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LAMPIRAN VII

KEPUTUSAN BUPATI GARUT


NOMOR
TANGGAL

HARGA SATUAN OBAT DAN ALKES


I. ALAT PEN
NO

KODE

NAMA ALAT PEN

SATUAN

HARGA SATUAN
(Rp.)

ACL

ACL PLATE set

UNIT

14.293.100

ALU

ALUMUNIUM BAR

BUAH

238.200

AMPO

AMP NARROW OSTEOMED

PAKET

12.416.300

AMPS

AMP NARROW SMART

PAKET

15.130.500

AMPZ

AMP NARROW ZIMMER

PAKET

16.588.700

AQ

AQRILIK

BKS

476.400

BC

BOVINE CANCELLUS

BKS

476.400

BCG

BIPOLAR CEMENTED LINK GERMANY

PAKET

36.844.500

BCO

BIPOLAR CEMENTED ORMED

PAKET

18.025.200

10

BCS

BIPOLAR CEMENTED SYNERGI

PAKET

42.879.400

11

BCZ

BIPOLAR CEMENTED ZIMMER

PAKET

38.909.100

12

BG

BONE GROSS

PAKET

3.493.900

13

BON

BONE CEMENT CMW3

BKS

1.895.400

14

BP08

BROAD PLATE 8 HOLE

BUAH

4.134.900

15

BP09

BROAD PLATE 9 HOLE

BUAH

4.521.800

16

BP10

BROAD PLATE 10 HOLE

BUAH

4.807.700

17

BP11

BROAD PLATE 11 HOLE

BUAH

5.034.400

18

BP12

BROAD PLATE 12 HOLE

BUAH

5.263.900

19

BP13

BROAD PLATE 13 HOLE

BUAH

5.311.900

20

BP14

BROAD PLATE 14 HOLE

PCS

5.329.200

21

BP15

BROAD PLATE 15 HOLE

PCS

5.364.000

BP16

BROAD PLATE 16 HOLE

PCS

5.398.800

BP17

BROAD PLATE 17 HOLE

PCS

5.389.700

BP18

BROAD PLATE 18 HOLE

PCS

5.468.300

BONE WAX

22
23
24
25

BW

BKS

476.400

26

C3512 CORTICAL SCREW 3.5 L12

BUAH

132.800

27

C3514 CORTICAL SCREW 3.5 L14

BUAH

132.800

28

C3516 CORTICAL SCREW 3.5 L16

BUAH

132.800

29

C3518 CORTICAL SCREW 3.5 L18

BUAH

132.800

30

C3520 CORTICAL SCREW 3.5 L20

BUAH

137.200

31

C3522 CORTICAL SCREW 3,5 L22

BUAH

137.200

32

C3524 CORTICAL SCREW 3,5 L24

BUAH

137.200

33

C3526 CORTICAL SCREW 3,5 L26

BUAH

137.200

34

C3528 CORTICAL SCREW 3,5 L28

BUAH

137.200

35

C3530 CORTICAL SCREW 3,5 L30

BUAH

137.200

36

C3532 CORTICAL SCREW 3,5 L32

BUAH

140.000

37

C4512 CORTICAL SCREW 4,5 L12 MM

BUAH

132.800

38

C4514 CORTICAL SCREW 4,5 L14 MM

BUAH

132.800

39

C4516 CORTICAL SCREW 4,5 L16 MM

BUAH

132.800

40

C4518 CORTICAL SCREW 4,5 L18 MM

BUAH

132.800
VII - 1

41

C4520 CORTICAL SCREW 4,5 L20 MM

BUAH

132.800

42

C4522 CORTICAL SCREW 4,5 L22 MM

BUAH

137.200

43

C4524 CORTICAL SCREW 4,5 L24 MM

BUAH

137.200

44

C4526 CORTICAL SCREW 4,5 L26 MM

BUAH

137.200

45

C4528 CORTICAL SCREW 4,5 L28 MM

BUAH

137.200

46

C4530 CORTICAL SCREW 4,5 L30 MM

BUAH

137.200

47

C4532 CORTICAL SCREW 4,5 L32 MM

BUAH

140.000

48

C4534 CORTICAL SCREW 4,5 L34 MM

BUAH

140.000

49

C4536 CORTICAL SCREW 4,5 L36 MM

BUAH

140.000

50

C4538 CORTICAL SCREW 4,5 L38 MM

BUAH

140.000

51

C4540 CORTICAL SCREW 4,5 L40 MM

BUAH

140.000

52

C4542 CORTICAL SCREW 4,5 L42 MM

BUAH

140.000

53

C4544 CORTICAL SCREW 4,5 L44 MM

BUAH

140.000

54

C4546 CORTICAL SCREW 4,5 L46 MM

BUAH

140.000

55

C4548 CORTICAL SCREW 4,5 L48 MM

BUAH

140.000

56

C4550 CORTICAL SCREW 4,5 L50 MM

BUAH

140.800

57

C4552 CORTICAL SCREW 4,5 L52 MM

BUAH

140.800

58

CAN35 CANCELLUS FUL 3,5

BUAH

277.900

59

CAN40 CANCELLUS FUL 4,0

BUAH

277.900

60

CAN65 CANCELLUS FUL 6,5

BUAH

277.900

61

CBP05 CONDYLAR BUTRES PLATE 5 H LF

PCS

5.221.200

62

CBP07 CONDILAR BUTRES PLATE 7 H LF

BUAH

5.221.200

63

CBP09 CONDILAR BUTRES PLATE 9 H LF

BUAH

5.397.200

64

CBP11 CONDILAR BUTRES PLATE 11 H LF

BUAH

5.572.700

BUAH

6.641.300

CONDYLAR HUM 4 H

PCS

4.628.000

CERCAGE

65

CER

66

CH

67

CP04

CERVICAL PLATE 4 HOLE

PCS

14.443.300

68

CP06

CERVICAL PLATE 6 HOLE

PCS

16.380.800

69

CP08

CERVICAL PLATE 8 HOLE

PCS

18.318.300

70

CROS

CROSSLINK

BUAH

1.064.000

71

EF

EXTRENAL FIXAXION

BUAH

1.732.500

72

HD03

HUMERUS DISTAL 3 HOLE

BUAH

4.521.800

73

HD04

HUMERUS DISTAL 4 HOLE

BUAH

4.807.700

74

INFS

INTERLOCKING NAIL FEMUR STAINLESS

BUAH

5.955.500

75

INFT

INTERLOCKING NAIL FEMUR TITANIUM

BUAH

8.337.700

76

INTS

INTERLOCKING NAIL TIBIA STAINLESS

BUAH

5.558.400

77

INTT

INTERLOCKING NAIL TIBIA TITANIUM

BUAH

7.940.600

78

KN1038 K-NAIL FEMUR 10 X 38

BUAH

3.268.700

79

KN1040 K-NAIL FEMUR 10 X 40

BUAH

3.268.700

80

KN1138 K-NAIL FEMUR 11 X 38

BUAH

3.268.700

81

KN1140 K-NAIL FEMUR 11 X 40

BUAH

3.268.700

82

KN938 K-NAIL FEMUR 9 X 38

BUAH

3.268.700

83

KN940 K-NAIL FEMUR 9 X 40

BUAH

3.268.700

84

KW10

K-WIRE 1.0

BUAH

1.126.100

85

KW12

K-WIRE 1.2

BUAH

1.126.100

KW14

K-WIRE 1.4

BUAH

1.126.100

KW16

K-WIRE 1.6

BUAH

1.126.100

KW18

K-WIRE 1.8

BUAH

1.126.100

KW20

K-WIRE 2.0

BUAH

1.126.100

KW30

K-WIRE 3.0

BUAH

1.126.100

86
87
88
89
90

VII - 2

91

LC8

LUMCAGE NO. 8

BUAH

6.641.300

92

LP5

L-PLATE 4,5 MM 4 HOLE LR

BUAH

4.391.500

93

LP7

L-PLATE 4,5 MM 6 HOLE LR

BUAH

4.391.500

94

LSS

LOCKING SCREW STAINLESS

BUAH

555.800

95

LST

LOCKING SCREW TITANIUM

BUAH

1.032.300

96

MAL30 MALEOLAR SCREW @30 MM

BUAH

1.046.700

97

MAL35 MALEOLAR SCREW @35 MM

BUAH

1.046.700

98

MAL40 MALEOLAR SCREW @40 MM

BUAH

1.046.700

99

MP4

MINI PLATE 4 HOLE

BUAH

2.356.200

100

MP5

MINI PLATE 5 HOLE

BUAH

3.078.100

101

MP6

MINI PLATE 6 HOLE

BUAH

3.800.000

102

MP9

MINI PLATE 9 HOLE

PCS

5.161.400

103

NP06

NARROW PLATE 6 HOLE

BUAH

3.101.200

104

NP07

NARROW PLATE 7 HOLE

BUAH

3.618.900

105

NP08

NARROW PLATE 8 HOLE

BUAH

4.134.900

106

NP09

NARROW PLATE 9 HOLE

BUAH

4.651.800

107

NP10

NARROW PLATE 10 HOLE

BUAH

5.168.600

108

NP11

NARROW PLATE 11 HOLE

BUAH

5.426.900

109

NP12

NARROW PLATE 12 HOLE

BUAH

5.444.200

110

NP13

NARROW PLATE 13 HOLE

BUAH

5.479.000

111

NP14

NARROW PLATE 14 HOLE

BUAH

5.495.800

112

NP15

NARROW PLATE 15 HOLE

BUAH

5.531.100

113

NP16

NARROW PLATE 16 HOLE

BUAH

5.557.100

114

PH6

PROXIMAL HUM 6 HOLE

PCS

5.598.100

115

PS45

PEDICLE SCREW @ 4.5

BUAH

3.176.300

116

PS50

PEDICLE SCREW @ 5.0

BUAH

3.176.300

117

PSTMO PEDICLE SCREW TITANIUM L8 MONO

BUAH

5.161.400

118

PSTMU PEDICLE SCREW TITANIUM L8 MULTI

BUAH

5.637.800

119

REK04 REKONTRUKSI 4 HOLE

BUAH

2.347.500

120

REK05 REKONTRUKSI 5 HOLE

BUAH

3.038.000

121

REK06 REKONTRUKSI 6 HOLE

BUAH

3.534.300

122

REK07 REKONTRUKSI 7 HOLE

BUAH

4.142.500

123

REK08 REKONTRUKSI 8 HOLE

BUAH

4.833.100

124

REK09 REKONTRUKSI 9 HOLE

BUAH

5.385.400

125

REK10 REKONTRUKSI 10 HOLE

BUAH

5.868.500

126

REK12 REKONTRUKSI 12 HOLE

BUAH

6.351.600

127

RG35

RING WASHER 3,5

BUAH

830.200

128

RG45

RING WASHER 4.5

BUAH

830.200

129

ROD

ROD @ 5.5

BUAH

2.382.200

130

RODS

RODUCTION SCREW

BUAH

5.637.800

131

RODT

ROD @ 5.5 TITANIUM

BUAH

3.970.300

132

RPST

REDUCTION SCREW

BUAH

5.637.800

133

SC3

SHANZ SCREW 120 X 3 MM

BUAH

974.500

134

SC4

SHANZ SCREW 130 X 4 MM

BUAH

974.500

135

SC5

SHANZ SCREW 150 X 5 MM

BUAH

974.500

SC5

SHANZ SCREW 180 X 5 MM

BUAH

974.500

SN10

SMALL NARROW 10 HOLE

BUAH

5.890.500

SN11

SMALL NARROW 11 HOLE

BUAH

7.068.500

SN12

SMALL NARROW 12 HOLE

BUAH

6.479.500

SMALL NARROW 4 HOLE

BUAH

2.356.200

136
137
138
139
140

SN4

VII - 3

141

SN5

SMALL NARROW 5 HOLE

BUAH

2.946.700

142

SN6

SMALL NARROW 6 HOLE

BUAH

3.534.300

143

SN7

SMALL NARROW 7 HOLE

BUAH

4.123.300

144

SN8

SMALL NARROW 8 HOLE

BUAH

4.712.400

145

SN9

SMALL NARROW 9 HOLE

BUAH

5.301.400

146

SP18

STEIMENT PIN 180

BUAH

938.400

147

SP200 STEIMENT PIN 200

BUAH

938.400

148

SS04

SS-WIRE 0.4 MM

CM

4.000

149

SS06

SS-WIRE 0.6 MM

CM

4.000

150

SS08

SS-WIRE 0.8 MM

CM

4.000

151

SS10

SS-WIRE 1.0 MM

CM

4.000

CM

4.000

CM

4.000

152

SS125 SS-WIRE 1,25


SS-WIRE 1.5 MM

153

SS15

154

ST4

SEMI TUBULAR 4 HOLE

BUAH

1.778.700

155

ST5

SEMI TUBULAR 5 HOLE

BUAH

2.223.400

156

ST6

SEMI TUBULAR 6 HOLE

BUAH

2.668.100

157

ST7

SEMI TUBULAR 7 HOLE

BUAH

3.112.700

158

ST8

SEMI TUBULAR 8 HOLE

BUAH

3.557.400

159

STP4

SMALL T-PLATE 4 HOLE

BUAH

3.676.200

160

SUR

SURGICELL

BKS

505.300

PCS

4.946.500

161

TBP04 TROCHANTER 4 HOLE/COBRA

162

TBP05 THROHANTER BP 5 HOLE

BUAH

4.946.500

163

TBP07 THROHANTER BP 7 HOLE

BUAH

5.318.700

164

TBP09 THROHANTER BP 9 HOLE

BUAH

5.690.800

165

TBP10 THROHANTER BP 10 HOLE

BUAH

6.063.100

166

THCS

TOTAL HIP CEMENTED SYNERGY

PAKET

44.467.500

167

THCZ

TOTAL HIP CEMENLESS ZIMMER

PAKET

40.338.400

168

THRC

THR CEMENTED LINK GERMANY

PAKET

37.479.800

169

TKRCR TKR CR SYNERGY

BUAH

51.677.600

170

TKRCR TKR CEMENTED LINK GERMANY

PAKET

49.613.000

171

TKRPC TKR PC SYNERGY

BUAH

57.458.400

TKR IB II ZIMMER

PAKET

51.677.600

172

TKRZ

173

TLC03 TLC L3 LEFT

BUAH

3.934.200

174

TLC05 TLC L5 LEFT

BUAH

4.162.100

175

TLC07 TLC L7 LEFTR

BUAH

4.389.900

176

TLC09 TLC 9 HOLE LEFT

BUAH

4.617.700

177

TLC11 TLC 11 HOLE LEFT

BUAH

4.845.700

178

TP4

T-PLATE 4 HOLE

BUAH

4.043.900

179

TP5

T-PLATE 5 HOLE

BUAH

4.204.600

180

TP6

T-PLATE 6 HOLE

BUAH

4.384.700

181

TP7

T-PLATE 7 HOLE

BUAH

4.581.300

182

TP8

T-PLATE 8 HOLE

BUAH

4.797.900

II. OBAT DAN BHP JAMKESMAS


NO
1
1
2

NAMA OBAT
2
1 CC DISPOSIBLE SYR
10 CC DISPO

SATUAN
3
PCS
PCS

HARGA SATUAN
(Rp.)
4
1.500
1.900

VII - 4

1
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56

2
20 CC DISP
3 CC DISP
5 cc disp
50 CC DISP(L.PINGGIR)
50 CC DISP(L.TENGAH)
ABBOCAT 26
ABBOCATH 26
ABBOCATH N0.16
ABBOCATH N0.18
ABBOCATH N0.20
ABBOCATH N0.22 T
ABBOCATH N0.24
ACETOSAL 100 TAB
ACID SALICIL powder
ACTAZOLAM 0.5 TAB
ACTRAPID NOVOLET
ACYCLOVIR 200 TAB
ACYCLOVIR 200 TAB
ACYCLOVIR 400MG TAB
ACYCLOVIR CREAM
ADEPS LANAE
ALBOTHYL 10 CC
ALBUMAN 100 ML
ALBUMAN 50 ML
ALBUMIN 100 CC
ALBUMIN 50 CC
ALCO DROP
ALCO PLUS SYR
ALINAMIN F INJ
ALLOPURINOL 100 MG TAB
ALLYLESTRENOL TAB
ALPENTIN 300MG TAB
ALPRAZOLAM 0.25
ALPRAZOLAM 0.5
AMBROXOL SYR
AMBROXOL TAB
AMCOR 5MG TAB
AMDIXAL 5 TAB
AMIKASIN 250 MG
AMIKASIN 500 MG
AMINOFLUID 1 LITER INF
AMINOFLUID INF 500 ML
AMINOFUSIN HEPAR
AMINOFUSIN PAED INF
AMINOLEBAN INF
AMINOPHILIN INJ 24 MG
AMINOPHILIN TAB
AMINOSTERIL 6% inf
AMIPAREN INF
AMITRIPHILIN HCL 25 MG
AMLODIPIN 10 TAB
AMLODIPIN 10MG/50
AMLODIPIN 5 TAB'30
AMLODIPIN 5 TAB'50

3
PCS
PCS
PCS
UNIT
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
TAB
grm
TAB
AMP
TAB
TAB
TAB
TUBE
GR
FLS
FLS
FLS
FLS
FLS
FLS
FLS
AMP
TABL
TAB
TAB
TAB
TAB
FLS
TAB
TAB
TAB
VIAL
VIAL
VIAL
FLS
FLS
FLS
FLS
AMP
TABL
FLS
FLS
TAB
TAB
TAB
TAB
TAB

4
12.070
1.191
1.422
45.479
42.880
39.306
34.939
35.300
28.586
27.396
28.586
39.306
85
287
844
139.755
420
635
824
4.331
547
38.910
1.299.375
597.713
1.299.375
650.910
53.202
35.734
17.865
191
2.382
4.331
699
844
4.765
181
1.468
3.529
91.476
158.825
217.834
130.068
241.395
107.993
217.834
4.331
151
95.288
120.532
173
2.444
2.597
1.386
1.473

VII - 5

1
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110

2
AMLODIPINE 10 @100
AMOXAN I GR INJ
AMOXICILLIN 125 MG SYR
AMOXICILLIN 500 MG TB
AMPICILLIN 1 GR INJ
AMPICILLIN 500 MG TAB
ANEMOLAT/FOLIC ACID
ANTALGIN 500 MG
ANTALGIN INJ 10 ML
ANTALGIN INJ 2 ML
ANTASIDA DOEN SYR
ANTASIDA DOEN TAB
ANTIHAEMOROID SUPP
APIALYS SYR
APPALENS 18.5
APPAVISC PFS 3 ML
APTOR TAB
ARIXTRA 2.5MG INJ
AS TRANEKSAMAT 250INJ/5
ASABIUM
ASAM MEF. 500 MG
ASAM TRANEXAMAT 250 INJ
ASAM TRANEXAMAT 500 INJ
ASAM TRANEXAMAT 500 TAB
ASERING INF
ASERING INFUS
ASTIKA TAB
ATARAX 0,5
ATORVASTATIN 20 TAB
ATRACURIUM HAMELN
ATRAUCAN
ATS 1500 IU
ATS 1500 PLUS DISP 1CC
ATS 20000 IU
BACTECYN 0.75 INJ
BARITOP INJ
BD NEOFLON 26
BEDAK SALICYL
BEROTEC SOL INH
BETAHISTIN MESILAT 6MG
BETASIN CR
BISOPROLOL 5MG
BISOVEL 5 TAB
BLOOD SET INF
BLOOD SET OGS
BLUE MONOLON 3-0
BLUE MONOLON 4-0
BLUE RHEXIS
BONGROS
BOTOL 100 ML
BOTOL 100 ML
BOTOL 30 ML
BOTOL 50
BOTOL 60 CC

3
TAB
VIAL
FLS
TABL
VIAL
TABL
TAB
TAB
AMP
AMP
FLS
TAB
SUPP
PCS
PCS
PCS
TAB
VIAL
AMP
TAB
TAB
AMP
AMP
TAB
FLS
FLA
TAB
TAB
TAB
FLS
PCS
AMP
VIAL
VIAL
VIAL
VIAL
PCS
FLS
FLS
TAB
TUBE
TAB
TABL
PCS
PCS
PCS
PCS
PCS
FLS
FLS
FLS
PCS
FLS
BTL

4
2.444
29.794
5.343
534
4.585
917
295
197
600
651
5.559
130
2.888
36.527
135.352
126.329
194
499.688
9.261
1.371
254
4.631
8.338
1.509
19.512
19.514
209
795
6.353
11.117
155.636
132.319
70.600
872.993
103.229
252.512
45.117
1.589
75.797
1.335
33.351
3.352
2.455
36.527
23.029
71.466
76.230
47.644
3.176.250
3.176
3.176
1.906
2.144
2.382

VII - 6

1
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164

2
BOTOL PLASTIK 200'
BOTOL TETES 15 CC
BROADCED INJ 1GR
BURNAZIN CREAM 35GR
C.ASTENOF MND ED
C.ASTHENOF ED
C.AUGENTONIC ED 15
C.CARPIN 2 % ED
C.CATARLEN ED
C.CONVER ED
C.FENICOL EO
C.FLOXA MND ED
C.LYTER ED
C.LYTER MND ED
C.MYCOS ED
C.MYCOS EO
C.MYDRIATYL ED
C.PANTOCAIN ED
C.POLYGRAN ED
C.TIMOL 0,25% ED
C.TIMOL 0.5 ED
C.TOBRO ED
C.TOBROSAN ED
C.ULCORI MND ED
C.VASACON A ED
C.VASACON A MND ED
C.VASACON ED
C.VASACON MND ED
C.XITROL ED
C.XITROL EO
C.XITROL MND ED
Ca .LACTAT TAB
CA.GLUKONAS
Ca.LACTAT
CAIRAN 2A INF
CAIRAN 4 ;1 INF
CALCII LACTATE TAB
CALOS
CAMPHORA
CANDERSARTAN 8 MG
CAPSUL 00
CAPSUL KOSONG NO.3
CAPSUL NO. 0
CAPSUL NO. 1
CAPSUL NO. 2
CAPTOPRIL 12,5 MG
CAPTOPRIL 12.5 [50]
CAPTOPRIL 25 MG TAB
CAPTOPRIL 25 TAB/50
CARBACARE
CARBACHOL
CARBAMAZEPIN
CARBAMAZEPIN TAB
CARDIOMIN CAPS

3
PCS
BTL
VIAL
TUB
STRP
FLS
FLS
FLS
FLS
FLS
FLS
STRP
FLS
PCS
FLS
FLS
FLS
FLS
FLS
BTL
FLS
FLS
FLS
STRP
FLS
STRP
FLS
STRP
FLS
FLS
STRP
TAB
AMPU
TAB
FLS
FLS
TAB
TAB
KG
TAB
PCS
CAPS
CAP
CAP
CAP
TAB
TAB
TAB
TAB
PCS
PCS
TAB
TAB
CAPS

4
4.447
1.589
219.161
55.028
25.013
29.438
42.086
30.175
42.900
23.733
30.577
32.557
31.492
4.685
36.282
31.960
57.967
21.043
43.674
55.680
87.170
37.881
64.807
31.166
35.534
23.424
25.807
22.036
42.900
46.780
29.777
57
11.291
70
14.908
14.907
76
795
233.455
6.353
103
64
57
57
57
130
112
198
198
87.347
87.347
356
356
3.176

VII - 7

1
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218

2
CARDISMO TAB
CATGUT CHROMIC 2-0 TAPPER
CATHETER NO.28 (TORASIC)
CATHETER NO.32 (TORASIC)
CEALB 100ML
CEALB 50ML
CEDOCARD 10 TAB
CEDOCARD 5 TAB
CEDOCARD INJ
CEFADROXIL 250 CAP
CEFADROXIL 500 CAPS/50
CEFADROXIL 500 MG
CEFADROXIL SYR
CEFIXIME 100 CAP
CEFIXIME 100/30
CEFIXIME SYR
CEFOPERAZON INJ
CEFOTAXIM 1 GR INJ @1
CEFTAZIDIM IG INJ'1
CEFTAZIDIME INJ
CEFTIZOXIM IG INJ
CEFTRIAXON INJ '2 VIAL
CEFTRIAXONE 1 GR INJ
CERCUL INJ/5
CEROPID I G INJ
CERPLAST AERO 50X50
CERPLAST AEROFILM 45X150
CERPLAST BASIC 100X150
CERPLAST BASIC 45X150
CERPLAST CAVITY 100X100
CETIRIZIN 10MG TAB
CETIRIZIN TAB'30
CHLORAMEX INJ
CHLORAMPENICOL CAPS'250
CHLORAMPHENICOL 250 MG
CHLORAMPHENICOL SALEPMATA
CHLORAMPHENICOL SYR
CHLORAMPHENICOL TETES T.
CHLORAPHENICOL TM
CIMETIDIN 200 MG
CIPROFLOXACIN 500 MG
CIPROFLOXACIN 500 TAB'50
CIPROFLOXACIN INF
CITHICOLIN 500 INJ
CITICHOLIN 250 INJ '10
CITICHOLIN 250 INJ'5
CITICHOLIN 500 MG TAB
CITROSOL TAB
CIVELL INF
CLINDAMICIN 150 CAP
CLINDAMYCIN 300 @30
CLINDAMYCINE 150 CAP/100
CLINDAMYCINE 300
CLINDAMYCINE 300 CAP/100

3
TAB
PCS
PCS
PCS
FLS
FLS
TAB
TAB
AMP
CAPS
CAPS
CAP
FLS
CAP
TAB
FLS
VIAL
VIAL
VIAL
VIAL
VIAL
VIAL
VIAL
AMP
VIAL
PCS
PCS
PCS
PCS
PCS
TAB
TAB
VIAL
cap
CAPS
TUBE
FLS
FLS
FLS
TABL
TAB
TAB
FLS
AMP
AMP
AMP
TAB
TAB
FLS
TAB
TAB
CAP
TAB
CAP

4
3.918
63.525
127.050
127.050
1.266.891
597.714
1.918
1.292
92.619
643
1.213
1.213
11.840
3.457
3.457
43.674
158.813
10.005
48.883
60.349
158.813
12.407
12.407
21.653
192.164
64.121
120.698
103.229
107.993
94.494
453
477
14.294
334
309
2.256
5.775
2.426
3.610
166
411
376
98.753
44.468
21.656
23.822
10.588
11.117
86.625
737
1.304
737
1.087
1.087

VII - 8

1
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272

2
CLOBAZAM 10 MG TAB
CLONIDIN TAB
CLOPIDOGREL TAB
CLOPINE 25 TAB
CLOPISAN TAB
CLOZARIL 25MG
CO AMOXICLAV 625 TAB
CODEIN 10 MG
CODEIN 20 MG TB
COLISTINE 1.5 UG TAB
COLOSTOM BAG
COMAFUSIN HEPAR
COMBIVENT UDV
COMBO PACK 18
COMBO PACK 20
COMBO PACK 22
COMBO PACK 24
CONCOR 2.5MG TAB
COPPER T LIBI
COPPER T LIMAS
COROLENE 3/0 CUTING
CORTIDEX INJ
COTRIMOXAZOLE 480 MG TB
COTRIMOXAZOLE SYR
CPZ 100 MG
CPZ 25 MG
CRESENT
CRIPSA TAB
CTM (CHLORPHENIRAMIN) 4MG
CURCUMA PLUS SYR
CURCUMA TAB LOS/500
CURCUMA TAB STRP
CURVIT SYR
CYTOSTOL TAB
DACLON 2/0 C
DACLON 3/0 C
DACLON 4/0 C
DACLON 5/0
DACLON 6/0
DAFILON 2/0
DAFILON 3/0
DAFILON 4/0
DAFILON 5/0
DAKTARIN ORAL GEL
DARYANT-TULLE
DEHAF SACH
DEPAKENE SYR
DEPAKENE SYR 40ML
DEPAKOTE 250 TAB
DEPAKOTE ER 250 TAB
DEPAKOTE ER 500 TAB
DEXAMETASON TAB
DEXAMETHASON TAB
DEXAMETHASONE 0,5 MG INJ

3
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
PCS
FLS
AMP
PCS
PCS
PCS
PCS
TAB
PCS
PCS
PCS
AMP
TAB
FLS
TAB
TABL
PCS
TAB
TABL
FLS
TAB
TAB
FLS
TAB
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
TUBE
PCS
SACH
FLS
FLS
TAB
TAB
TAB
TAB
TAB
AMP

4
1.372
299
14.294
4.187
12.273
4.548
7.291
628
1.248
8.100
3.971
250.924
12.843
48.914
45.421
41.291
47.168
2.960
60.349
55.585
142.931
8.306
270
5.712
166
36
87.347
17.961
16
12.070
874
995
20.646
12.705
71.466
71.466
70.142
70.142
70.142
108.553
83.218
96.784
91.714
70.354
22.631
9.053
110.216
82.583
6.295
4.187
8.230
126
81
2.890

VII - 9

1
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326

2
DEXOCORT CR
DEXON 6/0 C
DEXON 6-0 TAP
DEXTROMETHORPHAN 60 ML SY
DEXTROP TAB '100 TAB
DEXTROP TAB 15 MG
DEXTROSE 10 % inf
DEXTROSE 40 %
DEXTROSE 5 % OTSUKA
DIALAC SACH
DIAZEPAM 2 MG
DIAZEPAM 2 MG INJ
DIAZEPAM 5 MG TAB
DIAZEPAM 5MG/250
DIAZEPAM 5MG/INJ
DICLOFAM 25
DIGOXIN TAB
DILANTIN CAP
DILTIAZEM 30
DIMEDAZOL INF
DISPO.ELEKTRODE
DIUVAR INJ
DIVASK 5 MG
DOBUJECT 250/5ML INJ
DOBUTAMINE INJ
DOBUTEL INJ
DOKSISILIN 100 MG
DOLAC 30 INJ
DOMPERIDON TAB/30
DOMPERIDON TAB/50
DOMPERIDONE
DOPAMET TAB
DOXACIN CAPS
DPT INJ
DULCOLAX 10 SUPP
DULCOLAX 5 mg SUP
DULCOLAX TAB
DUMOZOL INF
ELASTIK BIDAI PTH 3'
ELASTIK BIDAI PUTIH 4'
ELOX 5 gr cream
EPHEDRIN 25 MG INJ
EPHEDRIN 25 MG TB
EPIDOSIN INJ
EPREX 2000 UI
ERITROMYCIN 200 MG SYR
ERYSANBE 500 MG TAB
ERYTROMYCIN 250 CAP
ETHAMBUTOL 500 MG
ETHIGENT INJ
ETT 3,0
ETT 3.5
ETT 6.5
ETT 7

3
TUBE
PCS
PCS
FLS
TAB
TAB
FLS
VIAL
FLS
SACH
TAB
AMPU
TAB
TAB
TAB
TAB
TABL
CAP
TAB
FLS
UNIT
AMP
TAB
AMP
TAB
VIAL
TAB
AMP
TAB
TAB
TAB
TAB
CAPS
AMP
SUP
SUP
TAB
FLS
ROLL
ROLL
TUB
AMP
TAB
AMP
PCS
FLS
TAB
CAPS
TABL
AMP
PCS
PCS
PCS
PCS

4
30.746
204.471
214.397
4.137
143
143
8.268
2.977
7.670
6.749
46
3.419
69
69
3.419
243
207
4.193
219
28.563
8.068
12.705
1.300
53.999
47.566
46.215
260
11.473
699
584
584
1.444
419
11.167
20.269
15.087
1.220
28.586
31.763
33.351
33.351
16.771
50
26.205
242.550
9.422
3.999
648
828
3.833
34.939
34.939
34.939
34.939

VII - 10

1
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380

2
ETT 7.5
ETT NO 6
EUTHYROX 100 TAB
EUTHYROX 50 TAB
EXJADE PB TAB 250 MG
FARGOXIN TAB
FARMADOL INF
FARMALAT TAB 10 MG
FARSIX INJ
FARSOBID INJ
FARSORBID TAB
FEEDING N0.10
FEEDING N0.5
FEEDING N0.6
FEEDING N0.8
FEEDING N0.8 PANJANG
FEEDING NO.3,5
FEEDING NO.5 (PANJANG)
FEEDING TUBE 6 PANJANG
FENOL GLISEROL 10%
FERRIPROX FCT 500
FERRO SULFAT
FIMAHES INF
FIMALBUMIN INF 100
FITOMENADION TAB
FLAMAR 25
FLAMAR 50
FLAMICORT 10 MG IAD INJ
FLUCONAZOL INF
FLUCONAZOL TAB
FM CREPE 3'
FM CREPE 4INC
FM CREPE 6INC
FOLAVIT TAB
FOLIC ACID TAB
FOLLY CATH 10
FOLLY CATH 12
FOLLY CATH 14
FOLLY CATH 16
FOLLY CATH 18
FOLLY CATH 20
FOLLY CATH 22
FOLLY CATH 24
FOLLY CATH 8
FORASMA SYR
FORASMA TAB
FORBETES 500 TAB
FORBETES 850 MG
FORNEURO TAB
FORTAGYL INF 100
FOSMYCIM 2
FREEDOM 20
FREEDOM 19
FREEDOM 19.5

3
PCS
PCS
TAB
TAB
TAB
TAB
FLS
TAB
AMP
VIAL
TAB
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
FLS
TAB
TAB
FLS
FLS
TAB
TAB
TAB
VIAL
VIAL
TAB
ROLL
ROLL
ROLL
TAB
TAB
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
FLS
TAB
TAB
TAB
TAB
FLS
VIAL
PCS
PCS
PCS

4
34.939
34.939
1.998
1.377
51.252
44
79.406
138
2.021
79.403
310
20.725
25.728
20.935
25.728
25.728
25.728
23.966
20.935
1.455
36.527
64
77.963
1.126.125
29
1.032
2.199
139.755
166.754
31.763
57.895
69.465
96.622
813
99
12.265
12.265
12.265
12.268
12.265
12.265
12.265
12.265
12.265
30.175
1.191
1.208
1.350
4.658
26.999
217.415
87.347
87.347
87.347

VII - 11

1
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434

2
FUROSEMIDE 40MG TAB/100
FURROCEMIDE 40 MG
FURROCEMIDE INJ 10 MG
GASTRUL TAB
GELOFUSAL INF
GELOFUSIN INF
GEMFIBROZIL 300
GENTAMYCIN 0.1%CR
GENTAMYCIN INJ
GHIMAS JODOFORM
GLAUCON
GLIBENKLAMID TAB
GLICERIL GUACOLAT
GLIMEPIRIDE 1MG
GLIMEPIRIDE 2MG
GLIQUIDON TAB
GLOCOPHAGE TAB 500MG
GLUCOBAY 50 TAB
GLUCODEX TAB
GLUCOSAMIN 250 TAB
GLUCOSAMIN 500 TAB
GLUDEPATIC 500 TAB
GLUKOLOS TAB
GLUMIN 500 TAB
GLURENORM
GLYBOTIC 250 INJ
GLYBOTIC 500MG INJ
GOTROPIL 3 G INJ
GRANEM 1 G INJ
GYPSONA 4 '
GYPSONA 6 INC
H2O2 3 %
HAEMOSTOP 250 MG INJ
HAES STERIL 6% INFUS
HALOPERIDOL 0,5 MG
HALOPERIDOL 1,5 MG
HALOPERIDOL 5 MG TAB
HCT (HYDROCLORTIAZIDE)
HCT 25
HEMAPO 3000 IU INJ
HEMOHES 6% INF
HESTAR INF
HEXYMER 2 TAB
HISTAPAN TAB
HPMC VISCO AEROVISC
HUMULIN N INJ
HUMULIN R 100 IU INJ
HYDROCORTISON 1% CR
HYDROCORTISON 2.5%CR 5GR
HYDROQUIN
HYPAFIX 5cmX5m
HYSTOLAN TAB
HYTRIN 2 TAB
HYTRIN I MG TAB

3
TAB
TABL
AMP
TAB
FLS
FLS
CAP
TUB
AMP
UNIT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
PCS
TAB
VIAL
PCS
AMP
VIAL
ROLL
ROLL
FLS
AMP
BTL
TABL
TABL
TAB
TABL
TAB
VIAL
FLS
FLS
TAB
TAB
PCS
VIAL
VIAL
TUBE
TUBE
MG
ROLL
TAB
TAB
TAB

4
147
130
2.975
15.087
127.757
121.383
383
2.671
5.331
258.071
6.937
87
38
1.097
2.070
846
1.468
2.378
491
1.271
2.303
635
1.982
1.359
1.516
86.377
168.102
28.584
285.863
60.349
76.230
3.899
5.559
74.354
87
119
176
53
13
249.769
71.466
77.819
417
795
101.063
139.755
139.755
2.525
4.297
1
46.135
4.331
14.656
4.817

