Januari

Penambahan
Kode Nama Obat Satuan BN Harga
Jumlah
A0003 Acetosal 80 mg Tablet a21018 90 0
A0003 Acetosal 80 mg Tablet A30602 216 300
A0003 Acetosal 80 mg Tablet A 21046 89 0
A0004 Acetylsistein 200 mg Tablet 22a51129 400 0
A0006 Acyclovir 400 mg Tablet htacve23049 740 0
A0007 Acyclovir Cream 5 % Tube 1528 3,571 0
A0007 Acyclovir Cream 5 % Tube 1028 3,751 0
A0008 ADS 0,5 ml Pcs C23DCL005 1,220 200
A0008 ADS 0,5 ml Pcs C23DCL005 1,220 0
A0008 ADS 0,5 ml Pcs C23DCL005 1,220 0
A0008 ADS 0,5 ml Pcs s23gab0010 940 0
A0010 ADS 5 ml Pcs c23ggc003 950 0
A0010 ADS 5 ml Pcs S22HG002 1,575 500
A0010 ADS 5 ml Pcs S22HG002 1,575 0
A0010 ADS 5 ml Pcs s22hgc001 950 0
A0011 Alat Suntik Sekali Pakai 1 ml Pcs 27052188 966 0
A0012 Alat Suntik Sekali Pakai 2,5 / 3 ml Pcs 23C2605J 888 0
A0012 Alat Suntik Sekali Pakai 2,5 / 3 ml Pcs 23c2605j 888 0
A0013 Alat Suntik Sekali Pakai 5 ml Pcs 2020209 968 0
A0013 Alat Suntik Sekali Pakai 5 ml Pcs 23F1709J 976 0
A0016 Alkohol Swab Box/100 01092188 8,000 48
A0016 Alkohol Swab Box/100 01092188 8,000 0
A0016 Alkohol Swab Box/100 18082188 8,000 0
A0058 Alkohol Swab/Imunisasi COVID Pcs gm2108147 79 0
A0058 Alkohol Swab/Imunisasi COVID Pcs 29112021 79 0
A0058 Alkohol Swab/Imunisasi COVID Pcs 2136288 79 0
A0058 Alkohol Swab/Imunisasi COVID Pcs 210512ASQ02 79 1,000
A0017 Allopurinol 100 mg Tablet e23013 185 0
A0018 Alprazolam 0,5 mg Tablet 22k1039 670 0
A0019 Ambroxol 30 mg Tablet 24702304 97 500
A0019 Ambroxol 30 mg Tablet 24702304 97 0
A0019 Ambroxol 30 mg Tablet 24702304 97 0
A0019 Ambroxol 30 mg Tablet 24702304 97 0
A0023 Amitriptillin Hcl 25 mg Tablet 21at1001 177 0
A0024 Amlodipin tablet 10 mg Tablet AF 3871 70 0
A0024 Amlodipin tablet 10 mg Tablet af3861 70 0
A0025 Amlodipin tablet 5 mg Tablet 25312305 72 0
A0025 Amlodipin tablet 5 mg Tablet 25312305 72 0
A0027 Amoxycillin 500 mg Tablet B20173 525 0
A0027 Amoxycillin 500 mg Tablet tamxb23059 201 0
A0028 Amoxycillin Injeksi 1 gr Vial 211e001 23,351 0
A0028 Amoxycillin Injeksi 1 gr Vial 21LE001 23,251 0
A0029 Amoxycillin Syrup Kering 125 mg / 5 ml Botol b210061 2,600 0
A0029 Amoxycillin Syrup Kering 125 mg / 5 ml Botol B20061 2,600 0
A0030 Ampicillin Injeksi 1 gr Vial 56436024 8,591 0
A0033 Antacida Doen Suspensi Botol BG0051 3,500 200
A0033 Antacida Doen Suspensi Botol BG0051 3,500 0
A0033 Antacida Doen Suspensi Botol bg0041 3,500 0
A0034 Antacida Doen Tablet Kombinasi Tablet 26911305 98 2,000
A0034 Antacida Doen Tablet Kombinasi Tablet 26911305 98 0
A0034 Antacida Doen Tablet Kombinasi Tablet 26912305 98 0
A0035 Antalgin ( Metampyron ) 500 mg Tablet 1207204 203 0
A0057 Antalgin Injeksi Ampul f2e701 2,814 0
A0038 Anti Hemmoroid Doen Supp Supp B3065910 3,250 0
A0038 Anti Hemmoroid Doen Supp Supp B3065910 3,250 10
A0059 Antiseptik (Betadin) Obat Kumur Botol BB23060 31,320 0
A0039 APD Pcs t0222043 16,700 0
A0039 APD Pcs - 175,000 0
A0041 Apron pendek Pcs - 50,900 0
A0042 Aqua Pro Injeksi 25 ml Vial B76B53B 2,812 0
A0042 Aqua Pro Injeksi 25 ml Vial b76b53b 2,812 0
A0044 Asam Ascorbat ( Vit C ) 50 mg Tablet 21305305 47 1,000
A0044 Asam Ascorbat ( Vit C ) 50 mg Tablet 21305305 47 0
A0044 Asam Ascorbat ( Vit C ) 50 mg Tablet 21305301 94 0
A0048 Asam Mefenamat 500 mg Tablet TMECB20237 120 0
A0048 Asam Mefenamat 500 mg Tablet tmecb20237 120 0
A0056 Asam Tranexamat 500 mg Tablet TSG43952 1,646 400
A0056 Asam Tranexamat 500 mg Tablet tsg43952 1,646 0
A0049 Asam Tranexamat Injeksi Ampul itaca30236-1 2,425 0
A0052 Auto Disable Syringe ( ADS ) 0,05 ml Pcs S28GAB001 1,665 0
B0001 BCG Vaksin Vial 0372MA017 103,785 20
B0001 BCG Vaksin Vial 0372MA017 103,785 0
B0001 BCG Vaksin Vial 0371MA048 98,000 0
B0004 Besi II Sulfat + Asam folat Tablet 22td1032 226 0
B0004 Besi II Sulfat + Asam folat Tablet 46818131 207 0
B0005 Besi II Sulfat + Mineral Tablet TMX39 770 0
B0006 Betahistin Mesilat 6 mg DEXA MEDICA Tablet 54E0095 190 0
B0006 Betahistin Mesilat 6 mg DEXA MEDICA Tablet 53C0269 190 0
B0007 Betametason + Neomycin Cream Tube 20627 14,600 0
B0008 Betametason Cream 0,1 % Tube D31562W 2,000 0
B0008 Betametason Cream 0,1 % Tube 54D0308 2,000 0
B0008 Betametason Cream 0,1 % Tube 54D0308 2,000 0
B0009 Bisakodil 5 mg Tablet 2208004 218 0
B0014 BOPV Polio Vaksin Vial 2050123 24,210 25
B0014 BOPV Polio Vaksin Vial 2057022 24,210 0
B0014 BOPV Polio Vaksin Vial 2052922 21,689 0
B0014 BOPV Polio Vaksin Vial 2054622 21,689 0
B0015 Borax Glycerin ( Gom ) 25 % Botol H2820 3,241 0
B0016 Bromhexin 8 mg Tablet T3522005 94 0
B0017 Bromhexin Syrup 8 mg / ml Botol 20226 6,650 0
B0017 Bromhexin Syrup 8 mg / ml Botol 20226 6,650 0
