Format Stok Akhir Obat Apbd 2022

KABUPATEN : TUBAN
PROPINSI : JAWA TIMUR
SUMURGUNG JUMLAH HARGA (Rp)

NAMA OBAT SATUAN STOK SATUAN HARGA
PENERI MAAN PEMA KAIAN SISA STOCK PUSKESMAS
AWAL
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 2,900 10,500 9,116 4,284 Rp 390 Rp 1,670,760
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 450 450 - Rp 4,300Rp -
3 ALOPURINOL TABLET 100 MG TAB - - - Rp -
4 ALOPURINOL TABLET 300 MG TAB - - - Rp -
5 AMBROKSOL TABLET 30 MG TAB 5,000 4,664 336 Rp 87 Rp 29,323
6 AMINOFILLIN INJEKSI 24 MG / ML - 10 ML AMP - - - Rp -
7 AMINOFILLIN TABLET 200 MG TAB - - - Rp -
8 AMITRIPTILIN TABLET SALUT 25 MG TAB 200 - - 24 224 Rp 175 Rp 39,200
9 AMLODIPIN TABLET 10 MG TAB 15,000 14,460 540 Rp 542 Rp 292,604
10 AMLODIPIN TABLET 5 MG TAB 200 3,700 3,483 417 Rp 53 Rp 22,101
11 AMOKSISILIN KAPLET 500 MG KAPL 28,000 22,504 5,496 Rp 201 Rp 1,104,696
12 AMOKSISILIN KAPSUL 250 MG KAP - - - Rp -
13 AMOKSISILIN SERBUK INJEKSI 1 GRAM VIAL - - - Rp -
14 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 54 300 260 94 Rp 2,050 Rp 192,700
15 AMPISILIN SERBUK INJEKSI 1 GRAM VIAL - - - Rp -
16 AMPISILIN SIRUP KERING 125 MG / 5 ML BTL - - - Rp -
17 ANTASIDA DOEN SUSPENSI BTL 9 250 259 - Rp 1,679 Rp -
18 ANTASIDA DOEN TABLET KOMBINASI TAB - - - Rp -
19 ANTI BAKTERI DOEN SALEP KOMBINASI TUB - - - Rp -
20 ANTI FUNGI DOEN KOMBINASI POT 9 - 9 - Rp 3,477 Rp -
21 ANTI HEMORRHOID SUPPOSUTORIA SUPP 100 67 33 Rp 3,250 Rp 107,250
22 ANTI INFEKSI KRIM TUB - - - Rp -
23 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 100 - - 100 Rp 185 Rp 18,500
24 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP 31 30 31 30 Rp 2,650 Rp 79,500
25 ASAM ASETIL SALISILAT TABLET 80 MG TAB 190 - 70 120 Rp 89 Rp 10,680
26 ASAM ASKORBAT TABLET 250 MG TAB 2780 - 2,780 - Rp -
27 ASAM ASKORBAT TABLET 50 MG TAB - - - Rp -
28 ASAM ASKORBAT TABLET 500 MG TAB 2762 15,000 17,762 - Rp -
29 ASAM FOLAT TABLET 0,4 MG TAB 1,600 961 639 Rp 42 Rp 26,838
30 ASAM FOLAT TABLET 1 MG TAB - - - Rp -
31 ASAM MEFENAMAT TABLET 500 MG TAB 3307 13,000 9,217 7,090 Rp 111 Rp 786,990
32 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 10 - 10 - Rp 1,880 Rp -
33 ASAM TRANEKSAMAT TABLET 500 MG TAB - - - Rp -
34 ASERING INFUS BTL - - - Rp -
35 ASIKLOVIR TABLET 200 MG TAB 100 60 40 Rp 1,067 Rp 42,680
36 ASIKLOVIR TABLET 400 MG TAB 100 220 - 120 Rp 94 Rp (11,231)
37 ASIKLOVIR KRIM 5 % TUB 25 172 142 55 Rp 4,499 Rp 247,451
38 ATAPULGIT TABLET 600 MG TAB 16 1,200 1,050 166 Rp 1,838 Rp 305,108
39 ATROPIN SULFAT INJEKSI 0,25 MG / ML - 1 ML AMP 20 - 20 Rp 1,718 Rp 34,360
40 ATROPIN SULFAT TABLET 0,5 MG TAB - - - Rp -
41 AZITROMISIN TABLET 500 MG TAB 200 160 40 Rp 1,250 Rp 50,000
42 BETADINE NASAL SPRAY BTL - - - Rp -
43 BETAHISTIN MESILAT TABLET 6 MG TAB 330 2,200 2,160 370 Rp 88 Rp 32,560
44 BETAMETASON KRIM 0,1 % TUB 50 75 50 75 Rp 1,450 Rp 108,750
45 BISAKODIL SUPPOSUTORIA 10 MG SUPP 6 30 9 27 Rp 4,325 Rp 116,775
46 BISAKODIL TABLET 5 MG TAB 90 59 31 Rp 216 Rp 6,696
47 BISOPROLOL TABLET 2,5 MG TAB 60 30 90 - Rp 123 Rp -
48 BISOPROLOLTABLET 5 MG TAB 100 - 100 - Rp 137 Rp -
49 DEKSAMETASON INJEKSI 5 MG / ML - 1 ML AMP 43 - 30 13 Rp 924 Rp 12,012
50 DEKSAMETASON TABLET 0,5 MG TAB 4600 9,000 11,622 1,978 Rp 62 Rp 121,845
51 DEKSTRAN 70 LARUTAN INFUS STERIL BTL - - - Rp -
52 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 5 10 9 6 Rp 19,872 Rp 119,232
53 DIAZEPAM INJEKSI 5 MG / ML - 2 ML AMP 5 - 2 3 Rp 1,545 Rp 4,635
54 DIAZEPAM TABLET 2 MG TAB 175 - 10 165 Rp 70 Rp 11,550
55 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML - 1 ML AMP 28 - 10 18 Rp 2,100 Rp 37,800
56 DIGOKSIN TABLET 0,25 MG TAB - - - Rp -
57 DILTIAZEM KAPSUL 100 MG SR KAP - - - Rp -
58 DILTIAZEM TABLET 30 MG TAB - - - Rp -
59 DIMENHIDRINAT TABLET 50 MG TAB 120 200 220 100 Rp 108 Rp 10,800
60 DOMPERIDON SIRUP 5 MG / 5 ML BTL 20 20 - Rp 2,296 Rp -
61 DOMPERIDON TABLET 10 MG TAB 24 600 324 300 Rp 220 Rp 66,048
62 EPINEPRIN HCL INJEKSI 0,1 % AMP 18 40 48 10 Rp 1,408 Rp 14,080
63 ERITROMISIN KAPSUL 500 MG KAP 220 - 220 - Rp 775 Rp -
64 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 5 - 5 - Rp 6,462 Rp -
65 ETAKRIDIN LARUTAN 0,1 % BTL - - - Rp -
66 ETANOL 70 % BTL 83 - 30 53 Rp 5,375 Rp 284,875
67 ETIL KLORIDA SEMPROT BTL 25 14 11 Rp 155,000 Rp 1,705,000
68 FENITOIN NATRIUM KAPSUL 100 MG KAP 700 260 440 Rp 168 Rp 73,920
69 FENITOIN INJEKSI 50 MG / ML AMP - - - Rp -
70 FENOBARBITAL INJEKSI 50 MG / ML - 2 ML AMP - - - Rp -
71 FENOBARBITAL TABLET 30 MG TAB 100 - 36 64 Rp 182 Rp 11,648
72 FENOL GLISEROL TETES TELINGA 10 % BTL 19 24 19 24 Rp 3,300 Rp 79,200
73 FITOMENADION INJEKSI 2 MG / ML - 1 ML AMP 180 10 180 10 Rp 1,386 Rp 13,860
74 FITOMENADION INJEKSI 10 MG / ML - 1 ML AMP - - - Rp -
75 FITOMENADION TABLET SALUT 10 MG TAB 372 2,300 2,608 64 Rp 748 Rp 47,872
76 FLUFENAZIN INJEKSI 25 MG / ML AMP - - 7 7 Rp 58,169 Rp 407,183
77 FLUOKSETIN KAPSUL 10 MG KAP - - - Rp -
78 FUROSEMID INJEKSI 10 MG AMP - - - Rp -
79 FUROSEMID TABLET 40 MG TAB 200 - 1 199 Rp 200 Rp 39,800
80 GARAM ORALIT KOMBINASI SAK 1417 6,500 5,624 2,293 Rp 280 Rp 642,040
81 GEMFIBROZIL KAPSUL 300 MG KAP 80 100 20 160 Rp 300 Rp 48,000
82 GENTAMISIN INJEKSI 40 MG/ML AMP - - - Rp -
83 GENTAMISIN TETES MATA 0,3 % BTL 25 168 158 35 Rp 4,520 Rp 158,200
84 GENTAMISIN SALEP KULIT 0,1 % TUB 20 64 82 2 Rp 2,600 Rp 5,200
85 GENTAMISIN SALEP MATA 0,3 % TUB 24 19 5 Rp 2,665 Rp 13,325
86 GENTIAN VIOLET LARUTAN 1 % BTL 42 - 34 8 Rp 2,955 Rp 23,636
87 GLIBENKLAMID TABLET 5 MG TAB 635 - 635 - Rp 82 Rp -
88 GLIMEPIRIDE TABLET 2 MG TAB 90 3,200 3,290 - Rp 123 Rp -
89 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 45 - 17 28 Rp 6,627 Rp 185,556
90 GLUKOSA LARUTAN INFUS 5 % + 1/2 NS STERIL BTL - - - Rp -
91 GLUKOSA LARUTAN INFUS 5 % + 1/4 NS STERIL BTL - - - Rp -
92 GLUKOSA LARUTAN INFUS 10 % STERIL BTL - - - Rp -
93 GLUKOSA LARUTAN INFUS 40 % STERIL AMP - - - Rp -
94 GRISEOFULVIN TABLET 125 MG TAB 100 - 10 90 Rp 210 Rp 18,900
95 HALOPERIDOL DROPS 2 MG / ML BTL - - - Rp -
96 HALOPERIDOL INJEKSI 5 MG / ML AMP - - - Rp -
97 HALOPERIDOL INJEKSI 50 MG / ML AMP - - - Rp -
98 HALOPERIDOL TABLET 0,5 MG TAB - - - Rp -
99 HALOPERIDOL TABLET 1,5 MG TAB 900 - 140 760 Rp 51 Rp 38,760
100 HALOPERIDOL TABLET 5 MG TAB - - - Rp -
101 HIDROKLORTIAZID TABLET 25 MG TAB 142 - 73 69 Rp 148 Rp 10,212
102 HIDROKORTISON KRIM 2,5 % TUB 5 120 94 31 Rp 2,325 Rp 72,075
103 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP - - - Rp -
104 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 300 280 20 Rp 1,027 Rp 20,540
105 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL - - - Rp -
106 IBUPROFEN TABLET 200 MG TAB 1740 6,000 5,847 1,893 Rp 138 Rp 261,234
107 IBUPROFEN TABLET 400 MG TAB 1,250 7,000 7,369 881 Rp 191 Rp 168,271
108 INSULIN ANALOG LONG ACTING PEN 10 - - 10 Rp 89,000 Rp 890,000
109 INSULIN ANALOG RAPID ACTING PEN - - - Rp -
110 ISONIAZID TABLET 100 MG TAB - - - Rp -
111 ISONIAZID TABLET 300 MG TAB - - - Rp -
112 ISOSORBID DINITRAT TABLET 5 MG TAB 200 - 128 72 Rp 86 Rp 6,192
113 KALSIUM GLUKONAT INJEKSI 10 % AMP 4 7 9 2 Rp 5,723 Rp 11,446
114 KALSIUM LAKTAT TABLET 500 MG TAB - 1,294 - 1,294 Rp 60 Rp (77,640)
115 KANAMISIN INJEKSI 1000 MG VIAL - - - Rp -
116 KAOLIN - PEKTIN SIRUP BTL - - - Rp -
117 KAPTOPRIL TABLET 25 MG TAB 1117 2,500 3,879 - 262 Rp 75 Rp (19,650)
118 KARBAMAZEPIN TABLET 200 MG TAB 580 - 640 - 60 Rp 189 Rp (11,340)
119 KETOKONAZOLE KRIM 2 % TUB 10 60 58 12 Rp 2,349 Rp 28,188
120 KETOKONAZOLE TABLET 200 MG TAB 1,300 955 345 Rp 252 Rp 86,940
121 KETOPROFEN SUPPOSUTORIA SUPP - - - Rp -
122 KLINDAMISIN KAPSUL 300 MG KAP 90 200 75 215 Rp 522 Rp 112,230
123 KLOBAZAM TABLET 10 MG TAB - - - Rp -
124 KLONIDIN INJEKSI 0,15 MG / ML AMP - - - Rp -
125 KLONIDIN TABLET 0,15 MG TAB - - - Rp -
126 KLORAMFENIKOL INJEKSI 1000 MG VIAL - - - Rp -
127 KLORAMFENIKOL KAPSUL 250 MG KAP 125 300 195 230 Rp 754 Rp 173,420
128 KLORAMFENIKOL SALEP MATA 1% TUB 10 10 - Rp 7,883 Rp -
129 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL - - - Rp -
130 KLORAMFENIKOL TETES MATA 0,5 % BTL - - - Rp -
131 KLORAMFENIKOL TETES TELINGA 3 % BTL 21 45 26 40 Rp 7,150 Rp 286,000
132 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 14,000 8,418 5,582 Rp 258 Rp 1,441,998
133 KLORPROMAZIN HCL INJEKSI 25 MG / ML - 1 ML AMP - - - Rp -
134 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB 249 - 536 - 287 Rp 225 Rp (64,575)
135 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB - - - Rp -
136 KLOZAPIN TABLET 25 MG TAB 1,000 670 330 Rp 473 Rp 156,090
137 KODEIN HCL TABLET 10 MG TAB - - - Rp -
138 KOTRIMOKSAZOL 480 MG TAB - - 82 82 Rp 126 Rp 10,332
139 KOTRIMOKSAZOL 960 MG TAB 3 2,100 2,103 - Rp 264 Rp -
140 KOTRIMOKSAZOL PEDIATRIK TABLET TAB - - - Rp -
141 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 10 150 85 75 Rp 2,190 Rp 164,250
142 KURKUMA SIRUP BTL 20 20 - Rp 10,656 Rp -
143 KURKUMA TABLET TAB 40 1,220 948 312 Rp 681 Rp 212,612
144 LACTOBACILLUS SERBUK SACHET - - - Rp -
145 LAKTULOSA SIRUP BTL - - - Rp -
146 LEVOFLOKSASIN INFUS 5 MG / 5 ML BTL - - - Rp -
147 LEVOFLOKSASIN TABLET 500 MG TAB - - - Rp -
148 LEVOTIROKSIN TABLET 100 MCG TAB - - - Rp -
149 LIDOKAIN INJEKSI 20 MG / ML AMP - - - Rp -
150 LIDOKAIN KOMPOSITUM INJEKSI AMP 410 333 77 Rp 803 Rp 61,831
151 LIDOKAIN SPRAY ORAL 10 % BTL - - - Rp -
152 LISINOPRIL TABLET 5 MG TAB 100 - 100 Rp 440 Rp 44,000
153 LISINOPRIL TABLET 10 MG TAB - - - Rp -
154 LOPERAMID TABLET 2 MG TAB 210 - 90 120 Rp 352 Rp 42,240
155 LORATADIN TABLET 10 MG TAB 165 1,000 850 315 Rp 257 Rp 81,075
156 MAGNESIUM SULFAT INJEKSI / IV 20% - 25 ML AMP 12 30 42 - Rp 480 Rp -
157 MAGNESIUM SULFAT INJEKSI / IV 40% - 25 ML AMP 11 30 41 - Rp 600 Rp -
158 MANITOL INFUS BTL - - - Rp -
159 MEBENDAZOL TABLET 100 MG TAB - - - Rp -
160 MELOKSIKAM TABLET 15 MG TAB 315 2,900 2,651 564 Rp 392 Rp 220,986
161 METAMIZOL INJEKSI 500 MG / ML AMP - - - Rp -
162 METFORMIN TABLET 500 MG TAB 230 4,200 2,550 1,880 Rp 77 Rp 144,760
163 METHISOPRINOL 500 MG TAB - - - Rp -
164 METIL ERGOMETRIN INJEKSI 0,2 MG / ML - 1 ML AMP 75 200 215 60 Rp 1,023 Rp 61,380
165 METIL ERGOMETRIN TABLET 0,125 MG TAB 330 300 529 101 Rp 214 Rp 21,614
166 METIL PREDNISOLON INJEKSI 125 MG AMP - - - Rp -
167 METIL PREDNISOLON TABLET 4 MG TAB 900 695 205 Rp 102 Rp 20,910
168 METOKLOPRAMID INJEKSI 5 MG / ML AMP - - - Rp -
169 METOKLOPRAMID TABLET 10 MG TAB 800 653 147 Rp 66 Rp 9,702
170 METRONIDAZOL INFUS 5 MG / ML BTL - - - Rp -
171 METRONIDAZOL SIRUP 125 MG / 5 ML BTL - - - Rp -
172 METRONIDAZOL TABLET 250 MG TAB - - - Rp -
173 METRONIDAZOL TABLET 500 MG TAB - Rp -
174 MIKONAZOL KRIM 2% TUB 48 72 92 28 Rp 1,900Rp 53,200
175 MINERAL MIXTURE SACHET 0 400 - 400 Rp 3,008Rp 1,203,240
176 MOMETASON FUROAT KRIM 0,1 % TUB - - - Rp -
177 N-ASETIL SISTEIN KAPSUL 200 MG KAP 2160 20,500 15,334 7,326 Rp 301 Rp 2,205,126
178 NASALIN SPRAY 100 ML BTL - - - Rp -
179 NATRIUM BIKARBONAT INJEKSI 8,4 % AMP - - - Rp -
180 NATRIUM BIKARBONAT TABLET 500 MG TAB - - - Rp -
181 NATRIUM DIKLOFENAK 50 MG TAB 620 7,200 6,926 894 Rp 99 Rp 88,506
182 NATRIUM FOSFAT ENEMA TUB - - - Rp -
183 NATRIUM FUSIDAT SALEP 20 MG / G TUB 2 - - 2 Rp 19,096 Rp 38,192
184 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 10 ML AMP 128 68 60 Rp 3,280 Rp 196,800
185 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 500 ML BTL 41 - 9 32 Rp 6,149 Rp 196,768
186 NIFEDIPIN TABLET 10 MG TAB 100 90 10 Rp 240 Rp 2,402
187 NIFEDIPIN TABLET 30 MG SR TAB - - - Rp -
188 NISTATIN 100.000 IU / G TABLET VAGINA TAB 61 100 88 73 Rp 550 Rp 40,150
189 NISTATIN 500.000 IU TABLET SALUT TAB 100 100 - Rp 825 Rp -
190 NISTATIN SUSPENSI 100.000 IU / ML BTL - - - Rp -
191 NORETISTERON TABLET 5 MG TAB 100 - 30 70 Rp 3,960 Rp 277,200
192 OBAT ANTI TUBERKULOSIS ANAK PKT - - - Rp -
193 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 74 43 31 Rp 418,971 Rp 12,988,101
194 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT - - - Rp -
195 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 3 - 3 - Rp 317,018 Rp -
196 OBAT ANTI TUBERKULOSIS KDT DOSIS HARIAN PKT - - - Rp -
197 OBAT BATUK HITAM SIRUP BTL 13 684 429 268 Rp 16,563 Rp 4,438,884
198 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL - - - Rp -
199 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL - - - Rp -
200 OKSITETRASIKLIN HCL IM 50 MG / ML - 10 ML AMP - - - Rp -
201 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB - - - Rp -
202 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 142 - 142 - Rp 3,500 Rp -
203 OKSITOSIN INJEKSI 10 IU / ML - 1 ML AMP 200 200 - Rp 1,126 Rp -
204 OMEPRAZOLE INJEKSI 40 MG VIAL - - - Rp -
205 OMEPRAZOLE KAPSUL 20 MG KAP - - - Rp -
206 PAN AMIN G SOFTBAG - - - Rp -
207 PARAFORMALDEHIDA TABLET 1 G TAB - - - Rp -
208 PARASETAMOL DROPS 100 MG / ML BTL 25 25 - Rp 4,976 Rp -
209 PARASETAMOL INFUS 10 MG / ML BTL - - - Rp -
210 PARASETAMOL SIRUP 120 MG / 5 ML BTL 107 350 261 196 Rp 1,160 Rp 227,360
211 PARASETAMOL SUPPOSUTORIA SUPP - - - Rp -
212 PARASETAMOL TABLET 500 MG TAB 8925 - 8,925 - Rp 220 Rp -
213 PERAK SULFADIAZIN KRIM 1% TUB 3 10 8 5 Rp 18,557 Rp 92,785
214 PERMETRIN KRIM 5% TUB 1 55 52 4 Rp 6,325 Rp 25,300
215 PETIDIN INJEKSI 50 MG / ML - 2 ML AMP - - - Rp -
216 PILOKARPIN HCL NITRAT TETES MATA 2 % BTL - - - Rp -
217 PIRACETAM INJEKSI 1 GR / 5 ML AMP - - - Rp -
218 PIRACETAM TABLET 400 MG TAB 100 - 100 - Rp 410 Rp -
219 PIRANTEL PAMOAT TABLET 125 MG TAB 36 - - 36 Rp 287 Rp 10,332
220 PIRANTEL SUSPENSI 125 MG / 5 ML BTL - - - Rp -
221 PIRIDOKSIN HCL TABLET 10 MG TAB 625 7,000 6,889 736 Rp 67 Rp 49,312
222 PREDNISON TABLET 5 MG TAB 2651 3,000 3,318 2,333 Rp 68 Rp 158,644
223 PROKAIN BENZIL PENISILLIN INJEKSI 3 JUTA UI VIAL - - - Rp -
224 PROPILTIOURASIL TABLET 100 MG TAB 10 80 - 90 Rp 385 Rp 34,650
225 PROPRANOLOL TABLET 10 MG TAB - - - Rp -
226 PROPRANOLOL TABLET 40 MG TAB - - - Rp -
227 PSEUDOEFEDRIN SIRUP BTL 30 25 5 Rp 33,250 Rp 166,250
228 PSEUDOEFEDRIN TABLET TAB 100 - 100 Rp 2,610Rp 261,000
229 PYRIMETAMINE TABLET TAB - - - Rp -
230 RANITIDIN INJEKSI 25 MG / ML AMP - - - Rp -
231 RANITIDIN TABLET 150 MG TAB 870 5,000 3,751 2,119 Rp 85 Rp 180,115
232 RETINOL KAPSUL 100.000 IU KAP 450 450 - Rp 305 Rp -
233 RETINOL KAPSUL 200.000 IU KAP 6,200 6,000 200 Rp 553 Rp 110,600
234 RIFAMPISIN TABLET 450 MG TAB - - - Rp -
235 RIFAMPISIN TABLET 600 MG TAB - - - Rp -
236 RINGER LAKTAT LARUTAN INFUS STERIL BTL 100 88 12 Rp 7,630 Rp 91,560
237 RISPERIDON TABLET 2 MG TAB 300 6,000 5,327 973 Rp 123 Rp 119,679
238 SALBUTAMOL INHALASI BTL - - - Rp -
239 SALBUTAMOL NEBUL AMP - - - Rp -
240 SALBUTAMOL TABLET 4 MG TAB 1460 4,200 4,937 723 Rp 150 Rp 108,450
241 SALEP 2 - 4 KOMBINASI TUB 24 74 98 - Rp 1,410 Rp -
242 SALISIL BEDAK 2 % KTK 34 50 71 13 Rp 1,601 Rp 20,813
243 SALISIL SPIRITUS 10 % BTL - - - Rp -
244 SEFADROKSIL KAPSUL 500 MG KAP 50 1,500 50 1,500 Rp 766 Rp 1,148,730
245 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL - - - Rp -
246 SEFOTAKSIM SERBUK INJEKSI 1000 MG VIAL - - - Rp -
247 SEFTRIAXON SERBUK INJEKSI 1000 MG VIAL - - - Rp -
248 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 2 - - 2 Rp 517,132 Rp 1,034,264
249 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP - - - Rp -
250 SETIRIZIN SYR 5 MG / 5ML BTL 8 5 3 Rp 2,090 Rp 6,270
251 SETIRIZIN TABLET 10 MG TAB 3,100 2,921 179 Rp 49 Rp 8,771
252 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 80 100 90 90 Rp 969 Rp 87,210
253 SIMVASTATIN TABLET 10 MG TAB 440 7,000 6,265 1,175 Rp 68 Rp 79,900
254 SIMVASTATIN TABLET 20 MG TAB - - - Rp -
255 SIPROFLOKSASIN TABLET 500 MG TAB 918 1,500 1,442 976 Rp 248 Rp 242,048
256 SPIRONOLAKTON TABLET 25 MG TAB - - - Rp -
257 SULFASETAMID NATRIUM TETES MATA 15 % BTL 50 50 61 39 Rp 12,375 Rp 482,625
258 TABLET TAMBAH DARAH KOMBINASI TAB 23,843 179,400 140,548 62,695 Rp 226 Rp 14,169,070
259 TABURIA 1 GRAM SACHET - - - Rp -
260 TERBUTALIN INJEKSI 0,5 MG / ML AMP - - - Rp -
261 TERBUTALIN NEBUL AMP - - - Rp -
262 TETRAKAIN HCL TETES MATA 0,5% BTL - - - Rp -
263 TETRASIKLIN HCL KAPSUL 250 MG KAP - - - Rp -
264 TIAMIN HCL INJEKSI 1.000 MCG / ML - 1 ML AMP - - - Rp -
265 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 6544 - 6,544 - Rp 170 Rp -
266 TRIFLUOPERAZIN TABLET 5 MG TAB 900 - 270 630 Rp 220 Rp 138,600
267 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 1700 - 1,700 - Rp 63 Rp -
268 UREA KRIM 10% TUB - - - Rp -
269 VALPROAT SIRUP 250 MG / 5 ML BTL 3 - 3 Rp 11,532 Rp 34,596
270 VITAMIN B KOMPLEKS TABLET TAB 19989 10,000 29,469 520 Rp 57 Rp 29,640
271 VITAMIN D3 5000 IU TAB 1,710 1,260 450 Rp 3,630 Rp 1,633,500
272 VITAMIN NEUROTROPIK INJEKSI AMP - - - Rp -
273 WIDA BES BTL - - - Rp -
274 YODIUM POVIDON GARGLE 240 ML BTL 13 12 6 19 Rp 29,700 Rp 564,300
275 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 8 20 26 2 Rp 21,318 Rp 42,636
276 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 10 2 8 Rp 52,800 Rp 422,400
277 ZINK DROPS 10 MG / ML BTL - - - Rp -
278 ZINK SIRUP 20 MG / 5 ML BTL 113 936 461 588 Rp 2,489 Rp 1,463,532
279 ZINK TABLET 20 MG TAB 1419 12,500 8,504 5,415 Rp 208 Rp 1,126,320
B. OBAT DAN BAHAN PERAWATAN GIGI - Rp -
280 AIR RAKSA DENTAL USE BTL - - - Rp -
281 ANESTESI / ANTISEPTIK PASTA POT - - - Rp -
282 BONDING KOMPOSIT TUB - - - Rp -
283 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 2 2 - Rp 49,500 Rp -
284 DEVITALISASI PASTA ( NON ARSEN ) BTL 1 1 - Rp 205,000 Rp -
285 EUGENOL CAIRAN BTL 2 2 - Rp 20,150 Rp -
286 FORMOKRESOL CAIRAN BTL - - - Rp -
287 GEL ETCHING TUB - - - Rp -
288 GLASS IONOMER ART BTL 2 2 - Rp 271,000 Rp -
289 KALSIUM HIDROKSIDA PASTA BTL 1 1 - Rp 68,000 Rp -
290 KOMPOSIT WARNA A2 TUB - - - Rp -
291 KOMPOSIT WARNA A3 TUB - - - Rp -
292 KOMPOSIT WARNA A3,5 TUB - - - Rp -
293 MUMMIFYING PASTA BTL - - - Rp -
294 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL 1 1 - Rp 140,000 Rp -
295 TEMPORARY STOPPING FLETCHER SET - - - Rp -
296 TUMPATAN SEMENTARA BTL 2 2 - Rp 50,700 Rp -
C. BAHAN KIMIA - Rp -
297 ALKALINE PHOSPHATASE KIT 0 - - Rp -
298 ALKOHOL PEROXIDE BTL 0 - - Rp -
299 ALUMINIUM TEST PKT 0 - - Rp -
300 AQUADEST 1 L BTL 0 - - Rp -
301 AQUADEST 5 L BTL 4 - 4 Rp 91,441 Rp 365,766
302 AQUADEST 20 L GALON 2 - 2 Rp 156,757 Rp 313,514
303 ARSENIC TEST KIT 0 - - Rp -
304 ASAM ASETAT 6 % BTL 0 - - Rp -
305 ASAM ASETAT 25 % BTL 0 - - Rp -
306 ASAM KLORIDA 0,1 N BTL 0 - - Rp -
307 ASAM SULFASALISILAT 20 % BTL 0 - - Rp -
308 ASAM URAT KIT 0 - - Rp -
309 BAHAN PENGAMBILAN TEST PAP SMEAR PKT 0 - - Rp -
310 BLOOD AGAR 500 G BTL 0 - - Rp -
311 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK 0 - - Rp -
312 BOD NUTRIENT SALT MIXT ( SPQ 1.00688.0001 ) PAK 0 - - Rp -
313 BOD STANDART ( SPQ.1.00718.0001 ) PAK 0 - - Rp -
314 BORAKS TEST PKT 0 - - Rp -
315 BOWIE & DICK TEST BOX 0 - - Rp -
316 BOX SLIDE / BOX OBJECT GLASS KOTAK 0 - - Rp -
317 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL 0 - - Rp -
318 BUFFER GIEMSA BTL 0 - - Rp -
319 BUFFER WRIGHT BTL 0 - - Rp -
320 BUFFER SOLUTION PH 7 BTL 0 - - Rp -
321 BUFFER SOLUTION PH 10 BTL 0 - - Rp -
322 CADMIUM 55 TEST KIT 0 - - Rp -
323 CALCIUM 100 TEST KIT 0 - - Rp -
324 CARBONAT HARDNESS TEST KIT 0 - - Rp -
325 CARREZ I PKT 0 - - Rp -
326 CARREZ II PKT 0 - - Rp -
327 CD 4 CONTROL PCS 0 - - Rp -
328 CD 4 MOBILE PCS 0 - - Rp -
329 CHLORIDE 175 TEST KIT 0 - - Rp -
330 CHLORINE 1 L BTL 0 - - Rp -
331 CHROMATE (250 TEST) KIT 0 - - Rp -
332 COD CELL TEST ( SPQ.1.14541.0001 ) PAK 0 - - Rp -
333 COLESTEROL BTL 0 - - Rp -
334 COPPER TEST PKT 0 - - Rp -
335 COVER GLASS PCS 0 - - Rp -
336 CREATININ BTL 0 - - Rp -
337 CREATININ KINASE MYOCARDIAL BAND (CK-MB) KIT 0 - - Rp -
338 CYANIDA TEST KIT 0 - - Rp -
339 DESINFEKTAN SPRAY BTL 68 32 36 Rp 160,900 Rp 5,792,400
340 DIRECT BILIRUBIN KIT 0 - - Rp -
341 DIRUI BCC-3600 CLEANSER PAK 0 - - Rp -
342 DIRUI BCC-3600 CONTROL CBC NORMAL BTL 0 - - Rp -
343 DIRUI BCC-3600 DILUENT PAK 0 - - Rp -
344 DIRUI BCC-3600 LYSE PAK 0 - - Rp -
345 DIRUI CLINICAL CHEMICAL QC SERUM BTL 0 - - Rp -
346 EDTA 10 % BTL 0 - - Rp -
347 EMB AGAR 500 G BTL 0 - - Rp -
348 EMERSI OIL BTL 0 - - Rp -
349 ENZYMATIC CLEANER SACHET 0 - - Rp -
350 ETANOL 96 % 1 L BTL 0 - - Rp -
351 EXTRAN MA O2 NETRAL 107553.2500 PKT 0 - - Rp -
352 FLUORIDE TEST SPQ 114761-0002 PKT 0 - - Rp -
