Rko

NO NAMA SATUAN SISA PREDIKSI PEMAKAI PREDIKSI SISA STOK 31 JUMLAH
OBAT STOK PER PENGADA AN RATA- DESEMBER 2022 KEBUTUHAN

31 AN RATA PER TAHUN 2023
DESEMBE TAHUN BULAN
R 2021 2022 SELAMA
2021
(a) (b) (c) (d) = (a)+(b)-(12x(c)) (e) = (c) x 15

1 153-Sm- Tab 0 0 0 0 0
EDTMP
(ethylene
diamine
tetrameth
ylene
phosphon
ic acid) 44
mg Ca/Na
EDTMP,
5-46 ?g
samarium
, dan
1850 ±
185 mbq
samarium
153 per
ml
2 Abacavir Tablet/kap 0 0 0 0 0
300 mg
3 Adefovir tablet/kaps 0 0 0 0 0
dipivoksil
tab 10 mg
4 Adenosin ampul/vial 0 0 0 0 0
inj 3
mg/mL
5 Afatinib tablet sal 0 0 0 0 0

tab sal
selaput
20 mg
6 Afatinib tablet sal 0 0 0 0 0

tab sal
selaput
30 mg
7 Afatinib tablet salu 0 0 0 0 0
tab sal
selaput
40 mg
8 Air untuk Botol 250 0 0 0 0 0

injeksi
9 Air untuk ampul/vial 0 0 0 0 0
injeksi
injeksi
injeksi
amp 20
ml

injeksi
amp 25
ml
13 Air untuk Flexy bag 0 0 0 0 0

irigasi
irigasi inf
15 Air untuk botol @ 1. 7 640 40 167 600
irigasi lar
inf 1000
ml
16 Akarbose tablet/kap 1613 2900 320 673 4800

tab 100
mg
17 Akarbose tablet/kap 0 2000 100 800 1500

tab 50 mg
18 Albendaz Botol 0 0 0 0 0
ol susp
200 mg/5
ml
19 Albendaz tablet/kap 0 0 0 0 0
ol tab 400
mg
20 Albumin Botol 1 18 1 7 15
serum
normal
(human
albumin)
inj 20%
100 ml
serum
normal
(human
albumin)
inj 20%
50 ml
serum
normal
(human
albumin)
inj 25%
100 ml
serum
normal
(human
albumin)
inj 25%
20 ml
serum
normal
(human
albumin)
inj 25%
50 ml
serum
normal
(human
albumin)
inj 5%
250 ml
serum
normal
(human
albumin)
inj 5% 50
ml
27 Alendron tablet/kaps 0 0 0 0 0
at Tab 70
mg
28 Alopurino Tab 103 5000 220 2463 3300

l tab 100
mg
29 Alopurino tablet/kap 172 0 142 -1532 2130
l tab 300
mg
30 Alprazola tablet/kap 0 0 0 0 0
m tab
0,25 mg

m tab 0,5
mg

m tab 1
mg
33 Alteplase Vial 0 0 0 0 0
serb inj
50
mg/vial
34 Amfoteris Ampul 0 0 0 0 0
in B inj 50
mg/10 ml
(i.v.)
35 Amfoteris Tube 0 0 0 0 0
in B salep
mata 1%
36 Amfoteris Tube 0 0 0 0 0
in B salep
mata 3%
37 Amikasin vial/ampul 7 20 1 15 15
inj 250
mg/ml
38 Aminofilin ampul/vial 5 72 6 5 90
inj 24
mg/ml
39 Aminofilin tablet/kap 0 0 0 0 0
tab 150
mg
40 Aminofilin tablet/kap 0 0 0 0 0
Tab 200
mg
41 Amiodaro ampul/vial 1 60 4 13 60
n inj 150
mg/3 ml
42 Amiodaro Tab 188 3000 150 1388 2250

n tab 200
mg
43 Amitriptili tablet/kap 0 13000 600 5800 9000
n tab sal
25 mg
44 Amlodipin tablet/kap 97 41200 2100 16097 31500

tab 10 mg
45 Amlodipin tablet/kap 600 8000 877 -1924 13155

tab 5 mg
46 Amoksisili Botol @15 0 0 0 0 0

n drops
100
mg/ml

n drops
100
mg/ml

n drops
100
mg/ml
49 Amoksisili botol 60 m 1 300 15 121 225

n sir forte
250 mg/5
ml
50 Amoksisili Botol 0 178 10 58 150

n sir
kering
125 mg/5
ml
51 Amoksisili tablet/kap 0 0 0 0 0
n tab 250
mg
52 Amoksisili tablet/kap 120 45000 2500 15120 37500

n tab 500
mg
53 Ampisilin ampul/vial 10 730 40 260 600

serb inj
1000
mg/vial
54 Ampisilin Vial 0 430 20 190 300

serb inj
250
mg/vial
55 Analog vial/cartri 2 360 15 182 225
insulin :
intermedi
ate acting
inj 100
UI/ml
(kemasan
vial,
cartridge
disposible
, penfill
cartridge)
56 Analog Vial/Cartri 16 1100 30 756 450

insulin :
mix
insulin (inj
100
UI/ml)
57 Analog Penfill 4 0 5 -56 75

insulin
intermedi
ate acting
combine
with short
or long
acting inj
100 IU/ml
(25%
insulin
lispro),
vial/cartri
dge
diposible/
penfill
cartridge
58 Analog Penfill 7 0 45 -533 675
insulin
intermedi
ate acting
combine
with short
or long
acting inj
100 IU/ml
(50%
insulin
lispro),
vial/cartri
dge
diposible/
penfill
cartridge
59 Analog Vial/Cartri 0 0 0 0 0
Insulin
long
acting inj
100
IU/mL,
vial/cartri
dge
disposible
/penfill
cartridge
60 Analog Vial @10 m 0 0 0 0 0

insulin
rapid
acting inj
100
IU/mL
61 Analog cartridge d 0 0 0 0 0
insulin
rapid
acting inj
100
IU/mL
62 Analog vial/dispos 0 0 0 0 0
Insulin:
insulin
basal inj
100
IU/mL
Insulin:
insulin
basal inj
300
IU/mL
Insulin:
insulin
prandial
inj 100
IU/mL
65 Anastrozo tablet/kap 0 0 0 0 0
l tab 1 mg
66 Anestetik ampul/vial 0 0 60 -720 900

lokal gigi
kombinasi
: lidokain
hcl 2% +
epinefrin
1 : 80.000
inj 2 ml
67 Antasida, tablet/kap 294 0 700 -8106 10500

kombinasi
:
aluminiu
m
hidroksid
a 200 mg
+
magnesiu
m
hidroksid
a 200 mg
68 Antasida, botol 60 m 0 0 0 0 0
kombinasi
:
aluminiu
m
hidroksid
a 200 mg
+
magnesiu
m
hidroksid
a 200 mg
69 Anti Kaps 0 0 0 0 0
Parkinson
kombinasi
:
benzerasi
d 25 mg +
levodopa
100 mg
70 Antibakte Tube 0 0 0 0 0
ri,
kombinasi
:
basitrasin
500 UI/g+
Polimiksin
B 10.000
UI/g
71 Antifungi pot 30 g 0 0 0 0 0
salep,
kombinasi
: asam
benzoat
6%+ asam
salisilat
3%
72 Antihemo Suppositor 17 0 30 -343 450
roid,
kombinasi
: bismut
subgalat
150 mg +
heksaklor
ofen 2,5
mg +
lidokain
lidokain
10 mg+
seng
oksida
120 mg +
sup ad 2 g
73 Aquadest Botol 500 0 0 0 0 0

cairan
500 ml
74 Aripiprazo botol 0 0 0 0 0
l oral
solution 1
mg/ml
75 Aripiprazo tablet/kaps 0 0 0 0 0
l tab 5 mg
76 Aripiprazo tab discmel 0 0 0 0 0

l tab
discmelt
10 mg
77 Aripiprazo tab discmel 0 0 0 0 0

l tab
discmelt
15 mg
78 Artesunat ampul/vial 0 0 0 0 0
serb inj
60 mg/ml
(i.v./i.m.)
79 Articulati Kertas war 0 0 0 0 0

ng paper
kertas
warna
penanda
oklusi
80 Asam Botol 48 0 1 36 15
asetat
tetes
telinga
2%
81 Asam tablet sal 0 0 0 0 0

asetilsalisi
lat
(asetosal)
tab 100
mg
82 Asam tablet/kaps 3336 0 2274 -23952 34110

asetilsalisi
lat
(asetosal)
tab 80 mg
83 Asam Tab 557 0 1800 -21043 27000

askorbat
(vitamin
C) tab 250
mg
84 Asam tablet/kaps 0 0 0 0 0
askorbat
(vitamin
C) tab 50
mg
85 Asam tablet/kaps 547 0 3200 -37853 48000

folat tab
0,4 mg
86 Asam tablet/kaps 0 0 2000 -24000 30000

folat tab 1
mg
87 Asam Tab 0 0 0 0 0
folat tab 5
mg
88 Asam catchcover 0 0 0 0 0
Fusidat
tts mata
1%
89 Asam Botol @5 m 0 0 0 0 0
fusidat tts
mata 1%
90 Asam ampul/vial 0 0 0 0 0
ibandrona
t inj 1
mg/ml
91 Asam tablet/kaps 0 0 0 0 0
mefenam
at kaps
250 mg
92 Asam tablet/kap 114 0 3200 -38286 48000

mefenam
at kaps
500 mg
93 Asam tablet/kaps 0 0 30 -360 450

pipemidat
kaps 400
mg
94 Asam Tube/pot 0 0 0 0 0
retinoat
krim
0,05%
95 Asam Tube @ 10 0 0 0 0 0
retinoat
krim 0,1%
96 Asam Tube @ 20 0 0 0 0 0
retinoat
krim 0,1%
97 Asam Botol 0 0 0 0 0
salisilat
lar 0,1%
98 Asam Tube 0 0 0 0 0
salisilat
salep 10%
99 Asam Tube 0 0 0 0 0
salisilat
salep 2%
100 Asam Tube 0 0 0 0 0

salisilat
salep 5%
101 Asam ampul/vial 54 0 120 -1386 1800

traneksa
mat inj
100
mg/ml
102 Asam Ampul 6 0 44 -522 660

traneksa
mat inj 50
mg/ml
103 Asam ampul/vial 3 0 1166 -13989 17490
traneksa
mat tab
500 mg
104 Asam tablet/kaps 64 0 330 -3896 4950

ursodeoks
ikolat
kaps 250
mg
105 Asam Botol 0 0 0 0 0

zoledrona
t inf 4
mg/100
ml
106 Asam Botol 0 0 0 0 0

Zoledrona
t Inf 5
mg/100
ml
107 Asetazola tablet/kaps 0 0 0 0 0

mid tab
250 mg
108 Asiklovir tube 0 0 0 0 0

salep
mata 3%
109 Asiklovir Ampul/vial 0 0 0 0 0

serb inj
250 mg
110 Asiklovir tablet/kaps 0 0 0 0 0

tab 200
mg
111 Asiklovir tablet/kaps 0 0 150 -1800 2250

tab 400
mg
112 Asparagin Vial 0 0 0 0 0

ase serb
inj 10.000
UI/vial
113 Atapulgit tablet/kaps 152 0 146 -1600 2190

600 mg
114 Atapulgit tablet/kaps 0 0 0 0 0
tab 630
mg
115 Atapulgit tablet/kaps 0 0 0 0 0

tablet 650
mg
116 Atapulgit Tab 0 0 0 0 0
tablet 750
mg
117 Atenolol tablet/kaps 0 0 0 0 0

tab 100
mg
118 Atenolol tablet/kaps 0 0 0 0 0

tab 50 mg
119 Atorvasta tablet salu 0 0 0 0 0

tin tab 10
mg
120 Atorvasta tablet salu 311 0 283 -3085 4245

tin tab 20
mg
121 Atrakuriu ampul/vial 0 0 0 0 0

m inj 10
mg/ml
(i.v)
122 Atrakuriu ampul/vial 0 0 0 0 0

m inj 10
mg/ml
(i.v)
123 Atropin Ampul 243 0 20 3 300

inj 0,25
mg/ml
(i.m./i.v./s
.k)
124 Atropin Tab 0 0 0 0 0

tab 0,5
mg
125 Atropin Botol 3 0 1 -9 15

tts mata
0,5%
126 Atropin Botol 0 0 0 0 0

tts mata
1%
127 Azatioprin Tab 0 0 0 0 0

tab 50 mg
128 Azitromisi ampul/vial 13 0 3 -23 45

n serb inj
500 mg
129 Azitromisi maks boto 5 0 5 -55 75
n sir
kering
200 mg/5
ml
130 Azitromisi tablet/kaps 0 0 0 0 0

n tab 250
mg
131 Azitromisi tablet salu 871 0 146 -881 2190

n tab 500
mg
132 Bahan Botol 0 0 0 0 0

tumpatan
sementar
a lar, serb
133 Barium Botol 0 0 0 0 0

sulfat
serb 92
g/100 ml
134 Barium Disposible 0 0 0 0 0

sulfat
serb 92
g/100 ml
135 Barium Botol plast 0 0 0 0 0

sulfat
susp 95%
136 Basiliksim Vial 0 0 0 0 0

ab Inj 20
mg
137 Bedak Dus/Sachet 0 0 1 -12 15

salisil serb
2%
138 Bedakuili tablet/kaps 0 0 0 0 0

n fumarat
tab 100
mg
139 Bendamu Vial 0 0 0 0 0

stin serb
inj 100
mg
140 Bendamu Vial 0 0 0 0 0

stin serb
inj 25 mg
141 Benzatin Vial 0 0 0 0 0
penisilin
inj 1,2
juta UI/ml
(i.m.)
142 Benzatin Vial 0 0 0 0 0

penisilin
inj 2,4
juta UI/ml
(i.m.)
143 Beraprost tablet/kaps 0 0 0 0 0

sodium
tab 20
mcg
144 Betahistin Tab 0 0 0 0 0

tab 24 mg
145 Betahistin tablet/kaps 613 0 350 -3587 5250

tab 6 mg
146 Betaksolo Botol @ 5 0 0 0 0 0

l tts mata
0,5%
147 Betaksolo Catchcover, 0 0 0 0 0

l tts mata
0,5%
148 Betameta tube 5 gra 0 0 5 -60 75

son krim
0,1%
149 Betameta Tube 0 0 0 0 0

son krim
0,5 mg/g
150 Betameta tube 5 gra 0 0 3 -36 45

son salep
0,1%
151 Betameta botol @5 m 0 0 0 0 0

son tts
mata 1
mg/ml
152 Betameta catchcover, 0 0 0 0 0
son tts
mata 1
mg/ml
153 Bikalutam tablet salu 0 0 0 0 0

id tab sal
150 mg
154 Bikalutam tablet salu 0 0 0 0 0

id tab sal
50 mg
155 Bisakodil Suppositor 0 0 5 -60 75

sup 10 mg
156 Bisakodil Suppositor 0 0 0 0 0

sup 5 mg
157 Bisakodil tablet/kaps 0 0 10 -120 150
tab sal 5
mg
158 Bisoprolol tablet/kaps 0 0 10 -120 150

tab 1,25
mg
159 Bisoprolol tablet sal 0 0 10 -120 150

tab 10 mg
160 Bisoprolol tablet/kaps 0 0 80 -960 1200

tab 2,5
mg
161 Bisoprolol tablet sal 596 0 450 -4804 6750

tab 5 mg
162 Bleomisin Vial 0 0 0 0 0

serb inj
15 mg/ml
163 Bortezom ampul/vial 0 0 0 0 0

ib serb inj
3,5 mg
164 Brinzolam Botol 0 0 0 0 0

id tetes
mata
165 Bromokri Tab 30 0 50 -570 750

ptin tab
2,5 mg
166 Budesoni Botol @ 4 0 0 0 0 0
d cairan
ih
0,25mg/
ml
167 Budesoni respoules 0 0 0 0 0

d cairan
ih
0,25mg/
ml,
respoules
2 ml
168 Budesoni Botol @ 4 0 0 0 0 0

d cairan
ih 0,5
mg/ml
169 Budesoni respoules 0 0 20 -240 300

d cairan
ih 0,5
mg/ml,
respoules
2 ml
170 Budesoni Botol 6 0 2 -18 30

d serb ih
100
mcg/dosis
171 Budesoni 200 dosis 0 0 0 0 0

d serb ih
200
mcg/dosis
172 Budesoni 100 dosis 0 0 6 -72 90

d serb ih
200
mcg/dosis
173 Budesoni Turbuhaler 0 0 3 -36 45

d-
formoter
ol (fixed
combinati
on)
160/4,5
mg
(inhalasi),
120 dosis
174 Budesoni rapihaler 0 0 0 0 0
d-
formoter
ol (fixed
combinati
on)
160/4,5
mg
(inhalasi),
120 dosis
175 Budesoni Turbuhaler 0 0 5 -60 75

d-
formoter
ol (fixed
combinati
on)
160/4,5
mg
(inhalasi),
60 dosis
176 Budesoni rapihaler 0 0 0 0 0

d-
formoter
ol (fixed
combinati
on)* ih
80/4,5
mcg
177 Budesoni Turbuhaler 0 0 0 0 0

d-
formoter
ol (fixed
combinati
on)* ih
80/4,5
mcg
178 Bupivakai vial/ampul 0 0 0 0 0

n heavy
inj 5
mg/ml
(hcl) +
glukosa
8%
179 Bupivakai ampul/vial 20 0 70 -820 1050
n inj 5
mg/ml
(p.v.)
180 Busulfan Tab 0 0 0 0 0

tab salut
2 mg
181 Cardiople ampul/vial 0 0 0 0 0

gia inj
182 Cisaprid tablet 0 0 0 0 0
tab 5 mg
183 Copper T set/buah 1 0 17 -203 255
184 Dabigatra tablet/kap 0 0 0 0 0
n
eteksilat
kaps 110
mg
185 Dabigatra tablet/kaps 0 0 0 0 0

n
eteksilat
kaps 75
mg
186 Dakarbazi Vial 0 0 0 0 0

n serb inj
100
mg/vial
187 Dakarbazi Vial 0 0 0 0 0

n serb inj
200
mg/vial
188 Daklatasvi Tab 0 0 0 0 0

r tab sal
selaput
30 mg
189 Daklatasvi Tab 0 0 0 0 0

r tab sal
selaput
60 mg
190 Daktinomi Vial 0 0 0 0 0

sin inj 0,5
mg/vial
(i.v.)
191 Dapson Tab 0 0 0 0 0
tab
scored
100 mg
192 Daunorub Vial 0 0 0 0 0

isin serb
inj 20
mg/vial
193 Deferasir Tab 0 0 0 0 0

oks tab
disp 250
mg
194 Deferasir tablet disp 0 0 0 0 0

oks tab
disp 500
mg
195 Deferasir tablet salu 0 0 0 0 0

oks tab
sal
selaput
180 mg
196 Deferasir tablet salu 0 0 0 0 0

oks tab
sal
selaput
360 mg
197 Deferipro Botol 0 0 0 0 0

n lar oral
100
mg/ml
198 Deferipro tab salut s 0 0 0 0 0

n tab sal
500 mg
199 Deferoksa Vial 0 0 0 0 0

min
mesilat
serb inj
500
mg/vial
200 Deksamet ampul/vial 119 0 160 -1801 2400

ason inj 5
mg/ml
(i.v./i.m.)
201 Deksamet tablet/kaps 106 0 382 -4478 5730
ason tab
0,5 mg
202 Deksmed ampul/vial 0 0 0 0 0

etomidin
Inj 100
mcg/ml
203 Delamani tablet/kaps 0 0 0 0 0

d tab 50
mg
204 Desfluran Botol 0 0 0 0 0

cairan ih
205 Desmopr Botol 0 0 0 0 0

esin nasal
spray 10
mcg/puff
206 Desmopr Tab 0 0 0 0 0

esin tab
0,1 mg
207 Desmopr Tab 0 0 0 0 0

esin tab
0,2 mg
208 Desogestr Tab 0 0 0 0 0

el tab 75
mcg
209 Desoksim Tube 0 0 0 0 0

etason gel
0,05%
210 Desoksim tube 10 g 19 0 5 -41 75

etason
krim
0,25%
211 Desoksim tube 15 g 0 0 0 0 0

etason
krim
0,25%
212 Desoksim tube 10 g 0 0 5 -60 75

etason
salep
0,25%
213 Dialisis ultrabag 0 0 0 0 0
peritonea
l, larutan
intraperit
oneal -
Extraneal
214 Diazepam tube @ 2,5 7 0 7 -77 105

enema 10
mg/2,5 ml
215 Diazepam tube @ 2,5 7 0 8 -89 120

enema 5
mg/2,5 ml
216 Diazepam ampul/vial 5 0 3 -31 45

inj 5
mg/ml
(i.v./i.m.)
217 Diazepam tablet/kap 0 0 80 -960 1200

tab 2 mg
218 Diazepam tablet/kaps 350 0 600 -6850 9000

tab 5 mg
219 Dienogest tablet/kaps 0 0 24 -288 360

tab 2 mg
220 Dietilkarb tablet/kaps 0 0 0 0 0

amazin
tab 100
mg
221 Difenhidr ampul/vial 0 0 20 -240 300

amin inj
10 mg/ml
(i.v./i.m.)
222 Diflukorto Tube 0 0 0 0 0
lon
valerat
salep
berlemak
0,1%
223 Digoksin ampul/vial 5 0 1 -7 15

inj 0,25
mg/ml
224 Digoksin tablet/kaps 68 0 60 -652 900

tab 0,25
mg
225 Diltiazem Ampul 0 0 0 0 0

hcl inj 5
mg/5 ml
226 Diltiazem ampul/vial 0 0 0 0 0

inj 25
mg/5 ml
227 Diltiazem Kapsul lep 579 0 80 -381 1200

kaps SR
100 mg
228 Diltiazem Kapsul lep 0 0 100 -1200 1500

kaps SR
200 mg
229 Diltiazem Ampul 0 0 0 0 0

serb inj
10 mg/10
ml
230 Diltiazem Vial 0 0 0 0 0

serb inj
50
mg/vial
231 Diltiazem Tab 0 0 0 0 0

tab 30 mg
232 Dimenhid tablet/kaps 17 0 83 -979 1245

rinat tab
50 mg
233 Dinatrium Botol 0 0 1 -12 15
edetat tts
mata
0,35%
(3,5
mg/ml)
234 Dinatrium Botol 0 0 0 0 0

klodronat
inj 60
mg/ml
235 DMSA Vial 0 0 0 0 0

(dimercap
to
succinic
acid) 1,1
mg meso-
2, 3-
dimercapt
osuccinic
acid/vial
236 Dobutami ampul/vial 7 0 3 -29 45

n inj 12,5
mg/ml
237 Dobutami ampul/vial 0 0 0 0 0

n inj 25
mg/ml
238 Dobutami ampul/vial 0 0 0 0 0

n inj 50
mg/ml
239 Doksazosi tablet/kaps 0 0 0 0 0

n tab 1
mg
240 Doksazosi tablet/kaps 0 0 0 0 0

n tab 2
mg
241 Doksisikli tablet/kaps 472 0 125 -1028 1875

n kaps
100 mg
242 Doksisikli tablet/kaps 0 0 0 0 0

n kaps 50
mg
243 Doksorubi Vial 0 0 0 0 0
sin serb
inj 10
mg/vial
(i.v.)
244 Doksorubi Vial 0 0 0 0 0

sin serb
inj 50
mg/vial
245 Dolutegra tablet/kaps 0 0 0 0 0

vir tab 50
mg
246 Domperid botol @60 0 0 20 -240 300

on susp 5
mg/5 ml
247 Domperid tablet/kaps 350 0 850 -9850 12750

on tab 10
mg
248 Domperid Botol 0 0 3 -36 45

on tts 5
mg/ml
249 Donepezil tablet salu 3 0 20 -237 300

tab 5 mg
250 Donepezil tablet disp 0 0 0 0 0

tab eff 10
mg
251 Dopamin ampul/vial 0 0 4 -48 60

inj 40
mg/ml
252 Dosetaks Vial 0 0 0 0 0

el inj 20
mg

el inj 40
mg/ml
(vial 0,5
ml)

el inj 40
mg/ml
(vial 2 ml)
el inj 80
mg
256 DTPA Vial 0 0 0 0 0

(diethylen
e triamine
pentaace
tic acid)
2,06-2,5
mg
pentetate
calcium
trisodium
/ml
257 Dutasteri Kaps lunak 0 0 0 0 0

d kaps 0,5
mg
258 Efavirenz Tablet 0 0 0 0 0

tab 200
mg
259 Efavirenz tablet salu 0 0 0 0 0

tab sal
600 mg
260 Efedrin inj ampul/vial 22 0 35 -398 525

50 mg/ml
261 Eksemest tablet salu 0 0 0 0 0

an tab 25
mg
262 Eltrombo Tab 0 0 0 0 0

pag tab
sal
selaput
25 mg
263 Eltrombo Tab 0 0 0 0 0

pag tab
sal
selaput
50 mg
264 Enoksapa Ampul 0 0 0 0 0

rin
sodium
inj 20
mg/0,2 ml
rin
sodium
inj 40
mg/0,4 ml

rin
sodium
inj 60
mg/0,6 ml
267 Entekavir tablet salu 0 0 0 0 0

tab sal
selaput
0,5 mg
268 Entekavir tablet salu 0 0 0 0 0

tab sal
selaput 1
mg
269 Epinefrin Ampul 86 0 30 -274 450

(adrenalin
) inj 1
mg/ml
270 Epirubisin Vial 25 ml 0 0 0 0 0

serb inj 2
mg/ml,
vial 25 ml
271 Epirubisin Vial 5 ml 0 0 0 0 0

serb inj 2
mg/ml,
vial 5 ml
272 Epirubisin Vial 25 mL 0 0 0 0 0

serb inj
50 mg
273 Ergokalsif Kaps 0 0 0 0 0

erol
(vitamin
D2) kaps
50.000 UI
274 Ergokalsif Botol 0 0 0 0 0

erol
(vitamin
D2) susp
10.000
UI/ml
275 Ergotami Tab 0 0 0 0 0
n tab 1
mg
276 Eribulin ampul/vial 0 0 0 0 0

inj 0,44
mg/ml
277 Eritromisi tablet/kaps 0 0 200 -2400 3000

n kaps
250 mg
278 Eritromisi Botol @ 60 0 0 1 -12 15

n sir 200
mg/5 ml
279 Eritromisi tablet/kaps 0 0 100 -1200 1500

n tab 500
mg
280 Eritropoe Vial 6 0 24 -282 360

tin-alfa inj
10.000 IU
281 Eritropoe Vial 0 0 0 0 0

tin-alfa inj
2.000 IU

tin-alfa inj
3.000 IU

tin-alfa inj
4.000 IU

tin-beta
inj 2000
UI/0,3 ml
285 Eritropoie ampul/vial 0 0 0 0 0

tin-alfa inj
40.000 IU
286 Eritropoie Ampul 0 0 0 0 0

tin-Alfa
Inj 4000
IU/0,5 ml
287 Erlotinib tablet salu 0 0 0 0 0

tab sal
selaput
100 mg
288 Erlotinib tablet salu 0 0 0 0 0
tab sal
selaput
150 mg
289 Esomepra ampul/vial 0 0 1 -12 15

zole inj 40
mg/vial
290 Estrogen tablet salu 0 0 1 -12 15

terkonjug
asi tab sal
0,625 mg
291 Etambuto tablet/kaps 0 0 0 0 0

l tab 400
mg
292 Etanercep ampul/vial 0 0 0 0 0

t inj 50
mg/ml
293 Etanol Botol 0 0 0 0 0

70%
cairan
70%
294 Etil Botol 0 0 1 -12 15

klorida
semprot
100 ml
295 Etonogest Set 0 0 0 0 0

rel implan
68 mg
296 Etoposid Vial 0 0 0 0 0

inj 20
mg/ml
297 Eugenol Botol 0 0 0 0 0

298 Everolimu tablet/kaps 0 0 0 0 0
s tab 0,25
mg

s tab 0,5
mg

s tab 0,75
mg
301 Faktor IX ampul/vial 0 0 0 0 0

Kompleks
Inj 50
IU/mL
302 Faktor IX Vial 0 0 0 0 0
kompleks
serb inj
1.000
UI/vial +
pelarut 10
ml
303 Faktor IX Vial 0 0 0 0 0

kompleks
serb inj
500
UI/vial +
pelarut
304 Faktor Vial 0 0 0 0 0

koagulasi
II 14-35
UI, faktor
koagulasi
VII 7-20
UI, faktor
koagulasi
IX 25 UI,
faktor
koagulasi
X 14-35
serb inj
250 IU/10
ml
305 Faktor Vial 0 0 0 0 0

koagulasi
II 14-35
UI, faktor
koagulasi
VII 7-20
UI, faktor
koagulasi
IX 25 UI,
faktor
koagulasi
X 14-35
serb inj
500 UI/20
ml UI
306 Faktor ampul/vial 0 0 0 0 0
viia
(rekombi
nan) serb
inj 1
mg/vial +
pelarut
untuk
injeksi
307 Faktor VIII Vial 0 0 0 0 0

(konsentr
at) serb
inj 230 -
340 UI

(konsentr
at) serb
inj 480 -
600 UI

serb inj
1000
mg/vial

serb inj
250 IU

serb inj
500 IU
312 Fenilefrin Botol 0 0 0 0 0

drops
10%
313 Fenitoin ampul @ 2 30 0 5 -30 75

Na inj 50
mg/ml
(100 mg/
2 mL)
314 Fenitoin Kaps 862 0 120 -578 1800

Na kaps
100 mg
315 Fenitoin Kaps 0 0 0 0 0

Na kaps
30 mg
316 Fenobarbi ampul/vial 0 0 0 0 0
tal inj 100
mg/mL
317 Fenobarbi Ampul 9 0 4 -39 60

tal inj 50
mg/ml
318 Fenobarbi Tab 0 0 5 -60 75

tal tab
100 mg
319 Fenobarbi tablet/kaps 0 0 0 0 0

tal tab 30
mg
320 Fenofibra tablet/kaps 0 0 120 -1440 1800

t kaps 100
mg
321 Fenofibra tablet/kaps 276 0 150 -1524 2250

t kaps 300
mg
322 Fenoksim Tab 0 0 0 0 0

etil
penisilin
(penisilin
V) tab 250
mg
323 Fenoksim Tab 0 0 0 0 0

etil
penisilin
(penisilin
V) tab 500
mg
324 Fenoterol Botol 0 0 0 0 0

hbr
aerosol
100
mcg/puff
325 Fenoterol Botol 0 0 0 0 0

hbr cairan
ih 0,1%
326 Fentanil ampul/vial 0 0 0 0 0

inj 0,05
mg/ml
(ampul 10
ml)
327 Fentanil ampul @ 2 8 0 62 -736 930
inj 0,05
mg/ml
(ampul 2
ml)
328 Fentanil Patch 0 0 0 0 0

patch
12,5
mcg/jam

patch 25
mcg/jam

patch 50
mcg/jam
331 Ferrakrilu Botol 0 0 0 0 0

m cairan
1%
332 Filgrastim ampul/vial 0 0 0 0 0

inj 300
mcg/ml
333 Finasterid tablet/kaps 0 0 0 0 0

tab 5 mg
334 Fitomena ampul/vial 45 0 185 -2175 2775

dion
(vitamin K
1) inj 2
mg/ml
(i.m.)
335 Fitomena Tab sal 0 0 10 -120 150

dion
(vitamin K
1) tab sal
10 mg
336 Fitomena tablet salu 0 0 10 -120 150

dion
(vitamin
K1) inj 10
mg/ml
(i.m)
337 Fludarabi Vial 0 0 0 0 0

n inj 50
mg/vial
338 Fludarabi tablet salu 0 0 0 0 0

n tab sal
10 mg
339 Flufenazin Vial 0 0 0 0 0
inj 25
mg/ml
(i.m.)
340 Flukonazo Ampul 0 0 0 0 0

l inj 2
mg/ml
341 Flukonazo tablet/kaps 6 0 12 -138 180

l kaps 150
mg
342 Flukonazo Kaps 0 0 0 0 0

l kaps 50
mg
343 Fluoksetin tablet/kaps 0 0 0 0 0

kaps 10
mg
344 Fluoksetin tablet/kaps 0 0 0 0 0

kaps 20
mg
345 Fluor kapl Kaplet 0 0 0 0 0

1 mg
346 Fluor Tube 0 0 0 0 0

sediaan
topikal
347 Fluorescei Ampul/vial 0 0 0 0 0

n
Sodium/
Natrium
Fluoresei
n inj 100
mg/mL
348 Fluoro Vial 0 0 0 0 0

deoxy
glucose
(FDG)
349 Fluorome botol @5 m 0 0 0 0 0

tolon tts
mata
0,1%
350 Fluorome catchcover, 0 0 0 0 0

tolon tts
mata
0,1%
351 Fluoroura Ampul 0 0 0 0 0
sil inj 50
mg/mL
(@ 10 mL)
352 Fluoroura Ampul 0 0 0 0 0

sil inj 50
mg/mL
(@ 5 mL)
353 Flusinolon tube @ 5g 0 0 1 -12 15

asetonid
krim
0,025%
354 Flusinolon Tube 10 g 0 0 0 0 0

asetonid
salep
0,025%
355 Flutikason Botol 0 0 0 0 0

furoat
intranasal
spray

propionat
cairan ih
0,5
mg/dosis

Propionat
MDI 50
mcg/sem
prot
358 Fluvoksa tablet salu 0 0 0 0 0

min tab
sal
selaput
100 mg
359 Fluvoksa tablet salu 0 0 0 0 0

min tab
sal
selaput
50 mg
360 Fondapari ampul/vial/ 0 0 0 0 0
nuks inj
2,5
mg/0,5 ml
361 Formokre Botol 0 0 0 0 0

sol
362 Fosfomisi Sachet 0 0 0 0 0
n
Trometa
mol
granula 3
g
363 Fraksi Botol 0 0 0 0 0

protein
plasma lar
inf 5%
364 Framiseti Patch 0 0 0 0 0

n Sulfat
Tulle 1%
365 Furosemi ampul/vial 32 0 50 -568 750

d inj 10
mg/ml
(i.v./i.m.)
366 Furosemi tablet/kaps 1131 0 900 -9669 13500

d tab 40
mg
367 Gabapen tablet/kaps 80 0 150 -1720 2250

tin kaps
100 mg
368 Gabapen tablet/kaps 60 0 120 -1380 1800

tin kaps
300 mg
369 Gadobutr Prefilled S 0 0 0 0 0

ol
Macrocycl
ic 5 ml
370 Gadobutr Prefilled S 0 0 0 0 0

ol
Macrocycl
ic 7,5 ml
371 Gadokset Vial 0 0 0 0 0
at
disodium
0,25
mmol
gadokseta
t
disodium/
ml
372 Gadoteric Vial @20 m 0 0 0 0 0

acid inj
279,32
mg/ml

acid inj
279,32
mg/ml

acid inj
279,32
mg/ml
375 Galactose Vial 0 0 0 0 0

micropar
ticle 200-
400 mg
micropart
/ml
376 Gansiklovi Vial 0 0 0 0 0

r serb inj
500
mg/vial
377 Garam Fe, Botol 0 0 12 -144 180

setara
dengan
Fe
elemental
15 mg/5
mL
378 Garam Fe, Sachet 0 0 0 0 0

setara
dengan
Fe
elemental
60 mg
379 Garam Fe, Botol 1800 0 3700 -42600 55500
setara
dengan
Fe
elemental
60 mg
380 Garam sachet 25 0 31 -347 465

oralit
kombinasi
: natrium
klorida
0,52 g +
kalium
klorida
0,30 g +
trinatrium
sitrat 0,58
g+
glukosa
anhidrat
2,7 g
381 Gefitinib tablet/kaps 0 0 0 0 0

tab 250
mg
382 Gemfibro tablet/kaps 89 0 60 -631 900

zil kaps
300 mg
383 Gemfibro tablet/kaps 29 0 60 -691 900

zil kaps
600 mg
384 Gemsitabi Vial 0 0 0 0 0

n inj 1000
mg/vial
385 Gemsitabi Vial 0 0 0 0 0

n inj 200
mg/vial
386 Gentamisi ampul/vial 72 0 55 -588 825

n inj 40
mg/ml
387 Gentamisi Tube 2 0 6 -70 90

n salep
mata
0,3%
388 Gentamisi Botol 0 0 4 -48 60
n tsts
mata 1%
389 Gentamisi Botol 0 0 1 -12 15

n tts mata
0,3%
390 Glass Sachet 0 0 0 0 0

ionomer
ART
(Atrauma
tic
Restorativ
e
Treatmen
t) cocoa
butter 5 g
391 Glass Botol 0 0 0 0 0

ionomer
ART
(Atrauma
tic
Restorativ
e
Treatmen
t) lar
392 Glass Vial 0 0 0 0 0

ionomer
ART
(Atrauma
tic
Restorativ
e
Treatmen
t) serb
393 Glibenkla tablet/kaps 0 0 0 0 0

mid tab
2,5 mg
394 Glibenkla tablet/kaps 0 0 0 0 0

mid tab 5
mg
395 Gliklazid Tab 0 0 20 -240 300

tab 80 mg
396 Gliklazid Tab 0 0 0 0 0

tab MR
30 mg
397 Gliklazid tablet lepa 0 0 20 -240 300
tab SR 60
mg
398 Glikopiro kapsul 0 0 0 0 0

nium serb
ih 50 mcg
399 Glikuidon tablet/kaps 0 0 0 0 0

tab 30 mg
400 Glimepiri tablet/kaps 70 0 130 -1490 1950

d tab 1
mg

d tab 2
mg

d tab 3
mg

d tab 4
mg
404 Glipizid tablet/kaps 0 0 0 0 0

tab 10 mg
405 Glipizid tablet/kaps 0 0 0 0 0

tab 5 mg
406 Gliseril Ampul 0 0 0 0 0
trinitrat
inj 5
mg/ml
407 Gliseril kapsul lep 0 0 0 0 0

trinitrat
kaps
lepas
lambat
2,5 mg
408 Gliseril kapsul lep 0 0 0 0 0

trinitrat
kaps
lepas
lambat 5
mg
409 Gliseril tablet/kaps 0 0 0 0 0

trinitrat
tab 0,5
mg
410 Gliserin Botol 0 0 1 -12 15
lar 50%
411 Gliserin Botol 0 0 9 -108 135
tts 100
mg/ml
412 Glukosa Botol 0 0 0 0 0

