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PERENCANAAN Puskesmas 2019
PERENCANAAN Puskesmas 2019
PUSKESMAS :
TABLET
1 Adalat Oros 20 mg TABLET 3,255.00
2 Alopurinol 100 mg TABLET 97.00
3 Alopurinol 300 mg TABLET 210.00
4 Amilodipin 5 mg TABLET 105.00
5 Aminofilina 200 mg TABLET 91.00
6 Amoksilin 250 mg KAPSUL 195.00
7 Amoksilin 500 mg KAPLET 233.00
8 Antasida (MgOH 200mg+AlOH 200mg) TABLET 54.00
9 Anti Hemoroid (Bismut
subgallat150mg+Heksaklorofen2,5mg) 3,167.00
10 Antimigran (Ergotamin Tartrat 1mg + Kofein TABLET
50mg) 100.00
11 Asam Askorbat ( Vit C ) 50 mg TABLET 105.00
12 Asam Askorbat (Vit C) 250 mg TABLET 125.00
13 Asam folat 1 mg TABLET 48.00
14 Asam mefenamat 500mg TABLET 103.00
15 Asetosal 100 mg TABLET 130.00
16 Asiklovir 400mg TABLET 380.00
17 Betahistin mesilat 5 mg TABLET 110.00
18 Bisoprolol tablet 5 mg TABLET 236.00
19 Cetirizin 10mg TABLET 90.00
20 Deksametason 0,5 mg TABLET 41.00
21 Digoksin 0,25 mg TABLET 105.00
22 Diltiazem 30 mg TABLET 127.00
23 Dimenhidrinat tablet 50mg 105.00
24 Doksisiklin 100mg KAPSUL 268.00
25 Domperidon tablet 10 mg TABLET 118.00
26 Eritromisin 500mg 750.00
27 Fitomenadion (Vit K1) 10mg TABLET 710.00
28 Furosemid 40 mg 70.00
29 Glibenklamid 5 mg 119.00
30 Glimepiride tablet 2 mg TABLET 289.00
31 Griseofulvin 125 mg TABLET 210.00
32 Hidroklorotiazid (HCT) 25 mg TABLET 149.00
33 Ibuprofen 400 mg TABLET 127.00
34 Ibuprofen 200 mg TABLET 105.00
35 Isosorbid Dinitrat sublingual 5 mg TABLET 88.00
36 Kalium Diklofenac 50mg TABLET 105.00
37 Kalsium Laktat (Kalk) 500 mg 59.00
38 Kaptopril 25 mg TABLET 84.00
39 Kaptopril 12,5 mg TABLET 62.00
40 Ketokonazol 200mg tablet TABLET 270.00
41 Klindamisin kapsul 150 mg KAPSUL 715.00
42 Klopidogrel TABLET 2,000.00
43 Kloramfenikol kapsul 250 mg KAPSUL 361.00
44 Klorfeniramin Maleat (CTM) 4 mg TABLET 36.00
45 Kotrimoksazol dewasa kombinasi : TABLET
Sulfametoksazol400mg+Trimetoprim80mg 151.00
46 Levofloksasin 500 mg TABLET 495.00
47 Lisinopril 5mg tablet TABLET 259.00
48 Loratadin tablet 10 mg TABLET 123.00
49 Metformin 500mg tablet 100.00
50 Metil Prednisolon 4 mg 134.00
51 Metilergometrin Maleat 0,125 mg TABLET 210.00
52 Metoklopramid 5mg TABLET 123.00
53 Metronidazol 250 mg TABLET 154.00
54 Metronidazol 500mg TABLET 133.00
55 Natrium Diklofenac 25 mg TABLET 132.00
56 Natrium Diklofenac 50 mg TABLET 115.00
57 Nifedipin 10 mg tablet TABLET 104.00
58 Nistatin tablet vaginal 100.000 IU/g TABLET 509.10
59 Omeprazole 20mg TABLET 160.00
60 Parasetamol 500 mg TABLET 53.00
61 Pirantel 125 mg TABLET 269.00
62 Piridoksin HCL (Vit B6) tablet 10 mg TABLET 123.00
63 Prednison tablet 5 mg TABLET 68.00
64 Propanolol HCL tablet 10 mg TABLET 65.00