C0003 Captopril 12,5 mg Tablet 56323016 65 0
C0004 Captopril 25 mg Tablet 56324058 75 0
C0004 Captopril 25 mg Tablet 56324058 76 0
C0006 Cat Gut / Benang Bedah No. 2/0 Chromic Set 2304031L 67,932 0
C0006 Cat Gut / Benang Bedah No. 2/0 Chromic Set 2304031l 67,932 0
C0007 Cat Gut / Benang Bedah No. 3/0 Chromic Set 230104MB 58,275 0
C0008 Cefadroxil 125 mg / 5 ml Syrup Kering Botol cae030 6,000 0
C0009 Cefadroxil 500 mg Tablet bkpg09051 854 0
C0011 Cefixime Syrup Kering 100 mg / 5 ml Botol c53c0423 4,776 0
C0012 Cefotaxime Injeksi 1 gr Vial icfta20461 2,850 0
C0014 Cetirizine 10 mg Tablet 267213016 74 0
C0014 Cetirizine 10 mg Tablet 26721305 71 0
C0015 Cetirizine Syrup 5 mg/ 5ml Botol ag1640 2,000 0
C0016 Chloramphenicol 250 mg Tablet 2307-02-251 587 0
C0016 Chloramphenicol 250 mg Tablet 2307-02-251 587 0
C0016 Chloramphenicol 250 mg Tablet 2307-02-251 587 0
C0017 Chloramphenicol Injeksi 1 gr Vial DJ3810 22,200 0
C0018 Chloramphenicol Salep Kulit 2 % Tube 2209066 8,436 0
C0019 Chloramphenicol Salep Mata 1 % Tube C30856W 3,296 0
C0019 Chloramphenicol Salep Mata 1 % Tube C30856W 3,296 0
C0019 Chloramphenicol Salep Mata 1 % Tube c31005w 7,475 0
C0020 Chloramphenicol Syrup 125 mg / 5 ml Botol 200700 5,830 0
C0021 Chloramphenicol Tetes Mata 0,5 % Botol 90722022 7,326 0
C0022 Chloramphenicol Tetes Telinga 3 % Botol 1007220001 7,437 0
C0023 Chlorfeniramin Maleat ( CTM ) 4 mg Tablet 2306-38-152 49 0
C0023 Chlorfeniramin Maleat ( CTM ) 4 mg Tablet 2306-29-152 49 0
C0023 Chlorfeniramin Maleat ( CTM ) 4 mg Tablet 2306-38-152 49 1,000
C0025 Chlorpromazine HCl 100 mg ( CPZ ) Tablet a21071 520 0
C0026 Cholesterol Test Strip Box/10 C23103060 250,000 0
C0028 Ciprofloxacin 500 mg Tablet HTCFXC31711 350 500
C0028 Ciprofloxacin 500 mg Tablet HTCFXC31711 350 0
C0028 Ciprofloxacin 500 mg Tablet htcfx31711 350 0
C0030 Clindamycin 300 mg Kapsul A22381 950 0
C0030 Clindamycin 300 mg Kapsul a22381 950 0
C0033 Clozapine 25 mg Tablet 54C0040 473 200
C0033 Clozapine 25 mg Tablet 53a0819 477 0
C0034 Cotrimoxazole 240 mg / 5 ml Suspensi Botol a01740 2,119 0
C0035 Cotrimoxazole 480 mg Tablet A21183 240 500
D0023 Dermafix Pcs 01041988 1,629 0
D0006 Dexamethasone 0,5 mg Tablet 1303299 67 4,000
D0006 Dexamethasone 0,5 mg Tablet 1303299 67 0
D0006 Dexamethasone 0,5 mg Tablet 1303299 67 0
D0006 Dexamethasone 0,5 mg Tablet 2303 67 0
D0007 Dexamethasone Injeksi 5 mg / ml - 1 ml Ampul fim634 924 0
D0009 Diazepam 5 mg Tablet a92743 109 0
D0010 Diazepam Injeksi 5 mg / ml - 2 mL Ampul F3J259 1,545 0
D0010 Diazepam Injeksi 5 mg / ml - 2 mL Ampul F3J259 1,545 2
D0011 Diazepam Larutan Rectal 5 mg/ml 2,5 ml Supp egf253mk 10,545 0
D0013 Difenhidramin HCl Inj 10 mg / ml - 1 ml Ampul 56342016-3 1,110 0
D0014 Digoxin 0,25 mg Tablet a08605 144 0
D0016 Dimenhidrinat 50 mg Tablet e20177n 71 0
D0016 Dimenhidrinat 50 mg Tablet G31070N 150 0
D0017 Domperidon 10 mg Tablet 2307-02-149 153 1,000
D0017 Domperidon 10 mg Tablet ae2571 71 0
D0017 Domperidon 10 mg Tablet 2307-02-149 153 0
D0018 Domperidon Syrup 5mg / 5ml Botol kldppa33246 2,317 0
D0018 Domperidon Syrup 5mg / 5ml Botol KLDPOA33246 7,000 0
D0020 DPT HB Hib Vial 5044621 86,000 0
D0020 DPT HB Hib Vial 85,999 0
D0021 DT Vaksin Vial 400522 36,700 16
D0021 DT Vaksin Vial 0400522 36,700 0
E0007 Etanol (Alkohol 70 %) Botol k48717 22,000 0
E0010 Ethyl Chlorida Spray Botol 236091A 182,500 0
E0010 Ethyl Chlorida Spray Botol 22g0913b 192,425 0
F0004 Fenobharbithal Injeksi 50 mg / ml - 2 ml Ampul 46803002-1 1,700 0
F0006 Fenol Glycerol Tetes Telinga 10 % Botol 2lf011 3,330 0
F0007 Fitomenadion ( Vit K ) 10 mg Tablet 36381003 755 0
F0008 Fitomenadion ( Vit K1 ) Injeksi 2 mg / ml Ampul 56478005 1,380 0
F0009 Fixomul roll 5 x 5 ( Plesterin Roll ) Roll 15052388 23,760 0
F0009 Fixomul roll 5 x 5 ( Plesterin Roll ) Roll 15052388 23,760 0
F0010 Fixomull Stretch 15 cm x 5 m ( Plesterin ) Roll 11042388 66,000 0
F0010 Fixomull Stretch 15 cm x 5 m ( Plesterin ) Roll 1042388 66,000 0
F0011 Flu Anak Syrup ( Libebi Syrup ) Botol 2207067 6,549 0
F0011 Flu Anak Syrup ( Libebi Syrup ) Botol 2207066 6,549 0
F0012 Flu Batuk Dewasa Tablet Tablet a06fj017 765 0
F0012 Flu Batuk Dewasa Tablet Tablet TEZ22 725 0
F0013 Flu Dewasa Tablet Tablet M28FM082 466 1,950
F0013 Flu Dewasa Tablet Tablet m28fm065 460 0
F0013 Flu Dewasa Tablet Tablet q420301 460 0
F0015 Fluoxetin 10 mg Tablet kkkxtb22140 479 0
F0016 Folley Catheter No : 16 Pcs 20100715 76,835 0
F0017 Folley Catheter No : 18 Pcs 20191017 76,835 0
F0019 Framycetin Pcs 2BL2575 10,239 0
