BAHAN LAPORAN BULANan

DD/MM/YYYY #DD JENIS PENJUALAN NO. RESEP NO.
BILL NAMA PASIEN

6/1/2019 1 langsung 431 NY.IRMA
6/1/2019 1 langsung 432 TN.ANDRI
6/2/2019 2 langsung 433 DR.MARICA
6/2/2019 2 langsung 434 NY.DEWI
6/2/2019 2 langsung 435 JUNISA
6/2/2019 2 langsung 436 EKA
6/2/2019 2 langsung 436 EKA
6/2/2019 2 langsung 437 MEVINDA
6/3/2019 3 langsung 438 ARIS
6/4/2019 4 langsung 440 TOMI
6/4/2019 4 langsung 440 TOMI
6/4/2019 4 langsung 441 TRIA
6/4/2019 4 langsung 442 REZA HARAHAP
6/4/2019 4 langsung 443 ERNI
6/4/2019 4 langsung 444 ELIYANA
6/4/2019 4 langsung 445 ITA
6/4/2019 4 langsung 446 RESTI
6/4/2019 4 langsung 447 IRMA
6/5/2019 5 rumah_sakit 713 TN.AGUS
6/5/2019 5 langsung 448 DIAN
6/5/2019 5 langsung 450 DEKA
6/5/2019 5 rumah_sakit 714 SUPINEM
6/6/2019 6 rumah_sakit 715 NY. MAJIYEM
6/6/2019 6 rumah_sakit 716 NY. SUPINEM
6/6/2019 6 rumah_sakit 717 TN. NITI KARSO
6/6/2019 6 rumah_sakit 718 TN. SUWARJONO
6/7/2019 7 langsung 452 EKA DARMAWAN
6/7/2019 7 langsung 453 ELIYANA
6/7/2019 7 rumah_sakit 719 Yuni Lestari
6/7/2019 7 rumah_sakit 719 YUNI LESTARI
6/7/2019 7 rumah_sakit 720 TN. SARDAN SAHRONI
6/7/2019 7 rumah_sakit 720 Tn.Sardan Sahroni
6/7/2019 7 rumah_sakit 721 Tn.Dalimin
6/7/2019 7 rumah_sakit TN. DALIMIN
6/7/2019 7 rumah_sakit 721 TN. DALIMIN
6/7/2019 7 rumah_sakit 722 An.Shayna
6/7/2019 7 rumah_sakit 723 TN. ARI
6/7/2019 7 rumah_sakit 723 Tn.Ari
6/7/2019 7 rumah_sakit 724 Tn.Deden
6/8/2019 8 langsung 454 RISKI
6/8/2019 8 langsung 455 MALINDA
6/8/2019 8 langsung 456 ASTI
6/8/2019 8 langsung 457 SEFTA
6/8/2019 8 rumah_sakit 725 Tn. PAIJO
6/8/2019 8 rumah_sakit 726 Tn. DEDEN
6/8/2019 8 rumah_sakit 727 NY. NURMALA
6/9/2019 9 langsung 458 WIDIA
6/9/2019 9 langsung 459 HAMID
6/9/2019 9 langsung 459 HAMID
6/9/2019 9 langsung 460 LINDA
6/9/2019 9 langsung 461 JONI
6/9/2019 9 rumah_sakit 730 TN.TURIMAN
6/9/2019 9 langsung 462 ADE
6/10/2019 10 rumah_sakit 731 TN. TUGIMAN
6/10/2019 10 rumah_sakit 734 TN. ABU BAKAR
6/10/2019 10 rumah_sakit 735 AN. RICKY S
6/10/2019 10 rumah_sakit 736 AN. CINDRA
6/10/2019 10 langsung 463 MERI
6/10/2019 10 langsung 464 NOVI
6/10/2019 10 rumah_sakit 738 NY. ENAH
6/10/2019 10 langsung 465 DARNIYANTARI
6/11/2019 11 rumah_sakit 739 TN. ARSUSENO
6/11/2019 11 rumah_sakit 740 NY.SUJIAH
6/11/2019 11 rumah_sakit 741 NY.SURAETI
6/11/2019 11 langsung 466 MEILISA
6/11/2019 11 langsung 467 APRIL
6/11/2019 11 langsung 466 B NATALIA
6/12/2019 12 rumah_sakit 742 AN. PRIHATINI
6/12/2019 12 rumah_sakit 743 AHMAD MUHAJIN
6/12/2019 12 langsung 467 B DESRI
6/13/2019 13 langsung 468 MAYA
6/14/2019 14 rumah_sakit 744 TN. KARDI
6/14/2019 14 langsung 469 ADE
6/14/2019 14 langsung 469 ADE
6/14/2019 14 langsung 471 SEFTINA
6/14/2019 14 langsung 471 SEFTINA
6/14/2019 14 langsung 472 EVA
6/14/2019 14 rumah_sakit 745 NY. OVA LESTARI
6/15/2019 15 rumah_sakit 747 NY. AHMAD ROJALI
6/15/2019 15 langsung 473 OLISYA FULLY
6/15/2019 15 langsung 474 SISCA
6/15/2019 15 langsung 475 TARI
6/15/2019 15 langsung 476 UCI
6/16/2019 16 langsung 478 EKA
6/16/2019 16 langsung 478 EKA
6/16/2019 16 langsung 479 REJA
6/16/2019 16 langsung 480 ADE C
6/17/2019 17 langsung 481 BEBI
6/17/2019 17 langsung 481 BEBI
6/17/2019 17 langsung 482 FEBI
6/17/2019 17 langsung 482 FEBI
6/17/2019 17 langsung 483 TINA
6/17/2019 17 langsung 484 ADE C
6/17/2019 17 langsung 484 ADE C
6/17/2019 17 langsung 485 RUMONDANG
6/17/2019 17 langsung 485 RUMONDANG
6/17/2019 17 langsung 486 RIA
6/17/2019 17 langsung 486 RIA
6/17/2019 17 langsung 486 RIA
6/17/2019 17 langsung 486 RIA
6/17/2019 17 rumah_sakit 748 AN. APRIZAL
6/19/2019 19 langsung 490 RIA
6/19/2019 19 langsung 490 RIA
6/19/2019 19 langsung 490 RIA
6/19/2019 19 langsung 490 RIA
6/19/2019 19 langsung 492 HERNANI
6/19/2019 19 langsung 493 ANI
6/19/2019 19 langsung 493 ANI
6/20/2019 20 rumah_sakit 749 MARYAM
6/20/2019 20 rumah_sakit 750 NABILA
6/20/2019 20 langsung 494 INDAH
6/20/2019 20 langsung 495 YUSMA
6/21/2019 21 rumah_sakit 756 NY JUMILAH
6/21/2019 21 langsung 496 MARTINA
6/21/2019 21 langsung 497 DESRI
6/21/2019 21 langsung 497 DESRI
6/21/2019 21 langsung 498 MEITHA
6/21/2019 21 langsung 499 AJI
6/21/2019 21 langsung 501 YANITA
6/21/2019 21 langsung 501 YANITA
6/21/2019 21 langsung 502 INDAH
6/22/2019 22 langsung 504 FAIZ
6/22/2019 22 langsung 505 UDIN
6/22/2019 22 langsung 506 ADE C
6/22/2019 22 rumah_sakit 758 I DEWA KADE
6/23/2019 23 rumah_sakit 759 AN. ASKIA
6/24/2019 24 langsung 508 SITI MUDA
6/24/2019 24 langsung 510 GUSTINA
6/25/2019 25 langsung 512 TARI
6/25/2019 25 langsung 513 LAILA
6/25/2019 25 langsung 513 LAILA
6/25/2019 25 langsung 514 RENI
6/25/2019 25 langsung 515 NITA
6/25/2019 25 langsung 516 ROSYD
6/26/2019 26 langsung 518 KATERINE
6/26/2019 26 rumah_sakit 760 NY.LIS ROHAINI
6/26/2019 26 langsung 519 AN. KHUMAIRA
6/26/2019 26 langsung 520 ENDAH
6/27/2019 27 langsung 521 dr.CHERRY
6/27/2019 27 langsung 522 CHANIA
6/27/2019 27 langsung 523 AJIS
6/28/2019 28 rumah_sakit 761 NY. LIYA
6/28/2019 28 rumah_sakit 762 NY. SRIYANTI
6/28/2019 28 langsung 525 RITA
6/28/2019 28 langsung 526 RIA
6/28/2019 28 langsung 527 ULAN
6/28/2019 28 langsung 528 NOVI
6/29/2019 29 rumah_sakit 763 ADITYA RIFKI
6/29/2019 29 rumah_sakit 764 NURMAK
6/29/2019 29 langsung 529 WELIYA
6/30/2019 30 rumah_sakit 765 AN.ZEFANYA
6/30/2019 30 langsung 530 VENDY
6/30/2019 30 langsung 531 MELISA
6/30/2019 30 rumah_sakit 767 TN.M SYARIF
NO MR STATUS Px SEDIAAN YANG DIMINTA JENIS
NON-BPJS Amlodipine besilate tab 5 mg Tempo ORAL
NON-BPJS Cetirizine hydrochloride tab 10 mg Futamed ORAL
NON-BPJS Ondansentron tab 4 mg Indofarma ORAL
NON-BPJS Bedak Salicyl 50 gr Rama OBAT LUAR
NON-BPJS Trianta tab Ifars ORAL
NON-BPJS Mefenamic acid tab 500 mg Mersifarma ORAL
NON-BPJS Omeprazole kaps 20 mg Novapharin ORAL
NON-BPJS Frego tab 10 mg Kalbe ORAL
NON-BPJS Benacol DTM syrup Kalbe Farma SIRUP
NON-BPJS Simvastatin tab 10 mg Mersifarma ORAL
NON-BPJS Ketoconazole tab 200 mg Novapharin ORAL
NON-BPJS Imforce plus kaplet Mahakam ORAL
NON-BPJS Flutamol-P kaps Pyridam ORAL
NON-BPJS Chlorphenamine maleate tab 4 mg Novapharin ORAL
NON-BPJS Methylprednisolone tab 4 mg Quantum ORAL
NON-BPJS Sukralfat suspensi 500mg/5ml (100 ml) Mepro SIRUP
NON-BPJS Paracetamol tab 500 mg Mersifarma ORAL
NON-BPJS Licodexon tab 0,5 mg Berlico ORAL
NON-BPJS Calcium lactate tab 500 mg Mersifarma ORAL
NON-BPJS Domperidone tab 10 mg Dexa ORAL
NON-BPJS Allopurinol tab 100 mg Sampharindo ORAL
NON-BPJS Cefadroxil suspensi kering 125mg/5ml (60 ml) Holi SIRUP
NON-BPJS Blood Lancet 28G GEA BHP
NON-BPJS Nodrof Flu Expectorant Tempo ORAL
NON-BPJS Isosorbide dinitrate tab 5 mg Indofarma ORAL
NON-BPJS Furosemide tab 40 mg Indofarma ORAL
NON-BPJS Sucralfate suspensi 500mg/5ml (100 ml) Tempo SIRUP
NON-BPJS Isosorbide dinitrate tab 5 mg Indofarma ORAL
00.30.82 NON-BPJS Disposable syringe 3 cc Cosmomed BHP
00.30.82 NON-BPJS Ventolin inhaler OBAT LUAR
00.30.82 NON-BPJS Dexamethasone inj 5 mg/ml Phapros INJEKSI
00.30.82 NON-BPJS teosal tablet ORAL
00.30.82 NON-BPJS ambroxol tablet ORAL
00.30.82 NON-BPJS Methylprednisolone tab 4 mg Quantum ORAL
00.30.82 NON-BPJS Cetirizine hydrochloride tab 10 mg Futamed ORAL
00.30.82 NON-BPJS Cangkang kapsul kosong BHP
00.30.82 NON-BPJS Cefixime kaps 100 mg Hexpharm ORAL
00.30.82 NON-BPJS OxyFlow Dewasa Onemed BHP
00.30.82 NON-BPJS Otsu WI Aquabides Otsuka INJEKSI
NON-BPJS Cefixime kaps 100 mg Hexpharm ORAL
NON-BPJS Ibuprofen tab 200 mg Novapharin ORAL
NON-BPJS Genoint salep mata 0,3% Erela OBAT LUAR
NON-BPJS Betadine ointment 5 g Mahakam OBAT LUAR
NON-BPJS Gentamicin sulfate tetes mata 0,3% Erela OBAT LUAR
00.30.83 NON-BPJS Disposable syringe 5 cc Aximed BHP
00.30.83 NON-BPJS Infus Set Makro Polymed BHP
00.30.83 NON-BPJS Ringer Laktat (RL) 500 ml Widatra CAIRAN INFUS
00.30.83 NON-BPJS IV Cannula 22 Eskamed BHP
00.30.83 NON-BPJS Frego tab 10 mg Kalbe ORAL
00.30.83 NON-BPJS Betahistin Mesylate tab 6 mg Dexa ORAL
00.30.83 NON-BPJS Sucralfate suspensi 500mg/5ml (100 ml) Tempo SIRUP
00.30.83 NON-BPJS Sendok obat sirup BHP
00.30.83 NON-BPJS Ondansetron HCl dihydrate inj 4 mg/2 ml Soho INJEKSI
00.30.83 NON-BPJS Omeprazole sodium inj 40 mg Dexa INJEKSI
NON-BPJS Neo Diagon tab 650 mg Harsen ORAL
00.30.84 NON-BPJS Meloxicam tab 7,5 mg KF ORAL
00.30.84 NON-BPJS Ranitidin tab 150 mg Hexpharm ORAL
00.30.84 NON-BPJS Scanmecob 500 tab Tempo ORAL
00.30.84 NON-BPJS Amlodipine besilate tab 5 mg Tempo ORAL
00.30.83 BPJS Lansoprazole kaps 30 mg Indofarma ORAL
00.30.83 BPJS Sukralfat suspensi 500mg/5ml (100 ml) Mepro SIRUP
00.30.83 BPJS Betahistin Mesylate tab 6 mg Mersifarma ORAL
00.30.83 BPJS Cefixime kaps 200 mg Quantum ORAL
00.30.83 BPJS Sendok obat sirup BHP
00.27.11 BPJS OxyFlow Dewasa Onemed BHP
00.27.11 BPJS Ringer Laktat (RL) 500 ml Widatra CAIRAN INFUS
00.27.11 BPJS Infus Set Makro Polymed BHP
00.27.11 BPJS IV Cannula 22 Eskamed BHP
00.27.11 BPJS Cyanocobalamin inj 500 mcg/ml Lucas INJEKSI
00.27.11 BPJS Ranitidine HCl inj 50 mg/2 ml Quantum INJEKSI
00.27.11 BPJS Disposable syringe 5 cc Aximed BHP
00.27.11 BPJS Disposable syringe 3 cc Cosmomed BHP
00.30.85 NON-BPJS Mefenamic acid tab 500 mg Mersifarma ORAL
00.30.85 NON-BPJS Licodexon tab 0,5 mg Berlico ORAL
00.30.86 NON-BPJS Cefadroxil monohydrate ORAL
00.30.86 NON-BPJS dexamethasone tablet ORAL
00.30.87 NON-BPJS sodium chloride CAIRAN INFUS
00.30.87 NON-BPJS Ringer Laktat 500 ml Widatra CAIRAN INFUS
00.30.87 NON-BPJS disposable 5 cc BHP
00.30.87 NON-BPJS disposable 3cc BHP
00.30.87 NON-BPJS hi oxy dewasa BHP
00.30.87 NON-BPJS ketorolac thrometamine INJEKSI
00.30.87 NON-BPJS asam tranexamat inj INJEKSI
00.30.87 NON-BPJS Ranitidine HCl inj 50 mg/2 ml Quantum INJEKSI
00.30.87 NON-BPJS anti tetanus serum INJEKSI
00.30.88 NON-BPJS ketorolac thrometamine INJEKSI
00.30.88 NON-BPJS lidocain inj INJEKSI
00.30.88 NON-BPJS chrom catgut 3/0 BHP
00.30.88 NON-BPJS ciprofloxacin ORAL
00.30.88 NON-BPJS asam tranexamat tablet ORAL
00.30.89 NON-BPJS Ventolin nebules 2,5 mg Glaxo OBAT LUAR
00.30.89 NON-BPJS oxyflow anak BHP
00.30.89 NON-BPJS salbutamol 4mg ORAL
00.30.89 NON-BPJS Flutamol-P kaps Pyridam ORAL
00.30.89 NON-BPJS Licodexon tab 0,5 mg Berlico ORAL
00.30.89 NON-BPJS kertas berlogo BHP
00.30.90 NON-BPJS ranitidin ORAL
00.30.91 NON-BPJS ambroxol ORAL
00.30.91 NON-BPJS salbutamol 2mg ORAL
NON-BPJS Antihemoroid suppositoria KF OBAT LUAR
00.30.92 NON-BPJS betadine sol OBAT LUAR
00.30.92 NON-BPJS Clindamycin kaps 150 mg Novell ORAL
00.30.91 NON-BPJS Pulmicort budesonide respules 0,25 mg/ml Astrazeneca OBAT LUAR
00.30.91 NON-BPJS Ceftriaxone inj 1 g Dexa INJEKSI
00.30.91 NON-BPJS Tubercle bacillus syringe 1 cc Cosmomed BHP
00.30.91 NON-BPJS Ambroxol HCl Elixir 15 mg/5 ml (60 ml) Quantum SIRUP
00.30.91 NON-BPJS Azithromycin tab 500 mg KF ORAL
00.30.91 NON-BPJS Acetylcisteine kaps 200 mg Indofarma ORAL
00.30.91 NON-BPJS Paracetamol tab 500 mg Mersifarma ORAL
00.30.93 NON-BPJS Anti Tetanus Serum / BIO SAT inj 1500 IU INJEKSI
00.30.93 NON-BPJS Verorab - Sanofi INJEKSI
00.30.93 NON-BPJS Cefadroxil kaps 500 mg Pharmalab ORAL
00.30.91 NON-BPJS Hi-Oxy Mask Dewasa Onemed BHP
NON-BPJS Surgical Blades 24 GEA BHP
NON-BPJS Cefadroxil kaps 500 mg Pharmalab ORAL
NON-BPJS Fenaren tab 50 mg Bernofarm ORAL
NON-BPJS Piroxicam kaps 10 mg Indofarma ORAL
NON-BPJS Ambroxol HCl Elixir 15 mg/5 ml (60 ml) Quantum SIRUP
00.30.94 NON-BPJS Omeprazole kaps 20 mg Novapharin ORAL
00.30.94 NON-BPJS Sukralfat suspensi 500mg/5ml (100 ml) Mepro SIRUP
NON-BPJS Mucoxol drops Tempo SIRUP
NON-BPJS Glyceryl Guaiacolate tab 100 mg Ciubros ORAL
00.30.95 NON-BPJS Lidocaine compositum inj 2% Lucas INJEKSI
00.30.95 NON-BPJS Silk BS636 Taper Point 2/0 BHP
00.30.95 NON-BPJS Silk BS656-1 Conventional Cut 3/0 BHP
00.30.95 NON-BPJS Ketorolac Tromethamine inj 30 mg/mL Bernofarm INJEKSI
00.30.95 NON-BPJS Ciprofloxacin tab 500 mg Novapharin ORAL
00.30.95 NON-BPJS Salbutamol tab 2 mg Grahafarma ORAL
00.30.95 NON-BPJS Sodium chloride (NaCl) 0,9% 500 ml Widatra CAIRAN INFUS
00.30.95 NON-BPJS Bioplacenton tulle sachet Eracita BHP
00.30.95 NON-BPJS Surgical Blades 24 GEA BHP
00.30.91 NON-BPJS ambroxol tablet ORAL
00.30.91 NON-BPJS Codeine tab 10 mg KF ORAL
00.05.17 NON-BPJS Cefadroxil kaps 500 mg Pharmalab ORAL
00.05.17 NON-BPJS gentamicin salp kulit OBAT LUAR
00.05.19 NON-BPJS amoxicillin tab 500 mg ORAL
00.30.96 NON-BPJS Cefadroxil sirup kering 250 mg/5 ml Bernofarm ORAL
00.30.96 NON-BPJS Ambroxol HCl Elixir 15 mg/5 ml (60 ml) Quantum SIRUP
00.30.96 NON-BPJS Methylprednisolone tab 4 mg Quantum ORAL
00.30.91 NON-BPJS Ambroxol tablet ORAL
NON-BPJS Scantaren gel 20 gr Tempo OBAT LUAR
00.30.97 BPJS OxyFlow Dewasa Onemed BHP
00.30.97 BPJS Jet Nebu Mask Dewasa Onemed BHP
00.30.97 BPJS Ventolin nebules 2,5 mg Glaxo OBAT LUAR
00.30.97 BPJS Paracetamol tab 500 mg Mersifarma ORAL
00.30.97 BPJS Dexamethasone inj 5 mg/ml Phapros INJEKSI
00.30.97 BPJS Aminophylline inj 24 mg/ml Phapros INJEKSI
00.30.97 BPJS Cefotaxime inj 1 g Holi INJEKSI
00.30.97 BPJS Tubercle bacillus syringe 1 cc Cosmomed BHP
00.30.97 BPJS Ambroxol tablet ORAL
00.30.97 BPJS Otsu WI Aquabides Otsuka INJEKSI
NON-BPJS Piroxicam kaps 10 mg Indofarma ORAL
00.30.98 NON-BPJS Cefixime kaps 200 mg Quantum ORAL
00.30.98 NON-BPJS Mucoxol tab 30 mg Tempo ORAL
00.30.98 NON-BPJS Vitamin B Complex tab KF ORAL
00.30.99 NON-BPJS Amlodipine besilate tab 10 mg Pharmalab ORAL
00.30.99 NON-BPJS Irbesartan tab 150 mg Indofarma ORAL
00.30.99 NON-BPJS Lansoprazole kaps 30 mg Indofarma ORAL
00.30.99 NON-BPJS Mecobalamin tablet ORAL
00.31.00 NON-BPJS Lansoprazole kaps 30 mg Indofarma ORAL
NON-BPJS Fungasol SS 2% Guardian OBAT LUAR
00.31.02 NON-BPJS DOMPERIDONE SIRUP SIRUP
00.31.02 NON-BPJS Zinc Sulfate sirup 20mg/5ml (60 ml) Mepro SIRUP
00.31.02 NON-BPJS BIOLICYN SIRUP SIRUP
00.31.02 NON-BPJS Kertas puyer berlogo BHP
00.31.02 NON-BPJS Sanmol sirup SIRUP
00.31.02 NON-BPJS Probiotik sachet ORAL
00.31.02 NON-BPJS Sirplus - Mepro ORAL
00.31.01 NON-BPJS Glyceryl Guaiacolate tab 100 mg Ciubros ORAL
00.23.62 NON-BPJS lidocain inj INJEKSI
00.23.62 NON-BPJS Sodium chloride (NaCl) 0,9% 500 ml Widatra ed jul-19 CAIRAN INFUS
00.23.62 NON-BPJS catgut 3/0 BHP
00.23.62 NON-BPJS silk 3/0 BHP
NON-BPJS levofloxacin ORAL
NON-BPJS scabimite cream OBAT LUAR
NON-BPJS bexce ORAL
NON-BPJS bexce ORAL
NON-BPJS captopril 25mg ORAL
NON-BPJS imboost kids syr SIRUP
00.31.03 BPJS anti tetanus serum INJEKSI
00.31.03 BPJS cefadroxil ORAL
00.31.03 BPJS Mefenamic acid tab 500 mg Mersifarma ORAL
00.31.03 BPJS disposable 3cc BHP
00.31.03 BPJS surgical blades 11 BHP
00.31.03 BPJS lidocain inj INJEKSI
00.30.93 NON-BPJS Verorab - Sanofi INJEKSI
00.31.04 NON-BPJS Silk BS656-1 Conventional Cut 3/0 BHP
NON-BPJS Bioplacenton tulle sachet Eracita BHP
NON-BPJS Meloxicam tab 7,5 mg KF ORAL
NON-BPJS Paracetamol sirup 120mg/5ml (60 ml) ETA SIRUP
NON-BPJS Amoxicillin tab 500 mg Pharmalab ORAL
NON-BPJS Antasida suspensi (60 ml) Mersifarma SIRUP
NON-BPJS Meloxicam tab 15 mg Dexa ORAL
NON-BPJS Amoxicillin tab 500 mg Pharmalab ORAL
NON-BPJS Dexamethasone tablet ORAL
NON-BPJS Pot salep 30 g BHP
NON-BPJS Amlodipine besilate tab 10 mg Pharmalab ORAL
NON-BPJS Amlodipine 5mg ORAL
NON-BPJS domperidon ORAL
NON-BPJS betametason cream OBAT LUAR
NON-BPJS paracetamol ORAL
NON-BPJS Bioplacenton tulle BHP
NON-BPJS kassa sterile drc 16x16 BHP
NON-BPJS kassa gulung 4x10 cm BHP
NON-BPJS plesterin rollnon woven 5x5 BHP
NON-BPJS Silex syrup Darya SIRUP
NON-BPJS Lactacyd Woman 60 ml Sanofi OBAT LUAR
NON-BPJS Scabimite 10 gr Galenium OBAT LUAR
NON-BPJS Loratadine tab 10 mg Bernofarm ORAL
NON-BPJS Gom 10% Ciubros OBAT LUAR
NON-BPJS Sukralfat suspensi 500mg/5ml (100 ml) Mepro SIRUP
BPJS Omeprazole kaps 20 mg Novapharin ORAL
BPJS Sucralfate suspensi 500mg/5ml (100 ml) Tempo SIRUP
BPJS Asam Traneksamat inj 500 mg/5 ml Bernofarm INJEKSI
BPJS Otsu RL 500 ml Otsuka CAIRAN INFUS
BPJS Sendok obat sirup BHP
BPJS IV Cannula 22 Eskamed BHP
BPJS Infus Set Makro Polymed BHP
BPJS Disposable syringe 5 cc Aximed BHP
BPJS Amlodipine besilate tab 5 mg Tempo ORAL
BPJS Mucoxol tab 30 mg Tempo ORAL
BPJS Otsu WI Aquabides Otsuka INJEKSI
NON-BPJS Kertas puyer berlogo BHP
BPJS Tablet Tambah Darah Phapros ORAL
BPJS Otsu RL 500 ml Otsuka CAIRAN INFUS
NON-BPJS Benacol syrup Kalbe Farma SIRUP
NON-BPJS Ambroxol HCl Elixir 15 mg/5 ml (60 ml) Quantum SIRUP
NON-BPJS Erythromycin sirup kering 200mg/5ml (60 ml) Phyto Kemo SIRUP
NON-BPJS Cetirizine HCl sirup 5mg/5ml (60 ml) Erela SIRUP
NON-BPJS Ketoconazole krim 2% 10 gr KF OBAT LUAR
BPJS Otsu WI Aquabides Otsuka INJEKSI
BPJS IV Cannula 18 Eskamed BHP
00.31.17 BPJS Omeprazole sodium inj 40 mg Dexa INJEKSI
00.31.17 BPJS Kalnex 500 mg injeksi INJEKSI
00.31.17 BPJS Ambroxol HCl Elixir 15 mg/5 ml (60 ml) Quantum SIRUP
00.31.17 BPJS Amlodipine besilate tab 5 mg Tempo ORAL
00.31.17 BPJS Tablet Tambah Darah Phapros ORAL
00.31.17 BPJS Sendok obat sirup BHP
00.31.19 BPJS Pronalges supp OBAT LUAR
00.31.19 BPJS Ranitidin tab 150 mg Hexpharm ORAL
00.31.19 BPJS Paracetamol tab 500 mg Mersifarma ORAL
00.31.19 BPJS Buscopan 10 mg tab Boehringer ORAL
NON-BPJS Fungasol SS 2% Guardian OBAT LUAR
NON-BPJS Bexce tab Tempo ORAL
NON-BPJS Betahistin Mesylate tab 6 mg Mersifarma ORAL
NON-BPJS Dexamethasone tab 0,5 mg Novapharin ORAL
NON-BPJS Vitamin C tab 50 mg KF ORAL
00.30.21 NON-BPJS Dulcolax 10 mg Boehringer OBAT LUAR
00.31.21 NON-BPJS Stesolid rectal 5mg/2,5 ml Actavis OBAT LUAR
00.31.21 NON-BPJS Alprazolam tab 0,25 mg ORAL
NON-BPJS Vitamin C tab 50 mg KF ORAL
NON-BPJS Sucralfate suspensi 500mg/5ml (100 ml) Tempo SIRUP
NON-BPJS Flutamol-P kaps Pyridam SIRUP
NON-BPJS Hydrocortisone cream 2,5% KF OBAT LUAR
NON-BPJS Profolat tab 0,4 mg Promed ORAL
NON-BPJS Candesartan cilexetil tab 8 mg Dexa ORAL
NON-BPJS Loperamid HCl tab 2 mg Ifars ORAL
NON-BPJS Bioplacenton tulle sachet Eracita BHP
NON-BPJS Calcium lactate tab 500 mg Mersifarma ORAL
NON-BPJS Scantaren gel 20 gr Tempo OBAT LUAR
00.31.22 NON-BPJS Ondansentron tab 8 mg Indofarma ORAL
00.31.22 NON-BPJS Vitamin B Complex tab KF ORAL
00.31.22 NON-BPJS Meloxicam tab 15 mg KF ORAL
NON-BPJS Cefspan dry syrup 100 mg Kalbe Farma SIRUP
NON-BPJS Vitamin B Complex tab KF ORAL
NON-BPJS Cangkang kapsul kosong BHP
NON-BPJS Metformin tab 500 mg Hexpharm ORAL
NON-BPJS Glimepiride tab 2 mg Dexa ORAL
NON-BPJS Sendok obat sirup BHP
NON-BPJS Asam traneksamat tablet ORAL
00.31.23 NON-BPJS Dulcolax 10 mg Boehringer OBAT LUAR
00.31.24 NON-BPJS Omeprazole kaps 20 mg Novapharin ORAL
NON-BPJS Metformin tab 500 mg Hexpharm ORAL
NON-BPJS Glimepiride tab 2 mg Dexa ORAL
NON-BPJS Ranitidin tab 150 mg Hexpharm ORAL
NON-BPJS Meloxicam tab 15 mg KF ORAL
NON-BPJS Sumagesic tab 600 mg Darya ORAL
NON-BPJS Betadine ointment 5 g Mahakam OBAT LUAR
NON-BPJS Mamypoko Pants Std (L) BHP
NON-BPJS Antasida DOEN tab 500 mg Mersifarma ORAL
NON-BPJS Vitamin B6 tab 10 mg Megaesa ORAL
NON-BPJS Ranitidin tab 150 mg Hexpharm ORAL
NON-BPJS Sirplus - Mepro ORAL
NON-BPJS Sendok obat sirup BHP
NON-BPJS Kertas puyer berlogo BHP
NON-BPJS Verorab - Sanofi INJEKSI
00.31.25 BPJS WIDA D5 1/4NS 500 ml Widatra CAIRAN INFUS
00.31.25 BPJS Ceftriaxone inj 1 g Dexa INJEKSI
00.31.25 BPJS Ondansetron HCl dihydrate inj 4 mg/2 ml Soho INJEKSI
00.31.25 BPJS Paracetamol infusion 1 g/100 ml Quantum CAIRAN INFUS
00.31.25 BPJS Ondansetron HCl dihydrate inj 4 mg/2 ml Soho INJEKSI
00.31.26 NON-BPJS Blood transfusion set Cosmomed BHP
00.31.26 NON-BPJS Sodium chloride (NaCl) 0,9% 500 ml Widatra CAIRAN INFUS
00.31.26 NON-BPJS Asam Traneksamat inj 500 mg/5 ml Bernofarm INJEKSI
#R ASAL R DR. JAGA R/NR MENIT PETUGAS INPUT
1 Non Racikan eva oktarina
Non Racikan eva oktarina
1 Non Racikan
Non Racikan
Non Racikan
Non Racikan
1 Non Racikan
Non Racikan
Non Racikan
Non Racikan
1 Non Racikan ade chyntia
Non Racikan ade chyntia
1 Non Racikan mira triadhewa
Non Racikan mira triadhewa
1 eva oktarina
eva oktarina
1 eva oktarina
eva oktarina
eva oktarina
1 eva oktarina
1
1
1
1
1 IGD Gede, dr Non Racik 6 deka adiftha

