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DAFTAR CEK LIST OBAT DAN BMHP 2021

INSTALASI FARMASI KABUPATEN KATINGAN


HARGA PER
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN
KEMASAN +PPN

1 Acetyl Cystein 200 mg Kapsul 20AS1024 May-22 Ktk / 60 Tablet Tablet Rp 460.00
2 Acyclovir 200 mg Tab 19AC1006 Jun-24 ktk/100 tablet Tablet Rp 822.04
3 Aciclovir 400 mg Tab 26304050 Jan-24 ktk / 50 tab Tablet Rp 469.00
4 Ambroxol HCI 30 mg tablet 36483002 Feb-23 ktk / 100 tab Tablet Rp 223.12
5 Amoxicilline 250 mg Kapsul 1911-04-51 Nov-21 Ktk / 100 Kapsul Kapsul Rp 217

6 Amoxicilline Trihydrate 500 mg Kaplet CAMXA 91254 Aug-21 Ktk/100 Kaplet Kaplet Rp 265

7 Captopril 12,5 mg Tablet C 00030 B Feb-25 ktk / 100 tab Tablet Rp 69.00
8 Captopril 25 mg Tablet FL 1070 Jun-24 ktk / 100 tablet Tablet Rp 136.14
9 Captopril 50 mg Tablet 19 CA 3006 Mar-23 ktk / 100 tablet Tablet Rp 270.00
10 Chloramphenicol 250 mg Kapsul 2007-01-251 Jul-24 Ktk / 100 Kapsul Kapsul Rp 659.57

11 Chloramex 500 mg Chloramphenicol Kapsul x23881 03 Apr-22 Ktk / 100 Kapsul Kapsul Rp 1,396.00

12 Ciprofloxacin HCL Monohydrate 500 mg Tablet TSD17749 Mar-25 Ktk / 100 Tablet Tablet Rp 731.00

13 Cotrimoxazole Tablet A 00005 Jan-23 Ktk / 100 Tablet Tablet Rp 138

14 Cotrimoxazole 800 mg Kaplet A 92696 Oct-22 Ktk / 100 Kaplet Kaplet Rp 335

15 CTM 4 mg Tablet 2003-21-152 Mar-22 Ktk / 100 Tablet Tablet Rp 27

16 Dexamethasone 0,5 mg Tablet TPH66349 Jul-22 Ktk / 100 Tablet Tablet Rp 146

17 Diastrix Loperamide HCL 2 mg Kaplet 90310 Oct-21 Ktk/100 Kaplet Kaplet Rp 162

18 Digoksin 0,25 mg Tablet A 8621 IW Sep-21 ktk / 100 tab Tablet Rp 104.00
19 Domperidone 10mg Tablet A 5016 HV Aug-21 ktk / 100 tab Tablet Rp 90.00

20 Furosemide 40 mg Tablet A 00032 BJ Dec-23 ktk / 200 tab Tablet Rp 84.00

21 Gemfibrozil 300 mg Kapsul 19GF1013 Sep-21 ktk/120 kapsul Kapsul Rp 447.00

22 Glimepiride 1mg Tab 51I0157 Aug-23 ktk / 100 tab Tablet Rp 174.00
23 Glimepiride 2mg Tab 51J4121 Sep-22 ktk / 100 tab Tablet Rp 207.00
24 Griseofulvin 125 mg Tablet 2001-03-176 Jan-22 ktk / 100 tab Tablet Rp 247.00
25 Hydrochlorothiazide 25 mg Tablet B 00059B Jan-25 ktk / 100 tab Tablet Rp 186.00
26 Ibuprofen 200 mg Tablet T 200505 A Jul-23 ktk / 100 tab Tablet Rp 220.00
27 Ibuprofen 400 mg Tablet 2007-17-134 Jul-22 ktk / 100 tab Tablet Rp 350.34
28 ISDN 5mg Tab A 2347 GW Jul-21 ktk / 100 tab Tablet Rp 89.00
29 Ketoconazole 200 mg Tablet 2008-04-103 Aug-23 Ktk / 50 Tablet Tablet Rp 245.50

