OBAT GENERIK

PERE
NO NAMA OBAT SATUAN
1 2
1 ACDAT KRIM TUBE
2 ACETIN 600 mg BOTOL/ 10
3 ACTOS 15 MG BOX/14 TABLET
4 ADALAT OROS 20 MG BOX/ 30
5 ADALAT OROS 30 MG BOX/30 TAB
6 AGGRAVAN (CILOSTAZOL 50 mg) BOX/30 TAB
7 ALBOTHYL SOL BTL 10 ML
8 ALBUMAN 200 BTL 50 ML
9 ALBUMAS BOX/ 30
10 ALDISA SR BOX/ 50 KAPS
11 ALINAMIN F BOX/5 AMP
12 ALPHAMOL DROPS (paracetamol) BOTOL
13 ALPHAMOL KAPLET (paracetamol) BOX/150
14 AMINO HEPAR BOTOL
15 AMINOFLUID BTL 500 ML
16 AMINOLEBAN INF BOX/ 12 BTL 500 ML
17 AMINORAL KAPS BOX/100 KAPS
18 AMINOSTERIL INFANT 6 % BTL 100 ML
19 AMINOSTERIL N-HEPA 8% BOTOL 500 ml
20 AMIPAREN BOX/ 12 BTL 500 ML
21 AMVAR box/30
22 ANEMOLAT BOX/100 TAB
23 ANTIDIA 2 MG BOX/100 TAB
24 ANVORMER B6 BOX/60 TAB
25 APIDRA SOLOSTAR BOX/ 5 PEN
26 ARDIOS TAB / DIOS BOX/30 TAB
27 ARICEPT EVESS 10 mg BOX/ 28 TAB
28 ARIXTRA INJ 2,5 MG BOX/ 2 FLS
29 ARIXTRA INJ 2,5 MG BOX/10 FLS
30 ARKINE 250 BOX/ 250 KAPLET
31 ARTEM BOX/ 6 AMP
32 ASERING BOX/ 20 BOTOL
33 ASIMAT 500MG BOX/ 100 KAPLET
34 ATENOLOL TAB BOX/100 TAB
35 ATROVENT VIAL
36 AVAMYS NASAL SPRAY BOTOL
37 AVODART 0,5 MG BOX/ 30
38 AVOGIN BOX/ 30 TAB
39 BACTODERM SALP 2% TUBE 10 G
NO NAMA OBAT SATUAN
40 BDM SYR BOX/ 24 BTL 60 ML

41 BDM TAB BOX/50 TAB
42 BECEFORT SYR BOX/50 BTL 60 ML
43 BECEFORT TAB BOX/100 TAB
44 BENODON INJ BOX/10
45 BENOXICAM 20 MG BOX/100 TAB
46 BENZOLAC-CL GEL 10 gr TUBE
47 BEROTEC 100 MCG (NEBU) BOTOL
48 BETABLOK 100 MG BOX/ 30
49 BETASON- N KRIM TUBE 5 G
50 BIO ATP BOX/100 TAB
51 BIO CURLIV BOX/30 TAB
52 BIOCAL-95 BOX/ 30 TAB
53 BIONEURON BOX/100 TAB
54 BIOPLACENTON GEL 30 G TUBE 15 G
55 BIOPREXUM BOX/ 30
56 BIORALIT BOX/60 SAC
57 BIOSAVE (VAKSIN SABU) VIAL 4 ML
58 BISOLVON INJ 2 mg/ml BOX/10 AMP
59 BISOLVON SOL 10 MG/5ML BTL 60 ML
60 BRENARIS SYR (PIRACETAM) 100 ML
61 BRICASMA RESPULES 2,5 MG BOX/ 10 AMP
62 BRICASMA TURBUHALER 0,5 MG BOX / 1
63 BRONSOLVAN 150 MG BOX/ 100 TAB`
64 BUFACETIN SALEP TUBE
65 BUNASCAN SPINAL 0.5 PCT HEAVY 4 ML BOX/5 AMP
66 BURNAZIN CR 10 G TUBE 35 G
68 BUSCOPAN 20 MG/ML AMP BOX/10 AMP
69 CARBOPLANTIN 450 MG/45 ML BOTOL
70 CARDURA DOXAZOSIN 1 MG BOX/50
71 CARDURA DOXAZOSIN 2 MG BOX/50
72 CARPIATON 100 MG BOX/100 TAB
73 CATAPRES 150 MCG/ML INJ BOX/10 AMP
74 CEFOPERONE SULBACTAM SERBUK INJ 1 GR BOX 1 VIAL
75 CELEBREX 100 MG BOX/ 30 TAB
76 CEPHALEXIN 500 BOX/ 50
77 CETADOP INJ 200 mg BOX/ 5 AMP
78 CHLORAMEX SYRUP BOTOL
79 CHROMALUX TAB 200 MCG BOX/ 20 TAB
80 CINOGENTA TUBE 10 G
81 CISPLATIN 50 MG VIAL
82 CLATATIN TAB (LORATADINE) BOX/ 30
83 CLINEX 300 MG BOX/30 KAPT
84 CLINJOS TAB 150 MG BOX/30 TABLET
85 CLOTIX TAB BOX/30 TAB
NO NAMA OBAT SATUAN
86 COMBIVENT UDV 2.5 ML BOX/20 VIAL

87 COPIDREL 75 MG TAB BOX/30 TABLET
88 CORDARON TAB BOX/ 30 TAB
89 CORDARONE 150 INJ BOX/6 AMPUL @ 3 ML
90 CORSONA BOX/5 AMP
91 COTRIMAXOZOL SUSPENSI BOTOL
92 COUGH EN SYR BOX/ 50 BTL 60 ML
93 CRAVIT (LEVO 0.5%) BOTOL
94 CROME INJ 50 MG/10 ML BOX/10 AMPUL
95 CROME TAB 10 MG BOX/100 TABLET
96 CURCUMA FCT BLISTER BOX/ 100 TAB
97 CURVIT SYR BOX/ 25BTL 60 ML
98 CURVIT TAB BOX/50 TAB
99 CYCLOPROGYNOVA BOX/21 TAB
100 CYGEST SUPP 200 MG BOX/ 15 TAB
101 CYTROPIL 1200 BOX/30 TABLET
102 DAXET 500 MG BOX/15 TABLET
103 DENOMIX CREAM 10 gram TUBE
104 DEPAKENE SYR 120 ml BOTOL
105 DEPAKOTE 250 TAB BOX/100TABLET
106 DEPAKOTE ER 250 TAB BOX/100TABLET
107 DEPTRAL BOX/30 KAPLET
108 DEXACEF D.S 125 MG/5 MG SYR BTL 60 ML
109 DEXIGEN CREAM TUBE
110 DEXOCORT SALEP TUBE
111 DEXTAMIN TAB BOX/100 TAB
112 DIAMICRON 30 MG TAB BOX/60 TAB
113 DIAMICRON MR 60 MG BOX/ 30
114 DIOVAN 80 MG BOX / 30 TAB
115 DIPSAMOL INHALER 100 MCG BOTOL
116 DIUREFO TAB BOX/100 TABLET
117 DIUVAR INJ BOX/5 AMPUL
118 DOBURAN BOX/10 AMP
119 DOLSIC INJ BOX/5 AMPL
120 DOPAMET 250 MG (METHYCLOPA) BOX/100 TAB
121 DOPAMIN GIULINI 200 BOX/ 5 AMP
122 DORNER 20 MCG BOX/30
123 DULCOLAX SUPP 10 MG BOX/50 SUPP
124 DULCOLAX SUPP 10 MG (5 SUPP) BOX/5 SUPP
125 DULCOLAX SUPP 5 MG BOX/6 SUPP
126 DUMIN RECTAL 125 MG BOX/5 SUPP
127 DUMIN RECTAL 250 MG BOX/5 SUPP
128 DUROGESIC 25 MU MATRIX BOX/ 5 PCS
129 DUVADILAN INJ BOX/6 AMP
130 DUVADILAN TAB BOX/ 50 TAB
NO NAMA OBAT SATUAN
131 D-VIT BOX/ 30

132 ECHINATUR 60 ml BOX/ 50 BOTOL
133 ECOSOL GLUKOSA 10 % BOTOL 500 ML
134 ECOSOL NACL 0,9 % BOX/ 10 BTL 500 ML
135 ECRON INJ 4 MG 10 AMPUL
136 ENZYFLEX BOX/ 100 TAB
137 ERICAF TAB BOX/100 TAB
138 ESTAZOR BOX/30 TAB
139 ESTIN SYR BTL 60 ML
140 ETAGESIC SYR BOX/ 50 BOTOL
141 ETOPUL 20 MG BOX / 5
142 EUTHYROX 100 MG BOX/100 TAB
143 EXFORGE 5 Mg/ 80 Mg BOX/ 28 TAB
144 FARBION 5000 INJ BOX/ 5 AMP
145 FARGOXIN 0,25 INJ BOX/5 AMP
146 FARGOXIN TAB 0,25 mg BOX 100 TAB
147 FARMABES INJ 25 MG DUS/ 10 BOX/1 VIAL
148 FARMABES TAB BOX/100 TAB
149 FARMABEX C BOX/100
150 FARMADOL INF BTL 500 ML
151 FARMADOL TAB BOX/100 TAB
152 FARMALAT 10 mg BOX/100 TAB
153 FARNORMIN 50 MG BOX/100 TAB
154 FARSORBID 10 ML BOX/ 2 VIAL
155 FARSORBID 5 ML BOX/ 100 TAB
156 FARTISON INJ VIAL 100 MG BOX/ 1 VIAL
157 FCZ INF BTL 100 ML
158 FEBRINEX BOTOL
159 FENAREN TAB 50 MG BOX/100 TAB
160 FG TROCHES BOX/120 TAB
161 FINEVASK 5 MG BOX/30 TAB
162 FLAGYL OVULA 0,5 gram BOX/10 SUPP
163 FLAMICORT 10 MG/ml VIAL 5 ML
164 FLIXOTIDE NEBULES 0,5 MG BOX/10 VIAL
165 FLUDANE SYR BTL 60 ML
166 FLUDIS 150 MG BOX/1 KAP
167 FLUIMUCIL 10 % 300 MG / 3 ML BOX/ 5 AMP
168 FLUMETHOLON 0,1MG BOX/1 AMP
169 FLUTAMOL TAB BOX/ 100
170 FOLDA BOX/30
171 FORELAX BOX/50
172 FORMYCO TAB BOX/30 TAB
173 FORTANEST 1mg/3ml BOX/ 5 AMP
174 FORTANEST 5mg/5ml BOX/ 5 AMP
175 FUCOBAC 100 MG BOX/30 TAB
NO NAMA OBAT SATUAN
176 FURAMIN INJ BOX/ 5 AMP

177 GALEPSI BOX/ 30 TAB
178 GALVUSMET BOX/ 30
179 GARABIOTIC SALEP TUBE 5 GR
180 GASROLAN TAB BOX/20 TAB
181 GELOFUSINE INF BOX/ 10 BTL
182 GENOINT 0,3% SM 48 TUBE
183 GENOINT SK (gentamisin) TUBE 15 GR
184 GERIAVITA BTL 30 TAB
185 GITAS INJ BOX/5 AMP
186 GLAUCON TAB BOX/20 TAB
187 GLICAB BOX/50 TAB
188 GLOJAYA INF BTL 100 ML
189 GLOMETHYL 0,2 MG/ML BOX/10 AMP
190 GLUCOTROL XL BOX/30
191 GLUDEPATIK 500 MG BOX/100 TAB
192 GLYBOTIK 500 BOX/ 4 VIAL
193 GORET TAB 80 MG BOX/100 TAB
194 GOVOTIL 5 MG BOX/40 TAB
195 GRANEM INJ BOX/ 1 VIAL
196 GRAPHALAC SYR 120 ML
197 GRAVOMIT INJ BOX/5 AMP
198 GRAZOL TAB BOX/30 TAB
199 HAEMOCAINE box/ 1 tube
200 HARNAL (BOX/28 TAB ) BOX/28 TAB
201 HARNAL (BOX/30 TAB ) BOX/30 TAB
202 HB VIT BOX/ 30 KAPS
203 HELIATECH LOTION SPF 45, 30 ml TUBE
204 HEMAFORT BOX/100 TAB
205 HEPA-Q BOX/ 30
206 HERBESER 50 MG INJ BOX/ 10 AMP
207 HERBESER CD 100 MG BOX/30 KAP
208 HERBESER CD 200 MG BOX/ 30
209 HEXBIO BOX/ 10 SAC
210 HIALID 0,1 % BOTOL 5 ml
211 HUSTAB SYR BTL 60 ML
212 HUSTAB TAB BOX/300 TAB
213 HYDROYUREA MEDAC 500 mg BOX/ 50 CAP
214 HYPERHEP 0.5 ML/ SYRINGE BOTOL
215 HYPOBAC 100 BOX/ 25 AMP
216 HYTRIN BOX/ 30 TAB
217 IKALEP SIRUP 120 ML
218 IMBOOS FORtE SYR BTL 60 ML
219 IMUFOR TAB BOX/ 50
220 INNOVAIR INJ VIAL 120 ACT
NO NAMA OBAT SATUAN
221 INTERHISTIN SYR BTL 60 ML

222 INTERHISTIN TAB BOX/100 TAB
223 INTERZOL SS 2% BOTOL
224 INTRALIPID BOTOL
225 INTUNAL BOX/100 TAB
226 INTUNAL F TAB BOX/100 TAB
227 INTUNAL SYR BTL 60 ML
228 INVICLOT INJ BOX/ 10 VIAL
229 IOPAMIRO 15 G BOTOL
230 IRBOSYD TAB 135 mg BOX/30 TAB
231 ISONAT BOX/ 50 TAB
232 ITROSOL OBH BOTOL
233 JANUMET 50/500 mg BOX/ 28 TAB
234 KA EN - 1B BOX/20 BTL
235 KA EN 3 A INFUS BOX/ 20 BOTOL
236 KA EN 3 B INFUS box/ 20 BTL 500 ML
237 KA EN MG3 BOX/ 20 BOTOL
238 KABIVEN BAG
239 KA-EN 4B 500 ML BOTOL
240 KALIPAR BOX/50
241 KALXETIN 20 MG BOX/ 30 KAPSUL
242 KAMADOL INJ BOX/ 6 AMP
243 KEREN BOX/50 TAB
244 KETOACID FILM-COATED CAPLET BOX/100
245 KETOPAIN 30 MG BOX/ 5
246 KETRICIN 0,1% SALEP 5 GR
247 KIDMIN INFUS BOX/ 20 BOTOL
248 KLIRAN 4 MG BOX/30 TAB
249 KOMBIPAK BOX/ 24
250 KSR BOX/100 TAB
251 KTM 1000 MG/10 ML INJEKSI VIAL 10 ML
252 LACBON GRANUL BOX/50 SAC
253 LACTO B BOX/40 SAC
254 LACTULAX SIRUP 3.336G/5 ML BOTOL 200 ML
255 LANAKELOID CREAM TUBE 10 gr
256 LANSICLAV BOX / 30 TAB
257 LANTIFLAM 100 (KETOFROFEN 100 mg) BOX/30 TAB
258 LANTIPAIN 30 MG INJ BOX/6 AMP
259 LANTUROL 400 MG BOX/100 KAP
260 LANTUS SOLOSTAR BOX/ 5 PEN
261 LATOPRIL 500 MG BOTOL
262 LATROPIL SYR BTL 60 ML
263 LAXACOD TAB BOX/ 80 TAB
264 LAXADINE EMULSI BOTOL 30 ML
265 LAXADINE SYR 60 ml BTL 60 ML
NO NAMA OBAT SATUAN
266 LAXAREC RECTAL TUBE (NA LAURYL SULFATE) BOX/ 1 TUBE

267 LEKUICIN INF BTL 60 ML
268 LEKUICIN TAB BOX/10 TAB
269 LESVATIN 10 MG (SIMVASTATIN) BOX/30 TAB
270 LEVEMIR FLEXPEN BOX/5 PEN
271 LEVOPAR (ANTIPARKINSON) BOX/50 TAB
272 LEVOSOL 8 mg/8 ml BOX/ 5 amp
273 LEXACORT TAB (PREDNISONE) BOX/ 100
274 LEXACORTON CREAM 5 GR
275 LEXAPROFEN 200 BOX/100
276 LEXATRAN 500 MG BOX/50 KAP
277 LEXICAM 20 MG BOX/100 TAB
278 LEXIGO 6 MG BOX/30 TAB
279 LIDOCAINE 2% INJ BOX/ 100 amp
280 LIDOX INJ 2 % BOX/10 AMP
281 LODOMER 2 MG BOX/ 100
282 LOKEV BOX/50 KAPUL
283 LOXIL BOX/10 TAB
284 LUNEX 250 MG/5 ML INJ BOX/10 AMP
285 LUNEX 500 MG/ML INJ BOX/10 AMP
286 LYCALVIT TAB 100 BOX/100 TAB
287 LYRICA 75 MG BOX/ 14 KAP
288 LYTACUR BOTOL 60 ml
289 MAGALAT SYR BOX/48 BTL 100 ML
290 MAGALAT TAB BOX/60 TAB
291 MARCAIN 0,5 % INJ BOX/ 5 AMP
292 MARTOS BOX/ 20 BOTOL
293 MEDIQUIN CREAM 15 gr TUBE
294 MEFOXA 200 MG TAB BOX/30 TAB
295 MEFUROSAN CREAM TUBE 10 GR
296 MEPROSTIL TAB 100 mg BOTOL/200 TAB
297 MEPTIN INHALATION SOL 0,3 ML AMPOUL
298 MEPTIN INHALATION SOL 0,5 ML AMPOUL
299 MEPTIN SWINGHALER UNIT/PCS
300 MERSIBION 5000 INJ BOX / 10 AMP
301 MESTINON BOTOL / 150 TAB
302 METOLON INJ BOX/10 AMP
303 MEXYLIN TAB DRY SIRUP BTL 60 ML
304 MEYLON 25 ML BOTOL
305 MICARDIS 40 MG BOX/20 TAB
306 MICARDIS 80 MG BOX/20 TAB
307 MINIASPI 80 BOX/100 TAB
308 MOLAFLAM 100 MG BOX/30 TAB
309 MOLASIC 500 MG BOX/100 TAB
310 MOLASMA BOX/ 50
NO NAMA OBAT SATUAN
311 MOLINFA BOX/30 TAB

312 MOLOCO B12 BOX/60 TAB
313 MOMETASONE 0,1% TUBE
314 MOMETASONE FUROATE KRIM 10 GR TUBE
315 MOMETASONE FUROATE KRIM 5 GR TUBE
316 MYOMERGIN BOX/ 10 AMP
317 MYOTONIC FILCO TAB BOX/ 100
318 N-ACE 100 MG/ML BOX/ 5 AMP
319 NEBACETIN PCS
320 NEO DIAFORM BOX / 500 TAB
321 NEO K INJ BOX/ 5 AMP
322 NEUROSANBE 5000 BOX/100 TAB
323 NICAFER(NICARDIPINE) 1 mg/ml BOX/ 5 amp/10 ml
324 NICARFION INJ 1 MG/ML BOX/ 5 AMP
325 NIFUDIAR SYR BTL 60 ML
326 NITROKAF FORTE 5 mg BOX/100
327 NITROKAF RETARD 2,5 mg BOX/ 100
328 NOBOR 5 MG BOX/30 TAB
329 NOKOBA INJ BOX/5 AMP
330 NONFLAMIN KAP BOX/60 KAP
331 NORAGES INJ BOX/5 VIAL
332 NOREPINEPHRINE INJ 4 mg/ml BOX/ 5 AMP
333 NORESTIL 5 mg BOX/30 TAB
334 NORFION INJ 4 MG/4ML BOX/ 5 AMP
335 NOTRIXUM 10 MG INJ BOX/5 AMPL
336 NOTRIXUM 2,5 MG BOX/5 AMPL
337 NOTRIXUM 50 MG BOX/5 AMP
338 NOVALGIN 5X2 ML BOX/ 5 AMP
339 NOVAMAG BOX/ 100 TAB
340 NOVAMOX BOX/ 100 TAB
341 NOVAXIFEN TAB 200 MG BOX/100 TAB
342 NOVAXIFEN TAB 400 MG BOX/100 TAB
343 NOVOMIX BOX/5 PEN
344 NOVORAPID FLEXPEN BOX/5 PEN
345 NTG 10 ML INJ BOX/10 AMP
346 NUFAFLOQO 400 MG BOX/30 TAB
347 NUTRI MAMA 1 BOX/ 30 KAPSUL
348 NUTRI MAMA 3 BOTOL/ 30 SOFT GEL
349 NUTRIFLEX LIPID PERI 1250 BAG
350 NUVISION BOX 30 TAB
351 NYNDIA DROP BTL 10 ML
352 OBH INDOPLUS SYR BTL 100 ML
353 OBH MOLEX SIRUP BOTOL
354 OBH SURYA BOTOL
355 OBUCORT SWINGHALER UNIT/PCS
NO NAMA OBAT SATUAN
356 OCTAGAM 2,5 G INJ BOTOL 50 ML

