PEMERINTAH KABUPATEN KOLAKA TIMUR

DINAS KESEHATAN
UPTD PUSKESMAS TINONDO
PERSEDIAAN OBAT DAN BHP PUSKESMAS TINONDO TAHUN 2018

PERSEDIAAN 01 JANUARI 2018 PERSEDIAAN MASUK 2018 PERSEDIAAN KELUAR 2018 PERSEDIAAN 31 DESEMBER 201
NO NAMA OBAT SATUAN HARGA HARGA HARGA
JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL JUMLAH
SATUAN SATUAN SATUAN
1 OBAT FARMASI (IFK)
1 Albendazol tab. 400 Tablet 1,500 363 544,500 - 363 - 1,500 363 544,500 -

2 ALBENDAZOL SUP 200 MG/5ML Botol - 4,619 - 70 4,619 323,330 10 4,619 46,190 60

3 Allopurinol tab 100 mg Tablet 940 130 122,200 - 130 - 940 130 122,200 -
4 ALOPURINOL TABLET 100 MG Tablet - 120 - 500 120 60,000 500 120 60,000 -
5 Air untuk injeksi 20 ml Vial 10 2,200 22,000 - 2,200 - 10 2,200 22,000 -
6 Ambroxol syr 15 mg Botol 20 5,000 99,990 40 5,000 199,980 60 5,000 299,970 -
7 Ambroxol syr 15 mg Botol - 2,300 - - 2,300 - - 2,300 - -
8 Ambroxol tab. 30 mg Tablet 810 380 307,796 2,500 380 949,988 2,877 380 1,172,285 433
9 Ambroxol tab. 30 mg Tablet - 138 - - 138 - - 138 - -
10 Aminofilin Inj 24 mg/ml Ampul - 4,204 - - 4,204 - - 4,204 - -
11 Aminofilin tab 200 mg Tablet - 86 - - 86 - - 86 - -
12 Amlodipin tab 10 mg Tablet 200 850 170,000 - 850 - 200 850 170,000 -
13 AMLODIPIN KAPLET 10 MG Tablet - 110 - 1,020 110 112,200 730 110 80,300 290
14 Amlodipin 5 mg Tablet - 93 - 2,430 93 225,990 870 93 80,910 1,560
15 Amoxicilin kapsul/kaplet 250 mg Kapsul - 198 - 4,200 198 831,600 1,800 198 356,400 2,400
16 Amoxicilin kapsul/kaplet 500 mg Kapsul - 336 - 8,100 336 2,724,516 5,500 336 1,849,980 2,600
17 AMOKSISILIN KAPLET 500 MG Kapsul 2,210 192 424,320 - 192 - 2,210 192 424,320 -
18 Amoxicilin sirup kering 250 mg/5 ml Botol - 4,730 - - 4,730 - - 4,730 - -
19 AMOKSISILIN SIRUP KERING FORET 250 Botol 30 3,797 113,910 300 3,797 1,139,100 128 3,797 486,016 202
Anti bakteri DOEN salep kombinasi :
20 Basitrasin 500 IU/g + Polimiksilin 10.000 Tube - 78 - 50 78 175,550 13 78 45,643 37
IU/g

ANTASIDA DOEN I TABLET KUNYAH,

KOMBINASI : ALUMINIUM HIDROKSIDA
21 Tablet 330 61 20,130 300 61 18,300 629 61 38,430 1
200 MG + MAGNESIUM HIDROKSIDA
200 MG

Antasida DOEN II Syirup, kombinasi :

22 Aluminium Hidroksida 200 mg/5 ml Botol - 2,213 - - 2,213 - - 2,213 - -
Magnesium hidroksida 200 mg/5 ml
Anti bakteri DOEN salep kombinasi :
23 Basitrasin 500 IU/g + Polimiksilin 10.000 Tube - 3,511 - - 3,511 - - 3,511 - -
Antihemoroid DOEN kombinasi : Bismut
IU/g
24 Supp 10 3,350 33,500 - 3,350 - 10 3,350 33,500 -
subgalat 150 mg Heksaklorofen
ASAM ASKORBAT 2,5 mg
( VIT. C ) TABLET 50
25 Tablet 1,110 125 138,750 5,000 125 625,000 5,310 125 663,750 800
MG
26 Asam askorbat (Vit.C) 50 mg Tablet - 32 - - 32 - - 32 - -
27 Asam askorbat (Vit.C) 250 mg Tablet - 167 - - 167 - - 167 - -
28 Asam folat 1 mg Tablet - 52 - - 52 - - 52 - -
29 Asam mefenamat kaps/kapl 500 mg Tablet - 127 - - 127 - - 127 - -
30 Asam mefenamat kaps/kapl 500 mg Tablet 300 160 48,000 6,500 160 1,040,000 5,800 160 928,000 1,000
31 ASAM MEFENAMAT KAPLET 500 MG Kaplet 1,500 105 157,500 - 105 - 1,500 105 157,500 -
32 ASIKLOVIR 200 MG Tablet 200 263 52,600 200 263 52,600 200 263 52,600 200
33 Asiklovir 400 mg Tablet - 415 - 300 415 124,500 - 415 - 300
34 Atropin injeksi i.m/i.v/s.k 0,25 mg/ml (Sul Ampul - 1,540 - 15 1,540 23,100 - 1,540 - 15
35 Bedak Salisilk Serbuk 2 % Pot - 6,337 - - 6,337 - - 6,337 - -
36 Bedak Salisilk Serbuk 2 % Pot - 1,350 - - 1,350 - - 1,350 - -
37 BEDAK SALISIL SERBUK 2 % Dus 7 1,081 7,567 20 1,081 21,620 27 1,081 29,187 -
38 Betametason Krim 0,1 % (sebagai valerat) Tube - 1,596 - - 1,596 - - 1,596 - -
39 BETAMETASON KRIM 0,1% Tube 5 1,450 7,250 50 1,450 72,500 55 1,450 79,750 -
40 Betahistin Masilat 6 Mg Tablet - 924 - - 924 - - 924 - -
41 BETAHISTIN TABLET 6 MG Tablet - 165 - 510 165 84,150 260 165 42,900 250
42 Captopril 12,5 mg Tablet - 82 - - 82 - - 82 - -
43 Captopril 25 mg Tablet 1,560 125 195,359 - 125 - 750 125 93,923 810
44 Cefadroxil 500 Mg Kapsul 1,240 764 946,914 1,500 764 1,145,460 2,740 764 2,092,374 -
45 Cefixime 100 Mg Kapsul - 1,300 - - 1,300 - - 1,300 - -
46 CEFIXIME 100 MG KAPSUL Kapsul 100 4,780 478,001 1,000 4,780 4,780,006 750 4,780 3,585,005 350
47 CETIRIZINE 10 MG TABLET Tablet 300 620 186,001 1,000 620 620,004 1,300 620 806,005 -
48 CLINDAMYCIN 300 MG CAPSUL KAPSUL - 2,740 - - 2,740 - - 2,740 - -
49 Deksametason Injeksi i.v/i.m 5 mg/ml Ampul 10 1,885 18,850 10 1,885 18,850 7 1,885 13,195 13
50 Deksametason Tablet 0,5 mg Tablet 140 46 6,440 - 46 - 140 46 6,440 -
51 Domperidon Tablet 10 mg Tablet 550 260 143,000 100 260 26,000 650 260 169,000 -
Epinefrin (Adrenalin) Injeksi i.v/s.k/i.m 1
52 Ampul - 8,910 - - 8,910 - - 8,910 - -
mg/ml
EPINEFRIN ( ADRENALIN )INJ. 1 MG/ML
53 Ampul - 1,848 - 30 1,848 55,440 - 1,848 - 30
( 0,1 % )
54 Eritromisin Kapsul/Kaplet 250 mg Kapsul - 677 - 500 677 338,500 500 677 338,500 -
55 ERITROMISIN SIRUP KERING 200 MG/5M Botol 120 6,622 794,640 300 6,622 1,986,600 253 6,622 1,675,366 167
56 Eritromisin sirup kering 200 mg/5 ml Botol - 8,090 - - 8,090 - - 8,090 - -
57 Etakridin (Rivanol) Botol 19 6,000 114,000 10 6,000 60,000 16 6,000 96,000 13
58 Etanol 70 % cairan 100 ml Botol - 2,625 - - 2,625 - - 2,625 - -
59 Fitomenadion (vit.K1) injeksi 10 mg/ml Ampul - 4,167 - 60 4,167 250,020 34 4,167 141,678 26
60 Fitomenadion (vit.K1) injeksi i.m 2 mg/ml Ampul - 3,754 - - 3,754 - - 3,754 - -
61 FITOMENADION (VIT.K1) INJ. 2 MG/ML Ampul 3 4,260 12,780 - 4,260 - 3 4,260 12,780 -
62 Fitomenadion (vit.K1) tablet salut gula 10 Tablet - 698 - - 698 - - 698 - -
63 Formalin 40 % Botol - 42,000 - - 42,000 - - 42,000 - -

Garam Oralit Serbuk , kombinasi :

Natrium klorida 0,52 g, Kalium klorida
64 Sachet 355 317 112,535 2,200 317 697,400 2,155 317 683,135 400
0,30 g, Trinatrium sitrat dihidrat 0,58 g,
Glukosa anhidrat2,70 g.