IGD Gede, dr Non Racikan deka adiftha
IGD Gede, dr Racikan deka adiftha
IGD Gede, dr deka adiftha
1
1 IGD Gede, dr Non Racik 10 deka adiftha

1 Cherry, dr tri andri kurniawan
Cherry, dr tri andri kurniawan
Cherry, dr tri andri kurniawan
1 Poli Umum Cherry, dr Non Racik 5 tri andri kurniawan
Poli Umum Cherry, dr Non Racikan tri andri kurniawan
1 IGD Magista, dr Non Racik 10 tri andri kurniawan
IGD Magista, dr Non Racikan tri andri kurniawan
1 Poli Umum Magista, dr Non Racik 3 tri andri kurniawan
Poli Umum Magista, dr Non Racikan tri andri kurniawan
1 Magista, dr desri hanindya
Magista, dr desri hanindya
Magista, dr desri hanindya
1 Magista, dr desri hanindya
1 Poli Umum Magista, dr Non Racik 5 desri hanindya
Poli Umum Magista, dr Non Racikan desri hanindya
1 IGD Magista, dr Non Racik 10 desri hanindya
IGD Magista, dr Non Racikan desri hanindya
IGD Magista, dr Racikan desri hanindya
1 Poli Umum Magista, dr Non Racik 10 desri hanindya
1 eva oktarina
eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 Poli Umum Hanif F, dr Non Racik 3 eva oktarina
Poli Umum Hanif F, dr Non Racikan eva oktarina
Poli Umum Hanif F, dr Non Racikan eva oktarina
1 Rawat Inap Hanif F, dr Non Racik 8 eva oktarina
Rawat Inap Hanif F, dr Non Racikan eva oktarina
1 IGD Hanif F, dr Non Racik 10 eva oktarina
IGD Hanif F, dr Non Racikan eva oktarina
1 Rawat Inap Hanif F, dr Non Racik 1 eva oktarina
1 damayan bagus
1 damayan bagus
damayan bagus
1 damayan bagus
damayan bagus
damayan bagus
damayan bagus
1 damayan bagus
1 Rawat Inap Gede, dr Non Racik 5 damayan bagus
Rawat Inap Gede, dr Non Racikan damayan bagus
1 Poli Umum Gede, dr Non Racik 5 damayan bagus
Poli Umum Gede, dr Non Racikan damayan bagus
1 damayan bagus
damayan bagus
damayan bagus
1 IGD Gede, dr Non Racik 10 tri andri kurniawan
IGD Gede, dr Non Racikan tri andri kurniawan
1 Rawat Inap Yunda AlhusnaNon Racik 7 tri andri kurniawan
Rawat Inap Yunda AlhusnaNon Racikan tri andri kurniawan
1 Rawat Inap Yunda AlhusnaRacikan 7 tri andri kurniawan
Rawat Inap Yunda AlhusnaRacikan tri andri kurniawan
1 Rawat Inap Yunda AlhusnaNon Racik 20 tri andri kurniawan
Rawat Inap Yunda Alhusna, dr tri andri kurniawan
1 tri andri kurniawan
1 IGD Marica, dr Non Racik 15 tri andri kurniawan
IGD Marica, dr Non Racikan tri andri kurniawan
1 Non Racikan tri andri kurniawan
Non Racikan tri andri kurniawan
Non Racikan tri andri kurniawan
1 Poli Umum Cherry, dr Non Racik 5 eva oktarina
Poli Umum Cherry, dr Non Racikan eva oktarina
1 Non Racikan chania desmanita
1 Poli Umum Elvi, SpA Non Racikan maya sari
Poli Umum Elvi, SpA Non Racikan maya sari
Poli Umum Elvi, SpA Racikan 6 maya sari
Poli Umum Elvi, SpA maya sari
1 Poli Umum Adi Gunawan,Non Racik 5 maya sari
1 Non Racikan maya sari
Non Racikan maya sari
1 Magista, dr Non Racikan desri hanindya
Magista, dr Non Racikan desri hanindya
1 IGD Cherry, dr Non Racikan desri hanindya
IGD Cherry, dr Non Racikan desri hanindya
1 IGD Adi Gunawan,Non Racik 5 mira triadhewa
1 IGD Adi Gunawan,Non Racik 4 mira triadhewa
IGD Adi Gunawan,Non Racikan mira triadhewa
IGD Adi Gunawan,Non Racikan mira triadhewa
1 Magista, dr Non Racikan eva oktarina
Magista, dr Non Racikan eva oktarina
1 IGD Magista, dr Non Racikan desri hanindya
1 Non Racikan damayan bagus
Non Racikan damayan bagus
1 IGD Magista, dr Non Racik 10 deka adiftha
Non Racikan deka adiftha
1 Poli Umum Magista, dr Non Racik 10 deka adiftha
Racikan deka adiftha
1 Rawat Inap Magista, dr Non Racik 4 deka adiftha
1 Rawat Inap Melati, dr Non Racik 1 deka adiftha
1 Non Racikan deka adiftha
1 Rawat Inap Melati, dr Non Racik 1 deka adiftha
1 Rawat Inap Reza Yulisfa, dNon Racik 5 maya sari

