RKO 2019 Prov Kep. Bangka Belitung Kab.

Bangka Tengah
PEMAKAIAN RATA- JUMLAH RENCANA
SISA STOK PER 31
NO NAMA OBAT SATUAN RATA PER BULAN KEBUTUHAN KEBUTUHAN
DESEMBER 2017
SELAMA 2017 TAHUN 2019 TAHUN 2019
(a) (b) (c) = (e) x 18 (d) = (f) - (d)
153-Sm-EDTMP (ethylenediamine tetramethylene phosphonic acid) 44 mg Ca/Na
1 Tab 0 0 0 0
EDTMP, 5-46 ?g samarium, dan 1850 ± 185 mbq samarium 153 per ml
2 Adefovir dipivoksil tab 10 mg Tab 0 0 0 0
3 Afatinib tab sal selaput 40 mg Tablet 0 0 0 0
4 Air untuk injeksi amp 20 ml Ampul 0 4 72 72
5 Air untuk injeksi amp 25 ml Ampul 0 36 648 648
6 Air untuk irigasi lar inf 1000 ml Botol 0 0 0 0
7 Akarbose tab 100 mg Tab 1,400 8 144 -1,256
8 Akarbose tab 50 mg Tab 0 0 0 0
9 Albendazol susp 200 mg/5 ml Botol 0 2 36 36
10 Albendazol tab 400 mg Tab 15,000 4,225 76,050 61,050
11 Albumin serum normal (human albumin) inj 20% 100 ml Botol 0 0 0 0
12 Albumin serum normal (human albumin) inj 20% 50 ml Botol 0 0 0 0
13 Albumin serum normal (human albumin) inj 25% 100 ml Botol 0 0 0 0
14 Albumin serum normal (human albumin) inj 25% 20 ml Botol 0 0 0 0
15 Albumin serum normal (human albumin) inj 25% 50 ml Botol 0 0 0 0
16 Albumin serum normal (human albumin) inj 5% 250 ml Botol 0 0 0 0
17 Albumin serum normal (human albumin) inj 5% 50 ml Botol 0 0 0 0
18 Alopurinol tab 100 mg Tab 23,000 3,621 65,178 42,178
19 Alopurinol tab 300 mg Tab 3,000 225 4,050 1,050
20 Alprazolam tab 0,25 mg Tab 0 0 0 0
21 Alprazolam tab 0,5 mg Tab 1,600 60 1,080 -520
22 Alprazolam tab 1 mg Tab 2,600 204 3,672 1,072
23 Alteplase serb inj 50 mg/vial Vial 0 0 0 0
24 Amfoterisin B inj 50 mg/10 ml (i.v.) Ampul 0 0 0 0
25 Amfoterisin B salep mata 1% Tube 0 0 0 0
26 Amfoterisin B salep mata 3% Tube 0 0 0 0
27 Amikasin inj 250 mg/ml Vial 0 0 0 0
28 Amilorid tab 2,5 mg Tab 0 0 0 0
29 Amilorid tab 5 mg Tab 0 0 0 0
30 Aminofilin inj 24 mg/ml Ampul 420 8 144 -276
31 Aminofilin tab 150 mg Tab 0 0 0 0
32 Aminofilin Tab 200 mg Tab 7,800 675 12,150 4,350
33 Amiodaron inj 150 mg/3 ml Ampul 0 0 0 0
34 Amiodaron tab 200 mg Tab 1,980 0 0 -1,980
35 Amitriptilin tab sal 25 mg Tab sal 3,200 83 1,500 -1,700
36 Amlodipin tab 10 mg Tab 92,010 6,257 112,626 20,616
37 Amlodipin tab 5 mg Tab 242,100 4,104 73,872 -168,228
38 Amoksisilin drops 100 mg/ml Botol 0 0 0 0
39 Amoksisilin sir forte 250 mg/5 ml Botol 0 37 666 666
40 Amoksisilin sir kering 125 mg/5 ml Botol 4,400 666 11,988 7,588
41 Amoksisilin tab 250 mg Tab 41,800 875 15,750 -26,050
42 Amoksisilin tab 500 mg Tab 241,800 21,977 395,586 153,786
43 Ampisilin serb inj 1000 mg/vial Vial 0 0 0 0
44 Ampisilin serb inj 250 mg/vial Vial 0 0 0 0
Analog insulin : fast acting inj 100 UI/ml (kemasan vial, cartridge disposible, penfil Vial/Cartridge
45 0 0 0 0
cartridge)
Analog insulin : intermediate acting inj 100 UI/ml (kemasan vial, cartridge disposible vial/cartridge
46 0 0 0 0
penfill cartridge)
47 Analog insulin : long acting (inj 100 UI/ml ) Vial/Cartridge 0 0 0 0
48 Analog insulin : long acting (inj 100 UI/ml) Penfill 5 10 180 175
49 Analog insulin : mix insulin (inj 100 UI/ml) Vial/Cartridge 0 0 0 0
50 Analog insulin : mix insulin (inj 100 UI/ml) Penfill 55 14 252 197
51 Anastrozol tab 1 mg Tab 0 0 0 0
52 Anestetik lokal gigi kombinasi : lidokain hcl 2% + epinefrin 1 : 80.000 inj 2 ml Vial 16,280 641 11,538 -4,742
Antasida, kombinasi : aluminium hidroksida 200 mg + magnesium hidroksida 200 Tab
53 189,400 14,309 257,562 68,162
mg
Antasida, kombinasi : aluminium hidroksida 200 mg + magnesium hidroksida 200 Botol
54 9,600 535 9,630 30
mg
55 Anti Parkinson kombinasi : benzerasid 25 mg + levodopa 100 mg Kaps 0 0 0 0
56 Antibakteri, kombinasi : basitrasin 500 UI/g+ Polimiskin B 10.000 UI/g Tube 4,625 280 5,040 415
57 Antifungi salep, kombinasi : asam benzoat 6%+ asam salisilat 3% Tube 1,632 30 540 -1,092
Antihemoroid, kombinasi: bismut subgalat 150 mg + heksaklorofen 2,5 mg + Botol
58 1,330 91 1,638 308
lidokain lidokain 10 mg+ seng oksida 120 mg + sup ad 2 g
59 Antimalaria kombinasi : sulfadoksin 500 mg + primetamin 25 mg Kaps 0 0 0 0
60 Aripiperazol oral solution 1 mg/ml Botol 0 0 0 0
61 Aripiperazol tab discmelt 10 mg Tab 0 0 0 0
62 Aripiperazol tab discmelt 15 mg Tab 0 0 0 0
63 Artemether inj 80 mg/ml Ampul 0 1 18 18
64 Artesunat serb inj 60 mg/ml (i.v./i.m.) Vial 80 7 120 40
Articulating paper kertas warna penanda oklusi Kertas warna
65 0 0 0 0
penanda oklusi
66 Asam asetilsalisilat (asetosal) tab 100 mg Tab 0 30 540 540
67 Asam asetilsalisilat (asetosal) tab 80 mg Tab 8,000 382 6,876 -1,124
68 Asam askorbat (vitamin C) tab 250 mg Tab 0 0 0 0
69 Asam askorbat (vitamin C) tab 50 mg Tab 39,000 9,338 168,084 129,084
70 Asam folat tab 0,4 mg Tab 0 0 0 0
71 Asam folat tab 1 mg Tab 14,400 2,529 45,522 31,122
72 Asam folat tab 5 mg Tab 0 0 0 0
73 Asam fusidat tts mata 1% Botol 0 0 0 0
74 Asam ibandronat inj 1 mg/ml Vial 0 0 0 0
75 Asam mefenamat kaps 250 mg Kaps 0 0 0 0
76 Asam mefenamat kaps 500 mg Kaps 141,400 18,649 335,682 194,282
77 Asam pipemidat kaps 400 mg Kaps 0 0 0 0
78 Asam retinoat krim 0,1% Tube 0 0 0 0
79 Asam salisilat lar 0,1% Botol 0 0 0 0
80 Asam salisilat salep 10% Tube 0 0 0 0
81 Asam salisilat salep 2% Tube 0 0 0 0
82 Asam salisilat salep 5% Tube 0 0 0 0
83 Asam traneksamat inj 100 mg/ml Ampul 145 2 36 -109
84 Asam traneksamat inj 50 mg/ml Ampul 0 0 0 0
85 Asam traneksamat tab 500 mg Tab 0 0 0 0
86 Asam ursodeoksikolat kaps 250 mg Kaps 0 0 0 0
87 Asam zoledronat inf 4 mg/100 ml Vial 0 0 0 0
88 Asetazolamid tab 250 mg Tab 0 0 0 0
89 Asiklovir salep mata 3% Tube 0 23 414 414
90 Asiklovir tab 200 mg Tab 2,600 715 12,870 10,270
91 Asiklovir tab 400 mg Tab 0 459 8,262 8,262
92 Asparaginase serb inj 10.000 UI/vial Vial 0 0 0 0
93 Atapulgit 600 mg Tab 13,400 117 2,106 -11,294
94 Atapulgit tab 630 mg Tablet 0 0 0 0
95 Atapulgit tablet 650 mg Tab 0 0 0 0
96 Atapulgit tablet 750 mg Tab 0 0 0 0
97 Atenolol tab 100 mg Tab 0 0 0 0
98 Atenolol tab 50 mg Tab 0 0 0 0
99 Atorvastatin tab 10 mg Tab 0 0 0 0
100 Atorvastatin tab 20 mg Tab 1,170 25 450 -720
101 Atrakurium inj 10 mg/ml (i.v) Vial 0 0 0 0
102 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 700 25 450 -250
103 Atropin inj 1 mg/ml (i.m./i.v./s.k) Ampul 0 0 0 0
104 Atropin tab 0,5 mg Tab 600 17 306 -294
105 Atropin tts mata 0,5% Botol 0 0 0 0
106 Atropin tts mata 1% Botol 0 0 0 0
107 Azatioprin tab 50 mg Tab 0 0 0 0
108 Azitromisin serb inj 500 mg Vial 0 0 0 0
109 Azitromisin sir kering 200 mg/5 ml Botol 0 0 0 0
110 Azitromisin tab 250 mg Tab 0 0 0 0
111 Azitromisin tab 500 mg Tab 400 22 396 -4
112 Bahan tumpatan sementara lar, serb Botol 0 0 0 0
113 Barium sulfat serb 92 g/100 ml Botol 0 0 0 0
114 Barium sulfat susp 2,2% Botol 0 0 0 0
115 Barium sulfat susp 55% Botol 0 0 0 0
116 Barium sulfat susp 65% Botol 0 0 0 0
117 Bedak salisil serb 2% Botol 5,900 106 1,908 -3,992
118 Benzatin penisilin inj 1,2 juta UI/ml (i.m.) Vial 0 0 0 0
119 Benzatin penisilin inj 2,4 juta UI/ml (i.m.) Vial 0 0 0 0
120 Beractant susp 25 mg/ml (intratekal) Botol 0 0 0 0
121 Beraprost sodium tab 20 mcg Tab 0 0 0 0
122 Betahistin tab 24 mg Tab 0 0 0 0
123 Betahistin tab 6 mg Tab 20,400 260 4,680 -15,720
124 Betaksolol tts mata 0,5% Botol 0 0 0 0
125 Betametason krim 0,1% Tube 4,598 148 2,664 -1,934
126 Betametason krim 0,5 mg/g Tube 0 0 0 0
127 Betametason salep 0,1% Tube 0 11 198 198
128 Betametason tts mata 1 mg/ml Botol 0 0 0 0
129 Bevasizumab inj 25 mg/ml Vial 0 0 0 0
130 Bikalutamid tab sal 150 mg Tab 0 0 0 0
131 Bikalutamid tab sal 50 mg Tab 0 0 0 0
132 Bisakodil sup 10 mg Botol 850 21 378 -472
133 Bisakodil sup 5 mg Botol 0 0 0 0
134 Bisakodil tab sal 5 mg Tab sal 2,040 5 90 -1,950
135 Bisoprolol tab 1,25 mg Tab 0 0 0 0
136 Bisoprolol tab 10 mg Tab 0 0 0 0
137 Bisoprolol tab 2,5 mg Tab 900 36 648 -252
138 Bisoprolol tab 5 mg Tab 2,200 108 1,944 -256
139 Bleomisin serb inj 15 mg/ml Vial 0 0 0 0
140 Brinzolamid tetes mata Botol 0 0 0 0
141 Bromokriptin tab 2,5 mg Tab 0 0 0 0
142 Budesonid cairan ih 0,25mg/ml Botol 160 0 0 -160
143 Budesonid ih 200 mcg/dosis Botol 0 0 0 0
144 Budesonid serb ih 100 mcg/dosis Botol 0 0 0 0
145 Budesonid-formoterol (fixed combination)* ih 160/4,5 mcg Botol 0 1 18 18
146 Budesonid-formoterol (fixed combination)* ih 80/4,5 mcg Botol 0 0 0 0
147 Bupivakain heavy inj 5 mg/ml (hcl) + glukosa 8% Ampul 0 0 0 0
148 Bupivakain inj 5 mg/ml (p.v.) Ampul 0 0 0 0
149 Busulfan tab salut 2 mg Tab 0 0 0 0
150 Coal tar lar 5 % Botol 0 0 0 0
151 Copper T set/buah 0 0 0 0
152 Dabigatran eteksilat kaps 110 mg Kaps 0 0 0 0
153 Dabigatran eteksilat kaps 75 mg Kaps 0 0 0 0
154 Dakarbazin serb inj 100 mg/vial Vial 0 0 0 0
155 Dakarbazin serb inj 200 mg/vial Vial 0 0 0 0
156 Daktinomisin inj 0,5 mg/vial (i.v.) Vial 0 0 0 0
157 Dapson tab scored 100 mg Tab 0 0 0 0
158 Daunorubisin serb inj 20 mg/vial Vial 0 0 0 0
159 Deferasiroks tab disp 250 mg Tab 0 0 0 0
160 Deferasiroks tab disp 500 mg Tab 0 0 0 0
161 Deferipron lar oral 100 mg/ml Botol 0 0 0 0
162 Deferipron tab sal 500 mg Botol 0 0 0 0
163 Deferoksamin mesilat serb inj 500 mg/vial Vial 0 0 0 0
164 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 3,000 56 1,008 -1,992
165 Deksametason tab 0,5 mg Tab 113,500 16,894 304,092 190,592
166 Deksametason tab 4 mg Tab 0 0 0 0
