OBAT

6/11/2019 O 30/10 20/11 311 OMEPRAZOLW Rp 1,602,216.
00
6/11/2019 O 30/10 20/11 312 BETAHISTINE, DLL Rp 3,327,500.00
6/11/2019 O 30/10 313 AZTERCON, DLL Rp 5,342,700.00
6/11/2019 O 30/10 314 NOVEPIDE Rp 553,850.00
6/11/2019 O 30/10 315 KTM Rp 2,091,375.00
6/11/2019 O 30/10 316 CEFADROXIL Rp 357,500.00
6/11/2019 O 30/10 317 HALOPERIDOL Rp 583,000.00
6/11/2019 O 30/10 20/11 318 PROSTAM Rp 6,619,800.00
6/11/2019 O 30/10 29/11 319 OMEPRAZOLE Rp 440,000.00
6/11/2019 O 30/10 29/11 320 NATUROKSI, DLL Rp 970,743.40
6/11/2019 O 31/10 21/11 321 VIPALBUMIN Rp 891,000.00
6/11/2019 O 31/10 30/11 322 VENTOLIN Rp 399,998.00
6/11/2019 O 31/10 30/11 323 ESOMAX, DLL Rp 3,291,750.00
6/11/2019 O 31/10 21/11 324 EPIVEN, DLL Rp 748,935.00
6/11/2019 O 31/10 21/11 325 RIZONAX Rp 1,326,600.00
6/11/2019 O 31/10 21/11 326 OXYLA Rp 1,897,500.00
6/11/2019 O 31/10 21/11 327 PEPTIFAT Rp 2,280,960.00
6/11/2019 O 31/10 21/11 328 SOLVINEX Rp 2,200,000.00
6/11/2019 O 31/10 21/11 329 ERLIMIC Rp 809,600.00
6/11/2019 O 31/10 30/11 330 ADALAT Rp 5,921,960.00
6/11/2019 O 31/10 21/11 331 CALGAE Rp 465,300.00
6/11/2019 O 30/10 20/11 332 FOLAMIL Rp 702,900.00
6/11/2019 O 1/11/2019 1/12/2019 1 GENTAMICIN Rp 1,291,266.00