Rawat Inap Reza Yulisfa, dNon Racikan maya sari
1 Rawat Inap Reza Yulisfa, dNon Racik 10 maya sari
1 IGD Reza Yulisfa, dNon Racik 4 maya sari
IGD Reza Yulisfa, dNon Racikan maya sari
1 Rawat Inap Reza Yulisfa, dNon Racikan maya sari
1 maya sari
1 maya sari
maya sari
1 maya sari
maya sari
maya sari
1 IGD Magista, dr Non Racik 10 ade chyntia
IGD Magista, dr Non Racikan ade chyntia
IGD Magista, dr Non Racikan ade chyntia
1 IGD Hanif F, dr Non Racik 2 mira triadhewa
IGD Hanif F, dr Non Racikan mira triadhewa
1 Poli Umum Adi Gunawan,Non Racikan tri andri kurniawan
Poli Umum Adi Gunawan,Non Racikan tri andri kurniawan
Poli Umum Yunda AlhusnaNon Racikan tri andri kurniawan
1 Poli Umum Yunda AlhusnaNon Racikan tri andri kurniawan
1 Poli Umum Yunda AlhusnaRacikan tri andri kurniawan
Poli Umum Yunda AlhusnaRacikan tri andri kurniawan
Non Racikan chania desmanita
1 Poli Umum Magista, dr Non Racik 15 mira triadhewa
Poli Umum Magista, dr Non Racikan mira triadhewa
1 IGD Magista, dr Non Racik 4 mira triadhewa
IGD Magista, dr Non Racikan mira triadhewa
1 Poli Umum Adi Gunawan,Non Racikan deka adiftha
1 Poli Umum Adi Gunawan,Non Racikan deka adiftha
1 IGD Hanif F, dr Non Racik 5 damayan bagus
1 Rawat Inap Non Racik 5 damayan bagus
1 IGD Melati, dr Non Racik 10 damayan bagus
STOCK OPNAME BULAN MEI 2019
NAMA SEDIAAN MERK JENIS (HNA+PPN)
Acarbose tab 100 mg Dexa DEXA MEDICA ORAL 779.00
Acarbose tab 50 mg Dexa DEXA MEDICA ORAL 562.00
Acetylcisteine kaps 200 mg Indofarma INDOFARMA ORAL 358.00
Acyclovir tab 200 mg Indofarma INDOFARMA ORAL 236.00
Albendazole chewable tab 400 mg KF KIMIA FARMA ORAL 402.00
Allopurinol tab 100 mg Sampharindo SAMPHARINDO ORAL 110.00
Alopurinol tab 100 mg Novapharin NOVAPHARIN ORAL 110.00
Alprazolam tab 0,25 mg Dexa DEXA MEDICA ORAL 316.00
Aminophylline tab 200 mg Marin MARIN LIZA ORAL 91.00
Amlodipine besilate tab 10 mg Pharmalab PHARMA LAB ORAL 104.00
Amlodipine besilate tab 5 mg Tempo TEMPO SCAN ORAL 73.00
Amoxicillin tab 250 mg Novapharin NOVAPHARIN ORAL 184.00
Amoxicillin tab 500 mg Pharmalab PHARMA LAB ORAL 190.00
Antalgin tab 500 mg KF KIMIA FARMA ORAL 240.00
Antasida DOEN tab 500 mg Mersifarma MERSI ORAL 54.00
Aspilets tab 80 mg Daryavaria DARYA VARIA ORAL 700.00
Atropine tab 0,5 mg Indofarma INDOFARMA ORAL 81.00
Azithromycin tab 500 mg KF KIMIA FARMA ORAL 1,888.00
Betahistin Mesylate tab 6 mg Dexa DEXA MEDICA ORAL 110.00
Betahistin Mesylate tab 6 mg Mersifarma MERSI ORAL 149.00
Bexce tab Tempo TEMPO ORAL 1,728.50
Bisacodyl tab 5 mg Etercon ETERCON PHARMORAL 300.00
Bisolvon tab 8 mg Sanofi Sanofi ORAL 1,813.30
Bisoprolol fumarate tab 5 mg Dexa DEXA MEDICA ORAL 263.00
Buscopan 10 mg tab Boehringer Boehringer ORAL 3,091.00
Buscopan plus Boehringer Boehringer ORAL 4,232.80

Calcium lactate tab 500 mg Mersifarma MERSI ORAL 56.00
Calplex kapl Mahakam Mahakam Beta Far ORAL 4,766.67
Calplex kapl Mahakam Mahakam Beta Far ORAL 4,766.67
Candesartan cilexetil tab 16 mg Dexa DEXA MEDICA ORAL 898.00
Candesartan cilexetil tab 8 mg Dexa DEXA MEDICA ORAL 519.00
Captopril tab 12,5 mg Indofarma INDOFARMA ORAL 145.00
Captopril tab 25 mg Indofarma INDOFARMA ORAL 75.00
Captopril tab 25 mg Landson PERTIWI ORAL 75.00
Captopril tab 50 mg Hexpharm HEXPHARM JAYA ORAL 119.00
Cefadroxil kaps 500 mg Pharmalab PHARMA LAB ORAL 450.00
Cefadroxil monohydrate kaps 250 mg Novapharin NOVAPHARIN ORAL 690.00
Cefixime kapl 200 mg Quantum QUANTUM LABS ORAL 4,125.00
Cefixime kaps 100 mg Hexpharm HEXPHARM JAYA ORAL 750.00
Cefixime tab 200 mg Bernofarm BERNOFARM ORAL 2,370.00
Celestik tab Pyridam PYRIDAM ORAL 1,828.75
Cetirizine hydrochloride tab 10 mg Futamed FUTAMED ORAL 90.00
Channa kaps 500 mg Herbal Herbal Indonesia ORAL 6,655.00
Chloramex kaps 500 mg Actavis ACTAVIS ORAL 1,090.00
Chloramex kaps 500 mg Actavis ACTAVIS ORAL 1,090.00
Chloramphenicol kaps 250 mg Novapharin NOVAPHARIN ORAL 310.00
Chlorphenamine maleate tab 4 mg Novapharin NOVAPHARIN ORAL 22.00
Chlorpromazine tab 100 mg KF KIMIA FARMA ORAL 147.00
Cilostazol tab 100 mg Bernofarm BERNOFARM ORAL 9,405.00
Ciprofloxacin tab 500 mg Novapharin NOVAPHARIN ORAL 240.00
Citicoline tab 500 mg Natura NATURA ORAL 5,610.00
Clarithromycin tab 500 mg Etercon ETERCON PHARMORAL 2,530.00
Clindamycin kaps 150 mg Novell NOVELL ORAL 715.00
Clobazam tab 10 mg Dexa DEXA MEDICA ORAL 739.00
Clomifene Citrate tab 50 mg Novell NOVELL ORAL 1,236.00
Clonidine tab 0,15 mg KF KIMIA FARMA ORAL 170.00
Clopidogrel bisulfate tab 75 mg Dexa DEXA MEDICA ORAL 1,650.00
Clopidogrel bisulfate tab 75 mg Dexa DEXA MEDICA ORAL 1,318.00
Clopidogrel bisulfate tab 75 mg Tempo TEMPO ORAL 1,973.00
Codeine tab 10 mg KF KIMIA FARMA ORAL 571.00
Codipront cum expectorant kaps KF Kimia Farma ORAL 10,502.80
Codipront kaps KF Kimia Farma ORAL 9,047.50
Concor 1,25 mg tab Merck MERCK ORAL 1,815.00
Concor tab 2,5 mg Merck Merck ORAL 626.00
Cotrimoksazole tab 480 mg Novapharin NOVAPHARIN ORAL 340.00
Cotrimoxazole tab 480 mg Mersifarma MERSI ORAL 129.00
Degirol tab Darya Darya Varia ORAL 912.45
Dexamethasone tab 0,5 mg Novapharin NOVAPHARIN ORAL 32.00
Diazepam tab 2 mg Yarindo YARINDO ORAL 86.00
Diazepam tab 5 mg Mersifarma MERSI ORAL 109.00
Diclofenac sodium tab 25 mg Phapros PHAPROS ORAL 128.00
Diclofenac sodium tab 50 mg Phapros PHAPROS ORAL 115.00
Digoxin tab 0,25 mg Yarindo YARINDO ORAL 104.00
Diltiazem tab 30 mg KF KIMIA FARMA ORAL 135.00
Dimenhydrinate tab 50 mg KF KIMIA FARMA ORAL 99.00
Dolo Scanneuron tab Tempo TEMPO ORAL 1,290.69
Domperidone tab 10 mg Dexa DEXA MEDICA ORAL 95.00
Dopamet tab 250 mg Actavis ACTAVIS ORAL 946.00
Doxycycline kaps 100 mg Yarindo YARINDO ORAL 280.00
Emineton tab Kalbe KALBE FARMA ORAL 1,650.00
Ephedrine tab 25 mg KF KIMIA FARMA ORAL 70.00
Ericaf tab Tempo TEMPO ORAL 5,626.43
Eriythromycin stearate tab 500 mg Rama RAMA EMERALD ORAL 730.00
Ethambutol HCl tab 500 mg Bernofarm BERNOFARM ORAL 505.00
Euthyrox tab 100 mcg Merck Merck ORAL 1,072.00
Euthyrox tab 50 mcg Merck Merck ORAL 771.00
Farizol tab 500 mg Ifars IFARS ORAL 255.00
Farsorbid 10 Fahrenheit FAHRENHEIT ORAL 198.00
Fenaren tab 50 mg Bernofarm BERNOFARM ORAL 170.00
Fenofibrat kaps 100 mg Hexpharm Hexpharm Jaya ORAL 1,116.00
Fenofibrat kaps 300 mg Hexpharm Hexpharm Jaya ORAL 1,355.00
FG Troches tab Meiji Meiji ORAL 1,164.77
Fluconazole kaps 150 mg KF KIMIA FARMA ORAL 18,000.00
Flutamol-P kaps Pyridam PYRIDAM ORAL 1,045.00
Folic acid tab 1 mg Marin MARIN LIZA ORAL 67.00
Frego tab 10 mg Kalbe KALBE FARMA ORAL 4,070.00
Frego tab 5 mg Kalbe KALBE FARMA ORAL 3,300.00
Furosemide tab 40 mg Indofarma INDOFARMA ORAL 77.00
Furosemide tab 40 mg KF KIMIA FARMA ORAL 77.00
Furosemide tab 40 mg Sampharindo SAMPHARINDO ORAL 77.00
Glibenclamide tab 5 mg Indofarma INDOFARMA ORAL 119.00
Gliclazide tab 80 mg Tempo TEMPO SCAN ORAL 220.00
Glimepiride tab 1 mg KF KIMIA FARMA ORAL 200.00
Glimepiride tab 2 mg Dexa DEXA MEDICA ORAL 207.00
Glimepiride tab 3 mg Dexa DEXA MEDICA ORAL 245.00
Gliquidone tab 30 mg Dexa DEXA MEDICA ORAL 1,075.00
Glyceryl Guaiacolate GG tab 100 mg KF KIMIA FARMA ORAL 156.59
Glyceryl Guaiacolate tab 100 mg Ciubros CIUBROS ORAL 95.00
Graxine tab Graha Graha Farma ORAL 201.81
Griseofulvin tab 125 mg Novapharin NOVAPHARIN ORAL 210.00
Haloperidol tab 0,5 mg Holi HOLI PHARMA ORAL 56.00
Haloperidol tab 0,5 mg Yarindo YARINDO ORAL 55.00
Hepa-Q kaps Pyridam PYRIDAM ORAL 4,317.75
Herbesser CD kaps 100 mg Tanabe TANABE ORAL 4,460.00
Herbesser CD kaps 200 mg Tanabe TANABE ORAL 4,835.00
Hesroid kapl Mahakam Mahakam Beta Far ORAL 5,500.00
Hustab tab Phapros PHAPROS ORAL 395.00
Hydrochlorothiazide tab 25 mg KF KIMIA FARMA ORAL 149.00
Ibuprofen tab 200 mg Novapharin NOVAPHARIN ORAL 102.00
Ibuprofen tab 400 mg Phyto Kemo PHYTO KEMO ORAL 155.00
Imboost tab Soho Soho ORAL 3,308.80
Imforce plus kapl Mahakam Mahakam Beta Far ORAL 5,866.67
Interdoxin kaps 50 mg Interbat INTERBAT ORAL 1,540.00
Interdoxin kaps 50 mg Interbat INTERBAT ORAL 1,540.00
Irbesartan tab 150 mg Indofarma INDOFARMA ORAL 483.00
Isoniazid tab 100 mg Phyto Kemo PHYTO KEMO ORAL 74.00
Isosorbide dinitrate tab 5 mg Indofarma INDOFARMA ORAL 89.00
Kalitake 5 g DIPA DIPA ORAL 4,999.00
Kaltrofen tab 50 mg Kalbe KALBE FARMA ORAL 2,750.00
Kendaron tab 30 mg Daryavaria DARYA VARIA ORAL 1,088.00
Ketoconazole tab 200 mg Novapharin NOVAPHARIN ORAL 280.00
Ketoprofen tab 100 mg Bernofarm BERNOFARM ORAL 1,188.00
Ketorolac tab 10 mg Bernofarm BERNOFARM ORAL 683.10
KSR tab 600 mg Merck Merck ORAL 1,842.00
Lansoprazole kaps 30 mg Indofarma INDOFARMA ORAL 303.00
Laxana tab 5 mg Ifars IFARS ORAL 550.00
Levofloxacin tab 500 mg Promed PROMED ORAL 424.00
Licodexon tab 0,5 mg Berlico BERLICO ORAL 104.00
Liprolac vanilla Kalbe KALBE FARMA ORAL 6,600.00
Lisinopril tab 5 mg Dexa DEXA MEDICA ORAL 269.00
Liverprime Graha Graha Farma ORAL 6,930.00
Loperamid HCl tab 2 mg Ifars IFARS ORAL 208.00
Loratadine tab 10 mg Hexpharm Hexpharm Jaya ORAL 123.00
Loratadine tab 10 mg Bernofarm BERNOFARM ORAL 125.00
Lorson tab Tempo TEMPO ORAL 700.00
Mefenamic acid tab 500 mg Mersifarma MERSI ORAL 100.00
Meloxicam tab 15 mg Dexa DEXA MEDICA ORAL 430.00
Meloxicam tab 15 mg KF KIMIA FARMA ORAL 275.51
Meloxicam tab 7,5 mg Dexa DEXA MEDICA ORAL 430.00
Meloxicam tab 7,5 mg KF KIMIA FARMA ORAL 794.85
Metamizole tab 500 mg Bernofarm BERNOFARM ORAL 198.00
Metformin tab 500 mg Hexpharm HEXPHARM JAYA ORAL 96.00
Methylergometrine tab 0,125 mg KF KIMIA FARMA ORAL 210.00
Methylprednisolone tab 16 mg Dexa DEXA MEDICA ORAL 516.00
Methylprednisolone tab 4 mg Quantum QUANTUM LABS ORAL 413.00
Methylprednisolone tab 8 mg Bernofarm BERNOFARM ORAL 295.00
Metoclopramide HCl tab 10 mg Graha Farma GRAHA FARMA ORAL 80.00
Metoclopramide HCl tab 5 mg KF KIMIA FARMA ORAL 121.00
Metronidazol tab 250 mg Phyto Kemo PHYTO KEMO ORAL 124.00
Metronidazole tab 500 mg Bernofarm BERNOFARM ORAL 237.60
Micardis tab 40 mg Boehringer BOEHRINGER ORAL 3,045.00
Micardis tab 80 mg Boehringer BOEHRINGER ORAL 5,409.00
Miniaspi 80 Mersifarma MERSIFARMA ORAL 99.00
Molasma 2,5 mg tab Molex MoOLEX AYUS ORAL 89.00
Mucoxol tab 30 mg Tempo TEMPO ORAL 1,088.00
Myori tab 50 mg Tempo TEMPO ORAL 3,420.00
Nariz tab 25 mg Tempo TEMPO ORAL 1,374.00
Natabion kaps Pyridam PYRIDAM ORAL 1,567.50
Neo Diagon tab 650 mg Harsen HARSEN ORAL 200.00
Neuraxon 5000 tab Pyridam PYRIDAM ORAL 2,351.25
Neuraxon 5000 tab Pyridam PYRIDAM ORAL 2,351.25
Neurodial tab KF KIMIA FARMA ORAL 660.00
Nexitra tab 500 mg Ifars IFARS ORAL 1,140.00
Nifedipine tab 10 mg Dexa DEXA MEDICA ORAL 110.00
Nitral tab sublingual 500 mcg Actavis Actavis ORAL 1,400.00
Nodrof Flu Antitussive Tempo TEMPO ORAL 644.00
Nodrof Flu Expectorant Tempo TEMPO ORAL 644.00
Norestil tab 5 mg Guardian GUARDIAN ORAL 1,760.00
Novadex tab 0,5 mg Novapharin NOVAPHARIN ORAL 85.00
Nystatin tab 500.000 IU Phapros PHAPROS ORAL 790.00
Ofloxacin tab 200 mg Indofarma Indofarma ORAL 427.00
Ofloxacin tab 400 mg Indofarma Indofarma ORAL 616.00
Omeprazole kaps 20 mg Novapharin NOVAPHARIN ORAL 140.00
Ondansentron tab 4 mg Yarindo YARINDO ORAL 385.00
Ondansentron tab 8 mg Indofarma Indofarma ORAL 351.00
Ondansetron tab 4 mg Indofarma INDOFARMA ORAL 455.00
Oralit 200 Phapros PHAPROS ORAL 260.00
Oralit 200 Rama RAMA EMERALD ORAL 260.00
Ostine forte Graha Graha Farma ORAL 2,692.42
Ostine Graha Graha Farma ORAL 1,580.18
Paracetamol tab 500 mg Mersifarma MERSI ORAL 53.00
Patral tab Mahakam MAHAKAM ORAL 7,150.00
Pepzol 20 tab Mahakam Mahakam Beta Far ORAL 14,300.00
Phenobarbital tab 30 mg KIMIA FARMA ORAL 171.00
Phenytoin sodium kaps 100 mg IKA Ikapharmindo ORAL 158.00
Phytomenadione tab 10 mg Phapros PHAPROS ORAL 710.00
Piracetam tab 400 mg Bernofarm BERNOFARM ORAL 487.08
Piroxicam kaps 10 mg Indofarma INDOFARMA ORAL 200.00
Pletaal tab 50 mg Otsuka OTSUKA ORAL 8,890.20
Potensik tab Pyridam PYRIDAM ORAL 1,201.75
Prednison tab 5 mg Holi HOLI PHARMA ORAL 68.00
Prednison tab 5 mg Ifars IFARS ORAL 76.00
Prelin 75 mg tab Mahakam Mahakam Beta Far ORAL 9,821.43
Prinol kapl Mahakam Mahakam Beta Far ORAL 9,625.00
Probenid tab 500 mg Dexa DEXA MEDICA ORAL 1,822.00
Profolat tab 0,4 mg Promed Promed ORAL 52.00
Propranolol tab 10 mg Holi HOLI PHARMA ORAL 54.00
Propranolol tab 40 mg Holi HOLI PHARMA ORAL 73.00
Pyrazinamide tab 500 mg Holi HOLI PHARMA ORAL 228.00
Ramipril tab 2,5 mg Dexa DEXA MEDICA ORAL 245.00
Ramipril tab 5 mg Dexa DEXA MEDICA ORAL 295.00
Ranitidin tab 150 mg Hexpharm HEXPHARM JAYA ORAL 98.00
Retaphyl tab SR 300 mg KF KIMIA FARMA ORAL 1,123.00
Rifampicin tab 300 mg Indofarma INDOFARMA ORAL 747.00
Salbutamol tab 2 mg Grahafarma GRAHA FARMA ORAL 100.00
Salbutamol tab 2 mg KF KIMIA FARMA ORAL 63.00
Salofalk tab 250 mg Darya Darya Varia ORAL 7,784.70
Salofalk tab 500 mg Darya Darya Varia ORAL 13,679.82
Scanaflam tab 25 mg Tempo TEMPO ORAL 1,439.94
Scandene tab 20 mg Tempo TEMPO ORAL 1,795.30
Scanmecob 500 tab Tempo TEMPO ORAL 1,930.50
Siberid 5 tab Pyridam PYRIDAM ORAL 5,225.00
Silopect tab Pyridam PYRIDAM ORAL 992.75
Simvastatin tab 10 mg Mersifarma MERSI ORAL 111.00
Simvastatin tab 20 mg Bernofarm BERNOFARM ORAL 1,108.90
Simvastatin tab 20 mg KF KIMIA FARMA ORAL 205.00
Sirplus - Mepro MEPROFARM ORAL 200.00
Sodium Bicarbonate tab 500 mg Marin MARIN LIZA ORAL 250.00
Spasmal 200 mg tab Prafa Prafa ORAL 500.13
Spiramycin tab 1,5 M IU Novell NOVELL ORAL 1,780.00
Spironolactone tab 100 mg Dexa DEXA MEDICA ORAL 539.00
Spironolakton tab 25 mg Dexa DEXA MEDICA ORAL 244.00
Sulfadiazine tab 500 mg Ifars IFARS ORAL 283.00
Sumagesic tab 600 mg Darya Darya Varia ORAL 471.16
Tablet Tambah Darah Phapros PHAPROS ORAL 352.00
Tanapress 5 Tanabe TANABE ORAL 2,530.00
Tetrasiklin kaps 500 mg Novapharin NOVAPHARIN ORAL 303.00
Thyrozol tab 10 mg Merck Merck ORAL 1,286.00
Thyrozol tab 5 mg Merck Merck ORAL 661.00
Trianta tab Ifars IFARS ORAL 175.00
Trihexyphenidiyl HCl tab 2 mg Mersifarma MERSIFARMA ORAL 85.00
Urdahex tab 250 mg Kalbe KALBE FARMA ORAL 10,084.00
Urinter kaps 400 mg Interbat INTERBAT ORAL 1,400.00
Ursodeoxycholic acid tab 250 mg Dexa DEXA MEDICA ORAL 2,139.00
Valsartan tab 160 mg Etercon ETERCON PHARMORAL 999.00
Valsartan tab 80 mg Dexa DEXA MEDICA ORAL 655.00
Venosmil kaps 200 mg Kalbe KALBE FARMA ORAL 9,900.00
Verapamil tab 80 mg KF KIMIA FARMA ORAL 314.00
Vermox tab 500 mg Taisho TAISHO ORAL 9,150.00
Vitamin A Biru 100.000 IU KF KIMIA FARMA ORAL 284.00
Vitamin A Merah 200.000 IU KF KIMIA FARMA ORAL 508.00
Vitamin B Complex tab KF KIMIA FARMA ORAL 115.00
Vitamin B1 tab 25 mg IPI IPI ORAL 82.00
Vitamin B1 tab 25 mg Novapharin NOVAPHARIN ORAL 82.00
Vitamin B6 tab 10 mg Imfarmind IMFARMIND ORAL 126.00
Vitamin B6 tab 10 mg KF KIMIA FARMA ORAL 126.00
Vitamin B6 tab 10 mg Megaesa MEGAESA ORAL 118.00
Vitamin C tab 50 mg KF KIMIA FARMA ORAL 104.00
Vitamin K4 tab Erela ERELA ORAL 185.00
Warfarin tab 1 mg Eisai EISAI ORAL 979.00
Zinc tab 20 mg Indofarma INDOFARMA ORAL 513.00
Zypraz tab 0,25 mg Kalbe KALBE FARMA ORAL 715.00
Allerin Expectorant syrup 60 ml Darya Darya Varia SIRUP 11,261.80
Ambroxol HCl Elixir 15 mg/5 ml (60 ml) Quantum QUANTUM LABS SIRUP 6,160.00
Amoxicillin sirup kering 125mg/5ml (60 ml) Mersifarma MERSI SIRUP 1,881.00
Amoxicillin suspensi kering 250mg/5ml (60 ml) Holi HOLI SIRUP 3,519.00
Antasida suspensi (60 ml) Mersifarma MERSI SIRUP 1,923.00
Asam Mefenamat suspensi 50 mg/5 ml Bernofarm BERNOFARM SIRUP 9,900.00
Azithromycin sirup kering 200 mg/5 ml Dexa DEXA MEDICA SIRUP 23,448.00
Benacol DTM syrup Kalbe Farma KALBE FARMA SIRUP 14,850.00
Benacol syrup Kalbe Farma KALBE FARMA SIRUP 16,500.00
Bisolvon extra syr 60 ml Sanofi Sanofi SIRUP 38,885.00
Caviplex syr Erela ERELA SIRUP
Cefadroxil suspensi kering 125mg/5ml (60 ml) Holi HOLI SIRUP 3,984.00
Cefadroxil suspensi kering 250mg/5ml (60 ml) Bernofarm BERNOFARM SIRUP 14,950.00
Cefspan dry syrup 100 mg Kalbe Farma KALBE FARMA SIRUP 108,900.00
Cetirizine HCl sirup 5mg/5ml (60 ml) Erela ERLA SIRUP 3,150.00
Channa plus 10 gr SK Herbal Herbal Indonesia SIRUP 66,550.00
Chloramphenicol suspensi 125mg/5ml (60 ml) Novapharin NOVAPHARIN SIRUP 4,700.00
Codipront cum expectorant syrup KF Kimia Farma SIRUP 61,105.00
Cotrimoxazole sirup kering (60ml) Holi HOLI SIRUP 2,286.00
Daryazinc syrup 60 ml Darya Darya Varia SIRUP 34,650.00
Domperidon drops 5 mg/ml Bernofarm BERNOFARM SIRUP 23,760.00
Domperidone suspensi 5 mg/5 ml Novapharin NOVAPHARIN SIRUP 2,700.00
Erythromycin sirup kering 200mg/5ml (60 ml) Phyto Kemo PHYTO SIRUP 6,150.00
Flutamol-P syrup 60 ml Pyridam PYRIDAM SIRUP 15,675.00
Gavistal drops 2 mg/ml Mepro Meprofarm SIRUP 3,900.00
Ibuprofen suspensi 100 mg/5 ml (60 ml) Rama Em RAMA EMERALD SIRUP 2,475.00
Imboost kids syrup 60 ml Soho Soho SIRUP 62,700.00
Kompolax sirup Ifars IFARS SIRUP 5,192.00
Lactulose sirup 60 ml IKA Ikapharmindo SIRUP 15,060.00
Metronidazole suspensi 125mg/5ml (60 ml) Mepro MEPRO SIRUP 3,950.00
Metronidazole benzoate suspensi 125mg/5ml (60 ml) Mepro MEPRO SIRUP 3,950.00
Mucoxol drops Tempo TEMPO SIRUP 50,885.00
Mucoxol sirup Tempo TEMPO SIRUP 29,131.00
OBH combi batuk berdahak menthol Combiphar Combiphar SIRUP 10,120.00