F0019 Framycetin Pcs 102bk247t 10,239 0
F0020 Furosemide 40 mg Tablet 20089b 99 0
G0001 Garam Oralit 200 ml Tablet 46373030ld 280 0
G0004 Gentamycin Injeksi 40 mg / 2 ml Ampul 22gt3006 3,355 0
G0005 Gentamycin Salep Kulit 0,1 % Tube 32205 4,050 0
G0005 Gentamycin Salep Kulit 0,1 % Tube go7ef003 3,324 0
G0006 Gentamycin Salep Mata 0,3 % Tube 1657036 9,990 0
G0008 Gentian Violet Botol h16202 2,740 0
G0011 Glimepiride 2 mg Tablet htgmpk13094 123 0
G0011 Glimepiride 2 mg Tablet HTGMPK2116 123 0
G0012 Gluconas Calsicus Injeksi 10 % - 20 ml Ampul 5313002 15,000 0
G0013 Glucosa D40 % Botol b9353b 7,842 0
G0016 Glucose Test Strip Box/50 SCF2-01623 160,000 0
G0017 Glyceril Guaiacolat 100 mg Tablet 28001306 82 0
G0017 Glyceril Guaiacolat 100 mg Tablet 28001306 82 0
H0001 Halloperidol 1,5 mg Tablet 1104042 52 0
H0002 Halloperidol 5 mg Tablet a00868 54 0
H0005 Handsanitiser Spray 100 cc Botol 18082188 19,259 0
H0009 Handscoon Latex M Box 211 090188nc 93,000 0
H0011 Handscoon Latex Steril Ukuran 7,5 Box/50 20200016 6,660 0
H0013 Handscoon Nitril M Box 211090188ncz 62,700 0
H0014 Handscoon Nitril S Box 211090188ncz 62,700 0
H0017 HB Uniject ( Hepatitis B ) Pcs 3650723 28,695 0
H0017 HB Uniject ( Hepatitis B ) Pcs 365223 28,695 40
H0017 HB Uniject ( Hepatitis B ) Pcs 3650823 28,695 0
H0017 HB Uniject ( Hepatitis B ) Pcs 3656621 28,695 0
H0017 HB Uniject ( Hepatitis B ) Pcs 3658721 28,695 0
H0019 Hidroclorotiazide ( HCT ) 25 mg Tablet h005718 148 0
H0021 Hidrocortison Cream 2,5 % Tube G21565W 2,346 24
H0021 Hidrocortison Cream 2,5 % Tube G21565W 2,346 0
H0021 Hidrocortison Cream 2,5 % Tube b21565v 2,346 0
H0022 Hiosina N - Butilbromid 10 mg + Paraset Tablet 20126 1,040 0
H0025 Hyosina N Butilbromide 10 mg Tablet t06043 1,060 0
I0004 Ictiyol Salep Tube H27204 6,000 0
I0005 Infus Set Anak Set 11220603 8,700 0
I0005 Infus Set Anak Set 11220603 8,700 0
I0006 Infus Set Dewasa Set 31501MOI1 2,900 0
I0006 Infus Set Dewasa Set 230314 5,800 0
I0007 Insectisida ( Malathion ) ZETA 15 ULV Botol/5L 0000143470 1,190,000 4
I0007 Insectisida ( Malathion ) ZETA 15 ULV Botol/5L 000082215 1,000,000 0
I0009 IPV Vaksin Vial 2100522 158,500 0
I0009 IPV Vaksin Vial 2100422 172,000 0
I0009 IPV Vaksin Vial 2102022 172,000 0
I0009 IPV Vaksin Vial 2100422 172,000 50
I0014 IV Catheter No : 20 G Pcs 4210513 5,995 0
I0015 IV Catheter No : 22 G Pcs 20408C033 5,995 0
I0015 IV Catheter No : 22 G Pcs 30408C040 5,995 0
I0016 IV Catheter No : 24 G Pcs 20408D044 5,995 0
K0003 Kalium Diklovenak 50 mg Tablet 2522255 350 0
K0004 Kalsium Laktat ( Kalk ) 500 mg Tablet A30140 88 0
K0004 Kalsium Laktat ( Kalk ) 500 mg Tablet A30140 88 0
K0006 Kapas Pembalut / Adsorbens 250 gr Roll 1091688 15,000 0
K0007 Karbamazepine 200 mg Tablet A20272 190 0
K0008 Kassa Hidrofil Steril 16 x 16 Roll 4102188 7,500 0
K0009 Kassa Pembalut 36 yard x 80 cm Roll 40021 147,327 0
K0012 Ketokenazol Krim 2% Tube 4320364 2,370 0
K0013 Ketokenazol Tablet 200 mg Tablet HTKCEB16172 252 0
K0013 Ketokenazol Tablet 200 mg Tablet 2306-14-103 412 0
K0014 Ketorolac Injeksi 30 mg / ml Ampul 4621001a 7,600 0
K0015 Kondom Pcs PD221 448 144
L0001 Lactulosa Syrup Botol 620212 12,420 0
L0008 Levertran ( Minyak Ikan ) Tube D411Z3A 4,529 0
L0011 Lidocaine Comp Injeksi Ampul 5605203-2 3,320 0
L0012 Lidocaine Injeksi 2 % (HCl) Ampul 56362014-1 855 0
L0014 Lisinopril 5 mg Tablet 53A087 146 0
L0014 Lisinopril 5 mg Tablet 53A0387 146 0
L0015 Loperamide Hcl 2 mg Tablet 2206-04-328 78 0
M0001 M - R Vaksin Vial 0121W213 169,386 0
M0001 M - R Vaksin Vial 0121W197 169,386 0
M0001 M - R Vaksin Vial 0121W170 169,386 0
M0001 M - R Vaksin Vial 0121W170 169,386 50
M0003 Magnesium Sulfat Injeksi 40 % - 25 ml Ampul B83D53A 5,378 0
M0004 Mask Nebulizer Anak Pcs 3041B004 19,000 0
M0005 Mask Nebulizer Dewasa Pcs 71230612 19,500 0
M0005 Mask Nebulizer Dewasa Pcs 71220525 18,000 0
M0006 Mask Oxygen Dewasa Pcs 3190201 9,350 0
M0007 Mask Oxygen Anak Pcs 390201 9,350 0
M0008 Masker Earloop Box - 27,000 0
M0009 Masker Headloop Box 191LH75 15,700 8
M0010 Masker N95 Pcs 04210914 16,000 0
M0011 MDT MB Combi Adult Blister MP6661 53,834 6
M0015 Meloxicam 15 mg Tablet 1204228 315 0
M0015 Meloxicam 15 mg Tablet TPC24852 1,206 0
M0015 Meloxicam 15 mg Tablet TPC25252 460 0
M0017 Metformin Hcl 500 mg Tablet HTMFN132394 154 0
M0017 Metformin Hcl 500 mg Tablet HTMFNB2394 77 0
M0018 Methyl Prednisolon 4 mg Tablet 26102306 170 300
M0018 Methyl Prednisolon 4 mg Tablet 26102306 170 0
M0018 Methyl Prednisolon 4 mg Tablet 26102306 170 0
M0022 Methylergometrin Malaet 0,125 mg Tablet D20789J 216 0
