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8de1d27f9486a1ac2bbcc89e1.

SATUAN KERJA ADALAH NAMA APOTEK, FKTP, FKRTL atau DINKES PROVINSI dan KAB/KOTA
2. SISA STOK PER 31 DESEMBER 2020 ADALAH SISA STOK PER 31 DESEMBER 2020 DI SATUAN KER
3. PREDIKSI PENGADAAN TAHUN 2021 ADALAH PREDIKSI JUMLAH YANG DIRENCANAKAN UNTUK
4. PEMAKAIAN RATA-RATA PER BULAN SELAMA 2020 ADALAH PEMAKAIAN RATA-RATA PER BULA
5. PREDIKSI SISA STOK 31 DESEMBER 2021 ADALAH SISA STOK PER 31 DESEMBER 2020 DITAMBAH
6. JUMLAH KEBUTUHAN TAHUN 2022 ADALAH PEMAKAIAN RATA-RATA PER BULAN SELAMA 2020
7. RENCANA KEBUTUHAN TAHUN 2022 ADALAH JUMLAH KEBUTUHAN YANG DIHITUNG BERDASA
8. RENCANA PENGADAAN TAHUN 2022 ADALAH RENCANA UNTUK PENGADAAN DI TAHUN 2022 D
9. RENCANA PENGADAAN TAHUN 2021 ADALAH OTOMATIS TERISI DARI SISTEM JIKA SATKER TELA
10. REALISASI PENGADAAN TAHUN 2020 ADALAH REALISASI PENGADAAN OBAT JKN BAIK E-PURC

RENCANA KEBUTUHAN OBAT PADA FASILITAS KESEHATAN RUJUK


SATUAN KERJA : Rumah Sakit Mitra Bangsa Pati

NO NAMA OBAT

1 1 153-Sm-EDTMP (ethylenediamine tetramethylene phosphonic acid) 44


1421 2 mg Ca/Na300
Abacavir EDTMP,
mg 5-46 ?g samarium, dan 1850 ± 185 mbq samarium 153
2 3 Adefovir dipivoksil tab 10 mg
1282 4 Adenosin inj 3 mg/mL
1154 5 Afatinib tab sal selaput 20 mg
1155 6 Afatinib tab sal selaput 30 mg
1127 7 Afatinib tab sal selaput 40 mg
1358 8 Air untuk injeksi
1359 9 Air untuk injeksi
1357 10 Air untuk injeksi
944 11 Air untuk injeksi amp 20 ml
3 12 Air untuk injeksi amp 25 ml
1278 13 Air untuk irigasi
1360 14 Air untuk irigasi inf
4 15 Air untuk irigasi lar inf 1000 ml
5 16 Akarbose tab 100 mg
6 17 Akarbose tab 50 mg
7 18 Albendazol susp 200 mg/5 ml
8 19 Albendazol tab 400 mg
10 20 Albumin serum normal (human albumin) inj 20% 100 ml
940 21 Albumin serum normal (human albumin) inj 20% 50 ml
9 22 Albumin serum normal (human albumin) inj 25% 100 ml
939 23 Albumin serum normal (human albumin) inj 25% 20 ml
938 24 Albumin serum normal (human albumin) inj 25% 50 ml
11 25 Albumin serum normal (human albumin) inj 5% 250 ml
941 26 Albumin serum normal (human albumin) inj 5% 50 ml
1179 27 Alendronat Tab 70 mg
12 28 Alopurinol tab 100 mg
13 29 Alopurinol tab 300 mg
14 30 Alprazolam tab 0,25 mg
15 31 Alprazolam tab 0,5 mg
16 32 Alprazolam tab 1 mg
17 33 Alteplase serb inj 50 mg/vial
18 34 Amfoterisin B inj 50 mg/10 ml (i.v.)
19 35 Amfoterisin B salep mata 1%
20 36 Amfoterisin B salep mata 3%
22 37 Amikasin inj 250 mg/ml
27 38 Aminofilin inj 24 mg/ml
25 39 Aminofilin tab 150 mg
26 40 Aminofilin Tab 200 mg
28 41 Amiodaron inj 150 mg/3 ml
29 42 Amiodaron tab 200 mg
30 43 Amitriptilin tab sal 25 mg
31 44 Amlodipin tab 10 mg
32 45 Amlodipin tab 5 mg
1362 46 Amoksisilin drops 100 mg/ml
1091 47 Amoksisilin drops 100 mg/ml
1361 48 Amoksisilin drops 100 mg/ml
33 49 Amoksisilin sir forte 250 mg/5 ml
34 50 Amoksisilin sir kering 125 mg/5 ml
35 51 Amoksisilin tab 250 mg
36 52 Amoksisilin tab 500 mg
37 53 Ampisilin serb inj 1000 mg/vial
38 54 Ampisilin serb inj 250 mg/vial
947 55 Analog insulin : intermediate acting inj 100 UI/ml (kemasan vial, cartridge
945 56 disposible, penfill
Analog insulin cartridge)
: mix insulin (inj 100 UI/ml)
41 57 Analog insulin intermediate acting combine with short or long acting inj
1231 58 100 IU/ml
Analog (25%intermediate
insulin insulin lispro), vial/cartridge
acting diposible/penfill
combine with short or longcartridge
acting inj
40 100 IU/ml (50% insulin lispro), vial/cartridge diposible/penfill cartridge
59 Analog Insulin long acting inj 100 IU/mL, vial/cartridge disposible/penfill
1363 60 cartridge
Analog insulin rapid acting inj 100 IU/mL
1364 61 Analog insulin rapid acting inj 100 IU/mL
42 62 Anastrozol tab 1 mg
43 63 Anestetik lokal gigi kombinasi : lidokain hcl 2% + epinefrin 1 : 80.000 inj 2
44 64 ml
Antasida, kombinasi : aluminium hidroksida 200 mg + magnesium
45 hidroksidakombinasi
65 Antasida, 200 mg : aluminium hidroksida 200 mg + magnesium
50 hidroksida 200 kombinasi
66 Anti Parkinson mg : benzerasid 25 mg + levodopa 100 mg
46 67 Antibakteri, kombinasi : basitrasin 500 UI/g+ Polimiksin B 10.000 UI/g
47 68 Antifungi salep, kombinasi : asam benzoat 6%+ asam salisilat 3%
48 69 Antihemoroid, kombinasi: bismut subgalat 150 mg + heksaklorofen 2,5
1365 70 mg + lidokain
Aquadest lidokain
cairan 500 ml10 mg+ seng oksida 120 mg + sup ad 2 g
1025 71 Aripiprazol oral solution 1 mg/ml
1283 72 Aripiprazol tab 5 mg
1026 73 Aripiprazol tab discmelt 10 mg
1027 74 Aripiprazol tab discmelt 15 mg
52 75 Artesunat serb inj 60 mg/ml (i.v./i.m.)
53 76 Articulating paper kertas warna penanda oklusi
1178 77 Asam asetat tetes telinga 2%
54 78 Asam asetilsalisilat (asetosal) tab 100 mg
55 79 Asam asetilsalisilat (asetosal) tab 80 mg
56 80 Asam askorbat (vitamin C) tab 250 mg
57 81 Asam askorbat (vitamin C) tab 50 mg
58 82 Asam folat tab 0,4 mg
59 83 Asam folat tab 1 mg
60 84 Asam folat tab 5 mg
1068 85 Asam fusidat tts mata 1%
1366 86 Asam Fusidat tts mata 1%
61 87 Asam ibandronat inj 1 mg/ml
62 88 Asam mefenamat kaps 250 mg
63 89 Asam mefenamat kaps 500 mg
64 90 Asam pipemidat kaps 400 mg
1410 91 Asam retinoat krim 0,05%
1337 92 Asam retinoat krim 0,1%
65 93 Asam retinoat krim 0,1%
66 94 Asam salisilat lar 0,1%
67 95 Asam salisilat salep 10%
68 96 Asam salisilat salep 2%
69 97 Asam salisilat salep 5%
70 98 Asam traneksamat inj 100 mg/ml
71 99 Asam traneksamat inj 50 mg/ml
72 100 Asam traneksamat tab 500 mg
73 101 Asam ursodeoksikolat kaps 250 mg
1131 102 Asam zoledronat inf 4 mg/100 ml
1180 103 Asam Zoledronat Inf 5 mg/100 ml
75 104 Asetazolamid tab 250 mg
76 105 Asiklovir salep mata 3%
1367 106 Asiklovir serb inj 250 mg
77 107 Asiklovir tab 200 mg
78 108 Asiklovir tab 400 mg
79 109 Asparaginase serb inj 10.000 UI/vial
80 110 Atapulgit 600 mg
1092 111 Atapulgit tab 630 mg
942 112 Atapulgit tablet 650 mg
943 113 Atapulgit tablet 750 mg
82 114 Atenolol tab 100 mg
81 115 Atenolol tab 50 mg
1028 116 Atorvastatin tab 10 mg
1029 117 Atorvastatin tab 20 mg
1142 118 Atrakurium inj 10 mg/ml (i.v)
1321 119 Atrakurium inj 10 mg/ml (i.v)
84 120 Atropin inj 0,25 mg/ml (i.m./i.v./s.k)
86 121 Atropin tab 0,5 mg
87 122 Atropin tts mata 0,5%
88 123 Atropin tts mata 1%
89 124 Azatioprin tab 50 mg
1049 125 Azitromisin serb inj 500 mg
90 126 Azitromisin sir kering 200 mg/5 ml
91 127 Azitromisin tab 250 mg
92 128 Azitromisin tab 500 mg
93 129 Bahan tumpatan sementara lar, serb
94 130 Barium sulfat serb 92 g/100 ml
1322 131 Barium sulfat serb 92 g/100 ml
1323 132 Barium sulfat susp 95%
1153 133 Basiliksimab Inj 20 mg
98 134 Bedak salisil serb 2%
1284 135 Bedakuilin fumarat tab 100 mg
1157 136 Bendamustin serb inj 100 mg
1156 137 Bendamustin serb inj 25 mg
100 138 Benzatin penisilin inj 1,2 juta UI/ml (i.m.)
99 139 Benzatin penisilin inj 2,4 juta UI/ml (i.m.)
102 140 Beraprost sodium tab 20 mcg
1030 141 Betahistin tab 24 mg
1031 142 Betahistin tab 6 mg
1070 143 Betaksolol tts mata 0,5%
1319 144 Betaksolol tts mata 0,5%
104 145 Betametason krim 0,1%
105 146 Betametason krim 0,5 mg/g
106 147 Betametason salep 0,1%
103 148 Betametason tts mata 1 mg/ml
1368 149 Betametason tts mata 1 mg/ml
108 150 Bikalutamid tab sal 150 mg
109 151 Bikalutamid tab sal 50 mg
110 152 Bisakodil sup 10 mg
111 153 Bisakodil sup 5 mg
112 154 Bisakodil tab sal 5 mg
1086 155 Bisoprolol tab 1,25 mg
1087 156 Bisoprolol tab 10 mg
113 157 Bisoprolol tab 2,5 mg
114 158 Bisoprolol tab 5 mg
115 159 Bleomisin serb inj 15 mg/ml
1071 160 Brinzolamid tetes mata
116 161 Bromokriptin tab 2,5 mg
1309 162 Budesonid cairan ih 0,25mg/ml
117 163 Budesonid cairan ih 0,25mg/ml, respoules 2 ml
1310 164 Budesonid cairan ih 0,5 mg/ml
1232 165 Budesonid cairan ih 0,5 mg/ml, respoules 2 ml
119 166 Budesonid serb ih 100 mcg/dosis
118 167 Budesonid serb ih 200 mcg/dosis
1311 168 Budesonid serb ih 200 mcg/dosis
1182 169 Budesonid-formoterol (fixed combination) 160/4,5 mg (inhalasi), 120
1387 170 dosis
Budesonid-formoterol (fixed combination) 160/4,5 mg (inhalasi), 120
dosis
1183 171 Budesonid-formoterol (fixed combination) 160/4,5 mg (inhalasi), 60 dosis
121 172 Budesonid-formoterol (fixed combination)* ih 80/4,5 mcg
1388 173 Budesonid-formoterol (fixed combination)* ih 80/4,5 mcg
122 174 Bupivakain heavy inj 5 mg/ml (hcl) + glukosa 8%
123 175 Bupivakain inj 5 mg/ml (p.v.)
124 176 Busulfan tab salut 2 mg
1285 177 Cardioplegia inj
126 178 Copper T
127 179 Dabigatran eteksilat kaps 110 mg
128 180 Dabigatran eteksilat kaps 75 mg
129 181 Dakarbazin serb inj 100 mg/vial
130 182 Dakarbazin serb inj 200 mg/vial
1248 183 Daklatasvir tab sal selaput 30 mg
1249 184 Daklatasvir tab sal selaput 60 mg
131 185 Daktinomisin inj 0,5 mg/vial (i.v.)
132 186 Dapson tab scored 100 mg
133 187 Daunorubisin serb inj 20 mg/vial
134 188 Deferasiroks tab disp 250 mg
135 189 Deferasiroks tab disp 500 mg
136 190 Deferipron lar oral 100 mg/ml
137 191 Deferipron tab sal 500 mg
138 192 Deferoksamin mesilat serb inj 500 mg/vial
141 193 Deksametason inj 5 mg/ml (i.v./i.m.)
139 194 Deksametason tab 0,5 mg
1040 195 Deksmedetomidin Inj 100 mcg/ml
1372 196 Delamanid tablet salut selaput 50 mg
1246 197 Desfluran cairan ih
1135 198 Desmopresin nasal spray 10 mcg/puff
142 199 Desmopresin tab 0,1 mg
143 200 Desmopresin tab 0,2 mg
144 201 Desogestrel tab 75 mcg
145 202 Desoksimetason gel 0,05%
1373 203 Desoksimetason krim 0,25%
146 204 Desoksimetason krim 0,25%
147 205 Desoksimetason salep 0,25%
1374 206 Dialisis peritoneal, larutan intraperitoneal - Extraneal
150 207 Diazepam enema 10 mg/2,5 ml
151 208 Diazepam enema 5 mg/2,5 ml
149 209 Diazepam inj 5 mg/ml (i.v./i.m.)