167 Deksmedetomidin Inj 100 mcg/ml Ampul 0 0 0 0
168 Desmopresin nasal spray 10 mcg/puff Botol 0 0 0 0
169 Desmopresin tab 0,1 mg Tab 0 0 0 0
170 Desmopresin tab 0,2 mg Tab 0 0 0 0
171 Desogestrel tab 75 mcg Tab 0 0 0 0
172 Desoksimetason gel 0,05% Tube 0 0 0 0
173 Desoksimetason krim 0,25% Tube 0 0 0 0
174 Desoksimetason salep 0,25% Tube 0 0 0 0
175 Dialisa peritoneal lar intraperitonial Botol 0 0 0 0
176 Diazepam inj 5 mg/ml (i.v./i.m.) Vial 120 15 270 150
177 Diazepam lar rektal 10 mg/2,5 ml Botol 240 1 18 -222
178 Diazepam lar rektal 5 mg/2,5 ml Botol 430 11 198 -232
179 Diazepam tab 2 mg Tab 9,100 534 9,612 512
180 Diazepam tab 5 mg Tab 5,000 275 4,950 -50
181 Dienogest tab 2 mg Tablet 0 0 0 0
182 Dietilkarbamazin tab 100 mg Tab 70,000 0 0 -70,000
183 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 840 48 864 24
184 Diflukortolon valerat salep berlemak 0,1% Tube 0 0 0 0
185 Digoksin inj 0,25 mg/ml Vial 0 0 0 0
186 Digoksin tab 0,25 mg Tab 5,100 150 2,700 -2,400
187 Diltiazem hcl inj 5 mg/5 ml Ampul 0 0 0 0
188 Diltiazem hcl tab 30 mg Tab 2,000 0 0 -2,000
189 Diltiazem inj 25 mg/5 ml Ampul 0 0 0 0
190 Diltiazem kaps SR 100 mg Kaps 900 0 0 -900
191 Diltiazem kaps SR 200 mg Kaps 0 0 0 0
192 Diltiazem serb inj 10 mg/10 ml Ampul 0 0 0 0
193 Diltiazem serb inj 50 mg/vial Vial 0 0 0 0
194 Diltiazem tab 30 mg Tab 0 0 0 0
195 Dimenhidrinat tab 50 mg Tab 6,100 75 1,350 -4,750
196 Dinatrium edetat tts mata 0,35% Botol 0 0 0 0
197 Dinatrium klodronat inj 60 mg/ml Botol 0 0 0 0
198 DMSA (dimercapto succinic acid) 1,1 mg meso-2, 3-dimercaptosuccinic acid/vial Vial 0 0 0 0
199 Dobutamin inj 12,5 mg/ml Vial 0 0 0 0
200 Dobutamin inj 25 mg/ml Vial 0 0 0 0
201 Dobutamin inj 50 mg/ml Vial 0 0 0 0
202 Doksazosin mesilat tab 1 mg Tab 0 0 0 0
203 Doksazosin mesilat tab 2 mg Tab 0 0 0 0
204 Doksazosin tab 1 mg Tab 0 0 0 0
205 Doksazosin tab 2 mg Tab 0 0 0 0
206 Doksisiklin kaps 100 mg Kaps 6,600 375 6,750 150
207 Doksisiklin kaps 50 mg Kaps 0 0 0 0
208 Doksorubisin serb inj 10 mg/vial (i.v.) Vial 0 0 0 0
209 Doksorubisin serb inj 50 mg/vial Vial 0 0 0 0
210 Domperidon susp 5 mg/5 ml Botol 1,300 197 3,546 2,246
211 Domperidon tab 10 mg Tab 13,000 1,920 34,560 21,560
212 Domperidon tts 5 mg/ml Botol 610 10 180 -430
213 Donepezil tab 5 mg Tab 0 0 0 0
214 Donepezil tab eff 10 mg Tab eff 0 0 0 0
215 Dopamin inj 40 mg/ml Vial 0 0 0 0
216 Dosetaksel inj 40 mg/ml Ampul 0 0 0 0
DTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg pentetate calcium Vial
217 0 0 0 0
trisodium/ml
218 Dutasterid kaps 0,5 mg Kaps 0 0 0 0
219 Efavirens tab sal 600 mg Tab sal 0 0 0 0
220 Efavirenz tab 200 mg Tablet 0 0 0 0
221 Efedrin inj 50 mg/ml Ampul 0 0 0 0
222 Eksemestan tab 25 mg Tab 0 0 0 0
223 Enoksaparin sodium inj 20 mg/0,2 ml Ampul 0 0 0 0
224 Enoksaparin sodium inj 40 mg/0,4 ml Ampul 0 0 0 0
225 Enoksaparin sodium inj 60 mg/0,6 ml Ampul 0 0 0 0
226 Entekavir tab sal selaput 0,5 mg Tablet 0 0 0 0
227 Entekavir tab sal selaput 1 mg Tablet 0 0 0 0
228 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 108 63 1,134 1,026
229 Epinefrin (adrenalin) inj 1 mg/ml Ampul 0 0 0 0
230 Epirubisin serb inj 2 mg/ml Vial 0 0 0 0
231 Epirubisin serb inj 50 mg Vial 0 0 0 0
232 Ergokalsiferol (vitamin D2) kaps 50.000 UI Kaps 0 0 0 0
233 Ergokalsiferol (vitamin D2) susp 10.000 UI/ml Botol 0 0 0 0
234 Ergotamin tab 1 mg Tab 0 323 5,814 5,814
235 Eritromisin kaps 250 mg Kaps 0 0 0 0
236 Eritromisin sir 200 mg/5 ml Botol 130 8 144 14
237 Eritromisin tab 500 mg Tab 1,600 167 3,006 1,406
238 Eritropoetin-alfa inj 10.000 UI/ml Vial 0 0 0 0
239 Eritropoetin-alfa inj 2.000 UI/ml Vial 0 0 0 0
240 Eritropoetin-alfa inj 3.000 UI/ml Vial 0 0 0 0
241 Eritropoetin-beta inj 2000 UI/0,3 ml Vial 0 0 0 0
242 Erlotinib tab sal selaput 100 mg Tab 0 0 0 0
243 Erlotinib tab sal selaput 150 mg Tab 0 0 0 0
244 Esomeprazole inj 40 mg/vial Vial 0 0 0 0
245 Estrogen terkonjugasi tab sal 0,3 mg Tab sal 0 0 0 0
246 Estrogen terkonjugasi tab sal 0,625 mg Tab sal 0 0 0 0
247 Etambutol tab 250 mg Tab 0 0 0 0
248 Etambutol tab 400 mg Tab 0 0 0 0
249 Etambutol tab 500 mg Tab 1,000 0 0 -1,000
250 Etanol 70% cairan 70% Botol 2,280 49 882 -1,398
251 Etil klorida semprot 100 ml Botol 18 9 162 144
252 Etinilestradiol tab 0,05 mg Tab 0 0 0 0
253 Etinilestradiol tab 0,5 mg Tab 0 0 0 0
254 Etonogestrel implan 68 mg Set 0 0 0 0
255 Etoposid inj 20 mg/ml Vial 0 0 0 0
256 Etoposid kaps 100 mg Kaps 0 0 0 0
257 Eugenol Botol 0 0 0 0
258 Everolimus tab 0,25 mg Tab 0 0 0 0
259 Everolimus tab 0,5 mg Tab 0 0 0 0
260 Faktor IX kompleks serb inj 1.000 UI/vial + pelarut 10 ml Vial 0 0 0 0
261 Faktor IX kompleks serb inj 500 UI/vial + pelarut Vial 0 0 0 0
Faktor koagulasi II 14-35 UI, faktor koagulasi VII 7-20 UI, faktor koagulasi IX 25 UI, Vial
262 0 0 0 0
faktor koagulasi X 14-35 serb inj 250 IU/10 ml
Faktor koagulasi II 14-35 UI, faktor koagulasi VII 7-20 UI, faktor koagulasi IX 25 UI, Vial
263 0 0 0 0
faktor koagulasi X 14-35 serb inj 500 UI/10 ml UI
264 Faktor viia (rekombinan) serb inj 1 mg/vial + pelarut untuk injeksi Vial 0 0 0 0
265 Faktor VIII (konsentrat) serb inj 230 -340 UI Vial 0 0 0 0
266 Faktor VIII (konsentrat) serb inj 250 UI/vial + pelarut 5 ml Vial 0 0 0 0
267 Faktor VIII (konsentrat) serb inj 480 - 600 UI Vial 0 0 0 0
268 Faktor VIII (konsentrat) serb inj 500 UI/vial + pelarut 5 ml Vial 0 0 0 0
269 Faktor VIII serb inj 1000 mg/vial Vial 0 0 0 0
270 Faktor VIII serb inj 2000 mg/vial Vial 0 0 0 0
271 Fenitoin Na inj 100 mg/2 ml Ampul 0 0 0 0
272 Fenitoin Na inj 50 mg/ml Ampul 0 0 0 0
273 Fenitoin Na kaps 100 mg Kaps 200 180 3,240 3,040
274 Fenitoin Na kaps 30 mg Kaps 0 0 0 0
275 Fenobarbital inj 50 mg/ml Ampul 570 6 108 -462
276 Fenobarbital tab 100 mg Tab 0 0 0 0
277 Fenobarbital tab 30 mg Tab 5,000 573 10,314 5,314
278 Fenofibrat kaps 100 mg Kaps 0 0 0 0
279 Fenofibrat kaps 300 mg Kaps 1,740 0 0 -1,740
280 Fenoksimetil penisilin (penisilin V) tab 125 mg Tab 0 0 0 0
281 Fenoksimetil penisilin (penisilin V) tab 250 mg Tab 0 0 0 0
282 Fenoksimetil penisilin (penisilin V) tab 500 mg Tab 0 0 0 0
283 Fenoterol hbr aerosol 100 mcg/puff Botol 0 0 0 0
284 Fenoterol hbr cairan ih 0,1% Botol 0 0 0 0
285 Fentanil inj 0,05 mg/ml (i.v.) Vial 0 0 0 0
286 Fentanil patch 12,5 mcg/jam Pack 0 0 0 0
287 Fentanil patch 25 mcg/jam Pack 0 0 0 0
288 Fentanil patch 50 mcg/jam Pack 0 0 0 0
289 Ferrakrilum cairan 1% Botol 0 0 0 0
290 Ferro fumarat kaps lunak 300 mg Kaps lunak 0 0 0 0
291 Ferro sulfat sir. 150 mg/5 ml Botol 0 0 0 0
292 Ferro sulfat tab salut 300 mg Tab sal 0 0 0 0
293 Filgrastim inj 300 mcg/ml Vial 0 0 0 0
294 Finasterid tab 5 mg Tab 0 0 0 0
295 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial 0 60 1,080 1,080
296 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 2,300 433 7,794 5,494
297 Fitomenadion (vitamin K1) inj 10 mg/ml (i.m) Ampul 7,860 100 1,800 -6,060
298 Fludarabin inj 50 mg/vial Vial 0 0 0 0
299 Fludarabin tab sal 10 mg Tab 0 0 0 0
300 Flufenazin inj 25 mg/ml (i.m.) Vial 20 0 0 -20
301 Flukonazol inj 2 mg/ml Ampul 0 0 0 0
302 Flukonazol kaps 150 mg Kaps 0 0 0 0
303 Flukonazol kaps 50 mg Kaps 0 0 0 0
304 Fluoksetin kaps 10 mg Kaps 0 0 0 0
305 Fluoksetin kaps 20 mg Kaps 0 0 0 0
306 Fluor kapl 1 mg Kaplet 0 0 0 0
307 Fluor sediaan topikal Tube 0 0 0 0
308 Fluor tab 0,5 mg Tab 0 0 0 0
309 Fluoresein injeksi 10% Ampul 0 0 0 0
310 Fluoresein tts mata 2,5 mg/ml Botol 0 0 0 0
311 Fluoro deoxy glucose (FDG) Vial 0 0 0 0
312 Fluorometolon tts mata 0,1% Botol 0 0 0 0
313 Fluorourasil Inj 25 mg/ml Vial 0 0 0 0
314 Fluorourasil inj 250 mg/ml Ampul 0 0 0 0
315 Fluorourasil inj 50 mg/ml (i.v.) Ampul 0 0 0 0
316 Fluorourasil serb inj 250 mg Ampul 0 0 0 0
317 Flusinolon asetonid krim 0,025% Tube 0 0 0 0
318 Flusinolon asetonid salep 0,025% Tube 0 0 0 0
319 Flutikason furoat intranasal spray Botol 0 0 0 0
320 Flutikason propionat cairan ih 0,5 mg/dosis Botol 0 0 0 0
321 Fondaparinuks inj 2,5 mg/0,5 ml Vial 0 0 0 0
322 Formokresol Botol 0 0 0 0
323 Fraksi protein plasma lar inf 5% Botol 0 0 0 0
324 Framisetin Sulfat Tulle 1% Patch 0 4 72 72
325 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul 0 0 0 0
326 Furosemid tab 40 mg Tab 12,800 558 10,044 -2,756
327 Gabapentin kaps 100 mg Kaps 0 0 0 0
328 Gabapentin kaps 300 mg Kaps 0 0 0 0
329 Gadobutrol macrocyclic Macrocyclic 0 0 0 0
330 Gadodiamid inj 287 mg/10 ml Vial 0 0 0 0
331 Gadoksetat disodium 0,25 mmol gadoksetat disodium/ml Vial 0 0 0 0
332 Gadopentetat dimenglumin inj 469 mg/ml Vial 0 0 0 0
333 Galactose microparticle 200-400 mg micropart/ml Vial 0 0 0 0
334 Gansiklovir serb inj 500 mg/vial Vial 0 0 0 0
Garam oralit kombinasi : natrium klorida 0,52 g + kalium klorida 0,30 g + trinatrium Sachet
335 307 2,125 38,250 37,943
sitrat 0 58 g + glukosa anhidrat 2 7 g
336 Gefitinib tab 250 mg Tab 0 0 0 0
337 Gemfibrozil kaps 300 mg Kaps 0 0 0 0
338 Gemfibrozil kaps 600 mg Kaps 0 0 0 0
339 Gemsitabin inj 1000 mg/vial Vial 0 0 0 0
340 Gemsitabin inj 200 mg/vial Vial 0 0 0 0
341 Gentamisin inj 10 mg/ml Ampul 0 0 0 0
342 Gentamisin inj 40 mg/ml Ampul 635 41 738 103
343 Gentamisin inj 80 mg/ml Ampul 0 0 0 0
344 Gentamisin salep mata 0,3% Tube 0 0 0 0
345 Gentamisin tts mata 0,3% Botol 0 0 0 0

