NO NAMA PERMINTAAN NAMA PRODUK PENYEDIA SATUAN KEMASAN HARGA HNA PPN JUMLAH JUMLAH HARGA

1 DIAZEPAM 2 MG TAB DIAZEPAM 2 MG TABLET BOX, 100 TABLET 266 100 26,600
2 BENOSON N (BETAMETASONE+NEOMISIN) BENOSON N TUBE, 5 ML TUBE, 5 ML 26,751 5 133,755
3 DIAZEPAM RECTAL 5MG STESOLID RECTAL SUPP BOX, 5 SUPP 48,840 5 244,200
4 OXITOSIN INJEKSI PROTOCIN INJ AMPUL BOX, 10 AMPUL 8,880 20 177,600
5 METHERGIN INJEKSI METHERGIN INJEKSI AMPUL BOX, 100 AMPUL 4,440 100 444,000
6 METHERGIN TAB MYOTONIC TABLET TABLET BOX, 100 TABLET 2,942 100 294,200
7 BROMHEXIN TAB BROMIFAR TABLET BOX, 100 TABLET 333 100 33,300
8 EPERISONE 50MG TAB ESTALEX / EPERISONE TABLET BOX, 50 TABLET 1,554 100 155,400
9 AMOKSILIN DROP AMOKSISILIN DROP BOTOL BOTOL 25,500 8 204,000
10 MEROPENEM 500 MG INJEKSI MEROPENEM 500MG AMPUL BOX, 10 AMPUL 77,700 10 777,000
11 THIAMPHENIKOL 500 MG CAPS LITHICOL KAPSUL BOX, 100 KAPSUL 1,554 200 310,800
12 AZITROMISIN 500 MG TAB AZITROMISIN 500MG KAPSUL BOX, 30 TABLET 6,660 30 199,800
13 Sefoperazon 1000 MG/ VIAL SEFOPERAZON INJEKSI AMPUL BOX, 10 AMPUL 22,200 10 222,000
14 Ceftazidim inj 1000mg/vial CEFTAZIDIM INJ VIAL BOX, 10 AMPUL 33,300 10 333,000
15 ASAM FOLAT 4 MCG ASAM FOLAT 4MCG TABLET BOX, 100 TABLET 132 5,000 660,000
16 Nicardipin injeksi NICARDIPIN INJEKSI AMPUL BOX, 10 AMPUL 49,950 10 499,500
17 METOCLOPRAMID INJE METOKLOPRAMID INJEKSI AMPUL BOX, 10 AMPUL 7,770 50 388,500
18 DOMPERIDONE SYR DOMPERIDON SIRUP BOTOL BOTOL 5,550 15 83,250
19 PEHACAIN INJEKSI PEHACAIN INJEKSI AMPUL BOX, 20 AMPUL 4,444 40 177,760
20 Metformin 500 mg METFORMIN TB TABLET BOX, 200 TABLET 333 6,000 1,998,000
21 Ursodeoxycholic acid 250 mg URSODEOXYCHOLIC ACID CAPSUL KAPSUL BOX, 100 TABLET 2,808 100 280,800
22 BIOCOMBION INJ BIOCOMBIN INJEKSI AMPUL BOX, 10 AMPUL 5,550 50 277,500
23 NEURODEX TAB BENEURON TABLET BOX, 100 TABLET 666 400 266,400
24 CITICOLINE TABLET 500 MG (DUS 30 TAB) CITICOLINE TB 500 MG TABLET BOX, 30 TABLET 7,400 90 666,000
25 gentamisin salep mata GENTAMISIN SALEP MATA TUBE TUBE 12,272 20 245,440
TOTAL 9,098,805
METHERGIN
METHERGIN INJEKSI
AMPULBOX, 100 AMPUL 4,440
METHERGI
MYOTONIC TABLET
TABLET
BOX, 100 TABLET 2,942
NO NAMA PERMINTAAN NAMA PRODUK PENYEDIA SATUAN KEMASAN HARGA HNA PPN JUMLAH JUMLAH HARGA
1 DIAZEPAM 2 MG TAB DIAZEPAM 2 MG TABLET BOX, 100 TABLET 266 100 26,600
2 DIAZEPAM RECTAL 5MG STESOLID RECTAL SUPP BOX, 5 SUPP 48,840 5 244,200
3 OXITOSIN INJEKSI PROTOCIN INJ AMPUL BOX, 10 AMPUL 8,880 50 444,000
4 METHERGIN INJEKSI METHERGIN INJEKSI AMPUL BOX, 100 AMPUL 4,440 200 888,000
5 METHERGIN TAB MYOTONIC TABLET TABLET BOX, 100 TABLET 2,942 300 882,600
6 BROMHEXIN TAB BROMIFAR TABLET BOX, 100 TABLET 333 200 66,600
7 EPERISONE 50MG TAB ESTALEX / EPERISONE TABLET BOX, 50 TABLET 1,554 100 155,400
8 AMOKSILIN DROP AMOKSISILIN DROP BOTOL BOTOL 25,500 15 382,500
9 MEROPENEM 500 MG INJEKSI MEROPENEM 500MG AMPUL BOX, 10 AMPUL 77,700 10 777,000
10 THIAMPHENIKOL 500 MG CAPS LITHICOL KAPSUL BOX, 100 KAPSUL 1,554 300 466,200
11 AZITROMISIN 500 MG TAB AZITROMISIN 500MG KAPSUL BOX, 30 TABLET 6,660 30 199,800
12 Sefoperazon 1000 MG/ VIAL SEFOPERAZON INJEKSI AMPUL BOX, 10 AMPUL 22,200 10 222,000
13 ASAM FOLAT 4 MCG ASAM FOLAT 4MCG TABLET BOX, 100 TABLET 132 5,000 660,000
14 Nicardipin injeksi NICARDIPIN INJEKSI AMPUL BOX, 10 AMPUL 49,950 10 499,500
15 METOCLOPRAMID INJE METOKLOPRAMID INJEKSI AMPUL BOX, 10 AMPUL 7,770 50 388,500
16 DOMPERIDONE SYR DOMPERIDON SIRUP BOTOL BOTOL 5,550 18 99,900
17 Metformin 500 mg METFORMIN TB TABLET BOX, 200 TABLET 333 5,000 1,665,000
18 Ursodeoxycholic acid 250 mg URSODEOXYCHOLIC ACID CAPSUL KAPSUL BOX, 100 TABLET 2,808 100 280,800
19 BIOCOMBION INJ BIOCOMBIN INJEKSI AMPUL BOX, 10 AMPUL 5,550 60 333,000
20 NEURODEX TAB BENEURON TABLET BOX, 100 TABLET 666 400 266,400
21 CITICOLINE TABLET 500 MG (DUS 30 TAB) CITICOLINE TB 500 MG TABLET BOX, 30 TABLET 7,400 90 666,000
22 gentamisin salep mata GENTAMISIN SALEP MATA TUBE TUBE 12,272 20 245,440
23 Paracetamol Drop BOTOL Botol 5,550 20 111,000
24 Guaifenesin TABLET BOX, 100 TABLET 189 1,000 189,000
25 Ventolin Nebul AMPUL Box, 20 Ampul 15,380 40 615,200
TOTAL 10,774,640