65 Propiltiourasil tablet 100 mg (Thyrozol) TABLET 1,225.00
66 Ranitidin tablet 150 mg TABLET 89.09
67 Salbutamol tablet 2 mg TABLET 63.00
68 Salbutamol tablet 4 mg TABLET 89.00
69 Simvastatin 10 mg TABLET 131.00
70 Siprofloksazin tablet 500 mg TABLET 265.00
71 Tablet Tambah Darah Kombinasi : Besi sulfat TABLET
200mg+Asam folat 0,25mg 354.00
72 Tetrasiklin HCL kapsul 250 mg TABLET 163.00
73 Tetrasiklin HCL kapsul 500 mg TABLET 310.00
74 Tiamin HCL (VitB1) 50 mg TABLET 85.00
75 Vitamin B Kompleks TABLET 83.00
76 Zinc 10 mg TABLET 524.00
77 Acar bose TABLET 779.00
78 Spironolactone 25mg TABLET 244.00
79 Ondansetron 4 mg TABLET 472.00
80 Irbesartan 150 mg TABLET 244.00
81 Loperamid 2 mg TABLET 472.00
82 Candesartan 8 mg TABLET 519.00
83 Cefadroxil 500mg TABLET 516.00
84 Asetilsistein TABLET 350.00
85 Clindamycin 300mg KAPSUL 516.00
86 Gemfibrozil 600mg KAPLET 679.00
87 Metformin 850mg tablet TABLET 156.00
88 Metoklopramid 10mg TABLET 87.00
89 Amlodipin 10 mg TABLET 156.00
90 Asam tranexamat tablet AMPUL 1,584.00
1 Aminofilina 24 mg/ml - 10 ml AMPUL 3,822.00
2 Amoksisilin serbuk injeksi 1000mg VIAL 8,237.00
3 Ampisillin im/iv 1000mg/ml VIAL 8,237.00
4 Atropin sulfat 0,25mg/ml-1 ml AMPUL 1,595.00
5 Calsium Gluconas injeksi 10 % BOTOL 10,351.00
6 Ceftriaxone 1 gr injeksi VIAL 1,672.00
7 Deksametason injeksi 5 mg/ml-1ml AMPUL 1,097.00
8 Difenhidramin HCL Inj 10mg/ml-1 ml 1,175.00
9 Epinefrin injeksi 1,408.00
10 Fitomenadion (Vit K1)inj 10mg/ml-1ml AMPUL 3,550.00
11 Furosemid injeksi AMPUL 1,333.00
12 Gentamisin injeksi 3,509.00
13 Hyosin n butilbromid inj 250mg/ml AMPUL 2,300.00
14 Lidocain comp inj 2% AMPUL 1,040.91
15 Magnesium sulfat injeksi (IV) 20 % - 25 ml BOTOL 3,200.00
16 Magnesium sulfat injeksi (IV) 40 % - 25 ml BOTOL 1,937.00
17 Metilergometrin Maleat inj. 0,200mg-1ml 2,959.00
18 Metoklopramid inj. 5mg / ml AMPUL 3,395.00
19 Oksitosin injeksi 10 IU/ml - 1 ml 1,199.00
20 Ondansetron injeksi AMPUL 1,650.00
21 Piracetam injeksi 1 gr / 5 ml BOTOL 1,900.00
22 Piracetam injeksi 3 gr / 5 ml BOTOL 1,650.00
23 Ranitidin injeksi 25mg/2ml AMPUL 1,155.00
24 Sefotaksim injeksi 1 gram VIAL 4,200.00
25 Sianokobalamin(VitB12)inj.500mcg/ml-1ml AMPUL 1,098.00
26 Streptomisin serbuk injeksi iv 1000mg/ml VIAL 3,650.00
27 Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml AMPUL 1,098.00
28 Omeprazol injeksi 9,898.00
29 Asam tranexamat injeksi AMPUL 1,945.00
30 Procain Benzil Penisilin inj 3 jt iu VIAL 7,190.00
31 Benzatin Benzil Penisilin inj 1.2 jt iu vial 9,727.00
1 Antifungi (As. Benzoat6%+As. salisilat 3%) POT 4,323.00
2 Asiklovir krim 5% TUBE 4,000.00
3 Basitrasin Polimixin B SK TUBE 2,924.00
4 Betametason krim 0,1 % TUBE 1,340.00
