Sunteți pe pagina 1din 61

Uraian Satuan Harga

0 Acyclovir 200 Novell 2,100


0 Acran 150 mg Tablet 15,100
0 Acran Inj 17,600
0 Acyclofir 400 Novell 1,900
0 Acyclovir 5% cr 12,000
0 Adona tab 6,700
0 Akita 1,500
0 Albotyl 75,000
0 Albumin Infus (albunorm) 20 % 2,640,000
0 Alco drop 146,000
0 Alco Plus DMP 118,800
0 Alco plus syr 138,000
0 Alganax 1 mg Tablet 26,400
0 Alinamin F Tablet 4,100
0 Allopurinol 100 mg Tab Indofarma 1,200
0 Allopurinol 300 mg Tab Hexfharm 900
0 Alofar 100 tab 1,500
0 Alofar 300 tab 1,500
0 Alprazolam 0,5 mg Tablet 1,800
0 Alprazolam 1 mg Tablet 2,700
0 Ambeven tab 4,800
0 Ambroxol 30 mg tab Indofarma 900
0 Ambroxol Syr 15mg 60 ml Indofarma 15,000
0 Amikacin Injeksi 250mg 191,700
0 Amikacin Injeksi 500mg 239,600
0 Aminefron Kapsul 26,100
0 Aminofluid Infus 247,500
0 Aminofusin Hepar 338,300
0 Aminophylin Injeksi 11,900
0 Aminufusin L 600 150,700
0 Amitriptilin 25 mg tab 1,500
0 Amlodipine 10 mg Bernofarm 5,600
0 Amlodipine 5 mg Bernofarm 3,900
0 Amoxicilin 500 mg tab Ifars 1,500
0 Amoxicilin Dry Sirup 16,500
0 Amoxicilin Dry Sirup 250 mg 34,500
0 Amoxsan 250 mg Tab 6,000
0 Amoxsan 500 mg Tab 12,000
0 Amoxsan drop 84,000
0 Amoxsan Dry Syr 68,400
0 Ampicilin Injeksi 1 g 26,400
0 Ampicillin tab Mepro 1,500
0 Amvar 500 mg Kaplet 20,000
0 Anadex Sirup 53,700
0 Anadex Tablet 6,000
0 Anadium Tablet 26,200
0 Analsik Tablet 3,700
0 Analtram Tablet 24,800
0 Anastan Forte 1,200
0 Ancefa 500 mg Kapsul 29,700
0 Androlon tab 26,900
0 Anflat Sirup 42,000
0 Anfuhex tab 5,400
0 Antalgin 500mg tab Novapharin 1,500
0 Antalgin Injeksi 5,300
0 Antasida kaleng 600
0 Antasida Sirup 60 ml 9,600
0 Anti Hemoroid 9,000
0 Antimo Tablet 900
0 Antrain inj 36,000
0 Antrain tab 3,900
0 Anvomer B6 7,700
0 Aquades 1 liter 42,900
0 Arcapec 3,900
0 Arixtra Injeksi 648,800
0 Arkavit c 1,800
0 Artem Injeksi 119,300
0 Asam mefenamat 500 mg Afi Farma 1,500
0 Asam Traneksamat inj 100mg/ml Novell 33,000
0 Asam Traneksamat inj 50mg/ml 36,000
0 Asam Tranexamat 500 mg Tablet 5,100
0 asam ursodeoxycholic 13,900
0 Asam Valproat sirup 101,700
0 Asetil Sistein Tablet 3,700
0 Asetosal 700
0 Aspilet Tablet 1,600
0 Atovarstatin 10 mg Tablet Hexfharm 8,900
0 Atovarstatin 20 mg Tablet Novell 13,200
0 Atrocox 15mg tab 27,300
0 Atropin Sulfat 6,000
0 Avesco 10 mg kap 16,800
0 Avogin tab 9,900
0 Azithromycin 500 mg Kapsul 29,700
0 B Complek kaleng tab 500
0 bamgetol 200mg tab 6,000
0 Beclov Injeksi 104,700
0 Becom C 4,100
0 Becom Zet Tab 5,500
0 Bedak Salicyl 2% Botol "SBF" 15,200
0 Benoson Cream 36,900
0 Bepanthen Salep 20 g 139,500
0 Betadin Obat Kumur 31,400
0 Betadin Vaginal Douche MBF 165,000
0 Betahistin 6 mg Tablet 3,100
0 Betametason Cream 5 g 8,800
0 Betametason salep 8,800
0 Betason N 40,500
0 Bfluid 309,400
0 Biocal-95 13,900
0 Biocombin Injeksi 24,000
0 Biocombin Tablet 5,400
0 Biocurpain Force Tab 26,400
0 Biofolat Tablet 12,300
0 Biofos Sirup 121,000
0 Bioralit Serbuk 3,000
0 Biosave 5 ml Anti Bisa Ular 960,800
0 Bisacodyl Tablet 1,600
0 Bisolvon Injeksi 100,000
0 Bisolvon Tablet 7,500
0 Bisoprolol 5 mg tablet Hexfharm 3,700
0 Blesifen Tablet 37,700
0 Borraginol S Suppositoria 36,000
0 Brainvit sirup 60 ml 132,000
0 braxidin tab 6,000
0 Breathy Nasal Drop 80,300
0 Broadamox tab 2,100
0 Bufacort Salep 45,000
0 Bufect forte sirup 190,000
0 Bufect Suspensi 60 ml 44,200
0 Bufect tablet 2,100
0 Burnadzin 36 g Darya Varia 165,000
0 Ca Gluconas Inj 19,800
0 Cal-95 Tabet 13,200
0 Calcium lactat tab 1,500
0 Caltron Kaplet 8,300
0 Canderin 8 mg Tablet 30,000
0 candesartan 16 mg tablet 21,500
0 Candesartan 8 mg Tablet 16,400
0 Caprenem Inj 865,200
0 Captopril 12,5 mg 300
0 Captopril 25 mg 500
0 Carbazochrome Injeksi 39,400
0 Carpenem Injeksi 709,500
0 Caviplex tab 1,500
0 Cecyl Kapsul 9,300
0 Cefadroxil 125mg/5ml Sirup Novell 59,400
0 Cefadroxil 500mg 4,500
0 Cefat 500 mg Kapsul 31,900
0 Cefat forte syrup 187,900
0 Cefila 100 mg Kapsul 54,500
0 Cefixime 100mg 7,200
0 Cefixime 200mg 14,900
0 Cefixime Dry Sirup Hexfharm 108,900
0 Cefoperazone/Sulbactam Injeksi 176,000
0 Cefotaxime inj 28,500
0 Cefspan 100 mg Kapsul 67,700
0 Ceftamax Injeksi 288,800
0 Ceftazidine Injeksi 132,000
0 Ceftien Injeksi 297,000
0 Ceftriaxone Injeksi 105,000
0 Cefxon injeksi 313,500
0 Cendo Lyteers 0,6 ml Tetes Mata 14,000
0 Cendo Xytrol 0,6 ml Tetes Mata 17,700
0 Centabio salep 70,500
0 Cepraz Injeksi 220,400
0 Cerebrovit X-cel 4,500
0 Cerini Tablet 10,300
0 Cernevit Injeksi 232,500
0 Cetirizin 5mg sirup 60ml 31,400
0 Cetirizin Drop 82,500
0 Cetirizine 10 mg tablet Indofarma 1,000
0 Cetivar Injeksi 105,600
0 Chlorpromazine 25 mg Tablet 900
0 Cilostazol 27,300
0 Cinolon-N Cream 54,800
0 Ciprofloxacin 500mg dexa 2,400
0 Citicolin 500 mg Tab Hexfharm 22,100
0 Citicolin Injeksi 250 mg/2ml 51,800
0 Citicolin Injeksi 500 mg/4ml 90,100
0 Clabat 500 mg Kapsul 38,000
0 Claneksi 36,900
0 Clavamox Tab 40,800
0 Clidorel Tablet 42,900
0 Clindamicin 300 mg tab Novell 4,300
0 Clindamycin 150mg Tab Novell 2,200
0 Clinimix inf 635,300
0 Clinoleic 20% 100ml 354,800
0 Clonidin 0,15 mg tablet Indofarma 700
