Laporan Mutasi Persediaan 2022 Puskesmas Mekarwangi (Agustus) New Fixx

DATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN
UPTD PUSKESMAS MEKARWANGI

DINAS KESEHATAN KABUPATEN KUNINGAN
PERIODE BULAN AGUSTUS TAHUN 2022
STOK AWAL AGUSTUS 2022 JUMLAH PENERIMAAN AGUSTUS 2022 PENGELUARAN AGUSTUS 2022
NO NAMA SEDIAAN SATUAN JKN JKN JKN
HARGA SATUAN (RP) BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA NILAI RP.
A. O B A T
1 Air Raksa Dental Use Botol - - - - -
2 Albendazole Tablet 400 mg Tablet - - - - -
3 Albendazole susp 200 mg/5 ml Botol - - - - -
4 Alopurinol Tablet 100 mg Tablet 105.00 3,920 411,600.67 105.00 - 105.00 -
5 Alopurinol Tablet 300 mg Tablet 200.00 2,000 400,000.00 200.00 - 200.00 -
6 Alprazolam tablet 1 mg Tablet - - - - -
7 Ambroksol Tablet 30 mg Tablet 308.00 2,570 791,560.00 308.00 - 308.00 -
8 Ambroksol sirup 15 mg/5 ml Botol 2,750.00 27 74,250.00 2,750.00 - 2,750.00 -
Ambroksol sirup 15 mg/5 ml Botol 3,627.00 - - 3,627.00 - 3,627.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 2,704.00 30 81,120.00 2,704.00 - 2,704.00 -
10 Aminofillin Tablet 200 mg Tablet 91.00 - - 139.00 - 91.00 -
Aminofillin Tablet 200 mg Tablet 95.00 - - 95.00 - 95.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet - - - - -
12 Amlodipin Tablet 5 mg Tablet 53.00 4,760 252,280.00 53.00 - 53.00 -
Amlodipin Tablet 5 mg Tablet 75.00 - - 75.00 - 75.00 -
13 Amlodipin Tablet 10 mg Tablet 70.00 5,000 350,020.00 70.00 - 70.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 374.00 2,140 800,360.00 374.00 - 374.00 -
Amoksisillin Kapsul 250 mg Kapsul 180.00 - - - 180.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 232.00 - - 233.00 - 232.00 -
Amoksisillin Kaplet 500 mg Kaplet 190.00 - - - 190.00 -
Amoksisillin Kaplet 500 mg Kaplet 201.00 6,110 1,228,110.00 201.00 - 201.00 -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,531.00 122 430,782.00 3,531.00 - 3,531.00 -
18
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,400.00 - - 3,400.00 - 3,400.00 -
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol
3,626.00 - - 3,626.00 - 3,626.00 -
Amoksisilin drop 100 mg/ml Botol 13,077.60 44 575,414.40 13,077.60 - 13,077.60 -
19 Ampisilin Kapsul 250 mg Kapsul - - - - -
20 Ampisillin Kaplet 500 mg Tablet - - - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - - - -
22 Ampisillin Injeksi 1000 mg Vial - - - - -
23 Analgetik Plus Tablet - - - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 2,129.00 - - 2,129.00 - 2,129.00 -
Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 Botol
ml 1,679.00 178 298,862.00 1,679.00 - 1,679.00 -
25
Antasida Doen Tablet, Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg Tablet
54.00 990 53,460.00 54.00 - 54.00 -
Antasida Doen Tablet, Kombinasi : Magnesium

Hidroksida 200 mg+ Alumunium Hidroksida 200 mg Tablet
54.00 8,410 454,140.00 54.00 - 54.00 -
26 Antasida Plus Tablet Tablet - - 187.00 - - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 15,345 2,608,650.00 214.00 - 170.00 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - - - -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube
3,035.00 67 203,345.00 3,035.00 - 3,035.00 -
30 Anti Hemoroid Doen komb Supp 3,250.00 140 455,000.00 3,250.00 - 3,250.00 -
Anti Hemoroid Doen komb Supp 3,280.00 - - - 3,280.00 -
31 Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% Pot
3,477.00 96 333,792.00 3,477.00 - 3,477.00 -
Anti Fungi DOEN Kombinasi :
Pot
Asam Benzoat 6% + Asam Salisilat 3% 4,323.00 - - - 4,323.00 -
32 Antimigren DOEN Kombinasi :
Tablet
Ergotamin Tartrat 1 mg + Kofein 50 mg - - - - -
33 Anti Diare Suspensi Botol - - - - -
34 Anti Diare Tablet Tablet - - - - -
35 Anti Dotum Oral Tablet Tablet - - - - -
36 Anti Hipertensi Kapsul Tablet - - - - -
37 Antihistamin Tablet kombinasi Tablet 185.00 18,485 3,419,725.00 185.00 - 185.00 -
Antihistamin Tablet kombinasi Tablet 195.00 - - - 195.00 -
38 Antispasmodik Tablet Tablet 1,050.00 1,594 1,673,700.00 1,050.00 - 1,050.00 -
Antispasmodik Tablet Tablet 1,195.00 - - - 1,195.00 -
39 Antitusiva Sirup Botol 8,000.00 - - 11,400.00 - 8,000.00 -
40 Antitusiva Tablet Tablet - - - - -
41 Asam Folat Tablet 1 mg Tablet 56.00 3,320 185,920.00 56.00 - 56.00 -
Asam Folat Tablet 1 mg Tablet 75.00 - - 75.00 - 75.00 -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet 42.00 9,900 415,800.00 42.00 - 42.00 -
43 Asam Mefenamat Kapsul 500 mg Kapsul 249.70 2,500 624,250.00 249.70 - 249.70 -
44 Acetylsistein tablet Tablet 990.00 480 475,200.00 990.00 - 990.00 -
45 Asetosal Tablet 80 mg Tablet - - - - -
46 Asetosal Tablet 100 mg Tablet 125.00 - - - 125.00 -
47 Asetosal Tablet 500 mg Tablet - - - - -
48 Asiklovir Krim 5 % Tube 2,997.00 35 104,895.00 2,997.00 - 2,997.00 -
49 Asiklovir Tablet 200 mg Tablet - - 236.00 - - -
50 Asiklovir Tablet 400 mg Tablet 380.00 2,210 839,800.00 380.00 - 380.00 -
Asiklovir Tablet 400 mg Tablet 349.00 - - - 349.00 -
51 Attapulgit Tablet 152.00 50 7,599.90 152.00 - 152.00 -
Attapulgit Tablet 145.00 200 29,000.00 145.00 - 145.00 -
Attapulgit Tablet 142.00 - - - 142.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul - - - - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 10 28,600.00 2,860.00 - 2,860.00 -
54 Bahan Tambal Sementara Set - - - - -
55 Benzatin Benzil Penisilin injeksi Vial - - - - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - - 110.00 - 110.00 -
Betahistin Mesilat 6 mg Tablet 149.00 - - - 149.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,339.80 - - 1,340.00 - 1,339.80 -
Betametason Krim 0,1 %- 5g Tube 1,430.00 - - 1,430.00 - 1,430.00 -
Betametason Krim 0,1 %- 5g Tube 1,349.00 - - - 1,349.00 -
58 Bisakodil suppositoria 10 mg Supp - - - - -
59 Bisoprolol Tablet 5 mg Tablet - - - - -
60 Bromheksin 8 mg Tablet 250.00 1,500 375,000.00 250.00 - 250.00 -
61 Cresotin Pasta Botol - - - - -
62 Cresotin Liquid No 2 Botol - - - - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 924.00 12 11,088.00 924.00 - 924.00 -
64 Deksametason Tablet 0,5 mg Tablet 133.10 2,839 377,870.90 133.10 - 133.10 -
Deksametason Tablet 0,5 mg Tablet 41.00 - - - 41.00 -
65 Devitalisasi Pasta (Non Arsen) Botol - - - - -
66 Diazepam tablet 2 mg Tablet - - - - -
67 Diazepam tablet 5 mg Tablet - - 109.00 - - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul - - 1,735.00 - - -
69 Diazepam Larutan Rektal 5 mg/ml Supp - - - - -
70 Diazepam Larutan Rektal 10 mg/ml Supp - - - - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet - - - - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 781.00 10 7,810.00 781.00 - 781.00 -
73 Digoksin Tablet 0,25 mg Tablet - - 104.00 - - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 200 19,800.00 99.00 - 99.00 -
Dimenhidrinat Tablet 50 mg Tablet 108.00 - - 108.00 - 108.00 -
75 Domperidon Tablet 10 mg Tablet 71.01 1,793 127,311.97 71.01 - 71.01 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,296.00 84 192,864.00 2,296.00 - 2,296.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - - - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - - - -
79 Epinefrin HCl / Bitartrat
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml Ampul
2,204.00 - - 1,408.00 - 2,204.00 -
Epinefrin HCl / Bitartrat
(Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml Ampul
1,749.00 - - - 1,749.00 -
80 Eritromisin Kapsul 250 mg Kapsul - - - - -
81 Eritromisin Kapsul 500 mg Kapsul 775.00 440 341,000.00 775.00 - 775.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol 6,150.00 - - - 6,150.00 -
83 Etambutol Tablet 500 mg Tablet - - - - -
84 Etanol 70 % 100 ml Botol - - - - -
85 Etil Klorida Semprot -100 ml Botol 246,000.00 - - 246,000.00 - 246,000.00 -
Etil Klorida Semprot -100 ml Botol 154,000.00 4 616,000.00 154,000.00 - 154,000.00 -
86 Eugenol Cairan -10 ml Botol - - 18,824.00 - - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul - - - - -
88 Fenobarbital tablet 30 mg Tablet 182.00 - - 182.00 - 182.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul - - 1,857.00 - - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet 350.00 - - - 350.00 -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - - 629.00 - 605.00 -
92 Fenol Gliserol TK Botol 2,590.00 - - 2,590.00 - 2,590.00 -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - - - -
94 Flukonazole tablet 150 mg Tablet - - - - -
95 Fitomenadion tablet 10 mg Tablet 748.00 1,410 1,054,680.00 748.00 - 748.00 -
Fitomenadion tablet 10 mg Tablet 695.00 - - - 695.00 -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 1,386.00 30 41,580.00 1,386.00 - 1,386.00 -
97 Furosemid Tablet 40 mg Tablet 87.00 - - 77.00 - 87.00 -
98 Furosemid injeksi Ampul - - 1,333.00 - - -
99
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air
274.00 1,244 340,854.76 274.00 - 274.00 -
Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium
Kantong
Sitrat dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml
Air
280.00 - - 280.00 - 280.00 -
100 Gemfibrozil Tablet 600 mg Tablet 794.00 - - 794.00 - 794.00 -
101 Gentian Violet Botol - - - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - - - -
103 Gentamisin Salep Kulit 0,1 % Tube 2,115.00 - - 1,830.00 - 2,115.00 -
Gentamisin Salep Kulit 0,1 % Tube 2,860.00 83 237,380.00 2,860.00 - 2,860.00 -
104 Glass Ionomer Set - - - - -
105 Glibenklamid Tablet 5 mg Tablet 83.00 - - 83.00 - 83.00 -
106 Glimepiride 2 mg Tablet 123.00 1,540 189,420.00 123.00 - 123.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 85.99 - - 86.00 - 85.99 -
Gliseril Guayakolat Tablet 100 mg Tablet 87.00 - - - 87.00 -
108 Gliseril Guayakolat sirup Botol 7,800.00 - - 7,800.00 - 7,800.00 -
Gliseril Guayakolat sirup Botol 9,020.00 15 135,300.00 9,020.00 - 9,020.00 -
109 Glukonas Kalsikus injeksi Ampul - - 10,351.00 - - -
110 Glukosa Larutan Infus 5 % Botol - - 6,900.00 - - -
111 Glukosa Larutan Infus10 % Botol - - - - -
112 Griseofulvin Tablet 125 mg,micronized Tablet 210.00 800 168,000.00 210.00 - 210.00 -
113 Haloperidol Tablet 0,5 mg Tablet 47.00 800 37,600.00 47.00 - 47.00 -
114 Haloperidol Tablet 1,5 mg Tablet 51.00 3,000 153,000.00 51.00 - 51.00 -
Haloperidol Tablet 1,5 mg Tablet 61.00 - - - 61.00 -
115 Haloperidol Tablet 5 mg Tablet 54.00 500 27,000.00 54.00 - 54.00 -
116 Haloperidol injeksi 5 mg/ml Ampul - - - - -
117 Haloperidol injeksi 50 mg/ml Ampul - - 101,300.00 - - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 155.00 1,010 156,550.00 155.00 - 155.00 -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 148.00 - - 148.00 - 148.00 -

119 Hidrokortison Krim 2,5 % Tube 2,475.00 212 524,700.00 2,475.00 - 2,475.00 -
Hidrokortison Krim 2,5 % Tube 2,639.00 - - - 2,639.00 -
120 Ibuprofen Tablet 200 mg Tablet 102.00 - - - 102.00 -
121 Ibuprofen Tablet 400 mg Tablet 111.00 - - - 111.00 -
Ibuprofen Tablet 400 mg Tablet 308.00 - - 308.00 - 308.00 -
122 Ibuprofen Suspensi 200 mg/5 ml Botol 3,200.00 51 163,200.00 3,200.00 - 3,200.00 -
123 Ichtyol salep Kulit Pot - - - - -
124 Isoniazid tablet 100 mg Tablet - - - - -
125 Isoniazid tablet 300 mg Tablet - - - - -
126 Isosorbid Dinitrat 5 mg Tablet - - 89.00 - - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - - - -
128 Kalium Diklofenak Tablet 50 mg Tablet - - 275.00 - - -
129 Kalsium Hidroksida Pasta Tube - - - - -
130 Kalsium Laktat Tablet 500 mg Tablet 60.00 1,456 87,360.00 60.00 - 60.00 -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - - 63.00 - 63.00 -
131 Kaptopril 12,5 mg Tablet - - - - -
132 Kaptopril 25 mg Tablet 187.00 - - 187.00 - 187.00 -
Kaptopril 25 mg Tablet 75.00 130 9,750.00 75.00 - 75.00 -
133 Karbamazepin Tablet 200 mg Tablet 189.00 210 39,690.00 189.00 - 189.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,545.00 - - 2,518.00 - 2,545.00 -
135 Ketokonazole Tablet 200 mg Tablet 280.00 400 112,000.00 270.00 - 280.00 -
136 Ketoprofen Tablet 100 mg Tablet - - - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - - - -
138 Ketorolac 10 mg injeksi Ampul - - - - -
139 Ketorolac 30 mg injeksi Ampul - - 1,450.00 - - -
140 Klindamisin Kapsul 150 mg Kapsul 715.00 - - 715.00 - 715.00 -
141 Klindamisin Kapsul 300 mg Kapsul - - 583.00 - - -
142 Kloramfenikol Kapsul 250 mg Kapsul 310.00 420 130,200.00 310.00 - 310.00 -
143 Kloramfenikol suspensi125mg/5 ml Botol 4,700.00 - - 4,700.00 - 4,700.00 -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - - 1,881.00 - 1,810.00 -
Kloramfenikol Salep Mata 1%-3,5 g Tube 2,006.00 - - 2,006.00 - 2,006.00 -
145 Kloramfenikol Salep Kulit 2% Tube 3,038.00 - - 3,038.00 - 3,038.00 -
Kloramfenikol Salep Kulit 2% Tube 3,266.00 48 156,768.00 3,266.00 - 3,266.00 -
146 Kloramfenikol Tetes Mata -5 ml Botol 11,000.00 105 1,155,000.00 11,000.00 - 11,000.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 7,700.00 114 877,800.00 7,700.00 - 7,700.00 -
Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,899.00 - - 6,899.00 - 6,899.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - - 22.00 - 42.00 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 37.00 27,200 1,006,400.00 - 37.00 -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 181.00 460 83,260.00 181.00 - 181.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet - - 147.00 - - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul - - 1,510.00 - - -
152 Kombinasi Ipatropium Bromide + Salbutamol
Sulphate for inhalation 2,5 ml Vial
- - 4,550.00 - - -
153 Kombipak Cefixime+ Azithromisin Kotak - - - - -
154
Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg
- - - - -
155
Kotrimoksazol Tablet, Kombinasi :
Tablet
123.00 1,000 123,000.00 123.00 - 123.00 -
156
Kotrimoksazol Suspensi Kombinasi :
Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml
2,120.00 - - 2,052.00 - 2,120.00 -
Kotrimoksazol Suspensi Kombinasi :

Botol
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml
2,100.00 100 210,000.00 2,100.00 - 2,100.00 -
157 Lansoprazole 30 mg Kapsul Tablet 278.00 - - 278.00 - 278.00 -
158
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol
- - 9,646.00 - - -
159 Larutan mengadung Elektrolit
(Nacl 1,125 gr , Dekstrosa 18,75 gr) Botol
- - 9,644.00 - - -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Botol
Dekstrosa 27 gr) - - 10,696.00 - - -
161 Lidokain injeksi 2 % Tablet 1,111.00 - - 1,144.00 - 1,111.00 -
Lidokain injeksi 2 % Tablet 847.00 100 84,700.00 847.00 - 847.00 -
162 Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 803.00 150 120,450.00 803.00 - 803.00 -
Lidokain Komp Injeksi, Kombinasi :
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,937.00 - - - 1,937.00 -
163 Lidokain Spray Botol - - - - -
164 Loperamid Tablet 2 mg Tablet 80.00 - - 120.00 - 80.00 -
165 Loratadin tablet 10 mg Tablet 131.00 350 45,850.00 131.00 - 131.00 -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,200.00 - - 3,328.00 - 3,200.00 -
168 MB Anak Blister - - - - -
169 MB Dewasa Blister - - - - -
170 Meloksikam tablet 15 mg Tablet 707.00 - - 700.00 - 707.00 -
171 Meloksikam Suppositoria Supp - - - - -
172 Metformin Hcl Tablet 500 mg Tablet 95.99 - - 96.00 - 95.99 -
Metformin Hcl Tablet 500 mg Tablet 102.00 - - 102.00 - 102.00 -
Metformin Hcl Tablet 500 mg Tablet 94.00 - - - 94.00 -
173 Metformin 850 mg Tablet 150.00 - - 150.00 - 150.00 -
174 Metildopa 250 mg tablet Tablet 985.00 990 975,150.00 985.00 - 985.00 -
175 Methisoprinol 500 mg Tablet 3,300.00 420 1,386,000.00 3,300.00 - 3,300.00 -
176
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
210.00 720 151,200.00 210.00 - 210.00 -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet
420.00 - - - 420.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 1,023.00 100 102,300.00 1,023.00 - 1,023.00 -
178 Metilprednisolon tablet 4 mg Tablet 330.00 950 313,500.00 330.00 - 330.00 -
Metilprednisolon tablet 4 mg Tablet 143.00 - - 143.00 - 143.00 -
179 Metoklopramid 10 mg Tablet - - 80.00 - - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - - - -
181 Metronidazol Tablet 250 mg Tablet 90.00 - - - 90.00 -
182 Metronidazole Tablet 500 mg Tablet 113.00 - - - 113.00 -
Metronidazole Tablet 500 mg Tablet 232.00 - - 232.00 - 232.00 -
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 - - 3,950.00 - 3,950.00 -
184 Metronidazole Infus 500 mg /100 ml Ampul - - 8,110.00 - - -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,250.00 - - 3,414.00 - 3,250.00 -
186 Multivitamin + Mineral tablet Tablet 800.00 - - 793.00 - 800.00 -
187 Multivitamin sirup Botol 12,500.00 14 175,000.00 12,500.00 - 12,500.00 -
Multivitamin sirup Botol 12,100.00 200 2,420,000.00 12,100.00 - 12,100.00 -
188 Mummifying Pasta Botol - - - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet - - - - -
190 Natrum Diklofenak Tablet 25 mg Tablet 114.00 1,000 114,000.00 114.00 - 114.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 99.00 - - 99.00 - 99.00 -
192
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol
6,410.00 - - 6,410.00 - 6,410.00 -
193 Nipedifin Tablet 10 mg Tablet 190.00 - - 190.00 - 190.00 -
Nipedifin Tablet 10 mg Tablet 209.00 1,650 344,850.00 209.00 - 209.00 -
Nipedifin Tablet 10 mg Tablet 99.00 - - - 99.00 -
194 Nistatin suspensi 100.000 IU/ml Botol 11,500.00 49 563,500.00 11,500.00 - 11,500.00 -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 550.00 - - 550.00 - 550.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 825.00 500 412,500.00 825.00 - 825.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 745.00 - - - 745.00 -
Nistatin 500.000 IU/gram Tablet Salut Tablet 765.00 - - - 765.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket - - - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket - - - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket - - - - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket - - - - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket - - - - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 5,000.00 - - 5,000.00 - 5,000.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 6,270.00 - - 6,270.00 - 6,270.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 7,180.00 - - 7,180.00 - 7,180.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,759.00 - - - 6,759.00 -
207 Obat Batuk Hitam Plus Sirup Botol - - - - -
208 Obat Flu Sirup Botol - - - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,667.00 - - 2,667.00 - 2,667.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - - 1,969.00 - 2,005.00 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,126.00 100 112,600.00 1,126.00 - 1,126.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 5,093.00 9 45,837.00 5,093.00 - 5,093.00 -
214 Omeprazole Kapsul 20 mg Tablet 357.50 2,010 718,575.00 357.50 - 357.50 -
Omeprazole Kapsul 20 mg Tablet 140.00 - - - 140.00 -
215 Ondansetron inj 4 mg/ 2 mL Ampul - - 1,070.00 - - -
216
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
4,976.00 86 427,936.00 4,976.00 - 4,976.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,160.00 272 315,520.00 1,160.00 - 1,160.00 -
218 Parasetamol Tablet 100 mg Tablet - - - - -
219 Parasetamol Tablet 500 mg Tablet 91.35 - - - 91.35 -
Parasetamol Tablet 500 mg Tablet 143.00 8,940 1,278,420.00 143.00 - 143.00 -
220 PB Anak Blister - - - - -
221 PB Dewasa Blister - - - - -
222 Pehacain injeksi Ampul 3,000.00 - - 3,100.00 - 3,000.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 20,700.00 - - 20,700.00 - 20,700.00 -
224 Permetrin krim 5 % Tube 11,825.00 - - 11,825.00 - 11,825.00 -
225 Piracetam Tablet 400 mg Tablet - - - - -
226 Piracetam Tablet 800 mg Tablet - - - - -
227 Piroksikam Tablet 20 mg Tablet 130.00 - - 200.00 - 130.00 -
Piroksikam Tablet 20 mg Tablet 165.00 - - 165.00 - 165.00 -
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg
Basa) Tablet
269.00 - - - 269.00 -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 128.70 1,050 135,135.00 128.70 - 128.70 -
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 131.00 - - 131.00 - 131.00 -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - - - - -
231 Povidon Iodida 10% 30 ml Botol 3,045.00 - - 3,045.00 - 3,045.00 -
232 Povidon Iodida 10% 60 ml Botol 3,885.00 - - - 3,885.00 -
234 Prednison Tablet 5 mg Tablet 68.00 513 34,884.00 68.00 - 68.00 -
235 Primakuin tablet 15 mg Tablet - - - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - - - -
237 Propanolol Hcl Tablet 40 mg Tablet 74.00 - - 76.00 - 74.00 -
238 Propilturasil Tablet 100 mg Tablet 385.00 430 165,550.00 385.00 - 385.00 -
239 Ranitidin Injeksi 25 mg / ml Ampul - - 1,155.00 - - -
240 Ranitidin Tablet 150 mg Tablet 85.00 790 67,150.00 85.00 - 85.00 -
Ranitidin Tablet 150 mg Tablet 98.00 - - - 98.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul - - 288.00 - - -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul - - 517.00 - - -
243 Reserpin Tablet 0, 25 mg Tablet - - - - -
244 Rifampisin Tablet 450 mg Tablet - - - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 13 92,950.00 7,150.00 - 7,150.00 -
246 Salbutamol Tablet 2 mg Tablet 117.70 830 97,691.00 117.70 - 117.70 -
247 Salbutamol Tablet 4 mg Tablet 83.00 - - 70.00 - 83.00 -
Salbutamol Tablet 4 mg Tablet 87.00 - - - 87.00 -

248 Salbutamol solution for Inhalation single dose units 2,5
ml Ampul
4,550.00 - - 4,550.00 - 4,550.00 -
249
Salep 2-4 Kombinasi :
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram Pot
2,621.00 142 372,182.00 2,621.00 - 2,621.00 -
Salep 2-4 Kombinasi :

Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram Pot
2,333.00 120 279,960.00 2,333.00 - 2,333.00 -
250 Salisil bedak 2% -50 gr Kotak 6,006.00 183 1,099,098.00 6,006.00 - 6,006.00 -
251 Salep Luka Bakar Tube 10,958.00 - - 11,500.00 - 10,958.00 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 - - 3,922.00 - 3,980.00 -
253 Sefadroksil Tablet 500 mg Tablet 1,430.00 - - 1,430.00 - 1,430.00 -
Sefadroksil Tablet 500 mg Tablet 450.00 - - - 450.00 -
254 Sefiksim Kapsul 100 mg Kapsul 750.00 - - - 750.00 -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - - - -
256 Sefotaksim Injeksi 1 gr Ampul - - - - -
257 Seftriakson Injeksi 1 gr / vial Ampul - - 4,483.00 - - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - - - -
259 Setirizin Tablet 10 mg Tablet 49.01 844 41,360.22 49.01 - 49.01 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,090.00 104 217,360.00 2,090.00 - 2,090.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul - - 46.00 - - -
262 Sianokobalamin Tablet 50 mcg Tablet 51.00 1,070 54,570.00 - 51.00 -
263 Silver Amalgam Serbuk 65-75% Botol - - - - -
264 Simetidin 200 mg Tablet Tablet 363.00 - - 363.00 - 363.00 -
265 Simvastatin Tablet 10 mg Tablet 68.00 - - 68.00 - 68.00 -
266 Siprofloksasin 500mg Tablet 591.80 480 284,064.00 591.80 - 591.80 -
Siprofloksasin 500mg Tablet 240.00 - - - 240.00 -
267 Spironolakton Tablet 25 mg Tablet 190.00 450 85,500.00 190.00 - 190.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - - - -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet
350.00 - - - 350.00 -
270
Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set
- - - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - - - -
272 Tetrasiklin Kapsul 250 mg Kapsul - - - - -
273 Tetrasiklin Kapsul 500 mg Kapsul 310.00 - - 303.00 - 310.00 -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul - - - - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 184.80 4,000 739,200.00 184.80 - 184.80 -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 82.00 - - - 82.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul - - - - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - - - -
278 Tramadol Tablet 50 mg Tablet - - - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 63.00 4,440 279,720.00 63.00 - 63.00 -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 80.00 - - - 80.00 -
280 Vitamin B .Komplek Tablet Tablet 55.00 9,235 507,925.00 55.00 - 55.00 -
281 Vitamin Neurotropik Tablet Tablet 866.00 - - 866.00 - 866.00 -
282 Zinc Tablet 20 mg Tablet 208.00 1,790 372,320.00 208.00 - 208.00 -
Zinc Tablet 20 mg Tablet 514.00 - - - 514.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,489.00 50 124,450.00 2,489.00 - 2,489.00 -
284 Aminofillin Tablet 150 mg Tablet - - 139.00 - - -
285 Asam Folat Tablet 0,4 mg Tablet - - 52.00 - - -
286 Gentamisin Sulfat tetes mata 0,3% Botol 4,232.00 - - 4,232.00 - 4,232.00 -
Gentamisin Sulfat tetes mata 0,3% Botol 4,519.90 240 1,084,776.00 4,519.90 - 4,519.90 -
287 Obat Kumur Botol - - 16,962.00 - - -
288 Salep Betametason + Neomisin Tube 12,793.00 - - 12,793.00 - 12,793.00 -
289 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - - 13,200.00 - 13,200.00 -
290 PP test Pcs 1,997.17 - - - 1,997.17 -
291 Risperidon 2 mg Tablet 123.00 3,580 440,340.00 123.00 - 123.00 -
292 Klozapin 25 mg Tablet 473.00 3,900 1,844,700.00 473.00 - 473.00 -
293 Bisoprolol Tablet 2,5 mg Tablet 123.00 2,870 353,010.00 123.00 - 123.00 -
294 Asam Askorbat (Vit. C) Tablet 500 mg Tablet 489.50 - - 489.50 - 489.50 -
Asam Askorbat (Vit. C) Tablet 500 mg Tablet 225.00 3,550 798,750.00 225.00 - 225.00 -
295 Multivitamin Tablet Tablet 979.00 490 479,710.00 979.00 - 979.00 -
296 Vitamin D 1000 IU Tablet 2,502.50 576 1,441,440.00 2,502.50 - 2,502.50 -
297 Klozapin 100 mg Tablet 997.00 500 498,500.00 997.00 - 997.00 -
298 - - - - -
299 - - - - -
300 - - - - -
- - - - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah - - 6,277.00 - - -
5 Alat Gula, Kolesterol, Asam Urat Unit 805,950.00 2 1,611,900.00 805,950.00 - 805,950.00 -
6 Alat Suntik Sekali Pakai 1 ml Set 679.25 100 67,925.00 679.29 - 679.25 -
Alat Suntik Sekali Pakai 1 ml Set 646.10 23 14,860.30 - 646.10 -
7 Set
Alat Suntik Sekali Pakai 3 ml 802.00 - - 685.14 - 802.00 -
Alat Suntik Sekali Pakai 3 ml Set 848.00 295 250,160.00 848.00 - 848.00 -
8 Alat Suntik Sekali Pakai 5 ml Set 903.00 98 88,494.00 815.15 - 903.00 -
9 Alat Suntik Sekali Pakai 10 ml Set 1,250.00 100 125,000.00 1,250.00 - 1,250.00 -
10 Alkohol Swab Kotak 116.04 - - 116.04 - 116.04 -
Alkohol Swab Kotak 126.00 2,650 333,900.00 126.00 - 126.00 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set - - 1,354.00 - - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set - - 1,185.00 - - -
13 Auto Disposable Syringe (ADS) 5 ml Set - - 1,583.00 - - -
14 Blood Set Set - - 10,430.00 - - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet - - 26,666.67 - - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet - - 34,170.00 - - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - - 3,150.00 - 3,150.00 -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - - 26,250.00 - 26,250.00 -
19 Eter Alkohol Botol - - - - -
20 Folley Catheter no 14 Set 18,450.00 - - - 18,450.00 -
21 Folley Catheter no 16 Set 18,450.00 - - 18,450.00 - 18,450.00 -
22 Folley Catheter no 18 Set 18,450.00 - - 18,450.00 - 18,450.00 -
23 Infus set Anak Set - - 6,457.50 - - -
24 Infus set Dewasa Set 9,070.00 12 108,840.00 5,445.00 - 9,070.00 -
25 Iodina Test Botol - - - - -
26 Kaca Slide Pcs - - - - -
27 Kapas Berlemak 500 gram Bungkus - - - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 1 24,000.00 20,600.00 - 24,000.00 -
29 Kassa Pembalut 2 m x 80 cm Rol - - 9,400.00 - - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol - - 805.00 - - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 1 3,800.00 3,800.00 - 3,800.00 -
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 96 364,800.00 - 3,800.00 -