6/11/2019 O 1/11/2019 22/11 2 LEVAZIDE, DLL Rp 8,323,252.00
6/11/2019 O 1/11/2019 22/11 3 OMEVELL Rp 446,875.00
6/11/2019 O 4/11/2019 1/3/2019 4 APIDRA Rp 8,699,988.00
6/11/2019 O 1/11/2019 1/12/2019 5 ONDANSETRON Rp 739,200.00
6/11/2019 O 1/11/2019 1/12/2019 6 KLODERMA, DLL Rp 807,675.00
6/11/2019 O 1/11/2019 1/12/2019 7 GLIMEPIRIDE, DLL Rp 603,641.00
6/11/2019 O 1/11/2019 1/12/2019 8 CATARLENT Rp 1,014,434.00
6/11/2019 O 1/11/2019 1/12/2019 9 OMEPRAZOLE Rp 2,200,000.00
6/11/2019 O 1/11/2019 1/12/2019 9 MUCOS Rp 2,400,750.00
6/11/2019 O 1/11/2019 1/12/2019 10 MECORALAMINE, DLL Rp 1,930,108.00
6/11/2019 O 1/11/2019 1/12/2019 12 LAFALOS Rp 231,911.00
6/11/2019 O 1/11/2019 1/12/2019 13 REGUMEN, DLL Rp 592,020.00
6/11/2019 O 1/11/2019 1/12/2019 14 FOLAVIT, DLL Rp 544,830.00
6/11/2019 O 1/11/2019 1/12/2019 15 BRALIFEX, DLL Rp 1,042,685.00
6/11/2019 O 1/11/2019 1/12/2019 16 INFUSAN, DLL Rp 3,298,680.00
6/11/2019 O 1/11/2019 1/12/2019 17 BIOXON Rp 1,536,100.00
6/11/2019 O 1/11/2019 1/12/2019 18 NAIRET, DLL Rp 3,052,500.00
6/11/2019 O 1/11/2019 1/12/2019 19 COMBIVENT Rp 910,000.00
6/11/2019 O 1/11/2019 1/12/2019 20 SPIRIVA Rp 9,060,000.00
6/11/2019 O 1/11/2019 1/12/2019 21 ANTASIDA,DLL Rp 1,405,048.00
6/11/2019 O 1/11/2019 1/12/2019 22 TRIFASTAN, DLL Rp 5,688,095.00
6/11/2019 O 1/11/2019 22/11 23 METHYLPREDNISOLONE, DLL Rp 764,544.00
6/11/2019 O 1/11/2019 1/12/2019 24 ACABOSE, DLL Rp 7,840,864.00
6/11/2019 O 1/11/2019 1/12/2019 25 LEVOCETIRIZINE, DLL Rp 4,389,770.00
6/11/2019 O 1/11/2019 26 ELOPRO Rp 1,818,300.00
6/11/2019 O 1/11/2019 1/12/2019 27 ARDIUM, DLL Rp 3,109,315.00
6/11/2019 O 1/11/2019 22/11 28 NOVORAPID Rp 4,350,000.00
6/11/2019 O 2/11/2019 23/11 29 NOVOMIX Rp 5,548,400.00
6/11/2019 O 2/11/2019 23/11 30 CATAFLAM, DLL Rp 2,300,947.00
6/11/2019 O 1/11/2019 22/11 31 LEVEMIR Rp 4,197,500.00
6/11/2019 O 4/11/2019 3/1/2019 32 LANTUS, Rp 8,395,002.00
6/11/2019 O 2/11/2019 2/12/2019 33 MASTER Rp 4,062,960.00
6/11/2019 O 2/11/2019 2/12/2019 34 TRIDEX Rp 1,081,080.00
6/11/2019 O 4/11/2019 25/11 35 METHOREXATE Rp 2,354,071.00
6/11/2019 O 5/11/2019 26/11 36 CLIDAZ Rp 237,600.00
6/11/2019 O 5/11/2019 26/11 750 TRAMADOL Rp 1,280,400.00
6/11/2019 O 5/11/2019 26/11 38 LEVAZIDE Rp 2,860,000.00
6/11/2019 O 5/11/2019 26/11 39 REGIVELL Rp 5,456,000.00
6/11/2019 O 31/10 30/11 40 CODEINE Rp 2,054,910.00
6/11/2019 O 4/11/2019 4/12/2019 41 LEVOCETIRIZINE, DLL Rp 6,505,699.00
6/11/2019 O 4/11/2019 4/12/2019 42 TARIVID Rp 241,395.00
6/11/2019 O 4/11/2019 4/12/2019 43 FLEET, DLL Rp 618,750.00
6/11/2019 O 4/11/2019 4/12/2019 44 VENTOLIN Rp 799,997.00
6/11/2019 O 4/11/2019 4/12/2019 45 BIOXON, DLL Rp 1,692,900.00
6/11/2019 O 4/11/2019 25/11 46 TRILAC,DLL Rp 9,454,921.00
6/11/2019 O 4/11/2019 25/11 47 NOPRENIA, DLL Rp 8,914,348.00
6/11/2019 O 4/11/2019 25/11 48 CEFTIZOXIME Rp 1,760,000.00
6/11/2019 O 4/11/2019 25/11 49 DONACEPT, Rp 656,040.00
6/11/2019 O 4/11/2019 25/11 50 VELUTINE Rp 115,500.00
6/11/2019 O 4/11/2019 4/12/2019 51 COMBIVENT Rp 910,000.00
6/11/2019 O 4/11/2019 4/12/2019 52 BEROTEC Rp 415,950.00
6/11/2019 O 4/11/2019 4/12/2019 53 AMINOPHYLINE, DLL Rp 2,932,878.00
6/11/2019 O 4/11/2019 4/2/2019 54 INFUSAN Rp 1,705,968.00
6/11/2019 O 4/11/2019 4/12/2019 55 HEPTASAN Rp 75,075.00
6/11/2019 O 4/11/2019 4/12/2019 56 LANSOPRAZOLE, DLL Rp 1,940,824.00
6/11/2019 O 4/11/2019 4/12/2019 57 MUCOS, DLL Rp 451,000.00
6/11/2019 O 4/11/2019 4/12/2019 58 OMEPRAZOLE Rp 2,200,000.00
6/11/2019 O 4/11/2019 4/12/2019 59 MICROLAX, DLL Rp 9,149,050.00
8/11/2019 O 6/11/2019 27/11 60 RYVEL, DLL Rp 4,034,160.00
8/11/2019 O 6/11/2019 27/11 61 CEFTIZOXIME Rp 1,760,000.00
8/11/2019 O 6/11/2019 27/11 62 NOPRENIA, DLL Rp 27,657,102.00
8/11/2019 O 6/11/2019 27/11 63 NOVESTROL Rp 2,036,340.00
8/11/2019 O 5/11/2019 26/11 64 SPORACID Rp 1,083,500.00
8/11/2019 O 6/11/2019 6/12/2019 65 XITROL, DLL Rp 4,631,505.00
8/11/2019 O 5/11/2019 5/12/2019 66 BETADINE, DLL Rp 610,151.00
8/11/2019 O 5/11/2019 67 OMEVELL Rp 2,234,375.00
8/11/2019 O 5/11/2019 68 NORAGES Rp 918,500.00
8/11/2019 O 5/11/2019 26/11 69 AMLODIPINE, DLL Rp 2,273,040.00
8/11/2019 O 6/11/2019 6/12/2019 70 KETOROLAC, DLL Rp 2,566,080.00
8/11/2019 O 5/11/2019 71 OMEVELL Rp 2,681,250.00
8/11/2019 O 6/11/2019 72 QUETVELL Rp 1,409,779.00
8/11/2019 O 6/11/2019 73 EXOCID Rp 1,595,000.00
8/11/2019 O 5/11/2019 4/1/2020 74 SERETIDE Rp 1,225,213.00
8/11/2019 O 5/11/2019 5/12/2019 75 VENTOLIN Rp 599,995.00
8/11/2019 O 5/11/2019 5/12/2019 76 GRANOPI, DLL Rp 836,000.00
8/11/2019 O 6/11/2019 6/12/2019 77 CLOPIDOGREL, DLL Rp 4,698,320.00
8/11/2019 O 5/11/2019 5/12/2019 78 INFUSAN Rp 568,656.00
8/11/2019 O 5/11/2019 5/12/2019 79 LORATADINE Rp 141,559.00
8/11/2019 O 5/11/2019 5/12/2019 80 NORAGES, DLL Rp 2,799,067.00
8/11/2019 O 5/11/2019 26/11 81 PYREXIN Rp 1,485,000.00
8/11/2019 O 5/11/2019 26/11 82 PROCLOZAM Rp 1,925,000.00
26/11 O 6/11/2019 6/12/2019 83 SODERMIX, DLL Rp 6,165,255.00
26/11 O 6/11/2019 6/12/2019 84 TREMENZA Rp 219,863.00
26/11 O 5/11/2019 6/12/2019 85 ESOMAX, DLL Rp 4,158,003.00
26/11 O 6/11/2019 27/11 86 VIPALBUMIN Rp 1,782,000.00
26/11 O 6/11/2019 6/12/2019 87 SPIRIVA Rp 9,060,000.00
26/11 O 6/11/2019 6/12/2019 88 BEROTEC Rp 831,900.00
26/11 O 6/11/2019 20/12 89 RINGERS Rp 1,220,736.00
26/11 O 6/11/2019 21/12 90 MEPTIN Rp 812,042.00
26/11 O 5/11/2019 21/12 91 VALDIMEX Rp 605,000.00
26/11 O 5/11/2019 21/12 92 HEXYMER Rp 308,000.00
26/11 O 5/11/2019 21/12 93 CEF4 Rp 247,500.00
26/11 O 7/11/2019 28/11 94 NOVESTROL, DLL Rp 1,770,120.00
26/11 O 7/11/2019 28/11 95 QUETVELL Rp 1,409,780.00
26/11 O 6/11/2019 5/1/2020 96 SYMBICORT Rp 2,985,290.00
26/11 O 6/11/2019 5/1/2020 97 SYMBICORT Rp 2,985,290.00
26/11 O 6/11/2019 5/1/2020 98 PULMICORT Rp 2,075,480.00
26/11 O 5/11/2019 5/12/2019 99 DEMACOLIN, DLL Rp 1,240,000.00
26/11 O 7/11/2019 7/12/2019 100 BRALIFEX, DLL Rp 3,677,335.00
26/11 O 7/11/2019 28/12 101 THYROZOL Rp 661,000.00
26/11 O 6/11/2019 27/12 102 METHOREXATE Rp 1,304,374.00
26/11 O 7/11/2019 28/11 103 RINDOBION Rp 2,708,365.00
26/11 O 7/11/2019 7/12/2019 104 OMEPRAZOLE Rp 2,200,000.00
26/11 O 7/11/2019 7/12/2019 105 PROSTIGMIN Rp 658,900.00
26/11 O 7/11/2019 28/11 106 CO AMOXICLV Rp 2,772,500.00
26/11 O 8/11/2019 8/12/2019 107 TOPICARE Rp 1,585,100.00
26/11 O 11/11/2019 11/12/2019 108 NIFEDIPINE, DLL Rp 369,050.00
25/11 O 11/11/2019 11/12/2019 109 METRONIDAZOLE Rp 5,401,621.00
25/11 O 11/11/2019 11/12/2019 110 PIRACETAM, DLL Rp 893,851.00
25/11 O 11/11/2019 11/12/2019 111 REGUMEN Rp 364,865.00
25/11 O 11/11/2019 11/12/2019 112 HISTAPAN Rp 143,715.00
25/11 O 11/11/2019 11/12/2019 113 PIRALEN, DLL Rp 2,727,450.00
25/11 O 11/11/2019 11/12/2019 114 CYSTONE, DLL Rp 990,633.00
25/11 O 12/11/2019 12/12/2019 115 LAFALOS Rp 2,211,972.00
25/11 O 11/11/2019 116 LORATADINE Rp 99,091.00
25/11 O 11/11/2019 117 DEXKETOPROFEN Rp 1,934,592.00
25/11 O 11/11/2019 118 NOSPIRINAL Rp 759,000.00
25/11 O 12/1/2019 12/12/2019 119 NORAGES Rp 4,408,800.00
25/11 O 12/11/2019 12/12/2019 120 REGUMEN Rp 243,243.00
25/11 O 13/11 4/12/2019 121 CEFOPERAZONE Rp 6,050,000.00
25/11 O 12/11/2019 3/12/2019 122 MFCONEBRO, DLL Rp 884,400.00
25/11 O 12/11/2019 3/12/2019 123 AMLODIPINE, DLL Rp 1,452,330.00
25/11 O 12/11/2019 3/12/2019 124 NORAGES, DLL Rp 4,349,400.00
25/11 O 13/11 13/12 125 ASAM TRANEKSAMAT, DLL Rp 6,373,488.00
25/11 O 13/11 13/12 126 CATARLET Rp 715,173.00
25/11 O 13/11 13/12 127 DESOLEX, DLL Rp 5,654,220.00
25/11 O 13/11 13/12 128 MECOBALAMINE, DLL Rp 1,531,125.00
25/11 O 13/11 4/12/2019 129 BETAHISTINE, DLL Rp 3,082,860.00
25/11 O 13/11 4/12/2019 130 CARMED, DLL Rp 12,055,055.00
25/11 O 13/11 4/12/2019 131 NOVESTROL, DLL Rp 2,995,300.00
26/11 O 13/11 4/12/2019 132 ZAMEL, DLL Rp 4,720,320.00
26/11 O 13/11 4/12/2019 133 REGIVELL, DLL Rp 11,187,000.00
26/11 O 13/11 4/12/2019 134 SIMVASTATIN, DLL Rp 1,531,401.00
26/11 O 13/11 4/12/2019 135 NOPRENIA, DLL Rp 8,639,400.00
26/11 O 13/11 13/12 136 SMECTA, DLL Rp 3,801,500.00
26/11 O 13/11 13/12 137 TRIFASTAN, DLL Rp 4,370,844.00
26/11 O 13/11 13/12 138 CEFTRIAXONE Rp 9,900,000.00
26/11 O 13/11 4/12/2019 139 CATAFLAM, DLL Rp 4,000,447.00
26/11 O 15/11 15/12 140 CLANEKSI Rp 170,528.00
26/11 O 15/11 15/12 141 METHYLPREDNISOLONE, DLL Rp 584,337.00
26/11 O 15/11 15/12 142 MEROPENEM Rp 1,760,000.00
26/11 O 15/11 15/12 143 NATACEN Rp 2,479,496.00
26/11 O 15/11 6/12/2019 144 CANDOTENS Rp 12,681,900.00
26/11 O 14/11 14/12 145 CEFOPERAZONE Rp 3,630,000.00
26/11 O 15/11 6/12/2019 146 CONCOR Rp 313,000.00
26/11 O 14/11 5/12/2019 147 NOCANDIS, DLL Rp 256,960.00
26/11 O 14/11 5/12/2019 148 NOCANDIS Rp 120,450.00
26/11 O 14/11 5/12/2019 149 CANDISTIN Rp 188,100.00
26/11 O 14/11 5/12/2019 150 ZAMEL, DLL Rp 2,932,876.00
26/11 O 14/11 14/12 151 BIOXON, DLL Rp 9,404,447.36
26/11 O 14/11 14/12 152 PYREXIN Rp 1,485,000.00
26/11 P 14/11 14/12 153 NOVIGREL, DLL Rp 3,862,650.00
26/11 O 14/11 14/12 154 PROSTIGMIN Rp 395,340.00
26/11 O 14/11 14/12 155 ELKANA Rp 74,324.00
26/11 O 14/11 14/12 156 BERRY VISION Rp 675,675.00
26/11 O 14/11 14/12 157 LAFALOS Rp 231,911.00
26/11 O 14/11 14/12 158 BUNDAVIN, DLL Rp 1,387,000.00
26/11 O 14/11 14/12 159 GRAFADON, DLL Rp 1,322,000.00
26/11 O 13/11 4/12/2019 160 LORATANE, DLL Rp 1,264,316.00
26/11 O 13/11 161 FOLAPLUS, DLL Rp 3,319,800.00
26/11 O 13/11 26/12 162 LODOMER Rp 450,846.00
26/11 O 13/11 26/12 163 MEPTIN Rp 812,042.00
26/11 O 13/11 26/12 164 BANGETOL, DLL Rp 594,000.00
26/11 O 14/11 5/12/2019 165 NOVORAPID, DLL Rp 11,997,150.00
26/11 O 14/11 5/12/2019 166 THYROZOL Rp 643,000.00
26/11 O 13/11 13/12 167 NOROID Rp 424,710.00
26/11 O 13/11 13/12 168 COFLTEI, DLL Rp 2,021,800.00
26/11 O 13/11 169 PYREXIN, DLL Rp 1,485,000.00
26/11 O 13/11 13/12 170 COMBIVENT Rp 910,000.00
26/11 O 13/11 13/12 171 BEROTEC Rp 831,900.00
26/11 O 13/11 4/12/2019 172 CRAVOX, DLL Rp 4,253,150.00
26/11 O 13/11 13/12 173 LAFALOS Rp 309,223.00
26/11 O 13/11 13/12 174 SANPICILIN Rp 171,868.00
26/11 O 13/11 13/12 175 INFUSAN, DLL Rp 7,808,526.00
26/11 O 13/11 13/12 176 BRALIFEX Rp 249,088.00
26/11 O 13/11 4/12/2019 177 AMLODIPINE, DLL Rp 4,729,780.00
26/11 O 13/11 27/11 178 FUJI X, DLL Rp 1,035,000.00
26/11 O 18/11 9/12/2019 179 DIVITI, DLL Rp 975,499.00
26/11 O 18/11 9/12/2019 180 OMEVELL, DLL Rp 6,668,750.00
26/11 O 18/11 18/12 181 VIPALBUMIN, DLL Rp 3,343,800.00
26/11 O 16/11 15/1 182 SMBICORT Rp 1,342,836.00
26/11 O 16/11 15/1/2020 183 SERETIDE Rp 669,988.00
26/11 O 16/11 16/12 184 VENTOLIN Rp 799,997.00
26/11 O 16/11 16/12 185 NORAGES, DLL Rp 166,100.00
26/11 O 15/11 15/12 186 INBUMIN,D LL Rp 4,368,558.00
26/11 O 15/11 15/12 187 SULFITIS, DLL Rp 586,575.00
26/11 O 16/11 16/12 188 ATROPIN Rp 220,000.00
26/11 O 15/11 15/12 189 DEXTROSE, DLL Rp 607,568.00
26/11 O 15/11 15/12 190 NATUROKSI, DLL Rp 1,075,470.00
26/11 O 15/11 6/12/2019 191 DESOLEX, DLL Rp 6,816,370.00
26/11 O 15/11 6/12/2019 192 NOPRENIA, DLL Rp 5,257,516.00
26/11 O 15/11 6/12/2019 193 PEPTIFAT, DLL Rp 4,863,540.00
26/11 O 15/11 6/12/2019 194 CEFTIZOXIME Rp 1,760,000.00
26/11 O 15/11 6/12/2019 195 PREGABAIN Rp 346,500.00
26/11 O 15/11 6/12/2019 196 ACYCLOVIR, DLL Rp 1,702,520.00
26/11 O 18/11 9/12/2019 197 RHINOS Rp 2,750,000.00
26/11 O 19/1 18/12 198 SILDENAHL, DLL Rp 1,001,660.00
26/11 O 18/11 9/12/2019 199 PYREX, DLL Rp 4,220,931.00
26/11 O 18/11 9/12/2019 201 NOPRENIA, DLL Rp 7,855,815.00
26/11 O 18/11 9/12/2019 202 BETAHISTINE, DLL Rp 4,843,212.00
26/11 O 19/11 10/12/2019 203 CLINDAMYCIN, DLL Rp 3,253,173.00
26/12 O 18/11 9/12/2019 204 CEFTIXOZIME Rp 1,760,000.00
26/12 O 18/11 18/12 205 BENEURON, DLL Rp 7,535,047.00
26/11 O 18/11 18/12 206 ANTASIDA,DLL Rp 10,401,668.00
26/11 O 18/11 18/12 207 GABAPENTIN Rp 1,237,500.00
26/11 O 18/11 18/12 208 RINDOBION, DLL Rp 11,073,387.00
26/11 O 19/12 19/12 209 TARIVID Rp 241,395.00
26/11 O 18/11 18/12 210 LATIPRESS Rp 907,500.00
26/11 O 18/11 2/1/2020 211 MEPTIN Rp 812,042.00
26/11 O 18/11 212 ISPRINOL, DLL Rp 6,092,900.00
26/11 O 18/11 18/12 213 FLEET, DLL Rp 1,722,765.00
26/11 O 18/11 9/12/2019 214 CRAVOX, DLL Rp 2,656,500.00
26/11 O 18/11 18/12 215 SPIRIVA, DLL Rp 4,530,000.00
26/11 O 18/11 18/12 216 INFUSAN, DLL Rp 3,397,997.00
26/11 O 18/11 18/12 217 BERRY VISION Rp 675,675.00
26/11 O 18/11 18/12 218 CRIPSA Rp 1,500,963.00
26/11 O 18/11 18/12 219 CLANEKSI, DLL Rp 1,054,536.00
26/11 P 18/11 18/12 220 MECOBALAMINE, DLL Rp 1,826,290.00
26/11 O 18/11 18/12 221 LORATADINE,DLL Rp 1,926,259.00
26/11 O 18/11 18/12 222 SIRPLUS, DLL Rp 4,365,900.00
26/11 O 18/11 9/12/2019 223 THYROZOL, DLL Rp 1,946,999.00
26/11 O 19/11 10/12/2019 224 ONBREZ, DLL Rp 7,049,999.00
26/11 O 19/11 10/12/2019 225 CATAFLAM, DLL Rp 2,217,347.00
26/11 O 20/11 11/12/2019 227 OMEPRAZOLE Rp 4,400,000.00
26/11 O 20/11 11/12/2019 228 OMEVELL Rp 4,468,750.00
26/11 O 20/11 11/12/2019 229 KETOMED Rp 6,523,523.00
26/11 O 20/11 11/12/2019 230 PYREX, DLL Rp 3,252,830.00
26/11 O 20/11 11/12/2019 231 CRAVOX, DLL Rp 3,540,900.00
26/11 O 208/11 11/12/2019 232 ALLOPURINOL, DLL Rp 7,869,400.00
26/11 O 19/11 10/12/2019 233 NOVORAPID Rp 4,350,000.00
26/11 O 20/11 11/12/2019 234 TETAGAM Rp 573,210.00
26/11 O 19/11 10/12/2019 235 ERLIMIC Rp 607,200.00
26/11 O 19/11 10/12/2019 236 OMEPRAZOLE Rp 551,232.00
26/11 O 19/11 19/12 237 NOREPINEPHRINE Rp 2,970,000.00
26/11 O 19/11 19/12 238 GLIMEPIRIDE, DLL Rp 514,060.00
26/11 O 19/11 19/12 239 TRIDEX Rp 554,697.00
26/11 O 19/11 19/12 240 INFUSAN Rp 153,903.00
26/11 O 19/11 19/12 241 INFUSAN Rp 2,779,920.00
26/11 O 20/11 20/12 242 TREMENZA Rp 780,243.00
26/11 O 20/11 20/12 243 SANMAG Rp 195,800.00
26/11 O 20/11 20/2 244 ASAM TRANEKSAMAT, DLL Rp 3,964,400.00
26/11 O 20/11 20/12 245 LANSOPRAZOLE, DLL Rp 2,807,461.00
26/11 O 20/11 20/12 246 NACL Rp 651,766.00
26/11 O 20/11 20/12 247 NASONEX Rp 2,129,930.00
26/11 O 20/1 19/1/2020 248 ATOPICLAIR Rp 990,000.00
26/11 O 20/11 20/12 249 NIPE Rp 336,050.00
26/11 O 20/11 250 ELOPRO, DLL Rp 1,408,550.00
26/11 O 20/11 11/12/2019 251 NOVORAPID Rp 4,350,000.00
26/11 O 20/11 20/12 252 BIOXON, DLL Rp 2,424,400.00
26/11 O 20/11 20/12 253 CEFADROXIL, DLL Rp 5,663,075.00
26/11 O 20/11 20/12 254 DOPAMET, DLL Rp 1,683,000.00
26/11 O 21/11 21/12 255 CALCIMEF, DLL Rp 1,439,500.00
26/11 O 21/11 21/12 256 INTERBI, DLL Rp 2,114,555.00
26/11 O 20/11 20/12 257 METFORMIN, DLL Rp 3,182,234.00
26/11 O 20/ 258 PETHIDIN Rp 1,948,100.00
26/11 O 21/11 12/12/2019 259 NOVORAPID, DLL Rp 4,350,000.00
26/11 O 21/11 21/12 260 PIOGLITAZONE, DLL Rp 6,908,000.00
26/11 O 21/11 20/1 261 SYMBICORT Rp 2,985,290.00
26/11 O 22/11 21/1/2020 262 PULMICORT Rp 1,037,740.00
26/11 O 21/11 12/12/2019 263 NOPRENIA, DLL Rp 21,067,633.00
26/11 O 21/11 12/12/2019 264 RYVEL, DLL Rp 1,544,400.00
26/11 O 21/11 12/12/2019 265 MEROPENEM, DLL Rp 5,156,250.00
26/11 O 21/11 12/12/2019 266 TRAMADOL, Rp 307,296.00
26/11 O 21/11 267 FUSIPAR, PHYDION Rp 1,043,900.00
26/11 O 21/11 21/12 268 SPIRIVA, DLL Rp 4,530,000.00
26/11 O 21/11 12/12/2019 269 LASAL Rp 3,344,400.00
26/11 O 21/11 2/12/2019 270 BIOXON, DLL Rp 1,097,250.00
26/11 O 22/11 22/12 271 NAIRET, DLL Rp 1,159,950.00
26/11 O 21/11 21/12 272 ALLOPURINOL, DLL Rp 303,256.00
26/11 O 21/11 21/12 273 CENDO, DLLL Rp 235,125.00
26/11 O 21/11 21/12 274 MELOXICAM, DLL Rp 2,167,635.00
26/11 O 21/11 21/12 275 SANTAGESIK, DLL Rp 211,283.00
29/11 O 25/11 16/12 276 FARTISON Rp 1,045,000.00
30/11 O 22/11 22/12 277 MUCOS, DLL Rp 2,818,742.00
30/11 O 22/11 22/12 278 LEVOFLOXACIN Rp 704,000.00
30/11 O 23/11 23/12 279 INFUSAN Rp 589,248.00
29/11 O 22/11 22/12 280 SANPICILIN, DLL Rp 171,868.00
29/11 O 22/11 22/12 281 INFUSAN Rp 883,872.00
29/11 O 22/11 22/12 282 AMINOPHYLINE, DLL Rp 964,478.00
29/11 O 22/11 21/1 283 SERETIDE Rp 1,225,213.00
29/11 O 22/11 22/12 284 ESOMAX, DLL Rp 2,120,250.83
29/11 O 22/11 13/12 285 CRAVOX, DLL Rp 3,163,299.00
29/11 O 22/11 13/12 286 VHAZOL, DLL Rp 1,245,411.00
29/11 O 22/11 13/12 287 NOPRENIA, DLL Rp 8,089,210.00
29/11 O 22/11 13/12 288 REGIVELL Rp 3,696,000.00
29/11 O 21/11 21/12 289 PETHIDIN,DLL Rp 7,966,200.00
29/11 O 23/11 14/12 290 AMLODIPINE, DLL Rp 1,884,025.00
29/11 O 22/11 13/12 291 KETESSE Rp 616,000.00
29/11 O 22/11 13/12 292 LEVEMIR Rp 4,197,500.00
29/11 O 23/11 23/12 293 DOHIXAT, DLL Rp 3,600,018.00
29/11 O 23/11 23/12 294 HAEMOCAINE, DLL Rp 549,975.00
29/11 O 23/11 23/12 295 GLUCOSAMINE, DLL Rp 1,289,750.00
29/11 O 21/11 22/12 296 CARBAZOCHROME Rp 419,584.00
29/11 O 26/11 17/12 297 NOPRENIA, DLL Rp 15,182,002.00
29/11 O 26/11 17/12 298 CLINDAMYCIN, DLL Rp 5,091,834.00
29/11 O 26/11 26/12 299 KLODERMA, DLL Rp 792,120.00
29/11 O 25/11 24/1 300 LANTUS, Rp 4,197,501.00
29/1 O 25/11 16/12 301 KETOMED, DLL Rp 1,558,700.00
29/11 O 25/11 16/12 302 NOPOVELL Rp 1,496,000.00
29/11 O 25/11 16/12 303 NOVESTROL Rp 1,533,840.00
29/11 O 25/11 16/12 304 CRAVOX, DLL Rp 1,065,900.00
29/11 O 25/11 25/12 305 ESOMAX, DLL Rp 3,918,750.00
29/11 O 25/11 25/12 306 CITICOLINE Rp 572,000.00
29/11 O 25/11 25/12 307 INFUSAN Rp 5,067,216.00
29/11 O 25/11 25/12 308 SANPICILIN, DLL Rp 171,868.00
29/11 O 27/11 18/12 309 CONCOR Rp 313,000.00
29/11 O 26/11 25/1/2020 310 SERETIDE Rp 669,988.00
29/11 O 26/11 25/1 311 SERETIDE Rp 1,225,213.00
29/11 O 26/11 25/1/2020 312 NASAL Rp 562,380.00
29/11 O 26/11 26/12 313 VENTOLIN Rp 799,997.00
29/11 O 26/11 25/11 314 NEBULES Rp 156,750.00
29/11 O 26/11 25/1 315 SYMBICORT Rp 1,492,645.00
29/11 O 26/11 316 RANIVEL Rp 1,457,775.00
29/11 O 26/11 317 CANDOTENS Rp 16,238,200.00
29/11 O 26/11 318 MEROPENEM Rp 1,760,000.00
29/11 O 26/11 319 PROCLOZAM Rp 1,925,000.00
29/11 O 26/11 17/12 320 CRAVOX, DLL Rp 2,840,500.00
29/11 O 26/11 26/12 321 CLOPIDOGREL, DLL Rp 3,871,313.00
29/11 O 26/11 25/12 322 NAIRET, DLL Rp 2,477,750.00
29/11 O 26/11 17/12 323 VIPALBUMIN, DLL Rp 5,346,000.00
29/11 O 26/11 26/12 324 SUPRALYSIN, DLL Rp 4,627,480.00
29/11 O 26/11 26/12 325 INFUSAN Rp 594,000.00
29/11 O 26/11 26/12 326 INFUSN Rp 555,364.00
29/11 O 26/11 26/12 327 SANPICILIN Rp 171,868.00
29/11 O 27/11 18/12 328 DEXKETOPROFEN Rp 1,342,000.00
29/11 O 26/11 10/1/2020 329 RINGERS Rp 1,096,788.00
29/11 O 27/11 27/12 330 ADALAT Rp 3,553,176.00
29/11 O 27/11 27/12 331 CEFUROXIME Rp 550,000.00
29/11 O 27/11 26/1 332 ATOPICLAIR Rp 495,000.00
29/11 O 28/11 19/12 333 PEPTOVELL Rp 167,904.00
29/11 O 26/11 26/12 334 GENTAMICIN, DLL Rp 256,000.00
29/11 O 26/11 26/12 335 CODIKAF Rp 1,819,125.00
29/11 O 27/11 11/11/2019 336 HEXYMER Rp 1,925,000.00
29/11 O 28/11 28/12 337 OPIPROL Rp 689,700.00
2/12/2019 O 29/11 29/12 338 HCT BOX Rp 34,000.00
2/12/2019 O 28/11 339 MEROPANEM Rp 1,760,000.00
2/12/2019 O 28/11 27/1/2020 340 PULMICORT Rp 622,644.00
2/12/2019 O 28/11 27/1/2020 341 SYMBICORT Rp 2,695,650.00
2/12/2019 O 28/11 19/12 342 LISINOPRIL, DLL Rp 430,320.00
2/12/2019 O 28/11 28/12 343 COMBIVENT Rp 273,000.00
2/12/2019 O 28/11 28/12 344 CO AMOXICLV Rp 467,500.00
2/12/2019 O 28/11 26/12 345 LORATADINE, DLL Rp 2,135,757.00
2/12/2019 O 28/11 28/12 346 PIRACETAM, DLL Rp 3,770,250.00
2/12/2019 O 29/12 20/12 347 REGIVELL, DLL Rp 5,593,500.00
2/12/2019 O 29/11 20/12 348 EPIVEN, DLL Rp 6,140,607.00
2/12/2019 O 29/11 29/12 349 RINGER, DLL Rp 2,281,841.00
2/12/2019 O 30/11 21/12 350 CEFUROXIME, DLL Rp 654,000.00
2/12/2019 O 29/11 20/1/2020 351 LANTUS, Rp 2,098,750.00
2/12/2019 O 29/11 29/12 352 SANPICILIN Rp 171,868.00
2/12/2019 O 29/11 29/12 353 LANSOPRAZOLE, DLL Rp 1,597,917.00
2/12/2019 O 29/11 29/12 354 OMEPRAZOLE Rp 1,320,000.00
12/4/2019 O 11/27/2019 12/27/2019 255 NACL Rp 273,592.00
12/4/2019 O 11/29/2019 356 MEROPENEM Rp 1,760,000.00
12/4/2019 O 11/29/2019 357 CRAVOX, DLL Rp 1,065,900.00
12/4/2019 O 11/29/2019 12/29/2019 358 SOLVINEX Rp 2,200,000.00
12/4/2019 O 11/29/2019 12/29/2019 358 OMEPRAZOLE Rp 2,200,000.00
6/11/2019 B 1/11/2019 1/12/2019 1 ALKOHOL, DLL Rp 6,618,590.00

