Anda di halaman 1dari 112

d89ed4e38b4ab2e95f3b7c1 1.

SATUAN KERJA ADALAH NAMA APOTEK, FKTP, FKRTL atau DINKES PROVINSI dan KAB/KOTA
2. SISA STOK PER 31 DESEMBER 2021 ADALAH SISA STOK PER 31 DESEMBER 2021 DI SATUAN KER
3. PREDIKSI PENGADAAN TAHUN 2021 ADALAH PREDIKSI JUMLAH YANG DIRENCANAKAN UNTUK
4. PEMAKAIAN RATA-RATA PER BULAN SELAMA 2021 ADALAH PEMAKAIAN RATA-RATA PER BULA
5. PREDIKSI SISA STOK 31 DESEMBER 2022 ADALAH SISA STOK PER 31 DESEMBER 2021 DITAMBAH
6. JUMLAH KEBUTUHAN TAHUN 2023 ADALAH PEMAKAIAN RATA-RATA PER BULAN SELAMA 2021
7. RENCANA KEBUTUHAN TAHUN 2023 ADALAH JUMLAH KEBUTUHAN YANG DIHITUNG BERDASA
8. RENCANA PENGADAAN TAHUN 2023 ADALAH RENCANA UNTUK PENGADAAN DI TAHUN 2023 D
9. RENCANA PENGADAAN TAHUN 2022 ADALAH OTOMATIS TERISI DARI SISTEM JIKA SATKER TELA
10. REALISASI PENGADAAN TAHUN 2021 ADALAH REALISASI PENGADAAN OBAT JKN BAIK E-PURC

RENCANA KEBUTUHAN OBAT PADA FASILITAS KESEHATAN RUJUK


SATUAN KERJA : RSIA BUNDA AISYAH

NO NAMA OBAT

1 1 153-Sm-EDTMP (ethylenediamine tetramethylene phosphonic acid) 44


1421 2 mg Ca/Na300
Abacavir EDTMP,
mg 5-46 ?g samarium, dan 1850 ± 185 mbq samarium 153
2 3 Adefovir dipivoksil tab 10 mg
1282 4 Adenosin inj 3 mg/mL
1154 5 Afatinib tab sal selaput 20 mg
1155 6 Afatinib tab sal selaput 30 mg
1127 7 Afatinib tab sal selaput 40 mg
1357 8 Air untuk injeksi
1358 9 Air untuk injeksi
1359 10 Air untuk injeksi
944 11 Air untuk injeksi amp 20 ml
3 12 Air untuk injeksi amp 25 ml
1278 13 Air untuk irigasi
1360 14 Air untuk irigasi inf
4 15 Air untuk irigasi lar inf 1000 ml
5 16 Akarbose tab 100 mg
6 17 Akarbose tab 50 mg
7 18 Albendazol susp 200 mg/5 ml
8 19 Albendazol tab 400 mg
10 20 Albumin serum normal (human albumin) inj 20% 100 ml
940 21 Albumin serum normal (human albumin) inj 20% 50 ml
9 22 Albumin serum normal (human albumin) inj 25% 100 ml
939 23 Albumin serum normal (human albumin) inj 25% 20 ml
938 24 Albumin serum normal (human albumin) inj 25% 50 ml
11 25 Albumin serum normal (human albumin) inj 5% 250 ml
941 26 Albumin serum normal (human albumin) inj 5% 50 ml
1179 27 Alendronat Tab 70 mg
12 28 Alopurinol tab 100 mg
13 29 Alopurinol tab 300 mg
14 30 Alprazolam tab 0,25 mg
15 31 Alprazolam tab 0,5 mg
16 32 Alprazolam tab 1 mg
17 33 Alteplase serb inj 50 mg/vial
18 34 Amfoterisin B inj 50 mg/10 ml (i.v.)
19 35 Amfoterisin B salep mata 1%
20 36 Amfoterisin B salep mata 3%
22 37 Amikasin inj 250 mg/ml
27 38 Aminofilin inj 24 mg/ml
25 39 Aminofilin tab 150 mg
26 40 Aminofilin Tab 200 mg
28 41 Amiodaron inj 150 mg/3 ml
29 42 Amiodaron tab 200 mg
30 43 Amitriptilin tab sal 25 mg
31 44 Amlodipin tab 10 mg
32 45 Amlodipin tab 5 mg
1361 46 Amoksisilin drops 100 mg/ml
1091 47 Amoksisilin drops 100 mg/ml
1362 48 Amoksisilin drops 100 mg/ml
33 49 Amoksisilin sir forte 250 mg/5 ml
34 50 Amoksisilin sir kering 125 mg/5 ml
35 51 Amoksisilin tab 250 mg
36 52 Amoksisilin tab 500 mg
37 53 Ampisilin serb inj 1000 mg/vial
38 54 Ampisilin serb inj 250 mg/vial
947 55 Analog insulin : intermediate acting inj 100 UI/ml (kemasan vial, cartridge
945 56 disposible, penfill
Analog insulin cartridge)
: mix insulin (inj 100 UI/ml)
41 57 Analog insulin intermediate acting combine with short or long acting inj
1231 58 100 IU/ml
Analog (25%intermediate
insulin insulin lispro), vial/cartridge
acting diposible/penfill
combine with short or longcartridge
acting inj
40 100 IU/ml (50% insulin lispro), vial/cartridge diposible/penfill cartridge
59 Analog Insulin long acting inj 100 IU/mL, vial/cartridge disposible/penfill
1363 60 cartridge
Analog insulin rapid acting inj 100 IU/mL
1364 61 Analog insulin rapid acting inj 100 IU/mL
1478 62 Analog Insulin: insulin basal inj 100 IU/mL
1461 63 Analog Insulin: insulin basal inj 300 IU/mL
1480 64 Analog Insulin: insulin prandial inj 100 IU/mL
42 65 Anastrozol tab 1 mg
43 66 Anestetik lokal gigi kombinasi : lidokain hcl 2% + epinefrin 1 : 80.000 inj 2
44 67 ml
Antasida, kombinasi : aluminium hidroksida 200 mg + magnesium
45 68 hidroksida 200 mg : aluminium hidroksida 200 mg + magnesium
Antasida, kombinasi
50 69 hidroksida 200 kombinasi
Anti Parkinson mg : benzerasid 25 mg + levodopa 100 mg
46 70 Antibakteri, kombinasi : basitrasin 500 UI/g+ Polimiksin B 10.000 UI/g
47 71 Antifungi salep, kombinasi : asam benzoat 6%+ asam salisilat 3%
48 72 Antihemoroid, kombinasi: bismut subgalat 150 mg + heksaklorofen 2,5
1365 73 mg + lidokain
Aquadest lidokain
cairan 500 ml10 mg+ seng oksida 120 mg + sup ad 2 g
1025 74 Aripiprazol oral solution 1 mg/ml
1283 75 Aripiprazol tab 5 mg
1026 76 Aripiprazol tab discmelt 10 mg
1027 77 Aripiprazol tab discmelt 15 mg
52 78 Artesunat serb inj 60 mg/ml (i.v./i.m.)
53 79 Articulating paper kertas warna penanda oklusi
1178 80 Asam asetat tetes telinga 2%
54 81 Asam asetilsalisilat (asetosal) tab 100 mg
55 82 Asam asetilsalisilat (asetosal) tab 80 mg
56 83 Asam askorbat (vitamin C) tab 250 mg
57 84 Asam askorbat (vitamin C) tab 50 mg
58 85 Asam folat tab 0,4 mg
59 86 Asam folat tab 1 mg
60 87 Asam folat tab 5 mg
1366 88 Asam Fusidat tts mata 1%
1068 89 Asam fusidat tts mata 1%
61 90 Asam ibandronat inj 1 mg/ml
62 91 Asam mefenamat kaps 250 mg
63 92 Asam mefenamat kaps 500 mg
64 93 Asam pipemidat kaps 400 mg
1410 94 Asam retinoat krim 0,05%
1337 95 Asam retinoat krim 0,1%
65 96 Asam retinoat krim 0,1%
66 97 Asam salisilat lar 0,1%
67 98 Asam salisilat salep 10%
68 99 Asam salisilat salep 2%
69 100 Asam salisilat salep 5%
70 101 Asam traneksamat inj 100 mg/ml
71 102 Asam traneksamat inj 50 mg/ml
72 103 Asam traneksamat tab 500 mg
73 104 Asam ursodeoksikolat kaps 250 mg
1131 105 Asam zoledronat inf 4 mg/100 ml
1180 106 Asam Zoledronat Inf 5 mg/100 ml
75 107 Asetazolamid tab 250 mg
76 108 Asiklovir salep mata 3%
1367 109 Asiklovir serb inj 250 mg
77 110 Asiklovir tab 200 mg
78 111 Asiklovir tab 400 mg
79 112 Asparaginase serb inj 10.000 UI/vial
80 113 Atapulgit 600 mg
1092 114 Atapulgit tab 630 mg
942 115 Atapulgit tablet 650 mg
943 116 Atapulgit tablet 750 mg
82 117 Atenolol tab 100 mg
81 118 Atenolol tab 50 mg
1028 119 Atorvastatin tab 10 mg
1029 120 Atorvastatin tab 20 mg
1142 121 Atrakurium inj 10 mg/ml (i.v)
1321 122 Atrakurium inj 10 mg/ml (i.v)
84 123 Atropin inj 0,25 mg/ml (i.m./i.v./s.k)
86 124 Atropin tab 0,5 mg
87 125 Atropin tts mata 0,5%
88 126 Atropin tts mata 1%
89 127 Azatioprin tab 50 mg
1049 128 Azitromisin serb inj 500 mg
90 129 Azitromisin sir kering 200 mg/5 ml
91 130 Azitromisin tab 250 mg
92 131 Azitromisin tab 500 mg
93 132 Bahan tumpatan sementara lar, serb
1322 133 Barium sulfat serb 92 g/100 ml
94 134 Barium sulfat serb 92 g/100 ml
1323 135 Barium sulfat susp 95%
1153 136 Basiliksimab Inj 20 mg
98 137 Bedak salisil serb 2%
1284 138 Bedakuilin fumarat tab 100 mg
1157 139 Bendamustin serb inj 100 mg
1156 140 Bendamustin serb inj 25 mg
100 141 Benzatin penisilin inj 1,2 juta UI/ml (i.m.)
99 142 Benzatin penisilin inj 2,4 juta UI/ml (i.m.)
102 143 Beraprost sodium tab 20 mcg
1030 144 Betahistin tab 24 mg
1031 145 Betahistin tab 6 mg
1319 146 Betaksolol tts mata 0,5%
1070 147 Betaksolol tts mata 0,5%
104 148 Betametason krim 0,1%
105 149 Betametason krim 0,5 mg/g
106 150 Betametason salep 0,1%
1368 151 Betametason tts mata 1 mg/ml
103 152 Betametason tts mata 1 mg/ml
108 153 Bikalutamid tab sal 150 mg
109 154 Bikalutamid tab sal 50 mg
110 155 Bisakodil sup 10 mg
111 156 Bisakodil sup 5 mg
112 157 Bisakodil tab sal 5 mg
1086 158 Bisoprolol tab 1,25 mg
1087 159 Bisoprolol tab 10 mg
113 160 Bisoprolol tab 2,5 mg
114 161 Bisoprolol tab 5 mg
115 162 Bleomisin serb inj 15 mg/ml
1431 163 Bortezomib serb inj 3,5 mg
1071 164 Brinzolamid tetes mata
116 165 Bromokriptin tab 2,5 mg
1309 166 Budesonid cairan ih 0,25mg/ml
117 167 Budesonid cairan ih 0,25mg/ml, respoules 2 ml
1310 168 Budesonid cairan ih 0,5 mg/ml
1232 169 Budesonid cairan ih 0,5 mg/ml, respoules 2 ml
119 170 Budesonid serb ih 100 mcg/dosis
118 171 Budesonid serb ih 200 mcg/dosis
1311 172 Budesonid serb ih 200 mcg/dosis
1182 173 Budesonid-formoterol (fixed combination) 160/4,5 mg (inhalasi), 120
1387 174 dosis
Budesonid-formoterol (fixed combination) 160/4,5 mg (inhalasi), 120
1183 175 dosis
Budesonid-formoterol (fixed combination) 160/4,5 mg (inhalasi), 60 dosis
1388 176 Budesonid-formoterol (fixed combination)* ih 80/4,5 mcg
121 177 Budesonid-formoterol (fixed combination)* ih 80/4,5 mcg
122 178 Bupivakain heavy inj 5 mg/ml (hcl) + glukosa 8%
123 179 Bupivakain inj 5 mg/ml (p.v.)
124 180 Busulfan tab salut 2 mg
1285 181 Cardioplegia inj
1447 182 Cisaprid tab 5 mg
126 183 Copper T
127 184 Dabigatran eteksilat kaps 110 mg
128 185 Dabigatran eteksilat kaps 75 mg
129 186 Dakarbazin serb inj 100 mg/vial
130 187 Dakarbazin serb inj 200 mg/vial
1248 188 Daklatasvir tab sal selaput 30 mg
1249 189 Daklatasvir tab sal selaput 60 mg
131 190 Daktinomisin inj 0,5 mg/vial (i.v.)
132 191 Dapson tab scored 100 mg
133 192 Daunorubisin serb inj 20 mg/vial
134 193 Deferasiroks tab disp 250 mg
135 194 Deferasiroks tab disp 500 mg
1458 195 Deferasiroks tab sal selaput 180 mg
1459 196 Deferasiroks tab sal selaput 360 mg
136 197 Deferipron lar oral 100 mg/ml
137 198 Deferipron tab sal 500 mg
138 199 Deferoksamin mesilat serb inj 500 mg/vial
141 200 Deksametason inj 5 mg/ml (i.v./i.m.)
139 201 Deksametason tab 0,5 mg
1040 202 Deksmedetomidin Inj 100 mcg/ml
1372 203 Delamanid tab 50 mg
1246 204 Desfluran cairan ih
1135 205 Desmopresin nasal spray 10 mcg/puff
142 206 Desmopresin tab 0,1 mg
143 207 Desmopresin tab 0,2 mg
144 208 Desogestrel tab 75 mcg
145 209 Desoksimetason gel 0,05%
146 210 Desoksimetason krim 0,25%
1373 211 Desoksimetason krim 0,25%
147 212 Desoksimetason salep 0,25%
1374 213 Dialisis peritoneal, larutan intraperitoneal - Extraneal
150 214 Diazepam enema 10 mg/2,5 ml
151 215 Diazepam enema 5 mg/2,5 ml
149 216 Diazepam inj 5 mg/ml (i.v./i.m.)
