DAFTAR FAKTUR JANUARI 20

NO
1

NAMA REKANAN
PT. KIMIA FARMA

NO. FAKTUR
000000350
000000355
000000929
000001452
000001453
000001455
000001534

TANGGAL FAKTUR
10/JANUARI/2015
12/JANUARI/2015
21/JANUARI/2015
31/JANUARI/2015
31/JANUARI/2015
31/JANUARI/2015
31/JANUARI/2015

JUMLAH FAKTUR
25,850,000
45,760,000
4,780,050
37,306,500
16,500,000
700,920
470,030

NAMA OBAT
NATRIUM KLORIDA
RINGER LAKTAT
ETHAMBUTHOL 500 ML
FENTANYL INJ
CODEIN 10 MG TABLET
PHENOBARBITAL 30 MG TAB
DIAZEPAM 2 MG TAB

131,367,500
2

PT. ANUGRAH ARGON

MEDICA

681215004769
681215004715
681215004736

30/JANUARI/2015
30/JANUARI/2015
30/JANUARI/2015

861215004737

30/JANUARI/2015

1,375,000 AMINEFRON
8,500,000 TETAGAM
3,570,600 MERTIGO 6 MGTAB
PSIDII KAPSUL
PSIDII SYRUP
VACLO TAB
4,999,825 SPIRONOLACTON 100 MG TAB
18,445,425

PT. ROYAL MEDICA

RFJ.0115.00381

21/JANUARI/2015

5,445,000 VIP ALBUMIN

5,445,000

PT. ANUGRAH PHARMINDO

LESTARI

8261051400
8261053119

10/JANUARI/2015
16/JANUAR/2015

8261054672

23/JANUARI/2015

11,000,000 PARASETAMOL INFUS

3,664,001 HARNAL OCAS
HARNAL 0,2 MG TAB
1,999,512 ATRACURIUM HAMELN

8261055233
8261055488
8261056425

26/JANUARI/2015
27/JANUARI/2015
29/JANUARI/2015

3,169,980 KETAMIN HAMELN

836,000 DEPAKENE SYRUP
9,900,000 PARASETAMOL INFUS
30,569,493

PT. SAPTA SARI TAMA

23-001277
23-001481

28/JANUARI/2015
31/JANUARI/2015

23-001518

31/JANUARI/2015

5,621,000 NUTRIFLAM TABLET

2,278,100 SEFADROXIL SYRUP
ZIRKUM KIDS SYRUP
5,480,475 NUTRIFLAM TABLET
13,379,575

PT. MERAPI UTAMA

PHARMA

10-377703

31/JANUARI/2015

12,512,500 MEIACT TAB

FOSMICIN 2 GR INJEKSI
12,512,500

PT. PENTA VALENT

PT. DAYA MUDA AGUNG

0132 80 15
00002223
0132 80 15
00002223
0132 80 15
00002373
0132 80 15
00002420

29/JANUARI/2015

31/JANUARI/2015

2,420,000 NERVA 5000 MG KAPLET

VIOQUIN TABLET
26,457,475

000249

14/JANUARI/2015

38,721,128 PANTOPRAZOLE INJ

MELOXICAM 15 MG TAB
MELOXICAM 7,5 MG TAB
ONDANSETRON INJ
PANTOPRAZOLE TAB

29/JANUARI/2015
31/JANUARI/2015

6,160,000 PROLIVA KAPLET

15,400,000 SOLVINEX INJ
2,477,475 GOFLEX TABLET

000728

31/JANUARI/2015

24,400,200 ONDANSETRON INJ

PANTOPRAZOLE INJ
63,121,328

PT. MILLENIUM PHARMACON

INTERNATIONAL

131215002125

31/JANUARI/2015

131215002124

31/JANUARI/2015

5,761,800 L-ZINC SYRUP

L- BIO
TOFEDEX TAB
TARIFLOX 400 MG
LAPICEF SYRUP
DOM SYRUP
CAL-95
LASAL SYRUP
LASAL EXPECTORAN SYRUP
12,864,500 IMUNOS KAPLET
IMUNOS PLUS KAPLET
TOPAZOL INJ
LAPIBAL INJ
NEUCITI 500 MG TAB
LAPIFLOX 500 MG TAB
EYEFIT TAB
LAPIMOX 500 MG KAPLET
CRAVOX 500 MG TAB
LAPIBAL 500 MCG
18,626,300

10

PT. ENSEVAL PUTERA

MEGATRADING

315000223
315000239
115006427

29/JANUARI/2015
30/JANUARI/2015
30/JANUARI/2015

12,799,999 HEMAPO INJEKSI

5,355,000 CLOPIDOGREL 75 MG TAB
3,152,661 CAPTOPRIL 25 MG TAB
CAPTOPRIL 50 MG TAB
DOMPERIDONE SYRUP
METFORMIN 500 MG TAB

21,307,660
11

PT. PARIT PADANG GLOBAL

tdk ada diskon di faktur

M1915001328
M1915001618
M1915003539
M1915003613
M1915003611
M1915003612
M1915003997

15/JANUARI/2015
17/JANUARI/2015
29/JANUARI/2015
30/JANUARI/2015
30/JANUARI/2015
30/JANUARI/2015
31/JANUARI/2015

1,071,369
36,300,000
28,215,000
15,950,000
6,270,000
11,880,000
22,481,250

M1915003993
M1915003992
M1915004014
M1915004046
M1915004035

31/JANUARI/2015
31/JANUARI/2015
31/JANUARI/2015
31/JANUARI/2015
31/JANUARI/2015

8,791,200
16,528,600
1,980,000
24,200,000
11,286,000

SALBUTAMOL 2 MG TAB
METRONIDAZOL INFUS
COYARIN 625 CAPLET
BUNASCAN SPINAL
LACTAFAR TAB
STOBLED CAPSUL
FARBION 5000 INJ
FARMAVON INJ
TERREL 250 ML
RINDOBION KAPLET
SOTATIC INJ
CEFOPERAZONE INNJ
COYARIN 625 CAPLET

184,953,419
12

PT. INDOFARMA GLOBAL

MEDIKA

711NV.12.2014.14609
711NV.01.2015.182

02/JANUARI/2015
10/JANUARI/2015

711NV.01.2015.951
711NV.01.2015.950
711NV.01.2015.999

20/JANUARI/2015
20/JANUARI/2015
30/JANUARI/2015

842,706 AMBROXOL 30 MG TABLET

31,436,488 DEXAMETHASON INJ
PTU TAB
28,600,000 RINGER LAKTAT
572,000 PARASETAMOL DROPS
8,249,175 ALBUMAN
68,857,663

13

PT. BINA SAN PRIMA

13357

09/JANUARI/2015

42,932,615 TERACEF INJ

PELASTIN INJ
BAQUINOR FORET KAPLET
SPORETIK 100 MG
FORMUNO KAPLET

REVISI HARGA

04612
06656

12/JANUARI/2015
15/JANUARI/2015

7,379,761
28,049,953

06655
06661
06683
08778

15/JANUARI/2015
15/JANUARI/2015
15/JANUARI/2015
19/JANUARI/2015

12,870,000
17,600,042
3,520,000
50,107,783

09457
09366
10428
11191
12926
15477
15478
16356

20/JANUARI/2015
20/JANUARI/2015
22/JANUARI/2015
23/JANUARI/2015
26/JANUARI/2015
30/JANUARI/2015
30/JANUARI/2015
31/JANUARI/2015

9,570,000
10,449,164
3,814,800
5,500,605
17,599,897
16,718,662
20,239,881
2,887,489

15705
15706

31/JANUARI/2015
31/JANUARI/2015

18,658,750
39,882,276

307,781,678

OSTELOX 15 MG TABLET
SANEXON 4 MG TABLET
SANEXON 8 MG TABLET
SANEXON 16 MG TABLET
TAXEGRAM 1 GR
ELKANA CL EMULSI
BUFECT SUSPENSI
PRENAMIA KAPSUL
SANFULIQ TABLET
TRIDEX INFUS
MEGABAL KAPASUL
SANMOL INFUS
BECOM-C
SANTAGESIK INJEKSI
ANBACIM INJEKSI
INFUMAL INFUS
LIVAMIN 500 ML INFUS
BISANBE KAPSUL
EPISAN SUSPENSI
STOLAX SUPPOSITORIA
VALISANBE INJ
ANBACIM INJEKSI
EPISAN SUSPENSI
ANBACIM INJEKSI
INTRICEF INJEKSI
NOTRITIS KAPLET
CEFACEF KAPSUL
PROANEST INJ
LIVAMIN 500 ML INFUS
INFUMAL INFUS
TRIDEX INFUS

