Farmasi

INSTALASI FARMASI RSU DR.
PIRNGADI KOTA MEDAN

SISA STOCK OBAT APOTIK RAWAT INAP & RAWAT JALAN
PER 31 JANUARI 2010
TABLET
SALDO MTS BRG MTS BRG SISA HARGA

NO NAMA OBAT
AWAL MSK MSK KEL KEL (S.AKHIR) SATUAN
1 Acetensa - - 7,550
2 Aclonac - - 1,634
3 Acran 150 - - 3,932
4 Acran 300 - - 5,575
5 Adalat Oros 30 28 10 18 7,430
6 Aerius 74 5 69 7,018
7 Akrinor - - 2,286
8 Aldisa 9 100 103 6 5,581
9 Alegi 19 100 43 76 968
10 Allohex - - 3,630
11 Alupen 20 - - 1,978
12 Amaropo - - 1,486
13 Amdixal tab 15 60 15 60 5,082
14 Amoxsan 250 142 15 127 1,452
15 Amoxsan 500 46 300 302 44 3,064
16 Antidia 54 54 132
17 Antiplat 90 27 63 6,050
18 Aptor 117 58 59 363
19 Artovit 10 5 5 2,800
20 Asamnex - - 1,898
21 Ascardia 116 45 71 598
22 Asendin - - 6,413
23 Aspar K - - 1,700
24 Aspilet 100 40 100 94 46 305
25 ATP Dankos 27 27 1,271
26 Bactrim Forte - - 4,741
27 Baquinor Forte 66 280 200 146 12,200
28 Bececar - - 1,177
29 Becom C 28 200 90 138 1,120
30 Becombion F 25 25 552
31 Benocetam - - 1,573
32 Benocetam 1200 53 35 18 1,574
33 Beryvision 40 16 24 2,667
34 Betaser C - - 5,724
35 Betalans 84 84 11,724
36 Bio ATP 40 40 2,295
37 Biogesic - - 310
38 Bion 3 134 134 2,904
39 Bioneuron - - 700
40 Biostatik 150 - - 4,253
41 Bisolvon tab 9 9 1,000
42 Brainact 500 79 20 59 11,858
43 Brallin 500 86 71 15 9,438
44 Bromer - - 666
45 Buscopan Plus - - 1,910
46 Buscopan Tab 4 4 1,366
47 Cardaron 200 mg 110 10 100 11,534
48 Cardio Aspirin 102 15 87 1,186
49 Cardismo 90 15 75 3,000
50 Carpiaton 25 - - 1,270
51 Carpiaton 25 gr 96 96 654
52 Carpiaton100 22 20 2 2,672
53 Cataflam - - 4,102
54 Cataflam 25 125 32 93 2,686
55 Cataflam 50 77 50 118 9 4,200
56 Cataflam D50 37 50 23 64 5,128
Page 1
NO NAMA OBAT
57 Cedocard 35 5 30 635
58 Cedocard S - - 1,895
59 Cefarox 100 mg - - 15,000
60 Cefat 250 65 10 55 4,713
61 Cefat 500 161 57 104 9,540
62 Cefspan 100 - - 17,949
63 Celebrex 100 - - 5,640
64 Celebrex 200 - - 8,469
65 Celestamin 80 5 75 2,726
66 Cetop Zink - - 2,601
67 Cholestat - - 7,944
68 Cholinar 10 10 6,562
69 Ciclobrain 400 - - 1,573
70 Ciclobrain 800 - - 2,420
71 Claneksi 500 41 21 20 10,900
72 Claritin tab - - 6,223
73 Clast 44 44 2,057
74 Climadan 150 90 90 4,114
75 Climadan 300 - - 5,750
76 Co Aprovel 25 5 20 15,133
77 Colistin 1,5 jt - - 4,900
78 Comtro 250 60 60 9,200
79 Concor 2.5 mg 17 30 28 19 4,800
80 Concor 5 10 100 10 100 5,172
81 Corda Bon Tab - - 6,200
82 Corsabutol 943 765 178 700
83 Cortidex 80 5 75 230
84 CPG 75 12 11 1 15,125
85 Cravit 250 - - 19,732
86 Cravit 500 - - 38,115
87 Curcuma los 365 365 557
88 Curcuma strip - - 557
89 Curliv Plus - - 2,420
90 Cybufen - - 4,719
91 Dalacin C 300 mg 5 ### - 1,600
92 Damaben 62 62 550
93 Dantacid C 150 mg 34 34 847
94 Degrium 100 25 75 4,065
95 Dentacid 500 mg 179 160 19 847
96 Dexanta - - 170
97 Dextamin 183 183 1,785
98 Diamicron - - 2,118
99 Diamox - - 1,239
100 Diflucan - - Sumbangan
101 Domesco 191 100 139 152 2,662
102 Dopamet 250 - - 1,244
103 Drovax - 90 90 6,655
104 Droxefa 500 - - 7,400
105 Duazat 500 13 13 10,300
106 Dulcolax 5 mg 93 30 63 862
107 Duspatalin - - 3,048
108 Duvadilan 33 33 3,351
109 Encepan F - - 3,630
110 Encephabol - - 3,766
111 Enerbex 62 62 1,200
112 Enerplus - - 1,452
113 Enervon C 105 12 93 783
114 Enzyplex 39 22 17 734
Page 2
NO NAMA OBAT
115 Epsonal - - 1,815
116 Erabutol Plus 500 218 45 173 847
117 Ergotika 4,5 22 22 5,364
118 Erysanbe 500 35 100 40 95 2,299
119 Euphylin - - 1,591
120 Exaflam 25 45 45 1,665
121 Exaflam 50 - - 1,513
122 Exelase - - 1,792
123 Farsorbid 5 mg 364 93 271 77
124 Fepiram 1200 - - 3,660
125 Ferofort - - 1,036
126 FG Troches 35 25 10 900
127 Fitochosil - - 5,042
128 Fixatic 50 - - 6,589
129 Fixef 400 - - 40,000
130 Fixipar 100 - - 15,520
131 Flason 4 mg 4 4 1,700
132 Fludexin - - 300
133 Fluimucil - - 3,392
134 Fluimucil sac 200mg 95 95 3,400
135 Flutmucil 200 mg 18 18 3,392
136 Forres 143 143 3,630
137 Frego 10 mg 137 29 108 5,500
138 Frego 5 mg 45 40 5 4,000
139 Ganin - - 7,865
140 Gastran 78 45 33 409
141 Gastrolan - - 9,700
142 Gatimac - - 26,100
143 Glicab 500 - - 939
144 Glisodin - - 3,650
145 Glucodex 90 90 1,755
146 Glucopage 500 - - 1,004
147 Glucosamin 500 mg 65 ### - 1,593
148 Glumet 500 - - 666
149 Glurenorm 58 58 1,758
150 Gradiab - - 908
151 Grahabion - - 3,909
152 H2 Bloc 20 - - 7,563
153 H2 Bloc 40 - - 4,200
154 Hapsen 5 mg - - 3,521
155 Hemobion 124 - - 1,224
156 Hepabion - - 3,640
157 Hepagard 30 30 2,750
158 Hepa-Q kapsul - - 4,659
159 Heptasan - - 182
160 Herbesser - - 1,573
161 Hexilon 4 - - 1,725
162 Hexymer 2 mg - - 6,850
163 Idesar - - 5,717
164 Imesco 76 20 56 6,050
165 Imodium 144 13 131 6,035
166 Imudator 44 11 33 6,651
167 Imunex Tablet 68 28 40 4,300
168 Imunos - - 5,108
169 Inciflox - - 6,957
170 INH Ciba 300 315 300 270 345 650
171 INH Ciba 400 561 247 314 932
172 Inhipraz 30 63 23 40 12,400
173 Inhipump - - 7,707
174 Interhistin 85 100 103 82 605
175 Interpril 10 - - 3,126
Page 3
NO NAMA OBAT
176 Ismo 20 - - 2,683
177 Isoket 5 - - 597
178 Kaflam 25 77 77 1,600
179 Kaflam 50 76 76 2,965
180 Kalmeco 500 100 10 90 1,997
181 Kaltrofen - - 3,751
182 Kanamycin - - 1,600
183 Kendaron - - 2,844
184 Ketesse 100 100 5,687
185 Ketokenazole 200 - - 1,996
186 Ketosteril 55 55 7,500
187 Kolkatriol - - 5,310
188 KSR 35 16 19 2,545
189 Lacto B 8 8 3,136
190 Lameson 8 - - 3,388
191 Lancid 60 10 50 11,193
192 Lanpracid - - 11,495
193 Lapibal 500 mg 170 72 98 1,770
194 Lapifed 90 6 84 1,121
195 Lapimox 500 - - 1,210
196 Lasix 57 11 46 3,950
197 LAZ 30 mg 2 2 10,527
198 Lecrav 500 - - 24,805
199 Lefos 500 - - 23,000
200 Legres - - 2,016
201 Lekuicin - - 29,950
202 Leprovit 300 - - 3,933
203 Lergia - - 3,410
204 Lesifit - - 3,630
205 Levocin 500 1 108 80 29 32,300
206 Levoquin 500 mg - - 24,200
207 Levovid 57 21 36 26,550
208 Liflox 400 28 28 16,500
209 Lincocin 500 - - 6,869
210 Lipitor 10 mg - - 21,700
211 Lipitor 20 mg - - 16,977
212 Lipitor 40 mg - - 21,700
213 Lipivast - - 8,350
214 Lipofood - - 3,630
215 Livolin 180 45 135 7,541
216 Lizor 100 - - 454
217 Longcef 500 - - 8,100
218 Loxil - - 4,024
219 Lsichol 300 28 15 13 7,300
220 Ludiomil 10 - - 3,544
221 Ludiomil 25 - - 5,284
222 Ludiomil 50 - - 3,650
223 Lysagor 72 72 968
224 Maxpro- 100 - - 15,600
225 Medrol - - 5,990
226 Mefinal 500 300 200 420 80 1,150
227 Meiact - - 13,200
228 Meisec - - 9,499
229 Mensipox - - 10,164
230 Meptin 0,05 - - 2,595
231 Meptin Mini 0,25 - - 1,188
232 Merisbon 6 mg - 100 20 80 15,602
233 Mersibion - - 629
234 Mersitropil 400 - - 1,392
235 Mersitropil 800 - - 2,541
236 Mertigo 30 200 120 110 2,662
Page 4
NO NAMA OBAT
237 Mesol - - 1,815
238 Methergin - - 2,620
239 Methycobal - - 2,352
240 Meviilox 15 265 92 173 7,669
241 Meviilox 7.5 173 15 158 4,425
242 Mexparm - - 4,300
243 Mezatrin - - 11,800
244 Miniceronal - - 932
245 Minocin 100 - - 8,470
246 Moloco B 12 10 10 2,561
247 Mosardal - - 27,830
248 Movicox 15 - - 9,400
249 Movix 7.5 - - 3,630
250 Moxam 15 mg - - 6,609
251 Moxam 7.5 mg - - 3,832
252 Mucopect 30 - - 1,693
253 Mucopect R - - 5,343
254 Mucosta 59 26 33 2,468
255 Mucosta - - 15,601
256 Myonal 98 3 95 5,196
257 Nafarin - - 610
258 Nalgestan 19 19 970
259 Narfoz 4 mg 36 36 12,610
260 Neciblok 146 146 1,600
261 Neo Mercazole - - 1,000
262 Neotibi 150 150 14,151
263 Nerveco 500 - - 1,645
264 Neurobion 19 250 134 135 1,013
265 Neurobion 5000 - 100 40 60 2,200
266 Neurodex - - 359
267 Neurontin - - 12,600
268 Neurosanbe - - 870
269 Neurosanbe plus 46 46 872
270 Neurotam 1200 70 15 55 4,840
271 Neurotam 400 - - 1,575
272 Neurotam 800 52 2 50 3,388
273 Neurovit E - 60 60 578
274 New Diatab 86 47 39 445
275 Nimotop - - 7,792
276 Nislev - - 21,780
277 Noflexin - - 11,900
278 Nolipo 77 77 4,035
279 Nonflamin 45 45 3,149
280 Noocepal 400 mg - - 1,958
281 Noocepal 800 mg - - 2,178
282 Noperten 10 42 15 27 5,263
283 Noperten 5 mg 16 11 5 3,450
284 Norelut - - 3,025
285 Norvask 10 10 10 12,523
286 Norvask 5 57 57 6,988
287 Novalgin 77 77 1,000
288 Novax 500 - - 1,800
289 Nutriflam 132 50 82 5,445
290 Nutriflan - - 5,445
291 Ocuson 46 100 126 20 1,150
292 Omevel - - 8,419
293 Omnicef 6 90 40 56 14,167
294 OPM - - 10,000
295 Osmycin - - 5,100
296 Ospen 250 - - 1,287
297 Ospen 625 - - 2,705
Page 5
NO NAMA OBAT
298 Ossopan 800 - - 2,827
299 Oste F - - 5,445
300 Osteocal 12 60 50 22 928
301 Osteocare - - 1,859
302 Oxypen 41 ### - 4,200
303 Ozen - 180 30 150 3,478
304 Palentin 625 - - 6,311
305 Pantozol 20 mg - - 8,500
306 Pantozol 40 mg 14 14 17,308
307 Parflox - - 14,000
308 Pariet - - 12,084
309 Penmox 500 - - 2,783
310 Phalol - - 6,050
311 Pharflox 400 - 60 60 15,125
312 Phenitoin 216 200 280 136 666
313 Plavix 298 280 475 103 12,800
314 Pleetal 100 20 20 12,161
315 Pleetal 50 - - 6,177
316 Poncobex - - 901
317 Ponstan 61 27 34 2,300
318 Prednox 61 ### - 2,300
319 Proceles 101 101 1,400
320 Prohistin - - 2,783
321 Prolecin 500 - - 17,710
322 Prolic 150 - - 2,875
323 Prolic 300 250 20 230 6,456
324 Provera 10 - - 7,642
325 Pulmo Timelets 25 25 2,850
326 Pulna 100 100 1,362
327 Pumpitor 3 3 11,840
328 Purubex - - 3,300
329 Pyricef 40 40 8,800
330 Quibron TSR 2 ### - 2,976
331 Radin tab 60 30 30 1,452
332 Ramin150 mg - - 5,010
333 Ranitidin 150 mg 4 ### - 220
334 Rantin 33 33 4,186
335 Rechol 10 - - 7,230
336 Retivit 130 40 90 3,220
337 Rhinofed 74 26 48 1,573
338 Rifamtibi 450 55 55 3,597
339 Rifamtibi 600 5 5 4,762
340 Rimactazid 450/300 90 22 68 7,885
341 Risperdal 1 mg 20 20 10,100
342 Risperdal 2 mg 2 2 1,800
343 Ryzen - - 5,908
344 Salofalk 500 - - 1,051
345 Salopak 500 mg 92 92 17,562
346 Sangobion 40 250 45 245 750
347 Sanmol 126 74 52 236
348 Sanotake - - 5,524
349 Santibi Plus - - 508
350 Scantensin 25 - - 1,562
351 Selvigon 20 20 2,000
352 Sibelium 5 - - 4,486
353 Simarck-2 - - 605
354 Simatral 40 40 4,000
355 Sinupret 45 45 2,700
356 Sirdalut 114 10 104 7,800
357 Sistenol - - 1,150
358 Skelan - - 1,452
Page 6
NO NAMA OBAT
359 Smecta 4 4 2,950
360 Sohotin - - 2,468
361 Solmux 140 10 130 1,237
362 Spasmium 60 10 50 1,500
363 Spasmomen 64 64 3,025
364 Spiradan 67 67 4,313
365 Sporetik 100mg 132 20 112 17,703
366 Stamino - - 5,125
367 Starcef - - 16,940
368 Starmuno 48 33 15 6,251
369 Stator 10 mg 40 40 14,200
370 Stimuno 11 11 2,200
371 Strocain 400 mg 126 10 116 1,400
372 Stugeron 36 36 1,628
373 Sumagesic - - 346
374 Syneclav 500 - - 8,228
375 Synflex 275 - - 2,607
376 Synflex 550 - - 4,967
377 Tanakan - - 3,927
378 Tebokan 105 105 3,730
379 Tegretol 200 - - 2,932
380 Telfas OD 41 7 34 6,285
381 Telfas plus 42 36 6 4,600
382 Tensigard - - 1,700
383 Tensivas 10mg 31 31 11,495
384 Theravask 10 mg - - 5,082
385 Theravask 5mg - - 3,838
386 Tiaryt - - 2,700
387 Tibitol 500 - - 763
388 Tocef 100 mg 88 34 54 16,940
389 Tonicard 67 10 57 13,310
390 Toros - 400 29 371 1,800
391 Tramal Caps - - 4,625
392 Transamin 500 38 10 28 2,500
393 Tremenza 73 100 30 143 900
394 Trental - - 7,400
395 Triatec 10 - - 16,038
396 Triatec 2,5 - - 7,310
397 Triatec 5 - - 11,543
398 Trichodazol 500 - - 1,452
399 Trizedon MR 40 300 195 145 3,630
400 Trombo Aspilet 95 10 85 583
401 Tropistan - - 1,543
402 Trypanzim - - 732
403 Tuseran F - - 473
404 Tuzalos - - 600
405 Ulceranin - - 3,630
406 Ulpraz - - 8,300
407 Ulsidex 114 114 1,354
408 Ultracef 36 36 6,413
409 Urica 300 - - 4,235
410 Urinter - - 2,668
411 Vascuprax - - 4,783
412 Viflox 500 mg 14 14 12,070
413 Vioquin - - 11,495
414 Vitazet - - 1,617
415 Vocefa 7 7 8,908
416 Volequin 250 - - 17,968
417 Volequin 500 - - 30,000
418 Voltadex 25 mg 7 100 70 37 190
419 Voltadex 50 mg - - 375
Page 7
NO NAMA OBAT
420 Voltaren 100 - - 7,640
421 Vometa FT 150 150 3,700
422 Vomitas 17 17 3,167
423 Voxin - - 23,000
424 Xepabet - - 1,555
425 Xevolac 10mg 37 37 4,356
426 Xyzal 49 49 7,550
427 Zaldiar 53 53 7,471
428 Zinrid 13 13 3,000
429 Zistic 42 42 26,813
430 Zolesco 147 147 12,100
431 Zumaflox 500 - - 10,164
432 Betalans 84 84 11,724
433 Methlon (34) (34) 2,183
434 Pondex 235 235 800
435 Sporetik 50 mg 220 220 8,448
436 Tiriz 56 56 2,800
437 Tocef 200 mg 130 130 21,900
438 Tesivask 85 85 6,292
439 Lapibion 85 85 1,065
440 Amdixal 5 mg 20 20 5,082
441 Ambiotic 100 100 2,949
442 Benostan 9 9 1,179
443 Lovask 10 mg 60 60 8,651
444 Proris - - 1,000
445 Sporetik 50 mg 100 100 8,448
- -
TOTAL
SYRUP & DROP

SALDO MTS BRG MTS BRG HARGA
NO NAMA OBAT SAL AKHIR
AWAL MSK MSK KEL KEL SATUAN
1 Aerius 6 1 5 75020
2 Alco syr 4 4 24,200
3 Ambroxol 2 22 10 14 3,960
4 Amoxicillin Inf 4 10 2 12 2,735
5 Amoxsan 9 4 5 21,100
6 Amoxsan Drop 3 5 1 7 20,575
7 Amoxsan Forte 4 5 2 7 30,100
8 Antasida Doen Sanbe 6 10 12 4 3,052
9 Apialys Drop 3 3 20,600
10 Apialys Syr 6 6 24,775
11 Asedas Syr 5 5 31,500
12 Becombion 110 ML 4 1 3 16,700
13 Bisolvon Syr 4 3 1 20,989
14 Bricasma syr 4 4 44,800
15 Bronchipret - - 63,000
16 Bronchopront 6 6 48,400
17 Bronchopylin syr 1 1 20,000
18 Candistin drop 2 5 2 5 32,372
19 Cataflam Drop - 5 5 29,500
20 Cefadroxil syr 7 5 2 8,000
21 Cefat Forte 6 6 67,700
22 Cefat Syr 2 10 10 2 39,371
23 Cefspan syr - 5 5 76,230
24 Celestamin syr 30 ml 2 2 25,894
25 Celestamin syr 60 ml 2 1 1 44,286
Page 8
NO NAMA OBAT
26 Claneksi DS 2 2 45,200
27 Claneksi F 5 2 3 57,200
28 Cohistan 5 2 3 12,705
29 Colergis - - 30,250
30 Comtusi 60 ml - 5 5 21,780
31 Cosyr 3 3 15,500
32 Cotrimoxazole syr 6 1 5 3,149
33 Coughfriend 10 26 29 7 3,400
34 Curcuma 5 1 4 9,680
35 Curcuma Plus 4 1 3 10,890
36 Curmunos syr - - 54,500
37 Decadryl syr 3 2 1 6,987
38 Dexanta syr - - 11,132
39 Dextamin 1 1 - 30,204
40 Dextrometorphan Syr 5 3 2 4,000
41 Donexan DX - - 9,075
42 Dumin syr 4 4 14,400
43 Eftian syr 1 1 35,600
44 Elkana syr - - 19,208
45 Enervon C syr 4 3 1 13,722
46 Erysanbe 4 5 4 5 17,900
47 Fixipar 4 3 1 73,520
48 Fluimucil syr 2 2 - 34,256
49 Halmezin syr - - 18,150
50 Imudator 5 1 4 52,030
51 Imunos syr 4 4 53,100
52 Inpepsa syr 100 ml 5 5 43,500
53 Inpepsa syr 200 ml - - 72,600
54 Interhistin syr 9 1 8 22,990
55 Lactulac - - 46,585
56 Lapifed Syr - - 16,517
57 Lapisiv - - 13,310
58 Lasal Syr - - 18,150
59 Laxadine 60 3 3 27,013
60 Likurmin syr 5 5 25,410
61 Magasida 4 4 24,321
62 Mucopect Drop - - 41,500
63 Mucopect Syr 15 2 2 - 33,400
64 Mucopect Syr 30 7 7 34,151
65 Mucos Drop 7 3 4 31,400
66 Mucos Syr 15 7 3 4 14,500
67 Neciblok 1 1 - 42,350
68 Nipe Drop 2 1 1 45,300
69 Nipe syr 1 1 42,400
70 Novalgin syr 3 3 34,000
71 OBH - - 4,000
72 Osmycin 3 3 48,400
73 Ozen syr 8 8 47,916
74 Paracetamol Inf 7 10 6 11 2,221
75 Plantacid syr - - 7,079
76 Pondex - - 9,922
77 Praxion syr 5 5 12,100
78 Proceles Syr 6 6 30,300
79 Promuba Syr 1 1 36,784
80 Prospan syr 2 2 71,390
Page 9
NO NAMA OBAT
81 Pyravit 225 6 6 42,350
82 Pyridril 1 1 9,680
83 Renalyt - - 9,100
84 Rhinofed syr 2 1 1 22,670
85 Sanadril Exp 5 1 4 8,531
86 Sanaflu Plus Syr 4 10 5 9 9,100
87 Sanddryl DMP 3 3 9,200
88 Sanmag Syr 3 1 2 21,900
89 Sanmol Drop 3 5 5 3 13,700
90 Sanmol Syr 4 5 9 10,103
91 Sanprima 4 4 21,800
92 Soclor syr 2 1 1 78,650
93 Solmux F - - 16,327
94 Sporetik 2 1 1 72,994
95 Supralysin syr - - 15,125
96 Toplexil Syr 4 1 3 24,890
97 Tremenza Syr 2 5 3 4 12,700
98 Ventolin exp Syr 4 5 1 8 48,000
99 Ventolin Syr 4 3 3 4 45,800
100 Vitaplex drop - - 23,000
101 Vocefa syr - - 32,200
102 Vometa syr 3 3 26,378
103 Vomitas 4 4 39,000
104 Zingoserin 14 13 1 5,600
105 Starmuno Syr 3 1 2 50,600
106 Levoprunt 2 3 2 3 50,578
107 Pyridril Plus 12,100
TOTAL
INJEKSI
SALDO BRG MTS BRG MTS HARGA
1 Acran 6 6 16,500
2 Adona AC 10 mg - - 6,550
3 Alinamin F 2 2 - 11,600
4 Amikin - - 216,000
5 Aminophillin 22 3 19 5,300
6 Amoxycilline 1 gr - - 9,500
7 Ampicillin Inj 9 9 6,300
8 Anbacim 2 2 - 62,300
9 Aquadest 23 10 13 1,900
10 Atropine Inj 38 38 1,700
11 Bifotik - - 126,445
12 Bisolvon 28 28 35,125
13 Brainact 250 17 5 12 33,566
14 Brainact 500 17 8 9 59,315
15 Bralin Inj 13 13 30,250
16 Broadced 1 gr 1 1 183,920
17 Buscopan 5 1 4 18,900
18 Buvanes 13 13 53,300
19 Calcii Glukosa - - 6,403
20 Camidon 3 3 - 3,000
21 Camidryl - 1 ### - 3,500
22 Caprol 40 8 6 2 119,800
23 Cedantron 4 14 4 10 21,800
24 Cedatop/Dopamin 9 9 42,350
Page 10
NO NAMA OBAT
25 Cedocard inj 1 1 73,300
26 Cefarin 1 gr 1 1 114,950
27 Ceforim 1 gr - - 275,900
28 Cefotaxim1 gr Inj 20 30 37 13 4,800
29 Ceftriaxon 1 gr Inj - 60 31 29 5,300
30 Cernevit 7 7 112,651
31 Ceropid 1 gr - - 104,500
32 Cetoros 16 16 - 10,900
33 Chlorbiotic 5 5 9,200
34 Chlorpromazine - - 501
35 Cholinar 250 mg 16 2 14 22,000
36 Citicholin 22 22 12,700
37 Combivent 10 5 5 10,600
38 Cravit I.v infusion - - 218,500
39 Curasil 250 - - 39,700
40 Curasil 500 - - 73,300
41 Dexamethason/kalmetason 11 30 1 15 27 2,600
42 Diazepam 2 mg 17 4 13 9,800
43 Dobuject/Dobutel - - 133,100
44 Dobutel inj - - 114,950
45 Dolsik - - 14,900
46 Dormicum 2 1 1 69,500
47 Doxorubicin w inj - - 23,600
48 Epidosin - - 7,909
49 Epineprin inj - - 2,000
50 Ergotika - - 14,950
51 Ethocobalamin/Vit.B12 7 7 3,000
52 Fenaren inj 16 16 17,700
53 Ferzobat 1 gr - - 106,500
54 Flexotide neb - 10 6 4 23,000
55 Fluimucil inj - - 28,737
56 Fosmidex 2 gr - - 126,596
57 Fosmisin 1 gr - - 81,403
58 Fosmycin 2 gr - - 159,000
59 Fraxifarin 0.4 - - 148,225
60 Fraxifarin 0.6 - - 203,300
61 Furosemide inj 26 2 24 2,000
62 Gentamycin Inj/Etigen 39 39 6,655
63 Gracef 1 gr 2 2 161,600
64 Haes Steril - - 70,000
65 Hemapo - - 212,000
66 Herbeser - - 193,600
67 Hexilon 125 - - 63,525
68 Hidonac 2 2 264,385
69 Ildamen - - 35,000
70 Ineuron 3 gr - - 27,225
71 Inviclot - - 35,000
72 Isoket - - 67,900
73 Kalmeco inj - - 15,700
74 Kenacort A 5 ml - - 105,000
75 Ketesse - - 41,200
76 Ketorolac 21 19 2 6,600
77 Lancolin Inj 15 15 29,403
78 Lasix 20 10 10 11,000
79 Lidocain Inj Inf 74 2 72 1,050
80 Lutrotam 3 gr - - 29,285
81 Medixon - - 69,600
82 Merofen 1 gr - - 377,000
83 Meronem - - 525,833
84 Metergin 0,2 - - 7,300
85 Methy Chobalt 500 - - 19,500
Page 11
NO NAMA OBAT
86 Methyl Prednisolon 4 4 39,025
87 Metifer - - 16,000
88 Metocloporamid Inj 1 12 2 11 3,025
89 Midazolam/Mitos - - 38,000
90 Movicox 10 ml Inj - - 24,829
91 Narfoz 4 - - 19,311
92 Narfoz 8 - - 23,240
93 Neo K - - 12,100
94 Neulin 250 mg 18 18 31,500
95 Neurobion 5000 21 10 14 17 5,800
96 Neurotam 1 gr 20 20 14,600
97 Neurotam 3 gr 9 9 45,200
98 Nexium - - 164,950
99 Nicholin 250 - - 35,020
100 Novalgin Inj 12 4 8 9,200
101 OMZ 2 2 133,000
102 Ondansetron inj 31 2 29 7,700
103 Oradexon - - 23,600
104 Pahacain Inj - - 3,000
105 Pantozol - - 111,500
106 Penicillin G Cristal 3 3 11,900
107 Perdipin 10 mg 9 9 185,000
108 Perdipin 2 mg - - 53,900
109 Phenytoin Inj 10 2 8 57,000
110 Phytomenadion (Vit K) 28 28 1,200
111 Piracetam 1 gr 7 2 5 7,300
112 Piracetam 3 gr 6 6 13,100
113 Piton S - - 11,000
114 Primperan - - 7,664
115 Proinfark - - 35,000
116 Propofol inj - - 54,632
117 Pulmicort Respules 9 9 15,650
118 Pycin 1500 - - 102,850
119 Raclonid - - 8,000
120 Radin - - 18,150
121 Ranin inj 3 3 16,250
122 Ranitidin Inj 36 1 33 4 2,100
123 Remopain 3% 8 8 34,606
124 Robumin - - 792,000
125 Rycef - - 90,750
126 Seclto 5 5 - 34,200
127 Sefure 750 - - 47,200
128 Socef 1 gr - - 145,200
129 Solumedrol 125 1 1 85,800
130 Sotatic - - 5,324
131 Starxon - - 133,100
132 Streptomycin inj 6 6 5,500
133 Taxef 1 gr - - 114,100
134 Taxegram 0,5 gr - - 51,730
135 Taxegram 1 gr - - 107,500
136 Terpacef - - 155,200
137 Tramadol 2 20 22 3,200
138 Tramal 100 - - 16,784
139 Transamin 500 35 18 17 10,500
140 Trental inj - - 21,600
141 Tricephin - - 170,600
142 Ulcumed 21 21 3,328
143 Valium 10 mg - - 24,067
144 Vascon inj 1 1 71,995
145 Ventolin Nebules 21 10 11 8,800
146 Voltaren Inj 3 3 35,400
Page 12
NO NAMA OBAT
147 Vomceran 4 - - 27,900
149 Vomceran 8 - - 60,500
150 Xenoprom 1 gr - - 229,900
151 Xylocaine 2 % 2 2 - 50,600
152 Subacef 1 gr 2 2 193,700
153 Ondansetron 8 7 1 3 5 9,700
TOTAL
GENERIK
1 Acyclovir 30 30 788
2 Allupurinol 100 44 100 47 97 132
3 Allupurinol 300 86 10 76 242
4 Ambroxol 30 mg 90 47 43 125
5 Amitriptylin 62 20 42 101
6 Amoxicillin 500 Inf 479 239 240 600
7 Antalgin 500 Strip - - 122
8 Antalgin Loss - - 78
9 Antasida Doen 826 173 653 55
10 Asam Folat 349 265 84 55
11 Asam Mefenamat 500 272 600 562 310 246
12 Bisoprolol 56 90 80 66 2,150
13 Captropil 12,5 Inf 132 27 105 194
14 Captropil 25 Inf 150 200 210 140 160
15 Carbamazepin 215 180 35 436
16 Cefixim 34 90 30 94 1,842
17 Cephadroxil 500 84 27 57 850
18 Cetrizine 100 4 96 400
19 Chloramphenicol 129 129 165
20 Chloroquin - - 92
21 Cimetidine 19 19 202
22 Ciprofloxacin 500 Inf 234 500 307 427 500
23 Clonidin 0,15 397 397 226
24 Clyndamycin 150 Dexa 141 141 1,210
25 Clyndamycin 300 52 100 70 82 2,299
26 Co-Amoxiclav 45 45 4,925
27 Cotrimoxazole 480 148 12 136 191
28 CPZ 100 149 149 Sumbangan
29 CPZ 25 Inf 307 307 29
30 CTM 1,087 369 718 22
31 Dexamethasone 0,5 mg 652 45 607 40
32 Dextromethorpan Tab - 1,000 1,000 73
33 Digoxin 173 10 163 150
34 Diltiazem 84 30 54 243
35 Domperidon 500 mg 108 38 70 351
36 Doxycyclin 70 20 50 350
37 Ephedrine - - 47
38 Erythromycin 500 65 100 75 90 800
39 Etambutol 500 - - 360
40 Furosemid 44 100 40 104 88
41 Glibenclamid 88 88 150
42 Gliquidon - - 2,300
43 Gliseril Guaiyakolat 408 174 234 55
44 Gludepatik 500 - - 350
45 Haloperidol 1,5 - - 117
46 Haloperidol 5 82 82 180
47 HCT 25 mg 920 30 890 20
48 Ibuprofen 400 Strip - - 250
49 INH 300 - - 88
50 Isosorbitdinitrat 149 300 177 272 110
Page 13
NO NAMA OBAT
51 Kalium Diklofenac 25 - - 450
52 Ketokonazole - - 1,996
53 Lansoprazole 58 220 123 155 2,420
54 Lincomycin 500 23 23 - 1,089
55 Loratadine 89 89 580
56 Meloxicam 15 135 100 16 219 2,300
57 Meloxicam 7.5 89 23 66 1,800
58 Metformin 500 66 100 39 127 350
59 Methochlopramid 107 107 135
60 Metronidazole 500 127 200 95 232 250
61 Metyl Ergometrin 73 73 132
62 Metyl Prednisolon 4 mg 179 300 185 294 1,362
63 Natrium diklofenak 178 81 97 300
64 Nifedipine 10 mg 120 200 120 200 330
65 Omeprazole 44 60 42 62 2,640
66 Paracetamol 500 los - - 57
67 Paracetamol 500 strip 189 500 274 415 100
68 Piracetam 1200 mg - - 1,452
69 Piracetam 800 mg - - 1,210
70 Piroxicam 10 16 16 134
71 Piroxicam 20 - - 190
72 Prednison 5 mg - - 105
73 Prednison SOHO 681 20 661 105
74 Propanolol 10 dexa 258 100 158 79
75 Propanolol 40 97 97 250
76 PTU 100 18 200 110 108 300
77 Pyrazinamid 500 Inf 627 500 435 692 483
78 Pyridoxin 880 880 20
79 Ranitidin 52 200 169 83 400
80 Rifampicin 300 173 200 30 343 627
81 Rifampicin 450 319 600 332 587 704
82 Rifampicin 600 184 300 233 251 1,077
83 Risperidone 2 mg 10 100 110 2,420
84 Salbutamol 2 70 100 15 155 200
85 Salbutamol 4 7 100 7 100 200
86 Simvastatin 10 mg - 570 161 409 600
87 Spirolacton 37 100 15 122 1,266
88 Tetracyclin 250 - - 130
89 Tetracyclin 500 - - 250
90 Thiamfenicol 500 50 100 40 110 792
91 Tramadol 42 100 36 106 880
92 Trihexylphenidil 150 80 70 67
93 Tyrozol 10 mg - - 1,200
94 Tyrozol 5 mg 22 22 1,150
95 Vit B 12 835 10 825 55
96 Vit B Complex 1,031 171 860 55
97 Vit B1 50 mg 754 25 729 35
98 Vit C KF 637 67 570 55
99 Vit K KF 90 90 100
100 Ofloxacin 40 10 30 669
101 Spirolacton 100 79 79 1,400
102 Clopidogrel - 150 50 100 5,801
TOTAL
SALEP
SALDO BRG BRG MUT SAL HARGA HARGA
NO NAMA OBAT
AWAL MSK KEL KEL AKHIR SATUAN AWAL
1 Acyclovir zalf 1 5 6 3,500 #VALUE!
2 Bactodeerm 5 gr 2 1 40,300 40,300
Page 14
NO NAMA OBAT
3 Betadine 10 gr 5 1 4 10,650 53,250
4 Bioplacenton Jelly 8 4 4 13,190 105,520
5 Carmed 20% 1 1 22,990 22,990
6 Counterpain 15 gr 4 4 14,900 59,600
7 Elacon - 5 5 50,100 -
8 Esperson cr 5 gr - - 38,500 -
9 Exoderil 15 gr - - 58,820 -
10 Exoderil 5 gr - - 23,600 -
11 Ezon T 2 2 4,118 8,236
12 Garamycin 5 gr Zalp 4 1 3 24,200 96,800
13 Gentamicin 0.1% 9 2 7 2,000 18,000
14 Hydrocortison 2.5 % 10 10 3,000 30,000
15 Ikagen 6 1 5 14,800 88,800
16 Inerson 4 4 24,200 96,800
17 Kenalog 3 3 40,900
18 Ketonazole 6 6 5,500
19 Kloderma Cr - - 10,300 -
20 Laxarec - - 10,285 -
21 Mebo zalp 6 4 2 69,600 417,600
22 Miconazole cr 3 10 1 12 4,000
23 Mycoral Cr - - 10,500 -
24 Nebacetin Powder 6 1 5 22,000 132,000
25 Opiclam Gel - - 12,100 -
26 Oxoferin Sol 1 1 57,500 57,500
27 Solcoseryl Pasta - - 29,350 -
28 Transpulmin BB - - 16,346 -
29 Transpulmin BL 10 - - 16,346 -
30 Trombophop Gel 3 3 48,400 145,200
31 Trombophop oint 1 1 27,748 27,748
32 Diprosone 3 3 38,600 115,800
33 Harcum 3 3 30,250
TOTAL #VALUE!
SUPPOSITORIA
SAL HARGA
SALDO BRG BRG HARGA HARGA
NO NAMA OBAT AKHI SATUA
AWAL MSK KEL AWAL MASUK
R N
1 Bellaphen - - 1,150 - -
2 Dulcolac 5 mg Supp 5 1 4 10,000 50,000 -
3 Dulcolax 10 mg Supp 10 1 9 14,000 140,000 -
4 Flagyl 0,5 gr - - 11,000 - -
5 Flagystatin supp 11 11 12,800 140,800 -
6 Movicox 16 16 13,000 208,000 -
7 Pronalges 10 10 10,300 103,000 -
8 Profenid 100 mg 9 9 14,641 131,769 -
9 Stesolid 10 mg 5 5 30,000 150,000 -
10 Stesolid 5 mg 3 1 2 20,000 60,000 -
11 Tramal Supp 8 8 14,541 116,328 -
12 Yal Sup - ### - - 61,000 - -
- -
- -
TOTAL 1,099,897 -
CAIRAN
1 Albumin 25 % - -
Page 15
NO NAMA OBAT
2 Amino Plasma 5 % - -
3 Aminofluid - - 165,800
4 Aminofusin Hepar 1 1 141,400
5 Aminofusin L 600 - - 74,536
6 Aminoleban - - 151,500
7 Aminosteril - - 84,700
8 Aminovel - 1 1 - 65,626
9 Amiparen (B) - 3 1 2 92,100
10 Amiparen Paed - - 67,000
11 Asering 15 15 13,000
12 Avelox 1 1 411,800
13 Baquinor inf - - 155,200
14 Benocetam 12 gr 5 5 151,250
15 Ce-Alp - - 627,000
16 Ciprofloxacin inf - - 42,900
17 Civell - - 110,000
18 Comafusin Hepar - - 148,000
19 Cravit 500 inf 2 ### - 264,400
20 Cravit 750 inf 2 ### - 350,900
21 Dextran 6% + 70 in NaCl 20 20 69,700
22 Dextrose 10% 10 10 4,510
23 Dextrose 100 cc 9 9 7,000
24 Dextrose 40% 1 1 2,000
25 Dextrose 5% + NaCl 0,225 4 1 3 8,621
26 Dextrose 5% + NaCl 0,45 33 2 31 7,875
27 Dextrose 5% + NaCl 0,9 6 1 5 8,500
28 Dextrose 5% 500 cc 16 1 15 4,300
29 Expafucin - - 169,500
30 Fepiram 3 3 168,795
31 Fimalbumin - - 660,000
32 Haes Steril - - 187,550
33 Ivelip - - 140,900
34 KA EN 1B 3 3 14,065
35 KA EN 3A 24 24 13,600
36 KA EN 3B 23 3 20 13,600
37 KA EN MG3 1 Ltr 6 3 3 16,600
38 KA EN MG3 500 cc 3 3 14,800
39 Kalbamin 1 1 88,000
40 Kidmin - - 73,925
41 Levocin 3 1 2 271,000
42 Levofloxacin - 3 1 2 96,800
43 Levores - - 109,000
44 Levoxae - - 176,200
45 Manitol 20% 7 2 5 72,150
46 Martos 10 - - 61,000
47 Metronidazole inf 6 2 4 24,200
48 MgSO4 20% 21 21 4,000
49 MgSO4 40% - - 3,750
50 Mosardal - - 181,500
51 Na Cl 100 cc Bi Piraun 13 6 7 4,510
52 NaCl 1 L 15 15 10,500
53 NaCl 100 cc Otsu - - 7,000
Page 16
NO NAMA OBAT
54 NaCl 3 % 12 3 9 12,153
55 NaCl 500 cc Otsu 36 40 40 36 4,600
56 Neurotam 12 gr 12 12 184,000
57 Nimotop 1 1 280,800
58 Nootropil inf - - 257,125
59 Otsu - KCl 12 8 4 2,046
60 Otsutran 40 8 8 84,271
61 R. Sol 29 1 28 9,500
62 R.L 1 liter - - 9,600
63 Renxamin 3 ### - 79,400
64 RL Otsuka 41 40 51 30 5,400
65 Starquin inf - - 133,100
66 Totofusin OPS 1 1 40,000
67 Triofucin 1 1 66,400
68 Volequin - - 185,500
TOTAL
ALKES
1 Alkon 10-0 10 12 6 16 117,612
2 Abbocath 20 Abot I - - 7,492
3 Abbocath No 22 T 47 6 41 7,492
4 Abbocath No. 14 T 3 1 2 8,475
5 Abbocath No.16T 5 5 8,475
6 Abbocath No.18 27 27 8,475
7 Abbocath No.18T 4 4 8,475
8 Abbocath No.20 36 3 33 7,492
9 Abbocath No.20T 59 1 58 7,492
10 Abbocath No.22 8 5 3 7,492
11 Abbocath No.24T 26 2 24 7,492
12 Bloodset/Tranfusi Set 18 1 17 13,310
13 Colostomy Bag No 2 11 11 25,300
14 Colostomy Bag No 3 16 16 27,800
15 Condom Catheter 10 10 12,100
16 Cromic 2/0 W 113 - - 12,730
17 Eastis perband 4 inc 1 1 42,236
18 Elastis perban 6' 9 9 55,473
19 Foley Catheter 12 3 3 14,133
20 Foley Catheter No.10 5 5 53,071
22 Foley Catheter No.18 6 4 2 12,300
23 Foley Catheter No.20 Unoplas 1 1 14,133
26 Handscoon 7,5 - - 6,050
27 Handscoon 8 10 10 6,050
28 Hypavix 4 Inch 2 5 1 6 19,720
29 Hypavix 6 Inch 3 5 2 6 27,100
30 Infus Set Dewasa Otsuka 20 5 15 6,000
31 Infus Set Pediatric Otsuka 10 3 7 8,985
32 Infuset Bercabang - - 33,880
33 Infuset Pump - - 34,000
34 Infuset T - - 6,500
35 Intrasita Gel - - 66,550
36 Kasa steril 19 3 16 3,650
37 Kondom Sutra 1 6 1 6 8,448
Page 17
NO NAMA OBAT
38 Lomatulle /Dariantul 8 20 9 19 10,000
39 Microdrip - - 64,554
40 Micropore 24 9 15 11,149
41 Nald 18 T - - 787
42 Needle No.22 T - - 600
43 Needle No.23 T 38 15 23 787
44 NGT 10 - - 15,730
45 NGT 12 1 1 15,730
46 NGT 14 - - 15,730
47 NGT 16 1 1 15,730
48 NGT 18 19 1 18 15,730
49 NGT 6 - - 15,730
50 NGT No.5 100 cm 3 3 14,552
51 NGT No.5 40 cm 5 5 14,552
52 NGT No.8 100 cm 1 1 14,552
53 NGT No.8 40 cm - - 16,878
54 Opsite 2 2 29,389
55 Poliban 4" 7 7 17,334
56 Poliban 6 " 11 11 24,919
57 Poligyp 4"/ Gypsona 7 7 28,100
58 Poligyp 6"/ Gypsona 11 11 36,821
59 Prolene 6/0 523 13 1 12 76,000
60 Prolene 7/0 - - 117,700
61 Skin Traction Adult - - 91,989
62 Skin Traction Kit Children 1 1 67,200
63 Spuit 1 cc 163 116 47 1,055
64 Spuit 10 cc 48 2 46 2,000
65 Spuit 20 cc 15 15 6,600
66 Spuit 3 cc Skifa - - 1,283
67 Spuit 3 cc T 90 21 69 1,283
68 Spuit 30 cc 4 1 3 11,253
69 Spuit 5 cc 2 100 41 61 1,548
70 Spuit 50 cc Catip 4 4 30,855
71 Spuit 50 cc Terumo 23 23 16,405
72 Spuit 60 cc Catip 2 2 11,798
73 Spuit Insulin 4014 23 3 20 2,100
74 Try Way T 17 1 16 16,456
75 Tubing Syringe Pump 4 4 27,500
76 Under Paed 2 2 62,920
77 Urine Bag 18 3 15 4,538
78 Urine bag Terumo - - 72,600
79 Verband 4x8 28 28 1,029
80 Vicril 8/0 9560 11 11 225,423
81 Vicryl 6/0 W9500 4 4 101,713
82 Wing Intermeten 23 - - 9,700
83 Wing Nald 23 13 4 9 7,623
84 Wing Nald 25 10 4 6 7,623
85 Wing Nald 27 - - 7,623
86 Flexiflo Gravity 16 7 9 36,400
TOTAL
TETES TELINGA
SALDO BRG BRG MTS SAL HARGA
NO NAMA OBAT HARGA SISA
AWAL MSK KEL KEL AKHIR SATUAN
1 Colme TT 6 - 6 - - 22,990 -
2 H2O2 3 % 30 cc 22 30 21 - 31 6,000 186,000
3 Iliadin 0.25 6 - - ### 6 29,403 176,418
4 Iliadin 0.05 4 - - ### 4 30,734 122,936
5 Liq Burowi - ### - ### - 8,000 -
Page 18
NO NAMA OBAT
6 Otopain TT 12 - 10 - 2 36,300 72,600
7 Otopraf 12 - 6 - 6 24,000 144,000
8 Otrivin 0.5 % 5 - 1 - 4 34,500 138,000
9 Otrivin 1 % 5 - 2 - 3 32,670 98,010
10 R6 2 % - ### - ### - 8,000 -
11 Sofradex 4 - - ### 4 48,600 194,400
12 Tarivid otic lot 8 - 5 - 3 71,390 214,170
13 Blesidex 7 - - ### 7 36,800 257,600
14 Forumen - 10 - ### 10 24,500 245,000
15 Oxoferin 1 - - ### 1 57,475 57,475
TOTAL 1,906,609
TETES MATA
SALDO BRG BRG MTS SAL HARGA
NO NAMA OBAT HARGA SISA
AWAL MSK KEL KEL AKHIR SATUAN
1 C.Fenicol SM 6 - - ### 6 20,300 121,800
2 C.Gentamycin 0,3% SM - ### - ### - 29,350 -
3 C.Lyters 5 ml MD 9 - 8 - 1 20,900 20,900
4 C.Midriatyl 1% - ### - ### - 44,200 -
5 C.Polygran ED - ### - ### - 21,200 -
6 C.Timolol 0,25% - ### - ### - 40,600 -
7 C.Tobroson MD - ### - ### - 27,000 -
8 C.Tropine 0,5% - ### - ### - 18,600 -
9 C.Ulcori MD 15 - - ### - 23,800 -
10 C.Xytrol SM - ### - ### - 33,254 -
11 C.Pantocain 2 % - ### - ### - 20,000 -
12 C.Noncort MD 4 - 1 - 3.0 41,300 123,900
13 C.Polydex - ### - ### - 43,300 -
14 C.Augentonic 3 5 4 - 4 21,574 86,296
15 C.Catarlen 3 - - ### 3 21,400 64,200
16 C.Xytrol MD 3 - - ### 3 24,957 74,871
17 C.Floxa 5 - 2 - 3 27,400 82,200
18 C.Fenicol MP. 0.25% 4 - - ### 4 22,300 89,200
19 C.Chloramfenicol 1% 5 - 1 - 4 1,800 7,200
20 C. Fenicol 0,5 % 3 - - ### 3 31,300 93,900
TOTAL 663,367
NARKOTIKA & PSIKOTROPIKA

SALDO BRG MTS BRG MTS HARGA
1 Artane 228 228 335
2 Alprazolam 0.5 mg 7 300 122 185 700
3 Alprazolam 1 mg - 400 133 267 1,100
4 Codein 10 159 15 144 550
5 Codein 15 235 235 572
6 Codipront Caps 60 60 4,532
7 Codipront Exp Caps 81 81 6,050
8 Codipront Exp Syr - - 50,820
9 Codipront Syr 3 3 46,585
10 Clobazam 10 mg 15 200 105 110 1,200
11 Diazepam 2 mg Phapros - - 16
12 Diazepam 5 mg Phapros - - 35
13 Esilgan 1 - - 2,055
14 Esilgan 2 82 82 3,150
15 Fefrax 1 - - 2,138
16 Frisium 10 29 5 24 3,200
Page 19
NO NAMA OBAT
17 Frixitas 1 150 109 41 2,667
18 Frixitas 0.25 138 27 111 1,109
19 Frixitas 0.5 85 50 35 1,715
20 MST 15 61 11 50 16,000
21 MST 10 60 42 18 10,709
22 Morphin HCL 10 mg - - 12,000
23 Pethidin Inj 7 7 14,000
24 Phenorbabital 30 KF 816 65 751 22
25 Stesolid 5 mg 252 8 244 1,415
26 Xanax 1 mg - - 3,600
27 Stesolid 2 mg 3 200 25 178 671
T O T AL
OTC
SALDO BRG MUT BRG MUT HARGA
1 Baby Oil 50 ml 6 20 - 8 - 18 7,200
2 Betadine Kumur 3 10 - 5 - 8 7,500
3 Betadine sol 30 cc - - - ### - - 10,000
4 Camelux 4 - - ### - 4 9,000
5 Handuk Kecil 3 - - ### - 3 2,500
6 Handerpad 2 - - ### - 2 63,000
7 Iodin Povidon 60 cc - - - ### - - 5,000
8 Isodine Kumur 190 cc 9 - - 8 - 1 14,520
9 Lifebuoy sabun cair 4 25 - 17 - 12 5,000
10 Pepsodent 25 gr 14 - - 5 - 9 2,000
11 Pisau Cukur - 6 - 3 - 3 6,000
12 Shampo 6 20 - 8 - 18 5,000
13 Sikat Gigi 10 - - 10 - - 2,000
14 Tantum Verde 1 - - ### - 1 15,150
15 Parolit 40 - - 12 - 28 1,000
16 Tisu 17 - - 15 - 2 2,500
17 Mikropore 2 24 - 8 - 18 9,700
18 Pampers - - - ### - - 61,000
19 M.Kayu Putih - - - ### - - -
20 Alo Clair 7 - - 1 - 6 66,550
TOTAL
Medan, Januari 2010

Kepala Instalasi Farmasi
RSUD Dr.Pirngadi Kota Medan
Dra.Azwinar, Apt
NIP. 19530115 198503 2002
Page 20
N
HARGA HARGA HARGA HARGA