30 Loratadine 10 mg Tablet 10220A0020 Jan-23 Ktk / 50 Tablet Tablet Rp 160

31 Mefenamic Acid 500 mg Tablet A 00338 Feb-23 Kotak/100 Kaplet kaplet Rp 197.00

32 Metoclopramide 10 mg Tablet I 81959 B Aug-23 ktk / 100 tablet Tablet Rp 89.00


33 Metoclopramide HCL 5 mg Tablet 671186B Jun-22 ktk / 100 tablet Tablet Rp 124.00
34 Methylergometrine 0,125 mg Tablet 19CC009 Mar-22 ktk / 100 tablet Tablet Rp 271.00
35 Nystatin Vaginal 100.000 UI Tablet 26372012 Sep-23 ktk / 100 tab Tablet Rp 720.00
36 Nystatin Vaginal 500.000 UI Tablet 26371006 Dec-22 ktk / 100 tab Tablet Rp 1,014.00
37 Omeprazole 20 mg Kapsul 00526 Jun-24 Ktk/30 Kapsul Kapsul Rp 446.00
38 Paracetamol 500 mg Tablet A 01526 Aug-23 ktk/ 100 tab Tablet Rp 99.00
39 Pehavral Tablet 36185013-2 Jul-22 ktk/ 100 tab Tablet Rp 982.82
40 Profolat (Asam Folat) 400 Mcg Tablet 19619H0100 Aug-21 ktk/ 100 tab Tablet Rp 68.00
41 Propanolol HCL 40 mg Tablet 1004003 Apr-23 ktk/ 100 tab Tablet Rp 91.00
42 Propylthiouracil 100 mg Tablet 20 PU 1002 Mar-22 Botol/100 tab Tablet Rp 586.00
43 Pyrantel Pamoate 125 mg Tablet 1908089 Aug-21 Ktk/25 catch cover @4 tablet Tablet Rp 370.00
44 Prednisone 5 mg Tablet 1004039 Apr-22 ktk / 100 tablet Tablet Rp 79.00
45 Salbutamol 4 mg Tablet A90015B Dec-22 Ktk / 100 Tablet Tablet Rp 79
46 Salbutamol Sulfate 4 mg Tablet I 92348 B Aug-23 Ktk / 100 Tablet Tablet Rp 79
47 Salbutamol Sulfate 2 mg Tablet D 90889 B Mar-23 Ktk / 100 Tablet Tablet Rp 64
48 Spasmolit 10 mg Tablet A 0 B 047 Mar-23 ktk/100 tablet Tablet Rp 3,093.75
49 Spironolactone 25 mg Tablet 51D4225 Mar-22 ktk/100 tablet Tablet Rp 226.00