OBH Combi Batuk Flu Apel Combiphar Combiphar SIRUP 11,495.00
OBH Combi Batuk Flu Jahe 60 ml Combiphar Combiphar SIRUP 10,495.00
OBH Combi Batuk Flu Madu Combiphar Combiphar SIRUP 11,495.00
OBH Combi batuk flu menthol Combiphar SIRUP 11,495.00
OBH combi batuk flu orange Combiphar Combiphar SIRUP 11,495.00
OBH combi batuk flu strawberry Combiphar Combiphar SIRUP 11,495.00
Oxopect syrup 60 ml Mahakam Mahakam Beta Far SIRUP 39,600.00
Paracetamol drops 100 mg/ml Indofarma INDOFARMA SIRUP 6,649.00
Paracetamol sirup 120mg/5ml (60 ml) ETA ETA SIRUP 1,010.00
Paracetamol syrup 120mg/5ml (60 ml) Mersifarma MERSI SIRUP 1,107.00
Paracetamol syrup 120mg/5ml (60 ml) Tempo TEMPO SIRUP 5,457.00
Paratusin syrup 60 ml Darya Darya Varia SIRUP 27,335.00
Pinkids cough suspensi Graha Graha Farma SIRUP 5,479.00
Prokids syrup Mahakam Mahakam Beta Far SIRUP 44,000.00
Pronis syrup 120 ml strawberry Mahakam Mahakam Beta Far SIRUP 16,500.00
Pyrantel Pamoate suspensi 125 mg/5 ml Holi HOLI SIRUP 9,700.00
Salbutamol sulfate syrup 2 mg/5 ml Indofarma INDOFARMA SIRUP 4,446.00
Silex syrup Darya Darya Varia SIRUP 55,440.00
Silex syrup Darya Darya Varia SIRUP 55,440.00
Sodium valproate sirup 250 mg/5 ml Mepro Meprofarm SIRUP 15,789.00
Sucralfate suspensi 500mg/5ml (100 ml) Tempo TEMPO SIRUP 16,500.00
Sukralfat suspensi 500mg/5ml (100 ml) Mepro MEPRO SIRUP 8,338.00
Takana syrup Pyridam PYRIDAM SIRUP 26,125.00
Takana syrup Pyridam PYRIDAM SIRUP 26,125.00
Vesperum suspensi 5 mg/5 ml (60 ml) Ifars IFARS SIRUP 4,150.00
Zinc Sulfate sirup 20mg/5ml (60 ml) Mepro MEPRO SIRUP 4,789.00
Absorbed Td vaccine inj BioFarma BIO FARMA INJEKSI 16,995.00
Actrapid HM vial Novonordisk NOVO NORDISK INJEKSI 144,763.00
Aminophylline inj 24 mg/ml Phapros PHAPROS INJEKSI 3,551.00
Amiodarone HCl inj 50 mg/ml Daryavaria DARYA VARIA INJEKSI 8,649.00
Anti Bisa Ular / BIO SAVE inj BIO FARMA / BIO INJEKSI 479,996.00
SAVE
Anti Bisa Ular / BIO SAVE inj BIO FARMA / BIO INJEKSI 479,996.00
SAVE
Anti Tetanus Serum / BIO SAT inj 1500 IU BIO FARMA / BIO INJEKSI 130,999.00
SAT
Anti Tetanus Serum / BIO SAT inj 1500 IU BIO FARMA / BIO INJEKSI 130,999.00
SAT
Asam Traneksamat inj 500 mg/5 ml Bernofarm BERNO INJEKSI 2,190.00
Atropine inj 0,25 mg/ml Ethica ETHICA INJEKSI 1,540.00
Bricasma inj 0,5 mg/ml Astrazeneca ASTRAZENECA INJEKSI 11,960.00
Calcium Gluconate inj 100 mg/ml Ethica ETHICA INJEKSI 9,955.00
Catapres inj 150 mcg/ml Boehringer BOEHRINGER INJEKSI 77,000.00
Cefoperazone sodium inj 1 g Bernofarm BERNO INJEKSI 19,900.00
Cefotaxime inj 0,5 g Holi HOLI INJEKSI 6,012.00
Cefotaxime inj 1 g Holi HOLI INJEKSI 6,325.00
Cefotaxime sodium inj 1 g Quantum QUANTUM LABS INJEKSI 33,825.00
Ceftriaxone inj 1 g Dexa DEXA MEDICA INJEKSI 4,483.00
Ceftriaxone sodium inj 1 g Quantum QUANTUM LABS INJEKSI 29,700.00
Cetadop inj 200 mg/5 ml Ethica ETHICA INJEKSI 6,468.00
Cyanocobalamin inj 500 mcg/ml Lucas LUCAS DJAJA INJEKSI 1,035.00
Damaben inj 5 mg/ml CAPRIFARMINDO INJEKSI 52,000.00
Dexamethasone inj 5 mg/ml Mepro Meprofarm INJEKSI 1,097.00
Dexamethasone inj 5 mg/ml Phapros PHAPROS INJEKSI 1,740.00
Dexketoprofen inj 25 mg/ml INJEKSI 9,500.00
Diazepam inj 5 mg/ml Indofarma INDOFARMA INJEKSI 1,735.00
Diazepam inj 5 mg/ml Indofarma INDOFARMA INJEKSI 1,735.00
Diazepam inj 5 mg/ml Mepro MEPRO INJEKSI 1,735.00
Diphenhydramine HCl inj 10mg/ml Lucas LUCAS DJAJA INJEKSI 1,062.00
Diphenhydramine HCl inj 10mg/ml Phapros PHAPROS INJEKSI 1,062.00
Dobutamin HCl inj 250 mg/5 ml Novell NOVELL INJEKSI 14,300.00
Dobutamin HCl inj 50 mg/ml Dexa DEXA MEDICA INJEKSI 11,279.00
Epinephrine inj 1 mg/ml Ethica ETHICA INJEKSI 1,749.00
Farsorbid inj 1 mg/ml Fahrenheit FAHRENHEIT INJEKSI 31,890.00
Fluimucil 300 mg/3 ml ZAMBON INJEKSI 13,175.00
Furosemid inj 10 mg/ml Indofarma INDOFARMA INJEKSI 2,500.00
Furosemide inj 10 mg/ml Dexa DEXA MEDICA INJEKSI 1,333.00
Gentamicin sulfate inj 40mg/ml Indofarma INDOFARMA INJEKSI 3,386.00
Herbesser inj 50 mg Tanabe TANABE INJEKSI 154,400.00
Ketorolac Tromethamine inj 30 mg/mL Bernofarm BERNOFARM INJEKSI 1,240.00
Levemir Flexpen 100 IU/ml Novonordisk NOVO NORDISK INJEKSI 83,950.00
Lidocaine compositum inj 2% Lucas LUCAS DJAJA INJEKSI 1,111.00
Meropenem inj 1 g Bernofarm BERNOFARM INJEKSI 38,990.00
Mersibion 5000 inj Mersi Mersifarma INJEKSI 4,840.00
Methylergometrine maleate 0,2 mg/ml Ethica ETHICA INJEKSI 10,000.00
Methylprednisolone inj 500 mg Bernofarm BERNOFARM INJEKSI 64,973.00
Methylprednisolone sodium inj 125 mg Quantum QUANTUM LABS INJEKSI 38,775.00
Metoclopramide inj 5 mg/ml Bernofarm BERNOFARM INJEKSI 3,960.00
Na Phenytoin inj 2 ml INJEKSI 3,738.00
Neurobion 5000 inj Merck MERCK INJEKSI 10,950.00
Norepinephrine bitartrate monohydrate inj 1 mg/ml Ethica ETHICA INJEKSI 25,839.00
Novomix 30 flexpen NOVO NORDISK INJEKSI 110,968.00
Novorapid inj 100 IU/ml NOVO NORDISK INJEKSI 87,000.00
Omeprazole sodium inj 40 mg Dexa DEXA MEDICA INJEKSI 9,898.00
Omeprazole sodium powder inj 40 mg Quantum QUANTUM LABS INJEKSI 70,125.00
Ondansetron HCl dihydrate inj 4 mg/2 ml Soho SOHO INJEKSI 455.00
Otsu WI Aquabides Otsuka OTSUKA INJEKSI 2,750.00
Oxytocin inj 10 IU/ ml Ethica ETHICA INJEKSI 1,900.00
Pepzol inj 40 mg Mahakam Mahakam Beta Far INJEKSI 154,000.00
Phenobarbital inj 50 mg/ml Phapros PHAPROS INJEKSI 2,998.00
Phenytoin sodium inj 50 mg/ml Mepro MEPRO INJEKSI 3,738.00
Phytomenadione inj 2mg/ml KF KIMIA FARMA INJEKSI 4,956.00
Phytomenadione inj 2mg/ml Phapros PHAPROS INJEKSI 4,956.00
Prosogan inj 30 mg/ml Takeda TAKEDA INJEKSI 92,040.00
Ranitidine HCl inj 50 mg/2 ml Quantum QUANTUM LABS INJEKSI 5,363.00
Tetagam P inj 250 IU Dexa DEXA MEDICA INJEKSI 176,800.00
Tramadol HCl inj 100 mg/2 ml Mersifarma MERSIFARMA INJEKSI 1,764.00
Tranexamic acid 50 mg/ml Dexa DEXA INJEKSI 1,956.00
Trilac inj 10 mg/ml Novell NOVELL INJEKSI 34,999.00
Verorab - Sanofi SANOFI INJEKSI 210,000.00
Viccilin SX inj 1500 mg Meiji MEIJI INJEKSI 39,000.00
Acyclovir cream 5% KF KIMIA FARMA OBAT LUAR 3,619.00

Antifungi Doen Kombinasi Marin MARIN LIZA OBAT LUAR 4,496.00
Antihemoroid suppositoria KF KIMIA FARMA OBAT LUAR 3,167.00
Asiklovir krim 5% Erela ERELA OBAT LUAR
Atrovent 20 mcg/puff Boehringer BOEHRINGHER OBAT LUAR 86,600.00
Bacitracin - Polymyxin B 5 gr Indofarma INDOFARMA OBAT LUAR 3,035.00
Bedak Salicyl 50 gr Rama RAMA MULIA OBAT LUAR 1,020.00
Berotec 100 mcg/semprot Boehringer BOEHRINGHER OBAT LUAR 83,190.00
Betadine obat kumur 100 ml Mahakam Mahakam Beta Far OBAT LUAR 12,133.00
Betadine ointment 5 g Mahakam Mahakam Beta Far OBAT LUAR 9,537.00
Betadine salep antiseptik 10 gr Mahakam MAHAKAM OBAT LUAR 11,433.00
Betametason krim 0,1% KF KIMIA FARMA OBAT LUAR 1,349.00
Betaris cream 10 g Pyridam PYRIDAM OBAT LUAR 34,485.00
Betason N cream KF KIMIA FARMA OBAT LUAR 13,475.00
Bricasma respules 5 mg/2 ml Astrazeneca ASTRAZENECA OBAT LUAR 7,124.00
Cendo cenfresh eye drops Cendo OBAT LUAR 38,363.00

Cendo Lyteers Eye drops 15 ml Cendo OBAT LUAR 24,750.00
Cendo Mycos Eye drops 5 ml Cendo 21,863.00
Cendo pantocain 2% eye drops Cendo OBAT LUAR 14,575.00
Cendo polydex eye drops Cendo OBAT LUAR 39,325.00
Cendo Tropin 0,5% CENDO OBAT LUAR 15,904.00
Chloramphenicol salep mata 1% 5 gr KF KIMIA FARMA OBAT LUAR 1,881.00
Combivent UDV Boehringer BOEHRINGHER OBAT LUAR 5,700.00
Cortigra krim 5 gr Graha Graha Farma OBAT LUAR 5,897.10
Decacetine tetes mata Harsen HARSEN OBAT LUAR 3,250.00
Desoximetasone cream 0,25% 15 gr Dexa DEXA MEDICA OBAT LUAR 10,400.00
Dipsamol inhaler 100 mcg DIPA DIPA OBAT LUAR 41,250.00
Dulcolax 10 mg Boehringer BOEHRINGHER OBAT LUAR 5,800.00
Dulcolax 5 mg Boehringer BOEHRINGHER OBAT LUAR 5,800.00
Enystin suspensi Kalbe KALBE FARMA OBAT LUAR 37,400.00
Erlamycetin salep mata Erela ERELA OBAT LUAR 6,000.00
Fucilex krim Molex MOLEX AYUS OBAT LUAR 4,699.00
Fungasol SS 2% Guardian GUARDIAN OBAT LUAR 24,200.00
Genoint salep kulit Erela ERELA OBAT LUAR 7,074.00
Genoint salep mata 0,3% Erela ERELA OBAT LUAR 8,500.00
Gentamicin sulfate salep mata 0,3% Erela ERELA OBAT LUAR 2,675.00
Gentamicin sulfate tetes mata 0,3% Erela ERELA OBAT LUAR 4,170.00
Gentian Violet 1% Onemed JAYAMAS OBAT LUAR 4,213.00
Gom 10% Ciubros CIUBROS OBAT LUAR 4,000.00
Hydrocortisone cream 2,5% KF KIMIA FARMA OBAT LUAR 2,640.00
Iliadin semprot hidung 0,025% Merck Merck OBAT LUAR 32,549.00
Iliadin semprot hidung 0,05% Merck Merck OBAT LUAR 34,320.00
Insto Dry Eyes 7,5 ml Pharma Pharma Health OBAT LUAR 11,935.00
Isotic Ad 0,25% Fahrenheit FAHRENHEIT OBAT LUAR 10,425.00
Kaltrofen supositoria 100 mg Kalbe KALBE FARMA OBAT LUAR 13,750.00
Ketoconazole krim 2% 10 gr KF KIMIA FARMA OBAT LUAR 2,599.00
Kinderen Baby Balsam Kinderen OBAT LUAR 19,800.00
Kinderen Diaper Rash Cream 20 gr Kinderen OBAT LUAR 36,300.00
Lactacyd Woman 60 ml Sanofi Sanofi OBAT LUAR 23,980.00
Lacyvir salep mata 3% Erela ERELA OBAT LUAR 19,900.00
Meptin Swinghaler Prokaterol serbuk inh 10 mcg/dosis Otsuka Otsuka OBAT LUAR 82,000.00
Miconazole cream 2% 10 gr KF KIMIA FARMA OBAT LUAR 3,414.00