AWAL MASUK KELUAR SISA
- - - -
- - - -
- - - -
- - - -
208,040 - 74,300 133,740
519,332 - 35,090 484,242
- - - -
50,229 558,100 574,843 33,486
18,392 96,800 41,624 73,568
- - - -
- - - -
- - - -
76,230 304,920 76,230 304,920
206,184 - 21,780 184,404
140,944 919,200 925,328 134,816
7,128 - - 7,128
544,500 - 163,350 381,150
42,471 - 21,054 21,417
28,000 - 14,000 14,000
- - - -
69,338 - 26,898 42,440
- - - -
- - - -
12,200 30,500 28,670 14,030
34,317 - - 34,317
- - - -
805,200 3,416,000 2,440,000 1,781,200
- - - -
31,360 224,000 100,800 154,560
13,800 - - 13,800
- - - -
83,422 - 55,090 28,332
106,680 - 42,672 64,008
- - - -
984,816 - - 984,816
91,800 - - 91,800
- - - -
389,136 - - 389,136
- - - -
- - - -
9,000 - - 9,000
936,782 - 237,160 699,622
811,668 - 670,098 141,570
- - - -
- - - -
5,464 - - 5,464
1,268,740 - 115,340 1,153,400
120,972 - 17,790 103,182
270,000 - 45,000 225,000
- - - -
62,784 - - 62,784
58,784 - 53,440 5,344
- - - -
335,750 - 85,952 249,798
323,400 210,000 495,600 37,800
189,736 256,400 117,944 328,192
Page 21
22,225 - 3,175 19,050
- - - -
- - - -
306,345 - 47,130 259,215
1,535,940 - 543,780 992,160
- - - -
- - - -
- - - -
218,080 - 13,630 204,450
- - - -
- - - -
65,620 - - 65,620
- - - -
- - - -
446,900 - 228,900 218,000
- - - -
90,508 - - 90,508
370,260 - - 370,260
- - - -
378,325 - 75,665 302,660
- - - -
552,000 - - 552,000
81,600 144,000 134,400 91,200
51,720 517,200 51,720 517,200
- - - -
660,100 - 535,500 124,600
18,400 - 1,150 17,250
181,500 - 166,375 15,125
- - - -
- - - -
203,305 - - 203,305
- - - -
- - - -
- - - -
8,000 - 8,000 -
34,100 - - 34,100
28,798 - - 28,798
406,500 - 101,625 304,875
151,613 - 135,520 16,093
- - - -
326,655 - - 326,655
- - - -
- - - -
- - - -
508,442 266,200 370,018 404,624
- - - -
- 598,950 - 598,950
- - - -
133,900 - - 133,900
80,166 - 25,860 54,306
- - - -
110,583 - - 110,583
- - - -
- - - -
74,400 - - 74,400
- - - -
82,215 - 9,396 72,819
28,626 - 16,148 12,478
Page 22
- - - -
184,646 - 38,115 146,531
118,008 - - 118,008
80,465 229,900 91,960 218,405
- - - -
74,925 - - 74,925
- - - -
- - - -
28,028 - 7,161 20,867
- - - -
- - - -
31,500 - 22,500 9,000
- - - -
- - - -
- - - -
- - - -
6,800 - - 6,800
- - - -
- - - -
323,000 - - 323,000
61,056 - - 61,056
519,090 - - 519,090
753,500 - 159,500 594,000
180,000 - 160,000 20,000
- - - -
31,902 - 18,405 13,497
- - - -
- - - -
- - - -
- - - -
157,950 - - 157,950
- - - -
103,513 - 103,513 -
- - - -
101,964 - - 101,964
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
82,500 - - 82,500
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
459,800 - 121,000 338,800
869,040 - 78,455 790,585
292,644 - 73,161 219,483
292,400 - 120,400 172,000
- - - -
- - - -
204,750 195,000 175,500 224,250
522,852 - 230,204 292,648
781,200 - 285,200 496,000
- - - -
51,425 60,500 62,315 49,610
- - - -
Page 23
- - - -
- - - -
123,200 - - 123,200
225,340 - - 225,340
199,700 - 19,970 179,730
- - - -
- - - -
- - - -
568,700 - - 568,700
- - - -
412,500 - - 412,500
- - - -
89,075 - 40,720 48,355
25,088 - - 25,088
- - - -
671,580 - 111,930 559,650
- - - -
300,900 - 127,440 173,460
100,890 - 6,726 94,164
- - - -
225,150 - 43,450 181,700
21,054 - - 21,054
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
32,300 3,488,400 2,584,000 936,700
- - - -
1,513,350 - 557,550 955,800
462,000 - - 462,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,357,380 - 339,345 1,018,035
- - - -
- - - -
- - - -
204,400 - 109,500 94,900
- - - -
- - - -
- - - -
69,696 - - 69,696
- - - -
- - - -
345,000 230,000 483,000 92,000
- - - -
- - - -
- - - -
- - - -
- - - -
- 1,560,200 312,040 1,248,160
- - - -
- - - -
- - - -
79,860 532,400 319,440 292,820
Page 24
- - - -
- - - -
- - - -
2,032,285 - 705,548 1,326,737
765,525 - 66,375 699,150
- - - -
- - - -
- - - -
- - - -
25,610 - - 25,610
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
145,612 - 64,168 81,444
- - - -
509,208 - 15,588 493,620
- - - -
18,430 - - 18,430
453,960 - - 453,960
233,600 - - 233,600
- - - -
2,122,650 - - 2,122,650
- - - -
19,247 253,250 135,742 136,755
- 220,000 88,000 132,000
- - - -
- - - -
- - - -
40,112 - - 40,112
338,800 - 72,600 266,200
- - - Ed
176,176 - 6,776 169,400
- 34,680 - 34,680
38,270 - 20,915 17,355
- - - -
- - - -
- - - -
310,695 - - 310,695
141,705 - - 141,705
- - - -
- - - -
221,046 - 78,945 142,101
55,200 - 37,950 17,250
- - - -
125,230 - - 125,230
398,316 - - 398,316
77,000 - - 77,000
- - - -
718,740 - 272,250 446,490
- - - -
52,900 115,000 144,900 23,000
- - - -
85,002 1,275,030 566,680 793,352
- - - -
- - - -
- - - -
- - - -
Page 25
- - - -
- - - -
11,136 55,680 46,400 20,416
- - - -
172,200 - 172,200 -
- 626,040 104,340 521,700
- - - -
- - - -
242,312 - - 242,312
- - - -
- - - -
- - - -
- - - -
- 907,500 - 907,500
143,856 133,200 186,480 90,576
3,814,400 3,584,000 6,080,000 1,318,400
243,220 - - 243,220
- - - -
- - - -
140,300 - 62,100 78,200
140,300 - 140,300 -
141,400 - - 141,400
- - - -
- - - -
- - - -
1,614,000 - 129,120 1,484,880
- - - -
71,250 - - 71,250
136,200 - - 136,200
35,520 - - 35,520
- - - -
352,000 - - 352,000
5,952 - 5,952 -
87,120 - 43,560 43,560
- - - -
880 - 880 -
138,138 - - 138,138
- - - -
418,600 - 128,800 289,800
116,402 - 40,898 75,504
197,835 - - 197,835
23,810 - - 23,810
709,650 - 173,470 536,180
202,000 - - 202,000
3,600 - - 3,600
- - - -
- - - -
1,615,704 - - 1,615,704
30,000 187,500 33,750 183,750
29,736 - 17,464 12,272
- - - -
- - - -
- - - -
40,000 - - 40,000
- - - -
- - - -
160,000 - - 160,000
121,500 - - 121,500
889,200 - 78,000 811,200
- - - -
- - - -
Page 26
11,800 - - 11,800
- - - -
173,180 - 12,370 160,810
90,000 - 15,000 75,000
193,600 - - 193,600
288,971 - - 288,971
2,336,796 - 354,060 1,982,736
- - - -
- - - -
300,048 - 206,283 93,765
568,000 - - 568,000
24,200 - - 24,200
176,400 - 14,000 162,400
58,608 - - 58,608
- - - -
- - - -
- - - -
- - - -
- - - -
391,650 - - 391,650
- - - -
257,685 - 43,995 213,690
193,200 - 165,600 27,600
- - - -
356,345 - - 356,345
- - - -
- - - -
- - - -
- - - -
1,490,720 - 575,960 914,760
891,770 - 133,100 758,670
- 720,000 52,200 667,800
- - - -
95,000 - 25,000 70,000
65,700 90,000 27,000 128,700
- - - -
- - - -
- - - -
- - - -
- - - -
145,200 1,089,000 707,850 526,350
55,385 - 5,830 49,555
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
154,356 - - 154,356
230,868 - - 230,868
- - - -
- - - -
- - - -
168,980 - - 168,980
- - - -
- - - -
62,356 - - 62,356
- - - -
- - - -
1,330 19,000 13,300 7,030
- - - -
Page 27
- - - -
555,000 - - 555,000
53,839 - - 53,839
- - - -
- - - -
161,172 - - 161,172
369,950 - - 369,950
395,963 - - 395,963
39,000 - - 39,000
1,126,146 - - 1,126,146
1,778,700 - - 1,778,700
- - - -
984,816 - - 984,816
(74,222) - - (74,222)
188,000 - - 188,000
1,858,560 - - 1,858,560
156,800 - - 156,800
2,847,000 - - 2,847,000
534,820 - - 534,820
90,525 - - 90,525
101,640 - - 101,640
294,900 - 294,900
10,611
519,060
-
844,800
70,751,842 23,148,550 27,822,244 67,452,620

450,120 - 75,020 375,100
96,800 - - 96,800
7,920 87,120 39,600 55,440
10,940 27,350 5,470 32,820
189,900 - 84,400 105,500
61,725 102,875 20,575 144,025
120,400 150,500 60,200 210,700
18,312 30,520 36,624 12,208
61,800 - - 61,800
148,650 - - 148,650
157,500 - - 157,500
66,800 - 16,700 50,100
83,956 - 62,967 20,989
179,200 - - 179,200
- - - -
290,400 - - 290,400
20,000 - - 20,000
64,744 161,860 64,744 161,860
- 147,500 - 147,500
56,000 - 40,000 16,000
406,200 - - 406,200
78,742 393,710 393,710 78,742
- 381,150 - 381,150
51,788 - - 51,788
88,572 - 44,286 44,286
Page 28
90,400 - - 90,400
286,000 - 114,400 171,600
63,525 - 25,410 38,115
- - - -
- 108,900 - 108,900
46,500 - - 46,500
18,894 - 3,149 15,745
34,000 88,400 98,600 23,800
48,400 - 9,680 38,720
43,560 - 10,890 32,670
- - - -
20,961 - 13,974 6,987
- - - -
30,204 - 30,204 -
20,000 - 12,000 8,000
- - - -
57,600 - - 57,600
35,600 - - 35,600
- - - -
54,888 - 41,166 13,722
71,600 89,500 71,600 89,500
294,080 - 220,560 73,520
68,512 - 68,512 -
- - - -
260,150 - 52,030 208,120
212,400 - - 212,400
217,500 - - 217,500
- - - -
206,910 - 22,990 183,920
- - - -
- - - -
- - - -
- - - -
81,039 - - 81,039
127,050 - - 127,050
97,284 - - 97,284
- - - -
66,800 - 66,800 -
239,057 - - 239,057
219,800 - 94,200 125,600
101,500 - 43,500 58,000
42,350 - 42,350 -
90,600 - 45,300 45,300
42,400 - - 42,400
102,000 - - 102,000
- - - -
145,200 - - 145,200
383,328 - - 383,328
15,547 22,210 13,326 24,431
- - - -
- - - -
60,500 - - 60,500
181,800 - - 181,800
36,784 - - 36,784
142,780 - - 142,780
Page 29
254,100 - - 254,100
9,680 - - 9,680
- - - -
45,340 - 22,670 22,670
42,655 - 8,531 34,124
36,400 91,000 45,500 81,900
27,600 - - 27,600
65,700 - 21,900 43,800
41,100 68,500 68,500 41,100
40,412 50,515 - 90,927
87,200 - - 87,200
157,300 - 78,650 78,650
- - - -
145,988 - 72,994 72,994
- - - -
99,560 - 24,890 74,670
25,400 63,500 38,100 50,800
192,000 240,000 48,000 384,000
183,200 137,400 137,400 183,200
- - - -
- - - -
79,134 - - 79,134
156,000 - - 156,000
78,400 - 72,800 5,600
151,800 - 50,600 101,200
101,156 151,734 101,156 151,734
-
8,637,977 2,594,244 2,761,608 8,845,713

99,000 - - 99,000
- - - -
23,200 - 23,200 -
- - - -
116,600 - 15,900 100,700
- - - -
56,700 - - 56,700
124,600 - 124,600 -
43,700 - 19,000 24,700
64,600 - - 64,600
- - - -
983,500 - - 983,500
570,622 - 167,830 402,792
1,008,355 - 474,520 533,835
393,250 - - 393,250
183,920 - - 183,920
94,500 - 18,900 75,600
692,900 - - 692,900
- - - -
9,000 - 9,000 -
- - 3,500 -
958,400 - 718,800 239,600
305,200 - 87,200 218,000
381,150 - - 381,150
Page 30
73,300 - - 73,300
114,950 - - 114,950
- - - -
96,000 144,000 177,600 62,400
- 318,000 164,300 153,700
788,557 - - 788,557
- - - -
174,400 - 174,400 -
46,000 - - 46,000
- - - -
352,000 - 44,000 308,000
279,400 - - 279,400
106,000 - 53,000 53,000
- - - -
- - - -
- - - -
28,600 78,000 39,000 70,200
166,600 - 39,200 127,400
- - - -
- - - -
- - - -
139,000 - 69,500 69,500
- - - -
- - - -
- - - -
- - - -
21,000 - - 21,000
283,200 - - 283,200
- - - -
- 230,000 138,000 92,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
52,000 - 4,000 48,000
259,545 - - 259,545
323,200 - - 323,200
- - - -
- - - -
- - - -
- - - -
528,770 - - 528,770
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
138,600 - 125,400 13,200
441,045 - - 441,045
220,000 - 110,000 110,000
77,700 - 2,100 75,600
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
Page 31
156,100 - - 156,100
- - - -
3,025 36,300 6,050 33,275
- - - -
- - - -
- - - -
- - - -
- - - -
567,000 - - 567,000
121,800 58,000 81,200 98,600
292,000 - - 292,000
406,800 - - 406,800
- - - -
- - - -
110,400 - 36,800 73,600
266,000 - - 266,000
238,700 - 15,400 223,300
- - - -
- - - -
- - - -
35,700 - - 35,700
1,665,000 - - 1,665,000
- - - -
570,000 - 114,000 456,000
33,600 - - 33,600
51,100 - 14,600 36,500
78,600 - - 78,600
- - - -
- - - -
- - - -
- - - -
140,850 - - 140,850
- - - -
- - - -
- - - -
48,750 - - 48,750
75,600 - 69,300 8,400
276,848 - - 276,848
- - - -
- - - -
171,000 - - -
- - - -
- - - -
85,800 - - 85,800
- - - -
- - - -
33,000 - - 33,000
- - - -
- - - -
- - - -
- - - -
6,400 64,000 - 70,400
- - - -
367,500 - 189,000 178,500
- - - -
- - - -
69,888 - - 69,888
- - - -
71,995 - - 71,995
184,800 - 88,000 96,800
106,200 - - 106,200
Page 32
- - - -
- - - -
- - - -
101,200 - - -
387,400 - - 387,400
67,900 - 29,100 48,500
- - 17,710,399

23,640 - - 23,640
5,808 - 6,204 12,804
20,812 - 2,420 18,392
11,250 - 5,875 5,375
6,262 - 2,020 4,242
287,400 - 143,400 144,000
- - - -
- - - -
45,430 - 9,515 35,915
19,195 - 14,575 4,620
66,912 - 138,252 76,260
120,400 - 172,000 141,900
25,608 - 5,238 20,370
24,000 - 33,600 22,400
93,740 - 78,480 15,260
62,628 - 55,260 173,148
71,400 - 22,950 48,450
40,000 - 1,600 38,400
21,285 - - 21,285
- - - -
3,838 - - 3,838
117,000 - 153,500 213,500
89,722 - - 89,722
170,610 - - 170,610
119,548 - 160,930 188,518
221,625 - - 221,625
28,268 - 2,292 25,976
#VALUE! #VALUE! #VALUE!
8,903 - - 8,903
23,914 - 8,118 15,796
26,080 - 1,800 24,280
- - - 73,000
25,950 - 1,500 24,450
20,412 - 7,290 13,122
37,908 - 13,338 24,570
24,500 - 7,000 17,500
- - - -
52,000 - 60,000 72,000
- - - -
3,872 - 3,520 9,152
13,200 - - 13,200
- - - -
22,440 - 9,570 12,870
- - - -
- - - -
14,760 - - 14,760
18,400 - 600 17,800
- - - -
- - - -
16,390 - 19,470 29,920
Page 33
- - - -
- - - -
140,360 - 297,660 375,100
25,047 - 25,047 -
51,620 - - 51,620
310,500 - 36,800 503,700
160,200 - 41,400 118,800
23,100 - 13,650 44,450
14,445 - - 14,445
31,750 - 23,750 58,000
9,636 - - 9,636
243,798 - 251,970 400,428
53,400 - 24,300 29,100
39,600 - 39,600 66,000
116,160 - 110,880 163,680
- - - -
18,900 - 27,400 41,500
- - - -
- - - -
2,144 - - 2,144
- - - -
- - - -
71,505 - 2,100 69,405
20,382 - 7,900 12,482
24,250 - - 24,250
5,400 - 33,000 32,400
302,841 - 210,105 334,236
17,600 - - 17,600
20,800 - 67,600 33,200
108,471 - 18,810 215,061
224,576 - 233,728 413,248
198,168 - 250,941 270,327
24,200 - - 266,200
14,000 - 3,000 31,000
1,400 - 1,400 20,000
- - 96,600 245,400
46,842 - 18,990 154,452
- - - -
- - - -
39,600 - 31,680 87,120
36,960 - 31,680 93,280
10,050 - 5,360 4,690
- - - -
25,300 - - 25,300
45,925 - 550 45,375
56,705 - 9,405 47,300
26,390 - 875 25,515
35,035 - 3,685 31,350
9,000 - - 9,000
26,760 - 6,690 20,070
110,600 - - 110,600
- - 580,100
#VALUE! #VALUE! #VALUE! #VALUE!
HARGA HARGA HARGA

MASUK KELUAR SISA
17,500 - 21,000
- - 40,300
Page 34
- 10,650 42,600
- 52,760 52,760
- - 22,990
- - 59,600
250,500 - 250,500
- - -
- - -
- - -
- - 8,236
- 24,200 72,600
- 4,000 14,000
- - 30,000
- 14,800 74,000
- - 96,800
- - 122,700
- - 33,000
- - -
- - -
- 278,400 139,200
48,000
- - -
- 22,000 110,000
- - - ED
- - 57,500
- - -
- - -
- - -
- - 145,200
- - 27,748
- - 115,800
- 90,750
268,000 406,810 1,675,284
HARGA HARGA
KELUAR SISA
- -
10,000 40,000
14,000 126,000
- -
- 140,800
- 208,000
- 103,000
- 131,769
- 150,000
20,000 40,000
- 116,328
- -
- -
- -
44,000 1,055,897

- - - -
Page 35
- - - -
- - - -
141,400 - - 141,400
- - - -
- - - -
- - - -
- 65,626 65,626 -
- 276,300 92,100 184,200
- - - -
195,000 - - 195,000
411,800 - - 411,800
- - - -
756,250 - - 756,250
- - - -
- - - -
- - - -
- - - -
528,800 - 528,800 -
701,800 - 701,800 -
1,394,000 - - 1,394,000
45,100 - - 45,100
63,000 - - 63,000
2,000 - - 2,000
34,484 - 8,621 25,863
259,875 - 15,750 244,125
51,000 - 8,500 42,500
68,800 - 4,300 64,500
- - - -
506,385 - - 506,385
- - - -
- - - -
- - - -
42,195 - - 42,195
326,400 - - 326,400
312,800 - 40,800 272,000
99,600 - 49,800 49,800
44,400 - - 44,400
88,000 - - 88,000
- - - -
813,000 - 271,000 542,000
- 290,400 96,800 193,600
- - - -
- - - -
505,050 - 144,300 360,750
- - - -
145,200 - 48,400 96,800
84,000 - - 84,000
- - - -
- - - -
58,630 - 27,060 31,570
157,500 - - 157,500
- - - -
Page 36
145,836 - 36,459 109,377
165,600 184,000 184,000 165,600
2,208,000 - - 2,208,000
280,800 - - 280,800
- - - -
24,552 - 16,368 8,184
674,168 - - 674,168
275,500 - 9,500 266,000
- - - -
238,200 - 238,200 -
221,400 216,000 275,400 162,000
- - - -
40,000 - - 40,000
66,400 - - 66,400
- - - -
12,176,925 1,032,326 2,863,584 10,345,667

1,176,120 1,411,344 705,672 1,881,792
- - - -
352,124 - 44,952 307,172
25,425 - 8,475 42,375
42,375 - - 228,825
228,825 - - 228,825
33,900 - - 33,900
269,712 - 22,476 247,236
442,028 - 7,492 434,536
59,936 - 37,460 22,476
194,792 - 14,984 179,808
239,580 - 13,310 226,270
278,300 - - 278,300
444,800 - - 444,800
121,000 - - 121,000
- - - -
42,236 - - 42,236
499,257 - - 499,257
42,399 - - 42,399
265,355 - - 265,355
56,532 - - 56,532
73,800 - 49,200 24,600
14,133 - - 14,133
163,200
575,200 - - 575,200
- - - -
60,500 - - 60,500
39,440 98,600 19,720 118,320
81,300 135,500 54,200 162,600
120,000 - 30,000 90,000
89,850 - 26,955 62,895
- - - -
- - - -
- - - -
- - - -
69,350 - 10,950 58,400
8,448 50,688 8,448 50,688
Page 37
80,000 200,000 90,000 190,000
- - -
267,576 - 100,341 167,235
- - - -
- - - -
29,906 - 11,805 18,101
- - - -
15,730 - - 15,730
- - - -
15,730 - - 15,730
298,870 - 15,730 283,140
- - - -
43,656 - - 43,656
72,760 - - 72,760
14,552 - - 14,552
- - - -
121,338 - - 121,338
274,109 - - 274,109
196,700 - - 196,700
405,031 - - 405,031
988,000 - 76,000 912,000
- - - -
- - - -
67,200 - - 67,200
171,965 - 122,380 49,585
96,000 - 4,000 92,000
99,000 - - 99,000
- - - -
115,470 - 26,943 88,527
45,012 - 11,253 33,759
3,096 154,800 63,468 94,428
123,420 - - 123,420
377,315 - - 377,315
23,596 - - 23,596
48,300 - 6,300 42,000
279,752 - 16,456 263,296
110,000 - - 110,000
125,840 - - 125,840
81,684 - 13,614 68,070
- - - -
28,812 - - 28,812
2,479,653 - - 2,479,653
406,852 - - 406,852
- - - -
99,099 - 30,492 68,607
76,230 - 30,492 45,738
- - - -
582,400 - 254,800 327,600
14,211,371 2,050,932 1,928,368 14,709,010
HARGA HARGA HARGA

MASUK KELUAR SISA
- 137,940 -
180,000 126,000 186,000
- - 176,418
- - 122,936
- - -
Page 38
- 363,000 72,600
- 144,000 144,000
- 34,500 138,000
- 65,340 98,010
- - -
- - 194,400 ed
- - 214,170
- - 257,600
245,000 - 245,000
- - 57,475
425,000 870,780 1,906,609
HARGA HARGA HARGA

MASUK KELUAR SISA
- - 121,800
- - -
- 167,200 20,900
- - -
- - -
- - -
- - -
- - -
- - - ed
- - -
- - -
- 41,300 123,900
- - -
107,870 86,296 86,296
- - 64,200
- - 74,871
- 54,800 82,200
- - 89,200
- 1,800 7,200
- - 93,900
107,870 349,596 764,467

76,380 - - 61,975
4,900 210,000 85,400 100,800
- 440,000 146,300 258,500
87,450 - 8,250 129,250
134,420 - - 34,320
271,920 - - 367,092
490,050 - - 490,050
- - - -
139,755 - - 139,755
18,000 240,000 126,000 132,000
- - - -
- - - -
- - - -
258,300 - - 258,300
- - - -
92,800 - 16,000 76,800
Page 39
400,050 - 290,703 109,347
153,042 - 29,943 123,099
145,775 - 85,750 60,025
976,000 - 176,000 800,000
642,540 - 449,778 192,762
- - - -
98,000 - - 98,000
17,952 - 1,430 16,522
356,580 - 11,320 345,260
- - - -
2,013 134,200 119,438
- - - -
4,365,927 1,024,200 1,426,874 3,913,295

43,200 144,000 57,600 129,600
22,500 75,000 37,500 60,000
- - - -
36,000 - - 36,000
7,500 - - 7,500
126,000 - - 126,000
- - - -
130,680 - 116,160 14,520
20,000 125,000 85,000 60,000
28,000 - 10,000 18,000
- 36,000 18,000 18,000
30,000 100,000 40,000 90,000
20,000 - 20,000 -
15,150 - - 15,150
40,000 - 12,000 28,000
42,500 - 37,500 5,000
19,400 232,800 77,600 174,600
- - - -
- - - -
465,850 - 66,550 399,300
712,800 577,910 1,181,670
Page 40
SISA STOK DISTRIBUSI RUANGAN ALAT HABIS PAKAI
INSTALASI FARMASI RSUD.DR.PIRNGADI KOTA MEDAN
BULAN : FEBRUARI 2010
Harga Sisa
No Nama Barang S.awal Masuk Jumlah keluar Sisa HNA + PPN Harga Keluar
Stock
1 Adrenalin / Epineprin 26 - 26 3 23 2,216 6,648 50,968
2 Alcon 10/0 1 - 1 - 1 117,612 - 117,612
3 Aguadest inj 5 50 55 37 18 1,952 72,224 35,136
4 Air Raksa - - - - - 157,300 - -
5 Amalgam Powder - - - - - 275,275 - -
6 Atropin Sulfas 25 - 25 - 25 2,541 - 63,525
7 Algiate Pink - - - - - 193,600 - -
8 Agua Galon - - - - - 9,000 - -
9 Aguanol - - - - - 71,500 - -
10 Alvogyl - - - - - 346,500 - -
11 Antalgin - - - - - 70 - -
12 Aquadest 25 ml - - - - - 1,393 - -
13 Iodine Povidon 30 ml 25 96 121 96 25 3,630 348,480 90,750
14 Buscopan 9 - 9 - 9 18,900 - 170,100
15 Bonding Resin - - - - - 495,500 - -
16 Calcidor - - - - - 425,900 - -
17 CHKM - 1 1 1 - 90,750 90,750 -
18 Chlorfil - - - - - 1,452,000 - -
19 Chloretyl Sprai 1 - 1 1 - 211,750 211,750 -
20 Cidex - 2 2 2 - 236,555 473,110 -
21 Cat gut Plain no. 1 - - - - - 16,800 - -
22 Cat gut Plain 2/0 W 103 - - - - - 15,400 - -
23 Cat gut Cromic 2/0 113 40 12 52 26 26 12,175 316,550 316,550
24 Cendo Carpin 2% MD 10 20 30 2 28 23,458 46,916 656,824
25 C. Fenicol 1 % Tetes MD - - - - - 28,446 - -
26 C. Fenicol Salap Mata MD 10 - 10 5 5 18,846 94,230 94,230
27 C. Mydriatyl MD 15 - 15 2 13 35,543 71,086 462,059
28 C. Pantocain 2 % 25 60 85 69 16 12,545 865,605 200,720
29 C. Xytrol TM - - - - - 26,300 - -
30 C. Tropin 1 - 1 - 1 16,635 - 16,635
31 C. Neocort - - - - - 39,325 - -
32 Caraspon - - - - - 211,750 - -
33 Caviton - - - - - 127,050 - -
34 Cendo Asthenop TM - - - - - 19,060 - -
35 Chloraethyl - - - - - 211,750 - -
36 Diazepam Amp 40 - 40 - 40 950 - 38,000
37 Dek Glaas 1 - 1 - 1 30,200 - 30,200
38 Elektroda @ 50 10 20 30 28 2 208,120 5,827,360 416,240
39 Extension Tube 1 - 1 1 - 29,403 29,403 -
40 Eching / Bonding - - - - - 459,500 - -
41 Elite / Cement - 1 1 1 - 726,000 726,000 -
42 Ethilon 4 - 0 W 319 12 - 12 1 11 37,571 37,571 413,281
43 Ethilon 5 - 0 W 1616 T 7 - 7 - 7 32,670 - 228,690
44 Ethilon 6 - 0 W 1616 T 19 - 19 - 19 71,874 - 1,365,606
45 First Aid - 25 25 24 1 133,721 3,209,304 133,721
46 Film x Ray Gigi - 2 2 2 - 266,200 532,400 -
47 Formalin Tab 140 - 140 60 80 363 21,780 29,040
48 Flescher Set - - - - - 66,550 - -
49 Gip Ston Putih - - - - - 42,350 - -
50 Germiset - - - - - 409,583 - -
51 Gelang Anak 175 - 175 - 175 1,815 - 317,625
52 Gelang Ibu 175 - 175 - 175 1,815 - 317,625
53 Ikagen Cream 1 12 13 13 - 14,923 193,999 -
54 Kapas 1 kg - 55 55 55 - 43,923 2,415,765 -
55 Kondom Cateter - 5 5 5 - 7,590 37,950 -
56 Karet Legasi 10 - 10 - 10 598,900 - 5,989,000
Harga Sisa
Stock
57 KJ Jelly tube 37 48 85 59 26 33,000 1,947,000 858,000
58 Kalsinol - - - - - 695,750 - -
59 Lidocain 2 % 2 ml 62 200 262 170 92 1,034.55 175,874 95,179
60 Mersilk 6 - 0 W 529 H 24 - 24 11 13 108,900 1,197,900 1,415,700
61 Mersilk 5 - 0 W 580 16 - 16 1 15 52,300 52,300 784,500
62 Mersilk 2/0 W 213 3 - 3 - 3 44,503 - 133,509
63 Mersilk 4/0 W 586 13 - 13 3 10 37,455 112,365 374,550
64 Mata Boor - - - - - 689,700 - -
65 Mouth Pice - - - - - 770,000 - -
66 Micropore 7 24 31 12 19 8,129 97,548 154,451
67 Mersilk 3/0 W 2/2 12 - 12 - 12 44,600 - 535,200
68 Nald Carpul Gigi 100 - 100 - 100 143,500 - 14,350,000
69 Na Cl 0,9 % 1 L 20 20 40 16 24 9,780 156,480 234,720
70 Nald 6036 G/R 14 - - - - - 145,200 - -
71 Nald 6036 PB 1 - - - - - 145,200 - -
72 Nald 6036 PB 2 - - - - - 145,200 - -
73 Nald BR 11 - - - - - 145,200 - -
74 Nald BR 13 - - - - - 145,200 - -
75 Nald 6036 G/R 9 - - - - - 145,200 - -
76 Nald 6036 G/R 10 - - - - - 145,200 - -
77 Nald 6036 G/R 14 - - - - - 145,200 - -
78 Nald 6036 G/R 11 - - - - - 145,200 - -
79 Nald 6136 PB 1 - - - - - 145,200 - -
80 Nald 6030 G/T 11 - - - - - 145,200 - -
81 Nald 6030 G/T 9 - - - - - 145,200 - -
82 Kaevac Spinometri 5 - 5 - 5 363,000 - 1,815,000
83 Plester 1 inci - - - - - 10,107 - -
84 Plaster 2 inci 62 80 142 85 57 22,464 1,909,440 1,280,448
85 Plaster 3 inci 20 204 224 189 35 32,851 6,208,839 1,149,785
86 Pasta EEG - - - - - 7,150 - -
87 Peper EKG 2 Canel 50 x 30 3 10 13 2 11 60,500 121,000 665,500
88 Peper EKG 3 Canel 63 x 30 23 40 63 47 16 121,000 5,687,000 1,936,000
89 Pehacain 2 % in 9 200 209 120 89 2,865 343,800 254,985
90 Pot Plastik - 50 50 25 25 1,815 45,375 45,375
90 PPD RT 23 10 - 10 4 6 435,600 1,742,400 2,613,600
91 Quadran Universal - - - - - 1,452,000 - -
92 Quadran A 3 - - - - - 259,050 - -
93 Safol Amp - - - - - 53,482 - -
94 Spongostan - 1 1 - 1 211,750 - 211,750
95 Scandones inj 50 - 50 - 50 55,000 - 2,750,000
96 Selang Oxygen Anak 5 20 25 5 20 36,200 181,000 724,000
97 Selang Oxygen Dewasa 5 20 25 14 11 24,200 338,800 266,200
98 Scapel no. 11 117 - 117 68 49 2,299 156,332 112,651
99 Scapel no. 15 33 200 233 68 165 2,299 156,332 379,335
100 Scapel no. 20 46 100 146 92 54 2,299 211,508 124,146
101 Scapel no. 21 - - - - - 2,299 - -
102 Scapel no. 23 - - - - - 2,299 - -
103 Scapel no. 24 - - - - - 2,299 - -
104 Spuit 1 cc 165 200 365 94 271 1,064 100,016 288,344
105 Spuit 3 cc 5 300 305 161 144 895 144,095 128,880
106 Spuit 5 cc 13 100 113 2 111 1,095 2,190 121,545
107 Spuit 10 cc 86 - 86 - 86 1,404 - 120,744
108 Selang Catheter 8 10 - 10 - 10 7,260 - 72,600
109 Selang Catheter 10 10 - 10 3 7 9,075 27,225 63,525
110 Selang Catheter 12 5 - 5 3 2 9,075 27,225 18,150
111 Selang Catheter 14 7 - 7 3 4 12,100 36,300 48,400
112 Selang O2 Masker Anak 10 - 10 - 10 48,400 - 484,000
113 Tutup Secop - - - - - 399,000 - -
114 Transamin Amp 10 - 10 - 10 10,800 - 108,000
115 Topsi Cream 11 - 11 4 7 37,933 151,732 265,531
116 T K F - - - - - 93,170 - -
117 UPC 1010 UPP - - - - - 1,149,500 - -
118 UPC 21 L - 1 1 1 - 1,996,500 1,996,500 -
Harga Sisa
Stock
119 UPP 110 HD 8 10 18 4 14 332,750 1,331,000 4,658,500
120 Verband 380 2,500 2,880 2,085 795 1,029 2,145,465 818,055
121 Warticid - - - - - 605,000 - -
122 Xylocain Spray - 2 2 1 1 252,145 252,145 252,145
123 Xylocain Amp 2 10 12 7 5 50,500 353,500 252,500
124 Jelli Aquasonic - 2 2 2 - 181,500 363,000 -
125 Cavit 6 - - - - - 267,168 - -
126 Eugenol - - - - - 50,600 - -
127 C. Fenicol Tetes 1 % 5 - 5 4 1 28,449 113,796 28,449
128 Prolen 6-0 W 830 6 - 6 1 5 177,289 177,289 886,445
129 Masker Oygen Dewasa 1 - 1 - 1 30,250 - 30,250
130 Aqua Pro in - - - - - 8,250 - -
130 H. Nald 6135 Pb2 - - - - - 145,200 - -
131 H. Nald 6030 G/T5 - - - - - 145,200 - -
132 H. Nald 6136 Pb2 - - - - - 145,200 - -
133 H. Nald 6036 G/K7 - - - - - 145,200 - -
134 H. Nald 6036 B/R10 - - - - - 145,200 - -
135 Vitrofil A3 - 1 1 - 1 145,200 - 145,200
136 Micropore 1 inci - - - - - 10,814 - -
137 Micropore 2 inci - - - - - 21,628 - -
138 Fixomul 2 inci - - - - - 127,980 - -
139 Fixomul 4 inci 10 - 10 - 10 297,000 - 2,970,000
140 Sabun Cuci Cair Btl - - - - - 60,720 - -
141 H. Nald 6030 G/T 14 2 - 2 2 - 145,200 290,400 -
142 H. Nald 6036 G/T 11 - - - - - 145,200 - -
143 H. Nald 6030 G/T 10 2 - 2 2 - 145,200 290,400 -
144 H. Nald 6030 G/R 13 - - - - - 145,200 - -
145 H. Nald 6030 G/T 12 4 - 4 4 - 145,200 580,800 -
146 Agua Irigasi 1 ltr - - - - - 8,250 - -
147 C. Fenicol Tetes 1 % ED - - - - - 18,846 - -
148 Lentulu Gigi - 1 1 1 - 290,400 290,400 -
149 Sabun Cair Galon 5 l - - - - - 88,000 - -
150 H. Nald 6016 B/R 11 - - - - - 145,200 - -
151 Endometason 1 - 1 - 1 654,610 - 654,610
152 Ecing Super Gel 1 - 1 - 1 501,600 - 501,600
153 H. Nald 6136 PB 3 - - - - - 145,200 - -
154 H. Nald 6030 G/T 7 2 - 2 2 - 145,200 290,400 -
155 H. Nald 6036 G/R 9 - - - - - 145,200 - -
156 H. Nald 6036 G/R 10 - - - - - 145,200 - -
157 H. Nald 6036 G/R 5 3 - 3 3 - 145,200 435,600 -
158 H. Nald 6010 B/T 11 - - - - - 145,200 - -
159 H. Nald 6030 G/T 13 - - - - - 145,200 - -
160 H. Nald 6030 G/T 11 - - - - - 145,200 - -
161 H. Nald 6030 G/T 9 - - - - - 145,200 - -
162 Guttae Percha - - - - - 60,137 - -
163 Peper Poin - - - - - 217,800 - -
164 H Nald 6030 PB 3 - - - - - 145,200 - -
165 Spatula Vagina 100 - 100 100 - 1,100 110,000 -
166 H. Nald 6030 G/T 12 3 - 3 2 1 145,200 290,400 145,200
Total 46,270,052 57,881,394
Medan, 10 Maret 2010

Kapala Instalasi Farmasi
RSUD. Dr. Pirngadi Kota Medan
Dra. Azwinar, Apt

NIP. 19530115 198503 2 00 2
STOK OBAT DAN ALAT KESEHATAN DI C O T
BULAN : JANUARI 2010
SWK
Stok Sisa Stok Harga Harga Harga Sisa
No. Nama Obat Sat Masuk Jumlah Keluar
Awal Akhir Jual Keluar Stok
1 Aquadest 1 ltr fls 3 70 73 57 16 11,000 627,000 176,000
2 Aquadest 25 cc fls 1 20 21 15 6 1,532 22,978 9,191
3 Atacrium amp 5 15 20 7 13 80,000 560,000 1,040,000
4 Aminopillin inj amp - ### - - - 4,325 - -
5 Betadin Clenser fls 1 - 1 1 - 18,150 18,150 -
6 Betadin Zalf 10 gr tube - ### - - - 9,075 - -
7 Bioplacentone Cream tube 4 - 4 - 4 10,781 - 43,124
8 Bone Wax set 10 - 10 3 7 50,820 152,460 355,740
9 Bunascan amp 6 - 6 6 - 43,560 261,360 -
10 Buvanest 4 cc lbr - 30 30 30 - - -
11 Buvanest 20 cc lbr 3 - 3 - 3 53,250 - 159,750
12 Bupivacain amp 17 40 57 40 17 23,958 958,320 407,286
13 Burnazim Zalf 3,5 gr Tube fls 3 - 3 - 3 39,265 - 117,794
14 Iodin Povidon 60 ml fls 17 - 17 13 4 5,000 65,000 20,000
15 Iodin Povidon 30 ml fls - ### - - - - - -
16 Cat Gut Cromic 2 C 29 set 1 - 1 - 1 55,165 - 55,165
17 Cat Gut Cromic No. 1 w 115 set 17 12 29 6 23 12,352 74,112 284,098
18 Cat Gut Cromic No.2 w 116 set 16 36 52 30 22 13,411 402,325 295,038
19 Cat Gut Cromic No.2/0 w 113 set 15 12 27 11 16 10,588 116,463 169,400
20 Cat Gut Cromic No.3/0 w 112 set 28 - 28 - 28 9,882 - 276,684
21 Cat Gut Cromic No.3/0 T 122 set - 24 24 2 22 13,072 26,144 287,584
22 Cat Gut Cromic No.4/0 set 19 - 19 - 19 9,882 - 187,750
23 Cat Gut Plain 1 PP 33 set 30 - 30 2 28 10,890 21,780 304,920
24 Cat Gut Plain 2/0 PP 31 set 5 36 41 31 10 12,485 387,035 124,850
25 Cat Gut Plain No.0 w 104 set 11 - 11 7 4 11,293 79,053 45,173
26 Cat Gut Plain No.1 w 105 set 18 - 18 - 18 12,352 - 222,337
27 Cat Gut Plain No.2 w 106 set 19 - 19 8 11 13,411 107,287 147,519
28 Cat Gut Plain No.2/0 w103 set - ### - - - 11,646 - -
29 Cat Gut Plain No.3/0 w 102 set 16 - 16 3 13 10,870 32,609 141,308
30 Catapres inj amp 3 - 3 2 1 28,092 56,183 28,092
31 Certofix Duo V 720 7 FK 8 set 2 ### 4 1 3 686,070 686,070 2,058,210
32 Certovix 4 set 1 - 1 - 1 20,570 - 20,570
33 Chloramp Zlf Mata tube 5 - 5 2 3 1,797 3,593 5,390
34 Clampumbilical set 4 - 4 - 4 1,210 - 4,840
35 Colostomy Bag No.2 set 30 - 30 2 28 5,042 10,083 141,167
36 Colostomy Bag No.3 set 19 - 19 2 17 5,042 10,083 85,708
37 CPV 4 set 2 - 2 - 2 544,500 - 1,089,000
38 CVP 4.5 set - ### - - - 544,500 - -
39 CVP 5 set 3 - 3 - 3 544,500 - 1,633,500
40 CVP 5.5 set 2 - 2 - 2 544,500 - 1,089,000
41 CVP 7 set 2 - 2 1 1 484,000 484,000 484,000
42 CVP 8 set - ### - - - 484,000 - -
43 Cat Gut Cromic 1 PC 39 set - ### - - - 12,485 - -
44 Cat Gut Cromic 2 PC 40 set - ### - - - 13,726 - -
45 Cat Gut Cromic 2/0 PC 37 set - ### - - - 10,890 - -
46 Cendatron amp - ### - - - 20,570 - -
47 Civel inf fls - ### - - - 103,818 - -
48 Dextran L 70 % fls 9 - 9 3 6 76,600 229,800 459,600
49 Dextrose 5%+NaCl 0,45% fls 5 - 5 - 5 9,505 - 47,523
50 Ditranex 500 mg amp - 20 20 10 10 10,500 105,000 105,000
51 DJ Stein CH 6 amp 4 - 4 1 3 1,681,900 1,681,900 5,045,700
52 Double Lumen 12 FR 2223 amp 1 - 1 - 1 653,400 - 653,400
53 Dexametason inj amp - ### - - - 1,360 - -
54 Dextrose 5 % fls - ### - - - 4,204 - -
55 Dextrose 5%+NaCl 0,225% fls - ### - - - 9,505 - -
56 Dextrose 5%+NaCl 0,9% fls - ### - - - 5,477 - -
57 Diazepam inj amp - ### - - - 960 - -
58 Dopamin inj amp - ### - - - 33,880 - -
59 Ethiparen amp - 12 12 5 7 33,880 169,400 237,160
60 Elastis Verban 4 inci rool 4 24 28 14 14 36,377 509,282 509,282
61 Elastis Verban 6 inci rool 9 - 9 4 5 51,292 205,170 256,462
62 Elektrode set 78 100 178 93 85 9,680 900,240 822,800
63 Ephedrin inj amp 22 70 92 63 29 11,650 733,950 337,850
64 Ethylon no 10/0 w 90036 set 4 - 4 1 3 132,967 132,967 398,901
65 Ethylon no 6/0 w 1610T set 10 - 10 - 10 55,811 - 558,113
66 Ethylon no 5/0 1616 set 17 - 17 2 15 47,453 94,906 711,798
67 Ethylon no 4/0 w 319 set - ### - - - 32,670 - -
68 Ethylon no 3/0 320 set - ### - - - 32,670 - -
69 ETT 7,5 Kim King set 1 - 1 - 1 360,250 - 360,250
70 ETT No. 2,5 set 3 - 3 2 1 13,860 27,720 13,860
71 ETT No. 3 set 2 - 2 - 2 36,300 - 72,600
72 ETT No. 3,5 set 7 - 7 - 7 523 - 3,659
73 ETT No. 4 set 2 5 7 3 4 36,300 108,900 145,200
74 ETT No. 4.5 set 3 - 3 2 1 5,225 10,450 5,225
75 ETT No. 5 set 3 5 8 2 6 36,300 72,600 217,800
76 ETT No. 5.5 set - 5 5 2 3 36,300 72,600 108,900
77 ETT No. 6 set 7 5 12 8 4 3,630 29,040 14,520
78 ETT No. 6.5 set - 8 8 8 - 29,948 239,580 -
79 ETT No. 7 set 15 50 65 45 20 36,300 1,633,500 726,000
80 ETT No. 7.5 set 27 20 47 24 23 36,300 871,200 834,900
81 Extension Tub / Suction set 8 - 8 - 8 33,275 - 266,200
82 Ethigen Amp set - 26 26 4 22 - -
83 Expafusin inf fls - ### - - - 169,400 - -
84 Foley Cath Tree Way 20 set 2 - 2 - 2 53,240 - 106,480
85 Foley Cath Tree Way 24 set 2 10 12 6 6 65,000 390,000 390,000
86 Furosemid inj amp - 2 2 2 - 1,139 2,277 -
87 Fixomul set - ### - - - 64,268 - -
88 Forgesic inj amp - ### - - - 12,100 - -
89 Gypsona 4 ici rool - ### - - - 28,078 - -
90 Gypsona 6 inci rool 11 - 11 2 9 33,275 66,550 299,475
91 Garamycine Zalf 15 gr tube - ### - - - 44,492 - -
92 Gelofucin fls - ### - - - 133,100 - -
93 Gentamycin 5 gr Zalf tube - ### - - - 3,217 - -
94 Gentamycin 80 mg inj amp 2 - 2 2 - 11,200 22,400 -
95 H2O2 3% 300 ml fls 5 10 15 12 3 5,000 60,000 15,000
96 Home Hes fls - ### - - - 62,312 - -
97 Hypafix 4 inci meter - 100 100 71 29 18,000 1,278,000 522,000
98 Hypafix 6 inci meter - ### - - - 13,570 - -
99 Hydrocortison 24 amp - ### - - - 3,589 - -
100 Indoxan inj amp - ### - - - 4,840 - -
101 Ketamin amp - 9 9 6 3 - -
102 Kalmetason amp - 10 10 10 - 2,600 26,000 -
103 Kanamycin 1 gr in flc 8 - 8 - 8 9,438 - 75,504
104 Kemicetin cap 14 - 14 4 10 5,500 22,000 55,000
105 Kemicetin Zalf kulit tube 4 30 34 21 13 11,000 231,000 143,000
106 Ketese amp 4 - 4 2 2 41,140 82,280 82,280
107 Ketorolac amp amp - 20 20 6 14 6,600 39,600 92,400
108 Kondom Catheter set 6 - 6 - 6 3,025 - 18,150
109 Lidocain inj amp - 100 100 10 90 2,000 20,000 180,000
110 Liga Clip Extra Smal set 35 - 35 1 34 67,222 67,222 2,285,548
111 Linear Cultur TLC 75 set - ### - - - 2,420,000 - -
112 LMA Suprime Size 3 amp 1 - 1 - 1 330,000 - 330,000
113 Lomatulle lbr 33 - 33 5 28 11,500 57,500 322,000
114 Manitol fls 2 - 2 - 2 68,280 - 136,561
115 Marcain 0,5 % ( mata) fls 6 - 6 1 5 76,636 76,636 383,178
116 Mebo Zlf fls 3 - 3 2 1 69,550 139,100 69,550
117 Mersilk No. 0 w 214 set 5 - 5 1 4 34,586 34,586 138,343
118 Mersilk No. 2/0 W 213 set 20 24 44 16 28 51,200 819,200 1,433,600
119 Mersilk No. 3/0 W 212 set 14 - 14 5 9 44,575 222,875 401,175
120 Mersilk No. 3/0 W 502 set 8 - 8 3 5 37,298 111,895 186,491
121 Mersilk No. 3/0 W 587 set 22 36 58 24 34 49,114 1,178,734 1,669,873
122 Mersilk No. 4/0 W 501 set 12 - 12 - 12 27,552 - 330,620
123 Mersilk No. 4/0 W 586 set 14 - 14 - 14 37,462 - 524,462
124 Mersilk 5/0 580 set 10 - 10 - 10 49,958 - 499,579
125 Mersilk No. 2 w 216 set 9 12 21 10 11 10,000 100,000 110,000
126 Mersilk No. 3 W 217 set 4 - 4 - 4 9,868 - 39,470
127 Methergin inj amp 1 - 1 - 1 8,021 - 8,021
128 Metochlopramide amp - ### - - - 1,440 - -
129 Metronidazol inf fls 2 - 2 - 2 2,299 - 4,598
130 Micodrip set 2 - 2 - 2 64,554 - 129,107
131 Miloz inj amp 8 - 8 3.5 4.5 37,510 131,285 168,795
132 Marcain 0,5 % ( Heavy) fls - ### - - - 67,500 - -
133 Meylon inj amp - ### - - - 7,123 - -
134 Midazolan 15 mg inj amp - - - - - 34,485 - -
135 NaCl 0,3 % fls - ### - - - 12,031 - -
136 NaCl 0,9 % 1 ltr fls - 15 15 2 13 10,300 20,600 133,900
137 NaCl 0,9 % 100 cc fls - ### - - - 6,033 - -
138 NaCl 0,9 % 500 cc fls 5 20 25 25 - 4,465 111,623 -
139 Nilon 10/0 set - ### - - - 133,100 - -
140 Nilon 4/0 N 37 set 18 - 18 4 14 38,268 153,072 535,751
141 Nilon 3/0 N 32 set 14 - 14 4 10 46,555 186,220 465,550
142 Nitrocin amp 7 - 7 - 7 45,951 - 321,659
143 Novalgin inj amp 7 10 17 7 10 8,344 58,409 83,442
144 Notrixum fls 61 - 61 21 40 50,000 1,050,000 2,000,000
145 Ondansetron amp - 55 55 37 18 7,700 284,916 138,608
146 Propofol amp - 42 42 22 20 7,700 169,410 154,009
147 Pehacain inj amp 23 10 33 13 20 3,000 39,000 60,000
148 Perifix 400 mg amp 4 5 9 2 7 193,600 387,200 1,355,200
149 Piton S inj amp 6 - 6 - 6 10,587 - 63,521
150 PMW 35 set 1 - 1 - 1 240,000 - 240,000
151 PP. Cristal fls 7 - 7 - 7 6,546 - 45,819
152 Profenid Suppositoria supp 5 - 5 - 5 12,966 - 64,830
153 Prostigmin inj amp 60 200 260 170 90 13,250 2,252,500 1,192,500
154 PSX set 1 - 1 - 1 121,000 - 121,000
155 Polysorb 1 no. 915 set 19 36 55 13 42 78,700 1,023,100 3,305,400
156 Polysorb 1 no. 936 set 7 - 7 - 7 84,095 - 588,665
157 Polysorb 2/0 no. 811 set - 36 36 15 21 75,000 1,125,000 1,575,000
158 Polysorb 3/0 no. 182 set 14 36 50 17 33 67,800 1,152,600 2,237,400
159 Polysorb 3/0 no. 693 set - ### - - - 67,800 - -
160 Polysorb 4/0 no. 181 set 25 - 25 15 10 73,810 1,107,150 738,100
161 Prolene ME 3 3x6 set 1 6 7 4 3 455,368 1,821,472 1,366,104
162 Prolene ME 3 6x6 set 2 1 3 1 2 719,950 719,950 1,439,900
163 Prolene no. 1 W 742 set 10 - 10 - 10 77,864 - 778,635
164 Prolene no. 2/0 W 8833 set 13 - 13 7 6 86,400 604,800 518,400
165 Prolene no. 3/0 W 538 set 7 - 7 - 7 65,500 - 458,500
166 Prolene no. 3/0 W 8558 set 12 - 12 - 12 115,488 - 1,385,861
167 Prolene no. 4/0 W 525 set - ### - - - 65,394 - -
168 Prolene no. 4/0 W 8557 set 31 - 31 - 31 122,186 - 3,787,760
169 Prolene no. 5/0 W 527 set - ### - - - 71,438 - -
170 Prolene no. 6/0 W 523 set 13 - 13 5 8 65,500 327,500 524,000
171 Prolene no. 7/0 W 8800 set 2 - 2 - 2 158,125 - 316,250
172 Prolene Mes Triton GS 23 set - 1 1 1 - - -
173 Plain 2/0 P 31 set - ### - - - 12,332 - -
174 Polysorb 2/0 no. 823 set - ### - - - 76,230 - -
175 Polysorb 2/0 no. 992 set - ### - - - 131,890 - -
176 Primperan inj amp - ### - - - 7,663 - -
177 Prolene no. 5/0 W 8556 set - ### - - - 11,195 - -
178 Prolene no. 6/0 W 8307 set - ### - - - 177,289 - -
179 Regivel set - 20 20 7 13 - -
180 Recopol set - 47 47 20 27 - -
181 Rectal Tube 24 set 6 - 6 3 3 30,250 90,750 90,750
182 Rectal Tube 28 set - 5 5 - 5 39,930 - 199,650
183 Ringer Laktat fls 35 - 35 35 - 5,302 185,570 -
184 Roculax amp 3 20 23 2 21 94,260 188,520 1,979,460
185 R.Sol fls - ### - - - 9,029 - -
186 Remopain amp - ### - - - 28,380 - -
187 Stapler Triton amp - 3 3 2 1 - -
188 Safol amp - 80 80 28.5 51.5 - -
189 Surgicell 19036 B set 20 - 20 6 14 82,227 493,362 1,151,177
190 Silk 2 PS 27 set 24 - 24 16 8 10,010 160,160 80,080
191 Sofband 4 inci rool 1 8 9 4 5 16,199 64,796 80,994
192 Sofband 6 inci rool 7 - 7 - 7 23,288 - 163,018
193 Spinocain 25 G set 12 75 87 52 35 20,873 1,085,370 730,538
194 Spinocain 27 set 15 - 15 8 7 22,990 183,920 160,930
195 Steimin Pen 4 mm set 3 - 3 - 3 169,400 - 508,200
196 Succynil inj fls - 50 50 25 25 130,680 3,267,000 3,267,000
197 Sulfas Atropin inj amp 15 - 15 8 7 1,610 12,883 11,273
198 Surgipro 6/0 706 set 22 - 22 7 15 127,050 889,350 1,905,750
199 Surgipro 3/0 684 set 19 - 19 - 19 65,280 - 1,240,311
200 Surgipro 4/0 631 set 34 - 34 9 25 65,079 585,708 1,626,966
201 Surgipro 5/0 661 set 21 - 21 5 16 65,001 325,006 1,040,019
202 Sur Gipro 5/0 SP 5681 set - ### - - - 90,508 - -
203 Succ Asta 100 mg fls - ### - - - 143,748 - -
204 Silk 2/0 PS 24 set - ### - - - 9,184 - -
205 Surgipro 5/0 SP 661 set - ### - - - 65,000 - -
206 T. Tube 4 set 1 - 1 - 1 332,750 - 332,750
207 T. Tube 5 set - ### - - - 332,750 - -
208 T. Tube 7 amp 1 - 1 1 - 366,025 366,025 -
209 Tracbeus no. 7,5 set 4 - 4 1 3 484,000 484,000 1,452,000
210 Tracbeus no. 7 set 1 - 1 - 1 484,000 - 484,000
211 Tracheus no. 5 set 1 - 1 - 1 84,066 - 84,066
212 Taxegram 1g fls - ### - - - 121,847 - -
213 Thorax Drain no.28 set - ### - - - 218,178 - -
214 Thorax Drain no.32 set - ### - - - 218,178 - -
215 Torpain amp - ### - - - 32,500 - -
216 Tracheus no. 3,5 set - ### - - - 195,415 - -
217 Tracheus no. 4,5 set - ### - - - 272,553 - -
218 Tracryum inj amp - ### - - - 76,424 - -
219 Tryfamycetin 24 set - ### - - - 9,983 - -
220 Ulcumet /Ulcikur inj amp 5 - 5 1 4 5,808 5,808 23,232
221 Urine Bag Terumo set 6 10 16 7 9 55,539 388,773 499,851
222 Vicryl no. 1 J 371 set 18 - 18 12 6 79,200 950,400 475,200
223 Vicryl no. 2 9246 set 2 - 2 1 1 101,822 101,822 101,822
224 Vicryl no. 2/0 W 317 set 35 - 35 - 35 75,304 - 2,635,652
225 Vicryl no. 2/0 w 517 set - 36 36 10 26 89,100 891,000 2,316,600
226 Vicryl no. 3/0 w 316 set 32 - 32 17 15 68,063 1,157,063 1,020,938
227 Vicryl no. 3/0 w 452 set - ### - - - 66,592 - -
228 Vicryl no. 4/0 w 310 set 33 - 33 6 27 74,300 445,800 2,006,100
229 Vicryl no. 5/0 w 303 set 33 - 33 11 22 72,949 802,443 1,604,886
230 Vicryl no. 6/0 w 9552 set 13 - 13 1 12 194,000 194,000 2,328,000
231 Vicryl no. 6/0 w 9500 T set 23 - 23 2 21 117,000 234,000 2,457,000
232 Vicryl no. 8/0 w 9560 set 11 - 11 1 10 127,050 127,050 1,270,500
233 VIO V 15 set 17 24 41 19 22 73,500 1,396,500 1,617,000
234 VIO 2/0 V 8 set 16 12 28 7 21 65,500 458,500 1,375,500
235 VIO 3/0 V 33 set 5 72 77 66 11 53,500 3,531,000 588,500
236 Voluven set - 5 5 3 2 - -
237 Wida Hes 130 amp - 1 1 - 1 - -
238 Xylocain 5 % 20 cm amp 3 2 5 2 3 50,200 100,400 150,600
239 Nald Hecting 6016 E/R 10 pcs - - - - - 119,790 - -
240 Nald Hecting 6016 E/R 12 pcs 1 - 1 - 1 119,790 - 119,790
243 Nald Hecting 6036 G/R 9 pcs 2 5 7 4 3 119,790 479,160 359,370
244 Nald Hecting 6036 G/R 10 pcs 2 5 7 4 3 9,075 36,300 27,225
245 Nald Hecting 6036 G/R 11 pcs 3 - 3 1 2 9,075 9,075 18,150
246 Nald Hecting 6036 G/R 12 pcs - - - - - 9,075 - -
249 Nald Hecting 6136 PB 3 pcs - - - - - 9,075 - -
253 Nald Hecting 6136 PB 00 pcs 2 3 5 - 5 9,075 - 45,375
254 Nald Hecting 6030 G/T 12 pcs - - - - - 9,075 - -
255 Nald Hecting 6030 G/T 11 pcs 4 - 4 2 2 9,075 18,150 18,150
256 Nald Hecting 6030 G/T 10 pcs 2 - 2 2 - 9,075 18,150 -
257 Nald Hecting 6030 G/T 9 pcs 1 - 1 1 - 9,075 9,075 -
260 Nald Hecting 6030 G/T 5 set 3 5 8 3 5 121,000 363,000 605,000
261 Nald Hecting SE TE 55 pcs 2 - 2 - 2 119,790 - 239,580
262 Nald Hecting 6120 E 000 pcs 5 - 5 2 3 9,075 18,150 27,225
263 Nald Hecting 6330 GET 6 pcs 8 - 8 - 8 9,075 - 72,600
264 Nald Hecting 6030 G/R 14 pcs 5 - 5 1 4 11,092 11,092 44,367
265 Nald Hecting GA 4 F 5030/4 pcs 1 - 1 - 1 11,092 - 11,092
266 Nald Hecting GA 5 F 5030/5 pcs 1 - 1 - 1 11,092 - 11,092
267 Nald Hecting 6136 PB 5 set 5 - 5 2 3 169,400 338,800 508,200
268 Surgcal Blades No. 11 set 250 100 350 150 200 2,299 344,850 459,800
269 Surgcal Blades No. 12 set - 80 80 - 80 2,299 - 183,920
272 Surgcal Blades No. 21 set 190 - 190 - 190 1,791 - 340,252
273 Surgcal Blades No. 22 set - - - - - 1,791 - -
274 Surgcal Blades No. 23 set 300 - 300 200 100 1,791 358,160 179,080
275 Surgcal Blades No. 24 set - - - - - 1,791 - -
276 Soda Lem sal - - - - - 665,500 - -
277 Suction Cath no. 14 pcs - - - - - 12,100 - -
278 Suction Cath no. 12 set 8.00 - 8.00 4.00 4.00 7,260 29,040 29,040
279 Suction Cath no. 10 set 6.00 - 6.00 - 6.00 4,840 - 29,040
280 Infant Rempoly Hesive II ( dws) set 2 - 2 2 - 72,600 145,200 -
281 I.V Catheter no. 14 set - ### - - - 7,260 - -
282 I.V Catheter no. 16 set 6.00 - 6.00 2.00 4.00 9,900 19,800 39,600
283 I.V Catheter no. 18 set 100.00 ### 200.00 109.00 91.00 7,623 830,907 693,693
286 I.V Catheter no. 24 set 40.00 - 40.00 - 40.00 7,623 - 304,920
59 I.V Catheter no. 8 set 3.00 - 3.00 3.00 - 7,260 21,780 -
61 Ketamin 0,5 flc 9.00 - 9.00 9.00 - 121,000 1,089,000 -
62 Propofol amp 22.00 - 22.00 22.00 - 65,964 1,451,216 -
63 Recopol amp 32.00 - 32.00 32.00 - 84,000 2,688,000 -
64 Rem Poly Hesive II ( anak ) set - - - - - 72,600 - -
65 Remopain amp 35.00 - 35.00 35.00 - 24,478 856,741 -
66 Scapel 12 fls 80 - 80 80 - 2,299 183,920 -
Jumlah 54,144,914 104,151,094
ASKES
Stok Sisa Stok Harga Harga Harga Sisa
No. Nama Obat Sat Masuk Jumlah Keluar
Awal Akhir Jual Keluar Stok
1 Aminiopillin inj amp 10.00 - 10.00 - 10.00 4,325 - 43,250
2 Aquadest 25 cc fls - - - - - 1,532 - -
3 Albotyl Contnants fls 8.00 - 8.00 4.00 4.00 26,995 107,980 107,980
4 Aminofusin L 600 fls - ### - - - 83,853 - -
5 Burnazim 35 gr zalf tube - ### - - - 44,240 - -
6 Chloramphenikol zalf mata tube 16.00 - 16.00 5.00 11.00 1,797 8,983 19,763
7 Ditranex inj 500 mg amp 57.00 100.00 157.00 135.00 22.00 10,500 1,417,500 231,000
8 Ditranex 250 mg inj amp - - - - - 4,754 - -
9 Desxtrose 5 % 100 cc flc 1.00 - 1.00 - 1.00 6,637 - 6,637
10 Dexttrose 5 % fls 17.00 - 17.00 - 17.00 4,204 - 71,462
11 Dex 5% + NaCl 0,9 % fls - 2.00 2.00 1.00 1.00 5,478 5,478 5,478
12 Dex 5% + NaCl 0,225 % fls 16.00 - 16.00 - 16.00 9,505 - 152,073
13 Dex 5 % + NaCl 0,45 % fls - - - - - 9,505 - -
14 Ethigen / Gentamicin 80 mg inj amp 20.00 - 20.00 11.00 9.00 6,292 69,212 56,628
15 Ecron amp 4.00 48.00 52.00 45.00 7.00 23,925 1,076,632 167,476
16 Epiniprin / Adrenalin amp 28.00 - 28.00 6.00 22.00 13,310 79,860 292,820
17 Ethyparen amp - 30.00 30.00 20.00 10.00 - -
18 Furocemid inj amp 20.00 - 20.00 11.00 9.00 1,139 12,524 10,247
19 Fortanes / Miloz amp 50.00 ### 100.00 80.00 20.00 37,510 3,000,800 750,200
20 Fentanyl amp 14.00 60.00 74.00 67.50 6.50 24,200 1,633,500 157,300
21 Fima Hes fls 1.00 5.00 6.00 6.00 - 6,160 36,960 -
22 Gentamycin Zalf tube 2.00 - 2.00 - 2.00 1,815 - 3,630
23 Kcl fls 3.00 - 3.00 - 3.00 60,917 - 182,752
24 Hemo Hes amp 5.00 5.00 10.00 6.00 4.00 82,500 495,000 330,000
25 Jod Povidon 60 cc flc 36.00 144.00 180.00 142.00 38.00 3,630 515,460 137,940
26 Kalmetasone amp - 150.00 150.00 109.00 41.00 - -
27 Keterolac amp - 100.00 100.00 79.00 21.00 - -
28 Lomatul lbr 27.00 50.00 77.00 32.00 45.00 8,470 271,040 381,150
29 Lidocain Comp inj amp 102.00 - 102.00 7.00 95.00 1,056 7,390 100,299
30 Lovenox amp 1.00 - 1.00 - 1.00 137,940 - 137,940
31 Inviclot amp - 6.00 6.00 4.00 2.00 - -
32 Metoclopramide inj amp - - - - - 1,006 - -
33 Metronidazol inf fls - - - - - 22,990 - -
34 Meloxicam Sup supp - ### - - - 7,920 - -
35 Manitol inf fls - 2.00 2.00 1.00 1.00 59,358 59,358 59,358
36 Myomergin inj amp 11.00 - 11.00 - 11.00 8,021 - 88,227
37 Meylon inj amp - - - - - 7,123 - -
38 NaCl 0,9 % fls 49.00 220.00 269.00 229.00 40.00 4,465 1,022,462 178,596
39 NaCl 0,9 % 1 ltr fls 6.00 15.00 21.00 21.00 - 10,296 216,214 -
40 Notrixum 50 amp 11.00 20.00 31.00 22.00 9.00 27,500 605,000 247,500
41 Pethidin inj amp 17.00 20.00 37.00 36.50 0.50 13,191 481,487 6,596
42 Piton S in / Pitogin amp 3.00 10.00 13.00 - 13.00 10,587 - 137,630
43 P.P. Cristal 1 gr inj fls 4.00 10.00 14.00 6.00 8.00 11,957 71,742 95,656
44 Ranitidin fls - 2.00 2.00 2.00 - - -
45 RL 500 cc fls 48.00 400.00 448.00 375.00 73.00 7,545 2,829,234 550,758
46 RL 1 ltr flc - ### - - - 11,176 - -
47 Raclonid / Ethyperan amp - 20.00 20.00 10.00 10.00 3,328 33,275 33,275
48 Sulpas Atropin inj amp 142.00 200.00 342.00 154.00 188.00 1,610 248,002 302,755
49 Succynyl inj fls - - - - - 130,680 - -
50 Tramadol amp 26.00 45.00 71.00 59.50 11.50 1,673 99,549 19,241
51 Tutofusin OPS fls - 50.00 50.00 50.00 - 39,930 1,996,500 -
52 Ulcikur inj amp 18.00 - 18.00 1.00 17.00 5,808 5,808 98,736
53 Viccyllin 1 gr inj fls 10.00 - 10.00 10.00 - 10,830 108,295 -
54 Voluven fls 3.00 5.00 8.00 6.00 2.00 88,000 528,000 176,000
55 Vit K amp 15.00 - 15.00 5.00 10.00 1,076 5,379 10,758
56 Wida Haes fls - 10.00 10.00 6.00 4.00 187,550 1,125,300 750,200
57 Dextrose 5 % 100 cc fls 2.00 - 2.00 2.00 - 45,980 91,960 -
58 Hevarin/Invillin inj flc 6.00 - 6.00 6.00 - 34,848 209,088 -
60 KA.EN 3 B inf fls - - - - - 11,651 - -
JUMLAH 18,474,973 6,101,310
UNIT COST
Satua Stok Keluar Sisa Stok Harga Harga Keluar Harga
No. Nama Obat Masuk Jlh Keluar Harga Keluar
n Awal SWK ASKES Akhir Jual SWK ASKES Sisa Stok
1 Aerane inj /250 cc. fls 2.00 ### 4.00 2.00 2.00 1,185,800 2,371,600 2,371,600
2 Sevo/ 250 fls 2.00 7.00 9.00 5.00 4.00 2,166,203 10,831,013 8,664,810
3 Terrel fls 400.00 600.00 ### 800.00 200.00 3,098 2,478,080 619,520
4 Foley Cath No. 08 set 4 - 2 - 2 2 12,274 24,548 - 24,548 24,548
5 Foley Cath No. 10 set 1 - 1 - 1 - 48,382 48,382 - 48,382 -
6 Foley Cath No. 12 set 5 - 2 - 2 3 13,502 27,003 - 27,003 40,505
7 Foley Cath No. 14 set 6 - 2 - 2 4 12,274 24,548 - 24,548 49,097
8 Foley Cath No. 16 set 25 20 28 3 31 14 12,274 343,679 36,823 380,501 171,839
9 Foley Cath No. 18 set - 10 4 - 4 6 12,342 49,368 - 49,368 74,052
10 Foley Cath No. 20 set 7 - 2 - 2 5 12,274 24,548 - 24,548 61,371
11 Infusion Set Adulf set 89 100 82 7 89 100 4,538 372,075 31,763 403,838 453,750
12 Infusion Set Pediatric set 7 - 1 - 1 6 7,178 7,178 - 7,178 43,070
13 N G T No. 3.5 set 7 - 3 - 3 4 11,011 33,033 - 33,033 44,044
14 N G T No. 5 set - 10 9 - 9 1 12,364 111,274 - 111,274 12,364
15 N G T No. 6 set 7 - 3 - 3 4 15,730 47,190 - 47,190 62,920
16 N G T No. 8 set 1 10 5 - 5 6 12,364 61,819 - 61,819 74,183
17 N G T No. 10 set 4 - - ### - 4 15,730 - - - 62,920
18 N G T No. 12 set 6 10 8 2 10 6 12,705 101,640 25,410 127,050 76,230
19 N G T No. 14 set 11 - 6 - 6 5 14,103 84,615 - 84,615 70,513
20 N G T No. 16 set 10 - 7 - 7 3 14,102 98,717 - 98,717 42,307
21 N G T No. 18 set 1 20 12 - 12 9 12,705 152,460 - 152,460 114,345
22 N G T No. 20 set - ### - ### - - 15,730 - - - -
23 Nelaton No. 8 set 2 - - ### - 2 7,260 - - - 14,520
24 Nelaton No. 10 set 4 - - ### - 4 7,260 - - - 29,040
25 Nelaton No. 16 set - ### - ### - - 7,260 - - - -
26 Nelaton No. 18 set - ### - ### - - 7,260 - - - -
27 Spuit 1 cc set 13 20 33 - 33 - 995 32,832 - 32,832 -
28 Spuit 3cc set 135 200 159 13 172 163 1,153 183,360 14,992 198,352 187,973
29 Spuit 5cc set 91 200 147 16 163 128 1,110 163,231 17,767 180,998 142,133
30 Spuit 10cc set 41 300 186 15 201 140 1,489 276,936 22,334 299,270 208,447
31 Spuit 20cc set - ### - ### - - 4,628 - - - -
32 Spuit 30 cc set - 40 18 - 18 22 8,422 151,589 - 151,589 185,275
33 Spuit 50 cc Tip Catheter set 12 40 23 2 25 27 21,701 499,131 43,403 542,534 585,936
34 Transfusion Set set 7 30 22 3 25 12 15,881 349,388 47,644 397,031 190,575
35 Blood Set (Discopix) set 6 10 11 - 11 5 16,456 181,016 - 181,016 82,280
36 Urine Bag set 17 30 45 2 47 - 3,509 157,905 7,018 164,923 -
37 Wing Nedle No.25 set 3 - - ### - 3 6,776 - - - 20,328
38 Wing Nedle No.23 set - ### - ### - - 6,776 - - - -
JUMLAH 3,607,467 247,152 3,854,619 3,124,566
Total Keseluruhan 57,999,533 107,275,660
Medan, 11 Januari 2010