6/11/2019 B 1/11/2019 1/12/2019 2 MASKER, DLL Rp 621,363.00
6/11/2019 B 1/11/2019 22/11 3 PD GLOVES, DLL Rp 2,926,000.00
6/11/2019 B 2/11/2019 2/12/2019 4 KAPSUL KOSONG, DLL Rp 849,395.00
6/11/2019 B 1/11/2019 1/12/2019 5 SPUIT, DLL Rp 5,339,790.00
6/11/2019 B 2/11/2019 2/12/2019 6 WOMAN CHOICE, DLL Rp 193,325.00
6/11/2019 B 5/11/2019 5/12/2019 7 CATGUT, DLL Rp 13,767,466.00
6/11/2019 B 5/11/2019 5/12/2019 8 MONOSYN, DLL Rp 5,788,968.00
6/11/2019 B 4/11/2019 25/11 9 EXTENTION, DLL Rp 4,736,545.00
6/11/2019 B 4/11/2019 25/11 10 CATH, DLL Rp 2,172,912.00
6/11/2019 B 4/11/2019 4/12/2019 11 POLYAC, DLL Rp 2,616,988.00
6/11/2019 B 4/11/2019 4/12/2019 12 POVIDONE Rp 610,280.00
6/11/2019 B 4/11/2019 4/12/2019 13 NESCO Rp 5,643,000.00
6/11/2019 B 4/11/2019 25/11 14 PD GLOVES, DLL Rp 5,016,000.00
6/11/2019 B 4/11/2019 4/12/2019 15 POVIDINE Rp 550,000.00
6/11/2019 B 4/11/2019 4/12/2019 16 MUCUS, DLL Rp 5,144,500.00
8/11/2019 B 6/11/2019 27/11 17 LOMATUELL Rp 1,630,200.00
8/11/2019 B 6/11/2019 6/12/2019 18 HERNIA SET, DLL Rp 2,361,250.00
8/11/2019 B 6/11/2019 6/12/2019 19 INFUSET, DLL Rp 2,585,000.00
8/11/2019 B 6/11/2019 6/12/2019 20 OPTILENE Rp 1,138,129.00
8/11/2019 B 5/11/2019 5/12/2019 21 ALKOHOL, DLL Rp 3,180,672.00
8/11/2019 B 5/11/2019 5/12/2019 22 HESCO Rp 1,410,750.00
26/11 B 6/11/2019 27/11 23 BLOODSET, DLL Rp 4,616,012.00
26/11 B 6/11/2019 6/12/2019 24 POVIDONE Rp 915,420.00
26/11 B 7/11/2019 7/12/2019 25 NOVO Rp 750,000.00
26/11 B 5/11/2019 5/12/2019 26 INFANT, DLL Rp 5,184,960.00
26/11 B 8/11/2019 8/12/2019 27 GIGASYME Rp 1,208,790.00
26/11 B 13/11 13/12 28 BLOOD, DLL Rp 9,271,200.00
26/11 B 13/11 4/12/2019 29 LOMATUELL, DLL Rp 3,302,200.00
26/11 B 12/11/2019 12/12/2019 30 NEEDLE Rp 680,625.00
26/11 B 11/11/2019 11/12/2019 31 SPUIT, DLL Rp 7,245,150.00
26/11 B 15/11 15/12 32 GIGASYME, DLL Rp 3,158,790.00
26/11 B 15/11 15/12 33 BLASTOMULL,DLL Rp 1,904,100.00
26/11 B 14/11 14/12 34 WOLIND Rp 1,527,322.50
26/11 B 14/11 14/12 35 PEN NEEDLE, DLL Rp 4,141,250.00
26/11 B 14/11 14/12 36 GIGASYME, DLL Rp 2,815,685.00
26/11 B 13/11 13/12 37 WOMAN CHOICE Rp 188,100.00
26/11 B 13/11 13/12 38 BREATH CRAN Rp 1,064,800.00
26/11 B 13/11 13/12 39 CERVICAL Rp 701,250.00
26/11 B 16/11 16/12 40 MASKER NEB, DLL Rp 3,195,214.00
26/11 B 18/11 18/12 41 UNDERPAD, DLL Rp 1,860,000.00
26/11 B 14/11 14/12 42 BLOODSET, DLL Rp 5,842,375.00
26/11 B 18/11 18/12 43 ECOFIX Rp 387,200.00
26/11 B 18/11 9/12/2019 44 LOMATUEEL, DLL Rp 6,646,200.00
26/11 B 19/11 19/12 45 NEEDLE Rp 930,000.00
26/11 B 18/11 18/12 46 FOLLEY,DLL Rp 9,316,600.00
26/11 B 18/11 9/2/2019 47 KASSA, DLL Rp 4,097,720.00
26/11 B 18/11 18/12 48 ARM, DLL Rp 4,053,401.00
26/11 B 15/11 15/12 49 ECG PAPER, DLL Rp 5,529,150.00
26/11 B 20/11 11/12/2019 50 IV CANNULA Rp 3,300,000.00
26/11 B 19/11 10/12/2019 51 CATH RUSH, DLL Rp 984,500.00
26/11 B 19/11 19/12 52 ECG PAPER, DLL Rp 534,600.00
26/11 B 19/11 19/12 53 RUSCH, DLL Rp 2,309,450.00
26/11 B 19/11 20/11 54 WOMAN CHOICE,DLL Rp 403,920.00
26/11 B 20/11 20/12 55 FEEDING, DLL Rp 8,825,245.00
26/11 B 20/11 20/12 56 HANSAPLAST, DLL Rp 3,069,900.00
26/11 B 20/11 20/12 57 PREMILENE, DLL Rp 7,583,000.00
26/11 B 21/11 21/12 58 ELASTAMOL, DLL Rp 7,775,750.00
26/11 B 22/11 22/12 59 T CHROMIC, Rp 828,000.00
26/11 B 21/11 21/12 60 ALKOHOL, DLL Rp 734,272.00
26/11 B 21/11 21/12 61 TRITON Rp 1,202,850.00
29/11 B 22/11 22/12 62 GLUCOTEST Rp 2,821,500.00
29/11 B 22/11 13/12 63 LOMATUELL, DLL Rp 2,361,700.00
29/11 B 25/11 23/12 64 POLYAC, DLL Rp 2,657,600.00
29/11 B 23/11 23/12 65 MUCUS, DLL Rp 3,446,000.00
29/11 B 26/11 26/12 66 UNDERPAD, DLL Rp 244,000.00
29/11 B 25/11 25/12 67 OPTILENE, DLL Rp 2,615,000.00
29/11 B 25/11 25/12 68 NEEDLE, DLL Rp 4,855,678.00
29/11 B 25/11 25/12 69 NEEDLE, DLL Rp 1,639,935.00
29/11 B 25/11 25/12 70 T - PLAIR Rp 806,850.00
29/11 B 26/11 26/12 71 T PLAIR Rp 806,850.00
29/11 B 26/11 26/12 72 NESCO Rp 1,410,750.00
29/11 B 25/11 25/12 73 OPSITE Rp 2,382,600.00
29/11 B 26/11 26/12 74 USG PAPER Rp 2,103,750.00
29/11 B 26/11 26/12 75 T PLAIN Rp 806,850.00
29/11 B 26/11 26/12 76 NESCO, DLL Rp 1,410,750.00
29/11 B 25/11 25/12 77 OPSITE Rp 2,382,600.00
29/11 B 26/11 78 USG PAPER Rp 2,103,750.00
29/11 B 27/11 27/12 79 NEEDLE Rp 272,250.00
29/11 B 27/11 27/12 80 VICRYLM DKK Rp 3,087,500.00
29/11 B 27/11 18/12 81 L.S NFDM Rp 397,100.00
2/12/2019 B 28/11 28/12 77 UMBILICAL, DLL Rp 345,000.00
2/12/2019 B 29/11 29/12 78 MUCUS, DLL Rp 6,481,750.00
2/12/2019 B 28/11 28/12 79 DUODERM, DLL Rp 226,915.00
26/11 RS 7/11/2019 28/11 1 ISOCAL, Rp 556,366.00

26/11 RS 7/11/2019 28/11 2 T. S NFDM, DLL Rp 475,475.00
26/11 RS 12/11/2019 12/12/2019 3 DIABETASOL, DLL Rp 552,928.00
26/11 SRS 15/11 15/12 4 SAFETY Rp 1,729,750.00
26/11 RS 15/11 15/12 5 IMP FBABY Rp 1,580,800.00
26/11 SRS 21/11 6 NUTRIBABY, DLL Rp 3,687,508.00
26/11 RS 21/11 21/12 7 WRAPPING Rp 3,702,600.00
26/11 RS 25/11 16/12 8 ISOCAL Rp 556,366.00
26/11 RS 20/11 20/12 9 EDTA Rp 2,896,740.00
26/11 RS 26/11 26/12 10 DIABETASOL, DLL Rp 378,040.00
26/11 RS 26/11 26/12 11 WRAPPING Rp 1,851,500.00
26/11 RS 23/11 24/10 12 DIABETASOL Rp 189,035.00
#NAME?
12/4/2019 B 12/2/2019 12/23/2019 1 LOMATUELL, DLL Rp 4,974,200.00

12/4/2019 B 12/2/2019 1/1/2020 2 FORMALIN CAIR Rp 850,000.00
12/4/2019 B 12/2/2019 1/1/2020 2 BLOOD, DLL Rp 18,137,135.00
12/4/2019 B 12/2/2019 1/1/2020 4 T PLAIN Rp 1,613,700.00
12/4/2019 B 12/2/2019 1/1/2020 5 T-PLAIN Rp 1,613,700.00
12/4/2019 B 12/2/2019 1/1/2020 6 ULTRASONIC GEL Rp 187,000.00
12/4/2019 B 12/2/2019 1/1/2020 7 ALKOHOL, DLL Rp 6,367,620.00
12/4/2019 O 12/2/2019 1/1/2020 1 NOREPINEPHRINE Rp 2,805,000.00

12/4/2019 O 12/2/2019 1/1/2020 2 VALEPTIK 3578199.90
12/4/2019 O 12/2/2019 12/23/2019 3 PYREX, DLL Rp 6,238,008.00
12/4/2019 O 12/2/2019 12/23/2019 4 LEVAZIDE, DLL Rp 4,249,209.00
12/4/2019 O 12/23/2019 12/2/2019 5 PIOGLITAZONE Rp 1,650,000.00
12/4/2019 O 12/23/2019 12/2/2019 6 ACARBOSE, DLL Rp 4,473,592.00
12/4/2019 O 12/23/2019 12/2/2019 7 CONCOR Rp 849,000.00
12/10/2019 O 12/2/2019 12/23/2019 8 CATAFLAM Rp 1,495,197.00
12/10/2019 O 12/2/2019 12/23/2019 9 LEVEMIR, DLL Rp 9,745,900.00
12/10/2019 O 12/2/2019 1/1/2019 10 PLASMINEX, DLL Rp 1,232,303.00
12/10/2019 O 12/2/2019 1/1/2019 11 BRALIFEX, DLL Rp 338,213.00
12/10/2019 O 12/2/2019 1/1/2019 12 LAFALOS, DLL Rp 1,737,735.00
12/10/2019 O 12/2/2019 1/1/2019 13 CENDO, DLL Rp 1,960,944.00
12/10/2019 O 12/2/2019 1/1/2019 14 LANSOPRAZOLE, DLL Rp 1,616,653.00
12/10/2019 O 12/2/2019 12/2/2019 15 CIPROFLOXACIN, DLL Rp 1,662,003.00
12/10/2019 O 12/2/2019 1/1/2019 16 MUCOS, DLL Rp 5,476,350.00
12/10/2019 O 12/2/2019 12/23/2019 17 ONBREZ Rp 3,525,000.00
12/10/2019 O 12/3/2019 1/2/2019 18 RANITIDIN, DLL Rp 1,552,320.00
12/10/2019 O 12/3/2019 12/24/2019 19 CLINDAMYCIN Rp 1,940,002.00
12/10/2019 O 12/2/2019 1/1/2019 20 BETADINE, DLL Rp 6,549,970.00
12/10/2019 O 12/2/2019 1/1/2019 21 CEFTRIAXONE, DLL Rp 10,420,043.00
12/10/2019 O 12/2/2019 22 DIVALPROEX Rp 363,000.00
12/10/2019 O 12/2/2019 23 ELOPRO, DLL Rp 529,815.00
12/10/2019 O 12/2/2019 24 MONELL Rp 658,350.00
O O 12/2/2019 12/23/2019 25 DEXAMETAHOSON, DLL 2834257.25
12/10/2019 O 12/4/2019 12/30/2019 26 SPIRIVA Rp 2,265,000.00
12/10/2019 O 12/4/2019 1/1/2019 27 BEROTEC Rp 415,950.00
18/12 O 4/12/2019 3/1/2019 32 LORATADINE, DLL Rp 8,574,358.00

18/12 O 4/2/2019 3/1/2019 33 MUCOS, DLL Rp 2,566,750.00
18/12 O 4/12/2019 3/1/2019 34 KETOROLAC, DLL Rp 1,130,976.00
18/12 O 4/12/2019 3/12/2019 35 CENDO Rp 284,762.00
18/12 O 4/12/2019 3/1/2019 36 AMINOPHYLINE, DLL Rp 240,576.00
18/12 O 4/12/2019 3/1/2019 37 CAPTOPRIL, DLL Rp 10,195,726.00
18/12 O 4/12/2019 25/12 38 SIMVASTATIN, DLL Rp 3,861,839.00
18/12 O 4/12/2019 25/12 39 NOPRENIA, DLL Rp 11,392,150.00
18/12 O 4/12/2019 25/12 40 OMEVELL Rp 2,681,250.00
18/12 O 4/12/2019 25/12 41 CEFITOXIME, DLL Rp 1,760,000.00
18/12 O 4/12/2019 25/12 42 ACYCLOVIR, DLL Rp 5,701,856.00
18/12 O 4/12/2019 25/12 43 LACTO B, DLL Rp 7,813,886.00
18/12 O 3/12/2019 2/1/2019 44 TUNSN60.,. DLL Rp 1,162,029.00
18/12 O 3/12/2019 2/1/2019 45 PANADOL, DLL Rp 138,149.00
18/12 O 4/12/2019 3/1/2019 46 BIOXON, DLL Rp 5,836,325.00
18/12 O 2/12/2019 1/1/2019 47 ISOTIC, DLL Rp 482,229.00
18/12 O 4/12/2019 48 LAGAS, DLL Rp 4,150,300.00
18/12 O 2/12/2019 1/1/2019 49 LEVOFLOXACIN Rp 901,395.00
18/12 O 4/12/2019 3/1/2019 51 BLEDSTOP Rp 180,000.00

18/12 O 4/12/2019 3/1/2019 51 OVACARE, DLL Rp 8,132,560.00
18/12 O 4/142 25/12 52 VELHINE, Rp 288,750.00
18/12 O 5/12/2019 4/1/2019 53 PIOGLITAZONE Rp 1,072,500.00
O 5/12/2019 4/1/2019 54 RECOLFAR, DLL Rp 1,045,000.00
18/12 O 5/12/2019 26/12 55 RANIVELL Rp 1,943,700.00
18/12 O 5/12/2019 4/1/2019 56 INFUSAN Rp 568,656.00
18/12 O 4/12/2019 25/12 57 HERBESSER Rp 2,230,000.00
18/12 O 4/12/2019 58 FUSIPAR, DLL Rp 1,178,710.00
18/12 O 4/12/2019 3/1/2019 59 SPIRIVA, DLL Rp 10,880,000.00
18/12 O 4/12/2019 25/12 60 PLASBUMIN, DLL Rp 4,779,653.68
18/12 O 4/12/2019 25/12 61 KALITAKE, DLL Rp 3,652,965.25
18/12 O 4/12/2019 3/1/2019 62 NAIRET, DLL Rp 1,663,760.00
18/12 O 4/1/2019 18/1 63 BANGETOL Rp 990,000.00
18/12 O 4/12/2019 2/2/2019 64 SYMBICORT Rp 2,985,290.00
18/12 O 4/12/2019 2/2/2019 65 PULMICORT Rp 4,150,000.00
18/12 O 4/12/2019 3/1/2019 66 ARDIUM, DLL Rp 1,588,675.00
18/12 O 4/12/2019 2/2/2019 67 LANTUS Rp 8,395,002.00
18/12 O 4/12/2019 3/1/2019 68 MEBBO, DLL Rp 921,800.00
18/12 O 4/12/2019 3/1/2019 69 INFUSAN, DLL Rp 6,835,472.00
18/12 O 4/12/2019 3/1/2019 70 NEPTASAN, DLL Rp 1,403,903.00
18/12 O 4/12/2019 3/1/2019 71 BRALIFEX, DLL Rp 1,173,851.00
18/12 O 4/12/2019 3/1/2019 75 METRONIDAZOLE, DLL Rp 637,120.00
18/12 O 4/12/2019 3/1/2019 76 TIMOL Rp 249,494.00
18/12 O 77 NOREPINEPHRINE Rp 2,805,000.00
18/12 O 6/12/2019 27/12 78 PYREX, DLL Rp 2,411,668.00
18/12 O 6/12/2019 27/12 77 REGIVELL Rp 3,696,000.00
18/12 O 6/12/2019 27/12 78 OXYLA Rp 4,743,750.00
18/12 O 6/12/2019 5/1/2019 79 ENBATIC, DLL Rp 3,191,500.00
18/12 O 7/12/2019 28/12 80 TERREL Rp 1,144,000.00
18/12 O 5/12/2019 4/1/2019 81 HALOOPERIDOL Rp 583,000.00
18/12 O 5/12/2019 4/1/2019 82 TRIHAXYPHENYCYL Rp 225,225.00
18/12 O 6/12/2019 5/1/2019 83 HARNAL, DLL Rp 975,942.00
18/12 O 6/12/2019 4/2/2019 84 NASAL, DLL Rp 1,174,987.00
18/12 O 6/12/2019 4/2/2019 85 NASAL, DLL Rp 1,174,987.00
18/12 O 6/12/2019 5/1/2019 86 PIOGLITAZONE, DLL Rp 2,943,050.00
18/12 O 6/12/2019 27/12 87 MILOZ Rp 3,520,000.00
18/12 O 6/12/2019 27/12 88 NOPRENIA, DLL Rp 30,080,125.00
18/12 O 6/12/2019 27/12 89 PEPTOVELL Rp 553,850.00
18/12 O 6/2/2019 5/1/2019 90 TRIFASTAN, DLL Rp 3,166,960.00
18/12 O 6/12/2019 91 CANDOTENS Rp 8,143,655.00
18/12 O 6/12/2019 27/12 92 PROCLOZAM Rp 1,347,500.00
18/12 O 6/12/2019 5/1/2019 93 LISINOPRIL, DLL Rp 1,531,756.30
18/12 O 6/12/2019 5/1/2019 94 THYROZOL, DLLL Rp 1,285,999.00
18/12 O 6/12/2019 27/12 95 LEVEMIR, DLL Rp 14,095,899.00
18/12 O 6/12/2019 5/1/2019 96 EYEFRESH Rp 301,744.00
18/12 O 6/12/2019 5/1/2019 97 METRONIDAZOLE, DLL Rp 2,188,268.00
18/12 O 6/12/2019 5/1/2019 98 INFUSAN, DLL Rp 898,640.00
18/12 O 6/12/2019 5/1/2019 99 BLEDSTOP Rp 178,571.00
18/12 O 6/12/2019 5/1/2019 100 PLASMINEX Rp 1,453,238.00
18/12 O 6/12/2019 5/1/2019 101 BRALIFEX Rp 498,176.00
18/12 O 9/2/2019 30/12 104 POSAFIT, DLL Rp 804,210.00