5 Gameksan emulsi 1 % 30ml TUBE 2,924.00
6 Gentamisin salep kulit 0.1%-5gr TUBE 1,349.00
7 Gentamisin salep mata 0,3% TUBE 2,600.00
8 Hidrokortison krim 2,5 % TUBE 2,798.00
9 Ketokonazol krim 2% TUBE 2,000.00
10 Kloramfenikol salep mata 1 % TUBE 2,650.00
11 Miconazol cream 2 % TUBE 3,414.00
12 Oksitetrasiklin HCL 1 % salep mata TUBE 1,810.00
13 Oksitetrasiklin HCL salep 3 % TUBE 3,000.00
14 Salep 2-4 Komb: As salisilat2%+Belerang POT
endap4% 2,620.00
15 Perak Sulfadiazin krim TUBE 20,700.00
16 Garam oralit untuk 200 ml air SACHET 288.00
17 Salisil Bedak 2 % POT 1,025.00
18 Amoksilin 125mg/5ml VIAL 1,881.00
19 Antasida syr (MgOH 200mg/5ml+AlOH BOTOL
200mg/5ml) 1,995.00
20 Cetirizin syr BOTOL 2,850.00
21 Eritromisin sirup BOTOL 7,220.00
22 Ibuprofen suspensi 100mg/5ml 2,550.00
23 Kloramfenikol suspensi 125mg/5ml BOTOL 4,700.00
SISA
NO NAMA OBAT SATUAN HARGA DESEMBER
PERENCANAAN
TABLET
1 Adalat Oros 20 mg TABLET 3,255.00
2 Alopurinol 100 mg TABLET 97.00
3 Alopurinol 300 mg TABLET 210.00
4 Amilodipin 5 mg TABLET 105.00
5 Aminofilina 200 mg TABLET 91.00
6 Amoksilin 250 mg KAPSUL 195.00
7 Amoksilin 500 mg KAPLET 233.00
8 Antasida (MgOH 200mg+AlOH 200mg) TABLET 54.00
9 Anti Hemoroid (Bismut
subgallat150mg+Heksaklorofen2,5mg) 3,167.00
10 Antimigran (Ergotamin Tartrat 1mg + Kofein TABLET
50mg) 100.00
11 Asam Askorbat ( Vit C ) 50 mg TABLET 105.00
12 Asam Askorbat (Vit C) 250 mg TABLET 125.00
13 Asam folat 1 mg TABLET 48.00
14 Asam mefenamat 500mg TABLET 103.00
15 Asetosal 100 mg TABLET 130.00
16 Asiklovir 400mg TABLET 380.00
17 Betahistin mesilat 5 mg TABLET 110.00
18 Bisoprolol tablet 5 mg TABLET 236.00
19 Cetirizin 10mg TABLET 90.00
20 Deksametason 0,5 mg TABLET 41.00
21 Digoksin 0,25 mg TABLET 105.00
22 Diltiazem 30 mg TABLET 127.00
23 Dimenhidrinat tablet 50mg 105.00
24 Doksisiklin 100mg KAPSUL 268.00
25 Domperidon tablet 10 mg TABLET 118.00
26 Eritromisin 500mg 750.00
27 Fitomenadion (Vit K1) 10mg TABLET 710.00
28 Furosemid 40 mg 70.00
29 Glibenklamid 5 mg 119.00
30 Glimepiride tablet 2 mg TABLET 289.00
31 Griseofulvin 125 mg TABLET 210.00
32 Hidroklorotiazid (HCT) 25 mg TABLET 149.00
33 Ibuprofen 400 mg TABLET 127.00
34 Ibuprofen 200 mg TABLET 105.00
35 Isosorbid Dinitrat sublingual 5 mg TABLET 88.00
36 Kalium Diklofenac 50mg TABLET 105.00
37 Kalsium Laktat (Kalk) 500 mg 59.00
38 Kaptopril 25 mg TABLET 84.00
39 Kaptopril 12,5 mg TABLET 62.00
40 Ketokonazol 200mg tablet TABLET 270.00
41 Klindamisin kapsul 150 mg KAPSUL 715.00
42 Klopidogrel TABLET 2,000.00
43 Kloramfenikol kapsul 250 mg KAPSUL 361.00
44 Klorfeniramin Maleat (CTM) 4 mg TABLET 36.00
45 Kotrimoksazol dewasa kombinasi : TABLET
Sulfametoksazol400mg+Trimetoprim80mg 151.00
