Anda di halaman 1dari 85

MONITORING FORMULARIUM

BULAN JANUARI 2019

KEL
NAMA BARANG R B
SEDIAAN
A-B Vask 5mg - - A
A-B Vask 10 mg - - A
Abbotic 30 ml syr - - B
Abilify 10 mg - - A
Abilify 5 mg - - A
Abilify inj - - C
ABU (Anti Bisa Ular) ITC - - C
Acarbose tab 100 mg 190 - A
Acarbose tab 100 mg PP - - A
Acarbose tab 50 mg 630 - A
Acarbose tab 50 mg PP - - A
Accu Check Active 50 - - E
Accu Check Active 50 BARU - - E
Acetensa 50 - - A
Acid Acetat - - F
Acid Acetat 98 % 30 kg - - D
Acid Citric Lokal - - F
Acid Citric Lokal 25 Kg - - F
Acran 150 - - A
Acran 150 BARU - - A
Acran Inj - - C
Actos 30 mg - - A
Acyclovir 200 - - A
Acyclovir 200 BERNO - - A
Acyclovir 200 IGM - - A
Acyclovir 200 KF - - A
Acyclovir 400 - - A
Acyclovir 400 BERNO - - A
Acyclovir 400 KF - - A
Acyclovir 5% ZK - - F
Acyclovir 5% ZK BARU - - F
Acyclovir 5% ZK LUAR - - F
Adalat oros 30 - - A
Adrenalin {Epineprin) Inj - - C
Aggravan - - A
Akilen Tetes Telinga - - G
Akilen Tetes Telinga BARU - - G
Akrinor - - A
Albiotin 150 - - A
Albothyl Concentrate 10 ML - - D
Albothyl Concentrate 5 ML - - D
Albumin 2X50ML - - D
Albumin 3X100ML - - D
Albumin 4X40ML - - D
Alco Drop - - B
Alco Drop 15 ML BARU - - B
Alco Plus syr - - B
Alco Plus syr DMP syr - - B
Alganax 0,5 - - A
Alganax 0,5 BARU - - A
Alinamin F Inj - - C
Alinamin Forte - - A
Alkaline Phospatase 12x16 QCA - - D

1
KEL
NAMA BARANG R B
SEDIAAN
Alkaline Phospatase 20x3 QCA - - D
Alkaline Phospatase 8x30 - - D
Alkohol 70% 1 L - - D
Alkohol 70% 1 L SAHABAT - - D
Alkohol 70% 100cc BARU - - D
Alkohol 70% 100cc KF - - E
Alkohol 70% 100cc OM - - D
Alkohol 96% BRATACO - - D
Alkohol 96% BRATACO 5 L - - D
Alkohol 96% BRATACO BARU - - D
Alkohol Swab KLM - - E
Alkohol Swab SAHABAT 5 - E
Alleron - - A
Alletrol comp TM - - G
Allopurinol 100 - - A
Allopurinol 100 DEXA 15 - A
Allopurinol 300 90 - A
Alloris 10 Baru - - A
Almen tab - - A
Alofar 100 mg - - A
Alofar 300 mg - - A
ALP KIT 4X35+2X18 ML - - D
ALP LQ 40+10ml - - D
Alpara Luar 156 - A
Alpin Catjet - - E
Alprazolam 0,5 - - A
Alprazolam 0,5 MERSI 6,523 - A
Altofen Inj - - C
Alvis 0,5 - - A
Alvis 0,5 ASKES - - A
Amadiab 2 - - A
Amadiab 3 - - A
Amadiab 4 - - A
Amalgam - - F
Ambroxol 30 50 - A
Ambroxol 30 BERNO 391 - A
Ambroxol 30 KF - - A
Ambroxol 30 NOVELL - - A
Ambroxol Syr 15 MG - - B
Ambroxol Syr 15 MG BARU 5 - B
Ambroxol Syr 15 MG ICP - - B
Ambroxol Syr 15 MG KF - - B
Amikasin 250 - - C
Amikasin 500 - - C
Aminefron - - A
Aminofluid 500 ml ASKES - - D
Aminofusin Hepar - - D
Aminofusin Hepar Askes - - D
Aminofusin L-600 500cc ASKES - - D
Aminoleban 500cc - - D
Aminoleban 500cc ASKES - - D
Aminophylin 200 10 - A
Aminophylin Inj - - C
Aminophylin Inj LUAR - - C
Aminophylin Inj LUAR 1 - - C
Aminoral tab SOHO - - A

2
KEL
NAMA BARANG R B
SEDIAAN
Aminosteril Infant LUAR - - E
Aminovel 600 500cc - - D
Aminovel 600 ASKES - - D
Amiodaron Inj - - D
Amiparen 500cc - - D
Amiparen 500cc ASKES - - D
Amitriptylin 25 2,506 - A
Amitriptylin 25 BARU - - A
Amlodipin 10mg BARU - - A
Amlodipin 10mg E BARU - - A
Amlodipin 10mg INF 2,475 - A
Amlodipin 10mg MBF - - A
Amlodipin 10mg NULAB - - A
Amlodipin 10mg OTTO - - A
Amlodipin 5mg DEX 4,772 - A
Amlodipin 5mg E - - A
Amlodipin 5mg NULAB - - A
Amlodipin 5mg OTTO - - A
Amonia Liq 21% 100cc - - D
Amoxicilin inj 1g - - C
Amoxicilin inj 1g BERNO - - C
Amoxicillin 500 - - A
Amoxicillin 500 BERNO 788 - A
Amoxicillin 500 NLP - - A
Amoxicillin 500 NULAB - - A
Amoxicillin DS 125 HEX - - B
Amoxicillin DS 125 IGM - - B
Amoxicillin DS 125 TIARA K - - B
Amoxsan 250 - - A
Amoxsan 500 194 - A
Amoxsan 500 BARU - - A
Amoxsan Drops - - B
Amoxsan DS 125 - - B
Amoxsan DS 125 BARU - - B
Amoxsan F DS 250 - - B
Amoxsan F DS 250 BARU - - B
Amoxsan Inj 1g - - C
Amoxsan Inj 1g BARU - - C
Ampicilin 1 g inj - - C
Amplop kertas puyer - - E
Anacetin Syr - - B
Anadium - - A
Anadium BARU - - A
Anafranil 25 mg - - A
Anafranil 25 mg baru - - A
Analsik 1,197 - A
Analtram - - A
Analtram BARU - - A
Anbacim 500 tab - - A
Anbacim injeksi - - A
Anbiolid 150 - - A
Ancefa 500 - - A
Ancefa DS - - B
Ancefa F DS - - B
Androlon - - A
Anelat - - A

3
KEL
NAMA BARANG R B
SEDIAAN
Anelat BARU - - A
Anerocid 300 mg - - A
Anesfar inj - - C
Angioten 50 - - A
Angioten 50 LUAR - - A
Antalgin 500 1,122 - A
Antalgin 500 BARU - - A
Antalgin 500 KF - - A
Antasida Doen 155 - A
Antasida Doen E-CAT 20 - B
Antasida Doen Syr 11 - B
Antasida Doen Syr IGM - - B
Antasida Doen Syr KF - - B
Antasida Doen Syr TIARA - - B
Antasida Doen TIARA - - A
Anti A MONOCLONAL - - D
Anti A 10ML - - D
Anti A FORTES - - D
Anti AB - - D
Anti B - - D
Anti B 10ML - - D
Anti B FORTES - - D
Anti D - - D
Anti D 10 MONOCLONAL - - D
Anti D FORTES - - D
Anti HCV Rapid AIM - - D
Antigen Malaria 25 Test - - D
Antigen Widal SS01 - - D
Antigen Widal SS09 - - D
Antihemoroid Supp - - H
Antiprestin 20 mg tab - - A
Antithromb - - F
Antrain Inj - - C
Antrain Inj BARU - - C
Anvomer B6 - - A
Anvomer B6 LUAR - - A
Apialys Drops - - B
Apialys Drops BARU 5 - B
Apialys Drops LUAR - - B
Apialys Syr - - B
Apialys Syr BARU - - B
APL LQ 40+10ml - - D
Apron Plastik - - E
Apron Plastik DISPOSIBLE - - E
Apron Plastik SHB - - E
Aqua Bidest 500cc - - D
Aqua p.i 25cc - - C
Aqua p.i 25cc BARU - - C
Aqua p.i 25cc BARU 1 - - C
Aqua p.i 50cc - - C
Aquadest 20 Liter - - D
Ardium 24 - A
Arixtra 2,5mg Inj - - C
Arsen - - E
Arsen Forte Septodon - - E
ART+Venous Blood Line W/FILT - - E

4
KEL
NAMA BARANG R B
SEDIAAN
Arthrodont - - F
Artoferum - - A
Asabium 10 ASKES - - A
Asam Mefenamat 500 985 - A
Asam Mefenamat 500 baru 1,120 - A
Asam Mefenamat SYR - - A
Asam Salisilat - - F
Asam Traneksamat 500 - - A
Asam Traneksamat 500 BERNO 135 - A
Asam Traneksamat 500 LUAR - - A
Asam Traneksamat Inj 250 - - C
Asam Traneksamat Inj 250 BARU - - C
Asam Traneksamat Inj 250 BERNO - - C
Asam Traneksamat Inj 250 NOVELL - - C
Asam Traneksamat Inj 500 - - C
Asam Traneksamat Inj 500 BERNO - - C
Asam Traneksamat Inj 500 NOVELL - - C
Asam Valproat 250 mg Syr 10 - B
Asam Valproat 250 mg Syr baru - - B
Aseptanios Terminal HPH 5 liter - - D
Aseptanios Terminal Spore 5 liter - - D
Aseptic Gell 5 LITER - - D
Aseptic Gell 500 - - D
Aseptic Gell 500 SAHABAT - - D
Asering Inf 500cc Askes - - D
Asering Inf 500cc baru - - D
ASO LAB - - D
ASO LATEX 100'S - - D
Aspar K tab - - A
Aspilet 80 ASKES 6,242 - A
Assucryl 0 HSRG-38 - - E
Assucryl 0 HSRG-38 BARU - - E
Assucryl 2-0 HRG-38 90CM - - E
Assucryl 2-0 TS MONOSLOW 75 cm - - E
Assucryl 3-0 HR-27 75CM - - E
Assucryl 4-0 HR-17 75 cm - - E
Assure HBSAG - - D
Assure Malaria p.f - - D
Assure Syphilis Rapid - - D
Asthin Force - - A
Asthin Force BARU - - A
Asthin Force 6MG - - A
Atarax 0.5 ASKES - - A
Ataroc Syr - - B
Ataroc Syr BARU - - B
Ataroc tablet 30 - A
Atorvastatin 20mg 930 - A
Atorvastatin 20mg Darya V - - A
Atorvastatin 20mg HEXP - - A
ATP Dankos - - A
ATP Inj - - C
ATRAMAT CHROMIC NO. 1 - - E
ATRAMAT CHROMIC NO. 2 TANPA JARUM - - E
ATRAMAT CROMIC NO. 2 - 0 - - E
ATRAMAT PGA NO. 0 - - E
ATRAMAT PGA NO. 1 Baru - - E

5
KEL
NAMA BARANG R B
SEDIAAN
ATRAMAT PGA NO. 2 - 0 - - E
ATRAMAT PGA NO. 2 Baru - - E
ATRAMAT PGA NO. 3 - 0 LM - - E
ATRAMAT PGA NO. 4 - 0 Baru - - E
ATRAMAT ZIDE 0 TANPA JARUM - - E
ATRAMAT ZIDE 2 - 0 TANPA JARUM - - E
ATRAMAT ZIDE 2 TANPA JARUM - - E
ATRAMAT ZIDE 3-0 TANPA JARUM - - E
Atropin Sulfas Inj - - C
Atropin Sulfas Inj BARU - - C
Atrovent Sol - - H
ATS 1500 BARU - - C
ATS 20000 - - C
Autoclave Tape - - E
Autoclave Tape KLM - - E
AV.Fistula Needle 16G x 1" - - E
AV.Fistula Needle 16G x 1,25" - - E
Avemar Sachet - - A
Avesco 20 mg tab - - A
Aviter - - A
Avodart 0,5 luar 120 - A
Azithromicin 5 - A
Azithromicin NULAB - - A
Azol caps - - A
Bactesyn 1,5 gr Inj - - C
Bactirom inj - - C
Bag Ice - - E
Bag Insulation 8 L - - E
Bamgetol - - A
Baquinor Forte 500 - - A
Baquinor Forte 500 BARU - - A
Baquinor Inf 100cc - - D
Barium Sulfat 1kg - - F
Barium Sulfat 5kg - - F
Batang Pengaduk - - E
Batugin Elixir 120cc BARU - - B
Batugin Elixir 300cc BARU - - B
BD-GARD - - A
Becarbon - - A
Beclov inj - - C
Becom C - - A
Becom C BARU - - A
Becom Zet - - A
Becombion Syr 110cc - - B
Bed Dispencer (BRAKET) - - E
Bed Dispencer Aseptic - - E
Benoson N 5g ZK - - F
Benzocain 250g - - F
Berotec 100 MDI ASKES 1 - H
Berotec 100 MDI ASKES BARU - - H
Berotec Sol 0,1% - - H
Besta H Dialysate Powder - - E
Beta One 2.5 mg 134 - A
Betadine 1 lt - - D
Betadine 1 lt SAHABAT - - D
Betadine 15cc - - D

6
KEL
NAMA BARANG R B
SEDIAAN
Betadine 15cc SAHABAT - - D
Betadine 30cc Combi - - D
Betadine 30cc SAHABAT - - D
Betadine 5 lt - - D
Betadine 5cc - - D
Betadine 60cc - - D
Betadine 60cc ASTA M - - D
Betadine 60cc SAHABAT - - D
Betadine Gargel 100ML - - F
Betadine Oint 10g ZK - - F
Betadine Oint 10g ZK BARU - - F
Betadine Oint 5g ZK - - F
Betadine Oint 5g ZK BARU - - F
Betahistin 6 DEXA - - A
Betahistin 6 MERSI 1,031 - A
Betahistin 6 NOVELL - - A
Betametason ZK - - F
Betametason ZK KF - - F
Betaserc 24 - - A
Betaserc 24 Baru - - A
Betason N ZK 5 - - F
Betason N ZK 5 KF - - F
Betominplex - - A
Biasol Acid Conc 10L TR - - E
Bic Natric 370 - A
Bic Natric LUAR - - A
Bicrolid 250 - - A
Bicrolid 500 Mg - - A
Bilik Hitung - - E
Bilirubine 2 x 100ml - - D
Bilirubine Direct 4X35 ML - - D
Bilirubine For Authometic - - D
Bilirubine Total 4X35 ML - - D
Bio ATP - - A
Bio Stein - - D
Bio TD 0,5ml - - A
Biocream ZK - - F
Biocurkem - - A
Biocurlam - - A
Biocurliv BARU - - A
Bioplacenton ZK - - F
Bioprexum 10 - - A
Bioprexum 5 - - A
Biosanbe - - A
Biosanbe BARU 30 - A
Biosyn No. 3-0 (SM-693) Cutting C-14 - - E
Biosyn No. 4-0 (SM-691) Cutting - - E
Biosyn No. 4-0 Tapper - - E
Biothicol 500 - - A
Biothicol DS - - B
Biothicol FORTE DS - - B
Bipro tab - - A
Bipro tab ASKES - - A
Bisacodyl tab - - A
Biscor 5 ASKES - - A
Bismecon Jelly ASKES - - F

7
KEL
NAMA BARANG R B
SEDIAAN
Bisolvon ELIXIR BARU - - H
Bisolvon Inj - - C
Bisolvon Inj BARU - - C
Bisolvon Sol - - H
Bisoprolol 5 BARU - - A
Bisoprolol 5 DEXA 2,847 - A
Bisoprolol 5 NOVEL BARU - - A
Bisoprolol 5 LUAR - - A
Bisoprolol 5 Novel - - A
Bisovell ASKES - - A
Bisturi No. 10 - - E
Bisturi No. 10 BARU - - E
Bisturi No. 11 - - E
Bisturi No. 15 - - E
Bisturi No. 15 BARU - - E
Bisturi No. 22 - - E
Bisturi No. 22 KLM - - E
Bledstop - - A
Bledstop BARU - - A
Blender obat - - E
Blesifen 50 - - A
Blood Collection tube 22 - - D
Blood Control 3 ML - - D
Blood Control 3 ML Mindray - - D
Blood Lancet - - D
Blood Lancet 100'S - - D
Blood Lancet BARU - - D
Blood Lancet GENERAL CARE - - D
Blood Set ASKES - - E
Blood Set ASKES onemed - - E
Blood Set Otsuka - - E
Blood Set Terumo - - E
Blood Set Terumo BARU - - E
Blopres 16 - - A
Blopres 16 ASKES - - A
Blopres 8 ASKES - - A
Blopres Plus 16 - - A
Blue Sensor - - E
Blue Sensor BARU - - E
Blue Sensor ASKES - - E
Blue Tips 500 - - E
Blue Tips BARU - - E
Blue Tips LP ITALIANA - - E
Blue Tips NESCO - - E
BNS BARU - - G
Bonding Komp Alphadent - - E
Bonewax - - E
BOR DENTAL - - E
Botol Sample - - E
Bovine Albumin 22% - - E
Box meliseptol wipes - - E
Bracket ABS - - E
Brainact ODISH - - A
Brainact oral 1gr - - A
Brainact oral 500 BARU - - A
Brainact Inj 1000 BARU - - C

8
KEL
NAMA BARANG R B
SEDIAAN
Brainact Inj 250 - - C
Brainact sachet 1gr - - A
Bratamed Cechlor - - D
Braxidin 450 - A
Braxidin BARU - - A
Brest Pump - - E
BRM - - A
Broadced Inj 1g - - C
Broadced Inj 1g baru - - C
Bucain Spinal Inj ASKES - - C
Budenofalk - - A
Budenofalk LUAR - - A
Budenofalk LUAR1 - - A
Bufacomb in oral base 5g - - F
Bufantacid - - A
Bufantacid F Syr - - B
Buffect F susp - - B
Buffect susp - - B
Bunascan spinal Inj - - C
Bupivacain 0.5% inj DEXA - - C
BUR DIAMON EDENTA KODE A - - F
BUR DIAMON EDENTA KODE B - - F
BUR DIAMON EDENTA KODE C - - F
BUR DIAMON SET 6 FG EDENTA - - F
BUR fisur medium - - F
BUR gnding - - F
BUR Inverted - - F
BUR poles komposit - - F
BUR pousing kit - - F
Burnazin 35g ZK - - F
Burnazin 35g ZK ASKES - - F
Buscopan 10 - - A
Buscopan 10 ASKES - - A
Buscopan Inj - - C
Buscopan Inj ASKES - - C
Buvanest Spinal 0.5 inj - - C
Buvanest Spinal 0.5 inj ASKES - - C
Cal 95 - - A
Cal 95 BARU - - A
Calcii Gluconas Inj ASKES - - C
Calcii Gluconas Inj ASKES BARU - - C
Calcium (Ca+) - - D
Calcium Chlorida 0.025M - - D
Calcium Lactat 500 - - A
Calcium Lactat 500 BARU - - A
Calcium Lactat 500 ICP - - A
Calibrator 1x7ml - - E
Calibrator 1x7ml QCA - - H
Calibrator LIPID 1 ML - - H
Calmlet 0,5 ASKES - - A
Calos 500 210 - A
Calos 500 BARU - - A
Calos 500 LUAR - - A
Calos 500 LUAR 1 - - A
Calplus 3G denpro - - E
Calquest - - A