65 Glimefride Tab 1 mg Tablet 70 278 19,460 - 278 - 70 278 19,460 -

66 GLIMEPERIDE TABLET 1 MG Tablet 300 200 60,000 150 200 30,000 450 200 90,000 -
67 Gliseril Guaikolat (GG) 100 mg Tablet 950 27 25,289 - 27 - 950 27 25,289 -
68 Gliseril Guaikolat (GG) 100 mg Tablet - 127 - 3,000 127 381,000 3,000 127 381,000 -
69 Glukosa Larutan Infus 5% steril Botol 77 5,720 440,440 40 5,720 228,800 7 5,720 40,040 110
70 GLUKOSA LARUTAN INFUS 5% Botol - 6,900 - 40 6,900 276,000 - 6,900 - 40
71 Griseofulvin tablet 125 mg Tablet - 230 - 2,000 230 460,000 2,000 230 460,000 -
72 GRISEOFULVIN TABLET 125 MG Tablet 50 266 13,300 - 266 - 50 266 13,300 -
73 HALOPERIDOL TABLET 1,5 M Tablet - 65 - - 65 - - 65 - -
74 Hidrogen Peroksida cairan konsentrat Botol - 34,223 - - 34,223 - - 34,223 - -
75 Hydroklortiazid (HCT) 25 mg tablet Tablet 4,000 77 306,000 - 77 - 4,000 77 306,000 -
76 HIDROKLORTIAZID TABLET 25 MG Tablet - 179 - 2,000 179 358,000 - 179 - 2,000
77 Hydrokortison 2,5 % krim 5 gram Tube 4 2,838 11,352 96 2,838 272,448 81 2,838 229,878 19
78 Ibuprofen suspensi 200 mg/5 ml Botol - 2,620 - 300 2,620 786,000 91 2,620 238,420 209
79 Ibuprofen tablet 200 mg Tablet - 112 - - 112 - - 112 - -
80 Kalsium Glukonat Inj. i.v 10% (100 mg/ml Ampul - 5,363 - - 5,363 - - 5,363 - -
81 Kalsium Laktat (kalk) 500mg Tablet 200 64 12,800 - 64 - 200 64 12,800 -
82 Katopril Tablet Scored 25 mg Tablet - 97 - 300 97 29,100 300 97 29,100 -
83 Karbon aktif tablet Tablet - 127 - - 127 - - 127 - -
84 Ketokonazole 200 mg Tablet - 320 - - 320 - - 320 - -
85 KLORAMPHENICOL 250MG CAPS Kapsul - 1,110 - - 1,110 - - 1,110 - -
86 Kloramfenikol kapsul/kaplet 250 mg Kapsul 1,950 275 536,250 3,000 275 825,000 1,550 275 426,250 3,400
87 Kloramfenikol salep mata 1 % Tube 15 1,000 15,000 48 1,000 48,000 7 1,000 7,000 56
88 KLORAMFENIKOL SALEP MATA 1 % Tube - 1,850 - 20 1,850 37,000 - 1,850 - 20
89 Klorfeniramin Maleat (CTM) 4mg Tablet - 16 - - 16 - - 16 - -
90 Klorfeniramin Maleat (CTM) 4mg Tablet - 54 - 1,000 54 54,000 1,000 54 54,000 -
91 KLORFENIRAMINA MALEAT ( CTM ) TABL Tablet 1,000 40 40,000 5,600 40 224,000 6,000 40 240,000 600
92 KODEIN TABLET 10 MG Tablet - 660 - - 660 - - 660 - -
KOTRIMOKSAZOL ( DEWASA )
93 KOMBINASI : SULFAMEKTOKSAZOL 400 Tablet - 135 - 3,500 135 472,500 3,200 135 432,000 300
MG + TRIMETOPRIM 80 MG
 Kotrimoksazol suspensi kombinasi ;
94 Sulfametoksazol 200 mg + Trimetropin 40 Botol - 2,462 - 400 2,462 984,800 79 2,462 194,498 321
mg/5 ml
95 Larutan mengandung elektrolit (Ringer lakt Botol - 8,000 - - 8,000 - - 8,000 - -
96 Larutan mengandung elektrolit (Ringer lakt Botol 299 5,720 1,710,280 680 5,720 3,889,600 585 5,720 3,346,200 394
97 Larutan mengandung elektrolit (Ringer lakt Botol - 7,150 - - 7,150 - - 7,150 - -
98 Lisol Botol - 21,500 - - 21,500 - - 21,500 - -
99 Lisol Botol 1 31,570 31,570 6 31,570 189,420 7 31,570 220,990 -
100 Loperamid tablet 2 mg Tablet 400 91 36,400 2,000 91 182,000 1,200 91 109,200 1,200
101 Loratidin tablet 10 mg Tablet - 303 - - 303 - - 303 - -
102 MAGNESIUM SULFAT INJEKSI 20 % ( MGS Ampul - 3,200 - - 3,200 - - 3,200 - -
103 Magnesium Sulfat 40% injeksi - 25 ml Vial 4 2,000 8,000 - 2,000 - - 2,000 - 4
104 MAGNESIUM SULFAT INJEKSI 40 % ( MGS Ampul - 3,650 - - 3,650 - - 3,650 - -
105 Magnesium Sulfat serbuk 30 gram Sachet - 3,802 - - 3,802 - - 3,802 - -
106 MELOXICAM 15 MG TABLET Tablet - 2,380 - 800 2,380 1,904,003 500 2,380 1,190,002 300
107 Metampiron (antalgin) 2 ml injeksi Ampul 20 1,925 38,500 - 1,925 - - 1,925 - 20
108 Metampiron (antalgin) 500 mg Tablet - 155 - - 155 - - 155 - -
109 Metampiron (antalgin) 500 mg Tablet 300 1,440 432,000 300 1,440 432,000 600 1,440 863,999 -
110 METILERGOMETRIN INJ. 0,2 MG/ML Ampul - 3,421 - 20 3,421 68,420 11 3,421 37,631 9
111 Metilprednisolon tablet 4 mg Tablet - 170 - 1,500 170 255,000 1,500 170 255,000 -
112 Metformin 500 mg Tablet 940 165 155,100 1,000 165 165,000 1,440 165 237,600 500
113 Metoklorperamide tablet 10 mg Tablet 1,000 100 100,000 - 100 - 1,000 100 100,000 -
114 METOKLOPRAMIDE TABLET 10 MG Tablet - 93 - 1,500 93 139,500 1,000 93 93,000 500
115 Metronidazol tablet 250 mg Tablet 750 116 87,000 500 116 58,000 300 116 34,800 950
116 METRONIDAZOLE TABLET 250 MG Tablet - 97 - - 97 - - 97 - -
117 Metronidazol tablet 500 mg Tablet 1,200 169 202,800 4,800 169 811,200 1,300 169 219,700 4,700
118 METRONIDAZOLE TABLET 500 MG Tablet - 117 - - 117 - - 117 - -
119 Miconazole 2% krim (nitrat) Tube 32 3,000 96,000 - 3,000 - 32 3,000 96,000 -
120 Natrium Diklofenat tablet 25 mg Tablet 700 146 102,200 800 146 116,800 1,500 146 219,000 -
121 Natrium Diklofenat tablet 50 mg Tablet - 193 - - 193 - - 193 - -
Natrium Klorida (NaCl) 0.9% larutan
122 Botol 75 5,170 387,750 - 5,170 - 75 5,170 387,750 -
infus 500Klorida
Natrium ml (NaCl) 0.9% larutan
123 Botol - 6,410 - 80 6,410 512,800 57 6,410 365,370 23
infus 500 ml
124 Nifedipine tablet 10 mg Tablet 90 127 11,430 - 127 - 90 127 11,430 -
125 Nistatin 500.000 IU tablet salut Tablet 100 704 70,400 - 704 - 20 704 14,080 80
126 Nistatin 100.000 IU tablet vaginal Tablet 344 528 181,632 300 528 158,400 10 528 5,280 634
127 Obat Batuk Hitam (OBH) syrup 100 ml Botol 41 1,500 61,500 - 1,500 - 41 1,500 61,500 -
128 OBH ERLA SIRUP BOTOL KACA 100 ML Botol - 13,000 - 30 13,000 389,994 - 13,000 - 30
129 OFLOKSASIN TABLET 200 MG Tablet 300 531 159,300 800 531 424,800 100 531 53,100 1,000
130 Oksitetrasiklin HCl SK 3 % Tube - 2,009 - - 2,009 - - 2,009 - -
131 Oksitetrasiklin HCL Salep Mata 1 % Tube - 1,330 - - 1,330 - - 1,330 - -
132 OXYTETRACYCLINE SALEP MATA 1% 3.5 Tube - 5,000 - 20 5,000 99,990 10 5,000 49,995 10
133 OKSITOSIN INJ 10 UI/ML Ampul - 1,900 - 20 1,900 38,000 20 1,900 38,000 -
134 Omeprasol kapsul/kaplet 20 mg Tablet 20 371 7,424 300 371 111,360 320 371 118,784 -
135 OMEPRAZOL TABLET 20 MG TABLET - 154 - 90 154 13,860 90 154 13,860 -
136 ONDANSENTRON TABLET 4 MG TABLET 120 546 65,520 240 546 131,040 - 546 - 360
137 Paracetamol 120 mg/5 ml syrup Botol - 1,535 - - 1,535 - - 1,535 - -
138 PARASETAMOL SIRUP 120 MG/ 5 ML BOTOL 5 1,190 5,950 100 1,190 119,000 105 1,190 124,950 -
139 PARASETAMOL TABLET 500 MG TABLET 1,000 52 52,000 9,500 52 494,000 7,400 52 384,800 3,100
140 Piracetam tablet 800 mg Tablet - 964 - - 964 - - 964 - -
141 PIRACETAM 800 MG CAPLET KAPLET 120 960 115,200 600 960 576,002 720 960 691,202 -
142 Pirantel tablet score (base) 125 mg Tablet 188 318 59,784 - 318 - 188 318 59,784 -
143 PIRANTEL PAMOAT TABLET 125 MG Tablet - 305 - 500 305 152,500 500 305 152,500 -
144 Pirantel Suspensi 125 mg/5 ml Botol 2 7,500 15,000 - 7,500 - 2 7,500 15,000 -
145 Piridoksin 10 mg (Vitamin B6) Tablet 1,900 19 36,119 - 19 - 1,900 19 36,119 -
146 PIRIDOKSIN ( VIT. B6 ) TABLET 10 MG TABLET - 142 - 22,000 142 3,124,000 1,000 142 142,000 21,000
147 Piroksikam 10 mg Tablet - 149 - - 149 - - 149 - -
148 Piroksikam 10 mg Tablet - 131 - - 131 - - 131 - -
149 PIROXICAM 10 MG TABLET TABLET - 230 - 3,500 230 804,997 2,500 230 574,998 1,000
150 Pritamox Tablet Tablet - 1,210 - 700 1,210 847,000 700 1,210 847,000 -
151 Povidon Iodida larutan 10%,30 ml Botol 2 3,480 6,960 42 3,480 146,160 31 3,480 107,880 13
152 Povidon Iodida larutan 10%,300 ml Botol 5 21,600 108,000 5 21,600 108,000 9 21,600 194,400 1
153 PREDNISON TABLET 5 MG Tablet - 85 - 4,500 85 382,500 2,150 85 182,750 2,350
154 Propiltiourasil tablet ( PTU) 100 mg Tablet 200 514 102,800 - 514 - 200 514 102,800 -
155 RETINOL ( VIT. A ) 100.000 KAPSUL 100 341 34,100 500 341 170,500 150 341 51,150 450
156 Ranitidin 150mg Tablet 300 200 60,000 - 200 - 300 200 60,000 -
157 Sefadroksil 500 mg Kapsul - 200 - - 200 - - 200 - -
158 Sefadroksil 125 mg/5 ml SK 60ml Botol 35 3,421 119,735 - 3,421 - 35 3,421 119,735 -
159 Serum Anti bisa Ular 5ml (ABU I) Vial - 597,903 - - 597,903 - - 597,903 - -
160 Serum Anti difteri (ADS) injeksi i.m 1500 U Vial - 1,209,035 - - 1,209,035 - - 1,209,035 - -
161 Sianokobalamin (vit.B12) 500 mcg injeksi Ampul - 10,560 - - 10,560 - - 10,560 - -
162 Simvastatin 10 mg Tablet - 270 - - 270 - - 270 - -
163 SIMVASTATIN TABLET 10 MG Tablet - 116 - 450 116 52,200 450 116 52,200 -
164 SIMVASTATIN TABLET 20 MG Tablet - 250 - 450 250 112,500 450 250 112,500 -
165 Siprofloksasin 500 mg Tablet - 430 - - 430 - - 430 - -
166 SIPROFLOKSASIN TABLET SCORED 500 TABLET - 264 - 6,500 264 1,716,000 1,550 264 409,200 4,950
