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Lplpo PKM Pad - Lam 2021
Lplpo PKM Pad - Lam 2021
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1 acyclovir cream tube 5,450.00 34 Rp 185,300.00 Rp - Rp - 34 Rp 185,300.00 0 Rp - 34 Rp 185,300.00
2 acyclovir tab 200 mg tab 737.00 400 Rp 294,800.00 Rp - Rp - 400 Rp 294,800.00 0 Rp - 400 Rp 294,800.00
3 acetyl cystein 200 mg tab 369.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
4 Aminofilin inj 24 mg/ml 10 ml amp 2,878.00 0 Rp - Rp - Rp - Rp - 0 Rp - 0 Rp -
5 Aminofilin tablet 200 mg tab 95.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
6 Allopurinol tablet 100 mg tab 275.00 700 Rp 192,500.00 Rp - Rp - 700 Rp 192,500.00 200 Rp 55,000.00 500 Rp 137,500.00
7 Ambroxol Syr 15 mg/5 ml Btl 6,237.00 49 Rp 305,613.00 Rp - Rp - 49 Rp 305,613.00 3 Rp 18,711.00 46 Rp 286,902.00
8 Ambroxol tablet tab 227.70 600 Rp 136,620.00 Rp - Rp - 600 Rp 136,620.00 400 Rp 91,080.00 200 Rp 45,540.00 800
9 Amlodipin 10 mg tab 94.00 600 Rp 56,400.00 Rp - Rp - 600 Rp 56,400.00 100 Rp 9,400.00 500 Rp 47,000.00
10 amlodipin 5 mg tab 74.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp - 300
11 amoxicillin kaplet 500 mg tab 770.00 1870 Rp 1,439,900.00 Rp - 500 Rp 385,000.00 2370 Rp 1,824,900.00 820 Rp 631,400.00 1550 Rp 1,193,500.00 500
12 amoxicillin sirup kering 125 mg/ 5ml btl 1,919.00 146 Rp 280,174.00 Rp - Rp - 146 Rp 280,174.00 20 Rp 38,380.00 126 Rp 241,794.00
13 amoxicillin syrup kering 250 mg/5ml btl 3,604.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
14 Amoxicillin 100 mg/ml drops btl 11,500.00 70 Rp 805,000.00 Rp - Rp - 70 Rp 805,000.00 70 Rp 805,000.00 0 Rp - exp
15 Ampicillin Injeksi amp 7,920.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
16 antasida DOEN tablet kunyah tab 60.00 750 Rp 45,000.00 Rp - Rp - 750 Rp 45,000.00 150 Rp 9,000.00 600 Rp 36,000.00
17 antasida DOEN syrup btl 2,239.00 36 Rp 80,604.00 Rp - 50 Rp 111,950.00 86 Rp 192,554.00 20 Rp 44,780.00 66 Rp 147,774.00 50
18 anti bakteri DOEN salep kombinasi : basitrasin tube 3,490.00 25 Rp 87,250.00 Rp - Rp - 25 Rp 87,250.00 0 Rp - 25 Rp 87,250.00
19 anti fungi salep tube 5,170.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
95 metilergometrin maleat tab 245.00 250 Rp 61,250.00 Rp - Rp - 250 Rp 61,250.00 250 Rp 61,250.00 0 Rp - 300 exp
96 metilprednisolon tab 4 mg tab 148.00 2200 Rp 325,600.00 Rp - 500 Rp 74,000.00 2700 Rp 399,600.00 400 Rp 59,200.00 2300 Rp 340,400.00 500
97 Metoklorpamide tablet tab 87.00 100 Rp 8,700.00 Rp - Rp - 100 Rp 8,700.00 0 Rp - 100 Rp 8,700.00 200
98 metoklopramide inj 5mg/ml amp 3,904.00 7 Rp 27,328.00 Rp - Rp - 7 Rp 27,328.00 0 Rp - 7 Rp 27,328.00
99 metronidazol tablet 250 mg tab 254.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
100 metronidazol tablet 500 mg tab 264.00 600 Rp 158,400.00 Rp - Rp - 600 Rp 158,400.00 100 Rp 26,400.00 500 Rp 132,000.00
101 MgSO4 OTSU btl 3,328.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
102 miconasole krim 2 % slp 4,125.00 78 Rp 321,750.00 Rp - Rp - 78 Rp 321,750.00 10 Rp 41,250.00 68 Rp 280,500.00
103 micardis ( Telmisartatn 40 ) tab 3,045.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
104 Mineral mix sac 3,116.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
105 Multivitamin syr btl 8,530.00 225 Rp 1,919,250.00 Rp - Rp - 225 Rp 1,919,250.00 12 Rp 102,360.00 213 Rp 1,816,890.00
106 natrium diclofenac tab 50 mg tab 136.00 800 Rp 108,800.00 Rp - Rp - 800 Rp 108,800.00 800 Rp 108,800.00 0 Rp - 1000 exp
107 natrium klorida larutan infus 0,9% btl 6,410.00 24 Rp 153,840.00 Rp - 20 Rp 128,200.00 44 Rp 282,040.00 0 Rp - 44 Rp 282,040.00
108 NIFEDIPIN TAB 10 MG tab 220.17 150 Rp 33,025.50 Rp - Rp - 150 Rp 33,025.50 0 Rp - 150 Rp 33,025.50
109 Nistatin tab vag 100.000 IU tab 645.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
110 New Antides ( attapulgit ) tab 149.00 200 Rp 29,800.00 Rp - Rp - 200 Rp 29,800.00 0 Rp - 200 Rp 29,800.00
111 oksitetrasiklin HCL salep mata 1 % slp 2,600.00 35 Rp 91,000.00 Rp - Rp - 35 Rp 91,000.00 35 Rp 91,000.00 0 Rp - 25 exp
112 oksitetrasiklin salep kulit 3% slp 3,556.00 75 Rp 266,700.00 Rp - Rp - 75 Rp 266,700.00 10 Rp 35,560.00 65 Rp 231,140.00
113 oksitosin inj 10 UI/ ml - 1ml amp 1,232.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
114 Omeprasol kapsul 20 mg kap 846.66 540 Rp 457,196.40 Rp - Rp - 540 Rp 457,196.40 0 Rp - 540 Rp 457,196.40
115 OAT Kategori I/ FDC pkt 430,538.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
116 paracetamol drops btl 7,646.00 36 Rp 275,256.00 Rp - Rp - 36 Rp 275,256.00 0 Rp - 36 Rp 275,256.00
117 paracetamol sirup 120 mg / 5 ml btl 3,750.00 90 Rp 337,500.00 Rp - Rp - 90 Rp 337,500.00 20 Rp 75,000.00 70 Rp 262,500.00
118 paracetamol tab 500 mg tab 154.00 1750 Rp 269,500.00 Rp - Rp - 1750 Rp 269,500.00 650 Rp 100,100.00 1100 Rp 169,400.00
119 piracetam 800 mg tab 480.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
120 pirantel tab score (base) 125 mg tab 353.00 100 Rp 35,300.00 Rp - Rp - 100 Rp 35,300.00 0 Rp - 100 Rp 35,300.00
121 piridoksin (vit B6)tab 10 mg (HCL) tab 52.00 1500 Rp 78,000.00 Rp - Rp - 1500 Rp 78,000.00 100 Rp 5,200.00 1400 Rp 72,800.00
122 piroxicam tab 20 mg tab 146.65 300 Rp 43,995.00 Rp - Rp - 300 Rp 43,995.00 0 Rp - 300 Rp 43,995.00