353 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 - - Rp -
354 FOOD SECURITY KIT KIT 0 - - Rp -
355 FORMALDEHIDE TEST (100 TEST) KIT 0 - - Rp -
356 GLUCOSA BTL 0 - - Rp -
357 GOLONGAN DARAH ANTI SERA A BTL 4 4 - Rp 115,500 Rp -
358 GOLONGAN DARAH ANTI SERA B BTL 4 4 - Rp 115,500 Rp -
359 GOLONGAN DARAH ANTI SERA AB BTL 4 4 - Rp 164,000 Rp -
360 GOLONGAN DARAH ANTI D RHESUS BTL 0 - - Rp -
361 GRAM CRYSTAL VIOLET BTL 0 - - Rp -
362 GRAM SAFRANIN BTL 0 - - Rp -
363 HB METER SAHLI KIT 0 - - Rp -
364 HDL -C KIT 0 - - Rp -
365 INDIKATOR STEAM STRIP PCS 0 - - Rp -
366 IODINA TEST SET 0 - - Rp -
367 IRON TEST PKT 0 - - Rp -
368 KALIUM PERMANGANAT SERBUK POT 0 - - Rp -
369 KAPORIT (GALON) LT 0 - - Rp -
370 KAPORIT (BOTOL) BTL 0 - - Rp -
371 KERTAS KURKUMIN / TUMERIC PAPER PKT 0 - - Rp -
372 KOVACS INDOL KIT 0 - - Rp -
373 LACTOSE BROTH 500 G BTL 0 - - Rp -
374 LARUTAN BARIUM CHLORIDE BTL 0 - - Rp -
375 LARUTAN BENEDICT BTL 0 - - Rp -
376 LARUTAN DESINFEKTAN 500 ML BTL 0 - 106 106 Rp 7,500 Rp 795,000
377 LARUTAN DESINFEKTAN 750 ML BTL 0 - - Rp -
378 LARUTAN DESINFEKTAN 1 L BTL 0 - - Rp -
379 LARUTAN DESINFEKTAN 5 L GALON 5 - 5 Rp 950,000 Rp 4,750,000
380 LARUTAN EOSIN 2 % BTL 0 - - Rp -
381 LARUTAN ETANOL ASAM BTL 0 - - Rp -
382 LARUTAN FOUCHET BTL 0 - - Rp -
383 LARUTAN GIEMSASTEIN BTL 0 - - Rp -
384 LARUTAN HAYEM BTL 0 - - Rp -
385 LARUTAN KARBOL FUCHSIN BTL 0 - - Rp -
386 LARUTAN KINYOUN BTL 0 - - Rp -
387 LARUTAN LUGOL 1 % BTL 0 - - Rp -
388 LARUTAN METILEN BIRU BTL 0 - - Rp -
389 LARUTAN NATRIUM CITRAT BTL 0 - - Rp -
390 LARUTAN REES ECKER BTL 0 - - Rp -
391 LARUTAN TURK BTL 0 - - Rp -
392 LARUTAN WRIGHT BTL 0 - - Rp -
393 LAURYL SULFATE KIT 0 - - Rp -
394 LDL KIT 0 - - Rp -
395 LEAD TEST (50TEST) KIT 0 - - Rp -
396 LISOL BTL 0 - - Rp -
397 MAC CONKEY AGAR BTL 0 - - Rp -
398 MANGANESE TEST PAK 0 - - Rp -
399 MANNITOL SALT PHENOL RED AGAR BTL 0 - - Rp -
400 METANOL BTL 0 - - Rp -
401 METANIL YELLOW TEST KIT PKT 0 - - Rp -
402 NITRAT TEST PAK 0 - - Rp -
403 NITRIT TEST PAK 0 - - Rp -
404 NUTRIENT AGAR BTL 0 - - Rp -
405 OBYEK GLASS PCS 288 1,026 810 504 Rp 309 Rp 155,726
406 OKSIGEN GAS DALAM TABUNG TBG Rp -
407 OXYGEN REACTION BOTTLE UNIT 0 - - Rp -
408 PERHIDROL (H2O2) 3 % BTL 3 5 1 7 Rp 29,480 Rp 206,360
409 PLATE COUNT AGAR BTL 0 - - Rp -
410 POLI ALUMINIUM CHLORID (PAC) KG 0 - - Rp -
411 POTATO DEXTRAN AGAR PKT 0 - - Rp -
412 RHODAMIN B TEST KIT KIT 0 - - Rp -
413 SELENITE BROTH BTL 0 - - Rp -
414 SGOT BTL 0 - - Rp -
415 SGPT BTL 0 - - Rp -
416 SPECTROQUANT PHOTO CHECK KIT 0 - - Rp -
417 SQ COD KIT 0 - - Rp -
418 SULFAT TEST PAK 0 - - Rp -
419 TEST HAMIL URINE / HCG TEST TEST 100 400 400 100 Rp 3,330 Rp 333,000
420 TEST ANTI HCV TEST 0 - - Rp -
421 TEST COVID ANTIBODI TEST 0 - - Rp -
422 TEST COVID ANTIGEN TEST 200 200 - Rp 55,200 Rp -
423 TEST DENGUE TEST 0 - - Rp -
424 TEST HBsAG TEST 100 1,150 550 700 Rp 8,285 Rp 5,799,500
425 TEST HIV FOKUS TEST 200 875 400 675 Rp 13,353 Rp 9,013,275
426 TEST HIV INTECH TEST 0 - - Rp -
427 TEST HIV ONCOPROBE TEST 0 - - Rp -
428 TEST HIV RPR TEST 0 - - Rp -
429 TEST HIV SD TEST 0 - - Rp -
430 TEST HIV VIKIA / BIOMERIEUX TEST 0 - - Rp -
431 TEST HIV VIROCHECK TEST 150 100 50 Rp 8,024 Rp 401,200
432 TEST MALARIA TEST 0 - - Rp -
433 TEST SYPHILIS SD TEST 300 425 525 200 Rp 8,948 Rp 1,789,600
434 TEST SYPHILIS TPHA TEST 0 - - Rp -
435 TOTAL PROTEIN KIT 0 - - Rp -
436 TRIGLISERIDA BTL 0 - - Rp -
437 TRYPTONE WATER KIT 0 - - Rp -
438 TUBERCULIN SKIN TEST TEST - 1 1 Rp 608,280 Rp 608,280
439 UNIVERSAL INDIKATOR PH 0-14 ( 1.09535.0001 ) PAK 0 - - Rp -
440 UREA / BUN KIT 0 - - Rp -
441 URIN STRIP 2 PARAMETER TEST 0 - - Rp -
442 URIN STRIP 3 PARAMETER TEST 0 - - Rp -
443 URIN STRIP 10 PARAMETER TEST 100 0 100 - Rp 3,960 Rp -
444 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB 0 - - Rp -
445 VACUTAINER TUBE K3 EDTA 3 ML TUB 0 - - Rp -
446 WIDAL REAGEN TEST KIT KIT 5 5 - Rp 271,150 Rp -
447 XYLOL BTL 0 - - Rp -
448 ZIEH NEELSEN REAGEN KIT KIT 1 12 - 13 Rp 176,760 Rp 2,297,880
449 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 - - Rp -
D. ALAT KESEHATAN DAN BAHAN HABIS PAKAI - Rp -
450 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT 0 - - Rp -
451 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET 400 400 800 - Rp 1,440 Rp -
452 ALAT SUNTIK SEKALI PAKAI 0,3 ML SET 1,400 1,400 - Rp 1,267 Rp -
453 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 7,000 2,000 5,000 Rp 1,191 Rp 5,955,000
454 ALAT SUNTIK SEKALI PAKAI 1 ML SET 200 100 300 - Rp 880 Rp -
455 ALAT SUNTIK SEKALI PAKAI 10 ML SET 18 100 18 100 Rp 1,337 Rp 133,650
456 ALAT SUNTIK SEKALI PAKAI 3 ML SET 400 400 - Rp 880 Rp -
457 ALAT SUNTIK SEKALI PAKAI 5 ML SET 700 0 500 200 Rp 919 Rp 183,700
458 ALAT SUNTIK SEKALI PAKAI 20 ML SET 0 - - Rp -
459 ALAT SUNTIK SEKALI PAKAI 50 ML SET 0 - - Rp -
460 ALKOHOL SWAB BJ 1000 17,400 17,200 1,200 Rp 126 Rp 151,200
461 ANTISEPTIK HANDRUB 50 ML BTL 0 - - Rp -
464 ANTISEPTIK HANDRUB 500 ML BTL 30 - 30 Rp 55,000 Rp 1,650,000
465 ANTISEPTIK HANDSCRUB 500 ML BTL 0 - - Rp -
466 APRON PLASTIK PCS 0 - - Rp -
467 BIST MESS BJ 16 0 11 5 Rp 561 Rp 2,805
468 BLOOD LANCET 26 G / 28 G SET 400 1,300 1,700 - Rp 144 Rp -
469 BLOOD SET SET 0 - - Rp -
470 BOR AKSES SET 0 - - Rp -
471 BOR FINISHING SET 0 - - Rp -
472 BOR PREPARASI GIGI SET 1 1 - Rp 260,000 Rp -
473 CAIRAN PENCUCI LUKA BTL 0 - - Rp -
474 CARTRIDGE GENEXPERT SET 0 - - Rp -
475 CARTRIDGE SARS-COV-2 SET 0 - - Rp -
476 CATGUT CHROMIC NO. 3/0 SACHET 8 12 17 3 Rp 5,384 Rp 16,151
477 CATGUT CHROMIC NO. 4/0 SACHET 0 - - Rp -
478 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHET 4 36 12 28 Rp 26,324 Rp 737,072
480 CERVICAL COLLAR PCS 0 - - Rp -
481 COOL BOX UNIT 1 - 1 Rp 198,275 Rp 198,275
482 COVERALL EA 180 - 105 285 Rp 165,000 Rp 47,025,000
483 DERMAFIX PCS 0 - - Rp -
484 DEVELOPER KIT 0 - - Rp -
485 ELDON CARD LEMBAR 0 - - Rp -
486 FACE SHIELD PCS 8 - 8 Rp 96,800 Rp 774,400
487 FIXER KIT 0 - - Rp -
488 FOLLEY CATHETER 2 WAY NO. 16 SET 4 5 8 1 Rp 39,960 Rp 39,960
489 FOLLEY CATHETER 2 WAY NO. 18 SET 5 5 - Rp 39,960 Rp -
490 GEL PERAWATAN LUKA TUB 0 - - Rp -
491 ICE GEL PCS 0 - - Rp -
492 ID BAND PCS 0 - - Rp -
493 INFUS SET ANAK SET 10 10 10 10 Rp 37,800 Rp 378,000
494 INFUS SET DEWASA SET 6 50 6 50 Rp 6,600 Rp 330,000
495 IV CATHETER NO. 18 SET 20 10 10 Rp 20,979 Rp 209,790
496 IV CATHETER NO. 20 SET 30 10 20 Rp 20,979 Rp 419,580
497 IV CATHETER NO. 22 SET 3 0 2 1 Rp 20,979 Rp 20,979
500 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ 12 12 12 12 Rp 783 Rp 9,400
501 K - FILE SET 0 - - Rp -
502 KACAMATA GOGGLE PCS 100 - 100 Rp 27,600 Rp 2,760,000
503 KANTONG MAYAT BJ 0 - - Rp -
504 KAPAS BERLEMAK 500 GRAM ROL 0 - - Rp -
505 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL 12 0 8 4 Rp 26,273 Rp 105,092
506 KARTU GOLONGAN DARAH PCS 100 100 - Rp -
507 KASA 16x16 PCS 16 560 480 96 Rp 8,000 Rp 768,000
508 KASA 40X80 ROL 2 2 - Rp -
509 KASA HIDROFIL STERIL UKURAN 18 M X22 CM ROL 5 - 5 Rp 7,500 Rp 37,500
510 KASA KOMPRES 40/40 STERIL ROL 0 - - Rp -
511 KASA PEMBALUT 2 M X 80 CM ROL 20 0 14 6 Rp 10,452 Rp 62,712
512 KASA PEMBALUT ELASTIS 4 INCI ROL 0 - - Rp -
513 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 5 0 5 - Rp 2,415 Rp -
516 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL 0 - - Rp -
517 KASA PERAWATAN LUKA LBR 100 100 - Rp 7,000 Rp -
518 KASET WITH SCREEN GREEN PKT 0 - - Rp -
519 KERTAS EKG 80 MM X 30 M ROL 0 - - Rp -
520 KERTAS LAKMUS PCS 0 - - Rp -
521 MASKER PCS 11,620 6,720 4,900 Rp 2,290 Rp 11,221,000
522 MASKER N95 PCS 280 4 276 Rp 19,900 Rp 5,492,400
523 MASKER NEBUL ANAK SET 4 0 - 4 Rp 19,800 Rp 79,200
524 MASKER NEBUL DEWASA SET 3 0 - 3 Rp 15,500 Rp 46,500
525 MASKER NON REBREATHING DEWASA SET 0 - - Rp -
526 MASKER OKSIGEN ANAK SET 0 - - Rp -
527 MASKER OKSIGEN DEWASA SET 8 0 - 8 Rp 16,133 Rp 129,064
528 MICRO BRUSH PAK 0 - - Rp -
529 MICROLIT TIP 10 µl / WHITE TIP SET 0 - - Rp -
530 MICROLIT TIP 200 µl / YELLOW TIP SET 0 - - Rp -
531 MICROLIT TIP 1 ML / BLUE TIP SET -
0 - Rp -
532 MORTIER + STAMFER SET 0 - - Rp -
533 NASAL CANULA ANAK SET 25 5 20 Rp 5,027 Rp 100,540
534 NASAL CANULA BAYI SET 25 - 25 Rp 7,500 Rp 187,500
535 NASAL CANULA DEWASA SET 25 11 14 Rp 7,500 Rp 105,000
536 NEEDLE INSULIN SET 0 - - Rp -
537 NURSE CAP PCS 450 200 250 Rp 800 Rp 200,000
538 PARAFILM ROL 0 - - Rp -
539 PEMBALUT GIPS 4 INCI ROL 0 - - Rp -
540 PLESTER 5 CM x 5 M ROL 25 3 22 Rp 41,470 Rp 912,340
541 PLESTER 10 CM X 5 M ROL 0 - - Rp -
542 PLESTER 15 CM X 5 M ROL 5 25 4 26 Rp 105,650 Rp 2,746,900
543 PLESTER 20 CM X 5 M ROL 0 - - Rp -
544 PLESTER BULAT NON WOVEN PCS 0 - - Rp -
545 PLESTER KAIN 5 X 4,5 M ROL 0 - - Rp -
546 PLESTER KAIN 7,5 X 4,5 M ROL 0 - - Rp -
547 POT SPUTUM SET 200 - 800 1,000 Rp 2,200 Rp 2,200,000
548 POT URINE SET 0 - - Rp -
549 SAFETY BOX 2,5 L KTK 25 60 20 65 Rp 16,268 Rp 1,057,420
550 SAFETY BOX 5 L KTK 20 100 30 90 Rp 16,000 Rp 1,440,000
551 SALIVA EJECTOR PAK 0 - - Rp -
552 SANOSKIN OXY 30 GR PCS 0 - - Rp -
553 SARUNG TANGAN KEBIDANAN (PANJANG) PSG 1,150 - 500 1,650 Rp 44,000 Rp 72,600,000
554 SARUNG TANGAN KERJA (TEBAL) M - L PSG 120 - 120 Rp 14,960 Rp 1,795,200
555 SARUNG TANGAN NON STERIL PSG 200 - 18,500 18,700 Rp 1,857 Rp 34,720,664
556 SARUNG TANGAN STERIL PSG 0- 3,093 3,093 Rp 8,250 Rp 25,517,250
557 SCALPVEIN / WING NEDLE NO. 23 SET 0 - - Rp -
558 SCALPVEIN / WING NEDLE NO. 25 SET 0 - - Rp -
559 SENDOK SIRUP PCS 200 600 400 400 Rp 250 Rp 100,000
560 SEPATU BOOTS PASANG 0 - 18 18 Rp 185,000 Rp 3,330,000
561 SHOES COVER PASANG 0 - 50 50 Rp 1,265 Rp 63,250
562 SILK / BENANG SUTERA NO. 3/0 SACHET 48 24 24 Rp 3,931 Rp 94,350
563 SLIM ZUIKER / MUCUS EXTRACTOR SET 100 - 100 Rp 11,880 Rp 1,188,000
564 SPALK DEWASA SET 0 - - Rp -
565 SPATULA VAGINA KAYU SET 0 - - Rp -
566 SPONS GELATIN PCS 0 - - Rp -
567 STERILIZATION POUCHES 7X26 PCS 0 - - Rp -
568 STERILIZATION POUCHES 9X26 PCS 0 - - Rp -
569 SURGICAL GOWN DISPOSABLE EA 400 - 31 431 Rp 112,200 Rp 48,358,200
570 SURGICAL GOWN REUSE EA 19 - 19 Rp 245,300 Rp 4,660,700
571 TEST STRIP ASAM URAT TEST 625 525 100 Rp 140,090 Rp 14,008,988
572 TEST STRIP GLUKOSA TEST 2,400 2,400 - Rp 3,800 Rp -
573 TEST STRIP HB MISSION TEST 1,300 1,200 100 Rp 8,000 Rp 800,000
574 TEST STRIP KOLESTEROL TEST 920 780 140 Rp 27,341 Rp 3,827,782
575 THERMOMETER DIGITAL UNIT 0 - - Rp -
576 THERMOMETER INFRARED UNIT 0 - - Rp -
577 TISU PEMBERSIH HIGIENIS PCS 10,300 10,300 - Rp 1,029 Rp -
578 UMBILICAL CORD KLEM PCS 0 - - Rp -
579 UNDERPAD LBR 1,000 570 430 Rp 3,300 Rp 1,419,000
580 URINE BAG STERIL LBR 3 20 8 15 Rp 2,500 Rp 37,500
581 USG GEL TUB 10 5 5 Rp 13,860 Rp 69,300
582 X RAY FILM UKURAN 24X30 LBR 0 - - Rp -
E. OBAT PROGRAM HIV / AIDS - Rp -
585 ABACAVIR 300 MG TAB 0 - - Rp -
586 DOLUTEGAVIR 50 MG TAB 0 - - Rp -
587 EFAVIRENZ 600 MG TAB 0 - - Rp -
588 LAMIVUDINE 150 MG TAB 0 - - Rp -
589 LOPINAVIR 200 MG + RITONAVIR 50 MG TAB 0 - - Rp -
590 NEVIRAPINE 200 MG TAB 0 - - Rp -
591 TENOFOVIR 300 MG TAB 0 - - Rp -
592 TENOVOFIR 300 MG + EMTRICITABINE 200 MG TAB 0 - - Rp -
593 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
DOLUTEGAVIR 50 MG TAB 0 - - Rp -
TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
594 TAB 0 - - Rp -
EFAVIRENZ 600 MG (TRIPLE FDC) DEWASA
595 ZIDOFUDINE 100 MG TAB 0 - - Rp -
596 ZIDOFUDINE SIRUP BTL 0 - - Rp -
597 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG TAB 0 - - Rp -
598 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + NEVIRAPINE 50 TAB
MG (TRIPLE FDC) ANAK 0 - - Rp -
F. OBAT PROGRAM KUSTA - Rp -
599 KLOFAZIMINE TABLET 100 MG TAB 0 - - Rp -
600 MB ANAK BLISTER 0 - - Rp -
601 MB DEWASA BLISTER 6 42 42 6 Rp 49,748 Rp 298,488
602 PB ANAK BLISTER 0 - - Rp -
603 PB DEWASA BLISTER 0 - - Rp -
G. OBAT VAKSIN - Rp -
604 ANTI DIFTERI SERUM 10.000 IU VIAL 0 - - Rp -
605 BCG 20 DOSIS VIAL 12 105 103 14 Rp 97,780 Rp 1,368,921
606 CAMPAK 10 DOSIS VIAL 0 - - Rp -
607 DPT-HB-Hib 5 DOSIS VIAL 27 411 421 17 Rp 85,103 Rp 1,446,751
608 DT 10 DOSIS VIAL 79 63 136 6 Rp 33,063 Rp 198,378
609 HEPATITIS B VIAL 30 230 240 20 Rp 23,490 Rp 469,800
610 HEPATITIS B IMUNOGLOBULIN (Hbig) VIAL - 13 13 - Rp 1,325,000 Rp -
611 IPV 10 DOSIS VIAL 33 162 188 7 Rp 142,793 Rp 999,551
612 MEASLES RUBELLA (MR) VIAL 16 173 179 10 Rp 152,600 Rp 1,526,000
613 MENINGITIS VIAL 0 - - Rp -
614 POLIO b-OPV 10 DOSIS VIAL 41 243 253 31 Rp 19,540 Rp 605,740
615 POLIO t-OPV 10 DOSIS VIAL 0 - - Rp -
616 POLIO t-OPV 20 DOSIS VIAL 0 - - Rp -
617 Td 10 DOSIS VIAL 63 128 182 9 Rp 20,721 Rp 186,489
618 TT 10 DOSIS VIAL 0 - - Rp -
H. OBAT PROGRAM MALARIA - Rp -
619 ARTESUNATE INJEKSI 60 MG VIAL 0 - - Rp -
620 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 MG TAB 0 - - Rp -
621 KUININ 222 MG TAB 0 - - Rp -
622 PRIMAKUIN 15 MG TAB 0 - - Rp -
I. OBAT DAN BHP PROGRAM KB - Rp -
623 MICROGYNON STRIP 0 - - Rp -
624 PIL KOMBINASI STRIP 0 - 89 89 Rp 1,153 Rp 102,617
625 EXLUTON CYCLE 0 - - Rp -
626 DEPO GESTON VIAL 0 - - Rp -
627 DEPO PROVERA VIAL 0 - - Rp -
628 SUNTIK KB KOMBINASI VIAL 0 - 39 39 Rp - Rp -
629 IMPLANON 1 ROD SET 0 - - Rp -
630 INDOPLANT 2 RODS SET 0 - - Rp -
631 SINOPLANT 2 RODS SET 0 - - Rp -
632 SUSUK KB 2 RODS SET 90 60 30 Rp 175,181 Rp 5,255,430
633 IUD COPPER T SET 0 - 16 16 Rp 12,500 Rp 200,000
634 IUD NON CT SET 0 - - Rp -
635 IUD PREGNA SET 0 - - Rp -
636 KONDOM AROMA BOX 0 - 3 3 Rp 124,500 Rp 373,500
637 DUK STERIL PAK 0 - - Rp -
638 IUD KIT STERILISATOR LISTRIK SET 0 - - Rp -
639 REMOVAL IMPLANT KIT SET 0 - - Rp -
640 VTP KIT SET 0 - - Rp -
I. OBAT BELUM MASUK LPLPO Rp -
641 ACARBOSE 100 MG TAB - Rp -
642 ACARBOSE 50 MG TAB Rp -
643 ANALTRAM TABLLET TAB - Rp -
644 ANTRAIN TAB TAB - Rp -
645 APIALYS DROP BTL - Rp -
646 APIALYS SYR BTL - Rp -
647 ASAM TRANEKSAMAT INJ 100 MG AMPUL - Rp -
648 ASAM URSODIOKSIKOLAT TAB 200 MG TAB Rp -
649 BENZALIN PENISILIN 24 IU VIAL Rp -
650 CAL 95 TAB - Rp -
651 CANDERSATAN 16 MG TAB Rp -
652 CANDESARTAN 8 MG TAB Rp -
653 CEPRAZ (CEFOPERAZONE) INJEKSI VIAL Rp -
654 CITICOLIN INJEKSI AMP Rp -
655 CITICOLIN TAB TAB Rp -
656 CYTOSOL TAB TAB Rp -
657 DOBUTEL INJEKSI (DOBUTAMIN) VIAL Rp -
658 DOPAMET TAB TAB Rp -
659 DOPAMIN INJEKSI AMPUL Rp -
660 ENOKSAPARIN INJ VIAL Rp -
661 EPHEDRIN INJ 50MG/ML AMPUL Rp -
662 ESOMEPRAZOL INJEKSI VIAL Rp -
663 FAVIPIRAVIR TAB TAB 0 2500 2500 0 Rp 16,500 Rp -
664 FENTANYL INJ AMP Rp -
665 FEROPLUS TAB - Rp -
666 GABAPENTIN TAB 300 MG TAB Rp -
667 GENOCLOM TAB Rp -
668 GLIMEPIRID 4 MG TAB Rp -
669 GLIQUIDON 30 MG TAB - Rp -
670 HERBACOLD TAB TAB 1500 880 620 Rp 16,500 Rp 10,230,000
671 IMESCO TAB TAB Rp -
672 INBUMIN 250 MG TAB Rp -
673 KAEN MG3 BTL Rp -
674 KCL 25 ML VIAL - Rp -
675 KETAMIN INJEKSI VIAL Rp -
676 KETOROLAC INJ 30 MG AMPUL Rp -
677 KETOS TAB Rp -
678 KLORAMFENIKOL 500 MG TAB - Rp -
679 LANSOPRAZOLE KAP 30 MG KAP - Rp -
680 L-CORE SACHET - Rp -
681 MECOBALAMIN KAP 500 MG KAP - Rp -
682 MEROPENEM SERBUK INJ VIAL Rp -
683 MICROGEST TAB (PROGESTERON) TAB - Rp -
684 MOFVOR 200MG (MOLNUFIRAPIR( TAB Rp -
685 MST TAB TAB Rp -
686 NEUROBAT TAB TAB Rp -
687 NOTRIXUM AMP - Rp -
688 N-PI (NOREPINEFRIN) AMP Rp -
689 NUPOVEL INJEKSI (PROPOFOL) VIAL Rp -
690 OCTALBIN 20% VIAL - Rp -
691 ONDANSENTRON TAB 4 MG TAB Rp -
692 ONDANSENTRON TAB 4 MG TAB Rp -
693 OPTALVIT PLUS TAB TAB Rp -
694 OPTALVIT TAB TAB Rp -
695 OSELTAMIVIR 75 MG TABLET TAB Rp -
696 PIOGLITAZONE 15MG TAB Rp -
697 PIOGLITAZONE 30MG TAB Rp -
698 POTENSIK TABLET TAB Rp -
699 PSEUDOEFEDRIN DROP BTL Rp -
700 RIFAMPISIN 75 MG + ISONIAZID 300 MG TAB - 180 - 180 Rp 799 Rp 143,820
701 RIFAPENTIN 300MG + ISONIAZID 300 MG TAB - 180 171 9 Rp 6,546 Rp 58,914
702 SEFADROKSIL KAPSUL 250 MG KAP 1,500 - 1,500 Rp 379 Rp 568,500
703 SEFAZOLIN INJ AMPUL Rp -
704 SEFIKSIM 100 MG KAP Rp -
705 SEFIKSIM 200 MG KAP Rp -
706 SEFIKSIM SYRUP 100 MG/5 ML BTL Rp -
707 SERETIDE DISKUS PCS Rp -
708 SOLAC (LACTULOSE) SYRUP BTL - Rp -
709 SUKRALFAT SUSP 500 MG/5 ML BTL Rp -
710 TAMSULOSIN TABLET TAB Rp -
711 TIRIZ DROP (SETIRIZIN DROP) BTL - Rp -
712 TRAMADOL INJEKSI AMP Rp -
713 TRAMADOL TAB TAB Rp -
BHP BELUM MASUK LPLPO Rp -
714 BLUELINE TRACHEOSTOMY KIT NO 7 PCS Rp -
715 ADDHESIVE TAPE (STEAM) ROLL Rp -
716 AMONIA KIT KIT Rp -
717 ARM SLING PCS Rp -
718 BEAKER GLASS 100 ML PCS Rp -
723 BF 650 LYSE 500 ML KIT Rp -
724 BF DETERGENT 500 ML KIT Rp -
725 BF DILUNET 20L KIT Rp -
726 BF FDO LYSE 5L KIT Rp -
727 BF FDT LYSE 500 ML KIT Rp -
728 BOR CARBRIDE HIGHSPEED SET Rp -
729 CATGUT CHROMIC 2-0 (75 CM) SACHET Rp -
730 CATGUT CHROMIC 2-0 (75 CM) SACHET Rp -
731 CATGUT PAIN 1/150 CM SACHET Rp -
732 CATGUT PLAIN 2-0, 150CM, 1/2 CIRCLE SACHET Rp -
733 CATGUT PLAIN 2-0, 76CM, 1/2 CIRCLE SACHET Rp -
734 CATRIDGE BGA PCS Rp -
735 COLIFORM AGAR KIT Rp -
736 COLOSTOMY BAG PCS Rp -
737 COTTON SWAB PCS Rp -
738 CUTIMED PCS Rp -
739 CUTIMED GEL TUB Rp -
740 DERMAFIX S IV 4,4 X 4,4 CM PCS Rp -
741 DERMAFIX S IV 6 X 7 CM PCS Rp -
742 DERMAFIX T 10 X 20 CM PCS Rp -
743 DERMAFIX T 10 X 8 CM PCS Rp -
744 DIRUI CONTROL MIDDLE LEVEL SACHET Rp -
745 DOUBLE LUMEN HEMODIALYSA CATHETER PCS Rp -
746 E CAL KIT PCS Rp -
747 ECG ELEKTRODE PCS Rp -
748 ECG ELEKTRODE ANAK PCS Rp -
749 ERLENYEMER 100 ML PCS Rp -
754 EYE PROTECTOR PCS Rp -
755 FORMALIN CAIR BTL Rp -
756 GELAS UKUR 100 ML PCS Rp -
760 HEPARIN TUBE 4ML PCS Rp -
761 HERNIA MESH PCS Rp -
762 KACA ARLOJI 6CM PCS Rp -
763 KACA ARLOJI 8CM PCS Rp -
764 KERTAS USG PCS Rp -
765 KH2PO4 1KG BTL Rp -
766 KONDOM (HIV) SACHET Rp -
767 KUVET 10 MM PCS Rp -
768 LABU UKUR 100 ML PCS Rp -
772 LAURYL TRIPTOSE KIT Rp -
773 LUBRIKAN HIV TUB Rp -
774 MACRO CUVET PCS Rp -
775 MASKER NON REBREATHING ANAK PCS Rp -
776 MASKER NON REBREATHING BAYI PCS Rp -
777 MgSO4 1KG BTL Rp -
778 NORTROL KIT KIT Rp -
779 OSE BULAT BESAR DAN KECIL PCS Rp -
780 PIPET UKUR 1 ML PCS Rp -
783 PORTEX BLUELINE TRACHEOSTOMY KIT PDT 8.0MM PCS Rp -
784 PORTEX PERCUTANEOUS TRACHEOSTOMY KIT PDT 7.0MM PCS Rp -
785 PORTEX PERCUTANEOUS TRACHEOSTOMY KIT PDT 8.0MM PCS Rp -
786 PROLENE 1 100 CM SACHET Rp -
787 PROLENE 1/100CM SACHET Rp -
788 PROLENE 2/0 75 CM SACHET Rp -
791 REAGEN ALBUMIN KIT Rp -
792 ROMSON EPIDURAL KIT PCS Rp -
793 ROMSON FEEDING TUBE SET Rp -
794 ROMSON MANUAL RESUSITATOR PCS Rp -
795 S CAL KIT Rp -
796 SAMPLE CUP PCS Rp -
797 SILK NO.02 PCS Rp -
798 SODALIME/SOFTNOLIME 5LTR BTL Rp -
799 SPALK ANAK 4,5 X 15 CM PCS Rp -
800 SPALK ANAK 4,5 X 7 CM PCS Rp -
801 SPALK DEWASA 8 X 110 CM PCS Rp -
804 SPUIT HEPARIN 3ML PCS Rp -
805 STERICLIN 80 X 30 MM PCS Rp -
806 STERICLIN FLAT 10 CM/200 M PCS Rp -
809 STOMACH TUBE NO.14 SET Rp -
810 STOMACH TUBE NO.16 SET Rp -
811 SUCTION CATHETER NO.06 PCS Rp -
814 TABUNG DURHAM PCS Rp -
815 TABUNG REAKSI TUTUP ULIR 13 CM PCS Rp -
816 TABUNG REAKSI TUTUP ULIR 15 CM PCS Rp -
817 T-CHROMIC CATGUT 1,100 CM 1/2 CIRCLE SACHET Rp -
818 T-CHROMIC CATGUT 1/90CM 1/2 CIRCLE SACHET Rp -
819 T-CHROMIC CATGUT 3-0, 75 CM 3/8 CIRCLE SACHET Rp -
820 T-CHROMIC CATGUT 3-0, 76 CM 3/8 CIRCLE SACHET Rp -
821 TENCELLL CUVVET PCS Rp -
822 T-LENE 3-0, 76 CM 3/8 CIRCLE SACHET Rp -
823 T-MACRO 3.0 76CM, 3/8 CIRCLE SACHET Rp -
824 TOTAL BILIRUBIN KIT Rp -
825 TRACHEAL TUBE NO. 5,5 TUB Rp -
830 TRINICCHECK CONTROL 1 ML KIT Rp -
831 TRINICLOT APTT KIT Rp -
832 TRINICLOT PT EXCEL S 6ML KIT Rp -
833 TRIPLE LUMEN CENTRAL VENUS CATHETER PCS Rp -
834 T-SILK 3.0 76CM, 1/2 CIRCLE SACHET Rp -
835 T-SILK 3.0 76CM, 3/8 CIRCLE SACHET Rp -
836 T-VIO 2-0, 90CM, 1/2 CIRCLE SACHET Rp -
840 VICRYL 1-VIO SACHET Rp -
841 VICRYL PLUS 0 CT-1 70 CM SACHET Rp -
842 VICRYL PLUS 2-0 70 CM SACHET Rp -
843 VTM TEST Rp -
844 WASHING FLUID PCS Rp -
845 WASHING SOL PCS Rp -
846 X RAY FILM UKURAN 28X35 LBR Rp -
847 X RAY FILM UKURAN 35X43 LBR Rp -
K. VAKSIN BELUM MASUK LPLPO Rp -
848 VAKSIN ASTRA ZENECA 8 DOSIS VIAL Rp - Rp -
849 VAKSIN ASTRA ZENECA 10 DOSIS VIAL 0 54 54 0 Rp 3,120 Rp -
850 VAKSIN MODERNA 10 DOSIS VIAL 0 60 60 0 Rp - Rp -
851 VAKSIN MODERNA 14 DOSIS VIAL Rp - Rp -
852 VAKSIN PFIZER VIAL 73 674 737 10 Rp - Rp -
853 VAKSIN SINOPHARM VIAL 0 5 5 0 Rp - Rp -
854 VAKSIN SINOVAC 2 DOSIS VIAL 0 1332 1332 0 Rp - Rp -
855 VAKSIN SINOVAC 10 DOSIS VIAL 207 0 207 0 Rp - Rp -
856 VAKSIN HPV VIAL 204 Rp - Rp -
857 VAKSIN PCV VIAL 0 48 20 28 Rp 161,036 Rp 4,509,009
TOTAL OBAT, BHP DAN VAKSIN APBD Rp 422,602,014
KABUPATEN : TUBAN
PROPINSI : JAWA TIMUR
SUMURGUNG JUMLAH HARGA (Rp)

