoprazole 6
loperamid 6 6 9
Loratadin
mefinal
mersibio injeksi
metformin
methilprednisolone tablet 6 12 24 12 24 6 12
miconazole salep
mucohexin tablet
natrium diklofenat 3 6 6 12 6
neurosanbe plus
new diatabs
nistatin
nutriflam
omedon 1 1 1
omedon syrup
omeprazole tablet 6 6 12 6 12 6 12
ondansetron
oralit saset 3 6 3 6 3 6
pacdin syrup
paracetamol syrup
paracetamol tablet 9 9 9 9
polidemicin tetes mata
pregabal
ranitidin tablet 6 6 6
reclofar
salbutamol tablet
sanbe tears
sanmol syr 1 1 1 2 1
seltiford syrup
simvastatin tablet
sukralfat syrup 1
tablet tambah darah
vit B. Com 3 6 3 6 6 3
vitamin C 6 12 6 12 3 6 12
voltadex salep
zinc 6 12
22 23 24 27 28 Jumlah Harga
0 10000 0
0 900 0
0 2000 0
0 500 0
0 0 0
0 1800 0
0 5000 0
18 15 51 500 25500
0 2500 0
0 4400 0
20 91 1000 91000
0 8000 0
0 2100 0
0 6000 0
6 69 500 34500
0 0 0
69 0 0
0 5700 0
9 500 4500
6 9 18 135 2600 351000
0 1500 0
9 9 4300 38700
0 5000 0
0 28000 0
12 12 1000 12000
0 5900 0
0 16000 0
6 1600 9600
0 23000 0
6 6 27 3500 94500
6 6 18 500 9000
0 6000 0
12 12 1000 12000
0 22000 0
0 10000 0
1 12 24 500 12000
0 13000 0
0 1300 0
1 6 9 6 40 500 20000
0 5000 0
0 6000 0
0 2000 0
24 18 12 6 165 500 82500
0 15000 0
0 1200 0
0 1800 0
0 10000 0
0 2900 0
0 1000 0
0 4300 0
1 10000 10000
0 1000 0
0 1100 0
0 2400 0
0 7500 0
24 6 12 69 500 34500
0 3500 0
0 12000 0
6 2600 15600
12 33 500 16500
6 6 500 3000
0 1800 0
0 8000 0
0 400 0
6 12 9 123 500 61500
0 5000 0
0 500 0
33 400 13200
0 1400 0
0 1000 0
0 32000 0
0 15100 0
3 700 2100
0 25000 0
6 6 72 1500 108000
0 2300 0
3 3 33 600 19800
0 6000 0
0 4000 0
9 18 20 83 500 41500
0 37000 0
0 5800 0
3 3 24 500 12000
0 6500 0
6 6 500 3000
0 31000 0
1 2 9 22000 198000
0 12000 0
0 900 0
1 5000 5000
0 600 0
6 6 12 51 400 20400
6 6 12 81 300 24300
0 30000 0
18 800 14400

1,399,600
DAFTAR OBAT PASIEN BPJS PPK Maret 2023
1
1 2 3 6 7 8 9 10 13 14 15 16 17 20 21
acyclovir salep
acyclovir tablet
alegi
allupurinol
alpar tablet (droping)
ambeven
ambroxol syrup
ambroxol tablet 9 10 12 6 11 12 18 9 27 6 3
amlodipin 5mg 6
amoxan tablet 9
amoxicilin tablet 3 13 14 18 9
amoxycilin syrup
analsik
antasida syrup 1
antasida tablet 9 18
anti diare (droping)
antiflu tablet (droping) 9
argout tablet
asam mefanamat 9 6 6
asam traneksamat 9
atovastatin
betahistine mesylate 6
betametasone salep
batugin elixir
bromhexine
candesartan tablet
cefadroxyl syrup
cefadroxyl tablet 6 6
cefixime syrup
cefixime tablet 6 6 9 18 6
cetirizine tablet 6 6 6 6 12 16 3
chlorampenicol salep mata
ciprofloxacin tablet
comboivent
counterpain cream