152 210 Diazepam tab 2 mg
153 211 Diazepam tab 5 mg
1122 212 Dienogest tab 2 mg
154 213 Dietilkarbamazin tab 100 mg
155 214 Difenhidramin inj 10 mg/ml (i.v./i.m.)
156 215 Diflukortolon valerat salep berlemak 0,1%
157 216 Digoksin inj 0,25 mg/ml
158 217 Digoksin tab 0,25 mg
159 218 Diltiazem hcl inj 5 mg/5 ml
161 219 Diltiazem inj 25 mg/5 ml
162 220 Diltiazem kaps SR 100 mg
163 221 Diltiazem kaps SR 200 mg
164 222 Diltiazem serb inj 10 mg/10 ml
165 223 Diltiazem serb inj 50 mg/vial
166 224 Diltiazem tab 30 mg
167 225 Dimenhidrinat tab 50 mg
168 226 Dinatrium edetat tts mata 0,35% (3,5 mg/ml)
169 227 Dinatrium klodronat inj 60 mg/ml
170 228 DMSA (dimercapto succinic acid) 1,1 mg meso-2, 3-dimercaptosuccinic
171 229 acid/vial
Dobutamin inj 12,5 mg/ml
172 230 Dobutamin inj 25 mg/ml
173 231 Dobutamin inj 50 mg/ml
176 232 Doksazosin tab 1 mg
177 233 Doksazosin tab 2 mg
178 234 Doksisiklin kaps 100 mg
179 235 Doksisiklin kaps 50 mg
180 236 Doksorubisin serb inj 10 mg/vial (i.v.)
181 237 Doksorubisin serb inj 50 mg/vial
1375 238 Dolutegravir tab 50 mg
182 239 Domperidon susp 5 mg/5 ml
183 240 Domperidon tab 10 mg
184 241 Domperidon tts 5 mg/ml
1032 242 Donepezil tab 5 mg
1033 243 Donepezil tab eff 10 mg
185 244 Dopamin inj 40 mg/ml
186 245 Dosetaksel inj 20 mg
1185 246 Dosetaksel inj 40 mg/ml (vial 0,5 ml)
1184 247 Dosetaksel inj 40 mg/ml (vial 2 ml)
187 248 Dosetaksel inj 80 mg
188 249 DTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg pentetate
189 250 calcium trisodium/ml
Dutasterid kaps 0,5 mg
1094 251 Efavirenz tab 200 mg
190 252 Efavirenz tab sal 600 mg
191 253 Efedrin inj 50 mg/ml
192 254 Eksemestan tab 25 mg
1252 255 Eltrombopag tab sal selaput 25 mg
1253 256 Eltrombopag tab sal selaput 50 mg
193 257 Enoksaparin sodium inj 20 mg/0,2 ml
194 258 Enoksaparin sodium inj 40 mg/0,4 ml
195 259 Enoksaparin sodium inj 60 mg/0,6 ml
1056 260 Entekavir tab sal selaput 0,5 mg
1057 261 Entekavir tab sal selaput 1 mg
197 262 Epinefrin (adrenalin) inj 1 mg/ml
1312 263 Epirubisin serb inj 2 mg/ml, vial 25 ml
198 264 Epirubisin serb inj 2 mg/ml, vial 5 ml
199 265 Epirubisin serb inj 50 mg
200 266 Ergokalsiferol (vitamin D2) kaps 50.000 UI
201 267 Ergokalsiferol (vitamin D2) susp 10.000 UI/ml
202 268 Ergotamin tab 1 mg
203 269 Eritromisin kaps 250 mg
204 270 Eritromisin sir 200 mg/5 ml
205 271 Eritromisin tab 500 mg
206 272 Eritropoetin-alfa inj 10.000 IU
207 273 Eritropoetin-alfa inj 2.000 IU
208 274 Eritropoetin-alfa inj 3.000 IU
1254 275 Eritropoetin-alfa inj 4.000 IU
209 276 Eritropoetin-beta inj 2000 UI/0,3 ml
1158 277 Eritropoietin-Alfa Inj 4000 IU/0,5 ml
1034 278 Erlotinib tab sal selaput 100 mg
1035 279 Erlotinib tab sal selaput 150 mg
948 280 Esomeprazole inj 40 mg/vial
211 281 Estrogen terkonjugasi tab sal 0,625 mg
213 282 Etambutol tab 400 mg
215 283 Etanol 70% cairan 70%
216 284 Etil klorida semprot 100 ml
1093 285 Etonogestrel implan 68 mg
219 286 Etoposid inj 20 mg/ml
220 287 Etoposid kaps 100 mg
221 288 Eugenol
222 289 Everolimus tab 0,25 mg
223 290 Everolimus tab 0,5 mg
1159 291 Faktor IX Kompleks Inj 50 IU/mL
224 292 Faktor IX kompleks serb inj 1.000 UI/vial + pelarut 10 ml
225 293 Faktor IX kompleks serb inj 500 UI/vial + pelarut
1080 294 Faktor koagulasi II 14-35 UI, faktor koagulasi VII 7-20 UI, faktor koagulasi
1251 IX 25 UI,
295 Faktor faktor koagulasi
koagulasi X 14-35
II 14-35 UI, faktorserb inj 250VII
koagulasi IU/10
7-20ml
UI, faktor koagulasi
227 IX 25 UI, faktor koagulasi X 14-35 serb inj 500 UI/20 ml
296 Faktor viia (rekombinan) serb inj 1 mg/vial + pelarut untuk UI injeksi
228 297 Faktor VIII (konsentrat) serb inj 230 -340 UI
230 298 Faktor VIII (konsentrat) serb inj 480 - 600 UI
1085 299 Faktor VIII serb inj 1000 mg/vial
229 300 Faktor VIII serb inj 250 IU
231 301 Faktor VIII serb inj 500 IU
1259 302 Fenilefrin drops 10%
233 303 Fenitoin Na inj 50 mg/ml (100 mg/ 2 mL)
234 304 Fenitoin Na kaps 100 mg
235 305 Fenitoin Na kaps 30 mg
1286 306 Fenobarbital inj 100 mg/mL
236 307 Fenobarbital inj 50 mg/ml
237 308 Fenobarbital tab 100 mg
238 309 Fenobarbital tab 30 mg
239 310 Fenofibrat kaps 100 mg
240 311 Fenofibrat kaps 300 mg
241 312 Fenoksimetil penisilin (penisilin V) tab 125 mg
242 313 Fenoksimetil penisilin (penisilin V) tab 250 mg
243 314 Fenoksimetil penisilin (penisilin V) tab 500 mg
244 315 Fenoterol hbr aerosol 100 mcg/puff
245 316 Fenoterol hbr cairan ih 0,1%
1187 317 Fentanil inj 0,05 mg/ml (ampul 10 ml)
1186 318 Fentanil inj 0,05 mg/ml (ampul 2 ml)
247 319 Fentanil patch 12,5 mcg/jam
248 320 Fentanil patch 25 mcg/jam
1063 321 Ferrakrilum cairan 1%
253 322 Filgrastim inj 300 mcg/ml
254 323 Finasterid tab 5 mg
255 324 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.)
256 325 Fitomenadion (vitamin K 1) tab sal 10 mg
1081 326 Fitomenadion (vitamin K1) inj 10 mg/ml (i.m)
257 327 Fludarabin inj 50 mg/vial
258 328 Fludarabin tab sal 10 mg
259 329 Flufenazin inj 25 mg/ml (i.m.)
260 330 Flukonazol inj 2 mg/ml
261 331 Flukonazol kaps 150 mg
262 332 Flukonazol kaps 50 mg
263 333 Fluoksetin kaps 10 mg
264 334 Fluoksetin kaps 20 mg
267 335 Fluor kapl 1 mg
265 336 Fluor sediaan topikal
950 337 Fluorescein Sodium/ Natrium Fluoresein inj 100 mg/mL
269 338 Fluoro deoxy glucose (FDG)
1377 339 Fluorometolon tts mata 0,1%
270 340 Fluorometolon tts mata 0,1%
1119 341 Fluorourasil Inj 25 mg/ml
1188 342 Fluorourasil inj 50 mg/mL (@ 10 mL)
1189 343 Fluorourasil inj 50 mg/mL (@ 5 mL)
274 344 Flusinolon asetonid krim 0,025%
275 345 Flusinolon asetonid salep 0,025%
276 346 Flutikason furoat intranasal spray
277 347 Flutikason propionat cairan ih 0,5 mg/dosis
1262 348 Flutikason Propionat MDI 50 mcg/semprot
278 349 Fondaparinuks inj 2,5 mg/0,5 ml
281 350 Formokresol
1247 351 Fosfomisin Trometamol granula 3 g
282 352 Fraksi protein plasma lar inf 5%
1095 353 Framisetin Sulfat Tulle 1%
283 354 Furosemid inj 10 mg/ml (i.v./i.m.)
284 355 Furosemid tab 40 mg
951 356 Gabapentin kaps 100 mg
952 357 Gabapentin kaps 300 mg
1190 358 Gadobutrol Macrocyclic 5 ml
1191 359 Gadobutrol Macrocyclic 7,5 ml
287 360 Gadoksetat disodium 0,25 mmol gadoksetat disodium/ml
288 361 Galactose microparticle 200-400 mg micropart/ml
289 362 Gansiklovir serb inj 500 mg/vial
251 363 Garam Fe, setara dengan Fe elemental 15 mg/5 mL
250 364 Garam Fe, setara dengan Fe elemental 60 mg
252 365 Garam Fe, setara dengan Fe elemental 60 mg
290 366 Garam oralit kombinasi : natrium klorida 0,52 g + kalium klorida 0,30 g +
291 367 trinatrium
Gefitinib tabsitrat
2500,58
mg g + glukosa anhidrat 2,7 g
292 368 Gemfibrozil kaps 300 mg
293 369 Gemfibrozil kaps 600 mg
294 370 Gemsitabin inj 1000 mg/vial
295 371 Gemsitabin inj 200 mg/vial
296 372 Gentamisin inj 10 mg/ml
297 373 Gentamisin inj 40 mg/ml
299 374 Gentamisin salep mata 0,3%
1258 375 Gentamisin tsts mata 1%
300 376 Gentamisin tts mata 0,3%
301 377 Glass ionomer ART (Atraumatic Restorative Treatment) cocoa butter 5 g
302 378 Glass ionomer ART (Atraumatic Restorative Treatment) lar
303 379 Glass ionomer ART (Atraumatic Restorative Treatment) serb
304 380 Glibenklamid tab 2,5 mg
305 381 Glibenklamid tab 5 mg
306 382 Gliklazid tab 80 mg
307 383 Gliklazid tab MR 30 mg
308 384 Gliklazid tab SR 60 mg
1287 385 Glikopironium serb ih 50 mcg
309 386 Glikuidon tab 30 mg
310 387 Glimepirid tab 1 mg
311 388 Glimepirid tab 2 mg
312 389 Glimepirid tab 3 mg
313 390 Glimepirid tab 4 mg
314 391 Glipizid tab 10 mg
315 392 Glipizid tab 5 mg
316 393 Gliseril trinitrat inj 10 mg/ml
1138 394 Gliseril trinitrat inj 5 mg/ml
318 395 Gliseril trinitrat kaps lepas lambat 2,5 mg
319 396 Gliseril trinitrat kaps lepas lambat 5 mg
320 397 Gliseril trinitrat tab 0,5 mg
321 398 Gliserin lar 50%
323 399 Gliserin tts 100 mg/ml
955 400 Glukosa Larutan Infus 10% steril 100 ml
956 401 Glukosa Larutan Infus 10% steril 250 ml
514 402 Glukosa Larutan Infus 10% steril 500 ml
1332 403 Glukosa Larutan Infus 40%
953 404 Glukosa Larutan Infus 5% steril 100 ml
954 405 Glukosa Larutan Infus 5% steril 250 ml
513 406 Glukosa Larutan Infus 5% steril 500 ml
324 407 Goserelin asetat inj 10,8 mg/vial
325 408 Goserelin asetat inj 3,6 mg/vial
326 409 Griseofulvin (micronized) tab 125 mg
327 410 Griseofulvin (micronized) tab 500 mg
328 411 Griseofulvin (micronized) tab scored 250 mg
329 412 Gutta percha dan paper points 15 - 40 mm
330 413 Gutta percha dan paper points 45 - 80 mm
331 414 Haloperidol inj 5 mg/ml (i.m.)
332 415 Haloperidol inj 50 mg/ml (decanoat)
333 416 Haloperidol tab 0,5 mg
334 417 Haloperidol tab 1,5 mg
335 418 Haloperidol tab 2 mg
336 419 Haloperidol tab 5 mg
337 420 Haloperidol tts 2 mg/ml
338 421 Halotan ih
1378 422 Hemodialisa lar
341 423 Heparin, Na inj 5.000 UI/ml (i.v./s.k.)