14

15

PT. ANTARMITRA SEMBADA

PT. MENSA BINA SUKSES

TOTAL BELANJA

Q1QZ889
Q1RC150
Q1RC241

05/JANUARI/2015
15/JANUARI/2015
15/JANUARI/2015

Q1RF806
Q1RF809

30/JANUARI/2015
30/JANUARI/2015

CD187891781

20/JANUARI/2015

CD187889752

28/JANUARI/2015

CD187889754
CD187898212
CD187911559
CD187913442
CD187910988

28/JANUARI/2015
30/JANUARI/2015
31/JANUARI/2015
31/JANUARI/2015
31/JANUARI/2015

131,367,500
30,569,493
26,457,475
21,307,660
311,698,768
521,400,896

18,445,425
13,379,575
63,121,328
184,953,419
62,656,672
342,556,419

1,386,000 BETAHISTIN TABLET

7,982,700 PANTOPRAZOLE INJ
6,875,012 MELOXICAM 15 MG TAB
NATRIUM DIKLOFENAK
12,972,960 LANSOPRAZOLE 30 MG TAB
33,440,000 MECOBALAMIN INJ
CEFTIZOXIME INJEKSI
62,656,672
6,600,000 DIFLOXIN
ROCER TAB
14,190,000 CARSIVE INJ
LANAKELOID CREAM
5,280,000 LESICHOL SOFT KAPSUL
2,917,843 PTU 100 MG TABLET
3,565,782 STESOLID RECTAL 5 MG
3,927,000 CARSIVE INJ
20,119,770 ALPRAZOLAM 1 MG TAB
ALPRAZOLAM 0,5 MG TAB
56,600,395
5,445,000
12,512,500
18,626,300
68,857,663
56,600,395
162,041,858

1,025,999,173

AKTUR JANUARI 2015

PENGGOLONGAN OBAT

KETERANGAN

LARUTAN ELEKTROLIT, NUTRISI LAIN

LARUTAN ELEKTROLIT, NUTRISI LAIN
ANTIINFEKSI
ANESTETIK
PSIKOFARMAKA
PSIKOFARMAKA
PSIKOFARMAKA

5000 Botol@500 ml
8000 BOTOL @500 ML
100 BOX@100 TAB
1000 AMPUL
300 BOX@100 TAB
100 BTL@100 TAB
100 BTL@100 TAB

VITAMIN DAN MINERAL

ANTIINFEKSI
ANTIMIGRAIN
OBAT YANG MEMPENGARUHI DARAH
OBAT YANG MEMPENGARUHI DARAH
KARDIOVASKULER
ANTIINFEKSI

2 BOX@100 TAB
50 BOX@1 SYRINGE
3 BOX@100TAB
2 BOX250 KAPS
6 BOTOL
5 BOX@30 TAB
50 BOX@100 TAB

VITAMIN DAN MINERAL

30 BTL@30 KAPS

ANALGESIK, ANTIPIRETIK, ANTIINFLA

KARDIOVASKULER
KARDIOVASKULER
ANESTETIK

500 BOTOL
10 BOX@30 TAB
10 BOX@28 TAB
20 BOX@5 AMP

HARGA SATUAN

STATUS PEMBAYARAN

BLN PEMBAYARAN

5,170
5,720
478
37,307
550
70
47

BPJS
JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA

25/MARET/2015
25/MARET/2015
25/MARET/2015
25/MARET/2015
25/MARET/2015
25/MARET/2015
25/MARET/2015

6,875
170,000
3,047
3,960
33,000
13,750
1,000

JAMKESDA
BPJS
JAMKESDA

25/MARET/2015
25/MARET/2015
25/MARET/2015

JAMKESDA

25/MARET/2015

6,050 JAMKESDA

25/MARET/2015

22,000 JAMKESDA
6,800 JAMKESDA
5800
19,995 JAMKESDA

25/MARET/2015
25/MARET/2015
25/MARET/2015

TOTAL

TERBAYAR

KARDIOVASKULER
ANTIEPILEPSI
ANALGESIK, ANTIPIRETIK, ANTIINFLA

50 VIAL
20 BOTOL
500 BOTOL

ANALGESIK, ANTIPIRETIK, ANTIINFLA

ANTIINFEKSI
VITAMIN DAN MINERAL
ANALGESIK, ANTIPIRETIK, ANTIINFLA

10 BOX@60 TAB
200 BOTOL
150 BOTOL
10 BOX@60 TAB

ANTIINFEKSI
ANTIINFEKSI

10 BOX@20 TAB
50 VIAL

ANALGESIK, ANTIPIRETIK, ANTIINFLA

40 BOX@20 KAPLET

SALURAN NAFAS

50 BOX@10 AMP

ANALGESIK, ANTIPIRETIK, ANTIINFLA

10 BOX@30 TAB

VITAMIN DAN MINERAL

ANTIINFEKSI

5 BOX@50 TAB
5 BOX@30 TAB

SALURAN CERNA
ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANALGESIK, ANTIPIRETIK, ANTIINFLA
SALURAN CERNA
SALURAN CERNA

400 VIAL
150 BOX@50 TAB
150 BOX@50 TAB
300BOX@10 AMP
93 BOX@10 TAB

63,400 JAMKESDA
41,800 JAMKESDA
19,800 JAMKESDA

9,368 JAMKESDA
5,286 JAMKESDA
8,140
9,134 JAMKESDA

19,250 JAMKESDA
173,250

25/MARET/2015
25/FEBRUARI/2015
15/APRIL/2015

15/APRIL/2015
15/APRIL/2015
15/APRIL/2015

25/FEBRUARI/2015

7,700 BPJS

25/MARET/2015

30,800 BPJS

25/MARET/2015

8,258 JAMKESDA

25/MARET/2015

2,420 JAMKESDA
12,100

15/APRIL/2015

40,003 BPJS
598
380
2,400
8,800

25/MARET/2015

TERBAYAR

SALURAN CERNA
SALURAN CERNA

SALURAN CERNA
SALURAN CERNA
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
SALURAN CERNA
VITAMIN DAN MINERAL
SALURAN NAFAS
SALURAN NAFAS
VITAMIN DAN MINERAL
VITAMIN DAN MINERAL
ANTIINFEKSI
VITAMIN DAN MINERAL
ANTIINFEKSI
ANTIINFEKSI
OBAT MATA
ANTIINFEKSI
ANTIINFEKSI
VITAMIN DAN MINERAL

PRODUK DARAH & PENGGANTI PLASMA

KARDIOVASKULER
OBAT YANG MEMPENGARUHI DARAH
OBAT YANG MEMPENGARUHI DARAH
SALURAN CERNA
HORMON, OBAT ENDOKRIN

100 BOX@10AMP
500 VIAL

2,400 JAMKESDA
44,002

25/MARET/2015

12 BOTOL
10 BOX@10 SACHET
5 BOX@30 TAB
3 BOX@30 TAB
6 BOTOL
3 BOTOL
5 BOX@30 TAB
6 BOTOL
12 BOTOL
10 BOX@20 TAB
5 BOX@20 TAB
20 VIAL
10 BOX@5AMP
10 BOX@30 TAB
10 BOX@30 TAB
5BOX@30TAB
1 BOX@100 TAB
2 BOX@10 TAB
5 BOX@100 TAB

30,800 JAMKESDA
5,500
5,720
14,300
41,800
36,300
3,850
22,000
34,100
6,050 JAMKESDA
8,250
137,500
20,900
8,800
12,100
4,400
2,420
33,000
2,035

25/MARET/2015

100 SYRYNGE
50 BOX@30 KAPL
30 BOX@100TAB
10 BOX@50 TAB
150 BOTOL
100 BOX@100 TAB

128,000 BPJS
3,570 JAMKESDA
138 JAMKESDA
224
9,045
127

25/MARET/2015
25/MARET/2015
25/MARET/2015

25/MARET/2015

TERBAYAR
TERBAYAR
TERBAYAR

SALURAN NAFAS
ANTIINFEKSI
ANTIINFEKSI
ANESTETIK
VITAMIN DAN MINERAL
ANALGESIK, ANTIPIRETIK, ANTIINFLA
VITAMIN DAN MINERAL
SALURAN NAFAS
ANESTETIK
VITAMIN DAN MINERAL
SALURAN CEERNA
ANTIINFEKSI
ANTIINFEKSI

150 BOX@100 TAB

3000 BOTOL
500 BOTOL@15 TAB
50 BOX@5 AMP
50 BOX@30 TAB
100 BOX@16 CAPS
500 BOX@5AMP
50 BOX@10 AMP
6 BOTOL
250 BOX@100TAB
150 BOX@5AMP
200 BOX@2VIAL
200 BOX@15 TAB

71
12,100
3,762
63,800
4,180
7,425
3,878
25,575
1,465,200
661
2,640
60,500
3,762

BPJS
JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA

25/MARET/2015
25/MARET/2015
25/MARET/2015
25/MARET/2015
25/MARET/2015
25/MARET/2015
15/APRIL/2015
15/APRIL/2015
15/APRIL/2015
15/APRIL/2015
15/APRIL/2015

JAMKESDA

15/APRIL/2015

SALURAN NAFAS
ANALGESIK, ANTIPIRETIK, ANTIINFLA
PSIKOFARMAKA
LARUTAN ELEKTROLIT, NUTRISI LAIN
ANALGESIK, ANTIPIRETIK, ANTIINFLA
PRODUK DARAH DAN PENGGANTI PLASMA