32 Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 37 304,880.00 8,240.00 - 8,240.00 -
33 Kassa Kompres 40 x 40 steril Bungkus - - 1,320.00 - - -
34 Kertas Puyer Pcs - - - - -
35 Kertas Saring Lembar - - - - -
36 Kertas Lensa Lembar - - - - -
37 Lysol 1,000 ml Botol 43,050.00 - - 43,050.00 - 43,050.00 -
38 Masker Buah 982.40 3,000 2,947,200.00 982.40 - 982.40 -
Masker Buah 339.90 - - - 339.90 -
39 Masker N 95 Pcs 9,517.20 40 380,688.00 9,517.20 - 9,517.20 -
40 Minyak Imersi Botol - - - - -
41 Plester Kertas Rol 15,333.33 3 45,999.99 15,333.33 - 15,333.33 -
42 Polifix Rol 39,217.00 - - 51,305.00 - 39,217.00 -
43 Pot Dahak Pcs - - - - -
44 Rapid 2 HIV Fokus Test - - - - -
45 Rapid HIV 1 (SD HIV) Test - - - - -
46 Rapid HIV 2 (Intec HIV) Test - - - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - - - -
48 Rapid Tes SD Bioline HBSAG Test - - - - -
49 Rapid Test Syphilis Test - - - - -
50 Reagen CD 4 Control Test - - - - -
51 Reagen CD 4 Test - - - - -
52 Reagen Ziehl Nielsen Botol - - - - -
53 RPR Test Syphilis Test - - - - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,150.00 - - 20,610.00 - 20,150.00 -
55 Safety Box Pcs - - 16,186.80 - - -
56 Sarung tangan Steril No 6 Pcs - - 6,595.00 - - -
57 Sarung tangan Steril No 7 Pcs 6,595.00 92 606,740.00 6,595.00 - 6,595.00 -
Sarung tangan Steril No 7 Pcs 8,635.00 100 863,500.00 8,635.00 - 8,635.00 -
58 Sarung tangan Steril No 7,5 Pcs 4,500.00 - - 6,595.00 - 4,500.00 -
Sarung tangan Steril No 7,5 Pcs 8,635.00 84 725,340.00 8,635.00 - 8,635.00 -
59 Sarung tangan Non Steril S Pcs - - 600.49 - - -
60 Sarung tangan Non Steril M Pcs 711.52 1,000 711,520.00 711.52 - 711.52 -
Sarung tangan Non Steril M Pcs 590.00 - - - 590.00 -
Sarung tangan Non Steril M Pcs 600.49 - - - 600.49 -

61 Sarung tangan Non Steril L Pcs 590.00 - - 600.49 - 590.00 -
Sarung tangan Non Steril L Pcs 600.49 - - - 600.49 -
62 Sountimer Buah - - - - -
63 Stik Pemeriksaan Gula Darah Test 6,106.58 400 2,442,632.00 6,106.58 - 6,106.58 -
Stik Pemeriksaan Gula Darah Test 6,106.58 - - - 6,106.58 -
64 Stik Pemeriksaan Kolesterol Test 25,000.00 100 2,500,000.00 25,000.00 - 25,000.00 -
Stik Pemeriksaan Kolesterol Test 25,163.30 - - 25,163.30 - 25,163.30 -
65 Stik Pemeriksaan Asam Urat Test 5,095.48 - - 5,086.15 - 5,095.48 -
Stik Pemeriksaan Asam Urat Test 6,000.00 - - 6,000.00 - 6,000.00 -
66 Supratul Lembar 10,400.00 - - 10,400.00 - 10,400.00 -
67 Urine Bag set 3,090.00 50 154,500.00 8,070.00 - 3,090.00 -
68 Wing Neddle No 23 Set - - - - -
69 Blood Lancet Pcs 150.00 150 22,500.00 150.03 - 150.00 -
70 Cairan Antiseptik Botol 500 ml Botol 78,200.00 4 312,800.00 78,200.00 - 78,200.00 -
Cairan Antiseptik Botol 500 ml Botol 68,200.00 4 272,800.00 68,200.00 - 68,200.00 -
71 Bisturi Pcs - - 12,681.82 - - -
72 Cairan Antiseptik Botol 5 Liter Botol 580,000 - - 580,000.00 - 580,000.00 -
73 Cairan Desinfektan 5 Liter Botol 396,000 - - 396,000.00 - 396,000.00 -
74 Cairan Detergen 5 Liter Botol - - 712,800.00 - - -
75 Gel USG Botol 14,554.00 2 29,108.00 14,554.00 - 14,554.00 -
76 IV Dressing Pcs - - 220,000.00 - - -
77 Mucus Extractor Pcs 5,432.00 1 5,432.00 5,432.00 - 5,432.00 -
78 Nasal Oxygen Anak Pcs - - 6,160.00 - - -
79 Nasal Oxygen Bayi Pcs - - 5,665.00 - - -
80 Nasal Oxygen Dewasa Pcs - - 6,160.00 - - -
81 Plester Bulat Non Woven Pcs - - 317.24 - - -
82 Plester Transparan Pcs 1,629.00 - - 1,677.87 - 1,629.00 -
83 PP test Pcs - - 1,997.17 - - -
84 Sarung tangan Steril No 6,5 Pcs - - 6,595.00 - - -
85 Sarung Tangan Obgyn Steril Pcs - - 19,940.80 - - -
86 Stik Pemeriksaan Hb Pcs 8,033.64 300 2,410,092.00 8,033.64 - 8,033.64 -
Stik Pemeriksaan Hb Pcs 8,058.82 - - 8,058.82 - 8,058.82 -
87 Umbilical Cord Klem Steril Nylon Pcs - - 2,678.00 - - -
88 Underpad 60x90 cm Non Steril Pcs - - 42,872.71 - - -
89 Combur Test Pcs 1,352 - - 1,352.00 - 1,352.00 -
90 - - - - -
- - - - -
C. SERUM DAN VAKSIN - - - - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 517,132 - - 517,132.00 - 517,132.00 -
2 Serum Anti Rabies untuk manusia Vial - - - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - - - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - - - - -
5 Human Tetanus Imunoglobin inj 250 IU Vial 146,800 - - 146,800.00 - 146,800.00 -
6 Vaksin BCG Ampul - - - - -
7 Vaksin Campak 10 Dosis Vial - - - - -
8 Vaksin DT Vial - - - - -
9 Vaksin TD Vial - - - - -
10 Vaksin DTP-HB Vial - - - - -
11 Vaksin DPT-HB/Hib Vial - - - - -
12 Vaksin HB Uniject Pcs - - - - -
13 Vaksin MR (VVM.A) Vial - - - - -
14 Vaksin Polio Vial - - - - -
15 Vaksin Polio IPV 5 Dosis Vial - - - - -
16 Vaksin Polio 10 IPV Dosis Vial - - - - -
17 Vaksin TT Vial - - - - -
18 - - - - -
19 - - - - -
20 - - - - -
-
JUMLAH TOTAL OBAT 48,996,656.81 - - 856,737.11 - -
JUMLAH TOTAL BMHP 17,729,411.29 - - 2,353,599.12 - -
JUMLAH TOTAL VAKSIN SERUM - - -
JUMLAH TOTAL KESELURUHAN 66,726,068.10 - -
N BMHP SUMBER ANGGARAN JKN
MEKARWANGI
BUPATEN KUNINGAN
STUS TAHUN 2022
SALDO AKHIR AGUSTUS 2022

KONTROL
JKN
HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA
- - - - -
- - - - -
- - - - -
105.00 3,920.00 411,600.67 - -
200.00 2,000.00 400,000.00 - -
- - - - -
308.00 2,570.00 791,560.00 - -
2,750.00 27.00 74,250.00 - -
3,627.00 - -
2,704.00 30.00 81,120.00 - -
91.00 - - - -
95.00 - -
- - - - -
53.00 4,760.00 252,280.00 - -
75.00 - -
70.00 5,000.00 350,020.00 - -
99.00 - -
374.00 2,140.00 800,360.00 - -
180.00 - - -
232.00 - - - -
190.00 - - -
201.00 6,110.00 1,228,110.00 -
- - - - -
3,531.00 122.00 430,782.00 - -
3,400.00 - - - -
3,626.00 - -
13,077.60 44.00 575,414.40
KONTROL
JKN
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
2,129.00 - - - -
1,679.00 178.00 298,862.00
54.00 990.00 53,460.00 - -
54.00 8,410.00 454,140.00

- - - - -
170.00 15,345.00 2,608,650.00 - -
- - - - -
3,035.00 67.00 203,345.00 - -

3,250.00 140.00 455,000.00 - -
3,280.00 - -
3,477.00 96.00 333,792.00 - -
4,323.00 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
185.00 18,485.00 3,419,725.00 - -
195.00 - -
1,050.00 1,594.00 1,673,700.00 - -
1,195.00 - -
KONTROL
JKN
8,000.00 - - - -
- - - - -
56.00 3,320.00 185,920.00 - -
75.00 - -
42.00 9,900.00 415,800.00 - -
249.70 2,500.00 624,250.00 - -
990.00 480.00 475,200.00 - -
- - - - -
125.00 - - - -
- - - - -
2,997.00 35.00 104,895.00 - -
- - - - -
380.00 2,210.00 839,800.00 - -
349.00 - -
152.00 50.00 7,599.90 - -
145.00 200.00 29,000.00 -
142.00 - -
- - - - -
2,860.00 10.00 28,600.00 - -
- - - - -
- - - - -
110.00 - - - -
149.00 - -
1,339.80 - - - -
1,430.00 - - -
1,349.00 - -
- - - - -
- - - - -
250.00 1,500.00 375,000.00 - -
- - - - -
- - - - -
924.00 12.00 11,088.00 - -
133.10 2,839.00 377,870.90 - -
41.00 - - -
KONTROL
JKN
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
781.00 10.00 7,810.00 - -
- - - - -
99.00 200.00 19,800.00 - -
108.00 - -
71.01 1,793.00 127,311.97 - -
2,296.00 84.00 192,864.00 - -
- - - - -
- - - - -
2,204.00 - - - -
1,749.00 - - -
- - - - -
775.00 440.00 341,000.00 - -
6,150.00 - - - -
- - - - -
- - - - -
246,000.00 - - - -
154,000.00 4.00 616,000.00
- - - - -
- - - - -
182.00 - - - -
- - - - -
350.00 - - - -
605.00 - - - -
2,590.00 - - - -
- - - - -
- - - - -
KONTROL
JKN
748.00 1,410.00 1,054,680.00 - -

695.00 - -
1,386.00 30.00 41,580.00 - -
87.00 - - - -
- - - - -
274.00 1,244.00 340,854.76 - -
280.00 - -
794.00 - - - -
- - - - -
- - - - -
2,115.00 - - - -
2,860.00 83.00 237,380.00
- - - - -
83.00 - - - -
123.00 1,540.00 189,420.00 - -
85.99 - - - -
87.00 - - -
7,800.00 - - - -
9,020.00 15.00 135,300.00 - -
- - - - -
- - - - -
- - - - -
210.00 800.00 168,000.00 - -
47.00 800.00 37,600.00 - -
51.00 3,000.00 153,000.00 - -
61.00 - -
54.00 500.00 27,000.00 - -
- - - - -
- - - - -
155.00 1,010.00 156,550.00 - -
KONTROL
JKN
148.00 - -
2,475.00 212.00 524,700.00 - -
2,639.00 - -
102.00 - - - -
111.00 - - - -
308.00 - - -
3,200.00 51.00 163,200.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
60.00 1,456.00 87,360.00 - -
63.00 - -
- - - - -
187.00 - - - -
75.00 130.00 9,750.00 -
189.00 210.00 39,690.00 - -
2,545.00 - - - -
280.00 400.00 112,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
715.00 - - - -
- - - - -
310.00 420.00 130,200.00 - -
4,700.00 - - - -
1,810.00 - - - -
2,006.00 - -
3,038.00 - - - -
3,266.00 48.00 156,768.00
KONTROL
JKN
11,000.00 105.00 1,155,000.00 - -

7,700.00 114.00 877,800.00 - -
6,899.00 - -
42.00 - - - -
37.00 27,200.00 1,006,400.00 -
181.00 460.00 83,260.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
123.00 1,000.00 123,000.00 - -
2,120.00 - - - -
2,100.00 100.00 210,000.00

278.00 - - - -
- - - - -
- - - - -
- - - - -
1,111.00 - - - -
847.00 100.00 84,700.00
803.00 150.00 120,450.00 - -
1,937.00 - -
- - - - -
80.00 - - - -
KONTROL
JKN
131.00 350.00 45,850.00 - -

3,200.00 - - - -
3,620.00 - - - -
- - - - -
- - - - -
707.00 - - - -
- - - - -
95.99 - - - -
102.00 - -
94.00 - -
150.00 - - - -
985.00 990.00 975,150.00 - -
3,300.00 420.00 1,386,000.00 - -
210.00 720.00 151,200.00 - -
420.00 - -
1,023.00 100.00 102,300.00 - -
330.00 950.00 313,500.00 - -
143.00 - -
- - - - -
- - - - -
90.00 - - - -
113.00 - - - -
232.00 - -
3,950.00 - - - -
- - - - -
3,250.00 - - - -
800.00 - - - -
12,500.00 14.00 175,000.00 - -
12,100.00 200.00 2,420,000.00
- - - - -
- - - - -
114.00 1,000.00 114,000.00 - -
99.00 - - - -
KONTROL
JKN
6,410.00 - - - -
190.00 - - - -
209.00 1,650.00 344,850.00 -
99.00 - -
11,500.00 49.00 563,500.00 - -
550.00 - - - -
825.00 500.00 412,500.00 - -
745.00 - - -
765.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
5,000.00 - - - -
6,270.00 - -
7,180.00 - - - -
6,759.00 - -
- - - - -
- - - - -
- - - - -
2,667.00 - - - -
2,005.00 - - - -
1,126.00 100.00 112,600.00 - -
5,093.00 9.00 45,837.00 - -
357.50 2,010.00 718,575.00 - -
140.00 - - -
- - - - -
4,976.00 86.00 427,936.00 - -

1,160.00 272.00 315,520.00 - -
KONTROL
JKN
- - - - -
91.35 - - - -
143.00 8,940.00 1,278,420.00
- - - - -
- - - - -
3,000.00 - - - -
20,700.00 - - - -
11,825.00 - - - -
- - - - -
- - - - -
130.00 - - - -
165.00 - -
269.00 - - - -
128.70 1,050.00 135,135.00 - -
131.00 - - -
- - - - -
3,045.00 - - - -
3,885.00 - - - -
18,900.00 - - - -
68.00 513.00 34,884.00 - -
- - - - -
- - - - -
74.00 - - - -
385.00 430.00 165,550.00 - -
- - - - -
85.00 790.00 67,150.00 - -
98.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
7,150.00 13.00 92,950.00 - -
117.70 830.00 97,691.00 - -
83.00 - - - -
KONTROL
JKN
87.00 - -
4,550.00 - - - -
2,621.00 142.00 372,182.00 - -
2,333.00 120.00 279,960.00 -

6,006.00 183.00 1,099,098.00 - -
10,958.00 - - - -
3,980.00 - - - -
1,430.00 - - - -
450.00 - - -
750.00 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
49.01 844.00 41,360.22 - -
2,090.00 104.00 217,360.00 - -
- - - - -
51.00 1,070.00 54,570.00 - -
- - - - -
363.00 - - - -
68.00 - - - -
591.80 480.00 284,064.00 - -
240.00 - - -
190.00 450.00 85,500.00 - -
- - - - -
350.00 - - - -
- - - - -
- - - - -
- - - - -
310.00 - - - -
KONTROL
JKN
- - - - -
184.80 4,000.00 739,200.00 - -
82.00 - -
- - - - -
- - - - -
- - - - -
63.00 4,440.00 279,720.00 - -
80.00 - -
55.00 9,235.00 507,925.00 - -
866.00 - - - -
208.00 1,790.00 372,320.00 - -
514.00 - -
2,489.00 50.00 124,450.00 - -
- - - - -
- - - - -
4,232.00 - - - -
4,519.90 240.00 1,084,776.00
- - - - -
12,793.00 - - - -
13,200.00 - - - -
1,997.17 - - - -
123.00 3,580.00 440,340.00 - -
473.00 3,900.00 1,844,700.00 - -
123.00 2,870.00 353,010.00 - -
489.50 - - - -
225.00 3,550.00 798,750.00
979.00 490.00 479,710.00 - -
2,502.50 576.00 1,441,440.00 - -
997.00 500.00 498,500.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
KONTROL
JKN
- - - - -
- - - - -
- - - - -
- - - - -
805,950.00 2.00 1,611,900.00 - -
679.25 100.00 67,925.00 - -
646.10 23.00 14,860.30 -
802.00 - - - -
848.00 295.00 250,160.00
903.00 98.00 88,494.00 - -
1,250.00 100.00 125,000.00 - -
116.04 - - - -
126.00 2,650.00 333,900.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
3,150.00 - - - -
26,250.00 - - - -
- - - - -
18,450.00 - - - -
18,450.00 - - - -
18,450.00 - - - -
- - - - -
9,070.00 12.00 108,840.00 - -
- - - - -
- - - - -
- - - - -
24,000.00 1.00 24,000.00 - -
- - - - -
- - - - -
3,800.00 1.00 3,800.00 - -
KONTROL
JKN
3,800.00 96.00 364,800.00 -

8,240.00 37.00 304,880.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
43,050.00 - - - -
982.40 3,000.00 2,947,200.00 - -
339.90 - -
9,517.20 40.00 380,688.00 - -
- - - - -
15,333.33 3.00 45,999.99 - -
39,217.00 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20,150.00 - - - -
- - - - -
- - - - -
6,595.00 92.00 606,740.00 - -
8,635.00 100.00 863,500.00
4,500.00 - - - -
8,635.00 84.00 725,340.00
- - - - -
711.52 1,000.00 711,520.00 - -
590.00 - -
KONTROL
JKN
600.49 - -
590.00 - - - -
600.49 - - -
- - - - -
6,106.58 400.00 2,442,632.00 - -
6,106.58 - -
25,000.00 100.00 2,500,000.00 - -
25,163.30 - -
5,095.48 - - - -
6,000.00 - -
10,400.00 - - - -
3,090.00 50.00 154,500.00 - -
- - - - -
150.00 150.00 22,500.00 - -
78,200.00 4.00 312,800.00 - -
68,200.00 4.00 272,800.00 -
- - - - -
580,000.00 - - - -
396,000.00 - - - -
- - - - -
14,554.00 2.00 29,108.00 - -
- - - - -
5,432.00 1.00 5,432.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
1,629.00 - - - -
- - - - -
- - - - -
- - - - -
8,033.64 300.00 2,410,092.00 - -
8,058.82 - -
- - - - -
KONTROL
JKN
- - -
1,352.00 - -
- - -
- - -
- - -
517,132.00 - -
- - -
- - -
- - -
146,800.00 - -
- - -
- - -
- - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - -
- - -
48,996,656.81 - -
17,729,411.29 - -
- - -
66,726,068.10 - - -
DATA MUTASI PERSEDIAAN OBAT DAN BMHP
NO NAMA SEDIAAN SATUAN DAK DAK DAK

HARGA SATUAN
(RP) BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA NILAI RP.
A. O B A T
1 Air Raksa Dental Use Botol - - - - - - -
2 Albendazole Tablet 400 mg Tablet 430.00 - - 430.00 - 430.00 -
Albendazole Tablet 400 mg Tablet 292.00 - - 292.00 - 292.00 -
3 Albendazole susp 200 mg/5 ml Botol 4,300.00 - - 4,300.00 - 4,300.00 -
4 Alopurinol Tablet 100 mg Tablet 105.00 - - 105.00 - 105.00 -
5 Alopurinol Tablet 300 mg Tablet - - - - - - -
6 Alprazolam tablet 1 mg Tablet 128.00 90 11,520.00 128.00 - 128.00 -
7 Ambroksol Tablet 30 mg Tablet 143.55 - - 143.55 - 143.55 -
Ambroksol Tablet 30 mg Tablet 151.80 - - 151.80 - 151.80 -
8 Ambroksol sirup 15 mg/5 ml Botol 2,500.30 - - 2,500.30 - 2,500.30 -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 - - 3,619.00 - 3,619.00 -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 3,822.00 - - 3,822.00 - 3,822.00 -
10 Aminofillin Tablet 200 mg Tablet 95.00 218 20,710.00 95.00 100.00 9,500.00 95.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - - 91.00 - 91.00 -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - - 143.00 - 143.00 -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 - - 171.44 - 171.44 -
12 Amlodipin Tablet 5 mg Tablet 75.00 - - 75.00 - 75.00 -
Amlodipin Tablet 5 mg Tablet 53.00 350 18,550.00 53.00 - 53.00 50.00 2,650.00
13 Amlodipin Tablet 10 mg Tablet 70.00 450 31,500.00 70.00 500.00 35,000.00 70.00 -
14 Amoksisillin Kapsul 250 mg Kapsul 196.00 - - 196.00 - 196.00 -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - - 195.00 - 195.00 -
15 Amoksisillin Kaplet 500 mg Kaplet 249.00 - - 249.00 - 249.00 -
Amoksisillin Kaplet 500 mg Kaplet 201.00 130 26,130.00 201.00 1,000.00 201,000.00 201.00 130.00 26,130.00
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - - - - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 26 91,000.00 3,500.00 - 3,500.00 26.00 91,000.00
Amoksisillin Sirup Kering 125 mg/5ml Botol 2,050.00 100 205,000.00 2,050.00 - 2,050.00 -
18 Amoksisillin Double Strengh Sirup Kering 250 Botol 3,628.00 - - 3,628.00 - 3,628.00 -

HARGA SATUAN
BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA NILAI RP. HARGA SATUAN (RP) BANYAKNYA NILAI RP.
(RP)
Amoksisillin Double Strengh Sirup Kering 250 Botol 3,473.00 - - 3,473.00 - 3,473.00 -
19 Ampisilin Kapsul 250 mg Kapsul - - - - - - -
20 Ampisillin Kaplet 500 mg Tablet - - - - - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - - - - - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 70 576,590.00 8,237.00 - 8,237.00 -
23 Analgetik Plus Tablet - - - - - - -
24 Antasida Doen Suspensi Kombinasi : Magne Botol 1,679.00 100 167,900.00 1,679.00 - 1,679.00 -
Antasida Doen Suspensi Kombinasi : Magne Botol 2,129.00 - - 2,129.00 - 2,129.00 -
25 Antasida Doen Tablet, Kombinasi : Magnes Tablet 58.00 2,328 135,024.00 58.00 - 58.00 390.00 22,620.00
Antasida Doen Tablet, Kombinasi : Magnes Tablet 58.00 - - 58.00 - 58.00 -
26 Antasida Plus Tablet Tablet 189.05 - - 189.05 - 189.05 -
27 Antalgin (Metampiron) Tablet 500 mg Tablet - - - - - - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - - 170.00 - 170.00 -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - - - - - -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 2,924.00 - - 2,924.00 - 2,924.00 -
30 Anti Hemoroid Doen komb Supp 3,167.00 40 126,680.00 3,167.00 - 3,167.00 15.00 47,505.00
31 Anti Fungi DOEN Kombinasi : Pot 4,798.00 82 393,436.00 4,798.00 - 4,798.00 25.00 119,950.00
Anti Fungi DOEN Kombinasi : Pot 3,477.00 - - 3,477.00 - 3,477.00 -
32 Antimigren DOEN Kombinasi : Tablet 173.00 100 17,300.00 173.00 - 173.00 -
Antimigren DOEN Kombinasi : Tablet 167.00 - - 167.00 - 167.00 -
33 Anti Diare Suspensi Botol - - - - - - -
34 Anti Diare Tablet Tablet 233.20 - - 233.20 - 233.20 -
Anti Diare Tablet Tablet 253.00 500 126,500.00 253.00 - 253.00 300.00 75,900.00
35 Anti Dotum Oral Tablet Tablet 253.00 - - 253.00 - 253.00 -
36 Anti Hipertensi Kapsul Tablet 2,112.00 - - 2,112.00 - 2,112.00 -
37 Antihistamin Tablet kombinasi Tablet 208.00 - - 208.00 - 208.00 -
38 Antispasmodik Tablet Tablet 1,195.10 - - 1,195.10 - 1,195.10 -
39 Antitusiva Sirup Botol 11,550.00 - - 11,550.00 - 11,550.00 -
40 Antitusiva Tablet Tablet - - - - - - -
41 Asam Folat Tablet 1 mg Tablet 75.00 - - 75.00 - 75.00 -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet 105.00 800 84,000.00 105.00 - 105.00 300.00 31,500.00
Asam Askorbat (Vit. C) Tablet 500 mg Tablet 225.00 1,440 324,000.00 225.00 - 225.00 391.00 87,975.00
43 Asam Mefenamat Kapsul 500 mg Kapsul 111.00 920 102,120.00 111.00 - 111.00 -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 - - 177.90 - 177.90 -