Ka. Instalasi Farmasi
RSUD. Dr.Pirngadi Kota Medan
Dra. Azwinar,Apt
NIP. 19530115 198503 2 00 2
LAPORAN STOK OBAT GUDANG ASKES
INSTALASI FARMASI RSUD DR. PIRNGADI KOTA MEDAN
NO. NAMAOBAT SAT SALDO MASUK JLH KELUAR SISA HARGA HARGA ASAL BARANG
AWAL SATUAN TOTAL
1 A.T.S 1.500 UI amp 100 50 150 80 70 83,160.00 5,821,200.00 PT. Merapi Utama
2 A.T.S 20.000 IU amp - - - - - 399,712.00 - PT. PPI
3 Actrapid 100 IU vial - - - - - 200,000.00 - PT.Sasono
4 Actrapid H.M 100 IU vial 11 5 16 - 16 198,454.00 3,175,264.00 PT. AAM
5 Actrapid Novolet amp 7 10 17 5 12 82,285.00 987,420.00 PT.AAM
6 Acyclovir 200 mg tab 150 - 150 - 150 280.00 42,000.00 PT. AAM
7 Acyclovir 400 mg tab 350 - 350 50 300 389.90 116,970.00 PT. Enseval
8 Acyclovir krim 5 gr tube 9 - 9 9 - 2,500.00 - PT. IGM
9 Adalat Oros 20 mg tab - - - - - 2,899.99 - PT.Dos Ni Roha
10 Adalat Oros 30 mg tab 480 - 480 210 270 3,349.00 904,230.00 PT.Dos Ni Roha
11 Adricin 10 mg vial 3 - 3 - 3 69,186.00 207,558.00 PT. A.M.S
12 Adricin 50 mg vial 1 - 1 - 1 343,819.00 343,819.00 PT. A.M.S
13 Albothyl Conc 10 ml fls 14 - 14 - 14 23,595.00 330,330.00 PT.AMS
14 Alinamin F inj amp 40 55 95 - 95 9,363.00 889,485.00 PT.United DC
15 Alletrol TTS Mata btl - - - - - 6,000.00 - PT. Kimia Farma
16 Allopurinol 100 mg tab 1,200 - 1,200 300 900 100.00 90,000.00 PT. Enseval
17 Allopurinol 300 mg tab 300 - 300 100 200 220.00 44,000.00 PT. Enseval
18 Alphamol 500 mg tab - - - - - 34.99 - PT. Kebayoran
19 Alprazolam 1 mg tab 700 1,000 1,700 600 1,100 899.90 989,890.00 PT.AAM
20 Alprazolam 0,5 mg tab 900 1,000 1,900 1,200 700 585.00 409,500.00 PT. AAM
21 Ambroxol 30 tab tab - - - - - 110.43 - PT. Indo Farma
22 Ambroxol syr btl 1,230 - 1,230 200 1,030 2,583.90 2,661,417.00 PT. IGM
23 Amdixal 5 mg tab 1,410 - 1,410 480 930 1,650.00 1,534,500.00 PT. DSKH Tunggal
24 Aminofusin Hepar inf fls 65 - 65 20 45 73,700.00 3,316,500.00 PT.Enseval
25 Aminofusin L.600 inf fls 30 - 30 30 - 40,499.00 - PT. Enseval
26 Aminoleban Inf fls 96 - 96 84 12 63,699.00 764,388.00 PT.Merapi Utama
27 Aminophyllin inj amp - - - - - 1,191.48 - PT. Rajawali N
28 Aminophyllin 200 mg tab - - - - - 80.50 - PT.Indo Farma
29 Aminoplasmal 5% btl 91 100 191 140 51 41,250.00 2,103,750.00 PT. D.N.R
30 Aminosteril 10 % inf btl - - - - - 52,800.00 - PT. APL
31 Aminovel 600 inf fls 157 - 157 72 85 37,501.00 3,187,585.00 PT.Merapi Utama
32 Amiparen inf fls 25 - 25 24 1 46,500.00 46,500.00 PT.Merapi Utama
33 Amitriptylin 25 mg tab 900 1,000 1,900 1,700 200 92.00 18,400.00 PT.Indo Farma
34 Amlodipine 5 mg tab - - - - - 2,420.00 - PT. Kebayoran
35 Amoxycillin syr fls 170 - 170 40 130 2,999.00 389,870.00 PT. Merapi Utama
36 Amoxycillin 250 mg capl - - - - - 205.00 - PT. Indo Farma
37 Amoxycillin 500 mg capl - - - - - 440.00 - PT. Indo Farma
38 Ampicillin 250 mg cap - - - - - 199.00 - PT. Indo Farma
39 Ampicillin 500 mg cap - - - - - 220.00 - PT.Indo Farma
40 Antalgin tab tab 1,000 - 1,000 - 1,000 55.00 55,000.00 Gakin
41 Antasida Doen syr 60 ml fls - - - - - 2,643.00 - PT. Kimia Farma
42 Antasida Doen 400 mg tab 3,000 - 3,000 - 3,000 35.99 107,970.00 PT. Kimia Farma
43 Anti Dia tab 100 - 100 - 100 110.00 11,000.00 PT. Merapi Utama
44 Anti Haemoroid Supp supp 160 - 160 40 120 2,000.00 240,000.00 PT.Kimia Farma
45 Anzatax amp - 126 126 114 12 545,000.00 6,540,000.00 PT. Tempo
46 Apazol 0.5 mg tab 2,000 - 2,000 - 2,000 490.00 980,000.00 PT. AAM
47 Apidra solostar pen - 10 10 5 5 93,505.00 467,525.00
48 Aptor tab 4,400 - 4,400 1,000 3,400 133.00 452,200.00 PT. Kebayoran
49 Arixtra 2,5 mg amp 34 20 54 26 28 279,000.00 7,812,000.00 PT. A.P.L
50 Asabium tab 1,000 - 1,000 900 100 1,045.00 104,500.00 PT. M.B.S
51 Asam Mefenamat 500 tab 5,000 - 5,000 - 5,000 119.09 595,450.00 PT. MUP
52 Asam Tranexamat 500 mg tab tab 2,500 - 2,500 1,200 1,300 792.00 1,029,600.00 PT.Merapi Utama
53 Asam Tranexamat inj 500 mg amp - - - - - 5,197.00 - PT.Merapi Utama
54 Aspilets tab 3,400 - 3,400 1,900 1,500 154.00 231,000.00 PT. A.P.L
55 Atarax 0,5 mg tab 1,600 500 2,100 900 1,200 385.00 462,000.00 PT. Dos Ni Roha
56 Atmacid 60 ml syr fls 74 250 324 216 108 2,636.00 284,688.00 Askes
57 Atropin Sulfat inj amp 800 - 800 400 400 1,000.90 400,360.00 PT. Parit Padang
58 Atroven MDI Inhaler fls - - - - - 710,000.00 - PT.Tempo
59 Berotec MDI inhaler 100 mcg fls 6 - 6 - 6 71,280.00 427,680.00 PT. Tempo
60 Betahistin 6 mg tab 1,500 1,080 2,580 1,530 1,050 495.30 520,065.00 PT. A.M.S
61 Bisoprolol 5 mg tab 510 1,560 2,070 1,140 930 1,090.90 1,014,537.00 PT. Enseval
62 Blenamax inj vial 12 20 32 5 27 3,445,305.00 93,023,235.00 PT.A.P.L
63 Bleocin inj vial 10 10 20 - 20 3,445,520.00 68,910,400.00 PT.Enseval
64 Bonefos 360 ml amp 16 - 16 - 16 152,249.00 2,435,984.00 PT. Dos Ni Roha
65 Borax Gilicerin btl 10 - 10 - 10 1,102.00 11,020.00
66 Brexel 20 mg vial 3 18 21 11 10 1,250,000.00 12,500,000.00 PT. Enseval
67 Brexel 80 mg vial 2 6 8 2 6 3,750,000.00 22,500,000.00 PT. Enseval
68 Bronsolvan tab tab 400 - 400 - 400 363.00 145,200.00 PT.Enseval
69 Burnazin Krim 35 g tube 55 - 55 20 35 31,790.00 1,112,650.00 PT. A.P.L
70 Burnazin 500 gr POT pot 1 - 1 - 1 297,990.00 297,990.00 PT. APL
71 Buscopan tab tab 200 - 200 - 200 1,078.00 215,600.00 PT.Tempo
72 Buvanest spinal amp - - - - - 36,549.00 - PT.EPM
73 Calcii Gluconas tab 46 - 46 24 22 6,388.80 140,553.60 PT. Parit Padang
74 Calciigard Retard 20 mg tab 100 - 100 - 100 1,430.00 143,000.00 PT. A.A.M
AWAL SATUAN TOTAL
75 Calos tab - - - - - 400.00 - PT. Kebayoran
76 Calsium Lactat tab - - - - - 39.33 - PT.Kimia Farma
77 Captopril 12,5 mg tab 2,800 - 2,800 1,700 1,100 66.00 72,600.00 PT. Enseval
78 Captopril 25 mg tab 100 6,500 6,600 1,800 4,800 95.00 456,000.00 PT. Indo Farma
79 Captopril 50 mg tab 150 350 500 100 400 149.90 59,960.00 PT. Enseval
80 Carbamazepine 200 mg tab 500 - 500 500 - 246.00 - PT. Indo Farma
81 Carboplatin 150 inj vial - - - - - 315,299.60 - PT.Enseval
82 Carboplatin 450 inj vial - - - - - 764,309.80 - PT.Enseval
83 Carbosin inj RTU 150 mg vial 40 - 40 - 40 315,299.00 12,611,960.00 PT. A.P.L
84 Carbosin inj RTU 450 mg vial 18 - 18 - 18 656,007.00 11,808,126.00 PT. A.P.L
85 Cardace 5 mg tab 120 60 180 120 60 2,200.00 132,000.00 PT. A.P.L
86 Cardijec inj amp 70 - 70 50 20 41,250.00 825,000.00 PT. M.P.I
87 Carpin 2 % TM fls 30 - 30 5 25 6,600.00 165,000.00 PT. Penta Valent
88 Catapres inj amp 10 - 10 - 10 31,350.00 313,500.00 PT.Tempo
89 Cealb 20 % 100 cc fls 29 59 88 35 53 823,199.60 43,629,578.80 PT. Indo Farma
90 Cealb 20 % 50 cc btl 10 - 10 7 3 440,000.00 1,320,000.00 PT. Indo Farma
91 Cedocard inj amp - - - - - 68,250.00 - PT.APL
92 Cefadroxyl 250 mg tab - - - - - 379.98 - PT. Enseval
93 Cefadroxyl 500 mg cap 500 2,500 3,000 2,100 900 613.60 552,240.00 PT. Enseval
94 Cefadroxyl Syr btl 90 - 90 48 42 7,230.00 303,660.00 PT. MBS
95 Cefazolin inj 1g amp 58 - 58 - 58 22,733.00 1,318,514.00 PT. A.A.M
96 Cefixime 100 mg tab 360 300 660 180 480 1,676.21 804,582.72 PT. AAM
97 Cefotaxim inj 0.5 gr vial 20 - 20 - 20 4,500.00 90,000.00 PT.EPM
98 Cefotaxim inj 1 g vial 6,162 - 6,162 2,800 3,362 3,500.00 11,767,000.00 PT. Merapi Utama
99 Ceftazidim inj 1 g tab 22 400 422 164 258 22,990.00 5,931,420.00 PT. AAM
100 Ceftriaxone inj 1g vial 3,600 - 3,600 2,000 1,600 4,750.00 7,600,000.00 PT.EPM
101 Cellcept 500 mg tab 100 - 100 - 100 18,200.00 1,820,000.00 PT. Tempo
102 C. Lyters 5 ml fls 9 7 16 14 2 8,049.50 16,099.00 PT. Penta Valent
103 Cetadop 200 mg amp 300 - 300 100 200 13,748.00 2,749,600.00 PT. Parit Padang
104 Cetirizin 10 mg tab 800 1,000 1,800 700 1,100 313.50 344,850.00 PT. AMS
105 Chloramex 1 gr inj vial 200 - 200 - 200 6,599.60 1,319,920.00 PT. A.A.M
106 Chloramphenicol 3 % T.T fls - - - - - 999.90 - PT.Kimia Farma
107 Chloramphenikol 1% SM 3,5 gr tube - 72 72 - 72 984.50 70,884.00 PT.Kimia Farma
108 Chloramphenikol T.M. 0,5 % fls - - - - - 2,500.00 - PT.Indo Farma
109 Chloramphenikol Susp fls - - - - - 2,399.98 - PT.Kimia Farma
110 Chloramphenikol 250 mg cap - - - - - 143.00 - PT. Kimia Farma
111 Chloroquin tab 250 mg tab - - - - - 75.00 - PT.Indo Farma
112 Chlorpheniramine 4 mg tab 1,000 - 1,000 1,000 - 9.65 - PT. Kebayoran
113 Chlorpromazine 100 mg tab - - - - - 21,497.80 - PT. Enseval
114 Cimetidin 200 mg tab - - - - - 72.00 - PT.Indo Farma
115 Ciprofloxacin inf fls - - - - - 26,699.00 - PT.AAM
116 Ciprofloxacin Dexa inf fls - 2,048 2,048 1,264 784 19,499.80 15,287,843.20 PT.AAM
117 Ciprofloxacin Novell inf fls 384 480 864 96 768 25,000.00 19,200,000.00 PT. A.M.S
118 Ciprox inj 200 mg btl 1 - 1 - 1 50,000.00 50,000.00 Donasi PT United D
119 Ciprofloxacin 500 mg tab - - - - - 240.00 - PT. Merapi Utama
120 Cisplatin 50 mg vial 10 10 20 - 20 147,400.00 2,948,000.00 PT.EPM
121 Cisplatin 25 mg vial - - - - - 69,300.00 - PT.Enseval
122 Cisplatin 10 mg vial - 80 80 20 60 31,350.00 1,881,000.00 PT.Enseval
123 Citicholine 250 mg inj amp 500 1,500 2,000 - 2,000 7,920.00 15,840,000.00 PT. Enseval
124 Civell fls 123 432 555 144 411 50,499.00 20,755,089.00 PT. AMS
125 Clindamycin 150 tab 500 - 500 100 400 510.00 204,000.00 PT. AMS
126 Clindamycin 300 tab - 1,500 1,500 900 600 899.90 539,940.00 PT. A.M.S
127 Clobazam 10 mg tab 4,500 - 4,500 300 4,200 950.00 3,990,000.00 PT.AAM
128 Clonidine tab tab - - - - - 179.99 - PT.Kimia Farma
129 Clozaril 25 mg tab 50 - 50 - 50 3,454.00 172,700.00 PT. A.P.L
130 Co - Amoxiclave 625 mg cap 45 - 45 - 45 3,630.00 163,350.00 PT. Indo Farma
131 Comafusin Hepar inf fls 13 - 13 13 - 66,999.90 - PT.EPM
132 Combivent inj amp 1,280 - 1,280 500 780 6,930.00 5,405,400.00 PT. Tempo
133 Concor 5 mg tab - - - - - 2,870.00 -
134 Coronipin tab - - - - - 100.00 -
135 Corsalit Sachet - - - - - 440.00 - Pembetulan
136 Corsabutol 500 tab - - - - - 542.00 -
137 Corsamet tab 500 - 500 300 200 71.97 14,394.00 PT. Sawah Besar
138 Corsatrocin Syr btl - - - - - 6,600.00 - PT.Merapi Utama
139 Corsazinamide 500 mg tab - - - - - 218.98 - PT. M.B.S
140 Corstanal 500 mg tab 1,000 - 1,000 - 1,000 129.98 129,980.00 PT. Merapi Utama
141 Cotrimoksazol 120 mg tab - - - - - 49.83 - PT.Indo Farma
142 Cotrimoksazol 480 mg tab - - - - - 100.00 - PT.Indo Farma
143 Cotrimoksazol susp btl 20 - 20 - 20 2,839.00 56,780.00 PT. Indo Farma
144 Curacil 250 mg inj amp 6 - 6 - 6 19,000.00 114,000.00 PT. Enseval
145 Curacil 500 mg inj amp 9 - 9 2 7 31,680.00 221,760.00 PT.Enseval
146 Curcuma tab 1,000 - 1,000 500 500 413.00 206,500.00 PT.Parit Padang
147 Cyclophosphamid 1 gr vial 30 - 30 - 30 274,499.00 8,234,970.00 PT. Enseval
148 Cyclophosphamide tab 28 - 28 - 28 3,520.00 98,560.00 PT. Enseval
149 Cyclophosphamide inj 200 mg vial - - - - - 75,000.20 - PT. Enseval
150 Cyclovid 1 gr vial 2 30 32 4 28 271,720.40 7,608,171.20 PT. AMS
151 Cyclovid 200 mg vial 50 30 80 30 50 80,995.00 4,049,750.00 PT. A.M.S
152 Dacarbazin inj 200 mg amp 5 - 5 4 1 388,100.00 388,100.00 PT. Tempo
153 Daryantule Steril lbr 10 800 810 600 210 10,474.97 2,199,743.70 PT. A.P.L
154 Depakote 250 mg tab 100 - 100 - 100 3,939.00 393,900.00 PT. A.P.L
AWAL SATUAN TOTAL
155 Depakene syr btl 2 - 2 - 2 66,293.00 132,586.00 PT. A.P.L
156 Desferal inj amp 5 - 5 5 - 107,309.00 - PT. A.P.L
157 Dexamethason inj amp - - - - - 789.99 -
158 Dexamethason tab tab - - - - - 22.00 - PT.Kimia Farma
159 Dexanta syr fls - - - - - 4,950.00 - PT. AAM
160 Dextromethorphan Hbr Syr 60 ml fls 381 - 381 100 281 1,980.00 556,380.00 PT. Merapi Utama
161 Dextromethorphan Hbr 15 mg tab 1,000 - 1,000 - 1,000 35.75 35,750.00 PT. Kimia Farma
162 Dextrose 40 % 25 ml fls - - - - - 1,259.50 - PT. Merapi Utama
163 Dextrose 5 % 100 ml fls 28 - 28 28 - 4,134.90 - PT. Merapi Utama
164 Diamox tab - - - - - 599.00 -
165 Dianeal PD - 4 1,5 % Dextwin vial - - - - - 36,300.00 - PT.Enseval
166 Dianeal PD - 4 2,5 % Dextwin vial - - - - - 30,705.40 - PT.Enseval
167 Diazepam 10 mg inj amp - - - - - 872.00 - PT. Indo Farma
168 Diazepam 2 mg tab - - - - - 875.00 - PT. Indo Farma
169 Digoxin 0,25 mg tab 100 500 600 300 300 83.00 24,900.00 PT. Indo Farma
170 Diltiazem 30 mg tab 3,200 - 3,200 2,600 600 129.99 77,994.00 PT. Kimia Farma
171 Dimenhydrinate tab - - - - - 101.00 - PT. Kimia Farma
172 Dipenhidramin 10 mg amp - - - - - 459.56 - PT. Rajawali N
173 Ditranex 500 mg tab - - - - - 2,255.00 - PT. Parit Padang
174 Ditranex inj 250 mg amp - - - - - 2,706.00 -
175 Ditranex inj 500 mg amp 740 - 740 200 540 2,261.00 1,220,940.00 PT. M.P.I
176 Dobuject 250 mg inj amp - - - - - 37,271.50 - PT. AAM
177 Dolana amp 35 - 35 35 - 2,954.00 - PT.A.P.L
178 Domperidone 10 mg tab 150 - 150 50 100 311.80 31,180.00 PT. Enseval
179 Dopamet tab tab 200 - 200 200 - 749.95 - PT.AAM
180 Doxorubicin 10 mg inj amp - 70 70 40 30 69,182.30 2,075,469.00 PT.Enseval
181 Doxorubicin 50 mg inj amp 16 20 36 9 27 343,830.00 9,283,410.00 PT. Enseval
182 Doxorubin inj 10 mg vial - 50 50 50 - 69,174.00 - PT. APL
183 Doxorubin inj 50 mg vial 29 20 49 5 44 343,878.00 15,130,632.00 PT. APL
184 Doxyciklin 100 mg cap 2,200 - 2,200 - 2,200 194.99 428,978.00 PT. Indo Farma
185 Dulcolax 10 mg tab tab 250 - 250 50 200 704.00 140,800.00 PT.Tempo
186 Dulcolax 5 mg supp supp 18 - 18 - 18 8,360.00 150,480.00 PT.Tempo
187 Dulcolax supp 10 mg supp 150 - 150 150 - 8,580.00 - PT.Tempo
188 Eprex 2000 IU Syringe - 20 20 20 - 179,999.60 - PT.Tempo
189 EAS Primer inf fls 90 150 240 160 80 57,000.00 4,560,000.00 PT.Enseval
190 Ebetaxel 30 mg vial 3 - 3 - 3 605,039.00 1,815,117.00 PT. A.A.M
191 Ecron 10 mg vial 18 80 98 48 50 127,050.00 6,352,500.00 PT. A.M.S
192 Ecosol Nacl 0,9% fls 740 - 740 418 322 3,754.00 1,208,788.00 PT.D N R
193 Ecosol Ds 5% fls 1,890 - 1,890 220 1,670 2,328.00 3,887,760.00 PT.D N R
194 Ecosol Rl fls 2,280 - 2,280 2,280 - 4,458.00 - DNR
195 Ecosol Na Cl 0,9 % 1 ltr Infus fls - 300 300 20 280 6,836.00 1,914,080.00 DNR
196 Elkrip tab - - - - - 2,860.23 - PT.A.P.L
197 Eloxatin 100mg vial 2 1 3 2 1 3,150,000.00 3,150,000.00 PT.A.P.L
198 Eloxatin 50mg vial 1 1 2 1 1 1,600,000.00 1,600,000.00 PT.A.P.L
199 Enystin 12 ml fls 120 - 120 80 40 19,800.00 792,000.00 PT. Parit Padang
200 Epineprine inj amp 400 500 900 200 700 879.99 615,993.00 PT.Enseval
201 Epirubicin 10 mg vial 2 20 22 22 - 162,000.00 - PT.Enseval
202 Epirubicin 50 mg vial 5 15 20 8 12 864,065.00 10,368,780.00 PT.Enseval
203 Erythromycin syr fls - 5 5 5 - 5,219.50 - PT.Indo Farma
204 Erythromycin 250 mg tab - 480 480 360 120 337.00 40,440.00 PT. Kimia Farma
205 Erythromycin 500 mg kapl 400 - 400 300 100 486.35 48,635.00 PT.Indo Farma
206 Ethambutol 250 mg tab - - - - - 186.34 - PT.Indo Farma
207 Ethambutol 500 mg tab - - - - - 308.67 - Barang Titipan
208 Ethiferan amp 1,236 - 1,236 966 270 1,699.50 458,865.00 PT. Parit Padang
209 Ethigent inj amp 2,239 - 2,239 1,062 1,177 22,726.00 26,748,502.00 PT.Parit Padang
210 Etoposid 100 mg vial - - - - - 86,200.00 - PT. Tempo
211 Endoxan 200 mg vial 36 - 36 30 6 89,001.00 534,006.00 PT. APL
212 Expafusin inf fls 15 - 15 - 15 68,000.00 1,020,000.00 PT.Enseval
213 Epotrex 2000 IU syringe - 50 50 48 2 154,994.40 309,988.80 PT. A.M.S
214 Farsix inj amp 1,200 - 1,200 1,000 200 1,272.10 254,420.00 PT. Kebayoran
215 Farsorbid amp 90 - 90 40 50 46,708.00 2,335,400.00 PT. Kebayoran
216 Farsorbid tab tab 8,700 - 8,700 8,500 200 70.01 14,002.00 PT. Kebayoran
217 Farmabes Tab 200 - 200 - 200 129.98 25,996.00 PT. Kebayoran
218 Femara tab 2,5 mg tab - - - - - 45,000.00 - PT. APL
219 Ferro Sulfat tab 3,000 - 3,000 - 3,000 21.00 63,000.00 PT. Kimia Farma
220 Ferrovit plus tab 100 - 100 - 100 325.00 32,500.00 PT. APL
221 Fimahes 500 ml fls 26 - 26 5 21 54,120.00 1,136,520.00 PT. Enseval
222 Fladex 500 mg tab 2,100 1,000 3,100 2,100 1,000 168.60 168,600.00 PT. A.A.M
223 Fluracedyl 500 mg vial 80 50 130 40 90 31,460.00 2,831,400.00 PT.APL
224 Fortanest amp 50 150 200 50 150 12,999.80 1,949,970.00 PT. Enseval
225 Fraxiparen 0,4 inj amp - 20 20 20 - 80,000.00 - PT. A.P.L
226 Frixitas 0,5 mg tab - - - - - 708.40 -
227 Frixitas 1 mg tab 180 - 180 - 180 894.40 160,992.00 PT.AMS
228 Furosemide inj amp 1,900 - 1,900 550 1,350 1,035.00 1,397,250.00 PT. Indo Farma
229 Furosemide 40 mg tab 800 500 1,300 800 500 65.00 32,500.00 PT. Indo Farma
230 Fuson zalp tube - 24 24 19 5 29,150.00 145,750.00 PT. AMS
231 Fusilex salep tube - - - - - 6,849.00 - PT.Kebayoran
232 Gamzar 1 gr inj amp 1 - 1 - 1 2,310,000.00 2,310,000.00 PT. Tempo
233 Gamzar 200 mg tab - - - - - 500,500.00 - PT. Tempo
234 Genoint 0,3 % 5 sm tube 41 - 41 5 36 3,630.00 130,680.00 PT. Kimia Farma
AWAL SATUAN TOTAL
235 Gentamicin Salep Mata (Cendo) tube 2 - 2 - 2 2,500.30 5,000.60 PT. Merapi Utama
236 Gentamycin inj amp - - - - - 2,400.02 -
237 Gentamycin 0,1 % Kulit tube - - - - - 1,650.00 - PT. Indo Farma
238 Gentamycin TM 0,3 % fls - - - - - 3,080.00 - PT.Indo Farma
239 Glaucon tab tab 600 - 600 100 500 968.00 484,000.00 PT. Penta Valent
240 Glibenklamide 5 mg tab 800 - 800 300 500 57.00 28,500.00 PT. Kimia Farma
241 Glimepiride 1 mg tab 840 - 840 730 110 594.00 65,340.00 PT. A.A.M
242 Glimepiride 2 mg tab 1,050 - 1,050 350 700 1,120.70 784,490.00 PT. AAM
243 Glimepiride 3 mg tab 750 - 750 100 650 1,528.00 993,200.00 PT. AAM
244 Glimepiride 4 mg tab 450 - 450 400 50 2,351.00 117,550.00 PT. AAM
245 Glucobay tab 282 - 282 - 282 950.00 267,900.00 PT.Dos Ni Roha
246 Glucodex 80 mg tab 600 - 600 300 300 339.00 101,700.00 PT.AAM
247 Glucosa 10 % fls 80 - 80 20 60 4,099.70 245,982.00 PT. Merapi Utama
248 Glucosa 5 % fls 187 - 187 180 7 3,534.00 24,738.00 PT. Merapi Utama
249 Glucosa 5% + NaCl 0,225 % fls 340 - 340 100 240 6,260.00 1,502,400.00 PT. Merapi Utama
252 Glucosamine 250 mg tab 500 - 500 - 500 643.50 321,750.00 PT. Dos Ni Roha
253 Glucosamine 500 mg tab - - - - - 860.00 - PT. Kalista
254 Gludepatic tab 7,200 - 7,200 5,000 2,200 119.99 263,978.00 PT.Kebayoran
255 Gluquidone tab tab 1,500 - 1,500 800 700 617.00 431,900.00 PT.AAM
256 Glurenorm tab - - - - - 550.00 - PT. Merapi Utama
257 Glyceril Guayakolat tab 2,000 - 2,000 - 2,000 30.00 60,000.00 PT. A.A.M
258 Grahabion tab 2,200 1,000 3,200 2,100 1,100 184.90 203,390.00 PT.Merapi Utama
259 Gratheos tab 3,000 - 3,000 100 2,900 105.00 304,500.00 PT.Merapi Utama
260 Griseofulvin tab tab - - - - - 141.90 - PT.Indo Farma
261 H.C.T 25 mg tab - - - - - 22.00 - PT. Kimia Farma
262 Halloperidol 0,5 mg tab - - - - - 58.00 - PT. Kebayoran
263 Halloperidol 1,5 mg tab 100 - 100 - 100 80.00 8,000.30 PT.Indo Farma
264 Halloperidol 5 mg tab 500 - 500 - 500 119.99 59,995.00 PT.Indo Farma
265 Haloxan vial - - - - - 676,060.00 -
266 Hemohes 6 % btl 25 - 25 10 15 75,158.00 1,127,370.00 PT. Dos Ni Roha
267 Herbeser inj amp - 10 10 10 - 118,580.00 - PT. AAM
268 Herbessar CD 100 tab - - - - - 2,970.00 - PT. A.A.M
269 Herceptin 440 mg vial - - - - - 19,608,034.00 - PT Tempo
270 Haes-teril 6 % fls - - - - - 49,500.00 -
271 Hestar 6% fls 1 - 1 - 1 44,495.00 44,495.00 Donasi PT United D
272 Hexymer 2 mg tab - - - - - 66.00 - PT. Merapi Utama
273 Homatro 2 % TTS Mata btl - - - - - 8,200.00 - PT. Kimia Farma
274 Humaloq Mix amp 3 - 3 3 - 107,800.00 - PT. Tempo
275 Human Albumin 20% 100 ml btl - - - - - 748,000.00 - PT. Kimia Farma
276 Human Albumin 20% 50 ml btl - - - - - 385,000.00 - PT. Kimia Farma
277 Humulin 30/70 vial 12 10 22 7 15 206,500.00 3,097,500.00 PT. Tempo
278 Humulin 30/70 cartrid vial 4 - 4 - 4 82,280.00 329,120.00 PT. Tempo
279 Humulin N 100 UI vial 12 - 12 2 10 198,440.00 1,984,400.00 PT. Tempo
280 Humulin R 100 IU vial 19 1 20 18 2 198,440.00 396,880.00 PT. Tempo
281 Hydrocortison 1 % tube 96 - 96 72 24 1,750.00 42,000.00 PT. D.B.M
282 Hydrocortison 2,5 % tube 60 - 60 36 24 2,099.00 50,376.00 PT. D.B.M
283 Hytrin 1 mg tab 140 - 140 - 140 3,093.00 433,020.00 PT.APL
284 Hemapo 3000 IU syring - 130 130 110 20 165,000.00 3,300,000.00 PT.APL
285 I N H 100 mg tab - - - - - 137.50 - PT. Kimia Farma
286 I N H 300 mg tab 5,000 2,000 7,000 6,000 1,000 66.00 66,000.00 PT. Kimia Farma
287 Ibuprofen 200 mg tab - 600 600 200 400 92.00 36,800.00 PT. Kebayoran
288 Ibuprofen 400 mg tab - - - - - 159.84 - PT.Indo Farma
289 Ikamicetin zk tube 38 - 38 - 38 5,500.00 209,000.00 PT. D.B.M
290 Ikamicetin SM 1% tube 72 - 72 48 24 1,606.00 38,544.00 PT. Distriversa
291 Illiadin Spray 10 ml 0,05 % fls 5 50 55 40 15 19,415.00 291,225.00 PT.Tempo
292 Illiadin drop 10 ml 0,025 % fls 65 - 65 10 55 17,985.00 989,175.00 PT. M.P.I
293 Inerson salep tube 40 10 50 30 20 11,999.00 239,980.00 PT.APL
294 Infatrim Susp fls - - - - - 2,099.00 - PT.Kebayoran
295 Inflamid MDI fls 3 - 3 - 3 137,500.00 412,500.00 PT.Tempo
296 Insulatard HM 100 IU vial 8 - 8 - 8 198,434.00 1,587,472.00 PT. A.A.M
297 Interhistin tab 1,300 400 1,700 600 1,100 300.00 330,000.00 PT.APL
298 Induksin amp 320 - 320 120 200 2,200.00 440,000.00 PT Enseval
299 Itraconazol 100mg tab 180 - 180 60 120 3,740.00 448,800.00 PT. Merapi Utama
300 Inviclot inj vial 228 100 328 187 141 50,000.00 7,050,000.00 PT.Kebayoran
301 Iodine Povidon 30 ml fls - - - - - 2,000.00 - Bon ke Kimia Farma
302 Iodine Povidon 60 ml fls 96 960 1,056 144 912 3,300.00 3,009,600.00 PT. D.B.M
303 Isoket inj amp 210 - 210 40 170 51,500.00 8,755,000.00 PT.AMS
304 Isosorbid Dinitrat 5 mg tab - - - - - 65.24 - PT.Indo Farma
305 Isotic Adretor 0,05% ttm fls 80 - 80 25 55 10,407.00 572,385.00 PT. Kebayoran
306 Isotic Salmicol ED fls 10 - 10 10 - 4,099.70 - PT. Kebayoran
307 Isulatad Novolet inj amp 10 - 10 - 10 82,285.00 822,850.00 PT. AAM
308 Ivelip 20% 100ml fls 3 - 3 - 3 85,002.00 255,006.00 PT Enseval
309 Jayacin inf fls 192 168 360 120 240 50,035.70 12,008,568.00 PT.MPI
310 K S R 600 mg tab - - - - - 843.77 - PT.MPI
311 Kalxetin 10 mg tab 300 - 300 60 240 649.00 155,760.00 PT. Enseval
312 Kalbamin inj fls 370 - 370 60 310 50,499.00 15,654,690.00 PT.Enseval
313 Kalnex 500 mg tab 1,000 - 1,000 - 1,000 4,180.00 4,180,000.00 PT. Enseval
314 Kalnex inj 500 mg amp 1,290 - 1,290 240 1,050 875.00 918,750.00 PT. Enseval
AWAL SATUAN TOTAL
315 Kanamycin 250 mg cap 100 - 100 - 100 1,397.00 139,700.00 PT.Merapi Utama
316 Ketoconazole 2 % Cr tube 31 - 31 20 11 825.00 9,075.00 PT. Enseval
317 Ketokonazol 200 mg tab 700 - 700 350 350 371.80 130,130.00 PT. Kimia Farma
318 Ketoprofen tab 50 - 50 - 50 249.99 12,499.50 PT. Enseval
319 Ketorolac inj 3% amp 3,598 1,000 4,598 3,898 700 3,001.00 2,100,700.00 PT. AAM
320 KN 3B Sol fls 1,700 1,000 2,700 900 1,800 8,499.00 15,298,200.00 PT.Merapi Utama
321 Koate DVI 290 iv fls 18 14 32 - 32 1,168,651.28 37,396,840.96 PT.MPI
322 Kutoin 100 mg cap 500 - 500 - 500 253.00 126,500.00 PT Dos Ni Roha
323 Ka en 3 A 500 ml Infus fls - 30 30 30 - 10,100.00 - PT Dos Ni Roha
324 Lansoprazole 30 mg tab - - - - - 890.00 - PT. A.M.S
325 Lantus Solostar amp - 20 20 5 15 93,495.00 1,402,425.00 PT. APL
326 Laproton 20mg cap 380 - 380 - 380 820.00 311,600.00 PT.TEMPO
327 Laxadine syr fls 66 50 116 50 66 12,800.90 844,859.40 PT.Sawah Besar
328 Lazapin 500 mg tab 180 - 180 180 - 2,310.00 - PT.A.M.S
329 Leparson tab tab 100 - 100 - 100 1,960.00 196,000.00 PT.AAM
330 Leucovorin inj vial 150 - 150 40 110 199,100.00 21,901,000.00 PT. Enseval
331 Leukokine vial - 15 15 7 8 360,068.00 2,880,544.00 PT. A.M.S
332 Leunace 10.000 iu vial - - - - - 704,000.00 -
333 Levoflaxacin 500 mg inj btl 23 204 227 191 36 71,781.00 2,584,116.00 PT. A.A.M
334 Levoflocaxin 500 mg tab tab - 120 120 60 60 1,000.00 60,000.00 PT. Indo Farma
335 Lipofundin Drip btl 1 - 1 1 - 85,000.00 -
336 Levothyroxine tab - - - - - 13,000.00 - PT. AAM
337 Levoxal 100 ml btl 31 70 101 56 45 81,397.00 3,662,865.00 PT. DKSH Tunggal
338 Leukogen vial 5 5 10 2 8 396,000.00 3,168,000.00 PT. Enseval
339 Lidocain Comp inj amp - - - - - 940.50 - PT. M.P.I
340 Lidocain inj 2 % amp - - - - - 767.99 - PT.Kimia Farma
341 Lodem tab 400 - 400 - 400 950.00 380,000.00 PT. A.A.M
342 Lodomer inj amp 48 - 48 36 12 9,020.00 108,240.00 PT. Tunggal SF
343 Lovenox 0,4 mg amp 8 50 58 54 4 131,655.00 526,620.00 PT. A.P.L
344 Lovenox 0,6 mg amp 28 40 68 50 18 187,661.00 3,377,898.00 PT. A.P.L
345 Ludiomil 25 mg tab - - - - - 5,718.57 - PT.APL
346 Ludiomil 50 mg tab 50 - 50 - 50 6,050.00 302,500.00 PT. D.N.R
347 Lynoral tab - - - - - 874.97 - PT. AAM
348 Levemir Flexpen Pen - 35 35 15 20 99,099.00 1,981,980.00 PT. AAM
349 Mabhtera 500 mg btl 1 - 1 - 1 15,824,026.00 15,824,026.00 PT. Tempo
350 Magnesium Sulfat 20% vial 54 - 54 - 54 1,774.30 95,812.20 PT.Merapi Utama
351 Magnesium Sulfat 40 % fls 30 100 130 - 130 3,170.00 412,100.00 PT.Merapi Utama
352 Manitol 20 % 500 ml fls 95 50 145 82 63 35,500.00 2,236,500.00 PT.Merapi Utama
353 Martos - 10 fls 38 20 58 - 58 34,818.00 2,019,444.00 PT.Merapi Utama
354 Meloxicam 15 mg tab 2,550 - 2,550 1,400 1,150 649.98 747,477.00 PT.AAM
355 Meloxicam 7,5 mg tab 1,950 - 1,950 400 1,550 574.99 891,236.05 PT. AAM
356 Meloxicam Supp supp 60 - 60 20 40 6,776.00 271,040.00 PT. AAM
357 Mentalium 2 mg tab - - - - - 12.00 -
358 Mentalium 5 mg tab 6,000 - 6,000 - 6,000 174.99 1,049,940.00 PT. Parit Padang
359 Metformin 500 mg tab - - - - - 124.17 - PT. A.A.M
361 Methoklopramide inj amp - - - - - 1,700.00 - PT.Indo Farma
362 Methoklopramide tab tab - - - - - 77.00 - PT.Indo Farma
363 Merhotrexate tab - - - - - 964.87 - PT. A.A.M
364 Methotrexate 5 mg amp 8 - 8 - 8 28,497.00 227,976.00 PT. A.A.M
365 Methotrexate 50 mg vial 10 - 10 - 10 42,203.00 422,030.00 PT. A.A.M
366 Methyl Ergometrin 0,125 mg tab - 800 800 200 600 110.00 66,000.00 PT.Kimia Farma
367 Methylprednisolon 4 mg tab 3,000 2,000 5,000 4,500 500 26,078.00 13,039,000.00 PT.Indo Farma
368 Metil Prednisolon 125 mg amp 454 275 729 288 441 22,349.00 9,855,909.00 PT. AAM
369 Metolon inj amp - - - - - 3,025.00 - PT. Merapi Utama
370 Metronidazol Inf fls 670 600 1,270 1,100 170 7,689.00 1,307,130.00 PT. APL
371 Metronidazol 250 mg tab - - - - - 79.99 -
372 Metronidazol 500 mg tab - - - - - 115.99 -
373 Meylon 8,4 % 25 ml amp 138 300 438 210 228 5,900.00 1,345,200.00 PT.AAM
374 Meropenem 1 gr vial 27 15 42 20 22 176,000.00 3,872,000.00 PT. Merapi Utama
375 Mexpharm 15 mg supp 924 - 924 168 756 8,470.00 6,403,320.00 PT. Enseval
376 Miconazole Cr tube 13 - 13 - 13 2,999.00 38,987.00 PT. Kimia Farma
377 Miloz 15 mg amp 110 - 110 - 110 159,000.00 17,490,000.00 PT. AMS
378 Mixtard 30 Novolet amp 5 - 5 - 5 82,285.00 411,425.00
379 Mixtard HM 100 IU vial 4 - 4 - 4 204,489.00 817,956.00 PT. AAM
380 Mydiatryl 1% 5 ml fls 4 - 4 - 4 14,999.00 59,996.00 PT.Merapi Utama
381 Myomergin inj amp 140 100 240 80 160 1,677.00 268,320.00 PT. Parit Padang
382 Mytomycin C 10 mg inj amp - - - - - 299,909.00 - PT. Merapi Utama
383 Mytomycin C 2 mg inj amp 4 - 4 - 4 69,999.60 279,998.40 PT. Merapi Utama
384 NaCl 0,9 % fls 1,440 8,000 9,440 6,020 3,420 3,754.00 12,838,680.00 PT.Merapi Utama
385 Natrium Diklofenak 25 mg tab - - - - - 92.39 - PT.Rajawali
386 Natrium Diklofenak 50 mg tab - - - - - 114.99 - PT.Rajawali
387 Nefrofer 5 mg inj amp 84 - 84 84 - 86,000.00 - PT. Enseval
388 Neo Diaform tab 2,000 - 2,000 - 2,000 77.50 155,000.00 PT. M.B.S
389 Neo Mercazole tab 100 - 100 - 100 650.00 65,000.00 PT.Kebayoran
390 Nexa 500 mg inj amp 100 - 100 - 100 3,000.00 300,000.00
391 Nifedipin 10 mg tab 400 - 400 400 - 94.99 - PT.AAM
392 Nitrokaf Retard Forte tab - - - - - 999.99 - PT. Kimia Farma
393 Noperten 10 mg tab 1,830 960 2,790 1,890 900 532.90 479,610.00 PT.AAM
394 Noperten 5 mg tab 1,470 - 1,470 510 960 599.00 575,040.00 PT.AAM
AWAL SATUAN TOTAL
395 Norelut 5 mg tab 500 - 500 100 400 2,499.00 999,600.00 PT.AAM
396 Norvask 5 mg tab 120 - 120 60 60 2,662.00 159,720.00 PT. A.A.M
397 Notrixum inj 50 mg amp 125 - 125 50 75 32,450.00 2,433,750.00 PT. AMS
398 Noverty tab 2,130 - 2,130 900 1,230 490.00 602,700.00 PT.A.M.S
399 Nystatin 500 mg tab 100 - 100 - 100 507.00 50,700.00 PT. Rajawali N
400 Nystatin vag tab 10.000 iu supp - 200 200 30 170 326.70 55,539.00 PT. Rajawali N
401 Novomix Flexpen penf 10 10 20 15 5 107,804.00 539,020.00 PT. A.A.M
402 Novorapid Flexpen penf 10 - 10 - 10 93,503.80 935,038.00 PT. A.A.M
403 O B H 100 cc fls - - - - - 1,815.00 - PT.DBM
404 O B H 200 cc fls 510 - 510 168 342 2,500.00 855,000.00 PT KF
405 Omegtrim syr fls 70 - 70 - 70 2,420.00 169,400.00 PT. Merapi Utama
406 Omegrip syr btl 145 - 145 95 50 1,999.00 99,950.00 PT. Merapi Utama
407 Omeprazole tab 450 300 750 480 270 416.90 112,563.00 PT. A.M.S
408 Ondansetron 4 mg amp 175 - 175 - 175 4,400.00 770,000.00 PT. Indo Farma
409 Ondansetron 8 mg amp 2,925 - 2,925 1,680 1,245 7,000.00 8,715,000.00 PT. Indo Farma
410 Optixitrol fls - - - - - 6,000.00 - PT. Penta Valent
411 Oralit bks 200 - 200 25 175 303.90 53,182.50 PT. Indo Farma
412 Osatrol Eye Oint tube - - - - - 10,500.00 - PT. A.P.L
413 Osteocal tab 330 - 330 30 300 431.00 129,300.00 PT.Kebayoran
414 Otopraf sol fls 28 - 28 - 28 13,095.00 366,660.00 PT.Wigo
415 Otsu KCL 7,46 fls 140 100 240 50 190 1,524.00 289,560.00 PT.Merapi Utama
416 Otsu NS 1 ltr fls 300 - 300 135 165 6,199.00 1,022,835.00 PT.Merapi Utama
417 Otsuwater 25 ml vial 6,760 - 6,760 2,640 4,120 1,367.00 5,632,040.00 PT.Merapi Utama
418 Pan Amin G fls 80 - 80 20 60 22,360.00 1,341,600.00 PT.Merapi Utama
419 Paracetamol 500 mg Blister tab - - - - - 70.00 - PT. Indo Farma
420 Parasetamol 500 mg btl - - - - - 34.00 - PT. Indo Farma
421 Parasetamol syr fls 5 - 5 - 5 1,699.00 8,495.00 PT. A.A.M
422 Paxus 30 mg vial 117 - 117 40 77 550,000.00 42,350,000.00 PT. Enseval
423 Pentoxipilline inj vial - - - - - 15,900.00 - PT.AAM
424 Perdipin 10 mg inj amp 25 - 25 - 25 116,600.00 2,915,000.00 PT. A.P.L
425 Perdipin 2 mg tab - - - - - 31,000.00 - PT. A.P.L
426 Phenobarbital 30 mg tab - - - - - 24.99 - PT.Kimia Farma
427 Phenylbutazon 200 mg tab - - - - - 76.37 - PT.Rajawali
428 Phenytoin inj amp 140 - 140 - 140 26,500.00 3,710,000.00 PT.DBM
429 Phenytoin caps cap 2,000 - 2,000 1,200 800 214.90 171,920.00 PT.DBM
430 Phytomenadion inj amp 420 - 420 120 300 1,075.00 322,500.00 PT.Rajawali
431 Phytomenadion 10 mg tab tab 700 - 700 - 700 749.00 524,300.00 PT.Rajawali
432 Piracetam 400 mg tab 800 - 800 200 600 300.90 180,540.00 PT. Enseval
433 Piracetam 800 mg tab 900 - 900 600 300 501.60 150,480.00 PT. Enseval
434 Piracetam 1200 mg tab 500 - 500 - 500 792.00 396,000.00 PT. Enseval
435 Piracetam 1 gr amp 80 30 110 60 50 4,389.00 219,450.00 PT.AAM
436 Piracetam 3 gr amp 208 8 216 64 152 8,593.00 1,306,136.00 PT AAM
437 Piracetam 12 g inj fls - - - - - 77,000.00 - PT.AAM
438 Piroxicam 10 mg tab 720 - 720 - 720 68.20 49,104.00 PT. Indo Farma
439 Piroxicam 20 mg tab 800 - 800 200 600 90.00 54,000.00 PT.Kimia Farma
440 Plasbumin 25 % 20 ml vial 10 - 10 3 7 333,678.00 2,335,746.00 PT.Parit Padang
441 Plasbumin 5 % 250 ml btl - - - - - 881,100.00 - PT. Parit Padang
442 Plasmanat inf fls 16 56 72 54 18 1,022,190.00 18,399,420.00 PT.Parit Padang
443 Platosin 10 mg inj amp 30 40 70 20 50 31,350.00 1,567,500.00 PT.A.P.L
444 Platosin 50 mg inj amp 80 - 80 30 50 147,400.00 7,370,000.00 PT.A.P.L
445 Posyd 20 mg vial 10 50 60 20 40 94,169.00 3,766,760.00 PT. A.P.L
446 Prednison 5 mg tab 1,000 - 1,000 1,000 - 43.00 - PT Merapi Utama
447 Probenid 500 mg tab - - - - - 1,000.00 - PT A.A.M
448 Proc.Penicillin Cristal inj vial 150 - 150 110 40 6,545.00 261,800.00 PT.Merapi Utama
449 Pronalges supp supp 60 - 60 10 50 4,799.00 239,950.00 PT. M.P.I
450 Propanolol 10 mg tab 2,400 - 2,400 1,000 1,400 57.90 81,060.00 PT.AAM
451 Propanolol 40 mg tab 200 - 200 - 200 82.18 16,436.00 PT.AAM
452 Propylthiouracil 100 mg tab 2,500 - 2,500 1,100 1,400 308.80 432,320.00 PT.Indo Farma
453 Pyrantel 125 mg tab - - - - - 77.77 - PT. Kebayoran
454 Pyrazinamide 500 mg tab 10,400 - 10,400 5,500 4,900 200.00 980,000.00 PT. IGM
455 Pyridoxin ( Vit.B 6) tab 2,000 - 2,000 2,000 - 14.40 - PT. Indo Farma
456 Pytogin inj amp - - - - - 2,089.00 - PT. Parit Padang
457 Recormon 2000 IU syringe - 240 240 114 126 180,000.00 22,680,000.00 PT. Parit Padang
458 Raclonid inj amp 145 500 645 375 270 3,190.00 861,300.00 PT. AAM
459 Ramixal 1,25 mg tab 300 - 300 50 250 1,210.00 302,500.00 PT. D.K.S.H Tunggal
460 Ramixal 2,5 mg tab 500 - 500 - 500 1,815.00 907,500.00 PT. DSKH Tunggal
461 Ramixal 5 mg tab 350 - 350 150 200 2,420.00 484,000.00 PT. D.K.S.H Tunggal
462 Ranitidin inj amp 1,220 9,900 11,120 9,700 1,420 1,699.90 2,413,858.00 PT. Enseval
463 Ranitidin 150 mg tab 6,300 3,000 9,300 6,600 2,700 148.00 399,600.00 PT. Enseval
464 Renadinac 25 mg tab 1,500 - 1,500 900 600 93.52 56,110.20 PT. Kebayoran
465 Renadinac 50 mg tab 2,500 1,000 3,500 1,700 1,800 115.01 207,018.00 PT. Kebayoran
466 Rescuvolin 15mg tab - - - - - 13,365.00 - PT.A.P.L
467 Rescuvolin inj amp 40 90 130 60 70 199,098.00 13,936,860.00 PT.A.P.L
468 Retaphyl SR tab 400 - 400 - 400 1,258.00 503,200.00 PT. Kimia Farma
469 Rexta 50 mg vial - - - - - 1,599,999.00 - PT. Enseval
470 Rifampicin 300 mg tab 1,100 500 1,600 1,000 600 450.00 270,000.00 PT.Indo Farma
471 Rifampicin 450 mg tab 25,300 - 25,300 19,400 5,900 550.00 3,245,000.00 PT Kimia Farma
472 Rifampicin 600 mg cap 300 - 300 200 100 654.60 65,460.00 PT.Indo Farma
473 Ringer Laktat inf 1 ltr fls - - - - - 6,649.50 -
474 Ringer Laktat inf 500 ml fls 1,200 10,000 11,200 9,740 1,460 4,458.00 6,508,680.00 PT.Merapi Utama
AWAL SATUAN TOTAL
475 Risperidone 2 mg tab 3,750 - 3,750 3,600 150 2,199.00 329,850.00 PT. AAM
476 Rolac 3% amp 100 - 100 100 - 9,000.00 - PT. A.A.M
477 Salbutamol 2 mg tab - 4,500 4,500 4,000 500 54.50 27,250.00 PT.Indo Farma
478 Salbutamol 4 mg tab 1,200 500 1,700 1,100 600 70.00 42,000.00 PT. Kimia Farma
479 Salofalk tab 500 - 500 200 300 4,242.00 1,272,600.00 PT. A.P.L
480 Scopamin tab 1,000 - 1,000 100 900 352.00 316,800.00 PT. M.B.S
481 Scopamin inj amp 30 100 130 130 - 6,109.00 - PT. M.B.S
482 Sedakter 60 ml btl - - - - - 4,125.00 - PT. Sawah Besar
483 Sifrol 125 mg tab 120 - 120 - 120 3,740.00 448,800.00 PT. Tempo
484 Simarc - 2 tab 400 - 400 100 300 379.94 113,982.00 PT.Kebayoran
485 Simvastatin 10 mg tab 120 - 120 60 60 245.00 14,700.00 PT. Enseval
486 Spashi inj amp - - - - - 6,160.00 - PT. Kebayoran
487 Sohobion 5000 tab 500 - 500 200 300 1,320.00 396,000.00 PT. Parit Padang
488 Sotatic tab tab 2,900 3,000 5,900 1,700 4,200 88.00 369,600.00 PT. Kebayoran
489 Spironolactone 25 tab 1,300 500 1,800 1,300 500 365.60 182,800.00 PT. A.A.M
490 Spirola 100 mg tab 1,200 - 1,200 250 950 2,062.00 1,958,900.00 PT. Enseval
491 Starquin inf btl 342 1,408 1,750 1,248 502 50,000.00 25,100,000.00 PT. AAM
492 Stesolid 2 mg tab - - - - - 792.00 - PT.AAM
493 Stesolid 5 mg tab - - - - - 1,430.00 - PT.AAM
494 Stesolid inj amp 250 150 400 100 300 3,799.60 1,139,880.00 PT.AAM
495 Stesolid Rectal 10 mg tube 20 - 20 - 20 18,975.00 379,500.00 PT.AAM
496 Stesolid Rectal 5 mg tube 5 - 5 5 - 9,900.00 - PT.AAM
497 Streptase inj vial 1 - 1 - 1 2,349,917.00 2,349,917.00 PT.AAM
498 Streptomicin inj 1 Gr vial 50 100 150 - 150 2,920.00 438,000.00 PT.Merapi Utama
499 Suldox tab 60 - 60 - 60 1,199.00 71,940.00 PT. Sawah Besar
500 Systabon Plain tab 200 - 200 200 - 1,210.00 - PT.MPI
501 Sofratulle lbr - - - - - 10,230.00 - PT.A.P.L
502 Sedakter 60 ml btl - - - - - 4,125.00 - PT. Sawah Besar
503 Tamoflex 20 mg tab 180 120 300 180 120 4,947.80 593,736.00 PT A.P.L
504 Tamofen 20 mg tab - - - - - 899.98 - PT. Enseval
505 Taxotere 20 mg vial 2 ### 4 1 3 1,250,000.00 3,750,000.00 PT. A.P.L
506 Taxotere 80 mg amp 2 ### 4 1 3 3,750,000.00 11,250,000.00 PT. A.P.L
507 Tenapril 2.5mg tab - - - - - 1,700.00 - PT.AAM
508 Tensiphar 10 mg tab - - - - - 1,045.00 - PT.MBS
509 Terasma tab tab 500 - 500 200 300 144.65 43,395.00 PT. Dos Ni Roha
510 Tetagam inj 250 IU vial 106 - 106 50 56 139,997.00 7,839,832.00 PT.AAM
511 Tetrasiklin 250 mg cap 200 1,000 1,200 200 1,000 80.00 80,000.00
512 Terasma syr btl 20 - 20 20 - 4,345.00 - PT. Kalista
513 Thiamina ( Vit.B1) 50 mg tab 4,000 - 4,000 2,000 2,000 30.00 60,000.00 PT.Kimia Farma
514 Thiamphenikol 250 mg cap - - - - - 300.00 - PT. Indo Farma
515 Thiamphenikol 500 mg cap 300 - 300 - 300 409.00 122,700.00 PT.Rajawali
516 Thyrozol tab - - - - - 626.17 - PT. Tempo
517 Tiaryt tab 240 - 240 - 240 1,349.00 323,760.00 PT.Kebayoran
518 Tibigon 500 mg tab 11,300 - 11,300 8,300 3,000 410.00 1,230,000.00 PT. Enseval
519 Tibitol 250 mg tab 900 - 900 - 900 242.00 217,800.00 PT. Merapi Utama
520 Tibitol 500 mg tab - - - - - 627.00 - PT.Tunggal SP
521 Timact inj 80 mg vial 200 - 200 200 - 2,699.00 - PT Kebayoran Farma
522 Timolol Maleat 0,25 % ttm fls - - - - - 9,080.20 - PT.Merapi Utama
523 Tofranil 25 mg tab 900 - 900 - 900 5,210.92 4,689,828.00 PT.M.P.I
524 Tragesic inj amp 1,350 - 1,350 650 700 2,609.00 1,826,300.00 PT.Enceval
525 Tramadol 50 mg tab 1,500 - 1,500 700 800 290.00 232,000.00 PT.Enceval
526 Tramadol inj amp - - - - - 1,382.96 - Barang Titipan
527 Transamin 500 mg inj amp 1,930 500 2,430 1,900 530 4,000.00 2,120,000.00 PT.PPI
528 Trensi 3 gr amp 29 - 29 - 29 17,600.00 510,400.00 PT. M.P.I
529 Triatimol 0,5 % T.Mata fls - - - - - 9,500.00 - PT. Merapi Utama
530 Triaxitrol 0,5 % T.Mata fls 110 - 110 10 100 5,455.00 545,500.00 PT. Merapi Utama
531 Trihexyphenidyl 2 mg tab 5,100 - 5,100 2,500 2,600 40.70 105,820.00 PT. Indo Farma
532 Triofusin inf fls 100 - 100 10 90 42,900.00 3,861,000.00 PT.Enseval
533 Tropin 0,5 ml TTM fls - 10 10 5 5 4,840.00 24,200.00 PT. Penta Valent
534 Tutofusin OPS fls 106 50 156 100 56 36,837.50 2,062,900.00 PT.Enseval
535 Tripenem 500 mg vial 22 80 102 50 52 169,992.90 8,839,630.80 PT. A.A.M
536 Udopa inj amp - - - - - 12,218.00 - PT M P I
537 Ulcumet inj amp - - - - - 3,850.00 - PT.Parit Padang
538 Ulsidex amp 7,200 - 7,200 2,800 4,400 330.00 1,452,000.00 PT. A.P.L
539 Vancep vial 80 298 378 238 140 186,991.20 26,178,768.00 PT. Kebayoran
540 Vasartan 80 mg tab 170 - 170 142 28 3,630.00 101,640.00 PT. A.A.M
541 Vascon inj amp 31 100 131 70 61 65,003.00 3,965,183.00 PT. Kebayoran
542 Venofer 100 mg vial 105 25 130 130 - 85,140.00 - PT. A.P.L
543 Ventolin Inhaler fls 2 - 2 - 2 66,000.00 132,000.00 PT. A.P.L
544 Ventolin Nebulizer tab 260 1,000 1,260 640 620 4,999.90 3,099,938.00 PT. A.P.L
545 Verapamil 80 mg tab - - - - - 359.99 - Bon ke Husada Farma
546 Veraplex tab 500 mg tab 74 - 74 - 74 38,324.00 2,835,976.00 PT. Kimia Farma
547 Villiron Drag tab 120 - 120 120 - 81.00 - PT. M.B.S
548 Vinblastine inj vial 1 - 1 1 - 85,999.00 - PT. A.P.L
549 Vincristin 1 mg amp 3 15 18 6 12 71,944.90 863,338.80 PT. A.P.L
550 Vincristin 2 mg amp 8 - 8 3 5 112,810.00 564,050.00 PT. A.P.L
551 Vitamin B 1 inj amp 30 - 30 - 30 396.03 11,880.90 PT.Rajawali
552 Vitamin B.Comp tab 8,000 - 8,000 7,000 1,000 22.20 22,200.00 PT.Kimia Farma
553 Vitamin C 50 mg tab - - - - - 2,049.00 - PT. Kimia Farma
554 Vitamina B 12 50 mg tab - - - - - 23.66 - PT.Kimia Farma
AWAL SATUAN TOTAL
555 Vitamin k inj amp - - - - - 997.99 - PT Rajawali
556 Voluven fls 18 - 18 5 13 53,240.00 692,120.00 PT. D.B.M
557 Widahes fls 22 20 42 30 12 49,399.90 592,798.80 PT.Merapi Utama
558 Xeloda tab 1,150 1,920 3,070 1,990 1,080 31,680.00 34,214,400.00 PT. Tempo
559 Ximex Optixitrol Eye Drop fls - - - - - 7,156.00 - PT.Penta Valent
560 Yal Colon Cleanser vial 140 100 240 128 112 55,000.00 6,160,000.00 PT. A.M.S
JUMLAH 1,178,370,541.43
Medan, 17 Februari 2010