0 Clopidogrel tab 75 mg 21,000
0 Clovertil 39,600
0 Co Amoxiclav 625 mg Kapsul Indofarma 17,500
0 Codein 10 mg Tablet 1,900
0 Codein 20 mg Tablet 4,000
0 Codipront sirup 112,600
0 Colidium tab 900
0 Combantrin 250MG Tablet 19,500
0 Confortin Salep 94,500
0 Corsalit Saset 4,500
0 Corsamox 5,400
0 Cortidex Injeksi 18,700
0 Cortidex Tablet 1,500
0 Coten 100 42,900
0 Cotrimoxazole 480 mg Tablet 900
0 Cotrimoxazole Forte Tab 1,700
0 Cotrimoxazole Sirup 19,800
0 CPZ 4,500
0 cravox beli diluar 139,200
0 Cravox Infus 363,000
0 Cravox Tablet 500 mg 105,600
0 CTM tab 200
0 Curcuma Tablet FCT 3,600
0 Curliv Plus Forliver Tablet 13,200
0 Cyclo progynova 211,600
0 Cyclofem 36,000
0 Cytosol Tablet 200 mg 60,000
0 D5 1/2NS 500ml OTSU 50,500
0 D5 1/4NS 500ml OTSU 50,500
0 Damaben Tablet 1,400
0 Day-Cal 4,800
0 DBL - Glyceryl Injeksi 243,900
0 Degirol 3,000
0 Dehista 300
0 Dekorin tab 1,500
0 Dermatix Salep 262,500
0 Dexaharsen 0.5 mg 900
0 Dexametason 0,5 mg Inj 7,300
0 Dexametason 0,5 mg Tablet 500
0 Dexanta syr 42,000
0 Dexketoprofen 25 mg Tablet 9,900
0 Dexketoprofen Trometamol Injeksi 75,900
0 Dextral 2,100
0 Dexymox f 3,000
0 DIAZEPAM 5 MG TAB 800
0 Diazepam Tablet 1,200
0 Digenta cr 154,000
0 Digoxin Tablet 500
0 Diltiazem 30mg 600
0 Dimenhidrinat tab 500
0 Dionicol 4,500
0 Dionicol Sirup 27,000
0 Diphendydramin injeksi 15ml 23,100
0 Diphenhidramin Injeksi 5,600
0 Diviti 427,000
0 Dobuject 250mg/5ml 222,800
0 Dobutamine injeksi 102,100
0 Dohixat Kapsul 3,700
0 Domperidone 10mg 2,100
0 Domperidone 60ml Hexfharm 38,000
0 Dopamet Tablet 6,200
0 Dopamin Giulinin 200 Injeksi 156,200
0 Dores 5 mg Tab 9,000
0 Doxycyclin Kapsul 1,500
0 Dulcolax Supp 42,300
0 Dulcolax Tablet 4,500
0 Dumin rektal 125 mg 45,000
0 Dumin rektal 250 mg 60,000
0 Efedrin Injeksi 110,000
0 Eflin Sirup 50,200
0 Eflin Tablet 4,200
0 Enatin Kapsul 5,400
0 Endrolin Injeksi 1,963,500
0 Eperison HCl 50 mg Etercon 4,700
0 Epexol Drop 110,000
0 Ephineprin Injeksi 45,000
0 EPINEFRIN INJEKSI 18,300
0 Erdostein sirup 92,400
0 Erysanbe 500 mg Tab 4,500
0 Erysanbe Sirup 67,400
0 Erythromycin 200 mg Sirup 27,000
0 Esola Injeksi 249,800
0 Esomax Injeksi 222,800
0 Esomeprazole Injeksi 128,000
0 Etafen 400 mg 1,500
0 Etambutol Tablet 1,600
0 Etason Injeksi 21,800
0 Eturol Kapsul 15,700
0 Exocid Injeksi 222,800
0 Faktu supp 24,800
0 Falocef Inj 409,200
0 Fameprim tab 1,500
0 Famotidine 40mg 1,200
0 Farbion Inj 21,000
0 Farbivent Injeksi 28,100
0 Fargoxin Injeksi 115,500
0 Farizol Sirup 24,000
0 Farizol tab 1,500
0 Farmabes Injeksi 181,500
0 Farmacrol forte tablet 3,300
0 Farmacrol Sirup 122,100
0 Farmadol tablet 500 mg 1,500
0 Farmalat tablet 1,400
0 Farsifen 200 mg 1,200
0 Farsifen 400mg tab 2,400
0 Farsifen sirup 16,900
0 Farsorbid 5 mg Tablet 700
0 Farsorbid injeksi 162,000
0 Fartison Inj 198,000
0 Fartolin Expectoran Sirup 115,500
0 Fasgo Tab 900
0 Fasidol drop 34,900
0 Fasidol Forte tab 1,500
0 Fasiprim tab 1,500
0 fastor 20mg kaps 42,000
0 Fendex Injeksi 128,700
0 Fendex Tablet 17,400
0 Fenitoin Kapsul 2,900
0 Fenobarbital Tablet 6,000
0 Fenofibrat 300 mg Kapsul 13,200
0 Fentanyl Injeksi 145,200
0 Fetavita Kapsul Lunak 27,300
0 FG Troches Tablet Kunyah 3,200
0 Fixacef Dry Drop 15 ml 132,000
0 Fixacef dry sirup 154,000
0 Fladystin Suppositoria 41,200
0 Flamar 25 mg Tablet 2,500
0 Flamar 50 mg Tablet 5,500
0 Flamar salep 50,200
0 Flamicort Injeksi 10mg/ml 187,000
0 Fluconazol Infus 100 ml Novell 173,300
0 Flunarizin 10 mg Nulab 6,600
0 Flutamol Tablet 2,700
0 Folamil Genio Botol 173,300
0 Folamil Gold Botol 190,100
0 Folamil tab 3,500
0 Folaplus Tab 4,800
0 Folavit 3,000
0 Folda Tablet 14,600
0 Fondazen Kap 1,200
0 Formom 7,500
0 Formyco Cream 53,500
0 Funtas Ceram 20 g 127,600
0 Furamin Inj 31,400
0 Furosemid 40 mg Tab Kimia Farma 2,100
0 Furosemid Injeksi 9,000
0 Gabapentine 300 mg Kapsul Novell 18,200
0 Garam Inggris 15,000
0 Gastrofer 40 mg Injeksi 189,800
0 Gavistal Injeksi 19,800
0 Gelafusal 500 ml Infus 272,300
0 Gemfibrozil 300mg tablet Indofarma 2,400
0 Genoint Salep Kulit 15 g 16,200
0 Genoint Salep Mata 0,3% 3,5 g 23,100
0 Gentamicin Injeksi 11,100
0 Gentamicin salep 5,800
0 Gentian Violet 22,500
0 GG kalng tab 600
0 Gitas Injeksi 74,300
0 Gitas Plus Tablet 16,500
0 Gitas Plus Tablet 16,500
0 Glibenclamid 5 mg tab 600
0 Glikos tab 1,200
0 Glimepirid 1 mg Tablet 1,500
0 Glimepirid 2 mg Tablet 2,700
0 Glimepirid 4 mg Tablet 5,300
0 Glucosamin tablet 2,700
0 Gludepatic tablet 800
0 Glutrop Kaplet 50,500
0 Good Life GCM Kaplet 21,800
0 Granisentron Injeksi 3 mg 110,000
0 Granon 3 mg Injeksi 154,300
0 Griseofolvin 125mg Kimia Farma 1,100
0 Griseofulvin 500mg 1,500
0 Harnal Ocas Tablet 66,000
0 HBIg 3,217,500
0 Helixime Kapsul 7,500
0 helixime sirup 54,000
0 Hemafort Tablet 2,600
0 Hemapo Injeksi 858,000
0 Hepa Balance 40,900
0 Hepa Q 14,200
0 Hexalgin 1,500
0 hexavask 10mg tab 7,500
0 Hexaxim Vaksin 1,145,200
0 Hi Bone Tablet 11,600
0 Hidroclorthyazid 1,200
0 Hidrocortison Salep 2,5% 5 g 14,800
0 Histolan Tab 18,000
0 Hufaflox 2,100
0 Hufagesic Syr 21,000
0 Hufagrib syr biru Pilek 42,000