71 BOX@100 TAB
200BOX@100 AMP
15 BOTOL@100 TAB
5000 BOTOL
100 BOTOL
10 BOTOL@100 ML

119 JAMKESDA
1,550 BPJS
291
5,720 JAMKESDA
5,720 JAMKESDA
824,918 JAMKESDA

28/FEBRUARI/2015
25/MARET/2015

ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
VITAMIN DAN MINERAL

56 VIAL
36 VIAL
10BOX@20 TABLET
10 BOX@30 TABLET
5 BOX@30 TABLET

204,952 JAMKESDA
325,589
13,536
19,168
6,105

15/APRIL/2015

25/MARET/2015
15/APRIL/2015
25/MARET/2015

TERBAYAR

TERBAYAR
TERBAYAR

ANALGESIK, ANTIPIRETIK, ANTIINFLA

ANTIALERGI DAN OBAT ANAFILAKSIS
ANTIALERGI DAN OBAT ANAFILAKSIS
ANTIALERGI DAN OBAT ANAFILAKSIS
ANTIINFEKSI
VITAMIN DAN MINERAL
ANALGESIK, ANTIPIRETIK, ANTIINFLA
VITAMIN DAN MINERAL
VITAMIN DAN MINERAL
LARUTAN ELEKTROLIT, NUTRISI LAIN
VITAMIN DAN MINERAL
ANALGESIK, ANTIPIRETIK, ANTIINFLA
VITAMIN DAN MINERAL
ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANTIINFEKSI
LARUTAN ELEKTROLIT, NUTRISI LAIN
LARUTAN ELEKTROLIT, NUTRISI LAIN
VITAMIN DAN MINERAL
SALURAN CERNA
SALURAN CERNA
PSIKOFARMAKA
ANTIINFEKSI
SALURAN CERNA
ANTIINFEKSI
ANTIINFEKSI
ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANTIINFEKSI
ANESTETIK
LARUTAN ELEKTROLIT, NUTRISI LAIN
LARUTAN ELEKTROLIT, NUTRISI LAIN
LARUTAN ELEKTROLIT, NUTRISI LAIN

10 BOX@20 TABLET
5 BOX@100 TABLET
2 BOX@100 TABLET
3 BOX@30 TABLET
24 VIAL
24 BOTOL
12 FLES
10 BOX@100 TABLET
5 BOX@30 TABLET
720 SOFTBAG
200 BOX@100 TABLET
500 BOTOL
100 BOX@100 TABLET
800 BOX@5 AMPUL
100 VIAL
480 SOFTBAG
120 BOTOL
100 BOX@100 TABLET
500 BOTOL
100 BOX@6 SUPPO
100 BOX@10 AMPUL
500 VIAL
800 BOTOL
575 VIAL
6 VIAL
5 BOX@50 KAPLET
2 BOX@30 KAPSUL
50 BOX@5 AMPUL
60 BOTOL
390 SOFTBAG
480 SOFTBAG

8,910
2,123
3,344
5,379
138,655
46,145
14,047
1,051
4,736
10,250
715
27,500
1,287
4,400
35,200
66,057
153,337
957
20,898
6,358
5,501
35,200
20,898
35,200
165,842
3,256
17,974
74,635
153,337
66,057
10,250

JAMKESDA
JAMKESDA

15/APRIL/2015
15/APRIL/2015

TERBAYAR
TERBAYAR

JAMKESDA
JAMKESDA

15/APRIL/2015
15/APRIL/2015

TERBAYAR
TERBAYAR

JAMKESDA

15/APRIL/2015

JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA

15/APRIL/2015
15/APRIL/2015
25/MARET/2015
15/APRIL/2015
15/APRIL/2015
15/APRIL/2015
15/APRIL/2015
15/APRIL/2015

JAMKESDA
JAMKESDA

15/APRIL/2015
15/APRIL/2015

TERBAYAR

ANTIMIGRAIN
SALURAN CERNA
ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANALGESIK, ANTIPIRETIK, ANTIINFLA
SALURAN CERNA
VITAMIN DAN MINERAL
ANTIINFEKSI

100 BOX@30 TAB

200 VIAL
200 BOX@50 TAB
100 BOX@50 TAB
1000 BOX@20 TAB
300 BOX@10 AMP
50 BOX@2VIAL

462
39,914
600
176
649
7,480
110,000

JAMKESDA
JAMKESDA
BPJS

25/MARET/2015
25/MARET/2015
25/MARET/2015

JAMKESDA
JAMKESDA

25/MARET/2015
25/MARET/2015

ANTIINFEKSI
SALURAN CERNA
OBAT YANG MEMPENGARUHI DARAH
OBAT KULIT TOPIKAL
VITAMIN DAN MINERAL
HORMON,ENDOKRIN,
PSIKOFARMAKA
OBAT YANG MEMPENGARUHI DARAH
PSIKOFARMAKA
PSIKOFARMAKA

20 BOX@10 TAB
5 BOX@20 TAB
10 BOX@10 AMP
20 TUBE
10 BOX@60 KAPSUL
100 BOTOL@100 TAB
50 BOX@ 5 ALUBAG
3 BOX@10 AMP
100 BOX@100 TAB
200 BOX@100 TAB

27,500
11,000
130,900
55,000
8,800
292
14,263
130,900
875
569

JAMKESDA

25/MARET/2015

JAMKESDA

25/MARET/2015

JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA
JAMKESDA

25/MARET/2015
25/MARET/2015
25/MARET/2015
25/MARET/2015
25/MARET/2015

TERBAYAR

4,999,824 SELISIH

1 KELUARAN SISTEM

38,721,127 SELISIH

1 KELUARAN SISTEM

12,800,400 SELISIH
5,355,020 SELISIH
3,152,660 SELISIH

401 KELUARAN SISTEM

20 KELUARAN SISTEM
1 KELUARAN SISTEM

29,700,000 SELISIH

842,707 SELISIH
31,436,487 SELISIH

6,600,000 SALAH HARGA

1 KELUARAN SISTEM
1 KELUARAN SISTEM

TGL SP 16/JANUARI/2015

TGL SPK 15/JANUARI/2015

TGL SP 09/JANUARI/2015

7,199,992 SELISIH
28,049,952 SELISIH

17,600,041 SELISIH

39,762,430 SELISIH

179,769 HARGA TDK SESUAI

1 KELUARAN SISTEM

TGL SP 11/JANUARI/2015

TGL SPK 10/JANUARI/2015

TGL SP 30/JANUARI/2015

TGL SPK 29/JANUARI/2015

1 KELUARAN SISTEM

119,846 HARGA TDK SESUAI

2,750,000 SELISIH

3,850,000

NO
1

NAMA REKANAN
PT. MERAPI UTAMA

NO. FAKTUR
10-380544
10-380472

TANGGAL FAKTUR
28/FEBRUARI/2015
28/FEBRUARI/2015

JUMLAH FAKTUR
9,949,500
22,720,500
32,670,000

PT. PARAZELSUS

4037559957
4037580566
4037580567

13/FEBRUARI/2015
28/FEBRUARI/2015
28/FEBRUARI/2015

38,940,000
610,005
27,222,800

4037582423
4037582431
4037582432

28/FEBRUARI/2015
28/FEBRUARI/2015
28/FEBRUARI/2015

10,890,000
3,660,030
610,005
81,932,840

PT. RAJAWALI NUSINDO

FKT5001201

25/FEBRUARI/2015

64,412,504

64,412,504
4

PT. ROYAL MEDICA

016/BFT/11/2015

25/FEBRUARI/2015

5,445,000
5,445,000

PT. MENSA BINA SUKSES

PT. PENTA VALENT

CD187934287
CD187985891

05/FEBRUARI/2015
17/FEBRUARI/2015

11,880,000
6,061,000

CD188033360

27/FEBRUARI/2015

6,545,000
24,486,000

0132-SO-15-00004390
0132-SO-15-00004395

28/FEBRUARI/2015
28/FEBRUARI/2015

6,479,550
3,266,917

0132-SO-15-00004396
0132-SO-15-00004407
0132-SO-15-00004448

28/FEBRUARI/2015
28/FEBRUARI/2015
28/FEBRUARI/2015

12,735,937
18,865,000
2,307,360

0132-SO-15-00004391
0132-SO-15-00004408

28/FEBRUARI/2015
28/FEBRUARI/2015

15,118,950
8,085,000
66,858,714

PT. KIMIA FARMA

INV-26.15.000001647
INV-26.15.000002469
INV-26.15.000002763

07/FEBRUARI/2015
21/FEBRUARI/2015
27/FEBRUARI/2015

3,120,040
17,160,000
57,200,000
77,480,040

PT. BINA SAN PRIMA

FKMS/201502/01646
FKMKS/201502/01682

04/FEBRUARI/2015
04/FEBRUARI/2015

8,764,748
13,617,131

FKMKS/201502/01683

04/FEBRUARI/2015

27,878,686

FKMKS/201502/12909

06/FEBRUARI/2015

5,894,119

FKMKS/201502/04133
FKMKS/201502/05569
FKMKS/201502/05570
FKMKS/201502/05600
FKMKS/201502/05601
FKMKS/201502/05602
FKMKS/201502/06216

