STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021 100

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 3000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021 200
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 3000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021 25
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018 24
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021 30
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020 500
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021 120
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 3000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 3000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021 200

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021 1000

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021 210

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 50

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 1000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021 100

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020 100

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 3000
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021 1000

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021 50

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018 500

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021 50

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 1000

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020 200

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 200
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019 1000

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021 200

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021 3000

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 2000

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021 300

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 50
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020 60

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021 10

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 2000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021 100

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021 100

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021 20

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019 1000

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021 24

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 2000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021 100

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021 30
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021 200
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 6000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 2000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 1000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021 100

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021 20

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019 200
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 2000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 3000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020 500

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020 500

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021 50

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 50

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020 120

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021 3

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020 5

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021 1

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021 1

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021 1

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021 1

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020 50

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 50

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020 6

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020 2

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020 2

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020 10

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 -

89.00 -

105.00 -

88.00 -

3,850.00 -

2,750.00 275,000.00 100

4,525.00 -

143.00 -

144.00 -

150.00 -

2,736.00 -

3,071.00 -

101.00 -

101.00 -

363.00 -

168.00 -

168.00 -

80.00 -
 55.00 -

80.00 -

265.00 -

231.00 693,000.00 3000

266.00 -

3,300.00 -

1,919.00 -

5,850.00 -

2,050.00 410,000.00 200

3,604.00 -

3,846.00 -

3,510.00 -

2,239.00 -

2,098.00 -

1,756.00 -

54.00 162,000.00 3000

60.00 -

60.00 -

6,160.00 -

5,060.00 126,500.00 25

6,190.00 -

5,170.00 124,080.00 24

3,260.00 97,800.00 30

3,642.00 -
3,642.00 -

212.00 106,000.00 500

235.00 -

2,860.00 -

2,624.60 314,952.00 120

275.00 -

120.00 -

46.00 138,000.00 3000

120.00 -

54.00 -

117.00 351,000.00 3000

286.00 -

286.00 -

1,784.00 -

1,784.00 -

198.00 -

1,880.00 -

2,374.00 -

89.00 -

105.00 -

440.00 -

3,630.00 -

3,388.00 -

3,630.00 -
 429.00 85,800.00 200

454.00 -

770.00 -

159.00 -

505.00 -

1,859.00 -

1,778.00 -

409.00 -

2,662.00 -

2,750.00 -

3,000.00 -

83,190.00 -

83,190.00 -

83,190.00 -

119.00 -

119.00 -

92.00 92,000.00 1000

626.00 -

143.00 30,030.00 210

1,465.00 -

2,439.00 121,950.00 50

1,465.00 -

5,900.00 -

4,325.00 -
 5,900.00 -

6,000.00 -

5,085.00 -

17,875.00 -

52.00 52,000.00 1000

104.00 -

104.00 -

3,061.00 -

2,215.00 221,500.00 100

3,061.00 -

968.00 -

1,210.00 -

1,210.00 121,000.00 100

77.00 -

36.00 -

77.00 231,000.00 3000

1,200.00 -

5,720.00 -

86.00 -

86.00 -

1,913.00 -

1,913.00 -

1,913.00 -

21,021.00 -
21,021.00 -

14,459.00 -

14,459.00 -

14,459.00 -

1,347.00 -

1,347.00 -

825.00 -

143.00 -

280.00 -

264.00 -

75.00 75,000.00 1000

96.00 -

96.00 -

2,862.00 -

5,500.00 -

2,862.00 -

2,401.00 120,050.00 50

1,088.00 -

1,740.00 -

1,518.00 -

1,518.00 -

781.00 390,500.00 500

7,436.00 371,800.00 50

400.00 -
165,000.00 -

175,000.00 -

21,648.00 -

20,175.00 -

197.00 -

197.00 -

2,764.00 -

3,300.00 -

3,630.00 -

1,914.23 -

4,236.00 -

873.00 -

14,738.00 -

15,675.00 -

15,675.00 -

111.00 -

84.00 -

220.00 220,000.00 1000

1,555.00 -

1,555.00 -

969.00 -

1,122.00 -

1,055.00 -

4,400.00 -
 281.00 -

286.00 -

280.00 -

3,300.00 -

3,300.00 -

2,937.00 29,370.00 10

4,885.00 -

4,885.00 -

4,885.00 -

5,170.00 -

3,150.00 -

3,300.00 -

3,300.00 -

830,000.00 -

650,000.00 -

940,000.00 -

475,000.22 -

137.00 -

86.00 -

137.00 -

235.00 47,000.00 200

212.00 -

207.00 -

123.00 24,600.00 200

 207.00 -

99.00 99,000.00 1000

79.50 -

8,003.00 -

7,363.00 -

6,900.00 -

266.00 -

59.00 -

59.00 -

101,300.00 -

101,300.00 -

101,300.00 -

1,325,000.00 -

1,325,000.00 -

1,375,000.00 -

171.00 -

2,533.00 -

2,325.00 -

2,533.00 -

242.00 -

198.00 -

195.00 -

264.00 -

330.00 -
 127.00 -

8,400.00 -

2,520.00 -

2,339.00 -

99.00 -

99.00 -

77.00 -

198.00 -

198.00 -

99.00 19,800.00 200

154.00 -

154.00 -

60.00 180,000.00 3000

63.00 -

99.00 -

132.00 -

75.00 150,000.00 2000

661.00 -

212.00 63,600.00 300

661.00 -

250.00 -

216.00 -

250.00 -

2,399.00 -
2,577.00 -

286.00 -

260.00 -

1,089.00 -

1,089.00 -

923.00 -

1,870.00 -

583.00 -

1,875.00 -

1,568.00 -

1,469.00 -

1,568.00 -

502.29 -

565.50 -

5,170.00 -

2,054.00 -

2,054.00 -

5,352.00 -

5,319.00 -

8,875.00 -

8,434.00 421,700.00 50

8,800.00 -

8,875.00 -

8,800.00 -
6,600.00 -

24.00 -

24.00 -

1,531.00 -

1,531.00 -

1,435.00 -

242.00 -

170.00 -

234.03 -

181.00 -

1,121.00 -

1,550.00 -

2,052.00 -

2,190.00 -

299.00 -

319.00 -

847.00 -

1,315.00 -

1,403.00 -

1,405.00 84,300.00 60

1,405.00 -

132.00 -

81.00 -

176.00 -
 136.00 -

117.00 -

136.00 -

3,796.00 -

4,700.00 47,000.00 10

3,796.00 -

148.00 -

148.00 296,000.00 2000

102.00 -

11,449.00 -

12,217.00 -

12,217.00 -

243.00 -

214.00 21,400.00 100

3,399.00 -

1,069.00 106,900.00 100

3,399.00 -

89.00 -

83.00 -

4,554.00 -

4,554.00 -

1,983.00 39,660.00 20

2,700.00 -

6,750.00 -
 109.00 -

109.00 -

77.00 -

8,250.00 -

8,250.00 -

127.00 -

253.00 253,000.00 1000

253.00 -

3,950.00 -

3,950.00 -

3,926.00 -

3,926.00 -

1,900.00 45,600.00 24

145.00 -

220.00 -

109.00 218,000.00 2000

6,410.00 -

6,840.00 -

107.00 -

114.00 -

627.00 -

645.00 -

971.00 -

971.00 -
 869.00 -

24,198.00 -

317.00 -

1,492,579.00 -

267,397.00 -

6,500.00 -

6,100.00 -

5,500.00 -

9,570.00 -

605.00 -

9,975.00 -

659.00 -

12,000.00 -

660.00 -

1,980.00 -

1,649.36 -

3,200.00 -

2,600.00 -

2,774.00 -

2,774.00 -

1,248.00 124,800.00 100

1,232.00 -

11,868.00 -

11,868.00 -
11,868.00 -

147.00 -

129.00 51,600.00 400

220.00 -

429.00 -

275.00 -

429.00 -

1,258.00 -

5,500.00 -

963.00 28,890.00 30

13,200.00 -

2,971.00 -

1,238.00 -

1,160.00 232,000.00 200

5,204.00 -

7,646.00 -

7,646.00 -

121.00 -

165.00 990,000.00 6000

150.00 -

20,700.00 -

542.00 -

505.00 -

505.00 -
 6,600.00 -

6,600.00 -

249.00 -

72.00 -

141.00 -

150.00 -

150.00 -

165.00 -

165.00 -

198.00 396,000.00 2000

79.00 -

73.00 -

79.00 -

329.00 -

354.00 -

63.00 -

63.00 -

63.00 -

440.00 -

440.00 -

190,000.00 -

235.95 -

198.00 -

210.00 210,000.00 1000

 85.00 -

1,188.00 -

858.00 85,800.00 100

1,188.00 -

331.00 -

596.00 -

985.00 -

934.00 -

1,134.00 -

7,150.00 -

7,630.00 -

287.00 -

132.00 -

67.00 -

132.00 -

4,446.00 -

6,796.68 -

4,189.00 -

11,000.00 -

5,400.00 -

11,000.00 -

3,017.00 -

1,475.00 29,500.00 20

11,825.00 -
11,466.00 -

5,710.00 -

923.00 -

4,360.00 -

4,360.00 872,000.00 200

4,086.00 -

880.00 -

492.00 -

880.00 -

5,146.00 -

4,822.00 -

5,146.00 -

4,706.00 -

4,410.00 -

4,706.00 -

44.00 88,000.00 2000

52.00 -

1,160.00 -

1,160.00 -

1,066.00 -

117.00 -

117.00 -

73.00 -

528.00 -
 281.00 -

512,204.00 -

512,204.00 -

517,132.00 -

130,999.00 -

130,999.00 -

130,999.00 -

5,980.00 -

7,338.00 -

7,338.00 -

983.00 -

330.00 -

330.00 -

310.00 -

331.00 -

847.00 -

832.50 -

7,150.00 -

11,000.00 -

94.00 -

88.00 -

660.00 -

329.68 -

1,764.00 -
 330.00 -

309.00 -

95.00 -

101.00 -

17,789.00 -

135.00 -

60.00 180,000.00 3000

135.00 -

3,285.00 -

2,489.00 -

604.00 -

253.00 -

604.00 -

2,200,000.00 -

1,248.88 -

1,335.02 -

1,033.56 -

1,205.82 -

1,205.82 -

1,277.60 -

1,263.24 -

1,693.89 -
 1,909.21 -

1,909.21 -

1,803.50 -

1,803.50 -
4,507.37
-
5,268.29
-
1,240.00
-

1,650.00 -

1,597.00 -

134.20 -

188.76 -

259.52 129,758.85 500

155.91 -

124.48 62,238.00 500

17,958.11 -

10,980.20 -

17,958.11 -

33,785.00 -

35,285.00 -

33,785.00 -

35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -
35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -

35,285.00 -

10,000.00 -

16,008.00 -

25,300.00 -

14,109.30 -

16,008.00 -

13,420.00 -

12,100.00 -

14,109.30 -

13,420.00 -

12,100.00 -

1,597.96 -

563.64 -

563.64 -

590.48 -

590.48 -

1,207.60 -

24,200.00 -

23,750.00 -

6,606.30 -
6,222.00 -

6,217.12 -

5,856.00 -

6,217.12 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,177.50 -

7,320.00 -

9,827.10 -

9,827.10 -
 9,394.00 -

28,750.00 -

27,725.00 -

34,228.40 -

33,900.00 -

149,040.00 -

141,400.00 -

149,040.00 -

164,456.11 -

8,109.49 -

8,109.33 -

10,000.00 -

8,903.23 -

6,390.00 -

9,375.00 468,750.00 50

2,475.75 -

2,582.13 -

2,571.75 -

2,856.89 -

3,636.36 -

412.50 -

671.78 -

3,100.00 -

3,000.00 -
 2,164.80 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

16,704.00 -

16,704.00 -

19,372.00 -

19,372.00 -

19,372.00 -

19,372.00 -

17,980.00 -

5,940.00 -

14,080.00 -

12,430.00 -

5,940.00 -
14,080.00 -

12,430.00 -

33,000.00 -

14,810.89 -

12,675.00 -

12,675.00 -

77,600.00 -

75,537.00 -

80,192.00 -

78,285.55 -

35,174.50 -

34,300.00 -

46,853.42 -

3,300.00 -

3,300.00 -

20,685.00 -

17,024.00 -

23,385.00 -

9,164.00 -

9,280.00 464,000.00 50

9,164.00 -

5,568.00 -

7,308.00 -

9,280.00 -
 5,699.98 683,997.83 120

5,533.00 -

9,400.00 -

53,300.00 -

51,500.00 -

27,300.00 -

27,300.00 81,900.00 3

17,550.00 -

3,900.00 19,500.00 5

6,089.00 -

9,400.00 -

36,955.20 -

137,137.86 -

81,832.79 -

62,216.18 -

88,475.81 -

34,091.80 -

79,315.50 -

141,417.00 -

83,038.00 -

64,785.00 -

63,840.00 -

70,917.00 -

-
 25,546.32 -

6,214.29 -

3,390.99 -

23,566.00 -

5,238.80 -

3,188.24 -

25,592.50 -

6,229.83 -

3,401.16 -

801,000.00 -

2,702,700.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

128,625.00 128,625.00 1

177,125.00 177,125.00 1

128,625.00 128,625.00 1

218,125.00 218,125.00 1

13,140.60 -
 15,297.00 -

15,297.00 -

13,655.00 -

1,296.00 64,800.00 50

1,150.00 -

1,306.25 -

4,720.00 -

4,720.00 -

12,859.00 -

53,180.00 -

53,180.00 -

21,720.00 -

9,048.17 -

6,186.16 309,308.00 50

9,048.18 -

10,967.00 -

10,967.00 -

10,967.00 -

28,768.50 -

12,882.45 -

423,500.00 -

1,135,000.00 -

1,463,000.00 -

338,800.00 -
1,232,000.00 -

1,355,200.00 -

423,500.00 2,541,000.00

1,355,200.00 2,710,400.00

1,463,000.00 2,926,000.00

4,250,665.17 -

2,774,860.00 -

3,699,850.00 -

4,250,665.00 -

2,774,860.00 -

3,699,850.00 -

19,175.00 -

22,775.00 -

40,848.33 -

30,697.00 -

18,500.00 185,000.00 10

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -
116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

177.24 -

159.06 -

1,724.80 -

12,575.84 -

9,164.00 -

60,605.88 -

11,745.66 -

11,318.86 -

254,400.00 -

3,399.09 -

1,405.00 702,500.00 500

12,500.00 -

22,368,134.67
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021 50

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 2000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 2000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 1000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 500

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 2000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021 100
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021 300

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 25

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 1500

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021 100

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 2000
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019 200

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021 50

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 500

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021 24

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020 72

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 1000

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 3000

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 25
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020 60

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020 1000

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021 1000

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021 24

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021 300

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019 25

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021 100
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 1000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 1000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 2000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 1000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019 500

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020 10

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020 50

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021 3

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 - -

88.00 - -

3,850.00 - -

2,750.00 137,500.00 50 -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 - -

80.00 - -
 55.00 110,000.00 2000 -

80.00 - -

265.00 - -

231.00 462,000.00 2000 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 - -

3,604.00 - -

3,846.00 - -

3,510.00 - -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 54,000.00 1000 -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 - -

6,190.00 - -

5,170.00 - -

3,260.00 - -

3,642.00 - -
3,642.00 - -

212.00 - -

235.00 - -

2,860.00 - -

2,624.60 - -

275.00 - -

120.00 - -

46.00 23,000.00 500 -

120.00 - -

54.00 - -

117.00 234,000.00 2000 -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 8,900.00 100 -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 - -

3,630.00 - -
 429.00 - -

454.00 - -

770.00 - -

159.00 - -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 27,600.00 300 -

626.00 - -

143.00 - -

1,465.00 - -

2,439.00 60,975.00 25 -

1,465.00 - -

5,900.00 - -

4,325.00 - -
 5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 78,000.00 1500 -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 221,500.00 100 -

3,061.00 - -

968.00 - -

1,210.00 - -

1,210.00 - -

77.00 - -

36.00 - -

77.00 154,000.00 2000 -

1,200.00 - -

5,720.00 - -

86.00 17,200.00 200 -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 - -

280.00 - -

264.00 - -

75.00 - -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 120,050.00 50 -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 - -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 - -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 - -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 110,000.00 500 -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 - -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 29,370.00 10 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 124,080.00 24 -

3,150.00 - -

3,300.00 - -

3,300.00 - -

830,000.00 - -

650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 - -

137.00 - -

235.00 - -

212.00 - -

207.00 - -

123.00 - -
 207.00 - -

99.00 - -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 - -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -

2,533.00 - -

2,325.00 - -

2,533.00 182,376.00 72 -

242.00 - -

198.00 - -

195.00 195,000.00 1000 -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 - -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 - -

154.00 - -

154.00 - -

60.00 - -

63.00 - -

99.00 - -

132.00 - -

75.00 225,000.00 3000 -

661.00 - -

212.00 - -

661.00 - -

250.00 - -

216.00 - -

250.00 - -

2,399.00 - -
2,577.00 - -

286.00 - -

260.00 - -

1,089.00 - -

1,089.00 - -

923.00 - -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 - -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 210,850.00 25 -

8,800.00 - -

8,875.00 - -

8,800.00 - -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 - -

1,315.00 - -

1,403.00 - -

1,405.00 84,300.00 60 -

1,405.00 - -

132.00 - -

81.00 - -

176.00 - -
 136.00 - -

117.00 - -

136.00 136,000.00 1000 -

3,796.00 - -

4,700.00 - -

3,796.00 - -

148.00 - -

148.00 - -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 - -

3,399.00 - -

1,069.00 - -

3,399.00 - -

89.00 - -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 77,000.00 1000 -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 - -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 45,600.00 24 -

145.00 - -

220.00 - -

109.00 - -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 - -

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 95,100.00 300 -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 - -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 69,350.00 25 -

2,774.00 - -

1,248.00 - -

1,232.00 - -

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 - -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 - -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 116,000.00 100 -

5,204.00 - -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 165,000.00 1000 -

150.00 - -

20,700.00 - -

542.00 - -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 198,000.00 1000 -

79.00 - -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 - -

440.00 - -

440.00 - -

190,000.00 - -

235.95 - -

198.00 - -

210.00 420,000.00 2000 -

 85.00 - -

1,188.00 - -

858.00 - -

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 - -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 - -

3,017.00 - -

1,475.00 - -

11,825.00 - -
11,466.00 - -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 - -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 - -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 - -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 - -

330.00 - -

310.00 - -

331.00 - -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 - -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 60,000.00 1000 -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 - -

2,200,000.00 - -

- -

- -

1,248.88 - -

1,335.02 - -

1,033.56 - -

1,205.82 602,910.00 500 -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 - -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
- -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 - -

155.91 - -

124.48 - -

17,958.11 - -

10,980.20 - -

17,958.11 - -

33,785.00 - -

35,285.00 - -

33,785.00 - -

35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -
35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 - -

14,109.30 - -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 - -

6,217.12 - -

5,856.00 - -

6,217.12 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 - -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 1,490,400.00 10 -

164,456.11 - -

8,109.49 - -

8,109.33 405,466.67 50 -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 - -

2,475.75 - -

2,582.13 - -

2,571.75 - -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 - -

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 - -

23,385.00 - -

9,164.00 - -

9,280.00 - -

9,164.00 - -

5,568.00 - -

7,308.00 - -

9,280.00 - -
 5,699.98 - -

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 - -

17,550.00 - -

3,900.00 - -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 - -

88,475.81 - -

34,091.80 102,275.40 3 -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 - -

177,125.00 - -

128,625.00 - -

218,125.00 - -

13,140.60 - -
 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -

4,720.00 - -

4,720.00 - -

12,859.00 - -

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 - -

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 - -

1,355,200.00 - -

1,463,000.00 - -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

177.24 - -

159.06 - -

1,724.80 - -

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 - -

1,405.00 702,500.00 500 -

12,500.00 - -

7,555,303.07
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021 50

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019 500

Amlodipin 5 mg Tablet
18 DAK 2019

Amlodipin 5 mg Tablet
19 DAK 2021 2000

Amlodipin 5 mg Tablet
20 DAK 2020
 Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet
21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 5000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021 100
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 2000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021 25
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019
 Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml
47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 1500
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021 25

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020

Asiklovir tablet 400 mg Tablet

67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019
 Azitromisin tablet 500 mg Tablet
73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 50

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021

Bisakodil suppositoria 10mg Supp

91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 1500

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019
 Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021 50

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021 300

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018
 Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019

Etil Klorida semprot Botol

139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
 Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 30

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021 48

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021
 Glass Ionomer Cement (Fuji VII) Set
177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 500

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 1000

Glimepiride tablet 2 mg Tablet

187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017
 Hidrokortison krim 2,5 o/o Tube 5 gram
203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020

Ibuprofen tablet 400 mg Tablet

211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021 2000

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 3000

Kandesartan tab 8 mg Tablet

228 DAK 2019
 Kandesartan tablet/kapsul/kaplet 8 mg Tablet
229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021 300

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021

Ketokonazol krim 2% Tube 10 gram

235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
 Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020 30

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019
 Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020

Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021 24

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 2000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020

Tablet Salut Gula

331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020
 N- Asetil Sistein Tablet
333 DAK 2021 300

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020 500

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018

Omeprazol injeksi 40 mg/ 10 ml Vial

355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 1400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020
 Ondansetron tablet/kapsul/kaplet 4 mg Tablet
359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 6500

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020

Piracetam Inj 1 g/5 ml Ampul

379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019
 Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet
385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021
 Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss
411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020

Permetrin Krim 5% Tube @ 10 g

427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019
 Seftriaksone Injeksi 1 g Vial
437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 2000

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019

Siprofloksasin tab scored 500 mg Tablet

451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019
 Teofilin tablet 150 mg(Bronsolvan) Tablet
463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019 500

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018

Trifluoperazine 5mg Tablet

475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 3000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018
 ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021 200

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018

Alat suntik sekali pakai 10 ml Piece

9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018 200
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021
 Blood Transfusion Set Piece
25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018
 EXAMINATION GLOVES, size M Piece
51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019 50

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019
 IV-Cath NP, pen type, no. 24 Piece
77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020

IV-Cath NP, pen type, no. 26 Piece

81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021 50

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019
 Surgical Mask Tie On Piece
103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece

105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020

Alkohol 70% Botol 100 ml

153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021
 Alkohol 70% Botol 100 ml
155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA

Total Cholesterol Test Strip 10's Strip

1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018
 Uric Test Strip 25's Strip
5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020

Anti HIV 1/2 Cassette each

25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021
 HCG Strip each
31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 25

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019

R.Dilluen urit (urit 3000 plus) Gallon 20 L

49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020
 BCC Series Lyse (Dirui 3600) Gallon 5 L
57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021
 Handschoon size M Piece
83 DAK 2021 500

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 600

Handschoon size M Piece

91 DAK 2021 300

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 - -

88.00 - -

3,850.00 - -

2,750.00 137,500.00 50 -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 84,000.00 500 -

80.00 - -

55.00 110,000.00 2000 -

80.00 - -
 265.00 - -

231.00 1,155,000.00 5000 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 - -

3,604.00 - -

3,846.00 - -

3,510.00 351,000.00 100 -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 108,000.00 2000 -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 126,500.00 25 -

6,190.00 - -

5,170.00 - -

3,260.00 - -

3,642.00 - -

3,642.00 - -

212.00 - -

235.00 - -

2,860.00 - -
2,624.60 - -

275.00 - -

120.00 - -

46.00 - -

120.00 - -

54.00 - -

117.00 175,500.00 1500 -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 - -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 84,700.00 25 -

3,630.00 - -

429.00 - -

454.00 - -

770.00 - -

159.00 - -

505.00 - -

1,859.00 - -
 1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 - -

626.00 - -

143.00 - -

1,465.00 - -

2,439.00 121,950.00 50 -

1,465.00 - -

5,900.00 - -

4,325.00 - -

5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 78,000.00 1500 -

104.00 - -

104.00 - -

3,061.00 - -
 2,215.00 110,750.00 50 -

3,061.00 - -

968.00 - -

1,210.00 - -

1,210.00 - -

77.00 - -

36.00 - -

77.00 - -

1,200.00 - -

5,720.00 - -

86.00 - -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -

21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 42,900.00 300 -

280.00 - -

264.00 - -
 75.00 - -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 - -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 - -

7,436.00 - -

400.00 - -

165,000.00 - -

175,000.00 - -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 - -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -
 14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 - -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -

281.00 - -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 88,110.00 30 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 248,160.00 48 -

3,150.00 - -

3,300.00 - -

3,300.00 - -

830,000.00 - -
 650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 43,000.00 500 -

137.00 - -

235.00 - -

212.00 - -

207.00 - -

123.00 123,000.00 2000 (1,000)

207.00 - -

99.00 - -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 - -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -
2,533.00 - -

2,325.00 - -

2,533.00 - -

242.00 - -

198.00 - -

195.00 - -

264.00 - -

330.00 - -

127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 - -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 - -

154.00 - -

154.00 - -

60.00 120,000.00 2000 -

63.00 - -

99.00 - -

132.00 - -

75.00 225,000.00 3000 -

661.00 - -
 212.00 - -

661.00 - -

250.00 - -

216.00 64,800.00 300 -

250.00 - -

2,399.00 - -

2,577.00 - -

286.00 - -

260.00 - -

1,089.00 - -

1,089.00 - -

923.00 - -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 - -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -
8,434.00 - -

8,800.00 - -

8,875.00 - -

8,800.00 - -

6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 - -

1,315.00 - -

1,403.00 - -

1,405.00 42,150.00 30 -

1,405.00 - -

132.00 - -
 81.00 - -

176.00 - -

136.00 - -

117.00 - -

136.00 - -

3,796.00 - -

4,700.00 - -

3,796.00 - -

148.00 - -

148.00 - -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 - -

3,399.00 - -

1,069.00 - -

3,399.00 - -

89.00 - -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 - -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 - -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 45,600.00 24 -

145.00 - -

220.00 - -

109.00 218,000.00 2000 -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 - -

971.00 - -

971.00 - -

869.00 - -

24,198.00 - -
 317.00 95,100.00 300 -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 329,500.00 500 -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 - -

2,774.00 - -

1,248.00 - -

1,232.00 - -

11,868.00 - -

11,868.00 - -

11,868.00 - -

147.00 - -

129.00 180,600.00 1400 -

220.00 - -
 429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 - -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 - -

5,204.00 - -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 1,072,500.00 6500 -

150.00 - -

20,700.00 - -

542.00 - -

505.00 - -

505.00 - -

6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -
 150.00 - -

165.00 - -

165.00 - -

198.00 - -

79.00 - -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 - -

440.00 - -

440.00 - -

190,000.00 - -

235.95 - -

198.00 - -

210.00 - -

85.00 - -

1,188.00 - -

858.00 - -

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -
 1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 - -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 - -

3,017.00 - -

1,475.00 - -

11,825.00 - -

11,466.00 - -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 - -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -
 4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 - -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 146,000.00 2000 -

528.00 - -

281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 - -
 330.00 - -

310.00 - -

331.00 165,500.00 500 -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 - -

660.00 - -

329.68 - -

1,764.00 - -

330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 180,000.00 3000 -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 - -

2,200,000.00 - -
 - -

- -

1,248.88 249,776.94 200 -

1,335.02 - -

1,033.56 - -

1,205.82 - -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -

1,909.21 - -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
248,000.00 200 -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 - -

155.91 - -

124.48 - -

17,958.11 - -

10,980.20 - -
17,958.11 - -

33,785.00 - -

35,285.00 - -

33,785.00 - -

35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 - -

14,109.30 - -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -
 590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -

6,222.00 - -

6,217.12 - -

5,856.00 - -

6,217.12 310,856.00 50 -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - 50 (50)

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - 50 (50)

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - 50 (50)

6,287.49 - -

7,177.50 - -
 7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -

9,394.00 - -

28,750.00 - -

27,725.00 - -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 - 10 (10)

164,456.11 - -

8,109.49 - -

8,109.33 - 50 (50)

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 468,750.00 50 -

2,475.75 - -

2,582.13 - -

2,571.75 - -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -
 3,100.00 - -

3,000.00 - -

2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 - -

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 - -

23,385.00 - -

9,164.00 - -

9,280.00 - 50 (50)

9,164.00 - -

5,568.00 - -

7,308.00 - -

9,280.00 - -

5,699.98 - -

5,533.00 - -
 9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 - 3 (3)

17,550.00 - -

3,900.00 - -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 - -

88,475.81 - -

34,091.80 - -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -

25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -
 5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 - 1 (1)

177,125.00 - 1 (1)

128,625.00 - 1 (1)

218,125.00 - 1 (1)

13,140.60 - -

15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -
 4,720.00 - -

4,720.00 - -

12,859.00 - 25 (25)

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 154,654.00 75 (50)

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -

1,232,000.00 - -

1,355,200.00 - -

423,500.00 - 1 (1)

1,355,200.00 - 1 (1)

1,463,000.00 - 1 (1)

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -
4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

116,781.00 - 1 (1)

116,781.00 - 1 (1)

116,781.00 - 1 (1)

116,781.00 - 1 (1)

116,781.00 - 1 (1)

116,781.00 - 1 (1)

116,781.00 - 1 (1)

116,781.00 - 1 (1)

177.24 - -

159.06 - -
 1,724.80 862,400.00 800 (300)

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 2,039,453.55 600 -

1,405.00 421,500.00 300

12,500.00 - -

10,828,210.49 -
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 1000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 3000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021 50
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018 24
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 1000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 1000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021 25

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021 500

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021 500

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021 210

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 25

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 1000
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021 1000

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018 500

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019 1000
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021 48

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 1000

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020 1000

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 1000
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017 1000

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017 2000

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 2000

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021 50

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021 500

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021 700

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 25
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019 25
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020 120

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021 500

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020 1000

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 1000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021 2000

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019 500

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 3000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020 1000

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019 50

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021 100
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 3000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020 300

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 3000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021 20

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019 100
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 1000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 600

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020 500

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021 100

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019 500

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018 300
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020 2000

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020 500

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020 24

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019 100

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019 5

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020 5

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020 10

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 30

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021 10

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021 3

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020 3

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 25

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 1000

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 - -

88.00 - -

3,850.00 - -

2,750.00 - -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 - -

80.00 - -
 55.00 55,000.00 1000 -

80.00 - -

265.00 - -

231.00 693,000.00 3000 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 - -

3,604.00 - -

3,846.00 - -

3,510.00 - -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 - -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 253,000.00 50 -

6,190.00 - -

5,170.00 124,080.00 24 -

3,260.00 - -

3,642.00 - -
3,642.00 - -

212.00 - -

235.00 - -

2,860.00 - -

2,624.60 - -

275.00 - -

120.00 - -

46.00 46,000.00 1000 -

120.00 - -

54.00 - -

117.00 117,000.00 1000 -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 - -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 84,700.00 25 -

3,630.00 - -
 429.00 214,500.00 500 -

454.00 - -

770.00 - -

159.00 - -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 46,000.00 500 -

626.00 - -

143.00 30,030.00 210 -

1,465.00 - -

2,439.00 60,975.00 25 -

1,465.00 - -

5,900.00 - -

4,325.00 - -
 5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 - -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 - -

3,061.00 - -

968.00 - -

1,210.00 - -

1,210.00 - -

77.00 - -

36.00 - -

77.00 77,000.00 1000 -

1,200.00 - -

5,720.00 - -

86.00 - -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 - -

280.00 - -

264.00 - -

75.00 75,000.00 1000 -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 - -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 390,500.00 500 -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 - -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 - -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 - -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 281,000.00 1000 -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 29,370.00 10 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 248,160.00 48 -

3,150.00 - -

3,300.00 - -

3,300.00 - -

830,000.00 - -

650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 86,000.00 1000 -

137.00 - -

235.00 235,000.00 1000 -

212.00 - -

207.00 - -

123.00 123,000.00 1000 -

 207.00 - -

99.00 - -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 266,000.00 1000 -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 342,000.00 2000 -

2,533.00 - -

2,325.00 - -

2,533.00 - -

242.00 - -

198.00 - -

195.00 390,000.00 2000 -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 116,950.00 50 -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 49,500.00 500 -

154.00 - -

154.00 - -

60.00 - -

63.00 - -

99.00 - -

132.00 - -

75.00 - -

661.00 - -

212.00 - -

661.00 - -

250.00 - -

216.00 151,200.00 700 -

250.00 - -

2,399.00 - -
2,577.00 - -

286.00 - -

260.00 - -

1,089.00 - -

1,089.00 - -

923.00 - -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 - -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 210,850.00 25 -

8,800.00 - -

8,875.00 - -

8,800.00 220,000.00 25 -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 - -

1,315.00 - -

1,403.00 - -

1,405.00 168,600.00 120 -

1,405.00 - -

132.00 - -

81.00 40,500.00 500 -

176.00 - -
 136.00 - -

117.00 - -

136.00 136,000.00 1000 -

3,796.00 - -

4,700.00 - -

3,796.00 - -

148.00 - -

148.00 148,000.00 1000 -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 - -

3,399.00 - -

1,069.00 - -

3,399.00 - -

89.00 - -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 154,000.00 2000 -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 126,500.00 500 -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 - -

145.00 - -

220.00 - -

109.00 327,000.00 3000 -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 - -

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 - -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 659,000.00 1000 -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 138,700.00 50 -

2,774.00 - -

1,248.00 - -

1,232.00 - -

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 51,600.00 400 -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 - -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 116,000.00 100 -

5,204.00 - -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 495,000.00 3000 -

150.00 - -

20,700.00 - -

542.00 - -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 - -

79.00 23,700.00 300 -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 - -

440.00 - -

440.00 - -

190,000.00 - -

235.95 - -

198.00 - -

210.00 630,000.00 3000 -

 85.00 - -

1,188.00 - -

858.00 - -

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 - -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 - -

3,017.00 - -

1,475.00 29,500.00 20 -

11,825.00 - -
11,466.00 - -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 436,000.00 100 -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 44,000.00 1000 -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 43,800.00 600 -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 - -

330.00 - -

310.00 - -

331.00 - -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 - -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 - -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 302,000.00 500 -

2,200,000.00 - -

- -

- -

1,248.88 124,888.47 100 -

1,335.02 - -

1,033.56 - -

1,205.82 602,910.00 500 -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 - -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
372,000.00 300 -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 519,035.38 2000 -

155.91 - -

124.48 62,238.00 500 -

17,958.11 - -

10,980.20 - -

17,958.11 - -

33,785.00 - -

35,285.00 - -

33,785.00 - -

35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -
35,285.00 846,840.00 24 -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 - -

14,109.30 - -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 - -

6,217.12 - -

5,856.00 - -

6,217.12 621,712.00 100 -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 138,625.00 5 -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 745,200.00 5 -

164,456.11 - -

8,109.49 - -

8,109.33 - -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 - -

2,475.75 - -

2,582.13 - -

2,571.75 - -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 - -

35,174.50 - -

34,300.00 - -

46,853.42 468,534.25 10 -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 - -

23,385.00 - -

9,164.00 - -

9,280.00 278,400.00 30 -

9,164.00 - -

5,568.00 - -

7,308.00 73,080.00 10 -

9,280.00 - -
 5,699.98 - -

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 81,900.00 3 -

17,550.00 - -

3,900.00 11,700.00 3 -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 - -

88,475.81 - -

34,091.80 - -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 - -

177,125.00 - -

128,625.00 - -

218,125.00 - -

13,140.60 - -
 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -

4,720.00 - -

4,720.00 - -

12,859.00 - -

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 154,654.00 25 -

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 - -

1,355,200.00 - -

1,463,000.00 - -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

177.24 - -

159.06 - -

1,724.80 - -

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 3,399,089.24 1000 -

1,405.00 702,500.00 500 -

12,500.00 - -

18,289,021.34 -
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021 100

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 3000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021 100
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 2000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 2000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021 500
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021 25

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021 600

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 50

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021 10
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021 6

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021 100

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 600
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021 100

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021 50

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 500

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 500

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020 200

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 500
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019 1000

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020 48

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 2000

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021 50

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021 2000

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021 600

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021 200

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020 1000

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021 10

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021 100

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021 2000

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021 300

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021 100
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 1000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020 300

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021 300

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 1000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020 1000

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021 20

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021 5

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019 200
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019 500

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019 60

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018 2000

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 3000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019 10

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021 25

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 50

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021 500

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 500

Handschoon size M Piece

91 DAK 2021

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 - -

88.00 - -

3,850.00 - -

2,750.00 275,000.00 100 -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 - -

80.00 - -
 55.00 165,000.00 3000 -

80.00 - -

265.00 - -

231.00 - -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 205,000.00 100 -

3,604.00 - -

3,846.00 - -

3,510.00 - -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 108,000.00 2000 -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 - -

6,190.00 - -

5,170.00 - -

3,260.00 - -

3,642.00 - -
3,642.00 - -

212.00 - -

235.00 - -

2,860.00 - -

2,624.60 - -

275.00 - -

120.00 - -

46.00 92,000.00 2000 -

120.00 - -

54.00 - -

117.00 - -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 44,500.00 500 -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 84,700.00 25 -

3,630.00 - -
 429.00 - -

454.00 - -

770.00 - -

159.00 - -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 - -

626.00 - -

143.00 85,800.00 600 -

1,465.00 - -

2,439.00 121,950.00 50 -

1,465.00 - -

5,900.00 - -

4,325.00 43,250.00 10 -
 5,900.00 - -

6,000.00 - -

5,085.00 30,510.00 6 -

17,875.00 - -

52.00 - -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 221,500.00 100 -

3,061.00 - -

968.00 - -

1,210.00 - -

1,210.00 - -

77.00 - -

36.00 - -

77.00 46,200.00 600 -

1,200.00 - -

5,720.00 - -

86.00 - -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 14,300.00 100 -

280.00 - -

264.00 - -

75.00 - -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 120,050.00 50 -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 - -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 - -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 - -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 110,000.00 500 -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 - -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 29,370.00 10 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 - -

3,150.00 - -

3,300.00 - -

3,300.00 - -

830,000.00 - -

650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 43,000.00 500 -

137.00 - -

235.00 47,000.00 200 -

212.00 - -

207.00 - -

123.00 61,500.00 500 -

 207.00 - -

99.00 99,000.00 1000 -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 - -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -

2,533.00 - -

2,325.00 - -

2,533.00 121,584.00 48 -

242.00 - -

198.00 - -

195.00 390,000.00 2000 -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 116,950.00 50 -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 - -

154.00 - -

154.00 - -

60.00 120,000.00 2000 -

63.00 - -

99.00 - -

132.00 - -

75.00 - -

661.00 - -

212.00 127,200.00 600 -

661.00 - -

250.00 - -

216.00 - -

250.00 - -

2,399.00 - -
2,577.00 - -

286.00 - -

260.00 - -

1,089.00 - -

1,089.00 - -

923.00 - -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 113,100.00 200 -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 - -

8,800.00 - -

8,875.00 - -

8,800.00 - -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 - -

1,315.00 - -

1,403.00 - -

1,405.00 - -

1,405.00 - -

132.00 - -

81.00 - -

176.00 - -
 136.00 - -

117.00 - -

136.00 136,000.00 1000 -

3,796.00 - -

4,700.00 47,000.00 10 -

3,796.00 - -

148.00 - -

148.00 - -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 21,400.00 100 -

3,399.00 - -

1,069.00 - -

3,399.00 - -

89.00 - -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 154,000.00 2000 -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 - -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 - -

145.00 - -

220.00 - -

109.00 - -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 - -

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 95,100.00 300 -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 - -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 - -

2,774.00 - -

1,248.00 - -

1,232.00 - -

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 51,600.00 400 -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 - -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 116,000.00 100 -

5,204.00 - -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 - -

150.00 - -

20,700.00 - -

542.00 - -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 198,000.00 1000 -

79.00 - -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 18,900.00 300 -

440.00 - -

440.00 132,000.00 300 -

190,000.00 - -

235.95 - -

198.00 - -

210.00 210,000.00 1000 -

 85.00 - -

1,188.00 - -

858.00 - -

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 132,000.00 1000 -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 - -

3,017.00 - -

1,475.00 29,500.00 20 -

11,825.00 - -
11,466.00 57,330.00 5 -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 872,000.00 200 -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 - -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 - -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 165,000.00 500 -

330.00 - -

310.00 - -

331.00 - -

847.00 - -

832.50 - -

7,150.00 429,000.00 50 10

11,000.00 - -

94.00 - -

88.00 176,000.00 2000 -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 180,000.00 3000 -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 - -

2,200,000.00 - -

- -

- -

1,248.88 - -

1,335.02 - -

1,033.56 - -

1,205.82 - -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 - -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
- -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 - -

155.91 - -

124.48 - -

17,958.11 - -

10,980.20 - -

17,958.11 - -

33,785.00 - -

35,285.00 - -

33,785.00 - -

35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -
35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 - -

14,109.30 - -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 - -

6,217.12 - -

5,856.00 - -

6,217.12 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 277,250.00 10 -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 - -

164,456.11 - -

8,109.49 - -

8,109.33 - -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 - -

2,475.75 - -

2,582.13 - -

2,571.75 - -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 - -

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 - -

23,385.00 - -

9,164.00 - -

9,280.00 - -

9,164.00 - -

5,568.00 - -

7,308.00 - -

9,280.00 - -
 5,699.98 - -

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 - -

17,550.00 - -

3,900.00 - -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 - -

88,475.81 - -

34,091.80 - -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 - -

177,125.00 - -

128,625.00 - -

218,125.00 - -

13,140.60 - -
 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -

4,720.00 - -

4,720.00 - -

12,859.00 321,475.00 25 -

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 309,308.00 50 -

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 - -

1,355,200.00 - -

1,463,000.00 - -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

177.24 - -

159.06 - -

1,724.80 862,400.00 500 -

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 1,699,544.62 500 -

1,405.00 - -

12,500.00 - -

9,727,271.62 10
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020 2000

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 1200

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 4000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021 100
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 3000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 3000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 3000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021 25

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021 300

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 25

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 2000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020 50

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 3000
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021 200

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021 500

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021 24

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021 48

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020 24

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 500

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 500
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019 4000

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017 500

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020 48

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 3000

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021 50

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021 300

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021 100

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 25
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019 25
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021 100

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021 2000

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019 500

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021 24

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 2800
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021 300

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021 96
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 5000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021 200

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 2000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019 100

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 3000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020 20
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021 20

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 2000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 2000

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019 300

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 2000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020 500

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019 500

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020 24

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020 24

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019 10

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019 200

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020 100

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020 100

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019 5

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020 50

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021 50

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020 100

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021 3

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020 5

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021 1

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021 1

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021 1

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021 1

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020 100

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021 50

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021 1

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021 1

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021 1

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021 1

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021 1

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021 1

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021 1

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021 1

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021 500

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 210,000.00 2000 -

88.00 - -

3,850.00 - -

2,750.00 - -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 - -

80.00 - -
 55.00 66,000.00 1200 -

80.00 - -

265.00 - -

231.00 924,000.00 4000 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 205,000.00 100 -

3,604.00 - -

3,846.00 - -

3,510.00 - -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 162,000.00 3000 -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 - -

6,190.00 - -

5,170.00 - -

3,260.00 - -

3,642.00 - -
3,642.00 - -

212.00 - -

235.00 - -

2,860.00 - -

2,624.60 - -

275.00 - -

120.00 - -

46.00 138,000.00 3000 -

120.00 - -

54.00 - -

117.00 351,000.00 3000 -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 - -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 84,700.00 25 -

3,630.00 - -
 429.00 128,700.00 300 -

454.00 - -

770.00 - -

159.00 - -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 - -

626.00 - -

143.00 - -

1,465.00 - -

2,439.00 60,975.00 25 -

1,465.00 - -

5,900.00 - -

4,325.00 - -
 5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 104,000.00 2000 -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 - -

3,061.00 - -

968.00 - -

1,210.00 - -

1,210.00 60,500.00 50 -

77.00 - -

36.00 - -

77.00 231,000.00 3000 -

1,200.00 - -

5,720.00 - -

86.00 - -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 28,600.00 200 -

280.00 - -

264.00 - -

75.00 37,500.00 500 -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 - -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 - -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 - -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 79,200.00 24 -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 - -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 - -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 29,370.00 10 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 248,160.00 48 -

3,150.00 - -

3,300.00 - -

3,300.00 79,200.00 24 -

830,000.00 - -

650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 43,000.00 500 -

137.00 - -

235.00 - -

212.00 - -

207.00 - -

123.00 61,500.00 500 -

 207.00 - -

99.00 396,000.00 4000 -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 133,000.00 500 -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -

2,533.00 - -

2,325.00 - -

2,533.00 121,584.00 48 -

242.00 - -

198.00 - -

195.00 585,000.00 3000 -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 116,950.00 50 -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 - -

154.00 - -

154.00 - -

60.00 - -

63.00 - -

99.00 - -

132.00 - -

75.00 - -

661.00 - -

212.00 63,600.00 300 -

661.00 - -

250.00 - -

216.00 - -

250.00 - -

2,399.00 - -
2,577.00 - -

286.00 - -

260.00 26,000.00 100 -

1,089.00 - -

1,089.00 - -

923.00 - -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 - -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 210,850.00 25 -

8,800.00 - -

8,875.00 - -

8,800.00 220,000.00 25 -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 - -

1,315.00 - -

1,403.00 - -

1,405.00 - -

1,405.00 - -

132.00 - -

81.00 - -

176.00 - -
 136.00 - -

117.00 - -

136.00 - -

3,796.00 - -

4,700.00 - -

3,796.00 - -

148.00 - -

148.00 - -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 21,400.00 100 -

3,399.00 - -

1,069.00 - -

3,399.00 - -

89.00 - -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 154,000.00 2000 -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 126,500.00 500 -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 45,600.00 24 -

145.00 - -

220.00 - -

109.00 305,200.00 2800 -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 - -

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 95,100.00 300 -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 - -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 - -

2,774.00 - -

1,248.00 - -

1,232.00 - -

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 - -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 - -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 - -

5,204.00 499,584.00 96 -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 825,000.00 5000 -

150.00 - -

20,700.00 - -

542.00 108,400.00 200 -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 396,000.00 2000 -

79.00 - -

73.00 - -

79.00 - -

329.00 32,900.00 100 -

354.00 - -

63.00 - -

63.00 - -

63.00 - -

440.00 - -

440.00 - -

190,000.00 - -

235.95 - -

198.00 - -

210.00 630,000.00 3000 -

 85.00 - -

1,188.00 - -

858.00 - -

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 - -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 220,000.00 20 -

3,017.00 - -

1,475.00 29,500.00 20 -

11,825.00 - -
11,466.00 - -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 - -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 88,000.00 2000 -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 146,000.00 2000 -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 - -

330.00 - -

310.00 - -

331.00 99,300.00 300 -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 - -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 120,000.00 2000 -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 302,000.00 500 -

2,200,000.00 - -

- -

- -

1,248.88 - -

1,335.02 - -

1,033.56 - -

1,205.82 602,910.00 500 -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 - -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
- -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 - -

155.91 - -

124.48 - -

17,958.11 - -

10,980.20 - -

17,958.11 - -

33,785.00 - -

35,285.00 - -

33,785.00 - -

35,285.00 846,840.00 24 -

26,941.00 - -

28,019.00 - -

33,785.00 - -
35,285.00 846,840.00 24 -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 - -

14,109.30 141,093.00 10 -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 - -

6,217.12 - -

5,856.00 - -

6,217.12 1,243,424.00 200 -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 717,750.00 100 -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 717,750.00 100 -

6,287.49 - -

7,177.50 - -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 138,625.00 5 -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 - -

164,456.11 - -

8,109.49 - -

8,109.33 405,466.67 50 -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 468,750.00 50 -

2,475.75 - -

2,582.13 - -

2,571.75 257,175.00 100 -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 - -

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 - -

23,385.00 - -

9,164.00 - -

9,280.00 - -

9,164.00 - -

5,568.00 - -

7,308.00 - -

9,280.00 - -
 5,699.98 - -

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 81,900.00 3 -

17,550.00 - -

3,900.00 19,500.00 5 -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 - -

88,475.81 - -

34,091.80 - -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 128,625.00 1 -

177,125.00 177,125.00 1 -

128,625.00 128,625.00 1 -

218,125.00 218,125.00 1 -

13,140.60 - -
 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 129,600.00 100 -

1,150.00 - -

1,306.25 - -

4,720.00 - -

4,720.00 - -

12,859.00 642,950.00 50 -

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 - 25 (25)

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 - -

1,355,200.00 - -

1,463,000.00 - -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 116,781.00 1 -

116,781.00 116,781.00 1 -

116,781.00 116,781.00 1 -

116,781.00 116,781.00 1 -

116,781.00 116,781.00 1 -

116,781.00 116,781.00 1 -

116,781.00 116,781.00 1 -

116,781.00 116,781.00 1 -

177.24 - -

159.06 - -

1,724.80 862,400.00 500 -

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 - -

1,405.00 702,500.00 500 -

12,500.00 - -

19,862,094.67 (25)
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019 500

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 1000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 2000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021 1

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021 5
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021 200

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021 100

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021 100

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 2000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020 300

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020 100

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 1000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021 100

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019 500

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020 100

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018 500
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020 1000

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020 1000

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019 60

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020 12

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021 20

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020 100

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020 100

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020 10

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020 50

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 50

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021 300

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 500

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 - -

88.00 - -

3,850.00 - -

2,750.00 - -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 84,000.00 500 -

80.00 - -
 55.00 55,000.00 1000 -

80.00 - -

265.00 - -

231.00 462,000.00 2000 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 - -

3,604.00 - -

3,846.00 - -

3,510.00 - -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 - -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 - -

6,190.00 - -

5,170.00 - -

3,260.00 - -

3,642.00 - -
3,642.00 - -

212.00 - -

235.00 - -

2,860.00 - -

2,624.60 - -

275.00 - -

120.00 - -

46.00 - -

120.00 - -

54.00 - -

117.00 - -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 - -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 - -

3,630.00 - -
 429.00 - -

454.00 - -

770.00 - -

159.00 - -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 - -

626.00 - -

143.00 - -

1,465.00 - -

2,439.00 - -

1,465.00 - -

5,900.00 - -

4,325.00 - -
 5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 - -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 - -

3,061.00 - -

968.00 - -

1,210.00 - -

1,210.00 - -

77.00 - -

36.00 - -

77.00 - -

1,200.00 - -

5,720.00 - -

86.00 - -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 - -

280.00 - -

264.00 - -

75.00 - -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 - -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 - -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 175,000.00 1 -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 - -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 - -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 - -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 29,370.00 10 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 - -

3,150.00 - -

3,300.00 - -

3,300.00 - -

830,000.00 - -

650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 - -

137.00 - -

235.00 - -

212.00 - -

207.00 - -

123.00 - -
 207.00 - -

99.00 - -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 - -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -

2,533.00 - -

2,325.00 - -

2,533.00 - -

242.00 - -

198.00 - -

195.00 - -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 - -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 - -

154.00 - -

154.00 - -

60.00 - -

63.00 - -

99.00 - -

132.00 - -

75.00 - -

661.00 - -

212.00 - -

661.00 - -

250.00 - -

216.00 - -

250.00 - -

2,399.00 11,995.00 10 (5)

2,577.00 - -

286.00 - -

260.00 52,000.00 200 -

1,089.00 - -

1,089.00 - -

923.00 - -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 - -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 - -

8,800.00 - -

8,875.00 - -

8,800.00 - -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 - -

1,315.00 - -

1,403.00 - -

1,405.00 - -

1,405.00 - -

132.00 - -

81.00 - -

176.00 - -
 136.00 - -

117.00 - -

136.00 - -

3,796.00 - -

4,700.00 - -

3,796.00 - -

148.00 - -

148.00 - -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 - -

3,399.00 - -

1,069.00 106,900.00 100 -

3,399.00 - -

89.00 - -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 - -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 - -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 - -

145.00 - -

220.00 - -

109.00 - -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 - -

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 - -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 - -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 - -

2,774.00 - -

1,248.00 124,800.00 100

1,232.00 - 100 (100)

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 51,600.00 400 -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 - -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 - -

5,204.00 - -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 330,000.00 2000 -

150.00 - -

20,700.00 - -

542.00 - -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 - -

79.00 - -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 - -

440.00 - -

440.00 - -

190,000.00 - -

235.95 - -

198.00 - -

210.00 - -
 85.00 - -

1,188.00 - -

858.00 - -

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 39,600.00 300 -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 - -

3,017.00 - -

1,475.00 - -

11,825.00 - -
11,466.00 - -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 - -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 - -

52.00 - -

1,160.00 - -

1,160.00 116,000.00 100 -

1,066.00 - -

117.00 - -

117.00 - -

73.00 - -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 - -

330.00 - -

310.00 - -

331.00 - -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 - -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 60,000.00 1000 -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 - -

2,200,000.00 - -

- -

- -

1,248.88 124,888.47 100 -

1,335.02 - -

1,033.56 - -

1,205.82 602,910.00 500 -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 190,921.00 100 -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
620,000.00 500 -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 259,517.69 1000 -

155.91 - -

124.48 124,476.00 1000 -

17,958.11 - -

10,980.20 - -

17,958.11 - -

33,785.00 - -

35,285.00 2,117,100.00 60

33,785.00 - -

35,285.00 423,420.00 72 (60)

26,941.00 - -

28,019.00 - -

33,785.00 - -
35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 242,000.00 20

14,109.30 - -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 - -

6,217.12 - -

5,856.00 - -

6,217.12 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 717,750.00 100 -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 717,750.00 100 -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 - -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 1,490,400.00 10 -

164,456.11 - -

8,109.49 - -

8,109.33 405,466.67 50 -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 - -

2,475.75 - -

2,582.13 - -

2,571.75 - -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 - -

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 - -

23,385.00 - -

9,164.00 - -

9,280.00 464,000.00 50 -

9,164.00 - -

5,568.00 - -

7,308.00 - -

9,280.00 - -
 5,699.98 - -

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 - -

17,550.00 - -

3,900.00 - -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 - -

88,475.81 - -

34,091.80 - -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 - -

177,125.00 - -

128,625.00 - -

218,125.00 - -

13,140.60 - -
 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -

4,720.00 - -

4,720.00 - -

12,859.00 - -

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 - -

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 - -

1,355,200.00 - -

1,463,000.00 - -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

177.24 - -

159.06 - -

1,724.80 517,440.00 300 -

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 1,699,544.62 500 -

1,405.00 702,500.00 500 -

12,500.00 - -

13,118,349.45 15
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021 25
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021 30
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020 500
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 10000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021 10

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021 50

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021 300

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 50

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 1000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021 300

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019 1500

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020 50

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019 100

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020 100

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021 50

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021 2

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 2000
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021 50

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 50
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019 25
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021 240

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019 100

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020 150

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021 50

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021 48

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 2000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020 100

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021 100
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 6000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 1000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021 200

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021 80

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020 40
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021 20

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021 8

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020 100

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020 100
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020 1000

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021 100

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019 400

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019 72

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019 72

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020 72

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021 72

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019 10

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020 100

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019 20

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020 300

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021 100

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020 30

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 50

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021 50

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020 30

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021 1

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021 1

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021 1

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021 1

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 25

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021 1

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021 1

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021 1

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021 1

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021 1

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021 1

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021 1

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021 1

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 -

89.00 -

105.00 -

88.00 -

3,850.00 -

2,750.00 -

4,525.00 -

143.00 -

144.00 -

150.00 -

2,736.00 -

3,071.00 -

101.00 -

101.00 -

363.00 -

168.00 -

168.00 -

80.00 -
 55.00 -

80.00 -

265.00 -

231.00 -

266.00 -

3,300.00 -

1,919.00 -

5,850.00 -

2,050.00 -

3,604.00 -

3,846.00 -

3,510.00 -

2,239.00 -

2,098.00 -

1,756.00 -

54.00 -

60.00 -

60.00 -

6,160.00 -

5,060.00 126,500.00 25

6,190.00 -

5,170.00 -

3,260.00 97,800.00 30

3,642.00 -
3,642.00 -

212.00 106,000.00 500

235.00 -

2,860.00 -

2,624.60 -

275.00 -

120.00 -

46.00 -

120.00 -

54.00 -

117.00 1,170,000.00 10000

286.00 -

286.00 -

1,784.00 -

1,784.00 -

198.00 -

1,880.00 18,800.00 10

2,374.00 -

89.00 -

105.00 -

440.00 -

3,630.00 -

3,388.00 169,400.00 50

3,630.00 -
 429.00 128,700.00 300

454.00 -

770.00 -

159.00 -

505.00 -

1,859.00 -

1,778.00 -

409.00 -

2,662.00 -

2,750.00 -

3,000.00 -

83,190.00 -

83,190.00 -

83,190.00 -

119.00 -

119.00 -

92.00 -

626.00 -

143.00 -

1,465.00 -

2,439.00 121,950.00 50

1,465.00 -

5,900.00 -

4,325.00 -
 5,900.00 -

6,000.00 -

5,085.00 -

17,875.00 -

52.00 52,000.00 1000

104.00 -

104.00 -

3,061.00 -

2,215.00 664,500.00 300

3,061.00 -

968.00 -

1,210.00 -

1,210.00 -

77.00 -

36.00 -

77.00 -

1,200.00 -

5,720.00 -

86.00 129,000.00 1500

86.00 -

1,913.00 -

1,913.00 -

1,913.00 95,650.00

21,021.00 -
21,021.00 2,102,100.00 100

14,459.00 -

14,459.00 -

14,459.00 1,445,900.00 100

1,347.00 -

1,347.00 -

825.00 -

143.00 -

280.00 -

264.00 -

75.00 -

96.00 -

96.00 -

2,862.00 -

5,500.00 -

2,862.00 -

2,401.00 -

1,088.00 -

1,740.00 -

1,518.00 -

1,518.00 -

781.00 -

7,436.00 371,800.00 50

400.00 -
165,000.00 -

175,000.00 350,000.00 2

21,648.00 -

20,175.00 -

197.00 -

197.00 -

2,764.00 -

3,300.00 -

3,630.00 -

1,914.23 -

4,236.00 -

873.00 -

14,738.00 -

15,675.00 -

15,675.00 -

111.00 -

84.00 -

220.00 -

1,555.00 -

1,555.00 -

969.00 -

1,122.00 -

1,055.00 -

4,400.00 -
 281.00 -

286.00 -

280.00 -

3,300.00 -

3,300.00 -

2,937.00 -

4,885.00 -

4,885.00 -

4,885.00 -

5,170.00 -

3,150.00 -

3,300.00 -

3,300.00 -

830,000.00 -

650,000.00 -

940,000.00 -

475,000.22 -

137.00 -

86.00 -

137.00 -

235.00 -

212.00 -

207.00 -

123.00 246,000.00 2000

 207.00 -

99.00 -

79.50 -

8,003.00 -

7,363.00 -

6,900.00 -

266.00 -

59.00 -

59.00 -

101,300.00 -

101,300.00 -

101,300.00 -

1,325,000.00 -

1,325,000.00 -

1,375,000.00 -

171.00 -

2,533.00 -

2,325.00 -

2,533.00 -

242.00 -

198.00 -

195.00 -

264.00 -

330.00 -
 127.00 -

8,400.00 -

2,520.00 -

2,339.00 -

99.00 -

99.00 -

77.00 -

198.00 -

198.00 -

99.00 -

154.00 -

154.00 -

60.00 -

63.00 -

99.00 -

132.00 -

75.00 -

661.00 -

212.00 -

661.00 -

250.00 -

216.00 -

250.00 -

2,399.00 -
2,577.00 -

286.00 -

260.00 -

1,089.00 -

1,089.00 -

923.00 46,150.00 50

1,870.00 -

583.00 -

1,875.00 -

1,568.00 -

1,469.00 -

1,568.00 -

502.29 -

565.50 -

5,170.00 -

2,054.00 -

2,054.00 -

5,352.00 -

5,319.00 -

8,875.00 -

8,434.00 421,700.00 50

8,800.00 -

8,875.00 -

8,800.00 220,000.00 25
6,600.00 -

24.00 -

24.00 -

1,531.00 -

1,531.00 -

1,435.00 -

242.00 -

170.00 -

234.03 -

181.00 -

1,121.00 -

1,550.00 -

2,052.00 -

2,190.00 -

299.00 -

319.00 -

847.00 203,280.00

1,315.00 -

1,403.00 140,300.00 100

1,405.00 210,750.00 150

1,405.00 -

132.00 -

81.00 -

176.00 -
 136.00 -

117.00 -

136.00 -

3,796.00 -

4,700.00 -

3,796.00 -

148.00 -

148.00 -

102.00 -

11,449.00 -

12,217.00 -

12,217.00 -

243.00 -

214.00 -

3,399.00 -

1,069.00 -

3,399.00 -

89.00 -

83.00 -

4,554.00 -

4,554.00 -

1,983.00 99,150.00 50

2,700.00 -

6,750.00 -
 109.00 -

109.00 -

77.00 -

8,250.00 -

8,250.00 -

127.00 -

253.00 -

253.00 -

3,950.00 -

3,950.00 -

3,926.00 -

3,926.00 -

1,900.00 91,200.00 48

145.00 -

220.00 -

109.00 218,000.00 2000

6,410.00 -

6,840.00 -

107.00 -

114.00 -

627.00 -

645.00 -

971.00 -

971.00 -
 869.00 -

24,198.00 -

317.00 -

1,492,579.00 -

267,397.00 -

6,500.00 -

6,100.00 -

5,500.00 -

9,570.00 -

605.00 -

9,975.00 -

659.00 -

12,000.00 -

660.00 -

1,980.00 -

1,649.36 -

3,200.00 -

2,600.00 -

2,774.00 -

2,774.00 -

1,248.00 -

1,232.00 123,200.00 100

11,868.00 -

11,868.00 -
11,868.00 -

147.00 -

129.00 -

220.00 -

429.00 -

275.00 -

429.00 -

1,258.00 -

5,500.00 -

963.00 96,300.00 100

13,200.00 -

2,971.00 -

1,238.00 -

1,160.00 -

5,204.00 -

7,646.00 -

7,646.00 -

121.00 -

165.00 990,000.00 6000

150.00 -

20,700.00 -

542.00 -

505.00 -

505.00 -
 6,600.00 -

6,600.00 -

249.00 -

72.00 -

141.00 -

150.00 -

150.00 -

165.00 -

165.00 -

198.00 198,000.00 1000

79.00 -

73.00 -

79.00 -

329.00 -

354.00 -

63.00 -

63.00 -

63.00 -

440.00 -

440.00 -

190,000.00 -

235.95 -

198.00 -

210.00 -
 85.00 -

1,188.00 -

858.00 171,600.00 200

1,188.00 -

331.00 -

596.00 -

985.00 -

934.00 -

1,134.00 -

7,150.00 -

7,630.00 -

287.00 -

132.00 -

67.00 -

132.00 -

4,446.00 -

6,796.68 -

4,189.00 335,120.00 30

11,000.00 -

5,400.00 -

11,000.00 440,000.00 40

3,017.00 -

1,475.00 29,500.00 20

11,825.00 -
11,466.00 91,728.00 8

5,710.00 -

923.00 -

4,360.00 -

4,360.00 -

4,086.00 -

880.00 -

492.00 -

880.00 -

5,146.00 -

4,822.00 -

5,146.00 514,600.00 100

4,706.00 -

4,410.00 -

4,706.00 470,600.00 100

44.00 -

52.00 -

1,160.00 -

1,160.00 -

1,066.00 -

117.00 -

117.00 -

73.00 -

528.00 -
 281.00 -

512,204.00 -

512,204.00 -

517,132.00 -

130,999.00 -

130,999.00 -

130,999.00 -

5,980.00 -

7,338.00 -

7,338.00 -

983.00 -

330.00 -

330.00 -

310.00 -

331.00 -

847.00 -

832.50 -

7,150.00 -

11,000.00 -

94.00 -

88.00 -

660.00 -

329.68 -

1,764.00 -
 330.00 -

309.00 -

95.00 -

101.00 -

17,789.00 -

135.00 -

60.00 -

135.00 -

3,285.00 -

2,489.00 -

604.00 -

253.00 -

604.00 604,000.00 1000

2,200,000.00 -

1,248.88 124,888.47 100

1,335.02 -

1,033.56 -

1,205.82 482,328.00 400

1,205.82 -

1,277.60 -

1,263.24 -

1,693.89 -
 1,909.21 -

1,909.21 -

1,803.50 -

1,803.50 -
4,507.37
-
5,268.29
-
1,240.00
-

1,650.00 -

1,597.00 -

134.20 -

188.76 -

259.52 -

155.91 -

124.48 -

17,958.11 -

10,980.20 -

17,958.11 -

33,785.00 2,432,520.00 72

35,285.00 2,540,520.00 72

33,785.00 -

35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -
35,285.00 2,540,520.00 72