Larutan
Infus 10%
steril 100
ml

Larutan
Infus 10%
steril 250
ml
414 Glukosa Botol 13 0 60 -707 900

Larutan
Infus 10%
steril 500
ml
415 Glukosa Ampul @25 12 0 24 -276 360

Larutan
Infus 40%

Larutan
Infus 5%
steril 100
ml

Larutan
Infus 5%
steril 250
ml
418 Glukosa Botol 22 0 75 -878 1125

Larutan
Infus 5%
steril 500
ml
419 Goserelin Vial 0 0 0 0 0

asetat inj
10,8
mg/vial
420 Goserelin Vial 0 0 0 0 0
asetat inj
3,6
mg/vial
421 Griseofulv tablet/kaps 0 0 0 0 0

in
(microniz
ed) tab
125 mg
422 Griseofulv Tab 0 0 0 0 0

in
(microniz
ed) tab
500 mg
423 Griseofulv tablet/kaps 0 0 0 0 0

in
(microniz
ed) tab
scored
250 mg
424 Gutta Roll 0 0 0 0 0

percha
dan paper
points 15
- 40 mm
425 Gutta Roll 0 0 0 0 0

percha
dan paper
points 45
- 80 mm
426 Haloperid Vial 0 0 0 0 0

ol inj 5
mg/ml
(i.m.)
427 Haloperid Vial 0 0 0 0 0

ol inj 50
mg/ml
(decanoat
)
428 Haloperid tablet/kaps 0 0 0 0 0

ol tab 0,5
mg

ol tab 1,5
mg
ol tab 2
mg

ol tab 5
mg
432 Haloperid botol 0 0 0 0 0

ol tts 2
mg/ml
433 Halotan ih Botol 0 0 0 0 0
434 Hemodiali Botol 16 0 250 -2984 3750

sa lar
435 Heparin, Vial 20 0 80 -940 1200
Na inj
5.000
UI/ml
(i.v./s.k.)
436 Hepatitis Ampul 1 0 1 -11 15

B
imunoglo
bulin
(human)
inj 150
IU/1,5 ml
437 Hepatitis Syringe 0 0 0 0 0

B
imunoglo
bulin
(human)
Inj 220
IU/ml
438 Hidrogen Botol 0 0 1 -12 15

peroksida
cairan 3%
439 Hidroklor Tab 0 0 0 0 0

otiazid
tab 12,5
mg
440 Hidroklor tablet/kaps 346 0 100 -854 1500

otiazid
tab 25 mg
441 Hidrokorti tube @ 5 g 3 0 6 -69 90

son krim
1%
442 Hidrokorti tube @ 5 g 7 0 8 -89 120
son krim
2,5%
443 Hidrokorti Vial 0 0 1 -12 15

son serb
inj 100
mg
444 Hidrokorti Tab 0 0 0 0 0

son Tab
20 mg
445 Hidroksi Tab 0 0 0 0 0

klorokuin
tab 200
mg
446 Hidroksi tablet/kaps 0 0 0 0 0

urea tab
500 mg
447 Hiosina ampul/vial 8 0 5 -52 75

butilbrom
ida inj 20
mg/ml
448 Hiosina tablet/kaps 50 0 80 -910 1200

butilbrom
ida tab 10
mg
449 Homatrop Botol 0 0 0 0 0

in tts
mata 2%
450 Human Vial @10 m 0 0 0 0 0

insulin :
mix
insulin inj
100 UI/ml
451 Human vial/ cartri 0 0 0 0 0

insulin :
mix
insulin inj
100 UI/ml
452 Human Cartridge, 0 0 0 0 0
Insulin
intermedi
ate acting
combine
with short
or long
acting inj
100
IU/mL,
cartridge
disposible
/penfill
cartridge
453 Human Vial 0 0 0 0 0

insulin
intermedi
ate acting
combine
with short
or long
acting inj
100
IU/mL,
Vial 10 mL
454 Human Cartridge, 0 0 0 0 0

Insulin
intermedi
ate acting
inj 100
IU/ml,
cartridge
disposible
/penfill
cartridge
455 Human Vial 0 0 0 0 0
Insulin
intermedi
ate acting
inj 100
IU/Ml,
Vial 10 mL
456 Human Vial 0 0 0 0 0

Insulin
intermedi
ate acting
inj 100
IU/mL,
Vial 5 mL
457 Human Cartridge d 0 0 0 0 0

insulin
short
acting inj
100 IU/ml
458 Human Vial @10 m 0 0 0 0 0

insulin
short
acting inj
100 IU/ml
459 Human vial/dispos 0 0 0 0 0

Insulin:
insulin
basal inj
100
IU/mL
460 Human vial/dispos 0 0 0 0 0

Insulin:
insulin
prandial
inj 100
IU/mL
461 Human Ampul 0 0 0 0 0

tetanus
imunoglo
bulin inj
250 UI
(i.m.)
462 Human Ampul 0 0 0 0 0
tetanus
imunoglo
bulin inj
500 UI
(i.m.)
463 Hydromor tablet lepa 0 0 0 0 0

phone
HCl tab
oros 16
mg
464 Hydromor tablet lepa 0 0 0 0 0

phone
HCl tab
oros 8 mg
465 Ibuprofen ampul/vial 0 0 0 0 0

Inj 100
mg/ml
466 Ibuprofen botol @ 60 0 0 7 -84 105

sir 100
mg/5 ml
467 Ibuprofen botol @ 60 0 0 0 0 0

sir 200
mg/5 ml
468 Ibuprofen tablet/kap 0 0 0 0 0

tab 200
mg
469 Ibuprofen tablet/kaps 170 0 233 -2626 3495

tab 400
mg
470 Idarubisin Vial 0 0 0 0 0

serb inj
20 mg
471 Ifosfamid Vial 0 0 0 0 0

serb inj
1000
mg/vial

serb inj
2000
mg/vial

serb inj
500
mg/vial
474 Iloprost ih ampul/vial 0 0 0 0 0
10
mcg/mL
475 Imatinib tablet/kaps 0 0 0 0 0

mesilat
tab 100
mg
476 Imatinib tablet/kaps 0 0 0 0 0

Mesilat
tab 400
mg
477 Imidafena tablet salu 0 0 0 0 0

sin tab sal
selaput
0,1 mg
478 Imidapril tablet/kaps 0 0 0 0 0

tab 10 mg
479 Imidapril tablet/kaps 0 0 0 0 0

tab 5 mg
480 Imunoglo Vial 0 0 0 0 0
bulin
Intravena
Inj 50
mg/ml,
untuk
terapi
GBS
(Guillain
Bare
Syndrom)
481 Indakater Kaps 0 0 0 0 0

ol serb ih
150 mcg
482 Indakater Kaps 0 0 0 0 0

ol serb ih
300 mcg
483 Iodiksanol ampul/vial 0 0 0 0 0

vial 320
mg
Iodium/1
00 ml
484 Iodiksanol ampul/vial 0 0 0 0 0
vial 320
mg
Iodium/5
0 ml
485 Iodium Botol 0 0 0 0 0

131
486 Iodohippu Vial 0 0 0 0 0
rate
sodium I
131 37-74
mbq/
multiple-
dose
487 Ioheksol ampul/vial 0 0 0 0 0

180 - 300
mg
Iodium/m
L (300
mg/20
mL)
488 Ioheksol Vial 0 0 0 0 0

240-350
mg
Iodium/m
l (300
mg/75
ml)

240-350
mg
Iodium/m
l (350
mg/75
ml)

Inj 140 -
350 mg
Iodium/m
L (350
mg/100
ml)
491 Ioheksol Vial 0 0 0 0 0
Inj 140 -
350 mg
Iodium/m
L (350
mg/50
ml)

Inj 180 -
300 mg
Iodium/m
L (300
mg/100
ml)

Inj 180 -
300 mg
Iodium/m
L (300
mg/50
ml)
494 Iopamidol Ampul/vial 0 0 0 0 0

300 - 370
mg
Iodium/m
L (300
mg/100
mL)
495 Iopamidol Ampul/vial 0 0 0 0 0

300 - 370
mg
Iodium/m
L (300
mg/50
mL)
496 Iopamidol Vial 0 0 0 0 0

300 - 370
mg
Iodium/m
L (370
mg/100
mL)
497 Iopamidol Vial 0 0 0 0 0
300 - 370
mg
Iodium/m
L (370
mg/200
mL)
498 Iopamidol ampul/vial 0 0 0 0 0

300 - 370
mg
Iodium/m
L (370
mg/50
mL)
499 Iopromid Vial 0 0 0 0 0

300 - 370
mg (300
mg/100
mL)

300 - 370
mg (300
mg/50
mL)

300 - 370
mg (370
mg/100
mL)

300 - 370
mg (370
mg/50
mL)
503 Ipratropiu Botol 0 0 1 -12 15

m
bromida
aerosol
20
mcg/sem
prot
504 Ipratropiu Botol 63 0 35 -357 525

m
bromida
cairan ih
0,025%
505 Irbesartan tablet/kaps 0 0 30 -360 450
tab 150
mg
506 Irbesartan tablet/kaps 622 0 100 -578 1500

tab 300
mg
507 Irinotekan Ampul/vial 0 0 0 0 0

inf 20
mg/ml

inf 20
mg/ml

inj 20
mg/ml

inj 20
mg/ml
511 Isofluran Botol 0 0 0 0 0

inhalasi
100 ml
512 Isofluran botol @ 25 0 0 0 0 0

inhalasi
250 ml
513 Isoniazid Tab 0 0 0 0 0

tab 100
mg
514 Isoniazid Tab 0 0 0 0 0

tab 300
mg
515 Isosorbid ampul/vial 5 0 1 -7 15

dinitrat
inj 1
mg/ml
(i.v)
516 Isosorbid tablet/kaps 384 0 500 -5616 7500

dinitrat
tab 10 mg
517 Isosorbid tablet/kaps 0 0 100 -1200 1500

dinitrat
tab 5 mg
518 Itrakonaz tablet/kaps 0 0 0 0 0

ol Kaps
100 mg
519 IUD Cu T Set 0 0 0 0 0

380 A
520 IUD Set 0 0 0 0 0
Levonorg
estrel
521 Ivabradin tablet /kap 0 0 0 0 0

tab 5 mg
522 k.y jelly Tube gel 0 0 0 0 0

523 Kalamin Tube 0 0 0 0 0
524 Kalium tablet salu 209 0 50 -391 750
aspartat
tab 300
mg
525 Kalium Ampul/vial 2 0 2 -22 30

klorida /
Potasium
klorida
injeksi 25
mg
7,46%, 25
mL
526 Kalium tablet lepa 90 0 300 -3510 4500

klorida
tab SR
600 mg
527 Kalsitriol kapsul lun 0 0 0 0 0

kaps
lunak
0,25 mcg
528 Kalsitriol kapsul lun 0 0 0 0 0

kaps
lunak 0,5
mcg
529 Kalsium ampul/vial 0 0 0 0 0

Folinat
(Leukovor
in, Ca) Inj
10 mg/ml
530 Kalsium Tab 0 0 0 0 0

folinat
(leukovori
n, Ca) tab
15 mg
531 Kalsium ampul/vial 8 0 4 -40 60
glukonat
inj 100
mg/ml
532 Kalsium Tube 0 0 0 0 0

hidroksid
a bubuk,
pasta
533 Kalsium Sachet 0 0 0 0 0

hipoklorit
534 Kalsium tablet/kaps 50 0 1200 -14350 18000

karbonat
tab 500
mg
535 Kalsium tablet/kaps 520 0 5000 -59480 75000

laktat
(kalk) tab
500 mg
536 Kalsium Sachet 0 0 0 0 0

polistiren
a sulfonat
ktg 5 g
537 Kandesart tablet/kaps 800 0 600 -6400 9000

an tab 16
mg
538 Kandesart tablet/kaps 930 0 720 -7710 10800

an tab 8
mg
539 Kapesitab tab salut/k 0 0 0 0 0

in tab sal
500 mg
540 Kaptopril tablet/kap 364 0 245 -2576 3675

tab 12,5
mg
541 Kaptopril tablet/kap 1365 0 400 -3435 6000

tab 25 mg
542 Kaptopril tablet/kap 0 0 0 0 0

tab 50 mg
543 Karbamaz Botol 0 0 0 0 0
epin sir
100 mg/5
ml
544 Karbamaz Tablet 0 0 0 0 0

epin Tab
200 mg
545 Karbimaz tablet/kaps 0 0 0 0 0

ol tab 5
mg
546 Karboglis Botol 48 0 3 12 45

erin tts
telinga 10
%
547 Karboksi Botol 0 0 0 0 0

metilselul
osa tts
mata
548 Karboplati Vial 0 0 0 0 0

n Inj 10
mg (vial
45 ml)
549 Karboplati Vial 0 0 0 0 0

n inj 10
mg/ml
(vial 15 ml
550 Karvedilol tablet/kaps 0 0 0 0 0

kaps 6,25
mg
551 Karvedilol tablet/kaps 0 0 0 0 0

tab 25 mg
552 Ketamin ampul/vial 4 0 5 -56 75

inj 100
mg/ml
(i.v.)
553 Ketamin ampul/vial 0 0 0 0 0

inj 50
mg/ml
(i.v.)
554 Ketokona Tube 10 g 1 0 8 -95 120

zol krim
2%
555 Ketokona botol 0 0 0 0 0
zol scalp
sol 2%
556 Ketokona tablet/kaps 71 0 92 -1033 1380

zol tab
200 mg
557 Ketoprofe ampul/vial 0 0 0 0 0

n Inj 25
mg/ml
558 Ketoprofe Suppositor 30 0 58 -666 870

n sup 100
mg
559 Ketorolak ampul/vial 74 0 388 -4582 5820

inj 30
mg/ml
560 Klaritromi botol maks 0 0 0 0 0

sin sir
kering
125 mg/5
ml
561 Klaritromi Botol 0 0 0 0 0

sin sir
kering
250 mg/5
ml
562 Klaritromi tablet salu 0 0 0 0 0

sin tab
500 mg
563 Klindamisi Kaps 0 0 100 -1200 1500

n kaps
150 mg
564 Klindamisi tablet/kap 214 0 246 -2738 3690

n kaps
300 mg
565 Klobazam tablet/kap 0 0 30 -360 450

tab 10 mg
566 Klobetaso tube 8 0 3 -28 45

l
propionat
krim
0,05%
567 Klobetaso tube 0 0 0 0 0

l
propionat
salep
0,05%
568 Klofazimi Kapsul 0 0 0 0 0
n,
micronize
d kaps 50
mg
569 Klofazimi kapsul 0 0 0 0 0

n,
micronize
dkaps 100
mg
570 Klomipra Tab 0 0 0 0 0

min tab
25
571 Klonazepa tablet salu 0 0 0 0 0

m kaps 2
mg
572 Klonidin Vial 0 0 0 0 0

inj 150
mcg/ml
573 Klonidin tablet/kap 0 0 100 -1200 1500

tab 0,15
mg
574 Klopidogr tablet salu 450 0 300 -3150 4500

el tab 75
mg
575 Klopidogr tablet salu 0 0 0 0 0

el tab sal
selaput
300 mg
576 Kloral Botol 0 0 1 -12 15

hidrat lar
577 Klorambu tab sal sel 0 0 0 0 0
sil tab sal
selaput 5
mg
578 Kloramfe tablet/kap 91 0 20 -149 300

nikol kaps
250 mg
579 Kloramfe tablet/kap 0 0 0 0 0

nikol kaps
500 mg
580 Kloramfe tube @ 5 19 0 20 -221 300
nikol
salep
mata 1%
581 Kloramfe vial/ampul 6 0 2 -18 30

nikol serb
inj 1.000
mg/ml
582 Kloramfe botol 60 m 0 0 2 -24 30

nikol susp
125 mg/5
ml
583 Kloramfe Botol 8 0 2 -16 30

nikol
tetes
telinga
3%
584 Kloramfe botol 3 0 5 -57 75

nikol tts
mata
0,5%
585 Kloramfe Botol 0 0 1 -12 15

nikol tts
mata 1%
586 Klorfenira tablet/kap 470 0 30 110 450

min tab 4
mg
587 Klorfenol Botol 0 0 0 0 0

kamfer
mentol
(CHKM)
588 Klorheksi Botol 0 0 0 0 0

din lar
0,2%
589 Klorheksi Botol 0 0 0 0 0

din lar
15%
590 Klorokuin Tablet 200 0 0 200 0

tab 250
mg
591 Klorprom ampul/vial 0 0 0 0 0

azin inj 25
mg/ml
(i.m.)
592 Klorprom ampul/vial 0 0 0 0 0
azin inj 5
mg/ml
(i.m.)
593 Klorprom tablet salu 0 0 0 0 0

azin tab
sal 100
mg
594 Klorprom Tab sal 0 0 0 0 0

azin tab
sal 25 mg
595 Klortalido Tab 0 0 0 0 0

n tab 50
mg
596 Klotrimaz Tab 0 0 0 0 0

ol tab
vagina
100 mg
597 Klozapin tablet 0 0 0 0 0

tab 100
mg
598 Klozapin tablet 0 0 0 0 0

tab 25 mg
599 Kodein tablet/kaps 0 0 0 0 0

tab 10 mg
600 Kodein tablet/kaps 0 0 0 0 0

tab 15 mg
601 Kodein tablet/kaps 20 0 40 -460 600

tab 20 mg
602 Kolestira Ampul 0 0 0 0 0

min serb,
4g
603 Kolkisin Tab 0 0 0 0 0

tab 500
mcg
604 Komb: Botol 0 0 0 0 0
Deksamet
ason 0,1%
Thymol
5%
Paraklorp
henol 30
605 Kombinas tablet salu 0 0 0 0 0

i (DHP) :
dihidroart
emisin 40
mg +
Piperakui
n 320 mg
tab sal
selaput
606 Kombinas ampul/vial 19 0 22 -245 330

i:
(Ampisilin
1000 mg
+
Sulbakta
m 500
mg) serb
inj 1500
mg
607 Kombinas ampul/vial 0 0 0 0 0

i:
(Sefopera
zon 500
mg +
Sulbakta
m 500
mg) serb
inj 1000
mg
608 Kombinas Tab dispers 0 0 0 0 0
i:
(Zidovudi
n 60 mg +
Lamivudin
30 mg +
Nevirapin
50 mg)
Ped Triple
FDC
609 Kombinas ampul/vial 0 0 4 -48 60

i:
Ampisilin
500 mg +
Sulbakta
m 250 mg
serb inj
750 mg
610 Kombinas tablet/kaps 0 0 0 0 0

i:
artemeth
er 20 mg
+
lumefantr
in 120 mg
611 kombinasi tablet disp 0 0 0 0 0

:
benserazi
d 25 mg +
levodopa
100 mg
612 Kombinas Botol 1 0 3 -35 45

i:
Brinzolam
id 1% +
Timolol
0,5%, tts
mata
613 Kombinas Tab 0 0 0 0 0
i:
Desogestr
el 150
mcg
Etinilestra
diol 30
mcg

i:
ergotami
n 1 mg+
kafein 50
mg
615 Kombinas tablet salu 150 0 2500 -29850 37500

i : Ferro
fumarat
60 mg +
asam
folat 0,4
mg tab
salut
616 Kombinas Botol 0 0 0 0 0

i:
Indakater
ol 110
mcg +
Glycopyrr
onium 50
mcg serb
ih + alat
breezhale
r

i:
Ipratropiu
m
bromida
0,02 mg +
fenoterol
HBr 0,05
mg
aerosol
i:
levodopa
100
mg+Karbi
dopa 25
mg +
entekapo
n 200 mg
619 Kombinas tab salut g 0 0 0 0 0

i:
levonorge
strel 150
mcg +
etinilestra
diol 30
mcg
620 Kombinas Vial 0 0 0 0 0

i:
medroksi
progester
on
asetat+
estradiol
sipionat
inj depot
25 mg + 5
mg
621 Kombinas Vial 0 0 0 0 0

i:
Meglumin
amidotriz
oat +
Sodium
amidotriz
oat inj
76%
622 Kombinas Paket 0 0 0 0 0

i:
Sefiksim
400 mg +
Azitromisi
n 1000
mg
i:
Tenofovir
300 mg +
Emtrisitab
in 200 mg

i:
Tenofovir
300 mg +
Lamivudin
300 mg +
Efavirenz
600 mg

i:
Travopros
t 0,004%
+ Timolol
0,5%, tts
mata
626 Kombinas Pasta tube 0 0 0 0 0

i:
triamsinol
on +
dementilk
lortetrasik
lin

i:
zidovudin
300 mg
+lamivudi
n 150 mg
628 Kombinas ampul/vial 0 0 0 0 0
i KDT/FDC
mengand
ung:
(medroksi
progester
on asetat
120 mg +
estradiol
sipionat
10 mg) inj
629 Kombinas Diskus 4 0 4 -44 60

i KDT/FDC
mengand
ung:
(salmeter
ol 50 mcg
+
flutikason
propionat
250 mcg)
serb ih
630 Kombinas Diskus 4 0 3 -32 45

i KDT/FDC
mengand
ung:
(salmeter
ol 50 mcg
+
flutikason
propionat
500 mcg)
serb ih
631 Kombinas Cartridge 0 0 0 0 0
i KDT/FDC
mengand
ung:
(tiotropiu
m 2,5
mcg +
olodatero
l 2,5 mcg)
cairan ih
632 Kombinas Cartridge 0 0 0 0 0

i KDT/FDC
mengand
ung:
(tiotropiu
m 2,5
mcg +
olodatero
l 2,5 mcg)
cairan ih,
refill
633 Kombinas catchcover 44 0 6 -28 90

i
KDT/FDC,
setiap mL
mengand
ung:
latanopro
st 0,05
mg +
timolol 5
mg tetes
mata
634 Kombinas Botol 2,5 1 0 2 -23 30
i
KDT/FDC,
setiap mL
mengand
ung:
latanopro
st 0,05
mg +
timolol 5
mg tetes
mata
635 Kombinas Botol plast 0 0 10 -120 150

i, setiap
ml
mengand
ung:
natrium
klorida
4,40 mg +
kalium
klorida
0,80 mg
(tetes
mata)
636 Kombinas Botol Plast 10 0 6 -62 90

i, setiap
ml
mengand
ung:
natrium
klorida
4,40 mg +
kalium
klorida
0,80 mg
(tetes
mata)
637 Kombinas Catchcover, 0 0 0 0 0
i, setiap
ml
mengand
ung:
natrium
klorida
4,40 mg +
kalium
klorida
0,80 mg
(tetes
mata)
638 Kombinas vial 0 0 0 0 0

i:
Amoksisili
n 1.000
mg +
Asam
klavulana
t 200 mg,
Inj 1.200
mg
639 Kombinas tablet salu 0 0 0 0 0

i: Elbasvir
50 mg
dan
Grazopre
vir 100
mg tablet
salut
selaput
640 Kombinas Ampul/vial 63 0 50 -537 750

i:
Ipratropiu
m
bromida
0,5 mg +
Salbutam
ol 2,5 mg,
cairan ih
641 Kombinas Tab 0 0 10 -120 150
i: kaolin
550 mg +
pektin 20
mg

i:
lopinavir
200 mg +
ritonavir
(LVP) 50
mg, tab
250 mg

i: parafin
+ gliserin
+
fenolftalei
n
644 Kombinas aerosol can 5 0 5 -55 75

i:
salmetero
l 25 mcg +
flutikason
propionat
50 mcg ih
50
mcg/puff

i:
salmetero
l 50 mcg +
flutikason
propionat
100 mcg
ih 100
mcg/puff
i:
salmetero
l 50 mcg +
flutikason
propionat
500 mcg
ih 500
mcg/puff

i:
salmetero
l 50 mcg+
flutikason
propionat
250 mcg
ih 250
mcg/puff
648 Kombinas Tablet/kap 0 0 0 0 0

i:
Tenofovir
300 mg +
Lamivudin
300 mg +
Dolutegra
vir 50 mg,
tablet
649 Komibina Botol 0 0 0 0 0

si:
lidokain +
medisinal
creosote
phenol +
eugenol +
benzil
alkohol,
cairan
650 Komposit Set 0 0 0 0 0

resin
651 Kotrimoks tab/kaptab 127 0 40 -353 600
azol
(dewasa)
kombinasi
:
sulfameto
ksazol
400 mg+
trimetopri
m 80 mg
652 Kotrimoks tab/kaptab 50 0 50 -550 750

azol
(dewasa)
kombinasi
:
sulfameto
ksazol
800 mg+
trimetopri
m 160 mg
653 Kotrimoks botol 60 m 6 0 7 -78 105

azol
kombinasi
tiap 5 ml
suspensi :
sulfameto
ksazol
200 mg +
trimetopri
m 40 mg
654 Kuinin inj Vial 0 0 0 0 0

25% (i.v.)
655 Kuinin tab tablet/kaps 0 0 0 0 0

200 mg
656 Laktulosa botol @ 60 14 0 15 -166 225

sir 3,335
g/5 ml
657 Lamivudin tablet/kaps 0 0 0 0 0
(3TC) tab
150 mg
658 Lamivudin tablet/kaps 0 0 0 0 0

tab 100
mg
659 Lamotrigi Tab 0 0 0 0 0

n Tab 100
mg
660 Lamotrigi Tablet 0 0 0 0 0

n tab 50
mg
661 Lamotrigi tablet disp 0 0 0 0 0

n tab
dispersibl
e 25 mg
662 Lansopraz Vial 0 0 0 0 0

ol inj 30
mg/ml
663 Lansopraz tablet/kaps 40 0 500 -5960 7500

ol kaps 30
mg
664 Lapatinib tablet/kaps 0 0 0 0 0

tab 250
mg
665 Larutan Botol 13 0 4 -35 60

mengand
ung Asam
Amino
(Asam
Amino
10%)
666 Larutan Botol 0 0 0 0 0

mengand
ung Asam
Amino
(Asam
Amino
100 g,
Total N
15,7 g,
Na+ 2
mEq,
Asetat
120 mEq)
667 Larutan Softbag @ 0 0 0 0 0
mengand
ung Asam
Amino
(Asam
Amino 15
g, Glukosa
37,5 g,
Tiamin
HCl 0,75
mg,
elektrolit)

mengand
ung Asam
Amino
(Asam
Amino 27
g, Sorbitol
50 g, Cl-
52 mEq)

mengand
ung Asam
Amino
(Asam
Amino 30
g, Glukosa
7,3 % dan
elektrolit)
1000 ml
mengand
ung Asam
Amino
(Asam
Amino 30
g, Glukosa
7,3 % dan
elektrolit)
500 ml

mengand
ung Asam
Amino
(Asam
Amino 30
g, Glukosa
75 g,
Tiamin
HCl 1,5
mg,
elektrolit)

mengand
ung Asam
Amino
(Asam
Amino 5%
dengan
BCAA
45%, L-
Ornithine
L
Aspartate
8.03 gr/L,
Sorbitol
50 gr/L,
Xylitol 50
gr/L)
673 Larutan Botol 5 0 10 -115 150
mengand
ung Asam
Amino
(Asam
Amino
6%,
mengand
ung
Taurine
0,24
gr/l) :
Aminoste
ril Infant
6%

mengand
ung Asam
Amino
(Asam
Amino 7%
(total
protein
17,5 g)
dengan
kandunga
n asam
amino
esensial
(EAA) dan
non
esensial
(NEAA)
yang
seimbang
EAA :
NEAA =
60 : 40))
mengand
ung Asam
Amino
(Asam
Amino
72.05 g,
Total N
11.53 g,
AAE/AAN
E ratio
2.6, Na+ 2
mEq,
Asetat 46
mEq)

mengand
ung Asam
Amino
(Asam
Amino
79.9 g,
Total N
12.2 g,
Na+ 14
mEq, Cl
94 mEq)

mengand
ung Asam
Amino
(Asam
amino
8%) :
Aminoste
ril N-Hepa
mengand
ung Asam
Amino
(Asam
Amino
9%,
Komposisi
: Asam
Amino
esensial:
Asam
Amino
non
esensial =
60 : 40)

mengand
ung Asam
Amino
(Asam
Amino
esensial
7%
+Xylitol
10 g/L)

mengand
ung Asam
Amino
(BCAA 25
gr/L, L-
Ornithine
L
Aspartate
10 gr/L,
Xylitol 50
gr/L,
Malic
Acid 7
gr/L,
Piridoxin
0.12 gr/L)
mengand
ung Asam
Amino
(Glutamin
e 20 g)

mengand
ung Asam
Amino
(Kombina
si : asam
amino,
glukosa,
dan lipid)
(Lipid Peri
1250)

mengand
ung Asam
Amino
(Kombina
si :
glukosa,
emulsi
lemak,
dan asam
amino)
(Lipid
Special
1250)
mengand
ung Asam
Amino
(Kombina
si :
glukosa,
emulsi
lemak,
dan asam
amino)
(Lipid
Special
625)

mengand
ung asam
amino
(kombina
si AA 50
g/L,
sorbitol
50 g/L,
Xylitol 50
g/L, vit C
0,4 g/L,
Inositol
0,5 g/L,
Niasinami
d 0,06
g/L, vit B6
0,04 g/L,
Riboplavi
n Na
Fosfat 2,5
mg/L,
elektrolit)
mengand
ung Asam
Amino
(Kombina
si Asam
amino 50
g/L,
vitamin
dan
elektrolit)

mengand
ung Asam
Amino
(Kombina
si Glukosa
dan
elektrolit
150 gr +
Asam
Amino 48
gr dgn
akses
sentral)

mengand
ung Asam
Amino
(Kombina
si Glukosa
dan
elektrolit
80 gr +
Asam
Amino 40
gr)
689 Larutan Botol/vial 0 0 0 0 0
mengand
ung Asam
Amino
(N(2)-L-
Alanyl-L-
Glutamin
e/ N(2)-L-
Alanyl-L-
Glutamin
e 20%)

mengand
ung Asam
Amino +
Elektrolit
+
Karbohidr
at + Lipid
(Kombina
si Asam
Amino:
45gr,
Glukosa:
130gr,
Lipid:
68gr dan
Elektrolit
(Kalori =
1400 kkal,
Akses
periphera
l))
691 Larutan Bag 0 0 0 0 0
mengand
ung asam
amino +
elektrolit
+
Karbohidr
at + Lipid
(Glukosa
103 g,
Asam
amino 46
g,
Elektrolit,
Lipid 41 g
dengan
Fish Oil
6,1 g)

mengand
ung asam
amino +
elektrolit
+
Karbohidr
at + Lipid
(Glukosa
135 g,
Asam
amino 60
g,
Elektrolit,
Lipid 54 g
dengan
Fish Oil 8
g)
mengand
ung asam
amino +
elektrolit
+
Karbohidr
at + Lipid
(Glukosa
63 g,
Asam
amino 25
g,
Elektrolit,
Lipid 19 g
dengan
Fish Oil
2,8 g)