123 polikresulen btl 66,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
124 povidon lodida larutan 30 ml btl 3,479.30 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
125 povidon lodida larutan 300 ml btl 21,600.00 4 Rp 86,400.00 Rp - 2 Rp 43,200.00 6 Rp 129,600.00 1 Rp 21,600.00 5 Rp 108,000.00
126 prednison tab 5mg tab 79.00 300 Rp 23,700.00 Rp - Rp - 300 Rp 23,700.00 0 Rp - 300 Rp 23,700.00
127 Susu Proten Vanila klg 11,897.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
128 Ranitidine tab 122.00 400 Rp 48,800.00 Rp - Rp - 400 Rp 48,800.00 200 Rp 24,400.00 200 Rp 24,400.00 300
129 Ranitidine injeksi vial 1,677.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
130 retinol 100.000 IU kap lunak Biru kap 327.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
131 retinol 200.000 IU kap lunak Merah kap 637.00 100 Rp 63,700.00 Rp - Rp - 100 Rp 63,700.00 0 Rp - 100 Rp 63,700.00
132 ringer laktat larutan infus btl 7,150.00 58 Rp 414,700.00 Rp - Rp - 58 Rp 414,700.00 5 Rp 35,750.00 53 Rp 378,950.00
133 resperidon tab 1 mg tab 439.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
134 salbutamol tab 2 mg tab 147.00 600 Rp 88,200.00 Rp - Rp - 600 Rp 88,200.00 0 Rp - 600 Rp 88,200.00
135 salep 2-4 pot 3,017.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
136 salisil bedak 2% ktk 3,630.00 70 Rp 254,100.00 Rp - Rp - 70 Rp 254,100.00 0 Rp - 70 Rp 254,100.00
137 Samcodin tab 875.00 470 Rp 411,250.00 Rp - Rp - 470 Rp 411,250.00 170 Rp 148,750.00 300 Rp 262,500.00 500
138 Scabimite sembada salep Tube 11,475.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
139 simvastatin Tab 10 mg Tab 266.00 550 Rp 146,300.00 Rp - Rp - 550 Rp 146,300.00 100 Rp 26,600.00 450 Rp 119,700.00 400
140 tablet tambah darah tab 409.00 3570 Rp 1,460,130.00 Rp - Rp - 3570 Rp 1,460,130.00 390 Rp 159,510.00 3180 Rp 1,300,620.00
141 tetrasiklin kapsul 500 mg tab 324.00 100 Rp 32,400.00 Rp - Rp - 100 Rp 32,400.00 0 Rp - 100 Rp 32,400.00
142 trihexifenidil tab 2 mg tab 95.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
143 vitamin (vit B1) tab 50 mg (HCL/nitrat) tab 90.00 500 Rp 45,000.00 Rp - Rp - 500 Rp 45,000.00 200 Rp 18,000.00 300 Rp 27,000.00 200
144 vitamin B komplex tab tab 135.00 1300 Rp 175,500.00 Rp - Rp - 1300 Rp 175,500.00 500 Rp 67,500.00 800 Rp 108,000.00
145 Vaksin jerap TT 5 ml Vial 54,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
146 Vitamin B12 (Sianokobalamin) tab 48.00 600 Rp 28,800.00 Rp - Rp - 600 Rp 28,800.00 0 Rp - 600 Rp 28,800.00
147 Wicold syr btl 12,340.00 76 Rp 937,840.00 Rp - Rp - 76 Rp 937,840.00 11 Rp 135,740.00 65 Rp 802,100.00
148 zink tablet tab 604.00 300 Rp 181,200.00 Rp - Rp - 300 Rp 181,200.00 100 Rp 60,400.00 200 Rp 120,800.00 200
ALAT KESEHATAN Rp - Rp - 0 Rp - 0 Rp - Rp -
149 Alat suntik 1 ml set 1,138.50 50 Rp 56,925.00 Rp - Rp - 50 Rp 56,925.00 30 Rp 34,155.00 20 Rp 22,770.00 100
150 Alat suntik 3 ml set 910.80 132 Rp 120,225.60 Rp - Rp - 132 Rp 120,225.60 30 Rp 27,324.00 102 Rp 92,901.60
151 Alat Suntik 5 ml set 1,530.60 85 Rp 130,101.00 Rp - Rp - 85 Rp 130,101.00 0 Rp - 85 Rp 130,101.00
152 Alkohol Swabb set 121.00 200 Rp 24,200.00 Rp - 500 Rp 60,500.00 700 Rp 84,700.00 200 Rp 24,200.00 500 Rp 60,500.00
153 Bisturi pcs 1,500.00 76 Rp 114,000.00 Rp - Rp - 76 Rp 114,000.00 10 Rp 15,000.00 66 Rp 99,000.00
154 catgut/benang bedah 2/0 dengan jarum ktk 41,565.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
155 catgut/benang bedah 3/0 dengan jarum ktk 33,358.00 24 Rp 800,592.00 Rp - Rp - 24 Rp 800,592.00 0 Rp - 24 Rp 800,592.00
156 Silk Black 3/0 pcs 21,735.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
157 Silk (benang bedah sutera)no.3/0 dgn jarum pcs 48,993.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 24
bedah
158 kasa kompres 40 cm x 40 cm psg 1,942.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
159 handskun steril no. 6,5 psg 13,178.00 238 Rp 3,136,364.00 Rp - Rp - 238 Rp 3,136,364.00 69 Rp 909,282.00 169 Rp 2,227,082.00 100
160 handscoen genekolog/KIA psg 40,733.00 48 Rp 1,955,184.00 Rp - Rp - 48 Rp 1,955,184.00 0 Rp - 48 Rp 1,955,184.00
161 handscoen non steril psg 1,300.00 400 Rp 520,000.00 Rp - 200 Rp 260,000.00 600 Rp 780,000.00 100 Rp 130,000.00 500 Rp 650,000.00 200
162 Hipafix Pcs 48,235.00 2 Rp 96,470.00 Rp - 3 Rp 144,705.00 5 Rp 241,175.00 1 Rp 48,235.00 4 Rp 192,940.00
163 infusion set dewasa set 8,349.00 83 Rp 692,967.00 Rp - Rp - 83 Rp 692,967.00 5 Rp 41,745.00 78 Rp 651,222.00
164 folley catheter 10ml no 18 set 13,090.00 3 Rp 39,270.00 Rp - Rp - 3 Rp 39,270.00 0 Rp - 3 Rp 39,270.00
165 urine bag set 8,800.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
166 infusion set anak set 4,023.80 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 20
167 IV catherter no. 18 G buah 12,631.00 123 Rp 1,553,613.00 Rp - Rp - 123 Rp 1,553,613.00 0 Rp - 123 Rp 1,553,613.00
168 IV catherter no. 20 G buah 3,978.89 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
169 IV catheter no. 22 G buah 12,631.00 60 Rp 757,860.00 Rp - Rp - 60 Rp 757,860.00 10 Rp 126,310.00 50 Rp 631,550.00
170 IV catherter no. 24 G buah 4,717.00 68 Rp 320,756.00 Rp - Rp - 68 Rp 320,756.00 0 Rp - 68 Rp 320,756.00