VII - 12

1
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488

2
HYTROZ 1MG
HYTROZ 2MG
I.SALMICOL 0.5 %
I.SALMICOL 1%
IBU PROFEN 200 MG
IBU PROFEN 400 MG TAB
IBUPROFEN SYR
IKALEP 250MG
IKAMICETIN EO
IKAMICETIN SK
IMPUGAN INJ
INDOP INJ
INDUXIN INJ
INERSON CR
INFUS.SET/MICRO DRIP
INFUSION SET
INHA 400 TAB
INMATROL ED
INOTROP INJEKSI
INPEPSA 100ML
INSULATARD NOVOLET
INTERHISTIN TAB
INTRADOL 50MG/ML INJ
INVICLOT INJ
INVITEC TAB
IRONYL TAB
ISONIAZIDE 100 MG
ISONIAZIDE 300 MG
ISOSORBIDE DINITRAT 5MG
IV 18 TROGE
IV 20 TROGE
IV 24 TROGE
IV AESCOMED 20
IV AXIMED 18
IV AXIMED 20
IV AXIMED 24
IV AXIMED 26
IV CANULA 16
IV CANULA 18
IV CANULA 20
IV CANULA 22
IV CANULA 24
IV CANULA 26
IV INFLO 22
IV INFLO 24
IV TROGE 26
JELCO 18
JELCO 20
JELCO 22
JELCO 24
KA EN IB INF
KAEN 3A INF
KAEN 4A INF
KAEN 4B INF

3
TAB
TAB
FLS
FLS
TAB
TAB
FLS
TAB
TUBE
TUBE
AMP
VIAL
AMP
TUBE
PCS
PCS
TAB
TUBE
VIAL
FLS
AMP
TAB
AMP
VIAL
TAB
TAB
TABL
TAB
TAB
UNIT
UNIT
UNIT
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
FLS
FLS
FLS
FLS

4
4.197
7.508
5.920
7.941
166
296
5.048
5.360
5.002
8.735
3.754
47.644
3.176
40.695
5.775
5.058
874
32.479
157.225
69.878
125.048
897
9.205
90.524
9.385
2.144
59
140
141
10.799
10.799
10.799
11.231
11.117
19.058
11.117
15.881
18.486
21.440
11.242
20.646
24.616
20.963
11.242
11.242
11.117
19.852
11.242
11.242
11.242
21.536
21.536
22.611
21.536

VII - 13

1
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542

2
KA-EN MG 3 INFUS
KALII CHLORID POW
KALMECO 500 CAPS
KALMETHASON INJ
KALMOXILIN IG INJ
KALNEX INJ
KALTROPEN SUPP
KALXETIN 10 MG CAP
KASA STERIL
KCL INJ
KCL INJ 25 ML
KERATOM
KETOKONAZOL 200MG TAB
KETOKONAZOL CREAM
KETOPROFEN 100 TAB
KETOPROFEN 50 TAB
KETOPROFEN INJ
KETOROLAC 30 INJ/6'VIAL
KETOROLAC 30 INJ'10
KETOROLAC INJ 30MG
KETOROLAC INJ/12
KETOROLAC TAB/30
KIDMIN INF
KOATE DVI 280 IU
KONDOM CATHETER
KSR TAB
LACOLDIN SYR
LACTOR 30MG INJ
LACTULA 100 SYR
LACTULAC 60 SYR
LACTULAX 120ML
LAMINARIA STIF
LANCE TIP
LANSOPRAZOL 30/20
LANSOPRAZOLE 30MG
LAPIBAL 500 CAPS
LASMALIN SYR
LATROPIL SYR
LAXADIN SYR
L-BIO SACH
LETONAL 100 MG TAB
LETONAL 25MG TAB
LEUKOCRAPE 6"
LEUKOCREPE 3 "
LEUKOCREPE 4"
LEUKODUR 3"
LEVOFLOXACIN 500/30
LEVOFLOXACIN INF
LEVOFLOXACIN TAB
LIDOCAIN 2% INJ
LISINOPRIL 5 MG TAB
LODOMER 2
LOMATULE
LORATADINE

3
FLS
GRAM
TAB
AMP
VIAL
AMP
SUP
CAP
BOX
VIAL
VIAL
PCS
TAB
TUB
TAB
TAB
AMP
AMP
AMP
AMP
AMP
TAB
FLS
VIAL
UNIT
TAB
PCS
AMP
FLS
FLS
FLS
PCS
PCS
TAB
TAB
CAPS
FLS
FLS
FLS
SACH
TAB
TAB
ROLL
ROLL
ROLL
ROLL
TAB
FLS
TAB
AMP
TAB
TAB
PCS
TAB

4
18.447
1.444
2.811
3.610
36.527
11.911
6.495
5.108
4.288
3.105
1.820
87.347
538
10.106
1.773
1.016
7.504
19.296
19.289
21.440
19.296
3.653
66.701
1.862.439
11.355
3.869
19.915
19.241
78.612
52.409
80.995
134.991
87.347
1.951
2.342
2.382
30.175
53.996
37.321
5.559
2.707
858
90.444
42.450
60.032
23.060
1.597
127.050
1.754
1.574
538
1.572
18.047
481

VII - 14

1
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596

2
LORINID MITE TAB/50
LOTASBAT CR
LOTIO KUMERFELDI 100CC
MAAG SLANG 12
MAAG SLANG 14
MAAG SLANG 16
MAAG SLANG 18
MAAG SLANG N0.20
MAGN.SULFAT 40%
MAGN.SULP 20 % 25 ML
MAINTATE 2.5 TAB
MALTOFER CHEW TAB
MANITOL INF
MECOBALAMIN 500 CAPS
MECOBALAMIN INJ
MEDIAMER B6 TAB
MEGABAL CAPS
MELOXICAM 15
MELOXICAM 15/30
MELOXICAM 15MG/20
MELOXICAM 7.5 TAB
MELOXICAM 7.5 TAB/30
MELOXICAM 7.5MG/20
MENTHOL CRYSTAL
MEROPENEM 0.5 GR
MEROPENEM INJ
MERTIGO SR TAB
MERTIGO TAB
MESTINON TAB
METFORMIN 500
METHOTREXAT 50 INJ
METHYLERGOMETRIN INJ
METHYLPREDNISOLON 16MG
METHYLPREDNISOLON 4MG
METHYLPREDNSLN 125 MG INJ
METIL ERGOMETRIN TAB
METILPREDNISOLON 8 TAB
METOCLOPRAMID INJ
METOCLOPRAMIDE 10MG
METRONIDAZOLE 500 MG
METRONIDAZOLE GNK INF
MEYLON INJ
MgSO4 powder
MICONAZOLE CR
MICROBAR POWDER 500 GRAM
MICRODRIP BURET
MIKAJECT 250MG INJ
MIKAJECT 500MG INJ
MIKASIN 250 INJ
MIKASIN 500 INJ
MIXTARD NOVOLET
MOLOCO B12 TAB
MONOFIT 3-0 CUTING
MOXIC F TAB

3
TAB
TUBE
FLS
PCS
PCS
PCS
PCS
PCS
AMP
AMP
TAB
TAB
FLS
CAPS
AMP
TAB
CAPS
TAB
TAB
TAB
TAB
tab
TAB
GRAM
VIAL
VIAL
TAB
TAB
TAB
TAB
VIAL
AMP
TAB
TAB
VIAL
TAB
TAB
AMP
TAB
TABL
FLS
VIAL
kg
TUBE
PCS
PCS
VIAL
VIAL
VIAL
VIAL
PEN
TAB
PCS
TAB

4
1.589
42.880
42.880
25.988
25.988
25.988
25.988
5.002
6.195
3.900
2.859
3.319
99.429
1.112
12.705
3.082
2.088
1.731
1.731
1.731
1.000
1.000
953
1.687
158.750
285.863
6.829
3.653
10.325
263
55.874
1.973
1.877
636
51.217
174
844
1.320
143
318
28.875
11.906
23.822
4.331
114.799
105.611
83.377
144.520
93.844
154.477
139.755
3.705
119.110
1.083

VII - 15

1
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650

2
MQA
MUCUS EXTRACTOR
MUSIN TAB
MYCODERM CR
MYCODERM TAB
MYOMERGIN INJ
NA DICLOFENAC 25MG
NA DICLOFENAC 50
NACL 0,9 % 500 CC
NACL 100 ML
NACL I000 ML INF
NAIRET SYR
NAIRET TAB
NASAL OXIGEN DEWASA
NASAL OXYGEN CHILD
NASAL OXYGEN MASKER
NATRIUM BIC. 500 MG
NEEDLE 23
NEEDLE 25
NEEDLE NO.26
NEEDLE NOVOFINE
NELATON CATET.12
NELATON CATET.16
NELATON CATET.18
NELATON CATET.20
NELATON CATH NO.14
NELATON CATHETER N0.8
NELATON CATHETER NO.10
NEO DIAFORM TAB
NEO-K INJ
NERILON CR 10G
NEULIN INJ 500MG
NEURODEX TAB
NEUROSANBE INJ
NEUROSANBE TAB
NEUROTAM 3 G INJ
NEW DIATAB TAB
NIACEF GELL
NILADACIN 300 CAPS
NIMOTOP TAB
NIPEDIPIN TAB
NODIRIL 1 TAB
NODIRIL 2 TAB
NONEMI TAB
NOPERTEN 5MG
NORELUT
NORIT TAB
NOVAMET 500 INF(METRO)
NOVELMYCIN 2 G INJ
NOVERTI TAB
NOVOMIX 30 FLEXPEN
NOVORAPID FLEXPEN
NYLON 3/0
NYLON 4/0 C

3
PCS
UNIT
TAB
TUBE
TAB
AMP
TAB
TAB
FLS
BTL
FLS
FLS
TAB
SET
PCS
PCS
TAB
PCS
PCS
UNIT
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
TAB
AMP
TUBE
AMP
TAB
AMP
TAB
AMP
TAB
TUBE
CAPS
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TABL
FLS
VIAL
TAB
VIAL
VIAL
PCS
PCS

4
36.094
19.296
508
4.115
722
2.533
243
314
7.953
12.094
15.476
28.586
1.271
22.869
22.869
39.704
21
795
1.112
1.177
3.176
11.911
23.966
23.966
4.765
23.966
9.564
10.324
207
16.676
41.688
47.898
347
5.917
1.303
69.084
655
29.777
1.300
10.228
186
1.913
4.354
1.271
538
3.971
36
28.586
206.456
708
231.120
147.270
79.685
107.560

VII - 16

1
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704

2
NYLON 5/0
NYMIKO DROP
NYSTATIN TAB VAG
OBH SYR 100 ML
OBH SYR 200 ML
OCTALBIN 100 CC INJ
OCTALBIN 50 cc inf
OFLOXACIN 200 TAB
OFLOXACIN 400 MG TAB
OL.OLIVARUM
OMEPRAZOL 20MG CAP
OMEPRAZOLE CAP'7
OMEPRAZOLE INJ
OMNIPAQUE 300MG INJ 25ml
OMNIPAQUE 300MG INJ@50ML
OMZ INJ
ONDANSETRON 4MG INJ/10
ONDANSETRON 8MG INJ/10
ONDASETRON 4 INJ
ONDASETRON 4 TAB
ONDASETRON 8 INJ
ONDASETRON 8 TAB
OPICEF SYR
OPILAX 120 SYR
OPILAX 60 SYR
OPISTAN 500 TAB
ORALIT
ORASIC CAP
ORASIC INJ
OTOPAIN TK
OTORYL 25 TAB
OTSUCAT 22
OTSUCATH 18
OTSUCATH 20
OTSUCATH 24
OTTOGENTA CR
OTTOPAN DROP
OTTOPAN TAB
OTTOPRIM SYR
OTTOPRIM TAB
OXYTETRACYCLIN 1% SM
OZID INJ
PAKET LENSA 1 + MQ
PAKET LENSA 2
PALMICOL SYR
PAN AMIN G INF
PARACETAMOL @100
PARACETAMOL 500 MG
PARACETAMOL DROP
PARACETAMOL INF
PARACETAMOL SYR
PEDAB TAB
PEHACAIN INJ
PERFUSOR WHITE

3
PCS
PCS
SUP
FLS
FLS
FLS
FLS
TAB
TAB
CC
CAP
FLS
VIAL
FLS
FLS
VIAL
AMP
AMP
AMP
TAB
AMP
TAB
FLS
FLS
FLS
TAB
SACH
TAB
AMP
FLS
TAB
PCS
PCS
PCS
PCS
TUBE
FLS
TAB
FLS
TAB
TUBE
VIAL
PCS
PKT
FLS
FLS
TAB
TAB
FLS
FLS
FLS
TAB
VIAL
PCS

4
63.414
40.695
417
2.599
3.610
2.382.188
433.125
853
1.260
263
589
1.111
97.193
168.024
330.330
96.082
7.941
11.550
8.735
2.224
11.550
7.941
10.829
76.230
50.820
191
579
541
9.983
48.834
138
11.244
16.104
11.246
11.246
9.529
15.158
138
4.331
217
3.032
98.067
587.606
547.904
5.485
44.291
238
151
7.623
71.466
3.317
982
4.494
38.115

VII - 17

1
705
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758

2
PERPHENAZINE 4 MG
PETHIDIN 50 MG INJ
PHADILON 125 INJ
PHENOBARBITAL 30 MG
PHENOBARBITAL INJ
PHENTAL INJ
PHENYTOIN CAP
PIPET DROP
PIRACETAM 1200 TAB
PIRACETAM 1200/50
PIRACETAM 12G INF
PIRACETAM 3 G INJ
PIRACETAM 3 GRAM@10
PIRACETAM 800 TAB
PIRALEN INJ
PIRALEN TAB
PIRANTEL PAMOAT 125
PIROXICAM 10 MG
PIROXICAM 10/120
PIROXICAM 20 MG
PITOGIN INJ
PK POWDER
PLACTA 75 tab
POLIBAN 3INC
POLIBAN 4INC
POLIBAN 6INC
POLIDEMISIN ED
POLIGYP 3INC
POLIGYP 4'
POLIGYP 6'
POLYESTER 1 T
POLYPROLPYLENE 2/0 C
POLYPROPILENE 2/0 T
POLYPROPILENE 3/0 T
POLYPROPILENE 4/0 T
POLYPROPILENE 5/0 C
POLYPROPILENE 5/0 T
POLYPROPILENE 6/0 T
POSPARGIN INJ
POSTOFIX
POT KOSMETIK 50
POT PLASTIK 100 G
POT PLASTIK 100 GR
POT PLASTIK 15
POT PLASTIK 20'
POT PLASTIK 30
POT PLASTIK 50
POVIDON IODINE 60ML
PPC INJ
PPD 2 TU INJ
PREDNISONE 5 MG
PREMICRON 1
PROFIKA SUPP
PROFUNGAL 200

3
TAB
AMPU
VIAL
TAB
AMP
AMP
CAPS
PCS
TAB
TAB
FLS
AMP
AMP
TAB
AMP
TAB
TAB
CAPS
TAB
CAPS
AMP
POT
TAB
ROLL
ROLL
ROLL
FLS
ROLL
ROLL
ROLL
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
AMP
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
FLS
VIAL
DOSI
TAB
PCS
SUP
TAB

4
76
21.224
46.496
54
968
11.911
303
2.001
1.868
1.906
111.169
24.695
24.694
1.208
4.331
127
280
105
108
147
3.820
3.914
7.607
21.917
26.363
39.941
32.668
31.445
44.468
58.920
80.067
99.259
112.295
98.175
124.163
265.614
104.095
265.614
2.166
42.880
7.147
1.589
3.494
397
397
953
1.191
4.765
15.564
110.891
90
129.115
6.339
1.084

VII - 18

1
759
760
761
762
763
764
765
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
787
788
789
790
791
792
793
794
795
796
797
798
799
800
801
802
803
804
805
806
807
808
809
810
811
812

2
PRONALGES SUPP
PROPANOLOL 10 MG TAB
PROPANOLOL 40 MG @ 100
PROPYLTHIOURACILE 100 MG
PROSTIGMIN INJ
PROSURE BANANA LIQ
PUMPITOR INJ
PYRANTEL TAB
PYRAZINAMIDE 500 MG TAB
PYRIDOXIN TAB
Q'TEN 100 TAB
QUICKY SUCTION NO 14
RANITIDIN 150 MG TAB
RANITIDIN INJ
RANITIDIN INJ (10)
RANITIDIN INJ/25
RANITIDIN TAB'30
RATAN INJ/RANITIDIN
RENABETIC TAB
RENADINAC 25MG TAB
RENADINAC 50 TAB
RENXAMIN INF
RESERPIN TAB
RESTOR TAB
RIFAMPICIN 300 MG
RIFAMPICIN 450 MG
RIFAMPICIN 600 MG
RINGEL LACTATE
RISPERIDON 2MG TAB
RIVANOL 200CC
RIZODAL 2 TAB
ROLAC 30 INJ
SAGESTAM CR
SAGESTAM ED
SALBUTAMOL 2MG
SALBUTAMOL 4MG
SALEP 2-4
SANAZET TAB
SANBE TEARS ED
SANMETIDIN TAB
SANTIBI 500 TAB
SAPOPIRIDIS 100GR
SCABIMITE 30 g cr
SCOPAMIN tab
SCPOPAMIN PLUS
SEROQUEL XR TAB
SERUM A.B.U 5 ML
SILAX INJ
SIMVASTATIN 10 CAP/30
SIMVASTATIN 10 MG TAB
SIMVASTATIN 20 TAB
SIZORIL 5 TAB
SKINTRACTION ANAK
SKINTRACTION DWS

3
SUPP
TAB
TAB
TAB
AMP
FLS
VIAL
TAB
TABL
TAB
TAB
PCS
TABL
AMP
AMP
AMP
TAB
AMP
TAB
TAB
TAB
FLS
TAB
TAB
CAPS
KAPL
TABL
FLS
TAB
FLS
TAB
AMP
TUBE
FLS
TAB
TAB
FLS
TAB
FLS
TAB
TAB
BUAH
TUBE
TAB
TAB
TAB
VIAL
AMP
TAB
TAB
TAB
TAB
KIT
KIT

4
6.498
111
119
432
19.630
55.585
97.193
280
338
25
13.067
304.920
318
9.529
3.711
3.673
318
3.711
238
135
174
69.402
65
610
800
953
1.331
8.085
3.415
1.811
3.610
21.440
15.484
27.204
122
141
1.191
1.628
23.691
1.986
1.246
11.911
71.466
1.747
2.701
52.885
592.213
5.559
740
740
1.481
5.797
131.454
170.451

VII - 19

1
813
814
815
816
817
818
819
820
821
822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
855
856
857
858
859
860
861
862
863
864
865
866

2
SMECTA SACH
SOFRA-TULLE
SOFTBAN 6'
SOLAC 120ML SYR
SOTATIC INJ
SPINAL NEEDLE 18
SPINAL NEEDLE N0. 20
SPINOCAIN 25
SPINOCAIN 26
SPIRONOLACTON 100 TAB
SPIRONOLACTONE 25 TAB
SPONGE
STERIMAR ADULT
STERIMAR BABY
STESOLID 10 MG SUPPO
STESOLID 10 ML INJ
STESOLID 5 MG SUPPO
STOLAX SUPP 10 MG
STREPTOMYCIN INJ 1 GR
SUCTION CATETER 10
SUCTION CATETER 12
SUCTION CATHETER N0.14
SURGICRIL 0 C
SURGICRIL 1 CUTING
SURGICRIL 1 TAPER
SURGICRIL 3/0 C
SURGICRIL 3/0 T
SURGICRYL 2/0 C
SURGICRYL 2/0 T
SURGICRYL 3/0 C MONO
SURGICRYL 4/0 C MONO
SURGICRYL 4/0 T
SURGICRYL 4/O C
SURGICRYL 5/0 C
SURGICRYL O T
SURGION 1 TAPER
SURGION 3/0 C
SURGIVENT 1 TAPPER
SURGIVENT 3-0 CUTTING
TARIVID TK
TENSOCREP 4 '
TENSOCREP 6'
TENSOCREPE 3'
TETAGAM INJ
TETRACYCLIN 250 MG
TETRACYCLIN 500
TEVOX INF
THIAMPENICOL 500 CAP
THYAMYCIN F SYR
THYAMYCIN SYR
THYROZOL 10MG
THYROZOL 5MG TAB
TIARYT
TOMBAK SURGE EDGE

3
SACH
PCS
ROLL
FLS
AMP
PCS
PCS
PCS
PCS
TAB
TAB
PCS
FLS
FLS
RECT
AMP
RECT
SUP
VIAL
PCS
PCS
PCS
PCS
PCS
PSG
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
FLS
ROLL
ROLL
ROLL
VIAL
CAPS
TAB
FLS
CAP
FLS
FLS
TAB
TAB
TAB
PCS

4
3.850
19.058
52.282
78.612
6.353
32.612
23.822
46.056
46.056
1.524
500
39.704
135.713
161.810
51.443
5.776
20.936
8.100
7.306
19.058
19.058
19.058
95.288
107.993
131.021
112.757
97.670
100.581
95.288
116.462
112.493
89.994
115.377
100.581
95.288
138.167
120.539
63.525
63.525
98.464
100.277
131.734
44.232
262.041
219
371
76.230
889
67.892
39.704
1.915
1.356
2.202
86.625

VII - 20

1
867
868
869
870
871
872
873
874
875
876
877
878
879
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894
895
896
897
898
899
900
901
902
903
904
905
906
907
908
909
910
911
912
913
914
915
916
917
918
919

2
TOPCORT CR
TORAMIN 10 INJ
TORAMIN 30 INJ
TRACHEAL CANUL FORTEX 7
TRAMADOL 50 CAP
TRAMADOL INJ
TRAMADOL INJ '5
TRAMADOL INJ/10
TRIAMCORT CR
TRIAXITROL ED
TRIFLUOPREAZIN
TRIHEXYPHENIDIL 2 MG
TRIOFUSIN INF
TRIWAY STOPCOCK
TROGYL 500 TAB
TROGYL SYR
TUTOPUSIN INF
ULCERANIN INJ
ULCERANIN TAB
ULSIDEX TAB
ULSIKUR INJ
UMBILICAL CLEMP
URDAHEX CAPS
URINE BAG
URINTER CAP
UROTRACTIN CAPS
VACLO 75 TAB
VALISANBE 5 TAB
VALSARTAN 80 TAB
VELCOX 15MG TAB
VELCOX 7.5MG TAB
VICRYL 8/0 T
VISCOLONE
VIT B COMPLEX
VIT B.1 TAB
VIT C 50 MG TAB
VIT A 6000 SI TAB
VIT B12 TAB
VIT C 100
VIT K INJ 1 CC
VIT K tab
VIT K TAB/500
VOLUVEN 500ML INF
VOMCERAN 4MG/2ML
WIDAHES
WIDAHES 130 INF
WING N0.23
WING N0.25
WING N0.27
ZINC 20
ZINCARE TAB
ZOFREDAL 2 TAB
ZYPRAZ 0,5 MG

3
TUBE
AMP
AMP
PCS
CAP
AMP
AMP
AMP
TUBE
FLS
TAB
TABL
FLS
PCS
TAB
FLS
FLS
AMP
TAB
TAB
AMP
PCS
CAPS
UNI
TAB
CAPS
TAB
TAB
TAB
TAB
TAB
PCS
PCS
TAB
FLS
TABL
FLS
TAB
TAB
AMP
TAB
TAB
FLS
AMP
FLS
FLS
PCS
PCS
PCS
TAB
TAB
TAB
TAB

4
27.617
13.500
21.440
1.528.571
477
9.983
9.243
9.243
66.701
6.497
795
60
103.229
20.646
289
55.585
67.496
2.744
289
506
5.631
3.375
12.176
6.353
2.960
3.774
12.994
3.610
5.775
1.127
1.430
410.927
87.347
33
140
39
177
18
27
2.513
95
95
76.865
6.064
75.436
75.436
12.705
12.705
13.938
686
2.779
3.465
795

VII - 21

III. OBAT DAN BHP RUANGAN


NO

NAMA OBAT

1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51

2
150 E SPEED F31X41 CM
20 CC TERUMO
3 CC TERUMO
5 CC TERUMO
A/C PERFORMA LA/APAC 50
ABBOCATH 18
ABBOCATH 20
ABBOCATH 22
ABBOCATH 24
ABBOCUHT NO 20
ABBOCUT NO 26
ABBOCUTH NO 24
ACC CHEC ADV 50 TEST STR
ACCU CHAC SOFTRIC 200 LC
ACCU CHAK
ACON AMP AMPHETAMINE
ACON DENGUE RAPID TEST
ACON HBSAG 302
ACON HCG STRIP 2.5 MM
ACON HIV 1/2 WB
ACON MET METHAMPHETAMINE
ACON MOP MORPHINE/HER
ACON THC MARIJUANA-102
ACON URINE STRIP 10A
ADONA AC 17 INJ 5 ML
ADRENALIN 1 MG INJ
AERAN 250 ML
AIRWAY COLOR C 70MM
AIRWAY COLOR C 80MM
AIRWAY COLOR C 90MM
ALBOTHYL CONS 100 CC
ALBUMIN CAT 20
ALBUMIN CAT 61
ALBUMIN CP 400 REAGEN
ALCHOHOL 96 %
ALCHOHOL SWAB
Alcohol 96% PA
ALKALINE PHOSFAT CAT 31
ALP CP ABX PEN 400 REAGEN
ALTCP ABX PENTRA 400REAGN
ALVOGYL(2013-01) GIGI
AMALGAM 68/CAUSTI 65 GR
AMINOPHILIN INJ
ANESFAR
ANESJECT INJ
ANSWER DENGUE 1GG/1GM 10T
ANSWER DENGUE 1GG/1GM40 T
ANSWER HBSAG(ANTGN)DEVICE
ANSWER MET METHAPHE DIV
ANSWER MOP MORPHINE DIV
ANSWER MULTI DRUG 3 PANEL

SATUAN
3
BOX
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
FLS
FLS
FLS
KIT
BOX
KIT
FLS
KIT
PCS
KIT
KIT
TUBE
AMP
AMP
FLS
PCS
PCS
PCS
FLS
KIT
KIT
KIT
LTR
BOX
LIT
KIT
KIT
KIT
FLS
PCS
AMP
VIAL
VIAL
BOX
BOX
BOX
BOX
BOX
BOX

HARGA
SATUAN (Rp)
4
921.113
12.070
2.701
3.176
600.311
28.586
28.586
28.301
28.586
16.676
34.939
16.676
600.311
333.506
825.825
1.135.510
2.599.761
1.327.673
275.085
1.905.750
1.135.510
1.135.510
1.135.510
960.816
1.285
2.202
2.223.375
35.734
35.734
35.734
98.464
7.861.219
3.773.385
1.280.029
55.585
47.644
55.585
3.922.669
829.001
2.580.704
667.013
1.222.856
6.916
47.644
222.338
1.222.856
4.891.425
1.032.281
914.616
1.006.077
1.334.025
VII - 22

1
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106

2
ANSWER THC MARULIANA DIV
ANTAGIN 10 MG INJ
ANTEC PREGNANCY LATEX
AQUABIDES 20 ML
AQUABIDES LAB
AQUABIDEST 25 ML
AQUABIDEST 50 ML
AQUABIDEST 500 ML
AQUADEST PAKET PA
AQUADEST STERIL
AQUAGEL 82
AQUAPAK 340 SW
AQUASONIC 250 ML
AQUASONIC 5000 ML
ARSEN
ASAM ASETAT GLASIAL PA
ASAM TRANEXAMAT 250MG INJ
ASERING
AST CP ABX PTRA 400 REAGN
ATRACURIUM HAMALN 50
ATROPIN INJ 0.25MG/ML
AUTOCLAV
BACTIGRAS 10 X 10
BANDAGE CARE 20 X 20
BANDAGE CARE 24 X 20
BARITOP
BAYCLEAN CAIR 500 ML
BEAKER GLASS 1 L
BED LINER CARE @10
BIG GOUSE POLOS 35X35
BILIRUBIN DIREC 400 REGN
BILIRUBIN TOTAL 400 REGN
BILIRUBINE DIRECT
BILIRUBINE TOTAL
BILIRUBINE TOTAL CAT 42
BILIRUBINE TOTAL CAT 43
BIOFORE
BLADE BOX
BLOD SET VS 50
BLOOD SET TRANFUSI
BORAC CRISTAL
BOTOL PLASTIK 100 ML
BOTOL PLASTIK 200 ML
BOTOL PLASTIK 60 CC
BRANSPIRTUS
BREATHING SYS BSIC PAR
BUCAIN INJ
BUNASCAN SPINAL 0.5 %
BURNAZIM CREAM 35 GR
BUVANES SPINAL 0.5 %
C.MEDRIATIL /ASKES
CAIRAN CIDEX
CAIRAN INSTRUMEN
CAIRAN NONE
CAIRAN PENDI

3
BOX
VIAL
BOX
AMP
LTR
AMP
AMP
FLS
LIT
LTR
TUBE
BTL
BTL
GLN
BTL
LIT
INJ
BTL
KIT
BOX
AMP
PCS
PCS
PCS
PCS
POT
BTL
PCS
PCS
ROL
KIT
KIT
KIT
KIT
KIT
KIT
ROLL
PCS
PCS
PCS
KG
BUAH
BUAH
FLS
LTR
PCS
BOX
BOX
TUBE
BOX
BTL
GLN
ROLL
cc
cc

4
1.006.077
7.941
1.238.738
7.910
22.234
5.956
13.277
20.248
7.147
6.353
79.406
115.140
63.525
555.844
1.191.094
616.193
7.345
21.079
2.580.704
547.904
3.336
157.702
18.342
6.829
11.594
397.031
11.117
138.961
344.624
19.058
724.185
970.345
6.940.106
6.940.106
6.940.106
6.940.106
89.095
1.048.163
63.525
36.527
2.382
1.271
2.859
715
39.704
239.807
397.031
397.031
53.996
444.675
25.410
892.526
5.775
795
795
VII - 23

1
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161

2
CALCIDOR(2013-12) GIGI
CALCIUM GLUCONAS
CALK CHLORID INJ
CAPORIT 65 %
CAPSUL KOSONG NO. 0
CAPSUL KOSONG NO. 00
CAPSUL KOSONG NO. 1
CAPSUL KOSONG NO. 2
CATGUT CHROMIC NO.1 ROLL
CATGUT CHROMIC NO.2 ROL
CATGUT CHROMIC NO.2/0 ROL
CATGUT CHROMIC NO.3 ROL
CATGUT CHROMIC NO.3/0 ROL
CATGUT CHROMIC NO.4/0 ROL
CATGUT CHROMIK NO.0 ROL
CATGUT CROMIC NO 2T(PETR)
CATGUT CROMIC NO2-0T(PTR)
CENDO CARPIN DROPS
CENDO EFRISOL 10 %
CENDO FLUORESIN 1 %
CENDO HUMARTO
CENDO MYDRIATIL 1%
CENDO PANTOCAIN 1 %
CENDO TROPIN ED 1%
CERVIX BRUTCH
CHLOR KAMPER MENTHOL
CHLORAL HYDRAT 3%
CHLORAMPENICOL SM/EO
CHLORHEX 2% 500 ML
CHOLES ENZ CLR 4X100ML
CHOLES.ENZ CLR 4X100ML
CHOLESTEROL CP REAGEN 400
CHOMIC 2/0 WITHOUT NDL SI
CHROMIC 1 TAP APEC
CHROMIC 2 TAP APEC
CHROMIC 2-0 TAP APEC
CHROMIC AILE NO.2
CHROMIC AILE NO.2/0
CHROMIC AILEE NO 2 /BOX
CHROMIC AILEE NO 2/0 /BOX
CHROMIC APEC 2 CAT
CHROMIC APEX 1
CHROMIC APEX 2-0 CAT
CHROMIC B BRAUN 0 TAP
CHROMIC B BRAUN 2/0 HR
CHROMIC NO 0 TAP @24
CHROMIC NO 2/0 TAP @24
CIDEX
CIDOTUR/DENTORIT
CILOCAIN SPRAY
CITRIC ACID
CK-MB 2X20 AGAVE
CK-MB LYPOPHILIZE
CLEANER FOR AVL
CLEANING SOLUTIAON

3
SET
AMP
AMP
KG
BUAH
BUAH
BUAH
BUAH
ROLL
ROLL
ROLL
ROLL
ROLL
ROLL
ROLL
PCS
PCS
FLS
FLS
FLS
FLS
FLS
FLS
FLS
PCS
BTL
CC
TUBE
BTL
PAK
PAK
KIT
PCS
PCS
PCS
PCS
PCS
PCS
BOX
BOX
PCS
PCS
PCS
PCS
BOX
BOX
BOX
FLS
AMP
GR
KIT
PAK
BTL
KIT

4
524.081
10.918
2.209
71.466
70
123
102
64
2.061.386
2.001.038
2.064.563
1.572.244
2.064.563
2.541.000
2.001.038
114.345
107.199
24.616
24.219
20.646
56.379
57.967
1.572.244
19.852
20.935
238.219
722
2.482
136.579
2.237.192
2.302.781
3.551.048
15.881
55.585
84.171
77.819
84.171
77.819
841.706
778.181
84.171
96.876
77.819
100.973
106.214
2.429.704
3.069.020
892.526
524.081
451.172
1.027.517
13.499.063
5.756.954
1.290.352
1.290.352
VII - 24

1
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216

2
CLORETYL SPRAY 100 CC
CLORIN
CO2 BESAR
COMBO PEN
COMPOUND 250 ML
CONDITIONING FOR AVL
CONTROL HEMA PARACECK 1
CORONG KACA 75 MM
CORTISON INJ
COVER GLASS 20X20
COVER GLASS 24 X 24
COVERPLAST 1.9X7.6
CREATININE PENTRA 400 RGN
CREOLIN WANGI
CRESOPONE(2012-12) GIGI
CROMIC 4/0 CATING
CROMIC 4/0 TAP
CROMIC CATGUT 2 CATING
CROMIC N0 3/0 CATING
CROMIC N0.1 TAPER
CROMIC N0.2 TAPER
CROMIC N0.2/0 TAPER
CROMIC NO. 0 TAPER
CROMIC NO.0 CUTTING
CROMIC NO.3/0 TAPER
CROMICNO 2/0 CATING
CURAFIX IV
CURAFOR IV
CURAGARD JR CHILDREN
CURAGARD SP ADULT
CURAPOR TRANS 13102 10x8
CURAPOR TRANS 13103 10X15
CURAPOR TRANS 13104 10X20
CURAPOR TRANS 13105 10X25
CURASPON(2013-06) GIGI
CUTT SORF 500 ML
CUVET REACTION 8S 200
CUVETTE SEGMEN PENTRA 400
CYLONOR
DARMAVIX
DARYANTULE
DECAIN 4 ML INJ
DECK GLASS 20X20 MM
DENTORIT
DESMANOL 1 LTR
DETERGENT CD 80 LTR
DEXAMETHASON INJ
DEXTROSE
DEXTROSE 10 %
DEXTROSE 40 %
DIAZEPAM INJ
DISMANOL
DISP. 1 CC SRY
DISP. 10 CC SRY
DISP. 20 CC SRY

3
FLS
LTR
TBNG
SET
FLS
BTL
VIAL
PCS
AMP
PCS
BOX
BOX
KIT
LTR
FLS
BOX
BOX
BOX
BOK
BOX
BOX
BOX
BOX
BOX
PCS
BOX
BOX
BOX
PCS
PCS
BOX
BOX
BOX
PCS
BOX
FLS
FLS
BOX
BTL
PCS
box
BOX
BOX
FLS
KIT
BTL
AMP
BTL
FLS
AMP
AMP
GLN
PCS
PCS
PCS

4
174.694
4.331
613.594
182.635
1.429.313
1.290.352
1.032.281
192.164
27.475
96.082
1.270.500
59.917
1.238.738
14.294
1.429.313
1.090.089
762.300
990.990
873.469
857.588
876.645
857.588
857.588
873.464
819.473
952.875
520.508
489.143
20.646
23.584
309.685
694.805
893.321
43.992
771.829
188.194
7.940.625
662.249
1.222.856
166.754
198.516
420.854
87.347
524.081
357.329
2.699.813
1.699
18.769
23.822
3.272
3.176
1.982.775
1.500
1.859
11.911
VII - 25