167 TETRASIKLIN KAPSUL 500 MG Kapsul - 341 - 1,000 341 341,000 100 341 34,100 900
168 Tetrasiklin kaps/kapl 250 mg Kapsul - 120 - - 120 - - 120 - -
169 TETRASIKLIN KAPSUL 250 MG Kapsul - 181 - 1,500 181 271,500 1,070 181 193,670 430
170 Thiamphenicol Kap. 500 Mg Kapsul 90 881 79,290 - 881 - 90 881 79,290 -
171 Thiamphenicol Kap. 250 Mg Kapsul 1,100 318 349,800 - 318 - 1,100 318 349,800 -
172 Thiamin HCl (vit.B1) inj.100 mg/ml-1ml Ampul - 1,500 - - 1,500 - - 1,500 - -
173 Thiamin HCl (vit.B1) 50 mg Tablet 1,000 42 42,000 - 42 - 1,000 42 42,000 -
174 THIAMIN ( VIT. B1 ) TABLET 500 MG Tablet - 90 - 2,000 90 180,000 1,600 90 144,000 400
175 VAKSIN BCG VIAL - 59,950 - - 59,950 - - 59,950 - -
176 VAKSIN CAMPAK INK. S.K + PELARUT VIAL - 28,232 - - 28,232 - - 28,232 - -
177 Vitamin B Kompleks Tablet - 19 - - 19 - - 19 - -
178 Vitamin B Kompleks Tablet - 112 - - 112 - - 112 - -
179 VITAMIN B KOMPLEKS TABLET Tablet 860 138 118,680 9,000 138 1,242,000 7,360 138 1,015,680 2,500
180 Vitamin D 400 IU/D-Vit tablet Tablet - 680 - - 680 - - 680 - -
181 VITAMIN B12 50 MCG TABLET Tablet 1,000 50 50,001 1,000 50 50,001 400 50 20,000 1,600
182 Zink Tablet Dispersible 20 mg Tablet - 521 - - 521 - - 521 - -
183 ZINC TABLET DISPERSIBLE 20 MG Tablet - 617 - 1,100 617 678,700 800 617 493,600 300
184 Zirkum Kid Syr 20/5ml Botol - 8,140 - - 8,140 - - 8,140 - -
- - - - - - - - - -
OBAT PATEN - - - - - - - - - -
1 SANMOL 500 MG Tablet - 325 - 600 325 195,000 500 325 162,500 100
2 CARDISAN 5 MG Tablet - 11,919 - 100 11,919 1,191,874 60 11,919 715,124 40
3 PURECEMIA Tablet 300 3,269 980,625 500 3,269 1,634,375 600 3,269 1,961,250 200
4 MEFINAL 500 MG Tablet - 1,538 - 600 1,538 922,500 600 1,538 922,500 -
5 NEUROSANBE Tablet - 2,756 - 200 2,756 551,250 200 2,756 551,250 -
6 SANTA E 200 Kaplet - 2,244 - 344 2,244 771,850 100 2,244 224,375 244
7 MUCOHEXIN Tablet - 575 - 100 575 57,500 100 575 57,500 -
8 CHOLVASTIN Tablet - 12,044 - 150 12,044 1,806,560 150 12,044 1,806,560 -
9 BEVITA SYRUP 120 ML BOTOL - 77,000 - 11 77,000 847,000 10 77,000 770,000 1
10 CAVIPLEX KAPLET KAPLET - 480 - 1,400 480 671,994 1,400 480 671,994 -
11 CENDO XITROL 5 ML BOTOL 1 59,000 59,000 6 59,000 353,998 7 59,000 412,997 -
12 ERLAMYCETINE EYE DROP 0.5 % 10 ML BOTOL - 20,000 - 17 20,000 340,003 2 20,000 40,000 15
13 ERLAMYCETINE SYRUP 60 ML BOTOL - 14,000 - 34 14,000 475,990 - 14,000 - 34
14 FARBION TABLET TABLET - 2,310 - 900 2,310 2,079,000 900 2,310 2,079,000 -
15 GRATAMIN TABLET TABLET - 2,860 - 1,900 2,860 5,434,000 800 2,860 2,288,000 1,100
16 IMOX TABLET SALUT SELAPUT Tablet - 13,200 - 200 13,200 2,640,000 200 13,200 2,640,000 -
17 INTUNAL CAPLET KAPLET - 1,100 - 900 1,100 990,000 799 1,100 880,000 101
18 MY JELLY 80 GRAM LUBRICAN BOTOL 1 69,575 69,575 10 69,575 695,750 3 69,575 208,725 8
19 NIFUDIAR SUSPENSI 60 ML BOTOL - 77,000 - 5 77,000 385,000 - 77,000 - 5
20 PANTOCAIN 0.5 % 15 ML BOTOL - 31,000 - - 31,000 - - 31,000 - -
21 Polikresulen Cairan (Albothyl) 5 ml Botol - 37,500 - - 37,500 - - 37,500 - -
22 PROPEPSA SUSPENSI 100 ML BOTOL - 106,000 - 7 106,000 742,003 7 106,000 742,003 -
23 SUPRAVIT STRIP 10X10'S TABLET - 770 - 2,500 770 1,925,000 2,199 770 1,694,000 301
24 VOCEFA DS 60 ML BOTOL - 84,000 - 5 84,000 420,002 - 84,000 - 5
25 ZIRCUM KID SYRUP 60 ML BOTOL - 52,000 - 15 52,000 780,005 15 52,000 780,005 -
- - - - - - - - - -
 OBAT KHUSUS - - - - - - - - - -
1 Fluoride 1 mg Tablet 100 976 97,598 - 976 - - 976 - 100
2 KY Jelli Tube - 85,000 - - 85,000 - - 85,000 - -
3 Lexavit Kaplet Kaplet - 545 - - 545 - - 545 - -
Mefamicetin (kloramfenikol suspensi 125
4 Botol - 8,800 - - 8,800 - - 8,800 - -
mg/ml)
5 Neorodial Tablet Tablet 280 1,265 354,200 - 1,265 - 10 1,265 12,650 270
6 Pantocain (tetracain Hcl tetes mata) Botol - 31,688 - - 31,688 - - 31,688 - -
7 Reco (Kloramfenicol tetes mata 3 %) Botol - 11,440 - - 11,440 - - 11,440 - -
Scabicid cream (Gmexan 10 mg, asam
8 Tube - 24,716 - - 24,716 - - 24,716 - -
usnat 10 mg)
Scopamin inj.(hiosin butilbromida inj.20
9 Ampul - 31,688 - - 31,688 - - 31,688 - -
mg/ml)
10 Vical Suspensi 100 ml Botol - 4,890 - - 4,890 - - 4,890 - -
- - - - - - - - - -
BAHAN MEDIS HABIS PAKAI - - - - - - - - - -
1 Alat Suntik 1 ml Pcs - 1,030 - - 1,030 - - 1,030 - -
2 Alat Suntik 1 ml Pcs - 1,262 - - 1,262 - - 1,262 - -
3 Alat Suntik 2,5 ml Pcs 430 1,030 442,728 - 1,030 - 290 1,030 298,584 140
4 Alat Suntik 3 ml Pcs - 1,010 - - 1,010 - - 1,010 - -
5 Alat Suntik 5 ml Pcs - 1,186 - - 1,186 - - 1,186 - -
110 Alat Suntik 5 ml Pcs 30 1,248 37,440 - 1,248 - 4 1,248 4,992 26
7 Alat Suntik 10 ml Pcs - 1,882 - - 1,882 - - 1,882 - -
8 Alat Suntik 10 ml Pcs - 1,694 - 20 1,694 33,880 - 1,694 - 20
9 Alat Suntik 20 ml Pcs - 1,287 - - 1,287 - - 1,287 - -
10 Alat Suntik 20 ml Pcs - 2,228 - - 2,228 - - 2,228 - -
11 ALKOHOL SWAB Box - 11,500 - 16 11,500 184,000 11 11,500 126,500 5
12 Autocheck 3 in 1 Unit 1 1,100,000 1,100,000 - 1,100,000 - 1 1,100,000 1,100,000 -
13 Autocheck Cholestrol tes btl/10 strip Botol - 320,000 - - 320,000 - - 320,000 - -
14 Autocheck Cholestrol tes btl/10 strip Botol - 279,400 - 12 279,400 3,352,800 12 279,400 3,352,800 -
15 Autocheck Glukosa tes btl/25 strip Botol 1 180,000 180,000 - 180,000 - 1 180,000 180,000 -
16 Autocheck Glukosa tes btl/25 strip Botol 1 179,850 179,850 12 179,850 2,158,200 11 179,850 1,978,350 2
17 Autocheck Uric Acid Test btl/25 strip Botol - 240,000 - - 240,000 - - 240,000 - -
18 Autocheck Uric Acid Test btl/25 strip Botol 1 239,800 239,800 15 239,800 3,597,000 14 239,800 3,357,200 2
19 Benang Bedah No. 2/0 (Cromic Cat Gut) Pcs 30 11,261 337,838 84 11,261 945,945 114 11,261 1,283,783 -
20 Benang Bedah No. 2/0 (Cromic Cat Gut) Pcs - 65,000 - - 65,000 - - 65,000 - -
21 Benang Bedah No. 3/0 (Cromic Cat Gut) Pcs 10 11,261 112,613 - 11,261 - 10 11,261 112,613 -
22 Benang Bedah No. 3/0 (Cromic Cat Gut) Pcs - 65,000 - - 65,000 - - 65,000 - -
23 Catheter (folley cathteter) no.12 Pcs - 13,750 - 10 13,750 137,500 - 13,750 - 10
24 Catheter (folley cathteter) no.14 Pcs - 13,750 - 10 13,750 137,500 - 13,750 - 10
25 UROCARE FOLLEY CATHETER 2 WAY NO. Box - 92,000 - - 92,000 - - 92,000 - -
26 Catheter (folley cathteter) no.16 Pcs 20 13,750 275,000 10 13,750 137,500 17 13,750 233,750 13
27 Catheter (folley cathteter) no.18 Pcs - 18,018 - - 18,018 - - 18,018 - -
28 Catheter (folley cathteter) no.18 Pcs 18 13,750 247,500 10 13,750 137,500 14 13,750 192,500 14
29 Copper T Set/buah Set - 125,483 - - 125,483 - - 125,483 - -
30 Copper T Set/buah Set - 125,000 - - 125,000 - - 125,000 - -
31 COPPER T Pcs - 124,300 - 30 124,300 3,729,000 - 124,300 - 30
32 Elastic Verband 3 inchi / Tensocrape BSN Roll 1 96,000 96,000 - 96,000 - 1 96,000 96,000 -
33 ELASTIC VERBAND 6 INCHI Pcs - 86,680 - 3 86,680 260,040 - 86,680 - 3
34 FEEDING TUBE 8FR 40CM Pcs - 8,804 - 5 8,804 44,022 - 8,804 - 5
35 Hands Schoen no 7 Set - 6,564 - - 6,564 - - 6,564 - -
36 Hands Schoen no 7 Set - 9,500 - - 9,500 - - 9,500 - -
37 Hands Schoen no 7.5 Set - 9,500 - - 9,500 - - 9,500 - -
38 Hands Schoen no 7.5 Set - 4,675 - 7 4,675 32,725 7 4,675 32,725 -
39 Hands Schoen no 7.5 Pair - 23,750 - - 23,750 - - 23,750 - -
Hands Schoen no 7.5 U/ manual
40 Set - 16,731 - - 16,731 - - 16,731 - -
Placenta (Long)
41 Hands Schoen no 8 20 - 6,564 - - 6,564 - - 6,564 - -
42 Hands Schoen no 8 Set - 9,500 - - 9,500 - - 9,500 - -
43 Hands Schoen no 8 Pair - 23,750 - - 23,750 - - 23,750 - -
Hands Schoen no 8 U/ manual Placenta
44 Set - 16,731 - - 16,731 - - 16,731 - -
(Long)
45 Hypafix 5 cm x 1 m Roll 2 17,610 35,220 - 17,610 - 2 17,610 35,220 -
46 Hypafix 5 cm x 5 m Roll 2 92,000 184,000 - 92,000 - 2 92,000 184,000 -
47 Infusion Set Anak Set 30 8,775 263,250 85 8,775 745,875 85 8,775 745,875 30
48 Infusion Set Anak Set - 6,375 - - 6,375 - - 6,375 - -
49 Infusion Set Dewasa Set 7 8,775 61,425 - 8,775 - 7 8,775 61,425 -
50 Infusion Set Dewasa Set - 6,343 - 95 6,343 602,585 51 6,343 323,493 44
51 IV Catheter no 16 Set - 7,508 - - 7,508 - - 7,508 - -
52 IV Catheter no 18 Set 62 7,508 465,465 - 7,508 - 58 7,508 435,435 4
53 IV Catheter no 18 Set - 8,948 - - 8,948 - - 8,948 - -
54 IV Catheter no 20 Set - 7,508 - - 7,508 - - 7,508 - -
55 IV Catheter no 20 Set - 8,948 - - 8,948 - - 8,948 - -
56 IV Catheter no 22 Set 10 8,948 89,480 - 8,948 - 10 8,948 89,480 -
57 IV Catheter no 24 Set 10 7,508 75,075 - 7,508 - 10 7,508 75,075 -
58 IV Catheter no 24 Set - 8,948 - - 8,948 - - 8,948 - -