0 Hufagrib syr hijan BP 45,000
0 Hufagrip Syr TMP 39,000
0 Hufagripp forte tab 1,200
0 Hufamaag plus syr 21,000
0 Hufamaag plus tab 1,500
0 Hydromal 145,200
0 hystolan 18,000
0 Ibuprofen 200 mg Tab Novapharin 900
0 Ibuprofen Sirup 100 mg sirup 60 ml 12,600
0 Ibuprofen Sirup 200 mg sirup 60 ml 18,900
0 Ibuprofen tab 400mg Indofarma 1,500
0 Icunes Injeksi 200mcg/2ml 544,500
0 Ifarsyl syr 24,000
0 Ifison Kaleng 3,000
0 Imboost Force Tab 18,900
0 Imboost Sirup 60 ml 90,800
0 Imboost Tablet 10,000
0 Imunos Sirup 150,000
0 Imunos tablet 21,500
0 Incidal OD Kapsul 9,600
0 Induxin Injeksi 26,400
0 Inerson cr 102,000
0 Inflesco Tablet 34,700
0 Infus Hydromal 145,200
0 Inlacin Tablet 20,100
0 Inotrop Injeksi 201,000
0 Inpepsa syr 105,600
0 Interflox Kapsul 44,200
0 Interhistin Syr 81,000
0 Interhistin tab 3,000
0 Intervask 10 mg tab 36,400
0 Intervask 5 mg tab 62,400
0 Interzink sirup 99,000
0 Intraset Gel 180,000
0 Intunal F tab 3,000
0 Intunal Syr 42,000
0 Invomit Tablet 49,100
0 Inxilon 3,600
0 Iopamiro 448,800
0 Irbesartan 150 mg Kapsul 5,900
0 Irbesartan 300 mg Kapsul 11,500
0 Irgapan 200mg 21,300
0 Isoniazid Tablet 3,000
0 Isoric 300 mg Tablet 10,900
0 Isosorbid Dinitrat 400
0 IUD Nova T 330,800
0 Kalium Diklofenak 50 mg Hexfharm 2,200
0 Kalnex Injeksi 39,600
0 Kalnex tablet 500 mg 12,000
0 Kalpepsa Sirup 115,500
0 Kaltrofen Supppaitori 60,000
0 Kanamicin Injeksi 31,200
0 Kandistatin Suspensi 12ml 141,000
0 Ketamin-Hameln 50 mg/2 ml Injeksi 255,800
0 Ketesse Injeksi 50 mg Injeksi 103,400
0 Ketesse Tablet 26,400
0 ketocid tab 30,000
0 Ketoconazol 15 g Cream 14,000
0 Ketoconazol cr 2% 10 g 30,000
0 Ketoconazol cr 2% 5 g 9,900
0 Ketoconazole 200mg tab Hexfharm 1,800
0 Ketoprofen 100 mg Tablet 4,000
0 Ketorolac inj 49,500
0 Kina Tablet 3,600
0 Koolfever Anak 24,000
0 Koolfever Baby 18,000
0 Korset 315,000
0 KSR tablet 11,700
0 KTM inj 330,400
0 Lacidofil Kaps 12,300
0 Lacidofil saset 16,500
0 Lacons Sirup 110,000
0 Lactasin tablet 7,600
0 Laktafit 9,000
0 Laktulosa sirup 90,800
0 Lameson 16 mg tab 25,400
0 Lameson Injeksi 184,800
0 Lansoprazol Kapsul 4,900
0 Lapibal Injeksi 69,000
0 Lapibal Injeksi 90,800
0 Lapibal Kapsul 8,000
0 lapicef drops 132,000
0 Larutan PK 30,000
0 Lasal 4 mg Tablet 4,200
0 Lasal Ekspektoran sirup 113,900
0 Latropil Sirup 112,000
0 Laxadin sirup 69,300
0 Lazol Kapsul 4,400
0 L-Bio Saset 19,800
0 L-Cisin Tablet 11,100
0 Lecrav 500 mg Kaplet 107,300
0 Leptica 150mg Kaps 48,600
0 Leptica 75mg tab 26,400
0 Lerzin Drop 51,000
0 Levemir Insulin 283,700
0 Levocin 500 mg Tablet 113,100
0 Levocin Infus 462,500
0 Levofloxacin 750mg infus 247,500
0 Levofloxacin Infus 100 ml 247,500
0 Levofloxacin Tablet 3,400
0 Lexid Kapsul 38,000
0 Librozym plus tab 2,700
0 Licoprima Tablet 1,800
0 Lidocain inj 20mg/2ml 6,000
0 Lipomed 190,800
0 Lisinopril 10 mg Tab Novell 1,900
0 Livamin 317,400
0 Lodia Tablet 3,000
0 Lodomer injeksi 90,200
0 Lokev tab 2,100
0 Loratadin 10 mg tablet Indofarma 1,300
0 Losartan 50 mg tablet Hexfharm 13,900
0 Lostasbat cream 145,200
0 Magtral Suspensi 120 ml 74,300
0 Maltiron Plus Tablet 4,300
0 Maltiron Sirup 105,600
0 Masker N95 3M 47,100
0 Maxmor Dry Sirup 15 ml 153,500
0 Maxstan 3,700
0 Mebo Zalf 199,000
0 Mecobalamin 0,5 injeksi 26,400
0 Mecobalamin Kapsul 2,000
0 Mecobion tab 1,800
0 Mecotrin syr 5 ml 136,500
0 Mediamer 8,500
0 Mediclor 1,402,500
0 Mefinal tab 5,700
0 Mefinter 500 3,600
0 Mefurosan Cream 10 g 142,200
0 Megatic cr 33,300
0 Melet 15 mg Tablet 19,800
0 Meloxicam 15 mg tab 4,400
0 Meloxicam 7,5 mg Indofarma 2,100
0 Meprobal 6,000
0 Meproson Tab 10,500
0 Mequalon 4 mg 7,900
0 Merislon 12 mg Tab 22,100
0 Merobat Injeksi 872,800
0 Meropenem Injeksi 165,000
0 Mersivas 10mg 1,800
0 Mertigo 6 mg Tablet 9,400
0 Metformin 500 mg Tablet Hexfharm 600
0 Methisoprinol Tablet Phapros 10,900
0 Methylergometrine Injeksi 9,600
0 Methylergometrine Tablet 900
0 Methylprednisolone 16 mg Tab Indofarma 4,200
0 Methylprednisolone 4mg 1,600
0 Methylprednisolone 8mg 2,400
0 Methylprednisolone Injeksi Dexa Medica 118,800
0 Metocloperamid Injeksi 13,200
0 Metocloperamid Tablet 500
0 Metronidazol Infus 133,800
0 Metronidazol Tablet 800
0 Microgynon Pil KB "Kotak" 42,000
0 Microlax 66,000
0 Midazolam - Hameln 5mg/1ml 61,000
0 Mikaject 500mg Injeksi 247,500
0 Mikaject Injeksi 181,500
0 Miloz 15mg Injeksi 148,500
0 Miloz 5 mg Injeksi 66,000
0 Mirasic 600
0 Mirasic Forte Tablet 1,500
0 Misoprostol Tablet 16,500
0 Molacort 0,75 mg 1,200
0 Molagit tab 1,800
0 Molakrim cr 51,000
0 Molesco 5 mg Tablet 16,500
0 Moloco + B12 Tablet 12,000
0 Mometason 10 gr 66,900
0 Morphine HCl Injeksi 31,500
0 Moveron Sirup 115,500
0 Movibet infus 495,000
0 Mozuku 500 mg Tablet 27,300
0 MST 10 mg Tablet 46,900
0 Mucera Forte syr 102,000
0 Mucera syr 56,100
0 Mucifat Sirup 145,200
0 Mucos 15 syr 60,000
0 Mucos drop 120,000
0 Mucos Tablet 3,300
0 Mumetason Krim 5 g 42,400
0 Musin Suspensi 120 ml 110,000
0 Mustela cream 594,000
0 Muveron Drop 92,900
0 Myonep 13,200
0 Myotonic inj 24,800
0 Myotonic Tablet 8,800
0 Natrium Diklofenak 25 mg Tablet 500