1
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271

2
DISP. 3 CC SRY
DISP. 5 CC SRY
DISP.50 CC
DISP.ELEXTRODA
DISPO 50 LUBANG PINGGIR
DUROGESIC 12,5 INJ
DUROGESIC 25 ML
ECG BALL FUCUDA
ECG CARDIOCARE
ECG CREAM FUKUDA
ECG METHAL FUCUDA
ECG PAPER FUKUDA KERTAS B
EEG CUP ELEC
EEG PASTE 228
EEG PASTE NIHON/SKIN PREP
ELASTIC BUNDISH PUTIH
ELASTUMOL
ELASTUMOL 12 X 4 CM
ELECTRODA EEG CUP 1 M
ELECTRODE CLEANING SOL
ELEKTRODE EKG
EMERSON 50 MG
ENTELLAN
EOSIN G
EPHEDRIN INJ 25 MG
EPINEPHRINE INJ
ERGOMETRIN MAL INJ
ESEMTAN 1 LTR
ETHANOL
ETHIGEN INJ
ETRANE 250 MG
ETT 2
ETT 2.5
ETT 3
ETT 3.5
ETT CH 6
ETT CH 6.5
ETT CLEAR 7
ETT PERFORM NORTH 6.0
ETT PERFORM NORTH 6.5
ETT PERFORM NORTH 7.0
ETT PERFORM SOUTH 6.0
ETT PERFORM SOUTH 6.5
ETT PERFORM SOUTH 7.0
EUGENOLL
EXTRADINE
EXTRAN ALKALINE MERCK
FACE MASK LEMON 2
FACE MASK LEMON 3
FACE MASK LEMON 4
FARELAX 50 MG
FARSIK INJ
FEBBRILE ANTIGEN H
FEBBRILE ANTIGEN O
FENTANYL INJ

3
PCS
PCS
PCS
PCS
PCS
BOX
AMP
PCS
ROLL
TUBE
PCS
ROLL
UNIT
POT
TUBE
ROLL
ROLL
ROLL
PACK
KIT
PCS
AMP
ML
GR
AMP
AMP
AMP
LTR
L
FLS
FLS
PCS
PCS
PCS
PCS
PAK
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
UNIT
BTL
BTL
PCS
PCS
PCS
B0X
AMP
PCS
PCS
VIAL

4
1.191
1.422
42.880
7.219
36.628
595.547
19.058
166.754
393.061
206.456
166.754
47.644
2.183.672
552.235
714.656
32.485
75.754
74.117
10.005.188
1.032.281
7.219
141.702
698.775
1.851.754
25.410
3.490
3.169
285.863
1.667.531
15.881
1.598.449
47.644
47.644
47.644
68.925
34.939
34.939
47.644
59.555
59.555
59.555
59.555
59.555
59.555
238.219
157.225
2.191.347
71.466
71.466
71.466
516.141
8.735
221.544
221.544
56.495
VII - 26

1
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326

2
FILM DENTAL (GIGI)
FILM RO UK 24X30
FILM RO UK 30X40
FILM RO UK 35X35
FIST AID 1 LTR
FIST AID GALON
FIXOMUL 10 CM
FIXOMUL 5 X 5 CM
FIXOMUL TRANSPARAM
FIXOPORE 0.5 X 10 CM
FLUID PACK
FOCUS HBSAG DEVICE
FOCUS TYPHY H
FOCUS TYPHY O
FOLLYCATETER 14
FOLLYCATETER 22
FOLLYCATETER NO 10
FOLLYCATETER NO 8
FOLLYCATHETER 16
FOLLYCATHETER 20
FOLLYCATHETER 24
FOLYCATETER 20
FOLYCATHETER 18
FORANE 250 ML
FORMALIN CAIR/LITER
FORMALIN LIQUID PA
FORMALIN TABLET
FORTRES ANTI A MOCLONAL
FORTRES ANTI B MOCLONAL
FORTRES TYPHI H
FORTRES TYPHY 0
FORTRESS ANTI AB MONOCLON
FORTRESS ANTI D BLEND
FUJI IX ART MINIPARK
GAAS VERBAND 40 X 80 CM
GAMMA GT CAT 86
GELAS UKUR 100 ML (PYREX)
GENTAMICIN CR
GENTAMICIN INJ
GENTIAN VIOLET
GIGASEFT AF
GIGAZYME 2 LTR
GLICERIN CAIR
GLUCOSE PAP PENTRA 400 RN
GLYSERIN 87%
GOM POWDER
GYPSONA SPLINT 3 INCHI
GYPSONA SPLINT 4 INCHI
GYPSONA SPLINT 5 INCHI
H202 3%
H202 50%
HALLOGEN LAMP
HALOTHANE 250 ML
HANS SCRAB/ONE SCRAB
HBSAG CARD 40 TEST/BOX

3
BOX
BOX
BOX
BOX
BTL
GLN
ROLL
ROLL
ROLL
ROLL
FLS
FLS
VIAL
VIAL
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
FLS
LTR
LIT
TAB
VIAL
VIAL
VIAL
VIAL
VIAL
KIT
PAK
ROLL
KIT
PCS
TUBE
AMP
BTL
BTL
BTL
LTR
KIT
LTR
KG
ROLL
ROLL
ROLL
LTR
LTR
PCS
FLS
BTL
BOX

4
921.113
1.339.981
2.183.672
2.282.136
335.269
1.371.563
168.341
98.464
113.075
9.715
5.717.250
1.692.941
368.445
368.445
26.205
26.205
26.205
26.205
26.710
12.229
29.381
29.381
12.229
2.376.232
79.406
55.585
1.906
185.811
185.811
218.367
218.367
203.280
239.807
1.429.313
150.935
9.020.550
182.635
4.765
3.490
6.353
2.167.791
754.360
71.466
3.045.230
5.486.972
277.922
1.733.567
2.163.026
2.855.195
63.525
95.288
1.008.460
1.826.344
138.961
952.875
VII - 27

1
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381

2
HBSAG CASSETTE
HCL PEKAT(PROANALISA)PA
HDL CHOL PRECIP 4X80ML
HEMADILUEN 20L
HEMATHOXILIN
HEMOCLEAN
HEMOCLEAN
HEMODIALISA SET NIPRO
HEMOLOX 100 ML
HG PURE/AIR RAKSA
HIPAVIX 5 X 10
HOLLOW FD 110 T
HOLLOW FD 130 T
HYDREX 5000 CC
HYDREX/HIBISCRUB 500 CC
HYPAFIX 5 X 5 CM
HYPAVIX 15X 5
IKADRIL/ DELADRIL
IKAMICETIN SK
IKAMICETIN SM
INDO STYLET 2.2 MM
INDO STYLET 3.3 MM
INDO STYLET 4.3 MM
INFUSET VS 10
INFUSION SET
INPITEK/MISOPROSTOL
INSTANSWER HBSAG STRIP
INSTASWER DENGUE 1GC/1GM
INVICLOT INJ/HEPARIN
IODOFORM
IODOSORB POWDER 1 SACHET
IR EDTA
IR HCL 0.1N
IR NONNE
IR PANDI
IR RETIKOLOSIT NMB
ISE CLEANING SOL
ISOFLUORANE 250 ML
IV CANULA 22
IV CANULA 24
IV CANULA 26
IV CATHETER NO 18
IV CATHETER NO 22
IV FLOW REGULATOR
IV TROGE 20
JARUM HECTING NO 18 C
JARUM HECTING NO 18 T
JARUM HECTING NO 21 C
JARUM HECTING NO 21 T
JARUM HECTING NO 24 C
JARUM HECTING NO 24 T
JARUM HECTING NO 28 C
JARUM HECTING NO 28 T
JARUM HECTING NO 32 C
JARUM HECTING NO 32 T

3
PCS
LIT
PAK
GLN
GR
GLN
GLN
PKT
FLS
FLS
ROLL
PCS
PCS
GLN
FLS
ROLL
ROLL
AMP
TUBE
TUBE
PCS
PCS
PCS
PCS
PCS
AMP
BOX
BOX
AMP
GLN
PCS
BTL
BTL
BTL
BTL
FLS
FLS
FLS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS

4
1.015.606
520.905
1.134.398
2.572.763
3.512.933
571.725
2.223.375
316.713
95.288
81.211
173.042
179.579
179.579
1.461.075
182.635
98.464
245.330
10.324
8.735
5.559
119.110
119.110
119.110
60.984
5.002
13.716
500.260
1.222.856
90.524
341.447
87.347
1.111.688
109.581
443.087
158.813
1.248.266
1.032.281
2.541.000
15.881
11.117
19.852
19.852
21.837
39.704
11.117
174.694
158.813
174.694
158.813
174.694
158.813
174.694
158.813
174.694
158.813
VII - 28

1
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436

2
JARUM HECTING NO 36 C
JARUM HECTING NO 40 C
JARUM HECTING NO 40 T
JEJJLY TEN 20
JELCO 18
JELCO 20
JELCO 22
JELCO 24
JELCO 26
KAEN 3A
KAEN 4A
KAEN 4B
KALTROFEN INJ
KAPAS 1 KG
KAPAS LEMAK 1000 GR
KAPAS PUTIH 250 GR
KASA KOMPRES 40x40
KASA TAMPON 6 X 9
KASA TAMPON GOLD (5x10)
KASA TAMPON SILVER (5x6.5
KERTAS AUTOCLAV
KERTAS CTG
KERTAS ECG 80X90X280
KERTAS ECG (ECG1103)
KERTAS EKG
KERTAS EKG 63 MMX 30 M
KERTAS EKG 63X100X300
KERTAS LENSA
KERTAS SARING
KERTAS SPIROMETRI
KETAMIN HAMELIN 500
KETOROLAC INJ
KODAK DEV REFL 40L
KODAK LO FIX / REFL 40L
KTM INJ
KY JELLY 82 GR
LASIK INJ
LEUCOPLAS 2 X 5 HP
LEUKOFIK 1/2 X 10 CM
LEUKOMED N
LEUKOPLAS 5CM X 4.5 M
LIDOCAIN INJ 2%
LIDODEX INJ 100 MG
LINA PEN SINGLE
LINA PEN/KABEL CAUTER
LIPURO
LITHIUM CARBONATE
LMA 1.0
LMA 1.5
LMA 2.0
LMA 2.5
LMA 3.0
LMA 4.0
LYSER WH 500 MIL
LYSOL CAIR

3
PCS
PCS
PCS
BOX
PCS
PCS
PCS
PCS
PCS
FLS
FLS
FLS
AMP
KG
BKS
BKS
PCS
PCS
PCS
PCS
ROLL
PAK
PAK
ROL
ROLL
ROLL
PAK
PCS
PCS
ROLL
VIAL
AMP
BOX
BOX
VIAL
TUBE
AMP
ROLL
ROLL
PCS
ROLL
AMP
AMP
PCS
PCS
BOX
GR
PCS
PCS
PCS
PCS
PCS
PCS
BTL
LTR

4
174.694
174.694
174.694
1.898.604
19.852
19.852
11.911
19.852
19.852
22.381
22.381
22.546
30.175
79.406
103.229
17.470
1.525
1.397.550
11.594
7.512
274.313
532.022
1.429.313
63.525
103.229
71.466
238.219
31.763
31.763
174.694
333.506
13.102
1.118.040
762.300
241.395
79.406
12.099
45.285
25.486
5.406
50.026
1.112
79.406
190.575
119.110
619.369
2.552.117
317.625
317.625
317.625
317.625
317.625
317.625
1.746.938
15.881
VII - 29

1
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491

2
MAGN SULFATE 20 %
MAGN SULFATE 40 %
MARIENFELD TRAY+HANDLE
MARKAIN INJ 5% 4 ML
MASKER DISP 3 PLAY
MASKER FLU BURUNG
MATA BOR
MAYO NO 4
MAYO NO 5
MAYO VINIL GREEN 6
MAYO VINIL GREEN 7
MAYO VINIL GREEN 8
MAYO VINIL GREEN 9
MERCK EXSTRAN ALKALIS
MERCK PEWARNA GRAM 500 ML
MERK EDTA POWDER 250
MERK EXTRAN NEUTRAL 2.5L
MERK GIEMSA 100 ML
MERK TITRILEX III 100 G
MEYLON 25 MG INJ
MICRO DRIP ANAK
MICRO DRIP BURET
MICRODRIP ANAK
MICROPORE
MICROPORE 1/2 X 10 CM
MICROZID AF 5L
MIDAZOLAM HAMALN
MIKROZID LIQUID 1 LTR
MILOZ 15 MG INJ
MILOZ INJ ASKES
MINOSCRUB 1000 ML
MINOSCRUB 5000 ML
MINYAK TELON
MOUT FILTR ISI 20 ROL
MOUTH PALE
MULTICAL /LAB
N CONTROL
N.EPI
N20 25 KG
NA CL 0.86% LAB
NACL
NACL 100
NACL 1000 ML
NASAL CANUL HUDSON
NASAL MASKER ANAK
NASAL MASKER DEWASA
NASAL O2 ANAK
NASAL O2 DEWASA
NASAL OXIGEN ANAK
NEEDLE 23 G
NEEDLE 25 G
NEEDLE 26
NEEDLE 27 G
NEEDLE LANCET @200
NELATON CATETER

3
AMP
AMP
SET
AMP
BOX
PCS
SET
PCS
PCS
PCS
PCS
PCS
PCS
BTL
SET
KIT
FLS
FLS
BTL
AMP
PCS
PCS
PCS
ROLL
ROLL
FLS
BOX
LTR
AMP
BOX
GLN
GLN
FLS
BOX
DUS
VIAL
VIAL
BOX
TBNG
BTL
BTL
FLS
FLS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
BOX
PCS

4
4.650
5.362
516.141
4.020
79.406
63.525
245.438
35.734
35.734
38.711
139.358
139.358
38.711
2.410.774
5.709.310
2.106.649
1.849.372
1.130.745
1.770.760
11.906
5.717
109.937
7.783
21.114
23.029
1.500.779
333.506
342.718
317.625
122.719
317.625
1.572.244
23.822
3.335.063
714.656
741.655
3.616.161
595.547
3.970.313
90.841
11.997
15.881
15.406
24.108
52.091
50.344
23.822
23.822
42.880
889
953
1.032
1.032
333.506
23.822
VII - 30

1
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546

2
NEO K INJ
NEOSTIGMIN INJ
NIHON KOHDEN SKIN
NOCOBA
NORCURON INJ
NOTRICUM 50 MG INJ
NUPREP 114 GR
OBJECK GLASS
OCTANICEPT 500 ML
OCTANISEPT 50 ML
OK PLAST PLASTIC BANDAGES
OM HCG PREGANACY STRIP
OM TORNIQUET
OMIPAQUE 300 MG/ML
ONE CRAB 500 ML
OPSITE 45 X 28
OPSITE POST OP 15.5X8.5
OPSITE POST OP 20 X 10
OPSITE POST OP 25 X 10
OPSITE POST OP 9.5 X 8.5
OTOPAIN TTS TELINGA
OTSUCATH 18
OTSUCATH 20G
OTSUCATH 22
OTSUCATH 24
OXIGEN 1,5 M3 KECIL
OXIGEN 6 M3 BESAR
OXITOCIN INJ
PANTOCAIN 2 % 5 ML
PAPANICOLAU EA 50
PAPANICOLAU HARRIS
PAPANICOLAU OG 6
PAPAVERIN 2% INJ
PAPER ECG PERSEGI 4
PARACHECK HIGH
PARACHECK LOW
PARACHECK NORMAL
PARAPIN BLOK
PD PORE 1.25 CM X 10
PD SCRUB 5000 ML
PD SCRUB ANTISEPTIK
PEHACAIN INJ
PEMERIKSAAN R 8 PARAMETER
PENENG BAYI BIASA
PENENG BAYI BLUE
PENENG BAYI PINK
PENENG IBU BIRU
PENENG IBU PINK
PERACIDIN 5 L
PHENTOTAL 0.5 GR
PHETIDIN INJ
PHLOXIN
PIPET TETES
PISAU MICROTOME PA
PISAU NO 11

3
AMP
AMP
PCS
BOX
AMP
AMP
TUBE
PCS
BTL
MLTR
BOX
BOX
PCS
FLS
BTL
PCS
PCS
PCS
PCS
PCS
FLS
PCS
PCS
PCS
PCS
TBNG
TBNG
AMP
PCS
MIL
ML
MIL
AMP
PAK
VIAL
VIAL
VIAL
KG
ROLL
GLN
GLN
AMP
TEST
PCS
PCS
PCS
PCS
PCS
GLN
AMP
AMP
GR
PCS
BUAH
PCS

4
16.676
20.615
920.391
555.844
61.144
87.347
714.656
43.674
667.013
218.367
39.704
178.665
57.173
397.031
148.490
150.079
34.939
40.021
46.056
26.205
47.644
19.852
11.117
11.117
11.117
57.750
101.063
4.631
21.043
1.071.985
1.422.960
1.465.840
1.747
242.507
1.429.313
1.429.313
1.429.313
107.199
9.926
1.461.075
1.458.534
4.494
7.436
1.483
2.859
2.859
2.859
2.859
5.031.180
90.524
193.915
3.755.916
3.971
2.541.000
4.765
VII - 31

1
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601

2
PISAU NO 15
PISAU NO 20
PISAU NO 23
PISAU OPERASI NO.11-23
PITOGIN
PLASMANAX
PLOXIN B PA
POLI AID 1000 ML
POLI AID 5000 ML
POLIFIX 10 X 5 CM
POLINET 4 X 10 CM
POLINET 6 X 10 CM
POLINET 8
POLYHESIF
POLYVAC SET 600ML 12 PG
POT PLASTIK 100 CC
POT PLASTIK 20 CC
POT PLASTIK 30 CC
POT PLASTIK 50 CC
POT URINE 75 CC
POVIDON ON MED
PRECI CONTROL MULTI 1
PRESOFOL 1 %
PRESURE PART SEL
PRIMACEP
PRIMASEPT 1 LTR
PROCAIN PENICILLIN INJ
PRONALGES INJ
PRONALGES SUPPO
PROPOFOL 1%
PROSTIGMIN INJ
PUTREX
QUELESIN 10 MG INJ
QUICK SMART
RAK LED MAKRO ORANGE GUT
RAK TABUNG REAKSI 50 HOL
RANITIDIN INJ
REAGENT ELECTROLYTE A
REAGENT ELECTROLYTE ACTIV
REAGENT ELECTROLYTE B
REAGENT ELECTROLYTE DEPRO
RECOFOL 10MG/ML
RECOFOL INJ 20 ML
RECORDINGPAPER FOR ECG 10
REGIVEL 4 ML
REM POLYHESVI 11
RESERVOIR BAG 1L FLEXI
RESERVOIR BAG 2L FLEXI
RESERVOIR BAG 3L FLEXI
RESORBA 2/0
RING LACTAT
RIVANOL
RN CKMB 20 X 3 ML
RNI CHOLESTEROL
RNI CKMB

3
PCS
PCS
PCS
PCS
AMP
FLS
FLS
BTL
GLN
ROLL
BOX
BOX
BOX
PCS
BOX
BUAH
BUAH
BUAH
BUAH
PCS
BTL
VIAL
BOX
POT
GLN
LTR
VIAL
AMP
SUP
BOX
BOX
BTL
VIAL
PCS
UNIT
PCS
AMP
BTL
BTL
BTL
BTL
AMP
AMP
ROL
AMP
UNIT
PCS
PCS
PCS
ROL
BTL
FLS
KIT
KIT
BOX

4
4.765
4.765
4.765
4.765
5.775
1.934.625
3.755.916
2.541
1.240.181
73.054
126.828
157.831
143.307
119.110
866
3.176
516
635
1.191
2.382
126.329
1.191.094
571.725
5.161.406
1.546.040
277.922
15.564
36.686
15.087
619.369
180.467
1.429.313
5.479.031
1.152.979
714.656
134.991
7.941
1.508.719
198.516
1.429.313
198.516
128.575
642.873
79.406
50.026
273.952
258.467
258.467
258.467
1.985.156
9.100
353.719
6.193.688
4.093.392
6.332.649
VII - 32

1
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656

2
RNI CREATININE (200ML)
RNI HDL CHOLESTEROL
RNI UREA (2X100 ML)
ROCULAX INJ 5 ML
SABUN HIJAU
SAFOL INJ
SAGESTAM CREAM
SAGESTAM TETES MATA
SANAP PACK REAGEN
SARUNG TANGAN STERIL NO 7
SARUNG TGN GYNOKOLOG
SARUNG TGN NON STERIL 7.5
SARUNG TGN NON STERIL L
SARUNG TGN NON STERIL M
SARUNG TGN NON STERIL S
SARUNG TGN STERIL 6.5
SARUNG TGN STERIL 7
SARUNG TGN STERIL 7.5
SARUNG TGN STERIL 8
SD DENGUE IgG/IGM W/B DEV
SD HIV 1/2 30 TEST
SD HIV 1/2 DEVICE 100
SEDACUM 0.1 %
SEDACUM ASKES
SEPTIKA /STRDINE1LT
SEPTODONT CAUST R
SEPTODONT CRESOPHETE 13
SEPTODONT CRESOPHETE 75
SERA ALBA
SEVOPLURANE 250 ML
SEVORANE 250 ML
SHOFU SUPER CEMENT POWDER
SIGMAFIX 10X500
SIGMAFIX 5X500
SILK 2-0 TAP
SILK 3-0
SILK APEK 2-0 CAT
SILK APEX 2-0 TAP
SILK APEX NO 2 TAP
SILK BLACK 1 HR
SILK BLACK 2/0 DS
SILK BLACK 2/0 HR
SILK BLACK 2/0 ROLL
SILK BLACK 3/0 HR
SILK BLACK NO 0 ROLL
SILK BLACK NO 1 ROLL
SILK BLACK NO 2 ROLL
SILK BLACK NO 3 ROLL
SILK BLACK NO 3/0 ROLL
SILK BLACK NO 4/0 ROLL
SILK BLACK NO 5/0 ROLL
SILK N0 2/0 CATING
SILK N0 3/0 TAP
SILK NO 3/0 BOX CAT
SILK NO 2/0 BOX TAPER

3
KIT
KIT
KIT
BOX
BUAH
BOX
TUBE
TUBE
BOX
PCS
PSNG
PCS
PCS
PCS
PCS
PSNG
PSNG
PSNG
PSNG
BOX
BOX
PCS
AMP
FLS
LTR
BUAH
BUAH
BUAH
KG
BTL
FLS
BUAH
ROL
ROL
PCS
PCS
PCS
PCS
PCS
BOX
BOX
BOX
ROLL
BOX
ROLL
ROL
ROLL
ROLL
ROLL
ROLL
ROLL
box
BOX
BOX
BOX

4
1.754.879
3.906.788
1.667.531
1.548.422
5.775
635.250
15.056
39.704
6.352.500
12.308
27.157
6.135
866
866
866
6.136
6.136
6.136
6.136
3.950.461
2.834.804
5.955.469
277.922
121.301
142.931
887.040
1.032.281
784.137
444.675
3.652.688
4.064.885
1.572.244
52.409
26.205
55.585
69.878
65.114
65.114
101.640
638.426
667.013
638.426
782.628
638.426
1.041.810
889.350
877.440
809.944
778.181
778.181
1.905.750
667.013
603.488
667.013
638.426
VII - 33

1
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704
705
706
707
708
709
710
711

2
SILK NO. 1 BOX
SILK NO. 2 BOX
SILK NO. 3 BOX
SILK NO. 4/0 BOX
SILK NO.0 BOX
SILK NO.0 CATING
SILKAM 3/0 CUT
SILKAM 3/0 CUT @36
SILKAM 3/0 DS
SILKAM 3/0 HR
SILKAM 3/0 TAP
SILKAM 3/0 TAP @36
SLANG SUCTION 1M LOCAL
SNAP PACK REAGENT
SOCOREX WHITE TIP
SODALIN
SODIUM LODAT PA
SOFRATULE
SOJOROUN 250 ML
SONI PAPER UPP110HG /LAB
SONY PAPER UPP 110HG
SPINAL NEEDLE 25
SPINOCAIN
SPIROMETRI PAPERS
SR FIYED YALVE
ST REAGEN LART NACL 86%
ST RP RAPID R1 500 ML
ST RP RAPID R2 500 ML
ST RP RAPID R3 500 ML
ST STERIL AMS 6.5
ST STERIL AMS 7.0
ST STERIL AMS 7.5
ST STERIL AMS 8.0
ST STERIL T GLOVE 6.5
ST STERIL T GLOVE 7
ST STERIL T GLOVE 7.5
ST STERIL T GLOVE 8
STABIMED 1 L
STAINING JAR
STARDINE 1000 ML
STERALD 5000 ML
STERILINGE
STERILIZIME
STESOLID INJ 2 MG
STESOLID SUP 10
STESOLID SUP 5
STREPTOMYCIN INJ 1 GR
SUCTION CATHETER NO 10
SUCTION CATHETER NO 8
SUCTION CATHETET NO 12
SUCTION CONEC 2 FNL
SUCTION CONNEC
SUCTION SET NO 24
SULFAS ATROPIN INJ
SURGICAL BLADE 20

3
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
PCS
PCS
BOX
BOX
PCS
BOX
BOX
GLN
BTOL
LBR
FLS
ROLL
ROLL
PCS
PCS
ROL
PCS
BTL
BTL
BTL
BTL
PCS
PCS
PCS
PCS
PSN
PSN
PSN
PSN
BTL
BUAH
BTL
GLN
GLN
GLN
AMP
TUBE
TUBE
VIAL
PCS
PCS
PCS
PCS
PCS
PCS
AMP
PCS

4
603.488
960.816
960.816
960.816
1.034.028
960.816
2.612.783
2.612.783
72.578
85.251
2.429.704
2.429.704
269.981
5.717.250
1.230.797
952.875
2.769.690
19.610
3.573.281
476.438
476.438
79.406
36.527
238.219
19.732.454
90.841
682.894
682.894
682.894
9.529
9.529
9.529
9.529
11.911
11.911
11.911
11.911
1.270.500
288.245
224.482
603.488
978.682
1.310.204
20.646
70.751
47.168
7.306
13.500
13.500
13.500
75.595
55.585
60.349
3.669
92.400
VII - 34

1
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
763
764
765
766

2
SURGICEL NEEDLE 18
SURGICRYL 3/0 DS-24
SURGICRYL 4/0 DS-19
TABUNG LED MAKRO (100 pc)
TABUNG REAKS 12-75 MM
TABUNG URIN CENTRYFUGE
TALK
TAWAS BENING
TEN 20 CONDUTIVE
TENSOPLAST
TERRALIN 2 LTR
TERRALIN READY 500ML
TERREL 250 ML
TES NARCOBA ( M-AMP )
TES NARCOBA ( MOR )
TES NARCOBA ( THC )
TES NARCOBA (AMP)
THERMAL PAPER
THERMAL PAPER 57 MM
TKF
TOPI OPERASI WANIATA
TOPI OPRASI PRIA
TORNIQUET JET PUL
TOTAL PROTEIN
TOTAL PROTEIN 400 REAGEN
TOTAL PROTEIN CAT 91
TOTAL PROTEIN SPIN
TRACHEAL CANUL F 6
TRACHEAL CANUL F 7
TRACHEAL CANUL F 7.5
TRACRIUM INJ 5 ML 5/BOX
TRAMUS 1% 5 ML
TRANSDUCER NO 8ASSY(WBC)
TRI WAY STOP COCK
TRIGLICERIDES 400 REAGEN
TRIKESOL FORMALIN
TRWAY STOPCOCK BLUE
UDARA TEKAN
ULTRAFIX 10CM X 5 M
ULTRASONIC 250 MG
ULTRASONIC 5000 ML
UMBILICAL
UMBILICAL COSA
UNDER VAD AIR
UREA ACID
URIC ACID PTRA 400 REAGEN
URINE BAG
URISCANT
VACUM MICROTUBE EDTA0.5ML
VACUM PART SET
VACUM TUBE K3 EDTA3 ML
VASCON INJ
VASELIN
VASELIN PUTIH
VENOSET /CE15.00

3
PCS
BOX
BOX
BOX
KIT
PCS
KG
KG
BOX
BUAH
BTL
BTL
FLS
PCS
PCB
PCS
PCS
ROLL
ROLL
UNT
BOX
BOX
PCS
KIT
KIT
KIT
FLS
PCS
PCS
PCS
BOX
BOX
PCS
PCS
KIT
BTL
PCS
BTL
ROOL
FLS
GLN
PCS
PCS
PCS
KIT
KIT
PCS
TUBE
BOX
PCS
BOX
VIAL
KG
KG
PCS

4
92.400
1.397.550
1.349.906
4.049.719
11.911
14.611
15.881
31.763
3.573.281
601
2.271.019
150.872
2.064.563
25.410
25.410
25.410
25.410
26.205
55.585
238.219
95.288
103.229
357.329
2.223.375
565.373
4.303.819
4.303.819
1.528.571
1.528.571
1.528.571
551.080
555.844
21.836.719
103.229
3.045.230
87.347
20.646
288.750
122.214
47.644
2.858.625
2.859
4.765
7.147
2.271.019
2.271.019
10.641
873.469
212.809
5.161.406
341.447
127.050
165.085
95.288
29.381
VII - 35

1
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
787
788
789
790
791
792
793
794
795

2
VENTISEAL REIN ETT 6.5
VENTISEAL REIN ETT 7
VENTISEAL REIN ETT 7.5
VENTISORB 4.5 FLEXICARE
VERBAN 4 X 7,5
VERBAND 4 X 10 CM
VERBAND 4 X 15 CM
VIDENE 500 ML
VIT B I INJ
VITAMIN B COMPLEX INJ
VITAMIN B12 10 ML INJ
VITAMIN B6 INJ
VITAMIN C INJ
VITAMIN K INJ
VS - 10
VS - 50
WING NEDDLE NO 25
WING NEEDLE 27
WINGNEDDLE NO.23
XEVOLAC
X-TRAGENE 500 CC
X-TRAGENE 5000 CC
XYLENE
XYLOL( PA )
XYLONOR INJ
XYLONOR SPRAY
YELLOW TIP
YEONGDONG URISCAN GEN 11
ZINC PHOSPAT

3
PCS
PCS
PCS
PCS
PCS
ROLL
ROLL
BTL
AMP
AMP
AMP
AMP
AMP
AMP
PCS
PCS
PCS
PCS
PCS
BOX
GLN
GLN
L
LTR
BOX
BOX
BAG
TUBE
BUAH

4
285.863
285.863
285.863
674.954
2.969
3.176
3.573
174.694
2.455
1.747
11.117
5.717
1.906
2.466
67.082
69.878
19.852
7.932
19.357
257.276
120.698
1.152.979
898.879
960.816
301.744
1.413.431
476.438
881.410
714.656

IV. OBAT DAN BHP UMUM


NO

NAMA OBAT

1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

2
1 CC DISPOSIBLE SYR
10 CC DISP
2 MO
20 CC DISPOSIBLE SYR
3 CC DISP
5 CC DISPO
50 CC DISP SYR(L.PINGGIR)
50 CC DISP SYR(L.TENGAH)
ABBOCATH 26
ABBOCATH N0.16
ABBOCATH N0.18
ABBOCATH N0.20
ABBOCATH N0.22 T
ABBOCATH N0.24
AB-VASK 5 TAB
ACETENSA
ACETOSAL 10 TAB
ACID SALICYL POWDER
ACRAN 150 TAB
ACRAN INJ

SATUAN
3
PCS
PCS
FLS
PCS
PCS
PCS
UNIT
PCS
PCS
PCS
PCS
PCS
PCS
PCS
TAB
TAB
TAB
GRAM
TAB
AMP

HARGA
SATUAN (Rp.)
4
1.500
1.859
42.880
10.973
1.191
1.422
45.479
47.644
39.306
34.939
28.586
28.586
28.586
28.586
12.705
13.500
93
287
6.210
25.775

VII - 36

1
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75

2
ACTACEF I GR
ACTAL
ACTAPIN 10 TAB
ACTAPIN 5 TAB
ACTAZOLAM O,5 TAB
ACTRAPID NOVOLET
ACUATIM CR
ACYCLOVIR 200 TAB
ACYCLOVIR 400MG TAB
ACYCLOVIR CREAM
ADALAT OROS 30
ADONA AC-17 INJ 5 ML
ADONA TAB
AERIUS TAB
AERRANE 250 ML
AGRAVAN TAB
AGULAN TAB
AIRWAYS 100 MM
AIRWAYS 80MM
AIRWAYS 90MM
AKILEN 200
AKILEN 400
AKRINOR TAB
ALBOTYL 100 CC
ALBUMIN 20 % inf 100 ml
ALBUMIN 20 % INF ASKES
ALBUVIT ED
ALCO PLUS DROP
ALCO PLUS SYR
ALDAZIDE
ALDISA SR CAP
ALEGYSAL ED
ALGANAX 0,5 TAB
ALGANAX 0.25 TAB
ALINAMIN F 10 MG INJ
ALINAMIN F TAB
ALLOPURINOL 100 MG TAB
ALLORIS SYR
ALLORIS TAB
ALPENTIN 300 TAB
ALPRAZOLAM 0.25
ALPRAZOLAM 0.5
ALTOFEN INJ
ALUPENT 20 mg TAB
ALUPENT SWING
AMARYL 2 MG TAB
AMBACIM 500 MG TAB
AMBACIM INJ
AMBROXOL SIR
AMBROXOL TAB
AMCOR 5MG TAB
AMDIXAL 10 TAB
AMDIXAL 5MG
AMINOFLUID 500 ML INF
AMINOFLUID INF IL

3
VIAL
TAB
TAB
TAB
TAB
AMP
TUBE
TAB
TAB
TUBE
TAB
AMPU
TAB
TAB
FLS
TAB
TAB
PCS
PCS
PCS
TAB
TAB
TAB
FLS
FLS
FLS
FLS
FLS
FLS
TAB
CAP
FLS
TAB
TAB
AMPU
TAB
TABL
FLS
TAB
TAB
TAB
TAB
AMP
TAB
PCS
TABL
CAPL
VIAL
FLS
TAB
TAB
TAB
TAB
FLS
FLS

4
381.150
532
6.194
3.336
844
208.934
113.551
578
824
5.090
10.240
20.201
3.018
9.533
2.223.375
7.941
11.117
31.763
31.763
31.763
10.133
19.773
7.401
341.447
2.421.891
1.299.375
16.160
53.202
35.734
3.502
5.336
65.114
2.541
1.667
17.013
1.203
239
66.701
6.083
4.331
699
844
32.310
4.161
168.183
6.350
26.045
92.540
4.760
181
1.468
11.911
6.671
116.944
166.754
VII - 37

1
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130

2
AMINOFUSIN PAED INF
AMINOFUSIN HEPAR
AMINOLEBAN
AMINOPHILIN INJ 24 MG
AMINOPHILIN TAB
AMINORAL TAB
AMINOSTERIL 6% INF
AMINOVEL 600 LABU
AMIPAREN 10 MG
AMITRIPHILIN HCL 25 MG
AMLODIPIN 10 TAB
AMLODIPINE 5 TAB
AMOXAN 250 MG TAB
AMOXAN 500 MG KAPS
AMOXAN DROPS
AMOXAN INJ 1 GR
AMOXICILIN 250MG SYR
AMOXICILLIN 1 GR INJ
AMOXICILLIN 125 MG SYR
AMOXICILLIN 250 MG
AMOXICILLIN 500 MG TB
AMOXSAN F SYR
AMOXSAN SYR
AMPICILLIN 1 GR INJ
AMPICILLIN 125 MG SIROP
AMPICILLIN 500MG TAB
ANADEX KAP
ANADEX SYR
ANALSIK
ANEMOLAT /FOLIC ACID
ANGIOTEN 50 TAB
ANTALGIN 500 MG
ANTALGIN INJ 2 ML
ANTASIDA DOEN @1 TAB
ANTASIDA DOEN SYR
ANTIHAEMOROID SUPP
APIALYS DROPS
APIALYS SYR
APTOR TAB
ARCALION 200 TAB
ARDIUM TAB
ARICEPT TAB
ARIXTRA 2.5MG INJ
ARKINE TAB
ARM -SLING
ARM SLING NO L
ARM SLING NO M
ARM SLING NO S
ARTIFLEX 3 INC
ARTIFLEX 4INCH
ARTIFLEX 6INCH
ARTRODAR CAP
AS TRANEKASAMAT 500 TAB
AS TRAXENAMAT 500 INJ
ASABIUM

3
FLS
FLS
BTL
AMPU
TABL
TAB
FLS
LABU
BTL
TAB
TAB
TAB
TAB
TABL
FLS
VIAL
FLS
VIAL
FLS
TAB
TABL
FLS
FLS
VIAL
FLS
TAB
KAPL
FLS
KAPL
TAB
TAB
TAB
AMP
TABL
FLS
SUPP
FLS
FLS
TAB
TAB
TAB
TAB
AMP
TAB
BUAH
PCS
PCS
PCS
ROL
ROL
CAP
TAB
AMP
TAB

4
107.993
241.395
217.834
7.953
145
7.941
87.347
78.126
131.313
173
2.540
1.471
2.174
4.453
30.539
30.538
10.324
11.911
5.343
326
715
43.554
30.539
8.230
4.505
917
1.309
18.264
1.525
295
15.087
161
655
130
3.816
2.293
39.704
34.939
477
6.829
12.007
39.375
499.688
635
86.625
119.110
119.030
118.951
19.058
23.822
35.257
10.756
1.084
8.338
2.224
VII - 38