59 Jarum Jahit 1/2 Surgical Lusin - 27,875 - 2 27,875 55,750 2 27,875 55,750 -
60 Jarum Jahit 1/2 Surgical Lusin 1 135,000 135,000 1 135,000 135,000 2 135,000 270,000 -
61 Jarum Jahit 3/8 Surgical Lusin - 27,875 - 1 27,875 27,875 1 27,875 27,875 -
62 Jarum Jahit 3/8 Surgical Lusin 1 120,000 120,000 - 120,000 - 1 120,000 120,000 -
63 Kapas Pembalut 250 gr Roll - 23,595 - - 23,595 - - 23,595 - -
64 Kapas Pembalut 250 gr Roll 3 22,000 66,000 10 22,000 220,000 7 22,000 154,000 6
65 KAPAS PEMBALUT 250G Roll - 14,375 - - 14,375 - - 14,375 - -
66 Kapas Pembalut 500 gr Roll 7 35,000 245,000 5 35,000 175,000 6 35,000 210,000 6
67 Kasa Steril 18 x 22 cm Box - 8,625 - - 8,625 - - 8,625 - -
68 Kasa Steril 18 x 22 cm Kotak - 16,500 - 14 16,500 231,000 13 16,500 214,500 1
69 KASA HYDROFPHIL 40 X 80 CM Roll - 120,750 - 10 120,750 1,207,500 8 120,750 966,000 2
70 Kasa Hydrofil 36 x 80 cm Roll - 282,750 - - 282,750 - - 282,750 - -
71 Kasa Hydrofil 36 x 80 cm Roll - 122,550 - 5 122,550 612,750 5 122,550 612,750 -
72 Kasa Kompres 40/40 steril Bungkus - 2,853 - - 2,853 - - 2,853 - -
73 Kasa Kompres 40/40 steril Bungkus - 2,723 - - 2,723 - - 2,723 - -
74 KASA KOMPRES STERIL 40 X 40 PCS 2 1,840 3,680 20 1,840 36,800 19 1,840 34,960 3
75 Kasa Pembalut 2 m x 80 cm Roll - 13,650 - - 13,650 - - 13,650 - -
76 Kasa Pembalut 2 m x 80 cm Roll 2 13,366 26,732 10 13,366 133,660 10 13,366 133,660 2
77 KASA PEMBALUT 2M X 80CM Roll - 8,855 - - 8,855 - - 8,855 - -
78 Kasa Pembalut 4 m x 10 cm Roll - 2,895 - - 2,895 - - 2,895 - -
79 Kasa Pembalut 4 m x 10 cm Roll - 2,601 - - 2,601 - - 2,601 - -
80 Kasa Pembalut Hydrof 4 m x 15 cm Roll - 4,023 - - 4,023 - - 4,023 - -
81 Kasa Pembalut Hydrof 4 m x 15 cm Roll - 3,638 - - 3,638 - - 3,638 - -
82 KASA PEMBALUT HYDROFILL 4M X 15CM Roll - 2,415 - 25 2,415 60,375 23 2,415 55,545 2
83 KASA PEMBALUT HYDROFILL 4M X 10CM Roll - 1,725 - 65 1,725 112,125 40 1,725 69,000 25
84 Kasa Hydrofil 4 yard x 10 cm Roll - 2,600 - - 2,600 - - 2,600 - -
85 Kasa Pembalut Hydrofil 4 m x 5 cm Roll - 1,248 - - 1,248 - - 1,248 - -
86 KASA PEMBALUT HYDROFILL 4M X 5CM Roll 20 863 17,250 40 863 34,500 37 863 31,913 23
87 Kasa Steril 16 x 16 cm Bungkus - 8,288 - - 8,288 - - 8,288 - -
88 Kasa Steril 16 x 16 cm Kotak 2 6,743 13,486 7 6,743 47,201 9 6,743 60,687 -
89 KASA HYDROFPHIL STERIL 16 X 16 Roll - 9,200 - 10 9,200 92,000 8 9,200 73,600 2
90 KASA STERIL 10X10 CM,8 PLY,1X10'S Kotak - 10,845 - - 10,845 - - 10,845 - -
91 KERTAS PUYER BLANK Bungkus 1 93,500 93,500 10 93,500 935,000 7 93,500 654,500 4
92 Masker Pcs 100 677 67,665 - 677 - 100 677 67,665 -
93 Masker PCS - 495 - 100 495 49,500 100 495 49,500 -
94 SURGICAL MASK EARLOOP Box - 18,975 - 40 18,975 759,000 19 18,975 360,525 21
95 Mata Pisau Bedah No. 10 Pcs 5 9,759 48,795 - 9,759 - 5 9,759 48,795 -
96 Mata Pisau Bedah No. 10 Pcs - 6,561 - 5 6,561 32,805 5 6,561 32,805 -
97 Mata Pisau Bedah No. 11 Pcs 10 9,760 97,598 10 9,760 97,598 20 9,760 195,195 -
98 Mata Pisau Bedah No. 11 Pcs - 6,561 - 35 6,561 229,635 25 6,561 164,025 10
99 Mata Pisau Bedah No. 15 Pcs 7 9,760 68,318 - 9,760 - 7 9,760 68,318 -
100 Mata Pisau Bedah No. 15 Pcs - 6,561 - 10 6,561 65,610 10 6,561 65,610 -
101 Mata Pisau Bedah No. 21 Pcs - 9,760 - - 9,760 - - 9,760 - -
102 Mata Pisau Bedah No. 21 Pcs - 6,561 - 10 6,561 65,610 10 6,561 65,610 -
103 ONEJACK AUTODISABLE SYRINGE 0,05 PCS - 3,795 - - 3,795 - - 3,795 - -
104 Paper Tape 2.5 cm x 9.14 m Roll - 131,300 - - 131,300 - - 131,300 - -
105 Plester 5 yard x 2 inci Roll - 22,308 - - 22,308 - - 22,308 - -
106 Plester 5 yard x 4,5 cm Roll 1 65,000 65,000 - 65,000 - 1 65,000 65,000 -
107 Plester 5 yard x 2 inci Roll - 44,300 - 4 44,300 177,200 4 44,300 177,200 -
108 Plester 7,5 mm x 4,5 mm Roll 2 60,650 121,300 5 60,650 303,250 7 60,650 424,550 -
109 PLESTERIN NON WOVEN ROLL 10CM X Roll - 47,564 - 10 47,564 475,640 6 47,564 285,384 4
110 PLESTERIN NON WOVEN ROLL 5CM X 5 Roll - 27,324 - 10 27,324 273,240 5 27,324 136,620 5
111 PLESTERIN NON WOVEN ROLL 15CM X Roll - 79,948 - 10 79,948 799,480 5 79,948 399,740 5
112 Regulator Oksigen Pcs 2 487,500 975,000 - 487,500 - - 487,500 - 2
113 GEA MEDICAL REGULATOR 02 XY-988 Pcs - 453,200 - - 453,200 - - 453,200 - -
114 Silk (Benang Bedah Sultra) No. 2/0 Pcs 9 5,781 52,027 - 5,781 - 9 5,781 52,027 -
115 Silk (Benang Bedah Sultra) No.2/0 Pcs - 60,018 - 12 60,018 720,216 12 60,018 720,216 -
116 Silk (Benang Bedah Sultra) No. 3/0 Pcs 7 5,781 40,465 - 5,781 - 7 5,781 40,465 -
117 Silk (Benang Bedah Sultra) No.3/0 Pcs - 54,900 - 12 54,900 658,800 12 54,900 658,800 -
118 Tullegrass (Cuticell Classic) 5 cm x 5 cm Pcs 5 17,150 85,750 - 17,150 - 3 17,150 51,450 2
119 URINE BAG STERIL Pcs - 3,450 - - 3,450 - - 3,450 - -
120 Urine Bag Pcs 6 6,875 41,250 20 6,875 137,500 8 6,875 55,000 18
121 Selang Oksigen pcs 12 8,250 99,000 - 8,250 - - 8,250 - 12
122 Tes Kehamilan pcs - 2,400 - - 2,400 - - 2,400 - -
123 Folley Catheter No.10 Pcs - 13,750 - - 13,750 - - 13,750 - -
124 Chirurgic Gloves No.6,5 Set - 9,500 - - 9,500 - - 9,500 - -
125 Bethadin 30 ml Botol - 35,000 - - 35,000 - - 35,000 - -
126 Examination Gloves Size S DUS - 57,750 - 6 57,750 346,500 4 57,750 231,000 2
127 Examination Gloves Size M DUS - 57,750 - 6 57,750 346,500 4 57,750 231,000 2
128 Examination Gloves Size L DUS 1 57,750 57,750 2 57,750 115,500 3 57,750 173,250 -
129 NIPRO INFUSET " Y " pcs - 6,343 - 10 6,343 63,430 - 6,343 - 10
130 NIPRO IV CATHETER 18G X 1-1/4" pcs - 8,948 - 50 8,948 447,398 35 8,948 313,178 15
131 NIPRO IV CATHETER 20G X 1" pcs 10 8,948 89,480 30 8,948 268,439 21 8,948 187,907 19
132 NIPRO IV CATHETER 22G X 1" pcs 20 8,948 178,959 60 8,948 536,877 50 8,948 447,398 30
133 NIPRO IV CATHETER 24G X 1" pcs 20 8,948 178,959 60 8,948 536,877 47 8,948 420,554 33
134 NIPRO SYRINGE 3 CC pcs 50 1,010 50,490 5 1,010 5,049 15 1,010 15,147 40
135 NIPRO SYRINGE 5 CC pcs - 1,248 - 5 1,248 6,241 1 1,248 - 4
136 NIPRO SYRINGE 10 CC pcs - 1,655 - 5 1,655 8,275 - 1,655 - 5
137 NIPRO IV CATHETER 18G X 2 pcs - 8,975 - 60 8,975 538,497 14 8,975 125,649 46
138 NIPRO IV CATHETER 20G X 1-1/4" pcs 25 8,975 224,374 80 8,975 717,996 55 8,975 493,622 50
139 NIPRO IV CATHETER 24G X 1 pcs - 8,975 - - 8,975 - - 8,975 - -
140 AXIMED EXAM GLOVES, SIZE S pcs - 57,750 - - 57,750 - - 57,750 - -
141 AXIMED EXAM GLOVES, SIZE M pcs - 57,750 - - 57,750 - - 57,750 - -
142 AXIMED FOLEYCATH 2-WAY NO.14 pcs - 13,750 - - 13,750 - - 13,750 - -
143 AXIMED FOLEYCATH 2-WAY NO.14 pcs - 13,750 - - 13,750 - - 13,750 - -
144 AXIMED CHIRURGIC GLOVES, 7.0 pcs - 9,500 - - 9,500 - - 9,500 - -
145 AXIMED CHIRURGIC GLOVES, 8.0 pcs - 9,500 - - 9,500 - - 9,500 - -
146 AXIMED FEEDING TUBE 40CM NO. 6 pcs - 9,213 - - 9,213 - - 9,213 - -
147 AXIMED FEEDING TUBE 40CM NO. 8 pcs - 9,213 - - 9,213 - - 9,213 - -
148 AXIMED FEEDING TUBE 40CM NO.10 pcs - 9,213 - - 9,213 - - 9,213 - -
149 AXIMED NASAL OXYGEN SIZE M pcs - 8,250 - 5 8,250 41,250 - 8,250 - 5
150 AXIMED NASAL OXYGEN SIZE L pcs - 8,250 - 8 8,250 66,000 - 8,250 - 8
151 AXIMED NASAL OXYGEN SIZE XS pcs - 8,250 - 8 8,250 66,000 - 8,250 - 8
152 URINE BAG pcs 5 6,875 34,375 - 6,875 - 2 6,875 13,750 3
- - - - - - - - - -
- - - - - - - - - -
REAGEN LABORATORIUM - - - - - - - - - -
1 Cairan Spiritus 1000 ML Bks - 68,250 - - 68,250 - - 68,250 - -
2 LARUTAN SPIRITUS Botol - 52,965 - 2 52,965 105,930 - 52,965 - 2
3 Tes Kehamilan Pcs - 2,365 - 400 2,365 - 400 2,365 47,300 -
- - - - - - - - - -
OBAT GIGI - - - - - - - - - -
1 Caviton White GC Botol - 219,000 - - 219,000 - - 219,000 - -
2 Cotton Roll untuk Gigi Bungkus - 93,438 - - 93,438 - - 93,438 - -
3 Calcium Hydroxide Botol - 477,350 - - 477,350 - - 477,350 - -
4 Etil Clorida Semprot Btl - 136,750 - - 136,750 - - 136,750 - -
5 Etil Clorida Semprot Btl - 90,000 - - 90,000 - - 90,000 - -
6 Fuji 9 Mini Pack # Extra A2 Kotak - 556,469 - - 556,469 - - 556,469 - -
7 Hemospon Box 30 118,500 3,555,000 - 118,500 - 30 118,500 3,555,000 -
8 HYDCAL TECHNEW BOX - 289,850 - - 289,850 - - 289,850 - -
9 Iodoform, (Biodinamica) Botol - 341,250 - - 341,250 - - 341,250 - -
10 Saliva Ejector Bungkus - 87,250 - - 87,250 - - 87,250 - -
11 Silk Automatic dgn Jarum untuk Gigi Pcs - 19,600 - - 19,600 - - 19,600 - -
12 Solare Anterior # A3 GC Unit - 487,165 - - 487,165 - - 487,165 - -
13 Vitapex Unit - 915,833 - - 915,833 - - 915,833 - -
- -
Jumlah 24,894,530.79 101,233,799.60 83,738,371.97
2. OBAT BPJS