NAMA OBAT SATUAN STOK SATUAN HARGA
PENERI MAAN PEMA KAIAN SISA STOCK PUSKESMAS
AWAL
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB - 0 Rp -
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL - 0 Rp -
3 ALOPURINOL TABLET 100 MG TAB 9000 10,000 7,694 11,306 Rp 87 Rp 983,622
4 ALOPURINOL TABLET 300 MG TAB - - 0 Rp -
5 AMBROKSOL TABLET 30 MG TAB 7,900 - 7,900 Rp 389 Rp 3,073,100
6 AMINOFILLIN INJEKSI 24 MG / ML - 10 ML AMP - - 0 Rp -
7 AMINOFILLIN TABLET 200 MG TAB - - 0 Rp -
8 AMITRIPTILIN TABLET SALUT 25 MG TAB - - 0 Rp -
9 AMLODIPIN TABLET 10 MG TAB 10,000 - 10,000 Rp 70 Rp 700,000
10 AMLODIPIN TABLET 5 MG TAB 10,000 - 10,000 Rp 96 Rp 960,000
11 AMOKSISILIN KAPLET 500 MG KAPL 40,000 - 40,000 Rp 201 Rp 8,040,000
12 AMOKSISILIN KAPSUL 250 MG KAP - - 0 Rp -
13 AMOKSISILIN SERBUK INJEKSI 1 GRAM VIAL - - 0 Rp -
14 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 50 - 50 Rp 7,770Rp 388,500
15 AMPISILIN SERBUK INJEKSI 1 GRAM VIAL - - 0 Rp -
16 AMPISILIN SIRUP KERING 125 MG / 5 ML BTL - - 0 Rp -
17 ANTASIDA DOEN SUSPENSI BTL - - 0 Rp -
18 ANTASIDA DOEN TABLET KOMBINASI TAB 74908 - 45,341 29,567 Rp 116 Rp 3,429,772
19 ANTI BAKTERI DOEN SALEP KOMBINASI TUB - - 0 Rp -
20 ANTI FUNGI DOEN KOMBINASI POT - - 0 Rp -
21 ANTI HEMORRHOID SUPPOSUTORIA SUPP 50 - 50 Rp 3,279 Rp 163,950
22 ANTI INFEKSI KRIM TUB - - 0 Rp -
23 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB - - 0 Rp -
24 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP - - 0 Rp -
25 ASAM ASETIL SALISILAT TABLET 80 MG TAB - - 0 Rp -
26 ASAM ASKORBAT TABLET 250 MG TAB 10,000 1,350 8,650 Rp 125 Rp 1,081,250
27 ASAM ASKORBAT TABLET 50 MG TAB - - 0 Rp -
28 ASAM ASKORBAT TABLET 500 MG TAB 3,100 - 3,100 Rp 1,108 Rp 3,434,800
29 ASAM FOLAT TABLET 0,4 MG TAB 1,000 - 1,000 Rp 200 Rp 200,000
30 ASAM FOLAT TABLET 1 MG TAB - - 0 Rp -
31 ASAM MEFENAMAT TABLET 500 MG TAB 20000 10,000 18,645 11,355 Rp 300 Rp 3,406,500
32 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 20 - 20 Rp 4,900 Rp 98,000
33 ASAM TRANEKSAMAT TABLET 500 MG TAB - - 0 Rp -
34 ASERING INFUS BTL - - 0 Rp -
35 ASIKLOVIR TABLET 200 MG TAB - - 0 Rp -
36 ASIKLOVIR TABLET 400 MG TAB 1119 - 774 345 Rp 1,125 Rp 388,125
37 ASIKLOVIR KRIM 5 % TUB 183 - 183 Rp 11,469 Rp 2,098,827
38 ATAPULGIT TABLET 600 MG TAB 1,000 - 1,000 Rp 1,894 Rp 1,894,000
39 ATROPIN SULFAT INJEKSI 0,25 MG / ML - 1 ML AMP - - 0 Rp -
40 ATROPIN SULFAT TABLET 0,5 MG TAB - - 0 Rp -
41 AZITROMISIN TABLET 500 MG TAB - - 0 Rp -
42 BETADINE NASAL SPRAY BTL - - 0 Rp -
43 BETAHISTIN MESILAT TABLET 6 MG TAB - - 0 Rp -
44 BETAMETASON KRIM 0,1 % TUB 20 - 20 Rp 16,484Rp 329,680
45 BISAKODIL SUPPOSUTORIA 10 MG SUPP - - 0 Rp -
46 BISAKODIL TABLET 5 MG TAB - - 0 Rp -
47 BISOPROLOL TABLET 2,5 MG TAB - - 0 Rp -
48 BISOPROLOLTABLET 5 MG TAB - - 0 Rp -
49 DEKSAMETASON INJEKSI 5 MG / ML - 1 ML AMP 200 - 200 Rp 924 Rp 184,800
50 DEKSAMETASON TABLET 0,5 MG TAB - - 0 Rp -
51 DEKSTRAN 70 LARUTAN INFUS STERIL BTL - - 0 Rp -
52 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB - - 0 Rp -
53 DIAZEPAM INJEKSI 5 MG / ML - 2 ML AMP - - 0 Rp -
54 DIAZEPAM TABLET 2 MG TAB - - 0 Rp -
55 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML - 1 ML AMP - - 0 Rp -
56 DIGOKSIN TABLET 0,25 MG TAB - - 0 Rp -
57 DILTIAZEM KAPSUL 100 MG SR KAP - - 0 Rp -
58 DILTIAZEM TABLET 30 MG TAB - - 0 Rp -
59 DIMENHIDRINAT TABLET 50 MG TAB - - 0 Rp -
60 DOMPERIDON SIRUP 5 MG / 5 ML BTL - - 0 Rp -
61 DOMPERIDON TABLET 10 MG TAB - - 0 Rp -
62 EPINEPRIN HCL INJEKSI 0,1 % AMP 90 - 90 Rp 2,664 Rp 239,760
63 ERITROMISIN KAPSUL 500 MG KAP - - 0 Rp -
64 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL - - 0 Rp -
65 ETAKRIDIN LARUTAN 0,1 % BTL - - 0 Rp -
66 ETANOL 70 % BTL - - 0 Rp -
67 ETIL KLORIDA SEMPROT BTL 10 - 10 Rp 153,180 Rp 1,531,800
68 FENITOIN NATRIUM KAPSUL 100 MG KAP 1910 1,000 1,910 1,000 Rp 1,188 Rp 1,188,000
69 FENITOIN INJEKSI 50 MG / ML AMP - - 0 Rp -
70 FENOBARBITAL INJEKSI 50 MG / ML - 2 ML AMP - - 0 Rp -
71 FENOBARBITAL TABLET 30 MG TAB - - 0 Rp -
72 FENOL GLISEROL TETES TELINGA 10 % BTL - - 0 Rp -
73 FITOMENADION INJEKSI 2 MG / ML - 1 ML AMP - - 0 Rp -
74 FITOMENADION INJEKSI 10 MG / ML - 1 ML AMP - - 0 Rp -
75 FITOMENADION TABLET SALUT 10 MG TAB - - 0 Rp -
76 FLUFENAZIN INJEKSI 25 MG / ML AMP - - 0 Rp -
77 FLUOKSETIN KAPSUL 10 MG KAP - - 0 Rp -
78 FUROSEMID INJEKSI 10 MG AMP - - 0 Rp -
79 FUROSEMID TABLET 40 MG TAB - - 0 Rp -
80 GARAM ORALIT KOMBINASI SAK - - 0 Rp -
81 GEMFIBROZIL KAPSUL 300 MG KAP 500 - 500 Rp 300 Rp 150,000
82 GENTAMISIN INJEKSI 40 MG/ML AMP - - 0 Rp -
83 GENTAMISIN TETES MATA 0,3 % BTL - - 0 Rp -
84 GENTAMISIN SALEP KULIT 0,1 % TUB - - 0 Rp -
85 GENTAMISIN SALEP MATA 0,3 % TUB - - 0 Rp -
86 GENTIAN VIOLET LARUTAN 1 % BTL - - 0 Rp -
87 GLIBENKLAMID TABLET 5 MG TAB 6271 - 3,950 2,321 Rp 113 Rp 262,273
88 GLIMEPIRIDE TABLET 2 MG TAB 13,000 306 12,694 Rp 123 Rp 1,561,362
89 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 50 - 50 Rp -
90 GLUKOSA LARUTAN INFUS 5 % + 1/2 NS STERIL BTL - - 0 Rp -
91 GLUKOSA LARUTAN INFUS 5 % + 1/4 NS STERIL BTL - - 0 Rp -
92 GLUKOSA LARUTAN INFUS 10 % STERIL BTL - - 0 Rp -
93 GLUKOSA LARUTAN INFUS 40 % STERIL AMP - - 0 Rp -
94 GRISEOFULVIN TABLET 125 MG TAB - - 0 Rp -
95 HALOPERIDOL DROPS 2 MG / ML BTL - - 0 Rp -
96 HALOPERIDOL INJEKSI 5 MG / ML AMP - - 0 Rp -
97 HALOPERIDOL INJEKSI 50 MG / ML AMP - - 0 Rp -
98 HALOPERIDOL TABLET 0,5 MG TAB - - 0 Rp -
99 HALOPERIDOL TABLET 1,5 MG TAB - - 0 Rp -
100 HALOPERIDOL TABLET 5 MG TAB - - 0 Rp -
101 HIDROKLORTIAZID TABLET 25 MG TAB - - 0 Rp -
102 HIDROKORTISON KRIM 2,5 % TUB 50 - 50 Rp 2,347 Rp 117,350
103 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP - - 0 Rp -
104 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 500 - 500 Rp 7,492 Rp 3,746,000
105 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL - - 0 Rp -
106 IBUPROFEN TABLET 200 MG TAB - - 0 Rp -
107 IBUPROFEN TABLET 400 MG TAB 5,000 - 5,000 Rp 256 Rp 1,280,000
108 INSULIN ANALOG LONG ACTING PEN - - 0 Rp -
109 INSULIN ANALOG RAPID ACTING PEN - - 0 Rp -
110 ISONIAZID TABLET 100 MG TAB - - 0 Rp -
111 ISONIAZID TABLET 300 MG TAB - - 0 Rp -
112 ISOSORBID DINITRAT TABLET 5 MG TAB - - 0 Rp -
113 KALSIUM GLUKONAT INJEKSI 10 % AMP - - 0 Rp -
114 KALSIUM LAKTAT TABLET 500 MG TAB 29600 5,000 23,865 10,735 Rp 221 Rp 2,372,435
115 KANAMISIN INJEKSI 1000 MG VIAL - - 0 Rp -
116 KAOLIN - PEKTIN SIRUP BTL - - 0 Rp -
117 KAPTOPRIL TABLET 25 MG TAB 5,000 - 5,000 Rp 822 Rp 4,110,000
118 KARBAMAZEPIN TABLET 200 MG TAB 5,000 - 120 4,880 Rp 1,418 Rp 6,919,840
119 KETOKONAZOLE KRIM 2 % TUB - - 0 Rp -
120 KETOKONAZOLE TABLET 200 MG TAB - - 0 Rp -
121 KETOPROFEN SUPPOSUTORIA SUPP - - 0 Rp -
122 KLINDAMISIN KAPSUL 300 MG KAP - - 0 Rp -
123 KLOBAZAM TABLET 10 MG TAB - - 0 Rp -
124 KLONIDIN INJEKSI 0,15 MG / ML AMP - - 0 Rp -
125 KLONIDIN TABLET 0,15 MG TAB - - 0 Rp -
126 KLORAMFENIKOL INJEKSI 1000 MG VIAL - - 0 Rp -
127 KLORAMFENIKOL KAPSUL 250 MG KAP - - 0 Rp -
128 KLORAMFENIKOL SALEP MATA 1% TUB - - 0 Rp -
129 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL - - 0 Rp -
130 KLORAMFENIKOL TETES MATA 0,5 % BTL - - 0 Rp -
131 KLORAMFENIKOL TETES TELINGA 3 % BTL - - 0 Rp -
132 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 20000 5,000 18,848 6,152 Rp 74 Rp 455,248
133 KLORPROMAZIN HCL INJEKSI 25 MG / ML - 1 ML AMP - - 0 Rp -
134 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB 5000 - 2,435 2,565 Rp 505 Rp 1,295,325
135 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB - - 0 Rp -
136 KLOZAPIN TABLET 25 MG TAB 100 - 100 Rp 3,120 Rp 312,000
137 KODEIN HCL TABLET 10 MG TAB - - 0 Rp -
138 KOTRIMOKSAZOL 480 MG TAB 1,100 - 1,100 Rp 222 Rp 244,200
139 KOTRIMOKSAZOL 960 MG TAB - - 0 Rp -
140 KOTRIMOKSAZOL PEDIATRIK TABLET TAB - - 0 Rp -
141 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL - - 0 Rp -
142 KURKUMA SIRUP BTL - - 0 Rp -
143 KURKUMA TABLET TAB - - 0 Rp -
144 LACTOBACILLUS SERBUK SACHET - - 0 Rp -
145 LAKTULOSA SIRUP BTL - - 0 Rp -
146 LEVOFLOKSASIN INFUS 5 MG / 5 ML BTL - - 0 Rp -
147 LEVOFLOKSASIN TABLET 500 MG TAB - - 0 Rp -
148 LEVOTIROKSIN TABLET 100 MCG TAB - - 0 Rp -
149 LIDOKAIN INJEKSI 20 MG / ML AMP 500 - 500 Rp 1,332 Rp 666,000
150 LIDOKAIN KOMPOSITUM INJEKSI AMP - - 0 Rp -
151 LIDOKAIN SPRAY ORAL 10 % BTL - - 0 Rp -
152 LISINOPRIL TABLET 5 MG TAB - - 0 Rp -
153 LISINOPRIL TABLET 10 MG TAB - - 0 Rp -
154 LOPERAMID TABLET 2 MG TAB - - 0 Rp -
155 LORATADIN TABLET 10 MG TAB 5,000 - 5,000 Rp 109 Rp 545,000
156 MAGNESIUM SULFAT INJEKSI / IV 20% - 25 ML AMP 18 - 18 Rp 3,580 Rp 64,440
157 MAGNESIUM SULFAT INJEKSI / IV 40% - 25 ML AMP 18 - 18 Rp 4,312 Rp 77,616
158 MANITOL INFUS BTL - - 0 Rp -
159 MEBENDAZOL TABLET 100 MG TAB - - 0 Rp -
160 MELOKSIKAM TABLET 15 MG TAB - - 0 Rp -
161 METAMIZOL INJEKSI 500 MG / ML AMP - - 0 Rp -
162 METFORMIN TABLET 500 MG TAB 3,000 - 3,000 Rp 275 Rp 825,000
163 METHISOPRINOL 500 MG TAB - - 0 Rp -
164 METIL ERGOMETRIN INJEKSI 0,2 MG / ML - 1 ML AMP - - 0 Rp -
165 METIL ERGOMETRIN TABLET 0,125 MG TAB 1,000 - 1,000 Rp 216 Rp 216,000
166 METIL PREDNISOLON INJEKSI 125 MG AMP - - 0 Rp -
167 METIL PREDNISOLON TABLET 4 MG TAB 305 5,000 305 5,000 Rp 102 Rp 510,000
168 METOKLOPRAMID INJEKSI 5 MG / ML AMP - - 0 Rp -
169 METOKLOPRAMID TABLET 10 MG TAB - - 0 Rp -
170 METRONIDAZOL INFUS 5 MG / ML BTL - - 0 Rp -
171 METRONIDAZOL SIRUP 125 MG / 5 ML BTL - - 0 Rp -
172 METRONIDAZOL TABLET 250 MG TAB - - 0 Rp -
173 METRONIDAZOL TABLET 500 MG TAB 3139 - 1,438 1,701 Rp 182 Rp 309,582
174 MIKONAZOL KRIM 2% TUB - - 0 Rp -
175 MINERAL MIXTURE SACHET - - 0 Rp -
176 MOMETASON FUROAT KRIM 0,1 % TUB - - 0 Rp -
177 N-ASETIL SISTEIN KAPSUL 200 MG KAP 6900 10,000 6,484 10,416 Rp 1,000 Rp 10,416,000
178 NASALIN SPRAY 100 ML BTL - - 0 Rp -
179 NATRIUM BIKARBONAT INJEKSI 8,4 % AMP - - 0 Rp -
180 NATRIUM BIKARBONAT TABLET 500 MG TAB - - 0 Rp -
181 NATRIUM DIKLOFENAK 50 MG TAB 700 - 700 Rp 531 Rp 371,700
182 NATRIUM FOSFAT ENEMA TUB - - 0 Rp -
183 NATRIUM FUSIDAT SALEP 20 MG / G TUB - - 0 Rp -
184 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 10 ML AMP - - 0 Rp -
185 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 500 ML BTL - - 0 Rp -
186 NIFEDIPIN TABLET 10 MG TAB - - 0 Rp -
187 NIFEDIPIN TABLET 30 MG SR TAB - - 0 Rp -
188 NISTATIN 100.000 IU / G TABLET VAGINA TAB - - 0 Rp -
189 NISTATIN 500.000 IU TABLET SALUT TAB - - 0 Rp -
190 NISTATIN SUSPENSI 100.000 IU / ML BTL - - 0 Rp -
191 NORETISTERON TABLET 5 MG TAB - - 0 Rp -
192 OBAT ANTI TUBERKULOSIS ANAK PKT - - 0 Rp -
193 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT - - 0 Rp -
194 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT - - 0 Rp -
195 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT - - 0 Rp -
196 OBAT ANTI TUBERKULOSIS KDT DOSIS HARIAN PKT - - 0 Rp -
197 OBAT BATUK HITAM SIRUP BTL 500 - 500 0 Rp 5,060 Rp -
198 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL - - 0 Rp -
199 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL - - 0 Rp -
200 OKSITETRASIKLIN HCL IM 50 MG / ML - 10 ML AMP - - 0 Rp -
201 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB - - 0 Rp -
202 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB - - 0 Rp -
203 OKSITOSIN INJEKSI 10 IU / ML - 1 ML AMP 30 - 30 Rp 2,775 Rp 83,250
204 OMEPRAZOLE INJEKSI 40 MG VIAL - - 0 Rp -
205 OMEPRAZOLE KAPSUL 20 MG KAP 4800 - 2,541 2,259 Rp 425 Rp 960,075
206 PAN AMIN G SOFTBAG - - 0 Rp -
207 PARAFORMALDEHIDA TABLET 1 G TAB - - 0 Rp -
208 PARASETAMOL DROPS 100 MG / ML BTL - - 0 Rp -
209 PARASETAMOL INFUS 10 MG / ML BTL - - 0 Rp -
210 PARASETAMOL SIRUP 120 MG / 5 ML BTL - - 0 Rp -
211 PARASETAMOL SUPPOSUTORIA SUPP 120 - 120 Rp 15,734 Rp 1,888,080
212 PARASETAMOL TABLET 500 MG TAB 61475 10,000 41,698 29,777 Rp 153 Rp 4,555,881
213 PERAK SULFADIAZIN KRIM 1% TUB - - 0 Rp -
214 PERMETRIN KRIM 5% TUB 20 - 20 Rp 38,850 Rp 777,000
215 PETIDIN INJEKSI 50 MG / ML - 2 ML AMP - - 0 Rp -
216 PILOKARPIN HCL NITRAT TETES MATA 2 % BTL - - 0 Rp -
217 PIRACETAM INJEKSI 1 GR / 5 ML AMP - - 0 Rp -
218 PIRACETAM TABLET 400 MG TAB - - 0 Rp -
219 PIRANTEL PAMOAT TABLET 125 MG TAB - - 0 Rp -
220 PIRANTEL SUSPENSI 125 MG / 5 ML BTL - - 0 Rp -
221 PIRIDOKSIN HCL TABLET 10 MG TAB - - 0 Rp -
222 PREDNISON TABLET 5 MG TAB 3,000 - 3,000 Rp 155 Rp 465,000
223 PROKAIN BENZIL PENISILLIN INJEKSI 3 JUTA UI VIAL - - 0 Rp -
224 PROPILTIOURASIL TABLET 100 MG TAB - - 0 Rp -
225 PROPRANOLOL TABLET 10 MG TAB - - 0 Rp -
226 PROPRANOLOL TABLET 40 MG TAB - - 0 Rp -
227 PSEUDOEFEDRIN SIRUP BTL - - 0 Rp -
228 PSEUDOEFEDRIN TABLET TAB - - 0 Rp -
229 PYRIMETAMINE TABLET TAB - - 0 Rp -
230 RANITIDIN INJEKSI 25 MG / ML AMP - - 0 Rp -
231 RANITIDIN TABLET 150 MG TAB 7,300 - 7,300 Rp 85 Rp 620,500
232 RETINOL KAPSUL 100.000 IU KAP - - 0 Rp -
233 RETINOL KAPSUL 200.000 IU KAP - - 0 Rp -
234 RIFAMPISIN TABLET 450 MG TAB - - 0 Rp -
235 RIFAMPISIN TABLET 600 MG TAB - - 0 Rp -
236 RINGER LAKTAT LARUTAN INFUS STERIL BTL 40 - 40 Rp 7,630 Rp 305,200
237 RISPERIDON TABLET 2 MG TAB 6800 2,500 7,580 1,720 Rp 2,332 Rp 4,011,040
238 SALBUTAMOL INHALASI BTL - - 0 Rp -
239 SALBUTAMOL NEBUL AMP - - 0 Rp -
240 SALBUTAMOL TABLET 4 MG TAB - - 0 Rp -
241 SALEP 2 - 4 KOMBINASI TUB - - 0 Rp -
242 SALISIL BEDAK 2 % KTK - - 0 Rp -
243 SALISIL SPIRITUS 10 % BTL - - 0 Rp -
244 SEFADROKSIL KAPSUL 500 MG KAP - - 0 Rp -
245 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL - - 0 Rp -
246 SEFOTAKSIM SERBUK INJEKSI 1000 MG VIAL - - 0 Rp -
247 SEFTRIAXON SERBUK INJEKSI 1000 MG VIAL - - 0 Rp -
248 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL - - 0 Rp -
249 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP - - 0 Rp -
250 SETIRIZIN SYR 5 MG / 5ML BTL - - 0 Rp -
251 SETIRIZIN TABLET 10 MG TAB 5,000 - 5,000 Rp 125 Rp 625,000
252 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP - - 0 Rp -
253 SIMVASTATIN TABLET 10 MG TAB 20,000 - 20,000 Rp 68 Rp 1,360,000
254 SIMVASTATIN TABLET 20 MG TAB - - 0 Rp -
255 SIPROFLOKSASIN TABLET 500 MG TAB 3,000 - 3,000 Rp 248 Rp 744,000
256 SPIRONOLAKTON TABLET 25 MG TAB - - 0 Rp -
257 SULFASETAMID NATRIUM TETES MATA 15 % BTL - - 0 Rp -
258 TABLET TAMBAH DARAH KOMBINASI TAB - - 0 Rp -
259 TABURIA 1 GRAM SACHET - - 0 Rp -
260 TERBUTALIN INJEKSI 0,5 MG / ML AMP - - 0 Rp -
261 TERBUTALIN NEBUL AMP - - 0 Rp -
262 TETRAKAIN HCL TETES MATA 0,5% BTL - - 0 Rp -
263 TETRASIKLIN HCL KAPSUL 250 MG KAP - - 0 Rp -
264 TIAMIN HCL INJEKSI 1.000 MCG / ML - 1 ML AMP - - 0 Rp -
265 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 20000 5,000 16,334 8,666 Rp 225 Rp 1,949,850
266 TRIFLUOPERAZIN TABLET 5 MG TAB - - 0 Rp -
267 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 3000 - 1,140 1,860 Rp 250 Rp 465,000
268 UREA KRIM 10% TUB - - 0 Rp -
269 VALPROAT SIRUP 250 MG / 5 ML BTL - - 0 Rp -
270 VITAMIN B KOMPLEKS TABLET TAB 3,000 - 3,000 Rp 192 Rp 576,000
271 VITAMIN D3 5000 IU TAB - - 0 Rp -
272 VITAMIN NEUROTROPIK INJEKSI AMP - - 0 Rp -
273 WIDA BES BTL - - 0 Rp -
274 YODIUM POVIDON GARGLE 240 ML BTL - - 0 Rp -
275 YODIUM POVIDON LARUTAN 10 % 30 ML BTL - - 0 Rp -
276 YODIUM POVIDON LARUTAN 10 % 300 ML BTL - - 0 Rp -
277 ZINK DROPS 10 MG / ML BTL - - 0 Rp -
278 ZINK SIRUP 20 MG / 5 ML BTL - - 0 Rp -
279 ZINK TABLET 20 MG TAB - - 0 Rp -
SEFIXIME 100 MG TAB TAB 0 200 0 200 Rp 1,352 Rp 270,452
FORNERO TABLET TAB 0 10000 0 10000 Rp 454 Rp 4,540,000
GLISERIL GUAIAKOLAT TABLET 100 MG TAB 0 5,000 0 5,000 Rp 103 Rp 515,000
MEDIKLIN TR GEL TUBE 0 10 0 10 Rp 38,285 Rp 382,850
MELOKSIKAM TABLET 7,5 MG TAB 0 5,000 0 5,000 Rp 138 Rp 690,000
TERASMA TAB 0 60 0 60 Rp 6,068 Rp 364,080
GLUCOSAMIN 500 MG TAB TAB 0 500 480 20 Rp 1,315 Rp 26,300
BAHAN KIMIA
280 ABATE KG 0 2,640 0 2,640 Rp 2,500 Rp 6,600,000
281 ALGINAT HYGEDENT PACK
282 ALKACIDE BTL
283 ALKAZIME SACH
284 ALKOHOL 96% 1 L BTL
285 ALKOHOL SWAB PCS
286 BONDING DENTEX DX BOND GEN. 5 PCS
287 CALCIGEL TUBE
288 CALPLUS CALCIUM HYDROXIDE WITH IODOFOR TUBE
289 CBC ST PLUS NORMAL
CHLORPHENOL KAMFER 2.5MENTHOL
ML (CHKM) PCS
290 CONTROL DARAH NORMAL (CBC ST PLUS BTL
291 HEMATOLOGY CONTROL) BTL
292 CRESODENT/ CRESOPHEN VLADMIVA PCS
293 DENPRO CAL C TUBE
294 DENPRO CALPLUS TUBE
295 DIRUI BCC 3600 CLEANSER PACK
296 DIRUI BCC 3600 CONTROL CBC NORMAL BTL
297 DIRUI BCC 3600 DILUENT PACK
298 DIRUI BCC 3600 LYSE PACK
299 DIRUI CONTROL URINE NEGATIVE BTL
300 EDTA 100 ML BTL
301 EMERSI OIL BTL 0 1 0 1 Rp 777,000 Rp 777,000
302 ENZYMATIC CLEANER 1 L SACHET
303 ETANOL 70% BTL
304 ETANOL 96 % 1 L BTL 0 6 0 6 Rp 70,000 Rp 420,000
305 ETIL KLORIDA SEMPROT BTL 0 10 0 10 Rp 153,180 Rp 1,531,800
306 ETSA ASAM (DENTAMERICA) SYRINGE
307 EUGENOL CAIRAN BTL
308 FRUTTI FLOUR, SPESIFIKASI : BIODINAMICA BTL
309 GOLONGAN DARAH ANTI A GLORY BTL
310 GOLONGAN DARAH ANTI AB GLORY BTL
311 GOLONGAN DARAH ANTI B GLORY BTL
312 GOLONGAN DARAH ANTI D RHESUS BTL 0 4 0 4 Rp 260,850 Rp 1,043,400
313 GOLONGAN DARAH ANTI SERA A BTL 0 4 0 4 Rp 260,850 Rp 1,043,400
314 GOLONGAN DARAH ANTI SERA AB BTL 0 4 0 4 Rp 260,850 Rp 1,043,400
315 GOLONGAN DARAH ANTI SERA AO BTL
316 GOLONGAN DARAH ANTI SERA B BTL 0 4 0 4 Rp 260,850 Rp 1,043,400
317 GOLONGAN DARAH ANTI SERA BO BTL
318 GOLONGAN DARAH ANTI SERA H BTL
319 GOLONGAN DARAH ANTI SERA O BTL
320 IODINA TEST SET
321 LISOL BTL
322 LORNE ANTI-A MONOCLONAL BLOOD SET
323 LORNE ANTI-B MONOCLONAL BLOOD SET
324 LORNE SALMONELLA TYPHI H SET
325 LORNE SALMONELLA TYPHI H AO SET
326 LORNE SALMONELLA TYPHI H BO SET
327 LORNE SALMONELLA TYPHI H O SET
328 MALATHION BTL
329 OBJECT GLASS PCS
330 OKSIGEN GAS DALAM TABUNG TBG 0 13 0 13 Rp 66,600 Rp 865,800
331 PERHIDROL (H2O2) 3 % BTL
332 POVIDON IODIDA BTL
333 PROBE CLEANSER DIRUI BCC 3600 BTL
334 RAPID ANTIGEN SAR-COV-2 PCS
335 RAPID
REAGENNS-1
HEMATOLOGI ANALYZER SPESIFIKASI : PCS
336 DIRUI BCC 3600 PACK
337 REAGEN SD BIOLINE SIPHYLIS 3.0 RAPID TEST PACK
338 REAGEN WIDAL H FAST SALMONELA THYPI H VIBTL
339 REAGEN WIDAL O FAST SALMONELA THYPI O VIBTL
340 REAGEN WIDAL PA FAST SALMONELA PARA THYP BTL
341 REAGEN WIDAL PB FAST SALMONELA PARA THYP BTL
342 SCOTCHBOND PCS
343 SECURAFFIL
SEMEN SENGGLASS IONOMER
FOSFAT SERBUK FILLING CEMENT(BTL
DAN CAIRAN
344 BTL
345 SGOT BTL
346
SPESIFIKASI : DIRUI
SGPT BTL
347
SPESIFIKASI
SINGLE BOND: DIRUI TUBE
348 STIK URINE ALBUMIN, REDUKSI PCS
349 TEST DENGUE TEST
350 TEST HAMIL URINE / HCG TEST TEST
351 TEST HBSAG TEST
352 TEST HIV FOKUS TEST
353 TEST HIV VIROCHECK TEST
355 TEST SYPHILLIS TEST
356
SPESIFIKASI
TEST : 100
SYPHILLIS TEST/BOX: 30 TEST/BOX
SPESIFIKASI TEST
357 TUMPATAN SEMENTARA ( CAVITON ) PACK
358
SPESIFIKASI :-
UNIVERSAL RESTORATIVE A2 PCS
359 UNIVERSAL RESTORATIVE A3 PCS
360 URIN STRIP 10 PARAMETER TEST
363 VACUTAINER K3EDTA 3 ML TUBE
364 VACUUM TUBE KJ CLOT ACTIVATOR TUBE
365 WIDAL REAGEN TEST KIT KIT
366 BHP DENGAN DANA JKN
367 ALAT PEMECAH KETUBAN ( 1/2 KOCKER ) SET
368 ALAT SUNTIK SEKALI PAKAI 0.05 ML SET
369 ALAT SUNTIK SEKALI PAKAI 1 ML SET
372 ALAT UKUR PANJANG BADAN SET
373 ANTISEPTIK HANDSCRUB BTL
374
SPESIFIKASIHANDSCRUB
ANTISEPTIK : 5 LITER , GUARDER BTL
SPESIFIKASI
APRON : 500 ML, BOTOL, GUARDER
PLASTIK PCS
375 ARTERICLAMP SPESIFIKASI : RENZ RICHESTER
376 PEAN 26 CM/KLEM ARTERI/ARTERI CLAMP SET
377
LURUS
ASA DENTAL EXPLORERS SET
378 ASA DENTAL PLASTIC FILLING INSTRUMENTS SET
379 ASA DENTAL SCISSORS SET