0 Natrium Diklofenak 50mg Novell 1,500
0 Neo K injeksi 48,000
0 Neostigmin-Hameln 50,900
0 Nephrolit 2,400
0 Neuciti 500mg kaps 33,600
0 Neurobat Forte Inj 30,900
0 neurobat tab 7,000
0 Neurontin Kapsul 56,400
0 Neurosanbe 5000 Tablet 7,100
0 Neurosanbe inj 14,200
0 Neurosanbe Tablet 3,400
0 Nexa Tablet 15,000
0 Nicardipine Injeksi 236,000
0 Nifedipin tablet 500
0 Nitrocaf Retard 6,500
0 Nokoba Injeksi 189,600
0 Norages 60ml syr 120,000
0 Norages Drop 20 ml 123,800
0 Norages injeksi 27,600
0 Norelut Tablet 13,200
0 Norepinefrin Injeksi 132,000
0 Novorapid Insulin 252,200
0 NTG / Nitroglycerin Injeksi 151,800
0 Nutricholin Kaps 49,500
0 Nutriflam Kapsul 27,500
0 Nymiko Suspensi 12 ml 100,700
0 Nystatin Drop 72,600
0 Obat Batuk Hitam 100 ml 8,000
0 Octalbin 20% Inf 2,475,000
0 Ofloxacin 400mg 3,300
0 Omeprazole 20 mg Kapsul Indofarma 2,100
0 Omeprazole 40 mg Injeksi 187,000
0 Omeric 300 mg 3,300
0 Ondansentron 4 mg tab Mahakam 12,400
0 Ondansentron 8 mg Tab 16,500
0 Ondansetron inj 4 mg 18,200
0 Onetic Injeksi 82,500
0 Opicef forte syr 60ml 160,000
0 Opicef syr 60ml 132,000
0 Opicef Tablet 37,200
0 Opigran Injeksi 3 mg 178,200
0 Opilax sirup 60 ml 141,900
0 Opivask 5mg 21,000
0 Oralit 200 3,000
0 Orinox 90mg Tab 24,800
0 Orphen tablet 500
0 Oscal Kapsul 19,100
0 Osfit DHA 12,700
0 Osteonate OAW 150,000
0 Otolin TT 101,300
0 Otopain ear drop ( tetes telinga ) 109,200
0 Ottogenta cr 5 gr 33,000
0 Oviskin Cream 10 g 31,400
0 Oxopect Sirup 60 ml 118,800
0 Oxoril Sirup 90,800
0 Oxytetraciklin Salep 3% 15,000
0 Oxytosin Inj 24,000
0 Panadol 2,600
0 Pantocain Tetes Mata 40,100
0 Pantomex Injeksi 214,500
0 Pantoprazole Inj 187,000
0 Pantoprazole Tablet 33,000
0 Pantopump Tablet 56,100
0 Pantoz Injeksi 249,000
0 papsmear kit 160,000
0 Paracetamol 500 mg Tablet 500
0 Paracetamol Drop 15 ml 20,600
0 Paracetamol Infus 92,400
0 Paracetamol syr Itrasal 21,000
0 Patral Tablet 23,100
0 Pectum 120 ml 93,000
0 Pectum 60 ml 63,000
0 Pediacel Vaksin 1,034,400
0 Pehacain inj 10,500
0 Pepzol Injeksi 231,000
0 Pepzol Tablet 56,100
0 Pethidin HCl 50 mg Injeksi 39,600
0 phenitoin injeksi 40,200
0 Phenytoin Injeksi 44,300
0 Phytomenadion Injeksi 14,700
0 Pil KB Diane 175,500
0 Pimaryl 2 mg 12,600
0 Pimaryl 3 mg 15,900
0 Piracetam 1 g Injeksi 23,800
0 Piracetam 1200 mg 5,900
0 Piracetam 3 g Injeksi 93,000
0 Piracetam 400 mg tab 1,700
0 Piracetam 800 mg Tablet Nulab 2,900
0 Piralen Tablet 1,700
0 pirazinamid tab 900
0 Piroxicam 10 mg Tab 1,400
0 Piroxicam 20 mg Tab 1,200
0 plasminex tab 8,300
0 Plasmodin tab 3,000
0 Polymen pink 181,500
0 Polymen silver rope 363,000
0 Ponstan 7,500
0 Precopar 500 ml 312,100
0 Prednicort 4 Tablet 9,900
0 Prednison tab 600
0 pregabalin 75 mg Kapsul 15,700
0 Pregabalin Kapsul 32,700
0 Pregnolin 12,000
0 Premaston tablet 12,700
0 Prenatal tab 2,700
0 Primaquin Tab 200
0 Primazole Forte Tablet 2,400
0 Proanes 1% Injeksi 160,900
0 Procalma Kapsul 11,600
0 Proceles Sirup 118,000
0 Proceles Tablet 5,000
0 Procetam 3 g Injeksi 117,000
0 Procetam 800 mg tablet 10,600
0 proclozam Tab 5,900
0 Profecorm Suppositoria 42,900
0 Profertil Tablet 46,200
0 Prokids Drop 132,000
0 Prolevox Tab 109,500
0 Promedex Sirup 85,800
0 Promedex tab 4,400
0 Promuba Suspensi 136,200
0 Pronovir Sirup 132,000
0 Propanolol Tablet 10 mg 1,500
0 Propanolol Tablet 40 mg 1,500
0 Propylthiuracyl 100 mg Tablet/PTU 1,100
0 Proris Sirup 94,500
0 Prosofol Inj 157,700
0 Prostanac 50mg 1,500
0 Protocin Injeksi 22,500
0 PROVAGIN OVULA 42,900
0 proxidan 11,900
0 Psidii Sirup 136,200
0 Psidii Tablet Dexa Medica 15,000
0 Pumpitor injeksi 229,700
0 Pyrazinamide 500mg 900
0 Pyrexin 160 mg Suppositoria 23,100
0 Pyrexin 80 mg Suppositoria 23,100
0 Pyrexin infus 110,000
0 Pyrexin syr 45,000
0 Pyrexin tab 1,500
0 Pyxime 58,000
0 Qlaira 372,600
0 Quamer 277,500
0 Racef Injeksi 303,600
0 Ranitidine inj 8,600
0 Ranitidine Tablet 1,200
0 Ranivel Sirup 115,000
0 Rebamipid tab 6,300
0 Rebamit Tablet 9,900
0 Recofol N 168,300
0 Recuronium Bromida 50mg/5ml Injeksi 154,000
0 Regivell 20 mg Injeksi 132,000
0 Renasistin drop 15 ml 110,000
0 Renatac Injeksi 59,400
0 Renax Kapsul 21,900
0 Renosan 500 ml 367,300
0 Renovit Strip 9,600
0 Retapyl Tab 5,900
0 Revolan 400 mg Kapsul 6,300
0 revolan 800 mg tab 11,600
0 Revolan Injeksi 54,800
0 Rhinos jonior 118,800
0 Rhinos Neo Drop 144,000
Rhinos SR Kaps 14,900
0 Rifampicin 300 mg Tab Indofarma 3,900
0 Rifampicin 450 mg Tab Indofarma 10,800
0 Rihest Sirup 60 ml 94,400
0 Rillus Tablet 21,600
0 Rindopump Injeksi 165,000
0 Rocum Inj 30,200
0 Rosagen Sach 79,200
0 Rotarix Vaksin 354,800
Roverton tab 1,500
Sagestam Injeksi 29,800
0 Sagestam Salep 108,900
0 Salbron 2 mg Tablet 1,200
0 Salbron 4 mg Tablet 900
0 Salbron Sirup 54,100
0 Salbutamol 2 mg Tablet 300
0 Salbutamol 2 mg/5 ml Sirup Indofarma 16,500
0 Salbutamol 4 mg Tablet 400
0 Salticin Cream 5 g 52,800
0 Sanadryl syr 60ml 35,700
0 Sanadryl syr DMP 60ml 38,300
0 Sancorbin Injeksi 108,000
0 Sangobion Kapsul 3,900
0 SANMAG SYRUP 96,000
0 Sanmag Tablet 2,400
0 Sanmol Drop 60,000
0 Sanmol Forte 97,800