1
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185

2
ASAM MEF. 500 MG
ASAM TRANEKSAMAT INJ 250
ASEDAS SYR
ASERING INFUS
ASPAR K 300 MG
ASPILET TAB
ASTHIN FORCE
ASTIKA TAB
ATARAX 0,5
ATORSAN 10 TAB
ATORSAN 20 TAB
ATORVASTATIN 20MG
ATP DANKOS
ATRACURIUM HAMELN 50
ATRAUCAN
ATROVENT SOL INH
ATS 1500 IU
ATS 1500 PLUS DISP 1CC
ATS 20000 IU
AVITER SACH
BACBUTINH FORTE
BACTESYN 0.75 INJ
BACTESYN 1500MGINJ
BACTESYN 375 TAB
BACTIROM INJ
BACTRAZ INJ
BAQUINOR 500 MG TAB
BAQUINOR EYE DROPS
BAQUINOR INFUS
BARITOP INJ
BARZEPIN 300 TAB
BD MICRO FINE
BD NEOFLON 26
BECOM - ZET CAPL
BECOM C
BECOMBION SYR
BEDAK SALICYL
BELLAPHEEN TAB
BEROTEC INH
BERRY VISION
BERSOL CREAM 15 GR
BETA C-E KAPSUL
BETAGENTAM ED
BETAHISTIN MESILAT 6MG
BETASIN CRM 10GR
BEVITA SYR
BEVIZIL
BIFOTIK INJ
BIO ATP TAB
BIO PLACENTON 15 MG
BIOACNE 10 G CR
BIOCARE 3 INC
BIOCARE 4 INC
BIOCARE 6 INC
BIOCEF INJ

3
TABL
AMP
FLS
FLA
TABL
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
AMP
PCS
FLS
AMPU
VIAL
VIAL
SACH
TAB
VIAL
VIAL
TAB
VIAL
VIAL
TAB
FLS
FLS
VIAL
TAB
PCS
PCS
TAB
TAB
FLS
POT
TAB
FLS
TAB
TUBE
KAP
BTL
TAB
TUB
FLS
TAB
VIAL
TAB
TUBE
TUB
ROLL
ROLL
ROLL
VIAL

4
198
4.631
41.291
19.512
2.423
401
8.735
188
2.065
15.881
19.058
6.353
1.874
82.583
155.636
150.554
164.124
70.600
872.993
19.058
2.343
119.110
198.516
21.705
376.926
238.219
17.255
42.760
287.316
397.031
10.324
1.747
49.629
2.287
8.576
23.901
1.589
2.065
168.183
3.891
45.262
1.747
67.988
1.335
36.527
35.734
1.794
222.854
3.402
17.311
23.060
20.963
29.777
38.512
166.754
VII - 39

1
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240

2
BIOCEPIME INJ
BIOFIX 10MX6CM
BIOFIX 10X4 CM
BIOLINCOM 500
BIOLINCOM SYR
BIONEMI TAB
BIOPAD 3 INC
BIOPAD 4 INC
BIOPLACENTON TULL
BIOQUINONE TAB
BIORAZON INJ
BIOSANBE TABLET
BIOSTRUM SYR
BIOTHICOL 500
BIOTHICOL F SYR
BIOTHICOL SYR
BIOXON INJ
BIOZIM INJ
BISOLVON INJ
BISOPROLOL 5MG
BLECIDEX EAR DROP
BLOOD SET INF
BLUE MONOLON 3-0
BLUE MONOLON 4-0
BONESCO CAPS
BONGROS 5CC
BOTOL 15 ML
BOTOL 500 ML
BOTOL 60 CC
BRAINACT 250 INJ
BRAINACT 500 INJ
BRAINACT 500 tab
BRAINACT O-DIS TAB
BRAXIDIN TAB
BRICASMA RESPULES 2.5 ML
BRICASMA SYR
BRILON 3-0 CUTING
BRILON 4-0 cuting
BRILON 5-0 cuting
BROADCED INJ 1GR
BRONCHOPRONT 100 SYR
BROSPEC INJ
BUFECT F SYR
BUFECT SYR
BUPIVACAINE INJ
BURNAZIN CREAM 35 g
C.ASTENOF ED
C.ASTHENOF MINIDOS
C.AUGENTONIC 15CC ED
C.AUGENTONIC 5CC
C.AUGENTONIC MINIDOS
C.BERRY TAB
C.CARPIN 1% ED
C.CARPIN 2% ED
C.CATARLENT 5 ML ED

3
VIAL
METR
METR
CAP
FLS
TAB
ROLL
ROLL
PCS
TAB
VIAL
KAP
FLS
CAP
FLS
FLS
VIAL
VIAL
AMP
TAB
FLS
PCS
BUAH
BUAH
CAPS
FLS
BTL
FLS
BTL
AMP
VIAL
TAB
TAB
TABE
FLS
FLS
PCS
PCS
PCS
VIAL
FLS
VIAL
FLS
FLS
AMP
TUBE
FLS
STP
FLS
FLS
TUBE
TAB
FLS
FLS
FLS

4
349.388
9.609
6.829
5.956
66.701
1.589
19.852
23.822
22.512
8.576
182.635
1.279
57.173
4.709
71.466
25.887
246.160
254.100
48.153
3.715
51.932
36.527
71.466
76.230
4.367
3.176.250
1.309
7.941
1.430
51.455
88.618
16.410
17.126
1.049
10.922
58.681
63.525
47.644
44.468
261.247
69.878
198.516
26.522
17.906
31.763
55.028
25.608
25.013
42.086
30.572
5.529
5.002
24.616
30.175
41.053
VII - 40

1
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295

2
C.CATARLENT ED 15 ML
C.CATARLENT MINIDOS
C.CENDRID ED
C.CENFRESH MDS
C.CETAMID 5ML ED
C.CONVER 15CC
C.CORTIHIST ED
C.CORTIHIST MND ED
C.EFRISEL 10 % ED
C.EYEFRESH MDS
C.FENICOL 0,25% ED
C.FENICOL 0.5% ED
C.FENICOL SALEP
C.FLOURESCEIN 2% ED
C.FLOXA MND ED
C.HERVIS SM
C.HYALUB MND ED
C.L F X MND ED
C.LUBRICEN GEL
C.LYTEERS ED
C.LYTER MND ED
C.MYCETIN SM
C.MYCOS ED
C.MYCOS SM
C.MYDRIATIL 1% ED
C.NONCORT MDS
C.PANTOCAIN 2% ED
C.POLYDEX ED
C.POLYNEL ED
C.TIMOL 0.25% ED
C.TIMOL 0.50%
C.TOBRO ED
C.TOBRO MDS
C.TOBROSAN EO
C.TOBROSON ED
C.TOBROSON MDS
C.TROPIN ED
C.ULCORI MND
C.VASACON A ED 15CC
C.VASACON A MND ED
C.VASACON ED 15CC
C.VASACON MD
C.VERNACEL MND ED
C.VITAL TAB
C.VITROLENTA MDS
C.XITROL ED
C.XITROL MNDS
C.XITROL SM
CA.GLUKONAS
CAIRAN 1;4 SANBE
CAIRAN 2A INF
CAIRAN 4:1
CAL 95
CALCIDIN SYR
CALCIDIN TAB

3
FLS
TUBE
FLS
TUBE
FLS
FLS
PCS
STRP
FLS
STP
FLS
FLS
TUBE
FLS
STRP
FLS
STRP
STRP
TUB
FLS
STRP
FLS
FLS
TUBE
FLS
TUBE
FLS
FLS
FLS
FLS
FLS
FLS
TUBE
FLS
FLS
PCS
FLS
TUBE
FLS
STRP
FLS
STRP
STRP
TAB
STRP
FLS
TUBE
TUBE
AMPU
FLS
FLS
FLS
TAB
FLS
TAB

4
37.321
5.103
24.021
5.599
17.867
20.646
27.592
26.402
11.911
28.189
26.601
37.321
27.798
20.646
32.557
58.363
75.436
91.317
76.032
27.396
23.424
20.248
31.961
31.960
14.889
10.324
21.043
51.615
32.755
50.616
79.246
46.200
6.074
58.917
71.288
11.117
17.867
6.234
35.535
24.479
28.388
26.969
25.213
4.765
38.433
41.053
6.223
42.527
11.291
21.123
14.908
14.908
4.765
23.822
874
VII - 41

1
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350

2
CALCIUM LACTAT
CALNIC PLUS SYR
CALNIC PLUS TAB
CALNIC SYR
CALNIC TAB
CALOS
CANDERSARTAN 8 MG
CAPSUL NO 3
CAPTENSIN 12,5 MG
CAPTOPRIL 12,5 MG
CAPTOPRIL 25 MG TAB
CAR Q TAB
CARANAL
CARBAMAZEPIN 200 MG TAB
CARDIO ASPIRIN TAB
CARDIOMIN
CARDISAN 10 TAB
CARDISAN 5 TAB
CARDISMO TAB
CARTRILET TABLET
CAT GUT HR 26 3-0
CATAFLAM 25 tab
CATAFLAM FAST 50 TAB'9
CATGUT CHROMIC 2-0 TAPPER
CATGUT HR 26 2-0
CATHETER NO.28 (TORASIC)
CATHETER NO.32 (TORASIC)
CEALB 20% 100ML
CEALB 20% 50ML
CEDOCARD 10
CEDOCARD 5 MG
CEDOCARD INJ
CEFADROXIL 250 CAP
CEFADROXIL 500 MG
CEFADROXIL SYR
CEFARIN INJ
CEFAROX CAPS
CEFAROX SYR
CEFAT 500 MG
CEFAT F SYR
CEFAT SYR
CEFAZOL 1 GR INJ
CEFILA 50 CAPS
CEFILA SYR
CEFIXIME 100 @50
CEFIXIME 100 CAP
CEFIXIME SYR
CEFIZOX INJ
CEFOPERAZONE INJ
CEFORIM INJ
CEFOTAXIM 1 GR INJ @1
CEFOTAXIM INJ HEXP
CEFSPAN 100 MG CAP
CEFSPAN 200
CEFSPAN 50 MG CAP

3
TAB
FLS
TAB
FLS
TAB
TAB
TAB
CAPS
TAB
TAB
TAB
TAB
CAP
TAB
TAB
CAP
TAB
TAB
TAB
TAB
PCS
TAB
TAB
PCS
PCS
PCS
PCS
FLS
FLS
TAB
TAB
AMP
CAPS
CAP
FLS
VIAL
TAB
FLS
CAP
FLS
FLS
VIAL
CAPS
FLS
TAB
CAP
FLS
VIA
VIAL
VIAL
VIAL
VIAL
CAP
TAB
CAP

4
76
71.466
3.971
63.525
3.176
795
6.353
56
541
207
332
8.152
1.032
356
1.840
3.176
13.023
7.330
3.918
8.735
71.148
3.258
8.735
63.525
74.801
127.050
127.050
924.000
433.125
1.918
1.292
92.619
635
1.213
11.840
174.694
22.234
95.288
13.515
100.624
55.743
130.226
8.735
99.259
3.457
3.455
43.674
325.566
158.813
400.446
10.106
11.117
26.734
41.133
12.970
VII - 42

1
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405

2
CEFSPAN SYR
CEFTAZIDIME INJ
CEFTIZ IG INJ
CEFTIZOXIM I G
CEFTRIAXONE 1 GR INJ
CEFXON IG INJ
CELEBREX 100
CELEBREX 200
CELEMIN 10 INF
CELEMIN 5
CELESTAMIN 30 ML SYR
CELESTAMIN 60 ML SYR
CELLCEPT 500 TAB
CELLONA X-TRA
CENTABIO GEL
CEPEZET 100
CEPRAZ INJ 1 GR
CEPTIK CAP
CEPTIK SYR
CERADOLAN 1GR
CERADOLAN 200 MG TAB
CERCUL INJ/5
CEREMAX IV 2 DUS+I PE TUB
CERINI
CERNEVIT INJ
CEROPID INJ
CERPALST AEROFILM 150
CERPLAST 50 AEROFILM
CERPLAST BASIC 100X150
CERPLAST CAVITY 100
CETINAL 10 MG TAB
CETINAL SYR
CETIRIZIN TAB
CHLORAMEX INJ
CHLORAMPHENICOL 250 MG @1
CHLORAMPHENICOL SALEPMATA
CHLORAMPHENICOL SYR
CHLORAMPHENICOL TK
CHLORAMPHENICOL TM
CHLORETHYL SPRAY
CHOLESTAT 10MG
CHOLVASTIN TAB
CHROMIC 2/0 HR 26
CHROMIC 3/0 HR 26
CIFLON CAPL
CIMETIDIN 200 MG
CINOLON CREAM
CINOLON N CREAM
CINULA TAB
CIPROFLOXACIN 500 MG TAB
CIPROFLOXACIN INF
CITAZ 100 TAB
CITAZ 50MG
CITICHOLIN 250 INJ
CITICHOLIN 500 MG TAB

3
FLS
VIAL
VIAL
VIAL
VIAL
VIAL
CAP
CAP
FLS
FLS
FLS
FLS
TAB
ROL
TUBE
TAB
VIAL
CAP
FLS
VIAL
TABL
AMP
VIAL
TAB
VIAL
VIAL
PCS
PCS
PCS
PCS
TAB
FLS
TAB
VIAL
CAPS
TUBE
FLS
FLS
FLS
FLS
TAB
TAB
PCS
PCS
TAB
TABL
TUBE
TUB
TAB
TABL
FLS
TAB
TAB
AMP
TAB

4
119.110
48.883
230.279
158.813
12.407
254.100
10.421
18.001
122.286
111.169
36.937
36.937
31.674
30.175
16.682
555
174.694
23.504
102.435
310.195
22.530
21.653
337.477
4.455
182.635
192.164
127.050
75.436
103.229
111.169
6.882
59.555
819
8.663
334
2.482
5.775
1.444
4.331
174.694
4.182
13.182
74.801
71.148
7.543
166
20.773
22.710
6.353
588
82.294
15.818
8.735
23.822
10.588
VII - 43

1
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460

2
CITROSOL TAB
CIVELL 500
CIVELL INF
CLABAT SYR
CLACEF 1GR
CLANEKSI F SYR
CLANEKSI INJ
CLANEKSI SYR
CLANEXSI 500 CAPL
CLAVAMOX 1GR INJ
CLAVAMOX 500 TAB
CLAVAMOX SYR
CLIMADAN 150
CLIMADAN 300 CAP
CLINDAMICIN 150 CAPS
CLINDAMYCINE 300
CLINMAS 150 TAB
CLINMAS 300 TAB
CLOBAZAM 10 MG TAB
CLONIDIN TAB
CLOPIDOGREL TAB
CLOPISAN 75 TAB
CLOZARIL 25MG TAB
CO AMOXILAV 625 MG
CODEIN 10 MG
CODEIN 20 TAB
CODIPRONT CAP
CODIPRONT CUM EXP
CODIPRONT SIR
CODITAM TAB
COLERGIS SYR
COLERGIS TAB
COLISTINE 1,5UG
COLME ED
COLME SYR
COLOSTOMY BAG F5
COLSANCENTINE INJ
COLSANCETINE 250 MG CAPS
COLSANCETINE SYR
COMAFUSIN HEPAR
COMBIVENT UDV
COMBO PACK 18
COMBO PACK 20
COMBO PACK 22
COMBO PACK 24
COMBO PACK 24+SPALK
COMSIKLA 500 TAB
COMTUSI 100 ML SYR
COMTUSI 60 ML SYR
CONCOR 2.5MG TAB
CONCOR 5MG TAB
CONSTIPEN SYR
COPPER T LIMAS
CORDARONE TAB
COROLENE 3-0 C

3
TAB
TAB
FLS
BTL
VIAL
FLS
VIAL
FLS
CAPS
VIAL
TAB
FLS
CAP
CAP
caps
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
FLS
FLS
TAB
FLS
TAB
TAB
FLS
FLS
PCS
VIAL
TAB
FLS
FLS
AMP
PCS
PCS
PCS
PCS
BUAH
TAB
BTL
FLS
TAB
TAB
FLS
PCS
TAB
PCS

4
11.117
12.705
209.633
73.054
157.225
91.674
118.872
68.456
15.302
123.874
15.300
76.230
5.877
9.529
737
1.087
4.765
7.941
1.372
299
12.069
12.273
10.326
7.291
616
1.248
6.353
39.933
70.672
4.447
55.585
2.621
8.100
30.135
20.963
3.971
13.260
754
14.214
250.924
11.695
44.468
41.291
37.755
42.880
53.996
17.205
64.637
44.627
6.734
9.757
87.347
55.585
8.415
142.931
VII - 44

1
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515

2
COROLENE 4-0(20S15K) CUTT
COROLENE 5-0(20S10K)
COROLENE 6-0 (20S07D)
CORSEL TAB
CORTIDEX INJ
CORTIDEX TAB
COTRIMOXAZOLE 480 MG TB
COTRIMOXAZOLE SYR
CPG 75 TAB
CPZ 100 MG
CPZ 25 MG
CRAVIT 500 TAB
CRAVIT INF
CRAVOX 500 TAB
CRAVOX INF
CRIPSA TAB
CROM OPHTAL ED
CTM (CHLORPHENIRAMIN) 4MG
CURCUMA PLUS SYR
CURCUMA TAB LOS
CURCUMA TAB STRIP
CURLIV CAPLT
CURLIV PLUS SYR
CURLIV PLUS TAB
CURVIT SYR
CUTICELL CLASSI 10X10
CUTISORB 10X20
CUTISORB 4x6
CUTISORB SORBAT7X9
CYGEST OVULA
CYTOSTOL TAB
DACLON 2/0 DS 24MM
DACLON 3/0 EP 2
DACLON 4/0 EP1.5
DACLON 5/0
DACLON 6/0
DAFILON 2/0 DS24C
DAFILON 3-0 C DS24
DAFILON 4-0 DS19
DAFILON 5-0 DS16 C
DAKTARIN ORAL GEL
DALMADORM
DAMABEN DROP
DAMABEN SYR
DAMABEN TAB
DANSERA TABLET
DARYACEF INJ
DARYANT-TULLE
DAY-CAL
DEFLAMAT CR 100
DEFLAMAT CR 75
DEHAF TAB
DEPAKENE SYRUP
DEPAKOTE 250 TAB
DEPAKOTE ER 250MG

3
PCS
PCS
PCS
TAB
AMP
TAB
TAB
FLS
TAB
TAB
TABL
TAB
FLS
TAB
FLS
TAB
BTL
TABL
FLS
PCS
TAB
CAPT
FLS
TAB
FLS
PCS
PCS
PCS
PCS
TAB
TAB
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
TUB
TAB
FLS
FLS
TAB
TAB
VIAL
PCS
TAB
TAB
TAB
SACH
FLS
TAB
TAB

4
111.169
119.110
134.991
6.353
8.306
334
270
5.054
10.540
166
37
50.026
397.031
36.527
277.922
17.970
62.270
16
12.070
874
995
2.859
31.763
3.494
20.646
18.769
23.822
30.492
47.644
17.470
12.705
71.466
71.466
70.142
70.142
70.142
108.553
97.908
96.784
83.377
75.436
3.822
16.682
11.967
524
3.812
235.837
17.867
1.906
9.926
8.338
9.053
105.383
6.176
4.034
VII - 45

1
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570

2
DEPAKOTE ER 500MG
DERMAFILM 23
DERMALON 2-0 (1727-51)
DERMALON 3-0 <1756-41>
DERMALON 4-0 (1756-31)
DERMALON 5-0 1741
DERMANID CR
DESOLEX CR 10 G
DEXACAP 25
DEXAMETHASON TAB
DEXAMETHASONE 0,5 MG INJ
DEXAZOL TAB
DEXOCORT 0.25 CRM
DEXON 0 (9828-61)TAPPER
DEXON 1 (9864-71) CUTTING
DEXON 1 TAPPER(9836-71)
DEXON 2-0 (9618-51)CUTT
DEXON 3-0 (9618-41) CUTT
DEXON 3-0 (9819-41)TAPPER
DEXON 4-0 (9813-31) TAPP
DEXON 4-0(9612-31)CUTT
DEXON 5-0 7206
DEXON 6-0 C
DEXON 6-0 TAPP
DEXTAFEN TAB
DEXTAMIN SYR
DEXTAMIN TAB
DEXTROMETHORPHAN 60 ML SY
DEXTROP TAB 15 MG
DEXTROSE 10% INf
DEXTROSE 40 %
DEXTROSE 5 % OTSUKA
DEXTROSE 5% SANBE
DEXTROSE EUROMED
DEXYCLAV 500
DHAFIT SYR
DIABETASOL COKLAT
DIABETASOL VANILA
DIABEX 500
DIAFLON 18
DIAFLON 20
DIALAC 20 SACH
DIALON TAB
DIAZEPAM 2 MG
DIAZEPAM 5 MG TAB
DIFLOXIN INF
DIFLOXIN TAB
DIFTERI TETANUS
DIGOXIN TAB
DILANTIN CAP
DILBLOC 25 TAB
DILBLOC 6.25 TAB
DILMEN 60
DILTIAZEM 30
DIMEDAZOL INF

3
TAB
PCS
PCS
PCS
PCS
PCS
TUBE
TUB
TAB
TAB
AMP
TAB
TUBE
PCS
UNIT
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
TAB
FLS
TABL
FLS
TAB
FLS
AMP
FLS
FLS
FLS
TAB
FLS
DOS
BOX
TAB
PCS
PCS
SACH
TAB
TAB
TAB
VIAL
TAB
VIAL
TABL
CAP
TAB
TAB
TAB
TAB
FLS

4
15.131
41.291
70.672
84.965
96.955
104.131
31.445
24.616
477
123
2.570
765
30.746
120.539
112.763
129.829
100.370
100.434
115.298
97.988
113.234
112.376
204.471
214.397
1.509
34.304
2.576
4.137
61
14.864
2.977
7.670
20.352
10.324
14.214
27.792
42.880
42.880
1.486
10.799
10.799
7.147
3.502
19
49
269.981
33.351
57.173
207
5.183
10.060
3.927
1.326
376
87.347
VII - 46

1
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625

2
DISPO.ELEKTRODE
DITALIN TAB
DIUVAR INJ
DIVASK 10 TAB
DIVASK 5MG TAB
DOBUJECT 250/5ML INJ
DOBUTEL INJ
DOGMATIL
DOKSISILIN 100 MG
DOLOFENAC TAB
DOLONES CR
DOMINIC INJ
DOMPERIDONE TAB
DOPAC 200 INJ
DOPAMET 250 MG
DOXACIN CAP
DOXERGAN TAB
DPT INJ
DRAMAMINE TAB
DROXEFA 500 TAB
DULCOLAX 10 DEWASA"50
DULCOLAX 10 MG @5
DULCOLAX 10 SUPP
DULCOLAX 5 MG TAB
DULCOLAX SUPP 10 MG DWS
DULCOLAX SUPP 5 MG ANAK
DUMIN RECTAL
DUMOZOL INF
DUVADILAN TAB
EAS PRIMER
EBB 25 % (BENZIL BENZOAT)
ECOLEN 2/0 C
ECOLENE 3/0 C
ECOLENE 4/0 C
ECOLENE 5/0 C
ECOLENE 6-0
ECOSORB 1 CUTING
ECOSORB 1 TAPER
ECOSORB 2-0 TAPER
ECOSORB 3-0 CUTING
ECOSORB 4-0
ECOTRIXON INJ
EDOTIN CAP
EFLAGEN 50 TAB
ELASTIC BIDAI 3INC
ELASTIC BIDAI 4INC
ELKANA SYRUP
ELKANA TABLET
ELOX 5 GR CR
ELOX CR 10 G
ELPICEF I GR INJ
ELSAZYM FILM
ENATIN TAB
ENCEPHABOL SYR
ENGERIX B INJ

3
UNIT
TAB
AMP
TAB
TAB
AMP
VIAL
CAP
TAB
TAB
TUBE
VIAL
TAB
AMP
TABL
CAP
TAB
AMP
TAB
TAB
SUPP
SUP
SUP
TAB
SUPP
SUPP
PCS
FLS
TAB
FLS
CC
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
VIAL
TAB
TAB
ROLL
ROLL
FLS
TABL
TUBE
TUB
VIAL
TAB
TAB
FLS
DOSI

4
6.353
2.382
12.705
14.294
1.300
199.850
46.215
4.765
455
4.421
61.937
154.366
1.112
58.761
2.541
5.717
29
11.167
1.716
12.659
15.530
106.563
22.272
1.156
19.824
14.785
15.246
28.586
3.026
82.583
102
96.876
115.934
104.816
119.110
127.050
117.521
109.581
106.405
92.111
88.935
222.338
5.797
2.739
32.486
32.486
27.792
928
47.644
87.347
230.279
2.382
1.747
83.882
63.525
VII - 47

1
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680

2
ENTRASOL COKLAT
ENTRASOL MOCCA
ENTRASOL VANILA
EPEXOL SYR
EPEXOL TAB
EPIDOSIN INJ
EPREX 2000 UI
EPRINOC
ERGOMETRIN MAL TAB
ERITROMYCIN 200 MG SYR
ERITROMYCIN 250 MG
ERYMED CR 20 GR
ERYSANBE 250
ERYSANBE 500
ERYSANBE CHEW
ERYSANBE SYR
ERYTROMYCIN 500 MG
ESILGAN 2MG
ESTAZOR 250
ETASON INJ
ETHAMBUTOL 500 MG
ETHICON 6-0
ETHIFLEX 4/0
ETHIGEN INJ
ETT 2.5
ETT 3
ETT 3.5
ETT 3.5
ETT 6.5
ETT NO 3.5
ETT NO 6
ETT NO 7
ETT NO 7.5
ETT NO.2
EUPHYLIN R. MITE TAB
EUPHYLIN RETARD
EUTHYROX 100 TAB
EUTHYROX 50 TAB
EVALEN GEL 10 GR
EXCELASE-E
EXERGIN 4.5 MG TAB
EXZADE PB TAB 250 MG
EYEVIT SYR
EYEVIT TAB
FAKTU OINT
FAKTU SUPPO
FALERGI TAB
FAMOCID 20 MG TAB
FANSIDAR TAB
FARGOXIN TAB
FARMADOL INF
FARMALAT TAB 10 MG
FARMASAL TAB
FARSIK INJ
FARSIK TAB

3
SAC
SAC
SAC
FLS
TAB
AMP
PCS
TAB
TAB
FLS
CAPS
TUBE
CAP
TAB
TAB
FLS
KAPS
TAB
TAB
AMP
TABL
PCS
PCS
AMP
PCS
PCS
PCS
PCS
UNIT
PCS
PCS
UNIT
PCS
PCS
TAB
TAB
TAB
TAB
TUBE
CAP
TAB
TAB
FLS
TAB
TUBE
SUPP
TAB
TAB
TAB
TAB
FLS
TAB
TAB
AMP
TAB

4
41.291
38.115
41.291
21.162
1.032
26.205
283.481
4.367
15
12.128
648
34.145
1.747
3.288
1.953
27.204
1.589
4.573
7.941
7.941
828
52.409
52.409
4.599
119.110
34.939
47.644
68.925
84.171
84.171
34.939
34.939
34.939
34.939
1.205
2.382
1.998
1.377
59.555
2.732
5.559
51.252
55.902
4.923
103.070
9.847
2.382
4.740
10.417
350
79.406
635
555
9.529
1.271
VII - 48

1
681
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704
705
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735

2
FARSORBID INJ
FARSORBID TAB
FEBOGREL TAB
FEEDING N0.10
FEEDING N0.12
FEEDING N0.5
FEEDING N0.6
FEEDING N0.8
FEEDING N0.8 PANJANG
FEEDING NO.3,5
FEEDING NO.5 (PANJANG)
FEEDING TUBE 6 PANJANG
FENRIS SUSP
FEROFORT CAPL
FERRIPROX 500 TAB
FERRO SULFAT
FEXOFED CAP
FIBESCO CAPS
FIBRAMED 300 TAB
FIMAHES INF
FIXOMUL 5X5
FLAGYL SYR 60CC
FLAMAR 25 MG
FLAMAR 50 MG
FLAMAR ED
FLAMERGI ED
FLAMICORT INJ
FLAVIN TAB
FLEET ENEMA
FLEET PHOSPHOSODA
FLEXIMAX TAB
FLEXOR DS CAP
FLOXIGRAINF
FLUCODIN TAB
FLUCONAZOL TAB
FLUCORAL 150 TAB
FLUIMUCIL CAPS 200
FLUORICARE TAB
FLUZEP KAPLET
FM CREPE 3INC
FM CREPE 4INC
FM CREPE 6INC
FOLAC TAB
FOLAVIT 400
FOLIC ACID 1 MG
FOLLY CATH 10
FOLLY CATH 12
FOLLY CATH 14
FOLLY CATH 16
FOLLY CATH 18
FOLLY CATH 20
FOLLY CATH 22
FOLLY CATH 24
FOLLY CATH 8
FOOTHY CRM

3
VIAL
TAB
TAB
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
FLS
CAPL
TAB
TAB
KAP
CAPS
CAPS
FLS
PAK
FLS
TABL
TABL
FLS
FLS
VIAL
TAB
FLS
FLS
TAB
KAP
FLS
TAB
TAB
TAB
CAPS
TAB
TAB
PCS
ROLL
ROLL
TAB
TAB
TABL
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
TUB

4
95.288
310
17.470
20.725
15.160
25.728
20.935
25.728
23.966
25.728
23.966
20.935
18.769
2.144
41.291
64
14.294
12.705
9.529
129.432
56.379
57.761
1.032
2.199
43.221
23.029
139.755
2.668
99.576
80.360
5.559
5.242
72.188
1.059
31.763
92.111
4.447
397
1.112
57.895
70.166
100.893
953
795
50
12.265
12.265
12.265
12.268
12.265
12.265
12.265
12.265
12.265
28.586
VII - 49

1
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
763
764
765
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
787
788
789
790

2
FORANSI 10 CAPS
FORANSI 20 CAPS
FORASMA SYR
FORASMA TAB
FORBETES 500
FORBETES 850
FORDESIA TAB
FORINFEC GARGLE
FORMYCO 200 MG TAB
FORMYCO CREAM 10 GR
FORNEURO
FORRES TAB
FORUMEN TK
FOSMICIN 2 GR INJ
FOSULAR INJ
FOTARAM INJ I GR
FREGO 10 MG TAB
FREGO 5
FRESUBIN VANILA
FRIDEP
FRISIUM TAB
F-SLIM TAB
FUCIDIN CR
FUCITHALMIC ED
FUCOHELIX 100MG
FUCOHELIX 50MG
FUCOIDAN 100 TAB
FUCOIDAN SYR
FULADIC 5GR
FURROCEMIDE 40 MG
FURROCEMIDE INJ 10 MG
FUSON CR
FUZIDE SYR
GASTROLAN CAPS
GASTRUL TAB
GAVAZOL 150 TAB
GELOFUSAL INF
GELOFUSIN INF
GEMFIBROZIL 300
GENTAMYCIN 0.1% CR
GENTAMYCIN INJ GENERIK
GERDILIUM DROP
GERDILIUM SYR
GERDILIUM TAB
GERIATRIE TAB
GLAUCON
GLIBENKLAMID TAB
GLICERIL GUACOLAT
GLIDABET 80
GLIMERIPIDE 1MG
GLIMERIPIDE 2MG
GLIQUIDON
GLISODIN CAP
GLOCOPHAGE TAB 500MG
GLUCOBAY 50 TAB

3
CAPS
CAPS
FLS
TAB
TAB
TAB
TAB
FLS
TAB
TUBE
CAP
TAB
FLS
VIAL
VIAL
VIAL
TAB
TAB
FLS
TAB
TABL
TAB
TUBE
FLS
TAB
TAB
TAB
FLS
TUBE
TABL
AMP
TUBE
FLS
CAPS
TAB
TAB
FLS
FLS
CAP
TUB
AMP
FLS.
FLS
TAB
CAPS
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
TAB
TAB

4
4.765
7.147
30.175
1.309
1.208
1.303
32.557
22.234
6.258
22.695
6.253
5.877
31.500
217.415
246.160
152.770
8.258
6.671
34.939
9.529
3.930
5.559
58.761
95.288
13.500
5.559
16.676
113.154
53.996
147
2.195
9.962
50.820
15.881
15.087
63.525
127.757
127.772
383
2.815
3.610
42.880
42.880
3.971
7.941
6.035
242
34
1.589
1.255
2.366
846
7.941
1.540
2.378
VII - 50

1
791
792
793
794
795
796
797
798
799
800
801
802
803
804
805
806
807
808
809
810
811
812
813
814
815
816
817
818
819
820
821
822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845

2
GLUCOBION TAB
GLUCODEX TAB
GLUCOSAMIN 250 TAB
GLUCOSAMIN 500 tab
GLUCOVANCE 2.5MG TAB
GLUKOLOS TAB
GLUMIN TAB 500
GLUMIN XR TAB
GLURENORM
GLUTROP TAB
GLYBOTIC 250 INJ
GLYBOTIC 500 INJ
GOFLEX 500
GOFORAN I G INJ
GOTROPIL 3 G inj
GOVAZOL TAB
GOVOTIL 2 MG TAB
GRACIVASK 5 TAB
GRANEM 1G INJ
GYPSONA 10 CM
GYPSONA 15 CM
GYPSONA 7,5 CM
GYPSONA SPILT 4"
GYPSONA SPILT 5"
HAEMACELL INFUS
HAEMOSTOP 250 INJ
HALOPERIDOL 0,5 MG
HALOPERIDOL 1,5 MG
HALOPERIDOL 5 MG TAB
HARNAL CAPS
HCT (HYDROCHLORTIAZIDE>
HEDIX KAPLET
HEMAPO 3000 IU INJ
HEPABALANCE CPS
HEPAMAX CAP
HEPA-MERZ
HEPATIN CAP
HEPATOSOL COKL
HEPATOSOL VANIL
HEPTASAN TAB
HERBESSER 50 MG INJ
HERBESSER CD 100
HERBESSER CD 200
HERCLOV TAB
HESTAR INF
HEXADOL GARGLE
HEXILON 4 TAB
HEXILON 8 TAB
HEXILON INJ 125MG
HEXYMER 2
HI BONE 600 TAB
HIALID ED
HI-BONE
HISTAPAN 50 MG TAB
HOMOCLOMIN 10 MG

3
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
VIAL
VIAL
TAB
VIAL
AMP
TAB
TAB
TAB
VIAL
ROLL
ROLL
ROL
METR
METR
FLS
AMP
TABL
TABL
TAB
TABL
TABL
KAP
VIAL
CAPS
CAP
AMP
TAB
SACK
BOX
TAB
AMP
TAB
TAB
TAB
FLS
FLS
TAB
TAB
VIAL
TAB
TAB
FLS
TAB
TAB
TAB

4
2.621
491
1.271
2.144
4.586
1.990
1.359
1.747
3.231
18.264
122.128
211.618
10.324
174.694
28.584
79.406
1.509
7.147
285.863
60.349
76.230
30.969
360.505
396.556
269.981
5.870
87
119
176
16.148
36
1.320
249.769
11.911
10.005
142.456
6.353
88.935
88.935
287
428.794
11.816
17.961
18.899
77.819
19.058
3.573
5.851
116.727
417
5.162
84.171
4.447
778
2.487
VII - 51

1
846
847
848
849
850
851
852
853
854
855
856
857
858
859
860
861
862
863
864
865
866
867
868
869
870
871
872
873
874
875
876
877
878
879
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894
895
896
897
898
899
900

2
HUMAPEN ERGO 2 MS
HUMULIN R CATR 100
HUMULIN R INJ
HYDREA CAPS
HYDROCORTISON 2.5% CR 5GR
HYPAFIX 5cmX10
HYPERIL 5 mg tab
HYPOBAC 100 INJ
HYPOBHAC 200 INJ
HYPOFIL CAP
HYSTOLON TAB
HYTRIN 2MG
HYTRIN IMG
HYTROZ 1MG
HYTROZ 2MG
I.SALMICOL 0.5 %
I.SALMICOL 1%
IBU PROFEN 200 MG
IBU PROFEN 400 MG TAB
IBUPROFEN SYR
IKALEP 250MG
IKAMICETIN SK
IKAMICETIN SM
IKAPHEN CAPS
IM BOOST FORCE
IM BOOST SYR 60
IM BOOST TAB
IMDUR CAP 60mg
IMPUGAN INJ
IMUDATOR SYR
IMUDATOR TAB
IMUNOS SYR
IMUNOS tab
IMUNOVIT TAB
INDOP INJ
INDUXIN INJ
INERSON SALEP
INF SET UNIONEX
INFUS SET AMS
INFUS.SET/MICRO DRIP
INFUSION SET
INHA 400
INHA 400 TAB
INMATROL ED
INOTROP INJ
INOVAD INJ
INPEPSA 100 ML SYR
INPEPSA 200 ML SYR
INSULATARD NOVOLET
INTERCON CR 10 G
INTERDOXIN 50 TAB
INTERHISTIN TAB
INTERNOLOL TAB 50 MG
INTERPEC 30 CC SYR
INTERPEC 30 MG TAB

