Format Laporan Depo

REKAP LAPORAN OBAT DEPO FARMASI BULAN JANUARI TAHUN 2021
DEPO POLI PINERE

HARGA
NO NAMA OBAT ZAT AKTIF SATUAN SATUA HARGA
STOK PEMASU HARGA TOTAL PENGELU HARGA TOTAL STOK HARGA TOTAL
KODE DESEMBER TOTAL STOK
AWAL KAN PEMASUKAN ARAN PENGELUARAN AKHIR STOK AKHIR
AWAL
Cairan 2 : 4 (2,5% Glukosa + 0,45% Glukosa 2,5%, 0,45% NaCl Btl 500 mL
1 7,200
NaCl) - - - - - -
2 AAFACT 1000 IU Vial 3,272,727 - - - - - -
3 AAFACT 500 IU Vial 1,900,000 - - - - - -
4 Abingem inj 1000 mg vial/25 ml 1,386,000 - - - - - -
5 Abingem inj 200 mg Vial 385,285 - - - - - -
6 00001232 Acetylcystein 200 mg tablet 412 302 124,424 - 302 124,424 -
7 Actalipid 10 mg Atrovastatin Tablet 4400 - - - - - -
10 Actapin 10 Amlodipin Besylat Tablet 660 - - - - - -
11 Actapin 5 Amlodipin Besylat Tablet 370 - - - - - -
12 Atorvastatin 40 mg Atorvasttin Tablet 3,300 - - - - - -
13 Actazolam 0,5 mg Alprazolam 0,5 mg Tablet 320 - - - - - -
14 Actazolam 1 mg Alprazolam 1 mg Tablet 675 - - - - - -
15 Actos 15 mg Pioglitazone Tablet 4,000 - - - - - -
16 Actos 30 mg Pioglitazone Tablet 6,000 - - - - - -
17 00000964 Acyclovir 200 mg Asiklovir 200 mg Tablet 388 - - - - - -
18 00000965 Acyclovir 400 mg Acyclovir Tablet 347 - - - - - -
19 00001446 Adalat Oros 20 mg Nifedipin Tablet 3,255 30 97,650 - 30 97,650 -
20 00001447 Adalat Oros 30 mg Nifedipin Tablet 3,830 46 176,180 - 46 176,180 -
21 00001449 Akilen ear drops Botol 35,237 - - - - - -
22 00001451 Albapure inj 20% 100 mL Albumin serum (Albapure) Btl 100 mL 880,000 - - - - - -
23 Albapure inj 20% 50 mL Albumin serum Btl 50 mL 414,000 - - - - - -
24 00000119 Albendazol 400 mg Albendazol Tablet 451 - - - - - -
25 Albothyl cairan Polikresulen Btl 5 mL 23,100 - - - - - -
26 Albothyl supp per vaginal 90 mg Polikresulen Supp vaginal 15,000 - - - - - -
27 Albuman inj 20% 100 mL Albumin serum Btl 100 mL 839,982 - - - - - -
28 Albuman inj 20% 50 mL Albumin serum Btl 50 mL 395,000 - - - - - -
29 Alinamin F Inj 25 mg/10 ml Fursultiamin HCl, Glukosa Amp 10 mL 10,481 - - - - - -
30 Alkohol 70% Etanol Btl 100 mL 1,200 - - - - - -
31 00000042 Allopurinol 100 mg Allopurinol Tablet 90 54 4,860 - 54 4,860 -
DEPO POLI PINERE
HARGA
AWAL
32 00000043 Allopurinol 300 mg Allopurinol Tablet 366 - - - - - -
33 00004134 Alpentin 100 mg Gabapentin Kapsul 1,150 - - - - - -
34 Alpentin 300 mg Gabapentin Kapsul 1,647 33 54,351 - 33 54,351 -
35 00000885 Alprazolam 0,5 mg tablet 320 - - - - - -
36 00000886 Alprazolam 1 mg tablet 675 - - - - - -
37 00000927 Ambroxol 30 mg tablet 120 228 27,360 - 228 27,360 -
38 00000926 Ambroxol 15mg/ml Ambroxol Botol 3,125 16 50,000 - 16 50,000 -
39 Amdixal 10 mg Amlodipin Maleat Tablet 1,800 - - - - - -
40 Amdixal 5 mg Amlodipin Maleat Tablet 1,100 - - - - - -
41 00000195 Amikacin inj 250 mg inj Amikasin Vial 35,500 - - - - - -
42 00000196 Amikacin inj 500 mg inj Amikasin Vial 33,475 - - - - - -
43 00000948 Aminofluid Asam amino 3%, Glukosa 7,5%,Btl e 500 mL 64,990 - - - - - -
44 00000946 Aminofusin Hepar Asam amino, NaCl (tidak ada tirBtl 500 mL 85,514 - - - - - -
As. Amino, Sorbitol, vit c,
45 Aminofusin L 600 Btl 500 mL 60,660
00000925 Inositol, vit Bcomp, Rutosid - - - - - -
46 00000941 Aminofusin paed 250 ml Vial 250 ml 57000 - - - - - -
47 00001453 Aminoleban As. Amino, Xylitol, Vitamin, MineBtl 500 mL 74,655 - - - - - -
48 Aminophyline 200 mg Aminophyline Tablet 100 - - - - - -
49 Aminoplasmal 10% E As. Amino 100, nitrogen 15,7 Btl 500 mL 57,500 - - - - - -
As. Amino, Sorbitol, vit c,
50 Aminoplasmal 5% E Btl 500 mL 46,000
Inositol, vit Bcomp, Rutosid - - - - - -
51 Amiosin inj 500 mg /Amikacin Vial 29700 - - - - - -
52 00000894 Amitriptyline 25 mg Amitriptilin Tablet 120 - - - - - -
53 00000647 Amlodipin 10 mg Amlodipin Besylat Tablet 163 284 46,292 - 284 46,292 -
54 00000646 Amlodipin 5 mg Amlodipin Besylat Tablet 90 146 13,140 - 146 13,140 -
55 00000133 Amoxicilin 500 mg Amoksisilin Tablet 233 - - - - - -
56 00000134 Amoxicilin Syr 125 mg/5 ml Amoksisilin Botol 1,919 20 38,380 - 20 38,380 -
57 Amoxicilin injeksi Amoksisilin Vial 7,425 - - - - - -
58 00000139 Ampicillin 1 gr/ Penbiotic 1 gr Ampisilin Vial 6,600 - - - - - -
59 Ampisilin Kaps 500 mg Ampisilin Kapsul 381 - - - - - -
60 Anemolat 1 mg Asam Folat Tablet 110 - - - - - -
61 Antalgin 500 mg Metampiron Tablet 179 - - - - - -
62 00003672 Antasida DOEN Antasida Tablet 32 - - - - - -
63 00001455 Antasida syr Antasida Botol 60 ml 2,098 5 10,490 - 5 10,490 -
DEPO POLI PINERE
HARGA
AWAL
64 00000936 Anti Tetanus (ATS) Inj 1500 IU Anti tetanus Amp 1 mL 126,500 - - - - - -
65 Anti Tetanus (ATS) Inj 20000 IU Anti tetanus Amp 4 mL 592,000 - - - - - -
Bismut subgalat,
66 Antihemoroid suppositoria Supp 3,300
00000977 heksaklorofen, lidokain, ZnO - - - - - -
67 Antrain inj 250 mg Metampiron Ampul 7,920 - - - - - -
68 Anxibloc tab 10 mg Clobazam tablet 1000 - - - - - -
69 Anzatax 30 mg inj vial 130,500 - - - - - -
70 Anzatax 150 mg inj vial 2,100,000 - - - - - -
71 Apazol 0,5 tablet tablet - - - - - -
72 Apazol 1 tablet tablet - - - - - -
73 00001427 Apidra solostar inj Catridge 87,000 - - - - - -
74 00001458 Arimidex Tablet 7,300 - - - - - -
75 00001100 Arixtra inj 2,5 mg Fondaparinux Syringe 273,800 - - - - - -
76 Asam Askorbat 50 mg Asam Askorbat Tablet 26 - - - - - -
77 00000405 Asam Folat 1 mg Asam Folat Tablet 110 - - - - - -
78 00004604 Afolat 0,4 mg Asam Folat Tablet 68 - - - - - -
79 00000016 Asam Mefenamat 500 Asam Mefenamat Tablet 125 - - - - - -
80 Asam Mefenamat susp 50 mg/5 ml Asam Mefenamat Btl 60 mL 6,200 - - - - - -
81 00000962 Asam traneksamat inj 250 mg/5 ml Asam traneksamat Amp 5 mL 2,535 - - - - - -
82 00000414 Asam traneksamat 500 mg Asam traneksamat Tablet 1,232 122 150,304 - 122 150,304 -
83 00000416 Asam traneksamat inj 500 mg/5 ml Asam traneksamat Amp 5 mL 2,217 - - - - - -
84 00001230 Asering Na 140 mEq, K 4 mEq, Cl 109 Btl 500 mL 10,250 - - - - - -
85 00001439 Acetosal 100 mg tablet 154 - - - - - -
86 Aspar K 300 mg K. L. Aspartat Tablet 2,024 - - - - - -
87 00000949 Aspilet 80 mg Asam Asetil Salisilat Tablet 110 - - - - - -
88 Atmacid susp 60 mL Antasida Btl 60 mL 3,000 - - - - - -
89 Atranac 25 mg Natrium Diclofenac Tablet 528 - - - - - -
90 00000082 Atropin Inj 0,25 mg/ml Atropin Sulfat Amp 1 mL 1,672 - - - - - -
91 Atrovent inh 20 mcg/puff Ipratropium Bromida Tbg 200 dosis 84,000 - - - - - -
92 ATP Dankos inj Ampul 38500 - - - - - -
93 Augentonic 5 ml Botol - - - - - -
94 00001098 Avamys intranasal spray Fluticasone Furoate Btl 120 dosis 102,662 - - - - - -
95 00003729 Avastin 100 mg/4 ml vial 4,659,587 - - - - - -
96 00001074 Avodart 0,5 mg kapsul lunak Dutasteride Kapsul 7,750 - - - - - -
97 00000184 Azithromycin syr 200 mg/ 5 Ml Azithromycin Btl 60 mL 43,560 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
98 00000183 Azitromycin tab 500 mg Azithromycin Tablet 1,900 273 518,700 - 273 518,700 -
99 Azomax DS Azithromycin Btl 60 mL 38,153 - - - - - -
100 00001083 Azopt tts mata 1% Brinzolamide Btl 5 mL 130,000 - - - - - -
101 Bamgetol 200 mg Carbamazepin Tablet 1,350 - - - - - -
102 00000800 Bedak Salisyl serbuk 2% Bedak salisil Btl 50 g 1,066 - - - - - -
Benzatin Penisilin inj 1,2 jt IU/Vial 20
103 Benzatin penisilin Vial 8,200
00000140 ml - - - - - -
Benzatin Penisilin inj 2,4 jt IU/Vial 20
104 Benzatin penisilin Vial 11,400
00000141 ml - - - - - -
105 Beriplast vial 2,700,000 - - - - - -
106 00001093 Berotec MDI 100 mcg/puff Fenoterol HBr Tbg 200 dosis 83,190 - - - - - -
107 00000770 Betametasone Cream 0,1% Betametasone Tube 5 g 2,229 - - - - - -
108 Betaserc tab 8 mg Betahistine dihidroklorida Tablet 2,000 - - - - - -
109 00000971 Betahistin 6 mg Tablet 154 100 15,400 - 100 15,400 -
110 Beta one 2,5 mg Tablet 4,217 - - - - - -
111 Binozyt 500 mg Azithromycin Tablet 10,000 - - - - - -
112 00001296 Bioprexum 5 mg Perindopril Arginine Tablet 2,640 - - - - - -
113 Biscor 5 mg Bisoprolol Tablet 1,700 - - - - - -
114 00000979 Bisolvon 4 mg / 2 ml inj ampul 35026 - - - - - -
115 00000651 Bisoprolol 5 mg Bisoprolol Tablet 216 - - - - - -
116 00001467 Bleocin 15 mg vial 358800 - - - - - -
117 Bondronat vial 2,150,000 - - - - - -
118 Bonefos 60 mg / ml vial 98,500 - - - - - -
119 00003731 Brexel 20 mg vial 191400 - - - - - -
120 00003732 Brexel 80 mg vial 986700 - - - - - -
121 00001380 Bricasma respulesi 2,5 mg/mL Terbutalin Sulfat Amp 1 mL 7,124 - - - - - -
Bricasma Turbuhaler 0,05 mg, 200
122 Terbutalin Sulfat Tabung 118,500
dosis - - - - - -
123 Burnazin cr 1% 35 gr Perak Sulfadiazin Tube 42,350 - - - - - -
124 00001294 Burnazin cr 1% 500 gr Perak Sulfadiazin Tube 285,543 - - - - - -
125 C. M. C 2% tetes mata Metilselulosa Btl 5 mL 14,974 - - - - - -
126 C. Protagenta 0,6 ml ed Strip 39,067 - - - - - -
127 Calos Kalsium Karbonat 500 mg Tablet 550 - - - - - -
128 00000989 Calsium Glukonat Inj, 100 mg/ml Calsium Glukonat Amp 10 mL 10,351 - - - - - -
129 Canderin 16 mg Candesartan Cilexetil Tablet 6,800 - - - - - -
130 Canderin 8 mg Candesartan Cilexetil Tablet 3,100 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
131 00004544 Candesartan 16 mg Candesartan Cilexetil Tablet 998 60 59,880 - 60 59,880 -
132 00004512 Candesartan 8 mg Candesartan Cilexetil Tablet 519 14 7,266 - 14 7,266 -
133 Candesartan TI 16 mg Candesartan Cilexetil Tablet 6,100 - - - - - -
134 Candesartan TI 8 mg Candesartan Cilexetil Tablet 3,800 - - - - - -
135 00000995 Captopril 12,5 mg Captopril Tablet 65 - - - - - -
136 Captopril 25 mg Captopril Tablet 85 - - - - - -
137 Captopril 50 mg Captopril Tablet 138 - - - - - -
138 00000996 Carbamazepine 200 mg Carbamazepin Tablet 234 - - - - - -
139 00001475 Carboplatin 150 ml/15 ml Ampul 131000 - - - - - -
140 00001476 Carboplatin 450 ml/45 ml Ampul 304200 - - - - - -
141 00001477 Cardioplegia Ampul 196,000 - - - - - -
142 Cardace 10 mg Ramipril Tablet 3,000 - - - - - -
143 Cardace 2,5 mg Ramipril Tablet 1,450 - - - - - -
144 Cardace 5 mg Ramipril Tablet 1,800 - - - - - -
145 Cardura 1 mg Doxasozin Mesylate Tablet 3,500 - - - - - -
146 Cardura 2 mg Doxasozin Mesylate Tablet 5,500 - - - - - -
147 00004141 Cartylo 80 mg Tablet 290 - - - - - -
148 00001031 Catapres 0,15 mg/ml Clonidine HCl Amp 1 mL 33,900 - - - - - -
149 00001154 Cedocard Inj 10mg/10 ml Isosorbid Dinitrat Amp 10 mL 31,000 - - - - - -
150 00000998 Cefadroxil 500 mg Cefadroxil Kapsul 492 748 368,016 - 748 368,016 -
151 00001000 Cefadroxil syr 125 mg/5ml Cefadroxil Btl 60 mL 4,132 27 111,564 - 27 111,564 -
152 Cefadroxil syr 250 mg/5ml Cefadroxil Btl 60 mL 12,000 - - - - - -
153 00000155 Cefazolin 1 gr inj Cefazolin Vial 11,738 - - - - - -
154 00001003 Cefepim 1 gr Cefepim Ampul 25025 - - - - - -
155 00001004 Cefixim kapsul 100mg Cefixim Kapsul 750 9 6,750 - 9 6,750 -
156 Cefixim kapsul 50mg Cefixim Kapsul 1,100 - - - - - -
157 00001005 Cefixim sirup kering 100mg/5ml Cefixim Btl 30ml 11,880 21 249,480 - 21 249,480 -
158 00001007 Cefoperazone sulbactam 1 gr vial 19728 - - - - - -
159 00001008 Cefotaxim inj 1 g Cefotaxim vial 4,410 - - - - - -
160 Cefotaxim inj 500 mg Cefotaxim vial 4,774 - - - - - -
161 Cefotaxime inj 1000 mg Cefotaxime Vial 4,000 - - - - - -
162 Cefspan 200 mg Cefixim Botol 28160 - - - - - -
163 00001010 Ceftazidime 1000 mg Ceftazidime Vial 12,000 - - - - - -
164 00001011 Ceftriaxone 1 g inj Ceftriaxone Vial 4,722 - - - - - -
165 00001480 Cellcept 500 mg Mycophenolat morfetile Tablet 17,654 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
166 Cendo asthenof 0,6 ml Strip 15,593 - - - - - -
167 Cendo augentonic ed Botol 21409 - - - - - -
168 Cendo carpine 4% strip 20,172 - - - - - -
169 Cendo Fradex tts mata Framicetine 5 mg, Gramicidine Btl 5 mL 15,000 - - - - - -
170 Cendo Genta salep mata 0,3% Gentamycin Tube 3,5 g 24,000 - - - - - -
171 Cendo Giflox 0,6 ml strip 88,275 - - - - - -
172 00006377 Cendo glaopen 0,6 ml strip 89,348 - - - - - -
173 00001237 Cendo Lyteers tetes mata NaCl 8,664 mg, KCl 1,32 mg Btl 15 mL 24,502 - - - - - -
174 Cendo LFX Btl 15 mL 76,175 - - - - - -
175 Cendo Mycos Hidrokortison 5 mg/mL, KloramfBtl 5 mL 19,500 - - - - - -
176 00001307 Cendo Noncort 0,6 ml ed Botol 41,827 - - - - - -
177 00006100 Cendo Tropin 0,5% Atropin Sulfat strip 12,251 - - - - - -
178 00001311 Cendo Tropin 1% botol 12,375 - - - - - -
179 Cepezet 100 mg tab salut Klorpromazin Tablet 225 - - - - - -
180 Cepezet Inj 25 mg/ml 5 ml Klorpromazin Amp 5 mL 2,450 - - - - - -
181 Ceremax i.v 10 mg/50 ml Nimodipine Btl 50 mL 195,000 - - - - - -
182 Certican 0,25 mg Everolimus Tablet 15,750 - - - - - -
183 Certican 0,5 mg Everolimus Tablet 31,000 - - - - - -
184 Cetirizin drop Cetirizine HCl Botol 27,500 - - - - - -
185 00001017 Cetirizine 10 Cetirizine HCl Tablet 120 600 72,000 - 600 72,000 -
186 Cetirizine syr 5 mg/5 mL Cetirizine HCl 2,950
00001015 Btl 60 mL 16 47,200 - 16 47,200 -
187 Chloramex inj 1000 mg/ml Kloramfenikol Vial 10 mL 7,450 - - - - -
188 00000849 Chloramfenicol ZM Kloramfenikol Tube 5 g 1925 - - - - - -
189 00005190 Chloramfenicol 5 ml Kloramfenikol Btl 5,500 - - - - - -