M0027 Metronidazole 500 mg Tablet 1304200 217 0
M0027 Metronidazole 500 mg Tablet C9043B 133 0
M0028 Metronidazole Infus 0,5 % Botol LXIE081 5,885 0
M0031 Miconazole Cream 2 % Tube F21436W 1,917 0
M0036 Multivitamin Dewasa Tablet 21H0022B 6,640 0
M0037 Multivitamin syrup Botol H39205 5,576 0
M0037 Multivitamin syrup Botol H39205 5,576 0
M0038 Multivitamin syrup+curcuma (Procurma s Botol 2207063 11,550 0
N0001 Natrium Diclovenak 50 mg Tablet 54EO253 119 0
N0001 Natrium Diclovenak 50 mg Tablet 54A0109 119 0
N0002 Natrium Diclovenak gel Tube 20329 10,800 0
N0003 Natrium Klorida Lart Infus 0,9 % (NACl) Btl500ml A92B53A 6,800 0
N0004 Neomycin + Plasenta Cream Tube 20626 14,600 0
N0005 Neurotropic Caplet Tablet 2306050 399 1,000
N0005 Neurotropic Caplet Tablet 2306050 399 0
N0005 Neurotropic Caplet Tablet 2306050 399 0
N0006 Neurotropic Injeksi 5000 Ampul F3H233 7,975 30
N0006 Neurotropic Injeksi 5000 Ampul F3H232 7,975 0
N0006 Neurotropic Injeksi 5000 Ampul D10627 5,500 0
N0007 Nifedipine 10 mg Tablet 52F4180 176 0
N0008 Nistatin suspensi 100.000 IU /ml Botol A5002 11,605 0
N0008 Nistatin suspensi 100.000 IU /ml Botol A5032 11,605 0
N0010 Nistatin vagina tablet Supp 36372003 1,645 0
N0009 NORIT Botol LE00271 16,366 0
N0009 NORIT Botol LEO0271 16,366 0
O0006 Obat ARV Dewasa FDC Triple Box/30 CK0511 97,800 0
O0006 Obat ARV Dewasa FDC Triple Box/30 CK0511 97,800 0
O0006 Obat ARV Dewasa FDC Triple Box/30 CK0511 97,800 8
O0020 Obat Diare Anak syrup Botol 2207-09-90 5,500 0
O0021 Obat Diare Dewasa Tablet 26102306 304 0
O0023 Obat TB FDC KAT 1 Paket H31795J 530,025 0
O0023 Obat TB FDC KAT 1 Paket H31795J 530,025 5
O0026 Omeprazole 20 mg Kapsul 2309-03-280 231 0
O0026 Omeprazole 20 mg Kapsul 2309-03-280 231 0
O0027 Ondansetron 4 mg Tablet 2306-01-846 244 0
O0027 Ondansetron 4 mg Tablet 2306-01-346 244 0
O0028 Ondansetron Injeksi 4 mg / 2 ml Ampul PIG88452 1,250 0
O0028 Ondansetron Injeksi 4 mg / 2 ml Ampul PIG88452 1,250 0
O0033 Oxytetracyclin HCl Salep Mata 1 % Tube e20975w 5,094 0
P0002 Paracetamol 500 mg Tablet 120831 167 0
P0002 Paracetamol 500 mg Tablet 1208024 167 0
P0002 Paracetamol 500 mg Tablet A30095 153 7,000
P0003 Paracetamol Drops Botol 30224 6,125 0
P0004 Paracetamol Syrup 120 mg / 5 mg Botol A20749 1,171 0
P0004 Paracetamol Syrup 120 mg / 5 mg Botol A20749 1,171 0
P0005 PCV ( 4 Dosis ) Vial HC8603 190,657 80
P0005 PCV ( 4 Dosis ) Vial HC8603 190,657 20
P0005 PCV ( 4 Dosis ) Vial HC8603 190,657 0
P0009 Permetrin Cream 5 % Tube F22031 11,250 0
P0010 Piracetam 400 mg Tablet KDK45252 350 0
P0012 Piracetam Injeksi 1 gr / 5 ml Ampul PICI2105 12,000 0
P0013 Piroxicam 10 mg Tablet 2207-C2-143 111 0
P0018 Povidon Iodida 10 % 30 ml Botol D3621O 3,080 0
P0018 Povidon Iodida 10 % 30 ml Botol D 36210 3,080 0
P0019 Prednison 5 mg Tablet 26303305 99 0
P0024 Pyridoxine Hcl ( Vit B6 ) 10 mg Tablet 23601304 73 0
P0024 Pyridoxine Hcl ( Vit B6 ) 10 mg Tablet 22TJ033 70 0
R0001 Ranitidine 150 mg Tablet 1306743 189 0
R0002 Ranitidine Injeksi 50 mg / 2 ml Ampul PID38157 1,331 0
R0003 Rapid HIV Siphilis Combo Box/25 H5CO2423 425,000 4
R0003 Rapid HIV Siphilis Combo Box/25 H5CO2423 425,000 0
R0003 Rapid HIV Siphilis Combo Box/25 H5CO2423 425,000 0
R0004 Rapid I RDT HIV Box/25 H22017 209,775 8
R0005 Rapid Test 2 HIV Box/25 5353B41AC 262,500 2
R0006 Rapid Test 3 HIV Pcs HIV 022206 11,440 50
R0009 Rapid Test HBsAg Box/25 J23021 79,750 4
R0009 Rapid Test HBsAg Box/25 HB01222 147,000 4
R0009 Rapid Test HBsAg Box/25 H22023 178,000 0
R0009 Rapid Test HBsAg Box/25 H22023 178,000 0
R0023 Rifampicin 75 mg/Isoniazida 50 mg Tablet NRT2244A 1,087 168
R0024 Ringer Lactat Larutan Infus ( RL ) Botol 330205 8,400 1,000
R0024 Ringer Lactat Larutan Infus ( RL ) Botol 430105 8,400 0
R0025 Risperidone 2 mg Tablet AGA9EANPI 200 0
S0002 Safety Box 5 L Pcs 1037J20 11,289 0
S0002 Safety Box 5 L Pcs 0 11,289 0
S0004 Salbutamol 2 mg Tablet 27404305 65 0
S0004 Salbutamol 2 mg Tablet 27404304 65 0
S0005 Salbutamol Nebulizer ( Salbutamol Sol ) Ampul 4320503 4,844 0
S0005 Salbutamol Nebulizer ( Salbutamol Sol ) Ampul 4130152 4,800 0
S0006 Salep 2 - 4 Pot 4306050 4,000 0
S0007 Salysil Bedak 2 % Botol 51305105 5,694 0
S0009 Selang Oxygen Anak ( Oxygen Nasal Canula Pcs 4200701 6,454 0
S0010 Selang Oxygen Dewasa (Oxygen Nasal Canu Pcs 20403A021 6,454 0
S0014 Sianocobalamin ( Vit B12 ) Tablet 50 mcg Tablet 1304102 70 0
S0015 Silk ( Benang Bedah ) No. 2/0 DS 24 mm Set 230401AL 40,737 0
S0015 Silk ( Benang Bedah ) No. 2/0 DS 24 mm Set - 40,737 0
S0016 Silk ( Benang Bedah ) No. 3/0 DS 24 mm Set 230401AA 47,175 0
