TGL 8 September

LAPORAN PERSEDIAAN OBAT RUMAH SAKIT UMUM DAERAH LANGSA
September-2021 S.D September-2021

Instalasi/Ruang/Unit : Gudang Farmasi
No. NAMA SATUAN HARGA AWAL PEMASUKAN PEMASUKAN LAIN-LAIN PENGELUARAN PENGELUARAN LAIN-LAIN SISA
SATUAN PEMASUKAN PENGELUARAN PENGELUARAN
AWAL Harga (Rp) PEMASUKAN Harga (Rp) Harga (Rp) Harga (Rp) Harga (Rp) SISA Harga (Rp)
LAIN-LAIN LAIN-LAIN
BEDAH MULUT
1 24 GA Stainless Wire 3 m Pcs Rp381.150 5 Rp1.905.750 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp1.905.750
2 Estelite Quick A3 Pcs Rp1.245.200 1 Rp1.245.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp1.245.200
3 Plate straight 10 hole 2,0 mm Pcs Rp2.355.639 26 Rp61.246.614 0 Rp0 0 Rp0 0 Rp0 0 Rp0 26 Rp61.246.614
4 Recon Plate RT 5x16 Hole Pcs Rp16.335.000 2 Rp32.670.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp32.670.000
5 Recons Plate Full 5x20x5 H Pcs Rp12.588.400 2 Rp25.176.800 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp25.176.800
6 Screw 1.6 mm x 6 mm Auto Pcs Rp350.529 46 Rp16.124.334 0 Rp0 0 Rp0 0 Rp0 0 Rp0 46 Rp16.124.334
Drive
7 Screw 2.4 mm x 10 MM Pcs Rp1.197.900 6 Rp7.187.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 6 Rp7.187.400
8 Screw Drive 1.6 mm x 8 mm Pcs Rp350.528 20 Rp7.010.560 0 Rp0 0 Rp0 0 Rp0 0 Rp0 20 Rp7.010.560
Total : 108 Rp152.566.658 0 Rp0 0 Rp0 0 Rp0 0 Rp0 108 Rp 152.566.658

BENANG
1 Catgut Plain 0 75 M, SGR Roll Rp3.104.200 3 Rp9.312.600 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3 Rp9.312.600
2 Catgut Chromic 0 75 M SGR Roll Rp3.104.200 1 Rp3.104.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp3.104.200
3 Catgut Chromic 1 75 mm Roll Rp3.104.200 2 Rp6.208.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp6.208.400
4 Catgut Plain 1 75 M Sgr Roll Rp3.104.200 1 Rp3.104.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp3.104.200
5 Chromic #2 Tp Wego 48 mm Sacc Rp61.917 12 Rp743.004 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp743.004
6 Chromic 0 TP 38 mm Sacc Rp52.250 12 Rp627.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp627.000
7 Chromic 0, TP 40 mm Sacc Rp52.250 10 Rp522.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp522.500
8 Chromic 1 Tp 43 mm Pcs Rp77.000 10 Rp770.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp770.000
9 Chromic 3-0 TP Wego 26 mm Sacc Rp100.696 24 Rp2.416.704 0 Rp0 0 Rp0 0 Rp0 0 Rp0 24 Rp2.416.704
10 Ethilon 1 RB 48 MM Sacc Rp74.844 5 Rp374.220 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp374.220
11 Ethilon 3/0 RC 26 Sacc Rp45.210 24 Rp1.085.040 0 Rp0 0 Rp0 0 Rp0 0 Rp0 24 Rp1.085.040
12 ETHILON 5/0 RC 11 mm Sacc Rp49.548 24 Rp1.189.152 0 Rp0 0 Rp0 0 Rp0 0 Rp0 24 Rp1.189.152
12 ETHILON 5/0 RC 11 mm Sacc Rp49.548 48 Rp2.378.304 0 Rp0 0 Rp0 0 Rp0 0 Rp0 48 Rp2.378.304
13 ETHILON No 10/0 6.5mm Sacc Rp124.663 36 Rp4.487.868 0 Rp0 0 Rp0 0 Rp0 0 Rp0 36 Rp4.487.868
LAIN-LAIN LAIN-LAIN
SPATULA 30cm
14 Nylon 2-0 Rc Wego 19 mm Sacc Rp60.500 12 Rp726.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp726.000
15 Nylon 3-0 Rc Wego 19 mm Sacc Rp60.500 48 Rp2.904.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 48 Rp2.904.000
16 Nylon 4/0 Cutting 19 mm Sacc Rp60.500 12 Rp726.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp726.000
17 Nylon Tape 3 mm x 70 Cm Sacc Rp36.267 60 Rp2.176.020 0 Rp0 0 Rp0 0 Rp0 0 Rp0 60 Rp2.176.020
18 PGA 1 TP 37MM Sacc Rp83.325 60 Rp4.999.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 60 Rp4.999.500
19 PGA 2 RC 40mm Sacc Rp100.583 12 Rp1.206.996 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp1.206.996
20 PGA 2/0 TP 22 MM Sacc Rp84.083 24 Rp2.017.992 0 Rp0 0 Rp0 12 Rp1.008.996 0 Rp0 12 Rp1.008.996
21 PGA 3-0 TP 26MM Sacc Rp75.471 48 Rp3.622.608 0 Rp0 0 Rp0 0 Rp0 0 Rp0 48 Rp3.622.608
22 PGA 6/0 TP 16 MM Sacc Rp79.200 24 Rp1.900.800 0 Rp0 0 Rp0 0 Rp0 0 Rp0 24 Rp1.900.800
22 PGA 6/0 TP 16 MM Sacc Rp79.200 12 Rp950.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp950.400
22 PGA 6/0 TP 16 MM Sacc Rp79.200 24 Rp1.900.800 0 Rp0 0 Rp0 0 Rp0 0 Rp0 24 Rp1.900.800
23 PGA Cutting 1, 40 mm Sacc Rp93.333 48 Rp4.479.984 0 Rp0 0 Rp0 48 Rp4.479.984 0 Rp0 0 Rp0
24 PGA Cutting 2-0, 24 mm Sacc Rp76.817 48 Rp3.687.216 0 Rp0 0 Rp0 0 Rp0 0 Rp0 48 Rp3.687.216
25 PGA Cutting 4-0,19 mm Sacc Rp104.500 6 Rp627.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 6 Rp627.000
25 PGA Cutting 4-0,19 mm Sacc Rp104.500 24 Rp2.508.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 24 Rp2.508.000
26 PGA Taper 5/0 Wego, 22 mm Sacc Rp101.475 24 Rp2.435.400 0 Rp0 0 Rp0 12 Rp1.217.700 0 Rp0 12 Rp1.217.700
27 Plain #1 TP Wego 48 mm Sacc Rp69.208 20 Rp1.384.160 0 Rp0 0 Rp0 0 Rp0 0 Rp0 20 Rp1.384.160
28 Plain 0 TP Wego 37 mm Sacc Rp49.583 24 Rp1.189.992 0 Rp0 0 Rp0 24 Rp1.189.992 0 Rp0 0 Rp0
29 Plain 0 TP Wego 43 mm Sacc Rp49.583 36 Rp1.784.988 0 Rp0 0 Rp0 24 Rp1.189.992 0 Rp0 12 Rp594.996
30 Plain 2-0 TP Wego 37 mm Sacc Rp58.071 12 Rp696.852 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp696.852
31 Plain 2/0 RC 24 mm Sacc Rp45.250 12 Rp543.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp543.000
32 PLAIN 3-0 RC 24MM Sacc Rp45.250 24 Rp1.086.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 24 Rp1.086.000
33 Plain 4-0 TP Wego 22 mm Sacc Rp100.738 12 Rp1.208.856 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp1.208.856
LAIN-LAIN LAIN-LAIN
34 Polypropylene 2/0 RC 24 mm Sacc Rp46.567 24 Rp1.117.608 0 Rp0 0 Rp0 0 Rp0 0 Rp0 24 Rp1.117.608
34 Polypropylene 2/0 RC 24 mm Sacc Rp54.583 12 Rp654.996 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp654.996
35 Polypropylene 3/0 RC 24mm Sacc Rp54.583 36 Rp1.964.988 0 Rp0 0 Rp0 24 Rp1.309.992 0 Rp0 12 Rp654.996
36 Polypropylene 4-0 TP 19mm Sacc Rp66.413 40 Rp2.656.520 0 Rp0 0 Rp0 0 Rp0 0 Rp0 40 Rp2.656.520
Wego
38 Polypropylene 1 RC 48 mm Sacc Rp65.666 48 Rp3.151.968 0 Rp0 0 Rp0 36 Rp2.363.976 0 Rp0 12 Rp787.992
39 Polypropylene 2-0 TP 19mm Sacc Rp46.567 20 Rp931.340 0 Rp0 0 Rp0 0 Rp0 0 Rp0 20 Rp931.340
Weg
Weg
Weg
40 Polypropylene 3/0. TP 22mm Sacc Rp49.867 24 Rp1.196.808 0 Rp0 0 Rp0 0 Rp0 0 Rp0 24 Rp1.196.808
41 Polypropylene 5-0 RC Wego Sacc Rp49.867 36 Rp1.795.212 0 Rp0 0 Rp0 0 Rp0 0 Rp0 36 Rp1.795.212
16mm
43 Polypropylene 5/0 TP 19 mm Sacc Rp49.867 19 Rp947.473 0 Rp0 0 Rp0 0 Rp0 0 Rp0 19 Rp947.473
44 Prolen 5/0 RC 16 Sacc Rp77.076 65 Rp5.009.940 0 Rp0 0 Rp0 0 Rp0 0 Rp0 65 Rp5.009.940
45 PROLENE 5/0 Tp 17mm Pcs Rp108.513 11 Rp1.193.643 0 Rp0 0 Rp0 0 Rp0 0 Rp0 11 Rp1.193.643
45 PROLENE 5/0 Tp 17mm Pcs Rp108.513 12 Rp1.302.156 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp1.302.156
46 Silk 3-0 Rc Wego 24 mm Sacc Rp32.333 24 Rp775.992 0 Rp0 0 Rp0 12 Rp387.996 0 Rp0 12 Rp387.996
47 Silk 3-0 Rc Wego 19 mm Sacc Rp32.333 7 Rp226.331 0 Rp0 0 Rp0 7 Rp226.331 0 Rp0 0 Rp0
48 Silk 4/0 Tp 16 mm Pcs Rp45.192 12 Rp542.304 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp542.304
49 Silk 0 Tp 37 mm Sacc Rp45.192 48 Rp2.169.216 0 Rp0 0 Rp0 12 Rp542.304 0 Rp0 36 Rp1.626.912
49 Silk 0 Tp 37 mm Sacc Rp79.979 12 Rp959.748 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp959.748
49 Silk 0 Tp 37 mm Sacc Rp79.979 12 Rp959.748 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp959.748
50 Silk 1 Rc 38 mm Wego Pcs Rp35.167 24 Rp844.008 0 Rp0 0 Rp0 0 Rp0 0 Rp0 24 Rp844.008
LAIN-LAIN LAIN-LAIN
51 SILK 1 TP 37MM Pcs Rp79.979 12 Rp959.748 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp959.748
52 Silk 2 Rc 40 mm Sacc Rp79.979 12 Rp959.748 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp959.748
52 Silk 2 Rc 40 mm Sacc Rp79.979 36 Rp2.879.244 0 Rp0 0 Rp0 0 Rp0 0 Rp0 36 Rp2.879.244
53 Silk 2-0 Tp Wego 26 mm Pcs Rp32.333 12 Rp387.996 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp387.996
54 SILK 3-0 TP 26MM Pcs Rp34.164 36 Rp1.229.904 0 Rp0 0 Rp0 14 Rp478.296 0 Rp0 22 Rp751.608
55 Silk Black 2 50 M Roll Rp1.045.440 1 Rp1.045.440 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp1.045.440
56 SURGICAL L BLUE 1.5mm Pcs Rp287.100 5 Rp1.435.500 0 Rp0 0 Rp0 5 Rp1.435.500 0 Rp0 0 Rp0
75cm
57 T-LENE 0 Tapercut 36 mm Pcs Rp84.040 24 Rp2.016.960 0 Rp0 0 Rp0 24 Rp2.016.960 0 Rp0 0 Rp0
58 T-MONO 1 RB 64.6 mm Pcs Rp114.400 0 Rp0 24 Rp2.745.600 0 Rp0 24 Rp2.745.600 0 Rp0 0 Rp0
59 T-PLAIN 3/0 RB 25mm Pcs Rp59.290 12 Rp711.480 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp711.480
60 Vicryl Plus 2-0 TP 26 mm Pcs Rp97.188 252 Rp24.491.376 0 Rp0 0 Rp0 0 Rp0 0 Rp0 252 Rp24.491.376
61 Vicryl plus 3/0 RC 24 mm Pcs Rp86.738 31 Rp2.688.878 0 Rp0 0 Rp0 0 Rp0 0 Rp0 31 Rp2.688.878
Total : 1.805 Rp150.804.997 24 Rp2.745.600 0 Rp0 278 Rp20.593.619 0 Rp0 1.551 Rp 132.956.978
BHMP PROGRAM VAKSIN COVID-19
1 ADS 0.5 ml (covid 19) Pcs Rp1.185 5 Rp5.925 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp5.925
2 ALKOHOL SWAB (covid 19) Pcs Rp9.500 5 Rp47.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp47.500
Total : 10 Rp53.425 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp 53.425