357 OCTALBIN 25% 50 ML VIAL
358 ONBREZ BREEZHALER 300 mcg cap BOX/ 30
359 OPTIMAX BOX/ 30
360 OPTIMAX FOR G BOX/ 30
361 ORIXAL TAB BOX/30 TAB
362 OTSU D40 BTL 25 CC
363 OTSU D5 1/2 NS RUBB BOX/ 20 BOTOL
364 OTSU D5 1/4 NS BOX/ 20 BOTOL
365 OTSU MANITOL 20% BOX/ 20 BOTOL
366 OTSU MEYLON INF 84 BTL 25 CC
367 OTSU MGSO4 20% BTL 25 CC
368 OTSU MGSO4 40% BOTOL BTL 25 CC
369 OTSU SALIN 3% BOX/ 20 BTL 500 ML
370 OTSU TRAN 70 BOTOL
371 OTSU-KCL 7-46 BOX/120 VIAL
372 OXORIL SYR BOTOL 50 ml
373 OXTIN TAB 30 MG BOX/50 TAB
374 PAMOL SUPP 125 MG BOX/12 SUPP
375 PAN-AMIN G BOX/ 24 BOTOL
376 PANLOC INJ 40 MG BOX/ 1 VIAL
377 PARAMOL DROP BTL 10 ML
378 PARAMOL SYR 125 Mg BTL
379 PARIET 10 MG BOX/ 14
380 PEDIALYT BTL 1 L
381 PEHACAIN INJ BOX/10 AMP
382 PEHACHLOR BOX/1500 TAB
383 PEHADOXIN FORTE TAB BOX/100 TAB
384 PEHAMOXIL FORTE BOX/50 TAB
385 PERDIPINE INJ 10 MG BOX/ 10 AMP
386 PERMYCO BOX/50 TAB
387 PHAPROXIN 500 MG BOX/50 TABLET
388 PHAROLIT 200 mg BOX/720 SACHET
389 PHENOBIOTIC 500 MG BOX/100 CAP
390 PHINEV INJ BOX/10 AMP
391 PHISOHEX REFORMULATED BTL 60 ML
392 PHYLOCIN BOX/50
393 PICYN 750 INJ AMPUL
394 PITOGIN S INJ BOX/ 10 AMP
395 PLASBUMIN 25% BTL 100 ML
396 PLASBUMIN 5% BTL
397 PLETAAL TAB 100 MG BOX/30 TAB
398 PRADAXA BOX/ 30
399 PRADAXA 75 MG BOX/30
400 PRARTOPIL 400 CAP BOX/100 CAP
NO NAMA OBAT SATUAN
401 PRIMADOL BOX/100 TAB

402 PRIMOLUT-N TAB BOX/30 TAB
403 PRITALINC 500 KAP BOX/60 KAP
404 PRITANOL 300 MG BOX/100 TAB
405 PRITASMA BOX/ 100 TAB
406 PROBENID BOX/100
407 PRODIVA GEL TUBE
408 PROINFARK INJ BOX/5 AMP
409 PROLACTA FOR MOTHER BOX/60
410 PRONALGES SUPP BOX/ 10 AMP
411 PRONOVIR SYR 60 ML
412 PRONOVIR TAB BOX/20 TAB
413 PROPOFOL LIPURO 1 % / (FRESOPOL) BOX/5 AMP
414 PROPYRETIC PARACETAMOL 80 mg BOX/12 supp
415 PRORIS SUPP 125 MG VIAL 2 ML
416 PROSOGAN 30 Mg VIAL
417 PROSTIGMIN (NEOSTIGMINE) 0.5 MG/ML BOX/5 AMPUL
418 PROVAMED 500 TAB BOX/50 TAB
420 PROVERA 100 mg BOX/100
421 PROVITAL BOX/50
422 PULAREX BOX/ 50 TAB
423 PULMICORT 0,25 MG/2ML BOX/20 AMPL
424 PULMICORT 0,5 MG/2ML BOX/20 AMPL
425 PULMICORT BUDESONIDE TURBE 200 MG/DOSE PCS
426 PULNA FORTE 500 MG BOX/ 100 TAB
427 PULNA 250 MG BOX/100 TAB
428 PURUBEX 50 mg BOX/100 KAPS
429 QUIDEX 0,2% INF BTL 100 ML
430 RAIVAS INJN 4 ml/ VASCON BOX/5 AMP
NO NAMA OBAT SATUAN
431 RATINAL INJ BOX/ 5 VIAL @ 2 ML

432 RATINAL TAB BOX/30 TAB
433 RECANSA 10 mg TAB BOX/ 30 TAB
434 RECODRYL 15 ML BOX/10 VIAL
435 RECOLFAR TAB BOX/30 TAB
436 RECUSTEIN 300 BOX/ 20
437 REFAQUIN 15 gr TUBE
438 RENABETIC TAB 5 MG BOX/100 TAB
439 RENADINAC 25 MG BOX/100 TAB
440 RENADINAC TAB 50 MG BOX/100 TAB
441 RENASISTIN CAP 500 MG BOX/30 CAP
442 REQRESOR
443 RESUFER 10 BOX/30
444 RESUFER 20 BOX/30
445 RETAPHYL SR (THEOPHYLINE) BOX/100
446 RHODIUM TAB BOX /30 TAB
447 RINGER FUDIN 500 ML BOX/10 BTL
448 RONAZOL 60 ml BOX/12 BTL 100 ML
449 ROTACAPS BOX/100
450 SALBRON SIRUP BOTOL
451 SALGEN SKIN OINTMENT 15 GR/D.2.5 (GENTAMICIN SK) BOX/ 24 TUBE
452 SALTAM 2 MG BOX/100 TAB
453 SANADRYL DMP SYR BOTOL 120 ml
454 SANDIMMUM NEORAL 100 MG BOX/ 100 TAB
455 SANDIMMUM NEORAL 25 MG BOX/50
456 SANDOSTATIN 0,05 BOX/ 5 AMP
457 SANGOBION KIDS BTL 60 ML
458 SANMOL INF BOX/12
459 SANTOCYN /sintosinon BOX/ 10 AMPUL
460 SCABIMITE CREAM 10 MG TUBE 10 G
461 SCANTOMA BOX/100 TAB
462 SCOPMA TAB BOX/100 TAB
463 SEBIVO 600 MG BOX/28 TAB
464 SERENACE 1.5 MG BOX/100 TAB
465 SERETIDE DISCUS 100 MCG BOX/ 24
466 SERETIDE DISCUS 250 MCG BOX/ 24
467 SESDEN ( TIMEPPIDIUM BROMIDE) TAB BOX/100 TAB
468 SIFROL 0.375 mg BOX/ 30
469 SIMCHOL BOX/30 TAB
470 SIMEXTAM INJ BOX/ 1 V
471 SIMZEN DROP BOX/ 20 BTL
472 SIRDALUD BOX/ 100 TAB
473 SKIZON CREAM 5 G TUBE
474 SMECTA BOX/30
475 SOFT U DERM SALP 40 gr TUBE
NO NAMA OBAT SATUAN
476 SOHOBION INJ 5000 mcg BOX/ 10 AMP

477 SOJOURN 250 ML (SEVOFLURANE) BOTOL
478 SOLATHIM SYR (THYAMPENICOL) BOTOL
479 SPASMOLIT TAB BOX/ 100
480 SPASMOMEN BOX/30 TAB
481 SPICA SPINAL 0,5 HEAVY BOX/5 AMP
482 SPIRAMYCIN BOX/ 50 TAB
483 SPIRIVA 18 MCG + HANDIHALLER BOX/+1 PCS HANDIHALLER
484 SPIRIVA 18 MCG REFILL BOX/30
485 SPIRIVA 18 MCG REFILL COMBO BOX/30
486 STALEVO 100 mg JKN BOTOL/ 30 TAB
487 STARFOLAT (ASAM FOLAT) BOX/ 100 TAB
488 STIMUNO SYRUP ORANGE BERRY 60 ML BOTOL
489 STOLAX SUPP BOX/ 6 SUPP
490 STOMICA TAB 10 mg BOX/ 30 TAB
491 SULFITIS TAB BOX/30 TAB
492 SULTRIMMIX SYR 60 ML
493 SUPER TETRA SOFT CAPS 120 BOX/ 120
494 SUPRAFENID 100 mg (ketoprofen) BOX/10 SUPP
495 SUPRALYSIN BABY DROP BTL 15 ML
496 SUPRAMOX DROP BOX/ 24 BOTOL
497 SUPRAMOX FORTE SYR BTL/250 ML
498 SYMBICORT 160/4,5 MCG 120 DOSIS TURNUHALER
499 SYMBICORT 80 MG TURBUHALER
500 SYNARCUS KRIM 0.25 MG/G TUBE
501 TAFLOTAN 2 ML BOTOL
502 TAKELIN 500 MG INJ BOX/5 AMP
503 TAKELIN INJ 250 MG 1 RONDO @5 AMPUL
504 TAKELIN TAB 1000 Mg BOX/ 30 TAB
505 TAKELIN TAB 500 Mg BOX/ 30 TAB
506 TAMANOPAN PCT BOX/100 TAB
507 TAMAPROFEN SYR BOTOL
508 TANAPRES 10 JKN BOX/ 100 TAB
509 TANAPRES 10 MG BOX/ 30
510 TAPROS INJ BOX/ 1 VIAL
511 TENSILO VIAL
512 TENSIRA BOX/30 TAB
513 TEOSAL TAB BOX/100 TAB
514 TERREL 100 ML BOTOL
515 TERREL 250 ML BOTOL 250 ml
516 TETAGAM P. PREFILLED SYRINGE 1 ml BOX/ 1 SYRINGE
517 TETRASPAN 130 INF BOX/ 10 BOTOL 500 ML
518 TETRIN BOX/ 100
519 THEOBRON BOX/ 100
520 THROMBO ASPILET BOX/100 TAB
NO NAMA OBAT SATUAN
521 THYROZOL BOX/100 TAB

522 TIARYT INJ BOX/ 5 AMP
523 TIARYT TAB 200 mg (AMIODARON) BOX/ 30 TAB
524 TOPSY CREAM 5 GR TUBE
525 TRAMUS INJ 25 MG/2.5 ML BOX/ 5 AMP
526 TRAMUS INJ 50 MG/5 ML BOX/ 5 AMP
527 TRICODAZOL TAB 500 MG BOX/100 TAB
528 TRIFASTAN 500 mg BOX/ 100 TAB
529 TRIMFAMOL POT BOX/ 100 TAB
530 TRIXIM DS 100 MG/5 ML SYR BTL 30 ML
531 TRIZEDON MR BOX/60 TAB
532 TROMBOPOP GEL TUBE 20 gr
533 TRONADEX INJ 5 AMPUL @ 2 ML
534 ULCUMAG TAB BOX/100 TAB
535 ULSAFATE 500 mg TAB BOX/60 TAB
536 ULSAFATE SIRUP`/ SUCRALFATE BOTOL
537 ULSIDEX BOX/100
538 ULTILAR TAB BOX/50 TAB
539 ULVICE INJ BOX/10 AMP
540 URISPAS 200 (FLAVOXATE) BOX/30 TAB
541 UROCTRACTIN BOX/ 60
542 UROGETIX BOX/ 100 TAB
543 UTROGESTAN 100 MG (MICRONISED PTOGESTERONE) BOX/ 30 T BOX/ 30 TAB
544 UTROGESTAN 200 MG BOX/ 15 TAB
545 VAGIZOLE OVULA BOX/ 5 SUPP
546 VAKSIN SABU VIAL
547 VAKSIN T.T VIAL
548 VAKSIN VERORAB VIAL
549 VAKSINTUBERCULIN PPD RT 23 SSI BOX/ 5 VIAL @ 1,5 ML
550 VALDINEX INJ (DIAZEPAM) BOX/ 5 AMP
551 VALESCO 160 mg BOX/30 TAB
552 VALESCO 80 mg BOX/30 TAB
553 VANCEP INJ 2@VIAL 10 ML
554 VAPRIL 12,5 MG BOX/100 TAB
555 VAPRIL 25 MG BOX/100 TAB
556 VASCON INJ BOX/5 AMP
557 V-BLOCK BOX/ 30 TAB
558 VENOSMIL CAPSUL BOX/20 CAP
559 VENTOLIN INHALER PCS
560 VENTOLIN NEBULIZER 0,1 % BOX/20 FLS
561 VENTOLIN ROTACAPS BOX/ 100 TAB
562 VENTOLIN ROTAHALER UNIT
563 VENTOLIN SERB INH 200 MCG BOX/ 1 ROTAHALER
564 VERMOX TAB 500 mg BOX/ 24 STRIP
565 VERTIZINE BOX/100 TAB
NO NAMA OBAT SATUAN
566 VICCILLIN SX 1500mg VIAL

567 VIGAMOX 3 ML/ MOXIFLOXACIN BOTOL
568 VIP ALBUMIN BOX/3 SAC
569 VIP ALBUMIN (kapsul) BOX/30 Kapsul
570 VIRPES 400 MG BOX/100 KAPLT
571 VITACHOL BOX/ 50 KAPS
572 VITACID 0.025% CREAM 15 gr TUBE
573 VITACID 0.05% CREAM 15 gr TUBE
574 VITKA INFANT BOX/ 10 AMP
575 VOLUVEN INF 6% BOTOL
576 VOSSECAL BOTOL/30 KAPS
577 VOSTEON TAB BOX/30 TAB
578 WIDA 2 A BOX/ 20 BTOL
579 WIDA D5 1/2 NS BOX/20 BOTOL
580 WIDA D5 1/4 NS BOX/20 BOTOL
581 WIDA KN-1 BOTOL 500 ML
582 WIDA KN-2 BOTOL 500 ML
583 WIDA-WI UNICAP STERIL 1 L BOX/10 BOTOL
584 XARELTO 10 MG BOX/10 BTL
585 XARELTO 15 MG BOX/28 TAB
586 XARELTO 20 MG BOX/28 TAB
587 XEPABET BOX/ 100 TAB
588 XEPANEURON TAB BOX/100 TAB
589 XEPAZYM BOX/50 TAB
590 XYLOCAIN SPRAY 10 mg/dosis BOX/ 10 mg
591 ZEMAN (CARNITINE + ZINK POWER) BOX/ 30 CAP
592 ZENAT BOX/50
593 ZINK KID box/ 24 BOTOL
594 ZINNAT BOX/ 10 TAB
595 ZIRCUM KID BOTOL
596 ZOLLOCID INJ 40 MG BOX/40 VIAL + PELARUT
597 ZOMEPRAZOLE 20 MG BOX/ 30
598 ZYFLOX 200 TAB BOX/30 TAB
599 ZYFLOX 400 TAB BOX30 TAB
ERENCANAAN KEBUTUHAN OBAT NON-GENERIK
RATA-RATA
STOCK TOTAL KEBUTUHAN
HARGA @ KELUAR
AKHIR PENGELUARAN PERBULAN
SETAHUN
3 4 5 8 9
Rp 6,132.01 450 50 5 75
Rp 10,000.00 0 760 76 1140
Rp 257.00 0 13804 1381 20715
Rp 2,999.00 0 0 0 0
Rp 3,500.00 0 0 0 0
Rp 7,800.00 0 0 0 0
Rp 30,335.00 0 113 12 180
Rp 476,099.00 0 0 0 0
Rp 6,736.00 0 0 0 0
Rp 4,717.04 0 4000 400 6000
Rp 15,653.00 0 0 0 0
Rp 5,311.84 0 260 26 390
Rp 296.67 18000 33000 3300 49500
Rp 82,418.00 150 50 5 75
Rp 64,990.00 200 190 19 285
Rp 187,000.00 24 120 12 180
Rp 7,480.00 0 0 0 0
Rp 43,450.00 20 3 1 15
Rp 82,418.00 0 0 0 0
Rp 126,500.00 0 500 50 750
Rp 5,888.57 0 2400 240 3600
Rp 232.00 0 0 0 0
Rp 442.00 5000 5000 500 7500
Rp 2,376.00 0 0 0 0
Rp 86,999.88 650 175 18 270
Rp 3,080.00 0 0 0 0
Rp 12,485.00 2240 2800 280 4200
Rp 253,750.00 58 20 2 30
Rp 253,750.00 20 0 0 0
Rp 622.05 0 2500 250 3750
Rp 23,100.00 60 0 0 0
Rp 9,275.00 900 260 26 390
Rp 236.50 0 9500 950 14250
Rp 506.00 0 0 0 0
Rp 90,000.00 445 35 4 60
Rp 102,999.60 125 75 8 120
Rp 6,610.31 0 3300 330 4950
Rp 3,099.00 0 600 60 900
Rp 24,250.00 0 0 0 0
RATA-RATA
HARGA @ KELUAR
SETAHUN
Rp 33,149.00 0 168 17 255

Rp 2,762.00 0 5000 500 7500
Rp 19,967.00 0 0 0 0
Rp 1,749.00 0 0 0 0
Rp 15,180.00 0 1950 195 2925
Rp 1,012.00 0 10000 1000 15000
Rp 27,588.00 15 10 1 15
Rp 72,900.00 0 0 0 0
Rp 700.00 17550 2460 246 3690
Rp 9,381.00 0 0 0 0
Rp 2,640.00 0 20000 2000 30000
Rp 12,441.00 0 0 0 0
Rp 4,091.00 0 4800 480 7200
Rp 1,243.00 0 0 0 0
Rp 10,632.00 180 158 16 240
Rp 2,420.00 3000 0 0 0
Rp 1,265.00 3000 0 0 0
Rp 145,475.00 5 20 2 30
Rp 12,500.00 150 40 4 60
Rp 71,852.00 57 60 6 90
Rp 53,851.05 0 0 0 0
Rp 6,250.00 0 0 0 0
Rp 71,100.00 0 0 0 0
Rp 285.00 0 3000 300 4500
Rp 3,223.00 398 102 11 165
Rp 38,280.00 260 250 25 375
Rp 48,950.00 20 100 10 150
Rp 31,274.48 0 300 30 450
Rp 410,000.00 0 0 0 0
Rp 3,480.00 1950 0 0 0
Rp 5,480.00 50 0 0 0
Rp 3,960.00 0 0 0 0
Rp 32,600.00 300 250 25 375
Rp 27,000.00 504 196 20 300
Rp 10,167.00 0 0 0 0
Rp 22,800.00 5000 0 0 0
Rp 7,480.00 0 50 5 75
Rp 14,705.78 40 0 0 0
Rp 10,450.00 0 640 64 960
Rp 37,530.00 0 0 0 0
Rp 97,000.00 0 0 0 0
Rp 1,193.50 0 2400 240 3600
Rp 7,113.00 0 2500 250 3750
Rp 3,752.00 0 0 0 0
Rp 12,100.00 0 0 0 0
RATA-RATA
HARGA @ KELUAR
SETAHUN
Rp 5,700.00 4320 4360 436 6540

Rp 14,666.00 0 0 0 0
Rp 1,300.00 0 0 0 0
Rp 12,480.00 0 0 0 0
Rp 6,684.00 0 0 0 0
Rp 2,183.01 250 100 10 150
Rp 14,107.50 0 1100 110 1650
Rp 136,367.00 0 0 0 0
Rp 21,891.00 0 0 0 0
Rp 2,189.00 0 0 0 0
Rp 85,635.00 22500 17500 1750 26250
Rp 25,000.00 0 0 0 0
Rp 2,250.00 0 0 0 0
Rp 5,830.00 0 2700 270 4050
Rp 13,600.00 0 0 0 0
Rp 4,400.00 0 0 0 0
Rp 174,900.00 0 0 0 0
Rp 7,395.27 6940 90 9 135
Rp 41,800.00 80 405 41 615
Rp 1,750.00 6000 6400 640 9600
Rp 2,840.00 0 8000 800 12000
Rp 12,650.00 0 0 0 0
Rp 43,783.00 0 0 0 0
Rp 6,150.00 0 13 2 30
Rp 11,600.16 750 50 5 75
Rp 2,052.00 28800 32000 3200 48000
Rp 5,500.00 0 3540 354 5310
Rp 5,500.00 480 720 72 1080
Rp 3,900.00 0 0 0 0
Rp 41,250.00 200 100 10 150
Rp 986.00 0 9000 900 13500
Rp 10,000.00 2340 2275 228 3420
Rp 28,035.00 0 80 8 120
Rp 17,600.00 0 0 0 0
Rp 840.00 0 0 0 0
Rp 78,100.00 150 0 0 0
Rp 3,600.00 0 0 0 0
Rp 10,000.00 2300 1200 120 1800
Rp 5,800.00 0 200 20 300
Rp 4,990.00 396 348 35 525
Rp 13,403.17 450 125 13 195
Rp 18,713.86 0 195 20 300
Rp 188,000.00 0 0 0 0
Rp 28,416.67 90 294 30 450
Rp 5,500.00 0 300 30 450
RATA-RATA
HARGA @ KELUAR
SETAHUN
Rp 680.00 0 0 0 0
Rp 48,348.00 0 0 0 0
Rp 11,511.50 0 40 4 60
Rp 10,499.50 0 0 0 0
Rp 82,500.00 0 0 0 0
Rp 940.00 0 10000 1000 15000
Rp 6,150.00 0 2400 240 3600
Rp 8,756.00 0 0 0 0
Rp 56,293.00 0 72 8 120
Rp 2,687.05 1100 700 70 1050
Rp 100,900.00 0 0 0 0
Rp 719.00 0 2000 200 3000
Rp 13,026.68 0 280 28 420
Rp 5,693.00 0 1500 150 2250
Rp 1,243.00 0 75 8 120
Rp 380.00 0 0 0 0
Rp 49,000.00 0 0 0 0
Rp 569.00 0 0 0 0
Rp 750.00 0 0 0 0
Rp 70,054.00 0 0 0 0
Rp 380.00 0 0 0 0
Rp 506.00 0 14400 1440 21600
Rp 500.00 7200 7200 720 10800
Rp 34,980.00 0 0 0 0
Rp 244.00 12000 9600 960 14400
Rp 94,050.00 60 20 2 30
Rp 200,153.00 0 0 0 0
Rp 17,868.00 0 0 0 0
Rp 1,265.00 16800 3200 320 4800
Rp 1,028.00 0 0 0 0
Rp 5,629.00 0 0 0 0
Rp 3,220.00 0 0 0 0
Rp 169,047.00 63 27 3 45
Rp 90,000.00 50 50 5 75
Rp 25,500.00 1008 720 72 1080
Rp 101,200.00 0 0 0 0
Rp 13,174.92 1000 1200 120 1800
Rp 99,935.00 0 0 0 0
Rp 100.00 25000 0 0 0
Rp 4,400.00 0 11000 1100 16500
Rp 3,548.00 33000 40000 4000 60000
Rp 4,472.00 0 0 0 0
Rp 8,910.00 420 80 8 120
Rp 5,137.00 345 150 15 225
Rp 12,650.00 0 0 0 0
RATA-RATA
HARGA @ KELUAR
SETAHUN
Rp 11,495.00 100 650 65 975