Minyak telon bayi 30 ml Fitocare Fitocare OBAT LUAR 8,599.80
Mometasone furoate cream 0,1% 10 gr Guardian GUARDIAN OBAT LUAR 11,000.00
Mometasone furoate cream 0,1% 5 gr Etercon ETERCON OBAT LUAR 7,500.00
Neo Gynoxa - Kalbe KALBE FARMA OBAT LUAR 15,180.00
Nystatin drop Bernofarm BERNOFARM OBAT LUAR 21,780.00
Nystatin Vaginal 100.000 IU Phapros PHAPROS OBAT LUAR 905.00
Ociderm-N cream 5 g Pyridam PYRIDAM OBAT LUAR 17,765.00
Ociderm-N cream 5 g Pyridam PYRIDAM OBAT LUAR 17,765.00
Optiflox tetes mata steril Erela ERELA OBAT LUAR 18,000.00
Otopain Tetes telinga Interbat INTERBAT OBAT LUAR 70,850.00
Oxytetracycline HCl salep mata 1% 3,5 gr KF KIMIA FARMA OBAT LUAR 2,500.00
Pamol 125 supositoria OBAT LUAR 13,302.00
Pantocain tetes mata 0,5% Cendo CENDO OBAT LUAR 15,350.00
Phenol glycerol 10% Lucas LUCAS DJAJA OBAT LUAR 2,500.00
Protofen supp KF KIMIA FARMA OBAT LUAR 2,379.95

Pulmicort budesonide respules 0,25 mg/ml Astrazeneca ASTRAZENECA OBAT LUAR 9,725.00
Pulmicort turbuhaler 200 mcg/dosis Astrazeneca ASTRAZENECA OBAT LUAR 105,040.00
Salep 2 - 4 30 gr Marin MARIN LIZA OBAT LUAR 2,621.00
Salonpas jet spray Hisamitsu Hisamitsu OBAT LUAR 64,240.00
Scabimite 10 gr Galenium GALENIUM OBAT LUAR 12,155.00
Scandene gel 20 gr Tempo TEMPO OBAT LUAR 28,660.00
Scantaren gel 20 gr Tempo TEMPO OBAT LUAR 33,891.00
Spiriva serbuk ih 18 mcg Boehringer BOEHRINGHER OBAT LUAR 167,000.00
Stesolid rectal 5mg/2,5 ml Actavis ACTAVIS OBAT LUAR 12,090.00
Sulfadiazine silver 10 mg Daryavaria DARYA VARIA OBAT LUAR 20,700.00
Symbicort turbuhaler 160/4,5 mcg Astrazeneca ASTRAZENECA OBAT LUAR 125,840.00
Symbicort turbuhaler 80/4,5 mcg Astrazeneca ASTRAZENECA OBAT LUAR 125,840.00
Synarcus cream 0,025% 5 gr Ifars IFARS OBAT LUAR 2,368.00
Tarivid otic solution 3,0 mg Kalbe KALBE FARMA OBAT LUAR 84,700.00
Travatan tetes mata 40 mcg/ml 1,5 ml ALCON OBAT LUAR 83,200.00
Ventolin inhaler OBAT LUAR 60,000.00
Ventolin nebules 2,5 mg Glaxo GSK OBAT LUAR 11,375.00
Vigamox tetes mata 0,5% Tempo TEMPO OBAT LUAR 81,000.00
Aminofluid 500 ml Otsuka OTSUKA CAIRAN INF 67,590.00
Aminoleban 500 ml Otsuka OTSUKA CAIRAN INF 71,100.00
Amiparen 500 ml Otsuka OTSUKA CAIRAN INF 86,275.00
Asering 500 ml Otsuka OTSUKA CAIRAN INF 9,275.00
Ciprofloxacin infus 2 mg/ml Dexa DEXA MEDICA CAIRAN INF 9,699.00
Ciprofloxacin infus 200 mg/100 ml Hexpharm CAIRAN INF 9,911.00
Fluconazole infusion 2 mg/ml Novell NOVELL CAIRAN INF 17,999.00
Glukosa 10% 500 ml Widatra WIDATRA CAIRAN INF 7,500.00
Human Albumin 20% 100 ml Biotest BIOTEST CAIRAN INF 850,000.00
KA-EN 1B 500 ml Otsuka OTSUKA CAIRAN INF 9,273.00
KA-EN 3A 500 ml Otsuka OTSUKA CAIRAN INF 10,285.00
KA-EN 3B 500 ml Otsuka OTSUKA CAIRAN INF 10,285.00
KDN-1 500 ml Widatra WIDATRA CAIRAN INF 11,435.00
KDN-2 500 ml Widatra WIDATRA CAIRAN INF 11,435.00
Kidmin 200 ml Otsuka Otsuka CAIRAN INF 50,697.00
KN-1 500 ml Widatra WIDATRA CAIRAN INF 11,011.00
KN-2 500 ml Widatra WIDATRA CAIRAN INF 11,011.00
Levofloxacin infus 500 mg/100 ml Quantum QUANTUM CAIRAN INF 78,375.00
Mannitol 20% infusion 500 ml Finusolprima CAIRAN INF 44,000.00
Metronidazol infus 500 mg/100 ml Bernofarm BERNO CAIRAN INF 9,200.00
Meylon 84 B.P. 25 ml Otsuka OTSUKA CAIRAN INF 6,488.00
Otsu D10 500 ml Otsuka Otsuka CAIRAN INF 7,500.00
OTSU D40 25 ml Otsuka OTSUKA CAIRAN INF 10,010.00
OTSU D5 100 ml Otsuka OTSUKA CAIRAN INF 15,180.00
OTSU KCl 7,46 % 25 ml Otsuka OTSUKA CAIRAN INF 3,223.00
Otsu MgSO4 20 25 ml Otsuka OTSUKA CAIRAN INF 3,328.00
Otsu MgSO4 40 25 ml Otsuka OTSUKA CAIRAN INF 3,796.00
OTSU NS 100 ml Otsuka OTSUKA CAIRAN INF 15,180.00
OTSU NS 25 ml Otsuka OTSUKA CAIRAN INF 6,954.20
Otsu NS 500 ml Otsuka Otsuka CAIRAN INF 6,840.00
Otsu RL 500 ml Otsuka Otsuka CAIRAN INF 7,150.00
OTSU SALIN 3 500 ml OTSUKA CAIRAN INF 30,334.70
Paracetamol infusion 1 g/100 ml Quantum QUANTUM CAIRAN INF 50,325.00
Ringer Laktat (RL) 500 ml Widatra WIDATRA CAIRAN INF 7,150.00
Sodium chloride (NaCl) 0,9% 500 ml Widatra WIDATRA CAIRAN INF 6,410.00
Sodium chloride (NaCl) 0,9% 500 ml Widatra WIDATRA CAIRAN INF 6,410.00
Voluven inf 6% 500 ml Fresenius FRESENIUS CAIRAN INF 21,780.00
WIDA D5 1/4NS 500 ml Widatra WIDATRA CAIRAN INF 9,350.00
Accu chek active strip (box 50 strip) ROCHE BHP 407,500.00
Alcare hydrogel wound dressing SI AID 18754 Alcare BHP 215,000.00
Alcohol Swabs Cosmomed Cosmomed BHP 170.00
Alkacide 1 L Alkapharm GDM BHP 2,702,700.00
Alkazyme 25 gr sachet Alkapharm GDM BHP 32,040.00
Alkohol 70% 1L Onemed Onemed BHP 26,240.00
Alkohol 70% 300 ml AFI Farma AFI Farma BHP 8,000.00
Ankle Support L/XL Dr. Ortho Dr. Ortho BHP 598,333.33
Ankle Support S/M Dr. Ortho Dr. Ortho BHP 598,333.33
Apron Disposable Onemed Onemed BHP 2,651.00
Arm Sling (L) Onemed Onemed BHP 17,028.00
Arm Sling (M) Onemed Onemed BHP 17,028.00
Arm Sling (S) Onemed Onemed BHP 17,028.00
Arm Sling ukuran M Comed Comed BHP 17,028.00
Arm Sling ukuran M Dutaco Dutaco BHP 17,028.00
Aseptan Liquid 500mL Onemed Onemed BHP 36,212.00
Bayclin pemutih 1 L Lemon Johnson JOHNSON BHP 18,865.00
Bioplacenton tulle Eracita BHP 10,400.00
Blood glucose test strip contour plus Ascencia BHP 231,266.67
Blood Lancet 28G MPM MPM BHP 295.00
Blood transfusion set Cosmomed Cosmomed BHP 7,066.00
Byebye Fever Baby Hisamitsu BHP 6,381.10
Byebye Fever Children Hisamitsu BHP 9,084.90
Cangkang kapsul kosong Lokal BHP 92,000.00
Cardio Gel Onemed Onemed BHP 20,949.60
Catgut Chrom 2/0 SMI SMI BHP 32,800.00
Catgut Chrom 3/0 SMI SMI BHP 32,800.00
Catgut Plain 2/0 DS 24 75cm Bbraun Bbraun BHP 26,563.00
Catgut Plain 3/0 DS 24 75cm Bbraun Bbraun BHP 26,563.00
Cervical Collar Universal Onemed Onemed BHP 124,872.00
Cervical Orthotic Collar L/XL Dr. Ortho Dr. Ortho BHP 430,833.33
Cervical Orthotic Collar S/M Dr. Ortho Dr. Ortho BHP 430,833.33
Charm Body Fit Night Wing 29 cm Unicharm BHP 8,000.30
Cholesterol test strip Luna Duo Luna Duo BHP 45,500.00
Chromic CG278 Fine Taper 0 GABLER BHP 64,409.00
Chromic CG296 Reverse Cut 2/0 GABLER BHP 67,821.00
Chromic CG315 Taper Point 2/0 GABLER BHP 65,455.00
Chromic CG342 Reverse Cut 3/0 GABLER BHP 61,272.00
Chromic CG344 Taper Point 3/0 GABLER BHP 58,122.00
Comy Bag Onemed Onemed BHP 25,410.00
Corolene 5/0 cutting 3/8 13 mm GDM Peters surgical BHP 90,994.00
Corolene 5/0 cutting 3/8 16 mm GDM Peters surgical BHP 83,473.00
Cotton roll 100 gr Wellness Wellness BHP 9,650.00
Cotton roll 500 gr Wellness Wellness BHP 47,950.00
Cotton Swab Steril (L) Onemed Onemed BHP 1,140.49
Cotton Swab Steril (S) Onemed Onemed BHP 596.43
Cover Glass Microscope BHP 132,022.00
Cuticell Classic 10x10cm BSN BSN BHP 35,460.00
Cutimed Siltec 10x10 cm BSN BSN BHP 35,460.00
Cutimed Sorbact Swap 7x9 cm BSN BSN BHP 32,800.00
Daryant-tulle sterile Darya Darya Varia BHP 19,602.00
Dental cotton roll 12x50 Wellness Wellness BHP 34,400.00
Disposable syringe 1 cc Steracath Stera BHP 2,000.00
Disposable syringe 10 cc Cosmomed Cosmomed BHP 1,317.00
Disposable syringe 20 cc Kimsmed Kimsmed BHP 1,628.00
Disposable syringe 3 cc Aximed Aximed BHP 825.00
Disposable syringe 3 cc Cosmomed Cosmomed BHP 833.00
Disposable syringe 5 cc Aximed Aximed BHP 928.00
Disposable syringe 5 cc Cosmomed Cosmomed BHP 884.00
Disposable syringe 50 cc Kimsmed Kimsmed BHP 4,125.00
Disposable syringe 50 cc Tip Steracath STERACATH BHP 8,173.00
E-care Hand Rub 500 ml E-Care BHP 77,700.00
E-care Hand Scrub 500 ml E-Care BHP 63,840.00
E-care Skin cleanser CHG 2% 500 ml E-Care BHP 70,915.00
ECG Electrodes foam 57x34 mm Kendall Kendall BHP 4,933.00
Ecodine 1L Onemed BHP 83,622.00
Elastic bandage 10 cm Fesco Fesco BHP 27,885.00
Elastic bandage 15 cm Fesco Fesco BHP 30,030.00
Elastic bandage 7,5 cm Fesco Fesco BHP 17,160.00
Elektroda EKG foam 35x52 Skintact Skintact BHP 4,813.00
Endotracheal tube / ETT 3 Remedi Remedi BHP 20,000.00
Endotracheal tube / ETT 3 WORK WORK BHP 15,551.25
Endotracheal tube / ETT 3,5 WORK WORK BHP 15,551.25
Endotracheal tube / ETT 5 Fesco Fesco BHP 15,551.00
Endotracheal tube / ETT 5,5 Fesco Fesco BHP 15,551.00
Enema Syringe Onemed Onemed BHP 13,244.00
Extention Tube Onemed Onemed BHP 6,380.00
External catheter M Inusco BHP 5,000.00
Eye protector Onemed Onemed BHP 41,624.00
Face mask 3 ply ear loop MAS MAS BHP 752.62
Face mask 3 ply tie on MAS MAS BHP 752.62
Face mask ear loop jilbab MAS MAS BHP 752.62
Feeding Tube FR 5 100 cm Onemed Onemed BHP 8,030.00
Feeding Tube FR 5 100 cm Terumo Terumo BHP 15,773.00
Feeding Tube FR 6 MAS MAS BHP 3,708.00
Film IV dressing 6x7 P E-care E-Care BHP 2,310.00
Film IV dressing 6x7 S E-care E-Care BHP 2,310.00
Flat Sterilization Reels Onemed Onemed BHP 514,822.00
FM crepe elastic verban 10cm x 4,55m SNA SNA medika BHP 45,337.00
FM crepe elastic verban 15cm x 4,55m SNA SNA medika BHP 56,089.00
FM crepe elastic verban 7,5cm x 4,55m SNA SNA medika BHP 36,987.00
GP Vacuum tube EDA K3 2 ml GP BHP 263,243.00
Guedel Biru 50 mm Jayamas Besmed/ Jayamas BHP 13,200.00
Guedel Hijau 80 mm Jayamas Besmed/ Jayamas BHP 13,200.00
Guedel Hitam 60 mm Jayamas Besmed/ Jayamas BHP 13,200.00
Guedel Kuning 90 mm Jayamas Besmed/ Jayamas BHP 13,200.00
Guedel Merah 100 mm Jayamas Besmed/ Jayamas BHP 13,200.00
Guedel Pink 40 mm Jayamas Besmed/ Jayamas BHP 13,200.00
Guedel putih 70 mm Jayamas Besmed/ Jayamas BHP 13,200.00
Hidrogen Peroksida 3% 100 ml Jayamas Jayamas BHP 3,500.00
Hidrogen Peroxide 3% Onemed Onemed BHP 3,696.00
Hi-Oxy Mask Anak Onemed Onemed BHP 25,872.00
Hi-Oxy Mask Dewasa Onemed Onemed BHP 25,872.00
ID bracelet child pink Remedi Remedi BHP 1,501.50
ID bracelet pediatric blue GC GC BHP 1,501.50
Infus Set Makro Polymed Polymed BHP 6,666.00
Infus Set Mikro Aximed Aximed BHP 5,100.00
Infus Set Mikro Kimsmed Kimsmed BHP 6,776.00
Insulin needle (0,23x4mm) BD Microfine BD BHP 3,332.00
Insulin needle (0,25x5mm) BD Microfine BD BHP 3,332.00
Iodine povidon 60 ml KF Kimia Farma BHP 5,000.00
Irrigation Syringe 100 cc Onemed Onemed BHP 18,917.85
IV Cannula 18 Eskamed Eskamed BHP 12,658.00
IV Cannula 18 Jelco Jelco BHP 9,000.00
IV Cannula 22 Steracath Steracath BHP 4,100.00
Kapas Putih 250 g Onemed Onemed BHP 13,112.00
Kapas Putih 250 g Surya husada Surya Husada BHP 5,500.00
Kapas Putih Berlemak 500 g Onemed Onemed BHP 17,325.00
Kasa gulung 40 yard x 80 cm Surgidress Surgidress BHP 255,850.00
Kasa Gulung 4m x 10cm HK HK BHP 500.00
Kasa Gulung 4m x 10cm Onemed Onemed BHP 1,562.00
Kasa Gulung 4m x 5cm HK HK BHP 800.00
Kasa Gulung 4m x 5cm Onemed Onemed BHP 781.00
Kasa hidrofil DRC 10cm x 4m Ahmadaris BHP 2,398.00
Kasa kompres DRC 40cm x 40cm Ahmadaris BHP 1,418.00
Kasa steril DRC 16cm x 16cm Ahmadaris BHP 7,793.00
Kertas EKG 110 x 30 Lokal BHP 215,600.00
Kertas puyer berlogo Lokal BHP 156.00
Kertas puyer perkamen Lokal BHP 69,712.00
Kertas USG 110 cm x 80 m SONY SONY BHP 353,925.00
Klorin 1000 mL Bayclin Bayclin BHP 18,865.00
Knee Support L Dr. Ortho Dr. Ortho BHP 955,000.00
Knee Support M Dr. Ortho Dr. Ortho BHP 955,000.00
Latex exam gloves (Handscoon) 6.5 Non Steril MAS MAS BHP 8,031.00
Latex exam gloves (Handscoon) 6.5 Steril MAS MAS BHP 8,162.00
Latex Folley Catheter 10 Cosmomed Cosmomed BHP 12,447.00
Latex Folley Catheter 10 GEA Gea Medika BHP 15,000.00
Latex Folley Catheter 22 (3way Silicon Coated) Cosmomed Cosmomed BHP 12,447.00
Latex Folley Catheter 24 (3way Silicon Coated) Cosmomed Cosmomed BHP 12,447.00
Leukoplast 2,5cm x 4,5m BSN BSN BHP 12,675.00
Lifree Popok Perekat (L) Unicharm BHP 5,253.60
Lifree Popok Perekat (M) Unicharm BHP 6,129.20
Lysol 1 L Onemed Onemed BHP 45,100.00
Mamypoko Pants Std (L) Unicharm BHP 1,906.30
Mamypoko Pants Std (M) Unicharm BHP 1,906.30
Mamypoko Pants Std (S) Unicharm BHP 1,742.40
Meliseptol Foam 750 ml Bbraun Bbraun BHP 141,000.00
Mucus Extractor Onemed Onemed BHP 7,392.00
M-Y Jelly Steril Sachet Onemed Onemed BHP 2,310.00
M-Y Jelly Tube Onemed Onemed BHP 31,020.00
Nebulizer Mask Anak Onemed Onemed BHP 23,100.00
Nebulizer Mask Dewasa Onemed Onemed BHP 23,100.00
Nurse cap Onemed Onemed BHP 358.94
Object glass Microscope Slide Slide BHP 302.50
One Clean Wash Glove Onemed Onemed BHP 13,813.76
OneScrub 5Lt Onemed Onemed BHP 440,995.00
OxyFLow Anak Onemed Onemed BHP 5,775.00
OxyFLow Bayi Onemed Onemed BHP 5,775.00
OxyFlow Dewasa Onemed Onemed BHP 5,775.00
Partikulat Respirator N95 1860S 3M 3M BHP 23,326.85
Partikulat Respirator N95 8210 3M 3M BHP 23,326.85
Pediatric Urine Collector Onemed Onemed BHP 3,115.67
Plain Catgut 2/0 Onemed Onemed BHP 7,000.00
Plain PG132 Taper Point 0 GABLER BHP 62,827.00
Plain PG142 Reverse Cut 2/0 GABLER BHP 64,682.00
Plain PG146 Taper Point 2/0 GABLER BHP 61,775.00
Plain PG168-1 Reverse Cut 3/0 GABLER BHP 58,395.00
Plain PG174 Taper Point 3/0 GABLER BHP 58,390.00
Plester 7,5cm x 4,5m Hansaplast Hansaplast BHP 31,265.00
Plester Firstrip Firstrip BHP 250.00
Plester Okeplast Okeplast BHP 364.65
Plesterin Bulat Soft Onemed Onemed BHP 165.55
Plesterin Roll Non Woven 10x5 Onemed Onemed BHP 24,948.00
Plesterin Roll Non Woven 5x5 Onemed Onemed BHP 43,428.00
Poliban Natural 10 cm x 2,7 m SNA SNA medika BHP 19,912.00
Poliban Natural 15 cm x 2,7 m SNA SNA medika BHP 29,209.00
Poliban Natural 7,5 cm x 2,7 m SNA SNA medika BHP 16,354.00
Poligyp 10 cm x 2,7 m SNA SNA medika BHP 24,080.00
Poligyp 7,5 cm x 2,7 m SNA SNA medika BHP 17,713.00
Pot salep 30 g Lokal BHP 1,072.00
Pot salep 50 g Lokal BHP 1,716.00
Povidone Iodine 30 ml Onemed Onemed BHP 3,190.00
Provein PV831 Reverse Cut 2/0 GABLER BHP 86,401.00
Provein PV856 Taper Point 3/0 GABLER BHP 64,915.00
Provein PV888 Free Reverse Cut 5/0 GABLER BHP 55,257.00
Rak Tabung Reaksi Multipurpose Onemed Onemed BHP 79,563.00
Remedi ID Bracelet Insert Card Adult Blue Remedi BHP 690.00
Remedi ID Bracelet Insert Card Adult Green Remedi BHP 690.00
Remedi ID Bracelet Insert Card Adult Pink Remedi BHP 690.00
Remedi ID Bracelet Insert Card Adult Red Remedi BHP 690.00
Remedi ID Bracelet Insert Card Adult Violet Remedi BHP 690.00
Remedi ID Bracelet Insert Card Adult Yellow Remedi BHP 690.00
Remedi ID Bracelet Insert Card Child Blue Remedi BHP 690.00
Remedi ID Bracelet Insert Card Child Green Remedi BHP 690.00
Remedi ID Bracelet Insert Card Child Pink Remedi BHP 690.00
Remedi ID Bracelet Insert Card Child Red Remedi BHP 690.00
Remedi ID Bracelet Insert Card Child Violet Remedi BHP 690.00
Remedi ID Bracelet Insert Card Child Yellow Remedi BHP 690.00
Rivanol 300 cc Onemed Onemed BHP 3,300.00
Safety Box 12,5 L Docare Docare BHP 34,000.00
Safety Box 5 L Docare Docare BHP 21,500.00
Sarung Tangan Obgyn Onemed Onemed BHP 20,328.00
Sendok obat sirup Lokal BHP 750.00
Shoe Cover Onemed Onemed BHP 1,797.40
SI-AID 100x100mm Alcare Alcare BHP 25,000.00
Sikat Operasi Onemed Onemed BHP 6,342.50
Silk BS636 Taper Point 2/0 GABLER BHP 45,562.00
Silk BS640-1 Reverse Cut2/0 GABLER BHP 50,022.00
Silk BS656-1 Conventional Cut 3/0 GABLER BHP 50,650.00
Silk BS668 Taper Point 3/0 GABLER BHP 45,008.00
Silkam 2/0 DS 24 Black 75cm Bbraun Bbraun BHP 17,709.00
Silkam 2/0 HR 22 Black 75cm Bbraun Bbraun BHP 18,265.00
Silkam 3/0 DS 24 black 75 cm Bbraun Bbraun BHP 25,600.00
Smart Diagnostic Dengue IgG/IgM Cassette SMART BHP 22,475.00
Smart Diagnostic DOA 6 panel test SMART BHP 33,206.00
Smart Diagnostic HBsAg Cassette SMART BHP 13,620.00
Smart Diagnostic HCG Cassette SMART BHP 9,808.00
Smart Diagnostic HCV Cassette SMART BHP 12,079.00
Smart Diagnostic Tuberculosis Cassette SMART BHP 31,208.80
Soft cervical collar Jasper M Jasper BHP 124,872.00
Spalk 10x80 Lokal BHP 35,925.00
Spalk anak manual - BHP 15,000.00
Spalk bayi manual - BHP 10,000.00
Spalk dewasa manual - BHP 25,000.00
Sputum Pot Onemed Onemed BHP 2,932.60
Stomach tube / NGT 12 MAS MAS BHP 3,873.00
Stomach tube / NGT 12 Sterilmedical Steril medical BHP 10,091.00
Stomach tube / NGT 18 Terumo TERUMO BHP 10,091.00
Suction Cath No.10 Cosmomed Cosmomed BHP 2,740.00
Suction Cath No.6 Sterilmedical Steril Medical BHP 6,500.00
Surgeon Cap MAS MAS BHP 740.00
Surgical Blades 11 GEA GEA BHP 750.00
Surgical Blades 15 Bbraun B BRAUN BHP 3,200.00
Surgical Blades 24 GEA GEA BHP 750.00
Surgical tape/plester kertas 0,5" E-care E-Care BHP 5,119.00
Surgical tape/plester kertas 1" E-care E-Care BHP 8,575.00
Surgical tape/plester kertas 2" E-care E-Care BHP 16,100.00
Three Way Stop Cock Cosmomed Cosmomed BHP 3,055.00
Three Way Stop Cock Eskamed Eskamed BHP 14,470.00
Tubercle bacillus syringe 1 cc Cosmomed Cosmomed BHP 804.00
Ultrasound gel GC GC BHP 25,000.00
Umbilical Cord (Klem Tali Pusat) Onemed Onemed BHP 1,365.00
Under Pads 60x90cm Cosmomed Cosmomed BHP 8,220.00
Urine Bag Cosmomed Cosmomed BHP 7,250.00
Urine Container Non Steril 60 ml Onemed Onemed BHP 1,444.80
Urine Container Steril 60 ml Onemed Onemed BHP 2,058.63
Viamac VM430 Heavy Taper 1 GABLER BHP 93,193.00
Viamac VM496 Fine Taper 2/0 GABLER BHP 76,194.00
Viamac VM560 Taper Point 3/0 GABLER BHP 75,928.00
Viamac VM579-1 Taper Point 4/0 GABLER BHP 74,885.00
Vikia HBsAg strip Biomerieux BHP 23,541.00
Vikia HIV 1/2 strip Biomerieux BHP 21,541.00
Water One 1 L Onemed Onemed BHP 16,456.00
Xylocaine jelly 2% Astrazeneca Astrazeneca BHP 41,600.00
Xylocaine spray 10 mg/dose Astrazeneca Astrazeneca BHP 177,216.00
HARGA UMUM HARGA BPJS ED JENIS PEMBELIAN GENERIK / NON GENERIK
779.00 997.12 Sep-19 E-KATALOG GENERIK
562.00 719.36 Jan-20 E-KATALOG GENERIK
358.00 458.24 Nov-19 E-KATALOG GENERIK
236.00 302.08 Oct-21 E-KATALOG GENERIK
110.00 140.80 Jul-20 E-KATALOG GENERIK
Aug-20 E-KATALOG GENERIK
91.00 116.48 Aug-20 E-KATALOG GENERIK
73.00 93.44 Mar-20 E-KATALOG GENERIK
184.00 235.52 May-20 E-KATALOG GENERIK
240.00 307.20 Feb-22 NON E-KATALOG GENERIK
1,888.00 2,416.64 Mar-22 E-KATALOG GENERIK
1,728.50 2,212.48 Dec-19 NON E-KATALOG NON GENERIK
Mar-20 NON E-KATALOG NON GENERIK
263.00 336.64 Feb-20 E-KATALOG GENERIK
3,091.00 3,956.48 Jul-20 NON E-KATALOG NON GENERIK
4,232.80 5,417.98 Mar-20 NON E-KATALOG NON GENERIK
4,766.67 6,101.34 Jan-22 NON E-KATALOG NON GENERIK
898.00 1,149.44 Mar-20 E-KATALOG GENERIK
519.00 664.32 Apr-20 E-KATALOG GENERIK
4,125.00 5,280.00 Nov-19 E-KATALOG GENERIK
Apr-21 E-KATALOG GENERIK
1,828.75 2,340.80 Jun-21 NON E-KATALOG NON GENERIK
1,090.00 1,395.20 Jul-19 E-KATALOG NON GENERIK
147.00 188.16 Jun-20 E-KATALOG GENERIK
2,530.00 3,238.40 May-19 E-KATALOG GENERIK
1,236.00 1,582.08 Jun-19 E-KATALOG GENERIK
1,318.00 1,687.04 Oct-20 E-KATALOG GENERIK
Jul-22 NON E-KATALOG NON GENERIK
Nov-22 NON E-KATALOG NON GENERIK
1,815.00 2,323.20 Aug-20 E-KATALOG GENERIK
Apr-22 E-KATALOG NON GENERIK
Jan-23 NON E-KATALOG NON GENERIK
128.00 163.84 Dec-22 E-KATALOG GENERIK
99.00 126.72 Mey-21 E-KATALOG GENERIK
1,290.69 1,652.08 Nov-19 NON E-KATALOG NON GENERIK
946.00 1,210.88 Apr-21 E-KATALOG NON GENERIK
Oct-22 E-KATALOG GENERIK
May-21 E-KATALOG NON GENERIK
Jan-21 E-KATALOG NON GENERIK
255.00 326.40 Apr-20 NON E-KATALOG NON GENERIK
198.00 253.44 Jul-19 E-KATALOG NON GENERIK
170.00 217.60 Jul-21 NON E-KATALOG NON GENERIK
Feb-21 E-KATALOG GENERIK
Mar-21 E-KATALOG GENERIK