09/FEBRUARI/2015
11/FEBRUARI/2015
11/FEBRUARI/2015
11/FEBRUARI/2015
11/FEBRUARI/2015
11/FEBRUARI/2015
12/FEBRUARI/2015

7,039,959
21,119,877
7,039,959
14,783,913
14,783,913
21,119,877
19,610,250

FKMKS/201502/06219

12/FEBRUARI/2015

37,169,176

FKMKS/201502/07307
FKMKS/201502/12539
FKMKS/201502/13303
FKMKS/201502/14488

14/FEBRUARI/2015
24/FEBRUARI/2015
25/FEBRUARI/2015
27/FEBRUARI/2015

2,480,500
20,898,328
12,742,325
26,458,608

FKMKS/201502/15503
FKMKS/201502/15523

28/FEBRUARI/2015
28/FEBRUARI/2015

9,636,413
13,967,237

FKMKS/201502/15285
FKMKS/201502/15051

28/FEBRUARI/2015
28/FEBRUARI/2015

15,628,272
31,493,187

FKMKS/201502/15652

28/FEBRUARI/2015

45,566,722

FKMKS/201502/15655

28/FEBRUARI/2015

33,734,147
411,427,347

PT. DAYA MUDA AGUNG

001402

28/FEBRUARI/2015

25,802,150

25,802,150
10

PT. ENSEVAL PUTERA

315000543

28/FEBRUARI/2015

6,426,000
6,426,000

11

PT. PARIT PADANG GLOBAL

M1915005219
M1915005525
M1915006208
M1915006946

10/FEBRUARI/2015
13/FEBRUARI/2015
17/FEBRUARI/2015
24/FEBRUARI/2015

19,800,000
3,456,024
7,919,340
5,807,890

M1915007964

28/FEBRUARI/2015

10,692,000
47,675,254

12

PT. ANTARMITRA SEMBADA

Q1RG664
Q1R1226
Q1R1240
Q1R1819
Q1R1977
Q1RK206
Q1RM067
Q1RM227

03/FEBRUARI/2015
11/FEBRUARI/2015
11/FEBRUARI/2015
13/FEBRUARI/2015
14/FEBRUARI/2015
20/FEBRUARI/2015
27/FEBRUARI/2015
28/FEBRUARI/2015

171,519
6,930,000
19,800,000
19,800,000
5,313,000
6,930,000
10,395,000
43,335,600
112,675,119

13

PT. ANUGRAH ARGON MEDICA

681215006863

12/FEBRUARI/2015

17,649,991

681215007253

13/FEBRUARI/2015

2,917,200

681215007676
681215009959

16/FEBRUARI/2015
28/FEBRUARI/2015

12,750,000
32,123,685

65,440,876
13

PT. MILLENIUM PHARMACON

INTERNATIONAL

131215002196
131215003055

02/FEBRUARI/2015
04/FEBRUARI/2015

7,500,072
7,797,075

131215004131

28/FEBRUARI/2015

2,476,650

131215004164

28/FEBRUARI/2015

243,100

131215004165

28/FEBRUARI/2015

10,442,300

RETUR

28,459,197
14

PT. INDOFARMA GLOBAL

MEDIKA

INV.02.2015.1292

06/FEBRUARI/2015

22,851,786

INV.02.2015.1293
INV.02.2015.2100
INV.02.2015.2101
INV.02.2015.2108

06/FEBRUARI/2015
25/FEBRUARI/2015
25/FEBRUARI/2015
25/FEBRUARI/2015

28,600,000
11,440,000
10,000,100
25,850,000
98,741,886
1,149,932,927

DAFTAR FAKTUR FEBRUARI 2015

NAMA OBAT
WIDA KDN
HEXYMER 2 MG TAB
WIDA KDN

PENGGOLONGAN OBAT
LARUTAN ELEKTROLIT, NUTRISI LAIN
PSIKOFARMAKA
LARUTAN ELEKTROLIT, NUTRISI LAIN

KETERANGAN
1000 BOTOL
43 BOTOL @ 1000 TAB
1000 BOTOL

METRONIDAZOL INF
ASAM MEFENAMAT 500 MG
ASAM TRANEXAMAT INJ 250 MG
MEROPENEM 1 GR INJEKSI
PARASETAMOL INFUS
ASAM MEFENAMAT 500 MG
ASAM MEFENAMAT 500 MG

ANTIINFEKSI
ANALGESIK, ANTIPIRETIK, ANTIINFLA
OBAT YANG MEMPENGARUHI DARAH
ANTIINFEKSI
ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANALGESIK, ANTIPIRETIK, ANTIINFLA

3000 BOTOL
50 BOX @ 100 TAB
500 BOX @ 100 TAB
100 VIAL
500 BOTOL
300 BOX @ 100 TAB
50 BOX @ 100 TAB

RANITIDIN INJ
PREDNISON TABLET
NA DIKLOFENAK 50 MG
PANTOPRAZOLE INJ
IBUPROFEN 200 MG TAB
IBUPROFEN 400 MG TAB
CALSIUM LAKTAT TABLET

SALURAN CERNA
ANALGESIK, ANTIPIRETIK,
ANALGESIK, ANTIPIRETIK,
SALURAN CERNA
ANALGESIK, ANTIPIRETIK,
ANALGESIK, ANTIPIRETIK,
VITAMIN DAN MINERAL

400 BOX @ 100 TAB

146 BOX @ 100 TAB
100 BOX @ 50 TAB
1000 VIAL
10 BOX @ 100 TAB
10 BOX @ 100 TAB
413 BOX @ 100 TAB

VIP ALBUMIN

VITAMIN DAN MINERAL

ANTIINFLA
ANTIINFLA
ANTIINFLA
ANTIINFLA

30 BOTOL @ 30 KAPS

COPIDREL 75 MG TABLET
LESICHOL 300 MG
LANACELOID CREAM
CARSIVE INJ

KARDIOVASKULER
VITAMIN DAN MINERAL
OBAT KULIT TOPIKAL
KARDIOVASKULER

100 BOX @ 30 TAB

10 BOX @ 60 SOFTKAPS
20 TUBE
5 B0X @ 10 AMP

NORAGES INJEKSI
UNALIUM 5 MG TABLET
LEFOS 500 MG TABLET
ANADIUM KAPLET
SIZORIL 25 MG TABLET
CENDO XITROL MINIDOSE
SOLVINEX INJEKSI
PROPEPSA SUSPENSI
VIOQUIN TABLET
NORAGES INJEKSI
SOLVINEX INJEKSI

ANALGESIK, ANTIPIRETIK, ANTIINFLA

ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANTIINFEKSI
SALURAN CERNA
PSIKOFARMAKA
OBAT MATA
SALURAN NAFAS
SALURAN NAFAS
ANTIINFEKSI
ANALGESIK, ANTIPIRETIK, ANTIINFLA
SALURAN NAFAS

300 BOX @ 5 AMP

30 BOX @ 40 TAB
5 BOX @ 10 TAB
2 BOX @ 30 TAB
3 BOX @ 50 TAB
500 STRIP @ 5 FLESS
70 BOX @ 10 AMP
12 BOTOL
5 BOX @ 30 TAB
700 BOX @ 5 AMP
30 BOX @ 10 AMP

CHLORPROMAZIN TABLET
GLUCOSA 5 % INFUS
RINGER LAKTAT INFUS

PSIKOFARMAKA
LARUTAN ELEKTROLIT, NUTRISI LAIN
LARUTAN ELEKTROLIT, NUTRISI LAIN

200 BOX @ 100 TAB

3000 BOTOL
10000 BOTOL

ANBACIM INJEKSI
AMOXAN 500 MG TAB
BAQUINOR FORTE
MEFINAL 500 MG TAB
PUMPITOR INJEKSI
NEUROSANBE TABLET
SANFULIQ TABLET
VOSEDON SUSPENSI

ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANALGESIK, ANTIPIRETIK, ANTIINFLA
SALURAN CERNA
VITAMIN DAN MINERAL
VITAMIN DAN MINERAL
SALURAN CERNA

249 VIAL
5 BOX @ 100 TAB
10 BOX @ 20 TAB
3 BOX@100 TAB
56 VIAL
3 BOX @ 100 TAB
3 BOX @ 30 TAB
24 BOTOL

CEFORIN INJEKSI
EPEXOL SYRUP
PUMPITOR INJEKSI
TAXEGRAM 1 GR INJ
TRICHODAZOLINF
TERFACEF INJ
FORMUNO KAPLET
PRENAMIA KAPSUL
PUMPISEL INJEKSI

ANTIINFEKSI
SALURAN NAFAS
SALURAN CERNA
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
VITAMIN DAN MINERAL
VITAMIN DAN MINERAL
SALURAN CERNA

20 VIAL
5 BOTOL
41 VIAL
12 VIAL
24 SOFTBAG
48 VIAL
5 BOX @ 30 TAB
5 BOX @ 100 TAB
41 VIAL

ANBACIM INJEKSI
ANBACIM INJEKSI
ANBACIM INJEKSI
ANBACIM INJEKSI
ANBACIM INJEKSI
ANBACIM INJEKSI
BECOM-C
HISTAPAN 50 MG TABLET
PRENAMIA KAPSUL
PUMPITOR KAPSUL
SANEXON 16 MG TABLET
SANEXON 8 MG TABLET
BAQUINOR FORTE
SANFULIQ TABLET
SPORETIK 100 MG TAB
NEUROSANBE PLUS TABLET
NEUROSANBE TABLET
FORMYCO 200 MG TABLET
OSTELOX 15 MG TABLET
OSTELOX 7, 5 MG TABLET
LEVOCIN 500 MG TABLET
EPEXOL DROPS

ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
VITAMIN DAN MINERAL
ANTIALERGI DAN OBAT ANAFILAKSIS
VITAMIN DAN MINERAL
SALURAN CERNA
ANTIALERGI DAN OBAT ANAFILAKSIS
ANTIALERGI DAN OBAT ANAFILAKSIS
ANTIINFEKSI
VITAMIN DAN MINERAL
ANTIINFEKSI
VITAMIN DAN MINERAL
VITAMIN DAN MINERAL
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
SALURAN NAFAS