Rp 10,450.00 0 0 0 0
Rp 6,121.56 0 4000 400 6000
Rp 6,325.00 0 50 5 75
Rp 13,760.00 0 0 0 0
Rp 185,141.00 200 20 2 30
Rp 2,830.00 6252 192 20 300
Rp 6,600.00 0 48 5 75
Rp 2,472.00 0 9000 900 13500
Rp 15,000.00 0 0 0 0
Rp 5,750.00 4600 0 0 0
Rp 252.00 0 0 0 0
Rp 206,400.00 0 0 0 0
Rp 8,450.00 0 0 0 0
Rp 3,207.00 1500 0 0 0
Rp 500.00 0 0 0 0
Rp 50,500.00 0 60 6 90
Rp 1,878.00 0 5000 500 7500
Rp 2,230.00 12640 0 0 0
Rp 469,100.00 0 0 0 0
Rp 53,164.00 0 0 0 0
Rp 38,000.00 0 0 0 0
Rp 4,523.00 0 0 0 0
Rp 59,197.00 0 0 0 0
Rp 7,099.99 0 5174 518 7770
Rp 7,099.99 0 4020 402 6030
Rp 2,533.00 0 0 0 0
Rp 68,813.25 0 40 4 60
Rp 835.00 0 14400 1440 21600
Rp 5,400.00 0 4560 456 6840
Rp 148,500.00 50 50 5 75
Rp 4,290.00 0 7000 700 10500
Rp 4,210.00 0 3500 350 5250
Rp 13,637.00 0 1550 155 2325
Rp 85,539.00 0 0 0 0
Rp 9,253.00 0 0 0 0
Rp 206.00 0 24000 2400 36000
Rp 5,670.00 100 0 0 0
Rp 1,300,000.00 9 1 1 15
Rp 162,522.00 50 25 3 45
Rp 40,909.00 0 0 0 0
Rp 72,105.00 0 0 0 0
Rp 60,500.00 0 600 60 900
Rp 3,967.00 0 10000 1000 15000
Rp 3,792.00 0 0 0 0
RATA-RATA
HARGA @ KELUAR
SETAHUN
Rp 25,882.00 0 0 0 0
Rp 786.00 0 0 0 0
Rp 26,397.80 282 18 2 30
Rp 60,500.00 0 0 0 0
Rp 569.00 1592 20508 2051 30765
Rp 835.00 100 16800 1680 25200
Rp 12,650.00 0 0 0 0
Rp 75,057.00 250 110 11 165
Rp 377,445.00 35 0 0 0
Rp 4,128.00 0 2880 288 4320
Rp 195.00 0 5000 500 7500
Rp 6,325.00 0 80 8 120
Rp 7,466.54 364 140 14 210
Rp 19,102.00 260 20 2 30
Rp 19,102.00 0 40 4 60
Rp 10,050.00 1360 540 54 810
Rp 19,102.00 400 0 0 0
Rp 358,600.00 13 90 9 135
Rp 19,102.00 40 30 3 45
Rp 719.00 0 5500 550 8250
Rp 6,233.33 0 150 15 225
Rp 12,494.17 0 150 15 225
Rp 6,129.00 0 0 0 0
Rp 6,200.00 0 10000 1000 15000
Rp 39,215.00 0 0 0 0
Rp 46,285.00 0 0 0 0
Rp 49,220.00 300 0 0 0
Rp 15,136.00 0 2000 200 3000
Rp 3,350.00 0 0 0 0
Rp 1,700.00 3000 9000 900 13500
Rp 190,790.00 0 33 4 60
3,630.00 0 6000 600 9000
Rp 4,702.50 0 1320 132 1980
Rp 104,500.00 24 36 4 60
Rp 63,000.00 70 100 10 150
Rp 12,233.33 0 0 0 0
Rp 24,035.00 0 0 0 0
Rp 38,750.00 0 0 0 0
Rp 5,149.00 20000 0 0 0
Rp 85,000.08 475 50 5 75
Rp 42,075.00 0 0 0 0
Rp 53,851.00 0 0 0 0
Rp 1,430.00 0 0 0 0
Rp 7,700.00 576 138 14 210
Rp 1,245.00 672 0 0 0
RATA-RATA
HARGA @ KELUAR
SETAHUN
Rp 22,770.00 0 144 15 225

Rp 232,678.00 0 0 0 0
Rp 30,961.00 0 0 0 0
Rp 133.00 0 13380 1338 20070
Rp 85,000.00 780 320 32 480
Rp 1,298.00 0 6200 620 9300
Rp 62,843.00 0 210 21 315
Rp 200.51 0 10000 1000 15000
Rp 2,190.00 0 36 4 60
Rp 379.50 6000 4000 400 6000
Rp 1,560.00 0 0 0 0
Rp 22.00 0 7900 790 11850
Rp 750.00 0 0 0 0
Rp 3,163.00 900 800 80 1200
Rp 3,163.00 0 10 1 15
Rp 130.00 10000 0 0 0
Rp 1,265.00 0 0 0 0
Rp 1,120.00 0 0 0 0
Rp 8,991.00 0 0 0 0
Rp 12,186.00 0 0 0 0
Rp 734.00 0 0 0 0
Rp 14,167.00 0 0 0 0
Rp 11,000.00 2496 2112 212 3180
Rp 28,772.00 0 2000 200 3000
Rp 875.00 0 20000 2000 30000
Rp 32,000.00 0 90 9 135
Rp 125,235.00 60 0 0 0
Rp 27,588.00 85 15 2 30
Rp 11,385.00 2400 2100 210 3150
Rp 76,900.00 0 0 0 0
Rp 1,075.00 40000 0 0 0
Rp 6,000.00 252 0 0 0
Rp 6,000.00 364 0 0 0
Rp 83,999.99 50 0 0 0
Rp 4,840.00 0 300 30 450
Rp 11,000.00 0 0 0 0
Rp 11,385.00 0 0 0 0
Rp 23,768.00 0 0 0 0
Rp 6,200.00 0 0 0 0
Rp 3,900.00 0 0 0 0
Rp 6,500.00 0 2000 200 3000
Rp 99.45 20000 16900 1690 25350
Rp 1,980.00 0 3300 330 4950
Rp 409.20 0 3000 300 4500
Rp 100.00 4000 0 0 0
RATA-RATA
HARGA @ KELUAR
SETAHUN
Rp 2,846.00 0 0 0 0
Rp 3,496.00 0 0 0 0
Rp 17,820.00 0 20 2 30
Rp 19,360.00 468 782 79 1185
Rp 7,053.75 180 40 4 60
Rp 9,487.00 0 100 10 150
Rp 3,206.50 0 2400 240 3600
Rp 13,750.00 0 0 0 0
Rp 19,129.00 70 0 0 0
Rp 238.00 46000 3000 300 4500
Rp 13,640.00 0 325 33 495
Rp 2,591.00 0 2800 280 4200
Rp 140,800.00 0 10 1 15
Rp 93,382.98 75 0 0 0
Rp 41,900.00 0 75 8 120
Rp 2,171.00 0 3000 300 4500
Rp 1,493.00 0 0 0 0
Rp 4,174.00 0 0 0 0
Rp 88,550.00 0 0 0 0
Rp 4,258.00 10800 4200 420 6300
Rp 9,630.00 0 350 35 525
Rp 118,800.00 0 150 15 225
Rp 4,427.50 0 0 0 0
Rp 49,804.26 400 0 0 0
Rp 13,390.00 0 500 50 750
Rp 13,828.00 0 500 50 750
Rp 299,900.00 0 0 0 0
Rp 10,728.70 25 275 28 420
Rp 506.00 0 3000 300 4500
Rp 510.00 0 3000 300 4500
Rp 456.00 13200 0 0 0
Rp 810.00 0 13200 1320 19800
Rp 110,000.00 895 900 90 1350
Rp 87,000.00 855 380 38 570
Rp 65,000.00 160 0 0 0
Rp 15,340.00 0 0 0 0
Rp 8,335.00 0 120 12 180
Rp 8,335.00 0 0 0 0
Rp 511,000.00 0 0 0 0
Rp 5,316.00 0 0 0 0
Rp 37,529.00 0 108 11 165
Rp 7,960.00 0 240 24 360
Rp 5,115.00 0 60 6 90
Rp 10,000.00 56 0 0 0
Rp 104,999.95 20 0 0 0
RATA-RATA
HARGA @ KELUAR
SETAHUN
Rp 3,719,100.00 0 0 0 0
Rp 775,000.00 0 4 1 15
Rp 11,750.02 1800 3450 345 5175
Rp 7,421.33 0 0 0 0
Rp 9,867.00 0 0 0 0
Rp 3,350.00 0 10000 1000 15000
Rp 7,405.22 480 240 24 360
Rp 11,961.00 0 0 0 0
Rp 11,961.00 0 0 0 0
Rp 92,400.00 80 100 10 150
Rp 6,200.00 1240 100 10 150
Rp 6,958.00 290 0 0 0
Rp 6,958.00 0 125 13 195
Rp 23,046.40 0 200 20 300
0 0 0 0
Rp 3,099.00 505 400 40 600
Rp 27,692.50 0 1251 126 1890
Rp 3,732.00 0 0 0 0
Rp 8,665.00 0 0 0 0
Rp 39,375.00 144 33 4 60
Rp 150,115.00 0 0 0 0
Rp 16,445.00 0 0 0 0
Rp 10,120.00 0 0 0 0
Rp 19,987.00 0 0 0 0
Rp 13,915.00 876 1020 102 1530
Rp 3,580.00 0 0 0 0
Rp 90.00 55500 4500 450 6750
Rp 759.00 0 0 0 0
Rp 1,123.00 4800 4800 480 7200
Rp 270,706.04 0 90 9 135
Rp 2,713.00 0 0 0 0
Rp 1,900.00 0 2600 260 3900
Rp 1,265.00 93600 2160 216 3240
Rp 2,024.00 0 5000 500 7500
Rp 12,573.00 0 1200 120 1800
Rp 18,343.00 0 0 0 0
Rp 1,546.00 0 0 0 0
Rp 45,400.30 0 20 2 30
Rp 7,700.00 0 0 0 0
Rp 721,153.85 619 291 30 450
Rp 311,300.00 280 90 9 135
Rp 7,000.40 1800 0 0 0
Rp 14,250.00 0 600 60 900
Rp 12,500.00 0 1500 150 2250
Rp 1,900.00 0 0 0 0
RATA-RATA
HARGA @ KELUAR
SETAHUN
Rp 6,262.00 0 0 0 0
Rp 2,588.00 0 3000 300 4500
Rp 2,214.00 0 9000 900 13500
Rp 380.00 0 0 0 0
Rp 122.76 0 0 0 0
Rp 1,730.00 0 0 0 0
Rp 200,000.00 0 0 0 0
Rp 36,261.00 0 0 0 0
Rp 12,963.00 0 0 0 0
Rp 11,884.00 1070 1790 179 2685
Rp 65,000.00 0 100 10 150
Rp 14,674.00 0 0 0 0
Rp 11,792.48 185 360 36 540
Rp 84.00 0 1380 138 2070
Rp 5,250.00 0 280 28 420
Rp 82,042.00 150 145 15 225
Rp 16,679.00 0 75 8 120
Rp 6,129.00 1600 1000 100 1500
Rp 6,125.00 0 480 48 720
Rp 4,250.00 1200 2400 240 3600
Rp 1,640.84 1000 1000 100 1500
Rp 10,001.07 0 4400 440 6600
Rp 8,900.00 0 0 0 0
Rp 93,000.00 0 1 1 15
Rp 800.00 25200 3600 360 5400
Rp 1,139.00 0 0 0 0
Rp 4,855.00 5000 0 0 0
Rp 185,000.00 0 0 0 0
Rp 48,996.00 0 70 7 105
RATA-RATA
HARGA @ KELUAR
SETAHUN
Rp 22,517.00 0 0 0 0
Rp 5,060.00 0 0 0 0
Rp 1,700.01 0 6000 600 9000
Rp 13,810.00 0 0 0 0
Rp 4,316.80 720 9260 926 13890
Rp 8,900.00 0 2000 200 3000
Rp 59,460.50 70 30 3 45
Rp 190.00 25800 20000 2000 30000
Rp 443.00 0 4800 480 7200
Rp 696.00 16800 0 0 0
Rp 10,000.00 0 0 0 0
Rp 10,120.00 0 1000 100 1500
Rp 10,098.00 0 0 0 0
Rp 10,098.00 0 0 0 0
Rp 2,142.80 25200 12100 1210 18150
Rp 5,747.50 0 3690 369 5535
Rp 14,547.50 590 165 17 255
Rp 43,783.00 0 188 19 285
Rp 8,429.00 0 0 0 0
Rp 10,989.00 0 100 10 150
Rp 4,450.89 0 115 12 180
Rp 316.00 0 0 0 0
Rp 10,835.00 168 816 82 1230
Rp 43,000.00 0 0 0 0
Rp 12,000.00 0 0 0 0
Rp 82,500.00 0 0 0 0
Rp 23,409.00 0 0 0 0
Rp 30,000.00 0 0 0 0
Rp 9,643.00 0 0 0 0
Rp 3,500.00 125 121 13 195
Rp 350.00 0 2400 240 3600
Rp 986.00 0 0 0 0
Rp 28,300.01 700 1232 124 1860
Rp 1,385.00 18700 15000 1500 22500
Rp 105,871.00 0 200 20 300
Rp 119,000.00 0 0 0 0
Rp 2,300.00 0 1800 180 2700
Rp 8,000.00 990 3330 333 4995
Rp 7,590.00 0 0 0 0
Rp 72,738.00 0 0 0 0
Rp 46,000.00 0 40 4 60
Rp 2,153.00 0 0 0 0
Rp 3,388.00 648 44 5 75
Rp 3,500.00 0 2820 282 4230
Rp 6,809.00 150 55 6 90
RATA-RATA
HARGA @ KELUAR
SETAHUN
Rp 4,897.25 0 500 50 750

Rp 1,320,000.00 9 15 2 30
Rp 6,100.00 0 0 0 0
Rp 2,090.00 0 36100 3610 54150
Rp 8,531.00 0 1000 100 1500
Rp 71,500.00 220 130 13 195
Rp 18,074.00 0 100 10 150
Rp 162,000.00 0 300 30 450
Rp 13,867.00 0 660 66 990
0 690 69 1035
Rp 8,800.00 0 1500 150 2250
Rp 130.00 0 8200 820 12300
Rp 21,340.00 0 300 30 450
Rp 6,045.00 0 0 0 0
Rp 4,948.00 0 4000 400 6000
Rp 5,060.00 2880 1440 144 2160
Rp 10,120.00 50 50 5 75
Rp 980.01 0 1200 120 1800
Rp 2,789.00 1000 0 0 0
Rp 22,517.00 0 570 57 855
Rp 22,000.00 0 342 35 525
Rp 37,500.00 0 338 34 510
Rp 134,500.30 80 650 65 975
Rp 117,319.24 0 300 30 450
Rp 2,427.00 90 410 41 615
Rp 290,000.00 0 0 0 0
Rp 48,787.00 0 0 0 0
Rp 28,521.00 0 0 0 0
Rp 14,263.65 0 8700 870 13050
Rp 6,911.67 0 3000 300 4500
0 0 0 0
Rp 5,500.00 0 150 15 225
Rp 4,554.00 0 5000 500 7500
Rp 4,104.00 0 150 15 225
Rp 646,004.25 15 0 0 0
Rp 200,153.00 0 0 0 0
Rp 8,855.00 0 0 0 0
Rp 240.00 0 7600 760 11400
Rp 341,214.50 89 79 8 120
Rp 1,751,342.00 36 0 0 0
Rp 169,999.98 0 25 3 45
Rp 215,050.00 0 0 0 0
Rp 1,138.50 0 0 0 0
Rp 1,513.00 0 0 0 0
Rp 1,384.00 0 0 0 0
RATA-RATA
HARGA @ KELUAR
SETAHUN
Rp 1,195.00 0 15200 1520 22800

Rp 14,520.00 0 150 15 225
Rp 1,316.70 3600 2070 207 3105
Rp 48,160.00 219 43 5 75
Rp 52,800.00 0 105 11 165
Rp 82,500.00 0 35 4 60
Rp 1,771.00 0 0 0 0
Rp 24.75 0 10000 1000 15000
Rp 87.53 0 10000 1000 15000
Rp 81,312.00 0 0 0 0
Rp 4,545.00 3900 0 0 0
Rp 56,925.00 0 70 7 105
Rp 31,273.00 0 0 0 0
Rp 1,929.00 0 6000 600 9000
Rp 444.33 10920 7080 708 10620
Rp 9,974.80 600 800 80 1200
Rp 466.00 0 10000 1000 15000
Rp 4,301.00 0 0 0 0
Rp 26,270.00 0 0 0 0
Rp 5,779.00 0 0 0 0
Rp 1,815.00 6420 0 0 0
Rp 5,329.00 3600 0 0 0
Rp 9,298.00 0 2000 200 3000
Rp 17,975.60 1680 0 0 0
Rp 21,524.80 0 100 10 150
0 0 0
Rp 9,670.20 40 10 1 15
Rp 145,475.00 0 0 0 0
Rp 150,632.57 0 10 1 15
Rp 12,100.00 0 125 13 195
2880 0 0 0
Rp 1,795.20 5760 0 0 0
Rp 253,000.00 0 50 5 75
Rp 140.00 7400 0 0 0
Rp 253.00 55000 15000 1500 22500
Rp 64,350.00 0 600 60 900
Rp 1,428.00 0 4980 498 7470
Rp 9,900.00 0 1000 100 1500
Rp 66,938.00 0 0 0 0
Rp 11,880.00 5900 1220 122 1830
Rp 11,000.00 0 2000 200 3000
Rp 6,160.00 134 32 4 60
Rp 66,938.00 0 0 0 0
Rp 403.33 88 1404 141 2115
Rp 3,061.00 0 0 0 0
RATA-RATA
HARGA @ KELUAR
SETAHUN
Rp 39,500.00 300 300 30 450