171 IV catheter no. 26 G buah 11,000.00 40 Rp 440,000.00 Rp - Rp - 40 Rp 440,000.00 0 Rp - 40 Rp 440,000.00
172 kapas pembalut / absorben 250 gram buah 29,900.00 4 Rp 119,600.00 Rp - Rp - 4 Rp 119,600.00 2 Rp 59,800.00 2 Rp 59,800.00
173 kasa pembalut hidrofil 4 cm X 5 cm rol 304.00 100 Rp 30,400.00 Rp - Rp - 100 Rp 30,400.00 0 Rp - 100 Rp 30,400.00
174 kasa pembalut hidrofil 3 cm X 5 cm rol 730.25 100 Rp 73,025.00 Rp - Rp - 100 Rp 73,025.00 0 Rp - 100 Rp 73,025.00
175 kasa 4 X 15 rol 3,971.30 40 Rp 158,852.00 Rp - Rp - 40 Rp 158,852.00 0 Rp - 40 Rp 158,852.00
176 kasa hidrofil steril uk. 16 X 16 ktk 7,940.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
177 kasa hidrofil uk.40x80 cm rol 156,600.00 3 Rp 469,800.00 Rp - Rp - 3 Rp 469,800.00 0 Rp - 3 Rp 469,800.00
178 kasa hidrofil uk. 36 X 80 cm rol 97,175.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
179 kertas puyer pak 1,500.00 200 Rp 300,000.00 Rp - Rp - 200 Rp 300,000.00 0 Rp - 200 Rp 300,000.00
180 masker earloop set 3,600.00 300 Rp 1,080,000.00 Rp - 600 Rp 2,160,000.00 900 Rp 3,240,000.00 450 Rp 1,620,000.00 450 Rp 1,620,000.00
181 masker hijab set 4,020.00 50 Rp 201,000.00 Rp - Rp - 50 Rp 201,000.00 0 Rp - 50 Rp 201,000.00 600
182 masker N95 pcs 50,000.00 20 Rp 1,000,000.00 Rp - Rp - 20 Rp 1,000,000.00 3 Rp 150,000.00 17 Rp 850,000.00
183 Object Glass/ Slide Ktk 60,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
184 plester 5 yards x 2 inch rol 35,532.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
185 Polifix 5 cm x 5 m rol 42,780.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
186 Poli clean btl 78,200.00 11 Rp 860,200.00 Rp - Rp - 11 Rp 860,200.00 3 Rp 234,600.00 8 Rp 625,600.00 10
187 USG Gel btl 15,100.80 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 3
REAGENS Rp - Rp - 0 Rp - 0 Rp - Rp -
188 strep kolesterol nesco tube 250,000.00 3 Rp 750,000.00 Rp - 3 Rp 750,000.00 6 Rp 1,500,000.00 0 Rp - 6 Rp 1,500,000.00 3
189 strep glukosa tube 155,000.00 4 Rp 620,000.00 Rp - Rp - 4 Rp 620,000.00 2 Rp 310,000.00 2 Rp 310,000.00 10
190 strep as.urat tube 155,000.00 5 Rp 775,000.00 Rp - Rp - 5 Rp 775,000.00 2 Rp 310,000.00 3 Rp 465,000.00 10
191 Strip HB easy touch tube 290,000.00 2 Rp 580,000.00 Rp - Rp - 2 Rp 580,000.00 0 Rp - 2 Rp 580,000.00
192 Strip DBD ktk 69,333.33 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
193 Strip Malaria PCS 56,226.01 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
194 strip HBSAG/Hepatitis ktk 8,360.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
195 Tydal set 680,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
196 spiritus btl 55,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
197 tes kehamilan strip 1,980.22 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
198 ABO Screen set 479,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
199 Pot Dahak bh 2,863.33 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
200 Aquadest Steril ktk 21,039.70 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
201 Gel USG 250 ml btl 15,100.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
202 Urine test btl 358,914.60 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
203 HCL 0,1 N btl 12,376.10 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
204 EDTA 10% 100 ml btl 86,634.90 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
205 Fouchet btl 250,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
206 Giemsa btl 450,000.00 Rp - Rp - 0
207 Immerson Oil btl 596,541.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
208 Lar. Eosin 2% 50 ml btl 99,011.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
209 Nat. Sitrat 3,8 % 100 ml btl 49,505.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
210 Asam Sulfosalisilat 20% btl 81,683.80 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
211 Turk 100 ml btl 49,505.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
212 Knipet Kuning buah 198.02 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
213 knipet Putih buah 222.78 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
214 Hayem btl 110,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
215 lancets set 192.00 500 Rp 96,000.00 Rp - Rp - 500 Rp 96,000.00 200 Rp 38,400.00 300 Rp 57,600.00 200
216 Sylene 100 mg btl 100,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
217 Viro Check HIV 1/2 PCS 12,103.53 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
218 Rapid 1 HIV(SD) HIV 1/2 Cassette pcs 11,975.00 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
219 SO Biorin Shypilis pcs 7,395.00 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
220 RDT IMS Syphylis ktk 20,400.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
OBAT GIGI Rp - Rp - 0 Rp - 0 Rp - Rp -
221 Atzen Gel 7-EICH btl 126,000.00 0 Rp - Rp - 0 Rp - 0 Rp - Rp -
222 cotton rol rol 92.40 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
223 citojek ktk 1,400.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
224 Etil Klorida btl 175,010.00 6 Rp 1,050,060.00 Rp - Rp - 6 Rp 1,050,060.00 1 Rp 175,010.00 5 Rp 875,050.00
225 Eugenol Cairan btl 21,648.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
226 Kalsium Hidroksida Pasta tube 300,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