200 VIAL
600 VIAL
200 VIAL
420 VIAL
420 VIAL
600 VIAL
100 BOX @ 100 TAB
100 BOX @ 100 TAB
5 BOX @ 100 TAB
5 BOX @ 20 TAB
3 BOX @ 30 TAB
2 BOX @ 100 TAB
10 BOX @ 20 TAB
5 BOX @ 30 TAB
10 BOX @ 100 TAB
2 BOX @ 100 TAB
2 BOX @ 100 TAB
2 BOX @ 50 TAB
10 BOX @ 20 TAB
10 BOX @ 20 TAB
5 BOX @ 18 TAB
24 BOTOL

ELKANA CL SUSP
PELASTIN INJEKSI
TAXEGRAM 1 GR INJ
FORMUNO KAPLET
FLOXACAP INFUS
EPISAN SUSPENSI
ANBACIM INJEKSI
LEVOCIN 500 MG TABLET
LEVOCIN INFUS
MEROSAN 1 GR INJEKSI
LAPRAZ KAPSUL
SANADRYL SYRUP
SANMOL SYRUP
SANMOL TABLET
SANMOL DROPS
PREABOR TABLET
CAPRENEM INJ
CEFACEF 100 MG KAPSUL
PELASCAP INJEKSI
FLOXACAP INFUS
INTRICEF INJEKSI
PELASTIN INJEKSI
TAXEGRAM 1 GR INJ
TERFACEF INJEKSI
PUMPITOR INJEKSI
SANEXON INJEKSI
INFUMAL INFUS
LIVAMIN INFUS
FUTROLIT INFUS
LIVAMIN INFUS

VITAMIN DAN MINERAL

ANTIINFEKSI
ANTIINFEKSI
VITAMIN DAN MINERAL
ANTIINFEKSI
SALURAN CERNA
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
SALURAN NAFAS
ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANALGESIK, ANTIPIRETIK, ANTIINFLA
HORMON
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
SALURAN CERNA
ANTIINFEKSI
LARUTAN ELEKTROLIT, NUTRISI LAIN
LARUTAN ELEKTROLIT, NUTRISI LAIN
LARUTAN ELEKTROLIT, NUTRISI LAIN
LARUTAN ELEKTROLIT, NUTRISI LAIN

96 BOTOL
24 VIAL
12 VIAL
20 BOX @ 20 TAB
10 SOFTBAG
1000 BOTOL
362 VIAL
10 BOX @ 18 TAB
20 SOFTBAG
20 VIAL
10 BOX @ 20 TAB
20 BOTOL
24 BOTOL
5 BOX @ 100 TAB
30 BOTOL
100 BOX @ 30 TAB
6 VIAL
2 BOX @ 30 TAB
24 VIAL
6 SOFTBAG
12 VIAL
48 VIAL
27 VIAL
84 VIAL
54 VIAL
30 VIAL
360 SOFTBAG
20 BOTOL
480 SOFTBAG
220 BOTOL

OMEPRAZOL INJEKSI
ONDANSETRON INJEKSI

SALURAN CERNA
SALURAN CERNA

500 VIAL
200 BOX @ 10 AMP

KARDIOVASKULER

50 BOX @ 30 TAB

METRONIDAZOL INF
AMLODIPIN 5MG TABLET
SOJOURN INHALASI
INVICLOT INJEKSI
NOKOBA INJEKSI
STOBLED KAPSUL

ANTIINFEKSI
OBAT YANG MEMPENGARUHI DARAH
ANESTESI
OBAT YANG MEMPENGARUHI DARAH
KARDIOVASKULER
VITAMIN DAN MINERAL

2000 BOTOL
400 BOX @ 30 TAB
6 BOTOL
50 VIAL
10 BOX @ 5 AMP
100 BOX @ 16 KAPS

PARASETAMOL SYRUP
BETAHISTIN TABLET
CEFTIZOXIME INJEKSI 1 GR
CEFTIZOXIME INJEKSI 1 GR
ASAM TRANEKSAMAT INJ 250 MG
OMEVEL INJEKSI
OMEVEL INJEKSI
CEFTIZOXIME INJEKSI 1 GR
CARBAZOCHROM INJ

ANALGESIK, ANTIPIRETIK, ANTIINFLA

ANTIMIGRAIN
ANTIINFEKSI
ANTIINFEKSI
OBAT YANGMEMPENGARUHI DARAH
SALURAN CERNA
SALURAN CERNA
ANTIINFEKSI
OBAT YANGMEMPENGARUHI DARAH

100 BOTOL
500 BOX @ 30 TAB
100 BOX @ 2 VIAL
100 BOX @ 2 VIAL
300 BOX @ 5 AMP
200 VIAL
300VIAL
50 BOX @ 2 VIAL
300 BOX @ 5 AMP

NOVOMIX FLEXPEN
SPIRONOLACTON 25 MG TAB
TENSIVASK 10 MG TAB

HORMON ENDOKRIN
ANTIINFEKSI
OBAT YANG MEMPENGARUHI DARAH

30 BOX @ 5 PEN
50 BOX @ 100 TAB
5 BOX @ 50 TAB

CLOPIDOGREL 75 MG TAB

MERTIGO 6 MG TAB
LEVEMIR FLEXPEN
MELOXICAM SUPPOSITORIA
RISPERIDON2 MG TABLET
PIRACETAM 400 MG TAB

ANTIMIGREIN
HORMON ENDOKRIN
ANALGESIK, ANTIPIRETIK, ANTIINFLA
PSIKOFARMAKA
KARDIOVASKULER

1 BOX @ 100 TAB

30 BOX @ 5 PEN
30 BOX @10 SUPP
500 BOX @ 50 TAB
100 BOX @ 100 KAPS

LEVOFLOXACIN 500 MGTAB

CEFTRIMAX INJEKSI
MAXCEF 500 MG TAB
SIMFIX 100 MG TAB
SIMFIX 200 MG TAB
ZOTAM INJEKSI
ROMICEF INJEKSI
LAPIFED SYRUP
LAPIFED TABLET
IMUNOS KAPLET
NEUCITI 500 INJEKSI
LAPIMOX KAPLET 500 MG
LAPIXIME INJ
LASGAN KAPSUL
ANALTRAM KAPLET
CEFILA DROPS
LAPICEF 500 MG TAB

ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
SALURAN NAFAS
SALURAN NAFAS
VITAMIN DAN MINERAL
KARDIOVASKULER
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI

200 BOX @ 50 TAB

20 VIAL
3 BOX @ 100 TAB
3 BOX @ 30 TAB
2 BOX @ 10 TAB
6 VIAL
6 VIAL
3 BOTOL
1 BOX @ 100 TAB
10 BOX @ 20 TAB
3 BOX @ 5 AMP
1 BOX @ 100 TAB
12 VIAL
20 BOX @ 20 TAB
1 BOX @ 30 TAB
3 BOTOL
1 BOX @ 100 TAB

GENTAMICIN TM
CARBAMAZEPIM 200 MGTAB
PTU
AMBROXOL SYRUP
GRISEOVULVIN TAB

OBAT MATA
PSIKOFARMAKA
HORMON ENDOKRIN
SALURAN NAFAS
ANTIINFEKSI

189BOX @ 10BTL
430 BOX @ 100 TAB
120 BOTOL @ 100 TAB
500 BOTOL
20BOX @ 100 TAB

PARASETAMOL DROPS
RINGER LAKTAT
GLUKOSA 5 %
KAEN-3B
NATRIUM KLORIDA

ANALGESIK, ANTIPIRETIK, ANTIINFLA

LARUTAN ELEKTROLIT, NUTRISILAIN
LARUTAN ELEKTROLIT, NUTRISILAIN
LARUTAN ELEKTROLIT, NUTRISILAIN
LARUTAN ELEKTROLIT, NUTRISILAIN

112 BOTOL
5000 BOTOL
2000 BOTOL
1000 BOTOL
5000 BOTOL

HARGA SATUAN
9,950
297
9,950

12,980
122
3,575
93,500
21,780
122
122

1091.12
124.89
193.02
43983.5
121
157
156.2

6,050

STATUS PEMBAYARAN

BLN PEMBAYARAN

JAMKESDA
JAMKESDA

15/APRIL/2015
15/APRIL/2015

JAMKESDA
JAMKESDA

15/APRIL/2015
15/APRIL/2015

TOTAL

3,960 JAMKESDA
8,360 JAMKESDA
52,250
130,900

4,320
4,934 JAMKESDA
33,248
7,079
3,919
25,472
26,950
48,593
11,495
4,320
26,950

156
5,720
###

35,200
3,240
13,536
1,287
145,706
1,062
4,736
28,199

15/APRIL/2015
15/APRIL/2015

15/APRIL/2015

TERBAYAR

10,710,000 SELSIH

306,174
16,588
145,706
13,655
86,625
204,952
6,105
1,051
143,759
35,200
35,200
35,200
35,200
35,200
35,200
1,287
622
1,051
13,156
5,379
3,344
13,536
4,736
19,168
1,001
1,062
4,906
8,910
5,484
36,724
36,465

46,145
325,589
138,655
6,105
248,050
20,898
35,200
36,724
300,762
523,078
11,616
9,449
11,187
275
15,114
3,212
450,137
17,974
279,565
248,050
165,842
325,589
138,655
204,952
145,706
88,847
66,052
196,460
54,065
196,460