9
KEL
NAMA BARANG R B
SEDIAAN
Canderin 16 mg - - A
Canderin 8 mg 180 - A
Candesartan 16 mg BERNO BARU 1,734 - A
Candesartan 16 mg DEXA - - A
Candesartan 16 mg LUAR - - A
Candesartan 8 mg BERNO 1,350 - A
Candesartan 8 mg BERNO BARU - - A
Candesartan tab 8 mg - - A
Candesartan tab 8 mg NOVELL - - A
Canula O2 Anak - - E
Canula O2 Anak SAHABAT - - E
Canula O2 BAYI - - E
Canula O2 BAYI BARU - - E
Canula O2 Dewasa GEA - - E
Canula O2 Dewasa SAHABAT - - E
Caprol 40 Inj - - C
Caprol 40 Inj ASKES - - C
Capsul Kosong No. 0 - - E
Capsul Kosong No. 00 - - E
Capsul Kosong No. 00 BRATACO - - E
Capsul Kosong No. 1 - - E
Capsul Kosong No. 1 BARU - - E
Capsul Kosong No. 2 - - E
Capsul Kosong No. 2 BARU - - E
Captopril 12,5 - - A
Captopril 12,5 ASKES - - A
Captopril 12,5 IGM - - A
Captopril 25 10 - A
Captopril 25 PHAPROS - - A
Captopril 50 - - A
CAR Q 100 BARU - - A
Carbamazepin 200 E Cat 451 - A
Carbazochrome inj - - C
Cardial 25 - - A
Cardio Aspirin - - A
Carmed Cream 40 g 4 - F
Carpiaton 100 - - A
Carsive inj - - C
Cartrilet 250 - - A
Carvas 10 - - A
Cat Gut Chromic No. 0 (75m) - - E
Cat Gut Chromic No. 1 (75m) Baru - - E
Cat Gut Chromic No. 2 PAKET BARU - - E
Cat Gut Chromic No. 2 (50m) BARU - - E
Cat Gut Chromic No. 2 (5m) SIMACLOUS - - E
Cat Gut Chromic No. 2 BARU - - E
Cat Gut Chromic No. 2 ETHICON PAKET - - E
Cat Gut Chromic No. 2/0 (5m) LM - - E
Cat Gut Chromic No. 2/0 SIMACLOUS - - E
Cat Gut Chromic No. 2/0 SIMACLOUS BARU - - E
Cat Gut Chromic No. 3 (40m) - - E
Cat Gut Chromic No. 3/0 (100m) - - E
Cat Gut Chromic No. 3/0 SIMACLOUS - - E
Cat Gut Chromic No. 4/0 (100m) - - E
Cat Gut Chromic No. 4/0 SIMACLOS - - E
Cat Gut Plain No. 0 - - E

10
KEL
NAMA BARANG R B
SEDIAAN
Cat Gut Plain No. 0 (5m) SIMACLOUS - - E
Cat Gut Plain No. 0 (75m) - - E
Cat Gut Plain No. 0 ETHICON - - E
Cat Gut Plain No. 1 (75m) - - E
Cat Gut Plain No. 1 (75m) Baru - - E
Cat Gut Plain No. 1 HRG-39 90CM - - E
Cat Gut Plain No. 2 (50m) - - E
Cat Gut Plain No. 2 (5m) - - E
Cat Gut Plain No. 2/0 (100m) - - E
Cat Gut Plain No. 2/0 HR-27 75CM - - E
Cat Gut Plain No. 3 (40m) - - E
Cat Gut Plain No. 3/0 (100m) - - E
Cat Gut Plain No. 3/0 (5m) - - E
Cat Gut Plain No. 4/0 (100m) - - E
Cat Gut Zeide (Silk Black) No. 0 (100m) - - E
Cat Gut Zeide (Silk Black) No. 1 (100m) - - E
Cat Gut Zeide (Silk Black) No. 2 (50m) - - E
Cat Gut Zeide (Silk Black) No. 2/0 (100m) - - E
Cat Gut Zeide (Silk Black) No. 3/0 (100m) - - E
Cat Gut Zeide (Silk Black) No. 4/0 (100m) - - E
Cat Gut Zeide 2/0 (5M) - - E
Cat Gut Zeide 2/0 (5M) BARU 1 - - E
Cat Gut Zeide 2/0 (5M) BARU - - E
Cat Gut Zeide 3/0 (5M) - - E
Cat Gut Zeide 3/0 (5M) BARU - - E
Cat Gut Zeide 4/0 (5M) SIMACLOUS - - E
Cataflam D 50 - - A
Catapres 0,15 - - A
Catapres 0.075 - - A
Catapres Inj - - C
Catapres Inj ASKES - - C
Cataro tab - - A
Cathejell 12,5 - - E
Cathejell 12,5 LUAR - - E
Cavicur tab - - A
Cavit RF 28G BOTTLE - - F
Caviton White Baru - - F
CBC CONTROL DIRUI - - D
CDR - - B
Cealb 20% 100cc ASKES - - D
Cebactam inj 1gr - - C
Cebactam inj 1gr BPJS - - C
Cebex - - A
Cecyl - - A
Cedantron 8 TAB - - A
Cedantron Inj 4 - - C
Cedantron Inj 8 - - C
Cefadroxyl 500 106 - A
Cefadroxyl 500 ASKES - - A
Cefadroxyl 500 DEX - - A
Cefadroxyl 500 NLP - - A
Cefadroxyl DS 2 - B
Cefadroxyl DS BERNO - - B
Cefadroxyl DS HEXP - - B
Cefadroxyl DS IGM - - B
Cefat 250 - - A

11
KEL
NAMA BARANG R B
SEDIAAN
Cefat 500 - - A
Cefat 500 BARU - - A
Cefat DS - - B
Cefat Forte DS - - B
Cefila 100 - - A
Cefila 100 BARU - - A
Cefila 200 - - A
Cefila DS - - B
Cefila DS BARU - - B
Cefila DS LUAR - - B
Cefim Inj 1gr - - C
Cefixime 100 DEXA 179 - A
Cefixime 100 NOVELL 13 - A
Cefixime 100 NULAB - - A
Cefixime 200 BERNO - - A
Cefixime 200 DEXA 227 - A
Cefixime 200 NLP - - A
Cefixime dry syr - - B
Cefixime dry syr BERNO - - B
Cefixime dry syr ICP - - B
Cefixime dry syr IGM - - B
Cefixime dry syr LUAR - - B
Cefixime dry syr LUAR 1 - - B
Cefixime dry syr NOVELL - - B
Cefizox Inj 1gr - - C
Cefoperazone 1g inj BARU - - C
Cefoperazone 1g inj DEXA - - C
Cefotaxim Inj 1g - - C
Cefotaxim Inj 1g DEXA - - C
Cefotaxim Inj 1g HEX - - C
Cefratam inj 1gr - - C
Cefspan 100 - - A
Cefspan 100 BARU - - A
Cefspan 200 - - A
Cefspan DS - - B
Ceftazidime Inj 1 grm - - C
Ceftazidime Inj 1 grm DEXA - - C
Ceftazidime Inj 1 grm PP - - C
Ceftizoxime Inj 1gr - - C
Ceftriaxon Inj 1g BERNO - - C
Ceftriaxon Inj 1g DEXA - - C
Ceftriaxon Inj 1g HEX - - C
Ceftriaxon Inj 1g NLP - - C
Ceftriaxon Inj 1g PHAPROS - - C
Ceftum Inj 1g - - C
Cefxon Inj 1g - - C
Cefxon Inj 1g BARU - - C
Celebrex 200 mg - - A
Cell Clean - - D
Cell Pack 20ltr (Global) - - D
Celodim Inj - - C
Cendo Asthenof 5cc TM - - G
Cendo Augentonic 5cc TM - - G
Cendo Carpine 2% 5cc TM 15 - G
Cendo Catarlent 15cc TM - - G
Cendo Catarlent 5cc TM - - G

12
KEL
NAMA BARANG R B
SEDIAAN
Cendo Cendrid 5cc TM - - G
Cendo Corthon 5cc TM - - G
Cendo Dexaton 5cc TM 12 - G
Cendo EDTA 15cc TM - - G
Cendo Efrisel 5cc TM - - G
Cendo EYEFRESH 5cc TM - - G
Cendo EYEFRESH MD - - G
Cendo Fenicol 0,25% 5cc TM - - G
Cendo Fenicol 0,5% 5cc TM - - G
Cendo Fenicol ZM - - F
Cendo Fluoresceine 5cc TM - - G
Cendo Gentamycin 5cc TM 11 - G
Cendo Gentamycin ZM - - F
Cendo Gentamycin ZM ASKES - - F
Cendo Glaoplus TM LUAR - - G
Cendo Hyalub MD - - G
Cendo Hyalub MD LUAR - - G
Cendo LFX MD - - G
Cendo Lyteers 15cc TM 77 - G
Cendo Lyteers 15cc TM LUAR - - G
Cendo Lyteers 15cc TM ASKES - - G
Cendo Lyteers MD - - G
Cendo Mycos 5cc TM - - G
Cendo Mycos ZM - - F
Cendo Mydriatil 0,5% 5cc TM 5 - G
Cendo Mydriatil 1% 5cc TM BARU - - G
Cendo Noncort MD - - G
Cendo Pantocain 0,5% 5cc TM - - G
Cendo Polydex 5cc TM - - G
Cendo Polygran 5cc TM - - G
Cendo PolyNEL 5cc TM - - G
Cendo P-PRED MD - - G
Cendo Protagenta MD KF 30 - G
Cendo Protagenta TM Luar - - G
Cendo Statrol 5cc TM - - G
Cendo Timol 0,25% 5cc TM 12 - G
Cendo Timol 0,5% 5cc TM - - G
Cendo Tobroson MD - - G
Cendo Triaxitrol 5cc TM ASKES - - G
Cendo Tropin 0,5% 5cc TM - - G
Cendo Tropin 0,5% 5cc TM Baru - - G
Cendo Tropin 1% 5cc TM - - G
Cendo Vitrolenta TM 5 ml - - G
Cendo Xitrol 3,5gr ZM - - G
Cendo Xitrol 5cc TM - - G
Cendo Xitrol 5cc TM ASKES 25 - G
Cendo Xitrol MD - - G
Cepezet 100 - - A
Cepezet 100 ASKES - - A
Cepezet Inj - - C
Cephalexin 500 - - A
Cephaplox inj 1 gram - - C
Ceradolan - - A
Ceremax inf - - D
Cerini 10 - - A
Cerini 10 BARU - - A

13
KEL
NAMA BARANG R B
SEDIAAN
Cernevit Inj - - C
Cerplast C 100mm X 150mm - - E
Cerplast C 45 X 150mm - - E
Cerplast C 45 X 200mm - - E
Certovix Dwo V1220 - - E
Certovix Dwo V720 - - E
Cervical Colar MAKIDA-M - - E
Cervical Colar MAKIDA- L - - E
Cervical Colar SUPORT MAKIDA L - - E
Cetadop Inj luar - - C
Cetirizine 10 DEXA - - A
Cetirizine 10 HEXP - - A
Cetirizine 10 NOVELL 577 - A
Cetirizine 10 NULAB - - A
Cetirizine 10 NULAB BARU - - A
Cetirizine SYR 4 - B
Cetirizine SYR BARU - - B
Chloramex inj 1g ASKES - - C
Chloramphenicol 0,5 TM ASKES - - G
Chloramphenicol 0,5 TT ASKES - - G
Chloramphenicol 250 - - A
Chloramphenicol 250 KF - - A
Chloramphenicol Syr - - B
Chloramphenicol Syr ASKES - - B
Chlorbiotik Inj 1g ASKES - - C
Chlorethyl - - H
Chlorethyl BARU - - H
Chlorida (CL) 5x100 - - D
Chloroquine 250 ASKES - - A
Chlorpromazine (CPZ) 100 E-CAT 7,642 - A
Chlorpromazine (CPZ) 100 E-CAT BARU - - A
Chlorpromazine Inj (CPZ Inj) - - C
Cholescor - - A
Cholestat 10 - - A
Cholesterol 2x100ml - - D
Cholesterol 4x40ml - - D
Chromic No. 3-0 HR-27 75 CM - - E
Chromic No. 3-0 TS-24 75 CM ASSUT - - E
Chromic 4/0 HR-17 75 CM - - E
Chromic Gut No. 0 (CG-812) - - E
Chromic Gut No. 0 90Cm - - E
Chromic Gut No. 1 70 CM - - E
Chromic Gut No. 2-0 (GG-123) Taper - - E
Chromic Gut No. 3-0 (GG-122) Taper V-20 - - E
Chromic Gut No. 4-0 (SG-635) Cutting C-13 - - E
Chromic Gut No. 4-0 (UG-203) Taper CV-23 - - E
Chromic Gut No. 5-0 SUTURES - - E
Chromic Gut No.1 (Atramat) G 4018 - 90 - - E
Chusavan M 27X27 - - E
Chushavan M - - E
Cidex - - D
Ciflon - - A
Ciflos 500 - - A
Cilostazol tab 476 - A
Cilostazol tab baru - - A
Cimetidine 200 - - A

14
KEL
NAMA BARANG R B
SEDIAAN
Cimetidine 200 BARU - - A
Cinam inj - - C
Cinolon N ZK 10g - - F
Cinolone 10g ZK - - F
Cinolone 10g ZK BARU - - F
Cipralex 10 mg - - A
Ciprofloxacin 500 - - A
Ciprofloxacin 500 BERNO 90 - A
Ciprofloxacin 500 GREAT - - A
Ciprofloxacin 500 ICP - - A
Ciprofloxacin 500 NOVEL - - A
Ciprofloxacin Inf 100cc - - D
Ciprofloxacin Inf 100cc ASKES HEXP - - D
Ciprofloxacin Inf 100cc BERNO - - D
Ciprofloxacin Inf 100cc DEXA - - D
Cisapride 5mg - - A
Citicolin Inj 1GR - - C
Citicolin Inj 1GR LUAR - - C
Citicolin Inj 250 BERNO - - C
Citicolin Inj 250 DEXA - - C
Citicolin Inj 250 MBF - - C
Citicolin Inj 250 NLP - - C
Citicoline 1000 mg tab 58 - A
Citicoline 1000 mg tab NLP - - A
Citicoline 500 mg BERNO - - A
Citicoline 500 mg NLP - - A
Citicoline 500 mg tab DEXA - - A
Citicoline 500 mg tab MBF - - A
Citicoline 500 mg tab NOVELL - - A
Civell Inf 100cc ASKES - - D
CKMB 25'S ICHROMA - - E
Claneksi 500 - - A
Claneksi 500 BARU - - A
Claneksi DS - - B
Claneksi F DS - - B
Claneksi Inj 1g - - C
Claneksi Inj 1g BARU - - C
Clast 0,5 - - A
Clavamox 500 - - A
Clavamox DS - - B
Clavamox Inj 1g - - C
Clindamycin 150 - - A
Clindamycin 150 DEXA - - A
Clindamycin 150 DEXA BARU - - A
Clindamycin 300 BERNO 370 - A
Clindamycin 300 DEXA - - A
Clindamycin 300 ICP - - A
Clindamycin 300 IGM - - A
Clindamycin 300 NOVEL - - A
Clindamycin 300 NOVELL - - A
Clinimix inf - - D
Clinimix inf BARU - - D
Clinimix inf LUAR - - D
Clinimix inf LUAR 1 - - D
Clinjos 300 - - A
Clinoleic 20% INF - - D

15
KEL
NAMA BARANG R B
SEDIAAN
Clinoleic 20% INF LUAR - - D
Clobazam 10 4,076 - A
Clofritis 10mg - - A
Clonazepam 2 mg 42 - A
Clonex 500 ASKES - - A
Clonex 500 mg inj ASKES - - C
Clonidine 0,15 180 - A
Clonidine 0,15 KF - - A
Clopidogrel 75 ASKES DMA 935 - A
Clopidogrel 75 ASKES FAH - - A
Clopidogrel 75 ASKES IGM - - A
Clopidogrel 75 ASKES TEMPO - - A
Clopidogrel 75 DEXA - - A
Clopidogrel 75 PHAPROS - - A
Clopidogrel 75 PHAPROS - - A
Cloracef DS - - B
Cloracef F DS - - B
Clorilex 100 mg - - A
Clorilex 25 mg 15 - A
Clorilex 25 mg BARU - - A
Clot Activator 5ml - - D
Clozapine 100 mg 705 - A
Clozapine 100 mg DEXA - - A
Clozapine 100 mg HK - - A
Clozapine 25 mg 7,847 - A
Clozapine 25 mg DEXA - - A
Co amoxiclav 625 - - A
Co Amoxiclav 625 DEXA - - A
Co amoxiclav DS 125MG - - A
Co amoxiclav DS 250MG - - A
Cobazim cap - - A
Cobazim cap BARU - - A
Codein 10 - - A
Codein 10 BARU 113 - A
Codein 20 - - A
Codipront CAPS - - A
Codipront Cum Exp cap - - A
Colcetin Syr ASKES - - B
Colfin Syr - - B
Colistine 0,25 - - A
Colostomy bag anak - - E
Colostomy bag dewasa - - E
Colostomy bag dewasa Dansac - - E
Colsancetin 250 - - A
Colsancetin Inj 1g - - C
Colsancetin Inj 1g BARU - - C
Colsancetin Syr - - B
Comafusin hepar 500cc - - D
Comafusin hepar 500cc ASKES - - D
Combantrin 250 - - A
Combantrin Syr Jeruk - - B
Combes 30 - - A
Combiplex - - A
Combiplex Baru - - A
Combivent 2,5 ASKES 4 - C
Combivent 2,5 ASKES BARU - - C

16
KEL
NAMA BARANG R B
SEDIAAN
Combostik 10 M (100T) - - E
Combostik 11 M - - E
Combur-10 - - E
Compound 347 - - D
Comtusi 100 ml Syr - - B
Comtusi 60 ml Syr - - B
Concor 2,5 ASKES 4,560 - A
Concor 2,5 ASKES BARU - - A
Concor 5 ASKES - - A
Conditioning Solution 0.8 ML - - E
Conditioning Solution 1 - - E
Condom Cateter L - - E
Condom Cateter M - - E
Condom Cateter M BARU - - E
Connecting Tube - - E
Connecting Tube With Yankaur - - E
CONTROL CLIN CHEM 5 ML - - D
Control N 3 ML - - E
Control Sentinel - - E
Conver TM - - E
Conver TM LUAR - - E
Coper T Limas - - E
Copidrel 75 ASKES - - A
Cordaron inj - - C
Cordila SR - - A
Corsabutol 500 - - A
Corsabutol 500 ASKES - - A
Corsaneuron ASKES - - A
Corsatrocin DS ASKES - - B
Corsel - - A
Corstanal 250 ASKES - - A
Cortidex 0,5 - - A
Cortidex 0,5 BARU - - A
Cortidex Inj 5 - - C
Cotrimoxazol 480 - - A
Cotrimoxazol 480 ITC - - A
Cotrimoxazol 960 FORTE - - A
Cotrimoxazol Syr BERNOFARM - - B
Cotrimoxazol Syr ICP - - B
Cotrimoxazol Syr KF - - B
Cotrimoxazol Syr KF BARU - - B
Cotton Buds C10011 - - E
Cotton Buds Huki - - E
Cotton roll - - E
Cotton roll prodental - - E
Counterpaint 15g ZK - - F
Counterpaint 30g ZK - - F
Counterpaint 5g ZK - - F
Counterpaint cool 30g ZK - - F
Coutery AARON Bovie LUAR - - E
Cover Glass 18 X 18 - - E
Cover Glass 20 X 20 - - E
Cover Glass 24 X 24 - - E
Cover Glass 24 X 24 Baru - - E
Cover Glass 24 X 24 Baru 1 - - E
Covermed Steril - - E