S0016 Silk ( Benang Bedah ) No. 3/0 DS 24 mm Set - 47,175 0
S0019 Soft Pad Underpad 60 x 90 Pack/10 28102188 30,000 0
S0020 Spalk Kayu Onemed Set 9082288 50,440 0
S0021 Sputum Pot Pcs 30610a017 2,200 200
S0021 Sputum Pot Pcs 0 2,200 0
S0022 Sucralfate Syrup Botol 54E4253 7,150 0
S0022 Sucralfate Syrup Botol 53F4125 5,034 0
T0001 Td Vaksin Vial 412122 23,000 16
T0001 Td Vaksin Vial 412122 23,000 0
T0001 Td Vaksin Vial 0411922 23,000 0
T0001 Td Vaksin Vial 0412122 23,000 0
T0003 Tetrahidrozolin Tetes Mata Botol D2157003 10,500 0
T0004 Thiamin HCl ( Vit B1 ) 50 mg Tablet H30505 121 0
T0004 Thiamin HCl ( Vit B1 ) 50 mg Tablet 26501305 85 0
T0005 Thiamphenicol 500 mg Kapsul KHZ3 1,400 500
T0011 Trihexyphenidil HCl 2 mg Tablet A3070 126 0
T0013 Tuberculin PPD RT 23 SSI Injeksi Vial 6500123 608,280 4
U0001 Ultrasonic Gell onemed Botol 6088722 14,000 0
U0003 Uric Acid Test Strip Box/25 E0E1 150,000 0
U0004 Urine Bag Set 04210504 45,000 0
V0007 Vaksin nOPV Vial 2225223 116,265 133
V0003 Vitamin B Complex Tablet 2208-56-379 58 0
V0003 Vitamin B Complex Tablet 2208-55-379 58 0
Z0001 Zink 20 mg Tablet 1208003 260 0
Z0002 Zink Syrup 20 mg/ml Botol 11122 2,511 0
 Januari
Penambahan Penambahan
Nilai Jumlah Nilai
0 0 0
64,800 200 43,200
0 0 0
0 0 0
0 0 0
0 500 610,000
0 0 0
244,000 0 0
0 0 0
0
0
0
787,500
0
0
0
0
0
0
0
384,000
0
0
0
0
0
79,000
0
0
48,500
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
700,000
0
0
196,000
0
0
0
0
0
32,500
0
0
0
0
0
0
47,000
0
0
0
0
658,400
0
0
0
2,075,700
0
0
0
0
0
0
0
0
0
0
0
0
605,250
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
49,000
0
0
175,000
0
0
0
0
94,600
0
0
120,000
0
268,000
 0
0
0
0
0
0
3,090
0
0
0
0
0
153,000
0
0
0
0
0
0
587,200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
908,700
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1,147,800
0
0
0
0
56,304
0
0
0
0
0
0
0
0
0
4,760,000
0
0
0
0
8,600,000
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
64,512
0
0
0
0
0
0
0
0
0
0
8,469,300
0
0
0
0
0
0
0
125,600
0
323,004
0
0
0
0
0
51,000
0
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
399,000
0
0
239,250
0
0
0
0
0
0
0
0
0
0
782,400
0
0
0
2,650,125
0
0
0
0
0
0
0
0
0
1,071,000
0
0
0
15,252,560
3,813,140
 0
0
0
0
0
0
0
0
0
0
0
0
1,700,000
0
0
1,678,200
525,000
572,000
319,000
588,000
0
0
182,616
8,400,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
440,000
0
 0
0
368,000
0
0
0
0
0
0
700,000
0
2,433,120
0
0
0
15,463,245
0
0
0
0
 Kode Nama Obat Satuan BN Harga

A0003 Acetosal 80 mg Tablet A30602 216

A0003 Acetosal 80 mg Tablet A30602 216
A0004 Acetylsistein 200 mg Tablet 22a51129 400
A0006 Acyclovir 400 mg Tablet htacve23049 740
A0007 Acyclovir Cream 5 % Tube 1528 3,571
A0008 ADS 0,5 ml Pcs C23DCL005 1,220
A0008 ADS 0,5 ml Pcs C23DCL005 1,220
A0008 ADS 0,5 ml Pcs C23DCL005 1,220
A0008 ADS 0,5 ml Pcs C23DCL005 1,220
A0008 ADS 0,5 ml Pcs s23gab0010 940
A0010 ADS 5 ml Pcs c23ggc003 950
A0010 ADS 5 ml Pcs S23GG003 1,460
A0010 ADS 5 ml Pcs S22HG002 1,575
A0010 ADS 5 ml Pcs S22HG002 1,575
A0010 ADS 5 ml Pcs s22hgc001 950
A0011 Alat Suntik Sekali Pakai 1 ml Pcs 27052188 966
A0012 Alat Suntik Sekali Pakai 2,5 / 3 ml Pcs 23C2605J 888
A0012 Alat Suntik Sekali Pakai 2,5 / 3 ml Pcs 23C2605J 888
A0013 Alat Suntik Sekali Pakai 5 ml Pcs 2020209 968
A0013 Alat Suntik Sekali Pakai 5 ml Pcs 23F1709J 976
A0014 Albendazole 400 mg Tablet 1205034 390
A0014 Albendazole 400 mg Tablet 1307152 457
A0016 Alkohol Swab Box/100 01092188 8,000
A0016 Alkohol Swab Box/100 01092188 8,000
A0016 Alkohol Swab Box/100 01092188 8,000
A0058 Alkohol Swab/Imunisasi COVID Pcs gm2108147 79
A0058 Alkohol Swab/Imunisasi COVID Pcs 29112021 79
A0058 Alkohol Swab/Imunisasi COVID Pcs 210512ASQ021 79
A0017 Allopurinol 100 mg Tablet e23013 185
A0018 Alprazolam 0,5 mg Tablet 22k1039 670
A0019 Ambroxol 30 mg Tablet 24702304 97
A0019 Ambroxol 30 mg Tablet 24702304 97
A0019 Ambroxol 30 mg Tablet 24702304 97
A0023 Amitriptillin Hcl 25 mg Tablet 21at1001 177
A0024 Amlodipin tablet 10 mg Tablet AF 3871 70
A0024 Amlodipin tablet 10 mg Tablet AF 3871 70
A0025 Amlodipin tablet 5 mg Tablet 25312305 72
A0025 Amlodipin tablet 5 mg Tablet 25312305 72
A0027 Amoxycillin 500 mg Tablet B20175 525
A0028 Amoxycillin Injeksi 1 gr Vial 211e001 23,351
A0028 Amoxycillin Injeksi 1 gr Vial 21LE001 23,251
A0029 Amoxycillin Syrup Kering 125 mg / 5 mBotol B20061 2,600
A0030 Ampicillin Injeksi 1 gr Vial 56436024 8,591
A0033 Antacida Doen Suspensi Botol BG0051 3,500
A0033 Antacida Doen Suspensi Botol BG0051 3,500
A0034 Antacida Doen Tablet Kombinasi Tablet 26911305 98
