Data Obat

Dicetak Oleh : administrator, Rabu, 21 November 2018, 20:11:52 Page 1 of 46
RS MITRA MEDIKA
No Kode Barang Nama Barang Satuan Jual Harga Net Indeks Produsen
1 AB .38.001 AB VASK 10 MG TAB TABLET 11,000.00 30 LAPI

2 AB .38.002 AB VASK 5 MG TAB TABLET 6,325.00 30 LAPI
3 ABB .01.003 ABBOCATH 16 PCS 27,940.00 1 -
4 ABB .01.001 ABBOCATH 18 PCS 19,558.00 1 TERUMO
5 ABB .01.002 ABBOCATH 20 PCS 17,600.00 1 -
6 ABH .01.001 ABHY KIT (VICRYL*MONOCRYL) PAK 220,000.00 3 -
7 ACAR.OK.001 ACARBOSE 100 TABLET 779.06 100 DEXA
8 ACAR.OK.002 ACARBOSE 50 TABLET 561.95 100 DEXA
9 ACET.OK.001 ACETIN 600 EFF TABLET 9,020.00 10 SANBE
10 ACE .17.001 ACETYLCYSTEINE INF FLES 218,900.00 1 -
11 ACET.GN.001 ACETYLCYSTEINE KAP KAPSUL 1,100.00 100 NOVELL
12 ACLA-003 ACLAM TAB 500 MG TABLET 13,200.00 15 LAPI
13 ACN .27.001 ACNEBENZ CL GEL 10 GR TUBE 29,150.00 1 -
14 ACRA-001 ACRAN INJ (RANITIDINE) AMPUL 21,802.00 5 SANBE
15 ACTA.OK.002 ACTALIPID 40 MG TABLET 8,800.00 30 ACTAVIS
16 ACTA-006 ACTALIPID TAB 20 MG TABLET 4,840.00 30 ACTAVIS
17 ACTI.OB.001 ACTIFED PLUS COUG/ MERAH BOTOL 38,556.10 1 GLAXO
18 ACTI.OB.002 ACTIFED PLUS EXP . HIJAU BOTOL 38,556.10 1 GLAXO
19 ACTI-003 ACTIFED PLUS SYR KUNING BOTOL 22,000.00 1 GLAXO
20 ACTI-005 ACTIFED SYR HIJAU BOTOL 24,200.00 1 GLAXO
21 ACTO-001 ACTOS TABLET 30MG TABLET 12,150.05 14 TAKEDA
22 ACYC-001 ACYCLOVIR CR 5 GR TUBE 3,619.00 25 KIMIA F
23 ACYC-002 ACYCLOVIR TAB 200 MG TABLET 388.18 100 KIMIA F
24 ACYC-003 ACYCLOVIR TAB 400 MG TABLET 742.72 50 KIMIA F
25 ACYF-004 ACYFOTE TAB TABLET 4,840.00 30 NOVELL
26 ADAL-002 ADALAT OROS -TAB 30 MG TABLET 3,700.00 30 BAYER
27 ADAL-003 ADALAT TAB 10 MG TABLET 2,448.60 50 BAYER
28 ADAL-004 ADALAT TAB 5 MG TABLET 1,639.00 50 BAYER
29 ADON-001 ADONA AC 17 TAB TABLET 2,317.70 100 TANABE
30 ADON-002 ADONA AC INJ 10 ML AMPUL 24,346.30 10 TANABE
31 ADON-003 ADONA AC INJ 5 ML AMPUL 27,500.00 10 TANABE
32 ADON-004 ADONA FORTE TAB TABLET 2,970.00 100 TANABE
33 AERI-001 AERIUS SYR 60 ML BOTOL 70,587.00 1 SCHERING P
34 AFA .20.001 AFAMED KAPSUL 7,700.00 30 -
35 AHFC.OK.001 AHFC SACHET 12,666.66 30 BIO LIFE
36 AKIL.OK.001 AKILEN 400 TABLET 15,895.00 30 SANBE
37 ALA .OK.001 ALA 600 TABLET 6,930.00 30 LAPI
38 ALA .38.001 ALABETIC TABLET 5,156.25 100 -
39 ALAX.OB.001 ALAXAN FR TAB TABLET 352.00 100 DARYA
40 ALBO.OK.001 ALBOTHYL OVULA SUPOSITORIA 19,800.00 6 PHAROS IND
41 ALBO-002 ALBOTHYL SOL 5 ML BOTOL 24,200.00 1 PHAROS IND
42 ALB .20.001 ALBUFORCE KAP KAPSUL 6,090.70 100 -
43 ALB .33.001 ALBUFORCE PLUS SYR FLES 97,680.00 1 -
44 ALBU.OK.003 ALBUMAN 20 % 50 ML FLES 504,900.00 1 KIMIA F
45 ALBU.OJ.001 ALBUMAN 20% 100 ML BOTOL 858,000.00 1 KIMIA F
46 ALBU.OK.001 ALBUMIN BEHRING 20% BOTOL 1,540,000.00 1 DEXA
47 ALB .20.002 ALBUMINO KAP KAPSUL 6,416.66 30 -
48 ALDI-001 ALDISA SR -CAPS TABLET 4,550.00 50 SANBE
49 ALDO.OK.001 ALDOMER 5 TABLET 20,350.00 30 MERSI
50 ALEG-001 ALEGI -TAB TABLET 1,320.00 100 LAPI
51 ALGA.OP.001 ALGANAX 0,5 TABLET 3,575.00 40 GUARDIAN
52 ALG .38.001 ALGANAX 1 TABLET 5,170.00 40 GUARDIAN
53 ALIN-001 ALINAMIN FORTE INJ AMPUL 13,600.00 5 TAKEDA
RS MITRA MEDIKA
54 ALIN-002 ALINAMIN FORTE TAB TABLET 916.67 100 TAKEDA

55 ALIN.OK.001 ALINAMIN TAB TABLET 484.79 100 TAKEDA
56 ALIS.OK.001 ALISTA TABLET 6,000.00 100 NOVELL
57 ALKO.AH.001 ALKOHOL DRIGEN 495,000.00 0 BRATACO
58 ALKO.OK.002 ALKOHOL 70 % 20 LT GALON 550,000.00 1 BRATACO
59 ALKO-006 ALKOHOL 70% 100 ML BOTOL 2,500.00 1 BRATACO
60 ALKO-007 ALKOHOL 70% 1LT GALON 24,200.00 1 BRATACO
61 ALKO.AH.002 ALKOHOL 70% 300ML BOTOL 7,300.00 1 BRATACO
62 ALKO.OK.001 ALKOHOL 95 % 100 ML FLES 4,950.00 1 BRATACO
63 ALKO.AH.003 ALKOHOL 95% 1LT BOTOL 64,900.00 1 BRATACO
64 ALKO-011 ALKOHOL 96 % 1 LT LITER 65,000.00 1 BRATACO
65 ALKO-012 ALKOHOL SWAB'S BUNGKUS 120.00 100 BRATACO
66 ALLO-001 ALLOPURINOL TAB 100 MG TABLET 231.00 100 HEXPHARM
67 ALLO-002 ALLOPURINOL TAB 300 MG TABLET 330.00 100 HEXPHARM
68 ALLO.OK.001 ALLORIS TAB TABLET 4,801.50 100 SANBE
69 ALO .24.001 ALOCLAIR PLUS GEL 8 ML FLES 84,700.00 1 HEXPHARM
70 ALOV.OK.002 ALOVELL 10 MG TABLET 9,350.00 30 NOVELL
71 ALOV.OK.001 ALOVELL 70 MG TABLET 93,500.00 4 NOVELL
72 ALP .38.001 ALPARA TAB TABLET 520.00 150 -
73 ALPR-001 ALPRAZOLAM TAB 0.5 MG TABLET 585.00 100 DEXA
74 ALPR-002 ALPRAZOLAM TAB 1 MG TABLET 900.00 100 DEXA
75 ALZ .38.001 ALZIM TAB TABLET 9,350.00 30 FAHRENHEIT
76 AMAD-001 AMADIAB 1 MG TAB TABLET 2,640.00 50 LAPI
77 AMAD-002 AMADIAB 2 MG TAB TABLET 4,950.00 50 LAPI
78 AMAD.OK.001 AMADIAB 3 MG TAB TABLET 5,720.00 50 LAPI
79 AMAD.OK.002 AMADIAB 4 MG TAB TABLET 7,480.00 50 LAPI
80 AMAR.OB.002 AMARYL M 1MG/250MG TABLET 3,323.90 30 AVENTIS
81 AMAR.OB.001 AMARYL M 2MG/500MG TABLET 5,890.64 30 AVENTIS
82 AMB .33.001 AMBROXOL 15 MG/5 ML SYR FLES 4,928.00 1 INDOFARMA
83 AMBR-002 AMBROXOL 30 MG TAB TABLET 110.00 100 DEXA
84 AMI .97.001 AMIKASIN SULFATE INJ 250 VIAL 30,739.50 1 PHAROS IND
85 AMIN.OK.002 AMINEFRON CAPLET TABLET 7,150.00 100 DEXA
86 AMIN.OK.005 AMINOFLUID INFUS BAG 133,100.00 1 OTSUKA
87 AMIN-003 AMINOFLUID INFUS JKN BOTOL 67,589.50 1 OTSUKA
88 AMIN-004 AMINOFUSIN HEPAR INF 500 ML BOTOL 183,700.00 1 KALBE
89 AMIN-006 AMINOLEBAN INFUS 500 ML BOTOL 205,700.00 1 OTSUKA
90 AMIN.OK.004 AMINOLEBAN INFUS JKN BAG 67,589.50 1 OTSUKA
91 AMIN-008 AMINOPHYLLIN INJ AMPUL 6,187.50 30 PHAROS IND
92 AMIN.OB.001 AMINOPHYLLIN TAB TABLET 170.00 100 PHAPROS
93 AMIN.OK.001 AMINORAL TABLET 6,600.00 100 NOVELL
94 AMIN.OK.003 AMINOSTERIL N HEPA BOTOL 148,500.00 10 KALBE F
95 AMI .96.001 AMIODARON INJ AMPUL 8,700.09 6 DARYA
96 AMIP.AH.001 AMIPAREN FLES 128,700.00 1 OTSUKA
97 AMIT-001 AMITRIPTYLLIN TAB 25 MG TABLET 650.00 100 INDOFARMA
98 AML .38.002 AMLODIPIN 10 MG TABLET 1,691.03 100 DEXA M
99 AML .38.001 AMLODIPIN 5 MG TABLET 204.00 100 DEXA M
100 B1338 AMLODIPIN TAB 10 MG JKN TABLET 332.99 50 BERNOFARM
101 AMLO.OT.001 AMLODIPIN TAB 5 MG JKN TABLET 200.00 50 NOVELL
102 AMOB.OK.001 AMOBIOTIC 500 TABLET 3,025.00 100 BERNOFARM
103 AMOX-002 AMOXICILLIN SYR 125 MG / 5 ML BOTOL 4,000.60 1 KIMIA F
104 AMOX-003 AMOXICILLIN TAB 500 MG TABLET 325.00 100 KIMIA F
105 AMOX-005 AMOXSAN INJ VIAL 22,781.00 1 SANBE
106 AMOX-007 AMOXSAN CAP 500 MG KAPSUL 3,410.00 100 SANBE
RS MITRA MEDIKA
107 AMOX.OK.001 AMOXSAN DROP BOTOL 23,252.90 1 SANBE

108 AMOX.OK.002 AMOXSAN DRY SYR BOTOL 23,430.00 1 SANBE
109 AMOX-010 AMOXSAN PAED DROPS BOTOL 21,681.00 1 SANBE
110 AMOX-012 AMOXSAN SYR FORTE BOTOL 34,013.10 1 SANBE
111 AMPI-001 AMPICILLIN INJ. 1 GR AMPUL 5,500.00 1 INDOFARMA
112 AMPI-002 AMPICILLIN KAPL 500 MG TABLET 371.02 100 INDOFARMA
113 ANA .33.001 ANAKONIDIN 30 ML FLES 5,940.00 1 KONIMEX
114 ANA .33.002 ANAKONIDIN 60 ML FLES 9,823.00 1 KONIMEX
115 ANAL-002 ANALSIK TAB KAPSUL 1,556.50 100 SANBE
116 ANAL-003 ANALTRAM CAPS KAPSUL 9,075.00 30 LAPI
117 ANBA.OK.001 ANBACIM INJ VIAL 80,190.00 1 SANBE
118 ANDA.OB.002 ANDALAN KB PCS 5,000.00 1 BAYER
119 ANDA.OB.001 ANDALAN LAKTASI PAK 11,000.00 5 BAYER
120 ANE .01.001 ANESTHESI FLOW PCS 137,497.80 1 -
121 ANGI.OK.002 ANGINTRIZ MR TAB TABLET 3,300.00 30 NOVELL
122 ANGI.OK.001 ANGIOTEN 50 TABLET 11,220.00 30 KALBE F
123 ANTA-001 ANTALGIN TAB 500 MG TABLET 256.74 100 INDOFARMA
124 ANTA.OB.001 ANTANGIN JRG SYR SACHET 1,875.00 12 SANBE
125 ANTA.OB.003 ANTANGIN JRG TAB SACHET 1,480.00 10 SANBE
126 ANTA.OB.002 ANTANGIN JUNIOR SYR SACHET 1,134.00 1 SANBE
127 ANTA-005 ANTASIDA DOEN SYR BOTOL 3,500.20 1 INDOFARMA
128 ANTA-006 ANTASIDA DOEN TAB TABLET 210.60 100 INDOFARMA
129 ANTI.OK.001 ANTIHEMOROID SUPP SUPOSITORIA 3,167.01 10 KIMIA F
130 ANTI.OB.003 ANTIMO STRIP 3,557.40 1 PHAPROS
131 ANTI.OB.004 ANTIMO ANAK SACHET 929.50 10 PHAPROS
132 ANT .96.001 ANTRAIN INJ TABLET 10,450.00 5 INTERBAT
133 ANVO-001 ANVOMER B6 TAB TABLET 1,980.00 60 DEXA
134 APIA-001 APIALYS DROP 10 ML BOTOL 41,250.00 1 LAPI
135 APIA-002 APIALYS SYR 100 ML BOTOL 33,000.00 1 LAPI
136 APID.OK.002 APIDRA SOLOSTAR PCS 169,180.00 5 SANOFI
137 APID.OK.001 APIDRA SOLOSTAR JKN FLES 86,999.88 5 SANOFI
138 APOL-001 APOLAR CREAM TUBE 30,800.00 1 ACTAVIS
139 APOL-002 APOLAR N CREAM TUBE 35,200.00 1 ACTAVIS
140 APR .01.001 APRON ONE NEW BAG (CELEMEK) BUAH 2,525.60 10 -
141 APRO-002 APROVEL TAB 300 MG TABLET 14,444.73 28 SANOFI
142 AQUA.OB.001 AQUABIDEST 25 ML BUAH 2,860.00 120 BRATACO
143 AQUA.BB.001 AQUADES 1 LT PCS 10,499.50 1 BRATACO
144 AQUA.BB.002 AQUAPACK 340 BOTOL 79,750.00 1 BRATACO
145 ARCA.OK.001 ARCALION 200 TABLET 5,646.66 60 PRAFA
146 ARCO.OK.002 ARCOXIA 90 MG TABLET 15,432.92 30 MERCK
147 ARCO.OK.001 ARCOXIA TAB 60 MG TABLET 9,909.90 30 MERCK
148 ARDI-001 ARDIUM TAB TABLET 7,738.50 60 -
149 ARIX.OK.001 ARIXTRA INJ VIAL 248,950.01 10 GLAXO
150 ARKI.OB.001 ARKINE TABLET 687.50 100 PYRIDAM
151 ARM -001 ARM SLING -L PCS 17,500.00 1 OTSUKA
152 ARM -002 ARM SLING -M PCS 15,840.00 1 OTSUKA
153 ARM -003 ARM SLING -S PCS 17,500.00 1 OTSUKA
154 ARM -004 ARM SLING XL PCS 55,000.00 1 OTSUKA
155 ARSI.OK.001 ARSITAM TABLET 1,210.00 100 MEPROFARM
156 ASAM-001 ASAM MEFENAMAT SUSP 50 MG / 5 ML BOTOL 8,250.00 1 BERNOFARM
157 ASAM-002 ASAM MEFENAMAT TAB 500 MG TABLET 253.00 100 BERNOFARM
158 ASAM-003 ASAM TRANEKSAMAT INJ 250 MG AMPUL 3,850.00 10 BERNOFARM
159 ASAM-004 ASAM TRANEKSAMAT INJ 500 MG VIAL 3,753.75 10 GENERIK KF
RS MITRA MEDIKA
160 ASAM-005 ASAM TRANEKSAMAT TAB 500 MG TABLET 1,862.50 100 BERNOFARM
161 ASAM.AH.001 ASAM VALPROAT 250/5 SYR FLES 46,200.00 1 DEXA
162 ASCA-001 ASCARDIA TAB 160 MG TABLET 1,050.50 100 PHAROS IND
163 ASCA-002 ASCARDIA TAB 80 MG TABLET 907.50 100 PHAROS IND
164 ASEP.OC.001 ASEPTIC GEL 30 ML PCS 15,001.80 1 BRATACO
165 ASEP.AH.002 ASEPTIC GEL 5 LT GALON 269,500.00 1 BRATACO
166 ASEP.AH.001 ASEPTIC GEL 500 ML BOTOL 22,000.00 1 BRATACO
167 ASER-001 ASERING INF 500 ML OTSUKA BOTOL 9,645.90 24 OTSUKA
168 ASPA-001 ASPAR K TAB TABLET 2,473.90 100 TANABE
169 ASPI-001 ASPILETS TAB TABLET 110.00 100 MEDIFARM
170 ASPI.OK.001 ASPIRIN 500 TAB TABLET 700.00 100 BAYER
171 AST .38.001 ASTAR C KAP TABLET 6,600.00 30 -
172 ASTA.OK.001 ASTATIN TABLET 6,930.00 20 NOVELL
173 ASTH-001 ASTHIN FORCE 6 MG KAPSUL 9,350.00 18 SOHO
174 ASTH-002 ASTHIN FORCE GEL 30 GR TUBE 55,000.00 1 SOHO
175 ASTH-003 ASTHIN FORCE SYR 60 ML BOTOL 39,600.00 1 SOHO
176 ATAR.OP.001 ATARAX 0,5 TABLET 1,430.00 100 MERSI
177 ATAR-002 ATAROC SYR BOTOL 37,950.00 1 NOVELL
178 ATAR-003 ATAROC TAB 25 MG TABLET 1,505.90 100 NOVELL
179 ATIV.OP.001 ATIVAN 1MG TABLET 5,262.00 1 SUNTHI S
180 ATOR-001 ATORSAN 10 TAB TABLET 11,000.00 30 SAWAH BESAR
181 ATOR.OB.001 ATORVASTATIN 20 MG TABLET 2,167.00 30 HEXPHARM
182 ATRA.OK.001 ATRACURIUM HAMELIN AMPUL 75,900.00 5 GLAXO
183 ATRO-001 ATROPIN 0,25 INJ AMPUL 1,595.00 100 ETHICA
184 ATS .OK.001 ATS 1500 INJ AMPUL 165,000.00 1 INDOFARMA
185 AUTO.AH.003 AUTOCLAVE TAPE STEAM 3/4 ROL 192,500.00 1 -
186 AVAM.OB.001 AVAMYS NASAL SPRAY BOTOL 128,184.10 1 GLAXO
187 AVOD.OK.001 AVODART 0.5 MG KAPSUL 7,750.02 30 GLAXO
188 AXA .20.001 AXAMED LICAPS KAPSUL 7,315.00 30 -
189 AZA .39.001 AZA 20 CR 10 GR TUBE 40,150.00 1 -
190 AZIT.OB.001 AZITHROMYCIN 500 MG INF VIAL 126,500.00 1 BERNOFARM
191 AZIT-002 AZITHROMYCIN SYR 30ML BOTOL 161,370.00 1 BERNOFARM
192 AZIT-003 AZITHROMYCIN TAB 500 MG TABLET 1,777.99 20 KIMIA F
193 B BE.OK.001 B BETA TABLET 6,461.40 1 FERRON
194 BABY.OB.001 BABY CAUGH SYR BOTOL 3,499.10 1 -
195 BAC .01.001 BACTERIAL HME FILTER PCS 50,074.00 1 -
196 BAC .38.001 BACTIROM INJ VIAL 302,830.00 1 SANBE
197 BACT-001 BACTROBAN CR 10 GR TUBE 59,400.00 1 GLAXO
198 BACT.OK.001 BACTROBAN CR 5 GR TUBE 38,500.00 1 GLAXO
199 BALP.OB.005 BALPIRIK EXTRA HIJAU BOX 5,283.30 1 -
200 BALP.OB.004 BALPIRIK EXTRA KUAT BIRU BOX 5,283.30 1 -
201 BALP.OB.001 BALPIRIK JASMINE BOX 5,596.80 1 -
202 BALP.OB.002 BALPIRIK LAVENDER BOX 5,391.10 1 -
203 BALP.OB.003 BALPIRIK ROSE BOX 6,050.00 1 -
204 BALS.OB.001 BALSEM GELIGA 10GR BOX 3,666.66 12 -
205 BALS.OB.002 BALSEM GELIGA 20GR BOX 7,058.33 12 -
206 BALS.OB.005 BALSEM GELIGA 40 GR TUBE 12,787.50 1 -
207 BALS.OB.003 BALSEM LANG 10GR BOX 3,483.34 12 -
208 BALS.OB.004 BALSEM LANG 20GR BOX 6,655.00 12 -
209 BANI.OB.001 BANITORE L2 BAG 12,999.80 1 -
210 BANI.OB.002 BANITORE L8 BAG 52,000.30 1 -
211 BANI.OB.003 BANITORE M2 BAG 11,000.00 1 -
212 BANI.OB.004 BANITORE M8 BAG 52,000.30 1 -
RS MITRA MEDIKA
213 BAQU-001 BAQUINOR FORTE CAP 500 MG TABLET 14,206.50 20 SANBE

214 BAQU.OK.001 BAQUINOR INFUS FLES 242,550.00 1 SANBE
215 BAQU.OK.002 BAQUINOR TM BOTOL 32,392.80 1 SANBE
216 BATU-002 BATUGIN ELIXIR SYR 300 ML BOTOL 24,905.10 1 KIMIA F
217 BAS .96.001 BAZAGLAR KWIKPEN PCS 170,209.82 5 -
218 BEB .04.004 BEBELOVE 1 HIQEQ 200 G BOX 25,000.00 1 -
219 BEB .04.001 BEBELOVE 1 NN NUTRI + 200 SP BOX 25,000.00 1 -
220 BEB .29.001 BEBELOVE FL 400 GR DH BOX 80,196.00 1 -
221 BEB .04.002 BEBELOVE GOLD 1 160 G BUAH 23,000.00 1 -
222 BEB .04.005 BEBELOVE GOLD 1 360 GR BOX 68,498.00 1 -
223 BEB .04.003 BEBELOVE GOLD 2 360 GR BUAH 68,498.00 1 -
224 BECL.OK.001 BECLOV INJ VIAL 34,690.70 1 SANBE
225 BECO-001 BECOM C TABLET 1,391.50 100 SANBE
226 BECO-002 BECOM ZET TABLET 1,853.50 100 SANBE
227 BECO-003 BECOMBION FORTE TAB TABLET 850.00 100 MERCK
228 BECO-004 BECOMBION SYR 110 ML BOTOL 22,628.10 1 MERCK
229 BEDA.OB.002 BEDAK HEROCYN 150 FLES 13,750.00 1 CORONET
230 BEDA.OB.001 BEDAK HEROCYN 85 FLES 9,900.00 1 CORONET
231 BENO.OK.001 BENODON VIAL 10,606.06 10 -
232 BENO-002 BENOSON CREAM 15 GR TUBE 32,652.40 1 BERNOFARM
233 BENO-003 BENOSON CREAM 5 GR TUBE 15,305.40 1 BERNOFARM
234 BENO-004 BENOSON N CREAM 15 GR TUBE 24,200.00 1 BERNOFARM
235 BENO-005 BENOSON N CREAM 5 GR TUBE 18,877.10 1 BERNOFARM
236 BENU.OK.001 BENUTRION VE FLES 113,520.00 1 SANBE
237 BERO-001 BEROTEC 0.1 MG MDI PCS 80,000.00 1 BOEHRINGER
238 BERO-002 BEROTEC SOL BOTOL 198,800.00 1 BOEHRINGER
239 BETA.OK.002 BETA ONE 2,5 MG TABLET 2,376.00 50 KALBE
240 BETA.AH.001 BETADIN OINT 10 GR TUBE 15,000.01 1 -
241 BETA-006 BETADINE FEM HYGINE 60 ML BOTOL 21,340.00 1 MBF
242 BETA-007 BETADINE GARGLE 100 ML BOTOL 12,133.00 1 MBF
243 BETA-008 BETADINE GARGLE 190 ML BOTOL 18,590.00 1 MBF
244 BETA-009 BETADINE OINT 5 GR TUBE 8,288.50 1 MBF
245 BETA-010 BETADINE PLESTER LEMBAR 2,000.00 1 MBF
246 BETA-011 BETADINE PLESTER JUNIOR LEMBAR 240.90 300 MBF
247 BETA-012 BETADINE PLESTER JUNIOR AMPLOP LEMBAR 205.34 300 MBF
248 BETA-013 BETADINE SKIN CLEANS 60 ML BOTOL 18,700.00 1 MBF
249 BETA.AH.002 BETADINE SOL 1 LT GALON 192,500.00 1 MBF
250 K0923 BETADINE SOL 15 ML BOTOL 9,350.00 1 KIMIA F
251 BETA-016 BETADINE SOL 30 ML BOTOL 18,150.00 1 MBF
254 BETA-019 BETADINE VD 100 ML BOTOL 37,400.00 1 MBF
255 BETA-020 BETADINE VD 225 ML BOTOL 70,400.00 1 MBF
256 BETA-021 BETAHISTINE 6 MG PCS 412.50 50 GENERIK INDOFARMA
257 BETA.OK.003 BETAMETHASONE CR TUBE 2,600.65 1 GENERIK KF
258 BETA-025 BETASON CR TUBE 6,930.00 1 KIMIA F
259 BETA.OB.002 BETASONE N CR 5 GR TUBE 13,475.00 1 KIMIA F
260 BEVI-001 BEVIZIL TAB TABLET 1,243.00 100 SANBE
261 BEXI.OB.001 BEXICOM Z TABLET 2,325.00 100 -
262 BIO -002 BIO CURLIV TABLET 7,150.00 30 SOHO
263 BIOB.OK.001 BIOBRAN TABLET 11,550.00 30 FERRON
264 BIOC-001 BIOCAL 95 TAB PCS 3,300.00 30 -
265 BIOC-002 BIOCEF INJ 1 GR AMPUL 154,000.00 1 OTTO
RS MITRA MEDIKA
266 BIO .96.001 BIOCOMBIN 5000 INJ AMPUL 5,500.00 10 MEPRO

267 BIOC.OK.003 BIOCURKEM 1000 TABLET 11,733.33 30 ETHICA
268 BIOC.OK.002 BIOCURLAM TABLET 6,463.60 20 ETHICA
269 BIOC-005 BIOCURLIV TAB TABLET 6,000.00 30 SOHO
270 BIOD-001 BIODIAR TAB TABLET 1,359.60 50 SAWAH BESAR
271 BIOG-001 BIOGESIC TAB TABLET 315.70 100 MEDIFARM
272 BIOL-003 BIOLYSIN SYP 60 ML BOTOL 8,800.00 1 PRODFAR
273 BIOL-004 BIOLYSIN SYR 100 ML BOTOL 14,520.00 1 PRODFAR
274 BION.OK.001 BIONECT GAUZE PADS TUBE 18,755.00 10 COMBIPHAR
275 BIOP-001 BIOPLACENTON GEL 15 GR TUBE 14,208.34 1 KALBE F
276 BIOS-001 BIOSANBE TAB CAPLET 921.80 100 SANBE
277 BIOS-002 BIOSTRUM SYR BOTOL 38,500.00 1 LAPI
278 BIOT-002 BIOTHICOL CAPS 500 MG CAPLET 3,817.00 100 SANBE
279 BIOT-003 BIOTHICOL FORTE SYR BOTOL 60,500.00 1 SANBE
280 BIOT-004 BIOTHICOL SYR 60 ML BOTOL 21,340.00 1 SANBE
281 BIOV.OB.001 BIOVISION KIDS SYR FLES 27,830.00 1 INDOFARMA
282 BIOX.OK.001 BIOXON INJ VIAL 220,000.00 1 OTTO
283 BIOZ.OK.001 BIOZIM INJ VIAL 192,500.00 1 OTTO
284 BISO-002 BISOLVON BATUK & FLU 60 ML BOTOL 34,650.00 1 BOEHRINGER ING
285 BISO-003 BISOLVON DROPS BOTOL 53,790.00 1 BOEHRINGER ING
286 BISO-004 BISOLVON ELIXIR 60 ML BOTOL 29,480.00 1 BOEHRINGER ING
287 BISO-005 BISOLVON EXTRA SYR 120 ML BOTOL 49,500.00 1 BOEHRINGER
288 BISO-006 BISOLVON EXTRA SYR 60 ML BOTOL 33,110.00 1 BOEHRINGER ING
289 BISO-007 BISOLVON INJ 4 MG/2 ML VIAL 58,234.00 10 BOEHRINGER ING
290 BISO-008 BISOLVON KIDS 4 MG / 5 ML SYR BOTOL 29,480.00 1 BOEHRINGER ING
291 BISO-009 BISOLVON SOL 50 ML BOTOL 77,983.00 1 BOEHRINGER ING
292 BISO-010 BISOLVON TAB TABLET 1,818.30 100 BOEHRINGER ING
293 BISO-011 BISOPROLOL TAB TABLET 1,160.83 50 GENERIK DEXA MEDICA
294 BLED.OK.001 BLEDSTOP TAB TABLET 577.50 100 SANBE
295 BLEO.OK.001 BLEOCIN INJ VIAL 475,000.00 1 KALBE
296 BLES.OK.002 BLESIFEN TABLET 12,853.50 20 CAPRI
297 BLOO.AH.002 BLOOD LANCET PCS 150.00 100 -
298 BLOO-005 BLOOD SET TERUMO SET 22,000.00 50 TERUMO
299 BLOP-001 BLOPRESS 8 MG TABLET 12,005.40 14 TAKEDA
300 BLOP-002 BLOPRESS PLUS TAB 16 MG TABLET 15,967.93 14 TAKEDA
301 BLOP-003 BLOPRESS TAB 16 MG TABLET 16,443.33 14 TAKEDA
302 BMT .04.001 BMT P-HP 400 GR BOX 137,093.00 1 KALBE
303 BMT .04.004 BMT PLAT MORICARE 400 GR KALENG 130,000.20 1 KALBE
304 BMT .04.002 BMT REGULAR 400 GR BOX 82,342.70 1 KALBE
305 BMT .04.003 BMT SOYA 300 GR BOX 85,470.00 1 KALBE
306 BREA-001 BNS BREATHY NASAL DROPS BOTOL 41,250.00 1 GLAXO
307 BNS .OB.001 BNS BREATHY NASAL SPRAY TUBE 88,000.00 1 NOVELL
308 BOND-001 BONDRONAT INJ 6 MG VIAL 3,047,091.00 1 ROCHE
309 BONV.OK.002 BONVIVA IV INJ VIAL 1,313,915.00 1 ROCHE
310 BORA-001 BORAX GLICERIN SOL 8 ML BOTOL 2,217.60 1 -
311 BORR.OK.001 BORRAGINOL N OINT TUBE 71,445.00 1 TAKEDA
312 BORA.OB.001 BORRAGINOL N SUPP PCS 9,759.75 10 TAKEDA
313 BORR-003 BORRAGINOL S OINT TUBE 96,195.00 1 TAKEDA
314 BORR-004 BORRAGINOL S SUPP SUPOSITORIA 11,716.65 10 TAKEDA
315 BOTO.AH.001 BOTOL KOSONG ONEMED PCS 2,000.00 1 -
316 BRAI.OK.001 BRAINACT 1000 INJ AMPUL 114,400.00 5 KALBE
317 BRAI.OK.007 BRAINACT 1000 TAB TABLET 20,166.66 30 KALBE F
RS MITRA MEDIKA