0 Sanmol Forte Tablet 12,800
0 Sanmol infus 124,600
0 Sanmol syr 48,000
0 Sanmol Tab 900
0 Scabimite cr 126,000
0 Scopamin inj 48,800
0 Scopamin Plus Tablet 8,300
0 Scopamin Tablet 5,800
0 Sedacum Injeksi 15mg/3ml 142,600
0 Sedacum Injeksi 5mg/5ml 72,600
0 Sensitif 65,900
0 Sevodex 250 ml 4,290,000
0 Sibital Injeksi 29,700
0 Silopect syr 75,000
0 Sim DHA 110,000
0 Simciti 24,000
0 Simcobal Kapsul 11,900
0 Simfix 100 mg Kapsul 52,800
0 Simfix 200 mg Kapsul 81,700
0 simfix sirup 154,000
0 Simryl 2 mg Kaplet 11,600
0 Simtor 20 mg 30,300
0 Simvask 10 mg Tablet 25,500
0 Simvastatin 10 mg 2,400
0 Simvastatin 20mg 4,500
0 Sistenol Tablet 4,800
0 Sodermix Cream 15 g 176,000
0 Sojourn Infus 4,290,000
0 Solvinex Injeksi 120,500
0 Spashi 39,000
0 Spasi Injeksi 33,000
0 Spasmeco tab 4,200
0 Spasminal Tablet 3,000
0 Spasmolit 7,300
0 Spironolacton Tablet 100 mg 5,700
0 Sporetik 100mg kaps 53,300
0 Sporetik 200 mg tab 87,500
0 Stesolid 2 mg tab 3,000
0 Stesolid 5 mg Rectal 100,000
0 Stesolid Injeksi 45,000
0 Stimuno syr 75,000
0 Stolax Suppositoria 19,700
0 Sucralfate Sirup 100 ml 96,600
0 Sucralfate Sirup 200 ml 145,200
0 sukralfat sirup 96,600
0 Supertetra 3,400
0 Suprafenid Suppositoria 33,000
0 Supralysin Baby Drop 15 ml 72,600
0 Supralysin Sirup 72,600
0 Supravit Kapllet 1,500
0 Synflarix Vaksin 651,800
0 Tablet Tambah Darah 1,700
0 Tamezol Kapsul 4,500
0 Taxegram Injeksi 213,200
0 Taxfor inj 228,600
0 Tensilo Injeksi 300,000
0 Teosal Tab 1,800
0 Terfacef Injeksi 323,100
0 Tetagam Vaksin 415,500
0 thiamphenicol tab 4,000
0 Thianicol 500 mg Kapsul 2,700
0 Thrombogel 104,000
0 Thyamicin 500 mg tablet 13,500
0 Thyrozol Tab 6,900
0 Tiamfenikol tab 4,000
0 Tiaryt Injeksi 82,500
0 Tiaryt Tablet 7,900
0 Tiriz drops 132,000
0 Tofedex Injeksi 128,700
0 Tofedex Tablet 18,200
0 Tonotan 9,900
0 Toramine 30 Injeksi 115,500
0 Tradosik injeksi 57,100
0 Tradosik kapsul 57,100
0 Tramadol Inj 75,000
0 Tramadol Tablet 1,100
0 Tramifen Tablet 23,100
0 Tramset Kapsul 28,500
0 Tremenza Sirup 48,900
0 Tremenza Tablet 3,500
0 Triamcinolon Salep 140,300
0 Triamcinolon Tablet 2,400
0 Triamcort salep 128,700
0 Triasco Injeksi 297,000
0 Trichodazol Infus 182,100
0 Tricker Injeksi 61,900
0 Triclofem inj 24,000
0 Tricodazol 500 mg Tab 5,000
0 Trifaneuron 2,400
0 Trifed Sirup 77,600
0 Trifed tab 7,000
0 Trogyl Tablet 5,000
0 TroPineuron 5,800
0 Truxantin kaps 32,700
0 Tuderm-N cream 36,300
0 Ulcera Suspensi 100 ml 110,000
0 Ulceranin Injeksi 61,100
0 Ulsafat Syr 140,000
0 Ultimax Joint Tab 26,400
0 Urdahex Tablet 28,700
0 Urdex kaps 22,700
0 Urinter 19,100
0 Urispas 200 mg Kapsul 15,300
0 Utrogestan Kapsul 56,100
0 Vagistin 60,000
0 Vaksin HNV 1.0 158,400
0 Valisanbe 2 mg Tablet 600
0 Valisanbe 5 mg Tablet 900
0 Vaporin Kapsul 13,600
0 Vascon Injeksi 198,000
0 Vasodin Injeksi 131,400
0 vasodrin inj 110,000
0 Vectrine 300 mg Kapsul 12,700
0 Vectrine Dry Sirup 114,100
0 Velutine 23,100
0 Venaron Tablet 10,200
0 Ventolin Inhaler 172,500
0 Ventolin Nebules 2,5mg 30,000
0 Vesperum 1,500
0 Vesperum Drops 15ml 51,000
0 Vibrion kapsul 18,800
0 Vioxy FM tablet 12,300
0 Vip Albumin 18,200
0 Visanne 636,800
0 Visela 500
0 Vit C kaleng 400
0 Vitamin B1 700
0 vitamin B12 200
0 Vitamin B6 600
0 Vitamin Bcomplek + B12 600
0 Vitamin C 500
0 Vitamin K4 Tablet 600
0 Vitan 250 mg Tablet 39,600
0 Voltadex Gel 72,000
0 vometa drops 125,200
0 vometa sirup 130,400
0 Vometa Tablet 11,500
0 Vometron Sirup 50 ml 193,600
0 Vometron Tablet 4 mg 44,600
0 Vopicain Injeksi 110,000
0 Vosedon Suspensi 60 ml 89,100
0 Widabes 29,000
0 Winatin tab 1,500
0 X-CAM 15 MG TAB 25,600
0 Xolmetras 100 ml Infus 1,683,000
0 Xolmetras 50 ml Infus 907,500
0 Xylocain 2% Astrazenecca 165,000
0 Yasmin Pil KB 327,000
0 Yaz 302,600
0 Zink Kid 10mg/5 ml sirup 100 ml 90,800
0 Zink tab 20mg Indofarma 2,400
0 Zircum Kid syr 105,000
0 Zolmia Tablet 14,900
0 Alkohol 70% 1 Liter Medis 125
0 Alkohol 70% 300 ml Onemed 194
0 Alkohol 95% 1 Liter 257
0 Alkohol Sweb 627
0 Allevyn 10 cm x 10 cm 147,400
0 Arm Sling Uk. L Ji.Co 109,800
0 Arm Sling Uk. M Onemed 148,500
0 Arm Sling Uk. S Audi 148,500
0 Bactrigras 44,550
0 Benang Catgut 1,0 SMI 193,600
0 Benang Catgut Plain 3,0 GEA 29,910
0 Benang Chromic 1.0 SMI 137,940
0 Benang Chromic 2.0 Onemed 33,600
0 Benang Chromic 3.0 Onemed 33,600
0 Benang Corolene 2.0 Peter 165,440
0 Benang Corolene 3.0 Peter 214,500
0 Benang Corolene 5.0 Petters 166,320
0 Benang Optime 0 Peter 199,800
0 Benang Optime 1.0 Peter 162,500
0 Benang Optime 2.0 Petter 183,084
0 Benang Plain 2.0 Gea 30,000
0 Benang Plain 2.0 Onemed 33,600
0 Benang Plain 3.0 Onemed 30,000
0 Benang Polypropylene 1.0 SMI 174,020
0 Benang Polypropylene 2.0 SMI 174,020
0 Benang Polypropylene 3.0 SMI 174,020
0 Benang Polypropylene 4.0 SMI 174,020
0 Benang Polypropylene 5.0 SMI 174,020
0 Benang Polypropylene 6.0 SMI 174,020
0 Benang Silk 0 Petter 138,600
0 Benang Silk 1.0 Peter 214,500
0 Benang Silk 1.0 SMI 100,000
0 Benang Silk 2.0 Onemed 10,500
0 Benang Silk 2.0 Peter 214,500
0 Benang Silk 2.0 SMI 110,000
0 Benang Silk 3.0 Onemed 10,500
