Laporan Gufar Bulan April 2019

RUMAH SAKIT
MEDIKA STANNIA
SUNGAILIAT
LAPORAN BULANAN MUTASI OBAT-OBATAN DAN SARANA PELENGKAP

DI GUDANG FARMASI RSMS - SUNGAILIAT
BULAN A P R I L 2019
- - - - - - ###
KODIFIKASI SALDO AWAL PENERIMAAN TOTAL PENGELUARAN SALDO AKHIR
NO. NAMA OBAT / BAHAN HAR - SAT
U/ PROGRAM JML NILAI JML NILAI JML NILAI JML NILAI
1 2 3 4 5 6 7 8 9 10 11 12
ANTIBIOTIK GENERIK
1 110840060056 AMOXYCILLIN CAPS 500 MG 518.85 - - 800 415,080.00 800 415,080.00 - -
2 110840280056 AMOXYCILLIN CAPS 500 MG 370.00 1,200 444,000.00 - - - - 1,200 444,000.00
3 110840280056 AMOXYCILLIN CAPS 500 MG 423.50 - - 800 338,800.00 200 84,700.00 600 254,100.00
4 110840060059 AMOXYCILLIN DROPS 15,400.00 - - - - - - - -
5 110840280058 AMOXYCILLIN DRY. SYR 5,500.00 86 473,000.00 - - 45 247,500.00 41 225,500.00
6 110840060047 AMPICILLIN INJ. 8,580.00 - - - - - - - -
7 110820060024 AZITHROMYCIN INJ. 0.5 GR 82,225.00 16 1,315,600.00 - - - - 16 1,315,600.00
8 110820060023 AZITHROMYCIN SYR. 200 MG / 51,975.00 5 259,875.00 - - - - 5 259,875.00
9 AZITHROMYCIN SYR. 200 MG / 48,400.00 - - - - - - - -
10 110820350019 AZITHROMYCIN TAB. 500 MG 1,777.92 400 711,168.00 - - - - 400 711,168.00
11 110820350019 AZITHROMYCIN TAB. 500 MG 1,777.93 400 711,172.00 - - - - 400 711,172.00
12 110820350019 AZITHROMYCIN TAB. 500 MG 1,777.99 190 337,818.10 - - 40 71,119.60 150 266,698.50
13 AZITHROMYCIN TAB. 500 MG 9,900.00 198 1,960,200.00 - - 148 1,465,200.00 50 495,000.00
14 110850280102 CEFADROXIL CAPS. 250 MG 606.07 - - - - - - - -
16 110850280086 CEFADROXIL CAPS. 500 MG 672.00 1,700 1,142,400.00 - - 700 470,400.00 1,000 672,000.00
19 CEFADROXIL CAPS. 500 MG 792.00 700 554,400.00 1,500 1,188,000.00 2,200 1,742,400.00 - -
20 110850060114 CEFADROXIL SYR 6,395.68 - - 100 639,568.00 100 639,568.00 - -
21 120850350021 CEFADROXIL SYR 6,395.67 - - - - - - - -
22 110850280092 CEFADROXIL SYR 7,380.45 98 723,284.10 - - 63 464,968.35 35 258,315.75
23 110850060103 CEFEPIME INJ 135,850.00 - - - - - - - -
24 110850060115 CEFIXIME CAPS. 100 MG 1,001.00 5,000 5,005,000.00 - - 2,400 2,402,400.00 2,600 2,602,600.00
25 110850350049 CEFIXIME CAPS. 100 MG 843.00 5,420 4,569,060.00 - - - - 5,420 4,569,060.00
26 110850130088 CEFIXIME CAPS. 100 MG 2,394.59 - - - - - - - -
27 110850490111 CEFIXIME CAPS. 100 MG 1,676.21 7,400 12,403,954.00 - - - - 7,400 12,403,954.00
28 CEFIXIME CAPS. 200 MG 3,740.00 14,490 54,192,600.00 - - 540 2,019,600.00 13,950 52,173,000.00
29 110850060116 CEFIXIME SYR 23,595.00 - - 100 2,359,500.00 - - 100 2,359,500.00
30 110850280112 CEFIXIME SYR 13,860.00 6 83,160.00 - - - - 6 83,160.00
31 110850490104 CEFIXIME SYR 27,225.00 150 4,083,750.00 - - 90 2,450,250.00 60 1,633,500.00
32 110850130059 CEFIXIME SYR 31,762.50 - - - - - - - -
33 110850130043 CEFOPERAZONE INJ 1 GR 108,900.00 10 1,089,000.00 - - 10 1,089,000.00 - -
34 110850210117 CEFOPERAZONE INJ 1 GR 51,425.00 - - - - - - - -
35 110850060105 CEFOPERAZONE SULBACTAM IN 75,790.00 4 303,160.00 - - - - 4 303,160.00
36 110850060105 CEFOPERAZONE SULBACTAM IN 71,500.00 20 1,430,000.00 - - - - 20 1,430,000.00
37 110850060105 CEFOPERAZONE SULBACTAM IN 73,150.00 10 731,500.00 - - - - 10 731,500.00
38 CEFOPERAZONE SULBACTAM IN 46,200.00 17 785,400.00 - - - - 17 785,400.00
GUDANG ~ ( GUDANG ) 1 / 235 ZAR

1 2 3 4 5 6 7 8 9 10 11 12
39 110850130030 CEFOTAXIME INJ. 7,357.35 - - - - - - - -

40 110850280082 CEFOTAXIME INJ. 9,350.00 10 93,500.00 - - - - 10 93,500.00
41 110850060106 CEFOTAXIME INJ. 26,840.00 - - - - - - - -
42 110850570107 CEFOTAXIME INJ. 4,284.08 - - - - - - - -
43 110850060108 CEFTAZIDIME INJ. 1 GR 44,880.00 - - - - - - - -
44 110850130081 CEFTAZIDIME INJ. 1 GR 35,150.50 36 1,265,418.00 - - 26 913,913.00 10 351,505.00
45 110850130081 CEFTAZIDIME INJ. 1 GR 11,020.78 40 440,831.20 - - - - 40 440,831.20
46 110850490109 CEFTIZOXIME INJ. 1 GR 93,500.00 190 17,765,000.00 - - - - 190 17,765,000.00
47 110850570087 CEFTRIAXONE INJ 1 GR 8,800.44 - - - - - - - -
48 110850280083 CEFTRIAXONE INJ 1 GR 9,000.20 - - - - - - - -
49 110850060089 CEFTRIAXONE INJ 1 GR 11,000.00 876 9,636,000.00 - - 676 7,436,000.00 200 2,200,000.00
50 110850060089 CEFTRIAXONE INJ 1 GR 19,250.00 - - 2,000 38,500,000.00 - - 2,000 38,500,000.00
51 211810350006 CETIRIZINE 10 MG 427.35 1,000 427,350.00 - - 1,000 427,350.00 - -
52 211810130019 CETIRIZINE 10 MG 235.13 1,500 352,695.00 - - 1,500 352,695.00 - -
53 211810490015 CETIRIZINE 10 MG 235.12 - - - - - - - -
54 211810570019 CETIRIZINE 10 MG 248.85 - - - - - - - -
55 211810310017 CETIRIZINE DROPS 27,500.00 - - - - - - - -
56 211810210009 CETIRIZINE SYR. 10,440.10 - - - - - - - -
57 211810760016 CETIRIZINE SYR. 8,873.15 - - - - - - - -
58 211510350036 CHLORAMPHENICOL SALEP MA 1,563.10 - - - - - - - -
59 210840350001 CHLORAMPHENICOL SYR 4,769.60 - - - - - - - -
60 211510350036 CHLORAMPHENICOL TTS MATA 3,000.00 - - - - - - - -
61 211510350036 CHLORAMPHENICOL TTS TELIN 1,050.50 - - - - - - - -
62 CIPROFLOXACIN INFUS 43,889.85 11 482,788.35 - - - - 11 482,788.35
63 CIPROFLOXACIN INFUS 39,899.86 72 2,872,789.92 60 2,393,991.60 - - 132 5,266,781.52
64 110830280037 CIPROFLOXACIN INFUS 43,889.85 - - - - - - - -
65 110830490035 CIPROFLOXACIN TAB. 500 MG 666.88 1,100 733,568.00 - - 300 200,064.00 800 533,504.00
66 110830060039 CIPROFLOXACIN TAB. 500 MG 473.00 1,500 709,500.00 - - - - 1,500 709,500.00
67 110830350001 CIPROFLOXACIN TAB. 500 MG 616.00 50 30,800.00 - - - - 50 30,800.00
68 110830490035 CIPROFLOXACIN TAB. 500 MG 704.00 1,000 704,000.00 - - 1,000 704,000.00 - -
69 110830130040 CIPROFLOXACIN TAB. 500 MG 532.17 - - - - - - - -
70 118130490006 CLINDAMYCIN TAB 150 MG 796.40 - - - - - - - -
72 110820060030 CLINDAMYCIN TAB 300 MG 1,432.20 600 859,320.00 - - - - 600 859,320.00
73 110820060030 CLINDAMYCIN TAB 300 MG 1,400.00 - - 1,500 2,100,000.00 - - 1,500 2,100,000.00
74 CLINDAMYCIN TAB 300 MG 1,306.67 300 392,001.00 - - 200 261,334.00 100 130,667.00
75 110840310055 CO AMOXICLAV TAB 625 MG 5,808.14 - - - - - - - -
76 110840130057 CO AMOXICLAV TAB 625 MG 4,620.00 - - - - - - - -
77 110860210006 DOXYCYCLINE CAPS. 100 MG 308.55 - - 300 92,565.00 - - 300 92,565.00
78 120820350001 ERYTHROMYCIN CAPS 250 MG 809.38 200 161,876.00 - - - - 200 161,876.00
79 110820760028 ERYTHROMYCIN CAPS 500 MG 1,285.62 400 514,248.00 - - - - 400 514,248.00
80 110820350006 ERYTHROMYCIN DRY SYR 13,721.40 72 987,940.80 - - 48 658,627.20 24 329,313.60
81 110810350006 GENTAMYCIN CREAM 5 GRM 1,966.82 578 1,136,821.96 - - 120 236,018.40 458 900,803.56
82 110810310011 GENTAMYCIN CREAM 5 GRM 2,073.14 - - - - - - - -
83 110810310001 GENTAMYCIN INJ 3,692.20 - - - - - - - -
84 110830060029 LEVOFLOXACIN 500 MG 730.40 - - 700 511,280.00 - - 700 511,280.00
85 110830490010 LEVOFLOXACIN 500 MG 980.63 - - - - - - - -
86 110830130030 LEVOFLOXACIN 500 MG 1,211.38 - - - - - - - -
87 110830350028 LEVOFLOXACIN 500 MG 433.99 400 173,596.00 - - 200 86,798.00 200 86,798.00

1 2 3 4 5 6 7 8 9 10 11 12
88 110830350028 LEVOFLOXACIN 500 MG 721.05 320 230,736.00 - - 320 230,736.00 - -

89 110830060017 LEVOFLOXACIN INF. 500 ML 58,960.00 - - 20 1,179,200.00 - - 20 1,179,200.00
90 110830060017 LEVOFLOXACIN INF. 500 ML 55,000.00 - - 60 3,300,000.00 - - 60 3,300,000.00
91 110830490033 LEVOFLOXACIN INF. 500 ML 61,600.00 39 2,402,400.00 - - - - 39 2,402,400.00
92 LEVOFLOXACIN INF. 500 ML 30,800.00 50 1,540,000.00 60 1,848,000.00 - - 110 3,388,000.00
93 118140060001 MEROPENEM INJ. 0.5 GR 69,960.00 - - - - - - - -
94 118140490018 MEROPENEM INJ. 1 GR 147,400.00 100 14,740,000.00 - - 10 1,474,000.00 90 13,266,000.00
95 118140060002 MEROPENEM INJ. 1 GR 57,002.00 - - - - - - - -
96 MEROPENEM INJ. 1 GR 107,250.00 29 3,110,250.00 - - 20 2,145,000.00 9 965,250.00
97 110830130027 OFLOXACIN 400 MG 873.00 50 43,650.00 - - - - 50 43,650.00
98 110860350005 OXYTETRACYCLIN 1% SALEP M 3,327.50 - - - - - - - -
99 111610350002 OXYTETRACYCLIN 3% SALEP K 2,009.70 10 20,097.00 - - - - 10 20,097.00
100 114130060001 SULFASALAZINE 500 MG 1,980.00 - - - - - - - -
- - - - - - - -
SUB JUMLAH 48,053 155,136,678.43 8,000 54,865,985 12,756 28,688,722 43,297 181,313,941
###
NON ANTIBIOTIK GENERIK ###
1 211020130053 ACARBOSE TAB. 100 MG 908.14 - - - - - - - -
2 211020130052 ACARBOSE TAB. 50 MG 586.44 - - - - - - - -
3 ACETYLCESTEINE 200 MG/ML 186,065.00 44 8,186,860.00 - - 20 3,721,300.00 24 4,465,560.00
4 221630350001 ACYCLOVIR CREAM 5 GR 3,619.00 103 372,757.00 - - 28 101,332.00 75 271,425.00
5 118110350001 ACYCLOVIR TAB. 200 MG 388.18 250 97,045.00 - - - - 250 97,045.00
6 ACYCLOVIR TAB. 200 MG 590.42 - - 200 118,084.00 - - 200 118,084.00
7 218110490066 ACYCLOVIR TAB. 400 MG 687.00 300 206,100.00 - - 100 68,700.00 200 137,400.00
8 218110280065 ACYCLOVIR TAB. 400 MG 567.45 - - - - - - - -
9 118110350002 ACYCLOVIR TAB. 400 MG 713.01 - - - - - - - -
10 ALBENDAZOL 400 MG 446.60 400 178,640.00 300 133,980.00 - - 700 312,620.00
11 210520350001 ALLOPURINOL TAB 100 MG 193.60 100 19,360.00 - - 100 19,360.00 - -
12 210520350085 ALLOPURINOL TAB 100 MG 99.00 - - - - - - - -
13 210520060089 ALLOPURINOL TAB 100 MG 151.25 500 75,625.00 300 45,375.00 100 15,125.00 700 105,875.00
14 ALLOPURINOL TAB 300 MG 216.10 - - 300 64,830.00 60 12,966.00 240 51,864.00
15 ALLOPURINOL TAB 300 MG 216.00 450 97,200.00 - - 300 64,800.00 150 32,400.00
16 210520350003 ALLOPURINOL TAB 300 MG 310.20 200 62,040.00 - - 200 62,040.00 - -
17 210520350003 ALLOPURINOL TAB 300 MG 302.50 - - 300 90,750.00 300 90,750.00 - -
18 214120130002 ALPRAZOLAM 0.5 MG 585.00 - - 2,000 1,170,000.00 400 234,000.00 1,600 936,000.00
19 210320570090 AMBROXOL SYR. 15 MG/ 5 ML 4,761.02 288 1,371,173.76 350 1,666,357.00 148 704,630.96 490 2,332,899.80
20 210320350012 AMBROXOL SYR. 15 MG/ 5 ML 4,681.60 - - - - - - - -
21 210320060087 AMBROXOL SYR. 15 MG/ 5 ML 4,950.00 - - 350 1,732,500.00 - - 350 1,732,500.00
22 210320350012 AMBROXOL TAB. 139.80 1,900 265,620.00 - - 1,900 265,620.00 - -
23 210320060088 AMBROXOL TAB. 139.80 - - 6,000 838,800.00 2,700 377,460.00 3,300 461,340.00
24 210310570118 AMINOPHYLLIN INJ. 3,023.94 5 15,119.70 - - 5 15,119.70 - -
25 210310160251 AMINOPHYLLIN INJ. 6,187.50 - - - - - - - -
26 210220120225 AMIODARONE INJ. 8,700.08 - - 12 104,400.96 12 104,400.96 - -
27 210430310003 AMITRIPTYLINE TAB. 25 MG 180.00 - - - - - - - -
28 210210130232 AMLODIPINE 10 MG 1,242.90 - - - - - - - -
29 210210350266 AMLODIPINE 10 MG 95.00 - - 6,000 570,000.00 - - 6,000 570,000.00
30 210210760268 AMLODIPINE 10 MG 592.67 - - - - - - - -
31 210210280267 AMLODIPINE 10 MG 935.00 - - - - - - - -
32 AMLODIPINE 10 MG 1,408.00 5,810 8,180,480.00 6,000 8,448,000.00 11,550 16,262,400.00 260 366,080.00

1 2 3 4 5 6 7 8 9 10 11 12
33 210210720260 AMLODIPINE 10 MG 95.00 13,150 1,249,250.00 - - - - 13,150 1,249,250.00

34 210210310243 AMLODIPINE 10 MG 311.67 - - - - - - - -
35 AMLODIPINE 10 MG 184.80 - - - - - - - -
36 210210210243 AMLODIPINE 10 MG 312.50 - - - - - - - -
37 210210060270 AMLODIPINE 10 MG 711.20 - - - - - - - -
38 210210130128 AMLODIPINE 5 MG 880.00 - - - - - - - -
39 210210310243 AMLODIPINE 5 MG 405.17 - - - - - - - -
40 AMLODIPINE 5 MG 880.00 - - 9,000 7,920,000.00 1,950 1,716,000.00 7,050 6,204,000.00
41 210210280243 AMLODIPINE 5 MG 476.67 - - - - - - - -
42 210210350273 AMLODIPINE 5 MG 76.01 - - 9,000 684,090.00 - - 9,000 684,090.00
43 210210060261 AMLODIPINE 5 MG 345.60 - - - - - - - -
44 210210210271 AMLODIPINE 5 MG 396.00 - - 360 142,560.00 150 59,400.00 210 83,160.00
45 210210720262 AMLODIPINE 5 MG 76.00 - - - - - - - -
46 210410310055 ANTALGIN TAB 500 MG 269.50 100 26,950.00 - - - - 100 26,950.00
47 210110350151 ANTASIDA DOEN SYR. 10,340.55 - - - - - - - -
48 210110350120 ANTASIDA DOEN TAB 210.59 - - 1,000 210,590.00 - - 1,000 210,590.00
49 ANTASIDA DOEN TAB 56.00 - - - - - - - -
50 220190350012 ANTIHEMOROID SUPPS 3,300.00 260 858,000.00 - - 170 561,000.00 90 297,000.00
51 211230060002 AQUA PRO INJ. 50 ML 16,500.00 - - - - - - - -
52 210410570097 AS. MEFENAMAT TAB 500 MG 199.58 - - - - - - - -
56 210250060065 AS. TRANEKSAMAT INJ 250 MG 4,235.00 - - - - - - - -
57 AS. TRANEKSAMAT INJ 250 MG 4,620.00 90 415,800.00 - - 40 184,800.00 50 231,000.00
58 210250490001 AS. TRANEKSAMAT INJ 250 MG 3,542.00 50 177,100.00 - - - - 50 177,100.00
60 210250490065 AS. TRANEKSAMAT INJ 500 MG 4,851.00 - - 1,400 6,791,400.00 150 727,650.00 1,250 6,063,750.00
62 AS. TRANEKSAMAT INJ 500 MG 4,851.00 170 824,670.00 - - 170 824,670.00 - -
63 210250060053 AS. TRANEKSAMAT TAB 500 M 1,485.00 - - - - - - - -
64 210250130014 AS. TRANEKSAMAT TAB 500 M 1,155.00 - - - - - - - -
65 210440130028 ASAM VALPROAT SYR 250 ML 47,245.00 - - - - - - - -
66 210440490035 ASAM VALPROAT SYR 250 ML 41,580.00 20 831,600.00 - - 20 831,600.00 - -
67 210440570034 ASAM VALPROAT SYR 250 ML 34,650.00 - - - - - - - -
68 210270280037 ATORVASTATIN 10 MG 2,612.50 - - - - - - - -
69 210270130272 ATORVASTATIN 10 MG 2,640.00 1,800 4,752,000.00 - - - - 1,800 4,752,000.00
70 210270760024 ATORVASTATIN 20 MG 3,960.00 750 2,970,000.00 - - 750 2,970,000.00 - -
71 ATORVASTATIN 40 MG 4,950.00 2,370 11,731,500.00 - - 2,370 11,731,500.00 - -
72 ATRACURIUM BESYLATE INJ. 2. 16,830.00 - - - - - - - -
73 ATRACURIUM BESYLATE INJ. 5 26,730.00 10 267,300.00 - - - - 10 267,300.00
74 210280160074 ATROPIN SULFAS INJ. 1,650.00 400 660,000.00 - - 110 181,500.00 290 478,500.00
75 210480490002 BETAHISTINE TABLET 6 MG 693.00 3,600 2,494,800.00 - - 2,400 1,663,200.00 1,200 831,600.00
76 211810350018 BETAMETASONE CREAM 2,239.74 100 223,974.00 - - 25 55,993.50 75 167,980.50
77 211810570004 BETAMETASONE CREAM 2,356.20 - - - - - - - -
78 210112200131 BIC NAT 500 MG 55.00 - - - - - - - -
79 210170490003 BISACODYL TAB. 1,020.00 - - - - - - - -
80 BISOPROLOL TAB. 2.5 MG 2,640.00 5,250 13,860,000.00 - - - - 5,250 13,860,000.00

1 2 3 4 5 6 7 8 9 10 11 12
81 210210760243 BISOPROLOL TAB. 5 MG 968.00 - - - - - - - -

82 210210130259 BISOPROLOL TAB. 5 MG 236.95 9,600 2,274,720.00 - - 1,440 341,208.00 8,160 1,933,512.00
85 220210210133 BISOPROLOL TAB. 5 MG 668.87 - - 4,170 2,789,187.90 - - 4,170 2,789,187.90
86 BISOPROLOL TAB. 5 MG 2,887.50 - - 8,400 24,255,000.00 4,100 11,838,750.00 4,300 12,416,250.00
87 211440810001 BORAX GLYSERINE 2,926.00 - - - - - - - -
88 210130060251 BUPIVACAINE SPINAL INJ. 26,878.72 - - - - - - - -
89 211140160002 CALCII GLUCONAS INJ. 10,351.00 24 248,424.00 - - 24 248,424.00 - -
90 211140350003 CALCIUM LACTATE TABLET 50 223.98 - - - - - - - -
91 211140570004 CALCIUM LACTATE TABLET 500 603.13 - - - - - - - -
92 210210130134 CANDESARTAN TAB. 8 MG 519.23 5,310 2,757,111.30 - - 5,100 2,648,073.00 210 109,038.30
93 210210060255 CANDESARTAN TAB. 8 MG 2,200.00 1,860 4,092,000.00 3,500 7,700,000.00 5,070 11,154,000.00 290 638,000.00
94 210210130022 CANDESARTAN TAB. 16 MG 5,720.00 - - - - - - - -
95 210210130243 CANDESARTAN TAB. 16 MG 951.20 - - - - - - - -
96 210210060256 CANDESARTAN TAB. 16 MG 4,004.00 - - 4,500 18,018,000.00 500 2,002,000.00 4,000 16,016,000.00
97 CANDESARTAN TAB. 16 MG 3,520.00 3,420 12,038,400.00 9,000 31,680,000.00 ### 43,718,400.00 - -
98 210440310019 CARBAMAZEPIN TAB. 200 MG 246.20 - - - - - - - -
99 210250490061 CARBAZOCHROME INJ. 11,800.80 30 354,024.00 300 3,540,240.00 10 118,008.00 320 3,776,256.00
100 220210340004 CATOPRIL 12,5 MG 112.50 800 90,000.00 - - 800 90,000.00 - -
101 210210570272 CATOPRIL 12,5 MG 92.98 1,000 92,980.00 - - 1,000 92,980.00 - -
102 210210350140 CATOPRIL 25 MG 144.64 - - 5,000 723,200.00 1,300 188,032.00 3,700 535,168.00
103 210210570269 CATOPRIL 25 MG 94.07 - - - - - - - -
104 210210280263 CATOPRIL 25 MG 115.50 - - - - - - - -
105 210210130009 CATOPRIL 50 MG 235.60 - - - - - - - -
106 210880810003 CHLOROQUIN INJ. 1,650.00 - - - - - - - -
107 210880350002 CHLOROQUIN TBL.150 MG 85.00 - - - - - - - -
108 210260060050 CILOSTAZOL TAB. 100 MG 7,315.00 - - 3,500 25,602,500.00 3,500 25,602,500.00 - -
109 210240490245 CITICOLINE INJ. 125 MG / 1 ML 10,010.00 620 6,206,200.00 - - 150 1,501,500.00 470 4,704,700.00
110 210240490245 CITICOLINE INJ. 125 MG / 1 ML 9,581.00 - - 400 3,832,400.00 - - 400 3,832,400.00
111 210240060027 CITICOLINE INJ. 250 MG / 2 ML 13,612.50 - - 370 5,036,625.00 - - 370 5,036,625.00
112 210240410027 CITICOLINE INJ. 500 MG / 4 ML 24,750.00 80 1,980,000.00 - - - - 80 1,980,000.00
113 210240490025 CITICOLINE TAB 500 MG 5,610.00 - - - - - - - -
114 210240130244 CITICOLINE TAB 500 MG 5,890.50 - - - - - - - -
115 210240060027 CITICOLINE TAB 500 MG 4,400.00 810 3,564,000.00 - - 480 2,112,000.00 330 1,452,000.00
116 210240060027 CITICOLINE INJ. 500 MG / 4 ML 6,930.00 - - - - - - - -
117 224120130014 CLOBAZAM TABL. 1,122.19 - - - - - - - -
118 224120130014 CLOBAZAM TABL. 205.00 500 102,500.00 - - - - 500 102,500.00
119 210210350141 CLONIDIN TAB 205.00 900 184,500.00 500 102,500.00 1,300 266,500.00 100 20,500.00
120 210260280030 CLOPIDOGREL TAB. 75 MG 3,322.00 210 697,620.00 - - - - 210 697,620.00
121 210260720051 CLOPIDOGREL TAB. 75 MG 2,590.50 - - 3,180 8,237,790.00 1,080 2,797,740.00 2,100 5,440,050.00
122 210260810240 CLOPIDOGREL TAB. 75 MG 1,815.00 1,500 2,722,500.00 - - 1,200 2,178,000.00 300 544,500.00
123 210260130241 CLOPIDOGREL TAB. 75 MG 2,999.00 1,890 5,668,110.00 - - 1,500 4,498,500.00 390 1,169,610.00
124 210260810242 CLOPIDOGREL TAB. 75 MG 4,840.00 - - - - - - - -
125 210260720051 CLOPIDOGREL TAB. 75 MG 1,650.00 - - - - - - - -
126 CLOPIDOGREL TAB. 75 MG 5,362.50 - - 8,400 45,045,000.00 2,550 13,674,375.00 5,850 31,370,625.00
127 110890350024 COTRIMOXAZOLE SYR 6,050.00 2 12,100.00 - - - - 2 12,100.00
128 118100060015 COTRIMOXAZOLE SYR 5,610.00 - - - - - - - -
129 COTRIMOXAZOLE SYR 6,655.00 45 299,475.00 - - 10 66,550.00 35 232,925.00

1 2 3 4 5 6 7 8 9 10 11 12
130 110890350022 COTRIMOXAZOLE TAB 480 MG 247.72 400 99,088.00 - - - - 400 99,088.00
131 110890060032 COTRIMOXAZOLE TAB 480 MG 192.50 500 96,250.00 - - 100 19,250.00 400 77,000.00
132 211810810014 CHLORPHENAMINE TAB. 4 MG 43.00 1,700 73,100.00 - - 100 4,300.00 1,600 68,800.00
133 211650130016 DESOXIMETASONE CREAM 10,800.27 - - - - - - - -
134 DEVALPROEX SODIUM 0.00 - - - - - - - -
135 210350350145 DEXA METHASON TBL 0,50 MG 117.45 - - 1,600 187,920.00 1,600 187,920.00 - -
136 210350760261 DEXA METHASON TBL 0,50 MG 66.55 - - - - - - - -
137 DEXA METHASON TBL 0,50 MG 117.45 - - - - - - - -
138 210350060244 DEXA METHASON TBL 0,50 MG 100.10 - - 4,000 400,400.00 200 20,020.00 3,800 380,380.00
139 210510270059 DEXA METHASON TBL 0,75 MG 184.25 200 36,850.00 - - - - 200 36,850.00
140 210510570069 DEXA METHASONE INJ. 1,152.00 160 184,320.00 - - 160 184,320.00 - -
141 DEXKETOPROFEN INJ. 13,200.00 160 2,112,000.00 - - 30 396,000.00 130 1,716,000.00
142 221250490086 DEXKETOPROFEN INJ. 20,240.00 255 5,161,200.00 - - 110 2,226,400.00 145 2,934,800.00
143 214130810070 DEXKETOPROFEN TAB. 25 MG 2,970.00 1,080 3,207,600.00 - - 1,080 3,207,600.00 - -
144 214130490070 DEXKETOPROFEN TAB. 3,135.00 - - - - - - - -
145 210320310085 DEXTROMETHORPAN SYR 2,575.98 - - - - - - - -
146 210320310086 DEXTROMETHORPAN TAB 110.00 - - - - - - - -
147 210210350144 DIAZEPAM TBL. 2 MG 135.91 - - 2,000 271,820.00 - - 2,000 271,820.00
148 210220760227 DIGOXIN TABL 0,25MG 107.25 - - - - - - - -
149 210220210229 DIGOXIN TABL 0,25MG 107.25 - - 1,500 160,875.00 500 53,625.00 1,000 107,250.00
150 210210350144 DILTIAZEM TAB. 180.57 100 18,057.00 - - 100 18,057.00 - -
151 211810570011 DIPHENHYDRAMINE INJ 1,423.90 - - - - - - - -
152 DIVALPROEX SODIUM 250 MG 2,475.00 270 668,250.00 - - 270 668,250.00 - -
153 210220490027 DOBUTAMIN INJ. 250 MG 32,648.00 20 652,960.00 - - 20 652,960.00 - -
154 210220490027 DOBUTAMIN INJ. 250 MG 28,567.00 80 2,285,360.00 80 2,285,360.00 20 571,340.00 140 3,999,380.00
155 210220490027 DOBUTAMIN INJ. 250 MG 28,814.94 - - - - - - - -
156 210110060152 DOMPERIDONE DROPS 23,100.00 - - 20 462,000.00 10 231,000.00 10 231,000.00
157 210120060248 DOMPERIDONE SYR. 11,385.00 - - - - - - - -
158 210120280021 DOMPERIDONE SYR. 8,855.00 50 442,750.00 - - 50 442,750.00 - -
159 210120280015 DOMPERIDONE TAB 214.50 - - - - - - - -
160 210122100249 DOMPERIDONE TAB 363.26 - - - - - - - -
161 210120490125 DOMPERIDONE TAB 302.71 4,600 1,392,466.00 - - 2,600 787,046.00 2,000 605,420.00
162 DOMPERIDONE TAB 286.00 - - 3,510 1,003,860.00 - - 3,510 1,003,860.00
163 210140720261 DOMPERIDONE TAB 189.00 - - - - - - - -
164 210140060119 DOMPERIDONE TAB 339.04 - - 3,500 1,186,640.00 - - 3,500 1,186,640.00
165 210140130120 DOMPERIDONE TAB 423.80 - - - - - - - -
166 118140120016 DORIPENEM INJ. 500 MG 330,000.00 - - - - - - - -
167 210520490087 EPERISONE 50 MG 1,560.90 - - - - - - - -
168 210310160020 EPHEDRINE HCL INJEKSI 50 mg 8,569.00 80 685,520.00 - - 50 428,450.00 30 257,070.00
169 210230160231 EPINEPHRINE INJ. 1 mg/ml 1,408.00 880 1,239,040.00 - - 21 29,568.00 859 1,209,472.00
170 210230580004 EPINEPHRINE INJ. 1 mg/ml 5,110.13 - - - - - - - -
171 210320490084 ERDOSTEIN SYR 33,880.00 - - - - - - - -
172 210320490083 ERDOSTEIN TAB. 300 MG 2,970.00 540 1,603,800.00 - - 540 1,603,800.00 - -
173 118160350001 ETHAMBUTOL TAB 500 MG 837.52 400 335,008.00 - - 400 335,008.00 - -
174 210270280013 FENOFIBRATE 1OO MG 1,320.00 900 1,188,000.00 - - 900 1,188,000.00 - -
175 FENOFIBRATE 160 MG 2,035.00 - - 2,400 4,884,000.00 200 407,000.00 2,200 4,477,000.00
176 210270410029 FENOFIBRATE 2OO MG 3,074.50 - - - - - - - -
177 210270280018 FENOFIBRATE 3OO MG 2,640.00 1,800 4,752,000.00 - - 1,770 4,672,800.00 30 79,200.00
178 218120350054 FLUCONAZOLE CAPS. 150 MG 18,150.27 160 2,904,043.20 - - - - 160 2,904,043.20

1 2 3 4 5 6 7 8 9 10 11 12
179 FLUCONAZOLE CAPS. 150 MG 15,400.23 140 2,156,032.20 - - - - 140 2,156,032.20

180 210490060240 FLUNARIZIN TAB. 10 MG 2,625.00 - - - - - - - -
182 210490060241 FLUNARIZIN TAB. 5 MG 1,650.00 - - 1,500 2,475,000.00 1,300 2,145,000.00 200 330,000.00
184 210210310116 FOLIC ACID 1 MG 164.93 - - - - - - - -
185 210210310116 FUROSEMIDE INJ 2,160.93 - - - - - - - -
186 210210130243 FUROSEMIDE INJ 2,057.41 - - - - - - - -
187 210210760244 FUROSEMIDE TBL. 40 MG 110.00 - - - - - - - -
190 210440130005 GABAPENTIN TAB. 300 MG 1,014.67 - - - - - - - -
191 GEMFIBROZIL 300 MG 385.92 - - - - - - - -
192 211020350048 GLIBENCLAMIDA TAB 5 MG 183.92 1,100 202,312.00 - - - - 1,100 202,312.00
193 211020280020 GLIMEPRIDE TAB. 1 MG 314.60 - - - - - - - -
194 211020350082 GLIMEPRIDE TAB. 1 MG 174.00 2,600 452,400.00 - - - - 2,600 452,400.00
195 211020060062 GLIMEPRIDE TAB. 1 MG 365.41 400 146,164.00 - - 300 109,623.00 100 36,541.00
196 211020060067 GLIMEPRIDE TAB. 2 MG 644.98 - - 1,600 1,031,968.00 - - 1,600 1,031,968.00
197 211020130074 GLIMEPRIDE TAB. 2 MG 1,354.45 - - - - - - - -
198 211020340075 GLIMEPRIDE TAB. 2 MG 644.97 4,000 2,579,880.00 - - 2,830 1,825,265.10 1,170 754,614.90
199 GLIMEPRIDE TAB. 2 MG 929.50 90 83,655.00 1,590 1,477,905.00 - - 1,680 1,561,560.00
202 211020350083 GLIMEPRIDE TAB. 3 MG 244.98 4,100 1,004,418.00 - - 650 159,237.00 3,450 845,181.00
205 GLIMEPRIDE TAB. 4 MG 1,430.00 - - 6,990 9,995,700.00 2,990 4,275,700.00 4,000 5,720,000.00
207 211020060081 GLIMEPRIDE TAB. 4 MG 1,407.26 - - 6,900 9,710,094.00 - - 6,900 9,710,094.00
208 211020350078 GLIMEPRIDE TAB. 4 MG 273.00 11,650 3,180,450.00 50 13,650.00 550 150,150.00 11,150 3,043,950.00
209 211020130017 GLIQUIDONE 30 MG 1,064.52 5,300 5,641,956.00 - - 500 532,260.00 4,800 5,109,696.00
210 221250280021 GLUCOSAMINE 250 MG 704.00 - - - - - - - -
211 210320350042 GLYCERYL GUAICOLATE TAB. 234.88 - - 5,000 1,174,400.00 200 46,976.00 4,800 1,127,424.00
212 GRANISETRON INJ. 1 MG 9,900.00 5 49,500.00 - - - - 5 49,500.00
213 GRANISETRON INJ. 3 MG 24,750.00 31 767,250.00 - - - - 31 767,250.00
214 128120590026 GRISEOFULVIN TABL 500 MG 1,554.30 400 621,720.00 - - - - 400 621,720.00
215 214100310020 HALOPERIDOL TABL 1.5 MG 88.00 - - - - - - - -
216 214100310021 HALOPERIDOL TABL 5 MG 134.38 - - - - - - - -
217 210210350119 HCT TBL. 25 MG 121.60 1,600 194,560.00 - - 1,500 182,400.00 100 12,160.00
218 210210350119 HCT TBL. 25 MG 121.59 - - - - - - - -
219 211650280013 HYDROCORTISON 2,5% 3,463.02 - - 48 166,224.96 - - 48 166,224.96
220 211650570012 HYDROCORTISON 2,5% 2,885.85 72 207,781.20 - - 48 138,520.80 24 69,260.40
221 210410310069 IBUPROFEN SYR. 4,195.40 - - - - - - - -
222 210410760052 IBUPROFEN 200 MG 127.49 700 89,243.00 - - 200 25,498.00 500 63,745.00
223 210410760077 IBUPROFEN 200 MG 120.78 - - - - - - - -
224 220410350060 IBUPROFEN 400 MG 440.00 400 176,000.00 - - 100 44,000.00 300 132,000.00
225 220410350060 IBUPROFEN 400 MG 224.15 300 67,245.00 - - - - 300 67,245.00
226 118140060017 IMIPENEM INJ. 209,000.00 - - - - - - - -
227 IOHEXOL INFUS 350 MG, 100 ML 376,200.00 21 7,900,200.00 - - - - 21 7,900,200.00

1 2 3 4 5 6 7 8 9 10 11 12
228 210210490237 IRBESARTAN 150 MG 1,668.98 - - - - - - - -

229 110210310087 IRBESARTAN 300 MG 5,646.67 - - - - - - - -
230 210210490238 IRBESARTAN 300 MG 3,336.67 - - - - - - - -
231 118160350010 ISONIAZID TABL 100 MG 135.43 2,300 311,489.00 - - - - 2,300 311,489.00
232 118160350011 ISONIAZID TABL 300 MG 190.30 2,200 418,660.00 - - 200 38,060.00 2,000 380,600.00
233 118160350011 ISONIAZID TABL 300 MG 180.79 2,000 361,580.00 - - - - 2,000 361,580.00
234 210220310226 ISOSORBIDE DINITRATE 123.02 - - - - - - - -
235 210220760228 ISOSORBIDE DINITRATE 102.85 700 71,995.00 - - 700 71,995.00 - -
236 118120350009 ITRACONAZOLE 100 MG 3,300.00 400 1,320,000.00 - - - - 400 1,320,000.00
237 214130130001 KALIUM DIKLOPENAK 25 MG 369.35 - - - - - - - -
238 214130280064 KALIUM DIKLOPENAK 50 MG 708.03 3,250 2,301,097.50 - - 2,000 1,416,060.00 1,250 885,037.50
239 214130130070 KALIUM DIKLOPENAK 50 MG 669.08 - - - - - - - -
240 218120280055 KETOKONAZOLE CREAM 4,666.00 - - - - - - - -
241 218120570063 KETOKONAZOLE CREAM 4,775.05 - - - - - - - -
242 218120280056 KETOKONAZOLE TAB. 200 MG 368.99 550 202,944.50 - - - - 550 202,944.50
243 118120130031 KETOKONAZOLE TAB. 200 MG 408.97 - - - - - - - -
244 214130490067 KETOPROFEN TAB. 100 MG 1,147.50 - - - - - - - -
245 214130490068 KETOPROFEN TAB. 50 MG 563.20 300 168,960.00 - - 100 56,320.00 200 112,640.00
246 210510310049 KETOROLAC INJ. 30 MG 3,849.12 - - - - - - - -
247 210510120045 KETOROLAC INJ. 30 MG 2,169.20 60 130,152.00 175 379,610.00 - - 235 509,762.00
248 210510570070 KETOROLAC INJ. 30 MG 2,726.46 - - - - - - - -
249 210510120045 KETOROLAC INJ. 30 MG 1,045.00 600 627,000.00 - - - - 600 627,000.00
250 210510490048 KETOROLAC INJ. 30 MG 8,954.55 2 17,909.10 1,386 12,411,006.30 620 5,551,821.00 768 6,877,094.40
251 210510130047 KETOROLAC INJ. 30 MG 10,524.93 - - - - - - - -
252 214130060072 KETOROLAC INJ. 30 MG 5,613.30 - - - - - - - -
253 214130280036 KETOROLAC TAB. 2,525.60 - - - - - - - -
254 210510490050 KETOROLAC TAB. 1,265.00 - - - - - - - -
255 210110490039 LANSOPRAZOLE 30 MG 700.00 - - - - - - - -
256 210110280040 LANSOPRAZOLE 30 MG 810.81 800 648,648.00 - - 800 648,648.00 - -
257 210110060149 LANSOPRAZOLE 30 MG 700.00 - - - - - - - -
258 210130060127 LIDOCAIN INJ. 2% 1,155.00 - - - - - - - -
259 210130350022 LIDOCAIN INJ. 2% 1,155.00 - - - - - - - -
260 210130580244 LIDOCAIN INJ. 2% 1,035.40 - - - - - - - -
261 LIDOCAIN COMP INJ. 2% 2,178.00 210 457,380.00 - - 210 457,380.00 - -
262 210210490234 LISINOPRIL 10 MG 574.75 - - - - - - - -
263 210210490235 LISINOPRIL 5 MG 334.40 30 10,032.00 - - 30 10,032.00 - -
264 221810280001 LORATADIN 10 MG 233.15 700 163,205.00 - - - - 700 163,205.00
265 211810490002 LORATADIN 10 MG 266.47 1,000 266,470.00 - - - - 1,000 266,470.00
266 210210490026 LOSARTAN 50 MG 3,465.00 - - - - - - - -
267 210210280264 LOSARTAN 50 MG 2,333.30 180 419,994.00 - - - - 180 419,994.00
268 210470490001 MECOBALAMIN 250 MG 594.00 - - - - - - - -
269 210470490030 MECOBALAMIN 500 MG 792.00 - - - - - - - -
270 MECOBALAMIN INJEKSI 7,920.00 130 1,029,600.00 - - - - 130 1,029,600.00
271 214130130057 MELOXICAM TAB 15 MG 1,258.95 - - - - - - - -
272 214130490065 MELOXICAM TAB 15 MG 577.50 1,880 1,085,700.00 - - - - 1,880 1,085,700.00
273 210510310054 MELOXICAM TAB 15 MG 585.43 4,360 2,552,474.80 - - 2,460 1,440,157.80 1,900 1,112,317.00
274 210510060055 MELOXICAM TAB 15 MG 575.52 - - - - - - - -
275 210510060056 MELOXICAM TAB 7.5 MG 332.11 - - - - - - - -
276 210510280057 MELOXICAM TAB 7.5 MG 334.40 700 234,080.00 - - 700 234,080.00 - -

1 2 3 4 5 6 7 8 9 10 11 12
277 210510310058 MELOXICAM TAB 7.5 MG 726.49 - - - - - - - -

278 210510490067 MELOXICAM TAB 7.5 MG 449.73 - - - - - - - -
279 METFORMIN TAB 500 MG 228.69 - - - - - - - -
280 211020280069 METFORMIN TAB 500 MG 150.65 - - - - - - - -
281 211020060084 METFORMIN TAB 500 MG 150.64 - - - - - - - -
282 211020130001 METFORMIN TAB 500 MG 136.13 - - - - - - - -
283 211020720080 METFORMIN TAB 500 MG 99.00 - - - - - - - -
284 211020130073 METFORMIN TAB 850 MG 427.93 - - - - - - - -
285 211020060070 METFORMIN TAB 850 MG 257.40 - - - - - - - -
286 211020280071 METFORMIN TAB 850 MG 316.80 - - - - - - - -
287 211020720079 METFORMIN TAB 850 MG 170.00 - - - - - - - -
288 210930160001 METHYLERGOMETRINE MALEATE 3,102.00 900 2,791,800.00 - - 100 310,200.00 800 2,481,600.00
289 216130130013 METHYLPREDNISOLON INJ. 37,249.30 - - - - - - - -
290 216130570001 METHYLPREDNISOLON INJ. 10,799.80 168 1,814,366.40 - - 72 777,585.60 96 1,036,780.80
292 216130280006 METHYLPREDNISOLON TAB 16 983.25 600 589,950.00 - - - - 600 589,950.00
293 216130130007 METHYLPREDNISOLON TAB 16 978.08 400 391,232.00 - - 200 195,616.00 200 195,616.00
294 METHYLPREDNISOLON TAB 4 321.75 1,800 579,150.00 - - 800 257,400.00 1,000 321,750.00
295 216130130011 METHYLPREDNISOLON TAB 4 352.44 1,800 634,392.00 - - 1,800 634,392.00 - -
296 216130130002 METHYLPREDNISOLON TAB 4 416.32 - - - - - - - -
298 216130280014 METHYLPREDNISOLON TAB 4 321.75 - - 1,500 482,625.00 - - 1,500 482,625.00
303 210120060247 METOCLOPRAMIDE INJ. 4,675.00 20 93,500.00 140 654,500.00 50 233,750.00 110 514,250.00
304 218120490057 METRONIDAZOLE INPUS 31,856.00 14 445,984.00 - - - - 14 445,984.00
305 218120490057 METRONIDAZOLE INPUS 27,874.00 10 278,740.00 - - - - 10 278,740.00
306 210890350002 METRONIDAZOLE INPUS 26,679.40 - - 100 2,667,940.00 50 1,333,970.00 50 1,333,970.00
307 METRONIDAZOLE INPUS 7,700.00 100 770,000.00 - - - - 100 770,000.00
308 218120060062 METRONIDAZOLE INPUS 8,250.00 - - 50 412,500.00 - - 50 412,500.00
309 218120060062 METRONIDAZOLE INPUS 16,500.00 - - 28 462,000.00 - - 28 462,000.00
310 210890060001 METRONIDAZOLE TAB. 500 MG 171.60 - - - - - - - -
311 218120350059 METRONIDAZOLE TAB. 500 MG 286.00 - - - - - - - -
312 111620350001 MICONAZOLE KRIM 2% 3,575.00 96 343,200.00 - - 48 171,600.00 48 171,600.00
313 MIDAZOLAM INJ. 5 MG/1 ML 20,328.00 - - - - - - - -
314 211610490001 MUPIROCIN OINTMENT 2% 29,700.00 - - - - - - - -
315 214130350012 NATRIUM DIKLOPENAK 25 MG 329.57 1,350 444,919.50 - - 1,200 395,484.00 150 49,435.50
316 224130350015 NATRIUM DIKLOPENAK 50 MG 195.91 - - - - - - - -
318 214130490074 NATRIUM DIKLOPENAK 50 MG 412.53 750 309,397.50 - - 350 144,385.50 400 165,012.00
320 210440300010 NATRIUM PHENYTOIN CAPS 544.62 - - - - - - - -
321 210440300016 NATRIUM PHENYTOIN INJ. 23,952.50 10 239,525.00 90 2,155,725.00 - - 100 2,395,250.00
322 210210490247 NICARDIPINE INJ. 58,960.00 - - - - - - - -
323 210210210153 NICARDIPINE INJ. 57,200.00 90 5,148,000.00 30 1,716,000.00 10 572,000.00 110 6,292,000.00
324 212140350001 NIFEDIPIN TAB 10 MG 121.90 500 60,950.00 - - 300 36,570.00 200 24,380.00

1 2 3 4 5 6 7 8 9 10 11 12
325 210230060001 NOREPINEPHRINE INJ. BTR. 4 m 25,839.00 - - - - - - - -

326 118120060032 NYSTATIN DROPS 21,780.00 - - - - - - - -
327 118120570034 NYSTATIN TABLET 100000 IU 790.91 900 711,819.00 - - 100 79,091.00 800 632,728.00
328 210110490020 OMEPRAZOLE CAPS. 20 MG 704.36 - - - - - - - -
329 210110490020 OMEPRAZOLE CAPS. 20 MG 367.49 4,440 1,631,655.60 - - 4,440 1,631,655.60 - -
330 210110280138 OMEPRAZOLE CAPS. 20 MG 306.24 - - - - - - - -
331 210110490140 OMEPRAZOLE INJ. 36,300.00 237 8,603,100.00 150 5,445,000.00 277 10,055,100.00 110 3,993,000.00
332 210110490140 OMEPRAZOLE INJ. 36,850.00 - - 300 11,055,000.00 - - 300 11,055,000.00
333 210110060141 OMEPRAZOLE INJ. 35,750.00 250 8,937,500.00 - - - - 250 8,937,500.00
334 210140060120 ONDANSENTRON INJ. 4 MG 3,850.00 - - - - - - - -
335 210140490121 ONDANSENTRON INJ. 4 MG 5,159.00 850 4,385,150.00 900 4,643,100.00 760 3,920,840.00 990 5,107,410.00
337 210140490123 ONDANSENTRON INJ. 8 MG 12,381.60 - - 150 1,857,240.00 10 123,816.00 140 1,733,424.00
338 210140310125 ONDANSENTRON TAB. 4 MG 1,540.00 - - - - - - - -
339 210140490127 ONDANSENTRON TAB. 4 MG 1,155.00 300 346,500.00 - - 300 346,500.00 - -
340 210140060262 ONDANSENTRON TAB. 8 MG 3,025.00 - - 30 90,750.00 30 90,750.00 - -
341 210140760008 ONDANSENTRON TAB. 8 MG 2,403.50 - - - - - - - -
342 ONDANSENTRON TAB. 8 MG 1,897.50 360 683,100.00 - - 120 227,700.00 240 455,400.00
343 221230350024 ORALIT 200 CC 409.20 - - - - - - - -
344 220930160932 OXYTOCIN INJ. 1,199.00 1,200 1,438,800.00 - - 500 599,500.00 700 839,300.00
345 OXYTOCIN INJ. 2,337.50 100 233,750.00 - - 100 233,750.00 - -
346 210110060153 PANTOPRAZOLE 40 MG INJ. 48,400.00 76 3,678,400.00 - - 10 484,000.00 66 3,194,400.00
347 210110570053 PANTOPRAZOLE 40 MG INJ. 20,570.00 20 411,400.00 - - - - 20 411,400.00
348 210110490142 PANTOPRAZOLE 40 MG INJ. 45,430.00 - - - - - - - -
349 210410310078 PARACETAMOL DROPS 6,857.40 - - - - - - - -
350 210410490079 PARACETAMOL INFUS 32,725.00 100 3,272,500.00 - - 100 3,272,500.00 - -
351 210410490079 PARACETAMOL INFUS 31,790.00 144 4,577,760.00 - - 68 2,161,720.00 76 2,416,040.00
352 210410120085 PARACETAMOL INFUS 22,000.00 308 6,776,000.00 25 550,000.00 - - 333 7,326,000.00
353 220410060440 PARACETAMOL INFUS 31,322.50 - - 50 1,566,125.00 - - 50 1,566,125.00
354 220410060440 PARACETAMOL INFUS 19,800.00 - - 100 1,980,000.00 - - 100 1,980,000.00
355 210410310081 PARACETAMOL SYRUP 60 ML 5,065.50 - - - - - - - -
356 210410350001 PARACETAMOL SYRUP 60 ML 5,065.50 - - 400 2,026,200.00 149 754,759.50 251 1,271,440.50
359 210410350091 PARACETAMOL TAB 500 MG 220.72 11,900 2,626,568.00 - - 7,100 1,567,112.00 4,800 1,059,456.00
360 210410060082 PARACETAMOL TAB 500 MG 231.00 - - - - - - - -
364 220420380003 PETHIDIN INJ 50 MG/ML 19,481.00 - - - - - - - -
365 210440350032 PHENOBARBITAL INJ. 1,740.02 120 208,802.40 - - - - 120 208,802.40
366 210440350030 PHENOBARBITAL TBL 30 MG 240.00 2,500 600,000.00 - - - - 2,500 600,000.00
367 210440350030 PHENOBARBITAL TBL 30 MG 132.00 1,000 132,000.00 - - - - 1,000 132,000.00
368 210250570261 PHYTOMENADION INJ. 10 MG ( 1,552.97 - - - - - - - -
369 210250570260 PHYTOMENADION INJ. 2 MG ( A 3,960.91 - - - - - - - -
370 210250350026 PHYTOMENADION TABLET 10 M 0.00 - - - - - - - -
371 210250570263 PHYTOMENADION TABLET 10 M 892.95 - - - - - - - -
372 PIOGLITAZONE 15 MG 2,970.00 - - - - - - - -
373 PIOGLITAZONE 30 MG 4,950.00 150 742,500.00 - - 150 742,500.00 - -

1 2 3 4 5 6 7 8 9 10 11 12
374 210470490041 PIRACETAM INJ. 1 GR 4,620.00 - - 216 997,920.00 72 332,640.00 144 665,280.00
375 210470060044 PIRACETAM INJ. 1 GR 3,630.00 - - 220 798,600.00 - - 220 798,600.00
376 210470060053 PIRACETAM INJ. 3 GR 7,184.10 - - - - - - - -
377 210470490054 PIRACETAM INJ. 3 GR 14,437.50 - - 64 924,000.00 4 57,750.00 60 866,250.00
378 210470280046 PIRACETAM INJ. 3 GR 7,700.00 8 61,600.00 - - 8 61,600.00 - -
379 210470280047 PIRACETAM TAB. 1200 MG 905.50 - - - - - - - -
380 210470490052 PIRACETAM TAB. 1200 MG 717.75 - - - - - - - -
381 210470130018 PIRACETAM TAB. 400 MG 426.20 - - - - - - - -
382 210470280050 PIRACETAM TAB. 800 MG 562.10 - - - - - - - -
383 210470060049 PIRACETAM TAB. 800 MG 578.16 - - 700 404,712.00 700 404,712.00 - -
384 210470490043 PIRACETAM TAB. 800 MG 642.40 - - - - - - - -
385 210470490043 PIRACETAM TAB. 800 MG 758.84 - - - - - - - -
386 210510350041 PIROXICAM TABL 10 MG 93.50 - - - - - - - -
387 210270490030 PRAVASTATIN 20 MG 2,664.75 100 266,475.00 - - 100 266,475.00 - -
388 210350570147 PREDNISON TABL 5 MG 90.30 - - - - - - - -
389 210440130033 PREGABALIN CAPS 150 MG 10,395.00 690 7,172,550.00 - - - - 690 7,172,550.00
390 PREGABALIN CAPS 75 MG 5,050.83 - - 900 4,545,747.00 - - 900 4,545,747.00
391 210440130021 PREGABALIN CAPS 75 MG 4,400.00 - - 1,200 5,280,000.00 1,000 4,400,000.00 200 880,000.00
392 110880570006 PRIMAQUIN TABL 15 MG 287.38 - - - - - - - -
393 210210130061 PROPANOLOL TABL 10 MG 76.81 - - - - - - - -
394 210210130063 PROPANOLOL TABL 40 MG 120.70 100 12,070.00 - - 100 12,070.00 - -
395 211030130007 PTU TAB. 100 MG 453.22 - - - - - - - -
396 118150350001 PYRANTEL TABL 125 MG 320.00 - - - - - - - -
397 118160350007 PYRAZINAMIDE TABL 500 MG 344.00 - - - - - - - -
398 110880350005 QUININE INJ 2 CC 4,314.24 - - - - - - - -
399 210210490149 RAMIPRIL TAB. 10 MG 1,006.83 - - - - - - - -
400 210210130010 RAMIPRIL TAB. 2.5 MG 244.31 - - - - - - - -
401 210210130148 RAMIPRIL TAB. 5 MG 670.45 - - - - - - - -
402 210210490239 RAMIPRIL TAB. 5 MG 705.76 - - - - - - - -
403 210110280011 RANITIDIN INJ. 1,927.53 - - - - - - - -
404 210110490143 RANITIDIN INJ. 1,155.00 1,780 2,055,900.00 - - 280 323,400.00 1,500 1,732,500.00
405 210110060135 RANITIDIN INJ. 2,702.70 - - 1,500 4,054,050.00 280 756,756.00 1,220 3,297,294.00
406 210110580010 RANITIDIN INJ. 2,668.05 - - 1,000 2,668,050.00 1,000 2,668,050.00 - -
407 210110130144 RANITIDIN INJ. 2,428.67 - - - - - - - -
408 210110310145 RANITIDIN TABL 150 MG 462.00 3,600 1,663,200.00 - - 1,500 693,000.00 2,100 970,200.00
409 210110350002 RANITIDIN TABL 150 MG 385.00 - - - - - - - -
410 210110580010 RANITIDIN TABL 150 MG 112.61 - - - - - - - -
411 210110060147 RANITIDIN TABL 150 MG 165.00 4,000 660,000.00 - - 4,000 660,000.00 - -
412 RANITIDIN TABL 150 MG 211.20 16,000 3,379,200.00 - - 200 42,240.00 ### 3,336,960.00
413 210110280148 RANITIDIN TABL 150 MG 165.00 4,000 660,000.00 - - - - 4,000 660,000.00
414 210110760126 REBAMIPIDE TABL 100 MG 2,438.33 60 146,299.80 - - - - 60 146,299.80
415 RECURONIUM BROMIDE INJEKS 57,750.00 2 115,500.00 - - - - 2 115,500.00
416 RECURONIUM BROMIDE INJEKS 71,280.00 12 855,360.00 - - 12 855,360.00 - -
417 118160350004 RIFAMPICIN CAPS 300 MG 884.40 - - - - - - - -
418 218160060006 RIFAMPICIN CAPS 450 MG 1,815.53 - - 200 363,106.00 - - 200 363,106.00
419 118160350005 RIFAMPICIN CAPS 450 MG 1,134.70 200 226,940.00 - - 200 226,940.00 - -
420 218160060007 RIFAMPICIN CAPS 600 MG 2,673.00 - - - - - - - -
421 118160350006 RIFAMPICIN CAPS 600 MG 1,675.89 - - - - - - - -
422 224100310014 RISPERIDON TAB 2 MG 2,493.77 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
423 210310760248 SALBUTAMOL TABL 2 MG 79.82 - - - - - - - -

424 210310350001 SALBUTAMOL TABL 2 MG 79.83 2,000 159,660.00 1,600 127,728.00 500 39,915.00 3,100 247,473.00
425 SALBUTAMOL TABL 2 MG 74.80 - - 1,600 119,680.00 - - 1,600 119,680.00
426 SALBUTAMOL TABL 2 MG 78.00 - - - - - - - -
427 210310760247 SALBUTAMOL TABL 4 MG 102.85 - - - - - - - -
429 210310350005 SALBUTAMOL TABL 4 MG 90.39 6,400 578,496.00 - - 900 81,351.00 5,500 497,145.00
430 SILDENAFIL CITRATE 50 MG 21,560.00 80 1,724,800.00 - - - - 80 1,724,800.00
433 210270060034 SIMVASTATIN TAB. 10 MG 246.24 - - - - - - - -
435 210270350026 SIMVASTATIN TAB. 10 MG 110.00 5,000 550,000.00 - - - - 5,000 550,000.00
436 210270760035 SIMVASTATIN TAB. 10 MG 243.67 1,800 438,606.00 - - 700 170,569.00 1,100 268,037.00
439 210270060031 SIMVASTATIN TAB. 20 MG 213.99 - - ### 2,139,900.00 5,000 1,069,950.00 5,000 1,069,950.00
440 210270060031 SIMVASTATIN TAB. 20 MG 677.16 - - 8,300 5,620,428.00 100 67,716.00 8,200 5,552,712.00
441 SIMVASTATIN TAB. 20 MG 564.29 700 395,003.00 - - 700 395,003.00 - -
442 SIMVASTATIN TAB. 20 MG 550.00 2,820 1,551,000.00 9,990 5,494,500.00 2,100 1,155,000.00 10,710 5,890,500.00
443 210210130240 SPIRONOLACTONE TAB. 100 M 996.94 - - - - - - - -
444 210210130241 SPIRONOLACTONE TAB. 25 MG 391.60 - - - - - - - -
445 210110100150 SUCRALFATE SYR. 100 ML 8,206.00 50 410,300.00 - - 50 410,300.00 - -
446 110880350002 SULFADOXINE TAB. 1,003.14 - - 200 200,628.00 100 100,314.00 100 100,314.00
447 210410060068 TRAMADOL INJ. 4,801.50 - - - - - - - -
448 210410490089 TRAMADOL INJ. 4,481.40 - - 200 896,280.00 110 492,954.00 90 403,326.00
449 210410350090 TRAMADOL TAB. 50 MG 329.67 - - - - - - - -
450 210450310003 TRIHEXYLPHENIDIL TAB 2 MG 115.50 - - - - - - - -
451 TRIMETAZIDINE 35 MG 2,310.00 - - - - - - - -
452 210180490001 URSODEOXYCHOLIC ASID 250 4,158.00 60 249,480.00 - - 60 249,480.00 - -
453 210210130248 VALSARTAN 160 MG 2,700.55 - - - - - - - -
454 210210520046 VALSARTAN 160 MG 6,077.50 - - - - - - - -
455 210210130042 VALSARTAN 80 MG 2,200.00 - - - - - - - -
456 211150810002 VIT. B1. 50 mg 40.70 - - - - - - - -
457 211150810003 VIT. B12. IPI 73.02 - - - - - - - -
458 VITAMIN B KOMPLEKS 143.99 - - - - - - - -
459 VITAMIN C TAB. 50 MG 125.84 6,400 805,376.00 - - 400 50,336.00 6,000 755,040.00
460 211130350003 VITAMIN C TAB. 100 MG 121.44 1,500 182,160.00 - - 800 97,152.00 700 85,008.00
461 211130350003 VITAMIN C TAB. 250 MG 127.60 200 25,520.00 - - 200 25,520.00 - -
462 210250350028 VITAMIN K INJ 2 ML 7,480.00 - - - - - - - -
463 210250570063 VITAMIN K INJ. INFANT 4,207.50 - - - - - - - -
464 ZINK SULPHATE SYR. 8,250.00 - - - - - - - -
465 ZINK SULPHATE TAB 415.62 5,700 2,369,034.00 - - 300 124,686.00 5,400 2,244,348.00
466 210260150239 WARFARIN TAB. 1 MG 979.00 1,400 1,370,600.00 - - 900 881,100.00 500 489,500.00
-
SUB JUMLAH ### 270,761,919 ### 329,372,627 ### 255,186,092 ### 344,948,455
###
ANTIBOTIK PATEN ###
1 120820010024 ABBOTIC SYR 30 ML 114,647.50 - - - - - - - -
2 120820010823 ABBOTIC SYR 60 ML 181,390.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
3 120840620028 AMOXAN CAPS 500 MG 2,642.70 100 264,270.00 - - 100 264,270.00 - -

4 120840620028 AMOXAN CAPS 500 MG 2,642.75 - - 100 264,275.00 100 264,275.00 - -
5 120840620040 AMOXAN DROPS 18,627.13 10 186,271.30 - - 3 55,881.39 7 130,389.91
6 120840620040 AMOXAN DROPS 18,627.12 - - 15 279,406.80 - - 15 279,406.80
7 120840620033 AMOXAN DRY SYR 18,669.75 6 112,018.50 30 560,092.50 - - 36 672,111.00
8 120830050032 AVELOX 400 MG 53,227.70 - - - - - - - -
9 120820130014 AZOMAX CAPS 28,050.00 - - - - - - - -
10 120820130020 AZOMAX SYR 91,575.00 - - - - - - - -
11 120850620119 BACTIROM INJ. 1 GR 230,716.75 67 15,458,022.25 - - 26 5,998,635.50 41 9,459,386.75
12 120830620005 BAQUINOR FORTE TABLET 500 11,287.10 260 2,934,646.00 - - - - 260 2,934,646.00
13 120820630825 BINOZYT 500 MG 29,782.50 - - - - - - - -
14 120850550031 BIOCEF INJ 1 GR 115,637.50 - - 20 2,312,750.00 20 2,312,750.00 - -
15 120870620022 BIOTHICOL CAPS 250 MG 1,479.09 100 147,909.00 - - - - 100 147,909.00
16 120870620007 BIOTHICOL CAPS 500 MG 3,034.90 - - 100 303,490.00 - - 100 303,490.00
17 120870620015 BIOTHICOL FORTE SYR 47,168.00 11 518,848.00 - - 3 141,504.00 8 377,344.00
18 120870620011 BIOTHICOL SYR 17,072.00 9 153,648.00 - - - - 9 153,648.00
19 120870620011 BIOTHICOL SYR 17,391.00 - - 10 173,910.00 - - 10 173,910.00
20 120850550002 BIOXON INJ 159,500.00 24 3,828,000.00 100 15,950,000.00 64 10,208,000.00 60 9,570,000.00
21 120850550071 BIOZYM INJ 150,150.00 15 2,252,250.00 - - 15 2,252,250.00 - -
22 120850550071 BIOZYM INJ 184,800.00 15 2,772,000.00 - - 15 2,772,000.00 - -
23 120850340009 BROADCED INJ 180,950.00 - - - - - - - -
24 120870080019 CANICOL 500 MG 3,113.55 - - - - - - - -
25 120840080050 CAPSINAT FORTE SYR 55,585.75 - - - - - - - -
26 120840080018 CAPSINAT SYR 42,262.00 - - - - - - - -
27 120850080136 CEFACEF KAPLET 200 MG 20,033.75 - - 100 2,003,375.00 - - 100 2,003,375.00
28 120850620102 CEFAT 500 MG TAB 8,435.48 - - 200 1,687,096.00 100 843,548.00 100 843,548.00
29 120850620022 CEFAT SIRUP 35,634.50 6 213,807.00 25 890,862.50 - - 31 1,104,669.50
30 120850620027 CEFAT SIRUP FORTE 61,635.75 10 616,357.50 15 924,536.25 - - 25 1,540,893.75
31 CEFILA DRY. SYR 100 MG/5ML 63,910.00 - - - - - - - -
32 120850810115 CEFOMAX INJ. 1 GR 109,725.00 - - - - - - - -
33 120850490116 CEFRIEX INJ. 144,100.00 - - - - - - - -
34 120850130045 CEFRIN INJ. 233,750.00 - - - - - - - -
35 120850340061 CEFSPAN SYR 103,455.00 10 1,034,550.00 - - - - 10 1,034,550.00
36 120850340050 CEFSPAN 100 MG 22,990.00 60 1,379,400.00 - - - - 60 1,379,400.00
37 120850190072 CEFTUM INJ. 188,100.00 - - - - - - - -
38 120850370098 CEFXON INJ 1GR 173,250.00 - - - - - - - -
39 120850130117 CELOCID INJ 64,350.00 4 257,400.00 - - - - 4 257,400.00
40 120850770003 CEPHAFLOX INJ 1 GR 198,000.00 - - - - - - - -
41 120850700118 CERADOLAN TAB 200 MG 15,605.15 - - - - - - - -
42 221810620063 CERINI DROP 52,428.75 - - 30 1,572,862.50 30 1,572,862.50 - -
43 221810620062 CERINI SYR 33,077.00 - - 72 2,381,544.00 48 1,587,696.00 24 793,848.00
44 221810620014 CERINI CAPS. 2,851.61 120 342,193.20 700 1,996,127.00 620 1,767,998.20 200 570,322.00
45 120850360073 CETAZUM INJ. 214,500.00 - - - - - - - -
46 221810340055 CETINAL 10 MG 4,766.67 - - - - - - - -
47 121640350002 CHLORAMPHECORT CREAM 14,003.00 3 42,009.00 - - - - 3 42,009.00
48 120830770002 CIFLOS 500 13,200.00 - - - - - - - -
49 120850080100 CIPREC 500 11,220.00 40 448,800.00 - - - - 40 448,800.00
50 120850130132 CLACEF INJ. 1 GR 121,000.00 - - - - - - - -
51 120840550016 CLAMIXIN SYR 54,230.00 15 813,450.00 24 1,301,520.00 - - 39 2,114,970.00

1 2 3 4 5 6 7 8 9 10 11 12
52 120840550053 CLAMIXIN FT SYR 70,180.00 18 1,263,240.00 34 2,386,120.00 28 1,965,040.00 24 1,684,320.00

53 120840550010 CLAMIXIN TAB. 9,968.75 30 299,062.50 150 1,495,312.50 180 1,794,375.00 - -
54 120850620103 CLANEKSI SYR 44,159.50 10 441,595.00 10 441,595.00 - - 20 883,190.00
55 120840620009 CLANEKSI TAB. 9,769.65 180 1,758,537.00 - - - - 180 1,758,537.00
56 120850340090 CLAVAMOX CAPS. 500 MG 12,888.33 - - - - - - - -
57 120840340052 CLAVAMOX DS SYR 67,925.00 12 815,100.00 - - - - 12 815,100.00
58 228130810001 CLIDACOR GEL 16,788.75 - - - - - - - -
59 121611760002 CLIDACOR TAB 300 MG 4,070.00 - - - - - - - -
60 121610440003 CLINJOS 300 MG 5,940.00 - - - - - - - -
61 120830340019 CRAVIT INFUS 500 MG 282,150.00 - - - - - - - -
62 120830190045 CRAVIT OPTH SOL 5 ML 121,000.00 3 363,000.00 - - - - 3 363,000.00
63 120830340012 CRAVIT TAB 500 MG 38,665.00 - - - - - - - -
64 120830370011 CRAVOX TAB. 500 MG 26,950.00 70 1,886,500.00 - - - - 70 1,886,500.00
65 128130560009 DALACIN C 300 MG 12,923.35 - - - - - - - -
66 120840020054 DANOCLAV 8,800.00 - - - - - - - -
67 120830130025 DEXAFLOX 400 MG 23,375.00 30 701,250.00 - - - - 30 701,250.00
68 120840130011 DEXYCLAV FORTE CAPS. 500 M 10,098.00 - - - - - - - -
69 120840130029 DEXYMOX FORTE CAPSUL 495.00 - - - - - - - -
70 120830550020 DIFLOXIN INFUS 228,800.00 - - - - - - - -
71 120830550046 DIFLOXIN TAB. 29,040.00 - - - - - - - -
72 120850130131 DYNACEF INJ 1 GR 82,500.00 - - - - - - - -
73 120850210004 ELPICEF INJ 146,300.00 - - 10 1,463,000.00 - - 10 1,463,000.00
74 120820620003 ERYSANBE CAPS. 500 MG 2,164.80 100 216,480.00 - - 100 216,480.00 - -
75 120820620008 ERYSANBE SYR. 17,902.50 12 214,830.00 - - 12 214,830.00 - -
76 120950160001 ETACIN 500 MG 9,900.00 - - - - - - - -
77 120850160130 ETHIDOL INJ 1 GR 95,040.00 - - - - - - - -
78 120830210038 FARLEV TAB. 500 MG 27,500.00 - - - - - - - -
79 120830210040 FARLEV TAB. 750 MG 26,950.00 - - - - - - - -
80 120810390015 FG TROCHES LOZENGES 1,311.90 - - - - - - - -
81 120850210063 FIXACEP 100 SIRUP KERING 61,875.00 - - 24 1,485,000.00 - - 24 1,485,000.00
82 120850210069 FIXACEP DROPS 62,370.00 1 62,370.00 - - - - 1 62,370.00
83 120850210069 FIXACEP DROPS 53,361.00 - - 10 533,610.00 - - 10 533,610.00
84 120850210056 FIXACEP TAB 200 MG 26,400.00 - - - - - - - -
85 120830080049 FLOXACAP TAB 27,398.25 - - - - - - - -
86 120850080028 FORIFEK 500 16,780.50 - - - - - - - -
87 120850080029 FORIFEK DRY SYR 67,592.25 - - - - - - - -
88 120870260018 FOSICOL TAB 3,521.10 - - - - - - - -
89 120810390017 FOSMICIN INJ. 2 GR 68,530.00 10 685,300.00 - - 10 685,300.00 - -
90 120850780095 GLOCEF INJ 1 GR 120,175.00 - - - - - - - -
91 120850770032 GOFORON INJ 137,500.00 - - - - - - - -
92 120850260096 GRACEF INJ. 1 GR 182,875.00 - - - - - - - -
93 INFIMYCIN INJ. 0.5 GR 137,500.00 80 11,000,000.00 - - 20 2,750,000.00 60 8,250,000.00
94 221810320022 INTRIZIN DROPS 15 ML 75,776.25 - - 20 1,515,525.00 5 378,881.25 15 1,136,643.75
95 221810320019 INTRIZIN SYR. 53,996.25 - - 15 809,943.75 15 809,943.75 - -
96 120810390010 KANAMYCIN 250 MG 1,485.00 100 148,500.00 - - 100 148,500.00 - -
97 120850370075 LACEDIM INJ. 1 GR 157,300.00 10 1,573,000.00 - - 10 1,573,000.00 - -
98 120850360033 LANCEF INJ 1 GR 138,600.00 - - - - - - - -
99 120850360087 LANFIX CAPS. 100 MG 20,900.00 - - 150 3,135,000.00 - - 150 3,135,000.00
100 120850360097 LANFIX CAPS. 200 MG 33,000.00 40 1,320,000.00 120 3,960,000.00 - - 160 5,280,000.00

1 2 3 4 5 6 7 8 9 10 11 12
101 120850360064 LANFIX SYR. 88,000.00 - - 36 3,168,000.00 12 1,056,000.00 24 2,112,000.00

102 120850370034 LAPIXIME INJ 1 GR 107,250.00 45 4,826,250.00 - - 25 2,681,250.00 20 2,145,000.00
103 120831720052 LEKUICIN 500 24,502.50 - - - - - - - -
104 120830620042 LEVOCIN EYE DROPS 57,519.00 - - 50 2,875,950.00 50 2,875,950.00 - -
105 120830620041 LEVOCIN INFUS 234,863.75 4 939,455.00 - - 4 939,455.00 - -
106 120830620050 LEVOCIN TAB 29,922.75 144 4,308,876.00 - - 60 1,795,365.00 84 2,513,511.00
107 120830360021 LEXA INFUS 500 MG / 100 ML 242,000.00 - - - - - - - -
108 120830360024 LEXA INFUS 750 MG / 150 ML 330,000.00 - - - - - - - -
109 120830780044 MEFLOXIN TAB 13,167.00 - - - - - - - -
110 120850390082 MEIACT 200 MG 25,080.00 260 6,520,800.00 - - 160 4,012,800.00 100 2,508,000.00
111 128140770008 MEREM INJ 434,500.00 - - - - - - - -
112 128140370003 MEROTIK INJ 0.5 MG 173,250.00 - - - - - - - -
113 120840780047 MESTAMOX CAPS 500 MG 3,300.00 - - - - - - - -
114 120850770111 NUCEF CAPS 20,350.00 - - - - - - - -
115 120850770066 NUCEF SYR 80,850.00 - - - - - - - -
116 120850770046 NUFIROM INJ 275,000.00 - - - - - - - -
117 120850550018 OPICEF CAPS. 500 MG 7,576.25 - - 1,350 10,227,937.50 850 6,439,812.50 500 3,788,125.00
118 120850550026 OPICEF FORTE SYR 60 ML 54,230.00 - - 36 1,952,280.00 - - 36 1,952,280.00
119 120850550024 OPICEF SYR 60 ML 33,495.00 - - 24 803,880.00 24 803,880.00 - -
120 128140550010 OPIMER INJ. 1 GR 366,850.00 20 7,337,000.00 40 14,674,000.00 - - 60 22,011,000.00
121 120840550039 OPIMOX FORTE SYR 250 ML 23,127.50 24 555,060.00 - - 5 115,637.50 19 439,422.50
122 120840550036 OPIMOX SYR 125 ML 16,747.50 - - 20 334,950.00 - - 20 334,950.00
123 OPIMOX TABLET 500 MG 2,392.50 100 239,250.00 - - 100 239,250.00 - -
124 120820550009 OPITHRCIN SYR. 22,000.00 - - - - - - - -
125 120820550824 OPITHRCIN TAB. 1,430.00 - - - - - - - -
126 120850550088 OPIXIME CAPS. 15,840.00 - - - - - - - -
127 120850550067 OPIXIME SYR 66,000.00 - - - - - - - -
128 220390190003 OPTIMAX PLUS SYR 63,360.00 2 126,720.00 - - - - 2 126,720.00
129 120810550003 OTTOGENTA INJ 11,000.00 20 220,000.00 - - - - 20 220,000.00
130 OTTOGENTA CREAM 13,200.00 5 66,000.00 - - - - 5 66,000.00
131 128140620014 PELASTIN INJ 254,100.00 - - - - - - - -
132 120850810128 PROCEFA INJ. 1 GR 145,200.00 - - - - - - - -
133 120850440129 PROCEPIM INJ 1 GR 253,000.00 - - - - - - - -
134 120850770023 Q CEF SYR 60 ML 46,200.00 - - - - - - - -
135 120850770017 Q CEF TAB 500 MG 10,340.00 - - - - - - - -
136 120850210020 RENASISTIN OD 41,250.00 2 82,500.00 - - - - 2 82,500.00
137 120850210020 RENASISTIN OD 55,000.00 1 55,000.00 - - - - 1 55,000.00
138 120850210019 RENASISTIN TAB 500 MG 7,012.50 30 210,375.00 - - - - 30 210,375.00
139 220830210834 RENATOR TAB 9,075.00 - - - - - - - -
140 120850780101 RENXON INJ 1 GR 172,425.00 - - - - - - - -
141 128140210011 RONEM INJ 1 GR 440,000.00 - - - - - - - -
142 221811720061 RYZEN 5,756.67 - - - - - - - -
143 221811760060 RYZICOR 10 MG 2,543.75 - - - - - - - -
144 120810620004 SAGESTAM INJ. 7,384.85 30 221,545.50 - - - - 30 221,545.50
145 120810320005 SALTICIN CREAM 22,000.00 27 594,000.00 - - 13 286,000.00 14 308,000.00
146 120810320002 SALTICIN INJ. 17,952.00 50 897,600.00 - - 50 897,600.00 - -
147 120840620043 SANPICILLIN INJ 12,464.92 - - 50 623,246.00 40 498,596.80 10 124,649.20
148 128140440004 SEFANEM INJ 0,5 GR 195,525.00 - - - - - - - -
149 128140440012 SEFANEM INJ 1 GR 396,000.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
150 120850210080 SHAROX 500 MG 22,000.00 - - - - - - - -

151 120850690127 SOCLAF INJ 1 GR 132,000.00 - - - - - - - -
152 120850690126 SOPERAM INJ 209,000.00 - - - - - - - -
153 120850690125 SOPIME INJ 253,000.00 - - - - - - - -
154 120850690124 SOPIROM INJ 1 GR 231,000.00 - - - - - - - -
155 120850620104 SPORETIK KAPS. 100MG ( 30/BO 16,436.20 - - 450 7,396,290.00 390 6,410,118.00 60 986,172.00
156 120850620135 SPORETIK KAPS. 200 MG ( 10/B 23,742.12 1,000 23,742,120.00 - - 800 18,993,696.00 200 4,748,424.00
157 120850620105 SPORETIK SYR. 69,393.50 27 1,873,624.50 30 2,081,805.00 57 3,955,429.50 - -
158 120850210040 STABACTAM INJ. 159,500.00 - - - - - - - -
159 120850130053 STARCEF CAPS. 100 MG 16,362.50 - - - - - - - -
160 120850130068 STARCEF SYR. 70,125.00 - - - - - - - -
161 120850320005 STARXON INJ 1 GR 197,560.00 10 1,975,600.00 - - 10 1,975,600.00 - -
162 120850560106 SULPERAZONE INJ 203,830.00 - - - - - - - -
163 221510190001 TARIVID OPTH SOL ( MATA ) 61,050.00 - - - - - - - -
164 221410340001 TARIVID OTIC 50 LOTION ( TELI 80,465.00 - - - - - - - -
165 120850080108 TAXECAP INJ 1 GR 88,411.95 - - - - - - - -
166 120850620036 TAXEGRAM INJ 1 GR 111,012.00 - - 30 3,330,360.00 10 1,110,120.00 20 2,220,240.00
167 120830550003 TEQUINOL 500 MG 9,570.00 450 4,306,500.00 - - 150 1,435,500.00 300 2,871,000.00
168 120850620008 TERFACEF INJ 1 GR 164,125.50 40 6,565,020.00 50 8,206,275.00 28 4,595,514.00 62 10,175,781.00
169 220210560242 TERRACORTRIL TOP OIN 15,592.50 - - - - - - - -
170 221820130012 TETAGAM INJ. 206,800.00 - - - - - - - -
171 120870320009 THIAMYCIN CAPS 500 MG 3,831.30 100 383,130.00 - - - - 100 383,130.00
172 120870780021 THISLACOL 500 MG 3,448.50 - - - - - - - -
173 120870320017 THYAMYCIN FORTE SYR 60 ML 66,000.00 5 330,000.00 - - - - 5 330,000.00
174 120870320014 THYAMYCIN SYR 60 ML 37,840.00 4 151,360.00 - - - - 4 151,360.00
175 128140320015 TIMIPEN INJ. 1 GR 277,365.00 - - - - - - - -
176 120850060123 TIRDICEF INJ 1 GR 94,627.50 - - - - - - - -
177 120850780109 TISACEF SYR 125 MG/60 ML 41,800.00 - - - - - - - -
178 120850780110 TISACEF SYR 250 MG/60 ML 67,925.00 - - - - - - - -
179 120850130083 TIZOS INJ 1 GR 185,130.00 - - - - - - - -
180 120850130006 TRICEFIN INJ. 163,625.00 - - - - - - - -
181 128140130017 TRIPENEM INJ. 1 GR 425,700.00 - - - - - - - -
182 220850190858 TRIXIM CAPS 100 MG 15,400.00 - - - - - - - -
183 220850190859 TRIXIM SYR 71,500.00 - - - - - - - -
184 128130210012 VANCEP INJ 198,000.00 - - - - - - - -
185 120840390046 VICCILLIN - SX 1500 INJ. 1.5 G 40,995.90 - - - - - - - -
186 120830260051 VIOQUIN 500 MG 12,540.00 - - - - - - - -
187 120830130023 VOLEQUIN INF. 243,100.00 - - - - - - - -
188 120830130016 VOLEQUIN TAB. 500 MG 28,050.00 - - - - - - - -
189 120830320015 VOLOX 500 MG 38,115.00 - - 50 1,905,750.00 20 762,300.00 30 1,143,450.00
190 120850810122 VROXIL 500 MG 9,900.00 - - - - - - - -
191 120830360036 WIAFLOX 500 MG 12,650.00 - - - - - - - -
192 120850360120 WIDROX CAPS 9,009.00 - - - - - - - -
193 120850490121 XENOPROM INJ 1 GR 228,800.00 - - - - - - - -
194 128100780003 XEPAPRIM FORTE CAPS 1,828.75 - - - - - - - -
195 128100780006 XEPAPRIM SYR 60 ML 23,100.00 - - - - - - - -
196 120850210076 ZIBAC INJ. 1 GR 52,800.00 10 528,000.00 - - 10 528,000.00 - -
197 120820770013 ZIBRAMAX 500 MG 34,485.00 - - - - - - - -
198 120820770019 ZIBRAMAX DRY SYR 103,455.00 7 724,185.00 - - - - 7 724,185.00

1 2 3 4 5 6 7 8 9 10 11 12
199 120820060017 ZISTIC TABLET 500 MG 34,485.00 - - - - - - - -

200 ZISTIC INFUS 500 MG 148,500.00 - - - - - - - -
201 120820560022 ZITHROMAX IV 163,311.50 - - - - - - - -
202 120820550015 ZITROLIN TAB. 26,317.50 750 19,738,125.00 - - 642 16,895,835.00 108 2,842,290.00
- - - - - - - -
SUB JUMLAH 4,758 144,042,710 4,300 107,407,677 5,134 119,881,730 3,924 131,568,658
###
NON ANTIBIOTIK PATEN ###
1 228110240011 3TC-HBV 100 MG 17,094.00 - - - - - - - -
2 220210210027 ACETENSA 9,900.00 - - - - - - - -
3 220110550130 ACILAZ TAB 12,100.00 - - - - - - - -
4 220110130147 ACITRAL SYR 120 ML 31,762.50 - - 24 762,300.00 24 762,300.00 - -
5 220110320131 ACITRAL TABLET 891.00 200 178,200.00 - - - - 200 178,200.00
6 221050500010 ACLASTA INFUS 100 ML 4,864,860.00 1 4,864,860.00 - - - - 1 4,864,860.00
7 220120130001 ACPULSIF 5 MG 3,465.00 - - - - - - - -
8 ACRAN TABLET 4,092.00 30 122,760.00 - - - - 30 122,760.00
9 ACRAN INJEKSI 16,205.20 - - - - - - - -
10 220270020047 ACTALIPID 10 MG 8,800.00 - - - - - - - -
11 220270020048 ACTALIPID 20 MG 8,800.00 - - - - - - - -
12 220270020049 ACTALIPID 40 MG 8,800.00 - - - - - - - -
13 220210020231 ACTAPIN 10 MG 7,150.00 - - - - - - - -
14 220210020232 ACTAPIN 5 MG 3,850.00 - - - - - - - -
15 221050640003 ACTONEL 35 MG 126,837.70 32 4,058,806.40 - - 32 4,058,806.40 - -
16 221020700063 ACTOS 15 MG 7,232.89 70 506,302.30 - - - - 70 506,302.30
17 221020700064 ACTOS 30 MG 10,857.55 98 1,064,039.90 - - 98 1,064,039.90 - -
18 221020700069 ACTOSMET TAB 15 MG 5,680.04 - - - - - - - -
19 221010530014 ACTRAPID HUMAN 100 - IU 303,050.00 - - - - - - - -
20 221820640039 ADACEL 0.5 ML 346,500.00 - - - - - - - -
21 220210050091 ADALAT OROS TAB. 6,940.54 - - - - - - - -
22 220250710033 ADONA AC-17 INJ. 10 MG. 2 ML 8,866.00 - - - - - - - -
23 220250710021 ADONA AC-17 INJ. 25 MG. 5 ML 16,016.00 - - - - - - - -
24 220250710018 ADONA AC-17 TABLET 2,217.60 - - - - - - - -
25 220250710034 ADONA FORTE AC-17 TABLET 3,243.90 - - - - - - - -
26 AERRANE 250 ML 1,633,500.00 2 3,267,000.00 - - 2 3,267,000.00 - -
27 220260120063 AGULAN TAB. 7,975.00 - - - - - - - -
28 AKILEN EAR DROPS 50,468.00 - - 30 1,514,040.00 30 1,514,040.00 - -
29 220410120447 ALAXAN FR 404.80 - - - - - - - -
30 221440050007 ALBOTHYL COCENTRATE 23,474.00 - - - - - - - -
31 228170130001 ALBUMINAR 25% 100 ML 1,510,000.00 - - - - - - - -
32 220330320010 ALCO PLUS SYR 100 ML 47,520.00 - - - - - - - -
33 220330320001 ALCO DROPS 15 ML 73,425.00 - - - - - - - -
34 220320320072 ALCO PLUS DMP SYR 100 ML 37,867.50 - - - - - - - -
35 220330620027 ALDISA SR CAPS. 4,356.28 430 1,873,200.40 300 1,306,884.00 580 2,526,642.40 150 653,442.00
36 221570190001 ALEGYSAL TTS MATA 93,500.00 3 280,500.00 - - - - 3 280,500.00
37 221250810052 ALERTEN CAPS Q50 6,303.00 - - - - - - - -
38 224120770032 ALGANAX TAB. 0.25 MG 1,870.00 - - - - - - - -
39 224120770003 ALGANAX TAB. 0.5 MG 3,025.00 - - - - - - - -
40 221120710003 ALINAMIN - F INJ. 14,223.91 - - - - - - - -
41 221810620005 ALLORIS TABLET 3,652.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
42 220440020041 ALPENTIN 300 MG 6,930.00 - - - - - - - -

43 221020370024 AMADIAB 1 1,980.00 - - - - - - - -
44 221020370025 AMADIAB 2 3,712.50 - - - - - - - -
45 221020370026 AMADIAB 3 4,290.00 50 214,500.00 - - - - 50 214,500.00
46 221020370027 AMADIAB 4 5,236.00 - - - - - - - -
47 221020640071 AMARYL - M 1 2,991.52 90 269,236.80 - - - - 90 269,236.80
48 221020640072 AMARYL - M 2 5,301.58 - - - - - - - -
49 221020640028 AMARYL TAB. 1 MG 2,394.12 - - - - - - - -
50 221020640029 AMARYL TAB. 2 MG 5,304.66 - - - - - - - -
51 221020640030 AMARYL TAB. 3 MG 6,666.15 100 666,615.00 - - - - 100 666,615.00
52 221020640031 AMARYL TAB. 4 MG 7,601.52 - - - - - - - -
53 220950130002 AMINEFRON 6,077.50 - - - - - - - -
54 221220540010 AMINOFLUID INFUS 500 ML 70,188.80 30 2,105,664.00 - - - - 30 2,105,664.00
55 221220340007 AMINOFUSIN PAED 250 ML 101,200.00 - - - - - - - -
56 AMINOFUSIN L 600 55,385.00 4 221,540.00 - - - - 4 221,540.00
57 AMINOFUSIN L 600 75,350.00 10 753,500.00 3 226,050.00 - - 13 979,550.00
58 221220540001 AMINOLEBAN INF. 500 CC 70,969.80 40 2,838,792.00 - - - - 40 2,838,792.00
59 221220540002 AMINOLEBAN ORAL POWDER 43,659.00 - - - - - - - -
60 AMINOSTERIL INFUS 6% 46,992.00 15 704,880.00 - - - - 15 704,880.00
61 221220540003 AMINOVEL 600 79,200.00 - - - - - - - -
62 220330320015 ANADEX SYR 23,760.00 - - - - - - - -
63 220320320073 ANADEX TAB. 1,980.00 - - - - - - - -
64 220190770003 ANADIUM CAPS 8,046.50 30 241,395.00 - - - - 30 241,395.00
65 220410620436 ANALSIK TAB 1,236.12 2,100 2,595,852.00 - - 300 370,836.00 1,800 2,225,016.00
66 220410780050 ANALSPEC 500 MG 1,410.75 - - - - - - - -
67 220410370437 ANALTRAM CAPS 5,445.00 - - - - - - - -
68 220840440844 ANCLA 500 MG 10,120.00 90 910,800.00 - - - - 90 910,800.00
69 ANELAT TAB. 139.15 - - - - - - - -
70 220130210013 ANESFAR INJ. 16,500.00 - - - - - - - -
71 220210340028 ANGIOTEN 50 MG 10,659.00 - - - - - - - -
72 220110060157 ANITID INJ 14,245.00 - - - - - - - -
73 221821060027 ANTI BISA ULAR 640,530.00 1 640,530.00 - - - - 1 640,530.00
74 220261720054 ANTIPLAT 50 MG 6,017.00 - - - - - - - -
75 220140130001 ANVOMER B6 TAB. 2,376.00 - - - - - - - -
76 221150370024 APIALYS DROPS 30,937.50 48 1,485,000.00 - - 23 711,562.50 25 773,437.50
77 221150370014 APIALYS SYR. 23,100.00 - - - - - - - -
78 221010640001 APIDRA SOLOSTAR 100 86,999.88 115 10,004,986.20 - - 105 9,134,987.40 10 869,998.80
79 221640020001 APOLAR N CREAM 10 GRAM 39,270.00 - - - - - - - -
80 220130570231 AQUAGEL JELLY 82 GR 49,500.00 - - - - - - - -
81 220470680036 ARCALION 200 TAB 5,763.45 - - - - - - - -
82 220190680017 ARDIUM HD. 1000 MG 14,666.67 - - - - - - - -
83 220460150001 ARICEPT 5 MG 21,423.55 - - - - - - - -
84 220260230007 ARIXTRA INJ. 2.5 MG 261,300.00 - - - - - - - -
85 ARKINE TABLET 584.38 800 467,504.00 - - 500 292,190.00 300 175,314.00
86 220880810003 ARTEMETER INJ 49,170.00 15 737,550.00 - - - - 15 737,550.00
87 220880810003 ARTEMETER INJ 34,419.00 60 2,065,140.00 - - - - 60 2,065,140.00
88 224130100065 ARTRODAR 9,753.33 - - - - - - - -
89 224120550038 ASABIUM TAB 1,540.00 - - - - - - - -
90 210440130028 ASAM VALPROIC SYR. 250 MG 48,510.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
91 220260580024 ASCARDIA TAB 80 MG 888.25 - - - - - - - -

92 221230540001 ASERING 500 ML 9,274.10 800 7,419,280.00 - - 280 2,596,748.00 520 4,822,532.00
93 221230540001 ASERING 500 ML 9,645.90 208 2,006,347.20 - - 80 771,672.00 128 1,234,675.20
94 221110710003 ASPAR-K TBL 2,473.90 - - - - - - - -
95 220260450025 ASPILETS TBL. 583.00 - - - - - - - -
96 221250490069 ASTATIN TAB 5,500.00 - - - - - - - -
97 ASTHAROL SYR 12,531.75 5 62,658.75 - - - - 5 62,658.75
98 ASTHAROL TABLET 971.85 200 194,370.00 - - - - 200 194,370.00
99 ASTRIA KAPSUL 4 MG 6,545.00 700 4,581,500.00 - - 400 2,618,000.00 300 1,963,500.00
100 224120410006 ATARAX 0.5 MG 1,430.00 - - - - - - - -
101 ATEVIR 40,700.00 - - - - - - - -
102 220270210026 ATOFAR 10 8,662.50 - - 180 1,559,250.00 180 1,559,250.00 - -
103 220270210038 ATOFAR 20 8,662.50 - - 300 2,598,750.00 300 2,598,750.00 - -
104 220270210039 ATOFAR 40 8,662.50 - - 300 2,598,750.00 300 2,598,750.00 - -
105 220270630050 ATORSAN 10 11,434.50 - - - - - - - -
106 220270630051 ATORSAN 20 11,434.50 - - - - - - - -
107 221252690033 ATP. KYOWA TABLET 1,379.40 - - - - - - - -
108 221821060038 ATS. INJ. 1500 E 165,000.00 17 2,805,000.00 - - 1 165,000.00 16 2,640,000.00
109 AVAMYS SPRAY 107,120.20 - - - - - - - -
110 221820640040 AVAXIM DEWASA 377,338.50 - - - - - - - -
111 228100610001 BACTRIM SYR 50 ML 80,831.70 - - - - - - - -
112 220440410039 BAMGETOL 200 MG 1,980.00 - - - - - - - -
113 220950350005 BATUGIN ELIXIR SYRUP 41,039.90 - - 15 615,598.50 8 328,319.20 7 287,279.30
114 221250380034 BD GARD CAPS 8,433.33 - - - - - - - -
115 221120580016 BECEFORT SYR 60 ML 17,366.80 12 208,401.60 - - 4 69,467.20 8 138,934.40
116 221120580018 BECEFORT TAB. 1,548.43 1,700 2,632,331.00 - - - - 1,700 2,632,331.00
117 221120620019 BECOM C CAPLET 1,108.25 500 554,125.00 - - 100 110,825.00 400 443,300.00
118 221120620019 BECOM C CAPLET 1,108.20 - - 500 554,100.00 500 554,100.00 - -
119 221690350020 BEDAK SALYCIL 100 GRM 6,006.00 - - 18 108,108.00 6 36,036.00 12 72,072.00
120 220520060013 BELLENIUM INJ 96,525.00 - - - - - - - -
121 220322690089 BENACOL DTM SYRUP 60 ML 12,540.00 - - - - - - - -
122 220322690099 BENACOL SYRUP 100 ML 14,107.50 - - - - - - - -
123 220322690090 BENACOL SYRUP 60 ML 11,495.00 - - - - - - - -
124 220470060062 BENOCETAM 1200 3,561.25 - - - - - - - -
125 220470060050 BENOCETAM INFUS 127,187.50 - - - - - - - -
126 220470060051 BENOCETAM INJ 1 GR 14,300.00 - - - - - - - -
127 220470060052 BENOCETAM INJ 3 GR 34,485.00 - - - - - - - -
128 220130060225 BENODON INJ. 12,540.00 - - - - - - - -
129 220520060017 BENOXURIC 100 MG 1,707.20 - - - - - - - -
130 220520060018 BENOXURIC 300 MG 3,080.00 - - - - - - - -
131 221230620032 BENUTRION 250 ML 96,492.00 4 385,968.00 - - 1 96,492.00 3 289,476.00
132 221690130013 BERIPLAST P INJ. 1 ML 2,664,750.00 - - - - - - - -
133 220310070342 BEROTEC SOLLUTION 0.1 MG 324,496.00 3 973,488.00 - - - - 3 973,488.00
134 220160060008 BERZYMPLEX TAB. 1,650.00 - - - - - - - -
135 220210340249 BETABLOK TAB 100 MG 2,255.00 - - - - - - - -
136 220210340250 BETABLOK TAB 50 MG 1,391.50 - - - - - - - -
137 221440380005 BETADINE GARGLE 100 ML 11,000.00 - - - - - - - -
138 220110810158 BETALALANS CAPS 11,825.00 - - - - - - - -
139 221640350006 BETASON-N CREAM 12,801.25 96 1,228,920.00 - - 24 307,230.00 72 921,690.00

1 2 3 4 5 6 7 8 9 10 11 12
140 B FLUID 500 ML 206,250.00 2 412,500.00 - - 2 412,500.00 - -

141 221150570018 BIO ATP TAB. 2,355.98 500 1,177,990.00 - - 500 1,177,990.00 - -
142 221250190035 BIOBRAN 250 MG 9,900.00 - - - - - - - -
143 221250690036 BIOCURKEM CAPS 11,733.33 - - - - - - - -
144 220620690628 BIOCURLIV CAPS 7,150.00 - - - - - - - -
145 220150630001 BIODIAR TAB. 1,221.00 - - - - - - - -
146 221610340005 BIOPLACENTON YELLY 15,950.00 3 47,850.00 - - 3 47,850.00 - -
147 221610340005 BIOPLACENTON YELLY 14,850.00 17 252,450.00 - - 3 44,550.00 14 207,900.00
148 221160620041 BIOSANBE CAP. 831.18 1,000 831,180.00 - - 800 664,944.00 200 166,236.00
149 221160620041 BIOSANBE CAP. 831.13 - - 600 498,678.00 - - 600 498,678.00
150 221150370010 BIOSTRUM SYR 36,960.00 - - - - - - - -
151 220210210055 BIPRO TAB 30 MG 4,372.50 - - 60 262,350.00 60 262,350.00 - -
152 220210130052 BISCOR 5 MG 2,106.50 - - - - - - - -
153 220320070004 BISOLVON ELIX 125 ML 52,614.80 - - - - - - - -
154 220320070008 BISOLVON INJ. 55,322.30 - - - - - - - -
155 220320070010 BISOLVON SOLUTION 50 ML 79,340.80 7 555,385.60 - - 1 79,340.80 6 476,044.80
156 220930620015 BLEDSTOP INJ 5,967.50 20 119,350.00 - - 10 59,675.00 10 59,675.00
157 220930080003 BLEDSTOP TAB 460.35 - - 200 92,070.00 - - 200 92,070.00
158 226140080001 BLESIFEN TAB 10,468.70 - - 600 6,281,220.00 560 5,862,472.00 40 418,748.00
159 220210680023 BLOPRES TAB. 16 MG 15,675.00 - - - - - - - -
160 220210680025 BLOPRES TAB. 16 MG PLUS 14,200.80 - - - - - - - -
161 220210680020 BLOPRES TAB. 8 MG 11,895.83 28 333,083.24 - - - - 28 333,083.24
162 220190700006 BORAGINOL N SALEP 67,872.75 5 339,363.75 - - 2 135,745.50 3 203,618.25
163 220190700005 BORAGINOL N SUPP 10,664.23 - - - - - - - -
164 220190700008 BORAGINOL S SALEP 91,385.25 7 639,696.75 - - 2 182,770.50 5 456,926.25
165 220190700007 BORAGINOL S SUPP 11,130.82 90 1,001,773.80 - - 30 333,924.60 60 667,849.20
166 220190700007 BORAGINOL S SUPP 12,801.25 100 1,280,125.00 - - - - 100 1,280,125.00
167 220240340028 BRAINACT INJ. 2 ML 44,935.00 - - - - - - - -
168 220240340014 BRAINACT TAB. 12,540.00 60 752,400.00 - - - - 60 752,400.00
169 220240810029 BRAINOLIN INJ. 250 MG 30,855.00 - - - - - - - -
170 220240810030 BRAINOLIN TAB 500 MG 8,882.50 - - - - - - - -
171 220130620002 BRAXIDIN TABLET 899.39 1,100 989,329.00 - - 1,000 899,390.00 100 89,939.00
172 221450490012 BREATHY NASAL SPRAY ( BNS ) 86,240.00 - - - - - - - -
173 221450490002 BREATHY TETES HIDUNG 16,500.00 - - - - - - - -
174 BRICASMA INJEKSI 12,558.04 - - - - - - - -
175 BRICASMA RESPULE 5MG/2ML 7,124.04 60 427,442.40 - - 60 427,442.40 - -
176 BRICASMA TURB. 100 DOSIS 58,251.60 10 582,516.00 - - - - 10 582,516.00
177 BRILINTA 90 MG 7,799.98 - - - - - - - -
178 220320100064 BRONCHOPRONT SYR. 53,240.00 - - - - - - - -
179 220310590352 BRONCOPHYLLIN 150 ml SYR 21,961.50 - - - - - - - -
180 221100120001 BUDENOFALK 25,856.82 - - - - - - - -
181 220130210009 BUNASCAN SPINAL 0.5% 69,300.00 45 3,118,500.00 - - 45 3,118,500.00 - -
182 220130210009 BUNASCAN SPINAL 0.5% 51,975.00 100 5,197,500.00 - - 30 1,559,250.00 70 3,638,250.00
183 221610120001 BURNAZIN CREAM 500 GR 392,931.00 - - - - - - - -
184 221610120007 BURNAZIN CREAM TUBE 35 GR 56,045.00 - - 15 840,675.00 15 840,675.00 - -
185 221610120010 BURNAZIN PLUS 25 GR 110,000.00 - - - - - - - -
186 220130070007 BUSCOPAN INJ 20MG 33,558.14 - - - - - - - -
187 220130070004 BUSCOPAN PLUS TABLET 4,148.14 - - - - - - - -
188 220130070006 BUSCOPAN TABLET 2,971.77 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
189 220210560087 CADUET 10/10 MG 16,042.03 - - - - - - - -