26,941.00 1,939,752.00 72

28,019.00 -

33,785.00 -

35,285.00 -

10,000.00 -

16,008.00 -

25,300.00 -

14,109.30 -

16,008.00 -

13,420.00 -

12,100.00 -

14,109.30 141,093.00 10

13,420.00 -

12,100.00 -

1,597.96 -

563.64 -

563.64 -

590.48 -

590.48 -

1,207.60 -

24,200.00 -

23,750.00 -

6,606.30 -
6,222.00 -

6,217.12 -

5,856.00 -

6,217.12 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 717,750.00 100

6,287.49 -

7,177.50 -

7,177.50 -

7,320.00 -

9,827.10 -

9,827.10 -
 9,394.00 -

28,750.00 -

27,725.00 554,500.00 20

34,228.40 -

33,900.00 -

149,040.00 -

141,400.00 -

149,040.00 -

164,456.11 -

8,109.49 -

8,109.33 2,432,800.00 300

10,000.00 -

8,903.23 -

6,390.00 -

9,375.00 937,500.00 100

2,475.75 -

2,582.13 -

2,571.75 -

2,856.89 -

3,636.36 -

412.50 -

671.78 -

3,100.00 -

3,000.00 -
 2,164.80 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

16,704.00 -

16,704.00 -

19,372.00 -

19,372.00 -

19,372.00 -

19,372.00 -

17,980.00 -

5,940.00 -

14,080.00 -

12,430.00 -

5,940.00 -
14,080.00 -

12,430.00 -

33,000.00 -

14,810.89 -

12,675.00 -

12,675.00 380,250.00 30

77,600.00 -

75,537.00 -

80,192.00 -

78,285.55 -

35,174.50 -

34,300.00 -

46,853.42 -

3,300.00 -

3,300.00 -

20,685.00 -

17,024.00 -

23,385.00 -

9,164.00 -

9,280.00 464,000.00 50

9,164.00 -

5,568.00 -

7,308.00 365,400.00 50

9,280.00 -
 5,699.98 -

5,533.00 -

9,400.00 -

53,300.00 -

51,500.00 -

27,300.00 -

27,300.00 -

17,550.00 -

3,900.00 117,000.00 30

6,089.00 -

9,400.00 -

36,955.20 -

137,137.86 -

81,832.79 -

62,216.18 -

88,475.81 -

34,091.80 -

79,315.50 -

141,417.00 -

83,038.00 -

64,785.00 -

63,840.00 -

70,917.00 -

-
 25,546.32 -

6,214.29 -

3,390.99 -

23,566.00 -

5,238.80 -

3,188.24 -

25,592.50 -

6,229.83 -

3,401.16 -

801,000.00 -

2,702,700.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

128,625.00 128,625.00 1

177,125.00 177,125.00 1

128,625.00 128,625.00 1

218,125.00 218,125.00 1

13,140.60 -
 15,297.00 -

15,297.00 -

13,655.00 -

1,296.00 -

1,150.00 -

1,306.25 -

4,720.00 -

4,720.00 -

12,859.00 -

53,180.00 -

53,180.00 -

21,720.00 -

9,048.17 -

6,186.16 154,654.00 25

9,048.18 -

10,967.00 -

10,967.00 -

10,967.00 -

28,768.50 -

12,882.45 -

423,500.00 -

1,135,000.00 -

1,463,000.00 -

338,800.00 -
1,232,000.00 -

1,355,200.00 -

423,500.00 -

1,355,200.00 -

1,463,000.00 -

4,250,665.17 -

2,774,860.00 -

3,699,850.00 -

4,250,665.00 -

2,774,860.00 -

3,699,850.00 -

19,175.00 -

22,775.00 -

40,848.33 -

30,697.00 -

18,500.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -
116,781.00 116,781.00 1

116,781.00 116,781.00 1

116,781.00 116,781.00 1

116,781.00 116,781.00 1

116,781.00 116,781.00 1

116,781.00 116,781.00 1

116,781.00 116,781.00 1

116,781.00 116,781.00 1

177.24 -

159.06 -

1,724.80 -

12,575.84 -

9,164.00 -

60,605.88 -

11,745.66 -

11,318.86 -

254,400.00 -

3,399.09 -

1,405.00 702,500.00 500

12,500.00 -

31,726,001.47
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021 10

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 3000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 4000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 2000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021 50
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 3000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021 25

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021 500

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021 300

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021 300

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 25

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 1500

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 3000
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021 500

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021 50

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021 1

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021 24

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 300

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 500

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 500
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021 1000

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021 300

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021 10
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 25
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019 25
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020 300

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021 10

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021 100

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019 300

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020 3000

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019 25

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021 100

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 5000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 1000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020 300

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 3000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019 100
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019 300

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 2000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020 300

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 30

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 50

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 300

Handschoon size M Piece

91 DAK 2021 300

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 - -

88.00 - -

3,850.00 - -

2,750.00 - -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 27,360.00 10 -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 - -

80.00 - -
 55.00 165,000.00 3000 -

80.00 - -

265.00 - -

231.00 924,000.00 4000 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 - -

3,604.00 - -

3,846.00 - -

3,510.00 - -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 108,000.00 2000 -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 253,000.00 50 -

6,190.00 - -

5,170.00 - -

3,260.00 - -

3,642.00 - -
3,642.00 - -

212.00 - -

235.00 - -

2,860.00 - -

2,624.60 - -

275.00 - -

120.00 - -

46.00 - -

120.00 - -

54.00 - -

117.00 351,000.00 3000 -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 - -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 84,700.00 25 -

3,630.00 - -
 429.00 214,500.00 500 -

454.00 - -

770.00 - -

159.00 - -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 27,600.00 300 -

626.00 - -

143.00 42,900.00 300 -

1,465.00 - -

2,439.00 60,975.00 25 -

1,465.00 - -

5,900.00 - -

4,325.00 - -
 5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 78,000.00 1500 -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 - -

3,061.00 - -

968.00 - -

1,210.00 - -

1,210.00 - -

77.00 - -

36.00 - -

77.00 231,000.00 3000 -

1,200.00 - -

5,720.00 - -

86.00 - -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 - -

280.00 - -

264.00 - -

75.00 37,500.00 500 -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 120,050.00 50 -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 - -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 175,000.00 1 -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 79,200.00 24 -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 66,000.00 300 -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 - -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 29,370.00 10 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 - -

3,150.00 - -

3,300.00 - -

3,300.00 - -

830,000.00 - -

650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 43,000.00 500 -

137.00 - -

235.00 - -

212.00 - -

207.00 - -

123.00 61,500.00 500 -

 207.00 - -

99.00 - -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 - -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -

2,533.00 - -

2,325.00 - -

2,533.00 - -

242.00 - -

198.00 - -

195.00 - -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 - -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 - -

154.00 - -

154.00 - -

60.00 60,000.00 1000 -

63.00 - -

99.00 - -

132.00 - -

75.00 - -

661.00 - -

212.00 63,600.00 300 -

661.00 - -

250.00 - -

216.00 - -

250.00 - -

2,399.00 23,990.00 10 -
2,577.00 - -

286.00 - -

260.00 - -

1,089.00 - -

1,089.00 - -

923.00 - -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 - -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 210,850.00 25 -

8,800.00 - -

8,875.00 - -

8,800.00 220,000.00 25 -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 - -

1,315.00 - -

1,403.00 - -

1,405.00 - -

1,405.00 - -

132.00 - -

81.00 - -

176.00 - -
 136.00 - -

117.00 - -

136.00 40,800.00 300 -

3,796.00 - -

4,700.00 47,000.00 10 -

3,796.00 - -

148.00 - -

148.00 - -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 - -

3,399.00 - -

1,069.00 106,900.00 100 -

3,399.00 - -

89.00 26,700.00 300 -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 - -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 - -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 - -

145.00 - -

220.00 - -

109.00 - -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 - -

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 - -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 1,977,000.00 3000 -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 69,350.00 25 -

2,774.00 - -

1,248.00 124,800.00 100 -

1,232.00 - -

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 51,600.00 400 -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 - -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 - -

5,204.00 - -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 825,000.00 5000 -

150.00 - -

20,700.00 - -

542.00 - -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 198,000.00 1000 -

79.00 23,700.00 300 -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 - -

440.00 - -

440.00 - -

190,000.00 - -

235.95 - -

198.00 - -

210.00 630,000.00 3000 -

 85.00 - -

1,188.00 - -

858.00 - -

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 - -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 - -

3,017.00 - -

1,475.00 - -

11,825.00 - -
11,466.00 - -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 436,000.00 100 -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 - -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 - -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 99,000.00 300 -

330.00 - -

310.00 - -

331.00 - -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 - -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 120,000.00 2000 -

135.00 - -

3,285.00 - -

2,489.00 - 10 (10)

604.00 - -

253.00 - -

604.00 - -

2,200,000.00 - -

- -

- -

1,248.88 - -

1,335.02 - -

1,033.56 - -

1,205.82 - -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 - -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
- -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 - -

155.91 - -

124.48 37,342.80 300 -

17,958.11 - -

10,980.20 - -

17,958.11 - -

33,785.00 - -

35,285.00 - -

33,785.00 - -

35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -
35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 - -

14,109.30 - -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 - -

6,217.12 - -

5,856.00 - -

6,217.12 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 - -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 - -

164,456.11 - -

8,109.49 - -

8,109.33 - -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 - -

2,475.75 - -

2,582.13 - -

2,571.75 - -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 - -

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 - -

23,385.00 - -

9,164.00 - -

9,280.00 278,400.00 30 -

9,164.00 - -

5,568.00 - -

7,308.00 - -

9,280.00 - -
 5,699.98 - -

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 - -

17,550.00 - -

3,900.00 - -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 - -

88,475.81 - -

34,091.80 - -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 - -

177,125.00 - -

128,625.00 - -

218,125.00 - -

13,140.60 - -
 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -

4,720.00 - -

4,720.00 - -

12,859.00 - -

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 309,308.00 50 -

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 - -

1,355,200.00 - -

1,463,000.00 - -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

177.24 - -

159.06 - -

1,724.80 - -

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 1,019,726.77 300 -

1,405.00 421,500.00 500 (200)

12,500.00 - -

10,600,222.57 (210)
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 2000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 2000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021 100
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 3000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021 20
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 2000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 500
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 50

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 1000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 2000
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 500

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 500
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019 2000

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 3000

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 50
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 1000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021 1000

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 1000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020 100

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 5000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020 500

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 1000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 1000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 3000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021 100

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019 500

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018 200
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020 36
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019 20

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020 20

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021 20

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 50

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020 120

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021 500

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 500

Handschoon size M Piece

91 DAK 2021

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 - -

88.00 - -

3,850.00 - -

2,750.00 - -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 - -

80.00 - -
 55.00 110,000.00 2000 -

80.00 - -

265.00 - -

231.00 462,000.00 2000 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 205,000.00 100 -

3,604.00 - -

3,846.00 - -

3,510.00 - -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 162,000.00 3000 -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 - -

6,190.00 - -

5,170.00 - -

3,260.00 65,200.00 20 -

3,642.00 - -
3,642.00 - -

212.00 - -

235.00 - -

2,860.00 - -

2,624.60 - -

275.00 - -

120.00 - -

46.00 92,000.00 2000 -

120.00 - -

54.00 - -

117.00 58,500.00 500 -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 - -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 - -

3,630.00 - -
 429.00 - -

454.00 - -

770.00 - -

159.00 - -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 - -

626.00 - -

143.00 - -

1,465.00 - -

2,439.00 121,950.00 50 -

1,465.00 - -

5,900.00 - -

4,325.00 - -
 5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 52,000.00 1000 -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 - -

3,061.00 - -

968.00 - -

1,210.00 - -

1,210.00 - -

77.00 - -

36.00 - -

77.00 154,000.00 2000 -

1,200.00 - -

5,720.00 - -

86.00 - -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 - -

280.00 - -

264.00 - -

75.00 - -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 - -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 - -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 - -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 - -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 - -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 - -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 29,370.00 10 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 - -

3,150.00 - -

3,300.00 - -

3,300.00 - -

830,000.00 - -

650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 43,000.00 500 -

137.00 - -

235.00 - -

212.00 - -

207.00 - -

123.00 61,500.00 500 -

 207.00 - -

99.00 198,000.00 2000 -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 - -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -

2,533.00 - -

2,325.00 - -

2,533.00 - -

242.00 - -

198.00 - -

195.00 - -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 - -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 - -

154.00 - -

154.00 - -

60.00 - -

63.00 - -

99.00 - -

132.00 - -

75.00 225,000.00 3000 -

661.00 - -

212.00 - -

661.00 - -

250.00 - -

216.00 - -

250.00 - -

2,399.00 - -
2,577.00 - -

286.00 - -

260.00 - -

1,089.00 - -

1,089.00 - -

923.00 - -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 - -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 421,700.00 50 -

8,800.00 - -

8,875.00 - -

8,800.00 - -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 - -

1,315.00 - -

1,403.00 - -

1,405.00 - -

1,405.00 - -

132.00 - -

81.00 - -

176.00 - -
 136.00 - -

117.00 - -

136.00 - -

3,796.00 - -

4,700.00 - -

3,796.00 - -

148.00 - -

148.00 148,000.00 1000 -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 - -

3,399.00 - -

1,069.00 - -

3,399.00 - -

89.00 - -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 77,000.00 1000 -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 - -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 - -

145.00 - -

220.00 - -

109.00 109,000.00 1000 -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 - -

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 - -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 - -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 - -

2,774.00 - -

1,248.00 - -

1,232.00 123,200.00 100 -

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 51,600.00 400 -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 - -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 - -

5,204.00 - -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 825,000.00 5000 -

150.00 - -

20,700.00 - -

542.00 - -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 - -

79.00 39,500.00 500 -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 - -

440.00 - -

440.00 - -

190,000.00 - -

235.95 - -

198.00 - -

210.00 210,000.00 1000 -

 85.00 - -

1,188.00 - -

858.00 - -

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 - -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 - -

3,017.00 - -

1,475.00 - -

11,825.00 - -
11,466.00 - -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 - -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 44,000.00 1000 -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 - -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 - -

330.00 - -

310.00 - -

331.00 - -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 - -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 180,000.00 3000 -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 - -

2,200,000.00 - -

- -

- -

1,248.88 124,888.47 100 -

1,335.02 - -

1,033.56 - -

1,205.82 602,910.00 500 -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 - -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
248,000.00 200

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 - -

155.91 - -

124.48 - -

17,958.11 - -

10,980.20 - -

17,958.11 - -

33,785.00 - -

35,285.00 - -

33,785.00 - -

35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 1,216,260.00 36 -
35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 - 20 (20)

14,109.30 282,186.00 20 -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 - -

6,217.12 - -

5,856.00 - -

6,217.12 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 143,550.00 20 -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 - -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 - -

164,456.11 - -

8,109.49 - -

8,109.33 - -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 187,500.00 20 -

2,475.75 - -

2,582.13 - -

2,571.75 - -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 - -

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 - -

23,385.00 - -

9,164.00 - -

9,280.00 464,000.00 50 -

9,164.00 - -

5,568.00 - -

7,308.00 - -

9,280.00 - -
 5,699.98 683,997.83 120

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 - -

17,550.00 - -

3,900.00 - -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 - -

88,475.81 - -

34,091.80 - -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 - -

177,125.00 - -

128,625.00 - -

218,125.00 - -

13,140.60 - -
 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -

4,720.00 - -

4,720.00 - -

12,859.00 - -

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 - -

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 - -

1,355,200.00 - -

1,463,000.00 - -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

177.24 - -

159.06 - -

1,724.80 862,400.00 500 -

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 1,699,544.62 500 -

1,405.00 - -

12,500.00 - -

10,783,756.92
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020 1000

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021 200

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 3000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 8000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021 200
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 7000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018 24
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021 30
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 5000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 3000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021 50

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021 300

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019 600

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021 600

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 4000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021 150

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 3000
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021 500

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021 24

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 300

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 30

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021 48

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 500

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020 120

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 3000

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021 3000

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021 600

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021 300

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021 200

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 50
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020 90

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020 2000

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 2000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019 500

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021 3000

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 1000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019 50

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 1000

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020 200
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021 250
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 5000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 2000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 2000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019 100

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020 500

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021 20

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019 250
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 1000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 2000

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018 2000

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021 100

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020 20

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020 100
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021 25

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 50

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021 500

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 1000

Handschoon size M Piece

91 DAK 2021

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 105,000.00 1000 -

88.00 - -

3,850.00 - -

2,750.00 550,000.00 200 -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 - -

80.00 - -
 55.00 165,000.00 3000 -

80.00 - -

265.00 - -

231.00 1,848,000.00 8000 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 410,000.00 200 -

3,604.00 - -

3,846.00 - -

3,510.00 - -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 378,000.00 7000 -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 - -

6,190.00 - -

5,170.00 124,080.00 24 -

3,260.00 97,800.00 30 -

3,642.00 - -
3,642.00 - -

212.00 - -

235.00 - -

2,860.00 - -

2,624.60 - -

275.00 - -

120.00 - -

46.00 230,000.00 5000 -

120.00 - -

54.00 - -

117.00 351,000.00 3000 -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 - -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 169,400.00 50 -

3,630.00 - -
 429.00 128,700.00 300 -

454.00 - -

770.00 - -

159.00 95,400.00 600 -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 55,200.00 600 -

626.00 - -

143.00 - -

1,465.00 - -

2,439.00 - -

1,465.00 - -

5,900.00 - -

4,325.00 - -
 5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 208,000.00 4000 -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 332,250.00 150 -

3,061.00 - -

968.00 - -

1,210.00 - -

1,210.00 - -

77.00 - -

36.00 - -

77.00 231,000.00 3000 -

1,200.00 - -

5,720.00 - -

86.00 - -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 - -

280.00 - -

264.00 - -

75.00 37,500.00 500 -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 - -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 - -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 - -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 79,200.00 24 -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 66,000.00 300 -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 - -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 88,110.00 30 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 248,160.00 48 -

3,150.00 - -

3,300.00 - -

3,300.00 - -

830,000.00 - -

650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 43,000.00 500 -

137.00 - -

235.00 - -

212.00 - -

207.00 - -

123.00 - -
 207.00 - -

99.00 - -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 - -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -

2,533.00 - -

2,325.00 - -

2,533.00 303,960.00 120 -

242.00 - -

198.00 - -

195.00 585,000.00 3000 -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 - -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 - -

154.00 - -

154.00 - -

60.00 180,000.00 3000 -

63.00 - -

99.00 - -

132.00 - -

75.00 - -

661.00 - -

212.00 - -

661.00 - -

250.00 - -

216.00 129,600.00 600 -

250.00 - -

2,399.00 - -
2,577.00 - -

286.00 - -

260.00 78,000.00 300 -

1,089.00 - -

1,089.00 - -

923.00 - -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 113,100.00 200 -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 421,700.00 50 -

8,800.00 - -

8,875.00 - -

8,800.00 - -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 - -

1,315.00 - -

1,403.00 - -

1,405.00 126,450.00 90 -

1,405.00 - -

132.00 - -

81.00 - -

176.00 - -
 136.00 - -

117.00 - -

136.00 272,000.00 2000 -

3,796.00 - -

4,700.00 - -

3,796.00 - -

148.00 - -

148.00 296,000.00 2000 -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 - -

3,399.00 - -

1,069.00 - -

3,399.00 - -

89.00 44,500.00 500 -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 231,000.00 3000 -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 - -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 - -

145.00 - -

220.00 - -

109.00 109,000.00 1000 -

6,410.00 - -

6,840.00 - 100 (100)

107.00 - -

114.00 - -

627.00 - -

645.00 - -

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 - -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 - -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 138,700.00 50 -

2,774.00 - -

1,248.00 - -

1,232.00 - -

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 129,000.00 1000 -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 - -

13,200.00 - -

2,971.00 594,200.00 200 -

1,238.00 - -

1,160.00 290,000.00 250 -

5,204.00 - -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 825,000.00 5000 -

150.00 - -

20,700.00 - -

542.00 - -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 396,000.00 2000 -

79.00 - -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 - -

440.00 - -

440.00 - -

190,000.00 - -

235.95 - -

198.00 - -

210.00 420,000.00 2000 -

 85.00 - -

1,188.00 - -

858.00 - -

1,188.00 - -

331.00 - -

596.00 - -

985.00 98,500.00 100 -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 66,000.00 500 -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 - -

3,017.00 - -

1,475.00 29,500.00 20 -

11,825.00 - -
11,466.00 - -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 1,090,000.00 240 10

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 44,000.00 1000 -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 146,000.00 2000 -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 - -

330.00 - -

310.00 - -

331.00 - -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 176,000.00 2000 -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 - -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 - -

2,200,000.00 - -

- -

- -

1,248.88 - -

1,335.02 - -

1,033.56 - -

1,205.82 - -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 - -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
- -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 - -

155.91 - -

124.48 - -

17,958.11 - -

10,980.20 - -

17,958.11 - -

33,785.00 - -

35,285.00 - -

33,785.00 - -

35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -
35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 - -

14,109.30 - -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 - -

6,217.12 - -

5,856.00 - -

6,217.12 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 - -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 - -

164,456.11 - -

8,109.49 - -

8,109.33 - -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 937,500.00 100 -

2,475.75 - -

2,582.13 - -

2,571.75 - -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 1,565,710.94 20 -

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 - -

23,385.00 - -

9,164.00 - -

9,280.00 - -

9,164.00 - -

5,568.00 - -

7,308.00 - -

9,280.00 - -
 5,699.98 - -

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 - -

17,550.00 - -

3,900.00 - -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 - -

88,475.81 - -

34,091.80 - -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 - -

177,125.00 - -

128,625.00 - -

218,125.00 - -

13,140.60 1,314,060.40 100 -

 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -

4,720.00 - 25 (25)

4,720.00 - -

12,859.00 321,475.00 25

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 309,308.00 50 -

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 - -

1,355,200.00 - -

1,463,000.00 - -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

177.24 - -

159.06 - -

1,724.80 862,400.00 500 -

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 3,399,089.24 1000 -

1,405.00 - -

12,500.00 - -

22,083,553.58 (90)
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021 50

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 1000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 1000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 1500
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 500

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021 200

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019 200

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020 20

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 50

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021 10
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 1000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021 50

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 200
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020 48

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 1000

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021 1000

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021 90

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 1000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 1000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 2000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 300

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 1000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018 500

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 2000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021 100

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019 300

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019 50

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021 30

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020 3

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021 3

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020 75
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 25

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020 75

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020 75

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 300

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 - -

88.00 - -

3,850.00 - -

2,750.00 137,500.00 50 -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 - -

80.00 - -
 55.00 55,000.00 1000 -

80.00 - -

265.00 - -

231.00 231,000.00 1000 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 - -

3,604.00 - -

3,846.00 - -

3,510.00 - -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 81,000.00 1500 -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 - -

6,190.00 - -

5,170.00 - -

3,260.00 - -

3,642.00 - -
3,642.00 - -

212.00 - -

235.00 - -

2,860.00 - -

2,624.60 - -

275.00 - -

120.00 - -

46.00 23,000.00 500 -

120.00 - -

54.00 - -

117.00 - -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 - -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 - -

3,630.00 - -
 429.00 85,800.00 200 -

454.00 - -

770.00 - -

159.00 31,800.00 200 -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 60,000.00 20 -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 - -

626.00 - -

143.00 - -

1,465.00 - -

2,439.00 121,950.00 50 -

1,465.00 - -

5,900.00 - -

4,325.00 43,250.00 10 -
 5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 52,000.00 1000 -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 110,750.00 50 -

3,061.00 - -

968.00 - -

1,210.00 - -

1,210.00 - -

77.00 - -

36.00 - -

77.00 - -

1,200.00 - -

5,720.00 - -

86.00 - -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 - -

280.00 - -

264.00 - -

75.00 - -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 - -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 - -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 - -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 - -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 - -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 - -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 29,370.00 10 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 - -

3,150.00 - -

3,300.00 - -

3,300.00 - -

830,000.00 - -

650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 - -

137.00 - -

235.00 - -

212.00 - -

207.00 - -

123.00 24,600.00 200 -

 207.00 - -

99.00 - -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 - -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -

2,533.00 - -

2,325.00 - -

2,533.00 121,584.00 48 -

242.00 - -

198.00 - -

195.00 195,000.00 1000 -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 - -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 - -

154.00 - -

154.00 - -

60.00 60,000.00 1000 -

63.00 - -

99.00 - -

132.00 - -

75.00 - -

661.00 - -

212.00 19,080.00 90 -

661.00 - -

250.00 - -

216.00 - -

250.00 - -

2,399.00 - -
2,577.00 - -

286.00 - -

260.00 - -

1,089.00 - -

1,089.00 - -

923.00 - -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 - -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 - -

8,800.00 - -

8,875.00 - -

8,800.00 - -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 - -

1,315.00 - -

1,403.00 - -

1,405.00 - -

1,405.00 - -

132.00 - -

81.00 - -

176.00 - -
 136.00 - -

117.00 - -

136.00 - -

3,796.00 - -

4,700.00 - -

3,796.00 - -

148.00 - -

148.00 148,000.00 1000 -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 - -

3,399.00 - -

1,069.00 - -

3,399.00 - -

89.00 - -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 - -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 - -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 - -

145.00 - -

220.00 - -

109.00 109,000.00 1000 -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 - -

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 - -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 - -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 - -

2,774.00 - -

1,248.00 - -

1,232.00 - -

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 51,600.00 400 -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 - -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 - -

5,204.00 - -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 330,000.00 2000 -

150.00 - -

20,700.00 - -

542.00 - -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 59,400.00 300 -

79.00 - -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 - -

440.00 - -

440.00 - -

190,000.00 - -

235.95 - -

198.00 - -

210.00 - -
 85.00 - -

1,188.00 - -

858.00 - -

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 - -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 - -

3,017.00 - -

1,475.00 - -

11,825.00 - -
11,466.00 - -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 - -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 44,000.00 1000 -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 - -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 - -

330.00 - -

310.00 - -

331.00 - -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 44,000.00 500 -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 120,000.00 2000 -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 - -

2,200,000.00 - -

- -

- -

1,248.88 124,888.47 100 -

1,335.02 - -

1,033.56 - -

1,205.82 361,746.00 300 -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 - -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
- -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 - -

155.91 - -

124.48 - -

17,958.11 - -

10,980.20 - -

17,958.11 - -

33,785.00 - -

35,285.00 - -

33,785.00 - -

35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -
35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 - -

14,109.30 - -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 - -

6,217.12 - -

5,856.00 - -

6,217.12 310,856.00 50 -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 - -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 - -

164,456.11 - -

8,109.49 - -

8,109.33 - -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 281,250.00 30 -

2,475.75 - -

2,582.13 - -

2,571.75 - -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 - -

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 - -

23,385.00 - -

9,164.00 - -

9,280.00 - -

9,164.00 - -

5,568.00 - -

7,308.00 - -

9,280.00 - -
 5,699.98 - -

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 - -

17,550.00 - -

3,900.00 - -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 186,648.54 3 -

88,475.81 - -

34,091.80 102,275.40 3 -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 - -

177,125.00 - -

128,625.00 - -

218,125.00 - -

13,140.60 985,545.30 75 -
 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -

4,720.00 - -

4,720.00 - -

12,859.00 - -

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 154,654.00 25 -

9,048.18 - -

10,967.00 822,525.00 75 -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 966,183.53 75 -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 - -

1,355,200.00 - -

1,463,000.00 - -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

177.24 - -

159.06 - -

1,724.80 - 500 (500)

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 1,019,726.77 300 -

1,405.00 702,500.00 500

12,500.00 - -

8,407,483.01 -
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021 50

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019 500

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 3000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 3000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021 100
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 2000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021 300

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 50

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021 100

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 200
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 3000

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 1000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021 2000

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019 300

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 1000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021 100

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021 20
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021 100
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 3000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020 500

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 1000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020 500

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020 20
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021 5

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019 100
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 2000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 2000

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 3000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019 500

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020 2000

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020 500

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020 24

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019 10

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021 24
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 60

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021 10

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020 120

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021 3

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021 1

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021 1

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021 1

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021 1

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 25

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 500

Handschoon size M Piece

91 DAK 2021 1000

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 - -

88.00 - -

3,850.00 - -

2,750.00 137,500.00 50 -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 84,000.00 500 -

80.00 - -
 55.00 165,000.00 3000 -

80.00 - -

265.00 - -

231.00 693,000.00 3000 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 205,000.00 100 -

3,604.00 - -

3,846.00 - -

3,510.00 - -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 108,000.00 2000 -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 - -

6,190.00 - -

5,170.00 - -

3,260.00 - -

3,642.00 - -
3,642.00 - -

212.00 - -

235.00 - -

2,860.00 - -

2,624.60 - -

275.00 - -

120.00 - -

46.00 - -

120.00 - -

54.00 - -

117.00 - -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 - -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 - -

3,630.00 - -
 429.00 - -

454.00 - -

770.00 - -

159.00 - -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 - -

626.00 - -

143.00 42,900.00 300 -

1,465.00 - -

2,439.00 121,950.00 50 -

1,465.00 - -

5,900.00 - -

4,325.00 - -
 5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 - -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 221,500.00 100 -

3,061.00 - -

968.00 - -

1,210.00 - -

1,210.00 - -

77.00 - -

36.00 - -

77.00 - -

1,200.00 - -

5,720.00 - -

86.00 - -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 - -

280.00 - -

264.00 - -

75.00 - -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 - -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 - -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 - -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 - -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 - -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 - -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 29,370.00 10 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 - -

3,150.00 - -

3,300.00 - -

3,300.00 - -

830,000.00 - -

650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 - -

137.00 - -

235.00 - -

212.00 - -

207.00 - -

123.00 24,600.00 200 -

 207.00 - -

99.00 - -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 - -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -

2,533.00 - -

2,325.00 - -

2,533.00 - -

242.00 - -

198.00 - -

195.00 - -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 - -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 - -

154.00 - -

154.00 - -

60.00 - -

63.00 - -

99.00 - -

132.00 - -

75.00 225,000.00 3000 -

661.00 - -

212.00 - -

661.00 - -

250.00 - -

216.00 - -

250.00 - -

2,399.00 - -
2,577.00 - -

286.00 - -

260.00 - -

1,089.00 - -

1,089.00 - -

923.00 - -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 - -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 - -

8,800.00 - -

8,875.00 - -

8,800.00 - -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 - -

1,315.00 - -

1,403.00 - -

1,405.00 - -

1,405.00 - -

132.00 - -

81.00 - -

176.00 - -
 136.00 - -

117.00 - -

136.00 - -

3,796.00 - -

4,700.00 - -

3,796.00 - -

148.00 - -

148.00 148,000.00 1000 -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 - -

3,399.00 - -

1,069.00 - -

3,399.00 - -

89.00 - -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 154,000.00 2000 -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 75,900.00 300 -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 - -

145.00 - -

220.00 - -

109.00 109,000.00 1000 -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 - -

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 - -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 - -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 - -

2,774.00 - -

1,248.00 124,800.00 100 -

1,232.00 - -

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 51,600.00 400 -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 19,260.00 20 -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 116,000.00 100 -

5,204.00 - -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 495,000.00 3000 -

150.00 - -

20,700.00 - -

542.00 - -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 - -

79.00 39,500.00 500 -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 - -

440.00 - -

440.00 - -

190,000.00 - -

235.95 - -

198.00 - -

210.00 210,000.00 1000 -

 85.00 - -

1,188.00 - -

858.00 - -

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 66,000.00 500 -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 220,000.00 20 -

3,017.00 - -

1,475.00 - -

11,825.00 - -
11,466.00 57,330.00 5 -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 436,000.00 100 -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 88,000.00 2000 -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 146,000.00 2000 -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 - -

330.00 - -

310.00 - -

331.00 - -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 - -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 180,000.00 3000 -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 - -

2,200,000.00 - -

- -

- -

1,248.88 - -

1,335.02 - -

1,033.56 - -

1,205.82 602,910.00 500 -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 - -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
- -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 519,035.38 2000 -

155.91 - -

124.48 62,238.00 500 -

17,958.11 - -

10,980.20 - -

17,958.11 - -

33,785.00 - -

35,285.00 - -

33,785.00 - -

35,285.00 846,840.00 24 -

26,941.00 - -

28,019.00 - -

33,785.00 - -
35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 - -

14,109.30 141,093.00 10 -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 - -

6,217.12 - -

5,856.00 - -

6,217.12 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 - -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 - -

164,456.11 - -

8,109.49 - -

8,109.33 - -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 - -

2,475.75 - -

2,582.13 - -

2,571.75 - -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 - -

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 408,576.00 24 -

23,385.00 - -

9,164.00 - -

9,280.00 556,800.00 60 -

9,164.00 - -

5,568.00 - -

7,308.00 73,080.00 10 -

9,280.00 - -
 5,699.98 683,997.83 120 -

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 - -

17,550.00 - -

3,900.00 - -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 - -

88,475.81 - -

34,091.80 102,275.40 3 -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 128,625.00 1 -

177,125.00 177,125.00 1 -

128,625.00 128,625.00 1 -

218,125.00 218,125.00 1 -

13,140.60 - -
 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -

4,720.00 - -

4,720.00 - -

12,859.00 - -

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 154,654.00 25 -

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 - -

1,355,200.00 - -

1,463,000.00 - -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

177.24 - -

159.06 - -

1,724.80 - 500 (500)

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 1,699,544.62 500 -

1,405.00 1,405,000.00 500 500

12,500.00 - -

12,702,754.23 -
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 2000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021 100
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021 100
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 3000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021 25
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021 20
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 2000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 3000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021 500
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021 200

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021 1000

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 50

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 1000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021 50

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020 100

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 2000
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021 1000

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018 1000

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 500

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020 24

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020 300

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 1000
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019 1000

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 2000

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021 200

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021 1000

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 1000

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021 150

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021 10

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 25
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019 25
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 2000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021 100

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021 1000

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021 24

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 1000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021 600

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021 20
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021 200
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 3000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 1000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 3000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021 20

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 3000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 1000

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018 2000

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 3000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020 500

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019 10

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021 30

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 50

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021 500

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 1000

Handschoon size M Piece

91 DAK 2021

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 - -

88.00 - -

3,850.00 - -

2,750.00 - -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 - -

80.00 - -
 55.00 - -

80.00 - -

265.00 - -

231.00 462,000.00 2000 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 205,000.00 100 -

3,604.00 - -

3,846.00 - -

3,510.00 351,000.00 100 -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 162,000.00 3000 -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 126,500.00 25 -

6,190.00 - -

5,170.00 - -

3,260.00 65,200.00 20 -

3,642.00 - -
3,642.00 - -

212.00 - -

235.00 - -

2,860.00 - -

2,624.60 - -

275.00 - -

120.00 - -

46.00 92,000.00 2000 -

120.00 - -

54.00 - -

117.00 351,000.00 3000 -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 44,500.00 500 -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 - -

3,630.00 - -
 429.00 85,800.00 200 -

454.00 - -

770.00 - -

159.00 - -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 92,000.00 1000 -

626.00 - -

143.00 - -

1,465.00 - -

2,439.00 121,950.00 50 -

1,465.00 - -

5,900.00 - -

4,325.00 - -
 5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 52,000.00 1000 -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 110,750.00 50 -

3,061.00 - -

968.00 - 100 (100)

1,210.00 - -

1,210.00 121,000.00 100

77.00 - -

36.00 - -

77.00 154,000.00 2000 -

1,200.00 - -

5,720.00 - -

86.00 - -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 - -

280.00 - -

264.00 - -

75.00 75,000.00 1000 -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 - -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 781,000.00 1000 -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 - -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 - -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 110,000.00 500 -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 - -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 29,370.00 10 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 - -

3,150.00 - -

3,300.00 - -

3,300.00 79,200.00 24 -

830,000.00 - -

650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 - -

137.00 - -

235.00 70,500.00 300 -

212.00 - -

207.00 - -

123.00 123,000.00 1000 -

 207.00 - -

99.00 99,000.00 1000 -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 - -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -

2,533.00 - -

2,325.00 - -

2,533.00 - -

242.00 - -

198.00 - -

195.00 390,000.00 2000 -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 - -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 19,800.00 200 -

154.00 - -

154.00 - -

60.00 60,000.00 1000 -

63.00 - -

99.00 - -

132.00 - -

75.00 75,000.00 1000 -

661.00 - -

212.00 31,800.00 150 -

661.00 - -

250.00 - -

216.00 - -

250.00 - -

2,399.00 - -
2,577.00 - -

286.00 - -

260.00 - -

1,089.00 - -

1,089.00 - -

923.00 9,230.00 10 -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 - -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 210,850.00 25 -

8,800.00 - -

8,875.00 - -

8,800.00 220,000.00 25 -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 - -

1,315.00 - -

1,403.00 - -

1,405.00 - -

1,405.00 - -

132.00 - -

81.00 - -

176.00 - -
 136.00 - -

117.00 - -

136.00 - -

3,796.00 - -

4,700.00 - -

3,796.00 - -

148.00 - -

148.00 296,000.00 2000 -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 21,400.00 100 -

3,399.00 - -

1,069.00 - -

3,399.00 - -

89.00 - -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 77,000.00 1000 -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 - -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 45,600.00 24 -

145.00 - -

220.00 - -

109.00 109,000.00 1000 -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 - -

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 190,200.00 600 -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 - -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 - -

2,774.00 - -

1,248.00 - -

1,232.00 - -

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 51,600.00 400 -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 19,260.00 20 -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 232,000.00 200 -

5,204.00 - -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 495,000.00 3000 -

150.00 - -

20,700.00 - -

542.00 - -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 198,000.00 1000 -

79.00 - -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 - -

440.00 - -

440.00 - -

190,000.00 - -

235.95 - -

198.00 - -

210.00 630,000.00 3000 -

 85.00 - -

1,188.00 - -

858.00 - -

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 - -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 - -

3,017.00 - -

1,475.00 29,500.00 20 -

11,825.00 - -
11,466.00 - -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 - -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 132,000.00 3000 -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 73,000.00 1000 -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 - -

330.00 - -

310.00 - -

331.00 - -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 176,000.00 2000 -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 180,000.00 3000 -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 302,000.00 500 -

2,200,000.00 - -

- -

- -

1,248.88 - -

1,335.02 - -

1,033.56 - -

1,205.82 - -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 - -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
- -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 - -

155.91 - -

124.48 - -

17,958.11 - -

10,980.20 - -

17,958.11 - -

33,785.00 - -

35,285.00 - -

33,785.00 - -

35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -
35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 - -

14,109.30 - -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 - -

6,217.12 - -

5,856.00 - -

6,217.12 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 277,250.00 10 -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 - -

164,456.11 - -

8,109.49 - -

8,109.33 - -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 281,250.00 30 -

2,475.75 - -

2,582.13 - -

2,571.75 - -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 - -

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 - -

23,385.00 - -

9,164.00 - -

9,280.00 464,000.00 50 -

9,164.00 - -

5,568.00 - -

7,308.00 - -

9,280.00 - -
 5,699.98 - -

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 - -

17,550.00 - -

3,900.00 - -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 - -

88,475.81 - -

34,091.80 - -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 - -

177,125.00 - -

128,625.00 - -

218,125.00 - -

13,140.60 - -
 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -

4,720.00 - -

4,720.00 - -

12,859.00 - -

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 - -

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 - -

1,355,200.00 - -

1,463,000.00 - -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

177.24 - -

159.06 - -

1,724.80 862,400.00 300 200

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 3,399,089.24 1000 -

1,405.00 - -

12,500.00 - -

13,521,999.24 200
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020 500

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021 300

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 25

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 500

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018 500

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 500

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 500

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 1000

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 2000

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021 1000

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021 10

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 1000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021 30

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 2000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 4000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021 10

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 1500
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020 100

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 3000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019 20

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020 500

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020 500

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020 50

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020 50

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019 5

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020 120

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 25

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021 500

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 300

Handschoon size M Piece

91 DAK 2021

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - 0

89.00 - 0 0

105.00 52,500.00 500 0

88.00 - 0

3,850.00 - 0

2,750.00 - 0

4,525.00 - 0

143.00 - 0

144.00 - 0

150.00 - 0

2,736.00 - 0

3,071.00 - 0

101.00 - 0

101.00 - 0

363.00 - 0

168.00 - 0

168.00 - 0

80.00 - 0
 55.00 - 0

80.00 - 0

265.00 - 0

231.00 - 0

266.00 - 0

3,300.00 - 0

1,919.00 - 0

5,850.00 - 0

2,050.00 - 0

3,604.00 - 0

3,846.00 - 0

3,510.00 - 0

2,239.00 - 0

2,098.00 - 0

1,756.00 - 0

54.00 - 0

60.00 - 0

60.00 - 0

6,160.00 - 0

5,060.00 - 0

6,190.00 - 0

5,170.00 - 0

3,260.00 - 0

3,642.00 - 0
3,642.00 - 0

212.00 - 0

235.00 - 0

2,860.00 - 0

2,624.60 - 0

275.00 - 0

120.00 - 0

46.00 - 0

120.00 - 0

54.00 - 0

117.00 - 0

286.00 - 0

286.00 - 0

1,784.00 - 0

1,784.00 - 0

198.00 - 0

1,880.00 - 0

2,374.00 - 0

89.00 - 0

105.00 - 0

440.00 - 0

3,630.00 - 0

3,388.00 - 0

3,630.00 - 0
 429.00 - 0

454.00 - 0

770.00 - 0

159.00 - 0

505.00 - 0

1,859.00 - 0

1,778.00 - 0

409.00 - 0

2,662.00 - 0

2,750.00 - 0

3,000.00 - 0

83,190.00 - 0

83,190.00 - 0

83,190.00 - 0

119.00 - 0

119.00 - 0

92.00 - 0

626.00 - 0

143.00 42,900.00 300 0

1,465.00 - 0

2,439.00 60,975.00 25 0

1,465.00 - 0

5,900.00 - 0

4,325.00 - 0
 5,900.00 - 0

6,000.00 - 0

5,085.00 - 0

17,875.00 - 0

52.00 26,000.00 500 0

104.00 - 0

104.00 - 0

3,061.00 - 0

2,215.00 - 0

3,061.00 - 0

968.00 - 0

1,210.00 - 0

1,210.00 - 0

77.00 - 0

36.00 - 0

77.00 - 0

1,200.00 - 0

5,720.00 - 0

86.00 - 0

86.00 - 0

1,913.00 - 0

1,913.00 - 0

1,913.00 - 0

21,021.00 - 0
21,021.00 - 0

14,459.00 - 0

14,459.00 - 0

14,459.00 - 0

1,347.00 - 0

1,347.00 - 0

825.00 - 0

143.00 - 0

280.00 - 0

264.00 - 0

75.00 - 0

96.00 - 0

96.00 - 0

2,862.00 - 0

5,500.00 - 0

2,862.00 - 0

2,401.00 - 0

1,088.00 - 0

1,740.00 - 0

1,518.00 - 0

1,518.00 - 0

781.00 390,500.00 500 0

7,436.00 - 0

400.00 - 0
165,000.00 - 0

175,000.00 - 0

21,648.00 - 0

20,175.00 - 0

197.00 - 0

197.00 - 0

2,764.00 - 0

3,300.00 - 0

3,630.00 - 0

1,914.23 - 0

4,236.00 - 0

873.00 - 0

14,738.00 - 0

15,675.00 - 0

15,675.00 - 0

111.00 - 0

84.00 - 0

220.00 110,000.00 500 0

1,555.00 - 0

1,555.00 - 0

969.00 - 0

1,122.00 - 0

1,055.00 - 0

4,400.00 - 0
 281.00 - 0

286.00 - 0

280.00 - 0

3,300.00 - 0

3,300.00 - 0

2,937.00 29,370.00 10 0

4,885.00 - 0

4,885.00 - 0

4,885.00 - 0

5,170.00 - 0

3,150.00 - 0

3,300.00 - 0

3,300.00 - 0

830,000.00 - 0

650,000.00 - 0

940,000.00 - 0

475,000.22 - 0

137.00 - 0

86.00 43,000.00 500 0

137.00 - 0

235.00 - 0

212.00 - 0

207.00 - 0

123.00 - 0
 207.00 - 0

99.00 - 0

79.50 - 0

8,003.00 - 0

7,363.00 - 0

6,900.00 - 0

266.00 - 0

59.00 - 0

59.00 - 0

101,300.00 - 0

101,300.00 - 0

101,300.00 - 0

1,325,000.00 - 0

1,325,000.00 - 0

1,375,000.00 - 0

171.00 - 0

2,533.00 - 0

2,325.00 - 0

2,533.00 - 0

242.00 - 0

198.00 - 0

195.00 195,000.00 1000 0

264.00 - 0

330.00 - 0
 127.00 - 0

8,400.00 - 0

2,520.00 - 0

2,339.00 - 0

99.00 - 0

99.00 - 0

77.00 - 0

198.00 - 0

198.00 - 0

99.00 - 0

154.00 - 0

154.00 - 0

60.00 - 0

63.00 - 0

99.00 - 0

132.00 - 0

75.00 150,000.00 2000 0

661.00 - 0

212.00 - 0

661.00 - 0

250.00 - 0

216.00 216,000.00 1000 0

250.00 - 0

2,399.00 - 0
2,577.00 - 0

286.00 - 0

260.00 - 0

1,089.00 - 0

1,089.00 - 0

923.00 - 0

1,870.00 - 0

583.00 - 0

1,875.00 - 0

1,568.00 - 0

1,469.00 - 0

1,568.00 - 0

502.29 - 0

565.50 - 0

5,170.00 - 0

2,054.00 - 0

2,054.00 - 0

5,352.00 53,520.00 10 0

5,319.00 - 0

8,875.00 - 0

8,434.00 - 0

8,800.00 - 0

8,875.00 - 0

8,800.00 - 0
6,600.00 - 0

24.00 - 0

24.00 - 0

1,531.00 - 0

1,531.00 - 0

1,435.00 - 0

242.00 - 0

170.00 - 0

234.03 - 0

181.00 - 0

1,121.00 - 0

1,550.00 - 0

2,052.00 - 0

2,190.00 - 0

299.00 - 0

319.00 - 0

847.00 - 0

1,315.00 - 0

1,403.00 - 0

1,405.00 - 0

1,405.00 - 0

132.00 - 0

81.00 - 0

176.00 - 0
 136.00 - 0

117.00 - 0

136.00 - 0

3,796.00 - 0

4,700.00 - 0

3,796.00 - 0

148.00 - 0

148.00 148,000.00 1000 0

102.00 - 0

11,449.00 - 0

12,217.00 - 0

12,217.00 - 0

243.00 - 0

214.00 - 0

3,399.00 - 0

1,069.00 - 0

3,399.00 - 0

89.00 - 0

83.00 - 0

4,554.00 - 0

4,554.00 - 0

1,983.00 59,490.00 30 0

2,700.00 - 50 -50

6,750.00 - 0
 109.00 - 0

109.00 - 0

77.00 - 0

8,250.00 - 0

8,250.00 - 0

127.00 - 0

253.00 - 0

253.00 - 0

3,950.00 - 0

3,950.00 - 0

3,926.00 - 0

3,926.00 - 0

1,900.00 - 0

145.00 - 0

220.00 - 0

109.00 218,000.00 2000 0

6,410.00 - 0

6,840.00 - 0

107.00 - 0

114.00 - 0

627.00 - 0

645.00 - 0

971.00 - 0

971.00 - 0
 869.00 - 0

24,198.00 - 0

317.00 - 0

1,492,579.00 - 0

267,397.00 - 0

6,500.00 - 0

6,100.00 - 0

5,500.00 - 0

9,570.00 - 0

605.00 - 0

9,975.00 - 0

659.00 - 0

12,000.00 - 0

660.00 - 0

1,980.00 - 0

1,649.36 - 0

3,200.00 - 0

2,600.00 - 0

2,774.00 - 0

2,774.00 - 0

1,248.00 - 0

1,232.00 - 0

11,868.00 - 0

11,868.00 - 0
11,868.00 - 0

147.00 - 0

129.00 - 0

220.00 - 0

429.00 - 0

275.00 - 0

429.00 - 0

1,258.00 - 0

5,500.00 - 0

963.00 - 0

13,200.00 - 0

2,971.00 - 0

1,238.00 - 0

1,160.00 - 0

5,204.00 - 0

7,646.00 - 0

7,646.00 - 0

121.00 - 0

165.00 660,000.00 4000 0

150.00 - 0

20,700.00 - 0

542.00 - 0

505.00 - 0

505.00 - 0
 6,600.00 - 0

6,600.00 66,000.00 10 0

249.00 - 0

72.00 - 0

141.00 - 0

150.00 - 0

150.00 - 0

165.00 - 0

165.00 - 0

198.00 - 0

79.00 - 0

73.00 - 0

79.00 - 0

329.00 - 0

354.00 - 0

63.00 - 0

63.00 - 0

63.00 - 0

440.00 - 0

440.00 - 0

190,000.00 - 0

235.95 - 0

198.00 - 0

210.00 315,000.00 1500 0

 85.00 - 0

1,188.00 - 0

858.00 - 0

1,188.00 - 0

331.00 - 0

596.00 - 0

985.00 - 0

934.00 - 0

1,134.00 - 0

7,150.00 - 0

7,630.00 - 0

287.00 - 0

132.00 - 0

67.00 - 0

132.00 - 0

4,446.00 - 0

6,796.68 - 0

4,189.00 - 0

11,000.00 - 0

5,400.00 - 0

11,000.00 - 0

3,017.00 - 0

1,475.00 - 0

11,825.00 - 0
11,466.00 - 0

5,710.00 - 0

923.00 - 0

4,360.00 - 0

4,360.00 - 0

4,086.00 - 0

880.00 - 0

492.00 - 0

880.00 - 0

5,146.00 - 0

4,822.00 - 0

5,146.00 - 0

4,706.00 - 0

4,410.00 - 0

4,706.00 - 0

44.00 - 0

52.00 - 0

1,160.00 - 0

1,160.00 116,000.00 100 0

1,066.00 - 0

117.00 - 0

117.00 - 0

73.00 - 0

528.00 - 0
 281.00 - 0

512,204.00 - 0

512,204.00 - 0

517,132.00 - 0

130,999.00 - 0

130,999.00 - 0

130,999.00 - 0

5,980.00 - 0

7,338.00 - 0

7,338.00 - 0

983.00 - 0

330.00 - 0

330.00 - 0

310.00 - 0

331.00 - 0

847.00 - 0

832.50 - 0

7,150.00 - 0

11,000.00 - 0

94.00 - 0

88.00 - 0

660.00 - 0

329.68 - 0

1,764.00 - 0
 330.00 - 0

309.00 - 0

95.00 - 0

101.00 - 0

17,789.00 - 0

135.00 - 0

60.00 180,000.00 3000 0

135.00 - 0

3,285.00 - 0

2,489.00 - 0

604.00 - 0

253.00 - 0

604.00 - 0

2,200,000.00 - 0

- 0

- 0

1,248.88 - 0

1,335.02 - 0

1,033.56 - 0

1,205.82 - 0

1,205.82 - 0

1,277.60 - 0

1,263.24 - 0

1,693.89 - 0
 1,909.21 - 0

1,909.21 - 0

1,803.50 36,070.03 20

1,803.50 - 0
4,507.37
- 0
5,268.29
- 0
1,240.00
- 0

1,650.00 - 0

1,597.00 - 0

134.20 - 0

188.76 - 0

259.52 129,758.85 500 0

155.91 - 0

124.48 62,238.00 500 0

17,958.11 - 0

10,980.20 - 0

17,958.11 - 0

33,785.00 - 0

35,285.00 - 0

33,785.00 - 0

35,285.00 - 0

26,941.00 - 0

28,019.00 - 0

33,785.00 - 0
35,285.00 - 0

26,941.00 - 0

28,019.00 - 0

33,785.00 - 0

35,285.00 - 0

10,000.00 - 0

16,008.00 - 0

25,300.00 - 0

14,109.30 - 0

16,008.00 - 0

13,420.00 - 0

12,100.00 - 0

14,109.30 - 0

13,420.00 - 0

12,100.00 - 0

1,597.96 - 0

563.64 - 0

563.64 - 0

590.48 - 0

590.48 - 0

1,207.60 - 0

24,200.00 - 0

23,750.00 - 0

6,606.30 - 0
6,222.00 - 0

6,217.12 - 0

5,856.00 - 0

6,217.12 - 0

7,320.00 - 0

7,177.50 - 0

6,287.49 - 0

7,177.50 - 0

7,320.00 - 0

7,177.50 - 0

6,287.49 - 0

7,177.50 - 0

7,320.00 - 0

7,177.50 358,875.00 50 0

6,287.49 - 0

7,177.50 - 0

7,320.00 - 0

7,177.50 358,875.00 50 0

6,287.49 - 0

7,177.50 - 0

7,177.50 - 0

7,320.00 - 0

9,827.10 - 0

9,827.10 - 0
 9,394.00 - 0

28,750.00 - 0

27,725.00 138,625.00 5 0

34,228.40 - 0

33,900.00 - 0

149,040.00 - 0

141,400.00 - 0

149,040.00 - 0

164,456.11 - 0

8,109.49 - 0

8,109.33 - 0

10,000.00 - 0

8,903.23 - 0

6,390.00 - 0

9,375.00 - 0

2,475.75 - 0

2,582.13 - 0

2,571.75 - 0

2,856.89 - 0

3,636.36 - 0

412.50 - 0

671.78 - 0

3,100.00 - 0

3,000.00 - 0
 2,164.80 - 0

8,052.00 - 0

8,052.00 - 0

8,454.60 - 0

8,454.60 - 0

8,052.00 - 0

8,052.00 - 0

8,454.60 - 0

8,454.60 - 0

8,052.00 - 0

8,052.00 - 0

8,454.60 - 0

8,454.60 - 0

16,704.00 - 0

16,704.00 - 0

19,372.00 - 0

19,372.00 - 0

19,372.00 - 0

19,372.00 - 0

17,980.00 - 0

5,940.00 - 0

14,080.00 - 0

12,430.00 - 0

5,940.00 - 0
14,080.00 - 0

12,430.00 - 0

33,000.00 - 0

14,810.89 - 0

12,675.00 - 0

12,675.00 - 0

77,600.00 - 0

75,537.00 - 0

80,192.00 - 0

78,285.55 - 0

35,174.50 - 0

34,300.00 - 0

46,853.42 - 0

3,300.00 - 0

3,300.00 - 0

20,685.00 - 0

17,024.00 - 0

23,385.00 - 0

9,164.00 - 0

9,280.00 - 0

9,164.00 - 0

5,568.00 - 0

7,308.00 - 0

9,280.00 - 0
 5,699.98 683,997.83 120 0

5,533.00 - 0

9,400.00 - 0

53,300.00 - 0

51,500.00 - 0

27,300.00 - 0

27,300.00 - 0

17,550.00 - 0

3,900.00 - 0

6,089.00 - 0

9,400.00 - 0

36,955.20 - 0

137,137.86 - 0

81,832.79 - 0

62,216.18 - 0

88,475.81 - 0

34,091.80 - 0

79,315.50 - 0

141,417.00 - 0

83,038.00 - 0

64,785.00 - 0

63,840.00 - 0

70,917.00 - 0

- 0
 25,546.32 - 0

6,214.29 - 0

3,390.99 - 0

23,566.00 - 0

5,238.80 - 0

3,188.24 - 0

25,592.50 - 0

6,229.83 - 0

3,401.16 - 0

801,000.00 - 0

2,702,700.00 - 0

74,625.00 - 0

96,625.00 - 0

74,625.00 - 0

116,625.00 - 0

74,625.00 - 0

96,625.00 - 0

74,625.00 - 0

116,625.00 - 0

128,625.00 - 0

177,125.00 - 0

128,625.00 - 0

218,125.00 - 0

13,140.60 - 0
 15,297.00 - 0

15,297.00 - 0

13,655.00 - 0

1,296.00 - 0

1,150.00 - 0

1,306.25 - 0

4,720.00 - 0

4,720.00 - 0

12,859.00 - 0

53,180.00 - 0

53,180.00 - 0

21,720.00 - 0

9,048.17 - 0

6,186.16 154,654.00 25 0

9,048.18 - 0

10,967.00 - 0

10,967.00 - 0

10,967.00 - 0

28,768.50 - 0

12,882.45 - 0

423,500.00 - 0

1,135,000.00 - 0

1,463,000.00 - 0

338,800.00 - 0
1,232,000.00 - 0

1,355,200.00 - 0

423,500.00 - 0

1,355,200.00 - 0

1,463,000.00 - 0

4,250,665.17 - 0

2,774,860.00 - 0

3,699,850.00 - 0

4,250,665.00 - 0

2,774,860.00 - 0

3,699,850.00 - 0

19,175.00 - 0

22,775.00 - 0

40,848.33 - 0

30,697.00 - 0

18,500.00 - 0

73,625.00 - 0

73,625.00 - 0

73,625.00 - 0

73,625.00 - 0

73,625.00 - 0

73,625.00 - 0

73,625.00 - 0

73,625.00 - 0
116,781.00 - 0

116,781.00 - 0

116,781.00 - 0

116,781.00 - 0

116,781.00 - 0

116,781.00 - 0

116,781.00 - 0

116,781.00 - 0

177.24 - 0

159.06 - 0

1,724.80 862,400.00 500 0

12,575.84 - 0

9,164.00 - 0

60,605.88 - 0

11,745.66 - 0

11,318.86 - 0

254,400.00 - 0

3,399.09 1,019,726.77 300 0

1,405.00 - 0

12,500.00 - 0

6,937,475.48 -30
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020 1000

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 1000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 3000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 1000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 1000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 1000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019 1000

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021 300

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 1000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 2000
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018 1000

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 500

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 20

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021 24

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 1000

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 1000
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019 1000

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 1000

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021 50

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021 500

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021 500

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 1000

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021 300

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021 200

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 25
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021 300

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020 30

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021 500

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020 1000

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 1000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 1000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021 100

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 3000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021 200

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021 25

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 1000

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 1000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020 500

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019 10

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018 100
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019 200

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020 10

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 50

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020 120

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021 3

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020 1

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021 3

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021 800

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021

Handschoon size M Piece

91 DAK 2021

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 105,000.00 1000 -

88.00 - -

3,850.00 - -

2,750.00 - -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 - -

80.00 - -
 55.00 55,000.00 1000 -

80.00 - -

265.00 - -

231.00 693,000.00 3000 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 - -

3,604.00 - -

3,846.00 - -

3,510.00 - -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 54,000.00 1000 -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 - -

6,190.00 - -

5,170.00 - -

3,260.00 - -

3,642.00 - -
3,642.00 - -

212.00 - -

235.00 - -

2,860.00 - -

2,624.60 - -

275.00 - -

120.00 - -

46.00 46,000.00 1000 -

120.00 - -

54.00 - -

117.00 117,000.00 1000 -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 - -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 - -

3,630.00 - -
 429.00 - -

454.00 - -

770.00 - -

159.00 159,000.00 1000 -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 - -

626.00 - -

143.00 42,900.00 300 -

1,465.00 - -

2,439.00 - -

1,465.00 - -

5,900.00 - -

4,325.00 - -
 5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 52,000.00 1000 -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 - -

3,061.00 - -

968.00 - -

1,210.00 - -

1,210.00 - -

77.00 - -

36.00 - -

77.00 154,000.00 2000 -

1,200.00 - -

5,720.00 - -

86.00 - -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 - -

280.00 - -

264.00 - -

75.00 - -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 - -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 781,000.00 1000 -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 - -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 - -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 110,000.00 500 -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 - -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 58,740.00 20 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 124,080.00 24 -

3,150.00 - -

3,300.00 - -

3,300.00 - -

830,000.00 - -

650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 86,000.00 1000 -

137.00 - -

235.00 - -

212.00 - -

207.00 - -

123.00 123,000.00 1000 -

 207.00 - -

99.00 99,000.00 1000 -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 - -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -

2,533.00 - -

2,325.00 - -

2,533.00 - -

242.00 - -

198.00 - -

195.00 195,000.00 1000 -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 116,950.00 50 -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 49,500.00 500 -

154.00 - -

154.00 - -

60.00 30,000.00 500 -

63.00 - -

99.00 - -

132.00 - -

75.00 75,000.00 1000 -

661.00 - -

212.00 - -

661.00 - -

250.00 - -

216.00 - -

250.00 - -

2,399.00 - -
2,577.00 - -

286.00 - -

260.00 78,000.00 300 -

1,089.00 - -

1,089.00 - -

923.00 - -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 113,100.00 200 -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 210,850.00 25 -

8,800.00 - -

8,875.00 - -

8,800.00 - -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 254,100.00 300

1,315.00 - -

1,403.00 - -

1,405.00 42,150.00 30 -

1,405.00 - -

132.00 - -

81.00 40,500.00 500 -

176.00 - -
 136.00 - -

117.00 - -

136.00 136,000.00 1000 -

3,796.00 - -

4,700.00 - -

3,796.00 - -

148.00 - -

148.00 148,000.00 1000 -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 - -

3,399.00 - -

1,069.00 - -

3,399.00 - -

89.00 - -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 - -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 - -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 - -

145.00 - -

220.00 - -

109.00 109,000.00 1000 -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 - -

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 - -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 - -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 - -

2,774.00 - -

1,248.00 124,800.00 100

1,232.00 - -

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 51,600.00 400 -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 - -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 - -

5,204.00 - -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 495,000.00 3000 -

150.00 - -

20,700.00 - -

542.00 108,400.00 200 -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 - -

79.00 - -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 - -

440.00 - -

440.00 - -

190,000.00 - -

235.95 - -

198.00 - -

210.00 - -
 85.00 - -

1,188.00 - -

858.00 21,450.00 30 (5)

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 - -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 - -

3,017.00 - -

1,475.00 - -

11,825.00 - -
11,466.00 - -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 - -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 - -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 73,000.00 1000 -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 - -

330.00 - -

310.00 - -

331.00 - -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 - -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 60,000.00 1000 -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 - -

2,200,000.00 - -

- -

- -

1,248.88 - -

1,335.02 - -

1,033.56 - -

1,205.82 - -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 - -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
- -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 129,758.85 500 -

155.91 - -

124.48 - -

17,958.11 - -

10,980.20 - -

17,958.11 - -

33,785.00 - -

35,285.00 - -

33,785.00 - -

35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -
35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 - -

14,109.30 141,093.00 10 -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 622,200.00 100 -

6,217.12 - -

5,856.00 - -

6,217.12 1,243,424.00 200 -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 - -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 - -

164,456.11 - -

8,109.49 - -

8,109.33 - -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 - -

2,475.75 - -

2,582.13 - -

2,571.75 - -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 782,855.47 10 -

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 - -

23,385.00 - -

9,164.00 - -

9,280.00 464,000.00 50 -

9,164.00 - -

5,568.00 - -

7,308.00 - -

9,280.00 - -
 5,699.98 683,997.83 120 -

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 81,900.00 3 -

17,550.00 - -

3,900.00 - -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 62,216.18 1 -

88,475.81 - -

34,091.80 102,275.40 3 -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 - -

177,125.00 - -

128,625.00 - -

218,125.00 - -

13,140.60 - -
 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -

4,720.00 - -

4,720.00 - -

12,859.00 - -

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 - -

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 - -

1,355,200.00 - -

1,463,000.00 - -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

177.24 - -

159.06 - -

1,724.80 1,379,840.00 500 300

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 - -

1,405.00 - -

12,500.00 - -

11,085,680.72 695
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 3000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 4000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 3000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021 25
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 2000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021 1000
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021 25

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021 600

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021 300

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 50

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 2000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021 50

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021 1100

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 1900
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021 500

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021 50

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 500

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019 1000
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 30

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021 48

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020 24

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 500

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 500
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020 48

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 3000

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021 50

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021 2000

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 2000

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021 20

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 50
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021 120

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021 200

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 3000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021 500

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021 2000

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021 24

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 2000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018 200

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021 96
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 5000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 3000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020 200

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021 200

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 3000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021 3

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 3000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 2000

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018 3000

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 3000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020 1000

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020 10

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020 24

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019 50

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019 50

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020 10

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020 50

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021 50

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020 10

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 50

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021 20

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020 120

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021 3

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 25

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 500

Handschoon size M Piece

91 DAK 2021 400

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 - -

88.00 - -

3,850.00 - -

2,750.00 - -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 - -

80.00 - -
 55.00 165,000.00 3000 -

80.00 - -

265.00 - -

231.00 924,000.00 4000 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 - -

3,604.00 - -

3,846.00 - -

3,510.00 - -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 162,000.00 3000 -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 126,500.00 25 -

6,190.00 - -

5,170.00 - -

3,260.00 - -

3,642.00 - -
3,642.00 - -

212.00 - -

235.00 - -

2,860.00 - -

2,624.60 - -

275.00 - -

120.00 - -

46.00 - -

120.00 - -

54.00 - -

117.00 234,000.00 2000 -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 89,000.00 1000 -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 84,700.00 25 -

3,630.00 - -
 429.00 - -

454.00 - -

770.00 - -

159.00 - -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 55,200.00 600 -

626.00 - -

143.00 42,900.00 300 -

1,465.00 - -

2,439.00 121,950.00 50 -

1,465.00 - -

5,900.00 - -

4,325.00 - -
 5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 104,000.00 2000 -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 110,750.00 50 -

3,061.00 - -

968.00 - -

1,210.00 - -

1,210.00 - -

77.00 - -

36.00 39,600.00 3000 (1,900)

77.00 146,300.00 1,900

1,200.00 - -

5,720.00 - -

86.00 - -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 - -

280.00 - -

264.00 - -

75.00 37,500.00 500 -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 120,050.00 50 -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 - -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 - -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 - -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 110,000.00 500 -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 281,000.00 1000 -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 88,110.00 10 20

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 248,160.00 48 -

3,150.00 - -

3,300.00 - -

3,300.00 79,200.00 24 -

830,000.00 - -

650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 43,000.00 500 -

137.00 - -

235.00 - -

212.00 - -

207.00 - -

123.00 61,500.00 500 -

 207.00 - -

99.00 - -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 - -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -

2,533.00 - -

2,325.00 - -

2,533.00 121,584.00 48 -

242.00 - -

198.00 - -

195.00 585,000.00 3000 -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 116,950.00 50 -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 - -

154.00 - -

154.00 - -

60.00 120,000.00 2000 -

63.00 - -

99.00 - -

132.00 - -

75.00 150,000.00 2000 -

661.00 - -

212.00 - -

661.00 - -

250.00 - -

216.00 - -

250.00 - -

2,399.00 - -
2,577.00 - -

286.00 - -

260.00 - -

1,089.00 - -

1,089.00 - -

923.00 18,460.00 20 -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 - -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 421,700.00 50 -

8,800.00 - -

8,875.00 - -

8,800.00 - -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 101,640.00 120 -

1,315.00 - -

1,403.00 - -

1,405.00 - -

1,405.00 - -

132.00 - -

81.00 16,200.00 200 -

176.00 - -
 136.00 - -

117.00 - -

136.00 - -

3,796.00 - -

4,700.00 - -

3,796.00 - -

148.00 - -

148.00 444,000.00 3000 -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 107,000.00 500 -

3,399.00 - -

1,069.00 - -

3,399.00 - -

89.00 - -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 154,000.00 2000 -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 - -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 45,600.00 24 -

145.00 - -

220.00 - -

109.00 218,000.00 2000 -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 129,000.00 200

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 - -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 - -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 - -

2,774.00 - -

1,248.00 - -

1,232.00 - -

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 51,600.00 400 -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 - -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 - -

5,204.00 499,584.00 96 -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 825,000.00 5000 -

150.00 - -

20,700.00 - -

542.00 - -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 594,000.00 3000 -

79.00 - -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 12,600.00 200 -

440.00 - -

440.00 88,000.00 200 -

190,000.00 - -

235.95 - -

198.00 - -

210.00 630,000.00 3000 -

 85.00 - -

1,188.00 - -

858.00 - -

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 - -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 - -

3,017.00 - -

1,475.00 - -

11,825.00 - -
11,466.00 34,398.00 3 -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 - -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 132,000.00 3000 -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 146,000.00 2000 -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 - -

330.00 - -

310.00 - -

331.00 - -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 264,000.00 3000 -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 180,000.00 3000 -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 - -

2,200,000.00 - -

- -

- -

1,248.88 - -

1,335.02 - -

1,033.56 - -

1,205.82 - -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 - -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
- -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 259,517.69 1000 -

155.91 - -

124.48 - -

17,958.11 179,581.05 10 -

10,980.20 - -

17,958.11 - -

33,785.00 - -

35,285.00 - -

33,785.00 - -

35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -
35,285.00 846,840.00 24 -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 - -

14,109.30 - -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 - -

6,217.12 - -

5,856.00 - -

6,217.12 310,856.00 50 -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 358,875.00 50 -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 - -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 1,490,400.00 10 -

164,456.11 - -

8,109.49 - -

8,109.33 405,466.67 50 -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 468,750.00 50 -

2,475.75 - -

2,582.13 - -

2,571.75 - -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - 10 (10)

75,537.00 - -

80,192.00 - -

78,285.55 782,855.47 10

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 - -

23,385.00 - -

9,164.00 - -

9,280.00 464,000.00 50 -

9,164.00 - -

5,568.00 - -

7,308.00 146,160.00 20 -

9,280.00 - -
 5,699.98 683,997.83 120 -

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 81,900.00 3 -

17,550.00 - -

3,900.00 - -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 - -

88,475.81 - -

34,091.80 - -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 - -

177,125.00 - -

128,625.00 - -

218,125.00 - -

13,140.60 - -
 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -

4,720.00 - -

4,720.00 - -

12,859.00 - -

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 154,654.00 25 -

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 - -

1,355,200.00 - -

1,463,000.00 - -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

177.24 - -

159.06 - -

1,724.80 - -

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 1,699,544.62 500

1,405.00 562,000.00 400 -

12,500.00 - -

18,576,134.33 720
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021 50

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 1500

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 1600

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021 100
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021 25
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 2000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 2000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021 30

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021 1000
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021 500

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021 600

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 25

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 2000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021 50

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020 50

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 1000
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021 500

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 500

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021 50

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021 60

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021 500

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020 500

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 500

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021 300

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021 1000

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 1000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018 200

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021 600

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020 1000

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021 100
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021 300
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 5000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021 500

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021 100

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020 1000

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 1000

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021 1

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019 500

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018 1000

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 2000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021 300

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020 50

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020 50

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020 150

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020 10

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020 50

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 80

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021 3

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021 3

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021 1

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021 1

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021 1

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021 1

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020 25

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 50

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020 3

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020 1

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020 1

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021 1

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021 1

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021 1

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021 1

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021 1

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021 1

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021 1

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021 1

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021 300

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 500

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 - -

88.00 - -

3,850.00 - -

2,750.00 137,500.00 50 -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 - -

80.00 - -
 55.00 82,500.00 1500 -

80.00 - -

265.00 - -

231.00 369,600.00 1600 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 - -

3,604.00 - -

3,846.00 - -

3,510.00 351,000.00 100 -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 - -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 126,500.00 25 -

6,190.00 - -

5,170.00 - -

3,260.00 - -

3,642.00 - -
3,642.00 - -

212.00 - -

235.00 - -

2,860.00 - -

2,624.60 - -

275.00 - -

120.00 - -

46.00 92,000.00 2000 -

120.00 - -

54.00 - -

117.00 234,000.00 2000 -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 56,400.00 30 -

2,374.00 - -

89.00 89,000.00 1000 -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 - -

3,630.00 - -
 429.00 - -

454.00 - -

770.00 - -

159.00 - -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 46,000.00 500 -

626.00 - -

143.00 85,800.00 600 -

1,465.00 - -

2,439.00 60,975.00 25 -

1,465.00 - -

5,900.00 - -

4,325.00 - -
 5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 104,000.00 2000 -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 110,750.00 50 -

3,061.00 - -

968.00 - 50 (50)

1,210.00 - -

1,210.00 60,500.00 50

77.00 - -

36.00 - -

77.00 77,000.00 1000 -

1,200.00 - -

5,720.00 - -

86.00 - -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 - -

280.00 - -

264.00 - -

75.00 37,500.00 500 -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 - -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 - -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 - -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 - -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 110,000.00 500 -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 - -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 29,370.00 10 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 - -

3,150.00 - -

3,300.00 - -

3,300.00 - -

830,000.00 - -

650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 - -

137.00 - -

235.00 - -

212.00 - -

207.00 - -

123.00 - -
 207.00 - -

99.00 - -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 - -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -

2,533.00 - -

2,325.00 - -

2,533.00 - -

242.00 - -

198.00 - -

195.00 - -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 - -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 - -

154.00 - -

154.00 - -

60.00 - -

63.00 - -

99.00 - -

132.00 - -

75.00 - -

661.00 - -

212.00 - -

661.00 - -

250.00 - -

216.00 - -

250.00 - -

2,399.00 - -
2,577.00 - -

286.00 - -

260.00 - -

1,089.00 - -

1,089.00 - -

923.00 46,150.00 50 -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 - -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 - -

8,800.00 - -

8,875.00 - -

8,800.00 - -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 50,820.00 60

1,315.00 - -

1,403.00 - -

1,405.00 - -

1,405.00 - -

132.00 - -

81.00 40,500.00 500 -

176.00 - -
 136.00 - -

117.00 - -

136.00 68,000.00 500 -

3,796.00 - -

4,700.00 - -

3,796.00 - -

148.00 - -

148.00 74,000.00 500 -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 64,200.00 300 -

3,399.00 - -

1,069.00 - -

3,399.00 - -

89.00 - -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 77,000.00 1000 -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 - -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 - -

145.00 - -

220.00 - -

109.00 109,000.00 1000 -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 129,000.00 200 -

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 190,200.00 600 -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 659,000.00 1000 -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 - -

2,774.00 - -

1,248.00 - -

1,232.00 - -

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 - -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 96,300.00 100 -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 348,000.00 300 -

5,204.00 - -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 825,000.00 5000 -

150.00 - -

20,700.00 - -

542.00 - -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 - -

79.00 - -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 - -

440.00 - -

440.00 220,000.00 500 -

190,000.00 - -

235.95 - -

198.00 - -

210.00 - -
 85.00 - -

1,188.00 - -

858.00 85,800.00 100 -

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 132,000.00 1000 -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 - -

3,017.00 - -

1,475.00 - -

11,825.00 - -
11,466.00 - -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 - -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 - -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 73,000.00 1000 -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 130,999.00 1 -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 - -

330.00 - -

310.00 - -

331.00 165,500.00 500 -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 88,000.00 1000 -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 120,000.00 2000 -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 - -

2,200,000.00 - -

- -

- -

1,248.88 374,665.42 300 -

1,335.02 - -

1,033.56 - -

1,205.82 - -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 - -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
- -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 - -

155.91 - -

124.48 - -

17,958.11 - -

10,980.20 - -

17,958.11 - -

33,785.00 - -

35,285.00 - -

33,785.00 - -

35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -
35,285.00 - -

26,941.00 - -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 - -

14,109.30 - -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 - -

6,217.12 - -

5,856.00 - -

6,217.12 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 358,875.00 50 -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 358,875.00 50 -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 1,076,625.00 150 -

6,287.49 - -

7,177.50 - -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 - -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 1,490,400.00 10 -

164,456.11 - -

8,109.49 - -

8,109.33 405,466.67 50 -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 - -

2,475.75 - -

2,582.13 - -

2,571.75 - -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 - -

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 - -

23,385.00 - -

9,164.00 - -

9,280.00 742,400.00 80 -

9,164.00 - -

5,568.00 - -

7,308.00 - -

9,280.00 - -
 5,699.98 - -

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 81,900.00 3 -

17,550.00 - -

3,900.00 - -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 - -

88,475.81 - -

34,091.80 102,275.40 3 -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 128,625.00 1 -

177,125.00 177,125.00 1 -

128,625.00 128,625.00 1 -

218,125.00 218,125.00 1 -

13,140.60 - -
 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -

4,720.00 118,000.00 25

4,720.00 - -

12,859.00 - 25 (25)

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 309,308.00 50 -

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 1,270,500.00 3 -

1,355,200.00 1,355,200.00 1 -

1,463,000.00 1,463,000.00 1 -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 116,781.00 1 -

116,781.00 116,781.00 1 -

116,781.00 116,781.00 1 -

116,781.00 116,781.00 1 -

116,781.00 116,781.00 1 -

116,781.00 116,781.00 1 -

116,781.00 116,781.00 1 -

116,781.00 116,781.00 1 -

177.24 - -

159.06 - -

1,724.80 517,440.00 300 -

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 1,699,544.62 500 -

1,405.00 702,500.00 500 -

12,500.00 - -

20,066,587.10 60
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 2000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 6000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021 50
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020 500
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021 120
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 2000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 2000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021 3000
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019 1000

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021 1000

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021 600

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 50

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021 10
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019 1000

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018 1000

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 1000

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021 25

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021 1

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 500

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 2000
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019 100
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019 200
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 1000

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021 1000

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 2000

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021 2000

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021 100

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 100
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020 60

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021 500

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021 50

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021 24

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 3000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021 900

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019 50

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021 100

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021 25
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021 300
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 6000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021 500

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 2000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020 300

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019 1000

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021 300

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020 60
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 3000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 3000

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018 1000

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 3000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019 500

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020 100

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020 2000

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019 48

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020 48

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020 48

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021 48

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018 200
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019 400

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019 10

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021 100

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020 200

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021 24
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 50

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020 120

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021 3

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020 25

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 1000

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 - -

88.00 - -

3,850.00 - -

2,750.00 - -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 - -

80.00 - -
 55.00 - -

80.00 - -

265.00 - -

231.00 462,000.00 2000 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 - -

3,604.00 - -

3,846.00 - -

3,510.00 - -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 324,000.00 6000 -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 253,000.00 50 -

6,190.00 - -

5,170.00 - -

3,260.00 - -

3,642.00 - -
3,642.00 - -

212.00 106,000.00 500 -

235.00 - -

2,860.00 - -

2,624.60 314,952.00 120 -

275.00 - -

120.00 - -

46.00 92,000.00 2000 -

120.00 - -

54.00 - -

117.00 234,000.00 2000 -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 267,000.00 3000 -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 - -

3,630.00 - -
 429.00 - -

454.00 - -

770.00 - -

159.00 159,000.00 1000 -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 92,000.00 1000 -

626.00 - -

143.00 85,800.00 600 -

1,465.00 - -

2,439.00 121,950.00 50 -

1,465.00 - -

5,900.00 - -

4,325.00 43,250.00 10 -
 5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 - -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 - -

3,061.00 - -

968.00 - -

1,210.00 - -

1,210.00 - -

77.00 - -

36.00 - -

77.00 - -

1,200.00 - -

5,720.00 - -

86.00 86,000.00 1000 -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 - -

280.00 - -

264.00 - -

75.00 - -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 - -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 781,000.00 1000 -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 - -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 - -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 220,000.00 1000 -

1,555.00 - -

1,555.00 - -

969.00 24,225.00 25 -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 - -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 29,370.00 10 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 - -

3,150.00 - -

3,300.00 - -

3,300.00 - -

830,000.00 - -

650,000.00 - -

940,000.00 940,000.00 1 -

475,000.22 - -

137.00 - -

86.00 43,000.00 500 -

137.00 - -

235.00 - -

212.00 - -

207.00 - -

123.00 246,000.00 2000 -

 207.00 - -

99.00 - -

79.50 - -

8,003.00 800,300.00 100 -

7,363.00 1,472,600.00 200 -

6,900.00 - -

266.00 - -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -

2,533.00 - -

2,325.00 - -

2,533.00 - -

242.00 - -

198.00 - -

195.00 195,000.00 1000 -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 - -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 99,000.00 1000 -

154.00 - -

154.00 - -

60.00 - -

63.00 - -

99.00 - -

132.00 - -

75.00 150,000.00 2000 -

661.00 - -

212.00 - -

661.00 - -

250.00 - -

216.00 432,000.00 2000 -

250.00 - -

2,399.00 - -
2,577.00 - -

286.00 - -

260.00 - -

1,089.00 - -

1,089.00 - -

923.00 92,300.00 100 -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 - -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 843,400.00 100 -

8,800.00 - -

8,875.00 - -

8,800.00 - -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 - -

1,315.00 - -

1,403.00 - -

1,405.00 84,300.00 60 -

1,405.00 - -

132.00 - -

81.00 - -

176.00 - -
 136.00 - -

117.00 - -

136.00 - -

3,796.00 - -

4,700.00 - -

3,796.00 - -

148.00 - -

148.00 - -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 107,000.00 500 -

3,399.00 - -

1,069.00 - -

3,399.00 - -

89.00 - -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 99,150.00 50 -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 - -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 - -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 45,600.00 24 -

145.00 - -

220.00 - -

109.00 327,000.00 3000 -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 - -

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 285,300.00 900 -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 - -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 138,700.00 50 -

2,774.00 - -

1,248.00 124,800.00 100 -

1,232.00 - -

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 51,600.00 400 -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 24,075.00 25 -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 348,000.00 300 -

5,204.00 - -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 990,000.00 6000 -

150.00 - -

20,700.00 - -

542.00 271,000.00 500 -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 396,000.00 2000 -

79.00 - -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 18,900.00 300 -

440.00 440,000.00 1000 -

440.00 - -

190,000.00 - -

235.95 - -

198.00 - -

210.00 - -
 85.00 - -

1,188.00 - -

858.00 257,400.00 300 -

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 - -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 660,000.00 60 -

3,017.00 - -

1,475.00 - -

11,825.00 - -
11,466.00 - -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 - -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 132,000.00 3000 -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 219,000.00 3000 -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 - -

330.00 - -

310.00 - -

331.00 - -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 88,000.00 1000 -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 180,000.00 3000 -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 - -

2,200,000.00 - -

- -

- -

1,248.88 - -

1,335.02 - -

1,033.56 - -

1,205.82 602,910.00 500 -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 190,921.00 100 -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
- -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 519,035.38 2,000

155.91 - -

124.48 - -

17,958.11 - -

10,980.20 - -

17,958.11 - -

33,785.00 1,621,680.00 48 -

35,285.00 - -

33,785.00 - -

35,285.00 1,693,680.00 48 -

26,941.00 - -

28,019.00 - -

33,785.00 - -
35,285.00 1,693,680.00 48 -

26,941.00 1,293,168.00 48 -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 - -

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - -

13,420.00 - -

12,100.00 - -

14,109.30 - -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 1,244,400.00 200 -

6,217.12 - -

5,856.00 - -

6,217.12 2,486,848.00 400 -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 277,250.00 10 -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 - -

164,456.11 - -

8,109.49 - -

8,109.33 - -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 937,500.00 100 -

2,475.75 - -

2,582.13 - -

2,571.75 514,350.00 200 -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 - -

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 408,576.00 24 -

23,385.00 - -

9,164.00 - -

9,280.00 464,000.00 50 -

9,164.00 - -

5,568.00 - -

7,308.00 - -

9,280.00 - -
 5,699.98 683,997.83 120 -

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 81,900.00 3 -

17,550.00 - -

3,900.00 - -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 - -

88,475.81 - -

34,091.80 - -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 - -

177,125.00 - -

128,625.00 - -

218,125.00 - -

13,140.60 - -
 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -

4,720.00 - -

4,720.00 - -

12,859.00 - -

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 - -

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 - -

1,355,200.00 - -

1,463,000.00 - -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 479,375.00 25 -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

177.24 - -

159.06 - -

1,724.80 - -

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 3,399,089.24 1,000

1,405.00 702,500.00 500 -

12,500.00 - -

33,591,832.45 3,000
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 2000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 1000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021 100
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 1000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020 500
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 1000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021 1000
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 25

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 2000
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021 300

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021 700

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021 24

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021 24

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 1000

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021 1000

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 1000

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 25
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019 25
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 1000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021 300

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020 1000

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 2000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 500

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020 400

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 1000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020 1000

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021 10

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021 3

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 1000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019 1000

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018 1000

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 1000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019 500

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020 1000

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019 24

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020 24

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020 24

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021 24

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018 10

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019 10

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020 50

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019 10

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020 50

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021 50

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021 24
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 50

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020 120

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 500

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 - -

89.00 - -

105.00 - -

88.00 - -

3,850.00 - -

2,750.00 - -

4,525.00 - -

143.00 - -

144.00 - -

150.00 - -

2,736.00 - -

3,071.00 - -

101.00 - -

101.00 - -

363.00 - -

168.00 - -

168.00 - -

80.00 - -
 55.00 110,000.00 2000 -

80.00 - -

265.00 - -

231.00 231,000.00 1000 -

266.00 - -

3,300.00 - -

1,919.00 - -

5,850.00 - -

2,050.00 205,000.00 100 -

3,604.00 - -

3,846.00 - -

3,510.00 - -

2,239.00 - -

2,098.00 - -

1,756.00 - -

54.00 54,000.00 1000 -

60.00 - -

60.00 - -

6,160.00 - -

5,060.00 - -

6,190.00 - -

5,170.00 - -

3,260.00 - -

3,642.00 - -
3,642.00 - -

212.00 106,000.00 500

235.00 - 500 (500)

2,860.00 - -

2,624.60 - -

275.00 - -

120.00 - -

46.00 46,000.00 1000 -

120.00 - -

54.00 - -

117.00 - -

286.00 - -

286.00 - -

1,784.00 - -

1,784.00 - -

198.00 - -

1,880.00 - -

2,374.00 - -

89.00 89,000.00 1000 -

105.00 - -

440.00 - -

3,630.00 - -

3,388.00 - -

3,630.00 - -
 429.00 - -

454.00 - -

770.00 - -

159.00 - -

505.00 - -

1,859.00 - -

1,778.00 - -

409.00 - -

2,662.00 - -

2,750.00 - -

3,000.00 - -

83,190.00 - -

83,190.00 - -

83,190.00 - -

119.00 - -

119.00 - -

92.00 - -

626.00 - -

143.00 - -

1,465.00 - -

2,439.00 60,975.00 25 -

1,465.00 - -

5,900.00 - -

4,325.00 - -
 5,900.00 - -

6,000.00 - -

5,085.00 - -

17,875.00 - -

52.00 - -

104.00 - -

104.00 - -

3,061.00 - -

2,215.00 - -

3,061.00 - -

968.00 - -

1,210.00 - -

1,210.00 - -

77.00 - -

36.00 - -

77.00 154,000.00 2000 -

1,200.00 - -

5,720.00 - -

86.00 - -

86.00 - -

1,913.00 - -

1,913.00 - -

1,913.00 - -

21,021.00 - -
21,021.00 - -

14,459.00 - -

14,459.00 - -

14,459.00 - -

1,347.00 - -

1,347.00 - -

825.00 - -

143.00 42,900.00 300 -

280.00 - -

264.00 - -

75.00 52,500.00 700 -

96.00 - -

96.00 - -

2,862.00 - -

5,500.00 - -

2,862.00 - -

2,401.00 - -

1,088.00 - -

1,740.00 - -

1,518.00 - -

1,518.00 - -

781.00 - -

7,436.00 - -

400.00 - -
165,000.00 - -

175,000.00 - -

21,648.00 - -

20,175.00 - -

197.00 - -

197.00 - -

2,764.00 - -

3,300.00 79,200.00 24 -

3,630.00 - -

1,914.23 - -

4,236.00 - -

873.00 - -

14,738.00 - -

15,675.00 - -

15,675.00 - -

111.00 - -

84.00 - -

220.00 - -

1,555.00 - -

1,555.00 - -

969.00 - -

1,122.00 - -

1,055.00 - -

4,400.00 - -
 281.00 - -

286.00 - -

280.00 - -

3,300.00 - -

3,300.00 - -

2,937.00 29,370.00 10 -

4,885.00 - -

4,885.00 - -

4,885.00 - -

5,170.00 124,080.00 24 -

3,150.00 - -

3,300.00 - -

3,300.00 - -

830,000.00 - -

650,000.00 - -

940,000.00 - -

475,000.22 - -

137.00 - -

86.00 - -

137.00 - -

235.00 - -

212.00 - -

207.00 - -

123.00 - -
 207.00 - -

99.00 - -

79.50 - -

8,003.00 - -

7,363.00 - -

6,900.00 - -

266.00 - -

59.00 - -

59.00 - -

101,300.00 - -

101,300.00 - -

101,300.00 - -

1,325,000.00 - -

1,325,000.00 - -

1,375,000.00 - -

171.00 - -

2,533.00 - -

2,325.00 - -

2,533.00 - -

242.00 - -

198.00 - -

195.00 195,000.00 1000 -

264.00 - -

330.00 - -
 127.00 - -

8,400.00 - -

2,520.00 - -

2,339.00 - -

99.00 - -

99.00 - -

77.00 - -

198.00 - -

198.00 - -

99.00 - -

154.00 - -

154.00 - -

60.00 60,000.00 1000 -

63.00 - -

99.00 - -

132.00 - -

75.00 75,000.00 1000 -

661.00 - -

212.00 - -

661.00 - -

250.00 - -

216.00 - -

250.00 - -

2,399.00 - -
2,577.00 - -

286.00 - -

260.00 - -

1,089.00 - -

1,089.00 - -

923.00 - -

1,870.00 - -

583.00 - -

1,875.00 - -

1,568.00 - -

1,469.00 - -

1,568.00 - -

502.29 - -

565.50 - -

5,170.00 - -

2,054.00 - -

2,054.00 - -

5,352.00 - -

5,319.00 - -

8,875.00 - -

8,434.00 210,850.00 25 -

8,800.00 - -

8,875.00 - -

8,800.00 220,000.00 25 -
6,600.00 - -

24.00 - -

24.00 - -

1,531.00 - -

1,531.00 - -

1,435.00 - -

242.00 - -

170.00 - -

234.03 - -

181.00 - -

1,121.00 - -

1,550.00 - -

2,052.00 - -

2,190.00 - -

299.00 - -

319.00 - -

847.00 - -

1,315.00 - -

1,403.00 - -

1,405.00 - -

1,405.00 - -

132.00 - -

81.00 - -

176.00 - -
 136.00 - -

117.00 - -

136.00 - -

3,796.00 - -

4,700.00 - -

3,796.00 - -

148.00 - -

148.00 148,000.00 1000 -

102.00 - -

11,449.00 - -

12,217.00 - -

12,217.00 - -

243.00 - -

214.00 - -

3,399.00 - -

1,069.00 - -

3,399.00 - -

89.00 - -

83.00 - -

4,554.00 - -

4,554.00 - -

1,983.00 - -

2,700.00 - -

6,750.00 - -
 109.00 - -

109.00 - -

77.00 - -

8,250.00 - -

8,250.00 - -

127.00 - -

253.00 - -

253.00 - -

3,950.00 - -

3,950.00 - -

3,926.00 - -

3,926.00 - -

1,900.00 - -

145.00 - -

220.00 - -

109.00 - -

6,410.00 - -

6,840.00 - -

107.00 - -

114.00 - -

627.00 - -

645.00 - -

971.00 - -

971.00 - -
 869.00 - -

24,198.00 - -

317.00 95,100.00 300 -

1,492,579.00 - -

267,397.00 - -

6,500.00 - -

6,100.00 - -

5,500.00 - -

9,570.00 - -

605.00 - -

9,975.00 - -

659.00 659,000.00 1000 -

12,000.00 - -

660.00 - -

1,980.00 - -

1,649.36 - -

3,200.00 - -

2,600.00 - -

2,774.00 - -

2,774.00 - -

1,248.00 - -

1,232.00 - -

11,868.00 - -

11,868.00 - -
11,868.00 - -

147.00 - -

129.00 51,600.00 400 -

220.00 - -

429.00 - -

275.00 - -

429.00 - -

1,258.00 - -

5,500.00 - -

963.00 - -

13,200.00 - -

2,971.00 - -

1,238.00 - -

1,160.00 - -

5,204.00 - -

7,646.00 - -

7,646.00 - -

121.00 - -

165.00 330,000.00 2000 -

150.00 - -

20,700.00 - -

542.00 - -

505.00 - -

505.00 - -
 6,600.00 - -

6,600.00 - -

249.00 - -

72.00 - -

141.00 - -

150.00 - -

150.00 - -

165.00 - -

165.00 - -

198.00 99,000.00 500 -

79.00 - -

73.00 - -

79.00 - -

329.00 - -

354.00 - -

63.00 - -

63.00 - -

63.00 25,200.00 400 -

440.00 - -

440.00 - -

190,000.00 - -

235.95 - -

198.00 - -

210.00 210,000.00 1000 -

 85.00 - -

1,188.00 - -

858.00 - -

1,188.00 - -

331.00 - -

596.00 - -

985.00 - -

934.00 - -

1,134.00 - -

7,150.00 - -

7,630.00 - -

287.00 - -

132.00 132,000.00 1000 -

67.00 - -

132.00 - -

4,446.00 - -

6,796.68 - -

4,189.00 - -

11,000.00 - -

5,400.00 - -

11,000.00 - -

3,017.00 - -

1,475.00 14,750.00 10 -

11,825.00 - -
11,466.00 34,398.00 3 -

5,710.00 - -

923.00 - -

4,360.00 - -

4,360.00 - -

4,086.00 - -

880.00 - -

492.00 - -

880.00 - -

5,146.00 - -

4,822.00 - -

5,146.00 - -

4,706.00 - -

4,410.00 - -

4,706.00 - -

44.00 44,000.00 1000 -

52.00 - -

1,160.00 - -

1,160.00 - -

1,066.00 - -

117.00 - -

117.00 - -

73.00 - -

528.00 - -
 281.00 - -

512,204.00 - -

512,204.00 - -

517,132.00 - -

130,999.00 - -

130,999.00 - -

130,999.00 - -

5,980.00 - -

7,338.00 - -

7,338.00 - -

983.00 - -

330.00 - -

330.00 - -

310.00 - -

331.00 331,000.00 1000 -

847.00 - -

832.50 - -

7,150.00 - -

11,000.00 - -

94.00 - -

88.00 88,000.00 1000 -

660.00 - -

329.68 - -

1,764.00 - -
 330.00 - -

309.00 - -

95.00 - -

101.00 - -

17,789.00 - -

135.00 - -

60.00 60,000.00 1000 -

135.00 - -

3,285.00 - -

2,489.00 - -

604.00 - -

253.00 - -

604.00 - -

2,200,000.00 - -

- -

- -

1,248.88 - -

1,335.02 - -

1,033.56 - -

1,205.82 602,910.00 500 -

1,205.82 - -

1,277.60 - -

1,263.24 - -

1,693.89 - -
 1,909.21 - -

1,909.21 - -

1,803.50 - -

1,803.50 - -
4,507.37
- -
5,268.29
- -
1,240.00
- -

1,650.00 - -

1,597.00 - -

134.20 - -

188.76 - -

259.52 259,517.69 1000 -

155.91 - -

124.48 - -

17,958.11 - -

10,980.20 - -

17,958.11 - -

33,785.00 810,840.00 24 -

35,285.00 - -

33,785.00 - -

35,285.00 846,840.00 24 -

26,941.00 - -

28,019.00 - -

33,785.00 - -
35,285.00 846,840.00 24 -

26,941.00 646,584.00 24 -

28,019.00 - -

33,785.00 - -

35,285.00 - -

10,000.00 100,000.00 10

16,008.00 - -

25,300.00 - -

14,109.30 - -

16,008.00 - 10 (10)

13,420.00 - -

12,100.00 - -

14,109.30 141,093.00 10 -

13,420.00 - -

12,100.00 - -

1,597.96 - -

563.64 - -

563.64 - -

590.48 - -

590.48 - -

1,207.60 - -

24,200.00 - -

23,750.00 - -

6,606.30 - -
6,222.00 - -

6,217.12 - -

5,856.00 - -

6,217.12 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 358,875.00 50 -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,320.00 - -

7,177.50 - -

6,287.49 - -

7,177.50 - -

7,177.50 - -

7,320.00 - -

9,827.10 - -

9,827.10 - -
 9,394.00 - -

28,750.00 - -

27,725.00 277,250.00 10 -

34,228.40 - -

33,900.00 - -

149,040.00 - -

141,400.00 - -

149,040.00 - -

164,456.11 - -

8,109.49 - -

8,109.33 405,466.67 50 -

10,000.00 - -

8,903.23 - -

6,390.00 - -

9,375.00 468,750.00 50 -

2,475.75 - -

2,582.13 - -

2,571.75 - -

2,856.89 - -

3,636.36 - -

412.50 - -

671.78 - -

3,100.00 - -

3,000.00 - -
 2,164.80 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

8,052.00 - -

8,052.00 - -

8,454.60 - -

8,454.60 - -

16,704.00 - -

16,704.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

19,372.00 - -

17,980.00 - -

5,940.00 - -

14,080.00 - -

12,430.00 - -

5,940.00 - -
14,080.00 - -

12,430.00 - -

33,000.00 - -

14,810.89 - -

12,675.00 - -

12,675.00 - -

77,600.00 - -

75,537.00 - -

80,192.00 - -

78,285.55 - -

35,174.50 - -

34,300.00 - -

46,853.42 - -

3,300.00 - -

3,300.00 - -

20,685.00 - -

17,024.00 408,576.00 24 -

23,385.00 - -

9,164.00 - -

9,280.00 464,000.00 50 -

9,164.00 - -

5,568.00 - -

7,308.00 - -

9,280.00 - -
 5,699.98 683,997.83 120 -

5,533.00 - -

9,400.00 - -

53,300.00 - -

51,500.00 - -

27,300.00 - -

27,300.00 - -

17,550.00 - -

3,900.00 - -

6,089.00 - -

9,400.00 - -

36,955.20 - -

137,137.86 - -

81,832.79 - -

62,216.18 - -

88,475.81 - -

34,091.80 - -

79,315.50 - -

141,417.00 - -

83,038.00 - -

64,785.00 - -

63,840.00 - -

70,917.00 - -

- -
 25,546.32 - -

6,214.29 - -

3,390.99 - -

23,566.00 - -

5,238.80 - -

3,188.24 - -

25,592.50 - -

6,229.83 - -

3,401.16 - -

801,000.00 - -

2,702,700.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

74,625.00 - -

96,625.00 - -

74,625.00 - -

116,625.00 - -

128,625.00 - -

177,125.00 - -

128,625.00 - -

218,125.00 - -

13,140.60 - -
 15,297.00 - -

15,297.00 - -

13,655.00 - -

1,296.00 - -

1,150.00 - -

1,306.25 - -

4,720.00 - -

4,720.00 - -

12,859.00 - -

53,180.00 - -

53,180.00 - -

21,720.00 - -

9,048.17 - -

6,186.16 - -

9,048.18 - -

10,967.00 - -

10,967.00 - -

10,967.00 - -

28,768.50 - -

12,882.45 - -

423,500.00 - -

1,135,000.00 - -

1,463,000.00 - -

338,800.00 - -
1,232,000.00 - -

1,355,200.00 - -

423,500.00 - -

1,355,200.00 - -

1,463,000.00 - -

4,250,665.17 - -

2,774,860.00 - -

3,699,850.00 - -

4,250,665.00 - -

2,774,860.00 - -

3,699,850.00 - -

19,175.00 - -

22,775.00 - -

40,848.33 - -

30,697.00 - -

18,500.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -

73,625.00 - -
116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

116,781.00 - -

177.24 - -

159.06 - -

1,724.80 - -

12,575.84 - -

9,164.00 - -

60,605.88 - -

11,745.66 - -

11,318.86 - -

254,400.00 - -

3,399.09 1,699,544.62 500 -

1,405.00 702,500.00 500 -

12,500.00 - -

14,190,507.81 -
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019 500

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 3000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 2000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021 20
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021 300

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019 300

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 50

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 2000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021 60

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021 500

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019 200
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 500

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 500

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 1000
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021 1000

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021 150

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021 50

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021 200

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019 50
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020 120

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021 50

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021 24

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 3000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021 300

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 3000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020 1000

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020 1000

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021 1000

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 2000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020 100

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 2000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 2000

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021 2
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018 3000

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 3000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019 1000

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018 500
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020 500

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021 48

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021 36
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021 20

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021 1

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021 1

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021 1

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021 1

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 800

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 -

89.00 -

105.00 -

88.00 -

3,850.00 -

2,750.00 -

4,525.00 -

143.00 -

144.00 -

150.00 -

2,736.00 -

3,071.00 -

101.00 -

101.00 -

363.00 -

168.00 -

168.00 84,000.00 500

80.00 -
 55.00 165,000.00 3000

80.00 -

265.00 -

231.00 462,000.00 2000

266.00 -

3,300.00 -

1,919.00 -

5,850.00 -

2,050.00 -

3,604.00 -

3,846.00 -

3,510.00 -

2,239.00 -

2,098.00 -

1,756.00 -

54.00 -

60.00 -

60.00 -

6,160.00 -

5,060.00 -

6,190.00 -

5,170.00 -

3,260.00 65,200.00 20

3,642.00 -
3,642.00 -

212.00 -

235.00 -

2,860.00 -

2,624.60 -

275.00 -

120.00 -

46.00 -

120.00 -

54.00 -

117.00 -

286.00 -

286.00 -

1,784.00 -

1,784.00 -

198.00 -

1,880.00 -

2,374.00 -

89.00 -

105.00 -

440.00 -

3,630.00 -

3,388.00 -

3,630.00 -
 429.00 128,700.00 300

454.00 -

770.00 -

159.00 47,700.00 300

505.00 -

1,859.00 -

1,778.00 -

409.00 -

2,662.00 -

2,750.00 -

3,000.00 -

83,190.00 -

83,190.00 -

83,190.00 -

119.00 -

119.00 -

92.00 -

626.00 -

143.00 -

1,465.00 -

2,439.00 121,950.00 50

1,465.00 -

5,900.00 -

4,325.00 -
 5,900.00 -

6,000.00 -

5,085.00 -

17,875.00 -

52.00 104,000.00 2000

104.00 -

104.00 -

3,061.00 -

2,215.00 -

3,061.00 -

968.00 -

1,210.00 -

1,210.00 -

77.00 -

36.00 -

77.00 -

1,200.00 -

5,720.00 -

86.00 -

86.00 -

1,913.00 -

1,913.00 -

1,913.00 -

21,021.00 -
21,021.00 -

14,459.00 -

14,459.00 -

14,459.00 -

1,347.00 -

1,347.00 -

825.00 49,500.00 60

143.00 -

280.00 -

264.00 -

75.00 37,500.00 500

96.00 -

96.00 -

2,862.00 -

5,500.00 -

2,862.00 -

2,401.00 -

1,088.00 -

1,740.00 -

1,518.00 -

1,518.00 -

781.00 -

7,436.00 -

400.00 80,000.00 200

165,000.00 -

175,000.00 -

21,648.00 -

20,175.00 -

197.00 -

197.00 -

2,764.00 -

3,300.00 -

3,630.00 -

1,914.23 -

4,236.00 -

873.00 -

14,738.00 -

15,675.00 -

15,675.00 -

111.00 -

84.00 -

220.00 110,000.00 500

1,555.00 -

1,555.00 -

969.00 -

1,122.00 -

1,055.00 -

4,400.00 -
 281.00 -

286.00 -

280.00 -

3,300.00 -

3,300.00 -

2,937.00 29,370.00 10

4,885.00 -

4,885.00 -

4,885.00 -

5,170.00 -

3,150.00 -

3,300.00 -

3,300.00 -

830,000.00 -

650,000.00 -

940,000.00 -

475,000.22 -

137.00 -

86.00 43,000.00 500

137.00 -

235.00 -

212.00 -

207.00 -

123.00 123,000.00 1000

 207.00 -

99.00 -

79.50 -

8,003.00 -

7,363.00 -

6,900.00 -

266.00 -

59.00 -

59.00 -

101,300.00 -

101,300.00 -

101,300.00 -

1,325,000.00 -

1,325,000.00 -

1,375,000.00 -

171.00 -

2,533.00 -

2,325.00 -

2,533.00 -

242.00 -

198.00 -

195.00 -

264.00 -

330.00 -
 127.00 -

8,400.00 -

2,520.00 -

2,339.00 -

99.00 -

99.00 -

77.00 -

198.00 -

198.00 -

99.00 -

154.00 -

154.00 -

60.00 60,000.00 1000

63.00 -

99.00 -

132.00 -

75.00 -

661.00 -

212.00 31,800.00 150

661.00 -

250.00 -

216.00 -

250.00 -

2,399.00 -
2,577.00 -

286.00 -

260.00 -

1,089.00 -

1,089.00 -

923.00 46,150.00 50

1,870.00 -

583.00 -

1,875.00 -

1,568.00 -

1,469.00 -

1,568.00 -

502.29 -

565.50 113,100.00 200

5,170.00 -

2,054.00 -

2,054.00 -

5,352.00 -

5,319.00 -

8,875.00 -

8,434.00 -

8,800.00 -

8,875.00 -

8,800.00 440,000.00 50
6,600.00 -

24.00 -

24.00 -

1,531.00 -

1,531.00 -

1,435.00 -

242.00 -

170.00 -

234.03 -

181.00 -

1,121.00 -

1,550.00 -

2,052.00 -

2,190.00 -

299.00 -

319.00 -

847.00 -

1,315.00 -

1,403.00 -

1,405.00 168,600.00 120

1,405.00 -

132.00 -

81.00 -

176.00 -
 136.00 -

117.00 -

136.00 -

3,796.00 -

4,700.00 -

3,796.00 -

148.00 -

148.00 -

102.00 -

11,449.00 -

12,217.00 -

12,217.00 -

243.00 -

214.00 -

3,399.00 -

1,069.00 -

3,399.00 -

89.00 -

83.00 -

4,554.00 -

4,554.00 -

1,983.00 99,150.00 50

2,700.00 -

6,750.00 -
 109.00 -

109.00 -

77.00 -

8,250.00 -

8,250.00 -

127.00 -

253.00 -

253.00 -

3,950.00 -

3,950.00 -

3,926.00 -

3,926.00 -

1,900.00 45,600.00 24

145.00 -

220.00 -

109.00 327,000.00 3000

6,410.00 -

6,840.00 -

107.00 -

114.00 -

627.00 -

645.00 -

971.00 -

971.00 -
 869.00 -

24,198.00 -

317.00 -

1,492,579.00 -

267,397.00 -

6,500.00 -

6,100.00 -

5,500.00 -

9,570.00 -

605.00 -

9,975.00 -

659.00 -

12,000.00 -

660.00 -

1,980.00 -

1,649.36 -

3,200.00 -

2,600.00 -

2,774.00 -

2,774.00 -

1,248.00 -

1,232.00 -

11,868.00 -

11,868.00 -
11,868.00 -

147.00 -

129.00 51,600.00 400

220.00 -

429.00 -

275.00 -

429.00 -

1,258.00 -

5,500.00 -

963.00 -

13,200.00 -

2,971.00 -

1,238.00 -

1,160.00 -

5,204.00 -

7,646.00 -

7,646.00 -

121.00 -

165.00 -

150.00 -

20,700.00 -

542.00 162,600.00 300

505.00 -

505.00 -
 6,600.00 -

6,600.00 -

249.00 -

72.00 -

141.00 -

150.00 -

150.00 -

165.00 -

165.00 -

198.00 594,000.00 3000

79.00 79,000.00 1000

73.00 -

79.00 -

329.00 -

354.00 -

63.00 -

63.00 -

63.00 63,000.00 1000

440.00 -

440.00 440,000.00 1000

190,000.00 -

235.95 -

198.00 -

210.00 420,000.00 2000

 85.00 -

1,188.00 -

858.00 -

1,188.00 -

331.00 -

596.00 -

985.00 -

934.00 -

1,134.00 -

7,150.00 -

7,630.00 -

287.00 -

132.00 -

67.00 -

132.00 -

4,446.00 -

6,796.68 -

4,189.00 -

11,000.00 -

5,400.00 -

11,000.00 -

3,017.00 -

1,475.00 -

11,825.00 -
11,466.00 -

5,710.00 -

923.00 -

4,360.00 -

4,360.00 -

4,086.00 -

880.00 -

492.00 -

880.00 -

5,146.00 -

4,822.00 -

5,146.00 514,600.00 100

4,706.00 -

4,410.00 -

4,706.00 -

44.00 88,000.00 2000

52.00 -

1,160.00 -

1,160.00 -

1,066.00 -

117.00 -

117.00 -

73.00 146,000.00 2000

528.00 -
 281.00 -

512,204.00 -

512,204.00 -

517,132.00 1,034,264.00 2

130,999.00 -

130,999.00 -

130,999.00 -

5,980.00 -

7,338.00 -

7,338.00 -

983.00 -

330.00 -

330.00 -

310.00 -

331.00 -

847.00 -

832.50 -

7,150.00 -

11,000.00 -

94.00 -

88.00 264,000.00 3000

660.00 -

329.68 -

1,764.00 -
 330.00 -

309.00 -

95.00 -

101.00 -

17,789.00 -

135.00 -

60.00 180,000.00 3000

135.00 -

3,285.00 -

2,489.00 -

604.00 -

253.00 -

604.00 -

2,200,000.00 -

1,248.88 -

1,335.02 -

1,033.56 -

1,205.82 1,205,820.00 1000

1,205.82 -

1,277.60 -

1,263.24 -

1,693.89 -
 1,909.21 -

1,909.21 -

1,803.50 -

1,803.50 -
4,507.37
-
5,268.29
-
1,240.00
620,000.00

1,650.00 -

1,597.00 -

134.20 -

188.76 -

259.52 129,758.85 500

155.91 -

124.48 -

17,958.11 -

10,980.20 -

17,958.11 -

33,785.00 -

35,285.00 -

33,785.00 -

35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -
35,285.00 - 48

26,941.00 -

28,019.00 1,344,912.00

33,785.00 -

35,285.00 -

10,000.00 -

16,008.00 -

25,300.00 -

14,109.30 -

16,008.00 -

13,420.00 -

12,100.00 -

14,109.30 -

13,420.00 -

12,100.00 -

1,597.96 -

563.64 -

563.64 -

590.48 -

590.48 -

1,207.60 -

24,200.00 -

23,750.00 -

6,606.30 -
6,222.00 -

6,217.12 -

5,856.00 -

6,217.12 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,177.50 -

7,320.00 -

9,827.10 -

9,827.10 -
 9,394.00 -

28,750.00 -

27,725.00 -

34,228.40 -

33,900.00 -

149,040.00 -

141,400.00 -

149,040.00 -

164,456.11 -

8,109.49 -

8,109.33 -

10,000.00 -

8,903.23 -

6,390.00 -

9,375.00 -

2,475.75 -

2,582.13 -

2,571.75 -

2,856.89 -

3,636.36 -

412.50 -

671.78 -

3,100.00 -

3,000.00 -
 2,164.80 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

16,704.00 -

16,704.00 -

19,372.00 -

19,372.00 -

19,372.00 -

19,372.00 -

17,980.00 -

5,940.00 -

14,080.00 -

12,430.00 -

5,940.00 -
14,080.00 -

12,430.00 -

33,000.00 -

14,810.89 -

12,675.00 -

12,675.00 -

77,600.00 -

75,537.00 -

80,192.00 -

78,285.55 -

35,174.50 -

34,300.00 -

46,853.42 -

3,300.00 -

3,300.00 -

20,685.00 -

17,024.00 612,864.00 36

23,385.00 -

9,164.00 -

9,280.00 -

9,164.00 -

5,568.00 -

7,308.00 146,160.00 20

9,280.00 -
 5,699.98 -

5,533.00 -

9,400.00 -

53,300.00 -

51,500.00 -

27,300.00 -

27,300.00 -

17,550.00 -

3,900.00 -

6,089.00 -

9,400.00 -

36,955.20 -

137,137.86 -

81,832.79 -

62,216.18 -

88,475.81 -

34,091.80 -

79,315.50 -

141,417.00 -

83,038.00 -

64,785.00 -

63,840.00 -

70,917.00 -

-
 25,546.32 -

6,214.29 -

3,390.99 -

23,566.00 -

5,238.80 -

3,188.24 -

25,592.50 -

6,229.83 -

3,401.16 -

801,000.00 -

2,702,700.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

128,625.00 128,625.00 1

177,125.00 177,125.00 1

128,625.00 128,625.00 1

218,125.00 218,125.00 1

13,140.60 -
 15,297.00 -

15,297.00 -

13,655.00 -

1,296.00 -

1,150.00 -

1,306.25 -

4,720.00 -

4,720.00 -

12,859.00 -

53,180.00 -

53,180.00 -

21,720.00 -

9,048.17 -

6,186.16 -

9,048.18 -

10,967.00 -

10,967.00 -

10,967.00 -

28,768.50 -

12,882.45 -

423,500.00 -

1,135,000.00 -

1,463,000.00 -

338,800.00 -
1,232,000.00 -

1,355,200.00 -

423,500.00 -

1,355,200.00 -

1,463,000.00 -

4,250,665.17 -

2,774,860.00 -

3,699,850.00 -

4,250,665.00 -

2,774,860.00 -

3,699,850.00 -

19,175.00 -

22,775.00 -

40,848.33 -

30,697.00 -

18,500.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -
116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

177.24 -

159.06 -

1,724.80 -

12,575.84 -

9,164.00 -

60,605.88 -

11,745.66 -

11,318.86 -

254,400.00 -

3,399.09 2,719,271.39 800

1,405.00 702,500.00 500

12,500.00 -

15,153,170.24
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 3000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 1000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 1000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021 30
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020 500
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 1000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 1000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021 500

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020 30

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021 500

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 25

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 1000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 500

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020 24

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 500

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 1000

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021 1000

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 2000

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021 300

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 25
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020 500

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021 300

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021 3000

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021 24

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 1000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 3200

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 1000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 2000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021 10

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021 5

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 3000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 2000

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018 1000

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 3000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019 300

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018 1000
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020 50

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019 50

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020 10

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020 30

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 30

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021 3

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020 5

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021 50

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 25

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 1000

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 -

89.00 -

105.00 -

88.00 -

3,850.00 -

2,750.00 -

4,525.00 -

143.00 -

144.00 -

150.00 -

2,736.00 -

3,071.00 -

101.00 -

101.00 -

363.00 -

168.00 -

168.00 -

80.00 -
 55.00 165,000.00 3000

80.00 -

265.00 -

231.00 231,000.00 1000

266.00 -

3,300.00 -

1,919.00 -

5,850.00 -

2,050.00 -

3,604.00 -

3,846.00 -

3,510.00 -

2,239.00 -

2,098.00 -

1,756.00 -

54.00 54,000.00 1000

60.00 -

60.00 -

6,160.00 -

5,060.00 -

6,190.00 -

5,170.00 -

3,260.00 97,800.00 30

3,642.00 -
3,642.00 -

212.00 106,000.00 500

235.00 -

2,860.00 -

2,624.60 -

275.00 -

120.00 -

46.00 46,000.00 1000

120.00 -

54.00 -

117.00 117,000.00 1000

286.00 -

286.00 -

1,784.00 -

1,784.00 -

198.00 -

1,880.00 -

2,374.00 -

89.00 -

105.00 -

440.00 -

3,630.00 -

3,388.00 -

3,630.00 -
 429.00 214,500.00 500

454.00 -

770.00 -

159.00 -

505.00 -

1,859.00 -

1,778.00 -

409.00 -

2,662.00 -

2,750.00 -

3,000.00 90,000.00 30

83,190.00 -

83,190.00 -

83,190.00 -

119.00 -

119.00 -

92.00 46,000.00 500

626.00 -

143.00 -

1,465.00 -

2,439.00 60,975.00 25

1,465.00 -

5,900.00 -

4,325.00 -
 5,900.00 -

6,000.00 -

5,085.00 -

17,875.00 -

52.00 52,000.00 1000

104.00 -

104.00 -

3,061.00 -

2,215.00 -

3,061.00 -

968.00 -

1,210.00 -

1,210.00 -

77.00 -

36.00 -

77.00 -

1,200.00 -

5,720.00 -

86.00 -

86.00 -

1,913.00 -

1,913.00 -

1,913.00 -

21,021.00 -
21,021.00 -

14,459.00 -

14,459.00 -

14,459.00 -

1,347.00 -

1,347.00 -

825.00 -

143.00 -

280.00 -

264.00 -

75.00 -

96.00 -

96.00 -

2,862.00 -

5,500.00 -

2,862.00 -

2,401.00 -

1,088.00 -

1,740.00 -

1,518.00 -

1,518.00 -

781.00 -

7,436.00 -

400.00 -
165,000.00 -

175,000.00 -

21,648.00 -

20,175.00 -

197.00 -

197.00 -

2,764.00 -

3,300.00 -

3,630.00 -

1,914.23 -

4,236.00 -

873.00 -

14,738.00 -

15,675.00 -

15,675.00 -

111.00 -

84.00 -

220.00 110,000.00 500

1,555.00 -

1,555.00 -

969.00 -

1,122.00 -

1,055.00 -

4,400.00 -
 281.00 -

286.00 -

280.00 -

3,300.00 -

3,300.00 -

2,937.00 29,370.00 10

4,885.00 -

4,885.00 -

4,885.00 -

5,170.00 -

3,150.00 -

3,300.00 -

3,300.00 79,200.00 24

830,000.00 -

650,000.00 -

940,000.00 -

475,000.22 -

137.00 -

86.00 43,000.00 500

137.00 -

235.00 -

212.00 -

207.00 -

123.00 -
 207.00 -

99.00 -

79.50 -

8,003.00 -

7,363.00 -

6,900.00 -

266.00 -

59.00 -

59.00 -

101,300.00 -

101,300.00 -

101,300.00 -

1,325,000.00 -

1,325,000.00 -

1,375,000.00 -

171.00 -

2,533.00 -

2,325.00 -

2,533.00 -

242.00 -

198.00 -

195.00 195,000.00 1000

264.00 -

330.00 -
 127.00 -

8,400.00 -

2,520.00 -

2,339.00 -

99.00 -

99.00 -

77.00 -

198.00 -

198.00 -

99.00 -

154.00 -

154.00 -

60.00 60,000.00 1000

63.00 -

99.00 -

132.00 -

75.00 150,000.00 2000

661.00 -

212.00 63,600.00 300

661.00 -

250.00 -

216.00 -

250.00 -

2,399.00 -
2,577.00 -

286.00 -

260.00 -

1,089.00 -

1,089.00 -

923.00 -

1,870.00 -

583.00 -

1,875.00 -

1,568.00 -

1,469.00 -

1,568.00 -

502.29 -

565.50 -

5,170.00 -

2,054.00 -

2,054.00 -

5,352.00 -

5,319.00 -

8,875.00 -

8,434.00 210,850.00 25

8,800.00 -

8,875.00 -

8,800.00 -
6,600.00 -

24.00 -

24.00 -

1,531.00 -

1,531.00 -

1,435.00 -

242.00 -

170.00 -

234.03 -

181.00 -

1,121.00 -

1,550.00 -

2,052.00 -

2,190.00 -

299.00 -

319.00 -

847.00 -

1,315.00 -

1,403.00 -

1,405.00 -

1,405.00 -

132.00 -

81.00 -

176.00 -
 136.00 -

117.00 -

136.00 68,000.00 500

3,796.00 -

4,700.00 -

3,796.00 -

148.00 -

148.00 -

102.00 -

11,449.00 -

12,217.00 -

12,217.00 -

243.00 -

214.00 64,200.00 300

3,399.00 -

1,069.00 -

3,399.00 -

89.00 -

83.00 -

4,554.00 -

4,554.00 -

1,983.00 -

2,700.00 -

6,750.00 -
 109.00 -

109.00 -

77.00 231,000.00 3000

8,250.00 -

8,250.00 -

127.00 -

253.00 -

253.00 -

3,950.00 -

3,950.00 -

3,926.00 -

3,926.00 -

1,900.00 45,600.00 24

145.00 -

220.00 -

109.00 109,000.00 1000

6,410.00 -

6,840.00 -

107.00 -

114.00 -

627.00 -

645.00 -

971.00 -

971.00 -
 869.00 -

24,198.00 -

317.00 -

1,492,579.00 -

267,397.00 -

6,500.00 -

6,100.00 -

5,500.00 -

9,570.00 -

605.00 -

9,975.00 -

659.00 -

12,000.00 -

660.00 -

1,980.00 -

1,649.36 -

3,200.00 -

2,600.00 -

2,774.00 -

2,774.00 -

1,248.00 -

1,232.00 -

11,868.00 -

11,868.00 -
11,868.00 -

147.00 -

129.00 51,600.00 400

220.00 -

429.00 -

275.00 -

429.00 -

1,258.00 -

5,500.00 -

963.00 -

13,200.00 -

2,971.00 -

1,238.00 -

1,160.00 -

5,204.00 -

7,646.00 -

7,646.00 -

121.00 -

165.00 528,000.00 3200

150.00 -

20,700.00 -

542.00 -

505.00 -

505.00 -
 6,600.00 -

6,600.00 -

249.00 -

72.00 -

141.00 -

150.00 -

150.00 -

165.00 -

165.00 -

198.00 198,000.00 1000

79.00 -

73.00 -

79.00 -

329.00 -

354.00 -

63.00 -

63.00 -

63.00 -

440.00 -

440.00 -

190,000.00 -

235.95 -

198.00 -

210.00 420,000.00 2000

 85.00 -

1,188.00 -

858.00 -

1,188.00 -

331.00 -

596.00 -

985.00 -

934.00 -

1,134.00 -

7,150.00 -

7,630.00 -

287.00 -

132.00 -

67.00 -

132.00 -

4,446.00 -

6,796.68 -

4,189.00 -

11,000.00 -

5,400.00 -

11,000.00 -

3,017.00 -

1,475.00 14,750.00 10

11,825.00 -
11,466.00 57,330.00 5

5,710.00 -

923.00 -

4,360.00 -

4,360.00 -

4,086.00 -

880.00 -

492.00 -

880.00 -

5,146.00 -

4,822.00 -

5,146.00 -

4,706.00 -

4,410.00 -

4,706.00 -

44.00 132,000.00 3000

52.00 -

1,160.00 -

1,160.00 -

1,066.00 -

117.00 -

117.00 -

73.00 146,000.00 2000

528.00 -
 281.00 -

512,204.00 -

512,204.00 -

517,132.00 -

130,999.00 -

130,999.00 -

130,999.00 -

5,980.00 -

7,338.00 -

7,338.00 -

983.00 -

330.00 -

330.00 -

310.00 -

331.00 -

847.00 -

832.50 -

7,150.00 -

11,000.00 -

94.00 -

88.00 88,000.00 1000

660.00 -

329.68 -

1,764.00 -
 330.00 -

309.00 -

95.00 -

101.00 -

17,789.00 -

135.00 -

60.00 180,000.00 3000

135.00 -

3,285.00 -

2,489.00 -

604.00 -

253.00 -

604.00 -

2,200,000.00 -

1,248.88 -

1,335.02 -

1,033.56 -

1,205.82 361,746.00 300

1,205.82 -

1,277.60 -

1,263.24 -

1,693.89 -
 1,909.21 -

1,909.21 -

1,803.50 -

1,803.50 -
4,507.37
-
5,268.29
-
1,240.00
1,240,000.00 1000

1,650.00 -

1,597.00 -

134.20 -

188.76 -

259.52 -

155.91 -

124.48 -

17,958.11 -

10,980.20 -

17,958.11 -

33,785.00 -

35,285.00 -

33,785.00 -

35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -
35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -

35,285.00 -

10,000.00 -

16,008.00 -

25,300.00 -

14,109.30 -

16,008.00 -

13,420.00 -

12,100.00 -

14,109.30 -

13,420.00 -

12,100.00 -

1,597.96 -

563.64 -

563.64 -

590.48 -

590.48 -

1,207.60 -

24,200.00 -

23,750.00 -

6,606.30 -
6,222.00 -

6,217.12 -

5,856.00 -

6,217.12 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 358,875.00 50

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 358,875.00 50

7,177.50 -

7,320.00 -

9,827.10 -

9,827.10 -
 9,394.00 -

28,750.00 -

27,725.00 -

34,228.40 -

33,900.00 -

149,040.00 -

141,400.00 -

149,040.00 -

164,456.11 -

8,109.49 -

8,109.33 81,093.33 10

10,000.00 -

8,903.23 -

6,390.00 -

9,375.00 -

2,475.75 -

2,582.13 -

2,571.75 -

2,856.89 -

3,636.36 -

412.50 -

671.78 -

3,100.00 -

3,000.00 -
 2,164.80 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

16,704.00 -

16,704.00 -

19,372.00 -

19,372.00 -

19,372.00 -

19,372.00 -

17,980.00 -

5,940.00 -

14,080.00 -

12,430.00 -

5,940.00 -
14,080.00 -

12,430.00 -

33,000.00 -

14,810.89 -

12,675.00 -

12,675.00 380,250.00 30

77,600.00 -

75,537.00 -

80,192.00 -

78,285.55 -

35,174.50 -

34,300.00 -

46,853.42 -

3,300.00 -

3,300.00 -

20,685.00 -

17,024.00 -

23,385.00 -

9,164.00 -

9,280.00 278,400.00 30

9,164.00 -

5,568.00 -

7,308.00 -

9,280.00 -
 5,699.98 -

5,533.00 -

9,400.00 -

53,300.00 -

51,500.00 -

27,300.00 -

27,300.00 81,900.00 3

17,550.00 -

3,900.00 19,500.00 5

6,089.00 -

9,400.00 -

36,955.20 -

137,137.86 -

81,832.79 -

62,216.18 -

88,475.81 -

34,091.80 -

79,315.50 -

141,417.00 -

83,038.00 -

64,785.00 -

63,840.00 -

70,917.00 -

-
 25,546.32 -

6,214.29 -

3,390.99 -

23,566.00 -

5,238.80 -

3,188.24 -

25,592.50 -

6,229.83 -

3,401.16 -

801,000.00 -

2,702,700.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

128,625.00 -

177,125.00 -

128,625.00 -

218,125.00 -

13,140.60 -
 15,297.00 -

15,297.00 -

13,655.00 -

1,296.00 -

1,150.00 -

1,306.25 -

4,720.00 -

4,720.00 -

12,859.00 642,950.00 50

53,180.00 -

53,180.00 -

21,720.00 -

9,048.17 -

6,186.16 154,654.00 25

9,048.18 -

10,967.00 -

10,967.00 -

10,967.00 -

28,768.50 -

12,882.45 -

423,500.00 -

1,135,000.00 -

1,463,000.00 -

338,800.00 -
1,232,000.00 -

1,355,200.00 -

423,500.00 -

1,355,200.00 -

1,463,000.00 -

4,250,665.17 -

2,774,860.00 -

3,699,850.00 -

4,250,665.00 -

2,774,860.00 -

3,699,850.00 -

19,175.00 -

22,775.00 -

40,848.33 -

30,697.00 -

18,500.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -
116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

177.24 -

159.06 -

1,724.80 -

12,575.84 -

9,164.00 -

60,605.88 -

11,745.66 -

11,318.86 -

254,400.00 -

3,399.09 3,399,089.24 1000

1,405.00 702,500.00 500

12,500.00 -

12,614,607.58
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021 200

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 3000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021 100
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 5000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020 500
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 1000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 3000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021 1000
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021 25

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020 30

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 3000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021 50

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 4000
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021 200

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 500

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017 500

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021 1000

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 3000

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 25
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019 25
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021 60

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 3000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019 500

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021 24

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 1000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021 100
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 5000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 3000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 2000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020 2000

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021 20

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 2000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 2000

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018 2000

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 2000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021 100

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019 500

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020 100

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018 500
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019 48

