APA : Kepada Yth:

STRA :
SIPA :
SIA :

SP REGULAR
ITEM
NO ITEM NAME QTY ORDER
CODE
5 0103d0029AFRIN NASAL SPRAY 15 ML 1
12 0103c0731 AMBROXOL BERNOFARM 15MG/5ML SYR 60ML 2
13 0103c0733 AMBROXOL BERNOFARM 30MG/5ML SYR 60ML 2
16 0108c0025 AMOXICILLIN HEXPHARM 125MG/5ML D SYR 60ML 2
17 0108c0342 AMOXICILLIN QUANTUM 250MG/5ML D SYR 60ML 2
18 0108c0056 AMOXSAN 125MG/5ML D SYR 60ML 1
19 0103c0997 ANAKONIDIN HERBAL SYR 60ML 2
20 0103c1067 ANAKONIDIN MUCOLYTIC EXP SYR 30ML 2
21 0112g0180APIALYS DROP 10ML 2
22 0112g0181APIALYS SYR 100ML 2
30 0110f0003 BATUGIN ELIXIR 120ML 2
31 0110f0004 BATUGIN ELIXIR 300ML 2
35 0108c0106 BETADINE GARGLE 190ML 1
38 0116k0150 BETADINE SOL 15ML 6
39 0116k0152 BETADINE SOL 30ML 2
40 0116k0154 BETADINE SOL 5ML 12
42 0112g0017BIOLYSIN SMART 100ML 1
43 0112g0018BIOLYSIN SMART 60ML 1
44 0112g0182BIOLYSIN SYR 100ML 1
45 0112g0183BIOLYSIN SYR 60ML 1
46 030000198 BIO-OIL 60ML 1
52 0103c0770 BISOLVON EXT SYR 60ML 1
53 0103c0774 BISOLVON KIDS STRAW SYR 60ML 1
55 0103d0037BREATHY TETES HIDUNG 30ML 1
67 0114h0007 C LYTEERS EYE DROP 15ML 2
77 0114a0119 C XITROL EYE DROP 5ML 2
78 0116g0012 CALADINE LOT 60ML 3
79 0116m0028CALLUSOL BTL 10ML 1
82 0108n0014 CANDISTIN SUSP ORAL DROP 12ML 1
84 0112e0372 CAVIPLEX SYR 60ML 5
103 0118a0328 CETIRIZINE ETERCON 10MG/ML DROP 10ML 2
104 0118a0062 CETIRIZINE YARINDO 5MG/5ML SYR 60ML 3
109 0103c0963 COHISTAN EXP SYR 60ML 2
112 0108q0010 COMBANTRIN JERUK 10ML 5
120 0112g0051 CURCUMA PLUS GROW EMULSION BLACKCURANT 200ML 1
122 0112g0055 CURCUMA PLUS GROW EMULSION STRAWBERY 200ML 1
123 0112g0057 CURCUMA PLUS IMUNS 60ML 1
124 0112g0059 CURCUMA PLUS SHARPY BLACKCURRANT SYR 60ML 2
125 0112g0063 CURCUMA PLUS SHARPY ORANGE 60ML 2
126 0112g0065 CURCUMA PLUS SHARPY STRAWBERRY 60ML 2
128 0113e0010 CURVIT CL EMULSION 175ML 1
132 0101d0013 DARYAZINC 55MG/5ML SYR 60ML 2
133 0103c0058 DECADRYL EXP SYR 60ML 2
134 0103c0073 DE-COUGH MENTHOL FOR ADULT SYR 60ML 2
135 0103c0074 DE-COUGH ORANGE FOR CHILDREN SYR 60ML 2
136 0103c0075 DE-COUGH STRAWBERRY FOR CHILDREN SYR 60ML 2
141 0118a0115 DEXTAMINE SYR 60ML 2
142 0101d0019 DIAPET SYR 60ML 2
144 0101b0072 DOMPERIDONE BERNO 5MG/5ML SYR 60ML 4
146 0101e0006 DULCOLACTOL SYR 60ML 1
148 0115e0025 EFISOL LIQ 10ML 2
153 0112e0268 ELKANA CL ORANGE EMULSION 120ML 1
157 0103c0142 EPEXOL 15MG/5ML SYR 120ML 2
158 0103c0143 EPEXOL 15MG/ML DROP 20ML 1
163 0115a0016 ERLAMYCETIN EAR DROP 10ML 3
164 0114a0062 ERLAMYCETIN PLUS EYE DROP 5ML 3
173 0104k0099 FASIDOL 125MG/5ML SYR 60ML 6
174 0104k0100 FASIDOL 160MG/5ML FORTE SYR 60ML 3
177 0112h0033 FERRIZ DROP 15ML 1
178 0112h0034 FERRIZ SYR 100ML 1
183 012100997 FRESH CARE MINYAK ANGIN CITRUS 10ML 3
184 012100272 FRESH CARE MINYAK ANGIN GREEN TEA 10ML 3
185 012100273 FRESH CARE MINYAK ANGIN LAVENDER 10ML 3
186 012100275 FRESH CARE MINYAK ANGIN SANDAL WOOD 10ML 3
187 012100270 FRESH CARE MINYAK ANGIN SPORTS 10ML 3
