Material Material Description HNA + PPN SLED/BBD Qty Conv.

Unrestrict
ed

12000119 AXIMED CHIRURGIC GLOVES, 7.0 12,614 8/31/2025 293

12000155 AXIMED CONNECTING TUBE WITH YANKEUR 28,527 4/30/2025 234
12000224 AXIMED EXAMINATION GLOVES, L 181,636 10/15/2025 90
12000175 AXIMED FEEDING TUB 100CM, 10 7,770 5/31/2025 196
12000210 AXIMED FOLEYCATH 2-WAY NO.16 13,320 2/14/2027 17
12000166 AXIMED INFUSION SET Y- TYPE 7,659 5/31/2025 257
12000252 AXIMED N.W. FIXATION 15X10 88,356 6/30/2025 40
12000254 AXIMED N.W. FIXATION 5X10 39,294 1/31/2025 391
12000124 AXIMED NASAL OXYGEN, SIZE L 6,771 9/1/2026 414
12000257 AXIMED PAPER TAPE 5 X 9.14 20,757 9/30/2026 3
12000197 AXIMED STOMACH TUB NO.16 7,659 6/30/2023 300
12000168 AXIMED SYRINGE 1 CC 88,800 2/1/2027 24
12000169 AXIMED SYRINGE 10 CC 134,865 11/1/2026 29
12000170 AXIMED SYRINGE 20 CC 88,800 2/1/2027 5
12000172 AXIMED SYRINGE 5 CC 92,685 2/1/2027 84
12000156 AXIMED URINE DRAINAGE BAG 6,660 10/2/2026 3431
12006973 HM HUSADA 40 yard x 80 cm (36m) 129,668 4/1/2025 25
12000236 STERINTECH FLAT 30CM X 200M 1,339,548 5/31/2023 1
12006548 BIOSAVE ABU I 521,833 3/30/2024 2
12009733 CEDOCARD I.V INJEKSI 10 ML (G) (DVRS) 328,461 7/31/2025 9
12009768 GRISEOFULVIN 500 MG TABL @ 100 (DVRS) 187,558 11/30/2026 31
12009780 METRONIDAZOLE INFUS 100 ML (DVRS) 6,116 3/31/2024 4
12012222 BISACODYL 5MG TAB@100 24,824 10/3/2023 136
12001217 PROPANOLOL TAB 10 MG (HOLI) 6,660 10/31/2024 88
12001218 PROPANOLOL TAB 40 MG 9,485 8/31/2025 165
11000496 DUROGESIC 12,5 MU MATRIX (YS) 318,875 3/1/2023 95
11000497 DUROGESIC 25 MU MATRIX (YS) 510,095 12/1/2023 3
11000150 AMLODIPINE 5 MG (DUS 50 TAB) 2,977 11/6/2025 5820
11000291 ANTIHEMOROID (DUS 10 SUPP) 32,947 4/20/2024 108
11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) 28,255 11/22/2026 196
11000170 CLONIDINE 0.15 MG (DUS 100 TAB) 16,650 3/29/2024 30
11000033 CODEINE 10 MG (DUS 100 TAB) 61,050 2/20/2026 96
11000035 CODEINE 15 MG TAB (DUS 100 TAB) 103,936 2/23/2026 45
11000037 CODEINE 20 MG TAB (DUS 100 TAB) 138,245 8/30/2023 136
11001478 DIMENHYDRINATE 50 MG (DUS 100 TAB)-BJN 11,806 12/21/2023 169
11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) 194,250 4/4/2026 411
11001658 FOVEPTA DUS, 1 PREFILLED SYRINGE @0.4 ml 1,349,200 2/18/2023 4
11000072 GLIBENCLAMIDE 5 MG (DUS 100 TAB) 9,586 12/6/2026 78
11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) 9,990 9/14/2025 238
11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) 37,054 5/10/2025 171
11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) 5,045 3/16/2025 22
11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) 3,330 3/20/2025 2985
11000208 ISONIAZID 100 MG (DUS 100 TAB) 7,746 7/2/2026 58
11000210 ISONIAZID 300 MG (DUS 100 TAB) 15,490 6/9/2023 92
11000395 KETOCONAZOLE 2 % CREAM (TUBE 10 GRAM) 2,421 5/12/2024 1275
11001043 MORFINA 10 MG/ML INJEKSI (IMPOR) 302,727 8/31/2024 38
11002020 NACL 0,9% INFUS 6,963 9/22/2024 1340
11000112 NITROKAF RETARD F. KAPS.(100) 257,318 4/3/2024 42