3
PCS
VILA
VIAL
CAPS
TUBE
PCS
TAB
AMP
VIAL
CAP
TAB
TAB
TAB
TAB
TAB
FLS
FLS
TAB
TAB
FLS
TAB
TUBE
TUBE
CAPS
TAB
FLS
TAB
TAB
AMPU
FLS
TAB
FLS
TAB
TAB
VIAL
AMP
TUBE
PCS
PCS
PCS
PCS
TAB
TAB
FLS
VIAL
VIAL
FLS
FLS
AMP
TUBE
TAB
TAB
TAB
FLS
TABL

4
285.863
119.110
295.969
13.802
5.559
173.042
11.117
170.346
303.578
2.859
4.331
8.621
4.817
4.197
13.293
15.881
19.058
195
296
5.048
3.573
8.735
5.002
1.906
6.088
39.704
3.705
7.125
11.753
68.290
8.735
79.406
7.941
8.735
47.644
3.176
40.695
5.054
5.054
5.775
5.054
874
795
29.525
157.225
317.625
73.054
106.405
208.934
94.414
5.797
897
2.541
43.674
1.572
VII - 52

1
901
902
903
904
905
906
907
908
909
910
911
912
913
914
915
916
917
918
919
920
921
922
923
924
925
926
927
928
929
930
931
932
933
934
935
936
937
938
939
940
941
942
943
944
945
946
947
948
949
950
951
952
953
954
955

2
INTERPECT 15 SYR
INTERPRIL TAB 5 MG
INTERZOL TAB
INTRAFIX SAFESET IS
INVICLOT INJ
INVITEC TAB
IRONYL CAPL
IRVASK 150 TAB
IRVASK 300 TAB
IRVEL 150 TAB
ISONIAZIDE 100 MG
ISONIAZIDE 300 MG
ISOSORBIDE DINITRAT 5MG
ITZOL TAB
IV 18 TROGE
IV 20 TROGE
IV 22 troge
IV 24 troge
IV AESCOMED 20
IV BD 18
IV CANULA 16
IV CANULA 18
IV CANULA 20
IV CANULA 22
IV CANULA 24
IV CANULA 26
IV TERUMO 18
IV TERUMO 24
IVELIP 20% 100ml
JELCO 18
JELCO 20
JELCO 22
JELCO 24
KA-EN 1B INFUS
KA-EN 3A
KAEN 4A INF
KAEN 4B INF
KA-EN MG 3 INFUS
KALFOXIM IG INJ
KALII CHLORID POWDE
KALKURENAL DROPS
KALMECO 500 CAP
KALMECO INJ
KALMETHASON INJ
KALMOXILIN I GR INJ
KALMOXILLIN 250 SYR
KALMOXILLIN 500 TAB
KALNEX 500 MG TAB
KALNEX INJ
KALOSTE
KALPICILLIN 1GR
KALTROFEN EC 100 MG CAP
KALTROFEN GEL
KALTROFEN INJ 100 MG AMP
KALTROFEN OD 200 MG CAP

3
FLS
TAB
TAB
PCS
VIAL
TAB
CAPL
TAB
TAB
TAB
TABL
TABL
TAB
TAB
UNIT
UNIT
PCS
UNIT
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
FLS
PCS
PCS
PCS
PCS
FLS
FLS
FLS
FLS
FLS
VIAL
GRAM
FLS
CAP
AMP
AMP
VIAL
FLS
TAB
TAB
AMPU
TAB
VIAL
CAP
TUBE
AMP
CAP

4
33.193
3.653
6.988
23.822
90.524
9.385
2.144
11.911
15.087
10.959
59
140
141
22.234
10.799
10.799
11.244
10.799
11.231
15.285
19.058
21.440
21.440
20.646
11.244
20.963
23.461
31.366
220.750
19.852
11.242
11.242
11.242
21.536
21.536
20.349
21.536
23.492
176.282
722
144.122
2.811
26.363
3.610
36.527
38.910
3.018
3.717
11.911
7.279
19.852
6.391
76.707
34.939
7.306
VII - 53

1
956
957
958
959
960
961
962
963
964
965
966
967
968
969
970
971
972
973
974
975
976
977
978
979
980
981
982
983
984
985
986
987
988
989
990
991
992
993
994
995
996
997
998
999
1000
1001
1002
1003
1004
1005
1006
1007
1008
1009
1010

2
KALTROFEN SUPP
KALTROPEN 50 TAB
KALXETIN 10 MG CAP
KALXETIN 20 CAPS
KARY UNI ED
KASA KAMBIUM
KASA LIPAT GOLD(GOLD)
KASA LIPAT SILVER(TAMPON)
KASA STERIL
KASA TAMPON SILVER
KELFEX 500 MG CAP
KENACORT A INJ 10 MG
KENALOG IN ORA BASE
KENANTIST
KENDARON INJ
KENDARON TAB
KETAMIN-HAMELN
KETESSE 25
KETESSE INJ
KETOKONAZOL 200MG TAB
KETOKONAZOL CREAM
KETOMED SCALP SOLUTION
KETOPROFEN INJ
KETOPROFEN TAB
KETOROLAC INJ
KETOROLAC TAB
KIDMIN INF
KLIRAN INJ
KOATE DVI 280 IU
KONDOM CATHETER
K-PAIN INJ
KSR ALUFIL 600 MG
L BIO SACH
LACEDIM INJ
LACOLDIN SYR
LACTACYD LIQ 60ML
LACTULAC 60 CC
LACTULAX 120ML
LAGESIL SYR
LAMESON 4 TAB
LAMESON 8MG
LAMINARIA STIF F
LANAGINKOLA
LANARIF
LANCEF INJ
LANCID 30 tab
LANITOP 0,1 MG
LANSOPRAZOLE 30MG
LANTIFLAM 100
LAPIBAL 500 MG
LAPICEF 125 SYR
LAPICEF 250 SYR
LAPICEF 500
LAPIFLOX 500 TAB
LAPIMOX F.SYR 250 MG

3
SUPP
TAB
CAP
CAPS
FLS
BOX
PCS
PCS
PCS
PCS
KAPL
VIAL
TUB
TAB
AMP
TAB
VIAL
TAB
AMP
TAB
TUB
FLS
AMP
TAB
AMP
TAB
FLS
AMP
VIAL
UNIT
AMP
TAB
SACH
VIAL
FLS
FLS
FLS
FLS
FLS
TAB
TAB
PCS
CAP
TAB
VIAL
TAB
TABL
TAB
TAB
CAP
FLS
FLS
TAB
TAB
FLS

4
6.495
3.613
5.108
1.191
49.232
9.227
11.984
6.829
4.288
6.829
12.666
148.808
58.761
4.057
34.092
6.723
175.091
9.529
56.697
538
10.106
34.939
11.117
1.016
21.226
3.653
112.628
31.763
1.812.690
11.355
23.822
3.869
5.877
246.160
19.058
25.316
52.409
78.612
36.527
3.494
5.877
133.590
6.988
3.971
142.931
18.264
2.367
1.949
4.130
2.541
53.996
87.347
12.705
15.881
41.291
VII - 54

1
1011
1012
1013
1014
1015
1016
1017
1018
1019
1020
1021
1022
1023
1024
1025
1026
1027
1028
1029
1030
1031
1032
1033
1034
1035
1036
1037
1038
1039
1040
1041
1042
1043
1044
1045
1046
1047
1048
1049
1050
1051
1052
1053
1054
1055
1056
1057
1058
1059
1060
1061
1062
1063
1064
1065

2
LAPIMOX SYR 125 MG
LAPIMOX TAB 500 MG
LAPIMUC TAB 30MG
LAPIROM 1 G INJ
LAPISTAN 500 TAB
LAPIXIME 1GR
LAPRAZ TAB
LASAL EXPECT SYR
LASAL SYRUP
LASGAN CAPS
LASMALIN SYR
LATROPIL SYR 100
LAXADINE SYR
LAXOBERON DROP
LCD
LEGRES CAPS
LEGRESKIN TAB
LEIKOPLAS 5 CMX1M
LEPARSON
LEPIGO
LESICHOL CAPS
LESIDAS 10 MG TAB
LESIFIT CAP
LESIPAR 300 CAP
LETONAL 100 MG TAB
LETONAL 25
LETROPAR 300 TAB
LEUKOCRAPE 6"
LEUKOCREPE 4"
LEUKODUR 3"
LEUKODUR 4"
LEUKODUR 6"
LEUKOMED 7.2X5
LEUKOMED IV NON WOVEN
LEUKOMED T 8X10
LEUKOMED T PLUS 8X10
LEUKOMED T PLUS 8X15
LEUKOPLAST 1/2 X 1 CM
LEVAZIDE TAB
LEVEMIR FLUXPEN
LEVOCIN 500 TAB
LEVOCIN INF
LEVOFLOXACIN INFUS
LEVOFLOXACIN TAB
LEVORES INF
LIBRAX
LIMBRITOL CAP
LIORESAL TAB 10MG
LIPITOR 10
LIPITOR 20
LIPITOR 40
LIPOFOOD
LOCOID CREAM 10 GR
LODIA 2
LODOMER 2 MG

3
BTL
TAB
TAB
VIAL
TAB
VIAL
CAPS
FLS
FLS
CAPS
FLS
FLS
FLS
FLS
ML
CAPS
TAB
ROLL
TAB
TAB
CAP
TAB
CAP
CAP
TAB
TAB
TAB
ROLL
ROLL
ROLL
ROL
ROL
PCS
PCS
PCS
PCS
PCS
PCS
TAB
PEN
TAB
FLS
FLS
TAB
FLS
TAB
CAP
TAB
TAB
TAB
TAB
TAB
TUBE
TAB
TAB

4
25.410
2.859
953
346.211
1.271
174.694
15.246
43.674
27.792
15.881
30.175
53.996
37.321
72.720
2.279
3.441
6.114
49.903
6.027
458
9.529
6.406
7.924
4.447
5.162
1.667
8.338
90.444
60.032
23.060
30.969
42.118
2.155
5.409
10.418
13.754
19.829
3.812
6.194
236.371
46.857
393.379
127.050
1.906
182.635
2.642
3.288
9.990
23.162
20.007
29.362
6.194
68.290
1.271
1.307
VII - 55

1
1066
1067
1068
1069
1070
1071
1072
1073
1074
1075
1076
1077
1078
1079
1080
1081
1082
1083
1084
1085
1086
1087
1088
1089
1090
1091
1092
1093
1094
1095
1096
1097
1098
1099
1100
1101
1102
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
1116
1117
1118
1119
1120

2
LODOMER 5MG
LODOPIN 25 TAB
LODOPIN 50 TAB
LODOZ TAB
LOMATUEL
LONGCEF 500 MG
LONGCEF F SYR
LONGCEF SYR
LOPITEN 5 MG TAB
LORATADINE
LORINID MITE TAB
LOT KUMERFELDI 100CC
LOTASBAT CR
LOTASBAT OINT 10 G
LOVENOX 0.4 INJ
LOVENOX 0.6 INJ
LUBRICENT GEL
LUDIOMIL 25 TAB
LUTENYL CAP
LUTEVIT
LYCOTEN
LYRICA 75MG tab
MAAG SLANG 12
MAAG SLANG 14
MAAG SLANG 16
MAAG SLANG 18
MAG SLANG 20
MAGN.SULFAT 40%
MAGN.SULP 20 % 25 ML
MAGTRAL F SYR
MAGTRAL FORTE TAB
MAGTRAL SYR
MAINTATE 2.5
MAINTATE 5 TAB
MALTIRON PLUS TAB
MALTOFER CHEW
MANITOL 20% INJECTION
MASKER OXIGEN ANAK
MASKER OXIGEN DEWASA
MATOOVIT FIFTY
MATOVIT SYR
MATOVIT TAB
MECOBALAMIN 500 CAPS
MECOBALAMIN INJ
MECOLA FORTE TAB
MECOLA TAB
MEDERMA CR 20GR
MEDIAMER B6
MEDICINE PACK
MEDIFLEX 30 G CR
MEDIFLEX CREAM 75 GR
MEDIXON INJ 125
MEDIXON TAB 4
MEFINAL 500 MG
MEFIX 500 MG

3
TAB
TAB
TAB
tab
PCS
CAP
FLS
FLS
TAB
TAB
TAB
FLS
TUBE
TUBE
AMP
AMP
TUB
TAB
CAP
TAB
TAB
TAB
PCS
PCS
PCS
PCS
PCS
AMP
AMP
FLS
TAB
FLS
TAB
TAB
TAB
TAB
FLS
PCS
PCS
TAB
FLS
TAB
CAP
AMP
CAPL
TAB
TUBE
TAB
BOX
TUB
TUBE
VIAL
TAB
TAB
KAPL

4
2.461
10.535
18.264
8.745
17.325
13.817
103.229
63.525
6.353
762
1.589
42.880
47.644
43.951
192.703
275.667
76.032
9.081
11.646
4.765
3.971
16.461
25.988
25.988
28.586
36.527
25.988
6.195
3.900
34.939
834
30.175
6.276
8.685
1.191
3.319
99.429
59.555
59.555
5.280
36.527
4.527
1.112
12.705
7.941
5.082
181.761
3.082
2.953.913
96.241
240.601
95.288
3.176
1.628
1.350
VII - 56

1
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
1135
1136
1137
1138
1139
1140
1141
1142
1143
1144
1145
1146
1147
1148
1149
1150
1151
1152
1153
1154
1155
1156
1157
1158
1159
1160
1161
1162
1163
1164
1165
1166
1167
1168
1169
1170
1171
1172
1173
1174
1175

2
MEFOTIK IG INJ
MEFUROSAN CRM
MEGABAL
MEGAZING CAP
MEIXAM 500
MELOXICAM 15
MELOXICAM 15MG TAB/50
MELOXICAM 7.5 TAB
MEPTIN SYR
MERCOTIN DROP
MERISLON TAB
MERLOPAM 0.5 MG
MEROFEN I G
MEROPENEM 0.5 GRAM
MEROPENEM IG INJ
MEROSAN INJ
MEROTIK INJ
MERTIGO
MERTIGO SR TAB
MESTINON TAB
METFORMIN 500
METFORMIN 850
METHYLPRED 125 MG INJ
METHYLPREDNISOLON 16MG
METHYLPREDNISOLON 4MG
METIL ERGOMETRIL TAB
METIL PREDNISOLON 8 TAB
METOCLOPRAMIDE 10MG
METRIX 1MG
METRIX 2MG
METRIX 3MG
METRIX 4MG
METROFUSIN INF
METROLET SYR
METRONIDAZOLE 500 MG
METRONIDAZOLE GNK INF
METVELL INJ
METVELL TAB
MEXPHARM 15
MEXPHARM 7.5 TAB
MEXPHARM SUPP
MEYLON 25 MG INJ
MICONAZOLE CR
MICRO DRIP BURET
MICROBAR POWDER 500 GRAM
MICROLAX SUPPO
MIKASIN 250 mg INJ
MIKASIN 500 MG INJ
MITOLIFE
MIXTARD 100IU
MIXTARD 30 NOVOLET
MOLOCO B12
MONECTO 20 TAB
MONOFIT 3-0 CUTING
MONOSOF 2-0 SN-664

3
VIAL
TUB
CAP
CAP
CAP
TAB
TAB
TAB
FLS
FLS
TAB
TAB
VIAL
VIAL
VIAL
VIAL
VIAL
TAB
TAB
TAB
TAB
TAB
VIAL
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
INF
FLS
TABL
FLS
AMP
TAB
TAB
TAB
SUP
AMPU
TUBE
PCS
PCS
SUPO
VIAL
VIAL
TAB
AMP
AMP
TABL
TAB
PCS
PCS

4
476.438
92.921
2.088
2.382
4.511
1.733
1.731
998
55.776
55.932
4.029
555
682.894
158.813
285.863
684.164
476.438
3.653
7.147
10.841
263
795
51.217
2.039
636
174
1.231
110
3.070
5.823
7.729
9.000
14.294
8.230
318
42.591
7.783
2.224
11.340
6.754
14.452
11.906
4.331
105.611
114.799
21.440
93.843
154.477
6.617
460.556
189.940
3.705
3.812
119.110
66.701
VII - 57

1
1176
1177
1178
1179
1180
1181
1182
1183
1184
1185
1186
1187
1188
1189
1190
1191
1192
1193
1194
1195
1196
1197
1198
1199
1200
1201
1202
1203
1204
1205
1206
1207
1208
1209
1210
1211
1212
1213
1214
1215
1216
1217
1218
1219
1220
1221
1222
1223
1224
1225
1226
1227
1228
1229
1230

2
MONOSOF 3-0 SN-648
MONOSOF 4-0
MONOSOF 5-0
MONOSYN 3/0 (DS24)
MOVIX 15 TAB
MOVIX 7.5 TAB
MOXIC F TAB
MOXIC TAB
MOZUKU CAPS
MST CONTINUS 10MG
MUCERA DROPS
MUCERA FORTE SYR
MUCERA SYR
MUCERA TAB
MUCOHEXIN 8 MG
MUCOS DROPS
MUCOSTA TAB
MUCUS EXTRACTOR
MUSIN SYR 120
MUSIN TAB
MYCO Z CREAM
MYCODERM CRM
MYCODERM TAB
MYOMERGIN INJ
MYONEP
MYORES TAB
NA DICLOFENAC 25MG
NA DICLOFENAC 50
NACL 0,9 % 500 CC
NACL 0.9% 1000 ML
NACL 100 CC
NAIRET
NAIRET SYR
NALGESTAN TAB
NASAL OXIGEN DEWASA
NASAL OXIGEN MASKER CHILD
NASAL OXYGEN CHILD
NASAL OXYGEN MASKER
NEEDLE NO.26
NEEDLE NOVOFINE
NELATON CATETER N0.12
NELATON CATETER N0.16
NELATON CATETER N0.18
NELATON CATETER N0.20
NELATON CATH NO.14
NELATON CATHETER N0.8
NELATON CATHETER NO.10
NEO DIAFORM TAB
NEO GYNOXA OVUL
NEO KAOLANA SYR
NEO MERCAZOLE TAB
NEO MUNE SACC
NEOCORTIC ED
NEO-K INJ 2MG
NEOSTIGMINE INJ

3
PCS
PCS
PCS
PCS
TAB
TAB
TAB
TAB
TAB
TAB
FLS
FLS
FLS
TAB
TAB
FLS
TAB
UNIT
FLS
TAB
TUBE
TUB
TAB
AMP
TAB
TAB
TAB
TAB
FLS
FLS
FLS
TAB
FLS
TAB
SET
PCS
PCS
PCS
UNIT
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
TAB
OVUL
FLS
TAB
SACC
FLS
AMP
AMP

4
65.907
69.084
68.290
123.715
10.324
6.671
4.367
6.035
10.535
22.552
47.644
27.792
25.410
1.049
572
41.291
5.745
19.296
67.496
1.747
81.789
17.470
4.765
2.533
4.288
5.559
243
491
7.953
15.476
12.094
1.271
31.763
1.263
23.713
59.555
23.713
54.141
1.177
3.176
13.500
23.966
23.966
13.500
13.500
13.500
13.500
192
18.264
16.080
1.636
31.278
39.704
16.676
19.630
VII - 58

1
1231
1232
1233
1234
1235
1236
1237
1238
1239
1240
1241
1242
1243
1244
1245
1246
1247
1248
1249
1250
1251
1252
1253
1254
1255
1256
1257
1258
1259
1260
1261
1262
1263
1264
1265
1266
1267
1268
1269
1270
1271
1272
1273
1274
1275
1276
1277
1278
1279
1280
1281
1282
1283
1284
1285

2
NEPATIC 300 CAP
NEPHRISOL COKLAT
NEPHRISOL VANILLA
NERILON CRM 10GR
NERVA PLUS
NEUCITI 250 INJ
NEULIN INJ 500 MG
NEULIN PS TAB
NEURO BESTON TAB
NEURODEX TAB
NEUROMED 5000mcg tab
NEUROSANBE 5000 TAB
NEUROSANBE INJ @10 AMP
NEUROSANBE PLUS CAP
NEUROSANBE TAB
NEUROTAM 1200 tab
NEUROTAM 3GR INJ
NEUROTAM 800 MG CAP
NEUROTAM INF
NEVOX XR TAB
NEVRADIN E
NEW DIATAB
NIACEF GELL
NICHOLIN 250 MG INJ
NIFEDIN 10
NIFEDIPIN TAB
NIFUDIAR SYR
NIFURAL SYR
NIMOTOP TAB
NIPE DROPS
NIPE SYR
NODIRIL 1 TAB
NODIRIL 2 TAB
NOLIPO 500 caps
NONEMI TAB
NONFLAMIN TAB
NONORAPID FLEXPEN
NOPERTEN 5MG
NORELUT
NORIT TAB
NORIZEC 2 TAB
NORIZEC 3 TAB
NOROS TAB
NORTA 16
NORTA 18
NORVASK 10
NORVASK 5
NOVALGIN DROP
NOVALGIN SYR
NOVAMET 500 INFUS(METRO)
NOVAX 500 tab
NOVELMYCIN 2 GR
NOVERTY TAB
NOVOMIX 30 FLEXPEN
NOVORAVID FLEXPEN

3
CAP
DOS
DOS
TUBE
TAB
AMP
AMP
TAB
TAB
TAB
TAB
TAB
AMP
CAPL
TABL
TAB
AMP
CAP
FLS
TAB
TABL
TAB
TUBE
AMPU
TAB
TABL
FLS
FLS
TAB
FLS
FLS
TAB
TAB
CAPS
TAB
TABL
VIAL
TAB
TAB
TABL
TAB
TAB
CAP
PCS
PCS
TAB
TAB
FLS
FLS
FLS
TAB
VIAL
TAB
VIAL
PEN

4
13.293
46.056
46.056
39.604
1.986
41.291
47.894
14.294
1.558
318
2.922
3.073
5.132
1.303
1.413
7.210
69.084
5.370
266.805
1.906
3.018
655
34.145
61.076
795
186
44.468
45.767
10.228
64.943
75.467
2.779
4.354
6.162
1.271
3.757
220.115
4.527
3.971
36
2.859
4.208
5.956
19.058
19.058
16.437
9.172
50.566
46.608
22.710
3.971
206.456
708
231.120
147.270
VII - 59

1
1286
1287
1288
1289
1290
1291
1292
1293
1294
1295
1296
1297
1298
1299
1300
1301
1302
1303
1304
1305
1306
1307
1308
1309
1310
1311
1312
1313
1314
1315
1316
1317
1318
1319
1320
1321
1322
1323
1324
1325
1326
1327
1328
1329
1330
1331
1332
1333
1334
1335
1336
1337
1338
1339
1340

2
NUCEF DS SYR
NUCRAL 100ML SYR
NUCRAL 200ML SYR
NUFACE 0,25
NUFACE 0.5% CREAM
NULACTA CAPS
NULACTA PLUS CAP
NUTRICHOL SACH
NUTRICHOLIN CAP
NUTRIFLAM CAP
NUVINO CAP
NUZYM TAB
NYLON 3/0
NYLON 4/0 C
NYLON 5/0
NYMIKO DROPS
NYSTATIN TAB VAG
OBH SYR 100 ML
OBH SYR 200 ML
OBUCORT SWING
OCTALBIN 20 % 50CC
OCTALBIN 20% 100CC
OCTALBIN 25 % 50 ML
OCUSON TABLET
ODACE 10 TAB
OFLOXACIN 200
OFLOXACIN 400 MG TAB
OMEPRAZOLE 20 MG CAP
OMEPRAZOLE CAP
OMEPRAZOLE INJ
OMNIPAQUE 300MG INJ @ 25
OMNIPAQUE 300MG INJ @50ML
OMZ INJ
ONDANSETRON 4 TAB
ONDANSETRON 8 INJ
ONDANSETRON 8 TAB
ONDASETRON 4 MG INJ
ONDAVELL 4MG INJ
ONDAVELL 4MG TAB
ONDAVELL 8MG INJ
ONDAVELL 8MG TAB
OPIBRIGHT
OPICEF 500
OPICEF F SYR
OPICEF SYR
OPICEL 20 G CR
OPICLAM 150 cap
OPILAX 120
OPILAX 60
OPIMOX 500
OPIMOX INJ
OPIMOX SYR
OPINACEA TAB
OPINEURON TAB
OPIPHEN SYR

3
FLS
FLS
FLS
TUB
TUB
TAB
CAPS
SACH
CAPS
CAP
CAP
TAB
PCS
PCS
PCS
FLS
OVUL
FLS
FLS
TUBE
FLS
FLS
FLS
TAB
TAB
TAB
TAB
CAP
CAP
VIAL
FLS
FLS
VIAL
TAB
AMP
TAB
AMP
AMP
TAB
AMP
TAB
TAB
TAB
FLS
FLS
TUB
TAB
FLS
FLS
TAB
VIAL
FLS
TAB
TAB
FLS

4
95.288
67.496
106.405
30.175
43.674
4.765
6.512
7.393
6.353
10.482
6.042
7.623
72.441
71.466
63.414
42.769
417
2.599
2.922
188.669
1.191.094
2.382.188
1.310.204
1.716
4.023
853
1.300
589
1.133
97.193
168.024
330.330
96.082
2.224
11.550
7.941
7.941
31.763
13.234
71.466
21.837
5.082
12.705
79.406
52.409
23.822
4.367
76.230
50.820
3.176
26.999
23.822
6.353
1.430
24.616
VII - 60

1
1341
1342
1343
1344
1345
1346
1347
1348
1349
1350
1351
1352
1353
1354
1355
1356
1357
1358
1359
1360
1361
1362
1363
1364
1365
1366
1367
1368
1369
1370
1371
1372
1373
1374
1375
1376
1377
1378
1379
1380
1381
1382
1383
1384
1385
1386
1387
1388
1389
1390
1391
1392
1393
1394
1395

2
OPISTAN 500 TAB
OPITHROCIN Dulcet Tab
OPITROCIN DULCET TAB
OPIVASK 10 TAB
OPIVASK 5 TAB
OPIXIM SYR
OPIXIME 100 CAP
OPTIMAX SYR
OPTIMAX TAB
OPTIME 3/0 C
OPTIME 4/0
OPUS TAB
ORALIT
ORASIC INJ
OSATROL ED
OSCAL O,25 TAB
OSFIT DHA CAPS
OSSOPAN 200 MG @100
OSSORAL 800
OSTARIN 200
OSTARIN 400
OSTARIN F SYR
OSTARIN SYR
OSTELOX 15
OSTELOX 7.5MG
OSTEOFLAM
OSTEOKOM CREM
OSTEOKOM TAB
OSTRID 200
OSTRID 400 TAB
OTOPAIN TK
OTOPRAF TK
OTSUCATH 18
OTSUCATH 20
OTSUCATH 22
OTSUCATH 24
OTTOGENTA 5 G CR
OTTOGENTA 80 MG INJ
OTTOPAN DROPS
OTTOPRIM SYR
OTTOZOL INJ
OXOFERIN SOL
OZID INJ
PAKET LENSA
PALENTINE TAB
PALMICOL SYR
PAMOL SYR
PAMOL TABLET @200
PAN AMIN G
PANSO 40MG VIAL
PANTOZOL INJ
PANTOZOL TAB
PAPAVERIN 40 MG TAB
PARACETAMOL 500 MG
PARACETAMOL DROP

3
TAB
TAB
TAB
TAB
TAB
FLS
TAB
FLS
TAB
PCS
PCS
TAB
SACH
AMP
FLS
CAP
CAPS
TAB
TAB
TAB
TAB
FLS
FLS
TAB
TAB
TAB
TUBE
TAB
TAB
TAB
FLS
FLS
PCS
PCS
PCS
PCS
TUB
AMP
FLS
BTL
VIAL
FLS
VIAL
PKT
TAB
FLS
FLS
TAB
BTL
VIAL
VIAL
TAB
TAB
TABL
FLS

4
191
2.065
2.065
10.324
5.559
95.288
23.029
55.585
7.677
141.344
114.345
5.559
508
17.470
33.478
9.184
4.500
1.747
4.130
635
953
23.822
19.058
11.641
7.162
5.559
198.516
7.306
11.117
14.294
48.834
33.033
16.104
11.244
11.244
11.244
9.529
12.705
23.822
2.888
174.694
91.317
98.067
593.959
15.304
4.187
18.342
477
44.291
181.046
193.751
17.906
22
145
7.623
VII - 61

1
1396
1397
1398
1399
1400
1401
1402
1403
1404
1405
1406
1407
1408
1409
1410
1411
1412
1413
1414
1415
1416
1417
1418
1419
1420
1421
1422
1423
1424
1425
1426
1427
1428
1429
1430
1431
1432
1433
1434
1435
1436
1437
1438
1439
1440
1441
1442
1443
1444
1445
1446
1447
1448
1449
1450

2
PARACETAMOL INF
PARACETAMOL SYR
PARASOL 20 G CR
PARIET 10 MG TAB
PARLODEL 2.5 TAB
PEDAB TAB
PEHACAIN INJ
PELASTIN INJ
PEPTISOL COKLAT
PEPTISOL MOCCA
PEPTISOL VANILI
PERFUSOR TUB WHITE
PERIFAS TABLET
PERPHENAZINE 4 MG
PERSANTIN 25 TAB
PERSIDAL 2
PERVITA TAB
PETHIDIN 50 MG INJ
PHENOBARBITAL 100 MG @250
PHENOBARBITAL 30 MG /1000
PHENOBARBITAL INJ
PHENOL GLISERIN TK
PHENTAL 100MG INJ
PHENYTOIN CAP
PHENYTOIN INJ
PHENYTOIN LUCAS CAP
PHYLOCONTIN TAB
PIPET DROP
PIRACETAM 12 GR INF
PIRACETAM 1200
PIRACETAM 3 G INJ
PIRALEN INJ
PIRALEN TAB
PIROXICAM 10 MG
PIROXICAM 20 MG
PITOGIN INJ
PITON S INJ
PK POWDER KG
PLACTA 75 TAB
PLANTACID FORTE SYR 100 C
PLANTACID SYRUP
PLANTACID TAB
PLASMANAT 250ML
PLASMINEX 500 TAB
PLASMINEX INJ
PLASTIK SPOON S
PLAVIX TAB
PLETAAL 100mg tab
PLETAAL TAB 50 MG
POLARAMIN TAB
POLIBAN 3INC
POLIBAN 4INC
POLIBAN 6INC
POLIDEMYSIN ED
POLIGYP 3INC

3
FLS
FLS
TUBE
TAB
TAB
TAB
AMPU
BOX
DOS
BOX
BOX
PCS
TAB
TAB
TAB
TAB
TAB
AMPU
TAB
TAB
AMP
BTL
AMP
caps
AMP
TAB
TAB
PCS
FLS
TAB
AMP
AMP
TAB
CAPS
CAPS
AMP
AMP
KG
TAB
FLS
FLS
TABL
FLS
TAB
AMP
PCS
TAB
TAB
TAB
TAB
ROLL
ROLL
ROLL
BTL
ROLL

4
71.466
3.321
40.180
17.706
22.733
2.144
4.494
405.328
46.850
45.262
46.850
60.349
1.747
76
2.520
9.172
1.667
21.224
104
54
1.046
12.705
11.911
303
38.260
114
2.859
2.001
111.169
1.906
28.586
7.147
555
209
303
3.176
16.089
476.438
7.607
26.205
9.529
252
1.850.483
3.336
15.406
22.234
34.630
16.803
10.080
3.940
15.881
26.363
44.786
31.865
31.445
VII - 62

1
1451
1452
1453
1454
1455
1456
1457
1458
1459
1460
1461
1462
1463
1464
1465
1466
1467
1468
1469
1470
1471
1472
1473
1474
1475
1476
1477
1478
1479
1480
1481
1482
1483
1484
1485
1486
1487
1488
1489
1490
1491
1492
1493
1494
1495
1496
1497
1498
1499
1500
1501
1502
1503
1504
1505

2
POLIGYP 4INC
POLIGYP 6INC
POLYESTER 1 T
POLYGRAN ED
POLYGRAN EYE OINT
POLYGRAN MDS
POLYPROPILEN 2/0 T
POLYPROPILEN 4/0 T
POLYPROPILENE 3/0 T
POLYPROPILENE 5/0 T
POLYPROPILENE 6/0 T
POLYPROPYLENE 3/0
POLYSILANE CAP
POLYSILANE SYR
POLYWIN 26
PONDEX SYR
POS OP 5 ML
POSOP MND ED
POSPARGIN 0,125 TAB
POSPARGIN 2 MG VIAL
POSTOPIX 25X10
POSTOVIT TAB
POT KOSMETIK 30
POT PLASTIK 100 GR
POT PLASTIK 20'
POT PLASTIK 30
POVIDON IODINE 60ML
PPD 5 TU
PRANZA INJ
PREABOR TAB
PREDNICORT 4MG
PREDNICORT 8MG
PREDNISONE 5 MG
PREDNOX 4MG
PREGNASEA TAB
PREMASTON
PREMICRON 1 TRC 30 S
PREMILEN MESH 7.5X15
PRENAMIA
PRENATIN PLUS TAB
PRETILON 16MG TAB
PRETILON 4MG TAB
PRETILON 8MG TAB
PRIDESIA 5
PRIMAZOLE SYR
PROCARDIO TAB
PROCUR PLUS
PROFERTIL TAB
PROFIKA SUPP
PROFUNGAL 200 tab
PROFUNGAL CR 5 g
PROLEN 3/0
PROLIC 150 CAP
PROLIC 300
PROLIVA TAB

3
ROLL
ROLL
PCS
FLS
FLS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
CAP
FLS
PCS
FLS
FLS
STRP
TAB
VIAL
PCS
TAB
PCS
FLS
PCS
PCS
FLS
DOSI
VIAL
TAB
TAB
TAB
TABL
TAB
TAB
TABL
PCS
PCS
CAP
TAB
TAB
TAB
TAB
TAB
FLS
TAB
CAPS
TAB
PCS
TAB
TUB
PCS
CAP
CAP
TAB

4
40.345
58.920
72.789
48.041
29.381
5.809
112.295
98.175
96.226
104.095
265.614
96.082
874
24.616
14.294
16.278
89.730
98.702
731
2.166
43.674
3.176
7.147
3.494
555
953
4.765
110.891
190.575
4.193
3.176
5.242
89
3.018
2.303
5.506
129.115
492.319
1.295
477
7.504
2.461
4.003
2.398
25.410
4.606
6.988
17.470
6.339
5.559
23.822
52.409
4.400
9.116
11.117
VII - 63

1
1506
1507
1508
1509
1510
1511
1512
1513
1514
1515
1516
1517
1518
1519
1520
1521
1522
1523
1524
1525
1526
1527
1528
1529
1530
1531
1532
1533
1534
1535
1536
1537
1538
1539
1540
1541
1542
1543
1544
1545
1546
1547
1548
1549
1550
1551
1552
1553
1554
1555
1556
1557
1558
1559
1560

2
PROMAVIT CAPS
PRONALGES INJ
PRONALGES SUPP
PRONALGES TAB
PRONEURON CAP
PROPANOLOL 10 MG TAB
PROPANOLOL 40 MG @ 100
PROPEPSA SYR
PROPILETYLEN 3/0
PROPYLTHIOURACILE 100 MG
PRORENAL TAB
PROSOGAN FD
PROSTACOM TAB
PROSTIGMIN INJ
PROTERINE 20 MG TAB
PROTEXIN infant sach
PROVE C TAB
PROVE-C
PROXIM TAB
PROXIME TAB
PROZA SYR
PSIDII CAP
PULMICORT RESPULES 0.25
PULNA FORTE
PULVIS
PUMPITOR CAP
PUMPITOR INJ
PURICEMIA
PYDERMA CR
PYLOR SYR
PYRANTEL TAB
PYRAZINAMIDE 500 MG TAB
PYRICEF SYR
PYRIDOXIN TAB
Q 10 DS CAP
Q-TEN 100 SOFT CAPS
QUIBRON TSR TAB
QUICKY SUCTION 14
RADIBLOCK CAPS
RANITIDIN 150 MG @100 TAB
RANITIDIN INJ
RANSEL VERBAN L
RANSEL VERBAN M
RANSEL VERBAN S
RANTIN 150 MG TAB
RANTIN INJ
RECOLFAR TAB
REGROU Hair
REGUMEN
RENADINAC 25 TAB
RENAQUIL TAB
RENAX CAPSUL
RENXAMIN INF
REOTAL 300 MG INJ
REOTAL SR tab

3
CAPS
AMP
SUPP
TAB
CAP
TAB
TAB
FLS
PCS
TAB
TAB
TAB
TAB
AMP
TAB
sach
TAB
TAB
TAB
TAB
FLS
CAP
RESP
TAB
PULV
TAB
VIAL
TAB
TUB
FLS
TAB
TABL
FLS
TABL
CAP
CAPS
TAB
PCS
TAB
TABL
AMP
PCS
PCS
PCS
TAB
AMP
TAB
PCS
TAB
TAB
TAB
FLS
AMP
TAB