320 BRAI.OK.005 BRAINACT 500 TAB TABLET 13,200.00 30 KALBE
321 BRAI.OK.004 BRAINACT O-DIS 500 TABLET 13,420.00 30 KALBE
322 BRAX-001 BRAXIDIN TAB TABLET 1,127.50 100 SANBE
323 BRIC-001 BRICASMA INJ. VIAL 18,241.30 5 DARYA
324 BRIC-002 BRICASMA TAB TABLET 3,146.00 100 DARYA
325 BRIL.OK.001 BRILINTA 90 MG TABLET 7,499.07 56 ASTRA ZENECA
326 BRM .OJ.001 BRM KAPSUL 7,058.34 60 BIO LIFE
327 BROA.OK.001 BROADCED 1 GR INJ VIAL 214,500.00 1 KALBE
328 BUCA-001 BUCAIN INJ. VIAL 60,500.00 5 BIOFARMA
329 BUFE.OK.001 BUFECT FORTE SYR FLES 22,000.00 1 SANBE
330 BUFE.OB.001 BUFECT SYR BOTOL 15,180.00 1 SANBE
331 BUPI-015 BUPIVACAINE SPINAL 5 MG/ML INJ VIAL 24,200.00 5 GENERIK BERNOFARM
332 BURN.OK.001 BURNAZIN CREAM 35 GR TUBE 56,045.00 1 DARYA
333 BURN-001 BURNAZIN PLUS CREAM 25 GR TUBE 110,000.00 1 DARYA
334 BUSC-001 BUSCOPAN INJ 20 ML VIAL 34,243.00 10 BOEHRINGER ING
335 BUSC-002 BUSCOPAN PLUS TAB TABLET 4,232.80 100 BOEHRINGER ING
336 BUSC-003 BUSCOPAN TAB TABLET 3,091.00 100 BOEHRINGER ING
337 BUVA-001 BUVANEST 0.5% 20 ML VIAL 61,600.00 5 FAHRENHEIT
338 BYE -001 BYE BYE FEVER FOR BABY'S LEMBAR 5,560.50 10 -
339 BYE -002 BYE BYE FEVER FOR CHILDREN LEMBAR 8,778.00 5 -
340 CA G-001 CA GLUCONAS INJ VIAL 10,351.00 24 ETHICA
341 CADU.OK.002 CADUET 10/10 TABLET 8,600.00 30 PFIZER
344 CAE .01.001 CAESAR KIT (VICRYL*MONOCRYL) SACHET 115,500.00 6 -
345 CAFE-001 CAFERGOT TAB TABLET 8,164.20 100 -
346 CAFF-001 CAFFEIN GRAM 396.00 1,000 KIMIA F
347 CAL .OK.001 CAL 95 TABLET 5,280.00 30 LAPI
348 CALA-001 CALADINE LOTION 60ML BOTOL 13,051.50 1 -
349 CALA-002 CALADINE LOTION 95ML BOTOL 15,391.20 1 -
350 CALA-003 CALADINE POWDER 100GR BOTOL 11,330.00 1 -
351 CALA-004 CALADINE POWDER 60GR BOTOL 8,580.00 1 -
352 CALC-001 CALCIDIN TAB TABLET 605.00 100 OTTO
353 CALC.OB.002 CALCIUM AD TAB TABLET 418.00 100 CONMED
354 CALC-004 CALCIUM LACT TAB TABLET 55.00 1,000 KIMIA F
355 CALD.OB.001 CALDECE TAB BOX 27,500.00 1 SANBE
356 CAL .38.001 CALGAE TABLET 5,170.00 30 FAHRENHEIT
357 CALO.OK.001 CALORTUSIN TAB TABLET 287.50 100 PRAFA
358 CAN .38.002 CANDEPRESS 16 MG TABLET 9,350.00 30 BERNOFARM
359 CAN .38.001 CANDEPRESS 8 MG TABLET 7,150.00 30 BERNOFARM
360 CAND.OK.004 CANDERIN 16 TABLET 9,900.00 30 DEXA
361 CAND.OK.003 CANDERIN 8 TABLET 7,150.00 30 DEXA
362 CAND.OK.001 CANDESARTAN 16 MG TABLET 898.04 30 DEXA
363 CAND.OK.005 CANDESARTAN 8 MG TABLET 518.76 30 DEXA
364 CAND-006 CANDISTIN DROPS BOTOL 44,875.97 1 PHAPROS
365 CAND.OK.007 CANDOTENS 16 MG TABLET 8,250.00 10 NOVELL
366 CAND.OK.006 CANDOTENS 8 MG TABLET 5,060.00 10 NOVELL
367 CANE.OK.002 CANERGY TABLET 7,590.00 15 MEPRO
368 CAPR.OK.001 CAPRENEM VIAL 275,880.00 1 CAPRI
369 CAPR.OK.006 CAPROLIV TAB TABLET 4,955.50 100 -
370 CAPS.OK.001 CAPSINAT INJ VIAL 78,925.00 6 SANBE
371 CAPS-005 CAPSUL NO. 1 BUTIR 26.00 1,000 KIMIA F
RS MITRA MEDIKA
372 CAPT-001 CAPTOPRIL TAB 12,5 MG TABLET 90.00 100 GENERIK KF

373 CAPT-002 CAPTOPRIL TAB 25 MG TABLET 75.00 100 KIMIA F
374 CAPT-003 CAPTOPRIL TAB 50 MG TABLET 235.16 100 GENERIK KF
375 CAR .OK.001 CAR Q 100 TABLET 10,450.00 30 KALBE
376 CARB-001 CARBAMAZEPIN TAB TABLET 400.00 100 GENERIK INDOFARMA
377 CARB-002 CARBO GLYCERIN BOTOL 18,150.00 1 -
378 CAR .97.001 CARBOPLATIN 450 MG INJ VIAL 462,000.00 1 KALBE
379 CARD.OK.001 CARDACE 2,5 TABLET 5,402.79 60 AVENTIS
380 CARD.OK.002 CARDIO ASPIRIN TABLET 1,431.83 30 BAYER
381 CARD-003 CARDIOMIN CAPS TABLET 2,363.90 20 KALBE F
382 CARD-005 CARDISAN TAB 10MG (AMLODIPINE) TABLET 9,629.40 30 SANBE
383 CARD.OK.004 CARDISMO TABLET 2,713.43 100 PHAPROS
384 CAR .39.002 CARMED CR 10 % 40 GR TUBE 28,930.00 1 -
385 CAR .39.001 CARMED CR 20% 5 GR TUBE 37,235.00 1 -
386 CART.OK.002 CARTOGEN TAB TABLET 8,470.00 30 -
387 CATA-002 CATAFLAM TAB 25 MG TABLET 2,607.00 50 NOVARTIS
388 CATA-003 CATAFLAM TAB 50 MG TABLET 5,772.45 50 NOVARTIS
389 CATA-006 CATAPRES INJ. 150 MG VIAL 52,960.50 10 BOEHRINGER ING
390 CATA.OK.003 CATAPRES TAB 150 MCG TABLET 5,248.80 100 BOEHRINGER
391 CATA-008 CATAPRES TAB 75 MG TABLET 3,620.32 100 BOEHRINGER ING
392 CATG.AH.002 CATGUT CHROMIC 1 HR 37 75 CM PCS 63,360.00 1 BRAUN
393 CATG.AH.012 CATGUT CHROMIC 1 ROL 75 M ROL 18,112.16 75 B.BRAUN
394 CATG.AH.013 CATGUT CHROMIC 2 ROL 50 M ROL 24,640.00 50 B.BRAUN
395 CATG-006 CATGUT CHROMIC 2/0 HR 26 75 CM PCS 61,545.00 1 B.BRAUN
396 CATG-009 CATGUT CHROMIC 2/0 HSRG 38 PCS 60,500.00 1 ASSISTENT
397 CATG.AH.001 CATGUT CHROMIC 3/0 HR 26 75 CM PCS 73,700.00 1 B.BRAUN
398 CATG-013 CATGUT CHROMIC 3/0 ROLL CM 13,250.00 100 B.BRAUN
399 CAT .01.004 CATGUT CHROMIC 4/0 ROL ROL 16,390.00 100 -
(BIODYNAMIC)
400 CATG.AH.003 CATGUT PLAIN 0 HR 43 PCS 62,337.00 1 BRAUN
401 CATG-016 CATGUT PLAIN 1 HR 43 PCS 77,000.00 1 B.BRAUN
402 CATG.AH.011 CATGUT PLAIN 1 ROL (LYOFIL) ROL 18,112.16 75 -
403 CAT .01.001 CATGUT PLAIN 2/0 +1/2 GT ONEMED PCS 8,616.66 24 -
404 CATG-018 CATGUT PLAIN 2/0 HR 26 B BRAUN PCS 55,369.60 1 B.BRAUN
405 CAT .01.002 CATGUT PLAIN 2/0 ROL (LYOFIL) ROL 13,700.01 100 -
406 CATG-019 CATGUT PLAIN 3/0 DS 24 SMI 75 CM PCS 53,324.70 1 B.BRAUN
407 CATG-020 CATGUT PLAIN 3/0 ROL (LYOFIL) MTR 16,665.00 100 B.BRAUN
408 CAT .01.003 CATGUT PLAIN 4/0 ROL (LYOFIL ) ROL 16,390.00 100 -
409 CATG-022 CATGUT PLAIN 4/0 TS19 PCS 48,000.70 1 B.BRAUN
410 CATG-023 CATGUT PLAIN 5/0 TS15 PCS 28,000.01 1 B.BRAUN
411 CATH.AH.002 CATHEJELL PCS 55,330.00 10 -
412 CAVI.OK.001 CAVIDA TABLET 2,000.00 60 SOHO
413 CAVI-002 CAVIT D3 TAB TABLET 2,064.18 100 BAYER
414 CDR -001 CDR EFF 10 TUBE 35,791.80 1 BAYER
415 CEBA.OK.002 CEBACTAM INJ 1 GR VIAL 187,000.00 1 LAPI
416 CECY.OK.001 CECYL TABLET TABLET 3,080.00 50 MEPROFARM
417 CEDA-003 CEDANTRON INJ. 4 MG AMPUL 27,500.00 5 SOHO
418 CEDA-004 CEDANTRON TAB 8 MG TABLET 18,150.00 10 SOHO
419 CEDO-001 CEDOCARD 5 MG TAB TABLET 1,136.66 60 DARYA
420 CEDO-002 CEDOCARD I.V INJ 10 ML AMPUL 82,500.00 10 DARYA
421 CEDO-003 CEDOCARD TAB 10 MG TABLET 1,937.00 60 DARYA
422 CEFA-002 CEFADROXIL 125 MG/5 ML SYR BOTOL 8,191.70 1 GENERIK HEXPHARM
423 CEFA-004 CEFADROXIL CAP 500 MG KAPSUL 840.00 100 INDOFARMA
RS MITRA MEDIKA
424 CEFA-006 CEFAT FORTE SYR BOTOL 77,550.00 1 SANBE

425 CEFA-007 CEFAT KAPS 250 MG KAPSUL 4,856.50 100 SANBE
426 CEFA-008 CEFAT KAPS 500 MG KAPSUL 10,884.50 100 SANBE
427 CEFA-009 CEFAT SYR 125 MG / 5ML BOTOL 44,770.00 1 SANBE
428 CEF .97.002 CEFAZOLIN 1 GR INJ VIAL 11,737.32 1 DEXA M
429 CEFE.OK.001 CEFEPIME INJ VIAL 25,025.00 1 DARYA
430 CEFI-001 CEFILA 100 MG CAPLET 21,450.00 30 LAPI
431 CEFI.OK.003 CEFILA 200 CAP KAPSUL 33,000.00 10 LAPI
432 CEFI-003 CEFILA SYRUP BOTOL 91,300.00 1 LAPI
433 CEFI-004 CEFILA TAB 200 MG CAPLET 22,000.00 10 LAPI
434 CEFI.OK.001 CEFIM INJ VIAL 203,500.00 1 LAPI
435 CEFI-007 CEFINOV INJ VIAL 220,000.00 1 NOVELL
436 CEFI.OB.001 CEFIXIME DS 60 ML BOTOL 25,712.50 1 DEXA
437 CEFI.GN.002 CEFIXIME KAPS 100 MG TABLET 1,676.21 50 HEXPHARM
438 CEFI.GN.001 CEFIXIME KAPS 200 MG TABLET 2,369.76 50 DEXA
439 CEFO-004 CEFOBACTAM INJ BOX 210,540.00 1 SANBE
440 CEFO.OK.001 CEFOPERAZONE SULBACTAM INJ VIAL 20,700.00 1 GENERIK HEXPHARM
441 CEFO-005 CEFOTAXIM VIAL 1 GR VIAL 4,898.12 2 DEXA
442 CEFS.OK.002 CEFSPAN 100 MG TABLET 22,550.00 30 KALBE
443 CEFS.OK.001 CEFSPAN 200 MG KAPSUL 35,200.00 10 KALBE
444 CEFT.GN.001 CEFTAZIDIME INJ VIAL 12,791.55 2 GENERIK NOVELL
445 CEF .97.001 CEFTIZOXIME 1 GR INJ VIAL 93,500.00 2 NOVELL
446 CEFT-005 CEFTRIAXONE VIAL 1 GR VIAL 5,156.38 2 DEXA
447 CEFX.OK.001 CEFXON GEN AMPUL 83,600.00 1 LAPI
448 CEFX-002 CEFXON INJ. 1 GR VIAL 231,000.00 1 LAPI
449 CEL .01.002 CELANA KHITAN M PCS 40,150.00 1 -
450 CEL .01.001 CELANA KHITAN S PCS 40,150.00 1 -
451 CELE-001 CELEBREX KAPS 100 MG KAPSUL 10,679.82 30 PFIZER
452 CELE-002 CELEBREX KAPS 200 MG KAPSUL 15,019.54 30 PFIZER
453 CELE-003 CELESTAMINE SYR 30 ML BOTOL 25,583.80 1 SCHERING P
454 CELE-004 CELESTAMINE SYR 60 ML BOTOL 48,126.10 1 SCHERING P
455 CELE-005 CELESTAMINE TAB TABLET 2,565.56 30 SCHERING P
456 CEL .38.001 CELLCEPT 500 MG TABLET 25,224.40 50 MERCK
457 CEND-001 CENDO CARPINE 2 % BOTOL 20,900.00 1 CENDO
458 CEND-002 CENDO CENFRES MINI DOS ( MD ) BOTOL 29,150.00 1 CENDO
459 CEND.OK.004 CENDO DEXATON ED FLES 22,500.00 1 CENDO
460 CEND-004 CENDO FENICOL 0,25% EYE DROPS BOTOL 20,267.50 1 CENDO
461 CEND-005 CENDO FENICOL 0,5% EYE DROPS BOTOL 28,435.00 1 CENDO
462 CEND-006 CENDO FENICOL 1% EYE DROPS BOTOL 28,325.00 1 CENDO
463 CEND-007 CENDO FENICOL EYE OINT TUBE 18,425.00 1 CENDO
464 CEND-008 CENDO GENTA 0.3% ED BOTOL 31,212.50 1 CENDO
465 CEND.OK.001 CENDO GENTAMICIN EYE OINT TUBE 40,012.50 1 CENDO
466 CEND.OK.002 CENDO GENTAMYCIN SK TUBE 30,000.00 1 CENDO
467 CEND.OK.003 CENDO LFX FLES 76,175.00 1 CENDO
468 CEND-012 CENDO LYTERS 15 CC BOTOL 24,750.00 1 CENDO
469 CEND-013 CENDO MYCOS 5ML BOTOL 21,862.01 1 CENDO
470 CEND-014 CENDO MYCOS EYE OINT 3.5 GR TUBE 22,137.50 1 CENDO
471 CEN .11.002 CENDO MYDRIATIL 1 % 0.6 ML MD FLES 32,312.50 1 CENDO
472 CEN .39.001 CENDO PANTOCAIN 2 % 5 ML FLES 14,575.00 1 CENDO
473 CEND-015 CENDO STATROL EYE DROPS BOTOL 20,075.00 1 CENDO
474 CD T.OK.001 CENDO TIMOL 0,5% BOTOL 52,525.00 1 CENDO
475 CEN .11.001 CENDO TROPIN 1 % 5 ML FLES 13,750.00 1 CENDO
476 CEN .11.003 CENDO ULCORI 0.6 ML MINIDOSE FLES 21,587.50 1 CENDO
RS MITRA MEDIKA
477 CEND-017 CENDO XITROL 0.6 MINIDOSE STRIP 26,812.50 1 CENDO

478 CEND-018 CENDO XITROL EYE DROPS 5 ML BOTOL 29,975.00 1 CENDO
479 CEND-019 CENDO XITROL EYE OINT TUBE 39,462.50 1 CENDO
480 CEPE.OK.001 CEPEZET INJ AMPUL 7,150.00 10 MERSI
481 CEP .97.001 CEPHAFLOX INJ VIAL 231,000.00 1 GUARDIAN
482 CEP .97.002 CEPRAZ 1 GR INJ VIAL 154,000.00 1 LAPI
483 CERI.OK.001 CERINI SYR FLES 41,580.00 1 SANBE
484 CERI-002 CERINI TAB TABLET 3,586.00 20 SANBE
485 CERN.OK.001 CERNEVIT INJ VIAL 190,300.00 10 KALBE
486 CERT-001 CERTOFIX DUO V720 PCS 550,000.00 1 B.BRAUN
487 CER .01.001 CERVICAL COLLAR NF-N1/SR-N1 PCS 114,000.00 1 -
(SERENITY)
488 CET .96.001 CETADOP INJ (DOPAMIN) AMPUL 6,160.00 5 ETHICA
489 CETA-001 CETAFLOXO CAP 500 MG TABLET 12,650.00 20 SOHO
490 CETA-002 CETAFLOXO INF BOTOL 165,000.00 1 SOHO
491 CETI-002 CETIRIZIN SYR 60ML BOTOL 10,440.10 1 INDOFARMA
492 CETI-003 CETIRIZINE DROP BOTOL 27,500.00 1 INDOFARMA
493 CETI-004 CETIRIZINE TAB 10 MG TABLET 462.00 50 INDOFARMA
494 CHA .20.001 CHANNA KAP KAPSUL 6,655.00 30 -
495 CHA .04.001 CHANNA SACHET SACHET 66,550.00 3 -
496 CHAR.OB.003 CHARM EXT MAX NON WING BAG 3,500.00 1 -
497 CHAR.OB.007 CHARM EXT MAX WING SACH BAG 700.00 1 -
498 CHLO-001 CHLORAMEX CAP CAPLET 1,815.00 100 ACTAVIS
499 CHLO-003 CHLORAMPHECORT CREAM TUBE 12,210.00 1 KIMIA F
500 CHLO-004 CHLORAMPHECORT H CREAM TUBE 8,690.00 1 KIMIA F
501 CHLO-005 CHLORAMPHENICOL 1 % SALF MATA TUBE 1,563.10 1 KIMIA F
502 CHOL-004 CHOLVASTATIN TAB TABLET 8,910.00 30 SANBE
503 CIFL-001 CIFLON TABLET TABLET 8,470.00 30 LAPI
504 CIFL.OK.001 CIFLOS TABLET 13,860.00 20 GUARDIAN
505 CILO-001 CILOSTAZOL TAB 100 MG TABLET 10,450.00 100 BERNOFARM
506 CIME-001 CIMETIDINE TAB 200 MG TABLET 137.89 100 KIMIA F
507 CINA.OK.001 CINAM INJ VIAL 145,750.00 1 SANBE
508 CIN .97.001 CINAM INJ JKN VIAL 65,995.60 1 SANBE
509 CINO.OK.002 CINOLON CR TUBE 17,160.00 1 SANBE
510 CINO.OK.001 CINOLON N CR TUBE 19,250.00 1 SANBE
511 CINU-001 CINULA TAB TABLET 4,400.00 30 SOHO
512 CIP .97.001 CIPRAZOL INJ VIAL 31,350.00 1 -
513 CIPR-001 CIPROFLOXACIN INF BOTOL 13,999.15 1 BERNOFARM
514 CIPR-002 CIPROFLOXACIN KAPS 500 MG KAPSUL 320.00 100 INDOFARMA
515 CISA.GN.001 CISAPRIDE 5 MG TAB TABLET 755.76 100 DEXA
516 CISP.OK.001 CISPLATIN 10MG GEN VIAL 29,700.00 1 GENERIK HEXPHARM
517 CISP.OK.002 CISPLATIN 50MG GEN VIAL 126,500.00 1 GENERIK HEXPHARM
518 CITI.GN.001 CITICOLIN 250 MG / 2 ML INJ AMPUL 8,250.00 10 BERNOFARM
519 CITI-002 CITICOLIN 500 MG / 4 ML INJ AMPUL 14,157.44 1 DEXA
520 CITI.OK.001 CITICOLINE 1000MG TAB TABLET 14,520.00 30 BERNOFARM
521 CITI-004 CITICOLINE 500 MG TAB TABLET 5,338.66 30 BERNOFARM
522 CITR-001 CITROSOL ( MISOPROSTOL) TAB TABLET 7,700.00 30 OTTO
523 CIVE-001 CIVELL TAB 500MG (CIPROFLOXACIN ) TABLET 8,800.00 30 NOVELL
524 CLAM.OK.001 CLAMIXIN FORTE SYR BOTOL 84,700.00 1 OTTO
525 CLAM.OK.002 CLAMIXIN SYR BOTOL 54,450.00 1 OTTO
526 CLAM.OK.003 CLAMIXIN TAB TABLET 11,495.00 0 OTTO
527 CLAN-004 CLANEKSI CAP 500 MG CAPLET 12,606.00 30 SANBE
528 CLAN-005 CLANEKSI FORTE SYR 60 ML BOTOL 71,885.00 1 SANBE
RS MITRA MEDIKA
529 CLAN-006 CLANEKSI SYR 60 ML BOTOL 55,550.00 1 SANBE

530 CLAR-001 CLARINASE TABLET TABLET 5,610.00 30 SCHERING P
531 CLAR-002 CLARITIN SYR 30 ML BOTOL 32,329.00 1 SCHERING P
532 CLAR-003 CLARITIN TABLET TABLET 9,075.00 30 COMBIPHAR
533 CLA .38.001 CLAVAMOX TAB TABLET 13,566.66 30 KALBE
534 CLAX-001 CLAXY TAB 500 MG TABLET 10,363.10 15 NOVELL
535 CLEA.AH.001 CLEANSING ENEMA BOX 22,000.00 1 -
536 CLI .39.001 CLIDACOR 1 GEL TUBE 38,500.00 1 -
537 CLIN-002 CLINDAMYCIN 150 MG KAPSUL 796.40 50 INDOFARMA
538 CLIN-003 CLINDAMYCIN 300 MG KAPSUL 1,375.44 50 INDOFARMA
539 CLIN.OK.004 CLINIMIX FLES 423,500.00 1 KALBE
540 CLIN-007 CLINJOS CAP 300 MG CAPLET 6,897.00 30 MEPRO
541 CLIN-008 CLINMAS CAP 300 MG CAPLET 7,260.00 30 LAPI
542 CLIN.OK.002 CLINOLEIC 20% 250 ML FLES 100,000.00 1 KALBE F
543 CLIN-010 CLINOVIR CREAM TUBE 27,500.00 1 PHAROS IND
544 CLIN-011 CLINOVIR TAB 200 MG TABLET 4,730.00 30 PHAROS IND
545 CLIN-012 CLINOVIR TAB 400 MG TABLET 7,480.00 30 PHAPROS
546 CLOB-001 CLOBAZAM 10 MG TAB TABLET 1,045.00 100 GENERIK DEXA MEDICA
547 CLO .39.001 CLONADERM CR TUBE 10,450.00 1 -
548 CLON-001 CLONIDIN TAB 0.15 MG TABLET 205.00 100 KIMIA F
549 CLOP.OK.001 CLOPIDOGREL 75 MG TABLET 1,317.69 100 HEXPHARM
550 CO A-001 CO AMOXICLAV KAPS 625 MG KAPSUL 5,050.54 30 KALBE F
551 CO I.OK.001 CO IRVELL 300 TABLET 13,200.00 30 NOVELL
552 CODE-002 CODEIN TAB 10 MG TABLET 684.97 100 KALBE F
553 CODE.ON.001 CODEIN TAB 15 MG TABLET 1,133.33 100 KIMIA F
554 CODE-003 CODEIN TAB 20 MG BOTOL 1,623.60 100 KALBE F
555 CODI.ON.003 CODIKAF 10 MG TABLET 866.25 100 KIMIA F
556 CODI.ON.004 CODIKAF 20 MG TABLET 1,716.00 100 KIMIA F
557 CODI-003 CODIPRONT CAP KAPSUL 7,937.60 100 KIMIA F
558 K0938 CODIPRONT CUM EXPECT KAPS KAPSUL 9,548.00 10 KIMIA F
559 CODI.ON.001 CODIPRONT SYR BOTOL 56,265.00 1 KIMIA F
560 CODI.ON.002 CODITAM TABLET 4,510.00 100 KIMIA F
561 COLL.AH.001 COLLACURE 120*40*3MM PCS 495,000.00 1 -
562 COLL.AH.002 COLLACURE 50*50*5MM PCS 70,500.00 1 -
563 COLM.OK.001 COLME EAR DROP BUAH 27,500.00 1 EISAI
564 COLM.OK.002 COLME EYE DROP BOTOL 33,000.00 1 INTERBAT
565 COL .01.001 COLOSTOMY BAG (HOLISTER) PCS 46,200.00 1 -
566 COLO.AH.001 COLOSTOMY BAG 4 PCS 3,080.00 10 -
567 COLS-001 COLSANCETIN SYR 125MG/5ML 60 M BOTOL 9,586.50 1 SANBE
568 COLS.OK.001 COLSANCETINE INJ VIAL 10,175.00 10 SANBE
569 COLS-003 COLSANCETINE TAB 250 MG TABLET 506.00 100 SANBE
570 COL .38.001 COLTIN TAB TABLET 4,125.00 20 GUARDIAN
571 COMA-001 COMAFUSIN HEPAR INF 500 ML BOTOL 231,000.00 1 KALBE F
572 COMB-001 COMBANTRIN SYR JERUK BOTOL 15,400.00 1 PFIZER
573 COMB-002 COMBANTRIN TAB 250 MG STRIP 12,100.00 25 PFIZER
574 COM .01.001 COMBIFIX EXTRA WITH EPISOFT PCS 243,936.00 1 -
575 COMB.OK.001 COMBIVENT NEBUL AMPUL 4,550.00 20 BOEHRINGER
576 COMT.OK.001 COMTUSI FORTE KAPSUL 2,200.00 30 COMBIPHAR
577 COMT-003 COMTUSI SYR 60 ML BOTOL 32,455.00 1 COMBIPHAR
578 CONC.OK.002 CONCOR 1,25 MG TABLET 3,432.00 50 MERCK
579 CORC.OK.001 CONCOR 2.5 TABLET 597.00 100 MERCK
580 CONC-003 CONCOR 5 MG TAB TABLET 7,784.70 100 MERCK
581 COND.AH.002 CONDOM CATH L PCS 4,510.00 1 -
RS MITRA MEDIKA
582 COND.AH.003 CONDOM CATH M PCS 4,510.00 1 -