BHP
1 Abocath 16 Pcs Rp6.270 67 Rp420.090 0 Rp0 0 Rp0 0 Rp0 0 Rp0 67 Rp420.090
1 Abocath 16 Pcs Rp6.270 100 Rp627.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp627.000
2 Abocath 18 Pcs Rp7.894 460 Rp3.631.240 0 Rp0 0 Rp0 0 Rp0 0 Rp0 460 Rp3.631.240
2 Abocath 18 Pcs Rp5.300 500 Rp2.650.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 500 Rp2.650.000
3 Abocath 24 Pcs Rp6.270 200 Rp1.254.000 0 Rp0 0 Rp0 50 Rp313.500 0 Rp0 150 Rp940.500
4 Adhessive Tape 1.9 x 50 Pcs Rp64.648 5 Rp323.240 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp323.240
LAIN-LAIN LAIN-LAIN
5 Alkacid 1 L Pcs Rp2.702.700 10 Rp27.027.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp27.027.000
6 Alkazyme 25 mg Pcs Rp31.786 350 Rp11.125.100 0 Rp0 0 Rp0 0 Rp0 0 Rp0 350 Rp11.125.100
7 Alkohol 70% 1 Liter Btl Rp66.000 35 Rp2.310.000 0 Rp0 0 Rp0 35 Rp2.310.000 0 Rp0 0 Rp0
8 Alkohol 96% 1 Liter Ltr Rp47.300 5 Rp236.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp236.500
9 Appavisc 3 ml Pcs Rp121.000 2 Rp242.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp242.000
10 Apron Disposible Pcs Rp2.451 1.070 Rp2.622.570 0 Rp0 0 Rp0 840 Rp2.058.840 0 Rp0 230 Rp563.730
11 Aquadest @20L Ltr Rp10.560 5 Rp52.800 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp52.800
11 Aquadest @20L Ltr Rp6.076 40 Rp243.040 0 Rp0 0 Rp0 0 Rp0 0 Rp0 40 Rp243.040
12 Arm Sling "L" Pcs Rp35.200 55 Rp1.936.000 0 Rp0 0 Rp0 16 Rp563.200 0 Rp0 39 Rp1.372.800
13 Arm Sling "M" Pcs Rp35.200 20 Rp704.000 0 Rp0 0 Rp0 5 Rp176.000 0 Rp0 15 Rp528.000
14 Arm Sling "S" Pcs Rp35.200 9 Rp316.800 0 Rp0 0 Rp0 5 Rp176.000 0 Rp0 4 Rp140.800
15 Baby Oil 200 ml Btl Rp56.265 5 Rp281.325 0 Rp0 0 Rp0 5 Rp281.325 0 Rp0 0 Rp0
16 Bedak Johnson 500 gr Btl Rp41.250 5 Rp206.250 0 Rp0 0 Rp0 5 Rp206.250 0 Rp0 0 Rp0
17 Bisturi No. 11 Pcs Rp2.751 200 Rp550.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 200 Rp550.200
18 Bisturi No. 15 Pcs Rp6.109 225 Rp1.374.525 0 Rp0 0 Rp0 100 Rp610.900 0 Rp0 125 Rp763.625
19 BLOOD LANCET FARMASI Pcs Rp191 700 Rp133.700 0 Rp0 0 Rp0 0 Rp0 0 Rp0 700 Rp133.700
20 Botol Plastik 100ml Btl Rp1.012 100 Rp101.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp101.200
21 Botol Plastik 15ml Btl Rp990 29 Rp28.710 0 Rp0 0 Rp0 0 Rp0 0 Rp0 29 Rp28.710
21 Botol Plastik 15ml Btl Rp990 30 Rp29.700 0 Rp0 0 Rp0 0 Rp0 0 Rp0 30 Rp29.700
22 Botol Plastik 250 ml Btl Rp3.080 100 Rp308.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp308.000
23 Botol Plastik 30 ml Btl Rp1.210 50 Rp60.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 50 Rp60.500
24 Botol Plastik 300ml Btl Rp3.300 149 Rp491.700 0 Rp0 0 Rp0 0 Rp0 0 Rp0 149 Rp491.700
25 Botol Tetes 18 ml Pcs Rp1.320 85 Rp112.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 85 Rp112.200
26 BTL FLAT-FIT HEALTHCARE Pcs Rp59.400 12 Rp712.800 0 Rp0 0 Rp0 12 Rp712.800 0 Rp0 0 Rp0
LAIN-LAIN LAIN-LAIN
RESPIRATOR (KN95)
27 Carbachol Pcs Rp99.000 9 Rp891.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 9 Rp891.000
28 Chlodine 0,5% @5L Btl Rp68.200 40 Rp2.728.000 0 Rp0 0 Rp0 20 Rp1.364.000 0 Rp0 20 Rp1.364.000
29 Chloral Hydrat 1 kg Btl Rp8.260.000 1 Rp8.260.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp8.260.000
30 CITRIC ACID 1 KG Kg Rp93.000 10 Rp930.000 0 Rp0 0 Rp0 5 Rp465.000 0 Rp0 5 Rp465.000
30 CITRIC ACID 1 KG Kg Rp57.200 20 Rp1.144.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 20 Rp1.144.000
31 Clavicle Brace 4075-M Pcs Rp363.000 2 Rp726.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp726.000
32 Clavicle Brace 4075-S Pcs Rp363.000 2 Rp726.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp726.000
33 COHEVISC 1.4ml (Sodium Pcs Rp396.000 5 Rp1.980.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp1.980.000
Hyaluranate)
34 Collar Neck M Pcs Rp915.200 1 Rp915.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp915.200
34 Collar Neck M Pcs Rp348.700 5 Rp1.743.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp1.743.500
35 Collar Neck S Pcs Rp915.200 2 Rp1.830.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp1.830.400
36 Collar Neck Universal " L" Pcs Rp238.700 2 Rp477.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp477.400
37 Colostomi Bag NO.3 Pcs Rp5.005 8 Rp40.040 0 Rp0 0 Rp0 0 Rp0 0 Rp0 8 Rp40.040
37 Colostomi Bag NO.3 Pcs Rp5.005 50 Rp250.250 0 Rp0 0 Rp0 0 Rp0 0 Rp0 50 Rp250.250
38 Colostomy Bag No.4 Pcs Rp5.005 90 Rp450.450 0 Rp0 0 Rp0 0 Rp0 0 Rp0 90 Rp450.450
39 Condom Catheter L Pcs Rp4.950 3 Rp14.850 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3 Rp14.850
39 Condom Catheter L Pcs Rp4.950 20 Rp99.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 20 Rp99.000
40 Condom Catheter M Pcs Rp39.600 4 Rp158.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 4 Rp158.400
41 COTTON CREPE BANDAGE 4 Pcs Rp19.008 10 Rp190.080 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp190.080
inc
42 Couter Mata Bovie AAOOX Pcs Rp361.500 2 Rp723.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp723.000
43 CTG rol papper for brael BFM Roll Rp330.000 13 Rp4.290.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 13 Rp4.290.000
-10
44 Dop Mata Pcs Rp15.749 15 Rp236.235 0 Rp0 0 Rp0 0 Rp0 0 Rp0 15 Rp236.235
44 Dop Mata Pcs Rp80.300 99 Rp7.949.700 0 Rp0 0 Rp0 0 Rp0 0 Rp0 99 Rp7.949.700
LAIN-LAIN LAIN-LAIN
45 E- CARE HANDRUB 5 liter Ltr Rp125.235 5 Rp626.175 0 Rp0 0 Rp0 5 Rp626.175 0 Rp0 0 Rp0
45 E- CARE HANDRUB 5 liter Ltr Rp104.000 195 Rp20.280.000 0 Rp0 0 Rp0 26 Rp2.704.000 0 Rp0 169 Rp17.576.000
46 E-care Handrub 500 ML Btl Rp52.000 27 Rp1.404.000 0 Rp0 0 Rp0 27 Rp1.404.000 0 Rp0 0 Rp0
47 E-care Handscrub 1 Btl 5 L Ltr Rp130.000 100 Rp13.000.000 0 Rp0 0 Rp0 12 Rp1.560.000 0 Rp0 88 Rp11.440.000
48 E-CARE Hanscrub 500ml Btl Rp70.000 146 Rp10.220.000 0 Rp0 0 Rp0 35 Rp2.450.000 0 Rp0 111 Rp7.770.000
49 E-Care STERIFLO 350 ML Pcs Rp38.266 0 Rp0 80 Rp3.061.280 0 Rp0 80 Rp3.061.280 0 Rp0 0 Rp0
50 E-CARE SURGI GLOVE 7.5 Pcs Rp4.500 1 Rp4.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp4.500
51 ECG OPP-222 TE Roll Rp435.000 6 Rp2.610.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 6 Rp2.610.000
52 ECG PAPER 112 mm FOR Roll Rp104.500 7 Rp731.500 0 Rp0 0 Rp0 5 Rp522.500 0 Rp0 2 Rp209.000
BTL-08
53 EKG Paper 2000 Bionet Roll Rp124.300 10 Rp1.243.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp1.243.000
(sonomed) 215x25x16
54 EKG Paper Fukuda 50x30 Roll Rp82.500 11 Rp907.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 11 Rp907.500
55 EKG Paper Fukuda 63x30 Roll Rp150.000 16 Rp2.400.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 16 Rp2.400.000
56 ELASTIC CREPE BANDAGE 4 Pcs Rp21.503 10 Rp215.030 0 Rp0 0 Rp0 10 Rp215.030 0 Rp0 0 Rp0
inc
57 Elektroda EKG (50s) Pcs Rp5.137 100 Rp513.700 0 Rp0 0 Rp0 100 Rp513.700 0 Rp0 0 Rp0
58 ETT 4.5 mm Pcs Rp33.963 2 Rp67.926 0 Rp0 0 Rp0 2 Rp67.926 0 Rp0 0 Rp0
59 ETT No.3.0 mm Pcs Rp30.056 5 Rp150.280 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp150.280
62 ETT No.5,5 mm Pcs Rp29.700 4 Rp118.800 0 Rp0 0 Rp0 0 Rp0 0 Rp0 4 Rp118.800
62 ETT No.5,5 mm Pcs Rp23.196 7 Rp162.372 0 Rp0 0 Rp0 0 Rp0 0 Rp0 7 Rp162.372
LAIN-LAIN LAIN-LAIN
64 ETT No.7.0 mm Pcs Rp30.056 7 Rp210.392 0 Rp0 0 Rp0 7 Rp210.392 0 Rp0 0 Rp0
66 ETT Nonking 3 mm Pcs Rp203.500 2 Rp407.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp407.000
67 ETT Nonking 5,5 mm Pcs Rp203.500 5 Rp1.017.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp1.017.500
67 ETT Nonking 5,5 mm Pcs Rp156.296 5 Rp781.480 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp781.480
68 ETT Nonking 7,5 mm Pcs Rp203.500 5 Rp1.017.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp1.017.500
69 ETT Uncuffed No 2,0 Pcs Rp48.180 4 Rp192.720 0 Rp0 0 Rp0 0 Rp0 0 Rp0 4 Rp192.720
70 ETT Uncuffed No 3 Pcs Rp28.600 2 Rp57.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp57.200
71 ETT Uncuffed No. 4 Pcs Rp48.180 3 Rp144.540 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3 Rp144.540
72 ETT Uncuffed No.2,5 Pcs Rp28.600 2 Rp57.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp57.200
73 Extention Tube 150 cm Pcs Rp12.463 425 Rp5.296.775 0 Rp0 0 Rp0 200 Rp2.492.600 0 Rp0 225 Rp2.804.175
74 FACE SHIELD KACA TEBAL Pcs Rp169.400 0 Rp0 20 Rp3.388.000 0 Rp0 0 Rp0 0 Rp0 20 Rp3.388.000
75 Folley Catheter 2 Way No 12 Pcs Rp16.995 10 Rp169.950 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp169.950
77 Folley Catheter 2 Way No 16 Pcs Rp21.659 90 Rp1.949.310 0 Rp0 0 Rp0 60 Rp1.299.540 0 Rp0 30 Rp649.770
78 Folley Catheter 2 Way No 18 Pcs Rp21.659 100 Rp2.165.900 0 Rp0 0 Rp0 50 Rp1.082.950 0 Rp0 50 Rp1.082.950
81 Folley Catheter 2 Way No.06 Pcs Rp16.500 40 Rp660.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 40 Rp660.000
82 Folley Catheter 2 Way No.08 Pcs Rp113.982 15 Rp1.709.730 0 Rp0 0 Rp0 0 Rp0 0 Rp0 15 Rp1.709.730
LAIN-LAIN LAIN-LAIN
84 Folley Catheter 3 Way No.20 Pcs Rp51.852 14 Rp725.928 0 Rp0 0 Rp0 2 Rp103.704 0 Rp0 12 Rp622.224
87 Formalin Cair Ltr Rp93.500 2 Rp187.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp187.000
88 Gelas Mata Plastik Pcs Rp30.000 9 Rp270.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 9 Rp270.000
89 Gliserin Lokal 1 Ltr Ltr Rp200.000 3 Rp600.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3 Rp600.000
90 Gluco DR Biosensor Str Rp6.820 50 Rp341.000 0 Rp0 0 Rp0 50 Rp341.000 0 Rp0 0 Rp0
91 Guedel 100 MM no4 Pcs Rp8.800 10 Rp88.000 0 Rp0 0 Rp0 2 Rp17.600 0 Rp0 8 Rp70.400
92 Guedel 60 MM no0 Pcs Rp27.500 2 Rp55.000 0 Rp0 0 Rp0 2 Rp55.000 0 Rp0 0 Rp0
93 Guedel 70 MM no1 Pcs Rp27.500 13 Rp357.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 13 Rp357.500
94 Guedel 80 MM no2 Pcs Rp27.500 2 Rp55.000 0 Rp0 0 Rp0 2 Rp55.000 0 Rp0 0 Rp0
96 Gynaecology set APD Set Rp614.900 5 Rp3.074.500 0 Rp0 0 Rp0 5 Rp3.074.500 0 Rp0 0 Rp0
97 H2O2 50% Btl Rp85.250 13 Rp1.108.250 0 Rp0 0 Rp0 0 Rp0 0 Rp0 13 Rp1.108.250
97 H2O2 50% Btl Rp55.000 50 Rp2.750.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 50 Rp2.750.000
98 Handscoen Non Steril L Psg Rp1.595 3.800 Rp6.061.000 0 Rp0 0 Rp0 3.100 Rp4.944.500 0 Rp0 700 Rp1.116.500
99 Handscoen Non Steril M Psg Rp2.453 6.500 Rp15.944.500 0 Rp0 0 Rp0 6.401 Rp15.701.653 0 Rp0 99 Rp242.847
100 Handscoen Non Steril S Psg Rp2.255 17.700 Rp39.913.500 0 Rp0 0 Rp0 7.400 Rp16.687.000 0 Rp0 10.300 Rp23.226.500
101 Handscoen Steril 8 Psg Rp7.194 45 Rp323.730 0 Rp0 0 Rp0 45 Rp323.730 0 Rp0 0 Rp0
102 Handscoen Steril NO 7 Psg Rp9.317 98 Rp913.066 50 Rp465.850 0 Rp0 0 Rp0 0 Rp0 148 Rp1.378.916
LAIN-LAIN LAIN-LAIN
103 Handscoen Steril NO 7,5 Psg Rp7.194 48 Rp345.312 0 Rp0 0 Rp0 48 Rp345.312 0 Rp0 0 Rp0
103 Handscoen Steril NO 7,5 Psg Rp9.317 0 Rp0 50 Rp465.850 0 Rp0 50 Rp465.850 0 Rp0 0 Rp0
104 Handscoen Steril NO.6 Psg Rp9.317 100 Rp931.700 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp931.700
104 Handscoen Steril NO.6 Psg Rp7.194 100 Rp719.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp719.400
105 Handscon Steril long M Psg Rp35.816 0 Rp0 50 Rp1.790.800 0 Rp0 50 Rp1.790.800 0 Rp0 0 Rp0
106 Handscond steril long L (8.5) Psg Rp42.997 91 Rp3.912.727 0 Rp0 0 Rp0 75 Rp3.224.775 0 Rp0 16 Rp687.952
106 Handscond steril long L (8.5) Psg Rp35.816 0 Rp0 50 Rp1.790.800 0 Rp0 0 Rp0 0 Rp0 50 Rp1.790.800
107 HANDSCOND STERIL LONG S Pcs Rp40.902 0 Rp0 25 Rp1.022.550 0 Rp0 0 Rp0 0 Rp0 25 Rp1.022.550
108 HANDSCOON STERIL 8,5 Pcs Rp7.194 100 Rp719.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp719.400
109 HDC CVC 2L (Curved) Pcs Rp715.440 6 Rp4.292.640 0 Rp0 0 Rp0 0 Rp0 0 Rp0 6 Rp4.292.640
109 HDC CVC 2L (Curved) Pcs Rp795.520 10 Rp7.955.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp7.955.200
110 Hearing Wireless Harmed Pcs Rp600.000 3 Rp1.800.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3 Rp1.800.000
111 Heavy Mess Hernia 6x11 cm Pcs Rp245.850 12 Rp2.950.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp2.950.200
112 Hernia KIT Set Rp529.712 4 Rp2.118.848 0 Rp0 0 Rp0 0 Rp0 0 Rp0 4 Rp2.118.848
113 Id Band Adult Blue Pcs Rp2.849 110 Rp313.390 0 Rp0 0 Rp0 0 Rp0 0 Rp0 110 Rp313.390
114 Id Band Blue Child Pcs Rp2.849 319 Rp908.831 0 Rp0 0 Rp0 0 Rp0 0 Rp0 319 Rp908.831
115 Id Band Adult Pink Pcs Rp2.849 31 Rp88.319 0 Rp0 0 Rp0 0 Rp0 0 Rp0 31 Rp88.319
116 Id Band Adult Ungu Pcs Rp2.992 34 Rp101.728 0 Rp0 0 Rp0 0 Rp0 0 Rp0 34 Rp101.728
117 Id Band Pink Child Pcs Rp2.849 150 Rp427.350 0 Rp0 0 Rp0 0 Rp0 0 Rp0 150 Rp427.350
118 Id Band Red Adult Pcs Rp1.240 63 Rp78.120 0 Rp0 0 Rp0 0 Rp0 0 Rp0 63 Rp78.120
119 Id Band Red Child Pcs Rp1.240 68 Rp84.320 0 Rp0 0 Rp0 0 Rp0 0 Rp0 68 Rp84.320
120 Id Band Yellow Child Pcs Rp1.240 160 Rp198.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 160 Rp198.400
121 Indicator Steam Type 4 Pcs Rp2.277 500 Rp1.138.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 500 Rp1.138.500
LAIN-LAIN LAIN-LAIN
122 Infuset Makro Pcs Rp4.041 125 Rp505.125 0 Rp0 0 Rp0 125 Rp505.125 0 Rp0 0 Rp0
122 Infuset Makro Pcs Rp15.352 1.000 Rp15.352.000 0 Rp0 0 Rp0 400 Rp6.140.800 0 Rp0 600 Rp9.211.200
123 Infuset Mikro Pcs Rp6.336 700 Rp4.435.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 700 Rp4.435.200
124 Infuset Transfusi Pcs Rp7.139 710 Rp5.068.690 0 Rp0 0 Rp0 100 Rp713.900 0 Rp0 610 Rp4.354.790
125 IV CATETER NO 22 Pcs Rp10.769 200 Rp2.153.800 0 Rp0 0 Rp0 200 Rp2.153.800 0 Rp0 0 Rp0
126 IV CATETER NO 26 Pcs Rp22.262 50 Rp1.113.100 0 Rp0 0 Rp0 0 Rp0 0 Rp0 50 Rp1.113.100
127 IV Catheter NO 20 Pcs Rp5.300 950 Rp5.035.000 0 Rp0 0 Rp0 252 Rp1.335.600 0 Rp0 698 Rp3.699.400
128 IV CATHETER NO 24 Pcs Rp5.300 650 Rp3.445.000 0 Rp0 0 Rp0 402 Rp2.130.600 0 Rp0 248 Rp1.314.400
129 IV Dressing 6 x7 cm Pcs Rp4.514 1.300 Rp5.868.200 0 Rp0 0 Rp0 150 Rp677.100 0 Rp0 1.150 Rp5.191.100
130 JAS A.P.D Pcs Rp110.000 24 Rp2.640.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 24 Rp2.640.000
131 Kabel SPO2 Pcs Rp5.320.572 1 Rp5.320.572 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp5.320.572
132 KACA MATA Google Pcs Rp55.000 140 Rp7.700.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 140 Rp7.700.000
133 KANTONG JENAZAH Pcs Rp324.500 30 Rp9.735.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 30 Rp9.735.000
134 Kapas 250 gr Roll Rp23.250 0 Rp0 5 Rp116.250 0 Rp0 3 Rp69.750 0 Rp0 2 Rp46.500
135 Kapas 500 gr Roll Rp46.500 0 Rp0 10 Rp465.000 0 Rp0 0 Rp0 0 Rp0 10 Rp465.000
136 Kapsul Kosong 00 Pcs Rp138 1.000 Rp138.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1.000 Rp138.000
139 Kapsul Kosong O Pcs Rp92 1.000 Rp92.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1.000 Rp92.000
139 Kapsul Kosong O Pcs Rp72 1.000 Rp72.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1.000 Rp72.000
141 Kassa Hidrofil 100x80 cm Roll Rp440.986 38 Rp16.757.468 0 Rp0 0 Rp0 1 Rp440.986 0 Rp0 37 Rp16.316.482
142 Kassa Hidrofil 16x16 Ktk Rp6.164 28 Rp172.592 30 Rp184.920 0 Rp0 58 Rp357.512 0 Rp0 0 Rp0
LAIN-LAIN LAIN-LAIN
143 Korset Lumbal S 2064 Pcs Rp1.009.140 1 Rp1.009.140 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp1.009.140
144 KORSET LUMBAL UNIVERSAL Pcs Rp298.375 3 Rp895.125 0 Rp0 0 Rp0 2 Rp596.750 0 Rp0 1 Rp298.375
145 KORSET LUMBAL UNIVERSAL Pcs Rp289.300 1 Rp289.300 0 Rp0 0 Rp0 1 Rp289.300 0 Rp0 0 Rp0
M
145 KORSET LUMBAL UNIVERSAL Pcs Rp289.850 3 Rp869.550 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3 Rp869.550
M
146 KORSET LUMBAL UNIVERSAL Pcs Rp340.000 1 Rp340.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp340.000
S
147 KORSET LUMBAL UNIVERSAL Pcs Rp306.900 0 Rp0 5 Rp1.534.500 0 Rp0 0 Rp0 0 Rp0 5 Rp1.534.500
XL
148 KORSET LUMBAL UNIVERSAL Pcs Rp341.000 6 Rp2.046.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 6 Rp2.046.000
XXL
149 Kunci Troly Emergency Pcs Rp8.250 430 Rp3.547.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 430 Rp3.547.500
150 Laminaria L Pcs Rp221.650 7 Rp1.551.550 0 Rp0 0 Rp0 7 Rp1.551.550 0 Rp0 0 Rp0
151 Laminaria M Pcs Rp312.000 1 Rp312.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp312.000
151 Laminaria M Pcs Rp221.650 12 Rp2.659.800 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp2.659.800
152 Laminaria XL Pcs Rp366.850 5 Rp1.834.250 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp1.834.250
152 Laminaria XL Pcs Rp221.650 12 Rp2.659.800 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp2.659.800
153 LMA No.3 Pcs Rp5.439.500 1 Rp5.439.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp5.439.500
153 LMA No.3 Pcs Rp242.000 1 Rp242.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp242.000
154 LMA No.4 Pcs Rp5.439.500 2 Rp10.879.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp10.879.000
155 MASKER BEDAH Pcs Rp700 3.250 Rp2.275.000 0 Rp0 0 Rp0 3.250 Rp2.275.000 0 Rp0 0 Rp0
155 MASKER BEDAH Pcs Rp840 0 Rp0 2.350 Rp1.974.000 0 Rp0 1.900 Rp1.596.000 0 Rp0 450 Rp378.000
156 Masker N95 Pcs Rp20.914 0 Rp0 100 Rp2.091.400 0 Rp0 60 Rp1.254.840 0 Rp0 40 Rp836.560
157 Masker Nebulizer Adult Pcs Rp32.307 75 Rp2.423.025 0 Rp0 0 Rp0 70 Rp2.261.490 0 Rp0 5 Rp161.535
157 Masker Nebulizer Adult Pcs Rp23.760 100 Rp2.376.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp2.376.000
158 Masker Nebulizer Child Pcs Rp33.000 30 Rp990.000 0 Rp0 0 Rp0 20 Rp660.000 0 Rp0 10 Rp330.000
LAIN-LAIN LAIN-LAIN
158 Masker Nebulizer Child Pcs Rp32.307 200 Rp6.461.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 200 Rp6.461.400
159 Micropipette Pcs Rp5.155.700 1 Rp5.155.700 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp5.155.700
160 MICROZIDE AF Ltr Rp359.975 0 Rp0 10 Rp3.599.750 0 Rp0 0 Rp0 0 Rp0 10 Rp3.599.750
161 Mikropore 1 inch Roll Rp30.250 90 Rp2.722.500 0 Rp0 0 Rp0 48 Rp1.452.000 0 Rp0 42 Rp1.270.500
162 MY JELLY 80 GR Tub Rp174.900 0 Rp0 60 Rp10.494.000 0 Rp0 4 Rp699.600 0 Rp0 56 Rp9.794.400
163 Nald Kulit GT 11 Pcs Rp16.638 12 Rp199.656 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp199.656
164 Nald Kulit GT 12 Pcs Rp21.771 72 Rp1.567.512 0 Rp0 0 Rp0 0 Rp0 0 Rp0 72 Rp1.567.512
169 Nald Kulit GT 9 Pcs Rp21.771 60 Rp1.306.260 0 Rp0 0 Rp0 0 Rp0 0 Rp0 60 Rp1.306.260
170 Nald Nanopass 6 mm Pcs Rp1.998 304 Rp607.392 0 Rp0 0 Rp0 0 Rp0 0 Rp0 304 Rp607.392
171 Nald No.25 Pcs Rp275 30 Rp8.250 0 Rp0 0 Rp0 30 Rp8.250 0 Rp0 0 Rp0
172 Nald Otot GR 13 Pcs Rp21.810 24 Rp523.440 0 Rp0 0 Rp0 0 Rp0 0 Rp0 24 Rp523.440
173 Nald Otot GR 12 Pcs Rp21.770 60 Rp1.306.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 60 Rp1.306.200
175 Nald otot GR 5 Pcs Rp21.810 24 Rp523.440 0 Rp0 0 Rp0 0 Rp0 0 Rp0 24 Rp523.440
176 Nasal Canula Anak Pcs Rp14.399 300 Rp4.319.700 0 Rp0 0 Rp0 20 Rp287.980 0 Rp0 280 Rp4.031.720
177 Nasal Canula Bayi Pcs Rp18.029 190 Rp3.425.510 0 Rp0 0 Rp0 50 Rp901.450 0 Rp0 140 Rp2.524.060
178 Nasal Canula Dewasa Pcs Rp14.399 250 Rp3.599.750 0 Rp0 0 Rp0 150 Rp2.159.850 0 Rp0 100 Rp1.439.900
179 NGT (Feeding Tube) No 10 Pcs Rp55.000 71 Rp3.905.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 71 Rp3.905.000
LAIN-LAIN LAIN-LAIN
180 NGT (Feeding Tube) No 8 120 Pcs Rp55.000 52 Rp2.860.000 0 Rp0 0 Rp0 25 Rp1.375.000 0 Rp0 27 Rp1.485.000
cm
181 NGT (Feeding Tube) NO. 6 (80 Pcs Rp55.000 50 Rp2.750.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 50 Rp2.750.000
cm)
182 NGT (Feeding Tube) No.5 (120 Pcs Rp55.000 100 Rp5.500.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp5.500.000
cm)
183 NGT (Stomach Tube) No 12 Pcs Rp55.000 35 Rp1.925.000 0 Rp0 0 Rp0 25 Rp1.375.000 0 Rp0 10 Rp550.000
184 NGT (Stomach Tube) No 14 Pcs Rp55.000 64 Rp3.520.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 64 Rp3.520.000
185 NGT (Stomach Tube) No 16 Pcs Rp55.000 92 Rp5.060.000 0 Rp0 0 Rp0 10 Rp550.000 0 Rp0 82 Rp4.510.000
186 NGT (Stomach Tube) No 18 Pcs Rp55.000 43 Rp2.365.000 0 Rp0 0 Rp0 15 Rp825.000 0 Rp0 28 Rp1.540.000
187 NIPRO Spuit 1cc Pcs Rp1.052 500 Rp526.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 500 Rp526.000
188 NIPRO Spuit 5cc Pcs Rp1.065 1.000 Rp1.065.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1.000 Rp1.065.000
189 Nuprep Tub Rp420.000 3 Rp1.260.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3 Rp1.260.000
190 One Swab 100 S Pcs Rp238 1.000 Rp238.000 2.500 Rp595.000 0 Rp0 2.700 Rp642.600 0 Rp0 800 Rp190.400
191 OPSITE 30X28 CM/1X10 Pcs Rp61.600 40 Rp2.464.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 40 Rp2.464.000
191 OPSITE 30X28 CM/1X10 Pcs Rp61.600 10 Rp616.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp616.000
192 OPSITE 55 X 45 CM/1X10 Pcs Rp170.500 18 Rp3.069.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 18 Rp3.069.000
193 Opsite Post 25x10cm Pcs Rp35.200 73 Rp2.569.600 0 Rp0 0 Rp0 33 Rp1.161.600 0 Rp0 40 Rp1.408.000
194 OSMANATE CALC ALGI Pcs Rp35.521 10 Rp355.210 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp355.210
DRESSING 10x10
195 Paper Chart for AT -101 Pcs Rp550.000 9 Rp4.950.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 9 Rp4.950.000
196 Perifix 400 Filter Set Pcs Rp1.100.000 2 Rp2.200.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp2.200.000
197 Phaco Needle Set 19 G Set Rp1.100.000 1 Rp1.100.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp1.100.000
198 PHARMAVIX 10 X 500CM Roll Rp61.047 0 Rp0 100 Rp6.104.700 0 Rp0 0 Rp0 0 Rp0 100 Rp6.104.700
LAIN-LAIN LAIN-LAIN
199 PISAU OPERASI NO 24 Pcs Rp3.069 90 Rp276.210 0 Rp0 0 Rp0 90 Rp276.210 0 Rp0 0 Rp0
200 Plasterin Bulat farmasi Sacc Rp205 1.400 Rp287.000 0 Rp0 0 Rp0 200 Rp41.000 0 Rp0 1.200 Rp246.000
201 POLIBAN 10cm x 2.7m (4 inc) Roll Rp15.100 31 Rp468.100 0 Rp0 0 Rp0 0 Rp0 0 Rp0 31 Rp468.100
202 POLIBAN 6 inc Roll Rp20.300 43 Rp872.900 0 Rp0 0 Rp0 6 Rp121.800 0 Rp0 37 Rp751.100
203 POLICREPE 10cm x 4.55m (4 Roll Rp34.500 0 Rp0 2 Rp69.000 0 Rp0 0 Rp0 0 Rp0 2 Rp69.000
inc)
204 POLICREPE 15cm X 4.55m (6 Roll Rp43.900 0 Rp0 30 Rp1.317.000 0 Rp0 30 Rp1.317.000 0 Rp0 0 Rp0
inc)
205 POLICREPE 7.5 cm x 4.55 m (3 Pcs Rp29.000 12 Rp348.000 0 Rp0 0 Rp0 12 Rp348.000 0 Rp0 0 Rp0
inc)
206 POLIFIX 10 cm x 5 m Roll Rp77.600 20 Rp1.552.000 100 Rp7.760.000 0 Rp0 40 Rp3.104.000 0 Rp0 80 Rp6.208.000
207 POLIGYP 10cm X 2.7m (4 inc) Roll Rp22.100 4 Rp88.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 4 Rp88.400
208 POLIGYP 15 x 2.7 M (6 inc) Roll Rp28.900 50 Rp1.445.000 0 Rp0 0 Rp0 16 Rp462.400 0 Rp0 34 Rp982.600
209 POLIGYP 7,5 cm x 2,7 m (3 inc) Roll Rp15.400 31 Rp477.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 31 Rp477.400
210 Pot Obat 10gr Pcs Rp880 1.493 Rp1.313.840 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1.493 Rp1.313.840
210 Pot Obat 10gr Pcs Rp902 20 Rp18.040 0 Rp0 0 Rp0 0 Rp0 0 Rp0 20 Rp18.040
211 Pot Obat 40 gr Pcs Rp1.408 45 Rp63.360 0 Rp0 0 Rp0 5 Rp7.040 0 Rp0 40 Rp56.320
212 Pot ObatT 20gr Pcs Rp999 80 Rp79.920 0 Rp0 0 Rp0 10 Rp9.990 0 Rp0 70 Rp69.930
213 Pouches Flat 5cm X 200m Roll Rp514.115 5 Rp2.570.575 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp2.570.575
(GUDANG)
214 POVIDON IODINE 10% 1 LTR Btl Rp101.200 72 Rp7.286.400 0 Rp0 0 Rp0 12 Rp1.214.400 0 Rp0 60 Rp6.072.000
215 RAPID TEST ANTIGEN Pcs Rp89.700 100 Rp8.970.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp8.970.000
215 RAPID TEST ANTIGEN Pcs Rp89.675 200 Rp17.935.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 200 Rp17.935.000
216 Renalin Ltr Rp950.000 10 Rp9.500.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp9.500.000
217 Resusitator Anak Pcs Rp529.000 1 Rp529.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp529.000
218 Resusitator Dewasa Pcs Rp1.485.000 1 Rp1.485.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp1.485.000
219 Ring Persarium No 8.0 Pcs Rp143.058 3 Rp429.174 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3 Rp429.174
LAIN-LAIN LAIN-LAIN
220 Rol Kayu Pcs Rp18.755 100 Rp1.875.500 0 Rp0 0 Rp0 12 Rp225.060 0 Rp0 88 Rp1.650.440
221 Safety Box 12,5 L Pcs Rp29.700 104 Rp3.088.800 0 Rp0 0 Rp0 61 Rp1.811.700 0 Rp0 43 Rp1.277.100
222 Satin Slip Intubation 5 Pcs Rp68.200 18 Rp1.227.600 0 Rp0 0 Rp0 0 Rp0 0 Rp0 18 Rp1.227.600
223 Selang Corrugate 7 Ruas Pcs Rp62.920 1 Rp62.920 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp62.920
224 Selang O2 Anak + Cup Pcs Rp27.198 50 Rp1.359.900 0 Rp0 0 Rp0 5 Rp135.990 0 Rp0 45 Rp1.223.910
224 Selang O2 Anak + Cup Pcs Rp33.000 71 Rp2.343.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 71 Rp2.343.000
225 Selang O2 Bayi + Cup Pcs Rp27.500 270 Rp7.425.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 270 Rp7.425.000
226 Selang O2 Dewasa + Cup Pcs Rp27.198 20 Rp543.960 0 Rp0 0 Rp0 20 Rp543.960 0 Rp0 0 Rp0
226 Selang O2 Dewasa + Cup Pcs Rp33.000 150 Rp4.950.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 150 Rp4.950.000
227 Selang O2 Nonbreat Mask Pcs Rp24.500 240 Rp5.880.000 0 Rp0 0 Rp0 130 Rp3.185.000 0 Rp0 110 Rp2.695.000
Adult
227 Selang O2 Nonbreat Mask Pcs Rp33.396 100 Rp3.339.600 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp3.339.600
Adult
228 Selang O2 Nonbreat Mask Child Pcs Rp26.477 36 Rp953.172 0 Rp0 0 Rp0 10 Rp264.770 0 Rp0 26 Rp688.402
228 Selang O2 Nonbreat Mask Child Pcs Rp49.500 25 Rp1.237.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 25 Rp1.237.500
229 SELANG SUCT PUMP Pcs Rp660.000 9 Rp5.940.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 9 Rp5.940.000
8/12mm2.5m 30s
230 SEPATU BOOTS Psg Rp99.000 30 Rp2.970.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 30 Rp2.970.000
231 SHOE COVER Pcs Rp2.525 560 Rp1.414.000 0 Rp0 0 Rp0 250 Rp631.250 0 Rp0 310 Rp782.750
232 Sofband 3" Roll Rp11.700 7 Rp81.900 0 Rp0 0 Rp0 0 Rp0 0 Rp0 7 Rp81.900
233 Sony USG Paper 110 HG Roll Rp742.500 9 Rp6.682.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 9 Rp6.682.500
234 Spalk Adult Set Rp110.000 2 Rp220.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp220.000
235 SPATEL KAYU Pcs Rp330 0 Rp0 200 Rp66.000 0 Rp0 100 Rp33.000 0 Rp0 100 Rp33.000
236 SPINOCAN 20 Pcs Rp44.000 25 Rp1.100.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 25 Rp1.100.000
LAIN-LAIN LAIN-LAIN
237 Spinocan 22 Pcs Rp24.699 40 Rp987.960 0 Rp0 0 Rp0 40 Rp987.960 0 Rp0 0 Rp0
238 Spinocan 25 (25s) Pcs Rp48.400 240 Rp11.616.000 0 Rp0 0 Rp0 150 Rp7.260.000 0 Rp0 90 Rp4.356.000
238 Spinocan 25 (25s) Pcs Rp33.605 300 Rp10.081.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 300 Rp10.081.500
239 Spinocan 26 Pcs Rp48.400 40 Rp1.936.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 40 Rp1.936.000
240 Spinocan 27 Pcs Rp67.650 230 Rp15.559.500 0 Rp0 0 Rp0 50 Rp3.382.500 0 Rp0 180 Rp12.177.000
241 Spuit 100 cc Catheter Tip Pcs Rp97.405 50 Rp4.870.250 0 Rp0 0 Rp0 30 Rp2.922.150 0 Rp0 20 Rp1.948.100
242 Spuit 50cc Chateter Tip Pcs Rp6.413 50 Rp320.650 0 Rp0 0 Rp0 25 Rp160.325 0 Rp0 25 Rp160.325
243 Spuit 50cc Disposible Pcs Rp4.441 295 Rp1.310.095 0 Rp0 0 Rp0 100 Rp444.100 0 Rp0 195 Rp865.995
243 Spuit 50cc Disposible Pcs Rp6.413 300 Rp1.923.900 0 Rp0 0 Rp0 0 Rp0 0 Rp0 300 Rp1.923.900
244 SPUIT 50cc LUBG SMPG (BSR) Pcs Rp5.046 140 Rp706.440 0 Rp0 0 Rp0 0 Rp0 0 Rp0 140 Rp706.440
245 STERILE TRANSPORT SWAB Pcs Rp27.500 100 Rp2.750.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp2.750.000
246 Suction Cath No.10 Pcs Rp5.360 50 Rp268.000 0 Rp0 0 Rp0 30 Rp160.800 0 Rp0 20 Rp107.200
249 Suction Cath No.16 Pcs Rp5.360 30 Rp160.800 0 Rp0 0 Rp0 0 Rp0 0 Rp0 30 Rp160.800
250 Suction Cath No.6 Pcs Rp5.360 30 Rp160.800 0 Rp0 0 Rp0 0 Rp0 0 Rp0 30 Rp160.800
252 surgicel 5x10. 2 cm Pcs Rp650.550 20 Rp13.011.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 20 Rp13.011.000
253 T-HEMOVINE 8x5x1 cm Pcs Rp75.000 12 Rp900.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp900.000
254 Talcum 1 kg Kg Rp5.342 10 Rp53.420 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp53.420
255 Ten 20 Pot Rp825.000 6 Rp4.950.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 6 Rp4.950.000
LAIN-LAIN LAIN-LAIN
256 Tensoplast Adult Set Rp424.600 2 Rp849.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp849.200
257 Tensoplast Child Set Rp253.000 1 Rp253.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp253.000
258 TERUMO SPUIT 5 CC Pcs Rp1.600 3.492 Rp5.587.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3.492 Rp5.587.200
259 Thorac Chath No.24 Pcs Rp104.786 5 Rp523.930 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp523.930
260 Thorac Chath No.28 Pcs Rp104.786 1 Rp104.786 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp104.786
261 Three Way Pcs Rp8.833 1.210 Rp10.687.930 0 Rp0 0 Rp0 502 Rp4.434.166 0 Rp0 708 Rp6.253.764
262 Thumb stabilizer Pcs Rp442.750 2 Rp885.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp885.500
263 Tongkat Ketiak L Pcs Rp250.800 9 Rp2.257.200 0 Rp0 0 Rp0 1 Rp250.800 0 Rp0 8 Rp2.006.400
264 Tongkat Ketiak M Psg Rp250.800 1 Rp250.800 0 Rp0 0 Rp0 1 Rp250.800 0 Rp0 0 Rp0
265 Tongkat Ketiak S Psg Rp251.625 4 Rp1.006.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 4 Rp1.006.500
266 Topi Operasi Pcs Rp792 1.600 Rp1.267.200 0 Rp0 0 Rp0 350 Rp277.200 0 Rp0 1.250 Rp990.000
267 TORNIQUET Farmasi Pcs Rp23.838 6 Rp143.028 0 Rp0 0 Rp0 0 Rp0 0 Rp0 6 Rp143.028
268 TRIPAN BLUE 1ML Pcs Rp145.000 2 Rp290.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp290.000
269 Umbilical Cord Clamp Cosa Pcs Rp3.163 575 Rp1.818.725 0 Rp0 0 Rp0 0 Rp0 0 Rp0 575 Rp1.818.725
270 Underpad 60 X 90 Pcs Rp5.313 30 Rp159.390 0 Rp0 0 Rp0 0 Rp0 0 Rp0 30 Rp159.390
270 Underpad 60 X 90 Pcs Rp6.050 10 Rp60.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp60.500
271 UNIFLEX 3" Roll Rp20.299 38 Rp771.362 0 Rp0 0 Rp0 0 Rp0 0 Rp0 38 Rp771.362
272 Urine Bag Pcs Rp6.897 410 Rp2.827.770 0 Rp0 0 Rp0 10 Rp68.970 0 Rp0 400 Rp2.758.800
273 W-Care AH Pcs Rp53.240 70 Rp3.726.800 100 Rp5.324.000 0 Rp0 20 Rp1.064.800 0 Rp0 150 Rp7.986.000
274 W-Care DC Pcs Rp58.080 150 Rp8.712.000 50 Rp2.904.000 0 Rp0 10 Rp580.800 0 Rp0 190 Rp11.035.200
275 WIN SPUIT 10 CC Pcs Rp1.537 100 Rp153.700 0 Rp0 0 Rp0 100 Rp153.700 0 Rp0 0 Rp0
276 WIN SPUIT 1CC Pcs Rp908 3.000 Rp2.724.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3.000 Rp2.724.000
277 WIN SPUIT 20 CC Pcs Rp2.166 110 Rp238.260 0 Rp0 0 Rp0 50 Rp108.300 0 Rp0 60 Rp129.960
278 WIN SPUIT 3 CC Pcs Rp920 5.000 Rp4.600.000 0 Rp0 0 Rp0 100 Rp92.000 0 Rp0 4.900 Rp4.508.000
LAIN-LAIN LAIN-LAIN
279 WIN SPUIT 5 CC Pcs Rp1.065 300 Rp319.500 0 Rp0 0 Rp0 300 Rp319.500 0 Rp0 0 Rp0
280 Wing Nald No 27 Pcs Rp1.610 18 Rp28.980 0 Rp0 0 Rp0 0 Rp0 0 Rp0 18 Rp28.980
281 Wrist Support Pcs Rp375.650 1 Rp375.650 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp375.650
282 ZINC OXIDE TAPE 2.5cmx5m Roll Rp23.641 10 Rp236.410 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp236.410
283 ZONTIC SPUIT 1 CC Pcs Rp3.619 4.200 Rp15.199.800 0 Rp0 0 Rp0 400 Rp1.447.600 0 Rp0 3.800 Rp13.752.200
284 ZONTIC SPUIT 3 CC Pcs Rp2.371 600 Rp1.422.600 0 Rp0 0 Rp0 100 Rp237.100 0 Rp0 500 Rp1.185.500
285 ZONTIC SPUIT 5 CC Pcs Rp3.025 2.065 Rp6.246.625 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2.065 Rp6.246.625
Total : 90.551 Rp758.085.083 5.977 Rp56.584.650 0 Rp0 32.499 Rp149.727.706 0 Rp0 64.029 Rp 664.942.027
DROP
1 NYMIKO SUSP DROP Btl Rp17.502 96 Rp1.680.192 0 Rp0 0 Rp0 35 Rp612.570 0 Rp0 61 Rp1.067.622
Total : 96 Rp1.680.192 0 Rp0 0 Rp0 35 Rp612.570 0 Rp0 61 Rp 1.067.622