227 Deviatlilsasi Pasta (Non Arsen ) tube 869,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
228 Glass ionomert cement tube 650,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
229 saliva ejector buah 2,100.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
230 Semen seng Fosfat serbuk dan cair tube 753,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
231 septocain amp 28,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
232 micro aplikator buah 700.00 100 Rp 70,000.00 Rp - Rp - 100 Rp 70,000.00 0 Rp - 100 Rp 70,000.00
233 Mummifying Pasta tube 984,500.00 0 Rp - Rp - Rp - 0 Rp - Rp - Rp -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 acyclovir cream tube 5,450.00 34 Rp 185,300.00 Rp - Rp - 34 Rp 185,300.00 0 Rp - 34 Rp 185,300.00
2 acyclovir tab 200 mg tab 737.00 400 Rp 294,800.00 Rp - Rp - 400 Rp 294,800.00 0 Rp - 400 Rp 294,800.00
3 acetyl cystein 200 mg tab 369.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 1000
4 Aminofilin inj 24 mg/ml 10 ml amp 2,878.00 0 Rp - Rp - Rp - Rp - 0 Rp - 0 Rp -
5 Aminofilin tablet 200 mg tab 95.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100
6 Allopurinol tablet 100 mg tab 275.00 500 Rp 137,500.00 Rp - Rp - 500 Rp 137,500.00 0 Rp - 500 Rp 137,500.00
7 Ambroxol Syr 15 mg/5 ml Btl 6,237.00 46 Rp 286,902.00 Rp - Rp - 46 Rp 286,902.00 5 Rp 31,185.00 41 Rp 255,717.00
8 Ambroxol tablet tab 227.70 200 Rp 45,540.00 Rp - 800 Rp 182,160.00 1000 Rp 227,700.00 0 Rp - 1000 Rp 227,700.00
9 Amlodipin 10 mg tab 94.00 500 Rp 47,000.00 Rp - Rp - 500 Rp 47,000.00 200 Rp 18,800.00 300 Rp 28,200.00 200
10 amlodipin 5 mg tab 74.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 300
11 amoxicillin kaplet 500 mg tab 770.00 1550 Rp 1,193,500.00 Rp - 500 Rp 385,000.00 2050 Rp 1,578,500.00 200 Rp 154,000.00 1850 Rp 1,424,500.00 500
12 amoxicillin sirup kering 125 mg/ 5ml btl 1,919.00 126 Rp 241,794.00 Rp - Rp - 126 Rp 241,794.00 17 Rp 32,623.00 109 Rp 209,171.00
13 amoxicillin syrup kering 250 mg/5ml btl 3,604.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
14 Amoxicillin 100 mg/ml drops btl 11,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
15 Ampicillin Injeksi amp 7,920.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
16 antasida DOEN tablet kunyah tab 60.00 600 Rp 36,000.00 Rp - Rp - 600 Rp 36,000.00 100 Rp 6,000.00 500 Rp 30,000.00
17 antasida DOEN syrup btl 2,239.00 66 Rp 147,774.00 Rp - 50 Rp 111,950.00 116 Rp 259,724.00 16 Rp 35,824.00 100 Rp 223,900.00
anti bakteri DOEN salep kombinasi :
18 tube 3,490.00 25 Rp 87,250.00 Rp - Rp - 25 Rp 87,250.00 0 Rp - 25 Rp 87,250.00
basitrasin
19 anti fungi salep tube 5,170.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 25
21 asam ascorbat (vitamin C ) Tablet 50 mg tab 120.28 1000 Rp 120,280.00 Rp - 1000 Rp 120,280.00 2000 Rp 240,560.00 300 Rp 36,084.00 1700 Rp 204,476.00 1000
36 clorfeniramina mealeat (CTM) tab 4 mg tab 24.00 500 Rp 12,000.00 Rp - 400 Rp 9,600.00 900 Rp 21,600.00 0 Rp - 900 Rp 21,600.00 ED
69 griseofulvin tablet 125 mg, micronized tab 223.00 750 Rp 167,250.00 Rp - Rp - 750 Rp 167,250.00 0 Rp - 750 Rp 167,250.00
86 lidokain injeksi 2% (HCL) + EPINEFRIN 1 : amp 1,317.00 47 Rp 61,899.00 Rp - 30 Rp 39,510.00 77 Rp 101,409.00 0 Rp - 77 Rp 101,409.00 30
80.000
87 lisol btl 133,000.00 4 Rp 532,000.00 Rp - Rp - 4 Rp 532,000.00 1 Rp 133,000.00 3 Rp 399,000.00
88 loperamid tab 2 mg tab 90.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100
89 loratadin tab 10 mg tab 127.00 1050 Rp 133,350.00 Rp - Rp - 1050 Rp 133,350.00 50 Rp 6,350.00 1000 Rp 127,000.00
90 Lexagin tab 190.30 0 Rp - Rp - Rp - Rp - 0 Rp - 0 Rp -
91 Melocxicam 7,5 mg Tab 830.28 700 Rp 581,196.00 Rp - Rp - 700 Rp 581,196.00 100 Rp 83,028.00 600 Rp 498,168.00 500
92 metampiron tab 500 tab 190.31 500 Rp 95,155.00 Rp - Rp - 500 Rp 95,155.00 0 Rp - 500 Rp 95,155.00
93 metformin tab 500 mg tab 102.00 800 Rp 81,600.00 Rp - Rp - 800 Rp 81,600.00 100 Rp 10,200.00 700 Rp 71,400.00
95 metilergometrin maleat tab 245.00 0 Rp - Rp - 200 Rp 49,000.00 200 Rp 49,000.00 0 Rp - 200 Rp 49,000.00 300
96 metilprednisolon tab 4 mg tab 148.00 2300 Rp 340,400.00 Rp - 500 Rp 74,000.00 2800 Rp 414,400.00 300 Rp 44,400.00 2500 Rp 370,000.00 500
97 Metoklorpamide tablet tab 87.00 100 Rp 8,700.00 Rp - 500 Rp 43,500.00 600 Rp 52,200.00 0 Rp - 600 Rp 52,200.00
98 metoklopramide inj 5mg/ml amp 3,904.00 7 Rp 27,328.00 Rp - Rp - 7 Rp 27,328.00 0 Rp - 7 Rp 27,328.00
99 metronidazol tablet 250 mg tab 254.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
100 metronidazol tablet 500 mg tab 264.00 500 Rp 132,000.00 Rp - Rp - 500 Rp 132,000.00 0 Rp - 500 Rp 132,000.00
101 MgSO4 OTSU btl 3,328.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
102 miconasole krim 2 % slp 4,125.00 68 Rp 280,500.00 Rp - Rp - 68 Rp 280,500.00 3 Rp 12,375.00 65 Rp 268,125.00
103 micardis ( Telmisartatn 40 ) tab 3,045.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
104 Mineral mix sac 3,116.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
105 Multivitamin syr btl 8,530.00 213 Rp 1,816,890.00 Rp - Rp - 213 Rp 1,816,890.00 14 Rp 119,420.00 190 Rp 1,620,700.00
106 natrium diclofenac tab 50 mg tab 136.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 1000