0 Benang Silk 3.0 SMI 110,000
0 Benang Surgicryl 1.0 SMI 227,700
0 Benang Surgicryl 2.0 SMI 151,800
0 Benang Surgicryl 3.0 SMI 191,400
0 Benang Surgicryl 5.0 SMI 151,066
0 Bisturi No. 10 B.Braun 13,050
0 Bisturi No. 11 B.Braun 13,050
0 Bisturi No. 15 B.Braun 13,050
0 Bisturi No. 20 B.Braun 3,630
0 Bisturi No. 23 B.Braun 13,050
0 Blood Lancet Renoma 600
0 Blood Tranfusi Set Terumo 81,675
0 Bone Wax B. Braun 150,400
0 Brush Papsmear Steril 22,500
0 Catgut Chromic 1.0 Triton 193,600
0 Catgut Chromic 2.0 SMI 227,700
0 Catgut Chromic 2.0 Triton 145,200
0 Catgut Plain 3.0 B. Braun Taper 175,600
0 Catgut Plain 3.0 SMI 137,500
0 Catgut Plain 4.0 SMI 137,500
0 Chest Tube Uk. 28 173,800
0 Chest Tube Uk. 32 173,800
0 Chest Tube Uk.20 173,800
0 Chest Tube Uk.24 173,800
0 Chromic Catgut 2.0 OM 145,200
0 Colostomy Bag Uk. 3 126,000
0 Colostomy Bag Uk. 4 126,000
0 Colostomy Bag Uk. 5 126,000
0 Contour Plus GDS / Strip 23,100
0 Corset Lumbal Uk. L 346,500
0 Corset Lumbal Uk. M 346,500
0 Corset Lumbal Uk. XL 346,500
0 Cvc Lumen 2 No. 7 1,209,219
0 Cvc Lumen 3 No. 7 1,209,219
0 Dermafix-T Onemed 82,500
0 D-Tek Polypropylene Mesh 6 x 10 cm 59,400
0 Elastis Perban 10 cm x 4,5 m BSN Medical 139,300
0 Elastis Perban 15 cm x 4,5 m BSN Medical 166,400
0 Elastis Perban 7,5 cm x 4,5 m BSN Medical 115,700
0 Electrosurgical pencil - Emed 198,000
0 Elektroda Anak Onemed 12,375
0 Elektroda Dewasa Onemed 12,375
0 Epidural No.18 750,750
0 ETT No. 2.5 Romsons 148,500
0 ETT No. 3,0 Romsons 148,500
0 ETT No. 3,5 Romsons 148,500
0 ETT No. 4.0 Romsons 128,700
0 ETT No. 6,5 Romsons 135,000
0 ETT No. 7,0 Romsons 135,000
0 ETT No. 7,5 Romsons 135,000
0 Excel Tulle 42,075
0 Folley Catheter No. 10 Onemed 86,100
0 Folley Catheter No. 12 Onemed 47,100
0 Folley Catheter No. 14 Onemed 23,100
0 Folley Catheter No. 16 Onemed 33,000
0 Folley Catheter No. 18 Onemed 27,900
0 Folley Catheter No. 20 Onemed 33,000
0 Folley Catheter No. 22 3 Way Onemed 94,500
0 Folley Catheter No. 22 Onemed 27,900
0 Folley Catheter No. 24 Onemed 27,900
0 Folley Catheter No. 6 Onemed 105,000
0 Folley Catheter No. 8 Onemed 86,100
0 Gelang Pasien Anak Biru Onemed 3,342
0 Gelang Pasien Anak Pink Onemed 3,342
0 Gelang Pasien Dewasa Biru Onemed 3,342
0 Gelang Pasien Dewasa Merah Onemed 3,342
0 Gelang Pasien Dewasa Pink Onemed 3,342
0 Gelspon 178,530
0 Gold Line Pencil - Conmed 297,000
0 Guedel Airways No. 3 69,300
0 Guedel Black No.0 61,050
0 Guedel Green No. 2 61,050
0 Guedel No. 00 85,800
0 Guedel No.000 85,800
0 Guedel No.5 78,000
0 Guedel Red No. 4 69,300
0 Guedel White No.1 61,050
0 Gypsona Besar No. 4 119,100
0 Gypsona Kecil No. 3 85,200
0 Handscoon Steril Obgyn Biasa 81,900
0 Handscoon Steril Obgyn Uk. 6,5 Trosenso 118,650
0 Handscoon Steril Obgyn Uk. 7,5 Trosenso 118,650
0 Handscoon Steril Uk. 6 39,600
0 Handscoon Steril Uk. 6,5 Trosenso 35,700
0 Handscoon Steril Uk. 7 Trosenso 35,700
0 Handscoon Steril Uk. 7,5 Trosenso 40,755
0 Handscoon Steril Uk. 8 Trosenso 37,200
0 handscoon Steril Uk. 8,5 39,600
0 Handscoon Uk. L 1,650
0 Handscoon Uk. M 2,904
0 Handscoon Uk. S 2,904
0 Handscoon Uk. S Biru 2,148
0 Hi Oxy Anak Besmed 126,000
0 Hi Oxy Dewasa Besmed 126,000
0 Hydrogen Peroxide 3% 800ml Onemed 120,000
0 Hypafix BSN Medical 167,403
0 Infus Safe Fresenius Kabi 115,500
0 Infuset Anak Onemed 19,800
0 Infuset Dewasa Onemed 19,800
0 Infuset Dewasa Semillas 16,500
0 Injectomat Line Fresenius Kabi 75,900
0 Isoplast 1,25 cm x 4,5 m Onemed 23,100
0 Jarum Spinal G-27 Orange 148,500
0 Jarum Spinall G-27 Abu-Abu 148,500
0 Kapas 500 gr Onemed 132,000
0 Kasa Hidrofil 16 x 16 Siaga 37,500
0 Kasa Hidrofil 16 x 16 Zulhan 37,500
0 Kasa Hidrofil Bunda Biru 222,000
0 Kasa Steril 16 x 16 Onemed 31,200
0 Kondom Sutra 9,000
0 Kruk Uk. L / Tongkat 218,625
0 Kruk Uk. M / Tongkat 218,625
0 Kruk Uk. S / Tongkat 218,625
0 Laminaria Uk. L 154,000
0 Laminaria Uk. M 154,000
0 Leukotape 5 cm x 5 m BSN Medical 242,550
0 LMA No.1 1,438,950
0 LMA No.2 1,438,950
0 LMA No.3 1,438,950
0 LMA No.4 1,438,950
0 Masker 3M 57,000
0 Masker Biasa Sunmed 1,800
0 Masker Jilbab Sensi Mask 1,800
0 Masker Nebulizer Anak Resources Life 126,000
0 Masker Nebulizer Dewasa Besmed 148,500
0 Masker Nebulizer Dewasa Gea 126,000
0 Maxi Flow Bayi 112,500
0 Maxiflow Anak Besmed 99,000
0 Maxiflow Dewasa Besmed 99,000
0 Monosyn 4.0 B. Braun Cutting 214,650
0 Monosyn 4.0 B. Braun Tapper 257,400
0 My Jelly 99,000
0 Nasal Kanul Anak Besmed 32,550
0 Nasal Kanul Bayi Cosmo Med 46,200
0 Nasal Kanul Dewasa Besmed 51,000
0 Needle 23 Terumo 2,700
0 Needle 24 Terumo 3,300
0 NGT No. 12 Terumo 131,400
0 NGT No. 14 Terumo 131,400
0 NGT No. 16 Terumo 131,400
0 NGT No. 18 Terumo 144,294
0 NGT No. 3,5 Terumo 131,400
0 NGT No. 5 Terumo 131,400
0 Novotwist 7,200
0 Nurse Cup 1,950
0 Opsite Post-Op 125,400
0 Papsmear Kit 75,000
0 Pembalut Charm 2,100
0 Pencukur Gillete 45,000
0 Penjepit Tali Pusat Kenko 11,700
0 Plesterin Bulat Onemed 810
0 Polymem Merah 10 cm x 10 cm 181,500
0 Polymem Wic Silver Rope Panjang 363,000
0 Popoku Dewasa 45,000
0 Povidoen Iodine 1 Liter MBF 297