11000115 OMEPRAZOLE 20 MG (DUS 30 KAPS) 3,996 3/3/2024 599
11000257 RETAPHYL SR-STRIP 10X10 TABLET 120,082 9/13/2026 64
11000124 RIFAMPICIN 450 MG (DUS 100 TAB) 108,275 11/17/2025 76
11000125 RIFAMPICIN 600 MG (DUS 100 TAB) 142,988 3/25/2026 48
11002018 RINGER LAKTAT INFUS 7,773 11/14/2024 6120
11000486 VITAMIN B6 10 MG (SUPLEMEN)(DUS100TAB) 7,669 5/16/2024 1119
12009305 FENTANYL CITRATE INJ 10 ML (MBF) 240,164 8/31/2023 200
12009304 FENTANYL CITRATE INJ 2 ML (MBF) 148,840 9/30/2023 116
11000502 MST CONTINUS 15 MG 1,485,180 10/30/2023 15
12008228 DIAZEPAM INJ 5MG/ML (MEPRO) 15,451 5/30/2024 120
12008229 MEROPENEM 1 GR INJ (MEPRO) 359,842 7/30/2023 39
12012176 CEFADROXIL DS 125MG/5ML 60ML (NOVA) 4,180 3/31/2024 130
12009842 CAPTOPRIL 12,5 MG @100 TAB (PEHA) 5,675 12/3/2023 31
12009843 CAPTOPRIL 25 MG @100 TAB (PEHA) 12,876 1/5/2024 129
12009850 CHLORPROMAZIN INJ 25 MG/ML @30 AMP(PEHA) 48,285 6/16/2023 2
13011603 DEXAMETHASONE 5MG AMP@100 GPH (PEHA) 102,120 11/22/2025 171
13028323 DIPHENHYDRAMINE 10MG AMP@30 (PEHA) 20,480 4/18/2024 21
13011198 GEMFIBROZIL 300MG CAP@100 GPH (PEHA) 34,814 1/24/2026 150
13027070 LIDOCAINE 2%/2ML AMP GPH (PEHA) 97,900 3/23/2026 51
12009891 NYSTATIN TAB 500.000 IU @100 TAB (PEHA) 96,570 9/3/2024 3
12009900 PHENOXYMETHYL PEN.500 MG @100 TAB (PEHA) 75,783 1/28/2027 60
13073607 PHYTOMENADION 10MG STR@100 GPH (PEHA) 85,470 5/10/2025 46
12009904 PRIMAQUINE 15 MG @100 TAB (PEHA) 24,420 9/28/2024 67
12009912 SODIUM VALPROATE 250 MG/5 ML (PEHA) 20,169 5/19/2025 42
12009919 ZINC SULFATE DISP 20 MG @100 TAB (PEHA) 27,750 9/21/2024 1594
11000491 FENTANYL 0.05 MG/ML 2 ML (PCC) 148,841 2/28/2023 490
12012306 PARACETAMOL 60MG/0,6ML DROP 15ML (AFI) 5,355 5/30/2025 100
12011615 BAYMED CRUTCH TONGKAT KETIAK (M) 136,501 12/29/2026 75
12011614 BAYMED CRUTCH TONGKAT KETIAK (S) 150,151 12/29/2026 10
12011857 CAPTOPRIL 25MG @100 TAB (RAMA) 7,568 7/1/2024 559
12011854 HYOSCINE BUTYLBROMIDE 10MG @100 (RAMA) 105,955 8/1/2024 15
12008250 DEXTROESE 5% 500 ML (SATORIA) 6,688 11/30/2024 220
12011485 SODIUM CHLORIDE 0,9% 100 ML (SATORIA) 6,763 11/12/2023 200
12008262 SODIUM CHLORIDE 0,9% 500 ML (SATORIA) 6,963 3/25/2024 8020
12011709 WATER FOR INJECTION 25 ML (SATORIA) 2,674 12/18/2023 12530
12007260 ALBUNORM 25% 100 ML 1,590,000 11/30/2024 56
12003643 NIPRO BLOOD TRANSFUSION SET TF-4D2 13,886 6/30/2025 4806
12003651 NIPRO SAFELET CATH IV PU 22GX1" 4,862 10/31/2026 80
12003655 NIPRO SYRINGE 10 ML LL W/N 21GX1-1/2" 1,299 12/31/2026 1900
12003656 NIPRO SYRINGE 3 ML LL W/N 24GX1" 888 12/31/2026 2400
12003658 NIPRO SYRINGE 5 ML LL W/N 22GX1-1/2" 977 11/30/2026 2900
12011925 OSONE DISPOSABLE PROTECTIVE COVERALL 120,082 7/21/2023 30
12003757 DEXTROSE 10 % INFUS 500 ML (WIDATRA) 7,265 9/30/2023 160
12003759 DEXTROSE 5 % INFUS 500 ML (WIDATRA) 6,688 3/30/2024 900
12003762 NATRIUM KLORIDA 500 ML (WIDATRA) 6,963 10/31/2026 8480
12003763 RINGER LACTAT INFUS 500 ML (WIDATRA) 7,773 9/30/2026 2520
12003769 WIDA D5 - 1/4 NS 10,499 11/30/2023 300
`
UoM ConvNama Principle