342 424 Hepatitis B imunoglobulin (human) inj 150 IU/1,5 ml
1096 425 Hepatitis B imunoglobulin (human) Inj 220 IU/ml
345 426 Hidrogen peroksida cairan 3%
347 427 Hidroklorotiazid tab 12,5 mg
348 428 Hidroklorotiazid tab 25 mg
350 429 Hidrokortison krim 1%
351 430 Hidrokortison krim 2,5%
352 431 Hidrokortison serb inj 100 mg
1161 432 Hidrokortison Tab 20 mg
343 433 Hidroksi klorokuin tab 200 mg
355 434 Hidroksi urea tab 500 mg
357 435 Hiosina butilbromida inj 20 mg/ml
358 436 Hiosina butilbromida tab 10 mg
359 437 Homatropin tts mata 2%
1417 438 Human insulin : mix insulin inj 100 UI/ml
361 439 Human insulin : mix insulin inj 100 UI/ml
1195 440 Human Insulin intermediate acting combine with short or long acting inj
1197 100 IU/mL,
441 Human cartridge
insulin disposible/penfill
intermediate cartridge
acting combine with short or long acting inj
1192 100 IU/mL, Vial 10 mL
442 Human Insulin intermediate acting inj 100 IU/ml, cartridge
1193 443 disposible/penfill cartridge acting inj 100 IU/Ml, Vial 10 mL
Human Insulin intermediate
1194 444 Human Insulin intermediate acting inj 100 IU/mL, Vial 5 mL
957 445 Human insulin short acting inj 100 IU/ml
1416 446 Human insulin short acting inj 100 IU/ml
363 447 Human tetanus imunoglobulin inj 250 UI (i.m.)
364 448 Human tetanus imunoglobulin inj 500 UI (i.m.)
958 449 Hydromorphone HCl tab oros 16 mg
959 450 Hydromorphone HCl tab oros 8 mg
365 451 Ibuprofen sir 100 mg/5 ml
366 452 Ibuprofen sir 200 mg/5 ml
367 453 Ibuprofen tab 200 mg
368 454 Ibuprofen tab 400 mg
1061 455 Idarubisin serb inj 20 mg
369 456 Ifosfamid serb inj 1000 mg/vial
960 457 Ifosfamid serb inj 2000 mg/vial
370 458 Ifosfamid serb inj 500 mg/vial
1292 459 Iloprost ih 10 mcg/mL
371 460 Imatinib mesilat tab 100 mg
1076 461 Imatinib Mesilat tab 400 mg
372 462 Imidapril tab 10 mg
373 463 Imidapril tab 5 mg
1097 464 Imunoglobulin Intravena Inj 50 mg/ml, untuk terapi GBS (Guillain Bare
962 465 Syndrom)
Indakaterol serb ih 150 mcg
963 466 Indakaterol serb ih 300 mcg
1324 467 Iodiksanol vial 320 mg Iodium/100 ml
375 468 Iodiksanol vial 320 mg Iodium/50 ml
376 469 Iodium 131
377 470 Iodohippurate sodium I 131 37-74 mbq/ multiple-dose
1203 471 Ioheksol 180 - 300 mg Iodium/mL (300 mg/20 mL)
379 472 Ioheksol 240-350 mg Iodium/ml (300 mg/75 ml)
1325 473 Ioheksol 240-350 mg Iodium/ml (350 mg/75 ml)
1204 474 Ioheksol Inj 140 - 350 mg Iodium/mL (350 mg/100 ml)
1205 475 Ioheksol Inj 140 - 350 mg Iodium/mL (350 mg/50 ml)
1201 476 Ioheksol Inj 180 - 300 mg Iodium/mL (300 mg/100 ml)
1202 477 Ioheksol Inj 180 - 300 mg Iodium/mL (300 mg/50 ml)
1379 478 Iopamidol 300 - 370 mg Iodium/mL (300 mg/100 mL)
1380 479 Iopamidol 300 - 370 mg Iodium/mL (300 mg/50 mL)
1235 480 Iopamidol 300 - 370 mg Iodium/mL (370 mg/100 mL)
382 481 Iopamidol 300 - 370 mg Iodium/mL (370 mg/200 mL)
1236 482 Iopamidol 300 - 370 mg Iodium/mL (370 mg/50 mL)
1206 483 Iopromid 300 - 370 mg (300 mg/100 mL)
1207 484 Iopromid 300 - 370 mg (300 mg/50 mL)
1208 485 Iopromid 300 - 370 mg (370 mg/100 mL)
1209 486 Iopromid 300 - 370 mg (370 mg/50 mL)
387 487 Ipratropium bromida aerosol 20 mcg/semprot
388 488 Ipratropium bromida cairan ih 0,025%
389 489 Irbesartan tab 150 mg
390 490 Irbesartan tab 300 mg
1381 491 Irinotekan inf 20 mg/ml
1382 492 Irinotekan inf 20 mg/ml
1383 493 Irinotekan inj 20 mg/ml
1384 494 Irinotekan inj 20 mg/ml
393 495 Isofluran inhalasi 100 ml
964 496 Isofluran inhalasi 250 ml
394 497 Isoniazid tab 100 mg
395 498 Isoniazid tab 300 mg
396 499 Isosorbid dinitrat inj 1 mg/ml (i.v)
397 500 Isosorbid dinitrat tab 10 mg
398 501 Isosorbid dinitrat tab 5 mg
1148 502 Itrakonazol Kaps 100 mg
1136 503 IUD Cu T 380 A
1137 504 IUD Levonorgestrel
1139 505 Ivabradin tab 5 mg
1062 506 k.y jelly
399 507 Kalamin
400 508 Kalium aspartat tab 300 mg
401 509 Kalium klorida / Potasium klorida injeksi 25 mg 7,46%, 25 mL
402 510 Kalium klorida tab SR 600 mg
1098 511 Kalsitriol kaps lunak 0,25 mcg
1099 512 Kalsitriol kaps lunak 0,5 mcg
1100 513 Kalsium Folinat (Leukovorin, Ca) Inj 10 mg/ml
405 514 Kalsium folinat (leukovorin, Ca) tab 15 mg
406 515 Kalsium glukonat inj 100 mg/ml
407 516 Kalsium hidroksida bubuk, pasta
1101 517 Kalsium hipoklorit
408 518 Kalsium karbonat tab 500 mg
409 519 Kalsium laktat (kalk) tab 500 mg
410 520 Kalsium polistirena sulfonat ktg 5 g
411 521 Kanamisin inj 1.000 mg/ vial
412 522 Kandesartan tab 16 mg
413 523 Kandesartan tab 8 mg
414 524 Kapesitabin tab sal 500 mg
415 525 Kaptopril tab 12,5 mg
416 526 Kaptopril tab 25 mg
417 527 Kaptopril tab 50 mg
418 528 Karbamazepin sir 100 mg/5 ml
419 529 Karbamazepin tab 100 mg
1102 530 Karbamazepin Tab 200 mg
420 531 Karbimazol tab 5 mg
422 532 Karbogliserin tts telinga 10 %
423 533 Karboksimetilselulosa tts mata
1211 534 Karboplatin Inj 10 mg (vial 45 ml)
1210 535 Karboplatin inj 10 mg/ml (vial 15 ml
427 536 Karvedilol kaps 6,25 mg
1104 537 Karvedilol tab 25 mg
428 538 Ketamin inj 100 mg/ml (i.v.)
429 539 Ketamin inj 50 mg/ml (i.v.)
431 540 Ketokonazol krim 2%
432 541 Ketokonazol scalp sol 2%
430 542 Ketokonazol tab 200 mg
1146 543 Ketoprofen Inj 25 mg/ml
433 544 Ketoprofen sup 100 mg
434 545 Ketorolak inj 30 mg/ml
1050 546 Klaritromisin sir kering 125 mg/5 ml
1051 547 Klaritromisin sir kering 250 mg/5 ml
435 548 Klaritromisin tab 500 mg
436 549 Klindamisin kaps 150 mg
437 550 Klindamisin kaps 300 mg
438 551 Klobazam tab 10 mg
1288 552 Klobetasol propionat krim 0,05%
1289 553 Klobetasol propionat salep 0,05%
1105 554 Klofazimin, micronized kaps 50 mg
439 555 Klofazimin, micronizedkaps 100 mg
441 556 Klomipramin tab 25
1006 557 Klonazepam kaps 2 mg
442 558 Klonidin inj 150 mcg/ml
443 559 Klonidin tab 0,15 mg
444 560 Klopidogrel tab 75 mg
1082 561 Klopidogrel tab sal selaput 300 mg
445 562 Kloral hidrat lar
1077 563 Klorambusil tab sal selaput 5 mg
449 564 Kloramfenikol kaps 250 mg
450 565 Kloramfenikol kaps 500 mg
451 566 Kloramfenikol salep 2%
452 567 Kloramfenikol salep mata 1%
453 568 Kloramfenikol serb inj 1.000 mg/ml
454 569 Kloramfenikol susp 125 mg/5 ml
1088 570 Kloramfenikol tetes telinga 3%
447 571 Kloramfenikol tts mata 0,5%
448 572 Kloramfenikol tts mata 1%
455 573 Klorfeniramin tab 4 mg
456 574 Klorfenol kamfer mentol (CHKM)
457 575 Klorheksidin lar 0,2%
458 576 Klorheksidin lar 15%
1055 577 Klorokuin tab 250 mg
459 578 Klorpromazin inj 25 mg/ml (i.m.)
460 579 Klorpromazin inj 5 mg/ml (i.m.)
461 580 Klorpromazin tab sal 100 mg
462 581 Klorpromazin tab sal 25 mg
463 582 Klortalidon tab 50 mg
464 583 Klotrimazol tab vagina 100 mg
465 584 Klozapin tab 100 mg
466 585 Klozapin tab 25 mg
467 586 Kodein tab 10 mg
468 587 Kodein tab 15 mg
469 588 Kodein tab 20 mg
472 589 Kolestiramin serb, 4 g
473 590 Kolkisin tab 500 mcg
1391 591 Komb: Deksametason 0,1% Thymol 5% Paraklorphenol 30
1106 592 Kombinasi (DHP) : dihidroartemisin 40 mg + Piperakuin 320 mg tab sal
1046 593 selaput
Kombinasi : (Ampisilin 1000 mg + Sulbaktam 500 mg) serb inj 1500 mg
1047 594 Kombinasi : (Sefoperazon 500 mg + Sulbaktam 500 mg) serb inj 1000 mg
1109 595 Kombinasi : (Zidovudin 60 mg + Lamivudin 30 mg + Nevirapin 50 mg) Ped
1045 596 Triple FDC : Ampisilin 500 mg + Sulbaktam 250 mg serb inj 750 mg
Kombinasi
485 597 Kombinasi : artemether 20 mg + lumefantrin 120 mg
877 598 kombinasi : benserazid 25 mg + levodopa 100 mg
1260 599 Kombinasi : Brinzolamid 1% + Timolol 0,5%, tts mata
1007 600 Kombinasi : Desogestrel 150 mcg Etinilestradiol 30 mcg
486 601 Kombinasi : ergotamin 1 mg+ kafein 50 mg
1108 602 Kombinasi : Ferro fumarat 60 mg + asam folat 0,4 mg tab salut
1263 603 Kombinasi : Indakaterol 110 mcg + Glycopyrronium 50 mcg serb ih + alat
1172 604 breezhaler
Kombinasi : Ipratropium bromida 0,02 mg + fenoterol HBr 0,05 mg
482 605 aerosol
Kombinasi : levodopa 100 mg+Karbidopa 25 mg + entekapon 200 mg
483 606 Kombinasi : levonorgestrel 150 mcg + etinilestradiol 30 mcg
488 607 Kombinasi : medroksi progesteron asetat+ estradiol sipionat inj depot 25
21 608 mg + 5 mg : Meglumin amidotrizoat + Sodium amidotrizoat inj 76%
Kombinasi
1226 609 Kombinasi : Sefiksim 400 mg + Azitromisin 1000 mg
1149 610 Kombinasi : Tenofovir 300 mg + Emtrisitabin 200 mg
1150 611 Kombinasi : Tenofovir 300 mg + Lamivudin 300 mg + Efavirenz 600 mg
1261 612 Kombinasi : Travoprost 0,004% + Timolol 0,5%, tts mata
1064 613 Kombinasi : triamsinolon + dementilklortetrasiklin
484 614 Kombinasi : zidovudin 300 mg +lamivudin 150 mg
1385 615 Kombinasi KDT/FDC, setiap mL mengandung: latanoprost 0,05 mg +
1386 616 timolol 5 mg
Kombinasi tetes mata
KDT/FDC, setiap mL mengandung: latanoprost 0,05 mg +
1314 timolol 5 mg tetesml
617 Kombinasi, setiap mata
mengandung: natrium klorida 4,40 mg + kalium
495 klorida 0,80 mg (tetes mata)
618 Kombinasi, setiap ml mengandung: natrium klorida 4,40 mg + kalium
1313 klorida 0,80setiap
619 Kombinasi, mg (tetes mata)
ml mengandung: natrium klorida 4,40 mg + kalium
1290 klorida 0,80 mg (tetes mata)
620 Kombinasi: Amoksisilin 1.000 mg + Asam klavulanat 200 mg, Inj 1.200 mg
1389 621 Kombinasi: Elbasvir 50 mg dan Grazoprevir 100 mg tablet salut selaput
489 622 Kombinasi: Ipratropium bromida 0,5 mg + Salbutamol 2,5 mg, cairan ih
493 623 Kombinasi: kaolin 550 mg + pektin 20 mg
494 624 Kombinasi: lopinavir 200 mg + ritonavir (LVP) 50 mg, tab 250 mg
496 625 Kombinasi: parafin + gliserin + fenolftalein
490 626 Kombinasi: salmeterol 25 mcg + flutikason propionat 50 mcg ih 50
491 627 mcg/puff
Kombinasi: salmeterol 50 mcg + flutikason propionat 100 mcg ih 100
1008 628 mcg/puff
Kombinasi: salmeterol 50 mcg + flutikason propionat 500 mcg ih 500
492 629 mcg/puff
Kombinasi: salmeterol 50 mcg+ flutikason propionat 250 mcg ih 250
1390 630 mcg/puff
Kombinasi: Tenofovir 300 mg + Lamivudin 300 mg + Dolutegravir 50 mg,
1392 631 tablet
Komibinasi: lidokain + medisinal creosote phenol + eugenol + benzil
498 632 alkohol,
Kompositcairan
resin
499 633 Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+
500 trimetoprim 80(dewasa)
634 Kotrimoksazol mg kombinasi : sulfametoksazol 800 mg+
501 trimetoprim 160 mg
635 Kotrimoksazol kombinasi tiap 5 ml suspensi : sulfametoksazol 200 mg +
502 636 trimetoprim
Kuinin inj 25%40(i.v.)