152 217 Diazepam tab 2 mg
153 218 Diazepam tab 5 mg
1122 219 Dienogest tab 2 mg
154 220 Dietilkarbamazin tab 100 mg
155 221 Difenhidramin inj 10 mg/ml (i.v./i.m.)
156 222 Diflukortolon valerat salep berlemak 0,1%
157 223 Digoksin inj 0,25 mg/ml
158 224 Digoksin tab 0,25 mg
159 225 Diltiazem hcl inj 5 mg/5 ml
161 226 Diltiazem inj 25 mg/5 ml
162 227 Diltiazem kaps SR 100 mg
163 228 Diltiazem kaps SR 200 mg
164 229 Diltiazem serb inj 10 mg/10 ml
165 230 Diltiazem serb inj 50 mg/vial
166 231 Diltiazem tab 30 mg
167 232 Dimenhidrinat tab 50 mg
168 233 Dinatrium edetat tts mata 0,35% (3,5 mg/ml)
169 234 Dinatrium klodronat inj 60 mg/ml
170 235 DMSA (dimercapto succinic acid) 1,1 mg meso-2, 3-dimercaptosuccinic
171 236 acid/vial
Dobutamin inj 12,5 mg/ml
172 237 Dobutamin inj 25 mg/ml
173 238 Dobutamin inj 50 mg/ml
176 239 Doksazosin tab 1 mg
177 240 Doksazosin tab 2 mg
178 241 Doksisiklin kaps 100 mg
179 242 Doksisiklin kaps 50 mg
180 243 Doksorubisin serb inj 10 mg/vial (i.v.)
181 244 Doksorubisin serb inj 50 mg/vial
1375 245 Dolutegravir tab 50 mg
182 246 Domperidon susp 5 mg/5 ml
183 247 Domperidon tab 10 mg
184 248 Domperidon tts 5 mg/ml
1032 249 Donepezil tab 5 mg
1033 250 Donepezil tab eff 10 mg
185 251 Dopamin inj 40 mg/ml
186 252 Dosetaksel inj 20 mg
1185 253 Dosetaksel inj 40 mg/ml (vial 0,5 ml)
1184 254 Dosetaksel inj 40 mg/ml (vial 2 ml)
187 255 Dosetaksel inj 80 mg
188 256 DTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg pentetate
189 257 calcium trisodium/ml
Dutasterid kaps 0,5 mg
1094 258 Efavirenz tab 200 mg
190 259 Efavirenz tab sal 600 mg
191 260 Efedrin inj 50 mg/ml
192 261 Eksemestan tab 25 mg
1252 262 Eltrombopag tab sal selaput 25 mg
1253 263 Eltrombopag tab sal selaput 50 mg
193 264 Enoksaparin sodium inj 20 mg/0,2 ml
194 265 Enoksaparin sodium inj 40 mg/0,4 ml
195 266 Enoksaparin sodium inj 60 mg/0,6 ml
1056 267 Entekavir tab sal selaput 0,5 mg
1057 268 Entekavir tab sal selaput 1 mg
197 269 Epinefrin (adrenalin) inj 1 mg/ml
1312 270 Epirubisin serb inj 2 mg/ml, vial 25 ml
198 271 Epirubisin serb inj 2 mg/ml, vial 5 ml
199 272 Epirubisin serb inj 50 mg
200 273 Ergokalsiferol (vitamin D2) kaps 50.000 UI
201 274 Ergokalsiferol (vitamin D2) susp 10.000 UI/ml
202 275 Ergotamin tab 1 mg
1432 276 Eribulin inj 0,44 mg/ml
203 277 Eritromisin kaps 250 mg
204 278 Eritromisin sir 200 mg/5 ml
205 279 Eritromisin tab 500 mg
206 280 Eritropoetin-alfa inj 10.000 IU
207 281 Eritropoetin-alfa inj 2.000 IU
208 282 Eritropoetin-alfa inj 3.000 IU
1254 283 Eritropoetin-alfa inj 4.000 IU
209 284 Eritropoetin-beta inj 2000 UI/0,3 ml
1460 285 Eritropoietin-alfa inj 40.000 IU
1158 286 Eritropoietin-Alfa Inj 4000 IU/0,5 ml
1034 287 Erlotinib tab sal selaput 100 mg
1035 288 Erlotinib tab sal selaput 150 mg
948 289 Esomeprazole inj 40 mg/vial
211 290 Estrogen terkonjugasi tab sal 0,625 mg
213 291 Etambutol tab 400 mg
1430 292 Etanercept inj 50 mg/ml
215 293 Etanol 70% cairan 70%
216 294 Etil klorida semprot 100 ml
1093 295 Etonogestrel implan 68 mg
219 296 Etoposid inj 20 mg/ml
221 297 Eugenol
222 298 Everolimus tab 0,25 mg
223 299 Everolimus tab 0,5 mg
1457 300 Everolimus tab 0,75 mg
1159 301 Faktor IX Kompleks Inj 50 IU/mL
224 302 Faktor IX kompleks serb inj 1.000 UI/vial + pelarut 10 ml
225 303 Faktor IX kompleks serb inj 500 UI/vial + pelarut
1080 304 Faktor koagulasi II 14-35 UI, faktor koagulasi VII 7-20 UI, faktor koagulasi
1251 IX 25 UI,
305 Faktor faktor koagulasi
koagulasi X 14-35
II 14-35 UI, faktorserb inj 250VII
koagulasi IU/10
7-20ml
UI, faktor koagulasi
227 IX 25 UI, faktor koagulasi X 14-35 serb inj 500 UI/20 ml
306 Faktor viia (rekombinan) serb inj 1 mg/vial + pelarut untuk UI injeksi
228 307 Faktor VIII (konsentrat) serb inj 230 -340 UI
230 308 Faktor VIII (konsentrat) serb inj 480 - 600 UI
1085 309 Faktor VIII serb inj 1000 mg/vial
229 310 Faktor VIII serb inj 250 IU
231 311 Faktor VIII serb inj 500 IU
1259 312 Fenilefrin drops 10%
233 313 Fenitoin Na inj 50 mg/ml (100 mg/ 2 mL)
234 314 Fenitoin Na kaps 100 mg
235 315 Fenitoin Na kaps 30 mg
1286 316 Fenobarbital inj 100 mg/mL
236 317 Fenobarbital inj 50 mg/ml
237 318 Fenobarbital tab 100 mg
238 319 Fenobarbital tab 30 mg
239 320 Fenofibrat kaps 100 mg
240 321 Fenofibrat kaps 300 mg
242 322 Fenoksimetil penisilin (penisilin V) tab 250 mg
243 323 Fenoksimetil penisilin (penisilin V) tab 500 mg
244 324 Fenoterol hbr aerosol 100 mcg/puff
245 325 Fenoterol hbr cairan ih 0,1%
1187 326 Fentanil inj 0,05 mg/ml (ampul 10 ml)
1186 327 Fentanil inj 0,05 mg/ml (ampul 2 ml)
247 328 Fentanil patch 12,5 mcg/jam
248 329 Fentanil patch 25 mcg/jam
249 330 Fentanil patch 50 mcg/jam
1063 331 Ferrakrilum cairan 1%
253 332 Filgrastim inj 300 mcg/ml
254 333 Finasterid tab 5 mg
255 334 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.)
256 335 Fitomenadion (vitamin K 1) tab sal 10 mg
1081 336 Fitomenadion (vitamin K1) inj 10 mg/ml (i.m)
257 337 Fludarabin inj 50 mg/vial
258 338 Fludarabin tab sal 10 mg
259 339 Flufenazin inj 25 mg/ml (i.m.)
260 340 Flukonazol inj 2 mg/ml
261 341 Flukonazol kaps 150 mg
262 342 Flukonazol kaps 50 mg
263 343 Fluoksetin kaps 10 mg
264 344 Fluoksetin kaps 20 mg
267 345 Fluor kapl 1 mg
265 346 Fluor sediaan topikal
950 347 Fluorescein Sodium/ Natrium Fluoresein inj 100 mg/mL
269 348 Fluoro deoxy glucose (FDG)
270 349 Fluorometolon tts mata 0,1%
1377 350 Fluorometolon tts mata 0,1%
1188 351 Fluorourasil inj 50 mg/mL (@ 10 mL)
1189 352 Fluorourasil inj 50 mg/mL (@ 5 mL)
274 353 Flusinolon asetonid krim 0,025%
275 354 Flusinolon asetonid salep 0,025%
276 355 Flutikason furoat intranasal spray
277 356 Flutikason propionat cairan ih 0,5 mg/dosis
1262 357 Flutikason Propionat MDI 50 mcg/semprot
1446 358 Fluvoksamin tab sal selaput 100 mg
1445 359 Fluvoksamin tab sal selaput 50 mg
278 360 Fondaparinuks inj 2,5 mg/0,5 ml
281 361 Formokresol
1247 362 Fosfomisin Trometamol granula 3 g
282 363 Fraksi protein plasma lar inf 5%
1095 364 Framisetin Sulfat Tulle 1%
283 365 Furosemid inj 10 mg/ml (i.v./i.m.)
284 366 Furosemid tab 40 mg
951 367 Gabapentin kaps 100 mg
952 368 Gabapentin kaps 300 mg
1190 369 Gadobutrol Macrocyclic 5 ml
1191 370 Gadobutrol Macrocyclic 7,5 ml
287 371 Gadoksetat disodium 0,25 mmol gadoksetat disodium/ml
1467 372 Gadoteric acid inj 279,32 mg/ml
1468 373 Gadoteric acid inj 279,32 mg/ml
1437 374 Gadoteric acid inj 279,32 mg/ml
288 375 Galactose microparticle 200-400 mg micropart/ml
289 376 Gansiklovir serb inj 500 mg/vial
251 377 Garam Fe, setara dengan Fe elemental 15 mg/5 mL
252 378 Garam Fe, setara dengan Fe elemental 60 mg
250 379 Garam Fe, setara dengan Fe elemental 60 mg
290 380 Garam oralit kombinasi : natrium klorida 0,52 g + kalium klorida 0,30 g +
291 381 trinatrium sitrat
Gefitinib tab 2500,58
mg g + glukosa anhidrat 2,7 g
292 382 Gemfibrozil kaps 300 mg
293 383 Gemfibrozil kaps 600 mg
294 384 Gemsitabin inj 1000 mg/vial
295 385 Gemsitabin inj 200 mg/vial
297 386 Gentamisin inj 40 mg/ml
299 387 Gentamisin salep mata 0,3%
1258 388 Gentamisin tsts mata 1%
300 389 Gentamisin tts mata 0,3%
301 390 Glass ionomer ART (Atraumatic Restorative Treatment) cocoa butter 5 g
302 391 Glass ionomer ART (Atraumatic Restorative Treatment) lar
303 392 Glass ionomer ART (Atraumatic Restorative Treatment) serb
304 393 Glibenklamid tab 2,5 mg
305 394 Glibenklamid tab 5 mg
306 395 Gliklazid tab 80 mg
307 396 Gliklazid tab MR 30 mg
308 397 Gliklazid tab SR 60 mg
1287 398 Glikopironium serb ih 50 mcg
309 399 Glikuidon tab 30 mg
310 400 Glimepirid tab 1 mg
311 401 Glimepirid tab 2 mg
312 402 Glimepirid tab 3 mg
313 403 Glimepirid tab 4 mg
314 404 Glipizid tab 10 mg
315 405 Glipizid tab 5 mg
1138 406 Gliseril trinitrat inj 5 mg/ml
318 407 Gliseril trinitrat kaps lepas lambat 2,5 mg
319 408 Gliseril trinitrat kaps lepas lambat 5 mg
320 409 Gliseril trinitrat tab 0,5 mg
321 410 Gliserin lar 50%
323 411 Gliserin tts 100 mg/ml
955 412 Glukosa Larutan Infus 10% steril 100 ml
956 413 Glukosa Larutan Infus 10% steril 250 ml
514 414 Glukosa Larutan Infus 10% steril 500 ml
1332 415 Glukosa Larutan Infus 40%
953 416 Glukosa Larutan Infus 5% steril 100 ml
954 417 Glukosa Larutan Infus 5% steril 250 ml
513 418 Glukosa Larutan Infus 5% steril 500 ml
324 419 Goserelin asetat inj 10,8 mg/vial
325 420 Goserelin asetat inj 3,6 mg/vial
326 421 Griseofulvin (micronized) tab 125 mg
327 422 Griseofulvin (micronized) tab 500 mg
328 423 Griseofulvin (micronized) tab scored 250 mg
329 424 Gutta percha dan paper points 15 - 40 mm
330 425 Gutta percha dan paper points 45 - 80 mm
331 426 Haloperidol inj 5 mg/ml (i.m.)
332 427 Haloperidol inj 50 mg/ml (decanoat)
333 428 Haloperidol tab 0,5 mg
334 429 Haloperidol tab 1,5 mg
335 430 Haloperidol tab 2 mg
336 431 Haloperidol tab 5 mg
337 432 Haloperidol tts 2 mg/ml
338 433 Halotan ih
1378 434 Hemodialisa lar
341 435 Heparin, Na inj 5.000 UI/ml (i.v./s.k.)