346 Glass ionomer ART (Atraumatic Restorative Treatment) cocoa butter 5 g Sachet 0 0 0 0

347 Glass ionomer ART (Atraumatic Restorative Treatment) lar Botol 0 0 0 0

348 Glass ionomer ART (Atraumatic Restorative Treatment) serb Vial 0 0 0 0
349 Glibenklamid tab 2,5 mg Tab 0 0 0 0
350 Glibenklamid tab 5 mg Tab 133,400 250 4,500 -128,900
351 Gliklazid tab 80 mg Tab 1,900 8 144 -1,756
352 Gliklazid tab MR 30 mg Tab 0 0 0 0
353 Gliklazid tab SR 60 mg Tab 0 0 0 0
354 Glikuidon tab 30 mg Tab 0 0 0 0
355 Glimepirid tab 1 mg Tab 0 0 0 0
356 Glimepirid tab 2 mg Tab 30,850 2,367 42,606 11,756
357 Glimepirid tab 3 mg Tab 0 125 2,250 2,250
358 Glimepirid tab 4 mg Tab 0 0 0 0
359 Glipizid tab 10 mg Tab 0 0 0 0
360 Glipizid tab 5 mg Tab 0 0 0 0
361 Gliseril trinitrat inj 10 mg/ml Ampul 0 0 0 0
362 Gliseril trinitrat inj 5 mg/ml Ampul 0 0 0 0
363 Gliseril trinitrat kaps lepas lambat 2,5 mg Kaps 0 0 0 0
364 Gliseril trinitrat kaps lepas lambat 5 mg Kaps 1,000 0 0 -1,000
365 Gliseril trinitrat tab 0,5 mg Tab sub 0 0 0 0
366 Gliserin lar 50% Botol 0 0 0 0
367 Gliserin tts 10 mg/ml Botol 0 0 0 0
368 Gliserin tts 100 mg/ml Botol 0 0 0 0
369 Glukosa Larutan Infus 10% steril 100 ml Botol 0 0 0 0
370 Glukosa Larutan Infus 10% steril 250 ml Botol 0 0 0 0
371 Glukosa Larutan Infus 10% steril 500 ml Botol 180 33 594 414
372 Glukosa Larutan Infus 5% steril 100 ml Botol 0 0 0 0
373 Glukosa Larutan Infus 5% steril 250 ml Botol 0 0 0 0
374 Glukosa Larutan Infus 5% steril 500 ml Botol 840 34 612 -228
375 Goserelin asetat inj 10,8 mg/vial Vial 0 0 0 0
376 Goserelin asetat inj 3,6 mg/vial Vial 0 0 0 0
377 Griseofulvin (micronized) tab 125 mg Tab 5,100 200 3,600 -1,500
378 Griseofulvin (micronized) tab 500 mg Tab 0 0 0 0
379 Griseofulvin (micronized) tab scored 250 mg Tab 0 0 0 0
380 Gutta percha dan paper points 15 - 40 mm Roll 0 0 0 0
381 Gutta percha dan paper points 45 - 80 mm Roll 0 0 0 0
382 Haloperidol inj 5 mg/ml (i.m.) Vial 576 2 36 -540
383 Haloperidol inj 50 mg/ml (decanoat) Vial 0 3 60 60
384 Haloperidol tab 0,5 mg Tab 0 0 0 0
385 Haloperidol tab 1,5 mg Tab 32,700 924 16,632 -16,068
386 Haloperidol tab 2 mg Tab 49,400 50 900 -48,500
387 Haloperidol tab 5 mg Tab 10,200 961 17,298 7,098
388 Haloperidol tts 2 mg/ml Botol 0 0 0 0
389 Halotan ih Botol 0 0 0 0
390 Hemodialisa lar konsentrat basis asetat Botol 0 0 0 0
391 Hemodialisa lar konsentrat basis natrium bikarbonat Botol 0 0 0 0
392 Heparin, Na inj 5.000 UI/ml (i.v./s.k.) Vial 0 0 0 0
393 Hepatitis B imunoglobulin (human) inj 0,5 ml Ampul 0 0 0 0
394 Hepatitis B imunoglobulin (human) Inj 220 IU/ml Vial 9 2 36 27
395 Hidrogen peroksida cairan 3% Botol 11 2 36 25
396 Hidrogen peroksida lar. Konsentrat 3% Botol 0 0 0 0
397 Hidroklorotiazid tab 12,5 mg Tab 0 0 0 0
398 Hidroklorotiazid tab 25 mg Tab 16,800 536 9,648 -7,152
399 Hidrokortison inj 100 mg/vial Vial 0 0 0 0
400 Hidrokortison krim 1% Tube 2,208 71 1,278 -930
401 Hidrokortison krim 2,5% Tube 2,808 217 3,906 1,098
402 Hidrokortison serb inj 100 mg/vial Vial 0 0 0 0
403 Hidrokortison tab 10 mg Tab 0 0 0 0
404 Hidroksi Klorokuin Inj 50 mg/ml Ampul 0 0 0 0
405 Hidroksi klorokuin tab 200 mg Tab 0 0 0 0
406 Hidroksi klorokuin tab 400 mg Tab 0 0 0 0
407 Hidroksi progesteron inj 125 mg/ml Vial 0 0 0 0
408 Hidroksi urea tab 500 mg Tab 0 0 0 0
409 Hidroxyl ethyl starch lar inf 6% Botol 0 0 0 0
410 Hiosina butilbromida inj 20 mg/ml Ampul 80 5 90 10
411 Hiosina butilbromida tab 10 mg Tab 100 0 0 -100
412 Homatropin tts mata 2% Botol 0 0 0 0
Cartridge, Penfill
413 Human insulin : fast acting inj 100 UI/ml (kemasan cartridge, penfill cartridge) 0 0 0 0
Cartridge
Human insulin : intermediate acting inj 100 UI/ml (kemasan vial/ cartridge Vial
414 0 0 0 0
disposible penfill cartridge)
Human insulin : mix insulin inj 100 UI/ml (kemasan vial, cartridge disposible, penfill Vial
415 0 0 0 0
cartridge)
416 Human tetanus imunoglobulin inj 250 UI (i.m.) Ampul 218 15 270 52
417 Human tetanus imunoglobulin inj 500 UI (i.m.) Ampul 0 0 0 0
418 Hydromorphone HCl tab oros 16 mg Tab 0 0 0 0
419 Hydromorphone HCl tab oros 8 mg Tab 0 0 0 0
420 Ibuprofen sir 100 mg/5 ml Botol 0 10 180 180
421 Ibuprofen sir 200 mg/5 ml Botol 0 0 0 0
422 Ibuprofen tab 200 mg Tab 2,800 600 10,800 8,000
423 Ibuprofen tab 400 mg Tab 44,000 13,090 235,620 191,620
424 Idarubisin serb inj 20 mg Vial 0 0 0 0
425 Ifosfamid serb inj 1000 mg/vial Vial 0 0 0 0
426 Ifosfamid serb inj 2000 mg/vial Vial 0 0 0 0
427 Ifosfamid serb inj 500 mg/vial Vial 0 0 0 0
428 Imatinib mesilat tab 100 mg Tab 0 0 0 0
429 Imatinib Mesilat tab 400 mg Tab 0 0 0 0
430 Imidapril tab 10 mg Tab 0 0 0 0
431 Imidapril tab 5 mg Tab 0 0 0 0
432 Imunoglobulin Intravena Inj 50 mg/ml, untuk terapi GBS (Guillain Bare Syndrom) Vial 0 0 0 0
433 Imunoglobullin Intravena inj 250 mg/50 ml Botol 0 0 0 0
434 Indakaterol serb ih 150 mcg Vial 0 0 0 0
435 Indakaterol serb ih 300 mcg Vial 0 0 0 0
436 Interferon alfa inj 18 miu Set 0 0 0 0
437 Iodiksanol vial 320 mg Iodium/50 ml Vial 0 0 0 0
438 Iodium 131 Botol 0 0 0 0
439 Iodohippurate sodium I 131 37-74 mbq/ multiple-dose Vial 0 0 0 0
440 Ioheksol 180-300 mg Iodium/ml Vial 0 0 0 0
441 Ioheksol 240-350 mg Iodium/ml Vial 0 0 0 0
442 Ioheksol inj 140-350 mg Iodium/ml Vial 0 0 0 0
443 Iopamidol 200-300 mg Iodium/ml Vial 0 0 0 0
444 Iopamidol 300-370 mg Iodium/ml Vial 0 0 0 0
445 Iopamidol inj 200-370 mg Iodium/ml Vial 0 0 0 0
446 Iopromid 240 -370 mg Iodium/ml Vial 0 0 0 0
447 Iopromid 300-370 mg Iodium/ml Vial 0 0 0 0
448 Ipratropium bromida ih 20mcg/puff Botol 25 0 0 -25
449 Ipratropium bromida ih padat 20 mcg Puff 0 0 0 0
450 Ipratropium bromida nebulizer 0,025% Botol 0 22 396 396
451 Irbesartan tab 150 mg Tab 0 0 0 0
452 Irbesartan tab 300 mg Tab 0 0 0 0
453 Irinotekan inf 20 mg/ml Ampul 0 0 0 0
454 Irinotekan inj 20 mg/ml Ampul 0 0 0 0
455 Isofluran inhalasi 100 ml Botol 0 0 0 0
456 Isofluran inhalasi 250 ml Botol 0 0 0 0
457 Isoniazid tab 100 mg Tab 30,000 133 2,394 -27,606
458 Isoniazid tab 300 mg Tab 4,500 20 360 -4,140
459 Isosorbid dinitrat inj 1 mg/ml (i.v) Ampul 0 0 0 0
460 Isosorbid dinitrat tab 10 mg Tab 0 200 3,600 3,600
461 Isosorbid dinitrat tab 5 mg Tab 9,200 310 5,580 -3,620
462 IUD Cu T 380 A Set 0 0 0 0
463 IUD Levonorgestrel Set 0 0 0 0
464 Ivabradin tab 5 mg Tab 0 0 0 0
465 k.y jelly Tube gel 0 0 0 0
466 Kalamin Tube 0 0 0 0