583 COND.AH.001 CONDOM CATH XL PCS 4,510.00 1 -
584 CON .01.002 CONFIDENCE XL 6 PAK 42,937.50 1 -
585 CORD-001 CORDARONE INJ.150 MG / 3 ML VIAL 38,167.44 6 SANOFI
586 CORD-002 CORDARONE TAB TABLET 6,425.46 30 SANOFI
587 CORO.OB.001 COROBION TABLET 1,375.00 100 CORONET
588 COR .38.001 COROFLOX 500 MG TABLET 14,666.66 30 CORONET
589 CORO.OB.002 COROVIT TABLET 770.00 100 CORONET
590 CORO.OB.003 COROVIT SYR BOTOL 21,450.00 1 CORONET
591 COR .01.003 CORSET STANDART L PCS 250,000.00 1 -
592 COR .01.002 CORSET STANDART M PCS 250,000.00 1 -
593 COR .01.005 CORSET STANDART S PCS 250,000.00 1 -
594 COR .01.001 CORSET STANDART XL PCS 250,000.00 1 -
595 COR .01.004 CORSET STANDART XXL PCS 275,000.00 1 -
596 CORT.OK.002 CORTIDEX INJ TABLET 6,369.00 10 SANBE
597 CORT.OK.001 CORTIDEX TAB TABLET 297.00 100 SANBE
598 COR .38.002 CORVITA TAB TABLET 2,365.00 100 CORONET
599 COTR-002 COTRIMOXAZOLE SYR BOTOL 6,050.00 1 DEXA
600 COTR-003 COTRIMOXAZOLE TAB TABLET 330.41 100 SOHO
601 COVE.OK.003 COVERAM 5/5 TABLET 10,266.66 30 -
602 COX .38.001 COXIRON 60 MG TABLET 6,600.00 30 FERRON
603 CPG .OK.004 CPG 75 MG TABLET 17,966.66 30 KALBE
604 CPZ .GN.001 CPZ GENERIK INJ AMPUL 9,500.00 5 -
605 CRAV-001 CRAVOX 500 INF VIAL 275,000.00 1 LAPI
606 CRAV.OK.001 CRAVOX 750 INF VIAL 352,000.00 1 LAPI
607 CRAV-003 CRAVOX TAB 500 MG TABLET 38,500.00 10 LAPI
608 CRES.OK.001 CRESTOR 10MG TABLET 18,799.98 28 ASTRA ZENECA
609 CRES.OK.002 CRESTOR 20MG TABLET 22,042.15 28 ASTRA ZENECA
610 CRIP.OB.001 CRIPSA TABLET 16,280.00 30 SANBE
611 CROM.OK.002 CROME INJ AMPUL 22,000.00 10 FERRON
612 CROM.OK.001 CROME TAB TABLET 2,200.00 100 FERRON
613 CTM -001 CTM TAB TABLET 50.00 1 KALBE F
614 CURC-001 CURCUMA FCT TAB TABLET 973.50 100 SOHO
615 CURC-002 CURCUMA + DHA SYR 120 ML BOTOL 14,850.00 1 SOHO
616 CURL-001 CURLIV PLUS CAP CAPLET 2,970.00 60 SOHO
617 CURL.OB.001 CURLIV PLUS SYR BOTOL 48,400.00 1 SOHO
618 CURL-003 CURLIV TAB TABLET 1,980.00 60 SOHO
619 CURV-002 CURVIT SYR 120ML BOTOL 16,500.00 1 SOHO
620 CURV-003 CURVIT SYR 60 ML BOTOL 18,700.00 1 SOHO
621 CURV-004 CURVIT TAB TABLET 1,650.00 50 SOHO
622 CUTI.AH.001 CUTICELL CLASSIC 10X10 PCS 9,350.00 1 BSN
623 CUTI.AM.001 CUTIMED GEL 25GR TUBE 91,765.30 1 BSN
624 CUTI.AH.002 CUTIMED SILTEC 10X10 PCS 91,765.30 1 -
625 CUTI.AH.004 CUTIMED SORBACT 7X9 PCS 49,659.50 1 BSN
626 CUT .23.001 CUTISOFT HAND SCRUB 5 L GALON 970,084.50 1 BSN
627 CYCL-001 CYCLO PROGINOVA TAB PCS 5,635.14 21 BAYER
628 CYST.OK.001 CYSTONE TAB TABLET 3,302.11 100 HIMAJAYA
629 CYTO.OK.001 CYTODROX TAB 500 MG TABLET 13,775.00 100 COMBIPHAR
630 D 40.OK.001 D 40% INJ FLES 10,010.00 1 OTSUKA
631 D 5 .OK.002 D 5 1/2 NS WIDA FLES 15,525.40 20 WIDATRA BAKTI
632 D 5 .OK.003 D 5 1/4 NS WIDA FLES 9,350.91 20 WIDATRA BAKTI
633 D 5%.OK.001 D 5% WIDATRA BOTOL 6,900.00 20 WIDATRA BAKTI
634 D10%.OK.001 D10% WIDATRA BOTOL 7,500.00 20 WIDATRA BAKTI
RS MITRA MEDIKA
635 D5 1-001 D5 100 ML DP BUAH 15,312.00 60 SANBE

636 D5+1-002 D5+1/2 NS INF SP BOTOL 19,140.00 1 SANBE
637 D5-1.OK.001 D5+1/4 NS INF SP BOTOL 19,030.00 24 SANBE
638 DAFI.AH.003 DAFILON 3/0 DS 24 PCS 61,111.05 1 B.BRAUN
639 DAKT-001 DAKTARIN CREAM 10 GR TUBE 27,500.00 1 JANSSEN
640 DAKT-002 DAKTARIN CREAM 5 GR TUBE 16,500.00 1 JANSSEN
641 DAKT-003 DAKTARIN DIAPER 10 GR TUBE 63,302.80 1 JANSSEN
642 DAKT-004 DAKTARIN ORAL GEL 10 GR TUBE 57,556.40 1 JANSSEN
643 DAMA.OK.001 DAMABEN DROP FLES 13,090.00 1 SANBE
644 DAMA.OK.003 DAMABEN INJ AMPUL 9,361.00 5 SANBE
645 DAMA.OK.004 DAMABEN SYR BOTOL 9,900.00 1 SANBE
646 DAN .04.002 DANCOW 1+ MADU ADVN EXCNUTR BOX 22,453.20 1 -
200 GR
647 DAN .04.001 DANSTAR 6-12 EXCEINUTRI 135 GR BOX 11,091.30 1 -
648 DAN .04.003 DANSTART 0-6 EXCELNUTRI 135 GR BOX 11,364.10 1 -
649 DARY.AH.001 DARYANT TULLE PCS 19,602.00 10 DARYA
650 DBL .23.001 DBI FACIAL WASH TEA TREE OIL BOTOL 23,650.00 1 -
651 DEBO.OK.002 DEBOSTIN 40 TABLET 16,500.00 30 OTTO
652 DECA-001 DECADRYL INJ CC 1,100.00 10 HARSEN
653 DECO-003 DECOLGEN TAB TABLET 375.05 100 PDC
654 DECO-004 DECOLSIN CAP CAPLET 625.00 100 P&G
655 DEFL-001 DEFLAMAT 100MG CR CAPS KAPSUL 6,875.00 20 ACTAVIS
656 DEHA-001 DEHAF SACHET 7,050.26 6 SOHO
657 DEHY.OB.001 DEHYDRALYTE BOTOL 16,500.00 1 NOVELL
658 DEMA.OB.001 DEMACOLIN TABLET 330.00 100 CORONET
659 DEOL.OK.001 DEOLIT TABLET 7,975.00 30 MEPRO
660 DEPA.OK.001 DEPAKENE SYR FLES 172,370.00 1 SANOFI
661 DEP .38.001 DEPAKOTE 250 TABLET 1,750.00 100 ABBOTT
662 DER .39.001 DERMADES CR 10 GR TUBE 23,650.00 1 -
663 DER .31.001 DERMAFIX 5*7 CM LEMBAR 880.00 25 BSN
664 DERM.AH.006 DERMAFIX T 10*25 CM PCS 13,770.00 10 -
665 DERM.AH.005 DERMAFIX T 5*7 CM PCS 1,320.00 1 -
666 DERM.AH.004 DERMALON 2-0 PCS 66,000.00 1 -
667 DER .01.001 DERMALON 3-0 PCS 66,000.00 1 -
668 DER .01.002 DERMALON 4-0 PCS 66,000.00 1 -
669 DES .39.002 DESOLEX N CR TUBE 28,435.00 1 -
670 DES .39.001 DESOXIMETASONE 0.25 CR 15 GR TUBE 13,310.00 1 DEXA
671 DEXA-001 DEXAMETASON TAB 0,5 MG TABLET 117.45 100 BERNOFARM
672 DEXA-002 DEXAMETHASONE INJ 5MG AMPUL 2,196.50 100 BERNOFARM
673 DEXA.OK.001 DEXANORM TAB 1 MG TABLET 1,776.50 50 DEXA
674 DEX .96.001 DEXKETOPROFEN INJ AMPUL 19,800.00 5 -
675 DEX .38.001 DEXKETOPROFEN TAB TABLET 2,475.00 30 -
676 DEX .06.001 DEXOCORT 0.25 % CR TUBE 7,250.10 1 KIMIA F
677 DEX .96.002 DEXPAIN INJ AMPUL 38,500.00 5 NOVELL
678 DEXT.OB.002 DEXTRAL TAB TABLET 640.00 100 -
679 DEXT.OK.001 DEXTRAN 40 FLES 97,900.00 1 OTSUKA
680 DEXT.OB.001 DEXTROMETHOPHAN SYR BOTOL 3,073.40 1 GENERIK INDOFARMA
681 DEXT-006 DEXTROMETHORPHAN 15 MG TABLET 325.00 100 KIMIA F
682 DHAV.OB.001 DHAVIT SYR FLES 33,000.00 1 GUARDIAN
683 DIAB.OB.001 DIAB SACH 160X1GR BAG 48,015.00 1 KALBE
684 DIAB.OB.002 DIAB SACH 200X1GR BAG 63,030.00 1 KALBE
685 DIAB.SM.001 DIAB SWEETENER NO CAL 100 X 1 GR BOX 40,810.00 1 KALBE
686 DIAB-004 DIABETASOL COKLAT 180GR BOX 39,999.99 1 KALBE
RS MITRA MEDIKA
687 DIAB.OB.003 DIABETASOL DIGEST VAN 180 BOX 37,411.00 1 KALBE

688 DIAD-006 DIADIUM TAB TABLET 880.00 100 LAPI
689 DIAF.OK.001 DIAFORMIN XR TABLET 1,870.00 100 OTTO
690 DIAM-001 DIAMICRON MR 60 TAB TABLET 3,014.00 30 SERVIER
691 DIAN-003 DIANE TAB PAK 113,114.10 1 BAYER
692 DIAT.OB.001 DIATABS NEW TABLET 557.15 100 -
693 DIA .96.001 DIAZEPAM 5MG/ML INJ AMPUL 2,290.20 10 KIMIA F
694 DIAZ-001 DIAZEPAM TAB 2 MG TABLET 25.00 1 KALBE F
695 DIAZ.OK.001 DIAZOLE NR (METRONIDAZOLE) INF FLES 7,700.00 1 B.BRAUN
696 DICY.OK.001 DICYNONE 500 TABLET 13,640.00 20 CORSA
697 DICY-002 DICYNONE INJ AMPUL 43,312.50 6 CORSA
698 DIFL-001 DIFLOXIN TAB TABLET 36,300.00 10 OTTO
699 DIFL-002 DIFLUCAN 2MG/ML INF 100ML VIAL 424,847.50 386,225 PFIZER
700 DIGE-001 DIGENTA CR 10 TUBE 45,100.00 1 INTERBAT
701 DIGO-001 DIGOXIN TAB TABLET 114.40 100 INDOFARMA
702 DIKL.OK.001 DIKLOVIT TABLET 2,860.00 100 NOVELL
703 DILA.OK.001 DILANTIN KAPSUL 5,203.88 100 PFIZER
704 DILT.OK.001 DILTIAZEM TAB TABLET 151.64 100 DEXA
705 DIME-001 DIMENHYDRINATE 50 MG TAB TABLET 84.50 100 KALBE F
706 DIOV-003 DIOVAN 80 MG TABLET 17,600.00 28 NOVARTIS
707 DIPH.OK.001 DIPHENHYDRAMIN INJ AMPUL 1,695.10 30 ETHICA
708 DIPR-004 DIPROGENTA OINT 5 GR TUBE 51,543.80 1 SCHERING AG
709 DISC.AH.001 DISCOFIX 3-WAY + 10 CM PCS 32,149.70 50 B.BRAUN
710 DISF-001 DISFLATYL TAB TABLET 555.50 100 PHAPROS
711 DISO.OK.001 DISOLF TABLET 7,150.00 30 FERRON
712 DIVA.OB.002 DIVASK 5 MG TABLET 6,233.33 30 3M
713 DOBU.OK.002 DOBUTAMIN INJ AMPUL 28,600.88 5 LANDSON
714 DOGM.OK.001 DOGMATIL 50 MG KAP TABLET 3,630.00 100 -
715 DOGM-002 DOGMATYL TAB TABLET 2,134.00 100 SOHO
716 DOLO-001 DOLO NEUROBION TAB TABLET 1,635.48 100 MERCK
717 DOM -001 DOM SYR BOTOL 33,000.00 1 LAPI
718 DOM -002 DOM TAB TABLET 2,420.00 30 LAPI
719 DOME-002 DOMETA TAB TABLET 2,200.00 100 IKAPHARMINDO
720 DOMP.OK.002 DOMPERIDON TAB TABLET 403.61 100 GENERIK DEXA MEDICA
721 DONA.OK.001 DONACEPT TABLET 15,620.00 30 NOVELL
722 DONE.OK.001 DONEPEZIL TAB TABLET 6,600.00 30 GENERIK NOVELL
723 DOPA-002 DOPAMET TAB 250 MG TABLET 2,057.00 100 ACTAVIS
724 DOPA-003 DOPAMIN GIULINI INJ AMPUL 98,849.30 5 SOLVAY
725 DORN.OK.001 DORNER 20 CAP KAPSUL 7,440.21 30 ABBOTT
726 DOXY-001 DOXYCYCLINE CAP 100 MG KAPSUL 269.01 100 INDOFARMA
727 DRAM-001 DRAMAMIN TAB TABLET 1,606.00 100 SOHO
728 DRC .01.001 DRC WASHGLOVES NON PARFUM PCS 6,600.00 1 NOVELL
729 DULC-001 DULCOLACTOL SYR BOTOL 61,820.00 1 BOEHRINGER ING
730 DULC-002 DULCOLAX 5 MG SUPP SUPOSITORIA 16,266.25 6 BOEHRINGER ING
731 DULC-003 DULCOLAX 10 MG SUPP SUPOSITORIA 22,693.00 5 BOEHRINGER ING
732 DULC-004 DULCOLAX TAB TABLET 1,563.38 200 BOEHRINGER ING
733 DUMI-001 DUMIN SUP 125 MG SUPOSITORIA 10,560.00 5 ACTAVIS
734 DUMI-002 DUMIN SUP 250 MG SUPOSITORIA 14,960.00 5 AVENTIS
735 DUMI-003 DUMIN SYR BOTOL 14,660.80 1 ACTAVIS
736 DUOD.OK.001 DUODART TAB TABLET 16,500.00 30 GLAXO
737 DUO .06.001 DUODERM SALEP TUBE 26,234.70 1 -
738 DUPH-001 DUPHASTON TAB TABLET 14,526.05 20 SOLVAY
739 DURO-001 DUROGESIC PATCH 12.5 UNIT 125,400.00 5 JOHNSON & J
RS MITRA MEDIKA
740 DURO.ON.001 DUROGESIC PATCH 25 LEMBAR 237,050.00 5 JOHNSON & J

741 DUVA-001 DUVADILAN INJ AMPUL 25,666.66 6 SOLVAY
742 DUVA-002 DUVADILAN TAB TABLET 6,813.40 50 SOLVAY
743 ECG .AH.001 ECG ELEKTRODES COVIDIEN/ONE DOT BAG 3,946.80 50 -
744 ECO .01.001 ECOSYN 1 USP 90 CM PCS 132,000.00 1 -
745 ECRO-001 ECRON 10 MG INJ VIAL 220,990.00 1 PHAROS IND
746 ECRO-002 ECRON 4 MG INJ VIAL 242,000.00 1 PHAPROS
747 EFLA.OK.001 EFLAGEN 50 TABLET 2,035.00 50 SANBE
748 ELKA.OB.001 ELKANA SYR FLES 24,200.00 1 SANBE
749 ELKA.OB.002 ELKANA TAB TABLET 811.80 100 SANBE
750 ELO .39.001 ELOPRO GEL 10 GR TUBE 29,150.00 1 -
751 ELO .39.002 ELOPRO OINT 10 GR TUBE 31,900.00 1 -
752 ELOS-001 ELOSKIN CREAM 10 GR TUBE 63,800.00 1 SOHO
753 ELSA-001 ELSAZYM ANAK SACHT SACHET 8,000.00 10 OTTO
754 ELSA-003 ELSAZYM TAB TABLET 1,650.00 100 OTTO
755 EMIN.OF.001 EMINETON TAB TABLET 1,540.00 100 KALBE
756 EMI .24.001 EMINOX 30 ML FLES 97,900.00 1 -
757 EMT .39.001 EMTRIX SALEP TUBE 200,300.00 1 -
758 ENBA.OB.001 ENBATIC SACHET 2,326.38 36 -
759 ENCE-001 ENCEPHABOL TAB TABLET 3,960.00 100 MACK
760 ENDO.OK.002 ENDOXAN 200 INJ VIAL 77,000.00 1 ASTRA ZENECA
761 ENDO.OK.003 ENDOXAN 500 INJ VIAL 568,700.00 1 ASTRA ZENECA
762 END .96.001 ENDROLIN 3,75 MG INJ VIAL 1,309,000.00 1 KALBE
763 ENE .01.001 ENEMA SYRINGE PCS 12,320.00 1 -
764 ENER-001 ENERCORE 500 MG SACHET SACHET 17,424.00 5 SOHO
765 ENER.OK.001 ENERTON 500 INF FLES 80,355.00 1 SANBE
766 ENER-005 ENERVON C SYR 120 ML BOTOL 14,500.00 1 MEDIFARM
767 ENER-006 ENERVON C TAB '30 BOTOL 24,660.90 1 MEDIFARM
768 ENFA-001 ENFAMIL 1 KTK 400 GR BOX 65,838.30 1 MEAD J
769 ENTR-003 ENTRASOL ACTIVE VANILA 185GR BOX 25,040.40 1 KALBE
770 ENTR.SM.002 ENTRASOL GOLD VANILLA BOX 30,133.40 1 KALBE
771 ENYS.OK.001 ENYSTIN DROP FLES 34,100.00 1 KALBE F
772 ENZY-001 ENZYPLEX @ 100 TAB TABLET 819.50 100 MEDIFARM
773 EPA .38.001 EPATIN CAP KAPSUL 4,400.00 100 CORONET
774 EPEX-001 EPEXOL SYR 120 ML BOTOL 17,435.00 1 SANBE
775 EPEX-002 EPEXOL TAB TABLET 869.00 100 SANBE
776 EPHE-001 EPHEDRINE INJ AMPUL 44,000.00 10 ETHICA
777 EPHE-002 EPHEDRINE TAB TABLET 100.00 1 ETHICA
778 EPHI-001 EPHINEPRIN INJ. AMPUL 6,083.52 100 ETHICA
779 EPID-001 EPIDOSIN INJ AMPUL 21,450.00 10 SOLVAY
780 EPI .01.001 EPIFIX STANDARD SET WITH EPISAFE PCS 251,350.00 1 -
781 EPIS.OK.001 EPISAN SYR BOTOL 51,150.00 1 SANBE
782 EPIV.OK.001 EPIVEN 300 KAPSUL 9,790.00 30 NOVELL
783 EQI .06.001 EQINON CR 15 GR TUBE 30,250.00 1 -
784 ERIC.OB.001 ERICAF TAB TABLET 5,626.43 100 -
785 ERL .08.001 ERLAMYCETIN EAR DROP FLES 5,700.00 1 -
786 ERLA-002 ERLAMYCETIN EYE DROP BOTOL 17,000.00 1 ERELA
787 ERLA.OK.004 ERLAMYCETIN SM FLES 7,150.00 1 ERELA
788 ERY .39.001 ERYMED CR TUBE 28,655.00 1 -
789 ERYS-001 ERYSANBE 200 MG TABLET 1,527.90 100 SANBE
790 ERYS-002 ERYSANBE 500 MG TABLET 2,777.50 100 SANBE
791 ERYS-003 ERYSANBE SYR BOTOL 23,100.00 1 SANBE
792 ERYT-001 ERYTHROMYCIN KAPS 250 MG KAPSUL 641.30 100 KALBE F
RS MITRA MEDIKA
793 ERYT-002 ERYTHROMYCIN KAPS 500 MG KAPSUL 1,375.00 100 KALBE F

794 ERYT-003 ERYTROMYCIN SYR BOTOL 13,721.40 1 DEXA
795 ESIL-001 ESILGAN TAB 1 MG TABLET 3,554.87 100 TAKEDA
796 ESIL-002 ESILGAN TAB 2MG TABLET 5,472.27 100 TAKEDA
797 ESME-001 ESMERON 50 MG INJ VIAL 135,630.00 12 SCHERING P
798 ESOF.OK.001 ESOFERR INJ 40 MG VIAL 103,950.00 1 FERRON
799 ESO .97.002 ESOLA INJ VIAL 181,500.00 1 LAPI
800 ESO .97.001 ESOMAX INJ VIAL 148,500.00 1 OTTO
801 ESOM.OK.001 ESOMEPRASOL INJ VIAL 31,499.60 1 MEPROFARM
802 ESPE.OB.001 ESPERSON 5 GR CR TUBE 52,977.10 1 SANOFI
803 ESTE-003 ESTER C STR TABLET 1,074.59 100 HOLISTICARE
804 ETAS-001 ETASON 5MG INJ AMPUL 5,500.00 5 OTTO
805 ETHA-001 ETHAMBUTOL TAB 250 MG TABLET 521.45 100 KALBE F
806 ETHA-002 ETHAMBUTOL TAB 500 MG TABLET 688.33 100 KIMIA F
807 ETO .38.001 ETORICOXIB 90 MG TABLET 5,500.00 30 NOVELL
808 ETT .AH.003 ETT N0 4,5 KINK (NON SPIRAL) PCS 38,500.00 1 -
809 ETT .01.003 ETT NO 2.5 NON KINK (SPIRAL) PCS 264,000.00 1 -
810 ETT -003 ETT NO 3.0 KINK (NON SPIRAL) PCS 38,500.00 1 TERUMO
811 ETT .AH.001 ETT NO 3.5 KINK (NON SPIRAL PCS 20,900.00 1 -
812 ETT -011 ETT NO 4.0 KINK (NON SPIRAL) PCS 38,500.00 1 TERUMO
813 ETT -012 ETT NO 5 KINK (NON SPIRAL) PCS 38,500.00 1 TERUMO
814 ETT .AH.002 ETT NO 5 NON KINK (SPIRAL) PCS 180,620.00 1 -
815 ETT .01.004 ETT NO 5.5 KING (NON SPIRAL) PCS 38,500.00 1 -
816 ETT -006 ETT NO 6 KINK (NON SPIRAL) PCS 38,500.00 1 TERUMO
817 ETT -007 ETT NO 6 NON KINK (SPIRAL) PCS 180,620.00 1 TERUMO
818 ETT .01.001 ETT NO 6.5 KINK ( NON SPIRAL ) PCS 30,800.00 1 -
819 ETT -008 ETT NO 6.5 NON KINK (SPIRAL) PCS 163,350.15 1 TERUMO
820 ETT -013 ETT NO 7 KINK (NON SPIRAL) PCS 30,800.00 1 -
821 ETT -009 ETT NO 7 NON KINK PCS 180,620.00 1 TERUMO
(SPIRAL)/REINFORCED
822 ETT .01.002 ETT NO 7.5 KINK (NON SPIRAL) PCS 62,333.33 1 -
823 EUPH-001 EUPHYLLIN RETARD MITE TAB TABLET 2,087.25 100 SANOFI
824 EUPH-002 EUPHYLLIN RETARD TAB TABLET 3,352.25 100 SANOFI
825 EUTH.OK.001 EUTHYROX 50MG TABLET 866.80 100 -
826 EVOT-001 EVOTHYL 100 MG CAPS KAPSUL 3,993.00 30 YAMANOUCHI
827 EVOT-002 EVOTHYL 300 MG CAPS KAPSUL 13,090.00 30 GUARDIAN
828 EXCE-001 EXCELASE CAPSUL TABLET 1,892.00 100 MEIJI
829 EXFO-001 EXFORGE 10/160 MG TABLET 18,315.00 28 BERNOFARM
830 EXFO.OK.001 EXFORGE 5/160 MG TABLET 17,050.15 28 NOVARTIS
831 EXFO.OK.002 EXFORGE 5/80 MG TABLET 14,630.00 28 NOVARTIS
832 EXLU-001 EXLUTON TAB PAK 17,039.00 1 SCHERING P
833 EXOC.OK.001 EXOCID 40 MG INJ VIAL 92,950.00 1 MEPROFARM
834 EXO .33.001 EXOVON SYR (BROMHEXIN) FLES 8,250.00 1 -
835 EXTR-002 EXTRACE INJEKSI PCS 8,823.10 1 ETHICA
836 EZE .96.001 EZELIN INSULIN BOX 137,500.00 1 KALBE F
837 FACE.AH.002 FACE MASL CHILD PCS 110,000.00 1 -
838 FAKT-001 FAKTU OINT TUBE 99,220.00 1 PHAPROS
839 FAKT-002 FAKTU SUPP SUPOSITORIA 9,075.00 10 PHAPROS
840 FAMO.OK.001 FAMOCID 40 TABLET 5,962.00 30 SANBE
841 FANS-001 FANSIDAR TAB TABLET 7,714.30 1 ROCHE
842 FARG-001 FARGOXIN INJ. 0.5 MG/2 ML ( 0.25 MG ) AMPUL 38,500.00 5 FAHRENHEIT
843 FARG-002 FARGOXIN TAB TABLET 178.20 100 FAHRENHEIT
844 FARL.OK.001 FARLEV 750 MG TAB TABLET 40,700.00 10 FAHRENHEIT
RS MITRA MEDIKA
845 FARM-001 FARMADOL INF BOTOL 67,100.00 1 FAHRENHEIT

846 FARS-001 FARSIX TAB AMPUL 1,100.00 100 FAHRENHEIT
847 FARS.OK.002 FARSORBID INJ VIAL 66,000.00 2 FAHRENHEIT
848 FARS.OK.001 FARSORBID TAB TABLET 437.80 100 FAHRENHEIT
849 FAST.OK.001 FASTOR 20 MG CAPLET 13,750.00 30 LAPI
850 FATI-001 FATIGON TAB SPIRIT STRIP 5,940.00 5 KALBE F
851 FCZ .OK.001 FCZ INFUS BOTOL 220,000.00 1 LANDSON
852 FEBO.OK.001 FEBOGREL TABLET 14,520.00 30 OTTO
853 STOM.AH.003 FEEDING TUBE 3,5 PCS 29,645.00 1 TERUMO
854 STOM.AH.004 FEEDING TUBE 5 (40 CM) PCS 19,800.00 1 TERUMO
855 FEE .01.001 FEEDING TUBE 6 (40 CM) PCS 19,800.00 1 JMS
856 STOM.AH.005 FEEDING TUBE 8 PENDEK PCS 42,350.00 1 TERUMO
857 FELD.OK.002 FELDCO 20 MG KAPSUL 1,760.00 100 CORONET
858 FELD.OK.001 FELDCO GEL 25GR TUBE 55,000.00 1 CORONET
859 FELD-003 FELDENE FLASH 20 MG TABLET 13,506.90 30 PFIZER
860 FELD-004 FELDENE GEL 0,5 % 15 GR TUBE 67,389.30 1 PFIZER
861 FENI-001 FENISTIL DROP BUAH 48,814.70 1 -
862 FENO.OK.002 FENOFIBRATE 200 MG KAPSUL 3,311.00 100 GENERIK NOVELL
863 FENO.OK.003 FENOSUP LIDOSE KAPSUL 12,833.33 30 -
864 FENT.ON.001 FENTANIL 0.05 MG/ML 2 ML INJ AMPUL 48,400.00 5 KIMIA F
865 FERL-001 FERLIN DROP BOTOL 24,750.00 1 MEDIFARM
866 FERL-002 FERLIN SYR 100 ML BOTOL 27,500.00 1 MEDIFARM
867 FERO.OF.001 FEROSPAT EFF TABLET TABLET 6,600.00 10 PYRIDAM
868 FER .38.001 FEROSUS SULFATE (TAB TAMBAH TABLET 400.00 100 GENERIK KF
DARAH)
869 FERR-001 FERRIZ DROPS BOTOL 33,000.00 1 -
870 FERR-002 FERRIZ FAST MELT TAB TABLET 916.67 30 NICHOLAS
871 FERR-003 FERRIZ SYRUP 100 ML BOTOL 33,000.00 1 NICHOLAS
872 FEVR-001 FEVRIN DROP BOTOL 6,600.00 1 APEX
873 FG T-001 FG TROCHES TAB TABLET 1,164.77 120 MEIJI
874 FIBE.OK.001 FIBESCO TABLET TABLET 15,400.00 30 ESCOLAB
875 FIBR.OK.003 FIBRINASE CAPS KAPSUL 15,400.00 50 ESCOLAB
876 FIBR.OK.002 FIBRION 1.500.000 IU VIAL 3,971,000.00 1 DEXA
877 FING-001 FINGER EXT SPLIT PCS 34,100.00 1 PRODFAR
878 FITK-001 FITKOM BOTOL 8,800.00 1 SOHO
879 FITO.OK.005 FITOGRA TABLET 8,800.00 30 -
880 FITO.OK.003 FITOSERIN TABLET 10,816.66 60 -
881 FIXI-001 FIXIPHAR SYR 100 MG BOTOL 115,500.00 1 PHAPROS
882 FLAD-001 FLADYSTIN OVULE SUPOSITORIA 14,300.00 10 DEXA
883 FLAG-001 FLAGYL 0,5 GR OVULA SUPOSITORIA 10,829.83 10 SANOFI
884 FLAG-005 FLAGYL SYR BOTOL 45,432.20 1 SANOFI
885 FLAM-001 FLAMAR 25 MG TAB TABLET 737.00 100 SANBE
886 FLAM-002 FLAMAR 50 MG TAB TABLET 1,606.00 100 SANBE
887 FLAM-003 FLAMAR GEL 20 GR TUBE 15,125.00 1 SANBE
888 FLAM.OK.001 FLAMICORT 10 MG/ML VIAL 110,000.00 1 DEXA
889 FLEE-001 FLEET ENEMA 133ML BUAH 35,750.00 1 COMBIPHAR
890 FLEX.OB.003 FLEXAMIN CR 15 GR BUAH 38,500.00 1 NOVELL
891 FLO .38.001 FLORAGYN CAP KAPSUL 11,000.00 30 LAPI
892 FLUC.OK.001 FLUCONAZOL INF FLES 60,500.00 1 BERNOFARM
893 FLUC-002 FLUCONAZOLE 150 MG TAB TABLET 17,600.26 10 GENERIK KF
894 FLUI.OB.001 FLUIMUCIL INJ AMPUL 49,720.00 5 ZAMBON
895 FLUI-002 FLUIMUCIL 200 MG SACCET SACHET 5,738.34 30 ZAMBON
896 FLUI-003 FLUIMUCIL 600 MG EFFERVESCENT BUTIR 13,035.00 10 ZAMBON
RS MITRA MEDIKA
897 FLUI-004 FLUIMUCIL CAP 200 MG KAPSUL 5,637.50 60 ZAMBON