ctm 3 2 5 18 6 11 9
curbio syrup
curcuma
dexametasone tablet 3 9 13 9 2 6 12
dipen injeksi
dispo 3cc
dispo 5cc
domperidon tablet 9 9 9
domperidon syrup
epexol tablet
eritromicin
erlamycin salep mata
flunarizine
furosemide
gabapentin
gentamicin salep 1 1 1
clidamicin tablet
glimepiride tablet
glukosamin
hydrocortisone salep
ibuprofen tablet 6 9 18 6 12 6 9 6
ketorolac tablet 6
klorfeson salep
lansoprazole 6 6 6
loperamid 9
Loratadin 6
mefinal
mersibio injeksi
metformin
methilprednisolone tablet 6
miconazole salep
mucohexin tablet
natrium diklofenat 3 6 12 6
neurosanbe plus
new diatabs
nistatin
nutriflam
omedon
omedon syrup
omeprazole tablet 6 12 6 6 6 6
ondansetron
oralit saset
pacdin syrup
paracetamol syrup
paracetamol tablet 5 3 9 18 6
polidemicin tetes mata
pregabal
ranitidin tablet
reclofar
salbutamol tablet 3
sanbe tears
sanmol syr
seltiford syrup
simvastatin tablet
sukralfat syrup 1
tablet tambah darah
vit B. Com 3 6 18 6 12 6 3 9 12
vitamin C 12
voltadex salep
zinc
22 23 24 27 28 29 30 31 Jumlah Harga
0 10000 0
0 900 0
0 2000 0
6 6 500 3000
0 0 0
0 1800 0
0 5000 0
18 15 3 159 500 79500
6 2500 15000
9 4400 39600
24 15 96 1000 96000
0 8000 0
0 2100 0
1 6000 6000
27 500 13500
0 0 0
6 15 0 0
0 5700 0
6 6 6 39 500 19500
9 2600 23400
0 1500 0
6 12 4300 51600
1 1 2 5000 10000
0 28000 0
12 12 1000 12000
0 5900 0
0 16000 0
12 1600 19200
0 23000 0
6 6 57 3500 199500
6 61 500 30500
0 6000 0
12 12 1000 12000
0 22000 0
0 10000 0
1 42 6 2 105 500 52500
0 13000 0
0 1300 0
54 500 27000
0 5000 0
0 6000 0
0 2000 0
9 36 500 18000
0 15000 0
0 1200 0
0 1800 0
0 10000 0
0 2900 0
0 1000 0
0 4300 0
1 4 10000 40000
0 1000 0
0 1100 0
0 2400 0
0 7500 0
18 90 500 45000
6 3500 21000
0 12000 0
18 2600 46800
18 9 36 500 18000
6 12 500 6000
0 1800 0
0 8000 0
0 400 0
6 500 3000
0 5000 0
0 500 0
6 6 6 45 400 18000
0 1400 0
0 1000 0
0 32000 0
0 15100 0
0 700 0
0 25000 0
6 6 12 66 1500 99000
0 2300 0
3 1 4 600 2400
0 6000 0
0 4000 0
6 47 500 23500
0 37000 0
0 5800 0
6 6 12 500 6000
0 6500 0
6 9 500 4500
0 31000 0
0 22000 0
0 12000 0
6 6 900 5400
1 5000 5000
0 600 0
12 6 6 99 400 39600
6 18 300 5400
0 30000 0
0 800 0

1,116,400
DAFTAR OBAT PASIEN BPJS PPK 1 April 2023
1
3 4 5 6 7 10 11 12 13 14 17 18
acyclovir salep
acyclovir tablet
alegi
allupurinol
alpar tablet (droping) 9 18
ambeven
ambroxol syrup
ambroxol tablet 18 16 7 6 9 29
amlodipin 5mg
amoxan tablet
amoxicilin tablet 3 16 18 6 2
amoxycilin syrup
analsik
antasida syrup 1
antasida tablet 9 9
anti diare (droping)
antiflu tablet (droping)
argout tablet