42,004
2,400

4,284

9,900
288
1,319,890
48,398
67,760
6,683

1,715
462 JAMKESDA
99,000 JAMKESDA
99,000
3,542
34,650
34,650 JAMKESDA
99,000
11,145

106,000
350
10,450

15/APRIL/2015
15/APRIL/2015

15/APRIL/2015

3,047
85,000
5,590
1,069
372

750 JAMKESDA
171,600 JAMKESDA
9,009
13,943
20,378
151,525
261,250
18,700
1,870
6,050
48,400
2,420
132,000
13,200
6,600
78,100
9,680

3,293
246
291
3,049
234

15/APRIL/2015
15/APRIL/2015

9,716,300

5,050
5,720
###
10,000
5,170 JAMKESDA

15/APRIL/2015

1,170,000 HRSNYA HARGA E-CATALOG

TGL SP 04/FEBRUARI/2015

TGL SPK 03/FEBRUARI/2015

NO
1

NAMA REKANAN
PT. SAPTA SARI TAMA

NO. FAKTUR
23-002352

23-002543
23-003574

PT. MERAPI UTAMA

10-359667

PT. PARAZELSUS

4037599770
4037599772
4037599777
4037609278

PT. RAJAWALI NUSINDO

FKT5001860

PT. UNITED DICO CITAS

0102538

0103049

PT. ROYAL MEDICA

021/BFT/III/2015

PT. MENSA BINA SUKSES

CD188047901
CD188100197
CD188109411
CD188116509
CD188169344
CD188169629
CD188181859

PT. PENTA VALENT

0132-SO-15-00005236
0132-SO-15-00005832
0132-SO-15-00005921
0132-SO-15-000006350

0132-SO-15-00006457

PT. KIMIA FARMA

1NV-26.15.000003747
INV-26.15.000003748
INV-26.15.000004265
INV-26.15.000004369
INV-26.15.000004374
INV-26.15.000004400

10

PT. BINA SAN PRIMA

FKMKS/201503/01612

FKMKS/201503/01613
FKMKS/201503/02800
FKMKS/201503/02801
FKMKS/201503/04763

FKMKS/201503/04706
FKMKS/201503/06704

FKMKS/201503/07321
FKMKS/201503/08778
FKMKS/201503/08679
FKMKS/201503/09556

FKMKS/201503/09862

FKMKS/201503/11182
FKMKS/201503/14029
FKMKS/201503/14639
FKMKS/201503/14640
FKMKS/201503/16363

11

PT. TEMPO

1202358232

1202358228

12

PT. DAYA MUDA AGUNG

002140

13

PT. ENSEVAL PUTERA

115020254
315000773

14

PT. PARIT PADANG GLOBAL

M1915009761
M1915009766
M1915009765
M1915009937
M1915011756
M1915011760
M1915011753
M1915012026
M1915012018

15

PT. ANTARMITRA SEMBADA

Q1RO196
Q1RP562
Q1RQ546

Q1RS007

Q1RS091
Q1RS319
Q1RS5588
Q1RT011

16

PT. ANUGRAH ARGON MEDICA

681215011760

681215012383
6812150113325
681215014031
681215014875
681215015308
681215015499

681215016021
681215016069
681215016005

17

PT. MILLENIUM PHARMACON

INTERNATIONAL

131215004353
131215004780
131215005377
131215005078
131215005233

131215005308

131215005309

13125005377
131215005378

131215005797
131215005866
1312115006115

131215006144
131215006145

18

PT. INDOFARMA GLOBAL

MEDIKA

INV.03.2015.2524
INV.03.2015.2826
INV.03.2015.3408
INV.03.2015.3511
INV.03.2015.3565
INV.03.3015.3793

DAFTAR FAKTUR MA
TANGGAL FAKTUR
05/MARET/2015

11/MARET/2015
30/MARET/2015

19/MARET/2015

19/MARET/2015
19/MARET/2015
19/MARET/2015
27/MARET/2015

24/MARET/2015

04/MARET/2015

24/MARET/2015

19/MARET/2015

02/MARET/2015
13/MARET/2015
16/MARET/2015
17/MARET/2015
27/MARET/2015
27/MARET/2015
31/MARET/2015

11/MARET/2015
18/MARET/2015
19/MARET/2015
26/MARET/2015

JUMLAH FAKTUR
NAMA OBAT
20,088,860 KOTRIMOKSAZOL SUSP
PYRAZINAMID 500 MG TAB
CEFOPERAZONE INJ
10,360,950 NUTRIFLAM TAB
1,057,100 CEFADROXIL SYRUP
31,506,910
396,000 OTSU D 40 %
396,000
3,858,888
4,351,512
42,000,200
14,300,000
64,510,600

PIRACETAM 3 GR INJ
PIRACETAM 3 GR INJ
OMEPRAZOLE INJEKSI
RIFAMPICIN 450 MG TAB

2,884,156 HYPOBAC INJEKSI

2,884,156
11,207,625 MEVILOX TABLET 15 MG
NEVRADIN-E
INHIPRAZ CAPSUL
LEVOVID 500 MG TAB
6,998,079 NONFLAMIN KAPSUL
18,205,704
9,075,000 VIP ALBUMIN
9,075,000
8,450,200
12,065,625
5,016,000
6,496,875
4,952,983
37,125,000
2,508,000
76,614,683

METRONIDAZOL TAB
PULNA FORTE
LESICHOL 300 MG
PULNA FORTE
AMLODIPIN 10 MG TAB
PULNA FORTE
LESICHOL 300 MG

4,992,487 GOFLEX TABLET

PROLIVA KAPLET
6,348,375 SIZORIL 25 MG TAB
PROLIVA KAPLET
26,950,000 SOLVINEX INJEKSI
965,580 GOFLEX TABLET

27/MARET/2015

3,465,000 GABAPENTIN 300 MG KAPL

42,721,442

18/MARET/2015
18/MARET/2015

470,030 DIAZEPAM 2 MG TABLET

5,170,550 BETAMETASON CREAM
NEOMERCAZOL TAB
1,543,509 DOPAMIN GIULINI INJ
520,025 VITAMIN B KOMPLEX
38,230,500 FENTANYL INJEKSI
MORPHINE HCL INJ
1,421,017 ALPRAZOLAM 1 MG TAB
47,355,631

30/MARET/2015
31/MARET/2015
31/MARET/2015
31/MARET/2015

04/MARET/2015

04/MARET/2015
06/MARET/2015
06/MARET/2015
10/MARET/2015

10/MARET/2015
13/MARET/2015

14/MARET/2015
17/MARET/2015
17/MARET/2015
19/MARET/2015

19/MARET/2015

18,353,632 AMOXAN SYRUP

BAQUINOR FORTE
CEFAT 500 MG
SANMOL INFUS
SPORETIK 100 MG KAPS
VOSEDON SUSPENSI
BUFECT FORTE SYRUP
SANFULIQ TABLET
22,000,052 SANTAGESIKINJEKSI
35,199,794 ANBACIM INJEKSI
24,639,856 ANBACIM INJEKSI
44,192,830 PUMPITOR INJEKSI
SPORETIK 100 MG KAPS
TAXEGRAM 1 GR INJ
TRICHODAZOL 500 MG TAB
AMOXAN DROPS
CEFORIM INJEKSI
CORTIDEX INJEKSI
LAPRAZ KAPSUL
OSTELOX TABLET
PUMPITOR KAPSUL
SANFULIQ TABLET
4,501,365 CAPRENEM INJ
4,600,816 CINOLON-N CREAM
EPEXOL DROPS
EPEXOL SYRUP
NYMICO DROPS
2,871,000 FOLAVIT TABLET
CERINI KAPLET
3,519,979 ANBACIM INJEKSI
20,898,328 EPISAN SUSP
11,246,565 FLOXACAP INFUS
FLOXACAP TABLET
CAPRENEM INJ
17,906,900 NEUROSANBE INJ

23/MARET/2015
27/MARET/2015
28/MARET/2015
28/MARET/2015
31/MARET/2015

49,279,712
13,750,129
8,579,467
39,634,175
13,456,476

ANBACIM INJEKSI
SANMOL INFUS
FUTROLIT INF
INFUMALINFUS
CAPRENEM INJ
INTRICEF INJ
CEFACEF 100 MG
CAPRAZOL KAPSUL

334,631,076

27/MARET/2015

27/MARET/2015

27/MARET/2015

5,844,502 BUSCOPAN INJEKSI

BUSCOPAN 10 MG TAB
BISOLVON INJEKSI
BUSCOPAN PLUS TABLET
59,880 DULCOLAX 5 MG SUPPO
5,904,382

46,302,300 PANTOPRAZOL INJEKSI

METHYLPREDNISOLON TAB
46,302,300

27/MARET/2015
27/MARET/2015

2,954,714 AMLODIPIN 5 MG TAB

5,200,000 FIMAHES FLEXY BAG
8,154,714

16/MARET/2015
16/MARET/2015
16/MARET/2015
17/MARET/2015
31/MARET/2015
31/MARET/2015
31/MARET/2015
31/MARET/2015
31/MARET/2015

10/MARET/2015
16/MARET/2015
20/MARET/2015

27/MARET/2015

1,399,200
1,227,600
920,700
1,399,200
4,603,500
550,000
629,937
3,199,680
3,840,441
17,770,258

SOTATIC INJEKSI
DEXKETOPROFEN INJEKSI
DEXKETOPROFEN TABLET
SOTATIC INJEKSI
DEXKETOPROFEN TABLET
DEHAF SACHET
SALBUTAMOL TAB 4 MG
BUNASCAN EPIDURAL INJ
BUNASCAN SPINAL INJ