mg
503 637 Kuinin tab 200 mg
506 638 Laktulosa sir 3,335 g/5 ml
508 639 Lamivudin (3TC) tab 150 mg
507 640 Lamivudin tab 100 mg
1147 641 Lamotrigin Tab 100 mg
1042 642 Lamotrigin tab 50 mg
1041 643 Lamotrigin tab dispersible 25 mg
509 644 Lansoprazol inj 30 mg/ml
510 645 Lansoprazol kaps 30 mg
511 646 Lapatinib tab 250 mg
965 647 Larutan mengandung Asam Amino (Asam Amino 10%)
966 648 Larutan mengandung Asam Amino (Asam Amino 100 g, Total N 15,7 g,
1414 649 Na+ 2 mEq,
Larutan Asetat 120Asam
mengandung mEq)Amino (Asam Amino 15 g, Glukosa 37,5 g,
967 650 Tiamin
LarutanHCl 0,75 mg, elektrolit)
mengandung Asam Amino (Asam Amino 27 g, Sorbitol 50 g, Cl-52
968 651 mEq)
Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan
969 652 elektrolit) 1000 ml Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan
Larutan mengandung
1415 653 elektrolit) 500 ml
Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 75 g,
970 Tiamin HCl 1,5 mg, elektrolit)
654 Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 45%, L-
971 Ornithine L Aspartate
655 Larutan mengandung Asam 8.03 gr/L,
Amino Sorbitol
(Asam50Amino
gr/L, Xylitol 50 gr/L)
6%, mengandung
972 Taurine 0,24
656 Larutan gr/l) : Aminosteril
mengandung Asam Amino Infant 6% Amino 7% (total protein 17,5 g)
(Asam
973 657 Larutan mengandung Asam Amino (Asam(EAA)
dengan kandungan asam amino esensial Amino dan nong,
72.05 esensial
Total N(NEAA)
11.53 g,
974 AAE/AANE ratio 2.6, Na+ 2 mEq, Asetat 46 mEq)
658 Larutan mengandung Asam Amino (Asam Amino 79.9 g, Total N 12.2 g,
520 659 Na+ 14 mEq,
Larutan Cl 94 mEq)
mengandung Asam Amino (Asam amino 8%) : Aminosteril N-
1275 Hepa
660 Larutan mengandung Asam Amino (Asam Amino 9%, Komposisi: Asam
975 Amino esensial:
661 Larutan mengandungAsam Asam
AminoAminonon esensial = 60 : 40)
(Asam Amino esensial 7%+Xylitol 10
976 g/L)
662 Larutan mengandung Asam Amino (BCAA 25 gr/L, L-Ornithine L Aspartate
1219 663 10 gr/L, Xylitol
Larutan 50 gr/L,Asam
mengandung MalicAmino
Acid 7(Glutamine
gr/L, Piridoxin 0.12 gr/L)
20 g)
1271 664 Larutan mengandung Asam Amino (Kombinasi : asam amino, glukosa, dan
1272 665 lipid)
Larutan(Lipid Peri 1250) Asam Amino (Kombinasi : glukosa, emulsi lemak,
mengandung
1273 dan asam
666 Larutan amino) (Lipid
mengandung Special
Asam Amino1250)
(Kombinasi : glukosa, emulsi lemak,
1238 dan asam amino) (Lipid Special 625)
667 Larutan mengandung asam amino (kombinasi AA 50 g/L, sorbitol 50 g/L,
977 668 Xylitol
Larutan50mengandung
g/L, vit C 0,4Asam
g/L, Inositol
Amino 0,5 g/L, Niasinamid
(Kombinasi 0,06 g/L,
Asam amino vit B6
50 g/L,
980 vitamin dan elektrolit)
669 Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 150
981 670 gr + Asam
Larutan Amino 48 grAsam
mengandung dgn akses
Aminosentral)
(Kombinasi Glukosa dan elektrolit 80
1396 gr + Asam
671 Larutan Amino 40 gr)
mengandung Asam Amino (N(2)-L-Alanyl-L-Glutamine/ N(2)-L-
979 672 Alanyl-L-Glutamine
Larutan mengandung 20%)
Asam Amino + Elektrolit + Karbohidrat + Lipid
1341 (Kombinasi Asam Amino:
673 Larutan mengandung asam 45gr,
aminoGlukosa: 130gr,+Lipid:
+ elektrolit 68gr dan
Karbohidrat Elektrolit
+ Lipid
1342 674 Larutan mengandung asam amino + elektrolit + Karbohidrat + Lipid Oil 6,1
(Glukosa 103 g, Asam amino 46 g, Elektrolit, Lipid 41 g dengan Fish
1340 675 (Glukosa 135 g, Asam asam
Larutan mengandung aminoamino
60 g, Elektrolit,
+ elektrolitLipid 54 g dengan
+ Karbohidrat Fish Oil 8
+ Lipid
1277 (GlukosaMengandung
676 Larutan 63 g, Asam aminoAsam25 g, Elektrolit,
amino Lipid
+ Elektrolit 19 g dengan+Fish
+ Karbohidrat Oil 2,8
Lipid
978 (Kombinasi Asam amino 56,9 g, Lipid 40 g, Glukosa
677 Larutan mengandung Asam Amino + Elektrolit + Karbohidrat + Lipid110 g dan Elektrolit)
1408 678 (Kombinasi Asam Amino:
Larutan mengandung asam34gr,
aminoGlukosa: 97gr, Lipid:
+ Karbohidrat 51gr(Glukosa
+ Lipid dan Elektrolit
63 g,
1423 Asam amino 25 g, Lipid 19 g dengan Fish Oil 2,8 g)
679 Larutan mengandung elektrolit (CaCl2H2O 0,165 gr, KCl 0,15 gr, NaCl 4,3
982 680 gr)
Larutan mengandung Elektrolit (Kalium Klorida)
1267 681 Larutan mengandung Elektrolit (KCl 0,15%, NaCL 0,9%) (KN1)
1268 682 Larutan mengandung Elektrolit (KCl 0,3%,NaCl 0,9%) (KN2)
1331 683 Larutan mengandung Elektrolit (Na 130 mEq, K 4 mEq, Cl 109 mEq, Ca 3
983 684 mEq, Asetat
Larutan 28 mEq) Ringer
mengandung Asetat
Elektrolit (Na 130 mEq, K 4 mEq, Cl 109 mEq, Ca 3
985 mEq, Asetat 28 mEq) Ringer Asetat
685 Larutan mengandung Elektrolit (Sodium Lactate sol (50%) 113 gr/L,
986 Potassium
686 Larutan Chloride 0.3Elektrolit
mengandung gr/L, Calcium Chloride
(Tiap 1000 0.2 gr/L, elektrolit)
ml mengandung electrolit:
1265 Sodium 145 mmol/l, Potassium 4.0 mmol/l, Calcium 2.5 mmol/l,
687 Larutan mengandung Karbohidrat + Elektrolit (D2,5%+KCL 0,15%+NaCl
0,45%) (KDN1)
1266 688 Larutan mengandung Karbohidrat + Elektrolit (D2,5%+KCL 0,3%+NaCl
1237 689 0,45%)
Larutan(KDN2)
mengandung Karbohidrat (Fructose 120 g, glucose 66 g, Xylitol 60
1376 g/ L)
690 Larutan mengandung Karbohidrat (Fructose 15 mg, glucose monohydrate
994 691 30 mg, xylitol
Larutan 15 mg) Karbohidrat (Fructose 200 g, glucose 110 g, Xylitol
mengandung
988 692 100 g/ L)mengandung Karbohidrat (Fructose 60 g, glucose 33 g, Xylitol 30
Larutan
989 693 g/ L)
Larutan mengandung Karbohidrat (Maltose 10%)
1422 694 Larutan mengandung Karbohidrat + Elektrolit (25.00g dextrose anhidrat,
990 695 3.00
Larutang sodium chloride,
mengandung 0.15 g potassium
Karbohidrat chloride,
+ Elektrolit 0.10maltose,
(25.00g g calcium chloride
3.00 g
991 sodium chloride, 0.15 g potassium chloride, 0.10 g calcium
696 Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K, Cl, Ca, Mg,chloride
992 697 Sorbitol 50 gr/L)
Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L,
993 Glukosa mengandung
698 Larutan 100 gr/L, elektrolit)
Karbohidrat + Elektrolit (Asam amino 28 gr/L,
1424 Glukosa 75 gr/L, elektrolit)
699 Larutan mengandung karbohidrat + elektrolit (Dextran 40 50 gr,
1269 700 CaCl2H2O 0,1 gr, KCl 0,15
Larutan mengandung gr, NaCl +3 Elektrolit
Karbohidrat gr, Na lactate 1,55 gr)
(Dextrose 5%, NaCL 0,45%,
987 KCl) (HSD)
701 Larutan mengandung Karbohidrat + Elektrolit (Fructose 120 g, glucose 66
995 702 g, Xylitolmengandung
Larutan 60 g/ L + elektrolit)
Karbohidrat + Elektrolit (Glukosa 25 g, NaCl 2,0 g,
996 KCl 1,3 g,mengandung
703 Larutan Natrium Laktat 3,1 g, air untuk
Karbohidrat injeksi
+ Elektrolit ad 100055
(Glukosa ml)
g ; Natrium
1371 Chloride 9 g, air untuk injeksi ad 1000 ml) (D5-NS)
704 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 110.0 g; NaCl:
997 705 1.80
Larutang) (D10-1/5NS)
mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g; NaCl: 4,5
998 g)
706 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25
1370 707 g) (D5-1/4NS)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25
999 g) (D5-1/4NS)
708 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 4.5
1229 g) (D5-1/2NS)
709 Larutan mengandung karbohidrat + elektrolit (Kombinasi NaCl 18,6 g, KCl
1000 710 0,3 g, CaCl2
Larutan 0,48 g, dextrose
mengandung 50 g per
Karbohidrat 1000 ml)(Larutan nutrisi kombinasi
+ Elektrolit
516 infus per L: Na. 100mEQ, K 18mEQ,
711 Larutan mengandung Karbohidrat + Elektrolit Ca. 4mEQ,(Larutan
Mg 6mEQ, Cl 90mEQ,
Ringer & Glukosa
1420 5%)
712 Larutan mengandung Karbohidrat + Elektrolit (NaCl 0.585 gr, KCl 0.3 gr,
1419 Na Lactatmengandung
713 Larutan 0.56 gr, Dekstrosa 18,75 +gr)
Karbohidrat (KA EN 4B)
Elektrolit (NaCl 0.585 gr, Na Lactat
984 0.56 gr, anhydrous dekstrosa 20 gr) (KA EN 4A)
714 Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.125 gr, Dekstrosa
517 715 18.75
Larutan gr)mengandung
(KA EN 1B) Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g,
1239 Glukosa 100
716 Larutan mengandunggr) Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g, Na
518 Lactate 2.24 g, Glukosa
717 Larutan mengandung Karbohidrat 100 gr) + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na
519 Lactat 2.24
718 Larutan gr, Dekstrosa
mengandung 27 gr) (KA+EN
Karbohidrat 3B) (Nacl 2.34 gr, Na Laktat
Elektrolit
521 719 Larutan mengandung Lipid (Emulsi lemakEN
2.24 gr, KCL 0.75 gr Dekstrosa 27 gr) (KA 3A)
20%)
1220 720 Larutan mengandung Lipid (Highly refined fish oil, Glyserol dan purified
1001 721 egg phospolipid)
Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 100 ml)
1002 722 Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 250 ml)
1003 723 Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 180 gr +
1004 724 Asam
Larutan Amino 71.8 gr +Lipid
mengandung Lipid(Kombinasi
50 gr dgn akses sentral)
Glukosa dan elektrolit 80 gr +
1005 Asam Amino 40 gr + Lipid MCT/LCT 50 gr)
725 Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 90 gr +
522 726 Asam Aminotts
Latanoprost 35.9 gr +0,005%
mata Lipid 25 gr dgn akses sentral)
1393 727 Latanoprost tts mata 0,005%
1058 728 Leflunomid tab sal selaput 20 mg
524 729 Lenograstim inj 263 mcg/vial
525 730 Letrozol tab 2,5 mg
526 731 Leuprorelin asetat serb inj 1,88 mg
527 732 Leuprorelin asetat serb inj 11,25 mg
1151 733 Leuprorelin asetat serb inj 22,5 mg
528 734 Leuprorelin asetat serb inj 3,75 mg
1152 735 Leuprorelin asetat serb inj 7,5 mg
1043 736 Levetirasetam tab 250 mg
1044 737 levetirasetam tab 500 mg
529 738 Levofloksasin inf 5 mg/ml
1326 739 Levofloksasin inf 5 mg/ml
1394 740 Levofloksasin tab 250 mg
530 741 Levofloksasin tab 500 mg
531 742 Levofloksasin tts mata 0,5%
532 743 Levonorgestrel implan 2 rods, 75 mg (3-4 tahun)
533 744 Levotiroksin tab 100 mcg
534 745 Levotiroksin tab 50 mcg
535 746 Lidokain gel 2%
537 747 Lidokain inj 100 mg, vial (i.v.)
539 748 Lidokain inj 2% (infiltr/p.v.)