Mengand
ung Asam
amino +
Elektrolit
+
Karbohidr
at + Lipid
(Kombina
si Asam
amino
56,9 g,
Lipid 40 g,
Glukosa
110 g dan
Elektrolit)
mengand
ung Asam
Amino +
Elektrolit
+
Karbohidr
at + Lipid
(Kombina
si Asam
Amino:
34gr,
Glukosa:
97gr,
Lipid:
51gr dan
Elektrolit
(Kalori =
1000 kkal,
Akses
periphera
l))

mengand
ung asam
amino +
Karbohidr
at + Lipid
(Glukosa
63 g,
Asam
amino 25
g, Lipid 19
g dengan
Fish Oil
2,8 g)
697 Larutan Botol plas 0 0 0 0 0
mengand
ung
elektrolit
(CaCl2H2
O 0,165
gr, KCl
0,15 gr,
NaCl 4,3
gr)
698 Larutan Botol 3 0 1 -9 15

mengand
ung
Elektrolit
(Kalium
Klorida)
699 Larutan Botol 29 0 5 -31 75

mengand
ung
Elektrolit
(KCl
0,15%,
NaCL
0,9%)
(KN1)

mengand
ung
Elektrolit
(KCl
0,3%,NaCl
0,9%)
(KN2)

mengand
ung
Elektrolit
(Na 130
mEq, K 4
mEq, Cl
109 mEq,
Ca 3 mEq,
Asetat 28
mEq)
Ringer
Asetat
702 Larutan Botol plast 520 0 1160 -13400 17400
mengand
ung
Elektrolit
(Na 130
mEq, K 4
mEq, Cl
109 mEq,
Ca 3 mEq,
Asetat 28
mEq)
Ringer
Asetat

mengand
ung
Elektrolit
(Sodium
Lactate
sol (50%)
113 gr/L,
Potassiu
m
Chloride
0.3 gr/L,
Calcium
Chloride
0.2 gr/L,
elektrolit)
mengand
ung
Elektrolit
(Tiap
1000 ml
mengand
ung
electrolit:
Sodium
145
mmol/l,
Potassiu
m 4.0
mmol/l,
Calcium
2.5
mmol/l,
Magnesiu
m 1.0
mmol/l,
Chloride
118
mmol/l,
Acetate
24
mmol/l,
Malate
5.0
mmol/l)

Mengand
ung
Fosfat
Anorganik
(NaH2PO
4/KH2PO
4)
dengan/t
anpa
vitamin
yang larut
dalam air
706 Larutan Botol 10 0 20 -230 300
mengand
ung
Karbohidr
at +
Elektrolit
(D2,5%
+KCL
0,15%
+NaCl
0,45%)
(KDN1)

mengand
ung
Karbohidr
at +
Elektrolit
(D2,5%
+KCL 0,3%
+NaCl
0,45%)
(KDN2)

mengand
ung
Karbohidr
at
(Fructose
120 g,
glucose
66 g,
Xylitol 60
g/ L)
709 Larutan softbag 0 0 0 0 0

mengand
ung
Karbohidr
at
(Fructose
15 mg,
glucose
monohyd
rate 30
mg, xylitol
15 mg)
mengand
ung
Karbohidr
at
(Fructose
200 g,
glucose
110 g,
Xylitol
100 g/ L)

mengand
ung
Karbohidr
at
(Fructose
60 g,
glucose
33 g,
Xylitol 30
g/ L)
712 Larutan Botol 1 0 1 -11 15

mengand
ung
Karbohidr
at
(Maltose
10%)
mengand
ung
Karbohidr
at +
Elektrolit
(25.00g
dextrose
anhidrat,
3.00 g
sodium
chloride,
0.15 g
potassiu
m
chloride,
0.10 g
calcium
chloride
dihydrate
dan 1.55
g sodium
lactate)

mengand
ung
Karbohidr
at +
Elektrolit
(25.00g
maltose,
3.00 g
sodium
chloride,
0.15 g
potassiu
m
chloride,
0.10 g
calcium
chloride
dihydrate
dan 1.55
g sodium
lactate)
715 Larutan Botol 500 0 0 0 0 0
mengand
ung
Karbohidr
at +
Elektrolit
(27.500 g
dextrose
monohyd
rate, 3.00
g sodium
chloride,
0.15 g
potassiu
m
chloride,
0.10 g
calcium
chloride
dihydrate
dan 1.900
g sodium
acetate
trihydrate
)

mengand
ung
Karbohidr
at +
Elektrolit
(Acetate,
Na, K, Cl,
Ca, Mg,
Sorbitol
50 gr/L)
mengand
ung
Karbohidr
at +
Elektrolit
(Asam
amino 28
gr/L,
Glukosa
100 gr/L,
elektrolit)

mengand
ung
Karbohidr
at +
Elektrolit
(Asam
amino 28
gr/L,
Glukosa
75 gr/L,
elektrolit)

mengand
ung
karbohidr
at +
elektrolit
(Dextran
40 50 gr,
CaCl2H2O
0,1 gr, KCl
0,15 gr,
NaCl 3 gr,
Na lactate
1,55 gr)
mengand
ung
Karbohidr
at +
Elektrolit
(Dextrose
5%, NaCL
0,45%,
KCl) (HSD)

mengand
ung
Karbohidr
at +
Elektrolit
(Fructose
120 g,
glucose
66 g,
Xylitol 60
g/ L +
elektrolit)

mengand
ung
Karbohidr
at +
Elektrolit
(Glukosa
25 g, NaCl
2,0 g, KCl
1,3 g,
Natrium
Laktat 3,1
g, air
untuk
injeksi ad
1000 ml)
mengand
ung
Karbohidr
at +
Elektrolit
(Glukosa
55 g ;
Natrium
Chloride 9
g, air
untuk
injeksi ad
1000 ml)
(D5-NS)
724 Larutan botol/soft 0 0 0 0 0

mengand
ung
Karbohidr
at +
Elektrolit
(Glukosa:
110.0 g;
NaCl: 1.80
g) (D10-
1/5NS)

mengand
ung
Karbohidr
at +
Elektrolit
(Glukosa:
25,0 g;
NaCl: 4,5
g)
726 Larutan botol/soft 0 0 0 0 0
mengand
ung
Karbohidr
at +
Elektrolit
(Glukosa:
55.0 g;
NaCl: 2.25
g) (D5-
1/4NS)
727 Larutan botol/soft 22 0 46 -530 690

mengand
ung
Karbohidr
at +
Elektrolit
(Glukosa:
55.0 g;
NaCl: 2.25
g) (D5-
1/4NS)
728 Larutan Botol 14 0 20 -226 300

mengand
ung
Karbohidr
at +
Elektrolit
(Glukosa:
55.0 g;
NaCl: 4.5
g) (D5-
1/2NS)
mengand
ung
karbohidr
at +
elektrolit
(Kombina
si NaCl
18,6 g,
KCl 0,3 g,
CaCl2
0,48 g,
dextrose
50 g per
1000 ml)

mengand
ung
Karbohidr
at +
Elektrolit
(Larutan
nutrisi
kombinasi
infus per
L: Na.
100mEQ,
K 18mEQ,
Ca.
4mEQ,
Mg
6mEQ, Cl
90mEQ,
Asetat
38mEQ,
Sorbitol
50g)
mengand
ung
Karbohidr
at +
Elektrolit
(Larutan
Ringer &
Glukosa
5%)

mengand
ung
Karbohidr
at +
Elektrolit
(NaCl
0.585 gr,
KCl 0.3 gr,
Na Lactat
0.56 gr,
Dekstrosa
18,75 gr)
(KA EN
4B)

mengand
ung
Karbohidr
at +
Elektrolit
(NaCl
0.585 gr,
Na Lactat
0.56 gr,
anhydrou
s
dekstrosa
20 gr) (KA
EN 4A)
734 Larutan Botol 20 0 30 -340 450
mengand
ung
Karbohidr
at +
Elektrolit
(NaCl
1.125 gr,
Dekstrosa
18.75 gr)
(KA EN
1B)
735 Larutan Botol 20 0 30 -340 450

mengand
ung
Karbohidr
at +
Elektrolit
(NaCl
1.75 g,
KCL 1.5g,
Glukosa
100 gr)

mengand
ung
Karbohidr
at +
Elektrolit
(NaCl
1.75 g,
KCL 1.5g,
Na
Lactate
2.24 g,
Glukosa
100 gr)
737 Larutan Botol 36 0 20 -204 300
mengand
ung
Karbohidr
at +
Elektrolit
(Nacl 1.75
gr, KCl 1.5
gr, Na
Lactat
2.24 gr,
Dekstrosa
27 gr) (KA
EN 3B)
738 Larutan Botol 15 0 30 -345 450

mengand
ung
Karbohidr
at +
Elektrolit
(Nacl 2.34
gr, Na
Laktat
2.24 gr,
KCL 0.75
gr
Dekstrosa
27 gr) (KA
EN 3A)

mengand
ung Lipid
(Emulsi
lemak
20%)
mengand
ung Lipid
(Highly
refined
fish oil,
Glyserol
dan
purified
egg
phospolip
id)

mengand
ung Lipid
(Infus
Lipid
Emulsi
MCT/LCT
20% 100
ml)

mengand
ung Lipid
(Infus
Lipid
Emulsi
MCT/LCT
20% 250
ml)
mengand
ung Lipid
(Kombina
si Glukosa
dan
elektrolit
180 gr +
Asam
Amino
71.8 gr +
Lipid 50
gr dgn
akses
sentral)

mengand
ung Lipid
(Kombina
si Glukosa
dan
elektrolit
80 gr +
Asam
Amino 40
gr + Lipid
MCT/LCT
50 gr)
mengand
ung Lipid
(Kombina
si Glukosa
dan
elektrolit
90 gr +
Asam
Amino
35.9 gr +
Lipid 25
gr dgn
akses
sentral)

Mengand
ung
Vitamin
yang larut
dalam
lemak
(Vitamin
A,D,E,K)

Mengand
ung
Vitamin
yang larut
dalam
lemak
(Vitamin
A,D,E,K)
infant
748 Latanopro botol @ 2, 0 0 0 0 0

st tts
mata
0,005%
749 Latanopro catchcover 12 0 14 -156 210

st tts
mata
0,005%
750 Leflunomi tablet salu 0 0 0 0 0
d tab sal
selaput
20 mg
751 Lenogras Vial 0 0 0 0 0

tim inj
263
mcg/vial
752 Letrozol tablet/kaps 0 0 0 0 0

tab 2,5
mg
753 Leuproreli Vial 0 0 0 0 0

n asetat
serb inj
1,88 mg

n asetat
serb inj
11,25 mg

n asetat
serb inj
22,5 mg
756 Leuproreli ampul/vial 0 0 0 0 0

n asetat
serb inj
3,75 mg

n asetat
serb inj
7,5 mg
758 Levetirase Tablet 0 0 0 0 0

tam tab
250 mg
759 levetirase Tablet 0 0 0 0 0

tam tab
500 mg
760 Levofloks vial / boto 0 0 0 0 0

asin inf 5
mg/ml
761 Levofloks vial/ boto 45 0 10 -75 150

asin inf 5
mg/ml
762 Levofloks tablet/kaps 0 0 0 0 0

asin tab
250 mg
763 Levofloks tablet salu 7 0 120 -1433 1800
asin tab
500 mg
764 Levofloks botol @ 5 6 0 4 -42 60

asin tts
mata
0,5%
765 Levonorg pack/ sach 0 0 0 0 0

estrel
implan 2
rods, 75
mg (3-4
tahun)
766 Levotiroks tablet/kapl 0 0 0 0 0

in tab 100
mcg
767 Levotiroks tablet/kapl 0 0 0 0 0

in tab 50
mcg
768 Lidokain syringe/syr 0 0 0 0 0

gel 2%
769 Lidokain Vial 0 0 0 0 0
inj 100
mg, vial
(i.v.)
770 Lidokain ampul/vial 160 0 240 -2720 3600

inj 2%
(infiltr/p.v
.)
771 Lidokain Tube 0 0 1 -12 15

salep 5%
772 Lidokain botol 0 0 1 -12 15
spray oral
10%
773 Linestren tablet/kaps 0 0 0 0 0

ol tab 0,5
mg
774 Linestren Tab 0 0 0 0 0

ol tablet 5
mg
775 Liquor Botol 0 0 0 0 0

carbonis
detergens
lar 5%
776 Lisinopril tablet/kaps 836 0 400 -3964 6000

tab 10 mg
777 Lisinopril Tab 0 0 0 0 0
tab 20 mg
778 Lisinopril tablet/kaps 60 0 278 -3276 4170

tab 5 mg
779 Litium tablet/kaps 0 0 0 0 0
karbonat
tab 200
mg
780 Litium tablet/kaps 0 0 0 0 0

karbonat
tab 400
mg
781 Loperami Tab 67 0 50 -533 750

d tab 2
mg
782 Lopinavir tab sal sel 0 0 0 0 0

100 mg +
Ritonavir
25 mg
783 Loratadin tablet/kaps 50 0 40 -430 600

tab 10 mg
784 Lorazepa tablet/kaps 0 0 0 0 0

m tab 0,5
mg
785 Lorazepa tablet/kaps 0 0 0 0 0

m tab 1
mg
786 Lorazepa Tab sal 0 0 0 0 0

m tab sal
2 mg
787 Low ampul/vial 0 0 0 0 0

molecule
feri
sucrose
inj amp
100 mg/5
ml
788 MAA Vial 0 0 0 0 0
(macro
agregate
albumin)
0,11-2,5
mg
albumin
aggregate
d/reactio
n vial
789 MAG3 Vial 0 0 0 0 0

(mercapt
o acetyl
tri
glysine) 1
mg
betiatide/
vial
790 Magnesiu ampul/vial 0 0 0 0 0

m sulfat
inj 20%
791 Magnesiu ampul/vial 0 0 180 -2160 2700

m sulfat
inj 20%
792 Magnesiu ampul/vial 0 0 0 0 0

m sulfat
inj 40%
793 Magnesiu ampul/vial 10 0 15 -170 225

m sulfat
inj 40%
794 Magnesiu Sachet 0 0 0 0 0

m sulfat
serb, ktg
30 g
795 Manitol Botol @ 25 0 0 0 0 0

lar infus
20%
796 Manitol Botol @ 10 0 0 1 -12 15

lar infus
20%
797 Manitol Botol @ 50 0 0 1 -12 15

lar infus
20%
798 Maprotili Tab sal 0 0 0 0 0
n hcl tab
sal 25 mg
799 Maprotili tablet salu 0 0 0 0 0

n hcl tab
sal 50 mg
800 MDP Vial 0 0 0 0 0

(methylen
e
diphosph
onate) 1
mg
methylen
e
diphosph
onic
acid/ml
801 Mebenda Botol 2 0 1 -10 15

zol sir 100
mg/5 ml
802 Mebenda Tan 0 0 0 0 0

zol tab
100 mg
803 Mebenda tablet/kaps 0 0 0 0 0

zol tab
500 mg
804 Medroksi ampul/vial 0 0 0 0 0

progester
on asetat
inj 150
mg/ml
805 Medroksi ampul/vial 0 0 0 0 0

Progester
on Asetat
Inj 50
mg/ml
806 Medroksi tablet/kaps 0 0 0 0 0

progester
on asetat
tab 10 mg
807 Medroksi tablet/kaps 0 0 0 0 0
progester
on asetat
tab 100
mg
808 Medroksi Tab 0 0 0 0 0

progester
on asetat
tab 5 mg
809 Melfalan tablet/kaps 0 0 0 0 0

tab 2 mg
810 Merkapto Tab 0 0 0 0 0
purin tab
50 mg
811 Meropen ampul/vial 6 0 3 -30 45

em serb
inj 1000
mg/vial
812 Meropen ampul/vial 0 0 2 -24 30

em serb
inj 500
mg/vial
813 Mesalazin enema 0 0 0 0 0

enema 4
gram
814 Mesalazin tablet salu 0 0 0 0 0

tab sal
250 mg
815 Mesna inj Vial 0 0 0 0 0

100
mg/ml
816 Metadon Botol 1000 0 0 0 0 0

sir 50
mg/5 ml
817 Metamizo Ampul 0 0 5 -60 75

l Inj 500
mg/ml
818 Metenam Tab salut 0 0 0 0 0
in
mandelat
(heksami
n
mandelat)
tab salut
enterik
500 mg
819 Metformi tablet/kaps 3960 0 3000 -32040 45000

n tab 500
mg
820 Metformi tablet/kaps 315 0 750 -8685 11250

n tab 850
mg
821 Metildop tablet/kaps 816 0 400 -3984 6000

a tab sal
250 mg
822 Metilergo ampul/vial 144 0 400 -4656 6000

metrin inj
0,2 mg/ml
823 Metilergo tablet/kapl 25 0 750 -8975 11250

metrin
tab salut
0,125 mg
824 Metilfeni tablet/kaps 0 0 0 0 0

dat tab 10
mg
825 Metilfeni tablet/kap 0 0 0 0 0

dat tab
lepas
lambat 18
mg
826 Metilfeni tablet/kap 0 0 0 0 0

dat tab
lepas
lambat 36
mg
827 Metilpred ampul/vial 4 0 23 -272 345

nisolon inj
125 mg/2
ml
828 Metilpred ampul/vial 0 0 0 0 0
nisolon inj
500 mg/8
ml
829 Metilpred tablet/kaps 0 0 50 -600 750

nisolon
tab 16 mg

nisolon
tab 4 mg

nisolon
tab 8 mg
832 Metoklop ampul/vial 0 0 3 -36 45

ramid inj
5 mg/ml
833 Metoklop tablet/kaps 0 0 0 0 0

ramid tab
10 mg
834 Metoklop tablet/kaps 222 0 50 -378 750

ramid tab
5 mg
835 Metoksi ampul/vial 0 0 0 0 0

polietilen
glikol-
epoetin
beta inj
50
mcg/0,3
ml
836 Metoksi ampul/vial 0 0 0 0 0

polietilen
glikol-
epoetin
beta inj
75
mcg/0,3
ml
837 Metoprol Ampul 0 0 0 0 0

ol tartat
inj 1
mg/ml
838 Metotrek Vial 0 0 0 0 0
sat Inj 10
mg/ml

sat inj 2,5
mg/ml

sat serb
inj 25
mg/ml

sat serb
inj 5
mg/vial
842 Metotrek Tab 0 0 0 0 0

sat tab
2,5 mg
843 Metronid botol 1 0 20 -239 300

azol lar
inf 5
mg/ml
844 Metronid Ovula 0 0 555 -6660 8325

azol ovula
500 mg
845 Metronid Suppositor 40 0 40 -440 600

azol sup
500 mg
846 Metronid Botol @ 60 0 0 0 0 0

azol susp
125 mg/5
ml
847 Metronid Botol @ 10 0 0 0 0 0

azol susp
125 mg/5
ml
848 Metronid tablet/kaps 0 0 0 0 0

azol tab
250 mg
849 Metronid tablet/kaps 0 0 655 -7860 9825

azol tab
500 mg
850 MIBG Vial 0 0 0 0 0
(meta-
iodobenz
ylguanidi
ne)
851 MIBI Vial 0 0 0 0 0

(metoxy
iso butyl
isonitril)
5-ml
reaction
vial
852 Midazola Vial 1 0 37 -443 555

m inj 1
mg/ml
(i.v.)
853 Midazola Vial 0 0 1 -12 15

m inj 5
mg/ml
(i.v.)
854 Mikafungi Vial 0 0 0 0 0

n Na serb
inj 50
mg/vial
855 Mikofenol tablet/kaps 0 0 0 0 0

at mofetil
tab 500
mg
856 Mikofenol tablet salu 0 0 0 0 0

at Sodium
Tab Sal
180 mg
857 Mikofenol tablet salu 0 0 0 0 0

at Sodium
Tab Sal
360 mg
858 Mikonazo tube 12 0 16 -180 240

l krim 2%
859 Mikonazo botol / sac 0 0 0 0 0

l serb 2%
860 Milrinone ampul/vial 0 0 0 0 0
inj 1
mg/ml
861 Mineral Sachet 0 0 0 0 0

Mix
(Bismuth
Subcitrate
Tripotasiu
m,
Copper
sulfate,
Magnesiu
m
Chloride
Anhydrou
s,
Potassiu
m
Chloride,
Zinc
Acetate)
862 Mitomisin Vial 0 0 0 0 0

serb inj
10 mg
863 Mitomisin Vial 0 0 0 0 0

serb inj 2
mg
864 Moksiflok vial/ampul 0 0 0 0 0

sasin inf
1,6
mg/mL
865 Moksiflok tablet salu 0 0 0 0 0

sasin tab
400 mg
866 Moksiflok Botol 0 0 0 0 0

sasin tts
mata
0,5%
867 Mometas Tube 5 gra 7 0 22 -257 330

on furoat
krim 0,1%
868 Mometas tube 10 gr 0 0 2 -24 30
on furoat
krim 0,1%
869 Morfin Vial 10 0 5 -50 75

Hcl inj 10
mg/ml
(i.m./s.k./i
.v.)
870 Morfin tablet/kaps 0 0 0 0 0

Hcl tab 10
mg
871 Morfin tablet lepa 0 0 0 0 0

Hcl tab SR
10 mg
872 Morfin tablet lepa 0 0 0 0 0

Hcl tab SR
15 mg
873 Morfin Tab 0 0 0 0 0

Hcl tab SR
30 mg
874 Mupirosin tube 14 0 28 -322 420

krim 2%
875 Mupirosin tube 0 0 4 -48 60

salep 2%
876 N-asetil Sachet 0 0 0 0 0

sistein
granula
200 mg
877 N-asetil Botol 0 0 0 0 0

sistein ih
100
mg/ml
878 N-asetil tablet/kap 1200 0 800 -8400 12000

sistein
kaps 200
mg
879 NaCl 0,9% Botol @500 640 0 1200 -13760 18000

Larutan
880 NaCl 0,9% Botol @1. 0 0 0 0 0

Larutan
881 NaCl 0,9% Botol @25 0 0 0 0 0
Larutan
882 NaCl 0,9% Botol @250 0 0 0 0 0

Larutan
883 NaCl 0,9% Botol @100 1 0 120 -1439 1800

Larutan
884 NaCl 0,9% Ampul/bot 0 0 0 0 0

Larutan
885 NaCl 3% Botol plas 0 0 0 0 0

Larutan
886 Nadropari Vial 0 0 0 0 0
n inj
9.500
Axa/ml
syringe
0,3 Ml

n inj
9.500
Axa/ml,
syringe
0,4 ml

n inj
9.500
Axa/ml,
syringe
0,6 ml
889 Nalokson Ampul 0 0 1 -12 15

inj 0,4
mg/ml
890 Natamisin Botol @5 m 0 0 0 0 0

tts mata
5% (50
mg/ml)
891 Natamisin botol @ 15 0 0 0 0 0

tts mata
5% (50
mg/ml)
892 Natamisin catchcover 0 0 0 0 0
tts mata
5% (50
mg/ml)
893 Natrium Ampul 0 0 0 0 0

aminohip
urat inj
200
mg/ml
(i.v.)
894 Natrium Vial 0 0 0 0 0

bikarbona
t inj 8,4%
(i.v.)
895 Natrium tablet/kaps 0 0 0 0 0

bikarbona
t tab 500
mg
896 Natrium ampul/vial 4 0 1 -8 15

diklofena
k inj 25
mg/mL
897 Natrium tablet sal 0 0 50 -600 750

diklofena
k tab 25
mg
898 Natrium tablet sal 120 0 880 -10440 13200

diklofena
k tab 50
mg
899 Natrium botol 5 mL 7 0 2 -17 30

Diklofena
k Tetes
Mata 1
mg/ml
900 Natrium Botol 0 0 1 -12 15

fluoresein
tts mata
2%
901 Natrium botol 0 0 0 0 0

fosfat lar
oral
902 Natrium tube 0 0 1 -12 15

fusidat
krim 20
mg/g
903 Natrium Tube 0 0 0 0 0
fusidat
salep 20
mg/g
904 Natrium botol 2 0 2 -22 30

hialurona
t tts mata
905 Natrium Botol 0 0 1 -12 15

hipoklorit
cairan
konsentra
t 5%
906 Natrium ampul/vial 10 0 6 -62 90

klorida tts
mata 50
mg/mL
907 Natrium Ampul 0 0 0 0 0

tiosulfat
inj 25%
(i.v.)
908 Neostigmi Vial 10 0 1 -2 15

n inj 0,5
mg/ml
909 Nevirapin tablet/kaps 0 0 0 0 0

tab 200
mg
910 Nifedipin tablet/kaps 413 0 350 -3787 5250

kaps 10
mg
911 Nifedipin tablet lep 0 0 10 -120 150

tab SR 20
mg
912 Nifedipin tablet lep 0 0 10 -120 150

tab SR 30
mg
913 Nikardipin ampul/vial 0 0 0 0 0

inj 10
mg/vial
914 Nilotinib tablet/kaps 0 0 0 0 0

kaps 150
mg
915 Nilotinib tablet/kaps 0 0 0 0 0

tab 200
mg
916 Nimodipi ampul/vial 0 0 0 0 0
n inf 0,2
mg/ml
917 Nimodipi tablet salu 0 0 0 0 0

n tab 30
mg
918 Nistatin botol/vial 17 0 20 -223 300

susp
100.000
UI/ml
919 Nistatin tablet salu 0 0 0 0 0

tab salut
500.000
UI
920 Nistatin tablet/kapl 178 0 20 -62 300

tab
vaginal
100.000
UI
921 Nitrogen Botol 0 0 0 0 0

oksida ih,
gas dlm
tabung
922 Nomegest tablet/kaps 0 0 0 0 0

rol asetat
Kaps/tab
5 mg
923 Norepinef ampul/vial 20 0 4 -28 60

rin inj 1
mg/ml
924 Noretister tablet/kaps 0 0 233 -2796 3495

on tab 5
mg
925 Obat Anti paket 0 0 0 0 0

Tuberculo
sis FDC
Kategori
Anak

Tuberculo
sis FDC
Kategori I
Tuberculo
sis FDC
Kategori II

Tuberculo
sis FDC
Kategori
Sisipan
929 Obat Anti Paket 0 0 0 0 0

Tuberculo
sis
Kombipak
Anak

Tuberculo
sis
Kombipak
Dewasa
931 Ofloksasin tablet salu 0 0 0 0 0

tab 200
mg
932 Ofloksasin tablet salu 0 0 0 0 0

tab 400
mg
933 Ofloksasin Botol @ 5 0 0 0 0 0

tts telinga
3%
934 Oksalipla Vial 0 0 0 0 0

tin serb
inj 100
mg/vial
935 Oksalipla Vial 0 0 0 0 0

tin serb
inj 50
mg/vial
936 Oksigen Botol 0 0 700 -8400 10500

ih, gas
dlm
tabung
937 Oksikodo Ampul/via 0 0 0 0 0
n inj 10
mg/ml
938 Oksikodo Ampul/via 0 0 0 0 0

n inj 10
mg/ml
939 Oksikodo Kaps 0 0 0 0 0

n kapsul
10 mg
940 Oksikodo Kaps 0 0 0 0 0

n kapsul
20 mg
941 Oksikodo tablet/kaps 0 0 0 0 0

n kapsul 5
mg
942 Oksikodo Botol 0 0 0 0 0

n larutan
oral 5
mg/5 ml
943 Oksikodo Botol 0 0 0 0 0

n larutan
oral
concentra
te 10
mg/ml
944 Oksikodo Tab 0 0 0 0 0

n tab
lepas
lambat 10
mg

n tab
lepas
lambat 15
mg

n tab
lepas
lambat 20
mg
947 Oksimeta botol @ 10 0 0 0 0 0
zolin tts
hidung
0,025%
948 Oksimeta botol @ 10 0 0 0 0 0

zolin tts
hidung
0,050%
949 Oksitetras tube 0 0 2 -24 30

iklin 1%
Salep
Mata
950 Oksitetras Vial 0 0 0 0 0

iklin hcl
inj 50
mg/ml
(i.m.)
951 Oksitosin ampul/vial 0 0 0 0 0

inj 10
UI/ml
952 Okskarbaz botol 0 0 0 0 0

epin susp
60 mg/mL
953 Oktreotid ampul/vial 0 0 0 0 0

asetat
0,05 - 6
mg/ml
954 Oktreotid Vial 0 0 0 0 0

LAR serb
inj 20 mg
955 Oktreotid vial 0 0 0 0 0

LAR serb
inj 30 mg
956 Olanzapin Ampul 0 0 0 0 0

inj 10
mg/2 ml
957 Olanzapin tablet salu 0 0 0 0 0

tab sal 10
mg
958 Olanzapin tablet salu 0 0 0 0 0

tab sal 5
mg
959 Olodatero Botol 0 0 0 0 0
l cairan ih
2,5
mcg/sem
prot
960 Olodatero cartridge 0 0 0 0 0

l cairan ih
2,5
mcg/sem
prot, refill
961 Olopatadi Botol 0 0 0 0 0

n tts mata
0,1%
962 Omepraz ampul/vial 68 0 150 -1732 2250

ol inj 40
mg/10 ml
963 Omepraz tablet/kaps 1562 0 1100 -11638 16500

ol kaps 20
mg
964 Ondanset ampul/vial 21 0 390 -4659 5850

ron inj 2
mg/ml
965 Ondanset tablet/kaps 121 0 670 -7919 10050

ron tab 4
mg
966 Ondanset tablet/kaps 205 0 275 -3095 4125

ron tab 8
mg
967 Paklitakse Vial 0 0 0 0 0

l inj 6
mg/ml,
vial@16,7
ml (inj
100 mg)

l inj 6
mg/ml,
vial@5 ml
(inj 30
mg)
l inj 6
mg/ml,
vial@50
ml (inj
300 mg)
970 Paliperido Ampul 0 0 0 0 0

n palmitat
Inj 100
mg/mL

n palmitat
Inj 150
mg/1,5
mL

n palmitat
Inj 75
mg/0,75
mL
973 Pankuroni Ampul 0 0 0 0 0

um inj 2
mg/ml
974 Paraform Botol 0 0 0 0 0

aldehid
lar buffer
10%
975 Paraform Tab 0 0 0 0 0

aldehid
tab 1 g
976 Paraseta vial/ flex 31 0 22 -233 330

mol drips
(infus)
1000
mg/100
ml
977 Paraseta botol @ 60 15 0 150 -1785 2250

mol sir
120 mg/5
ml
978 Paraseta tablet/kaps 71 0 2800 -33529 42000

mol tab
500 mg
979 Paraseta botol @ 15 4 0 200 -2396 3000
mol tts 60
mg/0,6 ml
980 Pasta Tube 0 0 0 0 0

devitalisa
si (non
arsen)
981 Pasta Tube 0 0 0 0 0

pengisi
saluran
akar
(pasta)
982 Pazopani tablet salu 0 0 0 0 0

b tab sal
selaput
200 mg
983 Pazopani tablet salu 0 0 0 0 0

b tab sal
selaput
400 mg
984 Pegylated Vial 0 0 0 0 0

interferon
alfa-2a inj
135
mcg/0,5
ml

interferon
alfa-2a inj
180
mcg/0,5
ml

interferon
alfa-2b
serb inj
100
mcg/ml
interferon
alfa-2b
serb inj
50
mcg/ml

interferon
alfa-2b
serb inj
80
mcg/ml
989 Pemetrek Vial 0 0 0 0 0

sed serb
inj 500
mg
990 Pengganti Botol 0 0 0 0 0

plasma
golongan
gelatin inf
991 Perak Botol 0 0 0 0 0

nitrat lar
20%
992 Perak Tube 2 0 4 -46 60

sulfadiazi
n krim 1%
993 Perindopr tablet/kaps 0 0 0 0 0

ilarginin
tab 5 mg
994 Permetrin Tube 15 g 0 0 0 0 0

krim 5 %
995 Permetrin Tube 10 g 13 0 6 -59 90

krim 5 %
996 Permetrin Tube 30 g 0 0 0 0 0

krim 5 %
997 Petidin inj Vial 7 0 2 -17 30

50 mg/ml
(i.m./s.k./i
.v.)
998 Pilokarpin Catchcover, 0 0 0 0 0
tts mata
2%
999 Pilokarpin Botol 5 ml 2 0 1 -10 15

tts mata
2%
1000 Pioglitazo tablet 0 0 60 -720 900

n tab 15
mg
1001 Pioglitazo tablet/kaps 8 0 82 -976 1230

n tab 30
mg
1002 Pirantel Botol 0 0 1 -12 15

pamoat
susp 125
mg/5 ml
1003 Pirantel Tab 0 0 0 0 0

pamoat
tab 500
mg
1004 Pirantel tablet/kaps 0 0 0 0 0

pamoat
tab
scored
125 mg
1005 Pirantel Tab 0 0 0 0 0

pamoat
tab
scored
250 mg
1006 Pirazinam tablet/kaps 0 0 0 0 0

id tab 500
mg
1007 Piridoksin Ampul 0 0 0 0 0

(vitamin
B6) inj
100
mg/ml
1008 Piridoksin tab/kap/ka 0 0 0 0 0

(vitamin
B6) tab 10
mg
1009 Piridoksin tablet/kaps 50 0 50 -550 750
(vitamin
B6) tab 25
mg
1010 Piridostig tablet/kaps 0 0 0 0 0

min tab
sal 60 mg
1011 Pirimeta Tablet 0 0 0 0 0

min tab
25 mg
1012 Podofilin Botol 0 0 0 0 0

tingtur 25
%
1013 Polietilen Botol 0 0 0 0 0

glikol
1014 Polikresul Botol 0 0 0 0 0
en
1015 Povidon botol 30 m 0 0 0 0 0
iodin lar
100
mg/ml
1016 Povidon botol @ 60 0 0 0 0 0

iodin lar
100
mg/ml
1017 Povidon Botol 300 0 0 0 0 0

iodin lar
100
mg/ml
1018 Povidon botol @ 1. 0 0 36 -432 540

iodin lar
100
mg/ml
1019 Povidon Botol 0 0 0 0 0

iodin lar
obat
kumur 1%
1020 Povidon botol/strip 0 0 0 0 0

iodin tts
mata
2,5%
1021 Pramipek tablet/kaps 0 0 0 0 0

sol tab
0,125 mg
1022 Pramipek tablet lepa 0 0 0 0 0
sol tab ER
0,375 mg
1023 Pramipek tablet lepa 0 0 0 0 0

sol tab ER
0,750 mg
1024 Pravastati Tab 0 0 0 0 0

n tab 10
mg
1025 Pravastati tablet/kaps 0 0 0 0 0

n tab 20
mg
1026 Prazikuan Tab 0 0 0 0 0

tel tab
scored
600 mg
1027 Prednisol catchcover 0 0 0 0 0

on tts
mata 10
mg/ml
1028 Prednisol Botol @5m 0 0 1 -12 15

on tts
mata 10
mg/ml
1029 Prednison tablet/kaps 0 0 50 -600 750

tab 5 mg
1030 Pregabali Kapsul 42 0 100 -1158 1500

n kaps 75
mg
1031 Primakuin Tab 0 0 0 0 0

tab 15 mg
1032 Probenesi tablet/kaps 0 0 0 0 0

d tab 500
mg
1033 Produk Paket 0 0 0 0 0

untuk
Dialisis
Peritoneal
1034 Prokain ampul/vial 0 0 0 0 0
benzilpeni
silin serb
inj 3 juta
UI/vial
(i.m.)
1035 Prokatero Vial 0 0 0 0 0

l HCl
cairan ih
30 mcg
1036 Prokatero Botol 0 0 0 0 0

l HCl
cairan ih
50 mcg
1037 Prokatero Botol 0 0 0 0 0

l HCl serb
ih 10 mcg
1038 Propiltiou tablet/kaps 0 0 0 0 0

rasil tab
100 mg
1039 Propofol ampul/vial 0 0 30 -360 450

inj 1% (i.v.
Bolus)
1040 Propranol Ampul 0 0 0 0 0

ol inj 1
mg/ml
(i.v.)
1041 Propranol tablet/kaps 115 0 70 -725 1050

ol tab 10
mg
1042 Propranol tablet/kaps 0 0 50 -600 750

ol tab 40
mg
1043 Prostagla Vial 0 0 0 0 0

ndin (PGE
1) Inj 500
mcg/ml
1044 Protamin Ampul 0 0 0 0 0

sulfat inj
10 mg/ml
(i.m.)
1045 Quetiapin tablet/kaps 0 0 0 0 0
tab 100
mg
1046 Quetiapin tablet SR 0 0 0 0 0

tab
pelepasan
lambat
150 mg
1047 Quetiapin tablet SR/k 0 0 0 0 0

tab
pelepasan
lambat
200 mg
1048 Quetiapin tab SR 0 0 0 0 0

tab
pelepasan
lambat
300 mg
1049 Quetiapin tablet SR/k 0 0 0 0 0

tab
pelepasan
lambat
400 mg
1050 Ramipril tablet/kaps 0 0 0 0 0

tab 10 mg

tab 2,5
mg

tab 5 mg
1053 Ranibizu Vial 0 0 0 0 0
mab inj
10 mg/ml
1054 Ranitidin ampul/vial 33 0 210 -2487 3150

inj 25
mg/ml
1055 Ranitidin tablet/kaps 2050 0 1500 -15950 22500

tab 150
mg
1056 Remifent ampul/vial 0 0 0 0 0

anil inj 1
mg

anil inj 2
mg
anil inj 5
mg
1059 Retinol kaps lunak 0 0 0 0 0

(vitamin
A) kaps
lunak
100.000
UI
1060 Retinol kaps lunak 0 0 0 0 0

(vitamin
A) kaps
lunak
200.000
UI
1061 Ribavirin tab sal sel 0 0 0 0 0

tab 200
mg
1062 Rifampisi tablet/kaps 0 0 0 0 0

n kaps
300 mg

n tab 450
mg

n tab 600
mg
1065 Rifapenti Tablet/kap 0 0 0 0 0

n tablet
150 mg
1066 Rilpivirine tablet 0 0 0 0 0

25 mg
1067 Ringer Botol 520 0 1200 -13880 18000
Laktat
Larutan
1068 Ringer Botol 0 0 0 0 0