17
KEL
NAMA BARANG R B
SEDIAAN
Coviton - - A
CPG 75 - - A
Cravit INF - - D
Cravit INF LUAR - - D
Cravit INF LUAR 1 - - D
Cravox 500 - - A
Cravox 500 BARU - - A
Cravox inf - - D
Creatinin - - D
Creatinin 2X50ML - - D
Creatinin 3X35ML - - D
Crestor 10 - - A
Criax Inj 1g - - C
Crome 10MG Tab - - A
Crome inj - - C
CRP Latex 20'Test - - E
CTM 4 - A
CTM (Chlorpheniramine maleat) 4 - - A
Cupanol Syr - - B
Curcuma 200 213 - A
Curcuma 200 THF - - A
Curliv Plus - - A
Curliv Plus Syr - - B
Curvit CL syr - - B
Cuticell Classic 10x10CM - - E
Cuvete BS - 120 - - E
Cuvete BS - 120 BARU - - E
Cyanokobalamin Inj 500 - - C
Cyanokobalamin Inj BERNO - - C
Cyclo Progynova - - A
Cygest 200 Supp - - H
Cygest 400 Supp - - H
Cygest 400 Supp baru - - A
Cylat 4 - - A
Cymbalta 60 MG - - A
D10% 500cc - - D
D10% 500cc BRAUN - - D
D10% 500cc OGB - - D
D10% 500cc OTSU - - D
D5% 100cc - - D
D5% 500cc - - D
D5% 500cc BRAUN - - D
D5% 500cc OGB - - D
D5% 500cc OGB KF - - D
D5%+NS 0,225% (4:1) 500cc - - D
D5%+NS 0,225% (4:1) 500CC BARU - - D
D5%+NS 0,9% (2A) 500cc ITC - - D
DaCtarin 5GR - - F
Damaben 10 - - A
Damaben Drops - - B
Damaben Syr - - B
Darmafix (25x10) Asta - - E
Daryantule - - E
Daryantule BPJS - - E
Deck Glass 20x20 - - E
Decubal ZK - - F

18
KEL
NAMA BARANG R B
SEDIAAN
Decubal ZK 40 GR - - F
Decubal ZK LUAR - - F
Deculin tab 30 mg 30 - A
Dehaf Sachet 6'S SOHO - - A
Dehista Tab - - A
Dehydrolite LUAR - - B
Dengue Answer - - E
Dengue Diasport - - E
Dengue Duo Cassete - - E
Dengue EARLY RAPID - - E
Dengue IGG / IGM 25'S - - E
Depakene Syr - - B
Depakene Syr ASKES - - B
Depakote 250 - - A
Depakote 250 ASKES - - A
Depakote ER 250 ASKES 1,674 - A
Depakote ER 500 ASKES 300 - A
Depo Progestin Inj - - C
De-Proteinizer - - D
De-Proteinizer With Diluent - - D
Deptral 50 - - A
Dermanios scrub 500ml - - D
Dermanios scrub 5liter - - D
Dermazin 25g ZK - - F
Dermazin 50g ZK ASKES - - F
Desolex cream - - F
Desoximetason cream 6 - F
Detrusitol 2 - - A
Dettol liquid 100cc - - D
Dettol liquid 250cc - - D
Developer Fuji - - D
Devital Tehnodent 5gr - - B
Dexaflox 400 mg - - A
Dexaflox 400 mg LUAR - - A
Dexaflox 400 mg LUAR BARU - - A
Dexaflox 400 mg LUAR BARU 1 - - A
Dexaflox 400 mg LUAR BARU 2 - - A
Dexamethasone 364 - C
Dexamethasone Inj - - C
Dexamethasone INJ BARU - - C
Dexamethasone Inj LUAR - - C
Dexanta - - A
Dexanta ASKES - - A
Dexanta Syr - - B
Dexanta Syr ASKES BARU - - B
Dexazol 200 ASKES - - A
Dexigen zalf - - F
Dexigen zalf BARU - - F
Dexketoprofen 25 MG NULAB 911 - C
Dexketoprofen injeksi - - C
Dexketoprofen injeksi BARU - - C
Dexon No. 0 (9828-61) Taper GS-21 - - E
Dexon No. 0 Asta M - - E
Dexon No. 1 (9828-71) Taper GS-25 LM - - E
Dexon No. 2 (9836-81) Taper GS-25 - - E
Dexon No. 2-0 (9619-51) Cutting C-14 - - E

19
KEL
NAMA BARANG R B
SEDIAAN
Dexon No. 2-0 (9819-51) Taper - - E
Dexon No. 3-0 (9232-41) Taper V-20 - - E
Dexon No. 4-0 (9813-31) Taper CV-24 - - E
Dexon No. 5-0 (7216-21) Taper CV-24 - - E
Dexon No. 5-0 (9538-21) Cutting C-1 - - E
Dextaco - - A
Dextamine - - A
Dextromethorphan 15 - - A
Dextromethorphan Syr - - B
Dhavit Syr 5 - B
Dhavit Syr BARU - - B
Diabetasol 180 gr Vanila - - H
Diabetasol 180 gr Vanila BARU - - H
Diabetasol 315gr - - A
Dialac - - A
Dialifer inj - - C
Dialyzer (LF) 1.6m2 - - E
Diamicron MR - - A
Diasulin - - A
Diaversa 2 - - A
Diazepam 2 - - A
Diazepam 5 6,265 - A
Diazepam Inj - - C
Diazole Inf askes - - D
Dibekasine Inj 100 - - C
Dibekasine Inj 50 - - C
Dicloxacillin 125 - - A
Dicynone 500 - - A
Dicynone Inj - - C
Digenta 10g ZK - - F
Digest 30 - - A
Digoxin 0,25 - - A
Digoxin 0,25 FAH 517 - A
Dilmen 60 - - A
Diltiazem 30 330 - A
Diltiazem 30 ASKES - - A
Diltiazem 30 LUAR - - A
Dimenhydrinate 50 KF - - A
Diovan 160 mg - - A
Diovan 160 mg ASKES - - A
Diovan 80 mg - - A
Diovan 80 mg ASKES - - A
Diphenhydramine inj - - C
Diphenhydramine inj BERNO - - C
Diprogenta 5g ZK - - F
Disflatyl 40 - - A
Disflatyl 40 BARU - - A
Dismeno tab - - A
Disolf tab - - A
Disolf tab BARU - - A
Diuvar Inj - - C
Divalpi 749 - C
Divens Plus Caps BARU - - A
Divens Syr - - B
Divoltar 50 - - A
Divoltar 50 ASKES - - A

20
KEL
NAMA BARANG R B
SEDIAAN
Dobuject Inj 250 - - C
Dobuject Inj 250 ASKES - - C
Dobutamine Hameln - - C
Dobutamine inj 50 mg - - C
Dobutel Inj 200 ASKES - - C
Dololicobion - - A
Dolsic Inj ASKES - - C
Domesco 10 - - A
Dometic 10 - - A
Dominic Inj - - C
Domperidon 10 365 - A
Domperidon 10 PENTA - - A
Domperidon SYR - - B
Domperidon SYR BERNO - - A
Domperidon SYR NLP - - A
Donepezil 5 mg 45 - A
Donexan DX Syr 120cc - - B
Donexan DX Syr 60 ml - - D
Donexan Syr 120cc - - B
Donexan Syr 60cc - - B
Dopac inj - - C
Dopamet - - A
Dopamet LUAR - - A
Dorner Tab 360 - ###
Dormicum inj 5ml - - A
Dormicum inj 5ml BARU - - A
Doxycycline 100 - - A
Doxycycline 100 BARU - - A
DSOL Vanila Promo 2x300G - - A
Dulcolax Supp 10 - - H
Dulcolax Supp 5 BARU - - H
Dulcolax Supp BPJS - - H
Dulcolax Supp BPJS BARU - - H
Dulcolax Supp LUAR - - H
Dulcolax Supp LUAR 1 - - H
Dulcolax tab 5 - - A
Dulcolax tab 5 ASKES - - A
Dumin rectal 125 - - H
Duradryl Inj - - C
Durogesic Patch 12,5 UI - - H
Durogesic Patch 12,5 UI BARU - - H
Durogesic Patch 25 - - H
Duspatalin 135 - - A
Dynastat Inj 40 - - C
ECG Paper - - E
ECG Paper 63X30 - - E
ECG Paper 80X30 - - E
ECG Paper 80X30 BARU - - E
ECG Paper Bionet - - E
ECG Paper FUKUDA - - E
ECG Treadmill 215x280x300 - - E
ECG Z-FOLD PAPER 215X280X150 - - E
Ecron 10 Inj - - C
Edotin - - A
Edotin Syr 60 ml - - B
EDTA 13X75 3ML - - E

21
KEL
NAMA BARANG R B
SEDIAAN
EDTA 3 ml - - E
EDTA 3 ml BARU - - E
EDTA 3 ml BD - - E
EDTA 3 ml GLASS - - E
EDTA 3 ml SHB - - E
Eflagen 50 320 - A
Eflagen 50 BARU - - A
Efotax Inj 0.5g - - C
Efotax Inj 1g - - C
Elastomul Haft 10 CM - - E
Elastomul Haft 12cm - - E
Elastomul Haft 12cm Baru - - E
Elastomul Haft 12CM SAHABAT - - E
Elastomul Haft 8cm - - E
Elastomul Haft 8cm BARU - - E
Elastomul Haft 8cm SAHABAT - - E
Electroda Condisioner - - E
Electrolyte quality control - - E
Elizac 20 420 - A
Elkana - - A
Elkana BARU - - A
Elkana CL Syr - - B
Elkana Syr 1 - B
Elkana Syr BARU - - B
Elxion Tab 3 - ###
Elox 10g ZK - - F
Elox 5g ZK BARU - - F
Elpicef Inj 1g - - C
Emibion - - A
Enatin - - A
Endo Tracheal 2 - - E
Endo Tracheal 2 Tanpa Balon - - E
Endo Tracheal 2,5 Tanpa Balon - - E
Endo Tracheal 3,0 - - E
Endo Tracheal 3,0 NON KINGKING - - E
Endo Tracheal 3,0 NON KINGKING AML - - E
Endo Tracheal 3,0 Tanpa Balon - - E
Endo Tracheal 3,0 Tanpa Balon LUAR - - E
Endo Tracheal 3,0 Tanpa Balon SHBT - - E
Endo Tracheal 3,5 - - E
Endo Tracheal 3,5 NON KINGKING - - E
Endo Tracheal 3,5 NON KINGKING AML - - E
Endo Tracheal 4,0 - - E
Endo Tracheal 4,5 - - E
Endo Tracheal 4,5 Non kingking - - E
Endo Tracheal 5,0 - - E
Endo Tracheal 5,5 - - E
Endo Tracheal 5,5 + BALON - - E
Endo Tracheal 6,0 - - E
Endo Tracheal 6,0 AXIMED - - E
Endo Tracheal 6,0 SURGIKA - - E
Endo Tracheal 6.5 - - E
Endo Tracheal 7 + BALON - - E
Endo Tracheal 7,0 - - E
Endo Tracheal 7,5 SAHABAT - - E
Endo Tracheal 7,5 Work - - E

22
KEL
NAMA BARANG R B
SEDIAAN
Endo Tracheal Non King King 4 - - E
Endo Tracheal Non King King 4 SURGIKA - - E
Endo Tracheal Non King King 5,0 LM - - E
Endo Tracheal Non King King 5,0 SURGIKA - - E
Endo Tracheal Non King King 5,5 SURGIKA - - E
Endo Tracheal Non King King 6,0 - - E
Endo Tracheal Non King King 6,0 surgika - - E
Endo Tracheal Non King King 6.5 AML - - E
Endo Tracheal Non King King 6.5 Rusch - - E
Endo Tracheal Non King King 6.5 surgika - - E
Endo Tracheal Non King King 7 AML - - E
Endo Tracheal Non King King 7,5 Rusch - - E
Endo Tracheal Non King King 7,5 Surgika - - E
Endo Tracheal Non King King 7.0 - - E
Endo Tracheal Non King King 7.0 BARU - - E
Endo Tracheal Non King King 7.0 SURGIKA - - E
Endo Tracheal Non King King 7.5 - - E
Endo Tracheal Spiral Non Kingking - - E
Endrolin 3,75mg Inj - - C
Engerix B inj - - C
Enkasari Syr - - B
Entrakid vanila - - A
Entramix vanila - - A
Entramix vanila baru - - A
Entrasol - - A
Entrasol Gold 185 gr - - H
Entrasol Gold 370 gr - - A
Enystin Drop ASKES - - B
Eosin 2% B - - D
Eperisone 50mg 793 - A
Eperisone 50mg MERAPI - - A
Epexol 30 - - A
Epexol 30 BARU - - A
Epexol Syr - - B
Ephedrin 25 - - A
Ephedrin HCL Inj - - C
Episan Syr - - B
EPOTREX NP 2000 IU - - C
Equispon Standar - - E
Equlwax 2,5gr - - E
Erazol Cream - - F
Erba Wash - - E
Erdostein 300 mg 40 - A
Ergometrin Inj - - C
Ergotamin Coffein Tab - - A
Ergotamin Kafein ASKES - - A
Ericaf ASKES - - A
Ericaf LUAR - - A
Erlamycetin 10cc TM - - G
Erlamycetin 10cc TT - - G
Erlamycetin DS ASKES - - B
Erlamycetin ZM - - F
Erysanbe 200 cw - - A
Erysanbe DS - - B
Erythromicin DS - - B
Erytromycin 250 - - A

23
KEL
NAMA BARANG R B
SEDIAAN
Erytromycin 500 - - A
Erytromycin 500 ASKES - - A
Erytromycin DS - - B
Erytromycin DS ASKES - - B
Escovit Cap - - A
Esilgan 1 - - A
Esilgan 2 - - A
Esofer 40mg inj - - C
Esola inj - - C
Esomeprazol 40mg inj - - C
Esomeprazol 40mg inj GREAT - - C
Estalin 1mg - - A
Estazor 250 - - A
Etaflusin - - A
Etamox Ds - - B
Ethambutol 250 - - A
Ethambutol 250 ASKES - - A
Ethambutol 500 - - A
Ethambutol 500 BARU - - A
Ethambutol 500 IGM - - A
Ethaphylin 250 - - A
Ethaphylin 250 baru - - A
Ethaphylin Inj - - C
Ethicon Non ABS .0 (SW-214) - - E
Ethicon Non ABS .0 (SW-214) BARU - - E
Ethicon Non ABS .1 (SW-215) - - E
Ethicon Non ABS .2 (SW-216) - - E
Ethicon Non ABS. 2/0 (SW-213) - - E
Ethicon SILK BLK 0 W214 (MERSILK) - - E
Ethicon SILK BLK 1 W215 (MERSILK) - - E
Ethicon SILK BLK 2-0 W213 (MERSILK) - - E
Ethigent Inj ASKES - - C
Ethigobal 500 - - A
Ethilon No. 10-0 U-20 - - E
Etsa - - D
EUGENOL 20 GR - - D
Euphilin Retard Mite 125 BARU - - A
Euphylin Retard 250 - - A
Euthyrax 30 - A
Euthyrax BARU - - A
Evothyl 100 - - A
Evothyl 300 - - A
Exavator - - E
Exepim - - C
Exergin 4,5 - - A
Exforge 10/160 - - A
Exforge 5/80 - - A
Expafusin 500cc - - D
Extension tube - - E
Extension tube Laksana M - - E
Extrace Inj 200 - - C
Extrace Inj 500 - - C
Extract Belladona - - A
Extran - - E
Eyevit BARU - - A
Eyevit Syr - - B

24
KEL
NAMA BARANG R B
SEDIAAN
Ezelin Insulin G - - C
Ezelin Insulin G BPJS - - C
Faktu Oint 20g - - F
Faktu Supp - - H
Faktu Supp LUAR - - H
Falergi - - A
Famocid 20 - - A
Famocid 40 BARU - - A
Famotidine 20 - - A
Famotidine 40 - - A
Famotidine 40 ASKES - - A
Farbivent - - C
Farbivent ASKES - - C
Farelax inj - - C
Fargoxin 0,25 - - A
Fargoxin 0,25 ASKES - - A
Fargoxin INJ - - A
Farmabes 30 - - A
Farmabes inj - - C
Farmadol infus - - D
Farmalat 10 - - A
Farmasal 100 - - A
Farnormin - - A
Farnormin ASKES - - A
Farsicol cream - - F
Farsix 40 - - A
Farsix Inj BARU - - C
Farsorbid 10 - - A
Farsorbid 5 ASKES - - A
Farsorbid 5 BARU - - A
Farsorbid Inj - - C
Fasiprim - - A
Fasiprin Forte - - A
Fastor 20mg - - A
Fastor 20mg BARU - - A
Fatral 50 - - A
FC 2 way No. 10 - - E
FC 2 way No. 10 SAHABAT - - E
FC 2 way No. 12 - - E
FC 2 way No. 12 WRP - - E
FC 2 way No. 14 - - E
FC 2 way No. 14 BARU - - E
FC 2 way No. 16 ASKES - - E
FC 2 way No. 16 ASKES BARU - - E
FC 2 way No. 16 LM - - E
FC 2 way No. 16 RUSH - - E
FC 2 way No. 16 RUSH SAHABAT - - E
FC 2 way No. 18 LM - - E
FC 2 way No. 18 Om - - E
FC 2 way No. 18 RUSCH - - E
FC 2 way No. 20 - - E
FC 2 way No. 8 KLM - - E
FC 3 way No. 18 - - E
FC 3 way No. 20 - - E
FC 3 way No. 22 - - E
FC 3 way No. 22 BARU - - E

25
KEL
NAMA BARANG R B
SEDIAAN
FC 3 way No. 24 - - E
FD CARPUL ZEYCO 1 - C
Feeding Botle - - E
Feeding Tube No. 3,5 35cm - - E
Feeding Tube No. 3,5 35cm BARU - - E
Feeding Tube No. 5 100cm LM - - E
Feeding Tube No. 5 100cm SAHABAT - - E
Feeding Tube No. 8 100cm - - E
Feeding Tube No. 8 100cm LM - - E
Feeding Tube No.10 100cm JMS - - E
Fenofibrate 100 - - A
Fenofibrate 300 - - A
Fentanyl inj - - C
Fentanyl inj BARU - - C
Fentanyl inj LUAR - - C
Ferokid Syr - - B
Ferospat tab - - A
Ferriz Syr - - B
Fertilphen 50 - - A
Fertitex mono 100's - - D
Fetavita - - A
FG Troches - - A
FG Troches 300 - - A
Fibrion-1500 iu - - c
Film 125 SH 35x43cm DVB - - E
Film Codonics 14x17 - - E
Film Dentus Hanshin - - E
Film MXG-1 24x30 - - E
Film MXG-1 30x40 Tri Cipta - - E
Film TXB (20X25 CM) 8X10" CE (125'S) - - E
Film TXB (28X30 CM) 10X12" CE (125'S) - - E
Film TXB (28X35 CM) 11X14'' - - E
Film TXB (35X43 CM) 14X17" - - E
Film TXB 20x25 - - E
Film X-Ray 18x24 - - E
Film X-ray 24X30 - - E
Film X-ray 24X30 BARU - - E
Film X-ray 30X40 - - E
Film X-ray 35x35 - - E
Fima Hes 200 500cc - - D
Fima Hes 200 500cc ASKES Baru - - D
Fimalbumin 100cc - - D
Fimalbumin 100cc ASKES - - D
Fimalbumin 50cc - - D
Fimalbumin 50cc ASKES - - D
First Aid 5ltr - - D
Fixacef 200 - - A
Fixer Fuji - - D
Fixer Pawder Fuji - - E
Fixomull Transparent 10x10 - - E
Fladystin ovula 28 - H
Flagyl Syr - - B
Flamar 25 - - A
Flamar 50 - - A
Flamar 50 BARU - - A
Flamar emul gel ZK - - F

