Contoh Daftar Pembelian Obat JKN
Contoh Daftar Pembelian Obat JKN
NO NAMA PRODUK BENTUK SEDIAAN KEKUATAN SEDIAAN JUMLAH SATUAN HARGA TOTAL HARGA
1 Acyclovir krim 5% 24 tube 5 gram 4,200 100,800
2 Amoksisilin sirup 125 mg/cth 120 botol 3,500 420,000
3 Ampisilin serbuk injeksi 1 gram/vial 1 box @10 vial 90,000 90,000
4 Bedak salisil serbuk 2% 10 box@12pcs 16,000 160,000
5 Betahistine mesylate Tablet 6 mg 10 Box @30 tab 30,000 300,000
6 Captopril tablet 25 mg 24 box@100 tab 28,800 691,200
7 Ciprofloxacin tablet 500 mg 5 box@100 tab 42,000 210,000
8 Domperidon tablet 10 mg 10 Box @100 tab 36,000 360,000
9 Domperidon sirup 10 mg/cth 120 botol 3,500 420,000
10 Ibuprofen tablet 400 mg 10 Box @100 tab 46,800 468,000
11 Kloramfenikol kapsul 250 mg 6 box@100 tab 72,000 432,000
12 Kloramfenikol sirup 125 mg/cth 50 botol 3,500 175,000
13 Loratadin tablet 10 mg 1 box @50 tab 23,200 23,200
14 Metilprednisolon tablet 4 mg 5 box@100 tab 74,000 370,000
15 Metronidazol tablet 500 mg 10 Box @100 tab 26,800 268,000
16 Omepazol serbuk injeksi 40 mg 1 box@10 vial 120,000 120,000
17 Parasetamol sirup 120 mg/cth 300 botol 3,000 900,000
18 Permethrin (SCABIMITE) krim 5% 10 Tube 10 gram 58,000 580,000
19 Sefadroksil kapsul 500 mg 10 box@100 tab 92,000 920,000
TOTAL HARGA 7,008,200
DISTRIBUTOR :
TOTAL
NO NAMA PRODUK JUMLAH SATUAN HARGA
HARGA
1 Sarung tangan nonsteril ukuran S 2 box@100psg 49,500 99,000
2 Sarung tangan nonsteril ukuran M 5 box@100psg 49,500 247,500
3 Sarung tangan nonsteril ukuran L 2 box@100psg 49,500 99,000
4 Catgut 3/0 3 box@24 pcs 171,504 514,512
5 Catgut 4/0 1 box@24 pcs 171,504 171,504
6 Penjepit tali pusat 1 box@100pcs 150,000 150,000
7 Hypafix 5 cm 5 roll 91,000 455,000
8 Hypafix 15 cm 1 roll 241,000 241,000
9 Kasa steril 16cm x 16cm 60 bungkus 7,414 444,840
10 Kertas perkamen 10 bungkus 36,000 360,000
11 Kapas 250 gram 10 bungkus 8,212 82,120
TOTAL HARGA 2,864,476