OBAT-OBATAN
1 Afibramol Dos 11 4,000 Rp 44,000 Rp - 11 Rp 4,000 Rp 44,000 -
2 Albotil Botol 8 35,000 Rp 280,000 Rp - 8 Rp 35,000 Rp 280,000 -
3 Alofar 100 Buah Rp - Rp - 5 30,000 Rp 150,000 5 30,000 -
4 Alphamol Tab Dos 20 40,000 Rp 800,000 Rp - 20 Rp 40,000 Rp 800,000 -
5 Aminophyllin inj 24 mg tablet 30 4,200 Rp 126,000 Rp - 30 Rp 4,200 Rp 126,000 -
6 Amlodipene 10 mg Box Rp - Rp - 5 Rp 16,000 Rp 80,000 5 Rp 16,000 Rp 80,000 -
7 Amlodipene 5 mg Box Rp - Rp - 5 Rp 13,000 Rp 65,000 5 Rp 13,000 Rp 65,000 -
8 Amlodipine 10 mg Box Rp - Rp - 10 Rp 13,000 Rp 130,000 10 Rp 13,000 Rp 130,000 -
9 Amostera Dos 10 40,000 Rp 400,000 Rp - 10 Rp 40,000 Rp 400,000 -
10 Amoxicillin Trihydrate Dos Rp - Rp - 5 Rp 33,000 Rp 165,000 5 Rp 33,000 Rp 165,000 -
11 Amoxilin Box Rp - Rp - 15 Rp 33,000 Rp 495,000 15 Rp 33,000 Rp 495,000 -
12 Amoxilin Box Rp - Rp - 10 Rp 37,000 Rp 370,000 10 Rp 37,000 Rp 370,000 -
13 Anastan Dos 18 30,000 Rp 540,000 Rp - 18 Rp 30,000 Rp 540,000 -
14 Antasida Doen Box Rp - Rp - 10 Rp 12,000 Rp 120,000 10 Rp 12,000 Rp 120,000 -
15 Antidia Box Rp - Rp - 3 Rp 19,000 Rp 57,000 3 Rp 19,000 Rp 57,000 -
16 Arkavit-C Tab Box Rp - Rp - 8 Rp 55,000 Rp 440,000 8 Rp 55,000 Rp 440,000 -
17 Asam Mefenamat Box Rp - Rp - 20 Rp 18,000 Rp 360,000 20 Rp 18,000 Rp 360,000 -
18 Atoprim Botol Rp - Rp - 10 6,000 Rp 60,000 10 6,000 Rp 60,000 -
19 Beneuron Box Rp - Rp - 5 43,000 Rp 215,000 5 43,000 Rp 215,000 -
20 Benostan Box Rp - Rp - 3 Rp 27,000 Rp 81,000 3 Rp 27,000 Rp 81,000 -
21 benostan Box Rp - Rp - 10 32,000 Rp 320,000 10 32,000 Rp 320,000 -
22 Biomega Box Rp - Rp - 3 70,000 Rp 210,000 3 70,000 Rp 210,000 -
23 Branchtin Buah Rp - Rp - 5 7,000 Rp 35,000 5 7,000 Rp 35,000 -
24 Brodamox Box Rp - Rp - 5 Rp 50,000 Rp 250,000 5 Rp 50,000 Rp 250,000 -
25 Broxal Box Rp - Rp - 4 25,000 Rp 100,000 4 25,000 Rp 100,000 -
26 Bufacaryl Box Rp - Rp - 5 24,000 Rp 120,000 5 24,000 Rp 120,000 -
27 Calcipar Plus Box Rp - Rp - 6 25,000 Rp 150,000 6 25,000 Rp 150,000 -
28 Catopril 25 mg Box Rp - Rp - 10 Rp 15,000 Rp 150,000 10 Rp 15,000 Rp 150,000 -
29 Caviplex Box Rp - Rp - 14 Rp 47,000 Rp 658,000 14 Rp 47,000 Rp 658,000 -
30 Caviplex Syrup Botol Rp - Rp - 15 Rp 8,000 Rp 120,000 15 Rp 8,000 Rp 120,000 -
31 Caviplex Buah Rp - Rp - 10 10,000 Rp 100,000 10 10,000 Rp 100,000 -
32 Caviplex Box Rp - Rp - 11 Rp 45,000 Rp 495,000 11 Rp 45,000 Rp 495,000 -
33 Caviplex Dos 17 43,000 Rp 731,000 Rp - 17 Rp 43,000 Rp 731,000 -
34 Cetizin Box Rp - Rp - 6 22,000 Rp 132,000 6 22,000 Rp 132,000 -
35 Cipfloxacin Box Rp - Rp - 7 41,000 Rp 287,000 7 41,000 Rp 287,000 -
36 Ciproploxacin Box Rp - Rp - 5 42,000 Rp 210,000 5 42,000 Rp 210,000 -
37 Coldy. S Syr Box Rp - Rp - 10 Rp 6,000 Rp 60,000 10 Rp 6,000 Rp 60,000 -
38 Coldy's Jr Buah Rp - Rp - 12 6,000 Rp 72,000 12 6,000 Rp 72,000 -
39 CTM Kaleng Rp - Rp - 10 Rp 8,000 Rp 80,000 10 Rp 8,000 Rp 80,000 -
40 Curcuma Dos 3 110,000 Rp 330,000 Rp - 3 Rp 110,000 Rp 330,000 -
41 Curcuma Syrup Dos 10 11,500 Rp 115,000 Rp - 10 Rp 11,500 Rp 115,000 -
42 Curnplex Buah Rp - Rp - 12 7,000 Rp 84,000 12 7,000 Rp 84,000 -
43 Deco TTL Botol Rp - Rp - 10 Rp 10,000 Rp 100,000 10 Rp 10,000 Rp 100,000 -
44 Dexametha Sone Box Rp - Rp - 4 25,000 Rp 100,000 4 25,000 Rp 100,000 -
45 Dexanel Tab Kaleng Rp - Rp - 10 Rp 6,000 Rp 60,000 10 Rp 6,000 Rp 60,000 -
46 Dextem Box Rp - Rp - 5 Rp 30,000 Rp 150,000 5 Rp 30,000 Rp 150,000 -
47 Domperidon tab 10 mg tablet 160 200 Rp 32,000 Rp - 160 Rp 200 Rp 32,000 -
48 Eltanove Box Rp - Rp - 10 25,000 Rp 250,000 10 25,000 Rp 250,000 -
49 Etafenin Dos 10 24,000 Rp 240,000 Rp - 10 Rp 24,000 Rp 240,000 -
50 Etamox Dos 7 40,000 Rp 280,000 Rp - 7 Rp 40,000 Rp 280,000 -
51 Faisorbid Dos 5 17,000 Rp 85,000 Rp - 5 Rp 17,000 Rp 85,000 -
52 Fargoxin Dos 3 22,000 Rp 66,000 Rp - 3 Rp 22,000 Rp 66,000 -
53 Faridexon Dos 20 11,000 Rp 220,000 Rp - 20 Rp 11,000 Rp 220,000 -
54 Farmaton Box Rp - Rp - 5 31,000 Rp 155,000 5 31,000 Rp 155,000 -
55 Farmaton 25 mg Box Rp - Rp - 10 Rp 28,000 Rp 280,000 10 Rp 28,000 Rp 280,000 -
56 Fasfifen 200 mg Box Rp - Rp - 5 25,000 Rp 125,000 5 25,000 Rp 125,000 -
57 Faxiden 20 mg Box Rp - Rp - 10 25,000 Rp 250,000 10 25,000 Rp 250,000 -
58 Floxigra Dos 10 58,000 Rp 580,000 Rp - 10 Rp 58,000 Rp 580,000 -
59 Flucadex Dos 12 55,000 Rp 660,000 Rp - 12 Rp 55,000 Rp 660,000 -
60 Flutamol Box Rp - Rp - 7 50,000 Rp 350,000 7 50,000 Rp 350,000 -
61 Forsidol Forte Buah Rp - Rp - 20 6,000 Rp 120,000 20 6,000 Rp 120,000 -
62 Fosidol Syr Rp - Rp - 10 Rp 5,000 Rp 50,000 10 Rp 5,000 Rp 50,000 -
63 Fosidol Forta Syr Rp - Rp - 10 Rp 5,500 Rp 55,000 10 Rp 5,500 Rp 55,000 -
64 Framoxol /cotri Syr Rp - Rp - 10 Rp 5,000 Rp 50,000 10 Rp 5,000 Rp 50,000 -
65 Gasela Box Rp - Rp - 5 30,000 Rp 150,000 5 30,000 Rp 150,000 -
66 Genoint Dos 10 8,500 Rp 85,000 Rp - 10 Rp 8,500 Rp 85,000 -
67 GG Kaleng Rp - Rp - 10 Rp 15,000 Rp 150,000 10 Rp 15,000 Rp 150,000 -
68 GG Kaleng Kaleng Rp - Rp - 6 Rp 12,000 Rp 72,000 6 Rp 12,000 Rp 72,000 -
69 Glibenklamid tab 5 mg tablet 20 50 Rp 1,000 Rp - 20 Rp 50 Rp 1,000 -
70 Grafadon Dos 10 27,000 Rp 270,000 Rp - 10 Rp 27,000 Rp 270,000 -
71 grafalin 4 mg Box Rp - Rp - 5 Rp 23,000 Rp 115,000 5 Rp 23,000 Rp 115,000 -
72 Grafilin 2 mg Box Rp - Rp - 3 25,000 Rp 75,000 3 25,000 Rp 75,000 -
73 Grantusik Box Rp - Rp - 3 46,000 Rp 138,000 3 46,000 Rp 138,000 -
74 Gricin Box Rp - Rp - 5 Rp 35,000 Rp 175,000 5 Rp 35,000 Rp 175,000 -
75 Histigo Kaleng Rp - Rp - 2 Rp 31,000 Rp 62,000 2 Rp 31,000 Rp 62,000 -
76 Hufabion Box Rp - Rp - 11 31,000 Rp 341,000 11 31,000 Rp 341,000 -
77 Hufadon Dos 3 22,000 Rp 66,000 Rp - 3 Rp 22,000 Rp 66,000 -
78 Hufagesic Buah Rp - Rp - 15 6,000 Rp 90,000 15 6,000 Rp 90,000 -
79 Hufagrib Forte Box Rp - Rp - 19 Rp 35,000 Rp 665,000 19 Rp 35,000 Rp 665,000 -
80 Hufamaag plus Buah Rp - Rp - 5 28,000 Rp 140,000 5 28,000 Rp 140,000 -
81 Hufamag Plus Tab Box Rp - Rp - 10 Rp 6,500 Rp 65,000 10 Rp 6,500 Rp 65,000 -
