Ajuan April 2021

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No Nama Permintaan

1 OFERLOD TAB 3000


2 ONC.ABINGEM 1G 0
3 ONC.ABINGEM 200MG 0
4 ONC.ARIMIDEX 120
5 ONC.AROMASIN 25MG TAB 60
6 ONC.BICASTRA 50MG 180
7 ONC.BINECAP TAB 1500
8 ONC.BLEOCIN 15 MG INJ 30
9 ONC.CALCIUM FOLINAT INJ 200
10 ONC.CARBOPLATIN 150 INJ 10
11 ONC.CARBOPLATIN 450MG 40
12 ONC.CISPLATIN 10MG 40
13 ONC.CISPLATIN 50MG 50
14 ONC.CURACIL 500MG 200
15 ONC.CYCLOPHOSPHAMIDE 1G INJ 80
16 ONC.CYCLOPHOSPHAMIDE 200MG 90
17 ONC.CYTARABINE 1G INJ 10
18 ONC.DOCETAXEL 20MG INJ 0
19 ONC.DOCETAXEL EBEWE 80 MG 0
20 ONC.DOXORUBICIN0 10MG/5ML INJ 70
21 ONC.DOXORUBICIN0 10MG/5ML INJ 50
22 ONC.ENDOXAN 1G INJ 0
23 ONC.ENDROLIN 3,75MG 25
24 ONC.EPIRUBICIN 10MG 50
25 ONC.EPIRUBICIN 50MG 30
26 ONC.ERBITUX 100MG INJ 0
27 ONC.ERLONIB 150MG TAB 90
28 ONC.ETOPUL 20 MG/ML INJ 100
29 ONC.FLUOROURACIL INJ 500MG/10ML 0
30 ONC.FONCOGEM 200MG INJ 30
31 ONC.FONKOGEM 1G INJ 10
32 ONC.FONKOPAC 100MG INJ 150
33 ONC.FONKOPAC 30MG INJ 100
34 ONC.GEMCITABINE EBEWE 1G INJ 0
35 ONC.GRANOCYTE INJ 0
36 ONC.HAEMOCTIN 250 IU 5
37 ONC.HERCEPTIN 440MG INJ 0
38 ONC.HOLOXAN 1G INJ 0
39 ONC.HOLOXAN 2G INJ 0
40 ONC.IMATERO 100MG TAB 420
41 ONC.IMATERO 400MG TAB 0
42 ONC.IRINOTECAN HCL 100MG/5ML 0
43 ONC.IRINOTECAN HCL 40MG/2ML 0
44 ONC.LEBREST TAB 2.5MG 1200
45 ONC.LEUNASE INJ 10
46 ONC.NAVELBINE 10MG INJ 50
47 ONC.REDDITUX 100MG INJ 6
48 ONC.REDDITUX 500MG INJ 5
49 ONC.REXTA 50MG INJ 100
50 ONC.SANDIMUN NEORAL 50MG TAB 600
51 ONC.TAMOFEN 10MG 4050
52 ONC.TASIGNA 150MG CAP 0
53 ONC.TEMOTERO 100MG TAB 0
54 ONC.TEMOTERO 20MG TAB 0
55 ONC.TYKERB 250MG TAB 150
56 ONC.UROMITEXAN 400MG (MESNA) 0
57 ONC.VINCRISTINE 2MG INJ 20
58 ONC.VINCRISTINE 1MG INJ 10
59 ONC.ZOLADEX 10,8MG INJ 2
60 ONC.ZOLADEX 3,6 INJ 20
61 ONC.ZOLEDRONIC ACID INJ 2
62 herzemab 5
63 mtx inj 20
64 ASK.FERRIPROX SYR 250ML 50
65 onc.dounorubicin 20
66 DEFERASIROX 500MG TAB 588
67 DEFERASIROX 250MG TAB 1200
No Nama Item Jumlah
1 ACETYCYSTEIN 200MG KAP 200
2 ALKOHOL SWAB 2000
3 AMBROXOL SYR 20
4 AMBROXOL TAB 50
5 AMLODIPINE 5 TAB 100
6 ANBACIM 1G INJ 40
7 AQUA 25 ML OTS 500
8 ASAM MEFENAMAT 500 TAB 100
9 ASAM TRANEXAMAT 500MG TABL 100
10 ASK.ALPRAZOLAM 1MG 0
11 ASK.AMLODIPIN 10 TAB 100
12 ASK.ANTASIDA SYR 20
13 ASK.AS TRANEKSAMAT 250 INJ 0
14 ASK.AZITROMYCIN 500 MG TAB 0