Dec-20 NON E-KATALOG NON GENERIK
1,045.00 1,337.60 Oct-20 NON E-KATALOG NON GENERIK
156.59 200.44 Apr-23 NON E-KATALOG GENERIK
95.00 121.60 May-20 NON E-KATALOG GENERIK
201.81 258.32 Feb-21 NON E-KATALOG NON GENERIK
Jul-23 E-KATALOG GENERIK
4,317.75 5,526.72 Sep-22 NON E-KATALOG NON GENERIK
4,460.00 5,708.80 Sep-20 E-KATALOG NON GENERIK
4,835.00 6,188.80 Oct-20 E-KATALOG NON GENERIK
395.00 505.60 Jun-20 E-KATALOG NON GENERIK
3,308.80 4,235.26 May-21 NON E-KATALOG NON GENERIK
1,540.00 1,971.20 May-20 E-KATALOG NON GENERIK
1,540.00 1,971.20 Aug-20 E-KATALOG NON GENERIK
4,999.00 6,398.72 Jul-20 E-KATALOG GENERIK
1,188.00 1,520.64 Aug-21 NON E-KATALOG GENERIK
683.10 874.37 Jan-20 NON E-KATALOG GENERIK
Feb-22 E-KATALOG NON GENERIK

700.00 896.00 Oct-20 NON E-KATALOG NON GENERIK
430.00 550.40 May-19 NON E-KATALOG GENERIK
430.00 550.40 Jun-19 NON E-KATALOG GENERIK

794.85 1,017.41 Feb-20 NON E-KATALOG GENERIK
198.00 253.44 Nov-20 NON E-KATALOG GENERIK
237.60 304.13 Nov-20 NON E-KATALOG GENERIK
3,045.00 3,897.60 Dec-21 E-KATALOG NON GENERIK
89.00 113.92 Apr-20 E-KATALOG NON GENERIK
1,567.50 2,006.40 Aug-22 NON E-KATALOG NON GENERIK
Nov-21 E-KATALOG NON GENERIK
1,760.00 2,252.80 Jan-20 E-KATALOG GENERIK
85.00 108.80 Aug-21 NON E-KATALOG NON GENERIK
790.00 1,011.20 Feb-21 E-KATALOG GENERIK
Dec-22 E-KATALOG GENERIK
Aug-20 E-KATALOG GENERIK

Jan-21 E-KATALOG GENERIK
Nov-20 E-KATALOG GENERIK

171.00 218.88 Apr-23 NON E-KATALOG GENERIK
487.08 623.46 Sep-20 NON E-KATALOG GENERIK
200.00 256.00 Feb-20 NON E-KATALOG GENERIK
1,201.75 1,538.24 Jul-20 NON E-KATALOG nON GENERIK
76.00 97.28 - E-KATALOG GENERIK
9,821.43 12,571.43 Feb-21 NON E-KATALOG NON GENERIK
1,822.00 2,332.16 Apr-20 E-KATALOG GENERIK
52.00 66.56 Apr-20 E-KATALOG NON GENERIK
992.75 1,270.72 May-23 NON E-KATALOG NON GENERIK
992.75 1,270.72 Sep-21 NON E-KATALOG NON GENERIK
992.75 1,270.72 Nov-21 NON E-KATALOG NON GENERIK
1,108.90 1,419.39 Nov-20 NON E-KATALOG GENERIK
200.00 256.00 Jan-21 NON E-KATALOG NON GENERIK
500.13 640.17 Oct-22 NON E-KATALOG NON GENERIK
Aug-22 NON E-KATALOG NON GENERIK
2,530.00 3,238.40 Nov-22 E-KATALOG NON GENERIK
Jun-21 E-KATALOG NON GENERIK
Jun-21 E-KATALOG NON GENERIK
175.00 224.00 Aug-20 NON E-KATALOG GENERIK
10,084.00 12,907.52 Apr-20 NON E-KATALOG NON GENERIK
1,400.00 1,792.00 Apr-20 E-KATALOG NON GENERIK
999.00 1,278.72 Jan-20 E-KATALOG GENERIK
9,150.00 11,712.00 Feb-21 E-KATALOG NON GENERIK
979.00 1,253.12 Jun-20 E-KATALOG GENERIK
1,923.00 2,461.44 Sep-19 E-KATALOG GENERIK
9,900.00 12,672.00 Mar-20 NON E-KATALOG GENERIK
Jun-20 E-KATALOG GENERIK
Feb-22 NON E-KATALOG NON GENERIK
0.00 0.00 - NON E-KATALOG NON GENERIK
14,950.00 19,136.00 Oct-20 NON E-KATALOG GENERIK
Apr-22 NON E-KATALOG NON GENERIK
Jun-20 NON E-KATALOG NON GENERIK
5,192.00 6,645.76 Jun-21 E-KATALOG NON GENERIK
Oct-21 E-KATALOG GENERIK
Oct-20 NON E-KATALOG NON GENERIK
NON E-KATALOG NON GENERIK
5,457.00 6,984.96 May-19 NON E-KATALOG GENERIK

16,500.00 21,120.00 Dec-19 E-KATALOG GENERIK

6,012.00 7,695.36 Feb-20 E-KATALOG GENERIK
33,825.00 43,296.00 Feb-20 NON E-KATALOG GENERIK
29,700.00 38,016.00 Dec-20 NON E-KATALOG GENERIK
9,500.00 12,160.00 May-19 NON E-KATALOG GENERIK
210,000.00 264,600.00 Jan-20 E-KATALOG NON GENERIK
3,619.00 4,632.32 Aug-23 NON E-KATALOG GENERIK
0.00 0.00 - E-KATALOG GENERIK
Oct-21 E-KATALOG NON GENERIK
Jun-20 NON E-KATALOG NON GENERIK
Sep-21 NON E-KATALOG NON GENERIK
41,250.00 52,800.00 Mar-20 E-KATALOG NON GENERIK
Apr-21 E-KATALOG NON GENERIK
4,000.00 5,120.00 Oct-21 NON E-KATALOG GENERIK
E-KATALOG NON GENERIK
Jul-21
21,780.00 27,878.40 Sep-20 NON E-KATALOG GENERIK
905.00 1,158.40 Mar-21 E-KATALOG GENERIK
Feb-21 E-KATALOG NON GENERIK