190 220210560086 CADUET 5/10 MG 8,797.80 - - - - - - - -
191 221140370001 CAL-95 5,016.00 390 1,956,240.00 - - 390 1,956,240.00 - -
192 CALGAE CAPS 4,394.50 - - 600 2,636,700.00 300 1,318,350.00 300 1,318,350.00
193 221140210018 CALOS CAPS 733.33 - - 1,200 879,996.00 420 307,998.60 780 571,997.40
194 220210210074 CALSIVAS 10 MG 7,012.50 30 210,375.00 - - - - 30 210,375.00
195 220210210066 CALSIVAS 5 MG 4,125.00 30 123,750.00 - - - - 30 123,750.00
196 221250810091 CALVIT-D TALET 1,306.25 1,400 1,828,750.00 - - 500 653,125.00 900 1,175,625.00
197 226130780018 CAMIDEXON INJ 5,599.99 - - - - - - - -
198 220130780232 CAMIDON INJ 10,079.96 - - - - - - - -
199 221810780059 CAMIDRYL INJ 8,855.00 - - - - - - - -
200 220210130024 CANDERIN TAB. 16 MG 8,415.00 - - - - - - - -
201 220210130021 CANDERIN TAB. 8 MG 6,077.50 - - - - - - - -
202 CANDEFION TABLET 8 MG 5,500.00 - - 150 825,000.00 150 825,000.00 - -
203 CANDEFION TABLET 16 MG 8,250.00 - - 300 2,475,000.00 300 2,475,000.00 - -
204 CANDOTENS 16 MG 8,085.00 - - - - - - - -
205 CANDOTENS 8 MG 4,958.80 - - - - - - - -
206 220110080159 CAPRAZOL CAPS 9,132.75 - - - - - - - -
207 CAPRIBOSE TABLET 50 MG 1,236.12 - - 400 494,448.00 400 494,448.00 - -
208 CAPRIBOSE TABLET 100 MG 2,003.38 - - 400 801,352.00 400 801,352.00 - -
209 220110160160 CAPROL INJ 40 MG 103,950.00 - - - - - - - -
210 220260050045 CARDIO ASPIRIN 1,363.63 90 122,726.70 - - - - 90 122,726.70
211 221150120006 CARDIOMIN CAPS 2,524.50 40 100,980.00 - - - - 40 100,980.00
212 220210620075 CARDISAN 10 MG 9,955.00 - - - - - - - -
213 220210620067 CARDISAN 5 MG 5,604.50 - - - - - - - -
214 220210560125 CARDURA TAB 1 MG 8,268.67 - - - - - - - -
215 221250160070 CARNON CAPS 5,197.50 - - - - - - - -
216 220210360096 CARSIVE INJ. 187,000.00 - - - - - - - -
217 CARPINE 1% 5 ML 17,050.00 - - - - - - - -
218 CARPINE 2% 5 ML 20,900.00 5 104,500.00 - - 5 104,500.00 - -
219 220261970044 CARTYLO TAB. 80 MG 616.00 - - 4,000 2,464,000.00 - - 4,000 2,464,000.00
220 220510520013 CATAFLAM FAST 50 MG 6,891.68 27 186,075.36 - - 18 124,050.24 9 62,025.12
221 220510520004 CATAFLAM TABLET 25 MG 3,175.85 50 158,792.50 - - 50 158,792.50 - -
222 224130520007 CATAFLAM TABLET 50 MG 6,061.07 - - - - - - - -
223 220210070124 CATAPRES INJ 1ML 33,900.00 - - - - - - - -
224 220210070123 CATAPRES TAB. 150 MG 4,986.36 100 498,636.00 - - - - 100 498,636.00
225 220130340226 CATHEJELL 12,5 GR 64,900.00 - - - - - - - -
226 220140690053 CEDANTRON CAPS 18,150.00 - - - - - - - -
227 220140690014 CEDANTRON INJ. 4 ML 28,710.00 - - - - - - - -
228 220220120037 CEDOCARD INJ 86,625.00 - - 20 1,732,500.00 - - 20 1,732,500.00
229 220220120037 CEDOCARD INJ 77,962.50 19 1,481,287.50 - - 19 1,481,287.50 - -
230 220220120019 CEDOCARD RETARD 2,667.04 120 320,044.80 - - 60 160,022.40 60 160,022.40
231 220220120018 CEDOCARD TBL 10 MG 1,686.67 420 708,401.40 - - - - 420 708,401.40
232 220220120016 CEDOCARD TBL 5 MG 1,023.00 1,380 1,411,740.00 - - 1,260 1,288,980.00 120 122,760.00
233 221830610001 CELLCEPT TAB. 500 MG 17,654.00 250 4,413,500.00 - - - - 250 4,413,500.00
234 220510560001 CELEBREX CAPS. 100 MG 10,145.84 - - - - - - - -
235 224130560026 CELEBREX CAPS. 200 MG 14,268.57 - - - - - - - -
236 221590090003 CENDO ASTHENOF 5 CC 23,100.00 - - 20 462,000.00 20 462,000.00 - -
237 221570090012 CENDO AUGENTONIC MD. 0.6 ML 4,424.48 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
238 221150090040 CENDO AUGENTONIC 5 ML 27,361.13 - - - - - - - -

239 221560090008 CENDO CATERLENT 15 ML 33,687.50 20 673,750.00 20 673,750.00 - - 40 1,347,500.00
240 221560090002 CENDO CATERLENT 5 ML 24,887.50 41 1,020,387.50 - - 41 1,020,387.50 - -
241 CENDO CATERLENT MD 0.6 ML 4,400.00 150 660,000.00 - - 100 440,000.00 50 220,000.00
242 221510090006 CENDO CITROL EYE DROPS 29,975.00 95 2,847,625.00 - - 95 2,847,625.00 - -
243 221150090041 CENDO CITROL EYE OINT 39,462.50 30 1,183,875.00 - - 10 394,625.00 20 789,250.00
244 CENDO CITROL MD 0.6 ML 5,362.50 125 670,312.50 - - - - 125 670,312.50
245 CENDO FENECOL 0.5 EYE DROPS 33,687.50 45 1,515,937.50 - - 35 1,179,062.50 10 336,875.00
246 CENDO FENECOL 0.5 SALP MATA 24,062.50 10 240,625.00 - - 10 240,625.00 - -
247 CENDO FLOXA ED. 5 ML 33,577.50 - - - - - - - -
248 CENDO GENTA SALAP MATA 40,012.50 5 200,062.50 - - - - 5 200,062.50
249 CENDO GENTA TETES MATA 31,212.50 13 405,762.50 - - - - 13 405,762.50
250 221570090013 CENDO HYALUB MD. 0.6 ML 12,540.00 210 2,633,400.00 100 1,254,000.00 - - 310 3,887,400.00
251 221570090002 CENDO HYALUB 5 ML 57,989.25 - - - - - - - -
252 CENDO LPX 5 ML 76,175.00 - - 20 1,523,500.00 20 1,523,500.00 - -
253 221560090009 CENDO LYTEERS 15 CC 24,750.00 50 1,237,500.00 - - 50 1,237,500.00 - -
254 221560090001 CENDO LYTEERS MD. 0,6 ML 4,235.00 375 1,588,125.00 - - 175 741,125.00 200 847,000.00
255 CENDO MYDRIATYL 1% 5 ML TM 42,075.00 - - - - - - - -
256 CENDO MYDRIATYL TM 31,762.50 83 2,636,287.50 - - 5 158,812.50 78 2,477,475.00
257 221570090009 CENDO PANTOCAIN EYE DROPS 0.5% 13,337.50 39 520,162.50 - - - - 39 520,162.50
258 221570090009 CENDO PANTOCAIN EYE DROPS 0.25% 14,575.00 30 437,250.00 - - - - 30 437,250.00
259 221570090016 CENDO PROTAGENTA EYE DROP 45,738.00 - - - - - - - -
260 221570090014 CENDO PROTAGENTA MD 0.6 ML 7,892.50 475 3,748,937.50 - - 250 1,973,125.00 225 1,775,812.50
261 221550090005 CENDO TIMOL TETES MATA 0.25% 33,550.00 - - - - - - - -
262 221550090006 CENDO TIMOL TETES MATA 0.5% 52,525.00 - - - - - - - -
263 CENDO VASACON 15 ML 17,875.00 - - 20 357,500.00 10 178,750.00 10 178,750.00
264 221580090005 CENDO CENFRESH MD 0.6 ML 5,060.00 700 3,542,000.00 - - - - 700 3,542,000.00
265 CENDO CENFRESH 5 ML 38,362.50 15 575,437.50 30 1,150,875.00 - - 45 1,726,312.50
266 CENDO EYEFRESH 5 ML 38,362.50 10 383,625.00 - - - - 10 383,625.00
267 CENDO EYEFRESH MD. 0.6 ML 5,087.50 55 279,812.50 - - - - 55 279,812.50
268 224100410010 CEPEZET 100 MG 484.00 - - - - - - - -
269 224100410011 CEPEZET INJ 7,150.00 - - - - - - - -
270 120850320112 CEPTIK 100 MG 20,372.00 30 611,160.00 - - 30 611,160.00 - -
271 120850320112 CEPTIK 100 MG 21,008.63 - - 60 1,260,517.80 60 1,260,517.80 - -
272 120850320134 CEPTIK 200 MG 31,218.00 - - 120 3,746,160.00 80 2,497,440.00 40 1,248,720.00
273 120850320133 CEPTIK DRY. SYRUP 82,720.00 24 1,985,280.00 - - 24 1,985,280.00 - -
274 CEPTIK DRY. SYRUP 85,305.00 - - 24 2,047,320.00 - - 24 2,047,320.00
275 221150340026 CERNEVIT INJ 180,785.00 20 3,615,700.00 - - - - 20 3,615,700.00
276 CETIRGI SYR. 39,600.00 - - 48 1,900,800.00 48 1,900,800.00 - -
277 221250810090 CHANNA CAPS. 500 MG 6,322.25 300 1,896,675.00 450 2,845,012.50 750 4,741,687.50 - -
278 220130010011 CHIROCAINE ISOBARK INJ. 5MG 120,062.80 - - - - - - - -
279 120870020020 CHLORAMEX INJ. 12,100.00 - - - - - - - -
280 220260340016 CITAZ TAB. 100 MG 10,956.00 - - - - - - - -
281 220260340010 CITAZ TAB. 50 MG 6,050.00 - - - - - - - -
282 CITICOLIN MPL 500 MG 6,864.00 - - - - - - - -
283 CITION TABLET 500 MG 11,550.00 60 693,000.00 - - - - 60 693,000.00
284 CITION TABLET 1000 MG 16,500.00 30 495,000.00 - - - - 30 495,000.00
285 CITION INJEKSI 250 MG/2ML 27,500.00 15 412,500.00 25 687,500.00 40 1,100,000.00 - -
286 220130320228 CLIAD TAB 2,024.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
287 228130320002 CLINIUM GEL 10 MG 29,700.00 - - - - - - - -

288 224120190015 CLOBIUM TAB. 1,881.00 - - - - - - - -
289 224110410006 CLOFRITIS TAB 1,562.00 - - - - - - - -
290 220260320057 CLOGIN TAB 75 MG 18,425.00 30 552,750.00 - - 30 552,750.00 - -
291 220420350009 CLOPEDIN INJ. 27,830.00 10 278,300.00 - - 10 278,300.00 - -
292 224110410007 CLORILEX 25 4,400.00 - - - - - - - -
293 226140440007 CLOVERTIL TAB. 12,540.00 - - - - - - - -
294 120880520001 CO ARTEM 4,449.52 - - - - - - - -
295 221120320022 COBAZIM CAP. 3000 MG 8,167.50 200 1,633,500.00 - - 100 816,750.00 100 816,750.00
296 220320350078 CODEIN 10 MG 684.97 - - - - - - - -
297 220320350077 CODEIN 20 MG 1,623.60 300 487,080.00 - - 200 324,720.00 100 162,360.00
298 220321970065 CODIKAF 10 866.25 300 259,875.00 - - 200 173,250.00 100 86,625.00
299 220320350045 CODIPRONT CAPS 7,937.60 - - - - - - - -
300 220320350047 CODIPRONT CUM CAPS 10,502.80 - - - - - - - -
301 220320350046 CODIPRONT CUM SYR. 60 ML 61,105.00 10 611,050.00 - - 8 488,840.00 2 122,210.00
302 220320350044 CODIPRONT SYR. 56,265.00 - - - - - - - -
303 220420350005 CODITAM TAB 4,510.00 - - 200 902,000.00 100 451,000.00 100 451,000.00
304 221250690071 COLDIZO TAB 2,200.00 - - - - - - - -
305 221810130056 COLERGIS SYR 37,620.00 - - - - - - - -
306 220320130079 COLERGIS TAB 2,178.00 - - - - - - - -
307 120870620004 COLSANCETINE INJ 8,342.40 40 333,696.00 - - - - 40 333,696.00
308 128150560004 COMBANTRIN SYR. 14,663.00 - - - - - - - -
309 220310070035 COMBIVENT NEB. 4,550.00 - - - - - - - -
310 220320100081 COMTUSI SYR 100 ML 57,860.00 5 289,300.00 - - 5 289,300.00 - -
311 220320100066 COMTUSI SYR 60 ML 38,610.00 5 193,050.00 - - 5 193,050.00 - -
312 220320100080 COMTUSI SYR 60 ML ( STROBER 38,610.00 - - - - - - - -
313 220210400135 CONCOR TAB. 1.5 MG 3,260.40 50 163,020.00 - - - - 50 163,020.00
314 220210400264 CONCOR TAB. 2.5 MG 713.00 900 641,700.00 - - - - 900 641,700.00
315 220210400263 CONCOR TAB. 5 MG 8,172.95 - - - - - - - -
316 CONCOR TAB. 10 MG 2,950.00 - - - - - - - -
317 220170100017 CONSTIPEN 120 ML 73,810.00 - - - - - - - -
318 220260360035 COPIDREL 75 MG 16,170.00 30 485,100.00 - - 30 485,100.00 - -
319 220220640003 CORDARONE INJ. 32,714.88 30 981,446.40 - - 30 981,446.40 - -
320 220220640001 CORDARONE TAB 200 MG 6,557.83 60 393,469.80 - - - - 60 393,469.80
321 221150360043 CORMEGA CAPS. 11,550.00 - - 300 3,465,000.00 150 1,732,500.00 150 1,732,500.00
322 221250210072 CORSEL 5,500.00 - - - - - - - -
323 221810320065 CORTAMINE SYR 60 ML 42,198.75 - - 30 1,265,962.50 30 1,265,962.50 - -
324 221810320066 CORTAMINE TABLET 2,541.00 - - 200 508,200.00 - - 200 508,200.00
325 CORTIDEX INJEKSI 4,856.77 - - 100 485,677.00 85 412,825.45 15 72,851.55
326 CORTIDEX TABLET 238.70 3,600 859,320.00 - - - - 3,600 859,320.00
327 221150320034 COTEN TAB. 100 MG 13,090.00 - - 90 1,178,100.00 60 785,400.00 30 392,700.00
328 COTEN TAB. 30 MG 6,287.88 - - 90 565,909.20 30 188,636.40 60 377,272.80
329 220320810033 COUGH - EN PLUS SYR. 120 Ml 20,790.00 - - - - - - - -
330 220320810032 COUGH - EN PLUS SYR. 60 Ml 16,170.00 - - - - - - - -
331 220260340034 CPG 75 MG 17,068.33 - - - - - - - -
332 220270030028 CRESTOR 10 MG 14,746.83 - - - - - - - -
333 220270030029 CRESTOR 20 MG 23,144.28 - - - - - - - -
334 220270030030 CRESTOR 40 MG 22,632.81 - - - - - - - -
335 226140620005 CRISPA TAB. 13,493.61 60 809,616.60 - - - - 60 809,616.60

1 2 3 4 5 6 7 8 9 10 11 12
336 220250190022 CROME INJ 50 MG 19,800.00 - - - - - - - -

337 220250190019 CROME TAB 1,980.00 - - - - - - - -
338 220410770002 CUPANOL SYR 19,800.00 - - - - - - - -
339 221240690007 CURCUMA TAB 973.50 500 486,750.00 - - 500 486,750.00 - -
340 221240690007 CURCUMA TAB 876.15 - - 1,200 1,051,380.00 200 175,230.00 1,000 876,150.00
341 220180690010 CURLIV CAPS 1,980.00 - - - - - - - -
342 220180690011 CURLIV PLUS CAPS 2,970.00 - - - - - - - -
343 221150210044 CURMUNOS SYR 48,620.00 - - 15 729,300.00 10 486,200.00 5 243,100.00
344 221250690084 CURVIT CL EMULSION SYR. 51,150.00 10 511,500.00 - - 6 306,900.00 4 204,600.00
345 221250690085 CURVIT SYR. 120 ML 31,482.00 - - 40 1,259,280.00 10 314,820.00 30 944,460.00
346 221240690008 CURVIT SYR. 60 ML 24,915.00 5 124,575.00 - - 5 124,575.00 - -
347 221240690008 CURVIT SYR. 60 ML 22,423.50 - - 70 1,569,645.00 15 336,352.50 55 1,233,292.50
348 221240690001 CURVIT TAB. 1,782.00 550 980,100.00 - - - - 550 980,100.00
349 221240690001 CURVIT TAB. 1,980.00 1,000 1,980,000.00 - - - - 1,000 1,980,000.00
350 220720810003 CYCLOGESTON INJ. U/ 1 BLN 6,500.01 - - - - - - - -
351 226120020005 CYGEST 400 20,900.00 - - - - - - - -
352 220930500931 CYNTOCINON INJ. 13,913.35 - - - - - - - -
353 221720100008 CYTODROX CAPSUL 500 MG 11,011.00 - - - - - - - -
354 221620330001 DAKTARIN DIAPER 51,499.80 - - - - - - - -
355 221250120073 DALFAROL 300 MG 2,732.40 - - - - - - - -
356 221250120074 DALFAROL 400 MG 3,762.00 - - - - - - - -
357 DAMABEN 370.84 200 74,168.00 - - - - 200 74,168.00
358 220540550002 DANSERA TAB. 5,500.00 - - - - - - - -
359 220270550027 DEBOSTIN 10 MG 11,440.00 - - - - - - - -
360 220270550034 DEBOSTIN 20 MG 15,400.00 - - - - - - - -
361 220270550041 DEBOSTIN 40 MG 14,300.00 - - - - - - - -
362 224130020083 DEFLAMAT 100 MG CR 8,043.75 60 482,625.00 - - - - 60 482,625.00
363 221250190044 DEGRADE TAB. 7,150.00 - - - - - - - -
364 220490190008 DEGRIUM TAB 5 MG 5,227.20 - - - - - - - -
365 221250190045 DEHAF SATC. 8,250.00 - - - - - - - -
366 220110080161 DENUFAM 20 MG 2,673.00 - - - - - - - -
367 220440010024 DEPAKENE SYR. 250 MG / 5ML 172,370.00 - - - - - - - -
368 220440010045 DEPAKENE SYR. 250 MG / 5ML ( 41,800.00 - - - - - - - -
369 220440010047 DEPAKOTE TAB. 250 MG 10,071.60 - - - - - - - -
370 220440010027 DEPAKOTE TAB. 500 MG 5,928.00 - - - - - - - -
371 DEPAKOTE ER TAB. 250 MG 2,954.00 100 295,400.00 - - 100 295,400.00 - -
372 DEPAKOTE ER TAB. 500 MG 5,928.00 100 592,800.00 - - 100 592,800.00 - -
373 226130560019 DEPO MEDROL INJ 40 MG 91,905.00 - - - - - - - -
374 220720270001 DEPO PROGESTIN INJ. 3 BLN 5,000.22 - - - - - - - -
375 221651760023 DERMADES 0.05% CR 10 GR 18,823.75 - - - - - - - -
376 221690690010 DERMAKEL CREAM 110,000.00 - - - - - - - -
377 221650670002 DESOLEX CREAM 10 Gr 22,715.00 2 45,430.00 - - 2 45,430.00 - -
378 220940560003 DETRUSITOL 2 MG 9,137.46 - - - - - - - -
379 221650350022 DEXOCORT CREAM 28,600.00 - - 20 572,000.00 20 572,000.00 - -
380 221810570031 DEXTAMIN SYR 60 ML 30,204.90 - - - - - - - -
381 221810570029 DEXTAMIN TAB/300 PC 1,784.24 600 1,070,544.00 - - 600 1,070,544.00 - -
382 DEXTAFEN CAPS. 1,196.25 300 358,875.00 - - - - 300 358,875.00
383 221230540077 DEXTROSE 10% 500 ML 7,499.80 - - - - - - - -
384 DEXTROSE 10% 500 ML 7,499.80 - - 160 1,199,968.00 40 299,992.00 120 899,976.00

1 2 3 4 5 6 7 8 9 10 11 12
385 221230540079 DEXTROSE 40% INJ. 25 ML 3,199.90 226 723,177.40 - - 138 441,586.20 88 281,591.20
386 221230540080 DEXTROSE 5% + NACL 500 ML 10,400.50 - - - - - - - -
387 221230540094 DEXTROSE 5% 100 ML 15,180.00 - - - - - - - -
388 221230540095 DEXTROSE 5% 500 ML 6,900.30 40 276,012.00 - - 40 276,012.00 - -
389 221230750096 DEXTROSE 5% 500 ML ( GLUCOS 6,900.30 34 234,610.20 - - 34 234,610.20 - -
390 221230750096 DEXTROSE 5% 500 ML ( GLUCOS 7,499.80 - - 80 599,984.00 40 299,992.00 40 299,992.00
391 221160780026 DIABION CAPSUL 1,149.50 - - - - - - - -
392 221020550077 DIAFORMIN XR 1,237.50 - - ### 55,687,500.00 ### 23,265,000.00 26,200 32,422,500.00
393 DIAGIT TABLET 1,973.81 - - 100 197,381.00 100 197,381.00 - -
394 220120340226 DIALAC VANILA 5,280.00 - - - - - - - -
395 220120340227 DIALAC VANILA STROBERY 5,280.00 - - - - - - - -
396 221020680095 DIAMICRON MR INJ. 419,210.00 - - - - - - - -
397 221020680089 DIAMICRON MR TBL. 60 MG 5,613.30 90 505,197.00 - - - - 90 505,197.00
398 221020680089 DIAMICRON MR TBL. 60 MG 2,992.00 120 359,040.00 - - - - 120 359,040.00
399 220710050002 DIANE 35 81,510.00 - - - - - - - -
400 228120560007 DIFLUCAN I.V 2 MG/ML X 100 ML 305,890.20 - - - - - - - -
401 221640320008 DIGENTA CREAM 69,300.00 28 1,940,400.00 - - - - 28 1,940,400.00
402 220440560011 DILANTIN CAPS. 100 MG 4,505.52 - - - - - - - -
403 220210500138 DIOVAN 160 MG CAPSUL 1,017.89 - - - - - - - -
404 220210520043 DIOVAN 40 MG CAPSUL 8,856.49 56 495,963.44 - - 56 495,963.44 - -
405 220210500137 DIOVAN 80 MG CAPSUL 698.93 - - - - - - - -
406 220360130001 DISMENO CAPS. 100 MG 4,400.00 30 132,000.00 - - 30 132,000.00 - -
407 221250130048 DISOLF CAPS. 6,792.50 - - - - - - - -
408 220210260238 DIUVAR INJ 13,062.50 - - - - - - - -
409 220210340239 DIVASK 10 10,972.50 - - - - - - - -
410 220210340240 DIVASK 5 6,270.00 - - - - - - - -
411 221250130012 DIVENS PLUS CAPS 3,085.50 - - - - - - - -
412 221250130013 DIVENS PLUS SYR. 30,855.00 - - - - - - - -
413 DIVITI INJEKSI 281,462.50 4 1,125,850.00 - - 4 1,125,850.00 - -
414 220220130005 DOBUJECT INJ. 126,225.00 - - - - - - - -
415 220220140034 DOBURAN INJ. 18,631.47 - - - - - - - -
416 DOGESIC 500 MG 750.20 2,500 1,875,500.00 5,000 3,751,000.00 4,100 3,075,820.00 3,400 2,550,680.00
417 224130400084 DOLOFENAC TAB 3,082.75 - - - - - - - -
418 220130620028 DOLONES CREAM 47,355.00 - - - - - - - -
419 220140370044 DOM SYR 24,750.00 - - - - - - - -
420 220120370017 DOM TB 1,980.00 - - - - - - - -
421 DOME DROPS 18,150.00 - - - - - - - -
422 DOME SYR. 21,780.00 24 522,720.00 - - 10 217,800.00 14 304,920.00
423 220140810045 DOME TAB 1,980.00 - - - - - - - -
424 220120020228 DOMINAL DROPS 27,500.00 - - - - - - - -
425 220140020046 DOMINAL SYR 60 ML 27,500.00 - - - - - - - -
426 220140020047 DOMINAL TAB 2,566.67 - - - - - - - -
427 DOPACEF INJEKSI 32,997.20 40 1,319,888.00 - - 40 1,319,888.00 - -
428 220210350127 DOPAMET TAB 2,057.00 100 205,700.00 - - - - 100 205,700.00
429 220220350010 DOPAMIN INJ. 78,100.00 - - - - - - - -
430 224120610041 DORMICUM INJ. 3 ML / 15 MG 70,441.00 40 2,817,640.00 - - - - 40 2,817,640.00
431 224120610035 DORMICUM INJ. 5 ML / 5 MG 28,217.30 - - - - - - - -
432 220260040039 DORNER 20 MCB TAB. 4,569.99 - - - - - - - -
433 228100760003 DOTRIM FORTE CAPS 1,320.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
434 220170070003 DULCOLAX SUPP 5 MG 15,940.93 - - - - - - - -

435 220170070004 DULCOLAX SUPP ADULT 10 MG 22,239.14 - - - - - - - -
436 220170070001 DULCOLAX TAB 5 MG 1,302.76 160 208,441.60 - - 50 65,138.00 110 143,303.60
437 220410020019 DUMIN SUPP 125 MG 12,826.00 - - - - - - - -
438 220410020020 DUMIN SUPP 250 MG 14,960.00 - - - - - - - -
439 220410020430 DUMIN SYRUP 19,432.60 - - - - - - - -
440 120890020015 DUMOZOL INFUS 66,000.00 - - - - - - - -
441 220420330011 DUROGESIC MATRIX 12 ug/h 101,633.84 5 508,169.20 - - 5 508,169.20 - -
442 220420330010 DUROGESIC MATRIX 25 ug/h 195,519.94 5 977,599.70 - - - - 5 977,599.70
443 DUROLANE INJEKSI 2,420,000.00 2 4,840,000.00 - - - - 2 4,840,000.00
444 220241970023 DUVADILAN INJ. 30,800.00 6 184,800.00 - - - - 6 184,800.00
445 220241970022 DUVADILAN TABLET 5,500.00 400 2,200,000.00 - - - - 400 2,200,000.00
446 221110810008 E NAT 400 IU 3,064.71 - - - - - - - -
447 221020130057 ECLID 100 MG 2,376.00 - - - - - - - -
448 221020130056 ECLID 50 MG 1,485.00 - - - - - - - -
449 221231450068 ECOSOL GLUCOSE 10% 500 ML 12,100.00 - - - - - - - -
452 221231450053 ECOSOL NACL 0,9% 100 ML 7,920.00 - - - - - - - -
453 221231450052 ECOSOL NACL 0,9% 1000 ML 17,600.00 - - - - - - - -
454 221230810098 ECOSOL NACL 0,9% 500 ML 8,800.00 - - - - - - - -
455 221230810099 ECOSOL RL 500 ML 9,680.00 - - - - - - - -
456 220520580011 ECRON INJ. 4 MG 75,971.50 - - - - - - - -
457 EDORISAN DROPS 40,238.00 13 523,094.00 - - 13 523,094.00 - -
458 220320190052 EDOTIN CAPS 3,712.50 - - - - - - - -
459 221150620067 ELKANA CL EMULSION 120 ML 39,641.25 24 951,390.00 - - - - 24 951,390.00
460 221150620055 ELKANA TAB. 647.90 200 129,580.00 - - 100 64,790.00 100 64,790.00
461 221651760020 ELOPRO CREAM 10 GR 23,402.50 - - - - - - - -
462 EMEGRAN INJ. 3 MG 110,000.00 25 2,750,000.00 - - - - 25 2,750,000.00
463 221152690036 EMINETON TABLET 1,567.50 - - - - - - - -
464 ENDROLIN INJ. 3.75 MG 569,800.00 21 11,965,800.00 - - 21 11,965,800.00 - -
465 ENDROLIN INJ. 3.75 MG 564,102.00 - - 15 8,461,530.00 15 8,461,530.00 - ###
466 220950490007 ENATIN CAPS. 1,499.52 200 299,904.00 - - - - 200 299,904.00
467 220470400037 ENCEPHABOL SYR. 53,295.00 - - - - - - - -
468 220470400039 ENCEPHABOL TAB 100 MG 2,787.02 - - - - - - - -
469 221250690004 ENERCORE 19,800.00 - - - - - - - -
470 221820230002 ENGERIX B INJ 20 MCG(DEWAS 88,000.00 - - - - - - - -
471 221820230001 ENGERIX B 0.5 ML (ANAK) 68,207.15 10 682,071.50 - - - - 10 682,071.50
472 221220340021 ENTROCARE 35 MG 8,882.50 - - - - - - - -
473 220160350004 ENZYMFORT TABLET 1,650.00 - - - - - - - -
474 220160450003 ENZYPLEX TAB. 948.67 - - - - - - - -
475 220320620095 EPEXOL DROP 15 MG 31,286.75 - - 24 750,882.00 - - 24 750,882.00
476 220320620096 EPEXOL SYRUP 15 MG 14,322.00 24 343,728.00 48 687,456.00 - - 72 1,031,184.00
477 220320620097 EPEXOL TABLET 30 MG 690.52 200 138,104.00 300 207,156.00 300 207,156.00 200 138,104.00
478 220110620085 EPISAN SYR. 100 ML 40,664.25 14 569,299.50 - - 14 569,299.50 - -
479 220110620133 EPISAN SYR. 200 ML 65,216.25 19 1,239,108.75 - - 17 1,108,676.25 2 130,432.50
480 220370230001 EPREX PROTEX 2000 IU 294,525.00 - - - - - - - -
481 220260330053 EPREX PROTEX 4000 IU 583,275.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
482 EPRINOC TABLET 1,539.86 1,800 2,771,748.00 4,000 6,159,440.00 3,000 4,619,580.00 2,800 4,311,608.00
483 220520600012 EPSONAL TAB 3,693.25 800 2,954,600.00 - - - - 800 2,954,600.00
484 220240720005 ERICAF TAB 5,626.43 - - - - - - - -
485 121510150004 ERLAMYCETIN TTS MATA 9,770.75 - - - - - - - -
486 221510810016 ERLAMYCETIN SALEP MATA 5,775.00 - - - - - - - -
487 220310810321 ERPHAFILLIN TAB 146.30 - - - - - - - -
488 220820320823 ERYTHRINE SYR. 60 ML 38,720.00 9 348,480.00 - - 9 348,480.00 - -
489 220820320823 ERYTHRINE SYR. 60 ML 43,106.25 - - 24 1,034,550.00 - - 24 1,034,550.00
490 224120700036 ESILGAN TAB 1 MG 3,546.00 100 354,600.00 - - - - 100 354,600.00
491 224120700037 ESILGAN TAB 2 MG 5,427.99 300 1,628,397.00 - - - - 300 1,628,397.00
492 220110550148 ESOMAX INJ. 111,650.00 200 22,330,000.00 - - 130 14,514,500.00 70 7,815,500.00
493 221650640006 ESPERSON CR 15 GR 117,985.23 - - - - - - - -
494 221650640019 ESPERSON CR 5 GR 47,679.39 - - - - - - - -
495 220270130004 ESVAT 10 1,155.00 - - - - - - - -
496 220270130002 ESVAT 20 2,117.50 - - - - - - - -
497 220130800030 ETHYLCHLORIDE SPRY 0.00 - - - - - - - -
498 220310580026 EUPHYLIN RETARD TAB. 3,184.64 - - - - - - - -
499 221030400002 EUTHYROX 100 MG 1,894.14 - - - - - - - -
500 221030400001 EUTHYROX 50 MG 1,066.12 - - - - - - - -
501 221820640041 EUVAX B 1 ML 74,669.10 699 52,193,700.90 - - 84 6,272,204.40 615 45,921,496.50
502 EUVAX B 0.5 ML 58,443.00 - - - - - - - -
503 220950580013 EVIPROSTAT TAB. 1,518.00 - - - - - - - -
504 EVOFION INFUS 500MG/100 ML 135,850.00 167 22,686,950.00 33 4,483,050.00 50 6,792,500.00 150 20,377,500.00
505 220270770014 EVOTHYL 100 MG 4,807.00 - - - - - - - -
506 220270770019 EVOTHYL 300 MG 12,435.50 - - - - - - - -
507 220210520083 EXFORGE 10/160 TAB 16,483.50 - - - - - - - -
508 220210520082 EXFORGE 5/160 TAB 17,050.16 224 3,819,235.84 - - 56 954,808.96 168 2,864,426.88
509 220210520081 EXFORGE 5/80 TAB 13,167.00 - - - - - - - -
510 221690500005 EXODERIL CREAM 5 GRM 33,495.00 - - - - - - - -
511 221130160001 EXTRACE INJ 2 ML 11,000.00 6 66,000.00 - - 6 66,000.00 - -
512 221010340016 EZELIN INSULIN 137,500.00 - - - - - - - -
513 221250810077 EZYGARD SYR. 66,000.00 - - - - - - - -
514 220190580015 FAKTU SUPP. 7,837.50 - - - - - - - -
515 221810210015 FALERGI TAB 2,681.25 - - 1,680 4,504,500.00 600 1,608,750.00 1,080 2,895,750.00
516 220110620162 FAMOCID 20 MG 2,893.00 - - - - - - - -
517 220110620163 FAMOCID 40 MG 4,394.50 - - - - - - - -
518 220880610002 FANSIDAR TAB. 7,215.25 - - - - - - - -
519 220320210091 FARAPON TAB 440.00 - - - - - - - -
520 221120210011 FARBION INJ 5,280.00 55 290,400.00 500 2,640,000.00 55 290,400.00 500 2,640,000.00
521 221120210005 FARBION TAB 968.00 - - 800 774,400.00 800 774,400.00 - -
522 220220210014 FARGOXIN INJ 34,650.00 20 693,000.00 - - - - 20 693,000.00
523 220220210013 FARGOXIN TAB. 214.50 - - - - - - - -
524 220210210111 FARMABES INJ. 5 ML 90,750.00 47 4,265,250.00 - - 27 2,450,250.00 20 1,815,000.00
525 220210210111 FARMABES INJ. 5 ML 121,000.00 21 2,541,000.00 - - 21 2,541,000.00 - -
526 221121790034 FARMABION TAB. 228.85 - - - - - - - -
527 220110210077 FARMACROL SYR. 100 ML 32,175.00 - - - - - - - -
528 220110210134 FARMACROL SYR. 200 ML 39,600.00 - - - - - - - -
529 220110210134 FARMACROL FORTE TABLET 660.00 - - - - - - - -
530 220410210025 FARMADOL INFUS 43,890.00 24 1,053,360.00 - - 24 1,053,360.00 - -

1 2 3 4 5 6 7 8 9 10 11 12
531 220210210062 FARMADRAL TAB. 10 MG 198.00 - - - - - - - -

532 FARMAVON INJEKSI 40,700.00 40 1,628,000.00 - - - - 40 1,628,000.00
533 220320210006 FARMAVON SYR 100 ML 20,900.00 - - - - - - - -
534 220890210029 FARNAT INFUS 69,300.00 - - - - - - - -
535 222160210004 FARSIX 40 MG 825.00 - - - - - - - -
536 220210210117 FARSIX INJ 7,700.00 - - - - - - - -
537 220220210030 FARSORBID 5 MG 156.31 - - - - - - - -
538 220220210022 FARSORBID INJ. 66,000.00 - - - - - - - -
539 220260550055 FEBOGREL TAB. 13,200.00 600 7,920,000.00 - - - - 600 7,920,000.00
540 220510560042 FELDEN CAPS 10 MG 4,990.04 - - - - - - - -
541 220510560047 FELDEN GEL 0.5% 15 GR 74,816.78 - - - - - - - -
542 220270070021 FELOSMA 300 MG 10,450.00 - - - - - - - -
543 220510210066 FENDEX INJEKSI 32,175.00 40 1,287,000.00 - - - - 40 1,287,000.00
544 220510210066 FENDEX INJEKSI 33,825.00 15 507,375.00 - - 10 338,250.00 5 169,125.00
545 220510210065 FENDEX TAB. 4,537.50 - - 300 1,361,250.00 300 1,361,250.00 - -
546 220270440044 FENOLIP 100 MG 3,520.00 - - - - - - - -
547 220270440045 FENOLIP 300 MG 8,800.00 - - - - - - - -
548 220420330004 FENTANYL INJ. 0.05 MG 41,599.80 60 2,495,988.00 - - 50 2,079,990.00 10 415,998.00
549 FENRIS SYR. JERUK 26,400.00 - - - - - - - -
550 220470190040 FEPIRAM 1200 4,840.00 - - - - - - - -
551 FERITRIN TABLET 2,255.00 - - - - - - - -
552 221150480021 FERIZ DROPS 33,000.00 - - - - - - - -
553 221150480056 FERIZ SYR. 33,000.00 - - - - - - - -
554 FEROFORT FR CAPS. 1,724.25 500 862,125.00 - - - - 500 862,125.00
555 220270810052 FEROLIP TAB. 300 MG 0.00 - - - - - - - -
556 FEROSPAT TABLET 5,610.00 - - 4,000 22,440,000.00 2,290 12,846,900.00 1,710 9,593,100.00
557 221150700037 FERRIPROX TAB. 32,999.97 200 6,599,994.00 - - 200 6,599,994.00 - -
558 224130320103 FETIK SUPPOSITORIA 100 MG 13,476.38 - - 110 1,482,401.80 60 808,582.80 50 673,819.00
559 FIBRION INJ. 1500000 IU 4,138,200.00 - - - - - - - -
560 220940320001 FINPRO TAB 11,000.00 - - - - - - - -
561 FIOCILAS INJEKSI 1 GR 258,500.00 - - 10 2,585,000.00 - - 10 2,585,000.00
562 FIONTIC INJEKSI 1000 MG 242,000.00 10 2,420,000.00 - - 10 2,420,000.00 - -
563 FIORAMOL INFUS 55,000.00 - - 48 2,640,000.00 - - 48 2,640,000.00
564 220560100026 FITAJOINT ROLLER 82,500.00 - - - - - - - -
565 120890130017 FLADEX INFUS 63,580.00 - - - - - - - -
566 128120130021 FLADYSTIN OVULA 12,155.00 - - - - - - - -
567 120890640011 FLAGYL SYR 37,807.11 - - - - - - - -
568 224130620110 FLAMAR ZALF 20 GR 13,640.00 22 300,080.00 20 272,800.00 22 300,080.00 20 272,800.00
569 224130260092 FLAMIC TAB 1,776.50 - - - - - - - -
570 226130130013 FLAMICORT INJ. 10 MG 112,200.00 1 112,200.00 - - 1 112,200.00 - -
571 226130130014 FLAMICORT INJ. 40 MG 84,150.00 - - - - - - - -
572 220540360021 FLAVIN TAB 2,183.50 - - - - - - - -
573 220170100016 FLEET ENEMA 133 ML 107,250.00 10 1,072,500.00 - - 5 536,250.00 5 536,250.00
574 220170100016 FLEET ENEMA 133 ML 104,181.00 1 104,181.00 - - - - 1 104,181.00
575 220560130012 FLEXOR DS 5,445.00 - - - - - - - -
576 220310230032 FLIXOTIDE NEB. 0.5 MG 14,928.98 350 5,225,143.00 - - 350 5,225,143.00 - -
577 221250370053 FLORAGYN CAPS 9,680.00 120 1,161,600.00 - - - - 120 1,161,600.00
578 FLOXARIS INFUS 239,250.00 7 1,674,750.00 - - - - 7 1,674,750.00
579 221821060042 FLUBIO VAKSIN 0.5 ML 82,335.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
580 220321790074 FLUCADEX SYR 8,800.00 - - - - - - - -

581 220331790022 FLUCADEX TAB. 475.20 - - - - - - - -
582 128120340005 FLUCORAL 150 MG 71,060.00 40 2,842,400.00 - - 40 2,842,400.00 - -
583 220330130011 FLUDEXIN SYR 23,375.00 - - - - - - - -
584 220330130014 FLUDEXIN TAB. 572.00 - - - - - - - -
585 221530190002 FLUMETHHOLON TETES MATA 83,160.00 3 249,480.00 - - - - 3 249,480.00
586 221820640030 FLUQUADRI ADULT SH 0.5 219,450.00 10 2,194,500.00 - - 2 438,900.00 8 1,755,600.00
587 221820640029 FLUQUADRI PED SH 0.25 174,900.00 10 1,749,000.00 - - 5 874,500.00 5 874,500.00
588 220320760075 FLURIN DMP CAPS 726.00 - - - - - - - -
589 FUTADERM CREAM 0.00 - - - - - - - -
590 120410600032 FLUTAMOL SYR. 60 ML 7,260.00 - - - - - - - -
591 220310340343 FLUTIAS INHALER 125 120,175.00 3 360,525.00 - - - - 3 360,525.00
592 220260210005 FLUXUM 4250 IU AXA 112,200.00 - - - - - - - -
593 220260210006 FLUXUM 6400 IU AXA 163,625.00 - - - - - - - -
594 221160550031 FOLAC TAB 638.00 4,000 2,552,000.00 ### 6,380,000.00 7,500 4,785,000.00 6,500 4,147,000.00
595 221140130014 FOLAMIL GENIO 3,850.00 - - - - - - - -
596 221160550031 FOLAMIL GOLD 4,400.00 - - - - - - - -
597 221150130004 FOLAMIL TAB. 1,122.00 - - - - - - - -
598 221160080047 FOLAVICAP 400 MG 682.00 - - 6,000 4,092,000.00 - - 6,000 4,092,000.00
599 221160620029 FOLAVIT TAB. 400 MG 690.53 - - ### 10,357,950.00 ### 8,769,731.00 2,300 1,588,219.00
600 220110810164 FORDIN INJ 14,850.00 - - - - - - - -
601 220410060441 FORGESIC CAPS 50 MG 2,543.75 - - - - - - - -
602 220890020901 FORMELL 500 MG 916.67 - - - - - - - -
603 FORMOM TABLET 1,916.75 - - 1,500 2,875,125.00 1,500 2,875,125.00 - -
604 221250620054 FORMUNO CAPS. 5,242.87 270 1,415,574.90 - - 270 1,415,574.90 - -
605 221430620001 FORRUMEN DROPS 20,715.75 10 207,157.50 - - - - 10 207,157.50
606 128120590031 FORTAGYL INFUS 100 ML 62,370.00 - - - - - - - -
607 224110340004 FORTANES INJ. 15 MG / 3 ML 45,100.00 - - - - - - - -
608 224110340005 FORTANES INJ. 5 MG / 3 ML 18,700.00 15 280,500.00 - - - - 15 280,500.00
609 220430410007 FRIDEP 50 MG 9,075.00 - - - - - - - -
610 220430410008 FRIMANIA 200 2,200.00 - - - - - - - -
611 FRESOFOL INJ. 1% 10,758.00 - - - - - - - -
612 FULMICORT NEBU 0.25 mg 0.00 - - - - - - - -
613 220310030354 FULMICORT NEBU 0.5 mg 20,072.62 - - - - - - - -
614 221150440039 FURAMIN INJ 9,680.00 35 338,800.00 - - - - 35 338,800.00
615 221610600002 FUSON CREAM 37,400.00 - - 15 561,000.00 10 374,000.00 5 187,000.00
616 221620100010 FUSYCOM CREAM 6,277.70 10 62,777.00 - - 10 62,777.00 - -
617 221220620011 FUTROLIT INF 41,345.11 72 2,976,847.92 - - - - 72 2,976,847.92
618 FUTADERM CREAM 81,840.00 15 1,227,600.00 - - - - 15 1,227,600.00
619 220150550008 FUZIDE SYR 29,507.50 15 442,612.50 - - - - 15 442,612.50
620 220440630007 GABEXAL TAB. 9,328.00 - - - - - - - -
621 220120770018 GALFLUX TAB 3,960.00 - - - - - - - -
622 221020520067 GALVUS MET 50/500 MG 7,562.50 60 453,750.00 - - 60 453,750.00 - -
623 221020500081 GALVUS MET 50/850 MG 7,562.50 60 453,750.00 - - 60 453,750.00 - -
624 221020520058 GALVUS TAB. 50 MG 5,348.23 - - - - - - - -
625 221820100035 GAMMARAAS INJ. 5% 3,025,000.00 - - - - - - - -
626 221820400036 GARDASIL INJ. 0.5 ML 608,850.00 168 102,286,800.00 - - 74 45,054,900.00 94 57,231,900.00
627 GARENA INFUS 220,000.00 28 6,160,000.00 - - 6 1,320,000.00 22 4,840,000.00
628 220110320013 GASTRIDIN INJ. 20,768.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
629 GASTRIDIN TABLET 4,730.00 100 473,000.00 - - - - 100 473,000.00

630 220110440074 GASTRINAL SYR 120 ML 19,360.00 - - - - - - - -
631 220110130032 GASTROFER INJ. 107,525.00 - - - - - - - -
632 220110260135 GASTROLAN CAPS 12,540.00 - - - - - - - -
633 220110210082 GASTRUL TAB 12,100.00 - - 900 10,890,000.00 660 7,986,000.00 240 2,904,000.00
634 GEATIZIN TABLET 3,674.28 200 734,856.00 - - - - 200 734,856.00
635 221230130101 GELAFUSAL INF 500 ML 192,500.00 - - - - - - - -
636 220560360011 GERAC POWDER 14,850.00 - - - - - - - -
637 220120550029 GERDILIUM DROPS 29,507.50 10 295,075.00 - - 5 147,537.50 5 147,537.50
638 220120550022 GERDILIUM SYR. 30,305.00 72 2,181,960.00 - - 48 1,454,640.00 24 727,320.00
639 220120550019 GERDILIUM TAB. 2,950.75 450 1,327,837.50 400 1,180,300.00 500 1,475,375.00 350 1,032,762.50
640 GERIAVITA CAPS. 2,174.26 60 130,455.60 - - - - 60 130,455.60
641 220110770093 GETIDINE INJ 20,900.00 - - - - - - - -
642 220130320005 GITAS PLUS CAPS 5,240.81 - - 300 1,572,243.00 300 1,572,243.00 - -
643 GITAS INJEKSI 23,345.44 - - 70 1,634,180.80 20 466,908.80 50 1,167,272.00
644 221020770040 GLAMAROL 1 MG 2,310.00 - - - - - - - -
645 221020770041 GLAMAROL 2 MG 4,180.00 - - - - - - - -
646 221020770042 GLAMAROL 3 MG 5,538.50 - - - - - - - -
647 221020770043 GLAMAROL 4 MG 6,792.50 - - - - - - - -
648 221020440082 GLANCER TAB 2,481.88 200 496,376.00 - - - - 200 496,376.00
649 221560090005 GLAUCON TAB 250 MG 4,180.00 60 250,800.00 - - - - 60 250,800.00
650 221560620007 GLAUSETA TAB. 3,768.05 - - 300 1,130,415.00 300 1,130,415.00 - -
651 221020550045 GLIARIDE TAB. 2 MG 4,070.00 - - - - - - - -
652 221020550046 GLIARIDE TAB. 3 MG 5,830.00 100 583,000.00 - - - - 100 583,000.00
653 GLIMEFION 6,416.67 - - 150 962,500.50 150 962,500.50 - -
654 221250340020 GLISODIN CAPS 4,766.67 - - - - - - - -
655 221020050055 GLUCOBAY TAB. 100 MG 2,719.20 - - - - - - - -
656 221020050054 GLUCOBAY TAB. 50 MG 2,052.60 - - - - - - - -
657 221150400057 GLUCOBION TAB 0.00 - - - - - - - -
658 221020430006 GLUCOPHAGE TAB. 500 MG 1,498.52 - - - - - - - -
659 221020430011 GLUCOPHAGE TAB. 850 MG 1,942.51 - - - - - - - -
660 221020430014 GLUCOPHAGE XR 500 2,328.47 - - - - - - - -
661 221020400076 GLUCOPHAGE XR 750 2,561.35 - - - - - - - -
662 220560810027 GLUCOSAMINE MPL 250 MG 1,842.50 - - - - - - - -
663 220560810027 GLUCOSAMINE MPL 500 MG 1,750.37 - - - - - - - -
664 221020190005 GLUMIN TAB. 500 MG 1,009.80 - - - - - - - -
665 221020190013 GLUMIN XR 500 MG 1,815.00 - - - - - - - -
666 221020190083 GLUMIN XR 750 MG 2,227.50 - - - - - - - -
667 221020070019 GLURENORM 30 MG 3,567.80 - - - - - - - -
668 221150740019 GLUTROP TAB 15,147.00 - - - - - - - -
669 221020130036 GLUVAS 1 MG 2,057.00 - - - - - - - -
670 221020130037 GLUVAS 2 MG 3,740.00 - - - - - - - -
671 221020130038 GLUVAS 3 MG 4,955.50 - - - - - - - -
672 221020130039 GLUVAS 4 MG 6,710.00 - - - - - - - -
673 220470770041 GOOTROPIL 1200 MG TAB 4,730.00 - - - - - - - -
674 220470770026 GOOTROPIL INJ 1 GR 16,500.00 - - - - - - - -
675 220470770053 GOOTROPIL INJ 3 GR 45,100.00 - - - - - - - -
676 220470770042 GOOTROPIL INJ 3 GR 49,500.00 20 990,000.00 - - - - 20 990,000.00
677 128120770006 GOVAZOL 150 MG 78,375.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
678 220410260431 GRAFIX TAB. 1,440.45 - - - - - - - -

679 220140130022 GRANON INJ. 1GR 47,685.00 - - - - - - - -
680 220140130024 GRANON INJ. 3GR 100,980.00 - - - - - - - -
681 GRANOPI CAPS. 1 MG 15,950.00 800 12,760,000.00 - - 400 6,380,000.00 400 6,380,000.00
682 GRATIZIN 5 MG 3,768.05 100 376,805.00 - - 100 376,805.00 - -
683 GRATIZIN 10 MG 4,505.46 100 450,546.00 400 1,802,184.00 300 1,351,638.00 200 901,092.00
684 220152780023 GUANISTREP SYR. 60 ML 4,749.80 - - - - - - - -
685 221220130022 HAEMACCEL INPUS 187,000.00 - - - - - - - -
686 220940040005 HARNAL OCAS 4,899.00 - - - - - - - -
687 220940040004 HARNAL D 0,2 MG 7,299.99 - - - - - - - -
688 271820240003 HAVRIX 720 junior 245,993.00 2 491,986.00 - - 1 245,993.00 1 245,993.00
689 224130630093 HEDIX TAB. 962.50 - - - - - - - -
690 220950340009 HEMAPO INJ 99,000.00 190 18,810,000.00 - - 10 990,000.00 180 17,820,000.00
691 221250600037 HEPA - Q CAPS 4,207.50 30 126,225.00 660 2,776,950.00 690 2,903,175.00 - -
692 220180340003 HEPAMAX TAB. 9,240.00 - - - - - - - -
693 221810620054 HEPTASAN 4 MG 187.21 - - - - - - - -
694 220210710108 HERBESER CD 100 MG 8,184.00 - - - - - - - -
695 220210710109 HERBESER CD 200 MG 12,441.00 - - - - - - - -
696 220210710110 HERBESER INJ 50 MG 297,000.00 - - - - - - - -
697 HEXADOL SOLUTION 60 MG 9,968.75 20 199,375.00 - - - - 20 199,375.00
698 HEXADOL SOLUTION 120 MG 13,956.25 24 334,950.00 - - - - 24 334,950.00
699 221820640026 HEXAXIM INJ 613,800.00 - - - - - - - -
700 220450410004 HEXYMER 2 MG 385.00 - - - - - - - -
701 221140550022 HI BONE ACTIVE CHEW 2,153.25 750 1,614,937.50 900 1,937,925.00 1,650 3,552,862.50 - -
702 221140550009 HI BONE ACTIVE CHEW STROW 2,376.00 - - - - - - - -
703 221140550007 HI BONE E 300 2,791.25 900 2,512,125.00 3,000 8,373,750.00 3,300 9,211,125.00 600 1,674,750.00
704 221140550008 HI BONE E 600 3,388.00 - - 4,500 15,246,000.00 2,280 7,724,640.00 2,220 7,521,360.00
705 221570190015 HIALID 5 ML 79,200.00 5 396,000.00 - - - - 5 396,000.00
706 221570190015 HIALID 5 ML 88,000.00 3 264,000.00 - - - - 3 264,000.00
707 221820230005 HIBERIX INJ 174,900.00 - - - - - - - -
708 220480290006 HISTIGO TAB 532.99 - - - - - - - -
709 221010810017 HUMALOG MIX CART 100 IU/ML 150,040.00 - - - - - - - -
710 228170350007 HUMAN ALBUMIN 20% 50 ML 425,568.00 10 4,255,680.00 10 4,255,680.00 2 851,136.00 18 7,660,224.00
711 HYALOPH EYE DROP 52,624.00 45 2,368,080.00 - - - - 45 2,368,080.00
712 220210190129 HYPERIL 10 MG 12,375.00 - - - - - - - -
713 220210190011 HYPERIL 2.5 MG 4,702.50 - - - - - - - -
714 220210190130 HYPERIL 5 MG 7,920.00 - - - - - - - -
715 221250320008 HYRIC CAPS 6,072.00 - - - - - - - -
716 220930130001 HYSTOLAN 4,950.00 - - - - - - - -
717 220410340432 IBUFENZ SYR. 14,107.50 - - - - - - - -
718 221210580004 IGASTRUM DROPS 24,200.00 - - - - - - - -
719 221210580005 IGASTRUM SYR. 100 ml 23,650.00 - - - - - - - -
720 221210580006 IGASTRUM SYR. 60 ml 14,850.00 - - - - - - - -
721 220320300082 IKADRYL SYR. 100 CC 17,820.00 - - - - - - - -
722 221450400004 ILIADIN SPRAY dewasa 48,411.00 10 484,110.00 - - - - 10 484,110.00
723 221450400016 ILIADIN SPRAY DROPS 34,177.00 10 341,770.00 - - - - 10 341,770.00
724 221450400017 ILLIADIN MOIST 18,090.27 - - - - - - - -
725 221250690075 IMBOOST CAPS. 3,693.80 - - - - - - - -
726 221250690022 IMBOOST FORCE SYR. 56,430.00 - - 30 1,692,900.00 5 282,150.00 25 1,410,750.00

1 2 3 4 5 6 7 8 9 10 11 12
727 221250690006 IMBOOST FORTE CAPS. 5,808.00 - - 300 1,742,400.00 210 1,219,680.00 90 522,720.00
728 221250690039 IMBOOST KIDS SYR. 32,230.00 - - - - - - - -
729 221250370011 IMBOOST SYR. 31,559.00 - - - - - - - -
730 220220030031 IMDUR 60 MG 6,302.71 - - - - - - - -
731 IMODIAR TABLET 456.80 - - - - - - - -
732 220150330004 IMODIUM TAB. 2 MG 6,930.88 - - - - - - - -
733 IMUDATOR TABLET 6,358.00 - - 300 1,907,400.00 300 1,907,400.00 - -
734 221250370023 IMUNOS CAPS 7,315.00 - - - - - - - -
735 221250370042 IMUNOS PLUS CAP. 9,405.00 - - - - - - - -
736 221250370010 IMUNOS PLUS SYR 91,960.00 - - - - - - - -
737 221250370009 IMUNOS SYR 62,700.00 40 2,508,000.00 - - 15 940,500.00 25 1,567,500.00
738 221250370043 IMUNVIT PLUS SYR. 67,925.00 - - - - - - - -
739 221250370044 IMUNVIT PLUS TAB 6,270.00 - - - - - - - -
740 220320320092 INADRYL SYR 100 ML 29,205.00 - - - - - - - -
741 220320320093 INADRYL SYR 50 ML 17,671.50 - - - - - - - -
742 221120320038 INBION CAPSUL 1,672.00 100 167,200.00 - - - - 100 167,200.00
743 221120320038 INBION CAPSUL 1,839.20 200 367,840.00 - - 200 367,840.00 - -
744 221250130045 INBUMIN FC TAB 250 MG 5,500.00 - - - - - - - -
745 220240320026 INCELIN INJ 250 MG 22,990.00 - - - - - - - -
746 220240320016 INCELIN TAB 500 MG 9,056.67 - - - - - - - -
747 220510320061 INDEXON INJ 9,680.00 40 387,200.00 - - - - 40 387,200.00
748 220220210009 INDOP INJ 22,308.00 6 133,848.00 - - - - 6 133,848.00
749 220930340011 INDUXIN INJ. 8,882.50 70 621,775.00 - - - - 70 621,775.00
750 221650320007 INERSON SALEP 15 GR 25,437.50 - - - - - - - -
751 221820240031 INFANRIX 242,000.00 - - - - - - - -
752 271820240004 INFANRIX HEXA 558,657.00 2 1,117,314.00 - - - - 2 1,117,314.00
753 221820240037 INFANRIX IPV-HIB 346,500.00 - - - - - - - -
754 271820240005 INFANRIX-HIB 343,200.00 - - - - - - - -
755 221230620102 INFUSAN D10 500 ML SP 11,352.00 - - - - - - - -
756 221230620073 INFUSAN D5 100 ML 12,155.00 120 1,458,600.00 - - 120 1,458,600.00 - -
757 221230620076 INFUSAN D5 500 ML SP 11,352.00 24 272,448.00 - - 24 272,448.00 - -
758 INFUSAN M20 500 ML 76,798.10 96 7,372,617.60 - - - - 96 7,372,617.60
759 221230620103 INFUSAN NS 100 ML SP 12,474.00 180 2,245,320.00 240 2,993,760.00 180 2,245,320.00 240 2,993,760.00
760 221230620104 INFUSAN NS 1000 ML SP 18,364.50 10 183,645.00 - - 10 183,645.00 - -
761 221230620104 INFUSAN NS 1000 ML SP 18,826.50 348 6,551,622.00 240 4,518,360.00 260 4,894,890.00 328 6,175,092.00
762 221230620105 INFUSAN NS 500 ML SP 11,940.50 432 5,158,296.00 - - 336 4,012,008.00 96 1,146,288.00
763 221230620107 INFUSAN RING AS 500 ML SP 10,173.93 - - - - - - - -
764 221230620108 INFUSAN RL 500 ML SP 10,100.97 2,160 21,818,095.20 - - 1,872 18,909,015.84 288 2,909,079.36
765 221230620109 INFUSAN WATER FOR IRIGATION 12,820.50 - - - - - - - -
766 220110060165 INHIPRAZ CAPS 30 MG 10,683.75 - - - - - - - -
767 221250320047 INKURIN TAB 7,304.00 30 219,120.00 - - 30 219,120.00 - -
768 221020130090 INLACIN CAPS 100 MG 5,500.00 - - - - - - - -
769 221020130091 INLACIN CAPS 50 MG 4,400.00 - - - - - - - -
770 220220210006 INOTROP INJ 81,675.00 - - - - - - - -
771 220220210033 INOVAD INJ. 242,000.00 - - - - - - - -
772 220110210173 INPEPSA SYR. 100 ML 45,375.00 48 2,178,000.00 - - 48 2,178,000.00 - -
773 220110210138 INPEPSA SYR. 200 ML 64,350.00 36 2,316,600.00 - - 12 772,200.00 24 1,544,400.00
774 220210320029 INSAAR TAB. 11,434.50 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
775 221250320049 INTERKRILL CAPS 8,415.00 - - - - - - - -

776 120150320001 INTERLAC PROBIOTIC ORAL 196,350.00 - - - - - - - -
777 220150320026 INTERLAC STICK PACK 9,350.00 60 561,000.00 120 1,122,000.00 150 1,402,500.00 30 280,500.00
778 220150320155 INTERLAC TAB. KUNYAH LEMO 8,415.00 - - 150 1,262,250.00 150 1,262,250.00 - -
779 220150320155 INTERLAC TAB. 7,704.40 - - - - - - - -
780 220210320079 INTERVASK 10 MG 10,208.00 - - - - - - - -
781 220210320071 INTERVASK 5 MG 6,292.00 30 188,760.00 - - - - 30 188,760.00
782 220150320027 INTERZINC SYR. 60 ML 34,031.25 - - 24 816,750.00 24 816,750.00 - -
783 226130320015 INTIDROL INJ. 103,950.00 - - - - - - - -
784 226130320007 INTIDROL TAB. 3,106.40 50 155,320.00 - - 50 155,320.00 - -
785 INTORVAS CAPS. 40 MG 11,000.00 - - 90 990,000.00 - - 90 990,000.00
786 221150320009 INTRUM SYR 100 ML 43,854.25 - - - - - - - -
787 220330440032 INTUNAL SYR 60 ML 11,550.00 - - - - - - - -
788 220260210008 INVICLOT INJ. 51,975.00 150 7,796,250.00 - - - - 150 7,796,250.00
789 220260210008 INVICLOT INJ. 69,300.00 60 4,158,000.00 - - 50 3,465,000.00 10 693,000.00
790 220110340166 INVITIC TAB 11,216.33 - - - - - - - -
791 220140320015 INVOMET INJ. 4 MG 32,670.00 - - 20 653,400.00 15 490,050.00 5 163,350.00
792 220140320048 INVOMET TAB. 4 MG 13,728.00 162 2,223,936.00 - - - - 162 2,223,936.00
793 220140320048 INVOMET TAB. 4 MG 23,388.75 36 841,995.00 - - - - 36 841,995.00
794 INVOMET TAB. 8 MG 20,790.00 162 3,367,980.00 - - - - 162 3,367,980.00
795 220210210252 IRETENSA 150 MG 6,600.00 - - - - - - - -
796 220210210258 IRETENSA 300 MG 9,075.00 - - - - - - - -
797 220130130001 ISOFLURAN 250 ML 1,519,375.00 - - - - - - - -
798 220520210002 ISORIC 100 TAB 1,760.00 100 176,000.00 - - - - 100 176,000.00
799 220520210004 ISORIC 300 TAB 3,256.00 150 488,400.00 - - 100 325,600.00 50 162,800.00
800 221560210011 ISOTIC ADRETOR 0.5 19,173.00 - - 8 153,384.00 8 153,384.00 - -
801 221020430092 JANUMET 50 / 1000 MG 8,296.16 - - - - - - - -
802 221020430093 JANUMET 50 / 500 MG 8,296.16 - - - - - - - -
803 221020430061 JANUVIA 100 MG 15,452.05 - - - - - - - -
804 221020430060 JANUVIA 50 MG 15,452.05 - - - - - - - -
805 220510120062 K PAIN INJ 19,800.00 - - - - - - - -
806 220520160019 KABIROC INJ. 50 MG 39,600.00 20 792,000.00 - - 20 792,000.00 - -
807 KABIVEN PERIPHERAL 1440 ML 335,995.00 - - - - - - - -
808 220510780011 KADIFLAM 50 MG 3,135.00 - - - - - - - -
809 221230620008 KA-EN 1B 500 ML 10,125.50 - - 20 202,510.00 20 202,510.00 - -
810 221230540003 KA-EN 3A 500 ML 11,231.00 - - - - - - - -
811 221230540110 KA-EN 3B 500 ML 11,231.00 60 673,860.00 - - 40 449,240.00 20 224,620.00
812 221230540004 KA-EN 3B 500 ML 10,285.00 40 411,400.00 - - - - 40 411,400.00
813 221230540005 KA-EN MG3 SOL. 500 ML 17,084.10 - - - - - - - -
814 220510340058 KAFLAM 25 MG 1,741.66 - - - - - - - -
815 220510340059 KAFLAM 50 MG 3,666.67 - - - - - - - -
816 221140140012 KALITAKE 14,241.70 - - - - - - - -
817 220950120008 KALKURENAL DROPS 114,950.00 - - - - - - - -
818 220470340009 KALMECO TAB. 500 MG 2,508.00 300 752,400.00 - - - - 300 752,400.00
819 220250340002 KALNEX INJ 250 MG 9,405.00 - - - - - - - -
820 KALNEX TABLET 500 MG 3,344.00 - - - - - - - -
821 224130340066 KALTROFEN SUPP. 13,750.00 - - - - - - - -
822 220430340005 KALXETIN 10 MG 3,831.67 60 229,900.20 - - - - 60 229,900.20
823 220430340009 KALXETIN 20 MG 5,921.67 30 177,650.10 - - - - 30 177,650.10

1 2 3 4 5 6 7 8 9 10 11 12
824 220411970421 KAMADOL INJ 4,533.28 - - - - - - - -

825 128120780018 KANDISTATIN DROPS 36,575.00 - - - - - - - -
826 221590190006 KARY UNI 5 ML 44,000.00 - - - - - - - -
827 221230540087 KCL INJ. 7.46 25 ML 9,130.00 - - - - - - - -
828 221230540087 KCL INJ. 7.46 25 ML 3,223.00 114 367,422.00 - - 18 58,014.00 96 309,408.00
829 226130010017 KENACORT A,I.M 40MG/ 1ml 88,220.00 - - - - - - - -
830 226131740020 KENACORT SALEP KULIT 65,890.00 - - - - - - - -
831 221440810002 KENALOG IN ORBASE CREAM 55,902.00 - - - - - - - -
832 220130560019 KETALAR INJ. 289,613.50 - - - - - - - -
833 220130100021 KETAMIN INJ. 62,964.00 10 629,640.00 - - - - 10 629,640.00
834 220510190039 KETESSE INJ- 46,530.00 - - - - - - - -
835 220510190038 KETESSE TAB. 7,920.00 - - - - - - - -
836 220950600014 KETOCID CAPS 5,940.00 - - 6,000 35,640,000.00 3,900 23,166,000.00 2,100 12,474,000.00
837 220950200001 KETOSTERIL 7,590.00 - - - - - - - -
838 221440190001 KETRICIN ORABASE 0.1% 5 GR 44,550.00 - - - - - - - -
839 226130190004 KETRICIN TAB 2,970.00 - - - - - - - -
840 224130320105 KETROBAT INJ 40,964.00 - - - - - - - -
841 KIDIMUN SYR. 60 ML 32,725.00 - - 39 1,276,275.00 39 1,276,275.00 - -
842 221220540004 KIDMIN 7,2% 104,500.00 20 2,090,000.00 - - 20 2,090,000.00 - -
843 220130630236 KLIDIBRAX TAB. 1,210.00 - - - - - - - -
844 KOLEFION TABLET 20 MG 5,500.00 30 165,000.00 - - - - 30 165,000.00
845 KOLKATRIOL 0.25 MCG 6,580.31 90 592,227.90 - - - - 90 592,227.90
846 221110400005 KSR 600 MG 3,005.85 - - - - - - - -
847 220130770237 KTM INJ. 200,200.00 - - - - - - - -
848 220160370005 L - BIO 5,445.00 - - - - - - - -
849 221250370005 L - CORE 20,900.00 15 313,500.00 - - - - 15 313,500.00
850 L – ZINC SYR. 100 ML 34,485.00 - - - - - - - -
851 220110130091 LACIDOFIL 3,599.75 - - - - - - - -
852 221160210022 LACTAFAR 3,300.00 - - - - - - - -
853 221150340058 LACTAMOR CAPS 2,207.04 - - 1,500 3,310,560.00 1,500 3,310,560.00 - -
854 220150490022 LACTO B 6,360.20 - - - - - - - -
855 LACTRIN TABLET 3,080.00 - - - - - - - -
856 LADERMA CREAM 67,320.00 - - - - - - - -
857 221160130045 LAKTAFIT TAB. 2,970.00 240 712,800.00 - - 240 712,800.00 - -
858 220110340136 LAMBUCID SYR. 11,000.00 - - - - - - - -
859 226130370005 LAMESON TAB. 4 MG 2,860.00 - - - - - - - -
860 LAMESON TAB. 8 MG 4,372.50 - - - - - - - -
861 220140360016 LAMETIC INJ. 4 MG 29,700.00 - - - - - - - -
862 220140360021 LAMETIC SYR. 84,700.00 - - - - - - - -
863 220140360011 LAMETIC TAB. 4 MG 27,500.00 - - - - - - - -
864 LAMETIC TAB. 8 MG 28,600.00 40 1,144,000.00 - - - - 40 1,144,000.00
865 LANABAL INJEKSI 22,000.00 20 440,000.00 - - - - 20 440,000.00
866 LANABAL KAPSUL 500 MG 2,420.00 200 484,000.00 200 484,000.00 - - 400 968,000.00
867 221690360001 LANAKELOID E CREAM 10 GR 110,000.00 35 3,850,000.00 - - 20 2,200,000.00 15 1,650,000.00
868 221250360055 LANAVISION CAPS. 5,280.00 300 1,584,000.00 - - 300 1,584,000.00 - -
869 220110340167 LANCID CAPS 11,275.00 - - - - - - - -
870 220240360037 LANCOLIN INJ. 70,400.00 - - - - - - - -
871 220240360028 LANCOLIN TAB. 13,200.00 90 1,188,000.00 - - - - 90 1,188,000.00
872 224130360073 LANTIPAIN INJ. 38,500.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
873 220170360005 LANTULOS SYR. 60 ML 71,500.00 24 1,716,000.00 - - 24 1,716,000.00 - -

874 LANTUS XR 280,792.71 5 1,403,963.55 - - - - 5 1,403,963.55
875 221010530003 LANTUS SOLOSTAR INJ 83,950.00 15 1,259,250.00 - - 15 1,259,250.00 - -
876 220470370043 LAPIBAL INJ 22,000.00 15 330,000.00 - - - - 15 330,000.00
877 220470370010 LAPIBAL TAB. 500 MG 1,732.50 200 346,500.00 - - - - 200 346,500.00
878 LASAL KAPSUL4 MG 1,237.50 100 123,750.00 - - - - 100 123,750.00
879 220310370345 LASAL EXP. SYR. 100 ML 30,112.50 13 391,462.50 - - 13 391,462.50 - -
880 220310370011 LASAL SYR. 100 ML 20,625.00 85 1,753,125.00 - - 60 1,237,500.00 25 515,625.00
881 220210640118 LASIX INJ.20MG/2CC 14,587.85 - - - - - - - -
882 220210640115 LASIX TAB. 40 MG 5,018.73 100 501,873.00 - - - - 100 501,873.00
883 220210640115 LASIX TAB. 40 MG 4,406.69 300 1,322,007.00 - - - - 300 1,322,007.00
884 LATROPIL SYR. 100 ML 35,420.00 24 850,080.00 - - - - 24 850,080.00
885 220171940009 LAXADIN SYR. 110 ML 48,510.00 - - - - - - - -
886 220171940010 LAXADIN SYR. 60 ML 38,500.00 - - - - - - - -
887 220160070009 LAXOBEROM DROPS 7.5 MG/ML 48,801.50 - - - - - - - -
888 220110130168 LAZ TAB. 11,781.00 - - - - - - - -
889 220440130038 LEPSIO SYR. 70,125.00 - - - - - - - -
890 221810290035 LERZIN SYR. 60 ML 5,335.00 - - - - - - - -
891 220270520008 LESCOL CAPS. 40 MG 12,037.94 - - - - - - - -
892 220270520009 LESCOL CAPS. XL 80 MG 15,089.65 - - - - - - - -
893 220180360001 LESICHOL CAPS 300 MG 11,550.00 - - 420 4,851,000.00 120 1,386,000.00 300 3,465,000.00
894 220180360002 LESICHOL CAPS 600 MG 19,616.67 60 1,177,000.20 300 5,885,001.00 300 5,885,001.00 60 1,177,000.20
895 221150630059 LESIFIT TAB. 5,214.55 - - - - - - - -
896 222160550001 LETONAL TAB. 100 MG 3,696.00 - - - - - - - -
897 222160550002 LETONAL TAB. 25 MG 1,320.00 - - - - - - - -
898 220450600006 LEVAZIDE TAB 4,441.25 - - 150 666,187.50 150 666,187.50 - -
899 221010530010 LEVEMIR FLEXPEN 83,950.00 - - - - - - - -
900 LEVICA INJEKSI 54,450.00 30 1,633,500.00 - - - - 30 1,633,500.00
901 LEVIN INFUS 308,000.00 5 1,540,000.00 - - - - 5 1,540,000.00
902 220230350004 LEVOZOL INJ. 8 MG 62,843.00 35 2,199,505.00 - - - - 35 2,199,505.00
903 220130730003 LIBRAX TAB. 2,330.30 - - - - - - - -
904 210130060023 LIDODEX INJ 60,500.00 5 302,500.00 - - - - 5 302,500.00
905 210130060023 LIDODEX INJ 57,475.00 165 9,483,375.00 - - - - 165 9,483,375.00
906 220210450235 LIFEZAR 100 MG 8,566.80 - - - - - - - -
907 220210450236 LIFEZAR 50 MG 6,062.10 - - - - - - - -
908 220270560024 LIFITOR TAB 10 MG 18,191.50 - - - - - - - -
909 220270560033 LIFITOR TAB 20 MG 18,730.02 - - - - - - - -
910 220270560040 LIFITOR TAB 40 MG 19,644.50 - - - - - - - -
911 221140810020 LIKOKALK TAB. 162.00 - - - - - - - -
912 220150340156 LIPROLAC VAN. 6,618.33 30 198,549.90 - - 30 198,549.90 - -
913 221250620087 LIPROQY TAB 5,797.00 - - 900 5,217,300.00 780 4,521,660.00 120 695,640.00
914 220180120007 LIVERPRIME CAPS 7,276.50 - - 300 2,182,950.00 150 1,091,475.00 150 1,091,475.00
915 221150810060 LIVOLIN FORTE 4,096.40 - - - - - - - -
916 221020130018 LODEM TAB. 1,881.00 - - - - - - - -
917 LODIA TABLET 2 MG 831.18 - - 180 149,612.40 180 149,612.40 - -
918 224100410022 LODOMER 2 MG 1,089.00 - - - - - - - -
919 224100410021 LODOMER 5 MG 1,875.50 - - - - - - - -
920 224100410002 LODOMER INJ 5 MG 12,523.50 - - - - - - - -
921 220210430058 LODOZ TAB. 2.5 MG 6,444.17 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
922 220210400228 LODOZ TAB. 5 MG 9,230.83 - - - - - - - -

923 220270130010 LOFACOL TAB 8,580.00 - - - - - - - -
924 220180180009 LOLANIN INJ 74,250.00 - - - - - - - -
925 224130810094 LONENE 200 MG 5,005.00 - - - - - - - -
926 220320020084 LONGATIN 25 MG 2,662.00 100 266,200.00 - - - - 100 266,200.00
927 220320020085 LONGATIN 50 MG 4,126.10 100 412,610.00 - - - - 100 412,610.00
928 220210770076 LOPITEN 10 MG 10,120.00 - - - - - - - -
929 220210770068 LOPITEN 5 MG 5,720.00 - - - - - - - -
930 220111970128 LOPREZOL CAPS. 30 MG 799.99 - - - - - - - -
931 221811760064 LORACOR TAB 2,543.75 - - - - - - - -
932 221810770004 LORAN TAB 3,850.00 - - - - - - - -
933 220270210011 LOVATROL TAB 6,875.00 - - - - - - - -
934 220260640002 LOVENOX INJ. 0,4 MG 84,999.75 10 849,997.50 - - - - 10 849,997.50
935 220260640003 LOVENOX INJ. 0,6 MG 117,499.80 50 5,874,990.00 - - 30 3,524,994.00 20 2,349,996.00
936 LUBIRE CAPS. 3,291.75 60 197,505.00 - - 60 197,505.00 - -
937 LUBIRE CAPS. 4,441.25 - - 180 799,425.00 180 799,425.00 - -
938 LUBIRE SYR. 60 ML 38,500.00 5 192,500.00 - - 5 192,500.00 - -
939 LUBIRE SYR. 60 ML 32,725.00 - - 10 327,250.00 - - 10 327,250.00
940 220430520004 LUDIOMIL 25 7,611.43 - - - - - - - -
941 226130210018 LUPRED TAB. 5 MG 2,750.00 30 82,500.00 - - - - 30 82,500.00
942 221150130015 LYCOXY CAPS. 4,675.00 - - - - - - - -
943 220440560036 LYRICA 50 MG 8,269.23 70 578,846.10 - - - - 70 578,846.10
944 220440560001 LYRICA 75 MG 11,941.66 - - - - - - - -
945 221151690061 LYSMIN SYR 125 ML 23,100.00 - - - - - - - -
946 221150320066 LYVIT SYR 60 ML 28,600.00 5 143,000.00 - - 5 143,000.00 - -
947 221150320066 LYVIT SYR 60 ML 29,493.75 - - 10 294,937.50 10 294,937.50 - -
948 220210610237 MADOPAR TAB 4,956.10 - - - - - - - -
949 220110190073 MAGALAT SYR 100 ML 24,750.00 - - - - - - - -
950 220110190072 MAGALAT TABL. 742.50 - - - - - - - -
951 220110690071 MAGARD FA TAB 4,400.00 - - - - - - - -
952 220110550075 MAGTRAL SYR 120 ML 23,925.00 24 574,200.00 240 5,742,000.00 240 5,742,000.00 24 574,200.00
953 220210710057 MAINTATE 2.5 MG 5,379.00 30 161,370.00 - - - - 30 161,370.00
954 220210710054 MAINTATE 5 MG 7,810.00 - - - - - - - -
955 221150440002 MALTIRON PLUS SYR. 33,440.00 5 167,200.00 - - - - 5 167,200.00
956 221150440001 MALTIRON PLUS TAB. 1,320.00 - - - - - - - -
957 221160100032 MALTOFER TAB 2,823.33 - - - - - - - -
958 221230540037 MANITOL INFUS 500 ML 39,499.90 - - - - - - - -
959 221230540021 MARTOS 10 500 ML 88,000.00 - - - - - - - -
960 221230540038 MARTOS 10 500 ML 31,100.30 20 622,006.00 - - - - 20 622,006.00
961 221250690076 MATOFLAM TAB. 6,600.00 90 594,000.00 - - - - 90 594,000.00
962 221250690015 MATOVIT AX 7,944.44 - - 90 714,999.60 - - 90 714,999.60
963 120830810043 MAXIFLON 44,000.00 - - - - - - - -
964 120850440052 MAXPRO TAB. 100 MG 15,840.00 - - - - - - - -
965 221690100019 MEBO OINTMENT 84,700.00 17 1,439,900.00 - - - - 17 1,439,900.00
966 221250370003 MECOLA TAB 4,180.00 - - - - - - - -
967 220510180057 MECOX 15 MG 8,415.00 - - - - - - - -
968 220510190049 MECOX 7,5 MG 4,257.00 - - - - - - - -
969 221690100021 MEDERMA TOPIKAL 20 GR 166,375.00 - - - - - - - -
970 220140120002 MEDIAMER B6 TBL. 2,970.00 - - 200 594,000.00 200 594,000.00 - -

1 2 3 4 5 6 7 8 9 10 11 12
971 221660670006 MEDIKLIN GEL 15 GR 20,790.00 - - - - - - - -

972 221690670016 MEDIQUIN CREAM 21,780.00 - - - - - - - -
973 MEDISTEIN 300 MG 2,805.00 380 1,065,900.00 - - - - 380 1,065,900.00
974 226130190010 MEDIXON INJ. 125 MG 74,250.00 - - - - - - - -
975 226130190019 MEDIXON TAB.4 MG 2,277.00 - - - - - - - -
976 220511720063 MEDROL 4 MG 2,946.01 - - - - - - - -
977 MEDSCAB CREAM 65,450.00 - - - - - - - -
978 220410620045 MEFINAL CAPS. 250 MG 507.24 400 202,896.00 - - - - 400 202,896.00
979 220410620051 MEFINAL CAPS. 500 MG 1,108.25 - - 1,000 1,108,250.00 300 332,475.00 700 775,775.00
980 220470620011 MEGABAL TABLET 825.07 4,000 3,300,280.00 ### 8,250,700.00 5,900 4,867,913.00 8,100 6,683,067.00
981 220130440233 MELIDOX TAB. 1,100.00 - - - - - - - -
982 224130320069 MELOXIN 15 MG 9,256.50 - - 50 462,825.00 50 462,825.00 - -
983 224130210059 MELOXIN 7,5 MG 5,456.00 50 272,800.00 - - - - 50 272,800.00
984 220470440012 MEPROBAL 500 MG 1,980.00 - - - - - - - -
985 128100440004 MEPROTRIN SYR. 18,287.50 5 91,437.50 - - 3 54,862.50 2 36,575.00
986 220310540346 MEPTIN INHALATION SOL 0.3 M 8,883.60 - - - - - - - -
987 220310540347 MEPTIN INHALATION SOL 0.5 M 8,883.60 - - - - - - - -
988 220310540018 MEPTIN SWINGHALER 149,338.20 2 298,676.40 - - 2 298,676.40 - -
989 220310540015 MEPTIN SYRUP 52,030.00 - - - - - - - -
990 220310540016 MEPTIN TAB. 0,025 MG 2,696.10 - - - - - - - -
991 220310540017 MEPTIN TAB. 0,050 MG 4,165.70 - - - - - - - -
992 220480150003 MERISLON TAB 6,955.15 - - - - - - - -
993 224120410030 MERLOPAM 0.5 MG 1,045.00 - - - - - - - -
994 220480130004 MERTIGO SR TABLET 4,488.00 - - - - - - - -
995 220480130002 MERTIGO TABLET 2,992.00 - - - - - - - -
996 221650810021 MESONE CR 10 GR 56,980.00 - - - - - - - -
997 METHAM CAPS. 3,553.00 400 1,421,200.00 - - - - 400 1,421,200.00
998 220930520005 METHERGIN INJ. 0,2 MG 8,094.00 - - - - - - - -
999 220930520004 METHERGIN TABL 3,207.33 - - - - - - - -
1000 220470150054 METHYCOBAL CAPS. 500 MG 3,853.05 200 770,610.00 - - - - 200 770,610.00
1001 220470150016 METHYCOBAL INJ 21,967.68 - - - - - - - -
1002 220140060033 METOLONE INJ. 8,910.00 - - - - - - - -
1003 221020340085 METRIX 2 MG 4,702.50 90 423,225.00 - - 90 423,225.00 - -
1004 221020340086 METRIX 3 MG 5,886.83 30 176,604.90 - - 30 176,604.90 - -
1005 221020340087 METRIX 4 MG 7,053.75 - - 150 1,058,062.50 150 1,058,062.50 - -
1006 224130060095 MEVILOX 15 MG 6,792.50 - - - - - - - -
1007 224130060096 MEVILOX 7,5 MG 3,918.75 - - - - - - - -
1008 224132690097 MEXPHARM TAB 15 MG 7,480.00 - - - - - - - -
1009 221230540025 MEYLON INJ. 6,199.60 180 1,115,928.00 - - 12 74,395.20 168 1,041,532.80
1010 221230540111 MGSO4 20% 25 ML 6,600.00 - - - - - - - -
1011 221230540112 MGSO4 40% 25 ML 3,796.10 - - 240 911,064.00 54 204,989.40 186 706,074.60
1012 220210070030 MICARDIS 40 MG 3,045.00 - - - - - - - -
1013 220210070031 MICARDIS 80 MG 5,409.00 - - - - - - - -
1014 220210070032 MICARDIS PLUS 40 12,566.12 - - - - - - - -
1015 220210070033 MICARDIS PLUS 80 16,291.55 - - - - - - - -
1016 220710050001 MICROGYNON LIBI 9,196.00 - - - - - - - -
1017 220170580008 MICROLAX SUPP. 17,325.00 - - - - - - - -
1018 220940570002 MICTONORM TAB 10,648.00 - - - - - - - -
1019 MILOZ INJEKSI 17,600.00 100 1,760,000.00 - - - - 100 1,760,000.00

1 2 3 4 5 6 7 8 9 10 11 12
1020 MINIASPI 80 MG 429.00 4,400 1,887,600.00 - - 200 85,800.00 4,200 1,801,800.00

1021 221440810008 MINOSEP 150 ML 38,500.00 - - - - - - - -
1022 221440810010 MINOSEP 60 ML 20,900.00 - - - - - - - -
1023 220930160006 MIOMERGIN INJ. 5,500.00 - - - - - - - -
1024 221820230007 MMR VACCINE 0.5 ML 79,625.70 - - - - - - - -
1025 220150270028 MOLAGIT TAB. 481.07 - - - - - - - -
1026 221160120036 MOLOCO B12 TAB. 3,017.85 540 1,629,639.00 - - - - 540 1,629,639.00
1027 220220210035 MONECTO TAB. 20 MG 2,227.50 - - 210 467,775.00 - - 210 467,775.00
1028 220420350008 MORPHIN HCL INJ 34,049.95 - - - - - - - -
1029 224130070070 MOVICOX 15 MG 12,543.48 - - - - - - - -
1030 220510070053 MOVICOX INJ 28,883.80 - - - - - - - -
1031 MOXIC TABLET 5,500.00 60 330,000.00 - - - - 60 330,000.00
1032 221250740059 MOZUKU TAB 7,887.00 - - - - - - - -
1033 220420810001 MST CONTINUS 10 MG 22,990.00 - - - - - - - -
1034 220320550028 MUCERA DROPS 28,710.00 1 28,710.00 30 861,300.00 31 890,010.00 - -
1035 220320550020 MUCERA SYR 15 MG / 60 ML 17,545.00 - - 72 1,263,240.00 72 1,263,240.00 - -
1036 220320550025 MUCERA SYR 30 MG / 60 ML 22,330.00 19 424,270.00 - - 19 424,270.00 - -
1037 220320550014 MUCERA TAB 877.25 500 438,625.00 600 526,350.00 700 614,075.00 400 350,900.00
1038 220110440149 MUCIFAT SYR 39,600.00 - - - - - - - -
1039 220320620007 MUCOHEXIN SYR 13,640.00 14 190,960.00 48 654,720.00 - - 62 845,680.00
1040 220320620003 MUCOHEXIN TABLET 404.94 100 40,494.00 - - - - 100 40,494.00
1041 220320620003 MUCOHEXIN TABLET 417.72 300 125,316.00 - - - - 300 125,316.00
1042 220320070021 MUCOPECT 15 MG SYR 60 ML ( 46,637.31 - - - - - - - -
1043 220320070026 MUCOPECT 30 MG SYR 60 ML ( 60,260.20 - - - - - - - -
1044 220320070029 MUCOPECT DROPS 15 MG 20 M 55,520.85 - - - - - - - -
1045 220320440030 MUCOS DROPS 30,360.00 26 789,360.00 - - - - 26 789,360.00
1046 220320340001 MUCOSOLVAN TBL. 8 MG 275.00 - - - - - - - -
1047 220110540090 MUCOSTA TAB. 100 MG 4,711.30 100 471,130.00 - - - - 100 471,130.00
1048 MULTI GYN ACTIGEL 198,000.00 1 198,000.00 15 2,970,000.00 3 594,000.00 13 2,574,000.00
1049 220110550089 MUSIN SYR. 27,500.00 - - - - - - - -
1050 220110550150 MUSIN TAB. 1,375.00 - - - - - - - -
1051 MUSTELA STELA EMOL CR 200 298,870.00 2 597,740.00 - - - - 2 597,740.00
1052 220520150001 MYONAL TAB. 7,463.75 200 1,492,750.00 - - - - 200 1,492,750.00
1053 220520370002 MYONEP TAB 2,904.00 700 2,032,800.00 - - - - 700 2,032,800.00
1054 220520440004 MYORES TAB 3,960.00 100 396,000.00 - - - - 100 396,000.00
1055 220930440007 MYOTONIC INJ. 7,425.00 - - - - - - - -
1056 220320210058 N ACE INJ. 33,000.00 - - - - - - - -
1057 220310550349 NAIRET INJ. 22,000.00 10 220,000.00 - - 10 220,000.00 - -
1058 220310550030 NAIRET SYR 60 ML 24,200.00 - - - - - - - -
1059 220310550029 NAIRET TAB 957.00 100 95,700.00 - - 100 95,700.00 - -
1060 220260770017 NALETAL 100 TAB 10,241.00 - - - - - - - -
1061 220260770011 NALETAL 50 TAB 7,315.00 - - - - - - - -
1062 221440640014 NASACORT AQ SPRAY 106,749.50 2 213,499.00 - - 2 213,499.00 - -
1063 224130210091 NASAFLAM 100 3,366.00 - - - - - - - -
1064 220510210037 NASAFLAM INJ 20,152.00 - - - - - - - -
1065 220140040040 NASEA INJ. 0.3 MG 222,585.00 - - - - - - - -
1066 220140040039 NASEA TAB. 0.1 MG 104,500.00 - - - - - - - -
1067 221250810060 NAT C 1000 4,106.67 - - - - - - - -
1068 NEO GYNOXA OVULA 14,421.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
1069 220250100030 NEO K 2 MG INJ 13,640.00 - - - - - - - -

1070 220150620003 NEO KAOLANA SYR 10,571.00 24 253,704.00 - - - - 24 253,704.00
1071 221040480001 NEO MERCAZOL TAB. 1,120.00 300 336,000.00 - - 300 336,000.00 - -
1072 221520180004 NEOCORTIC 5 MG 27,500.00 - - - - - - - -
1073 NEOSTIGMINE HAMELAN 0.5 M 7,623.00 20 152,460.00 - - - - 20 152,460.00
1074 220440340040 NEPATIC CAPS 10,241.00 - - - - - - - -
1075 220470190055 NERFECO INJ 15,488.00 - - - - - - - -
1076 221120260020 NERVA PLUS 2,667.50 - - - - - - - -
1077 220240370032 NEUCITI INJ. 250 29,920.00 - - - - - - - -
1078 220240370034 NEUCITI INJ. 500 MG ( 4 ML ) 46,200.00 - - - - - - - -
1079 220240370033 NEUCITI TABLET 500 MG 7,837.50 150 1,175,625.00 - - - - 150 1,175,625.00
1080 220240190009 NEULIN INJ. 250 MG 37,620.00 - - - - - - - -
1081 220240190021 NEULIN PS 11,880.00 - - - - - - - -
1082 220410760439 NEURINDO TAB 1,485.00 - - - - - - - -
1083 221120710029 NEURO BESTON TAB. 1,272.70 - - - - - - - -
1084 221120320035 NEUROBAT FORTE INJ 5,596.25 - - - - - - - -
1085 221120400010 NEUROBION 5000 TABLET SALU 1,308.38 - - - - - - - -
1086 221120400030 NEUROBION FORTE CAPS. 5.00 2,505.60 - - - - - - - -
1087 221120400012 NEUROBION INJ 3 ML 3,678.40 - - - - - - - -
1088 221120400027 NEUROBION INJ. 5000 ML 8,572.51 - - - - - - - -
1089 221120130007 NEURODEX TABLET 605.00 - - - - - - - -
1090 220410350041 NEURODIAL TAB 1,265.00 - - 1,000 1,265,000.00 500 632,500.00 500 632,500.00
1091 224130400071 NEUROFENAC PLUS TAB 4,896.90 - - - - - - - -
1092 220590060001 NEUROGEN TAB 1,925.00 - - - - - - - -
1093 220240210010 NEUROLIN INJ 250 MG 25,300.00 - - - - - - - -
1094 220240210036 NEUROLIN INJ 500 MG 55,000.00 - - - - - - - -
1095 220240210036 NEUROLIN TAB 500 MG 10,395.00 - - - - - - - -
1096 221120810031 NEUROMED 5000 MG 2,508.00 - - - - - - - -
1097 220440560008 NEURONTIN 300 MG 13,076.99 - - - - - - - -
1098 221120620009 NEUROSANBE TABLET 924.96 - - 900 832,464.00 900 832,464.00 - -
1099 221120620036 NEUROSANBE INJ. 3,963.58 60 237,814.80 - - 60 237,814.80 - -
1100 221120620014 NEUROSANBE PLUS CAPS. 873.81 - - 300 262,143.00 200 174,762.00 100 87,381.00
1101 NEUROSANBE 5000 MG 1,977.80 - - 200 395,560.00 200 395,560.00 - -
1102 220470340027 NEUROTAM INJ 1 GR 16,720.00 - - - - - - - -
1103 220470340034 NEUROTAM INJ 3 GR 57,475.00 - - - - - - - -
1104 220470340031 NEUROTAM SYR. 100 ML 60,610.00 14 848,540.00 - - 10 606,100.00 4 242,440.00
1105 220470340033 NEUROTAM TAB. 1.200 MG 5,538.50 - - - - - - - -
1106 220470340021 NEUROTAM TAB. 400 MG 2,048.20 - - - - - - - -
1107 220470340035 NEUROTAM TAB. 800 MG 3,971.00 - - - - - - - -
1108 221120350015 NEUROVIT-E TABLET 877.80 - - - - - - - -
1109 220210130241 NEVODIO TAB. 4,950.00 - - - - - - - -
1110 221020340015 NEVOX XR 2,090.00 - - - - - - - -
1111 221120060032 NEVRADIN E. TAB. 2,391.13 - - - - - - - -
1112 221120710004 NEVRAMIN TAB 980.01 - - - - - - - -
1113 220150450002 NEW DIATABS TAB 557.15 - - - - - - - -
1114 224130450098 NEW SKELAN CAPS. 1,876.88 - - - - - - - -
1115 220110030062 NEXIUM 20 MG 13,746.01 - - - - - - - -
1116 220110030064 NEXIUM 40 MG 16,781.42 - - - - - - - -
1117 220270400046 NIASPAN 375 MG 4,051.93 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
1118 NICARFION INJEKSI 165,000.00 15 2,475,000.00 55 9,075,000.00 - - 70 11,550,000.00

1119 220241720038 NICHOLIN INJ 250 MG 42,198.14 - - - - - - - -
1120 220150440010 NIFUDIAR SYR 60 ML 31,680.00 - - - - - - - -
1121 220150120009 NIFURAL SYRUP 63,250.00 5 316,250.00 - - - - 5 316,250.00
1122 220210050101 NIMOTOP TAB 7,084.00 - - - - - - - -
1123 220210350104 NITROKAF RETARD CAPS 1,638.00 - - 800 1,310,400.00 800 1,310,400.00 - -
1124 220210350106 NITROKAF RETARD FORTE CAP 2,521.99 - - - - - - - -
1125 221250340031 NOCID KAPLET 5,543.47 - - 1,200 6,652,164.00 1,200 6,652,164.00 - -
1126 221840210002 NOKOBA INJ 94,600.00 - - - - - - - -
1127 220510700055 NONFLAMIN TAB/60 PC 4,062.77 - - - - - - - -
1128 220470490046 NOOCEPHAL SYR. 100 ML 46,750.00 - - - - - - - -
1129 220471720056 NOOTROPYL INJ. 1 GR 18,810.00 - - - - - - - -
1130 220471720057 NOOTROPYL INJ. 3 GR 62,562.50 - - - - - - - -
1131 220471720058 NOOTROPYL TAB. 1200 MG 5,768.40 - - - - - - - -
1132 220470810048 NOOTROPYL TAB. 400 MG 2,319.16 - - - - - - - -
1133 220470810049 NOOTROPYL TAB. 800 MG 4,244.16 - - - - - - - -
1134 226120130002 NORELUT TAB. 3,740.00 150 561,000.00 - - 150 561,000.00 - -
1135 NORFION INJEKSI 4 MG/ 4ML 88,000.00 150 13,200,000.00 60 5,280,000.00 50 4,400,000.00 160 14,080,000.00
1136 220110770023 NORSEC CAPS 13,090.00 - - - - - - - -
1137 220110770152 NORSEC INJ. 130,900.00 - - - - - - - -
1138 220210560077 NORVASK TAB. 10 MG 11,983.19 - - - - - - - -
1139 220210560069 NORVASK TAB. 5 MG 6,686.60 - - - - - - - -
1140 220190780016 NOSIRAX CAPS 2,600.00 - - - - - - - -
1141 220730050001 NOVA T ( 5TH ) 335,225.00 - - - - - - - -
1142 221010530005 NOVOMIX FLEXPEN 110,968.00 - - - - - - - -
1143 221010530002 NOVORAPID FLEXPEN 87,000.00 - - - - - - - -
1144 220330580012 NOZA TAB. 717.75 2,200 1,579,050.00 - - 200 143,550.00 2,000 1,435,500.00
1145 220240770039 NUCOLIN INJ. 250 MG 35,750.00 - - - - - - - -
1146 220110770088 NUCRAL SYR 100 ML 48,400.00 - - - - - - - -
1147 220110770153 NUCRAL SYR 200 ML 79,750.00 - - - - - - - -
1148 120890770019 NULAGYL INFUS 72,600.00 - - - - - - - -
1149 220430810012 NUREST TAB. 3,448.50 - - - - - - - -
1150 221250810061 NUTRIBREAST TAB. 8,036.05 200 1,607,210.00 - - - - 200 1,607,210.00
1151 220540740001 NUTRIFLAM 8,910.00 - - - - - - - -
1152 221251450062 NUTRIFLEX LIPID PERI 1250 ML 554,400.00 - - - - - - - -
1153 221150810051 NUVINO 6,008.75 - - - - - - - -
1154 221250810063 NUVOGIN 2,962.58 - - - - - - - -
1155 220110810154 NUZOLE CAPS 11,550.00 - - - - - - - -
1156 221250770002 NUZYM CAPS 6,792.50 - - - - - - - -
1157 228120770006 NYNDIA DROPS 39,187.50 12 470,250.00 - - - - 12 470,250.00
1158 NYSTIN DROPS 12 ML 30,937.50 15 464,062.50 - - 5 154,687.50 10 309,375.00
1159 220310540044 OBUCORT SWINGHALER 158,122.80 - - - - - - - -
1160 228170340002 OCTALBIN INF. 25% 100 ML 1,499,999.60 - - - - - - - -
1161 221530620006 OCUFLAN EYE DROPS 48,741.00 - - - - - - - -
1162 ODR SYR. 60 ML 70,840.00 - - - - - - - -
1163 221820650008 OKAVAX INJ 302,500.00 - - - - - - - -
1164 220210560034 OLMETEC TAB 20 MG 11,170.43 - - - - - - - -
1165 220210560035 OLMETEC TAB 40 MG 13,669.76 - - - - - - - -
1166 220210560040 OLMETEC TAB PLUS 20 MG 10,234.95 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
1167 220110190024 OMZ CAPS. 11,550.00 - - - - - - - -

1168 220110190033 OMZ INJ. 117,810.00 - - - - - - - -
1169 220140770017 ONDANE INJ. 4 MG / 2 ML 30,580.00 - - - - - - - -
1170 220140770041 ONDANE INJ. 8 MG / 4 ML 45,100.00 - - - - - - - -
1171 220140210018 ONETIC INJ. 4 MG 20,625.00 - - - - - - - -
1172 220140210026 ONETIC INJ. 8 MG 34,650.00 - - - - - - - -
1173 220140210042 ONETIC TAB 4 MG 12,809.50 30 384,285.00 - - 30 384,285.00 - -
1174 226130550021 OPICORT TAB. 4 MG 2,233.00 150 334,950.00 360 803,880.00 300 669,900.00 210 468,930.00
1175 OPIGLIT TABLET 15 MG 4,400.00 90 396,000.00 - - 90 396,000.00 - -
1176 220140550023 OPIGRAN INJ. 3 GR 95,040.00 - - - - - - - -
1177 220170550006 OPILAX SYR. 60 ML 37,482.50 10 374,825.00 - - 10 374,825.00 - -
1178 220170550006 OPILAX SYR. 60 ML 39,875.00 24 957,000.00 24 957,000.00 24 957,000.00 24 957,000.00
1179 220410550438 OPINEURON TAB 1,036.75 1,200 1,244,100.00 - - 1,100 1,140,425.00 100 103,675.00
1180 220410550438 OPINEURON TAB 1,116.50 100 111,650.00 2,000 2,233,000.00 100 111,650.00 2,000 2,233,000.00
1181 120870550023 OPIPHEN 500 MG 3,080.00 100 308,000.00 - - - - 100 308,000.00
1182 120870550013 OPIPHEN SYR. 17,600.00 - - - - - - - -
1183 OPINACEA CAPS. 5,343.25 1,170 6,251,602.50 750 4,007,437.50 1,680 8,976,660.00 240 1,282,380.00
1184 OPIROL TABLET 2.5 MG 1,661.46 210 348,906.60 - - 210 348,906.60 - -
1185 OPIROL TABLET 5 MG 2,658.33 900 2,392,497.00 - - 750 1,993,747.50 150 398,749.50
1186 OPIROL TABLET 5 MG 2,337.50 - - 6,000 14,025,000.00 150 350,625.00 5,850 13,674,375.00
1187 220210550246 OPISAR 150 MG 7,744.00 30 232,320.00 - - 30 232,320.00 - -
1188 220210550247 OPISAR 300 MG 11,000.00 180 1,980,000.00 - - - - 180 1,980,000.00
1189 220210550080 OPIVASK 10 MG 6,105.00 3,300 20,146,500.00 - - 2,880 17,582,400.00 420 2,564,100.00
1190 220210550080 OPIVASK 10 MG 6,359.38 - - 3,000 19,078,140.00 - - 3,000 19,078,140.00
1191 220210550072 OPIVASK 5 MG 4,147.00 - - - - - - - -
1192 224110550008 OPIZOLAM TAB 1 MG 3,030.50 90 272,745.00 500 1,515,250.00 290 878,845.00 300 909,150.00
1193 OPIZOLAM TAB 0.5 MG 1,993.75 - - 500 996,875.00 200 398,750.00 300 598,125.00
1194 221250370067 OPTALVIT SYR 60 ML 62,700.00 33 2,069,100.00 - - 10 627,000.00 23 1,442,100.00
1195 221250370066 OPTALVIT PLUS TAB 5,747.50 - - - - - - - -
1196 220410550030 ORASIC CAPS. 2,791.25 1,200 3,349,500.00 3,250 9,071,562.50 2,650 7,396,812.50 1,800 5,024,250.00
1197 220410550031 ORASIC INJ 13,557.50 65 881,237.50 75 1,016,812.50 - - 140 1,898,050.00
1198 OSFIT DHA CAPS. 4,458.67 600 2,675,202.00 - - 30 133,760.10 570 2,541,441.90
1199 221150320053 OSSOVIT CAPS 3,696.00 360 1,330,560.00 - - - - 360 1,330,560.00
1200 221150130052 OSSOVIT SYR 100 ML 58,960.00 9 530,640.00 - - - - 9 530,640.00
1201 220410550450 OSTARIN FORTE SYR. 19,140.00 48 918,720.00 - - - - 48 918,720.00
1202 220410550449 OSTARIN SYR. 16,747.50 14 234,465.00 24 401,940.00 - - 38 636,405.00
1203 220560690024 OSTE CAPS. 3,630.00 - - - - - - - -
1204 220560440025 OSTENIL INJ. 522,500.00 - - - - - - - -
1205 221140480021 OSTEOCAL 560.00 - - - - - - - -
1206 220560600014 OSTEOR C CREAM 112,200.00 - - 7 785,400.00 3 336,600.00 4 448,800.00
1207 220560600010 OSTEOR PLUS CAPS. 6,545.00 300 1,963,500.00 120 785,400.00 120 785,400.00 300 1,963,500.00
1208 OSTEOFORTIS CAPS. 3,850.00 - - 300 1,155,000.00 - - 300 1,155,000.00
1209 221420320001 OTTOPAIN EAR DROPS 53,680.00 - - - - - - - -
1210 220410550011 OTTOPAN DROPS 19,937.50 48 957,000.00 - - 38 757,625.00 10 199,375.00
1211 220410550005 OTTOPAN SYR 13,557.50 48 650,760.00 48 650,760.00 96 1,301,520.00 - -
1212 228130550003 OTTOPRIM SYR. 60 ML 5,500.00 - - - - - - - -
1213 220110550102 OTTOZOL INJ. 90,750.00 - - - - - - - -
1214 OXFEZIN SYR. 100 ML 31,680.00 10 316,800.00 - - - - 10 316,800.00

1 2 3 4 5 6 7 8 9 10 11 12
1215 OXFEZIN SYR. 60 ML 19,800.00 8 158,400.00 - - - - 8 158,400.00

1216 OXFEZIN SYR. 60 ML 21,780.00 24 522,720.00 - - - - 24 522,720.00
1217 220380580384 OXOFERIN 67,925.00 16 1,086,800.00 - - 2 135,850.00 14 950,950.00
1218 220320380088 OXOPECT SYR 33,000.00 - - - - - - - -
1219 220930490008 OXYLA INJ 12,397.00 - - - - - - - -
1220 220110120025 OZID CAPS 12,186.43 - - - - - - - -
1221 220110120034 OZID INJ. 36,025.00 - - 200 7,205,000.00 140 5,043,500.00 60 2,161,500.00
1222 221630810002 PALOVIR CREAM 10 GR 26,963.75 - - - - - - - -
1223 228111760008 PALOVIR TAB 7,631.25 - - - - - - - -
1224 PAMOL DROPS 35,200.00 18 633,600.00 - - - - 18 633,600.00
1225 220410320017 PAMOL SUPP 125 MG 10,384.00 12 124,608.00 - - 12 124,608.00 - -
1226 220410320424 PAMOL SUPP 250 MG 15,048.00 36 541,728.00 - - 36 541,728.00 - -
1227 220410320424 PAMOL SUPP 250 MG 15,518.25 - - 120 1,862,190.00 120 1,862,190.00 - -
1228 220410320445 PAMOL SYR. 60 ML 21,560.00 48 1,034,880.00 - - - - 48 1,034,880.00
1229 220410320015 PAMOL TABLET 500 MG 589.88 - - 900 530,892.00 900 530,892.00 - -
1230 220110360156 PANLOC INJ. 154,000.00 10 1,540,000.00 - - - - 10 1,540,000.00
1231 220110690104 PANSO 40 MG VIAL 132,000.00 - - - - - - - -
1232 220110320054 PANTOPUMP INJ 142,120.00 10 1,421,200.00 - - 10 1,421,200.00 - -
1233 220110320054 PANTOPUMP INJ 146,561.25 - - 30 4,396,837.50 - - 30 4,396,837.50
1234 220130590238 PARAMIDON INJ 15 ML 6,756.75 - - - - - - - -
1235 PARATUSIN TABLET 1,003.75 - - - - - - - -
1236 221820650010 PEDIACEL VAKSIN 693,000.00 - - - - - - - -
1237 220130570027 PEHACAIN INJEKSI 3,113.05 100 311,305.00 - - 100 311,305.00 - -
1238 120810620060 PELASTIN INJ. 273,680.00 7 1,915,760.00 - - - - 7 1,915,760.00
1239 271821060006 PENTABIO INJ. 0.5 ML 106,029.00 - - - - - - - -
1240 210410120074 PEPZOL INJ 40 MG 132,000.00 - - - - - - - -
1241 220520190003 PERMYO TAB 4,675.00 - - - - - - - -
1242 224100410013 PERSIDAL 1 4,290.00 - - - - - - - -
1243 224100410015 PERSIDAL 2 7,150.00 - - - - - - - -
1244 PHADILON INJ. 125 MG 33,000.00 - - - - - - - -
1245 221150070028 PHARMATON FORMULA CAPS 4,120.68 - - - - - - - -
1246 221150070045 PHARMATON VIT TAB 4,093.66 - - - - - - - -
1247 PHALSY SYR. 46,200.00 5 231,000.00 - - 5 231,000.00 - -
1248 PHYFION INJ. 2 MG/ML 11,000.00 - - 50 550,000.00 50 550,000.00 - -
1249 220310380022 PHYLLOCONTIN 2,090.00 - - - - - - - -
1250 PIBAKSIN SALEP 10 GR 34,100.00 - - 10 341,000.00 5 170,500.00 5 170,500.00
1251 120880350004 PIL KINA 222 MG 1,166.64 - - - - - - - -
1252 220510770019 PILOPIL 3,300.00 - - - - - - - -
1253 220130480229 PIPTAL DROPS 110,000.00 - - - - - - - -
1254 221610670008 PIROTOP CREAM 10 MG 58,272.50 - - - - - - - -
1255 220930160017 PITOGIN S INJ. 7,700.00 - - - - - - - -
1256 220260020064 PLACTA 75 MG 10,890.00 - - - - - - - -
1257 220260210033 PLADOGREL TABLET 75 MG 9,900.00 - - 90 891,000.00 90 891,000.00 - -
1258 228170140003 PLASBUMIN 20% 100 ML 1,510,000.00 - - - - - - - -
1259 228170140004 PLASBUMIN 20% 20 ML 387,920.00 - - - - - - - -
1260 220250620004 PLASMINEX INJ. 9,665.70 40 386,628.00 - - 40 386,628.00 - -
1261 PLASMINEX TABLET 2,250.60 - - 700 1,575,420.00 700 1,575,420.00 - -