342 436 Hepatitis B imunoglobulin (human) inj 150 IU/1,5 ml
1096 437 Hepatitis B imunoglobulin (human) Inj 220 IU/ml
345 438 Hidrogen peroksida cairan 3%
347 439 Hidroklorotiazid tab 12,5 mg
348 440 Hidroklorotiazid tab 25 mg
350 441 Hidrokortison krim 1%
351 442 Hidrokortison krim 2,5%
352 443 Hidrokortison serb inj 100 mg
1161 444 Hidrokortison Tab 20 mg
343 445 Hidroksi klorokuin tab 200 mg
355 446 Hidroksi urea tab 500 mg
357 447 Hiosina butilbromida inj 20 mg/ml
358 448 Hiosina butilbromida tab 10 mg
359 449 Homatropin tts mata 2%
1417 450 Human insulin : mix insulin inj 100 UI/ml
361 451 Human insulin : mix insulin inj 100 UI/ml
1195 452 Human Insulin intermediate acting combine with short or long acting inj
100 IU/mL, cartridge disposible/penfill cartridge
1197 453 Human insulin intermediate acting combine with short or long acting inj
1192 454 100
HumanIU/mL, Vialintermediate
Insulin 10 mL acting inj 100 IU/ml, cartridge
1193 disposible/penfill cartridge
455 Human Insulin intermediate acting inj 100 IU/Ml, Vial 10 mL
1194 456 Human Insulin intermediate acting inj 100 IU/mL, Vial 5 mL
1416 457 Human insulin short acting inj 100 IU/ml
957 458 Human insulin short acting inj 100 IU/ml
1479 459 Human Insulin: insulin basal inj 100 IU/mL
1481 460 Human Insulin: insulin prandial inj 100 IU/mL
363 461 Human tetanus imunoglobulin inj 250 UI (i.m.)
364 462 Human tetanus imunoglobulin inj 500 UI (i.m.)
958 463 Hydromorphone HCl tab oros 16 mg
959 464 Hydromorphone HCl tab oros 8 mg
1456 465 Ibuprofen Inj 100 mg/ml
365 466 Ibuprofen sir 100 mg/5 ml
366 467 Ibuprofen sir 200 mg/5 ml
367 468 Ibuprofen tab 200 mg
368 469 Ibuprofen tab 400 mg
1061 470 Idarubisin serb inj 20 mg
369 471 Ifosfamid serb inj 1000 mg/vial
960 472 Ifosfamid serb inj 2000 mg/vial
370 473 Ifosfamid serb inj 500 mg/vial
1292 474 Iloprost ih 10 mcg/mL
371 475 Imatinib mesilat tab 100 mg
1076 476 Imatinib Mesilat tab 400 mg
1452 477 Imidafenasin tab sal selaput 0,1 mg
372 478 Imidapril tab 10 mg
373 479 Imidapril tab 5 mg
1097 480 Imunoglobulin Intravena Inj 50 mg/ml, untuk terapi GBS (Guillain Bare
962 481 Syndrom)
Indakaterol serb ih 150 mcg
963 482 Indakaterol serb ih 300 mcg
1324 483 Iodiksanol vial 320 mg Iodium/100 ml
375 484 Iodiksanol vial 320 mg Iodium/50 ml
376 485 Iodium 131
377 486 Iodohippurate sodium I 131 37-74 mbq/ multiple-dose
1203 487 Ioheksol 180 - 300 mg Iodium/mL (300 mg/20 mL)
379 488 Ioheksol 240-350 mg Iodium/ml (300 mg/75 ml)
1325 489 Ioheksol 240-350 mg Iodium/ml (350 mg/75 ml)
1204 490 Ioheksol Inj 140 - 350 mg Iodium/mL (350 mg/100 ml)
1205 491 Ioheksol Inj 140 - 350 mg Iodium/mL (350 mg/50 ml)
1201 492 Ioheksol Inj 180 - 300 mg Iodium/mL (300 mg/100 ml)
1202 493 Ioheksol Inj 180 - 300 mg Iodium/mL (300 mg/50 ml)
1379 494 Iopamidol 300 - 370 mg Iodium/mL (300 mg/100 mL)
1380 495 Iopamidol 300 - 370 mg Iodium/mL (300 mg/50 mL)
1235 496 Iopamidol 300 - 370 mg Iodium/mL (370 mg/100 mL)
382 497 Iopamidol 300 - 370 mg Iodium/mL (370 mg/200 mL)
1236 498 Iopamidol 300 - 370 mg Iodium/mL (370 mg/50 mL)
1206 499 Iopromid 300 - 370 mg (300 mg/100 mL)
1207 500 Iopromid 300 - 370 mg (300 mg/50 mL)
1208 501 Iopromid 300 - 370 mg (370 mg/100 mL)
1209 502 Iopromid 300 - 370 mg (370 mg/50 mL)
387 503 Ipratropium bromida aerosol 20 mcg/semprot
388 504 Ipratropium bromida cairan ih 0,025%
389 505 Irbesartan tab 150 mg
390 506 Irbesartan tab 300 mg
1381 507 Irinotekan inf 20 mg/ml
1382 508 Irinotekan inf 20 mg/ml
1383 509 Irinotekan inj 20 mg/ml
1384 510 Irinotekan inj 20 mg/ml
393 511 Isofluran inhalasi 100 ml
964 512 Isofluran inhalasi 250 ml
394 513 Isoniazid tab 100 mg
395 514 Isoniazid tab 300 mg
396 515 Isosorbid dinitrat inj 1 mg/ml (i.v)
397 516 Isosorbid dinitrat tab 10 mg
398 517 Isosorbid dinitrat tab 5 mg
1148 518 Itrakonazol Kaps 100 mg
1136 519 IUD Cu T 380 A
1137 520 IUD Levonorgestrel
1139 521 Ivabradin tab 5 mg
1062 522 k.y jelly
399 523 Kalamin
400 524 Kalium aspartat tab 300 mg
401 525 Kalium klorida / Potasium klorida injeksi 25 mg 7,46%, 25 mL
402 526 Kalium klorida tab SR 600 mg
1098 527 Kalsitriol kaps lunak 0,25 mcg
1099 528 Kalsitriol kaps lunak 0,5 mcg
1100 529 Kalsium Folinat (Leukovorin, Ca) Inj 10 mg/ml
405 530 Kalsium folinat (leukovorin, Ca) tab 15 mg
406 531 Kalsium glukonat inj 100 mg/ml
407 532 Kalsium hidroksida bubuk, pasta
1101 533 Kalsium hipoklorit
408 534 Kalsium karbonat tab 500 mg
409 535 Kalsium laktat (kalk) tab 500 mg
410 536 Kalsium polistirena sulfonat ktg 5 g
412 537 Kandesartan tab 16 mg
413 538 Kandesartan tab 8 mg
414 539 Kapesitabin tab sal 500 mg
415 540 Kaptopril tab 12,5 mg
416 541 Kaptopril tab 25 mg
417 542 Kaptopril tab 50 mg
418 543 Karbamazepin sir 100 mg/5 ml
1102 544 Karbamazepin Tab 200 mg
420 545 Karbimazol tab 5 mg
422 546 Karbogliserin tts telinga 10 %
423 547 Karboksimetilselulosa tts mata
1211 548 Karboplatin Inj 10 mg (vial 45 ml)
1210 549 Karboplatin inj 10 mg/ml (vial 15 ml
427 550 Karvedilol kaps 6,25 mg
1104 551 Karvedilol tab 25 mg
428 552 Ketamin inj 100 mg/ml (i.v.)
429 553 Ketamin inj 50 mg/ml (i.v.)
431 554 Ketokonazol krim 2%
432 555 Ketokonazol scalp sol 2%
430 556 Ketokonazol tab 200 mg
1146 557 Ketoprofen Inj 25 mg/ml
433 558 Ketoprofen sup 100 mg
434 559 Ketorolak inj 30 mg/ml
1050 560 Klaritromisin sir kering 125 mg/5 ml
1051 561 Klaritromisin sir kering 250 mg/5 ml
435 562 Klaritromisin tab 500 mg
436 563 Klindamisin kaps 150 mg
437 564 Klindamisin kaps 300 mg
438 565 Klobazam tab 10 mg
1288 566 Klobetasol propionat krim 0,05%
1289 567 Klobetasol propionat salep 0,05%
1105 568 Klofazimin, micronized kaps 50 mg
439 569 Klofazimin, micronizedkaps 100 mg
441 570 Klomipramin tab 25
1006 571 Klonazepam kaps 2 mg
442 572 Klonidin inj 150 mcg/ml
443 573 Klonidin tab 0,15 mg
444 574 Klopidogrel tab 75 mg
1082 575 Klopidogrel tab sal selaput 300 mg
445 576 Kloral hidrat lar
1077 577 Klorambusil tab sal selaput 5 mg
449 578 Kloramfenikol kaps 250 mg
450 579 Kloramfenikol kaps 500 mg
452 580 Kloramfenikol salep mata 1%
453 581 Kloramfenikol serb inj 1.000 mg/ml
454 582 Kloramfenikol susp 125 mg/5 ml
1088 583 Kloramfenikol tetes telinga 3%
447 584 Kloramfenikol tts mata 0,5%
448 585 Kloramfenikol tts mata 1%
455 586 Klorfeniramin tab 4 mg
456 587 Klorfenol kamfer mentol (CHKM)
457 588 Klorheksidin lar 0,2%
458 589 Klorheksidin lar 15%
1055 590 Klorokuin tab 250 mg
459 591 Klorpromazin inj 25 mg/ml (i.m.)
460 592 Klorpromazin inj 5 mg/ml (i.m.)
461 593 Klorpromazin tab sal 100 mg
462 594 Klorpromazin tab sal 25 mg
463 595 Klortalidon tab 50 mg
464 596 Klotrimazol tab vagina 100 mg
465 597 Klozapin tab 100 mg
466 598 Klozapin tab 25 mg
467 599 Kodein tab 10 mg
468 600 Kodein tab 15 mg
469 601 Kodein tab 20 mg
472 602 Kolestiramin serb, 4 g
473 603 Kolkisin tab 500 mcg
1391 604 Komb: Deksametason 0,1% Thymol 5% Paraklorphenol 30
1106 605 Kombinasi (DHP) : dihidroartemisin 40 mg + Piperakuin 320 mg tab sal
1046 606 selaput
Kombinasi : (Ampisilin 1000 mg + Sulbaktam 500 mg) serb inj 1500 mg
1047 607 Kombinasi : (Sefoperazon 500 mg + Sulbaktam 500 mg) serb inj 1000 mg
1109 608 Kombinasi : (Zidovudin 60 mg + Lamivudin 30 mg + Nevirapin 50 mg) Ped
1045 609 Triple FDC : Ampisilin 500 mg + Sulbaktam 250 mg serb inj 750 mg
Kombinasi
485 610 Kombinasi : artemether 20 mg + lumefantrin 120 mg
877 611 kombinasi : benserazid 25 mg + levodopa 100 mg
1260 612 Kombinasi : Brinzolamid 1% + Timolol 0,5%, tts mata
1007 613 Kombinasi : Desogestrel 150 mcg Etinilestradiol 30 mcg
486 614 Kombinasi : ergotamin 1 mg+ kafein 50 mg
1108 615 Kombinasi : Ferro fumarat 60 mg + asam folat 0,4 mg tab salut
1263 616 Kombinasi : Indakaterol 110 mcg + Glycopyrronium 50 mcg serb ih + alat
1172 617 breezhaler
Kombinasi : Ipratropium bromida 0,02 mg + fenoterol HBr 0,05 mg
482 618 aerosol
Kombinasi : levodopa 100 mg+Karbidopa 25 mg + entekapon 200 mg
483 619 Kombinasi : levonorgestrel 150 mcg + etinilestradiol 30 mcg
488 620 Kombinasi : medroksi progesteron asetat+ estradiol sipionat inj depot 25
21 621 mg + 5 mg : Meglumin amidotrizoat + Sodium amidotrizoat inj 76%
Kombinasi
1226 622 Kombinasi : Sefiksim 400 mg + Azitromisin 1000 mg
1149 623 Kombinasi : Tenofovir 300 mg + Emtrisitabin 200 mg
1150 624 Kombinasi : Tenofovir 300 mg + Lamivudin 300 mg + Efavirenz 600 mg
1261 625 Kombinasi : Travoprost 0,004% + Timolol 0,5%, tts mata
1064 626 Kombinasi : triamsinolon + dementilklortetrasiklin
484 627 Kombinasi : zidovudin 300 mg +lamivudin 150 mg
1440 628 Kombinasi KDT/FDC mengandung: (medroksi progesteron asetat 120 mg
1449 + estradiol KDT/FDC
629 Kombinasi sipionat 10 mg) inj
mengandung: (salmeterol 50 mcg + flutikason
1448 propionat 250 mcg) serb ih
630 Kombinasi KDT/FDC mengandung: (salmeterol 50 mcg + flutikason
1450 631 propionat
Kombinasi500 mcg) serb
KDT/FDC ih
mengandung: (tiotropium 2,5 mcg + olodaterol 2,5
1451 mcg) cairan ih
632 Kombinasi KDT/FDC mengandung: (tiotropium 2,5 mcg + olodaterol 2,5
1385 633 mcg) cairanKDT/FDC,
Kombinasi ih, refill setiap mL mengandung: latanoprost 0,05 mg +
1386 timolol 5 mg
634 Kombinasi tetes mata
KDT/FDC, setiap mL mengandung: latanoprost 0,05 mg +
1313 timolol 5 mg tetes mata
635 Kombinasi, setiap ml mengandung: natrium klorida 4,40 mg + kalium
1314 636 klorida 0,80setiap
Kombinasi, mg (tetes mata)
ml mengandung: natrium klorida 4,40 mg + kalium
495 klorida 0,80 mg (tetes mata)
637 Kombinasi, setiap ml mengandung: natrium klorida 4,40 mg + kalium
1290 klorida 0,80 mg (tetes mata)
638 Kombinasi: Amoksisilin 1.000 mg + Asam klavulanat 200 mg, Inj 1.200 mg
1389 639 Kombinasi: Elbasvir 50 mg dan Grazoprevir 100 mg tablet salut selaput
489 640 Kombinasi: Ipratropium bromida 0,5 mg + Salbutamol 2,5 mg, cairan ih
493 641 Kombinasi: kaolin 550 mg + pektin 20 mg
494 642 Kombinasi: lopinavir 200 mg + ritonavir (LVP) 50 mg, tab 250 mg
496 643 Kombinasi: parafin + gliserin + fenolftalein
490 644 Kombinasi: salmeterol 25 mcg + flutikason propionat 50 mcg ih 50
491 645 mcg/puff
Kombinasi: salmeterol 50 mcg + flutikason propionat 100 mcg ih 100
1008 646 mcg/puff
Kombinasi: salmeterol 50 mcg + flutikason propionat 500 mcg ih 500
492 647 mcg/puff
Kombinasi: salmeterol 50 mcg+ flutikason propionat 250 mcg ih 250
1390 648 mcg/puff
Kombinasi: Tenofovir 300 mg + Lamivudin 300 mg + Dolutegravir 50 mg,
1392 649 tablet
Komibinasi: lidokain + medisinal creosote phenol + eugenol + benzil
498 650 alkohol,
Kompositcairan
resin
499 651 Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+
500 652 trimetoprim
Kotrimoksazol 80(dewasa)
mg kombinasi : sulfametoksazol 800 mg+
501 trimetoprim 160 mg
653 Kotrimoksazol kombinasi tiap 5 ml suspensi : sulfametoksazol 200 mg +
502 654 trimetoprim
Kuinin inj 25% 40(i.v.)