467 Kalium aspartat tab 300 mg Tab 0 0 0 0
468 Kalium klorida tab siap larut 300 mg Tab 0 0 0 0
469 Kalium klorida tab SR 600 mg Tab 0 0 0 0
470 Kalsitriol kaps lunak 0,25 mcg Kapsul 0 0 0 0
471 Kalsitriol kaps lunak 0,5 mcg Kapsul 0 0 0 0
472 Kalsium Folinat (Leukovorin, Ca) Inj 10 mg/ml Ampul 0 0 0 0
473 Kalsium folinat (leukovorin, Ca) inj 3 mg/ml Vial 0 0 0 0
474 Kalsium folinat (leukovorin, Ca) inj 5 mg/ml Vial 0 0 0 0
475 Kalsium folinat (leukovorin, Ca) tab 15 mg Tab 0 0 0 0
476 Kalsium glukonat inj 100 mg/ml Ampul 0 2 36 36
477 Kalsium hidroksida bubuk, pasta Tube 0 0 0 0
478 Kalsium hipoklorit Sachet 0 0 0 0
479 Kalsium karbonat tab 500 mg Tab 0 0 0 0
480 Kalsium laktat (kalk) tab 500 mg Tab 185,900 6,793 122,274 -63,626
481 Kalsium polistirena sulfonat ktg 5 g Sachet 0 0 0 0
482 Kanamisin inj 1.000 mg/ vial Vial 0 0 0 0
483 Kandesartan tab 16 mg Tab 0 0 0 0
484 Kandesartan tab 8 mg Tab 1,050 0 0 -1,050
485 Kapesitabin tab sal 500 mg Tab sal 0 0 0 0
486 Kaptopril tab 12,5 mg Tab 30,700 5,373 96,714 66,014
487 Kaptopril tab 25 mg Tab 40,300 13,082 235,476 195,176
488 Kaptopril tab 50 mg Tab 0 0 0 0
489 Karbamazepin sir 100 mg/5 ml Botol 0 0 0 0
490 Karbamazepin tab 100 mg Tab 0 60 1,080 1,080
491 Karbamazepin Tab 200 mg Tablet 5,800 775 13,950 8,150
492 Karbimazol tab 5 mg Tab 0 0 0 0
493 Karbo adsorben tab 0,5 g Tab 0 0 0 0
494 Karbogliserin tts telinga 10 % Botol 0 0 0 0
495 Karboksimetilselulosa tts mata Botol 0 0 0 0
496 Karbon aktif tab 0,5 mg Tablet 0 0 0 0
497 Karboplatin inj 10 mg/ml Vial 0 0 0 0
498 Karvedilol tab 25 mg Tablet 0 0 0 0
499 Karvediol kaps 6,25 mg Kaps 0 0 0 0
500 Ketamin inj 100 mg/ml (i.v.) Ampul 0 0 0 0
501 Ketamin inj 50 mg/ml (i.v.) Ampul 0 0 0 0
502 Ketokonazol krim 2% Tube 2,200 98 1,764 -436
503 Ketokonazol scalp sol 2% Tube 0 0 0 0
504 Ketokonazol tab 200 mg Tab 3,450 765 13,770 10,320
505 Ketoprofen sup 100 mg Botol 420 0 0 -420
506 Ketorolak inj 30 mg/ml Ampul 0 0 0 0
507 Klaritromisin sir kering 125 mg/5 ml Botol 0 0 0 0
508 Klaritromisin sir kering 250 mg/5 ml Botol 0 0 0 0
509 Klaritromisin tab 500 mg Tab 0 0 0 0
510 Klindamisin kaps 150 mg Kaps 2,800 100 1,800 -1,000
511 Klindamisin kaps 300 mg Kaps 2,500 8 144 -2,356
512 Klobazam tab 10 mg Tab 1,300 167 3,000 1,700
513 Klofazimin, micronized kaps 50 mg Kapsul 0 0 0 0
514 Klofazimin, micronizedkaps 100 mg kapsul 0 0 0 0
515 Klomifen sitrat tab 50 mg Tab 0 0 0 0
516 Klomipramin tab 25 Tab 0 0 0 0
517 Klonazepam kaps 2 mg Botol 0 0 0 0
518 Klonidin inj 150 mcg/ml Vial 0 0 0 0
519 Klonidin tab 0,15 mg Tab 1,900 0 0 -1,900
520 Klopidogrel tab 75 mg Tab 2,010 28 504 -1,506
521 Klopidogrel tab sal selaput 300 mg Tab 0 0 0 0
522 Kloral hidrat lar Botol 0 0 0 0
523 Klorambusil tab 2 mg Tab 0 0 0 0
524 Klorambusil tab sal selaput 5 mg Tab 0 0 0 0
525 Kloramfenikol kaps 250 mg Kaps 2,400 209 3,762 1,362
526 Kloramfenikol kaps 500 mg Kaps 3,000 225 4,050 1,050
527 Kloramfenikol salep kulit 2% Tube 0 110 1,980 1,980
528 Kloramfenikol salep mata 1% Tube 0 18 324 324
529 Kloramfenikol serb inj 1.000 mg/ml Vial 0 0 0 0
530 Kloramfenikol susp 125 mg/5 ml Botol 200 0 0 -200
531 Kloramfenikol tetes telinga 3% Botol 840 4 72 -768
532 Kloramfenikol tts mata 0,5% Botol 25 61 1,098 1,073
533 Kloramfenikol tts mata 1% Botol 0 26 468 468
534 Klorfeniramin tab 4 mg Tab 740,600 16,832 302,976 -437,624
535 Klorfenol kamfer mentol (CHKM) Botol 0 0 0 0
536 Klorheksidin lar 0,2% Botol 0 0 0 0
537 Klorheksidin lar 15% Botol 0 0 0 0
538 Klorokuin tab 250 mg Tablet 0 0 0 0
539 Klorpromazin inj 25 mg/ml (i.m.) Ampul 120 6 108 -12
540 Klorpromazin inj 5 mg/ml (i.m.) Ampul 0 0 0 0
541 Klorpromazin tab sal 100 mg Tab sal 38,000 1,350 24,300 -13,700
542 Klorpromazin tab sal 25 mg Tab sal 0 0 0 0
543 Klortalidon tab 50 mg Tab 0 0 0 0
544 Klotrimazol tab vagina 100 mg Tab 0 0 0 0
545 Klozapin tab 100 mg Tab 7,600 417 7,506 -94
546 Klozapin tab 25 mg Tab 5,000 0 0 -5,000
547 Kodein tab 10 mg Tab 48,200 3 54 -48,146
548 Kodein tab 15 mg Tab 0 0 0 0
549 Kodein tab 20 mg Tab 0 0 0 0
550 Kolekalsiferol (vitamin D3) kaps lunak 0,25 mcg Kaps lunak 0 0 0 0
551 Kolekalsiferol (vitamin D3) kaps lunak 0,5 mcg Kaps lunak 0 0 0 0
552 Kolestiramin serb, 4 g Ampul 0 0 0 0
553 Kolkisin tab 500 mcg Tab 0 0 0 0
554 Koloid HES BM 130 000 lar inf 6% Botol 0 0 0 0
555 Kombinasi (DHP) : dihidroartemisin 40 mg + Piperakuin 320 mg tab sal selaput Tablet 0 9 162 162
556 Kombinasi : (Ampisilin 1000 mg + Sulbaktam 500 mg) serb inj 1500 mg Vial 0 0 0 0
557 Kombinasi : (Difenhidramin 2%, Kalamin 5%, Zinc 10%, Gliserin 5%) lotion Botol 0 0 0 0
558 Kombinasi : (Sefoperazon 500 mg + Sulbaktam 500 mg) serb inj 1000 mg Vial 0 0 0 0
Kombinasi : (Zidovudin 60 mg + Lamivudin 30 mg + Nevirapin 50 mg) Ped Triple Tablet
559 0 0 0 0
FDC
560 Kombinasi : Ampisilin 500 mg + Sulbaktam 250 mg serb inj 750 mg Vial 0 0 0 0
561 Kombinasi : artemether 20 mg + lumefantrin 120 mg Kaps 0 0 0 0
562 Kombinasi : artesunat tab 50 mg + amodiakuin tab 200 Tab 0 0 0 0
563 Kombinasi : Desogestrel 150 mcg Etinilestradiol 30 mcg Tab 0 0 0 0
564 Kombinasi : ergotamin 1 mg+ kafein 50 mg Tab 0 567 10,206 10,206
565 Kombinasi : Ferro fumarat 60 mg + asam folat 0,4 mg tab salut Tablet 0 0 0 0
566 Kombinasi : ferro sulfat 200 mg+ as. Folat 0,25 mg Tab sal 51,840 18,625 335,250 283,410
567 Kombinasi : levodopa 100 mg+Karbidopa 25 mg + entekapon 200 mg Tab 0 0 0 0
568 Kombinasi : levonorgestrel 150 mcg + etinilestradiol 30 mcg Tab 0 0 0 0
 Kombinasi : medroksi progesteron asetat+ estradiol sipionat inj depot 25 mg + 5 Vial
569 0 0 0 0
mg
570 Kombinasi : Meglumin amidotrizoat + Sodium amidotrizoat inj 76% Vial 0 0 0 0
571 Kombinasi : Spironolakton 25 mg + Tiabutazid 2,5 mg Tablet 0 0 0 0
572 Kombinasi : triamsinolon + dementilklortetrasiklin Pasta tube 0 0 0 0
573 Kombinasi : zidovudin 300 mg +lamivudin 150 mg Tab 0 0 0 0
574 Kombinasi: ipratropium Br 0,5 mg+ salbutamol 2,5 mg nebules Botol 400 37 666 266
575 Kombinasi: kaolin 550 mg + pektin 20 mg Tab 0 0 0 0
576 Kombinasi: lopinavir 200 mg + ritonavir (LVP) 50 mg, tab 250 mg Tab 0 0 0 0
577 Kombinasi: natrium klorida 8,664 mg + kalium klorida 1,32 mg (tetes mata) Botol 0 58 1,044 1,044
578 Kombinasi: parafin + gliserin + fenolftalein Botol 178 12 216 38
579 Kombinasi: salmeterol 25 mcg + flutikason propionat 50 mcg ih 50 mcg/puff Botol 0 0 0 0