0 Povidone Iodine 15 Ml MBF 29,700
0 Povidone Iodine 60 Ml MBF 97,350
0 Quicky Sucktion 348,150
0 Sikat Ok 30,000
0 Silk 2.0 B. Braun Tapper 142,400
0 Silk 2.0 B. Braun Cutting 155,000
0 Silk 2.0 Triton 106,600
0 Silk 3.0 B. Braun 174,400
0 Silk 3.0 Triton 101,640
0 Simple Mask Dewasa Besmed 99,000
0 Softband Besar No. 6 BSN 119,100
0 Softband Kecil No. 3 BSN 60,000
0 Softband Sedang No. 4 BSN 85,500
0 Spatula 3,600
0 Spon Tenst Elektroda 100,000
0 Spuit 1 cc Baimed 2,700
0 Spuit 1 cc Terumo 10,800
0 Spuit 10 cc B.Braun 3,960
0 Spuit 10 cc Terumo 13,800
0 Spuit 20 cc Onemed 24,750
0 Spuit 20 cc Terumo 33,900
0 Spuit 3 cc B.Braun 2,475
0 Spuit 3 cc Baimed 2,526
0 Spuit 3 cc Terumo 7,560
0 Spuit 5 cc B.Braun 2,700
0 Spuit 5 cc Baimed 2,700
0 Spuit 5 cc Terumo 9,450
0 Spuit 50 cc Onemed Syringe Pump 91,500
0 Spuit 50 cc Terumo Catheter Tip 99,000
0 Spuit 50 cc Terumo Syringe Pump 99,000
0 Stericlin Indicatorstrips 42,900
0 Suction Catheter No. 14 Phasco 33,000
0 Suction Catheter No. 16 33,300
0 Suction Catheter No. 6 Onemed 37,200
0 Suction Catheter No. 8 Onemed 33,000
0 Suction Catheter No.12 Onemed 37,200
0 Surflo 14 Terumo 40,800
0 Surflo 18 Terumo 37,950
0 Surflo 20 Terumo 37,950
0 Surflo 22 Terumo 37,950
0 Surflo 24 Terumo 49,500
0 Surflo 26 Troge 40,800
0 T.Mono Polyglecaprone 4.0 Triton 172,425
0 Tegaderm Film 21,300
0 Three way biasa 14,100
0 Three Way Fresenius Kabi 37,800
0 Three Way Gea 24,750
0 Three Way Onemed Stopcock with Selang 21,900
0 Torniquet Onemed 37,800
0 Tripod Walker 206,250
0 U-Pad Non Steril Surgi Care 12,600
0 U-Pad Steril Onemed 39,600
0 Urine Bag Gea 19,800
0 Urine Bag Onemed 19,800
0 USG Gell Onemed 250 ml 92,400
0 Verban Yard 3,6 x 15 Onemed 16,500
0 Vigimesh 287,100
0 Wing Needle 21 11,550
0 Wing Needle No. 23 Onemed 5,550
0 Wing Needle No. 25 Onemed 5,550
0 Wing Needle No. 27 Onemed 5,550
0 Infus Asering (Widatra) 75,000
0 Aquadest 25 ml 8,580
0 Infus D40 26,070
0 Infus D5 1/2 NS Infus 500 ml (widatra) 32,040
0 Infus D5 1/4 NS Infus 500 ml (widatra) 31,872
0 Infus D5 1/2 NS Infus 500 ml (Sanbe) 61,215
0 Infus D5 1/4 NS 500ml ( Sanbe) 60,555
0 Infus D5 500 ml ( B. Braun) 48,600
0 Infus D5 500ml ( Widatra) 39,909
0 Infus Widahes 218,295
0 Infus NaCl 500 ml ( sanbe) 57,255
0 Infus Nacl 500ml ( Otsu) 43,560
0 Infus Nacl 500ml ( widatra) 39,909
0 Infus NS 3% 500ml (Otsu) 83,490
0 Infus RL (sanbe) 58,740
0 Infus RL Tutup Karet (Widatra) 43,836
0 Infus KCl 25 ml 9,297
0 Infus Ka-en 3B 66,000
0 Infus KN 1% 500ml (wisatra) 44,550
0 Infus Futrolit 117,981
0 Infus Manitol 184,800
0 Infus NaCl 100 ml ( sanbe) 50,985
0 Infus Nacl 100ml ( Otsu) 39,600
0 Magnesium Sulfat 20 ml (MGsO4 20) 23,760
0 Magnesium Sulfat 40ml ( MGsO4 40) 10,950
0 Infus D10% 500ml ( Widatra) 22,500
0 Infus Aminofloid 500ml 140,400
0 Infus Sanbehes 313,583
0 Infus D5 500ml (Sanbe) 59,895
0 Infus RL Pipih ( Widatra)OGB 21,450
0 Infus D10% 500ml (Otsu) 46,200
0 Aminofusin L 600 150,700
0 Livamin 317,378
0 Lipomed 100ml 190,740
0 Clinoleic 20 % 100ml 351,203
0 Infus Hydromal ( Sanbe ) 148,497
0 Infus Clinimix 1000ml 625,722
0 Infus Asering (Otsuka) 70,950
0 D5 1/2 NS 500ML (Otsuka ) 50,490
0 D5 1/4 NS 500ML (Otsuka ) 50,490
0 Infus Bfluid 247,500
0 Aquadest 1 Liter 71,280
0 D5% Widatra OGB 20,700
0 Infus NS 500ml Pipih widatra OGB 19,230
0 Meylon 84 25ml (Otsuka 19,350
0 Infus RL Sanbe (E-katalog ) 21,459
0 Wida Bes 500ml (Widatra ) 28,950
0 Lipomed 250ml 355,410
0 Infus Assering Otsu OGB 28,938
0 Tuslah 6,000
0 BHP Racik 1,000
0 Jasa Racik 15,000
0 dr. Margareth, Sp.S
0 dr. Dwi Kartika
0 dr. Laely
0 dr. Daru Dewa
0 dr. Anna, Sp.OG
0 dr. Syaifullah, Sp.PD
0 dr. Tamsil, Sp.PD
0 dr. Romy, Sp.OT
0 dr. Lisa, Sp.B
0 dr. Rayhan Fauzie Sp.B
0 dr. Ariputra, Sp.A
0 dr. Yehezkiel, Sp.An
0 dr. Agung, Sp. KFR
0 dr. Trisna, Sp. OG
0 dr. Erwin
0 dr. Rio
0 dr. Arifya
0 dr. Dewy Retno
0 Sterilisasi 1 7,200
0 Sterilisasi 2 7,600
0 Sterilisasi 3 8,600
0 Instrumen 1 16,500
0 Instrumen 2 17,000
0 Instrumen 3 18,000
0 Instrumen OK 490,500
0 Instrumen OK (Ortho) 1,175,000
0 Kasa 1 (CSSD) 7,000
0 Kasa 2 (CSSD) 10,000
0 Kasa 3 (CSSD) 12,000
0 Kasa 4 (CSSD) 23,000
0 Kasa Borneo (CSSD) 12,000
0 Big Kasa (CSSD) 25,000
0 Linen 1 43,000
0 Linen 2 5,800
0 Set Spinal 13,000
0 Sevodex (OK) 350,000
0 Orinox 60mg Tab 27,000
0 Fresofol Inj 1 % 32,300
0 intermic inj 62,400
0 Pyrexin Extra Tablet 16,400
0 Fiondazol infus 165,000
0 diaform tablet 1,500
0 hepatitis B immune globulin (Human) 4,696,400
0 desoximethasone salep 66,000
0 cefoject injeksi 297,000
0 avodart 36,900
0 erdostein tab 9,000
0 Zinc 20 mg Sirup 36,600
0 Sulcolon 28,800
0 Arkine 1,300
0 Levazide 15,700
0 interzol cr 70,500
0 Kalxetin Tab 12,100
0 Uresic Inj 5,800
0 Cormega Kapsul 31,500
0 Astria tablet 25,500
0 Mestinon 38,400
0 Flunarizin 5mg 8,300
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Err:502
BUKTI PELAYANAN INSTALASI FARMASI
RS MARINA PERMATA
Jl. Kodeco Km. 4 Kec. Simpang Empat
Kab. Tanah Bumbu, Kalsel
No. Telp : (0518) 70118, (0518) 71118
Email : ifrs@marinapermatahospital.com atau kunjungi www.marinapermatah