INFUS
1 Aminofusin Hepar Btl Rp80.000 20 Rp1.600.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 20 Rp1.600.000
2 AMINOFUSIN L - 600 Btl Rp60.660 10 Rp606.600 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp606.600
3 AMINOSTERIL INFANT Btl Rp44.100 20 Rp882.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 20 Rp882.000
4 Asering Btl Rp9.646 50 Rp482.300 0 Rp0 0 Rp0 40 Rp385.840 0 Rp0 10 Rp96.460
4 Asering Btl Rp9.592 100 Rp959.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp959.200
5 BFLUID inf Btl Rp76.300 60 Rp4.578.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 60 Rp4.578.000
6 Ciprofloxacin Infus Btl Rp10.499 39 Rp409.461 0 Rp0 0 Rp0 0 Rp0 0 Rp0 39 Rp409.461
7 Clinimix 1000 ml SOFBAG Rp252.000 20 Rp5.040.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 20 Rp5.040.000
8 Clinoleic 20% 250 ml Btl Rp155.000 54 Rp8.370.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 54 Rp8.370.000
9 DEXTROSE 10 % 500 ML Btl Rp7.200 40 Rp288.000 200 Rp1.440.000 0 Rp0 0 Rp0 0 Rp0 240 Rp1.728.000
10 DEXTROSE 5 % 500 ML Btl Rp6.628 140 Rp927.920 0 Rp0 0 Rp0 20 Rp132.560 0 Rp0 120 Rp795.360
11 Flukonazol 200 mg/100 ml Inf Btl Rp60.500 5 Rp302.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp302.500
12 GABAXA inf FLES Rp245.000 296 Rp72.520.000 0 Rp0 0 Rp0 70 Rp17.150.000 0 Rp0 226 Rp55.370.000
LAIN-LAIN LAIN-LAIN
13 KA EN 3B INFUS 500 ML Btl Rp11.500 60 Rp690.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 60 Rp690.000
14 KA EN MG3 INFUS 500 ML Btl Rp10.560 89 Rp939.840 0 Rp0 0 Rp0 0 Rp0 0 Rp0 89 Rp939.840
15 Levofloxacin inf 500 Btl Rp20.000 5 Rp100.000 0 Rp0 0 Rp0 5 Rp100.000 0 Rp0 0 Rp0
16 Manitol 20 % Inf 500 ml Btl Rp26.960 60 Rp1.617.600 0 Rp0 0 Rp0 0 Rp0 0 Rp0 60 Rp1.617.600
17 Metronidazol Inf Btl Rp8.250 395 Rp3.258.750 0 Rp0 0 Rp0 150 Rp1.237.500 0 Rp0 245 Rp2.021.250
18 Natrium Chlorida 0.9% 500ml Btl Rp6.900 8.643 Rp59.636.700 0 Rp0 0 Rp0 880 Rp6.072.000 0 Rp0 7.763 Rp53.564.700
19 Nephrosteril 250ml Btl Rp47.498 20 Rp949.960 0 Rp0 0 Rp0 0 Rp0 0 Rp0 20 Rp949.960
20 OCTALBIN 25 % 100 CC Btl Rp1.590.000 0 Rp0 3 Rp4.770.000 0 Rp0 0 Rp0 0 Rp0 3 Rp4.770.000
21 OTSU SALIN 3% 500ml Btl Rp30.335 1 Rp30.335 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp30.335
21 OTSU SALIN 3% 500ml Btl Rp27.830 5 Rp139.150 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp139.150
22 Parasetamol 100ml Inf Btl Rp11.990 504 Rp6.042.960 0 Rp0 0 Rp0 0 Rp0 0 Rp0 504 Rp6.042.960
23 Plasbumin 25% 100 ml Btl Rp1.589.844 8 Rp12.718.752 10 Rp15.898.440 0 Rp0 0 Rp0 0 Rp0 18 Rp28.617.192
24 Plasbumin 20% 100 ml Btl Rp904.966 13 Rp11.764.558 0 Rp0 0 Rp0 0 Rp0 0 Rp0 13 Rp11.764.558
25 Plasbumin 20% 50 ml Btl Rp444.998 9 Rp4.004.982 5 Rp2.224.990 0 Rp0 0 Rp0 0 Rp0 14 Rp6.229.972
26 Plasmanate 250 mg Btl Rp954.096 3 Rp2.862.288 7 Rp6.678.672 0 Rp0 2 Rp1.908.192 0 Rp0 8 Rp7.632.768
27 Ringer Lactate (RL) 500ml Btl Rp7.703 9.891 Rp76.190.373 0 Rp0 0 Rp0 600 Rp4.621.800 0 Rp0 9.291 Rp71.568.573
28 TAMOLIV INF Btl Rp12.000 420 Rp5.040.000 0 Rp0 0 Rp0 200 Rp2.400.000 0 Rp0 220 Rp2.640.000
29 Tridex SOFBAG Rp11.020 216 Rp2.380.320 0 Rp0 0 Rp0 0 Rp0 0 Rp0 216 Rp2.380.320
30 TUTOFUSIN Btl Rp39.500 10 Rp395.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp395.000
31 VOLULYTE inf 500ml FLES Rp29.150 115 Rp3.352.250 0 Rp0 0 Rp0 0 Rp0 0 Rp0 115 Rp3.352.250
32 VOLUVEN 500 ML Btl Rp21.780 1 Rp21.780 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp21.780
33 Wida D5%+1/2NS 500ml Btl Rp10.460 40 Rp418.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 40 Rp418.400
34 Wida D5%+1/4NS 500 ml Btl Rp10.405 100 Rp1.040.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp1.040.500
LAIN-LAIN LAIN-LAIN
35 Wida KN 2 Btl Rp12.030 60 Rp721.800 0 Rp0 0 Rp0 0 Rp0 0 Rp0 60 Rp721.800
36 WIDA RS Btl Rp15.808 120 Rp1.896.960 0 Rp0 0 Rp0 0 Rp0 0 Rp0 120 Rp1.896.960
37 WIDAHES 130 Pcs Rp138.600 1 Rp138.600 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp138.600
Total : 21.643 Rp293.317.839 225 Rp31.012.102 0 Rp0 1.967 Rp34.007.892 0 Rp0 19.901 Rp 290.322.049
INJEKSI
1 AMIKASIN 250 mg inj Vial Rp38.500 25 Rp962.500 100 Rp3.850.000 0 Rp0 0 Rp0 0 Rp0 125 Rp4.812.500
2 Aminofilin Injeksi 24 mg/ml Amp Rp3.049 0 Rp0 0 Rp0 216 Rp658.584 0 Rp0 0 Rp0 216 Rp658.584
3 Amiodarone Amp Rp8.700 12 Rp104.400 0 Rp0 0 Rp0 12 Rp104.400 0 Rp0 0 Rp0
3 Amiodarone Amp Rp8.690 175 Rp1.520.750 0 Rp0 0 Rp0 5 Rp43.450 0 Rp0 170 Rp1.477.300
4 Ampisilin injeksi 1000 mg/ml Vial Rp9.900 350 Rp3.465.000 0 Rp0 0 Rp0 30 Rp297.000 0 Rp0 320 Rp3.168.000
5 Anbacim Inj Vial Rp37.165 330 Rp12.264.450 0 Rp0 0 Rp0 100 Rp3.716.500 0 Rp0 230 Rp8.547.950
6 Antrain Inj 1G Amp Rp3.850 2.400 Rp9.240.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2.400 Rp9.240.000
7 Aqua pro injeksi FLES Rp2.625 0 Rp0 1.200 Rp3.150.000 0 Rp0 0 Rp0 0 Rp0 1.200 Rp3.150.000
8 Asam Traneksamat Inj. 500 Mg Amp Rp1.880 2.860 Rp5.376.800 0 Rp0 0 Rp0 200 Rp376.000 0 Rp0 2.660 Rp5.000.800
9 Atropin Sulfat Injeksi Amp Rp1.718 860 Rp1.477.480 0 Rp0 0 Rp0 20 Rp34.360 0 Rp0 840 Rp1.443.120
10 Benzatin Benzil P 1.2 Vial Rp11.500 10 Rp115.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp115.000
11 Bunascan Spinal 0,5%/ 4 ml Amp Rp54.450 35 Rp1.905.750 0 Rp0 0 Rp0 0 Rp0 0 Rp0 35 Rp1.905.750
12 CEDOCARD I.V AMPUL 10 ML Amp Rp32.550 20 Rp651.000 0 Rp0 0 Rp0 20 Rp651.000 0 Rp0 0 Rp0
13 CEFAZOLIN SODIUM 1G INJ Vial Rp12.650 20 Rp253.000 200 Rp2.530.000 0 Rp0 20 Rp253.000 0 Rp0 200 Rp2.530.000
14 Cefotaxim 1gr vial (10s) Vial Rp3.050 8.562 Rp26.114.100 0 Rp0 0 Rp0 1.728 Rp5.270.400 0 Rp0 6.834 Rp20.843.700
14 Cefotaxim 1gr vial (10s) Vial Rp3.564 2.000 Rp7.128.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2.000 Rp7.128.000
15 Ceftriakxon 1gr Vial (10s) Vial Rp4.962 1.424 Rp7.065.888 0 Rp0 0 Rp0 918 Rp4.555.116 0 Rp0 506 Rp2.510.772
15 Ceftriakxon 1gr Vial (10s) Vial Rp4.950 1.000 Rp4.950.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1.000 Rp4.950.000
15 Ceftriakxon 1gr Vial (10s) Vial Rp3.960 500 Rp1.980.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 500 Rp1.980.000
16 Citicoline inj Amp 250mg/2ml Amp Rp6.600 700 Rp4.620.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 700 Rp4.620.000
LAIN-LAIN LAIN-LAIN
16 Citicoline inj Amp 250mg/2ml Amp Rp11.550 500 Rp5.775.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 500 Rp5.775.000
17 Citicoline Inj Amp 500mg/4ml Amp Rp9.990 60 Rp599.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 60 Rp599.400
17 Citicoline Inj Amp 500mg/4ml Amp Rp11.550 200 Rp2.310.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 200 Rp2.310.000
18 Colsancetin injeksi Vial Rp15.400 30 Rp462.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 30 Rp462.000
19 Dexamethasone Amp Rp1.540 0 Rp0 1.200 Rp1.848.000 0 Rp0 500 Rp770.000 0 Rp0 700 Rp1.078.000
20 Dextrose 40 % Btl Rp7.000 24 Rp168.000 200 Rp1.400.000 0 Rp0 24 Rp168.000 0 Rp0 200 Rp1.400.000
21 Dobutamin Inj Vial Rp12.320 8 Rp98.560 0 Rp0 0 Rp0 0 Rp0 0 Rp0 8 Rp98.560
21 Dobutamin Inj Vial Rp12.211 50 Rp610.550 0 Rp0 0 Rp0 0 Rp0 0 Rp0 50 Rp610.550
22 Ephedrin HCL Amp Rp6.486 50 Rp324.300 0 Rp0 0 Rp0 50 Rp324.300 0 Rp0 0 Rp0
23 Epinefrin (Adrenalin) Inj 0.1 Amp Rp1.740 370 Rp643.800 0 Rp0 0 Rp0 2 Rp3.480 0 Rp0 368 Rp640.320
24 ETHIGOBAL INJ Amp Rp16.500 678 Rp11.187.000 0 Rp0 0 Rp0 102 Rp1.683.000 0 Rp0 576 Rp9.504.000
25 Ezelin Pcs Rp89.000 5 Rp445.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp445.000
26 Flamicort 40 MG/ML Vial Rp118.800 7 Rp831.600 0 Rp0 0 Rp0 0 Rp0 0 Rp0 7 Rp831.600
27 FLAMICORT-10MG/ML Vial Rp123.750 60 Rp7.425.000 0 Rp0 0 Rp0 20 Rp2.475.000 0 Rp0 40 Rp4.950.000
28 Flixotid Nebuls 2 ml Tub Rp15.675 60 Rp940.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 60 Rp940.500
28 Flixotid Nebuls 2 ml Tub Rp14.738 350 Rp5.158.300 0 Rp0 0 Rp0 0 Rp0 0 Rp0 350 Rp5.158.300
29 Furamin Amp Rp12.950 8 Rp103.600 0 Rp0 0 Rp0 0 Rp0 0 Rp0 8 Rp103.600
30 Furosemide inj Amp Amp Rp1.333 620 Rp826.460 0 Rp0 0 Rp0 0 Rp0 0 Rp0 620 Rp826.460
31 Hemapo Inj 3000 IU/ml SYRINGE Rp80.000 100 Rp8.000.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp8.000.000
32 Heparin Sodium Vial Rp46.635 350 Rp16.322.250 0 Rp0 0 Rp0 0 Rp0 0 Rp0 350 Rp16.322.250
33 IBUPROFEN 400 inj Amp Rp54.450 0 Rp0 0 Rp0 10 Rp544.500 10 Rp544.500 0 Rp0 0 Rp0
34 Inviclot INJ Vial Rp46.635 70 Rp3.264.450 0 Rp0 0 Rp0 40 Rp1.865.400 0 Rp0 30 Rp1.399.050
35 Iopamiro 370/50 ml Btl Rp322.740 10 Rp3.227.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp3.227.400
LAIN-LAIN LAIN-LAIN
36 KCL 7.46 FLES Rp3.472 0 Rp0 30 Rp104.160 0 Rp0 0 Rp0 0 Rp0 30 Rp104.160
37 KetorolaK 30mg/1ml Amp (10s) Amp Rp2.169 540 Rp1.171.260 0 Rp0 0 Rp0 480 Rp1.041.120 0 Rp0 60 Rp130.140
38 KTM 100 Vial Rp130.000 65 Rp8.450.000 0 Rp0 0 Rp0 30 Rp3.900.000 0 Rp0 35 Rp4.550.000
39 Levemir Flexpen FLEXPEN Rp89.000 0 Rp0 25 Rp2.225.000 0 Rp0 20 Rp1.780.000 0 Rp0 5 Rp445.000
40 Levica inj 50 mg/10 ml Amp Rp54.450 100 Rp5.445.000 0 Rp0 13 Rp707.850 0 Rp0 0 Rp0 113 Rp6.152.850
41 LIDOKAIN 5%INJ Amp Rp20.900 110 Rp2.299.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 110 Rp2.299.000
42 Lidokain Injeksi 2 % Amp Rp1.405 2.877 Rp4.042.185 0 Rp0 0 Rp0 50 Rp70.250 0 Rp0 2.827 Rp3.971.935
43 Mecobalamin 500 Amp Rp8.800 200 Rp1.760.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 200 Rp1.760.000
44 Meropenem 1gr Vial Vial Rp44.000 186 Rp8.184.000 0 Rp0 0 Rp0 186 Rp8.184.000 0 Rp0 0 Rp0
44 Meropenem 1gr Vial Vial Rp27.434 0 Rp0 400 Rp10.973.600 0 Rp0 0 Rp0 0 Rp0 400 Rp10.973.600
45 Metil Prednisolon Inj 125mg Vial Rp10.912 40 Rp436.480 0 Rp0 0 Rp0 40 Rp436.480 0 Rp0 0 Rp0
45 Metil Prednisolon Inj 125mg Vial Rp12.217 300 Rp3.665.100 0 Rp0 0 Rp0 176 Rp2.150.192 0 Rp0 124 Rp1.514.908
46 Metill Ergometin Inj Amp Amp Rp3.400 400 Rp1.360.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 400 Rp1.360.000
47 Meylon Inj Btl Rp6.750 17 Rp114.750 0 Rp0 0 Rp0 2 Rp13.500 0 Rp0 15 Rp101.250
48 MgSO4 20% OTSU FLES Rp3.328 13 Rp43.264 0 Rp0 0 Rp0 0 Rp0 0 Rp0 13 Rp43.264
49 MgSO4 40% OTSU FLES Rp4.700 0 Rp0 30 Rp141.000 0 Rp0 0 Rp0 0 Rp0 30 Rp141.000
50 Neostigmin-Hameln Q, 5mg/ml Amp Rp8.200 105 Rp861.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 105 Rp861.000
51 Nicardipine Inj Amp Rp25.007 20 Rp500.140 0 Rp0 0 Rp0 20 Rp500.140 0 Rp0 0 Rp0
52 Norephineprine 4 mg/4 ml inj Amp Rp25.832 255 Rp6.587.160 0 Rp0 0 Rp0 10 Rp258.320 0 Rp0 245 Rp6.328.840
52 Norephineprine 4 mg/4 ml inj Amp Rp11.880 100 Rp1.188.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp1.188.000
53 NORPHAGEN inj Amp Rp89.100 0 Rp0 0 Rp0 10 Rp891.000 10 Rp891.000 0 Rp0 0 Rp0
54 Novomix FLEXPEN Rp112.000 0 Rp0 25 Rp2.800.000 0 Rp0 25 Rp2.800.000 0 Rp0 0 Rp0