580 Kombinasi: salmeterol 50 mcg + flutikason propionat 500 mcg ih 50 mcg/puff Botol 0 0 0 0

581 Kombinasi: salmeterol 50 mcg +flutikason propionat 100 mcg ih 50 mcg/puff Botol 0 0 0 0

582 Kombinasi: salmeterol 50 mcg+ flutikason propionat 250 mcg ih 250 mcg/puff Botol 0 0 0 0
583 Kombinasi: spironolakton 25 mg + tiabutazin 2,5 mg Tab 0 0 0 0
584 Komposit resin Set 0 0 0 0
585 Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+ trimetoprim 80 mg Tab 13,000 792 14,256 1,256
Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 800 mg+ trimetoprim 160 Tab
586 400 92 1,656 1,256
mg
Kotrimoksazol (dewasa) kombinasi tiap 5 ml suspensi : sulfametoksazol 200 mg + Botol
587 2,249 133 2,394 145
trimetoprim 40 mg
588 Kuinin inj 25% (i.v.) Vial 0 0 0 0
589 Kuinin tab 200 mg Tab 60 0 0 -60
590 Kuinin tab 222 mg Tab 0 0 0 0
591 Kuinin tab 250 mg Tab 0 0 0 0
592 Laktulosa sir 3,335 g/5 ml Botol 32 22 396 364
593 Lamivudin (3TC) tab 150 mg Tab 0 0 0 0
594 Lamivudin tab 100 mg Tab 0 0 0 0
595 Lamotrigin tab 50 mg Tablet 0 0 0 0
596 Lamotrigin tab dispersible 25 mg Tablet 0 0 0 0
597 Lansoprazol inj 30 mg/ml Vial 0 0 0 0
598 Lansoprazol kaps 30 mg Kaps 0 0 0 0
599 Lapatinib tab 250 mg Tab 0 0 0 0
600 Larutan mengandung Asam Amino (Asam Amino 10%) Botol 0 0 0 0
Larutan mengandung Asam Amino (Asam Amino 100 g, Total N 15,7 g, Na+ 2 mEq, Botol
601 0 0 0 0
Asetat 120 mEq)
602 Larutan mengandung Asam Amino (Asam Amino 27 g, Sorbitol 50 g, Cl-52 mEq) Botol 0 0 0 0
Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektrolit) Botol
603 0 0 0 0
1000 ml
Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektrolit) Botol
604 0 0 0 0
500 ml
Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 45%, L-Ornithine L Botol
605 0 0 0 0
Aspartate 8 03 gr/L Sorbitol 50 gr/L Xylitol 50 gr/L)
Larutan mengandung Asam Amino (Asam Amino 6%, mengandung Taurine 0,24 gr/l) Botol
606 0 0 0 0
Aminosteril Infant 6%
Larutan mengandung Asam Amino (Asam Amino 7%, Komposisi: Asam Amino Botol
607 0 0 0 0
esensial: Asam Amino non esensial = 60 : 40)
Larutan mengandung Asam Amino (Asam Amino 72.05 g, Total N 11.53 g, AAE/ Botol
608 0 0 0 0
AANE ratio 2 6 Na+ 2 mEq Asetat 46 mEq)
Larutan mengandung Asam Amino (Asam Amino 79.9 g, Total N 12.2 g, Na+ 14 Botol
609 0 0 0 0
mEq Cl 94 mEq)
610 Larutan mengandung Asam Amino (Asam amino 8%) : Aminosteril N-Hepa Botol 0 0 0 0

611 Larutan mengandung Asam Amino (Asam Amino esensial 7%+Xylitol 10 g/L) Botol 0 0 0 0
Larutan mengandung Asam Amino (BCAA 25 gr/L, L-Ornithine L Aspartate 10 gr/L, Botol
612 0 0 0 0
Xylitol 50 gr/L Malic Acid 7 gr/L Piridoxin 0 12 gr/L)
Larutan mengandung Asam Amino (Kombinasi Asam amino 50 g/L, vitamin dan Botol
613 0 0 0 0
elektrolit)
Larutan mengandung Asam Amino (Kombinasi Asam Amino: 34gr, Glukosa: 97gr,
614 Botol 0 0 0 0
Lipid: 51gr dan Elektrolit (Kalori = 1000 kkal, Akses peripheral))

Larutan mengandung Asam Amino (Kombinasi Asam Amino: 45gr, Glukosa: 130gr,
615 Botol 0 0 0 0
Lipid: 68gr dan Elektrolit (Kalori = 1400 kkal, Akses peripheral))
Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 150 gr + Asam Botol
616 0 0 0 0
Amino 48 gr dgn akses sentral)
Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 80 gr + Asam Botol
617 0 0 0 0
Amino 40 gr)
618 Larutan mengandung Elektrolit (Kalium Klorida) Botol 0 0 0 0
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28 Botol
619 0 0 0 0
mEq)
620 Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr) Botol 0 0 0 0
Larutan mengandung Elektrolit (Sodium Lactate sol (50%) 113 gr/L, Potassium Botol
621 0 0 0 0
Chloride 0 3 gr/L Calcium Chloride 0 2 gr/L elektrolit)
 Larutan mengandung Elektrolit (Tiap 1000 ml mengandung electrolit: Sodium 145
622 mmol/l, Potassium 4.0 mmol/l, Calcium 2.5 mmol/l, Magnesium 1.0 mmol/l, Botol 0 0 0 0
Chloride 118 mmol/l, Acetate 24 mmol/l, Malate 5.0 mmol/l)

623 Larutan mengandung Karbohidrat (Fructose 200 g, glucose 110 g, Xylitol 100 g/ L) Botol 0 0 0 0

624 Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33 g, Xylitol 30 g/ L) Botol 0 0 0 0

625 Larutan mengandung Karbohidrat (Maltose 100 gr) Botol 0 0 0 0
Larutan mengandung Karbohidrat + Elektrolit (25.00g maltose, 3.00 g sodium
626 chloride, 0.15 g potassium chloride, 0.10 g calcium chloride dihydrate dan 1.55 g Botol 0 0 0 0
sodium lactate)
Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K, Cl, Ca, Mg, Sorbitol Botol
627 0 0 0 0
50 gr/L)
Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 100 Botol
628 0 0 0 0
gr/L elektrolit)
Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 75 gr/L Botol
629 0 0 0 0
elektrolit)
Larutan mengandung Karbohidrat + Elektrolit (Fructose 120 g, glucose 66 g, Xylitol Botol
630 0 0 0 0
60 g/ L + elektrolit)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25 g, NaCl 2,0 g, KCl 1,3 g, Botol
631 0 0 0 0
Natrium Laktat 3 1 g air untuk injeksi ad 1000 ml)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g ; Natrium Chloride 9 g, Botol
632 0 0 0 0
air untuk injeksi ad 1000 ml) (D5-NS)
633 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 g) Botol 0 0 0 0