26
KEL
NAMA BARANG R B
SEDIAAN
Flamar Eye drop - - A
Flamicort 10mg Inj - - C
Flamicort 10mg Inj BARU - - C
Fleet Enema LUAR - - H
Flixotide Nebul luar - - C
Flixotide Nebul luar 1 - - C
Fludane Caplet - - A
Fludane Plus Caplet - - A
Fludane Plus Syr - - B
Fludane Syr - - B
Fluimucil - - A
Fluimucil SYR LUAR - - A
Flunarizine 10 mg 598 - A
Flunarizine 10 mg NULAB - - A
Flunarizine 5 mg 177 - A
Flunarizine 5 mg NULAB - - A
Fluxum 4250 IU - - C
Fluxum 4250 IU ASKES - - C
Fluxum 6400 IU - - C
Fluxum 6400 IU ASKES - - C
FM Crepe 3" - - E
FM Crepe 4" - - E
FM Crepe 6" - - E
Folamil GENIO 120 - A
Folamil GOLD 270 - A
Folaplus - - A
Folavit 400mcg - - A
Folavit 400mcg baru - - A
Folaxin 400mcg 1,515 - A
Forbetes 500 - - A
Fordesia 5 - - A
Forelax 50 - - A
Forhepa inj - - C
Forinfec Gargle - - B
Formalin 40% - - D
Formalin cair 10L - - D
Formalin cair 1L - - D
Formalin tab - - A
Formuno BARU - - A
Formyco ZK - - F
Forneuro - - A
Forres 50 - - A
Fortanest inj - - C
Forumen TT - - G
Fosfomycin 1gr Inj - - C
Fosmycin 1gr Inj - - C
Fosmycin 2gr Inj - - C
Fourcef 1gr - - C
Framycetin Sulfate - - E
Frego 10 - - A
Frego 5 - - A
Fresofol 1% 20ml ASKES - - C
FS Optium neo HBG - - C
FSTESOL - - G
Fucobac - - A
Fucoidan 100mg - - A

27
KEL
NAMA BARANG R B
SEDIAAN
Fuji 99P - - E
Fuji IX ART I - - E
Fuji IX ART I.I - - E
Fuji IX Universal - - E
Fuladic 5g ZK 1 - F
Fuladic 5g ZK BARU - - F
Fungatin Drops - - B
Furamin Inj - - C
Furamin Inj LUAR - - C
Furosemide 40 1,970 - A
Furosemide 40 BARU - - A
Furosemide 40 IGM - - A
Furosemide inj - - C
Furosemide inj DEXA - - C
Futrolit Inf - - D
Futrolit Inf BARU - - D
G Bond GC - - B
Gabapentin 300 DEXA 1,973 - A
Gabapentin 300 NOVEL - - A
Gabapentin 300 NULAB - - A
Gabapentin 300 OTTO - - A
Galflux 10 - - A
Galvus - - A
Gamaras inf - - D
Gamma GT 10X10ML - - D
Gamma GT 12X16ML - - D
Gamma GT 2 X 50 - - D
Gamma GT 20X2ML QCA - - D
Gamma GT 4X35 + 2X18ML - - D
Gamma GT QCA - - D
Gamma GT RAJAW - - D
Garam Inggris ( MG SO4) 1kg - - A
Gastrinal - - A
Gastrinal Syr - - B
Gastrofer inj - - C
Gastrul 200 - - A
Gastrul 200 BARU - - A
Gaticin 400 - - A
Gavistal 10 - - A
Gavistal Inj - - C
Gelang Bayi Blue - - E
Gelang Bayi Pink - - E
Gelas ukur 10 ml - - E
Gelas ukur 100 ml - - E
Gemfibrozil 300 90 - A
GenOint Skin Oint - - F
GenOint Skin Oint ICP - - F
Gent Oint TM - - F
Gent Oint TM BARU - - F
Gent Oint ZM - - F
Gentamycin 0,1% ZK - - F
Gentamycin 0,1% ZK BARU 4 - F
Gentamycin Inj 80 - - C
Gentamycin Inj 80 ASKES - - C
Gentamycin TM - - G
Gentamycin TM IGM - - G

28
KEL
NAMA BARANG R B
SEDIAAN
GG (Glyceril Guaicolas) 100 BARU 4 - A
Giemsa 100 ml - - D
Gigazyme (S01-160) 2LT - - D
Gigli Saw - - E
Glaucon 250 - - A
Glaucon 250 ASKES - - A
Glauseta luar - - A
Glauseta LUAR 1 - - A
Glauseta LUAR 2 - - A
Gliformin 850 ASKES - - A
Glimepirid 2 1,020 - A
Glimepirid 2 DEXA - - A
Glimepirid 2 NULAB - - A
Glimepirid 2 OTTO - - A
Glimepirid 3 - - A
Glimepirid 3 DEXA 720 - A
Glimepirid 3 OTTO - - A
Glimepirid 4 370 - A
Glimepirid 4 INF - - A
Glimepirid 4 NULAB - - A
Gliquidone 30mg - - A
Gliquidone 30mg LUAR - - A
Gliquidone 30mg LUAR 1 - - A
Gliserin 1 Ltr - - D
Glisodin - - A
Glubose 100 - - A
Glubose 50 - - A
Glucobay 100 - - A
Glucobay 50 - - A
Glucobay 50 ASKES - - A
Glucocard strip 50'S - - E
Glucocard strip 50'S LABORAT - - E
Glucophege XR 500mg - - A
Glucosamin 176 - A
Glucosamin chondroitin - - A
Glucose 1000ML - - D
Glucose strip 25's - - E
Glucose 2X200ML - - D
Glucose 3X100ML - - D
Glucose 4X40ML - - D
Glucose 5x60ml Erba - - D
Glucose 5x60ml Erba Baru - - D
Glucose 60 Cormay - - D
Glucose On Call 25'S - - E
Glucosure - - E
Glucotika 500 ASKES - - A
Glucovance 500/2,5mg - - A
Glucovance 500/5mg - - A
Gludeptic 500 ASKES - - A
Glufor 500 - - A
Glukolos 80 - - A
Glumin XR 500 - - A
Glumin XR 750 - - A
Glurenorm 30 - - A
Glutrop tab - - A
Gluvas 2 - - A

29
KEL
NAMA BARANG R B
SEDIAAN
Glybenclamide 5 840 - A
Glybenclamide 5 BARU - - A
Glybenclamide 5 icp - - A
Glybenclamide 5 PHAPROS - - A
Goclid 250 - - A
Goflex 500 - - A
Goggle protectiv - - E
Gondo Puro 1ltr - - D
Goron 25 - - A
Govazol 150 - - A
Govotil 2 - - A
Govotil 2 BARU - - A
Govotil 5 60 - A
Govotil Inj - - C
Grafalin 2 mg - - A
Grafalin 2 mg BARU - - A
Grafamic tab askes - - A
Grafazol - - A
Granisetron 1ml inj - - C
Granisetron 3 ml inj - - C
Granon 1mg inj - - C
Granon 1mg inj LUAR - - C
Graprima ASKES - - A
Graprima F ASKES - - A
Graprima Syr ASKES - - B
Gratizin 10mg - - A
Gratizin 5mg - - A
Gratusif - - A
Gravomit inj - - C
Gravomit inj 3MG - - C
Guarposid 5 - - A
Gypsona 3" SAHABAT - - E
Gypsona 4 " LM - - E
Gypsona 4" SAHABAT - - E
Haemocain Oint - - F
Haes steril 6% 500cc - - D
Haes steril 6% 500cc ASKES - - D
Haldol Inj - - C
Halloperidol 1,5 20 - A
Halloperidol 1,5 ASKES - - A
Halloperidol 5 835 - A
Halloperidol 5 E-CAT - - A
Hand Sanitazer Gel 20lt - - E
Hand Swicth Couter - - E
Hand Swicth Couter AML - - E
Hand Swicth Couter AML BARU - - E
Hansaplast 1,25x1 ASTA M - - E
Hansaplast 1/2x1 - - E
Hansaplast JUMBO - - E
Hansaplast Plester - - E
Hansaplast Plester STANDAR - - E
Harnal OCAS 730 - A
Harnal tab - - A
Harnal tab OCAS BPJS - - A
HAV IgG/IgM 25 TEST - - E
HAV IgG/IgM SD - - E

30
KEL
NAMA BARANG R B
SEDIAAN
HAV RAFID 25 TEST - - E
HB Drafkin 500ml - - E
HB S Ag Test Strip - - E
HB S Ag 25'S Test ACON - - E
HB S Ag 25'S Test Devince Dima - - E
HB S Ag Acon Stick URS - - E
HB S Ag Device 25 - - E
HB S Ag Device 50's ABON - - E
HB S Ag Rapid Test - - E
HB S Ag Strip 50's - - E
HB S Ag Strip 50's MONO - - E
HB S Ag Strip 50's ANSWER - - E
HB S Ag Strip 50's INST-ANSWER Baru - - E
HB S Ag Strip GLORY - - E
HB S Ag Strip SERATEC Baru - - E
HBA 1C Control - - E
HBA 1C Ichroma Strip - - E
HBA 1C Test - - E
HCG STRIP - - E
HCG STRIP Acon - - E
HCG STRIP Acon Baru - - E
HCG STRIP ONE MED - - E
HCT 25 ASKES 47 - A
HCV 50 STRIP - - D
HCV Device 25'S - - D
HCV Device 40Test - - D
HCV Serum Plasma - - D
HCV STRIP 30'S SD - - D
HCV Test - - D
HDL CHOL DIRECT 200-250 T - - D
HDL CHOLESTEROL 1x40ML + 1X14ML - - D
HDL CHOLESTEROL 1x50ML - - D
HDL CHOLESTEROL 2X40ML - - D
Head Hernes Adul - - E
Hemafort - - A
Hemapo inj - - C
Hemapo inj Askes - - C
Hemoglobin 500ml - - D
Hemoglobin 5x10ml - - D
Hemolok 1% 100ml - - D
Hemosafe Bicacid Acid Concentrat - - E
Hepa Balance - - A
Hepa Balance BARU - - A
Hepatin - - A
Hepatitis B Immunoglobin 1 ml LUAR - - C
Hepatitis B Immunoglobulin behring - - C
Hepatosol vanila 185gr - - A
Hepbquin 150 IU - - C
Heplav tab - - A
Heptamyl 150 - - A
Heptamyl Inj - - C
Heptasan 4 - - A
Heptasan 4 BARU 92 - A
Herbeser CD 100 7 - A
Herbeser CD 200 - - A
Herbeser CD 200 ASKES - - A

31
KEL
NAMA BARANG R B
SEDIAAN
Herbesser CD 100 ASKES - - A
Herbesser Inj 50 - - C
Herbesser Inj 50 ASKES - - C
Herclov Caplet BARU - - A
Hestar Inf 6% 500cc ASKES - - D
Hexilon Inj 125 - - C
Hexymer 2mg 11,909 - A
Hi - Bone - - A
Hibiron Inj - - C
Hical - - A
HIGH Pressure Syringe - - E
Histapan 50 - - A
HIV -1 / HIV-2 ANTIBODY 30 TI - - E
HIV 1/2 25'S - - E
HIV GLORY 50'S - - E
HIV I DAN II CARD - - E
HIV STRIP 100'S SD - - E
HIV strip 50 - - E
HIV Strip Monotest - - E
Holder - - D
HP Pro - - A
HS Gamex 6,5 Steril - - E
HS Gamex 7 Steril - - E
HS Gamex 7,5 Steril - - E
HS Gamex 8 Steril - - E
HS Glove 7 Steril Aximed - - E
HS Glove 7.5 Steril Aximed - - E
HS Gynecological No. 7 - - E
HS Gynecological No. 7,5 - - E
HS Gynecological Non Steril - - E
HS Industri ORANGE - - E
HS Industri ORANGE BARU - - E
HS Intouch PP 6 - - E
HS Intouch PP 6,5 - - E
HS Intouch PP 7 - - E
HS Intouch PP 7,5 - - E
HS Intouch PP 8 - - E
HS Micro Touch L 6 - E
HS Micro Touch M - - E
HS Micro Touch S - - E
HS Micro Touch S BARU - - E
HS Profeel 6,5 Orthopedi - - E
HS Profeel 7,5 Orthopedi - - E
HS Profeel 8 Orthopedi - - E
HS Sensi L OM - - E
HS Sensi M OM - - E
HS Sensi S OM - - E
HS Surgiglove 7,5 Steril - - E
HS Surgiglove 8 Steril - - E
Hufabion LUAR - - A
Hufacid - - A
Hufadexon 0.5 tab - - A
Hufagesic Syr - - B
Humalog Kwik pen 3ml BPJS 11 - B
Humalog Mix 25 Pen BPJS 4 - B
Humalog Mix 25 Pen BPJS BARU - - B

32
KEL
NAMA BARANG R B
SEDIAAN
Humalog Mix 50 Pen BPJS - - B
Human Albumin Inf 20% 100cc ASK - - D
Humulin N 100IU ASKES - - C
Humulin N KWIKPEN BPJS - - C
Humulin R 100IU BPJS - - C
Humulin R KWIKPEN BPJS BARU - - C
Hydrocortison 1% ZK LUAR - - F
Hydrocortison 2,5% ZK 5 - F
Hydrocortison 2,5% ZK HEXP - - F
Hydrocortison 2,5% ZK KF - - F
Hyocine-N-Butylbromide inj - - C
Hypafix 10X5 - - E
Hypafix 5X5 LM - - E
Hypafix 5X5 SAHABAT - - E
HYPOBHAC 100 MG - - C
HYPOBHAC 200 MG - - C
Hypofil 300 - - A
Hystolan 20 10 - A
Hystolan 20 BARU - - A
Hystolan 20 LUAR - - A
Ibuprofen F syr - - B
Ibuprofen 200 - - A
Ibuprofen 400 - - A
Ibuprofen syr - - B
Ibuprofen syr BARU - - B
Ibuprofen syr BARU 1 - - B
I-col 1,Taperpoint 48 mm,90 cm - - E
I-col 2.0,Taper 37 MM,90 cm - - E
ID DILUENT 2 - - D
Ikalep tab - - A
Ikamicetin ZK - - F
Ikamicetin ZK BARU - - F
Ikamicetin ZM - - F
Ikaphen 100 Caps - - A
Ikaphen 100 inj - - C
Iliadin spray - - C
Ilusemin 100 - - A
Imbost force - - A
Imbost force BARU - - A
Imbost force Syr - - B
Imbost force Syr BARU - - B
Imbost syr - - B
Imbost syr BARU - - B
Imipenem cilastatin - - D
Immersion Oil - - D
Impugan Inj ASKES - - C
Imreg - - A
Imunos - - A
Imunos BARU - - A
Imunos Plus - - A
Imunos Plus BARU - - A
Imunos Syr - - B
Imunos Syr BARU - - B
Indikator Tape - - E
Indikator Taped 3/4 - - E
Indop Inj 200 - - C

33
KEL
NAMA BARANG R B
SEDIAAN
Induxin Inj - - C
Infelon tab - - A
Infelon tab BARU - - A
Infelon tab LUAR - - A
Inflason - - A
Infumal 10% 500cc - - D
Infus Set anak - - E
Infus Set anak Askes - - E
Infus Set dewasa AMP - - E
Infus Set Type Y dewasa - - E
Infus Set Type Y Gidcare - - E
Infus Set Type Y KF - - E
Infus Set Type Y dewasa SINAR - - E
Infusan 2A (D5%+1/2NS) - - D
Infusan 4:1 (D5%+1/4NS) - - D
Infusan D5% 500cc - - D
Infusan M-20 500cc - - D
Infusan NS 1000cc - - D
Infusan NS 100ML - - D
Infusan NS 500cc - - D
Infusan R+D SP - - D
Infusan Ring As 500cc SP - - D
Infusan RL 500cc SP - - D
Infusan RL 500cc SP BARU - - D
Inlacin 100 mg - - A
Inlacin 50 mg - - A
Inokulasi - - E
Inotrop Inj 250 - - C
Inpepsa Susp 100cc - - B
Insto 7,5cc TM - - G
Intunal - - A
Intunal Forte 15 - A
Intunal Syr 60cc - - B
Inviclot Inj - - C
Inviclot Inj LUAR - - C
Iodine Povidon 1Ltr BRATACO - - D
Iodine Povidon 30cc - - D
Iodine Povidon 30cc KLM - - D
Iodine Povidon 30cc LM - - D
Iodine Povidon 30cc OM BARU - - D
Iodine Povidon 30cc SAHABAT - - D
Iodine Povidon 60cc KLM BARU - - D
Iodine Povidon 60cc KLM KF - - D
Iodine Povidon 60cc SAHABAT - - D
Iodine Povidon KF 1Ltr - - D
Iopamiro 300/30 ml - - D
Iopamiro 300/30 ml LUAR - - D
Iopamiro 300/30 ml LUAR 1 - - D
Iopamiro 300/30 ml LUAR 2 - - D
Iopamiro 300/50 ml - - D
Irbesartan 150 mg 120 - A
Irbesartan 150 mg OTTO - - A
Irbesartan 300 mg - - A
Irbesartan 300 mg BARU 835 - A
Irbesartan 300 mg OTTO - - A
Irbosyd - - A

34
KEL
NAMA BARANG R B
SEDIAAN
Ironyl - - A
Irtan 300mg Askes BARU - - A
Isodine zalf 10 gr - - F
Isodine zalf 5 gr - - F
Isoket 10 - - A
Isoket 10 Inj ASKES - - C
Isoniazid 100 (INH 100) - - A
Isoniazid 100 (INH 100) KF - - A
Isoniazid 300 (INH 300) BARU 39 - A
Isoniazid 300 (INH 300) KF - - A
Isosorbid Dinitrat 5 2,925 - A
Isosorbid Dinitrat 5 BARU - - A
Isosorbid Dinitrat 5 FAH - - A
Isprinol 500 - - A
Itamol tab - - A
Itamol tab Baru - - A
Itraconazol 100 mg - - A
Itzol - - A
IV Catheter No. 18 - - E
IV Catheter No. 18 ASKES - - E
IV Catheter No. 20 - - E
IV Catheter No. 20 ASKES - - E
IV Catheter No. 20 ASKES BARU - - E
IV Catheter No. 22 - - E
IV Catheter No. 22 ASKES - - E
IV Catheter No. 22 ASKES BARU - - E
IV Catheter No. 22 ASKES LM - - E
IV Catheter No. 24 - - E
IV Catheter No. 24 ASKES - - E
IV Catheter No. 24 OM - - E
IV Catheter No. 26 ASKES BARU - - E
IV Catheter No. 26 OM - - E
Jarum SE-ME 18 (Cutting, 3/8 circle) - - E
Jarum SE-ME 24 (cutting, 3/8circle) - - E
Jarum SE-ME 24 (cutting, 3/8circle) Baru - - E
Jarum SE-ME 28 MANY - - E
Jarum SE-ME 32 MANY - - E
Jarum SE-ME 36 (cutting, 3/8circle) - - E
Jarum SE-ME 40 (cutting, 3/8circle) - - E
Jarum SE-ME 45 (cutting, 3/8circle) - - E
Jarum SE-MH 18 (cutting, 1/2circle) - - E
Jarum SE-MH 21 (cutting, 1/2circle) - - E
Jarum SE-MH 24 (Cutting, 1/2 circle) - - E
Jarum SE-MH 28 (taper, 3/8circle) - - E
Jarum SE-MH 28 (taper, 3/8circle) BARU - - E
Jarum SE-MH 32 (taper, 3/8circle) - - E
Jarum SE-MH 32 (taper, 3/8circle) baru - - E
Jarum SE-MH 36 (taper, 3/8circle) - - E
Jarum SE-MH 40 (Cutting, 1/2 circle) - - E
Jarum SE-MH 45 (Cutting, 1/2 circle) - - E
Jarum SE-TE 21 (taper, 3/8circle) - - E
Jarum SE-TE 24 (taper, 3/8circle) - - E
Jarum SE-TE 24F (taper, 3/8circle) - - E
Jarum SE-TE 32 (taper, 3/8circle) - - E
Jarum SE-TE 32F (taper, 3/8circle) - - E
Jarum SE-TE 40 (taper, 3/8circle) - - E