Rp 81,000.00 0 0 0 0
Rp 62,700.00 600 1400 140 2100
Rp 6,270.00 0 900 90 1350
Rp 3,163.00 15000 10000 1000 15000
Rp 4,958.80 0 3000 300 4500
Rp 21,840.50 78 22 3 45
Rp 32,029.25 79 21 3 45
Rp 52,800.00 0 20 2 30
Rp 52,800.00 40 0 0 0
Rp 3,099.23 0 1740 174 2610
Rp 3,795.00 0 0 0 0
Rp 25,500.00 340 0 0 0
Rp 11,870.00 140 420 42 630
Rp 12,870.00 100 267 27 405
Rp 11,011.00 120 0 0 0
Rp 11,011.00 120 0 0 0
Rp 7,875.00 5410 2350 235 3525
Rp 23,500.00 0 570 57 855
Rp 23,500.00 0 1800 180 2700
Rp 23,500.00 0 1036 104 1560
Rp 2,204.14 0 200 20 300
Rp 1,093.00 0 18000 1800 27000
Rp 1,513.00 3500 5750 575 8625
Rp 149,100.00 234 6 1 15
Rp 2,594.00 0 1170 117 1755
Rp 7,200.00 0 0 0 0
Rp 7,700.00 0 168 17 255
Rp 7,200.00 0 0 0 0
Rp 6,290.00 400 50 5 75
Rp 150,115.00 0 0 0 0
Rp 245.44 0 0 0 0
Rp 6,250.00 0 0 0 0
Rp 15,000.00 0 3000 300 4500
ENERIK TAHUN 2018
NILIA
PERENCANAAN NILAI PENGELUARAN
PERENCANAAN
KEBUTUHAN JAN S/D OKT
KEBUTUHAN 1 TAHUN
10
-375 Rp 306,600.25
1140 Rp 7,600,000.00 Rp 11,400,000.00
20715 Rp 3,547,628.00 Rp 5,323,755.00
0 Rp - Rp -
0 Rp - Rp -
0 Rp - Rp -
180 Rp 3,427,855.00 Rp 5,460,300.00
0 Rp - Rp -
0 Rp - Rp -
6000 Rp 18,868,160.00 Rp 28,302,240.00
0 Rp -
390 Rp 1,381,079.56 Rp 2,071,619.33
31500 Rp 9,790,110.00 Rp 9,345,105.00
-75 Rp 4,120,900.00
85 Rp 12,348,100.00 Rp 5,524,150.00
156 Rp 22,440,000.00 Rp 29,172,000.00
0 Rp -
-5 Rp 130,350.00
0 Rp -
750 Rp 63,250,000.00 Rp 94,875,000.00
3600 Rp 14,132,560.00 Rp 21,198,840.00
0 Rp -
2500 Rp 2,210,000.00 Rp 1,105,000.00
0 Rp -
-380 Rp 15,224,979.00
0 Rp -
1960 Rp 34,958,000.00 Rp 24,470,600.00
-28 Rp 5,075,000.00
-20 Rp -
3750 Rp 1,555,125.00 Rp 2,332,687.50
-60 Rp -
-510 Rp 2,411,500.00
14250 Rp 2,246,750.00 Rp 3,370,125.00
0 Rp -
-385 Rp 3,150,000.00
-5 Rp 7,724,970.00
4950 Rp 21,814,008.12 Rp 32,721,012.18
900 Rp 1,859,400.00 Rp 2,789,100.00
0 Rp -
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
255 Rp 5,569,032.00 Rp 8,452,995.00
7500 Rp 13,810,000.00 Rp 20,715,000.00
0 Rp -
0 Rp -
2925 Rp 29,601,000.00 Rp 44,401,500.00
15000 Rp 10,120,000.00 Rp 15,180,000.00
0 Rp 275,880.00
0 Rp -
-13860 Rp 1,722,000.00
0 Rp -
30000 Rp 52,800,000.00 Rp 79,200,000.00
0 Rp - Rp -
7200 Rp 19,636,800.00 Rp 29,455,200.00
0 Rp -
60 Rp 1,679,856.00 Rp 637,920.00
-3000 Rp -
-3000 Rp -
25 Rp 2,909,500.00 Rp 3,636,875.00
-90 Rp 500,000.00
33 Rp 4,311,120.00 Rp 2,371,116.00
0 Rp -
0 Rp -
0 Rp -
4500 Rp 854,999.70 Rp 1,282,499.55
-233 Rp 328,746.00
115 Rp 9,570,000.00 Rp 4,402,200.00
130 Rp 4,895,000.00 Rp 6,363,500.00
450 Rp 9,382,344.00 Rp 14,073,516.00
0 Rp -
-1950 Rp -
0 Rp - Rp -
0 Rp -
75 Rp 8,150,000.00 Rp 2,445,000.00
-204 Rp 5,291,999.06
0 Rp -
-5000 Rp -
75 Rp 374,000.00 Rp 561,000.00
-40 Rp -
960 Rp 6,688,000.00 Rp 10,032,000.00
0 Rp -
0 Rp - Rp -
3600 Rp 2,864,400.00 Rp 4,296,600.00
3750 Rp 17,782,500.00 Rp 26,673,750.00
0 Rp -
0 Rp -
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
2220 Rp 24,852,000.00 Rp 12,654,000.00
0 Rp -
0 Rp -
0 Rp -
0 Rp -
-100 Rp 218,300.66
1650 Rp 15,518,250.00 Rp 23,277,375.00
0 Rp -
0 Rp -
0 Rp -
3750 Rp 1,498,612,500.00 Rp 321,131,250.00
0 Rp -
0 Rp -
4050 Rp 15,741,000.00 Rp 23,611,500.00
0 Rp -
0 Rp -
0 Rp -
-6805 Rp 665,574.00
535 Rp 16,929,000.00 Rp 22,363,000.00
3600 Rp 11,200,006.40 Rp 6,300,003.60
12000 Rp 22,720,015.24 Rp 34,080,022.86
0 Rp - Rp -
0 Rp -
30 Rp 79,950.00 Rp 184,500.00
-675 Rp 580,008.00
19200 Rp 65,664,000.00 Rp 39,398,400.00
5310 Rp 19,470,000.00 Rp 29,205,000.00
600 Rp 3,960,000.00 Rp 3,300,000.00
0 Rp -
-50 Rp 4,125,000.00
13500 Rp 8,874,000.00 Rp 13,311,000.00
1080 Rp 22,750,000.00 Rp 10,800,000.00
120 Rp 2,242,800.00 Rp 3,364,200.00
0 Rp -
0 Rp -
-150 Rp -
0 Rp -
-500 Rp 12,000,000.00
300 Rp 1,160,000.00 Rp 1,740,000.00
129 Rp 1,736,520.00 Rp 643,710.00
-255 Rp 1,675,396.25
300 Rp 3,649,202.70 Rp 5,614,158.00
0 Rp - Rp -
360 Rp 8,354,500.00 Rp 10,230,000.00
450 Rp 1,650,000.00 Rp 2,475,000.00
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
0 Rp -
0 Rp -
60 Rp 460,460.00 Rp 690,690.00
0 Rp -
0 Rp - Rp -
15000 Rp 9,400,000.00 Rp 14,100,000.00
3600 Rp 14,760,000.00 Rp 22,140,000.00
0 Rp -
120 Rp 4,053,096.00 Rp 6,755,160.00
-50 Rp 1,880,932.90
0 Rp -
3000 Rp 1,438,000.14 Rp 2,157,000.21
420 Rp 3,647,471.58 Rp 5,471,207.38
2250 Rp 8,539,500.00 Rp 12,809,250.00
120 Rp 93,225.00 Rp 149,160.00
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
21600 Rp 7,286,400.00 Rp 10,929,600.00
3600 Rp 3,600,000.00 Rp 1,800,000.00
0 Rp -
2400 Rp 2,342,400.00 Rp 585,600.00
-30 Rp 1,881,000.00
0 Rp -
0 Rp -
-12000 Rp 4,048,000.00
0 Rp -
0 Rp -
0 Rp -
-18 Rp 4,564,269.00
25 Rp 4,500,000.00 Rp 2,250,000.00
72 Rp 18,360,000.00 Rp 1,836,000.00
0 Rp -
800 Rp 15,809,904.00 Rp 10,539,936.00
0 Rp -
-25000 Rp -
16500 Rp 48,400,000.00 Rp 72,600,000.00
27000 Rp 141,920,000.00 Rp 95,796,000.00
0 Rp -
-300 Rp 712,800.00
-120 Rp 770,550.00
0 Rp -
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
875 Rp 7,471,750.00 Rp 10,058,125.00
0 Rp -
6000 Rp 24,486,248.55 Rp 36,729,372.82
75 Rp 316,250.00 Rp 474,375.00
0 Rp -
-170 Rp 3,702,820.00
-5952 Rp 543,360.58
75 Rp 316,800.00 Rp 495,000.00
13500 Rp 22,248,000.00 Rp 33,372,000.00
0 Rp -
-4600 Rp -
0 Rp -
0 Rp -
0 Rp -
-1500 Rp -
0 Rp -
90 Rp 3,030,000.00 Rp 4,545,000.00
7500 Rp 9,390,000.00 Rp 14,085,000.00
-12640 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
7770 Rp 36,735,344.56 Rp 55,166,916.75
6030 Rp 28,541,956.93 Rp 42,812,935.39
0 Rp -
60 Rp 2,752,530.00 Rp 4,128,795.00
21600 Rp 12,024,000.00 Rp 18,036,000.00
6840 Rp 24,624,000.00 Rp 36,936,000.00
25 Rp 7,425,000.00 Rp 3,712,500.00
10500 Rp 30,030,000.00 Rp 45,045,000.00
5250 Rp 14,735,000.00 Rp 22,102,500.00
2325 Rp 21,137,350.00 Rp 31,706,025.00
0 Rp -
0 Rp -
36000 Rp 4,944,000.00 Rp 7,416,000.00
-100 Rp -
6 Rp 1,300,000.00 Rp 7,800,000.00
-5 Rp 4,063,050.00
0 Rp -
0 Rp -
900 Rp 36,300,000.00 Rp 54,450,000.00
15000 Rp 39,670,000.00 Rp 59,505,000.00
0 Rp -
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
0 Rp -
0 Rp -
-252 Rp 475,160.40
0 Rp -
29173 Rp 11,669,052.00 Rp 16,599,437.00
25100 Rp 14,028,000.00 Rp 20,958,500.00
0 Rp -
-85 Rp 8,256,270.00
-35 Rp -
4320 Rp 11,888,640.00 Rp 17,832,960.00
7500 Rp 975,000.00 Rp 1,462,500.00
120 Rp 506,000.00 Rp 759,000.00
-154 Rp 1,045,315.83
-230 Rp 382,040.00
60 Rp 764,080.00 Rp 1,146,120.00
-550 Rp 5,427,000.00
-400 Rp -
122 Rp 32,274,000.00 Rp 43,749,200.00
5 Rp 573,060.00 Rp 95,510.00
8250 Rp 3,954,500.00 Rp 5,931,750.00
225 Rp 935,000.00 Rp 1,402,500.00
225 Rp 1,874,125.00 Rp 2,811,187.50
0 Rp -
15000 Rp 62,000,000.00 Rp 93,000,000.00
0 Rp -
0 Rp -
-300 Rp -
3000 Rp 30,272,000.00 Rp 45,408,000.00
0 Rp -
10500 Rp 15,300,000.26 Rp 17,850,000.30
60 Rp 6,296,070.00 Rp 11,447,400.00
9000 Rp 21,780,000.00 Rp 32,670,000.00
1980 Rp 6,207,300.00 Rp 9,310,950.00
36 Rp 3,762,000.00 Rp 3,762,000.00
80 Rp 6,300,000.00 Rp 5,040,000.00
0 Rp - Rp -
0 Rp -
0 Rp -
-20000 Rp -
-400 Rp 4,250,004.00
0 Rp -
0 Rp -
0 Rp -
-366 Rp 1,062,600.00
-672 Rp -
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
225 Rp 3,278,880.00 Rp 5,123,250.00
0 Rp -
0 Rp -
20070 Rp 1,779,538.66 Rp 2,669,307.99
-300 Rp 27,199,999.79
9300 Rp 8,047,600.00 Rp 12,071,400.00
315 Rp 13,197,030.00 Rp 19,795,545.00
15000 Rp 2,005,080.00 Rp 3,007,620.00
60 Rp 78,840.00 Rp 131,400.00
0 Rp 1,518,000.00 Rp -
0 Rp -
11850 Rp 173,800.00 Rp 260,700.00
0 Rp -
300 Rp 2,530,400.00 Rp 948,900.00
15 Rp 31,630.00 Rp 47,445.00
-10000 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
684 Rp 23,232,000.00 Rp 7,524,000.00
3000 Rp 57,544,000.00 Rp 86,316,000.00
30000 Rp 17,500,000.00 Rp 26,250,000.00
135 Rp 2,880,000.00 Rp 4,320,000.00
-60 Rp -
-55 Rp 413,820.00
750 Rp 23,908,500.00 Rp 8,538,750.00
0 Rp -
-40000 Rp -
-252 Rp -
-364 Rp -
-50 Rp -
450 Rp 1,452,000.00 Rp 2,178,000.00
0 Rp -
0 Rp -
0 Rp -
0 Rp - Rp -
0 Rp -
3000 Rp 13,000,000.00 Rp 19,500,000.00
5350 Rp 1,680,751.24 Rp 532,072.14
4950 Rp 6,534,000.00 Rp 9,801,000.00
4500 Rp 1,227,600.00 Rp 1,841,400.00
-4000 Rp -
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
0 Rp - Rp -
0 Rp - Rp -
30 Rp 356,400.00 Rp 534,600.00
717 Rp 15,139,520.00 Rp 13,881,120.00
-120 Rp 282,150.00
150 Rp 948,700.00 Rp 1,423,050.00
3600 Rp 7,695,600.00 Rp 11,543,400.00
0 Rp -
-70 Rp -
-41500 Rp 714,000.00
495 Rp 4,433,000.00 Rp 6,751,800.00
4200 Rp 7,254,800.00 Rp 10,882,200.00
15 Rp 1,408,000.00 Rp 2,112,000.00
-75 Rp -
120 Rp 3,142,500.00 Rp 5,028,000.00
4500 Rp 6,513,000.00 Rp 9,769,500.00
0 Rp -
0 Rp -
0 Rp -
-4500 Rp 17,883,600.00
525 Rp 3,370,500.00 Rp 5,055,750.00
225 Rp 17,820,000.00 Rp 26,730,000.00
0 Rp -
-400 Rp -
750 Rp 6,695,000.00 Rp 10,042,500.00
750 Rp 6,914,000.00 Rp 10,371,000.00
0 Rp -
395 Rp 2,950,392.16 Rp 4,237,836.02
4500 Rp 1,518,000.00 Rp 2,277,000.00
4500 Rp 1,530,000.00 Rp 2,295,000.00
-13200 Rp -
19800 Rp 10,692,000.00 Rp 16,038,000.00
455 Rp 99,000,000.00 Rp 50,050,000.00
-285 Rp 33,060,000.00
-160 Rp -
0 Rp - Rp -
180 Rp 1,000,200.00 Rp 1,500,300.00
0 Rp -
0 Rp -
0 Rp -
165 Rp 4,053,132.00 Rp 6,192,285.00
360 Rp 1,910,400.00 Rp 2,865,600.00
90 Rp 306,900.00 Rp 460,350.00
-56 Rp -
-20 Rp -
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
0 Rp -
15 Rp 3,100,000.00 Rp 11,625,000.00
3375 Rp 40,537,557.50 Rp 39,656,306.25
0 Rp - Rp -
0 Rp - Rp -
15000 Rp 33,500,000.00 Rp 50,250,000.00
-120 Rp 1,777,253.84
0 Rp -
0 Rp -
70 Rp 9,240,000.00 Rp 6,468,000.00
-1090 Rp 620,000.00
-290 Rp -
195 Rp 869,750.00 Rp 1,356,810.00
300 Rp 4,609,279.66 Rp 6,913,919.49
0 Rp -
95 Rp 1,239,600.00 Rp 294,405.00
1890 Rp 34,643,317.50 Rp 52,338,825.00
0 Rp -
0 Rp -
-84 Rp 1,299,375.00
0 Rp -
0 Rp -
0 Rp -
0 Rp -
654 Rp 14,193,300.00 Rp 9,100,410.00
0 Rp -
-48750 Rp 405,000.00
0 Rp -
2400 Rp 5,390,400.00 Rp 2,695,200.00
135 Rp 24,363,543.60 Rp 36,545,315.40
0 Rp -
3900 Rp 4,940,000.00 Rp 7,410,000.00
-90360 Rp 2,732,400.00
7500 Rp 10,120,000.00 Rp 15,180,000.00
1800 Rp 15,087,600.00 Rp 22,631,400.00
0 Rp - Rp -
0 Rp -
30 Rp 908,006.00 Rp 1,362,009.00
0 Rp -
-169 Rp 209,855,769.23
-145 Rp 28,017,000.00
-1800 Rp -
900 Rp 8,550,000.00 Rp 12,825,000.00
2250 Rp 18,750,000.00 Rp 28,125,000.00
0 Rp -
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
0 Rp -
4500 Rp 7,764,000.00 Rp 11,646,000.00
13500 Rp 19,926,000.00 Rp 29,889,000.00
0 Rp -
0 Rp - Rp -
0 Rp - Rp -
0 Rp - Rp -
0 Rp -
0 Rp -
1615 Rp 21,272,360.00 Rp 19,192,660.00
150 Rp 6,500,000.00 Rp 9,750,000.00
0 Rp -
355 Rp 4,245,292.17 Rp 4,186,329.78
2070 Rp 115,920.00 Rp 173,880.00
420 Rp 1,470,000.00 Rp 2,205,000.00
75 Rp 11,896,090.00 Rp 6,153,150.00
120 Rp 1,250,925.00 Rp 2,001,480.00
-100 Rp 6,129,000.00
720 Rp 2,940,000.00 Rp 4,410,000.00
2400 Rp 10,200,000.00 Rp 10,200,000.00
500 Rp 1,640,840.00 Rp 820,420.00
6600 Rp 44,004,726.75 Rp 66,007,090.13
0 Rp -
15 Rp 93,000.00 Rp 1,395,000.00
-19800 Rp 2,880,000.00
0 Rp - Rp -
-5000 Rp -
0 Rp -
105 Rp 3,429,720.00 Rp 5,144,580.00
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
0 Rp -
0 Rp -
9000 Rp 10,200,080.00 Rp 15,300,120.00
0 Rp - Rp -
13170 Rp 39,973,582.70 Rp 56,852,276.90
3000 Rp 17,800,000.00 Rp 26,700,000.00
-25 Rp 1,783,815.00
4200 Rp 3,800,000.00 Rp 798,000.00
7200 Rp 2,126,400.00 Rp 3,189,600.00
-16800 Rp -
0 Rp -
1500 Rp 10,120,000.00 Rp 15,180,000.00
0 Rp -
0 Rp -
-7050 Rp 25,927,880.00
5535 Rp 21,208,275.00 Rp 31,812,412.50
-335 Rp 2,400,337.50
285 Rp 8,231,204.00 Rp 12,478,155.00
0 Rp -
150 Rp 1,098,900.00 Rp 1,648,350.00
180 Rp 511,852.00 Rp 801,159.65
0 Rp -
1062 Rp 8,841,360.00 Rp 11,506,770.00
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
70 Rp 423,500.00 Rp 245,000.00
3600 Rp 840,000.00 Rp 1,260,000.00
0 Rp -
1160 Rp 34,865,617.60 Rp 32,828,016.57
3800 Rp 20,775,000.00 Rp 5,263,000.00
300 Rp 21,174,200.00 Rp 31,761,300.00
0 Rp -
2700 Rp 4,140,000.00 Rp 6,210,000.00
4005 Rp 26,640,000.00 Rp 32,040,000.00
0 Rp -
0 Rp -
60 Rp 1,840,000.00 Rp 2,760,000.00
0 Rp -
-573 Rp 149,072.00
4230 Rp 9,870,000.00 Rp 14,805,000.00
-60 Rp 374,495.00
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
750 Rp 2,448,624.85 Rp 3,672,937.28
21 Rp 19,800,000.00 Rp 27,720,000.00
0 Rp -
54150 Rp 75,449,000.00 Rp 113,173,500.00
1500 Rp 8,531,000.00 Rp 12,796,500.00
-25 Rp 9,295,000.00
150 Rp 1,807,400.00 Rp 2,711,100.00
450 Rp 48,600,000.00 Rp 72,900,000.00
990 Rp 9,152,220.00 Rp 13,728,330.00
1035 Rp - Rp -
2250 Rp 13,200,000.00 Rp 19,800,000.00
12300 Rp 1,065,999.71 Rp 1,598,999.56
450 Rp 6,402,000.00 Rp 9,603,000.00
0 Rp -
6000 Rp 19,792,000.00 Rp 29,688,000.00
-720 Rp 7,286,400.00
25 Rp 506,000.00 Rp 253,000.00
1800 Rp 1,176,010.00 Rp 1,764,015.00
-1000 Rp -
855 Rp 12,834,690.00 Rp 19,252,035.00
525 Rp 7,524,000.00 Rp 11,550,000.00
510 Rp 12,675,000.00 Rp 19,125,000.00
895 Rp 87,425,195.00 Rp 120,377,768.50
450 Rp 35,195,772.95 Rp 52,793,659.43
525 Rp 995,068.36 Rp 1,274,172.90
0 Rp -
0 Rp -
0 Rp -
13050 Rp 124,093,749.79 Rp 186,140,624.69
4500 Rp 20,735,000.00 Rp 31,102,500.00
0 Rp -
225 Rp 825,000.00 Rp 1,237,500.00
7500 Rp 22,770,000.00 Rp 34,155,000.00
225 Rp 615,600.00 Rp 923,400.00
-15 Rp -
0 Rp -
0 Rp -
11400 Rp 1,824,000.00 Rp 2,736,000.00
31 Rp 26,955,945.50 Rp 10,577,649.50
-36 Rp -
45 Rp 4,249,999.60 Rp 7,649,999.28
0 Rp -
0 Rp -
0 Rp -
0 Rp -
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
22800 Rp 18,163,997.72 Rp 27,245,996.58
225 Rp 2,178,000.00 Rp 3,267,000.00
-495 Rp 2,725,569.00
-144 Rp 2,070,880.00
165 Rp 5,544,000.00 Rp 8,712,000.00
60 Rp 2,887,500.00 Rp 4,950,000.00
0 Rp -
15000 Rp 247,500.00 Rp 371,250.00
15000 Rp 875,278.80 Rp 1,312,918.20
0 Rp -
-3900 Rp -
105 Rp 3,984,750.00 Rp 5,977,125.00
0 Rp -
9000 Rp 11,574,000.00 Rp 17,361,000.00
-300 Rp 3,145,839.37
600 Rp 7,979,840.00 Rp 5,984,880.00
15000 Rp 4,660,000.00 Rp 6,990,000.00
0 Rp -
0 Rp -
0 Rp -
-6420 Rp -
-3600 Rp -
3000 Rp 18,596,000.00 Rp 27,894,000.00
-1680 Rp -
150 Rp 2,152,480.00 Rp 3,228,720.00
0 Rp -
-25 Rp 96,702.00
0 Rp -
15 Rp 1,506,325.70 Rp 2,259,488.55
195 Rp 1,512,500.00 Rp 2,359,500.00
-2880 Rp -
-5760 Rp -
75 Rp 12,650,000.00 Rp 18,975,000.00
-7400 Rp -
-32500 Rp 3,795,000.00
900 Rp 38,610,000.00 Rp 57,915,000.00
7470 Rp 7,111,440.00 Rp 10,667,160.00
1500 Rp 9,900,000.00 Rp 14,850,000.00
0 Rp -
-4070 Rp 14,493,600.00
3000 Rp 22,000,000.00 Rp 33,000,000.00
-74 Rp 197,120.00
0 Rp -
2027 Rp 566,280.00 Rp 817,556.67
0 Rp -
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
150 Rp 11,850,000.00 Rp 5,925,000.00
0 Rp -
1500 Rp 87,780,000.00 Rp 94,050,000.00
1350 Rp 5,643,000.00 Rp 8,464,500.00
0 Rp 31,630,000.00
4500 Rp 14,876,400.00 Rp 22,314,600.00
-33 Rp 480,491.00
-34 Rp 672,614.25
30 Rp 1,056,000.00 Rp 1,584,000.00
-40 Rp -
2610 Rp 5,392,666.00 Rp 8,088,999.00
0 Rp - Rp -
-340 Rp -
490 Rp 4,985,400.00 Rp 5,816,300.00
305 Rp 3,436,290.00 Rp 3,925,350.00
-120 Rp -
-120 Rp -
-1885 Rp 18,506,250.00
855 Rp 13,395,000.00 Rp 20,092,500.00
2700 Rp 42,300,000.00 Rp 63,450,000.00
1560 Rp 24,346,000.00 Rp 36,660,000.00
300 Rp 440,828.00 Rp 661,242.00
27000 Rp 19,674,000.00 Rp 29,511,000.00
5125 Rp 8,699,750.00 Rp 7,754,125.00
-219 Rp 894,600.00
1755 Rp 3,034,980.00 Rp 4,552,470.00
0 Rp -
255 Rp 1,293,600.00 Rp 1,963,500.00
0 Rp - Rp -
-325 Rp 314,500.12
0 Rp -
0 Rp -
0 Rp -
4500 Rp 45,000,000.00 Rp 67,500,000.00
Rp 5,609,216,470.31 Rp 4,834,794,792.35
KETERANGAN
11
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PEREN
HARGA
N0 NAMA OBAT SATUAN
SATUAN
1 ACARBOSE 100 MG BOX/ 100 TAB Rp 908.00