190 Chloramfenikol tetes telinga 3 % Kloramfenikol Btl 5 mL 1,200 - - - - - -
191 Chlorbiotic inj 1000 mg/ml Kloramfenikol Vial 10 mL 7,450 - - - - - -
192 Chlorpromazine 25 mg tablet 100 - - - - - -
193 00001023 Chlorpromazine 100 mg tablet 148 - - - - - -
194 Cilostazol 100 mg Cilostazol Tablet 6,500 - - - - - -
195 00001025 Ciprofloksasin inf 2 mg/ml Ciprofloksasin Btl 100 mL 13,489 - - - - - -
196 00001026 Ciprofloksasin 500 mg Ciprofloksasin Tablet 284 - - - - - -
197 Cisplatin 10 mg vial 23,634 - - - - - -
198 00001492 Cisplatin 50 mg vial 102,960 - - - - - -
199 Cistein 10 mg inj Vial 23,634 - - - - - -
200 Cistein 50 mg inj Vial 102,960 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
201 00001030 Citicholin 250 mg ampul 5320 - - - - - -
202 00001028 Citicholin 500 mg Tablet 4,200 14 58,800 - 14 58,800 -
203 00003678 Citicholin 1000 mg Tablet 7334 - - - - - -
204 00001029 citicolin 500 mg inj Ampul 11,371 - - - - - -
205 00000190 Clindamycin 150 mg Clindamycin Kapsul 725 - - - - - -
206 00000191 Clindamycin 300 mg Clindamycin Kapsul 752 - - - - - -
207 00000942 Clinimix As. Amino 40 g, Glukosa & Elektr
Dual Chamber 260,000 - - - - - -
208 Clobazam 10 mg tab Clobazam Tablet 739 - - - - - -
209 00001032 Clonidine tab 0,15 mg Clonidine HCl Tablet 190 - - - - - -
210 00001033 Clopidogrel tab 75 mg Clopidogrel Tablet 1,318 38 50,084 - 38 50,084 -
211 Clopisan 75 mg Clopidogrel Tablet 3,500 - - - - - -
212 00005189 Co amoxiclav 625 mg Tablet 5041 1,200 6,049,200 - 1,200 6,049,200 -
213 00001038 Codein 20 mg Tablet 1,437 - - - - - -
214 00001037 Codein tab 10 mg Codein Tablet 657 - - - - - -
215 00001497 Coditam tab Codein 30 mg, Parasetamol 50 Tablet 4,510 - - - - - -
216 COFACT 500 UI 20 ML vial 4510000 - - - - - -
217 00001499 Comafusin Hepar As. Amino, Xylitol, Vitamin, MineBtl 500 mL 85,514 - - - - - -
218 Combiflex Peri As. Amino, Glukosa, Elektrolit Bag 1000 mL 225,000 - - - - - -
219 00001352 Combivent UDV nebules Salbutamol, Ipratropium Br Amp 2,5 mL 4,550 - - - - - -
220 00001500 Concor 2,5 Bisoprolol Tablet 626 154 96,404 - 154 96,404 -
221 Concor 5 Bisoprolol Tablet 1,900 - - - - - -
222 00001419 Convers tets mata 2% Kromolin natrium strip 15,964 - - - - - -
223 Cordarone inj 150 mg/3 ml Amiodaron HCl Amp 3 mL 20,400 - - - - - -
224 00001501 Cotrimoxazole DOEN I (Dewasa) Kotrimoksazol 480mg Tablet 125 - - - - - -
225 00003681 Cotrimoxazole Ped Syr Kotrimoksazol Btl 60 mL 2,600 - - - - - -
226 CPG tab 75 mg Clopidogrel Tablet 6,000 - - - - - -
227 00000076 CTM 4 mg Chlorpheniramine maleat Tablet 35 157 5,495 - 157 5,495 -
228 Curacil 250 mg vial 24,500 - - - - - -
229 00003733 Curacil 500 mg vial 36,050 - - - - - -
230 00001039 Curcuma fct blister tablet 792 2,400 1,900,800 - 2,400 1,900,800 -
231 Cytodrox 500 mg asam hydroxiurea Kapsul 5280 - - - - - -
232 Cytogem 1000 mg Vial - - - - - -
233 Cytogem 200 mg Vial - - - - - -
234 Daryant-Tulle kasa steril 1% Framisetin Sulfat 1% Lembar 8,249 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
235 00001516 DBL-Decarbazin 200 mg / 20 ml vial 250,000 - - - - - -
236 Deculin 15 mg Pioglitazone Tablet 4,000 - - - - - -
237 Deculin 30 mg Pioglitazone Tablet 6,000 - - - - - -
238 00000611 Deksametason 0.5 mg Deksametason Tablet 30 - - - - - -
239 00000612 Deksamethasone inj 5 mg/ml Deksametason Amp 1 mL 1,210 - - - - - -
240 Dekstrometorfan HBr syrup 10 mg/5 ml Dextromethorphan 2,200
Btl 60 mL - - - - - -
241 Dekstrometorfan HBr Tab 15 mg Dextromethorphan Tablet 90 - - - - - -
242 Denomix 0,25% Desoksimetason Tube 10 g 10,000 - - - - - -
243 Depakene 250 mg/5 ml Natrium Valproat Btl 120 mL 41,800 - - - - - -
244 00001254 Depakote 250 mg Natrium Valproat Tablet 1,750 - - - - - -
245 00001252 Depakote ER 250 mg Natrium Valproat Tablet 2,900 - - - - - -
246 00001253 Depakote ER 500 mg Natrium Valproat Tablet 5,700 - - - - - -
247 Desferal lyvl 500 mg inj Vial 119756 - - - - - -
248 Dexacap 12,5 mg Captopril Tablet 64 - - - - - -
249 Dexacap 25 mg Captopril Tablet 100 - - - - - -
250 Dexacap 50 mg Captopril Tablet 165 - - - - - -
251 Dexanta susp 100 mL Antasida Btl 100 mL 5,500 - - - - - -
252 Dexanta tab kunyah Antasida Tablet 135 - - - - - -
253 Dexocort 0,25% Desoksimetason Tube 10 g 10,800 - - - - - -
254 Dextrose 40% Glukosa 40% Btl 25 ml 15,976 - - - - - -
255 Diamicron MR 30 mg Gliclazide Tablet 605 - - - - - -
256 00000887 Diazepam tab 2 mg Diazepam Tablet 32 - - - - - -
257 00000888 Diazepam tab 5 mg Diazepam Tablet 144 - - - - - -
258 Diazole lar infus 5 mg/ml Metronidazole Btl 100 mL 7,673 - - - - - -
259 00000073 Difenhidramin 10 mg/ml Difenhidramin Amp 1 mL 1,262 - - - - - -
260 00000636 Digoksin 0,25 mg Digoksin Tablet 130 100 13,000 - 100 13,000 -
261 00000624 Diltiazem HCl 30 mg Diltiazem HCl Tablet 125 - - - - - -
262 00001525 Diovan fct 160 mg tablet 1524 45 68,580 - 45 68,580 -
263 00001524 Diovan fct 80 mg Tablet 957 67 64,119 - 67 64,119 -
264 Doburan Inj 250 mg Dobutamine HCl Amp 5 mL 28,592 - - - - - -
265 Dobutamin 250 ml inj vial 37,733 - - - - - -
266 Docetaxel 20 mg / 0,5 ml vial 181,506 - - - - - -
267 Dormicum 3 ml / 15 mg Ampul 12060 - - - - - -
268 Dormicum 5 ml /5 mg Ampul 6119 - - - - - -
269 Dominic Inj 250 mg Dobutamine HCl Amp 5 mL 33,000 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
270 00001067 Domperidon 10 mg Tablet 128 210 26,880 - 210 26,880 -
271 00001069 Domperidon syr 5 mg/mL Domperidon Btl 60 mL 2,862 4 11,448 - 4 11,448 -
272 00001204 Dopamet 250 mg Metildopa Tablet 536 - - - - - -
273 00000970 Dorner tab 20 mcg Beraprost Sodium Tablet 4,400 - - - - - -
274 00001532 Doxorubicin 10 mg / 5 ml vial 42943 - - - - - -
275 00001534 Doxorubicin 50 mg vial 219731 - - - - - -
276 00000243 Doxycycline 100 mg Doksisiklin Kapsul 264 - - - - - -
277 Dulcolatol 10/15 ml Botol 45639 - - - - - -
278 00000974 Dulcolax supp. 10 mg Bisakodil Supp 5,800 - - - - - -
279 00000975 Dulcolax supp. 5 mg Bisakodil Supp 5,670 - - - - - -
280 Dulcolax tab 5 mg Bisakodil Tablet 874 - - - - - -
281 00001540 Durogesic patch 12,5 mcg/jam Fentanil Lembar 97,725 - - - - - -
282 00001094 Durogesic patch 25 mcg/jam Fentanil Lembar 195,520 - - - - - -
283 00001539 Durogesic patch 50 mcg/jam Fentanil Lembar 342,000 - - - - - -
284 00000943 EAS Primmer As. Amino esensial, histidin Btl 250 mL 53,000 - - - - - -
285 Eclid 100 mg Acarbose Tablet 1,575 - - - - - -
286 Eclid 50 mg Acarbose Tablet 975 - - - - - -
287 00001118 Ecosol Glukosa 10% Glukosa 10% Btl 500 mL 7,150 - - - - - -
288 00001121 Ecosol Glukosa 5% Glukosa 5% Btl 500 mL 6,776 - - - - - -
289 00001247 Ecosol Natrium Chlorida Natrium Klorida 0,9% Btl 500 mL 6,364 - - - - - -
292 00001343 Ecosol Ringer Laktat Larutan Infus Ringer Laktat Btl 500 mL 7,095 - - - - - -
293 EDTA 0,35 % Dinatrium Edetat Btl 15 mL 41,125 - - - - - -
294 Eloxatin aqueous 501 100 mg / 20 ml Vial - - - - - -
295 Eloxatin aqueous 501 50 mg / 20 ml Vial - - - - - -
296 Emthexate inj 5 mg Vial 33000 - - - - - -
297 Emthexate inj 50 mg Vial 45000 - - - - - -
298 00004282 Endoxan inj 200 mg Vial 64350 - - - - - -
301 00001544 Endrolin 3,75 mg Vial 611800 - - - - - -
302 00001259 Enystin susp 100.000 IU/ml Nistatin Btl 12 mL 20,400 9 183,600 - 9 183,600 -
303 00000083 Ephedrine tab 25 mg Efedrin Tablet 51 - - - - - -
304 00000084 Efedrin inj Efedrin Ampul 10,989 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
305 00000074 Epinefrin 0,1% Adrenalin Amp 1 ml 1,848 - - - - - -
306 Epirubicin 10 mg AAM Vial 86000 - - - - - -
307 Epirubicin 50 mg AAM Vial 475000 - - - - - -
308 Epotrex 2000 IU/0,5 mL Eritropoetin alfa Syiringe 0,5 mL 168,000 - - - - - -
309 Eprex 2000 IU/0,5 mL Eritropoetin Alfa Syiringe 0,5 mL 110,000 - - - - - -
310 Ericaf 1 mg Ergotamin Tablet 2,500 - - - - - -
311 00000188 Erythromycin 200 mg/5ml syr Eritromisin Btl 60 mL 9,801 - - - - - -
312 00000186 Erythromycin 250 mg Eritromisin Kapsul 400 - - - - - -
313 Erythromycin 500 mg Eritromisin 500 Kapsul 929 98 91,042 - 98 91,042 -
314 00004225 Erythromycin 500 mg Eritromisin 500 Kapsul 766 - - - - - -
315 Esvat 20 mg Simvastatin Tablet 500 - - - - - -
316 00000211 Ethambutol 250 mg Tablet 340 - - - - - -
317 00000212 Ethambutol 500 mg tablet 460 - - - - - -
318 00004198 Euthyrox 0,1 mg Natrium Tiroksin Tablet 1,021 - - - - - -
319 00003687 Exjade 250mg Deferasirox Tablet 77459 - - - - - -
320 Expafusin inf 6% Koloid HES BM 40.000 Btl 500 mL 80,000 - - - - - -
321 Eyevit tablet 3520 - - - - - -
322 Famotidin 20 mg tablet 113 - - - - - -
323 Famotidin 40 mg tablet 88 - - - - - -
324 Farbivent Salbutamol, Ipratropium Br Amp 2,5 mL 7,250 - - - - - -
325 Farelax Atracurium Ampul 61,600 - - - - - -
326 Fargoxin 0,25 mg Digoksin Tablet 110 - - - - - -
327 00001056 Fargoxin inj 2 ml Ampul 31641 - - - - - -
328 00003984 Farmabes Inj 25 mg/5 ml Diltiazem HCl Ampul 5 mL 55,000 - - - - - -
329 Farmabes tab 30 mg Diltiazem HCl Tablet 140 - - - - - -
330 Farmadral 10 mg Propranolol Tablet 110 - - - - - -
331 Farsix 10 mg/ml Furosemide Amp 2 mL 3,674 - - - - - -
332 00005553 Farsorbid 10 mg Isosorbid Dinitrat Tablet sublingual 218 - - - - - -
333 Farsorbid 5 mg Isosorbid Dinitrat Tablet sublingual 85 - - - - - -
334 Farsorbid Inj 10mg/10 ml Isosorbid Dinitrat Amp 10 mL 55,000 - - - - - -
Rif 150, INH 75, Pyrazinamide

335 FDC 4 Tablet 2,143
400, Ethambutol 275
- - - - - -
336 Femaplex 2,5 mg Tablet 9000 - - - - - -
337 Femara fct 2,5 mg Tablet 9000 - - - - - -
338 Fenobarbital 30 mg Fenobarbital Tablet 70 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
339 Fenobarbital inj (Sibital) Ampul 8,415 - - - - - -
340 00000737 Fenofibrate 100 mg Tablet 1075 - - - - - -
341 00000738 Fenofibrate 300 mg Tablet 1303 - - - - - -
342 Fenoksi metil penisilin 250 Fenoksi metil penisilin Tablet 262 - - - - - -
343 Fenoksi metil penisilin 500 Fenoksi metil penisilin Tablet 465 - - - - - -
344 Fentanil inj 0,05 mg/ml Fentanil Amp 10 mL 157,040 - - - - - -
345 Fentanil inj 0,05 mg/ml Fentanil Amp 2 mL 41,600 - - - - - -
346 Ferokid drop Fe2SO4, 7 H2O Btl 15 mL 15,000 - - - - - -
347 Ferokid syr 15 mg/5 mL Fe2SO4, 7 H2O Btl 100 mL 22,000 - - - - - -
348 Ferriprox fct 500 mg tablet 33,000 - - - - - -
349 Ferriprox syrup botol 500 ml 2,600,000 - - - - - -
350 Ferrosus sulfate 300 mg ( Sase ) Ferrosus sulfate 300 mg Tablet Salut 66 - - - - - -
351 Fimahes inf 6% Koloid Hidroksil Etil Starch BM Btl 500 mL 445,000 - - - - - -
352 00001095 Fitbon caps Kapsul 1173 - - - - - -
353 00001556 Flamicort 10 mg/ml vial 105600 - - - - - -
354 00001555 Flamicort 40 mg/ml vial 99275 - - - - - -
355 00001248 Fleet Enema Natrium Phosfat Btl 133 mL 43,395 - - - - - -
356 00001099 Flixotide nebules 0,5 mg Fluticasone Propionate Amp 2 mL 14,929 - - - - - -
357 00000223 Fluconazole 150 mg Fluconazol tablet 24,200 - - - - - -
358 00000224 Fluconazole inj 200 mg/100ml Fluconazol Botol 29,539 - - - - - -
359 00003693 Fluimucil dry syrup botol 48,352 12 580,224 - 12 580,224 -
360 Fluimucil granule 200 mg sachet 4,587 - - - - - -
361 00000286 Flunarizin 10 mg tablet 1,320 - - - - - -
362 00000285 Flunarizin 5 mg tablet 756 - - - - - -
363 Flutias 50 inh Botol 94,050 - - - - - -
364 Flutias 125 mg inh Botol 104,500 - - - - - -
365 Fortanest 5 mg/5 ml Midazolam Amp 5 mL 6,750 - - - - - -
366 Fosen Enema Natrium Phosfat Btl 133 mL 45,000 - - - - - -
367 Fosfomycin 1 gr inj vial 86,152 - - - - - -
368 Fosfomycin 2 gr inj vial 101,653 - - - - - -
369 00001564 Frutolit inf softbag 39,402 - - - - - -
370 00000533 Furosemid 10 mg/ml Furosemide Amp 2 mL 1,830 - - - - - -
371 Furosemid 20 mg/ml Furosemide Amp 2 mL 2,450 - - - - - -
372 00000719 Furosemid 40 mg Furosemide Tablet 76 100 7,600 - 100 7,600 -
373 Fuson cr 20 mg/gr 5 gr Natrium Fusidat Tube 5 g 7,590 - - - - - -
374 Ganin 300 mg Tablet 2,700 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
375 Gabexal 100 mg Gabapentin Kapsul 2,400 - - - - - -
376 Garam inggris sachet 350 - - - - - -
377 Gastrofer inj 40 mg Omeprazole Vial 71,060 - - - - - -
378 Gelofusal Gelatin BM 30.000 Btl 500 mL 145,015 - - - - - -
379 00001105 Gelofusin lart inf 4% Gelatin BM 30.000 Btl 500 mL 58,520 - - - - - -
380 Gemcitabine 200 mg DBL Vial 500555 - - - - - -
381 00000739 Gemfibrozil 300 mg Gemfibrosil Tablet 317 - - - - - -
382 Gemzar 1 gr Vial 1282380 - - - - - -
383 Gemzar 200 mg Vial 786500 - - - - - -
384 Gentamisin salep kulit 0.1% Gentamisin Tube 5gr 1,755 - - - - -
385 Gentamisin tetes mata 0,3% Gentamycin Btl 5 mL 3,293 24 79,032 - 24 79,032 -
386 00000197 Gentamycin Inj 40 mg/ml Gentamycin Amp 2 mL 3,542 - - - - - -
387 Gentian violet Botol 10 ml - - - - - -
388 Giflox 0,6 ml Botol 88275 - - - - - -
389 Glaopen tts mata 0,01%/0,6 ml Latanoprost Strip 5 x 0,6 mL 80,000 - - - - - -
390 Glaoplus 0,6 ml Botol 94917 - - - - - -
391 00000963 Glaucon 250 mg Asetazolamid Tablet 1,800 - - - - - -
392 Glibenklamide 5 mg Glibenklamide Tablet 52 - - - - - -
393 Glicab 80 mg Gliclazide Tablet 310 - - - - - -
394 Glidiab 30 mg Glikuidon Tablet 1,150 - - - - - -
