DAFTAR PENGADAAN OBAT BERDASARKAN E-CATALOGUE OBAT Formulir 2

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VOLUME E-CATALOGUE OBAT

JUMLAH HARGA
No NAMA OBAT, BENTUK SEDIAAN, KEKUATAN KEMASAN SATUAN KEBUTUHAN HARGA SATUAN (RUPIAH)
(SATUAN) PENYEDIA DISTRIBUTOR
(Rupiah)
1 2 3 4 5 6 7 8 9
(Seretide Inhaler 50 mcg) PT. Glaxo Wellcome PT. Anugerah
1 Dus, Botol 120 Dosis Botol 57,750 0
Komb. Salmeterol 25mcg dan Fluticasone Prop. 50 mcg Indonesia Pharmindo Lestari
(Seretide Diskus 100 mcg) PT. Glaxo Wellcome PT. Anugerah
2 Dus, Foil Strip @ 60 Dosis Diskus 111,850 0
Komb. Salmeterol 50mcg dan Fluticasone Prop. 100 mcg Indonesia Pharmindo Lestari
(Seretide Diskus 250 mcg) PT. Glaxo Wellcome PT. Anugerah
3 Dus, Foil Strip @ 60 Dosis Diskus 125,716 0
Komb. Salmeterol 50mcg dan Fluticasone Prop. 250 mcg Indonesia Pharmindo Lestari
(Seretide Diskus 500 mcg) PT. Glaxo Wellcome PT. Anugerah
4 Dus, Foil Strip @ 60 Dosis Diskus 137,492 0
Komb. Salmeterol 50mcg dan Fluticasone Prop. 500 mcg Indonesia Pharmindo Lestari
Lamictal 25 mg PT. Glaxo Wellcome PT. Anugerah
5 Dus, 3 Blister @ 10 tablet Tablet 2,979 0
(Lamotrigine) Indonesia Pharmindo Lestari
Lamictal 50 mg PT. Glaxo Wellcome PT. Anugerah
6 Dus, 3 Blister @ 10 tablet Tablet 2,783 0
(Lamotrigine) Indonesia Pharmindo Lestari
Lamictal 100 mg PT. Glaxo Wellcome PT. Anugerah
7 Dus, 3 Blister @ 10 tablet Tablet 6,490 0
(Lamotrigine) Indonesia Pharmindo Lestari
(Requip PD 24 hour 2 mg) Dus, 7 Blister @ 4 tablet PT. Glaxo Wellcome PT. Anugerah
8 Tablet 4,844 0
Ropinirol Tablet Salut 2 mg Lepas Lambat Indonesia Pharmindo Lestari
(Requip PD 24 hour 4 mg) Dus, 7 Blister @ 4 tablet PT. Glaxo Wellcome PT. Anugerah
9 Tablet 5,730 0
Ropinirol Tablet Salut 4 mg Lepas Lambat Indonesia Pharmindo Lestari
(Requip PD 24 hour 8 mg) Dus, 7 Blister @ 4 tablet PT. Glaxo Wellcome PT. Anugerah
10 Tablet 6,741 0
Ropinirol Tablet Salut 8 mg Lepas Lambat Indonesia Pharmindo Lestari
(Avodart) Dus, Botol Plastik @ 30 PT. SmithKline Beecham PT. Anugerah
11 Kapsul 4,935 0
Dutasterid Kapsul Lunak 0,5mg Kapsul Pharmaceuticals Pharmindo Lestari
(Alkeran) PT. Glaxo Wellcome PT. Anugerah
12 Tablet 12,130 0
Melfalan tablet 2 mg Dus @ 25 tablet (botol) Indonesia Pharmindo Lestari
(Azathioprine) PT. Glaxo Wellcome PT. Anugerah
13 Dus, 4 Blister @ 25 tablet Tablet 7,490 0
Imuran Indonesia Pharmindo Lestari

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