46 Levofloksasin 500 mg TABLET 495.00
47 Lisinopril 5mg tablet TABLET 259.00
48 Loratadin tablet 10 mg TABLET 123.00
49 Metformin 500mg tablet 100.00
50 Metil Prednisolon 4 mg 134.00
51 Metilergometrin Maleat 0,125 mg TABLET 210.00
52 Metoklopramid 5mg TABLET 123.00
53 Metronidazol 250 mg TABLET 154.00
54 Metronidazol 500mg TABLET 133.00
55 Natrium Diklofenac 25 mg TABLET 132.00
56 Natrium Diklofenac 50 mg TABLET 115.00
57 Nifedipin 10 mg tablet TABLET 104.00
58 Nistatin tablet vaginal 100.000 IU/g TABLET 509.10
59 Omeprazole 20mg TABLET 160.00
60 Parasetamol 500 mg TABLET 53.00
61 Pirantel 125 mg TABLET 269.00
62 Piridoksin HCL (Vit B6) tablet 10 mg TABLET 123.00
63 Prednison tablet 5 mg TABLET 68.00
64 Propanolol HCL tablet 10 mg TABLET 65.00
65 Propiltiourasil tablet 100 mg (Thyrozol) TABLET 1,225.00
66 Ranitidin tablet 150 mg TABLET 89.09
67 Salbutamol tablet 2 mg TABLET 63.00
68 Salbutamol tablet 4 mg TABLET 89.00
69 Simvastatin 10 mg TABLET 131.00
70 Siprofloksazin tablet 500 mg TABLET 265.00
71 Tablet Tambah Darah Kombinasi : Besi sulfat TABLET
200mg+Asam folat 0,25mg 354.00
72 Tetrasiklin HCL kapsul 250 mg TABLET 163.00
73 Tetrasiklin HCL kapsul 500 mg TABLET 310.00
74 Tiamin HCL (VitB1) 50 mg TABLET 85.00
75 Vitamin B Kompleks TABLET 83.00
76 Zinc 10 mg TABLET 524.00
77 Acar bose TABLET 779.00
78 Spironolactone 25mg TABLET 244.00
79 Ondansetron 4 mg TABLET 472.00
80 Irbesartan 150 mg TABLET 244.00
81 Loperamid 2 mg TABLET 472.00
82 Candesartan 8 mg TABLET 519.00
83 Cefadroxil 500mg TABLET 516.00
84 Asetilsistein TABLET 350.00
85 Clindamycin 300mg KAPSUL 516.00
86 Gemfibrozil 600mg KAPLET 679.00
87 Metformin 850mg tablet TABLET 156.00
88 Metoklopramid 10mg TABLET 87.00
89 Amlodipin 10 mg TABLET 156.00
90 Asam tranexamat tablet AMPUL 1,584.00
1 Aminofilina 24 mg/ml - 10 ml AMPUL 3,822.00
2 Amoksisilin serbuk injeksi 1000mg VIAL 8,237.00
3 Ampisillin im/iv 1000mg/ml VIAL 8,237.00
4 Atropin sulfat 0,25mg/ml-1 ml AMPUL 1,595.00
5 Calsium Gluconas injeksi 10 % BOTOL 10,351.00
6 Ceftriaxone 1 gr injeksi VIAL 1,672.00
7 Deksametason injeksi 5 mg/ml-1ml AMPUL 1,097.00
8 Difenhidramin HCL Inj 10mg/ml-1 ml 1,175.00
9 Epinefrin injeksi 1,408.00
10 Fitomenadion (Vit K1)inj 10mg/ml-1ml AMPUL 3,550.00
11 Furosemid injeksi AMPUL 1,333.00
12 Gentamisin injeksi 3,509.00
13 Hyosin n butilbromid inj 250mg/ml AMPUL 2,300.00
14 Lidocain comp inj 2% AMPUL 1,040.91
15 Magnesium sulfat injeksi (IV) 20 % - 25 ml BOTOL 3,200.00
16 Magnesium sulfat injeksi (IV) 40 % - 25 ml BOTOL 1,937.00
17 Metilergometrin Maleat inj. 0,200mg-1ml 2,959.00
18 Metoklopramid inj. 5mg / ml AMPUL 3,395.00
19 Oksitosin injeksi 10 IU/ml - 1 ml 1,199.00