LAIN-LAIN LAIN-LAIN
55 Novorapid FLEXPEN Rp89.500 35 Rp3.132.500 0 Rp0 0 Rp0 35 Rp3.132.500 0 Rp0 0 Rp0
56 Omeprazole Inj Vial Vial Rp8.228 680 Rp5.595.040 0 Rp0 0 Rp0 680 Rp5.595.040 0 Rp0 0 Rp0
56 Omeprazole Inj Vial Vial Rp11.868 0 Rp0 500 Rp5.934.000 0 Rp0 0 Rp0 0 Rp0 500 Rp5.934.000
56 Omeprazole Inj Vial Vial Rp8.910 0 Rp0 1.000 Rp8.910.000 0 Rp0 0 Rp0 0 Rp0 1.000 Rp8.910.000
57 Ondansentron Inj 4 mg Amp Rp963 2.340 Rp2.253.420 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2.340 Rp2.253.420
58 OXYTOCIN S 10 I.U. Amp Rp2.750 460 Rp1.265.000 0 Rp0 0 Rp0 200 Rp550.000 0 Rp0 260 Rp715.000
59 Pehacain Inj Amp Rp3.113 20 Rp62.260 0 Rp0 0 Rp0 20 Rp62.260 0 Rp0 0 Rp0
60 PHENYTOIN SODIUM INJ Amp Rp4.121 15 Rp61.815 50 Rp206.050 0 Rp0 15 Rp61.815 0 Rp0 50 Rp206.050
61 Phytominadion K3 Amp Rp4.055 120 Rp486.600 0 Rp0 0 Rp0 90 Rp364.950 0 Rp0 30 Rp121.650
61 Phytominadion K3 Amp Rp4.055 90 Rp364.950 0 Rp0 0 Rp0 0 Rp0 0 Rp0 90 Rp364.950
62 Piracetam Inj 1 gr Amp Rp3.300 200 Rp660.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 200 Rp660.000
63 Piracetam Inj 3 gr Amp Rp7.001 120 Rp840.120 0 Rp0 0 Rp0 0 Rp0 0 Rp0 120 Rp840.120
64 PRIMPERAN AMP Amp Rp4.092 2.484 Rp10.164.528 1.500 Rp6.138.000 0 Rp0 300 Rp1.227.600 0 Rp0 3.684 Rp15.074.928
65 Pulmicort 0.25mg/ml NEBULE Rp10.478 60 Rp628.680 0 Rp0 0 Rp0 0 Rp0 0 Rp0 60 Rp628.680
66 PULMICORT 0.5 mg NEBULE Rp14.267 460 Rp6.562.820 0 Rp0 0 Rp0 0 Rp0 0 Rp0 460 Rp6.562.820
67 Quanocain Spinal Amp Rp55.000 280 Rp15.400.000 0 Rp0 0 Rp0 50 Rp2.750.000 0 Rp0 230 Rp12.650.000
68 Ranitidin inj Amp Rp1.201 1.190 Rp1.429.190 0 Rp0 0 Rp0 1.190 Rp1.429.190 0 Rp0 0 Rp0
68 Ranitidin inj Amp Rp858 10.000 Rp8.580.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10.000 Rp8.580.000
69 RECOFOL N 10 MG/ML 20 ML Amp Rp88.825 20 Rp1.776.500 0 Rp0 0 Rp0 10 Rp888.250 0 Rp0 10 Rp888.250
70 Renogen 3000 IU SYRINGE Rp80.000 100 Rp8.000.000 50 Rp4.000.000 0 Rp0 50 Rp4.000.000 0 Rp0 100 Rp8.000.000
71 ROCULAC INJ 5ML Amp Rp37.000 0 Rp0 70 Rp2.590.000 0 Rp0 10 Rp370.000 0 Rp0 60 Rp2.220.000
72 RYZODEG FLEXPEN Rp112.000 5 Rp560.000 40 Rp4.480.000 0 Rp0 5 Rp560.000 0 Rp0 40 Rp4.480.000
73 Sagestam Inj Vial Rp8.571 150 Rp1.285.650 0 Rp0 0 Rp0 0 Rp0 0 Rp0 150 Rp1.285.650
LAIN-LAIN LAIN-LAIN
74 Santagesilk inj 5s Amp Rp4.500 3.025 Rp13.612.500 0 Rp0 0 Rp0 310 Rp1.395.000 0 Rp0 2.715 Rp12.217.500
75 SEDACUM INJ 5 MG Amp Rp29.700 0 Rp0 0 Rp0 10 Rp297.000 10 Rp297.000 0 Rp0 0 Rp0
76 Serum A.T.S 1500 IU Amp Rp130.999 100 Rp13.099.900 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp13.099.900
77 Sevoflurane 250 ml Btl Rp924.000 8 Rp7.392.000 0 Rp0 0 Rp0 2 Rp1.848.000 0 Rp0 6 Rp5.544.000
78 Streptomisin Injeksi 1500 mg Vial Rp5.980 56 Rp334.880 0 Rp0 0 Rp0 0 Rp0 0 Rp0 56 Rp334.880
79 Suplasyn 20mg/2ml Amp Rp247.885 10 Rp2.478.850 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp2.478.850
80 Tramadol Inj Amp Rp4.950 820 Rp4.059.000 0 Rp0 0 Rp0 20 Rp99.000 0 Rp0 800 Rp3.960.000
81 VASOLA inj Vial Rp242.000 325 Rp78.650.000 0 Rp0 0 Rp0 140 Rp33.880.000 0 Rp0 185 Rp44.770.000
82 Ventolin Nebules 2,5mg NEBULE Rp4.000 260 Rp1.040.000 0 Rp0 0 Rp0 200 Rp800.000 0 Rp0 60 Rp240.000
83 Viccillin SX 1500 mg Vial Rp19.844 350 Rp6.945.400 0 Rp0 0 Rp0 100 Rp1.984.400 0 Rp0 250 Rp4.961.000
Total : 54.062 Rp400.982.598 6.620 Rp61.279.810 259 Rp3.098.934 8.287 Rp106.454.913 0 Rp0 52.654 Rp 358.906.429
LABORATORIUM
1 Anti A Mono Vial Rp193.050 0 Rp0 5 Rp965.250 0 Rp0 5 Rp965.250 0 Rp0 0 Rp0
2 Anti B Mono Vial Rp178.200 0 Rp0 4 Rp712.800 0 Rp0 4 Rp712.800 0 Rp0 0 Rp0
3 CLINICHEM M CONTROL 5ml Btl Rp3.080.000 0 Rp0 3 Rp9.240.000 0 Rp0 3 Rp9.240.000 0 Rp0 0 Rp0
4 DETERGENT CD 80 2L Btl Rp4.200.000 0 Rp0 2 Rp8.400.000 0 Rp0 2 Rp8.400.000 0 Rp0 0 Rp0
5 Widal Tulip Vial Rp232.031 0 Rp0 8 Rp1.856.248 0 Rp0 8 Rp1.856.248 0 Rp0 0 Rp0
5 Widal Tulip Vial Rp1.856.250 0 Rp0 0 Rp0 0 Rp0 0 Rp0 0 Rp0 0 Rp0
Total : 0 Rp0 22 Rp21.174.298 0 Rp0 22 Rp21.174.298 0 Rp0 0 Rp 0