50 Vitamin B12 50 mcg Tablet H81508B Jul-23 ktk / 100 tab Tablet Rp 49.00
51 Vitamin C (Asam Askorbat) 50 mg Tablet H 00021 BI Jul-23 ktk / 100 tablet Tablet Rp 126.00
52 Air untuk injeksi 25 ml (Otsu) 85A50B Jan-23 ampul ampul Rp 2,860.00
53 Aminophylline injeksi 24mg/ml IV 19 IL009B Nov-21 ktk / 30 amp ampul Rp 3,071.00
54 Dexamethasone injeksi Sodium Phospate (Mepro) F0C516 Mar-22 Ktk / 10 ampul ampul Rp 1,278.00
55 Dipenhydramine HCL Injeksi iv/im 150mg/15ml PIN58046 Dec-21 Ktk/10Vial Vial Rp 7,315.00
56 Epinephrine 0,1%-1 ml injeksi 36344002-2 Mar-23 Ktk / 30 ampul ampul Rp 6,691.85
57 Epinephrine 1mg/mL injeksi 9619K0437A Apr-21 ktk/100 ampul @1ml ampul Rp 2,068.00
58 Ketorolac Tromethamine 30 mg/ml injeksi PIK18448 Sep-21 Ktk / 10 ampul ampul Rp 15,236.00
59 Lidocain Compositum injeksi 26815023 Oct-23 Ktk / 30 ampul ampul Rp 1,473.00
60 Lidocain HCL 2% injeksi 20 mg/ml 26362071-2 Sep-23 Ktk / 100 ampul ampul Rp 1,475.00
61 Methylergometrine Maleate 0,2mg/ml Injeksi 9620C0103A Mar-23 ktk/100 ampul @1ml ampul Rp 3,553.00
62 Methylprednisolone Serbuk Injeksi 125 mg 26463254 Aug-22 Ktk / 1 Vial + 1 Amp Kotak Rp 12,217.00
63 Omeprazole 40 mg Injeksi 36820016 May-22 Ktk / 1 Vial + 1 Amp Kotak Rp 22,000.00
64 OTSU - MgSO4 Magnesium Sulfat 20 % 77J49D Oct-21 ampul ampul Rp 3,328.00
65 OTSU - MgSO4 Magnesium Sulfat 40 % 96B50A Feb-22 ampul ampul Rp 3,796.00
66 OXYTOCIN INJEKSI 10 IU/mL 9620G0212A Jul-23 ktk/100 ampul @1ml ampul Rp 1,287.00
67 Phytomenadione Injeksi 10mg/ml 26382014-2 Aug-22 Ktk / 30 ampul ampul Rp 4,158.00
68 Alkohol 70 % 1 Liter 24 102088 Sep-24 Ktk / 20 botol botol Rp 33,000.00