188 012100277 FRESH CARE STRONG MINYAK ANGIN 10ML 6
191 0101a0135 GASTRUCID SYR 60ML 6
192 012100348 GELIGA MINYAK OTOT 30ML 1
193 012100349 GELIGA MINYAK OTOT 60ML 1
194 012100496 GPU MINYAK URUT SEREH 30ML 3
195 012100497 GPU MINYAK URUT SEREH 60ML 3
207 012101011 HOTIN CR 120G BTL 2
208 0116m0168HOTIN CR 120G PUMP 2
209 0116m0169HOTIN CR 60G BTL 2
210 0116m0170HOTIN CR AROMATHERAPY 120G PUMP 2
211 0104k0465 HUFAGRIP TMP SYR 60ML 2
212 0103c0922 IBU DAN ANAK OBAT BATUK 150ML 1
214 0103c0924 IBU DAN ANAK OBAT BATUK 75ML 1
224 0115f0013 IKASARIAWAN 120ML 2
229 0113f1412 IMBOOST KIDS SYR 60ML 1
244 030001046 JOHNSON BABY OIL 125ML 1
245 030001048 JOHNSON BABY OIL 50ML 2
247 012100860 KAKAK TUA OBAT SAKIT GIGI 6
249 0108n0001 KANDISTATIN 100.000IU/ML DROP 12ML 2
251 012100396 KAPAK MINYAK ANGIN 10ML 2
252 012100397 KAPAK MINYAK ANGIN 14ML 2
253 012100398 KAPAK MINYAK ANGIN 28ML 2
254 012100399 KAPAK MINYAK ANGIN 3ML 4
256 012100401 KAPAK MINYAK ANGIN 5ML 2
259 0116m0049KONICARE GEL PENGURANG GATAL 30ML 2
261 012100429 KONICARE MINYAK TELON PLUS 125ML 1
262 012100430 KONICARE MINYAK TELON PLUS 30ML 2
263 012100431 KONICARE MINYAK TELON PLUS 60ML 2
264 0108q0016 KONVERMEX 125MG SUSP 10ML 3
268 0101e0032 LACTULAX SYR 60ML 1
271 0101a0175 LAMBUCID SUSP 100ML 1
272 0101a0578 LAMBUCID SUSP 60ML 2
273 012100459 LANG GANDAPURA 30ML 2
274 012100460 LANG GANDAPURA 60ML 2
286 012100488 LANG MINYAK TELON 15ML 2
287 012100448 LANG MINYAK TELON 30ML 2
288 012100490 LANG MINYAK TELON 60ML 2
289 012100491 LANG MINYAK TELON PLUS 100ML 2
292 012100498 LANG MKP 120ML 3
293 012100499 LANG MKP 15ML 6
294 012100501 LANG MKP 30ML 3
295 012100502 LANG MKP 60ML 3
306 0103c0851 LASERIN MADU SYR 60ML 2
307 0103c0854 LASERIN SYR 110ML 2
308 0103c0856 LASERIN SYR 30ML 4
315 0118a0172 LERZIN 10MG/ML DROP 15ML 2
316 0118a0173 LERZIN SYR 60ML 2
366 0101a0237 MYLANTA LIQ 50ML 2
391 0103c0374 OB HERBAL SYR 60ML 2
393 0103c0401 OBH COMBI JAHE SYR 100ML(GEPENG) 2
394 0103c0404 OBH COMBI MENTHOL SYR 100ML (GEPENG) 2
411 0103c0487 PACDIN BABY COUGH SYR 60ML 6
412 0104k0222 PAMOL 120MG/5MG SYR 60ML 2
424 0116m0196PEDITOX 50ML 10
452 0104k0336 PRORIS 100MG/5ML SYR 60ML 2
456 030002085 PUREBABY DIAPER CR 100G 2
474 0114g0055 ROHTO COOL EYE DROP 7ML 3
475 0114g0056 ROHTO EYE DROP 7ML 3
479 012100671 SAFE CARE MINYAK ANGIN 10ML 6
480 012100546 SAFE CARE MINYAK ANGIN 5ML 6
481 0112g0122 SAKATONIK ABC ANGGUR 30S BTL 3
482 0112g0127 SAKATONIK ABC STRAW 30S BTL 3
487 0112e0174 SAN B PLEX DROP 15ML 2
495 0104k0369 SANMOL 120MG/5ML SYR 60ML 2
496 0104k0373 SANMOL 60MG/0.6ML DROP 15ML 3
501 0115e0096 SANORIN HIJAU 80ML 2
502 0108j0065 SANPRIMA 240MG/5ML SUSP 60ML 2
504 0112g0224 SCOTTS E VITA ORANGE 200ML 1
505 0112g0136 SCOTTS EMULSION ORIG 200ML 1
519 0103c0593 SILADEX EXPECTORAN SYR 100ML 2
520 0103c0595 SILADEX EXPECTORAN SYR 60ML 2
521 0103c0596 SILEX SYR 100ML 1