Oct-20 NON E-KATALOG NON GENERIK
Aug-23 NON E-KATALOG NON GENERIK
Mar-24 E-KATALOG NON GENERIK

407,500.00 493,075.00 Aug-19 NON E-KATALOG -
215,000.00 260,150.00 Mar-21 E-KATALOG -
170.00 217.60 Jun-22 E-KATALOG -
2,702,700.00 2,999,997.00 Jul-21 E-KATALOG -
32,040.00 41,011.20 Mar-21 E-KATALOG -
26,240.00 33,587.20 Aug-21 E-KATALOG -
8,000.00 10,240.00 Oct-19 E-KATALOG -
1,794,999.99 694,066.66 - E-KATALOG -
1,196,666.66 694,066.66 - E-KATALOG -
2,651.00 3,393.28 - E-KATALOG -
- E-KATALOG -
- E-KATALOG -
- E-KATALOG -
17,028.00 21,795.84 - E-KATALOG -
17,028.00 21,795.84 - E-KATALOG -
36,212.00 46,351.36 Oct-20 E-KATALOG -
18,865.00 24,147.20 NON E-KATALOG -
10,400.00 13,312.00 May-21 E-KATALOG -
BHP Jun-20 E-KATALOG
295.00 377.60 Feb-22 NON E-KATALOG -
7,066.00 9,044.48 Jan-22 E-KATALOG -
May-21 NON E-KATALOG -
Oct-21 NON E-KATALOG -
92,000.00 117,760.00 - NON E-KATALOG -
E-KATALOG -
32,800.00 41,984.00 Jan-21 E-KATALOG -
32,800.00 41,984.00 Jan-21 E-KATALOG -
Nov-20 E-KATALOG -
Nov-20 E-KATALOG -
E-KATALOG -
430,833.33 521,308.33 - E-KATALOG -
430,833.33 521,308.33 - E-KATALOG -
Oct-21 NON E-KATALOG -
45,500.00 58,240.00 Jun-19 E-KATALOG -
64,409.00 81,155.34 Oct-21 E-KATALOG -
67,821.00 85,454.46 Mar-22 E-KATALOG -
65,455.00 82,473.30 Dec-21 E-KATALOG -
61,272.00 77,202.72 Feb-22 E-KATALOG -
58,122.00 73,233.72 Dec-21 E-KATALOG -
25,410.00 32,524.80 Jul-22 E-KATALOG -
90,994.00 114,652.44 May-22 E-KATALOG -
83,473.00 105,175.98 Jan-23 E-KATALOG -
May-24 E-KATALOG -
May-24 E-KATALOG -
E-KATALOG -
E-KATALOG -
132,022.00 166,347.72 - E-KATALOG -
35,460.00 45,388.80 Jun-21 E-KATALOG -
Jun-21 E-KATALOG -
Jun-23 E-KATALOG -
Sep-21 NON E-KATALOG -
May-24 E-KATALOG -
2,000.00 2,560.00 Feb-21 E-KATALOG -
1,317.00 1,685.76 Apr-22 E-KATALOG -
1,628.00 2,083.84 Jun-21 E-KATALOG -
825.00 1,056.00 Jan-21 E-KATALOG -
833.00 1,066.24 May-22 E-KATALOG -
928.00 1,187.84 Jan-21 E-KATALOG -
884.00 1,131.52 May-22 E-KATALOG -
4,125.00 5,280.00 Apr-22 E-KATALOG -
8,173.00 10,461.44 May-22 E-KATALOG -
77,700.00 97,902.00 Mar-21 E-KATALOG -
63,840.00 80,438.40 Mar-21 E-KATALOG -
70,915.00 89,352.90 May-21 E-KATALOG -
4,933.00 6,314.24 Mar-19 E-KATALOG -
83,622.00 105,363.72 Aug-20 NON E-KATALOG -
27,885.00 35,692.80 Oct-21 NON E-KATALOG -
30,030.00 38,438.40 Nov-21 E-KATALOG -
17,160.00 21,964.80 Sep-21 NON E-KATALOG -
4,813.00 6,160.64 Feb-20 NON E-KATALOG -
20,000.00 25,600.00 Dec-21 NON E-KATALOG -
15,551.25 19,905.60 Jun-23 NON E-KATALOG -
15,551.25 19,905.60 Jun-23 NON E-KATALOG -
20,000.00 25,600.00 Dec-21 NON E-KATALOG -
15,551.25 19,905.60 Jun-23 NON E-KATALOG -
15,551.25 19,905.60 Jun-23 NON E-KATALOG -
15,551.00 19,905.28 Nov-22 NON E-KATALOG -
20,000.00 25,600.00 Dec-21 NON E-KATALOG -
15,551.00 19,905.28 NON E-KATALOG -
8,906.00 11,399.68 Nov-22 NON E-KATALOG -
20,000.00 25,600.00 May-21 NON E-KATALOG -
8,906.00 11,399.68 Oct-19 NON E-KATALOG -
20,000.00 25,600.00 Sep-21 NON E-KATALOG -
8,905.45 11,398.98 Jun-23 NON E-KATALOG -
8,906.00 11,399.68 Nov-22 NON E-KATALOG -
8,906.00 11,399.68 Nov-22 NON E-KATALOG -
20,000.00 25,600.00 NON E-KATALOG -
E-KATALOG -
6,380.00 8,166.40 Jul-22 E-KATALOG -
5,000.00 6,400.00 Dec-22 NON E-KATALOG -
E-KATALOG -
752.62 963.35 - E-KATALOG -
752.62 963.35 - E-KATALOG -
752.62 963.35 - E-KATALOG -
8,030.00 10,278.40 Jul-22 E-KATALOG -
15,773.00 20,189.44 May-19 E-KATALOG -
8,030.00 10,278.40 Aug-22 E-KATALOG -
3,708.00 4,746.24 Jun-23 E-KATALOG -
8,030.00 10,278.40 Sep-22 E-KATALOG -
8,030.00 10,278.40 Oct-22 E-KATALOG -
2,310.00 2,956.80 Sep-20 E-KATALOG -
2,310.00 2,956.80 Sep-19 E-KATALOG -
514,822.00 597,193.52 Jun-22 E-KATALOG -
45,337.00 58,031.36 - E-KATALOG -
56,089.00 70,672.14 - E-KATALOG -
36,987.00 47,343.36 - E-KATALOG -
526,486.00 318,524.03 Mar-22 NON E-KATALOG -
13,200.00 16,896.00 Sep-22 E-KATALOG -
13,200.00 16,896.00 Mar-20 E-KATALOG -
13,200.00 16,896.00 Aug-22 E-KATALOG -
13,200.00 16,896.00 Feb-20 E-KATALOG -
13,200.00 16,896.00 Sep-22 E-KATALOG -
13,200.00 16,896.00 Mar-20 E-KATALOG -
13,200.00 16,896.00 Jul-22 E-KATALOG -
3,500.00 4,480.00 Aug-20 NON E-KATALOG -
E-KATALOG -
25,872.00 33,116.16 - E-KATALOG -
25,872.00 33,116.16 - E-KATALOG -
1,501.50 1,921.92 - NON E-KATALOG -
1,501.50 1,921.92 - NON E-KATALOG -
6,666.00 8,532.48 Mar-22 E-KATALOG -
5,100.00 6,528.00 May-21 E-KATALOG -
6,776.00 8,673.28 Mar-23 E-KATALOG -
3,332.00 4,264.96 Feb-22 NON E-KATALOG -
3,332.00 4,264.96 Mar-22 NON E-KATALOG -
5,000.00 6,400.00 Oct-19 E-KATALOG -
E-KATALOG -
12,658.00 16,202.24 Jan-22 E-KATALOG -
9,000.00 11,520.00 Jun-22 E-KATALOG -
12,661.00 16,206.08 Jan-22 E-KATALOG -
9,000.00 11,520.00 Jun-22 E-KATALOG -
12,661.00 16,206.08 Jan-22 E-KATALOG -
9,000.00 11,520.00 Jun-22 E-KATALOG -
4,100.00 5,248.00 Feb-20 E-KATALOG -
12,661.00 16,206.08 Jan-22 E-KATALOG -
9,000.00 11,520.00 Jun-22 E-KATALOG -
14,108.00 18,058.24 Jan-22 E-KATALOG -
13,112.00 16,783.36 - E-KATALOG -
5,500.00 7,040.00 - E-KATALOG -
17,325.00 22,176.00 - E-KATALOG -
255,850.00 309,578.50 - E-KATALOG -
500.00 640.00 - E-KATALOG -
1,562.00 1,999.36 - E-KATALOG -
800.00 1,024.00 - E-KATALOG -
781.00 999.68 - E-KATALOG -
2,398.00 3,069.44 - E-KATALOG -
3,877.00 4,962.56 - E-KATALOG -
1,149.00 1,470.72 - E-KATALOG -
10,030.00 12,838.40 - E-KATALOG -
1,418.00 1,815.04 - E-KATALOG -
7,793.00 9,975.04 - E-KATALOG -
215,600.00 271,656.00 - NON E-KATALOG -
156.00 199.68 - NON E-KATALOG -
69,712.00 89,231.36 - NON E-KATALOG -
353,925.00 428,249.25 - NON E-KATALOG -
18,865.00 24,147.20 - NON E-KATALOG -
955,000.00 1,107,800.00 - E-KATALOG -
955,000.00 1,107,800.00 - E-KATALOG -
8,031.00 10,279.68 Aug-20 E-KATALOG -
8,162.00 10,447.36 May-22 E-KATALOG -
8,031.00 10,279.68 Apr-20 E-KATALOG -
8,162.00 10,447.36 Mar-21 E-KATALOG -
7,997.00 10,236.16 - E-KATALOG -
8,162.00 10,447.36 May-21 E-KATALOG -
8,162.00 10,447.36 Jul-22 E-KATALOG -
7,997.00 10,236.16 - E-KATALOG -
12,447.00 15,932.16 Mar-21 E-KATALOG -
15,000.00 19,200.00 May-21 E-KATALOG -
12,447.00 15,932.16 Jun-22 E-KATALOG -
12,447.00 15,932.16 Jun-22 E-KATALOG -
12,447.00 15,932.16 Jun-22 E-KATALOG -
12,447.00 15,932.16 May-22 E-KATALOG -
12,447.00 15,932.16 Dec-21 E-KATALOG -
12,447.00 15,932.16 Feb-20 E-KATALOG -
12,447.00 15,932.16 May-22 E-KATALOG -
12,447.00 15,932.16 Apr-22 E-KATALOG -
12,447.00 15,932.16 Jul-21 E-KATALOG -
12,447.00 15,932.16 Jun-22 E-KATALOG -
Dec-22 E-KATALOG -
Apr-22 NON E-KATALOG -
E-KATALOG -
Dec-21 NON E-KATALOG -
Jan-22 NON E-KATALOG -
May-21 E-KATALOG -
7,392.00 9,461.76 Sep-22 E-KATALOG -
2,310.00 2,956.80 Aug-20 E-KATALOG -
31,020.00 39,705.60 Jul-20 E-KATALOG -
23,100.00 29,568.00 - E-KATALOG -
23,100.00 29,568.00 - E-KATALOG -
E-KATALOG -
302.50 387.20 - E-KATALOG -
- E-KATALOG -
440,995.00 533,603.95 Oct-20 E-KATALOG -
5,775.00 7,392.00 - E-KATALOG -
5,775.00 7,392.00 - E-KATALOG -
5,775.00 7,392.00 - E-KATALOG -
23,326.85 29,858.37 Jul-22 NON E-KATALOG -
23,326.85 29,858.37 Oct-22 NON E-KATALOG -
E-KATALOG -
7,000.00 8,960.00 Jul-20 E-KATALOG -
62,827.00 79,162.02 Feb-20 E-KATALOG -
64,682.00 81,499.32 Dec-21 E-KATALOG -
61,775.00 77,836.50 May-22 E-KATALOG -
58,395.00 73,577.70 Jun-19 E-KATALOG -
58,390.00 73,571.40 Sep-19 E-KATALOG -
31,265.00 40,019.20 Jul-20 NON E-KATALOG -
250.00 320.00 - NON E-KATALOG -
364.65 466.75 - NON E-KATALOG -
E-KATALOG -
24,948.00 31,933.44 Aug-22 E-KATALOG -
43,428.00 55,587.84 Aug-22 E-KATALOG -
19,912.00 25,487.36 Sep-23 E-KATALOG -
29,209.00 37,387.52 Sep-23 E-KATALOG -
16,354.00 20,933.12 May-23 E-KATALOG -
24,080.00 30,822.40 Aug-21 E-KATALOG -
32,109.00 41,099.52 Sep-21 E-KATALOG -
12,939.00 16,561.92 Aug-21 E-KATALOG -
17,713.00 22,672.64 Aug-21 E-KATALOG -
1,072.00 1,372.16 - NON E-KATALOG -
1,716.00 2,196.48 - NON E-KATALOG -
E-KATALOG -
86,401.00 108,865.26 Nov-21 E-KATALOG -
64,915.00 81,792.90 Dec-21 E-KATALOG -
55,257.00 69,623.82 Dec-21 E-KATALOG -
79,563.00 100,249.38 - E-KATALOG -
- E-KATALOG -
- E-KATALOG -
- E-KATALOG -
- E-KATALOG -
- E-KATALOG -
- E-KATALOG -
- E-KATALOG -
- E-KATALOG -
- E-KATALOG -
- E-KATALOG -
- E-KATALOG -
- E-KATALOG -
- E-KATALOG -
34,000.00 42,840.00 - E-KATALOG -
21,500.00 27,090.00 - E-KATALOG -
20,328.00 26,019.84 Nov-22 E-KATALOG -
750.00 960.00 - NON E-KATALOG -
E-KATALOG -
25,000.00 32,000.00 Dec-18 E-KATALOG -
E-KATALOG -
45,562.00 58,319.36 Feb-22 E-KATALOG -
50,022.00 63,027.72 Dec-21 E-KATALOG -
50,650.00 63,819.00 Feb-22 E-KATALOG -
45,008.00 57,610.24 Apr-22 E-KATALOG -
Jul-23 E-KATALOG -
Dec-20 E-KATALOG -
Aug-23 E-KATALOG -
Jul-23 E-KATALOG -
Aug-22 E-KATALOG -
Jun-21 E-KATALOG -
Apr-23 E-KATALOG -
Mar-23 E-KATALOG -
Nov-20 E-KATALOG -
May-23 E-KATALOG -
May-23 E-KATALOG -
Oct-20 E-KATALOG -
Feb-24 E-KATALOG -
Feb-21 E-KATALOG -
Jul-20 E-KATALOG -
Dec-20 E-KATALOG -
Dec-21 E-KATALOG -
Dec-20 E-KATALOG -
Oct-20 E-KATALOG -
124,872.00 157,338.72 - NON E-KATALOG -
35,925.00 45,984.00 - NON E-KATALOG -
37,001.00 47,361.28 - NON E-KATALOG -
10,885.00 13,932.80 - NON E-KATALOG -
12,441.00 15,924.48 - NON E-KATALOG -
27,348.00 35,005.44 - NON E-KATALOG -
28,957.00 37,064.96 - NON E-KATALOG -
30,566.00 39,124.48 - NON E-KATALOG -
32,175.00 41,184.00 - NON E-KATALOG -
15,000.00 19,200.00 - NON E-KATALOG -
10,000.00 12,800.00 - NON E-KATALOG -
25,000.00 32,000.00 - NON E-KATALOG -
- E-KATALOG -
3,873.00 4,957.44 Jan-21 E-KATALOG -
10,091.00 12,916.48 Dec-21 NON E-KATALOG -
3,873.00 4,957.44 Jun-23 E-KATALOG -
10,091.00 12,916.48 Aug-22 NON E-KATALOG -
3,873.00 4,957.44 Mar-23 E-KATALOG -
10,091.00 12,916.48 Jul-22 NON E-KATALOG -
3,873.00 4,957.44 Oct-20 E-KATALOG -
10,091.00 12,916.48 Oct-20 NON E-KATALOG -
2,740.00 3,507.20 Jun-22 E-KATALOG -
2,740.00 3,507.20 Apr-22 E-KATALOG -
2,740.00 3,507.20 Apr-22 E-KATALOG -
2,740.00 3,507.20 Mar-22 E-KATALOG -
6,500.00 8,320.00 Jan-21 NON E-KATALOG -
2,740.00 3,507.20 Apr-22 E-KATALOG -
740.00 947.20 - E-KATALOG -
750.00 960.00 Apr-22 NON E-KATALOG -
3,200.00 4,096.00 Jul-22 NON E-KATALOG -
750.00 960.00 Sep-21 NON E-KATALOG -
5,119.00 6,552.32 Sep-20 E-KATALOG -
8,575.00 10,976.00 Apr-22 E-KATALOG -
16,100.00 20,608.00 Apr-22 E-KATALOG -
3,055.00 3,910.40 May-22 E-KATALOG -
14,470.00 18,521.60 Jan-22 E-KATALOG -
804.00 1,029.12 Apr-22 E-KATALOG -
25,000.00 32,000.00 - NON E-KATALOG -
1,365.00 1,747.20 Aug-20 E-KATALOG -
8,220.00 10,521.60 May-22 E-KATALOG -
7,250.00 9,280.00 Jul-22 E-KATALOG -
E-KATALOG -
E-KATALOG -
93,193.00 117,423.18 May-22 E-KATALOG -
76,194.00 96,004.44 Jan-20 E-KATALOG -
75,928.00 95,669.28 Mar-20 E-KATALOG -
74,885.00 94,355.10 May-22 E-KATALOG -
23,541.00 30,132.48 Nov-19 E-KATALOG -
21,541.00 27,572.48 Nov-19 E-KATALOG -
E-KATALOG -
41,600.00 53,248.00 Jan-20 E-KATALOG -
177,216.00 223,292.16 Feb-20 E-KATALOG -
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Count - #R2 #DD
R/NR 5 6 7 8 9 10 11 12 14 15 17 20 21 22 23 26 28 29 30 Total Result
Non Racikan 11 13 23 19 13 35 13 7 10 3 2 11 10 3 2 7 6 3 13 204
Racikan 1 2 2 1 1 1 8
(empty)
Total Result 12 13 25 19 13 37 13 8 10 3 2 12 10 3 2 7 6 4 13 212
DD/MM/YYYY #DD JENIS PENJUALAN NO. RESEP NO. BILL NAMA PASIEN
6/7/2019 7 rumah_sakit 719 YUNI LESTARI
6/7/2019 7 rumah_sakit 723 TN. ARI
6/12/2019 12 rumah_sakit 743 AHMAD MUHAJIN
6/29/2019 29 rumah_sakit 764 NURMAK
NO MR STATUS Px JENIS SEDIAAN YANG DMINTA
00.30.82 NON-BPJS OBAT LUAR Ventolin inhaler
00.30.82 NON-BPJS INJEKSI Dexamethasone inj 5 mg/ml Phapros
00.30.82 NON-BPJS ORAL teosal tablet
00.30.82 NON-BPJS ORAL ambroxol tablet
00.30.82 NON-BPJS ORAL Methylprednisolone tab 4 mg Quantum
00.30.82 NON-BPJS ORAL Cetirizine hydrochloride tab 10 mg Futamed
00.30.82 NON-BPJS ORAL Cefixime kaps 100 mg Hexpharm
00.30.82 NON-BPJS INJEKSI Otsu WI Aquabides Otsuka
00.30.83 NON-BPJS CAIRAN INFUS Ringer Laktat (RL) 500 ml Widatra
00.30.83 NON-BPJS ORAL Frego tab 10 mg Kalbe
00.30.83 NON-BPJS ORAL Betahistin Mesylate tab 6 mg Dexa
00.30.83 NON-BPJS SIRUP Sucralfate suspensi 500mg/5ml (100 ml) Tempo
00.30.83 NON-BPJS INJEKSI Ondansetron HCl dihydrate inj 4 mg/2 ml Soho
00.30.83 NON-BPJS INJEKSI Omeprazole sodium inj 40 mg Dexa
00.30.84 NON-BPJS ORAL Meloxicam tab 7,5 mg KF
00.30.84 NON-BPJS ORAL Ranitidin tab 150 mg Hexpharm
00.30.84 NON-BPJS ORAL Scanmecob 500 tab Tempo
00.30.84 NON-BPJS ORAL Amlodipine besilate tab 5 mg Tempo
00.30.83 BPJS ORAL Lansoprazole kaps 30 mg Indofarma
00.30.83 BPJS SIRUP Sukralfat suspensi 500mg/5ml (100 ml) Mepro
00.30.83 BPJS ORAL Betahistin Mesylate tab 6 mg Mersifarma
00.30.83 BPJS ORAL Cefixime kaps 200 mg Quantum
00.27.11 BPJS CAIRAN INFUS Ringer Laktat (RL) 500 ml Widatra
00.27.11 BPJS INJEKSI Cyanocobalamin inj 500 mcg/ml Lucas
00.27.11 BPJS INJEKSI Ranitidine HCl inj 50 mg/2 ml Quantum
00.30.85 NON-BPJS ORAL Mefenamic acid tab 500 mg Mersifarma
00.30.85 NON-BPJS ORAL Licodexon tab 0,5 mg Berlico
00.30.86 NON-BPJS ORAL Cefadroxil monohydrate
00.30.86 NON-BPJS ORAL dexamethasone tablet
00.30.87 NON-BPJS CAIRAN INFUS sodium chloride
00.30.87 NON-BPJS CAIRAN INFUS Ringer Laktat 500 ml Widatra
00.30.87 NON-BPJS INJEKSI ketorolac thrometamine
00.30.87 NON-BPJS INJEKSI asam tranexamat inj
00.30.87 NON-BPJS INJEKSI Ranitidine HCl inj 50 mg/2 ml Quantum
00.30.87 NON-BPJS INJEKSI anti tetanus serum
00.30.88 NON-BPJS INJEKSI ketorolac thrometamine
00.30.88 NON-BPJS INJEKSI lidocain inj
00.30.88 NON-BPJS ORAL ciprofloxacin
00.30.88 NON-BPJS ORAL asam tranexamat tablet
00.30.89 NON-BPJS OBAT LUAR Ventolin nebules 2,5 mg Glaxo
00.30.89 NON-BPJS ORAL salbutamol 4mg
00.30.89 NON-BPJS ORAL Flutamol-P kaps Pyridam
00.30.89 NON-BPJS ORAL Licodexon tab 0,5 mg Berlico
00.30.90 NON-BPJS ORAL ranitidin
00.30.91 NON-BPJS ORAL ambroxol
00.30.91 NON-BPJS ORAL salbutamol 2mg
00.30.92 NON-BPJS OBAT LUAR betadine sol
00.30.92 NON-BPJS ORAL Clindamycin kaps 150 mg Novell
00.30.91 NON-BPJS OBAT LUAR Pulmicort budesonide respules 0,25 mg/ml Astrazeneca
00.30.91 NON-BPJS INJEKSI Ceftriaxone inj 1 g Dexa
00.30.91 NON-BPJS SIRUP Ambroxol HCl Elixir 15 mg/5 ml (60 ml) Quantum
00.30.91 NON-BPJS ORAL Azithromycin tab 500 mg KF
00.30.91 NON-BPJS ORAL Acetylcisteine kaps 200 mg Indofarma
00.30.91 NON-BPJS ORAL Paracetamol tab 500 mg Mersifarma
00.30.93 NON-BPJS INJEKSI Anti Tetanus Serum / BIO SAT inj 1500 IU
00.30.93 NON-BPJS INJEKSI Verorab - Sanofi
00.30.93 NON-BPJS ORAL Cefadroxil kaps 500 mg Pharmalab
00.30.94 NON-BPJS ORAL Omeprazole kaps 20 mg Novapharin
00.30.94 NON-BPJS SIRUP Sukralfat suspensi 500mg/5ml (100 ml) Mepro
00.30.95 NON-BPJS INJEKSI Lidocaine compositum inj 2% Lucas
00.30.95 NON-BPJS INJEKSI Ketorolac Tromethamine inj 30 mg/mL Bernofarm
00.30.95 NON-BPJS ORAL Ciprofloxacin tab 500 mg Novapharin
00.30.95 NON-BPJS ORAL Salbutamol tab 2 mg Grahafarma
00.30.95 NON-BPJS CAIRAN INFUS Sodium chloride (NaCl) 0,9% 500 ml Widatra
00.30.91 NON-BPJS ORAL ambroxol tablet
00.30.91 NON-BPJS ORAL Codeine tab 10 mg KF
00.05.17 NON-BPJS ORAL Cefadroxil kaps 500 mg Pharmalab
00.05.17 NON-BPJS OBAT LUAR gentamicin salp kulit
00.05.19 NON-BPJS ORAL amoxicillin tab 500 mg
00.30.96 NON-BPJS ORAL Cefadroxil sirup kering 250 mg/5 ml Bernofarm
00.30.96 NON-BPJS SIRUP Ambroxol HCl Elixir 15 mg/5 ml (60 ml) Quantum
00.30.96 NON-BPJS ORAL Methylprednisolone tab 4 mg Quantum
00.30.91 NON-BPJS ORAL Ambroxol tablet
00.30.97 BPJS OBAT LUAR Ventolin nebules 2,5 mg Glaxo
00.30.97 BPJS ORAL Paracetamol tab 500 mg Mersifarma
00.30.97 BPJS INJEKSI Dexamethasone inj 5 mg/ml Phapros
00.30.97 BPJS INJEKSI Aminophylline inj 24 mg/ml Phapros
00.30.97 BPJS INJEKSI Cefotaxime inj 1 g Holi
00.30.97 BPJS ORAL Ambroxol tablet
00.30.97 BPJS INJEKSI Otsu WI Aquabides Otsuka
00.30.98 NON-BPJS ORAL Cefixime kaps 200 mg Quantum
00.30.98 NON-BPJS ORAL Mucoxol tab 30 mg Tempo
00.30.98 NON-BPJS ORAL Vitamin B Complex tab KF
00.30.99 NON-BPJS ORAL Amlodipine besilate tab 10 mg Pharmalab
00.30.99 NON-BPJS ORAL Irbesartan tab 150 mg Indofarma
00.30.99 NON-BPJS ORAL Lansoprazole kaps 30 mg Indofarma
00.30.99 NON-BPJS ORAL Mecobalamin tablet
00.31.00 NON-BPJS ORAL Lansoprazole kaps 30 mg Indofarma
00.31.02 NON-BPJS SIRUP DOMPERIDONE SIRUP
00.31.02 NON-BPJS SIRUP Zinc Sulfate sirup 20mg/5ml (60 ml) Mepro
00.31.02 NON-BPJS SIRUP BIOLICYN SIRUP
00.31.02 NON-BPJS SIRUP Sanmol sirup
00.31.02 NON-BPJS ORAL Probiotik sachet
00.31.02 NON-BPJS ORAL Sirplus - Mepro
00.31.01 NON-BPJS ORAL Glyceryl Guaiacolate tab 100 mg Ciubros
00.23.62 NON-BPJS INJEKSI lidocain inj
00.23.62 NON-BPJS CAIRAN INFUS Sodium chloride (NaCl) 0,9% 500 ml Widatra ed jul-19
00.31.03 BPJS INJEKSI anti tetanus serum
00.31.03 BPJS ORAL cefadroxil
00.31.03 BPJS ORAL Mefenamic acid tab 500 mg Mersifarma
00.31.03 BPJS INJEKSI lidocain inj
00.30.93 NON-BPJS INJEKSI Verorab - Sanofi
NON-BPJS ORAL Mefenamic acid tab 500 mg Mersifarma
NON-BPJS ORAL Licodexon tab 0,5 mg Berlico
BPJS ORAL Omeprazole kaps 20 mg Novapharin
BPJS SIRUP Sucralfate suspensi 500mg/5ml (100 ml) Tempo
BPJS INJEKSI Asam Traneksamat inj 500 mg/5 ml Bernofarm
BPJS CAIRAN INFUS Otsu RL 500 ml Otsuka
BPJS ORAL Amlodipine besilate tab 5 mg Tempo
BPJS ORAL Mucoxol tab 30 mg Tempo
BPJS INJEKSI Otsu WI Aquabides Otsuka
NON-BPJS OBAT LUAR Genoint salep mata 0,3% Erela
NON-BPJS ORAL Cetirizine hydrochloride tab 10 mg Futamed
BPJS ORAL Tablet Tambah Darah Phapros
BPJS CAIRAN INFUS Otsu RL 500 ml Otsuka
BPJS INJEKSI Otsu WI Aquabides Otsuka
00.31.17 BPJS INJEKSI Omeprazole sodium inj 40 mg Dexa
00.31.17 BPJS INJEKSI Kalnex 500 mg injeksi
00.31.17 BPJS SIRUP Ambroxol HCl Elixir 15 mg/5 ml (60 ml) Quantum
00.31.17 BPJS ORAL Amlodipine besilate tab 5 mg Tempo
00.31.17 BPJS ORAL Tablet Tambah Darah Phapros
00.31.19 BPJS OBAT LUAR Pronalges supp
00.31.19 BPJS ORAL Ranitidin tab 150 mg Hexpharm
00.31.19 BPJS ORAL Paracetamol tab 500 mg Mersifarma
00.31.19 BPJS ORAL Buscopan 10 mg tab Boehringer
00.30.21 NON-BPJS OBAT LUAR Dulcolax 10 mg Boehringer
00.31.21 NON-BPJS OBAT LUAR Stesolid rectal 5mg/2,5 ml Actavis
00.31.21 NON-BPJS ORAL Alprazolam tab 0,25 mg
00.31.22 NON-BPJS ORAL Ondansentron tab 8 mg Indofarma
00.31.22 NON-BPJS ORAL Vitamin B Complex tab KF
00.31.22 NON-BPJS ORAL Meloxicam tab 15 mg KF
00.31.23 NON-BPJS OBAT LUAR Dulcolax 10 mg Boehringer
00.31.24 NON-BPJS ORAL Omeprazole kaps 20 mg Novapharin
NON-BPJS ORAL Domperidone tab 10 mg Dexa
NON-BPJS SIRUP Paracetamol sirup 120mg/5ml (60 ml) ETA
NON-BPJS ORAL Antasida DOEN tab 500 mg Mersifarma
NON-BPJS ORAL Vitamin B6 tab 10 mg Megaesa
NON-BPJS ORAL Ranitidin tab 150 mg Hexpharm
NON-BPJS ORAL Sirplus - Mepro
NON-BPJS INJEKSI Verorab - Sanofi
00.31.25 BPJS CAIRAN INFUS WIDA D5 1/4NS 500 ml Widatra
00.31.25 BPJS INJEKSI Ceftriaxone inj 1 g Dexa
00.31.25 BPJS INJEKSI Ondansetron HCl dihydrate inj 4 mg/2 ml Soho
00.31.25 BPJS CAIRAN INFUS Paracetamol infusion 1 g/100 ml Quantum
00.31.25 BPJS INJEKSI Ondansetron HCl dihydrate inj 4 mg/2 ml Soho
00.31.26 NON-BPJS CAIRAN INFUS Sodium chloride (NaCl) 0,9% 500 ml Widatra
00.31.26 NON-BPJS INJEKSI Asam Traneksamat inj 500 mg/5 ml Bernofarm
FREQ #R GENERIK FORNAS TIPE ASAL R DR. JAGA R/NR
1 1 NON GENERIK FORNAS C IGD Gede, dr Non Racikan
1 GENERIK FORNAS A IGD Gede, dr Non Racikan
1 NON GENERIK NON FORNAS D IGD Gede, dr Racikan
1 GENERIK FORNAS A IGD Gede, dr
1 1 GENERIK FORNAS A IGD Gede, dr Non Racikan
1 NON GENERIK NON FORNAS D IGD Gede, dr Non Racikan
1 1 GENERIK NON FORNAS B Poli Umum Cherry, dr Non Racikan
1 GENERIK FORNAS A Poli Umum Cherry, dr Non Racikan
1 NON GENERIK FORNAS C Poli Umum Cherry, dr Non Racikan
1 1 GENERIK FORNAS A Poli Umum Cherry, dr Non Racikan
1 1 GENERIK FORNAS A IGD Magista, dr Non Racikan
1 GENERIK FORNAS A IGD Magista, dr Non Racikan
1 1 GENERIK FORNAS A Poli Umum Magista, dr Non Racikan
1 NON GENERIK FORNAS C Poli Umum Magista, dr Non Racikan
1 GENERIK FORNAS A Poli Umum Magista, dr Non Racikan
1 NON GENERIK FORNAS C IGD Magista, dr Non Racikan
1 1 NON GENERIK FORNAS C IGD Magista, dr Non Racikan
1 GENERIK FORNAS A IGD Magista, dr Racikan
1 NON GENERIK NON FORNAS D IGD Magista, dr Racikan
1 1 NON GENERIK NON FORNAS D Poli Umum Hanif F, dr Non Racikan
1 GENERIK FORNAS A Poli Umum Hanif F, dr Non Racikan
1 GENERIK NON FORNAS B Poli Umum Hanif F, dr Non Racikan
1 1 GENERIK FORNAS A Rawat Inap Hanif F, dr Non Racikan
1 NON GENERIK FORNAS C Rawat Inap Hanif F, dr Non Racikan
1 NON GENERIK FORNAS C Rawat Inap Hanif F, dr Non Racikan
1 GENERIK FORNAS A Rawat Inap Hanif F, dr Non Racikan
1 GENERIK NON FORNAS B Rawat Inap Hanif F, dr Non Racikan
1 1 NON GENERIK FORNAS C IGD Hanif F, dr Non Racikan
1 NON GENERIK FORNAS C IGD Hanif F, dr Non Racikan
1 GENERIK FORNAS A IGD Hanif F, dr Non Racikan
1 1 GENERIK FORNAS A Rawat Inap Gede, dr Non Racikan
1 NON GENERIK FORNAS C Rawat Inap Gede, dr Non Racikan
1 NON GENERIK FORNAS C Rawat Inap Gede, dr Non Racikan
1 GENERIK FORNAS A Rawat Inap Gede, dr Non Racikan
1 1 GENERIK FORNAS A Poli Umum Gede, dr Non Racikan
1 GENERIK FORNAS A Poli Umum Gede, dr Non Racikan
1 GENERIK FORNAS A Poli Umum Gede, dr Non Racikan
1 1 GENERIK FORNAS A IGD Gede, dr Non Racikan
1 1 GENERIK FORNAS A Rawat Inap Yunda Alhusna, dr Non Racikan
1 NON GENERIK FORNAS C Rawat Inap Yunda Alhusna, dr Non Racikan
1 NON GENERIK FORNAS C Rawat Inap Yunda Alhusna, dr Non Racikan
1 GENERIK FORNAS A Rawat Inap Yunda Alhusna, dr Non Racikan
1 1 GENERIK FORNAS A Rawat Inap Yunda Alhusna, dr Racikan
1 GENERIK FORNAS A Rawat Inap Yunda Alhusna, dr
1 GENERIK NON FORNAS B Poli Umum Cherry, dr Non Racikan
1 1 GENERIK FORNAS A Rawat Inap Yunda Alhusna, dr Non Racikan
1 GENERIK FORNAS A Rawat Inap Yunda Alhusna, dr Racikan
1 1 NON GENERIK FORNAS C IGD Marica, dr Non Racikan
1 GENERIK FORNAS A IGD Marica, dr Non Racikan
1 NON GENERIK NON FORNAS D Poli Umum Cherry, dr Non Racikan
1 GENERIK NON FORNAS B Poli Umum Cherry, dr Non Racikan
1 1 GENERIK FORNAS A Poli Umum Elvi, SpA Non Racikan
1 GENERIK FORNAS A Poli Umum Elvi, SpA Non Racikan
1 GENERIK FORNAS A Poli Umum Elvi, SpA Non Racikan
1 NON GENERIK NON FORNAS D Poli Umum Elvi, SpA Non Racikan
1 NON GENERIK FORNAS C Poli Umum Elvi, SpA Non Racikan
1 NON GENERIK NON FORNAS D Poli Umum Elvi, SpA Non Racikan
1 GENERIK FORNAS A Poli Umum Elvi, SpA Racikan
1 NON GENERIK NON FORNAS D Poli Umum Elvi, SpA
1 1 GENERIK NON FORNAS B Poli Umum Adi Gunawan, dr Non Racikan
1 1 NON GENERIK FORNAS C IGD Cherry, dr Non Racikan
1 GENERIK FORNAS A IGD Cherry, dr Non Racikan
1 1 NON GENERIK FORNAS C IGD Adi Gunawan, dr Non Racikan
1 1 GENERIK FORNAS A IGD Adi Gunawan, dr Non Racikan
1 GENERIK FORNAS A IGD Adi Gunawan, dr Non Racikan
1 NON GENERIK NON FORNAS D IGD Magista, dr Non Racikan
1 1 NON GENERIK FORNAS C Poli Umum Magista, dr Non Racikan
1 GENERIK FORNAS A Poli Umum Magista, dr Racikan
1 1 GENERIK FORNAS A Rawat Inap Magista, dr Non Racikan
1 1 NON GENERIK FORNAS C Rawat Inap Melati, dr Non Racikan
1 1 GENERIK FORNAS A Rawat Inap Melati, dr Non Racikan
1 1 GENERIK FORNAS A Rawat Inap Reza Yulisfa, dr Non Racikan
1 NON GENERIK FORNAS C Rawat Inap Reza Yulisfa, dr Non Racikan
1 GENERIK NON FORNAS B Rawat Inap Reza Yulisfa, dr Non Racikan
1 GENERIK FORNAS A Rawat Inap Reza Yulisfa, dr Non Racikan
1 GENERIK FORNAS A Rawat Inap Reza Yulisfa, dr Non Racikan
1 1 NON GENERIK FORNAS C IGD Reza Yulisfa, dr Non Racikan
1 GENERIK FORNAS A IGD Reza Yulisfa, dr Non Racikan
1 GENERIK FORNAS A IGD Reza Yulisfa, dr Non Racikan
1 NON GENERIK FORNAS C IGD Reza Yulisfa, dr Non Racikan
1 1 GENERIK FORNAS A Rawat Inap Reza Yulisfa, dr Non Racikan
1 1 NON GENERIK FORNAS C IGD Hanif F, dr Non Racikan
1 1 GENERIK FORNAS A Poli Umum Yunda Alhusna, dr Non Racikan
1 GENERIK FORNAS A Poli Umum Yunda Alhusna, dr Non Racikan
1 GENERIK NON FORNAS B Poli Umum Yunda Alhusna, dr Non Racikan
1 1 NON GENERIK FORNAS C Poli Umum Magista, dr Non Racikan
1 1 GENERIK FORNAS A Poli Umum Adi Gunawan, dr Non Racikan
1 GENERIK FORNAS A Poli Umum Adi Gunawan, dr Non Racikan
1 GENERIK FORNAS A Poli Umum Adi Gunawan, dr Racikan
1 GENERIK FORNAS A Poli Umum Adi Gunawan, dr
1 GENERIK FORNAS A Poli Umum Adi Gunawan, dr
1 NON GENERIK NON FORNAS D Poli Umum Adi Gunawan, dr
1 1 NON GENERIK FORNAS C Poli Umum Adi Gunawan, dr Non Racikan
1 1 NON GENERIK FORNAS C Poli Umum Adi Gunawan, dr Non Racikan
1 1 GENERIK FORNAS A Poli Umum Adi Gunawan, dr Non Racikan
1 1 GENERIK FORNAS A Rawat Inap Adi Gunawan, dr Non Racikan
1 GENERIK FORNAS A Rawat Inap Adi Gunawan, dr Non Racikan
#R2 LEMBAR MENIT PETUGAS INPUT
1 Racikan 6 deka adiftha
1 deka adiftha
1 deka adiftha
deka adiftha
deka adiftha
deka adiftha
1 deka adiftha
1 deka adiftha
1 Non Racikan 10 deka adiftha
1 deka adiftha
1 deka adiftha
1 deka adiftha
1 deka adiftha
1 deka adiftha
1 deka adiftha
1 Non Racikan 5 tri andri kurniawan
1 Non Racikan 5 desri hanindya
1 Non Racikan desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 Racikan 20 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 Non Racikan 3 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 Non Racikan 5 damayan bagus
1 damayan bagus
1 damayan bagus
1 damayan bagus
1 damayan bagus
1 damayan bagus
1 damayan bagus
1 damayan bagus
1 damayan bagus
1 damayan bagus
1 damayan bagus
1 damayan bagus
1 Racikan 7 tri andri kurniawan
tri andri kurniawan
tri andri kurniawan
tri andri kurniawan
tri andri kurniawan
tri andri kurniawan
tri andri kurniawan
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 eva oktarina
1 Racikan maya sari
1 maya sari
1 maya sari
1 maya sari
1 maya sari
1 maya sari
1 6 maya sari
maya sari
1 Non Racikan 5 maya sari
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 desri hanindya
1 Non Racikan 5 mira triadhewa
1 mira triadhewa
1 desri hanindya
1 deka adiftha
1 deka adiftha
1 deka adiftha
1 deka adiftha
1 deka adiftha
1 deka adiftha
1 Racikan 10 deka adiftha
1 deka adiftha
1 maya sari
1 maya sari
1 maya sari
1 maya sari
1 maya sari
1 maya sari
1 maya sari
1 Non Racikan 10 ade chyntia
1 ade chyntia
1 ade chyntia
1 mira triadhewa
1 Non Racikan tri andri kurniawan
1 mira triadhewa
1 mira triadhewa
1 mira triadhewa
1 mira triadhewa
1 Racikan deka adiftha
1 deka adiftha
1 deka adiftha
deka adiftha
deka adiftha
deka adiftha
1 damayan bagus
1 damayan bagus
1 damayan bagus
1 damayan bagus
1 damayan bagus
1 damayan bagus
1 damayan bagus
1 damayan bagus