NARKOTIKA
1 Codein 20mg Tab Rp1.370 0 Rp0 1.600 Rp2.192.000 0 Rp0 900 Rp1.233.000 0 Rp0 700 Rp959.000
2 Fentanil Inj Amp Rp29.500 150 Rp4.425.000 200 Rp5.900.000 0 Rp0 50 Rp1.475.000 0 Rp0 300 Rp8.850.000
3 Morfin 10 MG inj.im 10 mg/ml Amp Rp34.050 10 Rp340.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp340.500
4 MORPHINE 10 mg tab Tab Rp1.200 810 Rp972.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 810 Rp972.000
5 Petidin HCl 50 mg Inj Amp Rp19.481 15 Rp292.215 0 Rp0 0 Rp0 0 Rp0 0 Rp0 15 Rp292.215
LAIN-LAIN LAIN-LAIN
Total : 985 Rp6.029.715 1.800 Rp8.092.000 0 Rp0 950 Rp2.708.000 0 Rp0 1.835 Rp 11.413.715
OBAT LUAR
1 Bedak Salicyl 2% 60 gr gr Rp2.973 20 Rp59.460 0 Rp0 0 Rp0 0 Rp0 0 Rp0 20 Rp59.460
1 Bedak Salicyl 2% 60 gr gr Rp6.426 0 Rp0 50 Rp321.300 0 Rp0 0 Rp0 0 Rp0 50 Rp321.300
2 Betametason Cream 0,1 % 5 g Tub Rp1.520 58 Rp88.160 0 Rp0 0 Rp0 40 Rp60.800 0 Rp0 18 Rp27.360
3 Carmed Cream 40 gr 10% Tub Rp28.710 17 Rp488.070 0 Rp0 0 Rp0 5 Rp143.550 0 Rp0 12 Rp344.520
4 Cinolon Krim Tub Rp18.040 60 Rp1.082.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 60 Rp1.082.400
5 Desoximethasone Krim Tub Rp9.500 132 Rp1.254.000 0 Rp0 0 Rp0 48 Rp456.000 0 Rp0 84 Rp798.000
5 Desoximethasone Krim Tub Rp8.998 0 Rp0 200 Rp1.799.600 0 Rp0 0 Rp0 0 Rp0 200 Rp1.799.600
6 Framycetin sulfate Lmb Rp10.175 0 Rp0 500 Rp5.087.500 0 Rp0 250 Rp2.543.750 0 Rp0 250 Rp2.543.750
7 Fucilex Tub Rp7.150 26 Rp185.900 0 Rp0 0 Rp0 0 Rp0 0 Rp0 26 Rp185.900
8 Fusycom Cream 5 gr Tub Rp6.278 20 Rp125.560 0 Rp0 0 Rp0 3 Rp18.834 0 Rp0 17 Rp106.726
9 Gentalex 5 gr Tub Rp2.350 0 Rp0 200 Rp470.000 0 Rp0 156 Rp366.600 0 Rp0 44 Rp103.400
10 Hidrokortison Krim 2,5 % Tub Rp2.325 38 Rp88.350 0 Rp0 0 Rp0 10 Rp23.250 0 Rp0 28 Rp65.100
11 IALUSET plus 100gr cream Tub Rp99.995 3 Rp299.985 0 Rp0 0 Rp0 3 Rp299.985 0 Rp0 0 Rp0
12 Medscab + Cream Tub Rp64.796 5 Rp323.980 0 Rp0 0 Rp0 5 Rp323.980 0 Rp0 0 Rp0
13 Miconazol 10 gr Tub Rp3.486 1.065 Rp3.712.590 0 Rp0 0 Rp0 5 Rp17.430 0 Rp0 1.060 Rp3.695.160
14 Rivanol 100 Ml Btl Rp1.599 27 Rp43.173 0 Rp0 0 Rp0 0 Rp0 0 Rp0 27 Rp43.173
15 Sulfadiazine Silver Tub Rp20.700 18 Rp372.600 28 Rp579.600 0 Rp0 10 Rp207.000 0 Rp0 36 Rp745.200
OBAT PROGRAM VAKSIN
1 BCG VAKSIN (program) Vial Rp61.996 4 Rp247.984 0 Rp0 0 Rp0 3 Rp185.988 0 Rp0 1 Rp61.996
2 POLIOMYELITIS VACCINE IVP Vial Rp158.994 3 Rp476.982 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3 Rp476.982
(program)
3 VAKSIN HB-0 (program) Vial Rp23.991 12 Rp287.892 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp287.892
4 VAKSIN POLIO ORAL Vial Rp19.954 7 Rp139.678 0 Rp0 0 Rp0 3 Rp59.862 0 Rp0 4 Rp79.816
LAIN-LAIN LAIN-LAIN
(program)
Total : 26 Rp1.152.536 0 Rp0 0 Rp0 6 Rp245.850 0 Rp0 20 Rp 906.686
ORTOPEDI
1 CORTEX SCREW Pcs Rp231.811 82 Rp19.008.502 0 Rp0 0 Rp0 0 Rp0 0 Rp0 82 Rp19.008.502
2 LCP NARROW Pcs Rp1.178.662 6 Rp7.071.972 0 Rp0 0 Rp0 0 Rp0 0 Rp0 6 Rp7.071.972
3 LCP BROAD Pcs Rp2.447.424 6 Rp14.684.544 0 Rp0 0 Rp0 0 Rp0 0 Rp0 6 Rp14.684.544
Total : 94 Rp40.765.018 0 Rp0 0 Rp0 0 Rp0 0 Rp0 94 Rp 40.765.018

PELET
1 Perossal 2 X 6 Pellets PELET Rp282.333 60 Rp16.939.980 60 Rp16.939.980 0 Rp0 36 Rp10.163.988 0 Rp0 84 Rp23.715.972
Total : 60 Rp16.939.980 60 Rp16.939.980 0 Rp0 36 Rp10.163.988 0 Rp0 84 Rp 23.715.972

PSIKOTROPIKA
1 Alprazolam 0,5mg Tab Rp327 300 Rp98.100 0 Rp0 0 Rp0 300 Rp98.100 0 Rp0 0 Rp0
2 Alprazolam 1mg Tab Rp128 600 Rp76.800 0 Rp0 0 Rp0 200 Rp25.600 0 Rp0 400 Rp51.200
2 Alprazolam 1mg Tab Rp514 1.000 Rp514.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1.000 Rp514.000
3 Clobazam 10 mg Tab Rp776 500 Rp388.000 0 Rp0 0 Rp0 500 Rp388.000 0 Rp0 0 Rp0
4 Clofritis 10 mg Tab. Tab Rp1.250 6.000 Rp7.500.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 6.000 Rp7.500.000
5 Diazepam 2mg Tab Tab Rp70 1.100 Rp77.000 0 Rp0 0 Rp0 200 Rp14.000 0 Rp0 900 Rp63.000
5 Diazepam 2mg Tab Tab Rp86 2.500 Rp215.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2.500 Rp215.000
6 Diazepam 5mg Tab Tab Rp114 1.700 Rp193.800 0 Rp0 0 Rp0 200 Rp22.800 0 Rp0 1.500 Rp171.000
6 Diazepam 5mg Tab Tab Rp261 2.000 Rp522.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2.000 Rp522.000
7 DIAZEPAM INJEKSI 5MG/ML Amp Rp1.913 430 Rp822.590 0 Rp0 0 Rp0 1 Rp1.913 0 Rp0 429 Rp820.677
8 Fenobarbital inj. im/iv 50 mg Amp Rp1.700 180 Rp306.000 0 Rp0 0 Rp0 30 Rp51.000 0 Rp0 150 Rp255.000
9 Fenobarbital 30mg Tab Tab Rp182 800 Rp145.600 0 Rp0 0 Rp0 300 Rp54.600 0 Rp0 500 Rp91.000
10 Merlopan 2 mg Tab Rp2.948 4.000 Rp11.792.000 0 Rp0 0 Rp0 800 Rp2.358.400 0 Rp0 3.200 Rp9.433.600
11 Stesolid Rectal Tube 10 mg REC Rp21.021 51 Rp1.072.071 0 Rp0 0 Rp0 6 Rp126.126 0 Rp0 45 Rp945.945
Total : 21.161 Rp23.722.961 0 Rp0 0 Rp0 2.537 Rp3.140.539 0 Rp0 18.624 Rp 20.582.422
LAIN-LAIN LAIN-LAIN
SERBUK
1 Kalitake 20 Sacc Rp15.593 50 Rp779.650 0 Rp0 0 Rp0 0 Rp0 0 Rp0 50 Rp779.650
2 Oralit Sacc Rp732 105 Rp76.860 0 Rp0 0 Rp0 0 Rp0 0 Rp0 105 Rp76.860
Total : 155 Rp856.510 0 Rp0 0 Rp0 0 Rp0 0 Rp0 155 Rp 856.510