82 Hufamag Plus Tab Box Rp - Rp - 7 Rp 27,000 Rp 189,000 7 Rp 27,000 Rp 189,000 -
83 Hufanoxil Syr Botol Rp - Rp - 23 Rp 5,000 Rp 115,000 23 Rp 5,000 Rp 115,000 -
84 Hufaxicam Dos 10 12,000 Rp 120,000 Rp - 10 Rp 12,000 Rp 120,000 -
85 Hufaxol Dos 20 4,500 Rp 90,000 Rp - 20 Rp 4,500 Rp 90,000 -
86 Huvanoxil Btol Rp - Rp - 10 6,000 Rp 60,000 10 6,000 Rp 60,000 -
87 Insic Suspensi Syr Botol Rp - Rp - 20 Rp 6,000 Rp 120,000 20 Rp 6,000 Rp 120,000 -
88 Insic Syrup Dos 10 6,500 Rp 65,000 Rp - 10 Rp 6,500 Rp 65,000 -
89 Kalmetason Dos 10 26,000 Rp 260,000 Rp - 10 Rp 26,000 Rp 260,000 -
90 Lactas Calcicus Tab Kaleng Rp - Rp - 4 Rp 18,000 Rp 72,000 4 Rp 18,000 Rp 72,000 -
91 Lactas Calcium Kaleng Rp - Rp - 9 25,000 Rp 225,000 9 25,000 Rp 225,000 -
92 Lapen Box Rp - Rp - 5 36,000 Rp 180,000 5 36,000 Rp 180,000 -
93 Lepivast Dos 7 13,000 Rp 91,000 Rp - 7 Rp 13,000 Rp 91,000 -
94 Lerzin Kap. Dos 10 23,000 Rp 230,000 Rp - 10 Rp 23,000 Rp 230,000 -
95 Lostacef 125 Buah Rp - Rp - 5 10,000 Rp 50,000 5 10,000 Rp 50,000 -
96 L-Zink Dos 5 40,000 Rp 200,000 Rp - 5 Rp 40,000 Rp 200,000 -
97 Metamol Box Rp - Rp - 3 Rp 20,000 Rp 60,000 3 Rp 20,000 Rp 60,000 -
98 Metformin tab 500 mg tablet 460 180 Rp 82,800 Rp - 460 Rp 180 Rp 82,800 -
99 Methyin Prednisolone Box Rp - Rp - 4 41,000 Rp 164,000 4 41,000 Rp 164,000 -
100 Metolon Syr Rp - Rp - 5 Rp 6,000 Rp 30,000 5 Rp 6,000 Rp 30,000 -
101 Metronidazol tab 500 mg tablet 200 160 Rp 32,000 Rp - 200 Rp 160 Rp 32,000 -
102 Mexon Dos 12 22,000 Rp 264,000 Rp - 12 Rp 22,000 Rp 264,000 -
103 Molacort Dos 10 24,000 Rp 240,000 Rp - 10 Rp 24,000 Rp 240,000 -
104 Molapect Syrup Dos 10 7,000 Rp 70,000 Rp - 10 Rp 7,000 Rp 70,000 -
105 Molavir Cream Dos 2 6,500 Rp 13,000 Rp - 2 Rp 6,500 Rp 13,000 -
106 Molazol Dos 3 27,000 Rp 81,000 Rp - 3 Rp 27,000 Rp 81,000 -
107 Muhavit Botol Rp - Rp - 8 Rp 5,000 Rp 40,000 8 Rp 5,000 Rp 40,000 -
108 Muliavit Syr Botol Rp - Rp - 15 Rp 5,000 Rp 75,000 15 Rp 5,000 Rp 75,000 -
109 Mycoral Dos 4 198,000 Rp 792,000 Rp - 4 Rp 198,000 Rp 792,000 -
110 Neuralgin Dos 5 75,000 Rp 375,000 Rp - 5 Rp 75,000 Rp 375,000 -
111 Neurofacale Tab Box Rp - Rp - 10 52,000 Rp 520,000 10 52,000 Rp 520,000 -
112 Nifedipine tab 10 mg tablet 160 120 Rp 19,200 Rp - 160 Rp 120 Rp 19,200 -
113 Norpid 20 mg Box Rp - Rp - 4 16,000 Rp 64,000 4 16,000 Rp 64,000 -
114 Norpio 10 mg Box Rp - Rp - 5 Rp 15,000 Rp 75,000 5 Rp 15,000 Rp 75,000 -
115 Norvam tab Box Rp - Rp - 1 Rp 19,000 Rp 19,000 1 Rp 19,000 Rp 19,000 -
116 Norvom Box Rp - Rp - 3 20,000 Rp 60,000 3 20,000 Rp 60,000 -
117 Novabion Dos 10 22,000 Rp 220,000 Rp - 10 Rp 22,000 Rp 220,000 -
118 Novabion Tab Box Rp - Rp - 10 Rp 23,000 Rp 230,000 10 Rp 23,000 Rp 230,000 -
119 Novagesic Buah Rp - Rp - 10 Rp 5,000 Rp 50,000 10 Rp 5,000 Rp 50,000 -
120 Novagesic Dos 10 4,000 Rp 40,000 Rp - 10 Rp 4,000 Rp 40,000 -
121 Novamag Box Rp - Rp - 5 Rp 20,000 Rp 100,000 5 Rp 20,000 Rp 100,000 -
122 Novamag Syr Botol Rp - Rp - 23 Rp 4,500 Rp 103,500 23 Rp 4,500 Rp 103,500 -
123 Novatrim Tab Box Rp - Rp - 10 Rp 24,000 Rp 240,000 10 Rp 24,000 Rp 240,000 -
124 Nuvopect Syr Botol Rp - Rp - 9 Rp 5,000 Rp 45,000 9 Rp 5,000 Rp 45,000 -
125 Omethison Dos 5 50,000 Rp 250,000 Rp - 5 Rp 50,000 Rp 250,000 -
126 Orphen Box Rp - Rp - 5 18,000 Rp 90,000 5 18,000 Rp 90,000 -
127 Orphen Dos 15 17,000 Rp 255,000 Rp - 15 Rp 17,000 Rp 255,000 -
128 Oxytetracycline Dos Rp - Rp - 4 Rp 100,000 Rp 400,000 4 Rp 100,000 Rp 400,000 -
129 Paracetamol Buah Rp - Rp - 50 Rp 4,000 Rp 200,000 50 Rp 4,000 Rp 200,000 -
130 Pardin Lugh Syr Rp - Rp - 10 Rp 5,000 Rp 50,000 10 Rp 5,000 Rp 50,000 -
131 Parsifen Dos 18 38,000 Rp 684,000 Rp - 18 Rp 38,000 Rp 684,000 -
132 Parsiken 400 mg Box Rp - Rp - 8 Rp 40,000 Rp 320,000 8 Rp 40,000 Rp 320,000 -
133 Pehacain Ampul Rp - Rp - 80 3,500 Rp 280,000 80 3,500 Rp 280,000 -
134 Pehacain Dos 4 90,000 Rp 360,000 Rp - 4 Rp 90,000 Rp 360,000 -
135 Pehacain Dos Rp - Rp - 10 Rp 80,000 Rp 800,000 10 Rp 80,000 Rp 800,000 -
136 Pehacain Injeksi Ampul Rp - Rp - 20 4,000 Rp 80,000 20 4,000 Rp 80,000 -
137 Pimtraled Buah Rp - Rp - 12 12,000 Rp 144,000 12 12,000 Rp 144,000 -
138 Pitogin Ampul Rp - Rp - 40 10,000 Rp 400,000 40 10,000 Rp 400,000 -
139 Ramagesic Box Rp - Rp - 17 Rp 20,000 Rp 340,000 17 Rp 20,000 Rp 340,000 -
140 Ramagesic Syrup Dos 20 4,000 Rp 80,000 Rp - 20 Rp 4,000 Rp 80,000 -
141 Ramagesic Tab Box Rp - Rp - 10 Rp 19,000 Rp 190,000 10 Rp 19,000 Rp 190,000 -
142 Rasidol Forte Buah Rp - Rp - 5 6,000 Rp 30,000 5 6,000 Rp 30,000 -
143 Ratrim Syr Botol Rp - Rp - 23 Rp 5,000 Rp 115,000 23 Rp 5,000 Rp 115,000 -
144 Ravask 5 mg Box Rp - Rp - 8 Rp 20,000 Rp 160,000 8 Rp 20,000 Rp 160,000 -
145 Raxiden 20 mg Box Rp - Rp - 5 27,000 Rp 135,000 5 27,000 Rp 135,000 -
146 Renadival Dos 10 29,000 Rp 290,000 Rp - 10 Rp 29,000 Rp 290,000 -
147 Revask Box Rp - Rp - 5 Rp 20,000 Rp 100,000 5 Rp 20,000 Rp 100,000 -
148 Reverton Box Rp - Rp - 10 Rp 5,500 Rp 55,000 10 Rp 5,500 Rp 55,000 -
149 Rexavin 125 mg Box Rp - Rp - 3 Rp 40,000 Rp 120,000 3 Rp 40,000 Rp 120,000 -
150 Rovertan Dos 5 18,000 Rp 90,000 Rp - 5 Rp 18,000 Rp 90,000 -
151 Rovertan Buah Rp - Rp - 10 5,500 Rp 55,000 10 5,500 Rp 55,000 -
152 Roverton Box Rp - Rp - 5 Rp 21,000 Rp 105,000 5 Rp 21,000 Rp 105,000 -
153 Roverton Box Rp - Rp - 7 50,000 Rp 350,000 7 50,000 Rp 350,000 -
154 Salbron Box Rp - Rp - 5 26,000 Rp 130,000 5 26,000 Rp 130,000 -
155 Salbutamol Box Rp - Rp - 1 16,000 Rp 16,000 1 16,000 Rp 16,000 -
156 Salep Mata Oxy Tablet Rp - Rp - 12 Rp 4,000 Rp 48,000 12 Rp 4,000 Rp 48,000 -
157 Sammoxin Dos 25 40,000 Rp 1,000,000 Rp - 25 Rp 40,000 Rp 1,000,000 -
158 Selesporin Dos 5 40,000 Rp 200,000 Rp - 5 Rp 40,000 Rp 200,000 -
159 Selmatic Dos 5 19,000 Rp 95,000 Rp - 5 Rp 19,000 Rp 95,000 -
160 Selviom Dos 10 29,000 Rp 290,000 Rp - 10 Rp 29,000 Rp 290,000 -
Sianokobalamin (Vitamin B12) inj 500
161 mcg/mL ampul 97 1,000 Rp 97,000 Rp - 97 Rp 1,000 Rp 97,000 -