Nama Pasien BHP


Umur : Tahun
Berat Badan :
Alamat :

No R/ Nama Dokter Tanggal Nama Obat Jumlah


Neck Colar 1
Defibilator Ambulan 1
Gitas Injeksi 2
Tabung Oksigen 2
ETT No. 7,0 Romsons 1
ETT No. 7,5 Romsons 1
Spuit 10 cc B.Braun 1
Nasal Kanul Dewasa Besmed 2
Hi Oxy Dewasa Besmed 2
Suction Catheter No. 16 2
Masker Nebulizer Dewasa Gea 1
Infuset Dewasa Onemed 3
Surflo 18 Terumo 3
Surflo 20 Terumo 3
Spuit 1 cc Terumo 3
Spuit 3 cc Baimed 3
Spuit 5 cc Baimed 3
Guedel White No.1 3
Guedel Green No. 2 3
Guedel Airways No. 3 3
Wing Needle No. 25 Onemed 2
Infus RL Pipih ( Widatra)OGB 5
Infus Nacl 500ml ( widatra) 3
Infus D5 500ml ( Widatra) 2
Tegaderm Film 5
Torniquet Onemed 1
Alkohol Sweb 100
Folley Catheter No. 18 Onemed 1
Urine Bag Gea 1
Spuit 10 cc B.Braun 1
My Jelly 1
Kasa Steril 16 x 16 Onemed 3
Verban Yard 3,6 x 15 Onemed 5
Elastis Perban 10 cm x 4,5 m BSN 2
Povidone Iodine 60 Ml MBF 2
Alkohol 70% 300 ml Onemed 2
Arm Sling Uk. M Onemed 2
Hypafix BSN Medical 1
Isoplast 1,25 cm x 4,5 m Onemed 1
Masker Jilbab Sensi Mask 50
Handscoon Uk. M 100
Ephineprin Injeksi 10
Isosorbid Dinitrat 20
Aspilet Tablet 20
Clopidogrel tab 75 mg 10
Infus D40 3
Velutine 4
Dexametason 0,5 mg Inj 3
Ranitidine inj 3
Ketorolac inj 3
Metocloperamid Injeksi 2
Sanmol Forte Tablet 20
Antasida kaleng 30
Loperamid Tablet 20
Domperidone 10mg 20
Atovarstatin 10 mg Tablet Hexfh 20
Cetirizine 10 mg tablet Indofarma 20
Jumlah Harga Total

Batulicin, Januari 2019

Nama dan TTD Pasien :

………………………………
NSTALASI FARMASI
PERMATA
c. Simpang Empat Err:522 CE
mbu, Kalsel
118, (0518) 71118
kunjungi www.marinapermatahospital.com

Harga Satuan Harga Total


Rp 300,200 Rp 300,200
Rp 600,000 Rp 600,000
Rp 74,300 Rp 148,600
Rp 340,000 Rp 680,000
Rp 135,000 Rp 135,000
Rp 135,000 Rp 135,000
Rp 3,960 Rp 3,960
Rp 51,000 Rp 102,000
Rp 126,000 Rp 252,000
Rp 33,300 Rp 66,600
Rp 126,000 Rp 126,000
Rp 19,800 Rp 59,400
Rp 37,950 Rp 113,850
Rp 37,950 Rp 113,850
Rp 10,800 Rp 32,400
Rp 2,526 Rp 7,578
Rp 2,700 Rp 8,100
Rp 61,050 Rp 183,150
Rp 61,050 Rp 183,150
Rp 69,300 Rp 207,900
Rp 5,550 Rp 11,100
Rp 21,450 Rp 107,250
Rp 39,909 Rp 119,727
Rp 39,909 Rp 79,818
Rp 21,300 Rp 106,500
Rp 37,800 Rp 37,800
Rp 627 Rp 62,700
Rp 27,900 Rp 27,900
Rp 19,800 Rp 19,800
Rp 3,960 Rp 3,960
Rp 99,000 Rp 99,000
Rp 31,200 Rp 93,600
Rp 16,500 Rp 82,500
Rp 139,300 Rp 278,600
Rp 97,350 Rp 194,700
Rp 194 Rp 387
Rp 148,500 Rp 297,000
Rp 167,403 Rp 167,403
Rp 23,100 Rp 23,100
Rp 1,800 Rp 90,000
Rp 2,904 Rp 290,400
Rp 45,000 Rp 450,000
Rp 400 Rp 8,000
Rp 1,600 Rp 32,000
Rp 21,000 Rp 210,000
Rp 26,070 Rp 78,210
Rp 23,100 Rp 92,400
Rp 7,300 Rp 21,900
Rp 8,600 Rp 25,800
Rp 49,500 Rp 148,500
Rp 13,200 Rp 26,400
Rp 12,800 Rp 256,000
Rp 600 Rp 18,000
Rp 500 Rp 10,000
Rp 2,100 Rp 42,000
Rp 8,900 Rp 178,000
Rp 1,000 Rp 20,000
#NAME?

Batulicin, Januari 2019


Mengetahui,
Petugas Farmasi
22
BUKTI PELAYANAN INSTALASI FARMASI
RS MARINA PERMATA
Jl. Kodeco Km. 4 Kec. Simpang Empat
Kab. Tanah Bumbu, Kalsel
No. Telp : (0518) 70118, (0518) 71118
Email : ifrs@marinapermatahospital.com atau kunjungi www.marinapermatahospit

Nama Pasien
Umur :
Berat Badan :
Alamat :

No R/ Nama Dokter Tanggal Nama Obat Jumlah

Jumlah Harga Total

Batulicin, Juni 2018


NSTALASI FARMASI
PERMATA
c. Simpang Empat Err:522 CE
mbu, Kalsel
118, (0518) 71118
kunjungi www.marinapermatahospital.com

Harga Satuan Harga Total

Rp -

Batulicin, Juni 2018


Mengetahui,
Petugas Farmasi

S-ar putea să vă placă și