634 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 g) Botol 0 0 0 0

635 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 g) Botol 0 0 0 0
Larutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi kombinasi infus per L:
636 Na. 100mEQ, K 18mEQ, Ca. 4mEQ, Mg 6mEQ, Cl 90mEQ, Asetat 38mEQ, Sorbitol Botol 0 0 0 0
50g)
637 Larutan mengandung Karbohidrat + Elektrolit (Larutan Ringer & Glukosa 5%) Botol 0 0 0 0
Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g, Glukosa 100 Botol
638 0 0 0 0
gr)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat Botol
639 0 0 0 0
2 24 gr Dekstrosa 27 gr) (KA EN 3B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 gr, KCL Botol
640 0 0 0 0
0 75 gr Dekstrosa 27 gr) (KA EN 3A)
641 Larutan mengandung Lipid (Emulsi lemak 20%) Botol 0 0 0 0
642 Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 100 ml) Botol 0 0 0 0
643 Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 250 ml) Botol 0 0 0 0
Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 180 gr + Asam Amino Botol
644 0 0 0 0
71 8 gr + Lipid 50 gr dgn akses sentral)
Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 80 gr + Asam Amino Botol
645 0 0 0 0
40 gr + Lipid MCT/LCT 50 gr)
Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 90 gr + Asam Amino Botol
646 0 0 0 0
35 9 gr + Lipid 25 gr dgn akses sentral)
647 Latanoprost tts mata 0,005% Botol 0 0 0 0
648 Latanoprost tts mata 0,01% Botol 0 0 0 0
649 Leflunomid tab sal selaput 20 mg Tablet 0 0 0 0
650 Lenograstim inj 263 mcg/vial Vial 0 0 0 0
651 Letrozol tab 2,5 mg Tab 0 0 0 0
652 Leuprorelin asetat serb inj 1,88 mg Vial 0 0 0 0
653 Leuprorelin asetat serb inj 11,25 mg Vial 0 0 0 0
654 Leuprorelin asetat serb inj 3,75 mg Vial 0 0 0 0
655 Levetirasetam tab 250 mg Tablet 0 0 0 0
656 levetirasetam tab 500 mg Tablet 0 0 0 0
657 Levofloksasin inf 5 mg/ml Botol 0 0 0 0
658 Levofloksasin tab 500 mg Tab 0 0 0 0
659 Levofloksasin tts mata 0,5% Botol 0 0 0 0
660 Levonorgestrel implan 2 rods, 75 mg (3-4 tahun) Set 0 0 0 0
661 Levotiroksin tab 100 mcg Tab 0 0 0 0
662 Levotiroksin tab 50 mcg Tab 0 0 0 0
663 Lidokain gel 2% Tube 480 17 306 -174
664 Lidokain inj 1 % (infltr) Vial 0 0 0 0
665 Lidokain inj 100 mg, vial (i.v.) Vial 0 0 0 0
666 Lidokain inj 2% (infiltr/p.v.) Ampul 0 194 3,492 3,492
667 Lidokain inj 5% + glukosa (dekstrosa) 5 % Ampul 0 0 0 0
668 Lidokain spray oral 10% Botol 15 1 18 3
669 Linestrenol tab 0,5 mg Tab 0 0 0 0
670 Linestrenol tablet 5 mg Tab 0 0 0 0
671 Lisinopril tab 10 mg Tab 0 0 0 0
672 Lisinopril tab 20 mg Tab 0 0 0 0
673 Lisinopril tab 5 mg Tab 0 0 0 0
674 Litium karbonat tab 200 mg Tab 0 0 0 0
675 Litium karbonat tab 400 mg Tab 0 0 0 0
676 Loperamid tab 2 mg Tab 15,400 726 13,068 -2,332
677 Loratadin tab 10 mg Tab 76,400 4,871 87,678 11,278
678 Lorazepam tab 0,5 mg Tab 3,000 0 0 -3,000
679 Lorazepam tab 1 mg Tab 0 0 0 0
680 Lorazepam tab sal 2 mg Tab sal 5,000 0 0 -5,000
681 Low molecular weight iron dextran inj 100mg/2 ml Ampul 0 0 0 0
682 Low molecule feri sucrose inj amp 100 mg/5 ml Ampul 0 0 0 0
683 Lugol Botol 0 0 0 0
684 MAA (macro agregate albumin) 0,11-2,5 mg albumin aggregated/reaction vial Vial 0 0 0 0
685 MAG3 (mercapto acetyl tri glysine) 1 mg betiatide/vial Vial 0 0 0 0
686 Magnesium sulfat inj 20% Vial 730 8 144 -586
687 Magnesium sulfat inj 40% Vial 650 11 198 -452
688 Magnesium sulfat serb, ktg 30 g Sachet 0 0 0 0
689 Manitol lar infus 20% Botol 0 0 0 0
690 Maprotilin hcl tab sal 25 mg Tab sal 0 0 0 0
691 Maprotilin hcl tab sal 50 mg Tab sal 0 0 0 0
692 MDP (methylene diphosphonate) 1 mg methylene diphosphonic acid/ml Vial 0 0 0 0
693 Mebendazol sir 100 mg/5 ml Botol 0 0 0 0
694 Mebendazol tab 100 mg Tan 0 0 0 0
695 Mebendazol tab 500 mg Tab 0 0 0 0
696 Medroksi progesteron asetat inj 150 mg/ml Vial 0 0 0 0
697 Medroksi progesteron asetat inj 200 mg/ml Vial 0 0 0 0
698 Medroksi Progesteron Asetat Inj 50 mg/ml Vial 0 0 0 0
699 Medroksi progesteron asetat tab 10 mg Tab 0 0 0 0
700 Medroksi progesteron asetat tab 100 mg Tab 0 0 0 0
701 Medroksi progesteron asetat tab 250 mg Tab 0 0 0 0
702 Medroksi progesteron asetat tab 5 mg Tab 0 0 0 0
703 Medroksi progesteron asetat tab 500 mg Tab 0 0 0 0
704 Melfalan tab 2 mg Tab 0 0 0 0
705 Merkaptopurin tab 50 mg Tab 0 0 0 0
706 Meropenem serb inj 1000 mg/vial Vial 0 0 0 0
707 Meropenem serb inj 500 mg/vial Vial 0 0 0 0
708 Mesalazin tab sal 250 mg Tab 0 0 0 0
709 Mesna inj 100 mg/ml Vial 0 0 0 0
710 Metadon sir 50 mg/5 ml Botol 1000 ml 0 0 0 0
711 Metamizol Inj 500 mg/ml Ampul 0 0 0 0
712 Metenamin mandelat (heksamin mandelat) tab salut enterik 500 mg Tab salut 0 0 0 0
713 Metformin tab 500 mg Tab 117,100 12,186 219,348 102,248
714 Metformin tab 850 mg Tab 0 0 0 0
715 Metildopa tab sal 250 mg Tab 4,000 0 0 -4,000
716 Metilergometrin inj 0,2 mg/ml Ampul 650 19 342 -308
717 Metilergometrin tab salut 0,125 mg Tab sal 3,900 194 3,492 -408
718 Metilfenidat tab SR 10 mg Tab 0 0 0 0
719 Metilfenidat tab SR 20 mg Tab 0 0 0 0
720 Metilprednisolon inj 125 mg/2 ml Vial 0 0 0 0
721 Metilprednisolon inj 500 mg/8 ml Vial 0 0 0 0
722 Metilprednisolon tab 16 mg Tab 870 1,775 31,950 31,080
723 Metilprednisolon tab 4 mg Tab 0 945 17,010 17,010
724 Metoklopramid drop botol 10 ml Botol 0 0 0 0
725 Metoklopramid inj 5 mg/ml Vial 0 0 0 0
726 Metoklopramid sir 5 mg/5 ml Botol 0 0 0 0
727 Metoklopramid tab 10 mg Tab 9,800 17 306 -9,494
728 Metoklopramid tab 5 mg Tab 0 0 0 0
729 Metoprolol tartat inj 1 mg/ml Ampul 0 0 0 0
730 Metotreksat Inj 10 mg/ml Vial 0 0 0 0
731 Metotreksat inj 2,5 mg/ml Vial 0 0 0 0
732 Metotreksat serb inj 25 mg/ml Vial 0 0 0 0
733 Metotreksat serb inj 5 mg/vial Vial 0 0 0 0
734 Metotreksat tab 2,5 mg Tab 0 0 0 0
735 Metronidazol lar inf 5 mg/ml Botol 36 1 18 -18
736 Metronidazol ovula 500 mg Supp 530 16 288 -242
737 Metronidazol sir 125 mg/5 Ml Botol 300 0 0 -300
738 Metronidazol sup 500 mg Botol 0 0 0 0
739 Metronidazol tab 250 mg Tab 4,000 441 7,938 3,938
740 Metronidazol tab 500 mg Tab 3,200 1,832 32,976 29,776
741 MIBG (meta-iodobenzylguanidine) Vial 0 0 0 0
742 MIBI (metoxy iso butyl isonitril) 5-ml reaction vial Vial 0 0 0 0
743 Midazolam inj 1 mg/ml (i.v.) Vial 0 0 0 0
744 Midazolam inj 5 mg/ml (i.v.) Vial 0 0 0 0
745 Mikafungin Na serb inj 50 mg/vial Vial 0 0 0 0
746 Mikofenolat mofetil tab 500 mg Tab 0 0 0 0
747 Mikofenolat Sodium Tab Sal 180 mg Tablet 0 0 0 0
748 Mikofenolat Sodium Tab Sal 360 mg Tablet 0 0 0 0
749 Mikonazol krim 2% Tube 696 134 2,412 1,716
750 Mikonazol serb 2% Tube 0 0 0 0
751 Mitomisin serb inj 10 mg Vial 0 0 0 0
752 Mitomisin serb inj 2 mg Vial 0 0 0 0
753 Modified fluid gelatine BM 30 000 lar inf 4% Botol 0 0 0 0
754 Moksifloksasin inf 1,6 mg/mL Botol 0 0 0 0
755 Moksifloksasin tab 400 mg Tab 0 0 0 0
756 Moksifloksasin tts mata 0,5% Botol 0 0 0 0
757 Mometason furoat krim 0,1% Tube 0 0 0 0
758 Morfin Hcl inj 10 mg/ml (i.m./s.k./i.v.) Vial 0 0 0 0
759 Morfin Hcl tab 10 mg Tab 0 0 0 0
760 Morfin Hcl tab SR 10 mg Tab 0 0 0 0
761 Morfin Hcl tab SR 15 mg Tab 0 0 0 0
762 Morfin Hcl tab SR 30 mg Tab 0 0 0 0
763 N-asetil sistein granula 200 mg Kaps 0 0 0 0
764 N-asetil sistein ih 100 mg/ml Botol 0 0 0 0
765 N-asetil sistein kaps 200 mg Kaps 0 3,910 70,380 70,380
766 NaCl 0,9% Larutan Botol 760 125 2,250 1,490
767 Nadroparin inj 10 mg/ml Vial 0 0 0 0
768 Nadroparin inj 9.500 Axa/ml syringe 0,3 Ml Vial 0 0 0 0
769 Nadroparin inj 9.500 Axa/ml, syringe 0,4 ml Vial 0 0 0 0
770 Nadroparin inj 9.500 Axa/ml, syringe 0,6 ml Vial 0 0 0 0
771 Nalokson inj 0,4 mg/ml Ampul 0 0 0 0
772 Natamisin tts mata 5% Botol 0 0 0 0
773 Natamisin tts mata 50 mg/ml Botol 0 0 0 0
774 Natrium aminohipurat inj 200 mg/ml (i.v.) Ampul 0 0 0 0
775 Natrium bikarbonat High alert medicine. Vial 0 0 0 0
776 Natrium bikarbonat inj 8,4% (i.v.) Vial 0 0 0 0
777 Natrium bikarbonat tab 500 mg Tab 0 0 0 0
778 Natrium diklofenak tab 25 mg Tab 183,100 6,763 121,734 -61,366
779 Natrium diklofenak tab 50 mg Tab 10,000 617 11,106 1,106
780 Natrium Diklofenak Tetes Mata 1 mg/ml Botol 0 0 0 0
781 Natrium fluoresein tts mata 2% Botol 0 0 0 0
782 Natrium fosfat btl, 133 ml Botol 0 0 0 0
783 Natrium fosfat lar oral 45 ml Botol 0 0 0 0
784 Natrium fusidat krim 20 mg/g Tube 200 0 0 -200
785 Natrium fusidat salep 20 mg/g Tube 0 0 0 0
786 Natrium hialuronat gel Tube 0 0 0 0
787 Natrium hipoklorit cairan konsentrat 5% Botol 0 0 0 0
788 Natrium tiosulfat inj 25% (i.v.) Ampul 0 0 0 0
789 Neostigmin inj 0,5 mg/ml Vial 0 0 0 0
790 Nevirapin tab 200 g Tab 0 0 0 0
791 Nifedipin kaps 10 mg Kaps 15,700 1,124 20,232 4,532
792 Nifedipin tab SR 20 mg Tab 0 0 0 0
793 Nifedipin tab SR 30 mg Tab 0 0 0 0
794 Nikardipin inj 10 mg/vial Vial 0 0 0 0
795 Nikotinamid tab 100 mg Tab 0 0 0 0
796 Nikotinamid tab 20 mg Tab 0 0 0 0
797 Nikotinamid tab 5 mg Tab 0 0 0 0
798 Nilotinib kaps 150 mg Kaps 0 0 0 0
799 Nilotinib tab 200 mg Tab 0 0 0 0
800 Nimodipin inf 0,2 mg/ml Botol 0 0 0 0
801 Nimodipin tab 30 mg Tab 0 0 0 0