Laktat
Larutan
1000 ml
1069 Risedrona tablet salu 0 0 0 0 0

t tab sal
selaput
35 mg
1070 Risperido botol 0 0 0 0 0

n oral
solution 1
mg/mL
1071 Risperido tablet/kaps 0 0 0 0 0
n tab 3
mg

n tab sal 1
mg

n tab sal 2
mg
1074 Rituksima Vial 0 0 0 0 0

b inf 10
mg/ml
(vial 10
ml)
1075 Rituksima Vial 0 0 0 0 0

b Inf 10
mg/ml
(vial 50
ml)
1076 Rituksima Ampul 0 0 0 0 0

b inj 100
mg/ml
1077 Rituksima Ampul 0 0 0 0 0

b inj 500
mg/ml
1078 Rivaroksa tablet sal 0 0 0 0 0

ban tab
sal 10 mg

ban tab
sal 15 mg

ban tab
sal 20 mg
1081 Rokuroni ampul/vial 0 0 0 0 0

um inj 50
mg/5 ml
(i.v.)
1082 Ropinirol tablet lepa 0 0 0 0 0

tab lepas
lambat 2
mg

tab lepas
lambat 4
mg
tab lepas
lambat 8
mg
1085 Ropivakai ampul/poly 0 0 0 0 0

n Inj 7,5
mg/ml
1086 Rosuvasta tablet/kaps 0 0 0 0 0

tin tab 10
mg
1087 Sacubitril tablet salu 0 0 0 0 0

valsartan
tab sal
selaput
24,3/25,7
mg

valsartan
tab sal
selaput
48,6/51,4
mg

valsartan
tab sal
selaput
97,2/102,
8 mg
1090 Salbutam canister / 0 0 0 0 0

ol aerosol
100 mcg
1091 Salbutam ampul/vial 0 0 1 -12 15

ol cairan
ih 1
mg/mL
1092 Salbutam Botol 0 0 0 0 0

ol cairan
serb ih
200
mcg/kaps
+
rotahaler
1093 Salbutam Botol 5 0 52 -619 780
ol sir 2
mg/5 ml
1094 Salbutam tablet/kaps 100 0 270 -3140 4050

ol tab 2
mg
1095 Salep 2-4, pot 30 gra 0 0 0 0 0

kombinasi
: asam
salisilat 2
%+
belerang
endap 4
%
1096 Salep 2-4, pot 15 gra 0 0 0 0 0

kombinasi
: asam
salisilat 2
%+
belerang
endap 4
%
1097 Secukinu Vial 0 0 0 0 0

mab serb
inj 150
mg
1098 Sefadroks tablet/kaps 0 0 0 0 0

il kaps
250 mg
1099 Sefadroks tablet/kaps 110 0 1500 -17890 22500

il
kaps/tab
500 mg
1100 Sefadroks botol @ 60 1 0 8 -95 120

il sir
kering
125 mg/5
ml
1101 Sefadroks botol @ 60 0 0 4 -48 60

il sir
kering
250 mg/5
ml
1102 Sefaleksin tablet/kaps 0 0 0 0 0

kaps 500
mg
1103 Sefazolin ampul/vial 39 0 150 -1761 2250
serb inj 1
g/vial
1104 Sefepim ampul/vial 0 0 0 0 0

serb inj
1000
mg/vial
1105 Sefiksim botol 1 0 20 -239 300

sir 100
mg/5 ml
1106 Sefiksim Tab 0 0 500 -6000 7500

tab 100
mg
1107 Sefiksim Tablet 450 0 1100 -12750 16500

Tab 200
mg
1108 Sefoperaz ampul/vial 0 0 0 0 0

on serb
inj 1.000
mg/vial
1109 Sefotaksi ampul/vial 0 0 0 0 0

m inj 500
mg/vial
1110 Sefotaksi ampul/vial 270 0 150 -1530 2250

m serb inj
1.000
mg/vial
1111 Sefpirom ampul/vial 0 0 0 0 0

serb inj
1000 mg
1112 Sefpodok Tab 0 0 0 0 0

sim
proksetil
tab sal
100 mg
1113 Seftazidi ampul/vial 5 0 10 -115 150

m serb inj
1.000
mg/vial
1114 Seftriakso ampul/vial 12 0 280 -3348 4200

n serb inj
1.000
mg/vial
1115 Sefuroksi ampul/vial 0 0 0 0 0

m serb inj
750
mg/vial
1116 Sefuroksi tablet salu 0 0 0 0 0
m tab 250
mg
1117 Sefuroksi tablet salu 0 0 0 0 0

m tab sal
500 mg
1118 Sertralin tablet salu 0 0 0 0 0

tab sal 50
mg
1119 Serum Vial 0 0 1 -12 15

anti bisa
ular :
A.B.U. I
(khusus
ular dari
luar
Papua) inj
(i.m./i.v.)
1120 Serum Vial 0 0 0 0 0

anti bisa
ular :A.B.
U.II
(khusus
ular dari
Papua) inj
(i.m./i.v.)
1121 Serum Vial 0 0 0 0 0

antidifteri
(A.D.S) inj
(i.m./i.v.)
Inj i.m
10.000
UI/
1122 Serum Vial 0 0 0 0 0

antirabies
inj 100
UI/ml
1123 Serum Vial 0 0 0 0 0

antirabies
inj 200
UI/ml
1124 Serum Vial 0 0 0 0 0
antitetan
us (A.T.S)
(i.m.) Inj
10.000
UI/vial
(i.m /i.v.)
1125 Serum Ampul 0 0 0 0 0

antitetan
us (A.T.S)
inj 1500
UI/amp
(i.m.)
1126 Serum Vial 8 0 5 -52 75

antitetan
us (A.T.S)
inj 20.000
UI/vial
(i.m /i.v.)
1127 Serum Ampul/vial 0 0 0 0 0

antitetan
us (A.T.S)
inj 5.000
IU/mL
(i.m)
1128 Setirizin botol @ 60 5 0 115 -1375 1725

sir 5 mg/5
ml.
1129 Setirizin tablet/kaps 140 0 655 -7720 9825

tab 10 mg
1130 Setuksima Vial 0 0 0 0 0

b inj 5
mg/ml
1131 Sevelame Tab 0 0 0 0 0

r
karbonat
Tab 800
mg
1132 Sevoflura botol 1 0 3 -35 45
n cairan
ih 250 ml
1133 Sianokob ampul/vial 0 0 0 0 0

alamin
(vitamin
B12) inj
500
mcg/ml
1134 Sianokob tablet/kaps 0 0 50 -600 750

alamin
(vitamin
B12) tab
50 mcg
1135 Siklofosfa Vial 0 0 0 0 0

mid serb
inj 1000
mg/vial
(i.v.)

mid serb
inj 200
mg/vial
(i.v.)

mid serb
inj 500
mg/vial
(i.v.)
1138 Siklopent Botol 0 0 0 0 0

olat tetes
mata 1%
1139 Siklospori Ampul 0 0 0 0 0

n inj 100
mg/ml
1140 Siklospori Ampul 0 0 0 0 0

n inj 50
mg/ml
1141 Siklospori kaps lunak 0 0 0 0 0

n kaps
100 mg
1142 Siklospori kaps lunak 0 0 0 0 0
n kaps
lunak 25
mg
1143 Siklospori Kaps lunak 0 0 0 0 0

n Kaps
lunak 50
mg
1144 Sildenafil Botol 0 0 0 0 0

sirup
kering 10
mg/ml
1145 Sildenafil Tab 0 0 20 -240 300

Tab 20
mg
1146 Silodosin Tab 0 0 0 0 0

tab 4 mg
1147 Silostazol tablet/kaps 0 0 0 0 0
kaps SR
100 mg
1148 Silostazol Tab 0 0 0 0 0

tab 100
mg
1149 Simvastati tablet/kaps 1600 0 800 -8000 12000

n tab sal
10 mg
1150 Simvastati tablet/kaps 120 0 380 -4440 5700

n tab sal
20 mg
1151 Simvastati Tab sal 0 0 0 0 0

n tab sal
selaput
40 mg
1152 Siprofloks vial/ botol 0 0 1 -12 15

asin inf 2
mg/ml
1153 Siprofloks tablet salu 255 0 170 -1785 2550

asin tab
scored
500 mg
1154 Sisplatin Vial 0 0 0 0 0

serb inj
10 mg
1155 Sisplatin Vial 0 0 0 0 0

serb inj
50 mg
1156 Sitagliptin tablet salu 0 0 0 0 0
tab sal
selaput
100 mg
1157 Sitarabin ampul/vial 0 0 0 0 0

serb inj
100 mg
1158 Sitarabin ampul/vial 0 0 0 0 0

serb inj
100 mg
1159 Sodium Ampul/vial 0 0 0 0 0

Glyceroph
osphate
216 mg
1160 Sodium ampul/vial 0 0 0 0 0

hialurona
t Inj 10
mg/ml
1161 Sofosbuvi tablet salu 0 0 0 0 0

r tab sal
selaput
400 mg
1162 Solifenasi tablet/kaps 0 0 0 0 0

n tab 10
mg
1163 Solifenasi tablet/kaps 0 0 0 0 0

n tab 5
mg
1164 Somatost Vial 0 0 0 0 0

atin serb
Inj 3000
mcg/mL
1165 Soybean Softbag @ 0 0 1 -12 15

oil 200 g,
ovolecithi
n 12 g,
glycerol
22 g, Na
hydroxide
1166 Spiramisi tablet salu 0 0 10 -120 150

n tab 500
mg
1167 Spironola tablet/kaps 0 0 10 -120 150

kton tab
100 mg
1168 Spironola tablet/kaps 1100 0 500 -4900 7500
kton tab
25 mg
1169 Stannous Vial 0 0 0 0 0

pyrophos
phate
27,6 mg
sodium
pyrophos
phate/vial
1170 Streptoki Vial 0 0 0 0 0

nase serb
inj 1,5
juta
UI/vial
1171 Streptomi ampul/vial 0 0 0 0 0

sin serb
inj 1.000
mg/vial
1172 Sufentanil Ampul 0 0 0 0 0

inj 5
mcg/ml
(i.v.)
1173 Sugamma Vial 0 0 0 0 0

deks inj
100
mg/ml
1174 Sukralfat botol 0 0 56 -672 840

susp 500
mg/5 ml
1175 Sukralfat tablet/kaps 0 0 100 -1200 1500

tab 500
mg
1176 Suksinilko Vial 0 0 0 0 0

lin inj 20
mg/ml
(i.v./i.m.)

lin inj 50
mg/ml
(i.v./i.m.)
lin serb inj
100
mg/vial
(i.v./i.m.)
1179 Sulfadiazi tablet/kaps 0 0 0 0 0

n tab 500
mg
1180 Sulfasalaz tablet sal 0 0 0 0 0

in kapl sal
enterik
500 mg
1181 Sulfur Vial 0 0 0 0 0

colloid 4,5
mg
gelatin/re
action vial
1182 Surfaktan Botol 0 0 0 0 0

susp 25
mg/ml
(intratrak
eal)
1183 Surgical Tube 0 0 0 0 0

ginggival
pack
1184 Takrolimu tablet/kaps 0 0 0 0 0

s kaps 0,5
mg
1185 Takrolimu tablet/kaps 0 0 0 0 0

s kaps 1
mg
1186 Takrolimu kapsul lepa 0 0 0 0 0

s kaps
lepas
lambat
0,5 mg
1187 Takrolimu kapsul lepa 0 0 0 0 0

s kaps
lepas
lambat 1
mg
1188 Tamoksife Tablet 0 0 0 0 0

n tab 10
mg
1189 Tamoksife Tab 0 0 0 0 0
n tab 20
mg
1190 Tamsulosi tablet/kaps 0 0 0 0 0

n tab 0,2
mg
1191 Tamsulosi tab lepas l 0 0 0 0 0

n tab SR
0,4 mg
1192 Technetiu Set 0 0 0 0 0

m 99m
740 mbq -
3,7 gbq
(20 to 100
millicuries
)/ml
1193 Telbivudi tablet/kaps 0 0 0 0 0

n tab 600
mg
1194 Telmisart tablet/kaps 113 0 30 -247 450

an tab 40
mg
1195 Telmisart tablet/kaps 20 0 30 -340 450

an tab 80
mg
1196 Temozola tablet/kaps 0 0 0 0 0

mid kaps
100 mg
1197 Temozola tablet/kaps 0 0 0 0 0

mid kaps
20 mg
1198 Tenofovir tablet salu 0 0 0 0 0

tab 300
mg
1199 Teofilin tablet/kaps 125 0 30 -235 450

tab 150
mg
1200 Teofilin tablet lep 0 0 0 0 0

tab SR
300 mg
1201 Terazosin tablet/kaps 0 0 0 0 0

hcl tab 1
mg
1202 Terazosin tablet/kaps 0 0 0 0 0
hcl tab 2
mg
1203 Terbinafin tablet/kaps 0 0 10 -120 150

tab 250
mg
1204 Terbutalin Botol 0 0 0 0 0

cairan ih
2,5 mg/ml
1205 Terbutalin ampul/vial 0 0 2 -24 30

inj 0,5
mg/ml
1206 Terbutalin Vial 0 0 0 0 0

serb ih
0,50
mg/dose
1207 Terbutalin botol 0 0 0 0 0

sir 1,5
mg/5 ml
1208 Terbutalin tablet/kaps 0 0 0 0 0

tab 2,5
mg
1209 Testoster Vial 0 0 0 0 0

on inj 250
mg/ml
(vial 1 ml)
1210 Testoster Vial 0 0 0 0 0

on Inj 250
mg/ml
(vial 4 ml)
1211 Testoster kapsul lun 0 0 0 0 0

on kaps
lunak 40
mg
1212 Tetanus Ampul 0 0 0 0 0

toxoid inj
1213 Tetrakain Botol 11 0 3 -25 45

tts mata
0,5%
1214 Tetrasikli tablet/kap 0 0 0 0 0
n kaps
250 mg
1215 Tetrasikli tablet/kap 0 0 0 0 0

n kaps
500 mg
1216 Tetrasikli Tube 0 0 0 0 0

n Salep
Mata 1%
1217 Thallous Set 0 0 0 0 0

Chloride
Tl-202 1
mg
methylen
e
diphosph
onic
acid/ml
1218 Tiamazol tablet sal 0 0 0 0 0

tab 10 mg
1219 Tiamazol tablet sal 0 0 0 0 0

tab 5 mg
1220 Tiamin tablet/kap 10 0 30 -350 450
(vitamin
B1) tab 50
mg
1221 Tikagrelor tablet/kaps 0 0 0 0 0

tab 90 mg
1222 Timolol botol @ 5 3 0 4 -45 60

tts mata
0,25%
1223 Timolol botol @ 5 2 0 5 -58 75

tts mata
0,5%
1224 Tiopental Ampul 0 0 0 0 0

serb inj
500
mg/amp
(i.v.
Bolus)
1225 Tiopental Ampul 0 0 0 0 0

serb serb
inj 1.000
mg/amp
(i.v.)
1226 Tiotropiu Cartridge 0 0 0 0 0
m cairan
ih 2,5
mcg/sem
prot, refill
1227 Tiotropiu Botol 0 0 0 0 0

m
respimat
ih 5
mcg/sem
prot
1228 Tiotropiu Handihaler 0 0 1 -12 15

m
respimat
ih 5
mcg/sem
prot
1229 Tobramisi Botol @ 5 0 0 1 -12 15

n tetes
mata
0,3%
1230 Tobramisi Catchcover, 0 0 1 -12 15

n tetes
mata
0,3%
1231 Topirama tablet/kaps 0 0 0 0 0

t tab 100
mg

t tab 25
mg

t tab 50
mg
1234 Tosilizum vial 0 0 0 0 0

ab inf 400
mg/20 mL
1235 Tosilizum vial 0 0 0 0 0

ab inf 80
mg/4 mL
1236 Tramadol ampul/vial 3 0 8 -93 120

inj 50
mg/ml
1237 Trastuzu ampul/vial 0 0 0 0 0
mab serb
inj 440
mg/vial
1238 Travopros Botol 0 0 1 -12 15

t tts mata
0,004%
1239 Triamsino Botol 0 0 0 0 0

lon
asetonid
nasal
spray 55
mcg/puff
1240 Triamsino Ampul 2 0 2 -22 30

lon inj 10
mg/ml
1241 Triamsino ampul/vial 1 0 2 -23 30

lon inj 40
mg/ml
1242 Trifluoper tablet sal 0 0 0 0 0

azin tab
sal 5 mg
1243 Triheksife tablet/kaps 410 0 80 -550 1200

nidil tab 2
mg
1244 Tropikami Catchcover, 0 0 1 -12 15

d tts mata
0,5%
1245 Tropikami Botol @ 5 0 0 0 0 0

d tts mata
0,5%
1246 Tropikami Botol @ 5 8 0 2 -16 30

d tts mata
1%
1247 Tropikami Botol @ 0, 0 0 5 -60 75

d tts mata
1%
1248 Tuberkuli Ampul 0 0 0 0 0
n protein
purified
derivative
1:10 (i.k)
1249 Urea krim Tube/pot 0 0 1 -12 15

10 %
1250 Urea krim Tube/pot 0 0 0 0 0

20 %
1251 Vaksin Vial 0 0 0 0 0

BCG inj
(i.k)
1252 Vaksin Vial 0 0 0 0 0

bivalen
OPV (b-
OPV)
drops 10
dosis
1253 Vaksin Vial 0 0 0 0 0

Hepatitis
Rekombin
an Inj
Prefilled
Injection
Device
(Uniject)
0,5 ml
(i.m)
1254 Vaksin Ampul/vial 0 0 0 0 0

HPV
(Human
Papilloma
Virus),
vial 0,5
mL
1255 Vaksin Vial 6 0 80 -954 1200

Influenza
1256 Vaksin Vial 0 0 0 0 0

Japanese
Enchepali
tis (J.E)
1257 Vaksin Vial 0 0 0 0 0
jerap
difteri
tetanus
(DT)
1258 Vaksin Vial 0 0 0 0 0

jerap
difteri
tetanus
(Td)
1259 Vaksin Vial 0 0 0 0 0

kombinasi
DPT-HB-
Hib
1260 Vaksin Vial 0 0 0 0 0

measless
rubella
(MR) Inj
0,5 mL
(s.k)
1261 Vaksin Vial 320 0 450 -5080 6750

Meningiti
s
Meningok
okus
1262 Vaksin Vial 0 0 0 0 0

polio IPV
inj 0,5 ml
1263 Vaksin Vial 0 0 0 0 0

rabies,
untuk
manusia
serb inj
(s.k./i.k) +
booster
1264 Vaksin Vial 0 0 1 -12 15

rabies,
untuk
manusia
serb Inj
2,5 IU
1265 Vaksin Vial 0 0 1 -12 15

Yellow
Fever
1266 Valasiklov tablet/kap 0 0 10 -120 150

ir tab 500
mg
1267 Valgansikl tablet salu 0 0 0 0 0
ovir tab
sal 450
mg
1268 Valproat botol @ 1 18 0 15 -162 225

sir 250
mg/5 ml
1269 Valproat tabet lepa 80 0 60 -640 900

tab lepas
lambat
250 mg
1270 Valproat tabet lepa 21 0 50 -579 750

tab lepas
lambat
500 mg
1271 Valproat tablet salu 0 0 20 -240 300

tab sal
enterik
250 mg
1272 Valsartan tablet/kap 280 0 1000 -11720 15000

tab 160
mg
1273 Valsartan tablet salu 0 0 800 -9600 12000

tab 80 mg
1274 Vankomis Vial 0 0 0 0 0

in serb inj
500
mg/vial
1275 Vasopresi Vial 0 0 0 0 0

n inj 20
UI/ml
(i.m./s.k.)
1276 Verapamil Vial 0 0 0 0 0

inj 2,5
mg/ml
1277 Verapamil tablet lepa 0 0 0 0 0

tab 240
mg
1278 Verapamil tablet/kaps 0 0 0 0 0

tab 80 mg
1279 Vildaglipti Tab 0 0 0 0 0

n tab 50
mg
1280 Vinblastin Ampul 0 0 0 0 0
inj 1
mg/ml
1281 Vinkristin Vial 0 0 0 0 0

inj 1
mg/ml
(vial 1 mL)
1282 Vinkristin Vial 0 0 0 0 0

inj 1
mg/ml
(vial 2 mL)
1283 Vinorelbi Vial 0 0 0 0 0

n inj 10
mg/ml,
kemasan
1 ml
1284 Vinorelbi Vial 0 0 0 0 0

n inj 10
mg/ml,
kemasan
5 ml
1285 Vitamin B tablet 1800 0 3000 -34200 45000

kompleks
1286 Vitamin C Tablet/kaps 557 0 1500 -17443 22500

500 mg
minimal
non acidic
250 mg
1287 Vorikonaz vial 0 0 0 0 0

ol inj 200
mg
1288 Vorikonaz tablet/kaps 0 0 0 0 0

ol tab sal
selaput
200 mg
1289 Warfarin tablet/kaps 0 0 0 0 0

tab 1 mg
1290 Warfarin tablet/kaps 0 0 0 0 0
tab 2 mg
1291 Zidovudin tablet/kaps 0 0 0 0 0
kaps 100
mg
1292 Zinc Botol 41 0 20 -199 300
drops 10
mg/ml
1293 Zinc sir 20 botol 10 0 40 -470 600

mg/5 ml
1294 Zinc tab tablet disp 215 0 300 -3385 4500

disp 20
mg
1295 Zonisamid Tab sal sel 0 0 0 0 0

tab sal
selaput
100 mg
RENCANA RENCANA RENCANA REALISASI KETERANGAN NO NAMA
KEBUTUHAN PENGADAA PENGADAAN PENGADAAN OBAT
TAHUN 2023 N TAHUN TAHUN 2022 TAHUN 2021
2023
(f) = (e) - (d) (g) (h) (i) (j)

0 0 0 0 1 153-Sm-
EDTMP
(ethylene
diamine
tetrameth
ylene
phosphon
ic acid) 44
mg Ca/Na
EDTMP,
5-46 ?g
samarium
, dan
1850 ±
185 mbq
samarium
153 per
ml
0 0 0 0 2 Abacavir
300 mg
0 0 0 0 3 Adefovir
dipivoksil
tab 10 mg
0 0 0 0 4 Adenosin
inj 3
mg/mL
0 0 0 0 5 Afatinib
tab sal
selaput
20 mg
0 0 0 0 6 Afatinib
tab sal
selaput
30 mg
0 0 0 0 7 Afatinib
tab sal
selaput
40 mg
0 0 0 0 8 Air untuk
injeksi
0 0 0 0 9 Air untuk
injeksi
0 0 0 0 10 Air untuk
injeksi
injeksi
amp 20
ml
3546 4000 8500 7028 12 Air untuk

injeksi
amp 25
ml
irigasi
irigasi inf
433 500 640 400 15 Air untuk
irigasi lar
inf 1000
ml
4127 4200 2900 2900 16 Akarbose

tab 100
mg
700 700 2000 0 17 Akarbose

tab 50 mg
0 0 0 0 18 Albendaz
ol susp
200 mg/5
ml
0 0 0 0 19 Albendaz
ol tab 400
mg
8 10 18 2 20 Albumin
serum
normal
(human
albumin)
inj 20%
100 ml
0 0 0 0 21 Albumin
serum
normal
(human
albumin)
inj 20%
50 ml
0 0 0 0 22 Albumin
serum
normal
(human
albumin)
inj 25%
100 ml
0 0 0 0 23 Albumin
serum
normal
(human
albumin)
inj 25%
20 ml
0 0 0 0 24 Albumin
serum
normal
(human
albumin)
inj 25%
50 ml
0 0 0 0 25 Albumin
serum
normal
(human
albumin)
inj 5%
250 ml
0 0 0 0 26 Albumin
serum
normal
(human
albumin)
inj 5% 50
ml
0 0 0 0 27 Alendron
at Tab 70
mg
837 1200 5000 1900 28 Alopurino

l tab 100
mg
3662 3700 6000 1000 29 Alopurino
l tab 300
mg
0 0 0 0 30 Alprazola
m tab
0,25 mg
310 300 500 100 31 Alprazola

m tab 0,5
mg
40 100 500 0 32 Alprazola

m tab 1
mg
0 0 0 0 33 Alteplase
serb inj
50
mg/vial
0 0 0 0 34 Amfoteris
in B inj 50
mg/10 ml
(i.v.)
in B salep
mata 1%
in B salep
mata 3%
0 10 20 5 37 Amikasin
inj 250
mg/ml
85 90 72 48 38 Aminofilin
inj 24
mg/ml
tab 150
mg
Tab 200
mg
47 50 60 10 41 Amiodaro
n inj 150
mg/3 ml
862 900 3000 1500 42 Amiodaro

n tab 200
mg
3200 3500 13000 3000 43 Amitriptili
n tab sal
25 mg
15403 16000 41200 3200 44 Amlodipin

tab 10 mg
15079 15200 8000 11200 45 Amlodipin

tab 5 mg
0 0 0 0 46 Amoksisili
n drops
100
mg/ml
120 120 150 100 47 Amoksisili

n drops
100
mg/ml
n drops
100
mg/ml
104 105 300 100 49 Amoksisili

n sir forte
250 mg/5
ml
92 95 178 144 50 Amoksisili

n sir
kering
125 mg/5
ml
n tab 250
mg
22380 22500 45000 40000 52 Amoksisili

n tab 500
mg
340 340 730 500 53 Ampisilin

serb inj
1000
mg/vial
110 110 430 0 54 Ampisilin

serb inj
250
mg/vial
43 50 360 140 55 Analog
insulin :
intermedi
ate acting
inj 100
UI/ml
(kemasan
vial,
cartridge
disposible
, penfill
cartridge)
-306 525 1100 505 56 Analog

insulin :
mix
insulin (inj
100
UI/ml)
131 90 118 80 57 Analog

insulin
intermedi
ate acting
combine
with short
or long
acting inj
100 IU/ml
(25%
insulin
lispro),
vial/cartri
dge
diposible/
penfill
cartridge
1208 805 1155 800 58 Analog
insulin
intermedi
ate acting
combine
with short
or long
acting inj
100 IU/ml
(50%
insulin
lispro),
vial/cartri
dge
diposible/
penfill
cartridge
0 0 0 0 59 Analog
Insulin
long
acting inj
100
IU/mL,
vial/cartri
dge
disposible
/penfill
cartridge
0 0 0 0 60 Analog
insulin
rapid
acting inj
100
IU/mL
0 0 0 0 61 Analog
insulin
rapid
acting inj
100
IU/mL
0 0 0 0 62 Analog
Insulin:
insulin
basal inj
100
IU/mL
0 0 0 0 63 Analog
Insulin:
insulin
basal inj
300
IU/mL
0 0 0 0 64 Analog
Insulin:
insulin
prandial
inj 100
IU/mL
0 0 0 0 65 Anastrozo
l tab 1 mg
1620 1080 900 0 66 Anestetik

lokal gigi
kombinasi
: lidokain
hcl 2% +
epinefrin
1 : 80.000
inj 2 ml
18606 12400 13000 12600 67 Antasida,

kombinasi
:
aluminiu
m
hidroksid
a 200 mg
+
magnesiu
m
hidroksid
a 200 mg
0 0 0 0 68 Antasida,
kombinasi
:
aluminiu
m
hidroksid
a 200 mg
+
magnesiu
m
hidroksid
a 200 mg
0 0 0 0 69 Anti
Parkinson
kombinasi
:
benzerasi
d 25 mg +
levodopa
100 mg
0 0 0 0 70 Antibakte
ri,
kombinasi
:
basitrasin
500 UI/g+
Polimiksin
B 10.000
UI/g
0 0 0 0 71 Antifungi
salep,
kombinasi
: asam
benzoat
6%+ asam
salisilat
3%
793 530 1030 300 72 Antihemo
roid,
kombinasi
: bismut
subgalat
150 mg +
heksaklor
ofen 2,5
mg +
lidokain
lidokain
10 mg+
seng
oksida
120 mg +
sup ad 2 g
0 0 0 0 73 Aquadest
cairan
500 ml
0 0 0 0 74 Aripiprazo
l oral
solution 1
mg/ml
l tab 5 mg
l tab
discmelt
10 mg
l tab
discmelt
15 mg
0 0 0 0 78 Artesunat
serb inj
60 mg/ml
(i.v./i.m.)
0 0 0 0 79 Articulati
ng paper
kertas
warna
penanda
oklusi
-21 0 36 48 80 Asam
asetat
tetes
telinga
2%
0 1000 1500 0 81 Asam

asetilsalisi
lat
(asetosal)
tab 100
mg
58062 37600 30000 30000 82 Asam

asetilsalisi
lat
(asetosal)
tab 80 mg
48043 31900 36000 30000 83 Asam

askorbat
(vitamin
C) tab 250
mg
0 0 0 0 84 Asam
askorbat
(vitamin
C) tab 50
mg
85853 57200 60000 57000 85 Asam

folat tab
0,4 mg
54000 36000 45000 30000 86 Asam

folat tab 1
mg
0 0 0 0 87 Asam
folat tab 5
mg
0 0 0 0 88 Asam
Fusidat
tts mata
1%
0 0 0 0 89 Asam
fusidat tts
mata 1%
0 0 0 0 90 Asam
ibandrona
t inj 1
mg/ml
0 0 0 0 91 Asam
mefenam
at kaps
250 mg
86286 60000 60000 60000 92 Asam

mefenam
at kaps
500 mg
810 600 1500 300 93 Asam

pipemidat
kaps 400
mg
0 0 0 0 94 Asam
retinoat
krim
0,05%
0 0 0 0 95 Asam
retinoat
krim 0,1%
0 0 0 0 96 Asam
retinoat
krim 0,1%
0 0 0 0 97 Asam
salisilat
lar 0,1%
0 0 0 0 98 Asam
salisilat
salep 10%
0 0 0 0 99 Asam
salisilat
salep 2%
0 0 0 0 100 Asam
salisilat
salep 5%
3186 2110 2250 2000 101 Asam

traneksa
mat inj
100
mg/ml
1182 800 410 700 102 Asam

traneksa
mat inj 50
mg/ml
31479 21000 30000 20000 103 Asam
traneksa
mat tab
500 mg
8846 6000 2640 5400 104 Asam

ursodeoks
ikolat
kaps 250
mg
0 0 0 0 105 Asam
zoledrona
t inf 4
mg/100
ml
0 0 0 0 106 Asam
Zoledrona
t Inf 5
mg/100
ml
0 0 0 0 107 Asetazola
mid tab
250 mg
0 0 0 0 108 Asiklovir
salep
mata 3%
serb inj
250 mg
tab 200
mg
4050 3000 6000 2700 111 Asiklovir

tab 400
mg
0 0 0 0 112 Asparagin
ase serb
inj 10.000
UI/vial
3790 2500 3750 2200 113 Atapulgit