18/12 O 10/12/2019 9/1/2019 105 GLYCODERM, DLL Rp 110,000.00
18/12 O 10/12/2019 8/1/2019 106 CARBAZOCHROME Rp 419,854.00
18/12 O 9/12/2019 8/1/2019 107 GABAPENTIN Rp 1,237,500.00
18/12 O 10/12/2019 9/1/2019 108 ADALAT, DLL Rp 5,921,960.00
18/12 O 9/12/2019 8/1/2019 109 CAPTOPRIL, DLL Rp 2,923,962.00
18/12 O 9/12/2019 23/1 110 WIDA Rp 333,828.00
18/12 O 7/12/2019 21/1 111 FORANE Rp 2,353,600.00
18/12 O 9/12/2019 30/12 112 SIMVASTATIN, DLL Rp 949,044.00
18/12 O 9/12/2019 6/1/2019 113 PIRALEN, DLL Rp 836,000.00
18/12 O 9/12/2019 8/1/2019 114 INFUSAN, DLL Rp 3,055,338.00
18/12 O 9/12/2019 8/1/1941 115 NORAGES, DLL Rp 2,110,020.00
18/12 O 7/12/2019 21/1 116 VALDIMEX Rp 805,000.00
18/12 O 57/12 21/1 117 CEPEZET Rp 247,500.00
18/12 O 11/12/2019 10/1/2019 118 SUTRA, DLL Rp 3,366,000.00
18/12 O 11/12/2019 1/1/2019 119 DIGOXIN, DLL Rp 7,140,958.00
18/12 O 10/12/2019 8/2/2019 120 ATOPICLAIR Rp 990,000.00
18/12 O 10/12/2019 121 SOLVINEX, DLL Rp 3,483,040.00
18/12 O 10/12/2019 9/1/2019 122 IBUPROFEN, DLL Rp 6,236,725.00
18/12 O 10/12/2019 31/12 123 NOPRENIA, DLL Rp 15,557,534.00
18/12 O 10/12/2019 9/1/2019 124 MEFIX, DLL Rp 1,537,932.00
18/12 O 10/12/2019 9/1/2019 125 PROLEVOX Rp 792,000.00
18/12 O 10/12/2019 9/1/2019 126 CLOPIDOGREL, DLL Rp 7,895,151.00
18/12 O 10/12/2019 9/1/2019 127 INFUSAN, DLL Rp 833,976.00
18/12 O 12/12/ 11/1/2019 128 FASIDOL Rp 50,000.00
18/12 O 12/12/2019 2/1/2019 129 AMLODIPINE, DLL Rp 2,574,000.00
18/12 O 11/12/2019 10/1/2019 130 RINDOBION, DLL Rp 1,011,725.00
18/12 O 12/12/2019 11/1/2019 131 EXOCID Rp 1,595,000.00
18/12 O 12/12/2019 11/1/2019 132 CENDO, DLL Rp 843,185.00
18/12 O 12/12/2019 11/1/2019 133 KLODERMA, DLL Rp 4,803,700.00
18/12 O 11/12/2019 1/1/2019 134 PEPTIVELL Rp 553,850.00
18/12 O 11/12/2019 1/1/2019 135 PYREX, DLL Rp 1,795,750.00
18/12 O 11/12/2019 136 OMEPRAZOLE Rp 2,200,000.00
18/12 O 11/12/2019 137 MEROPENEM Rp 1,760,000.00
18/12 O 11/12/2019 138 ELOPRO, DLL Rp 7,773,975.00
18/12 O 11/12/2019 139 RANIVELL, DLL Rp 1,846,515.00
18/12 O 11/12/2019 140 PYREXIN Rp 1,485,000.00
18/12 O 11/12/2019 141 KTM Rp 2,091,375.00
18/12 O 11/12/2019 10/1/2019 142 VALEPTIK, DLL Rp 1,536,150.00
18/12 O 11/12/2019 10/1/2019 143 TREMENZA Rp 439,725.00
18/12 O 11/12/2019 10/1/2019 144 SANMAG, DLL Rp 531,300.00
18/12 O 11/12/2019 10/1/2019 145 NEDSCAB, DLL Rp 1,100,722.00
18/12 O 11/12/2019 10/1/2019 146 NACL Rp 651,766.00
18/12 O 12/12/2019 2/1/2019 147 ZAMEL,DLL Rp 16,997,900.00
18/12 O 12/12/2019 148 PHYDION, DLL Rp 1,540,000.00
18/12 O 12/12/2019 10/2/2019 149 AVAMYS, DLL Rp 3,575,187.00
18/12 O 12/12/2019 10/2/2019 150 ATOPICLAIR, DLL Rp 990,000.00
18/12 O 12/12/2019 11/1/2019 151 CEFADROXIL, DLL Rp 2,023,450.00
18/12 O 12/12/2019 152 AMINTHRYLIN Rp 440,000.00
18/12 O 12/12/2019 11/1/2019 153 TARIVID, DLL Rp 402,325.00
18/12 O 14/12 4/1/2019 154 METRONIDAZOLE, DLL Rp 16,442,738.00
18/12 O 14/12 4/1/2019 155 DONACEPT, DLL Rp 1,537,910.00
18/12 P 14/12 138/1 156 ASPILETS, DLL Rp 1,814,505.00
18/12 O 13/12 12/1/2019 157 FARTISON, DLL Rp 1,045,000.00
18/12 RS 16/12 5/1/2019 3 SAFETYBOX, Rp 899,170.00
26/12 RS 18/12 6 BEBELOVE Rp 1,470,018.00
26/12 O 16/12 15/1 174 DISFATYL, DLL Rp 449,450.00
26/12 O 16/12 15/1 175 TARIVID Rp 402,325.00
26/12 O 16/12 176 CARBAZOCHROME Rp 419,584.00
26/12 O 17/12 16/1 177 ADALAT Rp 5,922,000.00
26/12 O 16/12 14/2 178 AVODART Rp 148,050.00
26/12 O 16/12 15/1 179 NASONEX Rp 2,129,930.00
26/12 O 16/12 15/1 180 COFLET, DLL Rp 657,800.00
26/12 O 17/12 7/1/1941 181 CHICOLINE, DLL Rp 572,000.00
26/12 O 16/12 15/1 182 DUODERM Rp 588,555.00
26/12 O 16/12 15/1 183 AZITHROMYCIN Rp 237,600.00
26/12 O 16/12 15/1 184 TEKASOL, DLL Rp 2,055,857.00
26/12 O 16/12 15/1 185 BERRY VISION Rp 675,675.00
26/12 O 16/12 15/1 186 CLANEKSI, DLL Rp 786,143.00
26/12 O 17/12 16/1 39 MIKROZID, DLL Rp 11,241,306.00
26/12 O 18/12 5/1/2019 188 CEFOPERAZONE, DLL Rp 6,050,000.00
26/12 O 18/12 17/1 189 ACYCLOVIR, DLL Rp 4,451,633.00
26/12 O 17/12 16/1 190 NORAGES, DLL Rp 918,500.00
26/12 O 17/12 16/1 191 OMEPRAZOLE Rp 2,200,000.00
26/12 O 17/12 7/1/2019 192 CRAVOX, DLL Rp 2,522,520.00
26/12 O 17/12 16/1 193 BROXON Rp 2,194,500.00
26/12 O 17/12 15/2 194 LANTUS Rp 4,197,501.00
26/12 O 17/12 15/2 195 APIDRA Rp 4,349,994.00
26/12 O 17/12 7/1/2019 196 METRONIDAZOLE, DLL Rp 4,805,845.00
26/12 O 17/12 7/1/2019 197 BISOPROLOL, DLL Rp 918,390.00
26/12 O 17/12 7/1/2019 198 LEVEMIR, DLL Rp 4,197,500.00
26/12 O 17/12 7/1/2019 199 TETAGAM, DLL Rp 2,148,850.00
26/12 O 17/12 7/1/2019 200 KETOMED, DLL Rp 2,035,212.00
26/12 O 17/12 7/1/2019 201 NOVORAPID Rp 4,350,000.00
26/12 O 19/12 18/1 202 GASELA, DLL Rp 1,835,000.00
26/12 O 19/12 9/1/1941 203 RHINOS, DLL Rp 2,997,500.00
26/12 O 19/12 9/1/2019 204 STESOLID Rp 261,360.00
26/12 O 18/12 8/1/2019 205 GLUBOSE Rp 924,000.00
26/12 O 18//12 8/1/2019 206 TETAGAM Rp 955,350.00
26/12 O 18/12 8/1/2019 207 NOVORAPID Rp 4,350,000.00
26/12 O 18/12 1/2/2019 208 VALDIMEX Rp 805,000.00
26/12 O 18/12 8/1/2019 209 ACARBOSE, DLL Rp 16,923,234.00
26/12 O 18/12 210 CRAVOX, DLL Rp 2,695,000.00
26/12 O 18/12 211 LEVOFLOXACIN, FLL Rp 1,341,120.00
26/12 O 18/12 16/2 212 SYMBICORT Rp 2,985,290.00
26/12 O 17/12 16/1 213 LEVOFLOXACIN Rp 2,640,000.00
26/12 O 19/12 8/1/2019 214 GLYCODERM Rp 68,860.00
26/12 O 18/12 17/1 215 ALCO, Rp 732,800.00
26/12 O 18/12 17/1 216 BIOXON, DLL Rp 2,884,200.00
26/12 O 18/1 17/1 217 GLIMEPIRIDE,DLL Rp 1,605,029.00
26/12 O 18/12 17/1 218 OMEPRAZOLE Rp 22,000,000.00
26/12 O 18/12 17/1 219 TRIFAMOL, DLL Rp 1,033,972.00
26/12 O 18/12 17/1 220 SANTAGESIK Rp 130,845.00
26/12 O 18/12 17/1 221 REGUMEN Rp 1,216,215.00
26/12 O 18/12 8/1/2019 222 LEVAZIDE, DLL Rp 18,249,172.00
26/12 O 18/12 8/1/2019 223 PYREX, DLL Rp 10,119,450.00
26/12 O 18/12 8/1/2019 224 PEPTOVELL Rp 553,850.00
26/12 O 18/12 8/1/2019 225 VITAMAM Rp 501,600.00
26/12 O 18/12 8/1/2019 226 LISINOPRIL Rp 862,125.00
26/12 RS 18/12 17/1 5 K3 EDTA Rp 2,744,280.00
26/12 B 19/12 18/1 40 NASAL, DLL Rp 4,645,300.00
26/12 O 21/12 20/1 236 MUCOS, DLL Rp 2,389,750.00
26/12 O 21/12 11/1/2019 237 LANSOPRAZOLE, DLL Rp 10,794,245.00
26/12 O 21/12 20/1 238 INTERBI,DLL Rp 569,000.00
26/12 O 20/12 18/2 239 PULMICORT, DLL Rp 2,075,400.00
26/12 O 20/12 19/1 240 VENTOLIN Rp 799,997.00
26/12 O 20/12 241 ELOPRO, DLL Rp 725,450.00
26/12 O 20/12 242 ROXEMID Rp 950,400.00
27/12 B 4/12/2019 25/12 31 ACARBOSE, DLL Rp 19,752,880.00
27/12 B 4/12/2019 25/12 30 FARTISON, DLL Rp 7,390,900.00
27/12 B 10/12/2019 9/1/2019 23 PEN NEEDLE Rp 1,240,000.00
27/12 B 24 SALIVA, DLL Rp 1,357,000.00
27/12 B 25 DEVITAL, DLL Rp 350,000.00
27/12 B 10/12/2019 9/1/2019 26 MIKROZID, DLL Rp 3,295,083.00
27/12 B 9/12/2019 8/1/2019 27 ALKOHOL, NOVA T Rp 2,014,755.00
27/12 B 9/12/2019 8/1/2019 28 ALKOHOL, DLL Rp 2,929,575.00
27/12 B 10/12/2019 9/1/2019 29 ALKOHOL, DLL Rp 2,994,197.00
27/12 B 10/12/2019 31/12 30 TV CANNILA Rp 3,135,000.00
27/12 B 4/12/2019 25/12 28 CARMED, DLL Rp 3,410,365.00
27/12 B 4/12/2019 25/12 29 CATAFLAM, DLL Rp 4,187,194.00
27/12 O 20/12 19/1 243 SIMVASTATIN, DLL Rp 453,296.00
27/12 O 20/12 10/1/2019 244 MICROLAX, DLL Rp 6,026,791.00
27/12 O 20/12 19/1 245 INFUSAN, DLL Rp 586,656.00
27/12 O 20/12 19/1 246 CENDO, DLL Rp 771,994.00
27/12 O 20/12 19/1 247 KETOROLAC, DLL Rp 1,784,687.00
27/12 O 23/12 13/1 248 UMARONE Rp 577,500.00
27/12 O 23/12 22/1 249 TRAMADOL Rp 1,031,250.00
27/12 O 23/12 13/1 250 CONCOR Rp 313,000.00
27/12 O 21/12 18/1 252 BEROTEC, DLL Rp 1,741,900.00
27/12 O 253 SPIRIVA, COMBIVENT Rp 9,970,000.00
27/12 O 21/12 17/1 254 SPIRIVA, DLL Rp 4,530,000.00
27/12 O 21/12 20/12 255 NAIRET, DLL Rp 1,034,650.00
27/12 O 21/12 20/1 256 BRALIFEX, DLL Rp 249,088.00
27/12 O 20/1 21/12 257 CO AMOXICLAV, DLL Rp 6,433,119,000.00
27/12 O 20/12 19/1 227 RETAPHYL Rp 1,070,000.00
27/12 O 19/12 9/1/2019 228 TETAGAM Rp 1,080,750.00
27/12 O 20/12 19/1 229 PIOGLITAZONE, DLL Rp 2,541,000.00
27/12 O 19/12 19/1 230 INTERBI, DLL Rp 684,993.76
27/12 O 19/12 18/1 231 INFUSAN, DLL Rp 2,274,624.00
27/12 O 19/12 18/1 232 RANITIDIN, DLL Rp 1,531,645.00
27/12 O 19/12 18/1 233 BISOLVON, DLL Rp 3,100,699.00
27/12 O 19/12 9/1/2019 234 OMEPRAZOLE, DLL Rp 6,055,017.00
27/12 O 19/12 9/1/2019 235 RANIVELL, DLL Rp 2,509,780.00
27/12 O 17/12 16/1 40 SAFETYBOX, Rp 830,200.00
27/12 O 17/12 16/1 40 NEW WOUND, DLL Rp 1,627,322.50
27/12 O 18/12 17/1 41 PROLENE, DLL Rp 3,217,000.00
27/12 O 17/12 16/1 42 ALKOHOL, DLL Rp 5,769,203.00
27/12 O 17/12 16/ 43 NESCO, DLL Rp 5,643,000.00
27/12 O 17/12 16/1 44 PEN NEEDLE Rp 848,100.00
27/12 O 18/12 17/1 45 CAVITON Rp 363,000.00
27/12 O 17/12 46 UNIV REST, DLL Rp 2,261,600.00
27/12 O 20/12 19/1 47 BLOOD SET, DLL Rp 1,820,005.00
27/12 O 20/12 19/1 48 MASKER, DLL Rp 15,015,600.00
27/12 O 20/12 49 LANCENG Rp 100,001.00
27/12 O 23/12 22/1 50 HANDSCOON Rp 390,000.00
27/12 O 13/12 12/1/2019 158 MEBO Rp 874,500.00
27/12 O 13/12 12/1/2019 159 LANTUS Rp 1,403,963.00
27/12 O 13/12 3/1/2019 160 NOVESTROL Rp 2,556,400.00
27/12 O 13/12 3/1/2019 161 CLINDAMYCIN Rp 130,668.00
27/12 O 13/12 3/1/2019 162 OMEVELL, DLL Rp 5,363,600.00
27/12 O 14/12 4/1/2019 163 NUPOVELL Rp 1,122,000.00
27/12 O 13/12 3/1/2019 164 CIPROFLOXACIN Rp 911,997.00
27/12 O 13/12 3/1/2019 165 SODERMIX Rp 2,315,500.00
27/12 O 13/12 166 SERUM Rp 1,320,000.00
27/12 O 13/12 12/1/2019 167 ANTASIDA, DLL Rp 1,660,333.00
27/12 O 13/12 12/1/2019 168 VITROLENTA, DLL Rp 509,176.00
27/12 O 13/12 12/1/2019 169 MOFACORT, DLL Rp 618.18
27/12 O 14/12 170 DESTAVELL Rp 1,034,550.00
27/12 O 14/12 171 MEFIX, DLL Rp 2,508,000.00
27/12 O 14/12 13/1 172 INFUSAN,DLL Rp 3,419,064.00
27/12 O 14/12 13/1 173 INFUSAN Rp 2,843,280.00
27/12 RS 14/12 13/12 2 IMP Rp 1,829,256.00
27/12 B 30/11 30/12 81 T HERNIA Rp 1,603,800.00
27/12 O 28/11 360 CODEINE Rp 3,424,850.00
27/12 O 12/12/2019 11/11/2019 31 SUCTION, DLL Rp 6,000,000.00
27/12 O 12/12/2019 2/1/2019 32 MARDINE Rp 2,194,500.00
27/12 B 12/12/2019 11/1/2019 33 NESCO, DLL Rp 7,053,750.00
27/12 B 11/12/2019 10/1/2019 34 T-HERNIA Rp 2,004,750.00
27/12 B 14/12 13/1 35 CATGUT, DLL Rp 21,945,485.00
27/12 B 14/12 3/1/2019 36 PD GLOVES, DLL Rp 3,762,000.00
27/12 B 14/12 4/1/2019 37 FOLLEY, DLL Rp 3,190,880.00
27/12 B 14/12 13/1 38 ALKOHOL, DLL Rp 4,406,072.00
27/12 B 3/12/2019 2/1/2019 8 EPIHOCAN Rp 1,980,000.00
27/12 B 4/12/2019 3/1/2019 9 ELASTAMOL, DLL Rp 19,131,640.00
27/12 B 5/12/2019 4/1/2019 10 MAU STOPCOCK, DLL Rp 1,501,143.00
27/12 B 6/12/2019 5/1/2019 12 FOLLEY, DLL Rp 1,700,000.00
27/12 B 8/12/2019 5/1/2019 13 BLOOD, DLL Rp 2,817,000.00
27/12 B 4/12/2019 8/1/2019 13 HYPAVIX, DLL Rp 5,787,320.00
27/12 B 4/12/2019 3/1/2019 14 MASKER, DLL Rp 6,116,413.00
27/12 B 5/12/2019 4/1/2019 15 MONOSYN Rp 4,968,000.00
27/12 B 4/12/2019 3/1/2019 16 WOUND DRESS Rp 1,627,322.60
27/12 B 6/12/2019 5/1/2019 17 POT URINE, DLL Rp 46,274,150.00
27/12 B 6/12/2019 27/12 18 BLOOD SET, DLL Rp 8,944,375.00
27/12 B 6/12/2019 27/12 19 TENSOCREPE Rp 2,278,100.00
27/12 B 23/12 22/1 54 APRON, DLL Rp 819,950.00
27/12 B 24/12 258 PRAMIVEX, DLL Rp 4,646,436.00
27/12 O 24/12 259 CITICOLINE Rp 1,991,550.00
27/12 O 260 CANDOTENS Rp 9,159,700.00
27/12 O 23/12 22/1 261 NORAGES, DLL Rp 4,321,284.00
27/12 O 23/12 22/1 262 EYEFRESH Rp 150,871.00
1/3/2020 o 12/26/2020 1/16/2020 263 REGIVELL Rp 1,848,000.00
1/3/2020 O 12/26/2020 1/16/2020 264 NOPRENIA, DLL Rp 7,441,006.00
1/3/2020 O 12/26/2020 1/16/2020 265 REGIVELL Rp 4,818,000.00
1/3/2020 O 12/26/2020 1/16/2020 266 PYREX, DLL Rp 4,922,091.00
1/3/2020 O 12/26/2020 1/16/2020 267 CARMED, DLL Rp 6,423,736.00
1/3/2020 O 12/26/2020 1/16/2020 268 VITAMAM, DLL Rp 2,842,036.00
1/3/2020 O 12/26/2020 1/16/2020 269 NOPRENIA, DLL Rp 1,920,160.00
1/3/2020 O 12/26/2020 1/25/2020 270 AZA, DLL Rp 4,736,120.00
1/3/2020 O 12/24/2020 1/23/2020 271 GRAFADON, DLL Rp 1,104,000.00
1/3/2020 O 1/25/2020 12/26/2020 272 CEFADROXIL, DLL Rp 8,001,695.00
1/3/2020 O 12/26/2020 1/24/1900 273 GLIBENCLAMIDE, DLL Rp 1,265,537.00
1/3/2020 O 12/26/2020 1/25/2020 274 NAIRET, Rp 4,867,837.60
1/3/2020 O 12/24/2020 1/23/2020 275 SULFITIS Rp 3,887,400.00
1/3/2020 O 12/24/2020 1/23/2020 276 FUROSEMIDE, DLL Rp 1,644,500.00
1/3/2020 O 12/26/2020 1/16/2020 272 CATAFLAM, DLL Rp 960,957.00
1/3/2020 O 12/26/2020 1/16/2020 278 NOVOMIX, DLL Rp 9,745,900.00
1/3/2020 O 12/26/2020 1/16/2020 279 LEVEMIR, DLL Rp 4,872,951.00
1/3/2020 O 12/26/2020 1/16/2020 280 HERBESSSER Rp 1,338,000.00
1/3/2020 O 12/24/2020 1/14/2020 281 LANSOPRAZOLE Rp 216,216.00
1/3/2020 O 12/24/2020 1/23/2020 282 NAIRET, DLL Rp 1,065,900.00
1/3/2020 O 12/24/2020 1/23/2020 283 INFUSAN, DLL Rp 2,965,503.00
1/3/2020 O 1/23/2020 12/24/2020 284 NACL, DLL Rp 803,976.00
1/3/2020 O 12/27/2020 1/26/2020 285 TREMENZA Rp 219,863.00
1/3/2020 O 12/27/2020 1/17/2020 286 PROCLOZAM Rp 1,925,000.00
1/3/2020 O 12/27/2020 1/17/2020 287 PYREXIN Rp 1,485,000.00
1/3/2020 O 12/26/2020 2/9/2020 288 HEXYMER Rp 1,155,000.00
1/3/2020 O 12/26/2020 1/16/2020 289 ONBREZ, DLL Rp 3,525,001.00
1/3/2020 O 12/27/2020 1/17/2020 290 THYROZOL, DLL Rp 973,500.00
1/3/2020 O 12/27/2020 1/17/2020 291 CONCOR Rp 313,000.00
1/3/2020 O 12/27/2020 1/17/2020 292 INBUMIN, DLL Rp 616,000.00
1/3/2020 O 12/26/2020 1/25/2020 293 MEFIX, DLL Rp 6,497,150.00
1/3/2020 O 12/26/2020 1/25/2020 294 CENDO, DLL Rp 709,947.00
1/3/2020 O 12/26/2020 1/25/2020 295 GLIMEPIRIDE,DLL Rp 1,444,357.00
1/3/2020 O 12/23/2020 1/22/2020 296 LATIPRESS Rp 907,500.00
1/3/2020 O 12/26/2020 1/25/2020 297 DUODERM Rp 588,555.00
1/3/2020 O 12/26/2020 1/16/2020 298 PLASBUMIN Rp 3,019,987.08
1/3/2020 O 12/26/2020 2/24/2020 294 SOLOSTAR Rp 2,174,997.00
1/3/2020 O 12/26/2020 1/25/2020 300 EKAMOL, DLL Rp 2,124,859.00
1/3/2020 O 12/26/2020 1/25/2020 301 VOLTAREN, DLL Rp 729,639.00
1/3/2020 O 12/26/2020 1/16/2020 302 LANSOPRAZOLE, DLL Rp 961,337.00
1/3/2020 O 12/27/2020 1/17/2020 303 CEFTIZOXIME, DLL Rp 12,419,000.00
1/3/2020 O 12/27/2020 1/17/2020 304 CIPROFLOXACIN, DLL Rp 1,484,532.00
1/3/2020 O 12/27/2020 1/17/2020 305 ZYFORT, DLL Rp 2,256,185.00
1/3/2020 O 12/27/2020 1/17/2020 306 NOVESTROL, DLL Rp 2,863,168.00
1/3/2020 O 12/27/2020 17/14 307 REGIVELL, DLL Rp 4,644,750.00
1/3/2020 O 12/26/2020 308 NOPRENA Rp 1,570,800.00
1/3/2020 O 12/26/2020 1/25/2020 309 SALBUTAMOL, DLL Rp 3,723,170.00
1/3/2020 O 12/27/2020 1/17/2020 311 CEFOPERAZONE, DLL Rp 12,100,000.00
1/3/2020 O 12/26/2020 1/25/2020 312 FOLAVIT, DLL Rp 1,938,276.00
1/3/2020 O 12/27/2020 1/26/2020 313 CEFADROXIL, DLL Rp 7,177,784.80
1/3/2020 O 12/27/2020 1/28/2020 314 PIRALEN, DLL Rp 2,257,200.00
1/3/2020 O 12/27/2020 1/26/2020 315 SPIRIVA Rp 4,530,000.00
1/3/2020 O 12/27/2020 1/17/2020 316 VIPALBUMIN, DLL Rp 7,128,000.00
1/3/2020 O 12/26/2020 2/9/2020 317 FORANE, DLL Rp 1,770,799.00
1/3/2020 O 12/24/2020 2/7/2020 318 FORANE Rp 1,176,799.00
1/3/2020 O 12/28/2020 1/18/2020 319 BISOPROLOL, DLL Rp 4,872,529.00
1/3/2020 O 12/28/2020 1/18/2020 320 KETOMED, DLL Rp 4,453,209.00
1/3/2020 O 12/28/2020 1/18/2020 321 LORATADINE, DLL Rp 141,559.00
1/3/2020 O 12/28/2020 1/18/2020 322 RYVELL, DLL Rp 2,978,404.00
1/3/2020 O 12/27/2020 1/26/2020 323 LEVOFLOXACIN, DLL Rp 438,500.00
1/3/2020 O 12/28/2020 12/27/2020 324 BISOLVON, DLL Rp 5,867,000.00
1/3/2020 O 12/27/2020 325 PYREX Rp 286,000.00
1/3/2020 O 12/27/2020 326 CRAVOX, DLL Rp 12,840,410.00
1/3/2020 O 12/26/2020 327 RANITIDIN, DLL Rp 1,663,200.00
1/3/2020 O 12/27/2020 328 PYREX, DLL Rp 309,375.00
1/3/2020 O 12/27/2020 1/26/2020 329 METHYLPREDNISOLONE, DLL Rp 201,630.00
1/3/2020 O 12/27/2020 1/26/2020 330 AMBROXOL, DLL Rp 5,160,283.00
1/3/2020 O 12/27/2020 1/26/2020 331 ARDIUM, DLL Rp 1,636,580.00
1/3/2020 O 12/27/2020 2/25/2020 332 LANTUS Rp 2,098,750.00
1/3/2020 O 12/27/2020 2/25/2020 333 SYMBICORT Rp 2,985,290.00
1/3/2020 O 12/27/2020 2/25/2020 334 SERETIDE, DLL Rp 1,837,819.00
1/3/2020 O 12/27/2020 2/25/2020 335 SERETIDE, DLL Rp 612,606.00
1/3/2020 O 12/27/2020 1/17/2020 278 PROGESTON, DLL Rp 2,816,000.00
1/3/2020 O 12/28/2020 1/18/2020 337 ASTAR, DLL Rp 993,025.00
1/3/2020 O 12/27/2020 1/10/2020 338 PICYN Rp 2,750,000.00
1/3/2020 O 12/30/2020 1/29/2020 339 KSR, DLL Rp 722,500.00
1/3/2020 O 12/30/2020 1/20/2020 340 ALLOPURINOL, DLL Rp 1,556,166.00
1/3/2020 O 12/28/2020 341 RANIVELL, DLL Rp 5,225,000.00
1/3/2020 O 12/28/2020 342 PRORENAL Rp 633,600.00
1/3/2020 O 12/28/2020 343 NOXETIME, Rp 1,214,400.00
1/3/2020 O 12/28/2020 1/18/2020 344 PYREXIN Rp 1,485,000.00
1/3/2020 O 12/28/2020 1/27/2020 345 FLEET, DLL Rp 2,250,160.00
1/3/2020 O 12/27/2020 346 OL GNETAMICIN Rp 253,000.00
1/3/2020 O 12/28/2020 1/18/2020 348 TRILAC, DLL Rp 1,091,904.00
1/3/2020 O 12/28/2020 1/18/2020 349 CHOLINAAR, DLL Rp 4,415,125.00
1/3/2020 O 12/28/2020 1/27/2020 7935 NORAGES, DLL Rp 2,204,400.00
1/3/2020 O 12/28/2020 1/27/2020 352 VITROLENTA Rp 171,119.00
1/3/2020 O 12/28/2020 1/27/2020 7892 NORAGES, DLL Rp 1,193,500.00
1/3/2020 O 12/28/2020 1/27/2020 354 LORATADINE, DLL Rp 3,345,568.00
1/3/2020 O 12/28/2020 1/27/2020 355 CENDO, DLL Rp 1,685,239.00
1/3/2020 O 12/28/2020 1/27/2020 356 BETAHISTINE, DLL Rp 6,200,065.00
1/3/2020 O 12/28/2020 1/27/2020 357 BLEDSTOP, DLL Rp 253,646.00
1/3/2020 O 12/28/2020 1/27/2020 358 BLEDSTOP Rp 297,618.00
1/3/2020 O 12/28/2020 1/27/2020 359 SANTAGESIK Rp 130,845.00
1/3/2020 O 12/28/2020 1/27/2020 360 INFUSAN Rp 153,903.00
1/3/2020 O 12/28/2020 1/27/2020 3618 INFUSAN Rp 7,096,320.00
1/3/2020 RS 12/26/2020 1/16/2020 7 ISOCAL Rp 556,366.00
1/3/2020 RS 12/27/2020 1/17/2020 8 TS NFDM Rp 198,550.00
1/3/2020 RS 12/27/2020 90 ASEPTAN Rp 1,089,000.00
12/10/2019 RS 12/2/2019 1/1/2019 8166 ALKOHOL Rp 2,395,633.00
12/10/2019 B 11/22/2019 12/22/2019 80 KRUK Rp 280,500.00
12/10/2019 O 12/9/2019 12/30/2019 20 LOMATUELL Rp 5,078,700.00
12/10/2019 O 12/9/2019 21 USG PAPER Rp 841,500.00
12/10/2019 O 12/9/2019 1/8/2019 22 CAT GUT, DLL Rp 9,893,170.00
12/10/2019 O 1/5/2019 102 LEVOFLOXACIN Rp 1,320,000.00
12/10/2019 O 12/7/2019 1/5/2019 103 BEROTEC Rp 831,900.00
1/3/2020 B 12/26/2020 1/25/2020 55 VENFLON, DLL Rp 7,892,000.00
1/3/2020 B 12/26/2020 1/16/2020 56 LOMATUELL Rp 3,197,700.00
1/3/2020 B 12/28/2020 1/18/2020 57 STARDINE, DLL Rp 1,567,500.00
1/3/2020 B 12/26/2020 1/25/2020 58 OPSITE Rp 3,971,000.00
1/3/2020 B 2/23/2020 1/22/2020 59 SYPSOMA, DLL Rp 818,957.00
1/3/2020 B 12/26/2020 1/25/2020 60 GEL SPON, DLL Rp 2,751,293.00
1/3/2020 B 12/26/2020 1/25/2020 9595 BLOODSET, DLL Rp 6,926,893.00
1/3/2020 B 12/26/2020 1/25/2020 62 RUSCH, DLL Rp 3,469,422.00
1/3/2020 B 12/24/2020 1/23/2020 63 ELASTAMOL, DLL Rp 6,996,875.00
1/3/2020 B 12/28/2020 1/27/2020 64 NASAL, DLL Rp 12,173,300.00
1/3/2020 B 12/28/2020 1/27/2020 65 FOLLEY, DLL Rp 1,700,000.00
1/3/2020 B 12/27/2020 1/26/2020 66 NOVA T, DLL Rp 1,640,205.00
1/3/2020 B 12/19/2020 67 USG PAPER Rp 4,207,500.00
1/3/2020 B 12/30/2020 1/29/2020 68 NOVO TWIST Rp 500,000.00
1/7/2020 O 12/28/2020 1/27/2020 362 LEVOFLOXACIN Rp 1,320,000.00
1/7/2020 O 12/30/2020 20/ 363 CRAVOX, DLL Rp 4,106,850.00
1/7/2020 O 12/30/2020 1/20/2020 12/29/1900 FORDIN, DLL Rp 761,200.00
1/7/2020 O 12/28/2020 1/27/2020 12/30/1900 BEROTEC Rp 1,080,900.00
1/7/2020 O 12/30/2020 1/29/2020 12/31/1900 ONDANSETRON, DLL Rp 4,743,200.00
1/7/2020 O 12/30/2020 1/29/2020 1/1/1901 HARNAL Rp 1,241,163.00
1/7/2020 B 12/31/2020 1/30/2020 3/9/1900 VENFLON, DLL Rp 9,864,800.00
1/7/2020 O 12/31/2020 1/30/2020 1/2/1901 SPIRIVA Rp 9,060,000.00
6575 KEBAYORAN
7573 KEBAYORAN