802 Nistatin susp 100.000 UI/ml Botol 0 26 468 468
803 Nistatin tab salut 500.000 UI Tab 4,000 163 2,934 -1,066
804 Nistatin tab vaginal 100.000 UI Tab 11,800 133 2,394 -9,406
805 Nitrofurantoin tab 50 mg Tab 0 0 0 0
806 Nitrogen oksida ih, gas dlm tabung Botol 0 0 0 0
807 Nomegestrol asetat Kaps/tab 5 mg Tablet 0 0 0 0
808 Norepinefrin inj 1 mg/ml Ampul 0 0 0 0
809 Noretisteron tab 5 mg Tab 0 0 0 0
810 Obat Anti Tuberculosis FDC Kategori Anak Paket 28 5 96 68
811 Obat Anti Tuberculosis FDC Kategori I Paket 0 16 290 290
812 Obat Anti Tuberculosis FDC Kategori II Paket 0 1 24 24
813 Obat Anti Tuberculosis FDC Kategori Sisipan Paket 0 0 0 0
814 Obat Anti Tuberculosis Kombipak Anak Paket 0 0 0 0
815 Obat Anti Tuberculosis Kombipak Dewasa Paket 0 0 0 0
816 Octreotide acetate 0,05 - 6 mg/ml Botol 0 0 0 0
817 Ofloksasin tab 200 mg Tab 0 0 0 0
818 Ofloksasin tab 400 mg Tab 0 0 0 0
819 Ofloksasin tts telinga 3% Botol 458 33 594 136
820 Oksaliplatin serb inj 100 mg/vial Vial 0 0 0 0
821 Oksaliplatin serb inj 50 mg/vial Vial 0 0 0 0
822 Oksigen ih, gas dlm tabung Botol 0 0 0 0
823 Oksimetazolin tts hidung 0,025% Botol 0 13 234 234
824 Oksimetazolin tts hidung 0,050% Botol 67 6 108 41
825 Oksitetrasiklin hcl inj 250 mg/3 ml (i.m.) Vial 0 0 0 0
826 Oksitetrasiklin hcl inj 50 mg/ml (i.m.) Vial 0 0 0 0
827 Oksitetrasiklin hcl inj 500 mg/ml Vial 0 0 0 0
828 Oksitosin inj 10 UI/ml Ampul 800 221 3,978 3,178
829 Oktreotid asetat 0,05 - 6 mg/ml Vial 0 0 0 0
830 Oktreotid inj 0,1 mg/ml Ampul 0 0 0 0
831 Oktreotid serb inj 20 mg Ampul 0 0 0 0
832 Oktreotid serb inj 30 mg vial 0 0 0 0
833 Olanzapin inj 10 mg/2 ml Ampul 0 0 0 0
834 Olanzapin tab sal 10 mg Tab sal 0 0 0 0
835 Olanzapin tab sal 5 mg Tab 0 0 0 0
836 Olopatadin tts mata 0,1% Botol 0 20 360 360
837 Omeprazol inj 40 mg/10 ml Vial 500 7 126 -374
838 Omeprazol kaps 20 mg Kaps 28,170 2,446 44,028 15,858
839 Ondansetron inj 2 mg/ml Vial 0 75 1,350 1,350
840 Ondansetron tab 4 mg Tab 3,000 0 0 -3,000
841 Ondansetron tab 8 mg Tab 0 0 0 0
842 Paklitaksel inj 100 mg/vial Vial 0 0 0 0
843 Paklitaksel inj 30 mg/vial Vial 0 0 0 0
844 Paklitaksel inj 300 mg/vial Vial 0 0 0 0
845 Paklitaksel Inj 6 mg/ml Ampul 0 0 0 0
846 Pankuronium inj 2 mg/ml Ampul 0 0 0 0
847 Paraformaldehid lar buffer 10% Botol 0 0 0 0
848 Paraformaldehid tab 1 g Tab 0 0 0 0
849 Parasetamol drips (infus) 1000 mg/100 ml Botol 0 0 0 0
850 Parasetamol sir 120 mg/5 ml Botol 16,700 1,308 23,544 6,844
851 Parasetamol tab 500 mg Tab 1,210,000 33,742 607,356 -602,644
852 Parasetamol tts 60 mg/0,6 ml Botol 0 390 7,020 7,020
853 Pasta devitalisasi (non arsen) Tube 0 0 0 0
854 Pasta pengisi saluran akar (pasta) Tube 0 0 0 0
855 Pegylated interferon alfa-2a inj 135 mcg/0,5 ml Vial 0 0 0 0
856 Pegylated interferon alfa-2a inj 180 mcg/0,5 ml Vial 0 0 0 0
857 Pegylated interferon alfa-2b serb inj 100 mcg/ml Vial 0 0 0 0
858 Pegylated interferon alfa-2b serb inj 120 mcg/ml Vial 0 0 0 0
859 Pegylated interferon alfa-2b serb inj 50 mcg/ml Vial 0 0 0 0
860 Pegylated interferon alfa-2b serb inj 80 mcg/ml Vial 0 0 0 0
861 Pemetreksed serb inj 500 mg Vial 0 0 0 0
Pengganti plasma kombinasi : poligelin (ekivalen dengan 0,63 g nitrogen 17,5 g ;
862 natrium klorida 0,19 g ; kalsium klorida 0,19 g ; kalsium (terikat pada polipeptida) Botol 0 0 0 0
0 125 g
863 Perak nitrat lar 20% Botol 0 0 0 0
864 Perak sulfadiazin krim 1% Tube 30 8 144 114
865 Perak sulfadiazin krim 2 % Tube 0 0 0 0
866 Perindoprilarginin tab 5 mg Tab 0 0 0 0
867 Permetrin krim 5 % Tube 359 26 468 109
868 Petidin inj 50 mg/ml (i.m./s.k./i.v.) Vial 0 0 0 0
869 Pilokarpin tts mata 2% Botol 0 0 0 0
870 Pioglitazon tab 15 mg Tab 0 0 0 0
871 Pioglitazon tab 30 mg Tab 0 0 0 0
872 Pirantel pamoat susp 125 mg/5 ml Botol 500 13 234 -266
873 Pirantel pamoat tab 500 mg Tab 0 0 0 0
874 Pirantel pamoat tab scored 125 mg Tab 1,300 234 4,212 2,912
875 Pirantel pamoat tab scored 250 mg Tab 0 0 0 0
876 Pirazinamid tab 500 mg Tab 0 0 0 0
877 Piridoksin (vitamin B6) inj 100 mg/ml Ampul 0 0 0 0
878 Piridoksin (vitamin B6) tab 10 mg Tab 28,500 3,338 60,084 31,584
879 Piridoksin (vitamin B6) tab 25 mg Tab 0 0 0 0
880 Piridostigmin tab sal 60 mg Tab sal 0 0 0 0
881 Pirimetamin tab 25 mg Tablet 0 0 0 0
882 Podofilin tingtur 25 % Botol 0 0 0 0
883 Polietilen glikol Botol 0 0 0 0
884 Polikresulen Botol 0 0 0 0
885 Povidon iodin lar 100 mg/ml Botol 1000 ml 0 0 0 0
886 Povidon iodin lar 100 mg/ml Botol 60 ml 0 58 1,044 1,044
887 Povidon iodin lar 100 mg/ml Botol 300 ml 0 0 0 0
888 Povidon iodin lar 100 mg/ml Botol 30 ml 500 106 1,908 1,408
889 Pramipeksol tab 0,125 mg Tablet 0 0 0 0
890 Pramipeksol tab ER 0,375 mg Tab 0 0 0 0
891 Pramipeksol tab ER 0,750 mg Tab 0 0 0 0
892 Pravastatin tab 10 mg Tab 0 0 0 0
893 Pravastatin tab 20 mg Tab 0 0 0 0
894 Prazikuantel tab scored 300 mg Tab 0 0 0 0
895 Prazikuantel tab scored 600 mg Tab 0 0 0 0
896 Prednisolon tts mata 10 mg/ml Botol 0 0 0 0
897 Prednison tab 5 mg Tab 43,900 1,116 20,088 -23,812
898 Primakuin tab 15 mg Tab 900 200 3,600 2,700
899 Probenesid tab 500 mg Tab 0 0 0 0
900 Prokain benzilpenisilin serb inj 1 juta UI/vial (i.m.) Tab 0 0 0 0
901 Prokain benzilpenisilin serb inj 3 juta UI/vial (i.m.) Vial 0 0 0 0
902 Prokaterol HCl cairan ih 30 mcg Botol 0 0 0 0
903 Prokaterol HCl cairan ih 50 mcg Botol 0 0 0 0
904 Prokaterol HCl serb ih 10 mcg Botol 0 0 0 0
905 Propiltiourasil tab 100 mg Tab 6,100 727 13,086 6,986
906 Propofol inj 1% (i.v. Bolus) Ampul 0 0 0 0
907 Propranolol inj 1 mg/ml (i.v.) Ampul 0 0 0 0
908 Propranolol tab 10 mg Tab 17,500 475 8,550 -8,950
909 Propranolol tab 40 mg Tab 19,300 142 2,556 -16,744
910 Prostaglandin (PGE 1) Inj 500 mcg/ml Vial 0 0 0 0
911 Protamin sulfat inj 10 mg/ml (i.m.) Ampul 0 0 0 0
912 Quetiapin tab SR 200 mg Tab 0 0 0 0
913 Quetiapin tab SR 300 mg Tab 0 0 0 0
914 Quetiapin tab SR 400 mg Tab 0 0 0 0
915 Ramipril tab 10 mg Tab 0 0 0 0
916 Ramipril tab 2,5 mg Tab 1,400 0 0 -1,400
917 Ramipril tab 5 mg Tab 0 0 0 0
918 Ranibizumab inj 10 mg/ml Vial 0 0 0 0
919 Ranitidin inj 25 mg/ml Ampul 3,470 79 1,422 -2,048
920 Ranitidin tab 150 mg Tab 295,700 8,828 158,904 -136,796
921 Retinol (vitamin A) kaps lunak 100.000 UI Kaps lunak 9,700 967 17,400 7,700
922 Retinol (vitamin A) kaps lunak 200.000 UI Kaps lunak 0 2,579 46,425 46,425
923 Ribavirin tab 200 mg Tab 0 0 0 0
924 Rifampisin kaps 300 mg Kaps 5,100 83 1,494 -3,606
925 Rifampisin tab 450 mg Tab 0 0 0 0
926 Rifampisin tab 600 mg Tab 0 0 0 0
927 Ringer Laktat Larutan Botol 3,260 462 8,316 5,056
928 Ringer Laktat Larutan 1000 ml Botol 0 0 0 0
929 Risedronat tab sal selaput 35 mg Tab 0 0 0 0
930 Risperidon tab 3 mg Tab 0 0 0 0
931 Risperidon tab sal 1 mg Tab sal 0 0 0 0
932 Risperidon tab sal 2 mg Tab sal 30,700 2,692 48,450 17,750
933 Rituksimab Inj 10 mg/ml Vial 0 0 0 0
934 Rituksimab inj 100 mg/ml Ampul 0 0 0 0
935 Rituksimab inj 500 mg/ml Ampul 0 0 0 0
936 Rivaroksaban tab sal 10 mg Tab sal 0 0 0 0
937 Rivaroksaban tab sal 15 mg Tab sal 0 0 0 0
938 Rivaroksaban tab sal 20 mg Tab sal 0 0 0 0
939 Rokuronium inj 50 mg/5 ml (i.v.) Vial 0 0 0 0
940 Ropinirol tab lepas lambat 2 mg Tab 0 0 0 0
941 Ropinirol tab lepas lambat 4 mg Tab 0 0 0 0
942 Ropinirol tab lepas lambat 8 mg Tab 0 0 0 0
943 Ropivakain Inj 7,5 mg/ml Ampul 0 0 0 0
944 Rosuvastatin tab 10 mg Tab 0 0 0 0
945 Salbutamol aerosol 100 mcg Botol 0 0 0 0
946 Salbutamol cairan ih 0,1% Botol 0 12 216 216
947 Salbutamol cairan serb ih 200 mcg/kaps + rotahaler Botol 3,200 0 0 -3,200
948 Salbutamol inj 50 mcg/ml Botol 0 0 0 0
949 Salbutamol lar ih 0,5 % Botol 0 1 18 18
950 Salbutamol nebules vial 2,5 mg Vial 2,520 63 1,134 -1,386
951 Salbutamol sir 2 mg/5 ml Botol 61 37 666 605
952 Salbutamol tab 2 mg Tab 40,000 2,144 38,592 -1,408
953 Salbutamol tab 4 mg Tab 47,000 4,415 79,470 32,470
954 Salep 2-4, kombinasi : asam salisilat 2 %+ belerang endap 4 % Tube 0 0 0 0
955 Sefadroksil kaps 250 mg Vial 0 0 0 0
956 Sefadroksil kaps/tab 500 mg Tab 14,000 83 1,494 -12,506
957 Sefadroksil sir kering 125 mg/5 ml Botol 1,150 56 1,008 -142
958 Sefadroksil sir kering 250 mg/5 ml Botol 0 0 0 0
959 Sefaleksin kaps 250 mg Kaps 0 0 0 0
960 Sefaleksin kaps 500 mg Kaps 0 0 0 0
961 Sefazolin serb inj 1 g/vial Vial 0 0 0 0
962 Sefepim serb inj 1000 mg/vial Vial 0 0 0 0
963 Sefiksim sir 100 mg/5 ml Botol 0 0 0 0
964 Sefiksim tab 100 mg Tab 0 150 2,700 2,700
965 Sefiksim Tab 200 mg Tablet 0 0 0 0
966 Sefoperazon serb inj 1.000 mg/vial Vial 0 0 0 0
967 Sefotaksim inj 500 mg/vial Vial 0 0 0 0
968 Sefotaksim serb inj 1.000 mg/vial Vial 0 0 0 0
969 Sefpirom serb inj 1000 mg Vial 0 0 0 0
970 Sefpodoksim proksetil tab sal 100 mg Tab 0 0 0 0
971 Seftazidim serb inj 1.000 mg/vial Vial 0 0 0 0
972 Seftriakson serb inj 1.000 mg/vial Vial 310 29 522 212
973 Sefuroksim serb inj 750 mg/vial Vial 0 0 0 0
974 Sefuroksim tab 250 mg Tab 0 0 0 0
975 Sefuroksim tab sal 500 mg Tab 0 0 0 0
976 Sertralin tab sal 50 mg Tab sal 3,000 0 0 -3,000