395 00000560 Glimepiride 1 mg Glimepiride Tablet 174 - - - - - -
398 Glimepiride 4 mg Glimepiride Tablet 1,400 - - - - - -
399 00000559 Gliquidone 30 mg Glikuidon Tablet 1,050 - - - - - -
400 00001114 Gliseril Guaiakolat tab 100 mg Gliseril Guaiakolat Tablet 156 - - - - - -
401 00001574 Glivec fct 100 mg Tablet 35167 - - - - - -
402 Glomeson 4 mg Metil prednisolon Tablet 300 - - - - - -
403 Glucobay 100 mg Acarbose Tablet 1,575 - - - - - -
404 Glucobay 50 mg Acarbose Tablet 975 - - - - - -
405 Glucodex 80 mg Gliclazide Tablet 310 - - - - - -
406 Glucotika 850 Metformin Tablet 300 - - - - - -
407 Gludepatic 500 Metformin Tablet 125 - - - - - -
408 Glukosa 10% Glukosa 10% Btl 500 mL 5,500 - - - - - -
409 Glukosa 5% Glukosa 5% Btl 500 mL 4,895 - - - - - -
410 Glurenorm 30 mg Glikuidon Tablet 1,350 - - - - - -
411 Glutiven inf Botol 480,000 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
412 Grahabion Tab Vit B1 100 mg, B6 200 mg, B12Tablet 230 - - - - - -
413 Gramasal 100 mg Asam Asetil Salisilat Tablet 145 - - - - - -
414 Granocyte HSA vial 550000 - - - - - -
415 Griseofulvin 125 mg tablet 240 - - - - - -
416 Haemoctin inj iv 250 IU vial 1100000 - - - - - -
417 Haemoctin inj iv 500 IU Vial 2200000 - - - - - -
418 Haldol Decanoas Inj 50 mg/mL Haloperidol Amp 1 mL 94,600 - - - - - -
419 Haloperidol 0,5 mg Haloperidol Tablet 60 - - - - - -
420 Haloperidol 1,5 mg Haloperidol Tablet 82 - - - - - -
421 Haloperidol 5 mg Haloperidol Tablet 122 - - - - - -
422 Haloperidol inj Haloperidol Ampul - - - - - -
423 00001373 Harnal D 0,2 mg tab Tamsulosine Tablet 7,788 - - - - - -
424 00001374 Harnal Ocas 0,4 mg tab Tamsulosine Tablet 5,888 - - - - - -
Hemafort Fe 300, Mg 0,4, vit C 100, As. Tablet 450
Folat 2, Vit B12 15
425
- - - - - -
426 00001084 Hemapo 3000 IU/1 mL Eritropoetin Alfa Syringe 1 mL 93,500 - - - - - -
427 Heplav Lamivudin Tablet - - - - - -
428 00001057 Herbesser CD 100 mg Diltiazem HCl Kapsul 4,290 100 429,000 - 100 429,000 -
429 00001058 Herbesser CD 200 mg Diltiazem HCl Kapsul 4,650 - - - - - -
430 00001059 Herbesser Inj 50 mg Diltiazem HCl Ampul 5 mL 144,500 - - - - - -
431 00001423 Hervis salep mata 3% Acyclovir Tube 3,5 g 36,018 - - - - - -
432 00000536 Hidroklorotiazid 25 mg Hidroklorotiazid (HCT) Tablet 163 - - - - - -
433 Hiopar tab10 mg Hiosin N Butil Bromide Tablet 425 - - - - - -
434 00003738 Holoxan 1000 mg inj Vial 1,470,040 - - - - - -
435 Homatro tts mata 2% Homatropin Hidrobromid Btl 5 mL 18,000 - - - - - -
436 Humalog cartridge Cartridge 3 mL 102,000 - - - - - -
437 Humalog M.Cart 100 Cartridge 3 mL - - - - - -
438 Humalog Mix 25 Human Insulin 100 IU/ml Cartridge 3 mL 117,000 - - - - - -
439 00001134 Human albumin 20 % 100 ml Botol 880,000 - - - - - -
440 00001133 Human albumin 20 % 50 ml Botol 409,200 - - - - - -
441 Human Albumin 20%(ALBUMAN)100mlHuman Albumin Botol 1,677,500 - - - - - -
442 Human Albumin 20%(ALBUMAN)50ml Human Albumin Botol 847,000 - - - - - -
443 Humulin 30/70 inj 100IU/ml Human Insulin 100 IU/ml Cartridge 3 mL 89,000 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
444 Humulin 30/70 inj 100IU/ml Human Insulin 100 IU/ml Cartridge 10 mL 214,000 - - - - - -
445 Humulin N Human Insulin 100 IU/ml Vial 10 mL 214,000 - - - - - -
446 Humulin N Cartridge Human Insulin 100 IU/ml Cartridge 3 mL 89,000 - - - - - -
447 Humulin R Human Insulin 100 IU/ml Vial 10 mL 143,500 - - - - - -
448 Humulin R Cartridge Human Insulin 100 IU/ml Cartridge 3 mL 89,000 - - - - - -
449 00001586 Hyaloph ed Botol 5 ml 46,048 - - - - - -
450 00000778 Hydrocortison krim 1% Hidrokortison Asetat Tube 5 g 3,513 - - - - - -
451 00000779 Hydrocortison krim 2,5% Hidrokortison Asetat Tube 5 g 2,712 - - - - - -
452 00001584 Hydroxyurea 500 mg kapsul 3,800 - - - - - -
453 Hyoscine Injeksi 20 mg/ml Hiosin N Butil Bromide Ampul 7,480 - - - - - -
454 Hystolan 20 mg Isoksuprin HCl Tablet 3,200 - - - - - -
455 Hytrin 1 mg Terazosin HCl Tablet 975
- - - - - -
456 Hytrin 2 mg Terazosin HCl Tablet 1,425 - - - - - -
457 00001378 Hytroz 1 mg Terazosin HCl Tablet 713 - - - - - -
458 00001379 Hytroz 2 mg Terazosin HCl Tablet 1,100 - - - - - -
459 Ibuprofen 200 mg Ibuprofen Tablet 100 - - - - - -
460 00000018 Ibuprofen 400 mg Ibuprofen Tablet 180 200 36,000 - 200 36,000 -
461 00000019 Ibuprofen sir 100 mg/5 ml Ibuprofen Btl 60 mL 2,520 - - - - - -
462 Ibuprofen sir 200 mg/5 ml Ibuprofen Btl 60 mL 4,300 - - - - - -
463 00001269 Iliadin Kinder tetes hidung 0,025% Oksimetazolin Hidroklorid Btl 10 mL 34,500 - - - - - -
464 00001270 Iliadin Spray tetes hidung 0,050% Oksimetazolin Hidroklorid Btl 15 mL 39,468 - - - - - -
465 00001151 Imipenem cilastatin 1 gr inj Vial 110000 - - - - - -
466 Inadryl syr Difenhidramin, NH4Cl, Na SitratBtl 100 mL 3,500 - - - - - -
467 Induxin inj 10 IU/mL Oksitosin Amp 1 mL 2,200 - - - - - -
468 00004873 Inerson oint 0,25% Desoksimetason Tube 15 g 50,943 - - - - - -
469 Infusan D5+1/2 NS softbag 500 ml 9,398 - - - - - -
470 Infusan D5+1/4 NS softbag 500 ml 7,780 - - - - - -
471 Infusan Natrium Salin softbag 100 ml 12,650 - - - - - -
472 Inmatrol tetes mata Polimiksin 6.000 IU, Neomisin Btl 5 mL 21,560 - - - - - -
473 Inodex Inj 250 mg Dobutamine HCl Amp 5 mL 29,000 - - - - - -
474 Inotrop Inj 250 mg Dobutamine HCl Amp 5 mL 32,000 - - - - - -
475 00004033 Inovad inj Ampul 217,800 - - - - - -
476 Interpril 10 mg Lisinopril Tablet 1,000 - - - - - -
477 Interpril 5 mg Lisinopril Tablet 535 - - - - - -
478 Interzinc syrup Botol 60 ml 6,600 - - - - - -
479 00001127 Inviclot inj 5000 IU/ml Heparin Natrium Vial 5 mL 43,995 - - - - - -
480 Iodine Povidon lar 10% Povidon Jodida Btl 60 mL 4,000 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
481 00001607 Iopamiro 300/30 Botol 30 ml 194,370 - - - - - -
486 00000670 Irbesartan 150 mg Irbesartan Tablet 459 - - - - - -
487 00001592 Iressa 250 mg Tablet 560,000 - - - - - -
488 00000671 Irbesartan 300 mg Irbesartan Tablet 1,152 - - - - - -
489 Irvebal 150 mg Irbesartan Tablet 2,500 - - - - - -
490 Irvebal 300 mg Irbesartan Tablet 3,750 - - - - - -
491 00000213 Isoniazid 100 mg Isoniazid Tablet 50 - - - - - -
492 00000214 Isoniazid 300 mg Isoniazid Tablet 182 - - - - - -
493 Isoprinosina Tablet 11,663 - - - - - -
494 Isoprinosina Syrup 94,523 - - - - - -
495 00000630 Isosorbid dinitrat 5 mg Isosorbid Dinitrat Tablet sublingual 98 54 5,292 - 54 5,292 -
496 00001391 Isotic adretor ed 0,25% Botol 5 ml 10,665 - - - - - -
497 00001392 Isotic Adretor tts mata 0.5% Timolol Btl 5 mL 12,424 - - - - - -
498 Isotic Clearin tts mata 0,05% Tetrahidrozolin HCl Btl 5 mL 6,600 - - - - - -
499 00000235 Itraconazole 100 mg kapsul 3960 - - - - - -
500 Ivelip inf 20% Nutrisi lipid MCT/LCT Bag 100 mL 98,000 - - - - - -
501 Ixor 150 mg Roxithromycin Tablet 1,900 - - - - - -
NaCl 2,34 mg, KCl 0,75 mg,
502 00001236 KA EN 3A Btl 500 mL 10,250
Na Laktat 2,24, Dext 27 - - - - - -
NaCl 1,75 mg, KCl 1,5 mg, Na
503 00001234 KA-EN 3B Btl 500 mL 10,250
Laktat 2,24, Dext 27 - - - - - -
504 00001596 KAEN 4A infus botol 500 ml 16,610 - - - - - -
505 00001597 KAEN 4B infus botol 500 ml 22,000 - - - - - -
506 00000931 Kalbamin As. Amino 100, nitrogen 15,7 Btl 500 mL 56,000 - - - - - -
507 00000988 Kalitake Calcium Polystyrene Sulfonate Sacc 5 g 5,500 - - - - - -
508 Kalium Klorida inj 25 ml/vial Kalium Klorida Vial 3,080 - - - - - -
509 Kalnex 250 Asam traneksamat Tablet 545 - - - - - -
510 00005164 Kalnex 500 Asam traneksamat Tablet 1,843 - - - - - -
511 Kalnex inj 250 mg/5 ml Asam traneksamat Amp 5 mL 3,200 - - - - - -
512 Kalnex inj 500 mg/5 ml Asam traneksamat Amp 5 mL 4,300 - - - - - -
513 00001159 Kalsium Laktat (Kalk) tablet 500mg Kalsium Laktat Tablet 57 - - - - - -
514 Kaltrofen 100 mg supp Ketoprofen Supp 6,985 - - - - - -
515 Kaltrofen 50 mg Ketoprofen Tablet 275 - - - - - -
516 Kaltrofen inj 50 mg/ml Ketoprofen Amp 2 mL 3,450 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
517 Kalxetin 10 mg kapsul 2541 - - - - - -
518 Kalxetin 20 mg kapsul 600 - - - - - -
519 Kamadol inj Tramadol Ampul 3,850 - - - - - -
520 Kanamycin 1 gr injeksi vial 9,616 - - - - - -
521 Kendaron inj 150 mg/3 ml Amiodaron HCl Amp 3 mL 14,850 - - - - - -
522 00004380 Kendaron tab Amiodaron HCl Tablet 1,188 - - - - - -
523 00000057 Ketamin (KTM) vial 71600 - - - - - -
524 00000763 Ketokonazol 2% cr Ketokonazol Tube 5 g 2,700 - - - - - -
525 00000227 Ketokonazol 200 mg Ketokonazol Tablet 330 - - - - - -
526 00000022 Ketoprofen 100 mg tab Ketoprofen Tablet 800 - - - - - -
527 Ketoprofen inj 50 mg/mL Ketoprofen Amp 2 mL 3,450 - - - - - -
528 Ketorolac 10 mg Ketorolac tromethamine Tablet 2,000 - - - - - -
529 Ketorolac 10 mg/ml Ketorolac tromethamine Amp 1 ml 4,500 - - - - - -
530 00000026 Ketorolac 30 mg/ml Ketorolac tromethamine Amp 1 mL 1,900 - - - - - -
531 Kifluzol 150 mg Fluconazol Kapsul 18,700 - - - - - -
532 Kloramfenikol Salp mata 1% Kloramfenikol tube 5 gr 30 - - 30 - -
533 Kloramfenikol susp 125 mg/5 ml Kloramfenikol Btl 60 mL 3,300 - - - - - -
534 Kloramfenikol tetes Reco 10 ml Kloramfenikol Botol 5500 - - - - - -
535 Kloramfenikol tetes Reco 5 ml Kloramfenikol Botol 5000 - - - - - -
536 Koate besar ( 480 - 680 ) Botol 1850000 - - - - - -
537 00001599 Koate kecil ( 220 - 380 ) Botol 950000 - - - - - -
538 00001600 Koate sedang DVI 490 Botol 1,900,000 - - - - - -
539 00001156 KSR 600 mg Kalium Klorida Tablet 1,842 - - - - - -
540 Kutoin Inj 100 mg/2 ml Fenitoin Na Amp 2 mL 24,000 - - - - - -
541 00001298 Kutoin Kaps 100 mg Fenitoin Na Kapsul 948 - - - - - -
542 00001176 Lacto B bungkus 3,475 16 55,600 - 16 55,600 -
543 Lamivudin tablet 150mg Lamivudin Tablet 1,393 - - - - - -
544 00001179 Lansoprazole 30 mg Lansoprazole Kapsul 330 288 95,040 - 288 95,040 -
545 00001137 Lantus Solostar Pen Human Insulin 100 IU/ml Flexpen 3 mL 83,950 - - - - - -
546 Laxadine susp Parafin + Gliserin + Fenolftalein Btl 60 mL 12,950 - - - - - -
547 00001158 Lenal ACE Tablet 864 97 83,808 - 97 83,808 -
548 Lentikular 0,6 ml Strip 5 x 0,6 mL 32918 - - - - - -
549 Leparson Levodopa 100 mg, Benzerasid Kapsul 2,100 - - - - - -
550 00001603 Leucogen Vial 190,080 - - - - - -
551 00001604 Leucoverin 5 ml Vial 99,990 - - - - - -
552 00001138 Levemir Flexpen Human Insulin 100 IU/ml Flexpen 3 mL 84,999 - - - - - -
553 00001606 Levocin ed 5 ml Botol 18,575 - - - - - -
554 00000201 Levofloxacin 500 Levofloxacin Tablet 575 17 9,775 - 17 9,775 -
DEPO POLI PINERE
HARGA
AWAL
555 00000202 Levofloxacin inf 500 mg/100 ml Levofloxacin Botol 18,988 - - - - - -
556 Levosol inj 8 mg/8 ml Norepinefrin Amp 8 mL 62,843 - - - - - -
557 Levoxal inf 500 mg/100 ml Levofloxacin Botol 60,000 - - - - - -
558 00000527 Lidocain 2%/2mL inj Lidocain Ampul 2 mL 929 - - - - - -
559 Lincomicin 500 mg Lincomycin Kapsul 715 - - - - - -
560 00001267 Lipofundin MCT/LCT inf 20% Nutrisi lipid MCT/LCT Bag 100 mL 66,500 - - - - - -
561 00004396 Lodomer inj 5 mg/ml Haloperidol Amp 1 mL 4,050 - - - - - -
562 Loperamide tablet 140 - - - - - -
563 00000077 Loratadine 10 mg Loratadine Tablet 240 - - - - - -
564 00001077 Lovenox 40 mg/0,4 ml Enoxaparine Sodium Syringe 85,000 - - - - - -
565 00001078 Lovenox 60 mg/0,6 ml Enoxaparine Sodium Syringe 117,500 - - - - - -
566 Loprezol 30 mg Levofloxacin Tablet 650 - - - - - -
567 Lynoral 0,05 mg tab Etinilestradiol Tablet 1,360 - - - - - -
568 00001614 Mabthera 100 mg Vial 1,529,000 - - - - - -
569 Mabthera 500 mg Vial 7,912,013 - - - - - -
570 Madopar Levodopa 100 mg, Benzerasid Kapsul 2,350 - - - - - -
571 Mannitol 20% inf Botol 500 ml 39,000 - - - - - -
572 Maintate 5 mg Bisoprolol Tablet 1,900 - - - - - -
573 Matovit tablet 2,600 - - - - - -
574 00001616 Mecobalamin 500 mg tablet 518 - - - - - -
575 Meiact Tablet 18,288 - - - - - -
576 00000041 Meloxicam 15 mg Meloxicam Tablet 490 60 29,400 - 60 29,400 -
577 00000040 Meloxicam 7,5 mg Meloxicam Tablet 334 103 34,402 - 103 34,402 -
578 00000148 Meropenem inj 1000 mg Meropenem Vial 35,660 - - - - - -
579 00000147 Meropenem inj 500 mg Meropenem Vial 24,635 - - - - - -
580 00001619 Mestinon 60 mg Tablet 7,513 - - - - - -
581 00000566 Metformin 500 mg Metformin Tablet 125 47 5,875 - 47 5,875 -
582 00000567 Metformin 850 mg Metformin Tablet 170 - - - - - -
583 Metherinal 0,125 mg Metilergometrin Tablet 330 - - - - - -
584 00003740 Methotrexate 50 mg (Enseval) Vial 38,500 - - - - - -
585 00000619 Methylprednisolon 500 mg inj botol 99,630 - - - - - -
586 00000618 Methylprednisolone 125 mg/2 mL Metil prednisolon Vial 2 mL 14,749 - - - - - -
587 00000617 Methylprednisolone 16 mg Metil prednisolon Tablet 673 - - - - - -
588 00000307 Methylprednisolone 4 mg Metil prednisolon Tablet 195 45 8,775 - 45 8,775 -
589 00000616 Methylprednisolone 8 mg Metil prednisolon Tablet 319 - - - - - -
590 00000881 Metilergometrin tab 0,125 mg tablet 271 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
591 00001208 Metoklopramid 10 mg Metoklopramid Tablet 80 - - - - - -
592 00001209 Metoklopramid inj 5 mg/ml Metoklopramid Ampul 3904 - - - - - -