898 FLUI-005 FLUIMUCIL DRY SYR 75 ML BOTOL 42,900.00 1 ZAMBON
899 FLUI-006 FLUIMUCIL PAED 100MG SACHET SACHET 3,043.33 30 ZAMBON
900 FLUN-001 FLUNARIZINE 5 MG TAB TABLET 990.00 30 GENERIK KF
901 FLUR-002 FLUROSEMIDE 40 MG TABLET 3,630.00 200 KIMIA F
902 FOLA-001 FOLAC TAB TABLET 660.00 100 OTTO
903 FOLA-002 FOLAMIL GENIO CAP TABLET 3,850.00 30 DEXA
904 FOLA-004 FOLAPLUS TAB TABLET 825.00 100 SANBE
905 FOLA-005 FOLAVIT TAB TABLET 867.90 100 SANBE
906 FOLI-001 FOLIC ACID 5MG TAB TABLET 76.95 2,000 GENERIK KF
907 FOLL.AH.002 FOLLEY CATH 18 BARDIA PCS 15,972.00 10 -
908 FOLL-003 FOLLEY CATH 3WAY NO 20 PCS 40,500.00 1 TAKEDA
909 FOLL-007 FOLLEY CATH GOLDRUSCH NO.10 PCS 51,700.00 10 RUSCH
914 FOLL.AH.003 FOLLEY CATHETER 10 NORTA BUAH 64,334.60 10 -
915 FOLL-022 FOLLY CATHTETER SILICON 1.5ML PCS 100,760.00 1 TERUMO
916 FOLL-023 FOLLY CHATETER GOLDRUCH NO 28 PCS 27,500.00 1 TERUMO
917 FONK.OK.001 FONKOGEM 1000 MG INJ VIAL 798,875.00 1 FERRON
918 FORB-001 FORBETES TAB 500 MG TABLET 836.00 100 SANBE
919 FORD.OK.001 FORDERM KRIM 10GR TUBE 40,700.00 1 DEXA
920 FOR .13.001 FORDONTIS ORANGE MINT 120 ML FLES 13,750.00 1 KONIMEX
921 FORM-004 FORMELL 850 MG TAB(METFORMIN) TABLET 1,045.00 30 ACTAVIS
922 FORM.OB.001 FORMUNO EXTRA TAB TABLET 97,080.50 1 SANBE
923 FORM-007 FORMUNO TAB TABLET 6,600.00 30 SANBE
924 FORM-008 FORMYCO CREAM 10 GR TUBE 16,115.00 1 TERUMO
925 FORN.OK.001 FORNEURO KAPS KAPSUL 5,582.50 30 KALBE
926 FORR.OK.001 FORRES 6 MG TABLET 4,400.00 50 KALBE
927 FOS .97.001 FOSFOMYCIN 1 GR INJ GEN VIAL 55,825.00 1 BERNOFARM
928 FOSM-001 FOSMICIN 1 G INJ VIAL 97,900.00 10 MEIJI
929 FOSM-002 FOSMICIN 2 G INJ AMPUL 150,590.00 10 MEIJI
930 FOUR.OK.001 FOURCEF 1 GR INJ VIAL 319,000.00 1 LAPI
931 FRA .31.001 FRAMYCETIN SULFATE PCS 10,175.00 10 DARYA
932 FRIS-001 FRISIUM TAB TABLET 4,207.00 100 SANOFI
933 FUCO-001 FUCOIDAN SYR 120ML BOTOL 82,500.00 1 SOHO
934 FUL .27.001 FULADIC 2% SALEP 5 GR TUBE 58,300.00 1 GUARDIAN
935 FULA-001 FULADIC CREAM 5GR TUBE 58,300.00 1 GUARDIAN
936 FUND.OB.001 FUNDAMIN E TAB TABLET 851.24 100 KIMIA F
937 FUNG.OK.001 FUNGASOL CR 10 GR TUBE 29,700.00 1 GUARDIAN
938 FUNG.OB.001 FUNGASOL TAB TABLET 5,500.00 50 GUARDIAN
939 FURA.OK.001 FURAMIN INJ AMPUL 12,100.00 5 MEPRO
940 FURO.OK.001 FUROSEMIDE INJ AMPUL 2,058.01 25 INDOFARMA
941 FURO-002 FUROSEMIDE TAB 40 GR TABLET 77.00 100 GENERIK KF
942 FUTR-001 FUTROLIT INF ( SANBE ) BOTOL 59,730.00 24 SANBE
943 GABA.GN.001 GABAPENTIN 300 MG KAP KAPSUL 3,850.00 100 GENERIK NOVELL
944 GABE.OF.001 GABESCO 300 MG TABLET 11,550.00 100 ESCOLAB
945 GAB .38.001 GABEXAL 100 MG TABLET 4,053.50 30 NOVARTIS
946 GALV.OK.001 GALVUSMET 50/500 TABLET 6,875.00 30 NOVARTIS
947 GAMM-002 GAMMEX NO. 7,5 BUAH 16,335.00 40 ANSELL
948 GAMM-003 GAMMEX NO.6 BUAH 14,850.00 40 ANSELL
949 GAMM-004 GAMMEX NO.6.5 BUAH 16,335.00 40 ANSELL
RS MITRA MEDIKA
950 GAMM-005 GAMMEX NO.7 BUAH 13,200.00 40 ANSELL

951 GARA-001 GARAM INGGRIS POT 2,200.00 1 KALBE F
952 GARA-004 GARAMYCIN CR 5 GR TUBE 31,829.60 1 SCHERING P
953 GARA-005 GARAMYCIN OINT TUBE 32,300.00 1 SCHERING P
954 GER .96.001 GARDASIL INJ BOX 742,500.00 1 -
955 GAS .OG.001 GAS 02 PER KG/CM2 Kg/cm2 330.00 1 TIRA AUSTINE
956 GAS .OG.002 GAS N2O Kg/cm2 1,100.00 1 TIRA AUSTINE
957 GAST-001 GASTRIDIN INJ AMPUL 16,995.00 5 INTERBAT
958 GAST.OK.002 GASTROFER INJ VIAL 126,500.00 1 DEXA
959 GAST-004 GASTRUL TABLET TABLET 11,000.00 30 FAHRENHEIT
960 GCM .16.001 GCM FORTE SACHET 14,300.00 30 -
961 GELA.OB.001 GELAFUSAL INFUS BAG 192,500.00 1 DEXA
962 GEMF-001 GEMFIBROZIL 300 KAPSUL 546.25 100 GENERIK PHAPROS
963 GENT-001 GENTAMYCIN INJ AMPUL 3,509.00 5 GENERIK KF
964 GENT-002 GENTAMYCIN OINT 0.1% SK (SALEP ) TUBE 2,126.30 25 GENERIK KF
965 GERA.OB.001 GERAC BUNGKUS 15,950.00 10 LANDSON
966 GERD-001 GERDILIUM TAB TABLET 3,300.00 50 OTTO
967 GERI.OK.001 GERIAVITA TABLET 2,174.22 30 PHAPROS
968 GETI.AH.001 GETIDIN INJ AMPUL 20,900.00 5 GUARDIAN
969 GIG .23.001 GIGAZYME 2 LT BOTOL 671,550.00 1 -
970 GLAM.OB.001 GLAMAROL 1 MG TABLET 2,310.00 50 GUARDIAN
971 GLAM.OK.001 GLAMAROL 2 MG TABLET 4,400.00 50 GUARDIAN
972 GLA .38.002 GLAUCETA TAB TABLET 4,741.00 100 SANBE
973 GLA .38.001 GLAUCON TAB TABLET 5,150.00 1 -
974 GLIA.OK.001 GLIARIDE 2 MG TABLET 4,400.00 50 OTTO
975 GLIB-001 GLIBENCLAMIDE TAB 5 MG TABLET 183.92 100 INDOFARMA
976 GLID.OK.001 GLIDANIL TAB TABLET 592.90 100 MERSI
977 GLI .38.003 GLIFORMIN XR 750 TABLET 5,500.00 30 -
978 GLIM.OK.002 GLIMEPIRIDE 1 MG TABLET 174.00 50 KIMIA F
979 GLI .38.002 GLIMEPIRIDE 2 MG TABLET 1,433.28 100 DEXA M
980 GLIM.GN.001 GLIMEPIRIDE 2 MG JKN TABLET 207.00 50 INDOFARMA
981 GLIM-001 GLIMEPIRIDE 3 MG TABLET 244.99 50 GENERIK KF
982 GLI .38.001 GLIMEPIRIDE 4 MG TABLET 270.01 50 INDOFARMA
983 GLIN.OK.001 GLINOV 75 MG TABLET 8,580.00 10 NOVELL
984 GLIQ.OK.001 GLIQUIDONE 30 MG TAB TABLET 1,152.07 100 DEXA
985 GLIS-001 GLISEOFULVIN TAB 500 MG TABLET 1,155.00 100 GENERIK KF
986 GLIS.OB.001 GLISODIN KAPSUL 6,050.00 30 KALBE
987 GLOS.OB.001 GLOSIX 10 MG INJ AMPUL 15,015.00 5 NOVELL
988 GLUC-003 GLUCOBAY TAB 100 MG TABLET 3,290.32 50 BAYER
989 GLUC-004 GLUCOBAY TAB 50 MG TABLET 2,052.60 50 BAYER
990 GLUC.OB.001 GLUCODEX TABLET 478.50 100 DEXA
991 GLUC-008 GLUCOPHAGE TAB 500 MG TABLET 1,173.70 100 MERCK
992 GLUC-009 GLUCOPHAGE TAB 850 MG TABLET 1,472.63 120 MERCK
993 GLUC.OK.004 GLUCOPHAGE XR 1000 MG TABLET 4,608.65 120 MERCK
994 GLUC-011 GLUCOPHAGE XR 500 MG TABLET 1,885.59 120 MERCK
995 GLUC.OK.002 GLUCOPHAGE XR 750 MG TABLET 2,696.16 120 MERCK
996 GLUC.OK.003 GLUCORED 80 MG TABLET 1,925.00 100 CORONET
997 GLU .38.001 GLUCOSAMIN TABLET 1,197.63 100 GENERIK NOVELL
998 GLUC.OK.001 GLUCOVANCE 1.25/ 250 TABLET 2,452.19 100 MERCK
999 GLUC-017 GLUCOVANCE 500 MG/2,5MG TABLET 3,933.89 100 MERCK
1000 GLUC-018 GLUCOVANCE 500MG/5 MG TABLET 4,776.78 100 MERCK
1001 GLUM.OB.001 GLUMIN XR 500 MG TABLET 2,016.66 30 FERRON
1002 GLU .38.002 GLUMIN XR 750 MG TABLET 2,016.66 60 FERRON
RS MITRA MEDIKA
1003 GLUR-001 GLURENORM TAB TABLET 1,340.00 100 BOEHRINGER ING

1004 GLUT.OK.001 GLUTROP TABLET 17,600.00 30 TROPICA
1005 GLY .97.001 GLYBOTIC 250 INJ VIAL 103,125.00 4 SANBE
1006 GLYC.OK.001 GLYCERIL GUAICOLAT 100 MG TABLET 87.50 1,000 -
1007 GLY .06.001 GLYCORE 10 CR TUBE 26,400.00 1 -
1008 GOFL.OK.001 GOFLEX TAB TABLET 11,000.00 30 GUARDIAN
1009 GOFO-001 GOFORAN 1GR INJ (CEFOTAXIME) AMPUL 163,900.00 1 GUARDIAN
1010 GOGG.AH.001 GOGGLE STANDART HITAM PCS 35,750.00 1 -
(KACAMATA)
1011 GOTR.OK.002 GOTROPIL 3 GR INJ AMPUL 53,900.00 5 GUARDIAN
1012 GOTR.OK.003 GOTROPIL INFUS FLES 209,000.00 1 GUARDIAN
1013 GP .38.001 GP FERTIL TABLET 13,310.00 10 GUARDIAN
1014 GRAD.OK.001 GRADIAB 500 MG TABLET 1,045.00 100 CORONET
1015 GRAN.OK.002 GRANISETRON 1 INJ AMPUL 16,500.00 5 OTTO
1016 GRA .96.001 GRANISETRON 3 INJ AMPUL 55,000.00 5 OTTO
1017 GRA .38.001 GRANOPI 1 MG TAB TABLET 22,000.00 10 OTTO
1018 GRAV.AH.001 GRAVOMIT 3 MG INJ VIAL 98,450.00 5 FERRON
1019 GRIS-001 GRISEOFULVIN TAB 125 MG TABLET 516.99 100 KIMIA F
1020 GUAR-001 GUARPOSID 5MG TAB TABLET 3,850.00 50 GUARDIAN
1021 GYPS.AH.002 GYPSONA 4" (3.5M * 10CM) PCS 39,659.40 1 -
1022 GYPS.AH.001 GYPSONA 6" (3,5M *15 CM) PCS 52,005.80 1 -
1023 HAL .33.001 HALMEZIN SYR FLES 26,950.00 1 CORONET
1024 HAN .01.002 HANDSCOON STERIL GYNAECOLOG PCS 19,360.00 50 -
1025 HAND.AH.002 HANDSCOON STERIL MAXTER 7 PCS 4,125.00 50 MEDIGLOV
1026 HAND.AH.007 HANDSCOON STERIL MAXTER 7.5 SET 4,125.00 50 MEDIGLOV
1027 HAND.AH.008 HANDSCOON STERIL MAXTER 8 PCS 3,850.00 50 -
1028 HAND.AH.003 HANDSCOON STERIL SURGIPRO 6.5 PCS 3,025.00 1 MEDIGLOV
1029 HAND.AH.009 HANDSCUN GAMMEX NO 7 PCS 9,680.00 40 -
1030 HAN .01.001 HANDSCUN MAXTER L BOX 57,200.00 1 MEDIGLOV
1031 HAND.AH.011 HANDSCUN MAXTER M BOX 35,620.00 1 MEDIGLOV
1032 HAND.AH.010 HANDSCUN MAXTER S BOX 35,620.00 1 MEDIGLOV
1033 HANS.AH.002 HANSAPLAST SILVER CARE PCS 250.00 100 -
1034 HARN-002 HARNAL OCAS TAB TABLET 4,799.00 30 COMBIPHAR
1035 HCT -001 HCT 25MG TAB TABLET 128.00 100 GENERIK KF
1036 HEL .39.001 HELIATECH SUNSCREEN SPF 45 + 30 TUBE 72,435.00 1 -
ML
1037 HEMA.OK.001 HEMAPO INJ FLES 135,575.00 10 KALBE
1038 HEMO-001 HEMOBION CAP KAPSUL 1,318.68 100 MACK
1039 HEPA.OK.001 HEPA Q KAPSUL 4,950.00 30 PYRIDAM
1040 HEPA-002 HEPA-BALANCE TAB KAPSUL 13,200.00 60 PYRIDAM
1041 HEPA-004 HEPAMAX CAPSUL KAPSUL 9,240.00 30 KALBE F
1042 HEPA-006 HEPAMERZ GRANUL 3 GR SACHET 46,406.53 10 COMBIPHAR
1043 HEPA-007 HEPAMERZ INJ 10 ML AMPUL 144,788.36 5 COMBIPHAR
1044 HEPA.SM.002 HEPATOSOL VANILLA BOX 105,600.00 1 KALBE
1045 HEPT-002 HEPTASAN 4MG TAB TABLET 194.00 100 SANBE
1046 HER .20.001 HERBESSER CD 100 JKN KAPSUL 4,290.00 100 TANABE
1047 HERB-001 HERBESSER CD 100 MG CAP KAPSUL 8,184.00 100 TANABE
1048 HER .38.001 HERBESSER CD 200 JKN KAPSUL 4,650.00 100 TANABE
1049 HERB.OK.002 HERBESSER CD 200 MG CAP KAPSUL 12,441.00 100 TANABE
1050 HER .96.001 HERBESSER INJ AMPUL 371,000.00 10 -
1051 HEZ .38.001 HEZANDRA CAPLET TABLET 4,400.00 30 COMBIPHAR
1052 HI B-001 HI BONE TABLET 3,850.00 30 OTTO
1053 HI B-002 HI BONE 600 KAPLET CAPLET 4,840.00 57 OTTO
1054 HIST-001 HISTAPAN TAB TABLET 572.00 100 SANBE
RS MITRA MEDIKA
1055 HIST.OB.001 HISTRINE FT 10 TABLET 6,270.00 30 FERRON

1056 HP P-001 HP PRO CAP KAPSUL 4,766.66 120 BIO LIFE
1057 HP P.OB.001 HP PRO PLUS KAPSUL 6,355.55 90 BIO LIFE
1058 HUMA.OK.002 HUMALOG CART AMPUL 150,040.00 5 ELI LILLY
1059 HUMA.OK.007 HUMALOG MIX 25 PCS 168,087.04 5 ELI LILLY
1060 HUMA.OK.003 HUMALOG MIX 25 JKN FLES 110,968.00 5 ELI LILLY
1061 HUMA.OK.005 HUMALOG MIX 50 JKN VIAL 110,968.00 5 ELI LILLY
1062 ALBU.OK.002 HUMAN ALBUMIN 20% 100 ML BOTOL 880,000.00 1 KIMIA F
1063 HUMA-009 HUMAN ALBUMIN BEHRING 20%100ML BOTOL 1,540,000.00 1 DEXA
1064 HUMU.OK.002 HUMULIN R 100 IU/10 ML VIAL 350,905.50 1 ELI LILLY
1065 HUMU.OK.001 HUMULIN R 100 IU/10 ML JKN UNIT 144,763.30 1 ELI LILLY
1066 HYDR-001 HYDROCORTISONE 1% CR 5 GR TUBE 4,850.00 1 GENERIK KF
1067 HYDR-002 HYDROCORTISONE 2,5%CR TUBE 2,475.00 10 GENERIK KF
1068 HYD .17.001 HYDROMAL INF FLES 74,415.00 1 SANBE
1069 HYD .04.001 HYDROX 450 ML FLES 96,800.00 1 -
1070 HYPA-001 HYPAFIX 10X5 PCS 111,601.60 1 -
1071 HYPA.AM.001 HYPAFIX 5 X 1 PCS 12,010.90 1 -
1072 HYST.OK.001 HYSTOLAN TAB TABLET 4,950.00 50 DEXA
1073 HYTR.OK.001 HYTRIN 1MG TAB TABLET 8,498.28 140 ABBOTT
1074 HYTR-002 HYTRIN 2 MG TAB TABLET 15,207.50 28 ABBOTT
1075 HYT .38.001 HYTROS 1 MG TABLET 578.00 100 DEXA
1076 HYT .38.002 HYTROS 2 MG TABLET 938.00 100 DEXA
1077 IBUP-001 IBUPROFEN 200 TAB TABLET 105.00 100 GENERIK KF
1078 IBUP-002 IBUPROFEN 400 TAB TABLET 225.00 100 INDOFARMA
1079 ICHT-001 ICHTYOL SALEP 15 GR POT 6,000.00 1 -
1080 GELA.OB.002 ID BAND BABY BLUE ONEMED PCS 990.00 100 -
1081 ID B-005 ID BAND BABY PINK ONEMED BUAH 990.00 100 -
1082 ID B-001 ID BAND DWS BLUE ONEMED BUAH 990.00 100 -
1083 GELA.OB.003 ID BAND DWS MERAH OM (ALERGI) PCS 990.00 100 -
1084 ID B-003 ID BAND DWS PINK ONEMED BUAH 990.00 100 -
1085 ID .01.001 ID BAND DWS YELLOW ONEMED PCS 990.00 100 -
1086 ILIA-001 ILIADIN DROPS 0.025 % BOTOL 51,590.00 1 MERCK
1087 ILIA-002 ILIADIN SPRAY 0.05 % BUAH 56,500.40 1 MERCK
1088 IM B-001 IM BOOST 1000MG TAB EFF TABLET 7,150.00 10 SOHO
1089 IM B-005 IM BOOST FORCE TAB TABLET 6,233.34 30 SOHO
1090 IM B-008 IM BOOST TAB TABLET 3,025.00 30 SOHO
1091 IM R.OB.001 IM REG KAPSUL 7,058.34 60 -
1092 IMPU-001 IMPUGAN INJ 20MG/2ML AMPUL 8,140.00 5 ACTAVIS
1093 IMU .33.001 IMUNAL PLUS SYR FLES 50,600.00 1 NOVELL
1094 IMUN.OB.001 IMUNDO TAB CAPLET 4,400.00 30 -
1095 IMUN-003 IMUNOS CAP CAPLET 7,700.00 20 LAPI
1096 IMUN.OK.001 IMUNOS PLUS CAP CAPLET 9,130.00 20 LAPI
1097 IMUN.OB.002 IMUNOS PLUS SYR FLES 88,000.00 1 LAPI
1098 IMUN-006 IMUNOS SYR 60 ML BOTOL 66,000.00 1 LAPI
1099 INB .38.001 INBACEF 200 MG TABLET 16,335.00 30 -
1100 INCI-001 INCIDAL OD CAP CAPLET 3,029.99 50 BAYER
1101 INDU.OK.001 INDUXIN INJ (OXYTOCIN) AMPUL 8,800.00 10 KALBE
1102 INF .17.001 INFIMYCIN INF VIAL 137,500.00 1 -
1103 INFU.AH.001 INFUS SET OI 24 BUAH 12,760.00 100 OTSUKA
1104 INFU.OK.002 INFUSAN D10 SANBE FLES 20,350.00 1 SANBE
1105 INFU.OK.005 INFUSAN D5 500 SP FLES 18,920.00 1 SANBE
1106 INFU.OK.001 INFUSAN NS 100ML FLES 17,380.00 1 SANBE
1107 INFU.OK.004 INFUSAN NS 500 SP FLES 17,875.00 24 SANBE
RS MITRA MEDIKA
1108 INFU.OK.006 INFUSAN R+D FLES 18,810.00 1 SANBE

1109 INFU.OK.003 INFUSAN RL SP FLES 18,370.00 24 SANBE
1110 INF .01.001 INFUSET DEWASA COSMOMED PCS 4,099.70 1 -
1111 INF .01.004 INFUSET TERUMO PCS 8,844.00 1 -
1112 INFU.AH.003 INFUSION SET MIKRO (OI - 34) PCS 7,920.00 50 OTSUKA
1113 INH -002 INH TAB 300 MG TABLET 190.30 100 KIMIA F
1114 INH -003 INHA TAB 400 MG TABLET 660.00 100 MERSI
1115 INHI.OK.001 INHIPRAZ KAPSUL 12,000.00 10 BERNOFARM
1116 INJE.AH.002 INJECTOMAT LINE (PERFUSOR TUBING PCS 24,200.00 1 B.BRAUN
WHITE) 75 CM
1117 INJE.AH.001 INJECTOMAT LINE (PERFUSOR TUBING PCS 25,300.00 1 B.BRAUN
WHITE)150 CM
1118 INJE.AH.003 INJECTOMAT LINE PVC 200 CM PCS 6,850.00 1 -
1119 INLA.OB.001 INLACIN 50 MG TABLET 4,235.00 30 3M
1120 INNO.OK.001 INNOVAIR SPRAY PCS 457,380.00 1 ZAMBON
1121 INTE-002 INTERHISTIN TABLET TABLET 869.00 100 INTERBAT
1122 INTE.OK.001 INTERPRIL 10 MG TAB TABLET 4,785.00 30 INTERBAT
1123 INTE-009 INTERPRIL 5 MG TAB TABLET 3,245.00 30 INTERBAT
1124 INT .33.001 INTERZINC SYR FLES 35,200.00 1 INTERBAT
1125 INTR.AH.002 INTRAFIX SAFESET BUAH 21,175.00 1 B.BRAUN
1126 INVI-001 INVICLOT INJ AMPUL 51,975.00 1 FAHRENHEIT
1127 INV .38.001 INVITEC TAB TABLET 11,806.66 30 KALBE
1128 IRBE.OK.001 IRBESARTAN 150 MG TABLET 750.00 30 INDOFARMA
1129 IRBE.OK.002 IRBESARTAN 300 MG TABLET 1,200.00 30 GENERIK INDOFARMA
1130 IRVE.OK.001 IRVELL 300MG TABLET 12,100.00 20 NOVELL
1131 ISOF-001 ISOFLURAN 250 ML MILI LITER 1,815,000.00 1 DEXA
1132 ISOS-001 ISOSORBID DINITRATE TAB TABLET 165.00 100 INDOFARMA
1133 ITRA-001 ITRACONAZOLE 100 MG KAPSUL KAPSUL 3,300.00 100 GENERIK KF
1134 JANU.OK.001 JANUMET 50/500 MG TABLET 8,710.98 28 -
1135 JAN .38.001 JANUMET XR 100/1000 MG TABLET 17,421.80 28 MSD
1138 JAR .01.009 JARUM HAITING (MANI) SE ME 18 PCS 11,229.16 12 -
1145 JAR .01.005 JARUM HAITING (MANI) SE MH 21 PCS 11,229.16 12 -
1152 JAR .01.017 JARUM HAITING (MANI) SE TE 18 F PCS 11,228.80 12 -
1156 JAR .01.022 JARUM HAITING (MANI) SE TH 21 F PCS 11,229.16 12 -
1157 JAR .01.003 JARUM HAITING (MANI) SE TH 24 PCS 11,229.16 12 -
RS MITRA MEDIKA

1162 JAR .01.021 JARUM HAITING (MANI)SE TH 18 F PCS 11,229.16 12 -
1163 JARU.AH.001 JARUM HAITING (OM) PCS 15,400.00 1 -
1164 JELL-001 JELLY USG MILI LITER 35.20 5,000 BRATACO
1165 KAEN-003 KAEN 3B INF FLES 10,696.00 20 OTSUKA
1166 KAEN-005 KAEN MG3 INF BOTOL 9,599.70 20 OTSUKA
1167 KALB.OK.001 KALBAMIN INFUS BOTOL 106,150.00 1 KALBE
1168 KALF.OK.001 KALFOXIM 1 GR INJ VIAL 143,000.00 1 KALBE
1169 KALI.GN.001 KALI TAKE 5 GR SACHET 6,000.00 20 -
1170 KALI.OK.001 KALIPAR TABLET TABLET 700.00 50 TEMPO SCAN
1171 KALI-004 KALIUM DIKLOFENAK 50 TAB TABLET 584.43 50 DEXA
1172 KALK-001 KALKURENAL DROP 50 ML BOTOL 99,825.00 1 DARYA
1173 KALM.OK.002 KALMECO INJ AMPUL 22,000.00 5 KALBE F
1174 KALM-006 KALMICETINE 20MG SK 15 GR TUBE 9,075.00 1 GENERIK KF
1175 KALM-007 KALMOXILIN TAB 500 MG TABLET 2,200.00 100 KALBE F
1176 KALM-008 KALMOXILLIN INJ VIAL 25,300.00 1 KALBE
1177 KALN-001 KALNEX 500 MG TAB TABLET 3,520.00 100 KALBE
1178 KALN-002 KALNEX INJ AMPUL 13,200.00 10 KALBE
1179 KALT-001 KALTROFEN 100MG TAB TABLET 4,950.00 30 KALBE F
1180 KALT.OJ.001 KALTROFEN SUPP 100 MG SUPOSITORIA 13,750.00 10 KALBE
1181 KALX-001 KALXETIN 10 MG TAB TABLET 3,300.00 30 KALBE F
1182 KAM .96.001 KAMADOL INJ (TRAMADOL ) AMPUL 3,850.00 6 KIMIA F
1183 KAND-001 KANDISTATIN SUSP 12 ML BOTOL 38,500.00 1 METISKA
1184 KAN .38.001 KANO 100 TABLET 9,166.66 30 KONIMEX
1185 KAPA-002 KAPAS PEMBALUT 100GR GULUNG 7,920.00 1 -
1186 KAPA.AH.001 KAPAS PEMBALUT 25 GRAM BUAH 1,650.00 1 -
1187 KAPA-004 KAPAS PEMBALUT 500 GR GULUNG 30,250.00 1 -
1188 KAPS.AH.001 KAPSUL KOSONG 0 PCS 52.91 1,000 -
1189 KAPS.AH.002 KAPSUL KOSONG 00 PCS 71.50 1,000 -
1190 KAS .01.001 KASA HIDROFIL 40 * 80 X RAY ROL 388,300.00 1 -
1191 KAS .01.002 KASA HIDROFIL 40*80 X RAY ECERAN PCS 9,223.50 1 -
1192 KAS .01.004 KASA HYDROFIL 40 X 80 GULUNG 85,000.00 1 -
1193 KASA.AH.001 KASA HYDROFIL 40 X 80 ECERAN ROL 3,850.00 1 -
1194 KAS .01.003 KASA HYDROFIL 40 X 80 ONEMED ROL 120,000.00 1 -
1195 KASS-002 KASSA HUSADA 16X16 PAK 3,850.00 1 -
1196 KCL -001 KCL OTSUKA PCS 3,223.00 20 OTSUKA
1197 KEDA-001 KEDACILLIN INJ 1 GR AMPUL 37,176.50 10 TAKEDA
1198 KENA-002 KENALOG IN ORABASE TUBE 54,450.00 1 -
1199 KEN .38.001 KENDARON TAB TABLET 5,646.66 30 DARYA
1200 KERE.OB.001 KEREN INJ AMPUL 48,400.00 5 -
1201 KERT-025 KERTAS PUYER RIM 10,000.00 2 BRATACO
1202 KET .97.001 KETAMIN 50 MG/ML INJ VIAL 59,950.00 1 COMBIPHAR
1203 KETE-001 KETESSE 2,5% INJ AMPUL 51,700.00 5 FERRON
1204 KETE-002 KETESSE 25MG TAB TABLET 8,800.00 50 FERRON
1205 KETO.OK.001 KETO G TABLET 7,535.00 50 GUARDIAN
1206 KETO-002 KETOCONAZOLE 200MG TAB TABLET 420.99 50 GENERIK KF
1207 KETO-003 KETOKENAZOLE CR TUBE 2,517.90 1 GENERIK KF
1208 KETO-007 KETOPROFEN 100 MG/2ML INJ AMPUL 7,700.00 5 GENERIK KF
1209 KETO-008 KETOPROFEN TAB 100MG TABLET 1,350.00 50 GENERIK KF
1210 KETO-009 KETOROLAC INJ 10 MG/ML AMPUL 8,999.98 10 GENERIK KF
1211 KETO-010 KETOROLAC INJ 30 MG/ML AMPUL 2,169.20 5 GENERIK KF
1212 KETO-011 KETOROLAC TAB 10 MG TABLET 3,298.90 100 BERNOFARM
RS MITRA MEDIKA
1213 KETO-012 KETOSTERIL TABLET TABLET 4,298.00 100 FRESENIUS