600 mg
0 0 0 0 114 Atapulgit
tab 630
mg
tablet 650
mg
tablet 750
mg
0 0 0 0 117 Atenolol
tab 100
mg
0 0 0 0 118 Atenolol
tab 50 mg
0 0 0 0 119 Atorvasta
tin tab 10
mg
7330 4900 4950 4500 120 Atorvasta

tin tab 20
mg
0 0 0 0 121 Atrakuriu
m inj 10
mg/ml
(i.v)
0 0 0 0 122 Atrakuriu
m inj 10
mg/ml
(i.v)
297 200 200 300 123 Atropin

inj 0,25
mg/ml
(i.m./i.v./s
.k)
0 0 0 0 124 Atropin
tab 0,5
mg
24 15 0 6 125 Atropin
tts mata
0,5%
0 0 0 0 126 Atropin
tts mata
1%
0 0 0 0 127 Azatioprin
tab 50 mg
68 41 45 40 128 Azitromisi
n serb inj
500 mg
130 85 118 60 129 Azitromisi
n sir
kering
200 mg/5
ml
0 0 0 0 130 Azitromisi
n tab 250
mg
3071 1760 5440 3000 131 Azitromisi

n tab 500
mg
0 0 0 0 132 Bahan
tumpatan
sementar
a lar, serb
0 0 0 0 133 Barium
sulfat
serb 92
g/100 ml
0 0 0 0 134 Barium
sulfat
serb 92
g/100 ml
0 0 0 0 135 Barium
sulfat
susp 95%
0 0 0 0 136 Basiliksim
ab Inj 20
mg
27 18 15 0 137 Bedak
salisil serb
2%
0 0 0 0 138 Bedakuili
n fumarat
tab 100
mg
0 0 0 0 139 Bendamu
stin serb
inj 100
mg
0 0 0 0 140 Bendamu
stin serb
inj 25 mg
0 0 0 0 141 Benzatin
penisilin
inj 1,2
juta UI/ml
(i.m.)
0 0 0 0 142 Benzatin
penisilin
inj 2,4
juta UI/ml
(i.m.)
0 0 0 0 143 Beraprost
sodium
tab 20
mcg
0 0 0 0 144 Betahistin
tab 24 mg
8837 5700 7600 6000 145 Betahistin

tab 6 mg
0 0 0 0 146 Betaksolo
l tts mata
0,5%
0 0 0 0 147 Betaksolo
l tts mata
0,5%
135 90 85 80 148 Betameta

son krim
0,1%
0 0 0 0 149 Betameta
son krim
0,5 mg/g
81 55 88 30 150 Betameta
son salep
0,1%
son tts
mata 1
mg/ml
son tts
mata 1
mg/ml
0 0 0 0 153 Bikalutam
id tab sal
150 mg
0 0 0 0 154 Bikalutam
id tab sal
50 mg
135 90 105 0 155 Bisakodil

sup 10 mg
0 0 0 0 156 Bisakodil
sup 5 mg
270 200 0 0 157 Bisakodil
tab sal 5
mg
270 200 0 0 158 Bisoprolol

tab 1,25
mg
270 200 0 0 159 Bisoprolol

tab 10 mg
2160 1500 1500 200 160 Bisoprolol

tab 2,5
mg
11554 7550 7450 7000 161 Bisoprolol

tab 5 mg
0 0 0 0 162 Bleomisin
serb inj
15 mg/ml
0 0 0 0 163 Bortezom
ib serb inj
3,5 mg
0 0 0 0 164 Brinzolam
id tetes
mata
1320 900 880 840 165 Bromokri

ptin tab
2,5 mg
0 0 0 0 166 Budesoni
d cairan
ih
0,25mg/
ml
d cairan
ih
0,25mg/
ml,
respoules
2 ml
d cairan
ih 0,5
mg/ml
540 360 0 360 169 Budesoni

d cairan
ih 0,5
mg/ml,
respoules
2 ml
48 30 0 25 170 Budesoni
d serb ih
100
mcg/dosis
d serb ih
200
mcg/dosis
162 108 280 100 172 Budesoni

d serb ih
200
mcg/dosis
81 54 90 50 173 Budesoni
d-
formoter
ol (fixed
combinati
on)
160/4,5
mg
(inhalasi),
120 dosis
d-
formoter
ol (fixed
combinati
on)
160/4,5
mg
(inhalasi),
120 dosis
135 90 88 80 175 Budesoni

d-
formoter
ol (fixed
combinati
on)
160/4,5
mg
(inhalasi),
60 dosis
d-
formoter
ol (fixed
combinati
on)* ih
80/4,5
mcg
d-
formoter
ol (fixed
combinati
on)* ih
80/4,5
mcg
0 0 0 0 178 Bupivakai
n heavy
inj 5
mg/ml
(hcl) +
glukosa
8%
1870 1240 1495 1300 179 Bupivakai
n inj 5
mg/ml
(p.v.)
0 0 0 0 180 Busulfan
tab salut
2 mg
0 0 0 0 181 Cardiople
gia inj
0 0 0 0 182 Cisaprid
tab 5 mg
458 305 223 300 183 Copper T
0 0 0 0 184 Dabigatra
n
eteksilat
kaps 110
mg
0 0 0 0 185 Dabigatra
n
eteksilat
kaps 75
mg
0 0 0 0 186 Dakarbazi
n serb inj
100
mg/vial
0 0 0 0 187 Dakarbazi
n serb inj
200
mg/vial
0 0 0 0 188 Daklatasvi
r tab sal
selaput
30 mg
0 0 0 0 189 Daklatasvi
r tab sal
selaput
60 mg
0 0 0 0 190 Daktinomi
sin inj 0,5
mg/vial
(i.v.)
0 0 0 0 191 Dapson
tab
scored
100 mg
0 0 0 0 192 Daunorub
isin serb
inj 20
mg/vial
0 0 0 0 193 Deferasir
oks tab
disp 250
mg
oks tab
disp 500
mg
oks tab
sal
selaput
180 mg
oks tab
sal
selaput
360 mg
0 0 0 0 197 Deferipro
n lar oral
100
mg/ml
0 0 0 0 198 Deferipro
n tab sal
500 mg
0 0 0 0 199 Deferoksa
min
mesilat
serb inj
500
mg/vial
4201 2800 3000 2700 200 Deksamet

ason inj 5
mg/ml
(i.v./i.m.)
10208 6800 4500 6000 201 Deksamet
ason tab
0,5 mg
0 0 0 0 202 Deksmed
etomidin
Inj 100
mcg/ml
0 0 0 0 203 Delamani
d tab 50
mg
0 0 0 0 204 Desfluran
cairan ih
0 0 0 0 205 Desmopr
esin nasal
spray 10
mcg/puff
0 0 0 0 206 Desmopr
esin tab
0,1 mg
0 0 0 0 207 Desmopr
esin tab
0,2 mg
0 0 0 0 208 Desogestr
el tab 75
mcg
0 0 0 0 209 Desoksim
etason gel
0,05%
116 71 0 60 210 Desoksim

etason
krim
0,25%
0 0 0 0 211 Desoksim
etason
krim
0,25%
135 90 150 90 212 Desoksim

etason
salep
0,25%
0 0 0 0 213 Dialisis
peritonea
l, larutan
intraperit
oneal -
Extraneal
182 120 150 100 214 Diazepam

enema 10
mg/2,5 ml
209 140 150 120 215 Diazepam

enema 5
mg/2,5 ml
76 50 40 30 216 Diazepam
inj 5
mg/ml
(i.v./i.m.)
2160 1500 1500 0 217 Diazepam

tab 2 mg
15850 10500 44000 10000 218 Diazepam

tab 5 mg
648 432 0 240 219 Dienogest

tab 2 mg
0 0 0 0 220 Dietilkarb
amazin
tab 100
mg
540 360 450 200 221 Difenhidr

amin inj
10 mg/ml
(i.v./i.m.)
0 0 0 0 222 Diflukorto
lon
valerat
salep
berlemak
0,1%
22 15 30 15 223 Digoksin
inj 0,25
mg/ml
1552 1100 1500 1000 224 Digoksin

tab 0,25
mg
0 0 0 0 225 Diltiazem
hcl inj 5
mg/5 ml
inj 25
mg/5 ml
1581 900 720 1000 227 Diltiazem

kaps SR
100 mg
2700 1800 2400 1000 228 Diltiazem

kaps SR
200 mg
serb inj
10 mg/10
ml
serb inj
50
mg/vial
tab 30 mg
2224 1500 300 1000 232 Dimenhid

rinat tab
50 mg
27 18 44 0 233 Dinatrium
edetat tts
mata
0,35%
(3,5
mg/ml)
0 0 0 0 234 Dinatrium
klodronat
inj 60
mg/ml
0 0 0 0 235 DMSA
(dimercap
to
succinic
acid) 1,1
mg meso-
2, 3-
dimercapt
osuccinic
acid/vial
74 50 70 45 236 Dobutami
n inj 12,5
mg/ml
0 0 0 0 237 Dobutami
n inj 25
mg/ml
0 0 0 0 238 Dobutami
n inj 50
mg/ml
0 0 0 0 239 Doksazosi
n tab 1
mg
0 0 0 0 240 Doksazosi
n tab 2
mg
2903 1800 1500 2000 241 Doksisikli

n kaps
100 mg
0 0 0 0 242 Doksisikli
n kaps 50
mg
0 0 0 0 243 Doksorubi
sin serb
inj 10
mg/vial
(i.v.)
0 0 0 0 244 Doksorubi
sin serb
inj 50
mg/vial
0 0 0 0 245 Dolutegra
vir tab 50
mg
540 360 430 300 246 Domperid

on susp 5
mg/5 ml
22600 15000 17900 14000 247 Domperid

on tab 10
mg
81 54 58 50 248 Domperid
on tts 5
mg/ml
537 360 400 300 249 Donepezil

tab 5 mg
0 0 0 0 250 Donepezil
tab eff 10
mg
108 75 70 60 251 Dopamin

inj 40
mg/ml
0 0 0 0 252 Dosetaks
el inj 20
mg
el inj 40
mg/ml
(vial 0,5
ml)
el inj 40
mg/ml
(vial 2 ml)
el inj 80
mg
0 0 0 0 256 DTPA
(diethylen
e triamine
pentaace
tic acid)
2,06-2,5
mg
pentetate
calcium
trisodium
/ml
0 0 0 0 257 Dutasteri
d kaps 0,5
mg
0 0 0 0 258 Efavirenz
tab 200
mg
0 0 0 0 259 Efavirenz
tab sal
600 mg
923 610 740 600 260 Efedrin inj

50 mg/ml
0 0 0 0 261 Eksemest
an tab 25
mg
0 0 0 0 262 Eltrombo
pag tab
sal
selaput
25 mg
0 0 0 0 263 Eltrombo
pag tab
sal
selaput
50 mg
0 0 0 0 264 Enoksapa
rin
sodium
inj 20
mg/0,2 ml
rin
sodium
inj 40
mg/0,4 ml
rin
sodium
inj 60
mg/0,6 ml
0 0 0 0 267 Entekavir
tab sal
selaput
0,5 mg
0 0 0 0 268 Entekavir
tab sal
selaput 1
mg
724 500 300 300 269 Epinefrin

(adrenalin
) inj 1
mg/ml
0 0 0 0 270 Epirubisin
serb inj 2
mg/ml,
vial 25 ml
serb inj 2
mg/ml,
vial 5 ml
serb inj
50 mg
0 0 0 0 273 Ergokalsif
erol
(vitamin
D2) kaps
50.000 UI
0 0 0 0 274 Ergokalsif
erol
(vitamin
D2) susp
10.000
UI/ml
0 0 0 0 275 Ergotami
n tab 1
mg
0 0 0 0 276 Eribulin
inj 0,44
mg/ml
5400 3600 3000 500 277 Eritromisi

n kaps
250 mg
27 18 12 5 278 Eritromisi
n sir 200
mg/5 ml
2700 1800 1500 1000 279 Eritromisi

n tab 500
mg
642 426 552 360 280 Eritropoe

tin-alfa inj
10.000 IU
0 0 0 0 281 Eritropoe
tin-alfa inj
2.000 IU
tin-alfa inj
3.000 IU
tin-alfa inj
4.000 IU
tin-beta
inj 2000
UI/0,3 ml
0 0 0 0 285 Eritropoie
tin-alfa inj
40.000 IU
0 0 0 0 286 Eritropoie
tin-Alfa
Inj 4000
IU/0,5 ml
0 0 0 0 287 Erlotinib
tab sal
selaput
100 mg
0 0 0 0 288 Erlotinib
tab sal
selaput
150 mg
27 18 15 10 289 Esomepra
zole inj 40
mg/vial
27 18 0 2 290 Estrogen
terkonjug
asi tab sal
0,625 mg
0 0 0 0 291 Etambuto
l tab 400
mg
0 0 0 0 292 Etanercep
t inj 50
mg/ml
0 0 0 0 293 Etanol
70%
cairan
70%
27 18 0 2 294 Etil
klorida
semprot
100 ml
0 0 0 0 295 Etonogest
rel implan
68 mg
0 0 0 0 296 Etoposid
inj 20
mg/ml
0 0 0 0 297 Eugenol
0 0 0 0 298 Everolimu
s tab 0,25
mg
s tab 0,5
mg
s tab 0,75
mg
0 0 0 0 301 Faktor IX
Kompleks
Inj 50
IU/mL
0 0 0 0 302 Faktor IX
kompleks
serb inj
1.000
UI/vial +
pelarut 10
ml
0 0 0 0 303 Faktor IX
kompleks
serb inj
500
UI/vial +
pelarut
0 0 0 0 304 Faktor
koagulasi
II 14-35
UI, faktor
koagulasi
VII 7-20
UI, faktor
koagulasi
IX 25 UI,
faktor
koagulasi
X 14-35
serb inj
250 IU/10
ml
0 0 0 0 305 Faktor
koagulasi
II 14-35
UI, faktor
koagulasi
VII 7-20
UI, faktor
koagulasi
IX 25 UI,
faktor
koagulasi
X 14-35
serb inj
500 UI/20
ml UI
0 0 0 0 306 Faktor
viia
(rekombi
nan) serb
inj 1
mg/vial +
pelarut
untuk
injeksi
0 0 0 0 307 Faktor VIII

(konsentr
at) serb
inj 230 -
340 UI

(konsentr
at) serb
inj 480 -
600 UI

serb inj
1000
mg/vial

serb inj
250 IU

serb inj
500 IU
0 0 0 0 312 Fenilefrin
drops
10%
105 60 60 60 313 Fenitoin

Na inj 50
mg/ml
(100 mg/
2 mL)
2378 1300 700 1000 314 Fenitoin

Na kaps
100 mg
0 0 0 0 315 Fenitoin
Na kaps
30 mg
0 0 0 0 316 Fenobarbi
tal inj 100
mg/mL
99 70 70 50 317 Fenobarbi
tal inj 50
mg/ml
135 100 200 50 318 Fenobarbi

tal tab
100 mg
0 0 0 0 319 Fenobarbi
tal tab 30
mg
3240 2160 4500 1800 320 Fenofibra

t kaps 100
mg
3774 2500 4500 1800 321 Fenofibra

t kaps 300
mg
0 0 0 0 322 Fenoksim
etil
penisilin
(penisilin
V) tab 250
mg
0 0 0 0 323 Fenoksim
etil
penisilin
(penisilin
V) tab 500
mg
0 0 0 0 324 Fenoterol
hbr
aerosol
100
mcg/puff
0 0 0 0 325 Fenoterol
hbr cairan
ih 0,1%
0 0 0 0 326 Fentanil
inj 0,05
mg/ml
(ampul 10
ml)
1666 1110 595 1000 327 Fentanil
inj 0,05
mg/ml
(ampul 2
ml)
patch
12,5
mcg/jam
patch 25
mcg/jam
patch 50
mcg/jam
0 0 0 0 331 Ferrakrilu
m cairan
1%
0 0 0 0 332 Filgrastim
inj 300
mcg/ml
0 0 0 0 333 Finasterid
tab 5 mg
4950 3300 3000 3000 334 Fitomena

dion
(vitamin K
1) inj 2
mg/ml
(i.m.)
270 200 140 200 335 Fitomena

dion
(vitamin K
1) tab sal
10 mg
270 180 150 0 336 Fitomena

dion
(vitamin
K1) inj 10
mg/ml
(i.m)
0 0 0 0 337 Fludarabi
n inj 50
mg/vial
0 0 0 0 338 Fludarabi
n tab sal
10 mg
0 0 0 0 339 Flufenazin
inj 25
mg/ml
(i.m.)
0 0 0 0 340 Flukonazo
l inj 2
mg/ml
318 210 75 120 341 Flukonazo

l kaps 150
mg
0 0 0 0 342 Flukonazo
l kaps 50
mg
0 0 0 0 343 Fluoksetin
kaps 10
mg
0 0 0 0 344 Fluoksetin
kaps 20
mg
0 0 0 0 345 Fluor kapl

1 mg
0 0 0 0 346 Fluor
sediaan
topikal
0 0 0 0 347 Fluorescei
n
Sodium/
Natrium
Fluoresei
n inj 100
mg/mL
0 0 0 0 348 Fluoro
deoxy
glucose
(FDG)
0 0 0 0 349 Fluorome
tolon tts
mata
0,1%
0 0 0 0 350 Fluorome
tolon tts
mata
0,1%
0 0 0 0 351 Fluoroura
sil inj 50
mg/mL
(@ 10 mL)
0 0 0 0 352 Fluoroura
sil inj 50
mg/mL
(@ 5 mL)
27 2 0 2 353 Flusinolon
asetonid
krim
0,025%
0 0 0 0 354 Flusinolon
asetonid
salep
0,025%
0 0 0 0 355 Flutikason
furoat
intranasal
spray
propionat
cairan ih
0,5
mg/dosis
Propionat
MDI 50
mcg/sem
prot
0 0 0 0 358 Fluvoksa
min tab
sal
selaput
100 mg
0 0 0 0 359 Fluvoksa
min tab
sal
selaput
50 mg
0 0 0 0 360 Fondapari
nuks inj
2,5
mg/0,5 ml
0 0 0 0 361 Formokre
sol
0 0 0 0 362 Fosfomisi
n
Trometa
mol
granula 3
g
0 0 0 0 363 Fraksi
protein
plasma lar
inf 5%
0 0 0 0 364 Framiseti
n Sulfat
Tulle 1%
1318 900 725 750 365 Furosemi

d inj 10
mg/ml
(i.v./i.m.)
23169 15100 14800 15000 366 Furosemi

d tab 40
mg
3970 2700 1500 2100 367 Gabapen

tin kaps
100 mg
3180 2100 3000 1800 368 Gabapen

tin kaps
300 mg
0 0 0 0 369 Gadobutr
ol
Macrocycl
ic 5 ml
0 0 0 0 370 Gadobutr
ol
Macrocycl
ic 7,5 ml
0 0 0 0 371 Gadokset
at
disodium
0,25
mmol
gadokseta
t
disodium/
ml
0 0 0 0 372 Gadoteric
acid inj
279,32
mg/ml
acid inj
279,32
mg/ml
acid inj
279,32
mg/ml
0 0 0 0 375 Galactose
micropar
ticle 200-
400 mg
micropart
/ml
0 0 0 0 376 Gansiklovi
r serb inj
500
mg/vial
324 220 895 200 377 Garam Fe,

setara
dengan
Fe
elemental
15 mg/5
mL
0 0 0 0 378 Garam Fe,

setara
dengan
Fe
elemental
60 mg
98100 64800 60000 64000 379 Garam Fe,
setara
dengan
Fe
elemental
60 mg
812 550 420 250 380 Garam

oralit
kombinasi
: natrium
klorida
0,52 g +
kalium
klorida
0,30 g +
trinatrium
sitrat 0,58
g+
glukosa
anhidrat
2,7 g
0 0 0 0 381 Gefitinib
tab 250
mg
1531 1000 4500 1000 382 Gemfibro

zil kaps
300 mg
1591 1100 4400 1000 383 Gemfibro

zil kaps
600 mg
0 0 0 0 384 Gemsitabi
n inj 1000
mg/vial
0 0 0 0 385 Gemsitabi
n inj 200
mg/vial
1413 920 745 800 386 Gentamisi

n inj 40
mg/ml
160 110 300 100 387 Gentamisi

n salep
mata
0,3%
108 72 73 70 388 Gentamisi
n tsts
mata 1%
27 18 74 0 389 Gentamisi
n tts mata
0,3%
0 0 0 0 390 Glass
ionomer
ART
(Atrauma
tic
Restorativ
e
Treatmen
t) cocoa
butter 5 g
0 0 0 0 391 Glass
ionomer
ART
(Atrauma
tic
Restorativ
e
Treatmen
t) lar
0 0 0 0 392 Glass
ionomer
ART
(Atrauma
tic
Restorativ
e
Treatmen
t) serb
0 0 0 0 393 Glibenkla
mid tab
2,5 mg
0 0 0 0 394 Glibenkla
mid tab 5
mg
540 360 0 150 395 Gliklazid

tab 80 mg
0 0 0 0 396 Gliklazid
tab MR
30 mg
540 360 0 0 397 Gliklazid
tab SR 60
mg
0 0 0 0 398 Glikopiro
nium serb
ih 50 mcg
0 0 0 0 399 Glikuidon
tab 30 mg
3440 2300 1500 2000 400 Glimepiri

d tab 1
mg
31800 20100 30000 20000 401 Glimepiri

d tab 2
mg
1467 1000 700 1000 402 Glimepiri

d tab 3
mg
270 200 600 0 403 Glimepiri

d tab 4
mg
0 0 0 0 404 Glipizid
tab 10 mg
0 0 0 0 405 Glipizid
tab 5 mg
0 0 0 0 406 Gliseril
trinitrat
inj 5
mg/ml
trinitrat
kaps
lepas
lambat
2,5 mg
trinitrat
kaps
lepas
lambat 5
mg
trinitrat
tab 0,5
mg
27 18 14 10 410 Gliserin
lar 50%
243 162 29 160 411 Gliserin
tts 100
mg/ml
0 0 0 0 412 Glukosa
Larutan
Infus 10%
steril 100
ml
0 0 0 0 413 Glukosa
Larutan
Infus 10%
steril 250
ml
1607 1080 1500 1080 414 Glukosa

Larutan
Infus 10%
steril 500
ml
636 420 450 360 415 Glukosa

Larutan
Infus 40%
0 0 0 0 416 Glukosa
Larutan
Infus 5%
steril 100
ml
0 0 0 0 417 Glukosa
Larutan
Infus 5%
steril 250
ml
2003 1400 1500 1200 418 Glukosa

Larutan
Infus 5%
steril 500
ml
0 0 0 0 419 Goserelin
asetat inj
10,8
mg/vial
0 0 0 0 420 Goserelin
asetat inj
3,6
mg/vial
0 0 0 0 421 Griseofulv
in
(microniz
ed) tab
125 mg
in
(microniz
ed) tab
500 mg
in
(microniz
ed) tab
scored
250 mg
0 0 0 0 424 Gutta
percha
dan paper
points 15
- 40 mm
0 0 0 0 425 Gutta
percha
dan paper
points 45
- 80 mm
0 0 0 0 426 Haloperid
ol inj 5
mg/ml
(i.m.)
ol inj 50
mg/ml
(decanoat
)
ol tab 0,5
mg
ol tab 1,5
mg
ol tab 2
mg
ol tab 5
mg
ol tts 2
mg/ml
0 0 0 0 433 Halotan ih
6734 4500 6000 4450 434 Hemodiali

sa lar
2140 1420 1190 1400 435 Heparin,
Na inj
5.000
UI/ml
(i.v./s.k.)
26 17 29 5 436 Hepatitis
B
imunoglo
bulin
(human)
inj 150
IU/1,5 ml
0 0 0 0 437 Hepatitis
B
imunoglo
bulin
(human)
Inj 220
IU/ml
27 18 15 6 438 Hidrogen
peroksida
cairan 3%
0 0 0 0 439 Hidroklor
otiazid
tab 12,5
mg
2354 1500 6000 1000 440 Hidroklor

otiazid
tab 25 mg
159 105 148 100 441 Hidrokorti

son krim
1%
209 137 147 120 442 Hidrokorti
son krim
2,5%
27 18 0 4 443 Hidrokorti
son serb
inj 100
mg
0 0 0 0 444 Hidrokorti
son Tab
20 mg
0 0 0 0 445 Hidroksi
klorokuin
tab 200
mg
0 0 0 0 446 Hidroksi
urea tab
500 mg
127 85 75 75 447 Hiosina

butilbrom
ida inj 20
mg/ml
2110 1400 1500 1000 448 Hiosina

butilbrom
ida tab 10
mg
0 0 0 0 449 Homatrop
in tts
mata 2%
0 0 0 0 450 Human
insulin :
mix
insulin inj
100 UI/ml
0 0 0 0 451 Human
insulin :
mix
insulin inj
100 UI/ml
0 0 0 0 452 Human
Insulin
intermedi
ate acting
combine
with short
or long
acting inj
100
IU/mL,
cartridge
disposible
/penfill
cartridge
0 0 0 0 453 Human
insulin
intermedi
ate acting
combine
with short
or long
acting inj
100
IU/mL,
Vial 10 mL
0 0 0 0 454 Human
Insulin
intermedi
ate acting
inj 100
IU/ml,
cartridge
disposible
/penfill
cartridge
0 0 0 0 455 Human
Insulin
intermedi
ate acting
inj 100
IU/Ml,
Vial 10 mL
0 0 0 0 456 Human
Insulin
intermedi
ate acting
inj 100
IU/mL,
Vial 5 mL
0 0 0 0 457 Human
insulin
short
acting inj
100 IU/ml
0 0 0 0 458 Human
insulin
short
acting inj
100 IU/ml
0 0 0 0 459 Human
Insulin:
insulin
basal inj
100
IU/mL
0 0 0 0 460 Human
Insulin:
insulin
prandial
inj 100
IU/mL
0 0 0 0 461 Human
tetanus
imunoglo
bulin inj
250 UI
(i.m.)
0 0 0 0 462 Human
tetanus
imunoglo
bulin inj
500 UI
(i.m.)
0 0 0 0 463 Hydromor
phone
HCl tab
oros 16
mg
0 0 0 0 464 Hydromor
phone
HCl tab
oros 8 mg
0 0 0 0 465 Ibuprofen
Inj 100
mg/ml
189 126 148 100 466 Ibuprofen

sir 100
mg/5 ml
sir 200
mg/5 ml
tab 200
mg
6121 4100 3000 3000 469 Ibuprofen

tab 400
mg
0 0 0 0 470 Idarubisin
serb inj
20 mg
0 0 0 0 471 Ifosfamid
serb inj
1000
mg/vial
serb inj
2000
mg/vial
serb inj
500
mg/vial
0 0 0 0 474 Iloprost ih
10
mcg/mL
0 0 0 0 475 Imatinib
mesilat
tab 100
mg
0 0 0 0 476 Imatinib
Mesilat
tab 400
mg
0 0 0 0 477 Imidafena
sin tab sal
selaput
0,1 mg
0 0 0 0 478 Imidapril
tab 10 mg
0 0 0 0 479 Imidapril
tab 5 mg
0 0 0 0 480 Imunoglo
bulin
Intravena
Inj 50
mg/ml,
untuk
terapi
GBS
(Guillain
Bare
Syndrom)
0 0 0 0 481 Indakater
ol serb ih
150 mcg
0 0 0 0 482 Indakater
ol serb ih
300 mcg
0 0 0 0 483 Iodiksanol
vial 320
mg
Iodium/1
00 ml
0 0 0 0 484 Iodiksanol
vial 320
mg
Iodium/5
0 ml
0 0 0 0 485 Iodium
131
0 0 0 0 486 Iodohippu
rate
sodium I
131 37-74
mbq/
multiple-
dose
0 0 0 0 487 Ioheksol
180 - 300
mg
Iodium/m
L (300
mg/20
mL)
240-350
mg
Iodium/m
l (300
mg/75
ml)
240-350
mg
Iodium/m
l (350
mg/75
ml)
Inj 140 -
350 mg
Iodium/m
L (350
mg/100
ml)
Inj 140 -
350 mg
Iodium/m
L (350
mg/50
ml)
Inj 180 -
300 mg
Iodium/m
L (300
mg/100
ml)
Inj 180 -
300 mg
Iodium/m
L (300
mg/50
ml)
0 0 0 0 494 Iopamidol
300 - 370
mg
Iodium/m
L (300
mg/100
mL)
300 - 370
mg
Iodium/m
L (300
mg/50
mL)
300 - 370
mg
Iodium/m
L (370
mg/100
mL)
300 - 370
mg
Iodium/m
L (370
mg/200
mL)
300 - 370
mg
Iodium/m
L (370
mg/50
mL)
0 0 0 0 499 Iopromid
300 - 370
mg (300
mg/100
mL)
300 - 370
mg (300
mg/50
mL)
300 - 370
mg (370
mg/100
mL)
300 - 370
mg (370
mg/50
mL)
27 18 73 0 503 Ipratropiu
m
bromida
aerosol
20
mcg/sem
prot
882 570 300 450 504 Ipratropiu

m
bromida
cairan ih
0,025%
810 540 0 300 505 Irbesartan
tab 150
mg
2078 1200 4500 1000 506 Irbesartan

tab 300
mg
0 0 0 0 507 Irinotekan
inf 20
mg/ml
inf 20
mg/ml
inj 20
mg/ml
inj 20
mg/ml
0 0 0 0 511 Isofluran
inhalasi
100 ml
0 0 0 0 512 Isofluran
inhalasi
250 ml
0 0 0 0 513 Isoniazid
tab 100
mg
0 0 0 0 514 Isoniazid
tab 300
mg
22 15 25 10 515 Isosorbid
dinitrat
inj 1
mg/ml
(i.v)
13116 8700 22000 7200 516 Isosorbid

dinitrat
tab 10 mg
2700 1800 0 0 517 Isosorbid

dinitrat
tab 5 mg
0 0 0 0 518 Itrakonaz
ol Kaps
100 mg
0 0 0 0 519 IUD Cu T
380 A
0 0 0 0 520 IUD
Levonorg
estrel
0 0 0 0 521 Ivabradin
tab 5 mg
0 0 0 0 522 k.y jelly