asam mefanamat 18 6 9
asam traneksamat 6
atovastatin
betahistine mesylate 9 9 9 9
betametasone salep
batugin elixir
bromhexine
candesartan tablet
cefadroxyl syrup
cefadroxyl tablet 6 10 6 24
cefixime syrup
cefixime tablet 12 9 10 6 12
cetirizine tablet 6 6 6 12 10 6
chlorampenicol salep mata
ciprofloxacin tablet 6
comboivent
counterpain cream
ctm 12 16 9 9 20
curbio syrup
curcuma
dexametasone tablet 12 16 7 9 27 29
dipen injeksi
dispo 3cc
dispo 5cc
domperidon tablet
domperidon syrup
epexol tablet
eritromicin
erlamycin salep mata
flunarizine
furosemide
gabapentin
gentamicin salep 1
clidamicin tablet
glimepiride tablet
glukosamin
hydrocortisone salep
ibuprofen tablet 18 9
ketorolac tablet
klorfeson salep
lansoprazole 6
loperamid
Loratadin 9 6
mefinal
mersibio injeksi
metformin
methilprednisolone tablet 9
miconazole salep
mucohexin tablet
natrium diklofenat 9 9 6
neurosanbe plus
new diatabs
nistatin
nutriflam
omedon
omedon syrup
omeprazole tablet 6 6
ondansetron
oralit saset
pacdin syrup
paracetamol syrup
paracetamol tablet 3 25 27 27 30
polidemicin tetes mata
pregabal
ranitidin tablet
reclofar
salbutamol tablet 1
sanbe tears
sanmol syr
seltiford syrup 1 1 1 1
simvastatin tablet
sukralfat syrup
tablet tambah darah
vit B. Com 12 6 15 12 18
vitamin C 6
voltadex salep
zinc 6
19 20 21 24 25 26 27 28 Jumlah Harga
0 10000 10000
0 900 900
0 2000 2000
3 3 500 500
27 0 0
0 1800 1800
1 1 5000 5000
9 94 500 500
6 6 2500 2500
0 500 500
15 6 66 0
0 0
0 2100 2100
1 2 6000 6000
18 500 500
0 0 0
0 0 0
0 5700 5700
18 51 500 500
6 2600 2600
0 1500 1500
36 4300 4300
0 5000 5000
0 28000 28000
0 1000 1000
0 5900 5900
0 16000 16000
46 1600 1600
0 23000 23000
49 3500 3500
46 500 500
0 6000 6000
6 1000 1000
0 22000 22000
0 10000 10000
18 6 90 500 500
0 13000 13000
0 1300 1300
24 27 49 200 500 500
0 5000 5000
0 6000 6000
0 2000 2000
9 9 500 500
0 15000 15000
0 1200 1200
0 1800 1800
0 10000 10000
0 2900 2900
0 1000 1000
0 4300 4300
1 10000 10000
0 1000 1000
0 1100 1100
0 2400 2400
0 7500 7500
27 9 6 69 500 500
0 3500 3500
0 12000 12000
6 12 2600 2600
0 500 500
15 500 500
0 1800 1800
0 8000 8000
0 400 400
9 500 500
0 5000 5000
0 500 500
6 30 400 400
0 1400 1400
0 1000 1000
0 32000 32000
0 15100 15100
0 700 700
0 25000 25000
12 1500 1500
0 2300 2300
0 600 600
0 6000 6000
0 4000 4000
19 18 6 155 500 500
0 37000 37000
0 5800 5800
0 500 500
0 6500 6500
1 500 500
0 31000 31000
0 22000 22000
1 1 6 12000 12000
0 900 900
1 1 5000 5000
0 600 600
18 33 114 400 400
6 300 300
0 30000 30000
6 800 800

537000 537000

You might also like