HARGA SATUAN
(RP)
44 Acetylsistein tablet Tablet 382.00 230 87,860.00 382.00 - 382.00 180.00 68,760.00
Acetylsistein tablet Tablet 301.00 600 180,600.00 301.00 - 301.00 -
45 Asetosal Tablet 80 mg Tablet 105.00 - - 105.00 - 105.00 -
Asetosal Tablet 80 mg Tablet 114.00 - - 114.00 - 114.00 -
46 Asetosal Tablet 100 mg Tablet - - - - - - -
47 Asetosal Tablet 500 mg Tablet - - - - - - -
48 Asiklovir Krim 5 % Tube 3,619.00 25 90,475.00 3,619.00 - 3,619.00 -
Asiklovir Krim 5 % Tube 3,600.00 - - 3,600.00 - 3,600.00 -
49 Asiklovir Tablet 200 mg Tablet 237.00 - - 237.00 - 237.00 -
50 Asiklovir Tablet 400 mg Tablet 405.00 300 121,500.00 405.00 - 405.00 -
Asiklovir Tablet 400 mg Tablet 380.00 - - 380.00 - 380.00 -
51 Attapulgit Tablet 162.00 500 81,000.00 162.00 - 162.00 -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 10 16,390.00 1,639.00 - 1,639.00 -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 21 60,060.00 2,860.00 20.00 57,200.00 2,860.00 -
54 Bahan Tambal Sementara Set 130,000.00 - - 130,000.00 - 130,000.00 -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 20 290,000.00 14,500.00 - 14,500.00 -
56 Betahistin Mesilat 6 mg Tablet 110.00 - - 110.00 - 110.00 -
Betahistin Mesilat 6 mg Tablet 660.00 - - 660.00 - 660.00 -
57 Betametason Krim 0,1 %- 5g Tube 1,430.00 - - 1,430.00 - 1,430.00 -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - - 1,380.00 - 1,380.00 -
58 Bisakodil suppositoria 10 mg Supp - - - - - - -
59 Bisoprolol Tablet 5 mg Tablet 319.00 - - 319.00 - 319.00 -
60 Bromheksin 8 mg Tablet 250.80 - - 250.80 - 250.80 -
61 Cresotin Pasta Botol 112,000.00 - - 112,000.00 - 112,000.00 -
62 Cresotin Liquid No 2 Botol 160,500.00 - - 160,500.00 - 160,500.00 -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - - 1,097.00 - 1,097.00 -
64 Deksametason Tablet 0,5 mg Tablet 61.60 845 52,052.00 61.60 - 61.60 300.00 18,480.00
Deksametason Tablet 0,5 mg Tablet 44.00 - - 44.00 - 44.00 -
Deksametason Tablet 0,5 mg Tablet 41.00 - - 41.00 - 41.00 -
65 Devitalisasi Pasta (Non Arsen) Botol 220,000.00 - - 220,000.00 - 220,000.00 -
66 Diazepam tablet 2 mg Tablet 86.00 89 7,654.00 86.00 - 86.00 -
67 Diazepam tablet 5 mg Tablet 114.00 695 79,230.00 114.00 - 114.00 -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 19 32,965.00 1,735.00 - 1,735.00 -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,090.00 - - 12,090.00 - 12,090.00 -

HARGA SATUAN
(RP)
Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 - - 12,573.00 - 12,573.00 -
70 Diazepam Larutan Rektal 10 mg/ml Supp 16,742.00 - - 16,742.00 - 16,742.00 -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet 156.00 - - 156.00 - 156.00 -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 2 2,190.00 1,095.00 - 1,095.00 -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - - 104.00 - 104.00 -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - - 99.00 - 99.00 -
75 Domperidon Tablet 10 mg Tablet 71.00 200 14,200.00 71.00 - 71.00 -
Domperidon Tablet 10 mg Tablet 95.00 - - 95.00 - 95.00 -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 - - 2,700.00 - 2,700.00 -
77 Efedrin Hcl Tablet 25 mg Tablet - - - - - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - - - - - -
79 Epinefrin HCl / Bitartrat Ampul 1,515.00 - - 1,515.00 30.00 45,450.00 1,515.00 -
Epinefrin HCl / Bitartrat Ampul 1,408.00 30 42,240.00 1,408.00 - 1,408.00 30.00 42,240.00
80 Eritromisin Kapsul 250 mg Kapsul - - - - - - -
81 Eritromisin Kapsul 500 mg Kapsul 730.00 - - 730.00 - 730.00 -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - - - - - -
83 Etambutol Tablet 500 mg Tablet - - - - - - -
84 Etanol 70 % 100 ml Botol - - - - - - -
Etanol 70 % 100 ml Botol 2,500.00 - - 2,500.00 - 2,500.00 -
85 Etil Klorida Semprot -100 ml Botol 108,720.93 - - 108,720.93 - 108,720.93 -
86 Eugenol Cairan -10 ml Botol 20,087.00 - - 20,087.00 - 20,087.00 -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 - - 158.00 - 158.00 -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - - 154.00 - 154.00 -
88 Fenobarbital tablet 30 mg Tablet 1,540.00 - - 1,540.00 - 1,540.00 -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 - - 1,969.00 - 1,969.00 -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - - - - - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - - 605.00 - 605.00 -
92 Fenol Gliserol TK Botol 2,764.00 - - 2,764.00 - 2,764.00 -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul - - - - - - -
94 Flukonazole tablet 150 mg Tablet - - - - - - -
95 Fitomenadion tablet 10 mg Tablet 748.00 - - 748.00 - 748.00 -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,682.00 88 324,016.00 3,682.00 - 3,682.00 -

HARGA SATUAN
(RP)
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 - - 3,550.00 - 3,550.00 -
97 Furosemid Tablet 40 mg Tablet 82.00 - - 82.00 - 82.00 -
98 Furosemid injeksi Ampul - - - - - - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 2,914 748,898.00 257.00 - 257.00 2,914.00 748,898.00
Garam Oralit I serbuk, kombinasi : Kantong 260.00 - - 260.00 - 260.00 -
100 Gemfibrozil Tablet 600 mg Tablet - - - - - - -
101 Gentian Violet Botol - - - - - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - - - - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 - - 1,834.80 - 1,834.80 -
Gentamisin Salep Kulit 0,1 % Tube 1,834.80 - - 1,834.80 - 1,834.80 -
Gentamisin Salep Kulit 0,1 % Tube 5,390.00 - - 5,390.00 - 5,390.00 -
104 Glass Ionomer Set 680,000.00 - - 680,000.00 - 680,000.00 -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - - 119.00 - 119.00 -
Glibenklamid Tablet 5 mg Tablet 83.00 - - 83.00 - 83.00 -
106 Glimepiride 2 mg Tablet 207.00 - - 207.00 - 207.00 -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 2,514 207,405.00 82.50 - 82.50 2,514.00 207,405.00
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 - - 120.00 - 120.00 -
108 Gliseril Guayakolat sirup Botol 7,370.00 - - 7,370.00 - 7,370.00 -
Gliseril Guayakolat sirup Botol 8,800.00 - - 8,800.00 - 8,800.00 -
109 Glukonas Kalsikus injeksi Ampul - - - - - - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - - 6,900.00 - 6,900.00 -
111 Glukosa Larutan Infus10 % Botol 5,700.00 - - 5,700.00 - 5,700.00 -
Glukosa Larutan Infus10 % Botol 7,500.00 - - 7,500.00 - 7,500.00 -
112 Griseofulvin Tablet 125 mg,micronized Tablet 1,773.00 430 762,390.00 1,773.00 - 1,773.00 -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 - - 224.00 - 224.00 -
113 Haloperidol Tablet 0,5 mg Tablet 47.00 500 23,500.00 47.00 - 47.00 -
Haloperidol Tablet 0,5 mg Tablet 55.00 - - 55.00 - 55.00 -
114 Haloperidol Tablet 1,5 mg Tablet 51.00 8,340 425,340.00 51.00 - 51.00 -
115 Haloperidol Tablet 5 mg Tablet 54.00 700 37,800.00 54.00 - 54.00 -
Haloperidol Tablet 5 mg Tablet 75.00 - - 75.00 - 75.00 -
116 Haloperidol injeksi 5 mg/ml Ampul 1,190.00 50 59,500.00 1,190.00 - 1,190.00 -
117 Haloperidol injeksi 50 mg/ml Ampul 97,500.00 - - 97,500.00 - 97,500.00 -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - - - - - - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - - 149.00 - 149.00 -

HARGA SATUAN
(RP)
119 Hidrokortison Krim 2,5 % Tube 2,325.00 38 88,350.00 2,325.00 - 2,325.00 -
120 Ibuprofen Tablet 200 mg Tablet 105.00 - - 105.00 - 105.00 -
121 Ibuprofen Tablet 400 mg Tablet 30.28 - - 30.28 - 30.28 -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,236.00 50 111,800.00 2,236.00 - 2,236.00 -
Ibuprofen Suspensi 100 mg/5 ml Botol 4,665.00 - - 4,665.00 - 4,665.00 -
123 Ichtyol salep Kulit Pot - - - - - - -
124 Isoniazid tablet 100 mg Tablet 145.00 - - 145.00 - 145.00 -
125 Isoniazid tablet 300 mg Tablet 170.00 - - 170.00 - 170.00 -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 - - 88.00 - 88.00 -
127 Kalium Diklofenak Tablet 25 mg Tablet - - - - - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 682.00 - - 682.00 - 682.00 -
129 Kalsium Hidroksida Pasta Tube - - - - - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - - 59.00 - 59.00 -
Kalsium Laktat Tablet 500 mg Tablet 63.00 1,976 124,488.00 63.00 - 63.00 850.00 53,550.00
131 Kaptopril 12,5 mg Tablet 62.00 300 18,600.00 62.00 - 62.00 -
132 Kaptopril 25 mg Tablet 75.00 300 22,500.00 75.00 - 75.00 -
Kaptopril 25 mg Tablet 94.00 - - 94.00 - 94.00 -
133 Karbamazepin Tablet 200 mg Tablet 245.00 80 19,600.00 245.00 - 245.00 -
Karbamazepin Tablet 200 mg Tablet 270.00 - - 270.00 - 270.00 -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 22 55,396.00 2,518.00 - 2,518.00 -
135 Ketokonazole Tablet 200 mg Tablet 252.00 100 25,200.00 252.00 - 252.00 -
Ketokonazole Tablet 200 mg Tablet 528.00 - - 528.00 - 528.00 -
136 Ketoprofen Tablet 100 mg Tablet - - - - - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - - - - - -
138 Ketorolac 10 mg injeksi Ampul - - - - - - -
139 Ketorolac 30 mg injeksi Ampul - - - - - - -
140 Klindamisin Kapsul 150 mg Kapsul 759.00 - - 759.00 - 759.00 -
141 Klindamisin Kapsul 300 mg Kapsul 522.00 240 125,280.00 522.00 - 522.00 30.00 15,660.00
142 Kloramfenikol Kapsul 250 mg Kapsul 266.00 - - 266.00 - 266.00 -
143 Kloramfenikol suspensi125mg/5 ml Botol - - - - - - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 - - 1,881.00 - 1,881.00 -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - - 1,810.00 - 1,810.00 -

HARGA SATUAN
(RP)
145 Kloramfenikol Salep Kulit 2% Tube 3,008.00 - - 3,008.00 - 3,008.00 -
Kloramfenikol Salep Kulit 2% Tube 3,242.00 24 77,808.00 3,242.00 - 3,242.00 -
146 Kloramfenikol Tetes Mata -5 ml Botol 7,260.00 - - 7,260.00 - 7,260.00 -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - - 3,250.00 - 3,250.00 -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 7,370.00 18 132,660.00 7,370.00 - 7,370.00 -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 40.17 - - 40.17 - 40.17 -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 45.10 4,800 216,480.00 45.10 - 45.10 1,238.00 55,833.80
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 - - 212.00 - 212.00 -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 148.00 - - 148.00 - 148.00 -
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 147.00 - - 147.00 - 147.00 -
Klorpromazin Hcl Tablet Salut 100 mg Tablet 144.00 - - 144.00 - 144.00 -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - - 1,510.00 - 1,510.00 -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 - - 1,240.00 - 1,240.00 -
152 Kombinasi Ipatropium Bromide + Salbutamol Vial 4,550.00 - - 4,550.00 - 4,550.00 -
153 Kombipak Cefixime+ Azithromisin Kotak 30,030.00 - - 30,030.00 - 30,030.00 -
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Sulfametoksazol 100 mg + Tablet
Trimetroprim 20 mg 76.00 - - 76.00 - 76.00 -
155 Kotrimoksazol Tablet, Kombinasi : Tablet 125.00 600 75,000.00 125.00 - 125.00 -
156 Kotrimoksazol Suspensi Kombinasi : Botol 2,100.00 100 210,000.00 2,100.00 - 2,100.00 -
Kotrimoksazol Suspensi Kombinasi : Botol 2,140.00 - - 2,140.00 - 2,140.00 -
157 Lansoprazole 30 mg Kapsul Tablet 315.00 - - 315.00 300.00 94,500.00 315.00 -
Lansoprazole 30 mg Kapsul Tablet 323.00 - - 323.00 - 323.00 -
158 Larutan mengadung Elektrolit Botol 9,275.00 - - 9,275.00 - 9,275.00 -
159 Larutan mengadung Elektrolit Botol - - - - - - -
160 Larutan mengadung Karbohidrat + Elektrolit Botol - - - - - - -
161 Lidokain injeksi 2 % Ampul 1,221.00 7 8,547.00 1,221.00 - 1,221.00 -
Lidokain injeksi 2 % Ampul 847.00 40 33,880.00 847.00 - 847.00 -
Lidokain Hcl 2% +Epinefrin Ampul
1 : 80.000-2 ml 1,845.00 - - 1,845.00 - 1,845.00 -
Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin Ampul
1 : 80.000-2 ml 803.00 30 24,090.00 803.00 - 803.00 -
163 Lidokain Spray Botol 177,216.00 - - 177,216.00 - 177,216.00 -
164 Loperamid Tablet 2 mg Tablet 80.30 - - 80.30 - 80.30 -
165 Loratadin tablet 10 mg Tablet 131.00 100 13,100.00 131.00 - 131.00 -

HARGA SATUAN
(RP)
168 MB Anak Blister - - - - - - -
169 MB Dewasa Blister 39,880.00 - - 39,880.00 - 39,880.00 -
170 Meloksikam tablet 15 mg Tablet 718.20 - - 718.20 - 718.20 -
171 Meloksikam Suppositoria Supp - - - - - - -
172 Metformin Hcl Tablet 500 mg Tablet 77.00 - - 77.00 - 77.00 -
173 Metformin 850 mg Tablet 160.00 - - 160.00 - 160.00 -
174 Metildopa 250 mg tablet Tablet 946.00 - - 946.00 - 946.00 -
175 Methisoprinol 500 mg Tablet 3,300.00 - - 3,300.00 - 3,300.00 -
176 Metilergometrin Maleat (Metergin) Tablet 0 Tablet 154.00 - - 154.00 - 154.00 -
Metilergometrin Maleat (Metergin) Tablet 0 Tablet 444.00 - - 444.00 - 444.00 -
177 Metilergometrin Maleat Injeksi 0,200 mg-1m Ampul 2,959.00 10 29,590.00 2,959.00 - 2,959.00 -
Metilergometrin Maleat Injeksi 0,200 mg-1m Ampul 1,023.00 106 108,438.00 1,023.00 - 1,023.00 -
178 Metilprednisolon tablet 4 mg Tablet 102.00 - - 102.00 - 102.00 -
Metilprednisolon tablet 4 mg Tablet 150.00 - - 150.00 - 150.00 -
179 Metoklopramid 10 mg Tablet 85.00 560 47,600.00 85.00 - 85.00 -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - - - - - -
181 Metronidazol Tablet 250 mg Tablet - - - - - - -
182 Metronidazole Tablet 500 mg Tablet 211.20 - - 211.20 - 211.20 -
Metronidazole Tablet 500 mg Tablet 200.85 520 104,442.00 200.85 - 200.85 190.00 38,161.50
183 Metronidazole sirup 125 mg/ml Botol 3,950.00 46 181,700.00 3,950.00 - 3,950.00 5.00 19,750.00
184 Metronidazole Infus 500 mg /100 ml Ampul - - - - - - -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 26 88,764.00 3,414.00 - 3,414.00 -
186 Multivitamin + Mineral tablet Tablet 826.10 - - 826.10 - 826.10 -
Multivitamin + Mineral tablet Tablet 792.00 - - 792.00 - 792.00 -
187 Multivitamin sirup Botol 7,100.00 - - 7,100.00 - 7,100.00 -
188 Mummifying Pasta Botol - - - - - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 - - 50.00 - 50.00 -
Natrium Bikarbonat Tablet 500 mg Tablet 50.00 - - 50.00 - 50.00 -
190 Natrum Diklofenak Tablet 25 mg Tablet 145.00 - - 145.00 - 145.00 -
Natrum Diklofenak Tablet 25 mg Tablet 128.00 - - 128.00 - 128.00 -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 - - 115.00 300.00 34,500.00 115.00 -
Natrium Diklofenak Tablet 50 mg Tablet 200.00 - - 200.00 - 200.00 -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 Botol 6,410.00 - - 6,410.00 - 6,410.00 -
Natrium Klorida Larutan infus 0,9%-Steril 500 Botol 6,840.00 30 205,200.00 6,840.00 - 6,840.00 30.00 205,200.00

HARGA SATUAN
(RP)
193 Nipedifin Tablet 10 mg Tablet 193.60 - - 193.60 - 193.60 -
194 Nistatin suspensi 100.000 IU/ml Botol 11,500.00 50 575,000.00 11,500.00 - 11,500.00 14.00 161,000.00
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 42 25,116.00 598.00 - 598.00 -
Nistatin 100.000 IU/gram Tablet Vagina Tablet 550.00 100 55,000.00 550.00 - 550.00 -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 130 109,590.00 843.00 - 843.00 -
197 Obat Antitiuberkolosis Kategori Anak Paket - - - - - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 - - 317,018.00 - 317,018.00 -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - - - - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - - - - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 248,120.00 - - 248,120.00 - 248,120.00 -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,297,889.00 - - 1,297,889.00 - 1,297,889.00 -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 - - 415,469.00 - 415,469.00 -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - - - - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 - - 4,697.00 - 4,697.00 -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 6,050.00 - - 6,050.00 - 6,050.00 -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 7,106.00 - - 7,106.00 - 7,106.00 -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 - - 6,760.00 - 6,760.00 -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 - - 4,697.00 - 4,697.00 -
208 Obat Flu Sirup Botol - - - - - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - - - - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 - - 2,500.00 - 2,500.00 -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 - - 2,500.00 - 2,500.00 -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 - - 2,412.30 - 2,412.30 -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - - 2,005.00 - 2,005.00 -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 24 28,776.00 1,199.00 - 1,199.00 5.00 5,995.00
Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,126.00 205 230,830.00 1,126.00 - 1,126.00 -
213 Omeprazole injeksi 40mg/10ml Ampul 16,997.00 - - 16,997.00 20.00 339,940.00 16,997.00 -
214 Omeprazole Kapsul 20 mg Tablet 341.81 - - 341.81 - 341.81 -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,650.00 - - 1,650.00 - 1,650.00 -
216 Parasetamol drop 100 mg/ml btl @15ml (60 Botol 4,976.00 82 408,032.00 4,976.00 - 4,976.00 -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 - - 1,107.00 - 1,107.00 -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,181.00 164 193,684.00 1,181.00 - 1,181.00 -
218 Parasetamol Tablet 100 mg Tablet - - - - - - -
219 Parasetamol Tablet 500 mg Tablet 53.00 - - 53.00 - 53.00 -

HARGA SATUAN
(RP)
Parasetamol Tablet 500 mg Tablet 100.74 1,095 110,310.30 100.74 2,000.00 201,480.00 100.74 1,515.00 152,621.10
220 PB Anak Blister - - - - - - -
221 PB Dewasa Blister - - - - - - -
222 Pehacain injeksi Ampul 3,051.40 40 122,056.00 3,051.40 - 3,051.40 -
Pehacain injeksi Ampul 3,080.00 - - 3,080.00 - 3,080.00 -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 23,000.00 - - 23,000.00 - 23,000.00 -
224 Permetrin krim 5 % Tube 11,250.00 - - 11,250.00 - 11,250.00 -
225 Piracetam Tablet 400 mg Tablet 451.00 - - 451.00 - 451.00 -
226 Piracetam Tablet 800 mg Tablet 803.00 - - 803.00 - 803.00 -
227 Piroksikam Tablet 20 mg Tablet 156.20 - - 156.20 - 156.20 -
Piroksikam Tablet 20 mg Tablet 130.00 - - 130.00 - 130.00 -
228 Pirantel Pamoat Tablet 365 mg (Setara dng
Tablet
125 mg Basa) 291.00 - - 291.00 - 291.00 -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 128.70 800 102,960.00 128.70 - 128.70 400.00 51,480.00
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 128.00 490 62,720.00 128.00 - 128.00 300.00 38,400.00
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - - - - - - -
232 Povidon Iodida 10% 60 ml Botol - - - - - - -
233 Povidon Iodida 10% 300 ml Botol 23,971.20 2 47,942.40 23,971.20 - 23,971.20 1.00 23,971.20
234 Prednison Tablet 5 mg Tablet 68.00 600 40,800.00 68.00 - 68.00 157.00 10,676.00
Prednison Tablet 5 mg Tablet 96.00 - - 96.00 - 96.00 -
235 Primakuin tablet 15 mg Tablet - - - - - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - - - - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - - 76.00 - 76.00 -
238 Propilturasil Tablet 100 mg Tablet 385.00 - - 385.00 - 385.00 -
239 Ranitidin Injeksi 25 mg / ml Ampul - - - - - - -
240 Ranitidin Tablet 150 mg Tablet 85.00 200 17,000.00 85.00 - 85.00 -
Ranitidin Tablet 150 mg Tablet 98.00 - - 98.00 - 98.00 -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 307.00 - - 307.00 - 307.00 -
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 517.00 - - 517.00 - 517.00 -
243 Reserpin Tablet 0, 25 mg Tablet - - - - - - -
244 Rifampisin Tablet 450 mg Tablet - - - - - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol - - - - - - -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 22 157,300.00 7,150.00 - 7,150.00 5.00 35,750.00

HARGA SATUAN
(RP)
Salbutamol Tablet 2 mg Tablet 67.00 400 26,800.00 67.00 - 67.00 -
248 Salbutamol solution for Inhalation single
dose units 2,5 ml Ampul
4,550.00 - - 4,550.00 - 4,550.00 -
249 Salep 2-4 Kombinasi : Pot 2,621.00 - - 2,621.00 - 2,621.00 -
Salep 2-4 Kombinasi : Pot 1,410.00 37 52,170.00 1,410.00 - 1,410.00 37.00 52,170.00
Salep 2-4 Kombinasi : Pot 2,527.00 - - 2,527.00 - 2,527.00 -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - - 1,025.00 - 1,025.00 -
Salisil bedak 2% -50 gr Kotak 5,856.40 - - 5,856.40 - 5,856.40 -
Salisil bedak 2% -50 gr Kotak 920.00 15 13,800.00 920.00 - 920.00 9.00 8,280.00
251 Salep Luka Bakar Tube 11,718.25 - - 11,718.25 - 11,718.25 -
Salep Luka Bakar Tube 19,690.00 - - 19,690.00 - 19,690.00 -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 4,185.00 48 200,880.00 4,185.00 - 4,185.00 -
253 Sefadroksil Tablet 500 mg Tablet 450.00 - - 450.00 - 450.00 -
254 Sefiksim Kapsul 100 mg Kapsul - - - - - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - - - - - -
256 Sefotaksim Injeksi 1 gr Ampul - - - - - - -
257 Seftriakson Injeksi 1 gr / vial Ampul - - - - - - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - - - - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - - 90.00 - 90.00 -
Setirizin Tablet 10 mg Tablet 96.00 - - 96.00 - 96.00 -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,090.00 - - 2,090.00 - 2,090.00 -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 - - 3,150.00 - 3,150.00 -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 - - 1,098.00 - 1,098.00 -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 900 44,100.00 49.00 - 49.00 560.00 27,440.00
263 Silver Amalgam Serbuk 65-75% Botol - - - - - - -
264 Simetidin 200 mg Tablet Tablet 176.00 - - 176.00 - 176.00 -
265 Simvastatin Tablet 10 mg Tablet 68.00 820 55,760.00 68.00 - 68.00 90.00 6,120.00
Simvastatin Tablet 10 mg Tablet 117.00 - - 117.00 - 117.00 -
266 Siprofloksasin 500mg Tablet 530.20 - - 530.20 - 530.20 -
267 Spironolakton Tablet 25 mg Tablet 190.00 - - 190.00 - 190.00 -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - - - - - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 - - 353.00 - 353.00 -
Tablet Tambah Darah Kombinasi: Tablet 350.00 - - 350.00 - 350.00 -

HARGA SATUAN
(RP)
270 Temporary Stopping Fletcher (Fletcher)
Set
Serbuk & Cairan - - - - - - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - - - - - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,140.00 - - 1,140.00 - 1,140.00 -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.30 940 85,822.00 91.30 - 91.30 100.00 9,130.00
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - - 91.00 - 91.00 -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 - - 837.00 - 837.00 -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 165 151,965.00 921.00 - 921.00 -
277 Tramadol Injeksi 50 mg/ ml Ampul - - - - - - -
278 Tramadol Tablet 50 mg Tablet - - - - - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 63.00 12,900 812,700.00 63.00 - 63.00 400.00 25,200.00
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 91.00 - - 91.00 - 91.00 -
280 Vitamin B .Komplek Tablet Tablet 89.00 - - 89.00 - 89.00 -
281 Vitamin Neurotropik Tablet Tablet 1,177.00 620 729,740.00 1,177.00 - 1,177.00 64.00 75,328.00
Vitamin Neurotropik Tablet Tablet 660.00 - - 660.00 - 660.00 -
282 Zinc Tablet 20 mg Tablet 208.00 - - 208.00 - 208.00 -
Zinc Tablet 20 mg Tablet 524.00 - - 524.00 - 524.00 -
283 Zinc Sulfat 20 mg/5 ml Botol 2,489.00 10 24,890.00 2,489.00 - 2,489.00 -
284 Hepatorotector tablet (Curcuma) Tablet - - - - - - -
285 Obat Batuk Herbal Botol 9,680.00 - - 9,680.00 - 9,680.00 -
286 Obat Kumur Botol 16,962.00 - - 16,962.00 - 16,962.00 -
287 Salep Kloramfenikol + Hidrokortison Tube 14,371.50 - - 14,371.50 - 14,371.50 -
288 Tablet Pemanis Botol 33,000.00 - - 33,000.00 - 33,000.00 -
289 Bahan Pembersih Kavitas Botol 150,000.00 - - 150,000.00 - 150,000.00 -
290 Flour Gel Botol 49,500.00 - - 49,500.00 - 49,500.00 -
291 Glass Ionomer Posterior Set 775,000.00 - - 775,000.00 - 775,000.00 -
292 Hyposol 3 % Botol 78,100.00 - - 78,100.00 - 78,100.00 -
293 Paramonochlorofenol/CHKM Botol 50,000.00 - - 50,000.00 - 50,000.00 -
294 Saliva Ejector Pcs 660.00 - - 660.00 - 660.00 -
295 Salep Betameson + Neomisin Tube 12,793.00 - - 12,793.00 - 12,793.00 -
Salep Betameson + Neomisin Tube 13,138.40 - - 13,138.40 - 13,138.40 -
296 Curcuma Tablet 462.00 - - 462.00 - 462.00 -
Bisakodil Tablet 5 mg Tablet 319.00 - - 319.00 - 319.00 -

HARGA SATUAN
(RP)
297 Gentamisin injeksi 40 mg/ml Ampul 5,900.00 20 118,000.00 5,900.00 - 5,900.00 -
298 Bisoprolol Tablet 2,5 mg Tablet 626.00 - - 626.00 - 626.00 -
299 Klobazam 10 mg Tablet 776.00 206 159,856.00 776.00 - 776.00 -
300 Klozapin 100 mg Tablet 997.00 200 199,400.00 997.00 - 997.00 -
Klozapin 25 mg Tablet 473.00 - - 473.00 500.00 236,500.00 473.00 -
301 Risperidon 2 mg Tablet 123.00 200 24,600.00 123.00 300.00 36,900.00 123.00 302.00 37,146.00
302 Gentamisin Tetes Mata 0,3% Botol 4,520.00 38 171,760.00 4,520.00 - 4,520.00 10.00 45,200.00
Asam Valproat 250 mg Tablet 2,954.00 - - 2,954.00 - 2,954.00 -
Kalsitriol 0,5 mcg Kapsul 2,600.00 300 780,000.00 2,600.00 - 2,600.00 -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - - - - - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 6,930.00 10 69,300.00 6,930.00 - 6,930.00 -
Abbocath No 20 ( IV Chateter 20 ) Buah 6,930.00 - - 6,930.00 - 6,930.00 -
Abbocath No 22 ( IV Chateter 22 ) Buah 3,800.00 - - 3,800.00 - 3,800.00 -
5 Alat Gula, Kolesterol, Asam Urat Unit - - - - - - -
6 Alat Suntik Sekali Pakai 1 ml Set 854.00 200 170,800.00 854.00 - 854.00 50.00 42,700.00
7 Alat Suntik Sekali Pakai 3 ml Set 965.40 - - 965.40 - 965.40 -
Alat Suntik Sekali Pakai 5 ml Set 1,045.00 100 104,500.00 1,045.00 100.00 104,500.00 1,045.00 25.00 26,125.00
8 Set
Alat Suntik Sekali Pakai 5 ml 1,540.00 500 770,000.00 1,540.00 - 1,540.00 -
Alat Suntik Sekali Pakai 10 ml Set - - - - - - -
9 Alkohol Swab Kotak 120.00 1,300 156,000.00 120.00 - 120.00 -
10 Alkohol Swab Kotak 95.00 - - 95.00 - 95.00 -
Auto Disposable Syringe (ADS) 0,05 ml Set 995.00 100 99,500.00 995.00 - 995.00 -
11 Auto Disposable Syringe (ADS) 0,5 ml Set 1,050.00 - - 1,050.00 - 1,050.00 -
Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 - - 1,640.00 100.00 164,000.00 1,640.00 -
12 Blood Set Set - - - - 1,200.00 - - 250.00 -
13 Catgut/Benang Bedah No.2/0 Plain Sachet 26,087.00 12 313,044.00 26,087.00 - 26,087.00 -
14 Catgut/Benang Bedah No.2/0 Plain Sachet 34,300.00 9 308,700.00 34,300.00 - 34,300.00 -
15 Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 - - 33,250.00 - 33,250.00 -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 24 804,912.00 33,538.00 - 33,538.00 -
16 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - - 3,150.00 - 3,150.00 -