35
KEL
NAMA BARANG R B
SEDIAAN
Jarum SE-TH 18 (cutting, 1/2circle) - - E
Jarum SE-TH 18 F (Taper,1/2 circle) - - E
Jarum SE-TH 21 (Taper,1/2 circle) - - E
Jarum SE-TH 21F (Taper,1/2 circle) - - E
Jarum SE-TH 24 (taper, 1/2circle) - - E
Jarum SE-TH 24F - - E
Jarum SE-TH 28 (taper, 1/2circle) - - E
Jarum SE-TH 32 (taper, 1/2circle) - - E
Jarum SE-TH 32F (taper, 1/2circle) - - E
Jarum SE-TH 36 (Taper, 1/2 circle) - - E
Jarum SE-TH 36F (taper, 1/2circle) - - E
Jarum SE-TH 40 (Taper, 1/2 circle) - - E
Jarum SE-TH 45 (Taper, 1/2 circle) - - E
Jarum SE-TH 50 (taper, 1/2circle) - - E
Jarum SE-TH 55 (Taper,1/2 circle) - - E
Jarum SE-TH 60 - - E
Jelly doppler (USG) - - F
Jelly doppler 5 LITER - - F
Jelly doppler KLM - - F
Jelly USG OM - - F
Jurnista 8mg - - A
Ka En 1B 500cc - - D
Ka En 1B 500cc ASKES - - D
Ka En 3A 500cc - - D
Ka En 3A 500cc ASKES - - D
Ka En 3B 500cc - - D
Ka En 3B 500cc ASKES - - D
Ka En 3B 500cc BARU - - D
Ka En MG3 500cc - - D
Ka En MG3 500cc ASKES - - D
Kaca Mata ( GOGLLE) - - E
Kaca Mata Scaling Bag Biru - - E
Kaca Mulut + Handle No.4 - - E
Kain Segitiga Arm Slink L - - E
Kain Segitiga Arm Slink M - - E
Kalbamin Inf 500cc - - D
Kalbamin inf 500cc ASKES - - D
Kalbamin inf 500cc LUAR - - D
Kalbamin inf 500cc LUAR 1 - - D
Kalbamin inf 500cc LUAR 2 - - D
Kalcinol N 5g ZK - - F
Kalfoxim Inj 0.5g - - C
Kalfoxim Inj 1g - - C
Kalitake ASKES - - A
Kalitake LUAR - - A
Kalium Chlorida (KCL) 1kg - - A
Kalium Diclofenac 25mg - - A
Kalium Diclofenac 25mg NULAB - - A
Kalium Diclofenac 50mg - - A
Kalium Diclofenac 50mg NULAB 110 - A
Kalmeco 500 mg - - C
Kalmeco Inj - - C
Kalmethasone Inj 4 ASKES - - C
Kalmethasone Inj 5 - - C
Kalmoxillin Inj 1g - - C
Kalnex 250 - - A

36
KEL
NAMA BARANG R B
SEDIAAN
Kalnex 250 Askes - - A
Kalnex 500 - - A
Kalnex 500 Askes - - A
Kalnex Inj 250 - - C
Kalnex Inj 250 ASKES - - C
Kalnex Inj 500 - - C
Kalnex Inj 500 LUAR - - C
Kalnex Inj 500 LUAR 1 - - C
Kalthrocin 500 - - A
Kaltrofen 100 - - A
Kaltrofen 200 - - A
Kaltrofen Inj - - C
Kaltrofen SUPP - - H
Kalxetin 10 - - A
Kalxetin 20 170 - A
Kalxetin 20 LUAR - - A
Kamadol Inj - - C
Kanamycin Inj 1g - - C
Kandistatin Drops 12ml - - B
Kapas 1kg - - E
Kapas 1kg Bunda - - E
Kapas 250g Baru - - E
Kapas 250g KLM - - E
Kapas 500g - - E
Kapas 500g Bunga Biru - - E
Kapas Lemak 1kg - - E
Kapas Lemak 500g - - E
Kapas Selection 35gr - - E
Karpul Dental needles Septoject - - E
Karpul Dental needles DOCHEM - - E
Kartu gol darah DR. ORTHO - - E
Kartu gol darah RS MS - - E
Kary uni TM - - G
Kasa steril 16x16 1 - E
Kasa steril 16x16 BARU - - E
Kasa steril 16x16 SAHABAT - - E
Kassa 40x80 BUNDA LM - - E
Kassa 40x80 BUNDA sahabat - - E
Kassa 40x80 NEW DRC - - E
KCL 7,46 Inj - - C
KCL 7,46 Inj BARU - - C
Kemicetin 15g ZK - - F
Kendaron BPJS - - A
Kertas puyer besar - - E
Kertas puyer Kecil - - E
Kertas USG - - E
Ketamin inj - - C
Ketesse inj - - C
Ketesse TAB - - C
Ketokonazol 200 14 - A
Ketokonazol 200 HEX - - A
Ketokonazol ZK 10 G KF 3 - F
Ketokonazol ZK 15 gr - - F
Ketokonazol ZK DEXA 10 g - - F
Ketopain 30 inj SOHO - - C
Ketoprofen 100 - - A

37
KEL
NAMA BARANG R B
SEDIAAN
Ketoprofen 100 BERNO 320 - A
Ketoprofen 100 HEXP - - A
Ketoprofen 100 NOVEL - - A
Ketoprofen Inj - - C
Ketoprofen Inj BARU - - C
Ketoprofen SUPP LUAR - - C
Ketorolac 10 BERNO BARU 10 - A
Ketorolac 10 NULAB - - A
Ketorolac 10 tab NLP - - A
Ketorolac Inj 30 - - C
Ketorolac Inj 30 BERNO - - C
Ketorolac Inj 30 Darya V - - C
Ketorolac Inj 30 DEXA - - C
Ketorolac Inj 30 OTTO - - C
Ketosteril - - A
Ketricin 4 mg - - A
Kidmin Inf 500cc - - D
Kidmin Inf 500cc ASKES - - D
Kloderma Cream 5gr 4 - F
Kloderma Ointment 5gr - - F
Kodak Medx-Ray Liqui Fixer - - E
Kodak Medx-Ray Liqui Fixer 10 GL - - E
Kodak RP x-omat DEV REPL 40L - - E
Kodak RP x-omat LO FIX & REPL 40L - - E
KOH 10% 100ML - - D
Kokodin 30ml - - D
Kolkatriol 0,25 - - A
Kolkatriol Forte 0,5 - - A
Kompolax Syr 60cc ASKES - - B
Komposit solare A2 - - B
Komposit solare A3 - - B
Kondom Sutra 12'S Luar - - E
Korset L - - E
Korset M - - E
Korset S - - E
Korset XL - - E
Korset XXL - - E
KSR 600 232 - A
KSR 600 ASKES - - A
KSR 600 LUAR - - A
KTM Inj 100 - - C
Kurkumex 402 - A
Kutoin 100 - - A
Kutoin 100 ASKES - - A
Kutoin Inj - - C
Kutoin Inj ASKES - - C
Kytril Inj - - C
L - Bio 186 - A
L - Bio BARU - - A
L - Bio CAPSUL - - A
L - Bio CAPSUL BARU - - A
L - CISIN 0,5 MG TAB - - A
L - CISIN 0,5 MG TAB BARU - - A
L - Zinc Syr 5 - B
L - Zinc Syr BARU - - B
Labtrol - - D

38
KEL
NAMA BARANG R B
SEDIAAN
Lacedim inj 1gr - - C
Lacedim inj 1gr BARU - - C
Lactamor 10 - A
Lactamor BARU - - A
Lactulax syr - - B
Lactulosa syr - - B
Lafalos Cream ZK - - F
Laflanac 25 - - A
Lagesil - - A
Lagesil Syr BARU - - A
Laktafit 270 - A
Laktafit LUAR - - A
Laktafit LUAR 1 - - A
Laktafit LUAR 2 - - A
Laktafit LUAR 3 - - A
LaKtulosa syr 5 - B
Lameson 125 Inj - - C
Lameson 16 - - A
Lameson 4 - - A
Lameson 4 BARU - - A
Lameson 8 - - A
Laminaria Laksana BARU - - E
Lamiros 50 mg - - A
Lampu BS 120 - - E
Lampu Fotometer chem 7 erba - - E
Lampu Spirtus 250ml - - E
Lanaginkola - - A
Lanagogum - - A
Lanakeloid 170 - - A
Lanakeloid E ZK - - F
Lanarif 450 - - A
Lancet - - E
Lancet Axion - - E
Lancid 30 - - A
Lansoprazole 30 471 - A
Lansoprazole 30 BARU - - A
Lansoprazole 30 INF - - A
Lansoprazole 30 KF - - A
Lansoprazole 30 NULAB - - A
Lantiflam 100 BARU - - A
Lantulos syr - - B
Lantus inj - - C
Lantus inj BARU 5 - C
Lapibal 500 - - A
Lapibal 500 BARU - - A
Lapibal Inj - - C
Lapibal Inj BARU - - C
Lapibion - - A
Lapicef 500 - - A
Lapifed Syr - - B
Lapifed DM Syr - - B
Lapifed DM tab - - A
Lapifed Exp Syr - - B
Lapiflox 500 - - A
Lapiflox 500 BARU - - A
Lapimox 500 - - A

39
KEL
NAMA BARANG R B
SEDIAAN
Lapimox 500 - - A
Lapistan 500 - - A
Lapixime Inj 1g - - C
Lapixime Inj 1g BARU - - C
Lapraz 30 - - A
Laprosin - - A
Larutan new methylen blue 100ml - - D
Larutan Turk A - - D
Lasal 2 - - A
Lasal 4 - - A
Lasal exp Syr - - B
Lasal exp Syr BARU - - B
Lasal Syr - - B
Lasal Syr BARU - - B
Laserin Syr 110cc - - B
Lasgan 30 - - A
Lasgan 30 BARU - - A
Latropil 800 - - A
Latropil Syr 2 - B
Latropil Syr BARU - - B
Laxadin Syr 60cc - - B
Laxadin Syr 60cc BARU - - B
Laxing tab - - A
L-Core - - A
L-Core BARU - - A
LDL CHOL DIRECT 100-125 T - - E
LDL CHOLESTEROL 1X40ML - - E
LDL CHOLESTEROL 1X50ML - - E
Lefos 500 - - A
Lesicol 300 LUAR - - A
Lesipar 300 - - A
Letonal 100 - - A
Letonal 25 - - A
Leukocrepe 6 inc - - E
Leukodur 4" - - E
Leukodur 6" - - E
Leukodur 6" LM - - E
Leukomed 10x20 - - E
Leukomed 10x25 - - E
Leukoplast 1/2x5 HP - - E
Leukoplast 1x5 - - E
Leukoplast 1x5 HP LM - - E
Leukoplast 1x5 HP SHBT - - E
Leukoplast 3x5 HP - - E
Leukoplast 3x5 HP (1625) - - E
Leukoplast 3x5 HP SAHABAT - - E
Leukopor 1.25x5 - - E
Levazide BARU 21 - A
Levemir Flex Pen 2 - C
Levemir Flex Pen BARU - - C
Levoben 120 - A
Levocin 500 - - A
Levofloxacin 500 mg - - A
Levofloxacin 500 mg BERNO - - A
Levofloxacin 500 mg NULAB - - A
Levofloxacin Infus 750MG/150ML - - D

40
KEL
NAMA BARANG R B
SEDIAAN
Levofloxacin Infus ASKES HEXP - - D
Levofloxacin Infus BERNO - - D
Levofloxacin Infus BERNO BARU - - D
Levofloxacin Infus DEXA - - D
Levopar 125 - - A
Lexa 500 - - A
Lexa Infus - - D
Licobion - - A
Licobion BARU - - A
Licodexon tab 224 - A
Licodexon tab BARU - - A
Licodium - - A
Licogenta cream - - F
Licokalk 500 MG 10X10 580 - A
Licoklor Syr - - B
Licomet - - A
Liconam - - A
Licoprima - - A
Licoprima F - - A
Licoric - - A
Licostan ICP - - A
Lidocain Inj BERNO - - C
Lidocain Inj NLP - - C
Lidocain Inj PHAPROS - - C
Lidodex Inj - - C
Lincomycin 500 - - A
Lipanthyl Penta - - A
Lipanthyl Supra - - A
Liparin caps BARU - - A
Lipid control N 1 ml - - E
Lipitor 10 - - A
Lipitor 20 - - A
Lipitor 40 - - A
Liposerin - - A
Lipovas 20 - - A
Liquid O2 - - D
LISS/COOMBS CARD 1X12 - - E
Livamin Infus - - D
Liverprime tab LUAR - - A
Livron B Plex - - A
Lizor - - A
LMA NO. 3 AML BARU - - E
LMA NO.1,5 AML - - E
LMA NO.1,5 AML BARU - - E
LMA NO.2 AXIMED - - E
LMA NO.2,5 AML - - E
LMA NO.3 AML - - E
LMA NO.4 AML - - E
Lodia 2 20 - A
Lodia 2 BARU - - A
Lodomer 2 mg BARU 411 - C
Lodomer 2 mg E-CAT - - C
Lodomer 5 mg - - C
Lodomer inj - - C
Lodomer inj 5 ML BARU - - C
Lodopin 25 - - A

41
KEL
NAMA BARANG R B
SEDIAAN
Lodopin 50 - - A
Lodoz 2,5 - - A
Lodoz 5 - - A
Lomatuel - - E
Loperamide 2 mg tab 120 - A
Loratadin 15 - A
Loratadin BARU - - A
L-Ornithin-l-Aspartate 500 mg - - C
Losartan tab NOVELL - - A
Lovenox 0.4 inj BARU - - C
Lovenox 0.4 inj BPJS - - C
Lovenox 0.6 inj ASKES - - C
Lovenox 0.6 inj baru - - C
Luften 100 mg - - A
Luften 25 mg - - A
Lupred - - A
Lynoral 50 - - A
Lynoral 50 ASKES - - A
Lysagor 500 - - A
LYSE BCC 3600 500 ML - - D
M-30D DIF DILUENT 20 L - - D
M-30D DIF DILUENT 20 L BARU - - D
M-30E E-Z CLEANSER 100 ML - - D
M-30E E-Z CLEANSER 100 ML BARU - - D
M-30L DIF LYSE 500 ML - - D
M-30P PROBE CLEANSER 17 ML - - D
M-30R RINSE 20 LTR - - D
M-30R RINSE 5,5 LTR - - D
Magard FA tab SOHO - - A
Mamavit 360 - A
Manitol-20 250cc - - D
Manitol-20 250cc BARU - - D
Manitol-20 500cc - - D
Manitol-20 500cc - - D
Manitol-20 500cc ASKES - - D
Manitol-20 500cc LUAR - - D
Manugel 5 liter - - D
Manugel 500 ml - - D
Martos-10 500cc - - D
Martos-10 500cc ASKES - - D
Martos-10 500cc LUAR - - D
Martos-10 Jumbo - - D
Martos-10 Jumbo ASKES - - D
Masker disposible TIE TYPE SNA - - E
Masker Karet SAHABAT 2 - E
Masker O2 anak - - E
Masker O2 Anak BALON - - E
Masker O2 Anak BALON KLM - - E
Masker O2 bayi - - E
Masker O2 bayi SHT - - E
Masker O2 Dewasa BALON LM - - E
Masker O2 Dewasa BALON REBREATING - - E
Masker O2 Dewasa BALON SHBT - - E
Masker O2 Dewasa BARU - - E
Masker O2 Dewasa SAHABAT - - E
Masker Tali SAHABAT - - E

42
KEL
NAMA BARANG R B
SEDIAAN
Masker Tali SAHABAT BARU - - E
Maxon No. 4-0 (6608-31) Cutting C-13 - - E
Maxpro 100 - - A
Maxpro Syr BARU - - B
Mayo Tube / GUDEL No. 0 SAHABAT - - E
Mayo Tube / GUDEL No. 00 SAHABAT - - E
Mayo Tube / GUDEL No. 1 SAHABAT - - E
Mayo Tube / GUDEL No. 3 - - E
Mayo Tube / GUDEL No. 3 KLM - - E
Mayo Tube / GUDEL No. 4 KLM - - E
Mayo Tube / GUDEL No. 4 LM - - E
Mayo Tube / GUDEL No. 5 - - E
Mayo Tube / GUDEL No. 5 Baru - - E
Mecobalamain inj - - C
Mecobalamain NULAB 480 - A
Mecobalamain NULAB Inj - - A
Mecola - - A
Mecola Forte - - A
Medical Crepe Paper 100x100cm - - E
Medical Crepe Paper 120x120cm - - E
Medical X-Ray dev/rl 10GL - - E
Medical X-Ray dev/rl 10GL BARU - - E
Mediflex cream ZK 30g - - F
Mediflex cream ZK 75g - - F
Medixon 4 - - A
Medixon Inj 125 - - C
Mefinal 250 - - A
Mefinal 500 - - A
Mefinal 500 BARU - - A
Mefix 500 - - A
Megazing - - A
Meiact 200 mg - - A
Meiact 200 mg luar - - A
Melidox - - A
Meloxicam 15 435 - A
Meloxicam 15 E CAT - - A
Meloxicam 15 NULAB - - A
Meloxicam 15 OTTO - - A
Meloxicam 15 OTTO BARU - - A
Meloxicam 7,5 1,601 - A
Meloxicam 7,5 E-CAT - - A
Meloxicam 7,5 E-CAT BARU - - A
Meloxicam 7,5 NULAB - - A
Meloxicam 7,5 OTTO - - A
Memorex tab - - A
Mencevax ACWY - - A
Mensipox 500 - - A
Mentalium 5mg ASKES - - A
Menthol Crystal 250g - - F
Menthol Crystal 500g - - F
Meprobal 250 - - A
Meprobal 500 - - A
Mepromaag - - A
Meproson 4 - - A
Meprotin F - - A
Meprotin Syr - - B

43
KEL
NAMA BARANG R B
SEDIAAN
Meprotin Tab - - A
Merimac 450 mg Askes - - A
Merimac 600 mg - - A
Merimac 600 mg Askes - - A
Merlopam 0,5 - - A
Merlopam 2 - - A
Merlopam 2 BARU 445 - A
Meropenem Inj 1 g BERNO - - C
Meropenem Inj 1 g DEXA - - C
Meropenem Inj 1 g NLP - - C
Meropenem Inj 1 g NULAB - - C
Merotik 0,5 gr inj - - C
Merotik 1 gr inj - - C
Mertigo 6 - - A
Mertigo 6 BARU - - A
Mertigo SR - - A
Mertigo SR BARU - - A
Mestinon 150 - - A
Metformin 500 5,870 - A
Metformin 500 DEXA - - A
Metformin 500 GREAT - - A
Metformin 500 HEX - - A
Metformin 500 LUAR - - A
Metformin 500 XR - - A
Metformin 850 - - A
Metformin 850 BERNO - - A
Metham F - - A
Methanol 500ml - - D
Methilen Blue 100cc - - D
Metilergometrin 0,125 - - C
Metilergometrin mal. Inj - - C
Metilergometrin mal. Inj BARU - - A
Metilergometrin mal. Inj LUAR - - A
Metilprednisolone 16 119 - A
Metilprednisolone 16 PHAPROS - - A
Metilprednisolone 4 BARU - - A
Metilprednisolone 4 BERNO 419 - A
Metilprednisolone 4 DEXA - - A
Metilprednisolone 4 NULAB - - A
Metilprednisolone 4 OTTO - - A
Metilprednisolone 8 BERNO 42 - A
Metilprednisolone 8 DEXA - - A
Metilprednisolone 8 NULAB - - A
Metilprednisolone Inj 125 - - C
Metilprednisolone Inj 125 BARU - - C
Metilprednisolone Inj 125 BERNO - - C
Metilprednisolone Inj 125 OTTO - - C
Metoclopramide 10 KF - - A
Metolon inj ASKES - - C
Metolon Tab ASKES - - A
Metrix 2 - - A
Metrix 3 - - A
Metrix 4 - - A
Metronidazol 500 - - A
Metronidazol 500 ASKES - - A
Metronidazol 500 KF - - A