977 Serum anti bisa ular : A.B.U. I (khusus ular dari luar ) inj (i.m./i.v.) Papua Vial 5 2 36 31

978 Serum anti bisa ular :A.B.U.II (khusus ular dari Papua) inj (i.m./i.v.) Vial 0 0 0 0
979 Serum antidifteri (A.D.S) inj (i.m./i.v.) Inj i.m 10.000 UI/ Vial 0 0 0 0
980 Serum antidifteri (A.D.S) inj (i.m./i.v.) Inj i.m 20.000 UI/ Vial 0 0 0 0
981 Serum antirabies inj 100 UI/ml Vial 0 2 36 36
982 Serum antirabies inj 200 UI/ml Vial 0 0 0 0
983 Serum antitetanus (A.T.S) (i.m.) Inj 10.000 UI/vial (i.m /i.v.) Vial 0 1 18 18
984 Serum antitetanus (A.T.S) inj 1500 UI/amp (i.m.) Ampul 0 0 0 0
985 Serum antitetanus (A.T.S) inj 20.000 UI/vial (i.m /i.v.) Vial 0 0 0 0
986 Setirizin sir 5 mg/5 ml. Botol 419 227 4,086 3,667
987 Setirizin tab 10 mg Tab 58,500 2,788 50,184 -8,316
988 Setuksimab inj 5 mg/ml Vial 0 0 0 0
989 Sevofluran cairan ih 250 ml Botol 0 0 0 0
990 Sianokobalamin (vitamin B12) inj 500 mcg/ml Vial 0 0 0 0
991 Sianokobalamin (vitamin B12) tab 50 mcg Tab 21,000 1,584 28,512 7,512
992 Siklofosfamid serb inj 1000 mg/vial (i.v.) Vial 0 0 0 0
993 Siklofosfamid serb inj 200 mg/vial (i.v.) Vial 0 0 0 0
994 Siklofosfamid serb inj 500 mg/vial (i.v.) Vial 0 0 0 0
995 Siklofosfamid tab sal 50 mg Tab 0 0 0 0
996 Siklosporin inj 100 mg/ml Ampul 0 0 0 0
997 Siklosporin inj 50 mg/ml Ampul 0 0 0 0
998 Siklosporin kaps 100 mg Kaps 0 0 0 0
999 Siklosporin kaps lunak 25 mg Kaps 0 0 0 0
1000 Siklosporin Kaps lunak 50 mg Kapsul 0 0 0 0
1001 Silostazol tab 100 mg Tab 0 0 0 0
1002 Simeprevir tab 150 mg Tablet 0 0 0 0
1003 Simvastatin tab sal 10 mg Tab sal 18,000 1,660 29,880 11,880
1004 Simvastatin tab sal 20 mg Tab sal 1,700 1,800 32,400 30,700
1005 Siprofloksasin inf 2 mg/ml Botol 0 0 0 0
1006 Siprofloksasin tab scored 500 mg Tab 36,100 2,255 40,590 4,490
1007 Siprofloksasin tetes mata 3 mg/ml Botol 0 0 0 0
1008 Sisplatin serb inj 10 mg Vial 0 0 0 0
1009 Sisplatin serb inj 50 mg Vial 0 0 0 0
1010 Sitarabin inj 50 mg Vial 0 0 0 0
1011 Sitarabin serb inj 100 mg (i.m./i.v./s.k.) Vial 0 0 0 0
1012 Sofosbuvir tab sal selaput 400 mg Tablet 0 0 0 0
1013 Spiramisin tab 250 mg Tab 0 0 0 0
1014 Spiramisin tab 500 mg Tab 0 0 0 0
1015 Spironolakton tab 100 mg Tab 0 10 180 180
1016 Spironolakton tab 25 mg Tab 3,800 100 1,800 -2,000
1017 Stannous pyrophosphate 27,6 mg sodium pyrophosphate/vial Vial 0 0 0 0
1018 Stavudin tab 30 mg Tab 0 0 0 0
1019 Streptokinase serb inj 1,5 juta UI/vial Vial 0 0 0 0
1020 Streptomisin serb inj 1.000 mg/vial Vial 784 23 414 -370
1021 Sufentanil inj 5 mcg/ml (i.v.) Ampul 0 0 0 0
1022 Sugammadeks inj 100 mg/ml Vial 0 0 0 0
1023 Sukralfat susp 500 mg/5 ml Botol 0 0 0 0
1024 Sukralfat tab 500 mg Tab 0 0 0 0
1025 Suksinilkolin inj 20 mg/ml (i.v./i.m.) Vial 0 0 0 0
1026 Suksinilkolin inj 50 mg/ml (i.v./i.m.) Vial 0 0 0 0
1027 Suksinilkolin serb inj 100 mg/vial (i.v./i.m.) Vial 0 0 0 0
1028 Sulfadiazin tab 500 mg Tablet 0 0 0 0
1029 Sulfasalazin kapl sal enterik 500 mg Kaps salut 0 0 0 0
1030 Sulfur colloid 4,5 mg gelatin/reaction vial Vial 0 0 0 0
1031 Surfaktan susp 25 mg/ml (intratrakeal) Botol 0 0 0 0
1032 Surgical ginggival pack Tube 0 0 0 0
1033 Takrolimus kaps 0,5 mg Kaps 0 0 0 0
1034 Takrolimus kaps 1 mg Kaps 0 0 0 0
1035 Takrolimus kaps lepas lambat 0,5 mg Kaps 0 0 0 0
1036 Takrolimus kaps lepas lambat 1 mg Kaps 0 0 0 0
1037 Tamoksifen tab 10 mg Tablet 0 0 0 0
1038 Tamoksifen tab 20 mg Tab 0 0 0 0
1039 Tamsulosin tab 0,2 mg Tab 0 0 0 0
1040 Tamsulosin tab SR 0,4 mg Tab 0 0 0 0
1041 Technetium 99m 740 mbq - 3,7 gbq (20 to 100 millicuries)/ml Set 0 0 0 0
1042 Telbivudin tab 600 mg Tab 0 0 0 0
1043 Telmisartan tab 40 mg Tab 0 0 0 0
1044 Telmisartan tab 80 mg Tab 0 0 0 0
1045 Temozolamid kaps 100 mg Kaps 0 0 0 0
1046 Temozolamid kaps 20 mg Kaps 0 0 0 0
1047 Tenofovir tab 300 mg Tab 0 0 0 0
1048 Teofilin tab 100 mg Tab 0 0 0 0
1049 Teofilin tab 150 mg Tab 5,000 0 0 -5,000
1050 Teofilin tab SR 300 mg Tab 0 0 0 0
1051 Terazosin hcl tab 1 mg Tab 0 0 0 0
1052 Terazosin hcl tab 2 mg Tab 0 0 0 0
1053 Terbinafrin tab 250 mg Tablet 0 0 0 0
1054 Terbutalin cairan ih 2,5 mg/ml Botol 360 0 0 -360
1055 Terbutalin inj 0,5 mg/ml Vial 0 1 18 18
1056 Terbutalin serb ih 0,50 mg/dose Vial 0 0 0 0
1057 Terbutalin sir 1,5 mg/5 ml Botol 0 0 0 0
1058 Terbutalin tab 2,5 mg Tab 3,000 0 0 -3,000
1059 Testosteron inj 250 mg/ml Tab 0 0 0 0
1060 Testosteron kaps lunak 40 mg Kaps 0 0 0 0
1061 Testoteron kombinasi : benserazin 25 mg +levodopa 100 mg Kaps 0 0 0 0
1062 Tetanus toxoid inj Ampul 0 0 0 0
1063 Tetrakain tts mata 0,5% Botol 0 0 0 0
1064 Tetrasiklin kaps 250 mg Kaps 2,000 0 0 -2,000
1065 Tetrasiklin kaps 500 mg Kaps 4,500 0 0 -4,500
1066 Thallous Chloride Tl-202 1 mg methylene diphosphonic acid/ml Set 0 0 0 0
1067 Tiamazol tab 10 mg Tab 0 0 0 0
1068 Tiamazol tab 5 mg Tab 0 0 0 0
1069 Tiamin (vitamin B1) tab 50 mg Tab 211,500 4,281 77,058 -134,442
1070 Tikagrelor tab 90 mg Tab 0 0 0 0
1071 Timolol tts mata 0,25% Botol 0 0 0 0
1072 Timolol tts mata 0,5% Botol 0 0 0 0
1073 Tiopental serb inj 500 mg/amp (i.v. Bolus) Ampul 0 0 0 0
1074 Tiopental serb serb inj 1.000 mg/amp (i.v.) Ampul 0 0 0 0
1075 Tiotropium serb ih 18 mcg + handihaller Botol 0 0 0 0
1076 Tiotropium serb ih 18 mcg, refill Botol 0 0 0 0
1077 Tobramisin tetes mata 0,3% Botol 0 0 0 0
1078 Topiramat tab 100 mg Tab 0 0 0 0
1079 Topiramat tab 25 mg Tab 0 0 0 0
1080 Topiramat tab 50 mg Tab 0 0 0 0
1081 Tramadol inj 50 mg/ml Ampul 0 0 0 0
1082 Trastuzumab serb inj 440 mg/vial Vial 0 0 0 0
1083 Travoprost tts mata 0,004% Botol 0 0 0 0
1084 Triamsinolon asetonid nasal spray 55 mcg/puff Botol 0 0 0 0
1085 Triamsinolon inj 10 mg/ml Ampul 0 0 0 0
1086 Trifluoperazin tab sal 5 mg Tab sal 5,200 108 1,950 -3,250
1087 Triheksifenidil tab 2 mg Tab 36,000 2,667 48,000 12,000
1088 Tropikamid tts mata 0,5% Botol 0 0 0 0
1089 Tropikamid tts mata 1% Botol 0 0 0 0
1090 Tuberkulin protein purified derivative 1:10 (i.k) Ampul 0 2 36 36
1091 Urea krim 10 % Tube 0 0 0 0
1092 Vaksin BCG inj (i.k) Vial 0 67 1,206 1,206
1093 Vaksin campak inj (s.k.) Vial 0 45 810 810
1094 Vaksin jerap difteri tetanus (DT) Vial 0 46 828 828
1095 Vaksin jerap difteri tetanus (Td) Vial 0 20 360 360
1096 Vaksin jerap difteri tetanus pertusis (DTP) inj (i.m.) Vial 0 0 0 0
1097 Vaksin jerap tetanus (tetanus adsorbed toxoid) inj (i.m.) Vial 0 0 0 0
1098 Vaksin kombinasi DPT-HB-Hib Vial 0 25 450 450
1099 Vaksin polio IPV inj 0,5 ml Vial 0 21 378 378
1100 Vaksin polio t-OPV drops 10 dosis Vial 0 41 738 738
1101 Vaksin rabies, untuk manusia serb inj (s.k./i.k) + booster Vial 22 5 90 68
1102 Vaksin rabies, untuk manusia serb Inj 2,5 IU Vial 0 0 0 0
1103 Valasiklovir tab 500 mg Tab 0 0 0 0
1104 Valgansiklovir tab sal 450 mg Tab sal 0 0 0 0
1105 Valproat sir 250 mg/5 ml Botol 144 1 18 -126
1106 Valproat tab sal 250 mg Tab sal 0 0 0 0
1107 Valproat tab sal 500 mg Tab sal 600 8 144 -456
1108 Valproat tab sal enterik 200 mg Tab 0 0 0 0
1109 Valproat tab SR 250 mg Tab 0 0 0 0
1110 Valproat tab SR 500 mg Tab 0 0 0 0
1111 Valsartan tab 160 mg Tab 570 78 1,404 834
1112 Valsartan tab 80 mg Tab 0 137 2,466 2,466
1113 Vankomisin serb inj 500 mg/vial Vial 0 0 0 0
1114 Vasopresin inj 20 UI/ml (i.m./s.k.) Vial 0 0 0 0
1115 Verapamil inj 2,5 mg/ml Vial 0 0 0 0
1116 Verapamil tab 240 mg Tab 0 0 0 0
1117 Verapamil tab 80 mg Tab 0 0 0 0
1118 Vinblastin inj 1 mg/ml Ampul 0 0 0 0
1119 Vinkristin serb inj 1 mg/ml (i.v.) Vial 0 0 0 0
1120 Vinorelbin inj 10 mg/ml Vial 0 0 0 0
1121 Vitamin B kompleks Tab 198,800 20,658 371,844 173,044
1122 Warfarin tab 1 mg Tab 0 0 0 0
1123 Warfarin tab 2 mg Tab 0 0 0 0
1124 Zidovudin kaps 100 mg Kaps 0 0 0 0
1125 Zinc drops 10 mg/ml Botol 0 0 0 0
1126 Zinc serb 10 mg Sachet 0 0 0 0
1127 Zinc sir 10 mg/ml Botol 0 0 0 0
1128 Zinc sir 20 mg/5 ml Botol 0 143 2,574 2,574
1129 Zinc tab disp 20 mg Tab 0 1,775 31,950 31,950

Kepala Dinas Kesehatan Propinsi Kepala Dinas Kesehatan Kabupaten

Kepulauan Bangka Belitung Bangka Tengah

drg. Mulyono Susanto, MHSM dr. H. BAHRUN SIREGAR SUTRISNO, M. Ke

NIP. 19620201 198712 1 001 NIP. 19640602 200212 1 005
 RENCANA
PENGADAAN
TAHUN 2019
(e)

0
0
100
700
0
0
0
0 obat program
0 obat program
0
0
0
0
0
0
0
50,000
2,000
0
0
2,000
0
0
0
0
0
0
0
0
0
5,000
0
0
0 obat program
30,000
0
0
700
8,000
30,000
200,000
0
0
0

0
0
300 Prediksi peni
0
300 Prediksi peni
0
0

70,000

50
0
500
0
350
0
0
0
0
 20
0 obat program
0
600
0
0
150,000
0
35,000
0
0
0
0
200,000
0
0
0
0
0
0
0
0
0
0
0
0
500
15,000
10,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 obat program
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
200
0
0
0
0
0
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0
0
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0
0
0
0
0
20
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
200,000
0
0
0
0
0
0
0
0
0
0
200
0
0
600
0
0
0 obat program
50
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 obat program
0
0
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2,500
25,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1,100
0
0
0
0
0
6,000
0
50
2,000
0
0
0
0
0
0
0
0
0
0
0
0
0
200 Untuk poli gi
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
4,000
0
0
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6,000
0
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0
0
0
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0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100
0
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0
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0
0

0
0
0
0
0
0
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0
0
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0
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0
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0
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500
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0
0
0
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0
0
0
8,000
0
0
0
0
0
0
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30
0
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0
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0
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0
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0
400
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0
0
0
0
0
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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
70,000
200,000
0
0
2,000
10,000
0
0
0
0
0
0
 0
0
0
0
0
0
12,000
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
2,000
2,000
2,000
500
0
0
0
1,100
500
0
0
0
0
0
0
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0 obat program
0
0
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0
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0
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0
0
0
200
0
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0
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0
0
0
0
300
0
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1,100
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0
0
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0
0
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0
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0
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0
0
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0
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0
0
120,000
0
0
0
0
0
0
0
0
32,000
18,000
0
0
0
0
0
0
0
0
0
0
0
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5,000
30,000
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0
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80,000
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0
0
0
250
50
0
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0
20,000
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0
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7,000
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8,000
0
0
0
0
0
0
0
0
0

0
150
0
0
150
0
0
0
0
0
0
3,000
0
0
0
40,000
0
0
0
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0
0
0
0
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0
0
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0
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6,000
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300
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0
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35,000
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3,000
0
0
0
0
0
0
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0
200,000
0
0
0
0
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