2 ACETOSAL BOX/100 TAB Rp 122.00
3 ACETYLCYSTEIN KAPSUL 200 mg BOX/ 60 KAP Rp 406.36
4 ACYCLOVIR 200 MG BOX/100 TAB Rp 406.00
5 ACYCLOVIR 400 MG BOX/100 TAB Rp 600.00
6 ACYCLOVIR 5% SALEP BOX/ 25 TUBE Rp 4,050.00
7 ALBENDAZOL 400 mg (BOX/ 100 TAB ) BOX/ 100 TAB Rp 285.00
8 ALBENDAZOL 400 mg (BOX/ 30 TAB ) BOX/ 30 TAB Rp 285.00
9 ALBENDAZOL SIRUP BOX/BOTOL Rp 4,010.00
10 ALLOPURINOL 100 MG BOX/100 TAB Rp 150.00
11 ALLOPURINOL 300 MG BOX/100 TAB Rp 238.33
12 AMBROXOL 30 MG KOTAK 100 TAB Rp 87.00
13 AMBROXOL SYR 15 MG/5 ML BOTOL 60 ML Rp 2,598.00
14 AMIKACIN 500mg / 12.5 % 2 ml BOX/ 1 VIAL Rp 29,714.00
15 AMINOPHYLLIN 200 mg TAB BOX./ 100 TAB Rp 82.00
16 AMINOPHYLLIN INJ 24 mg/ml KOTAK/ 30 AMP Rp 2,998.01
17 AMITRIPTYLIN 25 MG TAB BOX/100 TAB Rp 150.00
18 AMLODIPIN 10 MG 30 tab KOTAK 30 TAB Rp 311.67
19 AMLODIPINE 5 MG KOTAK 30 TAB Rp 220.00
20 AMOXICILLIN 125 MG SYR BOTOL 60 ML Rp 3,900.00
21 AMOXICILLIN 250 mg BOX/ 100 TAB Rp 182.00
22 AMOXICILLIN 500 MG BOX/100 TAB Rp 220.00
23 AMOXICILLIN FDS 250 MG SYR BOTOL Rp 4,212.00
24 AMOXICILLIN INJ 1000 mg BOX/10 VIAL Rp 8,591.00
25 AMPICILIN INJ 1 GR BOX/10 VIAL Rp 11,000.00
26 ANTALGIN 500 mg/2 ML INJ BOX/30 AMPUL Rp 1,750.00
27 ANTASIDA DOEN SUSP 60 ml BOTOL 60 ML Rp 4,428.00
28 ANTASIDA DOEN TAB BOX/100 TAB Rp 74.00
29 ANTI HEMOROID DOEN SUPP/SUPERHOID BOX/10 SUPP Rp 2,300.00
30 AQUA PRO INJEKSI 20 ML BOX/10 VIAL Rp 2,100.00
31 ASAM MEFENAMAT 500 MG BOX/100 TAB Rp 121.77
HARGA
N0 NAMA OBAT SATUAN
SATUAN
32 ASAM TRANEKSAMAT 500 BOX / 10 AMP Rp 2,536.00

33 ASAM TRANEKSAMAT 500 TAB BOX/100 TAB Rp 1,155.00
34 ATORVASTATIN 10 MG BOX/ 30 TAB Rp 1,845.00
35 ATORVASTATIN 20 MG BOX/ 30 TAB Rp 2,818.75
36 ATROPINE 0.25 MG/ML 100 amp BOX/100 AMPUL Rp 1,300.00
37 ATROPINE 0.25 MG/ML 30 amp BOX/30 AMPUL Rp 1,350.00
38 AZITROMICIN SERBUK INFUS 500 MG/ML BOX/ 1 VIAL Rp 145,475.00
39 AZITROMISIN 250 MG TAB BOX/ 6 TAB Rp 3,500.00
40 AZITROMISIN 500 MG INJ BOX/1 VIAL Rp 115,000.00
41 AZITROMISIN 500 MG TAB BOX/ 20 TAB Rp 4,500.00
42 BEDAK SALISIL TALK BOX/ 1 PCS Rp 1,250.00
43 BEROTEC 0.1 mg MDI BOTOL Rp 80,000.00
44 BETAHISTINE MESILAT 6 mg BOX/ 100 TAB Rp 100.00
45 BETAMETASON 0.1 % KRIM BOX/ 1 TUBE Rp 1,348.60
46 BETAMETASON SALF BOTOL/1000 TAB Rp 132.00
47 BETAMETASON VALERAT BOX/24 TUBE Rp 2,462.00
48 BIOSAT 1.5 ( ANTI TETANUS) BOX/ 10 AMP Rp 123,337.50
49 BISOPROLOL 5 MG BOX/ 30 TAB Rp 2,670.00
50 BISOPROLOL 6 MG BOX/ 100 TAB Rp 137.50
51 BUVIPACAIN INJ (BOX/ 10 AMP ) BOX/ 10 AMP Rp 26,880.00
52 BUVIPACAIN INJ (BOX/ 5 AMP ) BOX/ 5 AMP Rp 26,880.00
53 CA GLUCONAS BOX/24 AMPUL Rp 9,955.00
54 CANDESARTAN 16 MG BOX/30 TAB Rp 5,575.07
55 CANDESARTAN 8 MG BOX/ 30 TAB Rp 3,660.08
56 CAPTOPRIL 12,5 BOX/100 TAB Rp 62.00
57 CAPTOPRIL 25 BOX/100 TAB Rp 89.00
58 CAPTOPRIL 50 BOX/ 50 Rp 135.00
59 CAPTOPRIL 50 (100 TAB) BOX/ 100 Rp 135.00
60 CARBAMAZEPINE 200 MG BOX/100 TAB Rp 255.00
61 CEFADROXIL 125 MG/5 ML BOTOL 60 ML Rp 4,169.09
62 CEFADROXIL 250 MG BOX/50 TAB Rp 539.00
63 CEFADROXIL 500 MG (100 tab) BOX/100 TAB Rp 534.00
64 CEFADROXIL 500 MG (50 tab) BOX/50 KAPS Rp 1,290.19
65 CEFADROXIL DS 125 MG/5 ML BOTOL 60 ML Rp 4,169.09
66 CEFADROXIL DS 250 sirup FORTE BOX/ 50 BTL Rp 6,149.00
HARGA
N0 NAMA OBAT SATUAN
SATUAN
67 CEFEPIME BOX/ 2 AMP Rp 50,296.00

68 CEFIXIME 100 MG BOX/ 50 Rp 1,520.68
69 CEFIXIME 100 MG/6ML SIRUP KERING BOTOL 30 ML Rp 25,687.26
70 CEFIXIME DRY SYR 600 BOTOL Rp 19,058.00
71 CEFIXIME KAP BOX/ 50 KAP Rp 1,520.68
72 CEFIXIME SYR 100 mg/5 BOTOL 30 ml Rp 8,181.00
73 CEFOPERAZONE INJ BOX/ 2VIAL Rp 25,300.00
74 CEFOPERAZONE INJ + SULBACTAM BOX/2 VIAL Rp 13,330.00
75 CEFOTAXIM INJ (10 AMP ) BOX/10 VIAL Rp 5,635.00
76 CEFOTAXIM INJ (2 VIAL ) BOX/2 VIAL Rp 5,247.00
77 CEFTAZIDIM INJ 1 gr BOX/2 AMPUL Rp 17,050.21
78 CEFTRIAXON INJ 1 G BOX/100 VIAL Rp 2,578.00
79 CEFTRIAXON INJ 1 G (2 VIAL) BOX/2 VIAL Rp 2,578.00
80 CETIRIZINE DROPS BOTOL Rp 26,125.00
81 CETIRIZINE SYR BOTOL 60 ML Rp 9,918.10
82 CETIRIZINE TAB 10 Mg (50 TAB) BOX/ 50 Rp 156.75
83 CHLORAMPENICOL 250 BOX/ 120 KAP Rp 3,978.00
84 CHLORAMPHENICOL SYR BOTOL 60ML Rp 7,782.50
85 CHLOROQUIN 150 MG BOTOL BOTOL/1000 TAB Rp 14.00
86 CHLOROQUIN 150 MG BOX BOX/100 Rp 41.00
87 CHLOROQUIN 250 MG BOTOL/1000 TAB Rp 150.00
88 CHLORPROMAZINE 100 mg BOX/100 Rp 153.00
89 CIPROFLOKSASIN 500 MG (100 TAB) BOX/100 TAB Rp 260.00
90 CIPROFLOKSASIN 500 MG (50 TAB) BOX/50 TAB Rp 260.00
91 CIPROFLOKSASIN INF BOTOL Rp 15,000.00
92 CITICOLIN 1000 Mg BOX/30 TAB Rp 13,200.00
93 CITICOLIN 250 INJ BOX/ 5 AMP Rp 11,999.00
94 CITICOLIN 500 INJ BOX/ 5 AMP Rp 23,595.00
95 Citicoline 500 mg BOX/30 TAB Rp 6,600.00
96 CLINDAMYCIN TAB 300 MG BOX /100 TAB Rp 1,400.00
97 CLINDAMYCINE 150 mg BOX/ 100 TAB Rp 722.15
98 CLONIDINE 0,15 mg BOX/ 100 TAB Rp 214.00
99 CLOPIDOGREL BOX/ 30TAB Rp 10,000.00
100 COTRIMAXOZOL 480 mg BOX/ 100 Rp 15.40
101 CYANOCOBALAMIN INJ BOX/ 100 Rp 1,168.00
HARGA
N0 NAMA OBAT SATUAN
SATUAN
102 DECULIN Rp 10,600.00

103 DEXAMETASON TAB 0.5 mg (100 tab) BOX/100 TAB Rp 43.00
104 DEXAMETHASON INJ 5 MG/ML BOX/100 AMPUL Rp 1,659.00
105 DEXKETOPROPEN 25 BOX/30 TAB Rp 3,795.00
106 DEXKETOPROPEN TROMETAMOL 50/2 mg BOX/5 AMP Rp 29,040.00
107 DIETHYLCARBAMAZINE 100 MG BOX/100 TAB Rp 332.00
108 DIGOXIN 0,25 MG BOX/100 TAB Rp 100.00
109 DILTIAZEM HCL 30 MG BOX/100 TAB Rp 123.00
110 DILTIAZEM INJ Rp 134,050.00
111 DIMENHIDRINAT 50 MG BOTOL/100 TAB Rp 101.00
112 DIPHENHIDRAMIN BOX/100 TAB Rp -
113 DIPHENHYDRAMINE 10 MG/ML INJ BOX/30 AMPUL Rp 1,008.00
114 DOBUTAMINE 50 mg BOX/ 5 amp Rp 35,000.00
115 DOMPERIDON 10 MG TAB BOX/100 TAB Rp 371.25
116 DOMPERIDON DROP BOTOL Rp 16,350.00
117 DOMPERIDON SYR BOTOL 60 ML Rp 3,090.01
118 EKSTRAK BELADONA BOTOL/1000 TAB Rp 36.00
119 EPINEPHRIN INJ (100 amp) BOX/100 AMPUL Rp 1,749.00

120 EPINEPHRIN INJ (30 amp) BOX/30 AMPUL Rp 1,992.00
121 ERITROMISIN SIRUP 200 MG/ 5 ML BOTOL 60 ml Rp 6,867.30
122 ERYTROMYCIN TAB 500 MG BOX/100 TAB Rp 455.00
123 ETAMBUTOL TAB 500 MG BOX/100 TAB Rp 800.00
124 FAMOTIDINE 40 MG BOX/50 TAB Rp 149.28
125 FASORBID 5 mg BOX/ 100 Rp 246.00
126 FENOFIBRAT KAPS 100 MG BOX/30 TAB Rp 1,073.00
127 FENOFIBRAT KAPS 300 MG BOX/30 TAB Rp 1,303.00
128 FERROSUS SULFAT BOX/1000 TAB Rp 80.00
129 FLOXIKA OFLOXACIN 400 mg Rp 920.00
130 FLUCONAZOL 150 MG BOX/10 KAPSUL Rp 19,800.29
131 FLUCONAZOLE INF BOX/ 24 BOTOL Rp 39,810.00
132 FLUNARIZINE - 5 TAB (BOX/100 TAB ) BOX/100 TAB Rp 920.00
133 FLUNARIZINE - 5 TAB (BOX/40 ) BOX/40 Rp 920.00
134 FOLIC ACID 1 MG (ASAM FOLAT) BTL/100 Rp 46.00
135 FOSFOMYCIN 1 G BOX/ 1 VIAL Rp 25,979.63
136 FOSFOMYCIN 2 G BOX/ 1 VIAL Rp 77,481.00
HARGA
N0 NAMA OBAT SATUAN
SATUAN
137 FUROSEMIDA 40 MG (100 tab) BOX/100 Rp 181.73

138 FUROSEMIDA 40 MG (200 tab) BOX/200 TAB Rp 632.00
139 FUROSEMIDE 10 MG/ML INJ BOX/25 AMPUL Rp 1,920.00
140 GABAPENTIN 300 BOX/ 100 TAB Rp 1,953.00
141 GEMFIBROZIL 600 MG BOX/100 TAB Rp 713.00
142 GENTAMICIN 40 MG/ML INJ BOX/5 AMPUL Rp 2,942.73
143 GENTAMISIN 0.1% SALEP KULIT TUBE Rp 1,860.51
144 GLIBENCLAMIDE 5 mg BOX/ 100 TAB Rp 58.00
145 GLIMEPIRIDE 1 MG BOX/30 TAB Rp 200.00
146 GLIMEPIRIDE 2 MG BOX/ 50 TAB Rp 290.00
149 GLIQUIDONE 30 mg BOX/100 TAB Rp 997.00
150 GLISERIL GUAIACOLAT 100 MG BOTOL/1000 TAB Rp 50.00
151 GLUKOSA 10% (D10) BOX/20 BOTOL Rp 7,500.00
152 GLUKOSA 5% (D5) BOX/20 BOTOL Rp 6,900.00
153 GLYCERIL GUAIACOLAT 100 MG BOX/100 TAB Rp 108.00
154 GLYSEROL 100 ml Botol 100 ml Rp 6,600.00
155 GRISEOFULVIN 125 MG BOX/ 100 Rp 2,320.00
156 HALOPERIDOL 1.5 MG BOX/100 Rp 72.00
157 HALOPERIDOL 5 MG BOX/100 Rp 100.00
158 HCT (HYDROCHLOROTHIAZIDE) BTL/1000 TAB Rp 60.00
159 HIDROKORTISON CREAM 1% TUBE Rp 2,500.00
160 HIDROKORTISON CREAM 2.5% BOX/24 TUBE Rp 2,649.90
161 IBUPROFEN 200 BOTOL/100 TAB Rp 122.00
162 IMEPENEM CILASTATIN 1 G PSE16844 Rp 73,547.96
163 IRBESARTAN 150 BOX/50 TAB Rp 708.00
164 IRBESARTAN 300 BOX/50 TAB Rp 1,152.00
165 ISONIAZID 100 MG BOTOL/ 100 Rp 6,800.00
166 ISONIAZID 300 MG BOTOL/ 100 TAB Rp 350.00
167 ISOSORBID DINITRATE (ISDN) TAB 0.5 mg BOX/ 100 Rp 110.00
168 ITRACONAZOLE 100 MG BOX/30 Rp 531.00
169 KALIUM DIKLOFENAK 50 MG BOX/50 TAB Rp 814.00
170 KALSIUM LAKTAT BOTOL/1000 TAB Rp 63.00
171 KALSIUM LAKTAT BOX/ 100 TAB Rp 73.00
HARGA
N0 NAMA OBAT SATUAN
SATUAN
172 KANAMICIN HJ INJ BOX/ 10 VIAL Rp 19,102.00

173 KANAMICIN MEIJI INJ BOX/ 10 VIAL Rp 9,373.00
174 KETEROLAC 30 MG/1 ML (BOX/ 10 AMP ) BOX/ 10 AMP Rp 1,307.99
175 KETEROLAC 30 MG/1 ML (BOX/ 12 AMP ) BOX/ 12 AMP Rp 1,307.99
176 KETOCONAZOL 200 mg BOX/ 50 TAB Rp 470.00
177 KETOCONAZOL KRIM 10 GR 2 % TUBE Rp 2,546.50
178 KETOCONAZOL KRIM 15 GR BOX/ 12 TUBE Rp 6,650.38
179 KETOCONAZOL KRIM 5 MG 2 % TUBE Rp 2,546.50
180 KLORFENIRAMINA MALEAT (CTM) TA BOX/ 100 TAB Rp 4,300.01
181 LANSOPRAZOLE 30 mg (BOX/100 ) BOX/100 Rp 803.07
182 LANSOPRAZOLE 30 mg (BOX/20 ) BOX/20 Rp 300.91
183 LEVOFLOXASIN INF BOX/ 16 BTL Rp 41,905.00
184 LEVOFLOXASIN TAB 500 MG (50 tab) BOX/50 TAB Rp 554.00
185 LIDOKAIN INJ 2% + EPINEFRIN BOX/ 30 AMP Rp 1,937.00
186 LIDOKAIN INJ 40 MG/ 2 ML BOX/100 AMPUL Rp 879.00
187 LISINOPRIL 10 mg BOX/ 30 Rp 630.00
188 LOPERAMIDE HCL 2 MG BOX/100 TAB Rp 790.91
189 LORATADINE TAB 10 mg BOX/50 TAB Rp 166.54
190 LOSARTAN 50 MG BOX/30 TAB Rp 5,313.00
191 LYNCOMYCIN BOX/ 50 TAB
192 MECOBALAMIN 500 KAPSUL BOX/100 KAPSUL Rp 693.00
193 MECOBALAMIN INJ (BOX/10 AMP ) BOX/10 AMP Rp 7,920.00
194 MECOBALAMIN INJ (BOX/6 AMP ) BOX/6 AMP Rp 7,920.00
195 MELOXICAM 15 MG 100 TAB BOX/100 TAB Rp 1,655.00
196 MELOXICAM 7,5 MG BOX/100 TAB Rp 954.80
197 MEROPENEM 0,5 GR BOX/1 VIAL Rp 43,909.23
198 MEROPENEM INJ 1 G BOX/1 VIAL Rp 39,990.06
199 METFORMIN HCL TAB 500 MG BOX/100 TAB Rp 115.00
200 METFORMIN HCL TAB 850 MG BOX/100 TAB Rp 205.00
201 METHOTREXAT 2.5 mg BOX/ 50 TAB Rp 1,764.00
202 METHYL ERGOMETRINE MAL INJ 0.2 mg/100'S BOX/100 Rp 2,684.00
203 METIL PREDNISOLON 16 MG BOX/ 100 TAB Rp 591.81
204 METIL PREDNISOLON 8 MG BOX/ 50 TAB Rp 287.27
205 METIL PREDNISOLON INJ 125 ML BOX/1 AMPUL Rp 26,005.10
206 METILPREDNISOLONE 4 MG BOX/100 Rp 160.00
HARGA
N0 NAMA OBAT SATUAN
SATUAN
207 METOKLOPERAMID INJ 10 mg BOX/ 10 AMP Rp 3,300.00