4
2.382
36.686
6.497
5.559
1.350
111
208
69.878
96.082
489
9.529
22.744
12.811
19.630
3.176
17.998
3.971
3.930
1.469
1.469
77.819
3.971
20.673
2.701
231
16.771
97.193
3.582
26.999
23.029
267
308
50.820
25
18.899
13.067
5.378
335.412
8.735
318
3.711
63.525
63.525
63.525
6.321
31.016
6.035
45.262
4.232
555
2.541
5.375
69.402
53.044
9.238
VII - 64

1
1561
1562
1563
1564
1565
1566
1567
1568
1569
1570
1571
1572
1573
1574
1575
1576
1577
1578
1579
1580
1581
1582
1583
1584
1585
1586
1587
1588
1589
1590
1591
1592
1593
1594
1595
1596
1597
1598
1599
1600
1601
1602
1603
1604
1605
1606
1607
1608
1609
1610
1611
1612
1613
1614
1615

2
RESFLOX TAB
RESTOR TAB
RETAPHYL SR TAB
RETIVIT TAB
REVOLAN 800 CAPL
REVOLAN INJ
RHELAFEN F SYR
RHELAFEN SYR
RHETOFLAM GEL
RIF 450
RIF 600
RIFAMPICIN 300 MG
RIFAMPICIN 450 MG
RIFAMPICIN 600 MG
RIFAMTIBI 450 MG TAB
RIFAMTIBI 600 MG
RIHEST SYR
RIHEST TAB
RILLUS TAB
RIMACTAZID 450MG TAB
RIMCUR PEAD
RIMCURE 3 FDC
RIMSTAR 4-FDC TAB
RING AS INF
RINGEL LACTATE
RINGER LACTAS SANBE
RINGER LACTAT WIDATRA
RISPERIDON 2MG TAB
RIVANOL 200CC
RIVOTRIL 2MG
RIZODAL 2MG
RIZODAL 3MG
RL EUROMED
ROBUMIN 100
ROBUMIN 50ML
ROCER CAPS
ROCER INJ
ROVADIN 500
ROVADIN SYR 100ml
ROVADIN SYR 60ML
ROXEMID INJ
RYDIAN TAB
RYZEN TAB
SAFIL 0 C HS 40S
SAFIL 0 T HR 40S
SAFIL 1 C HS 40S
SAFIL 1 T HR 48
SAFIL 2/0 HR 26 T
SAFIL 3-0 C DS24
SAFIL 3-0 T HR26
SAFIL 4/0 C
SAFIL 4/0 HR T
SAFIL 5-0 HR 17 70CM
SAGESTAM 10 g CR
SAGESTAM ED

3
TAB
TAB
TAB
TAB
TAB
AMP
FLS
FLS
TUB
TAB
TAB
CAPS
KAPL
TABL
TAB
TABL
FLS
TAB
TAB
TAB
TAB
TABL
TAB
FLS
FLS
FLS
FLS
TAB
FLS
TAB
TAB
TAB
FLS
FLS
FLS
TAB
VIAL
TAB
FLS
FLS
AMP
TAB
TAB
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
TUBE
FLS

4
27.514
900
2.326
4.558
8.588
22.139
26.999
24.458
38.711
4.590
6.194
506
926
1.204
5.455
7.242
31.763
5.559
9.000
12.292
2.922
7.623
8.497
24.178
8.085
21.599
7.508
3.086
2.938
9.025
8.735
11.911
9.674
1.349.906
714.656
15.881
158.813
7.147
57.173
43.674
11.753
4.367
8.312
118.617
120.380
122.286
146.267
147.298
131.163
121.587
120.222
124.192
110.534
15.826
25.887
VII - 65

1
1616
1617
1618
1619
1620
1621
1622
1623
1624
1625
1626
1627
1628
1629
1630
1631
1632
1633
1634
1635
1636
1637
1638
1639
1640
1641
1642
1643
1644
1645
1646
1647
1648
1649
1650
1651
1652
1653
1654
1655
1656
1657
1658
1659
1660
1661
1662
1663
1664
1665
1666
1667
1668
1669
1670

2
SAGESTAM INJ 80 MG
SALBUTAMOL 2MG
SALBUTAMOL 4MG
SANADRYL DMP SYR
SANADRYL EXP 60CC SYR
SANAZET TABLET
SAN-B PLEX DROP
SANBE TEARS ED
SANEXON 4 TAB
SANLIN 500 CAPS
SANMAG SYR
SANMAG TAB
SANMETIDIN TAB
SANMOL DROP
SANMOL SYR
SANMOL TAB
SANPICILLIN INJ 1 GR
SANPRIMA F TAB
SANPRIMA SYR
SANPRIMA TAB
SANSULIN PEN
SANSULIN-N
SANSULIN-R
SANTA E 200
SANTAE E 400 TAB
SANTIBI 500
SANTIBI PLUS
SAPOPIRIDIS 100GR
SCABIMITE 10GR
SCABIMITE 30GR
SCOPAMIN INJ
SCOPAMIN PLUS TAB
SCOPAMIN tab
SELOXY AA TAB
SELOXY CAPL
SEPTIKA
SEREQUAL
SERFAC 250 INJ
SERFAC 500 INJ
SERLOF TAB
SEROLIN 10 TAB
SERUM A.B.U 5 ML
SICLIDON 100
SIFROL 0,25
SIFROL 0.125
SILAX INJ
SILKAM 2-0 HR26 T
SILKAM 3-0 HR26 T
SIMBADO 10MG
SIMBADO 5 MG
SIMVASTATIN 10 MG TAB
SIMVASTATIN 20 TAB
SINRAL 10MG
SINRAL 5MG
SIRDALUD TAB

3
AMP
TAB
TAB
FLS
FLS
TABL
FLS
FLS
TAB
TAB
FLS
TAB
TAB
FLS
FLS
TAB
VIAL
TAB
FLS
TAB
PCS
VIAL
VIAL
TAB
TAB
TAB
TABL
BUAH
TUBE
TUBE
AMP
TAB
TAB
TAB
CAPL
FLS
TAB
AMP
AMP
TAB
TAB
VIAL
TAB
TAB
TAB
AMP
PCS
PCS
TAB
TAB
TAB
TAB
TAB
TAB
TAB

4
12.070
160
173
12.943
12.046
1.628
21.891
23.691
2.771
1.096
30.929
865
2.033
19.287
14.268
334
20.805
2.447
31.500
1.080
366.261
162.458
162.458
2.447
4.804
1.279
842
10.324
30.969
71.466
14.294
2.701
1.747
6.988
4.979
142.931
52.885
31.763
63.525
17.628
8.244
592.213
6.471
12.658
7.141
4.320
58.443
61.302
7.941
4.765
740
1.481
6.035
4.288
10.182
VII - 66

1
1671
1672
1673
1674
1675
1676
1677
1678
1679
1680
1681
1682
1683
1684
1685
1686
1687
1688
1689
1690
1691
1692
1693
1694
1695
1696
1697
1698
1699
1700
1701
1702
1703
1704
1705
1706
1707
1708
1709
1710
1711
1712
1713
1714
1715
1716
1717
1718
1719
1720
1721
1722
1723
1724
1725

2
SISTENOL CAP
SITRO 300
SIZORIL TAB
SKIN TRACTION ANAK
SKIN TRACTION DEWASA
SMECTA
SMOOTHING CR
SOFRA-TULE
SOLAC 120ML SYR
SOLMUC CAP
SOPT BAND 3"
SOPT BAND 4 "
SOPT BAND 6"
SOTATIC INJ
SPALK KAWAT 23 X 7 no.4
SPALK KAWAT 30 X 7 no.3
SPALK KAWAT 35 X 7 no.2
SPALK KAWAT 45 X 7 no.1
SPALK KAWAT NO.5
SPASMOMEN FC TAB
SPINAL NEEDLE 18
SPINAL NEEDLE N0. 20
SPINOCAN G25X3
SPIRASIN TAB
SPIROLA 25MG TAB
SPIROLAC 100 TAB
SPIRONOLACTONE 100 TAB
SPIRONOLACTONE 25 TAB
SPORETIC 50 CAP
SPORETIK 100 caps
SPORETIK SYR
STABLON TAB
STAFORIN 500
STAMINO SYR
STAMINO TAB
STARMUNO SYR
STARMUNO TAB
STARXON INJ 1G
STATOR 10 TAB
STATOR 20 TAB
STELAZINE 5 MG
STERIMAR BABY
STERIMAR CLASSIC ADULT
STESOLID 10 MG SUPPO
STESOLID 10 ML INJ
STESOLID 5 MG SUPPO
STESOLID 5 TAB
STOLAX 10 SUPP
STOMACAIN
STREPTOMYCIN INJ 1 GR
STROCAIN P TAB
STRONGER NEO MINOPHAGEN
SUCTION CATETER 12
SUCTION CATETER 14
SUCTION CATHETER 6

3
TAB
CAP
TAB
UNIT
UNIT
SACC
TUBE
LEMB
FLS
CPS
ROLL
ROLL
ROLL
AMP
STK
STK
STK
STK
BUAH
TAB
PCS
PCS
PCS
TAB
TAB
TAB
TAB
TAB
CAP
TAB
FLS
TAB
CAP
FLS
CAP
FLS
TAB
VIAL
TAB
TAB
TAB
FLS
FLS
RECT
AMP
RECT
TAB
SUPP
TAB
VIAL
TAB
AMP
PCS
PCS
PCS

4
2.144
14.557
5.797
103.723
170.451
3.850
285.863
19.058
78.612
1.697
24.378
32.118
48.439
6.353
38.260
38.260
41.147
41.147
32.774
4.804
33.351
23.822
46.056
7.043
722
5.717
1.524
500
11.967
25.068
103.371
10.324
12.546
57.173
10.799
79.406
8.894
262.041
18.582
18.582
1.096
131.615
135.785
51.455
5.776
20.935
2.065
8.576
1.589
7.306
2.204
138.009
19.058
19.058
19.058
VII - 67

1
1726
1727
1728
1729
1730
1731
1732
1733
1734
1735
1736
1737
1738
1739
1740
1741
1742
1743
1744
1745
1746
1747
1748
1749
1750
1751
1752
1753
1754
1755
1756
1757
1758
1759
1760
1761
1762
1763
1764
1765
1766
1767
1768
1769
1770
1771
1772
1773
1774
1775
1776
1777
1778
1779
1780

2
SUCTION CATHETER 8
SUDAFED
SULCOLON 500
SUNNYCURE SPONG
SUPRAZID F
SURGICRYL 0 T
SURGICRYL 2/0 C
SURGICRYL 2/0 T
SURGICRYL 3/0 C
SURGICRYL 3/0 T
SURGICRYL 4/0 C
SURGICRYL 4/0 T
SURGICRYL 5/0 C
SURGICRYL 5/0 T
SURGICRYL HR 1 T
SURGICRYL HS 26 1 C
SURGICRYL O C
SURGIFIT 1 TAPER
SURGIFIT 3-0 C
SURGIFIT 3-0 T
SURGION 1 TAPPER
SURGION 3-0 CUTT
SURGIVENT 1 TAPPER
SURGIVENT 3-0 CUTTING
suSUCTION CATHETER 6
TANAKAN TAB
TANAPRES 10 TAB
TANAPRES 5 TAB
TANTUM VERDE 120ML
TANTUM VERDE 60ML
TARIVID 400 MG TAB
TARIVID TM
TARIVID TTS TELINGA
TAVEGYL TAB
TAXEGRAM INJ
TB VIT B6
TEBOKAN SPESIAL TAB
TEBOKAN TAB
TENACE 5 MG
TENATEN TABF
TENAZIDE
TENSICAP 12.5 MG
TENSICAP 25
TENSINOP 5 TAB
TENSIVASK 10 TAB
TENSIVASK TAB 5 MG
TENSOCREPE 10 CM
TENSOCREPE 15 CM
TENSOCREPE 7,5 CM
TEQUINOL 500
TERANOL INJ 30 MG
TERANOL TAB
TERASMA EXP SYR
TERFACEF 1GR
TETAGAM INJ

3
PCS
TAB
TAB
PCS
TAB
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
PCS
TAB
TAB
TAB
FLS
FLS
TAB
FLS
FLS
TAB
VIAL
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
ROLL
ROLL
ROLL
TAB
AMP
TAB
FLS
VIAL
VIAL

4
19.058
1.691
7.941
210.427
881
95.288
100.581
88.670
100.581
88.670
115.377
109.898
100.581
100.581
112.493
107.993
95.288
138.167
109.581
138.167
138.167
120.539
63.525
63.525
19.058
5.823
19.751
14.576
39.704
31.763
25.410
68.290
98.464
5.400
176.918
953
14.702
7.336
3.838
3.176
7.941
2.574
5.051
3.510
15.087
8.258
100.277
131.705
83.306
15.087
41.291
5.419
15.881
268.076
246.160
VII - 68

1
1781
1782
1783
1784
1785
1786
1787
1788
1789
1790
1791
1792
1793
1794
1795
1796
1797
1798
1799
1800
1801
1802
1803
1804
1805
1806
1807
1808
1809
1810
1811
1812
1813
1814
1815
1816
1817
1818
1819
1820
1821
1822
1823
1824
1825
1826
1827
1828
1829
1830
1831
1832
1833
1834
1835

2
TETRACYCLIN 250 MG
TEVOX INF
THIAMPENICOL 500 CAP
THIAMYCIN F SYR
THIAMYCIN SYR
THROMBO ASPILETS TAB
THROMBOPHOB 15 GR CREAM
THROMBOPHOB 20 GR JELLY
THYRAX TAB
THYROZOL 10 TAB
THYROZOL 5MG TAB
TIARYT INJ
TIARYT TAB
TICARD 250 TAB
TILSAN TAB
TIRIZ DROP
TIRIZ tab
TONAR TAB
TOPCORT 10 G CR
TORAMIN 10 INJ
TORAMINE INJ 30MG
TORASIC 10MG TAB
TORASIC 30 INJ
TRADOSIK CAP
TRADOSIK INJ
TRAMADOL 50 CAP
TRAMADOL INJ
TRAMAL INJ 100 ML
TRAMAL INJ 50 ML
TRAMAL RETARD
TRAMAL SUPPO
TRAMIFEN CAPLET
TRANBRONCHO SYR ADULT
TRANSAMIN 500 TAB
TRANSPULMIN SYR
TREMENZA SYR
TREMENZA TAB
TRENXY 15 ML INJ
TRIAMCORT 100 MG TAB
TRIAMCORT A CRM 10GR
TRIATEC 2.5 MG TAB
TRICHODAZOLE 500
TRICHODAZOLE INF
TRICOFIX 10 M X 4 CM
TRICOFIX 10 M X 6 CM
TRIFLUOPREAZIN
TRIHEXYPHENIDIL 2 MG
TRILEPTAL 300 TAB
TRIMOVAX
TRIMOXUL SYR
TRIOFUSIN 500 INFUS
TRIOFUSIN INF
TRIOSTEE
TRIPANZIM CAPL
TRIPOTEN TAB

3
CAPS
FLS
CAP
FLS
FLS
TAB
TUBE
TUBE
TAB
TAB
TAB
AMP
TAB
TAB
TAB
FLS
TAB
TAB
TUBE
AMP
TUB
TAB
AMP
CAP
AMP
CAP
AMP
AMP
AMP
TAB
SUPP
TAB
FLS
TAB
FLS
FLS
TAB
VIAL
TAB
TUBE
TAB
TAB
FLS
CM
CM
TAB
TABL
TAB
VIAL
FLS
FLS
VIAL
CAP
CAPL
TAB

4
105
76.230
591
71.466
31.763
668
35.734
63.525
2.533
2.106
1.492
31.763
2.202
14.729
3.971
79.406
3.971
9.370
29.015
23.822
36.527
7.421
46.135
3.907
19.931
477
9.243
33.193
22.869
11.117
18.264
9.529
34.939
3.176
42.880
18.859
1.295
47.644
3.582
66.701
9.596
2.001
110.534
71
101
915
82
12.347
106.116
33.804
103.229
103.229
8.735
1.589
2.515
VII - 69

1
1836
1837
1838
1839
1840
1841
1842
1843
1844
1845
1846
1847
1848
1849
1850
1851
1852
1853
1854
1855
1856
1857
1858
1859
1860
1861
1862
1863
1864
1865
1866
1867
1868
1869
1870
1871
1872
1873
1874
1875
1876
1877
1878
1879
1880
1881
1882
1883
1884
1885
1886
1887
1888
1889
1890

2
TRIPTAGIC
TRIWAY STOPCOCK
TRIZEDON MR 35
TROBESCO CAPS
TROGYL 500 MG
TROGYL SYR
TROLIT SACH
TROPISTAN 500
TROVENSIS 4 INJ
TROVENSIS 8 INJ
TROVENSIS 8 tab
TRUVAZ 10MG
TRUVAZ 20MG
TUTOFUSIN OPS
TYASON 1 GR INJ
TYLONIC 100
UBI Q 100
UBI Q 30
ULCERANIN INJ
ULCERANIN TAB
ULCUMET INJ
ULSANIC 500MG TAB
ULSIDEX TAB
ULSIKUR INJ
ULTILAR 10 TAB
ULTRACET 37.5 TAB
ULTRAPROCT N SUPP
UNALIUM 10 TAB
UNALIUM 5 MG
UNIVOXY CAP
UPLORES CAP 150
URDAFALK CAP
URDAHEX 250
URESIX 40 MG
URICA 100
URICA 300
URINE BAG
URINTER CAP
UROGETIK TAB
UROTRACTIN CAP
UROXAL
VACLO TAB
VALEMIA 10
VALEMIA 5
VALISANBE 2
VALISANBE 5 TAB
VALISANBE INJ
VALSARTAN 80 TAB
VASTIGO TAB
V-BLOC 25
V-BLOC 6.25
VECTRIN SYR
VECTRINE 300
VELAZOL INF
VELCRHROME 25 MG INJ

3
TAB
PCS
TAB
TAB
TAB
FLS
SACH
TAB
AMP
AMP
TAB
TAB
TAB
FLS
VIAL
TAB
CAP
CAP
AMP
TAB
AMP
TAB
TAB
AMP
TAB
TAB
SUP
TAB
TAB
CAPS
CAP
CAP
CAP
TAB
TAB
CAP
UNIT
CAP
TAB
CAPS
TAB
TAB
TAB
TAB
TAB
TAB
AMP
TAB
TAB
TAB
TAB
FLS
TAB
FLS
VIAL

4
54.863
21.656
5.188
9.529
1.430
55.585
10.058
2.343
42.880
87.347
21.329
17.470
17.470
67.496
269.029
1.733
14.832
14.852
23.029
5.559
7.623
2.621
506
5.775
4.923
8.838
17.019
7.147
6.114
5.916
6.512
12.467
12.440
1.041
2.795
6.114
6.353
5.242
4.466
3.774
3.215
19.058
11.641
6.837
198
310
16.676
5.775
1.430
9.264
1.444
50.026
5.797
103.229
12.705
VII - 70

1
1891
1892
1893
1894
1895
1896
1897
1898
1899
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945

2
VENARON CAP
VENI CATH 20
VENOSMIL GEL
VENOSMIL KAP
VERTEX TAB
VERTIZINE TAB
VESTEIN CAP
VESTEIN CAPS
VESTEIN SYR
VICILIN IG INJ
VICRIL 8-0
VICRYL 6/0 JB33G
VIFERRON TAB
VIFLOX 500 TAB
VILIRON TAB
VINAFLUOR TAB
VIOPOR M
VIOQUIN
VIT B COMPLEX
VIT B.1 TAB
VIT C 50 MG TAB
VIT A 6000 SI TAB
VIT B12 TAB
VIT C 100
VIT K INJ 1 CC
VITACID 0.025 15GR
VITACID 0.05% 20GR
VITACID CR 0.1% 20GR
VITAMIN K TAB
VITAMULTI TAB
VITANORM TAB
VITAPLEX 60
VITAPLEX DROP
VOCEFA SYR
VOLEQUIN INF
VOLTADEX RETARD
VOLTAREN SR 75 TAB
VOLUVENT INF
VOMCERAN 4 mg inj
VOMCERAN 4 MG TAB
VOMCERAN 8MG TAB
VOMCERAN INJ 8MG
VOMETA FT
VOMETRAZ 4 mg INJ
VOMILAT TAB
VOMITAS FDT TAB
VOMITAS TAB
VOSEDON SYR
VOSEDON TAB
VOSTEM FORTE
VOXIN
WIDAHES
WIDAHES 130 INF
WIDAHEST INF ASKES
WING N0.23

3
TAB
PCS
FLS
TAB
TAB
TAB
CAP
CAPS
FLS
AMP
UNIT
PCS
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TABL
TABL
TAB
TAB
TAB
VIAL
TUBE
TUBE
TUB
TAB
TAB
TAB
FLS
FLS
FLS
FLS
TAB
TAB
FLS
AMP
TAB
TAB
AMP
TAB
AMP
TAB
TAB
TAB
FLS
TAB
TAB
TAB
FLS
FLS
FLS
PCS

4
3.487
17.279
191.766
9.529
2.224
1.747
5.559
5.559
47.644
15.246
410.927
611.429
342
17.430
252
635
3.971
15.881
33
140
26
177
47
103
2.466
27.396
40.180
51.615
983
1.271
5.289
42.880
38.115
39.704
269.981
6.353
8.521
337.477
6.064
4.331
25.410
87.347
5.320
28.586
1.059
5.082
4.765
35.979
2.851
7.512
34.939
82.979
75.436
81.789
12.705
VII - 71

1
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968

3
PCS
PCS
TAB
AMP
BTL
TAB
TAB
TAB
FLS
TAB
VIAL
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TABL
TAB
TAB

WING N0.25
WING N0.27
XEVOLAC 10 TAB
XEVOLAC 30 INJ
XYLONER SPRAY
ZALDIAR FC TAB
ZEGASE TAB
ZEGAVIT TAB
ZIBRAMAX SYR
ZIBRAMAX TAB
ZIDIFEC INJ
ZINC TZB
ZINCARE 20 TAB
ZOFREDAL 2MG
ZOFREDAL 3MG
ZOLASTIN TAB
ZUMAFIB 300
ZUMAFIB MICRO 160 TAB
ZYCIN 250MG
ZYCIN 500 TAB
ZYFLOX 400 TAB
ZYPRAZ 0.25
ZYPRAZ 0.5

4
12.705
12.705
6.353
42.880
301.744
11.355
2.779
3.176
127.050
41.291
323.127
686
2.938
3.465
14.822
3.971
11.911
17.470
19.387
31.763
17.470
1.801
722

V. ALAT KESEHATAN
A. RSU
No

Nama Alat

Spek

Satuan

4
Set

Harga Satuan
(Rp.)
5
164.312.700

1
1

2
Abdominal Histerectomy
Set

Alat Cek KG

10-600/Dl, 200
Memory

Unit

787.500

3
4

Aligator IUD
Amubag Bayi

Stainless Stell
Resucicator Volume
635 Ml

Set
Set

642.900
4.901.900

Amubag Dewasa

Resucicator Volume
1,475 Ml

Set

4.660.800

Autoclave 600-700 Lt 2
Pintu Spin

Unit

4.360.356.000

7
8

Automatic Processor
Autorefractometer

Unit
Unit

186.206.100
328.253.100

VII - 72

1
9
10
11
12

2
Bak Insrumen besar 512
Bak spuit 20,12
Bak Spuit 20,7
BakInstumen sedang tutup

13
14
15
16
17

Balon EKG set


Balon Tensi
Basic Small orthopedy set
Blankar
Blankar Dewasa

18
19
20

Blanket Warmer
Blood Warmer
Bor Mastoid (dengan Bor
berbagai ukuran)

21
22
23
24
25
26
27
28
29
30

Breast pump Electrik


Buli-buli panas
caesarian section set
Cateter Metal
Centrifuge
Comedo Extraktor
CPAP
CT Scan 64 Slice
CTG with recorder Mobile
Curis Radiofrekwensi for
ENT

31
32
33
34

Curretage Set
Defibrilator
Dental Unit
Dental X-Ray Extra Oral
Panoramic

35
36

Diamond bor
Dopler

37
38
39

Echocardiography
EKG
Electric ICU Bed Electric
Lengkap

40

Electric Microscope
Binocular With Battery

41
42
43
49
50
51
52
53
54
55
56
57
58

Electrical Stimulation
Elektro Surgery Cauter
Endoscopy Lengkap
Es Krang (u/THT)
Escavator
ETT no 2,5
ETT no.2
ETT no.3
ETT no.3,5
Flow Meter
Food Trolly
fototeraphy set
Gelas Ukur 1 L

3
Stainless
Stainless
Stainless
Stainless
Karet
Karet

4
Pcs
Pcs
Pcs

5
112.500
99.600
69.100

Pcs
Box
Pcs
Set
Unit

99.600
602.700
46.600
116.603.700
11.809.300

Set
Unit
Unit

5.590.200
99.924.800
79.939.900

Set
Pcs
Pcs
Set
Pcs
Unit
Pcs
Unit
Unit
Unit

249.812.100
38.600
41.800
229.917.800
16.100
128.171.000
28.100
2.180.178.000
19.947.231.200
81.756.700

Unit
Set
Unit
Unit

552.800.500
24.406.000
436.399.000
860.406.200

Unit
Set

1.090.089.000
128.600

Unit
Unit
Unit

4.660.800
908.407.500
79.939.900

Unit

91.802.900

Unit
Unit
Unit
Set
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Set
Unit
Set
Pcs

96.970.900
313.941.400
590.671.300
2.725.222.500
289.300
24.100
265.200
265.200
225.000
189.600
964.300
35.791.300
15.617.600
24.100

Tiang Infus, Breket


Oxygen,Powder Coater

Electrik
Karet
Stainless Stell
Stainless

Diamond
Sensitivity Selection
10-12 Weeks,
Intensity < 10
Mw/Cm2

Karet / Plastik
Karet / Plastik
Karet / Plastik
Karet / Plastik
Range 1-15 L/ Min

Plastik

VII - 73

1
59
60
61
62
63
64
65
66

2
Gelas Ukur 500 cc
Gunting benang 14
Gunting Bengkok 10 cm
Gunting jaringan 12 ctr
Gunting Jaringan 12 cvd
Gunting jaringan 18 cvd
Gunting Lurus 10 cm
Gunting Lurus TajamTajam

3
Plastik
Stainless
Stainless
Stainless
Stainless
Stainless
Stainless
Stainless

67

Gunting Pemecah ketuban

Stainless

68
69
70
71
72
73
74
75
76
77
78
79
80

Gunting perban 14
Gunting perban 18
Gunting Tajam tumpul
Gunting tali Pusar
Gunting Up Hecting
GV Set
Hb Sahli
Head Lamp
Hematocrit Centrifuge
Hernia dan Appendix set
Ht Air Sterilizer
hysterektomy set
Incubator Servo+Skin
Control+Scale

81

Infant Radiant Warmer with


oksigen tank plus Optional
Parts for Warmer

82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
102
103
104
105

Infrared Digital
Thermometer
Infus Pump
inkubator
Instrumen Trolly
Iodin Cup
Kaca mulut
Katarak unit iol
Kitchen Set Hospital
Klem arteri biasa
Klem Lurus Besar
Klem Lurus Kecil
kom bethadin sedang
Kom kecil
Kom kecil tutup
Kom Sedang Tutup
Komersial Dishwasher
Korentang
Kursi Roda
Kursi Roda

106 Laboratory Incubator


107 Lampu Sorot
108 Laparascopy and
Histeroscopy Set
109 Laparatomy Set
110 large set orthopedy

4
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs

5
24.100
33.800
39.400
46.100
46.100
46.100
38.400

Pcs

38.400

Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Unit
Unit
Set
Unit
Set

80.400
41.800
61.500
38.600
82.000
42.600
401.800
52.200
39.061.500
135.545.100
135.923.200
135.192.400
256.989.700

Unit

150.614.000

Unit

205.345.500

Unit
Unit
Unit
Unit
Pcs
Pcs
Unit
Set
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Unit
Pcs
Unit

909.700
146.253.600
381.705.800
9.084.100
88.400
24.100
314.999.400
136.261.100
37.000
37.000
37.000
28.100
22.500
22.500
169.100
136.261.100
106.100
4.542.000

Stainless Steel Velg


Palang

Unit

Examination Lamp

Unit
Set

1.687.500
139.764.400
1.382.200

Unit
Set
Set

4.475.766.400
178.556.600
132.090.200

Stainless
Stainless
Stainless
Stainless
Stainless
Stainless
Plastik / Kaca

10-50 Deg. C, Dc 3V

Stainless
Stainless

Stainless
Stainless
Stainless
Stainless
Stainless
Stainless
Stainless
Stainless

VII - 74

1
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127

2
laringoscope
Laringoscope Set Classic
Lemari Instrument
Lens Meter
Linen Humper Carriage
Loundry Set Hospital
Manipulasi Table Electric
Masker prematur
Mastoidectomy Set
Mata Bor
Mayo anak no 3
Mayo anak no 5
Mayo dewasa no 10
Mayo dewasa no 6
Mayo dewasa no 8
Mayo Tabel Full SS
Mayor Basic Set General
Surgery

128 Meja Instumen Stainless


Steel

Karet
Karet
Karet
Karet
Karet

/
/
/
/
/

Plastik
Plastik
Plastik
Plastik
Plastik

131 Mesin Anesthesi tanpa


Ventilator

134
135
136
137
138
139

Set

341.503.100

Set
Unit

2.852.700
1.409.848.400

Set

1.438.917.500

Unit
Unit

817.566.800
191.606.600

Set
Unit
Unit
Unit
Unit
Unit

899.300
299.774.500
72.672.600
49.017.700
454.203.800
10.438.700

Unit
Pcs
Pcs

54.958.700
141.400
128.600

Unit

361.078.400

Unit
Unit
Unit
Set

540.502.500
317.760.900
444.551.900
18.168.200

Pcs

117.300

Pcs
Set
Unit
Pcs
Pcs
Pcs
Pcs

117.300
47.992.000
72.672.600
69.100
21.700
28.100
28.100

Stainless

Monitor Central EKG


Monitor EKG
Mortuari Carriage
Mortuari Refrigerator
Nebulizer
Neonate Bilirubin
Phototerpy Equipment

140 Nierbeken besar 25


141 Nierbeken sedang 23
142 OAE System with DP and TE

5
8.789.200
30.348.100
23.547.400
225.451.800
30.885.900
365.628.900
245.270.000
123.000
181.681.500
169.100
104.500
104.500
104.500
104.500
104.500
9.084.100

Stainless Stell

129 Meja Operasi


130 Mesin Anesthesi
+Ventilator+Monitor

132 Microwave Diathermy


133 Minor surgeri set (13 item)

4
Unit
Set
Unit
Set
Unit
Set
Unit
Pcs
Set
Set
Pcs
Pcs
Pcs
Pcs
Pcs
Unit

Stainless
Stainless

143 Operating Microscope Mata


with opsional accessories
144
145
146
147

Operating Microscope THT


Orthopedy Set
Otopsy Set
Paringial Air Way ( mayo)
no. 2,5

148 Paringial Air Way ( mayo)


no. 4
149
150
151
152
153
154

Partus Set
Patient Monitor
Penlight
Pinset ( untuk Poli Gigi )
Pinset Anatomis
Pinset Chirurgis 10 cm

Karet / Plastik
Karet / Plastik

Plastik
Stainless
Stainless
Stainless

VII - 75

1
155
156
157
158

2
Pinset Chirurgis 14
Pispot BAB sodok
Pocket Doppler
Portable Low Temperature
EO Gas Sterilizer

159 Portable Suction


160 Reflek Hamer
161 Resusitasi Set
162 Resusitasi set dewasa
163 Sampiran
164 Scapel Handle
165 Sendok Kuret ( poli kulit)
166 Sensor Finger O2

167
168
169
170
171
172
173
174
175

Short Wave Diathermy


Slit Lamp
Sonde lurus
Sonde Sabit
Spectrophotometer
Spekulum Hidung
Spirometri
Spuit Gliserin
Standar infus 2 hook s/s
steel

176 Standing Tensimeter Air


Raksa
177 Sterilisator Basah
178 Sterilisator Kering
179 Stetoscope Anak

3
Stainless
Stainless

Paduan Stainless Dan


Karet
Paduan Stainless Dan
Karet / Plastik

Stainless
Stainless
Compatible Dash
2500, Omheda,
Datascope

Stainless
Stainless
Stainless
Stainless
Stainless

Unit
Unit

472.008.500
6.358.900

Pcs
Set

41.800
10.900.900

Pcs

425.900

Unit
Pcs
Pcs

3.134.000
200.900
92.200

Unit
Unit
Unit
Pcs
Pcs
Unit
Pcs
Unit
Pcs

3.214.400
697.740.300
524.989.000
23.100
23.100
581.868.100
140.600
70.855.800
149.500

Pcs

514.300

Unit
Unit
Unit

3.495.600
5.450.400
5.450.400

Unit
Unit

2.096.300
2.445.700

Unit

6.268.000

Unit
Unit
Unit

4.751.700
401.479.800
143.795.600

Set
Pcs

3.857.200
106.100

Unit

29.977.400

Unit
Unit

29.977.400
3.284.200

0- 300 Mhg

Dual Head,
Alumunium
Chestpiece
Dual Head Type
Suction Rate
15L/Min, Holder 1000
Ml

182 Suction Portable

Suction Rate
30L/Min, Holder 1000
Ml

Tp 250 Bar, Wp 150


Bar
Stainless

188 Tempat Tidur Kelas 3


Lengkap
189 Tensimeter Air Raksa

19.300
54.600
8.698.900

Bahan Stainless Stell

180 Stetoscope Dewasa


181 Suction Bayi

183 Surgical Scrub Station


184 Syringe Pump
185 Tabung O2 Kecil, Troli,
Flowmeter
186 Tempat korentang
187 Tempat Tidur Anak Lengkap

4
Pcs
Pcs
Unit

0-300 Mhg

VII - 76

1
2
190 Tensimeter Digital

191 Thermometer Air Raksa


192 Thermometer Digital
193 Timbangan Badan + Tinggi
194 Timbangan Bayi

3
0-300 Mmhg, Dc 6V,
Memory Recall
Kaca / Plastik
Kaca / Plastik
Max 120 Kg, 190 Cm
Kapasitas 20 Kg

195 Timbangan Dewasa, Camry


196 Tonsilectomy +
Adenoidectomy Set

Unit
Pcs
Pcs

1.397.600
41.900
86.000

Unit

1.390.200

Unit
Pcs

699.100
838.500

Set

101.385.900

Set
Set
Pcs
Pcs
Unit
Set
Unit
Unit
Unit
Unit
Unit

150.638.000
136.597.200
38.400
28.100
249.812.100
219.479.800
4.741.200
32.521.000
530.400
610.700
1.245.600

Unit
Pcs
Pcs
Unit
Set
Set
Unit
Unit

349.756.100
14.500
14.500
1.046.485.400
593.190.100
24.406.000
2.068.272.900
81.966.300

Pcs
Unit
Unit

98.000
9.901.600
1.217.266.100

197 Tonsilectomy Pediatric Set


198
199
200
201
202
203
204
205
206
207
208

Tonsilectomy Set
Tounge Spatael
Tourniquet
Transport Incubator
Trial LENS Set
Troli GV
Trolly Emergency
Tromol 18
Tromol Kecil 22,20
Tromol Sedang 30,25
Tympanoplasty Set Lengkap

209
210
211
212
213
214
215
216
217

Ultrasound Therapy
Urinal Plastik laki-laki
Urinal Plastik perempuan
USG 4 dimensi mobile
USG+Biometri
Vaccum Set
Ventilator
warm blanket
Waskom Steinless Stell 36
cm

Stainless / Plastik
Karet

Stainless Stell
Stainless Stell
Stainless Stell
Stainless Stell

Plastik
Plastik

Stainless

218 X-Ray Film Viewer


219 X-Ray Fix 500mA 125 KV

B. DINAS KESEHATAN

NO

URAIAN

1
2
PROGRAM GIZI
1
TIMBANGAN GANTUNG
DACIN + SARUNG
BELACU UNTUK BALITA
DAN POSYANDU
2

3
4

MICROTOISE
STATURMETER (Alat ukur
Tinggi Badan)

SPESIFIKASI

SATUAN

HARGA

Kapasitas 25 Kg
dengan akurasi 100 gr
Buah

404.300

Buah
Buah

115.500
8.700

Buah

2.194.500

Panjang 200 Cm

PITA LILA
ukuran 50 cm x 2 cm
SECA 417 INFANTOMETER Portable
PORTABLE

VII - 77

1
5

6
7
8

2
SKDN ( Ukuran 50 x 60 cm)

23.100

SISTEM INFORMASI
POSYANDU (SIP)

Ukuran 45 x 60 cm
ketebalan : 60 lembar

Buku

28.900

TIMBANGAN MANGKOK
DIGITAL

Kapasitas 5 Kg
dengan akurasi 0,1 gr

Buah

173.300

Digital Jewelry Scale Precision Kapasitas 2000 gr


Scale w/ Piece Counting ACCT - dengan akurasi 0,1 gr
2000 (Pemantauan Konsumsi
Gizi Untuk Bahan Makanan)

Buah

173.300

Paket

519.800

Paket

808.500

Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Paket
Paket
Paket
paket
Paket

288.750
462.000
288.750
231.000
231.000
231.000
231.000
231.000
231.000
231.000
173.250
1.732.500
1.732.500
577.500
1.732.500
577.500

Lembar
Buku
Buku
Buku
Paket
Paket

3.500
52.000
52.000
52.000
4.620.000
2.310.000

Kit Konseling Gizi

1 Paket ( Boneka,
Spuit 10 ml, payudara
peragaan, mangkok
kecil plastik, Selang
NGT ( Infant), dll)
40 Item Model Bahan
makanan

PROGRAM KESEHATAN IBU DAN BAYI


1 TIMBANGAN DEWASA DIGITAL
2 TIMBANGAN BAYI DIGITAL
3 PARTOGRAFT
4 KOHORT IBU PUSKESMAS
5 KOHORT IBU DESA
6 KOHORT BAYI PUSKESMAS
7 KOHORT BAYI DESA
8 REGISTER KARTU IBU
9 REGISTER KARTU BAYI
10 BLANKO PWS
11 buku KIA
12 Partus KIT + ambubag
12 HB Elektrik ( Stick)
13 Proteinuri test
14 Resusitasi Kit
15 Glucose Test
PROGRAM ANAK DAN LANSIA
1 KMS LANSIA
2 FORMULIR MTBS
3 FORMULIR MTBM
4 KARTU NASIHAT IBU
5 UKS KIT
6 LANSIA KIT
7 Formulir Deteksi Dini Tumbuh
Kembang Anak

Lembar

10 Food Model ( Bahan Konseling)

3
Ukuran 50x 60 cm
dilengkapi dengan
kertas warna (Merah,
Kuning, Hijau, Biru)

Buku

52.000

Buku

92.400

Buku

92.400

Register Kohort Kesehatan bayi


Register Kohort Kesehatan
Anak Balita & Prasekolah

KEGIATAN PROMOSI KESEHATAN


1 Stiker

DL.ENV

satuan

5.775

VII - 78

BIDANG PENGENDALIAN PENYAKIT


1 Vaksin Carier ( Alat
Uk. 450 ml
Transportasi vaksin Jarak
dekat )

Buah

1.625.100

Unit
Buah
Buah
Buah
Buah

40.425.000
363.800
504.700
1.625.100
69.300

F672301KS

Unit

60.333.200

Covidien/N-560/USA
SN :
011411120096

Unit
Dus

78.193.500
924.000

Swing fog SN 50
Germany

Unit

40.425.000

Unit

5.775.000

Dus
Buah
Unit
Unit
Dus
Dus
Unit

1.732.500
52.000
2.310.000
2.021.300
404.300
115.500
2.887.500

Lemari Vaksin Top Opening

Sansio Refrigerator
218 R

3
4
5
6
7

Electrical Thermostat
Heater
Vaksin Carier Spesimen
Sound Timer
Oxigen Concentrate

Suhu 2 s.d 8 c
Volt 220 v, 85 Watt
Uk. 450 ml
Devilbiss/525
KSDF/USA
SN :

Pulse Oximetry

9 Masker H5N1
10 Mesin Fogging
11 Mesin Ukur kadar gula,
Cholesterol, trigliserida

Accucek

12 Strip pengukur gula darah dan


kolesterol, trigliseridA

Accucek

13
14
15
16
17
18

Stop watch
Nebulaizer
Blood Glukotest
Strip glukocek
Jarum pemeriksaan
Electronic Body Fat scale

BIDANG PENGENDALIAN
No
1
1
2
3
4
5
6
7

URAIAN
2
Vaksin Carrier Jarak Dekat
Lemari Vaksin Top Opening
Rapid Test HIV 1
Rapid Test HIV 2
Rapid Test HIV 3
Masker H5N1
Mesin Fogging

BIDANG KESEHATAN KELUARGA


1 Buku Foto Makanan untuk
Survei Konsumsi Makanan
individu
2.

Piring ceper

SPESIFIKASI
3
ADVC-24 ( 0,8 Liter )
Kapasitas 18,2 tipe
RCW 42 EG
Oncoprobe HIV
Intec HIV
Biomeriux
Swing Fog SN 50
Germany

Ukuran 20 cm x 20
cm (Kertas glossy
warna kwalitas
Highclass)

SATUAN
4
Buah

HARGA
SATUAN (Rp.)
5
1.737.200

Unit
KIt
Kit
Kit
Dus

75.075.000
3.465.000
3.465.000
4.042.500
924.000

Unit

40.425.000

Buku

127.100

buah

69.900

Porselen tebal ukuran


diameter 25,5 cm list
: warna emas berlogo

VII - 79

1
3.