522 012100897 SIRPLUS ANGGUR SYR 100ML 2
523 012100900 SIRPLUS JERUK SYR 100ML 2
524 012100902 SIRPLUS MELON SYR 100ML 2
525 012100722 SIRPLUS STRAWBERRY SYR 100ML 2
536 0101a0471 SUCRALFATE COMBIPHAR 500MG/5ML SUSP 100ML 2
544 012100738 TAWON MINYAK DD 30ML 2
545 012100739 TAWON MINYAK EE 60ML 2
574 0115a0021 VITAL EAR OIL 10ML 2
579 0103c0688 WOODS EXP SYR 60ML 2
580 0103c0689 WOODS EXP SYR 100ML 2
592 0103c0704 ACETYLCYSTEINE NOVELL 200MG CAP 100S 1
596 0104l0007 ACLONAC 50MG TAB 30S 2
602 0108p0032 ACYCLOVIR IF 5% CR 5G 1
606 0108p0002 ACYCLOVIR NOVELL 400MG TAB 50S 1
615 0118a0013 ALLERON 4MG TAB 200S 5
616 0105b0043 ALLOPURINOL BERNO 100MG TAB 100S 2
617 0105b0003 ALLOPURINOL BERNO 300MG TAB 100S 1
638 0103c0734 AMBROXOL ETERCON 30MG TAB 100S 1
639 0103c0736 AMBROXOL IF 30MG TAB 100S 1
650 0102e0026 AMLODIPINE KF 5MG TAB 50S 4
651 0102e0034 AMLODIPINE NOVELL 10MG TAB 30S 2
655 0108c0026 AMOXICILLIN HEXPHARM 500MG TAB 100S 2
657 0108c0058 AMOXSAN 500MG CAP 100S 1
660 0113f5901 ANTANGIN JRG GINGER MINT SACH 12S 2
661 0113f5904 ANTANGIN JRG ORIGINAL SACH 12S 2
662 0113f5906 ANTANGIN JRG TAB STR 20S 1
663 0113f5907 ANTANGIN JUNIOR MADU + MENIRAN 10ML SACH 5S 2
664 040100697 ANTANGIN LOZ HONEY MINT 15S 1
665 0101a0031 ANTASIDA DOEN HOLI TAB 100S 1
674 0104k0038 ASAM MEFENAMAT DEXA 500MG CAPL 100S 2
709 0104i0041 BETAHISTINE NOVELL 6MG TAB 30S 1
710 0116e0011 BETAMETHASONE KF 0.1% CR 5G 1
712 0104k0055 BINTANG TOEDJOE PUYER NO 16 SACH 120S 1
733 0104k0058 BODREX EXTRA TAB 4S 1
734 0104k0437 BODREX MIGRA STR 4S 1
735 0104k0438 BODREX TAB 20S 3
736 0104k0492xBODREXIN 80MG TAB 18S 3
747 012100151 BYE BYE FEVER ANAK 1
748 012100152 BYE BYE FEVER BAYI 1
759 0102c0021 CAPTOPRIL DEXA 12.5MG TAB 100S 1
760 0102c0022 CAPTOPRIL DEXA 25MG TAB 100S 1
768 0104l0034 CATAFLAM 50MG TAB 50S 1
770 0104l0036 CATAFLAM FAST 50MG SACH 9S 1
771 0112d0071 CAVIPLEX TAB 100S 2
796 0118a0052 CETIRIZINE DEXA 10MG TAB 60S 2
798 0118a0058 CETIRIZINE NOVELL 10MG TAB 50S 2
826 0108q0009 COMBANTRIN 250MG STR 25S 1
830 0106d0016 CORTIDEX 0,5MG TAB 100S 1
831 0108j0014 COTRIMOXAZOLE BERNO 480MG TAB 100S 1
839 0118a0088 CTM CITO OTC STR 12S 1
840 0113e0030 CURCUMA FCT TAB 120S 1
854 0115e0024 DEGIROL LOZ TAB 20S 1
856 0106d0203 DEXA HARSEN 0.5MG TAB 200S STRIP 2
 857 0106d0206 DEXA HARSEN 0.75MG TAB 200S STRIP 1
865 0101d0016 DIAPET ANAK 10ML SACH 6S 3
867 0101d0117 DIAPET NR CAP 4S STRIP 25S 1
870 0104l0292 DICLOFENAC SODIUM NOVELL 50MG TAB 50S 2
886 0101b0084 DOMPERIDONE NOVELL 10MG TAB 50S 2
894 0101e0014 DULCOLAX TAB 4S 1
896 0104k0081 DUMIN 500MG TAB 100S 1
944 0104l0098 FARSIFEN 400MG TAB 100S 6
947 0104k0101 FASIDOL 500MG TAB 100S 4
960 0115e0031 FG TROCHES MEIJI TAB 120S 1
977 0112h0042 FOLAMIL GENIO TAB 30S 1
990 0102h0020 FUROSEMIDE IF 40MG TAB 100S 1
1010 0111b0135 GLIMEPIRIDE KF 1MG TAB 50S 1
1011 0111b0136 GLIMEPIRIDE KF 2MG TAB 50S 1