1 2 3 4 5 6 7 8 9 10 11 12
1262 220260640058 PLATOGRIX TAB. 12,335.68 - - - - - - - -

1263 220260640032 PLAVIX TAB. 27,200.21 28 761,605.88 - - - - 28 761,605.88
1264 PLAVIX TAB. 300 MG 16,392.97 - - - - - - - -
1265 220260540059 PLETAAL 20% POWDER 12,219.90 - - - - - - - -
1266 220260540018 PLETAAL TAB. 100 MG 13,442.00 - - - - - - - -
1267 220260540012 PLETAAL TAB. 50 MG 8,467.80 - - - - - - - -
1268 221820640032 PNEUMO 23 293,485.50 - - - - - - - -
1269 221530620004 POLIDEMISIN EYE DROPS 20,790.00 - - 50 1,039,500.00 26 540,540.00 24 498,960.00
1270 221530620005 POLIDEMISIN SALEP MATA 28,729.25 2 57,458.50 - - - - 2 57,458.50
1271 221530620005 POLIDEMISIN SALEP MATA 29,496.50 10 294,965.00 - - 5 147,482.50 5 147,482.50
1272 220110480080 POLYCROL FORTE SYR 100 ML 27,500.00 - - - - - - - -
1273 220110480169 POLYCROL FORTE SYR 400 ML 55,000.00 - - - - - - - -
1274 220410130055 PONDEX SYR 11,275.00 - - - - - - - -
1275 220930340014 POSPARGIN INJ 5,747.50 - - - - - - - -
1276 220930340018 POSPARGIN 0,125 MG+C1958 522.50 - - - - - - - -
1277 221821060018 PPD2TU ( MANTUK TEST ) 772,475.00 15 11,587,125.00 - - 5 3,862,375.00 10 7,724,750.00
1278 220270320031 PRAVINAT TAB 10 MG 12,705.00 - - - - - - - -
1279 220270320032 PRAVINAT TAB 20 MG 8,899.00 - - - - - - - -
1280 220410580433 PRAXION SYR 120 MG 19,635.00 - - - - - - - -
1281 220410580008 PRAXION SYR 250 MG 23,375.00 - - - - - - - -
1282 220110210045 PRAZOTEC CAPS 9,900.00 100 990,000.00 - - 100 990,000.00 - -
1283 226120080002 PREABOR TAB. 2,855.87 - - 900 2,570,283.00 630 1,799,198.10 270 771,084.90
1284 220350550030 PREDNICORT 4 MG 2,392.50 - - 1,000 2,392,500.00 700 1,674,750.00 300 717,750.00
1285 220350550031 PREDNICORT 8 MG 3,588.75 450 1,614,937.50 - - 300 1,076,625.00 150 538,312.50
1286 220350550032 PREDNICORT INJ. 125 MG 67,787.50 200 13,557,500.00 100 6,778,750.00 160 10,846,000.00 140 9,490,250.00
1287 226120210008 PREGTENOL TAB. 3,520.00 - - - - - - - -
1288 226120340001 PREMASTON 5 MG 4,005.83 - - - - - - - -
1289 221820650009 PREVENAR 13 INJ. 714,001.00 - - - - - - - -
1290 226120660001 PRIMOLUT-N TABLET 5,319.93 - - - - - - - -
1291 220110690140 PRIMPERAN TAB 5 MG 752.40 100 75,240.00 - - - - 100 75,240.00
1292 220120690006 PRIMPERAN TAB. 10 MG 1,331.00 - - - - - - - -
1293 228160570001 PRO TB2 7,246.25 308 2,231,845.00 - - - - 308 2,231,845.00
1294 228160570002 PRO TB4 5,426.65 448 2,431,139.20 - - - - 448 2,431,139.20
1295 221250620078 PROBIOKID SACHETS @ 1.5 G 10,613.62 260 2,759,541.20 - - - - 260 2,759,541.20
1296 221250620078 PROBIOKID SACHETS @ 1.5 G 10,613.63 100 1,061,363.00 - - 50 530,681.50 50 530,681.50
1297 221150620064 PROBIOSTIM CAPS. 5,120.50 240 1,228,920.00 - - 210 1,075,305.00 30 153,615.00
1298 221160440042 PROCALMA LICAPS 3,971.00 - - - - - - - -
1299 220470440059 PROCETAM 1200 MG 3,740.00 - - - - - - - -
1300 220470440060 PROCETAM INJ 3 GR 44,000.00 - - - - - - - -
1301 224120810039 PROCLOZAM 10 MG 1,463.00 - - - - - - - -
1302 224130100109 PROFECOM SUPP 13,420.00 - - - - - - - -
1303 224130760085 PROFENAL CAPS. 1,320.00 - - - - - - - -
1304 226140340002 PROFERTIL 50 MG 13,689.50 - - - - - - - -
1305 220410780007 PROGESIC SYR. 22,990.00 - - - - - - - -
1306 220410780014 PROGESIC TAB. 467.50 - - - - - - - -
1307 226120440009 PROGESTON TAB 3,553.00 - - - - - - - -
1308 PROGYL 500 MG 770.00 - - - - - - - -
1309 221160810043 PROHELIC TAB 5,434.00 - - - - - - - -
1310 220250210029 PROHEM INJ. 9,075.00 10 90,750.00 40 363,000.00 10 90,750.00 40 363,000.00

1 2 3 4 5 6 7 8 9 10 11 12
1311 PROINFARK INJEKSI 13,200.00 80 1,056,000.00 - - 15 198,000.00 65 858,000.00

1312 221150380046 PROKIDS DROPS 29,700.00 - - - - - - - -
1313 PROLIC 300 MG CAPS 5,826.84 100 582,684.00 - - - - 100 582,684.00
1314 PROLIC 300 MG CAPS 5,976.03 200 1,195,206.00 - - - - 200 1,195,206.00
1315 PROLYSIN SYRUP 120 ML 30,305.00 - - - - - - - -
1316 PROLYSIN PLUS SYRUP 100 ML 24,420.00 10 244,200.00 - - 10 244,200.00 - -
1317 220110810170 PROMEZOL CAPS 9,927.50 - - - - - - - -
1318 220890440902 PROMUBA SYR 60 ML 39,187.50 10 391,875.00 - - - - 10 391,875.00
1319 220890440902 PROMUBA SYR 60 ML 40,755.00 10 407,550.00 - - - - 10 407,550.00
1320 224130130076 PRONALGES TAB. 100 MG 4,207.50 - - - - - - - -
1321 224130130075 PRONALGES TAB. 50 MG 2,337.50 - - - - - - - -
1322 220510130033 PRONALGES CR TAB. 200 MG 7,480.00 - - - - - - - -
1323 220510130036 PRONALGES INJ. 25,740.00 - - - - - - - -
1324 220510130034 PRONALGES SUPP. 13,970.00 - - - - - - - -
1325 220410440042 PRONEURON CAPS 1,210.00 - - - - - - - -
1326 220110260141 PROPEPSA SYR 100 ml 50,682.50 - - - - - - - -
1327 220110260087 PROPEPSA SYR 200 ml 74,250.00 - - - - - - - -
1328 220410580063 PRORIS SYR 19,245.60 - - - - - - - -
1329 220410580064 PRORIS SYR FORTE 22,096.80 8 176,774.40 - - 4 88,387.20 4 88,387.20
1330 220410260434 PROSINAL SYR 26,675.00 - - - - - - - -
1331 220110700046 PROSOGAN FD CAPS. 30 MG 19,057.25 28 533,603.00 - - - - 28 533,603.00
1332 220110700047 PROSOGAN INJ. 30 MG 88,490.20 20 1,769,804.00 - - - - 20 1,769,804.00
1333 220950100015 PROSTACOM TAB. 2,950.20 - - - - - - - -
1334 220550730002 PROSTIGMIN INJ. 23,958.00 - - - - - - - -
1335 221220540008 PROTEN RASA VANILA 4,199.80 - - - - - - - -
1336 220930490019 PROTERINE INJ 20,482.00 - - - - - - - -
1337 220930490002 PROTERINE TAB 4,851.00 - - - - - - - -
1338 224130350078 PROTOFEN SUPP. 2,379.96 60 142,797.60 - - - - 60 142,797.60
1339 220110320026 PROTOP CAPS 13,158.75 - - 910 11,974,462.50 560 7,368,900.00 350 4,605,562.50
1340 128120440023 PROVAGIN OVULA 11,880.00 - - - - - - - -
1341 220310810353 PROVAMED TAB 4,963.75 - - - - - - - -
1342 220440340004 PROVELYN 150 MG 14,928.57 140 2,089,999.80 - - - - 140 2,089,999.80
1343 220440340002 PROVELYN 75 MG 10,845.61 70 759,192.70 - - - - 70 759,192.70
1344 221150360017 PROVITAL PLUS TBL 5,764.00 200 1,152,800.00 - - 200 1,152,800.00 - -
1345 221150360016 PROVITAL TBL 3,630.00 300 1,089,000.00 - - 100 363,000.00 200 726,000.00
1346 PROVULA 50 MG 12,870.00 - - - - - - - -
1347 221250360014 PROZA TAB. 6,990.50 - - - - - - - -
1348 220390130001 PSIDII SYR 60 ML 36,300.00 - - - - - - - -
1349 220310030039 PULMICORT INHALER 105,040.10 16 1,680,641.60 - - - - 16 1,680,641.60
1350 220310030046 PULMICORT RESPULES 0.5 MG 13,241.97 60 794,518.20 - - 60 794,518.20 - -
1351 220310030045 PULMICORT RESPULES 0.25 M 9,724.93 - - - - - - - -
1352 220110620058 PUMPICEL INJ. 115,159.00 45 5,182,155.00 - - 21 2,418,339.00 24 2,763,816.00
1353 220110620058 PUMPICEL INJ. 53,898.24 63 3,395,589.12 - - - - 63 3,395,589.12
1354 220110620027 PUMPITOR CAPS 11,253.00 - - 900 10,127,700.00 900 10,127,700.00 - -
1355 220110620035 PUMPITOR INJ. 116,674.25 - - 100 11,667,425.00 82 9,567,288.50 18 2,100,136.50
1356 221250810051 Q 10 PLUS 13,741.75 - - - - - - - -
1357 221150630062 RADIBLOCK CAPS 6,050.00 - - - - - - - -
1358 220110130106 RADIN INJ 18,700.00 - - - - - - - -
1359 220230130002 RAIVAS INJ. 84,150.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
1360 RAMOLIT 1,100.00 - - - - - - - -

1361 220110480019 RANICHO SYR. 60 ML 52,250.00 - - - - - - - -
1362 220110490142 RANIVELL SYR 56,595.00 - - - - - - - -
1363 220110340014 RANTIN INJ 16,500.00 - - - - - - - -
1364 220210500253 RASILEZ 150 MG 10,816.79 - - - - - - - -
1365 220210500254 RASILEZ 300 MG 13,559.92 - - - - - - - -
1366 RATIVOL INJEKSI 28,454.80 - - 70 1,991,836.00 30 853,644.00 40 1,138,192.00
1367 221120210024 REBAL PLUS 1,608.75 400 643,500.00 - - - - 400 643,500.00
1368 REBOZET TABLET 25 MG 226,470.59 - - - - - - - -
1369 221510250016 RECO SALEP MATA 5,500.00 - - - - - - - -
1370 221510250004 RECO TETES MATA 7,370.00 - - - - - - - -
1371 221510250005 RECO TETES TELINGA 7,370.00 - - - - - - - -
1372 220130130016 RECOFOL N INJ. 104,500.00 12 1,254,000.00 - - 12 1,254,000.00 - -
1373 220130130016 RECOFOL N INJ. 99,000.00 - - - - - - - -
1374 220520210006 RECOLPAR TAB. 3,877.50 30 116,325.00 - - 30 116,325.00 - -
1375 220370610002 RECORMON 2000 IU INJ. 115,650.00 - - - - - - - -
1376 220330360024 RECUSTEIN CAPS 5,500.00 300 1,650,000.00 500 2,750,000.00 200 1,100,000.00 600 3,300,000.00
1377 220320360057 RECUSTEIN SYR 48,400.00 24 1,161,600.00 120 5,808,000.00 25 1,210,000.00 119 5,759,600.00
1378 220110130143 REDACID TAB. 8,910.00 30 267,300.00 - - 30 267,300.00 - -
1379 220140360035 REGIT DROPS 33,000.00 - - - - - - - -
1380 220120360023 REGIT SYR 60 ML 35,200.00 - - - - - - - -
1381 226120080004 REGUMEN TAB 3,137.20 - - 2,400 7,529,280.00 1,110 3,482,292.00 1,290 4,046,988.00
1382 224130060086 REMATOF TAB. 100 MG 2,640.00 - - - - - - - -
1383 224130130079 REMOPAIN 3 % INJ 36,465.00 - - - - - - - -
1384 224130130080 REMOPAIN PREFILLED SYRING 36,465.00 - - - - - - - -
1385 220130210230 RENAGAS 770.00 - - - - - - - -
1386 221230210023 RENALYTE 200 ML 15,400.00 33 508,200.00 - - 32 492,800.00 1 15,400.00
1387 220150210007 RENAMID TAB. 247.50 - - - - - - - -
1388 RENAPAR TABLET 1,831.50 - - 300 549,450.00 300 549,450.00 - -
1389 220950320006 RENAX CAP. 7,590.00 100 759,000.00 - - 100 759,000.00 - -
1390 RENDOVECT CAPS. 2,849.00 150 427,350.00 - - 150 427,350.00 - -
1391 RENDOVECT SYR. 28,875.00 200 5,775,000.00 - - 120 3,465,000.00 80 2,310,000.00
1392 221230620029 RENOGEN 3000 IU 99,000.00 - - - - - - - -
1393 221230620029 RENOSAN INFUS 500 ML 257,290.00 2 514,580.00 - - - - 2 514,580.00
1394 221230620029 RENOSAN INFUS 500 ML 263,725.00 43 11,340,175.00 - - 15 3,955,875.00 28 7,384,300.00
1395 220950360004 RENOSTERIL CAPS. 7,150.00 - - - - - - - -
1396 220320210083 RESFAR INFUS 186,065.00 7 1,302,455.00 10 1,860,650.00 17 3,163,105.00 - -
1397 221810320040 RESPIMER BABY DECONGEST 6 120,175.00 1 120,175.00 - - - - 1 120,175.00
1398 220310350322 RETAPHYL SR. CAPL. 1,178.99 - - 300 353,697.00 300 353,697.00 - -
1399 221661760007 RETICOR 0.025% 14,245.00 - - - - - - - -
1400 220330130004 RHINOFED SYR 24,062.50 - - - - - - - -
1401 220330130003 RHINOFED TAB. 1,482.25 - - - - - - - -
1402 220330130002 RHINOS NEO DROPS 41,387.50 - - - - - - - -
1403 220330130007 RHINOS SR CAPS 4,571.88 - - - - - - - -
1404 220330130005 RHINOS SYR JUNIOR 28,875.00 - - - - - - - -
1405 228110350001 RICOVIR TAB. 300 MG 18,205.00 - - - - - - - -
1406 221810550008 RIHEST SYR. 25,168.00 - - - - - - - -
1407 221810550003 RIHEST TAB. 3,960.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
1408 228160630003 RIMACTANE SYR 100 ML 72,583.61 - - - - - - - -

1409 128160630012 RIMACTAZID 450/300 MG 8,088.30 - - - - - - - -
1410 128160630014 RIMACTAZID PAED 75/50 MG 1,641.75 - - - - - - - -
1411 128160630015 RIMCURE 3 5,016.00 - - - - - - - -
1412 128160630016 RIMCURE PAED 2,508.00 - - - - - - - -
1413 128160630017 RIMSTAR 4FDC 5,561.33 - - - - - - - -
1414 221120760028 RINDOBION 5000 MG 2,200.00 - - - - - - - -
1415 220110760144 RINDOPUMP CAPS 12,100.00 - - - - - - - -
1416 220110210036 RINDOPUMP INJ. 99,000.00 - - - - - - - -
1417 RINDOVECT CAPS. 2,849.00 - - 3,870 11,025,630.00 - - 3,870 11,025,630.00
1418 RINDOVECT SYR. 28,875.00 - - - - - - - -
1419 221230750060 RINGER LACTATE 500 ML 7,150.00 100 715,000.00 1,200 8,580,000.00 200 1,430,000.00 1,100 7,865,000.00
1420 221230540011 RINGER LACTATE 500 ML 7,150.00 400 2,860,000.00 300 2,145,000.00 460 3,289,000.00 240 1,716,000.00
1421 221810440025 RINOCET DROPS 52,250.00 9 470,250.00 - - - - 9 470,250.00
1422 221810440020 RINOCET SYR 60 ML 46,200.00 - - - - - - - -
1423 221160760044 RINOFER INJ. 88,000.00 - - - - - - - -
1424 120830760048 RINVOX INFUS 150 ML 188,100.00 - - - - - - - -
1425 120830760047 RINVOX TAB. 500 MG 22,000.00 - - - - - - - -
1426 220560130021 RISTEON CAPS 6,600.00 - - - - - - - -
1427 RISTONAT TAB. 35 mg 35,545.95 728 25,877,451.60 - - 40 1,421,838.00 688 24,455,613.60
1428 221810130057 RITEZ FT 3,740.00 - - - - - - - -
1429 220520490014 RIZONAX 50 MG 4,312.00 - - - - - - - -
1430 220110550028 ROCER CAPS 9,900.00 - - - - - - - -
1431 220110550037 ROCER INJ 110,000.00 - - - - - - - -
1432 220520340007 ROCULAX INJ. 5 ML 123,200.00 40 4,928,000.00 - - 20 2,464,000.00 20 2,464,000.00
1433 ROCUM INJEKSI 88,000.00 30 2,640,000.00 - - - - 30 2,640,000.00
1434 220560320023 ROSAGEN TAB. 22,440.00 - - 120 2,692,800.00 120 2,692,800.00 - -
1435 221820230011 ROTARIX 257,174.50 - - - - - - - -
1436 ROVIDEN SUPS 8,772.50 20 175,450.00 - - - - 20 175,450.00
1437 ROVIDEN SUPS 9,968.75 100 996,875.00 100 996,875.00 100 996,875.00 100 996,875.00
1438 220430700013 ROZEREM TAB 9,776.49 - - - - - - - -
1439 RUBYSTA 23,947.92 - - - - - - - -
1440 RZ-20 SYR. 60 ML 23,375.00 - - 59 1,379,125.00 59 1,379,125.00 - -
1441 221620670009 SAGALON CREAM 36,630.00 27 989,010.00 - - - - 27 989,010.00
1442 221100120002 SALOFALK SOFT. CAPS.250 MG 6,672.60 200 1,334,520.00 - - - - 200 1,334,520.00
1443 221100120003 SALOFALK SOFT. CAPS.500 MG 11,725.56 300 3,517,668.00 - - - - 300 3,517,668.00
1444 220320620067 SANADRYL DMP SYR. 120 ML 15,430.25 - - - - - - - -
1445 220320620104 SANADRYL DMP SYR. 60 ML 9,460.00 - - - - - - - -
1446 220320620034 SANADRYL SYRUP 120 ML 11,849.75 - - 144 1,706,364.00 48 568,788.00 96 1,137,576.00
1447 220320620035 SANADRYL SYRUP 60 ML 8,184.00 - - 72 589,248.00 72 589,248.00 - -
1448 221230620090 SANBE HEST 189,420.00 - - - - - - - -
1449 221580620009 SANBE TEARS 16,555.00 - - 96 1,589,280.00 53 877,415.00 43 711,865.00
1450 220390620004 SAN-B-PLEX DROPS 14,080.00 - - - - - - - -
1451 SANEXON INJEKSI 125 MG 36,295.99 222 8,057,709.78 - - 42 1,524,431.58 180 6,533,278.20
1452 SANFULIQ TABLET 4,049.38 150 607,407.00 - - - - 150 607,407.00
1453 221150400047 SANGOBION BABY 15 ML 28,670.40 - - - - - - - -
1454 221150400029 SANGOBION KID 100 ML 21,801.78 - - - - - - - -
1455 221130620002 SANKORBIN INJ. 20,400.05 20 408,001.00 - - - - 20 408,001.00
1456 220110620079 SANMAG SYR 11,989.43 72 863,238.96 - - 72 863,238.96 - -

1 2 3 4 5 6 7 8 9 10 11 12
1457 220410620010 SANMOL DROPS 12,702.25 270 3,429,607.50 - - 30 381,067.50 240 3,048,540.00
1458 220410620451 SANMOL FORTE SYR. 21,312.50 14 298,375.00 72 1,534,500.00 86 1,832,875.00 - -
1459 220410620452 SANMOL FORTE TAB. 281.33 400 112,532.00 - - 400 112,532.00 - -
1460 220410620452 SANMOL FORTE TAB. 281.32 - - 500 140,660.00 500 140,660.00 - -
1461 220410620026 SANMOL INFUS 47,531.00 60 2,851,860.00 - - 60 2,851,860.00 - -
1462 220410620003 SANMOL SYR 9,718.50 19 184,651.50 72 699,732.00 67 651,139.50 24 233,244.00
1463 220410620446 SANMOL TAB. 238.70 200 47,740.00 1,300 310,310.00 700 167,090.00 800 190,960.00
1464 221440620009 SANORIN HIJAU 200 ML 24,860.00 15 372,900.00 - - 15 372,900.00 - -
1465 221440620004 SANORIN HIJAU 80 ML 13,090.00 10 130,900.00 - - 10 130,900.00 - -
1466 221690320009 SANOSKIN MELLADERM PLUS 157,080.00 10 1,570,800.00 - - 1 157,080.00 9 1,413,720.00
1467 221690320023 SANOSKIN OXY 294,525.00 6 1,767,150.00 - - 6 1,767,150.00 - -
1468 221690320023 SANOSKIN OXY 274,890.00 3 824,670.00 - - 2 549,780.00 1 274,890.00
1469 221690320023 SANSULIN LOG-G 83,949.14 25 2,098,728.50 100 8,394,914.00 110 9,234,405.40 15 1,259,237.10
1470 SANSULIN PEN 0.00 5 - 20 - 25 - - -
1471 SANTA E 200 tablet 1,611.22 - - 200 322,244.00 200 322,244.00 - -
1472 SANTA E 400 tablet 3,094.58 - - - - - - - -
1473 220930620020 SANTOCYN INJ. 8,716.68 200 1,743,336.00 - - 30 261,500.40 170 1,481,835.60
1474 221620350006 SCABICID CREAM 28,499.90 - - - - - - - -
1475 221620220008 SCABIMITE CREAM 41,250.00 - - - - - - - -
1476 220210720002 SCANTENSIN 12.5 MG 632.50 - - - - - - - -
1477 220210720006 SCANTENSIN 25 MG 1,056.00 - - - - - - - -
1478 128110520006 SEBIVO 600 MG 28,300.01 224 6,339,202.24 - - 140 3,962,001.40 84 2,377,200.84
1479 SEDACUM INJ. 15 MG / 3 ML 55,000.00 - - - - - - - -
1480 220130130014 SEDACUM INJ. 5 MG / 5 ML 25,300.00 - - - - - - - -
1481 221150190030 SELOXY TAB. 3,448.50 - - - - - - - -
1482 220420380015 SEMINAC CONTINUS 6,600.00 - - - - - - - -
1483 220270490037 SEQUEST 20,212.50 - - - - - - - -
1484 220310240330 SERETIDE DISKUS 250 MCG 116,686.90 48 5,600,971.20 - - 48 5,600,971.20 - -
1485 SERETIDE DISKUS100 MCG 103,816.90 55 5,709,929.50 - - 5 519,084.50 50 5,190,845.00
1486 SERETIDE DISKUS 500 MCG 127,616.50 35 4,466,577.50 - - 5 638,082.50 30 3,828,495.00
1487 220310230033 SERETIDE INHALER 125 / can 138,600.00 - - - - - - - -
1488 220310230351 SERETIDE INHALER 50 / can 55,000.00 4 220,000.00 - - 4 220,000.00 - -
1489 220130710234 SESDEN 2,022.90 300 606,870.00 - - - - 300 606,870.00
1490 SEVODEK 250 ML 2,156,055.00 6 12,936,330.00 - - 6 12,936,330.00 - -
1491 220130340235 SEVOFLURANE 2,829,750.00 - - - - - - - -
1492 220440410033 SIBITAL INJ. 9,900.00 10 99,000.00 - - 10 99,000.00 - -
1493 221690100011 SIBRO 20 GR 84,700.00 - - - - - - - -
1494 221810060027 SIDIADRYL INJ. 8,800.00 10 88,000.00 - - - - 10 88,000.00
1495 220450070001 SIFROL 0.125 MG 4,401.00 - - - - - - - -
1496 220320120086 SILEX SYR. 100 ML 52,800.00 - - 13 686,400.00 13 686,400.00 - -
1497 SILUM TAB. 5 MG 3,080.00 - - - - - - - -
1498 220260210047 SIMARC 2 MG TAB 1,309.00 - - 500 654,500.00 500 654,500.00 - -
1499 221250810056 SIM-DHA SYR. 41,800.00 - - - - - - - -
1500 220410340453 SINCRONIK CAPS. 7,837.50 - - - - - - - -
1501 220520520005 SIRDALUT TAB. 2 MG 8,408.91 - - - - - - - -
1502 221250440079 SIRPLUS RASA ANGGUR 11,440.00 - - - - - - - -
1503 221250440029 SIRPLUS RASA JERUK 11,440.00 - - - - - - - -
1504 221250440029 SIRPLUS RASA MELON 11,440.00 - - - - - - - -
1505 221250440029 SIRPLUS RASA STROBERY 10,560.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
1506 221250440029 SIRPLUS SERBUK ORIGINAL 172.43 3,000 517,290.00 - - 200 34,486.00 2,800 482,804.00
1507 220410130027 SISTENOL TAB 1,650.00 60 99,000.00 - - 60 99,000.00 - -
1508 221230540091 SOD. NATR. CL. 3% 500 ML 27,830.00 28 779,240.00 - - 18 500,940.00 10 278,300.00
1509 SOD.CHLORET NATR. 25 ML 6,380.00 80 510,400.00 - - - - 80 510,400.00
1510 221230540054 SOD.CHLORET NATR. 100 ML 15,180.00 - - - - - - - -
1511 221230540019 SOD.CHLORET NATR. 500 ML 6,409.70 - - 200 1,281,940.00 65 416,630.50 135 865,309.50
1512 221230750042 SOD.CHLORET NATR. 500 ML 6,409.70 - - 600 3,845,820.00 100 640,970.00 500 3,204,850.00
1513 221690440008 SODERMIX KRIM 15 GR 74,800.00 5 374,000.00 - - - - 5 374,000.00
1514 221520640001 SOFRADEX EAR/EYE DROPS. 52,104.69 - - - - - - - -
1515 220130210003 SOJOURN 250 ML 2,145,000.00 5 10,725,000.00 - - 5 10,725,000.00 - -
1516 SOLFION TAB. 4 MG 3,300.00 - - 800 2,640,000.00 - - 800 2,640,000.00
1517 220320440009 SOLVINEX INJ 35,200.00 130 4,576,000.00 - - 50 1,760,000.00 80 2,816,000.00
1518 220250130024 SOMATOSTATIN INJ 250 MG 277,200.00 - - - - - - - -
1519 220250130025 SOMATOSTATIN INJ 30 MG 1,190,970.00 - - - - - - - -
1520 220120210012 SOTATIC INJ 3,031.60 - - - - - - - -
1521 220120210012 SOTATIC INJ 4,664.00 15 69,960.00 - - 15 69,960.00 - -
1522 220950690011 SPASMIUM TABLET 1,595.00 - - - - - - - -
1523 220130130140 SPASMOMEN TAB. 5,797.00 - - - - - - - -
1524 222160570005 SPIROLACTONE TAB. 25 MG 991.96 100 99,196.00 - - - - 100 99,196.00
1525 128120190011 SPORACID TAB. 21,670.00 - - - - - - - -
1526 220270130025 STATOR 10 MG 12,342.00 - - - - - - - -
1527 220270130035 STATOR 20 MG 17,600.00 - - - - - - - -
1528 224120020026 STESOLID INJ 10 MG 16,500.00 60 990,000.00 - - - - 60 990,000.00
1529 224120020023 STESOLID RECTAL 10 MG 39,204.00 45 1,764,180.00 - - 25 980,100.00 20 784,080.00
1530 224120020021 STESOLID RECTAL 5 MG 26,136.00 35 914,760.00 - - 20 522,720.00 15 392,040.00
1531 224120020029 STESOLID SYR 60 ML 41,261.00 - - - - - - - -
1532 220240230002 STRUGERON TAB. 25 MG 1,480.07 - - - - - - - -
1533 STOLAX SUPP 10 MG 5,477.31 - - 90 492,957.90 30 164,319.30 60 328,638.60
1534 221100060005 SULCOLON TAB. 7,122.50 - - - - - - - -
1535 120880020003 SULDOX TAB. 2,178.00 - - - - - - - -
1536 221610120011 SULFADIAZINE SILVER 22,999.90 - - - - - - - -
1537 220510440035 SUPRAFENID SUPPS. 100 MG 12,100.00 60 726,000.00 - - 30 363,000.00 30 363,000.00
1538 SUSU APTA+KOLESFIT ORIGINA 39,176.50 10 391,765.00 - - 10 391,765.00 - -
1539 SUSU APTA+KOLESFIT MIX. BE 39,176.50 - - - - - - - -
1540 SUSU APTA+KOLESFIT GREENT 39,176.50 2 78,353.00 - - 2 78,353.00 - -
1541 SUSU APTA+GLUKOFIT VANILA 36,932.50 20 738,650.00 - - 20 738,650.00 - -
1542 SUSU BBLR 200 MG 0.00 - - - - - - - -
1543 SUSU BBLR 400 MG 0.00 - - - - - - - -
1544 221220340026 SUSU DIABETASOL COKLAT 37,411.00 - - 10 374,110.00 10 374,110.00 - -
1545 221220340027 SUSU DIABETASOL VANILA 37,411.00 - - 10 374,110.00 10 374,110.00 - -
1546 SUSU DIABETASOL SWEET O CA 346.64 - - - - - - - -
1547 SUSU ENSURE VAN 400 GR 103,291.65 - - - - - - - -
1548 221220340030 SUSU ENTRAKID VANILA 185 G 44,830.50 - - - - - - - -
1549 221220340028 SUSU ENTRASOL GOLD VAN. 18 28,600.00 - - - - - - - -
1550 SUSU ENTRASOL SENIOR VAN. 93,379.00 - - - - - - - -
1551 SUSU LLM + 0 – 12 200 MG 0.00 - - - - - - - -
1552 221220340024 SUSU LOVAMIL IBU MENYUSUI 20,620.60 - - - - - - - -
1553 221220340025 SUSU LOVAMIL IBU MENYUSUI 20,620.60 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
1554 221220340029 SUSU NEPHRISOL D 60,310.00 - - - - - - - -

1555 SUSU NEPHRISOL VAN. 52,919.00 - - - - - - - -
1556 221220340031 SUSU PEPTIBREN VANILA 210 65,178.00 - - - - - - - -
1557 220310030038 SYMBICORT 160, 120 DOSE 276,640.76 - - - - - - - -
1558 220310030037 SYMBICORT 160, 60 DOSE 125,838.90 43 5,411,072.70 - - 20 2,516,778.00 23 2,894,294.70
1559 220310030036 SYMBICORT 80, 60 DOSE 125,840.00 46 5,788,640.00 - - 30 3,775,200.00 16 2,013,440.00
1560 SYNFLORIX INJEKSI 433,675.00 - - - - - - - -
1561 TAMOLIV INFUS 1000 MG 49,005.00 - - - - - - - -
1562 220210710016 TANAPRESS 10 MG 13,953.50 - - - - - - - -
1563 220210710015 TANAPRESS 5 MG 10,298.20 - - - - - - - -
1564 221720700013 TAPROS INJ. 3.75 MG 569,866.73 - - - - - - - -
1565 220240580003 TEBOKAN TAB. 5,841.00 100 584,100.00 - - - - 100 584,100.00
1566 220240570031 TEBOKAN SPESIAL 11,715.00 - - - - - - - -
1567 221650670025 TEKASOL OINTMENT 38,115.00 - - - - - - - -
1568 221810640010 TELFAST OD KAPSUL 6,752.08 - - - - - - - -
1569 220210620003 TENSICAP 12.5 MG 1,826.00 - - - - - - - -
1570 220210620007 TENSICAP 25 MG 3,586.00 - - - - - - - -
1571 220210210095 TENSILO INJ. 176,000.00 - - - - - - - -
1572 220210130070 TENSIVAKS TAB. 5 MG 4,576.00 - - - - - - - -
1573 220210130078 TENSIVAKS TAB.10 MG 8,360.00 - - - - - - - -
1574 220510770026 TERANOL INJ 30MG 35,750.00 - - - - - - - -
1575 220510770064 TERANOL TAB 4,950.00 - - - - - - - -
1576 TERMOFEN SYR. 27,500.00 - - 24 660,000.00 - - 24 660,000.00
1577 220210120244 THERAVASK 10 MG 5,789.85 - - - - - - - -
1578 220210120245 THERAVASK 5 MG 3,974.85 - - - - - - - -
1579 220260620036 THERODEL TAB. 5,664.74 870 4,928,323.80 - - 870 4,928,323.80 - -
1580 220260450026 THROMBO ASPILET 701.67 300 210,501.00 - - - - 300 210,501.00
1581 221690810006 THROMBOPHOB GEL. 20 GR 54,450.00 - - - - - - - -
1582 221030660003 THYRAX 2,097.34 - - - - - - - -
1583 221040400003 THYROZOL 10 MG 1,694.36 - - - - - - - -
1584 221040400002 THYROZOL 5 MG 1,090.88 - - - - - - - -
1585 220220210004 TIARYT INJ. 20,625.00 10 206,250.00 - - - - 10 206,250.00
1586 220220210002 TIARYT TAB. 3,833.50 - - 60 230,010.00 60 230,010.00 - -
1587 220260370022 TICURING 7,425.00 - - - - - - - -
1588 220510130020 TILFLAM 8,415.00 - - - - - - - -
1589 TIM OPHTAL TTS MATA 0.5% 39,864.00 - - - - - - - -
1590 120890780006 TISMAZOL 500 MG 1,828.75 - - - - - - - -
1591 TOBROSAN 5 CC 50,875.00 10 508,750.00 - - - - 10 508,750.00
1592 TOBROSAN MD 6,380.00 25 159,500.00 - - - - 25 159,500.00
1593 220120320013 TOMIT INJ. 5 AMP/KTK 10,048.50 30 301,455.00 - - - - 30 301,455.00
1594 220950630012 TONAR TAB. 5,516.50 - - - - - - - -
1595 224130550081 TORAMINE INJ 30 MG 30,305.00 60 1,818,300.00 - - 45 1,363,725.00 15 454,575.00
1596 220510550025 TORAMINE TAB.10 MG 3,987.50 480 1,914,000.00 300 1,196,250.00 700 2,791,250.00 80 319,000.00
1597 221720210012 TRACETATE INFUS 200 ML 341,275.00 - - - - - - - -
1598 TRADYL TABLET 3,388.00 - - - - - - - -
1599 220410620442 TRADOSIK CAPS. 3,181.20 - - - - - - - -
1600 220410620443 TRADOSIK INJ. 15,976.40 87 1,389,946.80 - - - - 87 1,389,946.80
1601 220410550033 TRAMIFEN CAPS 6,160.00 - - - - - - - -
1602 220520130016 TRAMUS 1% 5 ML 70,125.00 3 210,375.00 - - - - 3 210,375.00

1 2 3 4 5 6 7 8 9 10 11 12
1603 220520130009 TRAMUS 1% 2.5 ML 44,880.00 - - - - - - - -

1604 220250260031 TRANEC 500 MG 2,987.60 - - - - - - - -
1605 220250260008 TRANEC INJ 17,242.50 - - - - - - - -
1606 220250260032 TRANEXID INJ 5% 9,900.00 - - - - - - - -
1607 220320730087 TRANSPULMIN SYR. 60 ML 64,680.00 3 194,040.00 - - 3 194,040.00 - -
1608 224110210009 TRAZEP SUPPS 2 MG 19,800.00 - - - - - - - -
1609 220330620028 TREMENZA SYR. 16,623.75 - - 72 1,196,910.00 5 83,118.75 67 1,113,791.25
1610 220330620029 TREMENZA TAB 1,180.71 1,100 1,298,781.00 2,000 2,361,420.00 2,000 2,361,420.00 1,100 1,298,781.00
1611 220210640224 TRIACTEC TAB. 5 MG 10,200.17 - - - - - - - -
1612 120890620021 TRICHODAZOLE INFUS 100 ML 72,820.00 35 2,548,700.00 - - 35 2,548,700.00 - -
1613 228120620005 TRICHODAZOLE PLUS OVULA 10,692.00 - - - - - - - -
1614 TRICHODAZOLE 500 TABLET 1,381.05 300 414,315.00 - - 200 276,210.00 100 138,105.00
1615 220110440151 TRICKER INJ. 16,500.00 - - - - - - - -
1616 220110440172 TRICKER TAB 3,960.00 200 792,000.00 - - 50 198,000.00 150 594,000.00
1617 221230620006 TRIDEX 27A 500 ML 15,015.00 - - - - - - - -
1618 221230620007 TRIDEX 27B 500 ML 14,300.00 120 1,716,000.00 - - - - 120 1,716,000.00
1619 221230620010 TRIDEX PLAIN 500 ML 18,940.38 72 1,363,707.36 - - 24 454,569.12 48 909,138.24
1620 220330320030 TRIFED SYR 25,960.00 - - - - - - - -
1621 220330320031 TRIFED TAB. 2,156.00 - - - - - - - -
1622 TRIFEDRIN SYR. 19,140.00 - - 144 2,756,160.00 77 1,473,780.00 67 1,282,380.00
1623 TRIFEDRIN TAB. 1,196.25 - - 750 897,187.50 450 538,312.50 300 358,875.00
1624 271820640007 TRIMOVAX INJ 101,062.50 - - - - - - - -
1625 220220680028 TRIZEDON MR 3,234.00 60 194,040.00 - - 60 194,040.00 - -
1626 120890550020 TROGYL INFUS 500 MG / 100 ML 59,812.50 - - 48 2,871,000.00 - - 48 2,871,000.00
1627 120890550013 TROGYL SYR 30,305.00 15 454,575.00 - - 5 151,525.00 10 303,050.00
1628 TROGYL TABLET 1,276.00 350 446,600.00 - - 100 127,600.00 250 319,000.00
1629 TROGYSTATIN OVULA 11,962.50 - - 500 5,981,250.00 500 5,981,250.00 - -
1630 220410060448 TROLAC INJ 23,911.25 - - - - - - - -
1631 220270130015 TROLIP TAB 100 MG 4,400.00 - - - - - - - -
1632 220270130020 TROLIP TAB 300 MG 9,680.00 - - - - - - - -
1633 221252420030 TROLIT 10,101.67 - - - - - - - -
1634 220260350061 TROMBIKAF TAB 4,200.00 - - - - - - - -
1635 121690810001 TROMECON 20 GR 22,772.76 - - - - - - - -
1636 220140620038 TROVENSIS INJ. 2ML 26,317.50 - - 45 1,184,287.50 45 1,184,287.50 - -
1637 220140620020 TROVENSIS INJ. 4ML 53,480.35 15 802,205.25 - - 15 802,205.25 - -
1638 TROVENSIS TABLET 4 MG 9,906.05 - - - - - - - -
1639 TROVENSIS TABLET 8 MG 14,322.00 80 1,145,760.00 120 1,718,640.00 100 1,432,200.00 100 1,432,200.00
1640 TUTOFUSIN OPS 38,600.00 20 772,000.00 - - - - 20 772,000.00
1641 TUTOFUSIN OPS 62,920.00 15 943,800.00 - - 10 629,200.00 5 314,600.00
1642 220210070085 TWYNSTA 40 / 10 MG 12,435.43 - - - - - - - -
1643 220210070084 TWYNSTA 80 / 10 MG 17,210.91 - - - - - - - -
1644 221820230013 TYPHERIX 93,333.90 - - - - - - - -
1645 221820650014 TYPHIM VI 0.5 ML 166,563.10 3 499,689.30 - - 1 166,563.10 2 333,126.20
1646 221250150027 UBI-Q CAPS 100 MG 13,952.60 - - - - - - - -
1647 221250150064 UBI-Q CAPS 30 MG 6,044.49 - - - - - - - -
1648 220220140036 UDOPA INJ 7,808.24 30 234,247.20 - - - - 30 234,247.20
1649 220110550016 ULCERANIN INJ 16,280.00 - - - - - - - -
1650 ULTRACET TABLET 37.5 MG 7,828.88 150 1,174,332.00 - - 150 1,174,332.00 - -
1651 ULVICE INJ. 27,500.00 10 275,000.00 - - 10 275,000.00 - -

1 2 3 4 5 6 7 8 9 10 11 12
1652 UMARONE INJEKSI 173,250.00 10 1,732,500.00 - - - - 10 1,732,500.00

1653 220490770012 UNALIUM 10 TAB 8,360.00 - - - - - - - -
1654 220490770007 UNALIUM 5 TAB 6,061.00 - - - - - - - -
1655 221250810065 UNIGEN 8,652.60 - - - - - - - -
1656 220210700243 UNISIA TAB 13,750.00 - - - - - - - -
1657 221150740007 UNIVOXY TAB 6,435.00 - - - - - - - -
1658 220180120008 URDAFALK TAB. 250 10,426.17 - - 300 3,127,851.00 300 3,127,851.00 - -
1659 221250130057 URDEX CAPS. 6,545.00 - - - - - - - -
1660 220210620248 URESIX CAPS. 741.68 1,100 815,848.00 900 667,512.00 2,000 1,483,360.00 - -
1661 220210620261 URESIX INJ. 2,686.20 - - 2,500 6,715,500.00 340 913,308.00 2,160 5,802,192.00
1662 220940150010 URIEF TAB. 4 MG 6,894.76 - - - - - - - -
1663 220920310002 URISPAS 200 MG TAB. 5,591.66 - - - - - - - -
1664 220920730003 UROGETIK 100 MG 5,465.90 - - - - - - - -
1665 220920620925 UROTRACTIN CAPS. 2,710.95 60 162,657.00 - - - - 60 162,657.00
1666 220260770062 URSOLIC 250 MG 7,260.00 - - - - - - - -
1667 226120370003 UTROGESTAN 100 MG 9,586.50 - - - - - - - -
1668 226120370007 UTROGESTAN 200 MG 17,803.50 - - - - - - - -
1669 220260130031 VACLO TAB 11,687.50 - - - - - - - -
1670 VAKSIN HEPATITIS B RECOM 74,052.00 76 5,627,952.00 100 7,405,200.00 176 13,033,152.00 - -
1671 221220620019 VALAMIN 500 ML 68,420.00 - - - - - - - -
1672 220440550025 VALEPTIK SYR 59,812.50 48 2,871,000.00 - - 24 1,435,500.00 24 1,435,500.00
1673 220440550025 VALEPTIK SYR 57,750.00 100 5,775,000.00 - - - - 100 5,775,000.00
1674 220210140260 VALESCO 160 MG 2,688.40 - - - - - - - -
1675 220210140259 VALESCO 80 MG 1,795.20 - - - - - - - -
1676 224120640018 VALISANBE 2 MG 187.55 900 168,795.00 - - 100 18,755.00 800 150,040.00
1677 224120640020 VALISANBE 5 MG 315.43 800 252,344.00 - - 200 63,086.00 600 189,258.00
1678 224120640028 VALISANBE INJ. 2 ML 14,773.00 10 147,730.00 - - - - 10 147,730.00
1679 224120640028 VALISANBE INJ. 2 ML 14,245.28 40 569,811.20 - - 10 142,452.80 30 427,358.40
1680 224120610027 VALIUM INJ 10 MG 26,474.20 - - - - - - - -
1681 VARILRIX INJEKSI 391,875.00 - - - - - - - -
1682 271820400008 VARIVAX 442,121.00 - - - - - - - -
1683 220230210003 VASCON INJ 78,375.00 20 1,567,500.00 - - - - 20 1,567,500.00
1684 220230210003 VASCON INJ 74,250.00 30 2,227,500.00 - - - - 30 2,227,500.00
1685 221820650015 VAXIGRIP 0,25 ml 107,525.00 - - - - - - - -
1686 221820650016 VAXIGRIP 0,5 ml 146,800.50 - - - - - - - -
1687 220210340060 V-BLOC 25 6,688.00 - - 1,380 9,229,440.00 1,380 9,229,440.00 - -
1688 220210340059 V-BLOC 6,25 1,599.99 - - - - - - - -
1689 220320130053 VECTRINE CAPS. 300 MG 3,740.00 - - - - - - - -
1690 220320130056 VECTRINE SYR. 33,660.00 - - - - - - - -
1691 220190810002 VENARON CAPS 3,201.00 - - - - - - - -
1692 224130210100 VENODENOL INJ. 55,000.00 - - - - - - - -
1693 221160100025 VENOVER INJ 179,300.00 - - - - - - - -
1694 220310230013 VENTOLIN INHALER 59,999.50 - - - - - - - -
1695 220310240334 VENTOLIN NEBULES 2.5 MG 3,999.98 200 799,996.00 - - 200 799,996.00 - -
1697 224130440106 VERDIF INJ. 1 MG 119,625.00 20 2,392,500.00 - - - - 20 2,392,500.00
1698 224130440106 VERIDIN TAB. 5,940.00 - - - - - - - -
1699 220480350007 VERTIKAF TABLET 8 MG 3,540.46 500 1,770,230.00 600 2,124,276.00 - - 1,100 3,894,506.00
1700 220940040011 VESICARE 5 MG 16,101.33 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
1701 220940040006 VESICARE 10 MG 17,843.10 - - - - - - - -

1702 VERSILON TAB. 6 MG 1,716.00 - - - - - - - -
1703 VERTIGOSAN TABLET 2,165.35 50 108,267.50 600 1,299,210.00 600 1,299,210.00 50 108,267.50
1704 220140290043 VESPERUM SYR 4,643.10 - - - - - - - -
1705 220320340101 VESTEIN 300 MG 4,441.25 - - - - - - - -
1706 220320340100 VESTEIN SYR. 36,575.00 - - - - - - - -
1707 220220550041 VIAJOY CAPS. 35,200.00 - - - - - - - -
1708 220360050003 VISANNE TAB. 13,781.43 - - - - - - - -
1709 221150550054 VISEBAD DROP 18,700.00 - - - - - - - -
1710 221150550033 VISEBAD PLUS SYR. 27,500.00 - - - - - - - -
1711 221150550013 VISEBAD SYR. 23,100.00 - - - - - - - -
1712 221660670009 VITACID CR 0.025% 15 GR 22,990.00 - - - - - - - -
1713 221660670001 VITACID CR 0.05% 20 GR 27,830.00 - - - - - - - -
1714 210250350058 VITAMIN K TAB 65.34 - - - - - - - -
1715 221150550065 VITAMULTI DHA CAPS 1,993.75 300 598,125.00 - - 300 598,125.00 - -
1716 221150550065 VITAMULTI DHA CAPS 2,392.50 - - 3,000 7,177,500.00 500 1,196,250.00 2,500 5,981,250.00
1717 220160340007 VITAZYM TAB 1,870.04 - - - - - - - -
1718 VITROLENTA EYE DROPS 36,025.00 - - 10 360,250.00 10 360,250.00 - -
1719 220210020013 VIVACE 2.5 MG 4,620.00 - - - - - - - -
1720 224130130089 VOLTADEX GEL 20 GR 22,099.00 - - - - - - - -
1721 224130130088 VOLTADEX TAB. 50 MG 495.00 - - - - - - - -
1722 224130500107 VOLTAREN EMULGEL 10 GR 39,385.50 - - - - - - - -
1726 224130500101 VOLTAREN INJ. 47,084.77 - - - - - - - -
1727 224130520014 VOLTAREN TAB 25 MG 3,828.09 - - - - - - - -
1728 224130520017 VOLTAREN TAB 50 MG 6,668.99 - - - - - - - -
1729 VOMIPER SYR. 33,000.00 - - 24 792,000.00 - - 24 792,000.00
1730 220120130030 VOMETA DROPS 36,932.50 - - - - - - - -
1731 220120130025 VOMETA SYRUP 60 ML 36,932.50 - - - - - - - -
1732 220120130016 VOMETA TABLET FT 4,070.00 - - - - - - - -
1733 220120340024 VOMITAS SYR 37,400.00 - - - - - - - -
1734 220120620026 VOSEDON SYR 24,211.00 19 460,009.00 - - - - 19 460,009.00
1735 220120620020 VOSEDON TAB. 1,930.91 500 965,455.00 - - - - 500 965,455.00
1736 221140620024 VOSTEM CAPS. 3,520.00 - - - - - - - -
1737 221231480088 WATER & ADPT HUMID 325 ML 82,500.00 - - - - - - - -
1738 221230540063 WATER FOR INJEKSI 25 ML 2,860.00 119 340,340.00 360 1,029,600.00 360 1,029,600.00 119 340,340.00
1739 221230540064 WATER STERIL / AQUADEST 1 L 23,760.00 270 6,415,200.00 - - 75 1,782,000.00 195 4,633,200.00
1740 WATER STERIL / AQUADEST 1 L 11,235.40 - - 120 1,348,248.00 - - 120 1,348,248.00
1741 224130440090 X CAM 15 MG 6,930.00 - - - - - - - -
1742 220510440052 X CAM 7.5 MG 4,356.00 - - - - - - - -
1743 224110560002 XANAX TAB. 0,25 MG 1,844.98 - - - - - - - -
1744 224120560005 XANAX TAB. 0,5 MG 3,286.13 - - - - - - - -
1745 224120560012 XANAX XR 3,654.38 - - - - - - - -
1746 221240780009 XANDA SYR 120 ML 55,000.00 - - - - - - - -
1747 221240780010 XANDA SYR 60 ML 31,350.00 - - - - - - - -
1748 220410780435 XEPAFEN FORTE SYR. 20,900.00 - - - - - - - -
1749 221680780004 XEPAGEL LOTION 146,300.00 10 1,463,000.00 - - - - 10 1,463,000.00

1 2 3 4 5 6 7 8 9 10 11 12
1750 220410780012 XEPAMOL DROPS 22,990.00 15 344,850.00 - - 5 114,950.00 10 229,900.00

1751 XEPAMOL SYR. 250 / 5 ML 22,990.00 - - - - - - - -
1752 XEPAMOL TABLET 500 MG 444.13 1,200 532,956.00 - - 1,200 532,956.00 - -
1753 221120780021 XEPANEURON TAB. 1,018.88 - - - - - - - -
1754 220160780001 XEPAZYM TAB 2,612.50 100 261,250.00 - - - - 100 261,250.00
1755 220130030024 XYLOCAINE 10% SPRAY 307,307.00 4 1,229,228.00 - - 2 614,614.00 2 614,614.00
1756 220130030141 XYLOCAINE JELLY 2% 30 GRM 41,600.02 10 416,000.20 - - 10 416,000.20 - -
1757 220130030141 XYLOCAINE JELLY 2% 30 GRM 41,600.00 30 1,248,000.00 - - 10 416,000.00 20 832,000.00
1758 221811720058 XYZAL CAPS 7,927.92 50 396,396.00 - - 50 396,396.00 - -
1759 220850760857 YAFIX TAB. 12,210.00 - - - - - - - -
1760 220140760037 YARIDON TAB. 2,420.00 - - - - - - - -
1761 220710050004 YAZ 148,181.00 - - - - - - - -
1762 220150480017 ZANIC SYR 100 ML 24,200.00 - - - - - - - -
1763 220110690145 ZANTADIN INJ 2 ML 18,700.00 - - - - - - - -
1764 221150340003 ZEGAVIT TAB. 2,403.50 300 721,050.00 - - - - 300 721,050.00
1765 220150340025 ZINCARE 20 MG 1,985.50 - - - - - - - -
1766 221250100089 ZINCPRO DROPS 15 ML 6,281.00 7 43,967.00 - - - - 7 43,967.00
1767 221250100088 ZINCPRO SYR. 60 ML 7,089.50 - - - - - - - -
1768 220150310018 ZINKID SYR 30,250.00 - - - - - - - -
1769 ZINK TABLET 0.00 - - - - - - - -
1770 228120340004 ZOLAGEL CREAM 5,500.00 - - - - - - - -
1771 220110360126 ZOLLOCID CAPS 12,100.00 - - - - - - - -
1772 220110360038 ZOLLOCID INJ. 44,880.00 10 448,800.00 - - 10 448,800.00 - -
1773 220110360038 ZOLLOCID INJ. 48,620.00 - - 150 7,293,000.00 30 1,458,600.00 120 5,834,400.00
1774 224110210001 ZOLMIA TAB 4,950.00 - - - - - - - -
1775 220430560002 ZOLOFT TAB. 15,353.48 90 1,381,813.20 - - - - 90 1,381,813.20
1776 221820640033 ZOSTAVAX INJ. 1,702,462.80 - - - - - - - -
1777 228110320009 ZOTER 400 MG 9,157.50 48 439,560.00 - - - - 48 439,560.00
1778 228110320010 ZOTER CREAM 44,000.00 39 1,716,000.00 - - - - 39 1,716,000.00
###
SUB JUMLAH 108,719 1,062,193,922 ### 656,006,843 ### 791,644,267 165,078 926,556,498
###
BAHAN PELENGKAP ###
1 330201310005 8 FEN CUFF TRC INCAN 7.6 389,620.00 2 779,240.00 - - - - 2 779,240.00
2 330201310006 8 LPC CUFF TRC INCAN 7.6 334,950.00 2 669,900.00 - - - - 2 669,900.00
3 340200010007 ABBOCATH T 14 19,305.00 - - - - - - - -
4 340200010008 ABBOCATH T 18 21,285.00 45 957,825.00 - - 2 42,570.00 43 915,255.00
5 ABBOCATH T 18 ( IV CATHETER ) 6,049.70 50 302,485.00 - - - - 50 302,485.00
6 340200010009 ABBOCATH T 20 21,285.00 50 1,064,250.00 - - 50 1,064,250.00 - -
8 340200010011 ABBOCATH T 22 21,285.00 150 3,192,750.00 - - - - 150 3,192,750.00
10 340200010013 ABBOCATH T 24 21,285.00 100 2,128,500.00 - - 100 2,128,500.00 - -
12 340200010015 ABBOCATH T 26 25,080.00 - - - - - - - -
13 330200970016 ACTIMOVE ACTERBRACE L 637,450.00 1 637,450.00 - - 1 637,450.00 - -
14 330200970017 ACTIMOVE ACTERBRACE M 637,367.50 - - - - - - - -
15 330200970017 ACTIMOVE ACTERBRACE M 637,450.00 1 637,450.00 - - - - 1 637,450.00
16 330200970018 ACTIMOVE ACTERBRACE S 637,450.00 1 637,450.00 - - - - 1 637,450.00

1 2 3 4 5 6 7 8 9 10 11 12
17 340200050019 ALAT PASANG IMPLANT 55,000.00 1 55,000.00 - - - - 1 55,000.00

18 340201220020 ALAT PENGISAP LENDIR BAYI 35,200.00 - - - - - - - -
19 360201250021 ALCOHOL METER 71,500.00 1 71,500.00 - - - - 1 71,500.00
20 460300950010 ALCOHOL SWABS 264.00 5,400 1,425,600.00 4,800 1,267,200.00 4,900 1,293,600.00 5,300 1,399,200.00
21 ALCOHOL SWABS 233.75 8,000 1,870,000.00 - - 2,400 561,000.00 5,600 1,309,000.00
22 460300950010 ALCOHOL SWABS 198.00 - - - - - - - -
23 ALCOHOL SWABS 107.25 500 53,625.00 - - 500 53,625.00 - -
24 ALCOHOL SWABS 127.64 500 63,820.00 - - 500 63,820.00 - -
25 ALCOHOL SWABS 127.63 1,800 229,734.00 - - - - 1,800 229,734.00
26 330201180022 ARM SLING UK. M ( DEWASA ) 23,320.00 - - - - - - - -
27 ARM SLING UK. L ( DEWASA ) 133,650.00 4 534,600.00 - - 2 267,300.00 2 267,300.00
28 330201180023 ARM SLING UK. M ( DEWASA ) 133,650.00 10 1,336,500.00 - - 5 668,250.00 5 668,250.00
29 330201180024 ARM SLING UK. S ( ANAK ) 133,650.00 4 534,600.00 5 668,250.00 - - 9 1,202,850.00
30 AURA – 1 NO. 3 629,999.37 - - - - - - - -
31 AURA – 1 NO. 4 629,999.37 - - - - - - - -
32 AURA – 1 NO. 1 503,999.10 - - - - - - - -
33 AURA – 1 NO. 1 1/2 503,999.10 - - - - - - - -
34 AURA – 1 NO. 2 503,999.10 - - - - - - - -
35 AURA – 1 NO. 2 ½ 503,999.10 - - - - - - - -
36 BAJU OPERASI ( KIT CESAREAN 248,699.99 10 2,486,999.90 - - - - 10 2,486,999.90
37 340201020026 BALON ECG 165,000.00 - - - - - - - -
38 340201260027 BALON TENSIMETER 19,250.00 2 38,500.00 - - - - 2 38,500.00
39 340201440028 BALON TENSIMETER 52,800.00 5 264,000.00 - - - - 5 264,000.00
40 330201330029 BANDANA CAP GREEN 968.00 - - - - - - - -
41 330201330029 BANDANA CAP GREEN 1,056.00 100 105,600.00 300 316,800.00 300 316,800.00 100 105,600.00
42 BLOOD TRANFUSION SET 13,760.30 - - - - - - - -
43 BLOOD TRANFUSION SET 10,752.50 - - - - - - - -
44 340201370032 BLOOD TRANFUSION SET 22,440.00 540 12,117,600.00 200 4,488,000.00 490 10,995,600.00 250 5,610,000.00
45 340200780909 BLOODSTOP BS-IX-15 665,500.00 - - - - - - - -
46 330201450033 BONE WAX 59,400.00 - - - - - - - -
47 360201250034 BOTOL ASPIRATOR 10 LITER 671,000.00 - - - - - - - -
48 BRACKET BHS 26,125.00 67 1,750,375.00 - - - - 67 1,750,375.00
49 340201100035 BYE-BYE FEVER FOR BABIES 6,381.10 90 574,299.00 - - - - 90 574,299.00
50 340201100036 BYE-BYE FEVER FOR CHILDREN 9,084.90 15 136,273.50 - - - - 15 136,273.50
51 CANULA DUBLE TUB. 23G 0.00 - - - - - - - -
52 330200810776 CARPUS ALLENIUM 15,000.00 1 15,000.00 - - - - 1 15,000.00
53 CATGUT CHROMIC 0.00 - - - - - - - -
54 330201320045 CATGUT CHROMIC 0 HR 37 69,938.00 - - - - - - - -
55 330201320046 CATGUT CHROMIC 1 2,103,750.00 - - - - - - - -
56 330201320047 CATGUT CHROMIC 1 @ 75 M 1,485,000.00 - - - - - - - -
58 330201320777 CATGUT CHROMIC 1. 100 M 1,996,720.00 - - - - - - - -
59 330201320049 CATGUT CHROMIC 2 . 50 M ( 206 2,684,990.00 - - - - - - - -
60 CATGUT CHROMIC 2 HR 40 MM 45,700.00 36 1,645,200.00 - - - - 36 1,645,200.00
61 330201450050 CATGUT CHROMIC 2 HR 50 MM 45,700.00 12 548,400.00 - - 12 548,400.00 - -
62 330201320051 CATGUT CHROMIC 2/0 @ 100 M 2,135,760.00 - - - - - - - -
63 330201320052 CATGUT CHROMIC 2/0 HR 30 M 34,170.00 - - - - - - - -
64 CATGUT CHROMIC 3/0 55,000.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
65 330201320051 CATGUT CHROMIC 2/0, 100 M 2,103,750.00 - - - - - - - -

66 330200960053 CATGUT CHROMIC 3/0 1,600,203.00 - - - - - - - -
67 330201320820 CATGUT CHROMIC 3/0 100 M 2,091,760.00 - - - - - - - -
68 330201450054 CATGUT CROMIC 1 HR 43 73,568.00 - - - - - - - -
69 CATGUT CHROMIC W/O 2/0 30,184.00 - - - - - - - -
70 330201320055 CATGUT PLAIN NO. 0 @ 100 M 1,584,000.00 - - - - - - - -
71 330201450056 CATGUT PLAIN NO. 0 HR 37 67,034.00 - - - - - - - -
72 330201320057 CATGUT PLAIN NO. 1 @ 75 M 1,996,720.00 - - - - - - - -
73 330201450058 CATGUT PLAIN NO. 1 HR 48 91,850.00 - - - - - - - -
74 CATGUT PLAIN NO. 2/0 HR 20 34,300.00 12 411,600.00 - - 12 411,600.00 - -
75 CATGUT PLAIN NO. 2/0 HR 20 35,740.00 12 428,880.00 - - 12 428,880.00 - -
76 330201320059 CATGUT PLAIN NO. 2/0 @ 100 M 2,936,670.00 - - - - - - - -
77 330201320061 CATGUT PLAIN NO. 2/0 HR 26 34,300.20 - - 60 2,058,012.00 60 2,058,012.00 - -
78 330201320062 CATGUT PLAIN NO. 2/0 HR 37 M 55,000.00 - - - - - - - -
80 330201220830 CATGUT PLAIN NO. 3/0 14,300.00 - - - - - - - -
81 330201450064 CATGUT PLAIN NO. 3/0 @ 100 M 1,485,000.00 - - - - - - - -
82 CATGUT PLAIN NO. 3/0 HR 37 M 35,740.00 72 2,573,280.00 - - 72 2,573,280.00 - -
84 330201320066 CATGUT PLAIN NO. 4/0 HR 20 M 32,870.00 12 394,440.00 - - - - 12 394,440.00
85 CATGUT PLAIN NO. 4/0 HR 26 M 55,000.00 12 660,000.00 - - - - 12 660,000.00
86 CDL CURVED MMCVCBJ2-115-1 846,450.00 - - - - - - - -
87 330200260070 CERPLAST AEROFIL 100 MM 56,925.00 - - - - - - - -
91 330200260075 CERPLAST CAVITY 100 X 200 M 93,500.00 - - - - - - - -
92 330201450076 CERTOFIX DUO V 1220 HF 1,155,000.00 - - - - - - - -
93 330201450076 CERTOFIX DUO V 1220 HF 1,426,425.00 - - - - - - - -
94 330201450077 CERTOFIX DUO V 720 852,500.00 2 1,705,000.00 - - - - 2 1,705,000.00
95 330201450078 CERTOFIX TRIO V 1220 HF 1,155,000.00 - - - - - - - -
96 330201450079 CERTOFIX TRIO V 720 990,000.00 - - - - - - - -
97 330201160080 CERVICAL MC HARD L 302,500.00 - - - - - - - -
98 330201160081 CERVICAL MC HARD M (nekcolaa 302,500.00 - - - - - - - -
99 330201160082 CERVICAL MC S HARD 220,000.00 - - - - - - - -
100 330201160083 CERVICAL MC S HARD 275,000.00 - - - - - - - -
101 330201160084 CERVICAL NC SOFT CHOLER L 275,000.00 - - - - - - - -
102 330201160085 CERVICAL NC SOFT CHOLER M 302,500.00 - - - - - - - -
103 330201160086 CERVICAL NC SOFT CHOLER S 302,500.00 - - - - - - - -
104 330200940815 CHROMIC 0 TP ( G4011 - 90 ) 71,500.00 - - - - - - - -
105 330200940088 CHROMIC 1 TP ( G4018 - 90 ) 71,500.00 - - - - - - - -
106 330200940089 CHROMIC 2 TP ( G4819 - 90 ) 77,000.00 - - - - - - - -
107 CHROMIC 2/0 + ½ GT 35 MM 11,607.75 24 278,586.00 - - - - 24 278,586.00
108 360201200090 CHUSHAVAN 27 X 27 MM 880.00 - - - - - - - -
109 340200930091 CLIP PENJEPIT COLOSTOMY B 42,075.00 108 4,544,100.00 - - - - 108 4,544,100.00
110 330200500092 COLLACURE 120 X 40 X 3 MM 519,750.00 - - - - - - - -
111 330200500093 COLLACURE 50 X 50 X 5 MM 297,990.00 - - - - - - - -
112 340200930094 COLOSTOMY BAG 10,384.00 13 134,992.00 - - - - 13 134,992.00
113 340200930094 COLOSTOMY BAG 46,200.00 37 1,709,400.00 - - 1 46,200.00 36 1,663,200.00

1 2 3 4 5 6 7 8 9 10 11 12
114 COMBO KATETERISASI 16 37,400.00 - - 100 3,740,000.00 - - 100 3,740,000.00

115 COMBO KATETERISASI 18 37,400.00 - - 130 4,862,000.00 - - 130 4,862,000.00
116 COMBO PACK BS 18 32,725.00 - - 500 16,362,500.00 500 16,362,500.00 - -
117 COMBO PACK BS 20 32,725.00 - - 200 6,545,000.00 200 6,545,000.00 - -
118 COMBO PACK NPNW 20 GSTC 23,375.00 210 4,908,750.00 500 11,687,500.00 710 16,596,250.00 - -
119 COMBO PACK NPNW 22 GSTC 23,375.00 288 6,732,000.00 500 11,687,500.00 788 18,419,500.00 - -
120 COMBO PACK 24+SPALK (makro 37,400.00 - - 170 6,358,000.00 170 6,358,000.00 - -
121 CONDOM CATHETER M 4,620.00 - - - - - - - -
122 340200910095 CORE ELECTRODE 2670 5,553.90 700 3,887,730.00 500 2,776,950.00 500 2,776,950.00 700 3,887,730.00
123 360300820003 CUP SAMPLE @ 1000 580,800.00 - - - - - - - -
124 DACLON 10/0 2X6.4 231,616.00 12 2,779,392.00 - - - - 12 2,779,392.00
125 330201320098 DACLON 1 DS 24 55,000.00 24 1,320,000.00 - - - - 24 1,320,000.00
126 330201320099 DACLON 2/0 HR 24 55,000.00 - - - - - - - -
127 DACLON 2/0 DS 30 21,896.60 - - 48 1,051,036.80 - - 48 1,051,036.80
128 DACLON 2/0 DS 30 22,430.00 36 807,480.00 - - 36 807,480.00 - -
129 DACLON 2/0 DS 24 21,650.00 - - - - - - - -
130 330201320778 DACLON 3/0 DS 19 55,000.00 - - - - - - - -
131 330201320100 DACLON 3/0 DS 24 21,650.00 12 259,800.00 - - 12 259,800.00 - -
132 330201320816 DACLON 3/0 DS 30 55,000.00 - - - - - - - -
133 330201320750 DACLON 4/0 DS 19 22,430.00 60 1,345,800.00 - - - - 60 1,345,800.00
134 DACLON 6/0 55,000.00 - - - - - - - -
135 330201320779 DACLON 5/0 DS 16 22,430.00 24 538,320.00 - - 24 538,320.00 - -
136 330201450730 DAFILON 3/0 DS 24 BLUE 69,168.00 - - - - - - - -
137 330201450732 DAFILON 6/0 DS 12 BLUE 37,830.00 24 907,920.00 - - - - 24 907,920.00
138 340200120105 DARYANTULLE 9,157.50 - - - - - - - -
139 360201300096 DECK GLASS 77,000.00 10 770,000.00 - - - - 10 770,000.00
140 330200970106 DELTA CAST PRINT PAW 72273- 190,271.40 - - - - - - - -
141 330200970107 DELTA DRY 3" ( 5 X 2.4 m ) 57,890.45 - - - - - - - -
142 330200970108 DELTA DRY 4" ( 7.5 X 2.4 M ) 67,538.86 - - - - - - - -
143 330200970109 DELTA DRY 6" ( 10 X 2.4 M ) 74,775.67 - - - - - - - -
144 330200970808 DELTA LITE CONF. 10 X 3.6 M 165,310.20 - - - - - - - -
145 340201070111 DERMAFIX 10 X 25 CM 24,255.00 10 242,550.00 - - - - 10 242,550.00
146 340201450113 DISCOFIX 3 WAY STOPCOCK B 30,250.00 20 605,000.00 100 3,025,000.00 20 605,000.00 100 3,025,000.00
147 340201450114 DISCOFIX 3 WAY LUER LOCK 10 C 50,050.00 - - - - - - - -
148 340201450114 DISCOFIX 3 WAY LUER LOCK 10 C 38,500.00 - - 100 3,850,000.00 20 770,000.00 80 3,080,000.00
149 340201370980 DISPOSIBLE / NEEDLE 18 G 1,210.00 - - - - - - - -
150 DISPOSIBLE / NEEDLE 22 G 2,662.00 100 266,200.00 - - - - 100 266,200.00
151 340200950118 DISPOSIBLE / NEEDLE 25 G 1,089.00 1,900 2,069,100.00 - - 300 326,700.00 1,600 1,742,400.00
152 340200950118 DISPOSIBLE / NEEDLE 25 G 1,023.00 500 511,500.00 - - - - 500 511,500.00
155 340200950922 DISPOSIBLE / NEEDLE 26 G 1/2 792.00 - - - - - - - -
156 340200950978 DISPOSIBLE / NEEDLE 31 G X 5 3,018.40 - - - - - - - -
157 330200950817 DISPOSIBLE / NEEDLE 32 G X 4 2,750.00 - - - - - - - -
158 340200530120 DISPOSIBLE NOVOFINE 32 G 2,200.00 - - - - - - - -
159 340200950123 DISPOSIBLE SYRINGE UK. 1 CC 1,210.00 - - - - - - - -
160 340200950121 DISPOSIBLE SYRINGE UK. 1 CC 770.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12

163 DISPOSIBLE SYRINGE UK. 1 CC 616.00 - - - - - - - -
164 DISPOSIBLE SYRINGE UK. 1 CC 1,125.34 3,600 4,051,224.00 - - 3,100 3,488,554.00 500 562,670.00
165 DISPOSIBLE SYRINGE UK. 1 CC 1,125.30 - - 2,000 2,250,600.00 - - 2,000 2,250,600.00
166 340200950124 DISPOSIBLE SYRINGE UK. 10 2,750.00 - - - - - - - -
167 DISPOSIBLE SYRINGE UK. 10 1,155.00 - - - - - - - -
170 DISPOSIBLE SYRINGE UK. 10 1,609.30 - - 1,600 2,574,880.00 1,200 1,931,160.00 400 643,720.00
171 340201370901 DISPOSIBLE SYRINGE UK. 20 ( 3,575.00 - - - - - - - -
175 340201450130 DISPOSIBLE SYRINGE UK. 20 ( 14,300.00 10 143,000.00 9 128,700.00 10 143,000.00 9 128,700.00
176 DISPOSIBLE SYRINGE UK. 20 ( 1,647.80 35 57,673.00 - - 20 32,956.00 15 24,717.00
177 DISPOSIBLE SYRINGE UK. 20 ( 1,627.00 - - - - - - - -
178 340201220924 DISPOSIBLE SYRINGE UK. 20 ( 2,728.00 500 1,364,000.00 - - 200 545,600.00 300 818,400.00
180 340200950131 DISPOSIBLE SYRINGE UK. 3 1,430.00 2,600 3,718,000.00 - - 2,600 3,718,000.00 - -
181 DISPOSIBLE SYRINGE UK. 3 1,016.39 1,200 1,219,668.00 - - 1,200 1,219,668.00 - -
182 DISPOSIBLE SYRINGE UK. 3 1,016.42 1,000 1,016,420.00 - - 1,000 1,016,420.00 - -
183 DISPOSIBLE SYRINGE UK. 3 1,016.40 - - 4,500 4,573,800.00 1,500 1,524,600.00 3,000 3,049,200.00
184 340201450133 DISPOSIBLE SYRINGE UK. 3 759.00 - - - - - - - -
186 DISPOSIBLE SYRINGE UK. 3 577.50 - - - - - - - -
190 DISPOSIBLE SYRINGE UK. 5 1,149.44 1,800 2,068,992.00 - - 1,700 1,954,048.00 100 114,944.00
191 DISPOSIBLE SYRINGE UK. 5 1,149.46 - - 2,500 2,873,650.00 1,200 1,379,352.00 1,300 1,494,298.00
192 DISPOSIBLE SYRINGE UK. 50 4,064.00 5 20,320.00 - - 5 20,320.00 - -
193 340201450902 DISPOSIBLE SYRINGE UK. 50 ( L.P 27,500.00 - - 60 1,650,000.00 - - 60 1,650,000.00
194 340201370139 DISPOSIBLE SYRINGE UK. 50 ( L.P 17,545.00 - - - - - - - -
195 340201450903 DISPOSIBLE SYRINGE UK. 50 ( L.T 27,500.00 - - 100 2,750,000.00 10 275,000.00 90 2,475,000.00
196 340201370139 DISPOSIBLE SYRINGE UK. 50 ( L.T 29,700.00 140 4,158,000.00 - - 50 1,485,000.00 90 2,673,000.00
197 340201370138 DISPOSIBLE SYRINGE UK. 50 ( L.T 33,550.00 - - - - - - - -
198 340200810967 DRAGER CIRCUIT VENTILATOR 435,600.00 - - - - - - - -
199 330200970142 DYNACAST PRELUDE 3" 2,519,286.00 - - - - - - - -
202 330201280148 END TUBE CUFFED 3.0 45,760.00 - - - - - - - -
203 END TUBE CUFFED 3.0 70,950.00 15 1,064,250.00 - - - - 15 1,064,250.00
204 END TUBE CUFFED 3.5 70,950.00 5 354,750.00 - - - - 5 354,750.00
205 330201280149 END TUBE CUFFED 4.0 26,950.00 2 53,900.00 - - - - 2 53,900.00
206 END TUBE CUFFED 4.0 24,500.30 5 122,501.50 - - 5 122,501.50 - -
207 END TUBE CUFFED 5.0 24,500.30 - - - - - - - -
208 END TUBE CUFFED 5.5 24,500.30 - - - - - - - -
209 END TUBE CUFFED 6.0 24,500.30 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
210 END TUBE CUFFED 6.5 24,500.30 2 49,000.60 - - 1 24,500.30 1 24,500.30

211 END TUBE CUFFED 7.0 24,500.30 - - - - - - - -
212 END TUBE CUFFED 7.5 24,500.30 - - - - - - - -
213 END TUBE CUFFED 8.0 24,500.30 - - - - - - - -
214 ENDOTRACHELA TUBE 2.5 75,240.00 5 376,200.00 - - - - 5 376,200.00
215 330201280157 ENDOTRACHELA TUBE 03 45,760.00 - - - - - - - -
216 ENDOTRACHELA TUBE 03 69,300.00 1 69,300.00 - - - - 1 69,300.00
218 ENDOTRACHELA TUBE 3.5 45,760.00 - - - - - - - -
219 330201280159 ENDOTRACHELA TUBE 4.0 45,760.00 12 549,120.00 - - 9 411,840.00 3 137,280.00
221 330201280160 ENDOTRACHELA TUBE 5.0 45,760.00 4 183,040.00 - - - - 4 183,040.00
222 330201280161 ENDOTRACHELA TUBE 5.5 45,760.00 - - - - - - - -
225 330201280164 ENDOTRACHELA TUBE 7.0 45,760.00 7 320,320.00 20 915,200.00 19 869,440.00 8 366,080.00
226 330201280165 ENDOTRACHELA TUBE 7.5 45,760.00 - - 20 915,200.00 - - 20 915,200.00
228 ENDOTRACHELA TUBE 8.0 72,050.00 15 1,080,750.00 - - - - 15 1,080,750.00
229 ENDOTRACHELA UNCUF 2.5 75,240.00 3 225,720.00 - - - - 3 225,720.00
231 ENDOTRACHELA UNCUF 3 18,810.00 7 131,670.00 - - - - 7 131,670.00
233 ENDOTRACHELA WIRE 5 REINF 188,550.00 - - - - - - - -
234 ENDOTRACHELA WIRE 6 REINF 184,550.30 - - 2 369,100.60 - - 2 369,100.60
235 ENDOTRACHELA WIRE 6.5 REI 184,550.30 - - 1 184,550.30 - - 1 184,550.30
236 330201480172 EXTENDED UFE PH TRANSFER 264,000.00 2 528,000.00 - - - - 2 528,000.00
237 MASKER N 95 43,065.00 7 301,455.00 - - - - 7 301,455.00
238 340201330979 FACE MASK 435.60 - - - - - - - -
239 340200910173 FACE MASK 440.00 - - - - - - - -
240 FACE MASK TALI 554.40 6,900 3,825,360.00 - - 6,900 3,825,360.00 - -
241 FACE MASK TIES ON 605.70 - - - - - - - -
242 340201370175 FEEDING TUBE FR. 5 . 40 CM 33,880.00 - - - - - - - -
243 340201370178 FEEDING TUBE NO. 3,5 35 CM 33,880.00 40 1,355,200.00 10 338,800.00 - - 50 1,694,000.00
244 340201370179 FEEDING TUBE NO. 8 100 CM 33,880.00 - - 10 338,800.00 10 338,800.00 - -
245 340201370904 FEEDING TUBE NO. 8 40 CM 33,880.00 20 677,600.00 - - 6 203,280.00 14 474,320.00
246 350201010180 FILM X RAY 24 X 30 18,681.30 - - 100 1,868,130.00 100 1,868,130.00 - -
247 350201010182 FILM X RAY 30 X 40 29,704.95 100 2,970,495.00 100 2,970,495.00 100 2,970,495.00 100 2,970,495.00
248 350201010184 FILM X RAY 35 X 35 32,257.50 - - 200 6,451,500.00 200 6,451,500.00 - -
249 350201010194 FILM X RAY 35 X 43 34,839.75 - - - - - - - -
250 330200970186 FIXOMULL 76992 10 CM 92,294.40 - - - - - - - -
251 330200970187 FIXOMULL TRANPARENT 171,230.40 - - - - - - - -
252 340201260189 FOLLEY CATHETER NO. 06 15,840.00 8 126,720.00 - - 3 47,520.00 5 79,200.00
253 340201280190 FOLLEY CATHETER NO. 08 59,400.00 10 594,000.00 - - - - 10 594,000.00
254 FOLLEY CATHETER NO. 08 72,600.00 5 363,000.00 - - - - 5 363,000.00
256 340201280193 FOLLEY CATHETER NO. 12 23,496.00 1 23,496.00 - - 1 23,496.00 - -

1 2 3 4 5 6 7 8 9 10 11 12

260 340201260198 FOLLEY CATHETER NO. 16 15,840.00 80 1,267,200.00 - - 30 475,200.00 50 792,000.00
261 340201280200 FOLLEY CATHETER NO. 18 15,840.00 76 1,203,840.00 30 475,200.00 90 1,425,600.00 16 253,440.00
262 340201260201 FOLLEY CATHETER NO. 18 23,496.00 - - - - - - - -
264 340201280204 FOLLEY CATHETER THREE WAY 18 96,800.00 - - - - - - - -
265 340201280205 FOLLEY CATHETER THREE WAY 20 86,020.00 5 430,100.00 - - - - 5 430,100.00
268 340200120821 FRAMYCETIN SULFATE 10,175.00 100 1,017,500.00 300 3,052,500.00 300 3,052,500.00 100 1,017,500.00
269 360200010572 FREESTYLE LANCET KIT 673.31 4,300 2,895,233.00 - - 600 403,986.00 3,700 2,491,247.00
270 360300010005 FREESTYLE OPTIUM NEO H BG @ 100 4,133.05 2,700 11,159,235.00 - - 600 2,479,830.00 2,100 8,679,405.00
271 FREESTYLE OPTIUM NEO BG ( ALAT ) 275,000.00 16 4,400,000.00 - - - - 16 4,400,000.00
272 FREESTYLE OPTIUM BG STRIP @ 50 170,039.75 - - - - - - - -
273 FREESTYLE OPTIUM BG STRIP @ 25 0.00 24 - - - 7 - 17 -
274 340201040256 GELANG Adult ( PINK ) WRITE O 1,584.00 - - 600 950,400.00 300 475,200.00 300 475,200.00
275 340201260257 GELANG Adult ( PINK ) WRITE O 2,129.82 - - - - - - - -
276 340201220966 GELANG Adult ( PINK ) WRITE O 1,540.00 - - - - - - - -
277 340201040250 GELANG Adult BLUE (Write On) 1,584.00 300 475,200.00 600 950,400.00 300 475,200.00 600 950,400.00
278 340201260251 GELANG Adult BLUE (Write On) 2,129.82 - - - - - - - -
279 340201220967 GELANG Adult BLUE (Write On) 1,540.00 - - - - - - - -
280 340201040252 GELANG Adult RED (Insert Card) 1,980.00 - - - - - - - -
281 340201260253 GELANG Adult RED (Insert Card) 2,090.00 200 418,000.00 - - - - 200 418,000.00
282 340201040258 GELANG Adult UNGGU (Insert Ca 1,980.00 30 59,400.00 - - - - 30 59,400.00
283 340201040254 GELANG Adult YELLOW (Insert C 2,090.00 - - - - - - - -
284 340201040254 GELANG Adult YELLOW (Insert C 1,584.00 400 633,600.00 - - - - 400 633,600.00
285 340201260255 GELANG Adult YELLOW (Insert C 2,178.00 - - - - - - - -
286 340201040207 GELANG BAYI / ANAK BIRU 1,584.00 200 316,800.00 200 316,800.00 200 316,800.00 200 316,800.00
287 340201260208 GELANG BAYI / ANAK BIRU 1,540.00 - - - - - - - -
288 340201040209 GELANG BAYI / ANAK PINK 1,584.00 400 633,600.00 200 316,800.00 300 475,200.00 300 475,200.00
289 GELANG BAYI / ANAK RED 1,584.00 200 316,800.00 - - - - 200 316,800.00
290 340201260210 GELANG BAYI / ANAK PINK 2,178.00 80 174,240.00 - - - - 80 174,240.00
291 330201360212 GUEDEL AIRWAY 2 ( 80 MM ) 33,000.00 - - - - - - - -
292 330201280821 GUEDEL AIRWAY CLEAR NO. 0 159,500.00 10 1,595,000.00 - - - - 10 1,595,000.00
294 340201280926 GUEDEL AIRWAY CLEAR NO. 1 159,500.00 4 638,000.00 - - - - 4 638,000.00
295 330201360221 GUEDEL AIRWAY CLEAR NO. 3 159,500.00 - - - - - - - -
296 330201360220 GUEDEL AIRWAY CLEAR NO. 4 159,500.00 3 478,500.00 - - 3 478,500.00 - -
298 330201360218 GUEDEL AIRWAY CLEAR NO. 5 187,000.00 20 3,740,000.00 - - 20 3,740,000.00 - -
299 330201280223 GUEDEL NO. 00 41,580.00 - - - - - - - -
300 330201280224 GUEDEL RED NO. 0 235,950.00 7 1,651,650.00 - - - - 7 1,651,650.00
301 GUEDEL RED NO. 1 235,950.00 - - - - - - - -
302 330201280225 GUEDEL RED NO. 3 235,950.00 - - - - - - - -
303 330201280226 GUEDEL RED NO. 4 235,950.00 - - - - - - - -
304 330201280227 GUEDEL RED NO. 5 235,950.00 - - - - - - - -
305 GYNECOLOGY SET GNS-2109 683,496.00 5 3,417,480.00 - - 5 3,417,480.00 - -

1 2 3 4 5 6 7 8 9 10 11 12
306 330200970228 GYPSONE 3" 3.5 X 7.5 25,059.14 - - - - - - - -

307 330200970229 GYPSONE 4" 3.5 X 10 35,083.00 - - - - - - - -
308 330200970230 GYPSONE 6" 3.5 X 15 46,005.52 - - - - - - - -
309 360201500239 HALOGEN LAMP. 554871 343,200.00 - - - - - - - -
310 380201450231 HD ~ DIACAN ARTERIAL G16. 3 8,984.25 250 2,246,062.50 250 2,246,062.50 250 2,246,062.50 250 2,246,062.50
311 380201450231 HD ~ DIACAN ARTERIAL G16. 3 12,100.00 - - - - - - - -
312 380201450233 HD ~ DIACAP LOPS 15 PS DIAL 222,337.50 300 66,701,250.00 140 31,127,250.00 220 48,914,250.00 220 48,914,250.00
313 380201450233 HD ~ DIACAP LOPS 15 PS DIAL 297,000.00 - - - - - - - -
314 380201450236 HD ~ DIALOG BLOODLINE ARTE 110,715.00 288 31,885,920.00 168 18,600,120.00 216 23,914,440.00 240 26,571,600.00
315 380201450236 HD ~ DIALOG BLOODLINE ARTE 147,620.00 - - - - - - - -
316 380201450240 HD ~ HD. CONC. ACIDIC HDM 303 154,275.00 48 7,405,200.00 80 12,342,000.00 68 10,490,700.00 60 9,256,500.00
317 380201450240 HD ~ HD. CONC. ACIDIC HDM 303 224,400.00 - - - - - - - -
318 380201450241 HD ~ SOL CART B 107,085.00 - - 300 32,125,500.00 30 3,212,550.00 270 28,912,950.00
319 380201450241 HD ~ SOL CART B 142,780.00 180 25,700,400.00 - - 180 25,700,400.00 - -
320 330201120248 HOGI ~ DUEL SHEET OB SS 144,100.00 - - - - - - - -
321 330201120245 HOGI ~ EQUIPMENT TABLE COV 122,100.00 - - - - - - - -
322 330201120247 HOGI ~ MEDICAL CAP L-MCS-01 100,870.00 - - - - - - - -
323 330201120246 HOGI ~ SHOE COVER SR-SC-41 35,200.00 - - - - - - - -
324 330201120242 HOGI ~ SURG. GOWN ( L ) SG- 104,280.00 - - - - - - - -
325 330201120243 HOGI ~ SURG. GOWN ( XL ) SG 113,190.00 - - - - - - - -
326 330201120244 HOGI ~ UNIVERSAL SET USP-21 744,920.00 - - - - - - - -
327 HME FILTER WITH PAPER SOFT 74,250.00 100 7,425,000.00 - - - - 100 7,425,000.00
328 HOLDER ( free ) 0.00 - - - - - - - -
329 340201490241 HOT WATER CAP 34,650.00 3 103,950.00 - - - - 3 103,950.00
330 330201240780 IBS~ LINA PEN SINGLE USE 516 112,200.00 - - - - - - - -
331 330201240781 IBS~ TIP CLEANER FOR ELEC. D 32,725.00 - - - - - - - -
332 340201090249 ICE CAP 66,000.00 1 66,000.00 - - - - 1 66,000.00
333 340201260259 INFUSION SET ANAK ( Mikrodrip 7,920.00 - - - - - - - -
334 INFUSION SET ANAK ( Mikrodrip 7,700.00 45 346,500.00 - - - - 45 346,500.00
335 340201260259 INFUSION SET ANAK ( Mikrodrip 7,524.00 50 376,200.00 - - 50 376,200.00 - -
336 INFUSION SET ANAK ( Mikrodrip 22,000.00 20 440,000.00 - - - - 20 440,000.00
337 INFUSION SET DEWASA 11,495.00 15 172,425.00 - - - - 15 172,425.00
338 340200540262 INFUSION SET DEWASA 7,920.00 100 792,000.00 - - - - 100 792,000.00
339 340201260263 INFUSION SET DEWASA 16,500.00 40 660,000.00 - - - - 40 660,000.00
340 INFUSION SET DEWASA 7,700.00 50 385,000.00 - - - - 50 385,000.00
341 340201040981 INFUSION SET DEWASA 7,524.00 330 2,482,920.00 400 3,009,600.00 230 1,730,520.00 500 3,762,000.00
342 INFUSION SET DEWASA 7,480.00 - - - - - - - -
345 330201490281 INJ ~ CHECK BOWIE DICK MINI 3,245,000.00 - - - - - - - -
346 330201490585 INJ ~ FLAT ROLL 10 CM X 200 M 852,500.00 - - - - - - - -
348 330200910282 INJ ~ INTERNAL INDIKATOR FO 605,000.00 - - - - - - - -
349 330200910283 INJ ~ LABELER INDICATOR FO 7,799,000.00 - - - - - - - -
350 330200910284 INJ ~ RINSE AID 5 LTR 1,952,500.00 - - - - - - - -
351 330200910285 INJ ~ UNIVERSAL DETERGENT 5 1,870,000.00 - - - - - - - -
352 340201200265 INJECTIONN PAD 36 MM 1,265.00 - - - - - - - -
353 330201410267 INTEST. NEEDLE PB ROUND FRG 24,811.41 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
354 330201410268 INTEST. NEEDLE PB ROUND FRG 24,811.41 - - - - - - - -

355 330201410269 INTEST. NEEDLE PB ROUND FR 28,482.66 - - - - - - - -
356 340201450270 INTRAFIX AIR PEDIATRI ( ANAK 18,150.00 - - - - - - - -
357 340201450271 INTRAFIX SAFE SET ( DEWASA ) 33,000.00 - - 60 1,980,000.00 50 1,650,000.00 10 330,000.00
358 INTRODUCER 7F 10 CM NEEDLE 496,375.00 3 1,489,125.00 - - - - 3 1,489,125.00
359 340201450273 INTTROCAN SAFETY 18 30,250.00 - - - - - - - -
363 340201450277 INTTROCAN W 20 IN STOPER 10,725.00 - - - - - - - -
366 340201110286 KAPAS PUTIH @ 1 KG 44,550.00 5 222,750.00 - - - - 5 222,750.00
367 340201220822 KAPAS PUTIH @ 500 GR 36,300.00 3 108,900.00 - - - - 3 108,900.00
368 340200990287 KAPAS PUTIH BERLEMAK @ 1 56,650.00 - - - - - - - -
369 370201460038 KAPSUL KOSONG NO.0 66.00 1,000 66,000.00 - - - - 1,000 66,000.00
370 370201460039 KAPSUL KOSONG NO.00 63.89 2,000 127,780.00 - - 1,000 63,890.00 1,000 63,890.00
371 370201460040 KAPSUL KOSONG NO.1 66.00 1,000 66,000.00 - - - - 1,000 66,000.00
372 370201460041 KAPSUL KOSONG NO.2 64.00 3,000 192,000.00 - - - - 3,000 192,000.00
373 370201460041 KAPSUL KOSONG NO.2 66.00 - - - - - - - -
374 370201460042 KAPSUL KOSONG NO.3 54.60 1,000 54,600.00 - - 1,000 54,600.00 - -
375 360201570288 KARTU GOLONGAN DARAH 583.00 - - - - - - - -
376 360201660581 KARTU GOLONGAN DARAH 330.00 - - - - - - - -
377 360201490289 KARTU GOLONGAN DARAH FRE 0.00 - - - - - - - -
378 330201110290 KASA HYDROPHYL 145,530.00 - - - - - - - -
379 330201580292 KASA HYDROPHYL ( MMP ) 140,481.00 - - - - - - - -
380 330201110293 KASA KOMPRES STERIL 8,250.00 - - - - - - - -
381 330201110293 KASA KOMPRES STERIL 5,445.00 60 326,700.00 - - 12 65,340.00 48 261,360.00
382 330200980291 KASA HYDROPHYL ( PPI ) 156,200.00 58 9,059,600.00 - - 17 2,655,400.00 41 6,404,200.00
383 330201110293 KASA KOMPRES STERIL 3,850.00 6 23,100.00 - - 1 3,850.00 5 19,250.00
384 330201110293 KASA KOMPRES STERIL 7,700.00 4 30,800.00 - - 4 30,800.00 - -
385 330200980296 KASA PEMBALUT(INDAH) 1,650.00 50 82,500.00 - - - - 50 82,500.00
386 KERTAS EKG OP-119 90,200.00 - - - - - - - -
387 370201490299 KERTAS HANDBON 319,000.00 - - - - - - - -
388 KERTAS LOGO PRESS 99,000.00 27 2,673,000.00 - - - - 27 2,673,000.00
389 360201590297 KERTAS PRINTER PHOTOMETE 5,500.00 - - - - - - - -
390 340201600298 KERTAS PRINTER U/ ELEKTROL 66,000.00 - - - - - - - -
391 360201500301 LAMPU HALOGEN 554871 457,600.00 - - - - - - - -
392 340200970303 LEUKOMED 72380 - 04 10 X 25 10,120.00 - - - - - - - -
393 340200970302 LEUKOMED T PLUS 10 X 25 CM 40,546.00 25 1,013,650.00 - - 25 1,013,650.00 - -
394 340200970304 LEUKOMED T PLUS 8 X 15 CM 16,831.58 - - - - - - - -
395 340200970305 LEUKOMED-IV 72389-00 2,327.60 - - - - - - - -
396 340200970306 LEUKOPLAST UK. 2,5 x 5 (1624H 16,385.60 7 114,699.20 - - 7 114,699.20 - -
397 340200970306 LEUKOPLAST UK. 4,5 x 5 (1624H 28,215.00 - - - - - - - -
398 LEUKOTAPE 5 cm X 5 meter 210,210.00 - - - - - - - -
399 LIGA CLIP LT-300 470,000.00 - - - - - - - -
400 LIGA CLIP EXTRA TITANIUM 3,432,000.00 - - - - - - - -
401 LINA PEN SINGLE USE 516 112,200.00 - - 30 3,366,000.00 30 3,366,000.00 - -
402 LINA PEN ( PENSIL WHOLSTER ) 132,000.00 10 1,320,000.00 - - 10 1,320,000.00 - -

1 2 3 4 5 6 7 8 9 10 11 12
403 330201320312 LOGICATH SET 12 FR 20 CM 1,039,500.00 5 5,197,500.00 - - - - 5 5,197,500.00

404 330200810782 LOGICATH SET 2 12 F 1,039,500.00 - - 5 5,197,500.00 5 5,197,500.00 - -
405 340201240313 LOMATULE 12,155.00 150 1,823,250.00 - - 90 1,093,950.00 60 729,300.00
406 340201440314 MANSET TENSIMETER DEWASA 52,250.00 2 104,500.00 - - 2 104,500.00 - -
407 330201220316 MEDICRAPE 10 X 4.5 29,040.00 - - - - - - - -
408 330201220315 MEDICRAPE 15 X 4.5 44,198.00 12 530,376.00 - - 1 44,198.00 11 486,178.00
409 330201220317 MEDICRAPE 7.5 X 4.5 23,958.00 - - 17 407,286.00 - - 17 407,286.00
410 MICRO FINE 4 MM 3,988.60 - - - - - - - -
411 340200530318 MICRO FINE 5 MM 3,988.60 - - - - - - - -
412 340200530319 MICRO FINE 8 MM 2,323.48 - - - - - - - -
413 340201370965 MICROBURET ( MICRODRIP FOR 83,776.00 10 837,760.00 - - - - 10 837,760.00
414 340200910322 MICROPORE 1/2 " 14,256.00 24 342,144.00 - - - - 24 342,144.00
415 MICROPORE 1 “ 33,709.50 - - - - - - - -
416 340200910321 MICROPORE 2 " 57,024.00 72 4,105,728.00 60 3,421,440.00 114 6,500,736.00 18 1,026,432.00
417 MIROTAINER K2 EDTA 5,720.00 - - - - - - - -
418 MOUTH PIECE 2.5 CM 7,012.50 - - - - - - - -
419 MULTIPLE NEEDLE FLASHBACK 133,100.00 - - - - - - - -
420 340201260331 NANOPASS 32. 5G 3,960.00 - - - - - - - -
421 340201040928 NEBULIZER MASK DEWASA 35,200.00 10 352,000.00 - - 2 70,400.00 8 281,600.00
422 340200530332 NOVOTWIST 32 G 3,291.75 - - - - - - - -
423 330200940333 NYLON 2 - 0 RC ( CE2442 - 75N ) 55,000.00 - - - - - - - -
424 330200940334 NYLON 3 - 0 RC ( CE2443 - 75 ) 55,000.00 - - - - - - - -
425 330200940335 NYLON 4 - 0 RC ( CE2444 - 75N ) 55,000.00 - - - - - - - -
426 330200940336 NYLON 6 - 0 RC ( CE1646 - H ) 60,500.00 - - - - - - - -
427 330200940337 NYLON NEGRO 3 - 0 RC ( CE2443 46,750.00 - - - - - - - -
428 OPTITORQUE STRAIGHT PIGTAI 679,250.00 3 2,037,750.00 - - - - 3 2,037,750.00
429 OBJECT GLASS/SLIDE @ 72 37,500.10 - - - - - - - -
430 360201300338 OBJECT GLASS/SLIDE @ 72 58,850.00 - - - - - - - -
431 OPTIVA G 18 19,360.00 - - - - - - - -
432 340201140339 OPTIVA G 2, 22 29,040.00 100 2,904,000.00 - - 100 2,904,000.00 - -
433 340201140340 OPTIVA G 20 19,360.00 - - 200 3,872,000.00 200 3,872,000.00 - -
434 340201140341 OPTIVA G 22 24,200.00 - - - - - - - -
435 340201140586 OPTIVA G 24 19,360.00 - - 200 3,872,000.00 - - 200 3,872,000.00
436 340200540914 OTSU Y SET 24,200.00 200 4,840,000.00 - - - - 200 4,840,000.00
437 340200540342 OTSUCATH 20 21,450.00 - - - - - - - -
438 340200540343 OTSUCATH 22 16,280.00 - - - - - - - -
439 340200540344 OTSUCATH 24 17,226.00 - - - - - - - -
440 340201220707 PAP'S MEAR KID SIZE L 29,700.00 - - - - - - - -
441 PAP'S MEAR KID SIZE M 34,650.00 70 2,425,500.00 - - 20 693,000.00 50 1,732,500.00
442 340201220706 PAP'S MEAR KID SIZE S 34,650.00 21 727,650.00 - - - - 21 727,650.00
443 340201330345 PASTIK 363.00 - - - - - - - -
444 PD. UNDERPAD 60 X 90 6,545.00 29 189,805.00 - - - - 29 189,805.00
445 PD. PLATE M2 ( BIOPOLAR ) 35,062.50 200 7,012,500.00 - - - - 200 7,012,500.00
446 PD. CABLE C1 201,025.00 10 2,010,250.00 - - - - 10 2,010,250.00
447 340201490346 PEMBALUT WANITA UK. L 5,610.00 - - - - - - - -
448 340201490347 PEMBALUT WANITA UK. M 2,640.00 - - - - - - - -
449 PENSIL COUTER 207,900.00 - - - - - - - -
450 340201040348 PENUTUP MATA BAYI 148,500.00 20 2,970,000.00 - - 10 1,485,000.00 10 1,485,000.00
451 340201190349 PEPER PRINTER COLOR CK-90 2,145,000.00 5 10,725,000.00 - - - - 5 10,725,000.00

1 2 3 4 5 6 7 8 9 10 11 12
452 340201190351 PEPER USG 110 HG TYPE V 264,000.00 16 4,224,000.00 - - 13 3,432,000.00 3 792,000.00
453 340201450352 PERFUSOR TUB. WHITE 150 CM 53,900.00 5 269,500.00 - - 5 269,500.00 - -
454 340201450352 PERFUSOR TUB. WHITE 150 CM 49,500.00 - - 200 9,900,000.00 50 2,475,000.00 150 7,425,000.00
455 330201450819 PERIFIK 400 G18 X 3 396,000.00 2 792,000.00 - - - - 2 792,000.00
456 330201450819 PERIFIK 400 G18 X 3 435,600.00 2 871,200.00 - - - - 2 871,200.00
457 330200940355 PGA 1 TP ( G4898 - 90 ) 99,000.00 - - - - - - - -
458 330200940356 PGA 2 - 0 TP ( G3792 - 90 ) 88,000.00 - - - - - - - -
459 330200940357 PGA 3 - 0 TP ( R2093 - 75 ) 82,500.00 - - - - - - - -
460 330200940358 PGA 4 - 0 TP ( R2094 - 75 ) 82,500.00 - - - - - - - -
461 330200940359 PGA 5 - 0 TP ( F1795 - 75 ) 91,300.00 2 182,600.00 - - 2 182,600.00 - -
462 330200940360 PGC 25 3 - 0 RC ( PE1903 - 75B ) 99,000.00 - - - - - - - -
463 330200940362 PLAIN 1 TP ( G3728 ) 60,500.00 - - - - - - - -
464 330200940363 PLAIN 2 - 0 TP ( G3722 - 75 ) 60,500.00 - - - - - - - -
465 330200940364 PLAIN 3 - 0 RC ( CE1923 - 75 ) 55,000.00 - - - - - - - -
466 330200940365 PLAIN 3 - 0 TP ( R2623 - 75 ) 55,000.00 12 660,000.00 - - - - 12 660,000.00
467 330200940366 PLAIN 4 - 0 RC ( CE1924 - 75 ) 60,500.00 - - - - - - - -
468 340201490266 PLESTERAN BULAT 192.50 400 77,000.00 - - - - 400 77,000.00
469 340201490266 PLESTERAN BULAT 297.00 - - 1,000 297,000.00 - - 1,000 297,000.00
470 340201330367 POLIBAN 15 X 2.7 23,650.00 - - - - - - - -
471 340201330368 POLICREPE 10 X 4.55 41,360.00 - - - - - - - -
472 340201330369 POLICREPE 15 X 4.55 52,360.00 - - - - - - - -
473 340201330370 POLICREPE 7.5 X 4.55 34,760.00 - - - - - - - -
474 340201330371 POLIFIX 20 X 5 124,960.00 - - - - - - - -
475 340200440917 POLYMEM MAX NON ADHESIF 11 162,800.00 20 3,256,000.00 - - - - 20 3,256,000.00
476 340200440918 POLYMEM NON ADHESIF 10 x 1 82,500.00 - - - - - - - -
477 340200440929 POLYMEM SILVER 10,8 X 10,8 C 207,350.00 5 1,036,750.00 - - 1 207,350.00 4 829,400.00
478 330201320755 POLYPRO HERNIA MESSH 164,370.00 5 821,850.00 - - - - 5 821,850.00
479 330201320831 POLYPROPYLENE 0 HR 40 MM 66,000.00 12 792,000.00 - - - - 12 792,000.00
480 330201320832 POLYPROPYLENE 1 HR 40 MM 66,000.00 12 792,000.00 - - - - 12 792,000.00
481 330201320783 POLYPROPYLENE 2/0 HR 25 MM 27,030.30 - - 36 973,090.80 - - 36 973,090.80
482 330201320833 POLYPROPYLENE 4/0 HR 15 69,608.00 - - - - - - - -
483 330200940373 POLYPROPYLENE 7/0 HR 10 91,608.00 12 1,099,296.00 - - - - 12 1,099,296.00
484 360201490374 POSPACK SIMPLE 28,050.00 6 168,300.00 - - - - 6 168,300.00
485 370201490377 POT ZALF 100 GR 2,090.00 150 313,500.00 - - 20 41,800.00 130 271,700.00
486 370201490377 POT ZALF 100 GR 2,464.00 11 27,104.00 - - - - 11 27,104.00
487 370201490377 POT ZALF 100 GR 2,200.00 30 66,000.00 - - 30 66,000.00 - -
488 370201490378 POT ZALF 20 GR 1,210.00 - - 100 121,000.00 - - 100 121,000.00
489 370201490380 POT ZALF 30 GR 1,540.00 - - 300 462,000.00 300 462,000.00 - -
490 370201490381 POT ZALF 50 GR 1,760.00 - - 400 704,000.00 160 281,600.00 240 422,400.00
491 330200940818 PPH STAPLER 33 4,400,000.00 - - - - - - - -
492 330201450383 PREMILENE 1 HR 40 103,983.00 - - - - - - - -
493 330201450384 PREMILENE 2/0 HR 26 BLUE 110,000.00 - - - - - - - -
494 330201450385 PREMILENE 7/ 0 2X DRC 226,050.00 - - - - - - - -
495 330201450386 PREMILENE MESH 5 X 10 332,640.00 - - - - - - - -
496 330201450387 PREMILENE MESH 7.5 X 15 431,420.00 - - - - - - - -
497 330200420784 PROXIMATE PPH PROCEDURE 4,752,000.00 1 4,752,000.00 - - - - 1 4,752,000.00
498 360201490392 RAK WESTEGREEN 10 HOLE 275,000.00 - - - - - - - -
499 RAUCODRAPE SMART UNIVERS 396,000.00 - - - - - - - -
500 RAUCODRAPE SMART C-SECTIO 470,250.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
501 330201510393 RECTAL TUBE 20 32,670.00 - - - - - - - -