593 Metolon inj 5 mg/ml Metoklopramid Amp 2 mL 6,000 - - - - - -
594 Metolon syrup Metoklopramid Btl 60 mL 3,500 - - - - - -
595 00000237 Metronidazol 250 mg Metronidazole Tablet 157 - - - - - -
596 00000240 Metronidazol lar infus 500 mg/100ml Metronidazole Btl 100 ml 8,856 - - - - - -
597 00000238 Metronidazole 500 mg Metronidazole Tablet 115 200 23,000 - 200 23,000 -
598 00000239 Metronidazole syr 125 mg/5 mL Metronidazole Btl 60 mL 3,800 - - - - - -
599 00001376 Micardis 80 mg Telmisartan Tablet 5,409 - - - - - -
600 00000767 Miconazol Krim/salep 2% Mikonazol Tube 10 g 3,737 - - - - - -
601 00001219 Miloz 15 mg/3 ml Midazolam Amp 3 mL 13,500 - - - - - -
602 00001220 Miloz 5mg/3 ml Midazolam ampul 4400 - - - - - -
603 00004389 Miniaspi 80 mg Asam Asetil Salisilat Tablet 99 28 2,772 - 28 2,772 -
604 00004813 Minosep gargle 0,2% Botol 60 ml 23,130 - - - - - -
605 00000012 Morfin Inj 10 mg/mL Morfin Amp 1 mL 10,499 - - - - - -
606 00001224 MST Continus 10 mg tab Morfin Tablet 15,620 - - - - - -
607 00001225 MST Continus 15 mg tab Morfin Tablet 22,990 - - - - - -
608 MST Continus 30 mg tab Morfin Tablet 41,470 - - - - - -
609 Mucogard 500 mg Sukralfat Tablet 400 - - - - - -
610 Mucogard susp 500 mg/5 ml Sukralfat Btl 100 mL 22,750 - - - - - -
611 Muliafit sirup - - - - - -
612 00001218 Mycamine inj 50 mg Micafungin sodium Vial 320,000 - - - - - -
613 00001399 Mydriatyl 1% tts mata Tropikamid Btl 5 mL 37,868 - - - - - -
614 N-Ace 300 mg/3 mL N-Acetylcysteine Ampul 19,000 - - - - - -
615 00001627 Naprodox 10 mg vial 44,500 - - - - - -
616 00001628 Naprodox 50 mg vial 227,700 - - - - - -
617 00001398 Nasacort AQ nasal spray Triamcinolone Acetonide Tabung 106,750 - - - - - -
618 00000850 Natacen tts mata 50 mg/0,6 ml Natamicin 5 Tube 41,208 - - - - - -
619 00000813 Natrium Bikarbonat Natrium Bikarbonat 500mg Tablet 18 - - - - - -
620 Natrium Chlorida 0,9% Larutan Infus Natrium Klorida 0,9% Btl 500 mL 4,700 - - - - - -
621 00004552 Natrium Diclofenac 50 mg Natrium Diclofenac 50mg Tablet 215 104 22,360 - 104 22,360 -
622 00000027 Natrium Diclofenak 25 mg Natrium Diclofenac Tablet 184 - - - - - -
623 Natrium Phenytoin inj 100 mg/2 ml Fenitoin Na Amp 2 mL 24,000 - - - - - -
624 Naturalle E 250 IU tablet - - - - - -
625 Nazovel 100 mg supp Ketoprofen Supp 4,200 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
626 Nefrofer inj 100 mg/5 ml Low Molecule Iron (III) Sucrose Amp 5 mL 80,000 - - - - - -
627 00001160 Neo Diaform Kaolin, Pektin Tablet 176 20 3,520 - 20 3,520 -
628 00001631 Neo K Tablet 11,594 - - - - - -
629 Neo Mercazole 5 mg Karbimazol Tablet 795 - - - - - -
630 00003699 Neoral sandimun 100 mg Tablet 20075 - - - - - -
631 00003700 Neoral sandimun 25 mg Tablet 11800 - - - - - -
632 Neostigmin inj 0,5 mg/ml Neostigmin Ampul 9,070 - - - - - -
633 Nepatic 300 mg Gabapentin Kapsul 2,630 - - - - - -
634 00001055 Nerilon salep 0,1% salap Diflukortolon Valerat Tube 10 g 26,125 - - - - - -
635 Neuciti 500 mg Citicholin tablet - - - - - -
636 Neurodex FC Tab Vit B1 100 mg, B6 200 mg, B12Tablet 240 - - - - - -
637 Nevelbine inj vial 683763 - - - - - -
638 Nichodryl syr 60 ml botol 4,850 - - - - - -
639 00000686 Nifedipin 10 mg Nifedipin Tablet 100 100 10,000 - 100 10,000 -
640 Nimotop i.v 10 mg/50 ml Nimodipine Btl 50 mL 116,484 - - - - - -
641 00001258 Nimotop tab 30 mg Nimodipine Tablet 3,520 - - - - - -
642 Nistatin tsg 500.000 IU Nistatin Tablet salut 550 - - - - - -
643 Nistatin Vaginal 100.000 IU Nistatin Tab Vagina 350 - - - - - -
644 00004442 Nitral Tablet 1,485 - - - - - -
645 Nitrogliserin (nitral) tablet 2,000 - - - - - -
646 00001115 Nitrokaf Retard 2,5 mg Gliseril Trinitrat Tablet 1,725 85 146,625 - 85 146,625 -
647 00001116 Nitrokaf Retard Forte 5 mg Gliseril Trinitrat Tablet 2,656 - - - - - -
648 Nokoba inj 0,4 mg/ml Naloxone HCl Amp 2 mL 72,600 - - - - - -
649 NONAFACT 500 UI 5 ML vial 5,274,500 - - - - - -
650 Noperten 10 mg Lisinopril Tablet 920 - - - - - -
651 Noperten 5 mg Lisinopril Tablet 535 - - - - - -
652 Norcuron inj 10 mg Vekuronium Vial 1 mL 164,800
- - - - - -
653 Norelut 5 mg Noretisteron Tablet 2,750 - - - - - -
654 00005488 Norestil tablet 1980 - - - - - -
655 Norit tab tablet - - - - - -
656 Novalgin inj 500 mg Metampiron Ampul 6,147 - - - - - -
657 00001139 Novo Mix Flexpen Human Insulin 100 IU/ml Flexpen 3 mL 110,000 - - - - - -
658 00001140 NovoRapid Flexpen Human Insulin 100 IU/ml Flexpen 3 mL 87,000 - - - - - -
659 Nucral Botol 22,719 - - - - - -
660 Nyndia drops Botol 19,250 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
661 00005427 OBH Molex Syrup OBH Btl 100 mL 3,850 - - - - - -
662 Obucort Swinghaler 200 mcg/puff Budesonide Tbg 200 dosis 112,500 - - - - - -
663 Odace 10 mg Lisinopril Tablet 828 - - - - - -
664 00000203 Ofloksasin 200 mg Ofloxacin Tablet 400 - - - - - -
665 00000204 Ofloksasin 400 mg Ofloxacin Tablet 700 - - - - - -
666 Oksitetrasiklin salep kulit 3% Oxyitetracyclin Tube 5 g - - - - - -
667 00001271 Oksitetrasiklin salep mata 1% Oxyitetracyclin Tube 3,5 g 2,772 - - - - - -
668 Olandos 10 mg Tablet 17000 - - - - - -
669 Olandos 5 mg Tablet 9000 - - - - - -
670 00001638 Omeprazol 20 mg Omeprazole Kapsul 265 420 111,300 - 420 111,300 -
671 00001275 Omeprazol inj 40 mg Omeprazole Vial 11,123 - - - - - -
672 OMZ inj 40 mg Omeprazole Vial 72,000 - - - - - -
673 00001278 Ondansentron Inj 4 mg/2 mL Ondansetron Amp 2 mL 1,254 - - - - - -
674 00001279 Ondansentron Inj 8 mg/4 mL Ondansetron Amp 4 mL 4,160 - - - - - -
675 00001280 Ondansetron tab 4 mg Ondansetron Tablet 542 - - - - - -
676 00001281 Ondansetron tab 8 mg Ondansetron Tablet 330 - - - - - -
677 Opsite 25 x 10 cm Lembar 25575 - - - - - -
678 Opsite 30 x 28 cm Lembar 50160 - - - - - -
679 00001642 Oralit serbuk 100 gr Garam oralit Sacc 100 g 274 - - - - - -
680 Oscal kaps 0,25 mcg Calcitriol Kapsul 3,000 - - - - - -
681 Osteocal tab 500 mg Kalsium Karbonat 500 mg Tablet 560 - - - - - -
682 00000987 Ostriol kaps 0,25 mcg Calcitriol Kapsul 2,600 2,640 6,864,000 - 2,640 6,864,000 -
683 00001120 Otsu D40 40% Glukosa 40% Btl 25 mL 8,690 - - - - - -
684 00001157 Otsu KCl 7,46% Inj 25 ml/vial Kalium Klorida Vial 3,223 - - - - - -
685 00001195 Otsu Mannitol inf 20% Manitol Btl 500 mL 28,275 - - - - - -
686 00003753 Otsu Water inj Aqua steril pro inj Amp 25 mL 2,750 - - - - - -
687 00000110 Otsu-MgSO4 20% Magnesium Sulfat Amp 20 mL 2,700 - - - - - -
688 00000111 Otsu-MgSO4 40% Magnesium Sulfat Amp 20 mL 3,650 - - - - - -
689 00003752 Otsu-RL infus Btl 500 mL 7,150 - - - - - -
690 Oxaliplatin 100 mg Vial 500000 - - - - - -
691 Oxaliplatin 50 mg / 10 ml Vial 250,000 - - - - - -
692 Oxybiotic 500 mg injeksi Vial 8800 - - - - - -
693 00001283 Oxytocin inj ampul 1,232 - - - - - -
694 Ozid inj 40 mg Omeprazole Vial 64,350 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
695 00000863 P Pred tts mata 10 mg/0,6 ml Prednisolone Acetate Tube 37,868 - - - - - -
696 Paclitaxel 30 mg / 5 ml vial 130500 - - - - - -
697 00001646 Pamol supp 125 mg Supp 7,040 - - - - - -
698 00001647 Pamol supp 250 mg Supp 10,450 - - - - - -
699 Pan Amin G Asam amino 2,72%, sorbitol 15 Btl 500 mL 40,000 - - - - - -
700 00001384 Pantocain 0,5% tts mata Tetrakain HCl Btl 5 mL 13,204 - - - - - -
701 00001648 Pantocain 2% tts mata Tetrakain HCl Btl 5 mL 13,118 - - - - - -
702 00001287 Pantoprazole 40 mg inj vial 13,600 - - - - - -
703 00000033 Paracetamol infus flash 14,000 - - - - - -
704 00000029 Parasetamol 500 mg Parasetamol Tablet 88 1,005 88,440 - 1,005 88,440 -
705 00001290 Parasetamol drop 100 mg/ml Parasetamol Botol 7,646 - - - - - -
706 00000030 Parasetamol syr 125 mg/5 ml Parasetamol Btl 60 mL 2,872 17 48,824 - 17 48,824 -
707 Paxus 100 mg Paclitaxel vial 495,000 - - - - - -
708 Paxus TM 5 ml Paclitaxel vial 1,500,000 - - - - - -
709 Pectocil Asetylsistein kapsul 2,156 - - - - - -
710 Pectocil dry syrup Asetylsistein Botol 35,200 - - - - - -
711 00001652 Pegasys inj 135 mcg/0,5 mL Pegylated Interferon Botol 1,077,815 - - - - - -
712 00001653 Pegasys inj 180 mcg/0,5 mL Pegylated Interferon Botol 1,248,221 - - - - - -
713 Pehacain inj Ampul 2646 - - - - - -
714 Pehacort 5 mg Prednison Tablet 90 - - - - - -
715 Pehamoxil inj 1 gr Amoksisilin Vial 8,450 - - - - - -
716 Perdipine inj 10 mg Nicardipine HCl Amp 10 mL 135,000 - - - - - -
717 Pethidin Inj 50 mg/ml Petidin Amp 2 mL 15,950 - - - - - -
718 Phaminov inj 24 mg/ ml 10 ml Aminophyline Ampul 4,100 - - - - - -
719 Phenylbutazon 200 mg tablet 89 - - - - - -
720 00004415 Phenytoin 50 mg/ml ampul 6,231 - - - - - -
721 Phenytoin kaps 100 mg Fenitoin Na Kapsul 154 - - - - - -
722 Phental 100 mg injeksi Fenobarbital Ampul - - - - - -
723 Phinev 0,1% Adrenalin Amp 1 mL 1,750 - - - - - -
724 00001304 Piracetam 1200mg Piracetam Tablet 1,260 - - - - - -
725 00001305 Piracetam 400mg Piracetam Tablet 496 - - - - - -
726 00001306 Piracetam 800mg Piracetam Tablet 482 - - - - - -
727 Piroksikam tablet 10mg Piroksikam Tablet 92 - - - - - -
728 Piroxicam 20 mg Piroxicam Tablet 89 - - - - - -
729 Placta 75 mg Clopidogrel Tablet 4,000 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
730 00001657 Plasbumin 25 inj 25% 50 ml Albumin serum Btl 50 mL 338,000 - - - - - -
731 00001660 Plasbumin 5 inj 5% 250 mL Albumin serum Btl 250 mL 936,000 - - - - - -
732 Plasbumin 5 inj 5% 50 mL Albumin serum Btl 50 mL 373,558 - - - - - -
733 00003757 Plasbumin inj 20% 100 mL Albumin serum Btl 100 mL 880,000 - - - - - -
734 00003761 Plasbumin inj 20% 50 mL Albumin serum Btl 50 mL 425,568 - - - - - -
735 00001317 Plasmanate inf 5% Plasma Protein Fraction Btl 250 mL 900,181 - - - - - -
736 Plavix 75 mg Clopidogrel Tablet 20,724 - - - - - -
737 00005005 Pondex susp 50 mg/5 ml Asam Mefenamat Btl 60 mL 11,275 - - - - - -
738 Pospargin inj 0,200 mg/ml Metilergometrin Amp 1 mL 1,500 - - - - - -
739 Posyd RTUS inj 20 mg/5 ml vial 222337 - - - - - -
740 00001040 Pradaxa 110 mg Dabigatran etexilate Kapsul 14,800 - - - - - -
741 00001041 Pradaxa 75 mg Dabigatran etexilate Kapsul 14,800 - - - - - -
742 Pravastatin 20 mg Tablet 2,500 - - - - - -
743 Pravinat 20 mg Pravastatin Sodium Tablet 2,400 - - - - - -
744 00000620 Prednison 5 mg tab Tablet 172 - - - - - -
745 Primolut N 5 mg Noretisteron Tablet 3,100 - - - - - -
746 Pro Infark inj 40 mg/ml Dopamin hidroklorida Amp 5 mL 12,613 - - - - - -
747 Probenid FC 500 mg tab Probenesid Tablet 1,500 - - - - - -
748 00005600 Procaine Penisillin Inj 3 juta IU Prokain Benzilpenisilin Vial 16,720 - - - - - -
749 Profat suspensi 100 ml botol - - - - - -
750 Profenid 100 mg supp Ketoprofen Supp 4,200 - - - - - -
751 Prograf 0,5 mg Tacrolimus Kapsul 14,750 - - - - - -
752 Prograf 1 mg Tacrolimus Kapsul 26,600 - - - - - -
753 Pronalges supp 100 mg Supp 7590 - - - - - -
754 00000607 Propiltiourasil 100 mg Propiltiourasil Tablet 320 - - - - - -
755 00000641 Propranolol 10 mg Propranolol Tablet 69 - - - - - -
756 00000284 Propranolol 40 mg Propranolol Tablet 115 - - - - - -
757 00001180 Prosogan Inj 30 mg/ml Lansoprazole Vial 88,500 - - - - - -
758 00003760 Proster tablet 7150 77 550,550 - 77 550,550 -
759 00004377 Prostigmin inj ampul 8201 - - - - - -
760 00000980 Pulmicort Respules 0,25 mg/mL Budesonide Amp 2 mL 9,725 - - - - - -
761 Pulmicort Turbuhaler 200 mcg/puff Budesonide Tbg 100 dosis 110,000 - - - - - -
762 Pyrantel 125 mg Pirantel Pamoat Tablet 275 - - - - - -
763 00001315 Pyrazinamide 500 mg Pirazinamid Tablet 239 - - - - - -
764 Raivas inj 4 mg/4 ml Norepinefrin Amp 4 mL 43,758 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
765 00000693 Ramipril 5 mg tablet 245 100 24,500 - 100 24,500 -
766 Ramixal 10 mg Ramipril Tablet 3,100 - - - - - -
767 Ramixal 12,5 mg Ramipril Tablet 1,375 - - - - - -
768 00000692 Ramipril 2,5 mg Ramipril Tablet 295 - - - - - -
769 Ramixal 5 mg Ramipril Tablet 2,000 - - - - - -
770 00001329 Ranitidin 150 mg Ranitidin Tablet 114 - - - - - -
771 00001330 Ranitidin Inj 50 mg/2 mL Ranitidin Amp 2 mL 1,155 - - - - - -
772 Recofol Ampul 83000 - - - - - -
773 Recolfar tablet 3465 - - - - - -
774 Relivan 0,5 mg/mL Terbutalin Sulfat Amp 1 mL 3,400 - - - - - -
775 Renadinac 25 mg Natrium Diclofenac Tablet 105 - - - - - -
776 Renadinac 50 mg Natrium Diclofenac Tablet 125 - - - - - -
777 Renalin Galon - - - - - -
778 Reotal injeksi Pentoksifillin Ampul 47300 - - - - - -
779 Rescuvulin inj 50 mg Vial 220000 - - - - - -
780 00001377 Retaphyl SR 300 mg Teofilin Tablet 1,128 130 146,640 - 130 146,640 -
781 Retinol (Vitamin A) 200.000 IU kapsul Retinol Kapsul 596 - - - - - -
782 Retinol (Vitamin A)100.000 iu kapsul Retinol Kapsul 315 - - - - - -
783 00001668 Rexta 50 mg vial 250000 - - - - - -
784 Rhinos SR Kapsul 3388 - - - - - -
785 00000210 Rifampicin 300 mg Rifampisin Tablet 671 - - - - - -
786 00001342 Rifampicin 450 mg Rifampisin Tablet 726 - - - - - -
787 00001341 Rifampicin 600 mg Rifampisin Tablet 1,107 - - - - - -
788 Rimactazid 450/300 Rif 450, INH 300 Tablet 6,500 - - - - - -
789 Rimactazid Paed Rif 75, INH 50 Tablet 2,000 - - - - - -