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DD/MM/YYYY #DD JENIS PENJUALAN NO. RESEP NO.

BILL NAMA PASIEN

1 IGD Gede, dr Non Racik 6 deka adiftha

1 IGD Gede, dr Non Racik 10 deka adiftha

1 Rawat Inap Reza Yulisfa, dNon Racik 5 maya sari

Buscopan 10 mg tab Boehringer Boehringer ORAL 3,091.00

Buscopan plus Boehringer Boehringer ORAL 4,232.80

OBH combi batuk berdahak menthol Combiphar Combiphar SIRUP 10,120.00

Acyclovir cream 5% KF KIMIA FARMA OBAT LUAR 3,619.00

Cendo cenfresh eye drops Cendo OBAT LUAR 38,363.00

Miconazole cream 2% 10 gr KF KIMIA FARMA OBAT LUAR 3,414.00

Protofen supp KF KIMIA FARMA OBAT LUAR 2,379.95

Feb-21 E-KATALOG GENERIK

Mar-21 E-KATALOG GENERIK

Mar-22 E-KATALOG GENERIK

430.00 550.40 Jun-19 NON E-KATALOG GENERIK

Dec-22 E-KATALOG GENERIK

Aug-20 E-KATALOG GENERIK

Nov-20 E-KATALOG GENERIK

Jan-21 NON E-KATALOG NON GENERIK

479,996.00 580,795.16 Jul-20 E-KATALOG NON GENERIK

130,999.00 165,058.74 Apr-19 E-KATALOG NON GENERIK

130,999.00 165,058.74 Apr-20 E-KATALOG NON GENERIK

2,190.00 2,803.20 Jun-22 E-KATALOG GENERIK

Feb-21 E-KATALOG NON GENERIK

Aug-23 NON E-KATALOG NON GENERIK

Mar-24 E-KATALOG NON GENERIK

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