502 330201510394 RECTAL TUBE 22 32,670.00 - - - - - - - -
503 330201510394 RECTAL TUBE 24 16,500.00 - - - - - - - -
504 330201510394 RECTAL TUBE 24 32,670.00 - - - - - - - -
505 330201510395 RECTAL TUBE 28 32,670.00 2 65,340.00 - - - - 2 65,340.00
506 330201510396 RECTAL TUBE 30 32,670.00 - - - - - - - -
507 330201510397 RECTAL TUBE 32 16,500.00 - - - - - - - -
508 340201280398 RING PESARIUM NO. 7 138,600.00 3 415,800.00 - - - - 3 415,800.00
509 340201280398 RING PESARIUM NO. 7 154,000.00 2 308,000.00 - - - - 2 308,000.00
510 340201280399 RING PESARIUM NO. 7.5 138,600.00 2 277,200.00 - - - - 2 277,200.00
511 340201280399 RING PESARIUM NO. 7.5 127,050.00 1 127,050.00 - - - - 1 127,050.00
512 340201280399 RING PESARIUM NO. 7.5 154,000.00 1 154,000.00 - - - - 1 154,000.00
513 330201290400 ROMO VAC SET GS50002 FG12 284,350.00 2 568,700.00 - - - - 2 568,700.00
514 330201290401 ROMO VAC SET GS50002 FG14 258,500.00 - - - - - - - -
515 RUBBER HAND GLOVE NO. 6,5 14,850.00 - - - - - - - -
516 340201030402 RUBBER HAND GLOVE NO. 6,5 16,335.00 - - - - - - - -
517 RUBBER HAND GLOVE NO. 6,5 16,500.00 40 660,000.00 - - 40 660,000.00 - -
518 RUBBER HAND GLOVE NO. 6,5 18,700.00 120 2,244,000.00 - - 80 1,496,000.00 40 748,000.00
519 340201030403 RUBBER HAND GLOVE NO. 7 18,700.00 80 1,496,000.00 80 1,496,000.00 160 2,992,000.00 - -
520 RUBBER HAND GLOVE NO. 7 14,850.00 - - - - - - - -
521 RUBBER HAND GLOVE NO. 7,5 14,850.00 - - - - - - - -
522 340201030405 RUBBER HAND GLOVE NO. 7,5 16,500.00 160 2,640,000.00 80 1,320,000.00 160 2,640,000.00 80 1,320,000.00
523 340201030405 RUBBER HAND GLOVE NO. 7,5 18,700.00 - - 80 1,496,000.00 80 1,496,000.00 - -
524 340201030407 RUBBER HAND GLOVE NO. 8 16,335.00 40 653,400.00 - - 40 653,400.00 - -
525 340201030407 RUBBER HAND GLOVE NO. 8 16,830.00 30 504,900.00 - - - - 30 504,900.00
526 RUBBER HAND GLOVE NO. 8 14,850.00 50 742,500.00 - - 50 742,500.00 - -
527 340201030407 RUBBER HAND GLOVE NO. 8 18,700.00 120 2,244,000.00 - - 40 748,000.00 80 1,496,000.00
528 330201450409 SAFIL 0 HR 48 102,050.30 - - - - - - - -
529 330201450410 SAFIL 1 HR 48 122,650.00 - - - - - - - -
530 330201450411 SAFIL 2/0 HR 26 VIOLET 92,230.60 - - - - - - - -
531 330201450412 SAFIL 3/0 DS 24 87,258.60 - - - - - - - -
532 330201450413 SAFIL 3/0 HR 26 92,364.80 - - - - - - - -
533 330201450415 SAFIL 4/0 HR 17 97,202.60 - - - - - - - -
534 340201450416 SANGOFIX 24,200.00 - - - - - - - -
535 340200320417 SANOSKIN PLUS TULE 41,800.00 - - - - - - - -
536 340201260420 SANRUNG TANGAN PANJANG NO 37,400.00 - - - - - - - -
537 340201260982 SANRUNG TANGAN PANJANG NO 37,400.00 9 336,600.00 - - - - 9 336,600.00
538 330201310421 SATIN SLIP INTUB STYLET L 44,660.00 - - - - - - - -
539 330201310422 SATIN SLIP INTUB STYLET M 44,660.00 - - - - - - - -
540 330201310423 SATIN SLIP INTUB STYLET S 44,660.00 - - - - - - - -
541 340200920424 SCALP VEIN NEEDLE 23 9,900.00 - - - - - - - -
542 340200920425 SCALPEL BLADE BB- 510 5,778.85 200 1,155,770.00 - - - - 200 1,155,770.00
543 340200920426 SCALPEL BLADE BB- 511 6,083.00 100 608,300.00 - - - - 100 608,300.00
544 340200920427 SCALPEL BLADE BB- 515 5,778.85 - - - - - - - -
545 340200920427 SCALPEL BLADE BB- 515 6,083.00 100 608,300.00 - - - - 100 608,300.00
546 340200920428 SCALPEL BLADE BB- 520 6,083.00 200 1,216,600.00 - - - - 200 1,216,600.00
547 SCALPEL BLADE BB- 522 6,083.00 - - 100 608,300.00 - - 100 608,300.00
548 340201260430 SELANG O2 ANAK 9,900.00 - - - - - - - -
549 340201390429 SELANG O2 ANAK 14,960.00 100 1,496,000.00 100 1,496,000.00 10 149,600.00 190 2,842,400.00

1 2 3 4 5 6 7 8 9 10 11 12
550 340201390429 SELANG O2 ANAK 15,840.00 80 1,267,200.00 - - - - 80 1,267,200.00

551 340201390431 SELANG O2 BAYI 8,276.40 5 41,382.00 - - - - 5 41,382.00
552 SELANG O2 ( XS ) BAYI 7,623.00 50 381,150.00 - - - - 50 381,150.00
553 SELANG O2 ( XS ) BAYI 7,622.83 25 190,570.75 - - - - 25 190,570.75
554 340201260434 SELANG O2 DEWASA 14,960.00 40 598,400.00 100 1,496,000.00 10 149,600.00 130 1,944,800.00
555 340201390433 SELANG O2 DEWASA 8,276.40 90 744,876.00 - - - - 90 744,876.00
556 SENSIPED ALAS POPOK L 39,050.00 - - - - - - - -
557 330201320785 SILK 3/0 HR 26 MM 44,000.00 - - - - - - - -
558 330201320435 SILK 1 ROLL 100 M 1,257,190.00 - - - - - - - -
559 SILK 2/0 w/o 44,000.00 - - - - - - - -
560 SILK 2/0 HR 20 MM 20,299.95 - - 60 1,217,997.00 48 974,397.60 12 243,599.40
561 SILK 3/0 HR 26 MM 19,700.00 96 1,891,200.00 - - - - 96 1,891,200.00
562 SILK 2/0 + ½ GT 35 MM 6,352.50 - - - - - - - -
563 SILK 2/0 + ½ GT 35 MM 7,763.80 36 279,496.80 - - - - 36 279,496.80
564 330201320438 SILK 2/0 ROLL 100 M 850,080.00 - - - - - - - -
565 330201320439 SILK 3 - 0 TP ( R2633 ) 49,500.00 - - - - - - - -
566 330201320440 SILK 3 ROLL 100 M 1,069,640.00 - - - - - - - -
567 330201320441 SILK 4 - 0 TP ( R2634 ) 44,000.00 - - - - - - - -
568 330201320442 SILK 4 ROLL 100 M 777,920.00 - - - - - - - -
569 330201450443 SILK BLACK 2 ( 5080 ) @100 M 643,500.00 - - - - - - - -
570 330201320786 SILK BLACK 2/0 @100 M 1,402,500.00 - - - - - - - -
571 330201450444 SILK BLACK 2/0 HR 20 MM 20,610.00 36 741,960.00 - - - - 36 741,960.00
572 330201320787 SILK BLACK 2/0 HR 26 MM 44,000.00 - - - - - - - -
573 330201450445 SILK BLACK 3/0 HR 26 MM 44,000.00 - - - - - - - -
574 SILK BLACK 3/0 HR 30 MM 20,610.00 - - - - - - - -
575 SILK BLACK 4/0 HR 20 MM 20,300.00 24 487,200.00 - - - - 24 487,200.00
576 SILK BRAIDED 0.00 - - - - - - - -
577 330201450447 SILKAM 0 DS 30 BLACK 83,853.00 - - - - - - - -
578 330201450448 SILKAM 1 13X60 CM BLACK 71,060.00 - - - - - - - -
579 330201450449 SILKAM 1 HR 48 70,070.00 - - - - - - - -
580 330201450450 SILKAM 2/0 BLACK 58,201.00 - - - - - - - -
581 330201450451 SILKAM 3/0 HR 17 55,781.00 - - - - - - - -
582 330201450452 SILKAM 3/0 HR 22 BLACK 75 CM 68,970.00 - - - - - - - -
583 340201260453 SIMP. MASK NON REBR. M ( DE 44,000.00 - - 100 4,400,000.00 100 4,400,000.00 - -
584 340201220931 SIMP. MASK NON REBR. S ( ANA 36,300.00 - - - - - - - -
585 340201260454 SIMP. MASK NON REBR. S ( ANA 44,000.00 5 220,000.00 40 1,760,000.00 2 88,000.00 43 1,892,000.00
586 340200970455 SOFFBAN 72011.13 6" 15 X 2.7 27,288.58 6 163,731.48 - - - - 6 163,731.48
587 340200970455 SOFFBAN 72011.13 6" 15 X 2.7 39,655.00 7 277,585.00 - - - - 7 277,585.00
588 340200970456 SOFFBAN 72011.14 3" 7.5 X 2.7 20,847.20 - - - - - - - -
589 340200970457 SOFFBAN 72011.15 4" 10 X 2.7 26,059.00 5 130,295.00 - - - - 5 130,295.00
590 340200970457 SOFFBAN 72011.15 4" 10 X 2.7 28,325.00 8 226,600.00 - - - - 8 226,600.00
591 330200640458 SOFRATULLE 24,781.10 - - - - - - - -
592 360200610460 SOFTCLIX LANCET UNO 200 1,320.00 400 528,000.00 - - - - 400 528,000.00
593 360200610460 SOFTCLIX LANCET UNO 200 1,452.00 200 290,400.00 - - - - 200 290,400.00
594 360200070575 SOFTCLIX STANDART ACCUCH 176,000.00 - - - - - - - -
595 330201450462 SPINOCAN 25G X 3 1/2 " 44,000.00 - - - - - - - -
596 330201450463 SPINOCAN 26G X 3 1/2 " 67,925.00 - - - - - - - -
597 SPINOCAN 27G X 3 1/2 " 51,700.00 - - - - - - - -
598 SPINOCAN / SPINAL 25G X 3 1/2 " 20,295.00 145 2,942,775.00 - - 25 507,375.00 120 2,435,400.00

1 2 3 4 5 6 7 8 9 10 11 12
599 SPINOCAN / SPINAL 26G X 3 1/2 " 20,295.00 275 5,581,125.00 - - 50 1,014,750.00 225 4,566,375.00
600 340201370466 STOMACH TUBE NO.12 29,568.00 22 650,496.00 - - - - 22 650,496.00
601 STOMACH TUBE NO.12 4,781.00 - - - - - - - -
602 340201370467 STOMACH TUBE NO.14 29,568.00 10 295,680.00 - - 10 295,680.00 - -
603 STOMACH TUBE NO.16 8,469.90 - - - - - - - -
604 340201370468 STOMACH TUBE NO.16 29,568.00 45 1,330,560.00 - - 20 591,360.00 25 739,200.00
605 STOMACH TUBE NO.18 6,448.20 4 25,792.80 - - - - 4 25,792.80
606 340201370469 STOMACH TUBE NO.18 29,568.00 20 591,360.00 - - - - 20 591,360.00
607 340201450470 STOPPER LL 6,600.00 - - 200 1,320,000.00 - - 200 1,320,000.00
608 SOFRATULLE 26,023.14 - - - - - - - -
609 SUCTION CATHETER NO. 12 6,448.20 14 90,274.80 - - - - 14 90,274.80
610 340201260471 SUCTION CATHETER NO. 12 7,673.60 35 268,576.00 - - - - 35 268,576.00
614 340201260473 SUCTION CATHETER NO. 16 10,065.00 - - - - - - - -
618 340201260474 SUCTION CATHETER NO. 8 7,673.60 118 905,484.80 100 767,360.00 100 767,360.00 118 905,484.80
619 340201040475 SUNGKUP OXYGEN ANAK 33,000.00 20 660,000.00 - - 2 66,000.00 18 594,000.00
620 340201260476 SUNGKUP OXYGEN ANAK 31,944.00 84 2,683,296.00 - - - - 84 2,683,296.00
621 SUNGKUP OXYGEN BAYI 19,800.00 15 297,000.00 - - 5 99,000.00 10 198,000.00
622 340201040477 SUNGKUP OXYGEN BAYI 31,944.00 - - - - - - - -
623 340201040479 SUNGKUP OXYGEN DEWASA 31,944.00 10 319,440.00 30 958,320.00 20 638,880.00 20 638,880.00
624 340201040479 SUNGKUP OXYGEN DEWASA 33,000.00 - - - - - - - -
626 340201370481 SURFLO WP I.V. NO. 26 41,679.00 - - 150 6,251,850.00 150 6,251,850.00 - -
627 340201370481 SURFLO WP I.V. NO. 26 39,363.50 200 7,872,700.00 - - 150 5,904,525.00 50 1,968,175.00
628 340201370483 SURFLO I.V. NO. 14 8,354.61 195 1,629,148.95 - - 50 417,730.50 145 1,211,418.45
629 340201370915 SURFLO I.V. NO. 18 12,100.00 - - - - - - - -
630 340201370915 SURFLO I.V. NO. 18 17,820.00 200 3,564,000.00 - - 200 3,564,000.00 - -
631 340201370485 SURFLO I.V. NO. 20 12,100.00 50 605,000.00 - - 50 605,000.00 - -
632 340201370485 SURFLO I.V. NO. 20 8,354.61 550 4,595,035.50 - - - - 550 4,595,035.50
633 340201370485 SURFLO I.V. NO. 20 16,335.00 100 1,633,500.00 - - - - 100 1,633,500.00
634 340201370485 SURFLO I.V. NO. 20 17,820.00 - - 50 891,000.00 50 891,000.00 - -
635 340201370486 SURFLO I.V. NO. 22 17,820.00 50 891,000.00 - - 50 891,000.00 - -
636 340201370487 SURFLO I.V. NO. 24 14,850.00 40 594,000.00 - - - - 40 594,000.00
637 340201370487 SURFLO I.V. NO. 24 17,820.00 50 891,000.00 - - 20 356,400.00 30 534,600.00
638 340201370487 SURFLO I.V. NO. 24 8,354.61 50 417,730.50 - - - - 50 417,730.50
639 340201370916 SURFLO I.V. NO. 26 39,363.50 - - - - - - - -
640 340201260489 SURGICAL GLOVE UK. L 577.50 - - - - - - - -
641 340201450974 SURGICAL GLOVE UK. L 528.00 - - - - - - - -
642 SURGICAL GLOVE UK. L 673.20 - - - - - - - -
643 SURGICAL GLOVE UK. M 532.38 3,000 1,597,140.00 - - 2,000 1,064,760.00 1,000 532,380.00
644 340201260491 SURGICAL GLOVE UK. M 532.40 - - - - - - - -
646 340201520490 SURGICAL GLOVE UK. M 710.60 6,200 4,405,720.00 ### 12,080,200.00 11,400 8,100,840.00 11,800 8,385,080.00

1 2 3 4 5 6 7 8 9 10 11 12
647 340201260493 SURGICAL GLOVE UK. S 710.60 3,800 2,700,280.00 ### 13,501,400.00 ### 11,227,480.00 7,000 4,974,200.00
648 370200810402 SURGICAL GLOVE UK. S 673.20 - - - - - - - -
651 SURGICAL GLOVE UK. S 532.40 - - - - - - - -
652 330201080495 SURGICAL N 3/8 1204 NO,12 5,999.40 12 71,992.80 - - - - 12 71,992.80
653 330201080496 SURGICAL N 3/8 1204 NO,13 5,999.40 36 215,978.40 - - - - 36 215,978.40
654 330201150499 SURGICAL NEEDLE ME-18 22,385.00 36 805,860.00 - - - - 36 805,860.00
655 330201150500 SURGICAL NEEDLE ME-21 15,467.83 - - - - - - - -
656 330201150500 SURGICAL NEEDLE ME-21 22,385.00 48 1,074,480.00 - - - - 48 1,074,480.00
661 330201150508 SURGICAL NEEDLE MH-18 22,385.00 60 1,343,100.00 - - - - 60 1,343,100.00
662 330201150509 SURGICAL NEEDLE MH-21 15,467.83 48 742,455.84 - - - - 48 742,455.84
668 330201150516 SURGICAL NEEDLE MH-40 22,385.00 - - - - - - - -
673 330201150519 SURGICAL NEEDLE TE-21 22,385.00 36 805,860.00 - - - - 36 805,860.00
674 330201150520 SURGICAL NEEDLE TH-18 15,467.83 24 371,227.92 - - - - 24 371,227.92
675 330201150521 SURGICAL NEEDLE TH-21 22,385.00 48 1,074,480.00 - - - - 48 1,074,480.00
680 330201150527 SURGICAL NEEDLE TH-40 19,250.00 - - - - - - - -
684 SURGICAL NEEDLE TH-50 22,385.00 12 268,620.00 - - - - 12 268,620.00
687 330201320537 SURGICRYL 910 1 HR 48 MM 103,580.00 36 3,728,880.00 - - - - 36 3,728,880.00
688 330201320537 SURGICRYL 910 1 HR 48 MM 102,066.80 - - 36 3,674,404.80 - - 36 3,674,404.80
689 330201320538 SURGICRYL 910 2 HR 48 MM 103,580.00 18 1,864,440.00 - - 18 1,864,440.00 - -
690 330201320538 SURGICRYL 910 2 HR 48 MM 102,066.80 - - 48 4,899,206.40 - - 48 4,899,206.40
691 330201320539 SURGICRYL 910 2/0 HR 26 MM 64,919.80 - - 48 3,116,150.40 24 1,558,075.20 24 1,558,075.20
692 330201320539 SURGICRYL 910 2/0 HR 30 MM 70,180.00 - - - - - - - -
693 330201320540 SURGICRYL 910 3/0 DS 24 MM 103,840.00 - - - - - - - -
694 330201320541 SURGICRYL 910 3/0 HR 26 MM 63,920.00 60 3,835,200.00 - - 60 3,835,200.00 - -
695 330201320541 SURGICRYL 910 3/0 HR 26 MM 63,920.00 48 3,068,160.00 - - 48 3,068,160.00 - -

1 2 3 4 5 6 7 8 9 10 11 12
696 330201320766 SURGICRYL 910 4/0 HR 17 MM 90,640.00 24 2,175,360.00 - - 24 2,175,360.00 - -

697 330201320767 SURGICRYL 910 5/0 HR 17 MM 90,640.00 24 2,175,360.00 - - - - 24 2,175,360.00
698 330201320542 SURGICRYL MONOFAST 3/0 DS 104,940.00 - - - - - - - -
699 330201560543 SURGILACTION 50 MM 1/2 CR 103,950.00 - - - - - - - -
700 330201560544 SURGIQUICK 37 MM 1/2 CR 110,000.00 - - - - - - - -
701 330201410545 SUTURE NEEDLE "B" FRG 12 29,997.91 - - - - - - - -
702 330201410546 SUTURE NEEDLE "B" FRG 15 29,997.91 - - - - - - - -
703 330201410547 SUTURE NEEDLE "G" FRG 6 29,997.91 - - - - - - - -
704 SX PRO OP-M SPESIAL SMMSmEL 103 110,880.00 - - - - - - - -
705 SX PRO Gown SPEC SMMS WL,XL Long 123,750.00 - - - - - - - -
706 360201270548 TABUNG REAKSI 12 X 75 8,800.00 - - - - - - - -
707 330200970549 TENSOCREPE FL ( 3" ) 7,5 X 4,5 53,205.90 - - - - - - - -
708 330200970550 TENSOCREPE FL ( 4" ) 10,5 X 4,5 64,046.44 - - - - - - - -
709 330200970551 TENSOCREPE FL ( 6" ) 15,5 X 4,5 84,116.42 - - - - - - - -
710 340201020552 TERMAL PAPER UTK. ECG 50X30 33,660.00 50 1,683,000.00 - - - - 50 1,683,000.00
711 TERMAL PAPER UTK. ECG 80X25 138,600.00 - - - - - - - -
712 340201550554 TERMAL PAPER UTK. ECG OP - 119 88,000.00 6 528,000.00 - - - - 6 528,000.00
713 340201020556 TERMAL. PAPER UTK. ECG 80 MM 158,400.00 25 3,960,000.00 - - 25 3,960,000.00 - -
714 340201020556 TERMAL. PAPER UTK. ECG 110 MM 264,000.00 5 1,320,000.00 - - 5 1,320,000.00 - -
715 340201020557 TERMAL. PAPER UTK. ECG 3 CHAN 150,000.00 - - - - - - - -
716 TERMAL PAPER UTK. ECG 215 MM 148,500.00 1 148,500.00 - - - - 1 148,500.00
717 340201540560 THERMOMETER MEDIS 23,100.00 8 184,800.00 - - - - 8 184,800.00
718 340201390561 THERMOMETER MEDIS DIGITAL 31,350.00 3 94,050.00 5 156,750.00 7 219,450.00 1 31,350.00
719 330201360562 THORAC CATETER NO. 20 83,600.00 - - - - - - - -
720 330201360563 THORAC CATETER NO. 24 83,600.00 - - - - - - - -
721 340202410985 THORASIC TROCAR 20 235,004.00 2 470,008.00 - - - - 2 470,008.00
722 340202410792 THORASIC TROCAR 24 271,700.00 15 4,075,500.00 - - - - 15 4,075,500.00
723 340202410984 THORASIC TROCAR 28 257,400.00 2 514,800.00 - - - - 2 514,800.00
724 340202410984 THORASIC TROCAR 28 271,700.00 5 1,358,500.00 - - - - 5 1,358,500.00
725 340201370564 THREE WAY STOPCOCK 22,176.00 - - - - - - - -
727 THREE WAY STOPCOCK 5,984.00 - - - - - - - -
728 AGTIFA- BRILON 10/0 275,000.00 - - - - - - - -
729 AGTIFA- CARBACHOL 96,470.00 - - - - - - - -
730 AGTIFA- DOP MATA 13,750.00 - - - - - - - -
731 SGTIFA- ECOSORB 4/0 95,700.00 - - - - - - - -
732 AGTIFA- EYE DRAPE PLAIN D70 105,050.00 - - - - - - - -
733 AGTIFA- IOL POSTERIOR CHAMB 297,440.00 - - - - - - - -
734 AGTIFA- IOL POSTERIOR CHAM 297,440.00 - - - - - - - -
735 AGTIFA- IOL POSTERIOR CHAMB 275,412.50 - - - - - - - -
736 AGTIFA- OPTEN COUTER 390,500.00 - - - - - - - -
737 AGTIFA- POLYSORB 6/0 148,500.00 - - - - - - - -
738 AGTIFA- POLYGLYCOLIC ACID 8 335,500.00 - - - - - - - -
739 AGTIFA- SAFETY CREASENT KN 266,750.00 - - - - - - - -
740 AGTIFA- SAFETY SLIT KNIFE 266,750.00 10 2,667,500.00 30 8,002,500.00 - - 40 10,670,000.00
741 AGTIFA- SAFETY STAB KNIFE 266,750.00 10 2,667,500.00 - - - - 10 2,667,500.00
742 AGTIFA- TRYPAN BLUE 96,470.00 - - - - - - - -
743 AGTIFA- VISCO 1,030,975.00 - - - - - - - -
744 340201040566 TORNIQUITE 25,300.00 8 202,400.00 - - 3 75,900.00 5 126,500.00

1 2 3 4 5 6 7 8 9 10 11 12
745 330201360568 TRACHEOSTOMY CUFFED 5 319,660.00 2 639,320.00 - - - - 2 639,320.00

746 330201360569 TRACHEOSTOMY CUFFED 6.5 236,500.00 - - - - - - - -
747 340201450570 TRANSOFIX 7,590.00 - - - - - - - -
748 330200970571 TRICOFIX 2189 53,083.80 - - - - - - - -
749 340200950964 ULTRA~FINE 4 MM 3,018.40 - - - - - - - -
750 ULTRAFIC 10X1000 CM( NON W 60,244.80 10 602,448.00 - - - - 10 602,448.00
751 330201220573 ULTRAFIC 10 CM X 500 CM 35,640.00 25 891,000.00 - - 7 249,480.00 18 641,520.00
752 330201220573 ULTRAFIC 10 CM X 500 CM 44,704.00 17 759,968.00 - - - - 17 759,968.00
753 ULTRAFIC 15 CM X 500 CM 44,704.00 - - - - - - - -
754 370201220406 ULTRAFIC 5 CM X 500 CM 41,976.00 - - - - - - - -
755 340201530575 UMBILICAL KLAMP 4,400.00 55 242,000.00 - - 50 220,000.00 5 22,000.00
756 340201530575 UMBILICAL KLAMP 6,930.00 100 693,000.00 - - 100 693,000.00 - -
757 340201330576 UNDERPADS 60 X 90 166,848.00 - - - - - - - -
758 330200910577 UNIVERSAL TAP 2" X 5 M 19,167.50 - - - - - - - -
759 340201490578 URINAL UTK. LAKI-LAKI PLASTI 15,840.00 8 126,720.00 - - - - 8 126,720.00
760 340201490578 URINAL UTK. LAKI-LAKI PLASTI 22,000.00 2 44,000.00 - - - - 2 44,000.00
761 340201490579 URINAL UTK. WANITA PLASTIK 5,148.00 3 15,444.00 - - - - 3 15,444.00
764 340201390580 URINE BAG 8,800.00 - - 150 1,320,000.00 60 528,000.00 90 792,000.00
765 URINE BAG 6,364.05 220 1,400,091.00 - - - - 220 1,400,091.00
766 340201330582 VAGINAL TAMPON 3,861.00 30 115,830.00 - - - - 30 115,830.00
767 340201220930 VAGIONS M 7,920.00 - - - - - - - -
768 VASELIN SWAB 10 X 10 8,800.00 - - - - - - - -
769 340201450583 VASOFIX SAFETY 18 35,200.00 - - - - - - - -
770 VICRYL RAP UND 90 CM 2/0 73,810.00 36 2,657,160.00 - - - - 36 2,657,160.00
771 340201490584 WASKOM STAINLESS STEEL 104,500.00 - - - - - - - -
772 340201370970 WING INFUS 25G 3/4 12,375.00 50 618,750.00 - - - - 50 618,750.00
773 340201370969 WING INFUS 27G 1/2 17,857.40 50 892,870.00 - - - - 50 892,870.00
774 330201490585 WIPAK 10 CM X 200 MTR R41 852,500.00 - - - - - - - -
775 330201490586 WIPAK 25 CM X 200 MTR R43 1,991,000.00 - - - - - - - -
776 WIPAK 25 CM X 200 MTR R44 2,190,100.00 - - - - - - - -
777 330200960592 ZYDE STERIL NO. 2/0 100 METE 583,440.00 - - - - - - - -
SUB JUMLAH 81,797 533,836,192 62,908 324,212,543 72,533 384,300,513 72,172 473,748,221
###
BAHAN KIMIA ###
1 460300610001 A/C PERFORMA LA/ APAC 50 10,340.00 - - - - - - - -
2 460300610002 ACCUCHECK ACTIVE ( HIJAU ) 343,200.00 - - - - - - - -
3 460301460008 ALCOHOL 70% 57,475.00 9 517,275.00 - - - - 9 517,275.00
4 460301590015 ALKALINE PHOSPHAT 107092 931,700.00 - - - - - - - -
5 460301610016 ANTI HBS 34,375.00 - - - - - - - -
6 460301610017 ANTI HCV 15,268.00 - - - - - - - -
7 ASAM ACETAT 500 ML 137,500.00 - - - - - - - -
8 460301590018 ASAM SULFOSALICYLATE 20 % 562,400.30 - - - - - - - -
9 460301260020 ASEPTAN ( anti septik ) @ 5000 384,560.00 6 2,307,360.00 - - 1 384,560.00 5 1,922,800.00
10 440301220319 ASEPTIC GEL 37,400.00 24 897,600.00 - - - - 24 897,600.00
11 440301220319 ASEPTIC GEL 70,746.50 - - 120 8,489,580.00 51 3,608,071.50 69 4,881,508.50
12 460300810421 BENEDICTS 100 ML 90,249.50 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
13 460301600409 BILLIRUBIN 10740 940,500.00 - - - - - - - -

14 460301610022 BIOSONIC ULTRASONIC GEL 30,000.30 - - - - - - - -
15 BLUE TIP @ 1000 348,150.00 - - - - - - - -
16 460301600031 CHOLESTEROL 10028 2,631,200.00 - - - - - - - -
17 CIDEX OPA SOLUTION 5 LITER 702,768.00 - - - - - - - -
18 CIDEZYME 5 LITER 830,544.00 - - - - - - - -
19 460301460033 CITRIC ACID MONOHYDRATE @ 1,485,000.00 1 1,485,000.00 - - 1 1,485,000.00 - -
20 460301600040 CREATININE 10051 632,500.00 - - - - - - - -
21 COMBI SCREEN PLUS 11 SYS @ 397,100.00 - - - - - - - -
22 CYBOW 306,900.00 - - - - - - - -
23 460301010049 DENTAL X - RAY FILM 24,640.00 - - - - - - - -
24 460301010050 DEVELOPER 1,098,900.00 - - - - - - - -
25 DENGUE DUO CASSETE (igG&Ig 1,966,500.00 - - - - - - - -
26 DENGUE EARLY RAFID @ 25 TE 2,793,000.10 - - - - - - - -
27 DETRO OPA 847,000.00 - - - - - - - -
28 DETRO ENZYM 900,900.00 - - - - - - - -
29 460301600051 DILUENT (10) 3,850,000.00 - - - - - - - -
30 DRUG TESTCARD @ 20 3,168,000.00 - - - - - - - -
31 460300810360 EOSIN 2% 100 ML 422,675.00 - - - - - - - -
32 EOSIN 2% 500 ML 1,268,850.00 - - - - - - - -
33 460301630030 ETHYLCHLORET SPRY 126,500.00 - - - - - - - -
34 460301630057 EXTRAN 2.5 L 1,301,300.00 2 2,602,600.00 - - - - 2 2,602,600.00
35 430300970058 FIRST AID 1 LTR 283,360.00 - - - - - - - -
36 460301010059 FIXER 678,150.00 1 678,150.00 - - 1 678,150.00 - -
37 460301620061 GEL UNTUK ECG 250 ML 30,800.00 12 369,600.00 - - - - 12 369,600.00
38 460301620061 GEL UNTUK ECG 250 ML 47,960.00 11 527,560.00 - - 3 143,880.00 8 383,680.00
39 GEL UNTUK ECG 5000 ML 346,500.00 - - 2 693,000.00 - - 2 693,000.00
40 GIEMSA 250 ML 731,500.00 - - - - - - - -
41 460301630373 GIEMSA 500 ML 1,518,550.00 - - - - - - - -
42 460301600065 GLUCOSE 10260 1,254,000.00 - - - - - - - -
43 460301460067 GLYCERINE 100 ML 25,300.00 - - - - - - - -
44 460301460069 GLYCERINE 1000 ML 108,900.00 2 217,800.00 2 217,800.00 - - 4 435,600.00
45 460301460068 GLYCERINE 500 ML 143,000.00 - - - - - - - -
46 460301650404 HbA 1C TEST NYCOCARD 109,663.12 - - - - - - - -
47 460301650072 HbA 1C TEST NYCOCARD @ 24 2,751,999.80 - - - - - - - -
48 460301610073 HBs AB / ANTI HBS 1,247,400.00 - - - - - - - -
49 HBs AB @ 40 TEST 1,188,000.00 - - - - - - - -
50 HBs Ab @ 25 TEST 921,250.00 - - - - - - - -
51 HBs Ab @ 25 TEST 577,500.00 - - - - - - - -
52 HBs AG CARD/BOX @ 25 410,190.00 - - - - - - - -
53 HBs AG START PLUS 16,500.00 - - - - - - - -
54 HBs AG @ 40 TEST 924,000.00 - - - - - - - -
55 460300810437 HBs Ag @ 30 TEST 660,000.00 - - - - - - - -
56 460201870004 HCG TEST 365,750.00 - - - - - - - -
57 460201870004 HCG TEST 231,000.00 - - - - - - - -
58 460301610077 HCV DIVICE 768,372.00 - - - - - - - -
59 HCV TEST @ 40 1,672,000.00 - - - - - - - -
60 460301600078 HDL CHOLESTEROL 10018 1,793,770.00 - - - - - - - -
61 460300810440 HIV CARD 560,780.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
62 HIV @ 40 TEST 1,672,000.00 - - - - - - - -

63 460301600079 HUMATROL N 13511 1,642,300.00 - - - - - - - -
64 430301320080 HYDREX SUG. SCRUB 5 LITER 1,221,000.00 - - - - - - - -
65 460301630390 IMMERSION OIL 100 ML 715,500.50 - - - - - - - -
66 431440350001 IODINE POVIDONE 1000 ML 59,966.50 63 3,777,889.50 - - 17 1,019,430.50 46 2,758,459.00
67 430300350084 IODINE POVIDONE 30 ML 4,950.00 91 450,450.00 - - - - 91 450,450.00
68 430300350083 IODINE POVIDONE 60 CC 7,205.00 31 223,355.00 - - 5 36,025.00 26 187,330.00
69 460301570085 K2 EDTA ( BOX ) @ 100 2,150.00 - - - - - - - -
70 360201380574 K3 EDTA ( PC ) MINI UNGU 0.5 2,860.00 - - - - - - - -
71 460301600087 K3 EDTA ( PC ) UNGU 3 ml 2,178.00 - - - - - - - -
72 460301600089 LITHIUM HEPARIN 3 ML @ 100 2,750.00 - - - - - - - -
73 460301600090 LQ SUPRA @ 4 X 5 LTR 1,100,000.00 - - - - - - - -
74 470301460017 METHANOL 500 ML 450,110.10 - - - - - - - -
75 460301600094 MK-DENT LUBRICATION & CLEA 255,000.00 - - - - - - - -
76 460301600097 NATRIUM CITRATE 3,8 41,800.00 - - - - - - - -
77 430301220154 ODEX 5 LITER 1,039,500.00 - - 2 2,079,000.00 - - 2 2,079,000.00
78 430301220155 ONESCRUB 5 LTR 924,000.00 - - 2 1,848,000.00 - - 2 1,848,000.00
79 440301460103 PERHYDROL 3% (1000 Ml) H2O2 57,475.00 6 344,850.00 - - - - 6 344,850.00
80 440301220316 PERHYDROL 3% (800 Ml) H2O2 36,300.00 9 326,700.00 - - - - 9 326,700.00
81 440301460101 PERHYDROL 50% (1000 Ml) H2O 156,750.00 1 156,750.00 - - - - 1 156,750.00
82 430301330104 POLI AID ASL 1 LTR 154,000.00 - - - - - - - -
83 460301330420 POLI AID ASL 5 LITER 794,816.00 - - - - - - - -
84 430301330152 POLIWASH 5 LITER 668,272.00 - - - - - - - -
85 460301610093 PP TEST 330,000.00 - - - - - - - -
86 460301600109 REAGENT HEMATOLOGI 3,630,000.00 - - - - - - - -
87 460301600110 REAGENT PACK K-LYTE 8,360,000.00 - - - - - - - -
88 211692630001 RIVANOL KOMPRES 2,420.00 15 36,300.00 - - - - 15 36,300.00
89 PD SCRUB 5 LITER 766,700.00 - - 2 1,533,400.00 - - 2 1,533,400.00
90 360301660018 SALMONELLA PARATYPHI A - O 306,625.00 - - - - - - - -
91 460301570112 SALMONELLA PARATYPHI A - O 180,000.00 - - - - - - - -
92 SALMONELLA PARATYPHI A - O 174,499.60 - - - - - - - -
93 460301570113 SALMONELLA PARATYPHI B - O 174,499.60 - - - - - - - -
94 460301600418 SALMONELLA PARATYPHI B - O 306,625.00 - - - - - - - -
95 460301570113 SALMONELLA TYPHI - B - O 148,500.00 - - - - - - - -
96 SALMONELLA TYPHI - H 174,499.60 - - - - - - - -
97 460301600417 SALMONELLA TYPHI - H 148,500.00 - - - - - - - -
98 SALMONELLA TYPHI - O 174,499.60 - - - - - - - -
99 460301600416 SALMONELLA TYPHI - O 306,625.00 - - - - - - - -
100 460301570115 SALMONELLA TYPHI - O 148,500.00 - - - - - - - -
101 460301570116 SALMONELLA TYPHI A - H 174,499.60 - - - - - - - -
102 460301600415 SALMONELLA TYPHI A - H 148,500.00 - - - - - - - -
103 SALMONELLA TYPHI B - H 174,499.60 - - - - - - - -
104 460301600414 SALMONELLA TYPHI B - H 148,500.00 - - - - - - - -
105 460301660439 SERUM GOL. DARAH 1 SET ( A,B 450,450.00 - - - - - - - -
106 360201600584 SERUM GOL. DARAH 1 SET ( A,B 450,450.00 - - - - - - - -
107 460301660118 SERUM GOL. DARAH ANTI A 209,000.00 - - - - - - - -
108 460301660119 SERUM GOL. DARAH ANTI A 289,474.90 - - - - - - - -
109 460301660120 SERUM GOL. DARAH ANTI AB 224,675.00 - - - - - - - -
110 460301660121 SERUM GOL. DARAH ANTI AB 389,408.80 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
111 460301570123 SERUM GOL. DARAH ANTI B 209,000.00 - - - - - - - -

112 460301660122 SERUM GOL. DARAH ANTI B 289,474.90 - - - - - - - -
113 460301570125 SERUM GOL. DARAH ANTI D 224,675.00 - - - - - - - -
114 460301660124 SERUM GOL. DARAH ANTI D 561,238.70 - - - - - - - -
115 460301600128 SGOT 12011 790,625.00 - - - - - - - -
116 460301600131 SGPT 12012 790,625.00 - - - - - - - -
117 360301930006 SMX ~ ACTIN FS ACTAVATED 926,640.00 - - - - - - - -
118 360301930007 SMX ~ ALAT ( GPT ) FS ( IFCC MOD ) 1,442,100.00 - - 1 1,442,100.00 1 1,442,100.00 - -
119 460301930443 SMX ~ ALAT ( GPT ) FS ( IFCC MOD 721,050.00 - - - - - - - -
120 460301930444 SMX ~ ALAT ( GPT ) FS ( IFCC MOD 721,050.00 - - - - - - - -
121 460301930445 SMX ~ ALBUMIN FS R1 1,152,112.50 - - - - - - - -
122 360301930008 SMX ~ ASAT ( GOT ) FS ( IFCC MOD 1,442,100.00 - - 4 5,768,400.00 4 5,768,400.00 - -
123 460301930446 SMX ~ ASAT ( GOT ) FS ( IFCC MOD 721,050.00 - - - - - - - -
124 460301930447 SMX ~ ASAT ( GOT ) FS ( IFCC MOD 721,050.00 - - - - - - - -
125 360301930009 SMX ~ BI-LEVEL QC KIT, MEDICA 2,016,300.00 - - - - - - - -
126 360301930010 SMX ~ BILIRUBIN AUTO DIREC FS 705,375.00 - - 1 705,375.00 1 705,375.00 - -
127 460301930448 SMX ~ BILIRUBIN AUTO DIREC FS 352,687.50 - - - - - - - -
128 460301930449 SMX ~ BILIRUBIN AUTO DIREC FS 352,687.50 - - - - - - - -
129 360301930011 SMX ~ BILIRUBIN AUTO TOTAL FS 1,645,967.40 - - - - - - - -
130 460301930450 SMX ~ BILIRUBIN AUTO TOTAL FS 822,983.70 - - - - - - - -
131 460301930451 SMX ~ BILIRUBIN AUTO TOTAL FS 822,983.70 - - - - - - - -
132 460301930452 SMX ~ CALCIUM CHLORIDE SOLUT 1,143,450.00 - - - - - - - -
133 SMX ~ CALIBRATION STRIP 114,400.00 - - - - - - - -
134 460301930453 SMX ~ CELL CLEAN 50 ML ( CL - 30 1,197,900.00 - - - - - - - -
135 460301930454 SMX ~ CELL PACK ( PK- 30 L ) 3,549,700.00 - - 5 17,748,500.00 5 17,748,500.00 - -
136 460301930455 SMX ~ CHOLESTEROL FS 10 R1 3,323,375.00 - - 1 3,323,375.00 1 3,323,375.00 - -
137 460301930456 SMX ~ COMBO STICK 10 M ( 100T ) 446,160.00 - - - - - - - -
138 460301930457 SMX ~ CONTROL PLASMA 1,853,280.00 - - - - - - - -
139 360301930012 SMX ~ CREATININE PAP FS 4,299,460.00 - - - - - - - -
140 460301930458 SMX ~ CREATININE PAP FS R1 2,149,730.00 - - - - - - - -
141 460301930459 SMX ~ CREATININE PAP FS R2 2,508,000.00 - - - - - - - -
142 460301930460 SMX ~ DADE INNOVIN 944,460.00 - - - - - - - -
143 460301930461 SMX ~ DAILY CLEANING SOL. 1,540,000.00 - - - - - - - -
144 460301930462 SMX ~ E- CHECK LEVEL 1 ( LOW ) 881,100.00 - - 1 881,100.00 1 881,100.00 - -
145 460301930463 SMX ~ E- CHECK LEVEL 2 ( NORMAL 881,100.00 - - 1 881,100.00 1 881,100.00 - -
146 460301930464 SMX ~ E- CHECK LEVEL 3 ( HIGH ) 881,100.00 - - 1 881,100.00 1 881,100.00 - -
147 460301930484 SMX ~ EBG QC KIT LEVEL 1 ( LOW ) 532,400.00 - - - - - - - -
148 460301930485 SMX ~ EBG QC KIT LEVEL 2 ( NORM 532,400.00 - - - - - - - -
149 460301930486 SMX ~ EBG QC KIT LEVEL 3 ( HIGH 532,400.00 - - - - - - - -
150 460301930442 SMX ~ EBG REAGENT MODULE 9,084,900.00 - - - - - - - -
151 SMX ~ EBG REAGENT PACK SOLUT 6,201,800.00 - - - - - - - -
152 SMX ~ GAMMA FT FS 3,403,840.00 - - 2 6,807,680.00 2 6,807,680.00 - -
153 360301930013 SMX ~ GLUCOSE HEXOKINASE 3,063,720.00 - - 2 6,127,440.00 2 6,127,440.00 - -
154 460301930465 SMX ~ GLUCOSE HEXOKINASE FS 1,854,286.50 - - - - - - - -
155 460301930466 SMX ~ GLUCOSE HEXOKINASE FS 1,854,286.50 - - - - - - - -
156 460301930467 SMX ~ HDL-C INMMUNO FS R1 3,291,750.00 - - - - - - - -
157 460301930468 SMX ~ HDL-C INMMUNO FS R2 3,291,750.00 - - - - - - - -
158 SMX ~ HDL-C INMMUNO FS 6,583,500.00 - - 3 19,750,500.00 3 19,750,500.00 - -
159 SMX ~ LEVEL QC 2,016,300.00 - - - - - - - -

1 2 3 4 5 6 7 8 9 10 11 12
160 460301930469 SMX ~ LDL - C SELECT FS R1 1,959,375.00 - - - - - - - -

161 460301930470 SMX ~ LDL - C SELECT FS R2 1,959,375.00 - - - - - - - -
162 SMX ~ LIQUICHECK URINALYSIS 1,540,000.00 - - - - - - - -
163 460301930471 SMX ~ SOLUTION PACK NA/KCL 40 6,201,800.00 - - - - - - - -
164 360301930014 SMX ~ STROMATOLYZER 4DL (FFD- 5,576,230.00 - - 3 16,728,690.00 3 16,728,690.00 - -
165 460301930472 SMX ~ STROMATOLYZER 4DS 5,216,420.00 - - - - - - - -
166 SMX ~ STROMATOLYZER WH 500 M 2,770,020.00 - - - - - - - -
167 460301930473 SMX ~ SULFOLYSER 500 ML SLS-2 1,364,220.00 - - 2 2,728,440.00 2 2,728,440.00 - -
168 460301930474 SMX ~ TABUNG SODIUM CITRAT 220,000.00 - - - - - - - -
169 SMX ~ THERMAL PAPER KX 38,500.00 - - - - - - - -
170 360301930015 SMX ~ TOTAL PROTEN 1,316,700.00 - - - - - - - -
171 460301930475 SMX ~ TOTAL PROTEN FS R1 658,350.00 - - - - - - - -
172 460301930476 SMX ~ TOTAL PROTEN FS R2 658,350.00 - - - - - - - -
173 460301930477 SMX ~ TRIGLYCERIDES FS 10 3,599,750.00 - - 1 3,599,750.00 1 3,599,750.00 - -
174 460301930478 SMX ~ TRU CAL U 0.00 - - - - - - - -
175 460301930479 SMX ~ TRU LAB N 0.00 - - - - - - - -
176 SMX ~ TRU LAB P 0.00 - - - - - - - -
177 360301930016 SMX ~ UREA 4,084,520.00 - - - - - - - -
178 460301930441 SMX ~ UREA FS 4,084,520.00 - - - - - - - -
179 460301930480 SMX ~ UREA FS R1 2,472,171.90 - - - - - - - -
180 460301930481 SMX ~ UREA FS R2 2,472,171.90 - - - - - - - -
181 360301930017 SMX ~ URIC ACID FS TOOS 1,481,334.80 - - 2 2,962,669.60 2 2,962,669.60 - -
182 460301930482 SMX ~ URIC ACID FS TOOS R1 740,667.40 - - - - - - - -
183 460301930483 SMX ~ URIC ACID FS TOOS R2 740,667.40 - - - - - - - -
184 SMX ~ WASH SOLUTION NO. 3 740,667.40 - - - - - - - -
185 430301490133 SODA LIME ( INTERSORB GRAN 979,000.00 - - - - - - - -
186 460301600411 SODIUM CITRATE 3,2% 500 ML 117,700.00 - - - - - - - -
187 460301600134 SODIUM CITRATE 3,8 96,900.10 - - - - - - - -
188 430302370144 SOFNOLIME 1,210,000.00 1 1,210,000.00 - - - - 1 1,210,000.00
189 440301450182 SOFTAMAN 100 ML 39,600.00 - - - - - - - -
190 440301450183 SOFTAMAN 1000 ML 181,500.00 - - - - - - - -
191 440301450184 SOFTAMAN 500 ML 115,500.00 - - - - - - - -
192 440301450186 SOFTASKIN 1000 ML 90,750.00 - - - - - - - -
193 440301450187 SOFTASKIN 500 ML 60,500.00 - - - - - - - -
194 460300810412 SPRITUS BIRU 95,700.00 - - - - - - - -
195 440301450188 STABIMET 100 ML 176,000.00 - - - - - - - -
196 440301450189 STABIMET 1000 ML 880,000.00 - - - - - - - -
197 360201250573 TABUNG CENTRIFUGE 10 ML 533,500.00 - - - - - - - -
198 460301380192 TABUNG CLOT ACTIVATOR 3 ML 3,317.40 - - - - - - - -
206 460301600203 TRIGLYCERIDES 10724 4,176,700.00 - - - - - - - -
207 460301640206 TUBEX TF @ 36 TEST IDL 4,443,000.10 - - - - - - - -
208 460301600209 UREA 10505 726,000.00 - - - - - - - -
209 460301600214 URIC ACID 10691 4,200,900.00 - - - - - - - -
210 460301600413 URINE H - 10 217,800.00 - - - - - - - -
211 460301340218 WHITE TIP ( SOCOREX ) @ 1000 889,000.00 - - - - - - - -
212 450301010220 X RAY FILM DENTAL 616,000.00 - - - - - - - -
213 460301340221 YELLOW TIP @ 1000 165,000.00 - - - - - - - -
SUB JUMLAH 285 16,129,240 160 105,197,000 109 97,691,337 336 23,634,903

1 2 3 4 5 6 7 8 9 10 11 12
###
JUMLAH 480,084 2,182,100,661.61 455,610 1,577,062,673.72 375,692 1,677,392,660.25 560,002 2,081,770,675.08
480,084 ### 455,610 1,577,062,673.72 375,692 1,677,392,660.25 560,002 2,081,770,675.08

- - - - - - - -
###

1 2 3 4 5 6 7 8 9 10 11 12
OBAT RETUR DARI UNIT RETUR DARI ~ ###

1 120850550071 BIOZYM INJ 184,800.00 - depo 5 924,000.00 5 924,000.00 - -
2 120850550071 BIOZYM INJ 150,150.00 - depo 15 2,252,250.00 15 2,252,250.00 - -
- - - - -
- - - - -
###
SUB JUMLAH - - 20 3,176,250.00 20 3,176,250.00 - 0.00
###
JUMLAH SETELAH RETUR 480,084 2,182,100,661.61 455,630 1,580,238,923.72 375,712 1,680,568,910.25 560,002 2,081,770,675.08
480,084 ### 455,630 1,580,238,923.72 375,712 1,680,568,910.25 560,002 2,081,770,675.08
- - - - - - - -
###
Kesimpulan : ###
Month Stock (Stock Akhir Bulan) ###
MS = 2,131,935,668.35 ###
1,680,568,910.25 ###
= 1.27 ###
Nilai ideal = 0.5 - 1 ###
Turn Over Ratio ###
TOR = 1,680,568,910.25 ###
2,131,935,668.35 ###
= 0.79 ###
Nilai ideal minimal = 1.2 ###

1 2 3 4 5 6 7 8 9 10 11 12
###
RETUR / AFKIR : ###
NO NAMA OBAT HARGA JMLH NILAI KET ###
RETUR ke PBF ###
1 120850550071 BIOZYM INJ 150,150.00 30 4,504,500.00 PT. MBS ###
2 120850550071 BIOZYM INJ 184,800.00 20 3,696,000.00 PT. MBS ###
3 120820550015 ZITROLIN TAB. 26,317.50 480 12,632,400.00 PT. MBS ###
4 220210550246 OPISAR 150 MG 7,744.00 30 232,320.00 PT. MBS ###
5 220320360057 RECUSTEIN SYR 48,400.00 1 48,400.00 PT. MBS ###
6 120890620021 TRICHODAZOLE INFUS 100 ML 72,820.00 35 2,548,700.00 PT. BSP ###
7 220520160019 KABIROC INJ. 50 MG 39,600.00 20 792,000.00 PT. APL ###
- ###
###
JUMLAH RETUR KE PBF 616 24,454,320.00 ###
###
APKIR GUDANG ###
1 220220640003 CORDARONE INJ. 32,714.88 30 981,446.40 PT. APL ###
2 221220540004 KIDMIN 7,2% 104,500.00 20 2,090,000.00 PT. MERAPI ###
###
JUMLAH AFKIR GUDANG 50 3,071,446.40 ###
###
TOTAL 666 27,525,766.40 ###
###
###
Nilai Pengeluaran Gudang 1,680,568,910.25 ###
Nilai Barang Afkir Gudang / Retur Ke F 27,525,766.40 ###
Nilai Pengeluaran Gudang 1,653,043,143.85 ###
###
###
SUNGAILIAT, 29 APRIL 2019 ###
DIKETAHUI OLEH, ###
KA. INSTALASI FARMASI PETUGAS GUDANG FARMASI ###
###
###
###
###
ELFIRA RATNA PRADIPTA S.Far, Apt ZAINUL ARIVIN ###

BULAN : APRIL 2019 MUTASI BARANG - BARANG DI IGD - - NO. PERKIRAAN : 505.11
BAGIAN : IGD KELOMPOK BARANG : FARMASI - - TGL. PERMINTAAN PER 25-Apr-19
NO. KODIFIKASI NAMA BARANG HARGA SATUAN STOCK AWAL PENERIMAAN PEMAKAIAN SISA AKHIR
KWTM NILAI KWTM NILAI KWTM NILAI KWTM NILAI
1 2 3 4 5 6 (4X5) 7 8 (4X7) 9 10 (4X9) 11 (5+7) 12 (4X11)
ANTIBIOTIK GENERIK
1 110850280082 CEFOTAXIME INJ. 9,350.00 20 187,000.00 - - 10 93,500.00 10 93,500.00
2 110850060089 CEFTRIAXONE INJ 1 GR 11,000.00 - - 100 1,100,000.00 82 902,000.00 18 198,000.00
-
NON ANTIBIOTIK GENERIK - - - - - -
1 210310570118 AMINOPHYLLIN INJ. 2,998.01 4 11,992.04 - - - - 4 11,992.04
2 AS. TRANEKSAMAT INJ 500 MG 4,851.00 20 97,020.00 - - - - 20 97,020.00
3 210280160074 ATROPIN SULFAS INJ. 1,650.00 50 82,500.00 - - - - 50 82,500.00
4 210210280263 CATOPRIL 25 MG 122.94 20 2,458.80 - - 20 2,458.80 - -
5 210210350140 CATOPRIL 25 MG 144.64 - - 100 14,464.00 10 1,446.40 90 13,017.60
6 210240490245 CITICOLINE INJ. 125 MG / 1 ML 10,010.00 - - - - - - - -
7 210240060027 CITICOLINE INJ. 250 MG / 2 ML 7,425.00 25 185,625.00 - - 10 74,250.00 15 111,375.00
8 210510570069 DEXA METHASONE INJ. 1,152.03 30 34,560.90 - - 30 34,560.90 - -
9 210220760227 DIGOXIN TABL 0,25MG 128.70 40 5,148.00 - - - - 40 5,148.00
10 211810570011 DIPHENHYDRAMINE INJ 1,423.90 5 7,119.50 - - - - 5 7,119.50
11 210220490027 DOBUTAMIN INJ. 250 MG 28,567.00 4 114,268.00 - - - - 4 114,268.00
12 210230580004 EPINEPHRINE INJ. 1 mg/ml 5,110.13 30 153,303.90 - - 10 51,101.30 20 102,202.60
13 214130060072 KETOROLAC INJ. 30 MG 5,613.30 - - - - - - - -
14 210510490048 KETOROLAC INJ. 30 MG 8,954.55 - - 100 895,455.00 60 537,273.00 40 358,182.00
15 210440300016 NATRIUM PHENYTOIN INJ. 25,025.00 7 175,175.00 - - - - 7 175,175.00
16 212140350001 NIFEDIPIN TAB 10 MG 185.75 10 1,857.50 - - - - 10 1,857.50
17 210110060141 OMEPRAZOLE INJ. 16,007.20 - - - - - - - -
18 210110490140 OMEPRAZOLE INJ. 36,300.00 - - 67 2,432,100.00 50 1,815,000.00 17 617,100.00
19 210140490121 ONDANSENTRON INJ. 4 MG 5,159.00 - - 200 1,031,800.00 200 1,031,800.00 - -
22 210140060262 ONDANSENTRON TAB. 8 MG 3,025.00 - - 30 90,750.00 - - 30 90,750.00
23 ONDANSENTRON TAB. 8 MG 1,897.50 - - 120 227,700.00 - - 120 227,700.00
24 210410120085 PARACETAMOL INFUS 22,000.00 - - - - - - - -
25 210410490079 PARACETAMOL INFUS 31,790.00 15 476,850.00 - - 15 476,850.00 - -
26 210410490079 PARACETAMOL INFUS 32,725.00 - - 24 785,400.00 24 785,400.00 - -
28 210410350091 PARACETAMOL TAB 500 MG 220.72 - - 100 22,072.00 20 4,414.40 80 17,657.60
29 210250570261 PHYTOMENADION INJ. 10 MG (DEWA 1,552.97 30 46,589.10 - - 10 15,529.70 20 31,059.40
Page 77
1 2 3 4 5 6 (4X5) 7 8 (4X7) 9 10 (4X9) 11 (5+7) 12 (4X11)
30 210470490041 PIRACETAM INJ. 1 GR 4,620.00 4 18,480.00 - - 1 4,620.00 3 13,860.00

31 210110490143 RANITIDIN INJ. 1,155.00 - - - - - - - -
32 210110060135 RANITIDIN INJ. 2,702.70 - - 80 216,216.00 80 216,216.00 - -
33 210110580010 RANITIDIN INJ. 2,668.05 - - 320 853,776.00 270 720,373.50 50 133,402.50
- - - - - -
ANTIBIOTIK PATEN - - - - - -
1 120850550002 BIOXON INJ 159,500.00 27 4,306,500.00 64 10,208,000.00 46 7,337,000.00 45 7,177,500.00
2 120810320002 SALTICIN INJ. 17,952.00 10 179,520.00 15 269,280.00 25 448,800.00 - -
3 120850620008 TERFACEF INJ 1 GR 160,058.25 20 3,201,165.00 - - 10 1,600,582.50 10 1,600,582.50
4 221820130012 TETAGAM INJ. 206,800.00 9 1,861,200.00 - - 9 1,861,200.00 - -
- - - - - -
NON ANTIBIOTIK PATEN - - - - - -
1 221821060027 Anti bisa ular 640,530.00 1 640,530.00 - - - - 1 640,530.00
2 221010640001 APIDRA SOLOSTAR 100 86,999.88 - - 5 434,999.40 2 173,999.76 3 260,999.64
3 221230540001 ASERING 500 ML 9,274.10 - - 160 1,483,856.00 160 1,483,856.00 - -
4 221821060038 ATS. INJ. 1500 E 165,000.00 13 2,145,000.00 - - - - 13 2,145,000.00
5 221120580016 BECEFORT SYR 60 ML 17,366.80 - - 3 52,100.40 - - 3 52,100.40
6 220320070008 BISOLVON INJ. 55,322.30 3 165,966.90 - - 1 55,322.30 2 110,644.60
7 220320070010 BISOLVON SOLUTION 50 ML 79,340.80 - - - - - - - -
8 BRICASMA RESPULE 5MG/2ML 7,124.04 - - 20 142,480.80 20 142,480.80 - -
9 221610120001 BURNAZIN CREAM 500 GR 392,931.00 - - - - - - - -
10 220261970044 CARTYLO TAB. 80 MG 290.00 20 5,800.00 - - 10 2,900.00 10 2,900.00
11 220220120016 CEDOCARD TBL 5 MG 1,023.00 20 20,460.00 - - - - 20 20,460.00
12 221570090009 CENDO PANTOCAIN EYE DROPS 0.5 13,337.50 1 13,337.50 - - 1 13,337.50 - -
13 220310070035 COMBIVENT NEB. 4,550.00 - - - - - - - -
14 221230540079 DEXTROSE 40% INJ. 25 ML 10,010.00 - - - - - - - -
15 221230540094 DEXTROSE 5% 100 ML 15,180.00 - - - - - - - -
16 221230540095 DEXTROSE 5% 500 ML 6,900.30 - - 20 138,006.00 20 138,006.00 - -
17 220110550148 ESOMAX INJ. 111,650.00 90 10,048,500.00 130 14,514,500.00 80 8,932,000.00 140 15,631,000.00
18 221820640041 EUVAX B 1 ML 74,669.10 15 1,120,036.50 20 1,493,382.00 35 2,613,418.50 - -
19 221120210011 FARBION INJ 5,280.00 - - 35 184,800.00 35 184,800.00 - -
20 220410210025 FARMADOL INFUS 43,890.00 - - 12 526,680.00 12 526,680.00 - -
21 220510210066 FENDEX INJEKSI 38,610.00 - - - - - - - -
22 220510210066 FENDEX INJEKSI 33,825.00 10 338,250.00 - - 10 338,250.00 - -
23 220510210066 FENDEX INJEKSI 32,175.00 10 321,750.00 - - 10 321,750.00 - -
24 220310230032 FLIXOTIDE NEB. 0.5 MG 14,928.98 - - 150 2,239,347.00 150 2,239,347.00 - -
25 221820400036 GARDASIL INJ. 0.5 ML 608,850.00 3 1,826,550.00 40 24,354,000.00 43 26,180,550.00 - -
26 220510320061 INDEXON INJ 9,680.00 - - - - - - - -
Page 78
1 2 3 4 5 6 (4X5) 7 8 (4X7) 9 10 (4X9) 11 (5+7) 12 (4X11)
27 221230620073 INFUSAN D5 100 ML 12,155.00 - - 120 1,458,600.00 120 1,458,600.00 - -

28 221230620076 INFUSAN D5 500 ML SP 11,352.00 10 113,520.00 - - 10 113,520.00 - -
29 221230620103 INFUSAN NS 100 ML SP 12,474.00 10 124,740.00 - - 10 124,740.00 - -
30 221230620105 INFUSAN NS 500 ML SP 11,618.75 - - - - - - - -
31 221230620105 INFUSAN NS 500 ML SP 11,940.50 40 477,620.00 - - 40 477,620.00 - -
32 221230620107 INFUSAN RING AS 500 ML SP 10,173.93 30 305,217.90 - - 30 305,217.90 - -
33 221230620108 INFUSAN RL 500 ML SP 10,100.97 - - 240 2,424,232.80 240 2,424,232.80 - -
34 220140320015 INVOMET INJ. 4 MG 28,908.00 7 202,356.00 - - 1 28,908.00 6 173,448.00
35 221230620008 KA-EN 1B 500 ML 10,125.50 10 101,255.00 - - 4 40,502.00 6 60,753.00
36 221230540003 KA-EN 3A 500 ML 11,231.00 11 123,541.00 - - 3 33,693.00 8 89,848.00
37 221230540110 KA-EN 3B 500 ML 11,231.00 5 56,155.00 - - 5 56,155.00 - -
38 224130340066 KALTROFEN SUPP. 13,750.00 - - - - - - - -
39 221230540087 KCL INJ. 7.46 25 ML 9,130.00 6 54,780.00 - - 2 18,260.00 4 36,520.00
40 224130320105 KETROBAT INJ 40,964.00 10 409,640.00 - - 10 409,640.00 - -
41 221230540112 MGSO4 40% 25 ML 3,796.10 - - 24 91,106.40 6 22,776.60 18 68,329.80
42 220930160006 MIOMERGIN INJ. 5,500.00 4 22,000.00 - - 3 16,500.00 1 5,500.00
43 221120620036 NEUROSANBE INJ. 5,467.00 - - - - - - - -
44 221120620036 NEUROSANBE INJ. 3,963.58 - - 60 237,814.80 60 237,814.80 - -
45 220140210026 ONETIC INJ. 8 MG 34,650.00 - - - - - - - -
46 220930160932 OXYTOCIN INJ. 1,199.00 - - - - - - - -
47 220410320017 PAMOL SUPP 125 MG 10,384.00 18 186,912.00 12 124,608.00 30 311,520.00 - -
48 220410320424 PAMOL SUPP 250 MG 15,048.00 23 346,104.00 - - 23 346,104.00 - -
49 220410320424 PAMOL SUPP 250 MG 15,518.25 - - 120 1,862,190.00 100 1,551,825.00 20 310,365.00
50 PHADILON INJ. 125 MG 19,800.00 - - - - - - - -
51 PLAVIX TAB. 300 MG 16,392.97 40 655,718.80 - - 20 327,859.40 20 327,859.40
52 220350550032 PREDNICORT INJ. 125 MG 67,787.50 20 1,355,750.00 160 10,846,000.00 56 3,796,100.00 124 8,405,650.00
53 220310030046 PULMICORT RESPULES 0.5 MG 13,241.96 - - - - - - - -
54 220310030045 PULMICORT RESPULES 0.25 MG 9,724.93 - - - - - - - -
55 220110620058 PUMPICEL INJ. 53,898.24 4 215,592.96 - - 4 215,592.96 - -
56 220110620035 PUMPITOR INJ. 116,674.25 12 1,400,091.00 20 2,333,485.00 18 2,100,136.50 14 1,633,439.50
57 RATIPOL INJEKSI 27,753.00 18 499,554.00 - - 1 27,753.00 17 471,801.00
58 220110210036 RINDOPUMP INJ. 99,000.00 7 693,000.00 - - 7 693,000.00 - -
59 221230750060 RINGER LACTATE 500 ML 7,150.00 - - 160 1,144,000.00 130 929,500.00 30 214,500.00
60 ROVIDEN SUPS 8,772.50 - - - - - - - -
61 ROVIDEN SUPS 9,968.75 - - 100 996,875.00 30 299,062.50 70 697,812.50
62 SANEXON INJEKSI 125 MG 36,295.99 7 254,071.93 - - 7 254,071.93 - -
63 220410620026 SANMOL INFUS 47,531.00 - - 24 1,140,744.00 19 903,089.00 5 237,655.00
64 221230750042 SOD.CHLORET NATR. 500 ML 6,409.70 - - 60 384,582.00 39 249,978.30 21 134,603.70
Page 79
1 2 3 4 5 6 (4X5) 7 8 (4X7) 9 10 (4X9) 11 (5+7) 12 (4X11)
65 224120020023 STESOLID RECTAL 10 MG 39,204.00 4 156,816.00 20 784,080.00 9 352,836.00 15 588,060.00

66 224120020021 STESOLID RECTAL 5 MG 26,136.00 5 130,680.00 20 522,720.00 1 26,136.00 24 627,264.00
67 224130550081 TORAMINE INJ 30 MG 30,305.00 20 606,100.00 20 606,100.00 30 909,150.00 10 303,050.00
68 220110440151 TRICKER INJ. 16,500.00 16 264,000.00 - - 16 264,000.00 - -
69 220140620038 TROVENSIS INJ. 2ML 26,317.50 30 789,525.00 - - 30 789,525.00 - -
70 220140620020 TROVENSIS INJ. 4ML 53,480.35 - - 15 802,205.25 15 802,205.25 - -
71 221820650014 TYPHIM VI 0.5 ML 166,563.10 - - - - - - - -
72 220220140036 UDOPA INJ 7,808.24 3 23,424.72 - - - - 3 23,424.72
73 220210620261 URESIX INJ. 2,686.20 - - 170 456,654.00 40 107,448.00 130 349,206.00
74 VAKSIN HEPATITIS B RECOM 74,052.00 12 888,624.00 22 1,629,144.00 21 1,555,092.00 13 962,676.00
75 224120640028 VALISANBE INJ. 2 ML 14,245.28 9 128,207.52 - - 3 42,735.84 6 85,471.68
77 221230540063 WATER FOR INJEKSI 25 ML 2,860.00 20 57,200.00 120 343,200.00 100 286,000.00 40 114,400.00
78 221230540064 WATER STERIL / AQUADEST 1 LITER 23,760.00 - - 14 332,640.00 14 332,640.00 - -
79 220130030024 XYLOCAINE 10% SPRAY 307,307.00 - - 2 614,614.00 2 614,614.00 - -
80 220130030141 XYLOCAINE JELLY 2% 30 GRM 41,600.02 - - 10 416,000.20 10 416,000.20 - -
81 220130030141 XYLOCAINE JELLY 2% 30 GRM 41,600.00 - - 10 416,000.00 10 416,000.00 - -
- - - - - -
ALAT KESEHATAN - - - - - -
1 340200010007 ABBOCATH T 14 25,080.00 3 75,240.00 - - - - 3 75,240.00
2 340200010013 ABBOCATH T 24 21,285.00 - - 50 1,064,250.00 - - 50 1,064,250.00
3 330200970017 ACTIMOVE ACTERBRACE M 637,367.50 2 1,274,735.00 - - - - 2 1,274,735.00
4 460300950010 ALCOHOL SWABS 264.00 - - - - - - - -
5 ALCOHOL SWABS 127.63 - - - - - - - -
6 ARM SLING UK. L ( DEWASA ) 133,650.00 - - 1 133,650.00 1 133,650.00 - -
7 330201180023 ARM SLING UK. M ( DEWASA ) 133,650.00 1 133,650.00 5 668,250.00 5 668,250.00 1 133,650.00
8 340201440028 BALON TENSIMETER 52,800.00 - - - - - - - -
9 340201370032 BLOOD TRANFUSION SET 22,440.00 - - 340 7,629,600.00 240 5,385,600.00 100 2,244,000.00
10 330201320061 CATGUT PLAIN NO. 2/0 HR 26 34,300.20 - 12 411,602.40 12 411,602.40 - -
11 COMBO KATETERISASI 16 37,400.00 260 9,724,000.00 - - 35 1,309,000.00 225 8,415,000.00
12 COMBO KATETERISASI 18 37,400.00 110 4,114,000.00 - - 30 1,122,000.00 80 2,992,000.00
13 COMBO PACK 24+SPALK (makro) 37,400.00 - - 170 6,358,000.00 70 2,618,000.00 100 3,740,000.00
14 COMBO PACK BS 18 32,725.00 - - 500 16,362,500.00 150 4,908,750.00 350 11,453,750.00
15 COMBO PACK BS 20 32,725.00 - - 200 6,545,000.00 140 4,581,500.00 60 1,963,500.00
16 COMBO PACK NPNW 20 GSTC 23,375.00 - - 710 16,596,250.00 220 5,142,500.00 490 11,453,750.00
17 COMBO PACK NPNW 22 GSTC 23,375.00 - - 788 18,419,500.00 155 3,623,125.00 633 14,796,375.00
18 340200910095 CORE ELECTRODE 2670 5,553.90 76 422,096.40 - - 18 99,970.20 58 322,126.20
19 340200950118 DISPOSIBLE / NEEDLE 25 G 1,089.00 - - 200 217,800.00 200 217,800.00 - -
Page 80
1 2 3 4 5 6 (4X5) 7 8 (4X7) 9 10 (4X9) 11 (5+7) 12 (4X11)
20 340200950123 DISPOSIBLE SYRINGE UK. 1 CC 2,750.00 100 275,000.00 - - 100 275,000.00 - -

21 DISPOSIBLE SYRINGE UK. 1 CC 1,125.34 - 900 1,012,806.00 700 787,738.00 200 225,068.00
23 DISPOSIBLE SYRINGE UK. 10 1,609.30 - - 200 321,860.00 200 321,860.00 - -
24 340201450130 DISPOSIBLE SYRINGE UK. 20 ( ECCE 14,300.00 8 114,400.00 - - 2 28,600.00 6 85,800.00
26 340200950131 DISPOSIBLE SYRINGE UK. 3 1,430.00 - - 700 1,001,000.00 700 1,001,000.00 - -
28 DISPOSIBLE SYRINGE UK. 3 1,016.40 - - 900 914,760.00 800 813,120.00 100 101,640.00
30 340201370139 DISPOSIBLE SYRINGE UK. 50 ( L.TEN 29,700.00 20 594,000.00 20 594,000.00 25 742,500.00 15 445,500.00
31 330201280163 END TUBE CUFFED 6.5 45,760.00 3 137,280.00 - - 1 45,760.00 2 91,520.00
36 330201280165 ENDOTRACHELA TUBE 7,5 45,760.00 2 91,520.00 - - - - 2 91,520.00
37 FACE MASK TALI 554.40 - - 700 388,080.00 700 388,080.00 - -
38 FACE MASK TIES ON 605.70 100 60,570.00 - - 100 60,570.00 - -
39 340201370178 FEEDING TUBE NO. 3,5 35 CM 23,100.00 1 23,100.00 - - - - 1 23,100.00
40 340201370904 FEEDING TUBE NO. 8 40 CM 33,880.00 5 169,400.00 - - - - 5 169,400.00
45 360200010572 FREESTYLE LANCET KIT 673.31 150 100,996.50 - - 150 100,996.50 - -
46 360300010005 FREESTYLE OPTIUM NEO H BG @ 10 4,133.05 230 950,601.50 - - 230 950,601.50 - -
47 340201040256 GELANG Adult ( PINK ) WRITE ON 1,584.00 100 158,400.00 300 475,200.00 400 633,600.00 - -
48 340201040250 GELANG Adult BLUE (Write On) 1,584.00 - - 300 475,200.00 300 475,200.00 - -
49 340201260253 GELANG Adult RED (Insert Card) 2,178.00 100 217,800.00 - - - - 100 217,800.00
50 340201040254 GELANG Adult YELLOW (Insert Card) 1,584.00 - - - - - - -
51 340201260208 GELANG BAYI / ANAK BIRU 1,540.00 100 154,000.00 - - - - 100 154,000.00
52 340201040207 GELANG BAYI / ANAK BIRU 1,584.00 - - 100 158,400.00 - - 100 158,400.00
53 340201040209 GELANG BAYI / ANAK PINK 1,584.00 100 158,400.00 200 316,800.00 100 158,400.00 200 316,800.00
57 330201360220 GUEDEL AIRWAY CLEAR NO. 4 159,500.00 - - 3 478,500.00 1 159,500.00 2 319,000.00
Page 81
1 2 3 4 5 6 (4X5) 7 8 (4X7) 9 10 (4X9) 11 (5+7) 12 (4X11)
58 330201360218 GUEDEL AIRWAY CLEAR NO. 5 159,500.00 3 478,500.00 - - 3 478,500.00 - -

59 330201360218 GUEDEL AIRWAY CLEAR NO. 5 187,000.00 - - 10 1,870,000.00 3 561,000.00 7 1,309,000.00
60 340201260259 INFUSION SET ANAK ( Mikrodrip ) 7,920.00 45 356,400.00 - - - - 45 356,400.00
61 INFUSION SET ANAK ( Mikrodrip ) 7,700.00 - - - - - - - -
62 330200980291 KASA HYDROPHYL ( PPI ) 156,200.00 2 312,400.00 - - 2 312,400.00 - -
63 340200970302 LEUKOMED T PLUS 10 X 25 CM 40,546.00 2 81,092.00 - - - - 2 81,092.00
64 340201240313 LOMATULE 12,155.00 - - - - - - - -
65 340201440314 MANSET TENSIMETER DEWASA 52,250.00 - - 2 104,500.00 - - 2 104,500.00
66 MASKER N 95 43,065.00 3 129,195.00 - - - - 3 129,195.00
67 330201220316 MEDICRAPE 10 X 4.5 29,040.00 5 145,200.00 - - - - 5 145,200.00
68 330201220315 MEDICRAPE 15 X 4.5 46,200.00 6 277,200.00 - - - - 6 277,200.00
69 340200910321 MICROPORE 2 " 57,024.00 - - 42 2,395,008.00 42 2,395,008.00 - -
70 340201140340 OPTIVA G 20 19,360.00 - - 150 2,904,000.00 150 2,904,000.00 - -
71 340201140341 OPTIVA G 22 24,200.00 - - - - - - - -
72 340201140341 OPTIVA G 22 19,360.00 - - - - - - - -
73 340201140586 OPTIVA G 24 19,360.00 - - - - - - - -
74 340201490266 PLESTERAN BULAT 297.00 - - - - - - - -
75 370201490377 POT ZALF 100 GR 2,200.00 - - 30 66,000.00 30 66,000.00 - -
76 370201490381 POT ZALF 50 GR 1,760.00 - - 50 88,000.00 50 88,000.00 - -
77 SCALPEL BLADE BB- 522 5,778.85 - - - - - - - -
78 340201390429 SELANG O2 ANAK 14,960.00 30 448,800.00 - - 20 299,200.00 10 149,600.00
79 340201390431 SELANG O2 BAYI 15,840.00 13 205,920.00 - - - - 13 205,920.00
80 340201260434 SELANG O2 DEWASA 14,960.00 40 598,400.00 - - 10 149,600.00 30 448,800.00
81 340201390433 SELANG O2 DEWASA 8,276.40 - - - - - - - -
82 340201260453 SIMP. MASK NON REBR. M ( DEWASA 44,000.00 - - 80 3,520,000.00 25 1,100,000.00 55 2,420,000.00
83 340201220931 SIMP. MASK NON REBR. S ( ANAK ) 44,000.00 16 704,000.00 - - 6 264,000.00 10 440,000.00
84 340201370467 Stomach Tube 14 29,568.00 1 29,568.00 10 295,680.00 1 29,568.00 10 295,680.00
85 340201370468 STOMACH TUBE NO.16 29,568.00 9 266,112.00 10 295,680.00 11 325,248.00 8 236,544.00
86 340201260472 suction cateter no. 14 7,673.60 4 30,694.40 - - - - 4 30,694.40
87 340201260473 suction cateter no. 16 7,673.60 - - - - - - - -
88 340201260471 SUCTION CATHETER NO. 12 7,673.60 6 46,041.60 - - 2 15,347.20 4 30,694.40
90 340201260476 SUNGKUP OXYGEN ANAK 31,944.00 8 255,552.00 - - - - 8 255,552.00
91 340201040477 SUNGKUP OXYGEN BAYI 31,944.00 2 63,888.00 - - - - 2 63,888.00
92 SUNGKUP OXYGEN BAYI 19,800.00 - - 5 99,000.00 - - 5 99,000.00
93 340201370481 SURFLO WP I.V. NO. 26 39,363.50 - 100 3,936,350.00 100 3,936,350.00 - -
94 340201370915 SURFLO I.V. NO. 18 16,335.00 - - - - - - - -
95 340201370915 SURFLO I.V. NO. 18 17,820.00 - - 200 3,564,000.00 200 3,564,000.00 - -
Page 82
1 2 3 4 5 6 (4X5) 7 8 (4X7) 9 10 (4X9) 11 (5+7) 12 (4X11)
96 340201520490 SURGICAL GLOVE UK. M 710.60 900 639,540.00 - - 900 639,540.00 - -

97 340201260493 SURGICAL GLOVE UK. S 710.60 500 355,300.00 3,000 2,131,800.00 3,500 2,487,100.00 - -
98 330201150499 SURGICAL NEEDLE ME-18 22,385.00 5 111,925.00 - - 5 111,925.00 - -
99 330201150508 SURGICAL NEEDLE MH-18 22,385.00 5 111,925.00 - - 5 111,925.00 - -
100 340201020556 TERMAL. PAPER UTK. ECG 80 MM 158,400.00 - - 11 1,742,400.00 11 1,742,400.00 - -
101 340201390561 THERMOMETER MEDIS DIGITAL 31,350.00 2 62,700.00 5 156,750.00 7 219,450.00 - -
104 THREE WAY STOPCOCK 5,984.00 140 837,760.00 - - 140 837,760.00 - -
105 330201220573 ULTRAFIC 10 CM X 500 CM 44,704.00 - - - - - - - -
106 ULTRAFIC 10X1000 CM( NON WOVEN 60,244.80 - - - - - - - -
107 340201530575 UMBILICAL KLAMP 4,400.00 40 176,000.00 - - 5 22,000.00 35 154,000.00
108 340201390580 URINE BAG 5,544.00 7 38,808.00 - - 3 16,632.00 4 22,176.00
- - - - - -
BAHAN KIMIA - - - - - -
1 460300610002 ACCUCHECK ACTIVE ( HIJAU ) 343,200.00 - - - - - - - -
2 460301490009 ALCOHOL 70% 29,700.00 - - - - - - - -
3 460301260020 ASEPTAN ( anti septik ) @ 5000 ML 384,560.00 - - - - - - - -
4 440301220319 ASEPTIC GEL 63,954.00 - - - - - - - -
5 440301220319 ASEPTIC GEL 70,746.50 - - 17 1,202,690.50 17 1,202,690.50 - -
6 460301620061 GEL UNTUK ECG 250 ML 30,800.00 - - - - - - - -
7 460301460069 GLYCERINE 1000 ML 23,067.00 1 23,067.00 - - 1 23,067.00 - -
JUMLAH 4,330 66,291,783.37 15,059 199,243,384.95 14,595 147,989,467.14 4,794 117,545,701.18

4,330 66,291,783.37 15,059 199,243,384.95 14,595 147,989,467.14 4,794 117,545,701.18
- - - - - - - -
Nilai Pengeluaran 147,989,467.14

Nilai Barang Retur / Apkir 0.00
Nilai Pemakaian 147,989,467.14
Diminta Oleh Diketahui Oleh Diterima Oleh

Ka. Instalasi Gawat Darurat
Page 83
1 2 3 4 5 6 (4X5) 7 8 (4X7) 9 10 (4X9) 11 (5+7) 12 (4X11)
HERLINA AM.Kep dr.Daniel Zaputra HERLINA AM.Kep
Page 84
RUMAH SAKIT
MEDIKA STANNIA
SUNGAILIAT
LAPORAN MUTASI OBAT & BAHAN PELENGKAP
DI KAMAR OBAT
BULAN : APRIL 2019 NO. PERKIRAAN : 522.11
BAGIAN : KAMAR OBAT - - - - TGL. PERMINTAAN : APRIL 2019
HNA - DISKON SALDO AWAL PENERIMAAN PENGELUARAN STOCK AKHIR

NO KODIFIKASI NAMA OBAT / BAHAN
+ PPN KWANTUM NILAI KWANTUM NILAI KWANTUM NILAI KWANTUM NILAI
01 02 03 04 05 06 07 08 09 10 11
ANTIBIOTIK GENERIK
1 110840060056 AMOXYCILLIN CAPS 500 MG 577.50 - - - - - - - -
4 110840280056 AMOXYCILLIN CAPS 500 MG 370.00 165 61,050.00 - - 165 61,050.00 - -
5 110840060056 AMOXYCILLIN CAPS 500 MG 518.85 - - 400 207,540.00 214 111,033.90 186 96,506.10
7 110840280058 AMOXYCILLIN DRY. SYR 5,500.00 - - 40 220,000.00 18 99,000.00 22 121,000.00
8 110820060023 AZITHROMYCIN SYR. 200 MG / 5 ML 51,975.00 - - - - - - - -
9 AZITHROMYCIN SYR. 200 MG / 5 ML 48,400.00 5 242,000.00 - - - - 5 242,000.00
10 110820350019 AZITHROMYCIN TAB. 500 MG 10,450.00 - - - - - - - -
11 110820350019 AZITHROMYCIN TAB. 500 MG 1,777.99 9 16,001.91 - - 9 16,001.91 - -
12 AZITHROMYCIN TAB. 500 MG 9,900.00 - - 148 1,465,200.00 31 306,900.00 117 1,158,300.00
17 110850280086 CEFADROXIL CAPS. 500 MG 672.00 40 26,880.00 200 134,400.00 240 161,280.00 - -
18 CEFADROXIL CAPS. 500 MG 792.00 - - 1,500 1,188,000.00 995 788,040.00 505 399,960.00
21 120850350021 CEFADROXIL SYR 6,395.67 3 19,187.01 - - 3 19,187.01 - -
22 110850280092 CEFADROXIL SYR 7,380.45 - - 53 391,163.85 53 391,163.85 - -
23 110850060114 CEFADROXIL SYR 6,395.68 - - 100 639,568.00 87 556,424.16 13 83,143.84
25 110850490111 CEFIXIME CAPS. 100 MG 1,676.21 - - - - - - - -
26 110850350049 CEFIXIME CAPS. 100 MG 843.00 508 428,244.00 - - 508 428,244.00 - -
27 110850060115 CEFIXIME CAPS. 100 MG 1,001.00 - - 1,400 1,401,400.00 1,300 1,301,300.00 100 100,100.00
29 CEFIXIME CAPS. 200 MG 3,740.00 323 1,208,020.00 480 1,795,200.00 435 1,626,900.00 368 1,376,320.00
30 110850060116 CEFIXIME SYR 23,595.00 - - - - - - - -
31 110850280112 CEFIXIME SYR 13,860.00 7 97,020.00 - - 7 97,020.00 - -
32 110850490104 CEFIXIME SYR 27,225.00 - - 90 2,450,250.00 42 1,143,450.00 48 1,306,800.00
33 110850060108 CEFTAZIDIME INJ. 1 GR 44,880.00 - - - - - - - -
34 211810490015 CETIRIZINE 10 MG 235.12 - - - - - - - -
37 211810350006 CETIRIZINE 10 MG 427.35 2,400 1,025,640.00 1,000 427,350.00 3,400 1,452,990.00 - -
38 211810130019 CETIRIZINE 10 MG 235.13 - - 1,500 352,695.00 1,310 308,020.30 190 44,674.70
42 110830490035 CIPROFLOXACIN TAB. 500 MG 666.88 - - 100 66,688.00 100 66,688.00 - -
43 110830490035 CIPROFLOXACIN TAB. 500 MG 704.00 22 15,488.00 1,000 704,000.00 760 535,040.00 262 184,448.00
45 118130490006 CLINDAMYCIN TAB 150 MG 796.40 32 25,484.80 - - 32 25,484.80 - -
1 / 235
01 02 03 04 05 06 07 08 09 10 11
46 110820060030 CLINDAMYCIN TAB 300 MG 1,334.51 - - - - - - - -
47 118130490002 CLINDAMYCIN TAB 300 MG 1,369.50 - - - - - - - -
48 110820060030 CLINDAMYCIN TAB 300 MG 1,432.20 177 253,499.40 - - 131 187,618.20 46 65,881.20
49 CLINDAMYCIN TAB 300 MG 1,306.67 - - 200 261,334.00 - - 200 261,334.00
50 110840130057 CO AMOXXCLAV TAB 625 MG 4,620.00 31 143,220.00 - - 30 138,600.00 1 4,620.00
51 110860210006 DOXYCYCLINE CAPS. 100 MG 308.55 60 18,513.00 - - - - 60 18,513.00
120820350001 ERYTHROMYCIN CAPS 250 MG 809.38 89 72,034.82 - - 89 72,034.82 - -
110820760028 ERYTHROMYCIN CAPS 500 MG 1,285.62 59 75,851.58 - - 53 68,137.86 6 7,713.72
110820350006 ERYTHROMYCIN DRY SYR 13,721.40 3 41,164.20 48 658,627.20 29 397,920.60 22 301,870.80
42 110810350006 GENTAMYCIN CREAM 5 GRM 1,966.82 4 7,867.28 - 4 7,867.28 - -
110810310011 GENTAMYCIN CREAM 5 GRM 2,073.14 - - - - - - - -
110810350006 GENTAMYCIN CREAM 5 GRM 1,966.82 - - 100 196,682.00 81 159,312.42 19 37,369.58
110830490010 LEVOFLOXACIN 500 MG 980.62 - - - - - - - -
110830490010 LEVOFLOXACIN 500 MG 980.63 - - - - - - - -
110830130030 LEVOFLOXACIN 500 MG 1,211.38 - - - - - - - -
110830350028 LEVOFLOXACIN 500 MG 865.26 - - - - - - - -
110830350028 LEVOFLOXACIN 500 MG 721.05 146 105,273.30 320 230,736.00 336 242,272.80 130 93,736.50
MEROPENEM INJ. 1 GR 107,250.00 - - - - - - - -
110860350005 OXYTETRACYCLIN 1% SALEP MATA 3,327.50 22 73,205.00 - - - - 22 73,205.00
111610350002 OXYTETRACYCLIN 3% SALEP KULIT 2,009.70 23 46,223.10 - - 2 4,019.40 21 42,203.70
114130060001 SULFASALAZINE 500 MG 1,980.00 4 7,920.00 - - - - 4 7,920.00
SUB TOTAL 4,132 4,009,787.40 8,679 12,790,834.05 10,464 10,773,001.31 2,347 6,027,620.14
NON ANTIBIOTIK GENERIK