1214 KIDM.OK.001 KIDMIN INFUS FLES 50,696.80 1 OTSUKA
1215 KLOD-002 KLODERMA CREAM 10GR TUBE 25,500.00 1 SDM
1216 KLO .01.001 KLORSEPT TABLET 1,996.50 200 -
1217 KUM .38.001 KOMBIGLYZE TAB TABLET 14,142.85 28 KALBE
1218 KOND.AM.001 KONDOM SUTRA '3" PCS 1,411.66 72 -
1219 KONI-001 KONIDIN TAB TABLET 1,166.00 100 KONIMEX
1220 KRU .01.001 KRUK DEWASA M/L PASANG 154,000.00 1 -
1221 KSR -001 KSR TABLET TABLET 3,164.06 100 MERCK
1222 KTM -001 KTM 100MG INJ (KETAMIN INJ ) / ML AMPUL 200,200.00 1 GUARDIAN
1223 KURK.OF.001 KURKUMEX TABLET 825.00 100 KONIMEX
1224 KUTO.AH.001 KUTOIN 100 INJ AMPUL 82,225.00 10 MERSI
1225 KUT .20.001 KUTOIN KAPSUL KAPSUL 1,265.00 100 MERSI
1226 L BI.OK.001 L - BIO KAPSUL KAPSUL 6,600.00 30 LAPI
1227 L - -002 L - BIO SACHET SACHET 7,260.00 30 LAPI
1228 L CO.OF.001 L CORE SACHET SACHET 22,000.00 5 LAPI
1229 L ZI.OB.001 L ZINC SYR BOTOL 36,300.00 1 LAPI
1230 LACB-001 LACBON TAB TABLET 1,265.00 100 KIMIA F
1231 LACE.OK.001 LACEDIM INJ VIAL 152,460.00 1 LAPI
1232 LACT-001 LACTACID FEMINIM 230 ML BOTOL 68,200.00 1 SOHO
1233 LACT-003 LACTACID FEMININE HYG 60 ML BOTOL 19,250.00 1 P&G
1234 LACT.OB.003 LACTAMAM TABLET 3,300.00 60 NOVELL
1235 LACT.OB.002 LACTERCON SACHET 3,630.00 40 NOVELL
1236 LACT-011 LACTO B SACHET 6,490.00 40 NOVELL
1237 LAC .04.003 LACTOGEN 1 HAPPYNUTRI 135 BOX 13,091.10 1 -
1238 LAC .04.001 LACTOGEN LOW LACTOSA 150 GR BOX 19,000.30 1 -
1239 LAC .04.002 LACTOGEN PREMATURE 400 GR BOX 67,091.00 1 -
1240 LACT-012 LACTOPAIN INJ AMPUL 38,500.00 5 LAPI
1241 LACT.OK.002 LACTRIN CAP KAPSUL 4,400.00 20 LAPI
1242 LAK .33.001 LAKTULOSA 60 ML BOTOL 30,250.00 1 -
1243 LAME.OK.002 LAMESON 125 INJ VIAL 95,700.00 1 LAPI
1244 LAME-002 LAMESON 16 MG TAB TABLET 8,800.00 100 LAPI
1245 LAME-003 LAMESON 4 MG TAB TABLET 3,575.00 100 LAPI
1246 LAME.OK.001 LAMESON 8 MG TAB TABLET 5,390.00 100 LAPI
1247 LAM .27.001 LAMODEX CR 10 GR TUBE 44,000.00 1 GUARDIAN
1248 LANC.OK.001 LANCID KAPSUL 15,125.00 20 KALBE
1249 LANS.OB.001 LANSOPRAZOLE TABLET 303.00 100 GENERIK HEXPHARM
1250 LANT.OK.001 LANTUS SOLOSTAR PCS 189,086.04 5 SANOFI
1251 LANT-004 LANTUS SOLOSTAR JKN PCS 83,950.02 5 SANOFI
1252 LAN .96.001 LANTUS XR FLEXPEN VIAL 311,991.90 5 SANOFI
1253 LAP .01.001 LAP SPONGE ABD 45*45 X RAY PCS 16,346.72 5 -
1254 LAPI-001 LAPIBAL 500 MG CAPLET 2,310.00 100 LAPI
1255 LAPI.OK.004 LAPIBAL INJ AMPUL 27,500.00 5 LAPI
1256 LAPI.OB.001 LAPIBION TABLET 1,430.00 100 LAPI
1257 LAPI-004 LAPICEF CAP 500 MG KAPSUL 10,120.00 100 LAPI
1258 LAPI.OK.005 LAPICEF SYR FLES 46,200.00 1 LAPI
1259 LAPI-008 LAPIFED DM SYR 100 ML BOTOL 20,900.00 1 LAPI
1260 LAPI-009 LAPIFED EXP SYR 60ML BOTOL 18,700.00 1 LAPI
1261 LAPI-012 LAPIFED TAB TABLET 1,650.00 100 LAPI
1262 LAPI-015 LAPIMOX CAP 500 MG TABLET 2,860.00 100 LAPI
1263 LAPI-018 LAPISIV SYR 100 ML BOTOL 16,500.00 1 LAPI
1264 LAPI-020 LAPISTAN 500 MG TAB TABLET 1,320.00 100 LAPI
1265 LAPI-021 LAPIXIME INJ. 1 GR VIAL 165,000.00 1 LAPI
RS MITRA MEDIKA
1266 LAPR-001 LAPRAZ CAPSUL KAPSUL 12,540.00 20 SANBE

1267 LAR .80.001 LARUTAN LUGOL BOTOL 150,000.00 1 BRATACO
1268 LARY-001 LARYNGEAL MASK AIRWAY NO.3 PCS 278,630.00 1 -
1269 LASA.OB.002 LASAL 100 ML EXP SYR FLES 40,150.00 1 LAPI
1270 LASA.OB.001 LASAL 100 ML SYR FLES 27,500.00 1 LAPI
1271 LAS .38.001 LASAL 2 MG TABLET TABLET 1,320.00 100 LAPI
1272 LAS .38.002 LASGAN TAB TABLET 15,400.00 20 LAPI
1273 LAS .96.001 LASIX INJ AMPUL 15,148.32 5 ROCHE
1274 LAV .01.001 LAVEMENT SYRINGE (ENEMA) PCS 55,000.00 1 -
1275 LAX .33.001 LAXADIN SYR 60 ML FLES 39,600.00 1 -
1276 LAX .38.001 LAXATAB TABLET 1,008.33 120 -
1277 L-C .38.001 L-CISIN TAB TABLET 4,400.00 30 LAPI
1278 LDLO.OB.001 LDLOX CAP KAPSUL 8,250.00 30 PYRIDAM
1279 LECR.OK.001 LECRAV 500 MG TAB TABLET 28,738.60 12 PYRIDAM
1280 LEFO.OK.002 LEFOS 500 MG INF FLES 280,500.00 1 GUARDIAN
1281 LEFO.OK.001 LEFOS 500 MG TAB TABLET 36,300.00 10 GUARDIAN
1282 LEFO.OK.003 LEFOS 750 MG INF FLES 346,500.00 1 GUARDIAN
1283 LENA.OK.001 LENAL ACE TABLET 1,331.00 100 MEDIPLUS
1284 LEOM.OK.001 LEOMOXYL 500 MG TABLET TABLET 3,327.50 100 GUARDIAN
1285 LESI.OK.001 LESICHOL 300 TABLET 9,900.00 60 LANDSON
1286 LETO-001 LETONAL 100MG TABLET TABLET 4,620.00 100 OTTO
1287 LETO-002 LETONAL 25MG TABLET TABLET 1,650.00 100 OTTO
1288 LEUK.AH.003 LEUKOMED T PLUS 8X 15 PCS 18,295.20 1 -
1289 LEUK.AH.002 LEUKOMET T PLUS 5X7.2 PCS 6,774.90 1 -
1290 B1N1204 LEUKOPLAST 5 CM X 4.5 M ( 2X5 ) PCS 29,797.90 1 BSN
1291 LEU .01.001 LEUKOTAPE K 5 CM * 5 M BLUE ROL 323.40 500 -
1292 LEVE.OB.001 LEVEMIR FLEXPEN JKN PCS 83,950.00 5 NOVO
1293 LEVO-001 LEVOCIN 500 MG TABLET TABLET 38,610.00 18 SANBE
1294 LEVO.OK.003 LEVOCIN INFUS FLES 316,030.00 1 SANBE
1295 LEVO-003 LEVOFLOXACIN 500 INF BOTOL 27,280.00 1 DEXA
1296 LEVO.OK.002 LEVOFLOXACIN 750 INF FLES 165,000.00 1 HEXPHARM
1297 LEVO-005 LEVOFLOXACIN TAB 500 MG TABLET 1,153.68 50 KIMIA F
1298 LEVO.OK.001 LEVOPRONT SYR BOTOL 62,436.00 1 COMBIPHAR
1299 LEVO.OK.004 LEVOSOL 8 MG/8 ML INJ AMPUL 53,900.00 5 KIMIA F
1300 LEVO-008 LEVOSOL INJ AMPUL 169,400.00 5 KIMIA F
1301 LIDO-001 LIDOCAIN INJ AMPUL 1,095.60 100 BERNOFARM
1302 LIDO.OB.001 LIDODEX INJ AMPUL 60,500.00 5 BERNOFARM
1303 LIF .01.001 LIFREE POPOK L1 PCS 7,070.80 1 -
1304 LIF .01.002 LIFREE POPOK M1 PAK 5,000.00 1 -
1305 LINC-001 LINCOMYCIN CAP 500 MG KAPSUL 650.01 60 GENERIK KF
1306 LIND.OK.001 LINDACYN 300 MG KAPSUL 6,380.00 50 CORONET
1307 LIPA-002 LIPANTHYL SUPRA 160 MG PCS 17,761.34 30 COMBIPHAR
1308 LIPA-003 LIPANTYL SUPRA TABLET 24,576.20 1 BAYER
1309 LIPI-002 LIPITOR 10 MG TABLET 17,647.27 30 PFIZER
1310 LIPI-003 LIPITOR 20 MG TABLET 17,647.27 30 PFIZER
1311 LIPI.OB.001 LIPITOR 40 MG TABLET 20,678.42 30 PFIZER
1312 LIPO-001 LIPOFOOD CAP TABLET 4,620.00 100 MEPROFARM
1313 LIPO.OK.001 LIPOMED 20 % 100 ML INF FLES 130,350.00 1 SANBE
1314 LIPO.OK.002 LIPOMED 20% 250 ML INF FLES 236,940.00 1 SANBE
1315 LIPR.OB.001 LIPROLAC SACH SACHET 6,600.00 30 KALBE
1316 LISI.GN.002 LISINOPRIL 10 MG TABLET 259.01 100 NOVELL
1317 LISI.GN.001 LISINOPRIL 5 MG TABLET 352.00 100 NOVELL
1318 LITO.OB.001 LITORCOM 20 TABLET 10,486.66 30 COMBIPHAR
RS MITRA MEDIKA
1319 LIV .OK.001 LIV 52 DS CAPS KAPSUL 4,216.66 60 HIMAJAYA

1320 LIV..OK.001 LIV.52 TAB TABLET 2,530.00 100 HIMAJAYA
1321 LIVA.OK.001 LIVALO 4 MG TAB TABLET 13,750.00 30 TANABE
1322 LIVE.OK.002 LIVER PRIME TABLET 6,930.00 30 DARYA
1323 LIVO.OB.001 LIVOLA GRANUL SACHET 28,737.50 10 LANDSON
1324 LIVO.OK.001 LIVOLA INJ AMPUL 93,500.00 5 LANDSON
1325 LIZO-001 LIZOR 500MG (CEFPROZIL) TABLET 21,450.00 20 PHAPROS
1326 LMA -003 LMA NO 5 PCS 302,500.00 1 TERUMO
1327 LODI.OK.001 LODIA TAB TABLET 1,045.00 60 SANBE
1328 LOD .96.001 LODOMER INJ AMPUL 5,050.00 10 MERSI
1329 LODO.OK.001 LODOZ 2.5 TABLET 6,783.34 30 MERCK
1330 LODO.OK.002 LODOZ 5MG TABLET 10,389.50 1 MERCK
1331 LOMA-001 LOMATULLE PCS 13,200.00 10 AMS
1332 LONG.OK.003 LONGATIN 25 MG CAPS KAPSUL 2,662.00 100 ACTAVIS
1333 LONG.OK.002 LONGATIN 50 MG CAPS KAPSUL 4,126.10 100 ACTAVIS
1334 LORA.GN.001 LORATADIN TAB TABLET 332.75 50 GENERIK NOVELL
1335 L-OR.OK.001 L-ORNITHIN-L- ASPARTATE INJ AMPUL 46,200.00 5 DEXA
1336 LOSA-001 LOSARTAN 50 MG TABLET 5,082.00 30 GENERIK KF
1337 LOVE-003 LOVENOX 60 MG / 0.6 ML INJ AMPUL 190,938.00 2 SANOFI
1338 LUMI-001 LUMINAL INJ VIAL 5,720.00 1 GENERIK KF
1339 LUMI-002 LUMINAL TAB 30 MG TABLET 240.00 100 KIMIA F
1340 LUPR.OK.001 LUPRED 5 MG TAB TABLET 2,200.00 30 FAHRENHEIT
1341 LYCO-001 LYCOXY TAB TABLET 4,400.00 30 DEXA
1342 LYDI-001 LYDIUM INJ (SODIUM HYALURONATE AMPUL 374,000.00 1 PHAPROS
1343 LYPH-001 LYPHANTIL M 200 MG TABLET 16,148.00 30 SOHO
1344 LYRI.OK.004 LYRICA 75 MG TABLET 12,570.17 14 PFIZER
1345 MAGA-001 MAGARD FA TABLET TABLET 4,400.00 30 SOHO
1346 MAGT-002 MAGTRAL SYR BOTOL 27,500.00 1 OTTO
1347 MAIN-001 MAINTATE TAB 2.5 MG TABLET 5,119.40 30 TANABE
1348 MAIN-002 MAINTATE TAB 5 MG TABLET 7,418.40 30 TANABE
1349 MALT-002 MALTOFER CHEW TAB TABLET 2,915.00 30 COMBIPHAR
1350 MALT-003 MALTOFER FOL TAB TABLET 3,116.66 30 COMBIPHAR
1351 MAM .01.002 MAMY POKO PREEMIE PAK 75,969.30 1 NOVELL
1352 MAM .01.001 MAMY POKO PREEMIE S PCS 64,180.60 1 NOVELL
1353 MAM .01.003 MAMY POKO STANDART S PAK 15,500.00 1 -
1354 MANI-001 MANITOL 20 % 500 ML INFUS FLES 39,499.90 1 SANBE
1355 MARC.OK.001 MARCAIN 0.50 % HVY 4 ML AMPUL 79,130.04 5 ASTRA ZENECA
1356 MART-001 MARTOS 10 % INF BOTOL 88,000.00 1 OTSUKA
1357 MASK-006 MASKER NEB ANAK PCS 27,500.00 1 -
1358 MASK-008 MASKER NEB DEWASA PCS 27,500.00 1 -
1359 MASK.AH.003 MASKER TALI / MASKER KARET PLUS PCS 440.00 50 -
1360 MAXY.AH.001 MAXYFLOW ANAK PCS 13,552.00 1 -
1361 MAXI.AH.001 MAXYFLOW DEWASA PCS 13,552.00 1 -
1362 MAYO.AH.005 MAYO GUEDEL AIRWAY 100 MM PCS 12,573.99 1 -
1368 MEBO.OK.001 MEBO SALEP / SIBRO TUBE 84,700.00 1 COMBIPHAR
1369 MECO-001 MECOBALAMIN INJ VIAL 8,800.00 10 GENERIK NOVELL
1370 MECO-002 MECOBALAMIN TAB 500MG KAPSUL 880.00 100 GENERIK NOVELL
1371 MEDI.OB.001 MEDIAMER B6 TABLET 2,828.93 100 DARYA
RS MITRA MEDIKA
1372 MEDI-005 MEDIFLEX CREAM 30GR TUBE 88,541.20 1 KALBE F

1373 MED .23.001 MEDITTOL HAND SANITIZER 5 L GALON 207,900.00 1 KIMIA F
1374 MED .06.001 MEDSCAB CR TUBE 65,450.00 1 -
1375 MEFI-002 MEFINAL CAP 500 MG TABLET 1,391.50 100 SANBE
1376 MEFI-004 MEFIX CAP 500 MG TABLET 1,089.00 100 MEPRO
1377 MEGA-001 MEGABAL CAP KAPSUL 1,694.00 100 SANBE
1378 MEIA-001 MEIACT TAB 200 MG TABLET 19,844.00 20 MEIJI
1379 MELI.ON.001 MELIDOX TABLET 1,210.00 200 MEPROFARM
1380 MELO-001 MELOXICAM 15 MG TABLET 1,018.14 50 GENERIK KF
1381 MELO-002 MELOXICAM 7,5 MG TABLET 360.02 50 GENERIK KF
1382 MEPT-001 MEPTIN 0.05 MG TAB TABLET 3,966.60 100 OTSUKA A
1383 MERI.OK.003 MERIMAC 450 TAB TABLET 3,465.00 100 MERSI
1384 MERI.OK.001 MERISLON 12MG TABLET 7,321.21 100 EISAI
1385 MERI-004 MERISLON 6MG TABLET 5,316.93 100 EISAI
1386 MERO-001 MEROPENEM INJ 0.5 GR AMPUL 132,000.00 1 GENERIK KF
1387 MERO-002 MEROPENEM INJ 1 GR VIAL 88,000.00 1 DEXA
1388 MERO.OK.002 MEROSAN 1 GR INJ VIAL 563,310.00 1 SANBE
1389 MERO.OK.001 MEROTIK 1 GR INJ VIAL 462,000.00 1 LAPI
1390 MERT-001 MERTIGO TAB TABLET 3,520.00 100 DEXA
1391 MES .39.001 MESONE OINT 10 GR TUBE 67,100.00 1 -
1392 MES .01.001 MESS 20 PCS 638.00 100 -
1393 MESS.AH.003 MESS AESCULAP NO 10 PCS 3,960.00 100 -
1394 MES .01.002 MESS AESCULAP NO 20 PCS 3,484.80 100 -
1395 METF-001 METFORMIN TAB 500 MG TABLET 145.20 100 DEXA
1396 METF-002 METFORMIN TAB 850 MG TABLET 396.00 100 DEXA
1397 METH.OB.002 METHERGIN INJ AMPUL 8,946.08 10 NOVARTIS
1398 MET .38.001 METHERINAL TAB TABLET 440.00 100 LANDSON
1399 METH-010 METHYCOBAL INJ AMPUL 23,123.87 10 EISAI
1400 MET .96.001 METHYL ERGOMETRINE INJ AMPUL 2,959.00 100 ETHICA
1401 MET .38.004 METHYLERGOMETRIN TAB TABLET 270.60 100 KIMIA F
1402 METH-011 METHYLPREDNISOLONE 16 MG TABLET 1,035.00 100 GENERIK NOVELL
1403 METH-012 METHYLPREDNISOLONE 4 MG TABLET 440.55 100 DEXA
1404 METH-013 METHYLPREDNISOLONE 8 MG TABLET 585.00 100 DEXA
1405 METH-014 METHYLPREDNISOLONE INJ 125MG AMPUL 10,800.00 1 DEXA
1406 METI-002 METILPREDNISOLON TAB TABLET 538.45 100 DEXA M
1407 METO.OK.001 METOCLOPRAMIDE TAB TABLET 143.00 100 INDOFARMA
1408 METH.OK.001 METPHAR XR 500 TABLET 1,650.00 10 NOVELL
1409 MET .38.002 METRISON 4 MG TABLET 2,367.75 100 DEXA
1410 MET .33.001 METROLET SYR BOTOL 20,900.00 1 -
1411 METR-001 METRONIDAZOLE INF 500 MG / 100 ML BOTOL 8,250.00 1 GENERIK HEXPHARM
1412 METR-002 METRONIDAZOLE TAB 500 MG TABLET 199.00 100 GENERIK DEXA MEDICA
1413 MET .38.003 METVELL 0,2 MG NJ AMPUL 9,487.50 10 NOVELL
1414 MEYL-001 MEYLON 25 ML BOTOL 15,180.00 1 OTSUKA
1415 MGSO-001 MGSO4 20 25 ML BOTOL 3,327.50 1 OTSUKA
1416 MGSO-002 MGSO4 40 25 ML BOTOL 3,796.10 1 OTSUKA
1417 MICA-001 MICARDIS 40MG TAB TABLET 13,987.60 20 BOEHRINGER ING
1418 MICA-002 MICARDIS 80 MG TAB TABLET 5,409.00 20 BOEHRINGER
1419 MICA-003 MICARDIS PLUS 80 MG/12,5 TABLET 15,691.50 20 BOEHRINGER ING
1420 MICO-001 MICONAZOLE CR 2% TUBE 3,414.40 24 GENERIK DEXA MEDICA
1421 MICR-003 MICROLAX 5 ML SUPOSITORIA 20,625.00 20 BAYER
1422 MIK .97.001 MIKASIN 250 MG 2 ML VIAL 104,500.00 1 KALBE
1423 MILO-002 MILOZ INJ. CC 8,800.00 50 NOVELL
1424 MINI.OK.001 MINIASPI TABLET 429.00 100 MERSI
RS MITRA MEDIKA
1425 MINO-002 MINOSEP GARGLE 150 ML PCS 29,601.00 1 PROMED

1426 MINY-006 MINYAK TAWON FF BOTOL 33,049.00 1 MACK
1427 MIOZ.OB.001 MIOZIDINE TABLET TABLET 3,520.00 30 FAHRENHEIT
1428 MKP -001 MKP CAPLANG 120 ML BOTOL 35,017.40 1 CAPLANG
1431 MODA.OB.001 MODALIM 100 MG TABLET 12,359.05 28 SANOFI
1432 MOF .39.001 MOFACORT CR 5 GR TUBE 34,815.00 1 -
1433 MOL .38.001 MOLAGIT TAB TABLET 481.06 150 -
1434 MOM .39.002 MOMETASON CR TUBE 22,275.00 1 -
1435 MOM .39.001 MOMILEN NURSING CREAM 15 GR TUBE 16,500.00 1 SAWAH BESAR
1436 MON .38.001 MONARIN FC TAB TABLET 7,700.00 30 DEXA
1437 MONE-001 MONECTO 20 TAB TABLET 3,874.20 100 FAHRENHEIT
1438 MONO.AH.003 MONOSYN 1 HR 48 VIOLET 90 CM PCS 124,740.00 1 B.BRAUN
1439 MONO.AH.004 MONOSYN 3/0 DS 24 PCS 88,244.20 1 B.BRAUN
1440 MONO.AH.005 MONOSYN 4/0 DS 24 PCS 140,360.00 1 B.BRAUN
1441 MONU.OK.001 MONURIL SACHET SACHET 169,950.00 1 ZAMBON
1442 MORP-001 MORPHIN INJ AMPUL 34,049.95 10 KIMIA F
1443 MOTI.OK.001 MOTILEX TAB TABLET 1,320.00 100 KALBE
1444 MOVI-002 MOVIX 15 MG TAB TABLET 8,470.00 20 LAPI
1445 MOVI-003 MOVIX 7,5 MG TAB TABLET 5,324.00 20 LAPI
1446 MOXI.OK.001 MOXIC FORTE 15 MG TABLET 8,800.00 20 OTTO
1447 MST .38.001 MST CONTINOUS 10 MG TAB TABLET 15,620.00 60 KIMIA F
1448 MST .ON.001 MST CONTINOUS 15 MG TAB TABLET 22,990.00 60 MBF
1449 MUCO-005 MUCOPECT SYR ANAK 60 ML BOTOL 35,970.00 1 BOEHRINGER ING
1450 MUCO-006 MUCOPECT SYR DEWASA 60 ML BOTOL 45,760.00 1 BOEHRINGER ING
1451 MUCO-007 MUCOPECT TAB TABLET 2,425.50 100 BOEHRINGER ING
1452 MUCO-011 MUCOSTA TAB TABLET 4,711.82 100 OTSUKA
1453 MUC .38.001 MUCYLIN 200 KAPSUL 2,200.00 60 -
1454 MUL .01.001 MULTIFUNCTION TOOL BOX INTERNA SET 401,500.00 1 -
1455 MUP .39.001 MUPICOR OINT 5 GR TUBE 33,000.00 1 -
1456 MY J.AH.001 MY JELLY 80 GR FLES 30,800.00 1 -
1457 MYCO.OB.001 MYCORAL 200 MG TABLET 3,806.00 50 KALBE
1458 MYCO.OB.002 MYCORAL CREAM 5GR TUBE 11,000.00 1 KALBE
1459 MYON.OK.001 MYONAL TAB TABLET 7,856.59 100 EISAI
1460 MYON-002 MYONEP TAB TABLET 4,840.00 100 LAPI
1461 MYOR.OK.001 MYORI TAB TABLET 3,420.02 50 -
1462 MYO .38.001 MYOTONIC TAB TABLET 2,915.00 100 MEPROFARM
1463 NACL-001 NACL 1000 ML SANBE PCS 25,575.00 15 SANBE
1464 NACL-006 NACL 1000 ML OGB BUAH 20,790.00 1 WIDATRA BAKTI
1465 NACL.OK.004 NACL 3 % OTSU FLES 24,200.00 1 OTSUKA
1466 NACL-003 NACL 500 B BRAUN BOTOL 7,150.00 10 B.BRAUN
1467 NACL-011 NACL 500 WIDA BOTOL 6,409.70 20 WIDATRA BAKTI
1468 NALG-001 NALGESTAN TAB TABLET 918.50 100 MEDIFARM
1469 NARO.OK.001 NAROPIN INJ AMPUL 74,739.92 5 -
1470 NASA.OB.003 NASAFED TABLET 1,131.90 100 MEDIKON
1471 NASA.OK.001 NASAFED PLUS TAB TABLET 1,551.00 100 MEDIKON
1472 NATR-002 NATRIUM DIKLOFENAK 25 MG TABLET 167.68 50 GENERIK KF
1473 NATR-003 NATRIUM DIKLOFENAK 50 MG TABLET 115.01 50 GENERIK KF
1474 NAZ .36.001 NAZOVEL SUPP SUPOSITORIA 16,335.00 5 NOVELL
1475 NBR .04.001 NBR PRONUTRA 1 400 BOX 80,000.00 1 -
1476 NEBA-001 NEBACETIN OINT TUBE 17,600.00 1 PHAROS IND
1477 NEBA-002 NEBACETIN POWDER BOTOL 20,350.00 1 PHAPROS
RS MITRA MEDIKA
1478 NEB .38.001 NEBILET 5 MG TABLET 6,160.00 28 -

1479 NEED-002 NEEDLE 18 TERUMO PCS 330.00 100 TERUMO
1480 NEED-011 NEEDLE 21 TERUMO PCS 330.00 100 TERUMO
1481 NEED.AM.002 NEEDLE 22 TERUMO BOX 209,000.00 1 TERUMO
1482 NEED.AH.004 NEEDLE 23 TERUMO BOX 330.00 100 TERUMO
1483 NEED.AH.003 NEEDLE 24 TERUMO PCS 1,331.00 100 TERUMO
1484 NEED-013 NEEDLE 25 TERUMO PCS 1,331.00 100 TERUMO
1485 NEE .01.001 NEEDLE 26 TERUMO PCS 330.00 100 TERUMO
1486 NEED.AM.001 NEEDLE 27 TERUMO PCS 1,100.00 100 TERUMO
1487 NEED-009 NEEDLE BD MICRO -FINE PCS 2,200.00 100 A I M
1488 NEED-010 NEEDLE NOVOFINE PCS 2,485.00 100 3M
1489 NEFR.OB.001 NEFROMEX KAPSUL 715.00 30 KONIMEX
1490 NELA-002 NELATON CATHETER NO.14 PCS 14,000.00 1 RUSCH
1491 NELA-003 NELATON CATHETER NO.16 PCS 11,400.00 1 RUSCH
1492 NEO .38.001 NEO DIAFORM TABLET 220.00 100 CORSA
1493 NEO .OB.002 NEO KAOLANA SYR BOTOL 12,980.00 1 SANBE
1494 NEOZ.OB.001 NEOZEP FORTE LEMBAR 1,921.00 25 -
1495 NEPH.SM.001 NEPHRISOL VANILA BOX 56,265.00 1 KALBE
1496 NEPH.OB.001 NEPHROLIT STRIP 643.50 100 HEXPHARM
1497 NERI-004 NERISONA COMBI 5 GR TUBE 67,731.00 1 TERUMO
1498 NERV.OB.001 NERVITONE E TABLET 1,397.55 200 COMBIPHAR
1499 NEUC.OK.001 NEUCITI 250 INJ AMPUL 39,600.00 5 LAPI
1500 NEUC.OB.001 NEUCITI 500 INJ AMPUL 66,000.00 5 LAPI
1501 NEUC-003 NEUCITI TAB 500 MG TABLET 10,450.00 30 LAPI
1502 NEUG.OB.001 NEUGAIN CAPLET 11,550.00 30 NOVELL
1503 NEUL.OK.001 NEULIN PS TABLET 13,200.00 30 FERRON
1504 NEUR.OB.003 NEURALGIN RX TABLET 619.99 100 KALBE
1505 NEUR-003 NEUROBION INJ. 5000 AMPUL 8,987.00 20 MERCK
1506 NEUR-004 NEUROBION TAB TABLET 1,572.41 250 MERCK
1507 NEUR-005 NEUROBION TAB 5000 TABLET 2,895.35 250 MERCK
1508 NEUR.OK.001 NEURODEX TAB TABLET 605.00 200 DEXA
1509 NEUR.OB.001 NEUROFENAC PLUS TABLET 4,319.10 100 MERCK
1510 NEUR-010 NEUROSANBE 5000 TAB TABLET 2,486.00 100 SANBE
1511 NEUR-011 NEUROSANBE INJ VIAL 5,324.00 10 SANBE
1512 NEUR-012 NEUROSANBE PLUS TAB TABLET 1,072.50 100 SANBE
1513 NEUR-013 NEUROSANBE TAB TABLET 1,160.50 100 SANBE
1514 NEUR.OB.002 NEUROTAM 1 GR INJ AMPUL 17,600.00 10 KALBE
1515 NEUR.OT.001 NEUROTAM 3 GR INJ AMPUL 60,500.00 4 KALBE
1516 NEUR.OK.002 NEUROTAM 800 TAB TABLET 4,464.28 100 KALBE
1517 NEUR-017 NEUROTAM INF 12 GR/60 ML BOTOL 231,000.00 1 KALBE
1518 NEVO.OK.001 NEVOX XR 500 TABLET 2,200.00 30 KALBE
1519 NEVR-001 NEVRADIN E TAB TABLET 2,585.00 100 COMBIPHAR
1520 NEVR.OB.001 NEVRAMIN TABLET 1,000.01 100 TAKEDA
1521 NEXI-001 NEXIUM 20 MG TAB TABLET 17,337.73 28 ASTRA ZENECA
1522 NEXI-002 NEXIUM 40 MG TAB TABLET 21,809.23 14 ASTRA ZENECA
1523 NEXI.OK.001 NEXIUM 40MG INJ VIAL 73,499.99 1 ASTRA ZENECA
1524 NIA .39.001 NIACEF GEL TUBE 28,655.00 1 -
1525 NICA.OK.002 NICARDIPIN HCL 10 MG INJ AMPUL 64,350.00 5 DEXA
1526 NID .96.001 NIDAVEN INJ AMPUL 143,000.00 10 NOVELL
1527 NIFE-001 NIFEDIPINE TAB 10 MG TABLET 105.00 100 GENERIK DEXA MEDICA
1528 NIFU-001 NIFUDIAR SYR BOTOL 36,850.00 1 MEPRO
1529 NIFU-002 NIFURAL SYR BOTOL 58,768.01 1 MEDIFARM
1530 NIMO-001 NIMOTOP 30 MG TAB TABLET 7,579.88 50 BAYER
RS MITRA MEDIKA
1531 NIM .17.001 NIMOTOP INFUS FLES 286,528.00 1 DARYA