0 0 0 0 523 Kalamin
1141 700 700 600 524 Kalium
aspartat
tab 300
mg
52 34 0 30 525 Kalium
klorida /
Potasium
klorida
injeksi 25
mg
7,46%, 25
mL
8010 5400 44900 5000 526 Kalium

klorida
tab SR
600 mg
0 0 0 0 527 Kalsitriol
kaps
lunak
0,25 mcg
0 0 0 0 528 Kalsitriol
kaps
lunak 0,5
mcg
0 0 0 0 529 Kalsium
Folinat
(Leukovor
in, Ca) Inj
10 mg/ml
0 0 0 0 530 Kalsium
folinat
(leukovori
n, Ca) tab
15 mg
100 72 0 72 531 Kalsium
glukonat
inj 100
mg/ml
0 0 0 0 532 Kalsium
hidroksid
a bubuk,
pasta
0 0 0 0 533 Kalsium
hipoklorit
32350 21600 0 20000 534 Kalsium

karbonat
tab 500
mg
134480 89500 89500 89000 535 Kalsium

laktat
(kalk) tab
500 mg
0 0 0 0 536 Kalsium
polistiren
a sulfonat
ktg 5 g
15400 10000 13500 9000 537 Kandesart

an tab 16
mg
18510 12030 13500 12000 538 Kandesart

an tab 8
mg
0 0 0 0 539 Kapesitab
in tab sal
500 mg
6251 4100 6500 3500 540 Kaptopril

tab 12,5
mg
9435 6000 7500 6000 541 Kaptopril

tab 25 mg
0 0 0 0 542 Kaptopril
tab 50 mg
0 0 0 0 543 Karbamaz
epin sir
100 mg/5
ml
0 0 0 0 544 Karbamaz
epin Tab
200 mg
0 0 0 0 545 Karbimaz
ol tab 5
mg
33 24 54 48 546 Karboglis
erin tts
telinga 10
%
0 0 0 0 547 Karboksi
metilselul
osa tts
mata
0 0 0 0 548 Karboplati
n Inj 10
mg (vial
45 ml)
0 0 0 0 549 Karboplati
n inj 10
mg/ml
(vial 15 ml
0 0 0 0 550 Karvedilol
kaps 6,25
mg
0 0 0 0 551 Karvedilol
tab 25 mg
131 90 63 85 552 Ketamin

inj 100
mg/ml
(i.v.)
0 0 0 0 553 Ketamin
inj 50
mg/ml
(i.v.)
215 145 146 140 554 Ketokona

zol krim
2%
0 0 0 0 555 Ketokona
zol scalp
sol 2%
2413 1600 1450 1500 556 Ketokona

zol tab
200 mg
0 0 0 0 557 Ketoprofe
n Inj 25
mg/ml
1536 1020 1190 1000 558 Ketoprofe

n sup 100
mg
10402 7000 5900 6900 559 Ketorolak

inj 30
mg/ml
0 0 0 0 560 Klaritromi
sin sir
kering
125 mg/5
ml
sin sir
kering
250 mg/5
ml
sin tab
500 mg
2700 1800 1500 800 563 Klindamisi

n kaps
150 mg
6428 4300 4500 4200 564 Klindamisi

n kaps
300 mg
810 600 0 300 565 Klobazam

tab 10 mg
73 50 0 40 566 Klobetaso
l
propionat
krim
0,05%
0 0 0 0 567 Klobetaso
l
propionat
salep
0,05%
0 0 0 0 568 Klofazimi
n,
micronize
d kaps 50
mg
0 0 0 0 569 Klofazimi
n,
micronize
dkaps 100
mg
0 0 0 0 570 Klomipra
min tab
25
0 0 0 0 571 Klonazepa
m kaps 2
mg
0 0 0 0 572 Klonidin
inj 150
mcg/ml
2700 1800 3000 200 573 Klonidin

tab 0,15
mg
7650 5000 4450 4500 574 Klopidogr

el tab 75
mg
0 0 0 0 575 Klopidogr
el tab sal
selaput
300 mg
27 1 1 1 576 Kloral
hidrat lar
0 0 0 0 577 Klorambu
sil tab sal
selaput 5
mg
449 300 400 200 578 Kloramfe

nikol kaps
250 mg
0 0 0 0 579 Kloramfe
nikol kaps
500 mg
521 350 715 300 580 Kloramfe
nikol
salep
mata 1%
48 30 30 20 581 Kloramfe
nikol serb
inj 1.000
mg/ml
54 36 32 10 582 Kloramfe
nikol susp
125 mg/5
ml
46 28 70 20 583 Kloramfe
nikol
tetes
telinga
3%
132 87 146 80 584 Kloramfe

nikol tts
mata
0,5%
27 18 43 0 585 Kloramfe
nikol tts
mata 1%
340 100 3400 0 586 Klorfenira

min tab 4
mg
0 0 0 0 587 Klorfenol
kamfer
mentol
(CHKM)
0 0 0 0 588 Klorheksi
din lar
0,2%
0 0 0 0 589 Klorheksi
din lar
15%
-200 0 0 200 590 Klorokuin

tab 250
mg
0 0 0 0 591 Klorprom
azin inj 25
mg/ml
(i.m.)
azin inj 5
mg/ml
(i.m.)
azin tab
sal 100
mg
azin tab
sal 25 mg
0 0 0 0 595 Klortalido
n tab 50
mg
0 0 0 0 596 Klotrimaz
ol tab
vagina
100 mg
0 0 0 0 597 Klozapin
tab 100
mg
0 0 0 0 598 Klozapin
tab 25 mg
0 0 0 0 599 Kodein
tab 10 mg
0 0 0 0 600 Kodein
tab 15 mg
1060 700 100 100 601 Kodein

tab 20 mg
0 0 0 0 602 Kolestira
min serb,
4g
0 0 0 0 603 Kolkisin
tab 500
mcg
0 0 0 0 604 Komb:
Deksamet
ason 0,1%
Thymol
5%
Paraklorp
henol 30
0 0 0 0 605 Kombinas
i (DHP) :
dihidroart
emisin 40
mg +
Piperakui
n 320 mg
tab sal
selaput
575 380 720 350 606 Kombinas

i:
(Ampisilin
1000 mg
+
Sulbakta
m 500
mg) serb
inj 1500
mg
i:
(Sefopera
zon 500
mg +
Sulbakta
m 500
mg) serb
inj 1000
mg
i:
(Zidovudi
n 60 mg +
Lamivudin
30 mg +
Nevirapin
50 mg)
Ped Triple
FDC
108 72 70 0 609 Kombinas

i:
Ampisilin
500 mg +
Sulbakta
m 250 mg
serb inj
750 mg
i:
artemeth
er 20 mg
+
lumefantr
in 120 mg
0 0 0 0 611 kombinasi
:
benserazi
d 25 mg +
levodopa
100 mg
80 53 0 30 612 Kombinas
i:
Brinzolam
id 1% +
Timolol
0,5%, tts
mata
i:
Desogestr
el 150
mcg
Etinilestra
diol 30
mcg
i:
ergotami
n 1 mg+
kafein 50
mg
67350 44900 0 44000 615 Kombinas

i : Ferro
fumarat
60 mg +
asam
folat 0,4
mg tab
salut
i:
Indakater
ol 110
mcg +
Glycopyrr
onium 50
mcg serb
ih + alat
breezhale
r
i:
Ipratropiu
m
bromida
0,02 mg +
fenoterol
HBr 0,05
mg
aerosol
i:
levodopa
100
mg+Karbi
dopa 25
mg +
entekapo
n 200 mg
i:
levonorge
strel 150
mcg +
etinilestra
diol 30
mcg
i:
medroksi
progester
on
asetat+
estradiol
sipionat
inj depot
25 mg + 5
mg
i:
Meglumin
amidotriz
oat +
Sodium
amidotriz
oat inj
76%
i:
Sefiksim
400 mg +
Azitromisi
n 1000
mg
i:
Tenofovir
300 mg +
Emtrisitab
in 200 mg
i:
Tenofovir
300 mg +
Lamivudin
300 mg +
Efavirenz
600 mg
25 16 0 10 625 Kombinas
i:
Travopros
t 0,004%
+ Timolol
0,5%, tts
mata
i:
triamsinol
on +
dementilk
lortetrasik
lin
i:
zidovudin
300 mg
+lamivudi
n 150 mg
i KDT/FDC
mengand
ung:
(medroksi
progester
on asetat
120 mg +
estradiol
sipionat
10 mg) inj
104 68 0 60 629 Kombinas

i KDT/FDC
mengand
ung:
(salmeter
ol 50 mcg
+
flutikason
propionat
250 mcg)
serb ih
77 50 0 40 630 Kombinas
i KDT/FDC
mengand
ung:
(salmeter
ol 50 mcg
+
flutikason
propionat
500 mcg)
serb ih
i KDT/FDC
mengand
ung:
(tiotropiu
m 2,5
mcg +
olodatero
l 2,5 mcg)
cairan ih
i KDT/FDC
mengand
ung:
(tiotropiu
m 2,5
mcg +
olodatero
l 2,5 mcg)
cairan ih,
refill
118 65 0 60 633 Kombinas

i
KDT/FDC,
setiap mL
mengand
ung:
latanopro
st 0,05
mg +
timolol 5
mg tetes
mata
53 35 0 15 634 Kombinas
i
KDT/FDC,
setiap mL
mengand
ung:
latanopro
st 0,05
mg +
timolol 5
mg tetes
mata
270 180 44 180 635 Kombinas

i, setiap
ml
mengand
ung:
natrium
klorida
4,40 mg +
kalium
klorida
0,80 mg
(tetes
mata)
152 98 0 90 636 Kombinas

i, setiap
ml
mengand
ung:
natrium
klorida
4,40 mg +
kalium
klorida
0,80 mg
(tetes
mata)
i, setiap
ml
mengand
ung:
natrium
klorida
4,40 mg +
kalium
klorida
0,80 mg
(tetes
mata)
i:
Amoksisili
n 1.000
mg +
Asam
klavulana
t 200 mg,
Inj 1.200
mg
i: Elbasvir
50 mg
dan
Grazopre
vir 100
mg tablet
salut
selaput
1287 840 1180 800 640 Kombinas

i:
Ipratropiu
m
bromida
0,5 mg +
Salbutam
ol 2,5 mg,
cairan ih
270 200 300 0 641 Kombinas
i: kaolin
550 mg +
pektin 20
mg
i:
lopinavir
200 mg +
ritonavir
(LVP) 50
mg, tab
250 mg
i: parafin
+ gliserin
+
fenolftalei
n
130 85 71 80 644 Kombinas

i:
salmetero
l 25 mcg +
flutikason
propionat
50 mcg ih
50
mcg/puff
54 36 74 5 645 Kombinas
i:
salmetero
l 50 mcg +
flutikason
propionat
100 mcg
ih 100
mcg/puff
54 36 73 10 646 Kombinas
i:
salmetero
l 50 mcg +
flutikason
propionat
500 mcg
ih 500
mcg/puff
54 36 30 10 647 Kombinas
i:
salmetero
l 50 mcg+
flutikason
propionat
250 mcg
ih 250
mcg/puff
i:
Tenofovir
300 mg +
Lamivudin
300 mg +
Dolutegra
vir 50 mg,
tablet
0 0 0 0 649 Komibina
si:
lidokain +
medisinal
creosote
phenol +
eugenol +
benzil
alkohol,
cairan
0 0 0 0 650 Komposit
resin
953 600 1500 500 651 Kotrimoks
azol
(dewasa)
kombinasi
:
sulfameto
ksazol
400 mg+
trimetopri
m 80 mg
1300 900 1500 500 652 Kotrimoks

azol
(dewasa)
kombinasi
:
sulfameto
ksazol
800 mg+
trimetopri
m 160 mg
183 120 220 100 653 Kotrimoks

azol
kombinasi
tiap 5 ml
suspensi :
sulfameto
ksazol
200 mg +
trimetopri
m 40 mg
0 0 0 0 654 Kuinin inj

25% (i.v.)
0 0 0 0 655 Kuinin tab

200 mg
391 260 443 250 656 Laktulosa

sir 3,335
g/5 ml
0 0 0 0 657 Lamivudin
(3TC) tab
150 mg
0 0 0 0 658 Lamivudin
tab 100
mg
0 0 0 0 659 Lamotrigi
n Tab 100
mg
n tab 50
mg
n tab
dispersibl
e 25 mg
0 0 20 0 662 Lansopraz
ol inj 30
mg/ml
13460 9000 7400 8500 663 Lansopraz

ol kaps 30
mg
0 0 0 0 664 Lapatinib
tab 250
mg
95 60 54 50 665 Larutan
mengand
ung Asam
Amino
(Asam
Amino
10%)
0 0 0 0 666 Larutan
mengand
ung Asam
Amino
(Asam
Amino
100 g,
Total N
15,7 g,
Na+ 2
mEq,
Asetat
120 mEq)
0 0 0 0 667 Larutan
mengand
ung Asam
Amino
(Asam
Amino 15
g, Glukosa
37,5 g,
Tiamin
HCl 0,75
mg,
elektrolit)
0 0 0 0 668 Larutan
mengand
ung Asam
Amino
(Asam
Amino 27
g, Sorbitol
50 g, Cl-
52 mEq)
0 0 0 0 669 Larutan
mengand
ung Asam
Amino
(Asam
Amino 30
g, Glukosa
7,3 % dan
elektrolit)
1000 ml
0 0 0 0 670 Larutan
mengand
ung Asam
Amino
(Asam
Amino 30
g, Glukosa
7,3 % dan
elektrolit)
500 ml
0 0 0 0 671 Larutan
mengand
ung Asam
Amino
(Asam
Amino 30
g, Glukosa
75 g,
Tiamin
HCl 1,5
mg,
elektrolit)
0 0 0 0 672 Larutan
mengand
ung Asam
Amino
(Asam
Amino 5%
dengan
BCAA
45%, L-
Ornithine
L
Aspartate
8.03 gr/L,
Sorbitol
50 gr/L,
Xylitol 50
gr/L)
265 175 225 150 673 Larutan
mengand
ung Asam
Amino
(Asam
Amino
6%,
mengand
ung
Taurine
0,24
gr/l) :
Aminoste
ril Infant
6%
0 0 0 0 674 Larutan
mengand
ung Asam
Amino
(Asam
Amino 7%
(total
protein
17,5 g)
dengan
kandunga
n asam
amino
esensial
(EAA) dan
non
esensial
(NEAA)
yang
seimbang
EAA :
NEAA =
60 : 40))
0 0 0 0 675 Larutan
mengand
ung Asam
Amino
(Asam
Amino
72.05 g,
Total N
11.53 g,
AAE/AAN
E ratio
2.6, Na+ 2
mEq,
Asetat 46
mEq)
0 0 0 0 676 Larutan
mengand
ung Asam
Amino
(Asam
Amino
79.9 g,
Total N
12.2 g,
Na+ 14
mEq, Cl
94 mEq)
0 0 0 0 677 Larutan
mengand
ung Asam
Amino
(Asam
amino
8%) :
Aminoste
ril N-Hepa
0 0 0 0 678 Larutan
mengand
ung Asam
Amino
(Asam
Amino
9%,
Komposisi
: Asam
Amino
esensial:
Asam
Amino
non
esensial =
60 : 40)
0 0 0 0 679 Larutan
mengand
ung Asam
Amino
(Asam
Amino
esensial
7%
+Xylitol
10 g/L)
0 0 0 0 680 Larutan
mengand
ung Asam
Amino
(BCAA 25
gr/L, L-
Ornithine
L
Aspartate
10 gr/L,
Xylitol 50
gr/L,
Malic
Acid 7
gr/L,
Piridoxin
0.12 gr/L)
0 0 0 0 681 Larutan
mengand
ung Asam
Amino
(Glutamin
e 20 g)
0 0 0 0 682 Larutan
mengand
ung Asam
Amino
(Kombina
si : asam
amino,
glukosa,
dan lipid)
(Lipid Peri
1250)
0 0 0 0 683 Larutan
mengand
ung Asam
Amino
(Kombina
si :
glukosa,
emulsi
lemak,
dan asam
amino)
(Lipid
Special
1250)
0 0 0 0 684 Larutan
mengand
ung Asam
Amino
(Kombina
si :
glukosa,
emulsi
lemak,
dan asam
amino)
(Lipid
Special
625)
0 0 0 0 685 Larutan
mengand
ung asam
amino
(kombina
si AA 50
g/L,
sorbitol
50 g/L,
Xylitol 50
g/L, vit C
0,4 g/L,
Inositol
0,5 g/L,
Niasinami
d 0,06
g/L, vit B6
0,04 g/L,
Riboplavi
n Na
Fosfat 2,5
mg/L,
elektrolit)
0 0 0 0 686 Larutan
mengand
ung Asam
Amino
(Kombina
si Asam
amino 50
g/L,
vitamin
dan
elektrolit)
0 0 0 0 687 Larutan
mengand
ung Asam
Amino
(Kombina
si Glukosa
dan
elektrolit
150 gr +
Asam
Amino 48
gr dgn
akses
sentral)
0 0 0 0 688 Larutan
mengand
ung Asam
Amino
(Kombina
si Glukosa
dan
elektrolit
80 gr +
Asam
Amino 40
gr)
0 0 0 0 689 Larutan
mengand
ung Asam
Amino
(N(2)-L-
Alanyl-L-
Glutamin
e/ N(2)-L-
Alanyl-L-
Glutamin
e 20%)
0 0 0 0 690 Larutan
mengand
ung Asam
Amino +
Elektrolit
+
Karbohidr
at + Lipid
(Kombina
si Asam
Amino:
45gr,
Glukosa:
130gr,
Lipid:
68gr dan
Elektrolit
(Kalori =
1400 kkal,
Akses
periphera
l))
0 0 0 0 691 Larutan
mengand
ung asam
amino +
elektrolit
+
Karbohidr
at + Lipid
(Glukosa
103 g,
Asam
amino 46
g,
Elektrolit,
Lipid 41 g
dengan
Fish Oil
6,1 g)
0 0 0 0 692 Larutan
mengand
ung asam
amino +
elektrolit
+
Karbohidr
at + Lipid
(Glukosa
135 g,
Asam
amino 60
g,
Elektrolit,
Lipid 54 g
dengan
Fish Oil 8
g)
0 0 0 0 693 Larutan
mengand
ung asam
amino +
elektrolit
+
Karbohidr
at + Lipid
(Glukosa
63 g,
Asam
amino 25
g,
Elektrolit,
Lipid 19 g
dengan
Fish Oil
2,8 g)
0 0 0 0 694 Larutan
Mengand
ung Asam
amino +
Elektrolit
+
Karbohidr
at + Lipid
(Kombina
si Asam
amino
56,9 g,
Lipid 40 g,
Glukosa
110 g dan
Elektrolit)
0 0 0 0 695 Larutan
mengand
ung Asam
Amino +
Elektrolit
+
Karbohidr
at + Lipid
(Kombina
si Asam
Amino:
34gr,
Glukosa:
97gr,
Lipid:
51gr dan
Elektrolit
(Kalori =
1000 kkal,
Akses
periphera
l))
0 0 0 0 696 Larutan
mengand
ung asam
amino +
Karbohidr
at + Lipid
(Glukosa
63 g,
Asam
amino 25
g, Lipid 19
g dengan
Fish Oil
2,8 g)
0 0 0 0 697 Larutan
mengand
ung
elektrolit
(CaCl2H2
O 0,165
gr, KCl
0,15 gr,
NaCl 4,3
gr)
24 15 28 10 698 Larutan
mengand
ung
Elektrolit
(Kalium
Klorida)
106 60 80 60 699 Larutan

mengand
ung
Elektrolit
(KCl
0,15%,
NaCL
0,9%)
(KN1)
0 0 0 0 700 Larutan
mengand
ung
Elektrolit
(KCl
0,3%,NaCl
0,9%)
(KN2)
0 0 0 0 701 Larutan
mengand
ung
Elektrolit
(Na 130
mEq, K 4
mEq, Cl
109 mEq,
Ca 3 mEq,
Asetat 28
mEq)
Ringer
Asetat
30800 20360 16300 20000 702 Larutan
mengand
ung
Elektrolit
(Na 130
mEq, K 4
mEq, Cl
109 mEq,
Ca 3 mEq,
Asetat 28
mEq)
Ringer
Asetat
0 0 0 0 703 Larutan
mengand
ung
Elektrolit
(Sodium
Lactate
sol (50%)
113 gr/L,
Potassiu
m
Chloride
0.3 gr/L,
Calcium
Chloride
0.2 gr/L,
elektrolit)
0 0 0 0 704 Larutan
mengand
ung
Elektrolit
(Tiap
1000 ml
mengand
ung
electrolit:
Sodium
145
mmol/l,
Potassiu
m 4.0
mmol/l,
Calcium
2.5
mmol/l,
Magnesiu
m 1.0
mmol/l,
Chloride
118
mmol/l,
Acetate
24
mmol/l,
Malate
5.0
mmol/l)
0 0 0 0 705 Larutan
Mengand
ung
Fosfat
Anorganik
(NaH2PO
4/KH2PO
4)
dengan/t
anpa
vitamin
yang larut
dalam air
530 360 0 300 706 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(D2,5%
+KCL
0,15%
+NaCl
0,45%)
(KDN1)
0 0 0 0 707 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(D2,5%
+KCL 0,3%
+NaCl
0,45%)
(KDN2)
0 0 0 0 708 Larutan
mengand
ung
Karbohidr
at
(Fructose
120 g,
glucose
66 g,
Xylitol 60
g/ L)
0 0 0 0 709 Larutan
mengand
ung
Karbohidr
at
(Fructose
15 mg,
glucose
monohyd
rate 30
mg, xylitol
15 mg)
0 0 0 0 710 Larutan
mengand
ung
Karbohidr
at
(Fructose
200 g,
glucose
110 g,
Xylitol
100 g/ L)
0 0 0 0 711 Larutan
mengand
ung
Karbohidr
at
(Fructose
60 g,
glucose
33 g,
Xylitol 30
g/ L)
26 20 0 10 712 Larutan
mengand
ung
Karbohidr
at
(Maltose
10%)
0 0 0 0 713 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(25.00g
dextrose
anhidrat,
3.00 g
sodium
chloride,
0.15 g
potassiu
m
chloride,
0.10 g
calcium
chloride
dihydrate
dan 1.55
g sodium
lactate)
0 0 0 0 714 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(25.00g
maltose,
3.00 g
sodium
chloride,
0.15 g
potassiu
m
chloride,
0.10 g
calcium
chloride
dihydrate
dan 1.55
g sodium
lactate)
0 0 0 0 715 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(27.500 g
dextrose
monohyd
rate, 3.00
g sodium
chloride,
0.15 g
potassiu
m
chloride,
0.10 g
calcium
chloride
dihydrate
dan 1.900
g sodium
acetate
trihydrate
)
0 0 0 0 716 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(Acetate,
Na, K, Cl,
Ca, Mg,
Sorbitol
50 gr/L)
0 0 0 0 717 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(Asam
amino 28
gr/L,
Glukosa
100 gr/L,
elektrolit)
0 0 0 0 718 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(Asam
amino 28
gr/L,
Glukosa
75 gr/L,
elektrolit)
0 0 0 0 719 Larutan
mengand
ung
karbohidr
at +
elektrolit
(Dextran
40 50 gr,
CaCl2H2O
0,1 gr, KCl
0,15 gr,
NaCl 3 gr,
Na lactate
1,55 gr)
0 0 0 0 720 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(Dextrose
5%, NaCL
0,45%,
KCl) (HSD)
0 0 0 0 721 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(Fructose
120 g,
glucose
66 g,
Xylitol 60
g/ L +
elektrolit)
0 0 600 0 722 Larutan

mengand
ung
Karbohidr
at +
Elektrolit
(Glukosa
25 g, NaCl
2,0 g, KCl
1,3 g,
Natrium
Laktat 3,1
g, air
untuk
injeksi ad
1000 ml)
0 0 800 0 723 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(Glukosa
55 g ;
Natrium
Chloride 9
g, air
untuk
injeksi ad
1000 ml)
(D5-NS)
0 0 0 0 724 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(Glukosa:
110.0 g;
NaCl: 1.80
g) (D10-
1/5NS)
0 0 0 0 725 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(Glukosa:
25,0 g;
NaCl: 4,5
g)
0 0 0 0 726 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(Glukosa:
55.0 g;
NaCl: 2.25
g) (D5-
1/4NS)
1220 820 800 800 0 727 Larutan

mengand
ung
Karbohidr
at +
Elektrolit
(Glukosa:
55.0 g;
NaCl: 2.25
g) (D5-
1/4NS)
526 360 300 300 0 728 Larutan

mengand
ung
Karbohidr
at +
Elektrolit
(Glukosa:
55.0 g;
NaCl: 4.5
g) (D5-
1/2NS)
0 0 0 0 729 Larutan
mengand
ung
karbohidr
at +
elektrolit
(Kombina
si NaCl
18,6 g,
KCl 0,3 g,
CaCl2
0,48 g,
dextrose
50 g per
1000 ml)
0 0 0 0 730 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(Larutan
nutrisi
kombinasi
infus per
L: Na.
100mEQ,
K 18mEQ,
Ca.
4mEQ,
Mg
6mEQ, Cl
90mEQ,
Asetat
38mEQ,
Sorbitol
50g)
0 0 0 0 731 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(Larutan
Ringer &
Glukosa
5%)
0 0 0 0 732 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(NaCl
0.585 gr,
KCl 0.3 gr,
Na Lactat
0.56 gr,
Dekstrosa
18,75 gr)
(KA EN
4B)
0 0 0 0 733 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(NaCl
0.585 gr,
Na Lactat
0.56 gr,
anhydrou
s
dekstrosa
20 gr) (KA
EN 4A)
790 520 440 500 734 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(NaCl
1.125 gr,
Dekstrosa
18.75 gr)
(KA EN
1B)
790 520 600 500 735 Larutan

mengand
ung
Karbohidr
at +
Elektrolit
(NaCl
1.75 g,
KCL 1.5g,
Glukosa
100 gr)
0 0 0 0 736 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(NaCl
1.75 g,
KCL 1.5g,
Na
Lactate
2.24 g,
Glukosa
100 gr)
504 340 680 340 737 Larutan
mengand
ung
Karbohidr
at +
Elektrolit
(Nacl 1.75
gr, KCl 1.5
gr, Na
Lactat
2.24 gr,
Dekstrosa
27 gr) (KA
EN 3B)
795 540 600 540 738 Larutan

mengand
ung
Karbohidr
at +
Elektrolit
(Nacl 2.34
gr, Na
Laktat
2.24 gr,
KCL 0.75
gr
Dekstrosa
27 gr) (KA
EN 3A)
0 0 0 0 739 Larutan
mengand
ung Lipid
(Emulsi
lemak
20%)
0 0 0 0 740 Larutan
mengand
ung Lipid
(Highly
refined
fish oil,
Glyserol
dan
purified
egg
phospolip
id)
0 0 0 0 741 Larutan
mengand
ung Lipid
(Infus
Lipid
Emulsi
MCT/LCT
20% 100
ml)
0 0 0 0 742 Larutan
mengand
ung Lipid
(Infus
Lipid
Emulsi
MCT/LCT
20% 250
ml)
0 0 0 0 743 Larutan
mengand
ung Lipid
(Kombina
si Glukosa
dan
elektrolit
180 gr +
Asam
Amino
71.8 gr +
Lipid 50
gr dgn
akses
sentral)
0 0 0 0 744 Larutan
mengand
ung Lipid
(Kombina
si Glukosa
dan
elektrolit
80 gr +
Asam
Amino 40
gr + Lipid
MCT/LCT
50 gr)
0 0 0 0 745 Larutan
mengand
ung Lipid
(Kombina
si Glukosa
dan
elektrolit
90 gr +
Asam
Amino
35.9 gr +
Lipid 25
gr dgn
akses
sentral)
0 0 0 0 746 Larutan
Mengand
ung
Vitamin
yang larut
dalam
lemak
(Vitamin
A,D,E,K)
0 0 0 0 747 Larutan
Mengand
ung
Vitamin
yang larut
dalam
lemak
(Vitamin
A,D,E,K)
infant
0 0 0 0 748 Latanopro
st tts
mata
0,005%
366 240 0 200 749 Latanopro

st tts
mata
0,005%
0 0 0 0 750 Leflunomi
d tab sal
selaput
20 mg
0 0 0 0 751 Lenogras
tim inj
263
mcg/vial
0 0 0 0 752 Letrozol
tab 2,5
mg
0 0 0 0 753 Leuproreli
n asetat
serb inj
1,88 mg
n asetat
serb inj
11,25 mg
n asetat
serb inj
22,5 mg
n asetat
serb inj
3,75 mg
n asetat
serb inj
7,5 mg
0 0 0 0 758 Levetirase
tam tab
250 mg
0 0 0 0 759 levetirase
tam tab
500 mg
0 0 0 0 760 Levofloks
asin inf 5
mg/ml
225 135 0 400 761 Levofloks

asin inf 5
mg/ml
0 0 0 0 762 Levofloks
asin tab
250 mg
3233 2160 2950 2000 763 Levofloks
asin tab
500 mg
102 66 145 60 764 Levofloks

asin tts
mata
0,5%
0 0 0 0 765 Levonorg
estrel
implan 2
rods, 75
mg (3-4
tahun)
0 0 0 0 766 Levotiroks
in tab 100
mcg
0 0 0 0 767 Levotiroks
in tab 50
mcg
0 0 0 0 768 Lidokain
gel 2%
0 0 0 0 769 Lidokain
inj 100
mg, vial
(i.v.)
6320 4200 4400 4000 770 Lidokain

inj 2%
(infiltr/p.v
.)
27 5 2 1 771 Lidokain
salep 5%
27 2 2 1 772 Lidokain
spray oral
10%
0 0 0 0 773 Linestren
ol tab 0,5
mg
0 0 0 0 774 Linestren
ol tablet 5
mg
0 0 0 0 775 Liquor
carbonis
detergens
lar 5%
9964 6400 7500 6000 776 Lisinopril

tab 10 mg
0 0 0 0 777 Lisinopril
tab 20 mg
7446 5000 6000 5000 778 Lisinopril

tab 5 mg
0 0 0 0 779 Litium
karbonat
tab 200
mg
0 0 0 0 780 Litium
karbonat
tab 400
mg
1283 900 1200 700 781 Loperami

d tab 2
mg
0 0 0 0 782 Lopinavir
100 mg +
Ritonavir
25 mg
1030 700 700 600 783 Loratadin

tab 10 mg
0 0 0 0 784 Lorazepa
m tab 0,5
mg
m tab 1
mg
m tab sal
2 mg
0 0 0 0 787 Low
molecule
feri
sucrose
inj amp
100 mg/5
ml
0 0 0 0 788 MAA
(macro
agregate
albumin)
0,11-2,5
mg
albumin
aggregate
d/reactio
n vial
0 0 0 0 789 MAG3
(mercapt
o acetyl
tri
glysine) 1
mg
betiatide/
vial
0 0 0 0 790 Magnesiu
m sulfat
inj 20%
4860 3240 3535 3000 791 Magnesiu

m sulfat
inj 20%
m sulfat
inj 40%
395 260 580 200 793 Magnesiu

m sulfat
inj 40%
m sulfat
serb, ktg
30 g
0 0 0 0 795 Manitol
lar infus
20%
27 10 10 2 796 Manitol
lar infus
20%
27 10 0 2 797 Manitol
lar infus
20%
0 0 0 0 798 Maprotili
n hcl tab
sal 25 mg
0 0 0 0 799 Maprotili
n hcl tab
sal 50 mg
0 0 0 0 800 MDP
(methylen
e
diphosph
onate) 1
mg
methylen
e
diphosph
onic
acid/ml
25 16 28 10 801 Mebenda
zol sir 100
mg/5 ml
0 0 0 0 802 Mebenda
zol tab
100 mg
0 0 0 0 803 Mebenda
zol tab
500 mg
0 0 0 0 804 Medroksi
progester
on asetat
inj 150
mg/ml
Progester
on Asetat
Inj 50
mg/ml
progester
on asetat
tab 10 mg
progester
on asetat
tab 100
mg
progester
on asetat
tab 5 mg
0 0 0 0 809 Melfalan
tab 2 mg
0 0 0 0 810 Merkapto
purin tab
50 mg
75 48 36 30 811 Meropen
em serb
inj 1000
mg/vial
54 36 44 10 812 Meropen
em serb
inj 500
mg/vial
0 0 0 0 813 Mesalazin
enema 4
gram
0 0 0 0 814 Mesalazin
tab sal
250 mg
0 0 0 0 815 Mesna inj

100
mg/ml
0 0 0 0 816 Metadon
sir 50
mg/5 ml
135 90 35 0 817 Metamizo

l Inj 500
mg/ml
0 0 0 0 818 Metenam
in
mandelat
(heksami
n
mandelat)
tab salut
enterik
500 mg
77040 50100 74800 50000 819 Metformi

n tab 500
mg
19935 13200 15000 13000 820 Metformi

n tab 850
mg
9984 6400 6000 6000 821 Metildop

a tab sal
250 mg
10656 7100 7500 7000 822 Metilergo

metrin inj
0,2 mg/ml
20225 13500 8000 13000 823 Metilergo

metrin
tab salut
0,125 mg
0 0 0 0 824 Metilfeni
dat tab 10
mg
dat tab
lepas
lambat 18
mg
dat tab
lepas
lambat 36
mg
617 410 172 400 827 Metilpred

nisolon inj
125 mg/2
ml
0 0 0 0 828 Metilpred
nisolon inj
500 mg/8
ml
1350 900 1850 800 829 Metilpred

nisolon
tab 16 mg
14410 9500 10400 9000 830 Metilpred

nisolon
tab 4 mg
12320 8000 3700 7500 831 Metilpred

nisolon
tab 8 mg
81 55 75 10 832 Metoklop
ramid inj
5 mg/ml
0 0 0 0 833 Metoklop
ramid tab
10 mg
1128 700 800 600 834 Metoklop

ramid tab
5 mg
0 0 0 0 835 Metoksi
polietilen
glikol-
epoetin
beta inj
50
mcg/0,3
ml
0 0 0 0 836 Metoksi
polietilen
glikol-
epoetin
beta inj
75
mcg/0,3
ml
0 0 0 0 837 Metoprol
ol tartat
inj 1
mg/ml
0 0 0 0 838 Metotrek
sat Inj 10
mg/ml
sat inj 2,5
mg/ml
sat serb
inj 25
mg/ml
sat serb
inj 5
mg/vial
sat tab
2,5 mg
539 360 345 300 843 Metronid

azol lar
inf 5
mg/ml
14985 10000 1015 9500 844 Metronid

azol ovula
500 mg
1040 680 35 650 845 Metronid

azol sup
500 mg
0 0 0 0 846 Metronid
azol susp
125 mg/5
ml
0 0 10 0 847 Metronid
azol susp
125 mg/5
ml
0 0 0 0 848 Metronid
azol tab
250 mg
17685 11800 11700 11500 849 Metronid

azol tab
500 mg
0 0 0 0 850 MIBG
(meta-
iodobenz
ylguanidi
ne)
0 0 0 0 851 MIBI
(metoxy
iso butyl
isonitril)
5-ml
reaction
vial
998 670 670 650 852 Midazola

m inj 1
mg/ml
(i.v.)
27 20 10 0 853 Midazola
m inj 5
mg/ml
(i.v.)
0 0 0 0 854 Mikafungi
n Na serb
inj 50
mg/vial
0 0 0 0 855 Mikofenol
at mofetil
tab 500
mg
at Sodium
Tab Sal
180 mg
at Sodium
Tab Sal
360 mg
420 280 360 250 858 Mikonazo

l krim 2%
0 0 0 0 859 Mikonazo
l serb 2%
0 0 0 0 860 Milrinone
inj 1
mg/ml
0 0 0 0 861 Mineral
Mix
(Bismuth
Subcitrate
Tripotasiu
m,
Copper
sulfate,
Magnesiu
m
Chloride
Anhydrou
s,
Potassiu
m
Chloride,
Zinc
Acetate)
0 0 0 0 862 Mitomisin
serb inj
10 mg
0 0 0 0 863 Mitomisin
serb inj 2
mg
0 0 0 0 864 Moksiflok
sasin inf
1,6
mg/mL
sasin tab
400 mg
sasin tts
mata
0,5%
587 390 358 360 867 Mometas

on furoat
krim 0,1%
54 40 0 20 868 Mometas
on furoat
krim 0,1%
125 80 10 10 869 Morfin

Hcl inj 10
mg/ml
(i.m./s.k./i
.v.)
0 0 0 0 870 Morfin
Hcl tab 10
mg
0 0 0 0 871 Morfin
Hcl tab SR
10 mg
0 0 0 0 872 Morfin
Hcl tab SR
15 mg
0 0 0 0 873 Morfin
Hcl tab SR
30 mg
742 490 359 400 874 Mupirosin

krim 2%
108 72 0 10 875 Mupirosin

salep 2%
0 0 0 0 876 N-asetil
sistein
granula
200 mg
0 0 0 0 877 N-asetil
sistein ih
100
mg/ml
20400 13200 10500 12000 878 N-asetil

sistein
kaps 200
mg
31760 20960 20760 20900 879 NaCl 0,9%

Larutan
0 0 0 0 880 NaCl 0,9%

Larutan
0 0 0 0 881 NaCl 0,9%
Larutan
0 0 0 0 882 NaCl 0,9%

Larutan
3239 2160 900 2000 883 NaCl 0,9%

Larutan
0 0 0 0 884 NaCl 0,9%

Larutan
0 0 0 0 885 NaCl 3%
Larutan
0 0 0 0 886 Nadropari
n inj
9.500
Axa/ml
syringe
0,3 Ml
n inj
9.500
Axa/ml,
syringe
0,4 ml
n inj
9.500
Axa/ml,
syringe
0,6 ml
27 15 15 0 889 Nalokson
inj 0,4
mg/ml
0 0 0 0 890 Natamisin
tts mata
5% (50
mg/ml)
tts mata
5% (50
mg/ml)
tts mata
5% (50
mg/ml)
0 0 0 0 893 Natrium
aminohip
urat inj
200
mg/ml
(i.v.)
0 0 0 0 894 Natrium
bikarbona
t inj 8,4%
(i.v.)
0 0 0 0 895 Natrium
bikarbona
t tab 500
mg
23 14 0 12 896 Natrium
diklofena
k inj 25
mg/mL
1350 900 0 500 897 Natrium

diklofena
k tab 25
mg
23640 15800 15200 15500 898 Natrium

diklofena
k tab 50
mg
47 30 28 25 899 Natrium
Diklofena
k Tetes
Mata 1
mg/ml
27 18 33 0 900 Natrium
fluoresein
tts mata
2%
0 0 0 0 901 Natrium
fosfat lar
oral
27 18 105 0 902 Natrium

fusidat
krim 20
mg/g
0 0 0 0 903 Natrium
fusidat
salep 20
mg/g
52 34 72 20 904 Natrium
hialurona
t tts mata
27 18 0 12 905 Natrium
hipoklorit
cairan
konsentra
t 5%
152 100 88 90 906 Natrium

klorida tts
mata 50
mg/mL
0 0 0 0 907 Natrium
tiosulfat
inj 25%
(i.v.)
17 10 15 10 908 Neostigmi
n inj 0,5
mg/ml
0 0 0 0 909 Nevirapin
tab 200
mg
9037 6000 11800 5500 910 Nifedipin

kaps 10
mg
270 180 150 30 911 Nifedipin

tab SR 20
mg
270 180 300 0 912 Nifedipin

tab SR 30
mg
0 0 0 0 913 Nikardipin
inj 10
mg/vial
0 0 0 0 914 Nilotinib
kaps 150
mg
0 0 0 0 915 Nilotinib
tab 200
mg
0 0 0 0 916 Nimodipi
n inf 0,2
mg/ml
0 0 0 0 917 Nimodipi
n tab 30
mg
523 345 300 300 918 Nistatin

susp
100.000
UI/ml
0 0 0 0 919 Nistatin
tab salut
500.000
UI
362 200 1500 200 920 Nistatin

tab
vaginal
100.000
UI
0 0 0 0 921 Nitrogen
oksida ih,
gas dlm
tabung
0 0 0 0 922 Nomegest
rol asetat
Kaps/tab
5 mg
88 55 100 45 923 Norepinef

rin inj 1
mg/ml
6291 4200 4450 2580 924 Noretister

on tab 5
mg
0 0 0 0 925 Obat Anti

Tuberculo
sis FDC
Kategori
Anak
0 0 0 0 926 Obat Anti

Tuberculo
sis FDC
Kategori I
0 0 0 0 927 Obat Anti
Tuberculo
sis FDC
Kategori II
0 0 0 0 928 Obat Anti