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020 48

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020 48

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021 48

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021 50

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020 30

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 50

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020 120

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 500

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 -

89.00 -

105.00 -

88.00 -

3,850.00 -

2,750.00 550,000.00 200

4,525.00 -

143.00 -

144.00 -

150.00 -

2,736.00 -

3,071.00 -

101.00 -

101.00 -

363.00 -

168.00 -

168.00 -

80.00 -
 55.00 -

80.00 -

265.00 -

231.00 693,000.00 3000

266.00 -

3,300.00 -

1,919.00 -

5,850.00 -

2,050.00 -

3,604.00 -

3,846.00 -

3,510.00 351,000.00 50

2,239.00 -

2,098.00 -

1,756.00 -

54.00 270,000.00 5000

60.00 -

60.00 -

6,160.00 -

5,060.00 -

6,190.00 -

5,170.00 -

3,260.00 -

3,642.00 -
3,642.00 -

212.00 106,000.00 500

235.00 -

2,860.00 -

2,624.60 -

275.00 -

120.00 -

46.00 46,000.00 1000

120.00 -

54.00 -

117.00 351,000.00 3000

286.00 -

286.00 -

1,784.00 -

1,784.00 -

198.00 -

1,880.00 -

2,374.00 -

89.00 89,000.00 1000

105.00 -

440.00 -

3,630.00 -

3,388.00 84,700.00 25

3,630.00 -
 429.00 -

454.00 -

770.00 -

159.00 -

505.00 -

1,859.00 -

1,778.00 -

409.00 -

2,662.00 -

2,750.00 -

3,000.00 90,000.00 20

83,190.00 -

83,190.00 -

83,190.00 -

119.00 -

119.00 -

92.00 -

626.00 -

143.00 -

1,465.00 -

2,439.00 -

1,465.00 -

5,900.00 -

4,325.00 -
 5,900.00 -

6,000.00 -

5,085.00 -

17,875.00 -

52.00 156,000.00 3000

104.00 -

104.00 -

3,061.00 -

2,215.00 110,750.00 30

3,061.00 -

968.00 -

1,210.00 -

1,210.00 -

77.00 -

36.00 -

77.00 308,000.00 4000

1,200.00 -

5,720.00 -

86.00 -

86.00 -

1,913.00 -

1,913.00 -

1,913.00 -

21,021.00 -
21,021.00 -

14,459.00 -

14,459.00 -

14,459.00 -

1,347.00 -

1,347.00 -

825.00 -

143.00 28,600.00 200

280.00 -

264.00 -

75.00 -

96.00 -

96.00 -

2,862.00 -

5,500.00 -

2,862.00 -

2,401.00 -

1,088.00 -

1,740.00 -

1,518.00 -

1,518.00 -

781.00 -

7,436.00 -

400.00 -
165,000.00 -

175,000.00 -

21,648.00 -

20,175.00 -

197.00 -

197.00 -

2,764.00 -

3,300.00 -

3,630.00 -

1,914.23 -

4,236.00 -

873.00 -

14,738.00 -

15,675.00 -

15,675.00 -

111.00 -

84.00 -

220.00 -

1,555.00 -

1,555.00 -

969.00 -

1,122.00 -

1,055.00 -

4,400.00 -
 281.00 -

286.00 -

280.00 -

3,300.00 -

3,300.00 -

2,937.00 -

4,885.00 -

4,885.00 -

4,885.00 -

5,170.00 -

3,150.00 -

3,300.00 -

3,300.00 -

830,000.00 -

650,000.00 -

940,000.00 -

475,000.22 -

137.00 -

86.00 43,000.00 500

137.00 -

235.00 -

212.00 -

207.00 -

123.00 -
 207.00 -

99.00 -

79.50 -

8,003.00 -

7,363.00 -

6,900.00 -

266.00 133,000.00 500

59.00 -

59.00 -

101,300.00 -

101,300.00 -

101,300.00 -

1,325,000.00 -

1,325,000.00 -

1,375,000.00 -

171.00 -

2,533.00 -

2,325.00 -

2,533.00 -

242.00 -

198.00 -

195.00 -

264.00 -

330.00 -
 127.00 -

8,400.00 -

2,520.00 -

2,339.00 -

99.00 -

99.00 -

77.00 -

198.00 -

198.00 -

99.00 -

154.00 -

154.00 -

60.00 60,000.00 1000

63.00 -

99.00 -

132.00 -

75.00 225,000.00 3000

661.00 -

212.00 -

661.00 -

250.00 -

216.00 -

250.00 -

2,399.00 -
2,577.00 -

286.00 -

260.00 -

1,089.00 -

1,089.00 -

923.00 -

1,870.00 -

583.00 -

1,875.00 -

1,568.00 -

1,469.00 -

1,568.00 -

502.29 -

565.50 -

5,170.00 -

2,054.00 -

2,054.00 -

5,352.00 -

5,319.00 -

8,875.00 -

8,434.00 210,850.00 25

8,800.00 -

8,875.00 -

8,800.00 220,000.00 25
6,600.00 -

24.00 -

24.00 -

1,531.00 -

1,531.00 -

1,435.00 -

242.00 -

170.00 -

234.03 -

181.00 -

1,121.00 -

1,550.00 -

2,052.00 -

2,190.00 -

299.00 -

319.00 -

847.00 50,820.00

1,315.00 -

1,403.00 -

1,405.00 -

1,405.00 -

132.00 -

81.00 -

176.00 -
 136.00 -

117.00 -

136.00 -

3,796.00 -

4,700.00 -

3,796.00 -

148.00 -

148.00 444,000.00

102.00 - 3000

11,449.00 -

12,217.00 -

12,217.00 -

243.00 -

214.00 -

3,399.00 -

1,069.00 -

3,399.00 -

89.00 44,500.00 500

83.00 -

4,554.00 -

4,554.00 -

1,983.00 -

2,700.00 -

6,750.00 -
 109.00 -

109.00 -

77.00 -

8,250.00 -

8,250.00 -

127.00 -

253.00 -

253.00 -

3,950.00 -

3,950.00 -

3,926.00 -

3,926.00 -

1,900.00 45,600.00 24

145.00 -

220.00 -

109.00 109,000.00 1000

6,410.00 -

6,840.00 -

107.00 -

114.00 -

627.00 -

645.00 -

971.00 -

971.00 -
 869.00 -

24,198.00 -

317.00 -

1,492,579.00 -

267,397.00 -

6,500.00 -

6,100.00 -

5,500.00 -

9,570.00 -

605.00 -

9,975.00 -

659.00 -

12,000.00 -

660.00 -

1,980.00 -

1,649.36 -

3,200.00 -

2,600.00 -

2,774.00 -

2,774.00 -

1,248.00 -

1,232.00 -

11,868.00 -

11,868.00 -
11,868.00 -

147.00 -

129.00 51,600.00 400

220.00 -

429.00 -

275.00 -

429.00 -

1,258.00 -

5,500.00 -

963.00 -

13,200.00 -

2,971.00 -

1,238.00 -

1,160.00 116,000.00 100

5,204.00 -

7,646.00 -

7,646.00 -

121.00 -

165.00 825,000.00 5000

150.00 -

20,700.00 -

542.00 -

505.00 -

505.00 -
 6,600.00 -

6,600.00 -

249.00 -

72.00 -

141.00 -

150.00 -

150.00 -

165.00 -

165.00 -

198.00 594,000.00 3000

79.00 -

73.00 -

79.00 -

329.00 -

354.00 -

63.00 -

63.00 -

63.00 -

440.00 -

440.00 -

190,000.00 -

235.95 -

198.00 -

210.00 420,000.00 2000

 85.00 -

1,188.00 -

858.00 -

1,188.00 -

331.00 -

596.00 -

985.00 -

934.00 -

1,134.00 -

7,150.00 -

7,630.00 -

287.00 -

132.00 264,000.00 2000

67.00 -

132.00 -

4,446.00 -

6,796.68 -

4,189.00 -

11,000.00 -

5,400.00 -

11,000.00 -

3,017.00 -

1,475.00 29,500.00 20

11,825.00 -
11,466.00 -

5,710.00 -

923.00 -

4,360.00 -

4,360.00 -

4,086.00 -

880.00 -

492.00 -

880.00 -

5,146.00 -

4,822.00 -

5,146.00 -

4,706.00 -

4,410.00 -

4,706.00 -

44.00 88,000.00 2000

52.00 -

1,160.00 -

1,160.00 -

1,066.00 -

117.00 -

117.00 -

73.00 146,000.00 2000

528.00 -
 281.00 -

512,204.00 -

512,204.00 -

517,132.00 -

130,999.00 -

130,999.00 -

130,999.00 -

5,980.00 -

7,338.00 -

7,338.00 -

983.00 -

330.00 -

330.00 -

310.00 -

331.00 -

847.00 -

832.50 -

7,150.00 -

11,000.00 -

94.00 -

88.00 176,000.00 2000

660.00 -

329.68 -

1,764.00 -
 330.00 -

309.00 -

95.00 -

101.00 -

17,789.00 -

135.00 -

60.00 120,000.00 2000

135.00 -

3,285.00 -

2,489.00 -

604.00 -

253.00 -

604.00 -

2,200,000.00 -

1,248.88 124,888.47 100

1,335.02 -

1,033.56 -

1,205.82 602,910.00 500

1,205.82 -

1,277.60 -

1,263.24 -

1,693.89 -
 1,909.21 190,921.00 100

1,909.21 -

1,803.50 -

1,803.50 -
4,507.37
-
5,268.29
-
1,240.00
620,000.00 500

1,650.00 -

1,597.00 -

134.20 -

188.76 -

259.52 -

155.91 -

124.48 -

17,958.11 -

10,980.20 -

17,958.11 -

33,785.00 1,621,680.00 48

35,285.00 - 48

33,785.00 -

35,285.00 1,693,680.00

26,941.00 -

28,019.00 -

33,785.00 -
35,285.00 1,693,680.00 48

26,941.00 1,293,168.00 48

28,019.00 -

33,785.00 -

35,285.00 -

10,000.00 -

16,008.00 -

25,300.00 -

14,109.30 -

16,008.00 -

13,420.00 -

12,100.00 -

14,109.30 -

13,420.00 -

12,100.00 -

1,597.96 -

563.64 -

563.64 -

590.48 -

590.48 -

1,207.60 -

24,200.00 -

23,750.00 -

6,606.30 -
6,222.00 -

6,217.12 -

5,856.00 -

6,217.12 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,177.50 -

7,320.00 -

9,827.10 -

9,827.10 -
 9,394.00 -

28,750.00 -

27,725.00 -

34,228.40 -

33,900.00 -

149,040.00 -

141,400.00 -

149,040.00 -

164,456.11 -

8,109.49 -

8,109.33 -

10,000.00 -

8,903.23 -

6,390.00 -

9,375.00 468,750.00 50

2,475.75 -

2,582.13 -

2,571.75 -

2,856.89 -

3,636.36 -

412.50 -

671.78 -

3,100.00 -

3,000.00 -
 2,164.80 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

16,704.00 -

16,704.00 -

19,372.00 -

19,372.00 -

19,372.00 -

19,372.00 -

17,980.00 -

5,940.00 -

14,080.00 -

12,430.00 -

5,940.00 -
14,080.00 -

12,430.00 -

33,000.00 -

14,810.89 -

12,675.00 -

12,675.00 380,250.00 30

77,600.00 -

75,537.00 -

80,192.00 -

78,285.55 -

35,174.50 -

34,300.00 -

46,853.42 -

3,300.00 -

3,300.00 -

20,685.00 -

17,024.00 -

23,385.00 -

9,164.00 -

9,280.00 464,000.00 50

9,164.00 -

5,568.00 -

7,308.00 -

9,280.00 -
 5,699.98 683,997.83 120

5,533.00 -

9,400.00 -

53,300.00 -

51,500.00 -

27,300.00 -

27,300.00 -

17,550.00 -

3,900.00 -

6,089.00 -

9,400.00 -

36,955.20 -

137,137.86 -

81,832.79 -

62,216.18 -

88,475.81 -

34,091.80 -

79,315.50 -

141,417.00 -

83,038.00 -

64,785.00 -

63,840.00 -

70,917.00 -

-
 25,546.32 -

6,214.29 -

3,390.99 -

23,566.00 -

5,238.80 -

3,188.24 -

25,592.50 -

6,229.83 -

3,401.16 -

801,000.00 -

2,702,700.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

128,625.00 -

177,125.00 -

128,625.00 -

218,125.00 -

13,140.60 -
 15,297.00 -

15,297.00 -

13,655.00 -

1,296.00 -

1,150.00 -

1,306.25 -

4,720.00 -

4,720.00 -

12,859.00 -

53,180.00 -

53,180.00 -

21,720.00 -

9,048.17 -

6,186.16 -

9,048.18 -

10,967.00 -

10,967.00 -

10,967.00 -

28,768.50 -

12,882.45 -

423,500.00 -

1,135,000.00 -

1,463,000.00 -

338,800.00 -
1,232,000.00 -

1,355,200.00 -

423,500.00 -

1,355,200.00 -

1,463,000.00 -

4,250,665.17 -

2,774,860.00 -

3,699,850.00 -

4,250,665.00 -

2,774,860.00 -

3,699,850.00 -

19,175.00 -

22,775.00 -

40,848.33 -

30,697.00 -

18,500.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -
116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

177.24 -

159.06 -

1,724.80 -

12,575.84 -

9,164.00 -

60,605.88 -

11,745.66 -

11,318.86 -

254,400.00 -

3,399.09 1,699,544.62 500

1,405.00 702,500.00 500

12,500.00 -

19,889,889.92
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021 50

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 1500

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 2000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021 100
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 2000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 1000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 2000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021 20

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021 500
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021 25

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021 300

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020 20

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021 500

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021 420

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021 12

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 1000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021 50

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020 20

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 2000
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019 200

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021 30

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021 1

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021 10

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021 24

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020 2

Glass Ionomer Cement (GC IX) Set

178 DAK 2021 1

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 1500

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021 2000

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 1000

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021 10

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021 200

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 25
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020 210

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021 10

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 1000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021 10

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021 24

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 1000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020 100
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021 300

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019 25

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021 200
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 5000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 1000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020 500

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 2000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021 25

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020 1000

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020 20
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021 20

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018 1500

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 1000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019 500

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020 500

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020 500

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020 24

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018 50
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019 100

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020 20

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018 20

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019 20

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020 20

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019 10

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 25

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 1000

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 -

89.00 -

105.00 -

88.00 -

3,850.00 -

2,750.00 137,500.00 50

4,525.00 -

143.00 -

144.00 -

150.00 -

2,736.00 -

3,071.00 -

101.00 -

101.00 -

363.00 -

168.00 -

168.00 -

80.00 -
 55.00 82,500.00 1500

80.00 -

265.00 -

231.00 462,000.00 2000

266.00 -

3,300.00 -

1,919.00 -

5,850.00 -

2,050.00 205,000.00 100

3,604.00 -

3,846.00 -

3,510.00 -

2,239.00 -

2,098.00 -

1,756.00 -

54.00 108,000.00 2000

60.00 -

60.00 -

6,160.00 -

5,060.00 -

6,190.00 -

5,170.00 -

3,260.00 -

3,642.00 -
3,642.00 -

212.00 -

235.00 -

2,860.00 -

2,624.60 -

275.00 -

120.00 -

46.00 46,000.00 1000

120.00 -

54.00 -

117.00 234,000.00 2000

286.00 -

286.00 -

1,784.00 -

1,784.00 -

198.00 -

1,880.00 37,600.00 20

2,374.00 -

89.00 44,500.00 500

105.00 -

440.00 -

3,630.00 -

3,388.00 84,700.00 25

3,630.00 -
 429.00 128,700.00 300

454.00 -

770.00 -

159.00 -

505.00 -

1,859.00 -

1,778.00 -

409.00 -

2,662.00 -

2,750.00 -

3,000.00 60,000.00 20

83,190.00 -

83,190.00 -

83,190.00 -

119.00 -

119.00 -

92.00 46,000.00 500

626.00 -

143.00 60,060.00 420

1,465.00 -

2,439.00 -

1,465.00 -

5,900.00 -

4,325.00 -
 5,900.00 -

6,000.00 -

5,085.00 61,020.00 12

17,875.00 -

52.00 52,000.00 1000

104.00 -

104.00 -

3,061.00 -

2,215.00 110,750.00 50

3,061.00 -

968.00 -

1,210.00 -

1,210.00 24,200.00 20

77.00 -

36.00 -

77.00 154,000.00 2000

1,200.00 -

5,720.00 -

86.00 17,200.00 200

86.00 -

1,913.00 -

1,913.00 -

1,913.00 -

21,021.00 -
21,021.00 -

14,459.00 -

14,459.00 -

14,459.00 -

1,347.00 -

1,347.00 -

825.00 24,750.00 30

143.00 -

280.00 -

264.00 -

75.00 -

96.00 -

96.00 -

2,862.00 -

5,500.00 -

2,862.00 -

2,401.00 -

1,088.00 -

1,740.00 -

1,518.00 -

1,518.00 -

781.00 -

7,436.00 -

400.00 -
165,000.00 -

175,000.00 175,000.00 1

21,648.00 -

20,175.00 -

197.00 -

197.00 -

2,764.00 -

3,300.00 -

3,630.00 -

1,914.23 -

4,236.00 -

873.00 -

14,738.00 -

15,675.00 -

15,675.00 -

111.00 -

84.00 -

220.00 -

1,555.00 -

1,555.00 -

969.00 9,690.00 10

1,122.00 -

1,055.00 -

4,400.00 -
 281.00 -

286.00 -

280.00 -

3,300.00 -

3,300.00 -

2,937.00 -

4,885.00 -

4,885.00 -

4,885.00 -

5,170.00 124,080.00 24

3,150.00 -

3,300.00 -

3,300.00 -

830,000.00 -

650,000.00 1,300,000.00 2

940,000.00 940,000.00 1

475,000.22 -

137.00 -

86.00 -

137.00 -

235.00 -

212.00 -

207.00 -

123.00 -
 207.00 -

99.00 -

79.50 -

8,003.00 -

7,363.00 -

6,900.00 -

266.00 -

59.00 -

59.00 -

101,300.00 -

101,300.00 -

101,300.00 -

1,325,000.00 -

1,325,000.00 -

1,375,000.00 -

171.00 -

2,533.00 -

2,325.00 -

2,533.00 -

242.00 -

198.00 -

195.00 292,500.00 1500

264.00 -

330.00 -
 127.00 -

8,400.00 -

2,520.00 -

2,339.00 -

99.00 -

99.00 -

77.00 -

198.00 -

198.00 -

99.00 -

154.00 -

154.00 -

60.00 120,000.00 2000

63.00 -

99.00 -

132.00 -

75.00 75,000.00 1000

661.00 -

212.00 -

661.00 -

250.00 -

216.00 -

250.00 -

2,399.00 -
2,577.00 -

286.00 -

260.00 -

1,089.00 -

1,089.00 -

923.00 9,230.00 10

1,870.00 -

583.00 -

1,875.00 -

1,568.00 -

1,469.00 -

1,568.00 -

502.29 -

565.50 113,100.00 200

5,170.00 -

2,054.00 -

2,054.00 -

5,352.00 -

5,319.00 -

8,875.00 -

8,434.00 210,850.00 25

8,800.00 -

8,875.00 -

8,800.00 -
6,600.00 -

24.00 -

24.00 -

1,531.00 -

1,531.00 -

1,435.00 -

242.00 -

170.00 -

234.03 -

181.00 -

1,121.00 -

1,550.00 -

2,052.00 -

2,190.00 -

299.00 -

319.00 -

847.00 -

1,315.00 -

1,403.00 -

1,405.00 295,050.00 210

1,405.00 -

132.00 -

81.00 -

176.00 -
 136.00 -

117.00 -

136.00 -

3,796.00 -

4,700.00 47,000.00 10

3,796.00 -

148.00 -

148.00 148,000.00 1000

102.00 -

11,449.00 -

12,217.00 -

12,217.00 -

243.00 -

214.00 -

3,399.00 -

1,069.00 -

3,399.00 -

89.00 -

83.00 -

4,554.00 -

4,554.00 -

1,983.00 19,830.00 10

2,700.00 -

6,750.00 -
 109.00 -

109.00 -

77.00 -

8,250.00 -

8,250.00 -

127.00 -

253.00 -

253.00 -

3,950.00 -

3,950.00 -

3,926.00 -

3,926.00 -

1,900.00 45,600.00 24

145.00 -

220.00 -

109.00 109,000.00 1000

6,410.00 -

6,840.00 -

107.00 -

114.00 -

627.00 -

645.00 -

971.00 -

971.00 97,100.00 100

 869.00 -

24,198.00 -

317.00 95,100.00 300

1,492,579.00 -

267,397.00 -

6,500.00 -

6,100.00 -

5,500.00 -

9,570.00 -

605.00 -

9,975.00 -

659.00 -

12,000.00 -

660.00 -

1,980.00 -

1,649.36 -

3,200.00 -

2,600.00 -

2,774.00 69,350.00 25

2,774.00 -

1,248.00 -

1,232.00 -

11,868.00 -

11,868.00 -
11,868.00 -

147.00 -

129.00 51,600.00 400

220.00 -

429.00 -

275.00 -

429.00 -

1,258.00 -

5,500.00 -

963.00 -

13,200.00 -

2,971.00 -

1,238.00 -

1,160.00 232,000.00 200

5,204.00 -

7,646.00 -

7,646.00 -

121.00 -

165.00 825,000.00 5000

150.00 -

20,700.00 -

542.00 -

505.00 -

505.00 -
 6,600.00 -

6,600.00 -

249.00 -

72.00 -

141.00 -

150.00 -

150.00 -

165.00 -

165.00 -

198.00 198,000.00 1000

79.00 39,500.00 500

73.00 -

79.00 -

329.00 -

354.00 -

63.00 -

63.00 -

63.00 -

440.00 -

440.00 -

190,000.00 -

235.95 -

198.00 -

210.00 420,000.00 2000

 85.00 -

1,188.00 -

858.00 21,450.00 25

1,188.00 -

331.00 -

596.00 -

985.00 -

934.00 -

1,134.00 -

7,150.00 -

7,630.00 -

287.00 -

132.00 132,000.00 1000

67.00 -

132.00 -

4,446.00 -

6,796.68 -

4,189.00 -

11,000.00 -

5,400.00 -

11,000.00 220,000.00 20

3,017.00 -

1,475.00 29,500.00 20

11,825.00 -
11,466.00 -

5,710.00 -

923.00 -

4,360.00 -

4,360.00 -

4,086.00 -

880.00 -

492.00 -

880.00 -

5,146.00 -

4,822.00 -

5,146.00 -

4,706.00 -

4,410.00 -

4,706.00 -

44.00 -

52.00 -

1,160.00 -

1,160.00 -

1,066.00 -

117.00 -

117.00 -

73.00 -

528.00 -
 281.00 -

512,204.00 -

512,204.00 -

517,132.00 -

130,999.00 -

130,999.00 -

130,999.00 -

5,980.00 -

7,338.00 -

7,338.00 -

983.00 -

330.00 -

330.00 -

310.00 -

331.00 -

847.00 -

832.50 -

7,150.00 -

11,000.00 -

94.00 -

88.00 132,000.00 1500

660.00 -

329.68 -

1,764.00 -
 330.00 -

309.00 -

95.00 -

101.00 -

17,789.00 -

135.00 -

60.00 60,000.00 1000

135.00 -

3,285.00 -

2,489.00 -

604.00 -

253.00 -

604.00 -

2,200,000.00 -

1,248.88 -

1,335.02 -

1,033.56 -

1,205.82 602,910.00 500

1,205.82 -

1,277.60 -

1,263.24 -

1,693.89 -
 1,909.21 -

1,909.21 -

1,803.50 -

1,803.50 -
4,507.37
-
5,268.29
-
1,240.00
-

1,650.00 -

1,597.00 -

134.20 -

188.76 -

259.52 129,758.85 500

155.91 -

124.48 62,238.00 500

17,958.11 -

10,980.20 -

17,958.11 -

33,785.00 -

35,285.00 - 24

33,785.00 -

35,285.00 846,840.00

26,941.00 -

28,019.00 -

33,785.00 -
35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -

35,285.00 -

10,000.00 -

16,008.00 -

25,300.00 -

14,109.30 -

16,008.00 -

13,420.00 -

12,100.00 -

14,109.30 -

13,420.00 -

12,100.00 -

1,597.96 -

563.64 -

563.64 -

590.48 -

590.48 -

1,207.60 -

24,200.00 -

23,750.00 -

6,606.30 -
6,222.00 311,100.00 50

6,217.12 -

5,856.00 -

6,217.12 621,712.00 100

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,177.50 -

7,320.00 -

9,827.10 -

9,827.10 -
 9,394.00 -

28,750.00 -

27,725.00 -

34,228.40 -

33,900.00 -

149,040.00 -

141,400.00 -

149,040.00 -

164,456.11 -

8,109.49 -

8,109.33 -

10,000.00 -

8,903.23 -

6,390.00 -

9,375.00 -

2,475.75 -

2,582.13 -

2,571.75 -

2,856.89 -

3,636.36 -

412.50 -

671.78 -

3,100.00 -

3,000.00 -
 2,164.80 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 169,092.00 20

8,052.00 -

8,052.00 161,040.00 20

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

16,704.00 -

16,704.00 -

19,372.00 387,440.00 20

19,372.00 -

19,372.00 -

19,372.00 387,440.00 20

17,980.00 -

5,940.00 -

14,080.00 -

12,430.00 124,300.00 10

5,940.00 -
14,080.00 -

12,430.00 -

33,000.00 -

14,810.89 -

12,675.00 -

12,675.00 -

77,600.00 -

75,537.00 -

80,192.00 -

78,285.55 -

35,174.50 -

34,300.00 -

46,853.42 -

3,300.00 -

3,300.00 -

20,685.00 -

17,024.00 -

23,385.00 -

9,164.00 -

9,280.00 -

9,164.00 -

5,568.00 -

7,308.00 -

9,280.00 -
 5,699.98 -

5,533.00 -

9,400.00 -

53,300.00 -

51,500.00 -

27,300.00 -

27,300.00 -

17,550.00 -

3,900.00 -

6,089.00 -

9,400.00 -

36,955.20 -

137,137.86 -

81,832.79 -

62,216.18 -

88,475.81 -

34,091.80 -

79,315.50 -

141,417.00 -

83,038.00 -

64,785.00 -

63,840.00 -

70,917.00 -

-
 25,546.32 -

6,214.29 -

3,390.99 -

23,566.00 -

5,238.80 -

3,188.24 -

25,592.50 -

6,229.83 -

3,401.16 -

801,000.00 -

2,702,700.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

128,625.00 -

177,125.00 -

128,625.00 -

218,125.00 -

13,140.60 -
 15,297.00 -

15,297.00 -

13,655.00 -

1,296.00 -

1,150.00 -

1,306.25 -

4,720.00 -

4,720.00 -

12,859.00 -

53,180.00 -

53,180.00 -

21,720.00 -

9,048.17 -

6,186.16 154,654.00 25

9,048.18 -

10,967.00 -

10,967.00 -

10,967.00 -

28,768.50 -

12,882.45 -

423,500.00 -

1,135,000.00 -

1,463,000.00 -

338,800.00 -
1,232,000.00 -

1,355,200.00 -

423,500.00 -

1,355,200.00 -

1,463,000.00 -

4,250,665.17 -

2,774,860.00 -

3,699,850.00 -

4,250,665.00 -

2,774,860.00 -

3,699,850.00 -

19,175.00 -

22,775.00 -

40,848.33 -

30,697.00 -

18,500.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -
116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

177.24 -

159.06 -

1,724.80 -

12,575.84 -

9,164.00 -

60,605.88 -

11,745.66 -

11,318.86 -

254,400.00 -

3,399.09 3,399,089.24

1,405.00 702,500.00 500

12,500.00 -

16,897,124.09
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 3000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 2000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 3000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021 50
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018 24
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021 500
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020 30

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 25

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 1000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 3000
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021 300

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021 500

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 500

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 500

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021 1

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021 500

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 2000

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021 300

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020 500

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021 2000

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021 24

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 3000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 5000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 2000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020 500

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019 1000

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 3000
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 2000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 3000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018 1600
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018 10

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019 10

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020 10

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020 50

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018 50

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021 50

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021 10

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 -

89.00 -

105.00 -

88.00 -

3,850.00 -

2,750.00 -

4,525.00 -

143.00 -

144.00 -

150.00 -

2,736.00 -

3,071.00 -

101.00 -

101.00 -

363.00 -

168.00 -

168.00 -

80.00 -
 55.00 165,000.00 3000

80.00 -

265.00 -

231.00 462,000.00 2000

266.00 -

3,300.00 -

1,919.00 -

5,850.00 -

2,050.00 -

3,604.00 -

3,846.00 -

3,510.00 -

2,239.00 -

2,098.00 -

1,756.00 -

54.00 162,000.00 3000

60.00 -

60.00 -

6,160.00 -

5,060.00 253,000.00 50

6,190.00 -

5,170.00 124,080.00 24

3,260.00 -

3,642.00 -
3,642.00 -

212.00 -

235.00 -

2,860.00 -

2,624.60 -

275.00 -

120.00 -

46.00 -

120.00 -

54.00 -

117.00 -

286.00 -

286.00 -

1,784.00 -

1,784.00 -

198.00 -

1,880.00 -

2,374.00 -

89.00 44,500.00 500

105.00 -

440.00 -

3,630.00 -

3,388.00 -

3,630.00 -
 429.00 -

454.00 -

770.00 -

159.00 -

505.00 -

1,859.00 -

1,778.00 -

409.00 -

2,662.00 -

2,750.00 -

3,000.00 90,000.00 30

83,190.00 -

83,190.00 -

83,190.00 -

119.00 -

119.00 -

92.00 -

626.00 -

143.00 -

1,465.00 -

2,439.00 60,975.00 25

1,465.00 -

5,900.00 -

4,325.00 -
 5,900.00 -

6,000.00 -

5,085.00 -

17,875.00 -

52.00 52,000.00 1000

104.00 -

104.00 -

3,061.00 -

2,215.00 -

3,061.00 -

968.00 -

1,210.00 -

1,210.00 -

77.00 -

36.00 -

77.00 231,000.00 3000

1,200.00 -

5,720.00 -

86.00 -

86.00 -

1,913.00 -

1,913.00 -

1,913.00 -

21,021.00 -
21,021.00 -

14,459.00 -

14,459.00 -

14,459.00 -

1,347.00 -

1,347.00 -

825.00 -

143.00 42,900.00 300

280.00 -

264.00 -

75.00 37,500.00 500

96.00 -

96.00 -

2,862.00 -

5,500.00 -

2,862.00 -

2,401.00 -

1,088.00 -

1,740.00 -

1,518.00 -

1,518.00 -

781.00 -

7,436.00 -

400.00 -
165,000.00 -

175,000.00 -

21,648.00 -

20,175.00 -

197.00 -

197.00 -

2,764.00 -

3,300.00 -

3,630.00 -

1,914.23 -

4,236.00 -

873.00 -

14,738.00 -

15,675.00 -

15,675.00 -

111.00 -

84.00 -

220.00 110,000.00 500

1,555.00 -

1,555.00 -

969.00 -

1,122.00 -

1,055.00 -

4,400.00 -
 281.00 -

286.00 -

280.00 -

3,300.00 -

3,300.00 -

2,937.00 29,370.00 10

4,885.00 -

4,885.00 -

4,885.00 -

5,170.00 -

3,150.00 -

3,300.00 -

3,300.00 -

830,000.00 -

650,000.00 -

940,000.00 -

475,000.22 -

137.00 -

86.00 43,000.00 500

137.00 -

235.00 -

212.00 -

207.00 -

123.00 -
 207.00 -

99.00 -

79.50 -

8,003.00 -

7,363.00 -

6,900.00 -

266.00 -

59.00 -

59.00 -

101,300.00 -

101,300.00 -

101,300.00 -

1,325,000.00 -

1,325,000.00 -

1,375,000.00 1,375,000.00

171.00 -

2,533.00 -

2,325.00 -

2,533.00 -

242.00 -

198.00 -

195.00 -

264.00 -

330.00 -
 127.00 -

8,400.00 -

2,520.00 -

2,339.00 -

99.00 -

99.00 -

77.00 -

198.00 -

198.00 -

99.00 49,500.00 500

154.00 -

154.00 -

60.00 -

63.00 -

99.00 -

132.00 -

75.00 150,000.00 2000

661.00 -

212.00 -

661.00 -

250.00 -

216.00 -

250.00 -

2,399.00 -
2,577.00 -

286.00 -

260.00 -

1,089.00 -

1,089.00 -

923.00 -

1,870.00 -

583.00 -

1,875.00 -

1,568.00 -

1,469.00 -

1,568.00 -

502.29 -

565.50 -

5,170.00 -

2,054.00 -

2,054.00 -

5,352.00 -

5,319.00 -

8,875.00 -

8,434.00 -

8,800.00 -

8,875.00 -

8,800.00 -
6,600.00 -

24.00 -

24.00 -

1,531.00 -

1,531.00 -

1,435.00 -

242.00 -

170.00 -

234.03 -

181.00 -

1,121.00 -

1,550.00 -

2,052.00 -

2,190.00 -

299.00 -

319.00 -

847.00 254,100.00

1,315.00 -

1,403.00 -

1,405.00 -

1,405.00 -

132.00 -

81.00 -

176.00 -
 136.00 -

117.00 -

136.00 68,000.00 500

3,796.00 -

4,700.00 -

3,796.00 -

148.00 -

148.00 -

102.00 -

11,449.00 -

12,217.00 -

12,217.00 -

243.00 -

214.00 -

3,399.00 -

1,069.00 -

3,399.00 -

89.00 -

83.00 -

4,554.00 -

4,554.00 -

1,983.00 -

2,700.00 -

6,750.00 -
 109.00 -

109.00 -

77.00 154,000.00 2000

8,250.00 -

8,250.00 -

127.00 -

253.00 -

253.00 -

3,950.00 -

3,950.00 -

3,926.00 -

3,926.00 -

1,900.00 45,600.00 24

145.00 -

220.00 -

109.00 327,000.00 3000

6,410.00 -

6,840.00 -

107.00 -

114.00 -

627.00 -

645.00 -

971.00 -

971.00 -
 869.00 -

24,198.00 -

317.00 -

1,492,579.00 -

267,397.00 -

6,500.00 -

6,100.00 -

5,500.00 -

9,570.00 -

605.00 -

9,975.00 -

659.00 -

12,000.00 -

660.00 -

1,980.00 -

1,649.36 -

3,200.00 -

2,600.00 -

2,774.00 -

2,774.00 -

1,248.00 -

1,232.00 -

11,868.00 -

11,868.00 -
11,868.00 -

147.00 -

129.00 51,600.00 400

220.00 -

429.00 -

275.00 -

429.00 -

1,258.00 -

5,500.00 -

963.00 -

13,200.00 -

2,971.00 -

1,238.00 -

1,160.00 -

5,204.00 -

7,646.00 -

7,646.00 -

121.00 -

165.00 825,000.00 5000

150.00 -

20,700.00 -

542.00 -

505.00 -

505.00 -
 6,600.00 -

6,600.00 -

249.00 -

72.00 -

141.00 -

150.00 -

150.00 -

165.00 -

165.00 -

198.00 396,000.00 2000

79.00 -

73.00 -

79.00 -

329.00 -

354.00 -

63.00 -

63.00 -

63.00 31,500.00 500

440.00 440,000.00 1000

440.00 -

190,000.00 -

235.95 -

198.00 -

210.00 630,000.00
 85.00 -

1,188.00 -

858.00 -

1,188.00 -

331.00 -

596.00 -

985.00 -

934.00 -

1,134.00 -

7,150.00 -

7,630.00 -

287.00 -

132.00 -

67.00 -

132.00 -

4,446.00 -

6,796.68 -

4,189.00 -

11,000.00 -

5,400.00 -

11,000.00 -

3,017.00 -

1,475.00 -

11,825.00 -
11,466.00 -

5,710.00 -

923.00 -

4,360.00 -

4,360.00 -

4,086.00 -

880.00 -

492.00 -

880.00 -

5,146.00 -

4,822.00 -

5,146.00 -

4,706.00 -

4,410.00 -

4,706.00 -

44.00 88,000.00 2000

52.00 -

1,160.00 -

1,160.00 -

1,066.00 -

117.00 -

117.00 -

73.00 -

528.00 -
 281.00 -

512,204.00 -

512,204.00 -

517,132.00 -

130,999.00 -

130,999.00 -

130,999.00 -

5,980.00 -

7,338.00 -

7,338.00 -

983.00 -

330.00 -

330.00 -

310.00 -

331.00 -

847.00 -

832.50 -

7,150.00 -

11,000.00 -

94.00 -

88.00 -

660.00 -

329.68 -

1,764.00 -
 330.00 -

309.00 -

95.00 -

101.00 -

17,789.00 -

135.00 -

60.00 180,000.00 3000

135.00 -

3,285.00 -

2,489.00 -

604.00 -

253.00 -

604.00 -

2,200,000.00 -

1,248.88 -

1,335.02 -

1,033.56 -

1,205.82 -

1,205.82 -

1,277.60 -

1,263.24 -

1,693.89 -
 1,909.21 -

1,909.21 -

1,803.50 -

1,803.50 -
4,507.37
-
5,268.29
-
1,240.00
1,984,000.00 1600

1,650.00 -

1,597.00 -

134.20 -

188.76 -

259.52 -

155.91 -

124.48 -

17,958.11 -

10,980.20 -

17,958.11 -

33,785.00 -

35,285.00 -

33,785.00 -

35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -
35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -

35,285.00 -

10,000.00 100,000.00 10

16,008.00 -

25,300.00 -

14,109.30 -

16,008.00 -

13,420.00 -

12,100.00 -

14,109.30 141,093.00 10

13,420.00 -

12,100.00 -

1,597.96 -

563.64 -

563.64 -

590.48 -

590.48 -

1,207.60 -

24,200.00 -

23,750.00 -

6,606.30 -
6,222.00 -

6,217.12 -

5,856.00 -

6,217.12 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,177.50 -

7,320.00 -

9,827.10 -

9,827.10 -
 9,394.00 -

28,750.00 -

27,725.00 -

34,228.40 -

33,900.00 -

149,040.00 -

141,400.00 -

149,040.00 1,490,400.00 10

164,456.11 -

8,109.49 -

8,109.33 -

10,000.00 -

8,903.23 -

6,390.00 -

9,375.00 -

2,475.75 -

2,582.13 -

2,571.75 -

2,856.89 -

3,636.36 -

412.50 -

671.78 -

3,100.00 -

3,000.00 -
 2,164.80 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 422,730.00 50

8,052.00 -

8,052.00 402,600.00 50

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

16,704.00 -

16,704.00 -

19,372.00 -

19,372.00 -

19,372.00 -

19,372.00 -

17,980.00 -

5,940.00 -

14,080.00 -

12,430.00 -

5,940.00 -
14,080.00 -

12,430.00 -

33,000.00 -

14,810.89 -

12,675.00 -

12,675.00 -

77,600.00 -

75,537.00 -

80,192.00 -

78,285.55 -

35,174.50 -

34,300.00 -

46,853.42 -

3,300.00 -

3,300.00 -

20,685.00 -

17,024.00 -

23,385.00 -

9,164.00 -

9,280.00 464,000.00 50

9,164.00 -

5,568.00 -

7,308.00 73,080.00 10

9,280.00 -
 5,699.98 -

5,533.00 -

9,400.00 -

53,300.00 -

51,500.00 -

27,300.00 -

27,300.00 -

17,550.00 -

3,900.00 -

6,089.00 -

9,400.00 -

36,955.20 -

137,137.86 -

81,832.79 -

62,216.18 -

88,475.81 -

34,091.80 -

79,315.50 -

141,417.00 -

83,038.00 -

64,785.00 -

63,840.00 -

70,917.00 -

-
 25,546.32 -

6,214.29 -

3,390.99 -

23,566.00 -

5,238.80 -

3,188.24 -

25,592.50 -

6,229.83 -

3,401.16 -

801,000.00 -

2,702,700.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

128,625.00 -

177,125.00 -

128,625.00 -

218,125.00 -

13,140.60 -
 15,297.00 -

15,297.00 -

13,655.00 -

1,296.00 -

1,150.00 -

1,306.25 -

4,720.00 -

4,720.00 -

12,859.00 -

53,180.00 -

53,180.00 -

21,720.00 -

9,048.17 -

6,186.16 -

9,048.18 -

10,967.00 -

10,967.00 -

10,967.00 -

28,768.50 -

12,882.45 -

423,500.00 -

1,135,000.00 -

1,463,000.00 -

338,800.00 -
1,232,000.00 -

1,355,200.00 -

423,500.00 -

1,355,200.00 -

1,463,000.00 -

4,250,665.17 -

2,774,860.00 -

3,699,850.00 -

4,250,665.00 -

2,774,860.00 -

3,699,850.00 -

19,175.00 -

22,775.00 -

40,848.33 -

30,697.00 -

18,500.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -
116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

177.24 -

159.06 -

1,724.80 -

12,575.84 -

9,164.00 -

60,605.88 -

11,745.66 -

11,318.86 -

254,400.00 -

3,399.09 -

1,405.00 702,500.00 500

12,500.00 -

12,753,028.00
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020 1000

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 3000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 1000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 3000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020 300
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 1000
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019 500

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 1000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021 24

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 500

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 1000
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 2000

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021 500

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 25
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020 90

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 1000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021 2000

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 2000
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 400

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021 200
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021 96
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 5000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 1000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 1000

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 3000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019 100

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020 3

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021 3

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 50

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 500

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 -

89.00 -

105.00 105,000.00 1000

88.00 -

3,850.00 -

2,750.00 -

4,525.00 -

143.00 -

144.00 -

150.00 -

2,736.00 -

3,071.00 -

101.00 -

101.00 -

363.00 -

168.00 -

168.00 -

80.00 -
 55.00 165,000.00 3000

80.00 -

265.00 -

231.00 231,000.00 1000

266.00 -

3,300.00 -

1,919.00 -

5,850.00 -

2,050.00 -

3,604.00 -

3,846.00 -

3,510.00 -

2,239.00 -

2,098.00 -

1,756.00 -

54.00 162,000.00 3000

60.00 -

60.00 -

6,160.00 -

5,060.00 -

6,190.00 -

5,170.00 -

3,260.00 -

3,642.00 -
3,642.00 -

212.00 63,600.00 300

235.00 -

2,860.00 -

2,624.60 -

275.00 -

120.00 -

46.00 -

120.00 -

54.00 -

117.00 117,000.00 1000

286.00 -

286.00 -

1,784.00 -

1,784.00 -

198.00 -

1,880.00 -

2,374.00 -

89.00 -

105.00 -

440.00 -

3,630.00 -

3,388.00 -

3,630.00 -
 429.00 -

454.00 -

770.00 -

159.00 79,500.00 500

505.00 -

1,859.00 -

1,778.00 -

409.00 -

2,662.00 -

2,750.00 -

3,000.00 -

83,190.00 -

83,190.00 -

83,190.00 -

119.00 -

119.00 -

92.00 -

626.00 -

143.00 -

1,465.00 -

2,439.00 -

1,465.00 -

5,900.00 -

4,325.00 -
 5,900.00 -

6,000.00 -

5,085.00 -

17,875.00 -

52.00 52,000.00 1000

104.00 -

104.00 -

3,061.00 -

2,215.00 -

3,061.00 -

968.00 -

1,210.00 -

1,210.00 -

77.00 -

36.00 -

77.00 -

1,200.00 -

5,720.00 -

86.00 -

86.00 -

1,913.00 -

1,913.00 -

1,913.00 -

21,021.00 -
21,021.00 -

14,459.00 -

14,459.00 -

14,459.00 -

1,347.00 -

1,347.00 -

825.00 -

143.00 -

280.00 -

264.00 -

75.00 -

96.00 -

96.00 -

2,862.00 -

5,500.00 -

2,862.00 -

2,401.00 -

1,088.00 -

1,740.00 -

1,518.00 -

1,518.00 -

781.00 -

7,436.00 -

400.00 -
165,000.00 -

175,000.00 -

21,648.00 -

20,175.00 -

197.00 -

197.00 -

2,764.00 -

3,300.00 -

3,630.00 -

1,914.23 -

4,236.00 -

873.00 -

14,738.00 -

15,675.00 -

15,675.00 -

111.00 -

84.00 -

220.00 -

1,555.00 -

1,555.00 -

969.00 -

1,122.00 -

1,055.00 -

4,400.00 -
 281.00 -

286.00 -

280.00 -

3,300.00 -

3,300.00 -

2,937.00 -

4,885.00 -

4,885.00 -

4,885.00 -

5,170.00 124,080.00 24

3,150.00 -

3,300.00 -

3,300.00 -

830,000.00 -

650,000.00 -

940,000.00 -

475,000.22 -

137.00 -

86.00 43,000.00 500

137.00 -

235.00 -

212.00 -

207.00 -

123.00 123,000.00 1000

 207.00 -

99.00 -

79.50 -

8,003.00 -

7,363.00 -

6,900.00 -

266.00 -

59.00 -

59.00 -

101,300.00 -

101,300.00 -

101,300.00 -

1,325,000.00 -

1,325,000.00 -

1,375,000.00 -

171.00 -

2,533.00 -

2,325.00 -

2,533.00 -

242.00 -

198.00 -

195.00 -

264.00 -

330.00 -
 127.00 -

8,400.00 -

2,520.00 -

2,339.00 -

99.00 -

99.00 -

77.00 -

198.00 -

198.00 -

99.00 -

154.00 -

154.00 -

60.00 -

63.00 -

99.00 -

132.00 -

75.00 150,000.00 2000

661.00 -

212.00 -

661.00 -

250.00 -

216.00 108,000.00 500

250.00 -

2,399.00 -
2,577.00 -

286.00 -

260.00 -

1,089.00 -

1,089.00 -

923.00 -

1,870.00 -

583.00 -

1,875.00 -

1,568.00 -

1,469.00 -

1,568.00 -

502.29 -

565.50 -

5,170.00 -

2,054.00 -

2,054.00 -

5,352.00 -

5,319.00 -

8,875.00 -

8,434.00 210,850.00 25

8,800.00 -

8,875.00 -

8,800.00 -
6,600.00 -

24.00 -

24.00 -

1,531.00 -

1,531.00 -

1,435.00 -

242.00 -

170.00 -

234.03 -

181.00 -

1,121.00 -

1,550.00 -

2,052.00 -

2,190.00 -

299.00 -

319.00 -

847.00 -

1,315.00 -

1,403.00 -

1,405.00 126,450.00 90

1,405.00 -

132.00 -

81.00 -

176.00 -
 136.00 -

117.00 -

136.00 -

3,796.00 -

4,700.00 -

3,796.00 -

148.00 -

148.00 148,000.00

102.00 - 1000

11,449.00 -

12,217.00 -

12,217.00 -

243.00 -

214.00 -

3,399.00 -

1,069.00 -

3,399.00 -

89.00 -

83.00 -

4,554.00 -

4,554.00 -

1,983.00 -

2,700.00 -

6,750.00 -
 109.00 -

109.00 -

77.00 154,000.00 2000

8,250.00 -

8,250.00 -

127.00 -

253.00 -

253.00 -

3,950.00 -

3,950.00 -

3,926.00 -

3,926.00 -

1,900.00 -

145.00 -

220.00 -

109.00 218,000.00 2000

6,410.00 -

6,840.00 -

107.00 -

114.00 -

627.00 -

645.00 -

971.00 -

971.00 -
 869.00 -

24,198.00 -

317.00 -

1,492,579.00 -

267,397.00 -

6,500.00 -

6,100.00 -

5,500.00 -

9,570.00 -

605.00 -

9,975.00 -

659.00 -

12,000.00 -

660.00 -

1,980.00 -

1,649.36 -

3,200.00 -

2,600.00 -

2,774.00 -

2,774.00 -

1,248.00 -

1,232.00 -

11,868.00 -

11,868.00 -
11,868.00 -

147.00 -

129.00 51,600.00 400

220.00 -

429.00 -

275.00 -

429.00 -

1,258.00 -

5,500.00 -

963.00 -

13,200.00 -

2,971.00 -

1,238.00 -

1,160.00 232,000.00 200

5,204.00 499,584.00 96

7,646.00 -

7,646.00 -

121.00 -

165.00 825,000.00 5000

150.00 -

20,700.00 -

542.00 -

505.00 -

505.00 -
 6,600.00 -

6,600.00 -

249.00 -

72.00 -

141.00 -

150.00 -

150.00 -

165.00 -

165.00 -

198.00 198,000.00 1000

79.00 -

73.00 -

79.00 -

329.00 -

354.00 -

63.00 -

63.00 -

63.00 -

440.00 -

440.00 -

190,000.00 -

235.95 -

198.00 -

210.00 -
 85.00 -

1,188.00 -

858.00 -

1,188.00 -

331.00 -

596.00 -

985.00 -

934.00 -

1,134.00 -

7,150.00 -

7,630.00 -

287.00 -

132.00 -

67.00 -

132.00 -

4,446.00 -

6,796.68 -

4,189.00 -

11,000.00 -

5,400.00 -

11,000.00 -

3,017.00 -

1,475.00 -

11,825.00 -
11,466.00 -

5,710.00 -

923.00 -

4,360.00 -

4,360.00 -

4,086.00 -

880.00 -

492.00 -

880.00 -

5,146.00 -

4,822.00 -

5,146.00 -

4,706.00 -

4,410.00 -

4,706.00 -

44.00 -

52.00 -

1,160.00 -

1,160.00 -

1,066.00 -

117.00 -

117.00 -

73.00 73,000.00 1000

528.00 -
 281.00 -

512,204.00 -

512,204.00 -

517,132.00 -

130,999.00 -

130,999.00 -

130,999.00 -

5,980.00 -

7,338.00 -

7,338.00 -

983.00 -

330.00 -

330.00 -

310.00 -

331.00 -

847.00 -

832.50 -

7,150.00 -

11,000.00 -

94.00 -

88.00 -

660.00 -

329.68 -

1,764.00 -
 330.00 -

309.00 -

95.00 -

101.00 -

17,789.00 -

135.00 -

60.00 180,000.00 3000

135.00 -

3,285.00 -

2,489.00 -

604.00 -

253.00 -

604.00 -

2,200,000.00 -

1,248.88 -

1,335.02 -

1,033.56 -

1,205.82 -

1,205.82 -

1,277.60 -

1,263.24 -

1,693.89 -
 1,909.21 -

1,909.21 -

1,803.50 -

1,803.50 -
4,507.37
-
5,268.29
-
1,240.00
-

1,650.00 -

1,597.00 159,700.00 100

134.20 -

188.76 -

259.52 -

155.91 -

124.48 -

17,958.11 -

10,980.20 -

17,958.11 -

33,785.00 -

35,285.00 -

33,785.00 -

35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -
35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -

35,285.00 -

10,000.00 -

16,008.00 -

25,300.00 -

14,109.30 -

16,008.00 -

13,420.00 -

12,100.00 -

14,109.30 -

13,420.00 -

12,100.00 -

1,597.96 -

563.64 -

563.64 -

590.48 -

590.48 -

1,207.60 -

24,200.00 -

23,750.00 -

6,606.30 -
6,222.00 -

6,217.12 -

5,856.00 -

6,217.12 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,177.50 -

7,320.00 -

9,827.10 -

9,827.10 -
 9,394.00 -

28,750.00 -

27,725.00 -

34,228.40 -

33,900.00 -

149,040.00 -

141,400.00 -

149,040.00 -

164,456.11 -

8,109.49 -

8,109.33 -

10,000.00 -

8,903.23 -

6,390.00 -

9,375.00 -

2,475.75 -

2,582.13 -

2,571.75 -

2,856.89 -

3,636.36 -

412.50 -

671.78 -

3,100.00 -

3,000.00 -
 2,164.80 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

16,704.00 -

16,704.00 -

19,372.00 -

19,372.00 -

19,372.00 -

19,372.00 -

17,980.00 -

5,940.00 -

14,080.00 -

12,430.00 -

5,940.00 -
14,080.00 -

12,430.00 -

33,000.00 -

14,810.89 -

12,675.00 -

12,675.00 -

77,600.00 -

75,537.00 -

80,192.00 -

78,285.55 -

35,174.50 -

34,300.00 -

46,853.42 -

3,300.00 -

3,300.00 -

20,685.00 -

17,024.00 -

23,385.00 -

9,164.00 -

9,280.00 -

9,164.00 -

5,568.00 -

7,308.00 -

9,280.00 -
 5,699.98 -

5,533.00 -

9,400.00 -

53,300.00 -

51,500.00 -

27,300.00 -

27,300.00 -

17,550.00 -

3,900.00 -

6,089.00 -

9,400.00 -

36,955.20 -

137,137.86 -

81,832.79 -

62,216.18 186,648.54 3

88,475.81 -

34,091.80 102,275.40 3

79,315.50 -

141,417.00 -

83,038.00 -

64,785.00 -

63,840.00 -

70,917.00 -

-
 25,546.32 -

6,214.29 -

3,390.99 -

23,566.00 -

5,238.80 -

3,188.24 -

25,592.50 -

6,229.83 -

3,401.16 -

801,000.00 -

2,702,700.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

128,625.00 -

177,125.00 -

128,625.00 -

218,125.00 -

13,140.60 -
 15,297.00 -

15,297.00 -

13,655.00 -

1,296.00 -

1,150.00 -

1,306.25 -

4,720.00 -

4,720.00 -

12,859.00 -

53,180.00 -

53,180.00 -

21,720.00 -

9,048.17 -

6,186.16 309,308.00 50

9,048.18 -

10,967.00 -

10,967.00 -

10,967.00 -

28,768.50 -

12,882.45 -

423,500.00 -

1,135,000.00 -

1,463,000.00 -

338,800.00 -
1,232,000.00 -

1,355,200.00 -

423,500.00 -

1,355,200.00 -

1,463,000.00 -

4,250,665.17 -

2,774,860.00 -

3,699,850.00 -

4,250,665.00 -

2,774,860.00 -

3,699,850.00 -

19,175.00 -

22,775.00 -

40,848.33 -

30,697.00 -

18,500.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -
116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

177.24 -

159.06 -

1,724.80 -

12,575.84 -

9,164.00 -

60,605.88 -

11,745.66 -

11,318.86 -

254,400.00 -

3,399.09 1,699,544.62

1,405.00 702,500.00 500

12,500.00 -

7,599,640.56
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021 2000

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 2000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021 100
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 5000
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 2000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019 500

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 50

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 3000

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020 3000
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020 50

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021 10

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 400

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 1000

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021 200

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021 200

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021 20

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 2000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021 100

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021 100

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 2800
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021 900

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021 100
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021 200
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 10000

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021 100

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021 2000
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 3000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020 24

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019 10

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020 100

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019 100

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020 10

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020 100

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020 20

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020 120

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021 1

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021 1

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021 1

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021 1

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 -

89.00 -

105.00 -

88.00 -

3,850.00 -

2,750.00 -

4,525.00 -

143.00 -

144.00 -

150.00 -

2,736.00 -

3,071.00 -

101.00 -

101.00 -

363.00 -

168.00 -

168.00 -

80.00 -
 55.00 110,000.00 2000

80.00 -

265.00 -

231.00 462,000.00 2000

266.00 -

3,300.00 -

1,919.00 -

5,850.00 -

2,050.00 205,000.00 100

3,604.00 -

3,846.00 -

3,510.00 -

2,239.00 -

2,098.00 -

1,756.00 -

54.00 270,000.00 5000

60.00 -

60.00 -

6,160.00 -

5,060.00 -

6,190.00 -

5,170.00 -

3,260.00 -

3,642.00 -
3,642.00 -

212.00 -

235.00 -

2,860.00 -

2,624.60 -

275.00 -

120.00 -

46.00 92,000.00 2000

120.00 -

54.00 -

117.00 -

286.00 -

286.00 -

1,784.00 -

1,784.00 -

198.00 -

1,880.00 -

2,374.00 -

89.00 -

105.00 -

440.00 -

3,630.00 -

3,388.00 -

3,630.00 -
 429.00 -

454.00 -

770.00 -

159.00 79,500.00 500

505.00 -

1,859.00 -

1,778.00 -

409.00 -

2,662.00 -

2,750.00 -

3,000.00 -

83,190.00 -

83,190.00 -

83,190.00 -

119.00 -

119.00 -

92.00 -

626.00 -

143.00 -

1,465.00 -

2,439.00 121,950.00 50

1,465.00 -

5,900.00 -

4,325.00 -
 5,900.00 -

6,000.00 -

5,085.00 -

17,875.00 -

52.00 156,000.00 3000

104.00 -

104.00 -

3,061.00 -

2,215.00 -

3,061.00 -

968.00 -

1,210.00 -

1,210.00 -

77.00 -

36.00 - 3000

77.00 231,000.00

1,200.00 -

5,720.00 -

86.00 -

86.00 -

1,913.00 -

1,913.00 -

1,913.00 95,650.00 50

21,021.00 -
21,021.00 -

14,459.00 -

14,459.00 -

14,459.00 -

1,347.00 -

1,347.00 -

825.00 -

143.00 -

280.00 -

264.00 -

75.00 -

96.00 -

96.00 -

2,862.00 -

5,500.00 -

2,862.00 -

2,401.00 -

1,088.00 -

1,740.00 17,400.00 10

1,518.00 -

1,518.00 -

781.00 -

7,436.00 -

400.00 -
165,000.00 -

175,000.00 -

21,648.00 -

20,175.00 -

197.00 -

197.00 -

2,764.00 -

3,300.00 -

3,630.00 -

1,914.23 -

4,236.00 -

873.00 -

14,738.00 -

15,675.00 -

15,675.00 -

111.00 -

84.00 -

220.00 88,000.00 400

1,555.00 -

1,555.00 -

969.00 -

1,122.00 -

1,055.00 -

4,400.00 -
 281.00 -

286.00 -

280.00 -

3,300.00 -

3,300.00 -

2,937.00 29,370.00 10

4,885.00 -

4,885.00 -

4,885.00 -

5,170.00 -

3,150.00 -

3,300.00 -

3,300.00 -

830,000.00 -

650,000.00 -

940,000.00 -

475,000.22 -

137.00 -

86.00 -

137.00 -

235.00 -

212.00 -

207.00 -

123.00 -
 207.00 -

99.00 -

79.50 -

8,003.00 -

7,363.00 -

6,900.00 -

266.00 -

59.00 -

59.00 -

101,300.00 -

101,300.00 -

101,300.00 -

1,325,000.00 -

1,325,000.00 -

1,375,000.00 -

171.00 -

2,533.00 -

2,325.00 -

2,533.00 -

242.00 -

198.00 -

195.00 195,000.00 1000

264.00 -

330.00 -
 127.00 -

8,400.00 -

2,520.00 -

2,339.00 -

99.00 -

99.00 -

77.00 -

198.00 -

198.00 -

99.00 19,800.00 200

154.00 -

154.00 -

60.00 -

63.00 -

99.00 -

132.00 -

75.00 -

661.00 -

212.00 -

661.00 -

250.00 -

216.00 43,200.00 200

250.00 -

2,399.00 -
2,577.00 -

286.00 -

260.00 -

1,089.00 -

1,089.00 -

923.00 -

1,870.00 -

583.00 -

1,875.00 -

1,568.00 -

1,469.00 -

1,568.00 -

502.29 -

565.50 -

5,170.00 -

2,054.00 -

2,054.00 -

5,352.00 107,040.00 20

5,319.00 -

8,875.00 -

8,434.00 -

8,800.00 -

8,875.00 -

8,800.00 -
6,600.00 -

24.00 -

24.00 -

1,531.00 -

1,531.00 -

1,435.00 -

242.00 -

170.00 -

234.03 -

181.00 -

1,121.00 -

1,550.00 -

2,052.00 -

2,190.00 -

299.00 -

319.00 -

847.00 -

1,315.00 -

1,403.00 -

1,405.00 -

1,405.00 -

132.00 -

81.00 -

176.00 -
 136.00 -

117.00 -

136.00 -

3,796.00 -

4,700.00 -

3,796.00 -

148.00 -

148.00 296,000.00 2000

102.00 -

11,449.00 -

12,217.00 -

12,217.00 -

243.00 -

214.00 21,400.00 100

3,399.00 -

1,069.00 -

3,399.00 -

89.00 -

83.00 -

4,554.00 -

4,554.00 -

1,983.00 198,300.00 100

2,700.00 -

6,750.00 -
 109.00 -

109.00 -

77.00 -

8,250.00 -

8,250.00 -

127.00 -

253.00 -

253.00 -

3,950.00 -

3,950.00 -

3,926.00 -

3,926.00 -

1,900.00 -

145.00 -

220.00 -

109.00 305,200.00 2800

6,410.00 -

6,840.00 -

107.00 -

114.00 -

627.00 -

645.00 -

971.00 -

971.00 -
 869.00 -

24,198.00 -

317.00 285,300.00 900

1,492,579.00 -

267,397.00 -

6,500.00 -

6,100.00 -

5,500.00 -

9,570.00 -

605.00 -

9,975.00 -

659.00 -

12,000.00 -

660.00 -

1,980.00 -

1,649.36 -

3,200.00 -

2,600.00 -

2,774.00 -

2,774.00 -

1,248.00 -

1,232.00 -

11,868.00 -

11,868.00 -
11,868.00 -

147.00 -

129.00 -

220.00 -

429.00 -

275.00 -

429.00 -

1,258.00 -

5,500.00 -

963.00 96,300.00 100

13,200.00 -

2,971.00 -

1,238.00 -

1,160.00 232,000.00 200

5,204.00 -

7,646.00 -

7,646.00 -

121.00 -

165.00 1,650,000.00 10000

150.00 -

20,700.00 -

542.00 -

505.00 -

505.00 -
 6,600.00 -

6,600.00 -

249.00 -

72.00 -

141.00 -

150.00 -

150.00 -

165.00 -

165.00 -

198.00 -

79.00 -

73.00 -

79.00 -

329.00 -

354.00 -

63.00 -

63.00 -

63.00 -

440.00 -

440.00 -

190,000.00 -

235.95 -

198.00 -

210.00 -
 85.00 -

1,188.00 -

858.00 85,800.00 100

1,188.00 -

331.00 -

596.00 -

985.00 -

934.00 -

1,134.00 -

7,150.00 -

7,630.00 -

287.00 -

132.00 -

67.00 -

132.00 -

4,446.00 -

6,796.68 -

4,189.00 -

11,000.00 -

5,400.00 -

11,000.00 -

3,017.00 -

1,475.00 -

11,825.00 -
11,466.00 -

5,710.00 -

923.00 -

4,360.00 -

4,360.00 -

4,086.00 -

880.00 -

492.00 -

880.00 -

5,146.00 -

4,822.00 -

5,146.00 -

4,706.00 -

4,410.00 -

4,706.00 -

44.00 88,000.00 2000

52.00 -

1,160.00 -

1,160.00 -

1,066.00 -

117.00 -

117.00 -

73.00 -

528.00 -
 281.00 -

512,204.00 -

512,204.00 -

517,132.00 -

130,999.00 -

130,999.00 -

130,999.00 -

5,980.00 -

7,338.00 -

7,338.00 -

983.00 -

330.00 -

330.00 -

310.00 -

331.00 -

847.00 -

832.50 -

7,150.00 -

11,000.00 -

94.00 -

88.00 -

660.00 -

329.68 -

1,764.00 -
 330.00 -

309.00 -

95.00 -

101.00 -

17,789.00 -

135.00 -

60.00 180,000.00 3000

135.00 -

3,285.00 -

2,489.00 -

604.00 -

253.00 -

604.00 -

2,200,000.00 -

1,248.88 -

1,335.02 -

1,033.56 -

1,205.82 -

1,205.82 -

1,277.60 -

1,263.24 -

1,693.89 -
 1,909.21 -

1,909.21 -

1,803.50 -

1,803.50 -
4,507.37
-
5,268.29
-
1,240.00
-

1,650.00 -

1,597.00 -

134.20 -

188.76 -

259.52 -

155.91 -

124.48 -

17,958.11 -

10,980.20 -

17,958.11 -

33,785.00 -

35,285.00 -

33,785.00 -

35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -
35,285.00 846,840.00 24

26,941.00 -

28,019.00 -

33,785.00 -

35,285.00 -

10,000.00 -

16,008.00 -

25,300.00 -

14,109.30 -

16,008.00 -

13,420.00 -

12,100.00 -

14,109.30 141,093.00 10

13,420.00 -

12,100.00 -

1,597.96 -

563.64 -

563.64 -

590.48 -

590.48 -

1,207.60 -

24,200.00 -

23,750.00 -

6,606.30 -
6,222.00 -

6,217.12 -

5,856.00 -

6,217.12 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 717,750.00 100

6,287.49 -

7,177.50 717,750.00 100

7,177.50 -

7,320.00 -

9,827.10 -

9,827.10 -
 9,394.00 -

28,750.00 -

27,725.00 -

34,228.40 -

33,900.00 -

149,040.00 -

141,400.00 -

149,040.00 1,490,400.00 10

164,456.11 -

8,109.49 -

8,109.33 810,933.33 100

10,000.00 -

8,903.23 -

6,390.00 -

9,375.00 -

2,475.75 -

2,582.13 -

2,571.75 -

2,856.89 -

3,636.36 -

412.50 -

671.78 -

3,100.00 -

3,000.00 -
 2,164.80 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

16,704.00 -

16,704.00 -

19,372.00 -

19,372.00 -

19,372.00 -

19,372.00 -

17,980.00 -

5,940.00 -

14,080.00 -

12,430.00 -

5,940.00 -
14,080.00 -

12,430.00 -

33,000.00 -

14,810.89 -

12,675.00 -

12,675.00 -

77,600.00 - 20

75,537.00 -

80,192.00 -

78,285.55 1,565,710.94

35,174.50 -

34,300.00 -

46,853.42 -

3,300.00 -

3,300.00 -

20,685.00 -

17,024.00 -

23,385.00 -

9,164.00 -

9,280.00 -

9,164.00 -

5,568.00 -

7,308.00 -

9,280.00 -
 5,699.98 683,997.83 120

5,533.00 -

9,400.00 -

53,300.00 -

51,500.00 -

27,300.00 -

27,300.00 -

17,550.00 -

3,900.00 -

6,089.00 -

9,400.00 -

36,955.20 -

137,137.86 -

81,832.79 -

62,216.18 -

88,475.81 -

34,091.80 -

79,315.50 -

141,417.00 -

83,038.00 -

64,785.00 -

63,840.00 -

70,917.00 -

-
 25,546.32 -

6,214.29 -

3,390.99 -

23,566.00 -

5,238.80 -

3,188.24 -

25,592.50 -

6,229.83 -

3,401.16 -

801,000.00 -

2,702,700.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

128,625.00 128,625.00 1

177,125.00 177,125.00 1

128,625.00 128,625.00 1

218,125.00 218,125.00 1

13,140.60 -
 15,297.00 -

15,297.00 -

13,655.00 -

1,296.00 -

1,150.00 -

1,306.25 -

4,720.00 -

4,720.00 -

12,859.00 -

53,180.00 -

53,180.00 -

21,720.00 -

9,048.17 -

6,186.16 -

9,048.18 -

10,967.00 -

10,967.00 -

10,967.00 -

28,768.50 -

12,882.45 -

423,500.00 -

1,135,000.00 -

1,463,000.00 -

338,800.00 -
1,232,000.00 -

1,355,200.00 -

423,500.00 -

1,355,200.00 -

1,463,000.00 -

4,250,665.17 -

2,774,860.00 -

3,699,850.00 -

4,250,665.00 -

2,774,860.00 -

3,699,850.00 -

19,175.00 -

22,775.00 -

40,848.33 -

30,697.00 -

18,500.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -
116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

177.24 -

159.06 -

1,724.80 -

12,575.84 -

9,164.00 -

60,605.88 -

11,745.66 -

11,318.86 -

254,400.00 -

3,399.09 -

1,405.00 702,500.00 500

12,500.00 -

14,090,685.10
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019

Amlodipin 5 mg Tablet
19 DAK 2021

Amlodipin 5 mg Tablet
20 DAK 2020
 Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet
21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021 25
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019
 Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml
47 DAK 2021 30
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 2000

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021 5

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020 5
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021 1000
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020

Asiklovir tablet 400 mg Tablet

67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019
 Azitromisin tablet 500 mg Tablet
73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021 500

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 25

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021

Bisakodil suppositoria 10mg Supp

91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019
 Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018
 Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019

Etil Klorida semprot Botol

139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
 Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 400

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 10

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021
 Glass Ionomer Cement (Fuji VII) Set
177 DAK 2020 1

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021

Glimepiride tablet 2 mg Tablet

187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019 100
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017
 Hidrokortison krim 2,5 o/o Tube 5 gram
203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020

Ibuprofen tablet 400 mg Tablet

211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019
 Kandesartan tablet/kapsul/kaplet 8 mg Tablet
229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021

Ketokonazol krim 2% Tube 10 gram

235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021 30

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
 Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019
 Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020

Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020

Tablet Salut Gula

331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020
 N- Asetil Sistein Tablet
333 DAK 2021 300