380 BAK INSTRUMEN TERTUTUP MEDIUM SET
381 BASIC DRESSING SET + KASSA DEPPER SET SET
382 BIST MESS BJ
383 BLENDER SCI PCS
384 BLOOD LANCET 26 G / 28 G SET 0 2,500 0 2,500 Rp 153 Rp 382,500
385 BLOOD SET SET
386 BRACKET HAND SANITIZER SET
387
SPESIFIKASI
CATGUT = BAHAN
CHROMIC NO.STAINLESS
2/0 STEEL SACHET
388 CATGUT CHROMIC NO. 3/0 SACHET 0 20 0 20 Rp 12,876 Rp 257,520
390 CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHET
391 CATGUT SILK SUTURE 3/0 SACHET
392 CAWAN PENGUAT PORSELEN (D : 5 - 15 CM) PCS
393 CHLORAETHYL SPRAY SPESIFIKASI : - BTL
394 CHOLESTEROL EASYTOUCH PCS
395 CK JECT EX.
DENTAL SHORT INTRUMENTS
SURGICAL SPEC: THOMASONG
0 PCS
396 EXTRACTING FORCEPS TIPE ECO – 243/FIG33 PCS
397 DERMAFIX S IV PCS
398 DISPOSABLE SYRINGE 1 ML SET
402 DISPOSIBLE NEEDLE SET
403
SPESIFIKASITEST
DISPOSIBLE : 23 GSTRIP ASAM URAT AUTOCHECK S
PCS
404 DISPOSIBLE TEST STRIP GLUKOSA ACCUCHECK PCS
405 DISPOSIBLE TEST STRIP GLUKOSA AUTOCHECK SPE PCS
406 DISPOSIBLE TEST STRIP KOLESTROL AUTOCHECKPCS S
407 DOPPLER PCS
408 ECUSPHERE SHAPE A 35 SPEC: THOMASONG PCS
409 ECUSPHERE SHAPE A30 SPEC: THOMASONG PCS
410 ELVA LATEX POWDERED M PCS
411 FEMALE CATETHER NO. 16 PCS
412 FETAL DOPPLER ONEMED PCS
413 FOLLEY CATHETER 2 WAY NO. 16 SET
414 FOLLEY CATHETER 2 WAY NO. 18 SET
415 GEL PERAWATAN LUKA TUBE
416 GELANG IDENTITAS PASIEN BIRU (DEWASA) PCS
417 GELANG IDENTITAS PASIEN KUNING PCS
418 GELANG IDENTITAS PASIEN PINK (DEWASA) PCS
419 GIC (GLASS IONOMER CEMENT), SPEK : FUJI IX BTL
420 GIPS BIRU MERK 3M PCS
421 GIPS KUNING TIPE III MERK 3M PCS
422 GLASS VAN STERILE SURGICAL BLADES CARBONPCS
423 GULA DARAH TEST DIGITAL SPESIFIKASI : PCS
424
BENECECK
GUNTING EPISIOTOMI PCS
425 GUNTING PEMBALUT/VERBAND SPESIFIKASI : PCS
426 GUNTING TALI PUSAT PCS
427 HB EASYTOUCH PCS
428 HECTING SET SET
429 HYPAFIX 10 CM X 5 M PACK
430 HYPAFIX 15 CM X 5 M PACK
431 I.V CANNULA WITH TEFLON CATHETER 1WAY 18SET
432 I.V CANNULA WITH TEFLON CATHETER 1WAY 24SET
433 INDIKATOR STEAM PCS
434 INFUS SET ANAK SET
435 INFUS SET DEWASA SET
436 IV CATHETER NO. 18 SET
440 IV. CATHETER NO 26 G SET
441 JARUM AKUPUNTUR HUANQIU 0,5 CUN HUANQPCS
442 JARUM AKUPUNTUR HUANQIU 1 CUN HUANQI PCS
443 JARUM JAHIT
JARUM AKUPUNTUR
/ BEDAHHUANQIU
NO. 9 S/D1,5
14CUN HUANQ PCS
444 SPESIFIKASI :- SET
445 KANTONG WADAH OBAT PCS
446 KAPAS PEMBALUT 250 GR ROL
447 KARTU GOLONGAN DARAH PCS
448 KASA 36 MX80 CM PCS
449 KASA DEPPER BESAR STERIL PCS
450 KASA DEPPER KECIL STERIL PCS
451 KASA HIDROFIL 3.6X5 ROLL
452 KASA HIDROFIL 4 X 3 ROLL
453 KASA HYDROFIL 2M X 80 CM ROLL
454 KASA HYDROFIL 40 YARD X 80 CM ROLL 10 0 10 0 Rp 90,000 Rp -
458 KASA PERAWATAN LUKA (SOFRATUL) LBR
459 KASA STERIL 16 CM X 16 CM PCS
460 KASA VERBAN ROL 4 X 15 CM : ONEMED ROLL
461 KERTAS EKG 80 MM X 30 M ROLL
462 KERTAS LAKMUS PCS
463 KERTAS PERKAMEN PCS
464 KERTAS PUYER MEDIANE POCKET PCS
465 KERTAS SARING REAGEN PCS
466 KLEM TALI PUSAT PCS
467 KOMPOSIT 3M FILTEK Z250 WARNA A2 TUBE
468 KOMPOSIT 3M FILTEK Z250 WARNA A3 TUBE
469 MASKER PCS 400 0 400 0 Rp 700 Rp -
470 MASKER N95 PCS
471 MASKER NEBUL ANAK SET
472 MASKER NEBUL DEWASA SET
473 MASKER OKSIGEN ANAK SET
474 MASKER OKSIGEN DEWASA SET
475 MATA BOR GIGI SET
476 MAXTER SURGICAL GLOVE NO. 7 PSG
477 MEDI EXAM GLOVE LATEX M PSG
478 MEDI EXAM GLOVE LATEX MEDICAL EXAMINATI PSG
479 MEDICAL HEAD LAMP PCS
480 MEDICAL NEBULIZER SET
481 MEDICINE PACKET SI020 BOX
482 MICROBRUSH MERK 3M PACK
483 MICRODONT DIAMOND BURS (MULTIUSE COLLECTPACK
484 MICRODONT DIAMOND BURS REFILL , SPEK : PACK
489 MICRON SUPERIOR PCS
490 MICROPIPETTE TIPS BLUE TIP SET
491 MICROPIPETTE TIPS WHITE TIP SET
492 MICROPIPETTE TIPS YELLOW TIP SET
493 MISSION HB SYSTEM STATER KIT KIT 0 2 0 2 Rp 840,899 Rp 1,681,798
494 MORTIR DAN STAMPER SET
495 MPP 14.5 X 21.5 CM PCS
496 MPP L 17 X 22.5 CM PCS
497 MUCUS EXTRACTOR SET
498 NASAL CANULA ANAK SET
499 NASAL CANULA BAYI SET
500 NASAL CANULA DEWASA SET
501 NEEDLE HOLDER SET
502 NEEDLEPLUS
ORAFIL INSULIN
TEMPORARY FILLING SET
503 MATERIAL WITH SODIUM FLUOREDE PCS
504 OXYMETER SET
505 PALET PLASTIK SPESIFIKASI : LOKAL PCS
506 PALLET NPI 1311 BIRU PCS
507 PINCET ANATOMIS SET
508 PIPET BERSKALA 1 CC PCS
509 PIPET BERSKALA 10 CC PCS
510 PIPET WESTERGEN PCS
511 PLESTER 10 CM X 5 M ROL 18 0 18 0 Rp 152,950 Rp -
512 PLESTER 15 CM X 5 M ROL
513 PLESTER 5 CM X 5 M ROL 18 0 18 0 Rp 72,500 Rp -
514 PLESTER 5 YARD X 5 INCH SPESIFIKASI : - ROL
515 PLESTER BULAT NON WOVEN PCS
516 POT SPUTUM SET
517 POT URINE SET
518 RAK WESTERGEN SET
519 SALIVA EJECTOR MERK 3M PACK
520 SARUNG TANGAN KEBIDANAN (PANJANG) PSG
521 SARUNG TANGAN NON STERILE L PSG 3,000 0 3,000 0 Rp 600 Rp -
522 SARUNG TANGAN NON STERILE M PSG
523 SARUNG TANGAN NON STERILE S PSG
524 SARUNG TANGAN STERIL PSG
525 SCAPEL BLADE NO. 11 SET 0 100 0 100 Rp 916 Rp 91,600
526 SENDOK SIRUP PCS
527 SERVICAL COLAR PCS
528 SILK / BENANG SUTERA NO. 3/0 SACHET
529 SNEELEN CARD SPESIFIKASI : LOKAL PCS
530 SOFTPAD LBR
531 SPALK 3,5X10CM BAYI SPESIFIKASI : AUDI SET
532 SPALK 5X15CM ANAK SPESIFIKASI : AUDI SET
533 SPALK 8 X 100 CM SET
534 SPALK 8 X 125 CM SET
535 SPALK 8 X75 CM SET
536 SPALK ANAK UK. 4,5X10CM SET
537 SPALK ANAK-ANAK UKURAN 4.5 X 15 CM SET
538 SPALK DEWASA UK. 7X60CM SET
541 SPALK DEWASA UKURAN 7 X 45 CM SET
542 SPALK UKURAN 8X60 CM (SO59) / TANGAN SET
543
SPESIFIKASI : AUDI
SPATULA VAGINA KAYU SET
544 SPECULUM TELINGA SET
545 SPUIT 1 ML WITH NEEDLE PCS
546
SPESIFIKASI
SPUIT 10 ML :WITH
TERUMO SYRINGE,
NEEDLE 100 UNIT
SPESIFIKASI : PCS
547
TERUMO
SPUIT 3 MLSYRINGE, 100 UNIT
WITH NEEDLE SPESIFIKASI : PCS
548
TERUMO
SPUIT 5 MLSYRINGE, 100 UNIT
WITH NEEDLE PCS
549
SPESIFIKASI : TERUMO
STERILE POUCH 9X26 CM SYRINGE, 100 UNIT PCS
550 STIK UL H100 PCS
551 STOMACH TUBE SET
552 SUCTION CATETHER NO. 14 SET
553 SUDIP LIDAH 16,5 CM PCS
554 SUPER SENSOR BLOOD GLUCOSE MONITORING SET
555 TABUNG EDTA UNGU 3 ML PCS
556 TABUNG K3 EDTA PCS
557 TANG MAHKOTA ANAK RA POSTERIOR SET
558
SPESIFIKASI
TANG :
MAHKOTA ANAK RB ANTERIOR SET
559
SPESIFIKASI :
TANG SISA AKAR ANAK RA ANTERIOR SET
560
SPESIFIKASI :
TANG SISA AKAR ANAK RB ANTERIOR SET
561
SPESIFIKASI
TECO TOTAL: ETCH 5 ML SPEC: THOMASONG BTL
562 TENSI DIGITAL ONE MED UNIT
563 TENSIMETER OMRON UNIT
564 TEST STRIP ASAM URAT TEST
565 TEST STRIP ASAM URAT BENECHECK TEST 0 250 0 250 Rp 150,000 Rp 37,500,000
566 TEST STRIP GLUKOSA TEST
567 TEST STRIP GLUKOSA BENECHEK TEST 0 500 0 500 Rp 160,000 Rp 80,000,000
568 TEST STRIP GLUKOSA HUMASENS TEST
569 TEST STRIP HB MISSION TEST 0 500 0 250 Rp 8,434 Rp 2,108,410
570 TEST STRIP KOLESTEROL TEST
571 TEST STRIP KOLESTEROL BENECHECK TEST 0 100 0 100 Rp 250,000 Rp 25,000,000
572 TEST STRIP KOLESTEROL HUMASENS TEST
573 TIMBANGAN BAYI DIGITAL UNIT
574 TOURNIQUET PCS
575 TRULAB N BTL
576 UMBILICAL CORD CLAMP PCS
577 UNDERPAD LBR
578 U-PAD STERIL 25CM X 30 CM LBR
579 URINE BAG STERIL PCS
580 UROBAG PCS
581 USG GEL TUBE
TOTAL HARGA OBAT JKN/BLUD Rp 262,265,163
KENDURUAN JUMLAH HARGA (Rp)
SATUAN
NO NAMA OBAT SATUAN SISA PENERI PEMA SISA HARGA PUSKESMAS
STOK MAAN KAIAN STOCK
A. OBAT DENGAN DANA JKN
1 ALLOPURINOL TABLET 300 MG TAB
2 ALLOPURINOL TABLET 100 MG TAB 9,000 10,000 17,394 1,606 Rp 87 Rp 139,722
3 ALPRAZOLAM 0,5 MG TABLET TAB
4 ALPRAZOLAM 1 MG TABLET TAB
5 AMBROKSOL TABLET 30 MG TAB 1,580 7,900 8,542 938 Rp 389 Rp 364,413
6 AMBROKSOL SIRUP BOTOL
7 AMINOFILLIN INJEKSI 24 MG / ML - 10 ML AMPUL
8 AMINOFILLIN TABLET 200 MG TAB
9 AMITRIPTILIN TABLET SALUT 25 MG TAB
10 AMLODIPIN TABLET 10 MG TAB 0 10000 0 10000 Rp 70 Rp 700,000
11 AMLODIPIN TABLET 5 MG TAB 0 10000 0 10000 Rp 96 Rp 964,800
12 AMOKSISILIN KAPLET 500 MG TAB 0 40,000 0 40,000 Rp 201 Rp 8,040,000
13 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BOTOL 0 50 0 50 Rp 7,770 Rp 388,500
14 AMPISILIN SERBUK INJEKSI 1 GRAM VIAL
15 ANADEX SIRUP BOTOL
16 ANADEX TABLET TAB
17 ANTASIDA DOEN SUSPENSI BOTOL
18 ANTASIDA DOEN TABLET KOMBINASI TAB 74,908 0 43,335 31,573 Rp 116 Rp 3,652,680
19 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 50 0 50 Rp 3,279 Rp 163,950
20 ANTI INFEKSI KRIM (Bioplasenton) CR 15 GR TUBE
21 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB
22 AQUA PRO INJEKSI STERIL BEBAS PIROGEN PCS
23 ASAM ASETIL SALISILAT TABLET 80 MG TAB
24 ASAM ASKORBAT TABLET 50 MG TAB
25 ASAM ASKORBAT TABLET 250 MG TAB 0 10,000 2,115 7,885 Rp 125 Rp 985,625
26 ASAM ASKORBAT TABLET 500 MG TAB 0 3,100 0 3,100 Rp 1,108 Rp 3,434,800
27 ASAM FOLAT TABLET 0,4 MG TAB 0 1000 0 1000 Rp 200 Rp 199,800
28 ASAM FOLAT TABLET 1 MG TAB
29 ASAM MEFENAMAT TABLET 500 MG TAB 20,000 10,000 20,000 10,000 Rp 300 Rp 3,004,400
30 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMPUL 0 20 0 20 Rp 4,900 Rp 98,000
31 ASAM TRANEKSAMAT TABLET 500 MG TAB
32 ASAM VALPROAT SYRUP 250 MG/5 ML BOTOL
33 ASERING INFUS PCS
34 ASIKLOVIR KRIM 5 % 5 GR TUBE 0 183 0 183 Rp 11,469 Rp 2,098,827
35 ASIKLOVIR TABLET 200 MG TAB
36 ASIKLOVIR TABLET 400 MG TAB 1,119 0 874 245 Rp 1,125 Rp 275,625
37 ASPILET TAB TAB
38 ATAPULGIT TABLET 600 MG TAB 0 1,000 0 1,000 Rp 1,894 Rp 1,894,000
39 ATORVASTATIN 20 MG TAB TAB
40 ATROPIN SULFAT INJEKSI 0,25 MG / ML - 1 ML AMPUL
41 ATROPIN SULFAT TABLET 0,5 MG TAB
42 AZITHROMISIN 500 MG TABLET TAB
43 BETADINE KUMUR 100 ML PCS
44 BETAHISTIN MESILAT TABLET 6 MG TAB
45 BETAMETASON KRIM 0,1 % TUBE 0 20 0 20 Rp 16,484 Rp 329,680
46 BISAKODIL SUPPOSITORIA 10 MG SUPP
47 BISAKODIL TABLET 5 MG TAB
48 BISOPROLOL TABLET 2,5 MG TAB
49 BISOPROLOL TABLET 5 MG TAB
50 CANDESARTAN CILEXETIL TABLET 8 MG TAB
51 CAVIPLEX KAPLET TAB
52 CENDO LYTEERS TETES MATA PCS
53 CENDO XITROL TETES MATA PCS
54 CENFRESH TETES MATA 5 ML PCS
55 COLME EYE DROP PCS
56 D40 BTL
57 DEKSAMETASON INJEKSI 5 MG / ML - 1 ML AMPUL 0 200 0 200 Rp 924 Rp 184,800
58 DEKSAMETASON TABLET 0,5 MG TAB
59 DEKSOSIMETASON KRIM 0,25% TUBE
60 DEXTRAL TAB TAB
61 DEXTEEM PLUS TAB TAB
62 DIAGIT TABLET 100TAB/BOX TAB
63 DIAZEPAM ENEMA 5 MG / 2,5 ML PCS
64 DIAZEPAM INJEKSI 5 MG / ML - 2 ML AMPUL
65 DIAZEPAM TABLET 2 MG TAB
66 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML - 1 ML AMPUL
67 DIGOKSIN 0,25 MG TAB TAB
68 DIMENHIDRINAT TAB TAB
69 DOMPERIDON SIRUP 5 MG / 5 ML BTL
70 DOMPERIDON TABLET 10 MG TAB
71 EPINEPRIN HCL INJEKSI 0,1 % AMPUL 0 90 0 90 Rp 2,664 Rp 239,760
72 ERITHROMISIN 500 MG TAB
73 ERPHAFILLIN 200 MG TAB TAB
74 ETANOL 70% SPESIFIKASI : 100ML BTL
75 FARGOXIN 0,25 MG TAB TAB
76 FENITOIN NATRIUM 100 MG KAPSUL KAPS 1,910 1,000 1,910 1,000 Rp 1,188 Rp 1,188,000
77 FENOBARBITAL INJEKSI 50 MG/ML - 2 ML AMPUL
78 FENOBARBITAL TABLET 30 MG TAB
79 FENOL GLISEROL TETES TELINGA 10 % PCS
80 FITOMENADION INJEKSI 2 MG / ML - 1 ML AMPUL
81 FITOMENADION TABLET SALUT 10 MG TAB
82 FLUCADEX SIRUP BTL
83 FLUFENAZIN INJEKSI 25 MG/ML AMPUL
84 FORNERO TABLET TAB 0 10000 0 10000 Rp 454 Rp 4,540,000
85 FUROSEMID INJEKSI 10 MG AMPUL
86 FUROSEMID 40 MG TAB TAB
87 GEMFIBROZIL KAPSUL 300 MG KAPS 0 500 0 500 Rp 300 Rp 150,000
88 GENTAMISIN SALEP KULIT 0,1 % TUBE
89 GENTAMISIN SALEP MATA 0,3 % TUBE
90 GENTAMISIN TETES MATA 0,3 % TUBE
91 GENTIAN VIOLET LARUTAN 1 % BTL
92 GITAS PLUS KAPLET TAB
93 GITAS INJEKSI AMPUL
94 GLIBENKLAMID TABLET 5 MG TAB 6,271 0 3,595 2,676 Rp 113 Rp 301,050
95 GLIMEPIRIDE TABLET 2 MG TAB 0 13,000 53 12,947 Rp 123 Rp 1,592,481
96 GLISERIL GUAIAKOLAT TABLET 100 MG TAB 0 5,000 0 5,000 Rp 103 Rp 515,000
97 GLUKOSA LARUTAN INFUS 10 % STERIL PCS
98 GLUKOSA LARUTAN INFUS 40 % STERIL PCS
99 GLUKOSA LARUTAN INFUS 5 % + 1/2 NS STERIL PCS
100 GLUKOSA LARUTAN INFUS 5 % + 1/4 NS STERIL PCS
101 GLUKOSA LARUTAN INFUS 5 % STERIL PCS 0 50 0 50 Rp 6,627 Rp 331,350
102 GLUCOSAMIN 500 MG TAB TAB 0 500 480 20 Rp 1,315 Rp 26,300
103 GRISEOFULVIN 125 MG TAB TAB
104 GUAIFENESIN 100 MG TABLET TAB
105 HALOPERIDOL DROP BTL
106 HALOPERIDOL INJEKSI 5 MG / ML AMPUL
107 HALOPERIDOL TABLET 1,5 MG TAB
108 HALOPERIDOL TABLET 5 MG TAB
109 HIDROKORTISON KRIM 2,5 % TUBE 0 50 0 50 Rp 2,347 Rp 117,350
110 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMPUL
111 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 0 500 0 500 Rp 7,492 Rp 3,746,000
112 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL
113 IBUPROFEN TABLET 200 MG TAB
114 IBUPROFEN TABLET 400 MG TAB 0 5,000 0 5,000 Rp 256 Rp 1,280,000
115 INTERHISTIN TABLET TAB
116 INSULIN BASAL ANALOG PCS
117 INSULIN ANALOG RAPID ACTING PCS
118 ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG TAB
119 KAEN-3A PCS
120 KAEN-3B PCS
121 KALSIUM GLUKONAT INJEKSI 10 % PCS
122 KALSIUM LAKTAT TABLET 500 MG TAB 29,600 5,000 28,865 5,735 Rp 221 Rp 1,267,435
123 KAOLIN - PEKTIN SIRUP BTL
124 KAPTOPRIL TABLET 25 MG TAB 0 5,000 50 4,950 Rp 822 Rp 4,068,900
125 KARBAMAZEPIN TABLET 200 MG TAB 5,000 0 200 4,800 Rp 1,418 Rp 6,804,000
126 KETOKONAZOL CREAM 2% TUBE
127 KETOKONAZOLE TABLET 200 MG TAB
128 KETOPROFEN SUPPOSUTORIA SUPP
129 KLINDAMISIN KAPSUL 300 MG KAPS
130 KLOBAZAM 10 MG TAB TAB
131 KLORAMFENIKOL KAPSUL 250 MG KAPS
132 KLORAMFENIKOL SALEP MATA 1% TUBE
133 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL
134 KLORAMFENIKOL TETES MATA 0,5 % BTL
135 KLORAMFENIKOL TETES TELINGA 3 % BTL
136 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 20,000 5,000 11,867 8,133 Rp 74 Rp 601,842
137 KLORPROMAZIN HCL INJEKSI 25 MG/ML - 1 ML AMPUL
138 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB 5,000 0 2,435 2,565 Rp 505 Rp 1,294,427
139 KLOZAPIN TABLET 25 MG TAB 0 100 0 100 Rp 3,120 Rp 312,000
140 KODEIN 10 MG TABLET TAB
141 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL
142 KOTRIMOKSAZOL 480 MG TABLET TAB 0 1100 0 1100 Rp 222 Rp 244,200
143 KURKUMA SIRUP BTL
144 KURKUMA TABLET TAB
145 KUTOIN 100 MG TABLET TAB
146 LACTO B PCS
147 LAKTULOSA SIRUP BTL
148 L-BIO SPESIFIKASI : LAPI PCS
149 LEVOFLOXACIN 500 MG TABLET TAB
150 LIDOCAIN TETES MATA PCS
151 LIDOKAIN INJEKSI 20 MG/ML AMPUL 0 500 0 500 Rp 1,332 Rp 666,000
152 LIDOKAIN KOMPOSITUM INJEKSI AMPUL
153 LIDOKAIN SPRAY ORAL 10 % PCS
154 LISINOPRIL DIHYDRATE TABLET 10 MG TAB
155 LOPERAMID TABLET 2 MG TAB
156 LORATADIN TABLET 10 MG TAB 0 5,000 0 5,000 Rp 109 Rp 545,000
157 LOVERIS KRIM TUBE
158 LYCOPECT 30 MG TAB TAB
159 LYTACUR SIRUP BTL
160 MAGNESIUM SULFAT INJEKSI / IV 20% - 25 ML PCS 0 18 0 18 Rp 3,580 Rp 64,440
161 MAGNESIUM SULFAT INJEKSI / IV 40% - 25 ML PCS 0 18 0 18 Rp 4,312 Rp 77,616
162 MEDIKLIN TR GEL TUBE 0 10 0 10 Rp 38,285 Rp 382,850
163 MELOKSIKAM TABLET 7,5 MG TAB 0 5,000 0 5,000 Rp 138 Rp 690,000
164 MELOKSIKAM TABLET 15 MG TAB
165 MEPROVENT INHALASI PCS
166 METAMIZOL INJEKSI 500 MG / ML AMPUL
167 METFORMIN TABLET 500 MG TAB 0 3,000 0 3,000 Rp 275 Rp 825,000
168 METIL ERGOMETRIN INJEKSI 0,2 MG / ML - 1 ML AMPUL
169 METIL ERGOMETRIN TABLET 0,125 MG TAB 0 1,000 0 1,000 Rp 216 Rp 216,000
170 METIL PREDNISOLON TABLET 4 MG TAB 305 5,000 305 5,000 Rp 102 Rp 510,000
171 METOKLOPRAMID INJEKSI 5 MG / ML AMPUL
172 METOKLOPRAMID TABLET 10 MG TAB
173 METRONIDAZOL INFUS 5 MG / ML PCS
174 METRONIDAZOL TABLET 500 MG TAB 3,139 0 1,438 1,701 Rp 182 Rp 309,582
175 MEXON TABLET TAB
176 MEYLON 84 25 ML PCS
177 MIKONAZOL KRIM 2% TUBE
178 MISOPROSTOL 200 MG TAB TAB
179 MOMETASON FUROAT KRIM 0,1 % TUBE
180 MYCENTA GEL 15 G TUBE
181 N-ASETIL SISTEIN KAPSUL 200 MG KAPS 6,900 10,000 6,484 10,416 Rp 1,000 Rp 10,416,000
182 NATRIUM DIKLOFENAK 50 MG TAB 0 700 0 700 Rp 531 Rp 371,700
183 NATRIUM FUSIDAT SALEP 20 MG / G TUBE
184 NATRIUM KLORIDA LARUTAN INFUS 0,9% 500ML BTL
185 NEUROBAT DRAGEE TAB TAB
186 NEUROBAT INJ (VITAMIN NEUROTROPIK INJ) AMPUL
187 NEURODEX TAB TAB
188 NIFEDIPIN TABLET 10 MG TAB
189 NISTATIN SUSPENSI 100.000 IU / ML BTL
190 NORETISTERON TABLET 5 MG TAB
191 OBAT BATUK HITAM SIRUP (herbakof) BTL 500 0 500 0 Rp 5,060 Rp -
192 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUBE
193 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE
194 OKSITOSIN INJEKSI 10 IU / ML - 1 ML AMPUL 0 30 0 30 Rp 2,775 Rp 83,250
195 OLANZAPIN 5 MG TAB TAB
196 OMENDRINAT TAB TAB
197 OMEPRAZOLE INJEKSI 40 MG AMPUL
198 OMEPRAZOLE KAPSUL 20 MG KAPS 4,800 0 2,310 2,490 Rp 425 Rp 1,059,412
199 ONDANSETRON HCL 4MG / 2 ML INJEKSI AMPUL
200 OSELTAMIVIR TABLET TAB
201 PAMOL SIRUP BTL
202 PAMOL SUPP SUPP 0 120 0 120 Rp 15,734 Rp 1,888,080
203 PAN AMIN INFUS PCS
204 PANTOKAIN TETES MATA 0,5% BTL
205 PARASETAMOL DROPS 100 MG / ML BTL
206 PARASETAMOL INFUS 10 MG / ML PCS
207 PARASETAMOL SIRUP 120 MG / 5 ML BTL
208 PARASETAMOL SUPPOSUTORIA 125 mg SUPP
209 PARASETAMOL SUPPOSUTORIA 250 mg SUPP
210 PARASETAMOL TABLET 500 MG TAB 0 10,000 0 10,000 Rp 153 Rp 1,530,000
211 PARATUSIN TABLET TAB
212 PARATUSIN SIRUP BTL
213 PEHACAIN INJ AMPUL
214 PERMETRIN KRIM 5% TUBE 0 20 0 20 Rp 38,850 Rp 777,000
215 PIMTRAKOL SIRUP BTL
216 PIRACETAM INJEKSI 1 GR / 5 ML AMPUL
217 PIRACETAM TABLET 400 MG TAB
218 PIROXICAM 20 MG TAB TAB
219 POLYSILANE SUSP 100 ML BTL
220 PREDNISON TABLET 5 MG TAB 0 3,000 0 3,000 Rp 155 Rp 465,000
221 PROPANOLOL 40 MG TABLET TAB
222 PRORIS SUSPENSI 60 ML BTL
223 PSEUDOEFEDRIN SIRUP BTL
224 PSEUDOEFEDRIN TABLET TAB
225 RANITIDIN INJEKSI 25 MG / ML AMPUL
226 RANITIDIN TABLET 150 MG TAB 0 7,300 5,000 2,300 Rp 85 Rp 195,500
227 RETINOL BIRU 100.000 IU PCS
228 RINGER LAKTAT INFUS 500 ML PCS 0 40 0 40 Rp 7,630 Rp 305,200
229 RISPERIDON TABLET 2 MG TAB 6,800 2,500 5,080 1,720 Rp 2,332 Rp 4,011,040
230 RIVANOL 300 ML BTL
231 SALBUTAMOL AEROSOL 100 MCG/DOSIS PCS
232 SALBUTAMOL INHALASI PCS
233 SALBUTAMOL NEBUL PCS
234 SALBUTAMOL TABLET 2 MG TAB
235 SALBUTAMOL TABLET 4 MG TAB
236 SALEP 2 - 4 KOMBINASI TUBE
237 SALISIL BEDAK 2 % PCS
238 SCOPMA TABLET TAB
239 SEFADROKSIL SIRUP BTL
240 SEFADROKSIL KAPSUL 500 MG KAPS
241 SEFIXIME SIRUP KERING 100 MG/5 ML BTL
242 SEFIXIME 100 MG TAB TAB 0 200 0 200 Rp 1,352 Rp 270,452
243 SEFOTAKSIM SERBUK INJEKSI 1000 MG VIAL
244 SEFTRIAXON SERBUK INJEKSI 1000 MG VIAL
245 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL
246 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML VIAL
247 SETIRIZIN SYR 5 MG / 5ML BTL
248 SETIRIZIN TABLET 10 MG TAB 0 5,000 0 5,000 Rp 125 Rp 625,000
249 SIMVASTATIN TABLET 10 MG TAB 0 20,000 0 20,000 Rp 68 Rp 1,360,000
250 SIPROFLOKSASIN TABLET 500 MG TAB 0 3,000 0 3,000 Rp 248 Rp 744,000
251 SPIRONOLACTON 25MG TAB
252
SULFASETAMID NATRIUM TETES MATA 15 % BTL
SPESIFIKASI : -
253 TERRA-F TAB TAB
254 THIAMPHENICOL SIRUP BTL
255 THIAMPHENICOL 500 MG TABLET TAB
256 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 0 5,000 262 4,738 Rp 225 Rp 1,066,050
257 TRIFLUOPERAZIN TABLET 5 MG TAB
258 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 3,000 0 860 2,140 Rp 250 Rp 535,000
259 TYALISIN PLUS SIRUP BTL #REF!
260 VIALOP TABLET TAB
261 VITAMIN B KOMPLEKS TABLET TAB 0 3,000 0 3,000 Rp 192 Rp 576,000
262 VITAMIN B1 50 MG TABLET TAB
263 VITAMIN B6 10 MG TABLET TAB
264 VITAMIN B6/PIRIDOKSIN 50 MG TAB TAB
265 VITAMIN B6 25 MG TAB TAB
266 VITAMIN C 100 MG TABLET TAB
267 VITAMIN NEUROTROPIK INJEKSI (Neurobat Inj) AMPUL
268 YODIUM POVIDON LARUTAN 10 % 300 ML BTL
B BAHAN KIMIA
269 ABATE KG 0 2,640 0 2,640 Rp 2,500 Rp 6,600,000
270 ALGINAT HYGEDENT PACK
271 ALKACIDE BTL
272 ALKAZIME SACH
273 ALKOHOL 96% 1 L BTL
274 ALKOHOL SWAB PCS
275 BONDING DENTEX DX BOND GEN. 5 PCS
276 CALCIGEL TUBE
277 CALPLUS CALCIUM HYDROXIDE WITH IODOFORM TUBE
278 CHLORPHENOL
CBC ST PLUS NORMAL 2.5MENTHOL
KAMFER ML (CHKM) PCS
279 BTL
280 CONTROL DARAH NORMAL (CBC ST PLUS BTL