8601 KALLISTA
8694 KALLISTA
8693 KALLISTA
6659 IGM
6550 IGM
9298 AMS
3649 MBS
86 MBS
497 SPP
9385 APL
25396 MBS
9718 AMS
9930 AMS
9488 AMS
9628 AMS
5422 MPI
297 SST
0 PPG
8772 KEBAYORAN
331 AAM
9971 TOMBO
83 AMS
88 AMS
138 APL
4806 PENTA
4804 [PENTA
4808 PENTA
4803 PENTA
4788 PENTA
4805 PENTA
4807 PENTA
99 BSP
98 BSP
122 BSP
121 BSP
205 BSP
7281 MBS
7280 MBS
1950 TEMPO
1949 TEMPO
4630 LMS
4631 LMS
161 AMS
9318 PPG
9342 PPG
9022 KALLISTA
17 APL
903 AAM
965 AAM
938 AAM
AAM
137 APL
219 BSP
6118 BSP
1123 AAM
757 AAM
750 AMS
842 AMS
841 AMS
KIMIA FARMA
9637 PPG
3127 ENSEVAL
314 APL
352 APL
4348 MBS
465 AMS
466 AMS
420 AMS
478 AMS
717 AMS
2109 TEMPO
2110 TEMPO
4856 LMS
1315 BSP
6811 BSP
4909 PENTA
4907 PENTA
4908 PENTA
2 TOMBO
1195 AMS
1229 AMS
1222 AMS
1233 AMS
1272 AAM
24 TOMBO
4956 LMS
9440 KALLISTA
9439 KALLISTA
7977 KEBAYORAN
5050 PENTA
9516 KALLISTA
9542 KALLISTA
9559 KALLISTA
619 APL
660 APL
9103 MBS
5057 LMS
1527 BSP
4946 PENTA
4980 PENTA
759 MPI
1047 MPI
5049 PENTA
2050 BSP
5861 MBS
201 SPP
9493 TEMPO
2362 TEMPO
1098 MERAPI
1171 MERAPI
1136 MERAPI
1141 MERAPI
1134 MERAPI
1491 AMS
1489 AMS
774 APL
771 APL
772 APL
16 TOMBO
37 TOMBO
1500 AAM
1427 AAM
9174 KEBAYORAN
5115 PENTA
1036 APL
8 MPI
60 TOMBO
5463 LMS
5280 PENTA
5281 PENTA
3960 BSP
3963 BSP
5453 MBS
1693 APL
96 TOMBO
94 KALLISTA
108 KALLISTA
76 KALLISTA
5367 PENTA
4590 BSP
380 KEBAYORAN
2775 AMS
2884 AMS
6431 MPI
5390 PENTA
5391 PENTA
5392 PENTA
5389 PENTA
3130 AMS
3072 AMS
3091 AMS
3076 AMS
30670 AMS
3106 AMS
3074 AMS
119 TOMBO
5673 LMS
5682 LMS
22020 AAM
2510 BSP
5550 PENTA
5549 PENTA
5551 PENTA
3927 AMS
2136 PPG
2522 AAM
1106 SST
1175 SST
8713 AMS
3606 AMS
5410 MBS
581 KALLISTA
652 KALLISTA
2616 APL
5833 BSP
5805 BSP
801 BSP
135 TOMBO
133 TOMBO
3267 AMS
400 KALLISTA
1556 MERAPI
1564 MERAPI
1557 MERAPI
2398 AAM
2353 AAM
1756 PPG
2320 APL
40507 KALLISTA
33 TEMPO
3052 TEMPO
26446 MPI
5262 BSP
5422 BSP
5337 BSP
5424 BSP
9512 KEBAYORAN
4845 COBRA
2712 AAM
4535 AMS
175 TOMBO
2981 APL
3056 APL
3065 APL
5569 PENTA
151 TOMBO
2473 PPG
2952 APL
5971 LMS
5053 MBS
4152 AMS
4154 AMS
4156 AMS
4141 AMS
4158 AMS AMS
4159 AMS
2806 AAM
4847 AMS
4733 AMS
4850 AMS
4749 AMS
4758 AMS
4863 AMS
4702 AMS
182 TOMBO
6165 LMS
2683 PPG
2927 PPG
9864 ENSEVAL
7878 ENSEVAL
1854 MERAPI
41126 KALLISTA
3342 APL
6863 MPI
3624 TEMPO
7878 BSP
7909 BSP
7916 BSP
7925 BSP
5651 PENTA
5638 PENTA
5369 PENTA
2834 AAM
2901 AAM
2969 AAM
5398 AMS
5431 AMS
5430 AMS
5397 AMS
5376 AMS
7007 MPI
9120 KEBAYORAN
3013 AAM
3150 AAM
1448 SST
4846 AMS
6413 DNR
5680 PENTA
2271 BSP
8009 BSP
8468 BSP
8740 BSP
8760 BSP
5765 PENTA
5764 PENTA
6332 LMS
3835 APL
3923 APL
3828 APL
1364 KALLISTA
3186 AAM
6029 MBS
5336 MBS
216 TOMBO
229 TOMBO
226 TOMBO
209 TOMBO
5651 KIMIA FARMA
3359 AAM
3816 PPG
4073 APL
4330 APL
5973 AMS
5865 AMS
5866 AMS
6013 AMS
156 KALLISTA
4114 TEMPO
7138 MPI
4400 MBS
8512 MBS
6420 LMS
5849 PENTA
5846 PENTA
9707 BSP
3878 KEBAYORAN
5918 PENTA
5943 PENTA
9976 BSP
4678 BSP
345 BSP
6521 LMS
4429 APL
2823 MBS
7249 MPI
6321 AMS
6246 AMS
6251 AMS
3299 KF
8934 KEBAYORAN
3530 AAM
3539 AAM
250 TOMBO
249 TOMBO
6550 LMS
8003 KF
7022 AMS
7044 AMS
289 TOMBO
4965 APL
6818 AMS
6741 AMS
678 AMS
7427 MPI
4036 MBS
6018 PENTA
1507 BSP
1652 BSP
4007 AAM
5315 APL
5312 APL
5283 APL
5284 APL
5281 APL
5317 APL
2142 KALLISTA
2158 KALLISTA
42159 KALLISTA
2094 KALLISTA
7530 MPI
6856 LMS
60511 MBS
1124 SPP
6081 PENTA
2264 BSP
1775 BSP
2132 BSP
4015 KEBAYORAN
2365 MERAPI
5121 PPG
5133 PPG
5734 APL
7831 AMS
292 TOMBO
1654 KIMIA FARMA
2472 MERAPI
8150 MBS
332 TOMBO
2520 KALLISTA
6216 APL
5943 APL
7995 AMS
4983 TEMPO
6269 PENTA
6268 PENTA
6280 PENTA
8492 AMS
8489 AMS
7136 LMS
4285 KEBAYORAN
6595 APL
4335 BSP
6347 PENTA
6316 PENTA
6911 LMS
2702 KALLISTA
2696 KALLISTA
6392 PENTA
6413 PENTA
6282 AMJ
6267 AMJ
87 AMJ
9980 TOMBO
9970 TOMBO
5822 DNR
14 TOMBO
5177 MMA
8220 MMM
8221 MMM
6383 AMJ
6403 AMJ
6359 AMJ
416 AMS
3 TOMBO
1 TOMBO
1194 AMS
23 TOMBO
29 TOMBO
5203 MMA
6464 AMJ
6454 AMJ
8371 MMM
6554 AMJ
41 TOMBO
1257 DAKONAN
53 TOMBO
118 TOMBO
3077 AMS
6901 AMJ
6805 AMJ
145 TOMBO
8882 MMM
5411 MBS
132 TOMBO
134 TOMBO
7926 DNR
1905 PPG
6972 AMJ
7164 AMJ
178 TOMBO
7010 AMJ
8562 MMA
4695 AMS
200 TOMBO
1830 TOMBO
9104 MMM
7246 AMJ
7125 AMJ
5384 AMS
9202 MMM
7294 AMJ
7361 AMJ
229 DNR
7467 AMJ
215 TOMBO
218 TOMBO
228 TOMBO
242 TOMBO
7583 AMJ
7488 AMJ
7600 AMJ
253 AMS
7678 AMJ
251 TOMBO
291 TOMBO
280 TOMBO
10279 TOMBO
3244 AMJ
7710 AMJ
7792 AMJ
7812 AMJ
1795 ENSEVAL
AAM
7792 AMJ
7812 AMJ
1795 ENSEVAL
AAM
7894 AMJ
308 TOMBO
7540 AMS
322 TOMBO
331 TOMBO
8915 AMJ
1580 AAM
1487 AMS
5845 ENSEVAL
7105 AMJ
5218 BAHAGIA
6833 TIGARAKSA
7560 AMJ
3738 AAM
17403 AMJ
2171 ENSEVAL
7813 AMJ
8185 ENSEVAL
78 AMS
348-1 TOMBO
359 TOMBO
8160 AMJ
8158 AMJ
8167 AMJ
8202 AMJ
1117 DNR
7886 MBS
79 AMS
80 AMS
4408 KEBAYORAN
4399 KEBAYORAN
4922 AAM
4884 AAM
4921 AAM
236 BSP
171 BSP
225 BSP
6509 PENTA
6503 PENTA
6502 PENTA
6510 PENTA
4995 AAM
6551 PENTA
426 AMS
360 TOMBO
7324 LMS
2982 KALLISTA
2971 KALLISTA
3017 KALLISTA
8196 MPI
3344 TEMPO
461 TEMPO
6603 PENTA
6605 PENTA
6606 PENTA
6604 PENTA
7531 LMS
7499 LMS
677 AMS
647 AMS
678 AMS
648 AMS
676 AMS
649 AMS
7314 APL
7404 APL
5620 MBS
6574 PPG
3301 KALLISTA
4836 ENSEVAL
3841 TOMBO
391 TOMBO
848 AMS
7172 PPG
7187 PPG
1266 AMS
1850 BS[
5288/ AAM
3357 KALLISTA
5849 TEMPO
8359 MPI
8358 MPI
8419 MBS
2945 MERAPI
7848 APL
7847 APL
7701 APL
7752 APL
7642 APL
1239 BSP
1238 BSP
1229 BSP
6638 PENTA
6639 PENTA
7807 DNR
1462 AMS
1464 AMS
1463 AMS
10405 TOMBO
71 KEBAYORAN
7203 IGM
7204 IGM
8403 APL
8153 APL
8155 APL
7725 PPG
1551 AMS
1523 AMS
1554 AMS
7741 LMS
3647 KALLISTA
1158 MPI
943 MVA
5586 AAM
5588 AAM
5760 PENTA
6761 PENTA
43586 BSP
2626 BSP
2623
3/14/1907 BSP
10/3/1915 AAM
3/23/1901 TOMBO
7/11/1904 KF
1/30/1922 PPG
4/25/1922 PPG
9/17/1921 LMS
11/1/1908 MERAPI
9/27/1908 MERAPI
6/3/1905 AMS
8/21/1921 MBS
12/15/1909 BSP
10/15/1918 PENTA
8/9/1908 MERAPI
8/23/1908 MERAPI
4/11/1901 TOMBO
7/3/1902 KEBAYORAN
3/23/1924 APL
4/21/1911 KALLISTA
6/23/1922 PPG
5/11/1906 AMS
12/16/1918 PENTA
12/2/1918 PENTA
2/6/1922 LMS
1/21/1911 BSP
4/23/1901 TOMBO
4/4/1927 KEBAYORAN
8/21/1923 PPG
4/16/1919 PENTA
4/24/1919 PENTA
4/25/1919 PENTA
11/11/1907 AMS
6/30/1907 AMS
10/4/1911 KALLISTA
10/18/1911 KALLISTA
10/3/1911 KALLISTA
6/12/2021 KALLISTA
11/25/1911 KALLISTA
11/12/2019 KALLISTA
11/17/1902 MBS
5/21/1913 BSP
5/12/1913 BSP
3/16/1919 PENTA
5/27/1922 LMS
5/14/1922 AMS
1/18/1912 KALLISTA
1/2/1926 APL
4/13/1926 APL
6/22/1917 MBS
2/13/1922 IGM
10/3/1923 ENSEVAL
8/18/1910 AMS
9/21/1910 AMS
3/26/1923 LMS
11/6/1925 PPG
10/17/1924 AMJ
8/7/1919 TIGARAKSA
6/19/1901 TOMBO
9/8/1902 ENSEVAL
KF
6/14/1902 PPG
7/2/1900 APL
1/11/1901 APL
1/8/1901 APL
6/10/1912 AMS
5/30/1913 SAG
10/5/1919 PENTA
10/6/1919 PENTA
11/18/1920 BSP
4/26/1923 BSP
6/27/1901 TOMBO
9/8/1901 KEBAYORAN
7/11/1901 TOMBO
12/11/1919 PENTA
12/12/1919 PENTA
10/17/1925 KEBAYORAN
8/15/1905 MBS
10/7/1901 APL
4/16/1901 APL
8/23/1912 AMS
1/29/1912 AMS
1/7/1919 AAM
12/12/1918 AAM
11/7/1900 AMS
2/18/1919 AAM
7/30/1901 TOMBO
11/30/1919 AAM
11/29/1919 AAM
7/13/1919 AAM
7/16/1919 AAM
8/30/1919 AAM
7/18/1910 MERAPI
9/10/1903 KEBAYORAN
4/7/1914 KALLISTA
4/8/1914 KALLISTA
11/1/1902 APL
8/20/1903 ENSEVAL
1/21/1902 SPP
7/2/1905 MBS
11/1/1925 MBS
2/20/1920 PENTA
2/21/1920 PENTA
1/16/1924 LMS
7/27/1923 BSP
9/25/1923 BSP
11/13/1913 AMS
11/16/1913 AMS
12/26/1913 AMS
11/17/1913 AMS
12/28/1913 AMS
3/20/1925 AMJ
7/29/1901 TOMBO
9/16/1920 PENTA
12/23/1916 AMS
8/22/1901 TOMBO
11/29/1903 APL
5/6/1904 APL
1/24/1915 KALLISTA
5/25/1915 KALLISTA
5/16/1912 KEBAYORAN
5/3/1912 KEBAYORAN
12/9/1911 TOMBO
THOMASON
COBRA
TOMBO
10/23/1923 AMJ
10/2/1923 AMJ
12/28/1923 AMJ
3/17/1906 AMS
1/6/1902 AMS
3/26/1914 AAM
8/8/1924 LMS
10/20/1915 AMS
2/21/1927 BSP
6/25/1920 PENTA
6/26/1920 PENTA
5/6/1904 KEBAYORAN
2/3/1915 DMA
5/1/1921 AAM
1/18/1917 AMS
2/7/1904 TEMPO
1/7/1915 TEMPO
11/11/1915 TEMPO
1/13/1927 MBS
4/15/1901 BSP
12/22/1924 LMS
8/7/1901 TOMBO
1/22/1920 AAM
5/8/1902 PPG
5/20/1917 MBS
3/27/1925 BSP
5/11/1920 PENTA
5/30/1924 LMS
12/17/1914 AMS
11/19/1914 AMS
1/20/1925 AMJ
10/17/1926 MBS
7/12/1901 TOMBO
12/23/1924 AMJ 5-Oct #DIV/0!
2/4/1925 AMJ
1/27/1925 AMJ 5 5 1
7/10/1901 TOMBO
5/7/1904 COBRA
8/5/1925 AMJ
8/6/1901 TOMBO
MEDILAB
9/9/1901 TOMBO
3/4/1927 APL
3/18/1927 APL
11/15/1909 AMS
11/20/1909 AMS
7/27/1923 AMS
6/14/1910 AMS #NAME?
5/5/1910 AMS
1/29/1925 MPI
3/2/1922 IGM
12/25/1922 LMS
6/28/1919 PENTA
6/29/1919 PENTA
2/2/1913 KALLISTA
1/21/1913 KALLISTA
8/19/1918 BSP
8/18/1918 BSP
11/14/1917 BIN
5/5/1900 AMJ
1/17/1921 KF
4/22/1901 TOMBO
9/5/1908 AMS
4/25/1924 AMJ
3/19/1924 AMJ
5/20/1901 TOMBO
9/12/1909 AMS
6/2/1902 MMM
9/12/1924 AMJ
5/6/1923 AMJ
1/24/1901 TOMBO
3/1/1923 AMJ
2/4/1901 TOMBO
2/7/1901 TOMBO
6/6/1917 AMJ
12/18/1922 AMJ
2/3/1901 TOMBO
9/26/1915 MBS
6/24/1923 AMJ
12/25/1900 MMM
12/26/1900 MMM
1/27/1926 AMJ
7/12/1916 KALLISTA
7/13/1916 KALLISTA
3/4/1916 KALLISTA
11/11/1920 PENTA
11/1/1920 PENTA
11/8/1918 AMS
12/31/1918 AMS
11/17/1918 AMS
1/4/1919 AMS
11/24/1918 AMS
1/7/1919 AMS
11/7/1918 AMS
10/20/1901 TOMBO
9/26/1901 TOMBO
11/24/1925 LMS
11/23/1925 LMS
7/20/1923 MBS
8/16/1902 PPG
6/23/1905 PPG
4/16/1922 AAM
3/13/1922 AAM
6/6/1922 AAM
6/3/1922 AAM
4/8/1900 MPI
2/8/1919 MBS
7/23/1932 BSP
9/16/1925 LMS
8/27/1906 BSP
5/11/1903 MPI
6/29/1902 MPI
1/17/1912 MERAPI
7/14/1922 AAM
10/9/1922 AAM
3/25/1923 AAM
2/26/1923 AAM
3/12/1921 PENTA
3/11/1921 PENTA
3/13/1921 PENTA
1/18/1910 ENSEVAL
11/24/2036 SAG
7/27/1900 MPI
9/25/1907 APL
11/21/1907 APL
12/11/1907 APL
5/19/1919 AMS
2/27/1920 AMS
8/16/1920 AMS
9/11/1920 AMS
6/13/1920 AMS
6/14/1920 AMS
10/2/1916 KALLISTA
9/23/1906 PPG
5/15/1921 PENTA
1/11/1905 KEBAYORAN
5/17/1906 BSP
9/26/1909 MBS
4/5/1915 MBS
2/19/1919 TEMPO
8/30/1930 SPP
2/17/1912 MERAPI
3/23/2019 MERAPI
9/18/1921 AMS
9/17/1921 AMS
10/5/1921 AMS
9/16/1921 AMS
11/6/1901 TOMBO
11/14/1901 TOMBO
5/1/1917 KALLISTA
7/16/1917 KALLISTA
11/2/1916 KALLISTA
9/29/1917 KALLISTA
4/3/1926 LMS
5/9/1926 LMS
2/8/1909 APL
9/17/1908 APL
4/15/1909 APL
4/19/1909 APL
4/24/1909 APL
10/4/1900 MPI
2/27/1905 KEBAYORAN
6/22/1902 UDC
12/5/1901 TOMBO
4/6/1905 KEBAYORAN
4/3/1918 KALLISTA
4/20/1918 KALLISTA
2/21/1918 KALLISTA
12/29/1924 MPI
5/14/1910 APL
IGM
12/11/1921 AMS
1/15/1922 AMS
1/6/1922 AMS
9/21/1921 PENTA
8/7/1921 PENTA
8/6/1921 PENTA
8/9/1921 PENTA
8/8/1921 PENTA
9/10/1921 PENTA
8/22/1926 LMS
3/3/1909 BSP
1/30/1910 BSP
2/10/1910 BSP
3/24/1910 BSP
11/26/1909 BSP
6/5/1922 AAM
6/8/1920 AMS
AMJ
8166 AMJ
7603 AMJ
1795 AMS
AAM
430 TOMBO
5442 ENSEVAL
4284 TEMPO
10/19/1901 TOMBO
11/9/1918 AMS
11/26/1921 AMS
1/18/1914 ENSEVAL
1/27/1926 AMJ
4/9/1926 AMJ
4/8/1926 AMJ
4/7/1926 AMJ
9/27/1901 TOMBO
11/15/1901 TOMBO
8/24/1918 TOMBO
8/28/1926 AMJ
AAM
12/11/1902 TOM
7/1/1910 ENSEVAL 14
12/13/1910 MPI
10/9/1901 MPI
1/14/1941 TEMPO
11/24/1921 PENTA
11/7/1910 APL
12/24/1901 TOMBO
2/7/1904 TEMPO
14
1/7/2020 O 1/2/2020 1/23/2020 1
1/7/2020 O 1/2/2020 2/1/2020 2
1/7/2020 O 1/2/2020 2/1/2020 3
1/7/2020 O 1/2/2020 2/1/2020 4
1/7/2020 O 1/2/2020 2/1/2020 5
1/7/2020 O 1/2/2020 3/2/2020 6
1/7/2020 P 1/2/2020 1/23/2020 7
1/7/2020 O 1/3/2020 1/24/2020 8
1/7/2020 O 1/2/2020 1/23/2020 9
1/7/2020 O 1/2/2020 1/23/2020 10
1/7/2020 O 1/2/2020 1/23/2020 11
1/7/2020 O 1/2/2020 1/23/2020 12
1/7/2020 O 1/2/2020 1/23/2020 13
1/7/2020 O 1/2/2020 1/3/2020 14
1/7/2020 O 1/2/2020 2/1/2020 15
1/7/2020 O 1/2/2020 1/16/2020 16
1/7/2020 O 1/2/2020 2/1/2020 17
1/7/2020 O 1/2/2020 2/1/2020 18
1/7/2020 O 1/4/2020 2/3/2020 19
1/7/2020 O 1/3/2020 2/2/2020 20
1/7/2020 O 1/3/2020 2/2/2020 21
1/7/2020 O 1/3/2020 2/2/2020 22
1/7/2020 O 1/3/2020 1/24/2020 23
1/7/2020 O 1/3/2020 2/2/2020 24
1/7/2020 O 1/3/2020 25
1/7/2020 O 1/3/2020 26
1/7/2020 O 1/3/2020 27
1/7/2020 O 1/3/2020 28
1/7/2020 O 1/3/2020 29
1/7/2020 O 1/3/2020 2/2/2020 30
1/7/2020 O 1/3/2020 2/2/2020 31
1/7/2020 O 1/3/2020 2/2/2020 32
1/10/2020 o 1/6/2020 1/20/2020 33
1/10/2020 O 1/6/2020 1/27/2020 34
1/10/2020 O 1/4/2020 2/3/2020 35
1/10/2020 O 1/4/2020 2/3/2020 36
1/10/2020 O 1/4/2020 37
1/10/2020 O 1/4/2020 38
1/10/2020 O 1/7/2020 39
1/10/2020 O 1/6/2020 1/7/2020 40
1/10/2020 O 1/6/2020 1/7/2020 41
1/10/2020 O 1/6/2020 1/27/2020 42
1/10/2020 O 1/6/2020 1/7/2020 43
1/10/2020 O 1/6/2020 2/5/2020 44
1/10/2020 O 1/4/2020 2/3/2020 45
1/10/2020 O 1/4/2020 2/3/2020 46
1/10/2020 O 2/3/2020 1/4/2020 47
1/10/2020 O 1/3/2020 2/2/2020 48
1/10/2020 O 1/4/2020 2/3/2020 49
1/10/2020 O 4//1 2/3/2020 50
1/10/2020 O 1/4/2020 2/3/2020 51
1/10/2020 O 1/7/2020 1/28/2020 52
1/10/2020 O 1/7/2020 1/28/2020 53
1/10/2020 O 1/6/2020 54
1/10/2020 O 1/6/2020 55
1/10/2020 O 1/6/2020 56
1/10/2020 O 1/7/2020 1/28/2020 57
1/10/2020 O 1/6/2020 6/1/1930 58
1/10/2020 O 1/6/2020 3/6/2020 59
1/10/2020 O 1/6/2020 2/5/2020 60
1/10/2020 O 1/6/2020 1/27/2020 61
1/10/2020 O 1/6/2020 2/5/2020 62
1/10/2020 O 1/6/2020 2/5/2020 63
1/10/2020 O 1/6/2020 2/20/2020 64
1/10/2020 O 1/6/2020 2/20/2020 65
1/10/2020 O 1/6/2020 2/20/2020 66
1/10/2020 O 1/6/2020 2/5/2020 67
1/10/2020 O 1/6/2020 2/5/2020 68
1/10/2020 O 1/6/2020 2/5/2020 69
1/10/2020 O 1/6/2020 2/5/2020 70
1/10/2020 O 1/6/2020 2/5/2020 71
1/10/2020 O 1/7/2020 2/5/2020 72
1/10/2020 O 1/8/2020 73
1/10/2020 O 1/8/2020 74
1/10/2020 O 1/8/2020 75
1/10/2020 O 1/7/2020 2/6/2020 76
1/10/2020 O 1/7/2020 2/6/2020 77
1/10/2020 O 1/8/2020 2/5/2020 78
1/10/2020 O 1/8/2020 1/29/2020 79
1/10/2020 O 1/8/2020 1/29/2020 80
1/10/2020 O 1/7/2020 81
1/10/2020 O 1/8/2020 3/8/2020 82
1/10/2020 O 1/7/2020 3/7/2020 83
1/10/2020 O 1/7/2020 2/6/2020 84
1/10/2020 O 1/7/2020 3/7/2020 85
1/10/2020 O 1/7/2020 86
1/10/2020 O 1/7/2020 1/28/2020 87
1/10/2020 O 1/7/2020 2/6/2020 88
1/10/2020 O 1/6/2020 2/5/2020 89
1/10/2020 O 1/7/2020 1/28/2020 90
1/10/2020 O 1/7/2020 1/28/2020 91
1/10/2020 O 1/7/2020 2/6/2020 92
1/10/2020 O 1/6/2020 1/27/2020 93
1/10/2020 O 1/7/2020 2/6/2020 94
1/10/2020 O 1/7/2020 1/28/2020 95
1/10/2020 O 1/8/2020 2/7/2020 96
1/10/2020 O 1/7/2020 2/6/2020 97
1/10/2020 O 1/9/2020 2/8/2020 98
1/10/2020 O 1/9/2020 1/30/2020 99
1/10/2020 O 1/9/2020 1/30/2020 100
1/10/2020 O 1/9/2020 1/30/2020 101
1/10/2020 O 1/9/2020 1/30/2020 102
1/10/2020 O 1/8/2020 1/29/2020 103
1/10/2020 O 1/8/2020 2/7/2020 104
1/10/2020 O 1/8/2020 2/7/2020 105
1/10/2020 O 1/8/2020 106
1/13/2020 O 1/8/2020 2/7/2020 107
1/13/2020 O 1/8/2020 2/7/2020 108
1/13/2020 O 1/8/2020 2/7/2020 109
1/13/2020 O 1/8/2020 1/29/2020 110
1/13/2020 O 1/8/2020 1/29/2020 111
1/13/2020 O 1/9/2020 2/5/2020 112
1/13/2020 O 1/9/2020 2/8/2020 113
1/13/2020 O 1/9/2020 2/8/2020 114
1/13/2020 O 1/8/2020 2/7/2020 115
1/13/2020 O 1/8/2020 2/7/2020 116
1/13/2020 O 1/9/2020 1/29/2020 117
1/13/2020 O 1/9/2020 1/30/2020 118
1/13/2020 O 1/8/2020 2/7/2020 119
1/13/2020 O 1/8/2020 2/7/2020 120
1/13/2020 O 1/8/2020 2/7/2020 121
1/13/2020 O 1/8/2020 2/7/2020 122
1/13/2020 O 1/8/2020 2/7/2020 123
1/13/2020 O 1/8/2020 2/7/2020 124
1/13/2020 O 1/8/2020 2/7/2020 125
1/13/2020 O 1/8/2020 2/7/2020 126
1/13/2020 O 1/8/2020 1/29/2020 127
1/13/2020 O 1/8/2020 1/29/2020 128
1/13/2020 O 1/8/2020 1/29/2020 129
1/17/2020 O 1/10/2020 2/9/2020 130
1/17/2020 O 1/10/2020 1/24/2020 131
1/17/2020 O 1/10/2020 1/31/2020 132
1/17/2020 O 1/9/2020 2/8/2020 133
1/17/2020 O 1/9/2020 1/30/2020 134
1/17/2020 O 1/9/2020 2/8/2020 135
1/17/2020 O 1/9/2020 2/8/2020 136
1/17/2020 O 1/9/2020 1/30/2020 137
1/17/2020 O 1/8/2020 2/7/2020 138
1/17/2020 O 1/9/2020 2/8/2020 139
1/17/2020 O 1/9/2020 3/9/2020 140
1/17/2020 O 1/7/2020 2/6/2020 141
1/17/2020 O 1/9/2020 142
1/17/2020 O 1/9/2020 143
1/17/2020 O 1/10/2020 144
1/17/2020 O 1/11/2020 2/10/2020 145
1/17/2020 O 1/9/2020 2/8/2020 146
1/17/2020 O 1/10/2020 2/9/2020 147
1/17/2020 O 1/10/2020 2/9/2020 148
1/17/2020 O 1/10/2020 2/9/2020 149
1/17/2020 O 1/10/2020 2/9/2020 150
1/17/2020 O 1/10/2020 2/9/2020 151
1/17/2020 O 1/13/2020 2/12/2020 152
1/17/2020 O 1/13/2020 2/12/2020 153
1/17/2020 O 1/13/2020 2/12/2020 151
1/18/2020 O 1/13/2020 2/12/2020 149
1/18/2020 O 1/13/2020 2/12/2020 147
1/18/2020 O 1/13/2020 2/12/2020 145
143
141
139
137
135
133
131
129
127
125
123
121
119
1
/
1
7
/
2
Z222 0
2
0 O 6
1/7/2020 RS 1/2/2020 1/2/2020 1
1/7/2020 RS 1/3/2020 1/3/2020 2
1/7/2020 RS 1/4/2020 3
1/7/2020 B 1/3/2020 ,,, 1
1/7/2020 B 1/2/2020 2/1/2020 2
1/7/2020 B 1/3/2020 1/24/2020 3
1/7/2020 B 1/2/2020 2/1/2020 4
1/7/2020 B 1/2/2020 2/1/2020 5
1/7/2020 B 1/4/2020 2/3/2020 6
1/7/2020 B 1/3/2020 2/2/2020 7
1/7/2020 B 1/3/2020 2/2/2020 8
9
1/7/2020 B 12/28/2020 1/27/2020 10
1/7/2020 B 12/27/2020 11
1/7/2020 B 12/30/2020 12
1/7/2020 B 12/31/2020 13
1/10/2020 B 1/4/2020 2/3/2020 9
1/10/2020 B 1/4/2020 2/3/2020 10
1/10/2020 B 1/4/2020 2/3/2020 11
1/10/2020 B 1/6/2020 2/5/2020 12
1/10/2020 B 1/2/2020 2/1/2020 13
1/10/2020 B 1/6/2020 2/6/2020 14
1/10/2020 B 1/6/2020 2/5/2020 15
1/10/2020 B 1/6/2020 2/5/2020 16
1/10/2020 B 1/6/2020 2/5/2020 17
1/10/2020 B 1/6/2020 2/5/2020 18
1/10/2020 B 1/7/2020 2/6/2020 19
1/13/2020 B 1/7/2020 2/21/2020 20
1/13/2020 B 1/7/2020 2/6/2020 21
1/13/2020 B 1/7/2020 2/6/2020 22
1/13/2020 B 1/6/2020 2/5/2020 23
1/13/2020 B 1/7/2020 1/28/2020 24
1/13/2020 B 1/9/2020 2/7/2020 25
1/13/2020 B 1/7/2020 2/6/2020 26
1/13/2020 B 1/7/2020 1/28/2020 27
1/13/2020 B 1/7/2020 1/28/2020 28
1/13/2020 B 1/9/2020 2/8/2020 29
1/17/2020 B 1/9/2020 2/8/2020 30
2/4/2020 B 1/13/2020 2/13/2020 31
2/17/2020 B 1/13/2020 2/13/2020 32
2/4/2020 B 1/14/2020 2/13/2020 33
2/4/2020 B 1/14/2020 2/13/2020 34
2/4/2020 B 1/13/2020 2/12/2020 35
2/4/2020 B 1/13/2020 2/12/2020 36
2/4/2020 B 1/14/2020 2/4/2020 37
2/4/2020 B 1/15/2020 2/14/2020 38
2/4/2020 B 1/14/2020 2/13/2020 39
2/4/2020 B 1/14/2020 2/13/2020 40
2/4/2020 B 1/14/2020 2/13/2020 41
2/4/2020 B 1/14/2020 2/13/2020 42
2/4/2020 B 1/15/2020 2/5/2020 43
2/4/2020 B 1/15/2020 2/14/2020 44
2/4/2020 B 1/15/2020 2/14/2020 45
2/4/2020 B 1/16/2020 2/15/2020 46
2/4/2020 B 1/17/2020 2/16/2020 47
2/4/2020 B 1/18/2020 2/17/2020 48
2/4/2020 B 1/18/2020 2/17/2020 48
2/4/2020 B 49
2/4/2020 B 1/17/2020 2/16/2020 50
2/4/2020 B 1/17/2020 2/16/2020 51
2/4/2020 B 1/17/2020 2/16/2020 52
2/4/2020 B 1/17/2020 2/7/2020 53
2/4/2020 B 1/17/2020 2/7/2020 54
2/4/2020 B 1/16/2020 55
2/4/2020 B 1/18/2020 2/17/2020 56
2/4/2020 B 1/18/2020 2/17/2020 57
2/4/2020 B 1/18/2020 2/17/2020 58
2/4/2020 B 1/20/2020 2/19/2020 59
2/4/2020 B 1/20/2020 2/10/2020 60
2/4/2020 B 1/22/2020 2/21/2020 61
2/4/2020 B 1/21/2020 2/20/2020 62
2/4/2020 B 1/22/2020 2/21/2020 63
2/4/2020 B 1/21/2020 2/11/2020 64
2/4/2020 B 1/21/2020 2/20/2020 65
2/4/2020 B 1/21/2020 2/20/2020 66
2/4/2020 B 1/20/2020 2/19/2020 67
2/4/2020 B 1/22/2020 68
2/4/2020 B 1/23/2020 2/22/2020 69
2/4/2020 B 1/22/2020 2/21/2020 70
2/4/2020 B 1/22/2020 2/21/2020 71
2/4/2020 B 1/22/2020 2/21/2020 72
2/4/2020 B 1/22/2020 2/21/2020 73
2/4/2020 B 1/24/2020 2/14/2020 74
2/4/2020 B 1/24/2020 75
2/4/2020 B 1/24/2020 2/23/2020 76
2/4/2020 B 1/23/2020 2/22/2020 77
2/4/2020 B 1/23/2020 2/22/2020 78
2/4/2020 B 1/27/2020 2/28/2020 79
2/4/2020 B 1/27/2020 2/28/2020 80
2/4/2020 B 1/27/2020 2/28/2020 81
2/4/2020 B 1/27/2020 2/26/2020 82
2/4/2020 B 1/27/2020 2/26/2020 83
2/4/2020 B 1/28/2020 2/11/2020 84
2/4/2020 B 1/27/2020 2/17/2020 85
2/4/2020 B 1/29/2020 2/28/2020 86
2/4/2020 B 1/28/2020 2/27/2020 87
2/4/2020 B 1/28/2020 2/27/2020 88
2/4/2020 B 1/28/2020 2/27/2020 89
90
91
2/4/2020 RS 12/16/2020 1/15/2020 3