1024 0111b0176 GLUDEPATIC 500MG TAB 100S 1
1038 0116m0054HANSAPLAST KOYO HANGAT 1
1039 0116m0055HANSAPLAST KOYO PANAS 1
1043 0112e0077 HEMAVITON STAMINA CAP 5S 1
1070 0113f6139 IMBOOST FC TAB 4S STRIP 5S 1
1073 0113f1410 IMBOOST FORCE TAB 30S 1
1120 0113f1598 KEJIBELING 550MG TAB 1
1123 0108n0065 KETOCONAZOLE DEXA 200MG TAB 50S 2
1136 012100438 KOOL FEVER ANAK SACH 12S 2
1137 012100440 KOOL FEVER BAYI SACH 12S 2
1147 0113f1731 LACTAMOR TAB 60S 1
1148 0101d0043 LACTO B SACH 40S 1
1150 0101a0174 LAMBUCID CHEW TAB 20S STRIP 1
1153 0106d0057 LANADEXON 500MCG TAB 100S 2
1154 0104k0172 LANAMOL 500MG TAB 100S 1
1155 0113f1745 LANCAR ASI TAB 30S 1
1157 0101a0186 LANSOPRAZOLE NOVELL 30MG CAP 20S 2
1177 0113f1777 LELAP TAB STR 4S 1
1192 0101d0046 LODIA 2MG TAB 60S 1
1198 0118a0189 LORATADINE NOVELL 10MG TAB 50S 2
1205 0113f6485xMADURASA JERUK NIPIS 25G SACH 12S 1
1206 0113f2699 MADURASA ORIGINAL 20ML SACH 12S 1
1228 0104k0181 MEFINAL 500MG TAB 100S 1
1236 0104l0567 MELOXICAM IF 15MG TAB 50S 1
1237 0104l0568 MELOXICAM IF 7.5MG TAB 50S 2
1249 0111b0210 METFORMIN DEXA 500MG TAB 100S 4
1254 0106d0089 METHYLPREDNISOLONE DEXA 4MG TAB 100S 2
1267 0116b0030 MICONAZOLE KF 2% CR 10G 1
1268 0104k0189 MIRASIC 500MG TAB 100S 4
1284 0108n0082 MYCORAL 200MG TAB 50S 1
1287 0101a0238 MYLANTA TAB STR 10S 1
1296 0112a0036 NATUR E 100IU SOFT CAP 16S 2
1306 0104k0199 NEO RHEUMACYL TAB 20S 1
1308 0104g0033 NEURALGIN RX TAB 100S 1
1319 0101d0069 NEW DIATABS TAB 4S STRIP 25S 1
1320 0101f0011 NEW ENZYPLEX TAB 4S STRIP 25S 1
1341 0101a0572 OMEPRAZOLE IF 20MG CAP 30S 2
1342 0101a0282 OMEPRAZOLE NOVELL 20MG CAP 30S 2
1346 0101i0116 ONDANSETRON NOVELL 4MG TAB 12S 1
1350 0113d0012 ORALIT RAMA 200MG SACH 100S 1
1354 0104k0216 OSKADON TAB 4S 1
1374 0104k0232 PANADOL BIRU TAB 100S 1
1375 0104k0234 PANADOL CHEW 120 MG TAB 100S 1
1387 0104k0307 PARAMEX NYERI OTOT TAB 4S STRIP 25S 1
1388 0104k0308 PARAMEX TAB 4S STRIP 50S 1
1395 0113d0015 PHAROLIT 1
1405 0104l0361 PIROXICAM KF 20MG TAB 100S 1
1407 0107a0023 PLANOTAB TAB 1
1435 0101a0371 PROMAG GAZERO SACH 6S 2
1442 0104k0341 PRORIS FC 200MG TAB 100S 1
1461 0101a0407 RANITIDINE HEXPHARM 150MG TAB 100S 2
1472 0112e0167 RENOVIT CAPL 4S STRIP 25S 1
1481 0103b0103 SALBUTAMOL YARINDO 2MG TAB 100S 2
1482 0103b0104 SALBUTAMOL YARINDO 4MG TAB 100S 2
1485 0116m0137SALONPAS KOYO HIJAU 10S 1
1493 0112h0097 SANGOBION CAP 10S 1
1494 0104k0372 SANMOL 500MG TAB 4S STRIP 25S 1
1504 0101c0041 SCOPMA PLUS TAB 100S 1
1520 0102l0212 SIMVASTATIN KF 10MG TAB 50S 3
1521 0102l0213 SIMVASTATIN KF 20MG TAB 50S 3
1549 0108h0021 SUPER TETRA 250MG CAP 120S 1
1550 0101h0034 SUPERHOID SUPP 6S 1
1554 0112e0204 SURBEX Z TAB 30S 1
1563 0103b0225 TEOSAL TAB 100S 1
1603 0103c0669 ULTRAFLU TAB 25S STR 1
1623 0113f5206 VEGETA HERBAL ANGGUR SACH 6S 2
1624 0113f6441xVEGETA SCRUBBER JERUK SACH 6S 2
1635 0103d0025 VICKS INHALER 0.5G 1
1686 0101d0065 NEO ENTROSTOP TAB 12S STRIP 2S 1
