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DAFTAR USULAN PENGADAAN OBAT

Kegiatan : JKN Puskesmas Kebaman


Obyek Belanja : Belanja Bahan Obat-obatan
Bulan : Januari, Februari, Mei, Agustus, dan Desember 2016
No Nama Obat Generik Nama Penyedia Volume
1 Anti Migraen Ergotamin Tartrat 1 mg + Kofein 50 mg PT. Kimia Farma 50
2 Allopurinol tablet/kapsul/kaplet 100 mg PT. Pertiwi Agung 10000
3 Betametason Krim 0,1% PT. Kimia Farma 400
4 Gentamisin tetes mata 0,3% PT. Indofarma 100
5 Natrium Diklofenak tablet 50 mg PT. Phapros, Tbk 5000
6 Ibuprofen tablet 400 mg PT. Novapharin 10000
7 Parasetamol sirup 120 mg / 5 ml PT. Afifarma 343
8 Simvastatin tablet 20 mg PT. Natura Laboratoria Prima 4500
9 Setirizin tablet 10 mg PT. Pertiwi Agung 5000
10 Antasida DOEN II suspensi PT. Erela 200
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Kemasan Harga Satuan Terkecil (Rp) Jumlah (Rp) NO e-Catalog
Btl 100 tablet Rp 13,500 Rp 675,000 43
Box, 10 strips @ 10 tablets Rp 86.00 Rp 860,000 10
Tube 5 gr Rp 1,520 Rp 608,000 74
Dus, botol plastik 5 ml Rp 3,194 Rp 319,400 211
Dus @ 5 X 10 's Rp 176.00 Rp 880,000 477
dus 10 X 10'S Rp 150.00 Rp 1,500,000 261
Botol 60 ml Rp 1,438 Rp 493,234 521
Dus, 3 Strip @ 10 Kaplet salut selaput Rp 391.00 Rp 1,759,500 609
Box, 10 strips @ 10 capsules Rp 181.00 Rp 905,000 599
Botol @ 60 ml Rp 2,160 Rp 432,000
JANUARI

Rp 8,000,134

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