2
Piring bubur

4.

Piring lauk

3
Porselen tebal
bentuk cekung,
ukuran diameter 23
cm list : warna emas
berlogo
Porselen tebal ,
bentuk oval, ukuran
panjang : 16,5 cm
lebar : 9,5 cm

5.

Gelas cangkir + cawan

Porselen tebal
volume 150 cc,
ukuran diameter 7,5
cm tinggi : 6 cm,

6.
7.

Sendok + garpu
Mangkuk sayur

Stainless stil tebal


Porselen tebal ,
bentuk cekung
ukuran diameter 11
cm list : warna emas
berlogo

Piring pasien 1 set ( piring


ceper, mangkuk sayur, gelas
cangkir+ cawan, piring bubur,
piring lauk )

9.

Kelengkapan Peralatan Rumah Bahan yang


berkualitas
Tangga/ dapur untuk
Puskesmas Theurapeutic
Feeding Centre (TFC) : Lemari
Bahan Makanan Kering &
Bahan Makanan Basah, Panci,
Blender, Magic Com , kompor,
dll. )

Kayu dan plastik


berkualitas

11. Bahan Kontak untuk ibu


balita/ balita yang dikunjungi/
wawancara dalam kegiatan
program Gizi Keluarga

Alat-alat kebersihan
(sabun, odol, sikat
gigi, sampho)

67.500

buah

33.000

buah
buah

29.200
5.100

buah

33.000

127.100

Paket

12.705.000

Paket

1.270.500

Set

25.400
0

BUKU

23.100

REGISTER PELAYANAN
KESEHATAN LANSIA DI
POSBINDU

BUKU

92.400

REGISTER PELAYANAN
KESEHATAN LANSIA DI
PUSKESMAS

BUKU

92.400

REGISTER PELAYANAN
KESEHATAN REMAJA

BUKU

92.400

BUKU PEMANTAUAN
KESEHATAN PRIBADI LANSIA

BUKU

17.300

BARANG CETAKAN
1 BUKU RAPOR KESEHATAN
SISWA SEKOLAH DASAR DAN
LANJUTAN

buah

Set

10. Peralatan Keterampilan /Alat


Permainan Edukatif untuk
Kelengkapan (TFC)

Melamin berkualitas

8.

VII - 80

1
6

2
FORMULIR PENJARINGAN
KESEHATAN SISWA

BUKU

52.000

FORMULIR PEMERIKSAAN
KESEHATAN LANSIA DI
PUSKESMAS

BUKU

52.000

FORMULIR PEMERIKSAAN
KESEHATAN REMAJA

BUKU

52.000

KARTU KONSELING LANSIA

BUKU
PAKET
PAKET

52.000
288.800
577.500

10 KIT SDIDTK
11 KIT PKPR
12 BUKU KESEHATAN IBU DAN
ANAK
13
14
15
16
17
18
19
20
21
22
23
24
25

KHORT IBU
KHORT BAYI
KARTU BAYI
KARTU IBU
LB 3 KIA
PWS KIA
LAP KESPRO TERPADU
REKAP KEMATIAN BAYI
REKAP KEMATIAN IBU
FORMAT SARANA PRASARANA
REKAPAN KHORT BAYI
REKAPAN KHORT IBU
FORMAT AUDIT MATERNAL
PERINATAL

26 BUKU PEDOMAN ANC


TERPADU
27 BUKU KESEHATAN
REPRODUKSI UNTUK
PETUGAS KESEHATAN DI
TINGKAT PELAYANAN DASAR
(KIE)

BUKU
BUKU
BUKU
BUKU
BUKU
BUKU
BUKU
BUKU
BUKU
BUKU
BUKU
BUKU
BUKU

23.100
115.500
115.500
40.400
40.400
40.400
40.400
40.400
40.400
40.400
40.400
40.400
40.400

BUKU

40.400

BUKU

40.400

BUKU

40.400

28 BUKU PELAYANAN TERPADU


KESPRO DI PUSKESMAS

BUKU

40.400

29 KESPRO YANG PERLU


DIKETAHUI PETUGAS
KESEHATAN

BUKU

40.400

BUKU
BUKU

40.400
40.400

BUKU
BUKU

40.400
40.400

BUKU

40.400

BUKU
BUKU

40.400
40.400

BUAH

577.500

30 BUKU PROGRAM KESPRO DAN


PELAYANA INTEGRATIF DI
TINGKAT PELAYANAN DASAR
31 BUKU BBL BAYI DAN BALITA
32 BUKU SAKU PELAYANAN
NEONATAL ESENSIAL
33 PEDOMAN MANAJEMEN BBLR
34 PEDOMAN MANAJEMEN
ASFIKSIA
35 BUKU SERI KADER
MENGENAL TANDA BAHAYA
KEHAMILAN PERSALINAN DAN
NIFAS
36 PARTOGRAF
37 Lembar balik Kelas Ibu hamil
20 cm x 30 cm (Kertas
warna kwalitas
Highclass)

VII - 81

C. PERALATAN KESEHATAN LINGKUNGAN


NO
URAIAN
SPESIFIKASI
1
2
3
I. Analisa Kualitas Makanan dan Minuman
1 Alat Uji Kandungan Babi Pada Merk Xema; Cat.
Makanan / Pork Detection Kit #/Type PDKX101/10; QTY 10
Tests
Merk Xema; Cat.
#/Type PDKX101/20; QTY 20
Tests
Merk Xema; Cat.
#/Type PDKX101/50; QTY 50
Tests
Merk Xema; Cat.
#/Type PDKX101/100; QTY 100
Tests
2

10

Satuan
4

HARGA SATUAN
(Rp.)
5

Kit

2.221.499

Kit

4.146.797

Kit

10.366.991

Kit

19.771.333

Merk Xema; Cat.


#/Type ADKX201/25; QTY 25
Tests

Kit

1.851.249

Merk Xema; Cat.


#/Type ADKX201/50; QTY 50
Tests

Kit

3.406.298

Merk Xema; Cat.


#/Type ADKX201/100; QTY 100
Tests

Kit

6.516.395

Merk InScienPro ;
Cat. #/Type Hyteria100; QTY 1 Unit

Unit

97.005.419

Alat Pengambil Sample Usap


Alat Makanan/Masak dan
Rectal Swab

Merk ContFote; Cat.


#/Type RJ-34; QTY 1
Unit

Unit

10.218.892

Portable Food Contamination


Test Kit (Physic, Chemical,
Microbiology)

Merk ContFote; Cat.


#/Type F-05; QTY 1
Unit

Unit

186.235.593

Food Contamination Test Kit

Merk ContFote; Cat.


#/Type F-02; QTY 1
Unit

Unit

157.133.968

Merk ContFote; Cat.


#/Type F-09; QTY 1
Unit

Unit

240.069.898

Merk ContFote; Cat.


#/Type ITP-11/12;
QTY 1 Unit

Unit

161.576.964

Merk ContFote; Cat.


#/Type ITP-05; QTY 1
Unit

Unit

77.752.435

Merk ContFote; Cat.


#/Type ITP-03; QTY 1
Unit

Unit

50.279.907

Alcohol Detection Kit (In Food


& Water)

Hygiene Inspection Kit

Food Contamination Test Kit

Portable Food Contamination


Test Kit
Food Security Kit

Food Security Kit

VII - 82

1
11

12

13

14

2
Food Thermometer

3
Merk Kimo Ints; Cat.
#/Type TR-151E; QTY
1 Unit

Unit

10.515.092

Merk InScienPro; Cat.


#/Type CH-300; QTY
1 Unit

Unit

40.764.490

Merk InScienPro; Cat.


#/Type MS-7; QTY 1
Unit

Unit

25.028.879

Merk ContFote; Cat.


#/Type FCTK-F-0209/RC; QTY 1 Paket

Paket

67.829.743

Merk ContFote; Cat.


#/Type FCTK-ITP1112/RC; QTY 1 Paket

Paket

76.271.436

Merk ContFote; Cat.


#/Type FCTK-ITP03/RC; QTY 1 Paket

Paket

47.243.861

d. Refill Package For New Food Merk ContFote; Cat.


Security Kit ITP-05 (Complete) #/Type FCTK-ITP05/RC; QTY 1 Paket

Paket

42.800.864

e. Refill Package For Food


Contamination Test Kit F-05
(Complete)

Merk ContFote; Cat.


#/Type FCTK-F05/RC; QTY 1 Paket

Paket

81.306.832

Anthrax Threat Detection Kit,


10/Box

Merk Adv. Tech; Cat.


#/Type ANTH-KIT-10;
QTY 10 Tests

Box

12.514.440

Merk Adv. Tech; Cat.


#/Type RIC-KIT-10;
QTY 10 Tests

Box

12.514.440

Merk Adv. Tech; Cat.


#/Type BOT-KIT-10;
QTY 10 Tests

Box

12.514.440

Merk Adv. Tech; Cat.


#/Type SEB-KIT-10;
QTY 10 Tests

Box

12.514.440

Merk Adv. Tech; Cat.


#/Type Y.PESTIS KIT10; QTY 10 Tests

Box

12.514.440

Merk Adv. Tech; Cat.


#/Type TUL-KIT-10;
QTY 10 Tests

Box

12.514.440

BADD Complete Mix, Anthrax, Merk Adv. Tech; Cat.


Ricin, Botulinum, Y. Pestis,
#/Type MIX-BX--30
SEB, Tularemia, PK/30
ABRYST; QTY 30 Tests

PK

31.841.474

BADD BOX Anthrax, Ricin,


Bot Threat Detection Kits,
PK/30

Merk Adv. Tech; Cat.


#/Type MIX-BX-30ARB; QTY 30 Tests

PK

31.841.474

PRO STRIP Rapid Screening


System Multi-Threat Kit,
10/bx

Merk Adv. Tech; Cat.


#/Type PS-5T; QTY 10
Tests

Box

27.990.877

Portable Pesticide Meter

Portable Moisture Meter

Paket Refill Untuk Food


Contamination Test Kit
ContFote
a. Refill Package For FCTK F02/F-09 (Complete)
b. Refill Package For Portable
FCTK ITP-11/12 (Complete)
c. Refill Package For Food
Security Kit ITP-03 (Complete)

15

16

17

18

19

20

21

22

23

Ricin Toxin Threat Detection


Kit, 10/Box
Botulinum Toxin Threat
Detection Kit, 10/Box
SEB Threat Detection Kit,
10/Box
Plague (Y. pestis) Threat
Detection Kit, 10/Box
Tularemia Threat Detection
Kit, 10/Box

VII - 83

1
24

25

26

2
PRO PAK (PRO STRIPS AND
BADD MIX) PK/30

3
Merk Adv. Tech; Cat.
#/Type PS-5BX; QTY
30 Tests

PK

46.059.062

Informant 15 Minute Black


Mold Detection Test, 10
Kits/bx

Merk Adv. Tech; Cat.


#/Type MOL-Kit-10 ;
QTY 10 Tests

Box

15.106.187

Informant 15 Minute Black


Mold Detection Test, 25
Kits/cs

Merk Adv. Tech; Cat.


#/Type MOL-Bx-25;
QTY 25 Tests

CS

28.879.476

II. Analisa Kualitas Air


27 Water Test Kit Multiparameter
(Physic, Chemical,
Microbiology)
28
29
30
31
32
33
34
35

Unit
Unit
Unit
Unit
Unit
Unit

319.747.631
399.425.363
264.950.677
171.647.756
88.711.826
93.154.822

Unit

39.838.867

Unit

45.762.862

Paket Refill Untuk Water


Test Kit inScienPro
a. Refill Package For WTK AYI- Merk InScienPro; Cat.
10 (Cell Test)
#/Type WTK-10/CT;
QTY 1 Paket

Paket

49.761.558

b. Refill Package For WTK AYI- Merk InScienPro; Cat.


10 (Reagent Test + Kuvet)
#/Type WTK-10/RT;
QTY 1 Paket

Paket

81.603.032

c. Refill Package For WTK AYI- Merk InScienPro; Cat.


20 (Reagent Test)
#/Type WTK-20/RT;
QTY 1 Paket

Paket

61.905.748

d. Refill Package For WTK AYI- Merk InScienPro; Cat.


40 (Reagent Test)
#/Type WTK-40/RT;
QTY 1 Paket

Paket

118.405.850

Merk InScienPro; Cat.


#/Type SWTK-S1/RT;
QTY 1 Paket

Paket

49.613.459

Merk InScienPro; Cat.


#/Type WTKB01/MR; QTY 1 Paket

Paket

25.917.479

g. Refill Package For Simple


Water Test Kit for Puskesmas
(ECO-S2)

Merk InScienPro; Cat.


#/Type SWTKPS2/RT; QTY 1 Paket

Paket

31.841.474

h. Refill Package For


Sanitarian Field Kit for
Puskesmas (G-07)

Merk InScienPro; Cat.


#/Type SFP-G07/RT;
QTY 1 Paket

Paket

21.474.482

i. Refill Package For Complete


Water Test Kit (CW-200)

Merk InScienPro; Cat.


#/Type WTKCW200/RT; QTY 1
Paket

Paket

139.658.183

Complete Water Test Kit


Water Test Kit
Water Test Kit
Simple Water Test Kit
Water Test Kit for Microbiology
Simple Microbiology Test Kit
for Puskesmas
Simple Water Test Kit for
Puskesmas

e. Refill Package For Simple


WTK ECO-S1 (Reagent Test)
f. Refill Package For WTK for
Microbiology ECO-01

VII - 84

1
2
36 Micro Tester Pro Chemical
Testers
a. Ammonia Nitrogen, box of
30 ampoules
b. Chlorine DPD, box of 30
ampoules
c. Hardness Level, box of 30
ampoules
d. Iron, box of 30 ampoules

e. Phosphate(ortho)-WRl, box
of 30 ampoules
f. Zinc, box of 30 ampoules

g. Nitrate/Nitrite Test Strip


(100 test)

37

38

39

40

Heavy Metal Detector

Water Quality Testing GPS


Aquameter (Multiparameter)
Water Quality Testing GPS
Aquameter (Multiparameter)
AquaLogger (untuk data
logging pengukuran)
AquaLogger (untuk data
logging pengukuran)

41

42

43

44

45

Portable Turbidity Meter

Portable pH Meter
(pH/mV/Temp)
Portable Conductivity Meter
(Cond/Sal/TDS/Temp)

5
-

Merk Simpltek; Cat.


#/Type
ST9260MI/30; QTY
30 Tests
Merk Simpltek; Cat.
#/Type
ST9262MI/30; QTY
30
Tests
Merk
Simpltek; Cat.

Box

3.036.048

Box

3.036.048

#/Type
ST9284MI/30; QTY
30
Tests
Merk
Simpltek; Cat.

Box

3.036.048

#/Type
ST9266MI/30; QTY
30
Tests
Merk
Simpltek; Cat.

Box

3.036.048

Box

3.036.048

#/Type
ST9270MI/30; QTY
30 Tests
Merk Simpltek; Cat.
#/Type
ST9272MI/30; QTY
30 Tests
Merk Simpltek; Cat.
#/Type
ST8100TS/100; QTY
100 Tests

Box

3.036.048

Strip

3.036.048

Merk HF Scientific;
Cat. #/Type HF-38;
QTY 1 Unit

Unit

209.265.124

Merk Aquaread; Cat.


#/Type AP-7000 &
AM-200; QTY 1 Unit

Unit

426.527.640

Merk Aquaread; Cat.


#/Type AM 200 +
AP2000-D; QTY 1 Unit

Unit

151.802.372

Merk Aquaread; Cat.


#/Type AquaLogger
only; QTY 1 Unit

Unit

61.905.748

Merk Aquaread; Cat.


#/Type AquaLogger +
AP2000-D; QTY 1 Unit

Unit

151.802.372

Unit

75.382.837

Merk Partech; Cat.


#/Type TS-740; QTY 1
Unit

Unit

73.901.838

Merk InScienPro; Cat.


#/Type XTM-100;
QTY 1 Unit

Unit

28.879.476

Merk Consort; Cat.


#/Type C5010P; QTY
1 Unit

Unit

22.955.481

Merk Consort; Cat.


#/Type C5020K; QTY
1 Unit

Unit

24.436.480

Water Quality Meter AquaPlus Merk Aquaread; Cat.


with GPS (Multiparameter)
#/Type DO 200 &
AquaPlus Probe; QTY
1 Unit
Portable Total Suspendid
Solid Monitor

VII - 85

1
46

47

48

49

50

51

52

53

54

2
Portable DO Meter

3
Merk Consort; Cat.
#/Type C5020Z; QTY
1 Unit

Unit

33.914.872

Portable Multiparameter
Merk Consort; Cat.
(pH/mV/Conductivity/SAL/TD #/Type C5020T; QTY
S/DO/Temp)
1 Unit

Unit

43.393.264

Merk Consort; Cat.


#/Type C3010P; QTY
1 Unit

Unit

31.249.074

Merk Consort; Cat.


#/Type C3010K; QTY
1 Unit

Unit

33.322.472

Merk Consort; Cat.


#/Type C3020Z; QTY
1 Unit

Unit

45.170.462

Benchtop Multiparameter
Merk Consort; Cat.
(pH/mV/Conductivity/RES/S #/Type C3020T; QTY
AL/TDS/DO/Temp/AirPressur 1 Unit
e)

Unit

53.464.055

Benchtop Multiparameter
Merk Consort; Cat.
(pH/mV/Ion/Conductivity/RE #/Type C3030T; QTY
S/SAL/TDS/DO/Temp/AirPre 1 Unit
ssure)

Unit

Benchtop Multiparameter
Merk Consort; Cat.
#/Type
C3050T; QTY
(pH/mV/rH2/Conductivity/RE
1 Unit
S/SAL/TDS/Temperature)

64.423.446
-

Unit

66.496.844

Unit

49.613.459

Unit

57.758.951

Merk InScienPro; Cat.


#/Type US-110; QTY
1 Unit

Unit

176.979.351

Merk InScienPro; Cat.


#/Type US-110PC;
QTY 1 Unit

Unit

184.384.345

Merk InScienPro; Cat.


#/Type US-120; QTY
1 Unit

Unit

149.432.774

Merk InScienPro; Cat.


#/Type US-120PC;
QTY 1 Unit

Unit

155.652.969

Merk InScienPro; Cat.


#/Type HWS-2.2Lt;
QTY 1 Unit

Unit

13.180.889

Merk InScienPro; Cat.


#/Type HWS-3.2Lt;
QTY 1 Unit

Unit

17.771.985

Merk InScienPro; Cat.


#/Type HWS-4.2Lt;
QTY 1 Unit

Unit

19.623.234

Benchtop pH Meter
(pH/mV/Temp)
Benchtop Conductivity Meter
(Cond/Sal/TDS/Temp)
Benchtop DO Meter

Portable/Bencthtop
Multiparameter
(pH/mV/Cond/RES/SAL/TDS
/DO/Temp/AirPressure)

55

56

Merk Consort; Cat.


#/Type C6020T; QTY
1 Unit

Merk Consort; Cat.


#/Type C6030T; QTY
1 Unit
(pH/mV/Ion/Condu/RES/SAL
/TDS/DO/Temp/AirPressure)

UV-Vis Spectrophotometer
(Double Beam)

UV-Vis Spectrophotometer
(Single Beam)
UV-Vis Spectrophotometer
(Single Beam)

58

Portable/Bencthtop
Multiparameter

UV-Vis Spectrophotometer
(Double Beam)
57

Horizontal Water Sampler

Horizontal Water Sampler

Horizontal Water Sampler

VII - 86

1
59

2
Vertical Water Sampler

3
Merk InScienPro; Cat.
#/Type VWS-2.2Lt;
QTY 1 Unit

Unit

13.921.388

Merk InScienPro; Cat.


#/Type VWS-3.2Lt;
QTY 1 Unit

Unit

18.512.485

Merk InScienPro; Cat.


#/Type VWS-4.2Lt;
QTY 1 Unit

Unit

20.733.983

Portable Free & Total Chlorine Merk InScienPro; Cat.


Meter
#/Type CL-100; QTY
1 Unit

Unit

36.284.470

III. Analisa Kualitas Sanitasi Lingkungan


61 Digital Sanitarian Kit for
Merk InScienPro; Cat.
Water Quality
#/Type WX-02; QTY 1
Unit

Unit

268.801.274

Merk InScienPro; Cat.


#/Type G-09; QTY 1
Unit

Unit

112.407.806

Sanitarian Field Kit for


Puskesmas (Air, Water, and
Food)

Merk InScienPro; Cat.


#/Type G-07; QTY 1
Unit

Unit

38.654.068

Sanitation Inspection Test Kit

Merk InScienPro; Cat.


#/Type G-10; QTY 1
Unit

Unit

210.153.723

Merk InScienPro; Cat.


#/Type G-11; QTY 1
Unit

Unit

51.686.857

Hospital Air Contaminant Test Merk InScienPro; Cat.


#/Type AW-1204;
QTY 1 Unit

Unit

339.000.614

Merk InScienPro; Cat.


#/Type T-07; QTY 1
Unit

Unit

147.507.476

Refill Package For Soil Test Kit Merk InScienPro; Cat.


T-07
#/Type CSTSKT7/RC; QTY 1 paket

Paket

23.844.080

Merk InScienPro; Cat.


#/Type T-05; QTY 1
Unit

Unit

62.498.147

Refill Package For Soil Test Kit Merk InScienPro; Cat.


T-05
#/Type STK-T05/RC;
QTY 1 paket

Paket

14.661.888

Merk InScienPro; Cat.


#/Type T-06; QTY 1
Unit

Unit

148.662.655

Merk InScienPro; Cat.


#/Type DMSTKT6/RC; QTY 1 paket

Paket

85.157.429

Vertical Water Sampler

Vertical Water Sampler

60

62

63

64

65

66

Sanitarian Kit for Water


Quality

Sanitarian Field Kit

IV. Analisa Kualitas Tanah


67 Complete Soil Test and
Sampling Kit

68

69

Soil Test Kit

Complete Portable
Digital/Manual Soil Test Kit
Refill Package For Digital
Manual Soil Test Kit
InScienPro T-06

VII - 87

V. Analisa Kualitas Udara


70 Multi Gas Monitor
a. Multi Gas Monitor for
Environment (O2, LEL,
CO&H2S,NO2 SO2)

147.951.776

Merk Odalog; Cat.


#/Type 7000; QTY 1
Unit

Unit

143.804.979

Merk Odalog; Cat.


#/Type 7000; QTY 1
Unit

Unit

87.675.126

Merk Odalog; Cat.


#/Type 7000; QTY 1
Unit

Unit

111.815.406

Paket

374.840.784

Odatrak System
a. OdaLog Fibre Optical H2S 0- Merk Odalog; Cat.
200 ppm
#/Type LLTF-H2S200; QTY 1 Unit

Unit

59.388.050

b. OdaLog Fibre Optical H2S 0- Merk Odalog; Cat.


1000 ppm
#/Type LLTF-H2S1000; QTY 1 Unit

Unit

59.388.050

Single Gas Detector (Logger)


a. OdaLog L2 H2S LOGGERS
- SL
- OdaLog Logger H2S 050ppm

Merk ; Cat. #/Type SLH2S-50; QTY 1 Unit

Unit

50.205.858

- OdaLog Logger H2S 0200ppm

Merk ; Cat. #/Type SLH2S-200; QTY 1 Unit

Unit

50.205.858

- OdaLog Logger H2S 01000ppm

Merk ; Cat. #/Type SLH2S-1000; QTY 1 Unit

Unit

50.205.858

- OdaLog Logger H2S 02000ppm

Merk ; Cat. #/Type SLH2S-2000; QTY 1 Unit

Unit

50.205.858

- OdaLog Logger H2S 0.002.00ppm

Merk ; Cat. #/Type


OL50; QTY 1 Unit

Unit

106.780.010

d. Mining Ambient ( O2, CH4,


CO2, CO, and H2S )

73

Unit

c. General Industry Ambient (


O2, LEL, CO, and H2S )

72

Merk Odalog; Cat.


#/Type 7000; QTY 1
Unit

b. Hospital Ambient ( NH3,


CO, CL2, H2S, O2 and LEL )

71

Merk Odalog ; Cat.


Complete Multi Gas Monitor
#/Type 7000(O2, LEL, CH4, CO, CO2, H2S,
Complete
Series; QTY
NO, NO2, SO2, PH3, HCN,
1
Paket
NH3, & CL2)

b. OdaLog L2 H2S LOGGERS


- LL
- OdaLog Logger H2S 0200ppm

Merk ; Cat. #/Type


LLH2S-200; QTY 1
Unit

Unit

52.871.656

- OdaLog Logger H2S 01000ppm

Merk ; Cat. #/Type LLH2S-1000; QTY 1 Unit

Unit

52.871.656

c. OdaLog Logger - Other


Gases
- OdaLog Logger HCN 030ppm

Merk ; Cat. #/Type SLHCN-30; QTY 1 Unit

Unit

50.205.858

- OdaLog Logger CL2 020ppm

Merk ; Cat. #/Type SLCL2-20; QTY 1 Unit

Unit

50.205.858

- OdaLog Logger NO2 050ppm

Merk ; Cat. #/Type SLNO2-50; QTY 1 Unit

Unit

50.205.858

VII - 88

74

75

76

77

78

79

80

81

82

83

84

2
- OdaLog Logger SO2 050ppm

3
Merk ; Cat. #/Type SLSO2-50; QTY 1 Unit

Unit

50.205.858

- OdaLog Logger N0 0100ppm

Merk ; Cat. #/Type SLNO-100; QTY 1 Unit

Unit

50.205.858

- OdaLog Logger C0 01000ppm

Merk ; Cat. #/Type SLCO-1000; QTY 1 Unit

Unit

50.205.858

- OdaLog Logger NH3 0100ppm

Merk ; Cat. #/Type SLNH3-100; QTY 1 Unit

Unit

52.871.656

Portable Ozone (O3) Detector

Merk ECO Sensor;


Cat. #/Type A-22;
QTY 1 Unit

Unit

59.091.851

Merk Wohler; Cat.


#/Type GS-220; QTY
1 Unit

Unit

18.364.385

Merk Wohler; Cat.


#/Type IR-24; QTY 1
Unit

Unit

20.437.783

Merk Wohler; Cat.


#/Type CM-220; QTY
1 Unit

Unit

13.180.889

Merk Wohler; Cat.


#/Type FA-320; QTY
1 Unit

Unit

17.475.785

Merk Kimo Ints; Cat.


#/Type VT-100E; QTY
1 Unit

Unit

23.399.780

Merk Kimo Ints; Cat.


#/Type LV-120E; QTY
1 Unit

Unit

22.955.481

Merk Kimo Ints; Cat.


#/Type MP-100E;
QTY 1 Unit

Unit

19.178.934

Merk Kimo Ints; Cat.


#/Type AQ-100E; QTY
1 Unit

Unit

26.509.878

Merk Kimo Ints; Cat.


#/Type Kigaz-300;
QTY 1 Unit

Unit

160.244.065

Unit

261.100.080

Unit

157.282.067

#/Type A-500; QTY 1


Unit

Unit

198.305.733

Merk Wohler; Cat.


#/Type A-600; QTY 1
Unit

Unit

221.557.413

Merk InScienPro; Cat.


#/Type U-F01; QTY 1
Unit

Unit

33.914.872

Portable Gas Sniffer

IR HygroTemp

CO Detector

Fan Anemometer

Portable Hotwire Anemometer

Portable Vane Probe ThermoAnemo Meter


Portable Digital Manometer

Portable CO2 Detector

Portable Combustion Gas &


Emissions Analyzer
Portable Combustian Gas
Analyzer
(O2, CO, CO2, NO(x), NO2,
NO, SO2, H2S, HC/CH4,
NH3/HCL)

85

86

87

88

Portable Combustian Gas


Analyzer
(O2, CO, CO2, NO(X), SO2)
Portable Flue Gas Analyser

Portable Flue Gas Analyser

Formaldehyde Meter

Merk IMR USA; Cat.


#/Type IMR2800/28000-8-SP;
QTY 1 Unit
Merk IMR USA; Cat.
#/Type IMR1400/14195; QTY 1
Unit Cat.
Merk Wohler;

VII - 89

1
89

3
Merk PPM Tech; Cat.
#/Type Htv-M; QTY 1
Unit

Unit

65.156.540

90

Glutaralde Meter + Calibration Merk PPM Tech; Cat.


STD
#/Type
Glutaraldemeter 3;
QTY 1 Unit

Unit

46.947.661

91

Portable Air Sampler Impinger Merk InScienPro; Cat.


#/Type US-RAC-5;
QTY 1 Unit

Unit

73.901.838

Merk InScienPro; Cat.


#/Type US-1012 ;
QTY 1 Unit

Unit

100.893.039

Merk InScienPro; Cat.


#/Type U-2011; QTY
1 Unit

Unit

101.818.664

Merk InScienPro; Cat.


#/Type U-3011; QTY
1 Unit

Unit

287.461.858

Merk InScienPro; Cat.


#/Type U-4011; QTY
1 Unit

Unit

306.418.642

Merk InScienPro; Cat.


#/Type AR-1500 ;
QTY 1 Unit

Unit

443.559.126

Paket

383.430.577

Paket

458.961.513

Paket

269.986.073

Merk Hi-Q
Environmental; Cat.
#/Type TFIA-2 + Acc;
QTY 1 Paket

Paket

126.625.394

Merk Hi-Q
Environmental; Cat.
#/Type CF-1000BRL
+ Acc; QTY 1 Paket

Paket

167.204.759

Merk HAZDUST; Cat.


#/Type EPAM-5000;
QTY 1 Unit

Unit

181.422.347

Merk HAZDUST; Cat.


#/Type HD-1004;
QTY 1 Unit

Unit

164.687.061

92

93

94

95

96

97

98

99

2
HTM-v Formaldemeter +
Calibration STD

Air Sampler Impinger

Medium Volume Sampler

Stack Gases Sampler

Stack Dust Sampler

Stack Gases & Dust Sampler


(2 in 1)
PM-10 High Volume Air
Sampler

PM-10 & PM-2.5 High Volume


Air Sampler

TSP High Volume Air Sampler

100 High Volume Air Sampler

101 Portable High Volume Air


Sampler (Digital Flowrate)

102 Real Time Particulate Air


Monitors
103 Personal Real-time Dust
Monitor

Merk Hi-Q
Environmental; Cat.
#/Type PM104300AFC + Acc; QTY
1 Paket
Merk Hi-Q
Environmental; Cat.
#/Type PM10/2.54300AFC + Acc; QTY
1 Paket
Merk Hi-Q
Environmental; Cat.
#/Type HVP4300AFC/230 + Acc;
QTY 1 Paket

VII - 90

1
2
104 Portable Heat Stress Monitor
(WBGT)
105 Portable Environment
Monitoring
106 Hand Held Laser Particle
Counter (6 Channel)
107 Sound Level Meter Class 1

108 Sound Level Meter

109 Sound Level Meter

110 Real-time Signal Analyzer

111 Personal Noise Dosimeter

112 Dual Channel Personal Noise


Dosimeter
113 Portable Multifunctin Air
Quality
114 Portable Air Quality Monitor

115 Portable Thermohygrometer

116 Infrared Thermometer

117 Portable Solarimeter

118 Portable Lux Meter

119 Portable Lux Meter

120 Vibration Meter

121 Microbiological Air Sampler

3
Merk Delta Ohm; Cat.
#/Type HD32.2 ; QTY
1 Unit

Unit

84.268.829

Merk Delta Ohm; Cat.


#/Type DO 9847; QTY
1 Unit

Unit

89.720.756

Merk InScienPro; Cat.


#/Type COUNT-6;
QTY 1 Unit

Unit

91.451.673

Merk InScienPro; Cat.


#/Type US-628; QTY
1 Unit

Unit

108.853.409

Merk Kimo Ints; Cat.