mg
503 655 Kuinin tab 200 mg
506 656 Laktulosa sir 3,335 g/5 ml
508 657 Lamivudin (3TC) tab 150 mg
507 658 Lamivudin tab 100 mg
1147 659 Lamotrigin Tab 100 mg
1042 660 Lamotrigin tab 50 mg
1041 661 Lamotrigin tab dispersible 25 mg
509 662 Lansoprazol inj 30 mg/ml
510 663 Lansoprazol kaps 30 mg
511 664 Lapatinib tab 250 mg
965 665 Larutan mengandung Asam Amino (Asam Amino 10%)
966 666 Larutan mengandung Asam Amino (Asam Amino 100 g, Total N 15,7 g,
1414 667 Na+ 2 mEq,
Larutan Asetat 120Asam
mengandung mEq)Amino (Asam Amino 15 g, Glukosa 37,5 g,
967 668 Tiamin
LarutanHCl 0,75 mg, elektrolit)
mengandung Asam Amino (Asam Amino 27 g, Sorbitol 50 g, Cl-52
968 mEq)
669 Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan
969 670 elektrolit) 1000 ml Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan
Larutan mengandung
1415 elektrolit)
671 Larutan 500 ml
mengandung Asam Amino (Asam Amino 30 g, Glukosa 75 g,
970 Tiamin HCl 1,5 mg, elektrolit)
672 Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 45%, L-
971 673 Ornithine L Aspartate Asam
Larutan mengandung 8.03 gr/L,
AminoSorbitol
(Asam50Amino
gr/L, Xylitol 50 gr/L)
6%, mengandung
972 Taurine 0,24 gr/l) : Aminosteril Infant 6%
674 Larutan mengandung Asam Amino (Asam Amino 7% (total protein 17,5 g)
973 675 dengan
Larutan kandungan
mengandung asam amino
Asam Aminoesensial
(Asam(EAA)
Amino dan nong,
72.05 esensial
Total N(NEAA)
11.53 g,
974 AAE/AANE
676 Larutan ratio 2.6, Na+
mengandung 2 mEq,
Asam Amino Asetat
(Asam46Amino
mEq) 79.9 g, Total N 12.2 g,
520 677 Na+ 14 mEq,
Larutan Cl 94 mEq)
mengandung Asam Amino (Asam amino 8%) : Aminosteril N-
1275 Hepa
678 Larutan mengandung Asam Amino (Asam Amino 9%, Komposisi: Asam
975 679 Amino
Larutanesensial:
mengandung Asam Asam
AminoAmino
non esensial = 60 : 40)
(Asam Amino esensial 7%+Xylitol 10
976 g/L)
680 Larutan mengandung Asam Amino (BCAA 25 gr/L, L-Ornithine L Aspartate
1219 681 10 gr/L, Xylitol
Larutan 50 gr/L,Asam
mengandung MalicAmino
Acid 7(Glutamine
gr/L, Piridoxin 0.12 gr/L)
20 g)
1271 682 Larutan mengandung Asam Amino (Kombinasi : asam amino, glukosa, dan
1272 683 lipid)
Larutan(Lipid Peri 1250) Asam Amino (Kombinasi : glukosa, emulsi lemak,
mengandung
1273 dan asam amino)
684 Larutan mengandung (Lipid Special
Asam 1250)
Amino (Kombinasi : glukosa, emulsi lemak,
1238 dan asam amino) (Lipid Special 625)
685 Larutan mengandung asam amino (kombinasi AA 50 g/L, sorbitol 50 g/L,
977 Xylitol 50mengandung
686 Larutan g/L, vit C 0,4Asam
g/L, Inositol
Amino 0,5 g/L, Niasinamid
(Kombinasi 0,06 g/L,
Asam amino vit B6
50 g/L,
980 vitamin dan elektrolit)
687 Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 150
gr + Asam Amino 48 gr dgn akses sentral)
981 688 Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 80
1396 689 gr + Asam
Larutan Amino 40 gr)
mengandung Asam Amino (N(2)-L-Alanyl-L-Glutamine/ N(2)-L-
979 Alanyl-L-Glutamine 20%)
690 Larutan mengandung Asam Amino + Elektrolit + Karbohidrat + Lipid
1341 691 (Kombinasi Asam Amino:
Larutan mengandung asam45gr,
aminoGlukosa: 130gr,+Lipid:
+ elektrolit 68gr dan
Karbohidrat Elektrolit
+ Lipid
1342 692 (Glukosa 103 g, Asam asam
Larutan mengandung aminoamino
46 g, Elektrolit,
+ elektrolitLipid 41 g dengan
+ Karbohidrat Fish Oil 6,1
+ Lipid
1340 (Glukosamengandung
693 Larutan 135 g, Asam asam
aminoamino
60 g, Elektrolit,
+ elektrolitLipid 54 g dengan
+ Karbohidrat Fish Oil 8
+ Lipid
1277 (Glukosa 63 g, Asam amino 25 g, Elektrolit, Lipid 19 g dengan
694 Larutan Mengandung Asam amino + Elektrolit + Karbohidrat + Lipid Fish Oil 2,8
978 695 (Kombinasi Asam amino
Larutan mengandung 56,9Amino
Asam g, Lipid 40 g, Glukosa
+ Elektrolit 110 g dan+Elektrolit)
+ Karbohidrat Lipid
1408 (Kombinasi Asam Amino: 34gr, Glukosa: 97gr,
696 Larutan mengandung asam amino + Karbohidrat + Lipid Lipid: 51gr(Glukosa
dan Elektrolit
63 g,
1423 Asam amino 25 g, Lipid 19 g dengan Fish Oil 2,8 g)
697 Larutan mengandung elektrolit (CaCl2H2O 0,165 gr, KCl 0,15 gr, NaCl 4,3
982 gr)
698 Larutan mengandung Elektrolit (Kalium Klorida)
1267 699 Larutan mengandung Elektrolit (KCl 0,15%, NaCL 0,9%) (KN1)
1268 700 Larutan mengandung Elektrolit (KCl 0,3%,NaCl 0,9%) (KN2)
1331 701 Larutan mengandung Elektrolit (Na 130 mEq, K 4 mEq, Cl 109 mEq, Ca 3
983 702 mEq,
Larutan Asetat 28 mEq) Ringer
mengandung Asetat
Elektrolit (Na 130 mEq, K 4 mEq, Cl 109 mEq, Ca 3
985 mEq, Asetat
703 Larutan 28 mEq) Ringer
mengandung Asetat
Elektrolit (Sodium Lactate sol (50%) 113 gr/L,
986 Potassium Chloride 0.3 gr/L, Calcium
704 Larutan mengandung Elektrolit (Tiap 1000 Chloride 0.2 gr/L, elektrolit)
ml mengandung electrolit:
1469 Sodium 145 mmol/l, Potassium 4.0 mmol/l,
705 Larutan Mengandung Fosfat Anorganik (NaH2PO4/KH2PO4) Calcium 2.5 mmol/l,
1265 706 dengan/tanpa
Larutan mengandung vitaminKarbohidrat
yang larut dalam air (D2,5%+KCL 0,15%+NaCl
+ Elektrolit
1266 707 0,45%)
Larutan(KDN1)
mengandung Karbohidrat + Elektrolit (D2,5%+KCL 0,3%+NaCl
1237 0,45%) (KDN2)
708 Larutan mengandung Karbohidrat (Fructose 120 g, glucose 66 g, Xylitol 60
1376 g/ L)
709 Larutan mengandung Karbohidrat (Fructose 15 mg, glucose monohydrate
994 710 30 mg, xylitol
Larutan 15 mg) Karbohidrat (Fructose 200 g, glucose 110 g, Xylitol
mengandung
988 100 g/ L)
711 Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33 g, Xylitol 30
989 712 g/ L)
Larutan mengandung Karbohidrat (Maltose 10%)
1422 713 Larutan mengandung Karbohidrat + Elektrolit (25.00g dextrose anhidrat,
990 714 3.00
Larutang sodium chloride,
mengandung 0.15 g potassium
Karbohidrat chloride,
+ Elektrolit 0.10maltose,
(25.00g g calcium
3.00chloride
g
1473 sodium chloride, 0.15 g potassium chloride, 0.10 g
715 Larutan mengandung Karbohidrat + Elektrolit (27.500 g dextrosecalcium chloride
991 716 monohydrate,
Larutan mengandung 3.00 g sodium chloride,
Karbohidrat 0.15 g potassium
+ Elektrolit chloride,
(Acetate, Na, 0.10
K, Cl, Ca, g
Mg,
992 717 Sorbitol 50 gr/L)
Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L,
993 Glukosa mengandung
718 Larutan 100 gr/L, elektrolit)
Karbohidrat + Elektrolit (Asam amino 28 gr/L,
1424 Glukosa 75 gr/L, elektrolit)
719 Larutan mengandung karbohidrat + elektrolit (Dextran 40 50 gr,
1269 720 CaCl2H2O 0,1 gr, KCl 0,15
Larutan mengandung gr, NaCl +3 Elektrolit
Karbohidrat gr, Na lactate 1,55 gr)
(Dextrose 5%, NaCL 0,45%,
987 KCl) (HSD)
721 Larutan mengandung Karbohidrat + Elektrolit (Fructose 120 g, glucose 66
995 722 g, Xylitolmengandung
Larutan 60 g/ L + elektrolit)
Karbohidrat + Elektrolit (Glukosa 25 g, NaCl 2,0 g,
996 KCl 1,3 g,mengandung
723 Larutan Natrium Laktat 3,1 g, air untuk
Karbohidrat injeksi
+ Elektrolit ad 100055
(Glukosa ml)g ; Natrium
1371 Chloride 9 g, air untuk injeksi ad 1000 ml) (D5-NS)
724 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 110.0 g; NaCl:
997 725 1.80
Larutang) (D10-1/5NS)
mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g; NaCl: 4,5
1370 g)
726 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25
998 727 g) (D5-1/4NS)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25
999 g) (D5-1/4NS)
728 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 4.5
1229 g) (D5-1/2NS)
729 Larutan mengandung karbohidrat + elektrolit (Kombinasi NaCl 18,6 g, KCl
1000 730 0,3 g, CaCl2
Larutan 0,48 g, dextrose
mengandung 50 g per
Karbohidrat 1000 ml)(Larutan nutrisi kombinasi
+ Elektrolit
516 infus per L: Na. 100mEQ, K 18mEQ,
731 Larutan mengandung Karbohidrat + Elektrolit Ca. 4mEQ,(Larutan
Mg 6mEQ, Cl 90mEQ,
Ringer & Glukosa
1420 5%)
732 Larutan mengandung Karbohidrat + Elektrolit (NaCl 0.585 gr, KCl 0.3 gr,
1419 Na Lactatmengandung
733 Larutan 0.56 gr, Dekstrosa 18,75 +gr)
Karbohidrat (KA EN 4B)
Elektrolit (NaCl 0.585 gr, Na Lactat
984 0.56 gr, anhydrous dekstrosa 20 gr) (KA EN 4A)
734 Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.125 gr, Dekstrosa
18.75 gr) (KA EN 1B)
517 735 Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g,
1239 736 Glukosa 100 gr)
Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g, Na
518 Lactate 2.24 g, Glukosa 100 gr)
737 Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na
519 Lactat 2.24 gr, Dekstrosa
738 Larutan mengandung Karbohidrat27 gr) (KA+EN 3B) (Nacl 2.34 gr, Na Laktat
Elektrolit
521 739 2.24 gr, KCL
Larutan 0.75 gr Dekstrosa
mengandung 27 gr)lemak
Lipid (Emulsi (KA EN 3A)
20%)
1220 740 Larutan mengandung Lipid (Highly refined fish oil, Glyserol dan purified
1001 741 egg phospolipid)
Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 100 ml)
1002 742 Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 250 ml)
1003 743 Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 180 gr +
1004 744 Asam
LarutanAmino 71.8 gr +Lipid
mengandung Lipid(Kombinasi
50 gr dgn akses sentral)
Glukosa dan elektrolit 80 gr +
1005 Asam Amino
745 Larutan 40 gr + Lipid
mengandung LipidMCT/LCT
(Kombinasi50 gr)
Glukosa dan elektrolit 90 gr +
1470 746 Asam
LarutanAmino 35.9 gr + Vitamin
Mengandung Lipid 25 yang
gr dgn akses
larut sentral)
dalam lemak (Vitamin A,D,E,K)
1471 747 Larutan Mengandung Vitamin yang larut dalam lemak (Vitamin A,D,E,K)
1393 748 infant
Latanoprost tts mata 0,005%
522 749 Latanoprost tts mata 0,005%
1058 750 Leflunomid tab sal selaput 20 mg
524 751 Lenograstim inj 263 mcg/vial
525 752 Letrozol tab 2,5 mg
526 753 Leuprorelin asetat serb inj 1,88 mg
527 754 Leuprorelin asetat serb inj 11,25 mg
1151 755 Leuprorelin asetat serb inj 22,5 mg
528 756 Leuprorelin asetat serb inj 3,75 mg
1152 757 Leuprorelin asetat serb inj 7,5 mg
1043 758 Levetirasetam tab 250 mg
1044 759 levetirasetam tab 500 mg
1326 760 Levofloksasin inf 5 mg/ml
529 761 Levofloksasin inf 5 mg/ml
1394 762 Levofloksasin tab 250 mg
530 763 Levofloksasin tab 500 mg
531 764 Levofloksasin tts mata 0,5%
532 765 Levonorgestrel implan 2 rods, 75 mg (3-4 tahun)
533 766 Levotiroksin tab 100 mcg
534 767 Levotiroksin tab 50 mcg
535 768 Lidokain gel 2%
537 769 Lidokain inj 100 mg, vial (i.v.)