HARGA SATUAN
(RP)
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 - - 2,677.50 - 2,677.50 -
17 Etanol 70 % 1.000 ml Botol 15,246.00 - - 15,246.00 - 15,246.00 -
Eter Alkohol Botol - - - - - - -
18 Folley Catheter no 14 Set 18,450.00 10 184,500.00 18,450.00 - 18,450.00 -
22 Infus set Anak Set 9,900.00 - - 9,900.00 - 9,900.00 -
Infus set Dewasa Set 5,445.00 - - 5,445.00 - 5,445.00 -
23 Infus set Dewasa set 5,800.00 10 58,000.00 5,800.00 - 5,800.00 -
24 Iodina Test Botol 10,725.00 - - 10,725.00 - 10,725.00 -
Kaca Slide Pcs - - - - - - -
25 Kapas Berlemak 500 gram Bungkus - - - - - - -
26 Kapas Pembalut / Adsorbens 100 gram Bungkus 7,205.00 - - 7,205.00 - 7,205.00 -
27 Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 6 77,250.00 12,875.00 - 12,875.00 -
28 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 44 413,600.00 9,400.00 - 9,400.00 -
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 800.00 10 8,000.00 800.00 2.00 1,600.00 800.00 2.00 1,600.00
29 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 100 380,000.00 3,800.00 - 3,800.00 -
30 Kassa Hidrofil Steril 16 x 16 Kotak 8,140.00 - - 8,140.00 - 8,140.00 -
31 Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 - - 8,240.00 - 8,240.00 -
32 Kassa Kompres 40 x 40 steril Bungkus 1,393.00 - - 1,393.00 50.00 69,650.00 1,393.00 -
Kertas Puyer Pcs 75.90 11,640 883,476.00 75.90 - 75.90 -
33 Kertas Saring Lembar - - - - - - -
34 Kertas Lensa Lembar - - - - - - -
35 Lysol 1,000 ml Botol 43,050.00 - - 43,050.00 - 43,050.00 -
36 Masker Buah 982.40 1,450 1,424,480.00 982.40 - 982.40 200.00 196,480.00
37 Masker N 95 Pcs 30,842.19 - - 30,842.19 - 30,842.19 -
38 Minyak Imersi Botol 1,548,088.30 - - 1,548,088.30 - 1,548,088.30 -
39 Plester Kertas Rol 15,333.33 - - 15,333.33 - 15,333.33 -
40 Polifix 5 cm x 5 m Rol - - - - - - -
41 Polifix 5 cm x 5 m Rol 39,749.00 - - 39,749.00 - 39,749.00 -
42 Pot Dahak Pcs 3,096.96 - - 3,096.96 - 3,096.96 -
Rapid HIV 1/2 Vikia DS Test 12,948.00 - - 12,948.00 - 12,948.00 -
43 Rapid HIV 1 (SD HIV) Test 11,975.00 - - 11,975.00 - 11,975.00 -

HARGA SATUAN
(RP)
44 Rapid HIV 2 (Intec HIV) Test - - - - - - -
45 Rapid HIV 2 (Biomeriux HIV) Test - - - - - - -
46 Rapid Tes SD Bioline HBSAG Test - - - - - - -
47 Rapid Test Syphilis Test 20,400.00 - - 20,400.00 - 20,400.00 -
48 Reagen CD 4 Control Test - - - - - - -
49 Reagen CD 4 Test - - - - - - -
50 Reagen Ziehl Nielsen Botol 133,500.00 - - 133,500.00 - 133,500.00 -
51 RPR Test Syphilis Test 12,564.00 - - 12,564.00 - 12,564.00 -
52 Silk( Benang Bedah Sutra ) No 3/0 Sachet 20,186.00 4 80,744.00 20,186.00 - 20,186.00 -
53 Safety Box Pcs 14,935.00 50 746,750.00 14,935.00 - 14,935.00 -
54 Sarung tangan Steril No 6 Pcs 4,500.00 50 225,000.00 4,500.00 - 4,500.00 -
55 Sarung tangan Steril No 7 Pcs 2,673.33 100 267,333.00 2,673.33 - 2,673.33 14.00 37,426.62
Sarung tangan Steril No 7 Pcs 6,595.00 - - 6,595.00 78.00 514,410.00 6,595.00 -
56 Sarung tangan Steril No 7,5 Pcs 6,595.00 50 329,750.00 6,595.00 - 6,595.00 -
57 Sarung tangan Non Steril S Pcs - - - - - - -
Sarung tangan Non Steril M Pcs 1,165.00 500 582,500.00 1,165.00 - 1,165.00 -
58 Sarung tangan Non Steril L Pcs 600.49 - - 600.49 - 600.49 -
59 Sarung tangan Non Steril L Pcs 1,165.00 300 349,500.00 1,165.00 - 1,165.00 200.00 233,000.00
60 Sountimer Buah - - - - - - -
61 Stik Pemeriksaan Gula Darah Test - - - - - - -
Stik Pemeriksaan Kolesterol Test - - - - - - -
62 Stik Pemeriksaan Asam Urat Test - - - - - - -
63 Supratul Lembar 10,400.00 - - 10,400.00 - 10,400.00 -
64 Urine Bag set - - - - - - -
65 Wing Neddle No 23 Set - - - - - - -
66 Blood Lancet Pcs 150.03 - - 150.03 - 150.03 -
67 Blood Lancet Pcs 144.20 400 57,680.00 144.20 - 144.20 -
68 Cairan Antiseptik Botol 500 ml Botol 66,700.00 5 333,500.00 66,700.00 - 66,700.00 -
69 Vaccum Tube Sterile EDTA K-3 (3ml) Pcs 102,600.00 - - 102,600.00 - 102,600.00 -
Vaccum Tube Sterile Clot Activator (3ml) Pcs 99,500.00 - - 99,500.00 - 99,500.00 -
70 Detergent 5 Liter Galon 712,800.00 - - 712,800.00 - 712,800.00 -
71 Desinfektan 5 Liter Galon 396,000.00 - - 396,000.00 - 396,000.00 -
72 Saliva Ejector 968.00 100 96,800.00 968.00 - 968.00 -
73 Pharmafix Rol 30,000.00 5 150,000.00 30,000.00 - 30,000.00 -

HARGA SATUAN
(RP)
74 Slide Pcs 31,347.00 - - 31,347.00 - 31,347.00 -
75 Vikia Biumerc Test 19,480.00 - - 19,480.00 - 19,480.00 -
76 Baju APD Pcs 312,500.10 - - 312,500.10 - 312,500.10 -
77 Sepatu Boot Safety Pcs 262,499.60 - - 262,499.60 - 262,499.60 -
78 Kacamata Google Pcs 131,249.80 - - 131,249.80 - 131,249.80 -
79 Sarung Tangan Karet Latex Pcs 56,249.60 - - 56,249.60 - 56,249.60 -
80 Box Object Glass Pcs 38,848.51 - - 38,848.51 - 38,848.51 -
81 Masker Kain Headloop Pcs 5,500.00 - - 5,500.00 - 5,500.00 -
82 Plester Bulat Non Woven Kotak 36,050.00 4 144,200.00 36,050.00 - 36,050.00 -
83 Masker KN 95 Pcs - - - - - - -
84 Calcetin Calcium Hidroxide Paste Botol 134,214.29 - - 134,214.29 - 134,214.29 -
85 Cresotin Paste Pot 112,214.29 - - 112,214.29 - 112,214.29 -
86 Cresotin Liquid No 2 Pot 160,714.29 - - 160,714.29 - 160,714.29 -
87 Hyposol 3 % Botol 78,750.00 1 78,750.00 78,750.00 - 78,750.00 -
88 Pulp X Pot 217,214.29 - - 217,214.29 - 217,214.29 -
89 Trioresolformalina Botol 72,214.29 - - 72,214.29 - 72,214.29 -
90 Paramonochlorofenol/CHKM Botol 65,214.29 - - 65,214.29 - 65,214.29 -
91 Saliva Ejector Kantong 88,750.00 1 88,750.00 88,750.00 - 88,750.00 -
92 APD Vaksinasi Covid Paket 98,450.00 - - 98,450.00 - 98,450.00 -
93 Rompi Vaksinator Pcs 148,000.00 - - 148,000.00 - 148,000.00 -
94 Coverall DISPO Survailens Pcs 323,500.00 - - 323,500.00 - 323,500.00 -
95 Povidon Iodine 300 ml Botol 22,050.00 - - 22,050.00 - 22,050.00 -
96 Povidon Iodine 300 ml Botol 22,050.00 - - 22,050.00 - 22,050.00 -
97 Povidon Iodine 30 ml Botol 3,360.00 2 6,720.00 3,360.00 - 3,360.00 -
98 Box Object Glass Pcs 38,848.51 - - 38,848.51 - 38,848.51 -
Object Glass Pcs 15,089.50 - - 15,089.50 - 15,089.50 -
Abate Kotak 412,002.80 - - 412,002.80 - 412,002.80 -
99 Water One 1 Liter Botol 15,246.00 2 30,492.00 15,246.00 - 15,246.00 -
No Pain Spray Skin Refrigant Botol 83,050.00 4 332,200.00 83,050.00 - 83,050.00 -
- - - - -
100 - - - - -
101 - - - - -
- - - - -
C. SERUM DAN VAKSIN - - - - -

HARGA SATUAN
(RP)
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (AB Vial 479,996.00 - - 479,996.00 - 479,996.00 -
Serum Anti Bisa Ular Polivalen Injeksi 5 ml (AB Vial 512,204.00 2 1,024,408.00 512,204.00 - 512,204.00 -
2 Serum Anti Rabies untuk manusia Vial - - - - - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/a Ampul - - - - - - -
4
Serum Anti Tetanus (ATS) Injeksi 20.000
Vial
IU/ampul
- - - - - - -
5
Human Tetanus Imunoglobin inj 250 IU Vial
188,663 5 943,315.00 188,663.00 - 188,663.00 -
Vaksin BCG Vial
59,950.000 - - 59,950.00 - 59,950.00 -
6 Vaksin BCG Ampul 66,154 - - 66,154.00 - 66,154.00 -
Vaksin Campak 10 Dosis Ampul - - - - - - -
7 Vaksin DT Vial - - - - - - -
8 Vaksin TD Vial 18,128 - - 18,128.00 - 18,128.00 -
9 Vaksin TD Vial 16,995 - - 16,995.00 - 16,995.00 -
Vaksin DTP-HB Vial - - - - - - -
10 Vaksin DPT-HB/Hib Vial 76,285 - - 76,285.00 - 76,285.00 -
11 Vaksin DPT-HB/Hib Vial 84,282 - - 84,282.00 - 84,282.00 -
Vaksin HB Uniject Vial 20,900 - - 20,900.00 - 20,900.00 -
12 Vaksin HB Uniject Pcs 25,597 - - 25,597.00 - 25,597.00 -
Vaksin MR (VVM.A) Pcs 166,265 - - 166,265.00 - 166,265.00 -
13 Vaksin Polio Vial 21,285 - - 21,285.00 - 21,285.00 -
14 Vaksin Polio Vial 19,954 - - 19,954.00 - 19,954.00 -
Vaksin Polio IPV 5 Dosis Vial 158,994 - - 158,994.00 - 158,994.00 -
15 Vaksin Polio IPV 5 Dosis Vial 144,540 - - 144,540.00 - 144,540.00 -
Vaksin Polio 10 IPV Dosis Vial - - - - - - -
16 Vaksin TT Vial - - - - - - -
17 Vaksin Covid 19 (CoronaVac) Vial 211,282 - - 211,282.00 - 211,282.00 -
18 Vaksin Covid 19 (Multidosis) Vial 1,339,441 - - 1,339,440.50 - 1,339,440.50 -
19 Vaksin Covid 19 (Multidosis) Vial - - - - -
20 - - - - -
JUMLAH TOTAL OBAT 14,293,097.70 1,291,970.00 2,745,075.60

JUMLAH TOTAL BMHP 10,749,990.50 854,160.00 537,331.62
JUMLAH TOTAL VAKSIN SERUM 1,967,723.00 - -

HARGA SATUAN
(RP)
JUMLAH TOTAL KESELURUHAN 27,010,811.20 2,146,130.00 3,282,407.22
AAN OBAT DAN BMHP
S MEKARWANGI
BUPATEN KUNINGAN
USTUS TAHUN 2022

KONTROL
DAK
- - - - -
430.00 - - - -
292.00 - -
4,300.00 - - - -
105.00 - - - -
- - - - -
128.00 90.00 11,520.00 - -
143.55 - - - -
151.80 - -
2,500.30 - - - -
3,619.00 - -
3,822.00 - - - -
95.00 318.00 30,210.00 - -
91.00 - - -
143.00 - - - -
171.44 - - -
75.00 - - - -
53.00 300.00 15,900.00
70.00 950.00 66,500.00 - -
104.00 - -
196.00 - - - -
195.00 - -
249.00 - - - -
201.00 1,000.00 201,000.00 -
- - - - -
3,500.00 - - - 182,000
2,050.00 100.00 205,000.00
3,628.00 - - - -
KONTROL
DAK
3,473.00 - -
- - - - -
- - - - -
- - - - -
8,237.00 70.00 576,590.00 - -
- - - - -
1,679.00 100.00 167,900.00 - -
2,129.00 - -
58.00 1,938.00 112,404.00 - 45,240
58.00 - -
189.05 - - - -
- - - - -
170.00 - -
- - - - -
2,924.00 - - - -
3,167.00 25.00 79,175.00 - 95,010
4,798.00 57.00 273,486.00 - 239,900
3,477.00 - -
173.00 100.00 17,300.00 - -
167.00 - -
- - - - -
233.20 - - - -
253.00 200.00 50,600.00 -
253.00 - - - -
2,112.00 - - - -
208.00 - - - -
1,195.10 - - - -
11,550.00 - - - -
- - - - -
75.00 - - - -
105.00 500.00 52,500.00 - 63,000
225.00 1,049.00 236,025.00 -
111.00 920.00 102,120.00 - -
177.90 - - -
KONTROL
DAK
382.00 50.00 19,100.00 - 137,520

301.00 600.00 180,600.00
105.00 - - - -
114.00 - -
- - - - -
- - - - -
3,619.00 25.00 90,475.00 - -
3,600.00 - -
237.00 - - - -
405.00 300.00 121,500.00 - -
380.00 - -
162.00 500.00 81,000.00 - -
1,639.00 10.00 16,390.00 - -
2,860.00 41.00 117,260.00 - -
130,000.00 - - - -
14,500.00 20.00 290,000.00 - -
110.00 - - - -
660.00 - -
1,430.00 - - - -
1,380.00 - -
- - - - -
319.00 - - - -
250.80 - - - -
112,000.00 - - - -
160,500.00 - - - -
1,097.00 - - - -
61.60 545.00 33,572.00 - 36,960
44.00 - -
41.00 - -
220,000.00 - - - -
86.00 89.00 7,654.00 - -
114.00 695.00 79,230.00 - -
1,735.00 19.00 32,965.00 - -
12,090.00 - - - -
KONTROL
DAK
12,573.00 - -
16,742.00 - - - -
156.00 - - - -
1,095.00 2.00 2,190.00 - -
104.00 - - - -
99.00 - - - -
104.00 - - -
141.90 - -
71.00 200.00 14,200.00 - -
95.00 - -
2,700.00 - - - -
- - - - -
- - - - -
1,515.00 30.00 45,450.00 - -
1,408.00 - - -
- - - - -
730.00 - - - -
- - - - -
- - - - -
- - - - -
2,500.00 - -
108,720.93 - - - -
20,087.00 - - - -
158.00 - - - -
154.00 - -
1,540.00 - - - -
1,969.00 - - - -
- - - - -
605.00 - - - -
2,764.00 - - - -
- - - - -
- - - - -
748.00 - - - -
3,682.00 88.00 324,016.00 - -
KONTROL
DAK
3,550.00 - -
82.00 - - - -
- - - - -
257.00 - - - 1,497,796
260.00 - -
- - - - -
- - - - -
- - - - -
1,834.80 - - - -
1,834.80 - - -
5,390.00 - -
680,000.00 - - - -
119.00 - - - -
83.00 - -
207.00 - - - -
82.50 - - - 414,810
120.00 - -
7,370.00 - - - -
8,800.00 - -
- - - - -
6,900.00 - - - -
5,700.00 - - - -
7,500.00 - -
1,773.00 430.00 762,390.00 - -
224.00 - -
47.00 500.00 23,500.00 - -
55.00 - -
51.00 8,340.00 425,340.00 - -
54.00 700.00 37,800.00 - -
75.00 - - -
1,190.00 50.00 59,500.00 - -
97,500.00 - - - -
- - - - -
149.00 - -
KONTROL
DAK
2,325.00 38.00 88,350.00 - -

105.00 - - - -
102.00 - -
30.28 - - - -
111.00 - -
2,236.00 50.00 111,800.00 - -
4,665.00 - - -
- - - - -
145.00 - - - -
170.00 - - - -
88.00 - - - -
- - - - -
682.00 - - - -
- - - - -
59.00 - - - -
63.00 1,126.00 70,938.00
62.00 300.00 18,600.00 - -
75.00 300.00 22,500.00 - -
94.00 - -
245.00 80.00 19,600.00 - -
270.00 - -
2,518.00 22.00 55,396.00 - -
252.00 100.00 25,200.00 - -
528.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
759.00 - - - -
522.00 210.00 109,620.00 - 31,320
266.00 - - - -
- - - - -
1,881.00 - - - -
1,810.00 - -
KONTROL
DAK
3,008.00 - - - -
3,242.00 24.00 77,808.00
7,260.00 - - - -
3,250.00 - -
7,370.00 18.00 132,660.00 - -
40.17 - - - -
45.10 3,562.00 160,646.20
212.00 - - - -
148.00 - -
147.00 - - - -
144.00 - -
1,510.00 - - - -
1,240.00 - -
4,550.00 - - - -
30,030.00 - - - -
76.00 - - - -
125.00 600.00 75,000.00 - -
2,100.00 100.00 210,000.00 - -
2,140.00 - -
315.00 300.00 94,500.00 - -
323.00 - - -
9,275.00 - - - -
- - - - -
- - - - -
1,221.00 7.00 8,547.00 - -
847.00 40.00 33,880.00
1,845.00 - - - -
803.00 30.00 24,090.00

177,216.00 - - - -
80.30 - - - -
131.00 100.00 13,100.00 - -
3,328.00 - - - -
3,796.00 - - - -
KONTROL
DAK
- - - - -
39,880.00 - - - -
718.20 - - - -
- - - - -
77.00 - - - -
160.00 - - - -
946.00 - - - -
3,300.00 - - - -
154.00 - - - -
444.00 - -
2,959.00 10.00 29,590.00 - -
1,023.00 106.00 108,438.00 -
102.00 - - - -
150.00 - -
85.00 560.00 47,600.00 - -
- - - - -
- - - - -
211.20 - - - -
200.85 330.00 66,280.50
3,950.00 41.00 161,950.00 - 39,500
- - - - -
3,414.00 26.00 88,764.00 - -
826.10 - - - -
792.00 - - -
7,100.00 - - - -
- - - - -
50.00 - - - -
50.00 - -
145.00 - - - -
128.00 - -
115.00 300.00 34,500.00 - -
200.00 - -
6,410.00 - - - -
6,840.00 - -
KONTROL
DAK
193.60 - - - -
11,500.00 36.00 414,000.00 - 322,000
598.00 42.00 25,116.00 - -
550.00 100.00 55,000.00
843.00 130.00 109,590.00 - -
- - - - -
317,018.00 - - - -
- - - - -
- - - - -
248,120.00 - - - -
1,297,889.00 - - - -
415,469.00 - - - -
- - - - -
4,697.00 - - - -
6,050.00 - -
7,106.00 - - - -
6,760.00 - -
4,697.00 - - - -
- - - - -
- - - - -
2,500.00 - - - -
2,500.00 - - -
2,412.30 - - - -
2,005.00 - - -
1,199.00 19.00 22,781.00 - 11,990
1,126.00 205.00 230,830.00 -
16,997.00 20.00 339,940.00 - -
341.81 - - - -
1,650.00 - - - -
4,976.00 82.00 408,032.00 - -
1,107.00 - - - -
1,181.00 164.00 193,684.00
- - - - -
53.00 - - - -
KONTROL
DAK
100.74 1,580.00 159,169.20

- - - - -
- - - - -
3,051.40 40.00 122,056.00 - -
3,080.00 - -
23,000.00 - - - -
11,250.00 - - - -
451.00 - - - -
803.00 - - - -
156.20 - - - -
130.00 - - -
291.00 - - - -
128.70 400.00 51,480.00 - 102,960
128.00 190.00 24,320.00
- - - - -
3,360.00 - - - -
- - - - -
23,971.20 1.00 23,971.20 - 47,942
68.00 443.00 30,124.00 - 21,352
96.00 - -
- - - - -
- - - - -
76.00 - - - -
385.00 - - - -
- - - - -
85.00 200.00 17,000.00 - -
98.00 - -
307.00 - - - -
517.00 - - - -
- - - - -
- - - - -
- - - - -
7,150.00 17.00 121,550.00
63.00 - - - -
KONTROL
DAK
67.00 400.00 26,800.00

70.00 - - - -
4,550.00 - - - -
2,621.00 - - - -
1,410.00 - - -
2,527.00 - -
1,025.00 - - - -
5,856.40 - -
920.00 6.00 5,520.00
11,718.25 - - - -
19,690.00 - -
4,185.00 48.00 200,880.00 - -
450.00 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
90.00 - - - -
96.00 - -
2,090.00 - - - -
3,150.00 - -
1,098.00 - - - -
49.00 340.00 16,660.00 - 54,880
- - - - -
176.00 - - - -
68.00 730.00 49,640.00 - 12,240
117.00 - - -
111.00 - -
530.20 - - - -
190.00 - - - -
- - - - -
353.00 - - - -
350.00 - -
KONTROL
DAK
- - - - -
- - - - -
163.00 - - - -
310.00 - - - -
1,140.00 - - - -
91.30 840.00 76,692.00 - 18,260
91.00 - -
837.00 - - - -
921.00 165.00 151,965.00 -
- - - - -
- - - - -
63.00 12,500.00 787,500.00 - 50,400
91.00 - -
89.00 - - - -
1,177.00 556.00 654,412.00 - 150,656
660.00 - -
208.00 - - - -
524.00 - -
2,489.00 10.00 24,890.00 - -
- - - - -
9,680.00 - - - -
16,962.00 - - - -
14,371.50 - - - -
33,000.00 - - - -
150,000.00 - - - -
49,500.00 - - - -
775,000.00 - - - -
78,100.00 - - - -
50,000.00 - - - -
660.00 - - - -
12,793.00 - - - -
13,138.40 - -
462.00 - - - -
319.00 - -
KONTROL
DAK
5,900.00 20.00 118,000.00 - -

626.00 - - - -
776.00 206.00 159,856.00 - -
997.00 200.00 199,400.00 - -
473.00 500.00 236,500.00 -
123.00 198.00 24,354.00 -
4,520.00 28.00 126,560.00 -
217.00 - - -
2,954.00 - - - -
2,600.00 300.00 780,000.00 -
- - - - -
6,930.00 10.00 69,300.00 - -
6,930.00 10.00 69,300.00 - -
6,930.00 - - -
6,930.00 10.00 69,300.00 - -
3,800.00 - -
6,930.00 5.00 34,650.00 - -
- - - - -
854.00 150.00 128,100.00 - 85,400
965.40 - - - -
1,045.00 175.00 182,875.00
1,540.00 500.00 770,000.00 - -
- - - -
120.00 1,300.00 156,000.00 - -
95.00 - - - -
995.00 100.00 99,500.00
1,050.00 - - - -
1,640.00 100.00 164,000.00
- 950.00 - - -
26,087.00 12.00 313,044.00 - -
34,300.00 9.00 308,700.00 - -
33,250.00 - - - -
33,538.00 24.00 804,912.00
3,150.00 - - - -
KONTROL
DAK
2,677.50 - - -
15,246.00 - - - -
- - -
18,450.00 10.00 184,500.00 - -
18,450.00 10.00 184,500.00 - -
18,450.00 10.00 184,500.00 - -
8,100.95 10.00 81,009.50 - -
9,900.00 - - - -
5,445.00 - - -
5,800.00 10.00 58,000.00 - -
10,725.00 - - - -
- - -
- - - - -
7,205.00 - - - -
12,875.00 6.00 77,250.00 - -
9,400.00 44.00 413,600.00 - -
800.00 10.00 8,000.00 -
3,800.00 100.00 380,000.00 - -
8,140.00 - - - -
8,240.00 - - - -
1,393.00 50.00 69,650.00 - -
75.90 11,640.00 883,476.00
- - - - -
- - - - -
43,050.00 - - - -
982.40 1,250.00 1,228,000.00 - 392,960
30,842.19 - - - -
1,548,088.30 - - - -
15,333.33 - - - -
- - - - -
39,749.00 - - - -
3,096.96 - - - -
12,948.00 - -
11,975.00 - - - -
KONTROL
DAK
- - - - -
- - - - -
- - - - -
20,400.00 - - - -
- - - - -
- - - - -
133,500.00 - - - -
12,564.00 - - - -
20,186.00 4.00 80,744.00 - -
14,935.00 50.00 746,750.00 - -
4,500.00 50.00 225,000.00 - -
2,673.33 86.00 229,906.38 - 74,853
6,595.00 78.00 514,410.00
6,595.00 50.00 329,750.00 - -
- - - - -
1,165.00 500.00 582,500.00 -
600.49 - - - -
1,165.00 100.00 116,500.00 - 466,000
- - - - -
- - - - -
- - -
- - - - -
10,400.00 - - - -
- - - - -
- - - - -
150.03 - - - -
144.20 400.00 57,680.00 - -
66,700.00 5.00 333,500.00 - -
102,600.00 - - - -
99,500.00 - - -
712,800.00 - - - -
396,000.00 - - - -
968.00 100.00 96,800.00 - -
30,000.00 5.00 150,000.00 - -
KONTROL
DAK
31,347.00 - - - -
19,480.00 - - - -
312,500.10 - - -
262,499.60 - -
131,249.80 - -
56,249.60 - -
38,848.51 - -
5,500.00 - -
36,050.00 4.00 144,200.00
- - -
134,214.29 - -
112,214.29 - -
160,714.29 - -
78,750.00 1.00 78,750.00
217,214.29 - -
72,214.29 - -
65,214.29 - -
88,750.00 1.00 88,750.00
98,450.00 - -
148,000.00 - -
323,500.00 - -
22,050.00 - -
22,050.00 - -
3,360.00 2.00 6,720.00
38,848.51 - -
15,089.50 - -
412,002.80 - -
15,246.00 2.00 30,492.00
83,050.00 4.00 332,200.00
- - -
- - -
- - -
- - -
- - - - -
KONTROL
DAK
479,996.00 - - - -
512,204.00 2.00 1,024,408.00
- - - - -
- - - - -
- - - - -
188,663.00 5.00 943,315.00 - -
59,950.00 - -
66,154.00 - - - -
- - -
- - - - -
18,128.00 - - - -
16,995.00 - - - -
- - -
76,285.00 - - - -
84,282.00 - - - -
20,900.00 - -
25,597.00 - - - -
166,265.00 - -
21,285.00 - - - -
19,954.00 - - - -
158,994.00 - -
144,540.00 - - - -
- - -
- - - - -
211,282.00 - - - -
1,339,440.50 - - - -
- - - - -
- - - - -
12,839,992.10 - 5,490,151
11,066,818.88 - 1,074,663
1,967,723.00 - -
KONTROL
DAK
25,874,533.98 - - 6,564,814
DATA MUTASI PE
UPTD PUSK
DINAS KESEHAT
PERIODE BULA
STOK AWAL AGUSTUS 2022
NO NAMA SEDIAAN SATUAN APBD