SPRAY
1 Avamys Nasal Spray Pcs Rp115.400 4 Rp461.600 0 Rp0 0 Rp0 4 Rp461.600 0 Rp0 0 Rp0
2 Berotec100 Mcg 10 Ml Pcs Rp86.930 108 Rp9.388.440 0 Rp0 0 Rp0 0 Rp0 0 Rp0 108 Rp9.388.440
3 Dipsamol Inhaler Pcs Rp33.660 155 Rp5.217.300 0 Rp0 0 Rp0 15 Rp504.900 0 Rp0 140 Rp4.712.400
4 Flutias 125 Pcs Rp130.900 220 Rp28.798.000 0 Rp0 0 Rp0 20 Rp2.618.000 0 Rp0 200 Rp26.180.000
5 Illiadin Spray 0.05 % Btl Rp42.515 35 Rp1.488.025 0 Rp0 0 Rp0 7 Rp297.605 0 Rp0 28 Rp1.190.420
6 Meptin Inhalation NEBULE Rp5.800 224 Rp1.299.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 224 Rp1.299.200
7 Nasacort AQ (Tetes hidung) Pcs Rp112.710 10 Rp1.127.100 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp1.127.100
8 OnBreezhaler 150 Mcg Tab Rp12.000 510 Rp6.120.000 0 Rp0 0 Rp0 150 Rp1.800.000 0 Rp0 360 Rp4.320.000
9 OnBreezhaler 300 Mcg Tab Rp11.750 60 Rp705.000 0 Rp0 0 Rp0 60 Rp705.000 0 Rp0 0 Rp0
9 OnBreezhaler 300 Mcg Tab Rp12.000 150 Rp1.800.000 0 Rp0 0 Rp0 30 Rp360.000 0 Rp0 120 Rp1.440.000
10 Seretide Discus 250 Pcs Rp122.521 14 Rp1.715.294 0 Rp0 0 Rp0 0 Rp0 0 Rp0 14 Rp1.715.294
11 Symbicort 160/120 Pcs Rp150.704 200 Rp30.140.800 0 Rp0 0 Rp0 45 Rp6.781.680 0 Rp0 155 Rp23.359.120
12 SYMBICORT RAPIHALER 160 Pcs Rp150.704 150 Rp22.605.600 0 Rp0 0 Rp0 80 Rp12.056.320 0 Rp0 70 Rp10.549.280
Total : 1.840 Rp110.866.359 0 Rp0 0 Rp0 411 Rp25.585.105 0 Rp0 1.429 Rp 85.281.254
SUMBANGAN & HIBAH BHP
1 APD ( 4 item hibah ) Set Rp98.350 22 Rp2.163.700 0 Rp0 0 Rp0 0 Rp0 0 Rp0 22 Rp2.163.700
2 APD (Baju) (HIBAH) Set Rp165.000 90 Rp14.850.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 90 Rp14.850.000
2 APD (Baju) (HIBAH) Set Rp165.000 173 Rp28.545.000 0 Rp0 0 Rp0 70 Rp11.550.000 0 Rp0 103 Rp16.995.000
3 APD Lengkap (HIBAH) Set Rp900.000 74 Rp66.600.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 74 Rp66.600.000
4 FACE SHIELD BAYI (HIBAH) Pcs Rp25.000 8 Rp200.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 8 Rp200.000
LAIN-LAIN LAIN-LAIN
5 HYGIENE KIT (covid 19 wash) Kit Rp70.000 94 Rp6.580.000 0 Rp0 0 Rp0 22 Rp1.540.000 0 Rp0 72 Rp5.040.000
6 JAS APD (HIBAH) Pcs Rp165.000 44 Rp7.260.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 44 Rp7.260.000
7 MASKER BEDAH (HIBAH) Pcs Rp965 300 Rp289.500 0 Rp0 0 Rp0 300 Rp289.500 0 Rp0 0 Rp0
7 MASKER BEDAH (HIBAH) Pcs Rp318 0 Rp0 8.000 Rp2.544.000 0 Rp0 0 Rp0 0 Rp0 8.000 Rp2.544.000
8 MASKER N95 (HIBAH) Pcs Rp23.427 20 Rp468.540 0 Rp0 0 Rp0 20 Rp468.540 0 Rp0 0 Rp0
8 MASKER N95 (HIBAH) Pcs Rp24.585 20 Rp491.700 0 Rp0 0 Rp0 0 Rp0 0 Rp0 20 Rp491.700
9 RAPID TEST ANTIGEN (HIBAH) Pcs Rp97.000 1.900 Rp184.300.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1.900 Rp184.300.000
10 SABUN ANTISEPTIK (HIBAH) Pcs Rp2.500 120 Rp300.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 120 Rp300.000
11 Thermal Gun (HIBAH) Pcs Rp479.000 1 Rp479.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1 Rp479.000
Total : 2.866 Rp312.527.440 8.000 Rp2.544.000 0 Rp0 412 Rp13.848.040 0 Rp0 10.454 Rp 301.223.400
SUMBANGAN & HIBAH OBAT
1 ANTASIDA SYR (hibah) Btl Rp2.098 75 Rp157.350 0 Rp0 0 Rp0 0 Rp0 0 Rp0 75 Rp157.350
2 CHLOROQUINE 150 mg Tab Rp1.506 300 Rp451.800 0 Rp0 0 Rp0 0 Rp0 0 Rp0 300 Rp451.800
(HIBAH)
3 Favipiravir 200mg (HIBAH) Tab Rp14.850 700 Rp10.395.000 0 Rp0 0 Rp0 700 Rp10.395.000 0 Rp0 0 Rp0
3 Favipiravir 200mg (HIBAH) Tab Rp10.399 1.000 Rp10.399.000 0 Rp0 0 Rp0 200 Rp2.079.800 0 Rp0 800 Rp8.319.200
4 HIDROKLORTIAZIDA 25mg Tab Rp171 600 Rp102.600 0 Rp0 0 Rp0 600 Rp102.600 0 Rp0 0 Rp0
(hibah)
5 Remdesivir inj (HIBAH) Vial Rp129.500 122 Rp15.799.000 0 Rp0 0 Rp0 112 Rp14.504.000 0 Rp0 10 Rp1.295.000
5 Remdesivir inj (HIBAH) Vial Rp117.727 112 Rp13.185.424 0 Rp0 0 Rp0 0 Rp0 0 Rp0 112 Rp13.185.424
6 VITAMIN C (HIBAH) Tab Rp198 2.900 Rp574.200 0 Rp0 0 Rp0 700 Rp138.600 0 Rp0 2.200 Rp435.600
Total : 5.809 Rp51.064.374 0 Rp0 0 Rp0 2.312 Rp27.220.000 0 Rp0 3.497 Rp 23.844.374
SUPPOSITORIA
1 Anti hemoroid supp Sup Rp3.267 110 Rp359.370 0 Rp0 0 Rp0 10 Rp32.670 0 Rp0 100 Rp326.700
1 Anti hemoroid supp Sup Rp3.260 200 Rp652.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 200 Rp652.000
2 Dulcolax 10 Mg Supp Sup Rp4.325 120 Rp519.000 0 Rp0 0 Rp0 50 Rp216.250 0 Rp0 70 Rp302.750
3 Fleet Enema Btl Rp41.305 30 Rp1.239.150 0 Rp0 0 Rp0 0 Rp0 0 Rp0 30 Rp1.239.150
LAIN-LAIN LAIN-LAIN
4 Fosen 133ml Btl Rp79.200 27 Rp2.138.400 0 Rp0 0 Rp0 7 Rp554.400 0 Rp0 20 Rp1.584.000
5 Protofen Supp Sup Rp1.998 1.740 Rp3.476.520 0 Rp0 0 Rp0 320 Rp639.360 0 Rp0 1.420 Rp2.837.160
Total : 2.227 Rp8.384.440 0 Rp0 0 Rp0 387 Rp1.442.680 0 Rp0 1.840 Rp 6.941.760
SYIRUP
1 Amoksisillin 125 mg/5 mg syr Btl Rp5.280 95 Rp501.600 0 Rp0 0 Rp0 30 Rp158.400 0 Rp0 65 Rp343.200
2 Antasida syrup Btl Rp9.069 11 Rp99.759 0 Rp0 0 Rp0 0 Rp0 0 Rp0 11 Rp99.759
3 BECEFORT SYRUP Btl Rp15.195 62 Rp942.090 0 Rp0 0 Rp0 0 Rp0 0 Rp0 62 Rp942.090
3 BECEFORT SYRUP Btl Rp16.498 300 Rp4.949.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 300 Rp4.949.400
4 Cefadroksil Syrup 125mg/5ml Btl Rp7.786 55 Rp428.230 0 Rp0 0 Rp0 15 Rp116.790 0 Rp0 40 Rp311.440
5 Cefixim Syrup 30ml Btl Rp11.682 65 Rp759.330 0 Rp0 0 Rp0 10 Rp116.820 0 Rp0 55 Rp642.510
6 Citoprim syr Btl Rp5.363 12 Rp64.356 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp64.356
7 Cotrimoksazol Syr Btl Rp2.100 0 Rp0 100 Rp210.000 0 Rp0 0 Rp0 0 Rp0 100 Rp210.000
8 ELKANA SYR Btl Rp20.328 76 Rp1.544.928 0 Rp0 0 Rp0 20 Rp406.560 0 Rp0 56 Rp1.138.368
9 Eritromisin Syr 200mg/5ml Btl Rp12.210 12 Rp146.520 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp146.520
10 Metronidazole Syr Btl Rp3.765 40 Rp150.600 0 Rp0 0 Rp0 0 Rp0 0 Rp0 40 Rp150.600
11 MORIS syr Btl Rp8.168 44 Rp359.392 0 Rp0 0 Rp0 10 Rp81.680 0 Rp0 34 Rp277.712
12 Noocephal Syr Btl Rp66.000 12 Rp792.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp792.000
13 NOVACHLOR SYR Btl Rp10.602 57 Rp604.314 0 Rp0 0 Rp0 10 Rp106.020 0 Rp0 47 Rp498.294
14 Obat Batuk Hitam (OBH) 60 ml Btl Rp3.575 10 Rp35.750 0 Rp0 0 Rp0 10 Rp35.750 0 Rp0 0 Rp0
14 Obat Batuk Hitam (OBH) 60 ml Btl Rp3.850 0 Rp0 200 Rp770.000 0 Rp0 60 Rp231.000 0 Rp0 140 Rp539.000
15 Phylocin syr Btl Rp10.518 50 Rp525.900 0 Rp0 0 Rp0 0 Rp0 0 Rp0 50 Rp525.900
16 Pralax syr Btl Rp61.600 71 Rp4.373.600 0 Rp0 0 Rp0 0 Rp0 0 Rp0 71 Rp4.373.600
17 Sucralfate 100 ML Btl Rp15.000 0 Rp0 1 Rp15.000 0 Rp0 1 Rp15.000 0 Rp0 0 Rp0
18 Tabas Syr Btl Rp6.578 11 Rp72.358 0 Rp0 0 Rp0 0 Rp0 0 Rp0 11 Rp72.358
19 Takana Syr Btl Rp36.300 200 Rp7.260.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 200 Rp7.260.000
LAIN-LAIN LAIN-LAIN
20 Thiamfilex 125mg/5ml syr Btl Rp6.000 70 Rp420.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 70 Rp420.000
21 Valproic Acid Syrup Btl Rp12.752 37 Rp471.824 0 Rp0 0 Rp0 25 Rp318.800 0 Rp0 12 Rp153.024
22 Zinc Syr Btl Rp3.285 10 Rp32.850 100 Rp328.500 0 Rp0 5 Rp16.425 0 Rp0 105 Rp344.925
TABLET
1 Acetycyteine Tab Rp880 8.600 Rp7.568.000 0 Rp0 0 Rp0 3.900 Rp3.432.000 0 Rp0 4.700 Rp4.136.000
1 Acetycyteine Tab Rp1.283 0 Rp0 3.000 Rp3.849.000 0 Rp0 0 Rp0 0 Rp0 3.000 Rp3.849.000
2 Acyclovir 200 mg Tab Rp349 400 Rp139.600 0 Rp0 0 Rp0 0 Rp0 0 Rp0 400 Rp139.600
3 Albendazole 400 Mg Tab Rp447 300 Rp134.100 0 Rp0 0 Rp0 0 Rp0 0 Rp0 300 Rp134.100
4 Alerfed Tab Rp1.221 1.250 Rp1.526.250 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1.250 Rp1.526.250
5 Alopurinol 100mg Tab Rp165 1.000 Rp165.000 0 Rp0 0 Rp0 100 Rp16.500 0 Rp0 900 Rp148.500
6 Alopurinol 300mg Tab Rp395 1.000 Rp395.000 0 Rp0 0 Rp0 100 Rp39.500 0 Rp0 900 Rp355.500
7 Alpentin 100 mg Kap Rp1.150 200 Rp230.000 1.000 Rp1.150.000 0 Rp0 1.200 Rp1.380.000 0 Rp0 0 Rp0
8 Ambroxol 30 MG Tab Rp200 0 Rp0 200 Rp40.000 0 Rp0 200 Rp40.000 0 Rp0 0 Rp0
9 Amitriptilin tab salut 25 mg Tab Rp178 1.800 Rp320.400 0 Rp0 0 Rp0 500 Rp89.000 0 Rp0 1.300 Rp231.400
9 Amitriptilin tab salut 25 mg Tab Rp168 2.000 Rp336.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2.000 Rp336.000
10 Amlodipin 5mg Tab Rp121 5.200 Rp629.200 0 Rp0 0 Rp0 1.000 Rp121.000 0 Rp0 4.200 Rp508.200
10 Amlodipin 5mg Tab Rp55 3.000 Rp165.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3.000 Rp165.000
11 Amlodipine 10mg Tab Rp168 5.000 Rp840.000 0 Rp0 0 Rp0 2.200 Rp369.600 0 Rp0 2.800 Rp470.400
12 Amoksisillin 500 mg Tab Rp231 2.400 Rp554.400 0 Rp0 0 Rp0 1.000 Rp231.000 0 Rp0 1.400 Rp323.400
13 Antasida tablet Tab Rp190 400 Rp76.000 0 Rp0 0 Rp0 400 Rp76.000 0 Rp0 0 Rp0
14 Arkine Tab Rp639 8.900 Rp5.687.100 0 Rp0 0 Rp0 200 Rp127.800 0 Rp0 8.700 Rp5.559.300
15 Asam Mefenamat 500 mg Tab Rp275 1.800 Rp495.000 0 Rp0 0 Rp0 1.600 Rp440.000 0 Rp0 200 Rp55.000
16 Aspilets Chewable Tab Rp350 0 Rp0 300 Rp105.000 0 Rp0 300 Rp105.000 0 Rp0 0 Rp0
LAIN-LAIN LAIN-LAIN
17 Atorvastatin 10mg Tab Rp755 1.440 Rp1.087.200 1.530 Rp1.155.150 0 Rp0 2.430 Rp1.834.650 0 Rp0 540 Rp407.700
18 Atorvastatin 20 mg Tab Rp1.177 0 Rp0 1.530 Rp1.800.810 0 Rp0 810 Rp953.370 0 Rp0 720 Rp847.440
19 Avodart Cap Tab Rp4.935 120 Rp592.200 0 Rp0 0 Rp0 120 Rp592.200 0 Rp0 0 Rp0
20 Azitromisin 500mg Tab Tab Rp3.465 270 Rp935.550 0 Rp0 0 Rp0 270 Rp935.550 0 Rp0 0 Rp0
21 Bamgetol 200 mg Tab Rp1.478 5.500 Rp8.129.000 0 Rp0 0 Rp0 1.000 Rp1.478.000 0 Rp0 4.500 Rp6.651.000
22 Beta One 2.5mg Tab Rp688 500 Rp344.000 0 Rp0 0 Rp0 300 Rp206.400 0 Rp0 200 Rp137.600
23 Betahistin Mesilat Tablet 6 Mg Tab Rp92 5.100 Rp469.200 0 Rp0 0 Rp0 1.200 Rp110.400 0 Rp0 3.900 Rp358.800
24 Bisoprolol 5mg Tab Rp210 400 Rp84.000 0 Rp0 0 Rp0 400 Rp84.000 0 Rp0 0 Rp0
24 Bisoprolol 5mg Tab Rp143 10.050 Rp1.437.150 0 Rp0 0 Rp0 960 Rp137.280 0 Rp0 9.090 Rp1.299.870
25 Bon One 0.25 Mcg Tab Rp7.574 3.420 Rp25.903.080 6.000 Rp45.444.000 0 Rp0 3.210 Rp24.312.540 0 Rp0 6.210 Rp47.034.540
26 BRAZINE 25 MG Tab Rp2.529 200 Rp505.800 0 Rp0 0 Rp0 200 Rp505.800 0 Rp0 0 Rp0
27 BUSCOPAN tab Tab Rp3.264 800 Rp2.611.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 800 Rp2.611.200
28 Calesco Tab Rp6.930 8.400 Rp58.212.000 2.500 Rp17.325.000 0 Rp0 3.600 Rp24.948.000 0 Rp0 7.300 Rp50.589.000
29 Calos Chewable Tab Rp722 3.000 Rp2.166.000 0 Rp0 0 Rp0 1.800 Rp1.299.600 0 Rp0 1.200 Rp866.400
30 Candesartan 8mg Tab Tab Rp212 1.110 Rp235.320 0 Rp0 0 Rp0 1.110 Rp235.320 0 Rp0 0 Rp0
31 Candesartan Tab 16mg Tab Rp319 630 Rp200.970 0 Rp0 0 Rp0 630 Rp200.970 0 Rp0 0 Rp0
32 Captopril 12,5 mg Tab Rp166 100 Rp16.600 2.000 Rp332.000 0 Rp0 200 Rp33.200 0 Rp0 1.900 Rp315.400
33 Captopril 25 mg Tab Rp75 1.700 Rp127.500 0 Rp0 0 Rp0 200 Rp15.000 0 Rp0 1.500 Rp112.500
34 Cefadroksil 500mg Tab Rp521 3.700 Rp1.927.700 0 Rp0 0 Rp0 900 Rp468.900 0 Rp0 2.800 Rp1.458.800
35 Cefixim 100 mg Tab Rp398 0 Rp0 5.000 Rp1.990.000 0 Rp0 3.000 Rp1.194.000 0 Rp0 2.000 Rp796.000
36 Chlorfeniramin Maleat(CTM) 4 Tab Rp63 8.900 Rp560.700 0 Rp0 0 Rp0 300 Rp18.900 0 Rp0 8.600 Rp541.800
mg
37 Cimetidine 200mg Tab Rp198 300 Rp59.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 300 Rp59.400
38 Ciprofloxacin 500mg Tab Rp320 400 Rp128.000 0 Rp0 0 Rp0 400 Rp128.000 0 Rp0 0 Rp0
LAIN-LAIN LAIN-LAIN
39 Citicoline 500 mg Tab Rp5.984 2.550 Rp15.259.200 0 Rp0 0 Rp0 300 Rp1.795.200 0 Rp0 2.250 Rp13.464.000
40 Citicoline1000 mg Tab Rp8.800 570 Rp5.016.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 570 Rp5.016.000
41 Clindamisin 150 mg Tab Rp650 350 Rp227.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 350 Rp227.500
42 Clindamisin 300 mg Kap Rp733 2.000 Rp1.466.000 0 Rp0 0 Rp0 200 Rp146.600 0 Rp0 1.800 Rp1.319.400
43 Clozapine 100 mg Tab Rp3.288 400 Rp1.315.200 0 Rp0 0 Rp0 100 Rp328.800 0 Rp0 300 Rp986.400
44 Cotrimoksazol 480 mg Tab Rp133 300 Rp39.900 0 Rp0 0 Rp0 300 Rp39.900 0 Rp0 0 Rp0
44 Cotrimoksazol 480 mg Tab Rp240 2.000 Rp480.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2.000 Rp480.000
44 Cotrimoksazol 480 mg Tab Rp126 0 Rp0 2.000 Rp252.000 0 Rp0 0 Rp0 0 Rp0 2.000 Rp252.000
45 Curcuma blister Tab Rp702 1.100 Rp772.200 0 Rp0 0 Rp0 400 Rp280.800 0 Rp0 700 Rp491.400
46 Deksametason 0,5 mg Tab Rp155 1.800 Rp279.000 0 Rp0 0 Rp0 900 Rp139.500 0 Rp0 900 Rp139.500
47 Depakote ER 250 mg Tab Rp2.954 400 Rp1.181.600 0 Rp0 0 Rp0 100 Rp295.400 0 Rp0 300 Rp886.200
48 Depakote ER 500 mg Tab Rp5.928 100 Rp592.800 0 Rp0 0 Rp0 100 Rp592.800 0 Rp0 0 Rp0
49 Diamicron Mr 60 Tab Rp3.014 30 Rp90.420 0 Rp0 0 Rp0 0 Rp0 0 Rp0 30 Rp90.420
50 Digoksin 0,25 mg Tab Rp107 600 Rp64.200 0 Rp0 0 Rp0 100 Rp10.700 0 Rp0 500 Rp53.500
51 Diltiazem Hcl 30 mg Tab Rp205 300 Rp61.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 300 Rp61.500
52 Domperidon 10 mg Tab Rp86 2.500 Rp215.000 0 Rp0 0 Rp0 800 Rp68.800 0 Rp0 1.700 Rp146.200
53 Donepezil 5 mg Tab Rp4.554 1.140 Rp5.191.560 600 Rp2.732.400 0 Rp0 300 Rp1.366.200 0 Rp0 1.440 Rp6.557.760
54 Dopamet Tab Tab Rp1.088 1.300 Rp1.414.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1.300 Rp1.414.400
54 Dopamet Tab Tab Rp1.088 200 Rp217.600 0 Rp0 0 Rp0 0 Rp0 0 Rp0 200 Rp217.600
55 Dorner 20 mg Tab Rp4.900 120 Rp588.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 120 Rp588.000
56 Doxycilin 100mg Tab Rp451 4.200 Rp1.894.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 4.200 Rp1.894.200
57 Dulcolax Tablet 5 mg Tab Rp1.541 380 Rp585.580 0 Rp0 0 Rp0 50 Rp77.050 0 Rp0 330 Rp508.530
58 Elizac 20 Kap Kap Rp3.960 690 Rp2.732.400 0 Rp0 0 Rp0 300 Rp1.188.000 0 Rp0 390 Rp1.544.400
59 EPRINOC TABLET Tab Rp1.400 5.000 Rp7.000.000 0 Rp0 0 Rp0 200 Rp280.000 0 Rp0 4.800 Rp6.720.000
LAIN-LAIN LAIN-LAIN
60 Eritromisin 500mg Kap Kap Rp781 300 Rp234.300 0 Rp0 0 Rp0 0 Rp0 0 Rp0 300 Rp234.300
61 Etambutol 250 mg Tab Rp400 4.000 Rp1.600.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 4.000 Rp1.600.000
62 Etambutol 500 mg Tab Rp786 2.800 Rp2.200.800 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2.800 Rp2.200.800
63 Fenofibrate 100 mg Tab Rp1.191 60 Rp71.460 0 Rp0 0 Rp0 60 Rp71.460 0 Rp0 0 Rp0
64 Flukonazol Tab Tab Rp19.000 150 Rp2.850.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 150 Rp2.850.000
65 FOLAVIT 400 MG Tab Rp350 2.700 Rp945.000 0 Rp0 0 Rp0 400 Rp140.000 0 Rp0 2.300 Rp805.000
66 Fridep 50 Amp Rp8.213 960 Rp7.884.480 0 Rp0 0 Rp0 0 Rp0 0 Rp0 960 Rp7.884.480
67 Furosemide 40 mg Tab Rp198 10.000 Rp1.980.000 0 Rp0 0 Rp0 4.900 Rp970.200 0 Rp0 5.100 Rp1.009.800
68 GALVUS 500 mg Tab Rp1.647 84 Rp138.348 0 Rp0 0 Rp0 0 Rp0 0 Rp0 84 Rp138.348
69 Glauseta Tablet Tab Rp3.078 500 Rp1.539.000 0 Rp0 0 Rp0 100 Rp307.800 0 Rp0 400 Rp1.231.200
70 Glimepiride 2mg Tab Rp123 3.900 Rp479.700 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3.900 Rp479.700