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018

Omeprazol injeksi 40 mg/ 10 ml Vial

355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020
 Ondansetron tablet/kapsul/kaplet 4 mg Tablet
359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020

Piracetam Inj 1 g/5 ml Ampul

379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019
 Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet
385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 1000

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021
 Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss
411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020 20
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021 10

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020

Permetrin Krim 5% Tube @ 10 g

427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019 50
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019
 Seftriaksone Injeksi 1 g Vial
437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020 10

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020 100

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 1000

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019

Siprofloksasin tab scored 500 mg Tablet

451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019
 Teofilin tablet 150 mg(Bronsolvan) Tablet
463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019 60

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018

Trifluoperazine 5mg Tablet

475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 3000

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018
 ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018

Alat suntik sekali pakai 10 ml Piece

9 DAK 2020 30

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020 500

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021
 Blood Transfusion Set Piece
25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018
 EXAMINATION GLOVES, size M Piece
51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019
 IV-Cath NP, pen type, no. 24 Piece
77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020

IV-Cath NP, pen type, no. 26 Piece

81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019
 Surgical Mask Tie On Piece
103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece

105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018 4

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019 30

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020 30

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020

Alkohol 70% Botol 100 ml

153 DAK 2020 60

Alkohol 70% Botol 100 ml

154 DAK 2021
 Alkohol 70% Botol 100 ml
155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA

Total Cholesterol Test Strip 10's Strip

1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018
 Uric Test Strip 25's Strip
5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020

Anti HIV 1/2 Cassette each

25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020 30

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021
 HCG Strip each
31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021 25

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019

R.Dilluen urit (urit 3000 plus) Gallon 20 L

49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020
 BCC Series Lyse (Dirui 3600) Gallon 5 L
57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021
 Handschoon size M Piece
83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021 300

Handschoon size M Piece

91 DAK 2021 500

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 -

89.00 -

105.00 -

88.00 -

3,850.00 -

2,750.00 -

4,525.00 -

143.00 -

144.00 -

150.00 -

2,736.00 -

3,071.00 -

101.00 -

101.00 -

363.00 -

168.00 -

168.00 -

80.00 -

55.00 -

80.00 -
 265.00 -

231.00 -

266.00 -

3,300.00 -

1,919.00 -

5,850.00 -

2,050.00 -

3,604.00 -

3,846.00 -

3,510.00 -

2,239.00 -

2,098.00 -

1,756.00 -

54.00 -

60.00 -

60.00 -

6,160.00 -

5,060.00 126,500.00 25

6,190.00 -

5,170.00 -

3,260.00 -

3,642.00 -

3,642.00 -

212.00 -

235.00 -

2,860.00 -
2,624.60 78,738.00 30

275.00 -

120.00 -

46.00 92,000.00 2000

120.00 -

54.00 -

117.00 -

286.00 -

286.00 -

1,784.00 -

1,784.00 -

198.00 -

1,880.00 9,400.00 10

2,374.00 11,870.00

89.00 89,000.00 1000

105.00 -

440.00 -

3,630.00 -

3,388.00 -

3,630.00 -

429.00 -

454.00 -

770.00 -

159.00 -

505.00 -

1,859.00 -
 1,778.00 -

409.00 -

2,662.00 -

2,750.00 -

3,000.00 -

83,190.00 -

83,190.00 -

83,190.00 -

119.00 -

119.00 -

92.00 46,000.00 500

626.00 -

143.00 -

1,465.00 -

2,439.00 60,975.00 25

1,465.00 -

5,900.00 -

4,325.00 -

5,900.00 -

6,000.00 -

5,085.00 -

17,875.00 -

52.00 -

104.00 -

104.00 -

3,061.00 -
 2,215.00 -

3,061.00 -

968.00 -

1,210.00 -

1,210.00 -

77.00 -

36.00 -

77.00 -

1,200.00 -

5,720.00 -

86.00 -

86.00 -

1,913.00 -

1,913.00 -

1,913.00 -

21,021.00 -

21,021.00 -

14,459.00 -

14,459.00 -

14,459.00 -

1,347.00 -

1,347.00 -

825.00 -

143.00 -

280.00 -

264.00 -
 75.00 -

96.00 -

96.00 -

2,862.00 -

5,500.00 -

2,862.00 -

2,401.00 -

1,088.00 -

1,740.00 -

1,518.00 -

1,518.00 -

781.00 -

7,436.00 -

400.00 -

165,000.00 -

175,000.00 -

21,648.00 -

20,175.00 -

197.00 -

197.00 -

2,764.00 -

3,300.00 -

3,630.00 -

1,914.23 -

4,236.00 -

873.00 -
 14,738.00 -

15,675.00 -

15,675.00 -

111.00 -

84.00 -

220.00 88,000.00 400

1,555.00 -

1,555.00 -

969.00 -

1,122.00 -

1,055.00 -

4,400.00 -

281.00 -

286.00 -

280.00 -

3,300.00 -

3,300.00 -

2,937.00 29,370.00 10

4,885.00 -

4,885.00 -

4,885.00 -

5,170.00 -

3,150.00 -

3,300.00 -

3,300.00 -

830,000.00 -
 650,000.00 650,000.00

940,000.00 -

475,000.22 -

137.00 -

86.00 -

137.00 -

235.00 -

212.00 -

207.00 -

123.00 -

207.00 -

99.00 -

79.50 -

8,003.00 -

7,363.00 736,300.00 100

6,900.00 -

266.00 -

59.00 -

59.00 -

101,300.00 -

101,300.00 -

101,300.00 -

1,325,000.00 -

1,325,000.00 -

1,375,000.00 -

171.00 -
2,533.00 -

2,325.00 -

2,533.00 -

242.00 -

198.00 -

195.00 -

264.00 -

330.00 -

127.00 -

8,400.00 -

2,520.00 -

2,339.00 -

99.00 -

99.00 -

77.00 -

198.00 -

198.00 -

99.00 -

154.00 -

154.00 -

60.00 -

63.00 -

99.00 -

132.00 -

75.00 -

661.00 -
 212.00 -

661.00 -

250.00 -

216.00 -

250.00 -

2,399.00 -

2,577.00 -

286.00 -

260.00 -

1,089.00 -

1,089.00 -

923.00 27,690.00 30

1,870.00 -

583.00 -

1,875.00 -

1,568.00 -

1,469.00 -

1,568.00 -

502.29 -

565.50 -

5,170.00 -

2,054.00 -

2,054.00 -

5,352.00 -

5,319.00 -

8,875.00 -
8,434.00 -

8,800.00 -

8,875.00 -

8,800.00 -

6,600.00 -

24.00 -

24.00 -

1,531.00 -

1,531.00 -

1,435.00 -

242.00 -

170.00 -

234.03 -

181.00 -

1,121.00 -

1,550.00 -

2,052.00 -

2,190.00 -

299.00 -

319.00 -

847.00 -

1,315.00 -

1,403.00 -

1,405.00 -

1,405.00 -

132.00 -
 81.00 -

176.00 -

136.00 -

117.00 -

136.00 -

3,796.00 -

4,700.00 -

3,796.00 -

148.00 -

148.00 -

102.00 -

11,449.00 -

12,217.00 -

12,217.00 -

243.00 -

214.00 -

3,399.00 -

1,069.00 -

3,399.00 -

89.00 -

83.00 -

4,554.00 -

4,554.00 -

1,983.00 -

2,700.00 -

6,750.00 -
 109.00 -

109.00 -

77.00 -

8,250.00 -

8,250.00 -

127.00 -

253.00 -

253.00 -

3,950.00 -

3,950.00 -

3,926.00 -

3,926.00 -

1,900.00 -

145.00 -

220.00 -

109.00 -

6,410.00 -

6,840.00 -

107.00 -

114.00 -

627.00 -

645.00 -

971.00 -

971.00 -

869.00 -

24,198.00 -
 317.00 95,100.00 300

1,492,579.00 -

267,397.00 -

6,500.00 -

6,100.00 -

5,500.00 -

9,570.00 -

605.00 -

9,975.00 -

659.00 -

12,000.00 -

660.00 -

1,980.00 -

1,649.36 -

3,200.00 -

2,600.00 -

2,774.00 -

2,774.00 -

1,248.00 -

1,232.00 -

11,868.00 -

11,868.00 -

11,868.00 -

147.00 -

129.00 -

220.00 -
 429.00 -

275.00 -

429.00 -

1,258.00 -

5,500.00 -

963.00 -

13,200.00 -

2,971.00 -

1,238.00 -

1,160.00 -

5,204.00 -

7,646.00 -

7,646.00 -

121.00 -

165.00 -

150.00 -

20,700.00 -

542.00 -

505.00 -

505.00 -

6,600.00 -

6,600.00 -

249.00 -

72.00 -

141.00 -

150.00 -
 150.00 -

165.00 -

165.00 -

198.00 198,000.00 1000

79.00 -

73.00 -

79.00 -

329.00 -

354.00 -

63.00 -

63.00 -

63.00 -

440.00 -

440.00 -

190,000.00 -

235.95 -

198.00 -

210.00 -

85.00 -

1,188.00 -

858.00 -

1,188.00 -

331.00 -

596.00 -

985.00 -

934.00 -
 1,134.00 -

7,150.00 -

7,630.00 -

287.00 -

132.00 -

67.00 -

132.00 -

4,446.00 -

6,796.68 -

4,189.00 -

11,000.00 -

5,400.00 -

11,000.00 220,000.00 20

3,017.00 -

1,475.00 14,750.00 10

11,825.00 -

11,466.00 -

5,710.00 -

923.00 -

4,360.00 -

4,360.00 218,000.00 50

4,086.00 -

880.00 -

492.00 -

880.00 -

5,146.00 -
 4,822.00 -

5,146.00 51,460.00 10

4,706.00 -

4,410.00 -

4,706.00 -

44.00 -

52.00 -

1,160.00 -

1,160.00 116,000.00 100

1,066.00 -

117.00 -

117.00 -

73.00 73,000.00 1000

528.00 -

281.00 -

512,204.00 -

512,204.00 -

517,132.00 -

130,999.00 -

130,999.00 -

130,999.00 -

5,980.00 -

7,338.00 -

7,338.00 -

983.00 -

330.00 -
 330.00 -

310.00 -

331.00 -

847.00 -

832.50 -

7,150.00 429,000.00 60

11,000.00 -

94.00 -

88.00 -

660.00 -

329.68 -

1,764.00 -

330.00 -

309.00 -

95.00 -

101.00 -

17,789.00 -

135.00 -

60.00 180,000.00 3000

135.00 -

3,285.00 -

2,489.00 -

604.00 -

253.00 -

604.00 -

2,200,000.00 -
 -

1,248.88 -

1,335.02 -

1,033.56 -

1,205.82 -

1,205.82 -

1,277.60 -

1,263.24 -

1,693.89 -

1,909.21 57,276.30 48

1,909.21 -

1,803.50 -

1,803.50 -
4,507.37
-
5,268.29
-
1,240.00
-

1,650.00 -

1,597.00 -

134.20 -

188.76 -

259.52 129,758.85 500

155.91 -

124.48 -

17,958.11 -

10,980.20 -
17,958.11 -

33,785.00 -

35,285.00 -

33,785.00 -

35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -

35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -

35,285.00 -

10,000.00 -

16,008.00 -

25,300.00 -

14,109.30 -

16,008.00 -

13,420.00 -

12,100.00 -

14,109.30 -

13,420.00 -

12,100.00 -

1,597.96 -

563.64 -

563.64 -
 590.48 -

590.48 -

1,207.60 -

24,200.00 -

23,750.00 -

6,606.30 -

6,222.00 -

6,217.12 -

5,856.00 -

6,217.12 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -
 7,177.50 -

7,320.00 -

9,827.10 -

9,827.10 -

9,394.00 -

28,750.00 -

27,725.00 -

34,228.40 -

33,900.00 -

149,040.00 -

141,400.00 -

149,040.00 -

164,456.11 -

8,109.49 -

8,109.33 -

10,000.00 -

8,903.23 -

6,390.00 -

9,375.00 -

2,475.75 -

2,582.13 -

2,571.75 -

2,856.89 -

3,636.36 -

412.50 -

671.78 -
 3,100.00 -

3,000.00 -

2,164.80 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

16,704.00 66,816.00 4

16,704.00 -

19,372.00 581,160.00 30

19,372.00 -

19,372.00 -

19,372.00 581,160.00 30

17,980.00 -

5,940.00 -

14,080.00 -

12,430.00 -

5,940.00 -
14,080.00 -

12,430.00 -

33,000.00 -

14,810.89 -

12,675.00 -

12,675.00 -

77,600.00 -

75,537.00 -

80,192.00 -

78,285.55 -

35,174.50 -

34,300.00 -

46,853.42 -

3,300.00 -

3,300.00 -

20,685.00 -

17,024.00 -

23,385.00 -

9,164.00 -

9,280.00 -

9,164.00 -

5,568.00 -

7,308.00 -

9,280.00 -

5,699.98 341,998.91 60

5,533.00 -
 9,400.00 -

53,300.00 -

51,500.00 -

27,300.00 -

27,300.00 -

17,550.00 -

3,900.00 -

6,089.00 -

9,400.00 -

36,955.20 -

137,137.86 -

81,832.79 -

62,216.18 -

88,475.81 -

34,091.80 -

79,315.50 -

141,417.00 -

83,038.00 -

64,785.00 -

63,840.00 -

70,917.00 -

25,546.32 -

6,214.29 -

3,390.99 -

23,566.00 -
 5,238.80 -

3,188.24 -

25,592.50 -

6,229.83 -

3,401.16 -

801,000.00 -

2,702,700.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

128,625.00 -

177,125.00 -

128,625.00 -

218,125.00 -

13,140.60 -

15,297.00 -

15,297.00 -

13,655.00 -

1,296.00 38,880.00 30

1,150.00 -

1,306.25 -
 4,720.00 -

4,720.00 -

12,859.00 -

53,180.00 -

53,180.00 -

21,720.00 -

9,048.17 -

6,186.16 154,654.00 25

9,048.18 -

10,967.00 -

10,967.00 -

10,967.00 -

28,768.50 -

12,882.45 -

423,500.00 -

1,135,000.00 -

1,463,000.00 -

338,800.00 -

1,232,000.00 -

1,355,200.00 -

423,500.00 -

1,355,200.00 -

1,463,000.00 -

4,250,665.17 -

2,774,860.00 -

3,699,850.00 -
4,250,665.00 -

2,774,860.00 -

3,699,850.00 -

19,175.00 -

22,775.00 -

40,848.33 -

30,697.00 -

18,500.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

177.24 -

159.06 -
 1,724.80 -

12,575.84 -

9,164.00 -

60,605.88 -

11,745.66 -

11,318.86 -

254,400.00 -

3,399.09 1,019,726.77 300

1,405.00 702,500.00 500

12,500.00 -

7,315,083.83
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021 100

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020 125

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020 75

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021

Handschoon size M Piece

91 DAK 2021

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 -

89.00 -

105.00 -

88.00 -

3,850.00 -

2,750.00 -

4,525.00 -

143.00 -

144.00 -

150.00 -

2,736.00 -

3,071.00 -

101.00 -

101.00 -

363.00 -

168.00 -

168.00 -

80.00 -
 55.00 -

80.00 -

265.00 -

231.00 -

266.00 -

3,300.00 -

1,919.00 -

5,850.00 -

2,050.00 -

3,604.00 -

3,846.00 -

3,510.00 -

2,239.00 -

2,098.00 -

1,756.00 -

54.00 -

60.00 -

60.00 -

6,160.00 -

5,060.00 -

6,190.00 -

5,170.00 -

3,260.00 -

3,642.00 -
3,642.00 -

212.00 -

235.00 -

2,860.00 -

2,624.60 -

275.00 -

120.00 -

46.00 -

120.00 -

54.00 -

117.00 -

286.00 -

286.00 -

1,784.00 -

1,784.00 -

198.00 -

1,880.00 -

2,374.00 -

89.00 -

105.00 -

440.00 -

3,630.00 -

3,388.00 -

3,630.00 -
 429.00 -

454.00 -

770.00 -

159.00 -

505.00 -

1,859.00 -

1,778.00 -

409.00 -

2,662.00 -

2,750.00 -

3,000.00 -

83,190.00 -

83,190.00 -

83,190.00 -

119.00 -

119.00 -

92.00 -

626.00 -

143.00 -

1,465.00 -

2,439.00 -

1,465.00 -

5,900.00 -

4,325.00 -
 5,900.00 -

6,000.00 -

5,085.00 -

17,875.00 -

52.00 -

104.00 -

104.00 -

3,061.00 -

2,215.00 -

3,061.00 -

968.00 -

1,210.00 -

1,210.00 -

77.00 -

36.00 -

77.00 -

1,200.00 -

5,720.00 -

86.00 -

86.00 -

1,913.00 -

1,913.00 -

1,913.00 -

21,021.00 -
21,021.00 -

14,459.00 -

14,459.00 -

14,459.00 -

1,347.00 -

1,347.00 -

825.00 -

143.00 -

280.00 -

264.00 -

75.00 -

96.00 -

96.00 -

2,862.00 -

5,500.00 -

2,862.00 -

2,401.00 -

1,088.00 -

1,740.00 -

1,518.00 -

1,518.00 -

781.00 -

7,436.00 -

400.00 -
165,000.00 -

175,000.00 -

21,648.00 -

20,175.00 -

197.00 -

197.00 -

2,764.00 -

3,300.00 -

3,630.00 -

1,914.23 -

4,236.00 -

873.00 -

14,738.00 -

15,675.00 -

15,675.00 -

111.00 -

84.00 -

220.00 -

1,555.00 -

1,555.00 -

969.00 -

1,122.00 -

1,055.00 -

4,400.00 -
 281.00 -

286.00 -

280.00 -

3,300.00 -

3,300.00 -

2,937.00 -

4,885.00 -

4,885.00 -

4,885.00 -

5,170.00 -

3,150.00 -

3,300.00 -

3,300.00 -

830,000.00 83,000,000.00 100

650,000.00 -

940,000.00 -

475,000.22 -

137.00 -

86.00 -

137.00 -

235.00 -

212.00 -

207.00 -

123.00 -
 207.00 -

99.00 -

79.50 -

8,003.00 -

7,363.00 -

6,900.00 -

266.00 -

59.00 -

59.00 -

101,300.00 -

101,300.00 -

101,300.00 -

1,325,000.00 -

1,325,000.00 -

1,375,000.00 -

171.00 -

2,533.00 -

2,325.00 -

2,533.00 -

242.00 -

198.00 -

195.00 -

264.00 -

330.00 -
 127.00 -

8,400.00 -

2,520.00 -

2,339.00 -

99.00 -

99.00 -

77.00 -

198.00 -

198.00 -

99.00 -

154.00 -

154.00 -

60.00 -

63.00 -

99.00 -

132.00 -

75.00 -

661.00 -

212.00 -

661.00 -

250.00 -

216.00 -

250.00 -

2,399.00 -
2,577.00 -

286.00 -

260.00 -

1,089.00 -

1,089.00 -

923.00 -

1,870.00 -

583.00 -

1,875.00 -

1,568.00 -

1,469.00 -

1,568.00 -

502.29 -

565.50 -

5,170.00 -

2,054.00 -

2,054.00 -

5,352.00 -

5,319.00 -

8,875.00 -

8,434.00 -

8,800.00 -

8,875.00 -

8,800.00 -
6,600.00 -

24.00 -

24.00 -

1,531.00 -

1,531.00 -

1,435.00 -

242.00 -

170.00 -

234.03 -

181.00 -

1,121.00 -

1,550.00 -

2,052.00 -

2,190.00 -

299.00 -

319.00 -

847.00 -

1,315.00 -

1,403.00 -

1,405.00 -

1,405.00 -

132.00 -

81.00 -

176.00 -
 136.00 -

117.00 -

136.00 -

3,796.00 -

4,700.00 -

3,796.00 -

148.00 -

148.00 -

102.00 -

11,449.00 -

12,217.00 -

12,217.00 -

243.00 -

214.00 -

3,399.00 -

1,069.00 -

3,399.00 -

89.00 -

83.00 -

4,554.00 -

4,554.00 -

1,983.00 -

2,700.00 -

6,750.00 -
 109.00 -

109.00 -

77.00 -

8,250.00 -

8,250.00 -

127.00 -

253.00 -

253.00 -

3,950.00 -

3,950.00 -

3,926.00 -

3,926.00 -

1,900.00 -

145.00 -

220.00 -

109.00 -

6,410.00 -

6,840.00 -

107.00 -

114.00 -

627.00 -

645.00 -

971.00 -

971.00 -
 869.00 -

24,198.00 -

317.00 -

1,492,579.00 -

267,397.00 -

6,500.00 -

6,100.00 -

5,500.00 -

9,570.00 -

605.00 -

9,975.00 -

659.00 -

12,000.00 -

660.00 -

1,980.00 -

1,649.36 -

3,200.00 -

2,600.00 -

2,774.00 -

2,774.00 -

1,248.00 -

1,232.00 -

11,868.00 -

11,868.00 -
11,868.00 -

147.00 -

129.00 -

220.00 -

429.00 -

275.00 -

429.00 -

1,258.00 -

5,500.00 -

963.00 -

13,200.00 -

2,971.00 -

1,238.00 -

1,160.00 -

5,204.00 -

7,646.00 -

7,646.00 -

121.00 -

165.00 -

150.00 -

20,700.00 -

542.00 -

505.00 -

505.00 -
 6,600.00 -

6,600.00 -

249.00 -

72.00 -

141.00 -

150.00 -

150.00 -

165.00 -

165.00 -

198.00 -

79.00 -

73.00 -

79.00 -

329.00 -

354.00 -

63.00 -

63.00 -

63.00 -

440.00 -

440.00 -

190,000.00 -

235.95 -

198.00 -

210.00 -
 85.00 -

1,188.00 -

858.00 -

1,188.00 -

331.00 -

596.00 -

985.00 -

934.00 -

1,134.00 -

7,150.00 -

7,630.00 -

287.00 -

132.00 -

67.00 -

132.00 -

4,446.00 -

6,796.68 -

4,189.00 -

11,000.00 -

5,400.00 -

11,000.00 -

3,017.00 -

1,475.00 -

11,825.00 -
11,466.00 -

5,710.00 -

923.00 -

4,360.00 -

4,360.00 -

4,086.00 -

880.00 -

492.00 -

880.00 -

5,146.00 -

4,822.00 -

5,146.00 -

4,706.00 -

4,410.00 -

4,706.00 -

44.00 -

52.00 -

1,160.00 -

1,160.00 -

1,066.00 -

117.00 -

117.00 -

73.00 -

528.00 -
 281.00 -

512,204.00 -

512,204.00 -

517,132.00 -

130,999.00 -

130,999.00 -

130,999.00 -

5,980.00 -

7,338.00 -

7,338.00 -

983.00 -

330.00 -

330.00 -

310.00 -

331.00 -

847.00 -

832.50 -

7,150.00 -

11,000.00 -

94.00 -

88.00 -

660.00 -

329.68 -

1,764.00 -
 330.00 -

309.00 -

95.00 -

101.00 -

17,789.00 -

135.00 -

60.00 -

135.00 -

3,285.00 -

2,489.00 -

604.00 -

253.00 -

604.00 -

2,200,000.00 -

1,248.88 -

1,335.02 -

1,033.56 -

1,205.82 -

1,205.82 -

1,277.60 -

1,263.24 -

1,693.89 -
 1,909.21 -

1,909.21 -

1,803.50 -

1,803.50 -
4,507.37
-
5,268.29
-
1,240.00
-

1,650.00 -

1,597.00 -

134.20 -

188.76 -

259.52 -

155.91 -

124.48 -

17,958.11 -

10,980.20 -

17,958.11 -

33,785.00 -

35,285.00 -

33,785.00 -

35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -
35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -

35,285.00 -

10,000.00 -

16,008.00 -

25,300.00 -

14,109.30 -

16,008.00 -

13,420.00 -

12,100.00 -

14,109.30 -

13,420.00 -

12,100.00 -

1,597.96 -

563.64 -

563.64 -

590.48 -

590.48 -

1,207.60 -

24,200.00 -

23,750.00 -

6,606.30 -
6,222.00 -

6,217.12 -

5,856.00 -

6,217.12 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,177.50 -

7,320.00 -

9,827.10 -

9,827.10 -
 9,394.00 -

28,750.00 -

27,725.00 -

34,228.40 -

33,900.00 -

149,040.00 -

141,400.00 -

149,040.00 -

164,456.11 -

8,109.49 -

8,109.33 -

10,000.00 -

8,903.23 -

6,390.00 -

9,375.00 -

2,475.75 -

2,582.13 -

2,571.75 -

2,856.89 -

3,636.36 -

412.50 -

671.78 -

3,100.00 -

3,000.00 -
 2,164.80 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

16,704.00 -

16,704.00 -

19,372.00 -

19,372.00 -

19,372.00 -

19,372.00 -

17,980.00 -

5,940.00 -

14,080.00 -

12,430.00 -

5,940.00 -
14,080.00 -

12,430.00 -

33,000.00 -

14,810.89 -

12,675.00 -

12,675.00 -

77,600.00 -

75,537.00 -

80,192.00 -

78,285.55 -

35,174.50 -

34,300.00 -

46,853.42 -

3,300.00 -

3,300.00 -

20,685.00 -

17,024.00 -

23,385.00 -

9,164.00 -

9,280.00 -

9,164.00 -

5,568.00 -

7,308.00 -

9,280.00 -
 5,699.98 -

5,533.00 -

9,400.00 -

53,300.00 -

51,500.00 -

27,300.00 -

27,300.00 -

17,550.00 -

3,900.00 -

6,089.00 -

9,400.00 -

36,955.20 -

137,137.86 -

81,832.79 -

62,216.18 -

88,475.81 -

34,091.80 -

79,315.50 -

141,417.00 -

83,038.00 -

64,785.00 -

63,840.00 -

70,917.00 -

-
 25,546.32 -

6,214.29 -

3,390.99 -

23,566.00 -

5,238.80 -

3,188.24 -

25,592.50 -

6,229.83 -

3,401.16 -

801,000.00 -

2,702,700.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

128,625.00 -

177,125.00 -

128,625.00 -

218,125.00 -

13,140.60 -
 15,297.00 -

15,297.00 -

13,655.00 -

1,296.00 -

1,150.00 -

1,306.25 -

4,720.00 -

4,720.00 -

12,859.00 -

53,180.00 -

53,180.00 -

21,720.00 -

9,048.17 -

6,186.16 -

9,048.18 -

10,967.00 1,370,875.00 125

10,967.00 -

10,967.00 -

28,768.50 -

12,882.45 966,183.53 75

423,500.00 -

1,135,000.00 -

1,463,000.00 -

338,800.00 -
1,232,000.00 -

1,355,200.00 -

423,500.00 -

1,355,200.00 -

1,463,000.00 -

4,250,665.17 -

2,774,860.00 -

3,699,850.00 -

4,250,665.00 -

2,774,860.00 -

3,699,850.00 -

19,175.00 -

22,775.00 -

40,848.33 -

30,697.00 -

18,500.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -
116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

177.24 -

159.06 -

1,724.80 -

12,575.84 -

9,164.00 -

60,605.88 -

11,745.66 -

11,318.86 -

254,400.00 -

3,399.09 -

1,405.00 -

12,500.00 -

85,337,058.53
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019 600
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020 1000

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021 150

Glukosa Test Piece

90 DAK 2021

Handschoon size M Piece

91 DAK 2021

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 -

89.00 -

105.00 -

88.00 -

3,850.00 -

2,750.00 -

4,525.00 -

143.00 -

144.00 -

150.00 -

2,736.00 -

3,071.00 -

101.00 -

101.00 -

363.00 -

168.00 -

168.00 -

80.00 -
 55.00 -

80.00 -

265.00 -

231.00 -

266.00 -

3,300.00 -

1,919.00 -

5,850.00 -

2,050.00 -

3,604.00 -

3,846.00 -

3,510.00 -

2,239.00 -

2,098.00 -

1,756.00 -

54.00 -

60.00 -

60.00 -

6,160.00 -

5,060.00 -

6,190.00 -

5,170.00 -

3,260.00 -

3,642.00 -
3,642.00 -

212.00 -

235.00 -

2,860.00 -

2,624.60 -

275.00 -

120.00 -

46.00 -

120.00 -

54.00 -

117.00 -

286.00 -

286.00 -

1,784.00 -

1,784.00 -

198.00 -

1,880.00 -

2,374.00 -

89.00 -

105.00 -

440.00 -

3,630.00 -

3,388.00 -

3,630.00 -
 429.00 -

454.00 -

770.00 -

159.00 -

505.00 -

1,859.00 -

1,778.00 -

409.00 -

2,662.00 -

2,750.00 -

3,000.00 -

83,190.00 -

83,190.00 -

83,190.00 -

119.00 -

119.00 -

92.00 -

626.00 -

143.00 -

1,465.00 -

2,439.00 -

1,465.00 -

5,900.00 -

4,325.00 -
 5,900.00 -

6,000.00 -

5,085.00 -

17,875.00 -

52.00 -

104.00 -

104.00 -

3,061.00 -

2,215.00 -

3,061.00 -

968.00 -

1,210.00 -

1,210.00 -

77.00 -

36.00 -

77.00 -

1,200.00 -

5,720.00 -

86.00 -

86.00 -

1,913.00 -

1,913.00 -

1,913.00 -

21,021.00 -
21,021.00 -

14,459.00 -

14,459.00 -

14,459.00 -

1,347.00 -

1,347.00 -

825.00 -

143.00 -

280.00 -

264.00 -

75.00 -

96.00 -

96.00 -

2,862.00 -

5,500.00 -

2,862.00 -

2,401.00 -

1,088.00 -

1,740.00 -

1,518.00 -

1,518.00 -

781.00 -

7,436.00 -

400.00 240,000.00 600

165,000.00 -

175,000.00 -

21,648.00 -

20,175.00 -

197.00 -

197.00 -

2,764.00 -

3,300.00 -

3,630.00 -

1,914.23 -

4,236.00 -

873.00 -

14,738.00 -

15,675.00 -

15,675.00 -

111.00 -

84.00 -

220.00 -

1,555.00 -

1,555.00 -

969.00 -

1,122.00 -

1,055.00 -

4,400.00 -
 281.00 -

286.00 -

280.00 -

3,300.00 -

3,300.00 -

2,937.00 -

4,885.00 -

4,885.00 -

4,885.00 -

5,170.00 -

3,150.00 -

3,300.00 -

3,300.00 -

830,000.00 -

650,000.00 -

940,000.00 -

475,000.22 -

137.00 -

86.00 -

137.00 -

235.00 -

212.00 -

207.00 -

123.00 -
 207.00 -

99.00 -

79.50 -

8,003.00 -

7,363.00 -

6,900.00 -

266.00 -

59.00 -

59.00 -

101,300.00 -

101,300.00 -

101,300.00 -

1,325,000.00 -

1,325,000.00 -

1,375,000.00 -

171.00 -

2,533.00 -

2,325.00 -

2,533.00 -

242.00 -

198.00 -

195.00 -

264.00 -

330.00 -
 127.00 -

8,400.00 -

2,520.00 -

2,339.00 -

99.00 99,000.00 1000

99.00 -

77.00 -

198.00 -

198.00 -

99.00 -

154.00 -

154.00 -

60.00 -

63.00 -

99.00 -

132.00 -

75.00 -

661.00 -

212.00 -

661.00 -

250.00 -

216.00 -

250.00 -

2,399.00 -
2,577.00 -

286.00 -

260.00 -

1,089.00 -

1,089.00 -

923.00 -

1,870.00 -

583.00 -

1,875.00 -

1,568.00 -

1,469.00 -

1,568.00 -

502.29 -

565.50 -

5,170.00 -

2,054.00 -

2,054.00 -

5,352.00 -

5,319.00 -

8,875.00 -

8,434.00 -

8,800.00 -

8,875.00 -

8,800.00 -
6,600.00 -

24.00 -

24.00 -

1,531.00 -

1,531.00 -

1,435.00 -

242.00 -

170.00 -

234.03 -

181.00 -

1,121.00 -

1,550.00 -

2,052.00 -

2,190.00 -

299.00 -

319.00 -

847.00 -

1,315.00 -

1,403.00 -

1,405.00 -

1,405.00 -

132.00 -

81.00 -

176.00 -
 136.00 -

117.00 -

136.00 -

3,796.00 -

4,700.00 -

3,796.00 -

148.00 -

148.00 -

102.00 -

11,449.00 -

12,217.00 -

12,217.00 -

243.00 -

214.00 -

3,399.00 -

1,069.00 -

3,399.00 -

89.00 -

83.00 -

4,554.00 -

4,554.00 -

1,983.00 -

2,700.00 -

6,750.00 -
 109.00 -

109.00 -

77.00 -

8,250.00 -

8,250.00 -

127.00 -

253.00 -

253.00 -

3,950.00 -

3,950.00 -

3,926.00 -

3,926.00 -

1,900.00 -

145.00 -

220.00 -

109.00 -

6,410.00 -

6,840.00 -

107.00 -

114.00 -

627.00 -

645.00 -

971.00 -

971.00 -
 869.00 -

24,198.00 -

317.00 -

1,492,579.00 -

267,397.00 -

6,500.00 -

6,100.00 -

5,500.00 -

9,570.00 -

605.00 -

9,975.00 -

659.00 -

12,000.00 -

660.00 -

1,980.00 -

1,649.36 -

3,200.00 -

2,600.00 -

2,774.00 -

2,774.00 -

1,248.00 -

1,232.00 -

11,868.00 -

11,868.00 -
11,868.00 -

147.00 -

129.00 -

220.00 -

429.00 -

275.00 -

429.00 -

1,258.00 -

5,500.00 -

963.00 -

13,200.00 -

2,971.00 -

1,238.00 -

1,160.00 -

5,204.00 -

7,646.00 -

7,646.00 -

121.00 -

165.00 -

150.00 -

20,700.00 -

542.00 -

505.00 -

505.00 -
 6,600.00 -

6,600.00 -

249.00 -

72.00 -

141.00 -

150.00 -

150.00 -

165.00 -

165.00 -

198.00 -

79.00 -

73.00 -

79.00 -

329.00 -

354.00 -

63.00 -

63.00 -

63.00 -

440.00 -

440.00 -

190,000.00 -

235.95 -

198.00 -

210.00 -
 85.00 -

1,188.00 -

858.00 -

1,188.00 -

331.00 -

596.00 -

985.00 -

934.00 -

1,134.00 -

7,150.00 -

7,630.00 -

287.00 -

132.00 -

67.00 -

132.00 -

4,446.00 -

6,796.68 -

4,189.00 -

11,000.00 -

5,400.00 -

11,000.00 -

3,017.00 -

1,475.00 -

11,825.00 -
11,466.00 -

5,710.00 -

923.00 -

4,360.00 -

4,360.00 -

4,086.00 -

880.00 -

492.00 -

880.00 -

5,146.00 -

4,822.00 -

5,146.00 -

4,706.00 -

4,410.00 -

4,706.00 -

44.00 -

52.00 -

1,160.00 -

1,160.00 -

1,066.00 -

117.00 -

117.00 -

73.00 -

528.00 -
 281.00 -

512,204.00 -

512,204.00 -

517,132.00 -

130,999.00 -

130,999.00 -

130,999.00 -

5,980.00 -

7,338.00 -

7,338.00 -

983.00 -

330.00 -

330.00 -

310.00 -

331.00 -

847.00 -

832.50 -

7,150.00 -

11,000.00 -

94.00 -

88.00 -

660.00 -

329.68 -

1,764.00 -
 330.00 -

309.00 -

95.00 -

101.00 -

17,789.00 -

135.00 -

60.00 -

135.00 -

3,285.00 -

2,489.00 -

604.00 -

253.00 -

604.00 -

2,200,000.00 -

1,248.88 -

1,335.02 -

1,033.56 -

1,205.82 -

1,205.82 -

1,277.60 -

1,263.24 -

1,693.89 -
 1,909.21 -

1,909.21 -

1,803.50 -

1,803.50 -
4,507.37
-
5,268.29
-
1,240.00
-

1,650.00 -

1,597.00 -

134.20 -

188.76 -

259.52 -

155.91 -

124.48 -

17,958.11 -

10,980.20 -

17,958.11 -

33,785.00 -

35,285.00 -

33,785.00 -

35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -
35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -

35,285.00 -

10,000.00 -

16,008.00 -

25,300.00 -

14,109.30 -

16,008.00 -

13,420.00 -

12,100.00 -

14,109.30 -

13,420.00 -

12,100.00 -

1,597.96 -

563.64 -

563.64 -

590.48 -

590.48 -

1,207.60 -

24,200.00 -

23,750.00 -

6,606.30 -
6,222.00 -

6,217.12 -

5,856.00 -

6,217.12 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,177.50 -

7,320.00 -

9,827.10 -

9,827.10 -
 9,394.00 -

28,750.00 -

27,725.00 -

34,228.40 -

33,900.00 -

149,040.00 -

141,400.00 -

149,040.00 -

164,456.11 -

8,109.49 -

8,109.33 -

10,000.00 -

8,903.23 -

6,390.00 -

9,375.00 -

2,475.75 -

2,582.13 -

2,571.75 -

2,856.89 -

3,636.36 -

412.50 -

671.78 -

3,100.00 -

3,000.00 -
 2,164.80 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

16,704.00 -

16,704.00 -

19,372.00 -

19,372.00 -

19,372.00 -

19,372.00 -

17,980.00 -

5,940.00 -

14,080.00 -

12,430.00 -

5,940.00 -
14,080.00 -

12,430.00 -

33,000.00 -

14,810.89 -

12,675.00 -

12,675.00 -

77,600.00 -

75,537.00 -

80,192.00 -

78,285.55 -

35,174.50 -

34,300.00 -

46,853.42 -

3,300.00 -

3,300.00 -

20,685.00 -

17,024.00 -

23,385.00 -

9,164.00 -

9,280.00 -

9,164.00 -

5,568.00 -

7,308.00 -

9,280.00 -
 5,699.98 -

5,533.00 -

9,400.00 -

53,300.00 -

51,500.00 -

27,300.00 -

27,300.00 -

17,550.00 -

3,900.00 -

6,089.00 -

9,400.00 -

36,955.20 -

137,137.86 -

81,832.79 -

62,216.18 -

88,475.81 -

34,091.80 -

79,315.50 -

141,417.00 -

83,038.00 -

64,785.00 -

63,840.00 -

70,917.00 -

-
 25,546.32 -

6,214.29 -

3,390.99 -

23,566.00 -

5,238.80 -

3,188.24 -

25,592.50 -

6,229.83 -

3,401.16 -

801,000.00 -

2,702,700.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

128,625.00 -

177,125.00 -

128,625.00 -

218,125.00 -

13,140.60 -
 15,297.00 -

15,297.00 -

13,655.00 -

1,296.00 -

1,150.00 -

1,306.25 -

4,720.00 -

4,720.00 -

12,859.00 -

53,180.00 -

53,180.00 -

21,720.00 -

9,048.17 -

6,186.16 -

9,048.18 -

10,967.00 -

10,967.00 -

10,967.00 -

28,768.50 -

12,882.45 -

423,500.00 -

1,135,000.00 -

1,463,000.00 -

338,800.00 -
1,232,000.00 -

1,355,200.00 -

423,500.00 -

1,355,200.00 -

1,463,000.00 -

4,250,665.17 -

2,774,860.00 -

3,699,850.00 -

4,250,665.00 -

2,774,860.00 -

3,699,850.00 -

19,175.00 -

22,775.00 -

40,848.33 -

30,697.00 -

18,500.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -
116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

177.24 -

159.06 -

1,724.80 -

12,575.84 -

9,164.00 -

60,605.88 -

11,745.66 -

11,318.86 -

254,400.00 38,160,000.00 150

3,399.09 -

1,405.00 -

12,500.00 -

38,499,000.00
 STOK OPNAME OBAT DAN BMHP
PUSKESMAS TAHUN 2022
BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK
1 Alopurinol tablet 100 mg Tablet DAK 2019
2 Alopurinol tablet 100 mg Tablet DAK 2021
3 Alopurinol tablet 100 mg Tablet DAK 2020
4 Alprazolam 0,5 mg Tablet DAK 2018
5 Ambroxol sirup 15 mg/ml Botol 60 ml DAK 2019
6 Ambroxol sirup 15 mg/ml Botol 60 ml DAK 2021
7 Ambroxol sirup 15 mg/ml Botol 60 ml DAK 2020
8 Ambroxol tablet 30 mg Tablet DAK 2019
9 Ambroxol tablet 30 mg Tablet DAK 2021
10 Ambroxol tablet 30 mg Tablet DAK 2020
11 Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml DAK 2021
12 Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml DAK 2019
Aminofilina tablet 200 mg
13 Tablet DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
15 Tablet DAK 2021
16 Amitriptilin HCl tablet salut 25 mg Tablet DAK 2018
17 Amitriptilin HCl tablet salut 25 mg Tablet DAK 2019
18 Amlodipin 5 mg Tablet DAK 2019
19 Amlodipin 5 mg Tablet DAK 2021
20 Amlodipin 5 mg Tablet DAK 2020
21 Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet DAK 2019
22 Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet DAK 2021
23 Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab DAK 2020
24 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml DAK 2019
25 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml DAK 2018
26 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml DAK 2020
27 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml DAK 2021
28 Amoksisilin sirup kering forte 250 mg/5 ml Botol 60 ml DAK 2018
29 Amoksisilin sirup kering forte 250 mg/5 ml Botol 60 ml DAK 2019
30 Amoksisilin sirup kering forte 250 mg/5 ml Botol 60 ml DAK 2021
31 Antasida DOEN suspensi Botol 60 ml DAK 2019
32 Antasida DOEN suspensi Botol 60 ml DAK 2018
33 Antasida DOEN suspensi Botol 60 ml DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 DAK 2021
Mg-Hidroksida
Antasida DOEN200 mgkunyah,kombinasi:
tablet + Al. Hidroksida. 200 mg
Tablet kunyah
35 DAK 2019
Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg
 Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 DAK 2020
Mg-Hidroksida 200 salep
Anti Bakteri DOEN mg + Al. Hidroksida. 200 mg
kombinasi:
Tube 5 gram
37 Basitrasin 500 IU/g + Polimiksin 10.000 IU/g DAK 2020
Anti Bakteri DOEN salep kombinasi:
Tube 5 gram
38 Basitrasin 500 IU/g + Polimiksin 10.000 IU/g DAK 2021
39 Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg Botol 60 ml DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 DAK 2021
mg
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 DAK 2019
mg
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 DAK 2020
mg
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021
46 Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml DAK 2019
47 Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020
49 Asam Askorbat (Vit C) tablet 50 mg Tablet DAK 2020
50 Asam Askorbat (Vit C) tablet 50 mg Tablet DAK 2021
51 Asam Askorbat (Vit C) tablet 50 mg Tablet DAK 2019
52 Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet DAK 2020
53 Asam Mefenamat 500 mg Tablet DAK 2021
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020
56 Asam Traneksamat 500 mg Tablet DAK 2019
57 Asam Traneksamat 500 mg Tablet DAK 2020
58 Asam Traneksamat 500 mg Tablet DAK 2021
59 Asam traneksamat injeksi 100 mg/ml Ampul 5 ml DAK 2021
60 Asam traneksamat injeksi 100 mg/ml Ampul 5 ml DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020
64 Asiklovir krim 5 % Tube 5 gram DAK 2019
65 Asiklovir krim 5 % Tube 5 gram DAK 2021
66 Asiklovir krim 5 % Tube 5 gram DAK 2020
67 Asiklovir tablet 400 mg Tablet DAK 2021
68 Asiklovir tablet 400 mg Tablet DAK 2019
69 Asiklovir tablet/kapsul/kaplet 400 mg Tablet DAK 2020
70 NEW ANTIDES - Attapulgite 600 mg tablet Tablet DAK 2019
71 Atapulgit tablet 600 mg Tablet DAK 2021
72 Atropin inj 0,25 mg / ml Ampul 1 ml DAK 2019
73 Azitromisin tablet 500 mg Tablet DAK 2018
 (Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
Cupric Sulfate 0,2 mg, Folic Acid 4 mg,
74 Cyanocobalamin 7,5 mg DAK 2018
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020
BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol
78 DAK 2019
79 BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol DAK 2018
80 BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol DAK 2020
81 Betahistin tablet/kapsul/kaplet 6 mg Tablet DAK 2019
82 Betahistin tablet/kapsul/kaplet 6 mg Tablet DAK 2020
83 Betahistin tablet/kapsul/kaplet 6 mg Tablet DAK 2021
84 Bisoprolol tablet 5 mg Tablet DAK 2019
85 Bisoprolol tablet 5 mg Tablet DAK 2021
86 Betametason krim0,1% (Sebagai Valerat) Tube 5 gram DAK 2019
87 Betametason krim 0,1 o/o Tube 5 gram DAK 2021
88 Betametason krim0,1% (Sebagai Valerat) Tube 5 gram DAK 2020
89 Bisakodil suppositoria 10 mg(Stolax supp) Supp DAK 2019
90 Bisakodil suppositoria 10 mg Supp DAK 2021
91 Bisakodil suppositoria 10mg Supp DAK 2020
92 Bisakodil suppositoria 5 mg(Stolax supp) Supp DAK 2019
93 Bisakodil suppositoria 5 mg Supp DAK 2021
94 Bisakodil suppositoria 5 mg Supp DAK 2020
95 Cetirizine tablet 10 mg Tablet DAK 2021
96 Cetirizine tablet 10 mg Tablet DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020
98 Cetirizin sirup 5 mg/5 ml Botol 60 ml DAK 2019
99 Cetirizin sirup 5 mg/5 ml Botol 60 ml DAK 2021
100 Cetirizin sirup 5 mg/5 ml Botol 60 ml DAK 2020
101 Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml DAK 2021
102 Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml DAK 2019
103 Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml DAK 2020
104 Deksametason tablet 0,5 mg Tablet DAK 2019
105 Deksametason tablet 0,5 mg Tablet DAK 2021
106 Deksametason tablet 0,5 mg Tablet DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020
109 Diazepam tablet 2 mg Tablet DAK 2019
110 Diazepam tablet 2 mg Tablet DAK 2018
111 Diazepam inj 5 mg/ml (i.v./i.m.) Ampul DAK 2018
112 Diazepam inj 5 mg/ml (i.v./i.m.) Ampul DAK 2019
113 Diazepam inj 5 mg/ml (i.v./i.m.) Ampul DAK 2020
114 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube DAK 2021
115 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube DAK 2019
116 Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube DAK 2021
117 Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube DAK 2019
118 Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube DAK 2020
119 Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml DAK 2019
120 Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml DAK 2020
121 Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml DAK 2021
122 Digoksin tab 0,25 mg Tablet DAK 2021
123 Doksisiklin tab 100 mg Tablet DAK 2019
124 Doksisiklin tab 100 mg Tablet DAK 2018
125 Domperidon 10 mg Tablet DAK 2021
126 Domperidon 10 mg Tablet DAK 2019
127 Domperidon tablet/kapsul/kaplet 10 mg Tablet DAK 2020
128 Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml DAK 2018
129 Domperidon suspensi 5 mg/5 ml Botol 60 ml DAK 2020
130 Domperidon suspensi 5 mg/5 ml Botol 60 ml DAK 2019
131 Domperidon suspensi 5 mg/5 ml Botol 60 ml DAK 2021
132 DOPAMET - Metildopa tablet salut 250 mg Tablet DAK 2018
133 Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul DAK 2021
134 Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul DAK 2019
135 Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul DAK 2020
136 Eritromisin tablet/kapsul/kaplet 500 mg Kaptab DAK 2018
137 Eritromisin sir 200 mg/5ml Botol DAK 2021
138 Ethambutol 250 mg Tab Tablet DAK 2019
139 Etil Klorida semprot Botol DAK 2019
140 Etil Klorida semprot Botol DAK 2021
141 Eugenol cairan Botol DAK 2018
142 Eugenol cairan Botol DAK 2021
143 Fenobarbital tablet 30 mg Tablet DAK 2018
144 Fenobarbital tablet 30 mg Tablet DAK 2019
145 Fenol Gliserol tetes telinga 10% Botol Plastik 5 ml DAK 2019
146 Fenol Gliserol tetes telinga 10% Botol Plastik 5 ml DAK 2021
147 Fenol Gliserol tetes telinga 10% Botol Plastik 5 ml DAK 2020
148 Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml DAK 2018
149 Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml DAK 2019
150 Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020
154 Furosemid tablet 40 mg Tablet DAK 2017
155 Furosemid tablet 40 mg Tablet DAK 2020
156 Furosemid tablet 40 mg Tablet DAK 2021
157 Furosemid injeksi Ampul DAK 2019
158 Furosemid injeksi i.v./i.m. 10 mg/ml Ampul DAK 2020
159 Furosemid injeksi i.v./i.m. 10 mg/ml Ampul DAK 2021
160 Gabapentin 300 mg Kaplet DAK 2019
161 Gabapentin tablet/kapsul/kaplet 300 mg kapsul DAK 2018
162 Gabapentin tablet/kapsul/kaplet 300 mg kapsul DAK 2020
Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021
166 Gentamicin 0,1 % Salep Kulit Tube 5 gram DAK 2019
167 Gentamicin 0,1 % Salep Kulit Tube 5 gram DAK 2020
168 Gentamicin 0,1 % Salep Kulit Tube 5 gram DAK 2021
169 Gentamicin TM 0,3 % Botol 5 ml DAK 2019
170 Gentamicin TM 0,3 % Botol 5 ml DAK 2018
171 Gentamisin tetes mata 0,3% Botol 5 ml DAK 2020
172 Gentamisin tetes mata 0,3% Botol 5 ml DAK 2021
173 Gentian violet 1 o/o Botol 10 ml DAK 2021
174 Gentian violet 1 o/o Botol 10 ml DAK 2019
175 Gentian violet 1 o/o Botol 10 ml DAK 2020
176 Glass Ionomer Cement (Fuji VII) Set DAK 2021
177 Glass Ionomer Cement (Fuji VII) Set DAK 2020
178 Glass Ionomer Cement (GC IX) Set DAK 2021
179 Glass Ionomer Cement (GC IX) Set DAK 2020
180 Glibenklamid tablet 5 mg Tablet DAK 2019
181 Glibenklamid tablet 5 mg Tablet DAK 2021
182 Glibenklamid tablet 5 mg Tablet DAK 2020
183 Gliklazid tablet/kapsul/kaplet 80 mg Tablet DAK 2020
184 Gliklazid tablet/kapsul/kaplet 80 mg Tablet DAK 2021
185 Glimepiride tablet/kapsul/kaplet 2 mg Tablet DAK 2020
186 Glimepiride tablet 2 mg Tablet DAK 2021
187 Glimepiride tablet 2 mg Tablet DAK 2019
188 Gliseril Guaiakolat tablet 100 mg Tablet DAK 2019
189 Gliseril Guaiakolat tablet 100 mg Tablet DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018
193 Griseofulvin tablet 125 mg, micronized Tablet DAK 2017
194 Haloperidol 1.5 mg Tablet DAK 2019
195 Haloperidol 1.5 mg Tablet DAK 2020
196 Haloperidol inj 50 mg/mL Ampul 1 ml DAK 2020
197 Haloperidol inj 50 mg/mL Ampul 1 ml DAK 2018
198 Haloperidol inj 50 mg/mL Ampul 1 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
 Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021
202 Hidroklorotiazid tab 25 mg Tablet DAK 2017
203 Hidrokortison krim 2,5 o/o Tube 5 gram DAK 2019
204 Hidrokortison krim 2,5 o/o Tube 5 gram DAK 2021
205 Hidrokortison krim 2,5 o/o Tube 5 gram DAK 2020
206 Ibuprofen tablet 200 mg Tablet DAK 2020
207 Ibuprofen tablet/kapsul/kaplet 200 mg Tablet DAK 2019
208 Ibuprofen tablet/kapsul/kaplet 200 mg Tablet DAK 2021
209 Ibuprofen tablet 400 mg Tablet DAK 2019
210 Ibuprofen tablet 400 mg Tablet DAK 2020
211 Ibuprofen tablet 400 mg Tablet DAK 2018
212 Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml DAK 2020
213 Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml DAK 2019
214 Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml DAK 2021
215 Isoniazid tablet/kapsul/kaplet 100 mg Tablet DAK 2020
216 Isoniazid tablet/kapsul/kaplet 100 mg Tablet DAK 2019
217 Isoniazid tablet/kapsul/kaplet 100 mg Tablet DAK 2021
218 Isoniazid tablet/kapsul/kaplet 300 mg Tablet DAK 2019
219 Isoniazid tablet/kapsul/kaplet 300 mg Tablet DAK 2020
220 Isosorbit Dinitrat tablet sublingual 5 mg Tablet DAK 2021
221 Isosorbit Dinitrat tablet sublingual 5 mg Tablet DAK 2019
222 Isosorbit Dinitrat tablet sublingual 5 mg Tablet DAK 2020
223 Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet DAK 2021
224 Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet DAK 2020
225 Kaptopril 25 mg Tablet DAK 2019
226 Kaptopril tablet/kaplet scored 25 mg Tablet DAK 2020
227 Kaptopril 25 mg Tablet DAK 2021
228 Kandesartan tab 8 mg Tablet DAK 2019
229 Kandesartan tablet/kapsul/kaplet 8 mg Tablet DAK 2021
230 Kandesartan tablet/kapsul/kaplet 8 mg Tablet DAK 2020
231 Karbamazepin tablet/kapsul/kaplet 200 mg Tablet DAK 2019
232 Karbamazepin tablet 200 mg Tablet DAK 2021
233 Karbamazepin tablet 200 mg Tablet DAK 2020
234 Ketokonazol krim 2% Tube 10 gram DAK 2021
235 Ketokonazol krim 2% Tube 10 gram DAK 2020
236 Ketokonazol tablet 200 mg Tablet DAK 2018
237 Ketokonazol tablet 200 mg Tablet DAK 2021
238 Ketorolac injeksi 30 mg Ampul 1 ml DAK 2019
239 Ketorolak inj 30 mg/ml Ampul 1 ml DAK 2020
240 Ketorolak inj 30 mg/ml Ampul 1 ml DAK 2021
241 Klindamisin tablet/kapsul/kaplet 300 mg kapsul DAK 2019
242 Klindamisin tablet/kapsul/kaplet 300 mg kapsul DAK 2018
243 Klindamisin tablet/kapsul/kaplet 300 mg kapsul DAK 2020
244 Klopidogrel tablet 75 mg Tablet DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020
247 Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul DAK 2017
248 Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul DAK 2021
249 Kloramfenikol salep mata 1 % Tube 5 gram DAK 2021
250 Kloramfenikol salep mata 1 % Tube 5 gram DAK 2019
251 Kloramfenikol salep mata 1 % Tube 5 gram DAK 2020
252 Kloramfenikol suspensi 125 mg/ml Botol 60 ml DAK 2021
253 Kloramfenikol suspensi 125 mg/ml Botol 60 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018
260 Klorfeniramina Maleat (CTM) tablet 4 mg Tablet DAK 2018
261 Klorfeniramina Maleat (CTM) tablet 4 mg Tablet DAK 2021
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) Ampul 1 ml DAK 2020
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) Ampul 1 ml DAK 2019
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) Ampul 1 ml DAK 2018
265 Klorpromazin tablet salut 25 mg (HCl) Tablet DAK 2020
266 Klorpromazin tablet salut 25 mg (HCl) Tablet DAK 2016
267 Klorpromazin tablet salut 25 mg (HCl) Tablet DAK 2018
268 Klorpromazin tablet salut 100 mg (HCl) Tablet DAK 2019
269 Klozapin 25 mg Tablet DAK 2019
270 Klozapin 25 mg Tablet DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021
276 Lidokain injeksi 2% (HCL) Ampul DAK 2018
277 Lidokain injeksi 2% (HCL) Ampul DAK 2019
Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml
278 DAK 2020
Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml
279 DAK 2019
280 Loperamid tablet 2 mg Tablet DAK 2019
281 Loperamid tablet 2 mg Tablet DAK 2021
282 Loperamid Tablet DAK 2020
283 Loratadin tablet/kapsul/kaplet 10 mg Tablet DAK 2019
284 Loratadin tablet/kapsul/kaplet 10 mg Kaptab DAK 2021
285 Loratadin tablet/kapsul/kaplet 10 mg Kaptab DAK 2020
286 Magnesium sulfat injeksi 40% Ampul 25 ml DAK 2020
287 Magnesium sulfat injeksi 40% Ampul 25 ml DAK 2021
288 Magnesium sulfat injeksi 40% Ampul 25 ml DAK 2019
289 Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet DAK 2019
290 Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet DAK 2020
291 Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet DAK 2021
292 Metilprednisolon inj 125 mg/2 mL Dus DAK 2018
293 Metilprednisolon inj 125 mg/2 mL Dus DAK 2019
294 Metilprednisolon inj 125 mg/2 mL Dus DAK 2020
295 Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut DAK 2018
296 Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut DAK 2021
297 Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul DAK 2019
298 Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul DAK 2021
299 Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul DAK 2020
300 Metoclopramide tablet 10 mg Tablet DAK 2019
301 Metoklopramide tablet/kapsul/kaplet 10 mg Tablet DAK 2018
302 Metoclopramide injeksi 5 mg/ml Ampul 2 ml DAK 2019
303 Metoclopramide injeksi 5 mg/ml Ampul 2 ml DAK 2020
304 Metoclopramide injeksi 5 mg/ml Ampul 2 ml DAK 2021
305 Metoklopramide sirup 5 mg/ 5 ml Botol 60 ml DAK 2018
306 Metoklopramide sirup 5 mg/ 5 ml Botol 60 ml DAK 2020
307 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet DAK 2019
308 Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss DAK 2020
309 Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss DAK 2021
310 Metronidazol infus 5 mg/ ml Botol @100 mL DAK 2018
311 Metronidazol infus 5 mg/ ml Botol @100 mL DAK 2019
312 Metronidazol tablet 500 mg Tablet DAK 2018
313 Metronidazol tablet/kapsul/kaplet 500 mg Tablet DAK 2019
314 Metronidazol tablet/kapsul/kaplet 500 mg Tablet DAK 2020
315 Metronidazole sirup 125mg/ 5ml Botol 60 ml DAK 2019
316 Metronidazol sirup 125 mg/5 ml Botol 60 ml DAK 2018
317 Miconazole krim 2% (Nitrat) Tube 10 gram DAK 2019
318 Miconazole krim 2% (Nitrat) Tube 10 gram DAK 2020
319 Miconazole krim 2% (Nitrat) Tube 10 gram DAK 2021
320 Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020
322 Natrim Diklofenak 50 mg tab Tablet DAK 2021
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019
325 Nifedipin tablet 10 mg Tablet DAK 2018
326 Nifedipin tablet 10 mg Tablet DAK 2019
327 Nistatin vaginal tablet 100.000 IU/ g Tablet Vaginal DAK 2017
328 Nistatin vaginal tablet 100.000 IU/ g Tablet Vaginal DAK 2018
329 Nistatin tablet salut 500.000 UI/g Tablet DAK 2019
Tablet Salut Gula
330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021
332 Nystatin drop Botol 12 ml DAK 2020
333 N- Asetil Sistein Tablet DAK 2021
334 Obat Anti Tuberculosis FDC Kategori II Paket DAK 2018
335 Obat Anti Tuberculosis FDC Kategori Anak Paket DAK 2018
336 Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml DAK 2020
337 Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml DAK 2018
338 Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019
Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml
341 DAK 2020
Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet
342 DAK 2020
Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml
343 DAK 2018
Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet
344 DAK 2018
345 Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram DAK 2019
346 Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram DAK 2018
347 Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram DAK 2020
348 Oksitetrasiklin HCI salep mata 1 % Tube DAK 2018
349 Oksitetrasiklin HCI salep mata 1 % Tube DAK 2019
350 Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram DAK 2020
351 Oksitosin injeksi 10 IU / ml - ml Ampul DAK 2021
352 Oksitosin injeksi 10 IU / ml - ml Ampul DAK 2020
353 Omeprazole Injeksi 40mg / 10ml Vial DAK 2019
354 Omeprazol injeksi 40 mg/ 10 ml Vial DAK 2018
355 Omeprazol injeksi 40 mg/ 10 ml Vial DAK 2020
356 Omeprazole kapsul Kapsul DAK 2019
357 Omeprazol tablet/kapsul/kaplet 20 mg Kapsul DAK 2021
358 Omeprazol tablet/kapsul/kaplet 20 mg Kapsul DAK 2020
359 Ondansetron tablet/kapsul/kaplet 4 mg Tablet DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020
362 Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml DAK 2019
363 Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml DAK 2020
364 Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019
372 Parasetamol tablet/kapsul/kaplet 500 mg Tablet DAK 2019
373 Parasetamol tablet 500 mg Tablet DAK 2021
374 Parasetamol tablet/kapsul/kaplet 500 mg Tablet DAK 2020
375 Perak Sulfadiazine Krim 1% Tube DAK 2020
376 Piracetam 400 mg Tablet DAK 2021
377 Piracetam 400 mg Tablet DAK 2019
378 Piracetam 400 mg Tablet DAK 2020
379 Piracetam Inj 1 g/5 ml Ampul DAK 2017
380 Piracetam Inj 1 g/5 ml Ampul DAK 2021
381 Pirazinamid 500 mg Tablet DAK 2019
382 Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet DAK 2021
383 Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet DAK 2018
384 Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet DAK 2019
385 Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet DAK 2020
386 Piroksikam 20 mg Tablet DAK 2020
387 Piroksikam 20 mg Tablet DAK 2019
388 Piroksikam 20 mg Tablet DAK 2021
389 Prednison tablet/kapsul/kaplet 5 mg Tablet DAK 2020
390 Prednison tablet/kapsul/kaplet 5 mg Tablet DAK 2021
391 Prednison tablet/kapsul/kaplet 5 mg Tablet DAK 2019
392 Primakuin tablet 15 mg Tablet DAK 2019
393 Primakuin tablet 15 mg Tablet DAK 2018
394 Propranolol HCI tablet 10 mg Tablet DAK 2021
395 Propranolol tablet/kapsul/kaplet 10 mg Tablet DAK 2019
396 Propranolol tablet/kapsul/kaplet 10 mg Tablet DAK 2020
397 Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet DAK 2019
398 Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet DAK 2021
399 Vaksin rabies Vial DAK 2018
400 Ranitidin tablet 150 mg Tablet DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021
404 Ranitidin injeksi 25 mg/ml Ampul 2 ml DAK 2019
405 Ranitidin Injeksi 25 mg/ml Ampul 2 ml DAK 2021
406 Ranitidin injeksi 25 mg/ml Ampul 2 ml DAK 2020
407 Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul DAK 2018
408 Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul DAK 2018
409 Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss DAK 2019
410 Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss DAK 2021
411 Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019
414 Risperidon 2 mg Tablet DAK 2019
 Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet
415 DAK 2020
Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet
416 DAK 2021
417 Salbutamol tablet 4 mg (sebagai Sulfat) Tablet DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021
421 VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules DAK 2019
422 VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules DAK 2021
423 VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021
426 Permetrin Krim 5% Tube @ 10 g DAK 2020
427 Permetrin Krim 5% Tube @ 10 g DAK 2021
428 Sefiksim sirup kering 100 mg/ 5 ml Botol DAK 2018
429 Sefiksim kapsul/kaplet 100 mg Kapsul DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018
433 Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul DAK 2019
434 Sefadroksil kapsul 500 mg Kapsul DAK 2018
435 Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul DAK 2020
436 Seftriaksone Injeksi 1 g Vial DAK 2019
437 Seftriaksone Injeksi 1 g Vial DAK 2018
438 Seftriaksone Injeksi 1 g Vial DAK 2020
439 Sefotaksim Injeksi 1 g Vial DAK 2019
440 Sefotaksim Injeksi 1 g Vial DAK 2018
441 Sefotaksim Injeksi 1 g Vial DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020
444 Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml DAK 2019
445 Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml DAK 2020
446 Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019
449 Simvastatin tablet/kaplet/salut 10 mg Tablet DAK 2021
450 Siprofloksasin tab scored 500 mg Tablet DAK 2019
451 Siprofloksasin tab scored 500 mg Tablet DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
 Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020
457 Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml DAK 2021
458 STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial DAK 2019
459 Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml DAK 2020
460 Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml DAK 2019
461 Sukralfat tablet/kapsul/kaplet 500 mg Tablet DAK 2020
462 Teofilin tablet 150 mg(Bronsolvan) Tablet DAK 2019
463 Teofilin tablet 150 mg(Bronsolvan) Tablet DAK 2018
464 Tetrasiklin tablet/kapsul/kaplet 500 mg Tablet DAK 2018
465 Tetrasiklin tablet/kapsul/kaplet 500 mg Tablet DAK 2019
466 Thiamphenicol 500 mg kaps Kapsul DAK 2019
467 Thiamphenicol 500 mg kaps Kapsul DAK 2018
468 Thiamphenicol 125 mg/5 ml Syr Botol 60 ml DAK 2019
469 Thiamphenicol 125 mg/5 ml Syr Botol 60 ml DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019
471 Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet DAK 2018
472 Tramadol tablet 50 mg Tablet DAK 2019
473 Tramadol tablet 50 mg Tablet DAK 2018
474 Tramadol injeksi 50 mg/ml Ampul 2 ml DAK 2018
475 Trifluoperazine 5mg Tablet DAK 2019
476 Trifluoperazine 5mg Tablet DAK 2018
477 Triheksifenidil tablet 2 mg Tablet DAK 2018
478 Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018
480 Vitamin B Kompleks tablet Tablet DAK 2020
481 Vitamin B Kompleks tablet Tablet DAK 2021
482 Vitamin B Kompleks tablet Tablet DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021
485 Zinc tablet dispersible20 mg Tablet DAK 2019
486 Zinc tablet dispersible20 mg Tablet DAK 2021
487 Zinc tablet dispersible 20 mg Tablet dispersible DAK 2020
488 Anti Difteri 10.000 IU Vial DAK 2018
ALAT KESEHATAN
BAHAN MEDIS HABIS PAKAI
1 Alat suntik sekali pakai 1 ml Piece DAK 2021
2 Alat suntik sekali pakai 1 ml 23x1/4 Piece DAK 2019
3 Alat suntik sekali pakai 3 ml Piece DAK 2018
4 Alat suntik sekali pakai 3 ml 23x1/4 Piece DAK 2019
5 Alat suntik sekali pakai 3 ml Piece DAK 2020
6 Alat suntik sekali pakai 5 ml Piece DAK 2018
7 Alat suntik sekali pakai 5 ml Piece DAK 2021
8 Alat suntik sekali pakai 10 ml Piece DAK 2018
9 Alat suntik sekali pakai 10 ml Piece DAK 2020
10 Alat suntik sekali pakai 10 ml Piece DAK 2019
11 Alat suntik sekali pakai 20 ml Piece DAK 2019
12 Alat suntik sekali pakai 20 ml Piece DAK 2020
13 Alat suntik sekali pakai 50 ml Piece DAK 2020
14 Alat suntik sekali pakai 50 ml Piece DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019
18 Alkohol Swab 2-ply Piece DAK 2018
19 Alkohol Swab 2-ply Piece DAK 2019
20 Alkohol Swab 2-ply (Program P2P) Pcs DAK 2020
21 Blood Lancet (21,26,28 G) Piece DAK 2018
22 Blood Lancet( Program P2P) Pcs DAK 2020
23 Blood Transfusion Set Piece DAK 2020
24 Blood Transfusion Set Piece DAK 2021
25 Blood Transfusion Set Piece DAK 2019
26 CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet DAK 2019
27 CATGUT PLAIN SMI 2/0 HR 26 MM Sachet DAK 2019
28 CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet DAK 2020
29 CATGUT PLAIN SMI 2/0 HR 26 MM Sachet DAK 2020
30 CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet DAK 2021
31 CATGUT PLAIN SMI 2/0 HR 26 MM Sachet DAK 2021
32 CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet DAK 2020
33 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet DAK 2020
34 CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet DAK 2021
35 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet DAK 2021
36 CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet DAK 2019
37 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet DAK 2019
38 Folley Catheter 2 Way no. 22 Piece DAK 2018
39 Folley Catheter 2 Way no. 22 Piece DAK 2019
40 Folley Catheter 2 Way no. 22 Piece DAK 2021
41 FOLEYCATH, 2 way latex foley cath, no. 16 Piece DAK 2019
42 FOLEYCATH, 2 way latex foley cath, no. 22 Piece DAK 2020
43 FOLEYCATH, 2 way latex foley cath, no. 16 Piece DAK 2018
44 FOLEYCATH, 2 way latex foley cath, no. 16 Piece DAK 2021
45 FOLEYCATH, 2 way latex foley cath, no. 18 Piece DAK 2019
46 FOLEYCATH, 2 way latex foley cath, no. 18 Piece DAK 2018
47 FOLEYCATH, 2 way latex foley cath, no. 18 Piece DAK 2021
48 EXAMINATION GLOVES, size M Piece DAK 2020
49 EXAMINATION GLOVES, size M Piece DAK 2018
50 EXAMINATION GLOVES, size S Piece DAK 2018
51 EXAMINATION GLOVES, size M Piece DAK 2019
52 EXAMINATION GLOVES, size S Piece DAK 2019
53 EXAMINATION GLOVES Piece DAK 2021
54 Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang DAK 2018
55 Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang DAK 2021
56 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece DAK 2020
57 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019
61 IV-Cath NP, pen type, no. 16 Piece DAK 2018
62 IV-Cath NP, pen type, no. 16 Piece DAK 2020
63 IV-Cath NP, pen type, no. 16 Piece DAK 2021
64 I.V Catheter G18 X 45 MM Green Piece DAK 2019
65 IV-Cath NP, pen type, no. 18 Piece DAK 2018
66 IV-Cath NP, pen type, no. 18 Piece DAK 2020
67 IV-Cath NP, pen type, no. 18 Piece DAK 2021
68 I.V Catheter G20 X 33 MM Pink Piece DAK 2019
69 IV-Cath NP, pen type, no. 20 Piece DAK 2018
70 I.V Catheter ( G20 X 33 MM Pink Piece DAK 2020
71 IV-Cath NP, pen type, no. 20 Piece DAK 2021
72 I.V Catheter G22 X 25 MM Blue Piece DAK 2019
73 IV-Cath NP, pen type, no. 22 Piece DAK 2018
74 IV-Cath NP, pen type, no. 22 Piece DAK 2020
75 IV-Cath NP, pen type, no. 22 Piece DAK 2021
76 I.V Catheter G24 X 0.75 " Piece DAK 2019
77 IV-Cath NP, pen type, no. 24 Piece DAK 2020
78 IV-Cath NP, pen type, no. 24 Piece DAK 2018
79 IV-Cath NP, pen type, no. 26 Piece DAK 2019
80 IV-Cath NP, pen type, no. 26 Piece DAK 2020
81 IV-Cath NP, pen type, no. 26 Piece DAK 2018
82 Kapas Pembalut Hidrofil DRC 250gr Roll DAK 2018
83 Kapas pembalut / Absorben 250 gram Roll DAK 2019
84 Kapas Pembalut Hidrofil DRC 250gr Roll DAK 2020
85 Kapas Pembalut Hidrofil DRC 250gr Roll DAK 2021
86 Kasa Hidrofil DRC 36m x 80cm Roll DAK 2019
87 Kasa Hidrofil DRC 36m x 80cm Roll DAK 2018
88 Kasa Hidrofil DRC 36m x 80cm Roll DAK 2020
89 Kasa Hidrofil DRC 36m x 80cm Roll DAK 2021
90 Kasa Steril DRC 16cm x 16cm (16 pads) Box DAK 2019
91 Kasa Steril DRC 16cm x 16cm (16 pads) Box DAK 2020
92 Kasa Steril DRC 16cm x 16cm (16 pads) Box DAK 2021
93 Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs DAK 2018
94 Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs DAK 2020
95 Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs DAK 2021
96 Kasa Pembalut Hidrofil DRC 4m x 10cm Roll DAK 2018
97 Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll DAK 2019
98 Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll DAK 2020
99 Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll DAK 2021
100 Surgical Mask Tie On Piece DAU 2020
101 Surgical Mask Tie On Piece DAK 2018
102 Surgical Mask Tie On Piece DAK 2019
103 Surgical Mask Tie On Piece DAK 2020
104 Surgical Mask Plus 3 Fly Plus Earloop Piece DAK 2020
105 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece DAK 2021
106 NASAL OXYGEN, O2 cannula, size S Piece DAK 2017
107 NASAL OXYGEN, O2 cannula, size S Piece DAK 2018
108 NASAL OXYGEN, O2 cannula, size S Piece DAK 2019
109 NASAL OXYGEN, O2 cannula, size S Piece DAK 2020
110 NASAL OXYGEN, O2 cannula, size M Piece DAK 2017
111 NASAL OXYGEN, O2 cannula, size M Piece DAK 2018
112 NASAL OXYGEN, O2 cannula, size M Piece DAK 2019
113 NASAL OXYGEN, O2 cannula, size M Piece DAK 2020
114 NASAL OXYGEN, O2 cannula, size L Piece DAK 2017
115 NASAL OXYGEN, O2 cannula, size L Piece DAK 2018
116 NASAL OXYGEN, O2 cannula, size L Piece DAK 2019
117 NASAL OXYGEN, O2 cannula, size L Piece DAK 2020
118 Nebulizer Masker Anak Piece DAK 2018
119 Nebulizer Masker Dewasa Piece DAK 2018
120 Nebulizer Masker Anak Piece DAK 2019
121 Nebulizer Masker Dewasa Piece DAK 2019
122 Nebulizer Masker Anak Piece DAK 2020
123 Nebulizer Masker Dewasa Piece DAK 2020
124 Nebulizer Masker Dewasa Piece DAK 2021
125 Nasogastric Tube No 3.5 Piece DAK 2019
126 Nasogastric Tube No 5 Piece DAK 2019
127 Nasogastric Tube No 16 Piece DAK 2019
128 Nasogastric Tube No 3.5 Piece DAK 2020
129 Nasogastric Tube No 5 Piece DAK 2020
130 Nasogastric Tube No 16 Piece DAK 2020
131 Nasogastric Tube No 3.5 Piece DAK 2021
132 Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll DAK 2021
133 Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll DAK 2019
134 Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll DAK 2020
135 Plester Polifix 10 cm x 5 m Roll DAK 2021
136 Plester Polifix 10 cm x 5 m Roll DAK 2018
137 Plester Polifix 10 cm x 5 m Roll DAK 2019
138 Plester Polifix 10 cm x 5 m Roll DAK 2020
139 Pembalut Elastis 10 cm x 4,55 m Roll DAK 2021
140 Pembalut Elastis 10 cm x 4,55 m Roll DAK 2018
141 Pembalut Elastis 10 cm x 4,55 m Roll DAK 2020
142 Scalpel Blades Nomor 10 Piece DAK 2017
143 Scalpel Blades Nomor 10 Piece DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
 Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020
147 Onemed U Pad Steril 60 x 90 cm Blister DAK 2020
148 Onemed U Pad Steril 60 x 90 cm Blister DAK 2021
149 Onemed U Pad Steril 60 x 90 cm Blister DAK 2019
150 URINE DRAINAGE BAG, T valve, with hanger Piece DAK 2019
151 URINE DRAINAGE BAG, T valve, with hanger Piece DAK 2021
152 URINE DRAINAGE BAG, T valve, with hanger Piece DAK 2020
153 Alkohol 70% Botol 100 ml DAK 2020
154 Alkohol 70% Botol 100 ml DAK 2021
155 Alkohol 70% Botol 100 ml DAK 2019
156 Lysol 1 liter Botol 1 L DAK 2019
157 Lysol 1 liter Botol 1 L DAK 2020
158 Povidone Iodine 300 ml Botol @ 300 ml DAK 2020
159 Povidone Iodine 300 ml Botol @ 300 ml DAK 2021
160 Povidone Iodine 300 ml Botol @ 300 ml DAK 2019
161 Rivanol 300 cc Botol @ 300 ml DAK 2020
162 Rivanol 300 cc Botol @ 300 ml DAK 2021
163 Rivanol 300 cc Botol @ 300 ml DAK 2019
164 Gel Lubricant Botol DAK 2020
165 POLI AID Botol 1 Liter DAK 2020
166 POLI CLEAN Botol 500 ml DAK 2020
167 POLI WASH Botol 500 ml DAK 2020
168 Cairan Antiseptika pencuci alat instrumen Botol 1 Liter DAK 2021
169 Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml DAK 2021
170 Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml DAK 2021
171 Cairan Antiseptika pencuci alat instrumen Botol 1 Liter DAK 2018
172 Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml DAK 2018
173 Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml DAK 2018
174 Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml DAK 2019
175 Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml DAK 2019
REAGENSIA
1 Total Cholesterol Test Strip 10's Strip DAK 2020
2 Uric Test Strip 25's Strip DAK 2020
3 Glucose Test Strip 50's Strip DAK 2020
4 Total Cholesterol Test Strip 10's Strip DAK 2018
5 Uric Test Strip 25's Strip DAK 2018
6 Glucose Test Strip 50's Strip DAK 2018
7 Total Cholesterol Test Strip 10's Strip DAK 2019
8 Uric Test Strip 25's Strip DAK 2019
9 Glucose Test Strip 50's Strip DAK 2019
10 Alkazym Sachet DAK 2019
11 Alkacide Botol 1 liter DAK 2019
12 Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2020
13 Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2020
14 Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2020
15 Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2020
16 Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2019
17 Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2019
18 Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2019
19 Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2019
20 Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2021
21 Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2021
22 Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2021
23 Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml DAK 2021
24 Rapid test HIV 1/2 Kit DAK 2020
25 Anti HIV 1/2 Cassette each DAK 2017
26 Anti HIV 1/2 Cassette each DAK 2018
27 Anti HIV 1/2 Cassette each DAK 2019
28 Gluco Protein tes Piece DAK 2020
29 Gluco Protein tes Piece DAK 2019
30 Gluco Protein tes Piece DAK 2021
31 HCG Strip each DAK 2020
32 HCG Strip each DAK 2019
33 HCG Strip each DAK 2021
34 Malaria Pf & Pv Cassette each DAK 2017
35 Malaria Pf & Pv Cassette each DAK 2018
36 Malaria Pf & Pv Cassette each DAK 2019
37 Hb strip Dr Family test Tes DAK 2020
38 Hb strip Dr Family test Tes DAK 2021
39 Hb strip Dr Family test Tes DAK 2019
40 HBsAg Strip each DAK 2020
41 HBsAg Strip each DAK 2018
42 HBsAg Strip each DAK 2019
43 Hexagon Syphilis KIT DAK 2019
44 Rapid Siphilis (Program P2P) Pcs DAK 2020
45 R.Detergent urit (urit 3000 plus) Gallon 5 L DAK 2021
46 R.Dilluen urit (urit 3000 plus) Gallon 20 L DAK 2021
47 R.Lytic urit (urit 3000 plus) Botol 1 L DAK 2021
48 R.Detergent urit (urit 3000 plus) Gallon 5 L DAK 2019
49 R.Dilluen urit (urit 3000 plus) Gallon 20 L DAK 2019
50 R.Lytic urit (urit 3000 plus) Botol 1 L DAK 2019
51 R.Detergent urit (urit 3000 plus) Gallon 5 L DAK 2020
52 R.Dilluen urit (urit 3000 plus) Gallon 20 L DAK 2020
53 R.Lytic urit (urit 3000 plus) Botol 1 L DAK 2020
54 BCC Series Lyse (Dirui 3600) Gallon 5 L DAK 2020
55 BCC Diluen (Dirui 3600) Gallon 20 L DAK 2020
56 BCC Series Probe Cleanser (Dirui 3600) Botol 1 L DAK 2020
57 BCC Series Lyse (Dirui 3600) Gallon 5 L DAK 2021
58 BCC Diluen (Dirui 3600) Gallon 20 L DAK 2021
59 BCC Series Probe Cleanser (Dirui 3600) Botol 1 L DAK 2021
60 Rapid tes Dengue (IgG-IgM) Device Tes DAK 2020
61 Rapid tes Dengue (IgG-IgM) Device Tes DAK 2019
62 Rapid tes Dengue (IgG-IgM) Device Tes DAK 2018
63 Aquadest Botol 1 Liter DAK 2021
64 Aquadest Botol 1 Liter DAK 2020
65 Salmonella Typhi H Widal Test Vial 5 ml DAK 2020
66 Salmonella Typhi O Widal Test Vial 5 ml DAK 2020
67 Salmonella Paratyphi AH Widal Test Vial 5 ml DAK 2020
68 Salmonella Paratyphi AO Widal Test Vial 5 ml DAK 2020
69 Salmonella Paratyphi BH Widal Test Vial 5 ml DAK 2020
70 Salmonella Paratyphi BO Widal Test Vial 5 ml DAK 2020
71 Salmonella Paratyphi CH Widal Test Vial 5 ml DAK 2020
72 Salmonella Paratyphi CO Widal Test Vial 5 ml DAK 2020
73 Salmonella Typhi H Widal Test Vial 5 ml DAK 2021
74 Salmonella Typhi O Widal Test Vial 5 ml DAK 2021
75 Salmonella Paratyphi AH Widal Test Vial 5 ml DAK 2021
76 Salmonella Paratyphi AO Widal Test Vial 5 ml DAK 2021
77 Salmonella Paratyphi BH Widal Test Vial 5 ml DAK 2021
78 Salmonella Paratyphi BO Widal Test Vial 5 ml DAK 2021
79 Salmonella Paratyphi CH Widal Test Vial 5 ml DAK 2021
80 Salmonella Paratyphi CO Widal Test Vial 5 ml DAK 2021
81 Blood Lancet Piece DAK 2021
82 Alkohol Swab Piece DAK 2021
83 Handschoon size M Piece DAK 2021
84 Handschoon Steril Piece DAK 2021
85 Underpad Steril 60 x 90 cm Piece DAK 2021
86 Rapid Diagnostk Tes DBD Piece DAK 2021
87 Rapid Diagnostik Tes HIV Piece DAK 2021
88 Rapid Diagnostik Tes Sipilis Piece DAK 2021
89 Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece DAK 2021
90 Glukosa Test Piece DAK 2021
91 Handschoon size M Piece DAK 2021
92 HCG Strip each DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 -
89.00 -
105.00 -
88.00 -
3,850.00 -
2,750.00 -
4,525.00 -
143.00 -
144.00 -
150.00 -
2,736.00 -
3,071.00 -
101.00 -
101.00 -
363.00 -
168.00 -
168.00 -
80.00 -
55.00 -
80.00 -
265.00 -
231.00 -
266.00 -
3,300.00 -
1,919.00 -
5,850.00 -
2,050.00 -
3,604.00 -
3,846.00 -
3,510.00 -
2,239.00 -
2,098.00 -
1,756.00 -