208 METOKLOPRAMIDE SYR (NORVOM) BTL 60 ML Rp 40,104.00
209 METOKLOPRAMIDE TAB 10 MG BOX/100 TAB Rp 95.00
210 METOKLOPRAMIDE TAB 5 MG GENERIK BOX/100 TAB Rp 108.00
211 METRONIDAZOL INFUS BOX/50 BOTOL Rp 26,000.00
212 METRONIDAZOL TAB 500 mg BOX/ 100 TAB Rp 133.00
213 METRONIDAZOLE BENZOATE SIRUP 125 mg/5ml BOTOL Rp 3,800.00
214 MICONAZOL KRIM BOX/24 TUBE Rp 3,410.00
215 MISOPROSTOL 200 mcg BOX/ 30 Rp 4,950.00
216 NACL 0,9 % (NATIRUM CLORIDA) BOX/20 Rp 6,410.00
217 NATRIUM DIKLOFENAK 25 MG BOX/50 TAB Rp 250.00
218 NATRIUM DIKLOFENAK 50 MG BOX/50 TAB Rp 300.00
219 NEO MERCAZOLE (PINDAH PATEN) BOTOL/ 100 Rp 875.00
220 NICARDIPINE HCL 10 MG BOX 5 AMP Rp 44,565.00
221 NYSTATIN DROP BOX/ 10 BTL Rp 21,780.00
222 NYSTATIN VAGINAL TAB BOX/ 100 Rp 19,102.00
223 OFLOXACIN 400 MG TABLET Rp 920.00
224 OMEPRAZOL INJ VIAL Rp 38,000.00
225 OMEPRAZOLE TAB KOTAK 30 TAB Rp 335.00
226 ONDANSENTRON 4 MG/2 ML (BOX/ 10 AMP) BOX/ 10 amp Rp 8,800.00
227 ONDANSENTRON 4 MG/2 ML (BOX/ 5 AMP) BOX/5 AMPUL Rp 1,650.00
228 ONDANSENTRON 8 MG/2 ML BOX/10 AMPUL Rp 6,400.07
229 ONDANSENTRON TAB (BOX/10TAB ) BOX/10TAB Rp 6,160.00
230 ONDANSENTRON TAB (BOX/5 TAB ) BOX/5 TAB Rp 3,795.00
231 ORALIT BOX/100 SAC Rp 513.00
232 OXYTETRACYLIN SALF KULIT 3% BOX/25 TUBE Rp 1,900.00
233 OXYTOCIN INJ 10 IU 100 AMP (SANTOCIN) BOX/ 100 AMP Rp 1,900.00
234 PANTOPRAZOL 40 MG INJ BOX/I VIAL Rp 49,588.00
235 PARACETAMOL 500 MG (BOTOL) BOTOL/1000 TAB Rp 62.00
236 PARACETAMOL 500 MG (BOX) BOX/100 TAB Rp 108.90
237 PARACETAMOL DROP BOX / 56 BOTOL 10 ML Rp 5,460.00
238 PARACETAMOL INFUS (BOX/ 10 ) BOX/ 10 Rp 23,625.00
239 PARACETAMOL INFUS (BOX/ 24 BTL ) BOX/ 24 BTL Rp 45,000.00
240 PARACETAMOL SYR BOTOL 60 ML Rp 3,493.60
241 PARACETAMOL TAB 500 MG BTL 100 TAB Rp 250.00
HARGA
N0 NAMA OBAT SATUAN
SATUAN
242 PHENOL GLYSEROL 10 % BTL 5 ml BOX/ 24 BOTOL Rp 2,499.20

243 PHENYTOIN SODIUM BOTOL/100 KAP Rp 350.00
244 PHENYTOIN SODIUM INJ 50 mg BOX/ 10 AMPUL 2 ML Rp 56,005.40
245 PHYTOMENADIONE INJ 2 MG/ML BOX30 AMP Rp 4,082.98
246 PHYTOMENADIONE TAB BTL/ 100 Rp 666.00
247 PIOGLITAZONE 15 MG BOX/30 TAB Rp 2,805.00
248 PIOGLITAZONE 30 MG BOX/30 TAB Rp 4,675.00
249 PIRACETAM 1200 (BOX/100 TAB ) BOX/100 TAB Rp 1,075.00
250 PIRACETAM 1200 (BOX/30 TAB ) BOX/30 TAB Rp 815.00
251 PIRACETAM 3 G/15 ML INJ BOX/4 AMP Rp 6,000.00
252 PIRACETAM 400 BOX/100 TAB Rp 622.00
253 PIRACETAM 800 BOX/100 TAB Rp 1,108.00
254 PIRACETAM INF BOX/ 16 Rp 86,770.00
255 PIRAZINAMID 500 BOX/100 Rp 220.00
256 PRAVASTATIN TAB 20 MG BOX/50 TAB Rp 2,400.00
257 PREDNISON 5 MG BOX/100 Rp 8,909.09
258 PREGABALIN kap 75 mg BOX/ 30 TAB Rp 7,132.13
259 PRENISON 5 MG BOTOL BOTOL/ 1000 Rp 119.00
260 PROPANOLOL 40 mg BOX/100 Rp 110.00
261 PROPANOLOL 40 mg BOTOL BOTOL/100 Rp 110.00
262 PROPILTHIOURASIL TAB 100 MG (PTU) BOTOL/100 TAB Rp 453.22
263 PROPRANOLOL 10 BOX/100 TAB Rp 80.00
264 PROPRANOLOL 40 mg BOX/100 TAB Rp 130.00
265 PYRANTEL 125 mg BOX/ 100 Rp 308.00
266 PYRANTEL BTL BOTOL Rp 8,728.00
267 PYRIDOXINE BOX/1000 TAB Rp 31.00
268 PYRIDOXINE HCL BOX/ 100 amp Rp 1,050.00
269 QUININ INJ 250 MG/ML BOX/100 AMP Rp 6,510.00
270 QUININE 222 MG (BOX/ 100 ) BOX/ 100 Rp 740.00
271 QUININE 222 MG (BOX/ 60 ) BOX/ 60 Rp 704.00
272 RAMIPRIL 2,5 mg BOX/100 TAB Rp 530.00
273 RAMIPRIL 5 mg Rp 655.91
274 RANITIDIN INJ 25 MG/ML 2 ML BOX/25 AMPUL Rp 3,547.00
275 RANITIDIN INJ 50 MG/2 ML BOX/100 AMP Rp 7,040.00
276 RANITIDIN INJ 50 MG/2ML BOX/ 10 AMP Rp 14,400.10
HARGA
N0 NAMA OBAT SATUAN
SATUAN
277 RANITIDIN INJ25 MG/ML 2 ML (10 AMP) BOX/10 AMPUL Rp 1,190.00

278 RANITIDIN TAB 150 MG BOX/100 TAB Rp 126.00
279 RIMFAMICIN 450 MG BOX/ 100 Rp 814.00
280 RIMFAMPICIN 300 BOX/100 Rp 800.00
281 RINGER LAKTAT 500 ML (1 DUS/20 BOTOL) BOX/20 BOTOL Rp 6,279.00
282 SALBUTAMOL 2 MG BOX/100 TAB Rp 66.99
283 SALBUTAMOL 4 MG BOX/100 TAB Rp 89.00
284 SALEP 2-4 BOX/ 24 POT Rp 1,720.00
285 SALISIL TALC 2 SAC Rp 950.91
286 SIMVASTATIN 10 MG BOX/30 TAB Rp 207.17
287 SIMVASTATIN TAB 20 MG (30 tab) BOX/30 TAB Rp 509.00
288 SODIUM BIGNAT(BICARBONAT) BOX/1000 TAB Rp 250.00
289 SPIRONOLACTONE TAB 100 MG BOX/ 100 TAB Rp 798.00
290 SPIRONOLACTONE TAB 25 mg BOX/ 100 TAB Rp 392.00
291 STREPTOMYCIN 1 G VIAL Rp 3,832.00
292 SULFADOKSIN 500 MG BOX/100 TAB Rp 150.00
293 SULFASALAZINE 500 MG BOX/100 TAB Rp 2,530.00
294 TABLET TAMBAH DARAH BOX/ 30 TAB Rp 43.00
295 TANTUM VERDE BOTOL Rp 35,000.00
296 THIAMIN BOTOL/ 1000 Rp 40.00
297 TRAMADOL 100MG/2 ML INJ BOX/ 10 AMP Rp 6,913.76
298 TRAMADOL 50 mg BOX/100 Rp 380.00
299 TRIAMCINOLONE BOX/100 Rp 916.00
300 TRIAMCINOLONE 4 mg BOX/ 100 Rp 3,500.00
301 URSODEOXYCHOLIC ACID 250 BOX/ 30 Rp 5,313.00
302 VALSARTAN 160 mg BOX/ 30 TAB Rp 2,699.84
303 VALSARTAN 80 mg BOX/ 30 TAB Rp 1,800.00
304 VITAMIN A 100000 UI BIRU BOTOL/50 KAP Rp 242.00
305 VITAMIN A 200000 IU MERAH BOTOL/ 50 Rp 373.00
306 VITAMIN B COMPLEX BOTOL/100 TAB Rp 120.00
307 VITAMIN B1 100 mg BOX/100 KAP Rp 50.00
308 VITAMIN B1 100 MG (THIAMIN) BOX/ 100 Rp 40.00
309 VITAMIN B1 50 MG BOTOL/1000 TAB Rp 81.00
310 VITAMIN B12 50 mcg BOTOL/1000 TAB Rp 50.00
311 VITAMIN B12 50 MG BOX/100 TAB Rp 50.00
HARGA
N0 NAMA OBAT SATUAN
SATUAN
312 VITAMIN B12 500 mcg/ML AMP Rp 1,131.00

313 VITAMIN B6 10 MG (SUPLEMEN MAKANAN) BOX/ 100 TAB Rp 124.00
314 VITAMIN C 100 MG BOX/100 TAB Rp 69.00
315 VITAMIN C 250 MG (100 ) BOX/100 KAP Rp 150.00
316 VITAMIN C 50 MG BOTOL/100 TAB Rp 50.00
317 ZINC DROP 10 MG BOTOL Rp 12,840.00
318 ZINC PRO 10 mg/ml BOTOL 15 ml Rp 10,798.70
319 ZINC TAB 20 mg BOX/100 TAB Rp 534.00
NILA
ERENCANAAN KEBUTUHAN OBAT GENERIK T
RATA-RATA
STOCK TOTAL RATA-RATA KEBUTUHAN
KELUAR
AKHIR PENGELUARAN PENGELUARAN
PERBULAN
SETAHUN
24000 56000 5600 5600 84000

0 3800 380 380 5700
0 3000 300 300 4500
19500 500 50 50 750
15800 0 0 0 0
125 275 27.5 28 420
0 1000 100 100 1500
0 1500 150 150 2250
0 0 0 0 0
10000 7000 700 700 10500
2400 17500 1750 1750 26250
28800 67000 6700 6700 100500
3050 950 95 95 1425
0 90 9 9 135
23200 3800 380 380 5700
870 600 60 60 900
56000 87000 8700 8700 130500
0 48990 4899 4899 73485
0 40140 4014 4014 60210
4080 420 42 42 630
0 1000 100 100 1500
10000 2500 250 250 3750
450 150 15 15 225
0 30 3 3 45
0 10 1 1 15
0 1470 147 147 2205
0 723 72.3 73 1095
7200 7200 720 720 10800
550 710 71 71 1065
18700 4610 461 461 6915
0 10000 1000 1000 15000
RATA-RATA
KELUAR
PERBULAN
SETAHUN
1040 1980 198 198 2970

0 7500 750 750 11250
0 10320 1032 1032 15480
0 19500 1950 1950 29250
0 200 20 20 300
0 0 0 0 0
0 0 0 0 0
1200 0 0 0 0
0 96 9.6 10 150
32120 11680 1168 1168 17520
0 600 60 60 900
0 377 37.7 38 570
0 19000 1900 1900 28500
790 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 3240 324 324 4860
0 25000 2500 2500 37500
0 0 0 0 0
0 172 17.2 18 270
696 72 7.2 8 120
15120 5730 573 573 8595
0 17940 1794 1794 26910
6000 6000 600 600 9000
10000 0 0 0 0
0 0 0 0 0
9600 0 0 0 0
0 0 0 0 0
40 4 4 60
0 14400 1440 1440 21600
0 17000 1700 1700 25500
2300 0 0 0 0
0 600 60 60 900
0 150 15 15 225
RATA-RATA
KELUAR
PERBULAN
SETAHUN
0 200 20 20 300
28800 1600 160 160 2400
50 250 25 25 375
0 200 20 20 300
0 39100 3910 3910 58650
0 98 9.8 10 150
0 406 40.6 41 615
504 460 46 46 690
2000 0 0 0 0
0 3228 322.8 323 4845
0 100 10 10 150
0 0 0 0 0
1152 3378 337.8 338 5070
196 133 13.3 14 210
1330 250 25 25 375
39600 29000 2900 2900 43500
2500 0 0 0 0
192 200 20 20 300
0 0 0 0 0
3800 0 0 0 0
0 1000 100 100 1500
0 0 0 0 0
0 0 0 0 0
0 13200 1320 1320 19800
0 208 20.8 21 315
1500 5010 501 501 7515
50 200 20 20 300
340 2720 272 272 4080
720 6000 600 600 9000
0 1000 100 100 1500
0 10700 1070 1070 16050
32800 0 0 0 0
13800 10650 1065 1065 15975
1500 1000 100 100 1500
900 400 40 40 600
RATA-RATA
KELUAR
PERBULAN
SETAHUN
0 0 0 0 0
16500 18500 1850 1850 27750
3700 2100 210 210 3150
0 1080 108 108 1620
0 400 40 40 600
18000 14400 1440 1440 21600
21000 9000 900 900 13500
8800 1600 160 160 2400
0 0 0 0 0
9300 3600 360 360 5400
0 0 0 0 0
0 450 45 45 675
0 25 2.5 3 45
4000 30000 3000 3000 45000
0 0 0 0 0
250 550 55 55 825
0 0 0
0 0
900 400 40 40 600
0 420 42 42 630
360 140 14 14 210
0 4000 400 400 6000
1000 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 2010 201 201 3015
4860 3150 315 315 4725
0 0 0 0 0
0 0 0 0 0
0 1000 100 100 1500
0 0 0 0 0
0 10000 1000 1000 15000
0 16520 1652 1652 24780
0 10000 1000 1000 15000
4 30 3 3 45
3 0 0 0 0
RATA-RATA
KELUAR
PERBULAN
SETAHUN
0 30000 3000 3000 45000

20000 7200 720 720 10800
600 2100 210 210 3150
0 35200 3520 3520 52800
3000 2000 200 200 3000
1200 360 36 36 540
290 180 18 18 270
0 72000 7200 7200 108000
29450 11000 1100 1100 16500
0 13500 1350 1350 20250
12500 6600 660 660 9900
10300 14450 1445 1445 21675
3200 1800 180 180 2700
15 1000 100 100 1500
400 280 28 28 420
1200 1360 136 136 2040
10000 0 0 0 0
0 40 4 4 60
6000 0 0 0 0
10100 0 0 0 0
10000 7600 760 760 11400
0 0 0 0 0
0 0 0 0 0
808 240 24 24 360
0 2000 200 200 3000
0 60 6 6 90
0 10020 1002 1002 15030
6660 13380 1338 1338 20070
0 3500 350 350 5250
1400 1500 150 150 2250
2000 0 0 0 0
6330 3570 357 357 5355
0 0 0 0 0
0 0 0 0 0
0 4000 400 400 6000
RATA-RATA
KELUAR
PERBULAN
SETAHUN
0 0 0 0 0
0 50 5 5 75
0 750 75 75 1125
1860 3408 340.8 341 5115
0 2500 250 250 3750
364 136 13.6 14 210
196 0 0 0 0
0 72 7.2 8 120
10000 0 0 0 0
0 5000 500 500 7500
40800 70360 7036 7036 105540
224 814 81.4 82 1230
0 11000 1100 1100 16500
990 0 0 0 0
0 0 0 0 0
0 1080 108 108 1620
5000 0 0 0 0
8800 1200 120 120 1800
6000 2400 240 240 3600
3600 0 0 0 0
4800 9600 960 960 14400
0 0 0 0 0
198 834 83.4 84 1260
16000 32000 3200 3200 48000
28000 40000 4000 4000 60000
0 167 16.7 17 255
270 409 40.9 41 615
44800 130800 13080 13080 196200
0 17500 1750 1750 26250
7400 100 10 10 150
1300 600 60 60 900
1500 0 0 0 0
18500 1500 150 150 2250
252 1260 126 126 1890
96000 42600 4260 4260 63900
RATA-RATA
KELUAR
PERBULAN
SETAHUN
1500 1600 160 160 2400

0 0 0 0 0
15000 6200 620 620 9300
0 0 0 0 0
900 2000 200 200 3000
0 21000 2100 2100 31500
200 50 5 5 75
758 466 46.6 47 705
0 1380 138 138 2070
1320 5700 570 570 8550
0 0 0 0 0
19600 350 35 35 525
50 0 0 0 0
0 100 10 10 150
0 150 15 15 225
18600 0 0 0 0
0 0 0 0 0
0 1624 162.4 163 2445
0 10500 1050 1050 15750
690 0 0 0 0
1420 3040 304 304 4560
0 0 0 0
0 1000 100 100 1500
0 1650 165 165 2475
45600 46800 4680 4680 70200
0 0 0 0 0
3400 1100 110 110 1650
0 100 10 10 150
0 8000 800 800 12000
0 40000 4000 4000 60000
816 472 47.2 48 720
1200 950 95 95 1425
0 1780 178 178 2670
0 1398 139.8 140 2100
0 0 0 0 0
RATA-RATA
KELUAR
PERBULAN
SETAHUN
0 26 2.6 3 45
0 194348 19434.8 19435 291525
0 290 29 29 435
1260 2550 255 255 3825
10000 15000 1500 1500 22500
0 0 0 0
0 0 0 0
126000 18000 1800 1800 27000
0 10800 1080 1080 16200
272 1528 152.8 153 2295
19600 0 0 0 0
136800 10900 1090 1090 16350
80 0 0 0 0
0 8500 850 850 12750
5000 0 0 0 0
20000 0 0 0 0
0 1980 198 198 2970
0 4000 400 400 6000
5000 0 0 0 0
5000 0 0 0 0
0 20000 2000 2000 30000
10000 9000 900 900 13500
0 3500 350 350 5250
5000 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4700 200 20 20 300
0 200 20 20 300
0 6000 600 600 9000
7980 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
8640 8560 856 856 12840
RATA-RATA
KELUAR
PERBULAN
SETAHUN
0 0 0 0 0
40000 102500 10250 10250 153750
3500 600 60 60 900
4000 0 0 0 0
2220 12920 1292 1292 19380
0 24800 2480 2480 37200
40000 5000 500 500 7500
19 1 0.1 1 15
400 100 10 10 150
0 3000 300 300 4500
0 0 0 0 0
0 1000 100 100 1500
0 8800 880 880 13200
7800 27200 2720 2720 40800
0 168 16.8 17 255
8000 5000 500 500 7500
0 5000 500 500 7500
6000 0 0 0 0
0 0 0 0 0
0 1000 100 100 1500
1440 500 50 50 750
117000 166500 16650 16650 249750
0 0 0 0 0
0 22400 2240 2240 33600
0 14580 1458 1458 21870
3000 300 300 4500
0 28380 2838 2838 42570
0 100 10 10 150
0 0 0 0 0
10000 19200 1920 1920 28800
0 0 0 0 0
3200 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1000 100 100 1500
RATA-RATA
KELUAR
PERBULAN
SETAHUN
0 0 0 0 0
0 10000 1000 1000 15000

0 0 0 0 0
0 8300 830 830 12450
0 5000 500 500 7500
0 0 0 0 0
352 249 24.9 25 375
2800 0 0 0
NILAI
NERIK TAHUN 2018
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
60000 Rp 50,847,999.37 Rp 76,271,999.05
5700 Rp 463,600.00 Rp 695,400.00
4500 Rp 1,219,091.00 Rp 1,828,636.50
-18750 Rp 203,000.00 Rp -
-15800 Rp - Rp -
295 Rp 1,113,750.00 Rp 1,701,000.00
1500 Rp 285,000.00 Rp 427,500.00
2250 Rp 427,500.00 Rp 641,250.00
0 Rp - Rp -
500 Rp 1,050,000.00 Rp 1,575,000.00
23850 Rp 4,170,833.01 Rp 6,256,249.52
71700 Rp 5,829,000.00 Rp 8,743,500.00
-1625 Rp 2,468,100.00 Rp -
135 Rp 2,674,260.00 Rp 4,011,390.00
-17500 Rp 311,600.00 Rp -
30 Rp 1,798,808.00 Rp 2,698,212.00
74500 Rp 13,050,000.00 Rp 19,575,000.00
73485 Rp 15,268,550.00 Rp 22,902,825.00
60210 Rp 8,830,800.00 Rp 13,246,200.00
-3450 Rp 1,638,000.00 Rp -
1500 Rp 182,000.00 Rp 273,000.00
-6250 Rp 550,000.00 Rp -
-225 Rp 631,800.00 Rp -
45 Rp 257,730.00 Rp 386,595.00
15 Rp 110,000.00 Rp 165,000.00
2205 Rp 2,572,500.00 Rp 3,858,750.00
1095 Rp 3,201,444.00 Rp 4,848,660.00
3600 Rp 532,800.00 Rp 799,200.00
515 Rp 1,633,000.00 Rp 2,449,500.00
-11785 Rp 9,681,000.00 Rp -
15000 Rp 1,217,700.00 Rp 1,826,550.00

NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
1930 Rp 5,021,280.99 Rp 7,531,921.49
11250 Rp 8,662,500.00 Rp 12,993,750.00
15480 Rp 19,040,399.31 Rp 28,560,598.97
29250 Rp 54,965,625.00 Rp 82,448,437.50
300 Rp 260,000.00 Rp 390,000.00
0 Rp - Rp -
0 Rp - Rp -
-1200 Rp - Rp -
150 Rp 11,040,000.00 Rp 17,250,000.00
-14600 Rp 52,560,000.00 Rp -
900 Rp 750,000.00 Rp 1,125,000.00
570 Rp 30,160,000.00 Rp 45,600,000.00
28500 Rp 1,900,000.00 Rp 2,850,000.00
-790 Rp - Rp -
0 Rp - Rp -
0 Rp - Rp -
0 Rp - Rp -
4860 Rp 8,650,800.00 Rp 12,976,200.00
37500 Rp 3,437,500.00 Rp 5,156,250.00
0 Rp - Rp -
270 Rp 4,623,360.00 Rp 7,257,600.00
-576 Rp 716,760.00 Rp -
-6525 Rp 31,945,148.24 Rp -
26910 Rp 65,661,826.23 Rp 98,492,739.35
3000 Rp 372,000.00 Rp 558,000.00
-10000 Rp - Rp -
0 Rp - Rp -
-9600 Rp - Rp -
0 Rp - Rp -
60 Rp 166,763.60 Rp 250,145.40
21600 Rp 7,761,600.00 Rp 11,642,400.00
25500 Rp 9,077,997.28 Rp 13,616,995.92
-2300 Rp - Rp -
900 Rp 2,501,454.00 Rp 3,752,181.00
225 Rp 922,350.00 Rp 1,383,525.00

NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
300 Rp 10,059,200.00 Rp 15,088,800.00
-26400 Rp 2,433,091.20 Rp -
325 Rp 6,421,813.75 Rp 9,632,720.63
300 Rp 3,811,600.00 Rp 5,717,400.00
58650 Rp 59,458,666.24 Rp 89,187,999.36
150 Rp 801,738.00 Rp 1,227,150.00
615 Rp 10,271,800.00 Rp 15,559,500.00
186 Rp 6,131,800.00 Rp 9,197,700.00
-2000 Rp - Rp -
4845 Rp 16,937,316.00 Rp 25,421,715.00
150 Rp 1,705,020.90 Rp 2,557,531.35
0 Rp - Rp -
3918 Rp 8,708,484.00 Rp 13,070,460.00
14 Rp 3,474,625.00 Rp 5,486,250.00
-955 Rp 2,479,523.75 Rp -
3900 Rp 4,545,750.00 Rp 6,818,625.00
-2500 Rp - Rp -
108 Rp 1,556,500.00 Rp 2,334,750.00
0 Rp - Rp -
-3800 Rp - Rp -
1500 Rp 150,000.00 Rp 225,000.00
0 Rp - Rp -
0 Rp - Rp -
19800 Rp 3,432,000.00 Rp 5,148,000.00
315 Rp 3,120,000.00 Rp 4,725,000.00
6015 Rp 66,132,000.00 Rp 99,198,000.00
250 Rp 2,399,800.00 Rp 3,599,700.00
3740 Rp 64,178,400.00 Rp 96,267,600.00
8280 Rp 39,600,000.00 Rp 59,400,000.00
1500 Rp 1,400,000.00 Rp 2,100,000.00
16050 Rp 7,727,028.54 Rp 11,590,542.81
-32800 Rp - Rp -
2175 Rp 106,500,000.00 Rp 159,750,000.00
0 Rp 15,400.00 Rp -
-300 Rp 467,200.80 Rp -
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
0 Rp - Rp -
11250 Rp 795,500.00 Rp 1,193,250.00
-550 Rp 3,483,900.00 Rp -
1620 Rp 4,098,600.00 Rp 6,147,900.00
600 Rp 11,616,000.00 Rp 17,424,000.00
3600 Rp 4,780,800.00 Rp 7,171,200.00
-7500 Rp 900,000.00 Rp -
-6400 Rp 196,800.00 Rp -
0 Rp - Rp -
-3900 Rp 363,600.00 Rp -
0 Rp - Rp -
675 Rp 453,600.00 Rp 680,400.00
45 Rp 875,000.00 Rp 1,575,000.00
41000 Rp 11,137,500.00 Rp 16,706,250.00
0 Rp - Rp -
575 Rp 1,699,505.50 Rp 2,549,258.25
Rp - Rp -
0
-300 Rp 699,600.00 Rp -
630 Rp 836,640.00 Rp 1,254,960.00
-150 Rp 961,422.00 Rp -
6000 Rp 1,820,000.00 Rp 2,730,000.00
-1000 Rp - Rp -
0 Rp - Rp -
0 Rp - Rp -
3015 Rp 2,156,729.53 Rp 3,235,094.30
-135 Rp 4,104,449.58 Rp -
0 Rp - Rp -
0 Rp - Rp -
1500 Rp 19,800,293.33 Rp 29,700,440.00
0 Rp - Rp -
15000 Rp 9,199,997.96 Rp 13,799,996.95
24780 Rp 15,198,396.64 Rp 22,797,594.96
15000 Rp 460,000.00 Rp 690,000.00
41 Rp 779,388.82 Rp 1,169,083.23
-3 Rp - Rp -
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
45000 Rp 5,451,930.00 Rp 8,177,895.00
-9200 Rp 4,550,400.00 Rp -
2550 Rp 4,032,000.00 Rp 6,048,000.00
52800 Rp 68,745,600.00 Rp 103,118,400.00
0 Rp 1,426,000.00 Rp -
-660 Rp 1,059,381.60 Rp -
-20 Rp 334,891.92 Rp -
108000 Rp 4,176,000.00 Rp 6,264,000.00
-12950 Rp 2,200,022.00 Rp -
20250 Rp 3,915,054.00 Rp 5,872,581.00
-2600 Rp 2,666,400.00 Rp -
11375 Rp 5,245,350.00 Rp 7,868,025.00
-500 Rp 1,794,600.00 Rp -
1485 Rp 50,000.00 Rp 75,000.00
20 Rp 2,100,000.00 Rp 3,150,000.00
840 Rp 9,383,999.59 Rp 14,075,999.39
-10000 Rp - Rp -
60 Rp 264,000.00 Rp 396,000.00
-6000 Rp - Rp -
-10100 Rp - Rp -
1400 Rp 760,000.00 Rp 1,140,000.00
0 Rp - Rp -
0 Rp - Rp -
-448 Rp 635,976.00 Rp -
3000 Rp 244,000.00 Rp 366,000.00
90 Rp 4,412,877.56 Rp 6,619,316.34
15030 Rp 7,094,159.67 Rp 10,641,239.50
13410 Rp 15,413,759.11 Rp 23,120,638.66
5250 Rp 23,800,000.00 Rp 35,700,000.00
850 Rp 525,000.00 Rp 787,500.00
-2000 Rp - Rp -
-975 Rp 1,895,670.00 Rp -
0 Rp - Rp -
0 Rp - Rp -
6000 Rp 292,000.00 Rp 438,000.00

NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
0 Rp - Rp -
75 Rp 468,650.00 Rp 702,975.00
1125 Rp 980,993.75 Rp 1,471,490.63
3255 Rp 4,457,635.60 Rp 6,690,377.38
3750 Rp 1,175,000.00 Rp 1,762,500.00
-154 Rp 346,324.00 Rp -
-196 Rp - Rp -
120 Rp 183,348.00 Rp 305,580.00
-10000 Rp - Rp -
7500 Rp 4,015,349.65 Rp 6,023,024.48
64740 Rp 21,171,957.24 Rp 31,757,935.86
1006 Rp 34,110,670.00 Rp 51,543,150.00
16500 Rp 6,094,000.00 Rp 9,141,000.00
-990 Rp - Rp -
0 Rp - Rp -
1620 Rp 680,400.00 Rp 1,020,600.00
-5000 Rp - Rp -
-7000 Rp 199,848.00 Rp -
-2400 Rp 12,751,200.00 Rp -
-3600 Rp - Rp -
9600 Rp 6,652,800.00 Rp 9,979,200.00
0 Rp - Rp -
1062 Rp 6,605,280.00 Rp 9,979,200.00
32000 Rp 52,960,000.00 Rp 79,440,000.00
32000 Rp 38,192,000.00 Rp 57,288,000.00
255 Rp 7,332,841.32 Rp 11,196,853.51
345 Rp 16,355,934.54 Rp 24,593,886.90
151400 Rp 15,042,001.69 Rp 22,563,002.54
26250 Rp 3,587,500.00 Rp 5,381,250.00
-7250 Rp 176,400.00 Rp -
-400 Rp 1,610,400.00 Rp -
-1500 Rp - Rp -
-16250 Rp 430,909.20 Rp -
1638 Rp 32,766,426.00 Rp 49,149,639.00
-32100 Rp 6,815,790.74 Rp -
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
900 Rp 5,280,000.00 Rp 7,920,000.00
0 Rp - Rp -
-5700 Rp 588,999.75 Rp -
0 Rp - Rp -
2100 Rp 52,000,000.00 Rp 78,000,000.00
31500 Rp 2,793,002.52 Rp 4,189,503.78
-125 Rp 190,000.00 Rp -
-53 Rp 1,589,060.00 Rp -
2070 Rp 6,831,000.00 Rp 10,246,500.00
7230 Rp 36,537,000.02 Rp 54,805,500.03
0 Rp - Rp -
-19075 Rp 105,000.00 Rp -
-50 Rp - Rp -
150 Rp 4,456,500.00 Rp 6,684,750.00
225 Rp 3,267,000.00 Rp 4,900,500.00
-18600 Rp - Rp -
0 Rp - Rp -
2445 Rp 61,712,000.00 Rp 92,910,000.00
15750 Rp 3,517,500.00 Rp 5,276,250.00
-690 Rp - Rp -
3140 Rp 5,016,000.00 Rp 7,524,000.00
0 Rp - Rp -
1500 Rp 6,160,000.00 Rp 9,240,000.00
2475 Rp 6,261,750.00 Rp 9,392,625.00
24600 Rp 24,008,400.00 Rp 36,012,600.00
0 Rp - Rp -
-1750 Rp 2,089,996.70 Rp -
150 Rp 4,958,800.00 Rp 7,438,200.00
12000 Rp 496,000.00 Rp 744,000.00
60000 Rp 4,356,000.00 Rp 6,534,000.00
-96 Rp 2,577,121.89 Rp -
225 Rp 22,443,750.00 Rp 33,665,625.00
2670 Rp 80,100,000.00 Rp 120,150,000.00
2100 Rp 4,884,052.80 Rp 7,336,560.00
0 Rp - Rp -
NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
45 Rp 64,979.20 Rp 112,464.00
291525 Rp 68,021,800.00 Rp 102,033,750.00
435 Rp 16,241,566.00 Rp 24,362,349.00
2565 Rp 10,411,599.00 Rp 15,617,398.50
12500 Rp 9,990,000.00 Rp 14,985,000.00
0 Rp - Rp -
0 Rp - Rp -
-99000 Rp 19,350,000.00 Rp -
16200 Rp 8,802,000.00 Rp 13,203,000.00
2023 Rp 9,168,000.00 Rp 13,770,000.00
-19600 Rp - Rp -
-120450 Rp 12,077,200.00 Rp -
-80 Rp - Rp -
12750 Rp 1,870,000.00 Rp 2,805,000.00
-5000 Rp - Rp -
-20000 Rp - Rp -
2970 Rp 14,121,607.50 Rp 21,182,411.25
6000 Rp 476,000.00 Rp 714,000.00
-5000 Rp - Rp -
-5000 Rp - Rp -
30000 Rp 9,064,440.00 Rp 13,596,660.00
3500 Rp 720,000.00 Rp 1,080,000.00
5250 Rp 455,000.00 Rp 682,500.00
-5000 Rp - Rp -
0 Rp - Rp -
0 Rp - Rp -
-4400 Rp 210,000.00 Rp -
300 Rp 1,302,000.00 Rp 1,953,000.00
9000 Rp 4,440,000.00 Rp 6,660,000.00
-7980 Rp - Rp -
0 Rp - Rp -
0 Rp - Rp -
0 Rp - Rp -
0 Rp - Rp -
4200 Rp 123,264,856.00 Rp 184,897,284.00

NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
0 Rp - Rp -
113750 Rp 12,915,000.00 Rp 19,372,500.00
-2600 Rp 488,400.00 Rp -
-4000 Rp - Rp -
17160 Rp 81,124,680.00 Rp 121,687,020.00
37200 Rp 1,661,461.12 Rp 2,492,191.68
-32500 Rp 445,000.05 Rp -
-4 Rp 1,720.00 Rp -
-250 Rp 95,091.11 Rp -
4500 Rp 621,500.00 Rp 932,250.00
0 Rp - Rp -
1500 Rp 250,000.00 Rp 375,000.00
13200 Rp 7,022,400.00 Rp 10,533,600.00
33000 Rp 10,662,400.00 Rp 15,993,600.00
255 Rp 643,776.00 Rp 977,160.00
-500 Rp 750,000.00 Rp -
7500 Rp 12,650,000.00 Rp 18,975,000.00
-6000 Rp - Rp -
0 Rp - Rp -
1500 Rp 40,000.00 Rp 60,000.00
-690 Rp 3,456,882.00 Rp -
132750 Rp 63,270,000.00 Rp 94,905,000.00
0 Rp - Rp -
33600 Rp 78,400,000.00 Rp 117,600,000.00
21870 Rp 77,463,540.00 Rp 116,195,310.00
4500 Rp 8,099,520.00 Rp 12,149,280.00
42570 Rp 51,083,999.29 Rp 76,625,998.93
150 Rp 24,200.00 Rp 36,300.00
0 Rp - Rp -
18800 Rp 2,303,980.80 Rp 3,455,971.20
0 Rp - Rp -
-3200 Rp - Rp -
0 Rp - Rp -
0 Rp - Rp -
1500 Rp 50,000.00 Rp 75,000.00

NILIA
PERENCANAAN
KEBUTUHAN 1 TAHUN
0 Rp - Rp -
15000 Rp 1,240,030.00 Rp 1,860,045.00
0 Rp - Rp -
12450 Rp 1,245,000.00 Rp 1,867,500.00
7500 Rp 250,000.00 Rp 375,000.00
0 Rp - Rp -
23 Rp 2,688,876.30 Rp 4,049,512.50
-2800 Rp - Rp -
Rp 2,501,603,880.80 Rp 3,456,212,963.56
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PERENCANAAN KE
HARGA STOCK TOTAL
NO NAMA OBAT SATUAN
SATUAN AKHIR PENGELUARAN
1 CENDO ASTEHENOF TM STR 5,187 100 100

2 CENDO AUGENTONIK STR 5,471 200 100
3 CENDO C0RTHON TM STR 2,693 0 0
4 CENDO CARPIN 2% STR 31,930 0 0
5 CENDO CATERLENT TM box/ 100 STR 4,400 0 0
6 CENDO CATERLENT TM BTL BTL 5 ML 19,725 0 0
7 CENDO CENFRESH STR 4,414 0 200
8 CENDO CORTHON TM STR 2,693 0 0
9 CENDO DEXATON TM STR 4,039 0 0
10 CENDO FENICOL TM STR 4,383 0 0
11 CENDO FLOXA TM STR 5,135 0 0
12 CENDO HERVIS SM TUBE 3,5 G 46,024 0 0
13 CENDO LFX STRP 3,200 0 0
14 CENDO LFX SM TUBE 3,5 G 17,457 0 0
15 CENDO LYTEERS TM STR 4,870 400 400
16 CENDO MYCOS SALF MATA TUBE 5 G 25,204 0 0
17 CENDO MYDRIATIL 0,5% TM STR 6,606 0 40
18 CENDO MYDRIATIL 1% STR 7,381 0 0
19 CENDO NACATEN SM BTL 5 ML 33,030 0 0
20 CENDO NACATEN TM STR 10,426 0 0
21 CENDO PANTOCAIN 0,5 % TM STR 4,112 0 220
22 CENDO PANTOCAIN 2 % TM STR 3,444 0 0
23 CENDO PITHALIMIC SALF MATA tube 3,5 gr 86,726 0 0
24 CENDO PITHALIMIC TM STR 11,334 0 0
25 CENDO POLIDEX TM STP 6,705 0 0
26 CENDO POLIDEX TM BTL 51,123 0 0
27 CENDO POLYGRAN SM TUBE 23,168 0 124
28 CENDO POLYGRAN TM BTL STR 23,168 1125 200
29 CENDO PROTAGENTA 0,6 ML BTL BOTOL 9,076 0 0
30 CENDO PROTAGENTA 0,6 ML TM amp 7,796 3500 0
31 CENDO TIMOL TM 0.5% MINIDOSE 6,450 0 200
32 CENDO TIMOL TM BTL 0.25% BTL 0,5 ML 6,450 0 0
33 CENDO TOBROSON TM STR 5,573 0 100
34 CENDO TROPIN 0.5 MG STR 3,890 0 50
35 CENDO VASACON STR 3,475 0 0
36 CENDO XITROL 0,5 % STR 4,696 400 400
37 CENDO XITROL SALF MATA EO TUBE 32,092 0 0
38 CHLORAMPHENICOL SM 1% 24 TUBE 1,600 0 0
39 CRAVIT BOTOL 139,150 0 0
40 ERLAMYCETIN TM BTL 10 ML 5,000 0 0
41 FLUMETHOLON BOTOL 99,935 30 10
42 GENTAMICIN 0,3% TM TUBE 4,380 504 0
43 HIALIT BOTOL 87,285 0 25
44 KARY UNI BOTOL 43,010 0 0
45 OPTIFLOX TM (LEVOFLOXACIN) BTL 5 ML 13,365 0 24
46 OXYTETRACYLIN SALF MATA 1% BOX/25 TUBE 1,600 0 0
47 TAFLOTAN TM 0.0015% BOTOL 366,850 80 10
48 TARIVID BOTOL 45,089 150 80
TOTAL NILAI
AAN KEBUTUHAN OBAT MATA TAHUN 2018
NILIA
RATA-RATA KEBUTUHAN PERENCANAAN NILAI PENGELUARAN
PERENCANAAN
KELUAR PERBULAN SETAHUN KEBUTUHAN JAN S/D OKT
KEBUTUHAN 1 TAHUN
17 255 155 Rp 518,650 Rp 803,907.50

17 255 55 Rp 547,113 Rp 300,911.88
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
34 510 510 Rp 882,800 Rp 2,251,140.00
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
67 1005 605 Rp 1,948,100 Rp 2,946,501.25
0 0 0 Rp - Rp -
7 105 105 Rp 264,240 Rp 693,630.00
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
37 555 555 Rp 904,640 Rp 2,282,160.00
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
21 315 315 Rp 2,872,832 Rp 7,297,920.00
34 510 -615 Rp 4,633,600 Rp -
0 0 0 Rp - Rp -
0 0 -3500 Rp - Rp -
34 510 510 Rp 1,290,000 Rp 3,289,500.00
0 0 0 Rp - Rp -
17 255 255 Rp 557,300 Rp 1,421,115.00
9 135 135 Rp 194,494 Rp 525,133.13
0 0 0 Rp - Rp -
67 1005 605 Rp 1,878,400 Rp 2,841,080.00
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
2 30 0 Rp 999,350 Rp -
0 0 -504 Rp - Rp -
5 75 75 Rp 2,182,125 Rp 6,546,375.00
0 0 0 Rp - Rp -
4 60 60 Rp 320,760 Rp 801,900.00
0 0 0 Rp - Rp -
2 30 -50 Rp 3,668,500 Rp -
14 210 60 Rp 3,607,120 Rp 2,705,340.00
Rp 27,270,023 Rp 34,706,613.75
8
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PERENCANAAN KEBU
STOCK TOTAL
N0 NAMA OBAT SATUAN HARGA @
AKHIR PENGELUARAN
1 ALPRAZOLAM 0,5 MG BOX/100 TAB Rp 585.00 5000 0