1/10/2020 RS 1/6/2020 4
1/10/2020 RS 1/7/2020 5
1/17/2020 RS 1/11/2020 8
2/4/2020 RS 1/13/2020 9
2/4/2020 RS 1/9/2020 10
2/4/2020 RS 1/14/2020 11
12
2/4/2020 RS 1/15/2020 13
2/4/2020 RS 1/17/2020 14
2/4/2020 RS 1/17/2020 2/7/2020 15
2/4/2020 RS 1/18/2020 16
2/4/2020 RS 1/20/2020 17
2/4/2020 RS 1/21/2020 18
2/4/2020 RS 1/22/2020 2/12/2020 19
2/4/2020 RS 1/22/2020 20
2/4/2020 RS 1/23/2020 2/13/2020 21
2/4/2020 RS 1/22/2020 2/21/2020 22
2/4/2020 RS 1/22/2020 2/21/2020 23
2/4/2020 RS 1/23/2020 24
2/4/2020 RS 1/24/2020 25
2/4/2020 RS 1/27/2020 26
2/4/2020 RS 1/23/2020 27
2/4/2020 RS 1/28/2020 28
2/4/2020 RS 1/29/2020 29
2/4/2020 RS 1/30/2020 30
2/4/2020 RS 1/13/2020 2/12/2020 31
2/4/2020 RS 1/13/2020 2/13/2020 32
2/4/2020 RS 1/14/2020 2/13/2020 33
2/4/2020 RS 34
35
36
37
38
TGL HARI INI KODE TGL FAKTUR TGL JATUH TEMPO KODE
2/14/2020 B 2/1/2020 3/2/2020 2

