LAPORAN OBAT KELUAR KLINIK GRIYA SEHAT

BULAN APRIL 2021

NO NAMA OBAT Harga Satuan OBAT BPJS OBAT UMUM OBAT GIGI
69 PARACETAMOL Rp 150 1513 Rp 226,927 13 Rp 1,950 462
57 NUSAPLEX / Vit B Plex Rp 80 1020 Rp 81,600 18 Rp 1,440
61 NOVADEX / Dexa Rp 150 548 Rp 82,200 250 Rp 37,500 214
6 ANTASID OGB Rp 200 871 Rp 174,200 106 Rp 21,200
72 RANITIDINE HEXP Rp 200 880 Rp 176,000 Rp - 6
36 FLUMIN BOX Rp 500 680 Rp 340,000 31 Rp 15,500
64 OMEGESIC Rp 550 538 Rp 295,900 136 Rp 74,800
5 AMOXICILLIN HJ Rp 600 97 Rp 58,200 10 Rp 6,000 560
1 AMBROXOL NV Rp 150 584 Rp 87,600 68 Rp 10,200
55 Miracloven Rp 400 418 Rp 167,200 50 Rp 20,000 154
80 VIT C PIM Rp 60 494 Rp 29,640 114 Rp 6,840 10
23 DOMPERIDON Rp 300 407 Rp 122,100 210 Rp 63,000
7 ARKAVIT Rp 400 82 Rp 32,800 490 Rp 196,000 4
33 ERPHAMOL / Paracetamol Rp 350 22 Rp 7,700 344 Rp 120,400 200
4 AMLODIPIN 10 PH Rp 250 350 Rp 87,500 150 Rp 37,500 4
85 VIT B12 Rp 40 479 Rp 19,160 10 Rp 400
68 PARANERVION Rp 1,050 Rp - 480 Rp 504,000
11 ALLERON / CTM Rp 200 370 Rp 74,000 88 Rp 17,600
42 GASELA / Ranitidine Rp 500 Rp - 436 Rp 218,000
21 CETERIZIN TRIMAN Rp 250 293 Rp 73,250 120 Rp 30,000
67 PIROXICAM 10 NOVA Rp 150 332 Rp 49,800 64 Rp 9,600
3 AMLODIPIN 5 PH Rp 150 307 Rp 46,050 60 Rp 9,000 4
14 BIOMAAG Rp 450 70 Rp 31,500 300 Rp 135,000
16 CEFADROXIL HJ Rp 900 108 Rp 97,200 180 Rp 162,000 76
41 GG ERLIM Rp 250 355 Rp 88,750 8 Rp 2,000
12 ASAM MEFENAMAT infarmid Rp 350 159 Rp 55,650 70 Rp 24,500 114
56 NEOMETHOR Rp 450 218 Rp 98,100 83 Rp 37,350
29 ERSOLON / Methylpred 4 mg Rp 550 106 Rp 58,300 150 Rp 82,500 38
51 METFORMIN Rp 250 278 Rp 69,500 10 Rp 2,500
32 ERBIFIN / Metronidazol Rp 600 24 Rp 14,400 Rp - 226
47 IFISON / Prednison Rp 150 204 Rp 30,600 35 Rp 5,250
8 AKITA / Kaolin Rp 350 145 Rp 50,750 70 Rp 24,500
37 FERMIA Rp 400 141 Rp 56,400 70 Rp 28,000
74 SIMVASTATIN 10 Rp 250 160 Rp 40,000 50 Rp 12,500
83 VISELA Rp 300 206 Rp 61,800 Rp -
19 CIPROFLOXACIN HJ Rp 550 192 Rp 105,600 10 Rp 5,500
58 NOVAKALK / Kalk Rp 150 140 Rp 21,000 60 Rp 9,000
60 NARMIG Rp 300 124 Rp 37,200 60 Rp 18,000
9 ANTALGIN (Betalgin) Rp 300 154 Rp 46,200 Rp -
87 ZELONA/Na Diclo Rp 350 148 Rp 51,800 Rp -
76 SPASMINAL Rp 950 74 Rp 70,300 60 Rp 57,000
77 SAMCOFENAC / Na Diclo Rp 250 40 Rp 10,000 70 Rp 17,500 24
20 CAPTOPRIL 25 ERRITA Rp 150 110 Rp 16,500 20 Rp 3,000