54.00 -

60.00 -
 60.00 -

6,160.00 -

5,060.00 -
6,190.00 -

5,170.00 -

3,260.00 -

3,642.00 -

3,642.00 -

212.00 -

235.00 -
2,860.00 -
2,624.60 -

275.00 -
120.00 -
46.00 -
120.00 -
54.00 -
117.00 -

286.00 -

286.00 -
1,784.00 -
1,784.00 -
198.00 -
1,880.00 -
2,374.00 -

89.00 -

105.00 -

440.00 -
3,630.00 -
3,388.00 -
3,630.00 -
429.00 -
454.00 -
770.00 -
159.00 -
505.00 -
1,859.00 -
1,778.00 -
 409.00 -

2,662.00 -

2,750.00 -

3,000.00 -

83,190.00 -
83,190.00 -
83,190.00 -
119.00 -
119.00 -
92.00 -
626.00 -
143.00 -
1,465.00 -
2,439.00 -
1,465.00 -
5,900.00 -
4,325.00 -
5,900.00 -
6,000.00 -
5,085.00 -
17,875.00 -
52.00 -
104.00 -

104.00 -
3,061.00 -
2,215.00 -
3,061.00 -
968.00 -
1,210.00 -
1,210.00 -
77.00 -
36.00 -
77.00 -

1,200.00 -

5,720.00 -
86.00 -
86.00 -
1,913.00 -
1,913.00 -
1,913.00 -
21,021.00 -
 21,021.00 -
14,459.00 -
14,459.00 -
14,459.00 -
1,347.00 -
1,347.00 -
825.00 -
143.00 -
280.00 -
264.00 -
75.00 -
96.00 -
96.00 -
2,862.00 -
5,500.00 -
2,862.00 -
2,401.00 -
1,088.00 -
1,740.00 -
1,518.00 -
1,518.00 -
781.00 -
7,436.00 -
400.00 -
165,000.00 -
175,000.00 -
21,648.00 -
20,175.00 -
197.00 -
197.00 -
2,764.00 -
3,300.00 -
3,630.00 -
1,914.23 -
4,236.00 -
873.00 -

14,738.00 -

15,675.00 -

15,675.00 -
111.00 -
84.00 -
220.00 -
1,555.00 -
1,555.00 -
969.00 -
1,122.00 -
 1,055.00 -
4,400.00 -

281.00 -

286.00 -

280.00 -
3,300.00 -
3,300.00 -
2,937.00 -
4,885.00 -
4,885.00 -
4,885.00 -
5,170.00 -
3,150.00 -
3,300.00 -
3,300.00 -
830,000.00 -
650,000.00 -
940,000.00 -
475,000.22 -
137.00 -
86.00 -
137.00 -
235.00 -
212.00 -
207.00 -
123.00 -
207.00 -
99.00 -
79.50 -

8,003.00 -

7,363.00 -

6,900.00 -
266.00 -
59.00 -
59.00 -
101,300.00 -
101,300.00 -
101,300.00 -

1,325,000.00 -

1,325,000.00 -
1,375,000.00 -
171.00 -
2,533.00 -
2,325.00 -
2,533.00 -
242.00 -
198.00 -
195.00 -
264.00 -
330.00 -
127.00 -
8,400.00 -
2,520.00 -
2,339.00 -
99.00 -
99.00 -
77.00 -
198.00 -
198.00 -
99.00 -
154.00 -
154.00 -
60.00 -
63.00 -
99.00 -
132.00 -
75.00 -
661.00 -
212.00 -
661.00 -
250.00 -
216.00 -
250.00 -
2,399.00 -
2,577.00 -
286.00 -
260.00 -
1,089.00 -
1,089.00 -
923.00 -
1,870.00 -
583.00 -
1,875.00 -
1,568.00 -

1,469.00 -

1,568.00 -
 502.29 -
565.50 -
5,170.00 -
2,054.00 -
2,054.00 -
5,352.00 -
5,319.00 -

8,875.00 -

8,434.00 -

8,800.00 -

8,875.00 -

8,800.00 -

6,600.00 -
24.00 -
24.00 -
1,531.00 -
1,531.00 -
1,435.00 -
242.00 -
170.00 -
234.03 -
181.00 -
1,121.00 -
1,550.00 -

2,052.00 -

2,190.00 -

299.00 -

319.00 -

847.00 -
1,315.00 -
1,403.00 -

1,405.00 -

1,405.00 -
132.00 -
81.00 -
176.00 -
136.00 -
117.00 -
136.00 -
3,796.00 -
 4,700.00 -
3,796.00 -
148.00 -
148.00 -
102.00 -
11,449.00 -
12,217.00 -
12,217.00 -
243.00 -
214.00 -
3,399.00 -
1,069.00 -
3,399.00 -
89.00 -
83.00 -
4,554.00 -
4,554.00 -
1,983.00 -
2,700.00 -
6,750.00 -
109.00 -
109.00 -
77.00 -
8,250.00 -
8,250.00 -
127.00 -
253.00 -
253.00 -
3,950.00 -
3,950.00 -
3,926.00 -
3,926.00 -
1,900.00 -
145.00 -

220.00 -
109.00 -

6,410.00 -

6,840.00 -
107.00 -
114.00 -
627.00 -
645.00 -
971.00 -

971.00 -

869.00 -
 24,198.00 -
317.00 -
1,492,579.00 -
267,397.00 -
6,500.00 -
6,100.00 -
5,500.00 -

9,570.00 -

605.00 -

9,975.00 -

659.00 -

12,000.00 -

660.00 -
1,980.00 -
1,649.36 -
3,200.00 -
2,600.00 -
2,774.00 -
2,774.00 -
1,248.00 -
1,232.00 -
11,868.00 -
11,868.00 -
11,868.00 -
147.00 -
129.00 -
220.00 -
429.00 -

275.00 -

429.00 -
1,258.00 -
5,500.00 -
963.00 -

13,200.00 -

2,971.00 -

1,238.00 -

1,160.00 -

5,204.00 -

7,646.00 -
 7,646.00 -
121.00 -
165.00 -
150.00 -
20,700.00 -
542.00 -
505.00 -
505.00 -
6,600.00 -
6,600.00 -
249.00 -
72.00 -
141.00 -
150.00 -
150.00 -
165.00 -
165.00 -
198.00 -
79.00 -
73.00 -
79.00 -
329.00 -
354.00 -
63.00 -
63.00 -
63.00 -
440.00 -
440.00 -
190,000.00 -
235.95 -

198.00 -

210.00 -

85.00 -
1,188.00 -
858.00 -
1,188.00 -
331.00 -
596.00 -
985.00 -
934.00 -
1,134.00 -

7,150.00 -

7,630.00 -
287.00 -
 132.00 -

67.00 -
132.00 -

4,446.00 -

6,796.68 -

4,189.00 -
11,000.00 -
5,400.00 -
11,000.00 -

3,017.00 -

1,475.00 -
11,825.00 -
11,466.00 -
5,710.00 -
923.00 -

4,360.00 -

4,360.00 -

4,086.00 -
880.00 -
492.00 -
880.00 -
5,146.00 -
4,822.00 -
5,146.00 -
4,706.00 -
4,410.00 -
4,706.00 -

44.00 -

52.00 -
1,160.00 -
1,160.00 -
1,066.00 -

117.00 -

117.00 -
73.00 -
528.00 -
281.00 -

512,204.00 -
 512,204.00 -

517,132.00 -

130,999.00 -

130,999.00 -
130,999.00 -
5,980.00 -
7,338.00 -
7,338.00 -
983.00 -
330.00 -
330.00 -
310.00 -
331.00 -
847.00 -
832.50 -
7,150.00 -
11,000.00 -

94.00 -
88.00 -
660.00 -
329.68 -
1,764.00 -
330.00 -
309.00 -
95.00 -
101.00 -

17,789.00 -
135.00 -
60.00 -
135.00 -

3,285.00 -

2,489.00 -
604.00 -
253.00 -
604.00 -
2,200,000.00 -
-
-
1,248.88 -
1,335.02 -
1,033.56 -
1,205.82 -
1,205.82 -
 1,277.60 -
1,263.24 -
1,693.89 -
1,909.21 -
1,909.21 -
1,803.50 -
1,803.50 -
4,507.37 -
5,268.29 -
1,240.00
-

1,650.00 -

1,597.00 -
134.20 -
188.76 -
259.52 -
155.91 -
124.48 -
17,958.11 -
10,980.20 -
17,958.11 -
33,785.00 -
35,285.00 -
33,785.00 -
35,285.00 -
26,941.00 -
28,019.00 -
33,785.00 -
35,285.00 -
26,941.00 -
28,019.00 -
33,785.00 -
35,285.00 -
10,000.00 -
16,008.00 -
25,300.00 -
14,109.30 -
16,008.00 -
13,420.00 -
12,100.00 -
14,109.30 -
13,420.00 -
12,100.00 -
1,597.96 -
563.64 -
563.64 -
590.48 -
 590.48 -
1,207.60 -
24,200.00 -
23,750.00 -
6,606.30 -
6,222.00 -

6,217.12 -

5,856.00 -

6,217.12 -
7,320.00 -
7,177.50 -
6,287.49 -
7,177.50 -
7,320.00 -
7,177.50 -
6,287.49 -
7,177.50 -
7,320.00 -
7,177.50 -
6,287.49 -
7,177.50 -
7,320.00 -
7,177.50 -
6,287.49 -
7,177.50 -
7,177.50 -
7,320.00 -
9,827.10 -
9,827.10 -
9,394.00 -
28,750.00 -
27,725.00 -
34,228.40 -
33,900.00 -
149,040.00 -
141,400.00 -
149,040.00 -
164,456.11 -
8,109.49 -
8,109.33 -
10,000.00 -
8,903.23 -
6,390.00 -
9,375.00 -
2,475.75 -
2,582.13 -
 2,571.75 -
2,856.89 -
3,636.36 -
412.50 -
671.78 -
3,100.00 -
3,000.00 -
2,164.80 -
8,052.00 -
8,052.00 -
8,454.60 -
8,454.60 -
8,052.00 -
8,052.00 -
8,454.60 -
8,454.60 -
8,052.00 -
8,052.00 -
8,454.60 -
8,454.60 -
16,704.00 -
16,704.00 -
19,372.00 -
19,372.00 -
19,372.00 -
19,372.00 -
17,980.00 -
5,940.00 -
14,080.00 -
12,430.00 -
5,940.00 -
14,080.00 -
12,430.00 -
33,000.00 -
14,810.89 -
12,675.00 -
12,675.00 -
77,600.00 -
75,537.00 -
80,192.00 -
78,285.55 -
35,174.50 -
34,300.00 -
46,853.42 -
3,300.00 -
3,300.00 -

20,685.00 -
 17,024.00 -

23,385.00 -
9,164.00 -
9,280.00 -
9,164.00 -
5,568.00 -
7,308.00 -
9,280.00 -
5,699.98 -
5,533.00 -
9,400.00 -
53,300.00 -
51,500.00 -
27,300.00 -
27,300.00 -
17,550.00 -
3,900.00 -
6,089.00 -
9,400.00 -
36,955.20 -
137,137.86 -
81,832.79 -
62,216.18 -
88,475.81 -
34,091.80 -
79,315.50 -
141,417.00 -
83,038.00 -
64,785.00 -
63,840.00 -
70,917.00 -
-
25,546.32 -
6,214.29 -
3,390.99 -
23,566.00 -
5,238.80 -
3,188.24 -
25,592.50 -
6,229.83 -
3,401.16 -
801,000.00 -
2,702,700.00 -
74,625.00 -
96,625.00 -
74,625.00 -
 116,625.00 -
74,625.00 -
96,625.00 -
74,625.00 -
116,625.00 -
128,625.00 -
177,125.00 -
128,625.00 -
218,125.00 -
13,140.60 -
15,297.00 -
15,297.00 -
13,655.00 -
1,296.00 -
1,150.00 -
1,306.25 -
4,720.00 -
4,720.00 -
12,859.00 -
53,180.00 -
53,180.00 -
21,720.00 -
9,048.17 -
6,186.16 -
9,048.18 -
10,967.00 -
10,967.00 -
10,967.00 -
28,768.50 -
12,882.45 -
423,500.00 -
1,135,000.00 -
1,463,000.00 -
338,800.00 -
1,232,000.00 -
1,355,200.00 -
423,500.00 -
1,355,200.00 -
1,463,000.00 -
4,250,665.17 -
2,774,860.00 -
3,699,850.00 -
4,250,665.00 -
2,774,860.00 -
3,699,850.00 -
19,175.00 -
22,775.00 -
40,848.33 -
 30,697.00 -
18,500.00 -
73,625.00 -
73,625.00 -
73,625.00 -
73,625.00 -
73,625.00 -
73,625.00 -
73,625.00 -
73,625.00 -
116,781.00 -
116,781.00 -
116,781.00 -
116,781.00 -
116,781.00 -
116,781.00 -
116,781.00 -
116,781.00 -
177.24 -
159.06 -
1,724.80 -
12,575.84 -
9,164.00 -
60,605.88 -
11,745.66 -
11,318.86 -
254,400.00 -
3,399.09 -
1,405.00 -
12,500.00 -
-
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021

Handschoon size M Piece

91 DAK 2021

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 -

89.00 -

105.00 -

88.00 -

3,850.00 -

2,750.00 -

4,525.00 -

143.00 -

144.00 -

150.00 -

2,736.00 -

3,071.00 -

101.00 -

101.00 -

363.00 -

168.00 -

168.00 -

80.00 -
 55.00 -

80.00 -

265.00 -

231.00 -

266.00 -

3,300.00 -

1,919.00 -

5,850.00 -

2,050.00 -

3,604.00 -

3,846.00 -

3,510.00 -

2,239.00 -

2,098.00 -

1,756.00 -

54.00 -

60.00 -

60.00 -

6,160.00 -

5,060.00 -

6,190.00 -

5,170.00 -

3,260.00 -

3,642.00 -
3,642.00 -

212.00 -

235.00 -

2,860.00 -

2,624.60 -

275.00 -

120.00 -

46.00 -

120.00 -

54.00 -

117.00 -

286.00 -

286.00 -

1,784.00 -

1,784.00 -

198.00 -

1,880.00 -

2,374.00 -

89.00 -

105.00 -

440.00 -

3,630.00 -

3,388.00 -

3,630.00 -
 429.00 -

454.00 -

770.00 -

159.00 -

505.00 -

1,859.00 -

1,778.00 -

409.00 -

2,662.00 -

2,750.00 -

3,000.00 -

83,190.00 -

83,190.00 -

83,190.00 -

119.00 -

119.00 -

92.00 -

626.00 -

143.00 -

1,465.00 -

2,439.00 -

1,465.00 -

5,900.00 -

4,325.00 -
 5,900.00 -

6,000.00 -

5,085.00 -

17,875.00 -

52.00 -

104.00 -

104.00 -

3,061.00 -

2,215.00 -

3,061.00 -

968.00 -

1,210.00 -

1,210.00 -

77.00 -

36.00 -

77.00 -

1,200.00 -

5,720.00 -

86.00 -

86.00 -

1,913.00 -

1,913.00 -

1,913.00 -

21,021.00 -
21,021.00 -

14,459.00 -

14,459.00 -

14,459.00 -

1,347.00 -

1,347.00 -

825.00 -

143.00 -

280.00 -

264.00 -

75.00 -

96.00 -

96.00 -

2,862.00 -

5,500.00 -

2,862.00 -

2,401.00 -

1,088.00 -

1,740.00 -

1,518.00 -

1,518.00 -

781.00 -

7,436.00 -

400.00 -
165,000.00 -

175,000.00 -

21,648.00 -

20,175.00 -

197.00 -

197.00 -

2,764.00 -

3,300.00 -

3,630.00 -

1,914.23 -

4,236.00 -

873.00 -

14,738.00 -

15,675.00 -

15,675.00 -

111.00 -

84.00 -

220.00 -

1,555.00 -

1,555.00 -

969.00 -

1,122.00 -

1,055.00 -

4,400.00 -
 281.00 -

286.00 -

280.00 -

3,300.00 -

3,300.00 -

2,937.00 -

4,885.00 -

4,885.00 -

4,885.00 -

5,170.00 -

3,150.00 -

3,300.00 -

3,300.00 -

830,000.00 -

650,000.00 -

940,000.00 -

475,000.22 -

137.00 -

86.00 -

137.00 -

235.00 -

212.00 -

207.00 -

123.00 -
 207.00 -

99.00 -

79.50 -

8,003.00 -

7,363.00 -

6,900.00 -

266.00 -

59.00 -

59.00 -

101,300.00 -

101,300.00 -

101,300.00 -

1,325,000.00 -

1,325,000.00 -

1,375,000.00 -

171.00 -

2,533.00 -

2,325.00 -

2,533.00 -

242.00 -

198.00 -

195.00 -

264.00 -

330.00 -
 127.00 -

8,400.00 -

2,520.00 -

2,339.00 -

99.00 -

99.00 -

77.00 -

198.00 -

198.00 -

99.00 -

154.00 -

154.00 -

60.00 -

63.00 -

99.00 -

132.00 -

75.00 -

661.00 -

212.00 -

661.00 -

250.00 -

216.00 -

250.00 -

2,399.00 -
2,577.00 -

286.00 -

260.00 -

1,089.00 -

1,089.00 -

923.00 -

1,870.00 -

583.00 -

1,875.00 -

1,568.00 -

1,469.00 -

1,568.00 -

502.29 -

565.50 -

5,170.00 -

2,054.00 -

2,054.00 -

5,352.00 -

5,319.00 -

8,875.00 -

8,434.00 -

8,800.00 -

8,875.00 -

8,800.00 -
6,600.00 -

24.00 -

24.00 -

1,531.00 -

1,531.00 -

1,435.00 -

242.00 -

170.00 -

234.03 -

181.00 -

1,121.00 -

1,550.00 -

2,052.00 -

2,190.00 -

299.00 -

319.00 -

847.00 -

1,315.00 -

1,403.00 -

1,405.00 -

1,405.00 -

132.00 -

81.00 -

176.00 -
 136.00 -

117.00 -

136.00 -

3,796.00 -

4,700.00 -

3,796.00 -

148.00 -

148.00 -

102.00 -

11,449.00 -

12,217.00 -

12,217.00 -

243.00 -

214.00 -

3,399.00 -

1,069.00 -

3,399.00 -

89.00 -

83.00 -

4,554.00 -

4,554.00 -

1,983.00 -

2,700.00 -

6,750.00 -
 109.00 -

109.00 -

77.00 -

8,250.00 -

8,250.00 -

127.00 -

253.00 -

253.00 -

3,950.00 -

3,950.00 -

3,926.00 -

3,926.00 -

1,900.00 -

145.00 -

220.00 -

109.00 -

6,410.00 -

6,840.00 -

107.00 -

114.00 -

627.00 -

645.00 -

971.00 -

971.00 -
 869.00 -

24,198.00 -

317.00 -

1,492,579.00 -

267,397.00 -

6,500.00 -

6,100.00 -

5,500.00 -

9,570.00 -

605.00 -

9,975.00 -

659.00 -

12,000.00 -

660.00 -

1,980.00 -

1,649.36 -

3,200.00 -

2,600.00 -

2,774.00 -

2,774.00 -

1,248.00 -

1,232.00 -

11,868.00 -

11,868.00 -
11,868.00 -

147.00 -

129.00 -

220.00 -

429.00 -

275.00 -

429.00 -

1,258.00 -

5,500.00 -

963.00 -

13,200.00 -

2,971.00 -

1,238.00 -

1,160.00 -

5,204.00 -

7,646.00 -

7,646.00 -

121.00 -

165.00 -

150.00 -

20,700.00 -

542.00 -

505.00 -

505.00 -
 6,600.00 -

6,600.00 -

249.00 -

72.00 -

141.00 -

150.00 -

150.00 -

165.00 -

165.00 -

198.00 -

79.00 -

73.00 -

79.00 -

329.00 -

354.00 -

63.00 -

63.00 -

63.00 -

440.00 -

440.00 -

190,000.00 -

235.95 -

198.00 -

210.00 -
 85.00 -

1,188.00 -

858.00 -

1,188.00 -

331.00 -

596.00 -

985.00 -

934.00 -

1,134.00 -

7,150.00 -

7,630.00 -

287.00 -

132.00 -

67.00 -

132.00 -

4,446.00 -

6,796.68 -

4,189.00 -

11,000.00 -

5,400.00 -

11,000.00 -

3,017.00 -

1,475.00 -

11,825.00 -
11,466.00 -

5,710.00 -

923.00 -

4,360.00 -

4,360.00 -

4,086.00 -

880.00 -

492.00 -

880.00 -

5,146.00 -

4,822.00 -

5,146.00 -

4,706.00 -

4,410.00 -

4,706.00 -

44.00 -

52.00 -

1,160.00 -

1,160.00 -

1,066.00 -

117.00 -

117.00 -

73.00 -

528.00 -
 281.00 -

512,204.00 -

512,204.00 -

517,132.00 -

130,999.00 -

130,999.00 -

130,999.00 -

5,980.00 -

7,338.00 -

7,338.00 -

983.00 -

330.00 -

330.00 -

310.00 -

331.00 -

847.00 -

832.50 -

7,150.00 -

11,000.00 -

94.00 -

88.00 -

660.00 -

329.68 -

1,764.00 -
 330.00 -

309.00 -

95.00 -

101.00 -

17,789.00 -

135.00 -

60.00 -

135.00 -

3,285.00 -

2,489.00 -

604.00 -

253.00 -

604.00 -

2,200,000.00 -

1,248.88 -

1,335.02 -

1,033.56 -

1,205.82 -

1,205.82 -

1,277.60 -

1,263.24 -

1,693.89 -
 1,909.21 -

1,909.21 -

1,803.50 -

1,803.50 -
4,507.37
-
5,268.29
-
1,240.00
-

1,650.00 -

1,597.00 -

134.20 -

188.76 -

259.52 -

155.91 -

124.48 -

17,958.11 -

10,980.20 -

17,958.11 -

33,785.00 -

35,285.00 -

33,785.00 -

35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -
35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -

35,285.00 -

10,000.00 -

16,008.00 -

25,300.00 -

14,109.30 -

16,008.00 -

13,420.00 -

12,100.00 -

14,109.30 -

13,420.00 -

12,100.00 -

1,597.96 -

563.64 -

563.64 -

590.48 -

590.48 -

1,207.60 -

24,200.00 -

23,750.00 -

6,606.30 -
6,222.00 -

6,217.12 -

5,856.00 -

6,217.12 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,177.50 -

7,320.00 -

9,827.10 -

9,827.10 -
 9,394.00 -

28,750.00 -

27,725.00 -

34,228.40 -

33,900.00 -

149,040.00 -

141,400.00 -

149,040.00 -

164,456.11 -

8,109.49 -

8,109.33 -

10,000.00 -

8,903.23 -

6,390.00 -

9,375.00 -

2,475.75 -

2,582.13 -

2,571.75 -

2,856.89 -

3,636.36 -

412.50 -

671.78 -

3,100.00 -

3,000.00 -
 2,164.80 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

16,704.00 -

16,704.00 -

19,372.00 -

19,372.00 -

19,372.00 -

19,372.00 -

17,980.00 -

5,940.00 -

14,080.00 -

12,430.00 -

5,940.00 -
14,080.00 -

12,430.00 -

33,000.00 -

14,810.89 -

12,675.00 -

12,675.00 -

77,600.00 -

75,537.00 -

80,192.00 -

78,285.55 -

35,174.50 -

34,300.00 -

46,853.42 -

3,300.00 -

3,300.00 -

20,685.00 -

17,024.00 -

23,385.00 -

9,164.00 -

9,280.00 -

9,164.00 -

5,568.00 -

7,308.00 -

9,280.00 -
 5,699.98 -

5,533.00 -

9,400.00 -

53,300.00 -

51,500.00 -

27,300.00 -

27,300.00 -

17,550.00 -

3,900.00 -

6,089.00 -

9,400.00 -

36,955.20 -

137,137.86 -

81,832.79 -

62,216.18 -

88,475.81 -

34,091.80 -

79,315.50 -

141,417.00 -

83,038.00 -

64,785.00 -

63,840.00 -

70,917.00 -

-
 25,546.32 -

6,214.29 -

3,390.99 -

23,566.00 -

5,238.80 -

3,188.24 -

25,592.50 -

6,229.83 -

3,401.16 -

801,000.00 -

2,702,700.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

128,625.00 -

177,125.00 -

128,625.00 -

218,125.00 -

13,140.60 -
 15,297.00 -

15,297.00 -

13,655.00 -

1,296.00 -

1,150.00 -

1,306.25 -

4,720.00 -

4,720.00 -

12,859.00 -

53,180.00 -

53,180.00 -

21,720.00 -

9,048.17 -

6,186.16 -

9,048.18 -

10,967.00 -

10,967.00 -

10,967.00 -

28,768.50 -

12,882.45 -

423,500.00 -

1,135,000.00 -

1,463,000.00 -

338,800.00 -
1,232,000.00 -

1,355,200.00 -

423,500.00 -

1,355,200.00 -

1,463,000.00 -

4,250,665.17 -

2,774,860.00 -

3,699,850.00 -

4,250,665.00 -

2,774,860.00 -

3,699,850.00 -

19,175.00 -

22,775.00 -

40,848.33 -

30,697.00 -

18,500.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -
116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

177.24 -

159.06 -

1,724.80 -

12,575.84 -

9,164.00 -

60,605.88 -

11,745.66 -

11,318.86 -

254,400.00 -

3,399.09 -

1,405.00 -

12,500.00 -

-
 STOK OPNAME OBAT DAN BMHP

PUSKESMAS TAHUN 2022

BULAN JANUARI

NO NAMA OBAT SATUAN SUMBER PENGELUARAN

2 3 4 7
OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020 300

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019
Aminofilina tablet 200 mg
Tablet
13 DAK 2019
Aminofilina tablet 200 mg
14 Tablet salut selaput DAK 2020
Aminofilina tablet 200 mg
Tablet
15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019
 Amlodipin 5 mg Tablet
19 DAK 2021

Amlodipin 5 mg Tablet
20 DAK 2020

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021 1000

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Tablet
34 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2021 300
Antasida DOEN tablet kunyah,kombinasi:
Tablet kunyah
35 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Tablet
36 Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021 28
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : pot plastik 30
40 Asam Benzoat 6 % + Asam Salisilat 3 % gram DAK 2018
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
41 mg DAK 2021 20
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
42 mg DAK 2019
 Anti Hemoroid DOEN kombinasi :
Bismuth subgalat 150 mg + Heksaklorofen 2,5 supp
43 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
44 Caffeine 65 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg,
Tablet
45 Caffeine 65 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

47 DAK 2021
Asam askorbat (vitamin C) tablet/kapsul/kaplet 250
Tablet
48 mg DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021 300

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021 300
Kaptap Salut
Asam Mefenamat 500 mg
54 Selaput DAK 2019
Kaptap Salut
Asam Mefenamat 500 mg
55 Selaput DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
61 100 mg DAK 2021
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
62 100 mg DAK 2019
Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet
Tablet
63 100 mg DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021 25

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020
 Asiklovir tablet 400 mg Tablet
67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019 200

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019

Azitromisin tablet 500 mg Tablet

73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous
Fumarate 250 mg, Manganese Sulfate 0,2 mg,
Tablet
74 Cupric Sulfate 0,2 mg, Folic Acid 4 mg, DAK 2018
Cyanocobalamin 7,5 mg
Plastik-Dus-
Bedak salisil serbuk 2%
75 serbuk 50 gram DAK 2021
Plastik-Dus-
Bedak salisil serbuk 2%
76 serbuk 50 gram DAK 2019
Plastik-Dus-
Bedak salisil serbuk 2%
77 serbuk 50 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021 500

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021 31

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021 2
 Bisakodil suppositoria 10mg Supp
91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021 100

Cetirizine tablet 10 mg Tablet

96 DAK 2019
Tablet salut
Cetirizine tablet 10 mg
97 selaput DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019

Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021 102

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021 3000

Deksametason tablet 0,5 mg Tablet

106 DAK 2020
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
107 mg DAK 2018
DEPAKOTE TAB 250 MG - Valproat tablet salut 250
Tablet
108 mg DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020 10

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021
 Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube
115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018

Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018 400

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019
 Etil Klorida semprot Botol
139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
151 (Flutikason propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
152 (Flutikason propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis
Nebules 2 ml
153 (Flutikason propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021 500

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
 Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 4,26 gram
163 glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
164 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida
0,52 g + kalium klorida 0,30 g + Trinatrium sitrat Sachet
165 dihidrat 0,58 g + Glukosa Anhidrat 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021 44

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021

Glass Ionomer Cement (Fuji VII) Set

177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021 100

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021 1000
 Glimepiride tablet 2 mg Tablet
187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018
Botol plastik 500
Glukosa larutan infus 10%
190 ml DAK 2019
Botol plastik 500
Glukosa larutan infus 5 o/o
191 ml DAK 2019 100
Botol plastik 500
Glukosa larutan infus 5 o/o
192 ml DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017 100

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
199 @ 0,5 ml DAK 2020
Dus, 1 syringe
Hepatitis B imunoglobullin
200 @ 0,5 ml DAK 2019
Dus, 1 syringe
Hepatitis B imunoglobullin
201 @ 0,5 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017

Hidrokortison krim 2,5 o/o Tube 5 gram

203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021 300

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020
 Ibuprofen tablet 400 mg Tablet
211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021 50

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021 200

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021 600

Kandesartan tab 8 mg Tablet

228 DAK 2019

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021
 Ketokonazol krim 2% Tube 10 gram
235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
245 selaput DAK 2018
Tablet salut
Klopidogrel tablet/kapsul/kaplet 75 mg
246 selaput DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020 25

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019
Botol plastik 10
Kloramfenikol tetes mata 0,5 %
254 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
255 ml DAK 2021 25
Botol plastik 10
Kloramfenikol tetes mata 0,5 % (Reco TM)
256 ml DAK 2019
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
257 ml DAK 2020
Botol plastik 10
Kloramfenikol tetes telinga 3 % (Reco TT)
258 ml DAK 2019
 Botol plastik 10
Kloramfenikol tetes telinga 3 %
259 ml DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800
Tablet
273 mg + trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800
Tablet
274 mg trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021 240

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019

Tablet
281 Loperamid tablet 2 mg DAK 2021 100

Tablet
282 Loperamid DAK 2020
 Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020 100

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020 1000

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021 3200

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019 100

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021 4

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019
Tablet salut
Natrium diklofenak tablet/kapsul/kaplet 50 mg
321 enterik DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021 300
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
323 ml DAK 2018
Botol plastik 500
Natrium Klorida larutan infus 0,9 % Steril
324 ml DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020
 Tablet Salut Gula
331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020

N- Asetil Sistein Tablet

333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
339 Dextromethorphan HBr DAK 2019
Obat batuk Antitusif tablet Kombinasi
Tablet
340 Dextromethorphan HBr DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020 300

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018
 Omeprazol injeksi 40 mg/ 10 ml Vial
355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021 200

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020

Ondansetron tablet/kapsul/kaplet 4 mg Tablet

359 DAK 2019
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
360 selaput DAK 2021
Tablet salut
Ondansetron tablet/kapsul/kaplet 4 mg
361 selaput DAK 2020 132

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021
Dus, Botol @
Parasetamol drips (infus) 1000 mg/100 mL
365 1000 mg DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg / 5 ml
366 60 Ml DAK 2020
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
367 60 Ml DAK 2019
Botol Plastik @
Parasetamol sirup 120 mg/ 5ml
368 60 Ml DAK 2021 100
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol Plastik @
369 (G) 60 Ml DAK 2021 96
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
370 (G) DAK 2020
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Botol 15 ml
371 (G) DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021 500

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020
 Piracetam Inj 1 g/5 ml Ampul
379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021 300

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020 200

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021 100

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
401 selaput DAK 2019
Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
402 selaput DAK 2020 500
 Tablet salut
Ranitidin tablet/kapsul/kaplet 150 mg
403 selaput DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021

Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss

411 DAK 2018
Botol plastik 500
Ringer laktat larutan infus
412 ml DAK 2018
Botol plastik 500
Ringer laktat larutan infus
413 ml DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019
Dus, botol @
Salbutamol sirup
418 100 ml DAK 2019
Dus, botol @
Salbutamol sirup
419 100 ml DAK 2020
Dus, botol @
Salbutamol sirup
420 100 ml DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi :
Pot 30 gram
424 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi :
Pot 30 gram
425 Asam Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020
 Permetrin Krim 5% Tube @ 10 g
427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
430 ml DAK 2020
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
431 ml DAK 2019 102
Dus, botol @ 60
Sefadroksil sirup kering 125 mg/5ml
432 ml DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019

Seftriaksone Injeksi 1 g Vial

437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
442 mcg DAK 2021
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50
Tablet
443 mcg DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
447 selaput DAK 2020
Tablet salut
Simvastatin tablet/kaplet/salut 10 mg
448 selaput DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021 500

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019
 Siprofloksasin tab scored 500 mg Tablet
451 DAK 2018
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
452 ml DAK 2019
Dus, 1 Vial @ 5
Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v)
453 ml DAK 2020
Dus, 1 Vial @ 5
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
454 ml DAK 2021
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
455 (i.m) DAK 2019
Serum antitetanus (A.T.S) cairan inj 1500 IU/amp
Ampul 1 ml
456 (i.m) DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019

Teofilin tablet 150 mg(Bronsolvan) Tablet

463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/
Tablet
470 Nitrat) DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018
 Trifluoperazine 5mg Tablet
475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019
Dus, Botol @
Valproat sirup 250 mg/5 ml
479 100 mL DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021 400

Vitamin B Kompleks tablet Tablet

482 DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
483 ml DAK 2019
Dus, Botol @ 60
Zinc sir 20 mg/5 Ml( Zircum Kid Sirup)
484 ml DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020 400

Anti Difteri 10.000 IU Vial

488 DAK 2018

ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019 300

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021 1200

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018
 Alat suntik sekali pakai 10 ml Piece
9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
15 Otomatis Rusak 0.5 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
16 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai
Piece
17 Otomatis Rusak 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021

Blood Transfusion Set Piece

25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020
 CATGUT PLAIN SMI 3/0 HR 26 MM Sachet
33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018

EXAMINATION GLOVES, size M Piece

51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020
 Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece
57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019 50

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020 50

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020 50

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019

IV-Cath NP, pen type, no. 24 Piece

77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020
 IV-Cath NP, pen type, no. 26 Piece
81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018 43

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020 2

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020 200

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019 350

Surgical Mask Tie On Piece

103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020
 Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece
105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019 20

Piece
126 Nasogastric Tube No 5 DAK 2019 17

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020 20

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020
 Alkohol 70% Botol 100 ml
153 DAK 2020 11

Alkohol 70% Botol 100 ml

154 DAK 2021

Alkohol 70% Botol 100 ml

155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020 2

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021 16

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA
 Total Cholesterol Test Strip 10's Strip
1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018

Uric Test Strip 25's Strip

5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019 16

Alkacide Botol 1 liter

11 DAK 2019 5

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020
 Anti HIV 1/2 Cassette each
25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021

HCG Strip each

31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019
 R.Dilluen urit (urit 3000 plus) Gallon 20 L
49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020
 Salmonella Typhi H Widal Test Vial 5 ml
73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021

Handschoon size M Piece

83 DAK 2021 1100

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021

Handschoon size M Piece

91 DAK 2021

HCG Strip each

92 DAK 2021
HP

HARGA PEROLEHAN TOTAL PENGELUARAN

9 10=(7 X 9)

105.00 -

89.00 -

105.00 31,500.00 300

88.00 -

3,850.00 -

2,750.00 -

4,525.00 -

143.00 -

144.00 -

150.00 -

2,736.00 -

3,071.00 -

101.00 -

101.00 -

363.00 -

168.00 -

168.00 -

80.00 -
 55.00 -

80.00 -

265.00 -

231.00 231,000.00 1000

266.00 -

3,300.00 -

1,919.00 -

5,850.00 -

2,050.00 -

3,604.00 -

3,846.00 -

3,510.00 -

2,239.00 -

2,098.00 -

1,756.00 -

54.00 16,200.00 300

60.00 -

60.00 -

6,160.00 -

5,060.00 141,680.00 28

6,190.00 -

5,170.00 -

3,260.00 65,200.00

3,642.00 -
3,642.00 -

212.00 -

235.00 -

2,860.00 -

2,624.60 -

275.00 -

120.00 -

46.00 13,800.00 300

120.00 -

54.00 -

117.00 35,100.00 300

286.00 -

286.00 -

1,784.00 -

1,784.00 -

198.00 -

1,880.00 -

2,374.00 -

89.00 -

105.00 -

440.00 -

3,630.00 -

3,388.00 84,700.00 25

3,630.00 -
 429.00 -

454.00 -

770.00 -

159.00 31,800.00 200

505.00 -

1,859.00 -

1,778.00 -

409.00 -

2,662.00 -

2,750.00 -

3,000.00 -

83,190.00 -

83,190.00 -

83,190.00 -

119.00 -

119.00 -

92.00 46,000.00 500

626.00 -

143.00 -

1,465.00 -

2,439.00 75,609.00 25

1,465.00 -

5,900.00 -

4,325.00 8,650.00
 5,900.00 -

6,000.00 -

5,085.00 -

17,875.00 -

52.00 5,200.00

104.00 -

104.00 -

3,061.00 -

2,215.00 225,930.00

3,061.00 -

968.00 -

1,210.00 -

1,210.00 -

77.00 -

36.00 108,000.00 1000

77.00 -

1,200.00 -

5,720.00 -

86.00 -

86.00 -

1,913.00 -

1,913.00 -

1,913.00 19,130.00 10

21,021.00 -
21,021.00 -

14,459.00 -

14,459.00 -

14,459.00 -

1,347.00 -

1,347.00 -

825.00 -

143.00 -

280.00 -

264.00 -

75.00 -

96.00 -

96.00 -

2,862.00 -

5,500.00 -

2,862.00 -

2,401.00 -

1,088.00 -

1,740.00 -

1,518.00 -

1,518.00 -

781.00 312,400.00

7,436.00 -

400.00 -
165,000.00 -

175,000.00 -

21,648.00 -

20,175.00 -

197.00 -

197.00 -

2,764.00 -

3,300.00 -

3,630.00 -

1,914.23 -

4,236.00 -

873.00 -

14,738.00 -

15,675.00 -

15,675.00 -

111.00 -

84.00 -

220.00 110,000.00 500

1,555.00 -

1,555.00 -

969.00 -

1,122.00 -

1,055.00 -

4,400.00 -
 281.00 -

286.00 -

280.00 -

3,300.00 -

3,300.00 -

2,937.00 129,228.00 13

4,885.00 -

4,885.00 -

4,885.00 -

5,170.00 -

3,150.00 -

3,300.00 -

3,300.00 -

830,000.00 -

650,000.00 - 1

940,000.00 -

475,000.22 -

137.00 -

86.00 8,600.00

137.00 -

235.00 -

212.00 -

207.00 -

123.00 123,000.00
 207.00 -

99.00 -

79.50 -

8,003.00 -

7,363.00 736,300.00 100

6,900.00 -

266.00 26,600.00

59.00 -

59.00 -

101,300.00 -

101,300.00 -

101,300.00 -

1,325,000.00 -

1,325,000.00 -

1,375,000.00 -

171.00 -

2,533.00 -

2,325.00 -

2,533.00 -

242.00 -

198.00 -

195.00 58,500.00 300

264.00 -

330.00 -
 127.00 -

8,400.00 -

2,520.00 -

2,339.00 116,950.00 50

99.00 -

99.00 -

77.00 -

198.00 -

198.00 -

99.00 19,800.00 200

154.00 -

154.00 -

60.00 -

63.00 -

99.00 -

132.00 -

75.00 45,000.00 600

661.00 -

212.00 -

661.00 -

250.00 -

216.00 -

250.00 -

2,399.00 -
2,577.00 -

286.00 -

260.00 -

1,089.00 -

1,089.00 -

923.00 -

1,870.00 -

583.00 -

1,875.00 -

1,568.00 -

1,469.00 -

1,568.00 -

502.29 -

565.50 -

5,170.00 -

2,054.00 -

2,054.00 51,350.00 24

5,352.00 -

5,319.00 -

8,875.00 -

8,434.00 210,850.00 25

8,800.00 -

8,875.00 -

8,800.00 -
6,600.00 -

24.00 -

24.00 -

1,531.00 -

1,531.00 -

1,435.00 -

242.00 -

170.00 -

234.03 -

181.00 -

1,121.00 -

1,550.00 -

2,052.00 -

2,190.00 -

299.00 -

319.00 -

847.00 203,280.00

1,315.00 -

1,403.00 -

1,405.00 -

1,405.00 -

132.00 -

81.00 8,100.00

176.00 -
 136.00 -

117.00 -

136.00 13,600.00

3,796.00 -

4,700.00 -

3,796.00 -

148.00 -

148.00 148,000.00

102.00 -

11,449.00 -

12,217.00 -

12,217.00 -

243.00 -

214.00 -

3,399.00 -

1,069.00 -

3,399.00 -

89.00 -

83.00 -

4,554.00 -

4,554.00 -

1,983.00 -

2,700.00 -

6,750.00 -
 109.00 -

109.00 -

77.00 246,400.00 1000

8,250.00 -

8,250.00 -

127.00 -

253.00 25,300.00

253.00 -

3,950.00 -

3,950.00 -

3,926.00 -

3,926.00 -

1,900.00 7,600.00

145.00 -

220.00 -

109.00 32,700.00 300

6,410.00 -

6,840.00 -

107.00 -

114.00 -

627.00 -

645.00 -

971.00 -

971.00 -
 869.00 -

24,198.00 -

317.00 -

1,492,579.00 -

267,397.00 -

6,500.00 -

6,100.00 -

5,500.00 -

9,570.00 -

605.00 -

9,975.00 -

659.00 197,700.00 100

12,000.00 -

660.00 -

1,980.00 -

1,649.36 -

3,200.00 -

2,600.00 -

2,774.00 -

2,774.00 -

1,248.00 -

1,232.00 -

11,868.00 -

11,868.00 -
11,868.00 -

147.00 -

129.00 25,800.00 200

220.00 -

429.00 -

275.00 -

429.00 56,628.00

1,258.00 -

5,500.00 -

963.00 -

13,200.00 -

2,971.00 -

1,238.00 -

1,160.00 116,000.00 100

5,204.00 499,584.00 96

7,646.00 -

7,646.00 -

121.00 -

165.00 82,500.00 500

150.00 -

20,700.00 -

542.00 -

505.00 -

505.00 -
 6,600.00 -

6,600.00 -

249.00 -

72.00 -

141.00 -

150.00 -

150.00 -

165.00 -

165.00 -

198.00 59,400.00 300

79.00 15,800.00

73.00 -

79.00 -

329.00 -

354.00 -

63.00 -

63.00 -

63.00 -

440.00 -

440.00 44,000.00

190,000.00 -

235.95 -

198.00 -

210.00 105,000.00
 85.00 -

1,188.00 -

858.00 -

1,188.00 -

331.00 -

596.00 -

985.00 -

934.00 -

1,134.00 -

7,150.00 -

7,630.00 -

287.00 -

132.00 -

67.00 -

132.00 -

4,446.00 -

6,796.68 -

4,189.00 -

11,000.00 -

5,400.00 -

11,000.00 -

3,017.00 -

1,475.00 -

11,825.00 -
11,466.00 -

5,710.00 -

923.00 -

4,360.00 -

4,360.00 444,720.00 120

4,086.00 -

880.00 -

492.00 -

880.00 -

5,146.00 -

4,822.00 -

5,146.00 -

4,706.00 -

4,410.00 -

4,706.00 -

44.00 -

52.00 -

1,160.00 -

1,160.00 -

1,066.00 -

117.00 -

117.00 -

73.00 36,500.00 300

528.00 -
 281.00 -

512,204.00 -

512,204.00 -

517,132.00 -

130,999.00 -

130,999.00 -

130,999.00 -

5,980.00 -

7,338.00 -

7,338.00 -

983.00 -

330.00 -

330.00 -

310.00 -

331.00 -

847.00 -

832.50 -

7,150.00 -

11,000.00 -

94.00 -

88.00 -

660.00 -

329.68 -

1,764.00 -
 330.00 -

309.00 -

95.00 -

101.00 -

17,789.00 -

135.00 -

60.00 24,000.00 300

135.00 -

3,285.00 -

2,489.00 -

604.00 -

253.00 -

604.00 241,600.00

2,200,000.00 -

1,248.88 -

1,335.02 -

1,033.56 -

1,205.82 361,746.00 300

1,205.82 -

1,277.60 -

1,263.24 1,515,888.00

1,693.89 -
 1,909.21 -

1,909.21 -

1,803.50 -

1,803.50 -
4,507.37
-
5,268.29
-
1,240.00
-

1,650.00 -

1,597.00 -

134.20 -

188.76 -

259.52 -

155.91 -

124.48 -

17,958.11 -

10,980.20 -

17,958.11 -

33,785.00 -

35,285.00 -

33,785.00 -

35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -
35,285.00 -

26,941.00 -

28,019.00 -

33,785.00 -

35,285.00 -

10,000.00 -

16,008.00 -

25,300.00 -

14,109.30 -

16,008.00 -

13,420.00 -

12,100.00 -

14,109.30 -

13,420.00 -

12,100.00 -

1,597.96 -

563.64 -

563.64 -

590.48 -

590.48 -

1,207.60 -

24,200.00 -

23,750.00 -

6,606.30 -
6,222.00 -

6,217.12 -

5,856.00 -

6,217.12 310,856.00 50

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 358,875.00 50

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 358,875.00 50

6,287.49 -

7,177.50 -

7,320.00 -

7,177.50 -

6,287.49 -

7,177.50 -

7,177.50 -

7,320.00 -

9,827.10 -

9,827.10 -
 9,394.00 -

28,750.00 1,236,250.00

27,725.00 -

34,228.40 -

33,900.00 -

149,040.00 -

141,400.00 -

149,040.00 -

164,456.11 -

8,109.49 -

8,109.33 16,218.67 2

10,000.00 -

8,903.23 -

6,390.00 -

9,375.00 -

2,475.75 -

2,582.13 -

2,571.75 514,350.00 200

2,856.89 -

3,636.36 -

412.50 -

671.78 235,123.28

3,100.00 -

3,000.00 -
 2,164.80 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

8,052.00 -

8,052.00 -

8,454.60 -

8,454.60 -

16,704.00 -

16,704.00 -

19,372.00 -

19,372.00 -

19,372.00 -

19,372.00 -

17,980.00 -

5,940.00 118,800.00

14,080.00 239,360.00

12,430.00 -

5,940.00 -
14,080.00 -

12,430.00 -

33,000.00 -

14,810.89 -

12,675.00 -

12,675.00 253,500.00 20

77,600.00 -

75,537.00 -

80,192.00 -

78,285.55 -

35,174.50 -

34,300.00 -

46,853.42 -

3,300.00 -

3,300.00 -

20,685.00 -

17,024.00 -

23,385.00 -

9,164.00 -

9,280.00 -

9,164.00 -

5,568.00 -

7,308.00 -

9,280.00 -
 5,699.98 62,699.80

5,533.00 -

9,400.00 -

53,300.00 -

51,500.00 103,000.00 2

27,300.00 -

27,300.00 -

17,550.00 -

3,900.00 -

6,089.00 -

9,400.00 -

36,955.20 -

137,137.86 -

81,832.79 -

62,216.18 -

88,475.81 -

34,091.80 545,468.80

79,315.50 -

141,417.00 -

83,038.00 -

64,785.00 -

63,840.00 -

70,917.00 -

-
 25,546.32 -

6,214.29 -

3,390.99 -

23,566.00 -

5,238.80 -

3,188.24 -

25,592.50 -

6,229.83 -

3,401.16 -

801,000.00 12,816,000.00

2,702,700.00 13,513,500.00

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

74,625.00 -

96,625.00 -

74,625.00 -

116,625.00 -

128,625.00 -

177,125.00 -

128,625.00 -

218,125.00 -

13,140.60 -
 15,297.00 -

15,297.00 -

13,655.00 -

1,296.00 -

1,150.00 -

1,306.25 -

4,720.00 -

4,720.00 -

12,859.00 -

53,180.00 -

53,180.00 -

21,720.00 -

9,048.17 -

6,186.16 -

9,048.18 -

10,967.00 -

10,967.00 -

10,967.00 -

28,768.50 -

12,882.45 -

423,500.00 -

1,135,000.00 -

1,463,000.00 -

338,800.00 -
1,232,000.00 -

1,355,200.00 -

423,500.00 -

1,355,200.00 -

1,463,000.00 -

4,250,665.17 -

2,774,860.00 -

3,699,850.00 -

4,250,665.00 -

2,774,860.00 -

3,699,850.00 -

19,175.00 -

22,775.00 -

40,848.33 -

30,697.00 -

18,500.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -

73,625.00 -
116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

116,781.00 -

177.24 -

159.06 -

1,724.80 1,897,280.00

12,575.84 -

9,164.00 -

60,605.88 -

11,745.66 -

11,318.86 -

254,400.00 -

3,399.09 -

1,405.00 -

12,500.00 -

40,180,079.55
NO NAMA OBAT SATUAN SUMBER

1 2 3 4

OBAT GENERIK

Alopurinol tablet 100 mg Tablet

1 DAK 2019

Alopurinol tablet 100 mg Tablet

2 DAK 2021

Alopurinol tablet 100 mg

3 Tablet DAK 2020

Alprazolam 0,5 mg Tablet

4 DAK 2018

Ambroxol sirup 15 mg/ml Botol 60 ml

5 DAK 2019

Ambroxol sirup 15 mg/ml Botol 60 ml

6 DAK 2021

Ambroxol sirup 15 mg/ml Botol 60 ml

7 DAK 2020

Ambroxol tablet 30 mg Tablet

8 DAK 2019

Ambroxol tablet 30 mg Tablet

9 DAK 2021

Ambroxol tablet 30 mg Tablet

10 DAK 2020

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

11 DAK 2021

Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml

12 DAK 2019

Aminofilina tablet 200 mg Tablet

13 DAK 2019

Aminofilina tablet 200 mg

14 Tablet salut selaput DAK 2020

Aminofilina tablet 200 mg Tablet

15 DAK 2021

Amitriptilin HCl tablet salut 25 mg Tablet

16 DAK 2018

Amitriptilin HCl tablet salut 25 mg Tablet

17 DAK 2019

Amlodipin 5 mg Tablet
18 DAK 2019

Amlodipin 5 mg Tablet
19 DAK 2021

Amlodipin 5 mg Tablet
20 DAK 2020
 Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet
21 DAK 2019