Ka. Instalasi Farmasi
RSUD.Dr.Pirngadi Kota Medan
Dra. Azwinar ,Apt

NIP. 19530115 198503 2 00 2
LAPORAN STOK GUDANG OBAT SWK
INSTALASI FARMASI RSUD.DR.PIRNGADI MEDAN
BULAN FEBRUARI 2010
I. JENIS : TAB / CAPSUL / CAPLET

No Nama Barang Sat S.awal Masuk Jumlah Keluar Sisa H.Satuan Harga Total Asal Barang
1 Acetensa tab - - - - - 6,864.00 - PT. Kebayoran
2 Acetosal 100 mg tab - - - - - 58.00 - PT. Rajawali N
3 Acetosal 500 mg tab - - - - - 97.13 - PT. Rajawali N
4 Aclonal 25 mg tab - - - - - 862.40 - PT. A.M.S
5 Aclonac 50 mg tab - - - - - 1,440.45 - PT. A.M.S
6 Acran 150 mg tab - - - - - 3,396.25 - PT. A.P. L
7 Acran 300 mg tab - - - - - 5,335.00 - PT. Bina S.P
8 Acyclovir 200 mg tab - - - - - 716.62 - PT. Rajawali N
9 Acyclovir 400 mg tab - - - - - 1,224.71 -
10 Adona Forte tab - - - - 1,760.00 -
11 Adalat Oros 30 mg tab 180 - 180 - 180 6,754.00 1,215,720 PT. Dos ni Roha
12 Aerius tab 5 mg tab - - - - - 6,380.00 - PT. A.P.L
13 Agravan tab - - - - - 4,807.00 -
14 Aldactone 25 mg tab - - - - - 1,223.75 -
15 Aldactone 100 mg tab - - - - - 3,957.58 -
16 Aldisa SR tab 100 - 100 100 - 3,255.00 - PT. Bina S.P
17 Alerten - Q 25 mg tab - - - - - 3,127.66 - PT. A.P.L
18 Alegi tab 300 - 300 - 300 858.00 257,400 PT. Kalista Prima
19 Alloris tab - - - - - 2,784.92 -
20 Allogon 500 mg tab - - - - - 605.00 - PT. Sinar Intermark
21 Allohex tab - - - - - 3,300.00 - PT. Rajawali N
22 Allopurinol 100 mg tab 200 - 200 - 200 116.99 23,398 PT.ENSEVAL
23 Allopurinol 300 mg tab - - - - - 220.00 - PT. Enseval
24 Alupent 20 mg tab - - - - - 1,798.10 -
25 Albendazol 400 mg tab - - - - - 296.89 - PT.IGM
26 Alprazolam 0,5 mg tab 400 - 400 - 400 585.00 234,000 PT. A.A.M
27 Alprazolam 1 mg tab 400 - 400 - 400 899.99 359,996 PT. A.A.M
28 Amaryl 25 mg tab - - - - - 3,650.64 -
29 Amaropo Plus tab - - - - - 1,351.35 -
30 Amdixal 10 tab - - - - - 8,250.00 - P.T. Parazelsus
31 Amdixal 5 tab 180 - 180 - 180 4,620.00 831,600 PT. Dksh Tunggal
32 Aminopyylin 200 mg tab - - - - - 70.00 - Apt. Adytia
33 Amitriptylin 25 mg tab 100 - 100 - 100 92.00 9,200 PT. Indofarma
34 Ambroxol 30 mg tab 200 - 200 100 100 110.43 11,043 PT. Indo Farma
35 Amoxan 250 mg cab 300 - 300 - 300 1,358.50 407,550 PT. Bina S.P
36 Amoxan 500 mg kapl 600 - 600 300 300 2,784.92 835,476 PT. Bina San Prima
37 Amoxycillin 250 mg cab - - - - - 166.47 - PT. Rajawali N
38 Amoxycillin 500 mg kapl - - - - - 400.00 - PT. Kimia Farma
39 Amobiotic 500 mg kapl - - - - - 2,530.00 -
40 Ampicillin 250 mg tab - - - - - 421.86 -
41 Andrizen 500 mg tab - - - - - 103.40 - PT. Openaki
42 Angioten 500 mg tab - - - - - 8,250.00 -
43 Antalgin 500 mg tab - - - - - 51.58 - PT. Indofarma
44 Antasida Doen tab 3,000 - 3,000 1,000 2,000 33.58 67,160 PT. Kimia Farma
45 Antiplat 50 mg tab - - - - - 5,500.00 - PT. A.A.M
46 Anfix 100 tab - - - - - 15,400.00 -
47 Anvomer B 6 tab - - - - - 1,430.00 - PT. Rajawali N
48 Aptor tab 300 - 300 100 200 147.02 29,403 PT. Kebayoran
49 Arcalion tab - - - - - 3,850.00 -
50 Artane 2 mg tab - - - - - 304.59 - PT. Rajawali N
51 Artovit tab - - - - - 2,569.12 -
52 Arnid 100 mg tab - - - - - 3,025.00 - PT. A.M.S
53 Asabium tab - - - - - 1,386.00 - PT. M.B.S
54 Asam Mefenamat 500 mg tab 19,700 - 19,700 8,300 11,400 125.00 1,425,046 PT. Parit Padang
55 Asam Traneksamat 500 mg tab - - - - - 1,045.00 - PT. Merapi .UP
56 Askardia 80 mg tab 300 - 300 - 300 543.40 163,020 PT. A.P.L
57 Aspilet tab 400 - 400 300 100 314.82 31,482 PT. A.P.L
58 Aspilet Trombo tab 150 - 150 - 150 529.31 79,397 PT. A.P. L
59 Aspar K tab - - - - - 1,540.00 - PT. A.A.M
60 Atarax 0,5 mg tab - - - - - 1,155.00 -
61 Atorsan 10 tab - - - - - 9,927.50 - PT. Dksh Tunggal
62 Ausplic 500 mg tab - - - - - 6,259.73 - PT. Bina S.P
63 Bactesyn 375 mg tab - - - - - 10,560.00 - PT. Bina S.P
64 Baquinor 250 mg tab - - - - - 4,785.00 -
65 Baquinor Forte 500 mg kapl 60 140 200 180 20 11,077.00 221,540 PT. Bina S.P
66 Becombion Forte tab - - - - - 500.93 - PT. KIMIA FARMA
67 Benostan 500 mg tab - 300 300 300 - 1,072.00 - PT. Merapi.UP
68 Becomb - C tab 460 - 460 300 160 1,018.87 163,019 PT. Bina S.P
69 Bellamox 500 mg kapl - - - - - 8,066.66 - PT. Bina S.P
70 Bellaphen Dragge tab - - - - - 979.00 - PT. Bina S.P
71 Becarbon tab - - - - - 18.11 - PT. Bina S.P
72 Benocetam 400 mg tab - - - - - 1,430.00 - PT. Merapi .UP
73 Benocetam 1200 mg kapl - - - - - 3,646.50 - PT. Merapi .UP
74 Berry Vision tab - 100 100 100 - 2,487.00 - PT. Bina S.P
75 Betalans tab tab - - - - - 10,659.00 - PT Merapi UP
76 Betaserec cab - - - - - 5,737.82 - PT. A.P.L
77 Betavit Caps cab - - - - - 2,090.00 - PT. Bina S.P
78 Bicnat tab - - - - - 10.78 - PT. ENSEVAL
79 Bimaflox 500 tab - - - - - 300.00 - Apt. Central
80 Bion 3 tab 150 - 150 - 150 2,560.00 384,000 PT. MPI
81 Bisolvon 8 mg tab - - - - - 887.19 -
82 Bisoprolol Furmalat tab 30 - 30 - 30 1,199.98 35,999 PT. Enseval
83 Bioneuron tab - - - - - 757.39 -
84 Biostatik 150 tab - - - - - 4,583.33 - PT. A.M.S
85 Biostatik 300 tab - - - - - 6,600.00 -
86 Biogesik tab - - - - - 281.00 -
87 Bio curliv tab - - - - - 3,630.00 -
88 Bio ATP tab - - - - - 2,087.25 -
89 Brainact 500 mg tab 120 - 120 - 120 10,780.00 1,293,600 PT. Enseval
90 Bralin tab - 60 60 60 - 8,580.00 - PT. Merapi UP
91 Bromer -30 tab - - - - - 605.00 - PT. Dksh Tunggal
92 Buscopan Plus tab - - - - - 1,911.29 -
93 Buscopan 10 mg tab - - - - - 1,380.92 -
94 Captopril 12,5 mg tab 300 - 300 - 300 70.40 21,120 PT. Enseval
95 Captopril 25 mg tab 300 - 300 300 - 137.50 - PT. ENSEVAL
96 Captopril 50 mg tab - - - - - 236.19 - PT. Indofarma
97 Captesin 25 mg tab - - - - - 3,146.00 -
98 Carbamazepine 200 mg tab 300 - 300 300 - 246.45 - PT. Indofarma
99 Cardismo tab - - - - - 2,713.42 - PT. Rajawali N
100 Cardio Aspirin 100 mg tab 300 - 300 - 300 1,078.00 323,400 PT. Kalista Prima
101 Carpiaton 25 mg cap 200 - 200 - 200 594.04 118,809 PT. Kebayoran
102 Carpiaton 100 mg cap - - - - - 2,640.00 - PT. Kebayoran
103 Cataflam 25 mg tab 150 - 150 - 150 1,954.04 293,106 PT. A.P.L
104 Cataflam 50 mg tab 250 - 250 100 150 3,729.33 559,400 PT. A.P.L
105 Cataflam D 50 mg tab 50 - 50 - 50 3,817.55 190,878 PT. A.P.L
106 Calsium Laktat tab - - - - - 37.07 -
107 Cedocard 5 mg tab - - - - - 744.33 - PT. A.P.L
108 Cedocard Retard tab - - - - - 1,722.87 -
109 Celestamine tab - - - - - 2,478.60 - PT. A.P. L
110 Celebrex 100 mg cap - - - - - 5,456.05 -
111 Celebrex 200 mg cap - - - - - 9,423.80 -
112 Cefat 250 mg cap 200 - 200 - 200 4,284.00 856,800 PT. B.S.P
113 Cefat 500 mg cap 200 - 200 - 200 8,673.50 1,734,700 PT. Bina San Prima
114 Cefadroxyl 500 mg cap 200 - 200 200 - 750.00 - PT. ENSEVAL
115 Cefarox 100 mg tab - - - - - 3.00 - PT. Kalista Prima
116 Cefspan 50 mg cap - - - - - 7,626.66 - PT. Enseval
117 Cefspan 100 mg tab - - - - - 16,316.66 -
118 Cefixime 100 mg cap - - - - - 1,674.00 - PT. Enseval
119 Ceradolan 200 mg tab - - - - - 10,485.75 -
120 Cerini tab - - - - - 2,403.50 -
121 Cetirizine 10 mg tab - - - - - 313.50 - PT. Indofarma
122 Cetafloxo 500 mg tab - - - - - 8,470.00 -
123 Cetop Zink tab - - - - - 12,017.50 - PT. Sawah Besar
124 Cetoros 800 mg tab - - - - - 1,595.00 -
125 Chlorfeniramin Maleat 4 mg tab 1,000 - 1,000 1,000 - 9.65 - Pembetulan
126 Chlorpiomazine 25 mg tab - - - - - 25.30 -
127 Cholestat 10 mg tab - - - - - 1,540.00 - PT. Enseval
128 Cholespar 10 mg cab - - - - - 5,868.50 -
129 Cholinar cap - - - - - 5,965.30 - PT. A.M.S
130 Chloramfenicol 250 mg tab 500 - 500 - 500 150.04 75,020 PT. Indo Farma G.M
131 Chloroquin 150 mg tab - - - - - 79.80 - PT. Indo Farma G.M
132 Cimetidin 200 mg tab - - - - - 68.99 - PT. Indo Farma
133 Ciclobrain 400 mg tab - - - - - 1,430.00 -
134 Ciclobrain 800 mg tab - - - - - 2,200.00 -
135 Ciflos 500 mg tab - - - - - 8,800.00 -
136 Ciprofloxacin 500 mg tab 19,900 - 19,900 6,300 13,600 320.00 4,352,000 PT. AMS
137 Civell 500 mg kapl - - - - - 7,700.00 -
138 Cirrus tab - - - - - 3,630.00 -
139 Claneksi cap 500 mg kapl 90 - 90 - 90 9,823.00 884,070 PT. Bina San Prima
140 Claritin 10 mg tab - - - - - 5,657.66 - PT. A.P.L
141 Clopidogrel 75 mg tab 210 - 210 30 180 9,306.00 1,675,080 PT .AAM
142 Clast 0,5 mg tab 100 - 100 - 100 1,801.80 180,180 PT. Merapi .UP
143 Clavamox 500 mg kapl - - - - - 7,260.00 - PT. Enseval
144 Climadan 150 mg tab - - - - - 3,740.00 - PT. Enseval
145 Climadan 300 mg tab - - - - - 6,160.00 - PT.ENSEVAL
146 Clindamycin 150 mg cab - - - - - 510.00 - PT. Indo Farma G.M
147 Clindamycin 300 mg cab 100 - 100 100 - 749.97 - PT. A.M.S
148 Clobazam 10 mg tab - - - - - 950.04 - PT. A.A.M
149 Colistine tab - - - - - 4,459.40 -
150 Comtro 250 mg tab - - - - - 9,196.00 - PT. A.P.L
151 Comvita C kapl - - - - - 696.60 - PT. A.P. L
152 Concor 5 mg tab - 100 100 - 100 6,750.00 675,000 PT. Tempo
153 Concor 2,5 mg tab - - - - - 4,205.75 - PT. Tempo
154 Coroflox 500 mg tab - - - - - 9,350.00 -
155 Cordaron tab 150 - 150 - 150 5,828.00 874,200 PT. A.P.L
156 Corsabutol 500 mg tab 1,500 - 1,500 1,500 - 679.00 - PT. Sawah Besar
157 Cotrimoxazol 480 mg tab - - - - - 100.00 - PT. Indofarma GM
158 Co. Amoxiclave 625 cap 15 - 15 - 15 4,477.00 67,155 PT. Indo Farma G.M
159 Co - Aprovel 300 tab - - - - - 13,756.87 - PT. A.P.L
160 C.P.G 75 mg tab - - - - - 13,750.00 - PT. Enseval
161 Cravit 250 mg tab - - - - - 19,250.00 -
162 Cravit 500 mg kapl 10 - 10 - 10 34,650.00 346,500 PT. Enseval
163 Curcuma tab - - - - - 561.00 -
164 Curliv tab - - - - - 2,200.00 -
165 Cybufen 300 mg tab - - - - - 4,290.00 -
166 Cyloam 500 mg tab - - - - - 5,500.00 - PT.Sinar Inter Mark
167 Dalacin C 150 mg tab - - - - - 6,648.03 - PT. A.A.M
168 Dalacin C 300 mg tab - - - - - 11,396.20 - PT. A.A.M
169 Damaben tab - - - - - 303.78 -
170 Degrium 5 mg tab - - - - - 3,850.00 - PT. A.A.M
171 Dentacid 500 mg tab - - - - - 770.00 - PT. Enseval
172 Dextromtehorpan HBr15 mg tab - - - - - 35.63 - PT. Indo Farma G.M
173 Dexamethason 0,5 mg tab 7,000 - 7,000 - 7,000 71.76 502,320 PT. Kimia Farma
174 Dexaflox 400 mg tab - - - - - 20,350.00 - PT. A.A.M
175 Dextamin tab 300 - 300 - 300 1,622.03 486,609 PT. Rajawali
176 Digoxin 0,25 mg tab 100 - 100 - 100 83.21 8,321 PT. Indofarma
177 Diamox tab - - - - - 1,126.12 -
178 Diazepam 2 mg tab - - - - - 15.80 - PT. Kimia Farma
179 Diazepam 5 mg tab - - - - - 34.77 - PT. Tempo
180 Diltiazem tab 100 - 100 - 100 147.84 14,784 PT. Indofarma
181 Dimenhydrinate 50 tab 100 - 100 - 100 88.94 8,894 PT. Kimia Farma
182 Ditranex 250 mg tab - - - - - 976.83 - PT. M.P.I
183 Ditranex 500 mg tab - - - - - 1,760.00 - PT. Parit Padang
184 Domesco tab - - - - - 2,200.00 - PT. GLOBAL
185 Domperidon tab 100 - 100 - 100 415.80 41,580 PT. Enseval
186 Doxyciclin 100 mg tab - - - - - 215.00 - PT. Indo Farma G.M
187 Drovax 5 tab - - - - - 7,865.00 - PT. A.M.S
188 Droxefa tab - - - - - 6,435.00 - PT. Rajawali
189 Dulcolax 5 mg tab 200 - 200 - 200 772.92 154,584 PT. Tempo
190 Duvadilan tab - - - - - 3,047.00 -
191 Encephabol tab tab - - - - - 6,440.00 - PT Kimia Farma
192 Enervon C tab 90 - 90 30 60 782.87 46,972 PT. A.P L
193 Epiven 300 mg tab - - - - - 6,050.00 - PT. A.M.S
194 Erabutol Plus tab 500 - 500 - 500 770.00 385,000 PT. A.M.S
195 Erytromicin 250 mg tab - - - - - 394.00 -
196 Erytromicin 500 mg kapl - - - - - 816.32 - PT. Indofarma
197 Erysambe 500 mg kapl - - - - - 2,110.90 - PT. B.S.P
198 Esilgan 1 mg tab - - - - - 1,712.70 -
199 Esilgan 2 mg tab - - - - - 3,483.70 - PT. United D.C
200 Ethambutol 500 mg tab - - - - - 308.67 - PT. Indofarma
201 Exelase - E kapl - - - - - 1,812.80 - PT. M.P.I
202 Farsorbid 5 tab 300 - 300 - 300 70.01 21,003 PT. Kebayoran
203 Ferfiran 800 mg tab - - - - - 2,194.50 - PT. A.A.M
204 Ferfiram 1200 mg tab - - - - - 3,327.50 -
205 Ferrofort kapl - - - - - 1,097.25 - PT. Enseval
206 Feprax 0,5 mg tab - - - - - 1,411.60 -
207 Feprax 1 mg tab - - - - - 2,040.50 -
208 F.G Troches tab - 120 120 120 - 809.00 - PT. Merapi .UP
209 Fito Vision tab - - - - - 3,391.00 -
210 Fixep 50 mg kapl - - - - - 7,626.65 -
211 Fixep 100 mg kapl - - - - - 14,666.60 -
212 Fladex 500 mg tab 200 - 200 - 200 199.99 39,998 PT. A.A.M
213 Floxbio tab - - - - - 9,166.66 -
214 Fluimucil 200 mg cap - - - - - 2,926.00 - PT. Sawah Besar
215 Fluimucil 200 granull zac - - - - - 3,082.75 - PT. Sawah Besar
216 Formalin tab 100 - 100 - 100 330.00 33,000 PT. Brataco
217 Forneuron tab - - - - - 2,200.00 -
218 Folid Acid tab 2,000 - 2,000 - 2,000 69.00 138,000 Apt. Adytia
219 Forres 50 mg tab - - - - - 3,300.00 - PT. Enseval
220 Folamil tab - - - - - 825.00 -
221 Fordesia tab - - - - - 13,750.00 -
222 Formyco 200 mg tab 150 - 150 - 150 3,553.00 532,950 PT. Bina San Prima
223 Frego 5 mg tab - - - - - 3,630.00 - PT. Enseval
224 Frego 10 mg tab - - - - - 4,994.00 - PT. Enseval
225 Frisium tab - - - - - 2,858.82 - PT. A.P. L
226 Frixitas 0,25 mg tab 240 - 240 - 240 1,008.33 241,999 PT. A M S
227 Frixitas 0,50 mg tab 120 - 120 - 120 1,527.16 183,259 PT. A.M.S
228 Frixitas 1 mg tab 180 - 180 120 60 2,425.50 145,530 PT. A.M.S
229 Fucoidan tab 150 mg tab - - - - - 10,450.00 - PT Parit padang
230 Fundamin E tab - - - - - 574.00 -
231 Furosemid tab 100 - 100 - 100 65.41 6,541 PT. Indo Farma G.M
232 Gaster 20 tab - - - - - 4,125.00 - PT. A.P.L
233 Gastran tab - - - - - 445.00 - PT. A.P.L
234 Gastrolan cap - - - - - 8,360.00 - PT. M.P.I
235 Glibenclamida 5 mg tab - - - - - 60.01 - PT. Indo Farma G.M
236 Glimepiride 1 mg tab - - - - - 868.66 - PT. Enseval
237 Glimepiride 2 mg tab - - - - - 1,716.00 - PT. Enseval
240 Glimunos tab - - - - - 3,135.00 - PT. Sawah Besar
241 Glivec FCT 100 mg tab - - - - - 210,833.30 - PT. A.P.L
242 Griseofulvin 125 mg tab - - - - - 108.19 -
243 Gliqudone 30 mg tab - - - - - 2,058.32 - PT. A.A.M
244 Glucophage 500 mg tab - - - - - 885.64 -
245 Glucosamin 250 mg tab - - - - - 858.00 - PT. Kallista
246 Glucodex 500 tab - - - - - 1,595.00 - PT. A.A.M
247 Glurenorm 30 mg tab - - - - - 1,795.95 -
248 Glyceril Guayakolat ( G.G ) tab 5,000 - 5,000 1,000 4,000 33.00 132,000 pt kimia farma
249 Gradiab 500 mg tab - - - - - 825.00 -
250 Haloperidol 5 mg tab - - - - - 122.29 -
251 Halloperidol 1,5 mg tab - - - - - 106.24 - PT. Indo Farma G.M
252 Halloperidol 0,5 mg tab - - - - - 60.24 - PT. Kebayoran
253 Hemobion kapl - - - - - 1,013.65 - PT. Tempo
254 Hapsen 5 tab - - - - - 4,598.00 - PT. A.M.S
255 Hepa-Q tab - - - - - 4,235.00 - PT. AMS
256 Hepabion kapl - - - - - 3,556.60 -
257 Heptasan 4 mg tab - - - - - 156.75 - PT. A.P.L
258 Hepagard tab - - - - - 2,252.25 -
259 Herbesar tab - - - - - 1,430.00 -
260 Hexilon 4 mg tab - - - - - 1,672.00 -
261 Hexymer tab - - - - - 219.00 - PT. Kebayoran
262 Hydrochlorthiazide ( HCT ) 25 tab 3,000 - 3,000 1,000 2,000 22.00 44,000 PT. Kimia Farma
263 Ibuprofen 200 mg tab - - - - - 73.35 - PT. Indofarma
264 Idesar Plus tab - - - - - 5,197.50 - Apt. Adytia
265 Ilusemin tab - - - - - 3,040.50 -
266 Imboost tab - - - - - 1,996.50 -
267 Imboost Forte tab - - - - - 3,630.00 -
268 Imesco tab - - - - - 5,500.00 - PT. GLOBAL
269 Immodium 2 mg tab 300 - 300 - 300 5,486.70 1,646,010 PT. Parit Padang
270 Imunex tab - - - - - 3,866.50 - PT. SBF
271 Imudator tab - - - - - 6,050.00 - PT. A.M.S
272 Immu - cex tab - - - - - 3,410.00 -
273 Imunos tab - - - - - 4,504.50 - PT. Kallista
274 Inamox 500 mg cap 6,000 - 6,000 2,200 3,800 390.05 1,482,190 PT. Indo Farma G.M
275 Inavir 400 tab - - - - - 5,644.83 -
276 Inazol 30 mg tab - - - - - 4,899.00 -
277 Inbion tab - - - - - 814.00 -
278 Inciflox 500 mg cap - - - - - 6,957.50 -
279 Indrol 4 mg tab - - - - - 990.00 -
280 Ineuron 1200 mg tab - - - - - 2,200.00 -
281 Infix 50 tab - - - - - 2,750.00 -
282 INH 100 mg tab 5,400 - 5,400 2,400 3,000 27.50 82,500 PT. Kimia Farma
283 INH 300 mg tab 6,000 - 6,000 4,000 2,000 71.10 142,200 PT. Kimia Farma
284 INH Ciba 400 mg tab 400 500 900 400 500 847.00 423,500 PT. A.P.L
285 INH Ciba 300 mg tab - 400 400 - 400 583.00 233,200 PT. A.P.L
286 Inhipump tab - - - - - 8,569.00 - PT. A.M.S
287 Inhipraz 15 mg tab - - - - - 5,170.00 -
288 Inhipraz 30 mg cap 20 - 20 - 20 11,261.25 225,225 PT. Kalista Prima
289 Insiclav cap - - - - - 5,940.00 -
290 Insetron 4 mg tab - - - - - 4,125.00 -
291 Insetron 8 mg tab - - - - - 7,315.00 -
292 Interhistin tab 100 - 100 - 100 605.00 60,500 PT. A.P.L
293 Intermoxil 500 mg kapl - - - - - 2,530.00 -
294 Intrizin tab - - - - - 2,750.00 - PT. A.P.L
295 Isoket 10 mg tab - - - - - 672.98 -
296 Isosorbid Dinitrate 5 mg tab - - - - - 63.60 - PT. Indofarma
297 Kanamycin 250 mg kapl - - - - - 1,397.00 -
298 Kaflam 25 mg tab - - - - - 1,540.00 - PT. Enseval
299 Kaflam 50 mg tab - - - - - 2,695.00 - PT. Enseval
300 Kaltrofen tab - - - - - 3,410.00 - PT. Enseval
301 Kalium Diklofenac 25 mg tab - - - - - 390.83 - PT. A.A.M
302 Kalium Diklofenac 50 mg tab - - - - - 708.02 - PT. A.A.M
303 Kalmeco 250 mg tab - - - - - 1,029.00 -
304 Kalmeco 500 mg tab - - - - - 1,815.00 - PT. Enseval
305 Kalnex 500 mg tab - - - - - 2,013.00 -
306 Kendaron tab - - - - - 3,650.00 -
307 Ketesse - 25 tab - - - - - 4,680.50 - PT. A.A.M
308 Ketokonazol 200 mg tab - - - - - 594.00 - PT. Enseval
309 Ketosteril tab - - - - - 6,765.00 - PT. D.B.M
310 Ketros tab - - - - - 2,750.00 -
311 KSR 600 mg tab 200 - 200 - 200 2,244.11 448,822 PT. MPI
312 Lameson 4 mg tab - - - - - 2,420.00 - PT. M.P.I
313 Lancid tab - - - - - 10,725.00 - PT. Enseval
314 Lansoprazole 30 mg tab 2,760 2,000 4,760 2,660 2,100 876.48 1,840,608 PT. A.M.S
315 Lapibal 500 mg tab - - - - - 1,608.75 - PT. Kalista Prima
316 Lapimox 500 tab - - - - - 1,100.00 - PT. Kallista
317 Lapibion tab - - - - - 1,233.00 - PT Kalista
318 Lapifed 100 tab 100 - 100 - 100 1,018.87 101,887 PT. Kallista
319 Lapiflox 500 mg tab - - - - - 9,680.00 - PT. M.P.I
320 Lasix 40 mg tab - - - - - 3,560.29 - PT. A.P.L
321 Laz 30 mg tab - - - - - 7,333.33 - PT. A.A.M
322 Lecrav 500 tab 6 - 6 - 6 22,522.50 135,135 PT. MERAPI
323 Legress Cap tab - - - - - 2,200.00 -
324 Lekuicin 500 tab - - - - - 27,225.00 - PT. A.A.M
325 Lepos 500 mg tab - - - - - 24,035.00 - PT. Penta Valent
326 Lesichol 300 mg tab - - - - - 6,633.00 -
327 Lesifit tab - - - - - 4,158.00 - PT. Dksh Tunggal
328 Levocin 500 mg Sanbe tab 36 90 126 108 18 30,171.00 543,078 PT. B.S.P
329 Levoquin 500 mg tab - - - - - 22,000.00 - PT. Daya Muda Agung
330 Levores 500 mg tab - - - - - 23,100.00 -
331 Levovid kapl 10 - 10 - 10 24,131.25 241,313 PT. Merapi .UP
332 Levofloxacin tab 30 - 30 30 - 1,214.90 - PT. Indofarma
333 Lincosin 500 mg kapl - - - - - 7,827.78 - PT. A.P.L
334 Lincomycin 500 mg tab - - - - - 601.26 - PT. M.P.I
335 Lipitor 10 mg tab - - - - - 12,472.03 - PT. A.A.M
338 Livolin Forte tab - - - - - 6,900.66 -
339 Lizor tab - - - - - 16,500.00 - PT. A.M.S
340 Loratadin 10 mg tab - - - - - 341.00 -
341 Lovask 10 mg tab - - - 7,865.00 - PT Merapi UP
342 Lovas 5 mg tab - 60 60 60 - 4,469.00 - PT Merapi UP
343 Longcef tab - - - - - 7,333.33 - PT. Enseval
344 Ludiomil 25 mg tab - - - - - 5,394.95 -
345 Lynoral 50 tab - - - - - 1,229.80 -
346 Lysagor tab - - - - - 880.00 - PT. Enseval
347 Matovit tab - - - - - 3,086.00 -
348 Medixon 4 mg tab - - - - - 1,871.00 - PT. A.A.M
349 Mediamer B 6 tab - - - - - 1,606.15 -
350 Mefinal 250 mg tab - - - - - 412.50 - PT. Bina S.P
351 Mefinal 500 mg kapl 100 - 100 - 100 1,045.00 104,500 PT. Bina S.P
352 Meloxicam 7,5 tab 150 - 150 150 - 575.00 - PT. A.A.M
353 Meloxicam 15 mg tab 500 - 500 - 500 650.00 325,000 PT. A. M. S
354 Mensifox tab - - - - - 9,350.00 -
355 Meptin Mini 0.025mg tab - - - - - 1,563.10 - PT. Merapi .UP
356 Merislon tab - - - - - 2,365.12 - PT. Enseval
357 Mertigo tab 100 - 100 100 - 2,420.00 - PT. A.A.M
358 Mesol 4 tab - - - - - 1,672.00 - PT. Kalista Prima
359 Methoclopramide tab - - - - - 76.29 - PT. Indo Farma G.M
360 Methyl Ergometrin tab 100 - 100 - 100 109.95 10,995 PT. Kimia Farma
361 Methyl Prednison 4 mg tab 300 - 300 - 300 523.60 157,080 PT. Enseval
362 Methyl Prednison 8 mg tab - - - - - 1,848.00 - PT. Rajawali
363 Methylon 4 mg tab - - - - - 1,984.12 - PT. MERAPI
364 Myonal tab - - - - - 4,723.70 - PT APL
365 Methergin tab - - - - - 2,881.67 - PT APL
366 Metformin 500 mg tab 100 - 100 - 100 124.17 12,417 PT. A.A.M
368 Metronidazol 500 mg tab - - - - - 142.00 - Apt. Adytia
369 Mevilox 15 mg tab - - - - - 6,971.25 - PT. Kallista Prima
370 Mevilox 7,5 mg tab - - - - - 4,021.86 - PT. Kallista Prima
371 Mexpharm 7,5 mg tab - - - - - 4,235.00 - PT. Enseval
372 Minocin 100 mg tab - - - - - 8,151.00 -
373 Mosardal 500 mg tab - - - - - 29,058.33 -
374 Movi - Cox 15 mg tab - - - - - 10,133.20 - PT. Tempo
375 Movi - Cox 7,5 mg tab - - - - - 6,050.00 - PT. Tempo
376 Movix 15 mg tab - - - - - 4,675.00 - PT. Kalista Prima
377 Movix 7.5 mg tab - - - - - 3,300.00 - PT. Kalista Prima
378 Mucopect 30 mg tab - - - - - 1,583.58 -
379 Nairet tab - - - - - 4,400.00 - PT. Enseval
380 Nalgestan tab - - - - - 874.83 -
381 Narfoz 4 mg tab - - - - - 11,536.80 - PT. A.M.S
382 Narfoz 8 mg tab - - - - - 18,565.80 -
383 Natrium Bicarbonas tab - - - - - 10.00 - APT CENTRAL
384 Natrium Diklofenac 25 mg tab - - - - - 163.93 - PT. Rajawali N
385 Natrium Diklofenac 50 mg tab - - - - - 217.69 - PT. Rajawali N
386 Neciblox 500 mg tab - - - - - 1,448.33 - PT. Enseval
387 Neo Mercazole tab - - - - - 627.00 -
388 Neotibi tab 100 - 100 - 100 1,287.00 128,700 PT. M.U.P
389 Neo Diatab tab 200 100 300 200 100 423.50 42,350 PT. A.P.L
390 Neurobion tab - 250 250 250 - 920.00 - PT. MPI
391 Neurobion 5000 tab 100 - 100 100 - 1,920.60 - PT. Tempo
392 Neurodex 200 mg tab - - - - - 224.98 - PT. A.A.M
393 Neurosanbe tab 100 - 100 100 - 788.97 - PT. B.S.P
394 Neurosanbe Plus tab - - - - - 731.00 - PT. B.S.P
395 Neurotam 400 mg tab - - - - - 1,430.00 -
396 Neurotam 800 mg tab 50 - 50 - 50 3,080.00 154,000 PT. Enseval
397 Neurotam 1200 mg tab 100 - 100 - 100 4,400.00 440,000 PT. Enseval
398 Neurovit E tab - - - - - 769.54 - PT. Kimia Farma
399 Nifedipin 10 mg tab - - - - - 94.99 - PT AAM
400 Nolipo 500 tab 100 - 100 - 100 3,762.00 376,200 PT. B.S.P
401 Nonflamin tab 60 - 60 - 60 2,862.00 171,720 PT. United D.C
402 Noperten 5 mg tab 90 - 90 - 90 3,135.00 282,150 PT. A.A.M
403 Noperten 10 mg tab - - - - - 1,100.00 - PT. AAM
404 Norelut 5 mg tab - - - - - 2,640.00 -
405 Norvask 5 mg tab - - - - - 6,136.00 - PT. A.A.M
406 Norvask 10 mg tab - - - - - 11,384.63 - PT. A.A.M
407 Novalgin 500 mg tab - - - - - 891.42 - PT. A.P.L
408 Nutriflam 200 mg tab 120 - 120 - 120 4,950.00 594,000 PT. Sapta Sari Tama
409 Nystatin Vaginal supp - - - - - 316.87 -
410 Obimin AF kapl - - - - - 640.93 -
411 Ocuson tab 200 - 200 100 100 1,045.00 104,500 PT. B.S.P
412 Ofloxacin 200 mg tab - - - - - 608.36 - PT. Indofarma
413 Ofloxacin 400 mg tab 50 - 50 - 50 899.99 45,000 PT. Indofarma
414 Omeprazol 20 mg cap - 300 300 240 60 417.00 25,020 PT. A.M.S
415 Omnicef 100 mg tab - 60 60 60 - 12,823.00 - PT. A.A.M
416 Oralit 200 mg zac - - - - - 327.09 -
417 Ospen 625 mg tab - - - - - 2,541.00 -
418 Oste Forte tab - - - - - 4,950.00 - PT. Parit Padang
419 Osmycin 500 kapl - - - - - 4,620.00 -
420 Osteocal tab 240 - 240 60 180 431.00 77,581 PT. Kebayoran
421 Osteoflam tab - - - - - 733.33 - PT. Parit Padang
422 Oxypen F.C tab - 120 120 120 - 4,125.00 - PT. A.A.M
423 Ozen tab - - - - - 3,630.00 - PT. A.M.S
424 Palentin 625 tab - - - - - 5,737.80 - PT. Rajawali N
425 Panadol tab - - - - - 319.00 -
426 Pantozol 20 mg tab - - - - - 825.00 -
427 Pantozol 40 mg tab - - - - - 13,764.30 -
428 Paracetamol tab 1,100 - 1,100 200 900 70.29 63,261 PT. Indofarma
429 paracetamol 500 mg pot tab 6,000 - 6,000 5,000 1,000 33,699.00 33,699,000 PT IGM
430 Penmox 500 mg tab - - - - - 2,530.00 -
431 Pehadoxin Forte tab - - - - - 375.30 - PT. Rajawali
432 Pezeta 500 mg tab - - - - - 1,331.00 -
433 Pharmaton Formula tab - - - - - 2,303.40 - PT. A.P.L
434 Phenobarbital 30 mg tab 1,000 3,000 4,000 1,000 3,000 31.00 93,000 PT. Kimia Farma
435 Pharflox 400 tab 60 - 60 - 60 14,369.00 862,140 PT. A.M.S
436 Phenytoin tab 400 - 400 400 - 605.00 - PT. D.B.M
437 Phytomenadion 10 mg ( vit, K) tab 100 - 100 - 100 663.60 66,360 PT. Rajawali N
438 Piracetam 400 mg tab - - - - - 501.60 - PT. Enseval
439 Piracetam 800 mg tab - - - - - 3,176.80 -
440 Piracetam 1200 mg kapl - - - - - 1,320.00 - PT. A.A.M
441 Pirantel Pamoat 125 mg tab - - - - - 320.00 - Apotik K24
442 Piroxicam 10 mg tab - - - - - 75.00 - PT. Enseval
443 Piroxicam 20 mg tab - - - - - 102.91 - PT. Indo Farma G.M
444 Plavix tab 2,688 - 2,688 1,036 1,652 11,559.01 19,095,485 PT. A.P.L
445 Pletaal 50 mg tab - - - - - 6,981.70 - PT. MERAPI
446 Pletaal 100 mg tab - - - - - 10,529.41 - PT. Merapi .UP
447 Pondex Forte kapl - - - - - 616.00 - PT. A.A.M
448 Ponstan 500 mg kapl - - - - - 1,951.07 - PT. AAM
449 Postovit tab - - - - - 2,156.00 - PT. A.M.S
450 Prednison 5 mg tab - - - - - 38.09 - PT. Indofarma
451 Prednox tab - - - - - 2,090.00 - PT. A.M.S
452 Premaston 5 mg tab - - - - - 2,849.00 -
453 Primperan tab - - - - - 825.00 -
454 Prolung 450 tab - - - - - 5,748.00 - PT. Sawah Besar
455 Proceles tab 50 - 50 - 50 1,254.00 62,700 PT. Kalista Prima
456 Prolacin Kap cap - - - - - 14,630.00 -
457 Prolic 150 tab - - - - - 2,678.33 - PT. B.S.P
458 Prolic 300 tab - - - - - 5,852.00 - PT. B.S.P
459 Propanolol 10 mg tab 100 - 100 - 100 57.90 5,790 PT. A.A.M
460 Prophylthiouracil 100 mg (PTU) tab 100 - 100 100 - 309.00 - PT. Indo Farma G.M
461 Proris 200 mg tab 50 1,000 1,050 750 300 857.00 257,100 PT AMS
462 Prorenal tab - - - - - 5,324.00 - PT. A.M.S
463 Pulna Forte tab - - - - - 1,366.20 - PT. M.B.S
464 Pulmo Timelet tab - - - - - 2,585.00 - PT. A.P.L
465 Pumpitor tab - - - - - 10,763.50 - PT. Bina S.P
466 Pyrantel Pamoat 125 mg tab - - - - - 60.12 -
467 Pyrazinamid 500 mg tab 500 - 500 - 500 220.00 110,000 PT. Indo Farma G.M
468 Pyricef 500 cap - - - - - 14,630.00 - PT. Kallista
469 Pyridoxine (B6) 10 mg tab 1,000 - 1,000 1,000 - 11.00 - PT. Kimia Farma
470 Quibron TSR tab - - - - - 3,724.60 - PT. Dksh Tunggal
471 Quidex 500 mg tab - - - - - 9,075.00 -
472 Quinobiotic 500 mg kapl - - - - - 7,273.38 -
473 Radin tab - - - - - 1,925.00 - PT. A.A.M
474 Ranin tab - - - - - 2,200.00 - PT. A.M.S
475 Ranitidine 150 mg tab 400 400 800 400 400 198.00 79,200 PT. Enseval
476 Rantin 150 mg tab - - - - - 3,806.00 - PT. Enseval
477 Rechol 10 cap - - - - - 3,465.90 - PT. A.M.S
478 Reotal SR 400 tab - - - - - 4,400.00 - PT. Enseval
479 Reskuin 500 mg tab - - - - - 29,700.00 - PT. Enseval
480 Retivit kapl 100 - 100 100 - 2,926.00 - PT. B.S.P
481 Rhinofed tab - 100 100 100 - 1,540.00 - PT. A.A.M
482 Rhinos SR tab - - - - - 2,873.75 -
483 Rhynathyol 375 mg tab - - - - - 1,282.60 - PT. A.P. L
484 Rifampicin 300 mg cap 500 - 500 - 500 349.99 174,995 PT. Indo Farma G.M
485 Rifampicin 450 mg cap 300 - 300 - 300 550.00 165,000 PT. Enseval
486 Rifampicin 600 mg kapl 100 700 800 600 200 703.00 140,600 PT. Kimia Farma
487 Rifamtibi 450 mg tab 100 - 100 - 100 3,500.75 350,075 PT. B.S.P
488 Rifamtibi 600 mg kapl - - - - - 4,328.00 -
489 Rilox 400 tab - - - - - 10,230.00 -
490 Rimactazid 450/300/mg kapl - - - - - 7,920.00 - PT. A.P. L
491 Risperdal 1 mg tab - - - - - 9,147.60 - PT. A.P.L
492 Risperdal 2 mg tab - - - - - 16,305.00 - Retur
493 Risperidon 2 mg tab 300 - 300 - 300 2,199.99 659,997 PT. A.A.M
494 Rydian tab - - - - - 2,310.00 -
495 Ryzen tab - - - - - 5,756.67 - PT. A.A.M
496 Salbutamol 2 mg tab 100 100 200 - 200 81.81 16,362 PT. Indofarma
497 Salbutamol 4 mg tab 200 - 200 - 200 97.98 19,596 PT. Indofarma
498 Salofalk 500 mg tab - - - - - 8,415.00 - PT. A.P.L
499 Sanexon tab - - - - - 1,610.00 -
500 Sangobion cap - - - - - 682.02 - PT. M.P.I
501 Sanmol tab 300 - 300 100 200 214.22 42,844 PT. Bina S.P
502 Sanotake tab 500 mg tab - - - - - 5,793.33 - PT. A.P.L
503 Scanditen tab - - - - - 700.00 - PT. Tempo
504 Seloxy 100 tab - - - - - 2,068.00 -
505 Selvigon tab - - - - - 1,804.00 - PT. A.P.L
506 Seminax tab - - - - - 4,028.70 -
507 Sibelium 5 mg tab - - - - - 4,485.40 -
508 Siberid 5 tab - - - - - 2,640.00 -
509 Siflox 500 tab - - - - - 7,700.00 - PT. Dksh Tunggal
510 Silum 5 mg tab - - - - - 2,541.00 -
511 Simarc - 2 tab - - - - - 299.97 - PT. Kebayoran
512 Simatral 50 mg tab - - - - - 3,630.00 - PT. Parit Padang
513 Simvastatin 10 mg tab - 570 570 570 - 539.99 - PT. A.M.S
514 Simvastatin 20 mg tab - - - - - 4,895.00 - PT. A.A.M
515 Sinupret tab - - - - - 2,409.00 - PT. A.P.L
516 Sirdalut tab - - - - - 7,052.32 - PT. APL
517 Sistenol tab - - - - - 1,265.00 - PT. A.A.M
518 Starcef 100 mg cap - - - - - 15,400.00 - PT. A.A.M
519 Sohotin tab - - - - - 2,244.00 -
520 Stenirol 4 mg tab - - - - - 1,650.00 -
521 Stamino tab - - - - - 5,472.50 - PT. B.S.P
522 Solmux cap - - - - - 1,057.42 - PT. A.P. L
523 Strocain P - 100 tab - - - - - 1,273.39 - PT. A.P.L
524 Smecta tab - - - - - 2,667.50 -
525 Solans tab - - - - - 9,075.00 -
526 Sotatic tab - - - - - 88.01 - PT. Kebayoran
527 Sotopril 800 mg tab - - - - - 1,925.00 -
528 Sparos tab - - - - - 9,350.00 -
529 Spasmium tab - - - - - 1,419.00 - PT. Parit Padang
530 Spasmomen F.C tab - - - - - 3,327.50 - PT. A.A.M
531 Spirolacton 25 mg tab 100 - 100 - 100 365.61 36,561 PT. A.A.M
532 Spironolacton 100 mg tab - - - - - 1,241.00 - PT. AAm
533 Spiramycin 500mg tab - - - - - 1,853.98 -
534 Sporetik 50 mg tab - - - - - 6,270.00 - PT.B.S.P
535 Sporetik 100 mg cap - - - - - 15,283.00 - PT. B.S.P
536 Spiradan 500 mg tab - - - - - 4,400.00 - PT. Parit Padang
537 Starmuno tab 90 - 90 90 - 5,683.00 - PT. A.M.S
538 Statra 10 mg tab - - - - - 12,870.00 - PT. AAM
539 Stesolid 2 mg tab 300 - 300 - 300 792.00 237,600 PT. AAM
540 Stesolid 5 mg tab 500 - 500 - 500 1,430.00 715,000 PT. M.B.S
541 Stimuno 50 mg tab 50 - 50 - 50 2,145.00 107,250 PT. A.A.M
542 Stugeron tab - - - - - 1,480.07 -
543 Sumagesic tab - - - - - 311.85 - PT. A.A.M
544 Sulcolon 500 mg tab - - - - - 3,850.00 -
545 Sulfas Ferosus tab - - - - - 40.00 - Ap kimia farma
546 Syneclav 500 mg tab - - - - - 7,150.00 -
547 Systabon Plain tab - - - - - 940.50 -
548 Tanakan tab - - - - - 4,033.33 - PT. A.P.L
549 Tarka tab - - - - - 11,000.00 -
550 Tebokan tab - - - - - 3,899.93 -
551 Tebokan Spesial tab - - - - - 5,898.75 -
552 Tegretol 200 mg tab - - - - - 2,665.00 - PT. A.P. L
553 Telfast OD tab - - - - - 5,714.96 - PT. A.P.L
554 Telfast Plus tab - - - - - 4,146.15 - PT. A.P.L
555 Tensigard tab - - - - - 1,501.50 - PT. Rajawali
556 Tensivask 5 mg tab - - - - - 5,720.00 - PT. AAM
557 Tensivask 10 mg tab - - - - - 10,450.00 - PT. AAM
558 Tetracyclin 250 mg cap - - - - - 76.65 - K-24
559 Tevox 500 mg tab - - - - - 29,425.00 -
560 Theravask 5 mg tab - - - - - 3,171.66 - PT. A.P.L
561 Theragran - M tab - - - - - 1,804.00 -
562 Thiamin B 1 tab 6,000 - 6,000 - 6,000 25.67 154,020 PT. Kimia Farma
563 Thiamphenicol 500 mg cap - - - - - 488.43 -
564 Thyrozol 5 mg tab - - - - - 963.50 - PT. Tempo
565 Thyrozol 10 mg tab - - - - - 1,361.23 - PT. Tempo
566 Tibitol 500 mg tab - - - - - 660.00 -
567 Tirmaclo 50 mg tab - - - - - 1,650.00 -
568 Tison tab tab - - - - - 1,346.40 -
569 Tiriz 30mg tab - - - - - 2,466.00 -
570 Tocef 50 mg cap - - - - - 5,610.00 -
571 Tocef 100 mg cap - 120 120 120 - 11,261.00 - PT. Dos ni Roha
572 Tocef 200 mg tab - - - - - 19,841.00 - PT. Merapi UP
573 Tonar tab - - - - - 5,720.00 - PT. Dksh Tunggal
574 Tonicard tab tab 100 - 100 - 100 12,100.00 1,210,000 PT. GLOBAL
575 Topcillin 500 mg cap - - - - - 2,420.00 -
576 Toras 4 mg tab - - - - - 2,048.20 - PT. A.M.S
577 Tradosik tab - - - - - 2,194.50 -
578 Tragesic 50 mg tab - - - - - 2,200.00 -
579 Tramal Kaps kapl - - - - - 4,774.00 - PT. A.M.S
580 Tramadol 50 mg tab 150 - 150 100 50 355.00 17,750 PT. Merapi UP
581 Transamin 250 mg tab - - - - - 999.35 -
582 Transamin 500 mg tab 300 - 300 - 300 2,244.00 673,200 PT. P.P.I
583 Tremenza tab 200 - 200 200 - 809.87 - PT. Bina S.P
584 Trental 400 mg tab - - - - - 6,699.55 - PT. Tempo
585 Trichodazol 500 mg tab - - - - - 1,320.00 - PT. B.S.P
586 Trifed tab - - - - - 902.00 -
587 Trihexyphenidyl 2 mg tab 300 - 300 200 100 40.76 4,076 PT. IGM
588 Trileptal FLT 300 mg tab - - - - - 7,013.93 -
589 Trileptal FLT 600 mg tab - - - - - 13,112.00 -
590 Triostec tab - - - - - 4,180.00 -
591 Tripanzim tab - - - - - 836.00 -
592 Trizedon M.R tab 240 - 240 - 240 3,300.00 792,000 PT. A.A.M
593 Tropidrol 4 mg tab - - - - - 2,007.50 -
594 Tropidrol 8 mg tab - - - - - 2,893.00 -
595 Tropistan 500 mg tab - - - - - 1,622.50 - PT. Sapta Sari Tama
596 Tuzalos 15 mg tab - - - - - 522.50 - PT. B.S.P
597 Tyarit tab tab - - - - - 3,300.00 -
598 Ulceranin tab 150 mg tab - - - - - 3,300.00 -
599 Ulcumet tab 100 - 100 - 100 611.60 61,160 PT. Parit Padang
600 Ulpraz 20 mg tab - - - - - 7,515.66 - PT. B.C.M
601 Ulsanic 500 tab - - - - - 2,016.60 -
602 Ulsidex tab - - - - - 284.99 - PT. A.A.M
603 Ultra Cet kapl - - - - - 5,830.00 - PT. A.P.L
604 Unalium 5 mg tab - - - - - 2,640.00 -
605 Unitrac tab - - - - - 12,540.00 -
606 Urbason 4 mg tab - - - - - 1,981.53 -
607 Urica 500 mg tab - - - - - 4,042.00 -
608 Urispas 200 tab 60 - 60 - 60 3,162.50 189,750 PT. Indo Farma G.M
609 Urticef 50 mg tab - - - - - 6,121.50 -
610 Vantis tab - - - - - 2,100.00 -
611 Vasedon tab - - - - - 1,463.00 -
612 Vascuprax tab - - - - - 4,347.97 - PT. D.B.M
613 Versilon 6 tab - - - - - 1,430.00 - PT. Dos ni Roha
614 Viaclav 500 mg kapl - - - - - 6,160.00 -
615 Viflox 500 mg tab - - - - - 12,072.50 - PT. Sapta Sari Tama
616 Vit.B. Complex tab - - - - 22.00 - PT Kimia Farma
617 Vitmin C 25mg tab - - - - - 20.00 - PT Merapi UP
618 Vitamin C 50 mg tab - 10,000 10,000 4,000 6,000 19.00 114,000 PT Kimia Farma
619 Vit - K tab - - - - - 32.67 - PT. Kimia Farma
620 Vioquin tab - - - - - 9,927.50 - PT. M.P.I
621 Viostin Com.DS tab - - - - - 3,850.00 -
622 Vioxy tab - - - - - 7,884.00 -
623 Volinol 500 tab - - - - - 9,350.00 - PT. A.M.S
624 Vometa 10 mg tab 50 - 50 - 50 3,410.00 170,500 PT. A.A.M
625 Volequin 500 mg kapl - - - - - 27,225.00 - PT. A.A.M
626 Vomitas 10 mg tab - - - - - 2,823.33 - PT. Enseval
627 Vocefa 500 mg tab - - - - - 8,098.75 - PT. Kalista Prima
628 Voltadex 25 mg tab - - - - - 170.00 - PT. AAM
629 Voltadex 50 mg tab - - - - - 340.01 - PT. AAM
630 Voltaren EC 50 mg tab - - - - - 4,308.59 - PT. A.P.L
631 Vomidone tab - - - - - 1,600.50 -
632 Voxin tab - - - - - 24,200.00 - PT. Kalista Prima
633 Widrox tab - - - - - 20,900.00 - PT. M.B.S
634 Xanax 0,50 mg tab - - - - - 1,990.78 -
635 Xanax 1 mg tab - - - - - 3,270.63 -
636 X - Cam 15 mg tab - - - - - 5,500.00 -
637 X - Flam 50 tab - - - - - 1,485.00 -
638 Xevolac tab 60 - 60 - 60 3,960.00 237,600 PT. A.M.S
639 Xilave 15 mg tab - - - - - 8,580.00 - PT. Rajawali N
640 Xiltrop 500 mg tab - - - - - 2,668.60 -
641 Ximede tab - - - - - 3,375.00 - PT. A.P.L
642 Xyzal tab - - - - - 6,864.00 - PT. A.A.M
643 Yatrizol tab - - - - - 130.00 - APOTIK CENTRAL
644 Zaldiar tab 150 - 150 - 150 7,007.00 1,051,050 PT. A.M.S
645 Zarom tab - - - - - 10,450.00 -
646 Zeviton tab - - - - - 1,540.00 -
647 Zinclovit tab - - - - - 1,320.00 -
648 Zinkid / Zinc tab 100 - 100 100 - 463.13 - PT. Indofarma GM
649 Zistic 500 mg tab - - - - - 26,812.50 - PT. Merapi UP
650 Zolesco 30 mg tab - - - - - 11,000.00 - PT. GLOBAL
651 Zoloral tab - - - - - 3,630.00 - PT. Kebayoran
652 Zumaflox 500 kapl - - - - - 10,164.00 - Apt. Adytia
Jumlah 96,866,212
II. JENIS : SYRUP / ZALF / TETES