1687 0115e0061 NEW HAU FUNG SAN 1.2G 1
1688 0101a0372 PROMAG TAB 12S STRIP 1
1690 0116f0005 ACNOL FOR ACNE GEL 10G 1
1691 0116f0006 ACNOL LOT 10ML 2
1698 0107a0003 ANDALAN TAB STRIP 2S 15
1703 0116k0137 ASEPSO ACNE CARE SULPHUR 80G 2
1704 0116k0138 ASEPSO CLEAN SOAP 85G 2
1705 0116k0139 ASEPSO FRESH SOAP 85G 2
1706 0116k0142 ASEPSO SOAP 85G 2
1780 0115f0003 COOLING 5 CHERRY 15ML SPRAY 1
1781 0115f0001 COOLING 5 COOL MINT 15ML SPRAY 1
1782 0115f0090xCOOLING 5 PLUS ORANGE 15ML SPRAY 1
1838 0112g0244 FITKOM ANGGUR TAB 21S BTL 3
1840 0112g0242 FITKOM JERUK TAB 21S BTL 3
1841 0112g0243 FITKOM STRAW TAB 21S BTL 3
1862 0112e0078 HEMAVITON STAMINA TAB 30S 1
1872 012101017 HOTIN CR STRONG 60G TUBE 2
1885 0114g0024 INSTO EYE DROP 7.5ML 3
1904 012100427 KONICARE MINYAK TELON 30ML 2
1905 012100428 KONICARE MINYAK TELON 60ML 2
2011 040100379 PAGODA PERMEN APEL 10G 2
2012 040100380 PAGODA PERMEN APEL 20G 2
2013 040100382 PAGODA PERMEN GRAPE 20G 2
2014 040100384 PAGODA PERMEN JERUK 20G 2
2018 040100392 PAGODA PERMEN MINT 20G 2
2019 040100394 PAGODA PERMEN STRAW 20G 2
2024 012101103 PLOSSA BLUE MOUNTAIN ROLL ON 8ML & INHALER 2ML 2
2025 012101104 PLOSSA EUCALYPTUS ROLL ON 8ML & INHALER 2ML 2
2026 012101105 PLOSSA RED HOT ROLL ON 8ML & INHALER 2ML 2
2057 0112g0124 SAKATONIK ABC ANTARIKSA 30S BTL 3
2149 0116b0106 PAGODA SALEP EKSTRA 10G 12
2150 0103d0026 VICKS VAPORUB 10G 6
2154 0104l0620xACLONAC COOL EMULGEL 1% 20G 1
2155 0104l0008 ACLONAC EMULGEL 1% 20G 2
2179 0116d0090 BETASON N CR 5G 5
2180 0116d0091 BEVALEX CR 5G 5
2182 0116a0016 BIOPLACENTON GEL 15G 2
2195 0112d0077 CDR EFF 10S TUBE 2
2201 0116d0002 CINOLON 2,5% CR 10G 2
2202 0116d0109 CINOLON N CR 5G 2
2209 0105f0014 COUNTERPAIN CR 15G 1
2210 0105f0015 COUNTERPAIN CR 30G 1
2236 0114a0060 ERLAMYCETIN EYE OINT 3.5G 5
2262 0116a0060 GARABIOTIC CR 5G 2
2264 0114a0130 GENOINT 0.3% EYE OINT 3.5G 4
2265 0116a0069 GENTALEX CR 5G 4
2272 0104l0540 HOTIN DCL EMULGEL 30G 2
2273 0104l0150 HOTIN DCL EMULGEL 60G 2
2274 0116e0104 HYDROCORTISON KALBE 1% CR 5G 3
2275 0116e0105 HYDROCORTISON KALBE 2,5% CR 5G 6
2285 0116b0026 KALPANAX CR 5G 3
2287 0116j0049 KANNA CR 15G 2
2289 0116j0051 KANNA WHITE FOOT LOTION 15G 2
2293 0116b0061 KETOCONAZOLE HEXPHARM 2 % CR 10G 6
2313 0116f0048 MEDIKLIN GEL 15G 1
2314 0116f0050 MEDIKLIN TR GEL 15G 1
2325 0116e0197 MOMETASONE NOVELL 0.1% CR 5G 2
2329 0116b0085 MYCORAL 2% CR 5G 3
2334 0116a0094 NEBACETIN POWDER 2
2339 0116d0060 NISAGON CR 5G 6
2351 0116d0106 PI KANG SHUANG HIJAU CR 5G 6
2381 012101072 TRANSPULMIN BABY BALSAM 10G 1
2382 012101075 TRANSPULMIN BABY BALSAM 20G 1
MICROLAX ENEMA 6
GRAFADON TAB 10
NOMAMOX TAB 10
ELTAZON TAB 10
 UNI BABY COUGH SYR 1
ZENIREX 12
FARIDEXON 5
ORPHEN TAB 4
ARKAVIT TAB 5
FUNDIFAR TAB 5
BIMASTAN TAB 2
SUNTIKAN KB ANDALAN 3 BLN 1
SUNTIKAN KB ANDALAN 1 BLN 1
TRIOCID TAB 3
TRICID SYR 12
PONSTAN FCT TAB 1
OMESTAN TAB 2
FIMESTAN TAB 2