107 natrium klorida larutan infus 0,9% btl 6,410.00 44 Rp 282,040.00 Rp - Rp - 44 Rp 282,040.00 1 Rp 6,410.00 43 Rp 275,630.00
108 NIFEDIPIN TAB 10 MG tab 220.17 150 Rp 33,025.50 Rp - Rp - 150 Rp 33,025.50 0 Rp - 150 Rp 33,025.50
109 Nistatin tab vag 100.000 IU tab 645.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
110 New Antides ( attapulgit ) tab 149.00 200 Rp 29,800.00 Rp - Rp - 200 Rp 29,800.00 0 Rp - 200 Rp 29,800.00
111 oksitetrasiklin HCL salep mata 1 % slp 2,600.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 25
112 oksitetrasiklin salep kulit 3% slp 3,556.00 65 Rp 231,140.00 Rp - Rp - 65 Rp 231,140.00 6 Rp 21,336.00 59 Rp 209,804.00
113 oksitosin inj 10 UI/ ml - 1ml amp 1,232.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
114 Omeprasol kapsul 20 mg kap 846.66 540 Rp 457,196.40 Rp - Rp - 540 Rp 457,196.40 90 Rp 76,199.40 450 Rp 380,997.00
115 OAT Kategori I/ FDC pkt 430,538.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 1
116 paracetamol drops btl 7,646.00 36 Rp 275,256.00 Rp - Rp - 36 Rp 275,256.00 0 Rp - 36 Rp 275,256.00
117 paracetamol sirup 120 mg / 5 ml btl 3,750.00 70 Rp 262,500.00 Rp - Rp - 70 Rp 262,500.00 13 Rp 48,750.00 57 Rp 213,750.00
118 paracetamol tab 500 mg tab 154.00 1100 Rp 169,400.00 Rp - Rp - 1100 Rp 169,400.00 150 Rp 23,100.00 950 Rp 146,300.00 500
119 piracetam 800 mg tab 480.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
120 pirantel tab score (base) 125 mg tab 353.00 100 Rp 35,300.00 Rp - Rp - 100 Rp 35,300.00 0 Rp - 100 Rp 35,300.00
121 piridoksin (vit B6)tab 10 mg (HCL) tab 52.00 1400 Rp 72,800.00 Rp - Rp - 1400 Rp 72,800.00 200 Rp 10,400.00 1200 Rp 62,400.00
122 piroxicam tab 20 mg tab 146.65 300 Rp 43,995.00 Rp - Rp - 300 Rp 43,995.00 0 Rp - 300 Rp 43,995.00
123 polikresulen btl 66,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
124 povidon lodida larutan 30 ml btl 3,479.30 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
125 povidon lodida larutan 300 ml btl 21,600.00 5 Rp 108,000.00 Rp - Rp - 5 Rp 108,000.00 1 Rp 21,600.00 4 Rp 86,400.00 2
126 prednison tab 5mg tab 79.00 300 Rp 23,700.00 Rp - Rp - 300 Rp 23,700.00 0 Rp - 300 Rp 23,700.00
127 Susu Proten Vanila klg 11,897.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
128 Ranitidine tab 122.00 200 Rp 24,400.00 Rp - Rp - 200 Rp 24,400.00 100 Rp 12,200.00 100 Rp 12,200.00 500
129 Ranitidine injeksi vial 1,677.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
130 retinol 100.000 IU kap lunak Biru kap 327.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
131 retinol 200.000 IU kap lunak Merah kap 637.00 100 Rp 63,700.00 Rp - Rp - 100 Rp 63,700.00 Rp - 100 Rp 63,700.00
132 ringer laktat larutan infus btl 7,150.00 53 Rp 378,950.00 Rp - Rp - 53 Rp 378,950.00 10 Rp 71,500.00 43 Rp 307,450.00
133 resperidon tab 1 mg tab 439.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
134 salbutamol tab 2 mg tab 147.00 600 Rp 88,200.00 Rp - Rp - 600 Rp 88,200.00 100 Rp 14,700.00 500 Rp 73,500.00
135 salep 2-4 pot 3,017.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
136 salisil bedak 2% ktk 3,630.00 70 Rp 254,100.00 Rp - Rp - 70 Rp 254,100.00 5 Rp 18,150.00 65 Rp 235,950.00
137 Samcodin tab 875.00 300 Rp 262,500.00 Rp - 500 Rp 437,500.00 800 Rp 700,000.00 100 Rp 87,500.00 700 Rp 612,500.00 300
138 Scabimite sembada salep Tube 11,475.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
139 simvastatin Tab 10 mg Tab 266.00 450 Rp 119,700.00 Rp - 400 Rp 106,400.00 850 Rp 226,100.00 50 Rp 13,300.00 800 Rp 212,800.00 400
140 tablet tambah darah tab 409.00 3180 Rp 1,300,620.00 Rp - Rp - 3180 Rp 1,300,620.00 330 Rp 134,970.00 2850 Rp 1,165,650.00
141 tetrasiklin kapsul 500 mg tab 324.00 100 Rp 32,400.00 Rp - Rp - 100 Rp 32,400.00 0 Rp - 100 Rp 32,400.00
142 trihexifenidil tab 2 mg tab 95.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
143 vitamin (vit B1) tab 50 mg (HCL/nitrat) tab 90.00 300 Rp 27,000.00 Rp - 200 Rp 18,000.00 500 Rp 45,000.00 100 Rp 9,000.00 400 Rp 36,000.00 200
144 vitamin B komplex tab tab 135.00 800 Rp 108,000.00 Rp - Rp - 800 Rp 108,000.00 100 Rp 13,500.00 700 Rp 94,500.00 500
145 Vaksin jerap TT 5 ml Vial 54,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
146 Vitamin B12 (Sianokobalamin) tab 48.00 600 Rp 28,800.00 Rp - Rp - 600 Rp 28,800.00 0 Rp - 600 Rp 28,800.00
147 Wicold syr btl 12,340.00 65 Rp 802,100.00 Rp - Rp - 65 Rp 802,100.00 5 Rp 61,700.00 60 Rp 740,400.00
148 zink tablet tab 604.00 200 Rp 120,800.00 Rp - Rp - 200 Rp 120,800.00 0 Rp - 200 Rp 120,800.00 200
ALAT KESEHATAN Rp - Rp - 0 Rp - 0 Rp - Rp -
149 Alat suntik 1 ml set 1,138.50 20 Rp 22,770.00 Rp - Rp - 20 Rp 22,770.00 0 Rp - 20 Rp 22,770.00 100
150 Alat suntik 3 ml set 910.80 102 Rp 92,901.60 Rp - Rp - 102 Rp 92,901.60 5 Rp 4,554.00 97 Rp 88,347.60
151 Alat Suntik 5 ml set 1,530.60 85 Rp 130,101.00 Rp - Rp - 85 Rp 130,101.00 0 Rp - 85 Rp 130,101.00
152 Alkohol Swabb set 121.00 500 Rp 60,500.00 Rp - Rp - 500 Rp 60,500.00 400 Rp 48,400.00 100 Rp 12,100.00 500
153 Bisturi pcs 1,500.00 66 Rp 99,000.00 Rp - Rp - 66 Rp 99,000.00 0 Rp - 66 Rp 99,000.00
154 catgut/benang bedah 2/0 dengan jarum ktk 41,565.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
155 catgut/benang bedah 3/0 dengan jarum ktk 33,358.00 24 Rp 800,592.00 Rp - Rp - 24 Rp 800,592.00 0 Rp - 24 Rp 800,592.00