69 Blood Lancet (Onemed) 09041888 Mar-23 ktk/100 pcs kotak Rp 16,750.90

70 Catgut Chromic 2/0 HR 37 MM 190501 Apr-24 KTK / 12 PCS PCS Rp 33,785.00

71 Catgut Chromic 3/0 HR 37 MM 200336 Feb-25 KTK / 12 PCS PCS Rp 33,507.00

72 Catgut Plain 2/0 HR 37 MM 181101 Oct-23 KTK / 12 PCS PCS Rp 35,285.00

73 Catgut Plain 3/0 HR 37 MM 190912 Aug-24 KTK / 12 PCS PCS Rp 36,052.00

74 Infusion Set Anak (Fesco) 20180412 Apr-23 ktk/50 pcs pcs Rp 3,963.33

75 Infusion Set Dewasa 04011988 Dec-23 ktk/50 pcs pcs Rp 3,680.00

76 Jarum Kulit No. 11 17171802 - ktk / 10 lusin lusin Rp 541,500.00

77 Jarum Kulit No. 12 17171802 - ktk / 10 lusin lusin Rp 541,500.00

78 Jarum Kulit No. 13 17171802 - ktk / 10 lusin lusin Rp 541,500.00

79 Jarum Kulit No. 14 17182703 - ktk / 10 lusin lusin Rp 541,500.00

80 Jarum Kulit No. 15 17171802 - ktk / 10 lusin lusin Rp 541,500.00

81 Jarum Otot No. 11 16153703 - ktk / 10 lusin lusin Rp 541,500.00

82 Jarum Otot No. 12 16153703 - ktk / 10 lusin lusin Rp 541,500.00

83 Jarum Otot No. 13 16153703 - ktk / 10 lusin lusin Rp 541,500.00

84 Jarum Otot No. 14 16108701 - ktk / 10 lusin lusin Rp 541,500.00

85 Jarum Otot No. 15 16108701 - ktk / 10 lusin lusin Rp 541,500.00

86 Jarum Otot No. 16 16153703 - ktk / 10 lusin lusin Rp 541,500.00

87 Jarum Otot No.10 16153703 - ktk / 10 lusin lusin Rp 541,500.00

88 Jarum Otot No.8 16153703 - ktk / 10 lusin lusin Rp 541,500.00

89 Jarum Otot No.9 16153703 - ktk / 10 lusin lusin Rp 541,500.00

90 Kapas Berlemak 500gr 46081 Aug-23 roll roll Rp 25,250.00

91 Kapas Berlemak 500gr DRC 0319 Mar-23 roll roll Rp 34,485.00

92 Kapas Berlemak 500gr (onemed) 2201 1888 - roll roll Rp 18,975.00


93 Kapas Pembalut Hidrofil 250gr DRC 010718 Jul-22 roll roll Rp 26,650.00

94 Kapas Pembalut Absorband 250gr 47012 Jan-24 roll roll Rp 19,629.63

95 Kasa 2 x 80 cm - - Roll roll Rp 8,723.00

96 Kasa Hidrofil 4 x 10 cm 100140218 - bks / 100 roll roll Rp 1,760.00

97 Kasa Hidrofil 4 x 15 cm 100130117 - bks / 50 roll roll Rp 2,464.00

98 Kasa Kompres Steril 40 x 40 cm 47012 Jan-24 Bungkus / 5 pcs pcs Rp 1,950.00

99 Kasa Pembalut 2 x 80 cm DRC 10918 Sep-22 roll roll Rp 11,019.00

100 Kasa Hidrofil 2m x 80 cm 072488MX - Kotak/180 roll roll Rp 8,855.00

101 Kasa Hidrofil 4m x 10 cm 17 092088 Aug-25 Bungkus / 50 roll roll Rp 1,725.00

102 Kasa Hidrofil 4m x 15 cm 05 092088 Aug-25 Bungkus / 50 roll roll Rp 2,415.00

103 Kasa Pembalut Hidrofil 4 x 15 cm 092288 MX - ktk / 50 roll roll Rp 2,415.00

104 Kassa 40 yard x 80 cm (onemed) 012388MX - roll roll Rp 120,750.00

