3 Alopurinol tablet 100 mg 20 88 Furosemid tablet 40 mg

400 45 Attapulgit tablet 600 mg 200

4 Alopurinol tablet 300 mg 500 96 Gentamycin Tetes mata 0,3%
1.000 47 Betametason krim 0.1 % 96
9 Amlodipin tablet 5 mg 18 100 Glibenklamid tablet 5 mg
3.000 48 Bisakodil sup 10 mg - adult 400
10 Amoksilin 250 mg kapsul 15 110 Hidrogen Peroksida cairan 3 %
900 51 Bromheksin tablet 5
11 Amoksilin 500 mg 9.700 111 Hidroklorotiazid (HCT) tablet 25 mg
3.200 52 Budesonid cairan inhalasi 1.200
12 Amoksilin sirup 125 mg/5 ml 0,25%/PULMICORT 20 114 Ibuprofen tablet 200 mg
35 53 Budesonid cairan inhalasi 0,5 1.300
13 Amoksilin sirup forte 250 mg/5 ml %/PULMICORT 20 115 Ibuprofen tablet 400 mg
100 6.800
56 Deksametason 0.5 mg
19 Antalgin (Metampiron) tablet 500 117 Isosorbid dinitrat tablet sublingual 5
1.600
mg/Metamizole 3.900 mg 200
60 Diazepam inj. 5 mg / ml @ 2 ml
21 Antasida doen tablet, kombinasi 119 Kalamin SALAP
19
5.600 15
61 Diazepam larutan Rectal 5 mg/2,5 ml
22 Anti Tetanus (Human tetanus 121 Kalsium laktat (kalk) tablet 500 mg
10
imunoglobulin) 10 2.600
62 Diazepam larutan Rectal 10 mg/2,5
122 Kaptopril tab 12,5 mg
25 Antifungi doen kombinasi / 3 - 6 salf ml 9
1.700
25 64 Diazepam tablet 5 mg
123 Kaptopril tab 25 mg
26 Antihemoroid doen kombinasi 76
300
14 66 Digoksin tablet 0.25 mg
125 Karbamazepin tablet 200 mg
28 Antimigrain doen kombinasi 500
500
200 68 Dimenhidrinat tablet 50 mg
129 Ketokonazole 200 mg tab
31 Asam Askorbat (Vit. C) 250 mg 300
500
1.900 73 Efinefrin hcl/ (adrenalin) inj. 0.1% - 1
131 Ketokenazol scalp sol 2 %
33 Asam Folat 0,04 mg ml 55
11
1.000 75 Erytromisin capsul 250 mg
133 Klindamisin 150 mg
34 Asam Mefenamat tablet 500 mg 600
500
3.800 78 Fenitoin natrium kapsul 100 mg
135 Kloramfenikol kapsul 250 mg
36 Asetosal tablet 80 mg 200
500
400 81 Fenobarbital tablet 30 mg
139 Kloramfenikol tetes mata 0,5 %
37 Asetosal tablet 100 mg 500
95
500 85 Fitomenadion (vit. K1) injeksi 10
149 Kompolax (Kombinasi : Parafin +
40 Asiklovir 400 mg mg/ml @ 1 ml 71
Gliserin + Fenolftalein ) Suspensi 18
350 86 Fitomenadion (vit. K1) tablet salut 10
41 Asiklovir krim SK 150 Kotrimoksazol dewasa tablet (480
mg 1.000
 mg) 200 202 Parasetamol sirup 120 mg/5 ml 4.900
152 Kotrimoksazol (anak) suspensi 200 236 Simetidine
158 204 Parasetamol tablet 500 mg 600
153 Kuinin sulfat tablet 200 mg (h2o) 3.800 239 Siprofloksasin tab 500 mg
420 205 Perak Sulfadiazin krim 1 % 200
160 Loperamide tablet 2 mg 4 245 Tetrakain TM 0,5 %
2.300 206 Permetrim krim 5 %/Scabimite krim 10
162 Magnesium sulfat injeksi (iv) 20% - 25 5 249 Tiamin hcl mononitrat (vit. b1) tablet
ml 15 207 Pilocarpin TM 2% 50 mg 1.200
167 Metilergometrin maleat tablet salut 10 250 Timolol TM 0,25 %
0.125 mg 400 209 Pirantel tablet Score (base) 125 mg 10
500 251 Timolol TM 0,50 %
168 Metilprednisolon tablet 4 mg
210 Piridoksin hcl tablet 10 mg 10
300
1.200 252 Urea krim 10 %
170 Metoklopramida tab 10 mg
211 Piroxicam 10 mg 6
300
1.600 253 Urea krim 20 %
171 Metoklopramida HCL /Gavistal
213 Prednison tablet 5 mg 10
50
700 256 Vitamin B kompleks tablet
174 Metronidazole ovula 500 mg
217 Propranolol hcl tablet 10 mg 3.800
18
900 257 Zinc tab 20 mg
175 Miconazole Krim 2 %
218 Propranolol hcl tablet 40 mg 1.800
72
1.000 287 Alat suntik sekali pakai 2,5 ml
179 N- asetil sistein tab 200 mg
224 Salbutamol suspensi 2 mg/ 5ml 190
840
50 288 Alat suntik sekali pakai 3 ml
182 Natrium Diklofenak 50 mg
225 Salbutamol tablet 2 mg 100
400
300 290 Alat suntik sekali pakai 10 ml