1 211020130053 ACARBOSE TAB. 100 MG 908.14 - - - - - - - -
2 211020130052 ACARBOSE TAB. 50 MG 657.03 - - - - - - - -
3 211020130052 ACARBOSE TAB. 50 MG 1,245.09 - - - - - - - -
4 211020130052 ACARBOSE TAB. 50 MG 586.44 - - - - - - - -
### 221630350001 ACYCLOVIR CREAM 5 GR 3,619.00 5 18,095.00 28 101,332.00 11 39,809.00 22 79,618.00
### ACYCLOVIR TAB. 200 MG 528.17 99 52,288.83 - - 35 18,485.95 64 33,802.88
### 218110490066 ACYCLOVIR TAB. 400 MG 624.20 - - - - - - - -
### 118110350002 ACYCLOVIR TAB. 400 MG 713.01 - - - - - - - -
### 218110280065 ACYCLOVIR TAB. 400 MG 567.45 155 87,954.75 - - 140 79,443.00 15 8,511.75
### 218110490066 ACYCLOVIR TAB. 400 MG 687.00 - - 100 68,700.00 - - 100 68,700.00
### ALBENDAZOL 400 MG 446.60 80 35,728.00 - - 30 13,398.00 50 22,330.00
### ALLOPURINOL TAB 100 MG 173.74 - - - - - - - -
### 210520350001 ALLOPURINOL TAB 100 MG 158.73 - - - - - - - -
### 210520350085 ALLOPURINOL TAB 100 MG 99.00 35 3,465.00 - - 35 3,465.00 - -
### 210520350001 ALLOPURINOL TAB 100 MG 193.60 - - 100 19,360.00 - - 100 19,360.00
### 210520060089 ALLOPURINOL TAB 100 MG 151.25 200 30,250.00 100 15,125.00 265 40,081.25 35 5,293.75
### ALLOPURINOL TAB 300 MG 216.10 - - 60 12,966.00 60 12,966.00 - -
### 210520350003 ALLOPURINOL TAB 300 MG 310.20 170 52,734.00 200 62,040.00 370 114,774.00 -
### ALLOPURINOL TAB 300 MG 216.00 - - 300 64,800.00 98 21,168.00 202 43,632.00
### 210520350003 ALLOPURINOL TAB 300 MG 302.50 - - 300 90,750.00 300 90,750.00 - -
2 / 235
01 02 03 04 05 06 07 08 09 10 11
### 214120130002 ALPRAZOLAM 0.5 MG 497.25 1 497.25 - - 1 497.25 - -
### 214120130002 ALPRAZOLAM 0.5 MG 585.00 - - 400 234,000.00 165 96,525.00 235 137,475.00
### 210320060087 AMBROXOL SYR. 15 MG/ 5 ML 6,930.00 - - - - - - - -
### 210320350012 AMBROXOL SYR. 15 MG/ 5 ML 4,681.60 - - - - - - - -
### 210320570090 AMBROXOL SYR. 15 MG/ 5 ML 4,761.02 48 228,528.96 148 704,630.96 167 795,090.34 29 138,069.58
### 210320350012 AMBROXOL TAB. 139.79 - - - - (977) (136,574.83) 977 136,574.83
### 210320350012 AMBROXOL TAB. 231.00 - - - - - - - -
### 210320060088 AMBROXOL TAB. 143.68 - - - - - - - -
### 210320350012 AMBROXOL TAB. 139.80 580 81,084.00 4,300 601,140.00 4,880 682,224.00 - -
### 210310570118 AMINOPHYLLIN INJ. 3,023.94 - - - - - - - -
### 210220120225 AMIODARONE INJ. 8,649.30 - - - - - - - -
### 210210760268 AMLODIPINE 10 MG 592.67 - - - - - - - -
### 210210280267 AMLODIPINE 10 MG 935.00 - - - - - - - -
### 210210720260 AMLODIPINE 10 MG 249.90 - - - - - - - -
### AMLODIPINE 10 MG 1,408.00 - - - - - - - -
### 210210720260 AMLODIPINE 10 MG 95.00 - - - - - - - -
### AMLODIPINE 10 MG 1,408.00 33 46,464.00 10,950 15,417,600.00 9,059 12,755,072.00 1,924 2,708,992.00
### 210210350273 AMLODIPINE 5 MG 76.01 - - - - - - - -
### 210210060261 AMLODIPINE 5 MG 345.60 - - - - - - - -
### 210210130128 AMLODIPINE 5 MG 907.19 - - - - - - - -
### 210210280243 AMLODIPINE 5 MG 476.67 123 58,630.41 - - 123 58,630.41 - -
### 210210720262 AMLODIPINE 5 MG 76.00 - - - - - - - -
### 210210210271 AMLODIPINE 5 MG 396.00 - - 150 59,400.00 150 59,400.00 - -
### AMLODIPINE 5 MG 880.00 - - 1,950 1,716,000.00 1,764 1,552,320.00 186 163,680.00
### 210410310055 ANTALGIN TAB 500 MG 269.50 - - - - - - - -
### 210110350151 ANTASIDA DOEN SYR. 10,444.50 - - - - - - - -
### 210110350151 ANTASIDA DOEN SYR. 10,340.55 - - - - - - - -
### 210110350120 ANTASIDA DOEN TAB 210.60 - - - - - - - -
### 210110350120 ANTASIDA DOEN TAB 138.09 - - - - - - - -
### ANTASIDA DOEN TAB 56.00 380 21,280.00 - - - - 380 21,280.00
### 220190350012 ANTIHEMOROID SUPPS 3,300.00 27 89,100.00 100 330,000.00 95 313,500.00 32 105,600.00
### 210410280076 AS. MEFENAMAT TAB 500 MG 189.20 - - - - - - - -
### 210440130028 ASAM VALPROAT SYR 250 ML 48,510.00 - - - - - - - -
### 210440130028 ASAM VALPROAT SYR 250 ML 47,245.00 - - - - - - - -
### 210440490035 ASAM VALPROAT SYR 250 ML 41,580.00 2 83,160.00 - - - 2 83,160.00
### 210440490035 ASAM VALPROAT SYR 250 ML 41,580.00 - - 20 831,600.00 - - 20 831,600.00
### 210270280037 ATORVASTATIN 10 MG 2,750.00 - - - - - - - -
### 210270280037 ATORVASTATIN 10 MG 2,612.50 226 590,425.00 - - - - 226 590,425.00
### 210270760024 ATORVASTATIN 20 MG 4,180.00 - - - - - - - -
### 210270760024 ATORVASTATIN 20 MG 3,960.00 - - 750 2,970,000.00 750 2,970,000.00 - -
### ATORVASTATIN 40 MG 4,950.00 100 495,000.00 2,370 11,731,500.00 1,300 6,435,000.00 1,170 5,791,500.00
### 210480490002 BETAHISTINE TABLET 6 MG 693.00 22 15,246.00 1,800 1,247,400.00 1,175 814,275.00 647 448,371.00
### 211810350018 BETAMETASONE CREAM 2,026.20 - - - - - - - -
3 / 235
01 02 03 04 05 06 07 08 09 10 11
### 211810350018 BETAMETASONE CREAM 2,210.18 2 4,420.36 - - 2 4,420.36 - -
### 211810350018 BETAMETASONE CREAM 2,239.74 - - 25 55,993.50 6 13,438.44 19 42,555.06
### BISOPROLOL TAB. 2.5 MG 2,640.00 385 1,016,400.00 - - 385 1,016,400.00 - -
### 210210280254 BISOPROLOL TAB. 5 MG 726.00 - - - - - - - -
### 210210490243 BISOPROLOL TAB. 5 MG 550.00 2,516 1,383,800.00 - - 2,516 1,383,800.00 - -
### 210210130259 BISOPROLOL TAB. 5 MG 236.95 - - 1,440 341,208.00 1,440 341,208.00 - -
### BISOPROLOL TAB. 5 MG 2,887.50 - - 4,100 11,838,750.00 3,130 9,037,875.00 970 2,800,875.00
### 211440810001 BORAX GLYSERINE 2,926.00 - - - - - - - -
### 211140350003 CALCIUM LACTATE TABLET 500 MG 223.98 85 19,038.30 - - - - 85 19,038.30
### 211140570004 CALCIUM LACTATE TABLET 500 MG 143.13 - - - - - - - -
### 211140570004 CALCIUM LACTATE TABLET 500 MG 603.13 - - - - - - - -
### 210210130134 CANDESARTAN TAB. 8 MG 519.23 - - - - - - - -
### 210210060255 CANDESARTAN TAB. 8 MG 2,200.00 57 125,400.00 4,680 10,296,000.00 4,737 10,421,400.00 - -
### 210210130134 CANDESARTAN TAB. 8 MG 519.23 - - 5,100 2,648,073.00 2,314 1,201,498.22 2,786 1,446,574.78
### 210210130243 CANDESARTAN TAB. 16 MG 951.20 - - - - - - - -
### CANDESARTAN TAB. 16 MG 3,520.00 2,700 9,504,000.00 - - 2,190 7,708,800.00 510 1,795,200.00
### 210210060256 CANDESARTAN TAB. 16 MG 4,004.00 - - 500 2,002,000.00 500 2,002,000.00 - -
### CANDESARTAN TAB. 16 MG 3,520.00 - - 12,320 43,366,400.00 12,320 43,366,400.00 - -
### 220210340004 CATOPRIL 12,5 MG 62.00 - - - - - - - -
### 220210340004 CATOPRIL 12,5 MG 112.50 - - 700 78,750.00 700 78,750.00 - -
### 210210570272 CATOPRIL 12,5 MG 92.98 - - 1,000 92,980.00 1,000 92,980.00 - -
### 210210280263 CATOPRIL 25 MG 94.07 - - - - - - - -
### 210210280263 CATOPRIL 25 MG 115.50 - - - - - - - -
### 210210350140 CATOPRIL 25 MG 120.53 7 843.71 - - - - 7 843.71
### 210210350140 CATOPRIL 25 MG 144.64 - - 1,000 144,640.00 - - 1,000 144,640.00
### 210210130009 CATOPRIL 50 MG 235.60 - - - - - - - -
### 210210130009 CATOPRIL 50 MG 167.52 - - - - - - - -
### 211810810014 CHLORPHENAMINE TAB. 4 MG 43.00 259 11,137.00 - - 59 2,537.00 200 8,600.00
### 211810810014 CHLORPHENAMINE TAB. 4 MG 43.00 - - 100 4,300.00 15 645.00 85 3,655.00
### 210260060050 CILOSTAZOL TAB. 100 MG 7,000.46 - - - - - - - -
### 210260060050 CILOSTAZOL TAB. 100 MG 7,315.00 - - 3,000 21,945,000.00 623 4,557,245.00 2,377 17,387,755.00
### 210240130244 CITICOLINE TAB 500 MG 5,890.50 - - - - - - - -
### 210240490025 CITICOLINE TAB 500 MG 5,610.00 300 1,683,000.00 - - 300 1,683,000.00 - -
### 210240060027 CITICOLINE TAB 500 MG 4,400.00 42 184,800.00 360 1,584,000.00 66 290,400.00 336 1,478,400.00
### 210210350141 CLONIDIN TAB 174.25 - - - - - - - -
### 210210350141 CLONIDIN TAB 205.00 100 20,500.00 1,100 225,500.00 600 123,000.00 600 123,000.00
### 210260210240 CLOPIDOGREL TAB. 75 MG 1,317.05 - - - - - - - -
### 210260720051 CLOPIDOGREL TAB. 75 MG 2,590.50 - - 1,080 2,797,740.00 1,080 2,797,740.00 - -
### CLOPIDOGREL TAB. 75 MG 5,362.50 - - 2,400 12,870,000.00 1,276 6,842,550.00 1,124 6,027,450.00
4 / 235
01 02 03 04 05 06 07 08 09 10 11
### 118100060015 COTRIMOXAZOLE SYR 5,610.00 - - - - - - - -
### 110890350024 COTRIMOXAZOLE SYR 6,050.00 5 30,250.00 - - 3 18,150.00 2 12,100.00
### 110890060032 COTRIMOXAZOLE TAB 480 MG 233.75 - - - - - - - -
### 110890350022 COTRIMOXAZOLE TAB 480 MG 247.72 - - - - - - - -
### 110890060032 COTRIMOXAZOLE TAB 480 MG 192.50 - - 100 19,250.00 7 1,347.50 93 17,902.50
### 211650130016 DESOXIMETASONE CREAM 10,800.27 - - - - - - - -
### 210350060244 DEXA METHASON TBL 0,50 MG 154.50 - - - - - - - -
### 210350350145 DEXA METHASON TBL 0,50 MG 117.45 543 63,775.35 1,300 152,685.00 1,718 201,779.10 125 14,681.25
### 210510570069 DEXA METHASONE INJ. 1,614.43 - - - - - - - -
### 214130490070 DEXKETOPROFEN TAB. 3,135.00 - - - - - - - -
### 214130810070 DEXKETOPROFEN TAB. 25 MG 2,970.00 - - 1,080 3,207,600.00 1,080 3,207,600.00 - -
### 210210350144 DIAZEPAM TBL. 2 MG 123.75 - - - - - - - -
### 210220210229 DIGOXIN TABL 0,25MG 143.00 - - - - - - - -
### 210220210229 DIGOXIN TABL 0,25MG 107.25 - - 500 53,625.00 150 16,087.50 350 37,537.50
### 210210350144 DILTIAZEM TAB. 180.57 - - 100 18,057.00 100 18,057.00 - -
### DIVALPROEX SODIUM 250 MG 2,475.00 150 371,250.00 270 668,250.00 290 717,750.00 130 321,750.00
### 210110060152 DOMPERIDONE DROPS 18,480.00 - - - - - - - -
### 210120280021 DOMPERIDONE SYR. 8,855.00 - - 50 442,750.00 25 221,375.00 25 221,375.00
### 210140720261 DOMPERIDONE TAB 189.00 - - - - - - - -
### 210140060119 DOMPERIDONE TAB 314.82 - - - - - - - -
### 210140060119 DOMPERIDONE TAB 339.04 - - - - - - - -
### 210122100249 DOMPERIDONE TAB 363.26 - - - - - - - -
### 210120280015 DOMPERIDONE TAB 214.50 - - - - - - - -
### 210120490125 DOMPERIDONE TAB 302.71 433 131,073.43 1,800 544,878.00 2,015 609,960.65 218 65,990.78
### 210520490087 EPERISONE 50 MG 1,540.00 - - - - - - - -
### 210320490083 ERDOSTEIN TAB. 300 MG 2,970.00 270 801,900.00 540 1,603,800.00 810 2,405,700.00 - -
### 118160350001 ETHAMBUTOL TAB 500 MG 688.32 - - - - - - - -
### 118160350001 ETHAMBUTOL TAB 500 MG 837.52 - - 400 335,008.00 200 167,504.00 200 167,504.00
### FENOFIBRATE 160 MG 2,035.00 - - 200 407,000.00 200 407,000.00 - -
### 210270280013 FENOFIBRATE 1OO MG 1,320.00 225 297,000.00 900 1,188,000.00 1,125 1,485,000.00 - -
### 210270280018 FENOFIBRATE 3OO MG 2,640.00 7 18,480.00 1,770 4,672,800.00 1,767 4,664,880.00 10 26,400.00
### 218120350054 FLUCONAZOLE CAPS. 150 MG 19,656.00 - - - - - - - -
### 218120350054 FLUCONAZOLE CAPS. 150 MG 18,150.27 119 2,159,882.13 - - 25 453,756.75 94 1,706,125.38
### 210490060241 FLUNARIZIN TAB. 5 MG 1,650.00 - - 1,000 1,650,000.00 218 359,700.00 782 1,290,300.00
### 210210310116 FOLIC ACID 1 MG 164.93 828 136,562.04 - - 828 136,562.04 - -
### 210210130243 FUROSEMIDE INJ 2,057.40 - - - - - - - -
### 210210130113 FUROSEMIDE TBL. 40 MG 133.32 42 5,599.44 - - 42 5,599.44 - -
### 210440130005 GABAPENTIN TAB. 300 MG 1,014.65 - - - - - - - -
### 210440130005 GABAPENTIN TAB. 300 MG 1,014.67 15 15,220.05 - - 9 9,132.03 6 6,088.02
### 211020350048 GLIBENCLAMIDA TAB 5 MG 183.92 305 56,095.60 - - 5 919.60 300 55,176.00
### 211020280020 GLIMEPRIDE TAB. 1 MG 598.56 - - - - - - - -
5 / 235
01 02 03 04 05 06 07 08 09 10 11
### 211020060062 GLIMEPRIDE TAB. 1 MG 365.41 60 21,924.60 300 109,623.00 267 97,564.47 93 33,983.13
### 211020130074 GLIMEPRIDE TAB. 2 MG 1,354.45 - - - - - - - -
### 211020280021 GLIMEPRIDE TAB. 2 MG 572.00 338 193,336.00 - - 338 193,336.00 - -
### GLIMEPRIDE TAB. 2 MG 929.50 - - - - - - - -
### 211020340075 GLIMEPRIDE TAB. 2 MG 644.97 - - 2,830 1,825,265.10 2,484 1,602,105.48 346 223,159.62
### 211020350083 GLIMEPRIDE TAB. 3 MG 244.98 190 46,546.20 650 159,237.00 620 151,887.60 220 53,895.60
### 211020350078 GLIMEPRIDE TAB. 4 MG 273.00 - - 450 122,850.00 450 122,850.00 - -
### GLIMEPRIDE TAB. 4 MG 1,430.00 - - 2,990 4,275,700.00 1,550 2,216,500.00 1,440 2,059,200.00
### 211020130017 GLIQUIDONE 30 MG 1,209.68 - - - - - - - -
### 211020130017 GLIQUIDONE 30 MG 1,064.52 835 888,874.20 500 532,260.00 1,306 1,390,263.12 29 30,871.08
### 221250280021 GLUCOSAMINE 250 MG 704.00 206 145,024.00 - - 206 145,024.00 - -
### 210320350042 GLYCERYL GUAICOLATE TAB. 55.00 - - - - - - - -
### 210320350042 GLYCERYL GUAICOLATE TAB. 234.88 - - 200 46,976.00 65 15,267.20 135 31,708.80
### GRANISETRON INJ. 3 MG 24,750.00 - - - - - - - -
### 128120590026 GRISEOFULVIN TABL 500 MG 1,554.30 150 233,145.00 - - 33 51,291.90 117 181,853.10
### 214100310020 HALOPERIDOL TABL 1.5 MG 88.00 - - - - - - - -
### 214100310021 HALOPERIDOL TABL 5 MG 134.38 - - - - - - - -
### 210210350119 HCT TBL. 25 MG 124.80 - - - - - - - -
### 210210350119 HCT TBL. 25 MG 163.00 - - - - - - - -
### 210210350119 HCT TBL. 25 MG 121.59 202 24,561.18 - - 202 24,561.18 - -
### 210210350119 HCT TBL. 25 MG 121.60 - - 1,500 182,400.00 632 76,851.20 868 105,548.80
### 211650280013 HYDROCORTISON 2,5% 3,366.00 - - - - - - - -
### 211650570012 HYDROCORTISON 2,5% 5,610.00 - - - - - - - -
### 211650280013 HYDROCORTISON 2,5% 3,206.50 - - - - - - - -
### 211650570012 HYDROCORTISON 2,5% 2,885.85 16 46,173.60 48 138,520.80 38 109,662.30 26 75,032.10
### 210410760052 IBUPROFEN 200 MG 127.49 33 4,207.17 - - 33 4,207.17 - -
### 220410350060 IBUPROFEN 400 MG 235.95 - - - - - - - -
### 220410350060 IBUPROFEN 400 MG 440.00 - - 100 44,000.00 40 17,600.00 60 26,400.00
### 210210490238 IRBESARTAN 300 MG 3,336.67 31 103,436.77 - - 31 103,436.77 - -
### 118160350010 ISONIAZID TABL 100 MG 135.43 61 8,261.23 - - - - 61 8,261.23
### 118160350011 ISONIAZID TABL 300 MG 190.30 276 52,522.80 - - 76 14,462.80 200 38,060.00
### 118160350011 ISONIAZID TABL 300 MG 190.30 - - 200 38,060.00 177 33,683.10 23 4,376.90
### 210220760228 ISOSORBIDE DINITRATE 121.00 - - - - - - - -
### 210220760228 ISOSORBIDE DINITRATE 102.85 210 21,598.50 700 71,995.00 910 93,593.50 - -
### 118120350009 ITRACONAZOLE 100 MG 3,300.00 48 158,400.00 - - 6 19,800.00 42 138,600.00
### 214130280064 KALIUM DIKLOPENAK 50 MG 708.01 - - - - - - - -
### 214130280064 KALIUM DIKLOPENAK 50 MG 708.02 - - - - - - - -
6 / 235
01 02 03 04 05 06 07 08 09 10 11
### 214130280064 KALIUM DIKLOPENAK 50 MG 708.03 - - 2,000 1,416,060.00 1,512 1,070,541.36 488 345,518.64
### KETOKONAZOLE CREAM 4,675.00 - - - - - - - -
### 218120280055 KETOKONAZOLE CREAM 4,666.20 - - - - - - - -
### 218120280055 KETOKONAZOLE CREAM 4,666.00 - - - - - - - -
### 218120280056 KETOKONAZOLE TAB. 200 MG 368.99 203 74,904.97 - - 81 29,888.19 122 45,016.78
### 214130490068 KETOPROFEN TAB. 50 MG 563.20 90 50,688.00 - - 10 5,632.00 80 45,056.00
### 210510120045 KETOROLAC INJ. 30 MG 1,045.00 - - - - - - - -
### 210110280040 LANSOPRAZOLE 30 MG 700.02 - - - - - - - -
### 210110280040 LANSOPRAZOLE 30 MG 700.01 - - - - - - - -
### 210110490039 LANSOPRAZOLE 30 MG 700.00 - - - - - - - -
### 210110280040 LANSOPRAZOLE 30 MG 810.81 1,240 1,005,404.40 700 567,567.00 1,940 1,572,971.40 - -
### 210130060127 LIDOCAIN INJ. 2% 1,155.00 9 10,395.00 - - - - 9 10,395.00
### 210210490234 LISINOPRIL 10 MG 574.75 65 37,358.75 - - 64 36,784.00 1 574.75
### 210210490235 LISINOPRIL 5 MG 334.40 - - 30 10,032.00 30 10,032.00 - -
### 211810490002 LORATADIN 10 MG 169.40 - - - - - - - -
### 221810280001 LORATADIN 10 MG 233.15 285 66,447.75 - - 222 51,759.30 63 14,688.45
### 210470490001 MECOBALAMIN 250 MG 594.00 - - - - - - - -
### 210470490030 MECOBALAMIN 500 MG 792.00 453 358,776.00 - - 451 357,192.00 2 1,584.00
### MECOBALAMIN INJEKSI 7,920.00 - - - - - - - -
### 214130490065 MELOXICAM TAB 15 MG 575.52 - - - - - - - -
### 214130490065 MELOXICAM TAB 15 MG 577.50 509 293,947.50 - - 509 293,947.50 - -
### 210510310054 MELOXICAM TAB 15 MG 585.43 - - 2,200 1,287,946.00 1,671 978,253.53 529 309,692.47
### 210510280057 MELOXICAM TAB 7.5 MG 334.40 360 120,384.00 700 234,080.00 955 319,352.00 105 35,112.00
### 211020130001 METFORMIN TAB 500 MG 136.13 - - - - - - - -
### 211020280069 METFORMIN TAB 500 MG 150.65 - - - - - - - -
### 211020060084 METFORMIN TAB 500 MG 150.64 1,750 263,620.00 - - 1,742 262,414.88 8 1,205.12
### 211020720079 METFORMIN TAB 850 MG 166.00 - - - - - - - -
### 216130130007 METHYLPREDNISOLON TAB 16 MG 1,086.75 - - - - - - - -
### 216130130007 METHYLPREDNISOLON TAB 16 MG 978.08 41 40,101.28 200 195,616.00 160 156,492.80 81 79,224.48
### 216130130011 METHYLPREDNISOLON TAB 4 MG 462.58 - - - - - - - -
### METHYLPREDNISOLON TAB 4 MG 321.75 - - 800 257,400.00 800 257,400.00 - -
### 216130130011 METHYLPREDNISOLON TAB 4 MG 352.44 332 117,010.08 1,300 458,172.00 1,347 474,736.68 285 100,445.40
### 214130060071 METHYLPREDNISOLON TAB 8 MG 386.10 20 7,722.00 - - 20 7,722.00 - -
### 216130810015 METHYLPREDNISOLON TAB 8 MG 693.00 500 346,500.00 - - 217 150,381.00 283 196,119.00
### 218120490057 METRONIDAZOLE INPUS 31,856.00 - - - - - - - -
### 210890060001 METRONIDAZOLE TAB. 500 MG 171.60 - - - - - - - -
### 218120350059 METRONIDAZOLE TAB. 500 MG 286.00 - - - - - - - -
### 111620350001 MICONAZOLE KRIM 2% 3,575.00 20 71,500.00 48 171,600.00 53 189,475.00 15 53,625.00
### 211610490001 MUPIROCIN OINTMENT 2% 29,700.00 9 267,300.00 - - 2 59,400.00 7 207,900.00
### 214130350012 NATRIUM DIKLOPENAK 25 MG 176.06 - - - - - - - -
7 / 235
01 02 03 04 05 06 07 08 09 10 11
### 214130350012 NATRIUM DIKLOPENAK 25 MG 329.57 355 116,997.35 1,200 395,484.00 1,098 361,867.86 457 150,613.49
### 214130060069 NATRIUM DIKLOPENAK 50 MG 412.52 3,000 1,237,560.00 - - 3,000 1,237,560.00 - -
### 214130490074 NATRIUM DIKLOPENAK 50 MG 412.53 2,973 1,226,451.69 - - 2,973 1,226,451.69 - -
### 210440300016 NATRIUM PHENYTOIN INJ. 25,025.00 - - - - - - - -
### 212140350001 NIFEDIPIN TAB 10 MG 185.75 34 6,315.50 - - 34 6,315.50 - -
### 212140350001 NIFEDIPIN TAB 10 MG 121.90 - - 200 24,380.00 66 8,045.40 134 16,334.60
### 118120060032 NYSTATIN DROPS 21,780.00 - - - - - - - -
### 118120570034 NYSTATIN TABLET 100000 IU 790.91 23 18,190.93 - - 20 15,818.20 3 2,372.73
### 118120570034 NYSTATIN TABLET 100000 IU 790.91 - - 100 79,091.00 - - 100 79,091.00
### 210110490020 OMEPRAZOLE CAPS. 20 MG 704.36 - - - - - - - -
### 210110280138 OMEPRAZOLE CAPS. 20 MG 306.24 900 275,616.00 - - 900 275,616.00 - -
### 210110490020 OMEPRAZOLE CAPS. 20 MG 367.49 - - 3,540 1,300,914.60 3,534 1,298,709.66 6 2,204.94
### 210110490140 OMEPRAZOLE INJ. 36,300.00 - - - - - - - -
### 210140490123 ONDANSENTRON INJ. 8 MG 12,381.60 - - 10 123,816.00 10 123,816.00 - -
### 210140310124 ONDANSENTRON TAB. 4 MG 1,215.50 - - - - - - - -
### 210140490127 ONDANSENTRON TAB. 4 MG 1,155.00 28 32,340.00 240 277,200.00 256 295,680.00 12 13,860.00
### ONDANSENTRON TAB. 8 MG 1,589.50 - - - - - - - -
### ONDANSENTRON TAB. 8 MG 1,897.50 48 91,080.00 - - 14 26,565.00 34 64,515.00
### 221230350024 ORALIT 200 CC 409.20 - - - - - - - -
### 220930160932 OXYTOCIN INJ. 1,199.00 - - 100 119,900.00 100 119,900.00 - -
### 210410060075 PARACETAMOL SYRUP 60 ML 4,675.00 - - - - - - - -
210410350001 PARACETAMOL SYRUP 60 ML 5,065.50 - - 101 511,615.50 101 511,615.50 - -
210410350091 PARACETAMOL TAB 500 MG 220.71 - - - - - - - -
210410350091 PARACETAMOL TAB 500 MG 220.72 350 77,252.00 5,000 1,103,600.00 5,350 1,180,852.00 - -
210440350030 PHENOBARBITAL TBL 30 MG 240.00 62 14,880.00 - - 40 9,600.00 22 5,280.00
210250570263 PHYTOMENADION TABLET 10 MG 892.95 207 184,840.65 - - 46 41,075.70 161 143,764.95
PIOGLITAZONE 15 MG 2,970.00 - - - - - - - -
PIOGLITAZONE 30 MG 4,950.00 153 757,350.00 150 742,500.00 300 1,485,000.00 3 14,850.00
210470280047 PIRACETAM TAB. 1200 MG 905.50 - - - - (60) (54,330.00) 60 54,330.00
PIRACETAM TAB. 1200 MG 1,222.45 - - - - - - - -
210470280047 PIRACETAM TAB. 1200 MG 905.52 220 199,214.40 - - 220 199,214.40 - -
210470130018 PIRACETAM TAB. 400 MG 402.52 - - - - - - - -
210470130018 PIRACETAM TAB. 400 MG 432.96 - - - - - - - -
210470130018 PIRACETAM TAB. 400 MG 426.20 1 426.20 - - - - 1 426.20
210470280050 PIRACETAM TAB. 800 MG 562.10 - - - - - - - -
210470060049 PIRACETAM TAB. 800 MG 578.16 - - - - - - -
210470490043 PIRACETAM TAB. 800 MG 642.40 15 9,636.00 - - 15 9,636.00 - -
210470060049 PIRACETAM TAB. 800 MG 578.16 - - 600 346,896.00 492 284,454.72 108 62,441.28
210510350041 PIROXICAM TABL 10 MG 93.50 - - - - - - - -
210270490030 PRAVASTATIN 20 MG 2,384.25 - - - - - - - -
210270490030 PRAVASTATIN 20 MG 2,524.50 - - - - - - - -
8 / 235
01 02 03 04 05 06 07 08 09 10 11
210270490030 PRAVASTATIN 20 MG 2,664.75 59 157,220.25 100 266,475.00 60 159,885.00 99 263,810.25
210350570147 PREDNISON TABL 5 MG 90.30 3 270.90 - - 3 270.90 - -
210440130033 PREGABALIN CAPS 150 MG 9,674.63 - - - - - - - -
210440130033 PREGABALIN CAPS 150 MG 10,395.00 438 4,553,010.00 - - 270 2,806,650.00 168 1,746,360.00
210440130021 PREGABALIN CAPS 75 MG 7,507.50 - - - - - - - -
210440130021 PREGABALIN CAPS 75 MG 4,400.00 - - 1,000 4,400,000.00 784 3,449,600.00 216 950,400.00
110880570006 PRIMAQUIN TABL 15 MG 287.38 90 25,864.20 - - 15 4,310.70 75 21,553.50
210210130061 PROPANOLOL TABL 10 MG 80.85 3 242.55 - - - - 3 242.55
210210130063 PROPANOLOL TABL 40 MG 127.05 - - - - - - - -
210210130063 PROPANOLOL TABL 40 MG 120.70 71 8,569.70 100 12,070.00 50 6,035.00 121 14,604.70
211030130007 PTU TAB. 100 MG 430.56 - - - - - - - -
211030130007 PTU TAB. 100 MG 453.22 - - - - - - - -
118150350001 PYRANTEL TABL 125 MG 320.00 13 4,160.00 - - 1 320.00 12 3,840.00
118160350007 PYRAZINAMIDE TABL 500 MG 344.00 - - - - - - - -
118160350007 PYRAZINAMIDE TABL 500 MG 344.13 53 18,238.89 - - - - 53 18,238.89
210210130010 RAMIPRIL TAB. 2.5 MG 244.31 - - - - - - - -
210110060147 RANITIDIN TABL 150 MG 376.20 - - - - - - - -
210110580010 RANITIDIN TABL 150 MG 112.61 - - - - - - - -
210110350002 RANITIDIN TABL 150 MG 385.00 1,000 385,000.00 - - 1,000 385,000.00 - -
210110310145 RANITIDIN TABL 150 MG 462.00 400 184,800.00 1,000 462,000.00 1,400 646,800.00 - -
210110060147 RANITIDIN TABL 150 MG 165.00 - - 3,120 514,800.00 2,392 394,680.00 728 120,120.00
210110760126 REBAMIPIDE TABL 100 MG 2,438.33 30 73,149.90 - - - - 30 73,149.90
118160350005 RIFAMPICIN CAPS 450 MG 910.90 - - - - - - - -
118160350005 RIFAMPICIN CAPS 450 MG 1,134.70 - - 200 226,940.00 48 54,465.60 152 172,474.40
118160350006 RIFAMPICIN CAPS 600 MG 1,675.89 - - - - - - - -
SALBUTAMOL TABL 2 MG 78.00 - - - - - - - -
SALBUTAMOL TABL 2 MG 79.20 - - - - - - - -
1 210310350001 SALBUTAMOL TABL 2 MG 79.83 827 66,019.41 - 327 26,104.41 500 39,915.00
210310350001 SALBUTAMOL TABL 2 MG 79.83 - - 500 39,915.00 408 32,570.64 92 7,344.36
210310350005 SALBUTAMOL TABL 4 MG 90.39 303 27,388.17 800 72,312.00 1,103 99,700.17 - -
SILDENAFIL CITRATE 100 MG 38,500.00 - - - - - - - -
SILDENAFIL CITRATE 50 MG 21,560.00 145 3,126,200.00 - - 45 970,200.00 100 2,156,000.00
210270350026 SIMVASTATIN TAB. 10 MG 484.78 - - - - - - - -
210270760035 SIMVASTATIN TAB. 10 MG 243.67 - - 700 170,569.00 175 42,642.25 525 127,926.75
SIMVASTATIN TAB. 20 MG 213.99 - - - - - - - -
SIMVASTATIN TAB. 20 MG 564.29 - - - - - - - -
9 / 235
01 02 03 04 05 06 07 08 09 10 11
210270060031 SIMVASTATIN TAB. 20 MG 677.16 - - 100 67,716.00 100 67,716.00 - -
SIMVASTATIN TAB. 20 MG 564.29 - - 400 225,716.00 400 225,716.00 - -
SIMVASTATIN TAB. 20 MG 550.00 - - 2,100 1,155,000.00 2,100 1,155,000.00 - -
210270060031 SIMVASTATIN TAB. 20 MG 213.99 - - 5,000 1,069,950.00 3,838 821,293.62 1,162 248,656.38
210210130240 SPIRONOLACTONE TAB. 100 MG 746.38 - - - - - - - -
210210130240 SPIRONOLACTONE TAB. 100 MG 996.94 - - - - - - - -
210110100150 SUCRALFATE SYR. 100 ML 8,206.00 22 180,532.00 - - 22 180,532.00 - -
110880350002 SULFADOXINE TAB. 473.00 - - - - - - - -
110880350002 SULFADOXINE TAB. 627.00 - - - - - - - -
210180490001 URSODEOXYCHOLIC ASID 250 4,158.00 150 623,700.00 60 249,480.00 191 794,178.00 19 79,002.00
210210130248 VALSARTAN 160 MG 2,933.33 1 2,933.33 - - 1 2,933.33 - -
211150810002 VIT. B1. 50 mg 40.70 231 9,401.70 - - - - 231 9,401.70
VITAMIN B KOMPLEKS 143.99 1,190 171,348.10 - - 1,190 171,348.10 - -
211130350003 VITAMIN C TAB. 100 MG 164.03 - - - - - - - -
211130350003 VITAMIN C TAB. 100 MG 121.44 - - 700 85,008.00 321 38,982.24 379 46,025.76
211130350003 VITAMIN C TAB. 250 MG 127.60 - - 100 12,760.00 15 1,914.00 85 10,846.00
VITAMIN C TAB. 50 MG 125.84 173 21,770.32 200 25,168.00 347 43,666.48 26 3,271.84
210260150239 WARFARIN TAB. 1 MG 979.00 220 215,380.00 800 783,200.00 500 489,500.00 520 509,080.00
ZINK SULPHATE SYR. 8,250.00 - - - - - - - -
ZINK SULPHATE TAB 507.15 - - - - - - - -
ZINK SULPHATE TAB 415.62 161 66,914.82 300 124,686.00 422 175,391.64 39 16,209.18
SUB TOTAL 34,910 39,505,426.35 122,408 194,444,703.46 126,294 175,584,971.94 31,024 58,365,157.9
ANTIBIOTIK PATEN
1 120820010024 ABBOTIC SYR 30 ML 107,910.00 - - - - - - - -
2 120820010024 ABBOTIC SYR 30 ML 113,300.00 - - - - - - - -
3 120820010823 ABBOTIC SYR 60 ML 172,700.00 - - - - - - - -
4 120820010823 ABBOTIC SYR 60 ML 181,390.00 - - - - - - - -
5 120840620028 AMOXAN CAPS 500 MG 2,657.60 - - - - - - - -
### 120840620028 AMOXAN CAPS 500 MG 2,642.70 100 264,270.00 - - 100 264,270.00 - -
### 120840620028 AMOXAN CAPS 500 MG 2,642.75 - - 100 264,275.00 18 47,569.50 82 216,705.50
### 120840620040 AMOXAN DROPS 18,627.13 7 130,389.91 - - 7 130,389.91 - -
### 120840620033 AMOXAN DRY SYR 18,224.80 - - - - - - - -
### 120840620033 AMOXAN DRY SYR 18,158.25 - - - - - - - -
### 120840620033 AMOXAN DRY SYR 18,669.75 17 317,385.75 - - 17 317,385.75 - -
### 120820130020 AZOMAX SYR 91,575.00 - - - - - - - -
### 120830620005 BAQUINOR FORTE TABLET 500 MG 11,088.00 - - - - - - - -
### 120830620005 BAQUINOR FORTE TABLET 500 MG 11,010.04 98 1,078,983.92 - - 40 440,401.60 58 638,582.32
### 120870620022 BIOTHICOL CAPS 250 MG 1,487.20 30 44,616.00 - - - - 30 44,616.00
### 120870620007 BIOTHICOL CAPS 500 MG 2,978.80 81 241,282.80 - - - - 81 241,282.80
### 120870620015 BIOTHICOL FORTE SYR 47,168.00 - - 3 141,504.00 3 141,504.00 - -
### 120870620011 BIOTHICOL SYR 17,072.00 11 187,792.00 - - 11 187,792.00 - -
10 / 235
01 02 03 04 05 06 07 08 09 10 11
### 120870080019 CANICOL 500 MG 3,113.55 4 12,454.20 - - - - 4 12,454.20
### 120840080018 CAPSINAT SYR 42,262.00 - - - - - - - -
### 120850080136 CEFACEF KAPLET 200 MG 20,033.20 - - - - - - - -
### 120850080136 CEFACEF KAPLET 200 MG 19,522.25 1 19,522.25 - - - - 1 19,522.25
### 120850620102 CEFAT 500 MG TAB 8,435.48 - - - - - - - -
### 120850620102 CEFAT 500 MG TAB 8,435.49 12 101,225.88 - - - - 12 101,225.88
### 120850620022 CEFAT SIRUP 34,696.75 - - - - - - - -
### 120850620022 CEFAT SIRUP 35,634.50 18 641,421.00 - - 18 641,421.00 - -
### 120850620027 CEFAT SIRUP FORTE 60,101.25 - - - - - - - -
### 120850620027 CEFAT SIRUP FORTE 61,635.75 6 369,814.50 - - 6 369,814.50 - -
### CEFILA DRY. SYR 100 MG/5ML 63,910.00 - - - - - - - -
### 120850340061 CEFSPAN SYR 103,455.00 - - - - - - - -
### 120850340050 CEFSPAN 100 MG 22,990.00 25 574,750.00 - - - - 25 574,750.00
### 221810620014 CERINI CAPS. 2,779.15 - - - - - - - -
### 221810620014 CERINI CAPS. 2,851.61 90 256,644.90 620 1,767,998.20 676 1,927,688.36 34 96,954.74
### 221810620063 CERINI DROP 51,150.00 - - - - - - - -
### 221810620063 CERINI DROP 52,428.75 19 996,146.25 30 1,572,862.50 49 2,569,008.75 - -
### 221810620062 CERINI SYR 32,384.00 - - - - - - - -
### 221810620062 CERINI SYR 32,224.50 - - - - - - - -
### 221810620062 CERINI SYR 33,077.00 9 297,693.00 48 1,587,696.00 57 1,885,389.00 - -
### 121640350002 CHLORAMPHECORT CREAM 14,003.00 - - - - - - - -
### 120850080100 CIPREC 500 11,880.00 30 356,400.00 - - - - 30 356,400.00
### 120840550016 CLAMIXIN SYR 51,837.50 - - - - - - - -
### 120840550016 CLAMIXIN SYR 54,230.00 20 1,084,600.00 - - 20 1,084,600.00 - -
### 120840550053 CLAMIXIN FT SYR 67,787.50 - - - - - - - -
### 120840550053 CLAMIXIN FT SYR 70,180.00 3 210,540.00 18 1,263,240.00 21 1,473,780.00 - -
### 120840550010 CLAMIXIN TAB. 10,560.00 - - - - - - - -
### 120840550010 CLAMIXIN TAB. 9,570.00 - - - - - - - -
### 120840550010 CLAMIXIN TAB. 9,968.75 22 219,312.50 180 1,794,375.00 40 398,750.00 162 1,614,937.50
### 120850620103 CLANEKSI SYR 42,944.00 - - - - - - - -
### 120850620103 CLANEKSI SYR 43,051.25 - - - - - - - -
### 120850620103 CLANEKSI SYR 44,159.50 4 176,638.00 - - 4 176,638.00 - -
### 120840620009 CLANEKSI TAB. 9,769.65 7 68,387.55 - - - - 7 68,387.55
### 120850340090 CLAVAMOX CAPS. 500 MG 12,888.33 - - - - - - - -
### 120840340052 CLAVAMOX DS SYR 67,925.00 - - - - - - - -
### 120830190045 CRAVIT OPTH SOL 5 ML 108,900.00 - - - - - - - -
### 120830340012 CRAVIT TAB 500 MG 38,665.00 - - - - - - - -
### 120830370011 CRAVOX TAB. 500 MG 26,950.00 - - - - - - - -
### 120830130025 DEXAFLOX 400 MG 23,375.00 - - - - - - - -
### 120840130029 DEXYMOX FORTE CAPSUL 495.00 - - - - - - - -
### 120820620003 ERYSANBE CAPS. 500 MG 2,164.80 18 38,966.40 100 216,480.00 118 255,446.40 - -
### 120820620008 ERYSANBE SYR. 17,902.50 3 53,707.50 12 214,830.00 15 268,537.50 - -
### 120810390015 FG TROCHES LOZENGES 1,311.90 - - - - - - - -
### 120850210063 FIXACEP 100 SIRUP KERING 61,875.00 - - - - - - - -
11 / 235
01 02 03 04 05 06 07 08 09 10 11
### 120850210063 FIXACEP 100 SIRUP KERING 82,500.00 - - - - - - - -
### 120850210069 FIXACEP DROPS 62,370.00 - - - - - - - -
### 120850210069 FIXACEP DROPS 69,300.00 4 277,200.00 - - 4 277,200.00 - -
### 120850210056 FIXACEP TAB 200 MG 26,400.00 5 132,000.00 - - - - 5 132,000.00
### 120870260018 FOSICOL TAB 3,521.10 41 144,365.10 - - - - 41 144,365.10
### 221810320022 INTRIZIN DROPS 15 ML 68,376.00 - - - - - - - -
### 221810320022 INTRIZIN DROPS 15 ML 73,480.00 5 367,400.00 - - 5 367,400.00 - -
### 221810320019 INTRIZIN SYR. 48,510.00 - - - - - - - -
### 221810320019 INTRIZIN SYR. 52,360.00 - - - - - - - -
### 221810320019 INTRIZIN SYR. 53,996.25 - - 15 809,943.75 15 809,943.75 - -
### 120850360087 LANFIX CAPS. 100 MG 20,350.00 - - - - - - - -
### 120850360087 LANFIX CAPS. 100 MG 20,900.00 53 1,107,700.00 - - 50 1,045,000.00 3 62,700.00
### 120850360097 LANFIX CAPS. 200 MG 31,900.00 - - - - - - - -
### 120850360097 LANFIX CAPS. 200 MG 33,000.00 15 495,000.00 - - - - 15 495,000.00
### 120850360064 LANFIX SYR. 85,800.00 - - - - - - - -
### 120850360064 LANFIX SYR. 88,000.00 9 792,000.00 12 1,056,000.00 21 1,848,000.00 - -
### 120830620042 LEVOCIN EYE DROPS 56,056.00 - - - - - - - -
### 120830620042 LEVOCIN EYE DROPS 57,519.00 - - 40 2,300,760.00 12 690,228.00 28 1,610,532.00
### 120830620041 LEVOCIN INFUS 229,121.75 - - - - - - - -
### 120830620050 LEVOCIN TAB 30,140.00 - - - - - - - -
### 120830620050 LEVOCIN TAB 29,922.75 - - 60 1,795,365.00 24 718,146.00 36 1,077,219.00
### 120830360024 LEXA INFUS 750 MG / 150 ML 330,000.00 - - - - - - - -
### 120850390082 MEIACT 200 MG 25,080.00 18 451,440.00 - - 10 250,800.00 8 200,640.00
### 120850390082 MEIACT 200 MG 25,080.00 - - 60 1,504,800.00 - - 60 1,504,800.00
### 120840780047 MESTAMOX CAPS 500 MG 3,300.00 54 178,200.00 - - - - 54 178,200.00
### 120850550018 OPICEF CAPS. 500 MG 8,360.00 - - - - - - - -
### 120850550018 OPICEF CAPS. 500 MG 7,576.25 56 424,270.00 800 6,061,000.00 694 5,257,917.50 162 1,227,352.50
### 120850550026 OPICEF FORTE SYR 60 ML 54,230.00 18 976,140.00 - - 18 976,140.00 - -
### 120850550024 OPICEF SYR 60 ML 33,495.00 10 334,950.00 24 803,880.00 34 1,138,830.00 - -
### 128140550010 OPIMER INJ. 1 GR 366,850.00 - - - - - - - -
### 120840550039 OPIMOX FORTE SYR 250 ML 25,520.00 - - - - - - - -
### 120840550039 OPIMOX FORTE SYR 250 ML 23,127.50 1 23,127.50 5 115,637.50 6 138,765.00 - -
### 120840550036 OPIMOX SYR 125 ML 16,747.50 - - - - - - - -
### OPIMOX TABLET 500 MG 2,153.25 - - - - - - - -
### OPIMOX TABLET 500 MG 2,392.50 - - 100 239,250.00 22 52,635.00 78 186,615.00
### OTTOGENTA CREAM 13,200.00 10 132,000.00 - - - - 10 132,000.00
### 120850210020 RENASISTIN OD 55,000.00 - - - - - - - -
### 120850210019 RENASISTIN TAB 500 MG 7,012.50 - - - - - - - -
### 220830210834 RENATOR TAB 9,075.00 60 544,500.00 - - 60 544,500.00 - -
### 120810320005 SALTICIN CREAM 20,240.00 - - - - - - - -
### 120810320005 SALTICIN CREAM 22,000.00 - - 10 220,000.00 8 176,000.00 2 44,000.00
### 120850620104 SPORETIK KAPS. 100MG ( 30/BOX 16,436.20 - - 240 3,944,688.00 162 2,662,664.40 78 1,282,023.60
### 120850620104 SPORETIK KAPS. 1O0 MG ( 30/BOX ) 16,035.53 - - - - - - - -
### 120850620135 SPORETIK KAPS. 200 MG ( 10/BOX ) 23,162.43 - - - - - - - -
12 / 235
01 02 03 04 05 06 07 08 09 10 11
120850620135 SPORETIK KAPS. 200 MG ( 10/BOX ) 23,742.13 - - - - - - - -
120850620135 SPORETIK KAPS. 200 MG ( 10/BOX 23,742.12 128 3,038,991.36 700 16,619,484.00 828 19,658,475.36 - -
120850620105 SPORETIK SYR. 67,688.50 - - - - - - - -
120850620105 SPORETIK SYR. 69,393.50 2 138,787.00 57 3,955,429.50 59 4,094,216.50 - -
120850320005 STARXON INJ 1 GR 197,560.00 - - 10 1,975,600.00 10 1,975,600.00 - -
221510190001 TARIVID OPTH SOL ( MATA ) 61,050.00 - - - - - - - -
221410340001 TARIVID OTIC 50 LOTION ( TELINGA ) 80,465.00 10 804,650.00 - - 10 804,650.00 - -
120850620036 TAXEGRAM INJ 1 GR 108,300.50 - - - - - - - -
120830550003 TEQUINOL 500 MG 10,560.00 - - - - - - - -
120830550003 TEQUINOL 500 MG 9,570.00 90 861,300.00 150 1,435,500.00 235 2,248,950.00 5 47,850.00
120850620008 TERFACEF INJ 1 GR 160,058.25 - - - - - - - -
221820130012 TETAGAM INJ. 206,800.00 - - - - - - - -
120870320017 THYAMYCIN FORTE SYR 60 ML 59,400.00 - - - - - - - -
120870320014 THYAMYCIN SYR 60 ML 31,680.00 5 158,400.00 - - 5 158,400.00 - -
120830260051 VIOQUIN 500 MG 12,540.00 7 87,780.00 - - - - 7 87,780.00
120830320015 VOLOX 500 MG 38,808.00 - - - - - - - -
120830320015 VOLOX 500 MG 36,960.00 27 997,920.00 - - 5 184,800.00 22 813,120.00
120850810122 VROXIL 500 MG 9,900.00 5 49,500.00 - - - - 5 49,500.00
120820770019 ZIBRAMAX DRY SYR 103,455.00 4 413,820.00 - - 4 413,820.00 - -
120820550015 ZITROLIN TAB. 29,040.00 - - - - - - - -
120820550015 ZITROLIN TAB. 26,317.50 30 789,525.00 120 3,158,100.00 120 3,158,100.00 30 789,525.00
SUB TOTAL 1,302 21,463,910.27 3,514 54,818,698.45 3,641 62,231,567.78 1,175 14,051,040.94
NON ANTIBIOTIK PATEN

1 128110230007 3TC-HBV 100 MG 17,094.00 - - - - - - - -
2 220110130147 ACITRAL SYR 120 ML 31,680.00 - - - - - - - -
3 220110130147 ACITRAL SYR 120 ML 28,160.00 - - - - - - - -
4 220110130147 ACITRAL SYR 120 ML 30,800.00 1 30,800.00 - - 1 30,800.00 - -
5 220110130147 ACITRAL SYR 120 ML 31,762.50 - - 24 762,300.00 24 762,300.00 - -
6 220110320131 ACITRAL TABLET 891.00 45 40,095.00 - - 30 26,730.00 15 13,365.00
7 220120130001 ACPULSIF 5 MG 3,465.00 65 225,225.00 - - 30 103,950.00 35 121,275.00
8 ACRAN TABLET 3,989.70 - - - - - - - -
9 221050640003 ACTONEL 35 MG 114,153.93 - - - - - - - -
10 221050640003 ACTONEL 35 MG 126,837.70 - - 32 4,058,806.40 10 1,268,377.00 22 2,790,429.40
11 221020700063 ACTOS 15 MG 7,232.89 43 311,014.27 - - - - 43 311,014.27
12 221020700064 ACTOS 30 MG 10,857.55 75 814,316.25 - - 17 184,578.35 58 629,737.90
### 221020700064 ACTOS 30 MG 10,857.55 - - 98 1,064,039.90 40 434,302.00 58 629,737.90
### 221020700069 ACTOSMET TAB 15 MG 5,825.68 - - - - - - - -
### 221020700069 ACTOSMET TAB 15 MG 5,680.04 22 124,960.88 - - - - 22 124,960.88
### AKILEN EAR DROPS 49,189.25 - - - - - - - -
### AKILEN EAR DROPS 50,468.00 - - 24 1,211,232.00 11 555,148.00 13 656,084.00
### 220410120447 ALAXAN FR 316.80 - - - - - - - -
### 220410120447 ALAXAN FR 404.80 10 4,048.00 - - 10 4,048.00 - -
13 / 235
01 02 03 04 05 06 07 08 09 10 11
### 221440050007 ALBOTHYL COCENTRATE 24,200.00 4 96,800.00 - - 4 96,800.00 - -
### 220330320010 ALCO PLUS SYR 100 ML 49,500.00 - - - - - - - -
### 220330320010 ALCO PLUS SYR 100 ML 47,520.00 - - - - - - - -
### 220330320010 ALCO PLUS SYR 100 ML 44,550.00 - - - - - - - -
### 220330320001 ALCO DROPS 15 ML 62,370.00 - - - - - - - -
### 220330320001 ALCO DROPS 15 ML 66,082.50 - - - - - - - -
### 220330320001 ALCO DROPS 15 ML 73,425.00 - - - - - - - -
### 220320320072 ALCO PLUS DMP SYR 100 ML 35,640.00 - - - - - - - -
### 220320320072 ALCO PLUS DMP SYR 100 ML 37,867.50 - - - - - - - -
### 220330620027 ALDISA SR CAPS. 4,245.45 - - - - - - - -
### 220330620027 ALDISA SR CAPS. 4,356.28 146 636,016.88 580 2,526,642.40 708 3,084,246.24 18 78,413.04
### 221020370025 AMADIAB 2 3,712.50 - - - - - - - -
### 221020370026 AMADIAB 3 4,290.00 - - - - - - - -
### 221020370026 AMADIAB 3 4,576.00 55 251,680.00 - - - - 55 251,680.00
### 221020370027 AMADIAB 4 5,544.00 - - - - - - - -
### 221020370027 AMADIAB 4 4,851.00 - - - - - - - -
### 221020370027 AMADIAB 4 5,236.00 45 235,620.00 - - 30 157,080.00 15 78,540.00
### 221020640071 AMARYL - M 1 2,849.06 - - - - - - - -
### 221020640071 AMARYL - M 1 2,991.52 90 269,236.80 - - 50 149,576.00 40 119,660.80
### 221020640072 AMARYL - M 2 5,301.58 - - - - - - - -
### 221020640029 AMARYL TAB. 2 MG 5,052.05 - - - - - - - -
### 221020640029 AMARYL TAB. 2 MG 5,304.66 15 79,569.90 - - - - 15 79,569.90
### 221020640030 AMARYL TAB. 3 MG 6,046.39 - - - - - - - -
### 221020640030 AMARYL TAB. 3 MG 6,348.71 124 787,240.04 - - - - 124 787,240.04
### 221020640031 AMARYL TAB. 4 MG 7,239.54 - - - - - - - -
### 221020640031 AMARYL TAB. 4 MG 7,601.52 - - - - - - - -
### 220950130002 AMINEFRON 6,077.50 - - - - - - - -
### 220330320015 ANADEX SYR 23,760.00 - - - - - - - -
### 220320320073 ANADEX TAB. 1,848.00 - - - - - - - -
### 220320320073 ANADEX TAB. 1,980.00 - - - - - - - -
### 220190770003 ANADIUM CAPS 8,046.50 8 64,372.00 - - - - 8 64,372.00
### 220410620436 ANALSIK TAB 1,206.29 - - - - - - - -
### 220410620436 ANALSIK TAB 1,236.12 37 45,736.44 - - 10 12,361.20 27 33,375.24
### 220410780050 ANALSPEC 500 MG 1,410.65 - - - - - - - -
### 220410780050 ANALSPEC 500 MG 1,410.75 2 2,821.50 - - - - 2 2,821.50
### 220410370437 ANALTRAM CAPS 5,445.00 137 745,965.00 - - 137 745,965.00 - -
### 220210340028 ANGIOTEN 50 MG 10,659.00 30 319,770.00 - - - - 30 319,770.00
### 220140130001 ANVOMER B6 TAB. 2,376.00 18 42,768.00 - - - - 18 42,768.00
### 220140130001 ANVOMER B6 TAB. 2,640.00 - - - - - - - -
### 221150370024 APIALYS DROPS 30,937.50 15 464,062.50 20 618,750.00 35 1,082,812.50 - -
### 221150370014 APIALYS SYR. 23,100.00 - - - - - - - -
### 221010640001 APIDRA SOLOSTAR 100 86,999.88 10 869,998.80 80 6,959,990.40 90 7,829,989.20 - -
### 220190680017 ARDIUM HD. 1000 MG 14,666.66 6 87,999.96 - - - - 6 87,999.96
### 220190680017 ARDIUM HD. 1000 MG 14,666.67 30 440,000.10 - - - - 30 440,000.10
### ARKINE TABLET 618.75 - - - - - - - -
14 / 235
01 02 03 04 05 06 07 08 09 10 11
### ARKINE TABLET 584.38 469 274,074.22 500 292,190.00 689 402,637.82 280 163,626.40
### 220880810003 ARTEMETER INJ 49,170.00 - - - - - - - -
### 224130100065 ARTRODAR 9,753.33 - - - - - - - -
### 220260580024 ASCARDIA TAB 80 MG 888.25 - - - - - - - -
### 221110710003 ASPAR-K TBL 2,473.90 - - - - - - - -
### 220260450025 ASPILETS TBL. 495.55 - - - - - - - -
### 220260450025 ASPILETS TBL. 583.00 3 1,749.00 - - - - 3 1,749.00
### ASTHAROL SYR 12,190.75 - - - - - - - -
### ASTHAROL SYR 12,531.75 5 62,658.75 - - 5 62,658.75 - -
### ASTHAROL TABLET 946.28 200 189,256.00 - - - - 200 189,256.00
### ASTRIA KAPSUL 4 MG 6,545.00 - - - - - - - -
### ASTRIA KAPSUL 4 MG 9,350.00 - - - - - - - -
### ASTRIA KAPSUL 4 MG 6,545.00 170 1,112,650.00 400 2,618,000.00 500 3,272,500.00 70 458,150.00
### 224120410006 ATARAX 0.5 MG 1,430.00 - - - - - - - -
### ATEVIR 40,700.00 - - - - - - - -
### 220270210026 ATOFAR 10 8,250.00 - - - - - - - -
### 220270210026 ATOFAR 10 8,662.50 8 69,300.00 - - - - 8 69,300.00
### 220270210026 ATOFAR 10 8,662.50 - - 180 1,559,250.00 80 693,000.00 100 866,250.00
### 220270210038 ATOFAR 20 8,662.50 - - 300 2,598,750.00 285 2,468,812.50 15 129,937.50
### 220270210039 ATOFAR 40 8,250.00 - - - - - - - -
### 220270210039 ATOFAR 40 8,662.50 4 34,650.00 - - - - 4 34,650.00
### 220270210039 ATOFAR 40 8,662.50 - - 300 2,598,750.00 - - 300 2,598,750.00
### 221821060038 ATS. INJ. 1500 E 165,000.00 - - - - - - - -
### AVAMYS SPRAY 107,120.20 - - - - - - - -
### 220440410039 BAMGETOL 200 MG 1,980.00 - - - - - - - -
### 220950350005 BATUGIN ELIXIR SYRUP 37,999.50 - - - - - - - -
### 220950350005 BATUGIN ELIXIR SYRUP 41,039.90 - - 8 328,319.20 8 328,319.20 - -
### 221120580016 BECEFORT SYR 60 ML 17,365.70 - - - - - - - -
### 221120580016 BECEFORT SYR 60 ML 17,366.80 8 138,934.40 - - 8 138,934.40 - -
### 221120580016 BECEFORT SYR 60 ML 17,366.80 - - 1 17,366.80 1 17,366.80 - -
### 221120580018 BECEFORT TAB. 1,548.42 - - - - - - - -
### 221120580018 BECEFORT TAB. 1,548.43 194 300,395.42 - - - - 194 300,395.42
### 221120620019 BECOM C CAPLET 1,082.40 - - - - - - - -
### 221120620019 BECOM C CAPLET 1,078.41 - - - - - - - -
### 221120620019 BECOM C CAPLET 1,108.25 80 88,660.00 - - 80 88,660.00 - -
### 221120620019 BECOM C CAPLET 1,108.20 - - 500 554,100.00 90 99,738.00 410 454,362.00
### 221690350020 BEDAK SALYCIL 100 GRM 6,006.00 - - 6 36,036.00 - - 6 36,036.00
### 220322690089 BENACOL DTM SYRUP 60 ML 12,540.00 - - - - - - - -
### 220322690099 BENACOL SYRUP 100 ML 14,107.50 - - - - - - - -
### 220322690090 BENACOL SYRUP 60 ML 11,495.00 5 57,475.00 - - 5 57,475.00 - -
### 221640350006 BETASON-N CREAM 13,138.13 - - - - - - - -
### 221640350006 BETASON-N CREAM 12,801.25 22 281,627.50 24 307,230.00 29 371,236.25 17 217,621.25
### 221150570018 BIO ATP TAB. 2,355.98 160 376,956.80 - - 60 141,358.80 100 235,598.00
### 221150570018 BIO ATP TAB. 2,355.98 - - 400 942,392.00 315 742,133.70 85 200,258.30
### 221610340005 BIOPLACENTON YELLY 15,950.00 - - 3 47,850.00 1 15,950.00 2 31,900.00
### 221610340005 BIOPLACENTON YELLY 14,850.00 - - 3 44,550.00 - - 3 44,550.00
### 221160620041 BIOSANBE CAP. 809.88 176 142,538.88 - - 71 57,501.48 105 85,037.40
### 221160620041 BIOSANBE CAP. 831.18 - - 500 415,590.00 - - 500 415,590.00
### 220210210055 BIPRO TAB 30 MG 4,125.00 16 66,000.00 - - 16 66,000.00 - -
### 220210210055 BIPRO TAB 30 MG 4,372.50 - - 60 262,350.00 12 52,470.00 48 209,880.00
15 / 235
01 02 03 04 05 06 07 08 09 10 11
### 220320070010 BISOLVON SOLUTION 50 ML 77,983.40 - - - - - - - -
### 220320070010 BISOLVON SOLUTION 50 ML 79,340.80 - - - - - - - -
### 220930080003 BLEDSTOP TAB 455.40 3 1,366.20 - - - - 3 1,366.20
### 226140080001 BLESIFEN TAB 10,212.95 - - - - - - - -
### 226140080001 BLESIFEN TAB 10,468.70 - - 560 5,862,472.00 205 2,146,083.50 355 3,716,388.50
### 220210680023 BLOPRES TAB. 16 MG 15,675.00 - - - - - - - -
### 220210680025 BLOPRES TAB. 16 MG PLUS 14,200.80 - - - - - - - -
### 220210680020 BLOPRES TAB. 8 MG 11,895.83 7 83,270.81 - - - - 7 83,270.81
### 220190700006 BORAGINOL N SALEP 59,005.93 1 59,005.93 - - 1 59,005.93 - -
### 220190700006 BORAGINOL N SALEP 67,872.75 - - 2 135,745.50 - - 2 135,745.50
### 220190700005 BORAGINOL N SUPP 10,247.60 - - - - - - - -
### 220190700005 BORAGINOL N SUPP 10,664.23 20 213,284.60 - - 20 213,284.60 - -
### 220190700008 BORAGINOL S SALEP 91,385.25 1 91,385.25 2 182,770.50 1 91,385.25 2 182,770.50
### 220190700007 BORAGINOL S SUPP 12,302.40 - - - - - - - -
### 220190700007 BORAGINOL S SUPP 11,130.82 - - 30 333,924.60 30 333,924.60 - -
### 220240340014 BRAINACT TAB. 12,540.00 14 175,560.00 - - - - 14 175,560.00
### 220130620002 BRAXIDIN TABLET 873.81 - - - - - - - -
### 220130620002 BRAXIDIN TABLET 899.39 47 42,271.33 - - 47 42,271.33 - -
### 220130620002 BRAXIDIN TABLET 899.39 - - 1,000 899,390.00 673 605,289.47 327 294,100.53
### 221450490012 BREATHY NASAL SPRAY ( BNS ) 86,240.00 - - - - - - - -
### BRICASMA RESPULE 5MG/2ML 7,124.04 - - - - - - - -
### BRICASMA TURB. 100 DOSIS 58,251.60 - - - - - - - -
### BRILINTA 90 MG 7,799.98 42 327,599.16 - - 42 327,599.16 - -
### 220320100064 BRONCHOPRONT SYR. 53,240.00 - - - - - - - -
### 220130210009 BUNASCAN SPINAL 0.5% 49,500.00 - - - - - - - -
### 221610120001 BURNAZIN CREAM 500 GR 374,220.00 - - - - - - - -
### 221610120001 BURNAZIN CREAM 500 GR 392,931.00 - - - - - - - -
### 221610120007 BURNAZIN CREAM TUBE 35 GR 56,045.00 - - 5 280,225.00 1 56,045.00 4 224,180.00
### 221610120010 BURNAZIN PLUS 25 GR 99,000.00 - - - - - - - -
### 220130070007 BUSCOPAN INJ 20MG 33,558.14 - - - - - - - -
### 220130070004 BUSCOPAN PLUS TABLET 3,865.93 - - - - - - - -
### 220130070004 BUSCOPAN PLUS TABLET 4,148.14 - - - - - - - -
### 220130070006 BUSCOPAN TABLET 2,971.77 - - - - - - - -
### 221140370001 CAL-95 5,016.00 582 2,919,312.00 90 451,440.00 672 3,370,752.00 - -
### CALGAE CAPS 4,394.50 5 21,972.50 - - - - 5 21,972.50
### CALGAE CAPS 4,394.50 - - 300 1,318,350.00 - - 300 1,318,350.00
### 221140210018 CALOS CAPS 733.33 - - 300 219,999.00 - - 300 219,999.00
### 220210210074 CALSIVAS 10 MG 7,012.50 - - - - - - - -
### 220210210066 CALSIVAS 5 MG 4,125.00 - - - - - - - -
### 220210210066 CALSIVAS 5 MG 4,950.00 - - - - - - - -
### 221250810091 CALVIT-D TALET 1,306.25 243 317,418.75 400 522,500.00 529 691,006.25 114 148,912.50
### CANDEFION TABLET 16 MG 8,250.00 45 371,250.00 300 2,475,000.00 195 1,608,750.00 150 1,237,500.00
### CANDEFION TABLET 8 MG 5,500.00 105 577,500.00 150 825,000.00 170 935,000.00 85 467,500.00
### 220210130024 CANDERIN TAB. 16 MG 7,947.50 - - - - - - - -
### 220210130024 CANDERIN TAB. 16 MG 8,415.00 6 50,490.00 - - 1 8,415.00 5 42,075.00
### CANDOTENS 16 MG 8,085.00 5 40,425.00 - - - - 5 40,425.00
### CANDOTENS 8 MG 4,958.80 - - - - - - - -
### CAPRIBOSE TABLET 100 MG 2,003.38 - - 400 801,352.00 400 801,352.00 - -
### CAPRIBOSE TABLET 50 MG 1,236.13 - - - - - - - -
### CAPRIBOSE TABLET 50 MG 1,236.12 - - 400 494,448.00 - - 400 494,448.00
16 / 235
01 02 03 04 05 06 07 08 09 10 11
### 220260050045 CARDIO ASPIRIN 1,363.63 30 40,908.90 - - - - 30 40,908.90
### 221150120006 CARDIOMIN CAPS 2,524.50 - - - - - - - -
### CARPINE 1% 5 ML 17,050.00 - - - - - - - -
### CARPINE 2% 5 ML 20,900.00 3 62,700.00 - - 3 62,700.00 - -
### 220261970044 CARTYLO TAB. 80 MG 250.00 - - - - - - - -
### 220261970044 CARTYLO TAB. 80 MG 616.00 - - - - - - - -
### 220261970044 CARTYLO TAB. 80 MG 290.00 2,607 756,030.00 - - 600 174,000.00 2,007 582,030.00
### 220510520013 CATAFLAM FAST 50 MG 8,107.86 - - - - - - - -
### 220510520013 CATAFLAM FAST 50 MG 6,891.67 3 20,675.01 - - - - 3 20,675.01
### 220510520013 CATAFLAM FAST 50 MG 6,891.68 - - 18 124,050.24 6 41,350.08 12 82,700.16
### 220510520004 CATAFLAM TABLET 25 MG 3,024.63 - - - - - - - -
### 220510520004 CATAFLAM TABLET 25 MG 3,175.85 43 136,561.55 - - 41 130,209.85 2 6,351.70
### 220210070123 CATAPRES TAB. 150 MG 4,986.36 - - - - - - - -
### 220130340226 CATHEJELL 12,5 GR 74,800.00 3 224,400.00 - - - - 3 224,400.00
### 220220120019 CEDOCARD RETARD 2,400.34 8 19,202.72 - - 8 19,202.72 - -
### 220220120019 CEDOCARD RETARD 2,667.04 - - 60 160,022.40 22 58,674.88 38 101,347.52
### 220220120018 CEDOCARD TBL 10 MG 1,518.00 - - - - - - - -
### 220220120016 CEDOCARD TBL 5 MG 1,023.00 157 160,611.00 660 675,180.00 746 763,158.00 71 72,633.00
### 220510560001 CELEBREX CAPS. 100 MG 10,145.83 - - - - - - - -
### 224130560026 CELEBREX CAPS. 200 MG 14,268.57 - - - - - - - -
### 221590090003 CENDO ASTHENOF 5 CC 23,100.00 - - 20 462,000.00 20 462,000.00 - -
### 221560090008 CENDO CATERLENT 15 ML 33,687.50 21 707,437.50 - - 21 707,437.50 - -
### 221560090002 CENDO CATERLENT 5 ML 24,887.50 - - 41 1,020,387.50 18 447,975.00 23 572,412.50
### CENDO CATERLENT MD 0.6 ML 4,400.00 - - 100 440,000.00 100 440,000.00 - -
### CENDO CENFRESH 5 ML 38,362.50 45 1,726,312.50 - - 31 1,189,237.50 14 537,075.00
### 221580090005 CENDO CENFRESH MD 0.6 ML 5,060.00 200 1,012,000.00 - - 92 465,520.00 108 546,480.00
### 221510090006 CENDO CITROL EYE DROPS 29,975.00 24 719,400.00 80 2,398,000.00 33 989,175.00 71 2,128,225.00
### 221150090041 CENDO CITROL EYE OINT 39,067.88 - - - - - - - -
### 221150090041 CENDO CITROL EYE OINT 39,462.50 12 473,550.00 - - 5 197,312.50 7 276,237.50
### CENDO CITROL MD 0.6 ML 5,362.50 - - - - - - - -
### CENDO EYEFRESH 25,437.50 - - - - - - - -
### CENDO EYEFRESH MD. 0.6 ML 5,087.50 6 30,525.00 - - - - 6 30,525.00
### CENDO FENECOL 0.5 EYE DROPS 33,687.50 - - 35 1,179,062.50 5 168,437.50 30 1,010,625.00
### CENDO FENECOL 0.5 SALP MATA 24,062.50 - - 10 240,625.00 5 120,312.50 5 120,312.50
### CENDO FLOXA ED. 5 ML 33,577.50 28 940,170.00 - - 28 940,170.00 - -
### CENDO GENTA SALAP MATA 40,012.50 - - - - - - - -
### CENDO GENTA TETES MATA 31,212.50 - - - - - - - -
### 221570090013 CENDO HYALUB MD. 0.6 ML 12,540.00 92 1,153,680.00 - - 5 62,700.00 87 1,090,980.00
### CENDO LPX 5 ML 76,175.00 - - 20 1,523,500.00 3 228,525.00 17 1,294,975.00
### 221560090009 CENDO LYTEERS 15 CC 24,750.00 17 420,750.00 50 1,237,500.00 67 1,658,250.00 - -
### 221560090001 CENDO LYTEERS MD. 0,6 ML 4,235.00 28 118,580.00 175 741,125.00 153 647,955.00 50 211,750.00
### CENDO MYDRIATYL TM 31,762.50 4 127,050.00 - - - - 4 127,050.00
### CENDO MYDRIATYL TM 31,444.88 4 125,779.52 - - - - 4 125,779.52
### 221570090009 CENDO PANTOCAIN EYE DROPS 2% 13,337.50 - - - - - - - -
### 221570090014 CENDO PROTAGENTA MD 0.6 ML 7,892.50 4 31,570.00 250 1,973,125.00 157 1,239,122.50 97 765,572.50
### 221550090005 CENDO TIMOL TETES MATA 0.25% 33,214.50 - - - - - - - -
### 221550090005 CENDO TIMOL TETES MATA 0.25% 33,550.00 - - - - - - - -
17 / 235
01 02 03 04 05 06 07 08 09 10 11
### 221550090006 CENDO TIMOL TETES MATA 0.5% 52,525.00 25 1,313,125.00 - - 25 1,313,125.00 - -
### CENDO VASACON 15 ML 17,875.00 2 35,750.00 10 178,750.00 11 196,625.00 1 17,875.00
### 120850320112 CEPTIK 100 MG 21,285.00 - - - - - - - -
### 120850320112 CEPTIK 100 MG 18,920.00 - - - - - - - -
### 120850320112 CEPTIK 100 MG 20,372.00 4 81,488.00 30 611,160.00 12 244,464.00 22 448,184.00
### 120850320112 CEPTIK 100 MG 21,008.63 - - 60 1,260,517.80 38 798,327.94 22 462,189.86
### 120850320134 CEPTIK 200 MG 31,680.00 - - - - - - - -
### 120850320134 CEPTIK 200 MG 30,272.00 20 605,440.00 - - 20 605,440.00 - -
### 120850320134 CEPTIK 200 MG 31,218.00 - - 20 624,360.00 20 624,360.00 - -
### 120850320133 CEPTIK DRY. SYRUP 86,130.00 - - - - - - - -
### 120850320133 CEPTIK DRY. SYRUP 76,560.00 - - - - - - - -
### 120850320133 CEPTIK DRY. SYRUP 82,720.00 - - 19 1,571,680.00 19 1,571,680.00 - -
### CETIRGI SYR. 39,600.00 19 752,400.00 24 950,400.00 43 1,702,800.00 - -
### 221250810090 CHANNA CAPS. 500 MG 6,322.25 292 1,846,097.00 750 4,741,687.50 1,040 6,575,140.00 2 12,644.50
### CITION TABLET 1000 MG 16,500.00 30 495,000.00 - - 15 247,500.00 15 247,500.00
### CITION TABLET 500 MG 11,550.00 - - - - - - - -
18 / 235
01 02 03 04 05 06 07 08 09 10 11
### 220130320228 CLIAD TAB 2,024.00 119 240,856.00 - - - - 119 240,856.00
### 220260320057 CLOGIN TAB 75 MG 16,533.00 16 264,528.00 - - - - 16 264,528.00
### 220260320057 CLOGIN TAB 75 MG 18,425.00 - - 30 552,750.00 30 552,750.00 - -
### 226140440007 CLOVERTIL TAB. 12,540.00 - - - - - - - -
### 226140440007 CLOVERTIL TAB. 10,890.00 1 10,890.00 - - 1 10,890.00 - -
### 221120320022 COBAZIM CAP. 3000 MG 9,075.00 - - - - - - - -
### 221120320022 COBAZIM CAP. 3000 MG 8,167.50 46 375,705.00 - - - 46 375,705.00
### 221120320022 COBAZIM CAP. 3000 MG 8,167.50 - - 100 816,750.00 - - 100 816,750.00
### 220320350078 CODEIN 10 MG 684.97 62 42,468.14 - - 62 42,468.14 - -
### 220320350077 CODEIN 20 MG 1,623.60 135 219,186.00 200 324,720.00 275 446,490.00 60 97,416.00
### 220321970065 CODIKAF 10 866.25 80 69,300.00 200 173,250.00 80 69,300.00 200 173,250.00
### 220320350045 CODIPRONT CAPS 7,937.60 72 571,507.20 - - 72 571,507.20 - -
### 220320350047 CODIPRONT CUM CAPS 10,502.80 - - - - - - - -
### 220320350046 CODIPRONT CUM SYR. 60 ML 61,105.00 6 366,630.00 5 305,525.00 11 672,155.00 - -
### 220320350044 CODIPRONT SYR. 56,265.00 - - - - - - - -
### 220420350005 CODITAM TAB 4,510.00 101 455,510.00 - - 74 333,740.00 27 121,770.00
### 221810130056 COLERGIS SYR 37,620.00 - - - - - - - -
### 220320130079 COLERGIS TAB 2,178.00 - - - - - - - -
### 220310070035 COMBIVENT NEB. 4,550.00 - - - - - - - -
### 220320100081 COMTUSI SYR 100 ML 56,100.00 - - - - - - - -
### 220320100081 COMTUSI SYR 100 ML 57,860.00 3 173,580.00 5 289,300.00 8 462,880.00 - -
### 220320100066 COMTUSI SYR 60 ML 37,400.00 - - - - - - - -
### 220320100066 COMTUSI SYR 60 ML 38,610.00 1 38,610.00 5 193,050.00 5 193,050.00 1 38,610.00
### CONCOR TAB. 10 MG 2,950.00 - - - - - - - -
### 220260360035 COPIDREL 75 MG 14,850.00 7 103,950.00 - - 7 103,950.00 - -
### 220260360035 COPIDREL 75 MG 16,170.00 - - 30 485,100.00 23 371,910.00 7 113,190.00
### 220220640001 CORDARONE TAB 200 MG 6,245.55 - - - - - - - -
### 221150360043 CORMEGA CAPS. 9,900.00 - - - - - - - -
### 221150360043 CORMEGA CAPS. 11,000.00 - - - - - - - -
### 221150360043 CORMEGA CAPS. 11,550.00 30 346,500.00 150 1,732,500.00 150 1,732,500.00 30 346,500.00
### 221810320065 CORTAMINE SYR 60 ML 37,840.00 - - - - - - - -
### 221810320065 CORTAMINE SYR 60 ML 40,920.00 3 122,760.00 - - 3 122,760.00 - -
### 221810320065 CORTAMINE SYR 60 ML 42,198.75 - - 30 1,265,962.50 13 548,583.75 17 717,378.75
### 221810320066 CORTAMINE TABLET 2,574.00 - - - - - - - -
### CORTIDEX TABLET 230.18 - - - - - - - -
### CORTIDEX TABLET 238.70 - - - - - - - -
### 221150320034 COTEN TAB. 100 MG 12,017.50 - - - - - - - -
### 221150320034 COTEN TAB. 100 MG 12,155.00 - - - - - - - -
### 221150320034 COTEN TAB. 100 MG 13,090.00 - - 60 785,400.00 40 523,600.00 20 261,800.00
### COTEN TAB. 30 MG 5,843.75 - - - - - - - -
### COTEN TAB. 30 MG 6,287.88 - - 30 188,636.40 30 188,636.40 - -
### 220260340034 CPG 75 MG 15,675.00 - - - - - - - -
### 220260340034 CPG 75 MG 17,068.33 - - - - - - - -
### 220270030029 CRESTOR 20 MG 23,144.28 26 601,751.28 - - 26 601,751.28 - -
### 226140620005 CRISPA TAB. 13,493.61 - - - - - - - -
### 226140620005 CRISPA TAB. 12,988.80 - - - - - - - -
### 220410770002 CUPANOL SYR 19,800.00 - - - - - - - -
### 221240690007 CURCUMA TAB 876.15 - - - - - - - -
19 / 235
01 02 03 04 05 06 07 08 09 10 11
### 221240690007 CURCUMA TAB 973.50 410 399,135.00 500 486,750.00 600 584,100.00 310 301,785.00
### 221150210044 CURMUNOS SYR 48,620.00 1 48,620.00 10 486,200.00 7 340,340.00 4 194,480.00
### 221250690084 CURVIT CL EMULSION SYR. 46,035.00 1 46,035.00 - - 1 46,035.00 - -
### 221250690084 CURVIT CL EMULSION SYR. 51,150.00 - - 6 306,900.00 1 51,150.00 5 255,750.00
### 221250690085 CURVIT SYR. 120 ML 34,980.00 8 279,840.00 - - 8 279,840.00 - -
### 221250690085 CURVIT SYR. 120 ML 31,482.00 - - 10 314,820.00 - - 10 314,820.00
### 221240690008 CURVIT SYR. 60 ML 24,915.00 1 24,915.00 5 124,575.00 3 74,745.00 3 74,745.00
### 221240690008 CURVIT SYR. 60 ML 22,423.50 - - 15 336,352.50 15 336,352.50 - -
### 221240690001 CURVIT TAB. 1,782.00 5 8,910.00 - - - - 5 8,910.00
### DAMABEN 370.84 200 74,168.00 - - - - 200 74,168.00
### 220270550034 DEBOSTIN 20 MG 15,400.00 1 15,400.00 - - 1 15,400.00 - -
### 224130020083 DEFLAMAT 100 MG CR 6,875.00 - - - - - - - -
### 221250190045 DEHAF SATC. 8,250.00 - - - - - - - -
### 220440010024 DEPAKENE SYR. 250 MG / 5ML 172,370.00 - - - - - - - -
### DEPAKOTE ER TAB. 500 MG 5,928.00 - - - - - - - -
### DEPAKOTE ER TAB. 500 MG 16,465.90 37 609,238.30 - - 35 576,306.50 2 32,931.80
### 220440010047 DEPAKOTE TAB. 250 MG 10,071.60 31 312,219.60 - - 31 312,219.60 - -
### 220440010027 DEPAKOTE TAB. 500 MG 5,928.00 - - - - - - - -
### 221650670002 DESOLEX CREAM 10 Gr 22,715.00 2 45,430.00 2 45,430.00 4 90,860.00 - -
### 221650350022 DEXOCORT 0.25% 10,000.10 - - - - - - - -
### 221650350022 DEXOCORT CREAM 28,600.00 - - 20 572,000.00 20 572,000.00 - -
### DEXTAFEN CAPS. 1,196.25 200 239,250.00 - - - - 200 239,250.00
### 221810570031 DEXTAMIN SYR 60 ML 30,203.80 - - - - - - - -
### 221810570031 DEXTAMIN SYR 60 ML 30,204.90 8 241,639.20 - - 8 241,639.20 - -
### 221810570029 DEXTAMIN TAB/300 PC 1,815.00 - - - - - - - -
### 221810570029 DEXTAMIN TAB/300 PC 1,784.23 - - - - - - - -
### 221810570029 DEXTAMIN TAB/300 PC 1,784.24 172 306,889.28 600 1,070,544.00 632 1,127,639.68 140 249,793.60
### 221230540079 DEXTROSE 40% INJ. 25 ML 10,010.00 - - - - - - - -
### 221020550077 DIAFORMIN XR 1,122.00 - - - - - - - -
### 221020550077 DIAFORMIN XR 1,168.75 - - - - - - - -
### 221020550077 DIAFORMIN XR 1,355.75 - - - - - - - -
### 221020550077 DIAFORMIN XR 1,237.50 1,100 1,361,250.00 18,000 22,275,000.00 16,440 20,344,500.00 2,660 3,291,750.00
### DIAGIT TABLET 1,782.00 - - - - - - - -
### DIAGIT TABLET 1,914.00 100 191,400.00 - - - - 100 191,400.00
### DIAGIT TABLET 1,973.81 - - 100 197,381.00 30 59,214.30 70 138,166.70
### 221640320008 DIGENTA CREAM 77,000.00 - - - - - - - -
### 220210500138 DIOVAN 160 MG CAPSUL 1,390.76 - - - - - - - -
### 220210500138 DIOVAN 160 MG CAPSUL 1,017.89 6 6,107.34 - - - - 6 6,107.34
### 220210520043 DIOVAN 40 MG CAPSUL 7,924.24 - - - - - - - -
### 220210520043 DIOVAN 40 MG CAPSUL 7,924.23 - - - - - - - -
### 220210500137 DIOVAN 80 MG CAPSUL 698.93 - - - - - - - -
### 220210500137 DIOVAN 80 MG CAPSUL 698.93 - - - - - - - -
### 220360130001 DISMENO CAPS. 100 MG 4,400.00 20 88,000.00 30 132,000.00 30 132,000.00 20 88,000.00
### DOGESIC 500 MG 750.20 603 452,370.60 2,100 1,575,420.00 1,995 1,496,649.00 708 531,141.60
### DOME DROPS 18,150.00 - - - - - - - -
### DOME SYR. 34,485.00 1 34,485.00 - - 1 34,485.00 - -
### DOME SYR. 21,780.00 - - 10 217,800.00 8 174,240.00 2 43,560.00
### 220210350127 DOPAMET TAB 2,057.00 25 51,425.00 - - - - 25 51,425.00
### 220260040039 DORNER 20 MCB TAB. 4,569.99 5 22,849.95 - - - - 5 22,849.95
### 220260040039 DORNER 20 MCB TAB. 4,569.99 60 274,199.40 - - - - 60 274,199.40
20 / 235
01 02 03 04 05 06 07 08 09 10 11
### 220170070003 DULCOLAX SUPP 5 MG 15,940.93 - - - - - - - -
### 220170070001 DULCOLAX TAB 5 MG 1,302.76 11 14,330.36 50 65,138.00 11 14,330.36 50 65,138.00
### 220410020430 DUMIN SYRUP 19,432.60 - - - - - - - -
### 220420330011 DUROGESIC MATRIX 12 ug/h 101,633.84 - - 5 508,169.20 1 101,633.84 4 406,535.36
### 220420330010 DUROGESIC MATRIX 25 ug/h 195,519.94 - - - - - - - -
### DUROLANE INJEKSI 2,365,000.00 - - - - - - - -
### DUROLANE INJEKSI 2,395,800.00 - - - - - - - -
### 220241970022 DUVADILAN TABLET 5,500.00 66 363,000.00 - - - - 66 363,000.00
### 221020130057 ECLID 100 MG 2,244.00 - - - - - - - -
### 221020130057 ECLID 100 MG 2,376.00 - - - - - - - -
### 221020130056 ECLID 50 MG 1,402.50 - - - - - - - -
### 221020130056 ECLID 50 MG 1,485.00 - - - - - - - -
### 221230810098 ECOSOL NACL 0,9% 500 ML 8,800.00 - - - - - - - -
### EDORISAN DROPS 40,238.00 9 362,142.00 13 523,094.00 16 643,808.00 6 241,428.00
### 221150620067 ELKANA CL EMULSION 120 ML 38,618.25 - - - - - - - -
### 221150620067 ELKANA CL EMULSION 120 ML 39,641.25 21 832,466.25 - - 16 634,260.00 5 198,206.25
### 221150620055 ELKANA TAB. 633.60 - - - - - - - -
### 221150620055 ELKANA TAB. 647.90 - - 100 64,790.00 100 64,790.00 - -
### EMEGRAN INJ. 3 MG 110,000.00 - - - - - - - -
### 221152690036 EMINETON TABLET 1,567.50 - - - - - - - -
### 220950490007 ENATIN CAPS. 1,499.52 90 134,956.80 - - - - 90 134,956.80
### ENDROLIN INJ. 3.75 MG 569,800.00 - - 2 1,139,600.00 2 1,139,600.00 - -
### ENDROLIN INJ. 3.75 MG 564,102.00 - - 5 2,820,510.00 2 1,128,204.00 3 1,692,306.00
### 220320620095 EPEXOL DROP 15 MG 30,668.00 - - - - - - - -
### 220320620095 EPEXOL DROP 15 MG 30,519.50 9 274,675.50 - - 1 30,519.50 8 244,156.00
### 220320620096 EPEXOL SYRUP 15 MG 13,948.00 - - - - - - - -
### 220320620096 EPEXOL SYRUP 15 MG 13,895.75 - - - - - - - -
### 220320620096 EPEXOL SYRUP 15 MG 14,322.00 24 343,728.00 - - 24 343,728.00 - -
### 220320620097 EPEXOL TABLET 30 MG 677.60 - - - - - - - -
### 220320620097 EPEXOL TABLET 30 MG 673.48 - - - - - - - -
### 220320620097 EPEXOL TABLET 30 MG 690.53 - - - - - - - -
### 220320620097 EPEXOL TABLET 30 MG 690.52 36 24,858.72 300 207,156.00 176 121,531.52 160 110,483.20
### 220110620085 EPISAN SYR. 100 ML 39,641.25 - - - - - - - -
### 220110620085 EPISAN SYR. 100 ML 40,664.25 - - 14 569,299.50 14 569,299.50 - -
### 220110620133 EPISAN SYR. 200 ML 63,596.50 - - - - - - - -
### 220110620133 EPISAN SYR. 200 ML 65,216.25 - - 12 782,595.00 1 65,216.25 11 717,378.75
### EPRINOC TABLET 1,539.82 - - - - - - - -
### EPRINOC TABLET 1,539.87 - - - - - - - -
### EPRINOC TABLET 1,539.83 - - - - - - - -
### EPRINOC TABLET 1,539.86 540 831,524.40 3,000 4,619,580.00 1,970 3,033,524.20 1,570 2,417,580.20
### 220520600012 EPSONAL TAB 4,236.38 - - - - - - - -
### 220520600012 EPSONAL TAB 4,277.63 - - - - - - - -
### 220520600012 EPSONAL TAB 3,693.25 12 44,319.00 - - 10 36,932.50 2 7,386.50
### 220240720005 ERICAF TAB 5,626.43 - - - - - - - -
### 220820320823 ERYTHRINE SYR. 60 ML 42,735.00 - - - - - - - -
### 220820320823 ERYTHRINE SYR. 60 ML 44,770.00 13 582,010.00 - - 13 582,010.00 - -
### 220820320823 ERYTHRINE SYR. 60 ML 38,720.00 - - 9 348,480.00 - - 9 348,480.00
### 224120700036 ESILGAN TAB 1 MG 3,546.00 1 3,546.00 - - 1 3,546.00 - -
### 224120700037 ESILGAN TAB 2 MG 5,427.99 311 1,688,104.89 - - 45 244,259.55 266 1,443,845.34
### 221650640006 ESPERSON CR 15 GR 117,985.23 - - - - - - - -
21 / 235
01 02 03 04 05 06 07 08 09 10 11
### 221650640019 ESPERSON CR 5 GR 45,409.32 - - - - - - - -
### 221650640019 ESPERSON CR 5 GR 47,679.39 - - - - - - - -
### 220310580026 EUPHYLIN RETARD TAB. 3,184.64 - - - - - - - -
### 221030400002 EUTHYROX 100 MG 1,894.15 - - - - - - - -
### 221030400001 EUTHYROX 50 MG 1,066.13 - - - - - - - -
### 221820640041 EUVAX B 1 ML 74,669.10 - - 64 4,778,822.40 51 3,808,124.10 13 970,698.30
### 220270770014 EVOTHYL 100 MG 4,620.00 - - - - - - - -
### 220270770014 EVOTHYL 100 MG 4,807.00 35 168,245.00 - - 35 168,245.00 - -
### 220270770019 EVOTHYL 300 MG 12,435.50 - - - - - - - -
### 220210520083 EXFORGE 10/160 TAB 19,230.75 - - - - - - - -
### 220210520083 EXFORGE 10/160 TAB 16,483.50 - - - - - - - -
### 220210520082 EXFORGE 5/160 TAB 15,345.14 - - - - - - - -
### 220210520082 EXFORGE 5/160 TAB 17,050.16 10 170,501.60 - - - - 10 170,501.60
### 220210520082 EXFORGE 5/160 TAB 17,050.16 - - 56 954,808.96 - - 56 954,808.96
### 220210520081 EXFORGE 5/80 TAB 13,898.50 - - - - - - - -
### 220210520081 EXFORGE 5/80 TAB 13,167.00 6 79,002.00 - - - - 6 79,002.00
### 221130160001 EXTRACE INJ 2 ML 11,000.00 - - - - - - - -
### 221810210015 FALERGI TAB 2,475.00 - - - - - - - -
### 221810210015 FALERGI TAB 2,681.25 - - 600 1,608,750.00 160 429,000.00 440 1,179,750.00
### 221120210011 FARBION INJ 5,280.00 - - 20 105,600.00 16 84,480.00 4 21,120.00
### 221120210005 FARBION TAB 968.00 25 24,200.00 600 580,800.00 585 566,280.00 40 38,720.00
### 220220210013 FARGOXIN TAB. 286.00 - - - - - - - -
### 220220210013 FARGOXIN TAB. 200.20 - - - - - - - -
### 220220210013 FARGOXIN TAB. 214.50 397 85,156.50 - - 287 61,561.50 110 23,595.00
### 220110210077 FARMACROL SYR. 100 ML 32,175.00 23 740,025.00 - - 23 740,025.00 - -
### 220110210134 FARMACROL SYR. 200 ML 39,600.00 - - - - - - - -
### 220210210062 FARMADRAL TAB. 10 MG 198.00 - - - - - - - -
### 222160210004 FARSIX 40 MG 825.00 102 84,150.00 - - 97 80,025.00 5 4,125.00
### 220510560047 FELDEN GEL 0.5% 15 GR 74,816.78 - - - - - - - -
### 220510210065 FENDEX TAB. 4,537.50 - - 300 1,361,250.00 95 431,062.50 205 930,187.50
### 220270440044 FENOLIP 100 MG 4,075.50 - - - - - - - -
### 220270440044 FENOLIP 100 MG 4,290.00 - - - - - - - -
### 220270440044 FENOLIP 100 MG 3,520.00 5 17,600.00 - - 5 17,600.00 - -
### 220270440045 FENOLIP 300 MG 8,800.00 - - - - - - - -
### FENRIS SYR. JERUK 23,760.00 - - - - - - - -
### FERITRIN TABLET 2,255.00 60 135,300.00 - - 60 135,300.00 - -
### 221150480056 FERIZ SYR. 33,000.00 - - - - - - - -
### FEROFORT FR CAPS. 1,724.25 - - - - - - - -
### FEROSPAT TABLET 5,610.00 - - 1,990 11,163,900.00 1,860 10,434,600.00 130 729,300.00
### 221150700037 FERRIPROX TAB. 32,999.97 224 7,391,993.28 - - 173 5,708,994.81 51 1,682,998.47
### 224130320103 FETIK SUPPOSITORIA 100 MG 7,562.50 12 90,750.00 - - 6 45,375.00 6 45,375.00
### 220560100026 FITAJOINT ROLLER 82,500.00 - - - - - - - -
### 128120130021 FLADYSTIN OVULA 12,155.00 - - - - - - - -
### 224130620110 FLAMAR ZALF 20 GR 13,299.00 - - - - - - - -
### 224130620110 FLAMAR ZALF 20 GR 13,640.00 - - 22 300,080.00 22 300,080.00 - -
### 226130130013 FLAMICORT INJ. 10 MG 132,000.00 - - - - - - - -
### 226130130013 FLAMICORT INJ. 10 MG 112,200.00 - - 1 112,200.00 1 112,200.00 - -
### 220170100016 FLEET ENEMA 133 ML 104,181.00 - - - - - - - -
### 220560130012 FLEXOR DS 5,445.00 - - - - - - - -
### 220310230032 FLIXOTIDE NEB. 0.5 MG 14,928.98 6 89,573.88 20 298,579.60 23 343,366.54 3 44,786.94
### 221250370053 FLORAGYN CAPS 12,100.00 - - - - - - - -
22 / 235
01 02 03 04 05 06 07 08 09 10 11
### 221250370053 FLORAGYN CAPS 9,680.00 85 822,800.00 - - 80 774,400.00 5 48,400.00
### 220331790022 FLUCADEX TAB. 475.20 3 1,425.60 - - - - 3 1,425.60
### 128120340005 FLUCORAL 150 MG 71,060.00 - - 40 2,842,400.00 20 1,421,200.00 20 1,421,200.00
### 221530190002 FLUMETHHOLON TETES MATA 83,160.00 3 249,480.00 - - - - 3 249,480.00
### 221820640030 FLUQUADRI ADULT SH 0.5 219,450.00 - - - - - - - -
### 120410600032 FLUTAMOL SYR. 60 ML 7,260.00 - - - - - - - -
### 220310340343 FLUTIAS INHALER 125 120,175.00 - - - - - - - -
### 221160550031 FOLAC TAB 704.00 - - - - - - - -
### 221160550031 FOLAC TAB 638.00 - - 7,200 4,593,600.00 7,189 4,586,582.00 11 7,018.00
### 221140130014 FOLAMIL GENIO 3,272.50 - - - - - - - -
### 221140130014 FOLAMIL GENIO 3,850.00 - - - - - - - -
### 221160550031 FOLAMIL GOLD 3,740.00 - - - - - - - -
### 221160550031 FOLAMIL GOLD 4,400.00 - - - - - - - -
### 221150130004 FOLAMIL TAB. 1,122.00 - - - - - - - -
### 221160080047 FOLAVICAP 400 MG 639.38 - - - - - - - -
### 221160080047 FOLAVICAP 400 MG 682.00 12 8,184.00 - - 12 8,184.00 - -
### 221160620029 FOLAVIT TAB. 400 MG 672.62 - - - - - - - -
### 221160620029 FOLAVIT TAB. 400 MG 690.53 13 8,976.89 11,900 8,217,307.00 9,049 6,248,605.97 2,864 1,977,677.92
### FORMOM TABLET 2,255.00 - - - - - - - -
### FORMOM TABLET 1,916.75 1,050 2,012,587.50 1,500 2,875,125.00 2,500 4,791,875.00 50 95,837.50
### 221250620054 FORMUNO CAPS. 5,148.00 - - - - - - - -
### 221250620054 FORMUNO CAPS. 5,115.00 4 20,460.00 - - 4 20,460.00 - -
### 221250620054 FORMUNO CAPS. 5,242.87 - - 270 1,415,574.90 270 1,415,574.90 - -
### 221430620001 FORRUMEN DROPS 26,015.00 2 52,030.00 - - 1 26,015.00 1 26,015.00
### 221610600002 FUSON CREAM 42,900.00 - - - - - - - -
### 221610600002 FUSON CREAM 37,400.00 - - 10 374,000.00 5 187,000.00 5 187,000.00
### 221620100010 FUSYCOM CREAM 6,277.70 - - 10 62,777.00 7 43,943.90 3 18,833.10
### FUTADERM CREAM 75,680.00 5 378,400.00 - - 2 151,360.00 3 227,040.00
### 220150550008 FUZIDE SYR 31,680.00 - - - - - - - -
### 220150550008 FUZIDE SYR 29,507.50 - - - - - - - -
### 221020520067 GALVUS MET 50/500 MG 6,187.50 - - - - - - - -
### 221020520067 GALVUS MET 50/500 MG 7,562.50 80 605,000.00 60 453,750.00 138 1,043,625.00 2 15,125.00
### 221020500081 GALVUS MET 50/850 MG 6,875.00 - - - - - - - -
### 221020500081 GALVUS MET 50/850 MG 7,562.50 242 1,830,125.00 60 453,750.00 302 2,283,875.00 - -
### 221820400036 GARDASIL INJ. 0.5 ML 608,850.00 5 3,044,250.00 24 14,612,400.00 24 14,612,400.00 5 3,044,250.00
### GASTRIDIN TABLET 4,400.00 - - - - - - - -
### GASTRIDIN TABLET 4,730.00 51 241,230.00 - - 10 47,300.00 41 193,930.00
### 220110210082 GASTRUL TAB 9,075.00 79 716,925.00 - - 55 499,125.00 24 217,800.00
### 220110210082 GASTRUL TAB 12,100.00 - - 60 726,000.00 10 121,000.00 50 605,000.00
### 220120550029 GERDILIUM DROPS 30,800.00 - - - - - - - -
### 220120550029 GERDILIUM DROPS 29,507.50 4 118,030.00 - - 2 59,015.00 2 59,015.00
### 220120550029 GERDILIUM DROPS 29,507.50 - - 5 147,537.50 1 29,507.50 4 118,030.00
### 220120550022 GERDILIUM SYR. 30,305.00 8 242,440.00 48 1,454,640.00 49 1,484,945.00 7 212,135.00
### 220120550019 GERDILIUM TAB. 2,950.75 9 26,556.75 - - 9 26,556.75 - -
### 220120550019 GERDILIUM TAB. 2,950.75 - - 500 1,475,375.00 304 897,028.00 196 578,347.00
### GERIAVITA CAPS. 2,174.22 - - - - - - - -
### GERIAVITA CAPS. 2,174.26 300 652,278.00 - - 180 391,366.80 120 260,911.20
### 220130320005 GITAS PLUS 4,950.00 - - - - - - - -
### 220130320005 GITAS PLUS 5,346.00 - - - - - - - -
### 220130320005 GITAS PLUS CAPS 4,752.00 - - - - - - - -
23 / 235
01 02 03 04 05 06 07 08 09 10 11
### 220130320005 GITAS PLUS CAPS 5,240.81 - - 200 1,048,162.00 30 157,224.30 170 890,937.70
### 221020770040 GLAMAROL 1 MG 2,310.00 - - - - - - - -
### 221020770041 GLAMAROL 2 MG 4,180.00 20 83,600.00 - - - - 20 83,600.00
### 221020770042 GLAMAROL 3 MG 5,538.50 - - - - - - - -
### 221020770043 GLAMAROL 4 MG 6,270.00 7 43,890.00 - - - - 7 43,890.00
### 221020770043 GLAMAROL 4 MG 6,792.50 - - - - - - - -
### 221020440082 GLANCER TAB 2,481.88 100 248,188.00 - - 100 248,188.00 - -
### 221560620007 GLAUSETA TAB. 3,382.17 - - - - - - - -
### 221560620007 GLAUSETA TAB. 3,466.62 139 481,860.18 - - 75 259,996.50 64 221,863.68
### 221560620007 GLAUSETA TAB. 3,768.05 - - 200 753,610.00 - - 200 753,610.00
### GLIMEFION 6,416.67 - - - - - - - -
### GLIMEFION 6,416.67 - - 150 962,500.50 135 866,250.45 15 96,250.05
### 221020050054 GLUCOBAY TAB. 50 MG 2,052.60 - - - - - - - -
### 221020430011 GLUCOPHAGE TAB. 850 MG 1,942.51 10 19,425.10 - - - - 10 19,425.10
### 221020400076 GLUCOPHAGE XR 750 2,561.35 - - - - - - - -
### 221020190005 GLUMIN TAB. 500 MG 1,009.80 3 3,029.40 - - 3 3,029.40 - -
### 221020190013 GLUMIN XR 500 MG 1,815.00 - - - - - - - -
### 221020190083 GLUMIN XR 750 MG 2,227.50 - - - - - - - -
### 221020070019 GLURENORM 30 MG 3,567.80 - - - - - - - -
### 221150740019 GLUTROP TAB 15,147.00 - - - - - - - -
### 221020130036 GLUVAS 1 MG 2,057.00 - - - - - - - -
### 221020130037 GLUVAS 2 MG 3,740.00 22 82,280.00 - - 15 56,100.00 7 26,180.00
### 221020130038 GLUVAS 3 MG 4,955.50 1 4,955.50 - - 1 4,955.50 - -
### 221020130039 GLUVAS 4 MG 5,703.50 - - - - - - - -
### 221020130039 GLUVAS 4 MG 6,710.00 - - - - - - - -
### 128120770006 GOVAZOL 150 MG 78,375.00 9 705,375.00 - - - - 9 705,375.00
### 220410260431 GRAFIX TAB. 1,440.45 - - - - - - - -
### GRANOPI CAPS. 1 MG 15,950.00 104 1,658,800.00 400 6,380,000.00 400 6,380,000.00 104 1,658,800.00
### GRATIZIN 10 MG 4,505.46 130 585,709.80 300 1,351,638.00 233 1,049,772.18 197 887,575.62
### GRATIZIN 5 MG 3,768.05 - - - - - - - -
### 220940040005 HARNAL OCAS 4,899.00 122 597,678.00 - - 122 597,678.00 - -
### 220940040004 HARNAL D 0,2 MG 7,299.99 70 510,999.30 - - 70 510,999.30 - -
### 271820240003 HAVRIX 720 junior 245,993.00 - - 1 245,993.00 1 245,993.00 - -
### 220950340009 HEMAPO INJ 99,000.00 3 297,000.00 10 990,000.00 5 495,000.00 8 792,000.00
### 221250600037 HEPA - Q CAPS 4,826.25 - - - - - - - -
### 221250600037 HEPA - Q CAPS 4,207.50 60 252,450.00 690 2,903,175.00 695 2,924,212.50 55 231,412.50
### HEXADOL SOLUTION 120 MG 13,557.50 4 54,230.00 - - 4 54,230.00 - -
### HEXADOL SOLUTION 60 MG 9,570.00 9 86,130.00 - - 3 28,710.00 6 57,420.00
### 221140550022 HI BONE ACTIVE CHEW 2,153.25 962 2,071,426.50 1,650 3,552,862.50 2,515 5,415,423.75 97 208,865.25
### 221140550007 HI BONE E 300 2,791.25 122 340,532.50 3,300 9,211,125.00 2,942 8,211,857.50 480 1,339,800.00
### 221140550008 HI BONE E 600 3,509.00 - - - - - - - -
### 221140550008 HI BONE E 600 3,388.00 - - 2,280 7,724,640.00 2,140 7,250,320.00 140 474,320.00
### 221570190015 HIALID 5 ML 79,200.00 10 792,000.00 - - - - 10 792,000.00
### HYALOPH EYE DROP 52,624.00 4 210,496.00 - - - - 4 210,496.00
### 220210190130 HYPERIL 5 MG 7,425.00 - - - - - - - -
### 220210190130 HYPERIL 5 MG 7,920.00 - - - - - - - -
### 221250320008 HYRIC CAPS 7,590.00 - - - - - - - -
### 221250320008 HYRIC CAPS 6,072.00 - - - - - - - -
### 220930130001 HYSTOLAN 4,455.00 - - - - - - - -
### 220930130001 HYSTOLAN 4,950.00 - - - - - - - -
24 / 235
01 02 03 04 05 06 07 08 09 10 11
### ILIADIN SPRAY 10 ML 45,649.89 - - - - - - - -
### 221450400004 ILIADIN SPRAY dewasa 48,411.00 3 145,233.00 - - 1 48,411.00 2 96,822.00
### 221450400016 ILIADIN SPRAY DROPS 34,177.00 3 102,531.00 - - - - 3 102,531.00
### 221250690075 IMBOOST CAPS. 3,212.00 - - - - - - - -
### 221250690075 IMBOOST CAPS. 3,693.80 2 7,387.60 - - - - 2 7,387.60
### 221250690022 IMBOOST FORCE SYR. 62,700.00 2 125,400.00 - - - - 2 125,400.00
### 221250690022 IMBOOST FORCE SYR. 56,430.00 - - 5 282,150.00 - - 5 282,150.00
### 221250690006 IMBOOST FORTE CAPS. 6,453.33 - - - - - - - -
### 221250690006 IMBOOST FORTE CAPS. 5,808.00 - - 210 1,219,680.00 140 813,120.00 70 406,560.00
### 221250370011 IMBOOST SYR. 31,559.00 - - - - - - - -
### 220150330004 IMODIUM TAB. 2 MG 6,930.88 1 6,930.88 - - - - 1 6,930.88
### IMUDATOR TABLET 6,358.00 - - 300 1,907,400.00 145 921,910.00 155 985,490.00
### 221250370023 IMUNOS CAPS 6,792.50 - - - - - - - -
### 221250370023 IMUNOS CAPS 7,315.00 - - - - - - - -
### 221250370042 IMUNOS PLUS CAP. 9,405.00 - - - - - - - -
### 221250370010 IMUNOS PLUS SYR 91,960.00 25 2,299,000.00 - - 20 1,839,200.00 5 459,800.00
### 221250370009 IMUNOS SYR 62,700.00 3 188,100.00 15 940,500.00 9 564,300.00 9 564,300.00
### 220320320092 INADRYL SYR 100 ML 29,205.00 - - - - - - - -
### 220320320093 INADRYL SYR 50 ML 17,671.50 - - - - - - - -
### 221120320038 INBION CAPSUL 1,584.00 - - - - - - - -
### 221120320038 INBION CAPSUL 1,672.00 97 162,184.00 - - 97 162,184.00 - -
### 221120320038 INBION CAPSUL 1,839.20 - - 200 367,840.00 - - 200 367,840.00
### 221250130045 INBUMIN FC TAB 250 MG 5,500.00 - - - - - - - -
### INBUMIN FC TAB 250 MG 4,950.00 2 9,900.00 - - - - 2 9,900.00
### 271820240004 INFANRIX HEXA 517,275.00 - - - - - - - -
### 221230620103 INFUSAN NS 100 ML SP 12,166.00 - - - - - - - -
### 221230620103 INFUSAN NS 100 ML SP 12,474.00 3 37,422.00 - - 3 37,422.00 - -
### 221250320047 INKURIN TAB 6,776.00 - - - - - - - -
### 221250320047 INKURIN TAB 7,304.00 - - 30 219,120.00 30 219,120.00 - -
### 221020130090 INLACIN CAPS 100 MG 4,950.00 - - - - - - - -
### 221020130090 INLACIN CAPS 100 MG 5,500.00 1 5,500.00 - - - - 1 5,500.00
### 221020130091 INLACIN CAPS 50 MG 4,400.00 - - - - - - - -
### 221020130091 INLACIN CAPS 50 MG 3,960.00 2 7,920.00 - - - - 2 7,920.00
### 220110210173 INPEPSA SYR. 100 ML 45,375.00 12 544,500.00 48 2,178,000.00 60 2,722,500.00 - -
### 220110210138 INPEPSA SYR. 200 ML 64,350.00 12 772,200.00 12 772,200.00 19 1,222,650.00 5 321,750.00
### 220210320029 INSAAR TAB. 11,434.50 5 57,172.50 - - - - 5 57,172.50
### 221250320049 INTERKRILL CAPS 8,415.00 - - - - - - - -
### 221250320049 INTERKRILL CAPS 7,854.00 4 31,416.00 - - - - 4 31,416.00
### 220150320026 INTERLAC STICK PACK 9,350.00 23 215,050.00 150 1,402,500.00 126 1,178,100.00 47 439,450.00
### 220150320155 INTERLAC TAB. 2,266.00 - - - - - - - -
### 220150320155 INTERLAC TAB. 7,704.40 - - - - - - - -
### 220150320155 INTERLAC TAB. KUNYAH LEMON 8,415.00 - - 150 1,262,250.00 - - 150 1,262,250.00
### 220210320079 INTERVASK 10 MG 11,484.00 - - - - - - - -
### 220210320079 INTERVASK 10 MG 10,208.00 1 10,208.00 - - 1 10,208.00 - -
### 220210320071 INTERVASK 5 MG 5,896.00 - - - - - - - -
### 220210320071 INTERVASK 5 MG 6,292.00 6 37,752.00 - - - - 6 37,752.00
### 220150320027 INTERZINC SYR. 60 ML 37,312.00 - - - - - - - -
### 220150320027 INTERZINC SYR. 60 ML 33,580.80 - - - - - - - -
### 220150320027 INTERZINC SYR. 60 ML 34,031.25 - - 24 816,750.00 - - 24 816,750.00
### 226130320007 INTIDROL TAB. 2,904.00 - - - - - - - -
25 / 235
01 02 03 04 05 06 07 08 09 10 11
### 226130320007 INTIDROL TAB. 3,106.40 - - - - - - - -
### 220110340166 INVITIC TAB 10,380.33 - - - - - - - -
### 220110340166 INVITIC TAB 11,216.33 10 112,163.30 - - 10 112,163.30 - -
### 220140320048 INVOMET TAB. 4 MG 15,444.00 - - - - - - - -
### 220140320048 INVOMET TAB. 4 MG 13,728.00 9 123,552.00 - - 9 123,552.00 - -
### INVOMET TAB. 8 MG 20,790.00 - - - - - - - -
### 220210210252 IRETENSA 150 MG 6,600.00 120 792,000.00 - - - - 120 792,000.00
### 220210210258 IRETENSA 300 MG 9,075.00 26 235,950.00 - - - - 26 235,950.00
### 220520210002 ISORIC 100 TAB 2,200.00 - - - - - - - -
### 220520210002 ISORIC 100 TAB 2,035.00 - - - - - - - -
### 220520210002 ISORIC 100 TAB 1,760.00 93 163,680.00 - - 40 70,400.00 53 93,280.00
### 220520210004 ISORIC 300 TAB 3,036.00 - - - - - - - -
### 220520210004 ISORIC 300 TAB 3,256.00 5 16,280.00 100 325,600.00 45 146,520.00 60 195,360.00
### 221560210011 ISOTIC ADRETOR 0.5 19,173.00 - - 8 153,384.00 - - 8 153,384.00
### 221020430061 JANUVIA 100 MG 15,452.05 28 432,657.40 - - 28 432,657.40 - -
### 221020430060 JANUVIA 50 MG 15,452.05 - - - - - - - -
### 220510780011 KADIFLAM 50 MG 3,135.00 2 6,270.00 - - - - 2 6,270.00
### 220510340059 KAFLAM 50 MG 3,666.67 17 62,333.39 - - 12 44,000.04 5 18,333.35
### 220470340009 KALMECO TAB. 500 MG 2,508.00 125 313,500.00 - - 90 225,720.00 35 87,780.00
### KALNEX TABLET 500 MG 3,344.00 - - - - - - - -
### 220430340005 KALXETIN 10 MG 3,831.67 50 191,583.50 - - - - 50 191,583.50
### 220430340009 KALXETIN 20 MG 5,921.67 45 266,475.15 - - 25 148,041.75 20 118,433.40
### 128120780018 KANDISTATIN DROPS 36,575.00 - - - - - - - -
### 221590190006 KARY UNI 5 ML 44,000.00 - - - - - - - -
### 220950600014 KETOCID CAPS 5,940.00 - - 3,500 20,790,000.00 1,570 9,325,800.00 1,930 11,464,200.00
### 220950200001 KETOSTERIL 7,590.00 - - - - - - - -
### KIDIMUN SYR. 60 ML 32,725.00 16 523,600.00 24 785,400.00 18 589,050.00 22 719,950.00
### KOLEFION TABLET 20 MG 5,500.00 30 165,000.00 - - - - 30 165,000.00
### KOLKATRIOL 0.25 MCG 6,580.31 - - - - - - - -
### 221110400005 KSR 600 MG 3,005.85 - - - - - - - -
### 220160370005 L - BIO 5,445.00 - - - - - - - -
### 221250370005 L - CORE 22,000.00 - - - - - - - -
### 221250370005 L - CORE 20,900.00 5 104,500.00 - - - - 5 104,500.00
### L – ZINC SYR. 100 ML 34,485.00 1 34,485.00 - - 1 34,485.00 - -
### 221160210022 LACTAFAR 3,300.00 5 16,500.00 - - 5 16,500.00 - -
### 221150340058 LACTAMOR CAPS 2,229.33 95 211,786.35 - - 95 211,786.35 - -
### 221150340058 LACTAMOR CAPS 2,207.04 - - 900 1,986,336.00 60 132,422.40 840 1,853,913.60
### LACTRIN TABLET 3,080.00 7 21,560.00 - - - - 7 21,560.00
### LADERMA CREAM 67,320.00 - - - - - - - -
### 221160130045 LAKTAFIT TAB. 2,970.00 - - 240 712,800.00 232 689,040.00 8 23,760.00
### 220110340136 LAMBUCID SYR. 11,000.00 25 275,000.00 - - 25 275,000.00 - -
### 226130370005 LAMESON TAB. 4 MG 2,860.00 - - - - - - - -
### LAMESON TAB. 8 MG 4,372.50 119 520,327.50 - - 69 301,702.50 50 218,625.00
### 220140360011 LAMETIC TAB. 4 MG 27,500.00 - - - - - - - -
### LAMETIC TAB. 8 MG 27,500.00 - - - - - - - -
### LANABAL KAPSUL 500 MG 2,310.00 - - - - - - - -
### LANABAL KAPSUL 500 MG 2,420.00 233 563,860.00 - - 225 544,500.00 8 19,360.00
### 221690360001 LANAKELOID E CREAM 10 GR 99,000.00 7 693,000.00 - - 7 693,000.00 - -
### 221690360001 LANAKELOID E CREAM 10 GR 82,500.00 - - - - - - - -
### 221690360001 LANAKELOID E CREAM 10 GR 99,000.00 - - - - - - - -
### 221690360001 LANAKELOID E CREAM 10 GR 110,000.00 - - 20 2,200,000.00 13 1,430,000.00 7 770,000.00
26 / 235
01 02 03 04 05 06 07 08 09 10 11
### 221250360055 LANAVISION CAPS. 5,280.00 299 1,578,720.00 300 1,584,000.00 599 3,162,720.00 - -
### 220240360028 LANCOLIN TAB. 13,200.00 4 52,800.00 - - - - 4 52,800.00
### 220240360028 LANCOLIN TAB. 13,200.00 60 792,000.00 - - - - 60 792,000.00
### 220170360005 LANTULOS SYR. 60 ML 71,500.00 10 715,000.00 - - 7 500,500.00 3 214,500.00
### 221010530003 LANTUS SOLOSTAR INJ 83,950.02 - - - - - - - -
### 221010530003 LANTUS SOLOSTAR INJ 83,950.00 - - 15 1,259,250.00 15 1,259,250.00 - -
### 220470370010 LAPIBAL TAB. 500 MG 1,526.25 - - - - - - - -
### 220470370010 LAPIBAL TAB. 500 MG 1,732.50 153 265,072.50 - - 88 152,460.00 65 112,612.50
### 220310370345 LASAL EXP. SYR. 100 ML 30,112.50 9 271,012.50 3 90,337.50 12 361,350.00 - -
### LASAL KAPSUL4 MG 1,237.50 130 160,875.00 - - 36 44,550.00 94 116,325.00
### 220310370011 LASAL SYR. 100 ML 20,625.00 11 226,875.00 60 1,237,500.00 20 412,500.00 51 1,051,875.00
### 220210640115 LASIX TAB. 40 MG 4,406.69 - - - - - - - -
### 220210640115 LASIX TAB. 40 MG 5,018.73 372 1,866,967.56 - - 50 250,936.50 322 1,616,031.06
### LATROPIL SYR. 100 ML 35,420.00 6 212,520.00 - - 6 212,520.00 - -
### 220171940009 LAXADIN SYR. 110 ML 48,510.00 - - - - - - - -
### 220171940010 LAXADIN SYR. 60 ML 35,640.00 - - - - - - - -
### 220180360001 LESICHOL CAPS 300 MG 11,000.00 49 539,000.00 - - 49 539,000.00 - -
### 220180360001 LESICHOL CAPS 300 MG 11,550.00 - - 120 1,386,000.00 71 820,050.00 49 565,950.00
### 220180360002 LESICHOL CAPS 600 MG 18,700.00 - - - - - - - -
### 220180360002 LESICHOL CAPS 600 MG 19,616.67 10 196,166.70 300 5,885,001.00 149 2,922,883.83 161 3,158,283.87
### 222160550001 LETONAL TAB. 100 MG 3,696.00 - - - - - - - -
### 220450600006 LEVAZIDE TAB 5,094.38 - - - - - - - -
### 220450600006 LEVAZIDE TAB 4,441.25 185 821,631.25 150 666,187.50 200 888,250.00 135 599,568.75
### 221010530010 LEVEMIR FLEXPEN 85,000.00 - - - - - - - -
### 221010530010 LEVEMIR FLEXPEN 83,950.00 - - - - - - - -
### 220270560040 LIFITOR TAB 40 MG 19,644.50 - - - - - - - -
### 221140810020 LIKOKALK TAB. 162.00 - - - - - - - -
### 220150340156 LIPROLAC VAN. 6,618.33 1 6,618.33 - - - - 1 6,618.33
### 221250620087 LIPROQY TAB 5,626.50 - - - - - - - -
### 221250620087 LIPROQY TAB 5,632.00 - - - - - - - -
### 221250620087 LIPROQY TAB 5,797.00 80 463,760.00 780 4,521,660.00 860 4,985,420.00 - -
### 220180120007 LIVERPRIME CAPS 6,237.00 - - - - - - - -
### 220180120007 LIVERPRIME CAPS 7,276.50 - - 150 1,091,475.00 150 1,091,475.00 - -
### LODIA TABLET 2 MG 809.88 - - - - - - - -
### LODIA TABLET 2 MG 831.18 94 78,130.92 - - 64 53,195.52 30 24,935.40
### LODIA TABLET 2 MG 831.18 - - 120 99,741.60 - - 120 99,741.60
### 220210430058 LODOZ TAB. 2.5 MG 6,444.16 - - - - - - - -
### 220210430058 LODOZ TAB. 2.5 MG 6,444.17 - - - - - - - -
### 220210400228 LODOZ TAB. 5 MG 9,230.83 - - - - - - - -
### 220320020084 LONGATIN 25 MG 2,662.00 - - - - - - - -
### 220320020085 LONGATIN 50 MG 4,126.10 - - - - - - - -
### LUBIRE CAPS. 3,814.25 - - - - - - - -
### LUBIRE CAPS. 3,291.75 63 207,380.25 60 197,505.00 123 404,885.25 - -
### LUBIRE CAPS. 4,441.25 - - 180 799,425.00 117 519,626.25 63 279,798.75
### LUBIRE SYR. 60 ML 38,500.00 - - - - - - - -
### LUBIRE SYR. 60 ML 38,500.00 - - 5 192,500.00 2 77,000.00 3 115,500.00
### 220440560036 LYRICA 50 MG 8,269.23 - - - - - - - -
### 220440560001 LYRICA 75 MG 11,941.66 - - - - - - - -
### 221150320066 LYVIT SYR 60 ML 26,400.00 - - - - - - - -
### 221150320066 LYVIT SYR 60 ML 28,600.00 - - 5 143,000.00 5 143,000.00 - -
27 / 235
01 02 03 04 05 06 07 08 09 10 11
### 221150320066 LYVIT SYR 60 ML 29,493.75 - - 10 294,937.50 10 294,937.50 - -
### 220110550075 MAGTRAL SYR 120 ML 21,532.50 - - - - - - - -
### 220110550075 MAGTRAL SYR 120 ML 23,925.00 50 1,196,250.00 168 4,019,400.00 206 4,928,550.00 12 287,100.00
### 220210710057 MAINTATE 2.5 MG 5,119.40 - - - - - - - -
### 220210710057 MAINTATE 2.5 MG 5,379.00 14 75,306.00 - - - - 14 75,306.00
### 221150440002 MALTIRON PLUS SYR. 35,200.00 3 105,600.00 - - - - 3 105,600.00
### 221150440001 MALTIRON PLUS TAB. 1,320.00 8 10,560.00 - - 8 10,560.00 - -
### 221250690076 MATOFLAM TAB. 6,600.00 62 409,200.00 - - - - 62 409,200.00
### 221250690015 MATOVIT AX 8,020.80 - - - - - - - -
### 221250690015 MATOVIT AX 7,150.00 90 643,500.00 - - 28 200,200.00 62 443,300.00
### 120830810043 MAXIFLON 44,000.00 - - - - - - - -
### 120850440052 MAXPRO TAB 100 MG 15,840.00 60 950,400.00 - - 10 158,400.00 50 792,000.00
### 221690100019 MEBO OINTMENT 84,700.00 4 338,800.00 - - - - 4 338,800.00
### 221250370003 MECOLA TAB 4,180.00 55 229,900.00 - - 55 229,900.00 - -
### 220140120002 MEDIAMER B6 TBL. 2,546.03 50 127,301.50 - - 50 127,301.50 - -
### 220140120002 MEDIAMER B6 TBL. 2,970.00 - - 200 594,000.00 10 29,700.00 190 564,300.00
### MEDISTEIN 300 MG 2,805.00 - - - - - - - -
### MEDISTEIN 300 MG 4,441.25 - - - - - - - -
### MEDSCAB CREAM 65,450.00 - - - - - - - -
### 220410620045 MEFINAL CAPS. 250 MG 497.20 - - - - - - - -
### 220410620045 MEFINAL CAPS. 250 MG 494.45 - - - - - - - -
### 220410620045 MEFINAL CAPS. 250 MG 507.24 214 108,549.36 - - 78 39,564.72 136 68,984.64
### 220410620051 MEFINAL CAPS. 500 MG 1,082.40 - - - - - - - -
### 220410620051 MEFINAL CAPS. 500 MG 1,078.41 - - - - - - - -
### 220410620051 MEFINAL CAPS. 500 MG 1,108.25 559 619,511.75 - - 457 506,470.25 102 113,041.50
### 220470620011 MEGABAL TABLET 825.03 - - - - - - - -
### 220470620011 MEGABAL TABLET 825.07 1,500 1,237,605.00 5,600 4,620,392.00 6,096 5,029,626.72 1,004 828,370.28
### 224130320069 MELOXIN 15 MG 8,684.50 - - - - - - - -
### 224130320069 MELOXIN 15 MG 9,355.50 - - - - - - - -
### 224130320069 MELOXIN 15 MG 8,976.00 85 762,960.00 - - 30 269,280.00 55 493,680.00
### 224130320069 MELOXIN 15 MG 9,256.50 - - 50 462,825.00 - - 50 462,825.00
### 224130210059 MELOXIN 7,5 MG 5,717.25 89 508,835.25 - - 4 22,869.00 85 485,966.25
### 224130210059 MELOXIN 7,5 MG 5,456.00 - - - - - - - -
### 220470440012 MEPROBAL 500 MG 1,980.00 1 1,980.00 - - 1 1,980.00 - -
### 128100440004 MEPROTRIN SYR. 18,287.50 - - - - - - - -
### 220310540018 MEPTIN SWINGHALER 149,338.20 - - 2 298,676.40 1 149,338.20 1 149,338.20
### 220310540016 MEPTIN TAB. 0,025 MG 2,696.10 - - - - - - - -
### 220480150003 MERISLON TAB 5,051.08 - - - - - - - -
### 220480150003 MERISLON TAB 6,955.15 - - - - - - - -
### 224120410030 MERLOPAM 0.5 MG 1,045.00 40 41,800.00 - - - - 40 41,800.00
### 220480130004 MERTIGO SR TABLET 4,488.00 - - - - - - - -
### 220480130002 MERTIGO TABLET 2,992.00 - - - - - - - -
### METHAM CAPS. 3,553.00 151 536,503.00 - - - - 151 536,503.00
### 220470150054 METHYCOBAL CAPS. 500 MG 3,853.05 148 570,251.40 - - - - 148 570,251.40
### 221020340085 METRIX 2 MG 4,389.00 - - - - - - - -
### 221020340085 METRIX 2 MG 4,702.50 5 23,512.50 90 423,225.00 80 376,200.00 15 70,537.50
### 221020340086 METRIX 3 MG 5,886.83 15 88,302.45 - - 10 58,868.30 5 29,434.15
### 221020340086 METRIX 3 MG 5,886.83 - - 30 176,604.90 - - 30 176,604.90
### 221020340087 METRIX 4 MG 6,827.33 - - - - - - - -
### 221020340087 METRIX 4 MG 7,053.75 2 14,107.50 150 1,058,062.50 100 705,375.00 52 366,795.00
### 220210070030 MICARDIS 40 MG 3,045.00 - - - - - - - -
28 / 235
01 02 03 04 05 06 07 08 09 10 11
### 220210070031 MICARDIS 80 MG 5,409.00 - - - - - - - -
### 220170580008 MICROLAX SUPP. 17,325.00 - - - - - - - -
### MINIASPI 80 MG 429.00 4,304 1,846,416.00 - 3,892 1,669,668.00 412 176,748.00
### MINIASPI 80 MG 429.00 - - 100 42,900.00 100 42,900.00 - -
### 221440810008 MINOSEP 150 ML 38,500.00 1 38,500.00 - - 1 38,500.00 - -
### 221440810010 MINOSEP 60 ML 20,900.00 - - - - - - - -
### 220150270028 MOLAGIT TAB. 481.07 - - - - - - - -
### 221160120036 MOLOCO B12 TAB. 3,017.85 61 184,088.85 - - 10 30,178.50 51 153,910.35
### 220220210035 MONECTO TAB. 20 MG 2,931.50 - - - - - - - -
### 220220210035 MONECTO TAB. 20 MG 2,145.00 - - - - - - - -
### 220220210035 MONECTO TAB. 20 MG 2,227.50 185 412,087.50 - - - - 185 412,087.50
### 220420810001 MST CONTINUS 10 MG 15,620.00 - - - - - - - -
### 220320550028 MUCERA DROPS 31,680.00 - - - - - - - -
### 220320550028 MUCERA DROPS 28,710.00 14 401,940.00 23 660,330.00 33 947,430.00 4 114,840.00
### 220320550020 MUCERA SYR 15 MG / 60 ML 15,950.00 - - - - - - - -
### 220320550020 MUCERA SYR 15 MG / 60 ML 17,545.00 27 473,715.00 - - 27 473,715.00 - -
### 220320550020 MUCERA SYR 15 MG / 60 ML 17,545.00 - - 72 1,263,240.00 48 842,160.00 24 421,080.00
### 220320550025 MUCERA SYR 30 MG / 60 ML 22,880.00 - - - - - - - -
### 220320550025 MUCERA SYR 30 MG / 60 ML 23,760.00 - - - - - - - -
### 220320550025 MUCERA SYR 30 MG / 60 ML 21,532.50 - - - - - - - -
### 220320550025 MUCERA SYR 30 MG / 60 ML 22,330.00 15 334,950.00 19 424,270.00 34 759,220.00 - -
### 220320550014 MUCERA TAB 797.50 - - - - - - - -
### 220320550014 MUCERA TAB 877.25 200 175,450.00 700 614,075.00 724 635,129.00 176 154,396.00
### 220110440149 MUCIFAT SYR 39,600.00 5 198,000.00 - - 5 198,000.00 - -
### 220320620007 MUCOHEXIN SYR 13,299.00 - - - - - - - -
### 220320620007 MUCOHEXIN SYR 13,640.00 8 109,120.00 - - 3 40,920.00 5 68,200.00
### 220320620003 MUCOHEXIN TABLET 404.80 85 34,408.00 - - 7 2,833.60 78 31,574.40
### 220320070026 MUCOPECT 30 MG SYR 60 ML ( DEWAS 60,260.20 - - - - - - - -
### 220320440030 MUCOS DROPS 30,360.00 4 121,440.00 - - 1 30,360.00 3 91,080.00
### 220110540090 MUCOSTA TAB. 100 MG 4,711.30 14 65,958.20 - - - - 14 65,958.20
### MULTI GYN ACTIGEL 198,000.00 - - 3 594,000.00 1 198,000.00 2 396,000.00
### 220110550089 MUSIN SYR. 27,500.00 1 27,500.00 - - 1 27,500.00 - -
### 220520150001 MYONAL TAB. 7,463.76 - - - - - - - -
### 220520370002 MYONEP TAB 2,904.00 91 264,264.00 - - 91 264,264.00 - -
### 220520440004 MYORES TAB 3,960.00 90 356,400.00 - - - - 90 356,400.00
### 220310550029 NAIRET TAB 1,056.00 - - - - - - - -
### 220310550029 NAIRET TAB 957.00 31 29,667.00 100 95,700.00 131 125,367.00 - -
### 220260770017 NALETAL 100 TAB 10,241.00 - - - - - - - -
### 220260770011 NALETAL 50 TAB 7,700.00 - - - - - - - -
### 220260770011 NALETAL 50 TAB 7,315.00 - - - - - - - -
### 221440640014 NASACORT AQ SPRAY 199,121.67 - - - - - - - -
### 221440640014 NASACORT AQ SPRAY 106,749.50 1 106,749.50 2 213,499.00 1 106,749.50 2 213,499.00
### NEO GYNOXA OVULA 14,421.00 - - - - - - - -
### 220150620003 NEO KAOLANA SYR 10,384.00 - - - - - - - -
### 220150620003 NEO KAOLANA SYR 10,315.25 - - - - - - - -
### 220150620003 NEO KAOLANA SYR 10,571.00 10 105,710.00 - - 2 21,142.00 8 84,568.00
### 221040480001 NEO MERCAZOL TAB. 1,485.00 - - - - - - - -
### 221040480001 NEO MERCAZOL TAB. 1,120.00 56 62,720.00 300 336,000.00 226 253,120.00 130 145,600.00
### 220240370033 NEUCITI TABLET 500 MG 7,837.50 16 125,400.00 - - 16 125,400.00 - -
### 220240370033 NEUCITI TABLET 500 MG 7,012.50 - - - - - - - -
### 220240370033 NEUCITI TABLET 500 MG 9,350.00 - - - - - - - -
29 / 235
01 02 03 04 05 06 07 08 09 10 11
### 220240190021 NEULIN PS 10,890.00 - - - - - - - -
### 220240190021 NEULIN PS 11,880.00 25 297,000.00 - - 25 297,000.00 - -
### 221120400030 NEUROBION FORTE CAPS. 5.000 MG 2,505.60 - - - - - - - -
### 221120130007 NEURODEX TABLET 605.00 - - - - - - - -
### 220410350041 NEURODIAL TAB 1,265.00 - - 200 253,000.00 127 160,655.00 73 92,345.00
### 220240210036 NEUROLIN TAB 500 MG 8,662.50 2 17,325.00 - - - - 2 17,325.00
### 220240210036 NEUROLIN TAB 500 MG 10,395.00 - - - - - - - -
### 221120810031 NEUROMED 5000 MG 2,246.75 - - - - - - - -
### 221120810031 NEUROMED 5000 MG 2,508.00 2 5,016.00 - - - - 2 5,016.00
### NEUROSANBE 5000 MG 1,926.65 - - - - - - - -
### NEUROSANBE 5000 MG 1,977.80 365 721,897.00 200 395,560.00 565 1,117,457.00 - -
### 221120620014 NEUROSANBE PLUS CAPS. 852.50 - - - - - - - -
### 221120620014 NEUROSANBE PLUS CAPS. 858.00 - - - - - - - -
### 221120620014 NEUROSANBE PLUS CAPS. 873.81 175 152,916.75 - 5 4,369.05 170 148,547.70
### 221120620014 NEUROSANBE PLUS CAPS. 873.81 - - 200 174,762.00 100 87,381.00 100 87,381.00
### 221120620009 NEUROSANBE TABLET 899.39 - - - - - - - -
### 221120620009 NEUROSANBE TABLET 924.96 1 924.96 900 832,464.00 901 833,388.96 - -
### 220470340031 NEUROTAM SYR. 100 ML 60,610.00 4 242,440.00 10 606,100.00 6 363,660.00 8 484,880.00
### 220210130241 NEVODIO TAB. 4,950.00 - - - - - - -
### 221020340015 NEVOX XR 1,915.83 - - - - - - - -
### 221020340015 NEVOX XR 2,090.00 - - - - - - - -
### 221120060032 NEVRADIN E. TAB. 2,391.13 2 4,782.26 - - 2 4,782.26 - -
### 220150450002 NEW DIATABS TAB 557.15 - - - - - - - -
### 220150440010 NIFUDIAR SYR 60 ML 37,620.00 - - - - - - - -
### 220150440010 NIFUDIAR SYR 60 ML 31,680.00 - - - - - - - -
### 220150120009 NIFURAL SYRUP 51,403.77 8 411,230.16 - - 2 102,807.54 6 308,422.62
### 220210350104 NITROKAF RETARD CAPS 1,638.00 - - 600 982,800.00 600 982,800.00 - -
### 220210350106 NITROKAF RETARD FORTE CAPS 2,521.99 - - - - - - - -
### 221250340031 NOCID KAPLET 5,543.47 10 55,434.70 1,000 5,543,470.00 840 4,656,514.80 170 942,389.90
### 220470810048 NOOTROPYL TAB. 400 MG 2,319.16 - - - - - - - -
### 220470810049 NOOTROPYL TAB. 800 MG 4,244.16 - - - - - - - -
### 226120130002 NORELUT TAB. 3,740.00 30 112,200.00 150 561,000.00 165 617,100.00 15 56,100.00
### 220210560077 NORVASK TAB. 10 MG 11,983.19 - - - - - - - -
### 220730050001 NOVA T ( 5TH ) 363,000.00 - - - - - - - -
### 221010530005 NOVOMIX FLEXPEN 110,968.00 - - - - - - - -
### 221010530002 NOVORAPID FLEXPEN 87,000.00 - - - - - - - -
### 220330580012 NOZA TAB. 717.75 49 35,169.75 200 143,550.00 170 122,017.50 79 56,702.25
### 221250810061 NUTRIBREAST TAB 8,459.00 - - - - - - - -
### 221250810061 NUTRIBREAST TAB. 8,036.05 - - - - - - - -
### 221250770002 NUZYM CAPS 6,600.00 - - - - - - - -
### NYSTIN DROPS 12 ML 30,937.50 6 185,625.00 5 154,687.50 8 247,500.00 3 92,812.50
### 221530620006 OCUFLAN EYE DROPS 34,654.42 - - - - - - - -
### ODR SYR. 60 ML 70,840.00 - - - - - - - -
### 220140210042 ONETIC TAB 4 MG 13,563.00 - - - - - - - -
### 220140210042 ONETIC TAB 4 MG 12,809.50 2 25,619.00 - - 1 12,809.50 1 12,809.50
### 220140210042 ONETIC TAB 4 MG 12,809.50 - - 30 384,285.00 - - 30 384,285.00
### 226130550021 OPICORT TAB. 4 MG 1,993.75 - - - - - - - -
### 226130550021 OPICORT TAB. 4 MG 2,233.00 178 397,474.00 300 669,900.00 454 1,013,782.00 24 53,592.00
### OPIGLIT TABLET 15 MG 3,987.50 23 91,712.50 - - 23 91,712.50 - -
### OPIGLIT TABLET 15 MG 4,400.00 - - 90 396,000.00 90 396,000.00 - -
30 / 235
01 02 03 04 05 06 07 08 09 10 11
### 220170550006 OPILAX SYR. 60 ML 41,360.00 - - - - - - - -
### 220170550006 OPILAX SYR. 60 ML 37,482.50 - - - - - - - -
### 220170550006 OPILAX SYR. 60 ML 39,875.00 25 996,875.00 24 957,000.00 30 1,196,250.00 19 757,625.00
### OPINACEA CAPS. 5,183.75 - - - - - - - -
### OPINACEA CAPS. 5,343.25 190 1,015,217.50 1,470 7,854,577.50 1,325 7,079,806.25 335 1,789,988.75
### 220410550438 OPINEURON TAB 1,116.50 513 572,764.50 100 111,650.00 613 684,414.50 - -
### 220410550438 OPINEURON TAB 1,036.75 - - 900 933,075.00 285 295,473.75 615 637,601.25
### 120870550023 OPIPHEN 500 MG 3,080.00 49 150,920.00 - - 5 15,400.00 44 135,520.00
### OPIROL TABLET 2.5 MG 1,833.33 - - - - - - - -
### OPIROL TABLET 2.5 MG 1,661.46 10 16,614.60 210 348,906.60 220 365,521.20 - -
### OPIROL TABLET 5 MG 2,337.50 - - 150 350,625.00 150 350,625.00 - -
### OPIROL TABLET 5 MG 2,658.33 80 212,666.40 750 1,993,747.50 320 850,665.60 510 1,355,748.30
### 220210550246 OPISAR 150 MG 7,744.00 60 464,640.00 - - 60 464,640.00 - -
### 220210550080 OPIVASK 10 MG 6,105.00 1,700 10,378,500.00 2,640 16,117,200.00 3,612 22,051,260.00 728 4,444,440.00
### 220210550072 OPIVASK 5 MG 4,576.00 - - - - - - - -
### 220210550072 OPIVASK 5 MG 4,147.00 91 377,377.00 - - 90 373,230.00 1 4,147.00
### OPIZOLAM TAB 0.5 MG 1,993.75 - - 200 398,750.00 52 103,675.00 148 295,075.00
### 224110550008 OPIZOLAM TAB 1 MG 3,030.50 32 96,976.00 290 878,845.00 122 369,721.00 200 606,100.00
### 221250370067 OPTALVIT SYR 60 ML 62,700.00 1 62,700.00 10 627,000.00 8 501,600.00 3 188,100.00
### 221250370066 OPTALVIT PLUS TAB 5,747.50 10 57,475.00 - - - - 10 57,475.00
### 220410550030 ORASIC CAPS. 2,791.25 160 446,600.00 2,650 7,396,812.50 2,102 5,867,207.50 708 1,976,205.00
### 220410550031 ORASIC INJ 13,557.50 3 40,672.50 - - - - 3 40,672.50
### OSFIT DHA CAPS. 4,180.00 - - - - - - - -
### OSFIT DHA CAPS. 4,458.67 300 1,337,601.00 - - 220 980,907.40 80 356,693.60
### 221140130005 OSSORAL TAB. 200 MG 1,237.50 88 108,900.00 - - - - 88 108,900.00
### 221150320053 OSSOVIT CAPS 4,158.00 - - - - - - - -
### 221150320053 OSSOVIT CAPS 3,696.00 120 443,520.00 - - 65 240,240.00 55 203,280.00
### 221150130052 OSSOVIT SYR 100 ML 55,000.00 - - - - - - - -
### 221150130052 OSSOVIT SYR 100 ML 58,960.00 1 58,960.00 - - - - 1 58,960.00
### 220410550450 OSTARIN FORTE SYR. 18,342.50 8 146,740.00 - - 1 18,342.50 7 128,397.50
### 220410550449 OSTARIN SYR. 15,950.00 - - - - - - - -
### 220410550449 OSTARIN SYR. 16,747.50 17 284,707.50 - - 17 284,707.50 - -
### 220560690024 OSTE CAPS 3,630.00 2 7,260.00 - - - - 2 7,260.00
### 220560440025 OSTENIL INJ. 522,500.00 - - - - - - - -
### 220560600014 OSTEOR C CREAM 132,000.00 - - - - - - - -
### 220560600014 OSTEOR C CREAM 112,200.00 - - 3 336,600.00 - - 3 336,600.00
### 220560600010 OSTEOR PLUS CAPS. 7,700.00 - - - - - - - -
### 220560600010 OSTEOR PLUS CAPS. 7,507.50 - - - - - - - -
### 220560600010 OSTEOR PLUS CAPS. 6,545.00 - - 120 785,400.00 25 163,625.00 95 621,775.00
### 221420320001 OTTOPAIN EAR DROPS 53,680.00 - - - - - - - -
### 220410550011 OTTOPAN DROPS 18,342.50 - - - - - - - -
### 220410550011 OTTOPAN DROPS 19,937.50 - - 30 598,125.00 21 418,687.50 9 179,437.50
### 220410550005 OTTOPAN SYR 11,962.50 - - - - - - - -
### 220410550005 OTTOPAN SYR 13,557.50 38 515,185.00 96 1,301,520.00 110 1,491,325.00 24 325,380.00
### OXFEZIN SYR. 100 ML 50,160.00 - - - - - - - -
### OXFEZIN SYR. 100 ML 31,680.00 - - - - - - -
### OXFEZIN SYR. 60 ML 19,800.00 5 99,000.00 - - 1 19,800.00 4 79,200.00
### 220380580384 OXOFERIN 67,925.00 - - 2 135,850.00 - - 2 135,850.00
### 220110120025 OZID CAPS 10,967.79 - - - - - - - -
### PAMOL DROPS 35,200.00 3 105,600.00 - - 2 70,400.00 1 35,200.00
31 / 235
01 02 03 04 05 06 07 08 09 10 11
### PAMOL DROPS 35,200.00 9 316,800.00 - - 8 281,600.00 1 35,200.00
### 220410320017 PAMOL SUPP 125 MG 10,890.00 - - - - - - - -
### 220410320017 PAMOL SUPP 125 MG 10,384.00 16 166,144.00 - - 16 166,144.00 - -
### 220410320424 PAMOL SUPP 250 MG 15,790.50 30 473,715.00 - - 26 410,553.00 4 63,162.00
### 220410320424 PAMOL SUPP 250 MG 15,048.00 - - - - - - - -
### 220410320445 PAMOL SYR. 60 ML 20,240.00 - - - - - - - -
### 220410320445 PAMOL SYR. 60 ML 21,560.00 - - - - - - - -
### 220410320015 PAMOL TABLET 500 MG 589.88 - - 800 471,904.00 747 440,640.36 53 31,263.64
### 220110320054 PANTOPUMP INJ 130,680.00 - - - - - - - -
### PARATUSIN TABLET 1,003.75 508 509,905.00 - - 411 412,541.25 97 97,363.75
### PHALSY SYR. 46,200.00 - - 5 231,000.00 3 138,600.00 2 92,400.00
### 221150070028 PHARMATON FORMULA CAPS 4,120.68 3 12,362.04 - - - - 3 12,362.04
### 221150070045 PHARMATON VIT TAB 4,093.66 - - - - - - - -
### PIBAKSIN SALEP 33,247.50 - - - - - - - -
### PIBAKSIN SALEP 34,100.00 5 170,500.00 - 4 136,400.00 1 34,100.00
### PIBAKSIN SALEP 10 GR 34,100.00 - - 5 170,500.00 - - 5 170,500.00
### 120880350004 PIL KINA 222 MG 1,166.64 - - - - - - - -
### 221610670008 PIROTOP CREAM 10 MG 58,272.50 - - - - - - - -
### 220260210033 PLADOGREL TABLET 75 MG 9,900.00 4 39,600.00 90 891,000.00 60 594,000.00 34 336,600.00
### PLASMINEX TABLET 2,195.19 - - - - - - - -
### PLASMINEX TABLET 2,250.60 200 450,120.00 400 900,240.00 470 1,057,782.00 130 292,578.00
### 220260640058 PLATOGRIX TAB. 12,335.68 5 61,678.40 - - - - 5 61,678.40
### 220260640032 PLAVIX TAB. 27,200.21 26 707,205.46 - - - - 26 707,205.46
### PLAVIX TAB. 300 MG 16,392.97 10 163,929.70 - - - - 10 163,929.70
### 220260540018 PLETAAL TAB. 100 MG 13,442.00 48 645,216.00 - - 48 645,216.00 - -
### 220260540012 PLETAAL TAB. 50 MG 8,467.80 3 25,403.40 - - - - 3 25,403.40
### 221530620004 POLIDEMISIN EYE DROPS 23,144.00 - - - - - - - -
### 221530620004 POLIDEMISIN EYE DROPS 20,251.00 - - - - - - - -
### 221530620004 POLIDEMISIN EYE DROPS 20,790.00 - - 26 540,540.00 13 270,270.00 13 270,270.00
### 221530620005 POLIDEMISIN SALEP MATA 26,399.74 - - - - - - - -
### 221530620005 POLIDEMISIN SALEP MATA 28,729.25 - - - - - - - -
### 221530620005 POLIDEMISIN SALEP MATA 29,496.50 3 88,489.50 5 147,482.50 4 117,986.00 4 117,986.00
### 220410130055 PONDEX SYR 11,275.00 - - - - - - - -
### 220270320031 PRAVINAT TAB 10 MG 11,434.50 40 457,380.00 - - - - 40 457,380.00
### 220270320032 PRAVINAT TAB 20 MG 8,899.00 - - - - - - - -
### 220410580433 PRAXION SYR 120 MG 19,635.00 - - - - - - - -
### 220410580008 PRAXION SYR 250 MG 23,375.00 - - - - - - - -
### 220110210045 PRAZOTEC CAPS 9,693.75 - - - - - - - -
### 220110210045 PRAZOTEC CAPS 11,632.50 - - - - - - - -
### 220110210045 PRAZOTEC CAPS 9,900.00 80 792,000.00 100 990,000.00 130 1,287,000.00 50 495,000.00
### 226120080002 PREABOR TAB. 2,779.15 2 5,558.30 - - 2 5,558.30 - -
### 226120080002 PREABOR TAB. 2,855.87 - - 600 1,713,522.00 461 1,316,556.07 139 396,965.93
### 220350550030 PREDNICORT 4 MG 2,392.50 293 701,002.50 700 1,674,750.00 987 2,361,397.50 6 14,355.00
### 220350550031 PREDNICORT 8 MG 3,588.75 - - - - - - - -
### 220350550031 PREDNICORT 8 MG 3,588.75 34 122,017.50 300 1,076,625.00 286 1,026,382.50 48 172,260.00
### 226120340001 PREMASTON 5 MG 4,005.83 120 480,699.60 - - 20 80,116.60 100 400,583.00
### 226120660001 PRIMPERAN TAB 5 MG 752.40 45 33,858.00 - - 4 3,009.60 41 30,848.40
### 228160570001 PRO TB2 7,246.25 55 398,543.75 - - - - 55 398,543.75
### 228160570002 PRO TB4 5,426.65 30 162,799.50 - - - - 30 162,799.50
### 221250620078 PROBIOKID SACHETS @ 1.5 G 10,349.35 - - - - - - - -
32 / 235
01 02 03 04 05 06 07 08 09 10 11
### 221250620078 PROBIOKID SACHETS @ 1.5 G 10,613.62 4 42,454.48 - - 4 42,454.48 - -
### 221250620078 PROBIOKID SACHETS @ 1.5 G 10,613.63 - - 50 530,681.50 20 212,272.60 30 318,408.90
### 221150620064 PROBIOSTIM CAPS. 7,936.78 - - - - - - - -
### 221150620064 PROBIOSTIM CAPS. 5,120.50 - - 90 460,845.00 90 460,845.00 - -
### 221160440042 PROCALMA LICAPS 3,971.00 70 277,970.00 - - 30 119,130.00 40 158,840.00
### 226120440009 PROGESTON TAB 3,553.00 - - - - - - - -
### PROGYL 500 MG 770.00 - - - - - - - -
### 221160810043 PROHELIC TAB 5,434.00 - - - - - - - -
### PROLIC 300 MG CAPS 5,826.84 80 466,147.20 - - 10 58,268.40 70 407,878.80
### PROLYSIN SYRUP 120 ML 19,140.00 - - - - - - - -
### PROLYSIN SYRUP 120 ML 30,305.00 - - - - - - - -
### PROLYSIN PLUS SYRUP 100 ML 38,665.00 - - - - - - - -
### PROLYSIN PLUS SYRUP 100 ML 24,420.00 - - 10 244,200.00 10 244,200.00 - -
### 220890440902 PROMUBA SYR 60 ML 39,187.50 1 39,187.50 - - - - 1 39,187.50
### 224130130076 PRONALGES TAB. 100 MG 4,207.50 1 4,207.50 - - 1 4,207.50 - -
### 224130130075 PRONALGES TAB. 50 MG 2,337.50 - - - - - - - -
### 220510130033 PRONALGES CR TAB. 200 MG 7,480.00 5 37,400.00 - - - - 5 37,400.00
### 220510130034 PRONALGES SUPP. 13,970.00 - - - - - - - -
### 220410580063 PRORIS SYR 19,245.60 - - - - - - - -
### 220410580064 PRORIS SYR FORTE 23,460.80 - - - - - - - -
### 220410580064 PRORIS SYR FORTE 22,096.80 13 287,258.40 - - 11 243,064.80 2 44,193.60
### 220410260434 PROSINAL SYR 24,007.50 - - - - - - - -
### 220410260434 PROSINAL SYR 26,675.00 - - - - - - - -
### 220110700046 PROSOGAN FD CAPS. 30 MG 18,149.78 - - - - - - - -
### 220110700046 PROSOGAN FD CAPS. 30 MG 19,057.25 - - - - - - - -
### 270950100001 PROSTACOM TAB. 2,950.20 - - - - - - - -
### 220950100015 PROSTACOM TAB. 1,738.00 - - - - - - - -
### 220930490002 PROTERINE TAB 4,851.00 20 97,020.00 - - - - 20 97,020.00
### 220110320026 PROTOP CAPS 11,880.00 - - - - - - - -
### 220110320026 PROTOP CAPS 12,760.00 85 1,084,600.00 - - 85 1,084,600.00 - -
### 220110320026 PROTOP CAPS 13,158.75 - - 420 5,526,675.00 414 5,447,722.50 6 78,952.50
### 220440340004 PROVELYN 150 MG 14,182.14 - - - - - - - -
### 220440340004 PROVELYN 150 MG 14,928.57 56 835,999.92 - - - - 56 835,999.92
### 220440340002 PROVELYN 75 MG 10,324.60 72 743,371.20 - - 30 309,738.00 42 433,633.20
### 221150360017 PROVITAL PLUS TBL 5,225.00 - - - - - - - -
### 221150360017 PROVITAL PLUS TBL 5,500.00 - - - - - - - -
### 221150360017 PROVITAL PLUS TBL 5,764.00 - - 100 576,400.00 10 57,640.00 90 518,760.00
### 221150360016 PROVITAL TBL 3,300.00 - - - - - - - -
### 221150360016 PROVITAL TBL 3,630.00 18 65,340.00 100 363,000.00 18 65,340.00 100 363,000.00
### PROVULA 50 MG 14,300.00 - - - - - - - -
### PROVULA 50 MG 12,870.00 - - - - - - - -
### 220390130001 PSIDII SYR 60 ML 36,300.00 - - - - - - - -
### 220390130001 PSIDII SYR 60 ML 32,670.00 - - - - - - - -
### 220310030039 PULMICORT INHALER 103,575.32 - - - - - - - -
### 220310030039 PULMICORT INHALER 105,040.10 2 210,080.20 - - - - 2 210,080.20
### 220310030046 PULMICORT RESPULES 0.5 MG 23,242.01 1 23,242.01 - - - - 1 23,242.01
### 220310030045 PULMICORT RESPULES 0.25 MG 18,739.38 - - - - - - - -
### 220310030045 PULMICORT RESPULES 0.25 MG 9,724.99 25 243,124.75 - - 7 68,074.93 18 175,049.82
### 220110620027 PUMPITOR CAPS 11,052.80 - - - - - - - -
### 220110620027 PUMPITOR CAPS 10,975.94 - - - - - - - -
### 220110620027 PUMPITOR CAPS 11,253.00 160 1,800,480.00 800 9,002,400.00 960 10,802,880.00 - -
33 / 235
01 02 03 04 05 06 07 08 09 10 11
### 221120210024 REBAL PLUS 1,485.00 - - - - - - - -
### 221120210024 REBAL PLUS 1,608.75 280 450,450.00 - - - - 280 450,450.00
### REBOZET TABLET 25 MG 226,470.59 - - - - - - - -
### 221510250005 RECO TETES TELINGA 7,370.00 - - - - - - - -
### 220520210006 RECOLPAR TAB. 3,547.50 - - - - - - - -
### 220520210006 RECOLPAR TAB. 4,455.00 - - - - - - - -
### 220520210006 RECOLPAR TAB. 4,653.00 - - - - - - - -
### 220520210006 RECOLPAR TAB. 3,877.50 58 224,895.00 - 30 116,325.00 28 108,570.00
### 220520210006 RECOLPAR TAB. 3,877.50 - - 30 116,325.00 - - 30 116,325.00
### 220330360024 RECUSTEIN CAPS 5,225.00 - - - - - - - -
### 220330360024 RECUSTEIN CAPS 5,500.00 206 1,133,000.00 200 1,100,000.00 384 2,112,000.00 22 121,000.00
### 220320360057 RECUSTEIN SYR 46,750.00 - - - - - - - -
### 220320360057 RECUSTEIN SYR 48,400.00 32 1,548,800.00 24 1,161,600.00 49 2,371,600.00 7 338,800.00
### 220110130143 REDACID TAB. 8,910.00 10 89,100.00 - - 10 89,100.00 - -
### 226120080004 REGUMEN TAB 3,060.47 - - - - - - - -
### 226120080004 REGUMEN TAB 3,137.20 - - 1,080 3,388,176.00 570 1,788,204.00 510 1,599,972.00
### 221230210023 RENALYTE 200 ML 15,400.00 - - 18 277,200.00 8 123,200.00 10 154,000.00
### 220150210007 RENAMID TAB. 247.50 3 742.50 - - 3 742.50 - -
### RENAPAR TABLET 2,197.80 - - - - - - - -
### RENAPAR TABLET 1,831.50 117 214,285.50 - - 110 201,465.00 7 12,820.50
### 220950320006 RENAX CAP. 6,831.00 - - - - - - - -
### 220950320006 RENAX CAP. 7,590.00 31 235,290.00 100 759,000.00 31 235,290.00 100 759,000.00
### RENDOVECT CAPS. 2,849.00 - - 150 427,350.00 150 427,350.00 - -
RENDOVECT SYR. 28,875.00 - - 48 1,386,000.00 48 1,386,000.00 - -
221230620029 RENOGEN 3000 IU 99,000.00 4 396,000.00 - - - - 4 396,000.00
220320210083 RESFAR INFUS 186,065.00 - - - - - - - -
221810320040 RESPIMER BABY DECONGEST 60 ML 120,175.00 - - - - - - - -
220310350322 RETAPHYL SR. CAPL. 1,178.99 93 109,646.07 200 235,798.00 290 341,907.10 3 3,536.97
220330130004 RHINOFED SYR 24,062.50 - - - - - - - -
220330130003 RHINOFED TAB 1,694.00 - - - - - - - -
220330130003 RHINOFED TAB. 1,482.25 - - - - - - - -
220330130002 RHINOS NEO DROPS 41,387.50 - - - - - - - -
220330130007 RHINOS SR CAPS 4,571.88 - - - - - - - -
220330130005 RHINOS SYR JUNIOR 28,875.00 - - - - - - - -
228110350001 RICOVIR TAB. 300 MG 18,205.00 60 1,092,300.00 - - 30 546,150.00 30 546,150.00
221810440020 RINOCET SYR 60 ML 52,250.00 - - - - - - - -
221810440020 RINOCET SYR 60 ML 46,200.00 - - - - - - - -
RISTONAT TAB. 35 mg 79,750.00 - - - - - - - -
1 RISTONAT TAB. 35 mg 35,545.95 56 1,990,573.20 - - - 56 1,990,573.20
RISTONAT TAB. 35 mg 35,545.95 - - 40 1,421,838.00 37 1,315,200.15 3 106,637.85
220560320023 ROSAGEN TAB. 25,080.00 - - - - - - - -
220560320023 ROSAGEN TAB. 22,440.00 3 67,320.00 120 2,692,800.00 48 1,077,120.00 75 1,683,000.00
ROVIDEN SUPS 8,772.50 30 263,175.00 - - 5 43,862.50 25 219,312.50
RUBYSTA 23,947.92 - - - - - - - -
RZ-20 SYR. 60 ML 26,125.00 - - - - - - - -
RZ-20 SYR. 60 ML 23,375.00 - - 59 1,379,125.00 52 1,215,500.00 7 163,625.00
221620670009 SAGALON CREAM 36,630.00 2 73,260.00 - - - - 2 73,260.00
221100120002 SALOFALK SOFT. CAPS.250 MG 6,672.60 70 467,082.00 - - 15 100,089.00 55 366,993.00
221100120003 SALOFALK SOFT. CAPS.500 MG 11,725.56 56 656,631.36 - - 6 70,353.36 50 586,278.00
220320620067 SANADRYL DMP SYR. 120 ML 15,430.25 - - - - - - - -
34 / 235
01 02 03 04 05 06 07 08 09 10 11
220320620034 SANADRYL SYRUP 120 ML 11,508.75 - - - - - - - -
220320620034 SANADRYL SYRUP 120 ML 11,849.75 37 438,440.75 48 568,788.00 64 758,384.00 21 248,844.75
220320620035 SANADRYL SYRUP 60 ML 8,184.00 23 188,232.00 48 392,832.00 49 401,016.00 22 180,048.00
221580620009 SANBE TEARS 16,093.00 - - - - - - - -
221580620009 SANBE TEARS 16,555.00 - - 48 794,640.00 15 248,325.00 33 546,315.00
220390620004 SAN-B-PLEX DROPS 14,080.00 - - - - - - - -
SANFULIQ TABLET 3,947.07 - - - - - - - -
SANFULIQ TABLET 3,947.08 - - - - - - - -
SANFULIQ TABLET 4,049.38 270 1,093,332.60 - - 120 485,925.60 150 607,407.00
221150400047 SANGOBION BABY 15 ML 28,670.40 - - - - - - - -
221150400029 SANGOBION KID 100 ML 21,801.78 - - - - - - - -
220110620079 SANMAG SYR 11,990.36 - - - - - - - -
220110620079 SANMAG SYR 11,990.44 - - - - - - - -
220110620079 SANMAG SYR 11,989.27 - - - - - - - -
220110620079 SANMAG SYR 11,989.43 26 311,725.18 48 575,492.64 74 887,217.82 - -
220410620010 SANMOL DROPS 12,716.00 - - - - - - - -
220410620010 SANMOL DROPS 12,702.25 - - 30 381,067.50 10 127,022.50 20 254,045.00
220410620451 SANMOL FORTE SYR 60 ML 20,856.00 - - - - - - - -
220410620451 SANMOL FORTE SYR 60 ML 20,715.75 - - - - - - - -
220410620451 SANMOL FORTE SYR. 21,312.50 11 234,437.50 62 1,321,375.00 58 1,236,125.00 15 319,687.50
220410620452 SANMOL FORTE TAB. 272.80 - - - - - - - -
220410620452 SANMOL FORTE TAB. 281.33 - - 400 112,532.00 400 112,532.00 - -
220410620452 SANMOL FORTE TAB. 281.32 170 47,824.40 500 140,660.00 218 61,327.76 452 127,156.64
220410620026 SANMOL INFUS 46,334.75 - - - - - - - -
220410620003 SANMOL SYR 9,462.75 - - - - - - - -
220410620003 SANMOL SYR 9,462.76 - - - - - - - -
220410620003 SANMOL SYR 9,718.50 - - 67 651,139.50 48 466,488.00 19 184,651.50
220410620446 SANMOL TAB. 230.18 - - - - - - - -
220410620446 SANMOL TAB. 230.17 - - - - - - - -
220410620446 SANMOL TAB. 238.70 40 9,548.00 500 119,350.00 500 119,350.00 40 9,548.00
221440620009 SANORIN HIJAU 200 ML 24,860.00 - - 15 372,900.00 12 298,320.00 3 74,580.00
221440620004 SANORIN HIJAU 80 ML 13,090.00 1 13,090.00 10 130,900.00 11 143,990.00 - -
221690320009 SANOSKIN MELLADERM PLUS 175,560.00 3 526,680.00 - - 3 526,680.00 - -
221690320023 SANOSKIN OXY 307,230.00 - - - - - - - -
SANSULIN LOG-G 85,008.00 - - - - - - - -
221690320023 SANSULIN LOG-G 87,133.20 - - - - - - - -
221690320023 SANSULIN LOG-G 87,133.00 - - - - - - - -
221690320023 SANSULIN LOG-G 83,949.14 18 1,511,084.52 90 7,555,422.60 96 8,059,117.44 12 1,007,389.68
SANSULIN PEN 0.00 2 - - - 2 - - -
SANSULIN PEN 0.00 - - 20 - 20 - - -
SANTA E 200 tablet 1,579.60 - - - - - - - -
SANTA E 200 tablet 1,568.60 - - - - - - - -
SANTA E 400 tablet 3,094.58 - - - - - - - -
128110520006 SEBIVO 600 MG 28,300.01 - - 140 3,962,001.40 44 1,245,200.44 96 2,716,800.96
220270490037 SEQUEST 20,212.50 9 181,912.50 - - - - 9 181,912.50
220310240330 SERETIDE DISKUS 250 MCG 116,686.90 8 933,495.20 48 5,600,971.20 40 4,667,476.00 16 1,866,990.40
35 / 235
01 02 03 04 05 06 07 08 09 10 11
SERETIDE DISKUS 500 MCG 127,616.50 - - - - - - - -
SERETIDE DISKUS100 MCG 103,816.90 5 519,084.50 - - 5 519,084.50 - -
220310230351 SERETIDE INHALER 50 / can 55,000.00 3 165,000.00 4 220,000.00 3 165,000.00 4 220,000.00
220130710234 SESDEN 2,022.90 100 202,290.00 - - - - 100 202,290.00
220320120086 SILEX SYR. 100 ML 42,817.50 - - - - - - - -
220320120086 SILEX SYR. 100 ML 44,958.87 - - - - - - - -
220320120086 SILEX SYR. 100 ML 52,800.00 - - 7 369,600.00 7 369,600.00 - -
220260210047 SIMARC 2 MG TAB 1,501.50 3 4,504.50 - - 3 4,504.50 - -
220260210047 SIMARC 2 MG TAB 1,309.00 - - 400 523,600.00 260 340,340.00 140 183,260.00
220410340453 SINCRONIK CAPS. 7,315.00 2 14,630.00 - - - - 2 14,630.00
221250440079 SIRPLUS RASA ANGGUR 11,440.00 - - - - - - - -
221250440029 SIRPLUS RASA JERUK 10,560.00 - - - - - - - -
221250440029 SIRPLUS RASA JERUK 11,440.00 - - - - - - - -
221250440029 SIRPLUS RASA MELON 11,440.00 - - - - - - - -
221250440029 SIRPLUS RASA MELON 10,560.00 - - - - - - - -
221250440029 SIRPLUS RASA STROBERY 10,560.00 - - - - - - - -
221250440029 SIRPLUS RASA STROBERY 13,200.00 - - - - - - - -
221250440029 SIRPLUS SERBUK ORIGINAL 172.43 16 2,758.88 200 34,486.00 216 37,244.88 - -
220410130027 SISTENOL TAB 1,402.50 10 14,025.00 - - 10 14,025.00 - -
221230540091 SOD. NATR. CL. 3% 500 ML 27,830.00 - - 10 278,300.00 10 278,300.00 - -
221230540054 SOD.CHLORET NATR. 100 ML 15,180.00 - - - - - - - -
221230750042 SOD.CHLORET NATR. 500 ML 6,409.70 - - - - - - - -
221690440008 SODERMIX KRIM 15 GR 74,800.00 2 149,600.00 - - - - 2 149,600.00
220130130140 SPASMOMEN TAB. 5,797.00 - - - - - - - -
222160570005 SPIROLACTONE TAB. 25 MG 991.96 - - - - - - - -
220270130025 STATOR 10 MG 14,850.00 10 148,500.00 - - 10 148,500.00 - -
220270130025 STATOR 10 MG 12,342.00 - - - - - - - -
220270130035 STATOR 20 MG 15,840.00 - - - - - - - -
220270130035 STATOR 20 MG 17,600.00 - - - - - - - -
224120020023 STESOLID RECTAL 10 MG 39,204.00 - - - - - - - -
224120020021 STESOLID RECTAL 5 MG 26,136.00 - - - - - - - -
224120020029 STESOLID SYR 60 ML 41,261.00 - - - - - - - -
STOLAX SUPP 10 MG 5,328.12 - - - - - - - -
STOLAX SUPP 10 MG 5,477.31 8 43,818.48 - - 8 43,818.48 - -
221100060005 SULCOLON TAB. 7,700.00 1 7,700.00 - - 1 7,700.00 - -
221100060005 SULCOLON TAB. 7,122.50 100 712,250.00 - - 100 712,250.00 - -
120880020003 SULDOX TAB. 2,178.00 - - - - - - - -
220510440035 SUPRAFENID SUPPS. 100 MG 9,680.00 - - - - - - - -
221220340029 SUSU NEPHRISOL 185 GR 52,917.23 - - - - - - - -
220310030037 SYMBICORT 160, 60 DOSE 125,838.90 1 125,838.90 20 2,516,778.00 12 1,510,066.80 9 1,132,550.10
220310030036 SYMBICORT 80, 60 DOSE 121,000.00 - - - - - - - -
220310030036 SYMBICORT 80, 60 DOSE 125,840.00 - - 30 3,775,200.00 24 3,020,160.00 6 755,040.00
221720700013 TAPROS INJ. 3.75 MG 569,866.73 - - - - - - - -
220240570031 TEBOKAN SPESIAL 11,715.00 91 1,066,065.00 - - 90 1,054,350.00 1 11,715.00
220240580003 TEBOKAN TAB. 5,841.00 285 1,664,685.00 - - 103 601,623.00 182 1,063,062.00
221650670025 TEKASOL OINTMENT 38,115.00 - - - - - - - -
220210130070 TENSIVAKS TAB. 5 MG 4,576.00 - - - - - - - -
220210130078 TENSIVAKS TAB.10 MG 8,360.00 - - - - - - - -
220260620036 THERODEL TAB. 5,665.42 - - - - - - - -
220260620036 THERODEL TAB. 5,664.74 194 1,098,959.56 870 4,928,323.80 978 5,540,115.72 86 487,167.64
220260450026 THROMBO ASPILET 701.66 316 221,724.56 - - - - 316 221,724.56
36 / 235
01 02 03 04 05 06 07 08 09 10 11
221040400003 THYROZOL 10 MG 1,694.36 - - - - - - - -
221040400002 THYROZOL 5 MG 1,090.87 - - - - - - - -
221040400002 THYROZOL 5 MG 1,090.88 3 3,272.64 - - - - 3 3,272.64
220220210002 TIARYT TAB. 3,833.50 - - 60 230,010.00 22 84,337.00 38 145,673.00
220510130020 TILFLAM 8,415.00 2 16,830.00 - - 2 16,830.00 - -
TIM OPHTAL TTS MATA 0.5% 34,881.00 - - - - - - - -
TIM OPHTAL TTS MATA 0.5% 39,864.00 - - - - - - - -
TOBROSAN 5 CC 50,875.00 - - - - - - - -
TOBROSAN MD 6,380.00 20 127,600.00 - - - - 20 127,600.00
220510550025 TORAMINE TAB.10 MG 3,987.50 205 817,437.50 700 2,791,250.00 790 3,150,125.00 115 458,562.50
221720210012 TRACETATE INFUS 200 ML 341,275.00 - - - - - - - -
220410620442 TRADOSIK CAPS. 3,260.40 - - - - - - - -
220410620442 TRADOSIK CAPS. 3,181.20 - - - - - - - -
TRADYL TABLET 3,388.00 11 37,268.00 - - - - 11 37,268.00
220320730087 TRANSPULMIN SYR. 60 ML 64,680.00 5 323,400.00 3 194,040.00 8 517,440.00 - -
220330620028 TREMENZA SYR. 16,197.50 - - - - - - - -
220330620028 TREMENZA SYR. 16,623.75 8 132,990.00 - - 8 132,990.00 - -
220330620029 TREMENZA TAB 1,150.88 - - - - - - - -
220330620029 TREMENZA TAB 1,180.71 102 120,432.42 1,800 2,125,278.00 1,888 2,229,180.48 14 16,529.94
TRICHODAZOLE 500 TABLET 1,381.05 182 251,351.10 200 276,210.00 296 408,790.80 86 118,770.30
220110440172 TRICKER TAB 3,960.00 - - - - - - - -
220330320030 TRIFED SYR 25,960.00 - - - - - - - -
220330320031 TRIFED TAB. 2,156.00 - - - - - - - -
TRIFEDRIN SYR. 15,950.00 - - - - - - - -
TRIFEDRIN SYR. 19,140.00 - - 72 1,378,080.00 54 1,033,560.00 18 344,520.00
TRIFEDRIN TAB. 1,196.25 - - 300 358,875.00 210 251,212.50 90 107,662.50
220220680028 TRIZEDON MR 3,234.00 30 97,020.00 60 194,040.00 30 97,020.00 60 194,040.00
120890550013 TROGYL SYR 33,440.00 - - - - - - - -
120890550013 TROGYL SYR 30,305.00 - - - - - - - -
TROGYL TABLET 1,276.00 54 68,904.00 100 127,600.00 56 71,456.00 98 125,048.00
TROGYSTATIN OVULA 11,962.50 - - 400 4,785,000.00 70 837,375.00 330 3,947,625.00
220270130015 TROLIP TAB 100 MG 4,400.00 - - - - - - - -
220270130020 TROLIP TAB 300 MG 8,228.00 - - - - - - - -
220270130020 TROLIP TAB 300 MG 9,680.00 - - - - - - - -
221252420030 TROLIT 10,101.67 1 10,101.67 - - 1 10,101.67 - -
220260350061 TROMBIKAF TAB 4,200.00 - - - - - - - -
121690810001 TROMECON 20 GR 22,772.76 - - - - - - - -
TROVENSIS TABLET 4 MG 9,906.05 - - - - - - - -
TROVENSIS TABLET 8 MG 13,972.48 - - - - - - - -
TROVENSIS TABLET 8 MG 14,322.00 85 1,217,370.00 100 1,432,200.00 160 2,291,520.00 25 358,050.00
TUTOFUSIN OPS 38,600.00 - - - - - - - -
221250150027 UBI-Q CAPS 100 MG 13,952.60 17 237,194.20 - - 7 97,668.20 10 139,526.00
220220140036 UDOPA INJ 7,808.24 - - - - - - - -
ULTRACET TABLET 37.5 MG 7,828.88 3 23,486.64 150 1,174,332.00 153 1,197,818.64 - -
UMARONE INJEKSI 182,875.00 - - - - - - - -
220490770012 UNALIUM 10 TAB 8,360.00 - - - - - - - -
220490770007 UNALIUM 5 TAB 6,061.00 - - - - - - - -
220210700243 UNISIA TAB 13,750.00 1 13,750.00 - - - - 1 13,750.00
220180120008 URDAFALK TAB. 250 10,426.16 - - - - - - - -
220180120008 URDAFALK TAB. 250 9,383.55 71 666,232.05 - - 47 441,026.85 24 225,205.20
37 / 235
01 02 03 04 05 06 07 08 09 10 11
220180120008 URDAFALK TAB. 250 10,426.17 - - 150 1,563,925.50 - - 150 1,563,925.50
221250130057 URDEX CAPS. 6,545.00 5 32,725.00 - - - - 5 32,725.00
220210620248 URESIX CAPS. 720.36 - - - - - - - -
220210620248 URESIX CAPS. 741.68 310 229,920.80 2,000 1,483,360.00 2,303 1,708,089.04 7 5,191.76
220920730003 UROGETIK 100 MG 5,465.90 84 459,135.60 - - 26 142,113.40 58 317,022.20
220920620925 UROTRACTIN CAPS. 2,642.75 13 34,355.75 - - 3 7,928.25 10 26,427.50
226120370003 UTROGESTAN 100 MG 7,920.00 - - - - - - - -
226120370003 UTROGESTAN 100 MG 9,586.50 - - - - - - - -
226120370007 UTROGESTAN 200 MG 17,803.50 - - - - - - - -
VAKSIN HEPATITIS B RECOM 74,052.00 8 592,416.00 154 11,404,008.00 160 11,848,320.00 2 148,104.00
220440550025 VALEPTIK SYR 59,812.50 5 299,062.50 24 1,435,500.00 29 1,734,562.50 - -
220210140260 VALESCO 160 MG 2,688.40 17 45,702.80 - - 17 45,702.80 - -
220210140259 VALESCO 80 MG 1,795.20 18 32,313.60 - - 18 32,313.60 - -
224120640018 VALISANBE 2 MG 187.55 - - - - - - - -
224120640018 VALISANBE 2 MG 214.50 300 64,350.00 - - 78 16,731.00 222 47,619.00
224120640018 VALISANBE 2 MG 187.55 47 8,814.85 - - 47 8,814.85 - -
224120640020 VALISANBE 5 MG 306.90 - - - - - - - -
224120640020 VALISANBE 5 MG 315.43 16 5,046.88 200 63,086.00 68 21,449.24 148 46,683.64
220210340060 V-BLOC 25 6,688.00 - - 1,380 9,229,440.00 1,089 7,283,232.00 291 1,946,208.00
220210340059 V-BLOC 6,25 1,599.99 5 7,999.95 - - - - 5 7,999.95
220320130053 VECTRINE CAPS. 300 MG 3,740.00 - - - - - - - -
220190810002 VENARON CAPS 3,201.00 - - - - - - - -
220310230013 VENTOLIN INHALER 59,999.50 1 59,999.50 - - 1 59,999.50 - -
220310240334 VENTOLIN NEBULES 2.5 MG 3,999.99 11 43,999.89 - - 11 43,999.89 - -
224130440106 VERIDIN TAB. 5,280.00 - - - - - - - -
224130440106 VERIDIN TAB. 5,940.00 38 225,720.00 - - 30 178,200.00 8 47,520.00
VERSILON TAB. 6 MG 1,716.00 - - - - - - - -
VERTIGOSAN TABLET 1,052.84 - - - - - - - -
VERTIGOSAN TABLET 2,165.35 265 573,817.75 500 1,082,675.00 500 1,082,675.00 265 573,817.75
220480350007 VERTIKAF TABLET 8 MG 1,640.00 - - - - - - - -
220480350007 VERTIKAF TABLET 8 MG 3,540.46 180 637,282.80 - - - - 180 637,282.80
220320340101 VESTEIN 300 MG 4,441.25 - - - - - - - -
220320340100 VESTEIN SYR. 36,575.00 13 475,475.00 - - 3 109,725.00 10 365,750.00
221660670009 VITACID CR 0.025% 15 GR 22,990.00 - - - - - - - -
221150550065 VITAMULTI DHA CAPS 1,993.75 - - 300 598,125.00 150 299,062.50 150 299,062.50
221150550065 VITAMULTI DHA CAPS 2,392.50 750 1,794,375.00 500 1,196,250.00 1,250 2,990,625.00 - -
VITROLENTA EYE DROPS 36,025.00 - - 10 360,250.00 10 360,250.00 - -
224130130089 VOLTADEX GEL 20 GR 22,099.00 - - - - - - - -
224130520014 VOLTAREN TAB 25 MG 3,098.92 - - - - - - - -
224130520014 VOLTAREN TAB 25 MG 3,828.09 17 65,077.53 - - 15 57,421.35 2 7,656.18
224130520017 VOLTAREN TAB 50 MG 5,398.70 - - - - - - - -
224130520017 VOLTAREN TAB 50 MG 6,668.99 10 66,689.90 - - 10 66,689.90 - -
220120130030 VOMETA DROPS 36,932.50 1 36,932.50 - - 1 36,932.50 - -
220120130016 VOMETA TABLET FT 4,070.00 7 28,490.00 - - 2 8,140.00 5 20,350.00
220120620026 VOSEDON SYR 23,614.25 - - - - - - - -
220120620026 VOSEDON SYR 24,211.00 - - - - - - - -
220120620020 VOSEDON TAB. 1,884.03 48 90,433.44 - - 41 77,245.23 7 13,188.21
221230540063 WATER FOR INJEKSI 25 ML 2,860.00 - - - - - - - -
221230540064 WATER STERIL / AQUADEST 1 LITER 23,760.00 - - - - - - - -
220410780435 XEPAFEN FORTE SYR. 20,900.00 8 167,200.00 - - - - 8 167,200.00
221680780004 XEPAGEL LOTION 146,300.00 4 585,200.00 - - 1 146,300.00 3 438,900.00
38 / 235
01 02 03 04 05 06 07 08 09 10 11
220410780012 XEPAMOL DROPS 22,990.00 - - - - - - - -
XEPAMOL SYR. 250 / 5 ML 22,990.00 32 735,680.00 - - 29 666,710.00 3 68,970.00
XEPAMOL TABLET 500 MG 444.13 670 297,567.10 1,100 488,543.00 1,330 590,692.90 440 195,417.20
220160780001 XEPAZYM TAB 2,750.00 - - - - - - - -
220160780001 XEPAZYM TAB 2,612.50 82 214,225.00 - - 40 104,500.00 42 109,725.00
220130030024 XYLOCAINE 10% SPRAY 307,307.00 - - - - - - - -
221811720058 XYZAL CAPS 7,927.92 41 325,044.72 50 396,396.00 66 523,242.72 25 198,198.00
221150340003 ZEGAVIT TAB. 2,403.50 - - - - - - - -
221150340003 ZEGAVIT TAB. 2,530.00 93 235,290.00 - - 40 101,200.00 53 134,090.00
271250100001 ZINCPRO DROPS 15 ML 10,798.70 - - - - - - - -
221250100089 ZINCPRO DROPS 15 ML 6,281.00 2 12,562.00 - - - - 2 12,562.00
221250100088 ZINCPRO SYR. 60 ML 7,089.50 - - - - - - - -
228110320009 ZOTER 400 MG 9,157.50 - - - - - - - -
228110320010 ZOTER CREAM 44,000.00 2 88,000.00 - - 2 88,000.00 - -
-
SUB TOTAL 41,618 174,029,253.98 120,649 455,178,198.74 120,338 445,064,031.61 41,929 184,143,421.11
BAHAN PELENGKAP
1 460300950010 ALCOHOL SWABS 264.00 - - - - - - - -
2 460300950010 ALCOHOL SWABS 198.00 - - - - - - - -
3 ALCOHOL SWABS 127.64 - - - - - - - -
4 460300950010 ALCOHOL SWABS 264.00 - - 400 105,600.00 400 105,600.00 - -
5 ARM SLING UK. L ( DEWASA ) 133,650.00 - - 1 133,650.00 1 133,650.00 - -
6 340201100035 BYE-BYE FEVER FOR BABIES 6,165.50 - - - - - - - -
7 340201100036 BYE-BYE FEVER FOR CHILDREN 8,778.00 - - - - - - - -
9 340201100036 BYE-BYE FEVER FOR CHILDREN 9,084.90 5 45,424.50 - - 5 45,424.50 - -
11 340200930094 COLOSTOMY BAG 46,200.00 - - 1 46,200.00 1 46,200.00 - -
12 340200120105 DARYANTULLE 9,157.50 - - - - - - - -
11 340200950118 DISPOSIBLE / NEEDLE 25 G 1,089.00 - - - - - - - -
13 340200950118 DISPOSIBLE / NEEDLE 25 G 1,089.00 - - 100 108,900.00 100 108,900.00 - -
14 340200950978 DISPOSIBLE / NEEDLE 31 G X 5 MM 3,018.40 - - - - - - - -
20 340200950131 DISPOSIBLE SYRINGE UK. 3 1,430.00 - - 100 143,000.00 100 143,000.00 - -
22 340200120821 FRAMYCETIN SULFATE 10,175.00 - - - - - - - -
23 340200120821 FRAMYCETIN SULFATE 10,175.00 - - 70 712,250.00 52 529,100.00 18 183,150.00
24 FREESTYLE OPTIUM BG STRIP @ 25 0.00 - - 2 - 2 - - -
25 FREESTYLE OPTIUM BG STRIP @ 50 170,039.75 - - - - - - - -
26 FREESTYLE OPTIUM NEO BG ( ALAT ) 275,000.00 - - - - - - - -
30 370201460038 KAPSUL KOSONG NO.0 58.08 - - - - - - - -
31 370201460040 KAPSUL KOSONG NO.1 22.99 - - - - - - - -
33 370201460041 KAPSUL KOSONG NO.2 64.00 - - - - - - - -