105 Kasa Hydrophil 40 yard x 80 cm 082588MX - Kotak/20roll roll Rp 155,250.00

106 Mucus Extractor 20160620 Jun-21 ktk / 100 pcs pcs Rp 14,950.00

107 Nipro Syringe With Needle 1 ml 20 B1704J Jan-25 ktk/100 pcs pcs Rp 1,329.90

108 Nipro Syringe 5 ml 18 K2809J Oct-23 ktk / 100 pcs pcs Rp 1,149.50

109 Nipro Syringe 1 ml 19 A0204J Dec-23 ktk / 100 pcs pcs Rp 1,125.30

110 Povidone Iodine 60 ml 05 102088 Sep-23 Ktk/48botol botol Rp 5,412.00

111 Povidone Iodine 300 ml 18 031988 Feb-22 Ktk/24botol botol Rp 21,600.00

112 Rivanol 300 ml 25021988 Jan-22 Botol Botol Rp 3,600.00

113 Sarung Tangan Steril No.7 (mas) 19354311 Nov-24 ktk / 50 pairs pairs Rp 10,219.00

114 Sarung Tangan Steril No.8 (mas) 20075311 Feb-25 ktk / 50 pairs pairs Rp 10,219.00

115 TERUMO SYRINGE with NEEDLE 3cc/mL 191114K Oct-24 ktk / 100 pcs pcs Rp 1,138.00

116 Wing Needle No.25 G (onemed) 1810 1788 Sep-22 pcs pcs Rp 1,610.00

117 Wing Needle No.27 G (onemed) 08 072088 Jun-25 ktk / 100 pcs pcs Rp 1,610.00

118 Film 24 x 30 cm - - ktk / 100 pcs kotak Rp 950,000.00


119 Film 30 x 40 cm - - ktk / 100 pcs kotak Rp 1,200,000.00
120 Object Glass Hijau 7105 - - Kotak/72 pcs kotak Rp 95,000.40
121 Object Glass Merah 7101 - - Kotak/72 pcs kotak Rp 95,000.40
122 OXYCAN 500 cc 901013 Apr-21 Botol botol Rp 48,983.00
123 Strip Asam Urat (NESCO) UAS 20217A34 Jan-22 Ktk / 25 Test kotak Rp 234,630.00
124 Strip Glukosa (NESCO) GOS 20313F3U Feb-22 Ktk / 25 Test kotak Rp 234,630.00
125 Strip Kolesterol (NESCO) CHS 20323A4A Aug-21 Ktk / 10 Test kotak Rp 391,050.00
126 Strip Test Asam Urat (Easy Touch) UAS 20205 B2I Jan-22 Ktk / 25 Test kotak Rp 234,630.00
127 Strip Test Glukosa (Easy Touch) GOS 20106 B26 Dec-21 Ktk / 25 Test kotak Rp 234,630.00
128 Strip Test Asam Urat (Auto Check) U 20036030 Nov-21 Ktk / 25 Test kotak Rp 396,000.00
129 Strip Test Asam Urat (Auto Check) U 19186110 Jul-21 Ktk / 25 Test kotak Rp 396,000.00
130 Strip Test Asam Urat (Auto Check) U 19196120 Jul-21 Ktk / 25 Test kotak Rp 396,000.00
131 Strip Test Glukosa (Auto Check) G 20087020 Feb-22 Ktk / 25 Test kotak Rp 396,000.00
132 Strip Test Glukosa (Auto Check) G 20088020 Feb-22 Ktk / 25 Test kotak Rp 396,000.00
133 Strip Test Glukosa (Auto Check) G 20097020 Feb-22 Ktk / 25 Test kotak Rp 396,000.00
134 Strip Test Kolesterol (Auto Check) C 20029020 Jul-21 Ktk / 10 Test kotak Rp 401,178.80
135 Tabung Reaksi Besar - - pcs pcs Rp 2,250.00
136 3M ESPE Filtek P 60 NA 44836 Feb-22 pcs pcs Rp 2,225,520.00
137 3M ESPE Filtek Z 350 XT NA 83317 Sep-22 pcs pcs Rp 1,930,500.00
138 3M ESPE Filtek Z 350 XT NA 85500 Oct-22 pcs pcs Rp 1,930,500.00