186 Nistatin drop
226 Salbutamol tablet 4 mg 34
9
700 291 Alat suntik sekali pakai 20 ml
188 Norepinefrin inj 1 mg/ml
228 Salisil bedak 2 % 12
15
10 293 Alcohol swab 2 %
191 Oksimetazolin TH 0,025%
229 Sefadroksil kaps 250 mg 48
10
300 295 Aqua proinjeksi steril, bebas pirogen
192 Oksimetazolin TH 0,050%
230 Sefadroksil sir kering 125 mg/5 ml 20 ml 12
10
40
197 Oksitosin injeksi 10 iu/ml @ 1 ml 297 Autoclick Lancing Device
231 Sefadroksil sir kering 250 mg/5 ml
82 2
10
198 Olopatadin TM 0,1 % 299 Bisturi No. 10
233 Setirizin sirup 5 mg/5 ml
20 8
150
199 Omeprazole capsul 20 mg 300 Bisturi No. 11
234 Sianokobalamin (vit. b 12) 50 mcg
600 8
304 Blood Transfusion Set 343 Kapas Pembalut / Absorben 250 2
8 gram 3 381 Silk (Benang Bdh Sutera) No. 2/0 dgn
305 Catgut Chromic/Benang Bdh no.2/0 345 Kasa Hydrophile 40yd x 80 cm jrm bdh 15
dg jrm bdh 44 4 382 Silk (Benang Bdh Sutera) No. 3/0 dgn
306 Catgut Chromic/Benang Bdh no.3/0 346 Kasa Kompres 40/40 steril jrm bdh 10
dg jrm bdh 26 90
387 Surgical Gown
347 Kasa Pembalut 2 m x 80 cm
307 Catgut Plain/Benang Bedah No.2/0 12
91
dg jrm bdh 22 389 Three way stop cock
348 Kasa Pembalut Hidrofil 4 m x 10 cm
308 Catgut Plain/Benang Bedah No.3/0 1
50
dg jrm bdh 55 390 Three way stop cock wiyh tube
349 Kasa Pembalut Hidrofil 4 m x 15 cm 1
311 Dermafix 10 x 15 cm elastic 35
10 391 Umbilical cord klem steril
353 Kasa steril 16x16 100
314 E-Care Antiseptik Hand Rub 10 botol 8
@ 500 ml 3 392 Underpad 60x90 cm non steril
354 Lisol 40
320 Etakridin (rivanol) larutan 0.1 % 3 393 Urine bag standar steril 2 ltr
7 357 Masker Nebulizer set anak (Sungkup 15
322 Etanol 70% 1000 ML + Balon) 2 395 Stik Gula Darah PTM
10 358 Masker Nebulizer set dewasa 200
323 Etil klorida semprot (Sungkup + Balon) 8 396 Lancet Gula Darah PTM
3 200
364 Natrium klorida larutan infus 0.9%
327 Foley catheter 2 way anak No.8 7 DHP (Dehidro Artemisin +
steril 20
20 Piperaquin) Tablet 333
366 One Scrub 4 % 5 liter
328 Foley catheter 2 way no. 16
1 11 Giemza
20
372 Povidon Iodida lar. 10 % 30 ml 1
329 Foley catheter 2 way no. 18
28 19 Primakuin tablet 15 mg
20
373 Povidon Iodida lar. 10 % 300 ml 100
330 Glukosa Larutan infus 10%
2 20 Primakuin tablet 15 mg
20
374 Ringer laktat larutan infus steril 300
331 Glukosa Larutan infus 5%
117 24 RDT Combo Malaria/Caretest
30
375 Sarung Tangan Gynekolog no. 7.5 250
332 I.V Chateter no. 18 G
110 25 RDT DBD COMBO
23
377 Sarung tangan Steril No. 7 40
334 I.V Chateter no. 20 G
95 35 Apron lengan panjang
95
378 Sarung tangan Steril No. 7,5 200
336 I.V Chateter no. 22 G
150 1 Garam oralit
50
379 Sarung tangan Steril No. 8 400
341 Infusion set anak
45 7 Masker Bedah
70
380 Shoe cover 20
10 OAT KDT DOSIS HARIAN 6 Retinol (Vitamin A) 200.000 IU Kapsul 12 Stomag Tube / NGT no 18
4 Lunak Balita (11 - 59 bulan) 3.150 1
13 Obat Anti Tuberculosis FDC anak 2 Tablet Tambah Darah (Ibu Hamil) 13 Feeding tube No 10 (alkes)
2 14.700 4
14 Obat Anti Tuberculosis FDC anak 5 Mineral Mix 6 Nurse Cup
2 40 5
21 Reagen Ziel Nelsen 1 BAJU APD SET LENGKAP 7 Handclin 500 mL
4 20 27
25 Tuberkulin PPD RT 23 SSI 2 BAJU APD ALL COVER 8 Handclin 5 L
5 250 2
7 Virocheck HIV 1/2 5 RAPID TEST COVID 19 10 Bionicom Zinc
75 25 2.100
21 RAPID Test HbsAg (Hepatitis) 9 Suction Chateter no 10 12 Oseltamivir
150 2 700
5 Risperidon 2 mg Tablet 10 Suction Chateter no 16 18 Sarung Tangan Non Steril
780 5 2.100
4 Retinol (Vitamin A) 100.000 IU Kapsul 11 Pembendung/Torniquet 23 Masker Bedah (Ekomed)
Lunak Bayi (6 - 11 bulan) 300 4 19