72 Glimepiride 4mg Tab Rp372 500 Rp186.000 0 Rp0 0 Rp0 200 Rp74.400 0 Rp0 300 Rp111.600
73 Glucodex 80 mg Tab Rp395 8.800 Rp3.476.000 0 Rp0 0 Rp0 1.300 Rp513.500 0 Rp0 7.500 Rp2.962.500
74 Griseofulvin 125 mg Tab Rp385 1.400 Rp539.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1.400 Rp539.000
75 Harnal 0.2 mg Tab Tab Rp7.860 448 Rp3.521.280 0 Rp0 0 Rp0 280 Rp2.200.800 0 Rp0 168 Rp1.320.480
76 Harnal Ocas Tab cap Rp4.356 270 Rp1.176.120 0 Rp0 0 Rp0 90 Rp392.040 0 Rp0 180 Rp784.080
77 HYDROXYCHLOROQUINE 200 Tab Rp9.614 300 Rp2.884.200 0 Rp0 0 Rp0 200 Rp1.922.800 0 Rp0 100 Rp961.400
mg
78 Hydroxyurea Medac 500 mg Tab Rp3.899 100 Rp389.900 0 Rp0 0 Rp0 0 Rp0 0 Rp0 100 Rp389.900
79 Ibuprofen tablet 200 mg Tab Rp173 1.500 Rp259.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1.500 Rp259.500
80 Ibuprofen tablet 400 mg Tab Rp366 1.000 Rp366.000 0 Rp0 0 Rp0 100 Rp36.600 0 Rp0 900 Rp329.400
81 Interhistin Tab Rp655 5.600 Rp3.668.000 0 Rp0 0 Rp0 900 Rp589.500 0 Rp0 4.700 Rp3.078.500
LAIN-LAIN LAIN-LAIN
82 Isoniazid 100 mg Tab Rp170 500 Rp85.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 500 Rp85.000
83 Isoniazid 300 mg Tab Rp262 600 Rp157.200 0 Rp0 0 Rp0 200 Rp52.400 0 Rp0 400 Rp104.800
84 Isosorbid Dinitrat 5 mg Tab Rp89 2.200 Rp195.800 0 Rp0 0 Rp0 800 Rp71.200 0 Rp0 1.400 Rp124.600
85 Itraconazole 100 mg Tab Rp3.960 450 Rp1.782.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 450 Rp1.782.000
86 Januvia 100mg tab Tab Rp17.036 28 Rp477.008 0 Rp0 0 Rp0 0 Rp0 0 Rp0 28 Rp477.008
87 Kalsirox 250mg Tab Rp19.499 600 Rp11.699.400 0 Rp0 0 Rp0 150 Rp2.924.850 0 Rp0 450 Rp8.774.550
88 Kalsirox 500mg Tab Rp76.000 560 Rp42.560.000 0 Rp0 0 Rp0 280 Rp21.280.000 0 Rp0 280 Rp21.280.000
89 Kalxetin 10 mg Kap Rp3.300 4.200 Rp13.860.000 3.600 Rp11.880.000 0 Rp0 0 Rp0 0 Rp0 7.800 Rp25.740.000
90 KENDARON TABLET Tab Rp1.188 150 Rp178.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 150 Rp178.200
91 Ketocid Kap Tab Rp6.051 1.100 Rp6.656.100 0 Rp0 0 Rp0 400 Rp2.420.400 0 Rp0 700 Rp4.235.700
91 Ketocid Kap Tab Rp6.540 3.000 Rp19.620.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3.000 Rp19.620.000
92 Ketokonazol tab 200 mg Tab Rp260 500 Rp130.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 500 Rp130.000
93 Kolkatriol Tab Rp4.277 600 Rp2.566.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 600 Rp2.566.200
94 KSR 600 mg Tab Rp1.842 700 Rp1.289.400 0 Rp0 0 Rp0 400 Rp736.800 0 Rp0 300 Rp552.600
95 KUTOIN 100 MG TAB Tab Rp1.015 0 Rp0 2.500 Rp2.537.500 0 Rp0 0 Rp0 0 Rp0 2.500 Rp2.537.500
96 Lansoprazol 30mg Kap Rp600 600 Rp360.000 0 Rp0 0 Rp0 600 Rp360.000 0 Rp0 0 Rp0
96 Lansoprazol 30mg Kap Rp278 10.000 Rp2.780.000 0 Rp0 0 Rp0 5.800 Rp1.612.400 0 Rp0 4.200 Rp1.167.600
97 Levazid Tab Rp4.546 1.650 Rp7.500.900 1.800 Rp8.182.800 0 Rp0 120 Rp545.520 0 Rp0 3.330 Rp15.138.180
98 Levofloksasin 500 mg Tab Rp449 850 Rp381.650 0 Rp0 0 Rp0 850 Rp381.650 0 Rp0 0 Rp0
99 LODOMER 2 mg Tab Rp872 200 Rp174.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 200 Rp174.400
100 Lupred Tab Rp2.640 6.180 Rp16.315.200 6.000 Rp15.840.000 0 Rp0 5.130 Rp13.543.200 0 Rp0 7.050 Rp18.612.000
101 MEGABAL TABLET Tab Rp678 6.100 Rp4.135.800 0 Rp0 0 Rp0 1.200 Rp813.600 0 Rp0 4.900 Rp3.322.200
102 Meloksikam 15 mg Tab Rp300 8.300 Rp2.490.000 0 Rp0 0 Rp0 1.500 Rp450.000 0 Rp0 6.800 Rp2.040.000
103 Meloksikam 7,5 mg Tab Rp200 600 Rp120.000 0 Rp0 0 Rp0 600 Rp120.000 0 Rp0 0 Rp0
LAIN-LAIN LAIN-LAIN
104 Metamizole 500mg tab Tab Rp275 700 Rp192.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 700 Rp192.500
105 Metformin HCl 500 mg Tab Rp77 200 Rp15.400 0 Rp0 0 Rp0 0 Rp0 0 Rp0 200 Rp15.400
106 METHYLFENIDATE Tab Rp1.243 120 Rp149.160 0 Rp0 0 Rp0 0 Rp0 0 Rp0 120 Rp149.160
107 Metil Ergometrin Tab Tab Rp260 700 Rp182.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 700 Rp182.000
108 Metil Prednisolon 4mg Tab Rp102 5.300 Rp540.600 0 Rp0 0 Rp0 700 Rp71.400 0 Rp0 4.600 Rp469.200
108 Metil Prednisolon 4mg Tab Rp226 0 Rp0 5.000 Rp1.130.000 0 Rp0 0 Rp0 0 Rp0 5.000 Rp1.130.000
109 Metil Prednisolon 8mg Tab Rp370 1.500 Rp555.000 0 Rp0 0 Rp0 200 Rp74.000 0 Rp0 1.300 Rp481.000
110 Metoklopramid 10 mg Tab Rp66 2.000 Rp132.000 0 Rp0 0 Rp0 400 Rp26.400 0 Rp0 1.600 Rp105.600
111 Metronidazole 500 mg Tab Rp500 0 Rp0 20 Rp10.000 0 Rp0 20 Rp10.000 0 Rp0 0 Rp0
111 Metronidazole 500 mg Tab Rp210 0 Rp0 300 Rp63.000 0 Rp0 300 Rp63.000 0 Rp0 0 Rp0
112 Micardis 80 Tab Rp5.409 40 Rp216.360 0 Rp0 0 Rp0 0 Rp0 0 Rp0 40 Rp216.360
113 MINIASPI 80 MG TABLET Tab Rp105 0 Rp0 0 Rp0 200 Rp21.000 200 Rp21.000 0 Rp0 0 Rp0
114 MOLANEURON 50 TAB Tab Rp495 800 Rp396.000 0 Rp0 0 Rp0 300 Rp148.500 0 Rp0 500 Rp247.500
115 Natrium Bikarbonat tab 500 mg Tab Rp59 2.800 Rp165.200 0 Rp0 0 Rp0 1.400 Rp82.600 0 Rp0 1.400 Rp82.600
116 Natrium DiKlofenaK 50 mg Tab Rp400 0 Rp0 20 Rp8.000 0 Rp0 20 Rp8.000 0 Rp0 0 Rp0
117 Neo-Diagon 650mg tab Tab Rp253 1.300 Rp328.900 0 Rp0 0 Rp0 500 Rp126.500 0 Rp0 800 Rp202.400
118 Nitrokaf Retard Amp Rp1.650 0 Rp0 200 Rp330.000 0 Rp0 100 Rp165.000 0 Rp0 100 Rp165.000
119 Olanzapin 5 mg Tab Rp3.150 300 Rp945.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 300 Rp945.000
120 Olanzapine 10 MG Tab Rp4.725 300 Rp1.417.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 300 Rp1.417.500
121 Omeprazole 20mg Kaps (30s) Kap Rp274 13.800 Rp3.781.200 0 Rp0 0 Rp0 3.800 Rp1.041.200 0 Rp0 10.000 Rp2.740.000
121 Omeprazole 20mg Kaps (30s) Kap Rp129 2.000 Rp258.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2.000 Rp258.000
122 Ondansentron 4 mg tab Tab Rp539 480 Rp258.720 0 Rp0 0 Rp0 120 Rp64.680 0 Rp0 360 Rp194.040
122 Ondansentron 4 mg tab Tab Rp884 300 Rp265.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 300 Rp265.200
LAIN-LAIN LAIN-LAIN
123 Orginal E 100 Tab Rp989 4.700 Rp4.648.300 0 Rp0 0 Rp0 0 Rp0 0 Rp0 4.700 Rp4.648.300
124 Osteor Kap Tab Rp3.575 0 Rp0 1.500 Rp5.362.500 0 Rp0 0 Rp0 0 Rp0 1.500 Rp5.362.500
125 Paracetamol 500 mg Tab Rp247 4.400 Rp1.086.800 0 Rp0 0 Rp0 2.000 Rp494.000 0 Rp0 2.400 Rp592.800
126 PATRACET Tab Rp4.280 12.750 Rp54.570.000 6.000 Rp25.680.000 0 Rp0 1.800 Rp7.704.000 0 Rp0 16.950 Rp72.546.000
127 Phytomenadion Tab Tab Rp873 700 Rp611.100 0 Rp0 0 Rp0 100 Rp87.300 0 Rp0 600 Rp523.800
128 Piracetam 1200 Tab Rp1.027 660 Rp677.820 0 Rp0 0 Rp0 120 Rp123.240 0 Rp0 540 Rp554.580
129 Pirantel Pamoat Tab Rp405 800 Rp324.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 800 Rp324.000
130 Pirazinamid 500 mg Tab Rp348 3.000 Rp1.044.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3.000 Rp1.044.000
131 Pletaal 100 mg Tab Rp5.800 360 Rp2.088.000 900 Rp5.220.000 0 Rp0 0 Rp0 0 Rp0 1.260 Rp7.308.000
132 Pramifol 0,75mg Tab Rp5.406 0 Rp0 0 Rp0 0 Rp0 0 Rp0 0 Rp0 0 Rp0
132 Pramifol 0,75mg Tab Rp5.405 930 Rp5.026.650 480 Rp2.594.400 0 Rp0 210 Rp1.135.050 0 Rp0 1.200 Rp6.486.000
133 PRAMIFROL-ER 0.375 Tab Rp7.699 2.280 Rp17.553.720 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2.280 Rp17.553.720
134 Prednison Tab 5 mg Tab Rp73 2.600 Rp189.800 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2.600 Rp189.800
135 PREGABALIN 75 mg Tab Rp2.308 70 Rp161.560 2.100 Rp4.846.800 0 Rp0 1.302 Rp3.005.016 0 Rp0 868 Rp2.003.344
136 Propanolol Tablet 10 mg (HCl) Tab Rp63 3.000 Rp189.000 0 Rp0 0 Rp0 200 Rp12.600 0 Rp0 2.800 Rp176.400
137 Propylthiouracil 100 mg Tab Rp546 800 Rp436.800 0 Rp0 0 Rp0 100 Rp54.600 0 Rp0 700 Rp382.200
138 PROVE D3 Tab Rp2.613 2.910 Rp7.603.830 0 Rp0 0 Rp0 1.410 Rp3.684.330 0 Rp0 1.500 Rp3.919.500
139 Ramipril 5mg Tab (100s) Tab Rp158 2.000 Rp316.000 0 Rp0 0 Rp0 200 Rp31.600 0 Rp0 1.800 Rp284.400
140 Ranitidin 150mg Tab Tab Rp99 100 Rp9.900 0 Rp0 0 Rp0 100 Rp9.900 0 Rp0 0 Rp0
141 Recolfar Tab Tab Rp4.400 120 Rp528.000 0 Rp0 0 Rp0 120 Rp528.000 0 Rp0 0 Rp0
142 Rifampisin 600 mg cap Rp1.210 900 Rp1.089.000 0 Rp0 0 Rp0 100 Rp121.000 0 Rp0 800 Rp968.000
143 Risperidon 2 mg Tab Rp286 50 Rp14.300 0 Rp0 0 Rp0 50 Rp14.300 0 Rp0 0 Rp0
144 Ristonat tab Amp Rp19.745 8 Rp157.960 8 Rp157.960 0 Rp0 0 Rp0 0 Rp0 16 Rp315.920
145 Salbutamol 2 mg Tab Rp75 1.400 Rp105.000 0 Rp0 0 Rp0 200 Rp15.000 0 Rp0 1.200 Rp90.000
LAIN-LAIN LAIN-LAIN
146 Salbutamol 4 mg Tab Rp138 200 Rp27.600 0 Rp0 0 Rp0 0 Rp0 0 Rp0 200 Rp27.600
146 Salbutamol 4 mg Tab Rp103 1.000 Rp103.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1.000 Rp103.000
147 Sandepril 50 mg Tab Rp7.040 150 Rp1.056.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 150 Rp1.056.000
147 Sandepril 50 mg Tab Rp7.040 150 Rp1.056.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 150 Rp1.056.000
148 SANTA E CAPL cap Rp1.056 900 Rp950.400 0 Rp0 0 Rp0 400 Rp422.400 0 Rp0 500 Rp528.000
149 SERTRALINE Tab Rp3.933 450 Rp1.769.850 0 Rp0 0 Rp0 0 Rp0 0 Rp0 450 Rp1.769.850
150 Sifrol 0.375 Tab Rp8.300 120 Rp996.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 120 Rp996.000
151 Simarc 2 mg Tab Rp1.051 600 Rp630.600 0 Rp0 0 Rp0 200 Rp210.200 0 Rp0 400 Rp420.400
152 Simvastatin 10mg Tab Rp229 5.800 Rp1.328.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5.800 Rp1.328.200
152 Simvastatin 10mg Tab Rp150 3.000 Rp450.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3.000 Rp450.000
153 Simvastatin 20mg Tab Rp390 2.100 Rp819.000 0 Rp0 0 Rp0 700 Rp273.000 0 Rp0 1.400 Rp546.000
154 Sotatic Tablet Tab Rp223 600 Rp133.800 0 Rp0 0 Rp0 600 Rp133.800 0 Rp0 0 Rp0
155 Spasmal 200 mg Tab Rp2.805 500 Rp1.402.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 500 Rp1.402.500
156 Spironolakton 25mg Tab Tab Rp220 1.100 Rp242.000 0 Rp0 0 Rp0 1.100 Rp242.000 0 Rp0 0 Rp0
157 Tablet Tambah Darah Neo Tab Rp409 1.680 Rp687.120 0 Rp0 0 Rp0 120 Rp49.080 0 Rp0 1.560 Rp638.040
158 Tamofen 10 mg Tab Rp3.630 240 Rp871.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 240 Rp871.200
159 Tanapress 10 mg Tab Rp4.735 600 Rp2.841.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 600 Rp2.841.000
160 Tanapress 5 mg Tab Rp2.530 700 Rp1.771.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 700 Rp1.771.000
161 TEOSAL Tab Rp180 0 Rp0 300 Rp54.000 0 Rp0 300 Rp54.000 0 Rp0 0 Rp0
162 Thyrozol 5 mg Tab Rp679 2.000 Rp1.358.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2.000 Rp1.358.000
163 Thyrozol 10 mg Tab Rp1.325 1.900 Rp2.517.500 0 Rp0 0 Rp0 100 Rp132.500 0 Rp0 1.800 Rp2.385.000
164 Tiaryt 200 mg tab Tab Rp2.368 90 Rp213.120 0 Rp0 0 Rp0 0 Rp0 0 Rp0 90 Rp213.120
165 TREMENZA TAB Tab Rp1.601 500 Rp800.500 0 Rp0 0 Rp0 100 Rp160.100 0 Rp0 400 Rp640.400
LAIN-LAIN LAIN-LAIN
166 Ulsidex 500 mg Tab Rp926 1.600 Rp1.481.600 0 Rp0 0 Rp0 1.500 Rp1.389.000 0 Rp0 100 Rp92.600
167 Urief Tab Tab Rp2.450 500 Rp1.225.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 500 Rp1.225.000
168 Ursodeoxycholic Acid Tab Tab Rp2.268 600 Rp1.360.800 0 Rp0 0 Rp0 0 Rp0 0 Rp0 600 Rp1.360.800
168 Ursodeoxycholic Acid Tab Tab Rp1.847 900 Rp1.662.300 0 Rp0 0 Rp0 0 Rp0 0 Rp0 900 Rp1.662.300
169 Valsartan 80mg Tab Tab Rp550 120 Rp66.000 0 Rp0 0 Rp0 120 Rp66.000 0 Rp0 0 Rp0
170 Valsartan Tab 160mg Tab Rp933 630 Rp587.790 0 Rp0 0 Rp0 90 Rp83.970 0 Rp0 540 Rp503.820
171 Vibramat Kap Tab Rp10.960 450 Rp4.932.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 450 Rp4.932.000
172 Vitamin A 100.000 UI Tab Rp353 400 Rp141.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 400 Rp141.200
172 Vitamin A 100.000 UI Tab Rp636 500 Rp318.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 500 Rp318.000
173 Vitamin B 12 Tab Tab Rp44 3.800 Rp167.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3.800 Rp167.200
174 Vitamin B 6 10 mg (Piridoksin) Tab Rp150 400 Rp60.000 0 Rp0 0 Rp0 200 Rp30.000 0 Rp0 200 Rp30.000
174 Vitamin B 6 10 mg (Piridoksin) Tab Rp72 500 Rp36.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 500 Rp36.000
175 Vitamin B-Comp Tab Rp95 7.800 Rp741.000 0 Rp0 0 Rp0 600 Rp57.000 0 Rp0 7.200 Rp684.000
176 Vitamin B1 Tab Tab Rp89 1.200 Rp106.800 0 Rp0 0 Rp0 0 Rp0 0 Rp0 1.200 Rp106.800
176 Vitamin B1 Tab Tab Rp94 8.000 Rp752.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 8.000 Rp752.000
177 Vitamin C 50mg Tab Tab Rp46 1.000 Rp46.000 0 Rp0 0 Rp0 1.000 Rp46.000 0 Rp0 0 Rp0
Total : 355.718 Rp488.468.186 56.388 Rp160.072.320 200 Rp21.000 89.652 Rp147.571.616 0 Rp0 322.654 Rp 500.989.890
TETAS MATA
1 Cendo Asthenof Str Rp28.000 0 Rp0 1 Rp28.000 0 Rp0 1 Rp28.000 0 Rp0 0 Rp0
2 Cendo Catarlent Str Rp20.900 0 Rp0 19 Rp397.100 0 Rp0 5 Rp104.500 0 Rp0 14 Rp292.600
3 Cendo Lyters Btl Rp23.513 0 Rp0 20 Rp470.260 0 Rp0 10 Rp235.130 0 Rp0 10 Rp235.130
4 Cendo Mydriatil 1% Str Rp29.889 3 Rp89.667 0 Rp0 0 Rp0 0 Rp0 0 Rp0 3 Rp89.667
5 Cendo Noncort Str Rp44.151 0 Rp0 5 Rp220.755 0 Rp0 5 Rp220.755 0 Rp0 0 Rp0
6 Cendo Oculenta SM Tub Rp63.236 2 Rp126.472 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp126.472
7 Cendo Pantocain 2% 5ml Btl Rp13.118 61 Rp800.198 0 Rp0 0 Rp0 0 Rp0 0 Rp0 61 Rp800.198
LAIN-LAIN LAIN-LAIN
8 Cendo Timol 0,5 % Strip Str Rp26.201 12 Rp314.412 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp314.412
9 CENDO TIMOLOL MALEAT Btl Rp30.195 2 Rp60.390 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp60.390
0.25%
10 Cendo Tonor Str Rp24.131 5 Rp120.655 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp120.655
11 Cendo Tropin 1% Str Rp15.840 5 Rp79.200 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp79.200
12 Cendo Vasacon A Str Rp14.603 5 Rp73.015 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp73.015
13 Cendo Vitrolenta Str Rp45.031 0 Rp0 1 Rp45.031 0 Rp0 1 Rp45.031 0 Rp0 0 Rp0
14 Cendo Xitrol Str Rp33.000 0 Rp0 1 Rp33.000 0 Rp0 1 Rp33.000 0 Rp0 0 Rp0
15 CENDO XITROL TM BOTOL Btl Rp28.476 0 Rp0 20 Rp569.520 0 Rp0 10 Rp284.760 0 Rp0 10 Rp284.760
16 Chloramfenicol Salap Mata 1% Tub Rp2.054 10 Rp20.540 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp20.540
17 Genoint 0,3 SM Tub Rp8.580 57 Rp489.060 0 Rp0 0 Rp0 0 Rp0 0 Rp0 57 Rp489.060
18 Isotic Adreator 0.50% TM Btl Rp11.275 26 Rp293.150 0 Rp0 0 Rp0 2 Rp22.550 0 Rp0 24 Rp270.600
18 Isotic Adreator 0.50% TM Btl Rp11.275 14 Rp157.850 0 Rp0 0 Rp0 0 Rp0 0 Rp0 14 Rp157.850
19 LATANOPROST 2.5ml TM Btl Rp71.500 50 Rp3.575.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 50 Rp3.575.000
20 LEVOCIN EYE DROP Btl Rp42.130 9 Rp379.170 0 Rp0 0 Rp0 0 Rp0 0 Rp0 9 Rp379.170
21 Reco TM 10 ml Btl Rp8.538 94 Rp802.572 0 Rp0 0 Rp0 0 Rp0 0 Rp0 94 Rp802.572
22 Sanbe Tears 8 ml Btl Rp15.679 26 Rp407.654 0 Rp0 0 Rp0 0 Rp0 0 Rp0 26 Rp407.654
Total : 381 Rp7.789.005 67 Rp1.763.666 0 Rp0 35 Rp973.726 0 Rp0 413 Rp 8.578.945