857,593 PARASETAMOL SYRUP

22,365,200 MECOBALAMIN INJ
5,256,350 PIRACETAM INJ 3 GRAM
CEFTIZOXIME INJ
CITICOLINE INJ
PANTOPRAZOLE INJ
19,800,000 CEFTIZOXIME INJ

27/MARET/2015
28/MARET/2015
30/MARET/2015
31/MARET/2015

3,918,750 FAKTU SUPPOSITORIA

19,800,000 CEFTIZOXIME INJ
1,930,500 CITICOLINE INJ
PHENYTOIN INJ
611,897 MILOZ INJ
74,540,290

10/MARET/2015

13/MARET/2015
19/MARET/2015
24/MARET/2015
27/MARET/2015
30/MARET/2015
30/MARET/2015

31/MARET/2015
31/MARET/2015
31/MARET/2015

16,235,000 CIPROFLOXACIN INFUS

GLIQUIDONE TAB
DIOVAN 80 MG TAB
11,627,532 NEURODEX TAB
2,093,784 ASAM VALPROAT SYRUP
1,023,000 NOVOTWIST JARUM
PSIDII SYRUP
475,000 CLOBAZAM 10 MG TABLET
5,225,000 GLIQUIDONE TAB
4,867,600 AMINEFRON TAB
VICTRINE 300 MG TAB
SISTENOL KAPLET
MERTIGO TAB
5,330,764 KETOROLAC 30 MG INJ
1,863,084 CEFTAZIDIM INH
4,224,000 BUPIVACAIN SPINAL INJ
52,964,764

04/MARET/2015
04/MARET/2015
10/MARET/2015
16/MAET/2015
18/MARET/2015

19/MARET/2015

19/MARET/2015

20/MARET/2015
20/MARET/2015

2,477,475 GOFLEX TABLET

1,116,500 IMUNOS KAPLET
NEUCITI 250 MG INJ
2,413,125 SSIMLEV 500 MGTAB
4,182,750 SIMFIX 100 MG TAB
1,127,270 MEIACT 200 MGTAB
FOSMICIN INJ 1 GR
FOSMICIN 2 GR INJ
L-BIO
2,895,750 TOFEDEX TABLET
IMUNOS SYRUP
LAMESON TAB 4 MG
LAPISTAN500 MG TAB
TARIFLOX 400 MG TAB
12,112,650 MEIACT 200 MGTAB
FOSMICIN 1 GR
FOSMICIN 2 GR INJ
L-BIO
PROLIVA
2,413,125 SIMLEV 500 MG TAB
7,887,330 FOSMICIN INJ 1 GR

27/MARET/2015
27/MARET/2015
31/MARET/2015

3,630,000
6,441,435
3,239,500

31/MARET/2015

4,719,000

31/MARET/2015

4,118,400

FOSMICIN 2 GR INJ
L-BIO
PTOLIVA TAB
IMUNOS KAPLET
GOFLEX TABLET
LAPIBAL INJEKSI
TOFEDEX TABLET
IMUNOS PLUS KAPLET
CEFTRIMAX INJ
IMUNVIT PLUS TABLET
CEFTRIMAX INJ

58,774,310
04/MARET/2015
11/MARET/2015
24/MARET/2015
25/MARET/2015
27/MARET/2015
31/MARET/2015

16,498,350 ALBUMAN
4,780,304 THIAMFENIKOL 500 MG
OTSU SALINE INFUS
666,600 OTSU ND PIGGY BAG
16,459,410 WIDAHES INFUS
16,498,350 ALBUMAN
5,940,000 ACETYLSISTEIN TAB
60,843,014
953,155,234

FTAR FAKTUR MARET 2015

PENGGOLONGAN OBAT
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANTIINFEKSI

LARUTAN ELEKTROLIT, NUTRISI LAIN

KETERANGAN
200BOTOL
500 BOX@100 TAB
300 BOX@2 VIAL
20 BOX@ 60 TAB
200 BOTOL

200 FLES

KARDIOVASKULER
KARDIOVASKULER
SALURAN CERNA
ANTIINFEKSI

47 BOX @ 4 AMP
53 BOX @ 4 AMP
1000 VIAL
100 BOX @ 100 TAB

ANTIINFEKSI

20 VIAL

ANTIINFEKSI
VITAMIN DAN MINERAL
ANTIINFEKSI
ANTIINFEKSI
ANALGESIK, ANTIPIRETIK, ANTIINFLA

5 BOX @ 30 TAB
10 BOX @ 100 TAB
20 BOX @ 10 KAPS
15 BOX @ 10 TAB
30 BOX @ 60 KAPS

VITAMIN DAN MINERAL

50 BOTOL @ 30 KAPS

ANTIINFEKSI
ANTIINFEKSI
VITAMIN DAN MINERAL
ANTIINFEKSI
OBAT YANG MEMPENGARUHI DARAH
ANTIINFEKSI
VITAMIN DAN MINERAL

500 BOX @100 TAB

65 BOX @ 100 TAB
10 BOX @ 60 SOFTKAPS
35 BOX @ 100 TAB
500 BOX @ 30TAB
200 BOX @ 100 TAB
5 BOX @ 60 SOFTKAPS

ANALGESIK, ANTIPIRETIK, ANTIINFLA

VITAMIN DAN MINERAL
PSIKOFARMAKA
VITAMIN DAN MINERAL
SSALURAN NAFAS
ANALGESIK, ANTIPIRETIK, ANTIINFLA

5 BOX @ 30 TAB
25 BOX @20 KAPL
10 BOX @ 50 TAB
30 BOX @ 20 KAPL
100 BOX @ 10 AMP
4 BOX @ 30 TAB

ANTIEPILEPSI

30 BOX @ 30 KAPL

PSIKOFARMAKA
OBAT KULIT TOPIKAL
HORMON ENDOKRIN
KARDIOVASKULER
VITAMIN DAN MINERAL
ANESTETIK
PSIKOFARMAKA
PSIKOFARMAKA

100 BOTOL @ 100 TAB

500 TUBE
50 BOTOL @ 100 TAB
30 BOX @ 5 AMP
50 BOX @ 100 TAB
1000 AMPUL
10 BOX @ 10 AMP
58 BOX @ 100 TAB

ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANTIINFEKSI
SALURAN CERNA
ANALGESIK, ANTIPIRETIK, ANTIINFLA
VITAMIN DAN MINERAL
ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANTIINFEKSI
ANTIINFEKSI
SALURAN CERNA
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANTIINFEKSI
ANTIINFEKSI
SALURAN CERNA
VITAMIN DAN MINERAL
ANTIINFEKSI
OBAT KULIT TOPIKAL
SALURAN NAFAS
SALURAN NAFAS
ANTIINFEKSI
VITAMIN DAN MINERAL
ANTIINFEKSI
ANTIINFEKSI
SALURAN CERNA
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
VITAMIN DAN MINERAL

6 BOTOL
20 BOX @ 20 TAB
3 BOX @ 100 TAB
36 BOTOL
10 BOX @ 30 KAPS
10 BOTOL
6 BOTOL
10 BOX @ 30 TAB
1000 BOX @5 AMP
1000 VIAL
700 VIAL
60VIAL
20 BOX @30 TAB
27 VIAL
2 BOX @ 100 TAB
24 BOTOL
27 VIAL
5 BOX @ 10 AMP
10 BOX @ 20 KAPS
10 BOX @ 20 KAPS
20 BOX @ 20 TAB
10 BOX @ 30 TAB
10 VIAL
100 TUBE
24 BOTOL
12 BOTOL
56 FLES
20 BOX @ 100 TAB
20 BOX @ 20 TAB
100 VIAL
1000 BOTOL
15 SOFTBAG
5 BOX @ 18 TAB
10 VIAL
500 BOX @ 10 AMP

ANTIINFEKSI
ANALGESIK, ANTIPIRETIK, ANTIINFLA
LARUTAN ELEKTROLIT, NUTRISI LAIN
LARUTAN ELEKTROLIT, NUTRISI LAIN
ANTIINFEKSI
ANTIALERGI DAN OBAT ANAFILAKSIS
ANTIINFEKSI
ANTIINFEKSI

1400 VIAL
500 BOTOL
240 SOFTBAG
600 SOFTBAG
12 VIAL
12 VIAL
10 BOX @ 30 TAB
3 BOAX @ 20 KAPS

SALURAN
SALURAN
SALURAN
SALURAN
SALURAN

5 Box @ 10 amp
1 BOX @ 100 TAB
10 BOX @ 10 AMP
1 BOX @ 100 TAB
2 BOX @ 6 SUPPO

CERNA
CERNA
NAFAS
CERNA
CERNA

SALURAN CERNA
ANTIALERGI DAN OBAT ANAFILAKSIS

1000 VIAL
100 BOX @ 100 TAB

OBAT YANG MEMPENGARUHI DARAH

LARUTAN ELEKTROLIT, NUTRISI LAIN

500 BOX @ 30 TAB

20 BOX @ 5 FLEXY BAG

SALURAN CERNA
ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANALGESIK, ANTIPIRETIK, ANTIINFLA
SALURAN CERNA
ANALGESIK, ANTIPIRETIK, ANTIINFLA
VITAMIN DAN MINERAL
SALURAN NAFAS
ANESTESI
ANESTESI