162 Solpenox Buah Rp - Rp - 18 5,000 Rp 90,000 18 5,000 Rp 90,000 -

163 Sultrimix Syrup Buah Rp - Rp - 10 Rp 5,000 Rp 50,000 10 Rp 5,000 Rp 50,000 -
164 Sultrimix Table Box Rp - Rp - 5 Rp 28,000 Rp 140,000 5 Rp 28,000 Rp 140,000 -
165 Supravit Box Rp - Rp - 2 Rp 50,000 Rp 100,000 2 Rp 50,000 Rp 100,000 -
166 Tifalsic Dos 10 40,000 Rp 400,000 Rp - 10 Rp 40,000 Rp 400,000 -
167 Utazon Dos 4 17,000 Rp 68,000 Rp - 4 Rp 17,000 Rp 68,000 -
168 Vipcol Buah Rp - Rp - 12 7,000 Rp 84,000 12 7,000 Rp 84,000 -
169 Vit. C Kaleng Rp - Rp - 1 Rp 48,000 Rp 48,000 1 Rp 48,000 Rp 48,000 -
170 Vitamin B1 5mg Tab Kaleng Rp - Rp - 10 Rp 8,000 Rp 80,000 10 Rp 8,000 Rp 80,000 -
171 Vitamin B1 5mg Tab Kaleng Rp - Rp - 5 Rp 8,000 Rp 40,000 5 Rp 8,000 Rp 40,000 -
172 vovaxipen Buah Rp - Rp - 5 6,000 Rp 30,000 5 6,000 Rp 30,000 -
173 Yusimox Syrup Botol 20 5,000 Rp 100,000 Rp - 20 Rp 5,000 Rp 100,000 -
174 Zevask Dos 5 15,000 Rp 75,000 Rp - 5 Rp 15,000 Rp 75,000 -
175 Zultrop Dos 5 24,000 Rp 120,000 Rp - 5 Rp 24,000 Rp 120,000 -
JUMLAH Rp 13,690,000 Rp 19,015,500 Rp 32,555,500
BMHP
1 Abocate 24 Buah Rp - Rp - 10 15,000 Rp 150,000 10 15,000 Rp 150,000

2 Abocet 20 Buah Rp - Rp - 10 18,000 Rp 180,000 10 18,000 Rp 180,000

3 Ac. Cholesterol Dos Rp - Rp - 1 185,000 Rp 185,000 1 185,000 Rp 185,000

4 Ac. Glucosa Dos Rp - Rp - 1 170,000 Rp 170,000 1 170,000 Rp 170,000

5 Alkohol 70 % 1000 ml Botol Rp - Rp - 11 50,000 Rp 550,000 11 50,000 Rp 550,000

6 Alkohol 70% Botol Rp - Rp - 2 Rp 20,000 Rp 40,000 2 Rp 20,000 Rp 40,000
7 Alkohol 70% Botol Rp - Rp - 1 45,000 Rp 45,000 1 45,000 Rp 45,000
8 Alkohol Swabs Box Rp - Rp - 1 25,000 Rp 25,000 1 25,000 Rp 25,000
9 As. Glucosa Dos Rp - Rp - 1 170,000 Rp 170,000 1 170,000 Rp 170,000
10 As. Uric Acid Dos Rp - Rp - 1 180,000 Rp 180,000 1 180,000 Rp 180,000
11 Aseptic Gel 500 ml Botol Rp - Rp - 1 400,000 Rp 400,000 1 400,000 Rp 400,000
12 Benang Silt Dos Rp - Rp - 1 Rp 150,000 Rp 150,000 1 Rp 150,000 Rp 150,000
13 Betadine 1 Liter Botol Rp - Rp - 4 130,000 Rp 520,000 4 130,000 Rp 520,000
14 Betadine 300 ml Botol Rp - Rp - 2 40,000 Rp 80,000 2 40,000 Rp 80,000
15 Bisturi Box Rp - Rp - 1 Rp 120,000 Rp 120,000 1 Rp 120,000 Rp 120,000
16 Chili Plaster Pcs Rp - Rp - 6 Rp 12,000 Rp 72,000 6 Rp 12,000 Rp 72,000
17 Handscon SG Dos Rp - Rp - 2 80,000 Rp 160,000 2 80,000 Rp 160,000
18 Handscon Steril Psg Rp - Rp - 156 Rp 8,000 Rp 1,248,000 156 Rp 8,000 Rp 1,248,000
19 Handscoon Buah Rp - Rp - 3 80,000 Rp 240,000 3 80,000 Rp 240,000
20 Hansdcun Biasa Dos Rp - Rp - 2 75,000 Rp 150,000 2 75,000 Rp 150,000
21 Hansdcun Maxter Buah Rp - Rp - 15 Rp 8,000 Rp 120,000 15 Rp 8,000 Rp 120,000
22 Hansdcun Safe Glove Dos Rp - Rp - 2 80,000 Rp 160,000 2 80,000 Rp 160,000
23 Hansdcun Safeguard Dos Rp - Rp - 1 Rp 75,000 Rp 75,000 1 Rp 75,000 Rp 75,000
24 Infuset Dewasa buah Rp - Rp - 10 Rp 15,000 Rp 150,000 10 Rp 15,000 Rp 150,000
25 IV Catheter Ch:20 (6,7 mm) buah Rp - Rp - 5 Rp 35,000 Rp 175,000 5 Rp 35,000 Rp 175,000
26 Keniko Box Rp - Rp - 2 100,000 Rp 200,000 2 100,000 Rp 200,000
27 Lanset Box Rp - Rp - 2 25,000 Rp 50,000 2 25,000 Rp 50,000
28 Masker Dos Rp - Rp - 1 Rp 40,000 Rp 40,000 1 Rp 40,000 Rp 40,000
29 Masker Dos Rp - Rp - 2 Rp 35,000 Rp 70,000 2 Rp 35,000 Rp 70,000
30 Masker Hijab Dos Rp - Rp - 2 40,000 Rp 80,000 2 40,000 Rp 80,000
31 Penjepit Tali Pusat Dos Rp - Rp - 1 Rp 80,000 Rp 80,000 1 Rp 80,000 Rp 80,000
32 Plaster Buah Rp - Rp - 2 70,000 Rp 140,000 2 70,000 Rp 140,000
33 Plaster Kecil Buah Rp - Rp - 5 Rp 15,000 Rp 75,000 5 Rp 15,000 Rp 75,000
34 Plester Buah Rp - Rp - 5 70,000 Rp 350,000 5 70,000 Rp 350,000
35 Povidone 30 ml Botol Rp - Rp - 5 Rp 8,000 Rp 40,000 5 Rp 8,000 Rp 40,000
36 Povidone 300 ml Botol Rp - Rp - 2 Rp 35,000 Rp 70,000 2 Rp 35,000 Rp 70,000
37 Povidone Iodine 1000 ml Botol Rp - Rp - 1 Rp 120,000 Rp 120,000 1 Rp 120,000 Rp 120,000
38 Povidone Iodine 30 ml Botol Rp - Rp - 10 Rp 10,000 Rp 100,000 10 Rp 10,000 Rp 100,000
39 Rivanol 300 ml Botol Rp - Rp - 2 10,000 Rp 20,000 2 10,000 Rp 20,000
40 Spoit 1 ml Dos Rp - Rp - 3 85,000 Rp 255,000 3 85,000 Rp 255,000
41 Spoit 3 ml Dos Rp - Rp - 3 Rp 70,000 Rp 210,000 3 Rp 70,000 Rp 210,000
42 Spoit 3 ml Box Rp - Rp - 4 80,000 Rp 320,000 4 80,000 Rp 320,000
43 Spoit 3 mm Dos Rp - Rp - 2 Rp 75,000 Rp 150,000 2 Rp 75,000 Rp 150,000
44 Strip AC Botol Rp - Rp - 2 180,000 Rp 360,000 2 180,000 Rp 360,000
45 Underpad Buah Rp - Rp - 2 75,000 Rp 150,000 2 75,000 Rp 150,000
46 Urin. Arid Dos Rp - Rp - 1 180,000 Rp 180,000 1 180,000 Rp 180,000
JUMLAH Rp - Rp 8,425,000 Rp 8,425,000
3. OBAT PROGRAM
1 Vaksin rabies Vial 2 Rp 206,250 Rp 412,500 32 Rp 206,250 Rp 6,600,000 31 Rp 206,250 Rp 6,393,750 3
2 Vaksin BCG Vial 2 Rp 59,959 Rp 119,918 85 Rp 59,959 Rp 5,096,515 87 Rp 59,959 Rp 5,216,433 0
3 Vaksin IPV Vial 6 Rp 59,959 Rp 359,754 50 Rp 59,959 Rp 2,997,950 52 Rp 59,959 Rp 3,117,868 4
4 Vaksin DPT HB Hib Vial 3 Rp 76,282 Rp 228,846 165 Rp 76,282 Rp 12,586,530 168 Rp 76,282 Rp 12,815,376 0
5 Vaksin DT Vial 6 Rp 17,798 Rp 106,788 20 Rp 17,798 Rp 355,960 17 Rp 17,798 Rp 302,566 9
6 Vaksin polio Vial 5 Rp 19,954 Rp 99,770 155 Rp 19,954 Rp 3,092,870 151 Rp 19,954 Rp 3,013,054 9
7 Vaksin campak Vial 17 Rp 28,204 Rp 479,468 70 Rp 28,204 Rp 1,974,280 87 Rp 28,204 Rp 2,453,748 0
8 Vaksin Hb Uniject Vial 0 Rp 76,285 Rp - 130 Rp 76,285 Rp 9,917,050 130 Rp 76,285 Rp 9,917,050 0
9 Vaksin Td Vial 25 Rp 16,500 Rp 412,500 70 Rp 16,500 Rp 1,155,000 81 Rp 16,500 Rp 1,336,500 14
10 Vaksin MR Vial 0 Rp 161,648 Rp - 284 Rp 161,648 Rp 45,908,032 283 Rp 161,648 Rp 45,746,384 1
11 Vitamin A 100000 IU Soft Kapsul 0 Rp 341 Rp - 700 Rp 341 Rp 238,700 160 Rp 341 Rp 54,560 540
12 Vitamin A 200000 IU Soft Kapsul 0 Rp 505 Rp - 1,000 Rp 505 Rp 505,000 979 Rp 505 Rp 494,395 21
13 Obat TB kategori I Paket 7 Rp 317,015 Rp 2,219,105 5 Rp 317,015 Rp 1,585,075 12 Rp 317,015 Rp 3,804,180 0
14 Obat TB kategori II Paket 0 Rp 317,015 Rp - 2 Rp 317,015 Rp 634,030 2 Rp 317,015 Rp 634,030 0
15 Obat Kusta Blister 7 Rp 38,395 Rp 268,765 18 Rp 38,395 Rp 691,110 25 Rp 38,395 Rp 959,875 0
16 Abate Botol 23 Rp - Rp - 17 Rp - Rp - 22 Rp - Rp - 18
17 Tablet tambah darah Tablet 0 Rp 112 Rp - 34,560 Rp 112 Rp 3,870,720 5,820 Rp 112 Rp 651,840 28740
Jumlah Rp 4,707,414 Rp 97,208,822 Rp 96,911,609
TOTAL KESELURUHAN Rp 43,291,944.79 Rp 225,883,121.60 Rp 221,630,480.97