34 370201460042 KAPSUL KOSONG NO.3 54.60 - - 1,000 54,600.00 1,000 54,600.00 - -
35 330201110293 KASA KOMPRES STERIL 4,950.00 - - - - - - - -
37 330201110293 KASA KOMPRES STERIL 7,700.00 5 38,500.00 - - 5 38,500.00 - -
39 / 235
01 02 03 04 05 06 07 08 09 10 11
330201110293 KASA KOMPRES STERIL 3,850.00 - - 1 3,850.00 1 3,850.00 - -
330201110293 KASA KOMPRES STERIL 7,700.00 - - 4 30,800.00 3 23,100.00 1 7,700.00
330200980296 KASA PEMBALUT(INDAH) 1,650.00 - - - - - - - -
KERTAS LOGO PRESS 99,000.00 - - - - - - - -
340200970306 LEUKOPLAST UK. 2,5 x 5 (1624H) 16,385.60 - - - - - - - -
340200970306 LEUKOPLAST UK. 4,5 x 5 (1624H) 28,215.00 - - - - - - - -
340201240313 LOMATULE 12,155.00 - - - - - - - -
340201240313 LOMATULE 12,155.00 - - 40 486,200.00 18 218,790.00 22 267,410.00
330201220315 MEDICRAPE 15 X 4.5 44,198.00 - - 1 44,198.00 1 44,198.00 - -
330201220317 MEDICRAPE 7.5 X 4.5 23,958.00 - - - - - - - -
330201220317 MEDICRAPE 7.5 X 4.5 23,958.00 - - - - - - - -
MICRO FINE 4 MM 3,988.60 - - - - - - - -
340200530318 MICRO FINE 5 MM 3,988.60 10 39,886.00 - - 10 39,886.00 - -
340200910321 MICROPORE 2 " 57,024.00 1 57,024.00 - - 1 57,024.00 - -
340200530332 NOVOTWIST 32 G 3,291.75 - - - - - - - -
PAP'S MEAR KID SIZE M 34,650.00 - - - - - - - -
340200440929 POLYMEM SILVER 10,8 X 10,8 CM 207,350.00 - - 1 207,350.00 1 207,350.00 - -
370201490377 POT ZALF 100 GR 2,464.00 - - - - - - - -
370201490377 POT ZALF 100 GR 2,200.00 - - - - - - - -
370201490377 POT ZALF 100 GR 2,090.00 - - 20 41,800.00 3 6,270.00 17 35,530.00
370201490378 POT ZALF 20 GR 1,100.00 - - - - - - - -
370201490378 POT ZALF 20 GR 968.00 15 14,520.00 - - 15 14,520.00 - -
370201490380 POT ZALF 30 GR 1,232.00 - - - - - - - -
370201490380 POT ZALF 30 GR 1,540.00 - - 50 77,000.00 39 60,060.00 11 16,940.00
370201490381 POT ZALF 50 GR 1,760.00 - - 10 17,600.00 10 17,600.00 - -
SOFRATULLE 26,023.14 - - - - - - - -
340201260491 SURGICAL GLOVE UK. M 532.40 - - - - - - - -
340201520490 SURGICAL GLOVE UK. M 710.60 - - - - - - - -
340201260493 SURGICAL GLOVE UK. S 710.60 - - 100 71,060.00 100 71,060.00 - -
330201220573 ULTRAFIC 10 CM X 500 CM 44,704.00 - - - - - - - -
330201220573 ULTRAFIC 10 CM X 500 CM 35,640.00 - - 1 35,640.00 1 35,640.00 - -
340201220930 VAGIONS M 7,920.00 - - - - - - - -
VASELIN SWAB 10 X 10 8,800.00 - - - - - - - -
SUB TOTAL 36 195,354.50 1,902 2,319,698.00 1,869 2,004,322.50 69 510,730.0
BAHAN KIMIA ,
1 460301490009 ALCOHOL 70% 29,700.00 - - - - - - - -
3 440301220319 ASEPTIC GEL 63,954.00 - - - - - - - -
4 430300350084 IODINE POVIDONE 30 ML 4,950.00 - - - - - - - -
430300350083 IODINE POVIDONE 60 CC 7,205.00 - - 5 36,025.00 5 36,025.00 - -
440301460103 PERHYDROL 3% (1000 Ml) H2O2 57,475.00 - - - - - - - -
211692630001 RIVANOL KOMPRES 2,420.00 - - - - - - - -
- -
SUB TOTAL - - 5 36,025.00 5 36,025.00 - -
JUMLAH TOTAL 81,998 239,203,732.50 257,157 719,588,157.70 262,611 695,693,920.14 76,544 263,097,970.06
81,998 239,203,732.50 257,157 719,588,157.70 262,611 695,693,920.14 76,544 263,097,970.06
- - - - - - - -
40 / 235
01 02 03 04 05 06 07 08 09 10 11
Kesimpulan :
Month Stock (Stock Akhir Bulan)

MS = 491,343,063.88
695,693,920.14
= 0.71
Nilai ideal = 0.5 - 1
Turn Over Ratio
TOR = 695,693,920.14
491,343,063.88
= 1.42
Nilai ideal minimal = 1.2
Rekap :
Nilai Pengeluaran Kamar Obat 695,693,920.14
Nilai Barang Retur & Afkir Kamar Obat -
Nilai Pemakaian Kamar Obat 695,693,920.14
Diketahui Oleh ; Diketahui Oleh ; Dibuat Oleh ;

Pgs. Ka. Kamar Obat Ka. Instalasi Farmasi Ptgs. Adm. Kamar Obat
FENNY RACHMADAHLIA, AMF ELFIRA RATNA PRADIPTA, S. Far, Apt NOVIA INDRIYANI, Amd. Farm
41 / 235
DEPO
BULAN : APRIL 2019 MUTASI OBAT - OBATAN & ALKES DARI GUDANG FARMASI - NO. PERKIRAAN
BAGIAN : DEPO RANAP KELOMPOK BARANG : FARMASI - - TGL. PERMINTAAN 26/03/2019 ~ 25/04/2019
- -
SALDO AWAL PENERIMAAN PENGELUARAN SALDO AKHIR
NO. KODEFIKASI NAMA OBAT / BAHAN HAR - SAT
KWN NILAI KWN NILAI RSP NILAI AMPRA NILAI KWN NILAI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 ( 4 X 13 )
ANTIBIOTIK GENERIK
1 110840280056 AMOXYCILLIN CAPS 500 MG 333.00 - - - - - - - - -
2 110840060056 AMOXYCILLIN CAPS 500 MG 369.07 - - - - - - - - -
3 110840280056 AMOXYCILLIN CAPS 500 MG 370.00 107 39,590.00 - 107 39,590.00 - - - -
4 110840280056 AMOXYCILLIN CAPS 500 MG 423.50 - 200 84,700.00 200 84,700.00 - - - -
5 110840060056 AMOXYCILLIN CAPS 500 MG 518.85 - 400 207,540.00 194 100,656.90 - - 206 106,883.10
6 120840620040 AMOXYCILLIN DROPS 15,400.00 - - - - - - - - -
7 110840060061 AMOXYCILLIN DRY. SYR 4,950.00 - - - - - - - - -
8 110840280058 AMOXYCILLIN DRY. SYR 5,500.00 - 5 27,500.00 2 11,000.00 - - 3 16,500.00
9 110840130042 AMPICILLIN INJ. 5,720.00 - - - - - - - - -
10 110840060047 AMPICILLIN INJ. 8,580.00 - - - - - - - - -
11 110820060024 AZITHROMYCIN INJ. 0.5 GR 82,225.00 - - - - - - - - -
12 110820060024 AZITHROMYCIN INJ. 0.5 GR 120,175.00 - - - - - - - - -
13 110820060023 AZITHROMYCIN SYR. 200 MG / 5 52,800.00 - - - - - - - - -
14 110820060023 AZITHROMYCIN SYR. 200 MG / 5 51,975.00 - - - - - - - - -
15 110820350019 AZITHROMYCIN TAB. 500 MG 10,450.00 - - - - - - - - -
16 110820350019 AZITHROMYCIN TAB. 500 MG 1,777.99 45 80,009.55 40 71,119.60 42 74,675.58 - - 43 76,453.57
17 110850060099 CEFADROXIL CAPS. 500 MG 605.00 - - - - - - - - -
18 110850280086 CEFADROXIL CAPS. 500 MG 672.00 147 98,784.00 500 336,000.00 382 256,704.00 - - 265 178,080.00
19 CEFADROXIL CAPS. 500 MG 792.00 - 700 554,400.00 700 554,400.00 - - - -
20 110850280092 CEFADROXIL SYR 7,380.30 - - - - - - - - -
21 120850350021 CEFADROXIL SYR 6,395.67 5 31,978.35 - 5 31,978.35 - - - -
22 110850280092 CEFADROXIL SYR 7,380.45 - 10 73,804.50 8 59,043.60 - - 2 14,760.90
23 110850490111 CEFIXIME CAPS. 100 MG 2,155.13 - - - - - - - - -
24 110850350049 CEFIXIME CAPS. 100 MG 1,001.00 - - - - - - - - -
25 110850490111 CEFIXIME CAPS. 100 MG 1,676.21 115 192,764.15 - 115 192,764.15 - - - -
26 110850350049 CEFIXIME CAPS. 100 MG 843.00 - - - - - - - - -
27 110850060115 CEFIXIME CAPS. 100 MG 1,001.00 - 1,000 1,001,000.00 845 845,845.00 - - 155 155,155.00
28 CEFIXIME CAPS. 200 MG 3,740.00 82 306,680.00 60 224,400.00 6 22,440.00 - - 136 508,640.00
29 110850060116 CEFIXIME SYR 23,595.00 - - - - - - - - -
30 110850130059 CEFIXIME SYR 31,762.50 - - - - - - - - -
31 110850280112 CEFIXIME SYR 13,860.00 40 554,400.00 - 29 401,940.00 - - 11 152,460.00
32 110850210117 CEFOPERAZONE INJ 1 GR 51,425.00 - - - - - - - - -
33 110850130043 CEFOPERAZONE INJ 1 GR 54,450.00 - - - - - - - - -
34 110850130043 CEFOPERAZONE INJ 1 GR 108,900.00 - 10 1,089,000.00 10 1,089,000.00 - - - -
35 110850060105 CEFOPERAZONE SULBACTAM INJ 83,600.00 - - - - - - - - -
36 110850060105 CEFOPERAZONE SULBACTAM INJ 78,650.00 - - - - - - - - -
37 110850060105 CEFOPERAZONE SULBACTAM INJ 71,500.00 2 143,000.00 - - - - - 2 143,000.00
38 CEFOPERAZONE SULBACTAM INJ 109,725.00 15 1,645,875.00 - - - - - 15 1,645,875.00
39 110850280082 CEFOTAXIME INJ. 7,276.50 - - - - - - - - -
42/235
DEPO
40 110850280082 CEFOTAXIME INJ. 9,350.00 - - - - - - - - -
41 110850570107 CEFOTAXIME INJ. 4,284.08 31 132,806.48 - - - - - 31 132,806.48
42 110850060108 CEFTAZIDIME INJ. 1 GR 56,100.00 - - - - - - - - -
43 110850130081 CEFTAZIDIME INJ. 1 GR 35,150.50 8 281,204.00 26 913,913.00 15 527,257.50 - - 19 667,859.50
44 110850060108 CEFTAZIDIME INJ. 1 GR 44,880.00 - - - - - - - - -
45 110850490109 CEFTIZOXIME INJ. 1 GR 198,000.00 - - - - - - - - -
46 110850490109 CEFTIZOXIME INJ. 1 GR 93,500.00 30 2,805,000.00 - 10 935,000.00 - - 20 1,870,000.00
47 CEFTRIAXONE INJ 1 GR 8,121.27 - - - - - - - - -
48 110850060089 CEFTRIAXONE INJ 1 GR 9,998.45 - - - - - - - - -
52 110850060089 CEFTRIAXONE INJ 1 GR 11,000.00 425 4,675,000.00 576 6,336,000.00 931 10,241,000.00 - - 70 770,000.00
53 211810130019 CETIRIZINE 10 MG 235.13 - - - - - - - - -
54 211810350006 CETIRIZINE 10 MG 427.35 519 221,794.65 - 391 167,093.85 - - 128 54,700.80
55 111810310001 CETIRIZINE DROPS 27,500.00 - - - - - - - - -
56 211810310017 CETIRIZINE DROPS 27,500.00 - - - - - - - - -
57 211810760016 CETIRIZINE SYR. 10,962.60 - - - - - - - - -
58 211810760016 CETIRIZINE SYR. 8,873.15 - - - - - - - - -
59 CIPROFLOXACIN INFUS 43,889.85 - - - - - - - - -
60 CIPROFLOXACIN INFUS 39,899.86 10 398,998.60 - - - - - 10 398,998.60
61 110830570042 CIPROFLOXACIN TAB. 500 MG 464.22 - - - - - - - - -
62 110830350001 CIPROFLOXACIN TAB. 500 MG 616.00 131 80,696.00 - 131 80,696.00 - - - -
63 110830490035 CIPROFLOXACIN TAB. 500 MG 666.88 - 200 133,376.00 7 4,668.16 - - 193 128,707.84
64 118130490006 CLINDAMYCIN TAB 150 MG 796.40 - - - - - - - - -
65 110820060030 CLINDAMYCIN TAB 300 MG 1,361.74 - - - - - - - - -
66 110820060030 CLINDAMYCIN TAB 300 MG 1,432.20 40 57,288.00 - - - - - 40 57,288.00
67 110840130057 CO AMOXICLAV TAB 625 MG 5,082.00 - - - - - - - - -
68 110840130057 CO AMOXICLAV TAB 625 MG 4,620.00 20 92,400.00 - 20 92,400.00 - - - -
69 110860210006 DOXYCYCLINE CAPS. 100 MG 353.43 - - - - - - - - -
70 120820350001 ERYTHROMYCIN CAPS 250 MG 504.00 - - - - - - - - -
71 110820760028 ERYTHROMYCIN CAPS 500 MG 1,168.75 17 19,868.75 - - - - - 17 19,868.75
72 110820350006 ERYTHROMYCIN DRY SYR 10,197.00 - - - - - - - - -
73 110820350006 ERYTHROMYCIN DRY SYR 13,721.40 9 123,492.60 - 5 68,607.00 - - 4 54,885.60
74 110810310011 GENTAMYCIN CREAM 5 GRM 2,073.14 - - - - - - - - -
75 110810350006 GENTAMYCIN CREAM 5 GRM 1,966.82 4 7,867.28 20 39,336.40 15 29,502.30 - - 9 17,701.38
76 110810310001 GENTAMYCIN INJ 3,692.00 - - - - - - - - -
77 110810310001 GENTAMYCIN INJ 3,692.20 - - - - - - - - -
78 110830060029 LEVOFLOXACIN 500 MG 664.00 - - - - - - - - -
79 110830490010 LEVOFLOXACIN 500 MG 980.62 - - - - - - - - -
80 110830350028 LEVOFLOXACIN 500 MG 836.42 - - - - - - - - -
81 110830350028 LEVOFLOXACIN 500 MG 865.26 - - - - - - - - -
82 110830350028 LEVOFLOXACIN 500 MG 721.05 - - - - - - - - -
83 110830350028 LEVOFLOXACIN 500 MG 433.99 144 62,494.56 200 86,798.00 162 70,306.38 - - 182 78,986.18
43/235
DEPO
84 110830060017 LEVOFLOXACIN INF. 500 ML 44,000.00 - - - - - - - - -
85 110830490033 LEVOFLOXACIN INF. 500 ML 61,600.00 - - - - - - - - -
86 118140060001 MEROPENEM INJ. 0.5 GR 125,400.00 - - - - - - - - -
87 118140060001 MEROPENEM INJ. 0.5 GR 69,960.00 - - - - - - - - -
88 118140490018 MEROPENEM INJ. 1 GR 147,400.00 - - - - - - - - -
89 118140060002 MEROPENEM INJ. 1 GR 57,002.00 - - - - - - - - -
90 MEROPENEM INJ. 1 GR 107,250.00 6 643,500.00 20 2,145,000.00 14 1,501,500.00 - - 12 1,287,000.00
91 118140490018 MEROPENEM INJ. 1 GR 147,400.00 - 10 1,474,000.00 10 1,474,000.00 - - - -
92 110830130026 OFLOXACIN 200 MG 590.11 38 22,424.18 - 12 7,081.32 - - 26 15,342.86
93 110860350005 OXYTETRACYCLIN 1% SALEP MAT 2,772.00 - - - - - - - - -
NON ANTIBIOTIK GENERIK - - - - - - - -