539 770 Lidokain inj 2% (infiltr/p.v.)
541 771 Lidokain salep 5%
542 772 Lidokain spray oral 10%
544 773 Linestrenol tab 0,5 mg
1009 774 Linestrenol tablet 5 mg
1395 775 Liquor carbonis detergens lar 5%
545 776 Lisinopril tab 10 mg
546 777 Lisinopril tab 20 mg
547 778 Lisinopril tab 5 mg
548 779 Litium karbonat tab 200 mg
549 780 Litium karbonat tab 400 mg
550 781 Loperamid tab 2 mg
1221 782 Lopinavir 100 mg + Ritonavir 25 mg
551 783 Loratadin tab 10 mg
552 784 Lorazepam tab 0,5 mg
553 785 Lorazepam tab 1 mg
554 786 Lorazepam tab sal 2 mg
556 787 Low molecule feri sucrose inj amp 100 mg/5 ml
558 788 MAA (macro agregate albumin) 0,11-2,5 mg albumin aggregated/reaction
559 789 vial
MAG3 (mercapto acetyl tri glysine) 1 mg betiatide/vial
560 790 Magnesium sulfat inj 20%
1329 791 Magnesium sulfat inj 20%
561 792 Magnesium sulfat inj 40%
1330 793 Magnesium sulfat inj 40%
562 794 Magnesium sulfat serb, ktg 30 g
1315 795 Manitol lar infus 20%
563 796 Manitol lar infus 20%
1316 797 Manitol lar infus 20%
564 798 Maprotilin hcl tab sal 25 mg
565 799 Maprotilin hcl tab sal 50 mg
566 800 MDP (methylene diphosphonate) 1 mg methylene diphosphonic acid/ml
567 801 Mebendazol sir 100 mg/5 ml
568 802 Mebendazol tab 100 mg
569 803 Mebendazol tab 500 mg
571 804 Medroksi progesteron asetat inj 150 mg/ml
1074 805 Medroksi Progesteron Asetat Inj 50 mg/ml
572 806 Medroksi progesteron asetat tab 10 mg
573 807 Medroksi progesteron asetat tab 100 mg
575 808 Medroksi progesteron asetat tab 5 mg
577 809 Melfalan tab 2 mg
578 810 Merkaptopurin tab 50 mg
579 811 Meropenem serb inj 1000 mg/vial
580 812 Meropenem serb inj 500 mg/vial
1464 813 Mesalazin enema 4 gram
581 814 Mesalazin tab sal 250 mg
582 815 Mesna inj 100 mg/ml
583 816 Metadon sir 50 mg/5 ml
1038 817 Metamizol Inj 500 mg/ml
584 818 Metenamin mandelat (heksamin mandelat) tab salut enterik 500 mg
585 819 Metformin tab 500 mg
586 820 Metformin tab 850 mg
587 821 Metildopa tab sal 250 mg
588 822 Metilergometrin inj 0,2 mg/ml
589 823 Metilergometrin tab salut 0,125 mg
590 824 Metilfenidat tab 10 mg
1293 825 Metilfenidat tab lepas lambat 18 mg
1294 826 Metilfenidat tab lepas lambat 36 mg
592 827 Metilprednisolon inj 125 mg/2 ml
593 828 Metilprednisolon inj 500 mg/8 ml
594 829 Metilprednisolon tab 16 mg
595 830 Metilprednisolon tab 4 mg
596 831 Metilprednisolon tab 8 mg
599 832 Metoklopramid inj 5 mg/ml
601 833 Metoklopramid tab 10 mg
597 834 Metoklopramid tab 5 mg
1435 835 Metoksi polietilen glikol-epoetin beta inj 50 mcg/0,3 ml
1436 836 Metoksi polietilen glikol-epoetin beta inj 75 mcg/0,3 ml
1067 837 Metoprolol tartat inj 1 mg/ml
1078 838 Metotreksat Inj 10 mg/ml
1128 839 Metotreksat inj 2,5 mg/ml
603 840 Metotreksat serb inj 25 mg/ml
602 841 Metotreksat serb inj 5 mg/vial
604 842 Metotreksat tab 2,5 mg
605 843 Metronidazol lar inf 5 mg/ml
606 844 Metronidazol ovula 500 mg
608 845 Metronidazol sup 500 mg
607 846 Metronidazol susp 125 mg/5 ml
1334 847 Metronidazol susp 125 mg/5 ml
609 848 Metronidazol tab 250 mg
610 849 Metronidazol tab 500 mg
611 850 MIBG (meta-iodobenzylguanidine)
612 851 MIBI (metoxy iso butyl isonitril) 5-ml reaction vial
613 852 Midazolam inj 1 mg/ml (i.v.)
614 853 Midazolam inj 5 mg/ml (i.v.)
615 854 Mikafungin Na serb inj 50 mg/vial
616 855 Mikofenolat mofetil tab 500 mg
1123 856 Mikofenolat Sodium Tab Sal 180 mg
1124 857 Mikofenolat Sodium Tab Sal 360 mg
617 858 Mikonazol krim 2%
618 859 Mikonazol serb 2%
1257 860 Milrinone inj 1 mg/ml
1227 861 Mineral Mix (Bismuth Subcitrate Tripotasium, Copper sulfate, Magnesium
620 862 Chloride
MitomisinAnhydrous,
serb inj 10Potassium
mg Chloride, Zinc Acetate)
619 863 Mitomisin serb inj 2 mg
1010 864 Moksifloksasin inf 1,6 mg/mL
1011 865 Moksifloksasin tab 400 mg
622 866 Moksifloksasin tts mata 0,5%
1335 867 Mometason furoat krim 0,1%
623 868 Mometason furoat krim 0,1%
624 869 Morfin Hcl inj 10 mg/ml (i.m./s.k./i.v.)
625 870 Morfin Hcl tab 10 mg
626 871 Morfin Hcl tab SR 10 mg
627 872 Morfin Hcl tab SR 15 mg
628 873 Morfin Hcl tab SR 30 mg
1295 874 Mupirosin krim 2%
1296 875 Mupirosin salep 2%
1144 876 N-asetil sistein granula 200 mg
634 877 N-asetil sistein ih 100 mg/ml
635 878 N-asetil sistein kaps 200 mg
1397 879 NaCl 0,9% Larutan
1327 880 NaCl 0,9% Larutan
1398 881 NaCl 0,9% Larutan
1328 882 NaCl 0,9% Larutan
1399 883 NaCl 0,9% Larutan
515 884 NaCl 0,9% Larutan
1418 885 NaCl 3% Larutan
630 886 Nadroparin inj 9.500 Axa/ml syringe 0,3 Ml
631 887 Nadroparin inj 9.500 Axa/ml, syringe 0,4 ml
632 888 Nadroparin inj 9.500 Axa/ml, syringe 0,6 ml
633 889 Nalokson inj 0,4 mg/ml
637 890 Natamisin tts mata 5% (50 mg/ml)
1400 891 Natamisin tts mata 5% (50 mg/ml)
636 892 Natamisin tts mata 5% (50 mg/ml)
638 893 Natrium aminohipurat inj 200 mg/ml (i.v.)
640 894 Natrium bikarbonat inj 8,4% (i.v.)
641 895 Natrium bikarbonat tab 500 mg
1297 896 Natrium diklofenak inj 25 mg/mL
642 897 Natrium diklofenak tab 25 mg
643 898 Natrium diklofenak tab 50 mg
1110 899 Natrium Diklofenak Tetes Mata 1 mg/ml
644 900 Natrium fluoresein tts mata 2%
646 901 Natrium fosfat lar oral
647 902 Natrium fusidat krim 20 mg/g
648 903 Natrium fusidat salep 20 mg/g
1072 904 Natrium hialuronat tts mata
649 905 Natrium hipoklorit cairan konsentrat 5%
1298 906 Natrium klorida tts mata 50 mg/mL
650 907 Natrium tiosulfat inj 25% (i.v.)
651 908 Neostigmin inj 0,5 mg/ml
652 909 Nevirapin tab 200 mg
653 910 Nifedipin kaps 10 mg
654 911 Nifedipin tab SR 20 mg
655 912 Nifedipin tab SR 30 mg
656 913 Nikardipin inj 10 mg/vial
1012 914 Nilotinib kaps 150 mg
660 915 Nilotinib tab 200 mg
1013 916 Nimodipin inf 0,2 mg/ml
1014 917 Nimodipin tab 30 mg
661 918 Nistatin susp 100.000 UI/ml
662 919 Nistatin tab salut 500.000 UI
663 920 Nistatin tab vaginal 100.000 UI
665 921 Nitrogen oksida ih, gas dlm tabung
1066 922 Nomegestrol asetat Kaps/tab 5 mg
666 923 Norepinefrin inj 1 mg/ml
667 924 Noretisteron tab 5 mg
478 925 Obat Anti Tuberculosis FDC Kategori Anak
475 926 Obat Anti Tuberculosis FDC Kategori I
476 927 Obat Anti Tuberculosis FDC Kategori II
477 928 Obat Anti Tuberculosis FDC Kategori Sisipan
480 929 Obat Anti Tuberculosis Kombipak Anak
479 930 Obat Anti Tuberculosis Kombipak Dewasa
668 931 Ofloksasin tab 200 mg
669 932 Ofloksasin tab 400 mg
670 933 Ofloksasin tts telinga 3%
671 934 Oksaliplatin serb inj 100 mg/vial
672 935 Oksaliplatin serb inj 50 mg/vial
673 936 Oksigen ih, gas dlm tabung
1245 937 Oksikodon inj 10 mg/ml
1401 938 Oksikodon inj 10 mg/ml
1240 939 Oksikodon kapsul 10 mg
1241 940 Oksikodon kapsul 20 mg
1300 941 Oksikodon kapsul 5 mg
1454 942 Oksikodon larutan oral 5 mg/5 ml
1455 943 Oksikodon larutan oral concentrate 10 mg/ml
1242 944 Oksikodon tab lepas lambat 10 mg
1244 945 Oksikodon tab lepas lambat 15 mg
1243 946 Oksikodon tab lepas lambat 20 mg
674 947 Oksimetazolin tts hidung 0,025%
675 948 Oksimetazolin tts hidung 0,050%
1228 949 Oksitetrasiklin 1% Salep Mata
677 950 Oksitetrasiklin hcl inj 50 mg/ml (i.m.)
679 951 Oksitosin inj 10 UI/ml
1299 952 Okskarbazepin susp 60 mg/mL
1111 953 Oktreotid asetat 0,05 - 6 mg/ml
680 954 Oktreotid LAR serb inj 20 mg
1037 955 Oktreotid LAR serb inj 30 mg
681 956 Olanzapin inj 10 mg/2 ml
682 957 Olanzapin tab sal 10 mg
683 958 Olanzapin tab sal 5 mg
1174 959 Olodaterol cairan ih 2,5 mcg/semprot
1466 960 Olodaterol cairan ih 2,5 mcg/semprot, refill
684 961 Olopatadin tts mata 0,1%
685 962 Omeprazol inj 40 mg/10 ml
686 963 Omeprazol kaps 20 mg
687 964 Ondansetron inj 2 mg/ml
688 965 Ondansetron tab 4 mg
689 966 Ondansetron tab 8 mg
690 967 Paklitaksel inj 6 mg/ml, vial@16,7 ml (inj 100 mg)
691 968 Paklitaksel inj 6 mg/ml, vial@5 ml (inj 30 mg)
692 969 Paklitaksel inj 6 mg/ml, vial@50 ml (inj 300 mg)
1169 970 Paliperidon palmitat Inj 100 mg/mL
1170 971 Paliperidon palmitat Inj 150 mg/1,5 mL
1168 972 Paliperidon palmitat Inj 75 mg/0,75 mL
1073 973 Pankuronium inj 2 mg/ml
279 974 Paraformaldehid lar buffer 10%
280 975 Paraformaldehid tab 1 g
693 976 Parasetamol drips (infus) 1000 mg/100 ml
694 977 Parasetamol sir 120 mg/5 ml
695 978 Parasetamol tab 500 mg
696 979 Parasetamol tts 60 mg/0,6 ml
697 980 Pasta devitalisasi (non arsen)
698 981 Pasta pengisi saluran akar (pasta)
1433 982 Pazopanib tab sal selaput 200 mg
1434 983 Pazopanib tab sal selaput 400 mg
699 984 Pegylated interferon alfa-2a inj 135 mcg/0,5 ml
700 985 Pegylated interferon alfa-2a inj 180 mcg/0,5 ml
701 986 Pegylated interferon alfa-2b serb inj 100 mcg/ml
703 987 Pegylated interferon alfa-2b serb inj 50 mcg/ml
704 988 Pegylated interferon alfa-2b serb inj 80 mcg/ml
1129 989 Pemetreksed serb inj 500 mg
705 990 Pengganti plasma golongan gelatin inf
706 991 Perak nitrat lar 20%
708 992 Perak sulfadiazin krim 1%
709 993 Perindoprilarginin tab 5 mg
1402 994 Permetrin krim 5 %
1403 995 Permetrin krim 5 %
710 996 Permetrin krim 5 %
711 997 Petidin inj 50 mg/ml (i.m./s.k./i.v.)