TETES TELINGA
1 Reco TT 10 ml Btl Rp10.934 44 Rp481.096 0 Rp0 0 Rp0 0 Rp0 0 Rp0 44 Rp481.096
2 Tarivid Otic (TT) Btl Rp65.450 40 Rp2.618.000 0 Rp0 0 Rp0 7 Rp458.150 0 Rp0 33 Rp2.159.850
Total : 84 Rp3.099.096 0 Rp0 0 Rp0 7 Rp458.150 0 Rp0 77 Rp 2.640.946

Grand Total : 562.470 Rp2.861.815.441 80.562 Rp371.789.926 459 Rp3.119.934 140.564 Rp571.993.116 0 Rp0 502.927 Rp 2.664.732.185

TGL 8 September

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TGL 8 September

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LAPORAN PERSEDIAAN OBAT RUMAH SAKIT UMUM DAERAH LANGSA

September-2021 S.D September-2021

Total : 108 Rp152.566.658 0 Rp0 0 Rp0 0 Rp0 0 Rp0 108 Rp 152.566.658

6 Chromic 0 TP 38 mm Sacc Rp52.250 12 Rp627.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp627.000

7 Chromic 0, TP 40 mm Sacc Rp52.250 10 Rp522.500 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp522.500

8 Chromic 1 Tp 43 mm Pcs Rp77.000 10 Rp770.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp770.000

10 Ethilon 1 RB 48 MM Sacc Rp74.844 5 Rp374.220 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp374.220

38 Polypropylene 1 RC 48 mm Sacc Rp65.666 48 Rp3.151.968 0 Rp0 0 Rp0 36 Rp2.363.976 0 Rp0 12 Rp787.992

49 Silk 0 Tp 37 mm Sacc Rp45.192 48 Rp2.169.216 0 Rp0 0 Rp0 12 Rp542.304 0 Rp0 36 Rp1.626.912

49 Silk 0 Tp 37 mm Sacc Rp79.979 12 Rp959.748 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp959.748

49 Silk 0 Tp 37 mm Sacc Rp79.979 12 Rp959.748 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp959.748

52 Silk 2 Rc 40 mm Sacc Rp79.979 12 Rp959.748 0 Rp0 0 Rp0 0 Rp0 0 Rp0 12 Rp959.748

52 Silk 2 Rc 40 mm Sacc Rp79.979 36 Rp2.879.244 0 Rp0 0 Rp0 0 Rp0 0 Rp0 36 Rp2.879.244

Total : 10 Rp53.425 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp 53.425

9 Appavisc 3 ml Pcs Rp121.000 2 Rp242.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 2 Rp242.000

30 CITRIC ACID 1 KG Kg Rp93.000 10 Rp930.000 0 Rp0 0 Rp0 5 Rp465.000 0 Rp0 5 Rp465.000

30 CITRIC ACID 1 KG Kg Rp57.200 20 Rp1.144.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 20 Rp1.144.000

254 Talcum 1 kg Kg Rp5.342 10 Rp53.420 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp53.420

Total : 96 Rp1.680.192 0 Rp0 0 Rp0 35 Rp612.570 0 Rp0 61 Rp 1.067.622

4 Asering Btl Rp9.646 50 Rp482.300 0 Rp0 0 Rp0 40 Rp385.840 0 Rp0 10 Rp96.460

30 TUTOFUSIN Btl Rp39.500 10 Rp395.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 10 Rp395.000

3 Amiodarone Amp Rp8.700 12 Rp104.400 0 Rp0 0 Rp0 12 Rp104.400 0 Rp0 0 Rp0

25 Ezelin Pcs Rp89.000 5 Rp445.000 0 Rp0 0 Rp0 0 Rp0 0 Rp0 5 Rp445.000

27 FLAMICORT-10MG/ML Vial Rp123.750 60 Rp7.425.000 0 Rp0 0 Rp0 20 Rp2.475.000 0 Rp0 40 Rp4.950.000

29 Furamin Amp Rp12.950 8 Rp103.600 0 Rp0 0 Rp0 0 Rp0 0 Rp0 8 Rp103.600

54 Novomix FLEXPEN Rp112.000 0 Rp0 25 Rp2.800.000 0 Rp0 25 Rp2.800.000 0 Rp0 0 Rp0

55 Novorapid FLEXPEN Rp89.500 35 Rp3.132.500 0 Rp0 0 Rp0 35 Rp3.132.500 0 Rp0 0 Rp0

61 Phytominadion K3 Amp Rp4.055 90 Rp364.950 0 Rp0 0 Rp0 0 Rp0 0 Rp0 90 Rp364.950

72 RYZODEG FLEXPEN Rp112.000 5 Rp560.000 40 Rp4.480.000 0 Rp0 5 Rp560.000 0 Rp0 40 Rp4.480.000

4 DETERGENT CD 80 2L Btl Rp4.200.000 0 Rp0 2 Rp8.400.000 0 Rp0 2 Rp8.400.000 0 Rp0 0 Rp0

Total : 0 Rp0 22 Rp21.174.298 0 Rp0 22 Rp21.174.298 0 Rp0 0 Rp 0

1 Bedak Salicyl 2% 60 gr gr Rp6.426 0 Rp0 50 Rp321.300 0 Rp0 0 Rp0 0 Rp0 50 Rp321.300

7 Fucilex Tub Rp7.150 26 Rp185.900 0 Rp0 0 Rp0 0 Rp0 0 Rp0 26 Rp185.900

Total : 94 Rp40.765.018 0 Rp0 0 Rp0 0 Rp0 0 Rp0 94 Rp 40.765.018

Total : 60 Rp16.939.980 60 Rp16.939.980 0 Rp0 36 Rp10.163.988 0 Rp0 84 Rp 23.715.972

Total : 155 Rp856.510 0 Rp0 0 Rp0 0 Rp0 0 Rp0 155 Rp 856.510

49 Diamicron Mr 60 Tab Rp3.014 30 Rp90.420 0 Rp0 0 Rp0 0 Rp0 0 Rp0 30 Rp90.420

21 Reco TM 10 ml Btl Rp8.538 94 Rp802.572 0 Rp0 0 Rp0 0 Rp0 0 Rp0 94 Rp802.572

Total : 381 Rp7.789.005 67 Rp1.763.666 0 Rp0 35 Rp973.726 0 Rp0 413 Rp 8.578.945

Total : 84 Rp3.099.096 0 Rp0 0 Rp0 7 Rp458.150 0 Rp0 77 Rp 2.640.946

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