PAC BIO AXION HEALTHINDO, PT

PC BIO AXION HEALTHINDO, PT
DUS BIO AXION HEALTHINDO, PT
PC BIO AXION HEALTHINDO, PT
PC BIO AXION HEALTHINDO, PT
PC BIO AXION HEALTHINDO, PT
RLL BIO AXION HEALTHINDO, PT
RLL BIO AXION HEALTHINDO, PT
PC BIO AXION HEALTHINDO, PT
RLL BIO AXION HEALTHINDO, PT
PC BIO AXION HEALTHINDO, PT
DUS BIO AXION HEALTHINDO, PT
DUS BIO AXION HEALTHINDO, PT
DUS BIO AXION HEALTHINDO, PT
DUS BIO AXION HEALTHINDO, PT
PC BIO AXION HEALTHINDO, PT
PAC BIO AXION HEALTHINDO, PT
RLL BIO AXION HEALTHINDO, PT
VL BIOFARMA
DUS DARYA VARIA, PT
DUS DARYA VARIA, PT
BT DARYA VARIA, PT
DUS HARSEN LABORATORIES, PT
DUS HOLI PHARMA
DUS HOLI PHARMA
DUS JANSSEN PHARMACEUTICA NV
DUS JANSSEN PHARMACEUTICA NV
DUS KIMIA FARMA
DUS KIMIA FARMA
DUS KIMIA FARMA
DUS KIMIA FARMA
DUS KIMIA FARMA
DUS KIMIA FARMA
DUS KIMIA FARMA
DUS KIMIA FARMA
DUS KIMIA FARMA
DUS KIMIA FARMA
DUS KIMIA FARMA
DUS KIMIA FARMA
BT KIMIA FARMA
BT KIMIA FARMA
BT KIMIA FARMA
DUS KIMIA FARMA
DUS KIMIA FARMA
TUB KIMIA FARMA
DUS KIMIA FARMA
BT KIMIA FARMA
DUS KIMIA FARMA
DUS KIMIA FARMA
DUS KIMIA FARMA
DUS KIMIA FARMA
DUS KIMIA FARMA
BT KIMIA FARMA
DUS KIMIA FARMA
DUS MAHAKAM BETA FARMA
DUS MAHAKAM BETA FARMA
DUS MAHAKAM BETA FARMA
DUS MEPROFARM
DUS MEPROFARM
BT NOVAPHARIN
DUS PHAPROS GENERIK
DUS PHAPROS GENERIK
DUS PHAPROS GENERIK
DUS PHAPROS GENERIK
DUS PHAPROS GENERIK
DUS PHAPROS GENERIK
DUS PHAPROS GENERIK
DUS PHAPROS GENERIK
DUS PHAPROS GENERIK
DUS PHAPROS GENERIK
DUS PHAPROS GENERIK
BT PHAPROS GENERIK
DUS PHAPROS GENERIK
DUS PIRAMAL CRITICAL CARE LTD
BT PT AFIFARMA
PAA PT. LIKUID PHARMALAB INDONESIA
PAA PT. LIKUID PHARMALAB INDONESIA
DUS RAMA EMERALD, PT
DUS RAMA EMERALD, PT
BT SATORIA ANEKA INDUSTRI, PT
BT SATORIA ANEKA INDUSTRI, PT
BT SATORIA ANEKA INDUSTRI, PT
AMP SATORIA ANEKA INDUSTRI, PT
BT SATYA ABADI PHARMA, PT
PC SINAR RODA UTAMA, PT
PC SINAR RODA UTAMA, PT
PC SINAR RODA UTAMA, PT
PC SINAR RODA UTAMA, PT
PC SINAR RODA UTAMA, PT
PC SURYA SUKSES PERKASA, PT
BT WIDATRA BHAKTI, PT
BT WIDATRA BHAKTI, PT
BT WIDATRA BHAKTI, PT
BT WIDATRA BHAKTI, PT
BT WIDATRA BHAKTI, PT