DAFTAR HARGA MEDIKASI

HARGA HARGA
NO NAMA OBAT NO NAMA OBAT
UMUM PKD UMUM PKD
1 Acyclovir Salf 8000 49 Ketorolac 40000
2 Alopurinol 3000 50 L Bio 15000
3 Amoxcicilin 12000 51 Lansoprazole/tab 22000
4 Amoxcicilin Syr. 10000 52 Lasik Inj. 22000
5 Anastan 7000 53 Lodia/tab 5000
6 Antasida 8000 54 Loperamid/Inamid 8000
7 Antasida Syr. 8000 55 Metformin 4000
8 Antrain Inj. 22000 56 Metformin 850mg 6000
9 Asam Mefenamat 8000 57 Methil Pred 6000
10 ATS 165000 58 Metroclopamide 5000
11 Berlosid Syr. 10000 59 Metronidazole 7000
12 Betahistin 12000 60 Molagit 5000
13 Captopril 3000 61 NaCl 15000
14 Cefadroxil 10000 62 Nebulizer 30000
15 Cefotaxime Inj. 20000 63 Neurobion 5000 15000
16 Ceftriaxone 25000 64 Neurosanbe 12000
17 Chloramphenicol 10000 65 Nipedipine 4000
18 Ciprofloxacin 5000 66 Norages 13000
19 Clopidogrel 50000 67 Novachlor Syr. 10000
20 Codeine 1000/tab 68 O2 Nasal 15000
21 Curcuma 10000 69 O2 Tabung 15000
22 Curcuma Syr. 20000 70 OBH Syr. 15000
23 Demacilin 5000 71 Omeprazole 10000
24 Dexamethasone 5000 72 Paracetamol 7000
25 Dexamethasone Inj. 5000 73 Paracetamol Syr 8000
26 Diazepam/tab 5000 74 Primadex Forte 15000
27 Digoxin 5000 75 Ranitidin 7000
28 Dionicol 12000 76 Ranitidin Inj. 8000
29 Dulcolac 10 mg Sup. 40000 77 Renadinac 8000
30 Dulcolac 5 mg Sup. 20000 78 RL 15000
31 Dulcolac tab. 16000 79 Rnitidin 6000
32 Fasidol 10000 80 Salbutamol 5000
33 Foley Cateter 20000 81 Simvastatin 15000
34 Furosemide Inj. 15000 82 Spalk 10000
35 Furosemide tab. 10000 83 Spuit 1cc 5000
36 Gastrucid 6000 84 Spuit 3cc 5000
37 Glibenclamid 3000 85 Spuit 5cc 5000
38 Grafaclor 4000 86 Stesilid 10mg Sup. 70000
39 Guanistrep 8000 87 Stesilid Sup. 5mg 50000
40 Handscoon 5000 88 Sufratul 20000
41 Hepatin 8000 89 Tramadol 6000
42 Histigo 12000 90 Transamin Inj. 15000
43 Ibuprofen 5000 91 Triosid Syr. 8000
44 Inamid 5000 92 Urine Bag 8000
45 ISDN 5000 93 Ventolin 25000
46 Itramol 8000 94 Vit K 2000
 DAFTAR HARGA MEDIKASI

47 Kapopril 5000 95 Voltadex 5000

HARGA HARGA
NO NAMA ALKES NO JENIS TINDAKAN
UMUM PKD UMUM PKD
1 Af Hecting 35000 1 Abocath 35000
2 Af Infus 35000 2 Foley Cateter 20000
3 Ambulan + Rujuk 150000 3 Infus Set 15000
4 BHP Cuci 35000 4 O2 Nasal 15000
5 Chol 30000 5 O2 Tabung 15000
6 DL 50000 6 Retribusi UGD 20000
7 EKG/ECG 35000 7 Spalk 10000
8 Ekstraksi Kuku 35000 8 Spuit 1cc, 3cc, 5cc 5000
9 GDA 15000 9 Urine Bag 8000
10 Hecting 1-5 50000 10
11 Injeksi Set 15000 11
12 Insisi + Set 25000 12
13 Kateter Jasa 35000 13
14 Konsul Dokter Advis Ranap 50000 14
15 Nebulizer Set 60000 15
16 Rawat Luka 15000 16
17 TM Infus 35000 17
18 UA 20000 18
19 Visite Pagi 10000 19
20 Visum 50000 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
32 32
33 33
34 34
35 35
36 36
37 37
38 38
39 39
40 40
41 41
42 42
43 43
44 44
45 45
46 46
 DAFTAR HARGA ALKES DAN TINDAKAN

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