2/14/2020 RS 2/6/2020 2/6/2020 4
2/14/2020 B 1/31/2020 2/21/2020 2
2/14/2020 B 2/1/2020 2/1/2020 4
2/14/2020 B 2/3/2020 2/24/2020 5
2/14/2020 B 2/3/2020 2/3/2020 6
2/14/2020 B 2/3/2020 2/24/2020 7
2/14/2020 B 2/1/2020 3/2/2020 8
2/14/2020 B 1/31/2020 2/21/2020 9
2/14/2020 B 2/1/2020 3/2/2020 10
2/14/2020 B 2/1/2020 3/2/2020 11
2/14/2020 B 2/1/2020 3/2/2020 12
2/14/2020 B 2/1/2020 3/2/2020 13
2/14/2020 B 2/1/2020 3/2/2020 14
2/14/2020 B 2/4/2020 3/5/2020 15
2/14/2020 B 2/3/2020 2/3/2020 16
2/14/2020 B 2/3/2020 2/3/2020 17
2/14/2020 B 2/3/2020 2/24/2020 18
2/14/2020 B 2/3/2020 3/4/2020 19
2/14/2020 B 2/3/2020 3/4/2020 20
2/14/2020 B 2/3/2020 4/3/2020 21
2/14/2020 B 2/4/2020 3/5/2020 22
GLIMEPIREIDE, DLL Rp 6,586,270.90 33 MPI
NAIRET, DLL Rp 1,985,500.00 9 MBS
AMINOPHYLIN, DLL Rp 1,846,419.00 4979 LMS
BRALIFEX, DLL Rp 646,718.00 410 BSP
CLANEKSI, DLL Rp 1,058,021.00 170 BSP
SOLOSTAR, DLL Rp 4,349,994.00 4038 APL
IINBUMIN, DLL Rp 962,500.00 44 AAM
INBUMIN, DLL Rp 962,500.00 125 AAM
NOPRENIA, DLL Rp 13,664,605.00 788 AMS
OXYLA Rp 4,743,750.00 125 AMS
OMEPRAZOLE, Rp 1,521,401.00 175 AMS
METRONIDAZOLE, DLL Rp 1,359,866.00 337 AMS
LEVAZIDE, DLL Rp 8,117,922.00 143 AMS
TOMBO Rp 1,940,000.00 750 TOMBO
CALADINE, DLL Rp 3,572,370.00 734 TOMBO
INFIMYCIN, DLL Rp 1,237,500.00 6319 UDC
FUROSEMIDE, DLL Rp 440,000.00 3101 PPG
CALGAE, DLL Rp 2,744,500.00 84 PPG
AZA, DLL Rp 1,593,085.00 765 TOMBO
ALLOPURINOL, DLL Rp 5,348,039.00 5117 LMS
LISINOPRIL Rp 3,960,039.95 9741 MBS
SPIRONOLACTONE Rp 880,000.00 8498 MBS
LEVAZIDE, DLL Rp 22,353,540.00 495 AMS
BERRY VISION Rp 1,013,513.00 612 BSP
VALPRAZ Rp 316,800.00 34 KALLISTA
METRONIDAZOLE Rp 1,146,816.00 8 KALLISTA
VITAMAM, DLL Rp 4,006,750.00 36 KALLISTA
ROXEMID Rp 1,188,000.00 37 KALLISTA
NOVIGREL Rp 2,072,400.00 38 KALLISTA
LORATADINE, DLL Rp 5,691,983.00 57 PENTA
CO AMOXICLAV Rp 935,000.00 37 PENTA
AMBROXOL, DLL Rp 154,428.00 43 PENTA
INFIMYCIN, DLL Rp 550,000.00 6486 UDC
PIOGLITAZONE, DLL Rp 990,000.00 8016 KEBAYORAN
PIOGLITAZONE, DLL Rp 1,072,500.00 3350 PPG
PIOGLITAZONE, DLL Rp 1,072,500.00 3
EXOCID, DLL Rp 2,532,332.00 303 KALLISTA
PRODEXON, DLL Rp 616,000.00 295 KALLISTA
BIOSAT Rp 1,587,500.00 5145 RAJAWALI
NOPRENIA, DLL Rp 13,924,156.00 887 AMS
SIMVASTATIN, DLL Rp 9,262,399.00 900 AMS
CIPROFLOXACIN,DLL Rp 1,873,249.00 884 AMS
REGIVELL Rp 7,392,000.00 901 AMS
BUFACOMB, DLL Rp 2,044.00 797 TOMBO
INFUSAN, DLL Rp 1,571,105.00 964 BSP
SANTAGESIK, DLL Rp 534,963.00 1258 BSP
BETAMETHASONE, DLL Rp 10,536,416.00 5296 LMS
GABAPENTIN, DLL Rp 3,366,000.00 75 PENTA
KLODERMA Rp 207,061.00 108 PENTA
SUPRAFENID, DLL Rp 3,839,000.00 107 PENTA
CENDO, DLL Rp 1,660,244.00 106 PENTA
CEFOPERAZONE, DLL Rp 7,975,000.00 8113 KEBAYORAN
ACARBOSE, DLL Rp 6,992,311.00 8108 KEBAYORAN
AMLODIPINE, DLL Rp 1,064,250.00 469 KALLISTA
NOXETINE Rp 1,214,000.00 464 KALI
ANCLA, DLL Rp 5,658,400.00 461 KALLISTA
CONCOR, DLL Rp 14,721,898.00 456 AAM
LANTUS, DL Rp 4,197,501.00 4527 APL
ATOPICLAIR Rp 990,000.00 4547 APL
HARNAL Rp 1,241,163.00 4470 APL
FRIXITAS, DLL Rp 1,021,680.00 1045 AMS
NEW WOUND Rp 2,545,537.50 9112 MBS
OPICEF, DLL Rp 2,346,025.00 8004 MBS
BLISTER Rp 990,000.00 4871 MERAPI
BANGETOL Rp 990,000.00 4837 MERAPI
MEPTIN Rp 812,042.00 4836 MERAPI
SOLVINEX, DLL Rp 4,848,800.00 137 PENTA
TOBROSON, DLL Rp 543,401.00 136 PENTA
VITAMIN B, DLL Rp 2,897,142.00 5378 LMS
INFUSAN, DLL Rp 2,779,920.00 1856 BSP
PLASMINEX, DLL Rp 1,780,350.00 1697 BSP
INERSON, DLL Rp 2,252,000.00 816 TOMBO
VELAZOL Rp 686,400.00 759 KALLISTA
MEROPENEM, DLL Rp 2,112,000.00 761 KALLISTA
LEVOFLOXACIN, DLL Rp 4,779,632.00 760 KALLISTA
CEFOPERAZONE, DLL Rp 12,100,000.00 2 PPG
UMARONE, DLL Rp 2,931,500.00 4003 PPG
LACTO B Rp 498,432.00 1576 AMS
OMEVELL Rp 4,468,750.00 1573 AMS
NOXETINE, DLL Rp 5,614,400.00 1577 AMS
CRAVOX, DLL Rp 9,683,300.00 724 KALLISTA
SYMBICORT Rp 2,985,290.00 5065 APL
PULMICORT Rp 2,075,480.00 4744 APL
HARNAL, DLL Rp 2,528,405.00 4997 APL
SYMBICORT Rp 2,985,290.00 4745 APL
OI TRIHEXYPHENIDYL Rp 503,063.00 62 IGM
MEFIX, DLL Rp 1,100,000.00 484 MPI
PIOGLITAZONE, DLL Rp 742,500.00 4931 MBS
TARIVID Rp 804,650.00 955 ENSEVAL
RANITIDIN, DLL Rp 1,261,260.00 1416 AMS
MICROLAX Rp 8,109,063.00 1398 AMS
CEFOTAXIME, DLL Rp 5,642,479.00 5555 LMS
VIPALBUMIN, DLL Rp 9,405,000.00 151 SPP
TREMENZA, DLL Rp 822,071.00 1888 BSP
MICROLAX, DLL Rp 2,494,817.00 1391 AMS
DUMIN, DLL Rp 2,715,500.00 832 TOMBO
SALBUTAMOL Rp 81,840.00 8318 KEBAYORAN
ASTAR, DLL Rp 1,952,500.00 8325 KEBAYORAN
THYROZOL, DLL Rp 1,947,000.00 874 AAM
INBUMIN, DLL Rp 1,663,750.00 980 AAM
INBUMIN, DLL Rp 2,626,250.00 803 AAM
ADALAT Rp 5,922,000.00 4416 PPG
ACARBOSE, DLL Rp 11,910,175.00 4234 PPG
PYREX Rp 572,000.00 887 KALLISTA
SPIRIVA Rp 9,060,000.00 9332 TEMPO
SIFROL, DLL Rp 1,408,000.00 9274 TEMPO
BEROTEC, DLL Rp 10,801,900.00 1499 TEMPO
NORAGES, DLL Rp 1,482,250.00 615 MPI
NEUROAID Rp 5,001,474.00 107 MPI
PROMEDEX Rp 1,907,812.50 5474 MBS
ALCO Rp 1,577,125.00 5523 MBS
OPINEURON Rp 470,250.00 5417 MBS
INTERBI, DLL Rp 1,534,843.75 982 MBS
ESOMAX, DLL Rp 3,385,800.00 9530 MBS
KETOMED, DLL Rp 5,797,971.00 283 SPP
MEROPENEM, DLL Rp 1,408,000.00 2007 AMS
SERUM BLO Rp 1,320,000.00 6526 PPG
KABIVEN Rp 1,815,000.00 5212 APL
HARNAL, DLL Rp 4,534,343.00 5221 APL
BISOLVON, DLL Rp 1,551,544.00 5664 LMS
REGUMEN Rp 1,216,215.00 2769 BSP
INFUSAN Rp 131,918.00 2771 BSP
MASTER Rp 3,232,232.00 2970 BSP
BRALIFEX, DLL Rp 996,353.00 2795 BSP
GLINOV Rp 5,953,674.00 1704 AMS
QUETVELL Rp 1,409,780.00 1770 AMS
METRONIDAZOLE, DLL Rp 3,600,960.00 1747 AMS
HEMOCAINE Rp 475,000.00 862 TOMBO
INFIMYCIN, DLL Rp 1,643,400.00 6903 UDC
LEVOCETIRIZINE Rp 945,000.00 346 KEBAYORAN
TONOR Rp 2,027,153.00 351 PENTA
DONACEPT DLL Rp 2,161,830.00 2257 AMS
INFUSAN Rp 2,779,920.00 3219 BSP
INFUSAN Rp 2,843,280.00 3218 BSP
LEVEMIR, DLL Rp 8,547,499.00 1007 AAM
BEROTEC, DLL Rp 831,900.00 9333 TEMPO
OPICEF, DLL Rp 726,275.00 8316 MENSA
GXSRD2N Rp 3,790,402.00 5505 APL
KETOROLAC DLL Rp 6,677,880.00 268 PENTA
PYREXIN Rp 1,486.00 917 KALISTTA
PROCLOZAM Rp 1,925.00 916 KALISSTA
CODEINI DLL Rp 7,494,850.00 1654 KIMIA FAR
TUBE Rp 271,200.00 879 TOMBO
UPHEDRINE Rp 1,375.00 5513 DMA
TREHENZA Rp 1,219,968.00 3774 BSP
LAFALOS Rp 1,547,859.00 4066 BSP
MBCOBALAMINE DLL Rp 5,858,492.00 414 PENTA
DICLOFENAC Rp 153,450.00 413 PENTA
CETIRIZINE Rp 163,625.00 468 PENTA
KLODERMA Rp 557,507.00 507 PENTA
TIMOL DLL Rp 367,056.00 508 PE,-
ONDANSETRON, DLL Rp 386,100.00 527 PENTA
ONDANSETRON, DLL Rp 308,000.00 579 PENTA
NIPE Rp 352,000.00 6326 APL
NACL, DLL Rp 981,695.00 6068 LMS
OKSIGEN Rp 1,242,200.00 7374