790 Rimcure Paed Rif 75, INH 50, Pyrazinamide 1 Tablet 2,200 - - - - - -
Rimstar 4FDC Rif 150, INH 75, Pyrazinamide Tablet 5,000
791 400, Ethambutol 275
- - - - - -
792 Ringer Laktat Larutan Infus Ringer Laktat Btl 500 mL 4,895 - - - - - -
793 Ringerfundin Infus Botol 11000 - - - - - -
794 Risperidone 2 mg Tablet 273 - - - - - -
795 Salbutamol syr Salbutamol Btl 100 mL 5,000 - - - - - -
796 00001347 Salbutamol tab 2 mg Salbutamol Tablet 75 52 3,900 - 52 3,900 -
797 00001348 Salbutamol tab 4 mg Salbutamol Tablet 100 95 9,500 - 95 9,500 -
798 00001428 Salofalk 250 mg tab Mesalazine Tablet 4,455 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
799 Sanmol infus Parasetamol botol 39463 - - - - - -
800 00004471 Scabimite krim 5% Phermethrin Tube 10 g 11,825 - - - - - -
801 Scanderma krim 0,05% Betametasone Tube 10 g 2,500 - - - - - -
802 Scantipid 300 mg Gemfibrosil Tablet 400 - - - - - -
803 Sebivo 600 mg Vial 28300 - - - - - -
Seretide Diskus 100 ih 100 mcg/puff Salmeterol Xinafoate, Tbg 60 dosis 110,917
804
00001355 Fluticasone Propionat - - - - - -
805
806
Fluticasone Propionat - - - - - -
807
808 Sesden 30 mg tab Timepidium Bromid Tablet 1,188 - - - - - -
809 Sevodex Botol 2,024,000 - - - - - -
810 Sevoflurane baxter Botol 1100000 - - - - - -
811 Sharox injeksi vial 60060 - - - - - -
812 Sibital inj 200 mg/2 mL Fenobarbital Amp 45 - - - - - -
813 00001679 Sifrol 0,375 mg Tablet 8300 - - - - - -
814 00001680 Sifrol 0,75 mg tablet 13200 - - - - - -
815 Siloxan ed Botol 52222 - - - - - -
816 00001409 Simarc 2 mg Warfarin Tablet 1,045 - - - - - -
817 00000744 Simvastatin 10 mg Simvastatin Tablet 200 - - - - - -
818 00000745 Simvastatin 20 mg Simvastatin Tablet 250 66 16,500 - 66 16,500 -
819 Sitro 150 mg Roxithromycin Tablet 1,900 - - - - - -
820 Sitro 300 mg Roxithromycin Tablet 4,300 - - - - - -
821 00001402 Sohobion Inj Vit B1 100 mg, B6 100 mg, B12Amp 3 mL 3,500 - - - - - -
822 Sohobion Tab Vit B1 100 mg, B6 100 mg, B12Tablet 385 - - - - - -
823 Solosa 1 mg Glimepiride Tablet 450 - - - - - -
824 Solosa 2 mg Glimepiride Tablet 550 - - - - - -
825 Solosa 3 mg Glimepiride Tablet 1,200 - - - - - -
826 Solosa 4 mg Glimepiride Tablet 1,500 - - - - - -
827 Somatostatin vial - - - - - -
828 Sorov 500 mg Spiramisin Tablet 1,200 - - - - - -
829 Spiramisin 500 mg Spiramisin Tablet 1,500 - - - - - -
830 00001691 Spiriva Combo 18 mcg + Handihaller Tiotropium Set 167,000 - - - - - -
831 00001394 Spiriva Refill 18 mcg Tiotropium Kapsul 14,750 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
832 00000540 Spironolacton 100 mg Spironolakton 100 mg Tablet 878 - - - - - -
833 00000539 Spironolacton 25 mg Spironolakton 25 mg Tablet 374 149 55,726 - 149 55,726 -
834 Stabactam (cefaporazone) 10 ml inj Vial - - - - - -
835 00001187 Stalevo tab Levodopa100, Carbidopa 25, Tablet 8,800
Entecapon 200 - - - - - -
836 Starfolat Asam Folat Tablet 110 - - - - - -
837 Starquin inf 2 mg/ml Ciprofloksasin Btl 100 mL 24,000 - - - - - -
838 00001051 Stesolid inj 10 mg/2 ml Diazepam Amp 2 mL 4,400 - - - - - -
839 00001052 Stesolid rectal 10 mg/ml Diazepam Tube 2,5 mL 21,021 - - - - - -
840 00001048 Stesolid rectal 5 mg/ml Diazepam Tube 2,5 mL 14,458 - - - - - -
841 Stomacer 40 mg inj vial 37996 - - - - - -
842 Streptase serb inj 1.500.000 IU Streptokinase Vial 1 mL 3,100,000 - - - - - -
843 00005199 Suprafenid 100 mg ketoprofen Supp 2,380 - - - - - -
844 00000199 Streptomisin Serb.Inj 1000 mg Streptomisin Vial 7,123 - - - - - -
845 Sufenta Inj 5 mcg/mL Sufentanil Vial 10 mL 127,000 - - - - - -
846 Suprane Botol 2,238,000 - - - - - -
847 00005348 Symbicort inh 160/4,5 mcg Budesonide, Formoterol Tbg 60 dosis 134,500 - - - - - -
848 00000984 Symbicort inh 80/4,5 mcg Budesonide, Formoterol Tbg 60 dosis 121,000 - - - - - -
849 Taceedo 80 mg inj Vial 3,547,500 - - - - - -
850 Taceedo 20 mg inj Vial 1,155,000 - - - - - -
851 Tamofen 20 mg Tablet 2100 - - - - - -
852 00001149 Tanapress 10 mg Imidapril Tablet 4,265 - - - - - -
853 00001150 Tanapress 5 mg Imidapril Tablet 2,530 - - - - - -
854 00001184 Tapros 11,25 vial 3032376 - - - - - -
855 Tapros inj 1,88 mg vial 750000 - - - - - -
856 00001183 Tapros inj 3,75 mg vial 611691 - - - - - -
857 Targocid inj 400 mg Teicoplanin Vial 385,200 - - - - - -
858 Taxotere 20 mg inj Vial - - - - - -
859 Tensinorm Tab 100 mg Atenolol Tablet 540 - - - - - -
860 Tensinorm Tab 50 mg Atenolol Tablet 429 - - - - - -
861 Tensiphar 10 mg Lisinopril Tablet 910 - - - - - -
862 Tensiphar 5 mg Lisinopril Tablet 525 - - - - - -
863 Terasma syr 1,5 mg/5 mL Terbutalin Sulfat Btl 60 mL 4,750

- - - - - -
DEPO POLI PINERE
HARGA
AWAL
864 Terasma tab 2,5 mg Terbutalin Sulfat Tablet 187

- - - - - -
865 00001148 Tetagam inj 250 IU Human Tetanus Imunoglobulin Amp 1 mL 176,800 - - - - - -
866 Tetanus Toxoid inj vial 77898 - - - - - -
867 00000177 Thiamphenicol 500mg kapsul 895 - - - - - -
868 00001385 Thyrozol 5 mg Thiamazol Tablet 661 - - - - - -
869 Tiaryt inj Amiodaron HCl ampul 3 ml 16,500 - - - - - -
870 Tiaryt tab 200 mg Amiodaron HCl Tablet 1,298 - - - - - -
871 Tibitol 250 mg Ethambutol HCl Tablet 315 - - - - - -
872 Tibitol 500 mg Ethambutol HCl Tablet 435 - - - - - -
873 Timol 0,5% ed Botol 25,492 - - - - - -
874 Totilac vial 84,700 - - - - - -
875 Tracrium inj 10 mg/mL / tramus Atracurium Basylate Amp 2,5 mL 21,000 - - - - - -
876 Tracrium inj 10 mg/mL Atracurium Basylate Amp 5 mL 40,000 - - - - - -
877 Tramus Amp 5 mL 70,575 - - - - - -
878 Tramadol 50 mg Tramadol Kapsul 195 - - - - - -
879 Tramadol 50 mg/ml amp 2 mL Tramadol Amp 1 mL 1,803 - - - - - -
880 00004600 Tramadol Hcl 100 mg / 2 ml ampul 3,713 - - - - - -
881 Tranexid 500 mg inj ampul 4250 - - - - - -
882 00001395 Travatan tts mata 0,004% Travoprost Btl 2,5 mL 83,200 - - - - - -
883 Triacarpin tts mata 2% Pilokarpin Btl 5 mL 18,800 - - - - - -
884 Triatimol 0,5% Timolol Btl 5 mL 23,300 - - - - - -
Polimiksin 6.000 IU, Neomisin
885 Triaxitrol tts mata Btl 5 mL 10,500
5 mg, Dexa 1,3 mg - - - - - -
886 Trihexyphenidyl 2 mg Triheksifenidil HCl Tablet 80 - - - - - -
887 00001705 Triofusin 500 Lar Infus Fruktosa 60 g, Glucosa 33 g, XylBtl 500 mL 59,023 - - - - - -
888 Trolip 100 mg Fenofibrate Kapsul 2,000 - - - - - -
889 Tupepe krim 10% Urea Tube 40 g 16,300 - - - - - -
39,600
Na 100, K 18, Ca 4, Mg 6, Cl
890 Tutofusin Ops Btl 500 mL
90, Asetat 38, Sorbitol 50 g
00001174 - - - - - -
891 Tykerb 250 mg tab Tablet 61662 - - - - - -
892 00001071 Udopa inj 40 mg/ml Dopamin hidroklorida Amp 5 mL 9,849 - - - - - -
893 Ulsafate syr Botol 100 ml 10100 - - - - - -
894 Ulsicral susp 500 mg/5 ml Sukralfat Btl 100 mL 24,500 - - - - - -
895 Ulsidex 500 mg Sukralfat Tablet 465 - - - - - -
896 Univit syr botol 3500 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
897 Urdafalk Kapsul 8132 - - - - - -
898 Urinter 100 mg Asam Pipemidat Kapsul 2,000 - - - - - -
899 00000959 Urinter 400 mg Asam Pipemidat Kapsul 1,400 - - - - - -
900 Uromitexan 100 mg inj vial 99096 - - - - - -
901 Vaclo 75 mg Clopidogrel Tablet 4,000 - - - - - -
902 00001214 Vagizol Ovula 500 mg Metronidazole Ovula 4,715 - - - - - -
903 00000698 Valsartan NI 160 mg Valsartan Tablet 1,053 - - - - - -
904 Valsartan NI 80 mg Valsartan Tablet 699 - - - - - -
905 00003716 Vancep inj 500 mg Vancomycin HCl Vial 121,995 - - - - - -
906 Vascon inj 4 mg/4 ml Norepinefrin Amp 4 mL 69,300 - - - - - -
907 Vastigo tab 6 mg Betahistine mesilat Tablet 380 - - - - - -
908 00000997 Vbloc 6,25 mg Carvedilol Kapsul 1,914 25 47,850 - 25 47,850 -
909 Vectrin 300 mg tablet 3388 - - - - - -
910 Ventolin 2,5 mg Nebulizer Salbutamol Vial 4,000 - - - - - -
911 00001350 Ventolin inhaler 100 mcg/puff, 200 Salbutamol Tabung 200 dosis 40,000 - - - - - -
912 Verapamil 80 mg Verapamil Tablet 295 - - - - - -
913 Vercure tab 6 mg Betahistine mesilat Tablet 380 - - - - - -
914 Vertikaf tab 8 mg Betahistine dihidroklorida Tablet 1,640 - - - - - -
915 00000702 Sildenafil 50 mg Tablet 20020 - - - - - -
916 Viagra tab 100 mg tablet - - - - - -
917 Vigamox tts mata 0,5% Moksifloksasin Btl 3 mL 81,000 - - - - - -
918 DBL-Vinblastine RTUS inj 10 mg vial 500000 - - - - - -
919 Vincristine 1 mg vial 45400 - - - - - -
920 Vincristine 2 mg vial 81000 - - - - - -
921 Vit B1 50 mg Tiamin HCl Tablet 42 - - - - - -
922 Vit B1 inj 100 mg/ml Tiamin HCl Amp 1 mL 690 - - - - - -
923 Vit B6 inj 100 mg/mL Piridoksin HCl Amp 1 mL 800 - - - - - -
924 Visipaque Botol 100 ml 759,000 - - - - - -
925 Vitamin A 20000 IU Vitamin A Tablet 271 - - - - - -
926 Vitamin A 6000 IU Vitamin A Tablet 207 - - - - - -
927 Vitamin B Complex tab Vitamin B Complex Tablet 25 - - - - - -
928 Vitamin B1 50 mg Tiamin HCl Tablet 30 - - - - - -
929 Vitamin B12 10 mcg Sianokobalamin Tablet 21 - - - - - -
930 Vitamin B12 50 mcg Sianokobalamin Tablet 17 - - - - - -
931 Vitamin B6 tab 10 mg Piridoksin HCl Tablet 16 - - - - - -
932 Vitamin C 50 mg Asam Askorbat Tablet 120 1,600 192,000 - 1,600 192,000 -
933 Vitamin C 250 mg Asam Askorbat Tablet 118 2,758 325,444 - 2,758 325,444 -
DEPO POLI PINERE
HARGA
AWAL
934 Vitamin C inj Asam Askorbat ampul 5,772 - - - - - -
935 Vitamin E 200 IU Tablet - - - - - -
936 Vitamin K inj 10 mg/ml Fitomenadion ampul 1,866 - - - - - -
937 Vitamin K tab 10 mg Fitomenadion Tablet 800 100 80,000 - 100 80,000 -
938 00004131 Vitrolenta ed Botol 5 ml 32423 - - - - - -
939 Vivace 10 mg Ramipril Tablet 3,000 - - - - - -
940 Vivace 2,5 mg Ramipril Tablet 1,450 - - - - - -
941 Vivace 5 mg Ramipril Tablet 1,800 - - - - - -
942 Vomitas Syrup Domperidon Botol 35,112 - - - - - -
943 Vomizole dry inj Botol - - - - - -
944 Vosama tts mata 1 mg/mL Betametasone Strip 5 x 0,6 mL 16,000 - - - - - -
945 W1 natrium klorida 0,9% infus Btl 500 mL 6,410 - - - - - -
946 W1 ringer laktat infus Btl 500 mL 7,150 - - - - - -
947 Wida D5-1/2 NS (Cairan 2 : 1) Glukosa 5%, 0,45% NaCl Btl 500 mL 10,680 - - - - - -
948 Wida D5-1/4 NS (Cairan 4 : 1) Glukosa 5%, Sodium Klorida 0 Btl 500 mL 6,410 - - - - - -
949 Wida D5-NS (Cairan 2A) Glukosa 5%, Sodium Klorida 0, Btl 500 mL 8,024 - - - - - -
NaCl 1,75 mg, KCl 1,5 mg, Na
950 Wida HSD Btl 500 mL 9,735
Laktat 2,24, Dext 27 - - - - - -
951 Wida WI 1000 ml (Unicap) Aqua for Irigasi Btl 1000 mL 19,800 - - - - - -
952 Widahes 130 lart infus 6% Koloid Hidroksil Etil Starch BM Btl 500 mL 52,250 - - - - - -
953 Widahes inf 6 % Koloid Hidroksil Etil Starch BM Btl 500 mL 51,700 - - - - - -
954 Xalatan tts mata 0,005% Latanoprost Btl 2,5 mL 127,000 - - - - - -
955 Xanvit syrup Btl 60 mL 7760 - - - - -
956 Xarelto 10 mg Tablet 23500 - - - - - -
957 Xeloda 500 mg Tablet 31000 - - - - - -
Xitrol salep mata Polimiksin 6.000 IU, Neomisin Tube 3,5 g 39,067
958
00001321 5 mg, Dexa 1,3 mg - - - - - -
959 Xylocain Ampul 6,428 - - - - - -
960 Xylocain 2% jelly Tube 41,600 - - - - - -
961 Xylocain 2% PDF 20 ml Ampul 60,364 - - - - - -
962 Zink 20 mg Zink Tablet 425 1,200 510,000 - 1,200 510,000 -
963 Zinkid 10 mg / 5 ml syr Zink Btl 100 mL 16,093 - - - - - -
964 Zinkid syr 10 mg/ml Zink Btl 100 mL 18,725 - - - - - -
965 Zinnat tab 250 mg Cefuroxime Tablet 5,940 - - - - - -
966 Zinnat tab 500 mg Cefuroxime Tablet 4,500 - - - - - -
967 Zovirax 250 mg inj vial 209000 - - - - - -
968 Zycin 250 mg Azithromycin Tablet 7,500 - - - - - -
969 Zycin 500 mg Azithromycin Tablet 10,000 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
970 Zypraz 0,5 mg Alprazolam 0,5 mg Tablet 350 - - - - - -
971 Zypraz 1 mg Alprazolam 1 mg Tablet 725 - - - - - -
972 - - - - - -
973 - - - - - -
974 Aminovel 600 infus botol 48000 - - - - - -
975 - - - - - -
976 C. Timol 0,25% botol 30190 - - - - - -
977 Carboplatin 15 ml vial 181500 - - - - - -
978 Cendo hyalub ed Strip 5 x 0,6 mL 56430 - - - - - -
979 Cendo polydex ed botol 26235 - - - - - -
980 Cendo tobrosan ed botol 28700 - - - - - -
981 Cendo tonor 0,25 % ed botol 22027 - - - - - -
982 Cendo tonor 0,5 % ed strip 24131 - - - - - -
983 Cetapain infus Parasetamol Fls 33445 - - - - - -
984 Ceteron 4 mg inj Ampul 3960 - - - - - -
985 00000173 Chloramphenicol 250 mg Kapsul 266 - - - - - -
986 Chlorpromazine injeksi Ampul 1155 - - - - - -
987 Clozapine 100 Tablet 5000 - - - - - -
988 Clozapine 25 Tablet 1550 - - - - - -
989 00003680 Cotrimoxazol 960 mg tablet 344 - - - - - -
990 00000772 Desoximethason cream Tube 12074 - - - - - -
991 00001060 Dimenhydrinate 50 mg Tablet 125 - - - - - -
992 DBL Gemcitabine 1 gram Vial 800000 - - - - - -
993 00003688 Exjade 500 mg tablet 152880 - - - - - -
994 Flagyl 0,5 gr supp 3655 - - - - - -
995 00003691 Fleet phosphosoda botol 33900 - - - - - -
996 Fluracedyl 500 mg inj vial - - - - - -
997 Fortanest 15 mg/3 ml ampul 8800 - - - - - -
998 Fosmidex 1 gr vial 64,047 - - - - - -
999 00001563 Fudanton 4 mg Ondansetron Tablet 1,150 - - - - - -
1000 Gemcikal 1000 mg inj vial 675500 - - - - - -
1001 Gemcikal 200 mg inj vial 139925 - - - - - -
1002 Govotil inj Haloperidol ampul 9455 - - - - - -
1003 Hiviral Lamivudin Tablet - - - - - -
1004 Lorazepam (Merlopam) 2 mg Tablet 2431 - - - - - -
1005 00001617 Mecobalamin inj Ampul 6,000 - - - - - -