15 ASK.BETAMETASON 0,1 % 5 G CR 20
16 ASK.CA LACTAS 500 1500
17 ASK.CANDESARTAN .8MG TAB 60
18 ASK.CANDESARTAN 16MG TAB 60
19 ASK.CEFADROXIL 500 TAB 100
20 ASK.CEFIXIME 100 CAP 100
21 ASK.CEFIXIME 200 CAP 100
22 ASK.CETIRIZIN TABLET 200
23 ASK.DEXAMETHASON INJ 300
24 ASK.DEXAMETHASONE 0,5 TAB 2000
25 ASK.EUTHYROX 100MCG TAB 100
26 ASK.FOLIC ACID 1MG TAB 7000
27 ASK.HYDROCORTISON 2,5% CR 20
28 ASK.HYDROXYUREA CAP 400
29 ASK.KETOROLAC 30 INJ 30
30 ASK.KSR 600MG 100
31 ASK.LORATADINE TABL 100
32 ASK.METFORMIN 500 200
33 ASK.METHYLPREDNISOLON 8 MG 200
34 ASK.METHYLPREDNISOLONE 16MG 200
35 ASK.METHYLPREDNISOLONE TAB 200
36 ASK.MINIASPI TAB 200
37 ASK.MST 10 TAB 50
38 ASK.NATRIUM DIKLOFENAK 50 MG 200
39 ASK.ONDANSETRON 4 TAB 1400
40 ASK.ONDANSETRON 8MG INJ 500
41 ASK.OSTOVEL CAP 30
42 ASK.PARACETAMOL SYR 20
43 ASK.PARACETAMOL TAB 500
44 ASK.RANITIDIN INJ 300
45 ASK.SPIRONOLAKTON 100 30
46 ASK.SUCRALFATE SUSP 100ML 30
47 ASK.SUPRAFENID SUPP 10
48 ASK.TAMBAH DARAH TABLET 400
49 ASK.VIT B6 TAB 3000
50 ASK.VIT K TAB 50
51 BIOCREAM CRM 10
52 BISOPROLOL 2,5MG 150
53 CETIRIZINE SYR 5
54 CIPROFLOXASIN 500 100
55 CLIDIAZ TAB 50
56 CURCUMA TABL 100
57 D5%BBRAUN 50
58 DEXKETOPROFEN 25MG TAB 1000
59 DISP. 1 CC TUBER (TERUMO) 0
60 DISP. 20ML BD 300
61 DISP. 5 CC STERA 100
62 FAKTU SUPP 10
63 GENTAMYCIN SALEP KULIT 10
64 GLOVE NON STERIL M POWDER 300
65 GLOVE TROGE 7,5 100
66 HANSAPLAST KECIL 350
67 IBUPROFEN 400MG TAB 500
68 INTRAFIX PRIMELINE 300
69 INTROCAN 20 50
70 INTROCAN 22 300
71 INTROCAN 24 300
72 KALIUM DIKLOFENAK 50MG 500
73 KCL 25 15
74 KETOPROFEN 100 TAB 800
75 LACTO B SACH 20
76 LACTULOSA SYR 60ML 10
77 LEUKOMED 6X8CM 200
78 LEVOFLOXACIN TAB 50
79 LOREMID TAB 100
80 MECOBALAMIN 500MG CAPS 300
81 MELOXICAM 7,5 TAB 200
82 MGSO4 20% 25 ML 12
83 NACL 0,9% BBRAUN 1000
84 NEEDLE 18 500
85 NEUROSANBE 5000 INJ 10
86 NUTRANEX 500MG TABLET 100
87 OKPLAST BULAT 25MM 200
88 OMEPRAZOL CAP 3000
89 ONDANSETRON 8MG TABL 100
90 PARACETAMOL SYR 10
91 PARAFILM 1500
92 PREDNISON 5 TAB 1500
93 RL BBRAUN 250
94 SAN-B PLEK DROP 5
95 SANVITA B SYR 50
96 SANTA E CAP 1000
97 TRAMADOL 50MG KAP 100
98 TRANFUSION SET OTS 200
99 UNDER PAD 30
100 VIT B COMP TAB KF 4000
101 VIT C 500MG TAB.DK 3000
102 VOXAMED TAB 60
103 ZINK DISP. TABL 50

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