DAFTAR OBAT YANG DIMUSNAHKAN

NO NAMA OBAT HARGA SATUAN TOTAL HARGA JUMLAH KETERANGAN

1 Asam Ascorbat (Vitamin C) 50 mg 105 10,920,000.00 104000 ED: Maret 2019

2 Salbutamol 4 mg 89 391.60 4.400 ED: April 2019
3 Amitriptylline 25 mg 123 24,600.00 200 ED: Maret 2019
4 Klorpromazin HCl 100 mg 179 107,400.00 600 ED: Maret 2019
5 Pyrantel pamoat 125 mg 318 222,600.00 700 ED: April 2019
6 Metformin 500 mg 103 3,059,100.00 29700 ED: Mei 2019
7 Paracetamol 500 mg 58 2,436,000.00 42000 ED: Mei 2019
8 Metronidazole 500 mg 140 168,000.00 1200 ED: Mei 2019
9 Loperamide 2 mg 90 918,000.00 10200 ED: Juni 2019
10 Multivitamin Ibu Hamil (Vitalamin) 726 726,000.00 1000 ED: RUSAK
11 Albendazole 323 807,500.00 2500 ED: April 2019
Total 2,254.00 19,389,591.60
 DAFTAR OBAT YANG DIMUSNAHKAN

NO NAMA OBAT HARGA SATUAN TOTAL HARGA JUMLAH

1 Captopril 25 mg (Prix 25) 550 1,320,000.00 2400

2 Diphenhidramine HCl Inj 1156 104,040.00 90
3 Etakridin (Rivanol) 3328 396,032.00 119
4 Propranolol 10 mg 69 841,800.00 12200
5 Ringer Lactate (RL) 7150 1,823,250.00 255
6 Salbutamol 4 mg (2017) 88 264,000.00 3000
7 Trihexyphenidil (THP) 2 mg 44 110,000.00 2500
8 Sianocobalamin (vitamin B12) tab 63 176,400.00 2800
9 Phenilbutazon 200 mg 89 178,000.00 2000
10 Erythromicyn 500 mg 1023 7,058,700.00 6900
Total 13,560.00 12,272,222.00 32,264
 KETERANGAN

ED: Feb 2019

ED: Nov 2018
ED: Des 2018
ED: Sept 2019
ED: Mei 2018
ED: Des 2018
ED: Okt 2018
ED: Jan 2019
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