541 749 Lidokain salep 5%
542 750 Lidokain spray oral 10%
544 751 Linestrenol tab 0,5 mg
1009 752 Linestrenol tablet 5 mg
1395 753 Liquor carbonis detergens lar 5%
545 754 Lisinopril tab 10 mg
546 755 Lisinopril tab 20 mg
547 756 Lisinopril tab 5 mg
548 757 Litium karbonat tab 200 mg
549 758 Litium karbonat tab 400 mg
550 759 Loperamid tab 2 mg
1221 760 Lopinavir 100 mg + Ritonavir 25 mg
551 761 Loratadin tab 10 mg
552 762 Lorazepam tab 0,5 mg
553 763 Lorazepam tab 1 mg
554 764 Lorazepam tab sal 2 mg
556 765 Low molecule feri sucrose inj amp 100 mg/5 ml
557 766 Lugol
558 767 MAA (macro agregate albumin) 0,11-2,5 mg albumin aggregated/reaction
559 768 vial
MAG3 (mercapto acetyl tri glysine) 1 mg betiatide/vial
1329 769 Magnesium sulfat inj 20%
560 770 Magnesium sulfat inj 20%
1330 771 Magnesium sulfat inj 40%
561 772 Magnesium sulfat inj 40%
562 773 Magnesium sulfat serb, ktg 30 g
1315 774 Manitol lar infus 20%
563 775 Manitol lar infus 20%
1316 776 Manitol lar infus 20%
564 777 Maprotilin hcl tab sal 25 mg
565 778 Maprotilin hcl tab sal 50 mg
566 779 MDP (methylene diphosphonate) 1 mg methylene diphosphonic acid/ml
567 780 Mebendazol sir 100 mg/5 ml
568 781 Mebendazol tab 100 mg
569 782 Mebendazol tab 500 mg
571 783 Medroksi progesteron asetat inj 150 mg/ml
1074 784 Medroksi Progesteron Asetat Inj 50 mg/ml
572 785 Medroksi progesteron asetat tab 10 mg
573 786 Medroksi progesteron asetat tab 100 mg
575 787 Medroksi progesteron asetat tab 5 mg
577 788 Melfalan tab 2 mg
578 789 Merkaptopurin tab 50 mg
579 790 Meropenem serb inj 1000 mg/vial
580 791 Meropenem serb inj 500 mg/vial
581 792 Mesalazin tab sal 250 mg
582 793 Mesna inj 100 mg/ml
583 794 Metadon sir 50 mg/5 ml
1038 795 Metamizol Inj 500 mg/ml
584 796 Metenamin mandelat (heksamin mandelat) tab salut enterik 500 mg
585 797 Metformin tab 500 mg
586 798 Metformin tab 850 mg
587 799 Metildopa tab sal 250 mg
588 800 Metilergometrin inj 0,2 mg/ml
589 801 Metilergometrin tab salut 0,125 mg
590 802 Metilfenidat tab 10 mg
1293 803 Metilfenidat tab lepas lambat 18 mg
1294 804 Metilfenidat tab lepas lambat 36 mg
592 805 Metilprednisolon inj 125 mg/2 ml
593 806 Metilprednisolon inj 500 mg/8 ml
594 807 Metilprednisolon tab 16 mg
595 808 Metilprednisolon tab 4 mg
596 809 Metilprednisolon tab 8 mg
598 810 Metoklopramid drop 2 mg/ml
599 811 Metoklopramid inj 5 mg/ml
600 812 Metoklopramid sir 5 mg/5 ml
601 813 Metoklopramid tab 10 mg
597 814 Metoklopramid tab 5 mg
1067 815 Metoprolol tartat inj 1 mg/ml
1078 816 Metotreksat Inj 10 mg/ml
1128 817 Metotreksat inj 2,5 mg/ml
603 818 Metotreksat serb inj 25 mg/ml
602 819 Metotreksat serb inj 5 mg/vial
604 820 Metotreksat tab 2,5 mg
605 821 Metronidazol lar inf 5 mg/ml
606 822 Metronidazol ovula 500 mg
608 823 Metronidazol sup 500 mg
607 824 Metronidazol susp 125 mg/5 ml
1334 825 Metronidazol susp 125 mg/5 ml
609 826 Metronidazol tab 250 mg
610 827 Metronidazol tab 500 mg
611 828 MIBG (meta-iodobenzylguanidine)
612 829 MIBI (metoxy iso butyl isonitril) 5-ml reaction vial
613 830 Midazolam inj 1 mg/ml (i.v.)
614 831 Midazolam inj 5 mg/ml (i.v.)
615 832 Mikafungin Na serb inj 50 mg/vial
616 833 Mikofenolat mofetil tab 500 mg
1123 834 Mikofenolat Sodium Tab Sal 180 mg
1124 835 Mikofenolat Sodium Tab Sal 360 mg
617 836 Mikonazol krim 2%
618 837 Mikonazol serb 2%
1257 838 Milrinone inj 1 mg/ml
1227 839 Mineral Mix (Bismuth Subcitrate Tripotasium, Copper sulfate, Magnesium
620 840 Chloride
MitomisinAnhydrous,
serb inj 10Potassium
mg Chloride, Zinc Acetate)
619 841 Mitomisin serb inj 2 mg
1010 842 Moksifloksasin inf 1,6 mg/mL
1011 843 Moksifloksasin tab 400 mg
622 844 Moksifloksasin tts mata 0,5%
623 845 Mometason furoat krim 0,1%
1335 846 Mometason furoat krim 0,1%
624 847 Morfin Hcl inj 10 mg/ml (i.m./s.k./i.v.)
625 848 Morfin Hcl tab 10 mg
626 849 Morfin Hcl tab SR 10 mg
627 850 Morfin Hcl tab SR 15 mg
628 851 Morfin Hcl tab SR 30 mg
1295 852 Mupirosin krim 2%
1296 853 Mupirosin salep 2%
1144 854 N-asetil sistein granula 200 mg
634 855 N-asetil sistein ih 100 mg/ml
635 856 N-asetil sistein kaps 200 mg
1328 857 NaCl 0,9% Larutan
1399 858 NaCl 0,9% Larutan
515 859 NaCl 0,9% Larutan
1397 860 NaCl 0,9% Larutan
1327 861 NaCl 0,9% Larutan
1398 862 NaCl 0,9% Larutan
1418 863 NaCl 3% Larutan
630 864 Nadroparin inj 9.500 Axa/ml syringe 0,3 Ml
631 865 Nadroparin inj 9.500 Axa/ml, syringe 0,4 ml
632 866 Nadroparin inj 9.500 Axa/ml, syringe 0,6 ml
633 867 Nalokson inj 0,4 mg/ml
636 868 Natamisin tts mata 5% (50 mg/ml)
637 869 Natamisin tts mata 5% (50 mg/ml)
1400 870 Natamisin tts mata 5% (50 mg/ml)
638 871 Natrium aminohipurat inj 200 mg/ml (i.v.)
640 872 Natrium bikarbonat inj 8,4% (i.v.)
641 873 Natrium bikarbonat tab 500 mg
1297 874 Natrium diklofenak inj 25 mg/mL
642 875 Natrium diklofenak tab 25 mg
643 876 Natrium diklofenak tab 50 mg
1110 877 Natrium Diklofenak Tetes Mata 1 mg/ml
644 878 Natrium fluoresein tts mata 2%
646 879 Natrium fosfat lar oral
647 880 Natrium fusidat krim 20 mg/g
648 881 Natrium fusidat salep 20 mg/g
1072 882 Natrium hialuronat tts mata
649 883 Natrium hipoklorit cairan konsentrat 5%
1298 884 Natrium klorida tts mata 50 mg/mL
650 885 Natrium tiosulfat inj 25% (i.v.)
651 886 Neostigmin inj 0,5 mg/ml
652 887 Nevirapin tab 200 mg
653 888 Nifedipin kaps 10 mg
654 889 Nifedipin tab SR 20 mg
655 890 Nifedipin tab SR 30 mg
656 891 Nikardipin inj 10 mg/vial
1012 892 Nilotinib kaps 150 mg
660 893 Nilotinib tab 200 mg
1013 894 Nimodipin inf 0,2 mg/ml
1014 895 Nimodipin tab 30 mg
661 896 Nistatin susp 100.000 UI/ml
662 897 Nistatin tab salut 500.000 UI
663 898 Nistatin tab vaginal 100.000 UI
664 899 Nitrofurantoin tab 50 mg
665 900 Nitrogen oksida ih, gas dlm tabung
1066 901 Nomegestrol asetat Kaps/tab 5 mg
666 902 Norepinefrin inj 1 mg/ml
667 903 Noretisteron tab 5 mg
478 904 Obat Anti Tuberculosis FDC Kategori Anak
475 905 Obat Anti Tuberculosis FDC Kategori I
476 906 Obat Anti Tuberculosis FDC Kategori II
477 907 Obat Anti Tuberculosis FDC Kategori Sisipan
480 908 Obat Anti Tuberculosis Kombipak Anak
479 909 Obat Anti Tuberculosis Kombipak Dewasa
668 910 Ofloksasin tab 200 mg
669 911 Ofloksasin tab 400 mg
670 912 Ofloksasin tts telinga 3%
671 913 Oksaliplatin serb inj 100 mg/vial
672 914 Oksaliplatin serb inj 50 mg/vial
673 915 Oksigen ih, gas dlm tabung
1401 916 Oksikodon inj 10 mg/ml
1245 917 Oksikodon inj 10 mg/ml
1240 918 Oksikodon kapsul 10 mg
1241 919 Oksikodon kapsul 20 mg
1300 920 Oksikodon kapsul 5 mg
1242 921 Oksikodon tab lepas lambat 10 mg
1244 922 Oksikodon tab lepas lambat 15 mg
1243 923 Oksikodon tab lepas lambat 20 mg
674 924 Oksimetazolin tts hidung 0,025%
675 925 Oksimetazolin tts hidung 0,050%
1228 926 Oksitetrasiklin 1% Salep Mata
677 927 Oksitetrasiklin hcl inj 50 mg/ml (i.m.)
679 928 Oksitosin inj 10 UI/ml
1299 929 Okskarbazepin susp 60 mg/mL
1111 930 Oktreotid asetat 0,05 - 6 mg/ml
680 931 Oktreotid LAR serb inj 20 mg
1037 932 Oktreotid LAR serb inj 30 mg
681 933 Olanzapin inj 10 mg/2 ml
682 934 Olanzapin tab sal 10 mg
683 935 Olanzapin tab sal 5 mg
1174 936 Olodaterol cairan ih 2,5 mcg/semprot
684 937 Olopatadin tts mata 0,1%
685 938 Omeprazol inj 40 mg/10 ml
686 939 Omeprazol kaps 20 mg
687 940 Ondansetron inj 2 mg/ml
688 941 Ondansetron tab 4 mg
689 942 Ondansetron tab 8 mg
690 943 Paklitaksel inj 6 mg/ml, vial@16,7 ml (inj 100 mg)
691 944 Paklitaksel inj 6 mg/ml, vial@5 ml (inj 30 mg)
692 945 Paklitaksel inj 6 mg/ml, vial@50 ml (inj 300 mg)
1169 946 Paliperidon palmitat Inj 100 mg/mL
1170 947 Paliperidon palmitat Inj 150 mg/1,5 mL
1167 948 Paliperidon palmitat Inj 50 mg/0,5 mL
1168 949 Paliperidon palmitat Inj 75 mg/0,75 mL
1073 950 Pankuronium inj 2 mg/ml
279 951 Paraformaldehid lar buffer 10%
280 952 Paraformaldehid tab 1 g
693 953 Parasetamol drips (infus) 1000 mg/100 ml
694 954 Parasetamol sir 120 mg/5 ml
695 955 Parasetamol tab 500 mg
696 956 Parasetamol tts 60 mg/0,6 ml
697 957 Pasta devitalisasi (non arsen)
698 958 Pasta pengisi saluran akar (pasta)
699 959 Pegylated interferon alfa-2a inj 135 mcg/0,5 ml
700 960 Pegylated interferon alfa-2a inj 180 mcg/0,5 ml
701 961 Pegylated interferon alfa-2b serb inj 100 mcg/ml
703 962 Pegylated interferon alfa-2b serb inj 50 mcg/ml
704 963 Pegylated interferon alfa-2b serb inj 80 mcg/ml
1129 964 Pemetreksed serb inj 500 mg
705 965 Pengganti plasma golongan gelatin inf
706 966 Perak nitrat lar 20%
708 967 Perak sulfadiazin krim 1%
709 968 Perindoprilarginin tab 5 mg
1403 969 Permetrin krim 5 %
710 970 Permetrin krim 5 %
1402 971 Permetrin krim 5 %
711 972 Petidin inj 50 mg/ml (i.m./s.k./i.v.)
1317 973 Pilokarpin tts mata 2%
712 974 Pilokarpin tts mata 2%
713 975 Pioglitazon tab 15 mg
714 976 Pioglitazon tab 30 mg
715 977 Pirantel pamoat susp 125 mg/5 ml
716 978 Pirantel pamoat tab 500 mg
717 979 Pirantel pamoat tab scored 125 mg
718 980 Pirantel pamoat tab scored 250 mg
720 981 Piridoksin (vitamin B6) inj 100 mg/ml
721 982 Piridoksin (vitamin B6) tab 10 mg
722 983 Piridoksin (vitamin B6) tab 25 mg
723 984 Piridostigmin tab sal 60 mg
1052 985 Pirimetamin tab 25 mg
724 986 Podofilin tingtur 25 %
725 987 Polietilen glikol
726 988 Polikresulen
728 989 Povidon iodin lar 100 mg/ml
729 990 Povidon iodin lar 100 mg/ml
730 991 Povidon iodin lar 100 mg/ml
727 992 Povidon iodin lar 100 mg/ml
1113 993 Pramipeksol tab 0,125 mg
731 994 Pramipeksol tab ER 0,375 mg
732 995 Pramipeksol tab ER 0,750 mg
733 996 Pravastatin tab 10 mg
734 997 Pravastatin tab 20 mg
736 998 Prazikuantel tab scored 600 mg
1404 999 Prednisolon tts mata 10 mg/ml
737 1000 Prednisolon tts mata 10 mg/ml
738 1001 Prednison tab 5 mg
739 1002 Primakuin tab 15 mg
740 1003 Probenesid tab 500 mg
1405 1004 Produk untuk Dialisis Peritoneal
742 1005 Prokain benzilpenisilin serb inj 3 juta UI/vial (i.m.)