#/Type DB-200 +
ACC; QTY 1 Unit

Unit

76.937.885

Merk InScienPro; Cat.


#/Type SND-99; QTY
1 Unit

Unit

38.283.818

Merk InScienPro; Cat.


#/Type UX-02; QTY 1
Unit

Unit

118.109.650

Merk InScienPro; Cat.


#/Type PXD-30; QTY
1 Unit

Unit

82.639.730

Merk Kimo Ints; Cat.


#/Type DS-300; QTY
1 Unit

Unit

102.366.634

Merk Kimo Ints; Cat.


#/Type AMI-300Complete; QTY 1 Unit

Unit

125.588.694

Merk Kimo Ints; Cat.


#/Type AQ-200P; QTY
1 Unit

Unit

43.097.064

Merk Kimo Ints; Cat.


#/Type HD-100E;
QTY 1 Unit

Unit

19.401.084

Merk Kimo Ints; Cat.


#/Type Kiray-200;
QTY 1 Unit

Unit

16.142.887

Merk Kimo Ints; Cat.


#/Type SL-200; QTY 1
Unit

Unit

57.018.452

Merk Kimo Ints; Cat.


#/Type LX-200; QTY
1 Unit

Unit

37.321.169

Merk InScienPro; Cat.


#/Type LT-3000; QTY
1 Unit

Unit

11.107.491

Merk InScienPro; Cat.


#/Type VB-100; QTY
1 Unit

Unit

80.122.033

Merk InScienPro; Cat.


#/Type MU-01; QTY 1
Unit

Unit

135.067.086

VII - 91

1
2
122 Microbiology Air Sampler Bio
Collector

3
Merk Awel; Cat.
#/Type BC-100; QTY
1 Unit

Unit

VI. Pengolahan Limbah dan Instalasi Pengolahan Air Limbah (IPAL)


123 Mobile Syringe Destroyer
Merk InScienPro; Cat.
(With Table)
#/Type M-02; QTY 1
Unit
Unit
124 Portable Neddle Destroyer

125 Incinerator Double Chamber

Incinerator Double Chamber

Incinerator Double Chamber

Incinerator Double Chamber

Incinerator Double Chamber

Incinerator Double Chamber

Incinerator Double Chamber

126 Portable IPAL Laboratorium

127 Portable IPAL Laboratorium

128 IPAL
Laboratorium/Puskesmas/Ru
mah Sakit Bersalin

131 Container Drug Detector

132 LCD Digital 7 Inch Square


(Hotplate) Magnetic Stirrer

155.652.969
-

257.841.883

Merk InScienPro; Cat.


#/Type PS-02; QTY 1
Unit

Unit

11.477.740

Merk InScienPro; Cat.


#/Type DBC-0.03;
QTY 1 Unit

Unit

210.153.723

Merk InScienPro; Cat.


#/Type DBC-0.1; QTY
1 Unit

Unit

266.431.676

Merk InScienPro; Cat.


#/Type DBC-0.2; QTY
1 Unit

Unit

346.701.808

Merk InScienPro; Cat.


#/Type DBC-0.3; QTY
1 Unit

Unit

567.518.721

Merk InScienPro; Cat.


#/Type DBC-0.5; QTY
1 Unit

Unit

694.884.614

Merk InScienPro; Cat.


#/Type DBC-1.0; QTY
1 Unit

Unit

1.033.663.077

Merk InScienPro; Cat.


#/Type DBC-1.5; QTY
1 Unit

Unit

1.480.258.251

Merk InScienPro; Cat.


#/Type WIPL-50; QTY
1 Unit

Unit

250.436.889

Merk InScienPro; Cat.


#/Type WIPL-35; QTY
1 Unit

Unit

308.492.040

Merk InScienPro; Cat.


#/Type WIPL-200;
QTY 1 Unit

Unit

481.324.594

Unit

112.704.005

Merk InScienPro; Cat.


#/Type PEST-100;
QTY 1 Unit

Unit

86.342.228

Merk Securetec; Cat.


#/Type Drugcon; QTY
1 Unit

Unit

176.979.351

Merk InScienPro; Cat.


#/Type Xlab-01; QTY
1 Unit

Unit

25.325.079

VII. Peralatan/Penunjang Laboratorium dan Lain-lain


129 Portable Cholinesterase
Merk Securetec; Cat.
Testing System
#/Type Che Check
Mobile; QTY 1 Unit
130 Cholinesterase Test Kit

VII - 92

1
2
3
133 Adjustable Speed Vortex Meter Merk InScienPro; Cat.
#/Type Xlab-02; QTY
1 Unit

Unit

12.292.290

Merk InScienPro; Cat.


#/Type Xlab-03; QTY
1 Unit

Unit

28.435.176

Merk InScienPro; Cat.


#/Type Xlab-04; QTY
1 Unit

Unit

17.327.686

Merk InScienPro; Cat.


#/Type Xlab-05; QTY
1 Unit

Unit

54.352.655

Merk InScienPro; Cat.


#/Type Xlab-06; QTY
1 Unit

Unit

27.990.877

Merk Air Free; Cat.


#/Type WM-120; QTY
1 Unit

Unit

27.842.777

Merk InScienPro; Cat.


#/Type U-02; QTY 1
Unit

Unit

42.763.839

Merk InScienPro; Cat.


#/Type C-04; QTY 1
Unit

Unit

45.318.562

Merk Quebec
Darkfield; Cat. #/Type
13332600; QTY 1 Unit

Unit

61.905.748

Merk Quebec
Darkfield; Cat. #/Type
13332800; QTY 1 Unit

Unit

91.673.823

Merk CAPP; Cat.


#/Type SK-0320/200/1000; QTY 1
Paket

Paket

16.883.386

Starter Kit 8-channel pipettes Merk CAPP; Cat.


2 - 200 ul
#/Type SK-08-20/200; QTY 1 Paket

Paket

30.360.475

Paket

3.376.677

Starter Kit 16-channel pipette Merk CAPP; Cat.


5-50 ul
#/Type SK-16-50;
QTY 1 Paket

Paket

25.621.279

Starter Kit 64-channel pipette Merk CAPP; Cat.


0.5-10 ul
#/Type SK-64-XX ;
QTY 1 Paket

Paket

41.171.765

Merk InScienPro; Cat.


#/Type ZX-50 ; QTY 1
Unit

Unit

176.979.351

Merk Tecom; Cat.


#/Type TEK-5000L;
QTY 1 Unit

Unit

148.025.825

Unit

322.117.229

134 LCD Digital Overhead Stirrer

135 High Speed Centrifuge

136 High Speed Micro Centrifuge

137 Orbital And Linear Digital


Shaker
138 Wall Mounted Air Purifier for
Hospital and Laboratory
139 Contaminated Air Purifier

140 COD Reactor (Heater Block)

141 Colony Counter & Asesoris

142 Digital Colony Counter &


Asesoris
143 Starter Kit Single pipettes 2 1000 ul

Starter Kit 12-channel


pipettes 2 - 200 ul

144 Rotary Agitator

145 Auto Hematology Analyzer

Merk CAPP; Cat.


#/Type SK-12-20/200; QTY 1 Paket

146 Automatic Chemistry Analyzer Merk Tecom; Cat.


#/Type TC-6030; QTY
1 Unit

VII - 93

1
2
147 Visual Inspection

3
Merk Wohler; Cat.
#/Type Vis-220; QTY
1 Unit

Unit

70.347.441
-

Merk ; Cat. #/Type


SA80IW; QTY 1 Unit

Unit

62.942.447

b. Single range 120g x 0.1mg


with internal calibration

Merk ; Cat. #/Type


SA120IW; QTY 1 Unit

Unit

68.274.043

c. Single range 210g x 0.1mg


with internal calibration

Merk ; Cat. #/Type


SA210IW; QTY 1 Unit

Unit

71.828.440

d. Single range 310g x 0.1mg


with internal calibration

Merk ; Cat. #/Type


SA310IW; QTY 1 Unit

Unit

77.071.175

e. Single range 410g x 0.1mg


with internal calibration

Merk ; Cat. #/Type


SA410IW; QTY 1 Unit

Unit

93.154.822

f. Single range 510g x 0.1mg


with internal calibration

Merk ; Cat. #/Type


SA510IW; QTY 1 Unit

Unit

110.926.807

g. Dual range 100g x 0.1mg &


200g x 1mg (with Floating
Tare) with internal calibration

Merk ; Cat. #/Type


SA210DIW; QTY 1
Unit

Unit

70.051.241

h. Dual range 250g x 0.1mg &


500g x 1mg (with Floating
Tare) with internal calibration

Merk ; Cat. #/Type


SA525DIW; QTY 1
Unit

Unit

105.595.211
-

Merk ; Cat. #/Type


ZSA80; QTY 1 Unit

Unit

43.393.264

Merk ; Cat. #/Type


ZSA120; QTY 1 Unit

Unit

45.170.462

Merk ; Cat. #/Type


ZSA210; QTY 1 Unit

Unit

46.947.661

Unit

45.170.462
-

Merk VF; Cat. #/Type


AGM-02; QTY 1 Unit

Unit

95.674.370

151 Radiation Hand & Foot


Contamination Monitor

Merk VF; Cat. #/Type


HF series; QTY 1 Unit

Unit

987.233.767

152 Radiation Frisking


Contamination Monitor

Merk VF; Cat. #/Type


FCM-02; QTY 1 Unit

Unit

290.423.855

153 Radiation Hand-Held


Contamination Monitor

Merk VF; Cat. #/Type


Radcount-2 & FP
Probe; QTY 1 Unit

Unit

148 Digital Analytical Balance


a. Single range 80g x 0.1mg
with internal calibration

149 Digital Analytical Balance


a. Single range 80g x 0.1mg
b. Single range 120g x 0.1mg
c. Single range 210g x 0.1mg
d. Dual range 100g x 0.1mg &
200g x 1mg (with Floating
Tare*)
VIII. Analisa Tingkat Radiasi
150 Area Gamma Monitor

Aluminium Test

Merk ; Cat. #/Type


ZSA210D; QTY 1 Unit

IX. REAGENSIA DAN REFILL


IX.A. REAGENSIA PEMERIKSAAN KUALITAS AIR/MAKANAN
1 Aluminium Cell Test
Range 0.02 - 0.5
mg/l; Test 25;
Compatibility AYI-10;
Cat. No. R3410.010
2

Range 0.020 - 1.20


mg/l ; Test 350;
Compatibility AYI-10;
Cat. No. R1020.011

194.899.436

Kit

5.986.937

Kit

8.471.313

VII - 94

1
3

10

11

12

13

14

15

16

17

18

19

2
Aluminium Test

Aluminium Test Kit

Aluminium Test Kit

Amonium Cell Test

Amonium Test

Amonium Test

Amonium Test Kit

Amonium Test Kit

Amonium Test Kit

Ammonia Nitrogen Test


(ampoules)
Arsenic Test

Arsenic Test

Arsenic Test Kit

Arsenic Test Kit

Borax Test Kit

Borax Test Kit

Boron Cell Test

3
Range 20 - 700 g/l ; Test
350; Compatibility AYI-20;
Cat. No. R1020.011

Kit

8.471.313

Range 0.07 - 0.8 mg/l;


Test 190; Compatibility
Test Kit; Cat. No.
S3435.013
Range 0 - 500 mg/l; Test
100; Compatibility Test
Kit; Cat. No. S3435.014

Kit

7.005.124

Kit

2.443.648

Range 0.010 - 2.000 mg/l;


Test 25; Compatibility AYI10, AYI-20; Cat. No.
R1020.024

Kit

5.986.937

Range 0 - 150.0 mg/l; Test


100; Compatibility AYI-10;
Cat. No. R1020.025

Kit

7.005.124

Kit

7.005.124

200; Compatibility Test


Kit; Cat. No. S3435.027

Kit

10.426.231

Range 0 - 3 mg/l; Test 50;


Compatibility Test Kit;
Cat. No. S3435.028

Kit

2.525.103

Range 0 - 400 mg/l; Test


100; Compatibility Test
Kit; Cat. No. S3435.029

Kit

2.525.103

Range 0 - 0.8 ppm; Test


30; Compatibility Test Kit;
Cat. No. ST9260MI/30

Kit

3.095.287

Range 0.001 - 0.1 mg/l;


Test 30; Compatibility AYI10; Cat. No. R1020.038

Kit

17.105.536

Range 5 - 100 ug/l; Test


30; Compatibility AYI-20;
Cat. No. R1020.038

Kit

17.105.536

Range Low : 0 - 0.5 mg/l,


High : 0.1 - 3 mg/l; Test
100; Compatibility Test
Kit; Cat. No. S3435.030

Kit

5.538.935

Range 0.0 - 3.0 mg/l; Test


100; Compatibility Test
Kit; Cat. No. S3435.031

Kit

4.284.529

Range (+/-); Test 200;


Compatibility Test Kit;
Cat. No. 101007

Kit

5.538.935

Kit

5.986.937

Kit

7.168.034

Range 1.0 - 50.0 mg/l;


Test 100; Compatibility
AYI-20; Cat. No.
R1020.025
Range 0.2 - 8 mg/l; Test

Range 0 - 12000 mg/l;


Test 350; Compatibility
Test Kit; Cat. No.
101007K/350
Range 0.05 - 2.00 mg/l;
Test 25; Compatibility AYI10, AYI-20; Cat. No.
R1020.041

VII - 95

1
20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

2
Boron Test

Cadmium Test

Cadmium Test

Calcium Test Kit

Chloride Cell Test

Chloride Test Kit

Chloride Test Kit

Chloride Test Kit

Chlorine (Free&Total) Cell


Test
Chlorine (Free&Total) Cell
Test
Chlorine Test Kit

Chlorine Test Kit

Chlorine Test Kit

Chlorine (Free&Total) Test

Chlorine (Free & Total)


Test Kit

Chlorine DPD Test


(ampoules)

3
Range 0.05 - 0.800 mg/l;
Test 60; Compatibility AYI10; Cat. No. R3410.042

Kit

13.521.519

Range 0.002- 0.5 mg/l;


Test 55; Compatibility AYI10; Cat. No. R1020.053

Kit

8.634.223

Range 5 - 500 ug/l; Test


55; Compatibility AYI-20;
Cat. No. R1020.053

Kit

8.634.223

Range 0 - 100 mg/l; Test


60; Compatibility Test Kit;
Cat. No. S3435.054

Kit

3.013.832

Range 5 - 125 mg/l; Test


25; Compatibility AYI-10.
AYI-20; Cat. No.
R1020.065

Kit

5.213.116

Range 10 - 250 mg/l; Test


100; Compatibility AYI-10.
AYI-20; Cat. No.
R1020.066

Kit

6.760.759

Range 0-300 mg/l; Test


300; Compatibility Test
Kit; Cat. No. S3435.067

Kit

6.516.395

Range 0-3000 mg/l; Test


100; Compatibility Test
Kit; Cat. No. S3435.068

Kit

2.117.828

Kit

4.480.021

Kit

4.480.021

Kit

1.498.771

Kit

10.589.141

100; Compatibility Test


Kit; Cat. No. S3435.078

Kit

3.013.832

Range Free : 0- 2.50, Total


0 - 3.50 mg/l; Test 100;
Compatibility F-02, F-09;
Cat. No. 13038-0

Kit

1.792.008

Range 0.0 - 0.60 mg/l Cl2;


Test 320; Compatibility
Test Kit; Cat. No.
S3435.072

Kit

7.168.034

Range 0.1-0.5 ppm / 1-3


ppm; Test 30;
Compatibility Test Kit;
Cat. No. ST9262MI/30

Kit

3.095.287

Range 0.05 - 7.50 mg/l;


Test 200; Compatibility
AYI-10; Cat. No.
R1020.075
Range 0.05 - 5.00 mg/l;
Test 200; Compatibility
AYI-20; Cat. No.
R1020.075
Range 0,1 - 2 mg/l ; Test
100; Compatibility Test
Kit; Cat. No. S3435.076
Range 0.25 - 15 mg/l ;
Test 400; Compatibility
Test Kit; Cat. No.
S3435.077
Range 0 - 100 mg/l ; Test

VII - 96

1
36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

2
Chromate Test

Chromate Test

Chromate Test Kit

Chromate Test Kit

Copper (Tembaga) Test

Copper (Tembaga) Test

Copper (Tembaga) Test Kit

Cyanide Test

Cyanide Test

Cyanide Test Kit

Cyanide Test Kit

Detergent Test Kit

Fluoride Test

Fluoride Test Kit

Formaldehyde

Formaldehyde Test Kit

Formaldehyde Test Kit

Formaldehyde Test Kit

3
Range 0.010 - 3.00 mg/l;
Test 250; Compatibility
AYI-10; Cat. No.
R1020.087
Range 10 - 1400 ug/l;
Test 250; Compatibility
AYI-20; Cat. No.
R1020.087
Range 0 - 1,6 mg/l; Test
300; Compatibility Test
Kit; Cat. No. S3435.089
Range 0 - 100 mg/l; Test
100; Compatibility Test
Kit; Cat. No. S3435.090

Kit

8.552.768

Kit

8.552.768

Kit

7.901.128

Kit

1.873.463

Kit

8.145.493

Kit

8.145.493

Kit

6.882.942

Kit

6.760.759

100; Compatibility AYI-20;


Cat. No. R1020.102

Kit

6.760.759

Range 0 - 5 mg/l; Test


200; Compatibility Test
Kit; Cat. No. S3435.104

Kit

10.100.411

Range 0 - 30 mg/l; Test


100; Compatibility Test
Kit; Cat. No. S3435.108

Kit

3.095.287

Range 0 - 1 mg/l; Test 32;


Compatibility Test Kit;
Cat. No. S3435.116

Kit

15.313.527

Range 0.10 - 2.00 mg/l;


Test 100; Compatibility
AYI-10. AYI-20; Cat. No.
R1020.123

Kit

7.249.489

Range 0 - 100; Test 30;


Compatibility Test Kit;
Cat. No. R1020.128

Kit

4.235.656

Kit

9.611.682

100; Compatibility Test


Kit; Cat. No. S3435.137

Kit

5.050.206

Range 0 - 10 mg/l; Test


350; Compatibility Test
Kit; Cat. No. S3435.138

Kit

5.701.845

Range 0 - 200 mg/l; Test


100; Compatibility Test
Kit; Cat. No. S3435.139

Kit

2.688.013

Range 0.02 - 6.00 mg/l;


Test 250; Compatibility
AYI-10; Cat. No.
R1020.093
Range 0.10 - 6.00 mg/l;
Test 250; Compatibility
AYI-20; Cat. No.
R1020.093
Range 0 - 5 mg/l; Test
100; Compatibility Test
Kit; Cat. No. S3435.094
Range 0.002 - 0.500 mg/l;
Test 100; Compatibility
AYI-10; Cat. No.
R1020.102
Range
5 - 200 ug/l; Test

Range 0.02 - 8.00 mg/l;


Test 100; Compatibility
AYI-10; Cat. No.
R3410.136
Range
0.1 - 1.5 mg/l; Test

VII - 97

1
54

55

56

57

58

59

60

61

62

63

64

65

66

67

68

69

2
Hardness Level Test
(ampoules)
Iodine Test

Iodine Test

Iodine Test

Iron (Besi) Cell Test

Iron (Besi) Test

Iron (Besi) Test Kit

Iron (Besi) Test Kit

Iron (Besi) Test Kit

Iron (Besi) Test Kit

Iron Test (ampoules)

Lead (Timbal) Test

Lead (Timbal) Test Kit

Manganese Cell Test

Manganese Test

Manganese Test

3
Range 0 - 10 ppm; Test
30; Compatibility Test Kit;
Cat. No. ST9284MI/30

Kit

3.095.287

Kit

4.871.005

Kit

4.871.005

Test 100; Compatibility F02, F-09; Cat. No. 13039-1

Kit

1.792.008

Range 0.05 - 4.00 mg/l;


Test 25; Compatibility AYI10, AYI-20; Cat. No.
R1020.151

Kit

5.457.480

Range 0.10 - 5.00 mg/l;


Test 150; Compatibility
AYI-10, AYI-20; Cat. No.
R1020.153

Kit

6.679.304

Range 0.2 -2.5 mg/l; Test


500; Compatibility Test
Kit; Cat. No. S3435.155

Kit

6.842.214

Range 0 - 1000 mg/l; Test


100; Compatibility Test
Kit; Cat. No. S3435.156

Kit

1.547.644

Range 0 - 100 mg/l; Test


100; Compatibility Test
Kit; Cat. No. S3435.158

Kit

1.547.644

Range 0 - 1,5 mg/l; Test


350; Compatibility Test
Kit; Cat. No. S3435.159

Kit

5.050.206

Range 0.1 - 0.5 ppm / 1 10 ppm; Test 30;


Compatibility Test Kit;
Cat. No. ST9266MI/30

Kit

3.095.287

Range 0.05 - 5.00 mg/l;


Test 50; Compatibility AYI10, AYI-20; Cat. No.
R1020.160

Kit

6.190.575

Range 0 - 500 mg/l; Test


100; Compatibility Test
Kit; Cat. No. S3435.162

Kit

35.025.620

Range 0.10 - 5.00 mg/l;


Test 25; Compatibility AYI10, AYI-20; Cat. No.
R1020.174

Kit

6.434.940

Kit

8.960.042

Kit

8.960.042

Range 0.02 - 7.50 mg/l;


Test 200; Compatibility
AYI-10; Cat. No.
R1020.148
Range 0.10 - 5.00 mg/l;
Test 200; Compatibility
AYI-20; Cat. No.
R1020.148
Range
0.0 - 12.5 mg/l;

Range 0.05 - 6.00 mg/l;


Test 500; Compatibility
AYI-10; Cat. No.
R1020.176
Range 0.01- 10.00 mg/l;
Test 500; Compatibility
AYI-20; Cat. No.
R1020.176

VII - 98

1
70

71

72

73

74

75

76

77

78

2
Manganese Test Kit

Manganese Test Kit

Manganese Test Kit

Mercury Test Kit

Mercury Test Kit

Methanyl Yellow Test Kit

Methanyl Yellow Test Kit

Natrium Benzoat Test Kit

Nickel Test

3
Range 0.03 - 0.5 mg/l;
Test 110; Compatibility
Test Kit; Cat. No.
S3435.177
Range 0 - 1.5 mg/l; Test
100; Compatibility Test
Kit; Cat. No. S3435.178

Kit

6.410.503

Kit

3.421.107

Range 0 - 1.5 mg/l; Test


350; Compatibility Test
Kit; Cat. No. S3435.179

Kit

5.213.116

Range (+/-); Test 200;


Compatibility Test Kit;
Cat. No. 101006

Kit

7.697.491

Kit

7.819.673

Kit

5.701.845

Range 0 - 5000 mg/l; Test


350; Compatibility Test
Kit; Cat. No.
101006K/350
Range (+/-); Test 300;
Compatibility Test Kit;
Cat. No. 101009

Range 0 - 60 mg/l; Test


350; Compatibility Test
Kit; Cat. No.
101009K/350
Range (+/-); Test 350;
Compatibility Test Kit;
Cat. No. S3435.352/350

Kit

6.027.665

Kit

5.701.845

Range 0.05 - 5.00 mg/l;


Test 250; Compatibility
AYI-10, AYI-20; Cat. No.
R1020.183

Kit

8.471.313

79

Nickel Test Kit

Range 0 - 0.5 mg/l; Test


125; Compatibility Test
Kit; Cat. No. S3435.184

Kit

7.168.034

80

Nitrate Cell Test

Range 2.2 - 79.7 mg/l


NO3; Test 25;
Compatibility AYI-10; Cat.
No. R3410.195

Kit

7.330.944

Range 0.2 - 20.0 mg/l


NO3-N; Test 100;
Compatibility AYI-10, AYI20; Cat. No. R1020.196

Kit

8.634.223

Range 10 - 150 mg/l NO3;


Test 100; Compatibility
Test Kit; Cat. No.
S3435.197

Kit

2.525.103

Range 0 - 500 mg/l NO3-;


Test 100; Compatibility
Test Kit; Cat. No.
S3435.198

Kit

2.117.828

Kit

3.828.382

Kit

5.701.845

Nitrate Test

81

82

83

84

Nitrate Test Kit

Nitrate/Nitrite Test Kit

Nitrate/Nitrite Test Strip

Nitrite Cell Test

Range Nitrate : 0-200


mg/l or 0-50 ppm; Test
100; Compatibility Test
Kit; Cat. No.
ST8100TS/100
Range 0.9 - 75.3 mg/l
NO2; Test 25;
Compatibility AYI-10, AYI20; Cat. No. R1020.201

VII - 99

1
85

86

87

88

89

90

91

92

93

94

95

96

97

98

99

3
Range 5-400 g/l NO2-N ;
Test 335; Compatibility
AYI-10, AYI-20; Cat. No.
R1020.203
Range 0.1 - 10 mg/l; Test
400; Compatibility Test
Kit; Cat. No. S3435.208

Kit

6.027.665

Kit

10.018.957

Range 2 - 80 mg/l NO2;


Test 100; Compatibility
Test Kit; Cat. No.
S3435.209

Kit

1.792.008

Range 0.5-10 ppm; Test


30; Compatibility Test Kit;
Cat. No. ST9270MI/30

Kit

3.095.287

Pesticide Test Kit


(Organophospate dan
Carbamate)

Range (+/-); Test 25;


Compatibility Test Kit;
Cat. No. S3435.261/25

Kit

8.389.858

Pesticide Test

Range (+/-); Test 30;


Compatibility Test Kit;
Digital CH-300; Cat. No.
S3435.262/30

Kit

4.887.296

Range (+/-); Test 350;


Compatibility Test Kit;
Cat. No. S3435.311/350

Kit

5.701.845

Range (+/-); Test 200;


Compatibility Test Kit;
Cat. No. S3435.211

Kit

4.072.747

Range (+/-); Test 350;


Compatibility Test Kit;
Cat. No. S3435.211/350

Kit

5.701.845

Range 0.01 0.25 mg/l;


Test 150; Compatibility
Test Kit; Cat. No.
S3435.318

Kit

6.516.395

Range 10 -300 mg/l; Test


25; Compatibility AYI-10;
Cat. No. R3410.222

Kit

7.493.854

Range 50 - 500 mg/l; Test


25; Compatibility AYI-10,
AYI-20; Cat. No.
R1020.234

Kit

5.701.845

Range 25 - 300 mg/l; Test


200; Compatibility AYI-10;
Cat. No. R3410.238

Kit

9.579.100

Range 200 - 1600 mg/l;


Test 100; Compatibility
Test Kit; Cat. No.
S3435.239

Kit

17.920.085

Range (+/-); Test 150;


Compatibility Test Kit;
Cat. No. 101008

Kit

5.376.025

Kit

5.986.937

Nitrite Test

Nitrite Test Kit

Nitrite Test Kit

Phosphate(ortho) Test
(ampoules)

Sakarin Test Kit

Siklamat Test

Siklamat Test

Silicate Test Kit

Sodium Cell Test

Sulfate Cell Test

Sulfate Test

Sulfate Test Kit

Rhodamin B Test Kit

100 Rhodamin B Test Kit

Range 0 - 60 mg/l; Test


350; Compatibility Test
Kit; Cat. No.
101008K/350

VII - 100

1
2
101 Tangic Acid Test

102 Tartazine Test Kit

103 Total Hardness Cell Test

104 Total Hardness Test Kit

105 Total Hardness Test Kit

106 Zinc (Seng) Cell Test

107 Zinc (Seng) Test Kit

108 Zinc (Seng) Test Kit

109 Zinc Test (ampoules)

3
Range (+/-); Test 350;
Compatibility Test Kit;
Cat. No. S3435.325/350

Kit

5.701.845

Range (+/-); Test 350;


Compatibility Test Kit;
Cat. No. S3435.330/350

Kit

5.701.845

Range 12 - 537 mg/l


CaCO3; Test 25;
Compatibility AYI-10, AYI20; Cat. No. R1020.243

Kit

6.516.395

Range 1-100 d , 1 d =
17,8 mg/l; Test 100;
Compatibility Test Kit;
Cat. No. S3435.245

Kit

2.443.648

Range <3 - >21 d; Test


100; Compatibility Test
Kit; Cat. No. S3435.248

Kit

2.443.648

Range 0.20 - 5.00 mg/l;


Test 25; Compatibility AYI10, AYI-20; Cat. No.
R1020.251

Kit

6.109.120

Range 0 - 3 mg/l; Test


120; Compatibility Test
Kit; Cat. No. S3435.256

Kit

7.330.944

Range 0 - 3 mg/l; Test


120; Compatibility Test
Kit; Cat. No. S3435.257

Kit

2.769.468

Range 0.5 - 10 ppm; Test


30; Compatibility Test Kit;
Cat. No. ST9272MI/30

Kit

3.095.287

Kit

4.480.021

Kit

18.734.634

Kit

8.552.768

Kit

26.880.127

IX.B. Reagensia Pemeriksaan Kualitas Air, Microbiology, Udara


dan Media Pendukung Pengukuran
110 Bacteriogical Hygine Swab Compatibility HY-10;
/ 20 test
Hyteria-100; HY-10;
Hyteria-100; Cat. No.
S3435.400/20; Ket.
Reagen Hygine test (digital)
111 Bacteriogical Hygine Swab
/ 100 test

112 Hygine Test Kit / 50 test

113 Reagen Tes Cholinesterase


AChE (digital) / 100 test

Compatibility HY-10;
Hyteria-100; HY-10;
Hyteria-100; Cat. No.
S3435.400/100; Ket.
Reagen Hygine test (digital)
Compatibility F-05/F-03;
F-05/F-03; Cat. No.
S3435.095; Ket. Reagen
Hygine test
Compatibility ChE Check
Mobile ; ChE Check
Mobile ; Cat. No. CH1106;
Ket. Reagent test
Cholinesterase

VII - 101

1
2
114 Reagen Tes Cholinesterase
BChE (digital) / 100 test

3
Compatibility ChE Check
Mobile ; ChE Check
Mobile ; Cat. No. CH1107;
Ket. Reagent test
Cholinesterase

Kit

26.880.127

Compatibility G-11; G-11;


Cat. No. M0011.410; Ket.
Media carry pada alat
Sanitarian

Kit

2.240.011

116 Buffered Pepton 500 gr

Compatibility ; ; Cat. No.


M0011.421; Ket. Media
carry pada alat Sanitarian

Kit

1.783.863

117 Anal rectal swab (1


bungkus @ 50 biji)

Compatibility ; ; Cat. No.


M0011.442; Ket. Media
carry pada alat Sanitarian

Kit

1.515.062

Kit

9.448.772

Kit

9.774.592

Kit

9.774.592

Compatibility HS-02; HS02; Cat. No. MBT-EC100;


Ket. Reagent Test EColi/Coliform

Kit

6.109.120

122 Reagent Test for Microba


Phatogen Detection (H2S
Methode)/ 100 test

Compatibility ; ; Cat. No.


MBT-TM100; Ket. Reagent
Test Bakteri Phatogen

Kit

6.109.120

123 Reagent Test for Mold


(Jamur) Detection (H2S
Methode)/ 100 test

Compatibility ; ; Cat. No.


MBT-YM100; Ket. Reagent
Test Jamur

Kit

6.109.120

124 Total Aerobic


Bacteria/Total Coliforms,
pk/10

Compatibility F-02/F-09;
F-02/F-09; Cat. No.
S0209.526; Ket.
Reagent/Media Test
Microbiology

Kit

1.971.209

Compatibility ; ; Cat. No.


S0209.527; Ket.
Reagent/Media Test
Microbiology

Kit

1.971.209

Compatibility ; ; Cat. No.


S0209.528; Ket. Media
Test Microbiology

Kit

1.355.410

115 Media Carry & Blair +


Buffered Pepton (25 botol)

118 Total Microba Packing


Kit/30 Test, Self life 4
years

119 Coliforms in food Packing


Kit/30 Test, Self life 4
years

120 E Coli test Packing


Kit/30 Test, Self life 4
years

121 Reagent Test for E. Coli


Detection (H2S Methode)/
100 test

125 Total Aerobic


Bacteria/Yeast and Mold,
pk/10
126 Swab tester kit

Compatibility ITP-11/12 /
ECO-01; ITP-11/12 / ECO01; Cat. No. SEC01.600;
Ket. Reagent Test
Microbiology
Compatibility ITP-05/CW200 / F-05; ITP-05/CW200 / F-05; Cat. No.
SEC01.601; Ket. Reagent
Test Microbiology
Compatibility AYI-40/G09/T-07; AYI-40/G-09/T07; Cat. No. SEC01.602;
Ket. Reagent Test
Microbiology

VII - 102

1
2
127 LT/MUG Broth, Single
strenght : LAURYL
TRYPTOSE/MUG PK/15

3
Compatibility ; ; Cat. No.
S0209.529; Ket.
Reagent/Media Test
Microbiology

Kit

1.394.508

128 EC/MUG Broth, Single


strenght : EC
MEDIUM/MUG TUBES
PK/15

Compatibility ; ; Cat. No.


S0209.530; Ket.
Reagent/Media Test
Microbiology

Kit

1.394.508

129 Sterile membrane filter, 47 Compatibility ; ; Cat. No.


mm, 0,45 mikron M pore
S0209.533; Ket. Media
size / 150
Test Microbiology

Kit

4.300.820

Compatibility ; ; Cat. No.


S0209.535; Ket.
Reagent/Media Test
Microbiology

Kit

1.238.115

Compatibility T-05; T-05;


Cat. No. MT050.708; Ket.

Kit

89.600

Kit

3.258.197

Compatibility ; ; Cat. No.


MP100.310/4; Ket.
Reagent/Media
Cholinesterase

Kit

12.706.969

Compatibility ; ; Cat. No.


MP100.314; Ket.
Reagent/Media
Cholinesterase

Kit

18.978.999

Compatibility ; ; Cat. No.


ph-4-Buf; Ket. Larutan
Kalibrasi pH

Kit

122.182

Compatibility ; ; Cat. No.


ph-7-Buf; Ket. Larutan
Kalibrasi pH

Kit

122.182

Compatibility ; ; Cat. No.


ph-10-Buf; Ket. Larutan
Kalibrasi pH

Kit

122.182

Compatibility AYI-10; AYI10; Cat. No. Cal-TB-A10;


Ket. Larutan Turbidity

Kit

11.403.690

Kit

8.471.313

Kit

1.221.824

Kit

16.290.986

130 M-endo Broth, pk/20 2mL PourRite Ampules


(glass)
131 MgSO4, 1 kg
132 Bubuk Bromothymol blue
0.112 gram

133 Bubuk Bromothymol blue


0.112 gram/4 buah

134 Bubuk Acetylcholine


percholate 25 gram

135 Buffer 4 for pH Meter/100


ml
136 Buffer 7 for pH Meter/100
ml
137 Buffer 10 for pH
Meter/100 ml
138 Larutan Kalibrasi
Turbidity Tipe 1
139 Larutan Kalibrasi
Turbidity Tipe 2

140 Rapidcal 300 ml for GPS


Aquameter (AM-200)

141 Rapidcal 10L Powder for


GPS Aquameter (AM-200)

Compatibility PEST-100;
PEST-100; Cat. No.
MP100.310; Ket.
Reagent/Media
Cholinesterase

Compatibility AYI-20,
ECO-S1,XTM-100; AYI-20,
ECO-S1,XTM-100; Cat.
No. Cal-TB-XTM; Ket.
Larutan Turbidity
Compatibility Aquaread
AP-Probe; Aquaread APProbe; Cat. No. Rapidcal300; Ket. Larutan
Kalibrasi Aquaread
Compatibility ; ; Cat. No.
RC-10LP; Ket. Larutan
Kalibrasi Aquaread

VII - 103

1
2
142 600mL Zero Oxygen
Solution

143 Reagent Sampling/


Larutan Penangkap
Impinger (5 Gases)

144 Reagent Sampling/


Larutan Penangkap Stack
Gases Sampler (5 Gases)

145 Filter Paper for Medium


Volume Sampler/100 pcs

3
Compatibility Galvanic DO
Probe ; Galvanic DO Probe
; Cat. No. ZO-600; Ket.
Larutan Kalibrasi DO
Aquaread
Compatibility ITP1011/US-1012; ITP1011/US-1012; Cat. No.
G1011.800; Ket. Larutan
Penangkap Gas
Compatibility US3011/AR-1500; US3011/AR-1500; Cat. No.
G3011.820; Ket. Larutan
Penangkap Gas
Compatibility US-2011;
US-2011; Cat. No.
G2011.FP/100; Ket.
Kertas Saring untuk debu

146 Filter Paper for Stack Dust Compatibility USSampler /100 pcs
4011/AR-1500; US4011/AR-1500; Cat. No.
G4011.FP-C/100; Ket.
Kertas Saring untuk debu

BUPATI

Kit

1.792.008

Kit

21.992.831

Kit

38.283.818

Kit

2.077.101

Kit

2.077.101

G A R U T,

RUDY GUNAWAN

VII - 104

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