1 ACETYLCESTEINE 200 MG/ML 186,065.00 6 1,116,390.00 20 3,721,300.00 21 3,907,365.00 - - 5 930,325.00
2 221630350001 ACYCLOVIR CREAM 5 GR 2,997.50 - - - - - - - - -
3 221630350001 ACYCLOVIR CREAM 5 GR 3,619.00 6 21,714.00 - - - - - 6 21,714.00
4 218110490066 ACYCLOVIR TAB. 400 MG 624.20 - - - - - - - - -
5 218110280065 ACYCLOVIR TAB. 400 MG 567.45 - - - - - - - - -
6 218110490066 ACYCLOVIR TAB. 400 MG 687.00 50 34,350.00 - 50 34,350.00 - - - -
7 210520350085 ALLOPURINOL TAB 100 MG 128.04 - - - - - - - - -
10 210520350003 ALLOPURINOL TAB 300 MG 310.20 74 22,954.80 - 10 3,102.00 - - 64 19,852.80
11 214120130002 ALPRAZOLAM 0.5 MG 497.25 158 78,565.50 - 92 45,747.00 - - 66 32,818.50
12 210320570090 AMBROXOL SYR. 15 MG/ 5 ML 4,125.00 - - - - - - - - -
13 210320350012 AMBROXOL SYR. 15 MG/ 5 ML 4,681.60 - - - - - - - - -
14 210320570090 AMBROXOL SYR. 15 MG/ 5 ML 4,761.02 59 280,900.18 - 50 238,051.00 - - 9 42,849.18
15 210320350012 AMBROXOL TAB. 231.00 - - - - - - - - -
16 210320350012 AMBROXOL TAB. 139.80 121 16,915.80 100 13,980.00 221 30,895.80 - - - -
17 210320060088 AMBROXOL TAB. 139.80 - 200 27,960.00 200 27,960.00 - - - -
18 210310570118 AMINOPHYLLIN INJ. 3,023.94 - - - - - - - - -
21 210310570118 AMINOPHYLLIN INJ. 3,023.94 - 5 15,119.70 1 3,023.94 - - 4 12,095.76
22 210220120225 AMIODARONE INJ. 12,355.20 - - - - - - - - -
23 210220120225 AMIODARONE INJ. 8,700.08 - 10 87,000.80 4 34,800.32 - - 6 52,200.48
24 210430310003 AMITRIPTYLINE TAB. 25 MG 116.89 - - - - - - - - -
25 210430310003 AMITRIPTYLINE TAB. 25 MG 180.02 - - - - - - - - -
26 210210760268 AMLODIPINE 10 MG 592.67 - - - - - - - - -
27 210210280267 AMLODIPINE 10 MG 935.00 - - - - - - - - -
28 210210720260 AMLODIPINE 10 MG 95.00 - - - - - - - - -
29 AMLODIPINE 10 MG 1,408.00 291 409,728.00 600 844,800.00 529 744,832.00 - - 362 509,696.00
30 210210280243 AMLODIPINE 5 MG 476.67 - - - - - - - - -
31 210210130128 AMLODIPINE 5 MG 907.19 - - - - - - - - -
32 210210060261 AMLODIPINE 5 MG 345.60 - - - - - - - - -
44/235
DEPO
33 210210720262 AMLODIPINE 5 MG 76.00 - - - - - - - - -
34 210210280243 AMLODIPINE 5 MG 476.67 212 101,054.04 - 126 60,060.42 - - 86 40,993.62
35 210410310055 ANTALGIN TAB 500 MG 269.50 84 22,638.00 - - - - - 84 22,638.00
36 210110350151 ANTASIDA DOEN SYR. 5,967.50 - - - - - - - - -
39 210110350120 ANTASIDA DOEN TAB 138.09 - - - - - - - - -
40 210110350120 ANTASIDA DOEN TAB 206.38 - - - - - - - - -
41 210110350120 ANTASIDA DOEN TAB 138.09 62 8,561.58 - - - - - 62 8,561.58
42 220190350012 ANTI HEMOROID SUPPS 3,465.00 - - - - - - - - -
43 220190350012 ANTIHEMOROID SUPPS 3,300.00 - - - - - - - - -
44 220190350012 ANTIHEMOROID SUPPS 3,300.00 - 70 231,000.00 24 79,200.00 - - 46 151,800.00
45 210410570097 AS. MEFENAMAT TAB 500 MG 199.58 - - - - - - - - -
48 210250490001 AS. TRANEKSAMAT INJ 250 MG 4,554.00 - - - - - - - - -
50 AS. TRANEKSAMAT INJ 250 MG 4,620.00 - - - - - - - - -
51 210250490001 AS. TRANEKSAMAT INJ 250 MG 3,542.00 23 81,466.00 - 16 56,672.00 - - 7 24,794.00
54 AS. TRANEKSAMAT INJ 500 MG 4,851.00 115 557,865.00 150 727,650.00 133 645,183.00 - - 132 640,332.00
56 AS. TRANEKSAMAT INJ 500 MG 4,851.00 - 150 727,650.00 150 727,650.00 - - - -
57 210250130014 AS. TRANEKSAMAT TAB 500 MG 1,155.00 - - - - - - - - -
60 210440570034 ASAM VALPROAT SYR 250 ML 43,312.50 - - - - - - - - -
61 210440130028 ASAM VALPROAT SYR 250 ML 47,245.00 - - - - - - - - -
62 220270280043 ATORVASTATIN 10 MG 2,612.50 123 321,337.50 - 32 83,600.00 - - 91 237,737.50
63 210270280037 ATORVASTATIN 10 MG 2,750.00 - - - - - - - - -
64 210270760024 ATORVASTATIN 20 MG 3,373.36 - - - - - - - - -
65 210270760024 ATORVASTATIN 20 MG 4,400.00 - - - - - - - - -
66 210270760024 ATORVASTATIN 20 MG 3,960.00 105 415,800.00 - 103 407,880.00 - - 2 7,920.00
67 ATORVASTATIN 40 MG 4,950.00 87 430,650.00 - 87 430,650.00 - - - -
68 210280160074 ATROPIN SULFAS INJ. 1,672.00 - - - - - - - - -
69 210280160074 ATROPIN SULFAS INJ. 1,650.00 5 8,250.00 - 5 8,250.00 - - - -
70 210480490002 BETAHISTINE TABLET 6 MG 3,311.70 - - - - - - - - -
71 BETAHISTINE TABLET 6 MG 110.00 - - - - - - - - -
72 210480490002 BETAHISTINE TABLET 6 MG 693.00 254 176,022.00 600 415,800.00 554 383,922.00 - - 300 207,900.00
73 211650350017 BETAMETASONE CREAM 2,026.20 1 2,026.20 - 1 2,026.20 - - - -
74 210112200131 BIC NAT 500 MG 51.70 - - - - - - - - -
75 210112200131 BIC NAT 500 MG 55.00 - - - - - - - - -
76 BISOPROLOL TAB. 2.5 MG 2,640.00 124 327,360.00 - 80 211,200.00 - - 44 116,160.00
45/235
DEPO
77 210210280254 BISOPROLOL TAB. 5 MG 726.00 - - - - - - - - -
78 210210130259 BISOPROLOL TAB. 5 MG 236.95 122 28,907.90 - 38 9,004.10 - - 84 19,903.80
79 211440810001 BORAX GLYSERINE 2,926.00 - - - - - - - - -
80 211440810001 BORAX GLYSERINE 2,926.00 6 17,556.00 - 1 2,926.00 - - 5 14,630.00
81 220130060008 BUPIVACAINE SPINAL INJ. 26,878.72 - - - - - - - - -
82 211140160002 CALCII GLUCONAS INJ. 9,955.00 - - - - - - - - -
83 211140160002 CALCII GLUCONAS INJ. 10,351.00 34 351,934.00 24 248,424.00 36 372,636.00 - - 22 227,722.00
84 211140350003 CALCIUM LACTATE TABLET 50 MG 223.98 128 28,669.44 - 76 17,022.48 - - 52 11,646.96
85 211140570004 CALCIUM LACTATE TABLET 500 M 143.13 - - - - - - - - -
86 210210130134 CANDESARTAN TAB. 8 MG 5,184.48 - - - - - - - - -
87 210210130134 CANDESARTAN TAB. 8 MG 519.23 63 32,711.49 - 63 32,711.49 - - - -
88 210210060255 CANDESARTAN TAB. 8 MG 2,200.00 - 390 858,000.00 390 858,000.00 - - - -
89 210210060256 CANDESARTAN TAB. 16 MG 7,132.10 - - - - - - - - -
90 210210130243 CANDESARTAN TAB. 16 MG 951.20 - - - - - - - - -
91 CANDESARTAN TAB. 16 MG 3,520.00 162 570,240.00 100 352,000.00 169 594,880.00 - - 93 327,360.00
92 210250490061 CARBAZOCHROME INJ. 11,800.80 - - - - - - - - -
93 210250490061 CARBAZOCHROME INJ. 13,112.00 11 144,232.00 - 11 144,232.00 - - - -
96 210210570272 CATOPRIL 12,5 MG 85.05 - - - - - - - - -
97 210210570272 CATOPRIL 12,5 MG 92.98 - - - - - - - - -
98 220210340004 CATOPRIL 12,5 MG 112.50 173 19,462.50 100 11,250.00 231 25,987.50 - - 42 4,725.00
99 210210280263 CATOPRIL 25 MG 122.94 - - - - - - - - -
100 210210350140 CATOPRIL 25 MG 120.53 - - - - - - - - -
101 210210350140 CATOPRIL 25 MG 144.64 - 200 28,928.00 94 13,596.16 - - 106 15,331.84
102 210210130009 CATOPRIL 50 MG 218.55 - - - - - - - - -
103 210210130009 CATOPRIL 50 MG 235.60 - - - - - - - - -
104 210880350002 CHLOROQUIN TBL.150 MG 85.00 - - - - - - - - -
105 210260060050 CILOSTAZOL TAB. 100 MG 10,450.00 - - - - - - - - -
106 210260060050 CILOSTAZOL TAB. 100 MG 7,000.46 - - - - - - - - -
107 210260060050 CILOSTAZOL TAB. 100 MG 7,315.00 - 500 3,657,500.00 38 277,970.00 - - 462 3,379,530.00
108 210240490245 CITICOLINE INJ. 125 MG / 1 ML 15,592.50 - - - - - - - - -
109 210240490245 CITICOLINE INJ. 125 MG / 1 ML 10,010.00 85 850,850.00 150 1,501,500.00 192 1,921,920.00 - - 43 430,430.00
114 210240130244 CITICOLINE TAB 500 MG 5,890.50 - - - - - - - - -
115 210240060027 CITICOLINE TAB 500 MG 4,400.00 75 330,000.00 120 528,000.00 122 536,800.00 - - 73 321,200.00
116 210210350141 CLONIDIN TAB 205.00 - - - - - - - - -
117 210210350243 CLONIDIN TAB 174.25 148 25,789.00 - 33 5,750.25 - - 115 20,038.75
118 210210350141 CLONIDIN TAB 205.00 - 200 41,000.00 200 41,000.00 - - - -
119 210260130241 CLOPIDOGREL TAB. 75 MG 2,507.27 - - - - - - - - -
120 210260720051 CLOPIDOGREL TAB. 75 MG 2,590.50 - - - - - - - - -
46/235
DEPO
121 210260280030 CLOPIDOGREL TAB. 75 MG 3,322.00 112 372,064.00 - 35 116,270.00 - - 77 255,794.00
122 CLOPIDOGREL TAB. 75 MG 5,362.50 - 150 804,375.00 150 804,375.00 - - - -
123 210260130241 CLOPIDOGREL TAB. 75 MG 2,999.00 - 300 899,700.00 300 899,700.00 - - - -
124 110890350024 COTRIMOXAZOLE SYR 3,960.00 - - - - - - - - -
125 110890350024 COTRIMOXAZOLE SYR 6,050.00 3 18,150.00 - 3 18,150.00 - - - -
126 COTRIMOXAZOLE SYR 6,655.00 - 10 66,550.00 3 19,965.00 - - 7 46,585.00
127 110890350022 COTRIMOXAZOLE TAB 480 MG 190.58 - - - - - - - - -
128 110890350022 COTRIMOXAZOLE TAB 480 MG 178.75 44 7,865.00 - - - - - 44 7,865.00
129 211810810014 CTM TAB. 4 MG 36.30 - - - - - - - - -
130 211650130016 DESOXIMETASONE CREAM 13,975.50 - - - - - - - - -
131 DEXA METHASON TBL 0,50 MG 128.07 - - - - - - - - -
132 210350060244 DEXA METHASON TBL 0,50 MG 154.50 19 2,935.50 - 19 2,935.50 - - - -
133 210350060244 DEXA METHASON TBL 0,50 MG 100.10 - 200 20,020.00 - - - - 200 20,020.00
134 210350350145 DEXA METHASON TBL 0,50 MG 117.45 - 300 35,235.00 115 13,506.75 - - 185 21,728.25
135 210350310146 DEXA METHASONE INJ. 1,960.38 - - - - - - - - -
136 210510570069 DEXA METHASONE INJ. 1,605.00 - - - - - - - - -
137 210510570069 DEXA METHASONE INJ. 1,152.03 72 82,946.16 - 72 82,946.16 - - - -
138 210510570069 DEXA METHASONE INJ. 1,152.00 - - 100 115,200.00 90 103,680.00 10 11,520.00 - -
139 221250490086 DEXKETOPROFEN INJ. 21,505.00 - - - - - - - - -
140 221250490086 DEXKETOPROFEN INJ. 20,240.00 4 80,960.00 60 1,214,400.00 64 1,295,360.00 - - - -
141 221250490086 DEXKETOPROFEN INJ. 23,760.00 - - - - - - - - -
142 DEXKETOPROFEN INJ. 13,200.00 - 30 396,000.00 15 198,000.00 - - 15 198,000.00
143 214130490070 DEXKETOPROFEN TAB. 25 MG 3,135.00 - - - - - - - - -
144 214130810070 DEXKETOPROFEN TAB. 25 MG 2,970.00 105 311,850.00 - 16 47,520.00 - - 89 264,330.00
145 210210350144 DIAZEPAM TBL. 2 MG 99.00 - - - - - - - - -
146 210210350144 DIAZEPAM TBL. 2 MG 123.75 1 123.75 - 1 123.75 - - - -
147 210220760227 DIGOXIN TABL 0,25MG 128.70 - - - - - - - - -
148 210220210229 DIGOXIN TABL 0,25MG 143.00 - - - - - - - - -
149 210210350144 DILTIAZEM TAB. 159.06 - - - - - - - - -
150 211810570011 DIPHENHYDRAMINE INJ 1,115.00 - - - - - - - - -
151 211810570011 DIPHENHYDRAMINE INJ 1,423.90 3 4,271.70 - - - - - 3 4,271.70
152 DIVALPROEX SODIUM 250 MG 2,475.00 - - - - - - - - -
153 210220490027 DOBUTAMIN INJ. 250 MG 28,814.94 - - - - - - - - -
154 210220490027 DOBUTAMIN INJ. 250 MG 28,567.00 12 342,804.00 20 571,340.00 29 828,443.00 - - 3 85,701.00
155 210220490027 DOBUTAMIN INJ. 250 MG 32,648.00 - 20 652,960.00 - - - - 20 652,960.00
156 270110060001 DOMPERIDONE DROPS 18,480.00 - - - - - - - - -
157 210110060152 DOMPERIDONE DROPS 23,100.00 - 10 231,000.00 6 138,600.00 - - 4 92,400.00
158 210140060120 DOMPERIDONE SYR. 10,752.50 - - - - - - - - -
159 210120280021 DOMPERIDONE SYR. 8,855.00 - - - - - - - - -
160 210120280021 DOMPERIDONE SYR. 8,855.00 38 336,490.00 - 25 221,375.00 - - 13 115,115.00
161 210120280015 DOMPERIDONE TAB 363.25 - - - - - - - - -
162 210140720261 DOMPERIDONE TAB 189.00 - - - - - - - - -
163 210120280015 DOMPERIDONE TAB 214.50 - - - - - - - - -
164 210122100249 DOMPERIDONE TAB 363.26 - - - - - - - - -
47/235
DEPO
165 210120490125 DOMPERIDONE TAB 302.71 291 88,088.61 800 242,168.00 878 265,779.38 - - 213 64,477.23
166 210520490087 EPERISONE 50 MG 1,540.00 - - - - - - - - -
167 210520490087 EPERISONE 50 MG 1,560.90 - - - - - - - - -
168 210310160020 EPHEDRINE HCL INJEKSI 50 mg / 55,000.00 5 275,000.00 - - - - - 5 275,000.00
169 210230580004 EPINEPHRINE INJ. 1 mg/ml 5,110.13 - - - - - - - - -
170 210230160231 EPINEPHRINE INJ. 1 mg/ml 1,408.00 26 36,608.00 - 14 19,712.00 10 14,080.00 2 2,816.00
171 210320490084 ERDOSTEIN SYR 30,800.00 - - - - - - - - -
172 210320490084 ERDOSTEIN SYR 33,880.00 - - - - - - - - -
173 210320490083 ERDOSTEIN TAB. 300 MG 3,267.00 - - - - - - - - -
174 210320490083 ERDOSTEIN TAB. 300 MG 2,970.00 234 694,980.00 - 84 249,480.00 - - 150 445,500.00
175 118160350001 ETHAMBUTOL TAB 500 MG 573.60 - - - - - - - - -
176 118160350001 ETHAMBUTOL TAB 500 MG 688.32 - - - - - - - - -
177 118160350001 ETHAMBUTOL TAB 500 MG 837.52 86 72,026.72 - - - - - 86 72,026.72
178 210270280013 FENOFIBRATE 1OO MG 1,331.00 - - - - - - - - -
179 210270280013 FENOFIBRATE 1OO MG 1,320.00 32 42,240.00 - 10 13,200.00 - - 22 29,040.00
180 210270280018 FENOFIBRATE 3OO MG 3,520.00 - - - - - - - - -
181 210270280018 FENOFIBRATE 3OO MG 2,640.00 52 137,280.00 - 24 63,360.00 - - 28 73,920.00
182 218120350054 FLUCONAZOLE CAPS. 150 MG 18,700.28 - - - - - - - - -
183 218120350054 FLUCONAZOLE CAPS. 150 MG 18,150.27 35 635,259.45 - 2 36,300.54 - - 33 598,958.91
184 210490060240 FLUNARIZIN TAB. 10 MG 2,975.00 - - - - - - - - -
185 210490060241 FLUNARIZIN TAB. 5 MG 1,980.00 - - - - - - - - -
186 210490060241 FLUNARIZIN TAB. 5 MG 1,650.00 - 300 495,000.00 67 110,550.00 - - 233 384,450.00
187 210210310116 FOLIC ACID 1 MG 164.93 128 21,111.04 - 122 20,121.46 - - 6 989.58
188 210210310116 FUROSEMIDE INJ 2,160.93 - - - - - - - - -
189 210210130243 FUROSEMIDE INJ 2,057.41 - - - - - - - - -
190 210210760244 FUROSEMIDE TBL. 40 MG 110.00 - - - - - - - - -
191 210210130113 FUROSEMIDE TBL. 40 MG 133.32 - - - - - - - - -
192 210440130005 GABAPENTIN TAB. 300 MG 3,880.80 - - - - - - - - -
193 210440130005 GABAPENTIN TAB. 300 MG 1,014.65 121 122,772.65 - 60 60,879.00 - - 61 61,893.65
194 211020060060 GLIMEPRIDE TAB. 1 MG 399.04 14 5,586.56 - 14 5,586.56 - - - -
195 211020060062 GLIMEPRIDE TAB. 1 MG 365.41 100 36,541.00 - 3 1,096.23 - - 97 35,444.77
196 211020280021 GLIMEPRIDE TAB. 2 MG 1,128.70 - - - - - - - - -
198 211020060067 GLIMEPRIDE TAB. 2 MG 726.00 100 72,600.00 - 97 70,422.00 - - 3 2,178.00
199 GLIMEPRIDE TAB. 2 MG 929.50 100 92,950.00 - - - - - 100 92,950.00
201 211020280022 GLIMEPRIDE TAB. 3 MG 924.00 51 47,124.00 - - - - - 51 47,124.00
202 211020130077 GLIMEPRIDE TAB. 4 MG 272.81 - - - - - - - - -
203 211020280023 GLIMEPRIDE TAB. 4 MG 1,232.00 109 134,288.00 - 24 29,568.00 - - 85 104,720.00
204 211020350078 GLIMEPRIDE TAB. 4 MG 273.00 - 100 27,300.00 100 27,300.00 - - - -
205 211020130017 GLIQUIDONE 30 MG 1,149.20 - - - - - - - - -
206 211020130017 GLIQUIDONE 30 MG 1,064.52 70 74,516.40 - 70 74,516.40 - - - -
207 221250280021 GLUCOSAMINE 250 MG 704.00 - - - - - - - - -
208 221250280021 GLUCOSAMINE 250 MG 704.00 51 35,904.00 - 6 4,224.00 - - 45 31,680.00
48/235
DEPO
209 210320350042 GLYCERYL GUAICOLATE TAB. 55.00 81 4,455.00 - - - - - 81 4,455.00
210 GRANISETRON INJ. 1 MG 9,900.00 6 59,400.00 - 4 39,600.00 - - 2 19,800.00
211 GRANISETRON INJ. 3 MG 24,750.00 9 222,750.00 - - - - - 9 222,750.00
212 214100310020 HALOPERIDOL TABL 1.5 MG 103.11 - - - - - - - - -
213 214100310021 HALOPERIDOL TABL 5 MG 134.38 6 806.28 - 6 806.28 - - - -
214 210210350119 HCT TBL. 25 MG 163.00 - - - - - - - - -
215 210210350119 HCT TBL. 25 MG 121.59 93 11,307.87 - 21 2,553.39 - - 72 8,754.48
216 211650350017 HYDROCORTISON 2,5% 3,366.00 - - - - - - - - -
217 211650570012 HYDROCORTISON 2,5% 4,643.21 - - - - - - - - -
218 211650280013 HYDROCORTISON 2,5% 3,366.00 8 26,928.00 - 1 3,366.00 - - 7 23,562.00
219 220410340432 IBUPROFEN SYR. 4,195.40 - - - - - - - - -
220 210410760052 IBUPROFEN 200 MG 207.90 - - - - - - - - -
221 210410760052 IBUPROFEN 200 MG 127.49 - 200 25,498.00 200 25,498.00 - - - -
222 220410350060 IBUPROFEN 400 MG 235.95 19 4,483.05 - 19 4,483.05 - - - -
223 220410350060 IBUPROFEN 400 MG 224.15 100 22,415.00 - 4 896.60 - - 96 21,518.40
224 118140060017 IMIPENEM INJ. 198,000.00 - - - - - - - - -
225 118140060017 IMIPENEM INJ. 209,000.00 - - - - - - - - -
226 210210490238 IRBESARTAN 300 MG 3,610.47 - - - - - - - - -
227 IRBESARTAN 300 MG 5,646.67 - - - - - - - - -
228 118160350010 ISONIAZID TABL 100 MG 135.43 67 9,073.81 - - - - - 67 9,073.81
229 118160350011 ISONIAZID TABL 300 MG 190.30 108 20,552.40 - - - - - 108 20,552.40
230 210220760228 ISOSORBIDE DINITRATE 92.50 - - - - - - - - -
231 210220210222 ISOSORBIDE DINITRATE 102.85 261 26,843.85 - 261 26,843.85 - - - -
232 210220760228 ISOSORBIDE DINITRATE 121.00 - - - - - - - - -
233 214130130001 KALIUM DIKLOPENAK 25 MG 369.35 1 369.35 - - - - - 1 369.35
234 214130280064 KALIUM DIKLOPENAK 50 MG 708.01 - - - - - - - - -
235 214130280064 KALIUM DIKLOPENAK 50 MG 708.03 210 148,686.30 - 30 21,240.90 - - 180 127,445.40
236 218120280055 KETOKONAZOLE 10 mg CREAM 4,666.20 - - - - - - - - -
237 118120280029 KETOKONAZOLE 5 mg CREAM 3,300.00 - - - - - - - - -
238 KETOKONAZOLE CREAM 4,675.00 - - - - - - - - -
239 218120280055 KETOKONAZOLE CREAM 4,666.20 - - - - - - - - -
240 218120280056 KETOKONAZOLE TAB. 200 MG 368.99 - - - - - - - - -
241 218120280056 KETOKONAZOLE TAB. 200 MG 368.99 15 5,534.85 - - - - - 15 5,534.85
242 214130490067 KETOPROFEN TAB. 100 MG 1,350.00 - - - - - - - - -
243 214130490067 KETOPROFEN TAB. 100 MG 1,147.50 1 1,147.50 - - - - - 1 1,147.50
244 214130490068 KETOPROFEN TAB. 50 MG 704.00 - - - - - - - - -
245 214130490068 KETOPROFEN TAB. 50 MG 563.20 2 1,126.40 100 56,320.00 10 5,632.00 - - 92 51,814.40
246 214130060072 KETOROLAC INJ. 30 MG 5,613.30 - - - - - - - - -
247 210510120045 KETOROLAC INJ. 30 MG 1,045.00 173 180,785.00 - 173 180,785.00 - - - -
248 210510490048 KETOROLAC INJ. 30 MG 8,954.55 - 520 4,656,366.00 311 2,784,865.05 - - 209 1,871,500.95
249 210510490050 KETOROLAC TAB. 3,157.00 - - - - - - - - -
250 214130280036 KETOROLAC TAB. 2,525.60 - - - - - - - - -
251 210110280040 LANSOPRAZOLE 30 MG 700.02 - - - - - - - - -
252 210110490039 LANSOPRAZOLE 30 MG 700.00 19 13,300.00 - 19 13,300.00 - - - -
49/235
DEPO
253 210110280040 LANSOPRAZOLE 30 MG 810.81 100 81,081.00 100 81,081.00 136 110,270.16 - - 64 51,891.84
254 210130060127 LIDOCAIN INJ. 2% 1,155.00 - - - - - - - - -
255 210130060127 LIDOCAIN INJ. 2% 1,155.00 53 61,215.00 - 46 53,130.00 - - 7 8,085.00
256 210210490234 LISINOPRIL 10 MG 605.00 - - - - - - - - -
257 210210490235 LISINOPRIL 5 MG 334.40 - - - - - - - - -
258 211810490002 LORATADIN 10 MG 233.16 - - - - - - - - -
259 211810490002 LORATADIN 10 MG 266.46 - - - - - - - - -
260 210210490026 LOSARTAN K 50 MG 4,158.00 1 4,158.00 - - - - - 1 4,158.00
261 210470490030 MECOBALAMIN 500 MG 660.00 - - - - - - - - -
262 210470490030 MECOBALAMIN 500 MG 770.00 - - - - - - - - -
263 MECOBALAMIN INJEKSI 7,920.00 8 63,360.00 - - - - - 8 63,360.00
264 210510310054 MELOXICAM TAB 15 MG 654.50 - - - - - - - - -
265 214130490065 MELOXICAM TAB 15 MG 577.50 101 58,327.50 - 45 25,987.50 - - 56 32,340.00
266 210510310054 MELOXICAM TAB 15 MG 585.43 - 260 152,211.80 260 152,211.80 - - - -
267 210510310058 MELOXICAM TAB 7.5 MG 726.49 - - - - - - - - -
268 210510280057 MELOXICAM TAB 7.5 MG 334.40 104 34,777.60 - 10 3,344.00 - - 94 31,433.60
269 211020280069 METFORMIN TAB 500 MG 181.05 - - - - - - - - -
270 211020280069 METFORMIN TAB 500 MG 150.65 - - - - - - - - -
271 211020060084 METFORMIN TAB 500 MG 150.64 - - - - - - - - -
272 211020060070 METFORMIN TAB 850 MG 450.45 - - - - - - - - -
273 211020130073 METFORMIN TAB 850 MG 427.93 - - - - - - - - -
274 210930160001 METHYLERGOMETRINE MALEATE 3,102.00 - - - - - - - - -
275 210930160001 METHYLERGOMETRINE MALEATE 3,102.00 59 183,018.00 100 310,200.00 48 148,896.00 - - 111 344,322.00
276 216130060008 METHYLPREDNISOLON INJ. 27,225.00 - - - - - - - - -
277 216130570001 METHYLPREDNISOLON INJ. 10,799.80 65 701,987.00 72 777,585.60 82 885,583.60 - - 55 593,989.00
278 216130130007 METHYLPREDNISOLON TAB 16 M 1,086.76 - - - - - - - - -
279 216130130007 METHYLPREDNISOLON TAB 16 M 978.08 51 49,882.08 - - - - - 51 49,882.08
280 216130130011 METHYLPREDNISOLON TAB 4 MG 462.58 - - - - - - - - -
282 216130280014 METHYLPREDNISOLON TAB 4 MG 330.40 209 69,053.60 - 55 18,172.00 - - 154 50,881.60
283 METHYLPREDNISOLON TAB 4 MG 321.75 - - - - - - - - -
284 216130130011 METHYLPREDNISOLON TAB 4 MG 352.44 - 500 176,220.00 500 176,220.00 - - - -
287 214130060071 METHYLPREDNISOLON TAB 8 MG 386.10 42 16,216.20 - 20 7,722.00 - - 22 8,494.20
288 216130810015 METHYLPREDNISOLON TAB 8 MG 693.00 100 69,300.00 - - - - - 100 69,300.00
289 210120060247 METOCLOPRAMIDE INJ. 3,740.00 - - - - - - - - -
290 210120060247 METOCLOPRAMIDE INJ. 4,675.00 - - - - - - - - -
291 210120060247 METOCLOPRAMIDE INJ. 4,675.00 - 50 233,750.00 20 93,500.00 - - 30 140,250.00
292 218120490057 METRONIDAZOLE INPUS 27,874.00 - - - - - - - - -
293 218120060062 METRONIDAZOLE INPUS 9,350.00 - - - - - - - - -
294 METRONIDAZOLE INPUS 7,700.00 18 138,600.00 - - - - - 18 138,600.00
295 210890350002 METRONIDAZOLE INPUS 26,679.40 - 50 1,333,970.00 50 1,333,970.00 - - - -
296 110890060026 METRONIDAZOLE TAB. 500 MG 286.00 - - - - - - - - -
50/235
DEPO
297 210890060001 METRONIDAZOLE TAB. 500 MG 171.60 132 22,651.20 - 35 6,006.00 - - 97 16,645.20
298 111620350001 MICONAZOLE KRIM 2% 3,831.67 - - - - - - - - -
299 111620350001 MICONAZOLE KRIM 2% 3,575.00 23 82,225.00 - 8 28,600.00 - - 15 53,625.00
300 MIDAZOLAM INJ. 5 MG/1 ML 20,328.00 - - - - - - - - -
301 211610490001 MUPIROCIN OINTMENT 2% 27,500.00 - - - - - - - - -
302 214130350012 NATRIUM DIKLOPENAK 25 MG 185.84 - - - - - - - - -
303 214130350012 NATRIUM DIKLOPENAK 25 MG 329.57 94 30,979.58 - 7 2,306.99 - - 87 28,672.59
307 214130060069 NATRIUM DIKLOPENAK 50 MG 412.52 67 27,638.84 - 67 27,638.84 - - - -
308 214130490074 NATRIUM DIKLOPENAK 50 MG 412.53 - 350 144,385.50 112 46,203.36 - - 238 98,182.14
309 210440300010 NATRIUM PHENYTOIN CAPS 605.00 - - - - - - - - -
310 210440300010 NATRIUM PHENYTOIN CAPS 605.00 - - - - - - - - -
311 210440300016 NATRIUM PHENYTOIN INJ. 30,387.50 - - - - - - - - -
312 210440300016 NATRIUM PHENYTOIN INJ. 25,025.00 6 150,150.00 - - - - - 6 150,150.00
313 210440300016 NATRIUM PHENYTOIN INJ. 23,952.50 10 239,525.00 - - - - - 10 239,525.00
314 210210490247 NICARDIPINE INJ. 88,000.00 - - - - - - - - -
315 210210490247 NICARDIPINE INJ. 58,960.00 - - - - - - - - -
316 210210210153 NICARDIPINE INJ. 57,200.00 6 343,200.00 10 572,000.00 16 915,200.00 - - - -
317 212140350001 NIFEDIPIN TAB 10 MG 154.80 - - - - - - - - -
318 212140350001 NIFEDIPIN TAB 10 MG 185.75 - - - - - - - - -
319 212140350001 NIFEDIPIN TAB 10 MG 121.90 120 14,628.00 100 12,190.00 100 12,190.00 - - 120 14,628.00
320 210230060001 NOREPINEPHRINE INJ. BTR. 4 mg/ 26,400.00 - - - - - - - - -
323 118120060032 NYSTATIN DROPS 21,780.00 - - - - - - - - -
324 118120060032 NYSTATIN DROPS 19,844.00 - - - - - - - - -
325 210110280138 OMEPRAZOLE CAPS. 20 MG 367.46 - - - - - - - - -
326 210110280138 OMEPRAZOLE CAPS. 20 MG 306.24 - - - - - - - - -
327 210110490020 OMEPRAZOLE CAPS. 20 MG 367.49 152 55,858.48 900 330,741.00 771 283,334.79 - - 281 103,264.69
328 210110490140 OMEPRAZOLE INJ. 33,000.00 - - - - - - - - -
329 210110490140 OMEPRAZOLE INJ. 25,850.00 1 25,850.00 - 1 25,850.00 - - - -
330 210110490140 OMEPRAZOLE INJ. 35,750.00 - - - - - - - - -
331 210110490140 OMEPRAZOLE INJ. 36,300.00 77 2,795,100.00 210 7,623,000.00 265 9,619,500.00 - - 22 798,600.00
332 210140060120 ONDANSENTRON INJ. 4 MG 3,025.00 - - - - - - - - -
333 210140490121 ONDANSENTRON INJ. 4 MG 5,159.00 224 1,155,616.00 560 2,889,040.00 443 2,285,437.00 - - 341 1,759,219.00
336 210140310124 ONDANSENTRON TAB. 4 MG 1,309.00 - - - - - - - - -
337 210140310124 ONDANSENTRON TAB. 4 MG 1,215.50 - - - - - - - - -
338 210140490127 ONDANSENTRON TAB. 4 MG 1,155.00 54 62,370.00 60 69,300.00 113 130,515.00 - - 1 1,155.00
339 ONDANSENTRON TAB. 8 MG 4,400.00 - - - - - - - - -
340 ONDANSENTRON TAB. 8 MG 1,589.50 91 144,644.50 - 10 15,895.00 - - 81 128,749.50
51/235
DEPO
341 221230350024 ORALIT 200 CC 409.20 40 16,368.00 - 28 11,457.60 - - 12 4,910.40
342 OXYTOCIN INJ. 2,475.00 - - - - - - - - -
343 OXYTOCIN INJ. 2,337.50 17 39,737.50 100 233,750.00 31 72,462.50 - - 86 201,025.00
344 220930160932 OXYTOCIN INJ. 1,199.00 - 400 479,600.00 400 479,600.00 - - - -
345 211030310004 P.T.U.TABL 100 MG 453.22 - - - - - - - - -
346 211030130007 P.T.U.TABL 100 MG 453.22 - - - - - - - - -
347 210110060153 PANTOPRAZOLE 40 MG INJ. 52,800.00 - - - - - - - - -
348 210110490142 PANTOPRAZOLE 40 MG INJ. 45,430.00 - - - - - - - - -
349 210110060153 PANTOPRAZOLE 40 MG INJ. 48,400.00 6 290,400.00 10 484,000.00 9 435,600.00 - - 7 338,800.00
350 210410310078 PARACETAMOL DROPS 6,857.40 - - - - - - - - -
351 210410120085 PARACETAMOL INFUS 22,000.00 38 836,000.00 - 38 836,000.00 - - - -
352 210410490079 PARACETAMOL INFUS 31,790.00 - 68 2,161,720.00 10 317,900.00 - - 58 1,843,820.00
353 210410490079 PARACETAMOL INFUS 32,725.00 - 76 2,487,100.00 76 2,487,100.00 - - - -
354 210412200093 PARACETAMOL SYRUP 60 ML 3,811.50 - - - - - - - - -
357 210410350001 PARACETAMOL SYRUP 60 ML 5,065.50 42 212,751.00 48 243,144.00 56 283,668.00 - - 34 172,227.00
358 210410350091 PARACETAMOL TAB 500 MG 220.71 - - - - - - - - -
359 210410350091 PARACETAMOL TAB 500 MG 220.72 154 33,990.88 2,000 441,440.00 1,765 389,570.80 - - 389 85,860.08
360 220420380003 PETHIDIN INJ 50 MG/ML 13,191.42 5 65,957.10 - 5 65,957.10 - - - -
361 220420380003 PETHIDIN INJ 50 MG/ML 19,481.00 - - - - - - - - -
362 210440350032 PHENOBARBITAL INJ. 1,740.02 31 53,940.62 - 7 12,180.14 - - 24 41,760.48
363 210440350030 PHENOBARBITAL TBL 30 MG 240.00 114 27,360.00 - 20 4,800.00 - - 94 22,560.00
364 210250570261 PHYTOMENADION INJ. 10 MG (DE 4,166.98 - - - - - - - - -
365 210250570261 PHYTOMENADION INJ. 10 MG (DE 1,552.97 14 21,741.58 - 11 17,082.67 - - 3 4,658.91
366 210250570260 PHYTOMENADION INJ. 2 MG ( ANA 3,581.12 - - - - - - - - -
367 210250570260 PHYTOMENADION INJ. 2 MG ( ANA 3,960.91 - - - - - - - - -
368 210250570263 PHYTOMENADION TABLET 10 MG 892.95 1 892.95 - 1 892.95 - - - -
369 PIOGLITAZONE 30 MG 4,950.00 60 297,000.00 - - - - - 60 297,000.00
370 210470130024 PIRACETAM INJ. 1 GR 4,950.00 - - - - - - - - -
371 210470490041 PIRACETAM INJ. 1 GR 4,620.00 - 72 332,640.00 47 217,140.00 - - 25 115,500.00
372 210470130045 PIRACETAM INJ. 3 GR 17,531.25 - - - - - - - - -
373 210470280046 PIRACETAM INJ. 3 GR 7,700.00 12 92,400.00 8 61,600.00 15 115,500.00 - - 5 38,500.00
374 210470490054 PIRACETAM INJ. 3 GR 14,437.50 - 4 57,750.00 4 57,750.00 - - - -
375 210470490052 PIRACETAM TAB. 1200 MG 1,099.56 - - - - - - - - -
376 PIRACETAM TAB. 1200 MG 1,222.45 - - - - - - - - -
377 210470490052 PIRACETAM TAB. 1200 MG 717.75 - - - - - - - - -
378 210470060049 PIRACETAM TAB. 800 MG 716.68 - - - - - - - - -
379 210470280050 PIRACETAM TAB. 800 MG 562.10 28 15,738.80 - 28 15,738.80 - - - -
380 210470060049 PIRACETAM TAB. 800 MG 578.16 - 100 57,816.00 - - - - 100 57,816.00
381 210270490030 PRAVASTATIN 20 MG 2,384.25 50 119,212.50 - - - - - 50 119,212.50
382 210350570147 PREDNISON TABL 5 MG 90.30 79 7,133.70 - 79 7,133.70 - - - -
383 210440130033 PREGABALIN CAPS 150 MG 9,674.63 - - - - - - - - -
384 210440130033 PREGABALIN CAPS 150 MG 10,395.00 129 1,340,955.00 - - - - - 129 1,340,955.00
52/235
DEPO
387 110880570006 PRIMAQUIN TABL 15 MG 287.38 - - - - - - - - -
388 210210130061 PROPANOLOL TABL 10 MG 76.81 - - - - - - - - -
391 210210130063 PROPANOLOL TABL 40 MG 127.05 68 8,639.40 - 10 1,270.50 - - 58 7,368.90
392 118150350001 PYRANTEL TABL 125 MG 320.00 - - - - - - - - -
393 118160350007 PYRAZINAMIDE TABL 500 MG 245.70 - - - - - - - - -
394 118160350007 PYRAZINAMIDE TABL 500 MG 344.13 70 24,089.10 - - - - - 70 24,089.10
395 110880350005 QUININE INJ 2 CC 4,314.24 - - - - - - - - -
396 210210490149 RAMIPRIL TAB. 10 MG 1,062.76 - - - - - - - - -
397 210210130010 RAMIPRIL TAB. 2.5 MG 336.01 - - - - - - - - -
398 210210490239 RAMIPRIL TAB. 5 MG 705.74 - - - - - - - - -
399 210210490239 RAMIPRIL TAB. 5 MG 705.76 - - - - - - - - -
400 210110580010 RANITIDIN INJ. 2,293.74 - - - - - - - - -
401 210110060135 RANITIDIN INJ. 1,700.16 - - - - - - - - -
402 210110490143 RANITIDIN INJ. 1,155.00 322 371,910.00 280 323,400.00 393 453,915.00 - - 209 241,395.00
403 210110060135 RANITIDIN INJ. 2,702.70 - 200 540,540.00 200 540,540.00 - - - -
404 210110580010 RANITIDIN INJ. 2,668.05 - 680 1,814,274.00 680 1,814,274.00 - - - -
405 210110310145 RANITIDIN TABL 150 MG 462.00 - - - - - - - - -
406 210110350002 RANITIDIN TABL 150 MG 385.00 134 51,590.00 - 134 51,590.00 - - - -
407 RANITIDIN TABL 150 MG 211.20 - 200 42,240.00 200 42,240.00 - - - -
408 210110310145 RANITIDIN TABL 150 MG 462.00 - 500 231,000.00 220 101,640.00 - - 280 129,360.00
409 210110060147 RANITIDIN TABL 150 MG 165.00 - 880 145,200.00 298 49,170.00 - - 582 96,030.00
410 118160350004 RIFAMPICIN CAPS 300 MG 884.40 23 20,341.20 - - - - - 23 20,341.20
411 118160350005 RIFAMPICIN CAPS 450 MG 1,134.71 - - - - - - - - -
412 118160350005 RIFAMPICIN CAPS 450 MG 1,134.70 93 105,527.10 - - - - - 93 105,527.10
413 218160060007 RIFAMPICIN CAPS 600 MG 2,079.00 27 56,133.00 - - - - - 27 56,133.00
414 224100310014 RISPERIDON TAB 2 MG 2,493.77 - - - - - - - - -
415 SALBUTAMOL TABL 2 MG 88.00 - - - - - - - - -
416 210310350001 SALBUTAMOL TABL 2 MG 79.83 30 2,394.90 - 30 2,394.90 - - - -
417 SALBUTAMOL TABL 2 MG 79.20 100 7,920.00 - 22 1,742.40 - - 78 6,177.60
418 210310350005 SALBUTAMOL TABL 4 MG 90.38 - - - - - - - - -
419 210310760247 SALBUTAMOL TABL 4 MG 102.85 - - - - - - - - -
420 210310350005 SALBUTAMOL TABL 4 MG 90.39 135 12,202.65 100 9,039.00 210 18,981.90 - - 25 2,259.75
421 210270280025 SIMVASTATIN TAB. 10 MG 222.75 - - - - - - - - -
424 210270350026 SIMVASTATIN TAB. 10 MG 484.78 97 47,023.66 - 10 4,847.80 - - 87 42,175.86
425 SIMVASTATIN TAB. 20 MG 213.99 - - - - - - - - -
426 210270060031 SIMVASTATIN TAB. 20 MG 492.48 61 30,041.28 - 61 30,041.28 - - - -
427 SIMVASTATIN TAB. 20 MG 564.29 - 300 169,287.00 184 103,829.36 - - 116 65,457.64
428 210210130240 SPIRONOLACTONE TAB. 100 MG 746.38 - - - - - - - - -
53/235
DEPO
432 210110100150 SUCRALFATE SYR. 100 ML 15,262.50 - - - - - - - - -
433 210110100150 SUCRALFATE SYR. 100 ML 8,206.00 12 98,472.00 50 410,300.00 43 352,858.00 - - 19 155,914.00
434 110880350002 SULFADOXINE TAB. 473.00 - - - - - - - - -
435 110880350002 SULFADOXINE TAB. 627.00 - - - - - - - - -
436 110880350002 SULFADOXINE TAB. 1,003.14 - 100 100,314.00 9 9,028.26 - - 91 91,285.74
437 210410490089 TRAMADOL INJ. 5,441.70 - - - - - - - - -
438 210410490089 TRAMADOL INJ. 4,481.40 - - - - - - - - -
439 210410490089 TRAMADOL INJ. 4,481.40 - 110 492,954.00 96 430,214.40 - - 14 62,739.60
440 210180490001 URSODEOXYCHOLIC ASID 250 4,389.00 - - - - - - - - -
441 210210130248 VALSARTAN 160 MG 2,700.55 - - - - - - - - -
442 210210130248 VALSARTAN 160 MG 2,933.33 - - - - - - - - -
443 210210130042 VALSARTAN 80 MG 1,979.56 - - - - - - - - -
444 210210130042 VALSARTAN 80 MG 2,200.00 - - - - - - - - -
445 211150810003 VIT. B12. IPI 69.01 - - - - - - - - -
446 211130810004 VIT. C IPI 73.02 - - - - - - - - -
447 211130810004 VIT. C IPI 76.67 - - - - - - - - -
448 211130350003 VITAMIN C TAB. 100 MG 127.60 - - - - - - - - -
449 211130350003 VITAMIN C TAB. 100 MG 125.84 - - - - - - - - -
450 211130350003 VITAMIN C TAB. 100 MG 121.44 1 121.44 100 12,144.00 11 1,335.84 - - 90 10,929.60
451 211130350003 VITAMIN C TAB. 250 MG 164.03 - - - - - - - - -
452 211130350003 VITAMIN C TAB. 250 MG 127.60 68 8,676.80 100 12,760.00 60 7,656.00 - - 108 13,780.80
453 VITAMIN C TAB. 50 MG 125.84 - 200 25,168.00 99 12,458.16 - - 101 12,709.84
454 210250350028 VITAMIN K INJ 2 ML 7,480.00 - - - - - - - - -
455 210250570063 VITAMIN K INJ. INFANT 4,207.50 - - - - - - - - -
456 210250570063 VITAMIN K INJ. INFANT 4,207.50 - - - - - - - - -
457 210260150239 WARFARIN TAB. 1,463.00 - - - - - - - - -
458 210260150239 WARFARIN TAB. 1 MG 979.00 14 13,706.00 100 97,900.00 20 19,580.00 - - 94 92,026.00
459 ZINK SULPHATE SYR. 8,250.00 - - - - - - - - -
460 ZINK SULPHATE TAB 507.15 61 30,936.15 - 13 6,592.95 - - 48 24,343.20
ANTIBOTIK PATEN - - - - - - - -
1 120820010024 ABBOTIC SYR 30 ML 107,910.00 - - - - - - - - -
2 120820010823 ABBOTIC SYR 60 ML 172,700.00 - - - - - - - - -
3 120820010823 ABBOTIC SYR 60 ML 181,390.00 - - - - - - - - -
4 120840620028 AMOXAN CAPS 500 MG 2,642.75 40 105,710.00 - 140 369,985.00 - - (100) (264,275.00)
5 120840620028 AMOXAN CAPS 500 MG 2,642.70 - - 100 264,270.00 45 118,921.50 - - 55 145,348.50
6 120840620040 AMOXAN DROPS 18,224.80 - - - - - - - - -
7 120840620040 AMOXAN DROPS 18,158.25 1 18,158.25 - 1 18,158.25 - - - -
8 120840620040 AMOXAN DROPS 18,627.13 - 3 55,881.39 1 18,627.13 - - 2 37,254.26
9 120840620033 AMOXAN DRY SYR 18,224.80 1 18,224.80 - - - - - 1 18,224.80
10 120820130014 AZOMAX SYR 83,215.00 - - - - - - - - -
54/235
DEPO
11 120850620119 BACTIROM INJ. 1 GR 225,054.50 - - - - - - - - -
12 120850620119 BACTIROM INJ. 1 GR 230,716.75 - - - - - - - - -
13 120850620119 BACTIROM INJ. 1 GR 230,716.75 - 26 5,998,635.50 17 3,922,184.75 - - 9 2,076,450.75
14 120850620119 BACTIROM INJ. 1GR 242,264.00 - - - - - - - - -
15 120830620005 BAQUINOR FORTE TABLET 500 M 11,010.04 33 363,331.32 - 12 132,120.48 - - 21 231,210.84
16 120850550031 BIOCEF INJ 1 GR 100,100.00 - - - - - - - - -
17 120850550031 BIOCEF INJ 1 GR 111,650.00 2 223,300.00 - 2 223,300.00 - - - -
18 120850550031 BIOCEF INJ 1 GR 115,637.50 - 20 2,312,750.00 14 1,618,925.00 - - 6 693,825.00
19 120870620007 BIOTHICOL CAPS 500 MG 2,978.80 85 253,198.00 - 5 14,894.00 - - 80 238,304.00
20 120870620015 BIOTHICOL FORTE SYR 45,980.00 - - - - - - - - -
21 120870620015 BIOTHICOL FORTE SYR 47,168.00 - - - - - - - - -
22 120870620011 BIOTHICOL SYR 17,072.00 4 68,288.00 - - - - - 4 68,288.00
23 120850550002 BIOXON INJ 176,000.00 - - - - - - - - -
24 120850550002 BIOXON INJ 159,500.00 60 9,570,000.00 - 50 7,975,000.00 - - 10 1,595,000.00
25 120850550071 BIOZYM 184,800.00 5 924,000.00 - 5 924,000.00 - - - -
26 120850550071 BIOZYM 150,150.00 15 2,252,250.00 - 15 2,252,250.00 - - - -
27 120840080050 CAPSINAT FORTE SYR 58,855.50 - - - - - - - - -
28 120850080136 CEFACEF KAPLET 200 MG 20,850.50 - - - - - - - - -
29 120850080136 CEFACEF KAPLET 200 MG 19,522.25 5 97,611.25 - - - - - 5 97,611.25
30 120850620102 CEFAT 500 MG TAB 8,492.00 - - - - - - - - -
31 120850620102 CEFAT 500 MG TAB 8,435.49 35 295,242.15 - 35 295,242.15 - - - -
32 120850620102 CEFAT 500 MG TAB 8,435.48 - - 100 843,548.00 56 472,386.88 - - 44 371,161.12
33 CEFAT SIRUP 34,936.00 - - - - - - - - -
34 120850620022 CEFAT SIRUP 34,696.75 5 173,483.75 - 3 104,090.25 - - 2 69,393.50
35 CEFAT SIRUP FORTE 60,104.00 - - - - - - - - -
36 CEFILA DRY. SYR 100 MG/5ML 63,910.00 3 191,730.00 - 1 63,910.00 - - 2 127,820.00
37 120850340061 CEFSPAN SYR 103,455.00 1 103,455.00 - - - - - 1 103,455.00
38 120850340050 CEFSPAN 100 MG 21,422.50 - - - - - - - - -
39 221810620014 CERINI CAPS. 2,851.61 - - - - - - - - -
40 221810620014 CERINI CAPS. 2,798.40 - - - - - - - - -
41 221810620014 CERINI CAPS. 2,851.61 37 105,509.57 - 35 99,806.35 - - 2 5,703.22
42 221810620063 CERINI DROP 51,436.00 - - - - - - - - -
43 221810620063 CERINI DROP 51,150.00 - - - - - - - - -
44 221810620062 CERINI SYR 32,384.00 - - - - - - - - -
45 221810620062 CERINI SYR 32,224.50 - - - - - - - - -
46 221810620062 CERINI SYR 33,077.00 - - - - - - - - -
47 120830770002 CIFLOS 500 13,200.00 - - - - - - - - -
48 120850080100 CIPREC 500 11,880.00 - - - - - - - - -
49 120840550053 CLAMIXIN FT SYR 74,800.00 - - - - - - - - -
50 120840550053 CLAMIXIN FT SYR 70,180.00 3 210,540.00 10 701,800.00 7 491,260.00 - - 6 421,080.00
51 120850620103 CLANEKSI SYR 42,944.00 - - - - - - - - -
52 120850620103 CLANEKSI SYR 43,051.25 1 43,051.25 - - - - - 1 43,051.25
53 120850340090 CLAVAMOX CAPS. 500 MG 12,017.50 - - - - - - - - -
54 120840340052 CLAVAMOX DS SYR 67,925.00 - - - - - - - - -
55/235
DEPO
55 120840340052 CLAVAMOX DS SYR 67,925.00 - - - - - - - - -
56 120830190045 CRAVIT OPTH SOL 5 ML 108,900.00 - - - - - - - - -
57 120830370011 CRAVOX TAB. 500 MG 24,640.00 - - - - - - - - -
58 120830370011 CRAVOX TAB. 500 MG 26,950.00 30 808,500.00 - - - - - 30 808,500.00
59 120830130025 DEXAFLOX 400 MG 23,375.00 - - - - - - - - -
60 120840130011 DEXYCLAV FORTE CAPS. 500 MG 9,895.10 - - - - - - - - -
61 120840130029 DEXYMOX FORTE CAPSUL 495.00 80 39,600.00 - - - - - 80 39,600.00
62 120830550020 DIFLOXIN INFUS 228,800.00 - - - - - - - - -
63 120830550046 DIFLOXIN TAB. 29,040.00 - - - - - - - - -
64 120850210004 ELPICEF INJ 138,600.00 - - - - - - - - -
65 120850210004 ELPICEF INJ 146,300.00 - - - - - - - - -
66 120820620008 ERYSANBE SYR. 17,952.00 - - - - - - - - -
67 120820620008 ERYSANBE SYR. 17,902.50 2 35,805.00 - 1 17,902.50 - - 1 17,902.50
68 120830210040 FARLEV TAB. 750 MG 26,950.00 - - - - - - - - -
69 120810390015 FG TROCHES LOZENGES 1,109.17 - - - - - - - - -
70 120810390015 FG TROCHES LOZENGES 1,164.77 - - - - - - - - -
71 120850210063 FIXACEP 100 SIRUP KERING 61,875.00 - - - - - - - - -
72 120850210063 FIXACEP 100 SIRUP KERING 82,500.00 - - - - - - - - -
73 120850210069 FIXACEP DROPS 59,400.00 - - - - - - - - -
74 120850210069 FIXACEP DROPS 62,370.00 - - - - - - - - -
75 120850210069 FIXACEP DROPS 69,300.00 2 138,600.00 - 1 69,300.00 - - 1 69,300.00
76 120850210056 FIXACEP TAB 200 MG 19,800.00 - - - - - - - - -
77 120850210056 FIXACEP TAB 200 MG 19,800.00 - - - - - - - - -
78 120850210056 FIXACEP TAB 200 MG 26,400.00 - - - - - - - - -
79 120810390017 FOSMICIN INJ. 2 GR 192,500.00 - - - - - - - - -
80 120810390017 FOSMICIN INJ. 2 GR 115,500.00 - - - - - - - - -
81 INFIMYCIN INJ. 0.5 GR 137,500.00 2 275,000.00 20 2,750,000.00 18 2,475,000.00 - - 4 550,000.00
82 221810320022 INTRIZIN DROPS 15 ML 73,260.00 - - - - - - - - -
83 221810320022 INTRIZIN DROPS 15 ML 68,376.00 1 68,376.00 - 1 68,376.00 - - - -
84 221810320022 INTRIZIN DROPS 15 ML 73,480.00 - - - - - - - - -
85 221810320022 INTRIZIN DROPS 15 ML 75,776.25 - 5 378,881.25 3 227,328.75 - - 2 151,552.50
86 221810320019 INTRIZIN SYR. 57,750.00 - - - - - - - - -
87 221810320019 INTRIZIN SYR. 48,510.00 - - - - - - - - -
88 221810320019 INTRIZIN SYR. 52,360.00 1 52,360.00 - 1 52,360.00 - - - -
89 120810390010 KANAMYCIN 250 MG 1,430.00 - - - - - - - - -
90 120810390010 KANAMYCIN 250 MG 1,485.00 - 100 148,500.00 30 44,550.00 - - 70 103,950.00
91 120850370075 LACEDIM INJ. 1 GR 242,000.00 - - - - - - - - -
92 120850370075 LACEDIM INJ. 1 GR 157,300.00 5 786,500.00 10 1,573,000.00 15 2,359,500.00 - - - -
93 120850360087 LANFIX CAPS. 100 MG 20,350.00 5 101,750.00 - - - - - 5 101,750.00
94 120850360097 LANFIX CAPS. 200 MG 31,900.00 - - - - - - - - -
95 120850360064 LANFIX SYR. 88,000.00 5 440,000.00 - 1 88,000.00 - - 4 352,000.00
96 120850370034 LAPIXIME INJ 1 GR 146,300.00 8 1,170,400.00 - 8 1,170,400.00 - - - -
97 120850370034 LAPIXIME INJ 1 GR 154,000.00 - - - - - - - - -
98 120850370034 LAPIXIME INJ 1 GR 107,250.00 - 25 2,681,250.00 15 1,608,750.00 - - 10 1,072,500.00
56/235
DEPO
99 120830620042 LEVOCIN EYE DROPS 56,056.00 - - - - - - - - -
100 120830620042 LEVOCIN EYE DROPS 57,519.00 - 10 575,190.00 7 402,633.00 - - 3 172,557.00
101 120830620041 LEVOCIN INFUS 229,121.75 - - - - - - - - -
102 120830620041 LEVOCIN INFUS 234,863.75 - 4 939,455.00 2 469,727.50 - - 2 469,727.50
103 120830620050 LEVOCIN TAB 30,140.00 - - - - - - - - -
104 120830620050 LEVOCIN TAB 29,922.75 37 1,107,141.75 - 12 359,073.00 - - 25 748,068.75
105 120830780044 MEFLOXIN TAB 12,540.00 - - - - - - - - -
106 120830780044 MEFLOXIN TAB 13,167.00 - - - - - - - - -
107 120850390082 MEIACT 200 MG 25,080.00 27 677,160.00 100 2,508,000.00 95 2,382,600.00 - - 32 802,560.00
108 120840780047 MESTAMOX CAPS 500 MG 2,821.50 8 22,572.00 - - - - - 8 22,572.00
109 120850770111 NUCEF CAPS 20,350.00 - - - - - - - - -
110 120850770046 NUFIROM INJ 275,000.00 - - - - - - - - -
111 120850550018 OPICEF CAPS. 500 MG 8,360.00 7 58,520.00 - 7 58,520.00 - - - -
112 120850550018 OPICEF CAPS. 500 MG 7,576.25 - 50 378,812.50 17 128,796.25 - - 33 250,016.25
113 120850550024 OPICEF SYR 60 ML 44,000.00 - - - - - - - - -
114 128140550010 OPIMER INJ. 1 GR 346,500.00 - - - - - - - - -
115 128140550010 OPIMER INJ. 1 GR 366,850.00 49 17,975,650.00 - 47 17,241,950.00 - - 2 733,700.00
116 120840550036 OPIMOX SYR 125 ML 20,900.00 - - - - - - - - -
117 120840550036 OPIMOX SYR 125 ML 16,747.50 5 83,737.50 - 1 16,747.50 - - 4 66,990.00
118 120850550088 OPIXIME CAPS. 15,840.00 - - - - - - - - -
119 120850550067 OPIXIME SYR 66,000.00 - - - - - - - - -
120 120810550003 OTTOGENTA INJ 11,000.00 9 99,000.00 - 4 44,000.00 - - 5 55,000.00
121 120850810128 PROCEFA INJ. 1 GR 145,200.00 - - - - - - - - -
122 120850770017 Q CEF TAB 500 MG 9,680.00 4 38,720.00 - 4 38,720.00 - - - -
123 120850210019 RENASISTIN TAB 500 MG 7,012.50 50 350,625.00 - 40 280,500.00 - - 10 70,125.00
124 220830210834 RENATOR TAB 9,075.00 - - - - - - - - -
125 120810620004 SAGESTAM INJ. 7,384.85 14 103,387.90 - 3 22,154.55 3 22,154.55 8 59,078.80
126 120810620004 SAGESTAN INJ. 7,937.60 - - - - - - - - -
127 120810320005 SALTICIN CREAM 15,840.00 - - - - - - - - -
128 120810320005 SALTICIN CREAM 17,600.00 - - - - - - - - -
129 120810320005 SALTICIN CREAM 22,770.00 2 45,540.00 - - - - - 2 45,540.00
130 120810320002 SALTICIN INJ. 15,950.00 - - - - - - - - -
131 120810320002 SALTICIN INJ. 14,753.75 1 14,753.75 - - - - - 1 14,753.75
132 120840620043 SANPICILLIN INJ 12,760.00 - - - - - - - - -
133 120840620043 SANPICILLIN INJ 12,153.90 - - - - - - - - -
134 120840620043 SANPICILLIN INJ 12,464.93 17 211,903.81 - 17 211,903.81 - - - -
135 120840620043 SANPICILLIN INJ 12,464.92 - 40 498,596.80 16 199,438.72 - - 24 299,158.08
136 120850620104 SPORATIK KAPS. 100MG (30/BOX) 16,148.00 - - - - - - - - -
137 120850620104 SPORETIK KAPS. 100MG ( 30/BOX 16,436.20 - 150 2,465,430.00 128 2,103,833.60 - - 22 361,596.40
138 120850620104 SPORETIK KAPS. 1O0 MG ( 30/BOX 16,035.53 1 16,035.53 - 1 16,035.53 - - - -
139 120850620135 SPORETIK KAPS. 200 MG ( 10/BOX 23,742.12 80 1,899,369.60 100 2,374,212.00 103 2,445,438.36 - - 77 1,828,143.24
140 120850620135 SPORETIK KAPS. 2O0 MG ( 10/BOX 23,162.42 - - - - - - - - -
57/235
DEPO
143 120850620105 SPORETIK SYR. 68,112.00 - - - - - - - - -
144 120850620105 SPORETIK SYR. 67,688.50 - - - - - - - - -
145 120850620105 SPORETIK SYR. 69,393.50 5 346,967.50 - 4 277,574.00 - - 1 69,393.50
146 120850210040 STABACTAM INJ. 159,500.00 - - - - - - - - -
147 120850320005 STARXON INJ 1 GR 193,545.00 - - - - - - - - -
148 120850320005 STARXON INJ 1 GR 197,560.00 8 1,580,480.00 - 8 1,580,480.00 - - - -
149 221510190001 TARIVID OPTH SOL ( MATA ) 54,945.00 - - - - - - - - -
150 221510190001 TARIVID OPTH SOL ( MATA ) 54,945.00 - - - - - - - - -
151 221410340001 TARIVID OTIC 50 LOTION ( TELING 84,700.00 - - - - - - - - -
152 221410340001 TARIVID OTIC 50 LOTION ( TELING 80,465.00 5 402,325.00 - 5 402,325.00 - - - -
153 120850620036 TAXEGRAM INJ 1 GR 108,300.50 - - - - - - - - -
154 120850620036 TAXEGRAM INJ 1 GR 111,012.00 - 10 1,110,120.00 6 666,072.00 - - 4 444,048.00
155 120850620036 TAXEGRAME INJ 1GR 116,556.00 - - - - - - - - -
156 120830550003 TEQUINOL 500 MG 13,200.00 - - - - - - - - -
157 120830550003 TEQUINOL 500 MG 10,560.00 4 42,240.00 - 4 42,240.00 - - - -
158 120850620008 TERFACEF INJ 1 GR 172,304.00 - - - - - - - - -
159 120850620008 TERFACEF INJ 1 GR 160,058.25 - - - - - - - - -
160 120850620008 TERFACEF INJ 1 GR 164,125.50 21 3,446,635.50 28 4,595,514.00 42 6,893,271.00 - - 7 1,148,878.50
161 221820130012 TETAGAM INJ. 206,800.00 1 206,800.00 - - - - - 1 206,800.00
162 120870320009 THIAMYCIN CAPS 500 MG 3,960.00 - - - - - - - - -
163 120870320009 THIAMYCIN CAPS 500 MG 4,257.00 - - - - - - - - -
164 120870320009 THIAMYCIN CAPS 500 MG 3,831.30 23 88,119.90 - - - - - 23 88,119.90
165 120870320017 THYAMYCIN FORTE SYR 60 ML 66,000.00 - - - - - - - - -
168 120870320017 THYAMYCIN FORTE SYR 60 ML 66,000.00 4 264,000.00 - - - - - 4 264,000.00
169 120870320014 THYAMYCIN SYR 60 ML 31,680.00 - - - - - - - - -
170 120870320014 THYAMYCIN SYR 60 ML 35,200.00 - - - - - - - - -
171 120870320014 THYAMYCIN SYR 60 ML 31,680.00 - - - - - - - - -
172 120840390046 VICCILLIN - SX 1500 INJ. 1.5 G 40,003.70 - - - - - - - - -
173 120840390046 VICCILLIN - SX 1500 INJ. 1.5 G 39,002.48 - - - - - - - - -
174 120840390046 VICCILLIN - SX 1500 INJ. 1.5 G 40,995.90 16 655,934.40 - - - - - 16 655,934.40
175 120830260051 VIOQUIN 500 MG 12,540.00 37 463,980.00 - - - - - 37 463,980.00
176 120830130016 VOLEQUIN TAB. 500 MG 28,050.00 - - - - - - - - -
177 120830320015 VOLOX 500 MG 43,120.00 - - - - - - - - -
178 120830320015 VOLOX 500 MG 38,808.00 1 38,808.00 - - - - - 1 38,808.00
179 120830320015 VOLOX 500 MG 38,115.00 - 20 762,300.00 - - - - 20 762,300.00
180 120850810122 VROXIL 500 MG 9,900.00 - - - - - - - - -
181 120850810122 VROXIL 500 MG 9,900.00 - - - - - - - - -
182 128100780006 XEPAPRIM SYR 60 ML 23,100.00 - - - - - - - - -
183 120850210076 ZIBAC INJ. 1 GR 46,200.00 - - - - - - - - -
184 120850210076 ZIBAC INJ. 1 GR 52,800.00 - 10 528,000.00 6 316,800.00 - - 4 211,200.00
185 120820770013 ZIBRAMAX 500 MG 36,300.00 - - - - - - - - -
186 120820770019 ZIBRAMAX DRY SYR 102,300.00 - - - - - - - - -
58/235
DEPO
187 120820770019 ZIBRAMAX DRY SYR 97,185.00 - - - - - - - - -
188 120820770019 ZIBRAMAX DRY SYR 103,455.00 2 206,910.00 - - - - - 2 206,910.00
189 ZISTIC INFUS 500 MG 148,500.00 - - - - - - - - -
190 120820550015 ZITROLIN TAB. 26,400.00 - - - - - - - - -
191 120820550015 ZITROLIN TAB. 29,040.00 - - - - - - - - -
192 120820550015 ZITROLIN TAB. 26,317.50 12 315,810.00 42 1,105,335.00 38 1,000,065.00 - - 16 421,080.00
NON ANTIBIOTIK PATEN - - - - - - - -