HARGA SATUAN BANYAKNYA NILAI RP.
(RP)
A. O B A T
1 Air Raksa Dental Use Botol - -
2 Albendazole Tablet 400 mg Tablet 1,041.98 - -
Albendazole Tablet 400 mg Tablet 367.00 - -
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 - -
4 Alopurinol Tablet 100 mg Tablet 105.00 - -
5 Alopurinol Tablet 300 mg Tablet - -
6 Alprazolam tablet 1 mg Tablet - -
7 Ambroksol Tablet 30 mg Tablet 143.55 - -
Ambroksol Tablet 30 mg Tablet 151.80 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 - -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 3,822.00 - -
10 Aminofillin Tablet 200 mg Tablet 95.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 - -
12 Amlodipin Tablet 5 mg Tablet 75.00 - -
Amlodipin Tablet 5 mg Tablet 85.00 - -
14 Amoksisillin Kapsul 250 mg Kapsul 196.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 249.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 - -
18 Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol 3,628.00 - -
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol 3,473.00 - -
19 Ampisilin Kapsul 250 mg Kapsul - -
20 Ampisillin Kaplet 500 mg Tablet - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 - -
23 Analgetik Plus Tablet - -
24 Antasida Doen Suspensi Kombinasi : Magnesium Hidrok Botol 1,995.00 - -
Antasida Doen Suspensi Kombinasi : Magnesium Hidrok Botol 2,129.00 - -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroks Tablet 58.00 - -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroks Tablet 58.00 - -
26 Antasida Plus Tablet Tablet 189.05 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 2,924.00 - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi : Pot 4,798.00 - -
Anti Fungi DOEN Kombinasi : Pot 4,158.00 - -
32 Antimigren DOEN Kombinasi : Tablet - -
Antimigren DOEN Kombinasi : Tablet 167.00 - -
33 Anti Diare Suspensi Botol - -
34 Anti Diare Tablet Tablet 233.20 - -
Anti Diare Tablet Tablet 253.00 - -
35 Anti Dotum Oral Tablet Tablet 253.00 - -
36 Anti Hipertensi Kapsul Tablet 2,112.00 - -
37 Antihistamin Tablet kombinasi Tablet 208.00 - -
38 Antispasmodik Tablet Tablet 1,195.10 - -
39 Antitusiva Sirup Botol 11,550.00 - -
40 Antitusiva Tablet Tablet - -
41 Asam Folat Tablet 1 mg Tablet 75.00 - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet 105.00 - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.00 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.40 - -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet 105.00 - -
Asetosal Tablet 80 mg Tablet 114.00 - -
46 Asetosal Tablet 100 mg Tablet - -
47 Asetosal Tablet 500 mg Tablet - -
48 Asiklovir Krim 5 % Tube 2,996.40 - -
Asiklovir Krim 5 % Tube 3,600.00 - -
49 Asiklovir Tablet 200 mg Tablet 237.00 - -
Asiklovir Tablet 400 mg Tablet 380.00 - -
51 Attapulgit Tablet 152.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set 130,000.00 - -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 - -
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 660.00 - -
57 Betametason Krim 0,1 %- 5g Tube - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
58 Bisakodil suppositoria 10 mg Supp - -
59 Bisoprolol Tablet 5 mg Tablet - -
60 Bromheksin 8 mg Tablet 250.80 - -
61 Cresotin Pasta Botol 112,000.00 - -
62 Cresotin Liquid No 2 Botol 160,500.00 - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet 32.00 - -
Deksametason Tablet 0,5 mg Tablet 44.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol 220,000.00 - -
66 Diazepam tablet 2 mg Tablet 86.00 - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
69 Diazepam Larutan Rektal 5 mg/ml Supp 12,090.00 - -
Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet 156.00 - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
Dimenhidrinat Tablet 50 mg Tablet 104.00 - -
75 Domperidon Tablet 10 mg Tablet 85.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 - -
77 Efedrin Hcl Tablet 25 mg Tablet - -
78 Ekstrak Belladone Tablet 10 mg Tablet - -
79 Epinefrin HCl / Bitartrat Ampul 1,749.00 - -
Epinefrin HCl / Bitartrat Ampul 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul - -
81 Eritromisin Kapsul 500 mg Kapsul 730.00 - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - -
83 Etambutol Tablet 500 mg Tablet - -
84 Etanol 70 % 100 ml Botol - -
Etanol 70 % 100 ml Botol 2,500.00 - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 20,087.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 1,540.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 - -
94 Flukonazole tablet 150 mg Tablet 18,720.00 - -
95 Fitomenadion tablet 10 mg Tablet 710.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 - -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 - -
97 Furosemid Tablet 40 mg Tablet 82.00 - -
98 Furosemid injeksi Ampul - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 - -
Garam Oralit I serbuk, kombinasi : Kantong 260.00 - -
100 Gemfibrozil Tablet 600 mg Tablet - -
101 Gentian Violet Botol - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 - -
Gentamisin Salep Kulit 0,1 % Tube 1,834.80 - -
104 Glass Ionomer Set 680,000.00 - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
Glibenklamid Tablet 5 mg Tablet 86.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 - -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 - -
108 Gliseril Guayakolat sirup Botol 7,370.00 - -
Gliseril Guayakolat sirup Botol 8,800.00 - -
109 Glukonas Kalsikus injeksi Ampul - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol 5,700.00 - -
Glukosa Larutan Infus10 % Botol 7,500.00 - -
112 Griseofulvin Tablet 125 mg,micronized Tablet 224.00 - -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 - -
113 Haloperidol Tablet 0,5 mg Tablet 55.00 - -
Haloperidol Tablet 0,5 mg Tablet 55.00 - -
115 Haloperidol Tablet 5 mg Tablet 60.00 - -
Haloperidol Tablet 5 mg Tablet 75.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul 1,190.00 - -
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 105.00 - -
Ibuprofen Tablet 200 mg Tablet 102.00 - -
121 Ibuprofen Tablet 400 mg Tablet - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
Ibuprofen Suspensi 100 mg/5 ml Botol 4,665.00 - -
123 Ichtyol salep Kulit Pot - -
124 Isoniazid tablet 100 mg Tablet 145.00 - -
126 Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - -
128 Kalium Diklofenak Tablet 50 mg Tablet 682.00 - -
129 Kalsium Hidroksida Pasta Tube - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 62.00 - -
132 Kaptopril 25 mg Tablet 75.00 - -
Kaptopril 25 mg Tablet 94.00 - -
133 Karbamazepin Tablet 200 mg Tablet 245.00 - -
Karbamazepin Tablet 200 mg Tablet 270.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 - -
135 Ketokonazole Tablet 200 mg Tablet 288.00 - -
Ketokonazole Tablet 200 mg Tablet 528.00 - -
136 Ketoprofen Tablet 100 mg Tablet - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - -
138 Ketorolac 10 mg injeksi Ampul - -
139 Ketorolac 30 mg injeksi Ampul - -
140 Klindamisin Kapsul 150 mg Kapsul 759.00 - -
141 Klindamisin Kapsul 300 mg Kapsul - -
142 Kloramfenikol Kapsul 250 mg Kapsul 266.00 - -
143 Kloramfenikol suspensi125mg/5 ml Botol - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube 3,008.00 - -
Kloramfenikol Salep Kulit 2% Tube 3,242.00 - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,828.80 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,828.80 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 212.00 - -
Klorpromazin Hcl Tablet Salut 25 mg Tablet 148.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol Vial 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak 30,030.00 - -
Kombipak Cefixime+ Azithromisin Kotak 31,231.00 - -
154
Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
76.00 - -
155 Kotrimoksazol Tablet, Kombinasi : Tablet 125.00 - -
156 Kotrimoksazol Suspensi Kombinasi : Botol - -
Kotrimoksazol Suspensi Kombinasi : Botol 2,140.00 - -
157 Lansoprazole 30 mg Kapsul Tablet 315.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit Botol 9,275.00 - -
159 Larutan mengadung Elektrolit Botol - -
160 Larutan mengadung Karbohidrat + Elektrolit Botol - -
161 Lidokain injeksi 2 % Tablet 1,111.00 - -
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,845.00 - -
163 Lidokain Spray Botol 177,216.00 - -
164 Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 131.00 - -
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 3,328.00 - -
168 MB Anak Blister - -
169 MB Dewasa Blister 39,880.00 - -
170 Meloksikam tablet 15 mg Tablet 718.20 - -
171 Meloksikam Suppositoria Supp - -
172 Metformin Hcl Tablet 500 mg Tablet 102.00 - -
173 Metformin 850 mg Tablet 160.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet 3,300.00 - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 154.00 - -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,684.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
178 Metilprednisolon tablet 4 mg Tablet 143.00 - -
Metilprednisolon tablet 4 mg Tablet 150.00 - -
179 Metoklopramid 10 mg Tablet 85.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - -
181 Metronidazol Tablet 250 mg Tablet - -
182 Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - -
184 Metronidazole Infus 500 mg /100 ml Ampul - -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 - -
186 Multivitamin + Mineral tablet Tablet 826.10 - -
Multivitamin + Mineral tablet Tablet 792.00 - -
187 Multivitamin sirup Botol 7,100.00 - -
188 Mummifying Pasta Botol - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 - -
Natrium Bikarbonat Tablet 500 mg Tablet 50.00 - -
190 Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 - -
Natrium Diklofenak Tablet 50 mg Tablet 200.00 - -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 - -
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,840.00 - -
193 Nipedifin Tablet 10 mg Tablet 193.60 - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,900.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 317,018.00 - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 248,120.00 - -
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,297,889.00 - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 - -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 6,050.00 - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 7,106.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 - -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 - -
208 Obat Flu Sirup Botol - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 - -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 16,997.00 - -
214 Omeprazole Kapsul 20 mg Tablet 341.81 - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,650.00 - -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,010.00 - -
218 Parasetamol Tablet 100 mg Tablet - -
219 Parasetamol Tablet 500 mg Tablet 53.00 - -
Parasetamol Tablet 500 mg Tablet 49.00 - -
220 PB Anak Blister - -
221 PB Dewasa Blister - -
222 Pehacain injeksi Ampul 3,051.40 - -
Pehacain injeksi Ampul 3,080.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 23,000.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
225 Piracetam Tablet 400 mg Tablet 451.00 - -
227 Piroksikam Tablet 20 mg Tablet 156.20 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
Tablet
Basa) 291.00 - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - -
231 Povidon Iodida 10% 30 ml Botol 3,360.00 - -
232 Povidon Iodida 10% 60 ml Botol - -
234 Prednison Tablet 5 mg Tablet 73.00 - -
Prednison Tablet 5 mg Tablet 96.00 - -
235 Primakuin tablet 15 mg Tablet - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
238 Propilturasil Tablet 100 mg Tablet 586.30 - -
239 Ranitidin Injeksi 25 mg / ml Ampul - -
240 Ranitidin Tablet 150 mg Tablet 112.00 - -
Ranitidin Tablet 150 mg Tablet 98.00 - -
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 307.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - -
244 Rifampisin Tablet 450 mg Tablet - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol - -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
246 Salbutamol Tablet 2 mg Tablet 63.00 - -
Ampul
ml 4,550.00 - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 - -
Salep 2-4 Kombinasi : Pot 2,429.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 5,856.40 - -
251 Salep Luka Bakar Tube 11,718.25 - -
Salep Luka Bakar Tube 19,690.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 - -
253 Sefadroksil Tablet 500 mg Tablet 450.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - -
256 Sefotaksim Injeksi 1 gr Ampul - -
257 Seftriakson Injeksi 1 gr / vial Ampul - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 96.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - -
264 Simetidin 200 mg Tablet Tablet 176.00 - -
265 Simvastatin Tablet 10 mg Tablet 117.00 - -
Simvastatin Tablet 10 mg Tablet 117.00 - -
266 Siprofloksasin 500mg Tablet 530.20 - -
267 Spironolakton Tablet 25 mg Tablet 208.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 - -
Tablet Tambah Darah Kombinasi: Tablet 226.00 - -
270
- - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - -
272 Tetrasiklin Kapsul 250 mg Kapsul 163.00 - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,140.00 - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 - -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - -
278 Tramadol Tablet 50 mg Tablet - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 91.00 - -
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 - -
280 Vitamin B .Komplek Tablet Tablet 89.00 - -
281 Vitamin Neurotropik Tablet Tablet 856.90 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
282 Zinc Tablet 20 mg Tablet 508.00 - -
Zinc Tablet 20 mg Tablet 524.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 3,171.00 - -
284 Hepatorotector tablet (Curcuma) Tablet - -
285 Obat Batuk Herbal Botol 9,680.00 - -
286 Obat Kumur Botol 16,962.00 - -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
288 Tablet Pemanis Botol 33,000.00 - -
289 Bahan Pembersih Kavitas Botol 150,000.00 - -
290 Flour Gel Botol 49,500.00 - -
291 Glass Ionomer Posterior Set 775,000.00 - -
292 Hyposol 3 % Botol 78,100.00 - -
293 Paramonochlorofenol/CHKM Botol 50,000.00 - -
294 Saliva Ejector Pcs 660.00 - -
295 Salep Betameson + Neomisin Tube 12,793.00 - -
Salep Betameson + Neomisin Tube 13,138.40 - -
296 Curcuma Tablet 462.00 - -
Trifluoperazine HCl 5 mg Tablet 287.00 - -
297 Gentamisin injeksi 40 mg/ml Ampul 5,900.00 - -
298 Bisoprolol Tablet 2,5 mg Tablet 626.00 - -
299 Klobazam 10 mg Tablet 776.00 - -
300 Klozapin 25 mg Tablet 1,121.00 - -
301 Risperidon 2 mg Tablet 287.00 - -
302 Gentamisin Tetes Mata 0,3% Botol 4,232.00 - -
Vitamin D 1000 IU Tablet 1,089.53 1,500.00 1,634,295.00
NaCl - - -
NaCl 3,280.00 - -
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
1 Abbocath No 18 ( IV Chateter 18 ) Buah 8,950.00 - -
5 Alat Gula, Kolesterol, Asam Urat Unit - -
6 Alat Suntik Sekali Pakai 1 ml Set 650.00 - -
Alat Suntik Sekali Pakai 3 ml Set - - -
8 Set
Alat Suntik Sekali Pakai 5 ml 1,045.00 - -
9 Alat Suntik Sekali Pakai 10 ml Set - -
10 Alkohol Swab Kotak 123.60 - -
Alkohol Swab Kotak 88.00 - -
Alkohol Swab Kotak 79.00 - -
Alkohol Swab Kotak - - -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,518.00 - -
Auto Disposable Syringe (ADS) 0,3 ml Set - - -
Auto Disposable Syringe (ADS) 0,3 ml Set 1,255.00 - -
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,165.00 - -
Auto Disposable Syringe (ADS) 0,5 ml Set 1,185.00 - -
Auto Disposable Syringe (ADS) 0,5 ml Set - - -
13 Auto Disposable Syringe (ADS) 5 ml Set 1,640.00 - -
14 Blood Set Set - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 34,300.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - -
20 Folley Catheter no 14 Set 18,450.00 - -
23 Infus set Anak Set 9,900.00 - -
24 Infus set Dewasa Set 9,070.00 - -
25 Iodina Test Botol 10,725.00 - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 24,000.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 800.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,393.00 - -
34 Kertas Puyer Pcs 75.90 - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 2,290.00 - -
Masker Buah 693.00 - -
39 Masker N 95 Pcs - - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix 5 cm x 5 m Rol - - -
Polifix 5 cm x 5 m Rol 39,749.00 - -
43 Pot Dahak Pcs 2,728.00 - -
44 Rapid 2 HIV Fokus Test 13,235.00 - -
45 Rapid HIV 1 (SD HIV) Test 11,975.00 - -
Rapid HIV 1/2 Vikis DS Test 11,400.00 - -
46 Rapid HIV 2 (Intec HIV) Test - -
47 Rapid HIV 2 (Biomeriux HIV) Test - -
48 Rapid Tes SD Bioline HBSAG Test 7,805.00 - -
49 Rapid Test Syphilis Test 20,400.00 - -
50 Reagen CD 4 Control Test - -
51 Reagen CD 4 Test - -
52 Reagen Ziehl Nielsen Botol 232,440.00 - -
53 RPR Test Syphilis Test 4,120.00 - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet - -
55 Safety Box Pcs 22,433.00 - -
Safety Box Pcs 14,000.00 - -
Safety Box Pcs - - -
56 Sarung tangan Steril No 6 Pcs 4,500.00 - -
Sarung tangan Steril No 7 Pcs 6,595.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
59 Sarung tangan Non Steril S Pcs 1,050.00 - -
60 Sarung tangan Non Steril M Pcs 1,050.00 - -
61 Sarung tangan Non Steril L Pcs 1,050.00 - -
Sarung tangan Non Steril L Pcs 990.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 3,230.00 - -
64 Stik Pemeriksaan Kolesterol Test - - -
65 Stik Pemeriksaan Asam Urat Test - - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set - - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 95.07 - -
Blood Lancet Pcs 144.20 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
71 Rapin HIV Oncoprobe Test - - -
73 Detergent 5 Liter Galon 712,800.00 - -
74 Desinfektan 5 Liter Galon 396,000.00 - -
75 Saliva Ejector 968.00 - -
76 Pharmafix Rol 30,000.00 - -
77 Slide Pcs 31,347.00 - -
78 Vikia Biumerc Test 19,480.00 - -
79 Baju APD Pcs 312,500.10 - -
80 Sepatu Boot Safety Pcs 262,499.60 - -
81 Kacamata Google Pcs 131,249.80 - -
82 Sarung Tangan Karet Latex Pcs 56,249.60 - -
83 Rapid Test Antigen Test 40,000.00 125.00 5,000,000.00
Indoswab Covid-19 Antigen Rapid Test 18,182.00 400.00 7,272,800.00
84 Masker Kain Headloop Pcs 5,500.00 - -
85 Masker Kain Earloop Pcs 5,500.00 - -
86 Masker N 95 Pcs 22,500.00 60.00 1,350,000.00
87 Calcetin Calcium Hidroxide Paste Botol 134,214.29 - -
88 Cresotin Paste Pot 112,214.29 - -
89 Cresotin Liquid No 2 Pot 160,714.29 - -
90 Hyposol 3 % Botol 78,750.00 - -
91 Pulp X Pot 217,214.29 - -
92 Trioresolformalina Botol 72,214.29 - -
93 Faceshield Pcs 10,000.00 50.00 500,000.00
94 Handrub 100 ml Botol 8,000.00 9.00 72,000.00
95 Handrub 500 ml Botol 30,000.00 22.00 660,000.00
96 Gown Pcs 254,500.00 5.00 1,272,500.00
- -
C. SERUM DAN VAKSIN - -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 479,996.00 - -
Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 512,204.00 - -
2 Serum Anti Rabies untuk manusia Vial - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - -
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial - -
5 Human Tetanus Imunoglobin inj 250 IU Vial - -
6 Vaksin BCG Ampul 59,950 - -
Vaksin BCG Ampul 66,154 - -
7 Vaksin Campak 10 Dosis Vial - -
8 Vaksin DT Vial - -
9 Vaksin TD Vial 18,128 - -
Vaksin TD Vial 16,995 - -
10 Vaksin DTP-HB Vial - -
11 Vaksin DPT-HB/Hib Vial 85,103 - -
Vaksin DPT-HB/Hib Vial 84,282 - -
12 Vaksin HB Uniject Pcs 20,900 - -
Vaksin HB Uniject Pcs 25,839 - -
13 Vaksin MR (VVM.A) Vial 166,265 - -
14 Vaksin Polio Vial 21,285 - -
Vaksin Polio Vial 21,494 - -
15 Vaksin Polio IPV 5 Dosis Vial 158,994 - -
Vaksin Polio IPV 5 Dosis Vial 144,540 - -
16 Vaksin Polio 10 IPV Dosis Vial - - -
17 Vaksin TT Vial - -
18 Vaksin Covid 19 (AstraZeneca) Vial 211,282 - -
19 Vaksin Covid 19 (Sinovac MDV) Vial 1,339,440 - -
Vaksin Covic 19 (Sinovac Singledose) Vial - - -
Vaksin Covid 19 (Sinovac 2 Dosis) Vial - - -
Vaksin Covid 19 (Moderna 10 Dosis) Vial - - -
Vaksin Covid 19 (Pfizer 6 dosis) Vial - - -
Vaksin Conecovac (AstraZeneca) Vial - - -
Vaksin Covovax Vial - - -
Hyperhep B S/D Cairan Injeksi 220 IU/ML Vial 1,325,000 - -
20 HB Ig 1,325,000 - -
JUMLAH TOTAL OBAT 1,634,295.00

JUMLAH TOTAL BMHP 16,127,300.00
JUMLAH TOTAL VAKSIN SERUM -
JUMLAH TOTAL KESELURUHAN 17,761,595.00
JUMLAH PENERIMAAN AGUSTUS 2022 PENGELUARAN AGUSTUS 2022 SALDO AKHIR AG

APBD APBD APBD
HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP. HARGA SATUAN
(RP) (RP) (RP)
- - - - -
1,041.98 - 1,041.98 - 1,041.98
- 367.00 - 367.00
4,000.00 - 4,000.00 - 4,000.00
105.00 - 105.00 - 105.00
99.00 - - - -
- - - - -
143.55 - 143.55 - 143.55
151.80 - 151.80 - 151.80
3,626.70 - 3,626.70 - 3,626.70
3,619.00 - 3,619.00 - 3,619.00
2,998.00 - 3,822.00 - 3,822.00
95.00 - 95.00 - 95.00
- 91.00 - 91.00
167.00 - 143.00 - 143.00
- 171.44 - 171.44
75.00 - 75.00 - 75.00
- 85.00 - 85.00
99.00 - 99.00 - 99.00
- 104.00 - 104.00
196.00 - 196.00 - 196.00
- 195.00 - 195.00
249.00 - 249.00 - 249.00
- 232.00 - 232.00
8,100.00 - - - -
3,500.00 - 3,500.00 - 3,500.00
3,628.00 - 3,628.00 - 3,628.00
- 3,473.00 - 3,473.00
- - - - -
- - - - -
- - - - -
8,237.00 - 8,237.00 - 8,237.00
- - - - -
1,995.00 - 1,995.00 - 1,995.00
2,129.00 - 2,129.00 - 2,129.00
58.00 - 58.00 - 58.00
- 58.00 - 58.00
189.05 - 189.05 - 189.05
203.30 - - - -
- 170.00 - 170.00
1,455.00 - - - -
3,035.00 - 2,924.00 - 2,924.00
3,167.00 - 3,167.00 - 3,167.00
4,798.00 - 4,798.00 - 4,798.00
- 4,158.00 - 4,158.00
173.00 - - - -
- 167.00 - 167.00
- - - - -
233.20 - 233.20 - 233.20
253.00 - 253.00 - 253.00
253.00 - 253.00 - 253.00
- - 2,112.00 - 2,112.00
208.00 - 208.00 - 208.00
- - 1,195.10 - 1,195.10
11,550.00 - 11,550.00 - 11,550.00
- - - - -
75.00 - 75.00 - 75.00
105.00 - 105.00 - 105.00
- 104.00 - 104.00
103.40 - 103.40 - 103.40
177.90 - 177.90 - 177.90
382.00 - 382.00 - 382.00
105.00 - 105.00 - 105.00
- 114.00 - 114.00
- - - - -
- - - - -
2,996.40 - 2,996.40 - 2,996.40
- 3,600.00 - 3,600.00
249.00 - 237.00 - 237.00
380.00 - 345.00 - 345.00
380.00 - 380.00 - 380.00
152.00 - 152.00 - 152.00
1,639.00 - 1,639.00 - 1,639.00
2,860.00 - 2,860.00 - 2,860.00
150,000.00 - 130,000.00 - 130,000.00
14,500.00 - 14,500.00 - 14,500.00
110.00 - 110.00 - 110.00
- 660.00 - 660.00
1,340.00 - - - -
- 1,380.00 - 1,380.00
- - - - -
- - - - -
- - 250.80 - 250.80
112,000.00 - 112,000.00 - 112,000.00
160,500.00 - 160,500.00 - 160,500.00
1,097.00 - 1,097.00 - 1,097.00
32.00 - 32.00 - 32.00
- 44.00 - 44.00
- 41.00 - 41.00
- - 220,000.00 - 220,000.00
86.00 - 86.00 - 86.00
114.00 - 114.00 - 114.00
1,735.00 - 1,735.00 - 1,735.00
12,573.00 - 12,090.00 - 12,090.00
12,573.00 - 12,573.00 - 12,573.00
- - 16,742.00 - 16,742.00
156.00 - 156.00 - 156.00
1,095.00 - 1,095.00 - 1,095.00
104.00 - 104.00 - 104.00
99.00 - 99.00 - 99.00
- 104.00 - 104.00
- 141.90 - 141.90
85.00 - 85.00 - 85.00
- 95.00 - 95.00
2,700.00 - 2,700.00 - 2,700.00
- - - - -
- - - - -
1,408.00 - 1,749.00 - 1,749.00
1,408.00 - 1,408.00 - 1,408.00
- - - - -
750.00 - 730.00 - 730.00
- - - - -
505.00 - - - -
- - - - -
- 2,500.00 - 2,500.00
246,400.00 - 246,400.00 - 246,400.00
20,087.00 - 20,087.00 - 20,087.00
158.00 - 158.00 - 158.00
- 154.00 - 154.00
171.00 - 1,540.00 - 1,540.00
1,857.00 - 1,969.00 - 1,969.00
- - - - -
- - 605.00 - 605.00
- - - - -
- - 63,813.00 - 63,813.00
- - 18,720.00 - 18,720.00
710.00 - 710.00 - 710.00
3,550.00 - 3,550.00 - 3,550.00
- 3,550.00 - 3,550.00
82.00 - 82.00 - 82.00
- - - - -
257.00 - 257.00 - 257.00
- 260.00 - 260.00
- - - - -
- - - - -
1,834.80 - - - -
- - 1,834.80 - 1,834.80
1,834.80 - 1,834.80 - 1,834.80
687,500.00 - 680,000.00 - 680,000.00
119.00 - 119.00 - 119.00
- 86.00 - 86.00
207.00 - 207.00 - 207.00
82.50 - 82.50 - 82.50
120.00 - 120.00 - 120.00
7,370.00 - 7,370.00 - 7,370.00
8,800.00 - 8,800.00 - 8,800.00
10,351.00 - - - -
6,900.00 - 6,900.00 - 6,900.00
7,500.00 - 5,700.00 - 5,700.00
- 7,500.00 - 7,500.00
224.00 - 224.00 - 224.00
224.00 - 224.00 - 224.00
55.00 - 55.00 - 55.00
55.00 - 55.00 - 55.00
59.00 - 59.00 - 59.00
60.00 - 60.00 - 60.00
- 75.00 - 75.00
6,250.00 - 1,190.00 - 1,190.00
101,300.00 - 97,500.00 - 97,500.00
- - - - -
- 149.00 - 149.00
2,475.00 - 2,475.00 - 2,475.00
105.00 - 105.00 - 105.00
- 102.00 - 102.00
122.00 - - - -
- 111.00 - 111.00
2,365.00 - 2,365.00 - 2,365.00
4,665.00 - 4,665.00 - 4,665.00
- - - - -
145.00 - 145.00 - 145.00
173.00 - 170.00 - 170.00
- - 88.00 - 88.00
- - - -
287.85 - 682.00 - 682.00
- - - - -
59.00 - 59.00 - 59.00
- 63.00 - 63.00
62.00 - 62.00 - 62.00
75.00 - 75.00 - 75.00
94.00 - 94.00 - 94.00
245.00 - 245.00 - 245.00
- 270.00 - 270.00
2,518.00 - 2,518.00 - 2,518.00
288.00 - 288.00 - 288.00
- 528.00 - 528.00
- - - - -
- - - - -
- - - - -
1,045.00 - - - -
759.00 - 759.00 - 759.00
- - - - -
- - 266.00 - 266.00
- - - - -
1,881.00 - 1,881.00 - 1,881.00
- 1,810.00 - 1,810.00
- - 3,008.00 - 3,008.00
3,242.00 - 3,242.00 - 3,242.00
6,828.80 - 6,828.80 - 6,828.80
- 3,250.00 - 3,250.00
6,828.80 - 6,828.80 - 6,828.80
22.00 - 42.00 - 42.00
23.00 - 23.00 - 23.00
212.00 - 212.00 - 212.00
- 148.00 - 148.00
147.00 - 147.00 - 147.00
- 144.00 - 144.00
1,510.00 - 1,510.00 - 1,510.00
- 1,240.00 - 1,240.00
4,550.00 - 4,550.00 - 4,550.00
30,030.00 - 30,030.00 - 30,030.00
31,231.00 31,231.00 - 31,231.00
- - 76.00 - 76.00
125.00 - 125.00 - 125.00
2,052.00 - - - -
- 2,140.00 - 2,140.00
303.00 - 315.00 - 315.00
323.00 - 323.00 - 323.00
9,646.00 - 9,275.00 - 9,275.00
9,644.00 - - - -
10,696.00 - - - -
- - 1,111.00 - 1,111.00
- - 1,845.00 - 1,845.00
- - 177,216.00 - 177,216.00
80.30 - 80.30 - 80.30
131.00 - 131.00 - 131.00
3,328.00 - 3,328.00 - 3,328.00
3,796.00 - 3,796.00 - 3,796.00
20,554.00 - - - -
39,880.00 - 39,880.00 - 39,880.00
718.20 - 718.20 - 718.20
- - - - -
102.00 - 102.00 - 102.00
160.00 - 160.00 - 160.00
946.00 - 946.00 - 946.00
3,300.00 - 3,300.00 - 3,300.00
210.00 - 154.00 - 154.00
- 444.00 - 444.00
- 2,684.00 - 2,684.00
2,959.00 - 2,959.00 - 2,959.00
143.00 - 143.00 - 143.00
- 150.00 - 150.00
85.00 - 85.00 - 85.00
4,400.00 - - - -
- - - - -
211.20 - 211.20 - 211.20
- - - - -
8,110.00 - - - -
3,414.00 - 3,414.00 - 3,414.00
826.10 - 826.10 - 826.10
792.00 - 792.00 - 792.00
7,100.00 - 7,100.00 - 7,100.00
- - - - -
50.00 - 50.00 - 50.00
- 50.00 - 50.00
- 145.00 - 145.00
128.00 - 128.00 - 128.00
115.00 - 115.00 - 115.00
- 200.00 - 200.00
6,410.00 - 6,410.00 - 6,410.00
6,840.00 - 6,840.00 - 6,840.00
193.60 - 193.60 - 193.60
13,900.00 - 13,900.00 - 13,900.00
598.00 - 598.00 - 598.00
843.00 - 843.00 - 843.00
232,518.00 - - - -
317,018.00 - 317,018.00 - 317,018.00
- - - - -
- - - - -
248,120.00 - 248,120.00 - 248,120.00
1,297,889.00 - 1,297,889.00 - 1,297,889.00
415,469.00 - 415,469.00 - 415,469.00
- - - - -
4,697.00 - 4,697.00 - 4,697.00
6,050.00 - 6,050.00 - 6,050.00
7,106.00 - 7,106.00 - 7,106.00
- 6,760.00 - 6,760.00
4,697.00 - 4,697.00 - 4,697.00
- - - - -
- - - - -
2,500.00 - 2,500.00 - 2,500.00
2,500.00 - 2,500.00 - 2,500.00
2,412.30 - 2,412.30 - 2,412.30
- 2,005.00 - 2,005.00
1,199.00 - 1,199.00 - 1,199.00
9,898.00 - 16,997.00 - 16,997.00
341.81 - 341.81 - 341.81
1,070.00 - 1,650.00 - 1,650.00
6,649.00 - 6,649.00 - 6,649.00
1,107.00 - 1,107.00 - 1,107.00
- 1,010.00 - 1,010.00
- - - - -
53.00 - 53.00 - 53.00
- 49.00 - 49.00
- - - - -
12,569.00 - - - -
3,051.40 - 3,051.40 - 3,051.40
- 3,080.00 - 3,080.00
- - 23,000.00 - 23,000.00
11,825.00 - 11,825.00 - 11,825.00
459.80 - 451.00 - 451.00
800.80 - 803.00 - 803.00
156.20 - 156.20 - 156.20
- 130.00 - 130.00
- - 291.00 - 291.00
123.00 - 123.00 - 123.00
- - - - -
3,360.00 - 3,360.00 - 3,360.00
- - - - -
18,900.00 - 18,900.00 - 18,900.00
73.00 - 73.00 - 73.00
- 96.00 - 96.00
- - - - -
- - - - -
76.00 - 76.00 - 76.00
586.30 - 586.30 - 586.30
1,155.00 - - - -
112.00 - 112.00 - 112.00
- 98.00 - 98.00
307.00 - 307.00 - 307.00
517.00 - 517.00 - 517.00
- - - - -
- - - - -
7,150.00 - - - -
- 7,150.00 - 7,150.00
63.00 - 63.00 - 63.00
70.00 - 70.00 - 70.00
4,550.00 - 4,550.00 - 4,550.00