1317 998 Pilokarpin tts mata 2%
712 999 Pilokarpin tts mata 2%
713 1000 Pioglitazon tab 15 mg
714 1001 Pioglitazon tab 30 mg
715 1002 Pirantel pamoat susp 125 mg/5 ml
716 1003 Pirantel pamoat tab 500 mg
717 1004 Pirantel pamoat tab scored 125 mg
718 1005 Pirantel pamoat tab scored 250 mg
719 1006 Pirazinamid tab 500 mg
720 1007 Piridoksin (vitamin B6) inj 100 mg/ml
721 1008 Piridoksin (vitamin B6) tab 10 mg
722 1009 Piridoksin (vitamin B6) tab 25 mg
723 1010 Piridostigmin tab sal 60 mg
1052 1011 Pirimetamin tab 25 mg
724 1012 Podofilin tingtur 25 %
725 1013 Polietilen glikol
726 1014 Polikresulen
729 1015 Povidon iodin lar 100 mg/ml
730 1016 Povidon iodin lar 100 mg/ml
727 1017 Povidon iodin lar 100 mg/ml
728 1018 Povidon iodin lar 100 mg/ml
1438 1019 Povidon iodin lar obat kumur 1%
1444 1020 Povidon iodin tts mata 2,5%
1113 1021 Pramipeksol tab 0,125 mg
731 1022 Pramipeksol tab ER 0,375 mg
732 1023 Pramipeksol tab ER 0,750 mg
733 1024 Pravastatin tab 10 mg
734 1025 Pravastatin tab 20 mg
736 1026 Prazikuantel tab scored 600 mg
1404 1027 Prednisolon tts mata 10 mg/ml
737 1028 Prednisolon tts mata 10 mg/ml
738 1029 Prednison tab 5 mg
1428 1030 Pregabalin kaps 75 mg
739 1031 Primakuin tab 15 mg
740 1032 Probenesid tab 500 mg
1405 1033 Produk untuk Dialisis Peritoneal
742 1034 Prokain benzilpenisilin serb inj 3 juta UI/vial (i.m.)
1016 1035 Prokaterol HCl cairan ih 30 mcg
1017 1036 Prokaterol HCl cairan ih 50 mcg
1018 1037 Prokaterol HCl serb ih 10 mcg
743 1038 Propiltiourasil tab 100 mg
744 1039 Propofol inj 1% (i.v. Bolus)
745 1040 Propranolol inj 1 mg/ml (i.v.)
746 1041 Propranolol tab 10 mg
747 1042 Propranolol tab 40 mg
1114 1043 Prostaglandin (PGE 1) Inj 500 mcg/ml
748 1044 Protamin sulfat inj 10 mg/ml (i.m.)
1301 1045 Quetiapin tab 100 mg
1463 1046 Quetiapin tab pelepasan lambat 150 mg
749 1047 Quetiapin tab pelepasan lambat 200 mg
750 1048 Quetiapin tab pelepasan lambat 300 mg
751 1049 Quetiapin tab pelepasan lambat 400 mg
752 1050 Ramipril tab 10 mg
754 1051 Ramipril tab 2,5 mg
753 1052 Ramipril tab 5 mg
1141 1053 Ranibizumab inj 10 mg/ml
755 1054 Ranitidin inj 25 mg/ml
756 1055 Ranitidin tab 150 mg
1425 1056 Remifentanil inj 1 mg
1426 1057 Remifentanil inj 2 mg
1427 1058 Remifentanil inj 5 mg
757 1059 Retinol (vitamin A) kaps lunak 100.000 UI
758 1060 Retinol (vitamin A) kaps lunak 200.000 UI
759 1061 Ribavirin tab 200 mg
760 1062 Rifampisin kaps 300 mg
761 1063 Rifampisin tab 450 mg
762 1064 Rifampisin tab 600 mg
1406 1065 Rifapentin tablet 150 mg
1222 1066 Rilpivirine 25 mg
512 1067 Ringer Laktat Larutan
1019 1068 Ringer Laktat Larutan 1000 ml
1133 1069 Risedronat tab sal selaput 35 mg
1302 1070 Risperidon oral solution 1 mg/mL
763 1071 Risperidon tab 3 mg
764 1072 Risperidon tab sal 1 mg
765 1073 Risperidon tab sal 2 mg
1214 1074 Rituksimab inf 10 mg/ml (vial 10 ml)
1215 1075 Rituksimab Inf 10 mg/ml (vial 50 ml)
766 1076 Rituksimab inj 100 mg/ml
767 1077 Rituksimab inj 500 mg/ml
768 1078 Rivaroksaban tab sal 10 mg
769 1079 Rivaroksaban tab sal 15 mg
770 1080 Rivaroksaban tab sal 20 mg
771 1081 Rokuronium inj 50 mg/5 ml (i.v.)
772 1082 Ropinirol tab lepas lambat 2 mg
773 1083 Ropinirol tab lepas lambat 4 mg
774 1084 Ropinirol tab lepas lambat 8 mg
1039 1085 Ropivakain Inj 7,5 mg/ml
1020 1086 Rosuvastatin tab 10 mg
1441 1087 Sacubitril valsartan tab sal selaput 24,3/25,7 mg
1442 1088 Sacubitril valsartan tab sal selaput 48,6/51,4 mg
1443 1089 Sacubitril valsartan tab sal selaput 97,2/102,8 mg
775 1090 Salbutamol aerosol 100 mcg
776 1091 Salbutamol cairan ih 1 mg/mL
777 1092 Salbutamol cairan serb ih 200 mcg/kaps + rotahaler
781 1093 Salbutamol sir 2 mg/5 ml
782 1094 Salbutamol tab 2 mg
1336 1095 Salep 2-4, kombinasi : asam salisilat 2 %+ belerang endap 4 %
784 1096 Salep 2-4, kombinasi : asam salisilat 2 %+ belerang endap 4 %
1250 1097 Secukinumab serb inj 150 mg
785 1098 Sefadroksil kaps 250 mg
786 1099 Sefadroksil kaps/tab 500 mg
787 1100 Sefadroksil sir kering 125 mg/5 ml
788 1101 Sefadroksil sir kering 250 mg/5 ml
790 1102 Sefaleksin kaps 500 mg
791 1103 Sefazolin serb inj 1 g/vial
792 1104 Sefepim serb inj 1000 mg/vial
793 1105 Sefiksim sir 100 mg/5 ml
794 1106 Sefiksim tab 100 mg
1115 1107 Sefiksim Tab 200 mg
795 1108 Sefoperazon serb inj 1.000 mg/vial
796 1109 Sefotaksim inj 500 mg/vial
797 1110 Sefotaksim serb inj 1.000 mg/vial
1048 1111 Sefpirom serb inj 1000 mg
798 1112 Sefpodoksim proksetil tab sal 100 mg
799 1113 Seftazidim serb inj 1.000 mg/vial
800 1114 Seftriakson serb inj 1.000 mg/vial
801 1115 Sefuroksim serb inj 750 mg/vial
802 1116 Sefuroksim tab 250 mg
803 1117 Sefuroksim tab sal 500 mg
804 1118 Sertralin tab sal 50 mg
805 1119 Serum anti bisa ular : A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
806 1120 Serum anti bisa ular :A.B.U.II (khusus ular dari Papua) inj (i.m./i.v.)
807 1121 Serum antidifteri (A.D.S) inj (i.m./i.v.) Inj i.m 10.000 UI/
809 1122 Serum antirabies inj 100 UI/ml
810 1123 Serum antirabies inj 200 UI/ml
811 1124 Serum antitetanus (A.T.S) (i.m.) Inj 10.000 UI/vial (i.m /i.v.)
812 1125 Serum antitetanus (A.T.S) inj 1500 UI/amp (i.m.)
813 1126 Serum antitetanus (A.T.S) inj 20.000 UI/vial (i.m /i.v.)
1407 1127 Serum antitetanus (A.T.S) inj 5.000 IU/mL (i.m)
814 1128 Setirizin sir 5 mg/5 ml.
815 1129 Setirizin tab 10 mg
816 1130 Setuksimab inj 5 mg/ml
1181 1131 Sevelamer karbonat Tab 800 mg
817 1132 Sevofluran cairan ih 250 ml
818 1133 Sianokobalamin (vitamin B12) inj 500 mcg/ml
819 1134 Sianokobalamin (vitamin B12) tab 50 mcg
820 1135 Siklofosfamid serb inj 1000 mg/vial (i.v.)
821 1136 Siklofosfamid serb inj 200 mg/vial (i.v.)
822 1137 Siklofosfamid serb inj 500 mg/vial (i.v.)
1166 1138 Siklopentolat tetes mata 1%
1060 1139 Siklosporin inj 100 mg/ml
824 1140 Siklosporin inj 50 mg/ml
825 1141 Siklosporin kaps 100 mg
826 1142 Siklosporin kaps lunak 25 mg
1059 1143 Siklosporin Kaps lunak 50 mg
1462 1144 Sildenafil sirup kering 10 mg/ml
1162 1145 Sildenafil Tab 20 mg
1160 1146 Silodosin tab 4 mg
1256 1147 Silostazol kaps SR 100 mg
827 1148 Silostazol tab 100 mg
828 1149 Simvastatin tab sal 10 mg
829 1150 Simvastatin tab sal 20 mg
1218 1151 Simvastatin tab sal selaput 40 mg
830 1152 Siprofloksasin inf 2 mg/ml
831 1153 Siprofloksasin tab scored 500 mg
832 1154 Sisplatin serb inj 10 mg
833 1155 Sisplatin serb inj 50 mg
1439 1156 Sitagliptin tab sal selaput 100 mg
834 1157 Sitarabin serb inj 100 mg
1369 1158 Sitarabin serb inj 100 mg
1409 1159 Sodium Glycerophosphate 216 mg
1453 1160 Sodium hialuronat Inj 10 mg/ml
1121 1161 Sofosbuvir tab sal selaput 400 mg
1304 1162 Solifenasin tab 10 mg
1303 1163 Solifenasin tab 5 mg
1171 1164 Somatostatin serb Inj 3000 mcg/mL
1333 1165 Soybean oil 200 g, ovolecithin 12 g, glycerol 22 g, Na hydroxide
837 1166 Spiramisin tab 500 mg
838 1167 Spironolakton tab 100 mg
839 1168 Spironolakton tab 25 mg
840 1169 Stannous pyrophosphate 27,6 mg sodium pyrophosphate/vial
842 1170 Streptokinase serb inj 1,5 juta UI/vial
843 1171 Streptomisin serb inj 1.000 mg/vial
844 1172 Sufentanil inj 5 mcg/ml (i.v.)
1143 1173 Sugammadeks inj 100 mg/ml
845 1174 Sukralfat susp 500 mg/5 ml
846 1175 Sukralfat tab 500 mg
847 1176 Suksinilkolin inj 20 mg/ml (i.v./i.m.)
848 1177 Suksinilkolin inj 50 mg/ml (i.v./i.m.)
849 1178 Suksinilkolin serb inj 100 mg/vial (i.v./i.m.)
1053 1179 Sulfadiazin tab 500 mg
850 1180 Sulfasalazin kapl sal enterik 500 mg
851 1181 Sulfur colloid 4,5 mg gelatin/reaction vial
1145 1182 Surfaktan susp 25 mg/ml (intratrakeal)
852 1183 Surgical ginggival pack
853 1184 Takrolimus kaps 0,5 mg
854 1185 Takrolimus kaps 1 mg
1125 1186 Takrolimus kaps lepas lambat 0,5 mg
1126 1187 Takrolimus kaps lepas lambat 1 mg
1117 1188 Tamoksifen tab 10 mg
855 1189 Tamoksifen tab 20 mg
856 1190 Tamsulosin tab 0,2 mg
857 1191 Tamsulosin tab SR 0,4 mg
858 1192 Technetium 99m 740 mbq - 3,7 gbq (20 to 100 millicuries)/ml
859 1193 Telbivudin tab 600 mg
860 1194 Telmisartan tab 40 mg
861 1195 Telmisartan tab 80 mg
862 1196 Temozolamid kaps 100 mg
863 1197 Temozolamid kaps 20 mg
864 1198 Tenofovir tab 300 mg
866 1199 Teofilin tab 150 mg
867 1200 Teofilin tab SR 300 mg
868 1201 Terazosin hcl tab 1 mg
869 1202 Terazosin hcl tab 2 mg
1054 1203 Terbinafin tab 250 mg
870 1204 Terbutalin cairan ih 2,5 mg/ml
871 1205 Terbutalin inj 0,5 mg/ml
872 1206 Terbutalin serb ih 0,50 mg/dose
873 1207 Terbutalin sir 1,5 mg/5 ml
874 1208 Terbutalin tab 2,5 mg
1216 1209 Testosteron inj 250 mg/ml (vial 1 ml)
1217 1210 Testosteron Inj 250 mg/ml (vial 4 ml)
876 1211 Testosteron kaps lunak 40 mg
878 1212 Tetanus toxoid inj
879 1213 Tetrakain tts mata 0,5%
880 1214 Tetrasiklin kaps 250 mg
881 1215 Tetrasiklin kaps 500 mg
1165 1216 Tetrasiklin Salep Mata 1%
882 1217 Thallous Chloride Tl-202 1 mg methylene diphosphonic acid/ml
883 1218 Tiamazol tab 10 mg
884 1219 Tiamazol tab 5 mg
885 1220 Tiamin (vitamin B1) tab 50 mg
1021 1221 Tikagrelor tab 90 mg
886 1222 Timolol tts mata 0,25%
887 1223 Timolol tts mata 0,5%
888 1224 Tiopental serb inj 500 mg/amp (i.v. Bolus)
889 1225 Tiopental serb serb inj 1.000 mg/amp (i.v.)