HEMATOLOGY CONTROL)
281 CRESODENT/ CRESOPHEN VLADMIVA PCS
282 DENPRO CAL C TUBE
283 DENPRO CALPLUS TUBE
284 DIRUI BCC 3600 CLEANSER PACK
285 DIRUI BCC 3600 CONTROL CBC NORMAL BTL
286 DIRUI BCC 3600 DILUENT PACK
287 DIRUI BCC 3600 LYSE PACK
288 DIRUI CONTROL URINE NEGATIVE BTL
289 EDTA 100 ML BTL
290 EMERSI OIL BTL 0 1 0 1 Rp 777,000 Rp 777,000
291 ENZYMATIC CLEANER 1 L SACHET
292 ETANOL 70% BTL
293 ETANOL 96 % 1 L BTL 0 6 0 6 Rp 70,000 Rp 420,000
294 ETIL KLORIDA SEMPROT BTL 0 10 0 10 Rp 153,180 Rp 1,531,800
295 ETSA ASAM (DENTAMERICA) SYRINGE
296 EUGENOL CAIRAN BTL
297 FRUTTI FLOUR, SPESIFIKASI : BIODINAMICA BTL
298 GOLONGAN DARAH ANTI A GLORY BTL
299 GOLONGAN DARAH ANTI AB GLORY BTL
300 GOLONGAN DARAH ANTI B GLORY BTL
301 GOLONGAN DARAH ANTI D RHESUS BTL 0 4 0 4 Rp 260,850 Rp 1,043,400
302 GOLONGAN DARAH ANTI SERA A BTL 0 4 0 4 Rp 260,850 Rp 1,043,400
303 GOLONGAN DARAH ANTI SERA AB BTL 0 4 0 4 Rp 260,850 Rp 1,043,400
304 GOLONGAN DARAH ANTI SERA AO BTL
305 GOLONGAN DARAH ANTI SERA B BTL 0 4 0 4 Rp 260,850 Rp 1,043,400
306 GOLONGAN DARAH ANTI SERA BO BTL
307 GOLONGAN DARAH ANTI SERA H BTL
308 GOLONGAN DARAH ANTI SERA O BTL
310 IODINA TEST SET
311 LISOL BTL
312 LORNE ANTI-A MONOCLONAL BLOOD SET
313 LORNE ANTI-B MONOCLONAL BLOOD SET
314 LORNE SALMONELLA TYPHI H SET
315 LORNE SALMONELLA TYPHI H AO SET
316 LORNE SALMONELLA TYPHI H BO SET
317 LORNE SALMONELLA TYPHI H O SET
318 MALATHION BTL
319 OBJECT GLASS PCS
320 OKSIGEN GAS DALAM TABUNG TBG 0 13 0 13 Rp 66,600 Rp 865,800
321 PERHIDROL (H2O2) 3 % BTL
322 POVIDON IODIDA BTL
323 PROBE CLEANSER DIRUI BCC 3600 BTL
324 RAPID ANTIGEN SAR-COV-2 PCS
325 RAPID NS-1 PCS
326 REAGEN HEMATOLOGI ANALYZER SPESIFIKASI : DIRUI PACK