156 Silk Black 3/0 pcs 21,735.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
Silk (benang bedah sutera)no.3/0 dgn
157 jarum bedah pcs 48,993.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 24
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 acyclovir cream tube 5,450.00 34 Rp 185,300.00 Rp - Rp - 34 Rp 185,300.00 5 Rp 27,250.00 29 Rp 158,050.00
2 acyclovir tab 200 mg tab 737.00 400 Rp 294,800.00 Rp - Rp - 400 Rp 294,800.00 0 Rp - 400 Rp 294,800.00
3 acetyl cystein 200 mg tab 369.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 500
4 Aminofilin inj 24 mg/ml 10 ml amp 2,878.00 0 Rp - Rp - Rp - Rp - 0 Rp - 0 Rp -
5 Aminofilin tablet 200 mg tab 95.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100
6 Allopurinol tablet 100 mg tab 275.00 500 Rp 137,500.00 Rp - 300 Rp 82,500.00 800 Rp 220,000.00 0 Rp - 800 Rp 220,000.00
7 Ambroxol Syr 15 mg/5 ml Btl 6,237.00 41 Rp 255,717.00 Rp - Rp - 41 Rp 255,717.00 4 Rp 24,948.00 37 Rp 230,769.00
8 Ambroxol tablet tab 227.70 1000 Rp 227,700.00 Rp - Rp - 1000 Rp 227,700.00 150 Rp 34,155.00 850 Rp 193,545.00
9 Amlodipin 10 mg tab 94.00 300 Rp 28,200.00 Rp - 200 Rp 18,800.00 500 Rp 47,000.00 0 Rp - 500 Rp 47,000.00 500
10 amlodipin 5 mg tab 74.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 300
11 amoxicillin kaplet 500 mg tab 770.00 1850 Rp 1,424,500.00 Rp - 500 Rp 385,000.00 2350 Rp 1,809,500.00 2050 Rp 1,578,500.00 300 Rp 231,000.00 500 ED 1500
12 amoxicillin sirup kering 125 mg/ 5ml btl 1,919.00 109 Rp 209,171.00 Rp - 120 Rp 230,280.00 229 Rp 439,451.00 15 Rp 28,785.00 214 Rp 410,666.00
13 amoxicillin syrup kering 250 mg/5ml btl 3,604.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
14 Amoxicillin 100 mg/ml drops btl 11,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
15 Ampicillin Injeksi amp 7,920.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
16 antasida DOEN tablet kunyah tab 60.00 500 Rp 30,000.00 Rp - Rp - 500 Rp 30,000.00 50 Rp 3,000.00 450 Rp 27,000.00
17 antasida DOEN syrup btl 2,239.00 100 Rp 223,900.00 Rp - Rp - 100 Rp 223,900.00 10 Rp 22,390.00 90 Rp 201,510.00
18 anti bakteri salep kombinasi : basitrasin tube 3,490.00 25 Rp 87,250.00 Rp - Rp - 25 Rp 87,250.00 0 Rp - 25 Rp 87,250.00
21 asam ascorbat (vitamin C ) Tablet 50 mg tab 120.28 1700 Rp 204,476.00 Rp - 1000 Rp 120,280.00 2700 Rp 324,756.00 300 Rp 36,084.00 2400 Rp 288,672.00
36 clorfeniramina mealeat (CTM) tab 4 mg tab 24.00 900 Rp 21,600.00 Rp - 500 Rp 12,000.00 1400 Rp 33,600.00 1050 Rp 25,200.00 350 Rp 8,400.00 500 ED 900
69 griseofulvin tablet 125 mg, micronized tab 223.00 750 Rp 167,250.00 Rp - Rp - 750 Rp 167,250.00 0 Rp - 750 Rp 167,250.00
95 metilergometrin maleat tab 245.00 200 Rp 49,000.00 Rp - Rp - 200 Rp 49,000.00 200 Rp 49,000.00 0 Rp - 300 ED
96 metilprednisolon tab 4 mg tab 148.00 2500 Rp 370,000.00 Rp - 500 Rp 74,000.00 3000 Rp 444,000.00 400 Rp 59,200.00 2600 Rp 384,800.00
97 Metoklorpamide tablet tab 87.00 600 Rp 52,200.00 Rp - 500 Rp 43,500.00 1100 Rp 95,700.00 500 Rp 43,500.00 600 Rp 52,200.00
98 metoklopramide inj 5mg/ml amp 3,904.00 7 Rp 27,328.00 Rp - Rp - 7 Rp 27,328.00 7 Rp 27,328.00 0 Rp - ED
99 metronidazol tablet 250 mg tab 254.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
100 metronidazol tablet 500 mg tab 264.00 500 Rp 132,000.00 Rp - 500 Rp 132,000.00 1000 Rp 264,000.00 100 Rp 26,400.00 900 Rp 237,600.00
101 MgSO4 OTSU btl 3,328.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
102 miconasole krim 2 % slp 4,125.00 65 Rp 268,125.00 Rp - Rp - 65 Rp 268,125.00 0 Rp - 65 Rp 268,125.00
103 micardis ( Telmisartatn 40 ) tab 3,045.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
104 Mineral mix sac 3,116.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
105 Multivitamin syr btl 8,530.00 190 Rp 1,620,700.00 Rp - Rp - 190 Rp 1,620,700.00 10 Rp 85,300.00 180 Rp 1,535,400.00
106 natrium diclofenac tab 50 mg tab 136.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 500
107 natrium klorida larutan infus 0,9% btl 6,410.00 43 Rp 275,630.00 Rp - Rp - 43 Rp 275,630.00 1 Rp 6,410.00 42 Rp 269,220.00
108 NIFEDIPIN TAB 10 MG tab 220.17 150 Rp 33,025.50 Rp - Rp - 150 Rp 33,025.50 0 Rp - 150 Rp 33,025.50
109 Nistatin tab vag 100.000 IU tab 645.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
110 New Antides ( attapulgit ) tab 149.00 200 Rp 29,800.00 Rp - Rp - 200 Rp 29,800.00 100 Rp 14,900.00 100 Rp 14,900.00
111 oksitetrasiklin HCL salep mata 1 % slp 2,600.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
112 oksitetrasiklin salep kulit 3% slp 3,556.00 59 Rp 209,804.00 Rp - Rp - 59 Rp 209,804.00 5 Rp 17,780.00 54 Rp 192,024.00
113 oksitosin inj 10 UI/ ml - 1ml amp 1,232.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
114 Omeprasol kapsul 20 mg kap 846.66 450 Rp 380,997.00 Rp - Rp - 450 Rp 380,997.00 180 Rp 152,398.80 270 Rp 228,598.20 200
115 OAT Kategori I/ FDC pkt 430,538.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
116 paracetamol drops btl 7,646.00 36 Rp 275,256.00 Rp - Rp - 36 Rp 275,256.00 12 Rp 91,752.00 24 Rp 183,504.00
117 paracetamol sirup 120 mg / 5 ml btl 3,750.00 57 Rp 213,750.00 Rp - Rp - 57 Rp 213,750.00 20 Rp 75,000.00 37 Rp 138,750.00