1465 1226 Tiotropium cairan ih 2,5 mcg/semprot, refill
1264 1227 Tiotropium respimat ih 5 mcg/semprot
1173 1228 Tiotropium respimat ih 5 mcg/semprot
1318 1229 Tobramisin tetes mata 0,3%
1069 1230 Tobramisin tetes mata 0,3%
1022 1231 Topiramat tab 100 mg
1023 1232 Topiramat tab 25 mg
1024 1233 Topiramat tab 50 mg
1308 1234 Tosilizumab inf 400 mg/20 mL
1307 1235 Tosilizumab inf 80 mg/4 mL
892 1236 Tramadol inj 50 mg/ml
893 1237 Trastuzumab serb inj 440 mg/vial
894 1238 Travoprost tts mata 0,004%
896 1239 Triamsinolon asetonid nasal spray 55 mcg/puff
895 1240 Triamsinolon inj 10 mg/ml
1274 1241 Triamsinolon inj 40 mg/ml
897 1242 Trifluoperazin tab sal 5 mg
898 1243 Triheksifenidil tab 2 mg
1083 1244 Tropikamid tts mata 0,5%
1320 1245 Tropikamid tts mata 0,5%
1472 1246 Tropikamid tts mata 1%
899 1247 Tropikamid tts mata 1%
900 1248 Tuberkulin protein purified derivative 1:10 (i.k)
901 1249 Urea krim 10 %
1411 1250 Urea krim 20 %
902 1251 Vaksin BCG inj (i.k)
1177 1252 Vaksin bivalen OPV (b-OPV) drops 10 dosis
1175 1253 Vaksin Hepatitis Rekombinan Inj Prefilled Injection Device (Uniject) 0,5 ml
1412 1254 (i.m)
Vaksin HPV (Human Papilloma Virus), vial 0,5 mL
1225 1255 Vaksin Influenza
1230 1256 Vaksin Japanese Enchepalitis (J.E)
905 1257 Vaksin jerap difteri tetanus (DT)
1036 1258 Vaksin jerap difteri tetanus (Td)
907 1259 Vaksin kombinasi DPT-HB-Hib
1176 1260 Vaksin measless rubella (MR) Inj 0,5 mL (s.k)
1223 1261 Vaksin Meningitis Meningokokus
908 1262 Vaksin polio IPV inj 0,5 ml
910 1263 Vaksin rabies, untuk manusia serb inj (s.k./i.k) + booster
1118 1264 Vaksin rabies, untuk manusia serb Inj 2,5 IU
1270 1265 Vaksin Yellow Fever
911 1266 Valasiklovir tab 500 mg
912 1267 Valgansiklovir tab sal 450 mg
913 1268 Valproat sir 250 mg/5 ml
918 1269 Valproat tab lepas lambat 250 mg
917 1270 Valproat tab lepas lambat 500 mg
914 1271 Valproat tab sal enterik 250 mg
919 1272 Valsartan tab 160 mg
920 1273 Valsartan tab 80 mg
921 1274 Vankomisin serb inj 500 mg/vial
922 1275 Vasopresin inj 20 UI/ml (i.m./s.k.)
923 1276 Verapamil inj 2,5 mg/ml
925 1277 Verapamil tab 240 mg
924 1278 Verapamil tab 80 mg
1255 1279 Vildagliptin tab 50 mg
1130 1280 Vinblastin inj 1 mg/ml
1212 1281 Vinkristin inj 1 mg/ml (vial 1 mL)
1213 1282 Vinkristin inj 1 mg/ml (vial 2 mL)
929 1283 Vinorelbin inj 10 mg/ml, kemasan 1 ml
1224 1284 Vinorelbin inj 10 mg/ml, kemasan 5 ml
937 1285 Vitamin B kompleks
1413 1286 Vitamin C 500 mg minimal non acidic 250 mg
1306 1287 Vorikonazol inj 200 mg
1305 1288 Vorikonazol tab sal selaput 200 mg
931 1289 Warfarin tab 1 mg
930 1290 Warfarin tab 2 mg
932 1291 Zidovudin kaps 100 mg
1140 1292 Zinc drops 10 mg/ml
936 1293 Zinc sir 20 mg/5 ml
934 1294 Zinc tab disp 20 mg
1429 1295 Zonisamid tab sal selaput 100 mg
PROVINSI dan KAB/KOTA
EMBER 2021 DI SATUAN KERJA
NG DIRENCANAKAN UNTUK DIADAKAN TAHUN 2022
KAIAN RATA-RATA PER BULAN DI SATKER SELAMA TAHUN 2021
1 DESEMBER 2021 DITAMBAH PREDIKSI PENGADAAN TAHUN 2022 DIKURANGI (12 x PEMAKAIAN RATA-RATA PER BULAN TAHUN 2021)
TA PER BULAN SELAMA 2021 DIKALI 15 BULAN DALAM SATUAN TERKECIL SEPERTI : TABLET / KAPSUL / KAPLET / BOTOL / AMPUL / VIAL /
N YANG DIHITUNG BERDASARKAN METODE KONSUMSI DIKURANGI DENGAN PREDIKSI SISA STOK PER 31 DESEMBER 2022
ENGADAAN DI TAHUN 2023 DALAM SATUAN TERKECIL SEPERTI: TABLET / KAPSUL / KAPLET / BOTOL / AMPUL / VIAL / TUBE / SACCHET / PU
ARI SISTEM JIKA SATKER TELAH MENGIRIMKAN PELAPORAN RKO TAHUN 2022
AAN OBAT JKN BAIK E-PURCHASING MAUPUN MANUAL SELAMA TAHUN 2023

KESEHATAN RUJUKAN TINGKAT LANJUT (FKRTL) TAHUN 2023

SATUAN SISA STOK PER 31 PREDIKSI PEMAKAIAN PREDIKSI SISA STOK 31


DESEMBER
(a) 2021 PENGADAAN
(b) RATA-RATA
(c) PER DESEMBER
(d) 2022
= (a)+(b)-(12x(c))
Tab 0 0 00
Tablet/kaplet/kaps 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet salut selap 0 0 00
tablet salut selap 0 0 00
tablet salut selapu 0 0 00
Botol 100 ml 0 0 00
Botol 250 ml 0 0 00
ampul/vial/botol 1 0 0 00
ampul/vial/botol 0 0 00
ampul/vial/botol 2 78 100 65 0
Flexy bag 500 ml 0 0 00
Botol 500 ml 0 0 00
botol @ 1.000 mL 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Ampul 0 0 00
Tube 0 0 00
Tube 0 0 00
vial/ampul 0 0 00
ampul/vial 10 ml 0 15 10 0
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 10 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 76 100 76 0
tablet/kapsul/kapl 80 100 100 0
Botol @15 ml 0 0 00
Botol @10 ml 0 0 00
Botol @20 ml 0 0 00
botol 60 ml 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 100 50 0
ampul/vial 0 0 00
Vial 0 0 00
vial/cartridge 0 0 00
Vial/Cartridge 0 0 00
Penfill 0 0 00
Penfill 0 0 00
Vial/Cartridge/Penf 0 0 00
Vial @10 ml 0 0 00
cartridge disposible 0 0 00
vial/disposable car 0 0 00
vial/disposable car 0 0 00
vial/disposable car 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
botol 60 ml 0 0 00
Kaps 0 0 00
Tube 0 0 00
pot 30 g 0 0 00
Suppositoria 0 0 00
Botol 500 ml 0 0 00
botol 0 0 00
tablet/kapsul/kapl 0 0 00
tab discmelt/tab ce 0 0 00
tab discmelt/ tab c 0 0 00
ampul/vial 0 0 00
Kertas warna penan 0 0 00
Botol 0 0 00
tablet sal enterik/k 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
catchcover, botol 0 0 00
Botol @5 ml 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 50 100 78 0
tablet/kapsul/kapl 0 0 00
Tube/pot 0 0 00
Tube @ 20 gram 0 0 00
Tube @ 10 gram 0 0 00
Botol 0 0 00
Tube 0 0 00
Tube 0 0 00
Tube 0 0 00
ampul/vial 65 80 67 0
Ampul 56 100 45 0
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
tube 0 0 00
Ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
ampul/vial @ 5 ml 0 0 00
ampul/vial @ 2,5 m 0 0 00
Ampul 20 100 45 0
Tab 0 0 00
Botol 0 0 00
Botol 0 0 00
Tab 0 0 00
ampul/vial 0 0 00
maks botol @60 m 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selapu 0 60 30 0
Botol 0 0 00
Disposible plastic 0 0 00
Botol 0 0 00
Botol plastik 0 0 00
Vial 0 0 00
Dus/Sachet/Plastik 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Catchcover, botol 0 0 00
Botol @ 5 ml 0 0 00
tube 5 gram 0 0 00
Tube 0 0 00
tube 5 gram 0 0 00
catchcover, botol 0 0 00
botol @5 ml 0 0 00
tablet salut/kaplet 0 0 00
tablet salut/kaplet 0 0 00
Suppositoria 0 0 00
Suppositoria 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selapu 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selap 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
Botol 0 0 00
Tab 0 0 00
Botol @ 4 ml 0 0 00
respoules 0 0 00
Botol @ 4 ml 0 0 00
respoules 0 0 00
Botol 0 0 00
100 dosis 0 0 00
200 dosis 0 0 00
Turbuhaler 0 0 00
rapihaler 0 0 00
Turbuhaler 0 0 00
rapihaler 0 0 00
Turbuhaler 0 0 00
vial/ampul @4 ml 0 0 00
ampul/vial 0 0 00
Tab 0 0 00
ampul/vial 0 0 00
tablet 0 0 00
set/buah 0 100 50 0
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Tab 0 0 00
Tab 0 0 00
Vial 0 0 00
Tab 0 0 00
Vial 0 0 00
Tab 0 0 00
tablet dispersible/ 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
Botol 0 0 00
tab salut selaput/k 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
Tab 0 0 00
Tab 0 0 00
Tab 0 0 00
Tube 0 0 00
tube 15 g 0 100 57 0
tube 10 g 0 0 00
tube 10 g 0 0 00
ultrabag 0 0 00
tube @ 2,5 mL 0 0 00
tube @ 2,5 mL 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
Tube 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
Ampul 0 0 00
ampul/vial 0 0 00
Kapsul lepas lamba 0 0 00
Kapsul lepas lamba 0 0 00
Ampul 0 0 00
Vial 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
Vial 0 0 00
ampul/vial 0 10 50
ampul/vial 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
botol @60 ml 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
tablet salut selapu 0 0 00
tablet dispersible / 0 0 00
ampul/vial 0 10 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Kaps lunak 0 0 00
Tablet 0 0 00
tablet salut selapu 0 0 00
ampul/vial 0 0 00
tablet salut gula 0 0 00
Tab 0 0 00
Tab 0 0 00
Ampul 0 0 00
Ampul 0 0 00
Ampul 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
Ampul 0 0 00
Vial 25 ml 0 0 00
Vial 5 ml 0 0 00
Vial 25 mL 0 0 00
Kaps 0 0 00
Botol 0 0 00
Tab 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
Botol @ 60 ml 0 0 00
tablet/kapsul/kapl 0 100 25 0
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
Ampul 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
ampul/vial 0 0 00
tablet salut gula/ka 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
Botol 0 0 00
Botol 0 0 00
Set 0 0 00
Vial 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Botol 0 0 00
ampul @ 2 ml 0 0 00
Kaps 0 0 00
Kaps 0 0 00
ampul/vial 0 0 00
Ampul 0 100 12 0
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
Tab 0 0 00
Botol 0 0 00
Botol 0 0 00
ampul/vial, @ 10 0 0 00
ampul @ 2 mL 0 0 00
Patch 0 0 00
Patch 0 0 00
Patch 0 0 00
Botol 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
Tab sal 0 0 00
tablet salut gula/ka 0 0 00
Vial 0 0 00
tablet salut/kaplet 0 0 00
Vial 0 0 00
Ampul 0 0 00
tablet/kapsul/kapl 0 0 00
Kaps 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Kaplet 0 0 00
Tube 0 0 00
Ampul/vial 0 0 00
Vial 0 0 00
botol @5 ml 0 0 00
catchcover, botol 0 0 00
Ampul 0 0 00
Ampul 0 0 00
tube @ 5g 0 0 00
Tube 10 g 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
ampul/vial/prefille 0 0 00
Botol 0 0 00
Sachet 0 0 00
Botol 0 0 00
Patch 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kaple 0 100 43 0
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Prefilled Syringe @ 0 0 00
Prefilled Syringe @ 0 0 00
Vial 0 0 00
Vial @15 ml 0 0 00
Vial @20 ml 0 0 00
Vial @10 ml 0 0 00
Vial 0 0 00
Vial 0 0 00
Botol 0 0 00
Botol 0 0 00
Sachet 0 0 00
sachet 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
Vial 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
Tube 0 0 00
Botol 0 0 00
Botol 0 0 00
Sachet 0 0 00
Botol 0 0 00
Vial 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
Tab 0 0 00
Tab 0 0 00
tablet lepas lamba 0 0 00
kapsul 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
Ampul 0 0 00
kapsul lepas lamba 0 0 00
kapsul lepas lamba 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Ampul @25 ml 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Roll 0 0 00
Roll 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Vial 0 0 00
Ampul 0 0 00
Syringe 0 0 00
Botol 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tube @ 5 g 0 0 00
tube @ 5 g 0 100 46 0
Vial 0 0 00
Tab 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Vial @10 mL 0 0 00
vial/ cartridge disp 0 0 00
Cartridge, Penfill C 0 0 00
Vial 0 0 00
Cartridge, Penfill C 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial @10 mL 0 0 00
Cartridge disposibl 0 0 00
vial/disposable car 0 0 00
vial/disposable car 0 0 00
Ampul 0 0 00
Ampul 0 0 00
tablet lepas lamba 0 0 00
tablet lepas lamba 0 0 00
ampul/vial 0 0 00
botol @ 60 ml 0 0 00
botol @ 60 ml 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selapu 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Kaps 0 0 00
Kaps 0 0 00
ampul/vial/botol 0 0 00
ampul/vial/botol 0 0 00
Botol 0 0 00
Vial 0 0 00
ampul/vial/botol 0 0 00
Vial 0 0 00
ampul/vial/botol 0 0 00
ampul/vial/botol 0 0 00
Vial 0 0 00
ampul/vial/botol 0 0 00
ampul/vial/botol 0 0 00
Ampul/vial/botol 0 0 00
Ampul/vial/botol 0 0 00
Vial 0 0 00
Vial 0 0 00
ampul/vial/botol 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Botol 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Ampul/vial @ 2 mL 0 0 00
Ampul/vial @ 5 mL 0 0 00
Ampul/vial @ 2 mL 0 0 00
Ampul/vial @ 5 mL 0 0 00
Botol 0 0 00
botol @ 250 mL 0 0 00
Tab 0 0 00
Tab 0 100 30 0
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Set 0 0 00
Set 0 0 00
tablet /kapsul/kapl 0 0 00
Tube gel 0 0 00
Tube 0 0 00
tablet salut selapu 0 0 00
Ampul/vial 0 0 00
tablet lepas lamba 0 0 00
kapsul lunak 0 0 00
kapsul lunak 0 0 00
ampul/vial 0 0 00
Tab 0 0 00
ampul/vial 0 100 50 0
Tube 0 0 00
Sachet 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Sachet 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tab salut/kaplet sa 0 0 00
tablet/kaplet 0 100 15 0
tablet/kaplet 0 100 50 0
tablet/kaplet 0 0 00
Botol 0 0 00
Tablet 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
Tube 10 g 0 100 79 0
botol 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
Suppositoria 0 0 00
ampul/vial 0 0 00
botol maks 60 mL 0 0 00
Botol 0 0 00
tablet salut selapu 0 0 00
Kaps 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tube 0 0 00
tube 0 0 00
Kapsul 0 0 00
kapsul 0 0 00
Tab 0 0 00
tablet salut selapu 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selapu 0 100 20 0
tablet salut selapu 0 0 00
Botol 0 0 00
tab sal selaput 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tube @ 5 gram 0 0 00
vial/ampul 0 0 00
botol 60 ml 0 0 00
Botol 0 0 00
botol 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Tablet 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
tablet salut selapu 0 0 00
Tab sal 0 0 00
Tab 0 0 00
Tab 0 0 00
tablet 0 0 00
tablet 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Ampul 0 0 00
Tab 0 0 00
Botol 0 0 00
tablet salut selapu 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