1006 00001623 Meylon 8,4% ampul 6,201 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1007 Mitomycin C inj vial 225,000 - - - - - -
1008 00001643 Otsu salin fls 24,200 - - - - - -
1009 00000568 Pioglitazone TI 15 mg tablet 2145 - - - - - -
1010 00000569 Pioglitazone TI 30 mg tablet 4666 - - - - - -
1011 00001313 Piracetam 3 gr inj ampul 8800 - - - - - -
1012 Plasbumin 25% 100 ml Botol 1509200 - - - - - -
1013 Platogrix 75 mg tablet 3400 - - - - - -
1014 Recormon inj syringe 121433 - - - - - -
1015 00001429 Salofalk 500 mg Tablet 11253 - - - - - -
1016 Sedacum 15 mg/ 3 ml Midazolam Ampul 47,300 - - - - - -
1017 Sharox tab tablet 20790 - - - - - -
1018 00001372 Sulfasalazin 500 mg Tablet 2200 - - - - - -
1019 Tamoliv infus fls 22000 - - - - - -
1020 Texorate tab tablet 4400 - - - - - -
1021 00001709 Ursodeoxycholic acid 250 mg Kapsul 2475 30 74,250 - 30 74,250 -
1022 Vagistin Ovula Supp ovula 12100 - - - - - -
1023 Vaxcel Heparin Natrium vial 42900 - - - - - -
1024 Vitanorm Tablet 3297 - - - - - -
1025 Latorec 10 mg tablet 2000 - - - - - -
1026 Letraz 2,5 mg Tablet 3900 - - - - - -
1027 00001312 Piracetam 1 gr inj Tablet 4422 - - - - - -
1030 Tamofen 10 mg tablet 1790 - - - - - -
1031 00001268 Tarivid ed Botol 45089 - - - - - -
1032 00003708 Thyrozol 10 mg tablet 1286 - - - - - -
1033 00003714 Triofusin 1000 Lar Infus tablet 79373 - - - - - -
1034 Xarelto 15 mg tablet 23500 42 987,000 - 42 987,000 -
1035 Xarelto 20 mg tablet 23500 58 1,363,000 - 58 1,363,000 -
1036 Cyclovid (Cyclophosphamide ) 200 mg tablet 62098 - - - - - -
1037 Cyclovid 500 mg inj tablet 123750 - - - - - -
1038 Daunocin NPL 20 mg inj vial 242000 - - - - - -
1039 Etopul 20 mg vial 83600 - - - - - -
1040 Bupivacain 5 mg/ml Ampul 50160 - - - - - -
1041 Omnipaque 300/50 botol 222640 - - - - - -
1042 Omnipaque 350/50 botol 260480 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1043 Omnipaque 350/100 botol 484000 - - - - - -
1044 Propofol ampul 20240 - - - - - -
1045 Roculax ampul 65000 - - - - - -
1046 Visipaque Vial 50 ml 453750 - - - - - -
1047 Alprazolam 0,25 mg tablet 336 - - - - - -
1048 Lorazepam (Merlopam) 0,5 mg Tablet 355 - - - - - -
1049 Sedacum 5 mg/ 5 ml ampul 19800 - - - - - -
1050 Letraz 2,5 mg tablet 1188000 - - - - - -
1051 Lisinopril 5 mg tablet 385 - - - - - -
1052 Lisinopril 10 mg tablet 660 - - - - - -
1053 Asam salisilat salep Tube 106 - - - - - -
1054 00000786 Salep 2-4 cr Tube 3013 - - - - - -
1055 Taxotere 80 mg inj vial - - - - - -
1056 Tridex infus softbag 10250 - - - - - -
1057 Blopress 16 mg Tablet 15695 - - - - - -
1058 Blopress 8 mg Tablet 11925 - - - - - -
1059 Cardioplegia Ampul - - - - - -
1060 Cendo carpine 2% strip 18810 - - - - - -
1061 DBL- Cytarabine 1 gr vial 570350 - - - - - -
1062 Farnormin Atenolol Tablet 440 - - - - - -
1063 Opsite 84 x 56 cm Lembar - - - - - -
1064 Otsu-NaCl infus Btl 500 mL - - - - - -
1065 Stator Tablet - - - - - -
1066 Gemcikal 1000 mg inj vial - - - - - -
1067 Herceptin 440 mg vial 9804017 - - - - - -
1068 Leunase inj vial 1222000 - - - - - -
1069 Cendo carpine 1% botol 18755 - - - - - -
1070 C. Efrisel ed Strip 18452 - - - - - -
1071 C. Efrisel ed Botol 18452 - - - - - -
1072 00004036 Eperisone Tablet 1186 - - - - - -
1073 00004463 Evitan Tablet 390 - - - - - -
1074 00004048 Fucilex cream Tube 5 g 11000 - - - - - -
1075 Kalipar Tablet 801 - - - - - -
1076 Lidocain 5 % Ampul 22000 - - - - - -
1077 Lotasbat cream tube 33660 - - - - - -
1078 00004313 Micardis 40 mg Tablet 3045 - - - - - -
1079 Molasma 2,5 mg Tablet 52 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1080 Nicardex inj ampul 132000 - - - - - -
1081 - - - - - -
1082 Opiclam gel tube 16500 - - - - - -
1083 oscal 0,5 mg Kapsul 309 - - - - - -
1084 00001689 Sandostatin inj ampul 63000 - - - - - -
1085 00004038 Santa E Tablet 1444 - - - - - -
1086 00001677 Serum ppd rt 23 2 ui Vial 684684 - - - - - -
1087 Metotreksat inj ( BSP ) Vial 33000 - - - - - -
1088 Oxaplatin Vial 1500000 - - - - - -
1089 Doxorubicin Hcl Vial 74580 - - - - - -
1090 00000007 Codein 15 mg Tablet 1135 - - - - - -
1091 Isofluran Botol 1787500 - - - - - -
1092 Cotrimoxazole pediatrik tablet 76 - - - - - -
1093 00004197 NTG 10 mg injeksi Ampul 63250 - - - - - -
1094 00000933 Aminofilin inj ampul 6187 - - - - - -
1095 Banadoz 100 mg Tablet 13310 - - - - - -
1096 Bisolvon syr Botol 28072 - - - - - -
1097 Bisolvon tab Tablet 1478 - - - - - -
1098 Casodex 50 mg tab Tablet 13300 - - - - - -
1099 Citaz 100 mg Tablet 7999 - - - - - -
1100 00004273 Dermanide cream tube 23320 - - - - - -
1101 00004229 Fapresor inj Ampul 61985 - - - - - -
1102 Fosmidex 2 gr Vial 123200 - - - - - -
1103 00000118 Gabapentin 300 mg Kapsul 1055 - - - - - -
1104 Glucosamine 250 mg kapsul 10879 - - - - - -
1105 Hidonac inj Vial 233670 - - - - - -
1106 00004250 Mometasone furoate cream 5 gram tube 7913 - - - - - -
1107 Renacardon 10 mg Tablet 3850 - - - - - -
1108 Renacardon 5 mg Tablet 2750 - - - - - -
1109 Reotal 400 mg Tablet 8213 - - - - - -
1110 Rhinofed Tablet 1355 - - - - - -
1111 Serlof tablet 33550 - - - - - -
1112 00004269 Tenace 5 mg Tablet 2924 - - - - - -
1113 Triamcinolone cream Tube 25697 - - - - - -
1114 00004274 Valacyclovir 500 mg Tablet 5958 - - - - - -
1115 Vitacid cream 0,1% Tube 43257 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1116 Paclitaxel 100 mg Vial 260000 - - - - - -
1117 Bunascan Spinal Ampul 63800 - - - - - -
1118 Decain inj Ampul 62700 - - - - - -
1119 Pyrantel Syrup Botol 9100 - - - - - -
1120 Acne felden lot Botol 33000 - - - - - -
1121 Dexigen cream tube 6499 - - - - - -
1122 00000552 Acarbose 50 mg tablet 657 - - - - - -
1123 Albendazole susp botol 5000 - - - - - -
1124 Atropin 0,5 mg Tablet 2000 - - - - - -
1125 00004420 Buscopan tab Tablet 2520 - - - - - -
1126 00004390 C. Catarlent ed Botol 22398 - - - - - -
1127 C. Xitrol ed botol 32972 - - - - - -
1128 Fasidol drops Botol 7349 - - - - - -
1129 Fatral Tablet 3740 - - - - - -
1130 Genoint eo tube 2786 - - - - - -
1131 Hyalgan pref Sringe 605000 - - - - - -
1132 Interhistin syrup botol 21422 - - - - - -
1133 Interhistin tablet Tablet 548 - - - - - -
1134 Lexapram syrup botol 2899 - - - - - -
1135 Mecobalamin 250 mg Tablet 578 - - - - - -
1136 00004341 Medi Klin cream Tube 20592 - - - - - -
1137 00004379 Naletal 100 mg Tablet 5100 - - - - - -
1138 Optiflox botol 14003 - - - - - -
1139 Orixal 500 mg Tablet 1079 - - - - - -
1140 Pularex Tablet 220 - - - - - -
1141 00000729 Ramipril 10 mg Tablet 1015 - - - - - -
1142 00004597 Tarivid Opth sol Botol 51892 - - - - - -
1143 Terasma syrup Botol 15400 - - - - - -
1144 Tetracyclin 500 mg tablet 330 - - - - - -
1145 Valvir tablet 13750 - - - - - -
1146 Vitacid 0.05 % Tube 33698 - - - - - -
1147 Vitacid 0,025 % Tube 22959 - - - - - -
1148 Wida RL infus 1000 ml Botol 8000 - - - - - -
1149 DBL- leuncovorin Vial 372895 - - - - - -
1150 Doxotil 10 mg Vial 44500 - - - - - -
1151 Doxotil 50 mg Vial 227700 - - - - - -
1152 Wida 2A Botol 7606 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1153 00004465 Farpresin 20 mg injeksi Injeksi 74800 - - - - - -
1154 hexymer 2 mg Tablet 385 - - - - - -
1155 Kidmin infus softbag 45997 - - - - - -
1156 00004448 Norephineprine injeksi Injeksi 46002 - - - - - -
1157 Plasbumin 25% 20 ml Botol 338000 - - - - - -
1158 00004421 Serum Bio save vial 473000 - - - - - -
1159 Marcain 0,50% Vial 79421 - - - - - -
1160 Docetaxel 80 mg Vial 934340 - - - - - -
1161 00004468 Monuril Sachet sachet 154000 - - - - - -
1162 Celocid injeksi 750 mg VIAL 53625 - - - - - -
1163 00004485 Prostacom tab Tablet 3225 - - - - - -
1164 00004472 Soft U Derm Cream Tube 6800 - - - - - -
1165 Stolax Supp Supp 6044 - - - - - -
1166 00004482 Survanta injeksi vial 3500000 - - - - - -
1167 Urotractin Kapsul 1815 - - - - - -
1168 00004495 Venofer inj Ampul 172040 - - - - - -
1169 Zoloral SS Shampoo Botol 25710 - - - - - -
1170 Sojoun Botol 1105417 - - - - - -
1171 00004506 Cendo Mydriatyl 0,5% Botol 28586 - - - - - -
1172 00004505 Polynel 0,6 ml Strip 19662 - - - - - -
1173 00004511 Euthyrox 50 mcg Tablet 771 - - - - - -
1174 Gabexal 300 mg Tablet 9328 - - - - - -
1175 Betablok 100 mg Tablet 799 - - - - - -
1176 00004554 Octalbin 25% 50 cc Botol 750000 - - - - - -
1177 00004523 Octalbin 25% 100 cc Botol 1510000 - - - - - -
1178 00004508 Sanbenafil 100 mg Tablet 26823 - - - - - -
1179 Zamel drop Botol 36300 - - - - - -
1180 Zamel Syrup Botol 36300 - - - - - -
1181 Esmeron Vial 132969 - - - - - -
1182 Erbitux 5mg /20 mg Vial 3500000 - - - - - -
1183 Camidryl Syrup Botol 3199 - - - - - -
1184 KA EN 1 B INFUS Botol 10000 - - - - - -
1185 00000882 Methylergometrine inj Ampul 2750 - - - - - -
1186 Myomergin Inj Ampul 5400 - - - - - -
1187 Tegretol Syrup 100 ml Botol 44770 - - - - - -
1188 Ritalin LA 20 mg Tablet 6537 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1189 00000966 Acyclovir Cream Tube 2697 - - - - - -
1190 00000747 Atorvastatin 20 mg Tablet 908 - - - - - -
1191 Caprenafil 50 mg Tablet 59675 - - - - - -
1192 Ergotamine coffein 1 mg Tablet 149 - - - - - -
1193 00004667 Humalog mix 25 kwikpen Syringe 102990 - - - - - -
1194 Metavit Syrup Botol 3771 - - - - - -
1195 Ricovir 300 mg Tablet 12613 - - - - - -
1196 00000703 Sildenafil 100 mg Tablet 52937 - - - - - -
1197 Ritalin 10 mg Tablet 1950 - - - - - -
1198 Thiopental Sodium 1 gr vial 73150 - - - - - -
1199 00004553 Omnipaque 300/100 Vial 438240 - - - - - -
1200 Nutriflex peri Bag 470000 - - - - - -
1201 Phadilon 125 mg inj Vial 45249 - - - - - -
1202 Seroquel XR 200 mg Tablet 41376 - - - - - -
1203 00004603 Sikzonoate inj ampul 57506 - - - - - -
1204 Lactor inj 30 mg ampul 6160 - - - - - -
1205 Lovenox 0,2 inj syringe 47999 - - - - - -
1206 00001699 Tasigna HGC 200 mg Kapsul 95218 - - - - - -
1207 00004797 Trental FCT 400 mg Tablet 8727 - - - - - -
1208 00004783 Terrel 100 ml Botol 603440 - - - - - -
1209 Cyclovid (Cyclophosphamide ) 1000 mg Vial 193936 - - - - - -
1210 0001049 Diazepam Inj Ampul 1913 - - - - - -
1211 00004808 Abilify Discmelt 10 mg Tablet 20946 - - - - - -
1212 00004809 Abilify Discmelt 15 mg Tablet 32400 - - - - - -
1213 Abixa 10 mg Tablet 28482 - - - - - -
1214 Acetin 600 mg eff Tablet 9020 - - - - - -
1215 00004929 Actilyse 50 mg Vial 4250000 - - - - - -
1216 Aloxid Sol 2 % Botol 67923 - - - - - -
1217 Aloxid Sol 5 % Botol 92457 - - - - - -
1218 Amoxan Dry Syrup Botol 22781 - - - - - -
1219 Amoxan Forte Dry Syrup Botol 32489 - - - - - -
1220 Aprovel 300 mg Tablet 14040 - - - - - -
1221 Aprovel 150 mg Tablet 10403 - - - - - -
1222 Bactroban Oint Tube 38500 - - - - - -
1223 Baquinor Forte 500 mg Kaplet 13860 - - - - - -
1224 Benzolac CL Gel 10 gram Tube 28750 - - - - - -
1225 Bicrolid 500 mg Kaplet 24475 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1226 Bonviva Inj Vial 1300776 - - - - - -
1227 Bonviva FC 150 mg Tablet 398558 - - - - - -
1228 Brainact Tablet 11022 - - - - - -
1229 Cefat Forte Dry Syrup Botol 75130 - - - - - -
1230 Cefat Dry Syrup Botol 43670 - - - - - -
1231 Cefat 500 mg Kapsul 10615 - - - - - -
1232 Cendo TGF Kaplet Kaplet 5239 - - - - - -
1233 Cendo Ulcori 5 ml ed Botol 26977 - - - - - -
1234 Cenfresh ed Botol 34526 - - - - - -
1235 Cortidex Tablet 275 - - - - - -
1236 Dibekacin Oph.Lot Botol 75141 - - - - - -
1237 Disolf EC 490 mg Tablet 7150 - - - - - -
1238 00004834 Durolane Inj Syringe 2246750 - - - - - -
1239 Erysanbe Dry Syrup Botol 21890 - - - - - -
1240 Evalen Cream 10 gram Tube 49500 - - - - - -
1241 Evalen Gel 10 gram Tube 44000 - - - - - -
1242 Flagyl Forte Tablet 5683 - - - - - -
1243 Folavit 400 mcg Tablet 825 - - - - - -
1244 Frego 5 mg Tablet 5306 - - - - - -
1245 Fungasol SS 2 % Botol 26620 - - - - - -
1246 00004879 Hyper Hep Inj Syringe 1324986 - - - - - -
1247 Incelin 500 mg Tablet 9680 - - - - - -
1248 Interbi 250 mg Kapsul 18106 - - - - - -
1249 Interco 500 mg Kapsul 1672 - - - - - -
1250 Interzol SS 80 ml Botol 46226 - - - - - -
1251 Intidrol 4 mg Tablet 2077 - - - - - -
1252 Intidrol 16 mg Tablet 5232 - - - - - -
1253 Kalmeco 500 mg Kapsul 1980 - - - - - -
1254 Kary Uni 0,05 mg/ml Botol 37400 - - - - - -
1255 00004836 Kepra 500 mg Tablet 15730 - - - - - -
1256 Ketesse 25 mg Tablet 7920 - - - - - -
1257 Ketomed Scalp Sol Botol 30783 - - - - - -
1258 Kuinin 222 mg Tablet 737 - - - - - -
1259 Lapraz Kapsul 11935 - - - - - -
1260 Loprox NL 1,5 gr Tube 155080 - - - - - -
1261 Mefinal 500 mg Tablet 1320 - - - - - -
1262 Melanox ES Cream Tube 53905 - - - - - -
1263 Merislon 12 mg Tablet 5218 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1264 Myobat Tablet 3344 - - - - - -
1265 OA Plus Kaplet 4136 - - - - - -
1266 Optimax For G Tablet 8580 - - - - - -
1267 Optimax Syrup Botol 63800 - - - - - -
1268 Provelyn 150 mg Kapsul 12870 - - - - - -
1269 Provelyn 75 mg Kapsul 8768 - - - - - -
1270 Pumpitor Kapsul 13475 - - - - - -
1271 Regrou 30 ml Shampoo Botol 54504 - - - - - -
1272 Sporetik 100 mg Kapsul 19690 - - - - - -
1273 Sporetik Dry Syrup Botol 83050 - - - - - -