2,621.00 - 2,621.00 - 2,621.00
- 2,429.00 - 2,429.00
- 2,527.00 - 2,527.00
1,020.00 - 1,025.00 - 1,025.00
5,856.40 - 5,856.40 - 5,856.40
11,718.25 - 11,718.25 - 11,718.25
- 19,690.00 - 19,690.00
3,922.00 - 3,980.00 - 3,980.00
478.00 - 450.00 - 450.00
31,231.00 - - - -
31,231.00 - - - -
4,200.00 - - - -
4,483.00 - - - -
- - - - -
90.00 - 90.00 - 90.00
- 96.00 - 96.00
2,915.00 - 2,915.00 - 2,915.00
- 3,150.00 - 3,150.00
1,035.00 - 1,098.00 - 1,098.00
49.00 - 49.00 - 49.00
- - - - -
163.90 - 176.00 - 176.00
117.00 - 117.00 - 117.00
117.00 - 117.00 - 117.00
- 111.00 - 111.00
530.20 - 530.20 - 530.20
208.00 - 208.00 - 208.00
- - - - -
353.00 - 353.00 - 353.00
350.00 - 226.00 - 226.00
- - - - -
- - - - -
174.00 - 163.00 - 163.00
- - 310.00 - 310.00
1,139.60 - 1,140.00 - 1,140.00
85.00 - 85.00 - 85.00
91.00 - 91.00 - 91.00
837.00 - 837.00 - 837.00
921.00 - 921.00 - 921.00
- - - - -
- - - - -
85.00 - 91.00 - 91.00
- 88.00 - 88.00
89.00 - 89.00 - 89.00
856.90 - 856.90 - 856.90
- 660.00 - 660.00
508.00 - 508.00 - 508.00
- 524.00 - 524.00
3,171.00 - 3,171.00 - 3,171.00
462.00 - - - -
9,680.00 - 9,680.00 - 9,680.00
16,962.00 - 16,962.00 - 16,962.00
13,200.00 - 13,200.00 - 13,200.00
33,000.00 - 33,000.00 - 33,000.00
- - 150,000.00 - 150,000.00
- - 49,500.00 - 49,500.00
- - 775,000.00 - 775,000.00
- - 78,100.00 - 78,100.00
- - 50,000.00 - 50,000.00
- - 660.00 - 660.00
- - 12,793.00 - 12,793.00
13,138.40 - 13,138.40 - 13,138.40
- - 462.00 - 462.00
416.20 - 287.00 - 287.00
5,900.00 - 5,900.00 - 5,900.00
626.00 - 626.00 - 626.00
776.00 - 776.00 - 776.00
1,121.00 - 1,121.00 - 1,121.00
287.00 - 287.00 - 287.00
4,232.00 - 4,232.00 - 4,232.00
217.00 - 217.00 - 217.00
1,089.53 - 1,089.53 - 1,089.53
- - -
3,280.00 - 3,280.00 - 3,280.00
- - - - -
3,914.00 - 8,950.00 - 8,950.00
3,914.00 - 7,334.00 - 7,334.00
8,700.00 - 8,950.00 - 8,950.00
- - 8,950.00 - 8,950.00
- - - - -
- - 650.00 - 650.00
569.00 - 569.00 - 569.00
- - - - -
1,045.00 - 1,045.00 - 1,045.00
1,298.00 - - - -
116.04 - 123.60 - 123.60
95.00 - 88.00 - 88.00
79.00 - 79.00 - 79.00
- - - - -
1,101.00 - 1,518.00 - 1,518.00
- - - - -
1,255.00 - 1,255.00 - 1,255.00
1,050.00 - 1,165.00 - 1,165.00
1,185.00 - 1,185.00 - 1,185.00
- - - - -
1,640.00 - 1,640.00 - 1,640.00
10,430.00 - - - -
26,666.67 - 26,666.67 - 26,666.67
34,300.00 - 34,300.00 - 34,300.00
37,203.00 - 33,250.00 - 33,250.00
33,538.00 - 33,538.00 - 33,538.00
3,150.00 - 3,150.00 - 3,150.00
- 2,677.50 - 2,677.50
26,250.00 - 26,250.00 - 26,250.00
- - - - -
18,450.00 - 18,450.00 - 18,450.00
18,450.00 - 18,450.00 - 18,450.00
18,450.00 - 18,450.00 - 18,450.00
9,900.00 - 9,900.00 - 9,900.00
9,070.00 - 9,070.00 - 9,070.00
10,725.00 - 10,725.00 - 10,725.00
55,000.00 - - - -
- - - - -
24,000.00 - 24,000.00 - 24,000.00
12,875.00 - 12,875.00 - 12,875.00
- - 9,400.00 - 9,400.00
- - 800.00 - 800.00
3,800.00 - 3,800.00 - 3,800.00
7,900.00 - 7,900.00 - 7,900.00
8,240.00 - 8,240.00 - 8,240.00
1,800.00 - 1,393.00 - 1,393.00
75.90 - 75.90 - 75.90
10,000.10 - - - -
- - - - -
43,050.00 - 43,050.00 - 43,050.00
3,758.37 - 2,290.00 - 2,290.00
693.00 - 693.00 - 693.00
23,750.00 - - - -
- - - - -
15,333.33 - 15,333.33 - 15,333.33
- - - - -
- 39,749.00 - 39,749.00
2,728.00 - 2,728.00 - 2,728.00
13,235.00 - 13,235.00 - 13,235.00
11,975.00 - 11,975.00 - 11,975.00
11,400.00 - 11,400.00 - 11,400.00
74,002.50 - - - -
19,500.00 - - - -
9,878.00 - 7,805.00 - 7,805.00
20,400.00 - 20,400.00 - 20,400.00
- - - - -
- - - - -
232,440.00 - 232,440.00 - 232,440.00
4,120.00 - 4,120.00 - 4,120.00
35,077.00 - - - -
14,000.00 - 22,433.00 - 22,433.00
14,000.00 - 14,000.00 - 14,000.00
- - - - -
13,600.00 - 13,600.00 - 13,600.00
5,382.00 - 5,382.00 - 5,382.00
4,500.00 - 4,500.00 - 4,500.00
4,500.00 - 4,500.00 - 4,500.00
6,595.00 - 6,595.00 - 6,595.00
6,595.00 - 6,595.00 - 6,595.00
1,050.00 - 1,050.00 - 1,050.00
1,050.00 - 1,050.00 - 1,050.00
1,050.00 - 1,050.00 - 1,050.00
990.00 - 990.00 - 990.00
- - - - -
- - 3,230.00 - 3,230.00
- - - - -
- - - - -
10,400.00 - 10,400.00 - 10,400.00
3,090.00 - - - -
- - - - -
150.03 - 95.07 - 95.07
144.20 - 144.20 - 144.20
60,800.00 - 60,800.00 - 60,800.00
86,680.00 - - - -
- - 97,500.00 - 97,500.00
- - 712,800.00 - 712,800.00
- - 396,000.00 - 396,000.00
- - 968.00 - 968.00
30,000.00 - 30,000.00 - 30,000.00
31,347.00 - 31,347.00 - 31,347.00
19,480.00 - 19,480.00 - 19,480.00
312,500.10 - 312,500.10 - 312,500.10
262,499.60 - 262,499.60 - 262,499.60
131,249.80 - 131,249.80 - 131,249.80
56,249.60 - 56,249.60 - 56,249.60
40,000.00 - 40,000.00 - 40,000.00
18,182.00 - 18,182.00 50.00 909,100.00 18,182.00
5,500.00 - 5,500.00 - 5,500.00
5,500.00 - 5,500.00 - 5,500.00
22,500.00 - 22,500.00 - 22,500.00
134,214.29 - 134,214.29 - 134,214.29
112,214.29 - 112,214.29 - 112,214.29
160,714.29 - 160,714.29 - 160,714.29
78,750.00 - 78,750.00 - 78,750.00
217,214.29 - 217,214.29 - 217,214.29
72,214.29 - 72,214.29 - 72,214.29
10,000.00 - 10,000.00 - 10,000.00
8,000.00 - 8,000.00 - 8,000.00
30,000.00 - 30,000.00 - 30,000.00
254,500.00 - 254,500.00 - 254,500.00
- - - -
- - - - -
479,996.00 - 479,996.00 - 479,996.00
512,204.00 - 512,204.00 - 512,204.00
- - - - -
176,800.00 - - - -
- - - - -
- - - - -
61,996.00 - 59,950.00 - 59,950.00
66,154.00 - 66,154.00 - 66,154.00
- - - - -
17,996.00 - - - -
18,128.00 - 18,128.00 - 18,128.00
16,995.00 - 16,995.00 - 16,995.00
- - - - -
- - 85,103.00 - 85,103.00
84,282.00 - 84,282.00 - 84,282.00
23,991.00 - 20,900.00 - 20,900.00
25,597.00 - 25,839.00 - 25,839.00
166,265.00 - 166,265.00 - 166,265.00
21,285.00 - 21,285.00 - 21,285.00
21,494.00 - 21,494.00 - 21,494.00
158,994.00 - 158,994.00 - 158,994.00
144,540.00 - 144,540.00 - 144,540.00
- - - - -
- - - - -
211,282.00 - 211,282.00 - 211,282.00
1,339,440.00 - 1,339,440.00 - 1,339,440.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,325,000.00 - 1,325,000.00 - 1,325,000.00
- - 1,325,000.00 - 1,325,000.00
- -
- 909,100.00
- -
- 909,100.00
KONTROL
APBD
BANYAKNYA NILAI RP. STOK TOTAL HARGA
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- -
- - - -
- - - -
- - -
- - - -
- - -
- - - -
- -
- - - -
- -
- - - -
- -
- - - -
- -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- -
- - - -
- - - -
- - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - -
- -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - -
- - - -
- - - -
- -
- - - -
- - - -
- -
- - - -
- -
- - - -
- - - -
- - - -
- -
- - - -
- -
- - - -
- -
- - - -
- - - -
- - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- -
- - - -
- -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- -
- - - -
- -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- -
- - - -
- -
- - - -
- - - -
- -
- - - -
- -
- - - -
- -
- - - -
- -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- -
- - - -
- - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- -
- - - -
- -
- - - -
- -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - -
- - - -
- - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - -
- -
- - - -
- -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - -
- -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - -
- - -
- - -
1,500.00 1,634,295.00 - -
- -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- -
- -
- -
- - - -
- -
- -
- - - -
- -
- -
- - - -
- - - -
- - - -
- -
- - - -
- - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- -
- -
- -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - -
- -
- -
- -
- -
- -
- -
125.00 5,000,000.00
350.00 6,363,700.00
- -
- -
60.00 1,350,000.00
- -
- -
- -
- -
- -
- -
50.00 500,000.00
9.00 72,000.00
22.00 660,000.00
5.00 1,272,500.00
- -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- -
- - - -
- -
- - - -
- - - -
- -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- -
- -
- -
- -
- -
- -
-
- - - -
1,634,295.00 - -
15,218,200.00 - 1,818,200
- - -
16,852,495.00 - - 1,818,200
DATA MUTAS
UPTD P
DINAS KESE
PERIODE
STOK AWAL AGUSTUS 2022
NO NAMA SEDIAAN SATUAN PROGRAM