2 ALPRAZOLAM 1 MG BOX/100 TAB Rp 900.00 5000 5800
3 ANESFAR INJ BOX/ 5 AMP Rp 4,435.00 0 0
38 BAMGETOL 200 mg KAP BOX/ 100 KAPLET Rp 2,178.00 0 3000
4 BRAXIDIN BOX/100 TAB Rp 979.00 0 42000
5 CHORPROMAZINE 100 mg BOX/100 Rp 153.00 0 0
6 CLOBAZAM 10 MG BOX/100 TAB Rp 900.00 0 2000
7 CODEIN 10 MG (100 tab) BOX/100 TAB Rp 494.00 4500 0
8 CODEIN 10 MG (250 tab) BOTOL 250 TAB Rp 500.00 0 0
9 CODEIN 15 MG (100 tab) BOX/100 TAB Rp 800.00 8500 0
10 CODEIN 15 MG (250 tab) BOTOL 250 TAB Rp 850.00 0 0
11 CODIPRONT BOX/ 100 Rp 9,677.00 1500 9500
37 CODIPRONT CUM EXPECT BOTOL/ 10 Rp 10,502.80 260 0
12 DIAZEPAM 2 MG BOTOL BOTOL 1000 TAB Rp 350.00 0 0
13 DIAZEPAM 2 MG TABLET BOX/ 100 TAB Rp 45.00 15000 5000
14 DIAZEPAM 5 MG BOTOL 100 TAB Rp 500.00 0 0
15 DIAZEPAM INJ BOX/30 AMPUL Rp 2,500.00 0 0
16 EPHEDRINE INJ 50 mg/ml BOX/ 10 AMP Rp 22,000.00 460 10
17 FENTANYL INJ BOX/5 AMP Rp 39,999.96 900 655
18 HEXYMER 2 mg BOTOL/ 1000 TAB 0 0
19 MELIDOX TAB BOX/200 TAB Rp 1,139.00 0 4400
20 MEPROSETIL TAB 100 mg BOTOL/200 TAB Rp 1,075.00 3780 0
21 MERLOPAM 2 mg BOX/100 TAB Rp 1,381.00 0 0
22 METHADON BOTOL 1000 ml Rp 266,805.00 1 12
23 MILOZ BOX/ 5 AMP Rp 4,435.00 0 0
24 MORFIN INJ 10 MG/ML BOX/10 AMPUL Rp 11,050.00 50 60
25 MORFIN TAB 10 MG BOTOL/ 30 TAB Rp 1,266.00 0 0
26 MORFIN TAB CONTINUS 10 MG BOX/ 30 TAB Rp 10,500.00 0 0
27 PETHIDINE BOX/ 10 AMP Rp 15,225.00 0 0
28 PHENOBARBITAL INJ 50 mg/ml BOX/30 AMPUL Rp 1,890.00 390 180
29 PHENOBARBITAL TAB 30 mg BOX/ 100 TAB Rp 129.00 4700 2000
30 PROCLOZAM BOX/100 TAB Rp 1,745.00 2000 1000
31 PRONEURON 200 MG BOX/200 TAB Rp 1,240.00 42000 13070
32 SIBITAL INJ 200 BOX/10 AMPL Rp 6,755.00 0 0
33 STESOLID INJ 10 MG/2 ML BOX/5 RECTAL Rp 17,604.00 0 45
34 STESOLID RECTAL TUBE 5 MG BOX/5 RECTAL Rp 12,159.00 225 75
35 TRAZEP 10 SUPP BOX/ 5 TUBE Rp 40,986.00 0 0
36 VALISANBE 2 MG TAB BOX/100 TAB Rp 171.00 33000 0
N KEBUTUHAN OBAT NARKOTIKA TAHUN 2018
RATA-RATA NILIA
KEBUTUHAN PERENCANAAN NILAI PENGELUARAN
KELUAR PERENCANAAN
SETAHUN KEBUTUHAN JAN S/D OKT
PERBULAN KEBUTUHAN 1 TAHUN
0 0 -5000 Rp - Rp -
580 8700 3700 Rp 5,219,988.40 Rp 3,329,992.60
0 0 0 Rp - Rp -
300 4500 4500 Rp 6,534,000.00 Rp 9,801,000.00
4200 63000 63000 Rp 41,118,000.00 Rp 61,677,000.00
0 0 0 Rp - Rp -
200 3000 3000 Rp 1,800,000.00 Rp 2,700,000.00
0 0 -4500 Rp - Rp -
0 0 0 Rp - Rp -
0 0 -8500 Rp - Rp -
0 0 0 Rp - Rp -
950 14250 12750 Rp 91,931,500.00 Rp 123,381,750.00
0 0 -260 Rp - Rp -
0 0 0 Rp - Rp -
500 7500 -7500 Rp 225,000.00 Rp -
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
1 15 -445 Rp 220,000.00 Rp -
66 990 90 Rp 26,199,973.80 Rp 3,599,996.40
0 0 0 Rp - Rp -
440 6600 6600 Rp 5,011,600.00 Rp 7,517,400.00
0 0 -3780 Rp - Rp -
0 0 0 Rp - Rp -
2 30 29 Rp 3,201,660.00 Rp 7,737,345.00
0 0 0 Rp - Rp -
6 90 40 Rp 663,000.00 Rp 442,000.00
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
0 0 0 Rp - Rp -
18 270 -120 Rp 340,200.00 Rp -
200 3000 -1700 Rp 258,000.00 Rp -
100 1500 -500 Rp 1,745,000.00 Rp -
1307 19605 -22395 Rp 16,206,800.00 Rp -
0 0 0 Rp - Rp -
5 75 75 Rp 792,180.00 Rp 1,320,300.00
8 120 -105 Rp 911,925.00 Rp -
0 0 0 Rp - Rp -
0 0 -33000 Rp - Rp -
Rp 202,378,827.20 Rp 221,506,784.00
KETERANGAN

DIBUTUHKAN
DIBUTUHKAN
DIBUTUHKAN
DIBUTUHKAN
DIBUTUHKAN
DIBUTUHKAN
DIBUTUHKAN
DIBUTUHKAN
DIBUTUHKAN
DIBUTUHKAN
PULMICORT 0,5 MG/2ML BOX/20 AMPL
PULMICORT 0,25 MG/2ML BOX/20 AMPL
MOLOCO B12 BOX/60 TAB
GENTAMICIN SALEP KULIT 0.1 % TUBE
SANDOSTATIN 0,05 BOX/ 5 AMP
ECOSOL GLUKOSA 10 % BOTOL 500 ML
BENODON INJ BOX/10 VIAL
CENDO PANTOCAIN 2 % TM STR
CENDO XITROL 0,5 % STR
MYOMERGIN BOX/ 10 AMP
KTM 1000 MG/10 ML INJEKSI VIAL 10 ML
FAKTUR
FEBRUARI
2017
FAKTUR
MARET
2017
DAFTAR OBAT DI LOKASI RAK A1
STOCK AKHIR FEBRUARI
NO NAMA OBAT KEMASAN LOKASI BACTH

1 ALDISA SR BOX/ 50 KAPS A1 RK2055B
2 AMOXICILLIN 250 mg BOX/ 100 TAB A1 16102151
3 AMOXICILLIN 500 MG BOX/100 TAB A1 250174
4 AQUA PRO INJEKSI 20 ML BOX/10 VIAL A1 250723; 250716
5 BETAHISTINE MESILAT 6 mg BOX/ 100 TAB A1 4710327;47J0329
6 CARBOPLANTIN 450 MG/45 ML BOTOL A1 CO81686AA
7 CIPROFLOKSASIN 500 MG BOX/100 TAB A1 TSL93942
8 CIPROFLOKSASIN 500 MG (50 TAB) BOX/50 TAB A1 85333007
9 CISPLATIN 50 MG VIAL A1 202032
10 CITICOLIN 1000 Mg BOX/30 TAB A1 TPJ65044; TPL88044;TPH68845
11 Citicoline 500 mg BOX/30 TAB A1 47H0603;TPL05345;47J0487
12 COUGH EN SYR BOX/ 5 BTL 60 ML A1 350100201
13 DIPHENHIDRAMIN BOX/100 TAB A1
14 DIPHENHYDRAMINE 10 MG/ML INJ BOX/30 AMPUL A1 65342029
15 ECHINATUR 60 ml BOX/ 50 BOTOL A1 j80116501;n80116401
16 FLUDANE SYR BTL 60 ML A1 D1510064
17 GASROLAN TAB BOX/20 TAB A1 RJOO8
18 IOPAMIRO 15 G BOTOL A1 CP4358 G
19 ITRACONAZOLE 100 MG BOX/30 A1 KPJ 32044
20 MAGALAT TAB BOX/60 TAB A1 4506516
21 MELOXICAM 15 MG 100 TAB BOX/100 TAB A1 TPD 17544; KI41521B
22 MELOXICAM 7,5 MG BOX/100 TAB A1 TPL89344
23 MINIASPI 80 BOX/100 TAB A1 150268;150337
24 NEUROSANBE 5000 BOX/100 TAB A1 RK2019B
25 NITROKAF FORTE 5 mg BOX/100 A1 DD0621
26 NITROKAF RETARD 2,5 mg BOX/ 100 A1 MD2960J
27 NOVAMOX BOX/ 100 TAB A1 1401-0130
28 NYSTATIN VAGINAL TAB BOX/ 100 A1 75372006
29 PEHAMOXIL FORTE BOX/50 TAB A1 55061027;75061105;65061003
30 PHENOBIOTIC 500 MG BOX/100 CAP A1 KPH32542
31 PROSOGAN 30 Mg VIAL A1 11110361
32 PYRIDOXINE BOX/1000 TAB A1
33 RANITIDIN INJ 25 MG/ML 2 ML BOX/25 AMPUL A1 95486041BF
34 RANITIDIN INJ 25 MG/ML 2 ML (10 AMP) BOX/10 AMPUL A1 J10356517
35 RANITIDIN INJ 50 MG/25 ML BOX/100 AMP A1 PIH84745
36 RANITIDIN INJ 50 MG/ML BOX/ 10 AMP A1 N10356505;H10356601
37 RANITIDIN TAB 150 MG BOX/100 TAB A1 A6F4140;4714135
38 RATINAL TAB BOX/30 TAB A1 RF025617
39 RENASISTIN CAP 500 MG BOX/30 CAP A1 EC0048
40 VENTOLIN NEBULIZER 0,1 % BOX/20 FLS A1 YW0514
41 VENTOLIN ROTACAPS BOX/ 100 TAB A1 SPO291
42 VIRPES 400 MG BOX/100 KAPLT A1 TPF45443
AK A1
ED QTY
Oct-17 4000
Oct-17 0
May-19 22500
Jul-20 22950
2/19;3/19 Mar-19 10000
Dec-16 0
Oct-17 0
Jul-20 13200
May-17 72
Aug-19 Oct-19 Jul-20 2910
Aug-18 Oct-21 Oct-18 0
Feb-18 750
0
Mar-18 450
Sep-17 Dec-16 0
Jan-19 1726
0
May-19 35
Aug-18 9900
Jun-17 27000
Mar-18 Nov-19 52000
Oct-17 68000
May-19 Jun-19 15900
Oct-18 2800
Apr-17 4700
Nov-17 100
Jan-18 4500
Sep-17 18600
Nov-16 Sep-18 Dec-17 4800
Jul-17 5000
Nov-17 85
0
Mar-17 0
Sep-18 0
Jul-17 0
Dec-18 Aug-19 7600
Aug-17 Dec-18 50000
Jun-17 0
Mar-17 0
Dec-17 1180
Sep-17 0
May-18 15000
NAMA OBAT KEMASAN BATCH NUMBER ED
AMINOFLUID BTL 500 ML DB88J46A Oct-18
AMINOFLUID BAG DB98I46A Sep-18
AMINOFLUID BTL 500 ML DB98I46A Sep-18
APIDRA SOLOSTAR BOX/ 5 PEN 6F729A Jul-18
BUNASCAN SPINAL 0.5 PCT HEAVY 4 ML BOX/5 AMP II0403 Sep-18
BUSCOPAN 20 MG/ML AMP BOX/10 AMP 627930C Jul-21
CATAPRES 150 MCG/ML INJ BOX/10 AMP 528303B Sep-20
COMBIVENT UDV 2.5 ML BOX/20 VIAL 6984005 May-18
DEPAKENE SYR 120 ml BOTOL 70153XP Oct-19
DUROGESIC 25 MU MATRIX BOX/ 5 PCS GAB5U00 Jan-18
FARTISON INJ VIAL 100 MG BOX/ 1 VIAL TB0393 Feb-19
FURAMIN INJ BOX/ 5 AMP F6L633 Nov-18
FURAMIN INJ BOX/ 5 AMP F7A736 Jan-19
FURAMIN INJ BOX/ 5 AMP F7A739 Jan-19
GALVUSMET BOX/ 30 S0827 Jan-18
GALVUSMET BOX/ 30 WN162A May-18
HERBESER 50 MG INJ BOX/ 10 AMP EV700 Mar-19
JANUMET 50/500 mg BOX/ 28 TAB M036530 Mar-18
KA EN 3 B INFUS BTL 500 ML 46L99A Dec-19
KABIVEN BAG 10KI8986 Aug-18
KABIVEN INF BAG 10KJ9863 Aug-18
KTM 1000 MG/10 ML INJEKSI VIAL 10 ML 1607105 Aug-19
KTM 1000 MG/10 ML INJEKSI VIAL 10 ML 1611072 Dec-18
LANTUS SOLOSTAR BOX/ 5 PEN 6F2655A Oct-18
MICARDIS 80 MG BOX/20 TAB 6053943 Aug-20
MYOCONIC FILCO TAB BOX/ 100 A7A406 Jan-19
MYOCONIC FILCO TAB BOX/ 100
NEO K INJ BOX/ 5 AMP A08171 Aug-18
NEO K INJ BOX/ 5 AMP A10077 Oct-18
OTSU SALIN 3% BOX/ 20 BTL 500 ML 47A00A Jan-19
SALGEN SKIN OINTMENT 15 GR/D.2.5 (GENTAMICIN SK) BOX/ 24 TUBE 0616015 Oct-21
SPASMOLIT TAB BOX/ 100 A6J203 Sep-19
SPASMOLIT TAB BOX/ 100 A6J206 Sep-19
SPASMOLIT TAB BOX/ 100 A7A377 Jan-20
TAKELIN TAB 1000 Mg BOX/ 30 TAB 160465 May-19
NAMA OBAT KEMASAN BATCH NUMBER ED
TAKELIN TAB 1000 Mg BOX/ 30 TAB 160466 May-19
TAKELIN TAB 500 Mg BOX/ 30 TAB 160800 Aug-19
TAKELIN TAB 500 Mg BOX/ 30 TAB 160801 Aug-19
VIP ALBUMIN BOX/3 SAC P161113 Nov-20
TANGGAL HARGA
QUANTITAS DISTRIBUTOR
MASUK TERKECIL
1-Apr-17 20 PT. MERAPI UTAMA PHARMA Rp. 64,990.20
17-Feb-17 30 PT. MERAPI UTAMA PHARMA Rp. 64,990.20
16-Jan-17 20 PT. MERAPI UTAMA PHARMA Rp. 64,990.20
14-Feb-17 25 PT. ANUGRAH PHARMINDO LESTARI Rp. 86,999.88
18-Apr-17 100 PT. PARIT PADANG GLOBAL Rp. 63,800.00
19-Apr-17 50 PT. TEMPO Rp. 31,274.48
19-Apr-17 20 PT. TEMPO Rp. 32,600.00
3-Apr-17 1000 PT. TEMPO Rp. 4,995.00
1-Apr-17 5 PT. ANUGRAH PHARMINDO LESTARI Rp. 172,370.00
25-Jan-17 5 KIMIA FARMA Rp. 188,000.00
18-Apr-17 20 PT. PARIT PADANG GLOBAL Rp. 99,000.00
14-Feb-17 50 PT.MILLENNIUM PHARMACON INTERNATIONAL Rp. 9,927.50
19-Apr-17 300 PT.PENTA VALENT Rp. 8,490.63
6-Mar-17 10 PT. ANUGRAH ARGON MEDICA Rp. 297,000.00
18-Jan-17 8 PT. ANUGRAH PHARMINDO LESTARI Rp. 308,000.00
19-Apr-17 2 KIMIA FARMA Rp. 190,190.00
19-Apr-17 8 KIMIA FARMA Rp. 190,190.00
14-Feb-17 25 PT. ANUGRAH PHARMINDO LESTARI Rp. 85,000.08
3-Apr-17 1000 PT. TEMPO Rp. 6,500.00
7-Jan-17 50 PT. ANUGRAH PHARMINDO LESTARI Rp. 13,640.00
10-Mar-17 250 PT. ANUGRAH PHARMINDO LESTARI Rp. 13,640.00
1-Apr-17 115 PT. SAPTA SARI TAMA Rp. 4,450.89
27-Feb-17 500 PT.MILLENNIUM PHARMACON INTERNATIONAL Rp. 2,090.00
TANGGAL HARGA
QUANTITAS DISTRIBUTOR
MASUK TERKECIL
A
R
K
O
TI
.
K
A
MEJA KERJA
BOFET OBAT
RUANG ADMINISTRASI
LEM
ARI
GUDANG FARMASI
OBAT
ME BO
MEJ
RAK BHP
RAK BHP
RAK BHP
JA FET
A
KE KERJ OB
RJA AT
A
LEM
ARI
BHP
LEM
ARI
BHP
RAK BHP
MEJA KERJA
LE
GUDANG BHP
LEMAR
I MEJ MA
BHP
A RI
KERJ FIL
A E
RA
BH
K
P
A
K
.
TI
O
K
R
TOILET / WC A
N
N
CHILER
A
D
K
PI RAK OBAT
O
R
T
O
IK
RUANG OKT
PS
T RAK OBAT
A
B
O
RI
A
M
E
L
RAK OBAT
E
L
R
C
HI
GUDANG PENYIMPANAN OBAT

DAFTAR OBAT KULKAS 1
BULAN : OKTOBER
NAMA OBAT KEMASAN JENIS HARGA SATUA
ALBUMAN 200 BTL 50 ML NON-GENERIK Rp.
ANTI HEMOROID DOEN SUPP/SUPERHOID BOX/10 SUPP GENERIK Rp.
APIDRA SOLOSTAR BOX/ 5 PEN NON-GENERIK Rp.
EPINEPHRIN INJ (100 amp) BOX/100 AMPUL GENERIK Rp.
EPINEPHRIN INJ (30 amp) BOX/30 AMPUL GENERIK Rp.
HYPOBAC 100 BOX/ 25 AMP NON-GENERIK Rp.
LANTUS SOLOSTAR BOX/ 5 PEN NON-GENERIK Rp.
LEVEMIR FLEXPEN BOX/5 PEN NON-GENERIK Rp.
METHYL ERGOMETRINE MAL INJ 0.2 mg/100'S BOX/100 GENERIK Rp.
MYOMERGIN BOX/ 10 AMP NON-GENERIK Rp.
PRONALGES INJ BOX/10 AMP NON-GENERIK Rp.
PROPYRETIC PARACETAMOL 80 mg BOX/12 supp NON-GENERIK Rp.
PRORIS SUPP 125 MG VIAL 2 ML NON-GENERIK Rp.
TETAGAM P. PREFILLED SYRINGE 1 ml BOX/ 1 SYRINGE NON-GENERIK Rp.
VAKSIN SABU VIAL NON-GENERIK Rp.
VAKSIN T.T VIAL NON-GENERIK Rp.
XYLOCAIN SPRAY 10 mg/dosis BOX/ 10 mg NON-GENERIK Rp.
HARGA SATUAN STOCK
476,099.00 0
2,300 550
86,999.88 650
1,992 300
1,992 0
162,522.00 50
85,000.00 475
197,691.00 630
2,684 1200
9,487.00 0
24,086.00 0
84.00 0
5,250.00 0
170,000.00 9600
139,150.00 5
9,670.20 50
149,100.00 234
NAMA PETUGAS :
JAM :
NO. UKURAN TABUNG 1 2 3 4 5 6 7
1 6 M³
2 1 M³
3 N2O
LAPORAN PENGELUARAN GAS MEDIS RSUD PET
OKTOBER 2017
8 9 10 11 12 13 14 15 16 17 18
D PETALA BUMI
19 20 21 22 23 24 25 26 27 28 29
30 31 TOTAL

OBAT GENERIK

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PERE

NO NAMA OBAT SATUAN

40 BDM SYR BOX/ 24 BTL 60 ML

86 COMBIVENT UDV 2.5 ML BOX/20 VIAL

131 D-VIT BOX/ 30

176 FURAMIN INJ BOX/ 5 AMP

221 INTERHISTIN SYR BTL 60 ML

266 LAXAREC RECTAL TUBE (NA LAURYL SULFATE) BOX/ 1 TUBE

311 MOLINFA BOX/30 TAB

356 OCTAGAM 2,5 G INJ BOTOL 50 ML

401 PRIMADOL BOX/100 TAB

431 RATINAL INJ BOX/ 5 VIAL @ 2 ML

476 SOHOBION INJ 5000 mcg BOX/ 10 AMP

521 THYROZOL BOX/100 TAB

566 VICCILLIN SX 1500mg VIAL

Rp 33,149.00 0 168 17 255

Rp 5,700.00 4320 4360 436 6540

Rp 11,495.00 100 650 65 975

Rp 22,770.00 0 144 15 225

Rp 4,897.25 0 500 50 750

Rp 1,195.00 0 15200 1520 22800

Rp 39,500.00 300 300 30 450

TIDAK ADA PENGELUARAN

TIDAK ADA PENGELUARAN

TIDAK ADA PENGELUARAN

TIDAK ADA PENGELUARAN

TIDAK ADA PENGELUARAN

TIDAK ADA PENGELUARAN

1 ACARBOSE 100 MG BOX/ 100 TAB Rp 908.00

32 ASAM TRANEKSAMAT 500 BOX / 10 AMP Rp 2,536.00

67 CEFEPIME BOX/ 2 AMP Rp 50,296.00

102 DECULIN Rp 10,600.00

118 EKSTRAK BELADONA BOTOL/1000 TAB Rp 36.00

119 EPINEPHRIN INJ (100 amp) BOX/100 AMPUL Rp 1,749.00

137 FUROSEMIDA 40 MG (100 tab) BOX/100 Rp 181.73

172 KANAMICIN HJ INJ BOX/ 10 VIAL Rp 19,102.00

207 METOKLOPERAMID INJ 10 mg BOX/ 10 AMP Rp 3,300.00

242 PHENOL GLYSEROL 10 % BTL 5 ml BOX/ 24 BOTOL Rp 2,499.20

277 RANITIDIN INJ25 MG/ML 2 ML (10 AMP) BOX/10 AMPUL Rp 1,190.00

312 VITAMIN B12 500 mcg/ML AMP Rp 1,131.00

24000 56000 5600 5600 84000

1040 1980 198 198 2970

0 30000 3000 3000 45000

1500 1600 160 160 2400

0 10000 1000 1000 15000

60000 Rp 50,847,999.37 Rp 76,271,999.05

5700 Rp 463,600.00 Rp 695,400.00

4500 Rp 1,219,091.00 Rp 1,828,636.50

295 Rp 1,113,750.00 Rp 1,701,000.00

1500 Rp 285,000.00 Rp 427,500.00

2250 Rp 427,500.00 Rp 641,250.00

500 Rp 1,050,000.00 Rp 1,575,000.00

23850 Rp 4,170,833.01 Rp 6,256,249.52

71700 Rp 5,829,000.00 Rp 8,743,500.00

135 Rp 2,674,260.00 Rp 4,011,390.00

74500 Rp 13,050,000.00 Rp 19,575,000.00

73485 Rp 15,268,550.00 Rp 22,902,825.00

60210 Rp 8,830,800.00 Rp 13,246,200.00

1500 Rp 182,000.00 Rp 273,000.00

2205 Rp 2,572,500.00 Rp 3,858,750.00

1095 Rp 3,201,444.00 Rp 4,848,660.00

3600 Rp 532,800.00 Rp 799,200.00