118 paracetamol tab 500 mg tab 154.00 950 Rp 146,300.00 Rp - 500 Rp 77,000.00 1450 Rp 223,300.00 250 Rp 38,500.00 1200 Rp 184,800.00
119 piracetam 800 mg tab 480.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
120 pirantel tab score (base) 125 mg tab 353.00 100 Rp 35,300.00 Rp - Rp - 100 Rp 35,300.00 0 Rp - 100 Rp 35,300.00
121 piridoksin (vit B6)tab 10 mg (HCL) tab 52.00 1200 Rp 62,400.00 Rp - Rp - 1200 Rp 62,400.00 0 Rp - 1200 Rp 62,400.00
122 piroxicam tab 20 mg tab 146.65 300 Rp 43,995.00 Rp - Rp - 300 Rp 43,995.00 0 Rp - 300 Rp 43,995.00
123 polikresulen btl 66,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
124 povidon lodida larutan 30 ml btl 3,479.30 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
125 povidon lodida larutan 300 ml btl 21,600.00 4 Rp 86,400.00 Rp - 2 Rp 43,200.00 6 Rp 129,600.00 2 Rp 43,200.00 4 Rp 86,400.00
126 prednison tab 5mg tab 79.00 300 Rp 23,700.00 Rp - Rp - 300 Rp 23,700.00 0 Rp - 300 Rp 23,700.00
127 Susu Proten Vanila klg 11,897.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
128 Ranitidine tab 122.00 100 Rp 12,200.00 Rp - 500 Rp 61,000.00 600 Rp 73,200.00 100 Rp 12,200.00 500 Rp 61,000.00
129 Ranitidine injeksi vial 1,677.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 5
130 retinol 100.000 IU kap lunak Biru kap 327.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
131 retinol 200.000 IU kap lunak Merah kap 637.00 100 Rp 63,700.00 Rp - Rp - 100 Rp 63,700.00 100 Rp 63,700.00 0 Rp - 100 ED
132 ringer laktat larutan infus btl 7,150.00 43 Rp 307,450.00 Rp - Rp - 43 Rp 307,450.00 5 Rp 35,750.00 38 Rp 271,700.00
133 resperidon tab 1 mg tab 439.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
134 salbutamol tab 2 mg tab 147.00 500 Rp 73,500.00 Rp - Rp - 500 Rp 73,500.00 0 Rp - 500 Rp 73,500.00
135 salep 2-4 pot 3,017.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
136 salisil bedak 2% ktk 3,630.00 65 Rp 235,950.00 Rp - Rp - 65 Rp 235,950.00 5 Rp 18,150.00 60 Rp 217,800.00
137 Samcodin tab 875.00 700 Rp 612,500.00 Rp - 300 Rp 262,500.00 1000 Rp 875,000.00 0 Rp - 1000 Rp 875,000.00
138 Scabimite sembada salep Tube 11,475.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
139 simvastatin Tab 10 mg Tab 266.00 800 Rp 212,800.00 Rp - Rp - 800 Rp 212,800.00 100 Rp 26,600.00 700 Rp 186,200.00
140 tablet tambah darah tab 409.00 2850 Rp 1,165,650.00 Rp - Rp - 2850 Rp 1,165,650.00 480 Rp 196,320.00 2370 Rp 969,330.00
141 tetrasiklin kapsul 500 mg tab 324.00 100 Rp 32,400.00 Rp - Rp - 100 Rp 32,400.00 100 Rp 32,400.00 0 Rp - 100 ED
142 trihexifenidil tab 2 mg tab 95.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
143 vitamin (vit B1) tab 50 mg (HCL/nitrat) tab 90.00 400 Rp 36,000.00 Rp - Rp - 400 Rp 36,000.00 100 Rp 9,000.00 300 Rp 27,000.00 200
144 vitamin B komplex tab tab 135.00 700 Rp 94,500.00 Rp - Rp - 700 Rp 94,500.00 700 Rp 94,500.00 0 Rp - 1000 ED 400
145 Vaksin jerap TT 5 ml Vial 54,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
146 Vitamin B12 (Sianokobalamin) tab 48.00 600 Rp 28,800.00 Rp - Rp - 600 Rp 28,800.00 0 Rp - 600 Rp 28,800.00
147 Wicold syr btl 12,340.00 60 Rp 740,400.00 Rp - Rp - 60 Rp 740,400.00 15 Rp 185,100.00 45 Rp 555,300.00
148 zink tablet tab 604.00 200 Rp 120,800.00 Rp - Rp - 200 Rp 120,800.00 50 Rp 30,200.00 150 Rp 90,600.00
ALAT KESEHATAN Rp - Rp - 0 Rp - 0 Rp - Rp -
149 Alat suntik 1 ml set 1,138.50 20 Rp 22,770.00 Rp - Rp - 20 Rp 22,770.00 10 Rp 11,385.00 10 Rp 11,385.00 100
150 Alat suntik 3 ml set 910.80 97 Rp 88,347.60 Rp - Rp - 97 Rp 88,347.60 22 Rp 20,037.60 75 Rp 68,310.00
151 Alat Suntik 5 ml set 1,530.60 85 Rp 130,101.00 Rp - Rp - 85 Rp 130,101.00 21 Rp 32,142.60 64 Rp 97,958.40
152 Alkohol Swabb set 121.00 100 Rp 12,100.00 Rp - 500 Rp 60,500.00 600 Rp 72,600.00 100 Rp 12,100.00 500 Rp 60,500.00
153 Bisturi pcs 1,500.00 66 Rp 99,000.00 Rp - Rp - 66 Rp 99,000.00 5 Rp 7,500.00 61 Rp 91,500.00
155 catgut/benang bedah 3/0 dengan jarum ktk 33,358.00 24 Rp 800,592.00 Rp - Rp - 24 Rp 800,592.00 17 Rp 567,086.00 7 Rp 233,506.00 24
157 Silk
(benang bedah sutera)no.3/0 dgn jarum pcs
48,993.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 24
bedah
400 Rp -
0 Rp -
600 Rp 72,000.00
510 Rp -
100 Rp -
1200 Rp -
69 Rp -
42 Rp -
130 Rp -
30 Rp 720.00
100 Rp -
0 Rp -
24 Rp 12,000.00
50 Rp -
1250 Rp -
10 Rp -
1500 Rp -
300 Rp -
300 Rp -
0 Rp -
62 Rp -
0 Rp -
300 Rp -
100 Rp -
50 Rp 25,000.00
0 Rp -
100 Rp -
500 Rp -
300 Rp -
500 Rp -
30 Rp -
700 Rp -
0 Rp -
10 Rp -
2 Rp -
0 Rp -
100 Rp -
20 Rp -
100 Rp -
0 Rp -
10 Rp -
0 Rp -
3 Rp -
13 Rp -
0 Rp -
200 Rp -
20 Rp -
19 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
8 Rp -
13 Rp -
800 Rp -
20 Rp -
750 Rp -
200 Rp -
0 Rp -
30 Rp -
0 Rp -
35 Rp 17,500.00
1000 Rp -
100 Rp -
700 Rp -
150 Rp -
0 Rp -
24 Rp -
18 Rp -
0 Rp -
0 Rp -
42 Rp -
2 Rp -
0 Rp -
200 Rp -
1100 Rp 550,000.00
600 Rp 300,000.00
50 Rp -
200 Rp -
700 Rp 350,000.00
0 Rp -
500 Rp -
500 Rp -
6 Rp -
38 Rp -
40 Rp -
450 Rp -
27 Rp -
100 Rp -
200 Rp -
28 Rp -
124 Rp -
510 Rp -
0 Rp -
35 Rp -
0 Rp -
700 Rp -
0 Rp -
0 Rp -
800 Rp 1,600.00
300 Rp -
0 Rp -
9 Rp -
4 Rp -
300 Rp -
700 Rp -
93 Rp -
0 Rp -
200 Rp -
60 Rp -
0 Rp -
400 Rp -
20 Rp -
27 Rp -
0 Rp -
6 Rp -
0 Rp -
960 Rp -
100 Rp -
0 Rp -
500 Rp -
0 Rp -
900 Rp -
9 Rp -
