No

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

Gol.Obat
E
E
E
NE
E
NE
E
V
NE
V
E
E
NE
NE
V
V
V
NE
NE
V

Nama Item
Lidonest
Decain spinal 0,5% heavy
Flamar
Hufalysin plus
Trazep
Scotts emulsion
Cloramidina
Tarka
Neurobiovit
Cibacen
Anafen
Garexin
Anabion plus DHA
Anabion
Inderal
Blopress plus
Edemin
Vitacal D
Redoxon
Isorbid

Satuan
Tube
Amp
Syr
Syr
Tube
Syr
Tube
Kaps
Vial
Tab
Syr
Syr
Syr
Syr
Tab
Tab
Amp
Tab
Tab
Tab

Jumlah
100
50
40
60
80
50
80
60
100
70
50
60
50
40
50
20
50
100
50
200

Harga Satuan
Rp
25,000
Rp
45,000
Rp
27,900
Rp
17,182
Rp
12,000
Rp
17,566
Rp
7,500
Rp
10,000
Rp
5,700
Rp
7,475
Rp
10,000
Rp
8,000
Rp
9,450
Rp
8,950
Rp
4,812
Rp
11,092
Rp
4,400
Rp
800
Rp
1,474
Rp
330

Harga Total
Rp 2,500,000
Rp 2,250,000
Rp 1,116,000
Rp 1,030,920
Rp
960,000
Rp
878,300
Rp
600,000
Rp
600,000
Rp
570,000
Rp
523,250
Rp
500,000
Rp
480,000
Rp
472,500
Rp
358,000
Rp
240,600
Rp
221,840
Rp
220,000
Rp
80,000
Rp
73,700
Rp
66,000
Rp 13,741,110

Persentase (%)
18.19358116
16.37422304
8.121614629
7.502450675
6.986335165
6.391768933
4.366459478
4.366459478
4.148136504
3.807916537
3.638716232
3.493167583
3.438586839
2.605320822
1.750950251
1.614425618
1.601035142
0.582194597
0.536346773
0.480310543

Kategori
A
A
A
A
A
A
A
A
B
B
B
B
B
B
C
C
C
C
C
C

Kombinasi
AE
AE
AE
AN
AE
AN
AE
AV
BN
BV
BE
BE
BN
BN
CV
CV
CV
CN
CN
CV

No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Total

Gol.Obat
Vital
Vital
Vital
Vital
Vital
Essensial
Essensial
Essensial
Essensial
Essensial
Non essensial
Non essensial
Non essensial
Non essensial
Non essensial

Nama Item
Doperba
Berodual
Cortidex
natrium klorida 0,9%
plasminex
Pamol
Rheumaden
Ponstelax
Amoxicillin
Sanpicillin
Bececar
Enervon-C
Folacom
Ever E 250
Betamin

Satuan
ampul
inhaler
ampul
infus
ampul
tablet
kapsul
kaplet
kaplet
sirup
tablet
tablet
tablet
kapsul
tablet

Jumlah
200
50
250
250
100
5000
1450
540
2600
120
960
1100
1500
500
3000

Harga satuan
Rp
33,000
Rp
83,325
Rp
5,100
Rp
4,284
Rp
9,700
Rp
187
Rp
635
Rp
1,667
Rp
336
Rp
6,800
Rp
820
Rp
712
Rp
475
Rp
1,389
Rp
147

Harga Total
Rp 6,600,000
Rp 4,166,250
Rp 1,275,000
Rp 1,071,000
Rp
970,000
Rp
935,000
Rp
920,750
Rp
900,180
Rp
873,600
Rp
816,000
Rp
787,200
Rp
783,200
Rp
712,500
Rp
694,500
Rp
441,000
Rp 21,946,180

Persentase (%)
30.07357089
18.98394162
5.809667104
4.880120367
4.419903601
4.260422543
4.195490969
4.101761673
3.980647201
3.718186946
3.586956819
3.568730412
3.246578676
3.164559846
2.009461328

Kategori Kombinasi
72.62312
A
AV
A
AV
A
AV
A
AV
A
AV
A
AE
A
AE
22.20286
B
BE
B
BE
B
BE
B
BN
B
BN
B
BN
5.174021
C
CN
C
CN