Tab dispersible 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet dispersible/ 0 0 00
Botol 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut gula 0 0 00
Botol 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
tab salut gula 0 0 00
Vial 0 0 00
Vial 0 0 00
Paket 0 0 00
Tab 0 0 00
Tab 0 0 00
Botol 0 0 00
Pasta tube 0 0 00
Tab 0 0 00
ampul/vial 0 0 00
Diskus 0 0 00
Diskus 0 0 00
Cartridge 0 0 00
Cartridge 0 0 00
Botol 2,5 mL 0 0 00
catchcover, botol 0 0 00
Botol Plastik @ 15 0 0 00
Catchcover, botol p 0 0 00
Botol plastik @ 5 m 0 0 00
vial 0 0 00
tablet salut selapu 0 0 00
Ampul/vial 0 0 00
Tab 0 0 00
Tab 0 0 00
Botol 0 0 00
aerosol can/canist 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Set 0 0 00
tab/kaptab 0 0 00
tab/kaptab 0 0 00
botol 60 mL 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
botol @ 60 mL 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
Tablet 0 0 00
tablet dispersible/ 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
Softbag @500 mL 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Softbag @1.000 m 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol/vial 0 0 00
Botol 0 0 00
Bag 0 0 00
Bag 0 0 00
Bag 0 0 00
Botol 0 0 00
Botol 0 0 00
Bag 0 0 00
Botol plastik @500 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Softbag @ 500 ml 0 0 00
Botol plastik @ 50 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
softbag 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol plastik @500 0 0 00
Botol plastik @500 0 0 00
Botol 500 ml 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol plastik @500 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
botol/softbag 0 0 00
Botol 0 0 00
botol/softbag @ 1 0 0 00
botol/softbag @ 5 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol plastik @500 0 0 00
Botol plastik @500 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
catchcover, botol 0 0 00
botol @ 2,5 mL 0 0 00
tablet salut selapu 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
Vial 0 0 00
Tablet 0 0 00
Tablet 0 0 00
vial / botol / flex 0 0 00
vial/ botol/ flexy 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selapu 0 0 00
botol @ 5mL 0 0 00
pack/ sachet/ set 0 0 00
tablet/kaplet/kaps 0 0 00
tablet/kaplet/kaps 0 0 00
syringe/syringe pla 0 0 00
Vial 0 100 50 0
ampul/vial 0 0 00
Tube 0 0 00
botol 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tab sal selaput 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tab sal 0 0 00
ampul/vial 0 0 00
Vial 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
ampul/vial @25 ml 0 0 00
ampul/vial 0 0 00
ampul/vial @25 ml 0 0 00
Sachet 0 0 00
Botol @ 250 ml 0 0 00
Botol @ 100 ml 0 0 00
Botol @ 500 ml 0 0 00
Tab sal 0 0 00
tablet salut selapu 0 0 00
Vial 0 0 00
Botol 0 0 00
Tan 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
ampul/vial 0 20 15 0
ampul/vial 0 0 00
enema 0 0 00
tablet salut enterik 0 0 00
Vial 0 0 00
Botol 1000 ml 0 0 00
Ampul 0 0 00
Tab salut 0 0 00
tablet/kapsul/kapl 0 100 20 0
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet/kaplet salut 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
Ampul 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Tab 0 0 00
botol 0 0 00
Ovula 0 0 00
Suppositoria 0 0 00
Botol @ 100 ml 0 0 00
Botol @ 60 ml 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut/kaplet 0 0 00
tablet salut/kaplet 0 0 00
tube 0 0 00
botol / sachet 0 0 00
ampul/vial 0 0 00
Sachet 0 0 00
Vial 0 0 00
Vial 0 0 00
vial/ampul/botol/ 0 0 00
tablet salut selapu 0 0 00
Botol 0 0 00
Tube 5 gram 0 0 00
tube 10 gram 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet lepas lamba 0 0 00
tablet lepas lamba 0 0 00
Tab 0 0 00
tube 0 0 00
tube 0 0 00
Sachet 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
Botol @1.000 mL 0 0 00
Botol @25 ml 0 0 00
Botol @250 ml 0 0 00
Botol @100 ml 0 0 00
Ampul/botol @ 10 0 0 00
Botol @500 ml 0 100 75 0
Botol plastik @500 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Ampul 0 0 00
catchcover, botol 0 0 00
Botol @5 ml 0 0 00
botol @ 15 mL 0 0 00
Ampul 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet salut enteri 0 0 00
tablet salut enteri 0 0 00
botol 5 mL 0 0 00
Botol 0 0 00
botol 0 0 00
tube 0 0 00
Tube 0 0 00
botol 0 0 00
Botol 0 0 00
ampul/vial 0 0 00
Ampul 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet lepas lamba 0 0 00
tablet lepas lamba 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial/botol 0 0 00
tablet salut selapu 0 0 00
botol/vial 0 0 00
tablet salut gula/ka 0 0 00
tablet/kaplet 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
paket 0 0 00
paket 0 0 00
paket 0 0 00
paket 0 0 00
Paket 0 0 00
paket 0 0 00
tablet salut selaput 0 0 00
tablet salut selaput 0 0 00
Botol @ 5 mL 0 0 00
Vial 0 0 00
Vial 0 0 00
Botol 0 0 00
Ampul/vial @1 mL 0 0 00
Ampul/vial @2 mL 0 0 00
Kaps 0 0 00
Kaps 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Botol 0 0 00
Tab 0 0 00
Tab 0 0 00
Tab 0 0 00
botol @ 10 mL 0 0 00
botol @ 10 mL 0 0 00
tube 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
botol 0 0 00
ampul/vial 0 0 00
Vial 0 0 00
vial 0 0 00
Ampul 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
Botol 0 0 00
cartridge 0 0 00
Botol 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 120 56 0
ampul/vial 0 100 80 0
tablet/kapsul/kapl 0 300 150 0
tablet/kapsul/kapl 0 300 200 0
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Ampul 0 0 00
Ampul 0 0 00
Ampul 0 0 00
Ampul 0 0 00
Botol 0 0 00
Tab 0 0 00
vial/ flexybag/bot 0 0 00
botol @ 60 mL 0 0 00
tablet/kapsul/kapl 0 0 00
botol @ 15 mL 0 0 00
Tube 0 0 00
Tube 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Botol 0 0 00
Botol 0 0 00
Tube 0 0 00
tablet/kapsul/kapl 0 0 00
Tube 10 g 0 0 00
Tube 30 g 0 0 00
Tube 15 g 0 0 00
Vial 0 0 00
Catchcover, botol 0 0 00
Botol 5 ml 0 0 00
tablet 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Ampul 0 0 00
tab/kap/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tablet 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 0 0 00
Botol 300 ml 0 0 00
botol @ 1.000 mL 0 0 00
botol 30 mL 0 0 00
botol @ 60 mL 0 0 00
Botol 0 0 00
botol/strip 0 0 00
tablet/kapsul/kapl 0 0 00
tablet lepas lamba 0 0 00
tablet lepas lamba 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
catchcover, botol 0 0 00
Botol @5mL 0 0 00
tablet/kapsul/kapl 0 100 35 0
Kapsul 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Paket 0 0 00
ampul/vial 0 0 00
Vial 0 0 00
Botol 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
Ampul 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Ampul 0 0 00
tablet/kapsul/kapl 0 0 00
tablet SR 0 0 00
tablet SR/kaplet SR 0 0 00
tab SR 0 0 00
tablet SR/kaplet SR 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
ampul/vial 0 50 27 0
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
kaps lunak 0 0 00
kaps lunak 0 0 00
tab sal selaput 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tablet/kapsul/kapl 0 0 00
tablet 0 0 00
Botol 0 200 150 0
Botol 0 0 00
tablet salut selaput 0 0 00
botol 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Ampul 0 0 00
Ampul 0 0 00
tablet salut/kaplet 0 0 00
tablet salut/kaplet 0 0 00
tablet salut/kaplet 0 0 00
ampul/vial 0 0 00
tablet lepas lamba 0 0 00
tablet lepas lamba 0 0 00
tablet lepas lamba 0 0 00
ampul/polyamp/via 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
canister / botol 0 0 00
ampul/vial/botol 0 0 00
Botol 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 200 150 0
pot 15 gram 0 0 00
pot 30 gram 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
botol @ 60 mL 0 0 00
botol @ 60 mL 0 0 00
tablet/kapsul/kapl 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
botol 0 0 00
Tab 0 0 00
Tablet 0 0 00
ampul/vial 0 0 00
ampul/vial 0 0 00
ampul/vial 0 20 20 0
ampul/vial 0 0 00
Tab 0 0 00
ampul/vial 0 0 00
ampul/vial 0 100 80 0
ampul/vial 0 0 00
tablet salut selapu 0 0 00
tablet salut selapu 0 0 00
tablet salut/kaplet 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Ampul 0 0 00
Vial 0 0 00
Ampul/vial 0 0 00
botol @ 60 mL 0 0 00
tablet/kapsul/kapl 0 200 150 0
Vial 0 0 00
Tab 0 0 00
botol 0 0 00
ampul/vial 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Botol 0 0 00
Ampul 0 0 00
Ampul 0 0 00
kaps lunak 0 0 00
kaps lunak 0 0 00
Kaps lunak 0 0 00
Botol 0 0 00
Tab 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
tablet/kapsul/kaple 0 0 00
tablet/kapsul/kaple 0 0 00
Tab sal 0 0 00
vial/ botol 100 ml 0 0 00
tablet salut selapu 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet salut selapu 0 0 00
ampul/vial @ 1 mL 0 0 00
ampul/vial @ 10 m 0 0 00
Ampul/vial 0 0 00
ampul/vial 0 0 00
tablet salut selaput 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Softbag @ 250 ml 0 0 00
tablet salut selapu 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
ampul/vial 0 0 00
Ampul 0 0 00
Vial 0 0 00
botol 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut enteri 0 0 00
Vial 0 0 00
Botol 0 0 00
Tube 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
kapsul lepas lamba 0 0 00
kapsul lepas lamba 0 0 00
Tablet 0 0 00
Tab 0 0 00
tablet/kapsul/kapl 0 0 00
tab lepas lambat / 0 0 00
Set 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut selapu 0 0 00
tablet/kapsul/kapl 0 0 00
tablet lepas lamba 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
ampul/vial 0 0 00
Vial 0 0 00
botol 0 0 00
tablet/kapsul/kapl 0 0 00
Vial 0 0 00
Vial 0 0 00
kapsul lunak 0 0 00
Ampul 0 0 00
Botol 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Tube 0 0 00
Set 0 0 00
tablet salut selap 0 0 00
tablet salut selap 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
botol @ 5 mL 0 0 00
botol @ 5 mL 0 0 00
Ampul 0 0 00
Ampul 0 0 00
Cartridge 0 0 00
Handihaler 0 0 00
Botol 0 0 00
Catchcover, botol 0 0 00
Botol @ 5 ml 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
vial 0 0 00
vial 0 0 00
ampul/vial 0 50 45 0
ampul/vial 0 0 00
Botol 0 0 00
Botol 0 0 00
Ampul 0 0 00
ampul/vial 0 0 00
tablet salut selapu 0 0 00
tablet/kapsul/kapl 0 0 00
Botol @ 5 ml 0 0 00
Catchcover, botol 0 0 00
Botol @ 0,6 ml 0 0 00
Botol @ 5 ml 0 0 00
Ampul 0 0 00
Tube/pot 0 0 00
Tube/pot 0 0 00
Vial 0 50 45 0
Vial 0 0 00
Vial 0 0 00
Ampul/vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut/kaplet 0 0 00
botol @ 120 ml 0 0 00
tabet lepas lambat 0 0 00
tabet lepas lambat 0 0 00
tablet salut enterik 0 0 00
tablet/kapsul/kapl 0 0 00
tablet salut/kaplet 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet lepas lamba 0 0 00
tablet/kapsul/kapl 0 0 00
Tab 0 0 00
Ampul 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
Vial 0 0 00
tablet 0 0 00
Tablet/kapsul/kaple 0 0 00
vial 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
tablet/kapsul/kapl 0 0 00
Botol 0 0 00
botol 0 0 00
tablet dispersible 0 0 00
Tab sal selaput 0 0 00
TA-RATA PER BULAN TAHUN 2021)
UL / KAPLET / BOTOL / AMPUL / VIAL / TUBE / SACCHET / PUFF
ER 31 DESEMBER 2022
/ AMPUL / VIAL / TUBE / SACCHET / PUFF YANG AKAN DIADAKAN TAHUN 2022 BERDASARKAN

JUMLAH RENCANA RENCANA RENCANA REALISASI


KEBUTUHAN
(e) = (c) x 15 KEBUTUHAN
(f) = (e) - (d) PENGADAAN
(g) PENGADAAN
(h) PENGADAAN
(i)
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 78
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 20 0 0
0 0 0 0 0
0 0 0 0 0
0 0 10 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 0
0 0 100 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 200 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 0
0 0 100 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 200 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 120 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 10 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 10 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 50
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 15
0 0 100 0 50
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 79
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 20
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 50
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 30 0 15
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 20
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 200 0 75
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 120 0 56
0 0 100 0 80
0 0 300 0 150
0 0 300 0 200
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 35
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 27
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 300 0 150
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 200 0 150
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 30 0 20
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 80
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 200 0 150
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 50 0 45
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 50 0 45
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
KETERANGAN
(j)

Anda mungkin juga menyukai