60 Rp -
0 Rp -
0 Rp -
77 Rp -
69 Rp -
0 Rp -
75 Rp -
12 Rp -
12 Rp -
24 Rp -
0 Rp -
64 Rp -
101 Rp -
0 Rp -
100 Rp -
1 Rp -
28 Rp -
6 Rp -
2 Rp -
44 Rp -
70 Rp -
30 Rp 60.00
42 Rp -
7 Rp -
50 Rp -
2 Rp -
90 Rp -
100 Rp -
70 Rp -
15 Rp -
1 Rp -
0 Rp -
50 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
4 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
1 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
300 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
100 Rp -
0 Rp -
STOK PERSEDIAAN OBAT BULAN APRIL 2021
PUSKESMAS WISATA PADANG LAMBE
KOTA PALOPO 2021
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 acyclovir cream tube 5,450.00 29 Rp 158,050.00 Rp - Rp - 29 Rp 158,050.00 0 Rp - 29 Rp 158,050.00
2 acyclovir tab 200 mg tab 737.00 400 Rp 294,800.00 Rp - Rp - 400 Rp 294,800.00 0 Rp - 400 Rp 294,800.00
3 acetyl cystein 200 mg tab 369.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
4 Aminofilin inj 24 mg/ml 10 ml amp 2,878.00 0 Rp - Rp - Rp - Rp - 0 Rp - 0 Rp -
5 Aminofilin tablet 200 mg tab 95.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
6 Allopurinol tablet 100 mg tab 275.00 800 Rp 220,000.00 Rp - Rp - 800 Rp 220,000.00 100 Rp 27,500.00 700 Rp 192,500.00
7 Ambroxol Syr 15 mg/5 ml Btl 6,237.00 37 Rp 230,769.00 Rp - Rp - 37 Rp 230,769.00 2 Rp 12,474.00 35 Rp 218,295.00
8 Ambroxol tablet tab 227.70 850 Rp 193,545.00 Rp - Rp - 850 Rp 193,545.00 420 Rp 95,634.00 430 Rp 97,911.00 300
9 Amlodipin 10 mg tab 94.00 500 Rp 47,000.00 Rp - 500 Rp 47,000.00 1000 Rp 94,000.00 200 Rp 18,800.00 800 Rp 75,200.00
10 amlodipin 5 mg tab 74.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
11 amoxicillin kaplet 500 mg tab 770.00 300 Rp 231,000.00 Rp - 800 Rp 616,000.00 1100 Rp 847,000.00 650 Rp 500,500.00 450 Rp 346,500.00 500
12 amoxicillin sirup kering 125 mg/ 5ml btl 1,919.00 214 Rp 410,666.00 Rp - Rp - 214 Rp 410,666.00 38 Rp 72,922.00 176 Rp 337,744.00
13 amoxicillin syrup kering 250 mg/5ml btl 3,604.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
14 Amoxicillin 100 mg/ml drops btl 11,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
15 Ampicillin Injeksi amp 7,920.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
16 antasida DOEN tablet kunyah tab 60.00 450 Rp 27,000.00 Rp - Rp - 450 Rp 27,000.00 50 Rp 3,000.00 400 Rp 24,000.00
17 antasida DOEN syrup btl 2,239.00 90 Rp 201,510.00 Rp - Rp - 90 Rp 201,510.00 20 Rp 44,780.00 70 Rp 156,730.00
18 anti bakteri salep kombinasi : basitrasin tube 3,490.00 25 Rp 87,250.00 Rp - Rp - 25 Rp 87,250.00 0 Rp - 25 Rp 87,250.00
21 asam ascorbat (vitamin C ) Tablet 50 mg tab 120.28 2400 Rp 288,672.00 Rp - Rp - 2400 Rp 288,672.00 790 Rp 95,021.20 1610 Rp 193,650.80
23 asam mefenamat kaplet 500 mg tab 297.00 2300 Rp 683,100.00 Rp - Rp - 2300 Rp 683,100.00 400 Rp 118,800.00 1900 Rp 564,300.00
24 Asam Asetilsalisilat tab 80 mg/ miniaspi kap 99.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
36 clorfeniramina mealeat (CTM) tab 4 mg tab 24.00 350 Rp 8,400.00 Rp - 500 Rp 12,000.00 850 Rp 20,400.00 200 Rp 4,800.00 650 Rp 15,600.00
69 griseofulvin tablet 125 mg, micronized tab 223.00 750 Rp 167,250.00 Rp - Rp - 750 Rp 167,250.00 0 Rp - 750 Rp 167,250.00
143 vitamin (vit B1) tab 50 mg (HCL/nitrat) tab 90.00 300 Rp 27,000.00 Rp - 200 Rp 18,000.00 500 Rp 45,000.00 100 Rp 9,000.00 400 Rp 36,000.00
155 catgut/benang bedah 3/0 dengan jarum ktk 33,358.00 7 Rp 233,506.00 Rp - Rp - 7 Rp 233,506.00 5 Rp 166,790.00 2 Rp 66,716.00 24
157 Silk
(benang bedah sutera)no.3/0 dgn jarum pcs
48,993.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
bedah
173 kapas pembalut / absorben 250 gram buah 29,900.00 3 Rp 89,700.00 Rp - Rp - 3 Rp 89,700.00 0 Rp - 3 Rp 89,700.00
400 Rp -
0 Rp -
600 Rp -
510 Rp -
100 Rp -
1200 Rp -
69 Rp -
42 Rp -
130 Rp -
30 Rp -
100 Rp -
0 Rp -
24 Rp -
50 Rp -
1250 Rp -
10 Rp -
1500 Rp -
300 Rp -
300 Rp -
0 Rp -
62 Rp -
0 Rp -
300 Rp -
100 Rp -
50 Rp 25,000.00
0 Rp -
100 Rp -
500 Rp -
300 Rp -
500 Rp -
30 Rp -
700 Rp -
0 Rp -
10 Rp -
2 Rp 1,000.00
0 Rp -
100 Rp -
20 Rp -
100 Rp -
0 Rp -
10 Rp -
0 Rp -
3 Rp -
13 Rp -
0 Rp -
200 Rp -
20 Rp -
19 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
8 Rp -
13 Rp -
800 Rp -
20 Rp -
750 Rp -
200 Rp -
0 Rp -
30 Rp -
0 Rp -
35 Rp -
1000 Rp -
100 Rp -
700 Rp -
150 Rp -
0 Rp -
24 Rp 240.00
18 Rp 54.00
0 Rp -
0 Rp -
42 Rp -
2 Rp -
0 Rp -
200 Rp -
1100 Rp -
600 Rp -
50 Rp -
200 Rp -
700 Rp -
0 Rp -
500 Rp -
500 Rp -
6 Rp -
38 Rp -
40 Rp -
450 Rp -
27 Rp -
100 Rp -
200 Rp -
28 Rp -
124 Rp -
510 Rp -
0 Rp -
35 Rp -
0 Rp -
700 Rp -
0 Rp -
0 Rp -
800 Rp -
300 Rp -
0 Rp -
9 Rp -
4 Rp -
300 Rp -
700 Rp -
93 Rp -
0 Rp -
200 Rp -
60 Rp -
0 Rp -
400 Rp -
20 Rp -
27 Rp -
0 Rp -
6 Rp -
0 Rp -
960 Rp -
100 Rp -
0 Rp -
500 Rp -
0 Rp -
900 Rp -
9 Rp -
60 Rp -
0 Rp -
0 Rp -
77 Rp -
69 Rp -
0 Rp -
75 Rp -
12 Rp -
12 Rp -
24 Rp -
0 Rp -
64 Rp -
101 Rp -
0 Rp -
100 Rp -
1 Rp -
28 Rp -
6 Rp -
2 Rp -
44 Rp -
70 Rp -
30 Rp -
42 Rp -
7 Rp -
50 Rp -
2 Rp -
90 Rp -
100 Rp -
70 Rp -
15 Rp -
1 Rp -
0 Rp -
50 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
4 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
1 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
300 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
100 Rp -
0 Rp -