SP PREKURSOR
SURAT PESANAN OBAT MENGANDUNG PREKURSOR FARMASI
Nomor SP:

Yang bertanda tangan dibawah ini

Nama
Jabatan
Nomor SIPA/SIKTTK

sanan obat mengandung prekursor farmasi kepada :

gandung Prekursor Farmasi yang di pesan adalah :

ZAT AKTIF
NO PLU NAMA OBAT MENGANDUNG PREKURSOR PREKURSOR
FARMASI

3 0103c0645 TREMENZA TAB 100S (P) Pseudoephedrin

4 0103c0667 TUZALOS TAB STRIP 25S (P) Pseudoephedri
7 0103c0068 DECOLSIN CAP STR 4S (P) Pseudoephedri
9 0103c0532 PROCOLD FLU CAPL 6S STRIP 24S Pseudoephedri
11 0103c0883 STOP COLD TAB STRIP 15S (P) Pseudoephedri
13 0103c0488 PANADOL FLU&BATUK CAPL 100S (P) Pseudoephedri
14 0103c0494 PARATUSIN TAB 200S (P) Pseudoephedri
19 0103c0721 ALLERIN EXP SYR 60ML (P) Pseudoephedri
24 0103c0751 ANAKONIDIN SYR 30ML (P) Pseudoephedri
26 0103c0242 HUFAGRIP FLU&BATUK SYR 60ML (P) Pseudoephedri
27 0103c0408 OBH COMBI PLUS ANAK APEL SYR 60ML (P) Pseudoephedri
28 0103c0410 OBH COMBI PLUS ANAK JERUK SYR 60ML (P) Pseudoephedri
 29 0103c0411 OBH COMBI PLUS ANAK MADU SYR 60ML (P) Pseudoephedri
31 0103c0621 TERMOREX PLUS SYR 30ML (P) Pseudoephedri
32 0103c0622 TERMOREX PLUS SYR 60ML (P) Pseudoephedri
33 0103c0750 ANAKONIDIN OBH SYR 60ML (P) Pseudoephedri
ACTIFED + COUGH SYR HIJAU 60ML (P) Pseudoephedrine HCL
38 0103c0706 ACTIFED + COUGH SYR MERAH 60ML (P) Pseudoephedri
44 0103c0406 OBH COMBI PLUS BATUK FLU MENTHOL SYR 60ML (P) Pseudoephedri
45 0103c0069 DECOLSIN SYR 60ML (P) Pseudoephedri
46 0103c0239 HUFAGRIP BP SYR 60ML (P) Pseudoephedri
47 0103c0241 HUFAGRIP PILEK SYR 60ML (P) Pseudoephedri
48 0103c0590 SILADEX COUGH N COLD SYR 100ML (P) Pseudoephedri
49 0103c0592 SILADEX COUGH N COLD SYR 60ML (P) Pseudoephedri
56 0103c0752 ANAKONIDIN SYR 60ML (P) Pseudoephedri
57 0103c0336 MOLEXFLU SYR 60ML (P) Phenylpropanolamine HCl 
58 0103c0330 MIXAGRIP FLU CAPL 4S STRIP 25S Phenylpropanol
59 0103c0261 INTUNAL F TAB 4S STRIP 25S (P) Phenylpropanol
60 0103c0358 NEOZEP F TAB 4S STRIP 25S (P) Phenylpropanol
61 0103c0360 NODROF FLU EXPECTORAN TAB 100S (P) Phenylpropanol
62 0103c0579 SANAFLU F TAB 4S STRIP 25S (P) Phenylpropanol
66 0103c0871 NODROF TAB 100S (P) Phenylpropanol
67 0103c0091 DEXTRAL SYR 60ML (P) Phenylpropanol
69 0103c0337 MOLEXFLU TAB 150S (P) Phenylpropanol
70 0103c0067 DECOLGEN TAB STR 4S (P) Phenylpropanol
71 0103c0178 FLUCADEX TAB 100S (P) Phenylpropanol
72 0103c0092 DEXTRAL TAB 150S (P) Phenylpropanol
79 0103c0582 SANAFLU TAB STR 25S Phenylpropanol
81 0103c0531 PROCOLD FLU&BATUK CAPL 6S STRIP 24S (T) Phenylephrine
82 0103c0776 BODREX FLU&BATUK BERDAHAK PE CAPL 4S STRIP 25S Phenylephrine
83 0103c0775 BODREX FLU&BATUK KERING PE CAPL 4S STRIP 25S (T) Phenylephrine
84 0103b0058 NEO NAPACIN TAB 4S STRIP 50S (P) Ephedrine HCL
86 0103c0513 PIMTRAKOL LEMON SYR 60ML (P) Ephedrine HCL
87 0103c0512 PIMTRAKOL CHERRY SYR 60ML (P) Ephedrine HCL
89 0103c0415 OBH COMBI PLUS BATUK FLU JAHE SYR 100ML (P) Efedrin HCL