20 Ondansetron injeksi AMPUL 1,650.00
21 Piracetam injeksi 1 gr / 5 ml BOTOL 1,900.00
22 Piracetam injeksi 3 gr / 5 ml BOTOL 1,650.00
23 Ranitidin injeksi 25mg/2ml AMPUL 1,155.00
24 Sefotaksim injeksi 1 gram VIAL 4,200.00
25 Sianokobalamin(VitB12)inj.500mcg/ml-1ml AMPUL 1,098.00
26 Streptomisin serbuk injeksi iv 1000mg/ml VIAL 3,650.00
27 Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml AMPUL 1,098.00
28 Omeprazol injeksi 9,898.00
29 Asam tranexamat injeksi AMPUL 1,945.00
30 Procain Benzil Penisilin inj 3 jt iu VIAL 7,190.00
31 Benzatin Benzil Penisilin inj 1.2 jt iu vial 9,727.00
1 Antifungi (As. Benzoat6%+As. salisilat 3%) POT 4,323.00
2 Asiklovir krim 5% TUBE 4,000.00
3 Basitrasin Polimixin B SK TUBE 2,924.00
4 Betametason krim 0,1 % TUBE 1,340.00
5 Gameksan emulsi 1 % 30ml TUBE 2,924.00
6 Gentamisin salep kulit 0.1%-5gr TUBE 1,349.00
7 Gentamisin salep mata 0,3% TUBE 2,600.00
8 Hidrokortison krim 2,5 % TUBE 2,798.00
9 Ketokonazol krim 2% TUBE 2,000.00
10 Kloramfenikol salep mata 1 % TUBE 2,650.00
11 Miconazol cream 2 % TUBE 3,414.00
12 Oksitetrasiklin HCL 1 % salep mata TUBE 1,810.00
13 Oksitetrasiklin HCL salep 3 % TUBE 3,000.00
14 Salep 2-4 Komb: As salisilat2%+Belerang POT
endap4% 2,620.00
15 Perak Sulfadiazin krim TUBE 20,700.00
16 Garam oralit untuk 200 ml air SACHET 288.00
17 Salisil Bedak 2 % POT 1,025.00
18 Amoksilin 125mg/5ml VIAL 1,881.00
19 Antasida syr (MgOH 200mg/5ml+AlOH BOTOL
200mg/5ml) 1,995.00
20 Cetirizin syr BOTOL 2,850.00
21 Eritromisin sirup BOTOL 7,220.00
22 Ibuprofen suspensi 100mg/5ml 2,550.00
23 Kloramfenikol suspensi 125mg/5ml BOTOL 4,700.00
SISA
NO NAMA OBAT SATUAN HARGA FORNAS
DESEMBER
TABLET
1 Adalat Oros 20 mg TABLET 3,255.00 x
2 Alopurinol 100 mg TABLET 97.00 v
3 Alopurinol 300 mg TABLET 210.00 v
4 Amilodipin 5 mg TABLET 105.00 v
5 Aminofilina 200 mg TABLET 91.00 v
6 Amoksilin 250 mg KAPSUL 195.00 v
7 Amoksilin 500 mg KAPLET 233.00 v
8 Antasida (MgOH 200mg+AlOH 200mg) TABLET 54.00 v
9 Anti Hemoroid (Bismut
subgallat150mg+Heksaklorofen2,5mg) 3,167.00 x
10 Antimigran (Ergotamin Tartrat 1mg + Kofein TABLET
50mg) 100.00 v
11 Asam Askorbat ( Vit C ) 50 mg TABLET 105.00 v
12 Asam Askorbat (Vit C) 250 mg TABLET 125.00 v
13 Asam folat 1 mg TABLET 48.00 v
14 Asam mefenamat 500mg TABLET 103.00 v
15 Asetosal 100 mg TABLET 130.00 x
16 Asiklovir 400mg TABLET 380.00 v
17 Betahistin mesilat 5 mg TABLET 110.00 x
18 Bisoprolol tablet 5 mg TABLET 236.00 x
19 Cetirizin 10mg TABLET 90.00 x
20 Deksametason 0,5 mg TABLET 41.00 v
21 Digoksin 0,25 mg TABLET 105.00 v
22 Diltiazem 30 mg TABLET 127.00 v
23 Dimenhidrinat tablet 50mg 105.00 v
24 Doksisiklin 100mg KAPSUL 268.00 v