100 BOX @ 5 AMP

10 BOX @ 5 AMP
10 BOX @ 30 TAB
100 BOX @ 5 AMP
50 BOX @ 30 TAB
10 BOX @ 6 SACHET
50 BOX @ 100 TAB
20 BOX @ 5 AMP
30 B0X @ 5 AMP

ANALGESIK, ANTIPIRETIK, ANTIINFLA

VITAMIN DAN MINERAL
KARDIOVASKULER
ANTIINFEKSI
KARDIOVASKULER
SALURAN CERNA
ANTIINFEKSI

500 BOTOL
299 BOX @ 10 AMP
10 BOX @ 4 AMP
20 BOX @ 2VIAL
2 Box @ 10 amp
10 VIAL
100 BOX @ 2 VIAL

SALURAN CERNA
ANTIINFEKSI
KARDIOVASKULER
KARDIOVASKULER
ANESTESI

50 BOX@ 10 SUPP
100 BOX @ 2 VIAL
8 BOX @ 10 AMP
3 BOX @ 10 AMP
10 BOX @ 10 AMP

ANTIINFEKSI
PSIKOFARMAKA
OBAT YANGMEMPENGARUHI DARAH
VITAMIN DAN MINERAL
ANTIEPILEPSI
JARUM INSULIN
VITAMIN DAN MINERAL
PSIKOFARMAKA
ANTIEPILEPSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIMIGRAIN
ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANTIINFEKSI
ANESTESI

500 BOTOL
50 BOX @ 100 TAB
30 BOX @ 30 TAB
204 BOX @ 200 TAB
50 BOTOL
1 BOX @ 100 PCS
24 BOTOL
5 BOX @ 100 TAB
50 BOX @ 100 TAB
5 BOX @ 100 TAB
5 BOX @ 20 TAB
1 BOX @ 60 TAB
3 BOX @ 100 TAB
200 BOX @ 10 AMP
52BOX @ 2 VIAL
30 BOX @ 5 AMP

ANTIINFEKSI
VITAMIN DAN MINERAL
KARDIOVASKULER
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
SALURAN CERNA
ANTIINFEKSI
VITAMIN DAN MINERAL
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
SALURAN CERNA
VITAMIN DAN MINERAL
ANTIINFEKSI
ANTIINFEKSI

10 BOX @ 30 TAB
5 BOX @ 20 TAB
3 BOX @ 5 AMP
10 BOX @ 10 TAB
10 BOX @ 30 TAB
1 BOX @ 20 TAB
2 VIAL
2 VIAL
1 BOX @ 30 SACHET
5 BOX @ 30 TAB
3 BOTOL
3 BOX @ 100 TAB
1 BOX @ 100 TAB
2 BOX @ 30TAB
9 BOX @ 20 TAB
15 VIAL
15 VIAL
12 BOX @ 30 SACHET
BOX @ 20 TAB
10 BOX @ 10 TAB
3 VIAL

ANTIINFEKSI
SALURAN CERNA
VITAMIN DAN MINERAL
VITAMIN DAN MINERAL
ANTIINFEKSI
OBATYANG MEMPENGARUHI DARAH
ANTIINFEKSI
VITAMIN DAN MINERAL
ANTIINFEKSI
VITAMIN DAN MINERAL
ANTIINFEKSI

33 VIAAL
7 BOX @ 30 SACHET
5 BOX @ 20 TAB
30 BOX @ 20 TAB
26 BOX @ 30 TAB
7 BOX @ 5 Amp
5 BOX @ 30 TAB
10 BOX @ 20 TAB
20 VIAL
10 BOX @ 20 TAB
24 VIAL

OBAT YANGMEMPENGARUHI PLASMA

ANTIINFEKSI
LARUTAN ELEKTROLIT, NUTRISI LAIN
LARUTAN ELEKTROLIT, NUTRISI LAIN
LARUTAN ELEKTROLIT, NUTRISI LAIN
OBAT YANGMEMPENGARUHI PLASMA
SALURAN NAFAS

20 BOTOL
70 BOX @ 100 TAB
40 BOTOL
60 BOTOL
300 BOTOL
20 BOTOL
99 BOX@60 TAB

HARGA SATUAN
2,298
225
13,965
8,634
5,286

1,980

17,960
17,960
42,000
1,430

144,208

8,580
2,520
12,870
32,175
3,888

6,050

169
1,856
8,360
1,856
330
1,856
8,360

8,258
7,508
3,919
7,508
26,950
8,047

STATUS PEMBAYARAN

BLN PEMBAYARAN

3,850

47

104
37306.5
9240
245

22,226
13,536
10,340
59,230
19,168
28,199
19,822
4,736
4,400
35,200
35,200
145,706
19,168
138,655
1,579
22,226
306,174
6,045
11,616
8,910
13,156
4,736
450,137
17,402
36,465
16,588
31,900
770
3,328
35,200
20,898
248,050
33,605
450,137
3,581

35,200
27,500
35,748
66,057
450,137
165,842
17,974
11,209

22,075
2,186
41,630
2,993
4,990

44,002
230

197
5,200

2,798
24,552
3,069
2,798
3,069
9,167
97
31,997
25,603

1,715
7,480
16,500
99,000
10,725
42,185
99,000

7,838
99,000
10,725
23,833
6,119

15,000
1,045
3,863
285
41,876
2,310
33,000
950
1,045
6,875
4,235
1,540
3,047
2,665
17,914
28,160

8,258
6,050
34,100
24,131
13,943
22,000
88,110
173,250
5,500
5,720
57,750
3,025
990
14,300
22,000
88,110
173,250
5,500
7,700
24,131
88,110

173,250
5,500
7,700
6,050
8,258
20,900
5,720
8,250
171,600
6,435
171,600

824,918
585
15,400
11,110
54,865
824,918
1,000

TOTAL

NO
1

NAMA REKANAN
PT. ANUGRAH PHARMINDO LESTARI

NO. FAKTUR
3211044172
3211044218

PT. ENSEVAL PUTERA

115021733

PT. BINA SAN PRIMA

FKMKS/201504/02806
FKMKS/201504/02807
FKMKS/201504/02808
FKMKS/201504/03243

FKMKS/201504/03265
FKMKS/201504/03266
FKMKS/201504/03286
FKMKS/201504/03287
FKMKS/201504/03831
FKMKS/201504/03841
FKMKS/201504/04556

DAFTAR FAKTUR APRIL 2015

TANGGAL FAKTUR
01/APRIL/2015
02/APRIL/2015

JUMLAH FAKTUR
NAMA OBAT
3,240,006 DORNER TABLET
2,549,788 CORDARON INJ
5,789,794

01/APRIL/2015

2,200,000 FLUTIAS INHEALER

2,200,000

07/APRIL/2015
07/APRIL/2015
07/APRIL/2015
08/APRIL/2015

19,799,067
28,159,835
28,159,835
39,417,389

08/APRIL/2015

41,800,080

08/APRIL/2015

16,720,000

08/APRIL/2015
08/APRIL/2015
09/APRIL/2015
09/APRIL/2015
10/APRIL/2015

43,999,743
43,999,743
126,500
30,666,367
20,898,328
313,746,887

PELASTIN INJEKSI
ANBACIM INJEKSI
ANBACIM INJEKSI
LEVOCIN 500 MG TAB
OSTELOX 7,5 MG TAB
SANEXON 4 MG TAB
SANEXON 16 MG TAB
TRICHODAZOL INF
TERFACEF INJ
ZIDIVEC INJEKSI
CEFAT FORTE SYRUP
ELKANA-CL
SANMOL SYRUP
SANMOL INFUS
MEGABAL KAPSUL
BECOM - C TABLET
FOLAVIT 400 MCG TAB
ANBACIM INJEKSI
ANBACIM INJEKSI
VERTIGOSAN TABLET
LIVAMIN INFUS
EPISAN SYRUP

UR APRIL 2015
PENGGOLONGAN OBAT
ANALGESIK, ANTIPIRETIK, ANTIINFLA
KARDIOVASKULER

KETERANGAN
30 BOX @ 30 TAB
30 BOX @ 6 AMP

SALURAN NAFAS

20 BOTOL

ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIALERGI DAN OBAT ANAFILAKSIS
ANTIALERGI DAN OBAT ANAFILAKSIS
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
VITAMIN DAN MINERAL
ANALGESIK, ANTIPIRETIK, ANTIINFLA
ANALGESIK, ANTIPIRETIK, ANTIINFLA
VITAMIN DAN MINERAL
VITAMIN DAN MINERAL
VITAMIN DAN MINERAL
ANTIINFEKSI
ANTIINFEKSI
ANTIINFEKSI
LARUTAN ELEKTROLIT, NUTRISI LAIN
SALURAN CERNA

100 VIAL
800 VIAL
800 VIAL
10 BOX @ 18 TAB
10 BOX @ 20 TAB
10 BOX @ 100 TAB
5 BOX @ 30 TAB
24 SOFTBAG
84 VIAL
10 VIAL
12BOTOL
120 BOTOL
48 BOTOL
1000 BOTOL
200 BOX @ 100 TAB
100 BOX @ 100 TAB
50 BOX @ 100 TAB
1250 VIAL
1250 VIAL
1 BOX @ 50 TAB
200 SOFTBAG
1000 BOTOL

@ 100 TAB
@ 100 TAB

STATUS PEMBAYARAN

BLN PEMBAYARAN

TOTAL