1 Abdelin drop 10 cc fls - ### - - - 12,100.00 -
2 Aclam Dry Srp fls - ### - - - 45,100.00 - PT. Kallista
3 Aerius Syrup 60 ml fls - ### - - - 68,200.00 - PT. A.P.L
4 Almond 100 ml fls - ### - - - 1,225.58 -
5 Alco Plus Syr btl - ### - - - 22,000.00 - PT. A.P.L
6 Aloclair Oral Rinse 60 ml btl - ### - - - 60,500.00 - PT. Enceval
7 Ambroxol 15 mg syr fls 78 - 78 5 73 2,583.90 188,625 PT. Indo Farma
8 Amobiotic syr 60 ml fls - ### - - - 16,500.00 -
9 Amobiotic drop 10 ml fls - ### - - - 18,700.00 -
10 Amocomb syr fls - ### - - - 31,900.00 -
11 Amoxycillin 125 mg syr fls 15 - 15 - 15 3,166.66 47,500 PT. M.U.P
12 Amoxan Dry syr fls 25 - 25 5 20 19,123.50 382,470 PT. Bina San Prima
13 Amoxan F syr fls 17 - 17 - 17 27,274.60 463,668 PT. Bina San Prima
14 Amoxan Pead Drop fls 20 - 20 - 20 19,123.50 382,470 PT. Bina San Prima
15 Amocomb Forte syr fls - ### - - - 45,100.00 -
16 Ancefa Dry Suspension fls - ### - - - 29,700.00 -
17 Ancefa Forte Dry Suspension fls - ### - - - 41,250.00 -
18 Antasida syr fls 380 - 380 230 150 2,643.30 396,495 PT. Kimia Farma
19 Anti Hemoroid supp - ### - - - 1,396.45 -
20 Anusal supp supp - ### - - - 1,310.83 -
21 Apialys Drop 10 ml fls 5 - 5 - 5 24,667.00 123,335 PT. Kallista
22 Apialys Syrup 100 ml fls 10 - 10 5 5 22,522.50 112,613 PT. Kallista
23 Apolar Cream tube - ### - - - 26,400.00 -
24 Apolar N Cream tube - ### - - - 23,100.00 -
25 Aquagel Jelly tube 84 - 84 24 60 24,255.00 1,455,300 PT. Rajawali
26 Asedas 60 ml btl - ### - - - 28,600.00 - PT. AMS
27 Asiklovir 5 % Cream tube 4 - 4 - 4 3,000.00 12,000 PT. Indo Farma
28 Augentonic drop TM fls - ### - - - 19,110.00 - PT. Penta Valent
29 Baby oil 50 ml fls 35 - 35 20 15 6,777.00 101,655 Apotik Adytia
30 Baby oil 100 ml fls - ### - - - 13,000.00 -
31 Bactoderm Cream tube - ### - - - 36,575.00 - PT. Kebayoran
32 Baquinor 0,3 TM/TT fls - ### - - - 24,139.50 -
33 Becombion syr fls - ### - - - 6,426.66 -
34 Becombion syr 110 ml fls - ### - - - 16,058.40 - PT. Tempo
35 Betadin oint 5 gr tube - ### - - - 5,885.00 - PT. D.M.A
36 Betadin oint 10gr tube 37 - 37 15 22 9,680.00 212,960 PT. Parit Padang
37 Betadin Sol 30 cc btl 42 - 42 - 42 10,450.00 438,900 PT. D.M.A
38 Betadin Cleanser 60 ml fls 104 - 104 94 10 15,400.00 154,000 PT. Parit Padang
39 Betadin Cleanser 100 ml fls - ### - - - 16,500.00 -
40 Betadin Gargle 100 ML fls 35 - 35 30 5 7,260.00 36,300 PT. Parit Padang
41 Betametason Cream tube - 50 25 25 2,026.00 50,650 PT Kimia farma
42 Bioplasenton Jelly tube 22 - 22 10 12 11,990.00 143,880 PT. Enceval
43 Bisolvon Elixir syr fls - ### - - - 19,943.00 - PT. Tempo
44 Blecidex TM btl - ### - - - 33,335.60 - PT. B.S.P
45 Borac Glycerin fls - ### - - - 1,102.00 - Apotik Aditya
46 Bricasma Exp Syr fls - ### - - - 40,645.00 - PT. Parit Padang
47 Broxal syr 15 mg fls - ### - - - 11,495.00 -
48 Bronchipret 50 ml fls - ### - - - 55,786.50 - PT. A.P.L
49 Broncipret 100 ml fls - ### - - - 94,270.00 - PT. Parit Padang
50 Bronchopront syr fls 4 - 4 - 4 45,980.00 183,920 PT. A.P.L
51 Bronchophylin Elix 150 ml fls - ### - - - 18,150.00 -
52 Bufect syr fls - ### - - - 9,927.50 -
53 Burnazin Cream 35 gr tube 20 - 20 - 20 30,690.00 613,800 PT. A.P.L
54 Bycolen syr 100 cc fls - ### - - - 12,100.00 -
55 Candistin susp oral 12 ml fls - ### - - - 32,450.00 - PT. A.M.S
56 Cataflam Drop 15 ml fls - 5 5 5 - 26,796.00 - PT. A.P.L
57 Cefat dry syr fls 5 ### 10 5 5 36,680.00 183,400 PT. Bina S.P
58 Cefat Forte syr fls 15 - 15 - 15 61,498.36 922,475 PT. Bina S.P
59 Cefadroxil 125 mg 60 ml fls 12 - 12 6 6 7,230.50 43,383 PT. MBS
60 Cefabiotic syr 60 ml fls - ### - - - 33,000.00 -
61 Cefixime Ds 100 ml fls - ### - - - 30,250.00 - PT. Enseval
62 Cefspan Dry syr fls - ### - - - 78,100.00 - PT. Enseval
63 Celestamine syr 30 ml fls 10 - 10 - 10 23,540.00 235,400 PT. A.P.L
64 Celestamine syr 60 ml fls - ### - - - 40,260.00 - PT. A.P.L
65 Chloramfenicol 1 % SM tube 56 - 56 - 56 1,563.10 87,534 PT. Kimia Farma
66 Chloramphenicol 0,5 %TM btl - ### - - - 28,435.00 - PT. Penta Valent
67 Chlorampenicol susp syr btl 24 - 24 - 24 3,707.00 88,968 PT. Kimia farma
68 Chlorampenicol ear drop btl - 48 48 - 48 1,000.00 48,000 PT Kimia farma
69 Claneksi Dry syr fls 5 - 5 - 5 43,169.00 215,845 PT. Bina S.P
70 Claneksi Forte syr fls 5 ### 10 5 5 57,412.00 287,060 PT. Bina S.P
71 Cosyr syr 60 cc fls - ### - - - 13,365.00 - PT. A.P.L
72 Coler Gis Syr 60 ml fls - ### - - - 27,500.00 - PT. A.A.M
73 Contrimoxazole syr fls 15 - 15 - 15 2,839.10 42,587 PT. Indo Farma
74 Comtusi syr 60 ml fls - ### - - - 27,954.00 - PT. A.P.L
75 Cough Frend fls 68 - 68 20 48 3,080.00 147,840 PT. Sasono .P.U
76 Counterpain Cream 15 mg fls - ### - - - 15,675.00 - PT. D.K.S.H Tunggal
77 Cohistan Exp 60 cc syr fls - ### - - - 11,550.00 - PT. A.P.L
78 Colme Eard Drop fls - ### - - - 20,900.00 - PT. A.P.L
79 C. Carpin 1 % mds - ### - - - 16,225.00 -
80 C. Carpin 2 % mnd 30 - 30 20 10 21,326.25 213,263 PT. Penta Valent
81 C. Carpin 4 % fls - ### - - - 26,404.12 - PT. Penta Valent
82 C. Catarlent 5 ml fls - ### - - - 19,446.96 - PT. Penta Valent
83 C. Catarlent 0,6 ML btl 5 - 5 - 5 18,603.75 93,019 PT. Penta Valent
84 C. Fenicol eye oint ment 3,5 gr tube 10 - 10 - 10 17,503.75 175,038 PT. Kimia Farma
85 C. Fenicol 1 % drop 0,6 ml mnd - ### - - - 25,863.75 - PT. Penta Valent
86 C. Fenicol 0,25 % fls - ### - - - 20,267.50 - PT. Penta Valent
87 C. Floxa mnd 5 - 5 - 5 21,422.50 107,113 PT. Penta Valent
88 C. Genta 0,3% 5ml fls - ### - - - 22,130.56 - PT Kimia farma
89 C. Lyterss mnd 10 - 10 10 - 16,955.12 - PT. Penta Valent
90 C. Mydryatil drop 0,5 % fls - ### - - - 28,287.10 -
91 C. Mydryatil drop 1 % fls 20 - 20 - 20 33,766.00 675,320 PT. Penta Valent
92 C. Noncort 0,6 ml fls 20 - 20 - 20 33,962.50 679,250 PT. Penta Valent
93 C. Opthalgon 3 ml fls - ### - - - 13,310.00 - PT. Penta Valent
94 C. Pantocain 2% mnd 90 87 177 60 117 16,032.50 1,875,803 PT. Penta Valent
95 C. Polidex 5 ml fls 3 - 3 2 1 39,325.00 39,325 PT. Penta Valent
96 C. Statrol drop 0,6 TM fls - ### - - - 16,940.00 -
97 C. Tropin 1 % fls 9 - 9 - 9 18,392.00 165,528 PT. Penta Valent
98 C. Ulcori streep - - - - - 21,587.50 -
99 C. Vitrolenta 0,6 ml streep - ### - - - 24,600.00 - PT. Penta Valent
100 C. Xitrol 0,3 ml strep - ### - - - 23,911.25 - PT. Merapi UP
101 C. Xitrol 0,6 ml strep 10 - 10 10 - 19,593.50 - PT. Penta Valent
102 C. Xitrol 3.5 ml tube - ### - - - 30,231.01 - PT. Penta Valent
103 Curcuma Srp fls - ### - - - 9,900.00 - PT. Parit Padang
104 Curcuma Plus 60 cc fls - 5 5 5 - 9,900.00 - PT. Parit Padang
105 Curmunos srp btl - ### - - - 49,500.00 - PT. Kebayoran
106 Daryantull fls 110 - 110 20 90 10,395.00 935,550 PT. A.P.L
107 Decadryl Srp btl - 5 5 5 - 6,670.00 - PT. M.U.P
108 Dermazin 50 gr tube - ### - - - 50,943.75 - PT. Rajawali
109 Dermazin 250 g Cream pot - ### - - - 160,875.00 - PT. Rajawali
110 Dermazin 25 gr tube - ### - - - 40,218.75 - PT. Rajawali
111 Dexanta sry fls - 6 6 6 - 10,120.00 - PT. A.A.M
112 Dextromethorpan syr fls - ### - - - 1,750.00 - PT. A.A.M
113 Dextamin 60 ml syr fls - ### - - - 27,458.20 - PT. Rajawali
114 Diprosone OV 5gr tube - ### - - - 35,420.00 - PT. A.P.L
115 Digenta Cream 10 gr tube - ### - - - 25,300.00 -
116 Donexan Dx Syr 60 ml fls - ### - - - 9,075.00 -
117 Duazat syr fls - - - - - 35,900.00 -
118 Dulcolax 5 mg child supp 6 - 6 6 - 10,711.00 - PT. Tempo
119 Dulcolax 10 mg adult supp 20 - 20 - 20 13,065.40 261,308 PT. Tempo
120 Dumin RT 125 mg / 2.5 ml fls 25 - 25 10 15 9,240.00 138,600 PT. M.B.S
121 Dumin RT 250 mg fls 5 - 5 - 5 12,980.00 64,900 PT. M.B.S
122 Dumin Srp 125 ml fls - - - - - 13,090.00 - PT. M.B.S
123 Duphalac syr 120 ml fls - ### - - - 62,975.00 -
124 Eftian syr fls 5 - 5 - 5 32,340.00 161,700 PT.AMS
125 Elkana syp fls - ### - - - 16,197.50 - PT. B.S.P
126 Elocon Cream 5 gr tube - - - - - 45,540.00 - PT. A.P.L
127 Enervon C. / 60 ml fls - ### - - - 6,820.00 - PT. A.P.L
128 Enervon C. / 120 ml fls 5 - 5 5 - 12,474.00 - PT. A.P.L
129 Encephabol syr fls - ### - - - 34,485.00 -
130 Entarsol Coklat (susu) ktk - ### - - - 17,141.30 -
131 Ephedrin Protargol R 6 20 ml fls - ### - - - 16,125.00 - Apt. Aditya
132 Erytromycin syr 60 ml fls - ### - - - 5,740.90 - PT. Kimia Farma
133 Erysanbe syr fls - ### - - - 17,461.95 - PT. Bina SP
134 Esperson Zalf tube - ### - - - 34,940.40 - PT. A.P.L
135 Exoderyl Cream 5 gr tube - ### - - - 21,450.00 -
136 Exoderil Cream 15 gr tube - ### - - - 46,200.00 -
137 Fenistil Drop fls - ### - - - 36,850.00 - PT. A.P.L
138 Fenicol eye oint 3,5 gr tube - ### - - - 9,625.00 -
139 Feroglobin syr 100 ml fls - ### - - - 31,185.00 -
140 Fixiphar syr fls 5 - 5 - 5 66,836.00 334,180 PT. A.M.S
141 Flagyl susp 500 mg fls - ### - - - 9,074.85 -
142 Flagystatin Ovules supp 10 - 10 - 10 11,592.79 115,928 PT. A.P.L
143 Floxa 0,6 ml TM fls - ### - - - 13,750.00 -
144 Flumucil syr 75 ml fls - ### - - - 28,310.00 - PT. Sawah Besar
145 Flutamol -P fls - ### - - - 12,100.00 - PT. A.M.S
146 Formyco Cream tube - ### - - - 12,540.00 -
147 Forumen crem 10 ml ed btl - - - - - 20,727.60 - PT. BSP
148 Fucilex Oitment tube - ### - - - 6,256.29 -
149 Garamycin Cream 5 gr tube - ### - - - 23,100.00 - PT . A.P.L
150 Garamycin Cream 15 gr tube - ### - - - 45,485.00 - PT . A.P.L
151 Garamycin oint 5 gr tube 15 - 15 - 15 23,100.00 346,500
152 Garamycin oint 15 gr tube - ### - - - 40,447.00 -
153 Gentamycin Zalf 5 gr tube 240 - 240 - 240 1,650.00 396,000 PT. Indo Farma
154 Gentamycin 0,3 % 0,6 ml TM fls - ### - - - 14,437.50 -
155 Gentian Violet fls - ### - - - 1,527.00 - Apotik Adytia
156 Halmezin 100 ml fls - ### - - - 8,085.00 - PT. M.U.P
157 Hemolok 100 ml fls - ### - - - 37,400.00 -
158 Hercum cream 10gr tube - ### - - - 27,500.00 - PT A M S
159 Hexadol sol 120 cc syr fls - ### - - - 11,000.00 -
160 Hydrocortison 1% 5 gr tube - ### - - - 2,420.00 -
161 Hydrocortison 2,5% 5g tube 15 - 15 - 15 5,390.00 80,850 PT. D.B.M
162 Pantocain 2 % Tetes tube - ### - - - 19,142.20 - Apt. K 24
163 Ikagen Cream 10 tube 66 - 66 12 54 13,420.00 724,680 PT. D.B.M
164 Iliadin kinder 10 ml/0,025% fls 5 - 5 - 5 20,593.00 102,965 PT. Tempo
165 Iliadin spray 0,05%/10 ml fls - ### - - - 27,940.00 - PT. Tempo
166 Imboost syr 60 ml fls - ### - - - 22,000.00 -
167 Imudator syr fls - - - - - 47,300.00 - PT. A.M.S
168 Imunos 60 ml syr fls - ### - - - 48,262.50 - PT. Kallista
169 Inerson 15 gr tube - ### - - - 27,500.00 - PT. APL
170 Inpepsa Syr 60 ml fls - ### - - - 66,000.00 - PT. Kebayoran
171 Inpepsa 100 ml fls 10 - 10 9 1 44,000.00 44,000 PT. Kebayoran
172 Interhistin syr fls 10 - 10 - 10 20,900.00 209,000 PT. A.P.L
173 Iod. Povidon 30 cc fls 2,102 - 2,102 240 1,862 1,999.80 3,723,628 PT. Kimia Farma
174 Iod. Povidon 60 ml fls 620 - 620 240 380 3,300.00 1,254,000 PT. Kimia Farma
175 Isodin 60 ml fls - ### - - - 8,800.00 -
176 Isodine Gargle 190 ml fls - ### - - - 13,200.00 - PT. D.M.A
177 Isodin Skin Cleanser /60 ml fls - ### - - - 20,593.00 -
178 Kamox Dry 60 ml fls 10 - 10 10 - 2,400.20 - PT. Enseval
179 Kandistatin Drop fls - ### - - - 22,500.00 - PT. Penta Valent
180 Karyuni 0,05 mg/ml TM fls - ### - - - 20,350.00 -
181 kalmicetin 15gr(zalf kulit) tube 20 - 20 - 20 8,168.00 163,360 PT. Enseval
182 Kemicetin oint (zalf mata) tube - ### - - - 5,500.00 -
183 Kenacomb Otic drop TT fls - ### - - - 47,355.00 -
184 Kenalog - in Orabase 5 gr tube - ### - - - 37,180.00 - PT. Dksh Tunggal
185 Ketrose Suppositoria supp - ### - - - 9,900.00 - PT. Dos Ni Roha
186 Ketokonazole 2% 5 gr tube - ### - - - 4,455.00 - PT. Enseval
187 Kiddi Pharmaton 60 ml fls - ### - - - 15,361.00 -
188 Kloderma Cream tube - ### - - - 9,350.00 -
189 K.Y Jelly tube 105 - 105 24 81 33,660.00 2,726,460 PT Parazelsus
190 Lactacid Vaginal FH 60 ml fls - ### - - - 15,635.40 -
191 Lacto B sacch - ### - - - 2,851.31 - PT. A.M.S
192 Lactulax syr fls - ### - - - 35,090.00 - PT. DBM
193 Lapifed syr fls - ### - - - 15,019.00 - PT. Kallista
194 Lapisiv 100 ml fls - ### - - - 11,797.50 - PT. Kallista
195 Lapisef 125 mg syr btl - - - - - 33,000.00 - PT. Kallista
196 Lasal 100 ml Exp syr fls - ### - - - 24,200.00 -
197 Laxadilac 60 ml syr fls - ### - - - 22,990.00 -
198 Laxadin syr 60 cc fls - ### - - - 24,558.00 - PT. Sawah Besar
199 Levopront syr 120 ml btl - - - - - 45,980.00 - PT APL
200 Lifebuoy Sabun Cair fls - 48 48 24 24 3,950.00 94,800 PT.TEMPO
201 Lifebuoy Sampo 100 ml pcs 16 32 48 12 36 4,450.00 160,200 PT.TEMPO
202 Likurmin 100 ml fls - - - - - 23,100.00 - PT. Enseval
203 Listerin 80 ml fls - 40 40 20 20 5,775.00 115,500 PT. Parit Padang
204 Lomatull lbr - 100 100 100 - 7,247.00 - PT. AMS
205 Loratadin syr 5 mg fls - ### - - - 8,250.00 - PT. Enseval
206 Lotasbat cream 10 gr tube - ### - - - 16,500.00 -
207 Magasida Susp btl - - - - - 22,110.00 - PT. Kimia Farma
208 Mebo Ointment tube 27 20 47 33 14 63,222.50 885,115 PT. A.P.L
209 Metonate 0,05% cream 10 gr tube - ### - - - 12,650.00 -
210 Miconazole 2 % cream tube 129 - 129 - 129 2,999.70 386,961 PT. Kimia Farma
211 Movicox Supp 15 mg supp 54 - 54 - 54 13,169.58 711,157 PT. Tempo
212 Mucos 20 ml drop fls - ### - - - 27,170.00 - PT. Kallista
213 Mucos 60 ml syr fls 14 - 14 - 14 12,540.00 175,560 PT. Kallista
214 Mucopet drop 20 ml fls 3 - 3 3 - 39,239.00 - PT. Tempo
215 Mucopect 15 / 60 ml syr fls - ### - - - 31,585.00 - PT. Tempo
216 Mucopect 30 / 60 ml syr fls - ### - - - 40,209.40 - PT. Kallista Prima
217 Mycostatin drop fls - ### - - - 39,270.00 -
218 Mycoral cream tube - ### - - - 9,350.00 - PT. Enseval
219 Neciblok Suspensi 100 ml fls - ### - - - 38,500.00 - PT. Enseval
220 Neciblok Suspensi 200 ml fls - ### - - - 55,660.00 -
221 Nipe 100 ml syr fls - ### - - - 38,500.00 - PT. A.P.L
222 Nipe Drop 15 ml fls - 5 5 5 - 43,780.00 - PT. A.P.L
223 Novalgin Syr fls - ### - - - 32,150.80 - PT. A.P.L
224 Novelysin syrp fls - ### - - - 26,180.00 - PT. A.P.L
225 Nostel syr fls - ### - - - 16,500.00 - PT. A.M.S
226 Nymico drops fls - ### - - - 22,990.00 -
227 O.B.H 100 ml fls - ### - - - 1,249.99 - PT. D.B.M
228 O.B.H 200 ml fls 120 180 300 180 120 2,500.00 300,000 PJ . RATULANGI
229 Oculex syr fls - ### - - - 18,150.00 -
230 Opiclam Jelly tube - ### - - - 11,000.00 - PT. M.B.S
231 Opithrocin syr fls - ### - - - 16,500.00 -
232 Osmycin syr fls - ### - - - 43,120.00 - PT. A.M.S
233 Otopain ear drop fls 10 - 10 10 - 33,000.00 - PT. A.P.L
234 Otopraf ear drop fls 8 - 8 - 8 20,592.00 164,736 PT. A.P.L
235 Otrivin Tetes Hidung 0,1 % fls 5 - 5 5 - 29,700.00 - PT. A.P.L
236 Otrivin - Nasal drops 1 % fls - ### - - - 29,106.00 - PT. A.P.L
237 Otrivin - Nasal drops 0,5 % fls - ### - - - 31,350.00 - PT. A.P.L
238 Oxoferin Sulotion fls - ### - - - 52,250.00 -
239 Ozen syr fls - ### - - - 48,510.00 - PT. A.M.S
240 Ozen Drop fls - ### - - - 38,412.00 -
241 Palentin syr fls - ### - - - 28,957.50 -
242 Pantocain 2% 0,6 ml streep - ### - - - 19,057.50 - PT. Penta Valent
243 Paracetamol syr fls - 100 100 15 85 1,550.00 131,750 Apotik Central
244 Paraco Drop fls - ### - - - 13,750.00 -
245 Paraco syr fls - ### - - - 8,800.00 -
246 Penmox syr fls - ### - - - 17,600.00 -
247 Penmox Forte fls - ### - - - 24,200.00 -
248 Pharolit sacch - ### - - - 700.17 - PT. A.M.S
249 Plantasid 100 ml btl - ### - - - 6,435.00 - PT. Enseval
250 Plantacid Forte fls - ### - - - 18,150.00 - PT. Enseval
251 Polinel 0,6 ml TM strep - ### - - - 12,650.00 -
252 Poliprisin ED fls - ### - - - 12,540.00 -
253 Polysilane susp 100 ml fls - ### - - - 13,124.10 -
254 Polydex 0,6 ml TM fls - ### - - - 24,653.75 - PT. Penta Valent
255 Polydemicin eye drop fls - ### - - - 16,720.00 -
256 Polysilane syr fls - ### - - - 13,124.10 -
257 Pondex susp 50 mg fls - ### - - - 11,275.00 - PT. A.A.M
258 Ponstan syr fls - ### - - - 22,360.25 -
259 Proceles 60 ml btl 5 - 5 - 5 26,125.00 130,625 PT. MPI
260 Praxion 120 mg Syr fls - ### - - - 10,780.00 - PT. A.M.S
261 Praxion Forte syr fls - ### - - - 16,170.00 - PT. A.M.S
262 Profenid 100 mg supp supp 10 - 10 - 10 11,788.26 117,883 PT. A.P.L
263 Profungal 5 gr tube - ### - - - 11,000.00 -
264 Promuba 60 ml btl 5 - 5 - 5 33,440.00 167,200 PT. Kallista
265 Pronalges Supp supp 10 - 10 - 10 10,450.00 104,500 PT. A.A.M
266 Prospan syr 100 ml fls - ### - - - 64,900.00 - PT. A.P.L
267 Pyravit syr 110 cc fls - ### - - - 23,650.00 - PT. A.M.S
268 Pyravit syr 220 cc fls - ### - - - 38,500.00 - PT. A.M.S
269 Pyridryl Syr fls - ### - - - 11,000.00 - PT. A.M.S
270 Reco Salep Mata tube - ### - - - 1,718.75 -
271 Renalyte fls - ### - - - 9,075.00 - PT. KEBAYORAN
272 Rhinofed Syr fls - 5 5 5 - 20,570.00 - PT. A.A.M
273 Rimactan syr fls - ### - - - 36,300.00 -
274 Rivanol 300 ml fls - ### - - - 1,720.00 -
275 Rodehonds Washing 300 ml fls - ### - - - 6,650.05 -
276 Rodehand 100 ml fls - ### - - - 3,900.00 -
277 Sagestan Cream tube - ### - - - 9,927.50 -
278 Sagestan eye drop fls - ### - - - 12,540.00 -
279 Salycil Talk bks 19 - 19 - 19 2,845.00 54,055 Apotik kimia farma
280 Salvor 30 mg btl 5 - 5 - 5 24,200.00 121,000 PT. APL
281 Sanaflu + batuk 60 syr btl - ### - - - 7,892.50 - PT. B.S.P
282 Sanadryl DMP syr 60 cc fls 10 - 10 - 10 7,892.00 78,920 PT. B.S.P
283 Sanadryl Syr Exp fls 10 - 10 - 10 8,506.00 85,060 PT. B.S.P
284 Sanmol drop fls 5 ### 10 5 5 12,692.00 63,460 PT .Bina S.P
285 Sanmol syr fls 15 - 15 - 15 9,159.48 137,392 PT .Bina S.P
286 Sanmag suspen syr fls - ### - - - 19,855.00 - PT. B.S.P
287 Sanprima syr fls 10 - 10 - 10 20,220.00 202,200 PT .Bina S.P
288 Scabimite cream 10 gr tube - ### - - - 19,635.00 -
289 Scabimite cream 30 gr tube - ### - - - 25,850.00 -
290 Scanderma Plus Cream tube - ### - - - 15,800.00 -
291 Sensitif pcs - ### - - - 16,975.96 -
292 Soclor Dry Srp fls - ### - - - 71,500.00 - PT. Parit Padang
293 Softa - Man 100 ml fls 8 - 8 - 8 18,700.00 149,600 PT. Parit Padang
294 Soft u derm Forte tube - 10 10 9 1 24,819.00 24,819 PT A M S
295 Sofradex TT fls - ### - - - 44,100.00 -
296 Solcoseryl 5 gr tube - ### - - - 30,305.00 -
297 Solcoseryl jelly tube - ### - - - 41,079.50 - PT. A.M.S
298 Solmux Forte syr fls - ### - - - 14,842.30 -
299 Sumagesic syr fls - ### - - - 10,890.00 -
300 Sporetik syr fls 5 - 5 5 - 57,308.00 - PT. B.S.P
301 Supralysin syr 100 ml fls - ### - - - 13,750.00 -
302 Supralysin syr 60 ml fls - ### - - - 13,062.50 - PT. Kallista
303 Syneclav syr fls - ### - - - 26,400.00 -
304 Starmuno kids syr btl - ### - - - 50,600.00 - PT> Enseval PM
305 Stimuno syr fls - ### - - - 21,450.00 - PT. B.C.M
306 Stesolid syr fls - ### - - - 25,300.00 -
307 Stesolid Rectal 5 mg tube 50 - 50 20 30 14,500.00 435,000 PT. A.A.M
308 Stesolid Rectal 10 mg tube 30 - 30 - 30 20,001.30 600,039 PT. A.A.M
309 Tanplex 120 ml fls - ### - - - 24,200.00 - PT. A.P.L
310 Tantum Verde Oral 60 ml fls - ### - - - 16,500.00 - PT. Parit Padang
311 Tarivid Otic fls 10 - 10 10 - 64,900.00 - PT. Enseval
312 Thrombophop gel tube 15 - 15 8 7 42,900.00 300,300 PT. D.K.S.H Tunggal
313 Thrombophop Hijau tube 2 - 2 2 - 20,680.00 - PT. Dksh Tunggal
314 Timol 0,25 % ED tube - ### - - - 36,905.00 - PT. Penta Valent
315 Tocep syr 30 ml fls - ### - - - 57,750.00 -
316 Toplexil Syr fls - ### - - - 26,134.90 - PT. A.P.L
317 Topsy Cream 5 gr tube 10 - 10 - 10 37,500.00 375,000 PT. A M S
318 Tramal Supp supp 10 - 10 - 10 13,219.25 132,193 PT. A.M.S
319 Tremenza Syr btl 5 - 5 - 5 11,808.50 59,043 PT. B.S.P
320 Trifed syr 60 ml fls - ### - - - 12,100.00 -
321 Trifamycetin SK 15 Gr tube - ### - - - 3,228.50 - PT. Openmi
322 Ulcid 120 ml fls - ### - - - 20,790.00 -
323 Urticef 30 ml syr btl - ### - - - 49,500.00 - PT. A.P.L
324 Ventolin exp 100 ml fls 7 - 7 - 7 43,747.00 306,229 PT. A.P.L
325 Ventolin syr 100 ml fls 2 3 5 - 5 41,613.00 208,065 PT. A.P.L
326 Viaclav syr 125 fls - ### - - - 28,600.00 -
327 Vitaplex drop fls - ### - - - 22,000.00 -
328 Vitaplex syr 60 ml fls - ### - - - 25,300.00 -
329 Vitacur syr fls - ### - - - 17,600.00 -
330 Vocefa Syr fls - ### - - - 31,350.00 - PT. Kallista
331 Vomitas syr btl - ### - - - 35,200.00 - PT. Enseval
332 Vometa syr fls - ### - - - 35,750.00 - PT. A.A.M
333 Waxsol 0,5 % 10 ml (T.T) fls - ### - - - 27,500.00 - PT. A.A.M
334 Zingoserin 60 ml fls 88 - 88 12 76 2,550.00 193,800 PJ . RATULANGI
Jumlah 30,782,458
III. JENIS : OBAT GIGI