139 3M ESPE CAVIT W ( Tambalan Sementara Cavit) 5560637 Sep-22 kotak kotak Rp 643,500.00
140 Barbed Broaches 15-40 L-25 59319 - set set Rp 2,574,000.00
141 CALCETIN 7g (Calcium Hydroxide) 0219 May-22 Kotak kotak Rp 970,200.00
142 Camphenol 15 ML 1121906 Jun-22 Kotak kotak Rp 445,500.00
143 COTTON ROLL PRODENTAL - - BUNGKUS BUNGKUS Rp 346,500.00
144 CRESOTIN PASTE25g TEHNODENT/MUMMFYING PAS 0619 Aug-22 Kotak kotak Rp 841,500.00
145 ELITE CEMENT L 100 G 1906071 Jun-22 Kotak kotak Rp 2,326,500.00
146 ELITE CEMENT P 125 G 1906031 Jun-22 Kotak kotak Rp 1,999,800.00
147 GC Fuji IX Universal 1904181 Apr-22 Kotak kotak Rp 2,623,500.00
148 GC HS POSTERIOR EXTRA 9 A3,5 1910111 Oct-22 Kotak kotak Rp 2,277,000.00
149 GC HS POSTERIOR EXTRA 9 A3,5 1907161 Jul-22 Kotak kotak Rp 2,277,000.00
150 GC HS POSTERIOR EXTRA 9 A3,5 1902051 Feb-22 Kotak kotak Rp 2,277,000.00
151 GC HS POSTERIOR EXTRA 9 A3 1911051 Nov-22 Kotak kotak Rp 2,277,000.00
152 GC HS POSTERIOR EXTRA 9 A2 1902061 Feb-22 Kotak kotak Rp 2,277,000.00
153 GUTTA PERCHA POINT 15-40 011119 Oct-23 Kotak kotak Rp 356,400.00
154 HEMOSPON/SURGISPON 0420001 Mar-23 Kotak kotak Rp 594,000.00
155 Hydcal 19044 Aug-22 Kotak kotak Rp 1,975,050.00
156 IODOTIN PASTE 25 g TEHNODENT/IODOFORM PASTA 0519 Jun-22 Kotak kotak Rp 445,500.00
157 KOMPOSIT 3M ESPE FILTEK Z 250 NA 93112 Nov-22 TUBE TUBE Rp 1,782,000.00
158 Master Bond D E 444/19 Jun-22 Kotak kotak Rp 2,920,500.00
159 PAPER POINTS NO.20 - - Kotak kotak Rp 257,400.00
160 PAPER POINTS NO.15-40 - - Kotak kotak Rp 257,400.00
161 PAPER POINTS NO.45-80 - - Kotak kotak Rp 257,400.00
162 Pulp-X 1881909 Jun-22 Kotak kotak Rp 1,633,500.00
163 Solare X 3.7 (2ml) A3 1903192 Mar-22 pcs pcs Rp 1,831,500.00
164 Svenska Dentorama AB - - pcs pcs Rp 2,079,000.00
165 Zitemp (Zoe Cement Quick Set) 1541913 Sep-22 Kotak kotak Rp 261,112.50
166 Svenska Dentorama AB - - pcs pcs Rp 1,641,000.00
167 Barbed Broaches 15-40 L-25 392517 - pcs pcs Rp 1,912,000.00
168 Absorbent Paper Points 15-40 010917 Aug-21 kotak kotak Rp 149,000.00
169 Ethyl Choride 100 ml 19 F0908 B Jul-21 Botol/100ml botol Rp 175,010.00
170 DEXTROSE INFUS 5% 1B0A011 Jan-22 ktk / 20 flabot flabot Rp 7,363.00
171 DEXTROSE INFUS 10% 1C9J006 Oct-21 ktk / 20 flabot flabot Rp 8,003.00
172 Ringer Laktat Infus 500 ml 1D9F 045 Jun-21 ktk / 20 flabot flabot Rp 7,630.00
173 Sodium Chloride infus 0,9% 500 ml 1A9 F 022 Jun-21 ktk / 20 flabot flabot Rp 6,840.00
174 Sodium Chloride infus 0,9% 500 ml 1A9 H 021 Aug-21 ktk / 20 flabot flabot Rp 6,840.00