Tirawuta, 31 Desember 2018

Bendahara Barang Pengelola Obat Puskesmas Tinondo

APRISAN, SKM ROSYANTI, AMF

Mengetahui :
Kepala Puskesmas Tinondo

HABARUDDIN LASAIMA, SH
NIP. 19770824 199803 1 004
PERSEDIAAN 31 DESEMBER 2018
HARGA
TOTAL
SATUAN

363 0.00

4,619 277,140.00

130 0.00
120 0.00
2,200 0.00
5,000 0.00
2,300 0.00
380 164,537.10
138 0.00
4,204 0.00
86 0.00
850 0.00
110 31,900.00
93 145,080.00
198 475,200.00
336 874,536.00
192 0.00
4,730 0.00
3,797 766,994.00

78 2,886.00

61 61.00

2,213 0.00

3,511 0.00
3,350 0.00
125 100,000.00
32 0.00
167 0.00
52 0.00
127 0.00
160 160,000.00
105 0.00
263 52,600.00
415 124,500.00
1,540 23,100.00
6,337 0.00
1,350 0.00
1,081 0.00
1,596 0.00
1,450 0.00
924 0.00
165 41,250.00
82 0.00
 125 101,436.30
764 0.00
1,300 0.00
4,780 1,673,002.10
620 0.00
2,740 0.00
1,885 24,505.00
46 0.00
260 0.00
8,910 0.00
1,848 55,440.00
677 0.00
6,622 1,105,874.00
8,090 0.00
6,000 78,000.00
2,625 0.00
4,167 108,342.00
3,754 0.00
4,260 0.00
698 0.00
42,000 0.00

317 126,800.00

278 0.00
200 0.00
27 0.00
127 0.00
5,720 629,200.00
6,900 276,000.00
230 0.00
266 0.00
65 0.00
34,223 0.00
77 0.00
179 358,000.00
2,838 53,922.00
2,620 547,580.00
112 0.00
5,363 0.00
64 0.00
97 0.00
127 0.00
320 0.00
1,110 0.00
275 935,000.00
1,000 56,000.00
1,850 37,000.00
16 0.00
54 0.00
40 24,000.00
660 0.00

135 40,500.00
 2,462 790,302.00

8,000 0.00
5,720 2,253,680.00
7,150 0.00
21,500 0.00
31,570 0.00
91 109,200.00
303 0.00
3,200 0.00
2,000 8,000.00
3,650 0.00
3,802 0.00
2,380 714,001.20
1,925 38,500.00
155 0.00
1,440 0.00
3,421 30,789.00
170 0.00
165 82,500.00
100 0.00
93 46,500.00
116 110,200.00
97 0.00
169 794,300.00
117 0.00
3,000 0.00
146 0.00
193 0.00
5,170 0.00
6,410 147,430.00
127 0.00
704 56,320.00
528 334,752.00
1,500 0.00
13,000 389,994.00
531 531,000.00
2,009 0.00
1,330 0.00
5,000 49,995.00
1,900 0.00
371 0.00
154 0.00
546 196,560.00
1,535 0.00
1,190 0.00
52 161,200.00
964 0.00
960 0.00
318 0.00
305 0.00
7,500 0.00
19 0.00
142 2,982,000.00
149 0.00
131 0.00
230 229,999.00
1,210 0.00
3,480 45,240.00
21,600 21,600.00
 85 199,750.00
514 0.00
341 153,450.00
200 0.00
200 0.00
3,421 0.00
597,903 0.00
1,209,035 0.00
10,560 0.00
270 0.00
116 0.00
250 0.00
430 0.00
264 1,306,800.00
341 306,900.00
120 0.00
181 77,830.00
881 0.00
318 0.00
1,500 0.00
42 0.00
90 36,000.00
59,950 0.00
28,232 0.00
19 0.00
112 0.00
138 345,000.00
680 0.00
50 80,000.80
521 0.00
617 185,100.00
8,140 0.00
- 0.00
- 0.00
325 32,500.00
11,919 476,749.60
3,269 653,750.00
1,538 0.00
2,756 0.00
2,244 547,475.00
575 0.00
12,044 0.00
77,000 77,000.00
480 0.00
59,000 0.00
20,000 300,003.00
14,000 475,989.80
2,310 0.00
2,860 3,146,000.00
13,200 0.00
1,100 111,100.00
69,575 556,600.00
77,000 385,000.00
31,000 0.00
37,500 0.00
106,000 0.00
770 231,770.00
84,000 420,002.00
52,000 0.00
- 0.00
 - 0.00
976 97,598.00
85,000 0.00
545 0.00
8,800 0.00
1,265 341,550.00
31,688 0.00
11,440 0.00
24,716 0.00
31,688 0.00
4,890 0.00
- 0.00
- 0.00
1,030 0.00
1,262 0.00
1,030 144,144.00
1,010 0.00
1,186 0.00
1,248 32,448.00
1,882 0.00
1,694 33,880.00
1,287 0.00
2,228 0.00
11,500 57,500.00
1,100,000 0.00
320,000 0.00
279,400 0.00
180,000 0.00
179,850 359,700.00
240,000 0.00
239,800 479,600.00
11,261 0.00
65,000 0.00
11,261 0.00
65,000 0.00
13,750 137,500.00
13,750 137,500.00
92,000 0.00
13,750 178,750.00
18,018 0.00
13,750 192,500.00
125,483 0.00
125,000 0.00
124,300 3,729,000.00
96,000 0.00
86,680 260,040.00
8,804 44,022.00
6,564 0.00
9,500 0.00
9,500 0.00
4,675 0.00
23,750 0.00
16,731 0.00
6,564 0.00
9,500 0.00
23,750 0.00
16,731 0.00
17,610 0.00
92,000 0.00
8,775 263,250.00
 6,375 0.00
8,775 0.00
6,343 279,092.00
7,508 0.00
7,508 30,030.00
8,948 0.00
7,508 0.00
8,948 0.00
8,948 0.00
7,508 0.00
8,948 0.00
27,875 0.00
135,000 0.00
27,875 0.00
120,000 0.00
23,595 0.00
22,000 132,000.00
14,375 0.00
35,000 210,000.00
8,625 0.00
16,500 16,500.00
120,750 241,500.00
282,750 0.00
122,550 0.00
2,853 0.00
2,723 0.00
1,840 5,520.00
13,650 0.00
13,366 26,732.00
8,855 0.00
2,895 0.00
2,601 0.00
4,023 0.00
3,638 0.00
2,415 4,830.00
1,725 43,125.00
2,600 0.00
1,248 0.00
863 19,837.50
8,288 0.00
6,743 0.00
9,200 18,400.00
10,845 0.00
93,500 374,000.00
677 0.00
495 0.00
18,975 398,475.00
9,759 0.00
6,561 0.00
9,760 0.00
6,561 65,610.00
9,760 0.00
6,561 0.00
9,760 0.00
6,561 0.00
3,795 0.00
131,300 0.00
22,308 0.00
65,000 0.00
44,300 0.00
60,650 0.00
 47,564 190,256.00
27,324 136,620.00
79,948 399,740.00
487,500 975,000.00
453,200 0.00
5,781 0.00
60,018 0.00
5,781 0.00
54,900 0.00
17,150 34,300.00
3,450 0.00
6,875 123,750.00
8,250 99,000.00
2,400 0.00
13,750 0.00
9,500 0.00
35,000 0.00
57,750 115,500.00
57,750 115,500.00
57,750 0.00
6,343 63,430.00
8,948 134,219.25
8,948 170,011.05
8,948 268,438.50
8,948 295,282.35
1,010 40,392.00
1,248 4,992.92
1,655 8,274.75
8,975 412,847.70
8,975 448,747.50
8,975 0.00
57,750 0.00
57,750 0.00
13,750 0.00
13,750 0.00
9,500 0.00
9,500 0.00
9,213 0.00
9,213 0.00
9,213 0.00
8,250 41,250.00
8,250 66,000.00
8,250 66,000.00
6,875 20,625.00
- 0.00 BMHP
- 0.00
- 0.00
68,250 0.00
52,965 105,930.00
2,365 0.00
- 0.00
- 0.00
219,000 0.00
93,438 0.00
477,350 0.00
136,750 0.00
90,000 0.00
556,469 0.00
118,500 0.00
289,850 0.00
341,250 0.00
 87,250 0.00
19,600 0.00
487,165 0.00
915,833 0.00

42,389,958.42

Rp 4,000 Rp -
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Rp 55,000 Rp -
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Rp 43,000 Rp -
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Rp 47,000 Rp -
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Rp 22,000 Rp -
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Rp 35,000 Rp -
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Rp 27,000 Rp -
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Rp 12,000 Rp -
Rp 4,500 Rp -
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Rp 6,500 Rp -
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Rp 180 Rp -
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Rp 160 Rp -
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Rp 6,500 Rp -
Rp 27,000 Rp -
Rp 5,000 Rp -
Rp 5,000 Rp -
Rp 198,000 Rp -
Rp 75,000 Rp -
Rp 52,000 Rp -
Rp 120 Rp -
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Rp 4,500 Rp -
Rp 24,000 Rp -
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Rp 18,000 Rp -
Rp 17,000 Rp -
Rp 100,000 Rp -
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Rp 38,000 Rp -
Rp 40,000 Rp -
Rp 3,500 Rp -
Rp 90,000 Rp -
Rp 80,000 Rp -
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Rp 20,000 Rp -
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Rp 40,000 Rp -
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Rp 5,500 Rp -
Rp 21,000 Rp -
Rp 50,000 Rp -
Rp 26,000 Rp -
Rp 16,000 Rp -
Rp 4,000 Rp -
Rp 40,000 Rp -
Rp 40,000 Rp -
Rp 19,000 Rp -
Rp 29,000 Rp -

Rp 1,000 Rp -

Rp 5,000 Rp -
Rp 5,000 Rp -
Rp 28,000 Rp -
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Rp 40,000 Rp -
Rp 17,000 Rp -
Rp 7,000 Rp -
Rp 48,000 Rp -
Rp 8,000 Rp -
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Rp 24,000 Rp -
Rp -

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Rp -

Rp 206,250 Rp 618,750
Rp 59,959 Rp -
Rp 59,959 Rp 239,836
Rp 76,282 Rp -
 Rp 17,798 Rp 160,182
Rp 19,954 Rp 179,586
Rp 28,204 Rp -
Rp 76,285 Rp -
Rp 16,500 Rp 231,000
Rp 161,648 Rp 161,648
Rp 341 Rp 184,140
Rp 505 Rp 10,605
Rp 317,015 Rp -
Rp 317,015 Rp -
Rp 38,395 Rp -
Rp - Rp -
Rp 112 Rp 3,218,880
Rp 5,004,627
Rp 47,394,585.42

Tirawuta, 31 Desember 2018

Pengelola Obat Puskesmas Tinondo

ROSYANTI, AMF