OR Farmasi tersebut akan digunakan untuk memenuhi kebutuhan :

Nama Apotek
Alamat Lengkap
Nomor Izin

SP OOT
SURAT PESANAN OBAT MENGANDUNG OOT FARMASI
Nomor SP:

Yang bertanda tangan dibawah ini

Nama
Jabatan
Nomor SIPA/SIKTTK

pesanan obat mengandung OOT farmasi kepada :

 Nama PBF :
Alamat :

engandung OOT Farmasi yang di pesan adalah :

ZAT AKTIF
NO PLU NAMA OBAT MENGANDUNG OOT
OOT FARMASI

5 0103c0575 SANADRYL DMP SYR 60ML (T) Dextromethorph

7 0103c0687 WOODS ATT SYR 60ML (T) Dextromethorph
8 0103c1010xSILADEX DMP SYR 100ML (T) Dextromethorph
10 0103c0680 VICKS F44 DWS SYR 100ML (T) Dextromethorph
11 0103c0681 VICKS F44 DWS SYR 27ML (T) Dextromethorph
12 0103c0682 VICKS F44 DWS SYR 54ML (T) Dextromethorph
13 0103c0678 VICKS F44 ANAK SYR 54ML (T) Dextromethorph
14 0103c0679 VICKS F44 ANAK SYR 27ML (T) Dextromethorph
15 0103c0588 SILADEX ATT SYR 30ML (T) Dextromethorph
16 0103c1008xSILADEX ATT SYR 100ML (T) Dextromethorph
17 0103c1009xSILADEX DMP SYR 60ML (T) Dextromethorph
18 0103c0589 SILADEX ATT SYR 60ML (T) Dextromethorph

Farmasi tersebut akan digunakan untuk memenuhi kebutuhan :

Nama Apotek
Alamat Lengkap
Nomor Izin

ITEM
NO ITEM NAME QTY ORDER
CODE
41 0113f5222 VERMINT CAP 12S 2
42 0113f5223 VERMINT CAP 30S 1
50 0116k0096 PK SEINO 5G 1
51 0116k0111 SEINO RIVANOL 100ML 6
52 0116k0113 SEINO RIVANOL 285ML 3
61 020000123 AKURAT TEST KEHAMILAN 25S 1
64 020000310 AUTOCHECK STRIP ASAM URAT 25S 1
65 020000311 AUTOCHECK STRIP GLUCOSE 25S 1
66 020000312 AUTOCHECK STRIP KOLESTEROL 10S 1
67 020000314 AVAIL BEAUTY DAY USE (BIRU) 10S 2
68 020000315 AVAIL BEAUTY NIGHT USE (PINK) 10S 2
69 020000316 AVAIL BEAUTY PANTILINER (HIJAU) 20S 2
71 020000423 BEBE CELANA SUNAT L 2
72 020000424 BEBE CELANA SUNAT M 2
73 020000425 BEBE CELANA SUNAT S 2
74 020000426 BEBE CELANA SUNAT XL 2
 82 020001126 DODO BREAST PUMP BIASA 2
100 020001326 DUREX COMFORT 3S 1
101 020001334 DUREX LOVE 3S 1
104 020001350 DUREX STRAW 3S 1
105 020001353 DUREX TOGETHER 3S 1
110 020001522 FIESTA DURIAN 3S 1
115 020001539 FIESTA ULTRA SAFE 3S 1
116 020001540 FIESTA ULTRA THIN 3S 1
117 020001710 GEA BLOOD LANCET 28G 200S 2
118 020001716 GEA INFUSET ANAK 5
119 020001717 GEA INFUSET DEWASA 10
126 020001874 HANSAPLAST ROL 1.25CMX1M 1
127 020001876 HANSAPLAST ROL 1.25CMX5M 1
143 020002090 HUSADA KAPAS PEMBALUT 100G 4
144 020002091 HUSADA KAPAS PEMBALUT 250G 2
145 020002092 HUSADA KAPAS PEMBALUT 25G 5
147 020002094 HUSADA KAPAS PEMBALUT 50G 5
148 020002101 HUSADA KASA STERIL 16X16 6
161 020002872 MAMI BREAST PUMP 2
167 020003158 MEDISOFT KAPAS BOLA 75G 2
168 020003221 MICROPORE 1/2+PMTG 3
177 020003502 NESCO CHECK CHOLESTEROL STRIP 10S 2
179 020003506 NESCO CHECK URIN ACID STRIP 25S 2
180 020003507 NESCO CHECKGLUCOSE STRIP 25S 2
020003744 ONE MED KASA STERIL 16X16 10S 10
202 020003775 ONE MED TEST KEHAMILAN 1
255 020005077 SUTRA KONDOM 24S 1
256 020005078 SUTRA KONDOM 3S 1
259 020005083 SUTRA OK KONDOM 3S 1
269 020005223 TERUMO DISP SPUIT 1ML 10
271 020005229 TERUMO DISP SPUIT 3ML 1
273 020005233 TERUMO DISP SPUIT 5ML 2
279 020005333 TISSUE SUPER MAGIC CASANOVA 2
280 020005334 TISSUE SUPER MAGIC MAN 2
345 020006895 NARITA FARMA VERBAN 10CM 5
346 020006896 NARITA FARMA VERBAN 15CM 5
347 020006897 NARITA FARMA VERBAN 5CM 5
ABBOCATH 18 10
ABBOCATH 20 10
ABBOCATH 22 10
ABBOCATH 24 10