BCC 3600
327 REAGEN SD BIOLINE SIPHYLIS 3.0 RAPID TEST PACK
328 REAGEN WIDAL H FAST SALMONELA THYPI H VIAL/5 MBTL
329 REAGEN WIDAL O FAST SALMONELA THYPI O VIAL/5 MBTL
330 REAGEN WIDAL PA FAST SALMONELA PARA THYPI AO VBTL
331 REAGEN WIDAL PB FAST SALMONELA PARA THYPI BO VBTL
332 SCOTCHBOND PCS
333 SECURAFFIL GLASS IONOMER FILLING
SEMEN SENG FOSFAT SERBUK DAN CAIRAN CEMENT(SHADE BTL
334 BTL
335 SGOT BTL
SPESIFIKASI : DIRUI
336 SGPT BTL
SPESIFIKASI
337 SINGLE BOND: DIRUI TUBE
338 STIK URINE ALBUMIN, REDUKSI PCS
339 TEST DENGUE TEST
340 TEST HAMIL URINE / HCG TEST TEST
341 TEST HBSAG TEST
342 TEST HIV FOKUS TEST
343 TEST HIV VIROCHECK TEST
345 TEST SYPHILLIS TEST
SPESIFIKASI
346 TEST : 100
SYPHILLIS TEST/BOX: 30 TEST/BOX
SPESIFIKASI TEST
TUMPATAN SEMENTARA ( CAVITON ) SPESIFIKASI : -
347 PACK