A0034 Antacida Doen Tablet Kombinasi Tablet 26911305 98
A0035 Antalgin ( Metampyron ) 500 mg Tablet 1207204 203
A0057 Antalgin Injeksi Ampul f2e701 2,814
A0038 Anti Hemmoroid Doen Supp Supp B3065910 3,250
A0038 Anti Hemmoroid Doen Supp Supp B3065910 3,250
A0039 APD Pcs t0222043 16,700
A0039 APD Pcs - 175,000
A0041 Apron pendek Pcs - 50,900
A0042 Aqua Pro Injeksi 25 ml Vial b76b53b 2,812
A0044 Asam Ascorbat ( Vit C ) 50 mg Tablet 21305305 47
A0044 Asam Ascorbat ( Vit C ) 50 mg Tablet 21305305 47
A0048 Asam Mefenamat 500 mg Tablet TMECB20237 120
A0056 Asam Tranexamat 500 mg Tablet TSG43952 1,646
A0056 Asam Tranexamat 500 mg Tablet tsg43952 1,646
A0049 Asam Tranexamat Injeksi Ampul itaca30236-1 2,425
A0052 Auto Disable Syringe ( ADS ) 0,05 ml Pcs S23GAB001 1,665
A0052 Auto Disable Syringe ( ADS ) 0,05 ml Pcs S28GAB001 1,665
B0001 BCG Vaksin Vial 0372MA038 103,785
B0001 BCG Vaksin Vial 0372MA017 103,785
B0004 Besi II Sulfat + Asam folat Tablet 22td1032 226
B0004 Besi II Sulfat + Asam folat Tablet 46818131 207
B0005 Besi II Sulfat + Mineral Tablet TMX39 770
B0006 Betahistin Mesilat 6 mg DEXA MEDICATablet 54D0430 190
B0007 Betametason + Neomycin Cream Tube 20627 14,600
B0008 Betametason Cream 0,1 % Tube 54D0308 2,000
B0008 Betametason Cream 0,1 % Tube 54D0308 2,000
B0009 Bisakodil 5 mg Tablet 2208004 218
B0014 BOPV Polio Vaksin Vial 2050123b 24,210
B0014 BOPV Polio Vaksin Vial 2050123 24,210
B0015 Borax Glycerin ( Gom ) 25 % Botol H2820 3,241
B0016 Bromhexin 8 mg Tablet T3522005 94
B0017 Bromhexin Syrup 8 mg / ml Botol 20226 6,650
B0017 Bromhexin Syrup 8 mg / ml Botol 20226 6,650
C0003 Captopril 12,5 mg Tablet 56323016 65
C0004 Captopril 25 mg Tablet 56324058 75
C0004 Captopril 25 mg Tablet 56324058 75
C0004 Captopril 25 mg Tablet 56324058 76
C0006 Cat Gut / Benang Bedah No. 2/0 ChromSet 2304031L 67,932
C0007 Cat Gut / Benang Bedah No. 3/0 ChromSet 230104MB 58,275
C0008 Cefadroxil 125 mg / 5 ml Syrup Kering Botol cae030 6,000
C0009 Cefadroxil 500 mg Tablet KPN11550 854
C0009 Cefadroxil 500 mg Tablet bkpg09051 854
C0011 Cefixime Syrup Kering 100 mg / 5 ml Botol c53c0423 4,776
C0014 Cetirizine 10 mg Tablet 267213016 74
C0015 Cetirizine Syrup 5 mg/ 5ml Botol ag1640 2,000
C0016 Chloramphenicol 250 mg Tablet 2307-02-251 587
C0017 Chloramphenicol Injeksi 1 gr Vial DJ3810 22,200
C0017 Chloramphenicol Injeksi 1 gr Vial DJ3810 22,200
C0018 Chloramphenicol Salep Kulit 2 % Tube 2209066 8,436
C0019 Chloramphenicol Salep Mata 1 % Tube C30856W 3,296
C0019 Chloramphenicol Salep Mata 1 % Tube C30856W 3,296
C0019 Chloramphenicol Salep Mata 1 % Tube c31005w 7,475
C0020 Chloramphenicol Syrup 125 mg / 5 ml Botol 200700 5,830
C0021 Chloramphenicol Tetes Mata 0,5 % Botol 4831386 9,250
C0021 Chloramphenicol Tetes Mata 0,5 % Botol 90722022 7,326
C0022 Chloramphenicol Tetes Telinga 3 % Botol 1007220001 7,437
C0022 Chloramphenicol Tetes Telinga 3 % Botol 0101023001 8,900
C0023 Chlorfeniramin Maleat ( CTM ) 4 mg Tablet 2306-38-152 49
C0023 Chlorfeniramin Maleat ( CTM ) 4 mg Tablet 2306-38-152 49
C0023 Chlorfeniramin Maleat ( CTM ) 4 mg Tablet 2306-38-152 49
C0025 Chlorpromazine HCl 100 mg ( CPZ ) Tablet a21071 520
C0028 Ciprofloxacin 500 mg Tablet HTCFXC31711 350
C0028 Ciprofloxacin 500 mg Tablet HTCFXC31711 350
C0033 Clozapine 25 mg Tablet 54C0040 473
C0034 Cotrimoxazole 240 mg / 5 ml SuspensiBotol a01740 2,119
C0035 Cotrimoxazole 480 mg Tablet A21183 240
D0023 Dermafix Pcs 01041988 1,629
D0006 Dexamethasone 0,5 mg Tablet 1303299 67
D0006 Dexamethasone 0,5 mg Tablet 1303299 67
D0007 Dexamethasone Injeksi 5 mg / ml - 1 mAmpul fim634 924
D0009 Diazepam 5 mg Tablet a92743 109
D0010 Diazepam Injeksi 5 mg / ml - 2 mL Ampul F3J259 1,545
D0010 Diazepam Injeksi 5 mg / ml - 2 mL Ampul F3J259 1,545
D0011 Diazepam Larutan Rectal 5 mg/ml 2,5 Supp egf253mk 10,545
D0013 Difenhidramin HCl Inj 10 mg / ml - 1 mAmpul 56342016-3 1,110
D0014 Digoxin 0,25 mg Tablet a08605 144
D0016 Dimenhidrinat 50 mg Tablet G31070N 150
D0016 Dimenhidrinat 50 mg Tablet G31070N 150
D0017 Domperidon 10 mg Tablet 2307-02-149 153
D0018 Domperidon Syrup 5mg / 5ml Botol KLDPOA33246 7,000
D0021 DT Vaksin Vial 0400522 36,700
E0007 Etanol (Alkohol 70 %) Botol k48717 22,000
E0010 Ethyl Chlorida Spray Botol 236091A 182,500
F0004 Fenobharbithal Injeksi 50 mg / ml - 2 mAmpul 46803002-1 1,700
F0006 Fenol Glycerol Tetes Telinga 10 % Botol 2lf011 3,330
F0007 Fitomenadion ( Vit K ) 10 mg Tablet 36381003 755
F0008 Fitomenadion ( Vit K1 ) Injeksi 2 mg / Ampul 56478005 1,380