1532 NITR.OK.001 NITROKAF RETARD TAB TABLET 1,560.00 100 KIMIA F
1533 NOLE.OB.001 NOLES 200 MG TAB TABLET 9,130.00 30 KONIMEX
1534 NONE.OK.001 NONEMI TAB TABLET 1,650.00 100 LAPI
1535 NONF-001 NONFLAMIN CAP KAPSUL 3,366.09 60 TAKEDA
1536 NOOC.OK.001 NOOCHEPAL SYR FLES 55,000.00 1 PYRIDAM
1537 NOP .38.001 NOPROSTOL TAB TABLET 10,857.00 50 NOVELL
1538 NORA.OB.001 NORAGES INJ AMPUL 9,185.00 10 MEPRO
1539 NORA.OK.001 NORAGES SYR BOTOL 34,100.00 1 MEPROFARM
1540 NORE-001 NORELUT TAB 5 MG TABLET 4,400.00 50 DEXA
1541 NOR .96.001 NOREPINEPHRINE INJ (NORFION ) AMPUL 25,520.00 5 ETHICA
1542 NORI-001 NORIT TAB TABLET 375.00 40 CAPLANG
1543 NORO.OK.001 NOROS KAPS KAPSUL 5,830.00 50 KALBE
1544 NORS.OK.001 NORSEC INJ VIAL 149,600.00 1 GUARDIAN
1545 NORV.OK.002 NORVASK 10 MG TABLET 14,125.50 30 PFIZER
1546 NORV.OK.003 NORVASK 5 MG TABLET 8,039.60 30 PFIZER
1547 NOT .38.001 NOTISIL 2 MG TABLET 948.75 100 NOVELL
1548 NOTR.OB.001 NOTRIXUM 50 INJ AMPUL 82,500.00 5 NOVELL
1549 NOUR-001 NOURISHSKIN ULTIMET 30'' PCS 6,966.67 30 PHAROS IND
1550 NOVA.AH.001 NOVA T 380 IUD BOX 275,286.00 1 BAYER
1551 NOV .33.001 NOVAGYL SYR FLES 5,000.00 1 -
1552 NOVA-003 NOVALGIN INJ. AMPUL 9,300.00 5 SANOFI
1553 NOVA-004 NOVALGIN SYR BOTOL 36,658.60 1 SANOFI
1554 NOVA-005 NOVALGIN TAB TABLET 1,056.52 500 SANOFI
1555 NOVO.OK.003 NOVOMIX 30 FLEXPEN PCS 168,087.26 5 -
1556 NOVO-004 NOVOMIX 30 FLEXPEN JKN PCS 110,968.00 5 NOVO
1557 NOVO.OK.002 NOVORAPID FLEXPEN PCS 168,087.26 5 NOVO
1558 NOVO-006 NOVORAPID FLEXPEN JKN PCS 87,000.00 5 NOVO
1559 NS 1.OK.001 NS 100 PIGGYBACK FLES 13,200.00 10 OTSUKA
1560 NTB .04.002 NTBABY PEPTI JUNIOR 400 GR BOX 250,372.00 1 -
1561 NTB .04.001 NTBABY PREMATURE (MD) 400 GR BOX 96,154.00 1 -
1562 NB .04.001 NTBABY ROYAL 1 ACTIDUO 400 GR BOX 82,000.00 1 -
1563 NTB .29.001 NTBABY ROYAL PDF 400 GR BOX 96,154.00 1 -
1564 NTG .OK.001 NTG (NITROGLYCERIN) INJ AMPUL 71,500.00 10 FERRON
1565 NUB .97.001 NUBAC 1 GR INJ VIAL 181,500.00 1 GUARDIAN
1566 NUCO.OB.001 NUCOLIN 500 MG INJ AMPUL 66,000.00 5 GUARDIAN
1567 NUCR.OK.001 NUCRAL SACHET SACHET 7,260.00 15 GUARDIAN
1568 NUCR-002 NUCRAL SYR 100 ML BOTOL 53,350.00 1 GUARDIAN
1569 NUCR.OB.001 NUCRAL SYR 200ML BOTOL 73,700.00 1 MEPRO
1570 NUF .38.001 NUFIT TAB TABLET 7,590.00 20 GUARDIAN
1571 NUR .01.001 NURSE CAP GREEN OM BUAH 333.91 100 -
1572 NYMI-001 NYMIKO DROP BOTOL 33,550.00 1 SANBE
1573 NYND.OB.001 NYNDIA DROP FLES 41,250.00 1 GUARDIAN
1574 OBI .38.001 OBESLIM KAP KAPSUL 9,350.00 30 LAPI
1575 OBH -002 OBH COMBI MADU SYR 100 ML BOTOL 12,969.00 1 CYTO
1576 OBH -001 OBHC MENTOL/JAHE 100 ML BOTOL 10,150.00 1 COMBIPHAR
1577 OBH -003 OBHC PLUS ANAK 60 ML BOTOL 12,100.00 1 COMBIPHAR
ORANGE/STROBERY/APEL/MADU
1578 OBH -005 OBHC PLUS MENTOL/JAHE/MADU 100 BOTOL 13,750.00 1 COMBIPHAR
ML
1579 OBH -007 OBHC PLUS MENTOL/JAHE/MADU 60 BOTOL 10,395.00 1 COMBIPHAR
ML
1580 OBH -006 OBHC SYR 60 ML BOTOL 5,445.00 1 COMBIPHAR
1581 OBIM-001 OBIMIN AF TABLET 1,129.80 30 MEDIFARM
RS MITRA MEDIKA
1582 OCT .15.001 OCTENIC GEL 5 GR TUBE 23,100.00 1 MBF

1583 OCT .96.001 OCTIDE INJ AMPUL 165,000.00 5 FAHRENHEIT
1584 OCUS-001 OCUSON TAB TABLET 1,221.00 100 SANBE
1585 ODE .80.001 ODEX 0.5 LT BOTOL 88,000.00 1 -
1586 ODR -001 ODR INJ 4 MG AMPUL 33,000.00 5 LAPI
1587 ODR -002 ODR INJ 8 MG AMPUL 52,800.00 5 LAPI
1588 ODR .OK.001 ODR SYR 60 ML FLES 101,200.00 1 LAPI
1589 OFLO-001 OFLOXACIN 200MG TAB TABLET 590.11 50 GENERIK DEXA MEDICA
1590 OFLO-002 OFLOXACIN 400MG TAB TABLET 873.00 50 GENERIK DEXA MEDICA
1591 OLME.OK.001 OLMETEC 40 TABLET 15,188.61 30 -
1592 OMEP-001 OMEPRAZOLE CAPS 20 MG KAPSUL 407.96 30 GENERIK KF
1593 OMEP.GN.001 OMEPRAZOLE INJ BOX 9,896.04 1 BERNOFARM
1594 OMEV.OB.001 OMEVEL TAB TABLET 12,833.33 30 NOVELL
1595 OMZ .OK.001 OMZ INJ BOX 78,540.00 1 FERRON
1596 ONDA.OK.001 ONDANE 4MG INJ AMPUL 31,900.00 5 GUARDIAN
1597 OND .96.001 ONDANE 8MG INJ AMPUL 59,400.00 5 GUARDIAN
1598 OND .33.001 ONDANE SYR FLES 94,600.00 1 GUARDIAN
1599 ONDA-002 ONDANSENTRON INJ 4 MG AMPUL 1,500.40 10 GENERIK DEXA MEDICA
1600 ONDA-003 ONDANSENTRON INJ 8 MG AMPUL 3,600.04 5 GENERIK DEXA MEDICA
1601 ONDA-004 ONDANSENTRON TAB 4 MG TABLET 385.00 12 GENERIK KF
1602 ONDA-005 ONDANSENTRON TAB 8 MG TABLET 351.00 100 GENERIK DEXA MEDICA
1603 ONDA-006 ONDAVELL 4 MG TAB TABLET 14,300.00 12 NOVELL
1604 ONE .01.001 ONE SCRUB 4 % 500 ML BOTOL 62,500.00 1 -
1605 OPI .38.001 OPICORT 4 MG TABLET 2,750.00 30 OTTO
1606 OPI .38.002 OPIGLIT 15 MG TAB TABLET 5,500.00 30 OTTO
1607 OPIG.OK.003 OPIGRAN 1 GRAM INJ AMPUL 56,100.00 5 OTTO
1608 OPIG.OK.002 OPIGRAN 3 GRAM INJ AMPUL 118,800.00 5 OTTO
1609 OPIL.OB.001 OPILAX SYR 60ML BOTOL 51,700.00 1 OTTO
1610 OPIM-001 OPIMER INJ 1 GR BOX 495,000.00 1 OTTO
1611 OPIM-002 OPIMOX 500 MG KAPLET CAPLET 2,200.00 100 OTTO
1612 OPIN-002 OPINACEA TAB TABLET 7,150.00 30 OTTO
1613 OPIN-003 OPINEURON TAB TABLET 1,430.00 100 OTTO
1614 OPIX-002 OPIXIME 100MG CAPSUL KAPSUL 16,500.00 30 OTTO
1615 OPIX-003 OPIXIME SYR BOTOL 71,500.00 1 OTTO
1616 OPSI.AH.001 OPSITE POST 15.5 * 8.5 CM PCS 42,500.00 1 KALBE F
1617 OPS .97.001 OPSITE POST 55 * 45 CM PCS 173,800.00 1 KALBE F
1618 OPS .01.001 OPSITE POST 84 * 56 CM PCS 264,000.00 1 KALBE F
1619 ORI .38.001 ORINOX 60 MG TABLET 6,600.00 30 DEXA
1620 ORI .38.002 ORINOX 90 MG TABLET 8,250.00 30 DEXA
1621 OSFI.OK.001 OSFIT DHA KAPSUL 4,400.00 30 KALBE
1622 OSME.OF.001 OSMETIN ZUPER SACHET 22,000.00 10 NOVELL
1623 OSTE-001 OSTE FORTE TAB TABLET 5,500.00 30 SOHO
1624 OSTE-002 OSTE KAPLET CAPLET 3,025.00 60 SOHO
1625 OSTE-004 OSTELOX 15 MG TABLET 7,469.00 20 SANBE
1626 OSTE-005 OSTELOX 7,5MG TAB TABLET 5,753.00 20 SANBE
1627 OST .20.001 OSTOPAN KAPSUL 11,000.00 10 -
1628 OTO .AH.005 OTO ADULT L 2 PCS 13,200.00 1 -
1629 OTO .AH.003 OTO ADULT L 8 PCS 47,850.00 1 -
1630 OTO .AH.002 OTO ADULT M 10 PCS 47,850.00 1 -
1631 OTO .AH.004 OTO ADULT M 2 PCS 11,000.00 1 -
1632 OTO .AH.001 OTO ADULT XL 6 PCS 47,850.00 1 -
1633 OTOL-001 OTOLIN EAR DROPS BOTOL 20,570.00 1 OTTO
1634 OTOP-001 OTOPAIN EAR DROP BOTOL 49,500.00 1 INTERBAT
RS MITRA MEDIKA
1635 OTOZ-001 OTOZAMBON TETES TELINGA BOTOL 44,000.00 1 ZAMBON

1636 OTRI-001 OTRIVIN 0,1% TTS HIDUNG DWS BOTOL 31,350.00 1 NOVARTIS
1637 OTRI-002 OTRIVIN 0.05% ANAK BOTOL 33,000.00 1 NOVARTIS
1638 OTSU-003 OTSU SALIN 3 BOTOL 11,948.20 1 OTSUKA
1639 OTSU-004 OTSU- WI 25 ML BOTOL 2,640.00 120 OTSUKA
1640 OTSU.OB.001 OTSUTRAN 70 BOTOL 78,300.50 1 OTSUKA
1641 OTTO-001 OTTOPAIN EAR DROPS BOTOL 49,500.00 1 OTTO
1642 OTTO-003 OTTOZOL INJ VIAL 132,000.00 1 OTTO
1643 OTTO.OK.001 OTTOZOL INJ VIAL 151,250.00 1 OTTO
1644 OXAF.OK.001 OXAFLOX 400 TABLET 14,666.66 30 CORONET
1645 OXYC-001 OXYCAN GREEN BOTOL 31,371.00 1 ANUGRAH PALMA MEDILAB
1646 OXYF.AH.002 OXYFLOW ANAK PCS 8,470.00 1 -
1647 OXYF.AH.004 OXYFLOW BAYI TRANS PCS 8,470.00 1 -
1648 OXYF.AH.001 OXYFLOW DWS PCS 6,600.00 1 -
1649 OXYF.AH.003 OXYFLOW NEONATE PCS 5,900.00 1 -
1650 OXY .96.001 OXYLA INJ AMPUL 12,650.00 10 NOVELL
1651 OXYT.OK.001 OXYTOCIN INJ AMPUL 1,199.00 100 ETHICA
1652 OZEN-001 OZEN DROPS BOTOL 61,831.00 1 PHAROS IND
1653 OZEN-002 OZEN SYR BOTOL 54,450.00 1 PHAROS IND
1654 P E -001 P E G SOLUTION 1000 ML BOTOL 45.00 1,000 SCHERING P
1655 PALD-001 PALDING (SOFBAN) 6" ROL 46,200.00 1 ANUGRAH ARGON MEDICA
1656 PALD-002 PALDING(SOFBAN) "4" 10 CM X2,7 M ROL 33,000.00 1 ANUGRAH ARGON MEDICA
1657 PALD-003 PALDING(SOFBAN) 3" ROL 44,000.00 1 ANUGRAH ARGON MEDICA
1658 PAMO.OB.003 PAMOL SYR FLES 23,100.00 1 INTERBAT
1659 PANA-001 PANADOL COLD & FLU TAB TABLET 825.00 100 STERLING
1660 PANA-002 PANADOL DROPS BOTOL 27,908.10 1 STERLING
1661 PANA-003 PANADOL EXTRA TAB TABLET 715.00 100 STERLING
1662 PANA-004 PANADOL SYR 30 ML BOTOL 12,817.20 1 STERLING
1663 PANA-005 PANADOL SYR 60 ML BOTOL 29,095.00 1 STERLING
1664 PAN--001 PAN-AMIN G INF 500 ML BOTOL 45,950.30 1 OTSUKA
1665 PANK-001 PANKREOFLAT TAB TABLET 2,871.00 100 SOLVAY
1666 PANK-002 PANKREON FOR CHILDREN SACHET 10,670.00 10 SOLVAY
1667 PANS-001 PANSO 40 MG INJ (PANTOPRAZOLE) VIAL 132,000.00 1 SOHO
1668 PANT-003 PANTOPRAZOLE 40 MG INJ VIAL 20,570.00 1 BERNOFARM
1669 PANT.OK.001 PANTOPRAZOLE TAB 20MG TABLET 8,800.00 10 DEXA
1670 PANT.OK.002 PANTOPRAZOLE TAB 40MG TABLET 11,000.00 10 DEXA
1671 PANT-008 PANTOZOL KAPS 40 MG KAPSUL 20,742.85 7 PHAROS IND
1672 PANT-009 PANTOZOL TAB 20 MG TABLET 14,850.00 7 PHAROS IND
1673 PARA.OK.002 PARACETAMOL 15 ML DR FLES 6,857.40 1 GENERIK INDOFARMA
1674 PARA.OB.001 PARACETAMOL INF BOTOL 11,990.00 1 BERNOFARM
1675 PARA-004 PARACETAMOL SYR BOTOL 3,159.20 1 GENERIK INDOFARMA
1676 PARA-005 PARACETAMOL TAB ( STRIP ) TABLET 96.00 100 GENERIK DEXA MEDICA
1677 PAR .33.001 PARACO DR FLES 25,850.00 1 CORONET
1678 PARA.OB.004 PARACO SYR FLES 16,500.00 1 CORONET
1679 PAR .04.001 PARAFIN WAX 454 GR PCS 121,000.00 1 -
1680 PARA.OK.001 PARAMOL INFUS BOTOL 57,750.00 1 BERNOFARM
1681 PAR .39.001 PARASOL CR SPF 33 20 GR TUBE 51,260.00 1 -
1682 PARI-001 PARIET TAB 10 MG TABLET 18,561.48 14 EISAI
1683 PARI.OB.001 PARIET TAB 20 MG TABLET 20,935.58 14 EISAI
1684 PATR.OK.001 PATRAL TABLET 7,700.00 10 MBF
1685 PECT-001 PECTOCIL CAP 200MG KAPSUL 2,200.00 30 ETHICA
1686 PEDI-001 PEDIALYTE SYR BOTOL 31,500.00 1 ABBOTT
1687 PEHA-001 PEHACAIN INJ AMPUL 3,113.06 20 PHAROS IND
RS MITRA MEDIKA
1688 PELA.OK.001 PELASTIN INJ VIAL 299,128.50 1 SANBE

1689 PEMB-001 PEMBALUT WANITA HONEYSOFT PCS 2,950.20 1 ANUGRAH ARGON MEDICA
1690 PEMP-001 PEMPERS DEWASA L CONFIDENCE PCS 4,758.38 1 ANUGRAH ARGON MEDICA
1691 PEMP-002 PEMPERS DEWASA M CONFIDENCE PCS 4,216.63 1 ANUGRAH ARGON MEDICA
1692 PEMP-007 PEMPERS SWEETY PANTS- L PCS 1,557.38 1 ANUGRAH ARGON MEDICA
1693 PEMP-008 PEMPERS SWEETY PANTS-M PCS 1,433.30 1 ANUGRAH ARGON MEDICA
1694 PEMP-009 PEMPERS SWEETY PANTS-S PAK 1,475.10 1 ANUGRAH ARGON MEDICA
1695 PEMP-010 PEMPERS SWEETY PANTS-XL PCS 2,150.50 1 ANUGRAH ARGON MEDICA
1696 NOVO.AH.001 PEN NEEDLE 32 G X 4MM BD PCS 2,050.13 100 BD
1697 NOVO.AH.002 PEN NEEDLE 32.5 G X 4 NANOPASS PCS 1,996.86 100 TERUMO
1698 PENC-001 PENCAN G27+INTRODUCER SET 60,500.00 1 ANUGRAH ARGON MEDICA
1699 PENC.AH.001 PENCIL CAUTER PCS 138,600.00 1 -
1700 SUSU.OF.001 PEPTAMEN 430 GR KALENG 197,686.00 1 NESTLE
1701 PEPT.OB.001 PEPTISOL 185G BOX 61,710.00 1 KALBE
1702 PEPZ.OB.001 PEPZOL 40 TABLET 18,700.00 10 MBF
1703 PERB.AH.002 PERBAN 10CM PCS 2,200.00 50 INDOLAB
1704 PERB.AH.001 PERBAN 15CM GULUNG 2,860.00 50 INDOLAB
1705 PERB.AH.003 PERBAN 5 CM PCS 1,100.00 100 INDOLAB
1706 PER .38.001 PERIFAS TAB TABLET 1,925.00 100 OTTO
1707 PERI-001 PERIFIX 400FILTER SET G18X31/4 SET 314,299.70 1 B.BRAUN
1708 PERV.OB.001 PERVITA CAP TABLET 1,408.00 100 SANBE
1709 PETH-001 PETHIDINE INJ AMPUL 13,191.42 10 KIMIA F
1710 PHA .39.001 PHARMALENE GEL TUBE 49,500.00 1 -
1711 PHAR-001 PHARMATON FORMULA TAB TABLET 4,204.77 50 DARYA
1712 PHAR-002 PHAROLIT SACHET 1,255.84 60 PHAROS IND
1713 PHEN.OP.002 PHENOBARBITAL INJ AMPUL 1,857.00 30 KIMIA F
1714 PHEN.OK.001 PHENYTOIN INJ AMPUL 56,005.40 10 GENERIK INDOFARMA
1715 PHIS.OB.002 PHISOHEX 110 ML FLES 28,050.00 1 -
1716 PHIS.OB.001 PHISOHEX 50 ML BOTOL 20,350.00 1 COMBIPHAR
1717 G16 PHYTOMENADIONE 10 MG INJ AMPUL 4,766.66 30 GENERIK PHAPROS
1718 PHY .38.001 PHYTOMENADIONE 10 MG TAB TABLET 710.00 100 GENERIK PHAPROS
1719 PICY-002 PICYN VIAL 1500 MG VIAL 126,500.00 1 BERNOFARM
1720 PIDO.OK.001 PIDOVIX 75 MG TABLET 16,500.00 30 LAPI
1721 PIO .38.001 PIOGLITAZONE 30 MG TABLET 4,125.00 30 -
1722 PIRA.OK.001 PIRACETAM 1 GRAM INJ AMPUL 5,500.00 10 GENERIK DEXA MEDICA
1723 PIRA.OK.003 PIRACETAM 12 GR INF FLES 77,000.00 1 GENERIK DEXA MEDICA
1724 PIRA-003 PIRACETAM 1200 MG TAB TABLET 1,293.60 30 GENERIK KF
1725 PIRA.OK.002 PIRACETAM 3 GRAM INJ AMPUL 11,973.50 4 GENERIK DEXA MEDICA
1726 PIRA.OB.001 PIRACETAM 400 MG TABLET 541.20 1 DEXA
1727 PIRA-006 PIRACETAM 800 MG TAB TABLET 963.60 100 GENERIK DEXA MEDICA
1728 PIRA.OK.004 PIRALEN INJ AMPUL 5,280.00 5 OTTO
1729 PIRO.OB.001 PIROFEL GEL TUBE 18,370.00 1 SANBE
1730 PIRO-003 PIROXICAM CAP 10 MG KAPSUL 97.02 100 GENERIK KF
1731 PIRO-004 PIROXICAM CAP 20 MG KAPSUL 130.41 100 GENERIK FM
1732 PISA-001 PISAU CUKUR ( RAZOR DAHL HAUSEN PCS 3,800.00 100 ANUGRAH ARGON MEDICA
)
1733 PK 1-001 PK 1 KG GRAM 385.00 1,000 BRATACO
1734 PK 5.OK.001 PK 5 GR BOTOL 5,200.00 1 BRATACO
1735 PLAC-001 PLACTA TABLET TABLET 10,890.00 90 ACTAVIS
1736 PLAN.OK.001 PLANOTAB TAB STRIP 3,150.40 20 -
1737 PLA .20.001 PLASMIN KAPSUL 10,231.53 36 -
1738 PLAS.OK.001 PLASMINEX INJ AMPUL 13,002.00 10 SANBE
1739 PLAS-006 PLASMINEX TAB TABLET 2,832.50 100 SANBE
RS MITRA MEDIKA
1740 PLAV-001 PLAVIX 300 TAB TABLET 27,200.14 10 SANOFI

1741 PLAV-002 PLAVOS TAB TABLET 12,100.00 30 SOHO
1742 PLET.OB.001 PLETAAL 100 MG TABLET 13,442.00 30 OTSUKA
1743 PLET.OK.002 PLETAAL 50MG TABLET 8,467.30 100 OTSUKA
1744 PLET.OK.001 PLETAAL POWDER PCS 13,378.20 30 OTSUKA
1745 POL .01.001 POLISORB 1 PCS 143,000.00 1 -
1746 POL .01.002 POLISORB 2/0 PCS 100,100.00 1 -
1747 POLI.AH.003 POLIVAC SET 12 FG PCS 187,000.00 1 -
1748 POLI.AH.002 POLIVAC SET 14 FG PCS 181,500.00 1 -
1749 POLY-001 POLYCROL SYR 100 ML BOTOL 18,150.00 1 NICHOLAS
1750 POLY-002 POLYCROL F SYR 100ML BOTOL 27,500.00 1 NICHOLAS
1751 POLY-003 POLYCROL F TAB TABLET 595.83 240 NICHOLAS
1752 POLY.OB.001 POLYCROL TAB TABLET 400.07 120 NICHOLAS
1753 POLY-023 POLYFLEX 26 G WITH INJ PORT PCS 15,180.00 50 -
1754 PONA.OK.001 PONALAR 500 TAB TABLET 1,320.00 100 CORONET
1755 PONS-002 PONSTAN TAB 500 MG TABLET 2,048.64 100 PFIZER
1756 POSA.OK.001 POSAFIT TAB TABLET 4,950.00 30 FERRON
1757 POSP.OK.001 POSPARGIN INJ AMPUL 6,050.00 10 KALBE
1758 POSP-003 POSPARGIN TAB TABLET 506.00 100 KALBE F
1759 POST-001 POSTOVIT TAB TABLET 2,970.00 50 NOVELL
1760 POVI.BB.001 POVIDON IODINE 300 ML GALON 18,000.00 1 -
1761 PRAN.OK.002 PRANZA INJ VIAL 149,600.00 1 KALBE
1762 PRAX-001 PRAXILENE 200 KAPSUL 5,220.60 100 MERCK
1763 PRED.OK.001 PREDNICORT 125 MG INJ VIAL 90,200.00 1 OTTO
1764 PRED.OK.002 PREDNICORT 4 MG TAB TABLET 3,300.00 50 OTTO
1765 PRED.OK.003 PREDNICORT 8 MG TAB TABLET 4,950.00 50 OTTO
1766 PRED.OK.004 PREDNISON TABLET 100.00 1 -
1767 PRE .38.001 PREGABALIN 75 KAPSUL 7,150.00 30 DEXA
1768 PREG-003 PREGNOLIN TAB TABLET 3,300.00 50 DEXA
1769 PREM-001 PREMASTON TAB TABLET 4,216.66 30 KALBE F
1770 PRE .04.001 PRENAGEN LACTA COKLAT 200 GR BOX 35,900.70 1 KALBE
1771 PRE .04.002 PRENAGEN MOMMY COKLAT 200 GR BOX 36,647.60 1 KALBE
1772 PREN-001 PRENAMIA KAPSUL KAPSUL 968.00 100 SANBE
1773 PRES-001 PRESARIUM NO 7 PCS 44,000.00 1 ANUGRAH ARGON MEDICA
1774 PRIM.OK.003 PRIMADOL TAB TABLET 1,375.00 100 SOHO
1775 PRIM-001 PRIMASEPT MED BOTOL 232,320.00 1 -
1776 PRIM.OK.006 PRIMOLUT N TABLET 5,319.93 30 BAYER
1777 PRIM.OK.002 PRIMPERAN DROPS BOTOL 20,500.00 1 DELAGRANGE
1778 PRIM-008 PRIMPERAN INJ AMPUL 11,366.66 6 SOHO
1779 PRI .33.001 PRIMPERAN SYR FLES 22,000.00 1 SOHO
1780 PRIM-010 PRIMPERAN TAB 10 MG TABLET 1,375.00 100 SOHO
1781 PRO .OK.002 PRO INFARK INJ 10 ML AMPUL 13,200.00 5 PHAPROS
1782 PRO .OK.001 PRO TB 4 TABLET 5,426.65 28 PHAPROS
1783 PROA-001 PROANES INJ MILI LITER 17,336.00 100 SANBE
1784 PRO .38.002 PROBABY TABLET 7,139.00 10 -
1785 PROB-002 PROBENID TAB SACHET 3,300.00 100 DEXA
1786 PROB.OB.001 PROBIOKID SACHET 13,354.00 10 SANBE
1787 PRO .20.001 PROBIOSTIM CAP KAPSUL 9,982.50 30 SANBE
1788 PROC.OK.002 PROCELES TABLET 1,650.00 50 MEPROFARM
1789 PROC.OP.001 PROCLOZAM TABLET TABLET 1,815.00 100 MEPRO
1790 PRO .15.001 PRODIVA GEL 30 GR TUBE 220,000.00 1 DARYA
1791 PROF-001 PROFENID SUPP PCS 16,593.50 10 SANOFI
1792 PROF-002 PROFERTIL TAB 50 MG TABLET 13,750.00 10 KALBE F
RS MITRA MEDIKA
1793 PROL-001 PROLACTA BABY CAP KAPSUL 4,180.00 50 NOVELL

1794 PROL-002 PROLACTA MOTHER CAP KAPSUL 3,575.00 60 NOVELL
1795 PROL.OB.001 PROLIC 150 MG TABLET 3,608.00 100 SANBE
1796 PROL-006 PROLIC 300 MG KAPSUL 7,518.50 100 SANBE
1797 PROM-001 PROMAG TAB TABLET 424.00 144 KALBE
1798 PROM-002 PROMAVIT TAB TABLET 3,300.00 60 LAPI
1799 PRON-001 PRONALGES SUPP SUPOSITORIA 10,728.03 10 DEXA
1800 PRON-002 PRONALGES TAB 100 MG TABLET 4,400.00 60 DEXA
1801 PRON.OK.002 PRONICY TABLET 253.00 100 KALBE
1802 PRON.OB.001 PRONOVIR TABLET 6,600.00 20 MEPRO
1803 PRON.OK.001 PRONTOSAN AMPUL 57,291.66 24 B.BRAUN
1804 PROP-001 PROPANOLOL 10 MG TAB TABLET 69.30 100 GENERIK DEXA MEDICA
1805 PROP-002 PROPANOLOL 40MG TAB TABLET 121.00 100 GENERIK DEXA MEDICA
1806 PROP-004 PROPILENGLYCOL 1 L LITER 74,999.99 1 BRATACO
1807 PROP-005 PROPOFOL LIPURO 1% INJ AMPUL 5,722.86 100 BRAUN
1808 PROR-001 PRORENAL TAB TABLET 6,600.00 100 NOVELL
1809 PROR-002 PRORIS SYR 60 ML BOTOL 17,050.00 1 PHAROS IND
1810 PROR-003 PRORIS FORTE SYR 60 ML BOTOL 25,300.00 1 PHAPROS
1811 PROR-004 PRORIS SUPP PCS 5,170.00 10 PHAROS IND
1812 PROR-005 PRORIS TAB 200 MG TABLET 968.00 50 PHAROS IND
1813 PROS.OK.004 PROSOGAN 30 INJ VIAL 92,018.69 1 TAKEDA
1814 PROS.OK.005 PROSOGAN FD 15 MG TABLET 14,746.88 3 TAKEDA
1815 PROS.OB.001 PROSOGAN FD 30 MG TABLET 20,060.27 28 TAKEDA
1816 PROS.OB.003 PROSTAM SR TABLET 12,980.00 30 NOVELL
1817 PROS.OK.006 PROSTIGMIN INJ AMPUL 23,958.00 5 -
1818 PRO .96.001 PROTERINE INJ AMPUL 20,900.00 5 NOVELL
1819 PRO .38.001 PROTERINE TAB 20 MG TABLET 4,950.00 30 NOVELL
1820 PROT-003 PROTEXIN INFANT SACHET 12,466.67 15 COMBIPHAR
1821 PRO .36.001 PROTOFEN SUPP SUPOSITORIA 4,185.01 20 KIMIA F
1822 PROV.OK.001 PROVELYN 75 MG KAPSUL 11,416.43 14 KALBE
1823 PROV-002 PROVERA 10 MG TABLET 9,317.19 30 FISHER
1824 PROV.OB.001 PROVITAL PLUS TAB TABLET 5,500.00 50 LANDSON
1825 PROV.OK.002 PROVULA 50 MG TABLET 14,300.00 30 DEXA
1826 PROX-002 PROXIME TAB TABLET 1,221.00 30 SANBE
1827 PSID.OB.001 PSIDII CAPS KAPSUL 4,356.00 50 DEXA
1828 PSID.OJ.001 PSIDII SYR BOTOL 36,300.00 1 DEXA
1829 PTU -001 PTU TAB 100 MG TABLET 431.64 100 INDOFARMA
1830 PULM.OK.001 PULMICORT RESP 0.25 MG (0.5 / 2 ML) AMPUL 9,724.98 20 ASTRA ZENECA
1831 PULM.OB.001 PULMICORT RESP 0.5 MG (1 MG/2 ML ) AMPUL 21,129.08 20 ASTRA ZENECA
1832 PULN.OK.001 PULNA FORTE TABLET TABLET 3,400.00 100 LANDSON
1833 PUL .01.001 PULVERIZER S TYPE AG (SCI) SET 2,123,000.00 1 -
1834 PUMP.OK.001 PUMPISEL INJEKSI VIAL 154,880.00 1 SANBE
1835 PUMP-002 PUMPITOR 20 MG CAP KAPSUL 14,162.50 20 SANBE
1836 PUMP-003 PUMPITOR INJ VIAL 156,970.00 1 SANBE
1837 PURI.OK.001 PURICEMIA TABLET 2,948.00 100 SANBE
1838 PUY .01.001 PUYER PCS 165.00 1 -
1839 PYRA-003 PYRAZINAMIDE TAB 500 MG TABLET 344.14 100 KIMIA F
1840 PYRE.OT.001 PYREX INF BOTOL 55,000.00 1 NOVELL
1841 PYRI.OK.001 PYRIDOXIN TAB TABLET 148.01 100 GENERIK KF
1842 Q CE.OK.001 Q CEF 500 CAP TABLET 10,340.00 30 GUARDIAN
1843 Q CE.OB.001 Q CEF SYR BOTOL 53,900.00 1 GUARDIAN
1844 Q SY.AH.001 Q SYTE CLOSE LUER PCS 14,157.00 100 BD
1845 Q TE.OB.001 Q TEN 100 KAPSUL 11,000.00 30 NOVELL
RS MITRA MEDIKA
1846 Q TE-002 Q TEN COM TAB TABLET 8,800.00 30 NOVELL