353 VACUTAINER K3EDTA 3 ML TUBE
354 VACUUM TUBE KJ CLOT ACTIVATOR TUBE
355 WIDAL REAGEN TEST KIT KIT
C. BHP DENGAN DANA JKN
ALAT PEMECAH KETUBAN ( 1/2 KOCKER ) SET
ALAT SUNTIK SEKALI PAKAI 0.05 ML SET
ALAT SUNTIK SEKALI PAKAI 1 ML SET
ALAT UKUR PANJANG BADAN SET
ANTISEPTIK HANDSCRUB BTL
SPESIFIKASIHANDSCRUB
ANTISEPTIK : 5 LITER , GUARDER BTL
SPESIFIKASI : 500 ML, BOTOL, GUARDER
APRON PLASTIK PCS
ARTERICLAMP SPESIFIKASI : RENZ RICHESTER PEAN 26 SET
CM/KLEM ARTERI/ARTERI CLAMP LURUS
ASA DENTAL EXPLORERS SET

ASA DENTAL PLASTIC FILLING INSTRUMENTS SET
ASA DENTAL SCISSORS SET
BAK INSTRUMEN TERTUTUP MEDIUM SET
BASIC DRESSING SET + KASSA DEPPER SET SET
BIST MESS BJ
BLENDER SCI PCS
BLOOD LANCET 26 G / 28 G SET 0 2,500 0 2,500 Rp 153 Rp 382,500
BLOOD SET SET
BRACKET HAND SANITIZER SET
SPESIFIKASI
CATGUT = BAHAN
CHROMIC NO.STAINLESS
2/0 STEEL SACHET
CATGUT CHROMIC NO. 3/0 SACHET 0 20 0 20 Rp 12,876 Rp 257,520
CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHET 0 20 0 20 Rp 12,876 Rp 257,520
CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHET
CATGUT SILK SUTURE 3/0 SACHET
CAWAN PENGUAT PORSELEN (D : 5 - 15 CM) PCS
CHLORAETHYL SPRAY SPESIFIKASI : - BTL
CHOLESTEROL EASYTOUCH PCS
CK JECT EX. SHORT SPEC: THOMASONG PCS
DENTAL SURGICAL INTRUMENTS 0 EXTRACTING PCS