OKSIGEN Rp 939,700.00 7412 ERKA
SPUIT, DLL Rp 1,779,400.00 751 TOMBO
ONE SWAB, DLL Rp 10,582,475.00 733 TOMBO
PD GLOVES, DLL Rp 4,180,000.00 440 AMS
AQUASONIC Rp 1,482,030.00 48 AMJ
ALKHOLOL, DLL Rp 6,877,255.00 43 AMJ
T-DIO, DLL Rp 10,066,100.00 764 TOMBO
KRUK PREMIUM Rp 561,000.00 117 AMJ
ST GAMMEX, DLL Rp 2,475,000.00 131 AMJ
DIABETASOL Rp 378,070.00 5797 ENSEVAL

NUTRIBABY Rp 2,217,490.00 1219 TIGARAKSA
OKSIGEN Rp 1,338,800.00 7322 ERKA
POT URINE Rp 259,163.00 202 AMJ
FC RUSCH, DLL Rp 6,973,093.00 177 AMJ
ST GAMMEX, DLL Rp 1,650,000.00 178 AMJ
OPSITE Rp 3,911,000.00 843 ENSEVAL
DELIVERY, DLL Rp 4,831,200.00 14 DM
HANSAPLAST, DLL Rp 18,820,000.00 798 TOMBO
SARKODE RED Rp 825,000.00 323 AMJ
FC RUSCH, DLL Rp 2,400,283.00 322 AMJ
ALKOHOL,DLL Rp 3,955,683.00 260 AMJ
T PLAIN, DLL Rp 20,361,600.00 817 TOMBO
T-VIO Rp 2,346,740.00 431 AMJ
CATGUT Rp 2,292,127.00 427 AMJ
BLOODSET Rp 2,610,000.00 376 AMJ
LOMATUELL Rp 1,630,200.00 1270 AMS
FEEDING, DLL Rp 4,000,000.00 833 TOMBO
T - VIO, DLL Rp 14,040,028.00 820 TOMBO
BLOOD SET Rp 11,870,650.00 397 MMM
ETT WITH, DLL Rp 283,250.00 399 MMM
FEEDING, DLL Rp 482,500.00 847 TOM
SLANG, DLL Rp 1,079,925.00 545 AMJ
MONOSYN, DLL Rp 4,293,000.00 895 TOMBO
LUMBAL CORSET Rp 13,750,000.00 OXY
KAPSUL, DLL Rp 3,255,283.00 920 TOMBO
NESCO, Rp 1,000,000.00 921 TOMBO
BLADE, DLL Rp 3,450,195.00 87 AMJ
STARDINE, DLL Rp 4,075,500.00 3758 AMS
MIKROZID, DLL Rp 3,550,283.00 936 TOMBO
H202 Rp 60,610.00 915 AMJ
NESCO, Rp 2,821,500.00 913 AMJ
GYPSONA, DLL Rp 2,125,013.00 877 AMJ
PAPER Rp 660,000.00 868 AMJ
FOLLEY, DLL Rp 8,978,124.00 1024 MMM
SUCTION, DLL Rp 150,050.00 999 AMJ
U PAD Rp 572,220.00 1000 AMJ
ECOFIX Rp 774,400.00 4000 MMA
HERNIA, DLL Rp 7,196,250.00 957 TOMBO
KASA GULUNG Rp 742,500.00 9641 TOMBO
SPUIT, DLL Rp 5,438,250.00 974 TOMBO
3 MAY, DLL Rp 3,595,114.00 1201 AMJ

VASELIN Rp 156,145.00 1172 AMJ
LOMATUELL, DLL Rp 4,138,200.00 5274 AMS
PD PEN Rp 365,750.00 5336 AMS
WOMAN CHOICE Rp 597,245.00 8089 DNR0
T VIO Rp 2,316,740.00 1250 AMJ
T HERNIA Rp 1,202,850.00 1247 AMJ
GELSPON Rp 742,500.00 1224 AMJ
SPUIT Rp 230,000.00 1000 TOMBO
GUEDEL, DLL Rp 4,833,440.00 1364 MMM
FORMALIN Rp 850,000.00 261 TOMBO
KERTAS NST, DLL Rp 2,660,000.00 1023 TOMBO
FOLLEY, DLL Rp 3,075,000.00 1037 TOMBO
STARDINE, DLL Rp 4,075,500.00 6317 AMS
HANSAPLAST, DLL Rp 363,000.00 1400 AMJ
NOVA T, DLL Rp 1,552,035.00 1398 AMJ
USG PAPER Rp 2,103,750.00 AAM
KAPSUL Rp 196,000.00 431 TOMBO
SUCTION Rp 37,530.00 1507 AMJ
NOVA T Rp 666,193.00 1526 AMJ
EXTENSION, DLL Rp 4,102,176.00 1469 AMJ
POLYFLEX Rp 2,277,040.00 1448 AMJ
IV CANNULA, DLL Rp 4,336,750.00 7438 AMS
HAND SCOON, DLL Rp 1,246,900.00 1589 COBRA
CATGUT, DLL Rp 6,686,430.00 1069 TOMBO
BLOODSET Rp 2,640,000.00 1581 AMJ
TRITON Rp 2,346,740.00 1595 AMJ
NEEDLE Rp 620,000.00 1079 TOMBO
GIGASYME Rp 1,813,185.00 1094 TOMBO
KASA GULUNG, DLL Rp 23,436,468.00 1098 TOMBO
BLOODSET, DLL Rp 5,656,145.00 1712 AMJ
SALIVA Rp 150,600.00 5820 COBRA
LOMATUELL, DLL Rp 7,116,450.00 7909 AMS
NOVO, DLL Rp 3,289,000.00 1133 TOMBO
NASAL, DLL Rp 3,471,800.00 1115 TOMBO
KRUK PREMIUM Rp 561,000.00 1769 AMJ
AQUASONIC Rp 6,345,955.00 1790 AMJ
SAFETY BOX Rp 879,370.00 10/13/1921 AMJ
OKSIGEN 25 Rp 1,512,500.00 7461 ERKA
OKSIGEN 15, 6 Rp 1,100,700.00 7501 ERKA
OKSIGEN 15,3 Rp 1,004,100.00 7613 ERKA
OKSIGEN 20,2 Rp 1,274,400.00 7648 ERKA
OKSIGEN 25,1 Rp 1,544,700.00 7552 ERKA
OKSIGEN 4 Rp 128,800.00 7677 ERKA
OKSIGEN 20,2 Rp 1,210,000.00 7716 ERKA

OKSIGEN 20,4 Rp 1,338,800.00 7770 ERKA
PEDIASURE Rp 149,935.00 2220 AAM
FBABY Rp 1,829,256.00 2898 BAHAGIA
OKSIGEN 20,2 Rp 1,274,000.00 7835 ERKA
OKSIGEN 30 Rp 1,815,000.00 7870 ERKA
ISOCAL Rp 556,366.00 2815 AAM
OKSIGEN 2 Rp 64,400.00 7903 ERKA
TS SWEETENER, DLL Rp 135,328.00 6852 AMS
ASEPTAN Rp 1,089,000.00 1439 AMJ
ALKOHOL Rp 1,851,133.00 1438 AMJ
OKSIGEN 10 Rp 605,000.00 7931 ERKA
OKSIGEN 20,2 Rp 1,274,000.00 7962 ERKA
OKSIGEN 20,1 Rp 1,242,200.00 8010 ERKA
OKSIGEN Rp 2,217,490.00
OKSIGEN 20,6 Rp 1,403,200.00 8055 ERKA
OKSIGEN 20,1 Rp 1,242,200.00 8089 ERKA
OKSIGEN 30 Rp 96,600.00 8124 ERKA
MONOSYN, DLL Rp 4,293,000.00 895 TOMBO
LUMBAL Rp 13,750,000.00 OXY
KAPSUL, DLL Rp 3,255,283.00 920 TOMBO
NAMA OBAT HARGA NO NOTA PERUSAHAAN
MASKER EARLOOP , DLL Rp 1,752,383.00 7/4/1905 AMJ

OKSIGEN 25,4 Rp 1,641,300.00 9/18/1922 ERKA
MASKER BARLOOP NUMED Rp 1,276,000.00 3/12/1906 FJ
LASAL NABU, DLL Rp 3,014,536.00 1/31/1900 KP
NORRENIA TABLET 2 MG, DLL Rp 11,136,359.00 10/16/1921 AS
ASTAR C/O Rp 462,000.00 5/10/1903 KP
NOVAROPID, DLL Rp 4,350,000.00 10/7/1912 AAM
TAVORID OTIC XOLUTTION Rp 836,000.00 3/1/1908 EPM
SOLVINEX Rp 2,200,000.00 3/19/1908 MPI
INFUSAN-NS SP Rp 2,779,920.00 12/10/1904 BSP
INFUSAN-RL SP Rp 2,843,280.00 12/11/1904 BSP
TRENENZA SYR Rp 439,725.00 3/6/1922 BSP
ESOMAX SERBUK INJEKSI, DLL Rp 406,841,875.00 12/8/1917 MBS
NACL 0,9%, DLL Rp 126,000.00 7/22/1921 LMS
CYCLO PROGYNOVA TAB, DLL Rp 4,893,740.00 4/19/1903 TU
AZIDHROMYCIN, DLL Rp 1,802,479.00 3/9/1912 KP
ANCLA FORTE DRY SUSPENSOINS,DLL Rp 2,961,750.00 11/6/1911 KP
CONCOR Rp 625,999.00 11/22/1912 DO
SPIRIVA Rp 4,530,000.00 4/1/1905 PT. TEMPO
BEROTECO Rp 4,945,950.00 3/31/1905 PT. TEMPO
LANTUS SOLOSTAR Rp 4,197,501.00 5/27/1905 FAKTUR
NASOMEX NASAL Rp 2,129,930.00 3/7/1906 FAKTUR
ERKA
NOTA FOTOCOPY,
NOTA FOTOCOPY,

OBAT

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6/11/2019 O 30/10 20/11 311 OMEPRAZOLW Rp 1,602,216.

6/11/2019 O 1/11/2019 1/12/2019 1 GENTAMICIN Rp 1,291,266.00

6/11/2019 B 1/11/2019 1/12/2019 1 ALKOHOL, DLL Rp 6,618,590.00

26/11 RS 7/11/2019 28/11 1 ISOCAL, Rp 556,366.00

12/4/2019 B 12/2/2019 12/23/2019 1 LOMATUELL, DLL Rp 4,974,200.00

12/4/2019 O 12/2/2019 1/1/2020 1 NOREPINEPHRINE Rp 2,805,000.00

18/12 O 4/12/2019 3/1/2019 32 LORATADINE, DLL Rp 8,574,358.00

18/12 O 4/12/2019 3/1/2019 51 BLEDSTOP Rp 180,000.00

18/12 O 9/2/2019 30/12 104 POSAFIT, DLL Rp 804,210.00

2/4/2020 RS 12/16/2020 1/15/2020 3

2/14/2020 B 2/1/2020 3/2/2020 2

OKSIGEN Rp 1,242,200.00 7374

DIABETASOL Rp 378,070.00 5797 ENSEVAL

3 MAY, DLL Rp 3,595,114.00 1201 AMJ

OKSIGEN 20,2 Rp 1,210,000.00 7716 ERKA

NAMA OBAT HARGA NO NOTA PERUSAHAAN

MASKER EARLOOP , DLL Rp 1,752,383.00 7/4/1905 AMJ

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