10 ALLOPURINOL HJ Rp 300 96 Rp 28,800 20 Rp 6,000
52 MELOXICAM Rp 400 76 Rp 30,400 30 Rp 12,000
84 VIT B6 Rp 60 102 Rp 6,120 Rp -
15 BISOPROLOL Dexa Rp 600 84 Rp 50,400 10 Rp 6,000
18 CALORTUSIN Rp 550 52 Rp 28,600 40 Rp 22,000
88 ZIPHA/Zinc Rp 900 17 Rp 15,299 64 Rp 57,598
73 SALGEN SK / Gentamycin SK Rp 6,000 61 Rp 366,000 14 Rp 84,000
17 CEFIXIME dexa Rp 1,150 Rp - 70 Rp 80,500
13 BETHAMETASON Rp 4,000 51 Rp 204,000 9 Rp 36,000
66 OMEPRAZOLE Rp 450 4 Rp 1,800 50 Rp 22,498
75 SALBUTAMOL Rp 200 52 Rp 10,400 Rp -
44 IMODIAR / Loperamid Rp 250 30 Rp 7,500 20 Rp 5,000
70 PARACETAMOL SYR Rp 4,000 25 Rp 100,000 16 Rp 64,000 5
 39 FASORBID / ISDN Rp 300 28 Rp 8,400 10 Rp 3,000
46 ISDN INF Rp 250 28 Rp 7,000 10 Rp 2,500
82 VIT K Rp 350 36 Rp 12,600 Rp -
49 KETOCONAZOLE Rp 350 13 Rp 4,550 20 Rp 7,000
25 DIONICOL / Thiamfenicol Rp 1,300 Rp - 30 Rp 39,000
40 FUROSEMID 40 MG Rp 350 Rp - 20 Rp 7,000
METAFLU Rp 400 Rp - 20 Rp 8,000
71 PEHACAIN ("20) Rp 4,500 Rp - 20 Rp 90,000
53 MICONAZOLE Rp 600 12 Rp 7,200 4 Rp 2,400
22 DOMPERIDON SUSP Rp 5,500 5 Rp 27,500 7 Rp 38,500
2 ACYCLOVIR CREAM Rp 5,000 9 Rp 45,000 Rp -
48 KAOTIN Rp 950 3 Rp 2,850 2 Rp 1,900
50 LOSTACEF SYR / Cefad Rp 16,000 Rp - 3 Rp 48,000
30 ERLA TT Rp 11,000 Rp - 1 Rp 11,000
31 ERLA SM Rp 12,000 Rp - 1 Rp 12,000
86 YUSIMOX SYR /Amox syr Rp 6,000 Rp - 1 Rp 6,000
24 DENICAM / Pirox 20 Rp 400 Rp - Rp -
27 ERPHAFILIN Rp 250 Rp - Rp -
28 ERPHAFLAM / Kalium Diclo Rp 400 Rp - Rp -
34 ETAFUSIN SYR Rp 7,000 Rp - Rp -
35 FLUMIN LOS Rp 400 Rp - Rp -
38 FLOXIGRA Rp 700 Rp - Rp -
43 GENOINT / Gentamycin SK Rp 7,500 Rp - Rp -
45 IFIDEX / Dexa Rp 60 Rp - Rp -
54 MIRABION Rp 400 Rp - Rp -
62 NEUROBION INJ "5 Rp 4,000 Rp - Rp -
63 ORPHEN / CTM Rp 100 Rp - Rp -
65 OMERIC /Allopurinol Rp 400 Rp - Rp -
78 TRIDEXON / Dexa Rp 100 Rp - Rp -
79 TRISELA Rp 500 Rp - Rp -
81 VIT C ISI 1000 Rp 60 Rp - Rp -
Jumlah Total Jumlah Total Jumlah
TOTAL Rp 4,080,869 Rp 2,696,976
OBAT GIGI
Rp 69,293
Rp -
Rp 32,100
Rp -
Rp 1,200
Rp -
Rp -
Rp 336,000

Rp 61,600
Rp 600
Rp -
Rp 1,600
Rp 70,000
Rp 1,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 600
Rp -
Rp 68,400
Rp -
Rp 39,900
Rp -
Rp 20,900
Rp -
Rp 135,600
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 6,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 20,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Total
Rp 762,200