44
KEL
NAMA BARANG R B
SEDIAAN
Metronidazole Inf 100cc BERNO - - D
Metronidazole Inf 100cc DEXA - - D
Metronidazole Inf 100cc Quant - - D
Metronidazole Inf 100cc BARU - - D
Metronidazole Inf 100cc E-CAT - - D
Metronidazole Inf 100cc LUAR - - D
Metzembaum Fino 18cm - - E
Metzembaum nelson 18cm - - E
Metzembaum nelson 20cm - - E
Mevachol 10 - - A
Mevachol 20 - - A
Meviton - - A
Meylon Inj - - C
Meylon Inj ASKES - - C
Mezatrin 250 - - A
Micardis 40mg - - A
Micardis 40mg ASKES - - A
Micardis 80mg ASKES - - A
Micardis plus 40/12.5 - - A
Micardis plus 80/12.5 - - A
Miconazol ZK 1 - F
Micro Brush Dochem - - F
Microlax gel - - F
Microlax gel LUAR - - F
Micropor 0,5' - - F
Microtainer K3 0,5 ml - - E
Mikasin Inj 250 - - C
Mikasin Inj 500 - - C
Mikrozid AF 5ltr BARU - - D
Miniaspi 80 mg ASKES 180 - A
Minoscrub 1 ltr - - D
Minoscrub 5ltr - - D
Minyak Angin Kapak 28cc - - D
Minyak Angin Kapak 3cc - - D
Minyak Angin Kapak 56cc - - D
Minyak Angin Kapak 5cc - - D
Minyak Kayu Putih 120cc - - D
Minyak Kayu Putih 15cc - - D
Minyak Kayu Putih 1ltr - - D
Minyak Kayu Putih 30cc - - D
Minyak Kayu Putih 60cc - - D
Minyak Telon 30 ml - - F
Minyak Telon 60 ml - - D
Miozidine - - A
Miozidine BARU - - A
Miratrim Syr - - B
Misoprostol - - A
Model Gigi Plus Sikat Besar - - B
Molafate susp 60 ml - - B
Monecto 20 - - A
Morphin - - E
Morphin Inj - - E
Mosardal inf - - D
Movicox Inj - - C
Movix 15 - - A
Movix 7,5 - - A

45
KEL
NAMA BARANG R B
SEDIAAN
MST Continus 10 mg - - A
Mucohexin 8 146 - A
Mucohexin 8 BARU - - A
Mucohexin Syr 120cc - - B
Mucos 30 - - A
Mucos Drops 4 - B
Mucos Drops BARU - - B
Mucos Syr - - B
Mucos Syr BARU - - B
Mucosolvan 8 ASKES - - A
Mucosolvan Syr ASKES - - B
Mucosta - - A
Mucus Extractor LM - - E
Mucus Extractor OM - - E
Multi Drug ONE STEP - - E
Multicontrol sera 5ml - - E
Multisera Calibrator 3ml - - E
Multistix-10 - - E
Mycostatin 100.000UI - - A
Mycostatin 100.000UI ASKES - - A
Mycotec TB - - E
Mylanta - - A
Mylanta syr - - B
Myomergin Inj LUAR - - C
Myonep 50 - - A
Myores 2 - - A
Myotonic 0,125 - - A
Myotonic Inj - - C
N2O 20 kg - - H
N2O 25 kg - - H
Na Citrat 3.8% - - D
Na Diklofenak 25 - - A
Na Diklofenak 50 - - A
Na Diklofenak 50 BERNO 59 - A
Na Diklofenak 50 IGM - - A
NaCl 1000cc Ecosol - - D
NaCl 500cc PPI - - D
NaCl OGB 1000cc - - D
NaCl OGB 1000cc KF - - D
NaCl OGB 500cc - - D
NaCl OGB 500cc BARU - - D
Nairet 2,5 - - A
Nairet Inj - - C
Naletal 50 - - A
Naletal 100 - - A
Naletal 100 BPJS 7 - A
Nalgestan tab - - A
Narkoba 3 Paramono - - E
Nasalin - - D
Natrilix SR - - A
Natto 10 - - A
Nebacetin Powder - - F
Neciblok susp 200cc - - B
Needle Flashback 22x1 - - B
Needle Novo Twist - - E
Needle Olyco - - E

46
KEL
NAMA BARANG R B
SEDIAAN
Needle Terumo No. 18 - - E
Needle Terumo No. 23 - - E
Needle Terumo No. 24 BD - - E
Needle Terumo No. 25 - - E
Needle Terumo No. 25 KLM - - E
Needle Terumo No. 27 - - E
Nefrofer 5ml Inj - - C
Neirbeken besar - - E
Nelaton cateter 10 - - E
Nelaton cateter 14 - - E
Nelaton cateter 16 - - E
Nelaton cateter 18 - - E
Nelaton cateter 24 - - E
Neo Diaform ASKES - - A
Neo Equal granul - - A
Neo Equal tab - - A
Neo K Inj - - C
Neo Kaolana Syr - - B
Neo Mune - - A
Neonatal nasal ventilation double tube 10 f - - E
Neostigmine inj - - C
Neostigmine inj askes - - C
Nepatic 300 - - A
Nephrisol Vanila 185gr - - A
Nephrolit - - A
Neripros 2 - - A
Nerva Plus tab - - A
Neuciti 500 - - A
Neuciti 500 BARU - - A
Neuciti inj 250 - - C
Neuciti inj 500 - - C
Neulin Inj 250 - - C
Neuroaid - - A
Neurochol - - A
Neurodex ASKES - - A
Neurohax 5000 45 - A
Neurohax 5000 BARU - - A
Neurosanbe 110 - A
Neurosanbe 5000 - - A
Neurosanbe BARU - - A
Neurosanbe Inj - - C
Neurosanbe Inj BARU - - C
Neurosanbe Plus - - A
Neurosanbe Plus BARU - - A
Neurotam 1200 - - A
Neurotam 400 - - A
Neurotam 800 - - A
Neurotam Inf 100cc - - D
Neurotam Inj 1g - - C
Neurotam Inj 3g - - C
Nevox XR 500 - - A
New Diatabs 600 - - A
Nexium 40 Mg Tab - - A
Nexium Inj 40 - - C
Nicafer 10 mg inj - - C
Nicardipin 10 mg inj - - C

47
KEL
NAMA BARANG R B
SEDIAAN
Nicardipin 10 mg inj BERNO - - C
Nicardipin 10 mg inj NLP - - C
Nifedipin 10 ASKES - - A
Nifedipin 10 DEXA - - A
Nifudiar Syr - - B
Nifudiar Syr BARU - - B
Nikolam 500 - - A
Nikolam DS - - B
Nikolam DS BARU - - B
Nimodipine 10mg Inf - - C
Nimodipine 10mg Inf LUAR - - C
Nimotop 50 infus - - C
Nimotop INFUS LUAR - - C
Nimotop INFUS LUAR 1 - - C
Nimotop Tab LUAR - - C
Nimotop Tab LUAR 1 - - C
Nimotop Tab LUAR 2 - - C
Nitrocine inj - - C
Nitrokaf - - A
Nitrokaf retard 870 - A
Nitrokaf retard BARU - - A
Noflexin 400mg - - A
Nokoba Inj - - C
Nokoba Inj BARU - - C
Non Woven 100cmx100cm - - C
Non Woven 120cmx120cm - - C
Noperten 10 ASKES - - A
Noprenia 1 ASKES - - A
Norelut 5 - - A
Norelut 5 ASKES - - A
Norepineprine Inj - - C
Norepineprine Inj BARU - - C
Norestil - - A
Norestil ASKES - - A
Norit - - A
Norit BARU - - A
Noros - - A
Nova T AAM - - E
Nova T BARU - - E
Nova T LM - - E
Nova T LUAR - - E
Novadril Syr - - B
Novakal TAB (CALK) - - A
Novalgin Drops - - B
Novalgin Syr - - B
Novalgin Syr BARU - - B
Noverty tab Askes - - A
Novomix-30 flex pen - - C
Novomix-30 flex pen ASKES 3 - C
Novorapid Flex Pen Inj - - C
Novorapid Flex Pen Inj ASKES 5 - C
Novorapid Inj ASKES - - C
Novosta - - A
NTG Inj - - D
NTG Inj BARU - - D
Nucral - - A

48
KEL
NAMA BARANG R B
SEDIAAN
Nucral Suspensi 100 ml 3 - B
Nudep 50 - - A
Nufapreg 25 - - A
Nulacta for Mother - - A
Nulacta Plus - - A
Nursing Cap MMP - - E
Nursing Cap SAHABAT - - E
Nutribreas - - A
Nutricholin 360 - ###
Nutrifar ASKES - - A
Nutriflam 60 - A
Nutriflam BARU - - A
Nutriflam LUAR - - A
Nuzip 100 mg 195 - A
Nuzip 25 mg - - A
Nuzip 25 mg BARU - - A
Nymiko Drops - - B
Nyndia drop 12 ml - - B
Nyndia drop 12 ml BARU - - B
Nystatin drop 3 - B
OBH Berlico 100cc 2 - B
OBH Berlico 100cc BARU - - B
OBH Combi Plus 100cc - - B
OBH Combi Plus 60 cc - - B
OBH Ika 100cc - - B
OBH Ika 100cc BARU - - B
OBH Nelco 100cc - - B
OBH Nelco 55cc - - B
Obimin AF - - A
Object Glass 7101 - - E
Object Glass 72's - - E
Object Glass MERAH - - E
OBP 100cc - - B
Octalbin Inf 20% 100cc - - D
Octalbin Inf 20% 100cc ASKES - - D
Octalbin Inf 20% 50cc - - D
Octalbin Inf 25% 100cc - - D
Octalbin Inf 25% 50cc - - D
Octemic Body Wash Gloves - - E
ODR 4 mg inj - - C
ODR 4 mg inj BARU - - C
ODR 8 mg inj - - C
ODR Sirup 4 mg - - B
Ofloxacin 200 - - A
Ofloxacin 400 IGM 10 - A
Ofloxacin 400 NOVEL - - A
Ok plast 100's - - E
Oksigen besar (6m3) - - H
Oksigen mini - - H
Olandoz 10 mg - - A
Olandoz 10 mg IGM - - A
Olandoz 5 mg - - A
Olanzapine 10mg dexa - - A
Olanzapine 5mg dexa - - A
Omegdiar - - B
Omeprazol 20 BERN 1,610 - A

49
KEL
NAMA BARANG R B
SEDIAAN
Omeprazol 20 DEXA - - A
Omeprazol 20 HEX - - A
Omeprazol 20 ICP - - A
Omeprazol 20 ICP BARU - - A
Omeprazol 20 KF - - A
Omeprazol Inj - - C
Omeprazol Inj Darya v - - C
Omeprazol Inj DEXA - - C
Omeprazol Inj E - - C
Omeprazol Inj MBF - - C
Omeprazol Inj NLP - - C
Omeprazol Inj NULAB - - C
Omeprazol PHAPROS - - A
Omesta syr - - A
OMZ Ferron 20 195 - A
OMZ Inj - - C
Ondansetron 4 FAH - - A
Ondansetron 4 IGM 13 - A
Ondansetron 4 KF - - A
Ondansetron 4 MBF - - A
Ondansetron 4 mg - - A
Ondansetron 8 mg 15 - A
Ondansetron 8 mg NULAB - - A
Ondansetron Inj 4 mg BERNO - - C
Ondansetron Inj 4 mg DEXA - - C
Ondansetron Inj 4 mg IGM - - C
Ondansetron Inj 4 mg MBF - - C
Ondansetron Inj 4 mg NOVELL - - C
Ondansetron Inj 4 mg NULAB - - C
Ondansetron Inj 8 DEXA - - C
Ondansetron Inj 8 mg - - C
Ondansetron Inj 8 mg BARU - - C
Onescrub 500ML - - E
Onescrub galon 5 liter OM - - E
Onzapin 10 mg - - A
Onzapin 5 mg - - A
Opigran 1 MG Inj - - C
Opigran 3 Inj - - C
Opilax 60cc Syr - - B
OPM Mepro 20 - - A
Opsite Post-Op (15,5x8,5) - - E
Opsite Post-Op (15,5x8,5) LM - - E
Opsite Post-Op (25x10) ENSEVAL - - E
Opsite Post-Op (25x10) LM - - E
Opsite Post-Op (25x10) LM BARU - - E
Opsite Post-Op (25x10) LUAR - - E
Optalvit Plus - - A
Optimax For G 190 - A
Optimax For G BARU - - A
Optimax For G LUAR - - A
Optimax For G LUAR 1 - - A
Optimax For G LUAR 2 - - A
Orgabolin - - A
Orinox 60mg - - A
Orinox 60mg LUAR - - A
Orinox 90mg - - A

50
KEL
NAMA BARANG R B
SEDIAAN
Ortosplint 4"X 30" Sachet - - E
Osdec Kapsul - - A
Ose Logam - - E
Osfit DHA cap - - A
Osfit DHA cap baru - - A
Osfit DHA cap LUAR - - A
Oskom caplet - - A
Ossoral 200 - - A
Ossoral 800 - - A
Ostelox 15 mg - - A
Ostelox 7.5 mg - - A
Osteocal 86 - A
Osteocal ASKES - - A
Osteokom - - A
Osteokom cream - - F
Osteonate OD - - A
Otilon TT 2 - G
Otilon TT BARU - - G
Otopain TT - - G
Otopain TT BARU - - G
Otrivin 0,1% Nasal Drops dewasa - - G
Otsu D40% Inj - - C
Otsu D40% Inj BARU - - C
Otsu MgSO4 20% Inj - - C
Otsu MgSO4 40% Inj BARU - - C
Otsu MgSO4 20 %Inj ASKES - - C
Otsu MgSO4 40%Inj ASKES - - C
Otsu NS 100cc BARU - - D
Otsu NS 500cc - - D
Otsu Salin 3% 500cc - - D
Otsu tran 40 Inf - - D
Oval Eye Pad - - E
Oxtin 30 6 - A
Oxytetracyclin ZM - - F
Oxytetracyclin ZM ASKES - - F
Oxytocin inj - - C
Oxytocin inj BARU - - C
Pamol 125 mg Supp - - H
Pamol 125 mg Supp BARU - - H
Pamol 250 mg Supp - - H
Pan Amin G 500cc - - D
Panbio Dengue Duo Cassette - - E
Panso 40 inj - - C
Pantoprazole 40 mg INJ BERNO - - C
Pantoprazole 40 mg INJ NULAB - - C
Pantoprazole 40 mg INJ OTTO - - C
Pantoprazole 40 mg INJ PHAPROS - - C
Paper Printer - - E
Paracetamol 500 1,058 - A
Paracetamol 500 KF - - A
Paracetamol Drops - - B
Paracetamol Drops IGM - - B
Paracetamol INFUS - - B
Paracetamol INFUS LUAR - - B
Paracetamol INFUS LUAR 1 - - B
Paracetamol INFUS LUAR 2 - - B

51
KEL
NAMA BARANG R B
SEDIAAN
Paracetamol INFUS LUAR 3 - - B
Paracetamol Syr 24 - B
Paracetamol Syr BERNO - - B
Paracetamol Syr ICP - - B
Paracetamol Syr KF - - B
Paracetamol Syr TIARA K - - B
Paracetamol Syr TIARA K BARU - - B
Paradryl Inj - - C
Paramidon Inj - - C
Parfum / Essens - - D
Pariet - - A
Pastik - - E
PB Cleaner - - E
Pedab 80 - - A
Pedialyte - - A
Pehacain Inj - - C
Pelastin inj - - C
Pen Needle 31x5 - - E
Pen Needle 32x4 BD 18 - E
Pentoxifilin Inj 300 - - C
Peptimune vanila 185gr - - C
Peptisol 185gr - - C
Percocyn 500 - - A
Perhydrol 3% (H2O2) 1Lt - - D
Perhydrol 50% (H2O2) 800cc 1 - D
Pethidin Inj - - C
Pethidin Inj LUAR - - C
Pewarna Gram 300 ML - - D
Pewarna MDT 3x100 - - D
Pewarna rapid 3x100 - - D
Pewarna Sedimen 100 ml - - D
PH Indikator - - E
Phaminov Inj 24 - - A
Pharolit 240 - F
Phenitoin 100 2,595 - A
Phenitoin 100 BARU - - A
Phenitoin Inj - - C
Phenitoin Inj ASKES - - C
Phenitoin Inj BARU - - C
Phenitoin Inj Luar - - C
Phenitoin Inj Luar 1 - - C
Phenitoin Inj Luar 2 - - C
Phenobarbital Inj luar - - C
Phenobarbital 30 1,110 - A
Phenobarbital 30 BARU - - A
Phental 100 mg Inj - - C
Pibaksin oint 10 gr - - F
Pibaksin oint 10 gr BARU - - F
Picyn Inj 1,5g - - C
Picyn Inj 1g - - C
Pinset ( Umum ) - - D
Pionix 30 mg - - A
Pipet Eritrosit - - E
Pipet Filler - - E
Pipet HT heparinzed - - E
Piracetam 1200 DEXA 1,728 - A

52
KEL
NAMA BARANG R B
SEDIAAN
Piracetam 1200 NULAB - - A
Piracetam 1200 Quantum 15 - A
Piracetam 800 292 - A
Piracetam 800 NULAB - - A
Piracetam Inf 100cc - - C
Piracetam Inf 100cc LUAR - - C
Piracetam Inf 100cc LUAR 1 - - C
Piracetam Inj 1gr - - C
Piracetam Inj 1gr BARU - - C
Piracetam Inj 1gr HEX - - C
Piracetam Inj 3gr DEXA - - C
Piracetam Inj 3gr TSJ - - C
Piralen 10 - - A
Piralen Inj - - C
Pirofel 20 - - A
Piroxicam 10 - - A
Piroxicam 20 - - A
Pispot Sodok Plastik Besar - - E
Pispot Sodok Plastik Kecil - - E
PK Crystal - - F
Pladogrel - - A
Plain 3ml - - E
Plain 3ml BARU - - E
Plain 3ml SHB - - E
Plain 4ml - - E
Plain Gut No. 4-0 (UG-207) Taper - - E
Plasbumin 20% 100cc - - D
Plasbumin 20% 100cc ASKES - - D
Plasbumin 25% 100cc - - D
Plasbumin 25% 100cc ASKES - - D
Plasbumin 25% 100cc ASKES BARU - - D
Plasbumin 5% 50cc - - D
Plasminex 500 - - A
Plasminex inj BARU - - C
Plasmotec Malaria-3 - - E
Plastik Instrumen - - E
Plastik Klip 10 X 7 - - E
Plavix 75 - - A
Plesterin BULAT - - E
Plesterin One Med - - E
Pletaal Powder - - A
Poli Aid 5ltr - - D
Poliban 3" - - E
Poliban 4" - - E
Poliban 6" - - E
Policlean 5 LT - - D
Policlean 500 ml - - D
Policrep 3" - - E
Policrep 4" - - E
Policrep 6" - - E
Polidemisin TM - - G
Polifix 10x10 AXIMED - - E
Polifix 10x5 - - E
Polifix 10x5 BARU - - E
Polifix 5x5 - - E
Polifix 5x5 BARU - - E

53
KEL
NAMA BARANG R B
SEDIAAN
Polifrisin 5cc TM - - G
Poligyp 3" - - E
Poligyp 3" LM - - E
Poligyp 4" BARU - - E
Poligyp 4" BARU SAHABAT - - E
Poligyp 4" LM - - E
Poligyp 6" LM - - E
Poligyp 6" LM BARU - - E
Poligyp 6" SAHABAT - - E
Poliwash 500 ML - - D
Poliwash 5000 ML - - D
Polymed yankaur ( POLYSUCTION ) - - E
Polymem Silver 10,8 x 10,8 - - E
Polypropylene 2/0 TS-27 - - E
Polypropylene 5/0 HR-17 - - E
Polypropylene 6/0 - - E
Polysorb No. 0 (CL-812) - - E
Polysorb No. 1 (CL-915) - - E
Polysorb No. 1 (CL-936) - - E
Polysorb No. 2 (CL-906) Taper GS-25 - - E
Polysorb No. 2-0 (CL-923) - - E
Polysorb No. 3-0 (GL-182) Taper - - E
Polysorb No. 4-0 (UL-203) Taper - - E
Polyvac set - - E
Pondex Syr LUAR - - B
Pondex Syr ASKES - - B
Posafit tab 450 - A
Posafit tab BARU - - A
Posafit tab LUAR - - A
Posafit tab LUAR 1 - - A
Pospargin 0,125 - - A
Pospargin Inj - - C
Pospargin Inj Askes - - C
Pot Salep 10 - - E
Pot Salep 100 cc - - E
Pot Salep 100 cc LM - - E
Pot Salep 20 cc - - E
Pot Salep 20 cc BARU - - E
Pot Salep 30 cc - - E
Pot Salep 50 gr - - E
Pot Salep 50 gr BARU - - E
Pot Salep 5gr - - E
Pot urin 50 cc - - E
Potasium 5x100 (K+) - - D
PPC 3 Juta (penicillin procain) Inj - - C
Pradaxa tab - - A
Pramipexole Tab 0.125 MG - - A
Pranza 40 inj BARU - - C
Prazotec 30 - - A
Preabor 5 - - A
Precicontrol Clinchen - - C
Precinorm U - - C
Precopar 500ml - - D
Prednison 5 11 - A
Pregabalin 75 36 - A
Pregabalin 75 BARU - - A