1 Action Etchting fls - ### - - - - - PT. Akarim J. F
2 Air Raksa fls - ### - - - 143,000.00 - PT. Akarim J. F
3 Alginate Pink bks - - - - - 176,000.00 - PT. Akarim J. F
4 Alvogyl pot - ### - - - 315,000.00 - PT. Akarim J. F
5 Amalgam pot - ### - - - 250,250.00 - PT. Akarim J. F
6 Amalgam set - 1 1 - 1 314,600.00 314,600 PT. Akarim J. F
7 Arseniueasta/Septadon/Depulp fls - ### - - - 519,200.00 - PT. Akarim J. F
8 Bonding set 1 - 1 - 1 501,600.00 501,600 PT. Akarim J. F
9 Calcidor set - ### - - - 387,200.00 - PT. Akarim J. F
10 Caviton White bks - ### - - - 242,880.00 - PT. Akarim J. F
11 Caviton Pink fls - 2 2 1 1 242,880.00 242,880 PT. Akarim J. F
12 Clorethyl 100 ml fls 2 - 2 1 1 192,500.00 192,500 PT. Akarim J. F
13 C.H.K.M pot - 2 2 1 1 114,400.00 114,400 PT. Akarim J. F
14 Clearfil New Bond set - ### - - - 1,320,000.00 - PT. Akarim J. F
15 Elite Cement set - 1 1 1 - 242,000.00 - PT. Akarim J. F
16 Endomethasone fls - ### - - - 1,064,000.00 - PT. Akarim J. F
17 Eugenol fls 1 ### 2 1 1 79,200.00 79,200 PT. Akarim J. F
18 Flechter Liq & Powder fls - ### - - - 60,500.00 - PT. Akarim J. F
19 Fuji II / Universal Restorating fls - ### - - - 380,000.00 - PT. Indo Medica
20 Gernisep pot 2 - 2 - 2 330,000.00 660,000 PT. Akarim J. F
21 Gips stone putih 0.5 kg bks - ### - - - 38,500.00 - PT. Akarim J. F
22 Gips Stome Biru bks - ### - - - 38,500.00 - PT. Akarim J. F
23 Gutta percha point box - ### - - - 310,200.00 - PT. Akarim J. F
24 Kalzinol / Dorident fls - ### - - - 632,500.00 - PT. Akarim J. F
25 LC A 3 fls - ### - - - 235,000.00 - PT. Akarim J. F
26 Lentulo fls - 1 1 1 - 264,000.00 - PT. Akarim J. F
27 Lignospan Forte amp 150 - 150 - 150 6,270.00 940,500 PT. B. S. I
28 Paper Point set - ### - - - 160,600.00 - PT. Akarim J. F
29 Putrex (endomethason ) pot 2 - 2 - 2 595,100.00 1,190,200 PT. Akarim J. F
30 Quadrant Univer L.C set 2 - 2 - 2 1,320,000.00 2,640,000 PT. Akarim J. F
31 Quadran Bont bh - - - - - 258,500.00 - PT. Akarim J. F
32 Quadran Finisense bh - - - - - 258,500.00 - PT. Akarim J. F
33 Solare " GC" bh - ### - - - 258,500.00 - PT. Akarim J. F
34 Scandones inj amp - - - - - 5,000.00 - Apt. Adytia
35 Spongostan Curaspon pcs 1 - 1 1 - 192,500.00 - PT. Akarim J. F
36 T.K.F (Tricrisol Formalin) fls - ### - - - 84,700.00 - PT. Akarim J. F
37 Vitrofil A3 fls 2 ### 4 1 3 130,900.00 392,700 PT. B. S. P
38 Xylolain Spray 50 ml 10% fls 2 ### 4 2 2 245,458.40 490,917 PT. Parit Padang
39 Zing Phospat set - - - - 467,500.00 - PT. Akarim J. F
J u m l a h .. 7,759,497
IV. JENIS : I N J E K S I
1 Abbotic I.v.500 mg inj vial - ### - - - 110,000.00 -
2 Acetensa inj amp - ### - - - 6,010.00 -
3 Acran inj amp 30 - 30 - 30 16,145.36 484,361 PT. B.S.P
4 Actravid Novolet amp 3 - 3 - 3 144,716.00 434,148 PT. A.A.M
5 Adimidon inj vial - ### - - - 3,278.00 - Apotik Adytia
6 Adidryl inj vial 50 - 50 20 30 2,541.00 76,230 Apotik Adytia
7 Adona (AC-17) 10mg 2 ml amp - ### - - - 5,940.00 -
8 Adona (AC-17) 50mg 10 ml amp - ### - - - 14,850.00 -
9 Amcillin 1 gr vial - ### - - - 2,350.17 -
10 Amikin 500 mg vial - ### - - - 196,350.00 - PT. D.K.S.H Tunggal
11 Aminophyllin 10 mg inj amp 432 - 432 288 144 5,508.02 793,155 PT. Parit Padang
12 Aminofusin L 600 fls - ### - - - 69,300.00 -
13 Aminofusin Pead fls - ### - - - 61,600.00 -
14 Aminovel 600/gelas fls - ### - - - 53,978.43 -
15 Amiparen Pead 250 ml fls - ### - - - 61,212.00 -
16 Albothyl Cone 10 ml fls - ### - - - 26,140.76 - PT. A.M.S
17 Alinamin F inj amp 39 - 39 5 34 9,364.00 318,376 PT. United Dico Citas
18 Albutein 25 % 50 ml fls - ### - - - 327,712.00 -
19 Alostil vial - ### - - - 114,950.00 - PT. A.M.S
20 Anasject 1 gr / 10 ml vial - ### - - - 124,864.00 - PT. M.P.I
21 Arixtra 2.5mg inj amp - ### - - - 356,919.75 - PT. A.P.L
22 Anbacim inj vial - ### - - - 56,555.40 - PT. B.S.P
23 Anitid inj amp - ### - - - 12,100.00 - PT. Merapi UP
24 Asam Traneksamat 500 mg amp - ### - - - 5,775.00 - PT. Merapi UP
25 Atracrium Hamelin vial 10 - 10 - 10 72,105.00 721,050 PT. A.P.L
26 Atropin Sulfat amp 200 - 200 100 100 2,310.00 231,000 PT. Parit Padang
27 Atroven 0,025 % fls - ### - - - 110,387.20 -
28 A. T. P Kyowa inj amp - ### - - - 35,750.00 - PT. Enseval
29 ATS.20.000 iu vial - ### - - - 376,200.00 - PT. SBF
30 ATS.1.500 iu amp 100 50 150 - 150 77,137.50 11,570,625 PT. Kimia Farma
31 Avelox inj amp - ### - - - 373,780.00 - PT. Dos ni Roha
32 Bactirom inj vial 11 - 11 - 11 230,291.93 2,533,211 PT. B.S.P
33 Baxima 1 gr inj vial - ### - - - 107,800.00 -
34 Bellatram inj amp - ### - - - 8,800.00 -
35 Benodon inj 3750 mg/15 ml amp - ### - - - 5,500.00 -
36 Benocetam inj 3 gr / 15 ml amp - ### - - - 31,350.00 -
37 Bonefos inf fls - ### - - - 907,500.00 - PT. Dos ni Roha
38 Brainact 500 mg inj amp 30 - 30 - 30 53,922.00 1,617,660 PT. Enseval
39 Brainact 250 mg inj amp 90 30 120 75 45 33,858.00 1,523,610 PT. Enseval
40 Brainolin 250 inj - 10 10 10 - 27,720.00 - PT Merapi U P
41 Bralin inj amp 70 - 70 60 10 26,675.00 266,750 PT. Merapi .U.P
42 Biozim 1gr vial - 4 4 4 - 165,000.00 - PT Mensa Bina sukses
43 Bifotik inj vial - ### - - - 136,400.00 - PT. Bina San Prima
44 Bisolvon inj amp 50 - 50 30 20 31,930.00 638,600 PT. Tempo
45 Biotriax inj amp - ### - - - 156,200.00 - PT. A.P.L
46 Bricasma Respules 2,5 mg amp - ### - - - 7,565.14 -
47 Broadced 1 gr vial - ### - - - 167,200.00 - PT. Enseval
48 Bucain Spinal amp - ### - - - 39,710.00 -
49 Bunascan Spinal 0,5 % amp 110 - 110 50 60 40,837.50 2,450,250 PT. Kebayoran
50 Buscopan inj amp 20 - 20 - 20 18,563.00 371,260 PT. Tempo
51 Buvanest 0,5 % 20 ml vial 20 - 20 5 15 48,400.00 726,000 PT. Enseval
52 Buvanest Spinal 0,5 % Heavy amp 60 - 60 - 60 36,549.00 2,192,940 PT. ENSEVAL
53 Bupivacain 0,5 % amp 20 - 20 - 20 20,900.00 418,000 PT. MERAPI
54 Calsium Gluconas amp - ### - - - 7,562.50 -
55 Camidon inj vial - ### - - - 3,051.00 - Apotik Adytia
56 Camidril 10 ml vial - ### - - - 1,791.00 - Apotik Adytia
57 Caprol 40 mg vial 18 - 18 6 12 108,900.00 1,306,800 PT. Parit Padang
58 Cardiject 250 mg vial - ### - - - 44,611.65 -
59 Catapres inj amp - 10 10 10 - 38,225.90 - PT Tempo
60 Cedantron inj 4 mg amp 10 75 85 85 - 24,200.00 - PT. Parit Padang
61 Cedocard inj amp - ### - - - 66,550.00 -
62 Cefarin inj fls 6 - 6 - 6 104,500.00 627,000 PT. M P I
63 Cefizox inj 1 gr amp - ### - - - 176,000.00 -
64 Ceftiz inj fls - ### - - - 121,275.00 - PT. A.M.S
65 Cefriaxone inj 1 gr vial 300 - 300 60 240 3,999.00 959,760 PT. Enseval
66 Cefurox inj 1 gr vial - ### - - - 62,700.00 -
67 Cefor 1 gr inj vial - ### - - - 93,500.00 -
68 Ceforim inj vial 20 - 20 6 14 257,070.00 3,598,980 PT. B.S.P
69 Cefophar vial - ### - - - 94,050.00 -
70 Cefotaxim inj 0.5 gr fls - ### - - - 4,450.00 - PT. Enseval
71 Cefotaxim inj 1 gr vial 130 100 230 120 110 3,500.00 385,000 PT. Merapi PU
72 Cefrin amp - ### - - - 218,900.00 - PT. A.A.M
73 Cefir inj vial - ### - - - 173,470.00 -
74 Ceftazidin inj 1gr vial - ### - - - 31,350.00 - PT. A.A.M
75 Cefradol 1 gr amp - ### - - - 88,550.00 -
76 Cellocid inj 750 vial - ### - - - 49,500.00 -
77 Ceptizoxim 1 gr vial - ### - - - 110,000.00 - PT. A.M.S
78 Cernevit inj vial 10 - 10 - 10 102,410.00 1,024,100 PT. Enseval
79 Cerofid inj amp - ### - - - 108,900.00 - PT. A.M.S
80 Cetadop 1 gr amp 10 - 10 - 10 38,500.00 385,000 PT. Parit Padang
81 Cetoros inj 1 gr amp 20 - 20 - 20 9,900.00 198,000 PT. A.M.S
82 Cetoros 3 gr inj amp - ### - - - 32,656.25 - PT. A.M.S
83 Chlorbiotic inj vial - ### - - - 7,315.00 - PT. Merapi Up
84 Chloramex 1 gr inj vial - ### - - - 5,250.00 -
85 Chlorpromazine inj 25 mg amp - ### - - - 423.57 -
86 Cholinar inj amp - ### - - - 19,965.00 - PT. A.M.S
87 Citicholine 250 mg fls 40 - 40 30 10 7,931.54 79,315 PT. AAM
88 Civel 200 mg/100 ml fls - ### - - - 94,380.00 - PT. A.M.S
89 Clatax inj vial - ### - - - 79,200.00 -
90 Clacef inj amp - 9 9 9 - 121,000.00 - PT A A M
91 Claneksi inj amp - ### - - - 60,087.50 -
92 Colsancetine inj amp - ### - - - 6,088.50 - PT. A.A.M
93 Combivent 2,5 ml vial 50 - 50 10 40 9,788.24 391,530 PT. Tempo
94 Cordaron inj amp - ### - - - 27,752.80 - PT. A.P.L
95 Corsona amp - ### - - - 3,946.80 - PT. Rajawali N
96 Cravit 250 mg fls - ### - - - 113,069.00 - PT. Enseval
97 Curacil 250 mg inj amp - ### - - - 36,300.00 - PT. Enseval
98 Curacil 500 mg inj vial - ### - - - 66,550.00 -
99 Cyclophospamide 200 mg vial - ### - - - 123,200.00 - PT. Enseval
100 Cytropil 3 gr vial - ### - - - 33,440.00 -
101 DBL. Dacarbazine 600 amp - ### - - - 945,000.00 - PT. Tempo
102 Dexamethason inj 5 ml amp - ### - - - 1,236.00 -
103 Dilantin inj amp - ### - - - 88,085.25 -
104 Diazepam inj amp - ### - - - 872.56 - PT. Indo Farma
105 Dibekacin 100 mg inj amp - ### - - - 66,000.00 -
106 Dibekacin 5 ml vial - ### - - - 41,745.00 - PT. M.P.I
107 Dinastat 40 mg amp - ### - - - 94,083.00 - PT. A.A.M
108 Ditranex inj 250 mg amp - ### - - - 4,322.00 - PT. Millenium
109 Ditranex inj 500 mg amp - ### - - - 6,584.60 -
110 Dobuject 250 mg amp 5 - 5 - 5 124,581.60 622,908 PT. A.A.M
111 Dobutel inj 5 ml vial - ### - - - 104,500.00 -
112 Doburan 50 amp - ### - - - 34,980.00 - PT. M.P.I
113 Dolana inj 100 mg amp 30 - 30 10 20 2,904.00 58,080 PT. A.P.L
114 Dolsik vial - ### - - - 13,513.50 - PT. Rajawali N
115 Dormicum amp - ### - - - 62,939.00 - PT. Tempo
116 Dopamin Hcl inj amp - ### - - - 30,800.00 -
117 Doxorubicin 50 mg vial - ### - - - 766,535.00 - PT. Enseval
118 Duradryl inj vial 30 - 30 30 - 3,000.00 - APT
119 Ecron fls - ### - - - 109,725.00 - PT. A.M.S
120 Ephedrine Hcl amp 10 100 110 80 30 11,616.00 348,480 PT. Parit Padang
121 Epineprine inj amp 140 - 140 - 140 2,014.65 282,051 PT. Parit Padang
122 Ergotika amp 20 - 20 20 - 12,333.75 - PT. D.B.M
123 Etamidon inj amp - ### - - - 2,883.10 - Apotik Adytia
124 Ethigent inj amp 342 - 342 - 342 6,050.00 2,069,100 PT. Parit Padang
125 Ethiferan inj amp 84 - 84 - 84 1,699.50 142,758 PT. Parit Padang
126 Farsix inj fls - ### - - - 1,300.20 - PT. Kebayoran
127 Fenaren amp - ### - - - 16,500.00 - PT. M.P.I
128 Ferzobat inj 1 gr fls - ### - - - 96,800.00 - PT. Kallista
129 Filixotide Neb amp 40 - 40 20 20 19,450.00 389,000 PT. A.P.L
130 Fixep 100 mg amp - ### - - - 55,000.00 -
131 Fluimucil 300 mg 10 % amp - ### - - - 26,125.00 - PT. Sawah Besar Farma
132 Fosmisin 1 gr vial - ### - - - 67,650.00 -
133 Fosmisin 2 gr vial - ### - - - 135,531.00 - PT. MPI
134 Fosular 1 gr vial 10 - 10 - 10 136,125.00 1,361,250 PT. A.M.S
135 Furosemid inj amp - ### - - - 1,035.01 - PT. Indo Farma
136 Fraxiparine inj 0,4 ml amp - ### - - - 134,750.00 - PT. A.A.M
137 Fraxiparine inj 0,6 ml amp - ### - - - 154,000.00 - PT. A.P.L
138 Gentamerk inj amp - ### - - - 5,720.00 -
139 Gentamycin inj 80 mg vial - ### - - - 2,924.71 -
140 Gracef inj vial 2 - 2 - 2 156,750.00 313,500 PT. Kallista Prima
141 Hemapo 3000 IV / 1 ml amp - ### - - - 182,872.00 - PT. Enseval
142 Herbeser inj amp - ### - - - 192,500.00 - PT. A.A.M
143 Hexilon inj 125 mg amp - ### - - - 57,750.00 - PT. Enseval
144 Human Albumin 50 ml 20 % fls - ### - - - 558,250.00 - PT. A.A.M
145 Human Albumin 100 ml 20 % fls - ### - - - 850,000.00 -
146 Humulin 40 iu inj vial - ### - - - 126,500.00 -
147 Humulin R 100 iu inj vial 5 - 5 - 5 292,000.00 1,460,000 PT. Tempo
148 Hypobhac inj 25 mg vial - ### - - - 40,755.00 - PT. Rajawali N
149 Hypobhac inj 100 amp - ### - - - 105,855.75 - PT. Rajawali N
150 Hypobhac inj 200 amp - ### - - - 172,243.50 - PT. Rajawali N
151 Ikadryl inj 10 ml vial - ### - - - 3,176.00 -
152 Inchepin inj 1 gr vial - ### - - - 100,926.10 - PT. Indo Farma
153 Indoran 25 mg / ml amp 10 - 10 - 10 8,250.00 82,500 PT. Indo Farma
154 Intrix inj vial - ### - - - 132,825.00 -
155 Ineuron 3 gr / 15 ml amp - ### - - - 27,500.00 - PT. Indo Farma
156 Indexon inj amp - ### - - - 5,060.00 -
157 Incetax 1 gr vial - ### - - - 70,400.00 - PT. Indo Farma
158 Inviclot inj vial - ### - - - 25,498.55 - PT. Kebayoran
159 Insetron 4 mg amp 10 - 10 10 - 17,600.00 - PT Indo Farma
160 Insetron 8 mg amp - ### - - - 18,287.50 -
161 Iopamiro inj vial - ### - - - 133,041.60 - PT. M.P.I
162 Isoket inj amp - ### - - - 62,700.00 - PT. A.M.S
163 Ivelip 20% 100 ml amp - ### - - - 128,012.50 - PT. Enseval
164 Ivanes inj 1 cc / 500 mg vial - ### - - - 51,727.50 - PT. D.B.M
165 Ivanes inj 1000 mg / 10 ml vial - ### - - - 139,425.00 -
166 Kaltrofen amp - ### - - - 13,860.00 -
167 Kalmetason 5 mg amp 3,015 - 3,015 1,900 1,115 2,326.50 2,594,048 PT. Enseval
168 Kalmeco inj amp 5 - 5 5 - 16,093.00 - PT. Enseval
169 Kanamycin inj 1 gr vial 20 - 20 - 20 8,068.50 161,370 PT . Merapi U.P
170 Kemicetin Succinate 1 gr vial - ### - - - 7,993.33 -
171 Kenacort - A 10 mg vial - ### - - - 103,070.00 - PT. DKSH Tunggal
172 Kendaron inj amp - ### - - - 19,538.76 - PT. A.P.L
173 Ketamin inj 50 mg vial 20 - 20 15 5 109,725.00 548,625 PT. A.P.L
174 Kettesse amp 15 - 15 - 15 37,400.00 561,000 PT. A.A.M
175 Ketorolac inj amp 200 - 200 180 20 3,001.18 60,024 PT. A.A.M
176 Kliran 4 mg fls - ### - - - 30,250.00 - PT. M.U.P
177 Lactor inj 30 inj vial - ### - - - 23,595.00 - PT. Rajawali N
178 Lancef 1 gr inj vial 2 - 2 - 2 118,800.00 237,600 PT. M.B.S
179 Lancolin amp 5 - 5 - 5 26,730.00 133,650 PT. M.B.S
180 Lantipain amp 18 - 18 6 12 23,925.00 287,100 PT. Mensa B.S
181 Lasix inj amp 130 - 130 30 100 9,990.86 999,086 PT. A.P.L
182 Lavenox PF 40 mg/0,4 ml amp - 4 4 - 4 133,474.00 533,896
183 Lavenox PF 60 mg/0,4 ml amp - ### - - - 190,938.00 - PT. A.P.L
184 Leukokin 300 mg fls - ### - - - 748,000.00 - PT. A.M.S
185 Lidocain 2 % amp 600 - 600 600 - 630.00 - PT . Merapi U.P
186 Lidocain Comp 2 % amp - ### - - - 609.60 -
187 Lutrotam 3000 mg inj vial - ### - - - 25,389.00 - PT. M.P.I
188 Manto test (PPD 23 TU ) vial 25 - 25 - 25 396,000.00 9,900,000 PT. Sasono Putra
189 Marcain 0,50 % / 20 ml amp 5 10 15 5 10 67,902.12 679,021 PT. Parit Padang
190 Marcain Heavy 0,5 % amp - ### - - - 64,668.70 - PT. Parit Padang
191 Maxicef vial 2 - 2 - 2 245,575.00 491,150 PT. A.M.S
192 Meronem inj vial - ### - - - 478,027.00 - PT. Parit Padang
193 Methochlopramid inj amp - ### - - - 1,308.23 - PT. Indo Farma
194 Methergin inj amp 90 - 90 - 90 8,179.74 736,177 PT. APL
195 Methochlopramid inj amp - ### - - - 1,308.23 - PT. Indo Farma
196 Metolon inj amp - ### - - - 5,500.00 - PT. M.U.P
197 Meylon 25 ml amp 85 - 85 35 50 8,246.70 412,335 PT . Merapi U.P
198 Methylcobal amp - ### - - - 17,765.00 - PT. A.P.L
199 Methylprednisolon 125 amp 15 - 15 - 15 35,475.00 532,125 PT. A.A.M
200 Metifer 500 mg amp - ### - - - 14,478.73 -
201 Midazolani Helmer 15 mg/ 3 ml amp - ### - - - 37,933.50 - PT. A.P.L
202 Miloz 15 mg amp 50 - 50 20 30 34,650.00 1,039,500 PT. A.M.S
203 Mikasin 500 mg vial - ### - - - 126,500.00 - PT. Enseval
204 Movicox inj amp - ### - - - 23,672.86 -
205 Narfoz inj 4 mg amp 65 - 65 20 45 19,855.00 893,475 PT. A.M.S
206 Narfoz 8 mg inj amp 17 - 17 - 17 31,036.50 527,621 PT. A.M.S
207 Nazovel inj amp - ### - - - 16,456.00 -
208 Nebacetin Powder btl 25 - 25 - 25 18,672.50 466,813 PT. A.M.S
209 Neo - K inj amp 10 ### 20 20 - 10,450.00 - PT. A.P.L
210 NEPI amp - ### - - - 69,350.00 - PT. A.M.S
211 Neurotam 1 gr inj amp - ### - - - 12,100.00 -
212 Neurotam 3 gr inj amp 24 - 24 4 20 41,016.25 820,325 PT. Enseval
213 Neurocet 12 gr inj fls - ### - - - 121,000.00 -
214 Neurobion 5000 inj amp 80 - 80 20 60 5,281.65 316,899 PT. M.P.I
215 Neulin 250 mg amp 60 - 60 - 60 28,600.00 1,716,000 PT. A.A.M
216 Neulin 500 mg amp - 80 80 80 - 63,800.00 - PT A A M
217 Nexa inj 100 mg amp - ### - - - 7,425.00 -
218 Nexium inj amp - ### - - - 149,925.50 - PT. Parit Padang
219 Notrixum 50 amp 150 - 150 30 120 48,400.00 5,808,000 PT. A.M.S
220 Novalgin inj amp 135 100 235 115 120 8,363.08 1,003,570 PT. A.P.L
221 Ondansetron 4 mg amp 125 115 240 100 140 6,050.00 847,000 PT. Indo Farma
222 Ondansetron 8 mg amp 30 - 30 15 15 6,996.00 104,940 PT. Indo Farma
223 Ondavell 4 mg amp - ### - - - 12,000.00 -
224 Ozid 1 gr amp - ### - - - 94,050.00 - PT. A.P.L
225 Ondavell 8 mg inj amp - ### - - - 94,050.00 - PT.A.P.L
226 O.M.Z inj 10 ml vial 5 - 5 3 2 121,000.00 242,000 PT. A.A.M
227 Omnipaque inj vial - ### - - - 84,452.50 - PT. Sawah Besar Farma
228 Oradexon 5 mg amp - ### - - - 26,070.00 -
229 Otsutran Destrose 40 % fls - ### - - - 1,739.00 -
230 Oxoferin QL 30 inj amp - ### - - - 52,250.00 - PT. A.M.S
231 Pan- Amin G fls - ### - - - 25,174.05 -
232 Panso 40 mg vial - 10 10 10 - 121,000.00 - PT. Parit Padang
233 Paxus inj vial - ### - - - 998,250.00 - PT. Enseval
234 Pantozol inj I.V amp - ### - - - 2,964.83 - PT. Enseval
235 Pehacain inj amp 920 - 920 340 580 2,965.00 1,719,700 PT. Rajawali N
236 Penthotal sol 0,5 gr amp - ### - - - 48,917.00 -
237 Perdipin 2 mg inj amp - ### - - - 110,000.00 - PT. A.P.L
238 Perdipine 10 mg inj amp - ### - - - 167,706.00 - PT. A.P.L
239 Pharodin amp - ### - - - 47,604.23 - PT. D.B.M
240 Phanem inj amp - ### - - - - - PT. Rajawali N
241 Phenytoin inj amp 9 - 9 - 9 47,604.23 428,438 PT. D.B.M
242 Phytomenadion / Vit. K amp 90 - 90 - 90 977.68 87,991 PT. Rajawali N
243 Piracetam inj 1 gr amp 30 - 30 10 20 6,270.00 125,400 PT.A.A.M
244 Piracetam inj 3 gr amp 8 - 8 - 8 8,593.20 68,746 PT.A.A.M
245 Piratrop 1 gr inj amp - ### - - - 11,704.00 - PT. A.P.L
246 Piratrop 3 gr fls - ### - - - 753,875.00 - PT. M.P.I
247 Piton S 10 mg /ml IV amp 200 - 200 - 200 11,704.00 2,340,800 PT A A M
248 Plasmanate 5% 250 ml fls - ### - - - 493,476.92 -
249 Plasminex inj fls 30 - 30 - 30 8,673.50 260,205 PT B S P
250 Plasbumin 25 % 50 ml fls - ### - - - 216,075.50 -
251 Plasbumin 25 % 100 ml fls - ### - - - 753,875.00 - PT. M.P.I
252 Plasbumin 25 % 20 ml vial - ### - - - 57,750.00 -
253 Plasbumin 5 % 250 ml vial - ### - - - 275,000.00 -
254 Platosin inj 10 mg amp - ### - - - 6,966.66 -
255 Platosin inj 50 mg vial - ### - - - 5,950.55 - PT. M.U.P
256 Primperan inj amp - ### - - - 59,176.26 - PT. Dos ni Roha
257 Procain Penisillin Cristal inj amp 39 - 39 5 34 59,176.26 2,011,993 PT. M.U.P
258 Propofol 20 ml 1 % amp 20 50 70 25 45 59,236.00 2,665,620 PT D N R
259 Prostigmin inj 0,5 mg amp 205 - 205 30 175 12,916.20 2,260,335 PT. A.P.L
260 Pronalges inj vial - ### - - - 55,000.00 -
261 Pulmicort Resp 0,25 mg vial 25 - 25 10 15 14,187.60 212,814 PT. Parit Padang
262 Pycin 750 inj amp - ### - - - 9,166.00 -
263 Pycin 1500 inj vial - ### - - - 122,578.50 - PT. A.P.L
264 Quidex 500 inj amp - ### - - - 5,720.00 -
265 Quelicin amp 50 - 50 - 50 131,774.50 6,588,725 PT. A.A.M
266 Raclonid amp - ### - - - 1,699.90 - PT. Enseval
267 Radin inj amp 70 - 70 60 10 14,850.00 148,500 PT. A.M.S
268 Ranitidin inj vial 500 - 500 180 320 1,700.00 544,000 PT. Kallista
269 Ranin inj amp 15 - 15 - 15 14,747.04 221,206 PT. A.A.M
270 Ratinal inj vial 20 - 20 - 20 13,585.00 271,700 PT. A.A.M
271 Recopol 2 % 10 ml vial - 70 70 20 50 75,698.00 3,784,900
272 Recopol 20 % 50 ml amp - ### - - - 37,537.50 -
273 Recopdryl inj amp - ### - - - 19,360.00 -
274 Regivell 20 mg amp - 50 50 40 10 36,000.00 360,000 PT. A.A.M
275 Rematop inj amp - ### - - - 31,900.00 - PT. A.A.M
276 Remopain inj vial 35 - 35 - 35 31,460.00 1,101,100 PT. A.A.M
277 Reotal 300 mg amp - ### - - - 313,225.00 -
278 Ricef inj 1 gr vial - ### - - - 900,240.00 - PT. Kalista
279 Ronem inj vial - ### - - - 395,560.00 - PT. A.M.S
280 Robumin 20 % 100 ml vial - ### - - - 429,550.00 - PT. A.M.S
281 Robumin 20 % 50 ml amp - ### - - - 85,690.00 - PT. ENSEVAL
282 Robumin 25 % 50 ml vial - ### - - - 292,050.00 - PT. ENSEVAL
283 Roculax 5 mg amp 20 - 20 - 20 85,690.00 1,713,800 PT. ENSEVAL
284 Sabu amp 2 4 6 4 2 273,067.00 546,134 PT.Merapi
285 Safol amp 20 50 70 - 70 59,400.00 4,158,000 PT.AMS
286 Scelto inj vial 1 - 1 1 - 25,289.00 - PT. Rajawali N
287 Scopamin inj amp - ### - - - 22,000.00 -
288 Sefure inj 750 mg amp - ### - - - 20,350.00 -
289 Serenace amp - ### - - - 41,800.00 -
290 Serfac 250 mg amp - ### - - - 22,000.00 -
291 Serfac 500 mg vial - ### - - - 7,118.00 -
292 Sharox 750 inj amp - ### - - - 7,128.00 - PT D N R
293 Sidiadryl 150 mg vial - ### - - - 77,918.50 - PT. A.A.M
294 Sibital 200 mg inj amp - ### - - - 7,128.00 - PT. A.A.M
295 Solu Medrol 125 vial - ### - - - 82,500.00 - PT. Parit Padang
296 Stesolid inj 10 mg amp 115 - 115 60 55 3,740.00 205,700 PT. Parit Padang
297 Soclaf inj amp - ### - - - 28,600.00 -
298 Socef inj 1 gr amp - ### - - - 4,180.00 - PT. Kebayoran
299 Sotropil - 3 gr inj vial - ### - - - 151,525.00 - PT. Kallista
300 Sotatic vial - ### - - - 56,760.00 -
301 Starxon inj vial - ### - - - 116,160.00 -
302 Starclaf inj 1gr vial - ### - - - 4,730.00 -
303 Starbixin 1 gr inj vial - ### - - - 172,780.00 -
304 Streptomycin inj 1 gr vial - ### - - - 118,800.00 - PT. Wigo
305 Sulperazon inj vial - ### - - - 176,055.00 - PT MERAPI
306 Succynil Cholin amp - ### - - - 10,822.90 - PT. A.P.L
307 Sulbacef inj vial - ### - - - 176,055.00 -
308 Syntocinon 1 ml vial - ### - - - 119,744.90 - PT. Rajawali N
309 Tarivid otic vial 20 - 20 20 - 49,846.50 - PT. Bina San Prima
310 Taxep 1 gr inj vial 5 15 20 15 5 119,894.00 599,470 PT. B.S.P
311 Taxegran 0,5 gr inj vial - ### - - - 235,950.00 - PT. B.S.P
312 Taxegram 1 gr vial 5 10 15 10 5 110,700.00 553,500 PT. BSP
313 Tazocin pow 2,25 gr vial - ### - - - 59,551.80 - PT. Menjangan
314 Telebrix 30 / 50 ml vial - ### - - - 167,879.25 - PT. B.S.P
315 Telebrix 35 / 20 ml amp - ### - - - 161,975.00 - PT. A.A.M
316 Terfacef inj vial 15 - 15 5 10 172,080.00 1,720,800 PT.BSP
317 Tetagam P 250 IV amp 110 - 110 10 100 144,925.00 14,492,500 PT. AAM
318 Tirdicef 1 gr inj amp - ### - - - 9,927.50 -
319 Tracrium 5 mg / ml amp - ### - - - 10,890.00 -
320 Tradosik inj amp - ### - - - 15,730.00 -
321 Tramal inj 50 mg amp - ### - - - 1,382.96 - PT. Indo Farma
322 Tramal inj 100 mg amp - ### - - - 57,200.00 -
323 Tramadol 50 mg inj amp - ### - - - 7,700.00 -
324 Tramus 1 % 5 ml amp - ### - - - 5,483.50 -
325 Tragesic amp - ### - - - 2,525.00 - PT.Enseval
326 Transamin 250 mg amp - ### - - - 5,500.00 -
327 Transamin 500 mg inj amp 460 - 460 80 380 8,925.00 3,391,500 PT.PPI
328 Tranxa 250 mg inj vial - ### - - - 155,100.00 - PT. A.A.M
329 Trickes 2 ml inj vial - ### - - - 170,500.00 -
330 Trifecin inj 1 gr vial - ### - - - 285,120.00 - PT. A.A.M
331 Tripenem 0,5 gr vial - ### - - - 114,757.50 -
332 Tripenem 1 gr amp - ### - - - 29,493.75 - PT. Distri Versa B M
333 Trixon 1 gr amp - ### - - - 25,300.00 - PT. M.B.S
334 Torpain 30 mg inj amp - ### - - - 49,005.00 -
335 Toramin 30 mg amp - 20 20 20 - 25,300.00 - PT.MBS
336 Toxoid inj vial 1 - 1 - 1 154,000.00 154,000 PT. Sawah Besar Farma
337 Trunal - DX 100 mg amp - ### - - - 3,025.00 - PT. Parit Padang
338 Tyason 1 gr inj amp - ### - - - 14,850.00 - PT M B S
339 Ulcumet inj amp 810 - 810 - 810 3,025.00 2,450,250 PT. Parit Padang
340 Ulceranin inj amp - 20 20 20 - 14,850.00 -
341 Udopa 40 mg amp - ### - - - 16,225.00 - PT. Kebayoran
342 Valium inj neb - ### - - - 7,507.50 - PT. A.P.L
343 Vascon inj vial - ### - - - 9,845.00 -
344 Ventolin Nebules 2,5 mg amp 40 - 40 - 40 8,536.00 341,440 PT. APL
345 Vicillin inj 1 gr amp - ### - - - 33,891.25 - PT. A.P.L
346 Vitamin K 3 amp - ### - - - 55,000.00 -
347 Voltaren amp - ### - - - 25,300.00 -
348 Vomceran 8 mg / 4 ml amp - ### - - - 13,627.80 -
349 Vomceran 4 mg / 2 ml amp - ### - - - 15,840.00 - PT. M.B.S
350 Vorm Expired amp - ### - - - 209,000.00 - PT. A.M.S
351 Wiacid amp 20 - 20 - 20 15,840.00 316,800 PT. Parit Padang
352 Xenoprom inj amp - ### - - - 26,730.00 - PT. A.M.S
353 Xepolac 10 mg vial - ### - - - 4,500.00 -
354 Xevolac 30 mg amp - ### - - - 48,214.98 - PT. Parit Padang
355 Xylomidon inj amp - ### - - - 23,655.50 -
356 Xylocain 2 % PDF 20 ml amp 25 ### 50 25 25 48,214.98 1,205,375
357 Yarox 100 mg amp - ### - - - 198,000.00 -
358 Zantac vial - ### - - - 275,000.00 -
J u m l a h .. 133,157,126
V. JENIS : Infus/ Cairan

No Nama Barang Sat S.awal Masuk Jumlah keluar Sisa H.Satuan Harga Total Asal Barang
1 Asering fls 140 - 140 - 140 12,498.75 1,749,825 PT. M.U.P
2 Aminovel 600 fls - ### - - - 59,659.60 - PT. M.U.P
3 Aerrane 250 ml fls 2 - 2 - 2 1,078,000.00 2,156,000 PT. Enseval
4 Albapure 20 % 10 ml amp - ### - - - 858,000.00 - PT. A.A.M
5 Aminofusin L. 600 fls 1 - 1 - 1 67,925.00 67,925 PT. Enseval
6 Aminoleban inf fls - ### - - - 159,262.20 - PT. M.U.P
7 Aminosteril 10% fls 6 - 6 - 6 77,000.00 462,000 PT. A.P.L
8 Aminofluid 1000 ml fls 5 - 5 - 5 150,689.00 753,445 PT. Merapi UP
9 Aminofluid 500ml fls - 15 15 13 2 74,229.00 148,458 PT M U P
10 Aminofusin Hepar fls - ### - - - 128,535.00 - PT. Merapi UP
11 Amiparen inf fls - 5 5 5 - 96,006.00 - PT. M.U.P
12 Aquadest 25 cc fls 340 - 340 170 170 1,774.30 301,631 PT. M.U.P
13 Aquadest 1000 cc fls 140 200 340 40 300 9,673.50 2,902,050 PT. M.U.P
14 Baquinor inf @ 100 ml fls - ### - - - 141,075.00 -
15 Benocetam inf fls - ### - - - 134,062.00 - PT. Merapi UP
16 Ciprofloxacin inf fls - ### - - - 39,059.70 - PT. A.A.M
17 Comafusin Hepar fls - ### - - - 134,200.00 - PT. Enseval
18 Cravit 750 mg fls - ### - - - 303,050.00 - PT. Enseval
19 Cravit 500 mg inf fls 10 - 10 - 10 240,350.00 2,403,500 PT. Enseval
20 Dextrose 5 % fls 60 - 60 - 60 3,630.33 217,820 PT. M.U.P
21 Dextrose 10 % fls - ### - - - 3,894.72 - PT. M.U.P
22 Dextrose 5% + NaCl 0,225 % fls 140 - 140 - 140 7,837.50 1,097,250 PT. M.U.P
23 Dextrose 5% + NaCl 0,45 % fls 100 - 100 - 100 7,158.25 715,825 PT. M.U.P
24 Dextrose 5% + NaCl 0,9 % fls - ### - - - 6,000.50 - PT. M.U.P
25 Eas Primer fls - ### - - - 69,080.00 -
26 Ecosol glucose 5% 100cc fls 20 - 20 - 20 4,000.25 80,005 PT D N R
27 ecosol Nacl 1000ml fls - ### - - - 7,509.04 - PT D N R
28 Expafusin 500 ml fls 10 - 10 - 10 154,000.00 1,540,000 PT. Enseval
29 fepiram 12gr fls 5 - 5 - 5 153,450.00 767,250 PT. A.A.M
30 Gelofucin 500 ml vial 10 - 10 - 10 121,000.00 1,210,000 PT. Dos ni Roha
31 Haesteril 6 % 500 ml fls 3 - 3 - 3 170,500.00 511,500 PT. Dosni Roha
32 Hemo Hes inf fls 9 - 9 - 9 54,331.20 488,981 PT. Dosni Roha
33 Infusan Dekstrose Sanbe fls - ### - - - 11,126.50 - PT. B.S.P
34 Infusan NS Sanbe fls 33 - 33 - 33 11,781.00 388,773 PT. B.S.P
35 Infusan RL Sanbe fls 24 - 24 - 24 12,716.00 305,184 PT. B.S.P
36 Infusan Ring-As Sanbe fls 48 - 48 - 48 14,235.37 683,298 PT. B.S.P
37 KA - EN 3 A fls - ### - - - 11,712.80 - PT. M.U.P
38 KA - EN 3 B fls 80 - 80 - 80 12,785.85 1,022,868 PT. M.U.P
39 KA - EN 1 B fls 20 ### 40 20 20 13,425.00 268,500 PT. M.U.P
40 KA - EN Mg 3 @ 1 L fls 7 - 7 - 7 15,645.96 109,522 PT. M.U.P
41 KA - EN Mg 3 @ 0,5 L fls 18 - 18 - 18 12,777.60 229,997 PT. M.U.P
42 Kalbamin fls 2 - 2 - 2 78,375.00 156,750 PT. Enseval
43 Kidmin 7,2 % fls - ### - - - 67,201.00 -
44 Levocin inf fls 24 - 24 - 24 252,519.00 6,060,456 PT. B.S.P
45 Levofloxacin inf fls 4 - 4 3 1 71,781.60 71,782 PT. B.S.P
46 Levores fls - ### - - - 110,000.00 - PT. A.M.S
47 Martos 10 % fls 12 - 12 - 12 60,904.70 730,856 PT. Merapi UP
48 Manitol 20 % fls 24 - 24 5 19 62,309.15 1,183,874 PT. M.U.P
49 Metronidazol inf fls 107 112 219 107 112 18,700.00 2,094,400 PT. Enseval
50 Mosardal 500 mg fls - ### - - - 165,000.00 - PT. Parit Padang
51 NaCl 3 % fls 60 - 60 - 60 10,418.85 625,131 PT. Merapi UP
52 NaCl 0,9 % 500 ml fls 880 - 880 60 820 3,856.00 3,161,920 PT. Merapi UP
53 NaCl 0,9 % 100 ml fls 75 600 675 375 300 4,100.57 1,230,171 PT. Dosni Roha
54 NaCl 0,9 % 1000 ml fls 30 - 30 20 10 9,300.50 93,005 PT. Merapi UP
55 Neurotam 12 gr inf fls 2 10 12 7 5 167,200.00 836,000 PT. Enceval
56 Neurocet inf fls - ### - - - 121,000.00 -
57 Nootropil 12 gr fls - ### - - - 233,750.00 - PT. A.A.M
58 Otsutran 40 ( Detran L 40 ) fls 20 - 20 - 20 76,661.10 1,533,222 PT. Merapi UP
59 Otsutran 70 fls - ### - - - 69,630.00 - PT. Merapi UP
60 Otsu DS 100 ml fls 48 - 48 - 48 6,334.90 304,075 PT. M.U.P
61 Otsu KCl 7,46% fls 30 - 30 15 15 2,150.50 32,258 PT. M.U.P
62 Otsu MgSo4 20 % / 25 cc fls 70 - 70 - 70 2,788.50 195,195 PT. Merapi U.P
63 Otsu MgSo4 40 % / 25 cc fls 50 - 50 - 50 4,291.10 214,555 PT. Merapi UP
64 Pelastin fls - ### - - - 241,395.00 - PT. B.S.P
65 Piracetam Infus 12 g fls - ### - - - 73,150.00 - PT. A.A.M
66 Plasmanate 5% 250 ml fls - ### - - - 753,875.00 - PT. M.P.I
67 Plasbumin 20 % 50 ml fls 6 - 6 3 3 440,082.00 1,320,246 PT. P.P
68 Plasbumin 20 % 100 ml fls 14 11 25 25 - 864,892.00 - PT. Millenium
69 Ringer Lactat 500 ml fls 1,140 - 1,140 720 420 4,820.20 2,024,484 PT. Merapi UP
70 Ringer Lactat 1000 ml fls - ### - - - 10,159.60 - PT. Merapi UP
71 Ringer Solution (Otsu R-S) fls 120 - 120 120 - 9,265.40 - PT. Merapi UP
72 Renxamin 200 ml fls 2 - 2 - 2 75,240.00 150,480 PT. Enseval
73 Starquin Inf fls - 32 32 17 15 96,800.00 1,452,000 PT. A.A.M
74 Sevoflurane 250 ml fls 1 - 1 - 1 2,118,463.00 2,118,463 PT. Merapi UP
75 Sodium Bicarbonat 8,4 % fls - ### - - - 41,800.00 - PT. Enceval
76 Trichodazol inf fls - ### - - - 62,700.00 -
77 Triofusin 500 ml fls 6 - 6 - 6 64,790.00 388,740 PT. Enseval
78 Tutofusin Ops fls 6 - 6 - 6 39,710.00 238,260 PT. Enseval
79 Terrel 100 ml fls 14 - 14 6 8 281,600.00 2,252,800 PT. Kebayoran
80 Voluven 500 ml fls 10 ### 20 8 12 170,500.00 2,046,000 PT. A.P.L
81 Widahes fls 10 - 10 - 10 165,000.00 1,650,000 PT. A M S
J u m l a h .. 52,746,728
Total Keseluruhan 321,312,022

Dra. Azwinar, Apt.

NIP. 19530115 198503 2 002
SISA STOCK OBAT PELAYANAN JAMKESMAS RAWAT JALAN
INSTALASI FARMASI RSUD DR. PIRNGADI KOTA MEDAN
TABLET
BRG BRG
SALDO HARGA HARGA
NO NAMA OBAT JUMLAH SISA SISA HARGA
AWAL SATUAN KELUAR
MSK KEL
1 2 3 4 5 ( 3+4 ) 6 7 8 9 ( 7*5 ) 10 ( 7*8 )
1 Acyclovir 200 mg 35 - 35 - 35 74 - 2,590
2 Acyclovir 400 mg 2 - 2 - 2 74 - 148
3 Allopurinol 100mg 315 200 515 130 385 150 19,500 57,750
4 Ambroxol 30mg 355 - 355 90 265 142 12,780 37,630
5 Aminophylin - ### - - - 81 - -
6 Amitripitilin 25 mg 362 1,600 1,962 1,353 609 115 155,595 70,035
7 Amoxicillin 500mg 792 900 1,692 1,018 674 313 318,634 210,962
8 Antalgin - ### - - - 267 - -
9 Antasida 512 1,000 1,512 232 1,280 38 8,816 48,640
10 Antidia 14 - 14 12 2 7,361 88,330 14,722
11 Aptor 429 700 1,129 629 500 731 459,799 365,500
12 Asam Mefenamat 500mg 874 3,300 4,174 2,907 1,267 138 401,166 174,846
13 Asam Traneksamat 49 1,200 1,249 832 417 1,238 1,030,016 516,246
14 Aspilets 229 1,300 1,529 953 576 74 70,522 42,624
15 Beta One - ### - - - 3,055 - -
16 Bethahistine 6 mg 19 1,380 1,399 1,122 277 1,155 1,295,910 319,935
17 Bisoprolol 5 mg 146 750 896 623 273 3,055 1,903,265 834,015
18 Calcium lactat 821 - 821 85 736 49 4,165 36,064
19 Carbamazepine 200 mg 893 500 1,393 1,113 280 308 342,804 86,240
20 Cardace 5 mg 50 120 170 73 97 667 48,666 64,666
21 Captopril 12,5 mg 345 600 945 409 536 89 36,401 47,704
22 Captopril 25 mg 211 1,000 1,211 573 638 172 98,556 109,736
23 Captopril 50 mg 89 100 189 30 159 295 8,850 46,905
24 Cefadroxil 250 mg 21 100 121 118 3 556 65,608 1,668
25 Cefadroxil 500 mg 337 1,400 1,737 974 763 1,329 1,294,446 1,014,027
26 Cefixime 100 mg 165 180 345 76 269 2,993 227,468 805,117
27 Cetirizin 10 mg 200 700 900 369 531 392 144,648 208,152
28 Chloramphenicol 250 mg 94 - 94 12 82 188 2,256 15,416
29 Chloroquin 150 mg 829 - 829 - 829 73 - 60,517
30 Chlorpromazine 100 mg 85 1,000 1,085 151 934 2,887 435,937 2,696,458
31 Cimetidine 200 mg 14 200 214 - 214 90 - 19,260
32 Clindamicin 150 mg 69 - 69 - 69 941 - 64,925
33 Clindamicin 300 mg 147 200 347 231 116 941 217,371 109,156
34 Clobazam 10 mg 491 300 791 377 414 1,188 447,876 491,832
35 Clonidin 0,5 mg 62 - 62 - 62 885 - 54,870
35 Co. amoxiclav - ### - - - 156 - -
36 Cotrimoxazole 480 mg 57 - 57 12 45 62 744 2,790
37 Cotrimoxazole paed 120 mg 93 - 93 10 83 62 623 5,173
38 CTM 695 2,000 2,695 1,034 1,661 8 8,272 13,288
39 Cyprofloxacim 500 mg 1,007 3,500 4,507 3,170 1,337 300 951,000 401,100
40 Dexamethasone 0,5 mg 1,225 - 1,225 339 886 30 10,170 26,580
41 Dextromethorphan 1,384 - 1,384 278 1,106 45 12,510 49,770
42 Digoxin 204 300 504 135 369 104 14,040 38,376
43 Diltiazem 30 mg 759 2,000 2,759 1,790 969 190 340,100 184,110
44 Donperidone 111 - 111 - 111 520 - 57,734
Page 75
BRG BRG
SALDO HARGA HARGA
AWAL SATUAN KELUAR
MSK KEL
45 Doxycyline 100 mg 710 - 710 336 374 269 90,384 100,606
46 Erythromycin 250 mg 156 120 276 75 201 421 31,575 84,621
47 Erythromycin 500 mg 313 - 313 59 254 669 39,471 169,926
48 Ethambutol 250 mg - ### - - - 268 - -
49 Ethambutol 500 mg - ### - - - 386 - -
50 Euthyrax 100 mg 13 - 13 - 13 156 - 2,029
51 Ferro Sulfas 657 1,000 1,657 596 1,061 27 16,092 28,647
52 Fluconazole - ### - - - 607 - -
53 Folic Acid 5 mg 324 2,000 2,324 544 1,780 238 129,690 424,352
54 Formabes - ### - - - 607 - -
55 Frodiab - ### - - - 772 - -
56 Furosemide 40 mg 379 400 779 384 395 70 26,880 27,650
57 Glaucon Tab ( Aseta Zolamid ) 410 - 410 20 390 550 11,000 214,500
58 Glibenclamide 5 mg 4 100 104 - 104 73 - 7,592
59 Gliceril Guaiakolat 1,216 - 1,216 377 839 29 10,933 24,331
60 Glimepiride 1 mg 149 680 829 507 322 1,143 579,501 368,046
61 Glimepiride 3 mg 195 100 295 120 175 2,939 352,680 514,325
62 Glimepiride 2 mg 161 350 511 223 288 2,155 480,565 620,640
63 Glimepiride 4 mg 141 400 541 260 281 3,919 1,018,940 1,101,239
64 Gliquidone 30 mg 54 700 754 130 624 772 100,360 481,728
65 Gludepatiq 500 mg 455 5,000 5,455 4,219 1,236 155 653,945 191,580
66 Griceofulvin 125 mg - ### - - - 156 - -
67 Haloperidol 0,5 mg - ### - - - 150 - -
68 Haloperidol 5 mg 58 - 58 10 48 153 1,530 7,344
69 Heximer 2 mg - ### - - - 51 - -
70 Hydrochlorothyazide 25 mg 1,069 1,000 2,069 648 1,421 23 14,904 32,683
71 Ibuprofen 200 mg 123 550 673 322 351 92 29,527 32,187
72 INH 100 mg 3,781 1,000 4,781 1,827 2,954 31 56,637 91,574
73 Interpril 10 mg - ### - - - 1,551 - -
74 Isoniazide 300 mg 2,000 5,000 7,000 5,025 1,975 83 417,075 163,925
75 Isosorbid Dinitrat 5 mg 896 6,000 6,896 5,239 1,657 74 387,686 122,618
76 Itraconazole 109 60 169 38 131 4,114 156,332 20,479,492
77 K.S.R 90 - 90 75 15 722 54,150 10,830
78 Kalium Diclofenac 25 mg - ### - - - 489 - -
79 Kalium Diclofenac 50 mg - ### - - - 885 - -
80 Ketokonazole 200 MG 150 200 350 104 246 405 42,120 99,630
81 Ketrofen 100 mg 36 - 36 - 36 1,535 - 55,242
82 Lansoprazole 30 Mg 132 1,600 1,732 1,256 476 2,200 2,763,200 1,047,200
83 Lazafin 500 mg 6 - 6 - 6 475 - 2,850
84 Levofloxacin 500 mg 1 - 1 - 1 151 - 151
85 Lincomycin 500 mg - ### - - - 347 - -
86 Meloxicam 15 mg 361 1,600 1,961 1,596 365 1,856 2,962,176 677,440
87 Meloxicam 7,5 mg 472 300 772 381 391 1,238 471,678 484,058
88 Meloxicam Supositoria - ### - - - 7,920 - -
89 Metformin 500 mg - ### - - - 155 - -
90 Metformin 850 mg 49 - 49 45 4 251 11,295 1,004
91 Methil Prednisolone 4 mg 655 3,100 3,755 2,443 1,312 656 1,602,608 860,672
92 Methotrexat 2,5 mg 1 - 1 - 1 1,219 - 1,219
93 Methyl Ergometrin 124 - 124 33 91 137 4,536 12,508
94 Metochlopramide HCL 10 MG - ### - - - 88 - -
95 Metronidazole 500 Mg / Fladex 376 - 376 3 373 136 408 50,728
Page 76
BRG BRG
SALDO HARGA HARGA
AWAL SATUAN KELUAR
MSK KEL
96 Natrium Bicarbonat 864 - 864 - 864 12 - 10,368
97 Natrium Diclofenac 25 mg 158 900 1,058 439 619 109 47,851 67,471
98 Natrium Diclofenac 50 mg 589 1,200 1,789 1,386 403 144 199,584 58,032
99 Neo Diaform 672 - 672 105 567 61 6,353 34,304
100 Nifedipine 10 mg 303 300 603 223 380 135 30,105 51,300
101 Noferten 5 mg 261 300 561 243 318 465 112,995 147,870
102 Noperten 10 mg 215 1,680 1,895 1,424 471 802 1,142,048 377,742
103 Norelut 5 mg 168 50 218 99 119 2,344 232,031 278,906
104 Nystatin Tab 2 - 2 - 2 361 - 722
105 Ofloxacin 200 mg 90 - 90 16 74 760 12,160 56,240
106 Ofloxacin 400 mg - ### - - - 1,125 - -
107 Omeprazole 20 mg 63 180 243 115 128 521 59,915 66,688
108 Oralit Sacck 7 - 7 3 4 381 1,143 1,524
109 Ospen 625 mg 78 - 78 - 78 2,904 - 226,512
110 Papaverin 743 - 743 - 743 69 - 51,267
111 Paracetamol 500 mg 136 2,000 2,136 1,300 836 42 54,600 35,112
112 Persidal 1 mg - ### - - - 1,980 - -
113 Persidal 2 mg - ### - - - 3,500 - -
114 Phenytoin 100 mg 518 1,100 1,618 994 624 117 116,298 73,008
115 Phenytoin Caps - ### - - - 73 - -
116 Phytomenadion ( vit K ) 233 - 233 18 215 761 13,698 163,615
117 Piracetam 1200 mg 350 - 350 150 200 1,650 247,500 330,000
118 Piracetam 400 mg 229 200 429 165 264 627 103,455 165,528
119 Piracetam 800 mg 104 600 704 420 284 1,045 438,900 296,780
120 Piroxicam 20 mg 20 200 220 35 185 127 4,445 23,495
121 Piroxocam 10 mg 401 - 401 70 331 123 8,610 40,713
122 Prednison 5 mg 681 - 681 72 609 48 3,456 29,232
123 Propranolol 10 mg 390 1,000 1,390 804 586 72 57,888 42,192
124 Propranolol 40 mg 204 - 204 - 204 103 - 21,012
125 Propylthiouracil 100 mg 185 1,100 1,285 559 726 386 215,774 280,236
126 Pyrantel 125 mg 14 60 74 - 74 187 - 13,838
127 Pyrazinamide 500 mg 707 4,700 5,407 3,210 2,197 275 882,750 604,175
128 Pyridoxin ( Vit B 6) 10 mg 1,459 3,000 4,459 2,853 1,606 13 37,089 20,878
129 Ramixal 1.25 mg - ### - - - 7,361 - -
130 Ramixal 2,5 mg 29 120 149 - 149 389 - 57,961
131 Ranitidine 150 mg 484 3,000 3,484 2,969 515 250 742,250 128,750
132 Rifampicin 300 mg 253 1,000 1,253 707 546 438 309,666 239,148
133 Rifampicin 450 mg 315 4,000 4,315 3,359 956 563 1,891,117 538,228
134 Rifampicin 600 mg 375 1,000 1,375 1,029 346 879 904,491 304,134
135 Risperidon 2 Mg 383 3,500 3,883 1,446 2,437 3,125 4,518,750 7,615,625
136 Salbutamol 2 mg 2 4,200 4,202 4,094 108 81 331,614 8,748
137 Salbutamol 4 mg 19 1,300 1,319 790 529 126 99,540 66,654
138 Scopamin 94 - 94 - 94 375 - 35,250
139 Simarc 2 136 - 136 58 78 250 14,500 19,500
140 Simvastatin 10 mg 66 30 96 64 32 675 43,200 21,600
141 Sotatic / Metoclopramide 10 mg 521 500 1,021 468 553 88 41,184 48,664
142 Spashi - ### - - - 375 - -
143 Spironolactone 100 mg 467 - 467 - 467 1,551 - 724,317
144 Spironolactone 25 mg 300 800 1,100 467 633 481 224,627 304,473
145 Tamofen Tab 10 mg 15 - 15 - 15 1,717 - 25,749
146 Tamofen Tab 20 mg 53 90 143 105 38 1,717 180,246 65,232
Page 77
BRG BRG
SALDO HARGA HARGA
AWAL SATUAN KELUAR
MSK KEL
147 Terasma 14 - 14 - 14 122 - 1,708
148 Tetracycline 250 mg 183 - 183 - 183 67 - 12,261
149 Thiamphenicol 500 mg 814 - 814 - 814 512 - 416,768
150 Thiamine 50 mg ( B 1 ) 1,737 2,000 3,737 3,414 323 30 102,420 9,690
151 Tibigon 500 mg 982 6,300 7,282 5,107 2,175 233 1,189,931 506,775
152 Tibitol 250 mg - ### - - - 233 - -
153 Tibitol 500 mg - ### - - - 386 - -
154 Tramadol 50 mg 320 200 520 182 338 445 80,990 150,410
155 Trihexyphenidyl 2 mg 314 2,500 2,814 2,168 646 51 110,568 32,946
156 Vit B 12 409 - 409 - 409 15 - 6,135
157 Vit B Complex 1,806 6,000 7,806 5,646 2,160 28 158,088 60,480
158 Vit C 50 mg 2,385 - 2,385 824 1,561 74 60,976 115,514
159 Xeloda 256 1,320 1,576 1,138 438 36,000 40,968,000 15,768,000
JUMLAH 78,995,528 68,855,924
Physikotropika
BRG BRG
SALDO HARGA HARGA
AWAL SATUAN KELUAR
MSK KEL
1 Alprazolam 0,5 mg 556 1,200 1,756 639 1,117 731 467,109 816,527
2 Alprazolam 1 mg 257 600 857 667 190 1,125 750,375 213,750
3 Atarax 0,5 mg - ### - - - 860 - -
4 Codein 10 mg 181 - 181 34 147 486 16,524 71,442
5 Codipront Capsul - ### - - - 6,292 - -
6 Codipront Cum Expt - ### - - - 44,043 - -
7 Codipront Sirup - ### - - - 37,752 - -
8 Codpront Cum Expt Capsl - ### - - - 7,865 - -
9 Diazepam 2 mg 9 - 9 9 - 17 153 -
10 Mentalium 5 mg 729 - 729 144 585 735 105,873 430,110
11 Phenobarbital 30 mg 26 2,000 2,026 849 1,177 27 22,923 31,779
12 Stesolid 2 mg - 200 200 100 100 405 40,480 40,480
13 Stesolid 5 mg - ### - - - 735 - -
JUMLAH 1,403,437 1,604,088
Syrup
BRG BRG
SALDO HARGA HARGA
AWAL SATUAN KELUAR
MSK KEL
1 Ambroxol Syrp 86 - 86 50 36 3,230 161,500 116,280
2 Amokxiclin Syrp 21 40 61 21 40 2,979 62,559 119,160
3 Antasida Syrp 59 50 109 71 38 3,304 234,584 125,552
4 Cefadroxil Syr 17 24 41 11 30 9,038 99,418 271,140
5 Cefixim Syr - - - - - 37,813 - -
6 Cotrimoxazole 10 - 10 1 9 2,100 2,100 18,900
7 Dextromethorfan Syrp 18 100 118 43 75 3,000 129,000 225,000
8 Enystin Drop 3 - 3 1 2 20,600 20,600 41,200
9 Erythromycin Syrp 5 5 10 10 - 6,524 65,240 -
10 OBH Syrp - 130 130 58 72 1,563 90,654 112,536
11 Paracetamol Syrp 31 10 41 14 27 2,156 30,184 58,212
12 Terasma Syrp - - - - - 4,760 - -
13 Zingosering Syr 57 - 57 57 - 1,563 89,063 -
JUMLAH 984,902 1,087,980
Suppositoria
Page 78
BRG BRG
SALDO HARGA HARGA
AWAL SATUAN KELUAR
MSK
BRG KEL
BRG
SALDO HARGA HARGA
AWAL SATUAN KELUAR
MSK KEL
1 Actrapid inj N 100 UI Insulatard - - - - - 256,251 - -
2 Actrapid inj R 100 UI - - - - - 256,251 - -
3 Acyclovir Cream 1 - 1 - 1 3,750 - 3,750
4 Antihemoroid Supp - 60 60 37 23 1,838 68,006 42,274
5 Borax Glycerin 10 - 10 - 10 5,225 - 52,250
6 C. Carpin 2% 3 5 8 1 7 6,515 6,515 45,605
7 C. Mydriatyl 1% 2 - 2 2 - 21,250 42,500 -
8 C. Tropin 0,5 % - 6 6 - 6 3,500 - 21,000
9 Chloramphenicol Tts Mata 0,5 % 20 4 24 23 1 3,125 71,875 3,125
10 Chloramphenicol Tts Telinga - 4 4 3 1 2,250 6,750 2,250
11 Dulcolax Supp 10 mg 22 - 22 - 22 6,650 - 146,300
12 Garam Inggris - - - - - 1,283 - -
13 Gentamycin 0,1 % S. Kulit 14 20 34 8 26 2,063 16,500 53,625
14 Gentamycin e/d ( Genoint e/d ) 2 24 26 26 - 3,727 96,897 -
15 Gentamycin E/O Tube 0,3 mg SM 10 - 10 - 10 3,080 - 30,800
16 Humulin R. 100 inj 5 7 12 11 1 256,251 2,818,761 256,251
17 Humulin 30/70 - 7 7 7 - 218,284 1,527,988 -
18 Humulin N inj 100 UI 2 2 4 2 2 256,251 512,502 512,502
19 Hydrocortison 1 % S. Kulit 15 12 27 5 22 2,188 10,938 48,125
20 Hydrocortison 2,5 % S. Kulit 23 24 47 13 34 3,106 40,373 105,591
21 Ikamicetine 1 % Salap Kulit 9 - 9 - 9 6,050 - 54,450
22 Ikamicetine 1 % SM ( Chlorampenicol ) 14 24 38 8 30 1,954 15,632 58,620
23 Iliadin 0, 025 % 10 10 20 15 5 15,798 236,970 78,990
24 Iliadin 0, 05 % - 30 30 9 21 17,325 155,925 363,825
25 Iodine Povidone 30 cc 69 - 69 25 44 2,500 62,500 110,000
26 Isotic Adretor (Timol 0,5 mg) Drops 4 20 24 9 15 13,125 118,125 196,875
27 Jodium Povidone - - - - - 2,500 - -
28 Ketoconazole cream 5 mg 10 10 20 3 17 8,750 26,250 148,750
29 Miconazole cream 46 - 46 11 35 3,750 41,250 131,250
30 Na Cl 0,9 % 500 ml - - - - - 5,074 - -
31 Nystatin Vaginal Tab 63 30 93 43 50 361 15,523 18,050
32 Sopratulle 24 20 44 12 32 11,480 137,760 367,360
33 Ventolin Inhaler - - - - - 57,750 - -
JUMLAH 6,029,539 2,851,618
Total Keseluruhan 87,413,406 74,399,610
Medan, 18 Februari 2010

RSUD Dr. Pirngadi Kota Medan
Dra. Azwinar, Apt

NIP. 19530115 198503 2 00 2
Page 79
SISA STOK GUDANG ALAT HABIS PAKAI
Stok Stok Harga Asal

