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) (Rupiah) PENYEDIA DISTRIBUTOR
1 2 3 4 5 6 7 8 9
(Seretide Inhaler 50 mcg) PT. Glaxo Wellcome PT. Anugerah
1 Dus, Botol 120 Dosis Botol 59,000 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
(Flixotide Nebules) Dus, 2 Flow Wrap @ 5 PT. Glaxo Wellcome PT. Anugerah
5 Botol 14,738 0
Fluticasone Propionate Nebule 0,5mg nebule @1 Dosis (2ml) Indonesia Pharmindo Lestari
(Flixotide Inhaler 50mcg) PT. Glaxo Wellcome PT. Anugerah
6 Dus, @1 inhaler (50mcg) Botol 84,000 0
Fluticasone Propionate inh 50mcg Indonesia Pharmindo Lestari
(Zinnat 250 mg) Dus, 1 Blister @ 10 Tablet PT. Glaxo Wellcome PT. Anugerah
7 Tablet 4,725 0
Sefuroksim Tablet/Kapsul/Kaplet 250 mg Salut Selaput Indonesia Pharmindo Lestari
(Zinnat 500 mg) Dus, 1 Blister @ 10 Tablet PT. Glaxo Wellcome PT. Anugerah
8 Tablet 4,725 0
Sefuroksim Tablet/Kapsul/Kaplet 500 mg Salut Selaput Indonesia Pharmindo Lestari
(Requip PD 24 hour 2 mg) Dus, 7 Blister @ 4 tablet PT. Glaxo Wellcome PT. Anugerah
9 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
10 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
11 Tablet 6,741 0
Ropinirol Tablet Salut 8 mg Lepas Lambat Indonesia Pharmindo Lestari
(Avodart) Dus, Botol Plastik @ 30 PT. SmithKline Beecham PT. Anugerah
12 Kapsul 4,935 0
Dutasterid Kapsul Lunak 0,5mg Kapsul Pharmaceuticals Pharmindo Lestari
(Avamys) PT. Glaxo Wellcome PT. Anugerah
13 Dus, Botol 120 Dosis Spray Botol 115,400 0
Fluticasone Furoate Intranasal Spray Indonesia Pharmindo Lestari
(Alkeran) PT. Glaxo Wellcome PT. Anugerah
14 Tablet 12,000 0
Melfalan tablet 2 mg Dus @ 25 tablet (botol) Indonesia Pharmindo Lestari
Lamictal 25 mg PT. Glaxo Wellcome PT. Anugerah
15 Dus, 3 Blister @ 10 tablet Tablet 3,049 0
(Lamotrigine) Indonesia Pharmindo Lestari
Lamictal 50 mg PT. Glaxo Wellcome PT. Anugerah
16 Dus, 3 Blister @ 10 tablet Tablet 2,280 0
(Lamotrigine) Indonesia Pharmindo Lestari
Lamictal 100 mg PT. Glaxo Wellcome PT. Anugerah
17 Dus, 3 Blister @ 10 tablet Tablet 6,490 0
(Lamotrigine) Indonesia Pharmindo Lestari
Keppra 250 mg Dus, 3 Blister @ 10 Tablet PT. Glaxo Wellcome PT. Anugerah
18 Tablet 4,200 0
(levetiracetam) Salut Selaput Indonesia Pharmindo Lestari
Keppra 500 mg Dus, 2 Blister @ 10 Tablet PT. Glaxo Wellcome PT. Anugerah
19 Tablet 4,935 0
(levetiracetam) Salut Selaput Indonesia Pharmindo Lestari
Imuran PT. Glaxo Wellcome PT. Anugerah
20 Dus, 4 Blister @ 25 tablet Tablet 7,490 0
(Azathioprine) Indonesia Pharmindo Lestari
(Ventolin Inhaler) PT. Glaxo Wellcome PT. Anugerah
21 Dus, Botol 200 Dosis Botol 60,000 0
Sabutamol inhalasi/aerosol 100mcg/dosis Indonesia Pharmindo Lestari
(Ventolin Nebules) Dus, 4x5 Botol Plastik @ PT. Glaxo Wellcome PT. Anugerah
22 Botol 4,000 0
Salbutamol cairan inhalasi 0,1% 2.5ml Indonesia Pharmindo Lestari
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