54
KEL
NAMA BARANG R B
SEDIAAN
Pregnancy test - - E
Pregnasea - - A
Pregnolin - - A
Premaston 5 - - A
Premaston 5 LUAR - - A
Prenamia - - A
Prenatin DF - - A
Presept - - A
Pridesia 5 - - A
Primadex syr 60cc ASKES - - B
Primadol - - A
Primasept 5ltr - - D
Primolut N 5 - - A
Proanes inj - - C
Proanes inj BARU - - C
PROBE CLEANSER BCC 3600 - - D
Probiokid - - A
Procain Cafein Inj - - C
Procain HCl 4% Inj - - C
Procalma - - A
Procalma BARU - - A
Procardio - - A
Procepim Inj - - C
Procetam 1200 - - A
Procetam 400 - - A
Procetam 800 - - A
Procetam Inj 3g - - C
Proclozam 10 - - A
Prodex 2.0 rev cuting24mm,75 - - E
Profertil - - A
Proinfark inj 200 ASKES - - C
Proinfark inj Askes - - C
Prolacta DHA For Mather - - A
Prolene No. 0 (8690H) - - E
Prolene No. 1 (W742) - - E
Prolene No. 3-0 (W8878T) - - E
Prolene No. 4-0 (W-525) - - E
Prolepsi 300 - - A
Prolepsi 300 LUAR - - A
Prolevox 500 - - A
Prolic 300 - - A
Promavit tab - - A
Promavit tab BARU - - A
Prome Exp Syr - - B
Prome Exp Syr baru - - B
Promedex 140 - A
Promedex LUAR - - A
Promuba Susp - - B
Promuba Susp BARU - - B
Pronalges 100 - - A
Pronalges 50 - - A
Pronalges CR 200 - - A
Pronalges Inj - - C
Pronalges Supp - - C
Pronalges Supp BARU - - C
Pronalges Supp LUAR - - C

55
KEL
NAMA BARANG R B
SEDIAAN
Proneuron - - A
Propanolol 10 DEXA 150 - A
Propanolol 40 BARU - - A
Propanolol 40 DEXA - - A
Propylthioracil (PTU) DEXA 90 - A
Prosogan FD 30 - - A
Prospan syr - - B
Prostigmin Inj - - C
Protocin inj - - C
Protocin inj luar - - C
Provagin Ovula - - H
Provelin tab - - A
Provital - - A
Provital Plus - - A
Provula DEXA - - A
Psidii syr - - B
Pulna Forte - - A
Pulna Forte BARU - - A
Pumpitor inj - - C
Purubex 50 - - A
Pyrazinamide 500 - - A
Pyrazinamide 500 ASKES - - A
Pyrazinamide 500 KF - - A
Pyrexin 500 - - A
Pyrexin Syr - - B
Q-Cef 500 - - A
Qipro 200 - - A
Qipro 400 - - A
Rak Pengecatan - - E
Ramipril 10 mg - - A
Ramipril 5 mg - - A
Ramipril 5 mg DEXA 2,089 - A
Ramipril 5 mg LUAR - - A
Ranitidin 150 180 - A
Ranitidin 150 BERNO 2,125 - A
Ranitidin 150 DEXA - - A
Ranitidin 150 ICP - - A
Ranitidin Inj - - C
Ranitidin Inj E - - C
Ranitidin Inj BERNO - - C
Ranitidin Inj NLP - - C
Ranitidin Inj NOVEL - - C
Ranitidin Inj OTTO - - C
Rantin 150 - - A
Rantin 300 - - A
Rantin inj - - C
Rativol Inj 30 - - C
RD 500cc - - D
Reagen Pack - - D
Rebamid - - A
Rebamipide - - A
Reco Tm - - G
Recormon PFS 2000UI INJ - - C
Red Cap Clot Activator 3ml - - D
Redacid tab - - A
Redoxon Eff - - A

56
KEL
NAMA BARANG R B
SEDIAAN
Refill Sol For Ise - - E
Regivel inj - - C
Regivel inj BARU - - C
Reglus 500 - - A
Regulator oksigen SHARP - - E
Regulator oksigen SHARP SAHABAT - - E
Regumen 5 - - A
Remital 10 mg - - A
Remital 5 mg - - A
Remopain Inj 30 - - C
Remopain Inj 30 ASKES - - C
Renabetic - - A
Renadinac 50 ASKES - - A
Renalin - - D
Renalof - - A
Renapar - - A
Renaquil - - A
Renax - - A
Renax BARU - - A
Renodiol 5 - - A
Renosan 500cc - - D
Renxamin 200ml - - D
Renxamin 200ml LUAR - - D
Reotal SR 400 - - A
Revolan 400 mg - - A
Revolan inj 1gr - - C
RF 100 - - E
RF LATEX KIT LAB - - E
Rhelafen Forte Susp - - B
Rhelafen Susp - - B
Rhelafen Susp BARU - - B
Rhinos Drop - - B
Rhinos SR - - A
Rhinos SR BARU - - A
Rhinos Syr - - B
Rifampicin 300 - - A
Rifampicin 450 - - A
Rifampicin 450 KF - - A
Rifampicin 450 BERNO 15 - A
Rifampicin 600 BERNO 48 - A
Rifamtibi 450 - - A
Riklona tab - - A
Rilus - - A
Ring Presarium 7.5 - - E
Ring Presarium 7.5 BARU - - E
Ring Presarium 8,0 600 - E
Risperidone 2 - - A
Risperidone 2 Askes - - A
Rivanol 100cc 1 - D
Rivanol 100cc OM - - D
Rivanol 100cc KLM - - D
Rivanol 1ltr - - D
Rivanol 300cc - - D
Rivotril 2 7,802 - A
Rizodal 2 - - A
RL 500cc OGB - - D

57
KEL
NAMA BARANG R B
SEDIAAN
RL 500cc OTSU - - D
RL 500cc WIDA - - D
Rocer Inj - - C
Roculax inj - - C
Rohto 7ML TM - - G
Romicef Inj 1g - - C
Rosufer - - A
Rosuvastatin 20 - - A
Rotaver - - A
RPR Carbon Antigren - - E
Sacharum Lactis 1kg - - A
Safety Box 5 lt - - E
Sagestam 10 g ZK BARU 1 - F
Sagestam 10g ZK - - F
Sagestam Inj 80 - - C
Sagestam TM - - G
Sakaneuron - - A
Sakatonik Liver 310cc - - B
Salbutamol 2 MG 170 - A
Salbutamol 2 MG BARU - - A
Salbutamol 4 MG 312 - A
Salep 2-4 15 gr - - F
Salicyl Talk Biasa - - F
Salicyl Talk mentol luar - - F
Salmonella typhi AH - - E
Salmonella typhi AO - - E
Salmonella typhi B - - E
Salmonella typhi H - - E
Salmonella typhi O - - E
Salofalk 25 - - A
Sample Cup 1,5 ml - - E
Sample Cup 1,5 ml Standart - - E
Sample Cup 1,5 ONE MED - - E
Sample Cup Eppendorf 1,5 ml - - E
Samsca tab - - A
San B Plex Drops - - B
Sanadryl DMP 120 cc - - B
Sanadryl DMP 120 cc BARU - - B
Sanadryl DMP 60 cc - - B
Sanadryl DMP 60 cc BARU - - B
Sanadryl Exp. 120 cc - - B
Sanadryl Exp. 60 cc - - B
Sanazet 500 - - A
Sanbe Hest 50 - D
Sandepril 50 mg - - A
Sandepril 50 mg E-cat - - A
Sanexon 4mb tab - - A
Sanexon Inj 125 - - C
Sankorbin Injeksi - - C
Sanmag - - A
Sanmag Syr - - B
Sanmol 500 - - A
Sanmol 500 BARU 50 - A
Sanmol Drops - - B
Sanmol Drops BARU - - B
Sanmol INF - - D

58
KEL
NAMA BARANG R B
SEDIAAN
Sanmol INF LUAR - - D
Sanmol Syr - - B
Sanmol Syr BARU - - B
Sanorin Biru 0.025% - - B
Sanorin Hijau 0.1% - - B
Sanoskin FOAM - - F
Sanoskin zalf - - F
Sanprima - - A
Sanprima Forte - - A
Sanprima Forte BARU - - A
Sanprima Syr - - B
Sanprima Syr BARU - - B
Sansulin N - - C
Sansulin R - - C
Sansulin R ASKES - - C
Santa - E 200 - - A
Santagesik Inj - - C
Santibi 500 - - A
Santibi Plus - - A
Santibi Plus BARU - - A
Santocyn inj - - C
Sanvita B Syr - - B
Sanvita B Syr BARU - - B
Sarung tangan nitril blue safe - - E
Scabicore Cream 30 g - - F
Scabimite zalf - - F
Scabimite zalf 30Gr - - F
Scacid zalf 10gr 4 - F
Scandonest 3% inj 1 - C
Scopamin 10 40 - A
Scopamin Inj - - C
Scopamin Plus - - A
Scopma Plus - - A
SD Biolin HBSAG 100 TES - - E
SD Biolin HIV 100 TES - - E
Sealant Wax - - E
Sedacum 0,1 % Inj 5 - - C
Sediplast - - E
Seles B6 10 mg - - A
Selesbion - - A
Selesmol 500 mg - - A
Seloxy - - A
Seloxy AA 660 - A
Seloxy AA LUAR - - A
Semax 0,1% 3 ml - - C
Sendok Obat - - D
Septadine 1 liter - - D
Septocain inj LUAR - - C
Sequest LUAR - - A
Seriscan Normal 1x5ml - - D
Seriscan Normal 1x5ml MUREX - - D
Serlof 50 - - A
Sermion 10 - - A
Sermion 30 - - A
Serolin 10 - - A
Serolin 30 - - A

59
KEL
NAMA BARANG R B
SEDIAAN
Seroquel XR 200 60 - A
Seroquel XR 300 - - A
Sertraline - - A
Sevoflurane - - C
Sevoflurane CASH ENS - - C
SGOT 10 X 50ML QCA - - D
SGOT 10X18ml - - D
SGOT 12X16ML - - D
SGOT 20 X 10ML - - D
SGOT 20 X 5ML RAJAWALI - - D
SGOT 4 X 35 ML 2X18 ML - - D
SGOT 4 X 50ML - - D
SGOT 8 X 50ML - - D
SGPT 10 X 50ML QCA - - D
SGPT 12X16ML - - D
SGPT 15 X 15ML - - D
SGPT 2 X 50ML - - D
SGPT 3 X 80ML - - D
SGPT 4X 35ML 2X18 ML - - D
SGPT 4X50ML ERBA - - D
SGPT 8 X 50ML - - D
SGPT 8 X 50ML RAJAWALI - - D
Sharox 500 - - A
Sharox Inj 750 - - C
Sibital 50 MG TAB - - C
Sibital Inj - - C
Siclidon 100 - - A
Sifrol 0.125 14 - A
Sikat tabung 12X75 - - E
Sikat tabung reaksi - - E
Sikat tabung reaksi kecil 5 - E
Sikzonoate inj 25 mg E-cat - - C
Sikzonoate inj 25 mg E-cat BARU - - C
Silex Syr - - B
Silk 2/0 HR 22 ASSULT - - E
Silk 4/0 HR 17 ASSULT - - E
Silk Black 2/0 SIMACLOUS - - E
Silk Black No. 2/0 (5m) - - E
Silk Black No. 3/0 (100m) baru - - E
Silk Black No. 3/0 (5m) - - E
Silk Black No. 3/0 SIMACLOUS - - E
Silver Bag 3 L - - D
Silver Bag 3 L STANDAR - - D
Sim sciss / obgyn 20cm - - E
Simarc 2 630 - A
Simarc 2 LUAR - - A
Simpenem 1gr inj - - C
Simvastatin 10 BERNO - - A
Simvastatin 10 BERNO BARU 2,137 - A
Simvastatin 10 DEXA - - A
Simvastatin 10 KF - - A
Simvastatin 20 - - A
Sinocort oral paste - - F
Sinocort oral paste BARU - - F
Siran forte eff BARU - - B
Sirplus syrup - - B

60
KEL
NAMA BARANG R B
SEDIAAN
Sistenol - - A
Sistenol LUAR - - A
Sizoril 100 - - A
Sizoril 25 - - A
Skizon Cr 10gr ASKES - - F
Smecta - - A
SNMC inj - - C
SNMC inj BARU - - C
Sodalime - - E
Sodermix Krim 15 Gr - - F
Sodime inj 1gr - - C
Sodium (Na+) - - D
Sodium Citrate 3.2 % 2.7 ml - - D
Sof pad 60x90 - - E
Sofratulle 10x10 - - E
Sofratulle 10x10 BARU - - E
Sofsilk No. 3-0 (GS 452) Taper 20mm - - E
Sofsilk No. 3-0 (VS 872) Taper 20mm - - E
Sofsilk No. 4-0 (VS 871) BARU - - E
Sofsilk No. 4-0 (VS 871) Taper 17mm - - E
Soft Klick - - E
Softaman 500 cc - - D
Softband 3" - - E
Softband 3" LM - - E
Softband 4" - - E
Softband 6" - - E
Sohobal inj - - C
Sohobion 5000 Inj Askes - - C
Soholin inj 250 - - C
Sojourn - - C
Solu Medrol 125 mg inj ASKES - - C
Somatostatin 3ml inj - - C
Somerol 125 inj - - C
Somerol 16 - - A
Somerol 4 - - A
SOPAVEL 10 ODT - - A
Soperam inj - - C
Sopime Inj - - C
Sotatic 10 ASKES - - A
Sotatic Inj - - C
Sotatic Inj ASKES - - C
Spalk Sponge 100 cm - - E
Spalk Sponge 15 cm - - E
Spalk Sponge 20 cm - - E
Spalk Sponge 30 cm - - E
Spalk Sponge 40 cm - - E
Spalk Sponge 50 cm - - E
Spalk Sponge 60 cm - - E
Spalk Sponge 70 cm - - E
Spalk Sponge 80 cm - - E
Spalk Sponge 90 cm - - E
Spasmal - - A
Spasmeco Plus - - A
Spasminal - - A
Spasminal BARU - - A
Spasmomen - - A

61
KEL
NAMA BARANG R B
SEDIAAN
Spasmomen LUAR - - A
Spinocan No. 25 SAHABAT - - E
Spinocan No. 25 SAHABAT BARU - - E
Spinocan No. 27 LM - - E
Spinocan No. 27 LM BARU - - E
Spinocan No. 27 SAHABAT - - E
Spinocan No. 27 SHB - - E
Spiramycin 500 - - A
Spirasin tab - - A
Spiritus 1liter - - D
Spirola 100 - - A
Spirola 25 - - A
Spirolacton 100 ASKES - - A
Spirolactone 100 ASKES - - A
Spironolactone 100 465 - A
Spironolactone 100 BARU - - A
Spironolactone 25 - - A
Spironolactone 25 BARU 1,481 - A
Spongostan/curaspon 10x10x10mm - - E
Spongostan/Gelita-Spon 8x5x1cm - - E
Sporacid 100 mg - - A
Sporetik 100 - - A
Sporetik 50 - - A
Sporetik DS - - B
Spuit 10cc One Med ASKES - - E
Spuit 10cc SS/ Prima ASKES - - E
Spuit 10cc Terumo - - E
Spuit 10cc Terumo Baru - - E
Spuit 1cc OM - - E
Spuit 1cc Terumo - - E
Spuit 1cc Terumo BARU - - E
Spuit 1cc Terumo LM - - E
Spuit 20cc Terumo LM - - E
Spuit 20cc Terumo SAHABAT 5 - E
Spuit 3cc BD - - E
Spuit 3cc OM - - E
Spuit 3cc OM KLM - - E
Spuit 3cc Terumo - - E
Spuit 3cc Terumo BARU - - E
Spuit 50cc (tengah) Terumo - - E
Spuit 50cc (tengah) Terumo SAHABAT - - E
Spuit 50cc(pinggir) SAHABAT - - E
Spuit 50cc(pinggir) SAHABAT 1 - - E
Spuit 50cc(pinggir) Terumo LM - - E
Spuit 5cc OM KLM - - E
Spuit 5cc One med - - E
Spuit 5cc Terumo - - E
Spuit insulin 1cc (100 unit) Terumo - - E
Spuit insulin 1cc (40 unit) Terumo - - E
Stabimed - - D
Stabixin Inj - - C
Standar braket stainles BESAR - - E
Standar braket stainles KECIL - - E
Starquin infus - - D
Startes HCV - - E
Stelazine 5 8,144 - A

62
KEL
NAMA BARANG R B
SEDIAAN
Stelosi ASKES - - A
Steranios 2% 5 liter - - D
Sterilene 2.0 Rev Cutting 24mm,75cm - - D
Sterilene 3.0 Rev Cutting 19mm,75cm - - D
Sterilene 4.0 Rev Cutting 19mm,75cm - - D
Sterilinge SA 5liter - - D
Sterobac 400ML - - D
Sterox 1 liter - - D
Sterox 4.85 liter - - D
Stesolid Inj 1 - C
Stesolid Inj ASKES - - C
Stesolid rectal 10 - - H
Stesolid rectal 10 LUAR - - H
Stesolid rectal 5 - - H
Stesolid rectal 5 ASKES - - H
Stesolid rectal 5 LUAR - - H
Stik Accu Check ACTIVE GLUCOSE - - E
Stik Asam Urat ET - - E
Stik Cholesterol ET - - E
Stik Gluco dr - - E
Stik Glucose ET - - E
Stik Glucose NESCO - - E
Stobled - - A
Stolax Supp BARU - - H
Stomacain - - A
Stomach Tube No. 12 AXIMED - - E
Stomach Tube No. 12 SAHABAT - - E
Stomach Tube No. 14 BARU - - E
Stomach Tube No. 14 LM - - E
Stomach Tube No. 16 - - E
Stomach Tube No. 16 SAHABAT - - E
Stomach Tube No. 18 AXIMED - - E
Stomach Tube No. 18 SAHABAT - - E
Stopwatch Digital - - E
Streptomycin Inj 1g - - C
Strocain P 30 - A
Strocain P LUAR - - A
Stromatolyzer Global - - D
Stugeron 25 1 - A
Sucralfat susp 100 ml 30 - B
Sucralfat susp 100 ml BARU - - B
Suction Cath No. 10 - - E
Suction Cath No. 10 Aximed - - E
Suction Cath No. 10 SAHABAT - - E
Suction Cath No. 12 - - E
Suction Cath No. 12 SAHABAT - - E
Suction Cath No. 14 - - E
Suction Cath No. 14 LM - - E
Suction Cath No. 14 SAHABAT - - E
Suction Cath No. 8 - - E
Sulcolon 500 - - A
Sulfadiazin Silver Zalf - - F
Sulfadoxine - - A
Super White - - D
Superhoid Supp - - H
Supradyn Eff - - A