HARGA SATUAN BANYAKNYA NILAI RP.
(RP)
A. O B A T
1 Air Raksa Dental Use Botol - - -
2 Albendazole Tablet 400 mg Tablet 1,041.98 - -
Albendazole Tablet 400 mg Tablet 367.00 5,000.00 1,835,000.00
3 Albendazole susp 200 mg/5 ml Botol 4,000.00 - -
4 Alopurinol Tablet 100 mg Tablet - - -
5 Alopurinol Tablet 300 mg Tablet - - -
6 Alprazolam tablet 1 mg Tablet - - -
7 Ambroksol Tablet 30 mg Tablet 143.55 - -
Ambroksol Tablet 30 mg Tablet 151.80 - -
8 Ambroksol sirup 15 mg/5 ml Botol 3,626.70 - -
Ambroksol sirup 15 mg/5 ml Botol 3,619.00 - -
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 3,822.00 - -
10 Aminofillin Tablet 200 mg Tablet 95.00 - -
Aminofillin Tablet 200 mg Tablet 91.00 - -
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 143.00 - -
Amitriptillin Hcl Tablet Salut 25 mg Tablet 171.44 - -
14 Amoksisillin Kapsul 250 mg Kapsul 196.00 - -
Amoksisillin Kapsul 250 mg Kapsul 195.00 - -
15 Amoksisillin Kaplet 500 mg Kaplet 249.00 - -
Amoksisillin Kaplet 500 mg Kaplet 232.00 - -
16 Amoksisillin Serbuk Injeksi 1000 mg vial - - -
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 3,500.00 - -
18 Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol 3,628.00 - -
Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol 3,473.00 - -
19 Ampisilin Kapsul 250 mg Kapsul - - -
20 Ampisillin Kaplet 500 mg Tablet - - -
21 Ampisilin Sirup 125 mg / 5 ml Botol - - -
22 Ampisillin Injeksi 1000 mg Vial 8,237.00 - -
23 Analgetik Plus Tablet - - -
24 Antasida Doen Suspensi Kombinasi : Magnesium Hidrok Botol 1,995.00 - -
Antasida Doen Suspensi Kombinasi : Magnesium Hidrok Botol 2,129.00 - -
25 Antasida Doen Tablet, Kombinasi : Magnesium Hidroks Tablet 58.00 - -
Antasida Doen Tablet, Kombinasi : Magnesium Hidroks Tablet 58.00 - -
26 Antasida Plus Tablet Tablet 189.05 - -
27 Antalgin (Metampiron) Tablet 500 mg Tablet - - -
Antalgin (Metampiron) Tablet 500 mg Tablet 170.00 - -
28 Antalgin Injeksi 250 mg/ml-2ml Ampul - - -
29 Anti Bakteri DOEN Salep Kombinasi : Tube 2,924.00 - -
30 Anti Hemoroid Doen komb Supp 3,167.00 - -
31 Anti Fungi DOEN Kombinasi : Pot 4,798.00 - -
Anti Fungi DOEN Kombinasi : Pot 4,158.00 - -
32 Antimigren DOEN Kombinasi : Tablet - - -
Antimigren DOEN Kombinasi : Tablet 167.00 - -
33 Anti Diare Suspensi Botol - - -
34 Anti Diare Tablet Tablet 233.20 - -
Anti Diare Tablet Tablet 253.00 - -
35 Anti Dotum Oral Tablet Tablet 253.00 - -
36 Anti Hipertensi Kapsul Tablet 2,112.00 - -
37 Antihistamin Tablet kombinasi Tablet 208.00 - -
38 Antispasmodik Tablet Tablet 1,195.10 - -
39 Antitusiva Sirup Botol 11,550.00 - -
40 Antitusiva Tablet Tablet - - -
41 Asam Folat Tablet 1 mg Tablet 75.00 - -
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet 105.00 - -
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 104.00 - -
43 Asam Mefenamat Kapsul 500 mg Kapsul 103.40 - -
Asam Mefenamat Kapsul 500 mg Kapsul 177.90 - -
44 Acetylsistein tablet Tablet 382.00 - -
45 Asetosal Tablet 80 mg Tablet 105.00 - -
Asetosal Tablet 80 mg Tablet 114.00 - -
46 Asetosal Tablet 100 mg Tablet - - -
47 Asetosal Tablet 500 mg Tablet - - -
48 Asiklovir Krim 5 % Tube 2,996.40 - -
Asiklovir Krim 5 % Tube 3,600.00 - -
Asiklovir Tablet 400 mg Tablet 380.00 - -
51 Attapulgit Tablet 152.00 - -
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 1,639.00 - -
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 2,860.00 - -
54 Bahan Tambal Sementara Set 130,000.00 - -
55 Benzatin Benzil Penisilin injeksi Vial 14,500.00 5.00 72,500.00
56 Betahistin Mesilat 6 mg Tablet 110.00 - -
Betahistin Mesilat 6 mg Tablet 660.00 - -
57 Betametason Krim 0,1 %- 5g Tube - - -
Betametason Krim 0,1 %- 5g Tube 1,380.00 - -
58 Bisakodil suppositoria 10 mg Supp - - -
59 Bisoprolol Tablet 5 mg Tablet - - -
60 Bromheksin 8 mg Tablet 250.80 - -
61 Cresotin Pasta Botol 112,000.00 - -
62 Cresotin Liquid No 2 Botol 160,500.00 - -
63 Deksametason Injeksi 5mg/ml-1ml Ampul 1,097.00 - -
64 Deksametason Tablet 0,5 mg Tablet 32.00 - -
65 Devitalisasi Pasta (Non Arsen) Botol 220,000.00 - -
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 1,735.00 - -
Diazepam Larutan Rektal 5 mg/ml Supp 12,573.00 - -
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet 156.00 - -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 1,095.00 - -
73 Digoksin Tablet 0,25 mg Tablet 104.00 - -
74 Dimenhidrinat Tablet 50 mg Tablet 99.00 - -
75 Domperidon Tablet 10 mg Tablet 85.00 - -
Domperidon Tablet 10 mg Tablet 95.00 - -
76 Donperidon Suspensi 5 mg/5ml Botol 2,700.00 - -
77 Efedrin Hcl Tablet 25 mg Tablet - - -
78 Ekstrak Belladone Tablet 10 mg Tablet - - -
79 Epinefrin HCl / Bitartrat Ampul 1,515.00 - -
Epinefrin HCl / Bitartrat Ampul 1,408.00 - -
80 Eritromisin Kapsul 250 mg Kapsul - - -
81 Eritromisin Kapsul 500 mg Kapsul 730.00 - -
82 Eritromisin Sirup 200 mg / 5 ml Botol - - -
83 Etambutol Tablet 500 mg Tablet - - -
84 Etanol 70 % 100 ml Botol - - -
Etanol 70 % 100 ml Botol 2,500.00 - -
85 Etil Klorida Semprot -100 ml Botol 246,400.00 - -
86 Eugenol Cairan -10 ml Botol 20,087.00 - -
87 Fenitoin Natrium Kapsul 100 mg Kapsul 158.00 - -
Fenitoin Natrium Kapsul 100 mg Kapsul 154.00 - -
88 Fenobarbital tablet 30 mg Tablet 1,540.00 - -
89 Fenobarbital injeksi 50 mg / ml Ampul 1,969.00 - -
90 Fenoksimeti Penisilin 250 mg tablet Tablet - - -
91 Fenoksimeti Penisilin 500 mg tablet Tablet 605.00 - -
92 Fenol Gliserol TK Botol - - -
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 63,813.00 2.00 127,626.00
94 Flukonazole tablet 150 mg Tablet 18,720.00 20.00 374,400.00
95 Fitomenadion tablet 10 mg Tablet 710.00 - -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 - -
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 3,550.00 - -
97 Furosemid Tablet 40 mg Tablet 82.00 - -
98 Furosemid injeksi Ampul - - -
99 Garam Oralit I serbuk, kombinasi : Kantong 257.00 900.00 231,300.00
Garam Oralit I serbuk, kombinasi : Kantong 260.00 - -
100 Gemfibrozil Tablet 600 mg Tablet - - -
101 Gentian Violet Botol - - -
102 Gentamisin injeksi 80 mg / 2 ml Vial - - -
103 Gentamisin Salep Kulit 0,1 % Tube 1,834.80 - -
Gentamisin Salep Kulit 0,1 % Tube 1,834.80 - -
104 Glass Ionomer Set 680,000.00 - -
105 Glibenklamid Tablet 5 mg Tablet 119.00 - -
Glibenklamid Tablet 5 mg Tablet 86.00 - -
106 Glimepiride 2 mg Tablet 207.00 - -
107 Gliseril Guayakolat Tablet 100 mg Tablet 82.50 - -
Gliseril Guayakolat Tablet 100 mg Tablet 120.00 - -
108 Gliseril Guayakolat sirup Botol 7,370.00 - -
Gliseril Guayakolat sirup Botol 8,800.00 - -
109 Glukonas Kalsikus injeksi Ampul - - -
110 Glukosa Larutan Infus 5 % Botol 6,900.00 - -
111 Glukosa Larutan Infus10 % Botol 5,700.00 - -
Glukosa Larutan Infus10 % Botol 7,500.00 - -
112 Griseofulvin Tablet 125 mg,micronized Tablet 224.00 - -
Griseofulvin Tablet 125 mg,micronized Tablet 224.00 - -
Haloperidol Tablet 0,5 mg Tablet 55.00 - -
115 Haloperidol Tablet 5 mg Tablet 60.00 400.00 24,000.00
Haloperidol Tablet 5 mg Tablet 75.00 - -
116 Haloperidol injeksi 5 mg/ml Ampul 1,190.00 9.00 10,710.00
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet - - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 149.00 - -
119 Hidrokortison Krim 2,5 % Tube 2,475.00 - -
120 Ibuprofen Tablet 200 mg Tablet 105.00 - -
121 Ibuprofen Tablet 400 mg Tablet - - -
122 Ibuprofen Suspensi 100 mg/5 ml Botol 2,365.00 - -
Ibuprofen Suspensi 100 mg/5 ml Botol 4,665.00 - -
123 Ichtyol salep Kulit Pot - - -
124 Isoniazid tablet 100 mg Tablet 145.00 200.00 29,000.00
126 Isosorbid Dinitrat 5 mg Tablet 88.00 - -
127 Kalium Diklofenak Tablet 25 mg Tablet - - -
128 Kalium Diklofenak Tablet 50 mg Tablet 682.00 - -
129 Kalsium Hidroksida Pasta Tube - - -
130 Kalsium Laktat Tablet 500 mg Tablet 59.00 - -
Kalsium Laktat Tablet 500 mg Tablet 63.00 - -
131 Kaptopril 12,5 mg Tablet 62.00 - -
132 Kaptopril 25 mg Tablet 75.00 - -
Kaptopril 25 mg Tablet 94.00 - -
133 Karbamazepin Tablet 200 mg Tablet 245.00 - -
Karbamazepin Tablet 200 mg Tablet 270.00 - -
134 Ketokonazole Krim 2 % - 15 gr Tube 2,518.00 - -
135 Ketokonazole Tablet 200 mg Tablet 288.00 - -
Ketokonazole Tablet 200 mg Tablet 528.00 - -
136 Ketoprofen Tablet 100 mg Tablet - - -
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul - - -
138 Ketorolac 10 mg injeksi Ampul - - -
139 Ketorolac 30 mg injeksi Ampul - - -
140 Klindamisin Kapsul 150 mg Kapsul 759.00 - -
141 Klindamisin Kapsul 300 mg Kapsul - - -
142 Kloramfenikol Kapsul 250 mg Kapsul 266.00 - -
143 Kloramfenikol suspensi125mg/5 ml Botol - - -
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 1,881.00 - -
Kloramfenikol Salep Mata 1%-3,5 g Tube 1,810.00 - -
145 Kloramfenikol Salep Kulit 2% Tube 3,008.00 - -
Kloramfenikol Salep Kulit 2% Tube 3,242.00 - -
146 Kloramfenikol Tetes Mata -5 ml Botol 6,828.80 - -
Kloramfenikol Tetes Mata -5 ml Botol 3,250.00 - -
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 6,828.80 - -
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 42.00 - -
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 23.00 - -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,510.00 - -
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 1,240.00 - -
152 Kombinasi Ipatropium Bromide + Salbutamol Vial 4,550.00 - -
153 Kombipak Cefixime+ Azithromisin Kotak 30,030.00 45.00 1,351,350.00
Kombipak Cefixime+ Azithromisin Kotak 31,231.00 20.00 624,620.00
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :
Tablet
Sulfametoksazol 100 mg + Trimetroprim 20 mg 76.00 - -
155 Kotrimoksazol Tablet, Kombinasi : Tablet 125.00 - -
156 Kotrimoksazol Suspensi Kombinasi : Botol - - -
Kotrimoksazol Suspensi Kombinasi : Botol 2,140.00 - -
157 Lansoprazole 30 mg Kapsul Tablet 315.00 - -
Lansoprazole 30 mg Kapsul Tablet 323.00 - -
158 Larutan mengadung Elektrolit Botol 9,275.00 - -
159 Larutan mengadung Elektrolit Botol - - -
160 Larutan mengadung Karbohidrat + Elektrolit Botol - - -
161 Lidokain injeksi 2 % Tablet 1,111.00 - -
Ampul
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml 1,845.00 - -
163 Lidokain Spray Botol 177,216.00 - -
164 Loperamid Tablet 2 mg Tablet 80.30 - -
165 Loratadin tablet 10 mg Tablet 131.00 - -
168 MB Anak Blister - - -
169 MB Dewasa Blister 39,880.00 - -
170 Meloksikam tablet 15 mg Tablet 718.20 - -
171 Meloksikam Suppositoria Supp - - -
172 Metformin Hcl Tablet 500 mg Tablet 102.00 - -
173 Metformin 850 mg Tablet 160.00 - -
174 Metildopa 250 mg tablet Tablet 946.00 - -
175 Methisoprinol 500 mg Tablet - - -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 154.00 - -
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 444.00 - -
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,684.00 - -
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 2,959.00 - -
178 Metilprednisolon tablet 4 mg Tablet 143.00 - -
Metilprednisolon tablet 4 mg Tablet 150.00 - -
179 Metoklopramid 10 mg Tablet 85.00 - -
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul - - -
181 Metronidazol Tablet 250 mg Tablet - - -
182 Metronidazole Tablet 500 mg Tablet 211.20 - -
183 Metronidazole sirup 125 mg/ml Botol - - -
184 Metronidazole Infus 500 mg /100 ml Ampul - - -
185 Mikonazole KrIm 2 % - 10 gr Tube 3,414.00 - -
186 Multivitamin + Mineral tablet Tablet 585.00 - -
Multivitamin tablet Tablet 585.00 - -
187 Multivitamin sirup Botol 7,100.00 - -
188 Mummifying Pasta Botol - - -
189 Natrium Bikarbonat Tablet 500 mg Tablet 50.00 - -
Natrium Bikarbonat Tablet 500 mg Tablet 50.00 - -
190 Natrum Diklofenak Tablet 25 mg Tablet 145.00 - -
Natrum Diklofenak Tablet 25 mg Tablet 128.00 - -
191 Natrium Diklofenak Tablet 50 mg Tablet 115.00 - -
Natrium Diklofenak Tablet 50 mg Tablet 200.00 - -
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,410.00 - -
Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 6,840.00 - -
193 Nipedifin Tablet 10 mg Tablet 193.60 - -
194 Nistatin suspensi 100.000 IU/ml Botol 13,900.00 - -
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 598.00 - -
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 843.00 - -
197 Obat Antitiuberkolosis Kategori Anak Paket - - -
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 415,721.00 - -
199 Obat Antitiuberkolosis Kategori 2 Dewasa Paket - - -
200 Obat Antitiuberkolosis Kategori 3 Dewasa Paket - - -
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 248,120.00 - -
Obat Anti Tuberkulosis FDC Kat Anak Paket 248,710.00 2.00 497,420.00
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 1,297,889.00 - -
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 415,469.00 - -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket - - -
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 4,697.00 - -
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 6,050.00 - -
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 7,106.00 - -
Obat Batuk Cair Sirup (Ekspektoran) Botol 6,760.00 - -
207 Obat Batuk Hitam Plus Sirup Botol 4,697.00 - -
208 Obat Flu Sirup Botol - - -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial - - -
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 - -
Oksiterasiklin Salep Mata 1%-3,5g Tube 2,500.00 - -
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,412.30 - -
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 2,005.00 - -
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 1,199.00 - -
213 Omeprazole injeksi 40mg/10ml Ampul 16,997.00 - -
214 Omeprazole Kapsul 20 mg Tablet 341.81 - -
215 Ondansetron inj 4 mg/ 2 mL Ampul 1,650.00 - -
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 6,649.00 - -
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,107.00 - -
Parasetamol Sirup 120 mg/5ml-60 ml Botol 1,010.00 - -
218 Parasetamol Tablet 100 mg Tablet - - -
219 Parasetamol Tablet 500 mg Tablet 53.00 - -
Parasetamol Tablet 500 mg Tablet 49.00 - -
220 PB Anak Blister - - -
221 PB Dewasa Blister - - -
222 Pehacain injeksi Ampul 3,051.40 - -
Pehacain injeksi Ampul 3,080.00 - -
223 Perak Sulfadiazin krim 1 % 35 gr Tube 23,000.00 - -
224 Permetrin krim 5 % Tube 11,825.00 - -
227 Piroksikam Tablet 20 mg Tablet 156.20 - -
Piroksikam Tablet 20 mg Tablet 130.00 - -
Tablet
Basa) 291.00 - -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 123.00 - -
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg Tablet - - -
232 Povidon Iodida 10% 60 ml Botol - - -
234 Prednison Tablet 5 mg Tablet 73.00 - -
Prednison Tablet 5 mg Tablet 96.00 - -
235 Primakuin tablet 15 mg Tablet - - -
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial - - -
237 Propanolol Hcl Tablet 40 mg Tablet 76.00 - -
238 Propilturasil Tablet 100 mg Tablet 586.30 - -
239 Ranitidin Injeksi 25 mg / ml Ampul - - -
240 Ranitidin Tablet 150 mg Tablet 112.00 - -
Ranitidin Tablet 150 mg Tablet 98.00 - -
243 Reserpin Tablet 0, 25 mg Tablet - - -
244 Rifampisin Tablet 450 mg Tablet - - -
245 Ringer Laktat Larutan Infus Steril 500 ml Botol - - -
Ringer Laktat Larutan Infus Steril 500 ml Botol 7,150.00 - -
Ampul
ml 4,550.00 - -
249 Salep 2-4 Kombinasi : Pot 2,621.00 - -
250 Salisil bedak 2% -50 gr Kotak 1,025.00 - -
Salisil bedak 2% -50 gr Kotak 5,856.40 - -
251 Salep Luka Bakar Tube 11,718.25 - -
Salep Luka Bakar Tube 19,690.00 - -
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 3,980.00 - -
253 Sefadroksil Tablet 500 mg Tablet 450.00 - -
254 Sefiksim Kapsul 100 mg Kapsul - - -
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket - - -
256 Sefotaksim Injeksi 1 gr Ampul - - -
257 Seftriakson Injeksi 1 gr / vial Ampul - - -
258 Semen Seng Fosfat Serbuk & Cairan Botol - - -
259 Setirizin Tablet 10 mg Tablet 90.00 - -
Setirizin Tablet 10 mg Tablet 96.00 - -
260 Setirizin Sirup 5 mg / 5 ml Botol 2,915.00 - -
Setirizin Sirup 5 mg / 5 ml Botol 3,150.00 - -
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 1,098.00 - -
262 Sianokobalamin Tablet 50 mcg Tablet 49.00 - -
263 Silver Amalgam Serbuk 65-75% Botol - - -
264 Simetidin 200 mg Tablet Tablet 176.00 - -
265 Simvastatin Tablet 10 mg Tablet 117.00 - -
266 Siprofloksasin 500mg Tablet 530.20 - -
267 Spironolakton Tablet 25 mg Tablet 208.00 - -
268 Sulfacetamid Tetes Mata 15 %-5ml Botol - - -
269 Tablet Tambah Darah Kombinasi: Tablet 353.00 - -
Tablet Tambah Darah Kombinasi: Tablet 226.00 85,260.00 19,268,760.00
270
- - -
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol - - -
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 1,140.00 - -
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 85.00 - -
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 91.00 - -
276 Thiamfenikol Kapsul 500 mg Kapsul 837.00 - -
Thiamfenikol Kapsul 500 mg Kapsul 921.00 - -
277 Tramadol Injeksi 50 mg/ ml Ampul - - -
278 Tramadol Tablet 50 mg Tablet - - -
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 91.00 400.00 36,400.00
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 88.00 - -
280 Vitamin B .Komplek Tablet Tablet 89.00 - -
281 Vitamin Neurotropik Tablet Tablet 856.90 - -
Vitamin Neurotropik Tablet Tablet 660.00 - -
282 Zinc Tablet 20 mg Tablet 524.00 1,500.00 786,000.00
Zinc Tablet 20 mg Tablet 524.00 - -
283 Zinc Sulfat 20 mg/5 ml Botol 3,171.00 - -
284 Hepatorotector tablet (Curcuma) Tablet - - -
285 Obat Batuk Herbal Botol 9,680.00 - -
286 Obat Kumur Botol 16,962.00 - -
287 Salep Kloramfenikol + Hidrokortison Tube 13,200.00 - -
288 Tablet Pemanis Botol 33,000.00 - -
289 Bahan Pembersih Kavitas Botol 150,000.00 - -
290 Flour Gel Botol 49,500.00 - -
291 Glass Ionomer Posterior Set 775,000.00 - -
292 Hyposol 3 % Botol 78,100.00 - -
294 Saliva Ejector Pcs 660.00 - -
295 Salep Betameson + Neomisin Tube 12,793.00 - -
Favipiravir 200 mg Tablet 14,850.00 - -
296 Curcuma Tablet 462.00 - -
Trifluoperazine Hcl 5 mg Tablet 287.00 100.00 28,700.00
297 Gentamisin injeksi 40 mg/ml Ampul 5,900.00 - -
298 Bisoprolol Tablet 2,5 mg Tablet 626.00 - -
299 Klobazam 10 mg Tablet 776.00 - -
300 Klozapin 25 mg Tablet 1,121.00 - -
301 Risperidon 2 mg Tablet 287.00 - -
302 Gentamisin Tetes Mata 0,3% Botol 4,232.00 - -
Favipiravir 200 mg Tablet 14,850.00 - -
Mineral Mix Sachet 2,981.00 42.00 125,202.00
303 Vitamin A 100.000 IU Kapsul 305.00 400.00 122,000.00
Vitamin A 200.000 IU Kapsul 553.00 226.00 124,978.00
Vitamin C 500 mg Tablet 198.00 - -
NaCl 10 mL Botol - 24.00 -
NaCl 10 mL Botol 3,280.00 100.00 328,000.00
B. BAHAN MEDIS HABIS PAKAI (BMHP) - -
5 Alat Gula, Kolesterol, Asam Urat Unit - - -
7 Alat Suntik Sekali Pakai 3 ml Set 569.00 67.00 38,123.00
Alat Suntik Sekali Pakai 3 ml Set - 24.00 -
8 Set
Alat Suntik Sekali Pakai 5 ml 1,045.00 - -
9 Alat Suntik Sekali Pakai 10 ml Set - - -
10 Alkohol Swab Kotak 123.60 12,385.00 1,530,786.00
Alkohol Swab Kotak 88.00 1,170.00 102,960.00
Alkohol Swab Kotak 79.00 1,255.00 99,145.00
Alkohol Swab Kotak - 288.00 -
11 Auto Disposable Syringe (ADS) 0,05 ml Set 1,518.00 231.00 350,658.00
Auto Disposable Syringe (ADS) 0,3 ml Set - 54.00 -
Auto Dispossible Syringe (ADS) 0,3 ml Set 1,165.00 184.00 214,360.00
12 Auto Disposable Syringe (ADS) 0,5 ml Set 1,165.00 30.00 34,950.00
Auto Disposable Syringe (ADS) 0,5 ml Set 1,540.00 100.00 154,000.00
Auto Disposable Syringe (ADS) 0,5 ml Set - 17.00
13 Auto Disposable Syringe (ADS) 5 ml Set 1,439.00 - -
Auto Disposable Syringe (ADS) 5 ml Set 1,540.00 - -
14 Blood Set Set - - -
15 Catgut/Benang Bedah No.2/0 Plain Sachet 26,666.67 - -
Catgut/Benang Bedah No.2/0 Plain Sachet 34,300.00 - -
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 33,250.00 - -
Catgut/Benang Bedah No.3/0 Cromic Sachet 33,538.00 - -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 3,150.00 - -
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 2,677.50 - -
18 Etanol 70 % 1.000 ml Botol 26,250.00 - -
19 Eter Alkohol Botol - - -
23 Infus set Anak Set 9,900.00 - -
24 Infus set Dewasa Set 9,070.00 - -
25 Iodina Test Botol 10,725.00 - -
26 Kaca Slide Pcs - - -
27 Kapas Berlemak 500 gram Bungkus - - -
28 Kapas Pembalut / Adsorbens 100 gram Bungkus 7,205.00 - -
Kapas Pembalut / Adsorbens 250 gram Bungkus 12,875.00 - -
29 Kassa Pembalut 2 m x 80 cm Rol 9,400.00 - -
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 800.00 - -
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 - -
32 Kassa Hidrofil Steril 16 x 16 Kotak 7,900.00 - -
Kassa Hidrofil Steril 16 x 16 Kotak 8,240.00 - -
33 Kassa Kompres 40 x 40 steril Bungkus 1,393.00 - -
34 Kertas Puyer Pcs 75.90 - -
35 Kertas Saring Lembar - - -
36 Kertas Lensa Lembar - - -
37 Lysol 1,000 ml Botol 43,050.00 - -
38 Masker Buah 2,290.00 - -
Masker Buah 693.00 760.00 526,680.00
39 Masker N 95 Pcs - - -
40 Minyak Imersi Botol - - -
41 Plester Kertas Rol 15,333.33 - -
42 Polifix 5 cm x 5 m Rol - - -
Polifix 5 cm x 5 m Rol 39,749.00 - -
43 Pot Dahak Pcs 2,728.00 200.00 545,600.00
Pot Dahak Pcs 2,139.00 500.00 1,069,500.00
44 Rapid HIV 1/2 Vikia DS Test 12,827.00 - -
Rapid HIV 1/2 Vikia DS Test 11,400.00 100.00 1,140,000.00
45 Rapid HIV 1 (SD HIV) Test 11,975.00 - -
46 Rapid HIV 2 (Intec HIV) Test - - -
47 Rapid HIV 2 (Biomeriux HIV) Test - - -
48 Rapid Tes SD Bioline HBSAG Test 7,805.00 100.00 780,500.00
49 Rapid Test Syphilis Test 12,564.00 - -
Rapid Test Syphilis Test 9,300.00 - -
50 Reagen CD 4 Control Test - - -
51 Reagen CD 4 Test - - -
52 Reagen Ziehl Nielsen Botol 232,440.00 - -
53 RPR Test Syphilis Test 4,120.00 - -
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet - - -
55 Safety Box Pcs 22,433.00 12.00 269,196.00
Safety Box Pcs - 6.00 -
Safety Box Pcs 13,600.00 2.00 27,200.00
Safety Box Pcs 5,382.00 12.00 64,584.00
Sarung tangan Steril No 7 Pcs 6,595.00 - -
58 Sarung tangan Steril No 7,5 Pcs 6,595.00 - -
59 Sarung tangan Non Steril S Pcs - - -
60 Sarung tangan Non Steril M Pcs 1,503.33 - -
61 Sarung tangan Non Steril L Pcs 600.49 - -
Sarung tangan Non Steril L Pcs 990.00 - -
62 Sountimer Buah - - -
63 Stik Pemeriksaan Gula Darah Test 3,230.00 7,450.00 24,063,500.00
64 Stik Pemeriksaan Kolesterol Test - - -
65 Stik Pemeriksaan Asam Urat Test - - -
66 Supratul Lembar 10,400.00 - -
67 Urine Bag set - - -
68 Wing Neddle No 23 Set - - -
69 Blood Lancet Pcs 95.07 14,250.00 1,354,747.50
Blood Lancet Pcs 144.20 - -
70 Cairan Antiseptik Botol 500 ml Botol 60,800.00 - -
71 Rapin HIV Oncoprobe Test - - -
73 Detergent 5 Liter Galon 712,800.00 - -
74 Desinfektan 5 Liter Galon 396,000.00 - -
75 Saliva Ejector 968.00 - -
76 Pharmafix Rol 30,000.00 - -
77 Slide Pcs 31,347.00 - -
78 Vikia Biumerc Test 19,480.00 - -
79 Baju APD Pcs 312,500.10 - -
80 Sepatu Boot Safety Pcs 262,499.60 - -
81 Kacamata Google Pcs 131,249.80 - -
82 Sarung Tangan Karet Latex Pcs 56,249.60 - -
83 Rapid Test Kit Test 165,000.00 - -
84 Masker Kain Headloop Pcs 5,500.00 - -
85 Masker Kain Earloop Pcs 5,500.00 - -
86 Masker KN 95 Pcs - - -
87 Calcetin Calcium Hidroxide Paste Botol 134,214.29 - -
88 Cresotin Paste Pot 112,214.29 - -
89 Cresotin Liquid No 2 Pot 160,714.29 - -
90 Hyposol 3 % Botol 78,750.00 - -
91 Pulp X Pot 217,214.29 - -
92 Trioresolformalina Botol 72,214.29 - -
94 Saliva Ejector Kantong 88,750.00 - -
95 APD Vaksinasi Covid Paket 98,450.00 - -
96 Rompi Vaksinator Pcs 148,000.00 - -
97 Coverall DISPO Survailens Pcs 323,500.00 - -
98 Rapid Antigen Pcs 81,784.00 - -
99 VTM & Swab Dacron Citodia Pcs 55,000.00 - -
VTM & Swab Dacron Citodia Pcs 42,000.00 - -
Reagen Rapid Test HBsAG Test 7,805.00 - -
100 APD Vaksinasi Covid Paket 98,450.00 - -
-
C. SERUM DAN VAKSIN -
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 479,996.00 - -
Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 512,204.00 - -
2 Serum Anti Rabies untuk manusia Vial - - -
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul - - -
4
Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial
- - -
5 Human Tetanus Imunoglobin inj 250 IU Vial - - -
6 Vaksin BCG Ampul 59,950 - -
Vaksin BCG Ampul 66,154 14.00 926,156.00
7 Vaksin Campak 10 Dosis Vial - - -
8 Vaksin DT Vial - - -
9 Vaksin TD Vial 18,128 11.00 199,408.00
Vaksin TD Vial 16,995 - -
10 Vaksin DTP-HB Vial - - -
11 Vaksin DPT-HB/Hib Vial 85,103 10.00 851,030.00
Vaksin DPT-HB/Hib Vial 84,282 - -
12 Vaksin HB Uniject Pcs 25,839 20.00 516,780.00
Vaksin HB Uniject Pcs 25,597 - -
13 Vaksin MR (VVM.A) Vial 166,265 12.00 1,995,180.00
14 Vaksin Polio Vial 21,285 - -
Vaksin Polio Vial 21,494 16.00 343,904.00
15 Vaksin Polio IPV 5 Dosis Vial 158,994 31.00 4,928,814.00
Vaksin Polio IPV 5 Dosis Vial 144,540 - -
16 Vaksin Polio 10 IPV Dosis Vial - 10.00 -
17 Vaksin TT Vial - - -
18 Vaksin Covid 19 (AstraZeneca) Vial - - -
19 Vaksin Covid 19 (Sinovac MDV) Vial 1,339,441 - -
Vaksin Covid 19 (Sinovac SIngledose) Vial - - -
Vaksin Covid 19 (Sinovac 2 dosis) Vial - 17.00 -
Vaksin Covid 19 (Moderna 10 dosis) Vial - - -
Vaksin Covid 19 (Pfizer 6 dosis) Vial - - -
Vaksin Conecavac (Astrazeneca) Vial - -
Vaksin Covovax Vial - -
Hyperhep B S/D Cairan injeksi 220 IU/ML Vial 1,325,000 - -
20 HB Ig Syringe 1,325,000 - -
JUMLAH TOTAL OBAT 25,997,966.00

JUMLAH TOTAL BMHP 32,366,489.50
JUMLAH TOTAL VAKSIN SERUM 9,761,272.00
JUMLAH TOTAL KESELURUHAN 68,125,727.50
JUMLAH PENERIMAAN AGUSTUS 2022 PENGELUARAN AGUSTUS 2022

PROGRAM PROGRAM
HARGA SATUAN (RP) BANYAKNYA NILAI RP. HARGA SATUAN BANYAKNYA NILAI RP.
(RP)
- - - -
1,041.98 - 1,041.98 -
367.00 - 367.00 -
4,000.00 - 4,000.00 -
- - - -
- - - -
- - - -
143.55 - 143.55 -
151.80 - 151.80 -
3,626.70 - 3,626.70 -
3,619.00 - 3,619.00 -
3,822.00 - 3,822.00 -
95.00 - 95.00 -
91.00 - 91.00 -
143.00 - 143.00 -
171.44 - 171.44 -
75.00 - 75.00 -
85.00 - 85.00 -
99.00 - 99.00 -
104.00 - 104.00 -
196.00 - 196.00 -
195.00 - 195.00 -
249.00 - 249.00 -
232.00 - 232.00 -
- - - -
3,500.00 - 3,500.00 -
3,628.00 - 3,628.00 -
3,473.00 - 3,473.00 -
- - - -
- - - -
- - - -
8,237.00 - 8,237.00 -
- - - -
1,995.00 - 1,995.00 -
2,129.00 - 2,129.00 -
58.00 - 58.00 -
58.00 - 58.00 -
189.05 - 189.05 -
- - - -
170.00 - 170.00 -
- - - -
2,924.00 - 2,924.00 -
3,167.00 - 3,167.00 -
4,798.00 - 4,798.00 -
4,158.00 - 4,158.00 -
- - - -
167.00 - 167.00 -
- - - -
233.20 - 233.20 -
253.00 - 253.00 -
253.00 - 253.00 -
2,112.00 - 2,112.00 -
208.00 - 208.00 -
1,195.10 - 1,195.10 -
11,550.00 - 11,550.00 -
- - - -
75.00 - 75.00 -
105.00 - 105.00 -
104.00 - 104.00 -
103.40 - 103.40 -
177.90 - 177.90 -
382.00 - 382.00 -
105.00 - 105.00 -
114.00 - 114.00 -
- - - -
- - - -
2,996.40 - 2,996.40 -
3,600.00 - 3,600.00 -
237.00 - 237.00 -
345.00 - 345.00 -
380.00 - 380.00 -
152.00 - 152.00 -
1,639.00 - 1,639.00 -
2,860.00 - 2,860.00 -
130,000.00 - 130,000.00 -
14,500.00 - 14,500.00 -
110.00 - 110.00 -
660.00 - 660.00 -
- - - -
1,380.00 - 1,380.00 -
- - - -
- - - -
250.80 - 250.80 -
112,000.00 - 112,000.00 -
160,500.00 - 160,500.00 -
1,097.00 - 1,097.00 -
32.00 - 32.00 -
44.00 - 44.00 -
41.00 - 41.00 -
220,000.00 - 220,000.00 -
86.00 - 86.00 -
114.00 - 114.00 -
1,735.00 - 1,735.00 -
12,090.00 - 12,090.00 -
12,573.00 - 12,573.00 -
16,742.00 - 16,742.00 -
156.00 - 156.00 -
1,095.00 - 1,095.00 -
104.00 - 104.00 -
99.00 - 99.00 -
104.00 - 104.00 -
141.90 - 141.90 -
85.00 - 85.00 -
95.00 - 95.00 -
2,700.00 - 2,700.00 -
- - - -
- - - -
1,515.00 - 1,515.00 -
1,408.00 - 1,408.00 -
- - - -
730.00 - 730.00 -
- - - -
- - - -
- - - -
2,500.00 - 2,500.00 -
246,400.00 - 246,400.00 -
20,087.00 - 20,087.00 -
158.00 - 158.00 -
154.00 - 154.00 -
1,540.00 - 1,540.00 -
1,969.00 - 1,969.00 -
- - - -
605.00 - 605.00 -
- - - -
63,813.00 - 63,813.00 -
18,720.00 - 18,720.00 -
710.00 - 710.00 -
3,550.00 - 3,550.00 -
3,550.00 - 3,550.00 -
82.00 - 82.00 -
- - - -
257.00 - 257.00 900.00 231,300.00
260.00 - 260.00 -
- - - -
- - - -
- - - -
1,834.80 - 1,834.80 -
1,834.80 - 1,834.80 -
680,000.00 - 680,000.00 -
119.00 - 119.00 -
86.00 - 86.00 -
207.00 - 207.00 -
82.50 - 82.50 -
120.00 - 120.00 -
7,370.00 - 7,370.00 -
8,800.00 - 8,800.00 -
- - - -
6,900.00 - 6,900.00 -
5,700.00 - 5,700.00 -
7,500.00 - 7,500.00 -
224.00 - 224.00 -
224.00 - 224.00 -
55.00 - 55.00 -
55.00 - 55.00 -
59.00 - 59.00 -
60.00 - 60.00 -
75.00 - 75.00 -
1,190.00 - 1,190.00 -
97,500.00 - 97,500.00 -
- - - -
149.00 - 149.00 -
2,475.00 - 2,475.00 -
105.00 - 105.00 -
102.00 - 102.00 -
- - - -
111.00 - 111.00 -
2,365.00 - 2,365.00 -
4,665.00 - 4,665.00 -
- - - -
145.00 - 145.00 200.00 29,000.00
170.00 - 170.00 -
88.00 - 88.00 -
- - - -
682.00 - 682.00 -
- - - -
59.00 - 59.00 -
63.00 - 63.00 -
62.00 - 62.00 -
75.00 - 75.00 -
94.00 - 94.00 -
245.00 - 245.00 -
270.00 - 270.00 -
2,518.00 - 2,518.00 -
288.00 - 288.00 -
528.00 - 528.00 -
- - - -
- - - -
- - - -
- - - -
759.00 - 759.00 -
- - - -
266.00 - 266.00 -
- - - -
1,881.00 - 1,881.00 -
1,810.00 - 1,810.00 -
3,008.00 - 3,008.00 -
3,242.00 - 3,242.00 -
6,828.80 - 6,828.80 -
3,250.00 - 3,250.00 -
6,828.80 - 6,828.80 -
42.00 - 42.00 -
23.00 - 23.00 -
212.00 - 212.00 -
148.00 - 148.00 -
147.00 - 147.00 -
144.00 - 144.00 -
1,510.00 - 1,510.00 -
1,240.00 - 1,240.00 -
4,550.00 - 4,550.00 -
30,030.00 - 30,030.00 -
31,231.00 - 31,231.00 -
76.00 - 76.00 -
125.00 - 125.00 -
- - - -
2,140.00 - 2,140.00 -
315.00 - 315.00 -
323.00 - 323.00 -
9,275.00 - 9,275.00 -
- - - -
- - - -
1,111.00 - 1,111.00 -
1,845.00 - 1,845.00 -
177,216.00 - 177,216.00 -
80.30 - 80.30 -
131.00 - 131.00 -
3,328.00 - 3,328.00 -
3,796.00 - 3,796.00 -
- - - -
39,880.00 - 39,880.00 -
718.20 - 718.20 -
- - - -
102.00 - 102.00 -
160.00 - 160.00 -
946.00 - 946.00 -
- - - -
154.00 - 154.00 -
444.00 - 444.00 -
2,684.00 - 2,684.00 -
2,959.00 - 2,959.00 -
143.00 - 143.00 -
150.00 - 150.00 -
85.00 - 85.00 -
- - - -
- - - -
211.20 - 211.20 -
- - - -
- - - -
3,414.00 - 3,414.00 -
585.00 - 585.00 -
585.00 - 585.00 -
7,100.00 - 7,100.00 -
- - - -
50.00 - 50.00 -
50.00 - 50.00 -
145.00 - 145.00 -
128.00 - 128.00 -
115.00 - 115.00 -
200.00 - 200.00 -
6,410.00 - 6,410.00 -
6,840.00 - 6,840.00 -
193.60 - 193.60 -
13,900.00 - 13,900.00 -
598.00 - 598.00 -
843.00 - 843.00 -
- - - -
415,721.00 - 415,721.00 -
- - - -
- - - -
248,120.00 - 248,120.00 -
248,710.00 - 248,710.00 1.00 248,710.00
1,297,889.00 - 1,297,889.00 -
415,469.00 - 415,469.00 -
- - - -
4,697.00 - 4,697.00 -
6,050.00 - 6,050.00 -
7,106.00 - 7,106.00 -
6,760.00 - 6,760.00 -
4,697.00 - 4,697.00 -
- - - -
- - - -
2,500.00 - 2,500.00 -
2,500.00 - 2,500.00 -
2,412.30 - 2,412.30 -
2,005.00 - 2,005.00 -
1,199.00 - 1,199.00 -
16,997.00 - 16,997.00 -
341.81 - 341.81 -
1,650.00 - 1,650.00 -
6,649.00 - 6,649.00 -
1,107.00 - 1,107.00 -
1,010.00 - 1,010.00 -
- - - -
53.00 - 53.00 -
49.00 - 49.00 -
- - - -
- - - -
3,051.40 - 3,051.40 -
3,080.00 - 3,080.00 -
23,000.00 - 23,000.00 -
11,825.00 - 11,825.00 -
451.00 - 451.00 -
803.00 - 803.00 -
156.20 - 156.20 -
130.00 - 130.00 -
291.00 - 291.00 -
123.00 - 123.00 -
- - - -
3,360.00 - 3,360.00 -
- - - -
18,900.00 - 18,900.00 -
73.00 - 73.00 -
96.00 - 96.00 -
- - - -
- - - -
76.00 - 76.00 -
586.30 - 586.30 -
- - - -
112.00 - 112.00 -
98.00 - 98.00 -
305.00 - 305.00 -
553.00 - 553.00 -
- - - -
- - - -
- - - -
7,150.00 - 7,150.00 -
63.00 - 63.00 -
70.00 - 70.00 -
4,550.00 - 4,550.00 -
2,621.00 - 2,621.00 -
2,429.00 - 2,429.00 -
2,527.00 - 2,527.00 -
1,025.00 - 1,025.00 -
5,856.40 - 5,856.40 -
11,718.25 - 11,718.25 -
19,690.00 - 19,690.00 -
3,980.00 - 3,980.00 -
450.00 - 450.00 -
- - - -
- - - -
- - - -
- - - -
- - - -
90.00 - 90.00 -
96.00 - 96.00 -
2,915.00 - 2,915.00 -
3,150.00 - 3,150.00 -
1,098.00 - 1,098.00 -
49.00 - 49.00 -
- - - -
176.00 - 176.00 -
117.00 - 117.00 -
117.00 - 117.00 -
111.00 - 111.00 -
530.20 - 530.20 -
208.00 - 208.00 -
- - - -
353.00 - 353.00 -
226.00 - 226.00 1,400.00 316,400.00
- - - -
- - - -
163.00 - 163.00 -
310.00 - 310.00 -
1,140.00 - 1,140.00 -
85.00 - 85.00 -
91.00 - 91.00 -
837.00 - 837.00 -
921.00 - 921.00 -
- - - -
- - - -
91.00 - 91.00 -
88.00 - 88.00 -
89.00 - 89.00 -
856.90 - 856.90 -
660.00 - 660.00 -
524.00 - 524.00 -
524.00 - 524.00 -
3,171.00 - 3,171.00 -
- - - -
9,680.00 - 9,680.00 -
16,962.00 - 16,962.00 -
13,200.00 - 13,200.00 -
33,000.00 - 33,000.00 -
150,000.00 - 150,000.00 -
49,500.00 - 49,500.00 -
775,000.00 - 775,000.00 -
78,100.00 - 78,100.00 -
50,000.00 - 50,000.00 -
660.00 - 660.00 -
12,793.00 - 12,793.00 -
14,850.00 - 14,850.00 -
462.00 - 462.00 -
287.00 - 287.00 -
5,900.00 - 5,900.00 -
626.00 - 626.00 -
776.00 - 776.00 -
1,121.00 - 1,121.00 -
287.00 - 287.00 -
4,232.00 - 4,232.00 -
14,850.00 - 14,850.00 -
2,981.00 - 2,981.00 -
305.00 - 305.00 -
553.00 - 553.00 -
198.00 - 198.00 -
- - - -
3,280.00 20.00 65,600.00 3,280.00 -
- - - -
8,950.00 - 8,950.00 -
7,334.00 - 7,334.00 -
3,800.00 - 3,800.00 -
8,950.00 - 8,950.00 -
- - - -
650.00 - 650.00 -
569.00 20.00 11,380.00 569.00 -
- - - -
1,045.00 - 1,045.00 -
- - - -
123.60 - 123.60 1,500.00 185,400.00
88.00 - 88.00 -
79.00 120.00 9,480.00 79.00 -
- - - -
1,518.00 - 1,518.00 -
- - - -
1,165.00 120.00 139,800.00 1,165.00 -
1,165.00 - 1,165.00 -
1,540.00 - 1,540.00 -
- - - -
1,439.00 - 1,439.00 -
1,540.00 - 1,540.00 -
- - - -
26,666.67 - 26,666.67 -
34,300.00 - 34,300.00 -
33,250.00 - 33,250.00 -
33,538.00 - 33,538.00 -
3,150.00 - 3,150.00 -
2,677.50 - 2,677.50 -
26,250.00 - 26,250.00 -
- - - -
18,450.00 - 18,450.00 -
18,450.00 - 18,450.00 -
18,450.00 - 18,450.00 -
9,900.00 - 9,900.00 -
9,070.00 - 9,070.00 -
10,725.00 - 10,725.00 -
- - - -
- - - -
7,205.00 - 7,205.00 -
12,875.00 - 12,875.00 -
9,400.00 - 9,400.00 -
800.00 - 800.00 -
3,800.00 - 3,800.00 -
7,900.00 - 7,900.00 -
8,240.00 - 8,240.00 -
1,393.00 - 1,393.00 -
75.90 - 75.90 -
- - - -
- - - -
43,050.00 - 43,050.00 -
2,290.00 - 2,290.00 -
693.00 - 693.00 -
- - - -
- - - -
15,333.33 - 15,333.33 -
- - - -
39,749.00 - 39,749.00 -
2,728.00 - 2,728.00 50.00 136,400.00
2,139.00 - 2,139.00 -
12,827.00 - 12,827.00 -
11,400.00 - 11,400.00 100.00 1,140,000.00
11,975.00 - 11,975.00 -
- - - -
- - - -
7,805.00 - 7,805.00 -
12,564.00 - 12,564.00 -
9,300.00 - 9,300.00 -
- - - -
- - - -
232,440.00 - 232,440.00 -
4,120.00 - 4,120.00 -
- - - -
22,433.00 - 22,433.00 -
14,000.00 - 14,000.00 -
- 5.00 - - -
13,600.00 - 13,600.00 -
5,382.00 - 5,382.00 -
4,500.00 - 4,500.00 -
4,500.00 - 4,500.00 -
6,595.00 - 6,595.00 -
6,595.00 - 6,595.00 -
- - - -
1,503.33 - 1,503.33 -
600.49 - 600.49 -
990.00 - 990.00 -
- - - -
3,230.00 - 3,230.00 -
- - - -
- - - -
10,400.00 - 10,400.00 -
- - - -
- - - -
95.07 - 95.07 -
144.20 - 144.20 -
60,800.00 - 60,800.00 -
- - - -
97,500.00 - 97,500.00 -
712,800.00 - 712,800.00 -
396,000.00 - 396,000.00 -
968.00 - 968.00 -
30,000.00 - 30,000.00 -
31,347.00 - 31,347.00 -
19,480.00 - 19,480.00 -
312,500.10 - 312,500.10 -
262,499.60 - 262,499.60 -
131,249.80 - 131,249.80 -
56,249.60 - 56,249.60 -
165,000.00 - 165,000.00 -
5,500.00 - 5,500.00 -
5,500.00 - 5,500.00 -
- - - -
134,214.29 - 134,214.29 -
112,214.29 - 112,214.29 -
160,714.29 - 160,714.29 -
78,750.00 - 78,750.00 -
217,214.29 - 217,214.29 -
72,214.29 - 72,214.29 -
65,214.29 - 65,214.29 -
88,750.00 - 88,750.00 -
98,450.00 - 98,450.00 -
148,000.00 - 148,000.00 -
323,500.00 - 323,500.00 -
81,784.00 - 81,784.00 -
55,000.00 - 55,000.00 -
42,000.00 - 42,000.00 -
7,805.00 - 7,805.00 -
98,450.00 - 98,450.00 -
- - - -
- - - -
479,996.00 - 479,996.00 -
512,204.00 - 512,204.00 -
- - - -
- - - -
- - - -
- - - -
59,950.00 - 59,950.00 -
66,154.00 20.00 1,323,080.00 66,154.00 6.00 396,924.00
- - - -
- - - -
18,128.00 - 18,128.00 -
16,995.00 - 16,995.00 -
- - - -
85,103.00 20.00 1,702,060.00 85,103.00 5.00 425,515.00
84,282.00 - 84,282.00 -
25,839.00 50.00 1,291,950.00 25,839.00 26.00 671,814.00
25,597.00 - 25,597.00 -
166,265.00 10.00 1,662,650.00 166,265.00 -
21,285.00 - 21,285.00 -
21,494.00 - 21,494.00 -
158,994.00 - 158,994.00 11.00 1,748,934.00
144,540.00 - 144,540.00 -
- - - -
- - - -
- - - -
1,339,440.50 - 1,339,440.50 -
- - - -
- - - -
- - - -
- 20.00 - - -
- - -
- - -
1,325,000.00 - 1,325,000.00 -
1,325,000.00 - 1,325,000.00 -
6,446,122.98 20.00 65,600.00 6,446,122.98 2,501.00 825,410.00