TERIMAKASIH
Kepada Yth:

catatan: MINTA ITEM ED

UNIT SALES PRICE DISCOUNT FEEDBACK LAMA yaa, ED DEKAT
pengajuan RETUR
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
BOTOL Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
DOS Rp0
PACK Rp0
PACK Rp0
PACK Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
 PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
POT Rp0
POT Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
BOTOL Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
TUBE Rp0
BOX Rp0
BOX Rp0
BOX Rp0
 BOX/PACK Rp0
BOTOL Rp0
BOX Rp0
BOX Rp0
BOX Rp0
BOX Rp0
BOX Rp0
BOX Rp0
BOX Rp0
BOX Rp0
BOTOL Rp0
BOX Rp0
BOX Rp0
BOX Rp0

Rp0
EKURSOR FARMASI

BENTUK
DAN
FEEDB
KEKHUSU SATUAN JUMLAH KETERANGAN PRICE
ACK
SAN
SEDIAAN
Tablet, 60mg DOS
Tablet, 60mg DOS
Tablet, 30mg DOS
Tablet, 30mg DOS
Tablet, 30mg DOS
Tablet, 15mg DOS
Tablet, 15mg DOS
Sirup, 7.5 mg/5 ml BOTOL
Sirup, 7,5mg/5ml BOTOL
Sirup, 7,5mg / 5ml BOTOL
Sirup, 7,5mg / 5ml BOTOL
Sirup, 7,5mg / 5ml BOTOL
 Sirup, 7,5mg / 5ml BOTOL
Sirup, 7,5mg / 5ml BOTOL
Sirup, 7,5mg / 5ml BOTOL
Sirup, 7,5mg / 5ml BOTOL
eudoephedrine HCL BOTOL
Sirup, 30mg / 5ml BOTOL
Sirup, 2,5mg / 5ml BOTOL
sirup, 15mg/5ml BOTOL
Sirup, 15mg / 5ml BOTOL
Sirup, 15mg / 5ml BOTOL
Sirup, 15mg / 5ml BOTOL
Sirup, 15mg / 5ml BOTOL
BOTOL BOTOL
Tablet, 12.5mg BOTOL
Tablet, 25mg DOS
Tablet, 15mg DOS
Tablet, 15mg DOS
Tablet, 15mg DOS
Tablet, 15mg DOS
Tablet, 15mg DOS
Tablet, 12.5mg BOTOL
Tablet, 12.5mg DOS
Tablet, 12.5 mg DOS
Tablet, 12.5 mg DOS
Tablet, 12,5mg DOS
DOS DOS
Tablet, 10mg DOS
Tablet, 10mg DOS
Kaplet, 12mg DOS
Tablet, 12,5mg DOS
Sirup, 2mg / 5ml BOTOL
Sirup, 2mg BOTOL
Sirup, 2.5 mg/5 ml BOTOL

OOT FARMASI
 BENTUK
DAN
SALES
KEKHUSU SATUAN JUMLAH KETERANGAN
PRICE
SAN
SEDIAAN
Sirup, 7,5mg / 5ml BOTOL 2 Rp0
Sirup, 7,5mg / 5ml BOTOL 2 Rp0
Sirup, 7,5mg / 5ml BOTOL 2 Rp0
Sirup, 5mg / 5ml BOTOL 2 Rp0
Sirup, 5mg / 5ml BOTOL 2 Rp0
Sirup, 5mg / 5ml BOTOL 2 Rp0
Sirup, 3,5mg / 5ml BOTOL 2 Rp0
Sirup, 3,5mg / 5ml BOTOL 4 Rp0
sirup, 15mg/5ml BOTOL 4 Rp0
Sirup, 15mg/5ml BOTOL 2 Rp0
sirup, 15mg/5ml BOTOL 2 Rp0
Sirup, 15 mg/5 ml BOTOL 2 Rp0
Rp0

UNIT SALES PRICE DISCOUNT FEEDBACK

PCS Rp0
PCS Rp0
DOS Rp0
BOTOL Rp0
BOTOL Rp0
DOS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
DOS Rp0
DOS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
DOS Rp0
PCS Rp0
PCS Rp0
PCS Rp0
DOS Rp0
PCS Rp0
DOS Rp0
DOS Rp0
PCS Rp0
BOX Rp0
BOX Rp0
PCS Rp0
PCS Rp0
PACK Rp0
PACK Rp0
PACK Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0