1274 Tebokan 40 mg tab Tablet 5257 - - - - - -
1275 Tebokan Forte 120 mg Tablet 15411 - - - - - -
1276 Topicare+ceramide cream Tube 136125 - - - - - -
1277 Spyrocon 100 mg Kapsul 15783 - - - - - -
1278 Tracne 0,01 % Cream Tube 24961 - - - - - -
1279 Tracne 0,05 % Cream Tube 20342 - - - - - -
1280 Trolip 300 mg Kapsul 9350 - - - - - -
1281 Viccilin S 1500 mg Inj Vial 81180 - - - - - -
1282 Vioxy FM tab Tablet 4070 - - - - - -
1283 Xyzal 5 mg Tablet 6864 - - - - - -
1284 Telfast HD 180 mg Tablet 7261 - - - - - -
1285 Xidane Licaps Kapsul 6171 - - - - - -
1286 00004843 Betaserc 24 mg Tablet 7050 - - - - - -
1287 Ketomed Cream Tube 22542 - - - - - -
1288 Niacef Gel Tube 28368 - - - - - -
1289 00004921 Otsu NS 500 ml Botol 6409 - - - - - -
1290 Protopic 0,1 Oint Tube 10 gr 360189 - - - - - -
1291 Govazol 150 mg Kapsul 78166 - - - - - -
1292 Takelin 500 mg Ampul 14852 - - - - - -
1293 Thecort Cream Tube 60349 - - - - - -
1294 Ceptik 200 mg Tablet 22282 - - - - - -
1295 Clinium 150 mg Tablet 3340 - - - - - -
1296 Clinium 300 mg Tablet 5544 - - - - - -
1297 Colme 250 mg Kapsul 642 - - - - - -
1298 Diflam 50 mg Tablet 1703 - - - - - -
1299 Erythrin 500 mg Tablet 3757 - - - - - -
1300 Fenris Syrup Botol 14344 - - - - - -
1301 Inclarin Tablet 4070 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1302 Inclovir 500 mg Tablet 10824 - - - - - -
1303 Intercon Cream Tube 53623 - - - - - -
1304 Interdoxin 100 mg Kapsul 5104 - - - - - -
1305 Interdoxin 50 mg Kapsul 3300 - - - - - -
1306 Interflox 500 mg Tablet 10375 - - - - - -
1307 Interzol 200 mg Tablet 4070 - - - - - -
1308 Intrizin Tablet 3815 - - - - - -
1309 Intrizin Drop Botol 48708 - - - - - -
1310 Loxinter Tablet 8118 - - - - - -
1311 Mefinter 500 mg Tablet 1109 - - - - - -
1312 Meloxin 15 mg Tablet 6948 - - - - - -
1313 Meloxin 7,5 mg Tablet 4061 - - - - - -
1314 Moisderm 10 % Cream Tube 16236 - - - - - -
1315 Pamol Drop Botol 17996 - - - - - -
1316 Pamol Syrup Botol 10419 - - - - - -
1317 Sedrofen 500 mg Tablet 7920 - - - - - -
1318 Tradyl 50 mg Tablet 2772 - - - - - -
1319 Tradyl 100 mg Inj Ampul 16086 - - - - - -
1320 Volox FC Tablet 29040 - - - - - -
1321 Zoter 200 mg Tablet 4183 - - - - - -
1322 Zoter 400 mg Tablet 6974 - - - - - -
1323 00005000 Atorvastatin 10 mg Tablet 1150 - - - - - -
1324 00000162 Cefoperazon 1 gram inj Vial 25900 - - - - - -
1325 00005010 Anbacin 1 gram Vial 32825 - - - - - -
1326 Cymeven Vial 450400 - - - - - -
1327 00005027 Diamicron MR 60 mg Tablet 2992 - - - - - -
1328 Humulin R Kwikpen Syringe 79800 - - - - - -
1329 Maxiflon Tablet 29700 - - - - - -
1330 Pehatrim Forte Tablet 462 - - - - - -
1331 00005028 Pro TB 4 Tablet 4613 - - - - - -
1332 Protofen Supp 2883 - - - - - -
1333 Wida Dex 5% Botol 6899 - - - - - -
1334 Wida Dex 10% Botol 7500 - - - - - -
1335 Zometa inf 4 mg Botol 1528800 - - - - - -
1336 Cebactam 1 gram inj Vial 74445 - - - - - -
1337 Dicloflam 50 mg Tablet 272 - - - - - -
1338 Ferriprox syrup 250 ml Botol 1680000 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1339 00001560 Fosmycin 1 gram Vial 51018 - - - - - -
1340 00001561 Fosmycin 2 gram Vial 101459 - - - - - -
1341 Molcin inf 250 ml Botol 230010 - - - - - -
1342 00005039 Naletal 50 mg tab Tablet 5832 - - - - - -
1343 00005056 Takelin 1000 mg tab Tablet 7211 - - - - - -
1344 00001727 Zoladex inj Syringe 881857 - - - - - -
1345 Paclimedac 30 mg inj Vial 200000 - - - - - -
1346 Paclimedac 100 mg inj vial 500000 - - - - - -
1347 00005054 Brilinta 90 mg Tablet 7500 - - - - - -
1348 Cercul Citicolin 250 mg Ampul 8250 - - - - - -
1349 00005057 Citicholin 1000 mg inj Ampul 20680 - - - - - -
1350 00005060 Cripsa Tablet 8234 - - - - - -
1351 00005062 Humalog kwikpen Syringe 87000 - - - - - -
1352 Integrilin inf Botol 2554860 - - - - - -
1353 Isonat 10 mg Tablet 203 - - - - - -
1354 00005055 Niflec Sachet 123200 - - - - - -
1355 Recansa 10 mg Tablet 1800 - - - - - -
1356 00004920 Takelin 500 mg Tablet 5072 - - - - - -
1357 00005066 Marcain 0,05% heavy 4 ml Ampul 27696 - - - - - -
1358 00005076 Albuminar 25% 100 ml Botol 1510000 - - - - - -
1359 00005069 Clinoleic 20% 250 ml Softbag 169125 - - - - - -
1360 00005068 Erdomex Kapsul 2680 67 179,560 - 67 179,560 -
1361 Laktulosa syrup Botol 15060 21 316,260 - 21 316,260 -
1362 L - Bio Sachet 4416 - - - - - -
1363 Suprasma HFA Botol 57750 - - - - - -
1364 Fonkogem 200 mg Vial 145000 - - - - - -
1365 Fonkogem 1000 mg Vial 700000 - - - - - -
1366 00005072 Fonkopac 6 mg / 5 ml Vial 130500 - - - - - -
1367 00005191 Fonkopac 6 mg / 16.7 ml Vial 260000 - - - - - -
1368 Midazolam 5 mg/ 1 ml Ampul 8503 - - - - - -
1369 Diethylcarbamazine 100 mg Tablet 138 - - - - - -
1370 00000553 Acarbose 100 mg Tablet 879 - - - - - -
1371 00000635 Amiodaron Inj Ampul 12355 - - - - - -
1372 00005125 Aricept Evess 10 mg Tablet 12485 - - - - - -
1373 00005129 Cefuroxime Sodium 750 mg inj Vial 31997 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1374 Ethygobal 500 mg Kapsul 1000 - - - - - -
1375 00005146 Humulin N Kwikpen Syringe 79800 - - - - - -
1376 Infusan RL Softbag 11368 - - - - - -
1377 Isoptin SR 240 mg Tablet 6680 - - - - - -
1378 Lotasbat Oint Tube 32120 - - - - - -
1379 Methotrexate 2,5 mg ( AAM ) Tablet 2310 - - - - - -
1380 00005109 Norages 2 ml inj Ampul 5720 - - - - - -
1381 00005120 Octalbin 5% 250 ml Botol 900000 - - - - - -
1382 Omeroxol syrup Botol 3150 - - - - - -
1383 Oxtercid 750 mg inj Vial 41580 - - - - - -
1384 Pencilas 1 gram inj Vial 140009 - - - - - -
1385 Primaquin 15 mg Tablet 119 - - - - - -
1386 00005106 Sanbenafil 50 mg Tablet 30010 - - - - - -
1387 Uresix inj Ampul 4152 - - - - - -
1388 00005110 Ventavis inj Ampul 285000 - - - - - -
1389 Sevorane Botol 1201830 - - - - - -
1390 00005096 Morfin 10 mg Tablet 1674 - - - - - -
1391 00005117 Onzapin 5 mg Tablet 4499 - - - - - -
1392 00005118 Onzapin 10 mg Tablet 6995 - - - - - -
1393 Abbotic XL 500 mg Tablet 45165 - - - - - -
1394 Amoxan 500 mg Kapsul 3322 - - - - - -
1395 Avil 25 mg Tablet 1553 - - - - - -
1396 00005147 Azithromycin 500 mg inj Vial 126500 - - - - - -
1397 Bufect Forte Susp Botol 20350 - - - - - -
1398 Bufect Susp Botol 14410 - - - - - -
1399 Car Q 100 mg Kaplet 10450 - - - - - -
1400 Coralan 7,5 mg Tablet 7871 - - - - -
1401 Curfos Syrup Botol 88825 - - - - - -
1402 Custodiol 500 ml Botol 1321200 - - - - - -
1403 Elkana CL Syrup Botol 47300 - - - - - -
1404 Epexol Syrup Botol 16995 - - - - - -
1405 Exaflam 25 mg Tablet 1815 - - - - - -
1406 Exaflam 50 mg Tablet 2904 - - - - - -
1407 Feritrin FC Tablet 2255 - - - - - -
1408 00005179 Fibrion 1.500.000 iu Vial 3400000 - - - - - -
1409 Formuno Kaplet 6259 - - - - - -
1410 Forumen ED Botol 25355 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1411 Imunos Syr Botol 66550 - - - - - -
1412 00005164 Kalnex 500 mg Tablet 3300 - - - - - -
1413 Mucohexin Elixir syrup Botol 16280 - - - - - -
1414 Octalbin 20 % 100 ml Botol 858000 - - - - - -
1415 00005166 Otopain Ear Drop Botol 40260 - - - - - -
1416 Praxion 120 mg syrup Botol 21707 - - - - - -
1417 Praxion 250 mg syrup botol 26717 - - - - - -
1418 Ricovir 300 mg Tablet 18205 - - - - - -
1419 San B Plex Drop Botol 17160 - - - - - -
1420 Sanmol 500 mg Tablet 275 - - - - - -
1421 00005149 Simulect 20 mg inj Vial 19460204 - - - - - -
1422 Triamcort Tablet 2874 - - - - - -
1423 Trizedon MR Tablet 3234 - - - - - -
1424 Voltaren SR 75 mg Tablet 8285 - - - - - -
1425 Artesunate 60 mg inj Vial 33792 - - - - - -
1426 00005148 Codipront Kapsul 7938 - - - - - -
1427 Bioglue 2 ml pcs 5885000 - - - - - -
1428 Bioglue 5 ml pcs 8635000 - - - - - -
1429 Halothane Botol 790000 - - - - - -
1430 Ativan 2 mg Lorazepam Tablet 999 - - - - - -
1431 Dehydro Artemisin 40 mg ( DHP ) Tablet 4216 - - - - - -
1432 Genoin Tetes Mata Gentamicin Botol 9143 - - - - - -
1433 New Antides Tablet 157 - - - - - -
1434 00000669 Nimodipin 10 mg/ 50 ml Botol 115500 - - - - - -
1435 Cernevit inj Vial 170500 - - - - - -
1436 00005386 Pirotop cream 5 gram Tube 33214 - - - - - -
1437 00005229 Pirotop oint 10 gram Tube 57717 - - - - - -
1438 Reco EO Tube 5000 - - - - - -
1439 00005205 Fresofol 1% 5 ml Ampul 10758 - - - - - -
1440 Co-diovan 80/12.5 tablet 13053 - - - - - -
1441 Edemin inj Ampul 4125 - - - - - -
1442 00005230 Reco Tetes Mata botol 5714 - - - - - -
1443 00005233 PK Crystal Pot 5142 - - - - - -
1444 Sincronik kaplet 6160 - - - - - -
1445 Meptin inh sol 0.5 ml Ampul 6199 - - - - - -
1446 Norvask 5 mg Tablet 7652 - - - - - -
1447 Norvask 10 mg Tablet 13714 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1448 Pranza 40 mg Vial 119680 - - - - - -
1449 00005266 Pro TB 2 tablet 4194 - - - - - -
1450 Jurnista 8 mg Tablet 37500 - - - - - -
1451 Irinotecan Hcl 100 mg/5 ml vial 794936 - - - - - -
1452 Fludara IV Vial 1499999 - - - - - -
1453 Paxomed 100 mg/ 16.7 ml vial 260000 - - - - - -
1454 00005260 Avelox tab Tablet 27716 - - - - - -
1455 Avelox inf 250 ml Botol 240000 - - - - - -
1456 Celebrex 100 mg Kapsul 9246 - - - - - -
1457 Celebrex 200 mg Kapsul 13887 - - - - - -
1458 00005265 Cycloprogynova Tablet 6105 - - - - - -
1459 Campto 40 mg inj vial 396077 - - - - - -
1460 00005256 Doripenem 500 mg inj vial 297000 - - - - - -
1461 Lipitor 20 mg Tablet 18584 - - - - - -
1462 Lipitor 40 mg Tablet 19120 - - - - - -
1463 00005262 Onbrez Brezhaler 150 mcg Box 352500 - - - - - -
1464 00005263 Onbrez Brezhaler 300 mcg Box 352500 - - - - - -
1465 Pelastin inj Vial 126919 - - - - - -
1466 Primet Tablet 1463 - - - - - -
1467 00005259 Santagesik inj Ampul 3694 - - - - - -
1468 Tiacinon inj Ampul 3638 - - - - - -
1469 Vaksin HBV 1.0 ml Syringe 51480 - - - - - -
1470 Tarceva 150 mg Tablet 590000 - - - - - -
1471 Erlamicetin Salap Mata Tube 5970 - - - - - -
1472 Neucomplie Tablet 240 - - - - - -
1473 Sistenol 300 mg Tablet 1500 - - - - - -
1474 00005195 Metacosfar inj 50 ml Vial 374000 - - - - - -
1475 00005196 Metacosfar inj 100 ml Vial 748000 - - - - - -
1476 00005347 Cetadop 200 mg Ampul 7480 - - - - - -
1477 00005344 Corsaneuron Tablet 330 - - - - - -
1478 Doburan 50 mg inj Ampul 28592 - - - - - -
1479 00000731 Dobutamin 50 mg inj Ampul 12210 - - - - - -
1480 00001070 Dopamin Giulini 200 mg Ampul 78100 - - - - - -
1481 Graphalac Syrup Botol 23387 - - - - - -
1482 00005349 Sanbe Tears ED Botol 15286 - - - - - -
1483 Takana Syrup Botol 13750 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1484 00005345 Tasigna HGC 150 mg Kapsul 35617 - - - - - -
1485 00006380 Phytomenadione 2 mg inj Ampul 4083 - - - - - -
1486 00005343 Octanate 250 IU Vial 950000 - - - - - -
1487 00005375 Framycetin Sulfate Lembar 8250 25 206,250 - 25 206,250 -
1488 00003698 Infusan NaCl Softbag 500 ml 9763 - - - - - -
1489 Mersidryl Syrup Botol 7342 - - - - - -
1490 00005353 Octanate 500 IU Vial 1900000 - - - - - -
1491 00005391 Becefort Syrup Botol 14760 20 295,200 - 20 295,200 -
1492 Cition 1000 mg Kaplet 7333 - - - - - -
1493 Cravit 750 mg Vial 279840 - - - - - -
1494 00005379 Fartison 100 mg inj Vial 94050 - - - - - -
1495 Lancid 30 mg Kapsul 12100 - - - - - -
1496 00006288 Liprolac Vanilla Sachet 4180 - - - - - -
1497 Omeyus 20 mg Kapsul 316 - - - - - -
1498 00005380 Resfar 25 ml Vial 207955 - - - - - -
1499 Spirola 25 mg Tablet 1650 - - - - - -
1500 Spirola 100 mg Tablet 4796 - - - - - -
1501 00005394 Sulfadiazine Silver Cream Tube 23000 - - - - - -
1502 Sulpefion inj 1 gram Vial 51040 - - - - - -
1503 Vomitas FDT Tablet 3256 - - - - - -
1504 Proanes 1 % inj Ampul 44949 - - - - - -
1505 Citabol 200 mg Vial 145000 - - - - - -
1506 Citabol 1000 mg Vial 695000 - - - - - -
1507 Paxomed 30 mg inj Vial 130500 - - - - - -
1508 Koate DVI 510 Vial 1849993 - - - - - -
1509 00005411 Eprinoc tab Tablet 1231 - - - - - -
1510 Medixon inj 500 mg Vial 176000 - - - - - -
1511 00005414 Nicardipin HCL 10 mg Ampul 34979 - - - - - -
1512 00005475 Suvesco 10 mg Tablet 1650 - - - - - -
1513 00005225 Pirotop 10 gram Cream Tube 52445 - - - - - -
1514 Epirol 10 mg inj vial 86000 - - - - - -
1515 Vinorelbine 10 mg inj Vial 641862 - - - - - -
1516 00005420 Octanate 1000 IU vial 3600000 - - - - - -
1517 00005442 Koate 1000 IU vial 3700000 - - - - - -
1518 00005422 Albunorm 25 % 50 ml botol 765000 - - - - - -
1519 00005423 Albunorm 25 % 100 ml botol 1510000 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1520 Azithromycin 250 mg Tablet 3278 - - - - - -
1521 00005477 Meptin Swinghaler Botol 81999 - - - - - -
1522 Neo Envios Tablet 467 - - - - - -
1523 00005479 Profolat 0.4 mg Tablet 62 30 1,860 - 30 1,860 -
1524 00005490 Pro TB 3 Kid Tablet 5259 - - - - - -
1525 00005424 Ezelin Insulin Glargine Syringe 83950 - - - - - -
1526 Fetik suppositoria Supp 2640 - - - - - -
1527 00005480 Kompolax Syrup Syrup 13306 - - - - - -
1528 Situroxime inj Vial 31080 - - - - - -
1529 Stilesco 100 mg Tablet 31680 - - - - - -
1530 Valesco 80 mg Tablet 1760 - - - - - -
1531 Valesco 160 mg Tablet 2688 - - - - - -
1532 Valpi 60 ml syrup Botol 23000 - - - - - -
1533 Wida KN-2 Botol 11011 - - - - - -
1534 Wida KDN-1 Botol 11434 - - - - - -