4,911,171.93 265.00 160,660.00 4,911,171.93 1,650.00 1,461,800.00
5,876,266.50 120.00 5,979,740.00 5,876,266.50 48.00 3,243,187.00
6,206,000.00 5,530,397.00
KONTROL
PROGRAM
HARGA SATUAN BANYAKNYA NILAI RP. STOK TOTAL HARGA
(RP)
- - - - -
1,041.98 - - - -
367.00 5,000.00 1,835,000.00
4,000.00 - - - -
- - - - -
- - - - -
- - - - -
143.55 - - - -
151.80 - -
3,626.70 - - - -
3,619.00 - -
3,822.00 - - - -
95.00 - - - -
91.00 - - -
143.00 - - - -
171.44 - - -
75.00 - - - -
85.00 - -
99.00 - - - -
104.00 - -
196.00 - - - -
195.00 - -
249.00 - - - -
232.00 - -
- - - - -
3,500.00 - - - -
3,628.00 - - - -
3,473.00 - -
- - - - -
- - - - -
- - - - -
8,237.00 - - - -
- - - - -
1,995.00 - - - -
2,129.00 - -
58.00 - - - -
58.00 - -
189.05 - - - -
- - - - -
170.00 - -
- - - - -
2,924.00 - - - -
3,167.00 - - - -
4,798.00 - - - -
4,158.00 - -
- - - - -
167.00 - -
- - - - -
233.20 - - - -
253.00 - - -
253.00 - - - -
2,112.00 - - - -
208.00 - - - -
1,195.10 - - - -
11,550.00 - - - -
- - - - -
75.00 - - - -
105.00 - - - -
104.00 - -
103.40 - - - -
177.90 - - -
382.00 - - - -
105.00 - - - -
114.00 - -
- - - - -
- - - - -
2,996.40 - - - -
3,600.00 - -
237.00 - - - -
345.00 - - - -
380.00 - -
152.00 - - - -
1,639.00 - - - -
2,860.00 - - - -
130,000.00 - - - -
14,500.00 5.00 72,500.00 - -
110.00 - - - -
660.00 - -
- - - - -
1,380.00 - -
- - - - -
- - - - -
250.80 - - - -
112,000.00 - - - -
160,500.00 - - - -
1,097.00 - - - -
32.00 - - - -
44.00 - -
41.00 - -
220,000.00 - - - -
86.00 - - - -
114.00 - - - -
1,735.00 - - - -
12,090.00 - - - -
12,573.00 - -
16,742.00 - - - -
156.00 - - - -
1,095.00 - - - -
104.00 - - - -
99.00 - - - -
104.00 - - -
141.90 - -
85.00 - - - -
95.00 - -
2,700.00 - - - -
- - - - -
- - - - -
1,515.00 - - - -
1,408.00 - -
- - - - -
730.00 - - - -
- - - - -
- - - - -
- - - - -
2,500.00 - -
246,400.00 - - - -
20,087.00 - - - -
158.00 - - - -
154.00 - -
1,540.00 - - - -
1,969.00 - - - -
- - - - -
605.00 - - - -
- - - - -
63,813.00 2.00 127,626.00 - -
18,720.00 20.00 374,400.00 - -
710.00 - - - -
3,550.00 - - - -
3,550.00 - -
82.00 - - - -
- - - - -
257.00 - - - 462,600
260.00 - -
- - - - -
- - - - -
- - - - -
1,834.80 - - - -
1,834.80 - - -
680,000.00 - - - -
119.00 - - - -
86.00 - -
207.00 - - - -
82.50 - - - -
120.00 - -
7,370.00 - - - -
8,800.00 - -
- - - - -
6,900.00 - - - -
5,700.00 - - - -
7,500.00 - -
224.00 - - - -
224.00 - -
55.00 - - - -
55.00 - -
59.00 - - - -
60.00 400.00 24,000.00 - -
75.00 - - -
1,190.00 9.00 10,710.00 - -
97,500.00 - - - -
- - - - -
149.00 - -
2,475.00 - - - -
105.00 - - - -
102.00 - -
- - - - -
111.00 - -
2,365.00 - - - -
4,665.00 - -
- - - - -
145.00 - - - 58,000
170.00 - - - -
88.00 - - - -
- - - - -
682.00 - - - -
- - - - -
59.00 - - - -
63.00 - -
62.00 - - - -
75.00 - - - -
94.00 - -
245.00 - - - -
270.00 - -
2,518.00 - - - -
288.00 - - - -
528.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
759.00 - - - -
- - - - -
266.00 - - - -
- - - - -
1,881.00 - - - -
1,810.00 - -
3,008.00 - - - -
3,242.00 - -
6,828.80 - - - -
3,250.00 - -
6,828.80 - - - -
42.00 - - - -
23.00 - -
212.00 - - - -
148.00 - -
147.00 - - - -
144.00 - -
1,510.00 - - - -
1,240.00 - -
4,550.00 - - - -
30,030.00 45.00 1,351,350.00 - -
31,231.00 20.00 624,620.00
76.00 - - - -
125.00 - - - -
- - - - -
2,140.00 - -
315.00 - - - -
323.00 - - -
9,275.00 - - - -
- - - - -
- - - - -
1,111.00 - - - -
1,845.00 - - - -
177,216.00 - - - -
80.30 - - - -
131.00 - - - -
3,328.00 - - - -
3,796.00 - - - -
- - - - -
39,880.00 - - - -
718.20 - - - -
- - - - -
102.00 - - - -
160.00 - - - -
946.00 - - - -
- - - - -
154.00 - - - -
444.00 - -
2,684.00 - - - -
2,959.00 - - -
143.00 - - - -
150.00 - -
85.00 - - - -
- - - - -
- - - - -
211.20 - - - -
- - - - -
- - - - -
3,414.00 - - - -
585.00 - - - -
585.00 - -
7,100.00 - - - -
- - - - -
50.00 - - - -
50.00 - -
145.00 - - - -
128.00 - -
115.00 - - - -
200.00 - -
6,410.00 - - - -
6,840.00 - -
193.60 - - - -
13,900.00 - - - -
598.00 - - - -
843.00 - - - -
- - - - -
415,721.00 - - - -
- - - - -
- - - - -
248,120.00 - - - -
248,710.00 1.00 248,710.00
1,297,889.00 - - - -
415,469.00 - - - -
- - - - -
4,697.00 - - - -
6,050.00 - -
7,106.00 - - - -
6,760.00 - -
4,697.00 - - - -
- - - - -
- - - - -
2,500.00 - - - -
2,500.00 - - -
2,412.30 - - - -
2,005.00 - - -
1,199.00 - - - -
16,997.00 - - - -
341.81 - - - -
1,650.00 - - - -
6,649.00 - - - -
1,107.00 - - - -
1,010.00 - -
- - - - -
53.00 - - - -
49.00 - -
- - - - -
- - - - -
3,051.40 - - - -
3,080.00 - -
23,000.00 - - - -
11,825.00 - - - -
451.00 - - - -
803.00 - - - -
156.20 - - - -
130.00 - - -
291.00 - - - -
123.00 - - - -
- - - - -
3,360.00 - - - -
- - - - -
18,900.00 - - - -
73.00 - - - -
96.00 - -
- - - - -
- - - - -
76.00 - - - -
586.30 - - - -
- - - - -
112.00 - - - -
98.00 - -
305.00 - - - -
553.00 - - - -
- - - - -
- - - - -
- - - - -
7,150.00 - -
63.00 - - - -
70.00 - - - -
4,550.00 - - - -
2,621.00 - - - -
2,429.00 - - -
2,527.00 - -
1,025.00 - - - -
5,856.40 - -
11,718.25 - - - -
19,690.00 - -
3,980.00 - - - -
450.00 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
90.00 - - - -
96.00 - -
2,915.00 - - - -
3,150.00 - -
1,098.00 - - - -
49.00 - - - -
- - - - -
176.00 - - - -
117.00 - - - -
117.00 - - -
111.00 - -
530.20 - - - -
208.00 - - - -
- - - - -
353.00 - - - -
226.00 83,860.00 18,952,360.00
- - - - -
- - - - -
163.00 - - - -
310.00 - - - -
1,140.00 - - - -
85.00 - - - -
91.00 - -
837.00 - - - -
921.00 - - -
- - - - -
- - - - -
91.00 400.00 36,400.00 - -
88.00 - -
89.00 - - - -
856.90 - - - -
660.00 - -
524.00 1,500.00 786,000.00 - -
524.00 - -
3,171.00 - - - -
- - - - -
9,680.00 - - - -
16,962.00 - - - -
13,200.00 - - - -
33,000.00 - - - -
150,000.00 - - - -
49,500.00 - - - -
775,000.00 - - - -
78,100.00 - - - -
50,000.00 - - - -
660.00 - - - -
12,793.00 - - - -
14,850.00 - -
462.00 - - - -
287.00 100.00 28,700.00
5,900.00 - - - -
626.00 - - - -
776.00 - - - -
1,121.00 - - - -
287.00 - - -
4,232.00 - - -
14,850.00 - - -
2,981.00 42.00 125,202.00 -
305.00 400.00 122,000.00
553.00 226.00 124,978.00
198.00 - - - -
- 24.00 -
3,280.00 120.00 393,600.00
- - - - -
8,950.00 - - - -
7,334.00 - - - -
3,800.00 - - - -
8,950.00 - - - -
- - - - -
650.00 - - - -
569.00 87.00 49,503.00 - -
- 24.00 -
1,045.00 - - - -
- - - - -
123.60 10,885.00 1,345,386.00 - 370,800
88.00 1,170.00 102,960.00
79.00 1,375.00 108,625.00
- 288.00 -
1,518.00 231.00 350,658.00 - -
- 54.00 -
1,165.00 304.00 354,160.00
1,165.00 30.00 34,950.00 - -
1,540.00 100.00 154,000.00
- 17.00 -
1,439.00 - - - -
1,540.00 - -
- - - - -
26,666.67 - - - -
34,300.00 - -
33,250.00 - - - -
33,538.00 - - -
3,150.00 - - - -
2,677.50 - -
26,250.00 - - - -
- - - - -
18,450.00 - - - -
18,450.00 - - - -
18,450.00 - - - -
9,900.00 - - - -
9,070.00 - - - -
10,725.00 - - - -
- - - - -
- - - - -
7,205.00 - - - -
12,875.00 - - -
9,400.00 - - - -
800.00 - - - -
3,800.00 - - - -
7,900.00 - - - -
8,240.00 - -
1,393.00 - - - -
75.90 - - - -
- - - - -
- - - - -
43,050.00 - - - -
2,290.00 - - - -
693.00 760.00 526,680.00
- - - - -
- - - - -
15,333.33 - - - -
- - - - -
39,749.00 - -
2,728.00 150.00 409,200.00 - 272,800
2,139.00 500.00 1,069,500.00
12,827.00 - - - -
11,400.00 - -
11,975.00 - - - -
- - - - -
- - - - -
7,805.00 100.00 780,500.00 - -
12,564.00 - - - -
9,300.00 - -
- - - - -
- - - - -
232,440.00 - - - -
4,120.00 - - - -
- - - - -
22,433.00 12.00 269,196.00 - -
14,000.00 - -
- 11.00 -
13,600.00 2.00 27,200.00
5,382.00 12.00 64,584.00
4,500.00 - - - -
4,500.00 - - - -
6,595.00 - -
6,595.00 - - - -
- - - - -
1,503.33 - - - -
600.49 - - - -
990.00 - -
- - - - -
3,230.00 7,450.00 24,063,500.00 - -
- - - - -
- - - - -
10,400.00 - - - -
- - - - -
- - - - -
95.07 14,250.00 1,354,747.50 - -
144.20 - - -
60,800.00 - - - -
- - - - -
97,500.00 - - - -
712,800.00 - - - -
396,000.00 - - - -
968.00 - - - -
30,000.00 - - -
31,347.00 - -
19,480.00 - -
312,500.10 - -
262,499.60 - -
131,249.80 - -
56,249.60 - -
165,000.00 - -
5,500.00 - -
5,500.00 - -
- - -
134,214.29 - -
112,214.29 - -
160,714.29 - -
78,750.00 - -
217,214.29 - -
72,214.29 - -
65,214.29 - -
88,750.00 - -
98,450.00 - -
148,000.00 - -
323,500.00 - -
81,784.00 - -
55,000.00 - -
42,000.00 - -
7,805.00 - -
98,450.00 - -
- - -
- - - - -
479,996.00 - - - -
512,204.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
59,950.00 - - - -
66,154.00 28.00 1,852,312.00
- - - - -
- - - - -
18,128.00 11.00 199,408.00 - -
16,995.00 - -
- - - - -
85,103.00 25.00 2,127,575.00 - 851,030
84,282.00 - -
25,839.00 44.00 1,136,916.00 - 1,343,628
25,597.00 - -
166,265.00 22.00 3,657,830.00 - -
21,285.00 - - - -
21,494.00 16.00 343,904.00
158,994.00 20.00 3,179,880.00 - 3,497,868
144,540.00 - -
- 10.00 - - -
- - - - -
- - - - -
1,339,440.50 - - - -
- - -
- 17.00 -
- - -
- 20.00 -
- - -
- - -
1,325,000.00 - -
1,325,000.00 - - - -
6,446,122.98 92,174.00 25,238,156.00 (94,655) 1,650,820

4,911,171.93 37,812.00 31,065,349.50 (39,197) 2,923,600
5,876,266.50 213.00 12,497,825.00 (141) 6,486,374
68,801,330.50 - - 11,060,794
MUTASI PERSEDIAAN OBAT DAN BMHP
STOK AWAL PENERIMAAN PENGELUARAN JUMLAH NOMINAL STOK AKHIR (RP)

NO NAMA SUMBER
OBAT BMHP OBAT BMHP OBAT BMHP OBAT BMHP
1 UPTD PUSKESMAS MEKARWANGI
- JKN 48,996,656.81 17,729,411.29 - - - - 48,996,656.81 17,729,411.29
- DAK 16,260,820.70 10,749,990.50 1,291,970.00 854,160.00 2,745,075.60 537,331.62 14,807,715.10 11,066,818.88
- APBD 1,634,295.00 16,127,300.00 - - - 909,100.00 1,634,295.00 15,218,200.0
- PROGRAM 35,759,238.00 32,366,489.50 6,045,340.00 160,660.00 4,068,597.00 1,461,800.00 37,735,981.00 31,065,349.50
JUMLAH TOTAL 102,651,010.51 76,973,191.29 7,337,310.00 1,014,820.00 6,813,672.60 2,908,231.62 103,174,647.91 75,079,779.7
178,254,427.58
Mengetahui, Kuningan, 30 Agustus 2022

Kepala UPTD Puskesmas Mekarwangi Petugas Obat
dr. Asikin apt. Metty Febiyanti, S.Farm

NIP. 19711109 201001 1 004 NIPNP. 6114 19970216 1 003
PETUNJUK PENGISIAN
1
2
6
7
8
9
10
11
PETUNJUK PENGISIAN
Data yang diinput berdasarkan data laporan tahunan periode januari - desember 2018
Stok awal berdasarkan laporan desember 2017 yang telah dikunci oleh BPKAD dan TIDAK BISA DIRUBAH!
Berdasarkan hasil pemeriksaan BPK, laporan persediaan tahun 2018 mengacu kepada Peraturan Bupati Tahun Nomor 50 Tahu
Perubahan Ketiga Atas Peraturan Bupati Nomor 51 Tahun 2013 Tentag Kebijakan Akuntansu Pemerintah Daerah kabupaten Ku
Nomor 55. yaitu " Persediaan dinilai dengan menggunakan Persediaan akhir dinilai dengan metode Harga Pembelian Terakhir"
Stok awal yang masih bervariasi harga dipisahkan dengan menginsert ke bawah,,bukan ke samping
Penerimaan menggunakan harga perolehan terakhir yang sudah diinput, kecuali yang harganya belum ada bisa ditanyakan lan
atau Beta
Sistem Pengeluaran berdasarkan sistem FIFO (First In First Out)
Hasil akhir diharapkan hanya muncul satu harga,,yaitu harga yg baru
Jika stok awal masih muncul di stok akhir,,biarin ajah!abaikan
HARUS SELESAI MAKSIMAL HARI JUMAT TANGAL 29 FEBRUARI PUKUL 06.00
TIDAK MENERIMA ALASAN BELUM SELESAI
SEMANGAAATT TEMAN TEMAAAANNNN
PEMERINTAH KABUPATEN KUNINGAN
DINAS KESEHATAN
Jalan Raya Mekarwangi No. 274 Kecamatan Lebakwangi
Email : mekarwangi274@gmail.com
Kuningan
Kode Pos 45574
BERITA ACARA PEMERIKSAAN DAN PENGHITUNGAN

OBAT DAN PERBEKALAN KESEHATAN
KECAMATAN LEBAKWANGI
KABUPATEN KUNINGAN
NOMOR : 442/ /PKM-MKW/2022
Pada hari ini Senin tanggal Enam bulan Mei tahun Dua Ribu Dua Puluh Dua kami yang
bertandatangan di bawah ini, Kepala UPTD Puskesmas Mekarwangi Kecamatan Lebakwangi
Kabupaten Kuningan yang diangkat berdasarkan Surat Perintah Pelaksana Tugas Nomor :
821.27/160/BKPSDM tanggal 21 Januari 2020 telah melaksanakan pemeriksaan dan
penghitungan obat-obatan dan perbekalan kesehatan yang menjadi tanggung jawab pengelola
obat di UPTD Puskesmas Mekarwangi
Berdasarkan hasil perhitungan atas obat dan perbekalan kesehatan yang berada pada
UPTD Puskesmas Mekarwangi Kabupaten Kuningan per tanggal 31 Agustus 2022 yang kami
periksa dan hitung adalah sesuai dengan kartu barang pencatatan seperti terlampir pada
Lampiran Berita Acara ini dengan nilai Rp. 202.863.125.85
Demikian berita acara ini kami buat dengan sesungguhnya agar yang berkepentingan
menjadi maklum.
Kuningan, 31 Agustus 2022
Yang memeriksa, Yang diperiksa,

Kepala UPTD Puskesmas Mekarwangi Pengelola Obat Puskesmas
dr. Asikin apt. Metty Febiyanti, S.Farm

NIP. 19711109 201001 1 004 NIPNP. 6114 19970216 1 003

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DATA MUTASI PERSEDIAAN OBAT DAN BMHP SUMBER ANGGARAN JKN

UPTD PUSKESMAS MEKARWANGI

NO NAMA SEDIAAN SATUAN JKN JKN JKN

NO NAMA SEDIAAN SATUAN JKN JKN JKN

Antasida Doen Tablet, Kombinasi : Magnesium

NO NAMA SEDIAAN SATUAN JKN JKN JKN

NO NAMA SEDIAAN SATUAN JKN JKN JKN

NO NAMA SEDIAAN SATUAN JKN JKN JKN

NO NAMA SEDIAAN SATUAN JKN JKN JKN

Hidroklortiazid (HCT) Tablet 25 mg Tablet 148.00 - - 148.00 - 148.00 -

NO NAMA SEDIAAN SATUAN JKN JKN JKN

Kotrimoksazol Suspensi Kombinasi :

NO NAMA SEDIAAN SATUAN JKN JKN JKN

NO NAMA SEDIAAN SATUAN JKN JKN JKN

NO NAMA SEDIAAN SATUAN JKN JKN JKN

NO NAMA SEDIAAN SATUAN JKN JKN JKN

Salbutamol Tablet 4 mg Tablet 87.00 - - - 87.00 -

Salep 2-4 Kombinasi :

NO NAMA SEDIAAN SATUAN JKN JKN JKN

NO NAMA SEDIAAN SATUAN JKN JKN JKN

NO NAMA SEDIAAN SATUAN JKN JKN JKN

Kassa Pembalut Hidrofil 4 m x 15 cm Rol 3,800.00 96 364,800.00 - 3,800.00 -

NO NAMA SEDIAAN SATUAN JKN JKN JKN

Sarung tangan Non Steril M Pcs 600.49 - - - 600.49 -

NO NAMA SEDIAAN SATUAN JKN JKN JKN

SALDO AKHIR AGUSTUS 2022

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

1,679.00 178.00 298,862.00

54.00 990.00 53,460.00 - -

54.00 8,410.00 454,140.00

3,035.00 67.00 203,345.00 - -

3,477.00 96.00 333,792.00 - -

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

748.00 1,410.00 1,054,680.00 - -

274.00 1,244.00 340,854.76 - -

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

11,000.00 105.00 1,155,000.00 - -

123.00 1,000.00 123,000.00 - -

2,100.00 100.00 210,000.00

803.00 150.00 120,450.00 - -

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

131.00 350.00 45,850.00 - -

210.00 720.00 151,200.00 - -

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

4,976.00 86.00 427,936.00 - -

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

2,621.00 142.00 372,182.00 - -

2,333.00 120.00 279,960.00 -

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

3,800.00 96.00 364,800.00 -

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

HARGA SATUAN (RP) BANYAKNYA NILAI RP. STOK TOTAL HARGA

NO NAMA SEDIAAN SATUAN DAK DAK DAK

NO NAMA SEDIAAN SATUAN DAK DAK DAK

NO NAMA SEDIAAN SATUAN DAK DAK DAK

NO NAMA SEDIAAN SATUAN DAK DAK DAK