175 Bufacetine Chloramphenicol Salep Kulit I 0203905 Mar-22 ktk/24 tube tube Rp 3,416.00
176 Hydrocortisone Acetate 1% 5 g krim KCHCTA95265 Oct-24 ktk/1 tube tube Rp 3,200.00
177 Hydrocortisone 2,5% Cream F 90888 T Jun-23 ktk / 24 tube tube Rp 2,533.00
178 Ketoconazole Cream F90714T Jun-23 ktk / 25 tube tube Rp 2,577.00
179 Kloramfenicol Salep Mata 1% A90024W Jan-22 ktk / 24 tube tube Rp 1,925.00
180 Miconazole Nitrate 2% Krim F 81371W Jun-22 ktk / 24 tube tube Rp 4,097.00
181 Oxytetracycline HCL Salep Mata 1 % B 90197 W Feb-22 ktk / 25 tube@3,5 gr tube Rp 2,774.00
182 Salep 24 Kombinasi Asam Salisilat 2% 18 SH 049 C Aug-22 Ktk/24 Pot Pot Rp 3,149.00
183 Salep 24 Kombinasi Asam Salisilat 2% 19 SJ002 Sep-23 Ktk/24 Pot Pot Rp 3,360.00
184 Amoxicillin Trihydrate 250mg/5ml Sirup Kering 2005-07-193 May-22 Kotak/60 botol Botol Rp 3,991.00
185 Amoxicillin 125mg/5ml Sirup Kering SKN53548 Dec-22 Kotak/50 botol Botol Rp 6,270.00
186 Antasida DOEN 400mg/5ml Syrup S 05004 BK May-22 ktk / 50 botol botol Rp 2,290.00
187 Chloramphenicol Palmitate 125 mg/5ml Suspensi 1910-37-82 Oct-21 ktk / 50 botol botol Rp 5,522.00
188 Cotrimoxazole Suspensi 60 ml (Mersi) A 93429 Dec-22 ktk / 100 botol botol Rp 2,257.00
189 Domperidone 60 ml Suspensi 1910-57-186 Oct-21 ktk / 50 botol botol Rp 2,970.00
190 Erytromicin Ethylsuccinate 200 mg Sirup Kering DS 04001 BK Apr-22 ktk / 50 botol botol Rp 14,850.00
191 Ibuprofen 60ml Suspensi S 07066 AJ Jul-21 ktk / 50 botol botol Rp 2,898.00
192 Ibuprofen Suspensi 200mg/5ml 083199 Aug-21 Ktk/36 botol Botol Rp 5,504.00
193 Paracetamol Drops 100mg/ml 2007028 Jul-22 ktk / 60 Botol botol Rp 7,979.00
194 Sirplus Simplex E 9D062 Apr-21 ktk / 25 botol botol Rp 51,700.00
195 CEFOTAXIME INJEKSI 1G I 09013 AJ Sep-21 Ktk / 10 Vial Vial Rp 4,773.00
196 CEFTRIAXONE INJEKSI 1G I 09019 AJ Sep-21 Ktk / 10 Vial Vial Rp 5,218.00
197 LIDI SWAB - - pcs pcs Rp -
198 Garam Oralit Serbuk 200 K 82364 B Oct-23 Kotak/100 sachet sachet Rp 257.00
199 Masker N95 (Tainuoer) - - Ktk/25pcs pcs Rp -
200 Masker N95 (YX135) 20200726 Jul-22 Ktk/30pcs pcs Rp -
201 OSELTAMIVIR PHOSPHATE 75 MG Kapsul 200V2015 Sep-24 Kotak/100 Kapsul Kapsul Rp 9,500.00
202 OSELTAMIVIR PHOSPHATE 75 MG Kapsul 200V2017 Sep-24 Kotak/100 Kapsul Kapsul Rp 8,940.00
203 Rapid Test COVIT-19 (Panbio) 41ADF276A Sep-21 kotak/25 Test test Rp -
204 Vitamin C (Asam Askorbat) 50 mg Tablet E90063BI Apr-22 ktk / 100 tablet tablet Rp 105.00
205 VTM - - pcs pcs Rp -
206 VTM + LIDI (CITODIA) 92092 Sep-21 Ktk/50 pcs pcs Rp 55,000.00
207 Zinc 20 mg Tablet L93851J Dec-21 ktk / 100 tablet tablet Rp 631.00