1847 Q10 .20.001 Q10-PLUS KAPSUL 16,368.00 10 -
1848 QUA .38.001 QUATRO 1 TABLET 3,520.00 30 TROPICA
1849 RAIV.OK.001 RAIVAS 4ML INJ AMPUL 99,000.00 5 DEXA
1850 RAMI.OK.001 RAMIPRIL 5 MG TABLET 543.05 100 DEXA
1851 RANI-004 RANITIDIN TAB 150 MG TABLET 385.00 100 GENERIK KF
1852 RANI-005 RANITIDINE INJ 25MG AMPUL 1,155.00 25 BERNOFARM
1853 RANT.OK.002 RANTIN 150 TAB TABLET 4,730.00 100 KALBE
1854 RANT.OK.001 RANTIN INJ TABLET 20,900.00 5 KALBE
1855 RD S-001 RD SANBE INF 500ML DP BOTOL 17,622.00 24 SANBE
1856 RD W-001 RD WIDA 500 ML BOTOL 8,550.30 20 OTSUKA A
1857 REC .38.001 RECANSA 10 MG TABLET 1,700.02 30 SANOFI
1858 RECA.OK.001 RECANSA 20 MG TABLET 12,127.50 30 SANOFI
1859 RECE.AH.002 RECERVOIR BAG ANAK PCS 24,640.00 1 -
1860 RECE.AH.001 RECERVOIR BAG DWS PCS 27,104.00 1 -
1861 RECO.OK.001 RECODRYL INJEKSI VIAL 5,500.00 10 -
1862 RECO.OP.001 RECOFOL N INJ AMPUL 104,500.00 5 DEXA
1863 RECO.OT.001 RECOLFAR TAB TABLET 5,170.00 30 FAHRENHEIT
1864 RECT-003 RECTAL TUBE NO 10 PCS 148,500.00 1 ANUGRAH ARGON MEDICA
1868 REDA.OK.001 REDACID TAB TABLET 9,900.00 30 DEXA
1869 REG .96.001 REGIVELL 4 ML INJ AMPUL 77,000.00 5 NOVELL
1870 REGU.AH.001 REGULATOR O2 NEW OM BUAH 335,500.00 1 -
1871 REMO.OK.001 REMOVCHOL 20 KAPSUL 11,550.00 30 NOVELL
1872 RENA.OK.001 RENADINAC TABLET 236.97 100 -
1873 REOT-001 REOTAL 400 MG TAB TABLET 6,398.34 30 MACK
1874 RESO-001 RESORCIN GRAM 400.40 1,000 BRATACO
1875 RES .38.001 RESPIRA TAB TABLET 21,450.00 10 NOVELL
1876 RETA.OK.001 RETAPHYL SR TAB TABLET 2,142.80 100 KIMIA F
1877 RET .39.001 RETICOR 0.025% CR TUBE 22,000.00 1 -
1880 RHIN-005 RHINOS SR CAPS KAPSUL 4,125.00 50 DEXA
1881 RHIN-006 RHINOS SYR JUNIOR BOTOL 24,750.00 1 DEXA M
1882 RIFA-001 RIFAMPICIN TAB 300 MG TABLET 725.00 100 GENERIK KF
1883 RIFA-002 RIFAMPICIN TAB 450 MG TABLET 1,309.00 100 GENERIK DEXA MEDICA
1884 RIFA-003 RIFAMPICIN TAB 600 MG TABLET 1,108.00 100 GENERIK BERNOFARM
1885 RIFA-004 RIFAMTIBI TAB 450 MG TABLET 3,778.50 100 SANBE
1886 RIFA.OK.002 RIFANH TAB TABLET 2,310.00 30 -
1887 RIFA.OK.001 RIFASTAR 4FDC TABLET 5,115.00 30 INDOFARMA
1888 RILL.OK.001 RILLUS TAB TABLET 7,186.66 30 KALBE
1889 RIMS-003 RIMSTAR 4-FDC TAB TABLET 6,179.25 30 SN
1890 RING.OK.002 RING AS DP 500 ML FLES 20,405.00 24 SANBE
1891 RING-002 RING AS SP 500 ML PCS 20,900.00 1 SANBE
1892 RIN .01.003 RING PESSARIUM 65 PCS 39,600.00 1 -
1893 RING.AH.001 RING PESSARIUM 70 PCS 39,600.00 1 -
1894 RIN .01.001 RING PESSARIUM 75 PCS 39,600.00 1 -
1895 RISP-001 RISPERDAL 1MG TAB TABLET 10,419.29 20 JOHNSON & J
1896 RIS .38.001 RISTONAT TABLET 35,545.95 4 PHAROS IND
1897 RIVA-001 RIVANOL 100 ML BOTOL 2,226.40 1 IKAPHARMINDO
1898 RIVA-002 RIVANOL 200 ML BOTOL 6,050.00 1 IKAPHARMINDO
RS MITRA MEDIKA
1899 RL B.OK.001 RL B BRAUN BOTOL 8,250.00 10 B.BRAUN

1900 RL S-001 RL SANBE INF 500ML DP BOTOL 16,929.00 24 SANBE
1901 RL S-002 RL SANBE INF 500ML SP BOTOL 16,203.00 24 SANBE
1902 RL .17.001 RL WIDA 500 ML FLES 7,150.00 20 WIDATRA BAKTI
1903 ROCE.OK.001 ROCER INJ VIAL 129,800.00 1 OTTO
1904 ROCE-003 ROCER TABLET TABLET 13,200.00 20 OTTO
1905 ROF .36.001 ROFIDEN SUPOSITORIA SUPOSITORIA 12,100.00 10 OTTO
1906 ROHT-001 ROHTO COOL 10 ML BOTOL 10,780.00 1 DARYA
1907 ROHT-002 ROHTO EYE DROPS BOTOL 7,920.00 1 DARYA
1908 ROP .96.001 ROPIVELL INJ AMPUL 99,000.00 5 NOVELL
1909 ROS .01.001 ROSTIN 20 MG BOX 13,200.00 20 LAPI
1910 ROVA-002 ROVADIN TAB 500 MG TABLET 4,950.00 100 OTTO
1911 ROV .38.001 ROVATOR 20 TABLET 11,550.00 30 GUARDIAN
1912 ROXE.OK.001 ROXEMID INJ AMPUL 9,900.00 5 NOVELL
1913 RYVE-001 RYVEL DROPS (CETIRIZINE)10MG/M BOTOL 44,000.00 1 NOVELL
1914 RYVE.OK.001 RYVEL PLUS TABLET 3,850.00 30 NOVELL
1915 RYVE-003 RYVEL SYR 60ML (CETIRIZINE) BOTOL 39,600.00 1 NOVELL
1916 RYVE-004 RYVELL 10 MG TAB TABLET 3,478.75 30 NOVELL
1917 S 2 .04.001 S 26 GOLD LBW 100 BOX 51,561.40 1 -
1918 S 2 .04.002 S 26 PROMIL GOLD 1 BOX 139,706.60 1 -
1919 SAFI.AH.002 SAFIL 1 HR 40S 90 CM PCS 87,750.30 1 B.BRAUN
1920 SAFI.AH.004 SAFIL 2/0 HR 26 PCS 54,989.94 1 B.BRAUN
1921 SAFI-005 SAFIL 3/0 HR 26 PCS 89,295.80 1 B.BRAUN
1922 SAGE-001 SAGESTAM CREAM 10 GR TUBE 12,485.00 1 SANBE
1923 SAGE-002 SAGESTAM EYE/EAR DROP BOTOL 34,500.00 1 SANBE
1924 SAGE-003 SAGESTAM INJEKSI VIAL 10,186.00 5 SANBE
1925 SAKA-001 SAKATONIK ABC TAB BOTOL 9,850.50 1 SAKAFARMA
1926 SALB.OK.001 SALBUTAMOL 2 MG/5 ML SYR FLES 5,500.00 1 INDOFARMA
1927 SALB-002 SALBUTAMOL TAB 2 MG TABLET 84.03 100 GENERIK KF
1928 SALB-003 SALBUTAMOL TAB 4 MG TABLET 100.43 100 GENERIK KF
1929 SALI-001 SALICYL LOTION 2% PCS 4,099.70 1 KIMIA F
1930 SALI-002 SALICYL TALK KF POT 6,006.00 1 KIMIA F
1931 SALI-003 SALIN 3 INF 500ML BOTOL 11,948.20 1 SANBE
1932 SALO-001 SALOFALK 500 (MESALAZINE) TAB TABLET 11,739.42 100 DARYA
1933 SALT-001 SALTICIN CREAM 5 GR TUBE 13,750.00 1 INTERBAT
1934 SANA-001 SANADRYL DMP 60 ML BOTOL 9,421.50 1 SANBE
1935 SANA-002 SANADRYL DMP SYR 120 ML BOTOL 15,922.50 1 SANBE
1936 SANA-003 SANADRYL EXP 60 ML BOTOL 8,992.50 1 SANBE
1937 SANA-004 SANADRYL EXP SYR 120 ML BOTOL 13,062.50 1 SANBE
1938 SANA-005 SANADRYL SYR 60 ML BOTOL 8,767.00 1 SANBE
1939 SANA.OB.001 SANAFLU PLUS BATUK SYR FLES 9,130.00 1 SANBE
1940 SANA-007 SANAZET TAB TABLET 1,100.00 100 SANBE
1941 SANB-001 SANBE HEST 130 DP BOTOL 214,280.00 1 SANBE
1942 SANB.OB.001 SANBE KIDS 200 ML FLES 37,070.00 1 SANBE
1943 SAND.OK.002 SANDOSTATIN INJ AMPUL 75,600.00 5 -
1944 SANG-002 SANGOBION CAP KAPSUL 1,089.00 250 MERCK
1945 SANG-003 SANGOBION SYR 100 ML BOTOL 26,950.00 1 MERCK
1946 SANL-001 SANLIN TAB 500 MG TABLET 759.00 100 SANBE
1947 SANM.OK.001 SANMAG SYR 120 ML BOTOL 26,180.00 1 SANBE
1948 SANM-002 SANMAG TAB TABLET 902.00 100 SANBE
1949 SANM-004 SANMOL DROP 60 ML BOTOL 16,390.00 1 SANBE
1950 SAN .17.001 SANMOL INFUS FLES 63,910.00 1 SANBE
1951 SANM-006 SANMOL SYR 60 ML BOTOL 12,210.00 1 SANBE
RS MITRA MEDIKA
1952 SANM-007 SANMOL TAB TABLET 297.00 100 SANBE

1953 SANP.OK.002 SANPICILLIN INJ VIAL 16,764.00 10 SANBE
1954 SANP-003 SANPRIMA FORTE TAB TABLET 1,980.00 100 SANBE
1955 SANP-004 SANPRIMA SYR 60 ML BOTOL 26,620.00 1 SANBE
1956 SANP-005 SANPRIMA TAB TABLET 858.00 100 SANBE
1957 SAN .96.001 SANSULIN LOG G AMPUL 83,958.16 5 SANBE
1958 SANT.OB.001 SANTA E 200 TABLET 2,024.00 100 SANBE
1959 SANT-002 SANTA E TAB 100 MG TABLET 715.00 100 SANBE
1960 SANT.OK.001 SANTAGESIK INJ AMPUL 9,724.00 5 SANBE
1961 SANT-004 SANTIBI PLUS TABLET 583.00 100 SANBE
1962 SANT-005 SANTIBI TAB 500 MG TABLET 885.50 100 SANBE
1963 SCAB-001 SCABICID ZALF TUBE 25,909.00 1 KIMIA F
1964 SCA .39.001 SCABICORE CR 30 GR TUBE 69,300.00 1 -
1965 SCAB-002 SCABIMITE CR 10 GR TUBE 42,350.00 1 -
1966 SCA .27.001 SCACID CR TUBE 38,500.00 1 GUARDIAN
1967 SCAN.OK.002 SCANAX 750MG TABLET 18,060.00 20 TEMPO SCAN
1968 SCAN.OB.001 SCANIDIN TABLET 457.42 100 -
1969 SCOO-001 SCOOT EMULSION 200 ML BOTOL 18,700.00 1 STERLING
1970 SCOO-002 SCOOT EMULSION SYR 400 ML BOTOL 26,000.70 1 STERLING
1971 SCOP-003 SCOPAMIN TABLET TABLET 1,210.00 100 OTTO
1972 SEDA.OP.001 SEDACUM INJ 15 MG/3 ML AMPUL 55,000.00 5 DEXA
1973 SELA-004 SELANG NEBULIZER BUAH 23,333.33 33 ANUGRAH ARGON MEDICA
1974 SELA-005 SELANG O2/CORUGATED SET 33,000.00 1 ANUGRAH ARGON MEDICA
1975 SELO-001 SELOXY CAP KAPSUL 5,705.70 30 FERRON
1976 SEND.OK.001 SENDICOL 500 KAPSUL 3,362.70 100 CORONET
1977 SEN .01.001 SENDOK SIRUP PCS 300.00 50 -
1978 SENS.AH.003 SENSI DIAPER M10 BUAH 47,796.10 1 -
1979 SENS-004 SENSI GLOVES - S PCS 638.00 100 ANUGRAH PALMA MEDILAB
1980 SENS-005 SENSITIF CELUP TEST KEHAMILAN STRIP 21,780.00 1 -
1981 SEP .38.001 SEPTILIN TAB TABLET 2,340.25 100 -
1982 SEQU-001 SEQUEST SACHET PCS 20,625.00 20 NOVELL
1983 SERE.OB.002 SERETIDE DISKUS 100 BOX 148,302.00 1 GLAXO
1984 SERE.OK.003 SERETIDE DISKUS 100 JKN BOX 103,816.90 1 GLAXO
1985 SERE-003 SERETIDE DISKUS 250 BOX 166,278.20 1 GLAXO
1987 SERE.OK.001 SERETIDE DISKUS 500 BOX 180,658.50 1 GLAXO
1989 SERE.OB.001 SERETIDE INHALER 125MG UNIT 132,000.00 1 GLAXO
1990 SERU.OB.001 SERUM BIO SAVE ( ABU ) BOTOL 640,530.00 1 INDOFARMA
1991 SEVO.BB.001 SEVODEX SEVOFLURANE 250 ML FLES 2,860,000.00 1 DEXA
1992 SGM .04.001 SGM ANANDA 1 120 GR BOX 9,000.20 1 -
1993 SGM .04.004 SGM BBLR BOX 33,032.00 1 -
1994 SGM .04.002 SGM LLM 200 GR BOX 31,117.90 1 -
1995 SGM .04.005 SGM PHPRO 0-6 BOX 33,000.00 1 -
1996 SGM .04.003 SGM SOYA ANNADA 0-6 200 GR BOX 30,800.00 1 -
1997 SIBE.OB.001 SIBERID 10 MG TABLET 7,150.00 50 PYRIDAM
1998 SIBE.GN.001 SIBERID 5 MG TABLET 5,500.00 50 PYRIDAM
1999 SIBI.OP.001 SIBITAL INJ AMPUL 9,900.00 10 MERSI
2000 SICL-001 SICLIDON CAP 100 MG CAPLET 4,145.09 20 SANBE
2001 SIFR.OK.001 SIFROL 0,250 MG TAB TABLET 13,838.00 1 BOEHRINGER ING
2002 SIFR.OB.001 SIFROL 0.375 MG TABLET 16,371.66 30 BOEHRINGER ING
2003 SIFR-003 SIFROL TAB 0,125 MG TABLET 7,401.16 30 BOEHRINGER ING
2004 SILD.OB.001 SILADEK COUGH & COLD 60 ML BOTOL 8,800.00 1 KONIMEX
RS MITRA MEDIKA
2005 SILA.OB.001 SILADEX ANTITUSSIVE 30ML BOTOL 6,171.00 1 KONIMEX

2006 SILA.OB.004 SILADEX ANTITUSSIVE 60ML BOTOL 9,601.90 1 KONIMEX
2007 SILA.OB.006 SILADEX COUGH & COLD 30 ML FLES 5,720.00 1 KONIMEX
2008 SILA.OB.005 SILADEX ME 30 ML FLES 5,720.00 1 KONIMEX
2009 SILA.OB.003 SILADEX ME 60ML BOTOL 9,295.00 1 KONIMEX
2010 SILK-002 SILK 2/0 SET 69,300.00 1 -
2011 SILK-001 SILK 2/0 HR27 (REF610) PCS 44,000.00 12 ANUGRAH ARGON MEDICA
2012 SILK-003 SILK 3/0 HR22 -607 SET 44,000.00 12 ANUGRAH ARGON MEDICA
2013 SILK-005 SILK 5/0 (S2165) SET 33,000.00 12 ANUGRAH ARGON MEDICA
2014 SILK.AH.001 SILK BLACK 1/0 ROL (SIEDE) MTR 8,624.00 100 -
2015 SILK.AH.006 SILK BLACK 2/0 ROL (SIEDE) ROL 15,334.00 100 -
2016 SILK.AH.004 SILK BLACK 3/0 ROL (SIEDE) MTR 7,062.00 100 -
2017 SILK.AH.008 SILK BLACK 3 ROL ROL 16,016.00 50 -
2018 SILK-011 SILKAM 1HR 37 BLACK 75CM SET 51,673.05 1 ANUGRAH ARGON MEDICA
2019 SILK-012 SILKAM 2/0 DS24 BLACK 75CM SET 70,400.00 1 B.BRAUN
2020 SILK.AH.002 SILKAM 2/0 HR 26 75 CM PCS 46,246.20 1 B.BRAUN
2021 SILK-014 SILKAM 3/0 HR 17 SET 87,120.00 12 BRAUN
2022 SILK-017 SILKAM BLACK 2/0 ROL MTR 16,500.00 100 -
2023 SIMA.OK.001 SIMARC TAB 2 MG TABLET 1,078.00 100 FAHRENHEIT
2024 SIMU.OK.001 SIMUCIL 200 CAPLET 1,760.00 100 MERSI
2025 SIMV-001 SIMVASTATIN TAB 10 MG TABLET 110.00 50 GENERIK KF
2026 SIMV-002 SIMVASTATIN TAB 20 MG TABLET 205.00 50 GENERIK KF
2027 SINC.OB.001 SINCRONIK TAB TABLET 8,250.00 30 KALBE
2028 SIRA.OK.001 SIRAN 600 EFF TABLET 9,790.00 10 DEXA
2029 SIRD-001 SIRDALUD 2 MG TAB TABLET 6,716.60 30 TAKEDA
2030 SIRP.OB.001 SIRPLUS SYR STROBERY FLES 14,300.00 1 MEPROFARM
2031 SIRU.OB.001 SIRUP INDRA FLES 3,500.00 1 -
2032 SIST-001 SISTENOL TAB TABLET 1,650.00 60 DEXA
2033 SNMC.OK.001 SNMC INJ AMPUL 104,500.00 1 DEXA
2034 SOFT-006 SOFIE MATERNITY PCS 19,999.98 1 -
2035 SOFI-001 SOFIX 100MG CAP KAPSUL 17,600.00 30 SOHO
2036 SOFT.AH.001 SOFTBAND 4 INCH/10 CM PCS 27,500.00 1 -
2037 SOFT.AH.002 SOFTBAND 6 INCH/15 CM PCS 38,500.00 1 -
2038 SOHO-001 SOHOBAL 500 MG CAP KAPSUL 1,870.00 100 SOHO
2039 SOHO.OB.002 SOHOBION TABLET 1,210.00 1 SOHO
2040 SOHO-004 SOHOLIN 500MG TAB TABLET 12,833.34 30 SOHO
2041 SOHO-005 SOHOLIN INJ AMPUL 26,898.30 5 SOHO
2042 SOL .01.002 SOL ADM SET TERUMO PCS 58,740.00 1 TERUMO
(PRECISION)/VOLUMETRIK
2043 SOLA-001 SOLAC SYR BOTOL 66,000.00 1 SOHO
2044 SOLA-002 SOLANS CAP KAPSUL 12,100.00 20 SOHO
2045 SOLV.OK.001 SOLVINEX INJ AMPUL 44,000.00 10 MEPROFARM
2046 SOMA.OK.002 SOMATOSTATIN INJ AMPUL 814,000.00 1 COMBIPHAR
2047 SOME-001 SOMEROL 125 MG INJ VIAL 90,750.00 1 SOHO
2048 SOME-003 SOMEROL TAB 4MG TABLET 2,300.00 50 SOHO
2049 SOYA.OK.001 SOYACHOLIN TABLET 6,600.00 30 -
2050 SPAL-001 SPALK 10X5 (TE10) PCS 3,300.00 1 -
2051 SPAL-003 SPALK 30X7X6 (TE30) PASANG 7,700.00 1 ANUGRAH PALMA MEDILAB
2052 SPED-001 SPEDIFEN 400 TABLET 5,440.60 1 ZAMBON
2053 SPI .01.001 SPINAL NEEDLE 25G (QUINCKE) PCS 22,550.00 1 -
2054 SPIN.AH.001 SPINAL NEEDLE 26G (QUINCKE) PCS 22,550.00 1 -
2055 SPIN-003 SPINAL NEEDLE 27G (QUINCKE) PCS 18,040.00 1 -
2056 SPIN.AH.002 SPINAL NEEDLE 29G (QUINCKE) PCS 48,400.00 1 -
RS MITRA MEDIKA
2057 SPIN-004 SPINOCAN 22GX3.5 PCS 37,400.00 25 B.BRAUN

2058 SPIN.AH.004 SPINOCAN 25G X 3 PCS 55,000.00 1 B.BRAUN
2059 SPIN-006 SPINOCAN 26GX3 PCS 29,000.00 1 B.BRAUN
2060 SPIN-007 SPINOCAN 27GX3 PCS 51,700.00 1 B.BRAUN
2061 SPIN.AH.003 SPINOCAN 29GX3 PCS 55,000.00 1 B.BRAUN
2062 SPIR-001 SPIRAMYCIN TAB 500 MG TABLET 1,340.00 50 GENERIK DEXA MEDICA
2063 SPIR-002 SPIRASIN TAB 500MG TABLET 6,225.45 100 SANBE
2064 SPIR.OK.001 SPIRONOLACTON 100 TABLET 875.61 100 GENERIK KF
2065 SPIR.OK.002 SPIRONOLACTON 25 TABLET 400.00 100 GENERIK INDOFARMA
2066 SPON.AH.001 SPONGSTAN (GELITASPON)/LYOSTYPT PCS 77,000.00 1 -
2067 SPO .20.001 SPORETIC CAP 200 MG KAPSUL 29,887.00 10 SANBE
2068 SPOR-003 SPORETIK CAP 100MG KAPSUL 20,691.00 30 SANBE
2069 SPOR-004 SPORETIK DRY SYR BOTOL 87,340.00 1 SANBE
2070 SPUI-001 SPUIT 1 CC TERUMO PCS 1,614.27 100 TERUMO
2071 SPU .01.003 SPUIT 10 CC GIDCARE PCS 850.00 100 -
2072 SPUI.AH.001 SPUIT 10 CC ONEMED PCS 902.00 100 -
2073 SPUI.AH.004 SPUIT 10 CC STERA PCS 924.99 100 STERA
2075 SPUI-005 SPUIT 2,5 CC TERUMO PCS 2,915.00 100 TERUMO
2083 SPUI-011 SPUIT 50 CC ( BIRU ) PCS 7,742.24 20 TERUMO
2084 SPUI-012 SPUIT 50CC CATH TIP ( HIJAU ) PCS 22,000.00 20 TERUMO
2085 SPUI-017 SPUIT SYRINGE BD 5 CC PCS 3,002.35 100 TERUMO
2086 STA .34.001 STARDINE SOL 1 LT BOTOL 165,000.00 1 -
2087 STAR.OB.001 STARMUNO CAPLET 8,470.00 30 KALBE
2088 STAT-001 STATOR 10 MG TABLET 13,200.00 30 DEXA
2089 STAT.OB.001 STATOR 20 MG TABLET 17,600.00 30 DEXA
2090 STE .01.005 STEAM INDICAT CLASS 4 DUAL STRIP STRIP 166,980.00 1 -
2091 STEN.OK.001 STENIROL 16 TABLET 8,250.00 50 GUARDIAN
2094 STEN.OK.003 STENIROL INJ VIAL 92,400.00 1 GUARDIAN
2095 STER-006 STERISHEET 75 X 75 BLUE PCS 2,480.50 1 ANUGRAH ARGON MEDICA
2096 STER-007 STERI-STRIP 3M 1/2"X4" STRIP 13,750.00 50 3M
2097 STES-002 STESOLID SUPP 5 MG TUBE 26,136.00 5 ACTAVIS
2098 STES-003 STESOLID SYR 60 ML BOTOL 34,100.00 1 ACTAVIS
2099 STIK.AH.001 STIK PAN PLASTIK PCS 35,750.00 1 -
2100 STIL.OK.001 STILESCO TABLET 35,200.00 30 ESCOLAB
2101 STIM-003 STIMUNO CAP KAPSUL 3,018.40 60 DEXA
2102 STIM-004 STIMUNO SYR 60ML BOTOL 19,800.00 1 DEXA
2103 STOL-001 STOLAX SUP BOTOL 5,753.00 1 SANBE
2104 STOM.AH.001 STOMACH TUBE 14 PCS 24,024.00 1 TERUMO
2105 STOM-003 STOMACH TUBE 16 PCS 24,024.00 50 TERUMO
2106 STOM-008 STOMACH TUBE PORTEX NO.14 PCS 19,800.00 1 ANUGRAH PALMA MEDILAB
2107 STRE-003 STREPTOMYCIN 1GR INJ VIAL 7,700.00 1 MEIJI
2108 STRO.OK.001 STROCAIN TAB TABLET 2,833.33 100 DARYA
2109 STUG.OK.001 STUGERON TAB TABLET 2,732.95 250 JANSSEN
RS MITRA MEDIKA
2110 SUC .33.001 SUCRALFATE SUSP 100 ML FLES 8,206.00 1 COMBIPHAR

2111 SUCT-003 SUCTION CATH NO 10 BICAKCILAR PCS 5,165.97 1 RUSCH
2112 SUCT-004 SUCTION CATH NO 12 BICAKCILAR PCS 6,710.00 1 -
2116 SUCT.AH.001 SUCTION CONNECTION PCS 32,560.00 1 -
2117 SULC.OK.001 SULCOLON 500 TAB TABLET 7,700.00 100 BERNOFARM
2118 SULF-002 SULFAZALAZINE 500 MG TAB TABLET 2,381.00 100 BERNOFARM
2119 SULF-004 SULFUR P P POWDER GRAM 9,900.00 1 KIMIA F
2120 SUMA-001 SUMAGESIC TAB TABLET 471.16 100 MEDIFARM
2121 SUPE.OK.001 SUPER TETRA KAPSUL 980.01 120 -
2122 SUP .20.001 SUPERBA KRILL OIL KAPSUL 6,600.00 30 KALBE
2123 SUPR-003 SUPRAFENID SUPP. SUPOSITORIA 13,200.00 10 MEPRO
2124 SUP .18.001 SUPRASMA SOL FOR INHALATION PCS 7,700.00 10 DEXA
2125 SUP .01.001 SUPRASORB "A" 10X10 CM REF 20 441 PCS 71,500.00 1 BSN
2126 SUPR-005 SUPRASORB "G" REF 20 479 PCS 192,500.00 1 AMS
2127 SUPR-006 SUPRASORB "H" 10X10CM STANDARD PCS 60,110.60 10 AMS
2128 SUPR-007 SUPRASORB "X" 9X9 CM PCS 214,500.00 5 AMS
2129 SUPR.AH.002 SUPRASORB A+AG PCS 220,000.00 10 -
2130 SUPR-010 SUPRASORB G REF 20 478 PCS 145,200.00 1 AMS
2131 SUPR.OK.002 SUPRAZIDE 300 TABLET 737.00 100 CONMED
2132 SURF.AH.004 SURFLO IV CATH 16G OX PCS 12,087.90 50 TERUMO
2133 SUR .01.001 SURFLO IV CATH 18G DM PCS 22,484.00 1 TERUMO
2135 SURF.AH.006 SURFLO IV CATH 20G DM PCS 22,484.00 50 TERUMO
2138 SURF.AH.009 SURFLO IV CATH 24 G OX PCS 16,335.00 1 TERUMO
2140 SAVE.OK.001 SUVESCO 20MG TABLET 11,550.00 20 ESCOLAB
2141 SYMB.OK.001 SYMBICORT 160/120 FLES 139,886.09 1 ASTRA ZENECA
2142 SYMB.OK.002 SYMBICORT 160/60 FLES 125,827.87 1 ASTRA ZENECA
2143 SYN .39.001 SYNARCUS CR 5 GR TUBE 6,050.00 1 -
2144 SYNE.OK.001 SYNECLAV 500 TABLET 10,814.10 0 CORONET
2145 SYNT-001 SYNTOCINON INJ AMPUL 16,563.03 10 NOVARTIS
2146 T S .01.001 T SILK 2-0 RC 76 CM (TRITON) PCS 44,000.00 1 TRITON
2147 TABU.BB.003 TABUNG N2O TABUNG 3,630,000.00 1 TIRA AUSTINE
2148 TABU.BB.001 TABUNG O2 BESAR TABUNG 59,400.00 1 TIRA AUSTINE
2149 TABU.BB.002 TABUNG O2 KECIL TABUNG 33,000.00 1 TIRA AUSTINE
2150 TALI.OK.001 TALION TAB TABLET 2,645.50 30 TANABE
2151 TANA.OB.001 TANAPRES TAB 10 MG TABLET 13,953.50 30 TAKEDA
2152 TANA-002 TANAPRES TAB 5 MG TABLET 10,298.20 30 TAKEDA
2153 TANT-001 TANTUM VERDE 120 ML BOTOL 33,000.00 1 SOHO
2154 TANT.OB.001 TANTUM VERDIE ORAL 60 ML BOTOL 23,100.00 1 -
2155 TAP .30.001 TAPPING PLESTER CM 210.00 500 -
2156 TARI.OK.002 TARIVID OTIC FLES 84,700.00 1 KALBE
2157 TARI-004 TARIVID TAB 200 MG TABLET 7,700.00 30 KALBE
2158 TARO.OK.001 TARONTAL 100 INJ AMPUL 26,400.00 5 BERNOFARM
2159 TARO.OK.004 TARONTAL 300 INJ AMPUL 55,000.00 4 BERNOFARM
2160 TAXE.OK.001 TAXECAP INJ UNIT 107,995.55 1 C ERBA
2161 TAXE-002 TAXEGRAM VIAL 0,5 GR VIAL 149,509.25 1 SANBE
2162 TAXE-003 TAXEGRAM VIAL 1 GR VIAL 149,380.00 1 SANBE
RS MITRA MEDIKA
2163 TB V.OK.001 TB VIT 6 TABLET 825.00 100 MEPRO