1016 1006 Prokaterol HCl cairan ih 30 mcg
1017 1007 Prokaterol HCl cairan ih 50 mcg
1018 1008 Prokaterol HCl serb ih 10 mcg
743 1009 Propiltiourasil tab 100 mg
744 1010 Propofol inj 1% (i.v. Bolus)
745 1011 Propranolol inj 1 mg/ml (i.v.)
746 1012 Propranolol tab 10 mg
747 1013 Propranolol tab 40 mg
1114 1014 Prostaglandin (PGE 1) Inj 500 mcg/ml
748 1015 Protamin sulfat inj 10 mg/ml (i.m.)
1301 1016 Quetiapin tab 100 mg
749 1017 Quetiapin tab SR 200 mg
750 1018 Quetiapin tab SR 300 mg
751 1019 Quetiapin tab SR 400 mg
752 1020 Ramipril tab 10 mg
754 1021 Ramipril tab 2,5 mg
753 1022 Ramipril tab 5 mg
1141 1023 Ranibizumab inj 10 mg/ml
755 1024 Ranitidin inj 25 mg/ml
756 1025 Ranitidin tab 150 mg
757 1026 Retinol (vitamin A) kaps lunak 100.000 UI
758 1027 Retinol (vitamin A) kaps lunak 200.000 UI
759 1028 Ribavirin tab 200 mg
760 1029 Rifampisin kaps 300 mg
761 1030 Rifampisin tab 450 mg
762 1031 Rifampisin tab 600 mg
1406 1032 Rifapentin tablet 150 mg
1222 1033 Rilpivirine 25 mg
512 1034 Ringer Laktat Larutan
1019 1035 Ringer Laktat Larutan 1000 ml
1133 1036 Risedronat tab sal selaput 35 mg
1302 1037 Risperidon oral solution 1 mg/mL
763 1038 Risperidon tab 3 mg
764 1039 Risperidon tab sal 1 mg
765 1040 Risperidon tab sal 2 mg
1214 1041 Rituksimab inf 10 mg/ml (vial 10 ml)
1215 1042 Rituksimab Inf 10 mg/ml (vial 50 ml)
766 1043 Rituksimab inj 100 mg/ml
767 1044 Rituksimab inj 500 mg/ml
768 1045 Rivaroksaban tab sal 10 mg
769 1046 Rivaroksaban tab sal 15 mg
770 1047 Rivaroksaban tab sal 20 mg
771 1048 Rokuronium inj 50 mg/5 ml (i.v.)
772 1049 Ropinirol tab lepas lambat 2 mg
773 1050 Ropinirol tab lepas lambat 4 mg
774 1051 Ropinirol tab lepas lambat 8 mg
1039 1052 Ropivakain Inj 7,5 mg/ml
1020 1053 Rosuvastatin tab 10 mg
775 1054 Salbutamol aerosol 100 mcg
776 1055 Salbutamol cairan ih 1 mg/mL
777 1056 Salbutamol cairan serb ih 200 mcg/kaps + rotahaler
781 1057 Salbutamol sir 2 mg/5 ml
782 1058 Salbutamol tab 2 mg
783 1059 Salbutamol tab 4 mg
784 1060 Salep 2-4, kombinasi : asam salisilat 2 %+ belerang endap 4 %
1336 1061 Salep 2-4, kombinasi : asam salisilat 2 %+ belerang endap 4 %
1250 1062 Secukinumab serb inj 150 mg
785 1063 Sefadroksil kaps 250 mg
786 1064 Sefadroksil kaps/tab 500 mg
787 1065 Sefadroksil sir kering 125 mg/5 ml
788 1066 Sefadroksil sir kering 250 mg/5 ml
790 1067 Sefaleksin kaps 500 mg
791 1068 Sefazolin serb inj 1 g/vial
792 1069 Sefepim serb inj 1000 mg/vial
793 1070 Sefiksim sir 100 mg/5 ml
794 1071 Sefiksim tab 100 mg
1115 1072 Sefiksim Tab 200 mg
795 1073 Sefoperazon serb inj 1.000 mg/vial
796 1074 Sefotaksim inj 500 mg/vial
797 1075 Sefotaksim serb inj 1.000 mg/vial
1048 1076 Sefpirom serb inj 1000 mg
798 1077 Sefpodoksim proksetil tab sal 100 mg
799 1078 Seftazidim serb inj 1.000 mg/vial
800 1079 Seftriakson serb inj 1.000 mg/vial
801 1080 Sefuroksim serb inj 750 mg/vial
802 1081 Sefuroksim tab 250 mg
803 1082 Sefuroksim tab sal 500 mg
804 1083 Sertralin tab sal 50 mg
805 1084 Serum anti bisa ular : A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
806 1085 Serum anti bisa ular :A.B.U.II (khusus ular dari Papua) inj (i.m./i.v.)
807 1086 Serum antidifteri (A.D.S) inj (i.m./i.v.) Inj i.m 10.000 UI/
809 1087 Serum antirabies inj 100 UI/ml
810 1088 Serum antirabies inj 200 UI/ml
811 1089 Serum antitetanus (A.T.S) (i.m.) Inj 10.000 UI/vial (i.m /i.v.)
812 1090 Serum antitetanus (A.T.S) inj 1500 UI/amp (i.m.)
813 1091 Serum antitetanus (A.T.S) inj 20.000 UI/vial (i.m /i.v.)
1407 1092 Serum antitetanus (A.T.S) inj 5.000 IU/mL (i.m)
814 1093 Setirizin sir 5 mg/5 ml.
815 1094 Setirizin tab 10 mg
816 1095 Setuksimab inj 5 mg/ml
1181 1096 Sevelamer karbonat Tab 800 mg
817 1097 Sevofluran cairan ih 250 ml
818 1098 Sianokobalamin (vitamin B12) inj 500 mcg/ml
819 1099 Sianokobalamin (vitamin B12) tab 50 mcg
820 1100 Siklofosfamid serb inj 1000 mg/vial (i.v.)
821 1101 Siklofosfamid serb inj 200 mg/vial (i.v.)
822 1102 Siklofosfamid serb inj 500 mg/vial (i.v.)
1166 1103 Siklopentolat tetes mata 1%
1060 1104 Siklosporin inj 100 mg/ml
824 1105 Siklosporin inj 50 mg/ml
825 1106 Siklosporin kaps 100 mg
826 1107 Siklosporin kaps lunak 25 mg
1059 1108 Siklosporin Kaps lunak 50 mg
1162 1109 Sildenafil Tab 20 mg
1160 1110 Silodosin tab 4 mg
1256 1111 Silostazol kaps SR 100 mg
827 1112 Silostazol tab 100 mg
828 1113 Simvastatin tab sal 10 mg
829 1114 Simvastatin tab sal 20 mg
1218 1115 Simvastatin tab sal selaput 40 mg
830 1116 Siprofloksasin inf 2 mg/ml
831 1117 Siprofloksasin tab scored 500 mg
832 1118 Sisplatin serb inj 10 mg
833 1119 Sisplatin serb inj 50 mg
835 1120 Sitarabin inj 50 mg
834 1121 Sitarabin serb inj 100 mg
1369 1122 Sitarabin serb inj 100 mg
1409 1123 Sodium Glycerophosphate 216 mg
1121 1124 Sofosbuvir tab sal selaput 400 mg
1304 1125 Solifenasin tab 10 mg
1303 1126 Solifenasin tab 5 mg
1171 1127 Somatostatin serb Inj 3000 mcg/mL
1333 1128 Soybean oil 200 g, ovolecithin 12 g, glycerol 22 g, Na hydroxide
837 1129 Spiramisin tab 500 mg
838 1130 Spironolakton tab 100 mg
839 1131 Spironolakton tab 25 mg
840 1132 Stannous pyrophosphate 27,6 mg sodium pyrophosphate/vial
841 1133 Stavudin tab 30 mg
842 1134 Streptokinase serb inj 1,5 juta UI/vial
843 1135 Streptomisin serb inj 1.000 mg/vial
844 1136 Sufentanil inj 5 mcg/ml (i.v.)
1143 1137 Sugammadeks inj 100 mg/ml
845 1138 Sukralfat susp 500 mg/5 ml
846 1139 Sukralfat tab 500 mg
847 1140 Suksinilkolin inj 20 mg/ml (i.v./i.m.)
848 1141 Suksinilkolin inj 50 mg/ml (i.v./i.m.)
849 1142 Suksinilkolin serb inj 100 mg/vial (i.v./i.m.)
1053 1143 Sulfadiazin tab 500 mg
850 1144 Sulfasalazin kapl sal enterik 500 mg
851 1145 Sulfur colloid 4,5 mg gelatin/reaction vial
1145 1146 Surfaktan susp 25 mg/ml (intratrakeal)
852 1147 Surgical ginggival pack
853 1148 Takrolimus kaps 0,5 mg
854 1149 Takrolimus kaps 1 mg
1125 1150 Takrolimus kaps lepas lambat 0,5 mg
1126 1151 Takrolimus kaps lepas lambat 1 mg
1117 1152 Tamoksifen tab 10 mg
855 1153 Tamoksifen tab 20 mg
856 1154 Tamsulosin tab 0,2 mg
857 1155 Tamsulosin tab SR 0,4 mg
858 1156 Technetium 99m 740 mbq - 3,7 gbq (20 to 100 millicuries)/ml
859 1157 Telbivudin tab 600 mg
860 1158 Telmisartan tab 40 mg
861 1159 Telmisartan tab 80 mg
862 1160 Temozolamid kaps 100 mg
863 1161 Temozolamid kaps 20 mg
864 1162 Tenofovir tab 300 mg
866 1163 Teofilin tab 150 mg
867 1164 Teofilin tab SR 300 mg
868 1165 Terazosin hcl tab 1 mg
869 1166 Terazosin hcl tab 2 mg
1054 1167 Terbinafin tab 250 mg
870 1168 Terbutalin cairan ih 2,5 mg/ml
871 1169 Terbutalin inj 0,5 mg/ml
872 1170 Terbutalin serb ih 0,50 mg/dose
873 1171 Terbutalin sir 1,5 mg/5 ml
874 1172 Terbutalin tab 2,5 mg
1216 1173 Testosteron inj 250 mg/ml (vial 1 ml)
1217 1174 Testosteron Inj 250 mg/ml (vial 4 ml)
876 1175 Testosteron kaps lunak 40 mg
878 1176 Tetanus toxoid inj
879 1177 Tetrakain tts mata 0,5%
880 1178 Tetrasiklin kaps 250 mg
881 1179 Tetrasiklin kaps 500 mg
1165 1180 Tetrasiklin Salep Mata 1%
882 1181 Thallous Chloride Tl-202 1 mg methylene diphosphonic acid/ml
883 1182 Tiamazol tab 10 mg
884 1183 Tiamazol tab 5 mg
885 1184 Tiamin (vitamin B1) tab 50 mg
1021 1185 Tikagrelor tab 90 mg
886 1186 Timolol tts mata 0,25%
887 1187 Timolol tts mata 0,5%
888 1188 Tiopental serb inj 500 mg/amp (i.v. Bolus)
889 1189 Tiopental serb serb inj 1.000 mg/amp (i.v.)
1264 1190 Tiotropium respimat ih 5 mcg/semprot
1173 1191 Tiotropium respimat ih 5 mcg/semprot
1069 1192 Tobramisin tetes mata 0,3%
1318 1193 Tobramisin tetes mata 0,3%
1022 1194 Topiramat tab 100 mg
1023 1195 Topiramat tab 25 mg
1024 1196 Topiramat tab 50 mg
1308 1197 Tosilizumab inf 400 mg/20 mL
1307 1198 Tosilizumab inf 80 mg/4 mL
893 1199 Trastuzumab serb inj 440 mg/vial
894 1200 Travoprost tts mata 0,004%
896 1201 Triamsinolon asetonid nasal spray 55 mcg/puff
895 1202 Triamsinolon inj 10 mg/ml
1274 1203 Triamsinolon inj 40 mg/ml
897 1204 Trifluoperazin tab sal 5 mg
898 1205 Triheksifenidil tab 2 mg
1320 1206 Tropikamid tts mata 0,5%
1083 1207 Tropikamid tts mata 0,5%
900 1208 Tuberkulin protein purified derivative 1:10 (i.k)
901 1209 Urea krim 10 %
1411 1210 Urea krim 20 %
902 1211 Vaksin BCG inj (i.k)
1177 1212 Vaksin bivalen OPV (b-OPV) drops 10 dosis
1175 1213 Vaksin Hepatitis Rekombinan Inj Prefilled Injection Device (Uniject) 0,5 ml
1412 1214 (i.m)
Vaksin HPV (Human Papilloma Virus), vial 0,5 mL
1225 1215 Vaksin Influenza
1230 1216 Vaksin Japanese Enchepalitis (J.E)
905 1217 Vaksin jerap difteri tetanus (DT)
1036 1218 Vaksin jerap difteri tetanus (Td)
907 1219 Vaksin kombinasi DPT-HB-Hib
1176 1220 Vaksin measless rubella (MR) Inj 0,5 mL (s.k)
1223 1221 Vaksin Meningitis Meningokokus
908 1222 Vaksin polio IPV inj 0,5 ml
910 1223 Vaksin rabies, untuk manusia serb inj (s.k./i.k) + booster
1118 1224 Vaksin rabies, untuk manusia serb Inj 2,5 IU
1270 1225 Vaksin Yellow Fever
911 1226 Valasiklovir tab 500 mg
912 1227 Valgansiklovir tab sal 450 mg
913 1228 Valproat sir 250 mg/5 ml
914 1229 Valproat tab sal 250 mg
918 1230 Valproat tab SR 250 mg
917 1231 Valproat tab SR 500 mg
919 1232 Valsartan tab 160 mg
920 1233 Valsartan tab 80 mg
921 1234 Vankomisin serb inj 500 mg/vial
922 1235 Vasopresin inj 20 UI/ml (i.m./s.k.)