DISPOSABLE MEDICAL MASK(DREAM CAN) MASKER


208 N 95 MEO 1L-K202007032 Jul-22 Ktk/20pcs pcs Rp -
209 HAND SANITIZER ( MANDOM) - - Botol Botol Rp -
210 INDEC COVIT-19 IgG/IgM H20019 Aug-22 KOTAK/25 TEST TEST Rp 109,000.00
211 PENUTUP WAJAH - - pcs pcs Rp -
212 SEPATU BOOT - - PASANG PASANG Rp -
213 APD MEREK MEDIGLOBE - - pcs pcs Rp -
214 APD BERLIAN SANITARY - - Kotak/50Pcs pcs Rp -
215 APD M-KU'63 - - Kotak/40Pcs pcs Rp -
216 ALCOHOL SWABS 20200515 May-25 KTK/200 SWABS SWABS Rp 22,040.00
217 Alkohol Swab (OneMed) 5102088 Sep-23 Ktk/10pcs pcs Rp 95.00
218 Allopurinol 100 mg Tab A01601 Aug-23 ktk / 100 tablet tablet Rp 108.00
219 ANTASIDA DOEN TABLET A 00255 Jan-23 ktk / 100 tablet tablet Rp 58.00
220 AMBROXOL HCL TABLET 30 MG E 00361 B Apr-22 ktk / 100 tablet tablet Rp 179.00
221 AMBROXOL HCL 30 MG TABLET 26483014 Sep-22 ktk / 100 tablet tablet Rp 179.00
222 AMBROXOL HCL TABLET 30 MG C 00192 B Feb-22 ktk / 100 tablet tablet Rp 179.00
223 BAJU APD LENGKAP 5 ITEM - - SET SET Rp -
224 BETAMETHASONE VALERATE 0,1% KRIM I 00794 T Sep-22 ktk / 25 tube tube Rp 1,330.00
225 BETAMETHASONE VALERATE 0,1% KRIM C 00096 T Mar-22 ktk / 25 tube tube Rp 1,430.00
226 CETIRIZINE HCL 10 MG TABLET HTCTRC 04018 Jul-22 ktk / 100 tablet tablet Rp 235.00
227 HYDROCORISONE ACETATE 2.5% KRIM D 90321 T Apr-23 ktk / 24 tube tube Rp 2,475.00
228 OBH INDOPLUS 20 OB 1002 - ktk / 48 botol Botol Rp 10,670.00
229 VITAMIN C 500 MG TABLET A 01984 Oct-22 ktk / 100 tablet tablet Rp 198.00
230 VITAMIN C 500 MG TABLET A 01985 Oct-22 ktk / 100 tablet tablet Rp 198.00
231 HYDROCORISONE ACETATE 2.5% KRIM F00507T Jun-24 ktk / 24 tube tube Rp 2,533.00
232 SIVIT-ZINC A02432 Nov-22 BOTOL/30 KAPLET KAPLET Rp 585.00
233 SIVIT-ZINC A02436 Nov-22 BOTOL/30 KAPLET KAPLET Rp 585.00
234 Masker Kain Non Medis Logo Pemprov Kalteng - - pcs Rp 9,500.00
235 Masker Kain SRITEK - - pcs Rp 5,000.00
236 Domperidone 10 mg Tablet A 5002CW Mar-22 ktk / 100 tablet tablet Rp 96.00
237 Ergotamine Caffeine 1mg+50mg Tablet H92066B Jul-22 Botol/100 tab tablet Rp 222.00
238 Oralit Serbuk E 00167BJ Apr-23 Kotak/100 sachet sachet Rp 281.00
239 Oralit Serbuk E 00169BJ Apr-23 Kotak/100 sachet sachet Rp 281.00
240 Paracetamol 500 Mg Tablet G91136T Jul-21 ktk / 100 tablet tablet Rp 297.00
241 Antihemaroid Suppositoria H 02804W Aug-22 Ktk/10 Supp Suppositoria Rp 3,800.00
242 Suprafenid Ketoprofen Supositoria G0C346 Apr-23 ktk / 10 supp supp Rp 2,380.00
243 Stesolid 5 mg/2,5ml Diazepam 5mg X23681710 Jun-23 ktk/5 Tube Tube Rp 15,088.00
244 ALKOHOL SWAB ( Serenity) 20200318 Mar-25 Kotak/100 box Box Rp 12,500.00

CAT SERUM 3,5 ML Gel&Clot Activator 234303


245 ( Vacusera) 2866.0018.20 Oct-21 Kotak/12 Pack Pack Rp 202,313.00
246 DISPOSABLE SYRINGE 3 CC (STERA) 8062088 May-25 Kotak/100pcs pcs Rp 747.50
247 EXAMINATION Gloves Powder Uk.S ( GP Care) - Apr-25 Kotak/10 Box Box Rp 143,000.00
248 EXAMINATION Gloves Powder Uk.M ( GP Care) - Apr-25 Kotak/10 Box Box Rp 143,000.00
249 MASKER BEDAH KARET (One Med) - - Kotak/20 Box@50 Pcs kotak Rp 221,600.00
250 OBJECT GLASS 7105 (One Lab) 160419 Apr-24 Kotak/50 Box Box Rp 23,860.20
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