Tuberculo
sis FDC
Kategori
Sisipan
0 0 0 0 929 Obat Anti

Tuberculo
sis
Kombipak
Anak
0 0 0 0 930 Obat Anti

Tuberculo
sis
Kombipak
Dewasa
0 0 0 0 931 Ofloksasin
tab 200
mg
tab 400
mg
tts telinga
3%
0 0 0 0 934 Oksalipla
tin serb
inj 100
mg/vial
0 0 0 0 935 Oksalipla
tin serb
inj 50
mg/vial
18900 12600 11890 12000 936 Oksigen

ih, gas
dlm
tabung
0 0 0 0 937 Oksikodo
n inj 10
mg/ml
n inj 10
mg/ml
n kapsul
10 mg
n kapsul
20 mg
n kapsul 5
mg
n larutan
oral 5
mg/5 ml
n larutan
oral
concentra
te 10
mg/ml
n tab
lepas
lambat 10
mg
n tab
lepas
lambat 15
mg
n tab
lepas
lambat 20
mg
0 0 0 0 947 Oksimeta
zolin tts
hidung
0,025%
0 0 0 0 948 Oksimeta
zolin tts
hidung
0,050%
54 36 48 5 949 Oksitetras
iklin 1%
Salep
Mata
0 0 0 0 950 Oksitetras
iklin hcl
inj 50
mg/ml
(i.m.)
0 0 11900 0 951 Oksitosin

inj 10
UI/ml
0 0 0 0 952 Okskarbaz
epin susp
60 mg/mL
0 0 0 0 953 Oktreotid
asetat
0,05 - 6
mg/ml
LAR serb
inj 20 mg
LAR serb
inj 30 mg
0 0 0 0 956 Olanzapin
inj 10
mg/2 ml
tab sal 10
mg
tab sal 5
mg
0 0 0 0 959 Olodatero
l cairan ih
2,5
mcg/sem
prot
0 0 0 0 960 Olodatero
l cairan ih
2,5
mcg/sem
prot, refill
0 0 0 0 961 Olopatadi
n tts mata
0,1%
3982 2640 2230 2500 962 Omepraz

ol inj 40
mg/10 ml
28138 18300 14900 18000 963 Omepraz

ol kaps 20
mg
10509 7000 5745 6500 964 Ondanset

ron inj 2
mg/ml
17969 12000 8940 11500 965 Ondanset

ron tab 4
mg
7220 4800 4430 4700 966 Ondanset

ron tab 8
mg
0 0 0 0 967 Paklitakse
l inj 6
mg/ml,
vial@16,7
ml (inj
100 mg)
l inj 6
mg/ml,
vial@5 ml
(inj 30
mg)
l inj 6
mg/ml,
vial@50
ml (inj
300 mg)
0 0 0 0 970 Paliperido
n palmitat
Inj 100
mg/mL
n palmitat
Inj 150
mg/1,5
mL
n palmitat
Inj 75
mg/0,75
mL
0 0 0 0 973 Pankuroni
um inj 2
mg/ml
0 0 0 0 974 Paraform
aldehid
lar buffer
10%
0 0 0 0 975 Paraform
aldehid
tab 1 g
563 365 351 350 976 Paraseta

mol drips
(infus)
1000
mg/100
ml
4035 2685 1125 2500 977 Paraseta

mol sir
120 mg/5
ml
75529 50400 48000 50000 978 Paraseta

mol tab
500 mg
5396 3600 22045 3000 979 Paraseta
mol tts 60
mg/0,6 ml
0 0 0 0 980 Pasta
devitalisa
si (non
arsen)
0 0 0 0 981 Pasta
pengisi
saluran
akar
(pasta)
0 0 0 0 982 Pazopani
b tab sal
selaput
200 mg
0 0 0 0 983 Pazopani
b tab sal
selaput
400 mg
0 0 0 0 984 Pegylated
interferon
alfa-2a inj
135
mcg/0,5
ml
interferon
alfa-2a inj
180
mcg/0,5
ml
interferon
alfa-2b
serb inj
100
mcg/ml
interferon
alfa-2b
serb inj
50
mcg/ml
interferon
alfa-2b
serb inj
80
mcg/ml
0 0 0 0 989 Pemetrek
sed serb
inj 500
mg
0 0 0 0 990 Pengganti
plasma
golongan
gelatin inf
0 0 0 0 991 Perak
nitrat lar
20%
106 70 150 60 992 Perak

sulfadiazi
n krim 1%
0 0 0 0 993 Perindopr
ilarginin
tab 5 mg
0 0 0 0 994 Permetrin
krim 5 %
149 100 150 90 995 Permetrin

krim 5 %
0 0 0 0 996 Permetrin
krim 5 %
47 30 20 20 997 Petidin inj

50 mg/ml
(i.m./s.k./i
.v.)
0 0 0 0 998 Pilokarpin
tts mata
2%
25 16 14 6 999 Pilokarpin
tts mata
2%
1620 1080 630 900 1000 Pioglitazo

n tab 15
mg
2206 1500 900 1400 1001 Pioglitazo

n tab 30
mg
27 18 13 10 1002 Pirantel
pamoat
susp 125
mg/5 ml
0 0 0 0 1003 Pirantel
pamoat
tab 500
mg
0 0 0 0 1004 Pirantel
pamoat
tab
scored
125 mg
0 0 0 0 1005 Pirantel
pamoat
tab
scored
250 mg
0 0 0 0 1006 Pirazinam
id tab 500
mg
0 0 0 0 1007 Piridoksin
(vitamin
B6) inj
100
mg/ml
0 0 0 0 1008 Piridoksin
(vitamin
B6) tab 10
mg
1300 900 1500 600 1009 Piridoksin
(vitamin
B6) tab 25
mg
0 0 0 0 1010 Piridostig
min tab
sal 60 mg
0 0 0 0 1011 Pirimeta
min tab
25 mg
0 0 0 0 1012 Podofilin
tingtur 25
%
0 0 0 0 1013 Polietilen
glikol
0 0 0 0 1014 Polikresul
en
0 0 0 0 1015 Povidon
iodin lar
100
mg/ml
0 0 0 0 1016 Povidon
iodin lar
100
mg/ml
0 0 0 0 1017 Povidon
iodin lar
100
mg/ml
972 648 298 630 1018 Povidon

iodin lar
100
mg/ml
0 0 0 0 1019 Povidon
iodin lar
obat
kumur 1%
0 0 0 0 1020 Povidon
iodin tts
mata
2,5%
0 0 0 0 1021 Pramipek
sol tab
0,125 mg
0 0 0 0 1022 Pramipek
sol tab ER
0,375 mg
0 0 0 0 1023 Pramipek
sol tab ER
0,750 mg
0 0 0 0 1024 Pravastati
n tab 10
mg
0 0 0 0 1025 Pravastati
n tab 20
mg
0 0 0 0 1026 Prazikuan
tel tab
scored
600 mg
0 0 0 0 1027 Prednisol
on tts
mata 10
mg/ml
27 18 30 0 1028 Prednisol
on tts
mata 10
mg/ml
1350 900 800 0 1029 Prednison

tab 5 mg
2658 1760 0 1600 1030 Pregabali

n kaps 75
mg
0 0 0 0 1031 Primakuin
tab 15 mg
0 0 0 0 1032 Probenesi
d tab 500
mg
0 0 0 0 1033 Produk
untuk
Dialisis
Peritoneal
0 0 0 0 1034 Prokain
benzilpeni
silin serb
inj 3 juta
UI/vial
(i.m.)
0 0 75 0 1035 Prokatero
l HCl
cairan ih
30 mcg
0 0 0 0 1036 Prokatero
l HCl
cairan ih
50 mcg
0 0 0 0 1037 Prokatero
l HCl serb
ih 10 mcg
0 0 0 0 1038 Propiltiou
rasil tab
100 mg
810 540 820 510 1039 Propofol

inj 1% (i.v.
Bolus)
0 0 0 0 1040 Propranol
ol inj 1
mg/ml
(i.v.)
1775 1200 0 1000 1041 Propranol

ol tab 10
mg
1350 900 800 100 1042 Propranol

ol tab 40
mg
0 0 0 0 1043 Prostagla
ndin (PGE
1) Inj 500
mcg/ml
0 0 0 0 1044 Protamin
sulfat inj
10 mg/ml
(i.m.)
0 0 0 0 1045 Quetiapin
tab 100
mg
tab
pelepasan
lambat
150 mg
tab
pelepasan
lambat
200 mg
tab
pelepasan
lambat
300 mg
tab
pelepasan
lambat
400 mg
0 0 0 0 1050 Ramipril
tab 10 mg
0 0 0 0 1051 Ramipril
tab 2,5
mg
0 0 0 0 1052 Ramipril
tab 5 mg
0 0 0 0 1053 Ranibizu
mab inj
10 mg/ml
5637 3750 3000 3700 1054 Ranitidin

inj 25
mg/ml
38450 25000 30000 20000 1055 Ranitidin

tab 150
mg
0 0 0 0 1056 Remifent
anil inj 1
mg
0 0 0 0 1057 Remifent
anil inj 2
mg
0 0 0 0 1058 Remifent
anil inj 5
mg
0 0 0 0 1059 Retinol
(vitamin
A) kaps
lunak
100.000
UI
0 0 0 0 1060 Retinol
(vitamin
A) kaps
lunak
200.000
UI
0 0 0 0 1061 Ribavirin
tab 200
mg
0 0 0 0 1062 Rifampisi
n kaps
300 mg
n tab 450
mg
n tab 600
mg
0 0 0 0 1065 Rifapenti
n tablet
150 mg
0 0 0 0 1066 Rilpivirine
25 mg
31880 21080 16460 21000 1067 Ringer
Laktat
Larutan
0 0 0 0 1068 Ringer
Laktat
Larutan
1000 ml
0 0 0 0 1069 Risedrona
t tab sal
selaput
35 mg
0 0 0 0 1070 Risperido
n oral
solution 1
mg/mL
n tab 3
mg
n tab sal 1
mg
n tab sal 2
mg
0 0 0 0 1074 Rituksima
b inf 10
mg/ml
(vial 10
ml)
b Inf 10
mg/ml
(vial 50
ml)
b inj 100
mg/ml
b inj 500
mg/ml
0 0 0 0 1078 Rivaroksa
ban tab
sal 10 mg
ban tab
sal 15 mg
ban tab
sal 20 mg
0 0 10 0 1081 Rokuroni
um inj 50
mg/5 ml
(i.v.)
0 0 0 0 1082 Ropinirol
tab lepas
lambat 2
mg
tab lepas
lambat 4
mg
tab lepas
lambat 8
mg
0 0 0 0 1085 Ropivakai
n Inj 7,5
mg/ml
0 0 0 0 1086 Rosuvasta
tin tab 10
mg
0 0 0 0 1087 Sacubitril
valsartan
tab sal
selaput
24,3/25,7
mg
valsartan
tab sal
selaput
48,6/51,4
mg
valsartan
tab sal
selaput
97,2/102,
8 mg
0 0 0 0 1090 Salbutam
ol aerosol
100 mcg
27 18 12 2 1091 Salbutam
ol cairan
ih 1
mg/mL
0 0 0 0 1092 Salbutam
ol cairan
serb ih
200
mcg/kaps
+
rotahaler
1399 931 390 900 1093 Salbutam
ol sir 2
mg/5 ml
7190 4800 4500 4600 1094 Salbutam

ol tab 2
mg
0 0 0 0 1095 Salep 2-4,

kombinasi
: asam
salisilat 2
%+
belerang
endap 4
%
0 0 0 0 1096 Salep 2-4,

kombinasi
: asam
salisilat 2
%+
belerang
endap 4
%
0 0 0 0 1097 Secukinu
mab serb
inj 150
mg
0 0 0 0 1098 Sefadroks
il kaps
250 mg
40390 26900 51600 26000 1099 Sefadroks

il
kaps/tab
500 mg
215 145 213 140 1100 Sefadroks

il sir
kering
125 mg/5
ml
108 72 44 20 1101 Sefadroks

il sir
kering
250 mg/5
ml
0 0 0 0 1102 Sefaleksin
kaps 500
mg
4011 2670 3950 2600 1103 Sefazolin
serb inj 1
g/vial
0 0 0 0 1104 Sefepim
serb inj
1000
mg/vial
539 360 363 350 1105 Sefiksim

sir 100
mg/5 ml
13500 9000 10450 8500 1106 Sefiksim

tab 100
mg
29250 19400 15000 18000 1107 Sefiksim

Tab 200
mg
0 0 0 0 1108 Sefoperaz
on serb
inj 1.000
mg/vial
0 0 0 0 1109 Sefotaksi
m inj 500
mg/vial
3780 2450 1470 2300 1110 Sefotaksi

m serb inj
1.000
mg/vial
0 0 0 0 1111 Sefpirom
serb inj
1000 mg
0 0 0 0 1112 Sefpodok
sim
proksetil
tab sal
100 mg
265 175 440 150 1113 Seftazidi

m serb inj
1.000
mg/vial
7548 5030 4458 4950 1114 Seftriakso

n serb inj
1.000
mg/vial
0 0 0 0 1115 Sefuroksi
m serb inj
750
mg/vial
m tab 250
mg
m tab sal
500 mg
0 0 0 0 1118 Sertralin
tab sal 50
mg
27 1 1 1 1119 Serum
anti bisa
ular :
A.B.U. I
(khusus
ular dari
luar
Papua) inj
(i.m./i.v.)
0 0 0 0 1120 Serum
anti bisa
ular :A.B.
U.II
(khusus
ular dari
Papua) inj
(i.m./i.v.)
0 0 0 0 1121 Serum
antidifteri
(A.D.S) inj
(i.m./i.v.)
Inj i.m
10.000
UI/
0 0 1 0 1122 Serum
antirabies
inj 100
UI/ml
0 0 0 0 1123 Serum
antirabies
inj 200
UI/ml
0 0 0 0 1124 Serum
antitetan
us (A.T.S)
(i.m.) Inj
10.000
UI/vial
(i.m /i.v.)
0 0 0 0 1125 Serum
antitetan
us (A.T.S)
inj 1500
UI/amp
(i.m.)
127 90 150 60 1126 Serum

antitetan
us (A.T.S)
inj 20.000
UI/vial
(i.m /i.v.)
0 0 0 0 1127 Serum
antitetan
us (A.T.S)
inj 5.000
IU/mL
(i.m)
3100 2065 1125 2000 1128 Setirizin

sir 5 mg/5
ml.
17545 11700 8900 11000 1129 Setirizin

tab 10 mg
0 0 0 0 1130 Setuksima
b inj 5
mg/ml
0 0 0 0 1131 Sevelame
r
karbonat
Tab 800
mg
80 53 44 30 1132 Sevoflura
n cairan
ih 250 ml
0 0 0 0 1133 Sianokob
alamin
(vitamin
B12) inj
500
mcg/ml
1350 900 1500 100 1134 Sianokob

alamin
(vitamin
B12) tab
50 mcg
0 0 0 0 1135 Siklofosfa
mid serb
inj 1000
mg/vial
(i.v.)
mid serb
inj 200
mg/vial
(i.v.)
mid serb
inj 500
mg/vial
(i.v.)
0 0 0 0 1138 Siklopent
olat tetes
mata 1%
0 0 0 0 1139 Siklospori
n inj 100
mg/ml
n inj 50
mg/ml
n kaps
100 mg
n kaps
lunak 25
mg
n Kaps
lunak 50
mg
0 0 0 0 1144 Sildenafil
sirup
kering 10
mg/ml
540 400 400 100 1145 Sildenafil

Tab 20
mg
0 0 0 0 1146 Silodosin
tab 4 mg
0 0 0 0 1147 Silostazol
kaps SR
100 mg
0 0 0 0 1148 Silostazol
tab 100
mg
20000 12800 14800 12000 1149 Simvastati

n tab sal
10 mg
10140 7000 6300 6000 1150 Simvastati

n tab sal
20 mg
0 0 0 0 1151 Simvastati
n tab sal
selaput
40 mg
27 18 13 5 1152 Siprofloks
asin inf 2
mg/ml
4335 2900 2200 2500 1153 Siprofloks

asin tab
scored
500 mg
0 0 0 0 1154 Sisplatin
serb inj
10 mg
0 0 0 0 1155 Sisplatin
serb inj
50 mg
0 0 0 0 1156 Sitagliptin
tab sal
selaput
100 mg
0 0 0 0 1157 Sitarabin
serb inj
100 mg
0 0 0 0 1158 Sitarabin
serb inj
100 mg
0 0 0 0 1159 Sodium
Glyceroph
osphate
216 mg
0 0 0 0 1160 Sodium
hialurona
t Inj 10
mg/ml
0 0 0 0 1161 Sofosbuvi
r tab sal
selaput
400 mg
0 0 0 0 1162 Solifenasi
n tab 10
mg
0 0 0 0 1163 Solifenasi
n tab 5
mg
0 0 0 0 1164 Somatost
atin serb
Inj 3000
mcg/mL
27 10 10 0 1165 Soybean
oil 200 g,
ovolecithi
n 12 g,
glycerol
22 g, Na
hydroxide
270 100 100 0 1166 Spiramisi

n tab 500
mg
270 200 200 100 1167 Spironola

kton tab
100 mg
12400 7900 7500 7500 1168 Spironola
kton tab
25 mg
0 0 0 0 1169 Stannous
pyrophos
phate
27,6 mg
sodium
pyrophos
phate/vial
0 0 0 0 1170 Streptoki
nase serb
inj 1,5
juta
UI/vial
0 0 0 0 1171 Streptomi
sin serb
inj 1.000
mg/vial
0 0 0 0 1172 Sufentanil
inj 5
mcg/ml
(i.v.)
0 0 0 0 1173 Sugamma
deks inj
100
mg/ml
1512 1010 894 1000 1174 Sukralfat

susp 500
mg/5 ml
2700 1800 0 1200 1175 Sukralfat

tab 500
mg
0 0 0 0 1176 Suksinilko
lin inj 20
mg/ml
(i.v./i.m.)
lin inj 50
mg/ml
(i.v./i.m.)
lin serb inj
100
mg/vial
(i.v./i.m.)
0 0 0 0 1179 Sulfadiazi
n tab 500
mg
0 0 0 0 1180 Sulfasalaz
in kapl sal
enterik
500 mg
0 0 0 0 1181 Sulfur
colloid 4,5
mg
gelatin/re
action vial
0 0 0 0 1182 Surfaktan
susp 25
mg/ml
(intratrak
eal)
0 0 0 0 1183 Surgical
ginggival
pack
0 0 0 0 1184 Takrolimu
s kaps 0,5
mg
s kaps 1
mg
s kaps
lepas
lambat
0,5 mg
s kaps
lepas
lambat 1
mg
0 0 0 0 1188 Tamoksife
n tab 10
mg
0 0 0 0 1189 Tamoksife
n tab 20
mg
0 0 0 0 1190 Tamsulosi
n tab 0,2
mg
0 0 0 0 1191 Tamsulosi
n tab SR
0,4 mg
0 0 0 0 1192 Technetiu
m 99m
740 mbq -
3,7 gbq
(20 to 100
millicuries
)/ml
0 0 0 0 1193 Telbivudi
n tab 600
mg
697 430 860 390 1194 Telmisart

an tab 40
mg
790 520 810 470 1195 Telmisart

an tab 80
mg
0 0 0 0 1196 Temozola
mid kaps
100 mg
0 0 0 0 1197 Temozola
mid kaps
20 mg
0 0 0 0 1198 Tenofovir
tab 300
mg
685 400 200 300 1199 Teofilin

tab 150
mg
0 0 0 0 1200 Teofilin
tab SR
300 mg
0 0 0 0 1201 Terazosin
hcl tab 1
mg
0 0 0 0 1202 Terazosin
hcl tab 2
mg
270 30 0 30 1203 Terbinafin

tab 250
mg
0 0 0 0 1204 Terbutalin
cairan ih
2,5 mg/ml
54 36 43 10 1205 Terbutalin
inj 0,5
mg/ml
serb ih
0,50
mg/dose
sir 1,5
mg/5 ml
tab 2,5
mg
0 0 0 0 1209 Testoster
on inj 250
mg/ml
(vial 1 ml)
on Inj 250
mg/ml
(vial 4 ml)
on kaps
lunak 40
mg
0 0 0 0 1212 Tetanus
toxoid inj
70 43 0 40 1213 Tetrakain
tts mata
0,5%
0 0 0 0 1214 Tetrasikli
n kaps
250 mg
n kaps
500 mg
n Salep
Mata 1%
0 0 0 0 1217 Thallous
Chloride
Tl-202 1
mg
methylen
e
diphosph
onic
acid/ml
0 0 0 0 1218 Tiamazol
tab 10 mg
0 0 0 0 1219 Tiamazol
tab 5 mg
800 600 1200 500 1220 Tiamin
(vitamin
B1) tab 50
mg
0 0 0 0 1221 Tikagrelor
tab 90 mg
105 70 72 60 1222 Timolol

tts mata
0,25%
133 88 89 80 1223 Timolol

tts mata
0,5%
0 0 0 0 1224 Tiopental
serb inj
500
mg/amp
(i.v.
Bolus)
0 0 0 0 1225 Tiopental
serb serb
inj 1.000
mg/amp
(i.v.)
0 0 0 0 1226 Tiotropiu
m cairan
ih 2,5
mcg/sem
prot, refill
0 0 0 0 1227 Tiotropiu
m
respimat
ih 5
mcg/sem
prot
27 18 30 2 1228 Tiotropiu
m
respimat
ih 5
mcg/sem
prot
27 18 75 0 1229 Tobramisi
n tetes
mata
0,3%
27 18 45 0 1230 Tobramisi
n tetes
mata
0,3%
0 0 0 0 1231 Topirama
t tab 100
mg
0 0 0 0 1232 Topirama
t tab 25
mg
0 0 0 0 1233 Topirama
t tab 50
mg
0 0 0 0 1234 Tosilizum
ab inf 400
mg/20 mL
0 0 0 0 1235 Tosilizum
ab inf 80
mg/4 mL
213 150 0 120 1236 Tramadol

inj 50
mg/ml
0 0 0 0 1237 Trastuzu
mab serb
inj 440
mg/vial
27 18 15 0 1238 Travopros
t tts mata
0,004%
0 0 0 0 1239 Triamsino
lon
asetonid
nasal
spray 55
mcg/puff
52 34 30 34 1240 Triamsino
lon inj 10
mg/ml
53 35 30 30 1241 Triamsino
lon inj 40
mg/ml
0 0 0 0 1242 Trifluoper
azin tab
sal 5 mg
1750 1100 800 500 1243 Triheksife

nidil tab 2
mg
27 18 0 10 1244 Tropikami
d tts mata
0,5%
0 0 60 0 1245 Tropikami
d tts mata
0,5%
46 28 0 20 1246 Tropikami
d tts mata
1%
135 90 0 50 1247 Tropikami

d tts mata
1%
0 0 0 0 1248 Tuberkuli
n protein
purified
derivative
1:10 (i.k)
27 18 12 0 1249 Urea krim

10 %
0 0 0 0 1250 Urea krim

20 %
0 0 0 0 1251 Vaksin
BCG inj
(i.k)
0 0 0 0 1252 Vaksin
bivalen
OPV (b-
OPV)
drops 10
dosis
0 0 0 0 1253 Vaksin
Hepatitis
Rekombin
an Inj
Prefilled
Injection
Device
(Uniject)
0,5 ml
(i.m)
0 0 0 0 1254 Vaksin
HPV
(Human
Papilloma
Virus),
vial 0,5
mL
2154 1435 1420 1350 1255 Vaksin

Influenza
0 0 0 0 1256 Vaksin
Japanese
Enchepali
tis (J.E)
0 0 0 0 1257 Vaksin
jerap
difteri
tetanus
(DT)
0 0 0 0 1258 Vaksin
jerap
difteri
tetanus
(Td)
0 0 0 0 1259 Vaksin
kombinasi
DPT-HB-
Hib
0 0 0 0 1260 Vaksin
measless
rubella
(MR) Inj
0,5 mL
(s.k)
11830 7780 8750 0 1261 Vaksin

Meningiti
s
Meningok
okus
0 0 0 0 1262 Vaksin
polio IPV
inj 0,5 ml
0 0 0 0 1263 Vaksin
rabies,
untuk
manusia
serb inj
(s.k./i.k) +
booster
27 1 1 0 1264 Vaksin
rabies,
untuk
manusia
serb Inj
2,5 IU
27 18 14 5 1265 Vaksin
Yellow
Fever
270 200 0 0 1266 Valasiklov

ir tab 500
mg
0 0 0 0 1267 Valgansikl
ovir tab
sal 450
mg
387 252 280 100 1268 Valproat

sir 250
mg/5 ml
1540 1000 400 800 1269 Valproat

tab lepas
lambat
250 mg
1329 900 800 600 1270 Valproat

tab lepas
lambat
500 mg
540 400 400 300 1271 Valproat

tab sal
enterik
250 mg
26720 17800 22440 16000 1272 Valsartan

tab 160
mg
21600 14400 13500 13500 1273 Valsartan

tab 80 mg
0 0 0 0 1274 Vankomis
in serb inj
500
mg/vial
0 0 0 0 1275 Vasopresi
n inj 20
UI/ml
(i.m./s.k.)
0 0 0 0 1276 Verapamil
inj 2,5
mg/ml
tab 240
mg
tab 80 mg
0 0 0 0 1279 Vildaglipti
n tab 50
mg
0 0 0 0 1280 Vinblastin
inj 1
mg/ml
0 0 0 0 1281 Vinkristin
inj 1
mg/ml
(vial 1 mL)
0 0 0 0 1282 Vinkristin
inj 1
mg/ml
(vial 2 mL)
0 0 0 0 1283 Vinorelbi
n inj 10
mg/ml,
kemasan
1 ml
0 0 0 0 1284 Vinorelbi
n inj 10
mg/ml,
kemasan
5 ml
79200 52200 74800 50000 1285 Vitamin B

kompleks
39943 26500 22000 26000 1286 Vitamin C

500 mg
minimal
non acidic
250 mg
0 0 0 0 1287 Vorikonaz
ol inj 200
mg
0 0 0 0 1288 Vorikonaz
ol tab sal
selaput
200 mg
0 0 0 0 1289 Warfarin
tab 1 mg
0 0 0 0 1290 Warfarin
tab 2 mg
0 0 0 0 1291 Zidovudin
kaps 100
mg
499 320 295 300 1292 Zinc
drops 10
mg/ml
1070 710 736 650 1293 Zinc sir 20

mg/5 ml
7885 5200 4800 5000 1294 Zinc tab

disp 20
mg
0 0 0 0 1295 Zonisamid
tab sal
selaput
100 mg
SATUAN SISA PREDIKSI PEMAKAI PREDIKSI JUMLAH RENCANA RENCANA RENCANA REALISASI
STOK PER PENGADA AN RATA- SISA KEBUTUH KEBUTUH PENGADA PENGADA PENGADA
31 AN RATA PER STOK 31 AN AN AN AN AN
DESEMBE TAHUN BULAN DESEMBE TAHUN TAHUN TAHUN TAHUN TAHUN
R 2020 2021 SELAMA R 2021 2022 2022 2022 2021 2020
2020
(a) (b) (c) (d) = (a)+(b(e) = (c) x (f) = (e) - ( (g) (h) (i)
Tab 0 0 00 0 0 0 0 0
Tablet/kap 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
tablet sal 0 0 00 0 0 0 0 0
tablet sal 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Botol 100 0 0 00 0 0 0 0 0
Botol 250 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 60 8500 360 0 0 0 8500 8980 4320
Flexy bag 0 0 00 0 0 0 0 0
Botol 500 0 0 00 0 0 0 0 0
botol @ 1. 20 420 40 0 0 0 640 530 360
tablet/kap 654 10000 500 0 0 0 2900 17800 7700
tablet/kap 0 4000 300 0 0 0 4100 3600 3600
Botol 0 0 00 0 0 0 18 0
tablet/kap 0 0 00 0 0 0 0 0
Botol 0 18 10 0 0 18 18 5
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 18 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Tab 460 3600 320 0 0 0 5000 7200 4200

tablet/kap 308 6000 400 0 0 0 6000 7200 5800
tablet/kap 0 0 00 0 0 0 0 0
tablet/kap 0 500 30 0 0 0 500 600 100
tablet/kap 0 400 30 0 0 0 500 600 100
Vial 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Tube 0 0 00 0 0 0 0 0
Tube 0 0 00 0 0 0 0 0
vial/ampul 8 20 20 0 0 20 18 10
ampul/vial 11 72 50 0 0 72 110 24
tablet/kap 0 0 00 0 0 0 0 0
tablet/kap 0 0 00 0 0 0 0 0
ampul/vial 10 60 40 0 0 60 0 20
Tab 200 3000 210 0 0 0 3000 3690 1500

tablet/kap 0 1200 500 0 0 0 13000 9000 10000
tablet/kap 200 39600 3000 0 0 0 41200 37150 3600
tablet/kap 120 16200 900 0 0 0 8000 15900 10800
Botol @15 0 0 00 0 0 0 0 0
Botol @10 2 120 10 0 0 0 150 175 100
Botol @20 0 0 00 0 0 0 0 0
botol 60 m 14 240 20 0 0 0 300 260 150
Botol 2 360 20 0 0 0 178 360 240
tablet/kap 0 0 00 0 0 0 0 0
tablet/kap 1200 36000 3000 0 0 0 45000 26200 36000
ampul/vial 20 600 50 0 0 0 730 520 600
Vial 20 360 30 0 0 0 430 170 360

vial/cartri 3 360 20 0 0 0 360 360 240
Vial/Cartri 4 1100 80 0 0 0 1100 1070 1100
Penfill 2 96 80 0 0 118 90 96
Penfill 5 1000 80 0 0 0 1155 900 1000
Vial/Cartri 0 0 00 0 0 0 0 0
cartridge d 0 0 00 0 0 0 0 0
Vial @10 m 0 0 00 0 0 0 0 0
vial/dispos 0 0 00 0 0 0 0 0
vial/dispos 0 0 00 0 0 0 0 0
vial/dispos 0 0 00 0 0 0 0 0
tablet/kap 0 0 00 0 0 0 0 0
ampul/vial 20 720 60 0 0 0 900 540 720
tablet/kap 80 14000 1000 0 0 0 13000 14000 10000

botol 60 m 0 0 00 0 0 0 0 0
Kaps 0 0 00 0 0 0 0 0
Tube 0 0 00 0 0 0 0 0
pot 30 g 0 0 00 0 0 0 0 0
Suppositor 20 840 70 0 0 0 1030 540 500
Botol 500 0 0 00 0 0 0 0 0
botol 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tab discmel 0 0 00 0 0 0 0 0
tab discmel 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Kertas war 0 0 00 0 0 0 0 0
Botol 0 36 20 0 0 36 36 0
tablet sal 0 1200 100 0 0 0 1500 900 0
tablet/kaps 200 3600 2000 0 0 0 30000 35700 2400
Tab 200 36000 1800 0 0 0 36000 35000 36000
tablet/kaps 0 0 00 0 0 0 18000 0
tablet/kaps 200 48000 4000 0 0 0 60000 90000 48000
tablet/kaps 10 36000 3000 0 0 0 45000 7200 36000
Tab 0 0 00 0 0 0 0 0
catchcover 0 0 00 0 0 0 0 0
Botol @5 m 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kap 100 48000 4000 0 0 0 60000 62200 48000
tablet/kaps 0 1200 100 0 0 0 1500 1050 1200
Tube/pot 0 0 00 0 0 0 0 0
Tube @ 10 0 0 00 0 0 0 0 0
Tube @ 20 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Tube 0 0 00 0 0 0 0 0
Tube 0 0 00 0 0 0 0 0
Tube 0 0 00 0 0 0 0 0
ampul/vial 10 1800 150 0 0 0 2250 1780 1800
Ampul 40 360 30 0 0 0 410 360 360

ampul/vial 100 24000 2000 0 0 0 30000 21500 24000
tablet/kaps 60 2160 180 0 0 0 2640 1600 2160
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tube 0 0 00 0 0 0 0 0
Ampul/vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 50 4800 400 0 0 0 6000 8900 4800
Vial 0 0 00 0 0 0 0 0
tablet/kaps 40 3000 250 0 0 0 3750 3550 3000
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet salu 0 3960 330 0 0 0 4950 3750 3960
ampul/vial 0 0 00 0 0 0 54 0
ampul/vial 0 0 00 0 0 0 0 0
Ampul 20 100 10 0 0 0 200 100 100
Tab 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
ampul/vial 0 36 30 0 0 45 17 36
maks boto 2 96 80 0 0 118 177 96
tablet/kaps 0 0 00 0 0 0 0 0
tablet salu 60 2600 300 0 0 0 5440 1020 2600
Botol 0 0 00 0 0 0 0 0
Disposible 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol plast 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Dus/Sachet 0 12 10 0 0 15 0 2
tablet/kaps 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet/kaps 200 8400 600 0 0 0 7600 7100 7200
Botol @ 5 0 0 00 0 0 0 0 0
Catchcover, 0 0 00 0 0 0 0 0
tube 5 gra 5 72 60 0 0 85 72 72
Tube 0 0 00 0 0 0 0 0
tube 5 gra 2 72 60 0 0 88 108 72
catchcover, 0 0 00 0 0 0 0 0
botol @5 m 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Suppositor 0 84 70 0 0 105 180 84
Suppositor 0 0 00 0 0 0 180 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet sal 0 0 00 0 0 0 0 0
tablet/kaps 0 1200 100 0 0 0 1500 1620 1200
tablet sal 50 6000 500 0 0 0 7450 9000 6000
Vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Tab 20 720 60 0 0 0 880 510 720