923 1236 Verapamil inj 2,5 mg/ml
925 1237 Verapamil tab 240 mg
924 1238 Verapamil tab 80 mg
1255 1239 Vildagliptin tab 50 mg
1130 1240 Vinblastin inj 1 mg/ml
1212 1241 Vinkristin inj 1 mg/ml (vial 1 mL)
1213 1242 Vinkristin inj 1 mg/ml (vial 2 mL)
929 1243 Vinorelbin inj 10 mg/ml, kemasan 1 ml
1224 1244 Vinorelbin inj 10 mg/ml, kemasan 5 ml
937 1245 Vitamin B kompleks
1413 1246 Vitamin C 500 mg minimal non acidic 250 mg
1306 1247 Vorikonazol inj 200 mg
1305 1248 Vorikonazol tab sal selaput 200 mg
931 1249 Warfarin tab 1 mg
930 1250 Warfarin tab 2 mg
932 1251 Zidovudin kaps 100 mg
1140 1252 Zinc drops 10 mg/ml
935 1253 Zinc serb 10 mg
936 1254 Zinc sir 20 mg/5 ml
934 1255 Zinc tab disp 20 mg
PROVINSI dan KAB/KOTA
EMBER 2020 DI SATUAN KERJA
NG DIRENCANAKAN UNTUK DIADAKAN TAHUN 2021
KAIAN RATA-RATA PER BULAN DI SATKER SELAMA TAHUN 2020
1 DESEMBER 2020 DITAMBAH PREDIKSI PENGADAAN TAHUN 2021 DIKURANGI (12 x PEMAKAIAN RATA-RATA PER BULAN TAHUN 2020)
TA PER BULAN SELAMA 2020 DIKALI 15 BULAN DALAM SATUAN TERKECIL SEPERTI : TABLET / KAPSUL / KAPLET / BOTOL / AMPUL / VIAL /
N YANG DIHITUNG BERDASARKAN METODE KONSUMSI DIKURANGI DENGAN PREDIKSI SISA STOK PER 31 DESEMBER 2021
ENGADAAN DI TAHUN 2022 DALAM SATUAN TERKECIL SEPERTI: TABLET / KAPSUL / KAPLET / BOTOL / AMPUL / VIAL / TUBE / SACCHET / PU
ARI SISTEM JIKA SATKER TELAH MENGIRIMKAN PELAPORAN RKO TAHUN 2021
AAN OBAT JKN BAIK E-PURCHASING MAUPUN MANUAL SELAMA TAHUN 2022

KESEHATAN RUJUKAN TINGKAT LANJUT (FKRTL) TAHUN 2022

SATUAN SISA STOK PER 31 PREDIKSI PEMAKAIAN PREDIKSI SISA STOK 31


DESEMBER
(a) 2020 PENGADAAN
(b) RATA-RATA
(c) PER DESEMBER
(d) 2021
= (a)+(b)-(12x(c))
Tab 0 0 00
Tablet/kaplet/kaps 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet salut selap 0 0 00
tablet salut selap 0 0 00
tablet salut selapu 0 0 00
Botol 250 ml 0 0 00
ampul/vial/botol 1 0 0 00
Botol 100 ml 0 0 00
ampul/vial/botol 0 0 00
ampul/vial/botol 2 0 0 00
Flexy bag 500 ml 0 0 00
Botol 500 ml 0 0 00
botol @ 1.000 mL 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Ampul 0 0 00
Tube 0 0 00
Tube 0 0 00
vial/ampul 0 0 00
ampul/vial 10 ml 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Botol @20 ml 0 0 00
Botol @10 ml 0 0 00
Botol @15 ml 0 0 00
botol 60 ml 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
Vial 0 0 00
vial/cartridge 0 0 00
Vial/Cartridge 0 0 00
Penfill 0 0 00
Penfill 0 0 00
Vial/Cartridge/Penf 0 0 00
Vial @10 ml 0 0 00
cartridge disposible 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
botol 60 ml 0 0 00
Kaps 0 0 00
Tube 0 0 00
pot 30 g 0 0 00
Suppositoria 0 0 00
Botol 500 ml 0 0 00
botol 0 0 00
tablet/kapsul/kapl 0 0 00
tab discmelt/tab ce 0 0 00
tab discmelt/ tab c 0 0 00
ampul/vial 0 0 00
Kertas warna penan 0 0 00
Botol 0 0 00
tablet sal enterik/k 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
Botol @5 ml 0 0 00
catchcover, botol 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tube/pot 0 0 00
Tube @ 20 gram 0 0 00
Tube @ 10 gram 0 0 00
Botol 0 0 00
Tube 0 0 00
Tube 0 0 00
Tube 0 0 00
ampul/vial 0 0 00
Ampul 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
tube 0 0 00
Ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
ampul/vial @ 5 ml 0 0 00
ampul/vial @ 2,5 m 0 0 00
Ampul 0 0 00
Tab 0 0 00
Botol 0 0 00
Botol 0 0 00
Tab 0 0 00
ampul/vial 0 0 00
maks botol @60 m 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selapu 0 0 00
Botol 0 0 00
Botol 0 0 00
Disposible plastic 0 0 00
Botol plastik 0 0 00
Vial 0 0 00
Dus/Sachet/Plastik 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Botol @ 5 ml 0 0 00
Catchcover, botol 0 0 00
tube 5 gram 0 0 00
Tube 0 0 00
tube 5 gram 0 0 00
botol @5 ml 0 0 00
catchcover, botol 0 0 00
tablet salut/kaplet 0 0 00
tablet salut/kaplet 0 0 00
Suppositoria 0 0 00
Suppositoria 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selapu 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selap 0 0 00
Vial 0 0 00
Botol 0 0 00
Tab 0 0 00
Botol @ 4 ml 0 0 00
respoules 0 0 00
Botol @ 4 ml 0 0 00
respoules 0 0 00
Botol 0 0 00
100 dosis 0 0 00
200 dosis 0 0 00
Turbuhaler 0 0 00
rapihaler 0 0 00
Turbuhaler 0 0 00
Turbuhaler 0 0 00
rapihaler 0 0 00
vial/ampul @4 ml 0 0 00
ampul/vial 0 0 00
Tab 0 0 00
ampul/vial 0 0 00
set/buah 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Tab 0 0 00
Tab 0 0 00
Vial 0 0 00
Tab 0 0 00
Vial 0 0 00
Tab 0 0 00
tablet dispersible/ 0 0 00
Botol 0 0 00
tab salut selaput/k 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet salut selapu 0 0 00
Botol 0 0 00
Botol 0 0 00
Tab 0 0 00
Tab 0 0 00
Tab 0 0 00
Tube 0 0 00
tube 10 g 0 0 00
tube 15 g 0 0 00
tube 10 g 0 0 00
ultrabag 0 0 00
tube @ 2,5 mL 0 0 00
tube @ 2,5 mL 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
Tube 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
Ampul 0 0 00
ampul/vial 0 0 00
Kapsul lepas lamba 0 0 00
Kapsul lepas lamba 0 0 00
Ampul 0 0 00
Vial 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
botol @60 ml 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
tablet salut selapu 0 0 00
tablet dispersible / 0 0 00
ampul/vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Kaps lunak 0 0 00
Tablet 0 0 00
tablet salut selapu 0 0 00
ampul/vial 0 0 00
tablet salut gula 0 0 00
Tab 0 0 00
Tab 0 0 00
Ampul 0 0 00
Ampul 0 0 00
Ampul 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
Ampul 0 0 00
Vial 25 ml 0 0 00
Vial 5 ml 0 0 00
Vial 25 mL 0 0 00
Kaps 0 0 00
Botol 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Botol @ 60 ml 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Ampul 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
ampul/vial 0 0 00
tablet salut gula/ka 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
Set 0 0 00
Vial 0 0 00
Kaps 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Botol 0 0 00
ampul @ 2 ml 0 0 00
Kaps 0 0 00
Kaps 0 0 00
ampul/vial 0 0 00
Ampul 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
Tab 0 0 00
Tab 0 0 00
Botol 0 0 00
Botol 0 0 00
ampul/vial, @ 10 0 0 00
ampul @ 2 mL 0 0 00
Patch 0 0 00
Patch 0 0 00
Botol 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
Tab sal 0 0 00
tablet salut gula/ka 0 0 00
Vial 0 0 00
tablet salut/kaplet 0 0 00
Vial 0 0 00
Ampul 0 0 00
tablet/kapsul/kapl 0 0 00
Kaps 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Kaplet 0 0 00
Tube 0 0 00
Ampul/vial 0 0 00
Vial 0 0 00
catchcover, botol 0 0 00
botol @5 ml 0 0 00
Vial 0 0 00
Ampul 0 0 00
Ampul 0 0 00
tube @ 5g 0 0 00
Tube 10 g 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
ampul/vial/prefille 0 0 00
Botol 0 0 00
Sachet 0 0 00
Botol 0 0 00
Patch 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Prefilled Syringe @ 0 0 00
Prefilled Syringe @ 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Botol 0 0 00
Sachet 0 0 00
Botol 0 0 00
sachet 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
Vial 0 0 00
Vial 0 0 00
Ampul 0 0 00
ampul/vial 0 0 00
Tube 0 0 00
Botol 0 0 00
Botol 0 0 00
Sachet 0 0 00
Botol 0 0 00
Vial 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
Tab 0 0 00
Tab 0 0 00
tablet lepas lamba 0 0 00
kapsul 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
Ampul 0 0 00
Ampul 0 0 00
kapsul lepas lamba 0 0 00
kapsul lepas lamba 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Ampul @25 ml 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Roll 0 0 00
Roll 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Vial 0 0 00
Ampul 0 0 00
Syringe 0 0 00
Botol 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tube @ 5 g 0 0 00
tube @ 5 g 0 0 00
Vial 0 0 00
Tab 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Vial @10 mL 0 0 00
vial/ cartridge disp 0 0 00
Cartridge, Penfill C 0 0 00
Vial 0 0 00
Cartridge, Penfill C 0 0 00
Vial 0 0 00
Vial 0 0 00
Cartridge disposibl 0 0 00
Vial @10 mL 0 0 00
Ampul 0 0 00
Ampul 0 0 00
tablet lepas lamba 0 0 00
tablet lepas lamba 0 0 00
botol @ 60 ml 0 0 00
botol @ 60 ml 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Kaps 0 0 00
Kaps 0 0 00
ampul/vial/botol 0 0 00
ampul/vial/botol 0 0 00
Botol 0 0 00
Vial 0 0 00
ampul/vial/botol 0 0 00
Vial 0 0 00
ampul/vial/botol 0 0 00
ampul/vial/botol 0 0 00
Vial 0 0 00
ampul/vial/botol 0 0 00
ampul/vial/botol 0 0 00
Ampul/vial/botol 0 0 00
Ampul/vial/botol 0 0 00
Vial 0 0 00
Vial 0 0 00
ampul/vial/botol 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Botol 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Ampul/vial @ 2 mL 0 0 00
Ampul/vial @ 5 mL 0 0 00
Ampul/vial @ 2 mL 0 0 00
Ampul/vial @ 5 mL 0 0 00
Botol 0 0 00
botol @ 250 mL 0 0 00
Tab 0 0 00
Tab 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Set 0 0 00
Set 0 0 00
tablet /kapsul/kapl 0 0 00
Tube gel 0 0 00
Tube 0 0 00
tablet salut selapu 0 0 00
Ampul/vial 0 0 00
tablet lepas lamba 0 0 00
kapsul lunak 0 0 00
kapsul lunak 0 0 00
ampul/vial 0 0 00
Tab 0 0 00
ampul/vial 0 0 00
Tube 0 0 00
Sachet 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Sachet 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tab salut/kaplet sa 0 0 00
tablet/kaplet 0 0 00
tablet/kaplet 0 0 00
tablet/kaplet 0 0 00
Botol 0 0 00
Tab 0 0 00
Tablet 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
Tube 10 g 0 0 00
botol 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
Suppositoria 0 0 00
ampul/vial 0 0 00
botol maks 60 mL 0 0 00
Botol 0 0 00
tablet salut selapu 0 0 00
Kaps 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tube 0 0 00
tube 0 0 00
Kapsul 0 0 00
kapsul 0 0 00
Tab 0 0 00
tablet salut selapu 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
Botol 0 0 00
tab sal selaput 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tube 15g 0 0 00
tube @ 5 gram 0 0 00
vial/ampul 0 0 00
botol 60 ml 0 0 00
Botol 0 0 00
botol 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Tablet 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
tablet salut selapu 0 0 00
Tab sal 0 0 00
Tab 0 0 00
Tab 0 0 00
tablet 0 0 00
tablet 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Ampul 0 0 00
Tab 0 0 00
Botol 0 0 00
tablet salut selapu 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
Tab dispersible 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet dispersible/ 0 0 00
Botol 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut gula 0 0 00
Botol 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
tab salut gula 0 0 00
Vial 0 0 00
Vial 0 0 00
Paket 0 0 00
Tab 0 0 00
Tab 0 0 00
Botol 0 0 00
Pasta tube 0 0 00
Tab 0 0 00
Botol 2,5 mL 0 0 00
catchcover, botol 0 0 00
Catchcover, botol p 0 0 00
Botol plastik @ 5 m 0 0 00
Botol Plastik @ 15 0 0 00
vial 0 0 00
tablet salut selapu 0 0 00
Ampul/vial 0 0 00
Tab 0 0 00
Tab 0 0 00
Botol 0 0 00
aerosol can/canist 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Set 0 0 00
tab/kaptab 0 0 00
tab/kaptab 0 0 00
botol 60 mL 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
botol @ 60 mL 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
Tablet 0 0 00
tablet dispersible/ 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
Softbag @500 mL 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Softbag @1.000 m 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol/vial 0 0 00
Botol 0 0 00
Bag 0 0 00
Bag 0 0 00
Bag 0 0 00
Botol 0 0 00
Botol 0 0 00
Bag 0 0 00
Botol plastik @500 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Softbag @ 500 ml 0 0 00
Botol plastik @ 50 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
softbag 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol plastik @500 0 0 00
Botol plastik @500 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol plastik @500 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
botol/softbag 0 0 00
Botol 0 0 00
botol/softbag @ 5 0 0 00
botol/softbag @ 1 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol plastik @500 0 0 00
Botol plastik @500 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
botol @ 2,5 mL 0 0 00
catchcover, botol 0 0 00
tablet salut selapu 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
Vial 0 0 00
Tablet 0 0 00
Tablet 0 0 00
vial/ botol/ flexy 0 0 00
vial / botol / flex 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selapu 0 0 00
botol @ 5mL 0 0 00
pack/ sachet/ set 0 0 00
tablet/kaplet/kaps 0 0 00
tablet/kaplet/kaps 0 0 00
syringe/syringe pla 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
Tube 0 0 00
botol 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tab sal selaput 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tab sal 0 0 00
ampul/vial 0 0 00
Botol 0 0 00
Vial 0 0 00
Vial 0 0 00
ampul/vial @25 ml 0 0 00