2164 TB Z.OK.001 TB ZET TABLET 1,375.00 100 MEPRO
2165 TEBO.OK.001 TEBOKAN SPESIAL TABLET 11,715.00 30 -
2166 TEB .38.001 TEBOKAN TAB TABLET 5,031.40 100 -
2167 TEGA-001 TEGADERM 1627 LEMBAR 46,750.00 20 3M
2168 TEGA-002 TEGADERM 6X7 LEMBAR 7,700.00 1 3M
2169 TEGA-003 TEGADERM+PAD LEMBAR 44,137.50 10 3M
2170 TEGR.OK.002 TEGRETOL CHEW 100 TABLET 4,222.90 0 -
2171 TEL .38.001 TELMISARTAN 80 TABLET 5,130.84 30 DEXA
2172 TENA.OK.003 TENATEN 10 TABLET 3,850.00 50 CORONET
2173 TENA.OK.004 TENAZIDE TABLET 6,050.00 30 COMBIPHAR
2174 TENS-005 TENSICAP 12.5 TAB TABLET 2,970.00 50 SANBE
2175 TENS-006 TENSICAP 25 TAB TABLET 5,830.00 50 SANBE
2176 TENS.OK.001 TENSINOP 10 TABLET 4,306.50 1 SANBE
2177 TENS-010 TENSINOP 5 MG TABLET TABLET 2,743.40 30 SANBE
2178 TENS-011 TENSIPHAR TAB 5MG TABLET 2,053.34 30 ACTAVIS
2179 TENS-013 TENSIVASK 5 MG TAB TABLET 1,590.60 50 DEXA
2180 TENS-016 TENSOCREPE 10 CM * 4,5 M (4 INCH) ROL 73,150.00 1 BSN
2181 TENS-017 TENSOCREPE 15CM *4,55 M (6 INCH) ROL 96,250.00 1 BSN
2182 TENS-018 TENSOCREPE 7.5 CM * 4,5 M (3 INCH) ROL 60,500.00 1 BSN
2183 TEOS.OK.001 TEOSAL TABLET 209.00 100 DEXA
2184 TEQU-001 TEQUINOL CAP TABLET 13,200.00 30 OTTO
2185 TEQU.OK.001 TEQUINOL INFUS BOTOL 163,350.00 1 OTTO
2186 TER .80.001 TERALINE 2 LT GALON 1,304,490.00 1 -
2187 TER .96.001 TERANOL 30 MG INJ AMPUL 38,500.00 6 GUARDIAN
2188 TERF-001 TERFACEF INJ VIAL 220,770.00 1 SANBE
2189 TER .39.001 TERMISIL CR 10 GR TUBE 53,130.00 1 FERRON
2190 TEST.AM.002 TEST PACK ONE MED PCS 1,016.40 50 -
2191 TETA.OK.002 TETAGAM INJ AMPUL 198,000.00 1 DEXA
2192 TETR-002 TETRACYCLINE 500MG TABLET 256.99 100 KIMIA F
2193 TF P.OB.001 TF PLUS CAPS KAPSUL 9,000.00 90 -
2194 TF T.OB.001 TF TRI CAPS KAPSUL 10,000.00 60 -
2195 THEO-003 THEOPYLLIN GRAM 366.00 250 BRATACO
2196 THER-001 THERAGRAM M TABLET 3,932.50 100 TYCO
2197 THER.AT.001 THERMOMETER HYGROMETER PCS 203,500.00 1 -
DIGITAL KABEL
2198 THER.AT.002 THERMOMETER HYGROMETERDIGITAL PCS 99,000.00 1 -
2199 THE .01.001 THERMOMETER RUANG KAYU OM BUAH 15,246.00 1 -
2200 THER-010 THERMOMETER SAFETY/LOTUS PCS 14,850.00 10 -
2201 THER.OB.001 THERMOREX PLUS 30 ML BOTOL 7,282.00 1 KONIMEX
2202 THE .38.001 THERODEL TAB TABLET 14,630.00 30 SANBE
2203 THIA-001 THIAMPHENICOL CAPS 500 MG KAPSUL 793.33 100 KIMIA F
2204 THIA-002 THIAMYCIN CAPS 250 MG KAPSUL 1,430.00 100 INTERBAT
2205 THIA-003 THIAMYCIN CAPS 500 MG KAPSUL 3,630.00 100 INTERBAT
2206 THIA-004 THIAMYCIN SYR 60 ML BOTOL 27,500.00 1 INTERBAT
2207 THOR.AH.003 THORASIC CHATETER 24 PCS 88,000.00 1 -
2208 MAS .AH.001 THREE WAY STOPCOCK PCS 27,104.00 50 M.A.S
2209 THRO-001 THROMBO ASPILETS TABLET TABLET 641.63 150 MEDIFARM
2210 THRO-002 THROMBOPOP GEL TUBE 54,450.00 1 NORDMARK
2211 THYR-002 THYROZOL 10 MG TABLET 1,783.54 100 MERCK
2212 THYR-003 THYROZOL 5 MG TABLET 1,148.29 100 MERCK
2213 TIAR.OK.001 TIARYT 200 TAB TABLET 2,480.50 30 FAHRENHEIT
2214 TIAR.OK.002 TIARYT INJ AMPUL 27,500.00 5 FAHRENHEIT
RS MITRA MEDIKA
2215 TINE.OK.002 TINEURON KAPSUL 9,900.00 30 LAPI

2216 TIRI.OK.003 TIRIZ DROP FLES 63,800.00 1 LAPI
2217 TIRI-002 TIRIZ TABLET TABLET 3,960.00 30 LAPI
2218 TISM.OK.001 TISMAZOL 500 TABLET 1,925.00 100 METISKA
2219 TIS .04.003 TISU BASAH MAMY POKO PAK 3,333.33 1 -
2220 TIZA-001 TIZACOM (TIZANIDINE HCL) TABLET 3,025.00 100 COMBIPHAR
2221 TOCO.OK.001 TOCO-E KAPSUL 8,800.00 30 -
2222 TOF .96.001 TOFEDEX (DEXKETOPROFEN INJ ) JKN AMPUL 25,740.00 5 LAPI
2223 TOFE.OK.001 TOFEDEX INJ AMPUL 46,200.00 5 LAPI
2224 TOFE.OK.002 TOFEDEX TAB TABLET 6,600.00 30 LAPI
2225 TOLA.OB.001 TOLAK ANGIN SACHET PAK 2,200.00 1 COMBIPHAR
2226 TOMI.OK.001 TOMIT INJ AMPUL 8,283.00 5 INTERBAT
2227 TONI.OK.001 TONICARD KAP KAPSUL 17,600.00 100 ESCOLAB
2228 TOPA-001 TOPAZOL IV INJ VIAL 161,700.00 1 LAPI
2229 TORA.OK.001 TORASIC INJ AMPUL 36,666.66 6 KALBE
2230 TRAC.OK.001 TRACETATE SYR BOTOL 418,000.00 1 FAHRENHEIT
2231 TRA .38.001 TRACETATE TAB 160 MG TABLET 23,100.00 30 FAHRENHEIT
2232 TRAD.OK.001 TRADOSIK CAP KAPSUL 4,075.50 100 SANBE
2233 TRAD-003 TRADOSIK INJ 50 MG AMPUL 20,471.00 10 SANBE
2234 TRAJ.OK.002 TRAJENTA 5MG TABLET 13,403.50 1 ELI LILLY
2235 TRAJ.OK.001 TRAJENTA DUO 2,5/1000 TABLET 6,413.00 0 ELI LILLY
2238 TRAM-001 TRAMADOL INJ 100 MG AMPUL 6,402.00 5 BERNOFARM
2239 TRAM-002 TRAMADOL TAB 50 MG TABLET 566.06 50 BERNOFARM
2240 TRAM-003 TRAMAL CAP KAPSUL 5,170.00 50 PHAROS IND
2241 TRAM-004 TRAMAL INJ. AMPUL 23,980.00 5 PHAROS IND
2242 TRAM-005 TRAMAL SUPP. SUPOSITORIA 16,500.00 10 PHAROS IND
2243 TRA .38.002 TRAMPARA CAP TABLET 5,316.66 30 PHAPROS
2244 TRA .01.001 TRANFUSI SET FESCO PCS 3,630.00 50 -
2245 TRAN.AH.001 TRANFUSI SET OB 1 OTSUKA PCS 13,970.00 100 OTSUKA
2246 TRAN-002 TRANSAMIN INJ 250 MG AMPUL 8,250.00 10 OTTO
2247 TRAN-003 TRANSAMIN INJ 500 MG AMPUL 11,550.00 10 OTTO
2248 TRAN-004 TRANSAMIN TAB 250 MG TABLET 1,518.00 100 OTTO
2249 TRAN-005 TRANSAMIN TAB 500 MG TABLET 2,640.00 100 OTTO
2250 TRAN.AH.002 TRANSOFIX PCS 3,400.10 1 B.BRAUN
2251 TRAN-009 TRANSPULMIN BABY BALSEM 10 GR TUBE 42,570.00 1 -
2252 TRAN-011 TRANSPULMIN SYR 100 ML BOTOL 63,912.20 1 MEDICA
2253 TRAN-012 TRANSPULMIN SYR 60 ML BOTOL 50,292.00 1 MEDICA
2254 TREM-001 TREMENZA SYRUP 60 ML BOTOL 20,900.00 1 SANBE
2255 TREM-002 TREMENZA TAB TABLET 1,485.00 100 SANBE
2256 TRIA-002 TRIAMINIC BATUK SYR BOTOL 27,100.00 1 NOVARTIS
2257 TRIB-001 TRIBESTAN TAB TABLET 8,999.98 20 TEGUHSINDO
2258 TRIC.OK.003 TRICHODAZOL INFUS FLES 93,390.00 1 SANBE
2259 TRID.OK.001 TRIDEX 27 B SP BOTOL 22,000.00 1 SANBE
2260 TRID-003 TRIDEX 27A DP FLES 18,491.00 24 SANBE
2261 TRID-005 TRIDEX 27B DP BOTOL 19,415.00 24 SANBE
2262 TRID-006 TRIDEX PLAIN DP FLES 16,742.00 1 SANBE
2263 TRIH-001 TRIHEXYPHENIDYL 2MG TAB(ARTANE TABLET 143.62 100 GENERIK KF
2264 TRIL-001 TRILAC 4MG TAB TABLET 2,750.00 30 NOVELL
2265 TRIL-002 TRILAC INJ 10 MG/ML VIAL 110,000.00 1 NOVELL
2266 TRIM.OB.001 TRIMATE E TABLET 1,947.00 100 -
2267 TRIO-001 TRIOFUSIN 500 ML FLES 71,500.00 1 KALBE F
RS MITRA MEDIKA
2268 TRIO-002 TRIOFUSINE E 1000 INFUS 500 ML BOTOL 88,000.00 1 KALBE F

2269 TRIP-001 TRIPANZYM TAB TABLET 1,297.00 100 SANBE
2270 TRIP.OK.002 TRIPTAGIC TAB BOX 67,500.00 1 -
2271 TRO .33.001 TROGYL SUSPENSI FLES 41,800.00 1 OTTO
2272 TROG.OK.001 TROGYSTATIN OVULA SUPOSITORIA 16,500.00 10 OTTO
2273 TROL.OB.001 TROLIT SACH SACHET 10,633.33 6 KALBE
2274 TROP.OK.001 TROPIDROL 16 TABLET 8,107.00 100 TROPICA
2275 TROP.OK.002 TROPIDROL 4 TABLET 3,569.50 100 TULUS
2276 TROV-001 TROVENSIS 4MG TAB TABLET 12,782.00 10 SANBE
2277 TROV.OK.001 TROVENSIS INJ AMPUL 68,178.00 0 SANBE
2278 TRUV.OB.001 TRUVAS 20 MG BUTIR 14,116.66 30 KALBE
2279 TRUX.OB.001 TRUXANTHIN TAB TABLET 10,890.00 20 KALBE F
2280 TS C.OB.003 TS CORN OIL 1LT BAG 63,800.00 1 -
2281 TS S.OB.001 TS SWEET DIABTX IND SACHET BAG 82,500.00 1 -
2282 TUDI.OK.001 TUDIAB TAB TABLET 1,320.00 100 MEPROFARM
2283 TUTO.OK.001 TUTOFUSIN OPS INF FLES 37,500.10 1 KALBE F
2284 TUZA-001 TUZALOS TAB TABLET 929.50 100 SANBE
2285 TWYN.OK.002 TWYNSTA 40/5 TABLET 15,339.17 28 BOEHRINGER
2286 TYAS.OK.001 TYASON INJ VIAL 172,207.20 1 COMBIPHAR
2287 TYLO.OK.001 TYLONIC 300 TABLET 3,300.00 100 METISKA
2288 UBES.OK.001 UBESCO 100 TABLET 11,000.00 50 ESCOLAB
2289 UL T.BB.001 UL TRANS GEL 2 LT GALON 154,000.00 1 CORONET
2290 ULCE-001 ULCERANIN 150 MG TAB TABLET 3,850.00 100 OTTO
2291 ULCE-002 ULCERANIN INJ AMPUL 20,350.00 5 OTTO
2292 ULC .38.001 ULCRON TAB TABLET 1,825.00 100 CORONET
2293 ULPR.OK.001 ULPRAZ KAPSUL 9,533.33 30 CORONET
2294 ULTI.OB.001 ULTILOX SYR BOTOL 29,700.00 1 CORONET
2295 UMA .97.001 UMARONE INJ 2 ML VIAL 192,500.00 1 FAHRENHEIT
2296 UMBI-001 UMBILICAL/PENJEPIT TALI PUSAR BUAH 1,300.00 50 -
2297 UNAG-001 UNAGEN TAB TABLET 720.50 100 MEDIFARM
2298 UNAL.OB.001 UNALIUM 10MG TAB TABLET 6,570.30 40 GUARDIAN
2299 UNAL-002 UNALIUM 5MG TAB TABLET 4,247.10 40 GUARDIAN
2300 UNDE-001 UNDERPAID DEWASA BUAH 3,506.25 10 -
2301 UND .01.001 UNDERPAID STERIL PCS 7,625.99 10 -
2302 UNIS.OK.001 UNISIA TAB TABLET 13,750.00 20 TAKEDA
2303 UPLO-001 UPLORES 150 MG TABLET 4,862.00 30 SOHO
2304 URDA-001 URDAFALK KAPSUL 10,426.16 30 DARYA
2305 URDA.OK.001 URDAHEX KAPSUL 10,083.34 30 KALBE
2306 URES.OK.002 URESIX INJ AMPUL 8,305.00 5 SANBE
2307 URES.OK.001 URESIX TAB TABLET 902.00 100 SANBE
2308 URI .38.001 URI CRAN TABLET 4,033.33 30 COMBIPHAR
2309 URIE.OK.001 URIEF TAB TABLET 6,288.12 100 EISAI
2310 URIN-004 URINE BAG PCS 4,620.00 1 -
2311 URIS-002 URISPAS TAB 200 MG TABLET 4,200.00 30 INDOFARMA
2312 UROT-001 UROTRACTIN TAB TABLET 2,938.10 60 SANBE
2313 URSO.OK.001 URSOCHOL 300 TABLET 11,447.34 30 ZAMBON
2314 URSO.GN.001 URSODEOXYCHOLIC ACID 250 TABLET 4,158.00 30 DEXA
2315 USG .AH.001 USG GEL 250 ML BLUE TUBE 19,580.00 1 -
2316 USG .23.001 USG GEL 5 LT BLUE GALON 156,640.00 1 -
2317 UTRO.OK.001 UTROGESTAN 100 MG TABLET 11,550.00 30 LAPI
2318 UTRO-003 UTROGESTAN 200 MG TABLET 21,450.00 15 LAPI
2319 VAGI.OK.001 VAGIZOLE OVULA SUPOSITORIA 4,099.92 5 KIMIA F
2320 VALA-001 VALAMIN INF 500 ML BOTOL 73,700.00 1 SANBE
RS MITRA MEDIKA
2321 VALE.OK.003 VALEPTIK SYR FLES 82,500.00 1 OTTO

2322 VALE.OK.002 VALESCO 160 MG TAB TABLET 14,300.00 30 ESCOLAB
2323 VALE.OK.001 VALESCO 80 MG TAB TABLET 8,800.00 30 ESCOLAB
2324 VALI.OP.001 VALISANBE INJ AMPUL 18,381.00 10 SANBE
2325 VALI-002 VALISANBE TAB 2 MG TABLET 181.50 100 SANBE
2326 VALI-003 VALISANBE TAB 5 MG TABLET 396.00 100 SANBE
2327 VALS.OK.001 VALSARTAN 80MG TAB TABLET 4,400.00 30 INDOFARMA
2328 VALS.OT.001 VALSARTAN 160MG TAB TABLET 2,717.00 30 GENERIK NOVELL
2329 VAS .96.001 VASCON INJ 4 ML AMPUL 99,000.00 5 FAHRENHEIT
2330 VASE-002 VASELIN ALBUM GRAM 165.00 1 BRATACO
2331 VAS .38.001 VASTIGO TAB TABLET 990.00 100 FERRON
2332 V-BL.OK.001 V-BLOC 6.25 TAB TABLET 2,750.00 30 KALBE
2333 VECT-001 VECTRIN CAP 300 MG TABLET 4,400.00 20 DEXA
2334 VECT-002 VECTRINE SYR BOTOL 33,846.15 1 DEXA
2335 VELA.OK.003 VELACOM PLUS 1/250 TABLET 1,650.00 30 NOVELL
2336 VELA.OK.004 VELACOM PLUS 2/500 TABLET 2,566.66 30 NOVELL
2337 VELA.OK.001 VELAZOL INFUS BOTOL 70,785.00 1 NOVELL
2338 VELC.OK.001 VELCOX ODT 15 TABLET 9,790.00 20 NOVELL
2339 VELL.OK.001 VELLIOS INJ AMPUL 14,822.50 5 NOVELL
2340 VENA.OB.001 VENARON CAP KAPSUL 2,400.00 20 TEGUHSINDO
2341 VENF-007 VENFLON NO 18 BUAH 14,231.25 50 BD
2342 VENF-008 VENFLON NO 20 BUAH 14,231.25 50 BD
2343 VENF-009 VENFLON NO 22 PCS 14,231.25 50 BD
2346 VENO.OB.001 VENOFER INJ AMPUL 202,400.00 5 COMBIPHAR
2347 VENO.OK.002 VENOSMIL KAP KAPSUL 9,900.00 20 KALBE
2348 VENT-002 VENTOLIN INHALER BUAH 63,750.50 1 GLAXO
2349 VENT-003 VENTOLIN NEB AMPUL 3,999.99 20 GLAXO
2350 VENT.OK.001 VENTOLIN SYR 100ML BOTOL 49,555.00 1 GLAXO
2351 VER .38.001 VERIDIN FC TAB TABLET 7,425.00 30 MEPROFARM
2352 VER .38.002 VERMOX TAB TABLET 5,175.00 4 -
2353 VESI.OK.002 VESICARE 5 MG TABLET 18,645.00 30 ASTELLAS
2354 VEST.OK.001 VESTEIN SYR 60 ML FLES 38,500.00 1 KALBE
2355 VICC.OK.001 VICCILLIN INJ UNIT 10,560.00 10 MEIJI
2356 VICK.OB.004 VICKS FORM 44 ANAK 54ML BOTOL 10,979.10 1 -
2357 VICK.OB.003 VICKS FORM 44 DWS 54ML BOTOL 10,979.10 1 -
2358 VICK-005 VICKS INHALER BUAH 13,028.40 1 -
2359 VINC.OK.001 VINCRISTIN 1MG VIAL 55,000.00 1 KALBE
2360 VINE.OK.001 VINERTON CAP KAPSUL 1,705.00 100 PYRIDAM
2361 VIOX-001 VIOXY TAB TABLET 2,200.00 30 FAHRENHEIT
2362 VIP .OB.001 VIP ALBUMIN KAPSUL 6,600.00 30 ROYAL
2363 VIP .OB.002 VIP ALBUMIN PLUS SACHET 66,000.00 3 ROYAL
2364 VISA.OK.001 VISANNE TAB TABLET 15,917.98 28 BAYER
2365 VISE-001 VISEBAD DROP 15 ML BOTOL 15,400.00 1 OTTO
2366 VISE-002 VISEBAD PLUS SYR BOTOL 24,139.50 1 OTTO
2367 VIT -004 VIT B 1 IPI ECERAN BOTOL 83.33 1 -
2368 VIT -005 VIT B 1 TAB TABLET 156.37 100 KIMIA F
2369 VIT .OB.004 VIT B COMPLEX PCS 83.00 100 KIMIA F
2370 VIT .OB.002 VIT B12 IPI ECERAN FLES 100.00 1 KIMIA F
2371 VIT .OB.001 VIT C 50 MG FLES 121.44 50 -
2372 VIT -017 VIT K INJ AMPUL 3,333.33 100 GENERIK KF
2373 VIT -018 VIT K TAB TABLET 750.00 1,000 KIMIA F
RS MITRA MEDIKA
2374 VITA.OB.001 VITACIMIN STRIP 1,339.80 50 TANABE

2375 VITA.OB.002 VITACORE FORTE TABLET 2,310.00 100 CORONET
2376 VITA.OB.007 VITACUR SYR 100 ML FLES 36,300.00 1 LAPI
2377 VIT .96.001 VITADION INJ AMPUL 12,760.00 5 KALBE
2378 VITA-006 VITALONG C TAB STRIP 4,840.00 25 BERNOFARM
2379 VIT .38.001 VITAN 250 MG TABLET 13,750.00 20 -
2380 VITA-012 VITAZYM TABLET TABLET 474.00 100 KALBE F
2381 VOLT-003 VOLTAREN GEL 10 GR TUBE 39,385.50 1 NOVARTIS
2382 VOLT-004 VOLTAREN GEL 20 GR TUBE 44,770.00 1 NOVARTIS
2383 VOLT.OK.002 VOLTAREN GEL 5 GR TUBE 23,677.50 1 NOVARTIS
2384 VOLT.OK.001 VOLTAREN SR 75 MG TABLET 8,699.66 50 NOVARTIS
2385 VOMC.OK.001 VOMCERAN INJ AMPUL 31,900.00 5 KALBE
2386 VOME-005 VOMETA DROPS BOTOL 43,450.00 1 DEXA
2387 VOME-006 VOMETA FT TAB TABLET 4,070.00 50 DEXA
2388 VOME.OK.003 VOMETA SYR FLES 43,450.00 1 DEXA
2389 VOMI.OK.003 VOMIL B6 TAB TABLET 2,640.00 100 GUARDIAN
2390 VOP .97.001 VOPICAIN 5 MG INJ VIAL 110,000.00 2 FAHRENHEIT
2391 VOST.OB.001 VOSTRIN TAB TABLET 4,125.00 20 NOVELL
2392 WAR .38.001 WARFARIN 1 TAB TABLET 979.00 100 -
2393 WIAC.OK.001 WIACID 150 TABLET 4,840.00 100 LANDSON
2394 WIDA.OK.001 WIDA 1/2 DAD PCS 28,435.40 1 WARNER L
2395 WIDA.OK.004 WIDA KN 2 FLES 11,011.00 1 WIDATRA BAKTI
2396 WIDA.OK.002 WIDAHES FLES 66,536.80 1 OTSUKA
2397 WING.AH.002 WING NEEDLE NO 23 PCS 12,320.00 1 TERUMO
2398 WING.AH.001 WING NEEDLE NO 25 PCS 12,320.00 1 TERUMO
2399 XAR .38.001 XARELTO 10 MG TABLET 32,137.93 10 BAYER
2400 XAR .38.002 XARELTO 15 MG TABLET 32,137.88 28 BAYER
2401 XE .39.001 XE SKIN 30 GR TUBE 44,000.00 1 -
2402 XEPA.OK.003 XEPAGEL TUBE 154,000.00 1 METISKA
2403 XEPA.OK.005 XEPAZYM TAB TABLET 2,750.00 50 METISKA
2404 XPD .06.001 XPD MOISTURIZING CR TUBE 44,000.00 1 -
2405 YASM-001 YASMIN TAB BOX 194,025.00 1 BAYER
2406 YAZ -001 YAZ TABLET BOX 185,269.70 1 BAYER
2407 ZANT-001 ZANTADIN INJ AMPUL 19,000.00 5 SOHO
2408 ZANT-002 ZANTADIN TAB TABLET 5,082.00 100 SOHO
2409 ZIBR-001 ZIBRAMAX SYR BOTOL 108,900.00 1 GUARDIAN
2410 ZIBR-002 ZIBRAMAX TAB 500 MG TABLET 39,600.00 6 GUARDIAN
2411 ZID .97.001 ZIDIFEC INJ VIAL 272,690.00 1 SANBE
2412 ZIRC-001 ZIRCUM KID BOTOL 25,300.00 1 LAPI
2413 ZITA-001 ZITANID TAB TABLET 6,050.00 30 NOVELL
2414 ZITH.OK.001 ZITHRAX 500 MG TAB TABLET 36,666.66 6 KALBE
2415 ZOLM.OK.001 ZOLMIA TABLET TABLET 4,950.00 30 FAHRENHEIT
2416 ZOLT.OP.001 ZOLTA 10MG TABLET 5,060.00 20 NOVELL
2417 ZYFO.OB.001 ZYFORT INJ AMPUL 6,325.00 20 NOVELL
2418 ZYLO-001 ZYLORIC TAB 100 MG TABLET 2,208.25 60 GLAXO
2419 ZYLO-002 ZYLORIC TAB 300 MG TABLET 6,073.10 30 GLAXO

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Dicetak Oleh : administrator, Rabu, 21 November 2018, 20:11:52 Page 1 of 46

1 AB .38.001 AB VASK 10 MG TAB TABLET 11,000.00 30 LAPI

54 ALIN-002 ALINAMIN FORTE TAB TABLET 916.67 100 TAKEDA

107 AMOX.OK.001 AMOXSAN DROP BOTOL 23,252.90 1 SANBE

213 BAQU-001 BAQUINOR FORTE CAP 500 MG TABLET 14,206.50 20 SANBE

266 BIO .96.001 BIOCOMBIN 5000 INJ AMPUL 5,500.00 10 MEPRO

319 BRAI.OK.003 BRAINACT 500 INJ AMPUL 73,260.00 5 KALBE

372 CAPT-001 CAPTOPRIL TAB 12,5 MG TABLET 90.00 100 GENERIK KF

424 CEFA-006 CEFAT FORTE SYR BOTOL 77,550.00 1 SANBE

477 CEND-017 CENDO XITROL 0.6 MINIDOSE STRIP 26,812.50 1 CENDO

529 CLAN-006 CLANEKSI SYR 60 ML BOTOL 55,550.00 1 SANBE

582 COND.AH.003 CONDOM CATH M PCS 4,510.00 1 -

635 D5 1-001 D5 100 ML DP BUAH 15,312.00 60 SANBE

687 DIAB.OB.003 DIABETASOL DIGEST VAN 180 BOX 37,411.00 1 KALBE

740 DURO.ON.001 DUROGESIC PATCH 25 LEMBAR 237,050.00 5 JOHNSON & J

793 ERYT-002 ERYTHROMYCIN KAPS 500 MG KAPSUL 1,375.00 100 KALBE F

845 FARM-001 FARMADOL INF BOTOL 67,100.00 1 FAHRENHEIT

897 FLUI-004 FLUIMUCIL CAP 200 MG KAPSUL 5,637.50 60 ZAMBON

950 GAMM-005 GAMMEX NO.7 BUAH 13,200.00 40 ANSELL

1003 GLUR-001 GLURENORM TAB TABLET 1,340.00 100 BOEHRINGER ING

1055 HIST.OB.001 HISTRINE FT 10 TABLET 6,270.00 30 FERRON

1108 INFU.OK.006 INFUSAN R+D FLES 18,810.00 1 SANBE

1160 JAR .01.004 JARUM HAITING (MANI) SE TH 41 PCS 11,229.16 12 -

1213 KETO-012 KETOSTERIL TABLET TABLET 4,298.00 100 FRESENIUS

1266 LAPR-001 LAPRAZ CAPSUL KAPSUL 12,540.00 20 SANBE

1319 LIV .OK.001 LIV 52 DS CAPS KAPSUL 4,216.66 60 HIMAJAYA

1372 MEDI-005 MEDIFLEX CREAM 30GR TUBE 88,541.20 1 KALBE F

1425 MINO-002 MINOSEP GARGLE 150 ML PCS 29,601.00 1 PROMED

1478 NEB .38.001 NEBILET 5 MG TABLET 6,160.00 28 -

1531 NIM .17.001 NIMOTOP INFUS FLES 286,528.00 1 DARYA

1582 OCT .15.001 OCTENIC GEL 5 GR TUBE 23,100.00 1 MBF

1635 OTOZ-001 OTOZAMBON TETES TELINGA BOTOL 44,000.00 1 ZAMBON

1688 PELA.OK.001 PELASTIN INJ VIAL 299,128.50 1 SANBE

1740 PLAV-001 PLAVIX 300 TAB TABLET 27,200.14 10 SANOFI

1793 PROL-001 PROLACTA BABY CAP KAPSUL 4,180.00 50 NOVELL

1846 Q TE-002 Q TEN COM TAB TABLET 8,800.00 30 NOVELL

1899 RL B.OK.001 RL B BRAUN BOTOL 8,250.00 10 B.BRAUN

1952 SANM-007 SANMOL TAB TABLET 297.00 100 SANBE

2005 SILA.OB.001 SILADEX ANTITUSSIVE 30ML BOTOL 6,171.00 1 KONIMEX

2057 SPIN-004 SPINOCAN 22GX3.5 PCS 37,400.00 25 B.BRAUN

2110 SUC .33.001 SUCRALFATE SUSP 100 ML FLES 8,206.00 1 COMBIPHAR

2163 TB V.OK.001 TB VIT 6 TABLET 825.00 100 MEPRO

2215 TINE.OK.002 TINEURON KAPSUL 9,900.00 30 LAPI

2268 TRIO-002 TRIOFUSINE E 1000 INFUS 500 ML BOTOL 88,000.00 1 KALBE F

2321 VALE.OK.003 VALEPTIK SYR FLES 82,500.00 1 OTTO

2374 VITA.OB.001 VITACIMIN STRIP 1,339.80 50 TANABE

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