No Nama Alat Sat Masuk Jlh Keluar Satuan Total Harga Barang
Awal Akhir
1 Acid Acetic 100 % ' 35 gr ltr - ### - - - 443,300.00 -
2 Alcohol 96 % ltr 310 200 510 180 330 26,125.00 8,621,250 PT. Brataco
3 ARM. Sling Medium pcs 6 - 6 - 6 82,500.00 495,000 PT. Metrum
4 ARM. Sling Small pcs 6 - 6 - 6 82,500.00 495,000 PT. Metrum
5 Assucryl 2/0 pcs - ### - - - 62,883.32 -
6 Assucryl 2/0 - 43857 pcs - ### - - - 67,200.00 -
7 Assucryl 2/0 - 4715 pcs - ### - - - 62,883.32 -
8 ARM. Sling Adul L pcs 8 - 8 2 6 82,500.00 495,000 PT. Metrum
9 ARM. Sling XL pcs 7 - 7 - 7 82,500.00 577,500 PT. Metrum
10 A. Daplatc 2 - 0 pcs - ### - - - 1,809,131.50 - PT. Kebayoran
11 Acid Acetic 100 % ' 35 gr ltr - ### - - - 443,300.00 -
12 Biopsi Valve ( Tutup Scop ) pcs - ### - - - 55,000.00 - PT. Setio Harto
13 Bone Wax. W - 810 pcs - ### - - - 56,925.00 - PT. Parazelsus
14 Boor Tulang set - ### - - - 99,000.00 - PT. Akarim
15 Botol Kosong Plastik 300 cc pcs - ### - - - 687.50 - PT. Brataco
16 Boor Tulang FG. 171 L pcs - ### - - - 495,000.00 - PT. Akarim
17 Camelux bks 10 25 35 5 30 11,000.00 330,000 PT. Tirta
18 Canula Trachea No. 7 pcs - ### - - - 495,000.00 -
19 Cat Gut Cromic No. 3/0 W 112 pcs 132 - 132 - 132 11,883.66 1,568,643 PT. Parazelsus
20 Cat Gut Plain 2- 0 100 cm pcs - ### - - - 653,400.00 -
21 Catgut Cromic No. 2 W - 116 pcs 12 144 156 36 120 16,125.08 1,935,010 PT. Parazelsus
22 Catgut Cromic No. 2/0 W - 113 pcs 60 - 60 12 48 12,730.66 611,072 PT. D.K.S.H
23 Catgut Cromic No. I W - 115 pcs 108 - 108 - 108 14,854.58 1,604,295 PT. D.K.S.H
24 Catgut Plain No. 0 - 854 T pcs - - - - - 14,737.80 -
25 Catgut Plain No. 0 W - 104 pcs 36 108 144 60 84 13,577.66 1,140,523 PT. D.K.S.H T
26 Catgut Plain No. 2 W - 106 pcs 108 - 108 108 - 14,020.41 - PT. D.K.S.H
27 Catgut Plain No. 2/0 W - 103 pcs 24 120 144 24 120 12,730.66 1,527,679 PT. D.K.S.H
28 Catgut Plain No. 3/0 H 818 T pcs - - - - - 9,701.54 -
29 Catgut Plain No. 3/0 W - 102 pcs 24 48 72 - 72 11,883.66 855,624 PT. D.K.S.H
30 Catgut Plain No. I @ 75 mtr pcs 48 - 48 - 48 15,262.50 732,600 PT. Dos Ni Roha
31 Catgut Plain No. I W- 105 pcs 60 - 60 24 36 14,854.58 534,765 PT. D.K.S.H
32 Cavafix Certo pcs - ### - - - 253,000.00 - PT. Dos Ni Roha
33 Capsul Kosong OO pcs - 1,000 1,000 1,000 - 77.00 - PT. Metrum
34 Certical Screw No. 32 pcs - ### - - - 109,862.50 -
35 Certical Screw No. 34 pcs - ### - - - 109,862.50 - PT. Kebayoran
38 Certofix Dou V 1220 H pcs 5 - 5 - 5 979,000.00 4,895,000 PT. DNR / CV.TIGAS
39 Certofix Dou V 720 pcs 5 - 5 5 - 623,700.00 - PT. Dos Ni Roha
40 Cervical Caallar L pcs - ### - - - 242,000.00 - PT. Metrum
41 Cervical Caallar S pcs - ### - - - 242,000.00 - PT. Metrum
42 Cidex @ 5 ltr galon - 9 9 2 7 209,990.00 1,469,930 PT. Merapi Utama
43 Codein Phosphat @ 10 mg tab 1,250 - 1,250 250 1,000 388.44 388,440 PT. Kimia Farma
44 Codein Phosphat @ 15 mg tab - 250 250 - 250 660.59 165,148 PT. Kimia Farma
45 Codipront cap caps - ### - - - 5,750.00 -
46 Codipront Cum Exp caps - ### - - - 7,150.00 -
47 Codipront Cum Exp. Syr fls - ### - - - 46,200.00 -
48 Codipront syr 60 ml fls - ### - - - 42,350.00 -
49 Colostomy Bag No. 2 bks 9 - 9 - 9 275,000.00 2,475,000 PT. Metrum
50 Colostomy Bag No. 3 bks 7 5 12 5 7 302,500.00 2,117,500 PT. Metrum
51 Cortex Screw 2-0- 8 mm pcs - ### - - - 194,480.00 -
52 Cortex Screw 2-0 L 10 mm pcs - ### - - - 194,480.00 - PT. Kebayoran
53 Cortex Screw 4,5 Lth 42 pcs - ### - - - 109,862.50 - PT. Kebayoran
54 Cortex Screw 4,5 mm LHT 34 m pcs - ### - - - 109,862.50 - PT. Kebayoran
file:///var/www/apps/conversion/tmp/scratch_3/347482657.xls Page 80
Awal Akhir
58 Cromic Cromado 6.181 T 4 - 0 pcs - ### - - - 47,520.00 -
59 CVC 402 - 10 pcs - ### - - - 495,000.00 - PT. Fondako
60 CVC 502 - 10 5.5 F pcs 4 - 4 - 4 440,000.00 1,760,000 PT. Fondako
61 CVC 702 - 20 VS PC pcs - ### - - - 385,000.00 - PT. Fondako
62 CVC BDL Lumein 4 F / 6 cm 24296 pcs 5 - 5 - 5 440,000.00 2,200,000 PT. Akarim
63 CVC BDL Lumein 5 F / 13 cm 2524 pcs - ### - - - 440,000.00 - PT. Akarim
64 CVC BDL Lumein 7 F 2725 pcs 8 - 8 3 5 440,000.00 2,200,000 PT. Akarim
65 CVC BDL Lumein 7 F 3725 pcs - ### - - - 495,000.00 - PT. Akarim
66 CVC BDL Lumein 8 F 2826 pcs - ### - - - 440,000.00 - PT. Akarim
67 CVC Tuple Lumen 5,5 F pcs - ### - - - 495,000.00 - PT. Akarim
68 Capsul Kosong 0 ktk 1,000 3,000 4,000 2,000 2,000 55.00 110,000 PT. Metrum
69 Cromic 3/0 G. 122 T pcs - - - - - 50,663.25 - PT. Parazelsus
70 Certofix Trio 7 FU 720 pcs - - - - - 693,007.00 - PT. Dos Ni Roha
71 CVC 7 F 20 cm 16/16 GA pcs - 5 5 - 5 440,000.00 2,200,000 PT. Fondako
72 Capsul OO pcs - ### - - - 55.00 -
73 Certopix Duo Ped 413 pcs - 2 2 - 2 554,400.00 1,108,800 PT. Dos Ni Roha
74 Certovix 7 F 720 pcs - ### - - - 693,007.00 - PT. DKSH T
75 Cervical Collod M pcs - ### - - - 242,000.00 - PT. Kebayoran
76 Corteh Serw 32 mm 6,5 / 70 " pcs - ### - - - 182,979.50 - PT. Metrum
77 Corteh Serw 60 mm pcs - ### - - - 182,979.50 - PT. DKSH T
78 CP 95 . 7 H . 70 mm pcs - ### - - - 3,400,782.00 - PT. Surgika
79 CVC DBL 7 F 20 cm 16/16 pcs - ### - - - 440,000.00 -
80 Certofix Duo Ped 413 pcs - ### - - - 554,400.00 - PT. Dos Ni Roha
81 Dental Nedle pcs 1 - 1 - 1 143,000.00 143,000 PT. Akarim
82 Diatermi ( Infant Rem Poly Sihave ) pcs 30 - 30 10 20 66,000.00 1,320,000 PT. Surgika
83 Discofix Try Way pcs 690 1,000 1,690 840 850 15,950.00 13,557,500 PT. Tirta
84 Dop Aluminium 20 mm pcs - ### - - - 137.50 -
85 DBL 12 FR 20 mm Sx 2226 pcs - 20 20 15 5 660,000.00 3,300,000 PT. Akarim
86 Doble Lumen HD 12 Fr 20 m SR 226 pcs - ### - - - 660,000.00 - PT. Metrum
87 Deg Glass pcs - 2 2 2 - 22,000.00 - PT. Metrum
88 E.K.G Paper 1 Chanel pcs 30 - 30 10 20 77,000.00 1,540,000 CV. Tiga Sekawan
89 E.K.G Paper 3 Chanel pcs 80 70 150 40 110 110,000.00 12,100,000 CV. Tiga Sekawan
90 E.T.T No. 2,5 pcs 10 - 10 - 10 38,500.00 385,000 PT. Akarim
91 E.T.T No. 3 pcs 5 - 5 - 5 28,710.00 143,550 PT. Enseval
92 E.T.T No. 3,5 pcs 5 10 15 5 10 38,500.00 385,000 PT. Akarim
93 E.T.T No. 4 pcs 10 - 10 5 5 38,500.00 192,500 PT. Akarim
94 E.T.T No. 4,5 pcs 20 - 20 5 15 38,500.00 577,500 PT. Akarim
95 E.T.T No. 5 pcs 5 - 5 - 5 32,670.00 163,350 PT. Enseval
96 E.T.T No. 5,5 pcs 10 - 10 - 10 38,500.00 385,000 PT. Akarim
97 E.T.T No. 6 pcs 10 ### 20 5 15 32,670.00 490,050 PT. Enseval
98 E.T.T No. 6,5 pcs 47 - 47 10 37 32,670.00 1,208,790 PT. Enseval
99 E.T.T No. 7 pcs 120 - 120 30 90 32,670.00 2,940,300 PT. Enseval
100 E.T.T No. 7,5 pcs 80 100 180 20 160 32,670.00 5,227,200 PT. Enseval
101 Elastomul 8 cm x 4 m rol - ### - - - 22,440.00 -
102 Electrode Disp 3 M 325 bks 48 25 73 20 53 195,112.50 10,340,963 PT. Enseval/Metrum
103 Ethylon 3-0 W 320 pcs - ### - - - 34,155.00 - PT. D.K.S.H
104 Ethylon No. 4/0 - 319 pcs 24 - 24 - 24 34,153.00 819,672 PT. D.K.S.H
105 Ethylon No. 5/0 W - 1616 T pcs 24 - 24 - 24 54,648.00 1,311,552 PT. D.K.S.H
106 Ethylon No. 6/0 W - 1610 pcs 24 - 24 - 24 75,141.00 1,803,384 PT. D.K.S.H
107 Ethylon No. 10/0 W - 90036 pcs - ### - - - 120,879.00 - PT. D.K.S.H
108 Extention 150 cm(Shering Pump) pcs 30 - 30 - 30 23,331.00 699,930 PT. M.B.S
109 Ecoplax Mix 16401 pcs 120 100 220 120 100 3,960.00 396,000 PT. Dos Ni Roha
110 EKG Paper Mac pcs 3 - 3 3 - 104,500.00 - PT. Tiga S
111 Ethylon 5-0 W 1616 T pcs - ### - - - 29,700.00 - PT. D.K.S.H
Awal Akhir
112 Ecofloc Mix 1640 pcs - ### - - - 4,000.00 - PT. Mega MM
113 ETT 7,5 Non King-King pcs - ### - - - 327,500.00 - PT. Mega MM
114 Fentanyl 0.5 mg inj pcs 20 40 60 20 40 30,800.00 1,232,000 PT. Kimia Farma
115 First Aids @ 5 ltr pcs 5 ### 10 5 5 773,295.93 3,866,480 PT. A.A.M
116 Fixomul 4 m pcs - ### - - - - - PT. A.A.M
117 Fixomul transparant ( 2 inci ) pcs 2 - 2 - 2 127,980.00 255,960 PT. A.A.M
118 Foly Bag Cath No. 6 pcs 10 - 10 - 10 94,999.00 949,990 PT. Akarim
119 Foly Bag Cath No. 8 pcs 45 - 45 - 45 65,340.00 2,940,300 PT. Tirta
120 Foly Bag Cath No. 10 pcs 10 - 10 5 5 12,484.00 62,420 PT. Akarim
121 Foly Bag Cath No. 12 pcs 17 - 17 - 17 12,848.00 218,416 PT. Tirta
122 Foly Bag Cath No. 14 pcs 5 30 35 15 20 12,848.00 256,960 PT. Tirta
123 Foly Bag Cath No. 16 pcs 510 - 510 80 430 12,848.00 5,524,640 PT. Tirta
124 Foly Bag Cath No. 18 pcs 850 - 850 290 560 12,848.00 7,194,880 PT. Tirta
127 Foly Bag Cath Try Way No. 18 pcs 10 - 10 - 10 44,000.00 440,000 PT. Tirta
128 Foly Bag Cath Try Way No. 20 pcs 15 - 15 - 15 58,850.00 882,750 PT. Akarim
129 Foly Bag Cath Try Way No. 24 pcs 25 - 25 - 25 49,500.00 1,237,500 PT. Tirta
130 Formalin 40 % ltr 40 - 40 10 30 220,000.00 6,600,000 PT. Brataco
131 Flixiplo Gravity pcs - 20 20 20 - 33,000.00 - PT. M3
132 Gelatin no. 3 Caps caps - 3,000 3,000 1,000 2,000 41.25 82,500 PT. Metrum
133 Gaas Steril 16x16 rol 31 - 31 - 31 3,300.00 102,300 PT. Metrum
134 Gakin Pack Cromic GP 1 pcs - - - - - - -
135 Gakin Pack VIO GP 2 pcs - ### - - - 70,125.00 -
136 Gelang Baby pcs - ### - - - 1,320.00 - PT. Kimia Farma
137 Gelang Ibu pcs - ### - - - 1,320.00 - PT.A.A.M
138 Gelatin no. 2 Caps ktk - 3,000 3,000 1,000 2,000 44.00 88,000 PT. Metrum
139 Gypsona 6 inc pcs - 48 48 - 48 35,983.47 1,727,207 PT.A.A.M
140 Gypsona 4 inc pcs 48 - 48 - 48 25,525.50 1,225,224 PT.A.A.M
141 Gakin Pack Cromic GP 1 pcs - ### - - - 55,000.00 -
142 H. NALD 6016 B/R 11 lsn - ### - - - 154,000.00 - PT. Kebayoran
143 H. NALD 6016 B/R 13 lsn - ### - - - 154,000.00 - PT. Metrum
144 H. NALD 6030 G/T 10 lsn - ### - - - 154,000.00 - PT. Setio Harto
145 Hand Chun 7,5 pcs - ### - - - 6,600.00 -
146 Hand Chun 8 pcs - ### - - - 6,600.00 - PT. Kimia Farma
147 Hyrophylle Gaas 80 x 90 mtr rol - ### - - - 171,600.00 - PT. Metrum
148 H.Nald 6136 PB O0 lsn - ### - - - 154,000.00 - PT. Metrum
149 H. Nald 6016 B/R 13 gln - 5 5 - 5 154,000.00 770,000 PT. Metrum
150 H. NALD 6030 G/T 5 lsn 5 - 5 - 5 154,000.00 770,000 PT. Metrum
151 H. NALD 6036 GR 12 lsn 10 - 10 5 5 154,000.00 770,000 PT. Metrum
152 H.Nald GA 3 F 5030/3 lsn - ### - - - 143,000.00 - PT. AAM / PT.Akarim
153 H.Nald GA 4 F 5030/4 lsn - ### - - - 121,000.00 -
154 H.Nald GA 5 F 5030/5 rol - ### - - - 165,000.00 - PT. Metrum
155 Handschoon No. 7 psg - ### - - - 11,992.20 -
156 Handschoon No. 7,5 psg 50 100 150 50 100 6,600.00 660,000 PT. Metrum
157 Handschoon No. 8 psg - ### - - - 11,992.20 -
158 Handuk bh - 72 72 36 36 2,520.82 90,750 CV. Tiga Sekawan
159 Hansin X Ray Film ktk 4 ### 8 2 6 297,000.00 1,782,000 PT. Metrum
160 HCL Morphin Injeksi amp 10 - 10 10 - 10,208.55 - PT. Kimia Farma
161 HCL Pethidin Inj amp 150 - 150 60 90 11,992.20 1,079,298 PT. Kimia Farma
162 Hecting Nald 6010 B/T 11 lsn 10 - 10 - 10 154,000.00 1,540,000 PT. Metrum
163 Hecting Nald 6010 B/T 12 lsn - ### - - - 132,000.00 - PT.Tirta
164 Hecting Nald 6016 B/R 12 lsn - ### - - - 132,000.00 - PT. Kimia Farma
165 Hecting Nald 6030 G/T 7 lsn 5 - 5 - 5 154,000.00 770,000 PT. Metrum
166 Hecting Nald 6030 G/T 8 lsn - ### - - - 132,000.00 - PT.Tirta
167 Hecting Nald 6030 G/T 9 lsn 10 - 10 5 5 154,000.00 770,000 PT. Metrum
Awal Akhir
169 Hecting Nald 6030 G/T 11 lsn 5 10 15 5 10 154,000.00 1,540,000 PT. Metrum
170 Hecting Nald 6030 G/T 12 lsn - ### - - - 154,000.00 - PT. Metrum
172 Hecting Nald 6030 G/T 14 lsn - ### - - - 154,000.00 - PT. Metrum
173 Hecting Nald 6036 G/R 7 lsn 10 - 10 5 5 154,000.00 770,000 PT. Metrum
174 Hecting Nald 6036 G/R 8 lsn - 5 5 - 5 154,000.00 770,000 PT. Chandra
175 Hecting Nald 6036 G/R 9 lsn 10 - 10 - 10 154,000.00 1,540,000 PT. Metrum
176 Hecting Nald 6036 G/R 11 lsn 4 - 4 4 - 154,000.00 - PT. Metrum
177 Hecting Nald 6036 G/R 13 lsn 5 - 5 - 5 154,000.00 770,000 PT. Metrum
178 Hecting Nald 6036 G/R 14 lsn - ### - - - 154,000.00 - PT. Metrum
179 Hecting Nald 6136 PB 1 lsn 5 - 5 - 5 154,000.00 770,000 PT. Metrum
180 Hecting Nald 6136 PB 2 lsn 5 - 5 - 5 154,000.00 770,000 PT. Kimia Farma
181 Hecting Nald BE/T 7 6310 lsn - ### - - - 99,000.00 - PT. Metrum
182 H. NALD 6120 E 000 F 6120 lsn - 5 5 - 5 220,000.00 1,100,000 PT. Metrum
183 Hecting Nald GAR 5 F lsn - ### - - - 121,000.00 -
184 Hecting Nald E 000 F lsn - ### - - - 220,000.00 -
185 Hypafix 6 inc / 5 mtr rol 29 20 49 16 33 122,902.34 4,055,777 PT. A.A.M
186 Hypafix 4 inc / 5 mtr rol 23 - 23 2 21 89,592.36 1,881,440 PT. A.A.M
187 H. NALD 6036 G/R 5 lsn 5 - 5 - 5 154,000.00 770,000 PT. Metrum
188 H. NALD 6136 PB 3 lsn 10 - 10 5 5 154,000.00 770,000 PT. Metrum
189 H. NALD 6036 G/R 10 lsn 10 - 10 - 10 154,000.00 1,540,000 PT. Metrum
190 H. NALD 6136 PB 5 lsn 5 - 5 - 5 154,000.00 770,000 PT. Metrum
191 H. NALD 6016 E B/R 9 lsn 9 - 9 - 9 154,000.00 1,386,000 PT. Metrum
192 I.V. Cath No.14 pcs - 50 50 - 50 7,704.51 385,226 PT. Metrum
193 I.V. Cath No.16 pcs 55 - 55 - 55 7,704.51 423,748 PT. M.B.S
194 I.V. Cath No.18 pcs 2,000 - 2,000 300 1,700 7,704.51 13,097,667 PT. M.B.S
195 I.V. Cath No.20 pcs 5,000 1,000 6,000 2,000 4,000 7,704.51 30,818,040 PT. M.B.S
196 I.V. Cath No.22 pcs 2,650 3,000 5,650 2,750 2,900 7,704.51 22,343,079 PT. M.B.S
197 I.V. Cath No.24 pcs 4,550 - 4,550 1,300 3,250 7,704.51 25,039,658 PT. M.B.S
198 Infus Set Cabang pcs - ### - - - 27,720.00 - PT. Metrum
199 Infus Set Macro pcs 3,000 3,100 6,100 2,300 3,800 5,445.00 20,691,000 PT. Merapi Utama
200 Infus Set Micro pcs 450 300 750 50 700 8,167.50 5,717,250 PT. Merapi Utama
201 Infus Set Pump pcs 10 - 10 - 10 30,690.00 306,900 PT. Mega MM
202 Int uret Slin CH / 28 / 26 pcs - ### - - - 1,529,000.00 - PT. DKSH T
203 Jelli Aquasonic a' 5 ltr / 4 L gln 6 2 8 2 6 440,000.00 2,640,000 PT. Tiga S
204 K - Wirw 1,5 x 31 cm pcs - ### - - - 71,500.00 - PT. Merapi Utama
205 K - Wirw 1,8 x 31 cm pcs - ### - - - 71,500.00 - PT. Merapi Utama
206 K. Wire 2 mm pcs 1 10 11 10 1 120,147.50 120,148 PT. Akarim
207 Kapas Polos kg 55 60 115 55 60 39,930.00 2,395,800 PT. Merapi Utama
208 Karet Ligasi pcs - ### - - - 77,000.00 - PT. Tiga S
209 Key Vec filter set - ### - - - 330,000.00 - PT. Tiga S
210 Kondom Chateter M pcs - ### - - - 2,750.00 - PT. AAM
211 Kondom Chateter L pcs 110 - 110 - 110 13,200.00 1,452,000 PT. Metrum
212 Kondom Sutra pcs 10 24 34 5 29 7,680.00 222,720 CV. Tiga Sekawan
213 K. Wire 3 mm pcs 1 - 1 - 1 154,000.00 154,000 PT. Kebayoran
214 Laminaria pcs - ### - - - 39,875.00 -
215 Liq Burowi @ 300 cc fls - ### - - - 5,500.00 - PT. Mega MM
216 Lumbal Corset No. M pcs - ### - - - 385,000.00 - PT. Mensa. BS
217 Luv. Electrode fls - ### - - - 1,499,999.60 - PT. Mensa. BS
218 Morphin amp 10 - 10 10 - 10,208.55 - PT. Kimia Farma
219 M S T 10 mg pcs 60 - 60 - 60 13,933.33 836,000 PT. Kimia Farma
220 M S T 15 mg pcs - 120 120 - 120 20,166.66 2,419,999 PT. Kimia Farma
221 Masker O2 Adulf pcs 50 300 350 150 200 1,100.00 220,000 PT. Metrum
222 Masker O2 Baby pcs - ### - - - 44,000.00 - PT. Mensa. BS
223 Medifix Cole pcs - ### - - - 159,500.00 - PT. Mensa. BS
224 Medifix Line pcs - ### - - - 82,500.00 - PT. Mensa. BS
225 Microdrip pcs - ### - - - 58,685.00 - PT. Metrum
Awal Akhir
226 Micropore 1/2 inci rol 72 - 72 48 24 10,135.40 243,250 PT. Tirta
227 Micropore 2 inci rol - ### - - - 15,972.00 - PT. Setio Harto
228 Mini Plate 20 Hale 2-0 pcs - ### - - - 1,809,131.50 - PT. Kebayoran
229 Mouth Piece pak 100 - 100 - 100 7,700.00 770,000 PT. Bramo
230 Mersilk 2/0 W 213 rol - ### - - - 46,527.25 - Apotik Aditya
233 Microshill 2 a. 5 liter rol - ### - - - 484,000.00 - PT. Kebayoran
234 N.G.T No. 3,5 pcs 20 - 20 - 20 13,228.38 264,568 PT. Tirta
235 N.G.T No. 5 @ 100 cm pcs 66 50 116 20 96 13,228.38 1,269,924 PT. Tirta
236 N.G.T No. 5 @ 40 cm pcs 80 - 80 30 50 13,228.38 661,419 PT. Tirta
237 N.G.T No. 6 pcs 40 - 40 3 37 14,300.00 529,100 PT. Metrum
238 N.G.T No. 8 @ 100 cm pcs 100 - 100 10 90 13,228.38 1,190,554 PT. Tirta
239 N.G.T No. 8 @ 40 cm pcs 110 - 110 40 70 13,228.38 925,987 PT. Tirta
240 N.G.T No. 10 pcs 65 - 65 - 65 14,300.00 929,500 PT. Metrum
241 N.G.T No. 12 pcs 141 - 141 16 125 15,345.00 1,918,125 PT. Tirta
242 N.G.T No. 14 pcs 135 - 135 20 115 15,345.00 1,764,675 PT. Tirta
243 N.G.T No. 16 pcs 243 100 343 80 263 15,345.00 4,035,735 PT. Tirta
244 N.G.T No. 18 pcs 605 200 805 200 605 15,345.00 9,283,725 PT. Tirta
245 N.G.T No. 20 pcs 10 - 10 10 - 18,700.00 - PT. Metrum
246 Nasal Oxygen Adult pcs 60 - 60 20 40 22,000.00 880,000 PT. Metrum
247 Nasal Oxygen baby / Child pcs 60 - 60 20 40 33,000.00 1,320,000 PT. Metrum
248 Nasal Oxygen Conecting Tube pcs - ### - - - 33,000.00 - PT. Tirta
249 Needle G. 18 pcs 200 - 200 - 200 715.00 143,000 PT. Tirta
250 Needle G. 20 pcs - ### - - - 715.00 - PT. Akarim
251 Needle no. 21 pcs - ### - - - 715.00 -
252 Needle G. 22 pcs - ### - - - 715.00 - PT. Akarim
253 Needle G. 23 pcs - 200 200 100 100 715.00 71,500 PT. Tirta
254 Needle G. 26 pcs - ### - - - 715.00 -
255 Nelaton Cath No. 8 pcs 3 - 3 - 3 6,600.00 19,800 PT. Metrum
259 Nelaton Cath No. 18 pcs - ### - - - 6,600.00 - PT. Mega MM
260 Nylon Alcon 10/0 - 198001 pcs 42 - 42 12 30 106,920.00 3,207,600 PT. M.B.S
261 Nelaton Cat No. 12 pcs - - - - - 11,000.00 - PT. Metrum
262 Nelaton Cat No. 20 pcs - 2 2 - 2 11,000.00 22,000 PT. Metrum
263 Object Glass box - ### - - - 27,500.00 - PT. Mega MM
264 Opsite Post -op 25x10 box - ### - - - 26,716.80 - PT. Mega MM
265 Oxyd Zinci kg 3 - 3 - 3 115,500.00 346,500 PT. Cipta
266 Oxygen Conecting Tube bh - ### - - - 33,000.00 - PT. Tirta
267 Pampers L bks 1 36 37 25 12 55,000.00 660,000 CV. Tiga Sekawan
268 Paper Spirometri rol - ### - - - 220,000.00 - PT.D.K.S.H
269 Pepsodent ktk 24 - 24 12 12 1,234.00 14,808 Apt. Aditia
270 Perfusor Tubing 150 cm pcs - ### - - - 32,458.25 - PT.D.K.S.H
271 Perhidrol 50 % btl 14 12 26 - 26 22,000.00 572,000 PT. Brataco
272 Perifix 400 186 x 3 1/4 pcs 8 10 18 8 10 259,600.00 2,596,000 PT. Dos Ni Roha
273 Pipet Tetes gros 1 - 1 - 1 82,500.00 82,500 PT. Metrum
274 Pisau Cukur pcs - 24 24 12 12 1,764.57 21,175 CV. Tiga Sekawan
275 Plester 1 inc rol - ### - - - 9,188.60 - PT. Enseval
276 Plester 1/2 inc rol - ### - - - 3,764.64 - PT. Cipta
277 Plester 2 inc rol 200 140 340 80 260 20,422.16 5,309,762 PT. A.A.M
278 Plester 3 inc rol 140 184 324 204 120 29,864.12 3,583,694 PT. A.A.M
279 Poly Gyps 3 inc rol 5 - 5 - 5 14,025.00 70,125 PT. Enseval
280 Poly Gyps 4 inc rol 34 - 34 10 24 21,505.00 516,120 PT. Enseval
281 Poly Gyps 6 inc rol 48 24 72 24 48 28,517.50 1,368,840 PT. Enseval
282 Poly Sorb 2/0 CL - 811 pcs 36 - 36 - 36 68,068.00 2,450,448 PT. Surgika
Awal Akhir
283 Poly Sorb 2/0 CL - 992 pcs - ### - - - 119,900.00 - PT. Anugrah
284 Poly Sorb 3/0 GL - 122 pcs - ### - - - 71,500.00 -
285 Poly Sorb 4/0 GL 181 pcs 36 ### 72 36 36 88,000.00 3,168,000 PT. Surgika
286 Poly Sorb No. 2/0 SL - 823 pcs - ### - - - 69,300.00 - PT. Metrum
287 Poly Sorb No. 2/0 SL - 916 pcs - ### - - - 79,200.00 - PT.D.K.S.H
288 Poly Sorb No. 3/0 SL - 182 pcs 36 - 36 - 36 61,600.00 2,217,600 PT. Surgika
289 Poly Sorb No. 3/0 SL - 693 pcs 36 - 36 - 36 61,732.00 2,222,352 PT. Surgika
290 Poly Sorb No. I SL - 915 pcs - 36 36 - 36 71,467.00 2,572,812 PT. Surgika
291 Printer paper 110 HD box 20 - 20 10 10 302,500.00 3,025,000 CV. Tiga Sekawan
292 Printer paper UPC 1010 box 2 - 2 - 2 1,320,000.00 2,640,000 CV. Tiga Sekawan
293 Printer paper UPC 21 L box 1 - 1 1 - 1,815,000.00 - CV. Tiga Sekawan
294 Prolene Mash 3x6 box 7 - 7 3 4 432,811.50 1,731,246 PT. Parazelsus
295 Prolene Mesh 3x4 box - ### - - - 376,337.50 - PT. Metrum
296 Prolene Mesh 6x6 box 4 5 9 - 9 752,675.00 6,774,075 PT. Parazelsus
297 Prolene no 0 W 486 pcs 12 - 12 - 12 66,023.10 792,277 PT. Parazelsus
298 Prolene No. 1 W - 742 pcs - ### - - - 70,785.00 - PT. Tirta
299 Prolene No. 2/0 - 8833 H pcs 72 - 72 36 36 90,233.00 3,248,388 PT. Parazelsus
300 Prolene No. 3/0 W - 538 pcs - 60 60 24 36 68,310.00 2,459,160 PT. Parazelsus
301 Prolen no. 3/0 W 8558 pcs - 12 12 - 12 127,743.00 1,532,916 PT. Parazelsus
302 Prolene No. 4/0 W - 525 pcs 48 ### 96 48 48 68,310.00 3,278,880 PT. Parazelsus
303 Prolene No. 4/0 W - 8557 pcs - ### - - - 68,310.00 - PT. Tirta
304 Prolene No. 5/0 W - 527 pcs 12 60 72 24 48 68,310.00 3,278,880 PT. Parazelsus
305 Prolene No. 5/0 W - 8557 pcs - ### - - - 106,177.50 - PT. Tirta
306 Prolene 5/0 8556 H pcs - ### - - - 106,177.50 -
307 Prolene 6/0 w 523 pcs 36 - 36 24 12 68,310.00 819,720 PT. Parazelsus
308 Prolene No. 6/0 W - 8307 pcs - ### - - - 161,172.00 - PT. Metrum
309 Prolene 7 - 0 W 8702 rol - ### - - - 185,352.75 - PT. Metrum
310 Pot Plastik 100 box 50 100 150 50 100 1,650.00 165,000 PT. Metrum
311 Pisau Cukur pcs - ### - - - 1,650.00 -
312 Rol Kayu @ 1 mtr pcs 170 200 370 30 340 4,400.00 1,496,000 PT. Tiga S
313 Rectal Tube No. 24 pcs 3 - 3 - 3 44,000.00 132,000 PT. Metrum
314 Rectal Tube No. 28 pcs 5 - 5 - 5 44,000.00 220,000 PT. Metrum
315 Safil 1 HR 48 pcs - ### - - - 75,982.50 - PT. Akarim
316 Safil 2/0 HR 26 - 90 cm pcs - ### - - - 53,088.75 - PT.Tirta
317 Safil 2/0 HR 37 pcs - ### - - - 56,595.00 - PT. Akarim
318 Scavel Blades No. 11 box 6 - 6 - 6 224,000.00 1,344,000 PT. Metrum
319 Scavel Blades No. 12 box 2 - 2 1 1 209,000.00 209,000 PT. Metrum
320 Scavel Blades No. 15 box 4 ### 8 2 6 224,000.70 1,344,004 PT. Metrum
321 Scavel Blades No. 20 box 4 3 7 1 6 224,000.70 1,344,004 PT. Metrum
322 Scavel Blades No. 21 box 2 - 2 - 2 209,000.00 418,000 PT. Metrum
323 Scavel Blades No. 22 box - ### - - - 224,000.70 -
324 Scavel Blades No. 23 box - ### - - - 209,000.00 - PT. Anugrah
325 Scavel Blades No. 24 box 3 - 3 - 3 209,000.00 627,000 PT. Metrum
326 Sikat Gigi ktk - ### - - - 1,925.00 - PT. D.K.S.H
327 Silk 2 PS .24 pcs - ### - - - 7,590.00 - PT. DKSH T
328 Silk 2 PS .27 pcs 72 - 72 - 72 10,472.00 753,984 PT. Kebayoran
329 Skin Traction Kit Adult ktk 10 - 10 - 10 83,626.40 836,264 PT. A.A.M
330 Skin Traction Kit Child ktk 18 - 18 - 18 61,066.72 1,099,201 PT. A.A.M
331 Silk No. 0 Sw - 214 pcs 48 - 48 - 48 47,008.50 2,256,408 PT. Parazelsus
332 Silk No. 2/0 w - 213 pcs 60 132 192 84 108 46,527.25 5,024,943 PT. Parazelsus
333 Silk No. 3 Sw - 217 pcs - ### - - - 9,413.25 - PT. Parazelsus
334 Silk No. 3/0 w - 502 pcs - ### - - - 38,995.00 - PT. Parazelsus
335 Silk No. 3/0 w - 587 pcs 36 ### 72 36 36 51,348.00 1,848,528 PT. Parazelsus
336 Silk No. 4/0 w - 211 pcs 24 - 24 - 24 9,612.16 230,692 PT. Parazelsus
339 Slik Stupak No. 3/0 Sw - 212 pcs 96 - 96 72 24 40,521.25 972,510 PT. Parazelsus
340 Sodalyme a'5 ltr gln 3 - 3 1 2 512,435.00 1,024,870 PT. Anda Mandiri
Awal Akhir
341 Soft Wire 0,4 mm 8 m pcs - ### - - - 645,465.00 - CV. Tiga Sekawan
342 Soft Wire 0,5 mm 8 m pcs - ### - - - 1,306,662.50 - CV. Tiga Sekawan
343 Softband 4 inc rol 36 - 36 - 36 15,757.50 567,270 PT. A.A.M
344 Softband 6 inc rol 48 - 48 - 48 22,653.18 1,087,353 PT. A.A.M
345 Sosten Adulf pcs - ### - - - 33,000.00 - PT.Tirta
346 Spatula Vagina Kayu pcs - 200 200 100 100 1,100.00 110,000 PT. Metrum
347 Spinocan no. 25 pcs 175 200 375 200 175 23,127.50 4,047,313 PT. Tirta
348 Spinocan no. 27 pcs 50 - 50 - 50 25,520.00 1,276,000 PT. Tirta
349 Spuit Disp Plastik 1 cc pcs 760 - 760 400 360 958.24 344,966 PT. Rajawali
350 Spuit Disp Plastik 3 cc pcs 5,000 13,700 18,700 6,300 12,400 1,020.25 12,651,100 PT. A.P.L
351 Spuit Disp Plastik 5 cc pcs 4,100 12,000 16,100 5,200 10,900 1,232.00 13,428,800 PT. A.P.L
352 Spuit Disp Plastik 10 cc pcs 1,800 2,400 4,200 900 3,300 1,597.75 5,272,575 PT. A.P.L
353 Spuit Disp Plastik 20 cc pcs 214 - 214 - 214 5,981.25 1,279,988 PT. Tirta
354 Spuit Disp Plastik 30 cc pcs 230 150 380 80 300 10,230.00 3,069,000 PT. Tirta
355 Spuit Disp Plastik 50 cc Cat - Typ pcs 95 80 175 - 175 28,050.00 4,908,750 PT. Tirta
356 Spuit Disp Plastik 50 cc Exentrc pcs 110 80 190 20 170 14,913.25 2,535,253 PT. Tirta
357 Spuit Disp Plastik 60 cc Cat - Typ pcs 280 80 360 170 190 10,725.00 2,037,750 PT. A.P.L
358 Stermin Pin 1,2 mm pcs - ### - - - 715,000.00 - PT.D.K.S.H
359 Stenmin Pin 3,5 mm pcs - ### - - - 154,000.00 - PT.D.K.S.H
360 Stenmin Pin 4 mm pcs - ### - - - 154,000.00 - PT.D.K.S.H
361 Stenmin Pin 4,5 mm pcs - ### - - - 154,000.00 - PT. Kebayoran
362 Stenmin Pin 5 mm pcs - ### - - - 154,000.00 - PT. Kebayoran
363 Suction Catheter No. 8 pcs 30 - 30 - 30 11,000.00 330,000 PT. Metrum
364 Suction Catheter No. 10 pcs 20 - 20 - 20 11,000.00 220,000 PT. Metrum
365 Suction Catheter No. 12 pcs 30 - 30 5 25 11,000.00 275,000 PT. Metrum
366 Suction Catheter No. 14 pcs 40 - 40 10 30 11,000.00 330,000 PT. Metrum
367 Surgicel - 1903 pcs - ### - - - 79,047.37 - PT. Akarim
368 Sulfas Magnesicus Cryst kg - ### - - - 154,000.00 - PT.D.K.S.H
369 Surgipro 3/0 Sp 684 pcs - ### - - - 59,345.00 - PT. D.K.S.H
370 Surgipro 4/0 631 pcs - ### - - - 59,162.40 -
371 Surgipro 5/0 Sp 661 pcs - ### - - - 59,092.00 -
372 Silk Stupak No. 2/0 Sw - 213 pcs - ### - - - 8,085.00 - PT. Alkarim
373 Silk Stupak 2 SW 216 pcs 24 - 24 24 - 10,831.26 - PT. Parazelsus
374 Screw 4,5 mm L 30 mm pcs - - - - - 109,862.50 - PT. Kebayoran
375 Screw 4,5 mm L 32 mm pcs - - - - - 109,862.50 - PT. Kebayoran
376 Silk Black 6/0 W 529 H pcs - 36 36 - 36 56,471.25 2,032,965 PT. D.K.S.H T
377 Silk Black 5/0 W 580 pcs - ### - - - 52,228.70 - PT. Metrum
378 Skin Stapler 35 Steples PMW 35 pcs - ### - - - 1,056,000.00 - PT. DKSH T
379 Skin Stapler Extractor PSX pcs - ### - - - 110,000.00 - PT. DKSH T
380 Surgipro 4/0 Sp 631 pcs - ### - - - 59,162.40 - PT. Mega MM
381 Surgipro 5/0 SP 5681 pcs - ### - - - 59,400.00 - PT. Metrum
382 T.Cromic PC 37 pcs - ### - - - 8,992.50 - PT. Brataco
383 T. Chromic PC 39 pcs - ### - - - 45,628.00 - PT. Metrum
384 T. Chromic PC 40 pcs - ### - - - 11,343.75 - Apotik Aditya
385 T.Chromic Monofelamend C 29 pcs - ### - - - 53,762.50 - PT. Surgika
386 T.Chromic Monofelamend PC 40 pcs - ### - - - 198,343.75 - PT. Fondaco
387 T. Nylon 3 - 0 N 32 pcs 12 24 36 12 24 35,997.50 863,940 PT. Kebayoran
388 T. Nylon 4 - 0 N 37 pcs 24 - 24 - 24 35,997.50 863,940 PT. Kebayoran
389 T. Nylon Blue Mono N 32 pcs - ### - - - 35,997.50 - PT. Akarim
390 T. Tube no. 4 pcs 1 - 1 - 1 302,500.00 302,500 PT. Metrum
391 T. Tube no. 5 pcs - ### - - - 302,500.00 - PT. Tirta
392 T. Tube no. 7 pcs - ### - - - 302,500.00 - PT. Merapi Utama
393 T.Vio 1 - 0 V 15 pcs 60 - 60 - 60 66,852.50 4,011,150 PT. Kebayoran
394 T. Vio 3-0 V 33 pcs 120 - 120 36 84 54,697.50 4,594,590 PT. Kebayoran
395 T. Vio Gakin Pack 2 pcs 72 ### 144 72 72 82,500.00 5,940,000 PT. Kebayoran
396 T. Vio Pal 1 V 14 pcs - ### - - - 55,445.50 - PT. Tirta
397 T. Vio Pal 1 V 16 pcs - ### - - - 66,759.00 - PT. Tirta
Awal Akhir
398 T. Vio Pal 2/0 V 8 pcs 36 ### 72 - 72 65,917.50 4,746,060 PT. Kebayoran
399 T.Plain 2 PP 31 pcs - ### - - - 13,370.50 - PT. A.P.L
400 T.Plain Monofilanent 1 PP 33 pcs 84 - 84 36 48 14,960.00 718,080 PT. Kebayoran
401 T.Plain Monofilanent 2/0 P 31 pcs 108 - 108 36 72 13,370.50 962,676 PT. Kebayoran
402 T.Vio 4 - 0 V 3 pcs - ### - - - 46,189.00 - PT. Anugrah
403 T.Vio.Polyglycohde 3/0 V 7 pcs - ### - - - 47,223.00 - PT. Mega MM
404 Talcum Venetum @ 1 kg sak - ### - - - 3,300.00 - PT. Kebayoran
405 Talcum Venetum @ 25 kg sak 25 - 25 - 25 3,300.00 82,500 PT. Brataco
406 Tensocrepe 4 inc rol 18 60 78 42 36 42,427.49 1,527,390 PT. A.A.M
407 Tensocrepe 6 inc rol 18 24 42 12 30 55,724.30 1,671,729 PT. A.A.M
408 Tisu Gulung rol 80 60 140 60 80 2,750.00 220,000 PT. Tiga S
409 Trachestomy 3,5 pcs 1 - 1 - 1 177,650.00 177,650 PT. Surgika
410 Trachestomy 4.5 pcs - ### - - - 247,775.00 - PT. Anda Mandiri
411 Trachestomy 7 pcs 3 - 3 - 3 440,000.00 1,320,000 PT. Akarim
412 Trachestomy 7,5 pcs 3 - 3 - 3 440,000.00 1,320,000 PT. Akarim
413 Tranfusi Set pcs 480 256 736 250 486 12,100.00 5,880,600 PT. Merapi Utama
414 Trocar No. 16 pcs - ### - - - 198,343.75 - PT. Metrum
415 Trocar No. 20 pcs 2 - 2 - 2 198,343.75 396,688 PT. M 3
416 Trocar No. 24 pcs 4 - 4 - 4 198,343.75 793,375 PT. Tirta
417 Trocar No. 28 pcs 3 - 3 - 3 198,343.75 595,031 PT. Tirta
418 Trocar No. 32 pcs 5 10 15 5 10 198,343.75 1,983,438 PT. Tirta
419 Trocofix 10 mx 4 cm rol - ### - - - 42,169.48 - PT.Parit Padang
420 Trocofix 10 mx 6 cm rol - ### - - - 59,241.60 - PT. Metrum
421 Trocofix 10 mx 8 cm rol - ### - - - 73,845.36 - PT. Metrum
422 T. Cromic Gakin Pack 1 pcs 60 - 60 - 60 82,500.00 4,950,000 PT. Kebayoran
423 T. Cromic No.2 C29 pcs 48 - 48 24 24 53,762.50 1,290,300 PT. Kebayoran
424 T. Vio 1 V 15 pcs - ### - - - 62,832.00 - PT. Dos Ni Roha
425 T.Vio 3 - 0 V 33 pcs - ### - - - 48,596.63 - PT. Kebayoran
426 Tegaderm 9cm x 25 cm pcs - ### - - - 672,980.00 - PT. Dos Ni Roha
427 Umbilical Cord Clamp pcs 30 - 30 - 30 1,320.00 39,600 PT. Metrum
428 Underped Biru pcs - ### - - - 57,200.00 - PT. Kebayoran
429 Urine Bag pcs 830 500 1,330 450 880 4,125.00 3,630,000 PT. Mitra SS
430 Urine Bag Terumo pcs 15 - 15 - 15 66,000.00 990,000 PT. Tirta
431 Vaselin Alba kg - ### - - - 38,500.00 - PT. Dos Ni Roha
432 Verband 4x8 Cm rol 2,700 6,000 8,700 2,500 6,200 935.00 5,797,000 PT. Metrum
433 Verifix - 400 - 18 X 3,25 pcs - ### - - - 259,600.00 - PT. Kebayoran
434 Vicryl No. 0 W - 9121 pcs - ### - - - 68,458.05 - PT. Kebayoran
435 Vicryl No. 0 W - 9141 pcs - ### - - - 72,517.50 - PT. Dos Ni Roha
436 Vicryl No. 0 W - 9420 pcs - ### - - - 71,280.00 - PT. Kebayoran
437 Vicryl No. 1 W - 371 H pcs 72 ### 144 108 36 80,939.38 2,913,818 PT. Parazelsus
438 Vicryl No. 1 W - 9465 pcs - ### - - - 69,052.50 - PT. Metrum
439 Vicryl No.1 VCP 371 H pcs - ### - - - 69,322.90 -
440 Vicryl No. 1 VCP 519 H pcs 36 72 108 36 72 74,190.41 5,341,710 PT. Kebayoran
441 Vicryl No. 2/0 VCP 317 H pcs 36 72 108 72 36 69,609.37 2,505,937 PT. Kebayoran
442 Vicryl No. 2/0 VCP 517 H pcs 72 36 108 36 72 76,956.45 5,540,864 PT. Kebayoran
443 Vicryl No. 2/0 J - 472 H pcs - ### - - - 79,299.00 - PT. Metrum
444 Vicryl No. 2/0 W - 9246 pcs 24 - 24 - 24 106,449.75 2,554,794 PT. Parazelsus
445 Vicryl No. 2 W - 9378 pcs - ### - - - 80,264.25 - PT. DKSH T
446 Vicryl No. 2/0 W - 9463 pcs - ### - - - 72,052.00 - PT. M 3
447 Vicryl No. 3/0 VCP 316 H pcs 72 - 72 - 72 69,609.37 5,011,875 PT. Kebayoran
448 Vicryl No. 3/0 VCP 452 H pcs 72 36 108 36 72 65,268.95 4,699,364 PT. Parazelsus
449 Vicryl No. 3/0 W - 9120 pcs - ### - - - 61,875.00 - PT. Metrum
451 Vicryl No. 3/0 W - 9511 pcs - ### - - - 55,499.50 - PT. Kebayoran
452 Vicryl No. 4/0 VCP 310 H pcs 36 ### 72 36 36 75,828.96 2,729,843 PT. Parazelsus
454 Vicryl No. 4/0 W - 9346 pcs - ### - - - 57,271.50 - PT. D.K.S.H
Awal Akhir
456 Vicryl No. 4/0I W - 9570 pcs 24 - 24 - 24 65,241.00 1,565,784 PT. Kebayoran
458 Vicryl No. 5/0 W - 9442 pcs - ### - - - 63,855.00 - PT. Global Kesuma
459 Vicryl No. 6 - 0 W 9500 pcs - ### - - - 106,338.37 - PT. Kebayoran
460 Vicryl no. 6/0 W 9552 pcs - ### - - - 202,083.75 - Apotik Aditya
461 Vicryl No. 6/0 J - 302 pcs - ### - - - 78,952.50 - PT. Surgika
462 Vicryl No. 6/0 J - 9500 pcs - ### - - - 84,100.50 -
463 Vicryl no. 8/0 W- 9560 pcs 12 - 12 - 12 204,930.00 2,459,160 PT. Parazelsus
464 Verifix - 400 - 16. 6 X 3,5 pcs - ### - - - 259,600.00 - PT. D.K.S.H
465 Vicryl 3/0 Vcp 316 ( 9120 ) pcs - ### - - - 69,609.37 - PT. Metrum
466 Vicryl no 5/0 VCP 303 H pcs - ### - - - 62,020.00 - PT. Kebayoran
467 Vicryl No. I W - 9451 pcs - ### - - - 83,160.00 -
468 Vicryl VCP 340 H pcs - ### - - - 62,447.00 - PT. Metrum
469 Wavicide-01 pcs - ### - - - 550,000.00 - PT. D.K.S.H
470 Wing Needle 23 G pcs 220 - 220 20 200 7,425.00 1,485,000 PT. Tirta
471 Wing Needle 25 G pcs 195 - 195 50 145 7,425.00 1,076,625 PT. D.K.S.H
472 Wing Needle 27 G pcs - ### - - - 7,425.00 -
473 Wire Coil 06 mm, 8 mm pcs - ### - - - 1,306,662.50 - PT. D.K.S.H
474 Wire Coil 0,4 mm pcs - ### - - - 1,306,662.50 - PT. Kebayoran
475 292 - 460 - KW 06 DB 70 mm pcs - ### - - - 48,015.00 - PT. Kebayoran
476 411908 - 2-0 MCSS - Tap 8 Cortex pcs - ### - - - 158,062.40 - PT. D.K.S.H
477 411910 - 2-0 MCSS - Tap 8 Cortex pcs - ### - - - 158,062.00 -
478 447.100 Adap Plate 2 - 0 pcs - ### - - - 1,809,131.50 - PT. Kebayoran
JUMLAH 555,582,273

Dra. Azwinar, Apt

NIP. 19530115 198503 2 00 2
Alat Kesehatan IGD JANUARI 2010
SALDO KELUAR BARANG Harga HARGA HARGA HARGA HARGA SISA
NO. NAMAOBAT SAT MASUK JLH SISA STOCK
AWAL ASK SWK KELUAR Jual KLR /swk KLR /ask KELUAR STOCK
1 I.V Cateter 14 T set 36 - 36 - - - 36 9,000 - - - 324,000
2 I.V Cateter 16 T set 32 - 32 - - - 32 9,000 - - - 288,000
3 I.V Cateter 18 T set 23 - 23 - - - 23 9,000 - - - 207,000
4 I.V Cateter 20 T set 258 - 258 - - - 258 9,000 - - - 2,322,000
5 I.V Cateter 22 T set 222 - 222 - - - 222 9,000 - - - 1,998,000
6 I.V Cateter 24 T set 118 - 118 - - - 118 9,000 - - - 1,062,000
7 I.V Cateter 18 set - ### - - - - - 9,000 - - - -
8 I.V Cateter 20 set - ### - - - - - 9,000 - - - -
9 I.V Cateter 22 set - ### - - - - - 9,000 - - - -
10 I.V Cateter 24 set - ### - - - - - 9,000 - - - -
11 Arm Sling no. S set 3 - 3 - - - 3 78,650 - - - 235,950
12 Arm Sling no. M set 3 - 3 - - - 3 78,650 - - - 235,950
13 Arm Sling no. L set 1 - 1 - - - 1 121,000 - - - 121,000
14 Arm Sling no. XL set 5 - 5 - - - 5 121,000 - - - 605,000
15 Blood set set 26 - 26 - - - 26 16,500 - - - 429,000
16 Colostomy Bag no. 2 set 30 - 30 - - - 30 5,600 - - - 168,000
17 Colostomy Bag no. 3 set 45 - 45 - - - 45 8,300 - - - 373,500
18 Condom Cateter ( S ) set - ### - - - - - 6,001 - - - -
19 Condom Cateter ( M ) set - ### - - - - - 3,000 - - - -
20 Condom Cateter ( L ) set 38 - 38 - - - 38 12,100 - - - 459,800
21 Camelux set 12 - 12 - - - 12 10,000 - - - 120,000
22 Cervical Collar S set - ### - - - - - 266,200 - - - -
23 Cervical Collar M set - ### - - - - - 266,200 - - - -
24 Cervical Collar L set - ### - - - - - 266,200 - - - -
25 Elastis Verban 4 inc set - ### - - - - - 33,700 - - - -
26 Elastis Verban 6 inc set - ### - - - - - 44,000 - - - -
27 F. Catheter 6 set 8 - 8 - - - 8 104,500 - - - 836,000
28 F.Catheter 8 set 3 - 3 - - - 3 71,900 - - - 215,700
29 F.Catheter 10 set 6 - 6 - - - 6 54,450 - - - 326,700
30 F.Catheter 12 set 10 - 10 - - - 10 13,100 - - - 131,000
31 F.Catheter 14 set 2 - 2 - - - 2 12,300 - - - 24,600
32 F.Catheter 16 set 61 - 61 - - - 61 12,300 - - - 750,300
33 F.Catheter 18 set 38 - 38 - - - 38 12,300 - - - 467,400
34 F.Catheter 20 set - ### - - - - - 12,300 - - - -
35 F.Catheter 24 set - ### - - - - - 12,300 - - - -
36 F.Catheter Treewey 24 set 15 - 15 - - - 15 48,400 - - - 726,000
37 F.Catheter Treewey 20 set 4 - 4 - - - 4 48,400 - - - 193,600
38 F.Catheter Treewey 18 set - ### - - - - - 52,900 - - - -
42 Gypsona 4 inc set - ### - - - - - 28,500 - - - -
43 Gypsona 6 inc set - ### - - - - - 36,850 - - - -
44 Hypafix 4 inci set - ### - - - - - 13,500 - - - -
45 Hypafix 6 inci set - ### - - - - - 15,500 - - - -
46 Infusion set macro set 419 - 419 - - - 419 5,500 - - - 2,304,500
47 Infusion set micro set 265 - 265 - - - 265 7,200 - - - 1,908,000
48 Kasa Steril set - ### - - - - - 5,000 - - - -
49 NGT no.3,5 set 14 - 14 - - - 14 11,100 - - - 155,400
50 NGT no.5 pendek set 20 - 20 - - - 20 12,400 - - - 248,000
51 NGT no.5 panjang set 2 - 2 - - - 2 12,400 - - - 24,800
52 NGT no.6 pendek set 13 - 13 - - - 13 12,400 - - - 161,200
53 NGT no. 6 panjang set - ### - - - - - 12,400 - - - -
54 NGT no.8 pendek set 10 - 10 - - - 10 12,400 - - - 124,000
55 NGT no.8 panjang set 11 - 11 - - - 11 12,400 - - - 136,400
56 NGT no.10 set 10 - 10 - - - 10 15,800 - - - 158,000
57 NGT no.12 set 7 - 7 - - - 7 14,100 - - - 98,700
58 NGT no.14 set 4 - 4 - - - 4 14,100 - - - 56,400
59 NGT no.16 set 3 - 3 - - - 3 14,100 - - - 42,300
60 NGT no.18 set 7 - 7 - - - 7 14,100 - - - 98,700
61 NGT no.20 set - ### - - - - - 15,800 - - - -
62 Nald no. 22 set - ### - - - - - 14,100 - - - -
63 Nald no. 18 set - ### - - - - - 14,100 - - - -
64 Nald no. 23 set - ### - - - - - 14,100 - - - -
65 Nelaton Cateter no. 6 set - ### - - - - - 11,000 - - - -
75 Laminaria set - ### - - - - - 38,000 - - - -
76 Masker set - ### - - - - - 1,500 - - - -
77 Pempers S set - ### - - - - - 61,000 - - - -
78 Pampers L set 4 - 4 - - - 4 61,000 - - - 244,000
79 Rol set 24 - 24 - - - 24 5,000 - - - 120,000
80 Softband 4 inc set - ### - - - - - 16,100 - - - -
81 Softband 6 inc set - ### - - - - - 23,300 - - - -
82 Skin Traction Anak set - ### - - - - - 64,300 - - - -
83 Skin Traction Dewasa set - ### - - - - - 184,000 - - - -
84 Spinocain 25 set 50 - 50 - - - 50 21,600 - - - 1,080,000
85 Spinocain 27 set - ### - - - - - 19,500 - - - -
86 Spuit 1 cc set 233 - 233 - - - 233 2,000 - - - 466,000
87 Spuit 3 cc set 614 - 614 - - - 614 1,600 - - - 982,400
88 Spuit 5 cc set 142 - 142 - - - 142 1,300 - - - 184,600
89 Spuit 10 cc set 58 - 58 - - - 58 2,000 - - - 116,000
90 Spuit 20 cc set 11 - 11 - - - 11 4,700 - - - 51,700
91 Spuit 30 cc set 7 - 7 - - - 7 7,900 - - - 55,300
92 Spuit 50 T cc set 8 - 8 - - - 8 21,800 - - - 174,400
93 Spuit 60 cc set 11 - 11 - - - 11 10,100 - - - 111,100
94 Lomatule set 149 - 149 - - - 149 10,000 - - - 1,490,000
95 Tree Way set 95 - 95 - - - 95 16,500 - - - 1,567,500
96 Urine Bag set 32 - 32 - - - 32 4,000 - - - 128,000
97 Top Extension Tube set 12 - 12 - - - 12 22,500 - - - 270,000
98 Suction Cateter 14 set - ### - - - - - 7,260 - - - -
99 Supratul set - ### - - - - - 8,400 - - - -
100 Throcart no. 20 set - ### - - - - - 218,300 - - - -
101 Wing Nedle no.21 set - ### - - - - - 9,700 - - - -
102 Wing Nedle no.23 set 27 - 27 - - - 27 6,800 - - - 183,600
103 Wing Nedle no.25 set 17 - 17 - - - 17 6,800 - - - 115,600
104 Wing Nedle no.27 set - ### - - - - - 6,800 - - - -
Jumlah . - - - 25,477,100
SISA STOCK ASKES RAWAT INAP
HARGA HARGA HARGA