Botol @ 4 0 0 00 0 0 0 0 0
respoules 0 0 00 0 0 0 0 0
Botol @ 4 0 0 00 0 0 0 0 0
respoules 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
200 dosis 0 0 00 0 0 0 0 0
100 dosis 20 240 20 0 0 0 280 350 240
Turbuhaler 0 72 60 0 0 90 88 72
rapihaler 0 0 00 0 0 0 0 0
Turbuhaler 2 72 60 0 0 88 68 72
rapihaler 0 0 00 0 0 0 0 0
Turbuhaler 0 0 00 0 0 0 0 0
vial/ampul 0 0 00 0 0 0 0 0
ampul/vial 5 1200 100 0 0 0 1495 1800 1200
Tab 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
tablet 0 0 00 0 0 0 0 0
set/buah 2 180 15 0 0 0 223 266 180

tablet/kap 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet disp 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
tab salut s 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
ampul/vial 23 2400 200 0 0 0 3000 3560 2400

tablet/kaps 55 3600 300 0 0 0 4500 7200 3600
ampul/vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Tube 0 0 00 0 0 0 0 0
tube 10 g 0 0 00 0 0 0 0 0
tube 15 g 0 0 00 0 0 0 0 0
tube 10 g 2 120 10 0 0 0 150 49 120

ultrabag 0 0 00 0 0 0 0 0
tube @ 2,5 4 120 10 0 0 0 150 180 120
tube @ 2,5 3 120 10 0 0 0 150 175 120
ampul/vial 8 40 30 0 0 40 44 40
tablet/kap 0 1200 100 0 0 0 1500 900 1200
tablet/kaps 150 3600 300 0 0 0 44000 0 3000
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
ampul/vial 20 360 30 0 0 0 450 480 360

Tube 0 0 00 0 0 0 0 0
ampul/vial 2 25 20 0 0 30 13 24
tablet/kaps 20 1200 100 0 0 0 1500 1400 1200
Ampul 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Kapsul lep 30 600 50 0 0 0 720 820 600
Kapsul lep 20 2400 100 0 0 0 2400 3600 2400
Ampul 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet/kaps 0 240 20 0 0 0 300 0 0

Botol 1 36 30 0 0 44 54 36
Botol 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
ampul/vial 5 60 50 0 0 70 32 60
ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 1200 100 0 0 0 1500 1800 500
tablet/kaps 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
botol @60 20 360 30 0 0 0 430 900 360
tablet/kaps 100 14400 1200 0 0 0 17900 14300 14400
Botol 2 48 40 0 0 58 0 48
tablet salu 50 400 30 0 0 0 400 0 400
tablet disp 0 0 00 0 0 0 0 0
ampul/vial 5 60 50 0 0 70 13 60
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Kaps lunak 0 0 00 0 0 0 0 0
Tablet 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
ampul/vial 10 600 50 0 0 0 740 890 600
tablet salu 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Ampul 20 300 20 0 0 0 300 200 300
Vial 25 ml 0 0 00 0 0 0 0 0
Vial 5 ml 0 0 00 0 0 0 0 0
Vial 25 mL 0 0 00 0 0 0 0 0
Kaps 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
tablet/kaps 55 2400 200 0 0 0 3000 0 2400
Botol @ 60 0 12 20 0 0 12 0 2
tablet/kaps 0 1200 100 0 0 0 1500 1100 500
Vial 6 576 42 0 0 0 552 174 300
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
ampul/vial 0 12 10 0 0 15 17 12
tablet salu 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Set 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
ampul @ 2 20 60 50 0 0 60 31 60
Kaps 200 800 60 0 0 0 700 360 800
Kaps 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Ampul 8 60 50 0 0 70 54 60
Tab 1 100 10 0 0 0 200 0 100
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 3600 300 0 0 0 4500 3600 3600
tablet/kaps 0 3600 300 0 0 0 4500 3600 3600
Tab 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
ampul @ 2 5 480 40 0 0 0 595 720 480
Patch 0 0 00 0 0 0 0 0
Patch 0 0 00 0 0 0 0 0
Patch 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
ampul/vial 10 2400 200 0 0 0 3000 4290 2400
Tab sal 10 120 10 0 0 0 140 100 120
tablet salu 0 120 10 0 0 0 150 180 120
Vial 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
tablet/kaps 2 60 50 0 0 75 54 60
Kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Kaplet 0 0 00 0 0 0 0 0
Tube 0 0 00 0 0 0 0 0
Ampul/vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
botol @5 m 0 0 00 0 0 0 0 0
catchcover, 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
tube @ 5g 0 0 00 0 0 0 0 0
Tube 10 g 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
ampul/vial/ 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Sachet 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Patch 0 0 00 0 0 0 0 0
ampul/vial 25 600 50 0 0 0 725 725 600
tablet/kaps 200 12000 1000 0 0 0 14800 7100 12000
tablet/kaps 0 1200 100 0 0 0 1500 0 1200
tablet/kaps 70 2400 200 0 0 0 3000 2690 2400
Prefilled S 0 0 00 0 0 0 0 0
Prefilled S 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial @10 m 0 0 00 0 0 0 0 0
Vial @15 m 0 0 00 0 0 0 0 0
Vial @20 m 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Botol 5 720 60 0 0 0 895 270 720
Sachet 0 0 00 0 0 0 0 0
Botol 250 48000 4000 0 0 0 60000 40000 48000
sachet 30 360 30 0 0 0 420 715 360
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 150 3600 300 0 0 0 4500 3600 3600
tablet/kaps 100 3600 300 0 0 0 4400 4500 3600
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
ampul/vial 5 600 50 0 0 0 745 540 600
Tube 2 240 20 0 0 0 300 432 240

Botol 2 60 50 0 0 73 107 60
Botol 1 60 50 0 0 74 106 60
Sachet 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 620 0
Tab 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet lepa 0 0 00 0 0 0 0 0
kapsul 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 30 1200 100 0 0 0 1500 1000 1200
tablet/kaps 150 24000 2000 0 0 0 30000 45000 24000
tablet/kaps 50 600 50 0 0 0 700 300 600
tablet/kaps 0 500 40 0 0 0 600 200 500
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
kapsul lep 0 0 00 0 0 0 0 0
kapsul lep 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Botol 1 12 10 0 0 14 18 12
Botol 1 24 20 0 0 29 18 24
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 10 1200 100 0 0 0 1500 880 1200
Ampul @25 6 360 30 0 0 0 450 538 360
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 5 1200 100 0 0 0 1500 880 1200
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Roll 0 0 00 0 0 0 0 0
Roll 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 4800 400 0 0 0 6000 0 4800
Vial 10 960 80 0 0 0 1190 716 960
Ampul 1 24 20 0 0 29 36 24
Syringe 0 0 00 0 0 0 0 0
Botol 0 12 10 0 0 15 18 12
Tab 0 0 00 0 0 0 0 0
tablet/kaps 50 4800 400 0 0 0 6000 3400 4800
tube @ 5 g 2 120 10 0 0 0 148 107 120

tube @ 5 g 3 120 10 0 0 0 147 124 120
Vial 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
ampul/vial 0 60 50 0 0 75 55 60
tablet/kaps 0 1200 100 0 0 0 1500 700 1200
Botol 0 0 00 0 0 0 0 0
Vial @10 m 0 0 00 0 0 0 0 0
vial/ cartri 0 0 00 0 0 0 0 0
Cartridge, 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Cartridge, 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial @10 m 0 0 00 0 0 0 0 0
Cartridge d 0 0 00 0 0 0 0 0
vial/dispos 0 0 00 0 0 0 0 0
vial/dispos 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
tablet lepa 0 0 00 0 0 0 0 0
tablet lepa 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
botol @ 60 2 120 10 0 0 0 148 176 120
botol @ 60 0 0 00 0 0 0 0 0
tablet/kap 0 0 00 0 0 0 0 0
tablet/kaps 50 2400 200 0 0 0 3000 2700 2400
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Kaps 0 0 00 0 0 0 0 0
Kaps 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Ampul/vial 0 0 00 0 0 0 0 0
Ampul/vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Botol 2 60 50 0 0 73 18 60
Botol 5 240 20 0 0 0 300 720 240

tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 3600 300 0 0 0 4500 3600 3600
Ampul/vial 0 0 00 0 0 0 0 0
Ampul/vial 0 0 00 0 0 0 0 0
Ampul/vial 0 0 00 0 0 0 0 0
Ampul/vial 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
botol @ 25 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
ampul/vial 4 25 20 0 0 25 18 20
tablet/kaps 500 18000 1500 0 0 0 22000 5200 18000
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Set 0 0 00 0 0 0 0 0
Set 0 0 00 0 0 0 0 0
tablet /kap 0 0 00 0 0 0 0 0
Tube gel 0 0 00 0 0 0 0 0
Tube 0 0 00 0 0 0 0 0
tablet salu 50 600 50 0 0 0 700 0 600
Ampul/vial 0 0 00 0 0 0 0 0
tablet lepa 100 36000 3000 0 0 0 44900 0 36000
kapsul lun 0 0 00 0 0 0 0 0
kapsul lun 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Tube 0 0 00 0 0 0 0 0
Sachet 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 500 72000 6000 0 0 0 89500 53500 72000
Sachet 0 0 00 0 0 0 0 0
tablet/kaps 30 10800 900 0 0 0 13500 10800 10800
tablet/kaps 60 10800 900 0 0 0 13500 10525 10800
tab salut/k 0 0 00 0 0 0 0 0
tablet/kap 1000 6000 500 0 0 0 6500 4900 600
tablet/kap 10 6000 500 0 0 0 7500 5300 6000
tablet/kap 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Tablet 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Botol 0 24 20 0 0 54 36 0
Botol 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
ampul/vial 2 70 50 0 0 63 52 60
ampul/vial 0 0 00 0 0 0 0 0
Tube 10 g 4 120 10 0 0 0 146 90 50

botol 0 0 00 0 0 0 0 0
tablet/kaps 50 1200 100 0 0 0 1450 1700 1200
ampul/vial 0 0 00 0 0 0 0 0
Suppositor 10 960 80 0 0 0 1190 890 960
ampul/vial 80 4800 400 0 0 0 5900 4480 4800
botol maks 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Kaps 0 1200 100 0 0 0 1500 1080 500
tablet/kap 70 3600 300 0 0 0 4500 2900 3600
tablet/kap 0 0 00 0 0 0 0 0
tube 0 0 00 0 0 0 0 0
tube 0 0 00 0 0 0 0 0
Kapsul 0 0 00 0 0 0 0 0
kapsul 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
tablet/kap 40 2400 200 0 0 0 3000 900 2400
tablet salu 50 3600 300 0 0 0 4450 2670 3600
tablet salu 0 0 00 0 0 0 0 0
Botol 0 1 00 0 0 1 1 0
tab sal sel 0 0 00 0 0 0 0 0
tablet/kap 100 300 30 0 0 0 400 720 100
tablet/kap 0 0 00 0 0 0 0 0
tube @ 5 5 576 48 0 0 0 715 535 576
vial/ampul 3 50 30 0 0 30 44 30
botol 60 m 2 20 20 0 0 32 15 20
Botol 5 60 50 0 0 70 70 55
botol 4 120 10 0 0 0 146 106 100
Botol 2 36 30 0 0 43 36 24
tablet/kap 1000 1000 200 0 0 0 3400 4400 4000
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Tablet 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Tab sal 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet 0 0 00 0 0 0 0 0
tablet 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 100 00 0 0 100 180 0
Ampul 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
ampul/vial 30 600 50 0 0 0 720 512 600
ampul/vial 0 0 00 0 0 0 0 0
Tab dispers 0 0 00 0 0 0 0 0
ampul/vial 0 70 50 0 0 70 16 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet disp 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tab salut g 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Paket 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 36 0
Pasta tube 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Diskus 0 0 00 0 0 0 0 0
Diskus 0 0 00 0 0 0 0 0
Cartridge 0 0 00 0 0 0 0 0
Cartridge 0 0 00 0 0 0 0 0
Botol 2,5 0 0 00 0 0 0 0 0
catchcover 0 0 00 0 0 0 0 0
Botol plast 1 36 30 0 0 44 36 15
Botol Plast 0 0 00 0 0 0 0 0
Catchcover, 0 0 00 0 0 0 0 0
vial 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Ampul/vial 20 960 80 0 0 0 1180 1076 500

Tab 40 200 20 0 0 0 300 180 200
Tab 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
aerosol can 4 60 50 0 0 71 71 50
Botol 1 60 50 0 0 74 142 50
Botol 2 60 50 0 0 73 90 50
Botol 0 24 20 0 0 30 18 4
Tablet/kap 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Set 0 0 00 0 0 0 0 0
tab/kaptab 80 1200 100 0 0 0 1500 2700 1000
tab/kaptab 0 1200 100 0 0 0 1500 2660 800
botol 60 m 5 180 15 0 0 0 220 175 180
Vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
botol @ 60 7 360 30 0 0 0 443 355 300

tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Tablet 0 0 00 0 0 0 0 0
tablet disp 0 0 00 0 0 0 0 0
Vial 0 20 00 0 0 20 18 0
tablet/kaps 120 6000 500 0 0 0 7400 3560 4800
tablet/kaps 0 0 00 0 0 0 0 0
Botol 6 48 40 0 0 54 72 20
Botol 0 0 00 0 0 0 0 0
Softbag @ 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Softbag @ 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 12 168 15 0 0 0 225 142 60
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol/vial 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Bag 0 0 00 0 0 0 0 0
Bag 0 0 00 0 0 0 0 0
Bag 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Bag 0 0 00 0 0 0 0 0
Botol plas 0 0 00 0 0 0 0 0
Botol 2 24 20 0 0 28 18 12
Botol 5 60 50 0 0 80 54 60
Botol 0 0 00 0 0 0 0 0
Softbag @ 0 0 00 0 0 0 0 0
Botol plast 200 13200 1100 0 0 0 16300 10680 13000
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
softbag 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol plas 0 0 00 0 0 0 0 0
Botol plas 0 0 00 0 0 0 0 0
Botol 500 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol plas 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 2 480 40 0 0 0 600 0 480

Botol 0 800 60 0 0 0 800 716 716
botol/soft 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
botol/soft 0 0 00 0 0 0 0 0
botol/soft 0 800 50 0 0 0 800 716 716
Botol 0 240 40 0 0 0 300 355 355

Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol plas 0 0 00 0 0 0 0 0
Botol plas 0 0 00 0 0 0 0 0
Botol 11 360 30 0 0 0 440 615 300
Botol 10 480 40 0 0 0 600 528 400
Botol 0 0 00 0 0 0 0 0
Botol 12 780 65 0 0 0 680 710 700
Botol 2 480 40 0 0 0 600 535 400
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
catchcover 0 0 00 0 0 0 0 0
botol @ 2, 0 0 00 0 0 0 36 0
tablet salu 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Tablet 0 0 00 0 0 0 0 0
Tablet 0 0 00 0 0 0 0 0
vial / boto 0 0 00 0 0 0 0 0
vial/ boto 0 0 00 0 0 0 68 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet salu 50 2400 200 0 0 0 2950 1770 2200
botol @ 5 5 120 10 0 0 0 145 54 30
pack/ sach 0 0 00 0 0 0 0 0
tablet/kapl 0 0 00 0 0 0 0 0
tablet/kapl 0 0 00 0 0 0 0 0
syringe/syr 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
ampul/vial 150 3600 300 0 0 0 4400 3600 3000
Tube 0 2 00 0 0 2 0 0
botol 0 2 10 0 0 2 0 1
tablet/kaps 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
tablet/kaps 30 6000 500 0 0 0 7500 5300 6000

Tab 0 0 00 0 0 0 0 0
tablet/kaps 35 4800 400 0 0 0 6000 3400 4000
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Tab 12 1000 80 0 0 0 1200 850 800
tab sal sel 0 0 00 0 0 0 0 0
tablet/kaps 50 600 50 0 0 0 700 850 600
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Tab sal 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
ampul/vial 65 2880 240 0 0 0 3535 1785 2500
ampul/vial 0 0 00 0 0 0 1425 0
ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 20 480 40 0 0 0 580 718 400
Sachet 0 0 00 0 0 0 0 0
Botol @ 50 0 0 00 0 0 0 0 0
Botol @ 25 0 0 00 0 0 0 0 0
Botol @ 10 3 10 10 0 0 10 0 3
Tab sal 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Botol 2 24 20 0 0 28 0 24
Tan 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
ampul/vial 5 40 30 0 0 36 36 30
ampul/vial 0 10 20 0 0 44 31 5
enema 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Botol 1000 0 0 00 0 0 0 0 0
Ampul 0 20 20 0 0 35 18 5
Tab salut 0 0 00 0 0 0 0 0
tablet/kaps 280 60000 5000 0 0 0 74800 57300 50000
tablet/kaps 55 12000 1000 0 0 0 15000 17900 12000
tablet/kaps 12 4800 400 0 0 0 6000 3600 4000
ampul/vial 83 6000 500 0 0 0 7500 7200 5500
tablet/kapl 1000 7200 600 0 0 0 8000 13000 7000
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kap 0 0 00 0 0 0 0 0
tablet/kap 0 0 00 0 0 0 0 0
ampul/vial 8 144 12 0 0 0 172 107 120

ampul/vial 0 0 00 0 0 0 0 0
tablet/kaps 33 1500 125 0 0 0 1850 2600 1000
tablet/kaps 125 8400 700 0 0 0 10400 8800 8000
tablet/kaps 56 3000 250 0 0 0 3700 4450 2200
ampul/vial 0 60 50 0 0 75 175 30
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 90 800 60 0 0 0 800 900 400
ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
botol 30 300 25 0 0 0 345 352 220
Ovula 20 720 65 0 0 0 1015 1220 600
Suppositor 0 20 20 0 0 35 36 10
Botol @ 60 0 0 00 0 0 0 0 0
Botol @ 10 2 5 10 0 0 10 16 2
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 340 9600 800 0 0 0 11700 10600 8000

Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 85 600 50 0 0 0 670 710 350
Vial 0 10 10 0 0 10 36 0
Vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tube 5 288 24 0 0 0 360 204 120
botol / sac 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Sachet 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
vial/ampul 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Tube 5 gra 2 288 24 0 0 0 358 260 200

tube 10 gr 0 0 00 0 0 0 0 0
Vial 8 10 10 0 0 10 36 10
tablet/kaps 0 0 00 0 0 0 0 0
tablet lepa 0 0 00 0 0 0 0 0
tablet lepa 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tube 1 288 24 0 0 0 359 214 150
tube 0 0 00 0 0 0 0 0
Sachet 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
tablet/kap 69 8400 700 0 0 0 10500 2200 6000
Botol @1. 0 0 00 0 0 0 0 0
Botol @25 0 0 00 0 0 0 0 0
Botol @250 0 0 00 0 0 0 0 0
Botol @100 15 720 60 0 0 0 900 0 600
Ampul/bot 0 0 00 0 0 0 0 0
Botol @500 240 16800 1400 0 0 0 20760 10760 15000
Botol plas 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Ampul 3 10 10 0 0 15 17 5
Botol @5 m 0 0 00 0 0 0 0 0
botol @ 15 0 0 00 0 0 0 0 0
catchcover 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
tablet sal 0 0 00 0 0 0 0 0
tablet sal 145 6250 800 0 0 0 15200 6250 5000
botol 5 mL 2 24 20 0 0 28 36 20
Botol 1 20 20 0 0 33 36 5
botol 0 0 00 0 0 0 0 0
tube 0 30 50 0 0 105 0 0
Tube 0 0 00 0 0 0 0 0
botol 3 60 50 0 0 72 70 20
Botol 0 0 00 0 0 0 0 0
ampul/vial 2 72 60 0 0 88 0 30
Ampul 0 0 00 0 0 0 0 0
Vial 1 15 10 0 0 15 0 10
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 200 9600 800 0 0 0 11800 10800 9000
tablet lep 10 120 10 0 0 0 150 200 60
tablet lep 0 240 20 0 0 0 300 200 90
ampul/vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
botol/vial 8 240 20 0 0 0 300 352 300
tablet salu 0 0 00 0 0 0 0 0
tablet/kapl 0 1200 100 0 0 0 1500 1430 200
Botol 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
ampul/vial 5 85 70 0 0 100 85 60
tablet/kaps 55 3600 300 0 0 0 4450 0 3000
paket 0 0 00 0 0 0 0 0
paket 0 0 00 0 0 0 0 0
paket 0 0 00 0 0 0 0 0
paket 0 0 00 0 0 0 0 0
Paket 0 0 00 0 0 0 0 0
paket 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Botol @ 5 0 0 00 0 0 0 36 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Botol 11 960 80 0 0 0 11890 720 920

Ampul/via 0 0 00 0 0 0 0 0
Ampul/via 0 0 00 0 0 0 0 0
Kaps 0 0 00 0 0 0 0 0
Kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
botol @ 10 0 0 00 0 0 0 0 0
botol @ 10 0 0 00 0 0 0 0 0
tube 2 48 30 0 0 48 69 24
Vial 0 0 00 0 0 0 0 0
ampul/vial 144 9600 800 0 0 0 11900 8900 8500
botol 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
vial 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
cartridge 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
ampul/vial 25 1800 150 0 0 0 2230 1065 1200
tablet/kaps 55 12000 1000 0 0 0 14900 10800 8600
ampul/vial 255 4800 400 0 0 0 5745 4495 4000
tablet/kaps 60 7200 600 0 0 0 8940 10770 6000
tablet/kaps 77 3600 300 0 0 0 4430 8030 3000
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
vial/ flex 24 300 25 0 0 0 351 265 240
botol @ 60 75 960 80 0 0 0 1125 978 900
tablet/kaps 255 36000 3000 0 0 0 48000 35900 25000

botol @ 15 5 1800 150 0 0 0 22045 2698 1600
Tube 0 0 00 0 0 0 0 0
Tube 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Tube 1 120 10 0 0 0 150 180 120
tablet/kaps 0 0 00 0 0 0 0 0
Tube 15 g 0 0 00 0 0 0 0 0
Tube 10 g 0 120 10 0 0 0 150 0 0
Tube 30 g 0 0 00 0 0 0 0 0
Vial 8 30 20 0 0 20 164 10
Catchcover, 0 0 00 0 0 0 0 0
Botol 5 ml 1 12 10 0 0 14 18 2
tablet 50 540 45 0 0 0 630 540 300
tablet/kaps 15 720 60 0 0 0 900 510 720
Botol 2 12 10 0 0 13 16 12
Tab 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
tab/kap/ka 0 0 00 0 0 0 0 0
tablet/kaps 80 1200 100 0 0 0 1500 900 100
tablet/kaps 0 0 00 0 0 0 0 0
Tablet 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
botol @ 60 0 0 00 0 0 0 0 0
Botol 300 0 0 00 0 0 0 0 0
botol @ 1. 2 240 20 0 0 0 298 394 240
botol 30 m 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
botol/strip 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet lepa 0 0 00 0 0 0 0 0
tablet lepa 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
catchcover 0 0 00 0 0 0 0 0
Botol @5m 0 24 20 0 0 30 36 12
tablet/kaps 0 600 50 0 0 0 800 0 0
Kapsul 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Paket 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Vial 0 60 50 0 0 75 85 10
Botol 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
ampul/vial 5 660 55 0 0 0 820 630 500
Ampul 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 10 600 50 0 0 0 800 600 200
Vial 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet SR 0 0 00 0 0 0 0 0
tablet SR/k 0 0 00 0 0 0 0 0
tab SR 0 0 00 0 0 0 0 0
tablet SR/k 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
ampul/vial 11 2400 200 0 0 0 3000 2690 2400
tablet/kaps 113 24000 2000 0 0 0 30000 21600 20000
ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
kaps lunak 0 0 00 0 0 0 0 0
kaps lunak 0 0 00 0 0 0 0 0
tab sal sel 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Tablet/kap 0 0 00 0 0 0 0 0
tablet 0 0 00 0 0 0 0 0
Botol 40 13200 1100 0 0 0 16460 18000 13000
Botol 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
botol 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
tablet sal 0 0 00 0 0 0 0 0
tablet sal 0 0 00 0 0 0 0 0
tablet sal 0 0 00 0 0 0 0 0
ampul/vial 3 15 10 0 0 10 17 10
tablet lepa 0 0 00 0 0 0 0 0
tablet lepa 0 0 00 0 0 0 0 0
tablet lepa 0 0 00 0 0 0 0 0
ampul/poly 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
canister / 0 0 00 0 0 0 0 0
ampul/vial 0 12 10 0 0 12 18 0
Botol 0 0 00 0 0 0 0 0
Botol 360 60 30 0 0 0 390 710 300
tablet/kaps 22 3600 300 0 0 0 4500 2800 2000
pot 30 gra 0 0 00 0 0 0 0 0
pot 15 gra 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 55 2400 2000 0 0 0 51600 21400 21000
botol @ 60 12 180 15 0 0 0 213 200 180
botol @ 60 1 36 30 0 0 44 72 41
tablet/kaps 0 0 00 0 0 0 0 0
ampul/vial 55 2400 200 0 0 0 3950 3200 2000
ampul/vial 0 0 00 0 0 0 0 0
botol 12 300 25 0 0 0 363 540 300
Tab 69 8400 700 0 0 0 10450 9900 6000
Tablet 99 12000 1000 0 0 0 15000 6200 10000
ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 32 1200 100 0 0 0 1470 3945 1200
ampul/vial 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
ampul/vial 10 360 30 0 0 0 440 850 200
ampul/vial 42 3600 300 0 0 0 4458 3860 3500
ampul/vial 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
Vial 0 1 00 0 0 1 1 1
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 1 00 0 0 1 1 1
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Vial 3 120 10 0 0 0 150 180 120
Ampul/vial 0 0 00 0 0 0 0 0
botol @ 60 75 960 80 0 0 0 1125 1435 500
tablet/kaps 123 7200 600 0 0 0 8900 6350 5000
Vial 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
botol 1 36 30 0 0 44 35 25
ampul/vial 0 0 00 0 0 0 0 0
tablet/kaps 54 1200 100 0 0 0 1500 710 1000
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
kaps lunak 0 0 00 0 0 0 0 0
kaps lunak 0 0 00 0 0 0 0 0
Kaps lunak 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Tab 10 200 20 0 0 0 400 0 100
Tab 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet/kaps 241 12000 1000 0 0 0 14800 17900 12000
tablet/kaps 523 5500 454 0 0 0 6300 6355 5000
Tab sal 0 0 00 0 0 0 0 0
vial/ botol 2 12 10 0 0 13 18 5
tablet salu 55 1800 150 0 0 0 2200 2700 2000
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Softbag @ 5 12 10 0 0 10 0 7
tablet salu 0 100 00 0 0 100 0 0
tablet/kaps 0 200 00 0 0 200 0 0

tablet/kaps 0 6000 500 0 0 0 7500 6500 5000
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
botol 6 720 60 0 0 0 894 710 600
tablet/kaps 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet sal 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Tube 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
kapsul lepa 0 0 00 0 0 0 0 0
kapsul lepa 0 0 00 0 0 0 0 0
Tablet 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tab lepas l 0 0 00 0 0 0 0 0
Set 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 45 720 60 0 0 0 860 540 600
tablet/kaps 15 660 55 0 0 0 810 540 500
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
tablet/kaps 40 300 20 0 0 0 200 200 200
tablet lep 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
ampul/vial 2 36 30 0 0 43 18 20
Vial 0 0 00 0 0 0 0 0
botol 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
kapsul lun 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
tablet/kap 0 0 00 0 0 0 0 0
tablet/kap 0 0 00 0 0 0 0 0
Tube 0 0 00 0 0 0 0 0
Set 0 0 00 0 0 0 0 0
tablet sal 0 0 00 0 0 0 0 0
tablet sal 0 0 00 0 0 0 0 0
tablet/kap 25 1000 80 0 0 0 1200 900 1000
tablet/kaps 0 0 00 0 0 0 0 0
botol @ 5 3 60 50 0 0 72 54 60
botol @ 5 1 72 60 0 0 89 72 60
Ampul 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Cartridge 0 0 00 0 0 0 0 0
Botol 0 0 00 0 0 0 0 0
Handihaler 0 24 20 0 0 30 0 5
Catchcover, 0 36 30 0 0 45 0 20
Botol @ 5 2 60 50 0 0 75 0 40
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
vial 0 0 00 0 0 0 0 0
vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
ampul/vial 0 0 00 0 0 0 0 0
Botol 0 12 10 0 0 15 0 1
Botol 0 0 00 0 0 0 0 0
Ampul 0 24 20 0 0 30 0 0
ampul/vial 0 24 20 0 0 30 0 0
tablet sal 0 0 00 0 0 0 0 0
tablet/kaps 0 600 50 0 0 0 800 0 0
Botol @ 5 0 48 40 0 0 60 0 5
Catchcover, 0 0 00 0 0 0 0 0
Botol @ 5 0 0 00 0 0 0 0 0
Botol @ 0, 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Tube/pot 0 12 00 0 0 12 0 0
Tube/pot 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Ampul/vial 0 0 00 0 0 0 0 0
Vial 80 1200 100 0 0 0 1420 900 150
Vial 0 0 00 0 0 0 0 6
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 250 7200 600 0 0 0 8750 4440 300
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 1 00 0 0 1 1 1
Vial 1 12 10 0 0 14 18 5
tablet/kap 0 0 00 0 0 0 0 0
tablet salu 0 0 00 0 0 0 0 0
botol @ 1 20 240 20 0 0 0 280 196 200
tabet lepa 50 400 30 0 0 0 400 0 100
tabet lepa 100 800 60 0 0 0 800 0 400
tablet salu 140 300 30 0 0 0 400 0 200
tablet/kap 60 18000 1500 0 0 0 22440 16200 15000
tablet salu 25 10800 900 0 0 0 13500 10800 1080
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
tablet lepa 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Tab 0 0 00 0 0 0 0 0
Ampul 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
Vial 0 0 00 0 0 0 0 0
tablet 255 60000 5000 0 0 0 74800 53500 50000
Tablet/kaps 500 18000 1500 0 0 0 22000 0 18000
vial 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
tablet/kaps 0 0 00 0 0 0 0 0
Botol 5 240 20 0 0 0 295 175 200
botol 14 600 50 0 0 0 736 538 500
tablet disp 80 3800 320 0 0 0 4800 3600 3500
Tab sal sel 0 0 00 0 0 0 0 0

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NO NAMA SATUAN SISA PREDIKSI PEMAKAI PREDIKSI SISA STOK 31 JUMLAH

OBAT STOK PER PENGADA AN RATA- DESEMBER 2022 KEBUTUHAN

(a) (b) (c) (d) = (a)+(b)-(12x(c)) (e) = (c) x 15

5 Afatinib tablet sal 0 0 0 0 0

6 Afatinib tablet sal 0 0 0 0 0

8 Air untuk Botol 250 0 0 0 0 0

12 Air untuk ampul/vial 104 8500 450 3204 6750

13 Air untuk Flexy bag 0 0 0 0 0

16 Akarbose tablet/kap 1613 2900 320 673 4800

17 Akarbose tablet/kap 0 2000 100 800 1500

28 Alopurino Tab 103 5000 220 2463 3300

31 Alprazola tablet/kap 0 500 30 140 450

32 Alprazola tablet/kap 0 500 20 260 300

42 Amiodaro Tab 188 3000 150 1388 2250

44 Amlodipin tablet/kap 97 41200 2100 16097 31500

45 Amlodipin tablet/kap 600 8000 877 -1924 13155

46 Amoksisili Botol @15 0 0 0 0 0

47 Amoksisili Botol @10 0 150 10 30 150

48 Amoksisili Botol @20 0 0 0 0 0

49 Amoksisili botol 60 m 1 300 15 121 225

50 Amoksisili Botol 0 178 10 58 150

52 Amoksisili tablet/kap 120 45000 2500 15120 37500

53 Ampisilin ampul/vial 10 730 40 260 600

54 Ampisilin Vial 0 430 20 190 300

56 Analog Vial/Cartri 16 1100 30 756 450

57 Analog Penfill 4 0 5 -56 75

60 Analog Vial @10 m 0 0 0 0 0

66 Anestetik ampul/vial 0 0 60 -720 900

67 Antasida, tablet/kap 294 0 700 -8106 10500

73 Aquadest Botol 500 0 0 0 0 0

76 Aripiprazo tab discmel 0 0 0 0 0

77 Aripiprazo tab discmel 0 0 0 0 0

79 Articulati Kertas war 0 0 0 0 0

81 Asam tablet sal 0 0 0 0 0

82 Asam tablet/kaps 3336 0 2274 -23952 34110

83 Asam Tab 557 0 1800 -21043 27000

85 Asam tablet/kaps 547 0 3200 -37853 48000

86 Asam tablet/kaps 0 0 2000 -24000 30000

92 Asam tablet/kap 114 0 3200 -38286 48000

93 Asam tablet/kaps 0 0 30 -360 450

100 Asam Tube 0 0 0 0 0

101 Asam ampul/vial 54 0 120 -1386 1800

102 Asam Ampul 6 0 44 -522 660

104 Asam tablet/kaps 64 0 330 -3896 4950

105 Asam Botol 0 0 0 0 0

106 Asam Botol 0 0 0 0 0

107 Asetazola tablet/kaps 0 0 0 0 0

108 Asiklovir tube 0 0 0 0 0

109 Asiklovir Ampul/vial 0 0 0 0 0

110 Asiklovir tablet/kaps 0 0 0 0 0

111 Asiklovir tablet/kaps 0 0 150 -1800 2250

112 Asparagin Vial 0 0 0 0 0

113 Atapulgit tablet/kaps 152 0 146 -1600 2190

115 Atapulgit tablet/kaps 0 0 0 0 0

117 Atenolol tablet/kaps 0 0 0 0 0

118 Atenolol tablet/kaps 0 0 0 0 0

119 Atorvasta tablet salu 0 0 0 0 0

120 Atorvasta tablet salu 311 0 283 -3085 4245

121 Atrakuriu ampul/vial 0 0 0 0 0

122 Atrakuriu ampul/vial 0 0 0 0 0

123 Atropin Ampul 243 0 20 3 300

124 Atropin Tab 0 0 0 0 0

125 Atropin Botol 3 0 1 -9 15

126 Atropin Botol 0 0 0 0 0