25 Domperidon tablet 10 mg TABLET 118.00 v
26 Eritromisin 500mg 750.00 v
27 Fitomenadion (Vit K1) 10mg TABLET 710.00 v
28 Furosemid 40 mg 70.00 v
29 Glibenklamid 5 mg 119.00 v
30 Glimepiride tablet 2 mg TABLET 289.00 v
31 Griseofulvin 125 mg TABLET 210.00 v
32 Hidroklorotiazid (HCT) 25 mg TABLET 149.00 v
33 Ibuprofen 400 mg TABLET 127.00 v
34 Ibuprofen 200 mg TABLET 105.00 v
35 Isosorbid Dinitrat sublingual 5 mg TABLET 88.00 v
36 Kalium Diklofenac 50mg TABLET 105.00 v
37 Kalsium Laktat (Kalk) 500 mg 59.00 v
38 Kaptopril 25 mg TABLET 84.00 v
39 Kaptopril 12,5 mg TABLET 62.00 v
40 Ketokonazol 200mg tablet TABLET 270.00 v
41 Klindamisin kapsul 150 mg KAPSUL 715.00 √
42 Klopidogrel TABLET 2,000.00 x
43 Kloramfenikol kapsul 250 mg KAPSUL 361.00 v
44 Klorfeniramin Maleat (CTM) 4 mg TABLET 36.00 √
45 Kotrimoksazol dewasa kombinasi : TABLET
Sulfametoksazol400mg+Trimetoprim80mg 151.00 √
46 Levofloksasin 500 mg TABLET 495.00 X
47 Lisinopril 5mg tablet TABLET 259.00 X
48 Loratadin tablet 10 mg TABLET 123.00 √
49 Metformin 500mg tablet 100.00 √
50 Metil Prednisolon 4 mg 134.00 X
51 Metilergometrin Maleat 0,125 mg TABLET 210.00 √
52 Metoklopramid 5mg TABLET 123.00 √
53 Metronidazol 250 mg TABLET 154.00 √
54 Metronidazol 500mg TABLET 133.00 √
55 Natrium Diklofenac 25 mg TABLET 132.00 √
56 Natrium Diklofenac 50 mg TABLET 115.00 √
57 Nifedipin 10 mg tablet TABLET 104.00 √
58 Nistatin tablet vaginal 100.000 IU/g TABLET 509.10 √
59 Omeprazole 20mg TABLET 160.00 √
60 Parasetamol 500 mg TABLET 53.00 √
61 Pirantel 125 mg TABLET 269.00 √
62 Piridoksin HCL (Vit B6) tablet 10 mg TABLET 123.00 √
63 Prednison tablet 5 mg TABLET 68.00 √
64 Propanolol HCL tablet 10 mg TABLET 65.00 √
65 Propiltiourasil tablet 100 mg (Thyrozol) TABLET 1,225.00 √
66 Ranitidin tablet 150 mg TABLET 89.09 √
67 Salbutamol tablet 2 mg TABLET 63.00 √
68 Salbutamol tablet 4 mg TABLET 89.00 √
69 Simvastatin 10 mg TABLET 131.00 √
70 Siprofloksazin tablet 500 mg TABLET 265.00 √
71 Tablet Tambah Darah Kombinasi : Besi sulfat TABLET
200mg+Asam folat 0,25mg 354.00 √
72 Tetrasiklin HCL kapsul 250 mg TABLET 163.00 √
73 Tetrasiklin HCL kapsul 500 mg TABLET 310.00 √
74 Tiamin HCL (VitB1) 50 mg TABLET 85.00 √
75 Vitamin B Kompleks TABLET 83.00 √
76 Zinc 10 mg TABLET 524.00 √
77 Acar bose TABLET 779.00 X
78 Spironolactone 25mg TABLET 244.00 √
79 Ondansetron 4 mg TABLET 472.00 X
80 Irbesartan 150 mg TABLET 244.00 X
81 Loperamid 2 mg TABLET 472.00 X
82 Candesartan 8 mg TABLET 519.00 X
83 Cefadroxil 500mg TABLET 516.00 √
84 Asetilsistein TABLET 350.00 √
85 Clindamycin 300mg KAPSUL 516.00 √
86 Gemfibrozil 600mg KAPLET 679.00 X
87 Metformin 850mg tablet TABLET 156.00 √
88 Metoklopramid 10mg TABLET 87.00 √