FORCEPS TIPE ECO – 243/FIG33
DERMAFIX S IV PCS
DISPOSABLE SYRINGE 1 ML SET
DISPOSIBLE NEEDLE SET
SPESIFIKASI : 23 G
DISPOSIBLE TEST STRIP ASAM URAT AUTOCHECK SPESIFI
PCS
DISPOSIBLE TEST STRIP GLUKOSA ACCUCHECK PCS
DISPOSIBLE TEST STRIP GLUKOSA AUTOCHECK SPESIFIKAS
PCS
DISPOSIBLE TEST STRIP KOLESTROL AUTOCHECK SPESIFIK
PCS
DOPPLER PCS
ECUSPHERE SHAPE A 35 SPEC: THOMASONG PCS
ECUSPHERE SHAPE A30 SPEC: THOMASONG PCS
ELVA LATEX POWDERED M PCS
FEMALE CATETHER NO. 16 PCS
FETAL DOPPLER ONEMED PCS
FOLLEY CATHETER 2 WAY NO. 16 SET
FOLLEY CATHETER 2 WAY NO. 18 SET
GEL PERAWATAN LUKA TUBE
GELANG IDENTITAS PASIEN BIRU (DEWASA) PCS
GELANG IDENTITAS PASIEN KUNING PCS
GELANG IDENTITAS PASIEN PINK (DEWASA) PCS
GIC (GLASS IONOMER CEMENT), SPEK : FUJI IX BTL
GIPS BIRU MERK 3M PCS
GIPS KUNING TIPE III MERK 3M PCS
GLASS VAN STERILE SURGICAL BLADES CARBON STEEL PCS
GULA DARAH TEST DIGITAL SPESIFIKASI : BENECECK
PCS
GUNTING EPISIOTOMI PCS

GUNTING PEMBALUT/VERBAND SPESIFIKASI : RENZ/ PCS
GUNTING TALI PUSAT PCS
HB EASYTOUCH PCS
HECTING SET SET
HYPAFIX 10 CM X 5 M PACK
HYPAFIX 15 CM X 5 M PACK
I.V CANNULA WITH TEFLON CATHETER 1WAY 18 G SET
I.V CANNULA WITH TEFLON CATHETER 1WAY 24 G SET
INDIKATOR STEAM PCS
INFUS SET ANAK SET
INFUS SET DEWASA SET
IV CATHETER NO. 18 SET
IV. CATHETER NO 26 G SET
JARUM AKUPUNTUR HUANQIU 0,5 CUN HUANQIU PCS
JARUM AKUPUNTUR HUANQIU 1 CUN HUANQIU PCS
JARUM AKUPUNTUR HUANQIU 1,5 CUN HUANQIU PCS
JARUM JAHIT / BEDAH NO. 9 S/D 14 SPESIFIKASI :- SET
KANTONG WADAH OBAT PCS
KAPAS PEMBALUT 250 GR ROL
KARTU GOLONGAN DARAH PCS
KASA 36 MX80 CM PCS
KASA DEPPER BESAR STERIL PCS
KASA DEPPER KECIL STERIL PCS
KASA HIDROFIL 3.6X5 ROLL
KASA HIDROFIL 4 X 3 ROLL
KASA HYDROFIL 2M X 80 CM ROLL
KASA HYDROFIL 40 YARD X 80 CM ROLL 10 0 10 0 Rp 90,000 Rp -
KASA PERAWATAN LUKA (SOFRATUL) LBR
KASA STERIL 16 CM X 16 CM PCS
KASA VERBAN ROL 4 X 15 CM : ONEMED ROLL
KERTAS EKG 80 MM X 30 M ROLL
KERTAS LAKMUS PCS
KERTAS PERKAMEN PCS
KERTAS PUYER MEDIANE POCKET PCS
KERTAS SARING REAGEN PCS
KLEM TALI PUSAT PCS
KOMPOSIT 3M FILTEK Z250 WARNA A2 TUBE
KOMPOSIT 3M FILTEK Z250 WARNA A3 TUBE
MASKER PCS 400 0 400 0 Rp 700 Rp -
MASKER N95 PCS
MASKER NEBUL ANAK SET
MASKER NEBUL DEWASA SET
MASKER OKSIGEN ANAK SET
MASKER OKSIGEN DEWASA SET
MATA BOR GIGI SET
MAXTER SURGICAL GLOVE NO. 7 PSG
MEDI EXAM GLOVE LATEX M PSG
MEDI EXAM GLOVE LATEX MEDICAL EXAMINATION GLO PSG
MEDICAL HEAD LAMP PCS
MEDICAL NEBULIZER SET
MEDICINE PACKET SI020 BOX
MICROBRUSH MERK 3M PACK
MICRODONT DIAMOND BURS (MULTIUSE COLLECTION K PACK
MICRODONT DIAMOND BURS REFILL , SPEK : THOMAS PACK
MICRON SUPERIOR PCS
MICROPIPETTE TIPS BLUE TIP SET
MICROPIPETTE TIPS WHITE TIP SET
MICROPIPETTE TIPS YELLOW TIP SET
MISSION HB SYSTEM STATER KIT KIT 0 2 0 2 Rp 840,899 Rp 1,681,798
MORTIR DAN STAMPER SET
MPP 14.5 X 21.5 CM PCS
MPP L 17 X 22.5 CM PCS
MUCUS EXTRACTOR SET
NASAL CANULA ANAK SET
NASAL CANULA BAYI SET
NASAL CANULA DEWASA SET
NEEDLE HOLDER SET
NEEDLE INSULIN
ORAFIL PLUS TEMPORARY FILLING SET
MATERIAL WITH SODIUM FLUOREDE PCS
OXYMETER SET
PALET PLASTIK SPESIFIKASI : LOKAL PCS
PALLET NPI 1311 BIRU PCS
PINCET ANATOMIS SET
PIPET BERSKALA 1 CC PCS
PIPET BERSKALA 10 CC PCS
PIPET WESTERGEN PCS
PLESTER 10 CM X 5 M ROL 18 0 18 0 Rp 152,950 Rp -
PLESTER 15 CM X 5 M ROL
PLESTER 5 CM X 5 M ROL 18 0 18 0 Rp 72,500 Rp -
PLESTER 5 YARD X 5 INCH SPESIFIKASI : - ROL
PLESTER BULAT NON WOVEN PCS
POT SPUTUM SET
POT URINE SET
RAK WESTERGEN SET
SALIVA EJECTOR MERK 3M PACK
SARUNG TANGAN KEBIDANAN (PANJANG) PSG
SARUNG TANGAN NON STERILE L PSG 3,000 0 3,000 0 Rp 600 Rp -
SARUNG TANGAN NON STERILE M PSG
SARUNG TANGAN NON STERILE S PSG
SARUNG TANGAN STERIL PSG
SCAPEL BLADE NO. 11 SET 0 100 0 100 Rp 916 Rp 91,600
SENDOK SIRUP PCS
SERVICAL COLAR PCS
SILK / BENANG SUTERA NO. 3/0 SACHET
SNEELEN CARD SPESIFIKASI : LOKAL PCS
SOFTPAD LBR
SPALK 3,5X10CM BAYI SPESIFIKASI : AUDI SET
SPALK 5X15CM ANAK SPESIFIKASI : AUDI SET
SPALK 8 X 100 CM SET
SPALK 8 X 125 CM SET
SPALK 8 X75 CM SET
SPALK ANAK UK. 4,5X10CM SET
SPALK ANAK-ANAK UKURAN 4.5 X 15 CM SET
SPALK DEWASA UK. 7X60CM SET
SPALK DEWASA UKURAN 7 X 45 CM SET
SPALK UKURAN 8X60 CM (SO59) / TANGAN SET
SPESIFIKASI
SPATULA : AUDIKAYU
VAGINA SET
SPECULUM TELINGA SET
SPUIT 1 ML WITH NEEDLE PCS
SPESIFIKASI
SPUIT 10 ML :WITH
TERUMO SYRINGE,
NEEDLE 100 UNIT
SPESIFIKASI : TERUMO
SYRINGE, 100 UNIT PCS
SPUIT 3 ML WITH NEEDLE SPESIFIKASI : TERUMO

SYRINGE, 100 UNIT PCS
SPUIT 5 ML WITH NEEDLE PCS

SPESIFIKASI
STERILE POUCH: TERUMO SYRINGE, 100 UNIT
9X26 CM PCS
STIK UL H100 PCS
STOMACH TUBE SET
SUCTION CATETHER NO. 14 SET
SUDIP LIDAH 16,5 CM PCS
SUPER SENSOR BLOOD GLUCOSE MONITORING SYSTE SET
TABUNG EDTA UNGU 3 ML PCS
TABUNG K3 EDTA PCS
TANG MAHKOTA ANAK RA POSTERIOR SPESIFIKASI :
SET
TANG MAHKOTA ANAK RB ANTERIOR SPESIFIKASI :

SET
TANG SISA AKAR ANAK RA ANTERIOR SPESIFIKASI :

SET
TANG SISA AKAR ANAK RB ANTERIOR SPESIFIKASI :

SET
TECO TOTAL ETCH 5 ML SPEC: THOMASONG BTL

TENSI DIGITAL ONE MED UNIT
TENSIMETER OMRON UNIT
TEST STRIP ASAM URAT TEST
TEST STRIP ASAM URAT BENECHECK TEST 0 250 0 250 Rp 150,000 Rp 37,500,000
TEST STRIP GLUKOSA TEST
TEST STRIP GLUKOSA BENECHEK TEST 0 500 0 500 Rp 160,000 Rp 80,000,000
TEST STRIP GLUKOSA HUMASENS TEST
TEST STRIP HB MISSION TEST 0 500 0 250 Rp 8,434 Rp 2,108,410
TEST STRIP KOLESTEROL TEST
TEST STRIP KOLESTEROL BENECHECK TEST 0 100 0 100 Rp 250,000 Rp 25,000,000
TEST STRIP KOLESTEROL HUMASENS TEST
TIMBANGAN BAYI DIGITAL UNIT
TOURNIQUET PCS
TRULAB N BTL
UMBILICAL CORD CLAMP PCS
UNDERPAD LBR
U-PAD STERIL 25CM X 30 CM LBR
URINE BAG STERIL PCS
UROBAG PCS
USG GEL TUBE

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KABUPATEN : TUBAN

PROPINSI : JAWA TIMUR

SUMURGUNG JUMLAH HARGA (Rp)

SUMURGUNG JUMLAH HARGA (Rp)

280 CONTROL DARAH NORMAL (CBC ST PLUS BTL

326 REAGEN HEMATOLOGI ANALYZER SPESIFIKASI : DIRUI PACK

348 UNIVERSAL RESTORATIVE A2 PCS

ASA DENTAL EXPLORERS SET

DENTAL SURGICAL INTRUMENTS 0 EXTRACTING PCS

GUNTING EPISIOTOMI PCS

SPUIT 3 ML WITH NEEDLE SPESIFIKASI : TERUMO

SPUIT 5 ML WITH NEEDLE PCS

TANG MAHKOTA ANAK RB ANTERIOR SPESIFIKASI :

TANG SISA AKAR ANAK RA ANTERIOR SPESIFIKASI :

TANG SISA AKAR ANAK RB ANTERIOR SPESIFIKASI :

TECO TOTAL ETCH 5 ML SPEC: THOMASONG BTL

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