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaplet

22 DAK 2021

Amoksisilin kapsul/kaplet/tablet scored 500 mg Kaptab

23 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
24 DAK 2019
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
25 DAK 2018
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
26 DAK 2020
Amoksisilin sirup kering 125 mg/5 ml
Botol 60 ml
27 DAK 2021
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
28 DAK 2018
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
29 DAK 2019
Amoksisilin sirup kering forte 250 mg/5 ml
Botol 60 ml
30 DAK 2021
Antasida DOEN suspensi
Botol 60 ml
31 DAK 2019

Antasida DOEN suspensi Botol 60 ml

32 DAK 2018

Antasida DOEN suspensi Botol 60 ml

33 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg Tablet
34 DAK 2021
Antasida DOEN tablet kunyah,kombinasi:
Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg Tablet kunyah
35 DAK 2019
Antasida DOEN tablet kunyah,kombinasi:
Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg Tablet
36 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
37 DAK 2020
Anti Bakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Tube 5 gram
38 DAK 2021
Anti Diare Kombinasi Kaolin 986 mg+Pektin 40 mg
Botol 60 ml
39 DAK 2017
Antifungi DOEN kombinasi : Asam
pot plastik 30 gram
40 Benzoat 6 % + Asam Salisilat 3 % DAK 2018
Anti Hemoroid DOEN kombinasi :
supp
41 Bismuth subgalat 150 mg + Heksaklorofen 2,5 mg DAK 2021
Anti Hemoroid DOEN kombinasi :
supp
42 Bismuth subgalat 150 mg + Heksaklorofen 2,5 mg DAK 2019
Anti Hemoroid DOEN kombinasi :
supp
43 Bismuth subgalat 150 mg + Heksaklorofen 2,5 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg, Caffeine 65
Tablet
44 mg DAK 2020
Antimigren + Paracetamol 400 mg, Acetosal 250 mg, Caffeine 65
Tablet
45 mg DAK 2021

Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml

46 DAK 2019
 Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml
47 DAK 2021

Asam askorbat (vitamin C) tablet/kapsul/kaplet 250 mg Tablet

48 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

49 DAK 2020

Asam Askorbat (Vit C) tablet 50 mg Tablet

50 DAK 2021

Asam Askorbat (Vit C) tablet 50 mg Tablet

51 DAK 2019

Asam Folat Tablet/Kapsul/Kaplet 0,4 mg Tablet

52 DAK 2020

Asam Mefenamat 500 mg Tablet

53 DAK 2021

Asam Mefenamat 500 mg Kaptap Salut Selaput

54 DAK 2019

Asam Mefenamat 500 mg Kaptap Salut Selaput

55 DAK 2020

Asam Traneksamat 500 mg Tablet

56 DAK 2019

Asam Traneksamat 500 mg Tablet

57 DAK 2020

Asam Traneksamat 500 mg Tablet

58 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

59 DAK 2021

Asam traneksamat injeksi 100 mg/ml Ampul 5 ml

60 DAK 2020

Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet 100 mg Tablet

61 DAK 2021

Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet 100 mg Tablet

62 DAK 2019

Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet 100 mg Tablet

63 DAK 2020

Asiklovir krim 5 % Tube 5 gram

64 DAK 2019

Asiklovir krim 5 % Tube 5 gram

65 DAK 2021

Asiklovir krim 5 % Tube 5 gram

66 DAK 2020

Asiklovir tablet 400 mg Tablet

67 DAK 2021

Asiklovir tablet 400 mg Tablet

68 DAK 2019

Asiklovir tablet/kapsul/kaplet 400 mg Tablet

69 DAK 2020

NEW ANTIDES - Attapulgite 600 mg tablet Tablet

70 DAK 2019

Atapulgit tablet 600 mg Tablet

71 DAK 2021

Atropin inj 0,25 mg / ml Ampul 1 ml

72 DAK 2019
 Azitromisin tablet 500 mg Tablet
73 DAK 2018
(Tablet Tambah Darah Kombinasi) : Ferrous Fumarate 250 mg,
Manganese Sulfate 0,2 mg, Cupric Sulfate 0,2 mg, Folic Acid 4 mg, Tablet
74 Cyanocobalamin 7,5 mg DAK 2018
Plastik-Dus-serbuk 50
Bedak salisil serbuk 2%
75 gram DAK 2021
Plastik-Dus-serbuk 50
Bedak salisil serbuk 2%
76 gram DAK 2019
Plastik-Dus-serbuk 50
Bedak salisil serbuk 2%
77 gram DAK 2020

BEROTEC SOLUTION - Fenoterol HBr solution 0,1% Botol

78 DAK 2019

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

79 DAK 2018

BEROTEC - Fenoterol HBr aerosol 100 mcg/puff Botol

80 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

81 DAK 2019

Betahistin tablet/kapsul/kaplet 6 mg Tablet

82 DAK 2020

Betahistin tablet/kapsul/kaplet 6 mg Tablet

83 DAK 2021

Bisoprolol tablet 5 mg Tablet

84 DAK 2019

Bisoprolol tablet 5 mg Tablet

85 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

86 DAK 2019

Betametason krim 0,1 o/o Tube 5 gram

87 DAK 2021

Betametason krim0,1% (Sebagai Valerat) Tube 5 gram

88 DAK 2020

Bisakodil suppositoria 10 mg(Stolax supp) Supp

89 DAK 2019

Bisakodil suppositoria 10 mg Supp

90 DAK 2021

Bisakodil suppositoria 10mg Supp

91 DAK 2020

Bisakodil suppositoria 5 mg(Stolax supp) Supp

92 DAK 2019

Bisakodil suppositoria 5 mg Supp

93 DAK 2021

Bisakodil suppositoria 5 mg Supp

94 DAK 2020

Cetirizine tablet 10 mg Tablet

95 DAK 2021

Cetirizine tablet 10 mg Tablet

96 DAK 2019

Cetirizine tablet 10 mg Tablet salut selaput

97 DAK 2020

Botol 60 ml
98 Cetirizin sirup 5 mg/5 ml DAK 2019
 Botol 60 ml
99 Cetirizin sirup 5 mg/5 ml DAK 2021

Botol 60 ml
100 Cetirizin sirup 5 mg/5 ml DAK 2020

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

101 DAK 2021

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

102 DAK 2019

Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml

103 DAK 2020

Deksametason tablet 0,5 mg Tablet

104 DAK 2019

Deksametason tablet 0,5 mg Tablet

105 DAK 2021

Deksametason tablet 0,5 mg Tablet

106 DAK 2020

DEPAKOTE TAB 250 MG - Valproat tablet salut 250 mg Tablet

107 DAK 2018

DEPAKOTE TAB 250 MG - Valproat tablet salut 250 mg Tablet

108 DAK 2020

Diazepam tablet 2 mg Tablet

109 DAK 2019

Diazepam tablet 2 mg Tablet

110 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

111 DAK 2018

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

112 DAK 2019

Diazepam inj 5 mg/ml (i.v./i.m.) Ampul

113 DAK 2020

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

114 DAK 2021

Diazepam larutan rectal 10 mg/ 2,5 ml (STESOLID) Tube

115 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

116 DAK 2021

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

117 DAK 2019

Diazepam larutan rectal 5 mg/ 2,5 ml(STESOLID) Tube

118 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

119 DAK 2019

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

120 DAK 2020

Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml

121 DAK 2021

Digoksin tab 0,25 mg Tablet

122 DAK 2021

Doksisiklin tab 100 mg Tablet

123 DAK 2019

Doksisiklin tab 100 mg Tablet

124 DAK 2018
 Domperidon 10 mg Tablet
125 DAK 2021

Domperidon 10 mg Tablet
126 DAK 2019

Domperidon tablet/kapsul/kaplet 10 mg Tablet

127 DAK 2020

Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml

128 DAK 2018

Domperidon suspensi 5 mg/5 ml Botol 60 ml

129 DAK 2020

Domperidon suspensi 5 mg/5 ml Botol 60 ml

130 DAK 2019

Domperidon suspensi 5 mg/5 ml Botol 60 ml

131 DAK 2021

DOPAMET - Metildopa tablet salut 250 mg Tablet

132 DAK 2018

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

133 DAK 2021

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

134 DAK 2019

Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul

135 DAK 2020

Eritromisin tablet/kapsul/kaplet 500 mg Kaptab

136 DAK 2018

Eritromisin sir 200 mg/5ml Botol

137 DAK 2021

Ethambutol 250 mg Tab Tablet

138 DAK 2019

Etil Klorida semprot Botol

139 DAK 2019

Etil Klorida semprot Botol

140 DAK 2021

Eugenol cairan Botol

141 DAK 2018

Eugenol cairan Botol

142 DAK 2021

Fenobarbital tablet 30 mg Tablet

143 DAK 2018

Fenobarbital tablet 30 mg Tablet

144 DAK 2019

Botol Plastik 5 ml
145 Fenol Gliserol tetes telinga 10% DAK 2019

Botol Plastik 5 ml
146 Fenol Gliserol tetes telinga 10% DAK 2021

Botol Plastik 5 ml
147 Fenol Gliserol tetes telinga 10% DAK 2020

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

148 DAK 2018

Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 1 ml

149 DAK 2019

Fitomenodion (Vit.K1) tablet salut gula 10 mg Tablet

150 DAK 2019
 Flutikason propionat (micronized) 0,5 mg/dosis (Flutikason
Nebules 2 ml
151 propionat nebules 0,5 mg) DAK 2021
Flutikason propionat (micronized) 0,5 mg/dosis (Flutikason
Nebules 2 ml
152 propionat nebules 0,5 mg) DAK 2019
Flutikason propionat (micronized) 0,5 mg/dosis (Flutikason
Nebules 2 ml
153 propionat nebules 0,5 mg) DAK 2020

Furosemid tablet 40 mg Tablet

154 DAK 2017

Furosemid tablet 40 mg Tablet

155 DAK 2020

Furosemid tablet 40 mg Tablet

156 DAK 2021

Furosemid injeksi Ampul

157 DAK 2019

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

158 DAK 2020

Furosemid injeksi i.v./i.m. 10 mg/ml Ampul

159 DAK 2021

Gabapentin 300 mg Kaplet

160 DAK 2019

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

161 DAK 2018

Gabapentin tablet/kapsul/kaplet 300 mg kapsul

162 DAK 2020
Garam oralit kombinasi : natrium klorida 0,52 g + kalium klorida
Sachet 4,26 gram
163 0,30 g + trinatrium sitrat 0,58 g + glukosa anhidrat 2,7 g DAK 2019
Garam Oralit I serbuk, kombinasi: Natrium klorida 0,52 g + kalium
klorida 0,30 g + Trinatrium sitrat dihidrat 0,58 g + Glukosa Anhidrat Sachet
164 2,70 g DAK 2020
Garam Oralit I serbuk, kombinasi: Natrium klorida 0,52 g + kalium
klorida 0,30 g + Trinatrium sitrat dihidrat 0,58 g + Glukosa Anhidrat Sachet
165 2,70 g DAK 2021

Gentamicin 0,1 % Salep Kulit Tube 5 gram

166 DAK 2019

Gentamicin 0,1 % Salep Kulit Tube 5 gram

167 DAK 2020

Gentamicin 0,1 % Salep Kulit Tube 5 gram

168 DAK 2021

Gentamicin TM 0,3 % Botol 5 ml

169 DAK 2019

Gentamicin TM 0,3 % Botol 5 ml

170 DAK 2018

Gentamisin tetes mata 0,3% Botol 5 ml

171 DAK 2020

Gentamisin tetes mata 0,3% Botol 5 ml

172 DAK 2021

Gentian violet 1 o/o Botol 10 ml

173 DAK 2021

Gentian violet 1 o/o Botol 10 ml

174 DAK 2019

Gentian violet 1 o/o Botol 10 ml

175 DAK 2020

Glass Ionomer Cement (Fuji VII) Set

176 DAK 2021
 Glass Ionomer Cement (Fuji VII) Set
177 DAK 2020

Glass Ionomer Cement (GC IX) Set

178 DAK 2021

Glass Ionomer Cement (GC IX) Set

179 DAK 2020

Glibenklamid tablet 5 mg Tablet

180 DAK 2019

Glibenklamid tablet 5 mg Tablet

181 DAK 2021

Glibenklamid tablet 5 mg Tablet

182 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

183 DAK 2020

Gliklazid tablet/kapsul/kaplet 80 mg Tablet

184 DAK 2021

Glimepiride tablet/kapsul/kaplet 2 mg Tablet

185 DAK 2020

Glimepiride tablet 2 mg Tablet

186 DAK 2021

Glimepiride tablet 2 mg Tablet

187 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

188 DAK 2019

Gliseril Guaiakolat tablet 100 mg Tablet

189 DAK 2018

Glukosa larutan infus 10% Botol plastik 500 ml

190 DAK 2019

Glukosa larutan infus 5 o/o Botol plastik 500 ml

191 DAK 2019

Glukosa larutan infus 5 o/o Botol plastik 500 ml

192 DAK 2018

Griseofulvin tablet 125 mg, micronized Tablet

193 DAK 2017

Haloperidol 1.5 mg Tablet

194 DAK 2019

Haloperidol 1.5 mg Tablet

195 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

196 DAK 2020

Haloperidol inj 50 mg/mL Ampul 1 ml

197 DAK 2018

Haloperidol inj 50 mg/mL Ampul 1 ml

198 DAK 2019
Dus, 1 syringe @ 0,5
Hepatitis B imunoglobullin
199 ml DAK 2020
Dus, 1 syringe @ 0,5
Hepatitis B imunoglobullin
200 ml DAK 2019
Dus, 1 syringe @ 0,5
Hepatitis B imunoglobullin
201 ml DAK 2021

Hidroklorotiazid tab 25 mg Tablet

202 DAK 2017
 Hidrokortison krim 2,5 o/o Tube 5 gram
203 DAK 2019

Hidrokortison krim 2,5 o/o Tube 5 gram

204 DAK 2021

Hidrokortison krim 2,5 o/o Tube 5 gram

205 DAK 2020

Ibuprofen tablet 200 mg Tablet

206 DAK 2020

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

207 DAK 2019

Ibuprofen tablet/kapsul/kaplet 200 mg Tablet

208 DAK 2021

Ibuprofen tablet 400 mg Tablet

209 DAK 2019

Ibuprofen tablet 400 mg Tablet

210 DAK 2020

Ibuprofen tablet 400 mg Tablet

211 DAK 2018

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

212 DAK 2020

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

213 DAK 2019

Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml

214 DAK 2021

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

215 DAK 2020

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

216 DAK 2019

Isoniazid tablet/kapsul/kaplet 100 mg Tablet

217 DAK 2021

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

218 DAK 2019

Isoniazid tablet/kapsul/kaplet 300 mg Tablet

219 DAK 2020

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

220 DAK 2021

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

221 DAK 2019

Isosorbit Dinitrat tablet sublingual 5 mg Tablet

222 DAK 2020

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

223 DAK 2021

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet

224 DAK 2020

Kaptopril 25 mg Tablet
225 DAK 2019

Kaptopril tablet/kaplet scored 25 mg Tablet

226 DAK 2020

Kaptopril 25 mg Tablet
227 DAK 2021

Kandesartan tab 8 mg Tablet

228 DAK 2019
 Kandesartan tablet/kapsul/kaplet 8 mg Tablet
229 DAK 2021

Kandesartan tablet/kapsul/kaplet 8 mg Tablet

230 DAK 2020

Karbamazepin tablet/kapsul/kaplet 200 mg Tablet

231 DAK 2019

Karbamazepin tablet 200 mg Tablet

232 DAK 2021

Karbamazepin tablet 200 mg Tablet

233 DAK 2020

Ketokonazol krim 2% Tube 10 gram

234 DAK 2021

Ketokonazol krim 2% Tube 10 gram

235 DAK 2020

Ketokonazol tablet 200 mg Tablet

236 DAK 2018

Ketokonazol tablet 200 mg Tablet

237 DAK 2021

Ampul 1 ml
238 Ketorolac injeksi 30 mg DAK 2019

Ampul 1 ml
239 Ketorolak inj 30 mg/ml DAK 2020

Ampul 1 ml
240 Ketorolak inj 30 mg/ml DAK 2021

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

241 DAK 2019

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

242 DAK 2018

Klindamisin tablet/kapsul/kaplet 300 mg kapsul

243 DAK 2020

Klopidogrel tablet 75 mg Tablet

244 DAK 2019

Klopidogrel tablet/kapsul/kaplet 75 mg Tablet salut selaput

245 DAK 2018

Klopidogrel tablet/kapsul/kaplet 75 mg Tablet salut selaput

246 DAK 2020

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

247 DAK 2017

Kloramfenikol tablet/kapsul/kaplet 250 mg Kapsul

248 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

249 DAK 2021

Kloramfenikol salep mata 1 % Tube 5 gram

250 DAK 2019

Kloramfenikol salep mata 1 % Tube 5 gram

251 DAK 2020

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

252 DAK 2021

Kloramfenikol suspensi 125 mg/ml Botol 60 ml

253 DAK 2019

Kloramfenikol tetes mata 0,5 % Botol plastik 10 ml

254 DAK 2020
 Kloramfenikol tetes mata 0,5 % (Reco TM) Botol plastik 10 ml
255 DAK 2021

Kloramfenikol tetes mata 0,5 % (Reco TM) Botol plastik 10 ml

256 DAK 2019

Kloramfenikol tetes telinga 3 % (Reco TT) Botol plastik 10 ml

257 DAK 2020

Kloramfenikol tetes telinga 3 % (Reco TT) Botol plastik 10 ml

258 DAK 2019

Kloramfenikol tetes telinga 3 % Botol plastik 10 ml

259 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

260 DAK 2018

Klorfeniramina Maleat (CTM) tablet 4 mg Tablet

261 DAK 2021

Ampul 1 ml
262 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2020

Ampul 1 ml
263 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2019

Ampul 1 ml
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2018

Tablet
265 Klorpromazin tablet salut 25 mg (HCl) DAK 2020

Tablet
266 Klorpromazin tablet salut 25 mg (HCl) DAK 2016

Tablet
267 Klorpromazin tablet salut 25 mg (HCl) DAK 2018

Klorpromazin tablet salut 100 mg (HCl) Tablet

268 DAK 2019

Klozapin 25 mg Tablet
269 DAK 2019

Klozapin 25 mg Tablet
270 DAK 2016
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
271 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2018
kotrimoksazol (anak) kombinasi tiap 5 ml suspensi:
Botol 60 ml
272 sulfametoksazol 200 mg + trimetoprim 40 mg DAK 2019
kotrimoksazol forte kombinasi:sulfametoksazol 800 mg +
Tablet
273 trimetoprim 160 mg DAK 2018
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg
Tablet
274 trimetoprim 160 mg DAK 2019
Lidokain Komp.injeksi, Kombinasi :
Ampul 2 ml
275 Lidokain HCL 12 % + Epinefrin 1 : 80.000 - 2 ml DAK 2021

Lidokain injeksi 2% (HCL) Ampul

276 DAK 2018

Lidokain injeksi 2% (HCL) Ampul

277 DAK 2019

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

278 DAK 2020

Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Ampul 2 ml

279 DAK 2019

Tablet
280 Loperamid tablet 2 mg DAK 2019
 Tablet
281 Loperamid tablet 2 mg DAK 2021

Tablet
282 Loperamid DAK 2020

Tablet
283 Loratadin tablet/kapsul/kaplet 10 mg DAK 2019

Kaptab
284 Loratadin tablet/kapsul/kaplet 10 mg DAK 2021

Kaptab
285 Loratadin tablet/kapsul/kaplet 10 mg DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

286 DAK 2020

Magnesium sulfat injeksi 40% Ampul 25 ml

287 DAK 2021

Magnesium sulfat injeksi 40% Ampul 25 ml

288 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

289 DAK 2019

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

290 DAK 2020

Metilprednisolon tablet/kapsul/kaplet 4 mg Tablet

291 DAK 2021

Dus
292 Metilprednisolon inj 125 mg/2 mL DAK 2018

Dus
293 Metilprednisolon inj 125 mg/2 mL DAK 2019

Dus
294 Metilprednisolon inj 125 mg/2 mL DAK 2020

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

295 DAK 2018

Metilergametrin (Maleat) tablet salut 0,125 mg Tablet Salut

296 DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml Ampul

297 DAK 2019

Metilergametrin Maleat inj 0,200 mg - 1 ml

298 Ampul DAK 2021

Metilergametrin Maleat inj 0,200 mg - 1 ml

299 Ampul DAK 2020

Metoclopramide tablet 10 mg
300 Tablet DAK 2019

Metoklopramide tablet/kapsul/kaplet 10 mg
301 Tablet DAK 2018

Metoclopramide injeksi 5 mg/ml

302 Ampul 2 ml DAK 2019

Metoclopramide injeksi 5 mg/ml

303 Ampul 2 ml DAK 2020

Metoclopramide injeksi 5 mg/ml

304 Ampul 2 ml DAK 2021

Metoklopramide sirup 5 mg/ 5 ml

305 Botol 60 ml DAK 2018

Metoklopramide sirup 5 mg/ 5 ml

306 Botol 60 ml DAK 2020
 Metformin HCl tablet/kapsul/kaplet 500 mg Tablet
307 DAK 2019

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

308 DAK 2020

Metformin HCl tablet/kapsul/kaplet 500 mg Kaptap ss

309 DAK 2021

Metronidazol infus 5 mg/ ml Botol @100 mL

310 DAK 2018

Metronidazol infus 5 mg/ ml Botol @100 mL

311 DAK 2019

Metronidazol tablet 500 mg Tablet

312 DAK 2018

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

313 DAK 2019

Metronidazol tablet/kapsul/kaplet 500 mg Tablet

314 DAK 2020

Metronidazole sirup 125mg/ 5ml Botol 60 ml

315 DAK 2019

Metronidazol sirup 125 mg/5 ml Botol 60 ml

316 DAK 2018

Miconazole krim 2% (Nitrat) Tube 10 gram

317 DAK 2019

Miconazole krim 2% (Nitrat) Tube 10 gram

318 DAK 2020

Miconazole krim 2% (Nitrat) Tube 10 gram

319 DAK 2021

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet

320 DAK 2019

Natrium diklofenak tablet/kapsul/kaplet 50 mg Tablet salut enterik

321 DAK 2020

Natrim Diklofenak 50 mg tab Tablet

322 DAK 2021

Natrium Klorida larutan infus 0,9 % Steril Botol plastik 500 ml

323 DAK 2018

Natrium Klorida larutan infus 0,9 % Steril Botol plastik 500 ml

324 DAK 2019

Nifedipin tablet 10 mg Tablet

325 DAK 2018

Nifedipin tablet 10 mg Tablet

326 DAK 2019

Tablet Vaginal
327 Nistatin vaginal tablet 100.000 IU/ g DAK 2017

Tablet Vaginal
328 Nistatin vaginal tablet 100.000 IU/ g DAK 2018

Tablet
329 Nistatin tablet salut 500.000 UI/g DAK 2019

Tablet Salut Gula

330 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2020

Tablet Salut Gula

331 Nistatin tablet/kaplet salut 500.000 IU/ g DAK 2021

Nystatin drop Botol 12 ml

332 DAK 2020
 N- Asetil Sistein Tablet
333 DAK 2021

Obat Anti Tuberculosis FDC Kategori II Paket

334 DAK 2018

Obat Anti Tuberculosis FDC Kategori Anak Paket

335 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

336 DAK 2020

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

337 DAK 2018

Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml

338 DAK 2019

Obat batuk Antitusif sirup Kombinasi Dextromethorphan HBr Botol 60 ml

339 DAK 2019

Obat batuk Antitusif tablet Kombinasi Dextromethorphan HBr Tablet

340 DAK 2019

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

341 DAK 2020

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

342 DAK 2020

Obat batuk sirup Kombinasi Dextromethorphan HBr Botol 60 ml

343 DAK 2018

Obat batuk tablet Kombinasi Dextromethorphan HBr Tablet

344 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

345 DAK 2019

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

346 DAK 2018

Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram

347 DAK 2020

Oksitetrasiklin HCI salep mata 1 % Tube

348 DAK 2018

Oksitetrasiklin HCI salep mata 1 % Tube

349 DAK 2019

Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram

350 DAK 2020

Oksitosin injeksi 10 IU / ml - ml Ampul

351 DAK 2021

Oksitosin injeksi 10 IU / ml - ml Ampul

352 DAK 2020

Omeprazole Injeksi 40mg / 10ml Vial

353 DAK 2019

Omeprazol injeksi 40 mg/ 10 ml Vial

354 DAK 2018

Omeprazol injeksi 40 mg/ 10 ml Vial

355 DAK 2020

Omeprazole kapsul Kapsul

356 DAK 2019

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

357 DAK 2021

Omeprazol tablet/kapsul/kaplet 20 mg Kapsul

358 DAK 2020
 Ondansetron tablet/kapsul/kaplet 4 mg Tablet
359 DAK 2019

Ondansetron tablet/kapsul/kaplet 4 mg Tablet salut selaput

360 DAK 2021

Ondansetron tablet/kapsul/kaplet 4 mg Tablet salut selaput

361 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

362 DAK 2019

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

363 DAK 2020

Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) Ampul 2 ml

364 DAK 2021

Parasetamol drips (infus) 1000 mg/100 mL Dus, Botol @ 1000 mg

365 DAK 2019

Parasetamol sirup 120 mg / 5 ml Botol Plastik @ 60 Ml

366 DAK 2020

Parasetamol sirup 120 mg/ 5ml Botol Plastik @ 60 Ml

367 DAK 2019

Parasetamol sirup 120 mg/ 5ml Botol Plastik @ 60 Ml

368 DAK 2021

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) (G) Botol Plastik @ 60 Ml
369 DAK 2021

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) (G) Botol 15 ml

370 DAK 2020

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) (G) Botol 15 ml

371 DAK 2019

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

372 DAK 2019

Parasetamol tablet 500 mg Tablet

373 DAK 2021

Parasetamol tablet/kapsul/kaplet 500 mg Tablet

374 DAK 2020

Perak Sulfadiazine Krim 1% Tube

375 DAK 2020

Piracetam 400 mg Tablet

376 DAK 2021

Piracetam 400 mg Tablet

377 DAK 2019

Piracetam 400 mg Tablet

378 DAK 2020

Piracetam Inj 1 g/5 ml Ampul

379 DAK 2017

Piracetam Inj 1 g/5 ml Ampul

380 DAK 2021

Pirazinamid 500 mg Tablet

381 DAK 2019

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

382 DAK 2021

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

383 DAK 2018

Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet

384 DAK 2019
 Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Tablet
385 DAK 2020

Piroksikam 20 mg Tablet
386 DAK 2020

Piroksikam 20 mg Tablet
387 DAK 2019

Piroksikam 20 mg Tablet
388 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

389 DAK 2020

Prednison tablet/kapsul/kaplet 5 mg Tablet

390 DAK 2021

Prednison tablet/kapsul/kaplet 5 mg Tablet

391 DAK 2019

Primakuin tablet 15 mg Tablet

392 DAK 2019

Primakuin tablet 15 mg Tablet

393 DAK 2018

Propranolol HCI tablet 10 mg Tablet

394 DAK 2021

Propranolol tablet/kapsul/kaplet 10 mg Tablet

395 DAK 2019

Propranolol tablet/kapsul/kaplet 10 mg Tablet

396 DAK 2020

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

397 DAK 2019

Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet

398 DAK 2021

Vaksin rabies Vial

399 DAK 2018

Ranitidin tablet 150 mg Tablet

400 DAK 2018

Ranitidin tablet/kapsul/kaplet 150 mg Tablet salut selaput

401 DAK 2019

Ranitidin tablet/kapsul/kaplet 150 mg Tablet salut selaput

402 DAK 2020

Ranitidin tablet/kapsul/kaplet 150 mg Tablet salut selaput

403 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

404 DAK 2019

Ranitidin Injeksi 25 mg/ml Ampul 2 ml

405 DAK 2021

Ranitidin injeksi 25 mg/ml Ampul 2 ml

406 DAK 2020

Retinol ( Vitamin A ) 100.000 IU kapsul lunak Kapsul

407 DAK 2018

Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul

408 DAK 2018

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

409 DAK 2019

Rifampisin tablet/kapsul/kaplet 450 mg Kaptap ss

410 DAK 2021
 Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss
411 DAK 2018

Ringer laktat larutan infus Botol plastik 500 ml

412 DAK 2018

Ringer laktat larutan infus Botol plastik 500 ml

413 DAK 2019

Risperidon 2 mg Tablet
414 DAK 2019

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

415 DAK 2020

Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Tablet

416 DAK 2021

Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

417 DAK 2019

Salbutamol sirup Dus, botol @ 100 ml

418 DAK 2019

Salbutamol sirup Dus, botol @ 100 ml

419 DAK 2020

Salbutamol sirup Dus, botol @ 100 ml

420 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

421 DAK 2019

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

422 DAK 2021

VENTOLIN NEBULES - Salbutamol cairan ih 0,1% Nebules

423 DAK 2020
Salep 2 - 4, Kombinasi : Asam
Pot 30 gram
424 Salisilat 2 % + Belerang Endap 4 % DAK 2018
Salep 2 - 4, Kombinasi : Asam
Pot 30 gram
425 Salisilat 2 % + Belerang Endap 4 % DAK 2021

Permetrin Krim 5% Tube @ 10 g

426 DAK 2020

Permetrin Krim 5% Tube @ 10 g

427 DAK 2021

Sefiksim sirup kering 100 mg/ 5 ml Botol

428 DAK 2018

Sefiksim kapsul/kaplet 100 mg Kapsul

429 DAK 2018

Sefadroksil sirup kering 125 mg/5ml Dus, botol @ 60 ml

430 DAK 2020

Sefadroksil sirup kering 125 mg/5ml Dus, botol @ 60 ml

431 DAK 2019

Sefadroksil sirup kering 125 mg/5ml Dus, botol @ 60 ml

432 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

433 DAK 2019

Sefadroksil kapsul 500 mg Kapsul

434 DAK 2018

Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul

435 DAK 2020

Seftriaksone Injeksi 1 g Vial

436 DAK 2019
 Seftriaksone Injeksi 1 g Vial
437 DAK 2018

Seftriaksone Injeksi 1 g Vial

438 DAK 2020

Sefotaksim Injeksi 1 g Vial

439 DAK 2019

Sefotaksim Injeksi 1 g Vial

440 DAK 2018

Sefotaksim Injeksi 1 g Vial

441 DAK 2020

Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 mcg Tablet

442 DAK 2021

Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 mcg Tablet

443 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

444 DAK 2019

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

445 DAK 2020

Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1 ml

446 DAK 2021

Simvastatin tablet/kaplet/salut 10 mg Tablet salut selaput

447 DAK 2020

Simvastatin tablet/kaplet/salut 10 mg Tablet salut selaput

448 DAK 2019

Simvastatin tablet/kaplet/salut 10 mg Tablet

449 DAK 2021

Siprofloksasin tab scored 500 mg Tablet

450 DAK 2019

Siprofloksasin tab scored 500 mg Tablet

451 DAK 2018

Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v) Dus, 1 Vial @ 5 ml
452 DAK 2019

Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v) Dus, 1 Vial @ 5 ml
453 DAK 2020

Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I ) Dus, 1 Vial @ 5 ml

454 DAK 2021

Serum antitetanus (A.T.S) cairan inj 1500 IU/amp (i.m) Ampul 1 ml

455 DAK 2019

Serum antitetanus (A.T.S) cairan inj 1500 IU/amp (i.m) Ampul 1 ml

456 DAK 2020

Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) Ampul 1 ml

457 DAK 2021

STREPTOMISIN SERBUK INJ IV 1000 mg/ml Vial

458 DAK 2019

Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml

459 DAK 2020

Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml

460 DAK 2019

Sukralfat tablet/kapsul/kaplet 500 mg Tablet

461 DAK 2020

Teofilin tablet 150 mg(Bronsolvan) Tablet

462 DAK 2019
 Teofilin tablet 150 mg(Bronsolvan) Tablet
463 DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

464 Tablet DAK 2018

Tetrasiklin tablet/kapsul/kaplet 500 mg

465 Tablet DAK 2019

Thiamphenicol 500 mg kaps Kapsul

466 DAK 2019

Thiamphenicol 500 mg kaps Kapsul

467 DAK 2018

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

468 DAK 2019

Thiamphenicol 125 mg/5 ml Syr Botol 60 ml

469 DAK 2018

Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) Tablet

470 DAK 2019

Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg Tablet

471 DAK 2018

Tramadol tablet 50 mg Tablet

472 DAK 2019

Tramadol tablet 50 mg Tablet

473 DAK 2018

Tramadol injeksi 50 mg/ml Ampul 2 ml

474 DAK 2018

Trifluoperazine 5mg Tablet

475 DAK 2019

Trifluoperazine 5mg Tablet

476 DAK 2018

Triheksifenidil tablet 2 mg Tablet

477 DAK 2018

Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet

478 DAK 2019

Valproat sirup 250 mg/5 ml Dus, Botol @ 100 mL

479 DAK 2018

Vitamin B Kompleks tablet Tablet

480 DAK 2020

Vitamin B Kompleks tablet Tablet

481 DAK 2021

Vitamin B Kompleks tablet Tablet

482 DAK 2019

Zinc sir 20 mg/5 Ml( Zircum Kid Sirup) Dus, Botol @ 60 ml

483 DAK 2019

Zinc sir 20 mg/5 Ml( Zircum Kid Sirup) Dus, Botol @ 60 ml

484 DAK 2021

Zinc tablet dispersible20 mg Tablet

485 DAK 2019

Zinc tablet dispersible20 mg

486 Tablet DAK 2021

Zinc tablet dispersible 20 mg

487 Tablet dispersible DAK 2020

Anti Difteri 10.000 IU Vial

488 DAK 2018
 ALAT KESEHATAN

BAHAN MEDIS HABIS PAKAI

Alat suntik sekali pakai 1 ml Piece

1 DAK 2021

Alat suntik sekali pakai 1 ml 23x1/4 Piece

2 DAK 2019

Alat suntik sekali pakai 3 ml Piece

3 DAK 2018

Alat suntik sekali pakai 3 ml 23x1/4 Piece

4 DAK 2019

Alat suntik sekali pakai 3 ml Piece

5 DAK 2020

Alat suntik sekali pakai 5 ml Piece

6 DAK 2018

Alat suntik sekali pakai 5 ml Piece

7 DAK 2021

Alat suntik sekali pakai 10 ml Piece

8 DAK 2018

Alat suntik sekali pakai 10 ml Piece

9 DAK 2020

Alat suntik sekali pakai 10 ml Piece

10 DAK 2019

Alat suntik sekali pakai 20 ml Piece

11 DAK 2019

Alat suntik sekali pakai 20 ml Piece

12 DAK 2020

Alat suntik sekali pakai 50 ml Piece

13 DAK 2020

Alat suntik sekali pakai 50 ml Piece

14 DAK 2021
Auto Disable Syringe / Alat Suntik Sekali Pakai Otomatis Rusak 0.5
Piece
15 ml 23GX1" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai Otomatis Rusak
Piece
16 0.05 ml 27GX3/8" DAK 2018
Auto Disable Syringe / Alat Suntik Sekali Pakai Otomatis Rusak
Piece
17 0.05 ml 27GX3/8" DAK 2019

Alkohol Swab 2-ply Piece

18 DAK 2018

Alkohol Swab 2-ply Piece

19 DAK 2019

Alkohol Swab 2-ply (Program P2P) Pcs

20 DAK 2020

Blood Lancet (21,26,28 G) Piece

21 DAK 2018

Blood Lancet( Program P2P) Pcs

22 DAK 2020

Blood Transfusion Set Piece

23 DAK 2020

Blood Transfusion Set Piece

24 DAK 2021
 Blood Transfusion Set Piece
25 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

26 DAK 2019

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

27 DAK 2019

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

28 DAK 2020

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

29 DAK 2020

CATGUT CHROMIC SMI 2/0 HR 26 MM Sachet

30 DAK 2021

CATGUT PLAIN SMI 2/0 HR 26 MM Sachet

31 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

32 DAK 2020

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

33 DAK 2020

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

34 DAK 2021

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

35 DAK 2021

CATGUT CHROMIC SMI 3/0 HR 26 MM Sachet

36 DAK 2019

CATGUT PLAIN SMI 3/0 HR 26 MM Sachet

37 DAK 2019

Folley Catheter 2 Way no. 22 Piece

38 DAK 2018

Folley Catheter 2 Way no. 22 Piece

39 DAK 2019

Folley Catheter 2 Way no. 22 Piece

40 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

41 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 22 Piece

42 DAK 2020

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

43 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 16 Piece

44 DAK 2021

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

45 DAK 2019

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

46 DAK 2018

FOLEYCATH, 2 way latex foley cath, no. 18 Piece

47 DAK 2021

EXAMINATION GLOVES, size M Piece

48 DAK 2020

EXAMINATION GLOVES, size M Piece

49 DAK 2018

EXAMINATION GLOVES, size S Piece

50 DAK 2018
 EXAMINATION GLOVES, size M Piece
51 DAK 2019

EXAMINATION GLOVES, size S Piece

52 DAK 2019

EXAMINATION GLOVES Piece

53 DAK 2021

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

54 DAK 2018

Sarung Tangan Obgyn Steril ( Obgyn glove ) pasang

55 DAK 2021

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

56 DAK 2020

Infus Set Anak PEDIATRIC SET (60 drops/ml) Piece

57 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
58 DAK 2020
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
59 DAK 2018
Infus Set Dewasa INFUSET (20 drops/ml)
Piece
60 DAK 2019

IV-Cath NP, pen type, no. 16 Piece

61 DAK 2018

IV-Cath NP, pen type, no. 16 Piece

62 DAK 2020

IV-Cath NP, pen type, no. 16 Piece

63 DAK 2021

I.V Catheter G18 X 45 MM Green Piece

64 DAK 2019

IV-Cath NP, pen type, no. 18 Piece

65 DAK 2018

IV-Cath NP, pen type, no. 18 Piece

66 DAK 2020

IV-Cath NP, pen type, no. 18 Piece

67 DAK 2021

I.V Catheter G20 X 33 MM Pink Piece

68 DAK 2019

IV-Cath NP, pen type, no. 20 Piece

69 DAK 2018

I.V Catheter ( G20 X 33 MM Pink Piece

70 DAK 2020

IV-Cath NP, pen type, no. 20 Piece

71 DAK 2021

I.V Catheter G22 X 25 MM Blue Piece

72 DAK 2019

IV-Cath NP, pen type, no. 22 Piece

73 DAK 2018

IV-Cath NP, pen type, no. 22 Piece

74 DAK 2020

IV-Cath NP, pen type, no. 22 Piece

75 DAK 2021

I.V Catheter G24 X 0.75 " Piece

76 DAK 2019
 IV-Cath NP, pen type, no. 24 Piece
77 DAK 2020

IV-Cath NP, pen type, no. 24 Piece

78 DAK 2018

IV-Cath NP, pen type, no. 26 Piece

79 DAK 2019

IV-Cath NP, pen type, no. 26 Piece

80 DAK 2020

IV-Cath NP, pen type, no. 26 Piece

81 DAK 2018

Kapas Pembalut Hidrofil DRC 250gr Roll

82 DAK 2018

Kapas pembalut / Absorben 250 gram Roll

83 DAK 2019

Kapas Pembalut Hidrofil DRC 250gr Roll

84 DAK 2020

Kapas Pembalut Hidrofil DRC 250gr Roll

85 DAK 2021

Kasa Hidrofil DRC 36m x 80cm Roll

86 DAK 2019

Kasa Hidrofil DRC 36m x 80cm Roll

87 DAK 2018

Kasa Hidrofil DRC 36m x 80cm Roll

88 DAK 2020

Kasa Hidrofil DRC 36m x 80cm Roll

89 DAK 2021

Kasa Steril DRC 16cm x 16cm (16 pads) Box

90 DAK 2019

Kasa Steril DRC 16cm x 16cm (16 pads) Box

91 DAK 2020

Kasa Steril DRC 16cm x 16cm (16 pads) Box

92 DAK 2021

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

93 DAK 2018

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

94 DAK 2020

Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs

95 DAK 2021

Kasa Pembalut Hidrofil DRC 4m x 10cm Roll

96 DAK 2018

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

97 DAK 2019

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

98 DAK 2020

Kasa Pembalut Hidrofil DRC 3.6m x 10cm Roll

99 DAK 2021

Surgical Mask Tie On Piece

100 DAU 2020

Surgical Mask Tie On Piece

101 DAK 2018

Surgical Mask Tie On Piece

102 DAK 2019
 Surgical Mask Tie On Piece
103 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Piece

104 DAK 2020

Surgical Mask Plus 3 Fly Plus Earloop Jilbab Piece

105 DAK 2021

Piece
106 NASAL OXYGEN, O2 cannula, size S DAK 2017

Piece
107 NASAL OXYGEN, O2 cannula, size S DAK 2018

Piece
108 NASAL OXYGEN, O2 cannula, size S DAK 2019

Piece
109 NASAL OXYGEN, O2 cannula, size S DAK 2020

Piece
110 NASAL OXYGEN, O2 cannula, size M DAK 2017

Piece
111 NASAL OXYGEN, O2 cannula, size M DAK 2018

Piece
112 NASAL OXYGEN, O2 cannula, size M DAK 2019

Piece
113 NASAL OXYGEN, O2 cannula, size M DAK 2020

Piece
114 NASAL OXYGEN, O2 cannula, size L DAK 2017

Piece
115 NASAL OXYGEN, O2 cannula, size L DAK 2018

Piece
116 NASAL OXYGEN, O2 cannula, size L DAK 2019

Piece
117 NASAL OXYGEN, O2 cannula, size L DAK 2020

Piece
118 Nebulizer Masker Anak DAK 2018

Piece
119 Nebulizer Masker Dewasa DAK 2018

Piece
120 Nebulizer Masker Anak DAK 2019

Piece
121 Nebulizer Masker Dewasa DAK 2019

Piece
122 Nebulizer Masker Anak DAK 2020

Piece
123 Nebulizer Masker Dewasa DAK 2020

Piece
124 Nebulizer Masker Dewasa DAK 2021

Piece
125 Nasogastric Tube No 3.5 DAK 2019

Piece
126 Nasogastric Tube No 5 DAK 2019

Piece
127 Nasogastric Tube No 16 DAK 2019

Piece
128 Nasogastric Tube No 3.5 DAK 2020
 Piece
129 Nasogastric Tube No 5 DAK 2020

Piece
130 Nasogastric Tube No 16 DAK 2020

Piece
131 Nasogastric Tube No 3.5 DAK 2021

Plester Leukoplast Hospital 2.50 cm x 4.5 m Roll

132 DAK 2021

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

133 DAK 2019

Plester Leukoplast Hospital 7.50 cm x 4.5 m Roll

134 DAK 2020

Plester Polifix 10 cm x 5 m Roll

135 DAK 2021

Plester Polifix 10 cm x 5 m Roll

136 DAK 2018

Plester Polifix 10 cm x 5 m Roll

137 DAK 2019

Plester Polifix 10 cm x 5 m Roll

138 DAK 2020

Pembalut Elastis 10 cm x 4,55 m Roll

139 DAK 2021

Pembalut Elastis 10 cm x 4,55 m Roll

140 DAK 2018

Pembalut Elastis 10 cm x 4,55 m Roll

141 DAK 2020

Scalpel Blades Nomor 10 Piece

142 DAK 2017

Scalpel Blades Nomor 10 Piece

143 DAK 2018
Benang Bedah SMI
Sachet
144 SILK BLACK 3/0 DS 24 MM DAK 2019
Benang Bedah SMI
Sachet
145 SILK BLACK 3/0 DS 24 MM DAK 2021
Benang Bedah SMI
Sachet
146 SILK BLACK 3/0 DS 24 MM DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

147 DAK 2020

Onemed U Pad Steril 60 x 90 cm Blister

148 DAK 2021

Onemed U Pad Steril 60 x 90 cm Blister

149 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

150 DAK 2019

URINE DRAINAGE BAG, T valve, with hanger Piece

151 DAK 2021

URINE DRAINAGE BAG, T valve, with hanger Piece

152 DAK 2020

Alkohol 70% Botol 100 ml

153 DAK 2020

Alkohol 70% Botol 100 ml

154 DAK 2021
 Alkohol 70% Botol 100 ml
155 DAK 2019

Lysol 1 liter Botol 1 L

156 DAK 2019

Lysol 1 liter Botol 1 L

157 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

158 DAK 2020

Povidone Iodine 300 ml Botol @ 300 ml

159 DAK 2021

Povidone Iodine 300 ml Botol @ 300 ml

160 DAK 2019

Rivanol 300 cc Botol @ 300 ml

161 DAK 2020

Rivanol 300 cc Botol @ 300 ml

162 DAK 2021

Rivanol 300 cc Botol @ 300 ml

163 DAK 2019

Gel Lubricant Botol

164 DAK 2020

POLI AID Botol 1 Liter

165 DAK 2020

POLI CLEAN Botol 500 ml

166 DAK 2020

POLI WASH Botol 500 ml

167 DAK 2020

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

168 DAK 2021

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

169 DAK 2021

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

170 DAK 2021

Cairan Antiseptika pencuci alat instrumen Botol 1 Liter

171 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

172 DAK 2018

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

173 DAK 2018

Cairan Antiseptika pencuci tangan tanpa dibilas Botol 500 ml

174 DAK 2019

Cairan Antispetika pencuci tangan dengan dibilas Botol 500 ml

175 DAK 2019

REAGENSIA

Total Cholesterol Test Strip 10's Strip

1 DAK 2020

Uric Test Strip 25's Strip

2 DAK 2020

Glucose Test Strip 50's Strip

3 DAK 2020

Total Cholesterol Test Strip 10's Strip

4 DAK 2018
 Uric Test Strip 25's Strip
5 DAK 2018

Glucose Test Strip 50's Strip

6 DAK 2018

Total Cholesterol Test Strip 10's Strip

7 DAK 2019

Uric Test Strip 25's Strip

8 DAK 2019

Glucose Test Strip 50's Strip

9 DAK 2019

Alkazym Sachet
10 DAK 2019

Alkacide Botol 1 liter

11 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

12 DAK 2020

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

13 DAK 2020

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

14 DAK 2020

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

15 DAK 2020

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

16 DAK 2019

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

17 DAK 2019

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

18 DAK 2019

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

19 DAK 2019

Anti-A Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

20 DAK 2021

Anti-A,B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

21 DAK 2021

Anti-B Monoclonal Golongan Darah (Vial 10 ml) Vial 10 ml

22 DAK 2021

Anti-D Duoclone Golongan Darah (Vial 10 ml) Vial 10 ml

23 DAK 2021

Rapid test HIV 1/2 Kit

24 DAK 2020

Anti HIV 1/2 Cassette each

25 DAK 2017

Anti HIV 1/2 Cassette each

26 DAK 2018

Anti HIV 1/2 Cassette each

27 DAK 2019

Gluco Protein tes Piece

28 DAK 2020

Gluco Protein tes Piece

29 DAK 2019

Gluco Protein tes Piece

30 DAK 2021
 HCG Strip each
31 DAK 2020

HCG Strip each

32 DAK 2019

HCG Strip each

33 DAK 2021

Malaria Pf & Pv Cassette each

34 DAK 2017

Malaria Pf & Pv Cassette each

35 DAK 2018

Malaria Pf & Pv Cassette each

36 DAK 2019

Hb strip Dr Family test Tes

37 DAK 2020

Hb strip Dr Family test Tes

38 DAK 2021

Hb strip Dr Family test Tes

39 DAK 2019

HBsAg Strip each

40 DAK 2020

HBsAg Strip each

41 DAK 2018

HBsAg Strip each

42 DAK 2019

Hexagon Syphilis KIT

43 DAK 2019

Rapid Siphilis (Program P2P) Pcs

44 DAK 2020

R.Detergent urit (urit 3000 plus) Gallon 5 L

45 DAK 2021

R.Dilluen urit (urit 3000 plus) Gallon 20 L

46 DAK 2021

R.Lytic urit (urit 3000 plus) Botol 1 L

47 DAK 2021

R.Detergent urit (urit 3000 plus) Gallon 5 L

48 DAK 2019

R.Dilluen urit (urit 3000 plus) Gallon 20 L

49 DAK 2019

R.Lytic urit (urit 3000 plus) Botol 1 L

50 DAK 2019

R.Detergent urit (urit 3000 plus) Gallon 5 L

51 DAK 2020

R.Dilluen urit (urit 3000 plus) Gallon 20 L

52 DAK 2020

R.Lytic urit (urit 3000 plus) Botol 1 L

53 DAK 2020

BCC Series Lyse (Dirui 3600) Gallon 5 L

54 DAK 2020

BCC Diluen (Dirui 3600) Gallon 20 L

55 DAK 2020

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

56 DAK 2020
 BCC Series Lyse (Dirui 3600) Gallon 5 L
57 DAK 2021

BCC Diluen (Dirui 3600) Gallon 20 L

58 DAK 2021

BCC Series Probe Cleanser (Dirui 3600) Botol 1 L

59 DAK 2021

Rapid tes Dengue (IgG-IgM) Device Tes

60 DAK 2020

Rapid tes Dengue (IgG-IgM) Device Tes

61 DAK 2019

Rapid tes Dengue (IgG-IgM) Device Tes

62 DAK 2018

Aquadest Botol 1 Liter

63 DAK 2021

Aquadest Botol 1 Liter

64 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

65 DAK 2020

Salmonella Typhi O Widal Test Vial 5 ml

66 DAK 2020

Salmonella Paratyphi AH Widal Test Vial 5 ml

67 DAK 2020

Salmonella Paratyphi AO Widal Test Vial 5 ml

68 DAK 2020

Salmonella Paratyphi BH Widal Test Vial 5 ml

69 DAK 2020

Salmonella Paratyphi BO Widal Test Vial 5 ml

70 DAK 2020

Salmonella Paratyphi CH Widal Test Vial 5 ml

71 DAK 2020

Salmonella Paratyphi CO Widal Test Vial 5 ml

72 DAK 2020

Salmonella Typhi H Widal Test Vial 5 ml

73 DAK 2021

Salmonella Typhi O Widal Test Vial 5 ml

74 DAK 2021

Salmonella Paratyphi AH Widal Test Vial 5 ml

75 DAK 2021

Salmonella Paratyphi AO Widal Test Vial 5 ml

76 DAK 2021

Salmonella Paratyphi BH Widal Test Vial 5 ml

77 DAK 2021

Salmonella Paratyphi BO Widal Test Vial 5 ml

78 DAK 2021

Salmonella Paratyphi CH Widal Test Vial 5 ml

79 DAK 2021

Salmonella Paratyphi CO Widal Test Vial 5 ml

80 DAK 2021

Blood Lancet Piece

81 DAK 2021

Alkohol Swab Piece

82 DAK 2021
 Handschoon size M Piece
83 DAK 2021

Handschoon Steril Piece

84 DAK 2021

Underpad Steril 60 x 90 cm Piece

85 DAK 2021

Rapid Diagnostk Tes DBD Piece

86 DAK 2021

Rapid Diagnostik Tes HIV Piece

87 DAK 2021

Rapid Diagnostik Tes Sipilis Piece

88 DAK 2021

Katrid TCM TBC( Xpert MTB/RIF Assay Kit) Piece

89 DAK 2021

Glukosa Test Piece

90 DAK 2021

Handschoon size M Piece

91 DAK 2021

HCG Strip each

92 DAK 2021
HARGA PEROLEHAN
SLK SLT SL3 SBK PMK SPR
6 6 7 8 9 10 11

105.00 - - - - - -

89.00 - - - - - -

105.00 - - - - - 2,000.00

88.00 - - - - - -

3,850.00 - - - - - -

2,750.00 100.00 50.00 50.00 - 100.00 -

4,525.00 - - - - - -

143.00 - - - - - -

144.00 - - - - - -

150.00 - - - - - -

2,736.00 - - - - - -

3,071.00 - - - - - -

101.00 - - - - - -

101.00 - - - - - -

363.00 - - - - - -

168.00 - - - - - -

168.00 - - 500.00 - - -

80.00 - - - - - -

55.00 - 2,000.00 2,000.00 1,000.00 3,000.00 1,200.00

80.00 - - - - - -
 265.00 - - - - - -

231.00 3,000.00 2,000.00 5,000.00 3,000.00 - 4,000.00

266.00 - - - - - -

3,300.00 - - - - - -

1,919.00 - - - - - -

5,850.00 - - - - - -

2,050.00 200.00 - - - 100.00 100.00

3,604.00 - - - - - -

3,846.00 - - - - - -

3,510.00 - - 100.00 - - -

2,239.00 - - - - - -

2,098.00 - - - - - -

1,756.00 - - - - - -

54.00 3,000.00 1,000.00 2,000.00 - 2,000.00 3,000.00

60.00 - - - - - -

60.00 - - - - - -

6,160.00 - - - - - -

5,060.00 25.00 - 25.00 50.00 - -

6,190.00 - - - - - -

5,170.00 24.00 - - 24.00 - -

3,260.00 30.00 - - - - -

3,642.00 - - - - - -

3,642.00 - - - - - -

212.00 500.00 - - - - -

235.00 - - - - - -

2,860.00 - - - - - -
2,624.60 120.00 - - - - -

275.00 - - - - - -

120.00 - - - - - -

46.00 3,000.00 500.00 - 1,000.00 2,000.00 3,000.00

120.00 - - - - - -

54.00 - - - - - -

117.00 3,000.00 2,000.00 1,500.00 1,000.00 - 3,000.00

286.00 - - - - - -

286.00 - - - - - -

1,784.00 - - - - - -

1,784.00 - - - - - -

198.00 - - - - - -

1,880.00 - - - - - -

2,374.00 - - - - - -

89.00 - 100.00 - - 500.00 -

105.00 - - - - - -

440.00 - - - - - -

3,630.00 - - - - - -

3,388.00 - - 25.00 25.00 25.00 25.00

3,630.00 - - - - - -

429.00 200.00 - - 500.00 - 300.00

454.00 - - - - - -

770.00 - - - - - -

159.00 - - - - - -

505.00 - - - - - -

1,859.00 - - - - - -
 1,778.00 - - - - - -

409.00 - - - - - -

2,662.00 - - - - - -

2,750.00 - - - - - -

3,000.00 - - - - - -

83,190.00 - - - - - -

83,190.00 - - - - - -

83,190.00 - - - - - -

119.00 - - - - - -

119.00 - - - - - -

92.00 1,000.00 300.00 - 500.00 - -

626.00 - - - - - -

143.00 210.00 - - 210.00 600.00 -

1,465.00 - - - - - -

2,439.00 50.00 25.00 50.00 25.00 50.00 25.00

1,465.00 - - - - - -

5,900.00 - - - - - -

4,325.00 - - - - 10.00 -

5,900.00 - - - - - -

6,000.00 - - - - - -

5,085.00 - - - - 6.00 -

17,875.00 - - - - - -

52.00 1,000.00 1,500.00 1,500.00 - - 2,000.00

104.00 - - - - - -

104.00 - - - - - -

3,061.00 - - - - - -
 2,215.00 100.00 100.00 50.00 - 100.00 -

3,061.00 - - - - - -

968.00 - - - - - -

1,210.00 - - - - - -

1,210.00 100.00 - - - - 50.00

77.00 - - - - - -

36.00 - - - - - -

77.00 3,000.00 2,000.00 - 1,000.00 600.00 3,000.00

1,200.00 - - - - - -

5,720.00 - - - - - -

86.00 - 200.00 - - - -

86.00 - - - - - -

1,913.00 - - - - - -

1,913.00 - - - - - -

1,913.00 - - - - - -

21,021.00 - - - - - -

21,021.00 - - - - - -

14,459.00 - - - - - -

14,459.00 - - - - - -

14,459.00 - - - - - -

1,347.00 - - - - - -

1,347.00 - - - - - -

825.00 - - - - - -

143.00 - - 300.00 - 100.00 200.00

280.00 - - - - - -

264.00 - - - - - -
 75.00 1,000.00 - - 1,000.00 - 500.00

96.00 - - - - - -

96.00 - - - - - -

2,862.00 - - - - - -

5,500.00 - - - - - -

2,862.00 - - - - - -

2,401.00 50.00 50.00 - - 50.00 -

1,088.00 - - - - - -

1,740.00 - - - - - -

1,518.00 - - - - - -

1,518.00 - - - - - -

781.00 500.00 - - 500.00 - -

7,436.00 50.00 - - - - -

400.00 - - - - - -

165,000.00 - - - - - -

175,000.00 - - - - - -

21,648.00 - - - - - -

20,175.00 - - - - - -

197.00 - - - - - -

197.00 - - - - - -

2,764.00 - - - - - -

3,300.00 - - - - - 24.00

3,630.00 - - - - - -

1,914.23 - - - - - -

4,236.00 - - - - - -

873.00 - - - - - -
 14,738.00 - - - - - -

15,675.00 - - - - - -

15,675.00 - - - - - -

111.00 - - - - - -

84.00 - - - - - -

220.00 1,000.00 500.00 - - 500.00 -

1,555.00 - - - - - -

1,555.00 - - - - - -

969.00 - - - - - -

1,122.00 - - - - - -

1,055.00 - - - - - -

4,400.00 - - - - - -

281.00 - - - 1,000.00 - -

286.00 - - - - - -

280.00 - - - - - -

3,300.00 - - - - - -

3,300.00 - - - - - -

2,937.00 10.00 10.00 30.00 10.00 10.00 10.00

4,885.00 - - - - - -

4,885.00 - - - - - -

4,885.00 - - - - - -

5,170.00 - 24.00 48.00 48.00 - 48.00

3,150.00 - - - - - -

3,300.00 - - - - - -

3,300.00 - - - - - 24.00

830,000.00 - - - - - -
 650,000.00 - - - - - -

940,000.00 - - - - - -

475,000.22 - - - - - -

137.00 - - - - - -

86.00 - - 500.00 1,000.00 500.00 500.00

137.00 - - - - - -

235.00 200.00 - - 1,000.00 200.00 -

212.00 - - - - - -

207.00 - - - - - -

123.00 200.00 - 1,000.00 1,000.00 500.00 500.00

207.00 - - - - - -

99.00 1,000.00 - - - 1,000.00 4,000.00

79.50 - - - - - -

8,003.00 - - - - - -

7,363.00 - - - - - -

6,900.00 - - - - - -

266.00 - - - 1,000.00 - 500.00

59.00 - - - - - -

59.00 - - - - - -

101,300.00 - - - - - -

101,300.00 - - - - - -

101,300.00 - - - - - -

1,325,000.00 - - - - - -

1,325,000.00 - - - - - -

1,375,000.00 - - - - - -

171.00 - - - 2,000.00 - -
2,533.00 - - - - - -

2,325.00 - - - - - -

2,533.00 - 72.00 - - 48.00 48.00

242.00 - - - - - -

198.00 - - - - - -

195.00 - 1,000.00 - 2,000.00 2,000.00 3,000.00

264.00 - - - - - -

330.00 - - - - - -

127.00 - - - - - -

8,400.00 - - - - - -

2,520.00 - - - - - -

2,339.00 - - - 50.00 50.00 50.00

99.00 - - - - - -

99.00 - - - - - -

77.00 - - - - - -

198.00 - - - - - -

198.00 - - - - - -

99.00 200.00 - - 500.00 - -

154.00 - - - - - -

154.00 - - - - - -

60.00 3,000.00 - 2,000.00 - 2,000.00 -

63.00 - - - - - -

99.00 - - - - - -

132.00 - - - - - -

75.00 2,000.00 3,000.00 3,000.00 - - -

661.00 - - - - - -
 212.00 300.00 - - - 600.00 300.00

661.00 - - - - - -

250.00 - - - - - -

216.00 - - 300.00 700.00 - -

250.00 - - - - - -

2,399.00 - - - - - -

2,577.00 - - - - - -

286.00 - - - - - -

260.00 - - - - - 100.00

1,089.00 - - - - - -

1,089.00 - - - - - -

923.00 - - - - - -

1,870.00 - - - - - -

583.00 - - - - - -

1,875.00 - - - - - -

1,568.00 - - - - - -

1,469.00 - - - - - -

1,568.00 - - - - - -

502.29 - - - - - -

565.50 - - - - 200.00 -

5,170.00 - - - - - -

2,054.00 - - - - - -

2,054.00 - - - - - -

5,352.00 - - - - - -

5,319.00 - - - - - -

8,875.00 - - - - - -
8,434.00 50.00 25.00 - 25.00 - 25.00

8,800.00 - - - - - -

8,875.00 - - - - - -

8,800.00 - - - 25.00 - 25.00

6,600.00 - - - - - -

24.00 - - - - - -

24.00 - - - - - -

1,531.00 - - - - - -

1,531.00 - - - - - -

1,435.00 - - - - - -

242.00 - - - - - -

170.00 - - - - - -

234.03 - - - - - -

181.00 - - - - - -

1,121.00 - - - - - -

1,550.00 - - - - - -

2,052.00 - - - - - -

2,190.00 - - - - - -

299.00 - - - - - -

319.00 - - - - - -

847.00 - - - - - -

1,315.00 - - - - - -

1,403.00 - - - - - -

1,405.00 60.00 60.00 30.00 120.00 - -

1,405.00 - - - - - -

132.00 - - - - - -
 81.00 - - - 500.00 - -

176.00 - - - - - -

136.00 - - - - - -

117.00 - - - - - -

136.00 - 1,000.00 - 1,000.00 1,000.00 -

3,796.00 - - - - - -

4,700.00 10.00 - - - 10.00 -

3,796.00 - - - - - -

148.00 - - - - - -

148.00 2,000.00 - - 1,000.00 - -

102.00 - - - - - -

11,449.00 - - - - - -

12,217.00 - - - - - -

12,217.00 - - - - - -

243.00 - - - - - -

214.00 100.00 - - - 100.00 100.00

3,399.00 - - - - - -

1,069.00 100.00 - - - - -

3,399.00 - - - - - -

89.00 - - - - - -

83.00 - - - - - -

4,554.00 - - - - - -

4,554.00 - - - - - -

1,983.00 20.00 - - - - -

2,700.00 - - - - - -

6,750.00 - - - - - -
 109.00 - - - - - -

109.00 - - - - - -

77.00 - 1,000.00 - 2,000.00 2,000.00 2,000.00

8,250.00 - - - - - -

8,250.00 - - - - - -

127.00 - - - - - -

253.00 1,000.00 - - 500.00 - 500.00

253.00 - - - - - -

3,950.00 - - - - - -

3,950.00 - - - - - -

3,926.00 - - - - - -

3,926.00 - - - - - -

1,900.00 24.00 24.00 24.00 - - 24.00

145.00 - - - - - -

220.00 - - - - - -

109.00 2,000.00 - 2,000.00 3,000.00 - 2,800.00

6,410.00 - - - - - -

6,840.00 - - - - - -

107.00 - - - - - -

114.00 - - - - - -

627.00 - - - - - -

645.00 - - - - - -

971.00 - - - - - -

971.00 - - - - - -

869.00 - - - - - -

24,198.00 - - - - - -
 317.00 - 300.00 300.00 - 300.00 300.00

1,492,579.00 - - - - - -

267,397.00 - - - - - -

6,500.00 - - - - - -

6,100.00 - - - - - -

5,500.00 - - - - - -

9,570.00 - - - - - -

605.00 - - - - - -

9,975.00 - - - - - -

659.00 - - 500.00 1,000.00 - -

12,000.00 - - - - - -

660.00 - - - - - -

1,980.00 - - - - - -

1,649.36 - - - - - -

3,200.00 - - - - - -

2,600.00 - - - - - -

2,774.00 - 25.00 - 50.00 - -

2,774.00 - - - - - -

1,248.00 100.00 - - - - -

1,232.00 - - - - - -

11,868.00 - - - - - -

11,868.00 - - - - - -

11,868.00 - - - - - -

147.00 - - - - - -

129.00 400.00 - 1,400.00 400.00 400.00 -

220.00 - - - - - -
 429.00 - - - - - -

275.00 - - - - - -

429.00 - - - - - -

1,258.00 - - - - - -

5,500.00 - - - - - -

963.00 30.00 - - - - -

13,200.00 - - - - - -

2,971.00 - - - - - -

1,238.00 - - - - - -

1,160.00 200.00 100.00 - 100.00 100.00 -

5,204.00 - - - - - 96.00

7,646.00 - - - - - -

7,646.00 - - - - - -

121.00 - - - - - -

165.00 6,000.00 1,000.00 6,500.00 3,000.00 - 5,000.00

150.00 - - - - - -

20,700.00 - - - - - -

542.00 - - - - - 200.00

505.00 - - - - - -

505.00 - - - - - -

6,600.00 - - - - - -

6,600.00 - - - - - -

249.00 - - - - - -

72.00 - - - - - -

141.00 - - - - - -

150.00 - - - - - -
 150.00 - - - - - -

165.00 - - - - - -

165.00 - - - - - -

198.00 2,000.00 1,000.00 - - 1,000.00 2,000.00

79.00 - - - 300.00 - -

73.00 - - - - - -

79.00 - - - - - -

329.00 - - - - - 100.00

354.00 - - - - - -

63.00 - - - - - -

63.00 - - - - - -

63.00 - - - - 300.00 -

440.00 - - - - - -

440.00 - - - - 300.00 -

190,000.00 - - - - - -

235.95 - - - - - -

198.00 - - - - - -

210.00 1,000.00 2,000.00 - 3,000.00 1,000.00 3,000.00

85.00 - - - - - -

1,188.00 - - - - - -

858.00 100.00 - - - - -

1,188.00 - - - - - -

331.00 - - - - - -

596.00 - - - - - -

985.00 - - - - - -

934.00 - - - - - -
 1,134.00 - - - - - -

7,150.00 - - - - - -

7,630.00 - - - - - -

287.00 - - - - - -

132.00 - - - - 1,000.00 -

67.00 - - - - - -

132.00 - - - - - -

4,446.00 - - - - - -

6,796.68 - - - - - -

4,189.00 - - - - - -

11,000.00 - - - - - -

5,400.00 - - - - - -

11,000.00 - - - - - 20.00

3,017.00 - - - - - -

1,475.00 20.00 - - 20.00 20.00 20.00

11,825.00 - - - - - -

11,466.00 - - - - 5.00 -

5,710.00 - - - - - -

923.00 - - - - - -

4,360.00 - - - - - -

4,360.00 200.00 - - 100.00 200.00 -

4,086.00 - - - - - -

880.00 - - - - - -

492.00 - - - - - -

880.00 - - - - - -

5,146.00 - - - - - -
 4,822.00 - - - - - -

5,146.00 - - - - - -

4,706.00 - - - - - -

4,410.00 - - - - - -

4,706.00 - - - - - -

44.00 2,000.00 - - 1,000.00 - 2,000.00

52.00 - - - - - -

1,160.00 - - - - - -

1,160.00 - - - - - -

1,066.00 - - - - - -

117.00 - - - - - -

117.00 - - - - - -

73.00 - - 2,000.00 600.00 - 2,000.00

528.00 - - - - - -

281.00 - - - - - -

512,204.00 - - - - - -

512,204.00 - - - - - -

517,132.00 - - - - - -

130,999.00 - - - - - -

130,999.00 - - - - - -

130,999.00 - - - - - -

5,980.00 - - - - - -

7,338.00 - - - - - -

7,338.00 - - - - - -

983.00 - - - - - -

330.00 - - - - 500.00 -
 330.00 - - - - - -

310.00 - - - - - -

331.00 - - 500.00 - - 300.00

847.00 - - - - - -

832.50 - - - - - -

7,150.00 - - - - 60.00 -

11,000.00 - - - - - -

94.00 - - - - - -

88.00 - - - - 2,000.00 -

660.00 - - - - - -

329.68 - - - - - -

1,764.00 - - - - - -

330.00 - - - - - -

309.00 - - - - - -

95.00 - - - - - -

101.00 - - - - - -

17,789.00 - - - - - -

135.00 - - - - - -

60.00 3,000.00 1,000.00 3,000.00 - 3,000.00 2,000.00

135.00 - - - - - -

3,285.00 - - - - - -

2,489.00 - - - - - -

604.00 - - - - - -

253.00 - - - - - -

604.00 - - - 500.00 - 500.00

2,200,000.00 - - - - - -
 - - - - - -

- - - - - -

1,248.88 - - 200.00 100.00 - -

1,335.02 - - - - - -

1,033.56 - - - - - -

1,205.82 - 500.00 - 500.00 - 500.00

1,205.82 - - - - - -

1,277.60 - - - - - -

1,263.24 - - - - - -

1,693.89 - - - - - -

1,909.21 - - - - - -

1,909.21 - - - - - -

1,803.50 - - - - - -

1,803.50 - - - - - -
4,507.37
- - - - - -
5,268.29
- - - - - -
1,240.00
- - 200.00 300.00 - -