ampul/vial 0 0 00
ampul/vial @25 ml 0 0 00
ampul/vial 0 0 00
Sachet 0 0 00
Botol @ 250 ml 0 0 00
Botol @ 100 ml 0 0 00
Botol @ 500 ml 0 0 00
Tab sal 0 0 00
tablet salut selapu 0 0 00
Vial 0 0 00
Botol 0 0 00
Tan 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
tablet salut enterik 0 0 00
Vial 0 0 00
Botol 1000 ml 0 0 00
Ampul 0 0 00
Tab salut 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet/kaplet salut 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
botol @ 10mL 0 0 00
ampul/vial 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Ampul 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Tab 0 0 00
botol 0 0 00
Ovula 0 0 00
Suppositoria 0 0 00
Botol @ 100 ml 0 0 00
Botol @ 60 ml 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut/kaplet 0 0 00
tablet salut/kaplet 0 0 00
tube 0 0 00
botol / sachet 0 0 00
ampul/vial 0 0 00
Sachet 0 0 00
Vial 0 0 00
Vial 0 0 00
vial/ampul/botol/ 0 0 00
tablet salut selapu 0 0 00
Botol 0 0 00
tube 10 gram 0 0 00
Tube 5 gram 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet lepas lamba 0 0 00
tablet lepas lamba 0 0 00
Tab 0 0 00
tube 0 0 00
tube 0 0 00
Sachet 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
Botol @100 ml 0 0 00
Ampul/botol @ 10 0 0 00
Botol @500 ml 0 0 00
Botol @1.000 mL 0 0 00
Botol @25 ml 0 0 00
Botol @250 ml 0 0 00
Botol plastik @500 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Ampul 0 0 00
botol @ 15 mL 0 0 00
catchcover, botol 0 0 00
Botol @5 ml 0 0 00
Ampul 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet salut enteri 0 0 00
tablet salut enteri 0 0 00
botol 5 mL 0 0 00
Botol 0 0 00
botol 0 0 00
tube 0 0 00
Tube 0 0 00
botol 0 0 00
Botol 0 0 00
ampul/vial 0 0 00
Ampul 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet lepas lamba 0 0 00
tablet lepas lamba 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial/botol 0 0 00
tablet salut selapu 0 0 00
botol/vial 0 0 00
tablet salut gula/ka 0 0 00
tablet/kaplet 0 0 00
Tab 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
paket 0 0 00
paket 0 0 00
paket 0 0 00
paket 0 0 00
Paket 0 0 00
paket 0 0 00
tablet salut selaput 0 0 00
tablet salut selaput 0 0 00
Botol @ 5 mL 0 0 00
Vial 0 0 00
Vial 0 0 00
Botol 0 0 00
Ampul/vial @2 mL 0 0 00
Ampul/vial @1 mL 0 0 00
Kaps 0 0 00
Kaps 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
Tab 0 0 00
Tab 0 0 00
botol @ 10 mL 0 0 00
botol @ 10 mL 0 0 00
tube 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
botol 0 0 00
ampul/vial 0 0 00
Vial 0 0 00
vial 0 0 00
Ampul 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
Botol 0 0 00
Botol 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Ampul 0 0 00
Ampul 0 0 00
Ampul 0 0 00
Ampul 0 0 00
Ampul 0 0 00
Botol 0 0 00
Tab 0 0 00
vial/ flexybag/bot 0 0 00
botol @ 60 mL 0 0 00
tablet/kapsul/kapl 0 0 00
botol @ 15 mL 0 0 00
Tube 0 0 00
Tube 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Botol 0 0 00
Botol 0 0 00
Tube 0 0 00
tablet/kapsul/kapl 0 0 00
Tube 30 g 0 0 00
Tube 15 g 0 0 00
Tube 10 g 0 0 00
Vial 0 0 00
Catchcover, botol 0 0 00
Botol 5 ml 0 0 00
tablet 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
Ampul 0 0 00
tab/kap/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tablet 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
botol @ 60 mL 0 0 00
Botol 300 ml 0 0 00
botol @ 1.000 mL 0 0 00
botol 30 mL 0 0 00
tablet/kapsul/kapl 0 0 00
tablet lepas lamba 0 0 00
tablet lepas lamba 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
catchcover, botol 0 0 00
Botol @5mL 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Paket 0 0 00
ampul/vial 0 0 00
Vial 0 0 00
Botol 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
Ampul 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Ampul 0 0 00
tablet/kapsul/kapl 0 0 00
tablet SR/kaplet SR 0 0 00
tab SR 0 0 00
tablet SR/kaplet SR 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
kaps lunak 0 0 00
kaps lunak 0 0 00
tab sal selaput 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tablet/kapsul/kapl 0 0 00
tablet 0 0 00
Botol 0 0 00
Botol 0 0 00
tablet salut selaput 0 0 00
botol 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Ampul 0 0 00
Ampul 0 0 00
tablet salut/kaplet 0 0 00
tablet salut/kaplet 0 0 00
tablet salut/kaplet 0 0 00
ampul/vial 0 0 00
tablet lepas lamba 0 0 00
tablet lepas lamba 0 0 00
tablet lepas lamba 0 0 00
ampul/polyamp/via 0 0 00
tablet/kapsul/kapl 0 0 00
canister / botol 0 0 00
ampul/vial/botol 0 0 00
Botol 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
pot 30 gram 0 0 00
pot 15 gram 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
botol @ 60 mL 0 0 00
botol @ 60 mL 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
botol 0 0 00
Tab 0 0 00
Tablet 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
Tab 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
tablet salut/kaplet 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Ampul 0 0 00
Vial 0 0 00
Ampul/vial 0 0 00
botol @ 60 mL 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Tab 0 0 00
botol 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Botol 0 0 00
Ampul 0 0 00
Ampul 0 0 00
kaps lunak 0 0 00
kaps lunak 0 0 00
Kaps lunak 0 0 00
Tab 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
Tab sal 0 0 00
vial/ botol 100 ml 0 0 00
tablet salut selapu 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
ampul/vial @ 1 mL 0 0 00
ampul/vial @ 10 m 0 0 00
Ampul/vial 0 0 00
tablet salut selaput 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Softbag @ 250 ml 0 0 00
tablet salut selapu 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Tab 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
Ampul 0 0 00
Vial 0 0 00
botol 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut enteri 0 0 00
Vial 0 0 00
Botol 0 0 00
Tube 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
kapsul lepas lamba 0 0 00
kapsul lepas lamba 0 0 00
Tablet 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tab lepas lambat / 0 0 00
Set 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selapu 0 0 00
tablet/kapsul/kapl 0 0 00
tablet lepas lamba 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
ampul/vial 0 0 00
Vial 0 0 00
botol 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
kapsul lunak 0 0 00
Ampul 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tube 0 0 00
Set 0 0 00
tablet salut selap 0 0 00
tablet salut selap 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
botol @ 5 mL 0 0 00
botol @ 5 mL 0 0 00
Ampul 0 0 00
Ampul 0 0 00
Handihaler 0 0 00
Botol 0 0 00
Botol @ 5 ml 0 0 00
Catchcover, botol 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
vial 0 0 00
vial 0 0 00
ampul/vial 0 0 00
Botol 0 0 00
Botol 0 0 00
Ampul 0 0 00
ampul/vial 0 0 00
tablet salut selapu 0 0 00
tablet/kapsul/kapl 0 0 00
Catchcover, botol 0 0 00
Botol @ 5 ml 0 0 00
Ampul 0 0 00
Tube/pot 0 0 00
Tube/pot 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Ampul/vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut/kaplet 0 0 00
botol @ 120 ml 0 0 00
tablet salut enterik 0 0 00
tabet lepas lambat 0 0 00
tabet lepas lambat 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut/kaplet 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet lepas lamba 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
Ampul 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet 0 0 00
Tablet/kapsul/kaple 0 0 00
vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Sachet 0 0 00
botol 0 0 00
tablet dispersible 0 0 00
TA-RATA PER BULAN TAHUN 2020)
UL / KAPLET / BOTOL / AMPUL / VIAL / TUBE / SACCHET / PUFF
ER 31 DESEMBER 2021
/ AMPUL / VIAL / TUBE / SACCHET / PUFF YANG AKAN DIADAKAN TAHUN 2021 BERDASARKAN

JUMLAH RENCANA RENCANA RENCANA REALISASI


KEBUTUHAN
(e) = (c) x 15 KEBUTUHAN
(f) = (e) - (d) PENGADAAN
(g) PENGADAAN
(h) PENGADAAN
(i)
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 45000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 500 0
0 0 0 17000 0
0 0 0 130000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 20 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 100 0
0 0 0 45000 0
0 0 0 2500 0
0 0 0 5000 0
0 0 0 16000 0
0 0 0 4000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 3000 0
0 0 0 0 0
0 0 0 200 0
0 0 0 50 0
0 0 0 3000 0
0 0 0 200 0
0 0 0 60000 0
0 0 0 100000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 25000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 5000 0
0 0 0 3000 0
0 0 0 0 0
0 0 0 1500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 90000 0
0 0 0 600 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 100000 0
0 0 0 0 0
0 0 0 15000 0
0 0 0 0 0
0 0 0 170000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 130000 0
0 0 0 3500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 10000 0
0 0 0 500 0
0 0 0 12000 0
0 0 0 8000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 8500 0
0 0 0 3000 0
0 0 0 0 0
0 0 0 13000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 35000 0
0 0 0 5000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 5000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 4000 0
0 0 0 50000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 150 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1000 0
0 0 0 200 0
0 0 0 6000 0
0 0 0 6500 0
0 0 0 1500 0
0 0 0 15000 0
0 0 0 25000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 2500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1000 0
0 0 0 300 0
0 0 0 0 0
0 0 0 1500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 21500 0
0 0 0 21000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 350 0
0 0 0 32000 0
0 0 0 100000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 5000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 32000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 4500 0
0 0 0 4500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 50 0
0 0 0 0 0
0 0 0 0 0
0 0 0 2000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 45000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 50 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 6500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 300 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 200 0
0 0 0 20 0
0 0 0 300 0
0 0 0 0 0
0 0 0 0 0
0 0 0 2000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 20000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 61000 0
0 0 0 0 0
0 0 0 30 0
0 0 0 50 0
0 0 0 0 0
0 0 0 8000 0
0 0 0 3500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 450 0
0 0 0 20 0
0 0 0 0 0
0 0 0 2500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 400 0
0 0 0 1000 0
0 0 0 300 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 6500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 300 0
0 0 0 1000 0
0 0 0 0 0
0 0 0 300 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 2500 0
0 0 0 32000 0
0 0 0 0 0
0 0 0 16000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 20000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 6000 0
0 0 0 1000 0
0 0 0 0 0
0 0 0 300 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 6000 0
0 0 0 2500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 61000 0
0 0 0 23000 0
0 0 0 55000 0
0 0 0 40000 0
0 0 0 50000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 2000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 8000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 2000 0
0 0 0 500 0
0 0 0 500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 3000 0
0 0 0 0 0
0 0 0 500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 100 0
0 0 0 2500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 300 0
0 0 0 0 0
0 0 0 200 0
0 0 0 7000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 500 0
0 0 0 0 0
0 0 0 7000 0
0 0 0 7000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 2000 0
0 0 0 0 0
0 0 0 150000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 250 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 55000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 70000 0
0 0 0 30000 0
0 0 0 0 0
0 0 0 10000 0
0 0 0 20000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 16000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 3000 0
0 0 0 200 0
0 0 0 50000 0
0 0 0 0 0
0 0 0 500 0
0 0 0 0 0
0 0 0 3500 0
0 0 0 0 0
0 0 0 3500 0
0 0 0 7000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 8500 0
0 0 0 30000 0
0 0 0 35000 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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KETERANGAN
(j)

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