1535 00001626 Multihance Kotak 344850 - - - - - -
1536 Gadovist 5 ml pcs 324000 - - - - - -
1537 00005698 Gadovist 7.5 ml pcs 439956 - - - - - -
1538 00004419 Xolmetras 50 ml vial 196625 - - - - - -
1539 00005302 Xolmetras 100 ml Vial 364650 - - - - - -
1540 00005991 Asam Valproat 250 mg botol 26987 - - - - - -
1541 00005535 Bisakodil 5 mg tablet 317 - - - - - -
1542 00005492 Dipsamol Inhaler Botol 41242 - - - - - -
1543 00005489 Humalog Mix 50 Kwikpen Syringe 110000 - - - - - -
1544 00005551 Myfortic 180 mg Tablet 8000 - - - - - -
1545 00005552 Myfortic 360 mg Tablet 16000 - - - - - -
1546 00005499 Plavix 300 mg Tablet 16393 - - - - - -
1547 Pletaal 100 mg Tablet 5700 - - - - - -
1548 00005554 Polidemisin Tetes Mata Botol 10301 - - - - - -
1549 00005522 Sertraline Hydrochloride Tablet 4293 - - - - - -
1550 00005494 Trilac Inj Vial 47062 - - - - - -
1551 Notrixum 2,5 ml inj Ampul 11552 - - - - - -
1552 cyclophosphamide 200 mg vial 99000 - - - - - -
1553 cyclophosphamide 1000 mg vial 256750 - - - - - -
1554 Campto 100 mg inj vial 715500 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1555 00005564 Arafa 20 mg Tablet 23322 - - - - - -
1556 00005633 Binecap Tablet 20000 - - - - - -
1557 Decacetine TM 0,5 % Botol 3850 - - - - - -
1558 00005623 Dacin 300 mg Capsul 880 - - - - - -
1559 00005622 Dacin 150 mg Capsul 704 - - - - - -
1560 00005637 Dextofen inj Ampul 29700 - - - - - -
1561 00005621 Fiocilas inj 1 gr Vial 124597 - - - - - -
1562 00005638 Fudostin kapsul Capsul 2904 - - - - - -
1563 Fonkopac 6 mg / 50 ml vial 1499500 - - - - - -
1564 00005586 Kepra 250 mg Tablet 4000 - - - - - -
1565 Lacbon Granul Sachet 2977 - - - - - -
1566 Zinc Syrup 20 mg / 5 ml Botol 4959 - - - - - -
1567 Lebrest 2,5 mg Tablet 5000 - - - - - -
1568 Levopar 100 mg Tablet 1035 - - - - - -
1569 Lipitor 10 mg Capsul 17835 - - - - - -
1570 Litorcom 40 mg Capsul 4360 - - - - - -
1571 Lucentis inj Vial 4220067 - - - - - -
1572 Atracurium 50 mg inj Ampul 50094 - - - - - -
1573 Cisteen 10 mg inj vial 22725 - - - - - -
1574 Cisteen 50 mg inj Vial 99000 - - - - - -
1575 Oxyneo 15 mg Tablet 48025 - - - - - -
1576 Oxynorm inj Ampul 121000 - - - - - -
1577 00005643 Moxifloxacin 400 mg inf Botol 250 ml 209000 - - - - - -
1578 00000761 Mupirocin ointment Tube 10 gr 24750 - - - - - -
1579 00005583 Neo Diagon Tablet 230 - - - - - -
1580 Ostovel Soft Capsul 1859 - - - - - -
1581 00005587 Patanol 0,1 % ml ED Botol 72500 - - - - - -
1582 00001371 Sukralfat syrup vial 9192 31 284,952 - 31 284,952 -
1583 Octanine F 500 IU Botol 4620000 - - - - - -
1584 Iomeron 400/100 ml vial 705375 - - - - - -
1585 Scanlux 300/50 vial 223938 - - - - - -
1586 Scanlux 370/50 vial 253968 - - - - - -
1587 Scanlux 370/100 vial 497371 - - - - - -
1588 Clonazepam 2 mg Tablet 4750 - - - - - -
1589 00005645 Tygacil Inj vial 769008 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1590 00005664 Vellanin 400 mg vial 386925 - - - - - -
1591 00005736 Diviti PFS 2,5 mg syringe 265650 - - - - - -
1592 00005644 Ar gout Tablet 2567 - - - - - -
1593 00005735 Calporosis D 500 mg Tablet 430 - - - - - -
1594 DBL-Oxaliplatin 50 mg vial 250000 - - - - - -
1595 DBL-Oxaliplatin 100 mg vial 500000 - - - - - -
1596 DBL-Vincristine 1 mg vial 43650 - - - - - -
1597 Kin Ginggival Mouthwash Botol 250 ml 116037 - - - - - -
1598 Periokin Gel 30 ml Tube 102432 - - - - - -
1599 Periokin Spray 40 ml Botol 181390 - - - - - -
1600 Antalgin Inj ampul 3050 - - - - - -
1601 00000773 Desoximethason oint tube 18177 - - - - - -
1602 00003685 Dumin Rectal Tube 125 mg Syringe 14108 - - - - - -
1603 00003684 Dumin Rectal Tube 250 mg Syringe 19698 - - - - - -
1604 00005756 Engerix B inj Vial 83600 - - - - - -
1605 Bactroban Oint 10 gram tube 59400 - - - - - -
1606 Epirol 50 mg inj vial 425000 - - - - - -
1607 Dolgesik 50 mg kapsul 1650 - - - - - -
1608 Calcium Folinate ( Leucovorin ) vial 47089 - - - - - -
1609 Epirubicin 10 mg Enseval vial 82990 - - - - - -
1610 Epirubicin 50 mg Enseval vial 410125 - - - - - -
1611 Fluororacil 500 mg vial 36050 - - - - - -
1612 Octanine 1000 IU vial 8888000 - - - - - -
1613 00005792 Mycorine Powder Botol 26950 - - - - - -
1614 00005964 Concor 1.25 mg tablet 1905 - - - - - -
1615 Concor 10 mg tablet 2950 - - - - - -
1616 00005928 Coralan 5 mg tablet 7260 - - - - - -
1617 Omedon syrup botol 4543 - - - - - -
1618 Patizra 10 mg / ml inj vial 3836500 - - - - - -
1619 00005925 Diaramid Tablet 138 - - - - - -
1620 00005970 Focyn 1 gram inj vial 58080 - - - - - -
1621 00005971 Focyn 2 gram inj vial 118800 - - - - - -
1622 00005968 Rosuvastatin 10 mg tablet 1650 - - - - - -
1623 00005926 Renogen 3000 IU syringe 93500 - - - - - -
1624 Actabone 300 mg vial 72000 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1625 Casodex 150 mg tablet 42888 - - - - - -
1626 Bracer tablet 5950 - - - - - -
1627 Dacarbazin Medac 200 mg vial 250000 - - - - - -
1628 Oxyneo 10 mg tablet 34304 - - - - - -
1629 00005975 Burnazin Plus cream tube 110000 - - - - - -
1630 Colcitine 500 mg Tablet 2644 - - - - - -
1631 Lidocain Compositum 2 % inj Ampul 1316 - - - - - -
1632 00005976 Otsu Dex 5 % inf botol 6899 - - - - - -
1633 00005977 Otsu Dex 10 % inf botol 7500 - - - - - -
1634 Gammaras inj vial 2009151 - - - - - -
1635 00000197 Gentamicin salap mata 0.3% tube 3075 - - - - - -
1636 Infimycin 0.5 gram inj vial 93500 - - - - - -
1637 00001665 Recormon PFS 2000 IU syringe 121417 - - - - - -
1638 00005973 Synbio Kapsul 3218 25 80,450 - 25 80,450 -
1639 00005979 Tablet Tambah Darah,TSG tablet 409 17 6,953 - 17 6,953 -
1640 00005994 Tracetate Tablet 20900 - - - - - -
1641 00005993 Umarone 10 mg inj Ampul 182875 - - - - - -
1642 00005992 Valcyte FC 450 mg tablet 176250 - - - - - -
1643 Lacyvir EO 3% tube 20500 - - - - - -
1644 00000558 Glicazide tablet 220 - - - - - -
1645 Hepamed 300 mg tablet 8415 - - - - - -
1646 Hemapo 1 ml syringe 77000 - - - - - -
1647 Levica 50 mg inj ( levobupivacain ) ampul 49500 - - - - - -
1648 00006055 Ferlin Drop botol 26488 - - - - - -
1649 00006054 Ferlin Syrup botol 26840 - - - - - -
1650 Puspalin 500 mg tablet 2970 - - - - - -
1651 Puspalin 1000 mg tablet 6930 - - - - - -
1652 00006063 Novellmycin 1 gram vial 51425 - - - - - -
1653 Novellmycin 2 gram vial 101640 - - - - - -
1654 00006060 Octide 1 ml ampul 58500 - - - - - -
1655 Giotrif 40 mg tablet 560000 - - - - - -
1656 Octaplex 500 IU vial 4733516 - - - - - -
1657 00006086 Eporon 3000 IU syringe 93500 - - - - - -
1658 00006099 Notisil 2 mg tablet 737 84 61,908 - 84 61,908 -
1659 00000267 Tenofovir 300 mg tablet 9688 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1660 Basaglar kwikpen syringe 83951 - - - - - -
1661 00006113 Vastarel tablet 330 - - - - - -
1662 Wida bes botol 500 ml 9646 - - - - - -
1663 Trifluoperazin 5 mg tablet 249 - - - - - -
1664 00006112 Dexyr syrup botol 3937 57 224,409 - 57 224,409 -
1665 00006102 Avesco 40 mg kapsul 2244 - - - - - -
1666 Cytabol 200 mg ( gemcitabin ) vial 145000 - - - - - -
1667 Cytabol 1000 mg ( gemcitabin ) vial 700000 - - - - - -
1668 Epeedo 10 mg ( Epirubicin ) vial 86000 - - - - - -
1669 Holoxan 500 mg vial 851250 - - - - - -
1670 Lezra 2,5 mg tablet 3900 - - - - - -
1671 Paclitaxel 300 mg vial 1499500 - - - - - -
1672 Taceral 500 mg tablet 16000 - - - - - -
1673 00006092 Renaquil 1 mg Tablet 715 - - - - - -
1674 00006094 Alerfed Tablet 857 - - - - - -
1675 00004795 Custodiol 1000 ml botol 1980000 - - - - - -
1676 00006077 Neoral Sandimun 50 mg tablet 20075 - - - - - -
1677 Mometasone furoate cream 10 gram tube 11000 - - - - - -
1678 Ringer lactate ( Satoria ) botol 7150 - - - - - -
1679 DBL Vincristine 2 mg vial 81000 - - - - - -
1680 Metamizol 1000 mg ampul 4025 - - - - - -
1681 00006321 Terastach infus flexy bag 89100 - - - - - -
1682 Methotrexate 2.5 mg APL Tablet 2310 - - - - - -
1683 00006290 Zoledronic Acid vial 1056000 - - - - - -
1684 00006342 Megabal 500 mg kapsul 598 498 297,804 - 498 297,804 -
1685 00006297 Provera 10 mg tablet 6100 - - - - - -
1686 00006338 Sanmol Drop botol 16830 - - - - - -
1687 Kin Ginggival Toothpaste box 86694 - - - - - -
1688 Methyl fenidate tablet 1162 - - - - - -
1689 00006350 Bactesyn 0.75 gram vial 51703 - - - - - -
1690 00006378 Lansoprazole injeksi vial 86625 - - - - - -
1691 00005346 Phytomenadione 10 mg/ml inj ampul 4180 - - - - - -
1692 00006349 Dialifer inj ampul 30067 - - - - - -
1693 00006355 Sulfadiazine silver 500 gram pot 285544 - - - - - -
1694 00006383 Progynova tablet 8044 - - - - - -
1695 00006400 Glivec FCT 400 mg tablet 131084 - - - - - -
DEPO POLI PINERE
HARGA
AWAL
1696 Bactoprim Forte kapsul 515 - - - - - -
1697 00006429 buscopan 20 mg /ml inj ampul 32319 - - - - - -
1698 00006425 Dobutamin Hamelin Ampul 91009 - - - - - -
1699 00000735 Epinefrin injeksi ( Coklat ) ampul 1518 - - - - - -
1700 00006424 Fusycom cream tube 6278 - - - - - -
1701 00006430 Galvus 50 mg tablet 4538 - - - - - -
1702 00006405 Prevenar inj vial 714000 - - - - - -
1703 00006483 Vastral tablet 330 600 198,000 - 600 198,000 -
1704 Zincpro syrup botol 7260 - - - - - -
1705 00006455 Minirin 0.1 mg tablet 21481 - - - - - -
1706 Alkeran 2 mg tablet 12130 - - - - - -
1707 Herzemab 440 mg vial 9570000 - - - - - -
1708 00006431 Holoxan 2000 mg vial 2091480 - - - - - -
1709 00006136 Kemodoxin 10 mg vial 47484 - - - - - -
1710 00006471 Kemodoxin 50 mg vial 242974 - - - - - -
1711 00006474 Epodion 3000 IU injeksi syringe 93500 - - - - - -
1712 00006486 Glauseta tablet 3003 - - - - - -
1713 00006487 Venodenol 3 % inj ampul 165000 - - - - - -
1714 00000916 Olanzapin 10 mg tablet 4725 - - - - - -
1715 00006583 Merem 1 gram injeksi vial 495000 - - - - - -
1716 00006581 Clarithromycin 500 mg kaplet 2849 - - - - - -
1717 00006584 Norsec vial 155650 - - - - - -
1718 00006569 Pionix 15 mg tablet 2145 - - - - - -
1719 00006530 Primperan injeksi ampul 4092 - - - - - -
1720 00006572 Radol 50 mg tablet 2557 - - - - - -
1721 00006531 Rheu-trex tablet 3102 - - - - - -
1722 00006600 Sagestam inj ampul 3694 - - - - - -
1723 00006655 Desolex oint tube 22572 - - - - -
1724 00006636 Dexketoprofen tromtamol 25 mg inj ampul 29700 - - - - -
1725 00006677 Dolgesik 100 mg inj Ampul 8932 - - - - -
1726 00006653 Kloderma Lotion botol 68805 - - - - -
1727 00006667 Soralen Solution botol 49005 - - - - -
1728 00006685 Taflotan Eye Drop botol 315745 - - - - -
1729 00006616 Neukine 300 mg syringe 189980 - - - - -
DEPO POLI PINERE
HARGA
AWAL
1730 00000001 Fentanyl citrate 2 mg ampul 37400 - - - - -
1731 00006668 Arkine 2 mg tablet 508 - - - - -
1732 00006731 Bentero 25 mg vial 493680 - - - - -
1733 00006654 Bentero 100 mg vial 1155000 - - - - -
1734 00006669 Kabitarin 100 mg ( Citarabin ) vial 110000 - - - - -
1735 00006670 Kalsirox 250 mg tablet 65840 - - - - -
1736 00006671 Kalsirox 500 mg tablet 129947 - - - - -
1737 00006673 Kemopirin 50 mg Epirubicin vial 425000 - - - - -
1738 00006672 Kemopirin 10 mg Epirubicin vial 86000 - - - - -
1739 00006674 Kemotrexate 25 mg vial 38500 - - - - -
1740 00006715 Temodal kap kapsul 1170000 - - - - -
1741 00006659 Vopicain 0.5 % vial 49088 - - - - -
1742 00001310 Cendo Tropin 0,5 % botol 11137 - - - - -
1743 00006712 Chloroquin 150 mg tablet 1506 - - - - -
1744 00006710 Extrace 500 mg inj ampul 20900 - - - - -
1745 00006759 Hydroxychloroquine sulfas tablet 8470 - - - - -
1746 00006681 TKV tablet 29333 - - - - -
1747 00006733 Aminosteril Infant 6% botol 51216 - - - - -
1748 00006732 Aminosteril Infant 10% botol 64416 - - - - -
1749 00006761 Kabiven Peripheral 1440 ml bag 363330 - - - - -
1750 00006708 Molcin Opth Solution botol 94050 - - - - -
1751 00006714 Oseltamivir 75 mg kapsul 12969 - - - - -
1752 Ultravist 300 ml/50 ml vial 154196 - - - - -
1753 Ultravist 300 ml / 100 ml vial 304657 - - - - -
1756 Actemra vial 7413911 - - - - -
1757 Dianel set 6900000 - - - - -
1758 Kabitarin 1000 mg vial 570350 - - - - -
1759 Oferlod tablet 16500 - - - - -
1760 Cendo Cyclon 1 % botol 17573 - - - - -
1761 Covifor Lyo injeksi vial 1200000 - - - - -
DEPO POLI PINERE
HARGA
AWAL
1762 Fentanyl citrate 10 mg inj ampul 157040 - - - - -
1763 Fluvir kapsul 15840 - - - - -
1764 Folic Acid 1 mg tablet 81 - - - - -
1765 Octagam 5% botol 3685000 - - - - -
1766 Privigen 10% 25 ml botol 3217500 - - - - -
1767 Privigen 10% 50 ml botol 6435000 - - - - -
1768 Remidia 100 mg vial 1307900 - - - - -
1769 Santa E 100 tablet 845 - - - - -
1770 Tamicil infus 4.5 mg vial 171600 - - - - -
1771 Tazocin injeksi vial 411410 - - - - -
1772 Vitamin C FC 500 mg tablet 495 1,200 594,000 - 1,200 594,000 -
1773 Zyvox 600 mg polybag 708781 - - - - -
1774 Dextrofen syrup botol 8662 - - - - -
1775 Precedex 3 ml vial 159250 - - - - -
- - - - -
TOTAL 26,784,269 - 26,784,269 -

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REKAP LAPORAN OBAT DEPO FARMASI BULAN JANUARI TAHUN 2021

DEPO POLI PINERE

Rif 150, INH 75, Pyrazinamide

863 Terasma syr 1,5 mg/5 mL Terbutalin Sulfat Btl 60 mL 4,750

864 Terasma tab 2,5 mg Terbutalin Sulfat Tablet 187

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