89 Amlodipin 10 mg TABLET 156.00 √
90 Asam tranexamat tablet AMPUL 1,584.00 X
1 Aminofilina 24 mg/ml - 10 ml AMPUL 3,822.00 √
2 Amoksisilin serbuk injeksi 1000mg VIAL 8,237.00 X
3 Ampisillin im/iv 1000mg/ml VIAL 8,237.00 √
4 Atropin sulfat 0,25mg/ml-1 ml AMPUL 1,595.00 √
5 Calsium Gluconas injeksi 10 % BOTOL 10,351.00 √
6 Ceftriaxone 1 gr injeksi VIAL 1,672.00 X
7 Deksametason injeksi 5 mg/ml-1ml AMPUL 1,097.00 √
8 Difenhidramin HCL Inj 10mg/ml-1 ml 1,175.00 √
9 Epinefrin injeksi 1,408.00 √
10 Fitomenadion (Vit K1)inj 10mg/ml-1ml AMPUL 3,550.00 √
11 Furosemid injeksi AMPUL 1,333.00 √
12 Gentamisin injeksi 3,509.00 X
13 Hyosin n butilbromid inj 250mg/ml AMPUL 2,300.00 X
14 Lidocain comp inj 2% AMPUL 1,040.91 √
15 Magnesium sulfat injeksi (IV) 20 % - 25 ml BOTOL 3,200.00 √
16 Magnesium sulfat injeksi (IV) 40 % - 25 ml BOTOL 1,937.00 √
17 Metilergometrin Maleat inj. 0,200mg-1ml 2,959.00 √
18 Metoklopramid inj. 5mg / ml AMPUL 3,395.00 √
19 Oksitosin injeksi 10 IU/ml - 1 ml 1,199.00 √
20 Ondansetron injeksi AMPUL 1,650.00 X
21 Piracetam injeksi 1 gr / 5 ml BOTOL 1,900.00 X
22 Piracetam injeksi 3 gr / 5 ml BOTOL 1,650.00 X
23 Ranitidin injeksi 25mg/2ml AMPUL 1,155.00 X
24 Sefotaksim injeksi 1 gram VIAL 4,200.00 X
25 Sianokobalamin(VitB12)inj.500mcg/ml-1ml AMPUL 1,098.00 √
26 Streptomisin serbuk injeksi iv 1000mg/ml VIAL 3,650.00 √
27 Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml AMPUL 1,098.00 X
28 Omeprazol injeksi 9,898.00 √
29 Asam tranexamat injeksi AMPUL 1,945.00 X
30 Procain Benzil Penisilin inj 3 jt iu VIAL 7,190.00 X
31 Benzatin Benzil Penisilin inj 1.2 jt iu vial 9,727.00 √
1 Antifungi (As. Benzoat6%+As. salisilat 3%) POT 4,323.00 √
2 Asiklovir krim 5% TUBE 4,000.00 X
3 Basitrasin Polimixin B SK TUBE 2,924.00 X
4 Betametason krim 0,1 % TUBE 1,340.00 √
5 Gameksan emulsi 1 % 30ml TUBE 2,924.00 X
6 Gentamisin salep kulit 0.1%-5gr TUBE 1,349.00 X
7 Gentamisin salep mata 0,3% TUBE 2,600.00 √
8 Hidrokortison krim 2,5 % TUBE 2,798.00 √
9 Ketokonazol krim 2% TUBE 2,000.00 √
10 Kloramfenikol salep mata 1 % TUBE 2,650.00 √
11 Miconazol cream 2 % TUBE 3,414.00 √
12 Oksitetrasiklin HCL 1 % salep mata TUBE 1,810.00 X
13 Oksitetrasiklin HCL salep 3 % TUBE 3,000.00 X
14 Salep 2-4 Komb: As salisilat2%+Belerang POT
endap4% 2,620.00 √
15 Perak Sulfadiazin krim TUBE 20,700.00 √
16 Garam oralit untuk 200 ml air SACHET 288.00 X
17 Salisil Bedak 2 % POT 1,025.00 √
18 Amoksilin 125mg/5ml VIAL 1,881.00 X
19 Antasida syr (MgOH 200mg/5ml+AlOH BOTOL
200mg/5ml) 1,995.00 X
20 Cetirizin syr BOTOL 2,850.00 X
21 Eritromisin sirup BOTOL 7,220.00 √
22 Ibuprofen suspensi 100mg/5ml 2,550.00 X
23 Kloramfenikol suspensi 125mg/5ml BOTOL 4,700.00 √