NO. NAMA OBAT SAT SALDO MASUK JLH KELUAR SISA
SATUAN KELUAR AKHIR
1 Anzatax inj inj 47 118 165 125 40 550,000 68,750,000 22,000,000
2 Actrapid HM 100 IU fls 5 - 5 2 3 200,000 400,000 600,000
3 Actrapid Novolet fls 7 6 13 7 6 93,300 653,100 559,800
4 Actoplatin Amp amp - 2 2 - 2 825,081 - 1,650,162
4 Acyclovir 200 tab 2 - 2 - 2 300 - 600
5 Acyclovir 400 tab 35 157 192 180 12 440 79,200 5,280
6 Acyclovir Salep fls 4 5 9 6 3 2,250 13,500 6,750
7 Adalat Oros 30 mg tab 40 360 400 296 104 3,275 969,400 340,600
8 Adrycin 10 mg amp - - - - - 76,105 - -
9 Adrycin 50 mg amp - - - - - 378,201 - -
10 Albafure 20 % 100 ml fls - - - - - 943,800 - -
11 Albafure 50 cc fls - - - - - 330,000 - -
12 Albendazole 400 mg tab 24 - 24 - 24 326 - 7,824
13 Alinamin F inj amp 28 - 28 15 13 7,270 109,050 94,510
14 Alletrol TTM fls - - - - - 6,000 - -
15 Allopurinol 100 mg tab 89 500 589 385 204 120 46,200 24,480
16 Allopurinol 300 mg tab 118 - 118 15 103 223 3,345 22,969
17 Alphamol 500 mg tab tab - - - - - 35 - -
18 Alprazolam 0,5 tab - - - - - 55 - -
19 Alprazolam 1 tab - - - - - 900 - -
20 Ambroxol 30 mg tab 9 100 109 54 55 113 6,116 6,229
21 Ambroxol syr btl 63 200 263 231 32 2,584 596,904 82,688
22 Amdixal tab 82 571 653 513 140 1,790 918,270 250,600
23 Aminophyllin 200 mg tab - - - - - 80 - -
24 Aminofusin H fls 15 40 55 8 47 60,100 480,800 2,824,700
25 Aminofusin L 600 fls 7 100 107 60 47 38,000 2,280,000 1,786,000
26 Aminoleban fls 10 7 17 17 - 60,500 1,028,500 -
27 Aminopillin amp amp 154 245 399 257 142 1,192 306,344 169,264
28 Aminoplasma 5% amp 51 70 121 115 6 45,375 5,218,125 272,250
29 Aminosteril amp - - - - - 48,000 - -
30 Aminovel - 600 fls 18 84 102 102 - 32,545 3,319,590 -
31 Amiparen fls 1 - 1 1 - 47,400 47,400 -
32 Amitriptyline Tab tab 86 200 286 111 175 92 10,212 16,100
33 Amlodipin 5 mg tab tab - - - - - 1,000 - -
34 Amoycillin 1 gr inj - - - - - 4,631 - -
35 Amoxycillin syr btl 36 - 36 3 33 2,100 6,300 69,300
36 Amoycillin Tab tab - - - - - 250 - -
37 Ampicillin 1000 mg/ml vial 343 154 497 435 62 2,887 1,255,845 178,994
38 Antalgin tab - - - - - 56 - -
39 Antasida Doen Syrup btl 85 100 185 156 29 2,693 420,108 78,097
40 Antasida Doen Tab tab 862 - 862 43 819 44 1,892 36,036
41 Anti Hemoroid Supp supp 14 20 34 28 6 1,470 41,160 8,820
42 Antidia tab tab - - - - - 120 - -
43 Apazol Tab tab - - - - - 539 - -
44 Apidra Solostar amp 6 - 6 1 5 102,856 102,856 514,280
45 Aptor 100 mg tab 364 500 864 398 466 139 55,322 64,774
46 Aquadest vial 659 1,822 2,481 1,941 540 1,040 2,018,640 561,600
47 Arixtra 2,5 vial 10 - 10 8 2 341,220 2,729,760 682,440
48 Asabium 10 mg tab tab 311 954 1,265 862 403 950 818,900 382,850
49 Asam Ascorbat 50 mg tab 99 1,030 1,129 294 835 19 5,586 15,865
50 Asam Folat 5 mg tab 1,888 - 1,888 1 1,887 31 31 58,497
51 Asam Mefenamat 500 tab 824 4,009 4,833 3,823 1,010 110 420,530 111,100
52 Asam Traneksamat 500 tab 489 300 789 536 253 750 402,000 189,750
53 Asam Traneksamat Injeksi amp - - - - - 4,700 - -
54 Aspilets 80 tab 468 500 968 633 335 140 88,620 46,900
55 Atarax 0,5 tab 598 1,003 1,601 961 640 550 528,550 352,000
56 Atmacid syr btl 84 60 144 117 27 2,650 310,050 71,550
57 Atropine Sulfas1 mg / ml inj 203 200 403 183 220 1,250 228,750 275,000
58 Atroven inhaler tbg - - - - - 71,000 - -
59 Avtrapid Penfil 100 IU fls - - - - - 234,700 - -
60 Bekarbon tab 237 - 237 - 237 100 - 23,700
61 Benefos amp amp - - - - - 140,250 - -
62 Benozyt Tab tab - 6 6 3 3 15,400 46,200 46,200
62 Berotec inhaler tbg - 1 1 - 1 68,500 - 68,500
63 Betahistine Mesilat 6 mg tab 1 - 1 - 1 924 - 924
64 Beta One tab - - - - - 1,950 - -
65 Betason Crem btl - 27 27 18 9 2,529 45,522 22,761
66 Biocencor 7 Fr set 3 50 53 50 3 484,000 24,200,000 1,452,000
67 Biocencor No. 5,5 set - - - - - 484,000 - -
68 Biscor Tab tab - - - - - 1,945 - -
69 Bisolvon Amp amp - - - - - 25,388 - -
Page 91
HARGA HARGA HARGA
SATUAN KELUAR AKHIR
70 Bisoprolol 5 mg tab 50 420 470 393 77 2,444 960,492 188,188
71 Blenamax 15 mg amp 6 - 6 - 6 286,000 - 1,716,000
72 Bleocin injeksi vial 1 - 1 - 1 401,500 - 401,500
73 Borax glicrerin tube 9 - 9 1 8 3,000 3,000 24,000
74 Brexel 20 mg Amp fls 4 4 8 4 4 1,189,999 4,759,996 4,759,996
75 Brexel 80 mg Amp fls 3 3 6 4 2 359,999 1,439,996 719,998
76 Bronsolvon tab 7 100 107 32 75 315 10,080 23,625
77 Buret Mikro Drips set - - - - - 74,500 - -
78 Burnazin Cream 35 gr tube 6 20 26 16 10 28,900 462,400 289,000
79 Buscopan Amp amp - - - - - 22,600 - -
80 Calcigord Retard Tab tab 33 30 63 36 27 1,573 56,628 42,471
81 Calcium Gluconat 10 ml amp 13 24 37 8 29 5,763 46,104 167,127
82 Captopril 12,5 mg tab 220 1,189 1,409 1,176 233 71 83,496 16,543
83 Captopril 25 mg tab 229 1,112 1,341 989 352 138 136,482 48,576
84 Captopril 50 mg tab 1 - 1 - 1 236 - 236
85 Carbamazepine 200 mg tab 101 - 101 41 60 317 12,997 19,020
86 Carboplatin 150 ml vial - - - - - 290,200 - -
87 Carboplatin 450 ml vial - 4 4 - 4 699,000 - 2,796,000
88 Carbosin 150 mg fls 3 - 3 - 3 290,200 - 870,600
89 Carbosin 450 mg fls 1 - 1 - 1 35,000 - 35,000
90 Cardiject amp 36 90 126 95 31 35,000 3,325,000 1,085,000
91 Carpiaton 25 mg tab - - - - - 540 - -
92 Catapres amp tab 4 - 4 - 4 25,250 - 101,000
93 CE ALB 20 % 100 ML fls 3 54 57 47 10 640,000 30,080,000 6,400,000
94 CE ALB 20 % 50 ML fls 6 5 11 7 4 284,900 1,994,300 1,139,600
95 Cedocard amp - 50 50 40 10 47,500 1,900,000 475,000
96 Cefadroxyl 250 mg tab 492 200 692 435 257 380 165,300 97,660
97 Cefadroxyl 500 mg tab 34 - 34 - 34 1,281 - 43,554
98 Cefadroxil syr fls 16 25 41 19 22 7,230 137,370 159,060
99 Cefixim tab tab 13 - 13 - 13 2,395 - 31,135
100 Cefotaxim 1 gr inj fls 323 3,526 3,849 2,703 1,146 9,643 26,065,029 11,050,878
101 Cefotaxim 0,5 gr inj vial - - - - - 4,450 - -
102 Ceftriaxon 1 gr amp 227 2,531 2,758 1,969 789 10,610 20,891,090 8,371,290
103 Cellcept 500 mg tab 41 - 41 - 41 16,000 - 656,000
104 Cendo carpine 2 % TM strep 3 - 3 - 3 6,000 - 18,000
105 Cendo carpine 4 % TM strep 5 - 5 5 - 29,045 145,225 -
106 C. Homatro 2 % fls 1 - 1 - 1 8,200 - 8,200
107 C. Lytrers fls 6 - 6 4 2 7,505 30,020 15,010
108 C. Mydriatyl 1 % e/d fls - 2 2 1 1 15,000 15,000 15,000
109 Cendo Optalgon fls 5 - 5 - 5 14,941 - 74,705
110 Cendo timolol 0,5 % e/d fls - - - - - 9,500 - -
111 Cendo tropin 0,5 % e/d fls - - - - - 4,000 - -
112 Cendo Xitrol M.D fls - - - - - 22,688 - -
113 Cefazolin 1gr inj tab 42 - 42 - 42 23,930 - 1,005,060
114 Certovik FR no. 4 set 3 - 3 1 2 484,000 484,000 968,000
115 Certovik FR No. 5 set 2 12 14 12 2 484,000 5,808,000 968,000
116 Certovik FR no. 7 V 720 set 2 3 5 - 5 686,070 - 3,430,350
117 Certovik No. 7 2725 set 1 3 4 4 - 484,000 1,936,000 -
118 Cetadop vial 69 12 81 35 46 14,000 490,000 644,000
119 Cetirizime Tab tab 12 50 62 3 59 330 990 19,470
120 Chloramex Amp amp 182 1 183 48 135 6,000 288,000 810,000
121 Chloramphenicol 250 mg capsul 197 - 197 40 157 154 6,160 24,178
122 Chloramphenicol S.Mata 1 % strep 11 - 11 11 - 1,470 16,170 -
123 Chloramphenicol syr fls 4 - 4 2 2 2,700 5,400 5,400
124 Chloramphenicol TT strep - - - - - 1,800 - -
125 Chloramphenicol TM strep - - - - - 2,500 - -
126 Chloroquine tab 136 - 136 10 126 58 584 7,363
127 Ciprofloxacin drip fls 17 1,478 1,495 1,382 113 49,980 69,072,360 5,647,740
128 Ciprofloxacin Novel fls 63 - 63 - 63 49,980 - 3,148,740
129 Cisplatin 10 mg / vial vial 11 23 34 19 15 30,000 570,000 450,000
130 Cisplatin 50 mg / vial vial 2 7 9 5 4 138,600 693,000 554,400
131 Citi coline amp 506 738 1,244 522 722 16,500 8,613,000 11,913,000
132 Civell Drip fls 77 72 149 116 33 50,000 5,800,000 1,650,000
133 Clobazam 10 mg tab - - - - - 950 - -
134 Clindamycin 150 mg kapl 10 - 10 - 10 680 - 6,800
135 Clindamycin 300 mg tab 243 920 1,163 940 223 753 707,820 167,919
136 Co Amoxiclav Tab tab 6 - 6 - 6 3,630 - 21,780
137 Codein 10 mg tab 11 250 261 201 60 71 14,271 4,260
138 Colostomy Bag No. 3 set 35 60 95 43 52 6,050 260,150 314,600
139 Colsancetin 1 gr amp - - - - - 7,000 - -
140 Comafusin Hepar fls 5 81 86 52 34 67,000 3,484,000 2,278,000
141 Combivent Nebulezer fls 102 200 302 212 90 7,957 1,686,823 716,104
142 Cordase 5 mg tab tab - - - - - 2,200 - -
143 Corsabutol 500 mg tab - - - - - 526 - -
144 Corsalit Sachet sachet - - - - - 300 - -
Page 92
HARGA HARGA HARGA
SATUAN KELUAR AKHIR
145 Corsamet 200 mg tab tab 108 - 108 51 57 72 3,672 4,104
146 Corsatrosin syr fls 1 - 1 - 1 6,600 - 6,600
147 Corsazinamid Tab tab - - - - - 219 - -
148 Corstanal 500 mg tab tab - - - - - 109 - -
149 Cotrimoxazole syr btl - - - - - 2,035 - -
150 Curacil 250 mg fls - 1 1 - 1 17,850 - 17,850
151 Curacil 500 mg fls - 1 1 - 1 31,500 - 31,500
152 Curcuma tab 445 9 454 258 196 275 70,950 53,900
153 Cyclophosphamide 1000 mg amp 7 3 10 6 4 231,000 1,386,000 924,000
154 Cyclophosphamide 50 mg amp 21 - 21 - 21 2,579 - 54,159
155 Cyclophospamid 200 amp - - - - - 75,000 - -
156 Cyclovid 200 amp 11 40 51 40 11 96,250 3,850,000 1,058,750
157 Cyclovid 1 gr amp 5 3 8 4 4 301,938 1,207,752 1,207,752
158 Dacarbazin 200 mg amp - 5 5 3 2 388,100 1,164,300 776,200
159 Dacarbazin 600 mg amp 6 - 6 6 - 1,040,000 6,240,000 -
160 Daryan Tulle lbr 142 300 442 210 232 9,400 1,974,000 2,180,800
161 Dexamethason 0,5 mg tab 396 1,009 1,405 513 892 24 12,312 21,408
162 Dexamathason inj amp - - - - - 641 - -
163 Depakene Syr fls 2 - 2 - 2 72,867 - 145,734
164 Depakote 250 mg tab 36 - 36 - 36 3,150 - 113,400
165 Desferal 0,5 fls 5 - 5 3 2 108,992 326,976 217,984
166 Dexanta syr fls - - - - - 4,100 - -
167 Dexanta tab tab - - - - - 95 - -
168 Dexazol tab - - - - - 530 - -
169 Dextromethorphan 15 mg tab 561 - 561 234 327 36 8,424 11,772
170 Dextromethorpan syr fls 24 80 104 70 34 1,500 105,000 51,000
171 Dextrose 10% fls 24 47 71 38 33 1,500 57,000 49,500
172 Dextwin Diadenal PD 4 1,5% tab - - - - - 30,705 - -
173 Dextwin Diadenal PD 4 2,5% tab - - - - - 30,705 - -
174 Diadenal 1,5 % amp 12 - 12 12 - 39,930 479,160 -
175 Diazepam 2 mg tab 274 - 274 203 71 13 2,639 923
176 Diazepam 5 mg amp - - - - - 873 - -
177 Diazol Amp Ecosol amp - 202 202 98 104 8,803 862,694 915,512
177 Difenhidramin 10 mg / ml amp - - - - - 500 - -
178 Digoxin 0,25 mg tab 226 100 326 167 159 66 11,022 10,494
179 Diltiazem tab 628 400 1,028 696 332 120 83,520 39,840
180 Dimenhidrinat 50 mg tab 93 - 93 - 93 101 - 9,393
181 Disposibel Spuit 10 cc set 222 520 742 567 175 1,353 767,151 236,775
182 Disposibel Spuit 1 cc set 154 100 254 143 111 905 129,415 100,455
183 Disposibel Spuit 1 cc Insulin set 28 100 128 34 94 1,500 51,000 141,000
185 Disposibel Spuit 3 cc set 547 5,130 5,677 5,147 530 1,049 5,399,203 555,970
187 Disposibel Spuit 5 cc set 612 4,850 5,462 4,879 583 1,009 4,925,204 588,521
189 Disposibel Spuit 60 cc set 85 160 245 177 68 9,152 1,619,904 622,336
190 Ditranex 500 mg amp amp - - - - - 6,200 - -
191 Ditranex 500 mg tab tab - - - - - 450 - -
192 Dobuject inj amp - 47 47 47 - 58,000 2,726,000 -
193 Doburan amp - - - - - 38,478 - -
194 Docycyline tab 138 100 238 82 156 216 17,712 33,696
195 Doksorubicin 10 mg amp 6 100 106 90 16 69,498 6,254,820 1,111,968
196 Doksorubicin 50 mg amp 2 13 15 10 5 329,999 3,299,990 1,649,995
197 Dolana Amp amp - - - - - 2,750 - -
198 Dolgesik inj inj - 15 15 6 9 2,640 15,840 23,760
199 Domperidone 10 mg tab 34 50 84 36 48 416 14,976 19,968
200 Dopamet tab - - - - - 800 - -
201 Double Lumen Able set 3 15 18 7 11 726,000 5,082,000 7,986,000
202 Double Lumen V 1220 set - - - - - 840,000 - -
203 Doxorubicin 10 mg fls 1 10 11 4 7 58,500 234,000 409,500
204 Doxorubicin 50 mg fls 5 25 30 22 8 291,500 6,413,000 2,332,000
205 Dulcolax supp 10 mg supp 50 400 450 263 187 6,650 1,748,950 1,243,550
206 Dulcolax supp 5 mg supp 13 - 13 2 11 6,650 13,300 73,150
207 Dulcolax tab 45 50 95 40 55 550 22,000 30,250
208 Eas Primer fls 43 133 176 145 31 47,000 6,815,000 1,457,000
209 Ebetaxel 30 mg fls - - - - - 665,543 - -
210 Ecoplax set - 50 50 40 10 4,400 176,000 44,000
211 Elkrip tab - - - - - 3,000 - -
212 Eloxatin 100 mg amp - 2 2 2 - 3,465,000 6,930,000 -
213 Eloxatin 50 mg amp - 1 1 - 1 1,760,000 - 1,760,000
214 Encephabol Tab tab 19 - 19 - 19 6,440 - 122,360
215 Endoxan 200 mg amp 16 6 22 20 2 97,901 1,958,020 195,802
216 Enystin Drop fls 63 50 113 98 15 17,000 1,666,000 255,000
217 Ephedrin HCL amp 4 - 4 4 - 13,422 53,688 -
218 Epinefrin / Adrenalin 0,1 % amp 277 200 477 234 243 360 84,240 87,480
219 Epirubicin 10 mg amp - - - - - 160,000 - -
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220 Epirubicin 50 mg amp 3 6 9 5 4 800,000 4,000,000 3,200,000
221 Epotrex 200 IV syringe 22 - 22 22 - 170,499 3,750,978 -
222 Eprex 200 IV syringe 2 36 38 - 38 197,989 - 7,523,582
223 Erythromycin 250 tab 153 - 153 - 153 338 - 51,714
224 Erythromycin 500 tab 242 12 254 152 102 535 81,318 54,569
225 Etadryl inj inj - 2 2 2 - 1,502 3,004 -
226 Etamidon inj 5 2 7 7 - 2,883 20,181 -
227 Ethambutol 250 tab - - - - - 186 - -
228 Ethambutol 500 tab - - - - - 309 - -
229 Ethigent 80 mg / ml amp 417 980 1,397 1,165 232 2,400 2,796,000 556,800
230 Ethiperan inj amp 79 749 828 785 43 1,700 1,334,500 73,100
231 Extr Belladone 20 mg tab 4 - 4 - 4 50 - 200
232 Expafusin fls - - - - - 68,000 - -
233 Farmabes Tab tab 1 - 1 1 - 120 120 -
234 Farnormin 50 tab - - - - - 400 - -
235 Farsix amp 315 613 928 786 142 1,300 1,021,800 184,600
236 Farsorbid inj inj 26 1 27 15 12 46,750 701,250 561,000
237 Farsorbid 5 mg tab 1,314 2,209 3,523 2,764 759 70 193,480 53,130
238 Femara tab 27 - 27 - 27 49,500 - 1,336,500
239 Fenytoin NA 50 mg amp 8 30 38 5 33 50,194 250,970 1,656,402
240 Fenobarbital 30 mg tab 624 - 624 112 512 21 2,352 10,752
241 Ferrosus Sulfhate tab 503 12 515 218 297 22 4,796 6,534
242 Ferrovit Tab tab 19 100 119 23 96 22 506 2,112
243 Fima Hes amp - - - - - 69,000 - -
244 Fimalbumin 20 % 100 ml fls - - - - - 780,000 - -
245 Fitomenadion 10 mg / ml amp 36 271 307 217 90 1,033 224,161 92,970
246 Fladex 500 mg tab tab 992 709 1,701 1,403 298 138 193,614 41,124
247 Fleet Enema pcs - 10 10 - 10 49,503 - 495,030
247 Flurocedil 500 mg amp 18 20 38 26 12 29,920 777,920 359,040
248 Foly Bag Cath no.10 set 4 - 4 2 2 49,500 99,000 99,000
250 Foly Bag Cath no.14 set 2 - 2 2 - 11,158 22,317 -
251 Foly Bag Cath no.16 set 75 50 125 60 65 11,158 669,504 725,296
252 Foly Bag Cath no.18 set 51 150 201 136 65 11,158 1,517,542 725,296
253 Foly Bag Cath Try Way no.18 set 4 - 4 - 4 48,400 - 193,600
255 Foly Bag Cath Try Way no. 20 set 3 - 3 - 3 57,000 - 171,000
256 Foly Bag Cath no.24 set 3 - 3 - 3 11,158 - 33,475
257 Foly Bag Cath Try Way no. 24 set 4 - 4 1 3 57,000 57,000 171,000
258 Foly Bag Cath no. 6 set 4 - 4 1 3 49,500 49,500 148,500
259 Foly Bag Cath no. 8 set 7 - 7 5 2 49,500 247,500 99,000
260 Fraxiparin 0,4 fls 10 - 10 3 7 134,673 404,019 942,711
261 Fucilex Cream tube - - - - - 6,850 - -
262 Fungizide Cream tube - - - - - 8,500 - -
263 Furosemide 10 mg / ml amp 81 809 890 814 76 1,035 842,490 78,660
264 Furosemide 40 mg tab 523 506 1,029 798 231 65 51,870 15,015
265 Fuson crem tube 14 11 25 15 10 8,346 125,190 83,460
266 Gemzar 1 gr inj - - - - - 2,365,000 - -
267 Gemzar 200mg inj - - - - - 506,000 - -
268 Genoint Salap Mata fls 6 1 7 - 7 3,000 - 21,000
269 Genoint Tetes Mata fls - - - - - 3,080 - -
270 Gentamycin sm tube - - - - - 3,000 - -
271 Gentamycin S.Kulit tube - - - - - 4,000 - -
272 Gentian Violet fls 1 - 1 - 1 3,000 - 3,000
273 Glaucon tab 121 - 121 48 73 550 26,400 40,150
274 Glibenklamide tab 130 - 130 36 94 58 2,088 5,452
275 Glimepiride 1mg tab tab 27 - 27 25 2 654 16,350 1,308
276 Glimepiride 2 mg tab tab 38 - 38 - 38 1,757 - 66,766
277 Glimipiride tab 3 mg tab 44 - 44 - 44 1,680 - 73,920
278 Gliguidone tab 129 200 329 112 217 618 69,216 134,106
279 Gliseril Guaiakolat tab 745 - 745 317 428 23 7,291 9,844
280 Glucobay 50 tab 62 - 62 6 56 900 5,400 50,400
281 Glucodex tab 77 418 495 358 137 295 105,610 40,415
282 Glucosamine 250 MPL tab 336 - 336 127 209 605 76,835 126,445
283 Glucosamine 500 MPL tab - - - - - 946 - -
284 Gludepatic tab 400 1,200 1,600 1,179 421 100 117,900 42,100
285 Glukosa 40 % amp 49 140 189 86 103 1,040 89,440 107,120
286 Dex 5 % 100 ml Ecosol fls 26 - 26 4 22 4,400 17,600 96,800
287 Glucosa 5% + Nacl 0,225 % fls 25 143 168 119 49 5,500 654,500 269,500
288 Glucosa 5% + Nacl 0,45 % fls 39 80 119 73 46 5,500 401,500 253,000
289 Glucosa 5 % + Nacl 0,9 % fls 40 - 40 - 40 5,500 - 220,000
290 Glucosa 5 % 100 ml fls 12 - 12 - 12 4,135 - 49,620
291 Glucosa 5 % 500 ml fls 28 6 34 34 - 3,750 127,500 -
292 Dex 5 % 500 ml Ecosol fls 112 380 492 371 121 2,552 946,792 308,792
293 Glycerol 10 % btl 10 - 10 - 10 25,000 - 250,000
294 Grahabion tab 740 1,645 2,385 2,146 239 165 354,090 39,435
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295 Griseofulvin Micronized 125 mg tab 117 - 117 - 117 111 - 12,987
296 Haemostop 500 mg inc - - - - - 4,350 - -
297 Haes Steril fls - - - - - 68,000 - -
298 Haloperidol 0,5 mg tab - - - - - 50 - -
299 Haloperidol 1,5 mg tab 73 - 73 - 73 80 - 5,840
300 Haloperidol 5 mg tab - - - - - 120 - -
301 Hand Slon set 26 50 76 48 28 1,100 52,800 30,800
302 Hemapo 3000 IU amp 20 20 40 18 22 192,500 3,465,000 4,235,000
303 Hemohes amp - - - - - 59,765 - -
304 Herbeser fls 10 - 10 - 10 101,000 - 1,010,000
305 Herbesar CD 100 mg tab - 50 50 33 17 2,750 90,750 46,750
306 Herceptin 440 mg amp - - - - - 21,568,837 - -
307 Hexymer tab 40 - 40 25 15 55 1,375 825
308 Hidroklorotiazide 25 mg (HCT) tab 731 - 731 260 471 18 4,680 8,478
309 Human Albumin 20 % 100 ml fls - - - - - 822,800 - -
310 Human Albumin 20 % 50 ml fls - - - - - 614,000 - -
311 Humolog Mix fls 1 4 5 3 2 118,580 355,740 237,160
312 Humulin 30 / 70 Cadtrid fls - - - - - 82,500 - -
313 Humulin 30 / 70 IU fls 3 3 6 1 5 213,360 213,360 1,066,800
314 Humulin NPH fls 5 3 8 3 5 203,013 609,039 1,015,065
315 Humulin R 100 IU fls 10 10 20 13 7 213,360 2,773,680 1,493,520
316 Hydrea tab 7 - 7 - 7 6,700 - 46,900
317 Hidrocortison 5 % cream tube 12 - 12 4 8 2,000 8,000 16,000
318 Hidrocortison SK 2.5 % tube 7 5 12 - 12 2,308 - 27,696
319 Hydroksi Peroksida T.Telinga fls 12 - 12 5 7 2,000 10,000 14,000
320 Hypafix 4 inc inc 7 15 22 5 17 13,600 68,000 231,200
321 Hytrin 1 mg tab 17 - 17 14 3 2,575 36,050 7,725
322 I.V. Cath no. 14 set 14 - 14 10 4 7,202 72,018 28,807
323 I.V. Cath no. 18 set 117 - 117 27 90 6,930 187,110 623,700
324 I.V. Cath no. 20 set 382 1,200 1,582 1,207 375 6,930 8,364,510 2,598,750
325 I.V. Cath no. 22 set 391 1,000 1,391 1,024 367 6,930 7,096,320 2,543,310
326 I.V. Cath no. 24 set 125 300 425 262 163 6,930 1,815,660 1,129,590
327 I.V. Cath no. 16 set - - - - - 7,202 - -
328 Ibupropen 400 tab - - - - - 148 - -
329 Ikamicetin Salap tab - 22 22 - 22 1,470 - 32,340
330 Iliadin 0,025 % drop fls 6 - 6 2 4 12,620 25,240 50,480
331 Iliadin 0,05 % syr fls 9 10 19 13 6 13,860 180,180 83,160
332 Inamox 500 mg Tab tab 732 509 1,241 819 422 420 343,980 177,240
333 Induxin In inj 64 60 124 94 30 4,350 408,900 130,500
334 Inerson cream tube 34 20 54 33 21 11,800 389,400 247,800
335 Inflamid inhaler tube - - - - - 69,000 - -
336 Infatrim Syr btl - - - - - 2,025 - -
337 Infuset Macro set 283 1,400 1,683 1,423 260 4,124 5,868,452 1,072,240
338 Infuset Micro set 72 50 122 91 31 5,949 541,359 184,419
339 Inotrop amp - - - - - 41,000 - -
340 Insulatard Novolet fls 7 - 7 - 7 82,500 - 577,500
341 Interhistin tab 448 700 1,148 784 364 325 254,800 118,300
342 Interpil 10 mg tab - - - - - 1,350 - -
343 Interpil 5 mg tab - - - - - 715 - -
344 Inviclot fls 22 210 232 209 23 25,000 5,225,000 575,000
345 Iodion Povidon 30 ml fls 86 192 278 227 51 1,739 394,753 88,689
346 Iodion Povidon 60 ml tube - - - - - 3,300 - -
347 Isoket amp 79 30 109 55 54 47,675 2,622,125 2,574,450
348 Isoniazid 100 tab 689 - 689 155 534 25 3,875 13,350
349 Isoniazid 300 tab 593 18 611 590 21 66 39,023 1,389
350 Isosorbid Dinitrat tab - - - - - 59 - -
351 Isotic Adretor fls 6 - 6 - 6 10,449 - 62,694
352 Ivelip In fls 1 3 4 4 - 93,500 374,000 -
353 Jayacin 200 fls 51 98 149 108 41 80,000 8,640,000 3,280,000
354 Ka En 1 B amp - - - - - 11,713 - -
355 Ka En 3 A fls 12 20 32 9 23 8,630 77,670 198,490
356 Ka En 3 B fls 94 1,045 1,139 982 157 8,630 8,474,660 1,354,910
357 KA EN mg 3 1000 ml inf 2 - 2 - 2 17,210 - 34,420
358 KA EN mg 3 500 ml inf 2 - 2 - 2 13,283 - 26,566
359 Kalbamin fls 12 245 257 255 2 49,000 12,495,000 98,000
360 Kalitake tab 20 - 20 - 20 9,250 - 185,000
361 Kalium Diklofenac 25 tab tab - - - - - 1,391 - -
362 Kalium Diklofenac 50 tab tab - - - - - 708 - -
363 Kalmetashon Amp amp 40 1,832 1,872 1,301 571 2,586 3,364,386 1,476,606
364 Kalnex 500 tab - - - - - 750 - -
365 Kalnex amp 174 1,073 1,247 1,247 - 4,700 5,860,900 -
366 Kalsium Laktat 500 mg tab 947 - 947 - 947 39 - 36,933
367 Kalxetin 20 tab 48 30 78 43 35 818 35,174 28,630
368 Kamadol amp - - - - - 2,640 - -
369 Kanamycin 250 mg tab 80 - 80 16 64 1,270 20,320 81,280
370 KCL Serbuk zak - - - - - 1 - -
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371 Kendaron tab - - - - - 19,539 - -
372 Ketokonazole 200 mg tab 81 - 81 34 47 324 11,016 15,228
373 Ketoconazol (Sporex Cream) tube 8 - 8 3 5 2,649 7,947 13,245
374 Ketoprofen 50 mg tab 23 - 23 - 23 275 - 6,325
375 Ketorolac 30 mg fls 629 2,257 2,886 2,492 394 14,850 37,006,200 5,850,900
376 Klonidin 0,15 mg tab 84 - 84 6 78 205 1,230 15,990
377 Klorfeniramin 4 mg tab 561 - 561 319 242 6,500 2,073,500 1,573,000
378 Klorpromazine 100 mg tab 23 - 23 19 4 83 1,577 332
379 Koate 250 ml amp - 26 26 20 6 986,637 19,732,740 5,919,822
380 Cotrimoxazole 120 tab - - - - - 12 - -
381 Cotrimoxazole 480 tab 43 - 43 36 7 371 13,356 2,597
382 KSR tab 115 532 647 565 82 290 163,850 23,780
383 Kuinine 222 mg tab 647 - 647 6 641 651 3,906 417,291
384 Kutoin tab 6 - 6 6 - 220 1,320 -
385 Lantus inj amp 7 3 10 6 4 102,845 617,070 411,380
386 Lansoprazol tab 204 1,401 1,605 1,523 82 1,760 2,680,480 144,320
387 Laproton tab 42 60 102 42 60 902 37,884 54,120
388 Laxadine syr fls 20 - 20 4 16 12,000 48,000 192,000
389 Lazapin 500 tab - - - - - 2,000 - -
390 Leparson tab - - - - - 1,950 - -
391 Leucogen fls - 10 10 6 4 396,000 2,376,000 1,584,000
392 Leucovorin 50 mg fls 51 - 51 - 51 218,000 - 11,118,000
393 Leukokine 300 mg fls 3 11 14 14 - 366,000 5,124,000 -
394 Leunase fls - - - - - 704,500 - -
395 Levertan Zalf tube 7 - 7 7 - 2,200 15,400 -
396 Levemir injeksi inj 3 5 8 4 4 109,009 436,036 436,036
397 Levofloxacin inj 50 212 262 189 73 78,959 14,923,251 5,764,007
398 Levofloxcine 500 mg tab 19 30 49 27 22 218,000 5,886,000 4,796,000
399 Levothyroxine tab tab 4 - 4 - 4 815 - 3,260
400 Levoxal inj 38 25 63 16 47 81,400 1,302,400 3,825,800
401 Lidocain 2 %+Epinefrin Komb 2 ml amp 97 100 197 90 107 452 40,680 48,364
402 Lipofundin In amp - 1 1 - 1 93,500 - 93,500
402 Lodem Tab tab 54 - 54 - 54 975 - 52,650
403 Lodomer inj fls 23 12 35 6 29 9,020 54,120 261,580
404 Lomatulle set - - - - - 9,400 - -
405 Lovenox 0,4 fls 16 20 36 18 18 133,474 2,402,532 2,402,532
406 Lovenox 0,6 fls 28 32 60 55 5 190,938 10,501,590 954,690
407 Ludiomil 25 tab - - - - - 2,500 - -
408 Ludiomil 50 tab 42 - 42 25 17 10,899 272,475 185,283
409 Lynoral tab 12 - 12 - 12 1,000 - 12,000
410 Mabthera 500 ml btl - - - - - 17,407 - -
411 Magnesium Sulfat 20 % fls 4 - 4 - 4 1,774 - 7,096
412 Magnesium Sulfat 30 mg bks - - - - - 1,027 - -
413 Magnesium Sulfat 40 % fls 48 - 48 22 26 2,380 52,360 61,880
414 Manitol fls 18 63 81 48 33 35,500 1,704,000 1,171,500
415 Martos 10 fls 28 20 48 19 29 37,015 703,285 1,073,435
416 Maxicep 1 gr btl - - - - - 270,132 - -
417 Meloxicam 15 tab 220 401 621 393 228 1,485 583,605 338,580
418 Meloxicam 7,5 tab 118 100 218 4 214 990 3,960 211,860
419 Meloxicam Supp supp - - - - - 7,200 - -
420 Mentalium 5 tab 676 - 676 122 554 175 21,350 96,950
421 Meptin Air Inhaler fls - - - - - 69,200 - -
422 Meptin Mini tab - - - - - 818 - -
423 Meropenam 1 gr fls 14 13 27 19 8 193,600 3,678,400 1,548,800
424 Mersilk 2/0 set 11 - 11 - 11 51,180 - 562,980
425 Metformin 850 tab 9 - 9 9 - 201 1,809 -
426 Metformin 500 tab - - - - - 124 - -
427 Methioson 500 tab - - - - - 550 - -
428 Methyl Prednisolon tab 320 1,848 2,168 1,800 368 525 945,000 193,200
429 Metil Prenisolon inj amp 72 290 362 278 84 30,000 8,340,000 2,520,000
430 Methyl Ergometrin tab 70 100 170 96 74 110 10,556 8,137
431 Methotreksat 2,5 mg tab - - - - - 975 - -
432 Methotreksat 5 mg / Vial vial - - - - - 27,830 - -
433 Methotreksat 50 mg amp - - - - - 37,400 - -
434 Metronidazol drip fls 73 862 935 912 23 19,800 18,057,600 455,400
435 Metronidazol 500 mg tab - - - - - 115 - -
436 Mexpharm Supp supp 115 168 283 189 94 9,317 1,760,913 875,798
437 Meylon fls 128 - 128 79 49 4,425 349,575 216,825
438 Miconazole cream tube 21 - 21 5 16 3,000 14,999 47,995
439 Mini Cap Disonnect Cap fls - - - - - 2,628 - -
440 Mixtard 30 HM 100 UI fls - - - - - 200,000 - -
441 Mixtard 30 novolet fls 4 - 4 1 3 102,633 102,633 307,898
442 Moladerm Cream fls - - - - - 3,250 - -
443 Molazol tab - - - - - 109 - -
444 Motaderm 10 g fls 1 - 1 - 1 55,650 - 55,650
445 Motaderm 5 g fls 1 - 1 - 1 36,300 - 36,300
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446 Movileps tab - - - - - 225 - -
447 MST 10 mg tab - - - - - 4,290 - -
448 MST 15 mg tab - - - - - 19,363 - -
449 Myomergin amp 58 60 118 18 100 1,600 28,800 160,000
450 Nacl 0,9 % 100 ml fls - - - - - 4,135 - -
451 Nacl 0,9 % 1000 ml fls 42 - 42 42 - 6,250 262,500 -
452 Nacl 0,9 % 1 Ltr Ecosol fls 18 20 38 22 16 8,260 181,720 132,160
453 Nacl 0,9 % 100 ml Ecosol fls 36 420 456 379 77 4,510 1,709,290 347,270
454 Nacl 0,9 % 500 ml Ecosol fls 19 122 141 129 12 4,129 532,641 49,548
455 Nacl 3 % fls 14 - 14 2 12 11,830 23,660 141,960
456 Nald 18 set 109 - 109 - 109 500 - 54,500
457 Nald 23 set 104 - 104 - 104 500 - 52,000
458 Natrium Bicarbonat 100 ml vial - - - - - 18,000 - -
459 Natrium Diklopenac 25 tab - - - - - 87 - -
460 Natrium Diklopenac 50 tab - - - - - 115 - -
461 Natrium Klorida 0,9 % 500 ml fls 244 5,329 5,573 5,381 192 4,059 21,841,479 779,328
462 Neciblok tab - - - - - 300 - -
463 Nefrofer tab - 50 50 10 40 95,590 955,900 3,823,600
464 Nelaton Chateter 10 set 6 - 6 - 6 6,600 - 39,600
465 Neo Diaform tab 132 1,000 1,132 323 809 55 17,765 44,495
466 Neo Mercazole tab 30 - 30 - 30 561 - 16,830
467 Neuradex tab - - - - - 160 - -
468 Neuropenac 25 mg tab - - - - - 92 - -
469 Nexa 500 inj fls - - - - - 4,700 - -
470 NGT 10 set 24 - 24 6 18 14,300 85,800 257,400
471 NGT 12 set 4 6 10 2 8 11,550 23,100 92,400
472 NGT 14 set 8 - 8 3 5 12,821 38,462 64,103
473 NGT 16 set 79 50 129 69 60 12,821 884,615 769,230
474 NGT 18 set 68 100 168 108 60 11,550 1,247,400 693,000
475 NGT 3,5 set 5 - 5 - 5 10,010 - 50,050
476 NGT 5 100" set 44 - 44 3 41 11,240 33,719 460,832
477 NGT 5 40 " set 16 30 46 29 17 11,240 325,954 191,077
478 NGT 6 set 28 - 28 - 28 11,880 - 332,640
479 NGT 8 100" set 38 - 38 11 27 11,240 123,638 303,475
480 NGT 8 40" set 25 30 55 28 27 11,240 314,714 303,475
481 Nifedipin tab 116 661 777 355 422 108 38,340 45,576
482 Nystatin Tab tab 88 - 88 9 79 350 3,150 27,650
483 Nystatin Veg Tab tab - - - - - 289 - -
484 Noperten 10 tab 106 150 256 136 120 1,350 183,600 162,000
485 Noperten 5 tab 191 90 281 131 150 710 93,010 106,500
486 Norelut tab 91 - 91 - 91 2,000 - 182,000
487 Norvask 5 mg tab 20 60 80 42 38 2,593 108,906 98,534
488 Noverty 500 mg tab tab 247 1,080 1,327 1,069 258 495 529,155 127,710
489 Novomix 30 Flexpen fls 10 - 10 1 9 118,584 118,584 1,067,256
490 Novorramix 30 Flexpen fls 4 5 9 5 4 102,855 514,275 411,420
491 OBH syr fls 48 60 108 44 64 1,200 52,800 76,800
492 OBH syr Askes fls 28 144 172 135 37 2,750 371,250 101,750
493 Octalbin 20 % 100 ml amp - - - - - 600,000 - -
494 Octalbin 20 % 50 ml amp - - - - - 300,000 - -
495 Ofloxacin 200 tab - - - - - 608 - -
496 Omegrips Sirp btl 28 25 53 42 11 2,200 92,400 24,200
497 Omegtrim Syr btl 7 - 7 - 7 2,662 - 18,634
498 Omenizol 500 Tab tab 15 - 15 15 - 137 2,055 -
499 Omeperazol 20 tab - 202 202 122 80 417 50,835 33,334
500 Ondancetron 4 mg amp 5 - 5 - 5 4,675 - 23,375
501 Ondancetron 8 mg amp 213 1,791 2,004 1,659 345 7,000 11,613,000 2,415,000
502 Oralit bnks 25 - 25 - 25 335 - 8,375
503 Osmin Tab tab - - - - - 580 - -
504 Ospen 625 tab - - - - - 1,550 - -
505 Osteocal tab 5 91 96 65 31 415 26,975 12,865
506 Otopraf Ear drop tube 1 - 1 1 - 12,500 12,500 -
507 Otsu KCL fls 50 120 170 69 101 1,260 86,940 127,260
508 Ottoprim Tab tab - 400 400 315 85 172 54,180 14,620
508 PAN. Amin G fls 16 20 36 16 20 16,800 268,800 336,000
509 Paracetamol Strip Tab tab - - - - - 77 - -
510 Paracetamol tab 946 4,025 4,971 4,442 529 70 310,940 37,030
511 Paracetamol syr fls - - - - - 1,600 - -
512 Paxus 30 mg fls 42 38 80 58 22 630,000 36,540,000 13,860,000
513 Pehacain amp 26 20 46 31 15 870 26,970 13,050
514 Perdipin 10 mg fls 7 - 7 - 7 94,000 - 658,000
515 Perdipin 2 mg fls - - - - - 31,000 - -
516 Phenytoin NA 100 mg kapl 175 - 175 51 124 94 4,794 11,656
517 Phytomenadion tab 115 - 115 33 82 609 20,097 49,938
518 Piracetam 1 gr amp 21 - 21 - 21 6,270 - 131,670
519 Piracetam 1200 tab 52 100 152 87 65 1,320 114,840 85,800
520 Piracetam 3 gr amp 38 64 102 87 15 19,800 1,722,600 297,000
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521 Piracetam 400 tab 46 - 46 6 40 502 3,012 20,080
522 Piracetam 800 tab 53 9 62 33 29 836 27,588 24,244
523 Pirantel 125 tab - 10 10 2 8 185 370 1,480
524 Pyridoxin HCL tab 728 - 728 555 173 10 5,273 1,644
525 Piroxicam 10 tab - - - - - 99 - -
526 Piroxicam 20 tab 23 - 23 - 23 103 - 2,369
527 Pitogin amp amp 14 - 14 14 - 1,999 27,986 -
528 Plasbumin 20 % 50 ml fls 8 - 8 3 5 641,125 1,923,375 3,205,625
529 Plasbumin 20 % 100 ml fls 7 15 22 15 7 591,723 8,875,845 4,142,061
530 Plasbumin 25 % 20 ml fls 5 - 5 2 3 216,218 432,436 648,654
531 Plasmanate 200 gr inj fls 4 16 20 10 10 907,885 9,078,850 9,078,850
532 Platosin 10 mg / 10 ml fls 26 40 66 32 34 138,600 4,435,200 4,712,400
533 Platosin 50 mg / 50 ml amp 17 40 57 36 21 30,000 1,080,000 630,000
534 Plavix 75 mg Tab tab 25 112 137 123 14 9,750 1,199,250 136,500
535 Pondex syr fls - - - - - 5,250 - -
536 Posyd 100 mg inj 10 6 16 6 10 86,200 517,200 862,000
537 Prednison tab 596 1,000 1,596 696 900 38 26,518 34,290
538 Prenatin Plus tab - - - - - 300 - -
539 Primaquin tab 779 - 779 - 779 30 - 23,370
540 Pro Infark fls - - - - - 14,000 - -
541 Procaine Penisilin 3 jt / Vial amp 58 - 58 26 32 4,550 118,300 145,600
542 Prolemid tab tab 85 - 85 6 79 1,000 6,000 79,000
543 Pronalges supp supp 13 10 23 8 15 4,600 36,800 69,000
544 Propanolol 10 tab 100 209 309 215 94 57 12,255 5,358
545 Propanolol 40 tab - - - - - 82 - -
546 Propofol Amp amp - 5 5 4 1 65,159 260,636 65,159
546 Propiltiourasil 100 tab 23 106 129 33 96 309 10,197 29,664
547 Pyrazinamide tab 388 707 1,095 978 117 220 215,160 25,740
548 Racklonid Amp amp 212 200 412 157 255 2,900 455,300 739,500
549 Ramixal 1,25 mg tab 63 50 113 39 74 1,100 42,900 81,400
550 Ramixal 2,5 mg tab 18 150 168 70 98 1,650 115,500 161,700
551 Ramixal 5 mg tab 66 - 66 61 5 2,420 147,620 12,100
552 Renadinac Syr btl - - - - - 3,500 - -
553 Ranitidin 150 mg tab 1,128 2,621 3,749 3,219 530 200 643,800 106,000
554 Ranitidin amp 523 8,197 8,720 7,458 1,262 2,100 15,661,800 2,650,200
555 Recormon Injeksi syringe 18 30 48 32 16 198,000 6,336,000 3,168,000
556 Renadinac 25 mg tab tab 65 - 65 64 1 85 5,440 85
557 Renadinac 50 mg tab tab 166 406 572 488 84 110 53,680 9,240
558 Rescovulin 15 mg tab - - - - - 14,702 - -
559 Rescovulin 50 mg amp 44 70 114 74 40 209,000 15,466,000 8,360,000
560 Retaphyl SR tab 157 - 157 75 82 1,144 85,800 93,808
561 Rexta 50 mg vial - - - - - 1,760 - -
562 Rifampicin 300 tab 154 100 254 214 40 350 74,900 14,000
563 Rifampicin 450 tab 116 305 421 325 96 450 146,250 43,200
564 Rifampicin 600 tab 61 6 67 54 13 703 37,962 9,139
565 Ringer Lactat 1/5 Ltr inj 317 8,931 9,248 8,734 514 4,600 40,176,400 2,364,400
566 Ringer Solutid inj 5 - 5 - 5 9,050 - 45,250
567 Ringer Lactat 1 Ltr inj - - - - - 11,200 - -
568 Ringer Lactat Ecosol inj 50 - 50 50 - 4,904 245,200 -
569 Risperidone tab 109 - 109 36 73 2,500 90,000 182,500
570 Robumin 20 % 100 ml btl - - - - - 730,250 - -
571 Robumin 20 % 50 ml fls - - - - - 300,000 - -
572 Rolac amp amp 15 - 15 15 - 900 13,500 -
573 Ronem Amp amp - 20 20 14 6 176,004 2,464,056 1,056,024
573 Salbutamol 2 tab 150 1,027 1,177 788 389 25 19,700 9,725
574 Salbutamol 4 tab - - - - - 80 - -
575 Salmicol Tetes Mata fls - 18 18 11 7 2,500 27,500 17,500
576 Salofalk 250 mg tab 232 100 332 217 115 3,640 789,880 418,600
577 Salycil Talk bks - - - - - 2,752 - -
578 Sandimun Neoral 100 mg tab 10 - 10 - 10 50,800 - 508,000
579 Sandimun Neoral 25 mg tab - - - - - 15,960 - -
580 Scopamin fls 27 157 184 159 25 5,600 890,400 140,000
581 Scopamin tab 177 - 177 69 108 560 38,640 60,480
582 Sedakter syr btl - - - - - 4,538 - -
583 Septazidin 1 gr amp 50 352 402 402 - 41,800 16,803,600 -
584 ATS 20000 IU fls - - - - - 104,990 - -
585 Serum Anti Bisa Ular vial 1 - 1 - 1 289,130 - 289,130
586 Serequel tab tab 13 60 73 14 59 28,859 404,026 1,702,681
587 Sianokobalamin 50 mg tab 48 - 48 - 48 12 - 576
588 Sibital 200 mg amp 2 - 2 - 2 7,841 - 15,682
589 Sifrol 125 tab 34 - 34 - 34 2,600 - 88,400
590 Simarc 2 tab 57 - 57 50 7 200 10,000 1,400
591 Simetidin tab - - - - - 72 - -
592 Simvastatin 10 mg tab 30 60 90 62 28 540 33,480 15,120
593 Siprofloxacin 500 mg tab 693 3,425 4,118 3,599 519 265 953,735 137,535
594 Sohobion tab 87 300 387 262 125 726 190,212 90,750
Page 98
HARGA HARGA HARGA
SATUAN KELUAR AKHIR
595 Solosa tab tab 14 50 64 15 49 594 8,910 29,106
596 Sotatic tab 260 1,609 1,869 1,538 331 88 135,344 29,128
597 Spashi inj amp - - - - - 5,400 - -
598 Spirola 100 tab 123 420 543 425 118 1,900 807,500 224,200
599 Spirola 25 tab - - - - - 550 - -
600 Spirolactone 25 mg tab 455 300 755 453 302 540 244,620 163,080
601 Spinocain Vices - - - - - 21,600 - -
602 Starquin amp 122 794 916 753 163 50,000 37,650,000 8,150,000
603 Stelazin tab 84 - 84 - 84 490 - 41,160
604 Stesolid 10 mg supp supp 7 - 7 1 6 15,000 15,000 90,000
605 Stesolid 2 mg tab - - - - - 380 - -
606 Stesolid 5 mg supp supp 4 5 9 8 1 9,900 79,200 9,900
607 Stesolid 5 mg tab - - - - - 1,430 - -
608 Stesolid amp 75 151 226 156 70 3,400 530,408 238,004
609 Stosolid rectal 10 gr tube - - - - - 15,000 - -
610 Stosolid rectal 5 gr tube - - - - - 9,900 - -
611 Streptase in inj - - - - - 1,900,000 - -
612 Streptomicin 1 gr fls 125 2 127 27 100 7,880 212,760 788,000
613 Surgical Masker set 24 100 124 48 76 7,260 348,480 551,760
614 Systabon tab - - - - - 891 - -
615 Softuderm tube - 9 9 6 3 27,301 163,806 81,903
615 Tomopen 20 mg tab 56 - 56 20 36 990 19,800 35,640
616 Tamoxipen 10 mg tab - - - - - 990 - -
617 Tanapres Tab tab 93 - 93 - 93 1,925 - 179,025
618 Taxol 30 mg vial - - - - - 725,000 - -
619 Taxotere 20 mg vial 2 1 3 1 2 2,879,800 2,879,800 5,759,600
620 Taxotere 80 mg vial 2 1 3 1 2 4,153,198 4,153,198 8,306,396
621 Tenapril 2,5 mg tab 21 30 51 15 36 1,870 28,050 67,320
622 Terasma Syr fls 2 15 17 3 14 3,800 11,400 53,200
623 Terasma tab 45 - 45 9 36 145 1,302 5,207
624 Tetagam inj amp 7 - 7 2 5 100,000 200,000 500,000
625 Tetracyclin 250 cab 113 200 313 174 139 54 9,344 7,464
626 Thensipar 10 mg tab - - - - - 1,149 - -
627 Thiamphenicol 500 tab 103 1 104 - 104 409 - 42,536
628 Thyrozol tab 12 - 12 12 - 569 6,831 -
629 Three Way set 178 800 978 681 297 13,200 8,989,200 3,920,400
630 Tiamin 50 mg tab 507 - 507 69 438 24 1,656 10,512
631 Tiamin 100 mg / ml amp 22 - 22 - 22 457 - 10,054
632 Tyarit tab 92 60 152 90 62 1,250 112,500 77,500
633 Tibigon 500 mg tab 452 - 452 401 51 310 124,310 15,810
634 Tibitol 250 tab 1 605 606 325 281 190 61,750 53,390
635 Timact in inj - - - - - 2,969 - -
636 Topranil 25 tab 100 - 100 - 100 4,259 - 425,900
637 Toxoid tab 1 - 1 - 1 53,905 - 53,905
638 Tragesik amp amp 269 402 671 444 227 2,640 1,172,160 599,280
639 Tramadol tab 476 400 876 671 205 356 238,876 72,980
640 Tramadol / Dolsic amp - - - - - 6,915 - -
641 Transamin 500 mg amp 187 835 1,022 678 344 6,765 4,586,670 2,327,160
642 Tranfusi Set set 67 200 267 180 87 10,230 1,841,400 890,010
643 Trenxy 3 gr amp 4 - 4 - 4 17,600 - 70,400
644 Triaxitol T.Mata fls 8 20 28 19 9 4,475 85,025 40,275
645 Tripenem 500 mg vial 15 - 15 2 13 203,283 406,566 2,642,679
646 Triheksifenidil 2 mg tab 32 100 132 37 95 41 1,508 3,873
647 Triofusin fls 39 - 39 4 35 41,000 164,000 1,435,000
648 Tutofusin OPS fls 35 - 35 20 15 32,000 640,000 480,000
649 Udopa amp 3 - 3 3 - 17,848 53,544 -
650 Ulcumet amp - - - - - 3,800 - -
651 Ulcumet tab - - - - - 72 - -
652 Ulsidex tab 466 3,609 4,075 3,326 749 285 947,910 213,465
653 Ulsikur tab tab - - - - - 4,610 - -
654 Urine Bag set 78 105 183 100 83 3,190 319,000 264,770
655 Uriomitexan 400 mg amp 9 - 9 - 9 30,030 - 270,270
656 Valdimex 10 mg amp - - - - - 3,190 - -
657 Valsartan 80 tab - 430 430 373 57 3,300 1,230,900 188,100
658 Vancef 1 gr vial 25 331 356 333 23 205,690 68,494,770 4,730,870
659 Vascon in inj 15 63 78 71 7 71,503 5,076,713 500,521
660 Vaclo Tab tab - 30 30 7 23 9,900 69,300 227,700
660 Venofer amp - 100 100 66 34 93,654 6,181,164 3,184,236
661 Ventolin Inheler fls - - - - - 47,500 - -
662 Vantolin Nebules strep 98 1,200 1,298 910 388 5,000 4,550,000 1,940,000
663 Verapamil tab - - - - - 352 - -
664 Veraplex 500 tab 8 - 8 - 8 23,900 - 191,200
665 Vicryl 3/0 no. 452 set 12 36 48 14 34 63,900 894,600 2,172,600
666 Vicillin 1 gr amp - 8 8 8 - 4,084 32,672 -
666 Viliron tab - - - - - 135 - -
667 Vinblastin 10 mg amp - - - - - 224,400 - -
Page 99
HARGA HARGA HARGA
SATUAN KELUAR AKHIR
668 Vin Cristin 1 mg fls 4 5 9 4 5 66,000 264,000 330,000
669 Vin Cristin 2 mg fls 5 4 9 4 5 113,824 455,296 569,120
670 Vitamin B Complex tab 638 2,029 2,667 1,974 693 22 43,428 15,246
671 Widahes fls 8 17 25 12 13 49,200 590,400 639,600
672 Wing Needle 23 set 9 - 9 - 9 6,160 - 55,440
673 Wing Needle 25 set 18 50 68 35 33 6,160 215,600 203,280
674 Xeloda tab - 960 960 952 8 28,800 27,417,600 230,400
675 Ximex Optixitrol btl - - - - - 6,000 - -
676 Yall fls 43 32 75 50 25 41,700 2,085,000 1,042,500
677 Zinkid 20 mg tab tab 54 100 154 58 96 3,025 175,450 290,400
678 Zyngocerin srp fls - - - - - 3,100 - -
Jumlah 1,029,711,348 381,431,941

RSUD Dr.Pirngadi Kota Medan
Dra. Azwinar, Apt

NIP. 19530115 198503 2 00 2
Page 100

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INSTALASI FARMASI RSU DR.

PIRNGADI KOTA MEDAN

SALDO MTS BRG MTS BRG SISA HARGA

SYRUP & DROP

NARKOTIKA & PSIKOTROPIKA

Medan, Januari 2010

HARGA HARGA HARGA HARGA

70,751,842 23,148,550 27,822,244 67,452,620

HARGA HARGA HARGA HARGA

HARGA HARGA HARGA HARGA

HARGA HARGA HARGA HARGA

HARGA HARGA HARGA

268,000 406,810 1,675,284

HARGA HARGA HARGA HARGA

HARGA HARGA HARGA HARGA

HARGA HARGA HARGA

425,000 870,780 1,906,609

HARGA HARGA HARGA

HARGA HARGA HARGA HARGA

HARGA HARGA HARGA HARGA

712,800 577,910 1,181,670

Medan, 10 Maret 2010

Dra. Azwinar, Apt

Jumlah 54,144,914 104,151,094

JUMLAH 3,607,467 247,152 3,854,619 3,124,566

Total Keseluruhan 57,999,533 107,275,660

Medan, 11 Januari 2010

Medan, 17 Februari 2010

Dra. Azwinar ,Apt

I. JENIS : TAB / CAPSUL / CAPLET

II. JENIS : SYRUP / ZALF / TETES

III. JENIS : OBAT GIGI

V. JENIS : Infus/ Cairan

Total Keseluruhan 321,312,022

Medan, 10 Maret 2010

Dra. Azwinar, Apt.

Total Keseluruhan 87,413,406 74,399,610

Medan, 18 Februari 2010

Dra. Azwinar, Apt

Stok Stok Harga Asal

Medan, 11 Maret 2010

RSUD.Dr.Pirngadi Kota Medan

Dra. Azwinar, Apt

HARGA HARGA HARGA

Medan, 12 Maret 2010

Dra. Azwinar, Apt

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