63
KEL
NAMA BARANG R B
SEDIAAN
Suprafenid Inj - - C
Suprafenid Supp - - H
Suprafenid Supp LUAR - - H
Suprafenid Supp LUAR 1 - - H
Supralysin Drop - - B
Supralysin Syr 100cc - - B
Supralysin Syr 60cc - - B
Supramox 500 - - A
Supramox Drops - - B
Supramox DS 125 - - B
Supramox F DS 250 - - B
Surfanios 5 liter - - D
Surgical Cap - - E
Surgical Hat /doktor cap - - E
Surgical Hat /doktor cap SHB - - E
Surgilactin 8,0,spatula 6 mm,30 cm - - E
Surgipro 3-0 SP 665 - - E
Surgipro 4-0 SP 683 - - E
Surgipro 5-0 SP 661 - - E
Surgipro 5-0 VP 556 - - E
Surgipro 6-0 SP-660 - - E
Surgipro 7-0 VP-713X - - E
Syiphilis Strip Answer - - E
Syringe Pump Medrad radiologi - - E
Tabas 2,5 - - A
Tabas Syr - - B
Tabung Na citrat,LED,Rak Sindiplast - - E
Talk 1kg - - F
Tamofen - - A
Tamofen ASKES - - A
Tamoliv inf - - B
Tampon - - E
Tanapres 10 - - A
Tantum Verde Syr - - B
Tarivid 200 - - A
Tarivid Optalmic TM - - G
Tarivid Otic TT - - G
Taxegram Inj 0,5g - - C
Taxegram Inj 1 g BARU - - C
Taxegram Inj 1g - - C
TB cassete - - E
TB Mycotec/One step - - E
TB Vit 6 - - A
TB Vit 6 BARU - - A
TB Vit 6 Syrup - - B
TB Zet 500 - - A
Te Clot APTT-s - - E
Te Clot PT-S 10X4 ML - - E
TE Control N - - E
Tegretol 200 - - A
Tegretol CR 200 - - A
Telfast OD - - A
Telfast OD LUAR - - A
Tempat Kapas Bersih - - E
Tensicap 12,5 - - A
Tensicap 25 BARU - - A

64
KEL
NAMA BARANG R B
SEDIAAN
Tensilo Inj - - C
Tensilo Inj ASKES - - C
Tensivask 10 - - A
Tensivask 5 - - A
Tensocrepe 3 '' - - E
Tensocrepe 3 '' LM - - E
Tensocrepe 4 '' - - E
Tensocrepe 4 '' BARU - - E
Tensocrepe 4 '' LM - - E
Tensocrepe 6 '' - - E
Tensocrepe 6'' LM - - E
Teosal - - A
Teosal BARU - - A
Teosal GREAT - - A
Teosal Syr 60cc - - B
Terfacef Inj 1g - - C
Terfacef Inj 1g baru - - C
Termometer KULKAS - - E
Termometer Ruangan - - E
Termometer Safety - - E
Termometer Safety BARU - - E
Termometer WOODEN - - E
Tes Kehamilan - - E
Tes Malaria ENTEBE - - E
Tes Narkoba 6 Parameter - - E
Test Strip - - E
Test Strip MBS - - E
Test tube ( 10 x 1,6 ) - - E
Test tube (12x75) - - E
Test tube (13x100) - - E
Tetagam P Inj ASKES - - C
Tetagam P Inj BARU - - C
THC - - D
Theobron - - B
Theobron BARU - - B
Theobron Syr - - B
Thermal paper 5 CM STANDAR - - E
Thermal paper 5,6 X 3,5 - - E
Thermal paper 6,6 X 3,5 - - E
Thiamet 1000 - - A
Thiamet 500 - - A
Thiamicyn DS ASKES - - B
Thiamicyn F DS - - B
Thiamphenicol 500 - - A
Thiamphenicol 500 IGM - - A
Thimelon 125 mg inj - - C
Thyrozol 5 mg tab - - A
Tiaryt 200 - - A
Tiaryt 200 Inj - - C
Tibigon 500mg - - A
Tibigon 500mg ASKES - - A
Tibitol 500 ASKES - - A
Ticuring 250 - - A
Tilsan 25 - - A
Tim Opthal 0,25% - - G
Tim Opthal 0,5% - - G

65
KEL
NAMA BARANG R B
SEDIAAN
Tip Scaller - - B
Tiriz 10 - - A
Tofedex inj - - C
Tofedex tab - - A
Tofedex tab BARU - - A
Tofranil 25 - - A
Tofranil 25 ASKES - - A
Tomit inj - - C
Tonar - - A
Tongkat ketiak (L) - - E
Tongkat ketiak (M) - - E
Tongkat ketiak (S) - - E
Tonicard BARU - - A
Tonikum Bayer 330cc - - B
Tonotan tab - - A
Topazol inj - - C
Topazol inj BARU - - C
Topcort 10g ZK 9 - F
Topcort 10g ZK BARU - - F
Topsy crem - - F
Toradol FC 10mg - - A
Torasic Inj 30 - - C
Torniquet Jet Pull - - E
Torniquet Sella - - E
Torniquet STANDART - - E
Total Protein 3X100ML - - D
Total Protein 4X40ML - - D
Total Protein Global - - D
Total Protein Global 2x50 baru - - D
Total Protein Labkit - - D
Totilac Inf - - D
Totilac Inf LUAR - - D
Totilac Inf LUAR 1 - - D
Totilac Inf LUAR 2 - - D
Totilac Inf LUAR 3 - - D
TPHA Kit 100 Test - - E
Tracetate susp - - B
Tracetate susp BARU - - B
Tradosik 50 - - A
Tradosik Inj 100 - - C
Trajenta tab - - A
Tramadol 50 - - A
Tramadol 50 ASKES - - A
Tramadol Inj 50 MBF - - C
Tramadol Inj 50 TIARA - - C
Tramifen - - A
Tramus inj - - C
Tranexid 10% Inj 500 - - C
Tranexid 250 - - A
Tranexid 250 ASKES - - A
Tranexid 5% Inj 250 - - C
Tranexid 5% Inj 250 ASKES - - C
Tranexid 500 - - A
Tranexid 500 ASKES - - A
Transamin Inj 250 ASKES - - C
Transamin Inj 500 ASKES - - C

66
KEL
NAMA BARANG R B
SEDIAAN
Tray + tutup Besar - - E
Tray + tutup Kecil - - E
Tray + tutup Sedang - - E
Trazep rectal 10 - - H
Trazep rectal 10 ASKES - - H
Trazep rectal 5 - - H
Trazep rectal 5 ASKES - - H
Treatson - - A
Tremenza 97 - A
Tremenza BARU - - A
Tremenza Syr - - B
Tremenza Syr BARU - - B
Triamcinolon 4 mg tab 112 - A
Triatec 2,5 - - A
Trichodazol 500 - - A
Trichodazol 500 BARU - - A
Trichodazol PLUS OVULA BARU - - H
Trichodazole Inf 100cc - - D
Tricker 150 - - A
Tricker Inj - - C
Tricofix 4x10 - - E
Tricofix 6x10 - - E
Tridex 27A - - D
Tridex 27B - - D
Tridex PLAIN - - D
Trifluoroperazin 5mg E-CAT - - A
Trifluoroperazin 5mg luar - - A
Triglyceride 2X100 ML - - D
Triglyceride 2X125ML - - D
Triglyceride 2X50 ML BARU - - D
Triglyceride 3X100 ML - - D
Triglyceride 4 x 40 ML - - D
Triglyceride 9X15 ML 60 - D
Trihexyphenidil (THP) 2 - - A
Trihexyphenidil (THP) 2 ASKES - - A
Triofusin inf 500cc ASKES - - D
Triostee - - A
Tripanzym - - A
Tritiplex III 250GR - - E
Trivexan syr - - B
Triway S Cock - - E
Triway S Cock SAHABAT - - E
Triway With Extension - - E
Trizedon MR - - A
Trobesco 250 MG - - A
Trombo aspilet 10 - A
Tromboles - - A
Trombophob Gel ZK - - F
Trombophob Gel ZK BARU - - F
Trombophob Oint ZK - - F
Trombosit RE 100 ml - - E
Troponin I Ichroma 25'S - - F
Trosyd 1% Powder - - F
Trovensis inj 4mg / 2 ml - - C
Trovensis inj 8mg / 4 ml - - C
Trovensis Tab - - A

67
KEL
NAMA BARANG R B
SEDIAAN
Truvaz 20mg - - A
T-Scrub brush - - E
T-Skin marker - - E
Tubercolosis Acon - - E
Tubercolosis Devise'40 - - E
Tubex TF - - E
Tubex TF Baru - - E
Tudiab 500 - - A
Tugesal 50 - - A
Turniquet - - E
Tutofusin ops infus - - D
Tutofusin ops infus ASKES - - D
Tutofusin ops infus LUAR - - D
Tutofusin ops infus LUAR 1 - - D
Tutofusin ops infus LUAR 2 - - D
Tutofusin ops infus LUAR 3 - - D
Tutofusin ops infus LUAR 4 - - D
Tuzalos - - A
Tuzalos baru - - A
Tuzalos LUAR 1 - - A
Twynista 40/5MG - - A
Twynista 80/10 mg - - A
Ulcerid 20 - - A
Ulcerid 40 - - A
Ulsafate syrup - - B
Ulsicral syrup - - B
Ulsidex 500 mg - - A
Ultrafix 10x5 (BH) - - E
Ultrafix 5x5 (BH) - - E
Umbillical CATH 3.5 SAHABAT - - E
Umbillical OM - - E
Umbillical SAHABAT - - E
Unalium 10 - - A
Unalium 10 BARU - - A
Unalium 5 - - A
Underpad 60x90 - - E
Underpad TOP - - E
Underpad TOP SHB - - E
Undopa Inj luar - - C
Undopa Inj luar 1 - - C
Unearity Control Material - - E
Uplores 150 MG - - A
Uplores 150 MG BARU - - A
Urdahex 250 15 - A
Urea 2 x 100 ml - - D
Urea 2 x 40 ml - - D
Urea 2X50 ml - - D
Urea 3x 80 ml - - D
Urea 4x 35 ml+2X18 ML - - D
Urea 5x25ml - - D
Urea ERBA - - D
Urea Liquid 2 x 100 ml - - D
Urea UV / GLDH - - D
Urea UV 10X50 ml - - D
Urea UV 12X16 ml - - D
Urea UV 12X16 ml QCA - - D

68
KEL
NAMA BARANG R B
SEDIAAN
Uresix 40 - - A
Uresix INJ - - A
Ureum 5X30 ml ERBA - - D
Uric Acid 100 ML - - D
Uric Acid 2X100ML - - D
Uric Acid 2X125 ML Labkit - - D
Uric Acid 2X50 ML Agappe - - D
Uric Acid 3X100ML - - D
Uric Acid 4 X 30 ML - - D
Uric Acid 4X40+2X20 ML - - D
Uric Acid 6X30 ML - - D
Urin 10 P - - E
Urin Strip - - E
Urin Strip DIRUI - - E
Urin Strip DIRUI 100 - - E
Urinal PRIA - - E
Urinal PRIA BARU - - E
Urinal WANITA - - E
Urine 11 Parameter - - E
Urine Bag SAHABAT - - E
Urinal Bag SHB - - E
Urinter 400 - - A
Urispas 200 - - A
Urispas 200 BARU - - A
Uro-dip 10e - - A
Urotractin 400 420 - A
Urotractin 400 BARU - - A
URS 10 Parameter Mision - - E
URS 10 Parameter Nova - - E
Ursodeoxycholic Acid 250 90 - A
Utrogestan 100 - - A
Utrogestan 200 - - A
Utrogestan 200 BARU - - A
Urogetik Luar - - A
Vaclo tab - - A
Vaclo tab askes - - A
Vacum Tube 100 PCS - - E
Vacum Tube Steril Sodium - - E
Vacutainer Flash Back 22 BD - - E
Vacutainer Needle 22 G - - E
Vacuum tube ESR 100 pcs BDI - - E
Vaksin Carier 2 Liter - - H
Vaksin Hepatitis B Recom - - C
Vaksin Infarix Hexa ini - - C
Vaksin Polio Bivalen - - C
Vaksin Rotateq - - C
Vaksin Synflorix - - C
Valamin 500ml - - D
Valamin 500ml BARU - - D
Valeptik syr - - B
Valesco 160 mg 30 - A
Valesco 80 mg - - A
Valisanbe 2 66 - A
Valisanbe 5 - - A
Valisanbe 5 BARU - - A
Valisanbe inj - - C

69
KEL
NAMA BARANG R B
SEDIAAN
Valisanbe inj baru - - A
Valsartan 160mg 420 - A
Valsartan 80mg 480 - A
Vasacon TM - - G
Vascon Inj - - C
Vascon Inj ASKES - - C
Vaselin Putih 1kg - - F
Vasodrin inj 1 ml - - C
Vastigo 6 ASKES - - A
V-Bloc 6,25mg 90 - A
V-Bloc 6,25mg BARU - - A
V-Bloc 6,25mg LUAR - - A
Vectrine 300 - - A
Vectrine syr - - B
Venflon No. 22 - - E
Venofer Inj - - C
Venosmil - - A
Venosmil BARU - - A
Ventolin Nebul Luar - - C
Verband 4x10 (Bunda) - - E
Verband 4x10 (Bunda) SAHABAT - - E
Verband 4x10 (Bunda) SAHABAT BARU - - E
Verband 4x15 (Bunda) - - E
Verband 4x15 (Bunda) SAHABAT - - E
Verband 4x15 (Bunda) SAHABAT BARU - - E
Verband 4x5 (Bunda) BARU - - E
Verband 4x5 (Bunda) SAHABAT - - E
Vermic - - B
Versilon 6 ASKES - - A
Vertex 6 - - A
Vesitab - - A
Vick F 44 anak 30cc - - B
Vick F 44 anak 60cc - - B
Vick F 44 dewasa 100cc - - B
Vick F 44 dewasa 30cc - - B
Vick F 44 dewasa 60cc - - B
Vicryl Caesar Kit - - E
Vicryl CTD VIOLET No. 2 - - E
Vicryl PLUS ANTIBACTERI No. 1 90 CM - - E
Vicryl PLUS VIO 90 CM NO.1 - - E
Vicryl No. 8-0 (W-9560) Spatula - - E
Vicryl PLUS SUTURE 2-0 - - E
Vidon Drop - - B
Viferon ASKES - - A
Viliron ASKES - - A
Viopor-M Forte - - A
Vipalbumin capsul - - A
Vipalbumin plus - - A
Visancort ZK - - F
Visanne 2 MG LUAR - - F
Visanne 2 MG TAB - - F
Visanne 2 MG TAB BARU - - F
Visine 6cc TM - - G
Visitec HIV TRIO - - E
Vit A 6000IU - - A
Vit A IPI 50 MG - - A

70
KEL
NAMA BARANG R B
SEDIAAN
Vit A IPI 50 MG LUAR - - A
Vit B Complex Inj 50 - C
Vit B Complex IPI 6,196 - A
Vit B Complex KF - - A
Vit B1 (LICOBEVIT 50MG) - - A
Vit B1 (Thiamin) 50 ASKES 30 - A
Vit B12 50 (Cyanocobalamin) - - A
Vit B12 Inj 1 ml - - C
Vit B6 (Pyridoxin) 10 210 - A
Vit C 50 MG KF - - A
Vit C 50 MG KF 1 - - A
Vit C Inj 100 - - C
Vit K Inj (Phytomenadion) - - C
Vit K Inj BERNO - - C
Vit K Tab (Phytomenadion) - - C
Vitacur Syr 5 - B
Vitacur Syr BARU - - B
Vitadion inj - - C
Vitazym - - A
Voltaren Gel 10gr - - F
Voltaren Gel 20gr - - F
Voltaren Gel 5gr - - F
Voluven Inf 500cc - - D
Vometa 10 - - A
Vometa Drops - - B
Vometa Syr - - B
Vomilat tab - - A
Vosea - - A
Vosea Syr - - B
Vosedon 10 - - A
Vosedon syr - - B
Walker - - E
Wall Dispencer Aseptic - - E
Water for Irrigation 1000cc OTSUKA - - D
Water for Irrigation 1000cc WIDA - - D
Well Pasta - - D
Wiaflox 500 - - A
Widahes 6% - - D
Widal AH AMS - - E
Widal AH REIGED - - E
Widal AO AMS - - E
Widal AO REIGED - - E
Widal H REIGED - - E
Widal H REIGED BARU - - E
Widal O AMS - - E
Widal O REIGED - - E
Widaset / Otsu OI-64 - - E
Widaset / Otsu OI-64 LM - - E
Wing Needle No. 23 - - E
Wing Needle No. 25 - - E
Wing Needle No. 25 BD - - E
Wing Needle No. 27 - - E
Wing Needle No. 27 LABORAT - - E
Wingset SLBCS 25X75 - - E
Wundres N - - E
Wundres N 10 X 20 - - E

71
KEL
NAMA BARANG R B
SEDIAAN
WWZ - - E
Xalatan ED - - G
Xylestesin A - - C
Xylocain jelly - - H
Xylocain spray - - H
Yafho woundressing 9x15 - - E
Yal Colon Cleaner - - H
Yal Colon Cleaner LUAR - - H
Yal Colon Cleaner LUAR (Fleet Enema) - - H
Yellow tips One Med - - E
Yelow tips - - E
Yelow TIPS 1000 - - E
Zaldiar - - A
Zibramax 500 - - A
Zibramax 500 BARU - - A
Zibramax SYR - - A
Zibramax SYR BARU - - A
Zinc 20 mg tab 7 - A
Zinc 20 mg tab BARU - - A
Zinc Oxyd 1kg - - F
Zinkid Syrup 100 - - B

72
MONITORING FORMULARIUM
BULAN JANUARI 2019

NO PRINCIPAL PERESEPAN PEMBERIAN


1 SANBE 3,111 -
2 SOHO - -
3 MEPRO 4 -
4 LAPI 203 -
5 KALBE 1,034 -
6 PHAROS 8,144 -
7 FERRON 1,495 -
8 TROPICA 420 -
9 FAHRENHEIT - -
10 ESCOLAB - -
11 PHAPROS - -
12 OTTO 40 -
13 CORSA - -
14 IKAPHAR 2,595 -
15 MERSI 31,901 -
16 GUARDIAN 319 -
17 SIMEX - -
18 LANDSON - -
19 DEXA 23,703 -
TOTAL OBAT STANDARISASI 72,969 -
20 IV TERUMO LM - -
21 TERUMO LM - -
22 WIDASET - -
23 SNA - -
24 GAMEX 6 -
25 HD - -
TOTAL ALKES STANDARISASI 6 -
26 WIDATRA - -
27 INFUSAN 50 -
TOTAL CAIRAN STANDARISASI 50 -
28 NS-PATEN 10,658 -
29 NS-ALKES 631 -
30 NS-CAIRAN - -
TOTAL NON-STANDARISASI 11,289 -
31 BPJS-GENERIK 56,036 -
32 BPJS-PATEN 29,467 -
33 BPJS-ALKES - -
34 BPJS-CAIRAN - -
TOTAL BPJS 85,503 -
REKAPITULASI
STANDARISASI 73,025 -
NON-STANDARISASI 11,289 -
BPJS 85,503 -
TOTAL FARMASI 169,817 -
35 LABORATORIUM 65 -
36 BANK DARAH - -
37 RADIOLOGI - -
38 GIZI - -
TOTAL LAIN-LAIN 65 -
TOTAL 169,882 -

Mengetahui, 29-Jun-2019
Direktur Kepala Instalasi Farmasi

dr.Wahyu Heru Triyono,M.Kes Arafat,S.Farm.,Apt


NIP.205.30.08.63.000 NIP.209.04.02.83.210
1447 H13 Harnal tab OCAS BPJS kap/tab
ASKES-OBA 6,182 60 - - 60 370,910 30 185,455
30
2 - - TO -2.00 KAP/TAB 10% 37,091 333,819 0.0%
kap/tab SLOW A OBT-PTN NS
CEK
WARNING 370,910 - - 370,910

Anda mungkin juga menyukai