F0009 Fixomul roll 5 x 5 ( Plesterin Roll ) Roll 15052388 23,760
F0009 Fixomul roll 5 x 5 ( Plesterin Roll ) Roll 15052388 23,760
F0010 Fixomull Stretch 15 cm x 5 m ( PlesteriRoll 1042388 66,000
F0010 Fixomull Stretch 15 cm x 5 m ( PlesteriRoll 1042388 66,000
F0011 Flu Anak Syrup ( Libebi Syrup ) Botol 2207067 6,549
F0012 Flu Batuk Dewasa Tablet Tablet TEZ22 725
F0013 Flu Dewasa Tablet Tablet M28FM082 466
F0013 Flu Dewasa Tablet Tablet m28fm065 460
F0015 Fluoxetin 10 mg Tablet kkkxtb22140 479
F0016 Folley Catheter No : 16 Pcs 20100715 76,835
F0017 Folley Catheter No : 18 Pcs 20191017 76,835
F0019 Framycetin Pcs 2BL2573 10,239
F0019 Framycetin Pcs 2BL2575 10,239
F0020 Furosemide 40 mg Tablet 20089b 99
G0001 Garam Oralit 200 ml Tablet 46373030ld 280
G0004 Gentamycin Injeksi 40 mg / 2 ml Ampul 22gt3006 3,355
G0005 Gentamycin Salep Kulit 0,1 % Tube 32205 4,050
G0006 Gentamycin Salep Mata 0,3 % Tube 1657036 9,990
G0008 Gentian Violet Botol h16202 2,740
G0011 Glimepiride 2 mg Tablet htgmpk13094 123
G0011 Glimepiride 2 mg Tablet HTGMPK21164 123
G0012 Gluconas Calsicus Injeksi 10 % - 20 ml Ampul 5313002 15,000
G0013 Glucosa D40 % Botol b9353b 7,842
G0017 Glyceril Guaiacolat 100 mg Tablet 28001306 82
H0001 Halloperidol 1,5 mg Tablet 1104042 52
H0002 Halloperidol 5 mg Tablet a00868 54
H0005 Handsanitiser Spray 100 cc Botol 18082188 19,259
H0009 Handscoon Latex M Box 211 090188ncz 93,000
H0011 Handscoon Latex Steril Ukuran 7,5 Box/50 20200016 6,660
H0013 Handscoon Nitril M Box kemenkes Akd 57,065
H0014 Handscoon Nitril S Box 211090188ncza 62,700
H0017 HB Uniject ( Hepatitis B ) Pcs 3650723 28,695
H0017 HB Uniject ( Hepatitis B ) Pcs 3651823 28,695
H0017 HB Uniject ( Hepatitis B ) Pcs 365223 28,695
H0017 HB Uniject ( Hepatitis B ) Pcs 3650823 28,695
H0017 HB Uniject ( Hepatitis B ) Pcs 3658721 28,695
H0019 Hidroclorotiazide ( HCT ) 25 mg Tablet h005718 148
H0021 Hidrocortison Cream 2,5 % Tube F32497W 2,800
H0021 Hidrocortison Cream 2,5 % Tube G21565W 2,346
H0022 Hiosina N - Butilbromid 10 mg + Paras Tablet 20126 1,040
H0025 Hyosina N Butilbromide 10 mg Tablet t06043 1,060
I0004 Ictiyol Salep Tube H27204 6,000
I0005 Infus Set Anak Set 11220603 8,700
I0006 Infus Set Dewasa Set 230314 5,800
I0009 IPV Vaksin Vial 2100422 172,000
I0009 IPV Vaksin Vial 2102022 172,000
I0009 IPV Vaksin Vial 2100422 172,000
I0014 IV Catheter No : 20 G Pcs 4210513 5,995
I0015 IV Catheter No : 22 G Pcs 20408C033 5,995
I0015 IV Catheter No : 22 G Pcs 30408C040 5,995
K0003 Kalium Diklovenak 50 mg Tablet 2522255 350
K0004 Kalsium Laktat ( Kalk ) 500 mg Tablet A30140 88
K0004 Kalsium Laktat ( Kalk ) 500 mg Tablet A30140 88
K0006 Kapas Pembalut / Adsorbens 250 gr Roll 1091688 15,000
K0007 Karbamazepine 200 mg Tablet A20272 190
K0008 Kassa Hidrofil Steril 16 x 16 Roll 4102188 7,500
K0009 Kassa Pembalut 36 yard x 80 cm Roll 40021 147,327
K0012 Ketokenazol Krim 2% Tube 5112113 2,370
K0012 Ketokenazol Krim 2% Tube 4320364 2,370
K0013 Ketokenazol Tablet 200 mg Tablet HTKCEB16172 252
K0013 Ketokenazol Tablet 200 mg Tablet 2306-14-103 412
K0014 Ketorolac Injeksi 30 mg / ml Ampul 4621001a 7,600
K0015 Kondom Pcs PD221 448
L0001 Lactulosa Syrup Botol 620212 12,420
L0008 Levertran ( Minyak Ikan ) Tube D411Z3A 4,529
L0011 Lidocaine Comp Injeksi Ampul 5605203-2 3,320
L0012 Lidocaine Injeksi 2 % (HCl) Ampul 56362014-1 855
L0012 Lidocaine Injeksi 2 % (HCl) Ampul PID34052 1,100
L0014 Lisinopril 5 mg Tablet 53A087 146
L0015 Loperamide Hcl 2 mg Tablet 30225 78
M0001 M - R Vaksin Vial 0121W213 169,386
M0003 Magnesium Sulfat Injeksi 40 % - 25 ml Ampul B83D53A 5,378
M0004 Mask Nebulizer Anak Pcs 3041B004 19,000
M0005 Mask Nebulizer Dewasa Pcs 71230612 19,500
M0006 Mask Oxygen Dewasa Pcs 3190201 9,350
M0007 Mask Oxygen Anak Pcs 390201 9,350
M0008 Masker Earloop Box - 27,000
M0009 Masker Headloop Box kemenkes Akd 17,200
M0010 Masker N95 Pcs 04210914 16,000
M0011 MDT MB Combi Adult Blister MP6661 53,834
M0015 Meloxicam 15 mg Tablet TPC24852 1,206
M0015 Meloxicam 15 mg Tablet TPC25252 460
M0017 Metformin Hcl 500 mg Tablet HTMFN132394 154
M0017 Metformin Hcl 500 mg Tablet HTMFNB23949 77
M0017 Metformin Hcl 500 mg Tablet HTMFNB32420 150
M0018 Methyl Prednisolon 4 mg Tablet 26102306 170
M0018 Methyl Prednisolon 4 mg Tablet 26102306 170
M0018 Methyl Prednisolon 4 mg Tablet 26102306 170
M0021 Methylergometrin Mal Injeksi 0,200 mAmpul 4420635 1,032
M0022 Methylergometrin Malaet 0,125 mg Tablet D20789J 216
M0027 Metronidazole 500 mg Tablet 1304200 217
M0027 Metronidazole 500 mg Tablet C9043B 133
M0031 Miconazole Cream 2 % Tube F21436W 1,917