1,650.00 - - - - - -

1,597.00 - - - - - -

134.20 - - - - - -

188.76 - - - - - -

259.52 500.00 - - 2,000.00 - -

155.91 - - - - - -

124.48 500.00 - - 500.00 - -

17,958.11 - - - - - -

10,980.20 - - - - - -
17,958.11 - - - - - -

33,785.00 - - - - - -

35,285.00 - - - - - -

33,785.00 - - - - - -

35,285.00 - - - - - 24.00

26,941.00 - - - - - -

28,019.00 - - - - - -

33,785.00 - - - - - -

35,285.00 - - - 24.00 - 24.00

26,941.00 - - - - - -

28,019.00 - - - - - -

33,785.00 - - - - - -

35,285.00 - - - - - -

10,000.00 - - - - - -

16,008.00 - - - - - -

25,300.00 - - - - - -

14,109.30 - - - - - -

16,008.00 - - - - - -

13,420.00 - - - - - -

12,100.00 - - - - - -

14,109.30 - - - - - 10.00

13,420.00 - - - - - -

12,100.00 - - - - - -

1,597.96 - - - - - -

563.64 - - - - - -

563.64 - - - - - -
 590.48 - - - - - -

590.48 - - - - - -

1,207.60 - - - - - -

24,200.00 - - - - - -

23,750.00 - - - - - -

6,606.30 - - - - - -

6,222.00 - - - - - -

6,217.12 - - - - - -

5,856.00 - - - - - -

6,217.12 - - 50.00 100.00 - 200.00

7,320.00 - - - - - -

7,177.50 - - - - - -

6,287.49 - - - - - -

7,177.50 - - - - - -

7,320.00 - - - - - -

7,177.50 - - - - - 100.00

6,287.49 - - - - - -

7,177.50 - - - - - -

7,320.00 - - - - - -

7,177.50 - - - - - -

6,287.49 - - - - - -

7,177.50 - - - - - -

7,320.00 - - - - - -

7,177.50 - - - - - 100.00

6,287.49 - - - - - -

7,177.50 - - - - - -
 7,177.50 - - - - - -

7,320.00 - - - - - -

9,827.10 - - - - - -

9,827.10 - - - - - -

9,394.00 - - - - - -

28,750.00 - - - - - -

27,725.00 - - - 5.00 10.00 5.00

34,228.40 - - - - - -

33,900.00 - - - - - -

149,040.00 - - - - - -

141,400.00 - - - - - -

149,040.00 - 10.00 - 5.00 - -

164,456.11 - - - - - -

8,109.49 - - - - - -

8,109.33 - 50.00 - - - 50.00

10,000.00 - - - - - -

8,903.23 - - - - - -

6,390.00 - - - - - -

9,375.00 50.00 - 50.00 - - 50.00

2,475.75 - - - - - -

2,582.13 - - - - - -

2,571.75 - - - - - 100.00

2,856.89 - - - - - -

3,636.36 - - - - - -

412.50 - - - - - -

671.78 - - - - - -
 3,100.00 - - - - - -

3,000.00 - - - - - -

2,164.80 - - - - - -

8,052.00 - - - - - -

8,052.00 - - - - - -

8,454.60 - - - - - -

8,454.60 - - - - - -

8,052.00 - - - - - -

8,052.00 - - - - - -

8,454.60 - - - - - -

8,454.60 - - - - - -

8,052.00 - - - - - -

8,052.00 - - - - - -

8,454.60 - - - - - -

8,454.60 - - - - - -

16,704.00 - - - - - -

16,704.00 - - - - - -

19,372.00 - - - - - -

19,372.00 - - - - - -

19,372.00 - - - - - -

19,372.00 - - - - - -

17,980.00 - - - - - -

5,940.00 - - - - - -

14,080.00 - - - - - -

12,430.00 - - - - - -

5,940.00 - - - - - -
14,080.00 - - - - - -

12,430.00 - - - - - -

33,000.00 - - - - - -

14,810.89 - - - - - -

12,675.00 - - - - - -

12,675.00 - - - - - -

77,600.00 - - - - - -

75,537.00 - - - - - -

80,192.00 - - - - - -

78,285.55 - - - - - -

35,174.50 - - - - - -

34,300.00 - - - - - -

46,853.42 - - - 10.00 - -

3,300.00 - - - - - -

3,300.00 - - - - - -

20,685.00 - - - - - -

17,024.00 - - - - - -

23,385.00 - - - - - -

9,164.00 - - - - - -

9,280.00 50.00 - - 30.00 - -

9,164.00 - - - - - -

5,568.00 - - - - - -

7,308.00 - - - 10.00 - -

9,280.00 - - - - - -

5,699.98 120.00 - - - - -

5,533.00 - - - - - -
 9,400.00 - - - - - -

53,300.00 - - - - - -

51,500.00 - - - - - -

27,300.00 - - - - - -

27,300.00 3.00 - - 3.00 - 3.00

17,550.00 - - - - - -

3,900.00 5.00 - - 3.00 - 5.00

6,089.00 - - - - - -

9,400.00 - - - - - -

36,955.20 - - - - - -

137,137.86 - - - - - -

81,832.79 - - - - - -

62,216.18 - - - - - -

88,475.81 - - - - - -

34,091.80 - 3.00 - - - -

79,315.50 - - - - - -

141,417.00 - - - - - -

83,038.00 - - - - - -

64,785.00 - - - - - -

63,840.00 - - - - - -

70,917.00 - - - - - -

- - - - - -

25,546.32 - - - - - -

6,214.29 - - - - - -

3,390.99 - - - - - -

23,566.00 - - - - - -
 5,238.80 - - - - - -

3,188.24 - - - - - -

25,592.50 - - - - - -

6,229.83 - - - - - -

3,401.16 - - - - - -

801,000.00 - - - - - -

2,702,700.00 - - - - - -

74,625.00 - - - - - -

96,625.00 - - - - - -

74,625.00 - - - - - -

116,625.00 - - - - - -

74,625.00 - - - - - -

96,625.00 - - - - - -

74,625.00 - - - - - -

116,625.00 - - - - - -

128,625.00 1.00 - - - - 1.00

177,125.00 1.00 - - - - 1.00

128,625.00 1.00 - - - - 1.00

218,125.00 1.00 - - - - 1.00

13,140.60 - - - - - -

15,297.00 - - - - - -

15,297.00 - - - - - -

13,655.00 - - - - - -

1,296.00 50.00 - - - - 100.00

1,150.00 - - - - - -

1,306.25 - - - - - -
 4,720.00 - - - - - -

4,720.00 - - - - - -

12,859.00 - - - - 25.00 50.00

53,180.00 - - - - - -

53,180.00 - - - - - -

21,720.00 - - - - - -

9,048.17 - - - - - -

6,186.16 50.00 - 25.00 25.00 50.00 -

9,048.18 - - - - - -

10,967.00 - - - - - -

10,967.00 - - - - - -

10,967.00 - - - - - -

28,768.50 - - - - - -

12,882.45 - - - - - -

423,500.00 - - - - - -

1,135,000.00 - - - - - -

1,463,000.00 - - - - - -

338,800.00 - - - - - -

1,232,000.00 - - - - - -

1,355,200.00 - - - - - -

423,500.00 6.00 - - - - -

1,355,200.00 2.00 - - - - -

1,463,000.00 2.00 - - - - -

4,250,665.17 - - - - - -

2,774,860.00 - - - - - -

3,699,850.00 - - - - - -
4,250,665.00 - - - - - -

2,774,860.00 - - - - - -

3,699,850.00 - - - - - -

19,175.00 - - - - - -

22,775.00 - - - - - -

40,848.33 - - - - - -

30,697.00 - - - - - -

18,500.00 10.00 - - - - -

73,625.00 - - - - - -

73,625.00 - - - - - -

73,625.00 - - - - - -

73,625.00 - - - - - -

73,625.00 - - - - - -

73,625.00 - - - - - -

73,625.00 - - - - - -

73,625.00 - - - - - -

116,781.00 - - - - - 1.00

116,781.00 - - - - - 1.00

116,781.00 - - - - - 1.00

116,781.00 - - - - - 1.00

116,781.00 - - - - - 1.00

116,781.00 - - - - - 1.00

116,781.00 - - - - - 1.00

116,781.00 - - - - - 1.00

177.24 - - - - - -

159.06 - - - - - -
 1,724.80 - - 500.00 - 500.00 500.00

12,575.84 - - - - - -

9,164.00 - - - - - -

60,605.88 - - - - - -

11,745.66 - - - - - -

11,318.86 - - - - - -

254,400.00 - - - - - -

3,399.09 - - 600.00 1,000.00 500.00 -

1,405.00 500.00 500.00 300.00 500.00 - 500.00

12,500.00 - - - - - -
 STOK OPNAME OBAT
APBD II TAH
PUSKESMAS KABU

SISA STOK
SKL TBS SBW TRG SBS SBR SJD SJK
12 13 14 15 16 17 18 19

- - - - - - - -

- - - - - - - -

- - - - 1,000.00 - - -

- - - - - - - -

- - - - - - - -

- - - - 200.00 50.00 50.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 10.00 - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

500.00 - - - - - 500.00 -

- - - - - - - -

1,000.00 - 3,000.00 2,000.00 3,000.00 1,000.00 3,000.00 -

- - - - - - - -
 - - - - - - - -

2,000.00 - 4,000.00 2,000.00 8,000.00 1,000.00 3,000.00 2,000.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - 100.00 200.00 - 100.00 100.00

- - - - - - - -

- - - - - - - -

- - - - - - - 100.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 2,000.00 3,000.00 7,000.00 1,500.00 2,000.00 3,000.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 25.00 50.00 - - - - 25.00

- - - - - - - -

- - - - 24.00 - - -

- 30.00 - 20.00 30.00 - - 20.00

- - - - - - - -

- - - - - - - -

- 500.00 - - - - - -

- - - - - - - -

- - - - - - - -
- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - 2,000.00 5,000.00 500.00 - 2,000.00

- - - - - - - -

- - - - - - - -

- 10,000.00 3,000.00 500.00 3,000.00 - - 3,000.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 10.00 - - - - - -

- - - - - - - -

- - - - - - - 500.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 50.00 25.00 - 50.00 - - -

- - - - - - - -

- 300.00 500.00 - 300.00 200.00 - 200.00

- - - - - - - -

- - - - - - - -

- - - - 600.00 200.00 - -

- - - - - - - -

- - - - - - - -
- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - 20.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 300.00 - 600.00 - - 1,000.00

- - - - - - - -

- - 300.00 - - - 300.00 -

- - - - - - - -

- 50.00 25.00 50.00 - 50.00 50.00 50.00

- - - - - - - -

- - - - - - - -

- - - - - 10.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 1,000.00 1,500.00 1,000.00 4,000.00 1,000.00 - 1,000.00

- - - - - - - -

- - - - - - - -

- - - - - - - -
- 300.00 - - 150.00 50.00 100.00 50.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - 100.00

- - - - - - - -

- - - - - - - -

- - 3,000.00 2,000.00 3,000.00 - - 2,000.00

- - - - - - - -

- - - - - - - -

- 1,500.00 - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 50.00 - - - - - -

- - - - - - - -

- 100.00 - - - - - -

- - - - - - - -

- - - - - - - -

- 100.00 - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
 - - 500.00 - 500.00 - - 1,000.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 50.00 - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - 1,000.00

- 50.00 - - - - - -

- - - - - - - -

- - - - - - - -

1.00 2.00 1.00 - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 24.00 - 24.00 - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 300.00 - 300.00 - - 500.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

10.00 - 10.00 10.00 30.00 10.00 10.00 10.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - 48.00 - - -

- - - - - - - -

- - - - - - - -

- - - - - - - 24.00

- - - - - - - -
- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 500.00 500.00 500.00 - - -

- - - - - - - -

- - - - - - - 300.00

- - - - - - - -

- - - - - - - -

- 2,000.00 500.00 500.00 - 200.00 200.00 1,000.00

- - - - - - - -

- - - 2,000.00 - - - 1,000.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
- - - - - - - -

- - - - - - - -

- - - - 120.00 48.00 - -

- - - - - - - -

- - - - - - - -

- - - - 3,000.00 1,000.00 - 2,000.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - 200.00

- - - - - - - -

- - - - - - - -

- - 1,000.00 - 3,000.00 1,000.00 - 1,000.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - 3,000.00 - - 3,000.00 1,000.00

- - - - - - - -
 - - 300.00 - - 90.00 - 150.00

- - - - - - - -

- - - - - - - -

- - - - 600.00 - - -

- - - - - - - -

5.00 - 10.00 - - - - -

- - - - - - - -

- - - - - - - -

200.00 - - - 300.00 - - -

- - - - - - - -

- - - - - - - -

- 50.00 - - - - - 10.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - 200.00 - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
- 50.00 25.00 50.00 50.00 - - 25.00

- - - - - - - -

- - - - - - - -

- 25.00 25.00 - - - - 25.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 240.00 - - - - - -

- - - - - - - -

- 100.00 - - - - - -

- 150.00 - - 90.00 - - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 300.00 - 2,000.00 - - -

- - - - - - - -

- - 10.00 - - - - -

- - - - - - - -

- - - - - - - -

- - - 1,000.00 2,000.00 1,000.00 1,000.00 2,000.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - 100.00

- - - - - - - -

100.00 - 100.00 - - - - -

- - - - - - - -

- - 300.00 - 500.00 - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 50.00 - - - - - -

- - - - - - - -

- - - - - - - -
- - - - - - - -

- - - - - - - -

- - - 1,000.00 3,000.00 - 2,000.00 1,000.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - 300.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 48.00 - - - - - 24.00

- - - - - - - -

- - - - - - - -

- 2,000.00 - 1,000.00 1,000.00 1,000.00 1,000.00 1,000.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
 - - - - - - - 600.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 3,000.00 - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 25.00 - 50.00 - - -

- - - - - - - -

100.00 - 100.00 - - - 100.00 -

- 100.00 - 100.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

400.00 - 400.00 400.00 1,000.00 400.00 400.00 400.00

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 100.00 - - - - 20.00 20.00

- - - - - - - -

- - - - 200.00 - - -

- - - - - - - -

- - - - - 100.00 200.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

2,000.00 6,000.00 5,000.00 5,000.00 5,000.00 2,000.00 3,000.00 3,000.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
- - - - - - - -

- - - - - - - -

- - - - - - - -

- 1,000.00 1,000.00 - 2,000.00 300.00 - 1,000.00

- - 300.00 500.00 - - 500.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 3,000.00 1,000.00 2,000.00 - 1,000.00 3,000.00

- - - - - - - -

- - - - - - - -

- 200.00 - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - 100.00 - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

300.00 - - - 500.00 - 500.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 80.00 - - - - - -

- - - - - - - -

- - - - - - - -

- 40.00 - - - - 20.00 -

- - - - - - - -

- 20.00 - - 20.00 - - 20.00

- - - - - - - -

- 8.00 - - - - 5.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 100.00 - 250.00 - 100.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- 100.00 - - - - - -

- - - - - - - -

- - - - - - - -

- 100.00 - - - - - -

- - - 1,000.00 1,000.00 1,000.00 2,000.00 3,000.00

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- - - - 2,000.00 - 2,000.00 1,000.00

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- - - - 2,000.00 500.00 - 2,000.00

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1,000.00 - 2,000.00 3,000.00 - 2,000.00 3,000.00 3,000.00

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- - - - - - - -

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- 1,000.00 - - - - - 500.00

- - - - - - - -
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- - - - - - - -

100.00 100.00 - 100.00 - 100.00 - -

- - - - - - - -

- - - - - - - -

500.00 400.00 - 500.00 - 300.00 500.00 -

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100.00 - - - - - - -

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- - - - - - - -

500.00 - - 200.00 - - - -

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1,000.00 - - - - - 2,000.00 -

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1,000.00 - 300.00 - - - 500.00 -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- 72.00 - - - - - -

60.00 72.00 - - - - - -

- - - - - - - -

12.00 - - - - - 24.00 -

- - - - - - - -

- - - - - - - -

- - - 36.00 - - - -

- 72.00 - - - - - -

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20.00 - - - - - - -

- 10.00 - 20.00 - - 10.00 -

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- - - - - 50.00 - -

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100.00 - - 20.00 - - - -

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100.00 - - - - - - -

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- 100.00 - - - - - -

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- - - - - - - -

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- 20.00 - - - - - 10.00

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10.00 - - - - - - -

- - - - - - - -

- - - - - - - -

50.00 300.00 - - - - - -

- - - - - - - -

- - - - - - - -

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- 100.00 - 20.00 100.00 30.00 - 30.00

- - - - - - - -

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- 30.00 - - - - - -

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- - - - 20.00 - - -

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- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - 24.00 -

- - - - - - - -

- - - - - - - -

50.00 50.00 30.00 50.00 - - 60.00 50.00

- - - - - - - -

- - - - - - - -

- 50.00 - - - - 10.00 -

- - - - - - - -

- - - 120.00 - - 120.00 -

- - - - - - - -
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- 1.00 - - - - 1.00 -

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- - - - - - - -

- - - - 25.00 - - -

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- 25.00 50.00 - 50.00 25.00 25.00 -

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- - - - - 75.00 - -

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300.00 - - 500.00 500.00 - - 500.00

- - - - - - - -

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- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

500.00 - 300.00 500.00 1,000.00 300.00 500.00 1,000.00

500.00 500.00 300.00 - - 500.00 1,000.00 -

- - - - - - - -
STOK OPNAME OBAT DAN PERBEKKES
APBD II TAHUN 2021
PUSKESMAS KABUPATEN SAMBAS

SISA STOK
SBH STI GLI SJB SP4 PLH PMP
20 21 22 23 24 25 26

- - - - - - -

- - - - - - -

1,000.00 500.00 - - - - -

- - - - - - -

- - - - - - -

- - - 50.00 - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

1,000.00 - 3,000.00 1,500.00 3,000.00 - 2,000.00

- - - - - - -
 - - - - - - -

3,000.00 - 4,000.00 1,600.00 2,000.00 2,000.00 1,000.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - 100.00

- - - - - - -

- - - - - - -

- - - 100.00 - - -

- - - - - - -

- - - - - - -

- - - - - - -

1,000.00 - 3,000.00 - 3,000.00 6,000.00 1,000.00

- - - - - - -

- - - - - - -

- - - - - - -

- - 25.00 25.00 50.00 50.00 -

- - - - - - -

- - - - 24.00 - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - 500.00 500.00

- - - - - - -

- - - - - - -
 - - - - - 120.00 -

- - - - - - -

- - - - - - -

1,000.00 - - 2,000.00 - 2,000.00 1,000.00

- - - - - - -

- - - - - - -

1,000.00 - 2,000.00 2,000.00 - 2,000.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 30.00 - - -

- - - - - - -

- - 1,000.00 1,000.00 500.00 3,000.00 1,000.00

- - - - - - -

- - - - - - -

- - - - - - -

- - 25.00 - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

1,000.00 - - - - 1,000.00 -

- - - - - - -

- - - - - - -
 - - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 30.00 - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - 600.00 500.00 - 1,000.00 -

- - - - - - -

300.00 300.00 300.00 600.00 - 600.00 -

- - - - - - -

- 25.00 50.00 25.00 25.00 50.00 25.00

- - - - - - -

- - - - - - -

- - - - - 10.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

1,000.00 500.00 2,000.00 2,000.00 1,000.00 - -

- - - - - - -

- - - - - - -

- - - - - - -
 - - 50.00 50.00 - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 50.00 - - -

- - - - - - -

- - 1,100.00 - - - -

2,000.00 - 1,900.00 1,000.00 3,000.00 - 2,000.00

- - - - - - -

- - - - - - -

- - - - - 1,000.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 300.00 - 300.00

- - - - - - -

- - - - - - -
 - - 500.00 500.00 500.00 - 700.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - 50.00 - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

1,000.00 500.00 - - - 1,000.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - 24.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -
 - - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

500.00 500.00 500.00 500.00 500.00 1,000.00 -

- - - - - - -

- - - - - - -

- - - - - 25.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - 1,000.00 - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

20.00 10.00 30.00 10.00 10.00 10.00 10.00

- - - - - - -

- - - - - - -

- - - - - - -

24.00 - 48.00 - - - 24.00

- - - - - - -

- - - - - - -

- - 24.00 - - - -

- - - - - - -
 - - - - - - -

- - - - - 1.00 -

- - - - - - -

- - - - - - -

1,000.00 500.00 500.00 - 500.00 500.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

1,000.00 - 500.00 - - 2,000.00 -

- - - - - - -

1,000.00 - - - - - -

- - - - - - -

- - - - - 100.00 -

- - - - - 200.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 1.00 - -

- - - - - - -
 - - - - - - -

- - - - - - -

- - 48.00 - - - -

- - - - - - -

- - - - - - -

1,000.00 1,000.00 3,000.00 - - 1,000.00 1,000.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

50.00 - 50.00 - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

500.00 - - - 500.00 1,000.00 -

- - - - - - -

- - - - - - -

500.00 - 2,000.00 - - - 1,000.00

- - - - - - -

- - - - - - -

- - - - - - -

1,000.00 2,000.00 2,000.00 - 2,000.00 2,000.00 1,000.00

- - - - - - -
 - - - - - - -

- - - - - - -

- - - - - - -

- 1,000.00 - - - 2,000.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

300.00 - - - - - -

- - - - - - -

- - - - - - -

- - 20.00 50.00 - 100.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

200.00 - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- 10.00 - - - - -

- - - - - - -

- - - - - - -
 25.00 - 50.00 - - 100.00 25.00

- - - - - - -

- - - - - - -

- - - - - - 25.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

300.00 - 120.00 60.00 300.00 - -

- - - - - - -

- - - - - - -

30.00 - - - - 60.00 -

- - - - - - -

- - - - - - -
 500.00 - 200.00 500.00 - - -

- - - - - - -

- - - - - - -

- - - - - - -

1,000.00 - - 500.00 500.00 - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

1,000.00 1,000.00 3,000.00 500.00 - - 1,000.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - 500.00 300.00 - 500.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- 30.00 - - - 50.00 -

- - - - - - -

- - - - - - -
 - - - - - - -

- - - - - - -

- - 2,000.00 1,000.00 2,000.00 - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - 24.00 - 24.00 24.00 -

- - - - - - -

- - - - - - -

1,000.00 2,000.00 2,000.00 1,000.00 3,000.00 3,000.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - 200.00 200.00 - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -
 - - - 600.00 - 900.00 300.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 1,000.00 - - 1,000.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - 50.00 -

- - - - - - -

100.00 - - - - 100.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

400.00 - 400.00 - 400.00 400.00 400.00

- - - - - - -
 - - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 100.00 - 25.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 300.00 - 300.00 -

- - 96.00 - - - -

- - - - - - -

- - - - - - -

- - - - - - -

3,000.00 4,000.00 5,000.00 5,000.00 5,000.00 6,000.00 2,000.00

- - - - - - -

- - - - - - -

200.00 - - - - 500.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- 10.00 - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -
 - - - - - - -

- - - - - - -

- - - - - - -

- - 3,000.00 - 2,000.00 2,000.00 500.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - 200.00 - 500.00 300.00 400.00

- - - - 1,000.00 1,000.00 -

- - 200.00 500.00 - - -

- - - - - - -

- - - - - - -

- - - - - - -

- 1,500.00 3,000.00 - 3,000.00 - 1,000.00

- - - - - - -

- - - - - - -

25.00 - - 100.00 - 300.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -
- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 1,000.00 - - 1,000.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - 60.00 -

- - - - - - -

- - - - - - 10.00

- - - - - - -

- - 3.00 - - - 3.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

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- - - - - - -
 - - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - 3,000.00 - 2,000.00 3,000.00 1,000.00

- - - - - - -

- - - - - - -

- 100.00 - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

1,000.00 - 2,000.00 1,000.00 - 3,000.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 1.00 - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -
 - - - - - - -

- - - - - - -

- - - 500.00 - - 1,000.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - 3,000.00 1,000.00 - 1,000.00 1,000.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

1,000.00 3,000.00 3,000.00 2,000.00 3,000.00 3,000.00 1,000.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -
 - - - - - - -

- - - - - - -

- - - 300.00 - - -

- - - - - - -

- - - - - - -

- - - - - 500.00 500.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - 100.00 -

- - - - - - -

- 20.00 - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 1,600.00 - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

500.00 500.00 1,000.00 - - 2,000.00 1,000.00

- - - - - - -

- 500.00 - - - - -

- - 10.00 - - - -

- - - - - - -
 - - - - - - -

- - - - - 48.00 24.00

- - - - - - -

- - - - - - -

- - - - - 48.00 24.00

- - - - - - -

- - - - - - -

- - - - - - -

- - 24.00 - - 48.00 24.00

- - - - - 48.00 24.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 10.00 - 10.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

10.00 - - - 10.00 - 10.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -
 - - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

100.00 - - - - 200.00 -

- - - - - - -

- - - - - - -

200.00 - 50.00 - - 400.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 50.00 - - 50.00

- - - - - - -

- - - - - - -

- - - - - - -

- 50.00 - 50.00 - - -

- - - - - - -

- - - - - - -

- - - - - - -

- 50.00 - 150.00 - - -

- - - - - - -

- - 50.00 - - - -
- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- 5.00 - - - 10.00 10.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - 10.00 10.00 10.00 - -

- - - - - - -

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- - 50.00 50.00 - - 50.00

- - - - - - -

- - - - - - -

- - - - - - -

- - 50.00 - - 100.00 50.00

- - - - - - -

- - - - - - -

- - - - - 200.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -
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- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 50.00 - -

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- - - - 50.00 - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

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10.00 - 10.00 - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - 24.00 24.00

- - - - - - -

- - - - - - -

50.00 - 50.00 80.00 50.00 50.00 50.00

- - - - - - -

- - - - - - -

- - 20.00 - 10.00 - -

- - - - - - -

120.00 120.00 120.00 - - 120.00 120.00

- - - - - - -
 - - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

3.00 - 3.00 3.00 - 3.00 -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

1.00 - - - - - -

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3.00 - - 3.00 - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

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- - - - - - -

- - - - - - -

- - - - - - -

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- - - - - - -

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- - - 25.00 - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- 25.00 25.00 50.00 - - -

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- - - - - 25.00 -

- - - - - - -

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800.00 500.00 - 300.00 - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- 300.00 500.00 500.00 - 1,000.00 500.00

- - 400.00 500.00 500.00 500.00 500.00

- - - - - - -
 RSUD SBS
SKR SBU TKR SGR MTS STB TMJ
27 28 29 30 31 32 33 34

- - - - - - - -

- - - - - - - -

- - - - 1,000.00 - - -

- - - - - - - -

- - - - - - - -

- - 200.00 50.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

500.00 - - - - - - -

- - - - - - - -

3,000.00 3,000.00 - 1,500.00 3,000.00 2,000.00 - -

- - - - - - - -
 - - - - - - - -

2,000.00 1,000.00 3,000.00 2,000.00 1,000.00 2,000.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - 100.00 - 100.00 - -

- - - - - - - -

- - - - - - - -

- - 100.00 - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 1,000.00 5,000.00 2,000.00 3,000.00 5,000.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - 25.00 -

- - - - - - - -

- - - - - - - -

20.00 30.00 - - - - - -

- - - - - - - -

- - - - - - - -

- 500.00 500.00 - 300.00 - - -

- - - - - - - -

- - - - - - - -
 - - - - - - 30.00 -

- - - - - - - -

- - - - - - - -

- 1,000.00 1,000.00 1,000.00 - 2,000.00 2,000.00 -

- - - - - - - -

- - - - - - - -

- 1,000.00 3,000.00 2,000.00 1,000.00 - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - 20.00 - - 5.00 -

- - - - - - 5.00 -

- - 1,000.00 500.00 - - 1,000.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 25.00 25.00 - - - -

- - - - - - - -

300.00 500.00 - 300.00 - - - -

- - - - - - - -

- - - - - - - -

300.00 - - - 500.00 500.00 - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 30.00 30.00 20.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 500.00 - 500.00 - - 500.00 -

- - - - - - - -

- - - 420.00 - - - -

- - - - - - - -

50.00 25.00 - - - 50.00 25.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - 12.00 - - - -

- - - - - - - -

2,000.00 1,000.00 3,000.00 1,000.00 1,000.00 3,000.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
 - - 50.00 50.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - 20.00 - - - -

- - - - - - - -

- - - - - - - -

- - 4,000.00 2,000.00 - 3,000.00 - -

- - - - - - - -

- - - - - - - -

- - - 200.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - 50.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

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60.00 - - 30.00 - - - -

- - 200.00 - - - - -

- - - - - - - -

- - - - - - - -
500.00 - - - - - - -

- - - - - - - -

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- - - - - - - -

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- - - - - - - -

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- - - - - - - -

- - - - - 10.00 - -

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- - - - - - - -

200.00 - - - - - - -

- - - - - - - -

- - - 1.00 - - - -

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 - - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

500.00 500.00 - - - 400.00 400.00 -

- - - - - - - -

- - - - - - - -

- - - 10.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

10.00 10.00 - - - 10.00 10.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - 24.00 24.00 - - -

- - - - - - - -

- - - - - - - -

- 24.00 - - - - - -

- - - - - - -
 - - - 2.00 - - 1.00 -

- - - 1.00 - - - -

- - - - - - - -

- - - - - - - -

500.00 500.00 500.00 - 500.00 - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

1,000.00 - - - 1,000.00 - - -

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- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - 100.00 -

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- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

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- 1,000.00 - 1,500.00 - 1,000.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

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- - - - - 200.00 - -

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1,000.00 1,000.00 1,000.00 2,000.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 2,000.00 3,000.00 1,000.00 2,000.00 - - -

- - - - - - - -
150.00 300.00 - - - - - -

- - - - - - - -

- - - - - - - -

- - - - 500.00 200.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

50.00 - - 10.00 - - 30.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

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200.00 - - 200.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - 20.00 - -

- - - - - - - -

- - - - - - - -
 - 25.00 25.00 25.00 25.00 - - -

- - - - - - - -

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50.00 - 25.00 - - - - -

- - - - - - - -

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- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

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- - - - - - - -

- - - - - - - -

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- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 60.00 - - - - -

- - - - - - - -

- - - - - - - -

120.00 - - 210.00 90.00 - - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 500.00 - - - - - -

- - - - - - - -

- - - 10.00 - - - -

- - - - - - - -

- - - - - - - -

- - 3,000.00 1,000.00 1,000.00 2,000.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 300.00 - - - 100.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 500.00 - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

50.00 - - 10.00 - 100.00 - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- 3,000.00 - - 2,000.00 - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

24.00 24.00 24.00 24.00 - - - -

- - - - - - - -

- - - - - - - -

3,000.00 1,000.00 1,000.00 1,000.00 2,000.00 2,800.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - 100.00 - - - -

- - - - - - - -

- - - - - - - -
 - - - 300.00 - 900.00 300.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

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- - - - - - - -

- - - 25.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

400.00 400.00 400.00 400.00 400.00 - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - 100.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 100.00 200.00 200.00 200.00 - -

- - - - 96.00 - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 3,200.00 5,000.00 5,000.00 5,000.00 10,000.00 - -

- - - - - - - -

- - - - - - - -

300.00 - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

3,000.00 1,000.00 3,000.00 1,000.00 1,000.00 - 1,000.00 -

1,000.00 - - 500.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

1,000.00 - - - - - - -

- - - - - - - -

1,000.00 - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

2,000.00 2,000.00 2,000.00 2,000.00 - - - -

- - - - - - - -

- - - - - - - -

- - - 25.00 - 100.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 2,000.00 1,000.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - 20.00 - - 20.00 -

- - - - - - - -

- 10.00 20.00 20.00 - - 10.00 -

- - - - - - - -

- 5.00 - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - 50.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

100.00 - - - - - 10.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

2,000.00 3,000.00 2,000.00 - - 2,000.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - 100.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

2,000.00 2,000.00 2,000.00 - 1,000.00 - 1,000.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

2.00 - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - 60.00 -

- - - - - - - -

- - - - - - - -

3,000.00 1,000.00 2,000.00 1,500.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

3,000.00 3,000.00 2,000.00 1,000.00 3,000.00 3,000.00 3,000.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - 100.00 - - - - -

- - - - - - - -

- - - - - - - -

1,000.00 300.00 500.00 500.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 100.00 - - - 30.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

500.00 1,000.00 500.00 - - - - -

- - - - - - - -

- - - - 100.00 - - -

- - - - - - - -

- - - - - - - -

500.00 - - 500.00 - - 500.00 -

- - - - - - - -

- - - 500.00 - - - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- - 48.00 - - - - -

- - - - - - - -

- - - - - - - -

- - 48.00 24.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 48.00 - - 24.00 - -

- - 48.00 - - - - -

48.00 - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - 10.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - 50.00 - - - -

- - - - - - - -

- - - - - - - -

- - - 100.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 50.00 - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - 100.00 - -

- - - - - - - -

- 50.00 - - - 100.00 - -
- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - 10.00 - -

- - - - - - - -

- - - - - - - -

- 10.00 - - - 100.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 50.00 - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - 20.00 - - - -

- - - - - - - -

- - - 20.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - 4.00 -

- - - - - - - -

- - - 20.00 - - 30.00 -

- - - - - - - -

- - - - - - - -

- - - 20.00 - - 30.00 -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - 10.00 - - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 30.00 30.00 - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - 20.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

36.00 - - - - - - -

- - - - - - - -

- - - - - - - -

- 30.00 50.00 - - - - -

- - - - - - - -

- - - - - - - -

20.00 - - - - - - -

- - - - - - - -

- - 120.00 - - 120.00 60.00 -

- - - - - - - -
- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 3.00 - - - - - -

- - - - - - - -

- 5.00 - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - 3.00 - - -

- - - - - - - -

- - - - 3.00 - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

1.00 - - - - 1.00 - -

1.00 - - - - 1.00 - -

1.00 - - - - 1.00 - -

1.00 - - - - 1.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - 30.00 -

- - - - - - - -

- - - - - - - -
- - - - - - - -

- - - - - - - -

- 50.00 - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- 25.00 - 25.00 50.00 - 25.00 -

- - - - - - - -

- - - - - - - 125.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - 75.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

800.00 1,000.00 500.00 1,000.00 500.00 - 300.00 -

500.00 500.00 500.00 500.00 500.00 500.00 500.00 -

- - - - - - - -
 LABKESDA TOTAL
RSUD PMK RS Pratama DKS INAP JALAN
PENGELUARAN
35 36 37 38 39 40

- - - - - - -

- - - - - - -

- - - 300.00 1,500.00 4,300.00 5,800.00

- - - - - - -

- - - - - - -

- - - - 400.00 500.00 900.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - 10.00 10.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 500.00 1,500.00 2,000.00

- - - - - - -

- - - - 14,000.00 31,200.00 45,200.00

- - - - - - -
- - - - - - -

- - - 1,000.00 20,600.00 44,000.00 64,600.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 400.00 800.00 1,200.00

- - - - - - -

- - - - - - -

- - - - 200.00 200.00 400.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - 300.00 27,000.00 32,800.00 59,800.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - 28.00 150.00 253.00 403.00

- - - - - - -

- - - - 24.00 72.00 96.00

- - - 20.00 80.00 120.00 200.00

- - - - - - -

- - - - - - -

- - - - 2,300.00 1,000.00 3,300.00

- - - - - - -

- - - - - - -
- - - - 240.00 30.00 270.00

- - - - - - -

- - - - - - -

- - - 300.00 11,000.00 21,300.00 32,300.00

- - - - - - -

- - - - - - -

- - - 300.00 25,000.00 19,300.00 44,300.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 60.00 5.00 65.00

- - - - - 5.00 5.00

- - - - 6,500.00 3,600.00 10,100.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - 25.00 125.00 200.00 325.00

- - - - - - -

- - - - 1,100.00 2,500.00 3,600.00

- - - - - - -

- - - - - - -

- - - 200.00 2,300.00 2,000.00 4,300.00

- - - - - - -

- - - - - - -
- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 50.00 80.00 130.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 500.00 3,600.00 4,200.00 7,800.00

- - - - - - -

- - - - 2,430.00 1,710.00 4,140.00

- - - - - - -

- - - 31.00 350.00 531.00 881.00

- - - - - - -

- - - - - - -

- - - 2.00 10.00 22.00 32.00

- - - - - - -

- - - - - - -

- - - - 12.00 6.00 18.00

- - - - - - -

- - - 100.00 16,500.00 16,600.00 33,100.00

- - - - - - -

- - - - - - -

- - - - - - -
- - - 102.00 600.00 702.00 1,302.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 170.00 150.00 320.00

- - - - - - -

- - - 3,000.00 1,100.00 3,000.00 4,100.00

- - - - 14,900.00 23,600.00 38,500.00

- - - - - - -

- - - - - - -

- - - - 2,700.00 200.00 2,900.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - 10.00 100.00 10.00 110.00

- - - - - - -

- - - - 100.00 - 100.00

- - - - - - -

- - - - - - -

- - - - 100.00 - 100.00

- - - - - - -

- - - - - - -

- - - - 90.00 - 90.00

- - - - 200.00 1,200.00 1,400.00

- - - - - - -

- - - - - - -
 - - - - 2,500.00 4,700.00 7,200.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 100.00 150.00 250.00

- - - - - - -

- - - - 10.00 - 10.00

- - - - - - -

- - - - - - -

- - - 400.00 2,000.00 2,900.00 4,900.00

- - - - 100.00 - 100.00

600.00 - - - 800.00 - 800.00

- - - - - - -

- - - - 3.00 2.00 5.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - 96.00 96.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -
- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 500.00 4,400.00 4,500.00 8,900.00

- - - - - - -

- - - - - - -

- - - - 35.00 - 35.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 1,000.00 1,000.00 2,000.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 44.00 90.00 264.00 354.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 96.00 264.00 360.00

- - - - - - -

- - - - - - -

- - - - 24.00 72.00 96.00

- - - - - - -
- - - - 2.00 1.00 3.00

- - - - 2.00 - 2.00

- - - - - - -

- - - - - - -

- - - 100.00 3,000.00 6,100.00 9,100.00

- - - - - - -

- - - - 200.00 1,500.00 1,700.00

- - - - - - -

- - - - - - -

- - - 1,000.00 6,700.00 7,400.00 14,100.00

- - - - - - -

- - - - 1,000.00 9,000.00 10,000.00

- - - - - - -

- - - - 100.00 - 100.00

- - - 100.00 200.00 200.00 400.00

- - - - - - -

- - - 100.00 500.00 1,600.00 2,100.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - 1.00 1.00

- - - - - 2,000.00 2,000.00
 - - - - - - -

- - - - - - -

- - - - 48.00 336.00 384.00

- - - - - - -

- - - - - - -

- - - 300.00 7,500.00 17,300.00 24,800.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 50.00 50.00 250.00 300.00

1,000.00 - - - 1,000.00 - 1,000.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 200.00 1,400.00 1,900.00 3,300.00

- - - - - - -

- - - - - - -

- - - - 9,000.00 12,500.00 21,500.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - 600.00 14,000.00 19,600.00 33,600.00

- - - - - - -
- - - - 450.00 1,740.00 2,190.00

- - - - - - -

- - - - - - -

- - - - 3,700.00 1,600.00 5,300.00

- - - - - - -

- - - - - 15.00 15.00

- - - - - - -

- - - - - - -

- - - - - 900.00 900.00

- - - - - - -

- - - - - - -

- - - - 280.00 40.00 320.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 400.00 600.00 1,000.00

- - - - - - -

- - - - - - -

- - - 25.00 - 25.00 25.00

- - - - 30.00 - 30.00

- - - - - - -

- - - - - - -
- - - 25.00 325.00 325.00 650.00

- - - - - - -

- - - - - - -

- - - - 100.00 125.00 225.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 240.00 480.00 840.00 1,320.00

- - - - - - -

- - - - 100.00 - 100.00

- - - - 690.00 330.00 1,020.00

- - - - - - -

- - - - - - -
- - - 100.00 700.00 1,100.00 1,800.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - 100.00 500.00 7,400.00 7,900.00

- - - - - - -

- - - - 20.00 20.00 40.00

- - - - - - -

- - - - - - -

- - - 1,000.00 13,500.00 11,000.00 24,500.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 1,500.00 600.00 2,100.00

- - - - - - -

- - - - 100.00 200.00 300.00

- - - - - - -

- - - - 500.00 800.00 1,300.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 310.00 - 310.00

- - - - - - -

- - - - - - -
- - - - - - -

- - - - - - -

- - - 3,200.00 5,000.00 22,200.00 27,200.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - 100.00 1,000.00 1,400.00 2,400.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 4.00 192.00 148.00 340.00

- - - - - - -

- - - - - - -

- - - 300.00 21,800.00 18,100.00 39,900.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 400.00 - 400.00

- - - - - - -

- - - - 100.00 - 100.00

- - - - - - -

- - - - - - -
- - - - 2,700.00 2,400.00 5,100.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 300.00 1,000.00 5,800.00 6,800.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 75.00 150.00 225.00

- - - - - - -

- - - - 200.00 400.00 600.00

- - - - 100.00 100.00 200.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 200.00 2,800.00 7,400.00 10,200.00

- - - - - - -
- - - - - - -

- - - - - - -

- - - 132.00 - 132.00 132.00

- - - - - - -

- - - - - - -

- - - - 355.00 40.00 395.00

- - - - - - -

- - - - - 200.00 200.00

- - - - - - -

- - - 100.00 1,500.00 700.00 2,200.00

- - - 96.00 192.00 192.00 384.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - 500.00 57,000.00 54,200.00 111,200.00

- - - - - - -

- - - - - - -

- - - - 800.00 400.00 1,200.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 10.00 - 10.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -
- - - - - - -

- - - - - - -

- - - - - - -

- - - 300.00 16,000.00 13,100.00 29,100.00

- - - 200.00 1,500.00 1,800.00 3,300.00

- - - - - - -

- - - - - - -

- - - - - 100.00 100.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 1,500.00 1,200.00 2,700.00

- - - - 1,000.00 1,000.00 2,000.00

- - - 100.00 1,700.00 400.00 2,100.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - 500.00 11,500.00 25,500.00 37,000.00

- - - - - - -

- - - - - - -

- - - - 825.00 25.00 850.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - 100.00 100.00

- - - - - - -
- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 4,000.00 3,300.00 7,300.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 80.00 - 80.00

- - - - - - -

- - - - - - -

- - - - 120.00 60.00 180.00

- - - - - - -

- - - - 80.00 130.00 210.00

- - - - - - -

- - - - 11.00 18.00 29.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - 102.00 200.00 902.00 1,102.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -
- - - - - - -

- - - - 200.00 10.00 210.00

- - - - - - -

- - - - - - -

- - - - 100.00 - 100.00

- - - - 14,000.00 17,000.00 31,000.00

- - - - - - -

- - - - - - -

- - - - 100.00 200.00 300.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - 500.00 11,000.00 14,100.00 25,100.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 2.00 - 2.00

- - - - - - -

- - - - - - -

- - - - 1.00 - 1.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - 800.00 800.00
- - - - - - -

- - - - - - -

- - - - 500.00 1,800.00 2,300.00

- - - - - - -

- - - - - - -

- - - - - 120.00 120.00

- - - - - - -

- - - - - - -

- - - - 11,500.00 8,500.00 20,000.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 400.00 26,000.00 34,400.00 60,400.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 400.00 1,000.00 1,900.00 2,900.00

- - - - - - -
- - - - - - -

- - - - - - -

- - - - 500.00 600.00 1,100.00

- - - - - - -

- - - - - - -

- - - 300.00 2,900.00 4,400.00 7,300.00

- - - - - - -

- - - - - - -

- - - 1,200.00 - 1,200.00 1,200.00

- - - - - - -

- - - - 200.00 130.00 330.00

- - - - - - -

- - - - 20.00 - 20.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 1,000.00 3,800.00 4,800.00

- - - - - - -

- - - - 100.00 - 100.00

- - - - - - -

- - - - - - -

- - - - 5,000.00 7,000.00 12,000.00

- - - - - - -

- - - - 1,500.00 2,300.00 3,800.00

- - - - 10.00 - 10.00

- - - - - - -
- - - - - - -

- - - - 168.00 24.00 192.00

- - - - 72.00 60.00 132.00

- - - - - - -

- - - - 120.00 84.00 204.00

- - - - - - -

- - - - - - -

- - - - - 36.00 36.00

- - - - 216.00 72.00 288.00

- - - - 168.00 24.00 192.00

- - - - 48.00 - 48.00

- - - - - - -

- - - - - - -

- - - - - 20.00 20.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - 20.00 20.00

- - - - 20.00 70.00 90.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -
- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 250.00 100.00 350.00

- - - - - - -

- - - - - - -

- - - 50.00 550.00 650.00 1,200.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 50.00 50.00 320.00 370.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - 50.00 100.00 200.00 300.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 400.00 100.00 500.00

- - - - - - -

- - - - 150.00 50.00 200.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 43.00 - 43.00 43.00

- - - - 35.00 40.00 75.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 30.00 35.00 65.00

- - - - - - -

- - - - - - -

- - - 2.00 500.00 212.00 712.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 350.00 330.00 680.00

- - - - - - -

- - - - - - -

- - - 200.00 200.00 300.00 500.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - 350.00 - 350.00 350.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 20.00 50.00 70.00

- - - - - - -

- - - - 20.00 50.00 70.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - 4.00 4.00

- - - - - - -

- - - - 20.00 30.00 50.00

- - - - - - -

- - - - - - -

- - - - 20.00 30.00 50.00

- - - - - - -

- - - 20.00 - 20.00 20.00

- - - 17.00 - 17.00 17.00

- - - - 10.00 - 10.00

- - - - - - -
- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 20.00 60.00 50.00 110.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 30.00 30.00 60.00

- - - - - - -

- - - - - - -

- - - - - 10.00 10.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 60.00 48.00 108.00

- - - - - - -

- - - - - - -

- - - - 330.00 450.00 780.00

- - - - - - -

- - - - - - -

- - - - 90.00 30.00 120.00

- - - - - - -

- - - 11.00 720.00 551.00 1,271.00

- - - - - - -
- - - - - - -

- - - - - - -

- - - 2.00 - 2.00 2.00

- - - - - - -

- - - - 12.00 12.00 24.00

- - - - - - -

- - - - 35.00 13.00 48.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 3.00 4.00 7.00

- - - - - - -

- - - 16.00 6.00 28.00 34.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -
- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - 16.00 - 16.00 16.00

- - - 5.00 - 5.00 5.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 5.00 2.00 7.00

- - - - 5.00 2.00 7.00

- - - - 5.00 2.00 7.00

- - - - 5.00 2.00 7.00

- - - - - 175.00 175.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 50.00 130.00 180.00

- - - - - - -

- - - - - - -
- - - - 25.00 - 25.00

- - - - - - -

- - - - - 150.00 150.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 250.00 300.00 550.00

- - - - - - -

- - - - 125.00 75.00 200.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 75.00 75.00 150.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 9.00 - 9.00

- - - - 3.00 - 3.00

- - - - 3.00 - 3.00

- - - - - - -

- - - - - - -

- - - - - - -
- - - - - - -

- - - - - - -

- - - - - - -

- - - - 25.00 - 25.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 10.00 - 10.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - 2.00 1.00 3.00

- - - - 2.00 1.00 3.00

- - - - 2.00 1.00 3.00

- - - - 2.00 1.00 3.00

- - - - 2.00 1.00 3.00

- - - - 2.00 1.00 3.00

- - - - 2.00 1.00 3.00

- - - - 2.00 1.00 3.00

- - - - - - -

- - - - - - -
 - - - 1,100.00 800.00 5,200.00 6,000.00

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

- - - - - - -

150.00 - - - 150.00 - 150.00

- - - - 5,100.00 8,000.00 13,100.00

- - - - 4,900.00 6,100.00 11,000.00

- - - - - - -

623,670.00 1,085,503.00
TOTAL (Rp)

41=( 9X40)

- 0 - 0

- 0 -

609,000.00 609000 - 609000

- 0 -

- 0 -

2,475,000.00 2475000 - 2475000

- 0 -

- 0 -

- 0 -

- 0 -

27,360.00 27360 - 27360

- 0 -

- 0 -

- 0 -

- 0 -

- 0 -

336,000.00 336000 - 336000

- 0 -

2,486,000.00 2486000 - 2486000

- 0 -
 - 0 -

14,922,600.00 14922600 - 14922600

- 0 -

- 0 -

- 0 -

- 0 -

2,460,000.00 2460000 - 2460000

- 0 -

- 0 -

1,404,000.00 1404000 - 1404000

- 0 -

- 0 -

- 0 -

3,229,200.00 3229200 - 3229200

- 0 -

- 0 -

- 0 -

2,039,180.00 2039180 - 2039180

- 0 -

496,320.00 496320 - 496320

652,000.00 652000 - 652000

- 0 -

- 0 -

699,600.00 699600 - 699600

- 0 -

- 0 - 0
 708,642.00 708642 - 708642

- 0 -

- 0 -

1,485,800.00 1485800 - 1485800

- 0 -

- 0 -

5,183,100.00 5183100 - 5183100

- 0 -

- 0 -

- 0 -

- 0 -

- 0 -

122,200.00 122200 - 122200

11,870.00 11870 - 11870

898,900.00 898900 - 898900

- 0 -

- 0 -

- 0 -

1,101,100.00 1101100 - 1101100

- 0 -

1,544,400.00 1544400 - 1544400

- 0 -

- 0 -

683,700.00 683700 - 683700

- 0 -

- 0 -
 - 0 -

- 0 -

- 0 -

- 0 -

390,000.00 390000 - 390000

- 0 -

- 0 -

- 0 -

- 0 -

- 0 -

717,600.00 717600 - 717600

- 0 -

592,020.00 592020 - 592020

- 0 -

2,148,759.00 2148759 - 2148759

- 0 -

- 0 -

138,400.00 138400 - 138400

- 0 -

- 0 -

91,530.00 91530 - 91530

- 0 -

1,721,200.00 1721200 - 1721200

- 0 -

- 0 -

- 0 -
2,883,930.00 2883930 - 2883930

- 0 -

- 0 -

- 0 -

387,200.00 387200 - 387200

- 0 -

147,600.00 147600 - 147600

2,964,500.00 2964500 - 2964500

- 0 - 0

- 0 -

249,400.00 249400 - 249400

- 0 -

- 0 -

- 0 -

210,430.00 210430 - 210430

- 0 - 0

2,102,100.00 2102100 - 2102100

- 0 -

- 0 - 0

1,445,900.00 1445900 - 1445900

- 0 -

- 0 -

74,250.00 74250 - 74250

200,200.00 200200 - 200200

- 0 -

- 0 -
 540,000.00 540000 - 540000

- 0 -

- 0 -

- 0 -

- 0 -

- 0 -

600,250.00 600250 - 600250

- 0 -

17,400.00 17400 - 17400

- 0 -

- 0 -

3,826,900.00 3826900 - 3826900

743,600.00 743600 - 743600

320,000.00 320000 - 320000

- 0 -

875,000.00 875000 - 875000

- 0 -

- 0 -

- 0 -

- 0 -

- 0 - 0

316,800.00 316800 - 316800

- 0 -

- 0 -

- 0 -

- 0 -
 - 0 -

- 0 -

- 0 -

- 0 - 0

- 0 - 0

1,958,000.00 1958000 - 1958000

- 0 -

- 0 -

33,915.00 33915 - 33915

- 0 -

- 0 -

- 0 -

562,000.00 562000 - 562000

- 0 - 0

- 0 -

- 0 -

- 0 - 0

1,039,698.00 1039698 - 1039698

- 0 -

- 0 -

- 0 -

1,861,200.00 1861200 - 1861200

- 0 -

- 0 - 0

316,800.00 316800 - 316800

- 0 - 0
1,950,000.00 1950000 - 1950000

1,880,000.00 1880000 - 1880000

- 0 -

- 0 -

782,600.00 782600 - 782600

- 0 -

399,500.00 399500 - 399500

- 0 -

- 0 - 0

1,734,300.00 1734300 - 1734300

- 0 -

990,000.00 990000 - 990000

- 0 -

800,300.00 800300 - 800300

2,945,200.00 2945200 - 2945200

- 0 -

558,600.00 558600 - 558600

- 0 -

- 0 -

- 0 -

- 0 -

- 0 -

- 0 -

- 0 -

1,375,000.00 1375000 - 1375000

342,000.00 342000 - 342000

 - 0 -

- 0 - 0

972,672.00 972672 - 972672

- 0 -

- 0 -

4,836,000.00 4836000 - 4836000

- 0 -

- 0 -

- 0 -

- 0 -

- 0 -

701,700.00 701700 - 701700

99,000.00 99000 - 99000

- 0 -

- 0 -

- 0 -

- 0 - 0

326,700.00 326700 - 326700

- 0 -

- 0 -

1,290,000.00 1290000 - 1290000

- 0 -

- 0 -

- 0 -

2,520,000.00 2520000 - 2520000

- 0 -
 464,280.00 464280 - 464280

- 0 -

- 0 -

1,144,800.00 1144800 - 1144800

- 0 -

35,985.00 35985 - 35985

- 0 -

- 0 -

234,000.00 234000 - 234000

- 0 -

- 0 -

295,360.00 295360 - 295360

- 0 -

- 0 -

- 0 -

- 0 -

- 0 -

- 0 -

- 0 -

565,500.00 565500 - 565500

- 0 -

- 0 - 0

51,350.00 51350 - 51350

160,560.00 160560 - 160560

- 0 -

- 0 -
5,482,100.00 5482100 - 5482100

- 0 - 0

- 0 - 1980000

1,980,000.00 1980000 - 1118040

- 0 - 140300

- 0 - 1433100

- 0 - 145800

- 0 - 0

- 0 - 1074400

- 0 - 188000

- 0 - 3626000

- 0 - 0

- 0 - 0

- 0 - 0

- 0 - 449400

- 0 - 320700

- 0 - 115700

- 0 - 614730

- 0 - 0

- 0 - 0

1,118,040.00 1118040 - 2094400

- 0 - 607200

140,300.00 140300 - 0

1,433,100.00 1433100 - 646000

- 0 - 4349100

- 0 - 0
 145,800.00 145800 - 258000

- 0 - 97100

- 0 - 0

- 0 - 1616700

1,074,400.00 1074400 - 4481200

- 0 - 624150

188,000.00 188000 - 0

- 0 - 748800

- 0 - 246400

3,626,000.00 3626000 - 1315800

- 0 - 0

- 0 - 56628

- 0 - 0

- 0 - 380385

- 0 - 594200

449,400.00 449400 - 2552000

- 0 - 1998336

320,700.00 320700 - 0

- 0 - 18348000

115,700.00 115700 - 0

- 0 - 650400

- 0 - 66000

- 0 - 5761800

614,730.00 614730 - 260700

- 0 - 0

- 0 - 32900
 - 0 - 0

- 0 - 170100

2,094,400.00 2094400 - 880000

- 0 - 924000

- 0 - 7770000

- 0 - 0

607,200.00 607200 - 729300

- 0 - 98500

- 0 - 0

- 0 - 963600

- 0 - 0

- 0 - 335120

646,000.00 646000 - 0

- 0 - 1980000

- 0 - 309750

4,349,100.00 4349100 - 332514

- 0 - 0

- 0 - 4804720

- 0 - 1080660

- 0 - 470600

- 0 - 1364000

258,000.00 258000 - 348000

- 0 - 0

97,100.00 97100 - 0

- 0 - 1832300

- 0 - 1034264
1,616,700.00 1616700 - 130999

- 0 - 0

- 0 - 264000

- 0 - 761300

- 0 - 858000

- 0 - 0

- 0 - 1760000

- 0 - 0

- 0 - 3624000

4,481,200.00 4481200 - 0

- 0 - 1751600

- 0 - 0

- 0 - 0

- 0 - 1373773.18867925

- 0 - 8802486

- 0 - 0

624,150.00 624150 - 1515888

- 0 - 630039.3

748,800.00 748800 - 36070.032

246,400.00 246400 - 0

- 0 - 0

- 0 - 0

- 0 - 5952000

- 0 - 159700

1,315,800.00 1315800 - 0

- 0 - 3114212.28
 - 0 - 0

- 0 - 473008.8

56,628.00 56628 - 179581.05

- 0 - 0

- 0 - 6486720

380,385.00 380385 - 4657620

- 0 - 0

594,200.00 594200 - 7198140

- 0 - 0

2,552,000.00 2842000 - 290,000.00 0

1,998,336.00 1998336 - 1216260

- 0 - 10162080

- 0 - 5172672

- 0 - 1344912

18,348,000.00 18348000 - 0

- 0 - 200000

- 0 - 0

650,400.00 650400 - 0

- 0 - 0

- 0 - 242000

- 0 - 1269837

66,000.00 66000 - 0

- 0 - 0

- 0 - 0

- 0 - 2177700

- 0 - 0
 - 0 - 7460544

- 0 - 0

- 0 - 0

5,761,800.00 5761800 - 2655675

260,700.00 260700 - 0

- 0 - 2153250

- 0 - 0

32,900.00 32900 - 3588750

- 0 - 0

- 0 - 1435500

- 0 - 0

170,100.00 170100 - 0

880,000.00 880000 - 0

924,000.00 924000 - 1236250

- 0 - 2079375

- 0 - 0

- 0 - 0

7,770,000.00 7770000 - 9687600

- 0 - 0

- 0 - 5773845.33333333

729,300.00 729300 - 0

- 0 - 6375000

- 0 - 1285875

- 0 - 0

98,500.00 98500 - 235123.28

- 0 - 0
 - 0 - 0

- 0 - 0

- 0 - 591822

- 0 - 563640

963,600.00 963600 - 0

- 0 - 0

- 0 - 66816

- 0 - 968600

- 0 - 0

335,120.00 335120 - 968600

- 0 - 0

- 0 - 118800

1,980,000.00 1980000 - 239360

- 0 - 124300

309,750.00 309750 - 0

- 0 - 0

332,514.00 332514 - 0

- 0 - 0

- 0 - 0

- 0 - 1394250

4,804,720.00 4804720 - 0

- 0 - 4697132.8125

- 0 - 0

- 0 - 468534.246575343

- 0 - 1838592

- 0 - 7238400
 - 0 - 876960

1,080,660.00 1080660 - 7244677.01073194

- 0 - 0

- 0 - 103000

470,600.00 470600 - 655200

1,364,000.00 1364000 - 187200

- 0 - 0

- 0 - 0

348,000.00 348000 - 435513.255360624

- 0 - 0

- 0 - 1159121.2

- 0 - 0

1,832,300.00 1832300 - 0

- 0 - 12816000

- 0 - 13513500

- 0 - 900375

- 0 - 1239875

1,034,264.00 1034264 - 900375

- 0 - 1526875

- 0 - 2299605.7

130,999.00 130999 - 233280

- 0 - 0

- 0 - 118000

- 0 - 1928850

- 0 - 3402388

264,000.00 264000 - 2193400

 - 0 - 1932367.05

- 0 - 0

761,300.00 761300 - 0

- 0 - 0

- 0 - 3811500

858,000.00 858000 - 4065600

- 0 - 4389000

- 0 - 0

1,760,000.00 1760000 - 0

- 0 - 0

- 0 - 479375

- 0 - 185000

- 0 - 350343

- 0 - 350343

- 0 - 350343

- 0 - 350343

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