M0036 Multivitamin Dewasa Tablet 66185009 993
M0037 Multivitamin syrup Botol H39205 5,576
M0038 Multivitamin syrup+curcuma (ProcurmBotol 2207063 11,550
N0001 Natrium Diclovenak 50 mg Tablet 54EO253 119
N0001 Natrium Diclovenak 50 mg Tablet 54EO253 119
N0002 Natrium Diclovenak gel Tube 20329 10,800
N0003 Natrium Klorida Lart Infus 0,9 % (NACl)Btl500ml A92B53A 6,800
N0004 Neomycin + Plasenta Cream Tube 20626 14,600
N0004 Neomycin + Plasenta Cream Tube 20526 14,600
N0005 Neurotropic Caplet Tablet 2306050 399
N0005 Neurotropic Caplet Tablet 2306050 399
N0006 Neurotropic Injeksi 5000 Ampul F3H233 7,975
N0006 Neurotropic Injeksi 5000 Ampul F3H233 7,975
N0007 Nifedipine 10 mg Tablet 52F4180 176
N0008 Nistatin suspensi 100.000 IU /ml Botol A5002 11,605
N0008 Nistatin suspensi 100.000 IU /ml Botol A5032 11,605
N0010 Nistatin vagina tablet Supp 36372003 1,645
N0009 NORIT Botol LE00271 16,366
O0006 Obat ARV Dewasa FDC Triple Box/30 CK0511 97,800
O0006 Obat ARV Dewasa FDC Triple Box/30 CK0511 97,800
O0006 Obat ARV Dewasa FDC Triple Box/30 CK0511 97,800
O0020 Obat Diare Anak syrup Botol 2207-09-90 5,500
O0021 Obat Diare Dewasa Tablet 26102306 304
O0023 Obat TB FDC KAT 1 Paket H31795J 530,025
O0026 Omeprazole 20 mg Kapsul 2309-03-280 231
O0026 Omeprazole 20 mg Kapsul 2309-03-280 231
O0027 Ondansetron 4 mg Tablet 2306-01-846 244
O0027 Ondansetron 4 mg Tablet 2306-01-346 244
O0028 Ondansetron Injeksi 4 mg / 2 ml Ampul PIG88452 1,250
O0028 Ondansetron Injeksi 4 mg / 2 ml Ampul PIG88452 1,250
O0033 Oxytetracyclin HCl Salep Mata 1 % Tube e20975w 5,094
P0002 Paracetamol 500 mg Tablet A30095 153
P0002 Paracetamol 500 mg Tablet A3K037 184
P0003 Paracetamol Drops Botol 30224 6,125
P0004 Paracetamol Syrup 120 mg / 5 mg Botol A20749 1,171
P0004 Paracetamol Syrup 120 mg / 5 mg Botol A20749 1,171
P0005 PCV ( 4 Dosis ) Vial HC8603 190,657
P0005 PCV ( 4 Dosis ) Vial HC8603 190,657
P0009 Permetrin Cream 5 % Tube F22031 11,250
P0010 Piracetam 400 mg Tablet KDK45252 350
P0012 Piracetam Injeksi 1 gr / 5 ml Ampul PICI2105 12,000
P0013 Piroxicam 10 mg Tablet 2207-C2-143 111
P0018 Povidon Iodida 10 % 30 ml Botol D3621O 3,080
P0018 Povidon Iodida 10 % 30 ml Botol D 36210 3,080
P0019 Prednison 5 mg Tablet 26303305 99
P0024 Pyridoxine Hcl ( Vit B6 ) 10 mg Tablet 23601304 73
R0002 Ranitidine Injeksi 50 mg / 2 ml Ampul PID38252 1,331
R0002 Ranitidine Injeksi 50 mg / 2 ml Ampul PID38157 1,331
R0003 Rapid HIV Siphilis Combo Box/25 H5CO2423 425,000
R0003 Rapid HIV Siphilis Combo Box/25 H5CO2423 425,000
R0003 Rapid HIV Siphilis Combo Box/25 H5CO2423 425,000
R0005 Rapid Test 2 HIV Box/25 5353B41AC 262,500
R0006 Rapid Test 3 HIV Pcs HIV 022206 11,440
R0009 Rapid Test HBsAg Box/25 H22023 178,000
R0013 RDT Chikungunya Box/25 57339S1AC 1,625,000
R0023 Rifampicin 75 mg/Isoniazida 50 mg Tablet NRT2244A 1,087
R0024 Ringer Lactat Larutan Infus ( RL ) Botol 330205 8,400
R0025 Risperidone 2 mg Tablet AGA9EANPI 200
S0002 Safety Box 5 L Pcs 1037J20 11,289
S0004 Salbutamol 2 mg Tablet 27404304 65
S0004 Salbutamol 2 mg Tablet 27404304 65
S0005 Salbutamol Nebulizer ( Salbutamol Sol Ampul 4320503 4,844
S0005 Salbutamol Nebulizer ( Salbutamol Sol Ampul 4130152 4,800
S0006 Salep 2 - 4 Pot 4306050 4,000
S0007 Salysil Bedak 2 % Botol 51305105 5,694
S0009 Selang Oxygen Anak ( Oxygen Nasal CaPcs 4200701 6,454
S0010 Selang Oxygen Dewasa (Oxygen Nasal Pcs 20403A021 6,454
S0013 Serum Anti Tetanus Inj 1.500 IU ( ATS )Ampul 4200923 152,625
S0014 Sianocobalamin ( Vit B12 ) Tablet 50 mTablet 1304102 70
S0015 Silk ( Benang Bedah ) No. 2/0 DS 24 m Set - 40,737
S0016 Silk ( Benang Bedah ) No. 3/0 DS 24 m Set - 47,175
S0016 Silk ( Benang Bedah ) No. 3/0 DS 24 m Set - 47,175
S0019 Soft Pad Underpad 60 x 90 Pack/10 28102188 30,000
S0020 Spalk Kayu Onemed Set 9082288 50,440
S0021 Sputum Pot Pcs 0 2,200
T0001 Td Vaksin Vial 412122 23,000
T0004 Thiamin HCl ( Vit B1 ) 50 mg Tablet 26501305 85
T0004 Thiamin HCl ( Vit B1 ) 50 mg Tablet H30505 121
T0005 Thiamphenicol 500 mg Kapsul KHZ3 1,400
T0011 Trihexyphenidil HCl 2 mg Tablet A3070 126
T0013 Tuberculin PPD RT 23 SSI Injeksi Vial 6500123 608,280
U0001 Ultrasonic Gell onemed Botol 6088722 14,000
U0003 Uric Acid Test Strip Box/25 E0E1 150,000
U0004 Urine Bag Set 04210504 45,000
V0007 Vaksin nOPV Vial 2224223 116,265
V0008 VAKSIN PENTAVAC Vial 2863X025A 210,000
V0002 Vaksin Rotavirus 5 DS Vial 61B23039A 249,750
V0003 Vitamin B Complex Tablet 2208-55-379 58
V0003 Vitamin B Complex Tablet 2208-55-379 58
Z0001 Zink 20 mg Tablet 1208003 260
Z0002 Zink Syrup 20 mg/ml Botol 11122 2,511