1 220110130147 ACITRAL SYR 120 ML 29,700.00 - - - - - - - - -
2 220110130147 ACITRAL SYR 120 ML 33,000.00 - - - - - - - - -
3 220110130147 ACITRAL SYR 120 ML 31,680.00 - - - - - - - - -
4 220110130147 ACITRAL SYR 120 ML 30,800.00 10 308,000.00 - - - - - 10 308,000.00
5 220110320131 ACITRAL TABLET 891.00 93 82,863.00 - - - - - 93 82,863.00
6 220840440844 ACLA 500 MG 10,120.00 10 101,200.00 - 10 101,200.00 - - - -
7 221050500010 ACLASTA INFUS 100 ML 4,864,860.00 - - - - - - - - -
8 220120130001 ACPULSIF 5 MG 2,791.80 - - - - - - - - -
9 ACRAN INJEKSI 16,205.20 22 356,514.40 - 22 356,514.40 - - - -
10 ACRAN TABLET 3,989.70 30 119,691.00 - - - - - 30 119,691.00
11 221020700064 ACTOS 30 MG 10,541.44 - - - - - - - - -
12 AKILEN EAR DROPS 50,468.00 - 6 302,808.00 1 50,468.00 - - 5 252,340.00
13 220410120447 ALAXAN FR 316.80 3 950.40 - - - - - 3 950.40
14 221440050007 ALBOTHYL COCENTRATE 23,474.00 - - - - - - - - -
15 228170130001 ALBUMINAR 25% 100 ML 1,500,000.00 - - - - - - - - -
16 228170130001 ALBUMINAR 25% 100 ML 1,510,000.00 - - - - - - - - -
17 220330320010 ALCO PLUS SYR 100 ML 40,700.00 - - - - - - - - -
18 220330320010 ALCO PLUS SYR 100 ML 49,500.00 4 198,000.00 - - - - - 4 198,000.00
19 220330320001 ALCO DROPS 15 ML 64,350.00 - - - - - - - - -
20 220330320001 ALCO DROPS 15 ML 66,082.50 1 66,082.50 - 1 66,082.50 - - - -
21 220320320072 ALCO PLUS DMP SYR 100 ML 39,600.00 - - - - - - - - -
24 220330620027 ALDISA SR CAPS. 3,696.00 - - - - - - - - -
25 221570190001 ALEGYSAL TTS MATA 84,150.00 - - - - - - - - -
26 224120770032 ALGANAX TAB. 0.25 MG 1,760.00 - - - - - - - - -
27 224120770003 ALGANAX TAB. 0.5 MG 2,860.00 - - - - - - - - -
28 221020370025 AMADIAB 2 3,564.00 - - - - - - - - -
29 221020640072 AMARYL - M 2 5,301.58 - - - - - - - - -
30 221020640072 AMARYL - M 2 5,049.13 - - - - - - - - -
31 220950130002 AMINEFRON 6,077.50 - - - - - - - - -
32 220950130002 AMINEFRON 7,150.00 - - - - - - - - -
33 220950130002 AMINEFRON 6,077.50 - - - - - - - - -
34 221220540010 AMINOFLUID INFUS 500 ML 64,990.20 - - - - - - - - -
35 221220540010 AMINOFLUID INFUS 500 ML 71,500.00 4 286,000.00 - - - - - 4 286,000.00
36 221220540010 AMINOFLUID INFUS 500 ML 70,188.80 10 701,888.00 - - - - - 10 701,888.00
59/235
DEPO
37 AMINOFUSIN L 600 55,385.00 2 110,770.00 - - - - - 2 110,770.00
38 221220340007 AMINOFUSIN PAED 250 ML 56,784.00 - - - - - - - - -
39 221220340007 AMINOFUSIN PAED 250 ML 101,200.00 - - - - - - - - -
40 221220540001 AMINOLEBAN INF. 500 CC 71,099.60 - - - - - - - - -
41 AMINOSTERIL INFUS 6% 46,992.00 1 46,992.00 - - - - - 1 46,992.00
42 220320320073 ANADEX TAB. 1,650.00 - - - - - - - - -
43 220320320073 ANADEX TAB. 2,090.00 - - - - - - - - -
44 220320320073 ANADEX TAB. 1,848.00 17 31,416.00 - 10 18,480.00 - - 7 12,936.00
45 220410620436 ANALSIK TAB 1,441.00 - - - - - - - - -
46 220410620436 ANALSIK TAB 1,206.29 193 232,813.97 - 16 19,300.64 - - 177 213,513.33
47 220410620436 ANALSIK TAB 1,236.12 - 300 370,836.00 300 370,836.00 - - - -
48 220410780050 ANALSPEC 500 MG 1,320.00 - - - - - - - - -
49 220410780050 ANALSPEC 500 MG 1,410.75 59 83,234.25 - 45 63,483.75 - - 14 19,750.50
50 220410370437 ANALTRAM CAPS 4,950.00 - - - - - - - - -
51 220410370437 ANALTRAM CAPS 5,445.00 65 353,925.00 - 65 353,925.00 - - - -
52 220210340028 ANGIOTEN 50 MG 10,101.67 - - - - - - - - -
53 221821060027 ANTI BISA ULAR 474,999.00 1 474,999.00 - - - - - 1 474,999.00
54 220140130001 ANVOMER B6 TAB. 2,244.00 - - - - - - - - -
55 220140130001 ANVOMER B6 TAB. 2,640.00 5 13,200.00 - - - - - 5 13,200.00
56 221150370024 APIALYS DROPS 36,212.00 - - - - - - - - -
57 221150370024 APIALYS DROPS 30,937.50 4 123,750.00 3 92,812.50 4 123,750.00 - - 3 92,812.50
58 221150370014 APIALYS SYR. 24,200.00 - - - - - - - - -
59 221150370014 APIALYS SYR. 23,100.00 5 115,500.00 - 2 46,200.00 - - 3 69,300.00
60 221010640001 APIDRA SOLOSTAR 100 86,999.88 - - - - - - - - -
61 221010640001 APIDRA SOLOSTAR 100 86,999.88 7 608,999.16 20 1,739,997.60 14 1,217,998.32 - - 13 1,130,998.44
62 220260230007 ARIXTRA INJ. 2.5 MG 253,750.00 - - - - - - - - -
63 220260230007 ARIXTRA INJ. 2.5 MG 261,300.00 - - - - - - - - -
64 ARKINE TABLET 618.75 5 3,093.75 - 5 3,093.75 - - - -
65 ARKINE TABLET 584.38 100 58,438.00 - 35 20,453.30 - - 65 37,984.70
66 110880350011 ARTEMETER INJ 39,748.50 - - - - - - - - -
67 220880810003 ARTEMETER INJ 49,170.00 21 1,032,570.00 - 10 491,700.00 - - 11 540,870.00
68 220880810003 ARTEMETER INJ 49,170.00 - - - - - - - - -
69 220260580024 ASCARDIA TAB 80 MG 888.25 - - - - - - - - -
70 220260580024 ASCARDIA TAB 80 MG 935.00 - - - - - - - - -
71 220260580024 ASCARDIA TAB 80 MG 888.25 - - - - - - - - -
72 221230540001 ASERING 500 ML 10,202.50 14 142,835.00 - 14 142,835.00 - - - -
73 221230540001 ASERING 500 ML 9,645.90 - 80 771,672.00 80 771,672.00 - - - -
74 221230540001 ASERING 500 ML 9,274.10 - 120 1,112,892.00 37 343,141.70 - - 83 769,750.30
75 221110710003 ASPAR-K TBL 2,473.90 - - - - - - - - -
76 220260450025 ASPILETS TBL. 641.30 - - - - - - - - -
77 220260450025 ASPILETS TBL. 495.55 - - - - - - - - -
78 220260450025 ASPILETS TBL. 583.00 122 71,126.00 - 122 71,126.00 - - - -
79 ASTHAROL TABLET 946.28 - - - - - - - - -
80 ASTRIA KAPSUL 40 MG 8,250.00 - - - - - - - - -
60/235
DEPO
81 220270210026 ATOFAR 10 8,250.00 - - - - - - - - -
82 220270210038 ATOFAR 20 8,662.50 15 129,937.50 - 10 86,625.00 - - 5 43,312.50
83 220270210039 ATOFAR 40 8,662.50 55 476,437.50 - 10 86,625.00 - - 45 389,812.50
84 221821060038 ATS. INJ. 1500 E 165,000.00 - 1 165,000.00 1 165,000.00 - - - -
85 AVAMYS SPRAY 107,119.98 - - - - - - - - -
86 AVAMYS SPRAY 107,120.20 1 107,120.20 - - - - - 1 107,120.20
87 B FLUID 500 ML 206,250.00 1 206,250.00 2 412,500.00 3 618,750.00 - - - -
88 228100610001 BACTRIM SYR 50 ML 83,938.00 - - - - - - - - -
89 220440410039 BAMGETOL 200 MG 1,980.00 - - - - - - - - -
90 220950350005 BATUGIN ELIXIR SYRUP 35,748.90 - - - - - - - - -
91 220950350005 BATUGIN ELIXIR SYRUP 37,999.50 2 75,999.00 - - - - - 2 75,999.00
92 221120580016 BECEFORT SYR 60 ML 17,366.80 2 34,733.60 - - - - - 2 34,733.60
93 221120580018 BECEFORT TAB. 1,548.43 - - - - - - - - -
94 221120580018 BECEFORT TAB. 1,548.42 59 91,356.78 - - - - - 59 91,356.78
95 221120620019 BECOM C CAPLET 1,082.40 - - - - - - - - -
96 221120620019 BECOM C CAPLET 1,078.41 - - - - - - - - -
97 221120620019 BECOM C CAPLET 1,108.25 110 121,907.50 100 110,825.00 45 49,871.25 - - 165 182,861.25
98 221690350020 BEDAK SALYCIL 100 GRM 5,720.00 - - - - - - - - -
99 221690350020 BEDAK SALYCIL 100 GRM 6,006.00 2 12,012.00 - - - - - 2 12,012.00
100 220322690089 BENACOL DTM SYRUP 60 ML 12,540.00 - - - - - - - - -
101 220322690089 BENACOL DTM SYRUP 60 ML 12,540.00 - - - - - - - - -
102 220320340038 BENACOL SYRUP 100 ML 14,107.50 - - - - - - - - -
103 220322690099 BENACOL SYRUP 100 ML 14,107.50 - - - - - - - - -
104 220322690090 BENACOL SYRUP 60 ML 10,450.00 - - - - - - - - -
105 221230620032 BENUTRION 250 ML 99,693.00 - - - - - - - - -
106 221230620032 BENUTRION 250 ML 96,492.00 2 192,984.00 1 96,492.00 2 192,984.00 - - 1 96,492.00
107 220310070342 BEROTEC SOLLUTION 155,241.40 - - - - - - - - -
108 220310070342 BEROTEC SOLLUTION 0.1 MG 167,660.75 - - - - - - - - -
109 221440380005 BETADINE GARGLE 100 ML 11,000.00 - - - - - - - - -
110 221640350006 BETASON-N CREAM 12,155.00 - - - - - - - - -
111 221640350006 BETASON-N CREAM 11,243.38 1 11,243.38 - 1 11,243.38 - - - -
112 221640350006 BETASON-N CREAM 12,801.25 24 307,230.00 - - - - - 24 307,230.00
113 221150570018 BIO ATP TAB. 2,355.98 199 468,840.02 100 235,598.00 141 332,193.18 - - 158 372,244.84
114 221610340005 BIOPLACENTON YELLY 12,650.00 - - - - - - - - -
115 221610340005 BIOPLACENTON YELLY 15,950.00 - - - - - - - - -
116 221160620041 BIOSANBE CAP. 814.00 - - - - - - - - -
117 221160620041 BIOSANBE CAP. 809.88 - - - - - - - - -
118 221160620041 BIOSANBE CAP. 831.18 130 108,053.40 300 249,354.00 285 236,886.30 - - 145 120,521.10
119 221150370010 BIOSTRUM SYR 36,960.00 - - - - - - - - -
120 220210210055 BIPRO TAB 30 MG 4,125.00 31 127,875.00 - - - - - 31 127,875.00
121 220320070004 BISOLVON ELIX 125 ML 52,614.80 - - - - - - - - -
122 220320070008 BISOLVON INJ. 55,322.30 - - - - - - - - -
123 220320070008 BISOLVON INJ. 57,069.32 - - - - - - - - -
124 220320070008 BISOLVON INJ. 58,234.00 - - - - - - - - -
61/235
DEPO
125 220320070010 BISOLVON SOLUTION 50 ML 74,084.23 - - - - - - - - -
126 220320070010 BISOLVON SOLUTION 50 ML 79,340.80 - - - - - - - - -
127 220320070010 BISOLVON SOLUTION 50 ML 79,340.80 1 79,340.80 - - - - - 1 79,340.80
128 220930620015 BLEDSTOP INJ 6,751.80 - - - - - - - - -
129 220930620015 BLEDSTOP INJ 5,967.50 - 10 59,675.00 1 5,967.50 - - 9 53,707.50
130 220930080003 BLEDSTOP TAB 455.40 - - - - - - - - -
131 220930080003 BLEDSTOP TAB 476.85 30 14,305.50 - 10 4,768.50 - - 20 9,537.00
132 220930080003 BLEDSTOP TAB 447.56 100 44,756.00 - - - - - 100 44,756.00
133 220210680023 BLOPRES TAB. 16 MG 15,675.00 - - - - - - - - -
134 220190700006 BORAGINOL N SALEP 59,005.93 1 59,005.93 - - - - - 1 59,005.93
135 220190700005 BORAGINOL N SUPP 8,830.25 - - - - - - - - -
136 220190700005 BORAGINOL N SUPP 10,247.60 - - - - - - - - -
137 220190700005 BORAGINOL N SUPP 9,271.76 - - - - - - - - -
138 220190700008 BORAGINOL S SALEP 72,235.62 - - - - - - - - -
139 220190700007 BORAGINOL S SUPP 10,118.73 - - - - - - - - -
140 220190700007 BORAGINOL S SUPP 11,130.82 10 111,308.20 - - - - - 10 111,308.20
141 BRACKET BHS 27,500.00 - - - - - - - - -
142 220240340028 BRAINACT INJ. 2 ML 44,935.00 - - - - - - - - -
143 220240340014 BRAINACT TAB. 12,540.00 20 250,800.00 - - - - - 20 250,800.00
144 220130620002 BRAXIDIN TABLET 1,100.00 - - - - - - - - -
145 220130620002 BRAXIDIN TABLET 899.39 315 283,307.85 - 270 242,835.30 - - 45 40,472.55
146 221450490012 BREATHY NASAL SPRAY ( BNS ) 88,000.00 - - - - - - - - -
147 221450490012 BREATHY NASAL SPRAY ( BNS ) 86,240.00 - - - - - - - - -
148 BRICASMA RESPULE 5MG/2ML 7,124.04 9 64,116.36 40 284,961.60 49 349,077.96 - - - -
149 BRICASMA TURB. 100 DOSIS 58,251.60 - - - - - - - - -
150 BRICASMA TURB. 100 DOSIS 58,251.60 - - - - - - - - -
151 220320100064 BRONCHOPRONT SYR. 53,240.00 - - - - - - - - -
152 221610120001 BURNAZIN CREAM 500 GR 374,220.00 - - - - - - - - -
153 221610120007 BURNAZIN CREAM TUBE 35 GR 44,055.00 - - - - - - - - -
154 221610120007 BURNAZIN CREAM TUBE 35 GR 56,045.00 - 10 560,450.00 3 168,135.00 - - 7 392,315.00
155 221610120010 BURNAZIN PLUS 25 GR 99,000.00 - - - - - - - - -
156 221610120010 BURNAZIN PLUS 25 GR 99,000.00 - - - - - - - - -
157 221610120010 BURNAZIN PLUS 25 GR 110,000.00 - - - - - - - - -
158 220130070007 BUSCOPAN INJ 20MG 31,274.48 - - - - - - - - -
159 220130070007 BUSCOPAN INJ 20MG 33,558.14 1 33,558.14 - 1 33,558.14 - - - -
160 220130070004 BUSCOPAN PLUS TABLET 4,148.14 - - - - - - - - -
161 220130070006 BUSCOPAN TABLET 2,823.18 - - - - - - - - -
162 220130070006 BUSCOPAN TABLET 2,971.77 - - - - - - - - -
163 220130070006 BUSCOPAN TABLET 3,029.18 - - - - - - - - -
164 221140370001 CAL-95 5,280.00 - - - - - - - - -
165 221140370001 CAL-95 5,016.00 50 250,800.00 300 1,504,800.00 245 1,228,920.00 - - 105 526,680.00
166 CALGAE CAPS 4,394.50 50 219,725.00 - - - - - 50 219,725.00
167 221140210018 CALOS CAPS 836.00 - - - - - - - - -
168 221140210018 CALOS CAPS 733.33 - 120 87,999.60 21 15,399.93 - - 99 72,599.67
62/235
DEPO
169 220210210074 CALSIVAS 10 MG 6,600.00 - - - - - - - - -
170 221250810091 CALVIT-D TALET 1,306.25 - 100 130,625.00 7 9,143.75 - - 93 121,481.25
171 220210130024 CANDERIN TAB. 16 MG 7,947.50 - - - - - - - - -
172 220210130021 CANDERIN TAB. 8 MG 5,610.00 - - - - - - - - -
173 220210130021 CANDERIN TAB. 8 MG 6,077.50 - - - - - - - - -
174 CANDOTENS 8 MG 3,289.00 - - - - - - - - -
175 CANDOTENS 8 MG 4,958.80 - - - - - - - - -
176 CARPINE 1% 5 ML 17,050.00 5 85,250.00 - - - - - 5 85,250.00
177 CARPINE 2% 5 ML 20,900.00 - 5 104,500.00 - - - - 5 104,500.00
178 220261970044 CARTYLO TAB. 80 MG 250.00 - - - - - - - - -
179 220261970044 CARTYLO TAB. 80 MG 290.00 53 15,370.00 - 29 8,410.00 - - 24 6,960.00
180 220510520004 CATAFLAM TABLET 25 MG 2,448.50 - - - - - - - - -
181 220510520004 CATAFLAM TABLET 25 MG 2,570.93 32 82,269.76 - 32 82,269.76 - - - -
182 220510520004 CATAFLAM TABLET 25 MG 3,175.85 - 50 158,792.50 8 25,406.80 - - 42 133,385.70
185 220210070124 CATAPRES INJ 1ML 55,343.77 1 55,343.77 - - - - - 1 55,343.77
186 220130340226 CATHEJELL 12,5 GR 74,800.00 - - - - - - - - -
187 220130340226 CATHEJELL 12,5 GR 64,900.00 - - - - - - - - -
188 220220120037 CEDOCARD INJ 74,250.00 - - - - - - - - -
189 220220120037 CEDOCARD INJ 88,790.90 - - - - - - - - -
190 220220120037 CEDOCARD INJ 77,962.50 - 19 1,481,287.50 11 857,587.50 - - 8 623,700.00
191 220220120019 CEDOCARD RETARD 2,400.34 - - - - - - - - -
192 220220120019 CEDOCARD RETARD 2,400.34 60 144,020.40 - - - - - 60 144,020.40
193 220220120018 CEDOCARD TBL 10 MG 1,518.00 74 112,332.00 - 37 56,166.00 - - 37 56,166.00
194 220220120016 CEDOCARD TBL 5 MG 1,023.00 70 71,610.00 600 613,800.00 517 528,891.00 - - 153 156,519.00
195 220510560001 CELEBREX CAPS. 100 MG 9,662.69 - - - - - - - - -
196 224130560026 CELEBREX CAPS. 200 MG 14,268.57 - - - - - - - - -
197 221590090003 CENDO ASTHENOF 5 CC 22,869.00 - - - - - - - - -
198 221590090003 CENDO ASTHENOF 5 CC 22,869.00 - - - - - - - - -
199 221590090003 CENDO ASTHENOF 5 CC 23,100.00 5 115,500.00 - - - - - 5 115,500.00
200 221150090040 CENDO AUGENTONIC 5 ML 27,361.13 - - - - - - - - -
201 221560090008 CENDO CATERLENT 15 ML 33,687.50 1 33,687.50 - - - - - 1 33,687.50
202 221560090002 CENDO CATERLENT 5 ML 24,638.63 - - - - - - - - -
203 221560090002 CENDO CATERLENT 5 ML 24,887.50 - - - - - - - - -
204 221580090005 CENDO CENFRESH MD 0.6 ML 5,060.00 25 126,500.00 - - - - - 25 126,500.00
205 221580090005 CENDO CENFRESH MD 0.6 ML 5,009.40 - - - - - - - - -
206 221510090006 CENDO CITROL EYE DROPS 29,675.25 - - - - - - - - -
207 221510090006 CENDO CITROL EYE DROPS 29,975.00 - 15 449,625.00 11 329,725.00 - - 4 119,900.00
208 221150090041 CENDO CITROL EYE OINT 39,067.88 - - - - - - - - -
209 221150090041 CENDO CITROL EYE OINT 39,462.50 - - - - - - - - -
210 CENDO CITROL MD 0.6 ML 5,362.50 25 134,062.50 - - - - - 25 134,062.50
211 CENDO FENECOL 0.5 SALP MATA 24,062.50 5 120,312.50 - - - - - 5 120,312.50
212 CENDO GENTA TETES MATA 31,212.50 2 62,425.00 - - - - - 2 62,425.00
63/235
DEPO
213 221560090009 CENDO LYTEERS 15 CC 24,502.50 - - - - - - - - -
214 221560090009 CENDO LYTEERS 15 CC 24,750.00 - - - - - - - - -
215 221560090001 CENDO LYTEERS 15 CC 0,6 ML MI 4,340.88 - - - - - - - - -
216 221560090001 CENDO LYTEERS MD. 0,6 ML 4,235.00 25 105,875.00 - 5 21,175.00 - - 20 84,700.00
217 CENDO MYDRIATYL 1% 5 ML TM 41,654.25 - - - - - - - - -
218 CENDO MYDRIATYL 1% 5 ML TM 42,075.00 - - - - - - - - -
219 CENDO MYDRIATYL TM 31,762.50 2 63,525.00 5 158,812.50 3 95,287.50 - - 4 127,050.00
220 221570090014 CENDO PROTAGENTA 0.6 ML 7,340.03 - - - - - - - - -
221 221570090014 CENDO PROTAGENTA MD 0.6 ML 7,892.50 15 118,387.50 - 5 39,462.50 - - 10 78,925.00
222 221550090005 CENDO TIMOL TETES MATA 0.25% 33,550.00 - - - - - - - - -
224 221550090005 CENDO TIMOL TETES MATA 0.25% 33,550.00 5 167,750.00 - - - - - 5 167,750.00
226 221550090006 CENDO TIMOL TETES MATA 0.5% 52,525.00 5 262,625.00 - 2 105,050.00 - - 3 157,575.00
227 CENDO VASACON 15 ML 17,696.25 - - - - - - - - -
228 120850320112 CEPTIK 100 MG 18,920.00 - - - - - - - - -
229 120850320112 CEPTIK 100 MG 20,372.00 30 611,160.00 - - - - - 30 611,160.00
230 120850320134 CEPTIK 200 MG 28,160.00 - - - - - - - - -
231 120850320134 CEPTIK 200 MG 28,160.00 - - - - - - - - -
232 120850320134 CEPTIK 200 MG 31,218.00 - 60 1,873,080.00 60 1,873,080.00 - - - -
233 120850320133 CEPTIK DRY. SYRUP 90,200.00 - - - - - - - - -
234 120850320133 CEPTIK DRY. SYRUP 76,560.00 - - - - - - - - -
235 120850320133 CEPTIK DRY. SYRUP 86,130.00 - - - - - - - - -
236 120850320133 CEPTIK DRY. SYRUP 82,720.00 - - - - - - - - -
237 120850320133 CEPTIK DRY. SYRUP 82,720.00 - 5 413,600.00 1 82,720.00 - - 4 330,880.00
238 221150340026 CERNEVIT INJ 161,975.00 - - - - - - - - -
239 221150340026 CERNEVIT INJ 170,335.00 5 851,675.00 - 5 851,675.00 - - - -
240 CETIRGI SYR. 39,600.00 - 24 950,400.00 9 356,400.00 - - 15 594,000.00
241 221250810090 CHANNA CAPS. 500 MG 5,775.00 - - - - - - - - -
242 221250810090 CHANNA CAPS. 500 MG 6,655.00 - - - - - - - - -
243 221250810090 CHANNA CAPS. 500 MG 6,322.25 504 3,186,414.00 - 297 1,877,708.25 - - 207 1,308,705.75
244 CITICOLIN MPL 500 MG 6,864.00 1 6,864.00 - - - - - 1 6,864.00
245 CITION INJEKSI 250 MG/2ML 27,500.00 - 40 1,100,000.00 13 357,500.00 - - 27 742,500.00
246 220130320228 CLIAD TAB 1,623.60 - - - - - - - - -
247 220130320228 CLIAD TAB 2,024.00 65 131,560.00 - - - - - 65 131,560.00
248 228130320002 CLINIUM GEL 10 MG 29,700.00 - - - - - - - - -
249 220260320057 CLOGIN TAB 75 MG 16,533.00 2 33,066.00 - 2 33,066.00 - - - -
250 220420350009 CLOPEDIN INJ. 27,830.00 10 278,300.00 10 278,300.00 16 445,280.00 - - 4 111,320.00
251 224110410007 CLORILEX 25 3,960.00 - - - - - - - - -
252 221120320022 COBAZIM CAP. 3000 MG 8,250.00 80 660,000.00 - - - - - 80 660,000.00
253 220320350078 CODEIN 10 MG 605.00 - - - - - - - - -
254 220320350078 CODEIN 10 MG 684.97 55 37,673.35 - 55 37,673.35 - - - -
255 220320350077 CODEIN 20 MG 1,331.00 - - - - - - - - -
256 220320350077 CODEIN 20 MG 1,623.60 100 162,360.00 - 18 29,224.80 - - 82 133,135.20
64/235
DEPO
257 220321970065 CODIKAF 10 866.25 - - - - - - - - -
258 220320350045 CODIPRONT CAPS 7,937.60 148 1,174,764.80 - 59 468,318.40 - - 89 706,446.40
259 220320350047 CODIPRONT CUM CAPS 10,502.80 114 1,197,319.20 - 33 346,592.40 - - 81 850,726.80
260 220320350046 CODIPRONT CUM SYR. 60 ML 61,105.00 5 305,525.00 3 183,315.00 3 183,315.00 - - 5 305,525.00
261 220320350044 CODIPRONT SYR. 56,265.00 - - - - - - - - -
262 220420350005 CODITAM TAB 2,640.00 - - - - - - - - -
263 220420350005 CODITAM TAB 4,510.00 63 284,130.00 100 451,000.00 96 432,960.00 - - 67 302,170.00
264 221810130056 COLERGIS SYR 35,530.00 - - - - - - - - -
265 120870620004 COLSANCETINE INJ 8,342.40 - - - - - - - - -
266 120870620004 COLSANCETINE INJ 8,342.40 24 200,217.60 - 6 50,054.40 - - 18 150,163.20
267 128150560004 COMBANTRIN SYR. 13,706.00 1 13,706.00 - - - - - 1 13,706.00
268 220310070035 COMBIVENT NEB. 14,219.36 - - - - - - - - -
269 220310070035 COMBIVENT NEB. 4,550.00 - - - - - - - - -
270 220320100081 COMTUSI SYR 100 ML 56,100.00 4 224,400.00 - - - - - 4 224,400.00
271 220320100066 COMTUSI SYR 60 ML 37,400.00 - - - - - - - - -
272 220320100066 COMTUSI SYR 60 ML 38,610.00 5 193,050.00 - - - - - 5 193,050.00
273 220320100080 COMTUSI SYR 60 ML ( STROBERY 35,700.50 - - - - - - - - -
274 220320100080 COMTUSI SYR 60 ML ( STROBERY 37,400.00 - - - - - - - - -
275 220320100080 COMTUSI SYR 60 ML ( STROBERY 38,610.00 9 347,490.00 - 2 77,220.00 - - 7 270,270.00
276 220220640003 CORDARONE INJ. 32,714.88 - - - - - - - - -
277 220220640001 CORDARONE TAB 200 MG 5,782.92 - - - - - - - - -
278 220220640001 CORDARONE TAB 200 MG 6,245.55 - - - - - - - - -
279 220220640001 CORDARONE TAB 200 MG 6,557.83 - - - - - - - - -
280 221150360043 CORMEGA CAPS. 9,900.00 - - - - - - - - -
281 221810320065 CORTAMINE SYR 60 ML 38,610.00 - - - - - - - - -
282 221810320065 CORTAMINE SYR 60 ML 37,840.00 1 37,840.00 - 1 37,840.00 - - - -
283 221810320066 CORTAMINE TABLET 2,376.00 - - - - - - - - -
284 CORTIDEX INJEKSI 4,856.78 47 228,268.66 - 47 228,268.66 - - - -
285 CORTIDEX INJEKSI 4,856.77 - 55 267,122.35 10 48,567.70 - - 45 218,554.65
286 220260340034 CPG 75 MG 15,675.00 - - - - - - - - -
287 226140620005 CRISPA TAB. 14,287.35 - - - - - - - - -
288 220410770002 CUPANOL SYR 19,800.00 - - - - - - - - -
289 221240690007 CURCUMA TAB 999.08 - - - - - - - - -
290 221240690007 CURCUMA TAB 951.50 - - - - - - - - -
291 221240690007 CURCUMA TAB 876.15 114 99,881.10 200 175,230.00 75 65,711.25 - - 239 209,399.85
292 221150210044 CURMUNOS SYR 51,480.00 - - - - - - - - -
293 221150210044 CURMUNOS SYR 48,620.00 8 388,960.00 - - - - - 8 388,960.00
294 22124690003 CURVIT CL EMULSION SYR. 49,500.00 - - - - - - - - -
295 221250690084 CURVIT CL EMULSION SYR. 51,975.00 - - - - - - - - -
296 221250690084 CURVIT CL EMULSION SYR. 46,035.00 3 138,105.00 - - - - - 3 138,105.00
297 22124690002 CURVIT SYR. 100 ML 34,980.00 - - - - - - - - -
298 221250690085 CURVIT SYR. 120 ML 34,980.00 - - - - - - - - -
299 221250690085 CURVIT SYR. 120 ML 31,482.00 3 94,446.00 - - - - - 3 94,446.00
300 221240690008 CURVIT SYR. 60 ML 24,200.00 - - - - - - - - -
65/235
DEPO
301 221240690008 CURVIT SYR. 60 ML 24,200.00 - - - - - - - - -
302 221240690008 CURVIT SYR. 60 ML 24,200.00 - - - - - - - - -
303 221240690008 CURVIT SYR. 60 ML 22,423.50 1 22,423.50 - 1 22,423.50 - - - -
304 221240690008 CURVIT SYR. 60 ML 24,915.00 5 124,575.00 - 3 74,745.00 - - 2 49,830.00
305 221240690001 CURVIT TAB. 1,980.00 - - - - - - - - -
306 221240690001 CURVIT TAB. 2,079.00 - - - - - - - - -
307 221240690001 CURVIT TAB. 1,980.00 - - - - - - - - -
308 221240690001 CURVIT TAB. 1,782.00 50 89,100.00 - - - - - 50 89,100.00
309 220930500931 CYNTOCINON INJ. 13,913.35 - - - - - - - - -
310 220930500931 CYNTOCINON INJ. 13,913.35 - - - - - - - - -
311 221720100008 CYTODROX CAPSUL 500 MG 11,011.00 - - - - - - - - -
312 221620330001 DAKTARIN DIAPER 51,499.80 - - - - - - - - -
313 DAMABEN 370.84 100 37,084.00 - - - - - 100 37,084.00
314 220440042 DEPAKKENE SYR 120 ML 41,800.00 - - - - - - - - -
315 220440010024 DEPAKKENE SYR 250 MG 172,370.00 - - - - - - - - -
316 DEPAKOTE ER TAB. 250 MG 2,954.00 - 100 295,400.00 10 29,540.00 - - 90 265,860.00
317 220440010047 DEPAKOTE ER TAB. 250 MG 10,071.60 7 70,501.20 - 7 70,501.20 - - - -
318 DEPAKOTE ER TAB. 500 MG 5,928.00 - 100 592,800.00 23 136,344.00 - - 77 456,456.00
319 221650350022 DEXOCORT CREAM 28,600.00 - - - - - - - - -
320 221810570031 DEXTAMIN SYR 60 ML 30,203.80 - - - - - - - - -
321 221810570031 DEXTAMIN SYR 60 ML 30,203.80 - - - - - - - - -
322 221810570029 DEXTAMIN TAB/300 PC 1,784.24 18 32,116.32 - 18 32,116.32 - - - -
323 221810570029 DEXTAMIN TAB/300 PC 1,784.23 600 1,070,538.00 - 60 107,053.80 - - 540 963,484.20
324 DEXTROSE 10% 500 ML 7,499.80 - 40 299,992.00 19 142,496.20 - - 21 157,495.80
325 DEXTROSE 10% 500 ML WIDATRA 7,499.80 - - - - - - - - -
326 221230540079 DEXTROSE 40% INJ. 25 ML 8,690.00 - - - - - - - - -
327 221230540079 DEXTROSE 40% INJ. 25 ML 7,920.00 - - - - - - - - -
328 221230540079 DEXTROSE 40% INJ. 25 ML 10,010.00 - - - - - - - - -
329 221230540079 DEXTROSE 40% INJ. 25 ML 3,199.90 13 41,598.70 138 441,586.20 132 422,386.80 - - 19 60,798.10
330 221230540094 DEXTROSE 5% 100 ML 13,200.00 - - - - - - - - -
331 221230540094 DEXTROSE 5% 100 ML 15,180.00 55 834,900.00 - 9 136,620.00 - - 46 698,280.00
332 221230540095 DEXTROSE 5% 500 ML 14,520.00 - - - - - - - - -
333 221230540095 DEXTROSE 5% 500 ML 6,900.30 27 186,308.10 20 138,006.00 47 324,314.10 - - - -
334 221230750096 DEXTROSE 5% 500 ML ( GLUCOSE 6,900.30 - 34 234,610.20 30 207,009.00 - - 4 27,601.20
335 221230750096 DEXTROSE 5% 500 ML ( GLUCOSE 7,499.80 - 40 299,992.00 40 299,992.00 - - - -
336 221020550077 DIAFORMIN XR 1,320.00 - - - - - - - - -
337 221020550077 DIAFORMIN XR 1,122.00 - - - - - - - - -
338 221020550077 DIAFORMIN XR 1,168.75 - - - - - - - - -
339 221020550077 DIAFORMIN XR 1,237.50 80 99,000.00 800 990,000.00 629 778,387.50 - - 251 310,612.50
340 DIAGIT TABLET 1,782.00 - - - - - - - - -
341 DIAGIT TABLET 1,914.00 60 114,840.00 - 59 112,926.00 - - 1 1,914.00
342 220440560011 DILANTIN CAPS. 100 MG 4,505.52 - - - - - - - - -
343 220210500138 DIOVAN 160 MG CAPSUL 2,699.99 - - - - - - - - -
344 220210500138 DIOVAN 160 MG CAPSUL 1,390.76 - - - - - - - - -
66/235
DEPO
345 220210520043 DIOVAN 40 MG CAPSUL 7,924.23 27 213,954.21 - 27 213,954.21 - - - -
346 220210520043 DIOVAN 40 MG CAPSUL 8,856.49 - 56 495,963.44 11 97,421.39 - - 45 398,542.05
347 220210500137 DIOVAN 80 MG CAPSUL 1,799.96 - - - - - - - - -
348 220210500137 DIOVAN 80 MG CAPSUL 873.88 - - - - - - - - -
349 220210500137 DIOVAN 80 MG CAPSUL 698.93 113 78,979.09 - 113 78,979.09 - - - -
350 220360130001 DISMENO CAPS. 100 MG 4,400.00 20 88,000.00 - - - - - 20 88,000.00
351 220210260238 DIUVAR INJ 13,337.50 - - - - - - - - -
352 220210260238 DIUVAR INJ 13,062.50 - - - - - - - - -
353 DIVITI INJEKSI 284,625.00 - - - - - - - - -
354 DIVITI INJEKSI 268,812.50 - - - - - - - - -
355 DIVITI INJEKSI 316,250.00 - - - - - - - - -
356 DIVITI INJEKSI 281,462.50 6 1,688,775.00 4 1,125,850.00 6 1,688,775.00 - - 4 1,125,850.00
357 220220140034 DOBURAN INJ. 27,762.74 - - - - - - - - -
358 220220140034 DOBURAN INJ. 18,631.47 - - - - - - - - -
359 DOGESIC 500 MG 750.20 301 225,810.20 2,000 1,500,400.00 1,800 1,350,360.00 - - 501 375,850.20
360 DOME DROPS 18,150.00 1 18,150.00 - - - - - 1 18,150.00
361 DOME SYR. 19,800.00 - - - - - - - - -
362 DOME SYR. 34,485.00 7 241,395.00 - - - - - 7 241,395.00
363 DOPACEF INJEKSI 32,997.20 23 758,935.60 40 1,319,888.00 63 2,078,823.60 - - - -
364 220210350127 DOPAMET TAB 2,057.00 2 4,114.00 - 2 4,114.00 - - - -
365 220220350010 DOPAMIN INJ. 78,100.00 - - - - - - - - -
366 224120610041 DORMICUM INJ. 3 ML / 15 MG 70,441.00 7 493,087.00 - 2 140,882.00 - - 5 352,205.00
367 220130610015 DORMICUM INJ. 5 ML / 5 MG 26,873.70 - - - - - - - - -
368 224120610035 DORMICUM INJ. 5 ML / 5 MG 28,217.30 - - - - - - - - -
369 220260040039 DORNER 20 MCB TAB. 7,085.91 - - - - - - - - -
370 220260040039 DORNER 20 MCB TAB. 4,569.99 - - - - - - - - -
371 220170070003 DULCOLAX SUPP 5 MG 11,121.00 - - - - - - - - -
372 220170070003 DULCOLAX SUPP 5 MG 15,940.92 - - - - - - - - -
373 220170070004 DULCOLAX SUPP ADULT 10 MG 19,729.60 - - - - - - - - -
374 220170070004 DULCOLAX SUPP ADULT 10 MG 22,239.14 - - - - - - - - -
375 220170070001 DULCOLAX TAB 5 MG 1,154.20 - - - - - - - - -
376 220170070001 DULCOLAX TAB 5 MG 1,202.44 59 70,943.96 - 8 9,619.52 - - 51 61,324.44
377 220410020430 DUMIN SYRUP 19,432.60 - - - - - - - - -
378 220420330011 DUROGESIC MATRIX 12 ug/h 97,725.10 - - - - - - - - -
379 220420330011 DUROGESIC MATRIX 12 ug/h 101,633.84 13 1,321,239.92 - 6 609,803.04 - - 7 711,436.88
380 220420330010 DUROGESIC MATRIX 25 MU 187,999.90 - - - - - - - - -
381 220420330010 DUROGESIC MATRIX 25 ug/h 195,519.94 13 2,541,759.22 - 2 391,039.88 - - 11 2,150,719.34
382 220241970023 DUVADILAN INJ. 28,416.66 - - - - - - - - -
383 220241970023 DUVADILAN INJ. 30,800.00 - - - - - - - - -
384 220241970022 DUVADILAN TABLET 5,500.00 - - - - - - - - -
385 221231450068 ECOSOL GLUCOSE 10% 500 ML 12,100.00 - - - - - - - - -
386 221230810097 ECOSOL GLUCOSE 5% 500 ML 9,900.00 - - - - - - - - -
387 221230810098 ECOSOL NACL 0,9% 500 ML 8,800.00 - - - - - - - - -
388 221230810099 ECOSOL RL 500 ML 9,900.00 - - - - - - - - -
67/235
DEPO
389 221230810099 ECOSOL RL 500 ML 9,680.00 - - - - - - - - -
390 220520580011 ECRON INJ. 4 MG 75,971.50 - - - - - - - - -
391 220320190052 EDOTIN CAPS 3,712.50 - - - - - - - - -
392 EMEGRAN INJ. 3 MG 110,000.00 9 990,000.00 - 4 440,000.00 - - 5 550,000.00
393 221152690036 EMINETON TABLET 1,463.00 - - - - - - - - -
394 221152690036 EMINETON TABLET 1,567.50 114 178,695.00 - 36 56,430.00 - - 78 122,265.00
395 220950490007 ENATIN CAPS. 1,368.26 - - - - - - - - -
396 ENDROLIN INJ. 3.75 MG 569,800.00 5 2,849,000.00 19 10,826,200.00 24 13,675,200.00 - - - -
397 ENDROLIN INJ. 3.75 MG 564,102.00 - 10 5,641,020.00 2 1,128,204.00 - - 8 4,512,816.00
398 220160450003 ENZYPLEX TAB. 903.50 - - - - - - - - -
399 220160450003 ENZYPLEX TAB. 948.67 - - - - - - - - -
400 220320620095 EPEXOL DROP 15 MG 30,668.00 - - - - - - - - -
401 220320620096 EPEXOL SYRUP 15 MG 13,948.00 - - - - - - - - -
402 220320620096 EPEXOL SYRUP 15 MG 14,322.00 3 42,966.00 - 3 42,966.00 - - - -
403 220320620097 EPEXOL TABLET 30 MG 677.60 - - - - - - - - -
404 220320620097 EPEXOL TABLET 30 MG 673.48 - - - - - - - - -
405 220110620085 EPISAN SYR. 100 ML 39,641.25 - - - - - - - - -
406 220110620085 EPISAN SYR. 100 ML 40,664.25 4 162,657.00 - 2 81,328.50 - - 2 81,328.50
407 220110620133 EPISAN SYR. 200 ML 63,596.50 - - - - - - - - -
408 220110620133 EPISAN SYR. 200 ML 65,216.25 4 260,865.00 5 326,081.25 6 391,297.50 - - 3 195,648.75
409 EPRINOC TABLET 1,539.83 - - - - - - - - -
410 EPRINOC TABLET 1,539.86 129 198,641.94 - 67 103,170.62 - - 62 95,471.32
411 220520600012 EPSONAL TAB 4,345.00 - - - - - - - - -
412 220520600012 EPSONAL TAB 3,693.25 - - - - - - - - -
413 220520600012 EPSONAL TAB 4,236.38 - - - - - - - - -
414 220520600012 EPSONAL TAB 3,693.25 103 380,404.75 - 28 103,411.00 - - 75 276,993.75
415 220240720005 ERICAF TAB 5,626.43 - - - - - - - - -
416 220240720005 ERICAF TAB 5,626.43 51 286,947.93 - - - - - 51 286,947.93
417 121510150004 ERLAMYCETIN TTS MATA 9,256.50 - - - - - - - - -
418 121510150004 ERLAMYCETIN TTS MATA 9,770.75 - - - - - - - - -
419 220310810321 ERPHAFILLIN TAB 133.10 - - - - - - - - -
420 220820320823 ERYTHRINE SYR. 60 ML 42,735.00 1 42,735.00 - - - - - 1 42,735.00
421 224120700036 ESILGAN TAB 1 MG 3,377.13 - - - - - - - - -
422 224120700036 ESILGAN TAB 1 MG 3,546.00 - - - - - - - - -
423 224120700036 ESILGAN TAB 1 MG 3,546.00 91 322,686.00 - 3 10,638.00 - - 88 312,048.00
424 224120700037 ESILGAN TAB 2 MG 5,169.51 - - - - - - - - -
425 224120700037 ESILGAN TAB 2 MG 5,427.99 154 835,910.46 - - - - - 154 835,910.46
426 220110550148 ESOMAX INJ. 111,375.00 - - - - - - - - -
427 220110550148 ESOMAX INJ. 107,662.50 103 11,089,237.50 - 43 4,629,487.50 - - 60 6,459,750.00
428 221650640006 ESPERSON CR 15 GR 97,287.30 - - - - - - - - -
429 220310580026 EUPHYLIN RETARD TAB. 3,184.64 - - - - - - - - -
430 220310580026 EUPHYLIN RETARD TAB. 3,184.64 - - - - - - - - -
431 221030400002 EUTHYROX 100 MG 1,894.15 - - - - - - - - -
432 221030400002 EUTHYROX 100 MG 1,894.14 - - - - - - - - -
68/235
DEPO
433 221030400001 EUTHYROX 50 MG 1,066.12 11 11,727.32 - - - - - 11 11,727.32
434 221820640041 EUVAX B 1 ML 87,846.00 - - - - - - - - -
435 EVOFION INFUS 500MG/100 ML 135,850.00 - 50 6,792,500.00 39 5,298,150.00 - - 11 1,494,350.00
436 220270770014 EVOTHYL 100 MG 3,960.00 10 39,600.00 - - - - - 10 39,600.00
437 220210520082 EXFORGE 5/160 TAB 16,197.65 - - - - - - - - -
438 220210520081 EXFORGE 5/80 TAB 13,898.50 - - - - - - - - -
439 221130160001 EXTRACE INJ 2 ML 11,000.00 30 330,000.00 6 66,000.00 36 396,000.00 - - - -
440 221810210015 FALERGI TAB 2,681.25 79 211,818.75 - 75 201,093.75 - - 4 10,725.00
441 221120210011 FARBION INJ 4,136.00 - - - - - - - - -
442 221120210011 FARBION INJ 4,840.00 - - - - - - - - -
443 221120210011 FARBION INJ 5,280.00 30 158,400.00 - 11 58,080.00 - - 19 100,320.00
444 221120210005 FARBION TAB 968.00 - 200 193,600.00 30 29,040.00 - - 170 164,560.00
445 220220210014 FARGOXIN INJ 28,875.00 - - - - - - - - -
446 220220210014 FARGOXIN INJ 34,650.00 8 277,200.00 - - - - - 8 277,200.00
447 220220210013 FARGOXIN TAB. 200.20 79 15,815.80 - 30 6,006.00 - - 49 9,809.80
448 220210210111 FARMABES INJ. 5 ML 121,000.00 - - - - - - - - -
449 220210210111 FARMABES INJ. 5 ML 90,750.00 1 90,750.00 27 2,450,250.00 20 1,815,000.00 - - 8 726,000.00
450 220210210111 FARMABES INJ. 5 ML 121,000.00 - 21 2,541,000.00 21 2,541,000.00 - - - -
451 220110210077 FARMACROL SYR. 100 ML 30,525.00 - - - - - - - - -
452 220110210077 FARMACROL SYR. 100 ML 36,630.00 - - - - - - - - -
453 220110210077 FARMACROL SYR. 100 ML 32,175.00 7 225,225.00 - - - - - 7 225,225.00
454 220110210134 FARMACROL SYR. 200 ML 45,540.00 - - - - - - - - -
455 220110210134 FARMACROL SYR. 200 ML 37,950.00 - - - - - - - - -
456 220110210134 FARMACROL SYR. 200 ML 39,600.00 15 594,000.00 - 4 158,400.00 - - 11 435,600.00
457 220410210025 FARMADOL INFUS 47,025.00 - - - - - - - - -
458 220410210025 FARMADOL INFUS 43,890.00 1 43,890.00 12 526,680.00 12 526,680.00 - - 1 43,890.00
459 220210210062 FARMADRAL TAB. 10 MG 209.00 - - - - - - - - -
460 FARMAVON INJEKSI 40,700.00 35 1,424,500.00 - - - - - 35 1,424,500.00
461 222160210004 FARSIX 40 MG 742.50 - - - - - - - - -
462 222160210004 FARSIX 40 MG 891.00 - - - - - - - - -
463 222160210004 FARSIX 40 MG 825.00 27 22,275.00 - 7 5,775.00 - - 20 16,500.00
464 220210210117 FARSIX INJ 4,408.80 - - - - - - - - -
465 220210210117 FARSIX INJ 6,613.20 - - - - - - - - -
466 220210210117 FARSIX INJ 7,700.00 - - - - - - - - -
467 220220210030 FARSORBID 5 MG 167.48 - - - - - - - - -
468 220220210030 FARSORBID 5 MG 156.31 - - - - - - - - -
469 220220210030 FARSORBID 5 MG 223.30 - - - - - - - - -
470 220220210022 FARSORBID INJ. 59,400.00 - - - - - - - - -
471 220220210022 FARSORBID INJ. 66,000.00 - - - - - - - - -
472 220510560047 FELDEN GEL 0.5% 15 GR 62,980.50 - - - - - - - - -
473 220510560047 FELDEN GEL 0.5% 15 GR 74,816.78 - - - - - - - - -
474 220510210066 FENDEX INJEKSI 32,175.00 - - - - - - - - -
475 220510210066 FENDEX INJEKSI 38,610.00 6 231,660.00 - 6 231,660.00 - - - -
476 220510210066 FENDEX INJEKSI 33,825.00 - 10 338,250.00 3 101,475.00 - - 7 236,775.00
69/235
DEPO
477 220510210065 FENDEX TAB. 4,331.25 - - - - - - - - -
478 220510210065 FENDEX TAB. 4,537.50 - - - - - - - - -
479 220270440045 FENOLIP 300 MG 9,900.00 83 821,700.00 - - - - - 83 821,700.00
480 FENRIS SYR. JERUK 23,760.00 - - - - - - - - -
481 FENRIS SYR. JERUK 26,400.00 5 132,000.00 - 5 132,000.00 - - - -
482 220420330004 FENTANYL INJ. 0.05 MG 40,000.40 - - - - - - - - -
483 220420330004 FENTANYL INJ. 0.05 MG 39,999.96 - - - - - - - - -
484 220420330004 FENTANYL INJ. 0.05 MG 41,599.80 41 1,705,591.80 50 2,079,990.00 91 3,785,581.80 - - - -
485 FERITRIN 2,029.50 - - - - - - - - -
486 221150480021 FERIZ DROPS 33,000.00 - - - - - - - - -
487 FEROFORT FR CAPS. 1,724.25 95 163,803.75 - - - - - 95 163,803.75
488 FEROSPAT TABLET 5,610.00 - 300 1,683,000.00 280 1,570,800.00 - - 20 112,200.00
489 221150700037 FERRIPROX TAB. 32,999.97 82 2,705,997.54 200 6,599,994.00 282 9,305,991.54 - - - -
490 224130320103 FETIK SUPPOSITORIA 100 MG 12,100.00 - - - - - - - - -
491 224130320103 FETIK SUPPOSITORIA 100 MG 7,562.50 - - - - - - - - -
492 224130320103 FETIK SUPPOSITORIA 100 MG 13,068.00 14 182,952.00 - - - - - 14 182,952.00
493 224130320103 FETIK SUPPOSITORIA 100 MG 13,476.38 - 60 808,582.80 60 808,582.80 - - - -
494 FIBRION INJ. 1500000 IU 3,971,000.00 - - - - - - - - -
495 FIBRION INJ. 1500000 IU 4,138,200.00 - - - - - - - - -
496 220560100026 FITAJOINT ROLLER 80,300.00 - - - - - - - - -
497 128120130021 FLADYSTIN OVULA 12,155.00 2 24,310.00 - 2 24,310.00 - - - -
498 224130620110 FLAMAR ZALF 20 GR 13,640.00 1 13,640.00 - - - - - 1 13,640.00
499 226130130013 FLAMICORT INJ. 10 MG 88,000.00 - - - - - - - - -
500 226130130013 FLAMICORT INJ. 10 MG 132,000.00 3 396,000.00 - 2 264,000.00 - - 1 132,000.00
501 220170100016 FLEET ENEMA 133 ML 104,181.00 - - - - - - - - -
502 220170100016 FLEET ENEMA 133 ML 107,250.00 3 321,750.00 5 536,250.00 1 107,250.00 - - 7 750,750.00
503 220560130012 FLEXOR DS 5,142.50 - - - - - - - - -
504 220560130012 FLEXOR DS 5,445.00 8 43,560.00 - - - - - 8 43,560.00
505 220310230032 FLIXOTIDE NEB. 0.5 MG 19,618.50 - - - - - - - - -
506 220310230032 FLIXOTIDE NEB. 0.5 MG 19,140.00 - - - - - - - - -
507 220310230032 FLIXOTIDE NEB. 0.5 MG 14,928.98 85 1,268,963.30 140 2,090,057.20 225 3,359,020.50 - - - -
508 221250370053 FLORAGIN TAB. 8,800.00 - - - - - - - - -
509 221250370053 FLORAGYN CAPS 11,000.00 - - - - - - - - -
510 FLOXARIS INFUS 239,250.00 - - - - - - - - -
511 FLOXARIS INFUS 239,250.00 5 1,196,250.00 - - - - - 5 1,196,250.00
512 220331790022 FLUCADEX TAB. 475.20 - - - - - - - - -
513 128120340005 FLUCORAL 150 MG 71,060.00 - - - - - - - - -
514 220260210005 FLUXUM 4250 IU AXA 112,200.00 - - - - - - - - -
515 221160550031 FOLAC TAB 660.00 - - - - - - - - -
516 221160550031 FOLAC TAB 638.00 270 172,260.00 300 191,400.00 319 203,522.00 - - 251 160,138.00
517 221140130014 FOLAMIL GENIO 3,850.00 - - - - - - - - -
518 221140130014 FOLAMIL GENIO 3,272.50 - - - - - - - - -
519 221160550031 FOLAMIL GOLD 4,400.00 - - - - - - - - -
520 221160550031 FOLAMIL GOLD 3,740.00 60 224,400.00 - - - - - 60 224,400.00
70/235
DEPO
521 221150130004 FOLAMIL TAB. 981.75 - - - - - - - - -
522 221160620046 FOLAVICAP 400 MG 643.50 - - - - - - - - -
523 221160080047 FOLAVICAP 400 MG 639.38 51 32,608.38 - - - - - 51 32,608.38
524 221160620029 FOLAVIT TAB. 400 MG 677.60 - - - - - - - - -
525 221160620029 FOLAVIT TAB. 400 MG 672.62 - - - - - - - - -
526 221160620029 FOLAVIT TAB. 400 MG 880.00 - - - - - - - - -
527 221160620029 FOLAVIT TAB. 400 MG 690.53 153 105,651.09 800 552,424.00 712 491,657.36 - - 241 166,417.73
528 FORMOM TABLET 2,255.00 - - - - - - - - -
529 FORMOM TABLET 1,916.75 140 268,345.00 - 140 268,345.00 - - - -
530 221250620054 FORMUNO CAPS. 5,148.00 - - - - - - - - -
531 221250620054 FORMUNO CAPS. 5,115.00 27 138,105.00 - 15 76,725.00 - - 12 61,380.00
532 221250620054 FORMUNO CAPS. 5,242.87 60 314,572.20 - - - - - 60 314,572.20
533 221430620001 FORRUMEN DROPS 26,015.00 - - - - - - - - -
534 224110340004 FORTANES INJ. 15 MG / 3 ML 45,100.00 - - - - - - - - -
537 221150440039 FURAMIN INJ 9,927.50 - - - - - - - - -
538 221150440039 FURAMIN INJ 8,360.00 - - - - - - - - -
539 221150440039 FURAMIN INJ 9,680.00 7 67,760.00 - 2 19,360.00 - - 5 48,400.00
540 221610600002 FUSON CREAM 37,400.00 - - - - - - - - -
541 221610600002 FUSON CREAM 44,000.00 - - - - - - - - -
542 221610600002 FUSON CREAM 42,900.00 - - - - - - - - -
543 221610600002 FUSON CREAM 37,400.00 - - - - - - - - -
544 221620100010 FUSYCOM CREAM 44,000.00 - - - - - - - - -
545 FUTADERM CREAM 75,680.00 3 227,040.00 - - - - - 3 227,040.00
546 221220620011 FUTROLIT INF 39,024.15 - - - - - - - - -
547 221220620011 FUTROLIT INF 40,317.19 - - - - - - - - -
548 221220620011 FUTROLIT INF 41,345.11 25 1,033,627.75 - 8 330,760.88 - - 17 702,866.87
549 220150550008 FUZIDE SYR 29,507.50 3 88,522.50 - - - - - 3 88,522.50
550 221020520067 GALVUS MET 50/500 MG 6,875.00 - - - - - - - - -
551 221020520067 GALVUS MET 500/850 MG 6,875.00 - - - - - - - - -
552 221820100035 GAMMARAAS INJ. 5% 3,025,000.00 - - - - - - - - -
553 GARENA INFUS 220,000.00 4 880,000.00 6 1,320,000.00 6 1,320,000.00 - - 4 880,000.00
554 220110320013 GASTRIDIN INJ. 20,790.00 - - - - - - - - -
555 220110320013 GASTRIDIN INJ. 23,100.00 - - - - - - - - -
556 220110320013 GASTRIDIN INJ. 21,780.00 - - - - - - - - -
557 220110320013 GASTRIDIN INJ. 19,360.00 - - - - - - - - -
558 220110320013 GASTRIDIN INJ. 20,768.00 - - - - - - - - -
559 GASTRIDIN TABLET 4,400.00 90 396,000.00 - 10 44,000.00 - - 80 352,000.00
560 220110210082 GASTRUL TAB 10,296.00 - - - - - - - - -
561 220110210082 GASTRUL TAB 8,580.00 - - - - - - - - -
562 220110210082 GASTRUL TAB 9,075.00 - - - - - - - - -
563 220110210082 GASTRUL TAB 12,100.00 - 600 7,260,000.00 217 2,625,700.00 - - 383 4,634,300.00
564 221230130101 GELAFUSAL INF 500 ML 192,500.00 - - - - - - - - -
71/235
DEPO
565 221230130101 GELAFUSAL INF 500 ML 163,625.00 - - - - - - - - -
566 220120550029 GERDILIUM DROPS 30,800.00 - - - - - - - - -
567 220120550029 GERDILIUM DROPS 29,507.50 6 177,045.00 - - - - - 6 177,045.00
568 220120550022 GERDILIUM SYR. 31,680.00 - - - - - - - - -
569 220120550022 GERDILIUM SYR. 30,305.00 20 606,100.00 - 5 151,525.00 - - 15 454,575.00
570 220120550019 GERDILIUM TAB. 3,168.00 - - - - - - - - -
571 220120550019 GERDILIUM TAB. 3,256.00 - - - - - - - - -
572 220120550019 GERDILIUM TAB. 2,950.75 89 262,616.75 - 89 262,616.75 - - - -
573 GERIAVITA CAPS. 2,174.22 30 65,226.60 - - - - - 30 65,226.60
574 220110770093 GETIDINE INJ 20,900.00 - - - - - - - - -
575 GITAS INJEKSI 21,560.00 - - - - - - - - -
576 GITAS INJEKSI 22,638.00 8 181,104.00 - 8 181,104.00 - - - -
577 GITAS INJEKSI 23,345.44 - 20 466,908.80 14 326,836.16 - - 6 140,072.64
578 220130320005 GITAS PLUS CAPS 5,500.00 - - - - - - - - -
579 220130320005 GITAS PLUS CAPS 5,346.00 - - - - - - - - -
580 220130320005 GITAS PLUS CAPS 5,082.00 3 15,246.00 - 3 15,246.00 - - - -
581 220130320005 GITAS PLUS CAPS 5,240.81 - 100 524,081.00 76 398,301.56 - - 24 125,779.44
582 221020770042 GLAMAROL 3 MG 5,610.00 - - - - - - - - -
583 221560090005 GLAUCON TAB 250 MG 4,180.00 - - - - - - - - -
584 221560620007 GLAUSETA TAB 3,382.17 - - - - - - - - -
585 221560620007 GLAUSETA TAB. 3,466.62 15 51,999.30 - 7 24,266.34 - - 8 27,732.96
586 221560620007 GLAUSETA TAB. 3,768.05 - 100 376,805.00 - - - - 100 376,805.00
587 221020430006 GLUCOPHAGE TAB. 500 MG 1,346.38 2 2,692.76 - - - - - 2 2,692.76
588 221020430014 GLUCOPHAGE XR 500 2,116.79 - - - - - - - - -
589 220560810020 GLUCOSAMINE MPL 500 MG 1,197.63 - - - - - - - - -
590 221020190005 GLUMIN TAB. 500 MG 1,009.80 - - - - - - - - -
591 221020190013 GLUMIN XR 500 MG 1,687.95 - - - - - - - - -
592 221020070019 GLURENORM 30 MG 3,397.90 - - - - - - - - -
593 221020070019 GLURENORM 30 MG 3,567.80 10 35,678.00 - - - - - 10 35,678.00
594 221150740019 GLUTROP TAB 15,147.00 - - - - - - - - -
595 221020130036 GLUVAS 1 MG 1,916.75 - - - - - - - - -
596 221020130037 GLUVAS 2 MG 3,646.50 - - - - - - - - -
597 220470770041 GOOTROPIL 1200 MG TAB 4,730.00 - - - - - - - - -
598 220470770026 GOOTROPIL INJ 1 GR 16,500.00 - - - - - - - - -
599 220410260431 GRAFIX TAB. 1,485.00 - - - - - - - - -
600 GRANOPI CAPS. 1 MG 15,950.00 30 478,500.00 - 30 478,500.00 - - - -
601 GRATIZIN 10 MG 4,505.46 139 626,258.94 - 38 171,207.48 - - 101 455,051.46
602 GRATIZIN 5 MG 3,768.05 186 700,857.30 100 376,805.00 210 791,290.50 - - 76 286,371.80
603 220152780023 GUANISTREP SYR 4,749.80 - - - - - - - - -
604 220940040005 HARNAL OCAS 6,800.01 - - - - - - - - -
605 220940040005 HARNAL OCAS 4,899.00 3 14,697.00 - 3 14,697.00 - - - -
606 220940040004 HARNAL D 0,2 MG 7,099.99 - - - - - - - - -
607 220940040004 HARNAL D 0,2 MG 7,299.99 28 204,399.72 - - - - - 28 204,399.72
608 221250600037 HEPA - Q CAPS 4,207.50 60 252,450.00 - 25 105,187.50 - - 35 147,262.50
72/235
DEPO
609 220180340003 HEPAMAX TAB. 8,800.00 - - - - - - - - -
610 220180340003 HEPAMAX TAB. 9,240.00 - - - - - - - - -
611 HEXADOL SOLUTION 120 MG 13,557.50 13 176,247.50 - - - - - 13 176,247.50
614 221140550022 HI BONE ACTIVE CHEW 2,153.25 30 64,597.50 - 30 64,597.50 - - - -
615 221140550009 HI BONE ACTIVE CHEW STROWB 2,200.00 - - - - - - - - -
616 221140550007 HI BONE E 300 3,080.00 - - - - - - - - -
617 221140550007 HI BONE E 300 2,791.25 110 307,037.50 - 92 256,795.00 - - 18 50,242.50
618 221140550008 HI BONE E 600 3,080.00 - - - - - - - - -
619 221140550008 HI BONE E 600 3,520.00 - - - - - - - - -
620 221140550008 HI BONE E 600 3,509.00 89 312,301.00 - 30 105,270.00 - - 59 207,031.00
621 221570190015 HIALID 5 ML 79,200.00 2 158,400.00 - - - - - 2 158,400.00
622 220480290006 HISTIGO TAB 532.99 - - - - - - -
623 220480290006 HISTIGO TAB 532.99 - - - - - - - - -
624 228170350007 HUMAN ALBUMIN 20% 50 ML 409,200.00 6 2,455,200.00 - 6 2,455,200.00 - - - -
625 228170350007 HUMAN ALBUMIN 20% 50 ML 425,568.00 - 2 851,136.00 - - - - 2 851,136.00
626 220210190011 HYPERIL 2.5 MG 4,702.50 - - - - - - - - -
627 220210190130 HYPERIL 5 MG 7,425.00 - - - - - - - - -
628 220210190130 HYPERIL 5 MG 7,920.00 - - - - - - - - -
629 220930130001 HYSTOLAN 4,207.50 - - - - - - - - -
630 220930130001 HYSTOLAN 4,950.00 44 217,800.00 - 44 217,800.00 - - - -
631 220930130001 HYSTOLAN 4,455.00 - - - - - - - - -
632 220320300082 IKADRYL SYR. 100 CC 17,820.00 - - - - - - - - -
633 221450400004 ILIADIN SPRAY dewasa 48,411.00 - - - - - - - - -
634 221450400015 ILIADIN SPRAY DROPS 48,637.60 - - - - - - - - -
635 221450400016 ILIADIN SPRAY DROPS 46,431.00 4 185,724.00 - 2 92,862.00 - - 2 92,862.00
636 221450400017 ILLIADIN MOIST 16,731.00 1 16,731.00 - 1 16,731.00 - - - -
637 221250690075 IMBOOST CAPS. 3,212.00 - - - - - - - - -
638 221250690022 IMBOOST FORCE SYR. 56,430.00 - - - - - - - - -
639 221250690022 IMBOOST FORCE SYR. 62,700.00 5 313,500.00 - - - - - 5 313,500.00
640 221250690006 IMBOOST FORTE CAPS. 6,233.33 - - - - - - - - -
641 221250690006 IMBOOST FORTE CAPS. 5,808.00 2 11,616.00 - 2 11,616.00 - - - -
642 221250690039 IMBOOST KIDS SYR 32,230.00 - - - - - - - - -
643 221250370011 IMBOOST SYR. 31,559.00 10 315,590.00 - - - - - 10 315,590.00
644 IMODIAR TABLET 456.83 - - - - - - - - -
645 220150330004 IMODIUM TAB. 2 MG 7,514.54 - - - - - - - - -
646 220150330004 IMODIUM TAB. 2 MG 6,930.88 - - - - - - - - -
647 221250370023 IMUNOS CAPS 6,792.50 - - - - - - - - -
648 221250370023 IMUNOS CAPS 7,315.00 - - - - - - - - -
649 221250370042 IMUNOS PLUS CAP. 11,047.30 - - - - - - - - -
650 221250370042 IMUNOS PLUS CAP. 9,405.00 - - - - - - - - -
651 221250370010 IMUNOS PLUS SYR 70,400.00 - - - - - - - - -
652 221250370010 IMUNOS PLUS SYR 91,960.00 4 367,840.00 - 2 183,920.00 - - 2 183,920.00
73/235
DEPO
653 221250370009 IMUNOS SYR 50,600.00 - - - - - - - - -
654 221250370009 IMUNOS SYR 66,000.00 - - - - - - - - -
655 221250370009 IMUNOS SYR 62,700.00 7 438,900.00 - 2 125,400.00 - - 5 313,500.00
656 221250370043 IMUNVIT PLUS SYR. 67,925.00 - - - - - - - - -
657 220320320092 INADRYL SYR 100 ML 30,800.00 - - - - - - - - -
658 220320320092 INADRYL SYR 100 ML 29,205.00 - - - - - - - - -
659 220320320093 INADRYL SYR 50 ML 16,830.00 - - - - - - - - -
660 221250130045 INBUMIN FC TAB 250 MG 4,950.00 - - - - - - - - -
661 221250130045 INBUMIN FC TAB 250 MG 5,500.00 - - - - - - - - -
662 INBUMIN FC TAB 250 MG 4,950.00 - - - - - - - - -
663 220510320060 INDEXON INJ 8,316.00 - - - - - - - - -
664 220510320061 INDEXON INJ 10,560.00 - - - - - - - - -
665 220930340011 INDUXIN INJ. 8,360.00 - - - - - - - - -
666 220930340011 INDUXIN INJ. 8,360.00 44 367,840.00 - - - - - 44 367,840.00
667 221230620102 INFUSAN D10 500 ML SP 19,910.00 - - - - - - - - -
668 221230620073 INFUSAN D5 100 ML 12,474.00 - - - - - - - - -
669 221230620076 INFUSAN D5 500 ML SP 10,202.50 - - - - - - - - -
670 221230620076 INFUSAN D5 500 ML SP 11,352.00 - 24 272,448.00 9 102,168.00 - - 15 170,280.00
671 221230620103 INFUSAN NS 100 ML SP 11,896.50 - - - - - - - - -
672 221230620103 INFUSAN NS 100 ML SP 12,166.00 - - - - - - - - -
673 221230620103 INFUSAN NS 100 ML SP 12,474.00 57 711,018.00 180 2,245,320.00 185 2,307,690.00 - - 52 648,648.00
674 221230620104 INFUSAN NS 1000 ML SP 17,902.50 - - - - - - - - -
675 221230620105 INFUSAN NS 500 ML SP 10,461.00 - - - - - - - - -
676 221230620105 INFUSAN NS 500 ML SP 11,618.75 - - - - - - - - -
677 221230620105 INFUSAN NS 500 ML SP 11,940.50 32 382,096.00 264 3,152,292.00 258 3,080,649.00 - - 38 453,739.00
678 221230620107 INFUSAN RING AS 500 ML SP 13,585.00 - - - - - - - - -
679 221230620107 INFUSAN RING AS 500 ML SP 10,173.93 - - - - - - - - -
680 221230620108 INFUSAN RL 500 ML SP 10,758.00 - - - - - - - - -
681 221230620108 INFUSAN RL 500 ML SP 9,864.69 - - - - - - - - -
682 221230620108 INFUSAN RL 500 ML SP 10,100.97 - 1,632 16,484,783.04 1,415 14,292,872.55 - - 217 2,191,910.49
683 221230620109 INFUSAN WATER FOR IRIGATION 1 12,820.50 - - - - - - - - -
684 221020130090 INLACIN CAPS 100 MG 4,950.00 - - - - - - - - -
685 221020130091 INLACIN CAPS 50 MG 3,960.00 - - - - - - - - -
686 220220210006 INOTROP INJ 81,675.00 - - - - - - - - -
687 220110210173 INPEPSA SYR. 100 ML 39,600.00 - - - - - - - - -
688 220110210173 INPEPSA SYR. 100 ML 42,900.00 7 300,300.00 - 1 42,900.00 - - 6 257,400.00
689 220110210138 INPEPSA SYR. 200 ML 61,875.00 - - - - - - - - -
690 220110210138 INPEPSA SYR. 200 ML 64,350.00 5 321,750.00 - 5 321,750.00 - - - -
691 220210320029 INSAAR TAB. 10,983.50 - - - - - - - - -
692 221250320049 INTERKRILL CAPS 7,854.00 - - - - - - - - -
693 220150320026 INTERLAC STICK PACK 9,350.00 30 280,500.00 - - - - - 30 280,500.00
694 220150320155 INTERLAC TAB. 8,250.00 - - - - - - - - -
695 220210320079 INTERVASK 10 MG 1,819.13 - - - - - - - - -
696 220210320079 INTERVASK 10 MG 11,484.00 - - - - - - - - -
74/235
DEPO
697 220210320071 INTERVASK 5 MG 5,063.02 - - - - - - - - -
698 220150320027 INTERZINC SYR. 60 ML 31,680.00 - - - - - - - - -
699 220150320027 INTERZINC SYR. 60 ML 37,312.00 - - - - - - - - -
700 226130320015 INTIDROL INJ. 96,250.00 - - - - - - - - -
701 226130320015 INTIDROL INJ. 86,625.00 - - - - - - - - -
702 226130320015 INTIDROL INJ. 43,962.19 - - - - - - - - -
703 226130320007 INTIDROL TAB. 3,245.00 - - - - - - - - -
704 226130320007 INTIDROL TAB. 3,093.75 - - - - - - - - -
705 226130320007 INTIDROL TAB. 2,904.00 10 29,040.00 - - - - - 10 29,040.00
706 226130320007 INTIDROL TAB. 3,106.40 - 50 155,320.00 - - - - 50 155,320.00
707 220260210008 INVICLOT INJ. 49,500.00 6 297,000.00 - - - - - 6 297,000.00
708 220110340166 INVITIC TAB 10,380.33 - - - - - - - - -
709 220110340166 INVITIC TAB 11,216.33 - - - - - - - - -
710 220140320015 INVOMET INJ. 4 MG 28,908.00 - - - - - - - - -
711 220140320015 INVOMET INJ. 4 MG 31,680.00 5 158,400.00 - 5 158,400.00 - - - -
712 220140320015 INVOMET INJ. 4 MG 32,670.00 - 15 490,050.00 15 490,050.00 - - - -
713 220140320048 INVOMET TAB. 4 MG 14,711.40 - - - - - - - - -
714 220140320005 INVOMET TAB. 4 MG 16,346.00 - - - - - - - - -
715 220140320048 INVOMET TAB. 4 MG 15,444.00 47 725,868.00 - - - - - 47 725,868.00
716 INVOMET TAB. 8 MG 23,388.75 - - - - - - - - -
717 220520160019 KABIROC INJ. 50 MG 66,000.00 - - - - - - - - -
718 KABIVEN PERIPHERAL 1440 ML 335,995.00 - - - - - - - - -
719 221230620008 KA-EN 1B 500 ML 22,000.00 - - - - - - - - -
720 221230620008 KA-EN 1B 500 ML 9,273.00 - - - - - - - - -
721 221230620008 KA-EN 1B 500 ML 10,125.50 - 20 202,510.00 20 202,510.00 - - - -
722 221230540003 KA-EN 3A 500 ML 22,000.00 - - - - - - - - -
723 221230540003 KA-EN 3A 500 ML 10,285.00 - - - - - - - - -
724 221230540003 KA-EN 3A 500 ML 11,231.00 16 179,696.00 - 16 179,696.00 - - - -
725 221230540110 KA-EN 3B 500 ML 11,231.00 - - - - - - - - -
726 221230540004 KA-EN 3B 500 ML 10,285.00 6 61,710.00 - 6 61,710.00 - - - -
727 221230540110 KA-EN 3B 500 ML 11,231.00 - 40 449,240.00 32 359,392.00 - - 8 89,848.00
728 KALNEX TABLET 500 MG 3,135.00 - - - - - - - - -
729 KALNEX TABLET 500 MG 3,344.00 2 6,688.00 - 2 6,688.00 - - - -
730 224130340066 KALTROFEN SUPP. 14,437.50 - - - - - - - - -
731 224130340066 KALTROFEN SUPP. 13,062.50 - - - - - - - - -
732 220430340005 KALXETIN 10 MG 3,831.67 36 137,940.12 - 12 45,980.04 - - 24 91,960.08
733 220430340009 KALXETIN 20 MG 5,921.67 47 278,318.49 - 2 11,843.34 - - 45 266,475.15
734 128120780018 KANDISTATIN DROPS 38,500.00 - - - - - - - - -
735 128120780018 KANDISTATIN DROPS 36,575.00 - - - - - - - - -
736 221590190006 KARY UNI 5 ML 39,600.00 - - - - - - - - -
737 221230540087 KCL INJ. 25 CC 8,690.00 - - - - - - - - -
738 221230540087 KCL INJ. 25 CC 3,098.70 - - - - - - - - -
739 221230540087 KCL INJ. 7.46 25 ML 3,223.00 - - - - - - - - -
740 221230540087 KCL INJ. 7.46 25 ML 9,130.00 26 237,380.00 - 26 237,380.00 - - - -
75/235
DEPO
741 221230540087 KCL INJ. 7.46 25 ML 3,223.00 - 18 58,014.00 6 19,338.00 - - 12 38,676.00
742 221440810002 KENALOG IN ORBASE CREAM 55,902.00 - - - - - - - - -
743 220510190039 KETESSE INJ- 46,530.00 - - - - - - - - -
744 220510190038 KETESSE TAB. 7,920.00 - - - - - - - - -
745 220950600014 KETOCID CAPS 6,311.25 - - - - - - - - -
746 220950600014 KETOCID CAPS 5,940.00 2 11,880.00 400 2,376,000.00 273 1,621,620.00 - - 129 766,260.00
747 220950200001 KETOSTERIL 7,590.00 - - - - - - - - -
748 220950200001 KETOSTERIL 7,590.00 20 151,800.00 - - - - - 20 151,800.00
749 221440190001 KETRICIN ORABASE 0.1% 5 GR 39,600.00 - - - - - - - - -
750 221440190001 KETRICIN ORABASE 0.1% 5 GR 44,550.00 - - - - - - - - -
751 224130320105 KETROBAT INJ 40,590.00 - - - - - - - - -
752 224130320105 KETROBAT INJ 38,280.00 - - - - - - - - -
753 224130320105 KETROBAT INJ 40,964.00 17 696,388.00 - 17 696,388.00 - - - -
754 KIDIMUN SYR. 60 ML 32,725.00 - 15 490,875.00 3 98,175.00 - - 12 392,700.00
755 KOLKATRIOL 0.25 MCG 6,580.31 30 197,409.30 - - - - - 30 197,409.30
756 221110400005 KSR 600 MG 2,835.71 - - - - - - - - -
757 221110400005 KSR 600 MG 3,005.85 - - - - - - - - -
758 220160370005 L - BIO 5,280.00 - - - - - - - - -
759 220160370005 L - BIO 4,950.00 - - - - - - - - -
760 220160370005 L - BIO 5,445.00 26 141,570.00 - 26 141,570.00 - - - -
761 221250370005 L - CORE 16,280.00 - - - - - - - - -
762 221250370005 L - CORE 22,000.00 3 66,000.00 - - - - - 3 66,000.00
763 221250370005 L - CORE 20,900.00 20 418,000.00 - - - - - 20 418,000.00
764 L – ZINC SYR. 100 ML 34,485.00 - - - - - - - - -
765 221160210022 LACTAFAR 3,135.00 - - - - - - - - -
766 221160210022 LACTAFAR 3,300.00 - - - - - - - - -
767 221150340058 LACTAMOR CAPS 2,229.33 685 1,527,091.05 - 685 1,527,091.05 - - - -
768 221150340058 LACTAMOR CAPS 2,207.04 - 600 1,324,224.00 - - - - 600 1,324,224.00
769 220150490022 LACTO B 5,821.20 - - - - - - - - -
770 220150490022 LACTO B 6,360.20 - - - - - - - - -
771 LACTRIN TABLET 3,080.00 76 234,080.00 - - - - - 76 234,080.00
772 221160130045 LAKTAFIT TAB. 2,970.00 - - - - - - - - -
773 221160130045 LAKTAFIT TAB. 2,524.50 90 227,205.00 - 90 227,205.00 - - - -
774 220110340136 LAMBUCID SYR. 12,100.00 - - - - - - - - -
775 220110340136 LAMBUCID SYR. 11,000.00 - - - - - - - - -
776 226130370005 LAMESON TAB. 4 MG 3,355.00 - - - - - - - - -
777 226130370005 LAMESON TAB. 4 MG 2,860.00 4 11,440.00 - 4 11,440.00 - - - -
778 LAMESON TAB. 8 MG 4,372.50 69 301,702.50 - 53 231,742.50 - - 16 69,960.00
779 220140360011 LAMETIC TAB. 4 MG 27,500.00 20 550,000.00 - - - - - 20 550,000.00
780 LANABAL INJEKSI 22,000.00 - - - - - - - - -
781 LANABAL INJEKSI 22,000.00 6 132,000.00 - 2 44,000.00 - - 4 88,000.00
782 LANABAL KAPSUL 500 MG 2,200.00 - - - - - - - - -
783 LANABAL KAPSUL 500 MG 2,310.00 - - - - - - - - -
784 221690360001 LANAKELOID E CREAM 10 GR 82,500.00 - - - - - - - - -
76/235
DEPO
785 221250360055 LANAVISION CAPS. 4,950.00 - - - - - - - - -
786 221250360055 LANAVISION CAPS. 5,280.00 26 137,280.00 - - - - - 26 137,280.00
787 220240360028 LANCOLIN TAB. 13,200.00 - - - - - - - - -
788 220170360005 LANTULOS SYR. 60 ML 66,000.00 3 198,000.00 - 3 198,000.00 - - - -
789 220170360005 LANTULOS SYR. 60 ML 71,500.00 - 24 1,716,000.00 10 715,000.00 - - 14 1,001,000.00
790 221010530003 LANTUS SOLOSTAR INJ 183,413.46 - - - - - - - - -
791 221010530003 LANTUS SOLOSTAR INJ 83,950.02 1 83,950.02 - 1 83,950.02 - - - -
792 220470370043 LAPIBAL INJ 22,000.00 5 110,000.00 - - - - - 5 110,000.00
793 220470370010 LAPIBAL TAB. 500 MG 1,628.00 - - - - - - - - -
794 220470370010 LAPIBAL TAB. 500 MG 1,732.50 182 315,315.00 - - - - - 182 315,315.00
795 220310370345 LASAL EXP. SYR. 100 ML 40,150.00 - - - - - - - - -
796 220310370345 LASAL EXP. SYR. 100 ML 30,112.50 2 60,225.00 10 301,125.00 12 361,350.00 - - - -
797 220310370011 LASAL SYR. 100 ML 27,500.00 - - - - - - - - -
798 220310370011 LASAL SYR. 100 ML 20,625.00 4 82,500.00 - 1 20,625.00 - - 3 61,875.00
799 220210640118 LASIX INJ.20MG/2CC 14,587.85 - - - - - - - - -
800 220210640115 LASIX TAB. 40 MG 4,406.69 13 57,286.97 - 10 44,066.90 - - 3 13,220.07
801 LATROPIL SYR. 100 ML 35,420.00 3 106,260.00 - - - - - 3 106,260.00
802 220171940009 LAXADIN SYR. 110 ML 48,048.00 - - - - - - - - -
803 220171940009 LAXADIN SYR. 110 ML 48,510.00 - - - - - - - - -
804 220171940010 LAXADIN SYR. 60 ML 35,640.00 - - - - - - - - -
805 220171940010 LAXADIN SYR. 60 ML 35,640.00 - - - - - - - - -
806 220110130168 LAZ TAB. 11,781.00 - - - - - - - - -
807 221810290035 LERZIN SYR. 60 ML 5,197.50 - - - - - - - - -
808 221810290035 LERZIN SYR. 60 ML 5,335.00 - - - - - - - - -
809 220180360001 LESICHOL CAPS 300 MG 8,800.00 - - - - - - - - -
810 220180360001 LESICHOL CAPS 300 MG 11,000.00 34 374,000.00 - - - - - 34 374,000.00
811 220180360002 LESICHOL CAPS 600 MG 16,335.00 - - - - - - - - -
812 220180360002 LESICHOL CAPS 600 MG 18,700.00 22 411,400.00 - - - - - 22 411,400.00
813 220180360002 LESICHOL CAPS 600 MG 19,616.67 60 1,177,000.20 - - - - - 60 1,177,000.20
814 222160550001 LETONAL TAB. 100 MG 4,620.00 - - - - - - - - -
815 222160550001 LETONAL TAB. 100 MG 3,696.00 - - - - - - - - -
816 221010530010 LEVEMIR FLEXPEN 85,000.00 - - - - - - - - -
817 221010530010 LEVEMIR FLEXPEN 83,950.00 - - - - - - - - -
818 LEVIN INFUS 308,000.00 5 1,540,000.00 - 2 616,000.00 - - 3 924,000.00
819 220230350004 LEVOZOL INJ. 8 MG 62,843.00 - - - - - - - - -
820 210130060023 LIDODEX INJ 57,475.00 13 747,175.00 - - - - - 13 747,175.00
821 220270560024 LIFITOR TAB 10 MG 18,191.50 - - - - - - - - -
822 220270560040 LIFITOR TAB 40 MG 19,644.50 - - - - - - - - -
823 221140810020 LIKOKALK TAB. 162.00 - - - - - - - - -
824 220150340156 LIPROLAC VAN. 6,270.00 - - - - - - - - -
825 220150340156 LIPROLAC VAN. 6,618.33 12 79,419.96 30 198,549.90 31 205,168.23 - - 11 72,801.63
826 221250620087 LIPROQY TAB 5,626.50 10 56,265.00 - - - - - 10 56,265.00
827 220180120007 LIVERPRIME CAPS 5,940.00 - - - - - - - - -
828 220180120007 LIVERPRIME CAPS 6,237.00 - - - - - - - - -
77/235
DEPO
829 221020130018 LODEM TAB. 1,881.00 3 5,643.00 - - - - - 3 5,643.00
830 LODIA TABLET 2 MG 809.88 - - - - - - - - -
831 LODIA TABLET 2 MG 831.18 60 49,870.80 60 49,870.80 56 46,546.08 - - 64 53,195.52
832 220320020084 LONGATIN 25 MG 2,662.00 65 173,030.00 - - - - - 65 173,030.00
833 220210770076 LOPITEN 10 MG 10,120.00 - - - - - - - - -
834 220111970128 LOPREZOL CAPS. 30 MG 780.01 - - - - - - - - -
835 220111970128 LOPREZOL CAPS. 30 MG 799.99 40 31,999.60 - - - - - 40 31,999.60
836 220260640002 LOVENOX INJ. 0,4 MG 84,999.75 - - - - - - - - -
837 220260640003 LOVENOX INJ. 0,6 MG 117,499.80 4 469,999.20 30 3,524,994.00 19 2,232,496.20 - - 15 1,762,497.00
838 LUBIRE CAPS. 3,814.25 - - - - - - - - -
839 LUBIRE CAPS. 3,291.75 60 197,505.00 - 10 32,917.50 - - 50 164,587.50
840 LUBIRE SYR. 60 ML 38,500.00 5 192,500.00 - - - - - 5 192,500.00
841 220440560001 LYRICA 75 MG 11,941.66 - - - - - - - - -
842 221150130042 LYVIT SYR 60 ML 24,750.00 - - - - - - - - -
843 221150320066 LYVIT SYR 60 ML 24,750.00 1 24,750.00 - - - - - 1 24,750.00
844 220110550075 MAGTRAL SYR 120 ML 23,760.00 - - - - - - - - -
845 220110550075 MAGTRAL SYR 120 ML 21,532.50 - - - - - - - - -
846 220110550075 MAGTRAL SYR 120 ML 23,925.00 22 526,350.00 72 1,722,600.00 76 1,818,300.00 - - 18 430,650.00
847 221150440001 MALTIRON PLUS TAB. 1,188.00 - - - - - - - - -
848 221150440001 MALTIRON PLUS TAB. 1,320.00 100 132,000.00 - - - - - 100 132,000.00
849 221160100032 MALTOFER TAB 2,823.33 - - - - - - - - -
850 221230540037 MANITOL INFUS 500 ML 39,499.90 - - - - - - - - -
851 221230540038 MARTOS 10 500 ML 31,100.30 - - - - - - - - -
852 221230540038 MARTOS 10 500 ML 31,100.30 14 435,404.20 - - - - - 14 435,404.20
853 120850440052 MAXPRO TAB. 100 MG 15,840.00 - - - - - - - - -
854 221690100019 MEBO OINTMENT 84,700.00 3 254,100.00 - - - - - 3 254,100.00
855 221250370003 MECOLA TAB 3,300.00 - - - - - - - - -
856 221250370003 MECOLA TAB 4,400.00 - - - - - - - - -
857 221250370003 MECOLA TAB 4,180.00 40 167,200.00 - - - - - 40 167,200.00
858 221690100019 MEDIAMER B6 TBL. 2,546.03 - - - - - - - - -
859 220140120002 MEDIAMER B6 TBL. 2,546.03 130 330,983.90 - 20 50,920.60 - - 110 280,063.30
860 MEDISTEIN 300 MG 2,805.00 - - - - - - - - -
861 MEDISTEIN 300 MG 4,441.25 90 399,712.50 - - - - - 90 399,712.50
862 226130190010 MEDIXON INJ. 125 MG 74,250.00 - - - - - - - - -
863 226130190019 MEDIXON TAB.4 MG 2,277.00 6 13,662.00 - 2 4,554.00 - - 4 9,108.00
864 220410620045 MEFINAL CAPS. 250 MG 484.00 - - - - - - - - -
865 220410620045 MEFINAL CAPS. 250 MG 494.45 24 11,866.80 - - - - - 24 11,866.80
866 220410620051 MEFINAL CAPS. 500 MG 1,082.40 - - - - - - - - -
867 220410620051 MEFINAL CAPS. 500 MG 1,078.41 - - - - - - - - -
868 220410620051 MEFINAL CAPS. 500 MG 1,108.25 111 123,015.75 300 332,475.00 320 354,640.00 - - 91 100,850.75
869 220470620011 MEGABAL TABLET 824.98 - - - - - - - - -
870 220470620011 MEGABAL TABLET 825.03 - - - - - - - - -
871 220470620011 MEGABAL TABLET 825.07 243 200,492.01 300 247,521.00 235 193,891.45 - - 308 254,121.56
872 220130440233 MELIDOX TAB. 1,100.00 - - - - - - - - -
78/235
DEPO
873 224130320069 MELOXIN 15 MG 8,684.50 1 8,684.50 - - - - - 1 8,684.50
874 220470440012 MEPROBAL 500 MG 1,584.00 - - - - - - - - -
875 128100440004 MEPROTRIN SYR. 16,362.50 - - - - - - - - -
876 128100440004 MEPROTRIN SYR. 18,287.50 - 3 54,862.50 3 54,862.50 - - - -
877 220310540346 MEPTIN INHALATION SOL 0.3 M 8,883.60 - - - - - - - - -
878 220310540017 MEPTIN INHALITION SOL 0.5 M 8,883.60 - - - - - - - - -
879 220310540015 MEPTIN SYRUP 52,030.00 - - - - - - - - -
880 220310540016 MEPTIN TAB. 0,025 MG 2,445.30 - - - - - - - - -
881 220310540017 MEPTIN TAB. 0,050 MG 4,165.70 - - - - - - - - -
882 220480150003 MERISLON TAB 5,051.08 - - - - - - - - -
883 220480150003 MERISLON TAB 5,051.08 - - - - - - - - -
884 220480150003 MERISLON TAB 6,955.15 57 396,443.55 - 36 250,385.40 - - 21 146,058.15
885 224120410030 MERLOPAM 0.5 MG 1,045.00 - - - - - - - - -
886 220480130004 MERTIGO SR TABLET 4,315.03 - - - - - - - - -
887 220480130004 MERTIGO SR TABLET 4,488.00 - - - - - - - - -
888 220480130002 MERTIGO TABLET 2,992.00 - - - - - - - - -
889 METHAM CAPS. 3,553.00 30 106,590.00 - - - - - 30 106,590.00
890 221230540025 MEYLON INJ. 6,199.60 13 80,594.80 12 74,395.20 8 49,596.80 - - 17 105,393.20
891 221230540111 MGSO4 20% 25 ML 6,600.00 - - - - - - - - -
892 221230540112 MGSO4 40% 25 ML 8,690.00 - - - - - - - - -
893 221230540112 MGSO4 40% 25 ML 3,649.80 - - - - - - - - -
894 221230540112 MGSO4 40% 25 ML 3,796.10 3 11,388.30 30 113,883.00 12 45,553.20 - - 21 79,718.10
895 220210070030 MICARDIS 40 MG 13,854.14 - - - - - - - - -
896 220210070031 MICARDIS 80 MG 17,961.41 - - - - - - - - -
897 220170580008 MICROLAX SUPP. 19,360.00 - - - - - - - - -
898 220170580008 MICROLAX SUPP. 17,325.00 - - - - - - - - -
899 MINIASPI 80 MG 429.00 106 45,474.00 100 42,900.00 141 60,489.00 - - 65 27,885.00
900 221440810008 MINOSEP 150 ML 36,300.00 - - - - - - - - -
901 221440810008 MINOSEP 150 ML 38,500.00 1 38,500.00 - - - - - 1 38,500.00
902 221440810010 MINOSEP 60 ML 20,900.00 - - - - - - - - -
903 220930160006 MIOMERGIN INJ. 5,500.00 - - - - - - - - -
904 220150270028 MOLAGIT TAB. 481.07 1 481.07 - 1 481.07 - - - -
905 220150270028 MOLAGIT TAB. 481.06 - - - - - - - - -
906 221160120036 MOLOCO B12 TAB. 3,017.85 195 588,480.75 - 10 30,178.50 - - 185 558,302.25
907 220420350008 MORPHIN HCL INJ 10,499.39 - - - - - - - - -
908 220420350008 MORPHIN HCL INJ 34,049.95 10 340,499.50 - 10 340,499.50 - - - -
909 MOXIC TABLET 5,500.00 35 192,500.00 - 15 82,500.00 - - 20 110,000.00
910 220420810001 MST CONTINUS 10 MG 15,620.00 - - - - - - - - -
911 220420810001 MST CONTINUS 10 MG 22,990.00 - - - - - - - - -
912 220320550028 MUCERA DROPS 30,800.00 - - - - - - - - -
913 220320550028 MUCERA DROPS 31,680.00 - - - - - - - - -
914 220320550028 MUCERA DROPS 28,710.00 6 172,260.00 8 229,680.00 12 344,520.00 - - 2 57,420.00
915 220320550020 MUCERA SYR 15 MG / 60 ML 16,720.00 - - - - - - - - -
916 220320550020 MUCERA SYR 15 MG / 60 ML 17,600.00 - - - - - - - - -
79/235
DEPO
917 220320550025 MUCERA SYR 30 MG / 60 ML 21,532.50 - - - - - - - - -
918 220320550025 MUCERA SYR 30 MG / 60 ML 22,330.00 4 89,320.00 - 1 22,330.00 - - 3 66,990.00
919 220320550014 MUCERA TAB 792.00 - - - - - - - - -
920 220320550014 MUCERA TAB 797.50 - - - - - - - - -
921 220320550014 MUCERA TAB 877.25 73 64,039.25 - 44 38,599.00 - - 29 25,440.25
922 220110440149 MUCIFAT SYR 41,800.00 - - - - - - - - -
923 220320620007 MUCOHEXIN SYR 13,376.00 - - - - - - - - -
924 220320620007 MUCOHEXIN SYR 13,299.00 - - - - - - - - -
925 220320620007 MUCOHEXIN SYR 13,640.00 4 54,560.00 - 2 27,280.00 - - 2 27,280.00
926 220320620003 MUCOHEXIN TABLET 429.00 - - - - - - - - -
927 220320070021 MUCOPECT 15 MG SYR 60ML (ANA 46,637.40 - - - - - - - - -
928 220320070026 MUCOPECT 30 MG SYR 60 ML ( D 55,537.57 2 111,075.14 - - - - - 2 111,075.14
929 220320070029 MUCOPECT DROPS 15 MG 20 ML 55,520.85 - - - - - - - - -
930 220320440030 MUCOS DROPS 29,480.00 - - - - - - - - -
931 220320440030 MUCOS DROPS 30,360.00 3 91,080.00 - - - - - 3 91,080.00
932 220110540090 MUCOSTA TAB. 100 MG 4,596.90 - - - - - - - - -
933 220110550089 MUSIN SYR. 44,000.00 - - - - - - - - -
934 220110550089 MUSIN SYR. 27,500.00 - - - - - - - - -
935 MUSTELA STELA EMOL CR 200 ML 298,870.00 1 298,870.00 - - - - - 1 298,870.00
936 220520150001 MYONAL TAB. 6,807.08 7 47,649.56 - - - - - 7 47,649.56
937 220520150001 MYONAL TAB. 7,463.76 100 746,376.00 - - - - - 100 746,376.00
938 220520370002 MYONEP TAB 3,520.00 - - - - - - - - -
939 220520370002 MYONEP TAB 2,640.00 - - - - - - - - -
940 220520370002 MYONEP TAB 2,904.00 95 275,880.00 - - - - - 95 275,880.00
941 220520440004 MYORES TAB 4,455.00 - - - - - - - - -
942 220310550349 NAIRET INJ. 16,500.00 - - - - - - - - -
943 220310550349 NAIRET INJ. 22,000.00 4 88,000.00 10 220,000.00 4 88,000.00 - - 10 220,000.00
944 220310550029 NAIRET TAB. 968.00 60 58,080.00 - 60 58,080.00 - - - -
945 220260770017 NALETAL 100 TAB 9,900.00 - - - - - - - - -
946 220260770011 NALETAL 50 TAB 7,700.00 - - - - - - - - -
947 271440640001 NASACORT AQ 199,121.40 - - - - - - - - -
948 221440640014 NASACORT AQ SPRAY 106,749.50 2 213,499.00 - - - - - 2 213,499.00
949 NEO GYNOXA OVULA 14,421.00 - - - - - - - - -
950 220250100030 NEO K 2 MG INJ 13,640.00 - - - - - - - - -
951 220150620003 NEO KAOLANA SYR 10,384.00 - - - - - - - - -
952 220150620003 NEO KAOLANA SYR 10,315.25 - - - - - - - - -
953 220240370032 NEUCITI INJ. 250 29,920.00 - - - - - - - - -
954 220240190009 NEUCITI INJ. 250 37,620.00 - - - - - - - - -
955 220240370034 NEUCITI INJ. 500 MG ( 4 ML ) 38,500.00 - - - - - - - - -
956 220240370034 NEUCITI INJ. 500 MG ( 4 ML ) 46,200.00 1 46,200.00 - 1 46,200.00 - - - -
957 220240370033 NEUCITI TAB 7,480.00 - - - - - - - - -
958 220240370033 NEUCITI TABLET 500 MG 3,859.90 - - - - - - - - -
959 220240370033 NEUCITI TABLET 500 MG 7,837.50 32 250,800.00 - 30 235,125.00 - - 2 15,675.00
960 220240190021 NEULIN PS 10,890.00 - - - - - - - - -
80/235
DEPO
961 221120400030 NEUROBION FORTE CAPS. 5.000 2,315.84 - - - - - - - - -
962 221120400030 NEUROBION FORTE CAPS. 5.000 2,505.60 99 248,054.40 - 16 40,089.60 - - 83 207,964.80
963 221120400027 NEUROBION INJ. 5000 ML 9,525.01 - - - - - - - - -
964 221120400027 NEUROBION INJ. 5000 ML 8,572.51 - - - - - - - - -
965 221120130007 NEURODEX TABLET 595.93 - - - - - - - - -
966 221120130007 NEURODEX TABLET 605.00 - - - - - - - - -
967 220410350041 NEURODIAL TAB 1,265.00 - 300 379,500.00 52 65,780.00 - - 248 313,720.00
968 221120620009 NEUROSANBE 5000 MG 1,940.40 - - - - - - - - -
969 NEUROSANBE 5000 MG 1,926.65 - - - - - - - - -
970 NEUROSANBE 5000 MG 1,977.80 32 63,289.60 - 31 61,311.80 - - 1 1,977.80
971 221120620036 NEUROSANBE INJ. 4,149.20 - - - - - - - - -
972 221120620036 NEUROSANBE INJ. 3,859.90 - - - - - - - - -
973 221120620036 NEUROSANBE INJ. 5,467.00 41 224,147.00 - 41 224,147.00 - - - -
974 221120620036 NEUROSANBE INJ. 3,963.58 - - - - - - - - -
975 221120620014 NEUROSANBE PLUS CAPS. 836.00 - - - - - - - - -
976 221120620014 NEUROSANBE PLUS CAPS. 858.00 3 2,574.00 - 3 2,574.00 - - - -
977 221120620014 NEUROSANBE PLUS CAPS. 873.81 100 87,381.00 - 33 28,835.73 - - 67 58,545.27
978 NEUROSANBE TAB 902.00 - - - - - - - - -
979 221120620009 NEUROSANBE TABLET 899.39 40 35,975.60 - 40 35,975.60 - - - -
980 220470340027 NEUROTAM INJ 1 GR 16,720.00 - - - - - - - - -
981 220470340034 NEUROTAM INJ 3 GR 57,475.00 - - - - - - - - -
982 220470340031 NEUROTAM SYR. 100 ML 60,610.00 3 181,830.00 - - - - - 3 181,830.00
983 220470340021 NEUROTAM TAB. 400 MG 2,048.20 - - - - - - - - -
984 220210130241 NEVODIO TAB. 4,950.00 10 49,500.00 - - - - - 10 49,500.00
985 221020340015 NEVOX XR 1,915.83 65 124,528.95 - - - - - 65 124,528.95
986 221120060032 NEVRADIN E. TAB. 2,391.13 - - - - - - - - -
987 220150450002 NEW DIATABS TAB 640.73 - - - - - - - - -
988 220150450002 NEW DIATABS TAB 557.15 23 12,814.45 - 23 12,814.45 - - - -
989 220150440010 NIFUDIAR SYR 60 ML 30,800.00 - - - - - - - - -
990 220150120009 NIFURAL SYRUP 48,955.50 - - - - - - - - -
991 220210050101 NIMOTOP TAB 7,084.00 - - - - - - - - -
992 220210350104 NITROKAF RETARD CAPS 1,575.00 - - - - - - - - -
993 220210350104 NITROKAF RETARD CAPS 1,638.00 - 200 327,600.00 20 32,760.00 - - 180 294,840.00
994 220210350106 NITROKAF RETARD FORTE CAPS 2,426.00 - - - - - - - - -
995 220210350106 NITROKAF RETARD FORTE CAPS 2,521.99 - - - - - - - - -
996 221250340031 NOCID KAPLET 6,086.52 - - - - - - - - -
997 221250340031 NOCID KAPLET 5,543.47 33 182,934.51 200 1,108,694.00 93 515,542.71 - - 140 776,085.80
998 226120130002 NORELUT TAB. 4,400.00 15 66,000.00 - - - - - 15 66,000.00
999 NORFION INJEKSI 4 MG/ 4ML 88,000.00 33 2,904,000.00 30 2,640,000.00 46 4,048,000.00 - - 17 1,496,000.00
### 220110770023 NORSEC CAPS 13,090.00 - - - - - - - - -
### 220210130241 NOVODIO TAB 4,207.50 - - - - - - - - -
### 221010530005 NOVOMIX FLEXPEN 159,681.50 - - - - - - - - -
### 221010530005 NOVOMIX FLEXPEN 110,968.00 - - - - - - - - -
### 221010530002 NOVORAPID FLEXPEN 87,000.00 - - - - - - - - -
81/235
DEPO
### 221250810061 NUTRIBREAST TAB. 8,459.00 - - - - - - - - -
### 221250810061 NUTRIBREAST TAB. 8,036.05 52 417,874.60 - 10 80,360.50 - - 42 337,514.10
### 221250770002 NUZYM CAPS 6,600.00 - - - - - - - - -
### 221250770002 NUZYM CAPS 6,792.50 14 95,095.00 - - - - - 14 95,095.00
### 228120770006 NYNDIA DROPS 38,500.00 - - - - - - - - -
### 228120770006 NYNDIA DROPS 39,187.50 2 78,375.00 - 2 78,375.00 - - - -
1011 NYSTIN DROPS 12 ML 30,937.50 1 30,937.50 - 1 30,937.50 - - - -
### 220310540044 OBUCORT SWINGHALER 158,122.80 - - - - - - - - -
### 228170340002 OCTALBIN INF. 25% 100ML 1,499,999.60 - - - - - - - - -
### ODR SYR. 60 ML 70,840.00 - - - - - - - - -
### 220110190033 OMZ INJ. 117,810.00 - - - - - - - - -
### 220140770017 ONDANE INJ. 4 MG / 2 ML 30,580.00 - - - - - - - - -
### 220140210018 ONETIC INJ. 4 MG 20,625.00 - - - - - - - - -
### 220140210042 ONETIC TAB 4 MG 12,155.00 - - - - - - - - -
### 220140210042 ONETIC TAB 4 MG 12,809.50 30 384,285.00 - - - - - 30 384,285.00
### 226130550021 OPICORT TAB. 4 MG 2,062.50 - - - - - - - - -
### 226130550021 OPICORT TAB. 4 MG 1,993.75 43 85,731.25 - 23 45,856.25 - - 20 39,875.00
### 220170550006 OPILAX SYR. 60 ML 41,360.00 - - - - - - - - -
### 220170550006 OPILAX SYR. 60 ML 39,875.00 8 319,000.00 - 8 319,000.00 - - - -
### 220170550006 OPILAX SYR. 60 ML 37,482.50 - 10 374,825.00 10 374,825.00 - - - -
### OPINACEA CAPS. 5,343.25 - 210 1,122,082.50 75 400,743.75 - - 135 721,338.75
### 220410550438 OPINEURON TAB 968.00 - - - - - - - - -
### 220410550438 OPINEURON TAB 1,036.75 92 95,381.00 200 207,350.00 120 124,410.00 - - 172 178,321.00
### 120870550013 OPIPHEN SYR. 22,000.00 - - - - - - - - -
### 120870550013 OPIPHEN SYR. 17,600.00 - - - - - - - - -
### OPIROL TABLET 2.5 MG 1,833.33 - - - - - - - - -
### OPIROL TABLET 2.5 MG 1,661.46 128 212,666.88 - 10 16,614.60 - - 118 196,052.28
### OPIROL TABLET 5 MG 2,933.33 - - - - - - - - -
### OPIROL TABLET 5 MG 2,658.33 123 326,974.59 - - - - - 123 326,974.59
### 220210550080 OPIVASK 10 MG 10,175.00 - - - - - - - - -
### 220210550080 OPIVASK 10 MG 8,140.00 - - - - - - - - -
### 220210550080 OPIVASK 10 MG 6,105.00 104 634,920.00 240 1,465,200.00 267 1,630,035.00 - - 77 470,085.00
### 220210550072 OPIVASK 5 MG 5,720.00 - - - - - - - - -
### 220210550072 OPIVASK 5 MG 4,576.00 4 18,304.00 - 4 18,304.00 - - - -
### 224110550008 OPIZOLAM TAB 1 MG 3,344.00 - - - - - - - - -
### 224110550008 OPIZOLAM TAB 1 MG 3,030.50 150 454,575.00 - - - - - 150 454,575.00
### 221250370067 OPTALVIT SYR 60 ML 52,800.00 - - - - - - - - -
### 221250370067 OPTALVIT SYR 60 ML 66,000.00 1 66,000.00 - - - - - 1 66,000.00
### 221250370066 OPTALVIT PLUS TAB 4,840.00 - - - - - - - - -
### 221250370066 OPTALVIT PLUS TAB 6,050.00 - - - - - - - - -
### 221250370066 OPTALVIT PLUS TAB 5,747.50 100 574,750.00 - 20 114,950.00 - - 80 459,800.00
### 220410550030 ORASIC CAPS. 2,640.00 - - - - - - - - -
### 220410550030 ORASIC CAPS. 3,080.00 - - - - - - - - -
### 220410550030 ORASIC CAPS. 2,791.25 82 228,882.50 - 82 228,882.50 - - - -
82/235
DEPO
### 220410550031 ORASIC INJ 16,500.00 - - - - - - - - -
### 220410550031 ORASIC INJ 13,557.50 24 325,380.00 - 1 13,557.50 - - 23 311,822.50
### OSFIT DHA CAPS. 4,180.00 20 83,600.00 - 20 83,600.00 - - - -
### OSFIT DHA CAPS. 4,458.67 - 30 133,760.10 10 44,586.70 - - 20 89,173.40
### 221150130052 OSSOVIT SYR 100 ML 62,700.00 - - - - - - - - -
### 221150130052 OSSOVIT SYR 100 ML 61,875.00 - - - - - - - - -
### 220410550450 OSTARIN FORTE SYR. 17,600.00 - - - - - - - - -
### 220410550450 OSTARIN FORTE SYR. 18,342.50 18 330,165.00 - 7 128,397.50 - - 11 201,767.50
### 220410550449 OSTARIN SYR. 15,950.00 - - - - - - - - -
### 220410550449 OSTARIN SYR. 16,747.50 9 150,727.50 - 8 133,980.00 - - 1 16,747.50
### 220560600014 OSTEOR C CREAM 112,200.00 - - - - - - - - -
### 220560600014 OSTEOR C CREAM 116,600.00 - - - - - - - - -
### 220560600010 OSTEOR PLUS CAPS. 7,507.50 - - - - - - - - -
### 220560600010 OSTEOR PLUS CAPS. 6,545.00 - - - - - - - - -
### 221420320001 OTOPAIN EAR DROPS 54,560.00 - - - - - - - - -
### 220410550011 OTTOPAN DROPS 17,600.00 - - - - - - - - -
### 220410550011 OTTOPAN DROPS 20,240.00 - - - - - - - - -
### 220410550011 OTTOPAN DROPS 18,342.50 - - - - - - - - -
### 220410550011 OTTOPAN DROPS 19,937.50 1 19,937.50 8 159,500.00 8 159,500.00 - - 1 19,937.50
### 220410550005 OTTOPAN SYR 13,200.00 - - - - - - - - -
### 220410550005 OTTOPAN SYR 11,962.50 15 179,437.50 - 2 23,925.00 - - 13 155,512.50
### 220110550102 OTTOZOL INJ. 90,750.00 - - - - - - - - -
### OXFEZIN SYR. 60 ML 19,800.00 5 99,000.00 - - - - - 5 99,000.00
### 220380580384 OXOFERIN 67,925.00 - - - - - - - - -
### 220380580384 OXOFERIN 67,210.00 - - - - - - - - -
### 220930490008 OXYLA INJ 12,397.00 - - - - - - - - -
### 220110120025 OZID CAPS 12,186.43 4 48,745.72 - - - - - 4 48,745.72
### 220110120034 OZID INJ. 36,025.00 - 140 5,043,500.00 97 3,494,425.00 - - 43 1,549,075.00
### PAMOL DROPS 35,200.00 5 176,000.00 - - - - - 5 176,000.00
### 220410320017 PAMOL SUPP 125 MG 9,680.00 - - - - - - - - -
### 220410320017 PAMOL SUPP 125 MG 10,384.00 3 31,152.00 - 3 31,152.00 - - - -
### 220410320424 PAMOL SUPP 250 MG 14,036.00 - - - - - - - - -
### 220410320424 PAMOL SUPP 250 MG 15,048.00 23 346,104.00 - 11 165,528.00 12 180,576.00 - -
### 220410320445 PAMOL SYR. 60 ML 23,100.00 - - - - - - - - -
### 220410320445 PAMOL SYR. 60 ML 20,790.00 - - - - - - - - -
### 220410320445 PAMOL SYR. 60 ML 25,300.00 - - - - - - - - -
### 220410320015 PAMOL TABLET 500 MG 449.85 - - - - - - - - -
### 220410320015 PAMOL TABLET 500 MG 589.88 - 100 58,988.00 20 11,797.60 - - 80 47,190.40
### 220110360156 PANLOC INJ. 64,998.45 - - - - - - - - -
### 220110360156 PANLOC INJ. 154,000.00 10 1,540,000.00 - - - - - 10 1,540,000.00
### 221570090009 PANTOCAIN EYE DROPS 2% 14,429.25 - - - - - - - - -
### 220110320054 PANTOPUMP INJ 155,100.00 - - - - - - - - -
### 220110320054 PANTOPUMP INJ 130,680.00 8 1,045,440.00 - 7 914,760.00 - - 1 130,680.00
### 220110320054 PANTOPUMP INJ 142,120.00 - 10 1,421,200.00 10 1,421,200.00 - - - -
83/235
DEPO
### 220130570027 PEHACAIN INJEKSI 3,113.05 - 20 62,261.00 10 31,130.50 - - 10 31,130.50
### 120810620060 PELASTIN INJ. 273,680.00 - - - - - - - - -
### 120810620060 PELASTIN INJ. 273,680.00 4 1,094,720.00 - - - - - 4 1,094,720.00
### 224100410015 PERSIDAL 2 7,150.00 - - - - - - - - -
### PHADILON INJ. 125 MG 33,000.00 - - - - - - - - -
### PHADILON INJ. 125 MG 19,800.00 14 277,200.00 - 14 277,200.00 - - - -
### PHALSY SYR. 46,200.00 - - - - - - - - -
1100 PHYFION INJ. 2 MG/ML 11,000.00 - 50 550,000.00 - - 35 385,000.00 15 165,000.00
1101 120880350004 PIL KINA 222 MG 1,058.29 - - - - - - - - -
1102 221610670008 PIROTOP CREAM 10 MG 58,272.50 - - - - - - - - -
1103 220930160017 PITOGIN S INJ. 7,315.00 - - - - - - - - -
1104 220930160017 PITOGIN S INJ. 7,700.00 - - - - - - - - -
1105 228170140003 PLASBUMIN 20% 100 ML 857,841.60 - - - - - - - - -
1106 228170140003 PLASBUMIN 20% 100 ML 1,510,000.00 - - - - - - - - -
1107 228170140004 PLASBUMIN 20% 20 ML 372,985.80 - - - - - - - - -
1108 228170140004 PLASBUMIN 25% 20 ML 387,920.00 - - - - - - - - -
1109 220250620004 PLASMINEX INJ. 10,146.40 - - - - - - - - -
1110 220250620004 PLASMINEX INJ. 9,426.45 - - - - - - - - -
1111 220250620004 PLASMINEX INJ. 9,665.70 19 183,648.30 40 386,628.00 59 570,276.30 - - - -
1112 PLASMINEX TABLET 2,208.80 - - - - - - - - -
1113 PLASMINEX TABLET 2,195.19 - - - - - - - - -
1114 PLASMINEX TABLET 2,250.60 - 300 675,180.00 92 207,055.20 - - 208 468,124.80
1115 220260640058 PLATOGRIX TAB. 12,335.68 - - - - - - - - -
1116 220260640032 PLAVIX TAB. 27,200.21 - - - - - - - - -
1117 PLAVIX TAB. 300 MG 16,392.97 5 81,964.85 - 5 81,964.85 - - - -
1118 221530620004 POLIDEMISIN EYE DROPS 23,144.00 - - - - - - - - -
1121 221530620005 POLIDEMISIN SALEP MATA 28,729.25 2 57,458.50 - 1 28,729.25 - - 1 28,729.25
1122 220410130055 PONDEX SYR 11,275.00 - - - - - - - - -
1123 220270320032 PRAVINAT TAB 20 MG 4,449.50 - - - - - - - - -
1124 220270320032 PRAVINAT TAB 20 MG 8,899.00 - - - - - - - - -
1125 220410580433 PRAXION SYR 120 MG 20,790.00 - - - - - - - - -
1126 220410580433 PRAXION SYR 120 MG 19,635.00 10 196,350.00 - 10 196,350.00 - - - -
1127 220410580008 PRAXION SYR 250 MG 23,375.00 - - - - - - - - -
1128 226120080002 PREABOR TAB. 2,779.15 - - - - - - - - -
1129 226120080002 PREABOR TAB. 2,855.87 - 30 85,676.10 30 85,676.10 - - - -
1130 220350550032 PREDNICORT INJ. 125 MG 72,160.00 - - - - - - - - -
1131 220350550032 PREDNICORT INJ. 125 MG 65,395.00 - - - - - - - - -
1132 220350550032 PREDNICORT INJ. 125 MG 67,787.50 81 5,490,787.50 - 10 677,875.00 - - 71 4,812,912.50
1133 220110690140 PRIMPERAN TAB 5 MG 752.40 80 60,192.00 - 16 12,038.40 - - 64 48,153.60
1134 228160570001 PRO TB2 7,246.25 2 14,492.50 - - - - - 2 14,492.50
1135 221250620078 PROBIOKID SACHETS @ 1.5 G 10,349.35 - - - - - - - - -
1136 221250620078 PROBIOKID SACHETS @ 1.5 G 10,613.62 23 244,113.26 - - - - - 23 244,113.26
84/235
DEPO
1137 221250620078 PROBIOKID TAB 10,419.20 - - - - - - - - -
1138 221150620064 PROBIOSTIM CAPS. 7,986.00 - - - - - - - - -
1139 221150620064 PROBIOSTIM CAPS. 7,936.78 - - - - - - - - -
1140 221150620064 PROBIOSTIM CAPS. 5,120.50 123 629,821.50 120 614,460.00 243 1,244,281.50 - - - -
1141 221160440042 PROCALMA LICAPS 3,814.25 30 114,427.50 - 10 38,142.50 - - 20 76,285.00
1142 224130100109 PROFECOM SUPP 13,420.00 - - - - - - - - -
1143 220410780007 PROGESIC SYR. 22,990.00 - - - - - - - - -
1144 220410780007 PROGESIC SYR. 22,990.00 - - - - - - - - -
1145 220410780014 PROGESIC TAB. 467.50 - - - - - - - - -
1146 220410780014 PROGESIC TAB. 444.13 - - - - - - - - -
1147 226120440009 PROGESTON TAB 2,992.00 - - - - - - - - -
1148 221160810043 PROHELIC TAB 5,434.00 - - - - - - - - -
1149 221160810043 PROHELIC TAB 5,610.00 - - - - - - - - -
1150 220250210029 PROHEM INJ. 8,250.00 - - - - - - - - -
1151 220250210029 PROHEM INJ. 9,075.00 22 199,650.00 10 90,750.00 12 108,900.00 20 181,500.00 - -
1152 PROINFARK INJEKSI 13,200.00 - 15 198,000.00 4 52,800.00 - - 11 145,200.00
1153 PROLIC 300 MG CAPS 5,826.84 169 984,735.96 - 10 58,268.40 - - 159 926,467.56
1154 PROLYSIN SYRUP 120 ML 19,140.00 - - - - - - - - -
1155 PROLYSIN PLUS SYRUP 100 ML 24,420.00 - - - - - - - - -
1156 PROLYSIN PLUS SYRUP 100 ML 24,420.00 4 97,680.00 - - - - - 4 97,680.00
1157 120890440012 PROMUBA SYR 60 ML 32,120.00 - - - - - - - - -
1158 120890440012 PROMUBA SYR 60 ML 33,000.00 - - - - - - - - -
1159 220890440902 PROMUBA SYR 60 ML 39,187.50 - - - - - - - - -
1160 224130130076 PRONALGES TAB. 100 MG 4,207.50 - - - - - - - - -
1161 220510130033 PRONALGES CR TAB. 200 MG 7,480.00 - - - - - - - - -
1162 220510130034 PRONALGES SUPP 11,126.50 - - - - - - - - -
1163 220510130034 PRONALGES SUPP. 13,970.00 - - - - - - - - -
1164 220410580063 PRORIS SYR 21,384.00 - - - - - - - - -
1165 220410580063 PRORIS SYR 19,245.60 - - - - - - - - -
1166 220410580064 PRORIS SYR FORTE 22,096.80 2 44,193.60 4 88,387.20 3 66,290.40 - - 3 66,290.40
1167 220410580064 PRORIS SYR FORTE 23,460.80 - - - - - - - - -
1168 220410260434 PROSINAL SYR 24,007.50 - - - - - - - - -
1169 220410260434 PROSINAL SYR 26,675.00 - - - - - - - - -
1170 220110700047 PROSOGAN INJ. 30 MG 139,089.50 - - - - - - - - -
1171 220950100015 PROSTACOM TAB. 2,950.20 25 73,755.00 - - - - - 25 73,755.00
1172 220930490019 PROTERINE INJ 20,482.00 - - - - - - - - -
1173 220930490002 PROTERINE TAB 4,851.00 - - - - - - - - -
1174 220930490002 PROTERINE TAB 4,851.00 10 48,510.00 - - - - - 10 48,510.00
1175 224130350078 PROTOFEN SUPP. 4,185.00 - - - - - - - - -
1176 PROTOFEN SUPP. 2,379.96 - - - - - - - - -
1177 220110320026 PROTOP CAPS 11,880.00 - - - - - - - - -
1178 220110320026 PROTOP CAPS 12,760.00 121 1,543,960.00 - 87 1,110,120.00 - - 34 433,840.00
1179 220110320026 PROTOP CAPS 13,158.75 - 140 1,842,225.00 - - - - 140 1,842,225.00
1180 220440340004 PROVELYN 150 MG 14,182.14 - - - - - - - - -
85/235
DEPO
1181 220440340004 PROVELYN 150 MG 14,928.57 25 373,214.25 - - - - - 25 373,214.25
1182 220440340002 PROVELYN 75 MG 9,927.50 - - - - - - - - -
1183 220440340002 PROVELYN 75 MG 10,324.60 28 289,088.80 - - - - - 28 289,088.80
1184 221150360017 PROVITAL PLUS TBL 5,225.00 - - - - - - - - -
1185 221150360017 PROVITAL PLUS TBL 5,500.00 - - - - - - - - -
1186 221150360017 PROVITAL PLUS TBL 5,764.00 60 345,840.00 100 576,400.00 53 305,492.00 - - 107 616,748.00
1187 221150360016 PROVITAL TBL 3,025.00 - - - - - - - - -
1188 221150360016 PROVITAL TBL 3,300.00 51 168,300.00 - 10 33,000.00 - - 41 135,300.00
1189 220390130001 PSIDII SYR 60 ML 30,855.00 - - - - - - - - -
1190 220390130001 PSIDII SYR 60 ML 36,300.00 - - - - - - - - -
1191 220310030045 PULMICORT 0.25 MG 9,724.86 - - - - - - - - -
1192 220310030045 PULMICORT 0.25 MG 9,724.95 - - - - - - - - -
1193 220310030039 PULMICORT INHALER 103,575.32 - - - - - - - - -
1194 220310030039 PULMICORT INHALER 105,040.10 5 525,200.50 - 2 210,080.20 - - 3 315,120.30
1195 PULMICORT NEBU 0.5 MG 20,072.62 - - - - - - - - -
1196 220310030046 PULMICORT RESPULES 0.5 MG 23,242.01 - - - - - - - - -
1197 220310030046 PULMICORT RESPULES 0.5 MG 13,241.96 60 794,517.60 - 60 794,517.60 - - - -
1198 220310030046 PULMICORT RESPULES 0.5 MG 13,241.97 - 60 794,518.20 60 794,518.20 - - - -
1199 220310030045 PULMICORT RESPULES 0.25 MG 9,724.93 - - - - - - - - -
### 220310030045 PULMICORT RESPULES 0.25 MG 9,724.99 - - - - - - - - -
### 220110620058 PUMPICEL INJ. 120,824.00 - - - - - - - - -
### 220110620058 PUMPICEL INJ. 53,898.24 10 538,982.40 - 10 538,982.40 - - - -
### 220110620058 PUMPICEL INJ. 112,288.00 - - - - - - - - -
### 220110620058 PUMPICEL INJ. 115,159.00 - 21 2,418,339.00 12 1,381,908.00 - - 9 1,036,431.00
### 220110620027 PUMPITOR CAPS 11,052.80 - - - - - - - - -
### 220110620027 PUMPITOR CAPS 10,975.94 - - - - - - - - -
### 220110620027 PUMPITOR CAPS 11,253.00 75 843,975.00 100 1,125,300.00 168 1,890,504.00 - - 7 78,771.00
### 220110620035 PUMPITOR INJ. 122,496.00 - - - - - - - - -
### 220110620035 PUMPITOR INJ. 113,803.25 - - - - - - - - -
### 220110620035 PUMPITOR INJ. 116,674.25 8 933,394.00 62 7,233,803.50 56 6,533,758.00 - - 14 1,633,439.50
1211 221250810051 Q 10 PLUS 13,741.75 - - - - - - - - -
### 220230130002 RAIVAS INJ. 84,150.00 - - - - - - - - -
### RAIVAS INJ. 84,150.00 - - - - - - - - -
### 220110480019 RANICHO SYR. 60 ML 45,100.00 - - - - - - - - -
### 220110490142 RANIVELL SYR 56,595.00 - - - - - - - - -
### 220110490142 RANIVELL SYR 59,290.00 - - - - - - - - -
### RATIPOL INJEKSI 27,753.00 - - - - - - - - -
### RATIVOL INJEKSI 28,454.80 - 30 853,644.00 - - - - 30 853,644.00
### 221120210024 REBAL PLUS 1,485.00 28 41,580.00 - - - - - 28 41,580.00
### 221120210024 REBAL PLUS 1,608.75 100 160,875.00 - - - - - 100 160,875.00
### REBOZET TABLET 25 MG 226,470.59 - - - - - - - - -
### 221510250004 RECO TETES MATA 7,370.00 - - - - - - - - -
### 220130130016 RECOFOL N INJ. 99,000.00 - - - - - - - - -
### 220520210006 RECOLPAR TAB. 3,547.50 - - - - - - - - -
86/235
DEPO
### 220330360024 RECUSTEIN CAPS 4,950.00 - - - - - - - - -
### 220330360024 RECUSTEIN CAPS 5,225.00 35 182,875.00 - 14 73,150.00 - - 21 109,725.00
### 220330360024 RECUSTEIN CAPS 5,500.00 100 550,000.00 - - - - - 100 550,000.00
### 220320360057 RECUSTEIN SYR 44,000.00 - - - - - - - - -
### 220320360057 RECUSTEIN SYR 46,750.00 - - - - - - - - -
### 220320360057 RECUSTEIN SYR 48,400.00 39 1,887,600.00 - 19 919,600.00 - - 20 968,000.00
### 220110130143 REDACID TAB. 8,910.00 - 30 267,300.00 30 267,300.00 - - - -
### 226120080004 REGUMEN TAB 3,148.20 - - - - - - - - -
### 226120080004 REGUMEN TAB 3,272.50 - - - - - - - - -
### 226120080004 REGUMEN TAB 3,060.48 - - - - - - - - -
### 226120080004 REGUMEN TAB 3,060.47 12 36,725.64 - 10 30,604.70 - - 2 6,120.94
### 226120080004 REGUMEN TAB 3,137.20 - 30 94,116.00 - - - - 30 94,116.00
### 221230210023 RENALYTE 200 ML 15,400.00 - - - - - - - - -
### 221230210023 RENALYTE 200 ML 15,400.00 - 14 215,600.00 13 200,200.00 - - 1 15,400.00
### 220150210007 RENAMID TAB. 247.50 - - - - - - - - -
### RENAPAR TABLET 1,732.50 - - - - - - - - -
### RENAPAR TABLET 2,442.00 - - - - - - - - -
### RENAPAR TABLET 1,831.50 64 117,216.00 300 549,450.00 298 545,787.00 - - 66 120,879.00
### 220950320006 RENAX CAP. 7,590.00 25 189,750.00 - - - - - 25 189,750.00
### RENDOVECT SYR. 28,875.00 - 72 2,079,000.00 67 1,934,625.00 - - 5 144,375.00
### 221230620029 RENOSAN INFUS 500 ML 257,290.00 - - - - - - - - -
### 221230620029 RENOSAN INFUS 500 ML 263,725.00 4 1,054,900.00 15 3,955,875.00 17 4,483,325.00 - - 2 527,450.00
### 220950360004 RENOSTERIL CAPS. 7,150.00 - - - - - - - - -
### 220320210083 RESFAR INFUS 186,065.00 - - - - - - - - -
### 220320210083 RESFAR INFUS 197,010.00 - - - - - - - - -
### 220320210083 RESFAR INFUS 186,065.00 3 558,195.00 17 3,163,105.00 20 3,721,300.00 - - - -
### 220310350322 RETAPHYL SR. CAPL. 1,050.01 - - - - - - - - -
### 220310350322 RETAPHYL SR. CAPL. 1,178.99 - 100 117,899.00 100 117,899.00 - - - -
### 220330130004 RHINOFED SYR 20,102.50 - - - - - - - - -
### 220330130004 RHINOFED SYR 24,062.50 - - - - - - - - -
### 220330130003 RHINOFED TAB. 1,439.90 - - - - - - - - -
### 220330130003 RHINOFED TAB. 1,694.00 - - - - - - - - -
### 220330130002 RHINOS NEO DROPS 36,465.00 - - - - - - - - -
### 220330130002 RHINOS NEO DROPS 41,387.50 4 165,550.00 - 1 41,387.50 - - 3 124,162.50
### 220330130007 RHINOS SR CAPS 4,207.50 - - - - - - - - -
### 220330130007 RHINOS SR CAPS 5,225.00 - - - - - - - - -
### 220330130005 RHINOS SYR JUNIOR 28,875.00 - - - - - - - - -
### 128160630017 RIMSTAR 4FDC 5,870.29 - - - - - - - - -
### 220110760144 RINDOPUMP CAPS 12,100.00 - - - - - - - - -
### 220110210036 RINDOPUMP INJ. 99,000.00 - - - - - - - - -
### 221230750060 RINGER LACTATE 500 ML 7,150.00 75 536,250.00 200 1,430,000.00 275 1,966,250.00 - - - -
### 221230750060 RINGER LACTATE 500 ML 7,150.00 - 200 1,430,000.00 200 1,430,000.00 - - - -
### RISTONAT TAB. 35 mg 35,545.95 - - - - - - - - -
### 220110550028 ROCER CAPS 8,580.00 - - - - - - - - -
87/235
DEPO
### 220110550028 ROCER CAPS 9,900.00 - - - - - - - - -
### 220110550028 ROCER CAPS 11,000.00 2 22,000.00 - - - - - 2 22,000.00
### 220110550037 ROCER INJ 110,000.00 - - - - - - - - -
### 220560320023 ROSAGEN TAB. 25,080.00 - - - - - - - - -
### ROVIDEN SUPS 8,772.50 9 78,952.50 - - - - - 9 78,952.50
### RZ-20 SYR. 60 ML 26,125.00 - - - - - - - - -
### RZ-20 SYR. 60 ML 23,375.00 9 210,375.00 - 9 210,375.00 - - - -
### 221620670009 SAGALON CREAM 36,630.00 - - - - - - - - -
### 221100120003 SALOFALK SOFT. CAPS.500 MG 10,634.09 - - - - - - - - -
### 221100120003 SALOFALK SOFT. CAPS.500 MG 11,725.56 44 515,924.64 - - - - - 44 515,924.64
### 220320620067 SANADRYL DMP SYR. 120 ML 14,080.00 - - - - - - - - -
### 220320620034 SANADRYL SYRUP 120 ML 11,572.00 - - - - - - - - -
### 220320620034 SANADRYL SYRUP 120 ML 11,849.75 39 462,140.25 - 1 11,849.75 - - 38 450,290.50
### 220320620035 SANADRYL SYRUP 60 ML 8,184.00 10 81,840.00 24 196,416.00 21 171,864.00 - - 13 106,392.00
### 221580620009 SANBE TEARS 15,669.50 - - - - - - - - -
### 221580620009 SANBE TEARS 16,093.00 - - - - - - - - -
### 221580620009 SANBE TEARS 16,555.00 - 5 82,775.00 - - - - 5 82,775.00
### SANEXON INJEKSI 125 MG 71,216.75 - - - - - - - - -
### SANEXON INJEKSI 125 MG 36,295.99 39 1,415,543.61 42 1,524,431.58 57 2,068,871.43 - - 24 871,103.76
### SANFULIQ TABLET 3,947.07 - - - - - - - - -
### SANFULIQ TABLET 3,947.08 - - - - - - - - -
### SANFULIQ TABLET 4,049.38 150 607,407.00 - 72 291,555.36 - - 78 315,851.64
### 221150400047 SANGOBION BABY 15 ML 28,670.40 - - - - - - - - -
### 221150400029 SANGOBION KID 100 ML 21,801.78 - - - - - - - - -
### 221130620002 SANKORBIN INJ. 21,964.80 - - - - - - - - -
### 221130620002 SANKORBIN INJ. 20,400.05 8 163,200.40 - 2 40,800.10 - - 6 122,400.30
### 220110620079 SANMAG SYR 11,990.36 - - - - - - - - -
### 220110620079 SANMAG SYR 11,989.27 - - - - - - - - -
### 220110620079 SANMAG SYR 11,989.43 19 227,799.17 24 287,746.32 43 515,545.49 - - - -
### 220410620010 SANMOL DROPS 12,716.00 2 25,432.00 - 2 25,432.00 - - - -
### 220410620451 SANMOL FORTE SYR 60 ML 20,856.00 - - - - - - - - -
### 220410620451 SANMOL FORTE SYR 60 ML 20,715.75 - - - - - - - - -
### 220410620451 SANMOL FORTE SYR. 21,312.50 4 85,250.00 24 511,500.00 19 404,937.50 - - 9 191,812.50
### 220410620033 SANMOL FORTE TAB 272.80 - - - - - - - - -
### 220410620452 SANMOL FORTE TAB. 281.32 42 11,815.44 - - - - - 42 11,815.44
### 220410620026 SANMOL INFUS 49,808.00 - - - - - - - - -
1311 220410620026 SANMOL INFUS 46,334.75 - - - - - - - - -
### 220410620026 SANMOL INFUS 47,531.00 2 95,062.00 36 1,711,116.00 38 1,806,178.00 - - - -
88/235
DEPO
### 220410620003 SANMOL SYR 9,460.00 - - - - - - - - -
### 220410620003 SANMOL SYR 9,462.75 1 9,462.75 - 1 9,462.75 - - - -
### 220410620003 SANMOL SYR 9,718.50 5 48,592.50 - 2 19,437.00 - - 3 29,155.50
### 220410620446 SANMOL TAB. 228.80 - - - - - - - - -
### 220410620446 SANMOL TAB. 230.18 - - - - - - - - -
### 220410620446 SANMOL TAB. 238.70 43 10,264.10 200 47,740.00 133 31,747.10 - - 110 26,257.00
### 221440620009 SANORIN HIJAU 200 ML 24,860.00 4 99,440.00 - 2 49,720.00 - - 2 49,720.00
### 221440620004 SANORIN HIJAU 80 ML 13,090.00 3 39,270.00 - 3 39,270.00 - - - -
### 220200320001 SANOSKIN MELLADERM PLUS 140,250.00 1 140,250.00 - - - - - 1 140,250.00
### 221690320009 SANOSKIN MELLADERM PLUS 175,560.00 3 526,680.00 - - - - - 3 526,680.00
### 221690320023 SANOSKIN OXY 307,230.00 - - - - - - - - -
### 221690320023 SANOSKIN OXY 274,890.00 1 274,890.00 1 274,890.00 2 549,780.00 - - - -
### 221690320023 SANOSKIN OXY 294,525.00 - 4 1,178,100.00 4 1,178,100.00 - - - -
### SANSULIN LOG-G 85,008.00 - - - - - - - - -
### 221690320023 SANSULIN LOG-G 87,133.20 - - - - - - - - -
### 221690320023 SANSULIN LOG-G 83,949.14 6 503,694.84 20 1,678,982.80 13 1,091,338.82 - - 13 1,091,338.82
### SANSULIN PEN 0.00 2 - 5 - 7 - - - - -
### SANTA E 200 tablet 1,579.60 - - - - - - - - -
### SANTA E 200 tablet 1,568.60 30 47,058.00 - 30 47,058.00 - - - -
### SANTA E 200 tablet 1,611.22 - 200 322,244.00 200 322,244.00 - - - -
### 220930620020 SANTOCYN INJ. 10,553.40 - - - - - - - - -
### 220930620020 SANTOCYN INJ. 9,967.10 - - - - - - - - -
### 220930620020 SANTOCYN INJ. 8,716.68 45 392,250.60 30 261,500.40 44 383,533.92 - - 31 270,217.08
### 128110520006 SEBIVO 600 MG 28,300.01 - - - - - - - - -
### SEDACUM INJ. 15 MG / 3 ML 55,000.00 - - - - - - - - -
### 220130130014 SEDACUM INJ. 5 MG / 5 ML 25,300.00 - - - - - - - - -
### 220270490037 SEQUEST 20,625.00 - - - - - - - - -
### 220270490037 SEQUEST 20,212.50 - - - - - - - - -
### 220270490037 SEQUEST 20,212.50 15 303,187.50 - - - - - 15 303,187.50
### 220310240330 SERETIDE DISKUS 250 MCG 119,000.20 - - - - - - - - -
### 220310240330 SERETIDE DISKUS 250 MCG 116,686.90 - - - - - - - - -
### SERETIDE DISKUS 500 MCG 127,616.50 2 255,233.00 5 638,082.50 4 510,466.00 - - 3 382,849.50
### SERETIDE DISKUS100 MCG 103,816.90 - 5 519,084.50 3 311,450.70 - - 2 207,633.80
### 220310230351 SERETIDE INHALER 50 / can 55,000.00 - - - - - - - - -
### 220310230351 SERETIDE INHALER 50 / can 55,000.00 3 165,000.00 - 3 165,000.00 - - - -
### 220130710234 SESDEN 2,022.90 - - - - - - - - -
### 220440410033 SIBITAL INJ. 9,900.00 2 19,800.00 10 99,000.00 2 19,800.00 - - 10 99,000.00
### SIDIADRYL INJ. 8,800.00 - - - - - - - - -
### 220320120086 SILEX SYR. 100 ML 38,808.00 - - - - - - - - -
### 220320120086 SILEX SYR. 100 ML 42,817.50 - - - - - - - - -
### 220320120086 SILEX SYR. 100 ML 52,800.00 - 6 316,800.00 4 211,200.00 - - 2 105,600.00
### SILUM TAB. 5 MG 3,080.00 - - - - - - - - -
### 220260210047 SIMARC 2 MG TAB 1,501.50 - - - - - - - - -
### 220260210047 SIMARC 2 MG TAB 1,309.00 - 100 130,900.00 7 9,163.00 - - 93 121,737.00
89/235
DEPO
### 220410340453 SINCRONIK CAPS. 7,315.00 - - - - - - - - -
### 220410340453 SINCRONIK CAPS. 7,837.50 - - - - - - - - -
### 221250440079 SIRPLUS RASA ANGGUR 10,560.00 - - - - - - - - -
### 221250440079 SIRPLUS RASA ANGGUR 11,440.00 - - - - - - - - -
### 221250440029 SIRPLUS RASA JERUK 10,560.00 - - - - - - - - -
### 221250440029 SIRPLUS RASA JERUK 11,440.00 - - - - - - - - -
### 221250440029 SIRPLUS RASA MELON 10,560.00 - - - - - - - - -
### 221250440029 SIRPLUS RASA MELON 11,440.00 - - - - - - - - -
### 221250440029 SIRPLUS RASA STROBERY 10,560.00 - - - - - - - - -
### 221250440029 SIRPLUS RASA STROBERY 13,200.00 - - - - - - - - -
### 221250440029 SIRPLUS SERBUK ORIGINAL 145.20 4 580.80 - 4 580.80 - - - -
### 220410130027 SISTENOL TAB 1,402.50 - - - - - - - - -
### 220410130027 SISTENOL TAB 1,650.00 - 60 99,000.00 60 99,000.00 - - - -
### 221230540091 SOD. NATR. CL. 3% 500 ML 24,200.00 - - - - - - - - -
### 221230540091 SOD. NATR. CL. 3% 500 ML 27,830.00 14 389,620.00 8 222,640.00 19 528,770.00 - - 3 83,490.00
### 221230540054 SOD.CHLORET NATR. 100 ML 13,200.00 - - - - - - - - -
### 220320440009 SOLVINEX INJ 40,150.00 - - - - - - - - -
### 220320440009 SOLVINEX INJ 35,200.00 56 1,971,200.00 50 1,760,000.00 35 1,232,000.00 - - 71 2,499,200.00
### 220120210012 SOTATIC INJ 3,964.40 - - - - - - - - -
### 220120210012 SOTATIC INJ 3,031.60 19 57,600.40 - 19 57,600.40 - - - -
### 220120210012 SOTATIC INJ 4,664.00 - 15 69,960.00 - - - - 15 69,960.00
### 220130130140 SPASMOMEN TAB. 6,820.00 - - - - - - - - -
### 220130130140 SPASMOMEN TAB. 5,797.00 - - - - - - - - -
### 222160570005 SPIROLACTONE TAB. 25 MG 991.96 - - - - - - - - -
### 224120020026 STESOLID INJ 10 MG 12,584.00 - - - - - - - - -
### 224120020023 STESOLID RECTAL 10 MG 39,204.00 1 39,204.00 5 196,020.00 4 156,816.00 - - 2 78,408.00
### 224120020021 STESOLID RECTAL 5 MG 26,136.00 12 313,632.00 - - - - - 12 313,632.00
### 224120020029 STESOLID SYR 60 ML 41,261.00 - - - - - - - - -
### 224120020029 STESOLID SYR 60 ML 41,261.00 1 41,261.00 - - - - - 1 41,261.00
### STOLAX SUPP 10 MG 5,477.31 - 30 164,319.30 15 82,159.65 - - 15 82,159.65
### 120880020003 SULDOX TAB. 2,200.00 - - - - - - - - -
### 120880020003 SULDOX TAB. 2,178.00 - - - - - - - - -
### 220510440035 SUPRAFENID SUPPS. 100 MG 9,680.00 - - - - - - - - -
### 220510440035 SUPRAFENID SUPPS. 100 MG 12,100.00 57 689,700.00 - 14 169,400.00 - - 43 520,300.00
### 220510440035 SUPRAFENID SUPPS. 100 MG 9,680.00 40 387,200.00 - - - - - 40 387,200.00
### 220310030037 SYMBICORT 160, 60 DOSE 121,000.00 - - - - - - - - -
### 220310030037 SYMBICORT 160, 60 DOSE 125,838.90 3 377,516.70 - - - - - 3 377,516.70
### 220310030036 SYMBICORT 80, 60 DOSE 121,000.00 - - - - - - - - -
### 220310030036 SYMBICORT 80, 60 DOSE 125,840.00 2 251,680.00 - - - - - 2 251,680.00
### TAMOLIV INFUS 1000 MG 49,005.00 - - - - - - - - -
### TAMOLIV INFUS 1000 MG 49,005.00 - - - - - - - - -
90/235
DEPO
### 221720700013 TAPROS INJ. 3.75 MG 569,866.73 - - - - - - - - -
### 220240570031 TEBOKAN SPESIAL 11,715.00 101 1,183,215.00 - 24 281,160.00 - - 77 902,055.00
### 220240580003 TEBOKAN TAB. 5,841.00 81 473,121.00 - 25 146,025.00 - - 56 327,096.00
### 220210130070 TENSIVAKS TAB. 5 MG 5,148.00 - - - - - - - - -
### 220210130070 TENSIVAKS TAB. 5 MG 4,862.00 - - - - - - - - -
### 220210130078 TENSIVAKS TAB.10 MG 8,882.50 - - - - - - - - -
### 220510770026 TERANOL INJ 30MG 35,750.00 - - - - - - - - -
### 220260620036 THERODEL TAB. 5,665.42 - - - - - - - - -
### 220260620036 THERODEL TAB. 5,664.74 74 419,190.76 - 30 169,942.20 - - 44 249,248.56
### 220260450026 THROMBO ASPILET 668.25 - - - - - - - - -
1411 220260450026 THROMBO ASPILET 701.67 150 105,250.50 - - - - - 150 105,250.50
### 221690810006 THROMBOPHOB GEL. 20 GR 51,975.00 - - - - - - - - -
### 221690810006 THROMBOPHOB GEL. 20 GR 54,450.00 - - - - - - - - -
### 221040400003 THYROZOL 10 MG 1,694.36 118 199,934.48 - 118 199,934.48 - - - -
### 221040400002 THYROZOL 5 MG 1,090.88 127 138,541.76 - 111 121,087.68 - - 16 17,454.08
### 220220210002 TIARYT TAB. 3,900.60 - - - - - - - - -
### 220220210002 TIARYT TAB. 3,467.20 - - - - - - - - -
### 220510130020 TILFLAM 8,910.00 - - - - - - - - -
### 220510130020 TILFLAM 8,415.00 - - - - - - - - -
### TIM OPHTAL TTS MATA 0.5% 38,808.00 - - - - - - - - -
### TIM OPHTAL TTS MATA 0.5% 39,864.00 - - - - - - - - -
### 120890780006 TISMAZOL 500 MG 1,925.00 - - - - - - - - -
### 120890780006 TISMAZOL 500 MG 1,828.75 - - - - - - - - -
### 120890780006 TISMAZOL 500 MG 1,828.75 38 69,492.50 - 10 18,287.50 - - 28 51,205.00
### 220120320013 TOMIT INJ. 5 AMP/KTK 9,306.00 - - - - - - - - -
### 220120320013 TOMIT INJ. 5 AMP/KTK 10,048.50 - - - - - - - - -
### 224130550081 TORAMINE INJ 30 MG 30,800.00 - - - - - - - - -
### 224130550081 TORAMINE INJ 30 MG 30,305.00 60 1,818,300.00 25 757,625.00 76 2,303,180.00 - - 9 272,745.00
### 220510550025 TORAMINE TAB.10 MG 4,400.00 - - - - - - - - -
### 220510550025 TORAMINE TAB.10 MG 3,987.50 155 618,062.50 - 95 378,812.50 - - 60 239,250.00
### 221720210012 TRACETATE INFUS 200 ML 341,275.00 - - - - - - - - -
### 220410620442 TRADOSIK CAPS. 2,750.00 - - - - - - - - -
### 220410620442 TRADOSIK CAPS. 3,181.20 84 267,220.80 - 32 101,798.40 - - 52 165,422.40
### 220410620443 TRADOSIK INJ. 15,215.20 - - - - - - - - -
### 220410620443 TRADOSIK INJ. 15,976.40 17 271,598.80 - 12 191,716.80 - - 5 79,882.00
### 220410550033 TRAMIFEN CAPS 6,160.00 - - - - - - - - -
### 220520130016 TRAMUS 1% 5 ML 70,125.00 - - - - - - - - -
### 220250260031 TRANEC 500 MG 2,926.00 - - - - - - - - -
### 220250260031 TRANEC 500 MG 2,987.60 - - - - - - - - -
### 220250260008 TRANEC INJ 17,242.50 - - - - - - - - -
### 220320730087 TRANSPULMIN SYR 60,940.00 - - - - - - - - -
### 220320730087 TRANSPULMIN SYR. 60 ML 59,505.60 - - - - - - - - -
### 220330620028 TREMENZA SYR. 14,080.00 - - - - - - - - -
### 220330620028 TREMENZA SYR. 16,623.75 6 99,742.50 5 83,118.75 8 132,990.00 - - 3 49,871.25
91/235
DEPO
### 220330620029 TREMENZA TAB 1,150.88 - - - - - - - - -
### 220330620029 TREMENZA TAB 1,180.71 88 103,902.48 200 236,142.00 250 295,177.50 - - 38 44,866.98
### 120890620021 TRICHODAZOLE INFUS 100 ML 72,820.00 6 436,920.00 - - - - - 6 436,920.00
### 228120620005 TRICHODAZOLE PLUS OVULA 10,692.00 - - - - - - - - -
### 228120620005 TRICHODAZOLE PLUS OVULA 10,613.63 - - - - - - - - -
### 220110440151 TRICKER INJ. 20,625.00 - - - - - - - - -
### 220110440151 TRICKER INJ. 16,500.00 - - - - - - - - -
### 220110440172 TRICKER TAB 4,950.00 - - - - - - - - -
### 220110440172 TRICKER TAB 3,960.00 7 27,720.00 50 198,000.00 24 95,040.00 - - 33 130,680.00
### 221230620006 TRIDEX 27A 500 ML 15,015.00 - - - - - - - - -
### 221230620007 TRIDEX 27B 500 ML 20,900.00 - - - - - - - - -
### 221230620007 TRIDEX 27B 500 ML 15,015.00 - - - - - - - - -
### 221230620010 TRIDEX PLAIN 500 ML 18,940.38 7 132,582.66 24 454,569.12 10 189,403.80 - - 21 397,747.98
### 220330320030 TRIFED SYR 24,024.00 - - - - - - - - -
### 220330320030 TRIFED SYR 25,960.00 - - - - - - - - -
### 220330320031 TRIFED TAB. 2,475.00 - - - - - - - - -
### 220330320031 TRIFED TAB. 2,156.00 - - - - - - - - -
### TRIFEDRIN SYR. 15,840.00 - - - - - - - - -
### TRIFEDRIN SYR. 19,140.00 - 5 95,700.00 2 38,280.00 - - 3 57,420.00
### TRIFEDRIN TAB. 1,196.25 - 150 179,437.50 - - - - 150 179,437.50
### 120890550020 TROGYL INFUS 500 MG / 100 ML 61,600.00 - - - - - - - - -
### 120890550020 TROGYL INFUS 500 MG / 100 ML 59,812.50 48 2,871,000.00 - 10 598,125.00 - - 38 2,272,875.00
### 120890550013 TROGYL SYR 33,440.00 - - - - - - - - -
### 120890550013 TROGYL SYR 30,305.00 4 121,220.00 5 151,525.00 3 90,915.00 - - 6 181,830.00
### TROGYSTATIN OVULA 13,200.00 - - - - - - - - -
### TROGYSTATIN OVULA 11,962.50 - 100 1,196,250.00 - - - - 100 1,196,250.00
### 220270130020 TROLIP TAB 300 MG 8,228.00 18 148,104.00 - - - - - 18 148,104.00
### 221252420030 TROLIT 8,418.06 - - - - - - - - -
### 221252420030 TROLIT 7,576.25 - - - - - - - - -
### 221252420030 TROLIT 10,101.67 - - - - - - - - -
### 220260350061 TROMBIKAF TAB 4,199.98 - - - - - - - - -
### 121690810001 TROMECON 20 GR 22,000.00 - - - - - - - - -
### 121690810001 TROMECON 20 GR 22,772.76 - - - - - - - - -
### 220140620038 TROVENSIS INJ. 2ML 25,631.65 - - - - - - - - -
### 220140620038 TROVENSIS INJ. 2ML 26,317.50 - 45 1,184,287.50 30 789,525.00 - - 15 394,762.50
### 220140620020 TROVENSIS INJ. 4ML 56,152.80 - - - - - - - - -
### 220140620020 TROVENSIS INJ. 4ML 52,172.45 - - - - - - - - -
### 220140620020 TROVENSIS INJ. 4ML 53,480.35 15 802,205.25 - 15 802,205.25 - - - -
### TROVENSIS TABLET 8 MG 14,071.20 - - - - - - - - -
### TROVENSIS TABLET 8 MG 13,972.48 5 69,862.40 - - - - - 5 69,862.40
### TROVENSIS TABLET 8 MG 14,322.00 50 716,100.00 - - - - - 50 716,100.00
### TUTOFUSIN OPS 38,600.00 - - - - - - - - -
### TUTOFUSIN OPS 62,920.00 7 440,440.00 10 629,200.00 14 880,880.00 - - 3 188,760.00
### 220220140036 UDOPA INJ 7,479.47 - - - - - - - - -
92/235
DEPO
### 220220140036 UDOPA INJ 7,808.24 13 101,507.12 - 13 101,507.12 - - - -
### 220110550016 ULCERANIN INJ 16,280.00 - - - - - - - - -
### ULVICE INJ. 27,500.00 23 632,500.00 10 275,000.00 24 660,000.00 - - 9 247,500.00
### UMARONE INJEKSI 173,250.00 - - - - - - - - -
### 220490770012 UNALIUM 10 TAB 7,576.25 - - - - - - - - -
### 220490770012 UNALIUM 10 TAB 8,360.00 1 8,360.00 - - - - - 1 8,360.00
### 220490770007 UNALIUM 5 TAB 5,390.00 - - - - - - - - -
### 220490770007 UNALIUM 5 TAB 6,061.00 - - - - - - - - -
### 220180120008 URDAFALK TAB. 250 10,426.16 - - - - - - - - -
### 220180120008 URDAFALK TAB. 250 9,383.55 2 18,767.10 - 2 18,767.10 - - - -
### 220180120008 URDAFALK TAB. 250 10,426.17 - 150 1,563,925.50 20 208,523.40 - - 130 1,355,402.10
### 221250130057 URDEX CAPS. 6,545.00 - - - - - - - - -
### 220210620248 URESIX CAPS. 741.68 281 208,412.08 - 182 134,985.76 - - 99 73,426.32
### 220210620261 URESIX INJ. 6,332.15 - - - - - - - - -
### 220210620261 URESIX INJ. 6,491.65 - - - - - - - - -
### 220210620261 URESIX INJ. 2,686.20 - 170 456,654.00 48 128,937.60 - - 122 327,716.40
### 220940150010 URIEF TAB. 4 MG 6,894.76 - - - - - - - - -
### 220920310002 URISPAS 200 MG TAB. 5,335.00 - - - - - - - - -
### 220920310002 URISPAS 200 MG TAB. 5,591.66 - - - - - - - - -
### 220920730003 UROGETIK 100 MG 5,107.30 38 194,077.40 - 22 112,360.60 - - 16 81,716.80
### 226120370003 UTROGESTAN 100 MG 9,900.00 - - - - - - - - -
### 226120370003 UTROGESTAN 100 MG 7,920.00 - - - - - - - - -
1511 226120370007 UTROGESTAN 200 MG 14,960.00 - - - - - - - - -
### 226120370007 UTROGESTAN 200 MG 17,803.50 - - - - - - - - -
### 220440550025 VALEPTIK SYR 45,375.00 - - - - - - - - -
### 220440550025 VALEPTIK SYR 59,812.50 4 239,250.00 - 2 119,625.00 - - 2 119,625.00
### 220210140259 VALESCO 80 MG 1,795.20 9 16,156.80 - - - - - 9 16,156.80
### 224120640018 VALISANBE 2 MG 181.50 - - - - - - - - -
### 224120640018 VALISANBE 2 MG 214.50 73 15,658.50 - 41 8,794.50 - - 32 6,864.00
### 224120640018 VALISANBE 2 MG 187.55 - 100 18,755.00 100 18,755.00 - - - -
### 224120640020 VALISANBE 5 MG 286.00 - - - - - - - - -
### 224120640020 VALISANBE 5 MG 315.43 98 30,912.14 - 5 1,577.15 - - 93 29,334.99
### 224120640028 VALISANBE INJ. 2 ML 14,773.00 - - - - - - - - -
### 224120640028 VALISANBE INJ. 2 ML 14,245.28 6 85,471.68 10 142,452.80 7 99,716.96 - - 9 128,207.52
### 220230210003 VASCON INJ 99,000.00 6 594,000.00 - 6 594,000.00 - - - -
### 220210340060 V-BLOC 25 7,040.00 2 14,080.00 - - - - - 2 14,080.00
### 220210340060 V-BLOC 25 6,688.00 150 1,003,200.00 - - - - - 150 1,003,200.00
### 220210340059 V-BLOC 6,25 2,750.00 - - - - - - - - -
### 220210340059 V-BLOC 6,25 1,599.99 112 179,198.88 - 112 179,198.88 - - - -
### 220210340059 V-BLOC 6.25 2,612.50 - - - - - - - - -
### 220320130053 VECTRINE CAPS. 300 MG 3,740.00 - - - - - - - - -
### 220320130056 VECTRINE SYR. 33,660.00 - - - - - - - - -
### 220320130056 VECTRINE SYR. 33,660.00 - - - - - - - - -
### 220190810002 VENARON CAPS 2,910.60 - - - - - - - - -
93/235
DEPO
### 224130210100 VENODENOL INJ 49,500.00 5 247,500.00 - 3 148,500.00 - - 2 99,000.00
### 220310230013 VENTOLIN INHALER 40,000.40 - - - - - - - - -
### 220310230013 VENTOLIN INHALER 59,999.50 - - - - - - - - -
### 220310230013 VENTOLIN INHALER 59,999.50 4 239,998.00 - 2 119,999.00 - - 2 119,999.00
### 220310240334 VENTOLIN NEBULES 2.5 MG 10,133.97 - - - - - - - - -
### 220310240334 VENTOLIN NEBULES 2.5 MG 3,999.99 68 271,999.32 15 59,999.85 83 331,999.17 - - - -
### 220310240334 VENTOLIN NEBULES 2.5 MG 3,999.98 - 200 799,996.00 200 799,996.00 - - - -
### 224130440106 VERDIF INJ. 1 MG 119,625.00 10 1,196,250.00 - - - - - 10 1,196,250.00
### 274130440001 VERIDIN TAB. 5,280.00 - - - - - - - - -
### VERSILON TAB. 6 MG 1,716.00 - - - - - - - - -
### VERTIGOSAN TABLET 1,052.84 - - - - - - - - -
### VERTIGOSAN TABLET 2,165.35 - 100 216,535.00 20 43,307.00 - - 80 173,228.00
### 220480350007 VERTIKAF TABLET 8 MG 1,640.00 - - - - - - - - -
### 220480350007 VERTIKAF TABLET 8 MG 3,540.46 91 322,181.86 - - - - - 91 322,181.86
### 220940040011 VESICARE 5 MG 16,101.33 - - - - - - - - -
### 220940040006 VESICARE 10 MG 17,843.10 - - - - - - - - -
### 220140290043 VESPERUM SYR 4,643.10 - - - - - - - - -
### 220140290043 VESPERUM SYR 4,532.00 - - - - - - - - -
### 220320340101 VESTEIN 300 MG 4,441.25 36 159,885.00 - - - - - 36 159,885.00
### 220320340100 VESTEIN SYR. 36,575.00 - - - - - - - - -
### 220320340100 VESTEIN SYR. 36,575.00 12 438,900.00 - - - - - 12 438,900.00
### 220360050003 VISANNE TAB. 13,781.43 - - - - - - - - -
### 221660670009 VITACID CR 0.025% 15 GR 22,990.00 2 45,980.00 - - - - - 2 45,980.00
### 221150550065 VITAMULTI DHA CAPS 2,200.00 - - - - - - - - -
### 221150550065 VITAMULTI DHA CAPS 1,993.75 150 299,062.50 - - - - - 150 299,062.50
### 220160340007 VITAZYM TAB 770.00 - - - - - - - - -
### 224130130089 VOLTADEX GEL 20 GR 22,099.00 - - - - - - - - -
### 224130130089 VOLTADEX GEL 20 GR 21,873.50 - - - - - - - - -
### 270510500001 VOLTAREN EMULGEL 10 GR 37,511.10 - - - - - - - - -
### 224130520014 VOLTAREN TAB 25 MG 2,713.74 - - - - - - - - -
### 224130520017 VOLTAREN TAB 50 MG 5,472.87 - - - - - - - - -
### 220120130030 VOMETA DROPS 36,932.50 2 73,865.00 - 2 73,865.00 - - - -
### 220120130025 VOMETA SYRUP 60 ML 36,932.50 - - - - - - - - -
### 220120130016 VOMETA TABLET FT 3,366.00 - - - - - - - - -
### 220120130016 VOMETA TABLET FT 3,459.50 - - - - - - - - -
### 220120620026 VOSEDON SYR 23,760.00 - - - - - - - - -
### 220120620026 VOSEDON SYR 24,211.00 5 121,055.00 - - - - - 5 121,055.00
### 220120620020 VOSEDON TAB. 1,884.02 - - - - - - - - -
### 220120620020 VOSEDON TAB. 1,884.03 122 229,851.66 - 67 126,230.01 - - 55 103,621.65
### 221230540063 WATER FOR INJEKSI 25 ML 3,025.00 - - - - - - - - -
### 221230540063 WATER FOR INJEKSI 25 ML 2,860.00 108 308,880.00 240 686,400.00 223 637,780.00 - - 125 357,500.00
94/235
DEPO
### 221230540064 WATER STERIL / AQUADEST 1 LIT 23,760.00 - - - - - - - - -
### 221230540064 WATER STERIL / AQUADEST 1 LIT 23,760.00 5 118,800.00 - - - 5 118,800.00 - -
### 224130440090 X CAM 15 MG 6,930.00 - - - - - - - - -
### 221240780009 XANDA SYR 120 ML 55,000.00 - - - - - - - - -
### 220410780435 XEPAFEN FORTE SYR. 22,000.00 - - - - - - - - -
### 220410780435 XEPAFEN FORTE SYR. 20,900.00 - - - - - - - - -
### 221680780004 XEPAGEL LOTION 154,000.00 4 616,000.00 - - - - - 4 616,000.00
### 220410780012 XEPAMOL DROPS 22,990.00 - 5 114,950.00 - - - - 5 114,950.00
### XEPAMOL SYR. 250 / 5 ML 22,990.00 9 206,910.00 - 8 183,920.00 - - 1 22,990.00
### XEPAMOL TABLET 500 MG 444.13 69 30,644.97 100 44,413.00 131 58,181.03 - - 38 16,876.94
### 220160780001 XEPAZYM TAB 2,750.00 - - - - - - - - -
### 220130030141 XYLOCAINE JELLY 2% 30 GRM 39,999.96 - - - - - - - - -
### 220130030141 XYLOCAINE JELLY 2% 30 GRM 41,600.02 10 416,000.20 - - - 7 291,200.14 3 124,800.06
### 220150480017 ZANIC SYR 100 ML 24,200.00 - - - - - - - - -
### 220150480017 ZANIC SYR 100 ML 24,200.00 - - - - - - - - -
### 221250100089 ZINCPRO DROPS 15 ML 10,798.70 - - - - - - - - -
### 221250100089 ZINCPRO DROPS 15 ML 6,281.00 1 6,281.00 - - - - - 1 6,281.00
### 221250100088 ZINCPRO SYR. 60 ML 7,089.50 - - - - - - - - -
### 221250100088 ZINCPRO SYR. 60 ML 7,089.50 4 28,358.00 - 4 28,358.00 - - - -
### 220150310018 ZINKID SYR 30,250.00 - - - - - - - - -
### 220110360126 ZOLLOCID CAPS 12,100.00 - - - - - - - - -
### 220110360038 ZOLLOCID INJ. 35,750.00 - - - - - - - - -
### 220110360038 ZOLLOCID INJ. 46,475.00 - - - - - - - - -
### 220110360038 ZOLLOCID INJ. 44,880.00 81 3,635,280.00 10 448,800.00 49 2,199,120.00 - - 42 1,884,960.00
### 220110360038 ZOLLOCID INJ. 48,620.00 - 30 1,458,600.00 30 1,458,600.00 - - - -
### 228110130006 ZOTER CREAM 39,600.00 2 79,200.00 - - - - - 2 79,200.00
ALAT KESEHATAN - - - - - - - -
1 340200010007 ABBOCATH T 14 19,305.00 - - - - - - - - -
2 340200010007 ABBOCATH T 14 21,285.00 13 276,705.00 - - - 13 276,705.00 - -
3 340200010008 ABBOCATH T 18 19,305.00 - - - - - - - - -
4 340200010008 ABBOCATH T 18 21,285.00 37 787,545.00 - - - 30 638,550.00 7 148,995.00
5 340200010009 ABBOCATH T 20 19,305.00 - - - - - - - - -
6 340200010009 ABBOCATH T 20 19,250.00 - - - - - - - - -
7 340200010009 ABBOCATH T 20 21,285.00 - 50 1,064,250.00 - - 50 1,064,250.00 - -
8 340200010011 ABBOCATH T 22 19,305.00 - - - - - - - - -
9 340200010011 ABBOCATH T 22 21,285.00 - - - - - - - - -
10 340200010013 ABBOCATH T 24 19,305.00 - - - - - - - - -
11 340200010013 ABBOCATH T 24 21,285.00 20 425,700.00 50 1,064,250.00 - - 70 1,489,950.00 - -
12 340200010015 ABBOCATH T 26 24,420.00 - - - - - - - - -
13 340200010015 ABBOCATH T 26 25,080.00 - - - - - - - - -
14 330200970016 ACTIMOVE ACTERBRACE L 637,450.00 - 1 637,450.00 - - - - 1 637,450.00
15 360201250021 ALCOHOL METER 71,500.00 - - - - - - - - -
16 ALCOHOL SWABS 107.25 - - - - - - - - -
95/235
DEPO
17 ALCOHOL SWABS 214.50 - - - - - - - - -
18 460300950010 ALCOHOL SWABS 264.00 800 211,200.00 1,000 264,000.00 - - 800 211,200.00 1,000 264,000.00
19 ALCOHOL SWABS 107.25 - 500 53,625.00 - - 500 53,625.00 - -
20 ALCOHOL SWABS 127.64 - 500 63,820.00 - - 500 63,820.00 - -
21 ALCOHOL SWABS 233.75 - 2,000 467,500.00 - - 2,000 467,500.00 - -
22 ARM SLING UK. L ( DEWASA ) 117,700.00 - - - - - - - - -
23 ARM SLING UK. L ( DEWASA ) 133,650.00 - - - - - - - - -
24 330201180023 ARM SLING UK. M ( DEWASA ) 133,650.00 - - - - - - - - -
25 330201180024 ARM SLING UK. S ( ANAK ) 133,650.00 - - - - - - - - -
26 340201440028 BALON TENSIMETER 77,000.00 - - - - - - - - -
27 340201440028 BALON TENSIMETER 52,800.00 - - - - - - - - -
28 340201370032 BLOOD TRANFUSION SET 28,050.00 - - - - - - - - -
29 340201370032 BLOOD TRANFUSION SET 22,440.00 30 673,200.00 150 3,366,000.00 - - 130 2,917,200.00 50 1,122,000.00
30 360201250034 BOTOL ASPIRATOR 10 LITER 671,000.00 - - - - - - - - -
31 340201100035 BYE-BYE FEVER FOR BABIES 6,103.84 - - - - - - - - -
32 340201100035 BYE-BYE FEVER FOR BABIES 6,165.50 10 61,655.00 - - - - - 10 61,655.00
33 340201100036 BYE-BYE FEVER FOR CHILDREN 8,690.10 - - - - - - - - -
34 340201100036 BYE-BYE FEVER FOR CHILDREN 8,778.00 6 52,668.00 - - - - - 6 52,668.00
35 330201450050 CATGUT CHROMIC 2 HR 50 MM 55,176.00 - - - - - - - - -
36 330201320059 CATGUT PLAIN NO. 2/0 @ 100 M 2,135,760.00 - - - - - - - - -
37 330201320061 CATGUT PLAIN NO. 2/0 HR 26 34,300.20 - 48 1,646,409.60 - - 48 1,646,409.60 - -
38 330201320062 CATGUT PLAIN NO. 2/0 HR 37 MM 34,300.00 - - - - - - - - -
39 340200930091 CLIP PENJEPIT COLOSTOMY BAG 42,075.00 - - - - - - - - -
40 340200930094 COLOSTOMY BAG 46,200.00 - - - - - - - - -
41 CONDOM CATHETER M 4,620.00 - - - - - - - - -
42 340200910095 CORE ELECTRODE 2670 5,049.00 - - - - - - - - -
43 340200120105 DARYANTULLE 9,157.50 - - - - - - - - -
44 340200120105 DARYANTULLE 17,641.80 - - - - - - - - -
45 340201070111 DERMAFIX 10 X 25 CM 18,850.15 - - - - - - - - -
46 340201070111 DERMAFIX 10 X 25 CM 24,255.00 21 509,355.00 - 8 194,040.00 - - 13 315,315.00
47 340200950118 DISPOSIBLE / NEEDLE 25 G 1,210.00 - - - - - - - - -
48 340200950118 DISPOSIBLE / NEEDLE 25 G 1,089.00 - - - - - - - - -
49 330200950817 DISPOSIBLE / NEEDLE 32 G X 4 M 3,018.40 - - - - - - - - -
50 DISPOSIBLE / NEEDLE 32 G X 4 M 3,988.60 9 35,897.40 - - - - - 9 35,897.40
51 340200950123 DISPOSIBLE SYRINGE UK. 1 CC 1,210.00 - - - - - - - - -
54 DISPOSIBLE SYRINGE UK. 1 CC 1,125.34 - 1,800 2,025,612.00 - - 1,100 1,237,874.00 700 787,738.00
55 340200950126 DISPOSIBLE SYRINGE UK. 10 1,760.00 - - - - - - - - -
56 340200950124 DISPOSIBLE SYRINGE UK. 10 2,750.00 800 2,200,000.00 - - - 800 2,200,000.00 - -
58 DISPOSIBLE SYRINGE UK. 10 1,609.31 - - - - - - - - -
59 DISPOSIBLE SYRINGE UK. 10 1,609.30 - 900 1,448,370.00 - - 400 643,720.00 500 804,650.00
60 340201220923 DISPOSIBLE SYRINGE UK. 20 ( CE 3,300.00 - - - - - - - - -
96/235
DEPO
61 340201220923 DISPOSIBLE SYRINGE UK. 20 ( CE 2,728.00 - - - - - - - - -
62 340201450130 DISPOSIBLE SYRINGE UK. 20 ( EC 14,300.00 - - - - - - - - -
63 DISPOSIBLE SYRINGE UK. 20 ( EC 1,647.80 - 20 32,956.00 - - 5 8,239.00 15 24,717.00
64 340201450133 DISPOSIBLE SYRINGE UK. 3 759.00 - - - - - - - - -
66 DISPOSIBLE SYRINGE UK. 3 1,016.42 - - - - - - - - -
67 340200950131 DISPOSIBLE SYRINGE UK. 3 1,650.00 1,200 1,980,000.00 - - - 1,200 1,980,000.00 - -
68 DISPOSIBLE SYRINGE UK. 3 1,016.40 - 500 508,200.00 - - 500 508,200.00 - -
69 340200950131 DISPOSIBLE SYRINGE UK. 3 1,430.00 - 800 1,144,000.00 - - 800 1,144,000.00 - -
70 DISPOSIBLE SYRINGE UK. 3 1,016.39 - 1,000 1,016,390.00 - - 900 914,751.00 100 101,639.00
71 DISPOSIBLE SYRINGE UK. 5 654.50 - - - - - - - - -
75 DISPOSIBLE SYRINGE UK. 5 1,149.44 1,000 1,149,440.00 1,000 1,149,440.00 - - 1,400 1,609,216.00 600 689,664.00
76 DISPOSIBLE SYRINGE UK. 5 1,149.46 - 1,200 1,379,352.00 - - 1,200 1,379,352.00 - -
77 340201450902 DISPOSIBLE SYRINGE UK. 50 ( L. 29,700.00 - - - - - - - - -
78 340201450903 DISPOSIBLE SYRINGE UK. 50 ( L. 36,300.00 - - - - - - - - -
79 340201450903 DISPOSIBLE SYRINGE UK. 50 ( L.TEN 27,500.00 - - - - - - - - -
80 340201370139 DISPOSIBLE SYRINGE UK. 50 ( L.TEN 29,700.00 - 20 594,000.00 - - 10 297,000.00 10 297,000.00
81 340201370138 DISPOSIBLE SYRINGE UK. 50 ( T 29,700.00 - - - - - - - - -
82 340201370138 DISPOSIBLE SYRINGE UK. 50 ( T 33,550.00 - - - - - - - - -
83 330201280163 ENDOTRACHELA TUBE 6.5 45,760.00 - - - - - - - - -
86 340200810925 ENDOTRACHELA UNCUF 3 57,200.00 - - - - - - - - -
87 ENDOTRACHELA UNCUF 3.5 18,810.00 - - - - - - - - -
88 FACE MASK TALI 420.00 - - - - - - - - -
89 FACE MASK TALI 554.40 300 166,320.00 3,700 2,051,280.00 - - 3,000 1,663,200.00 1,000 554,400.00
90 FACE MASK EARLOOP 499.80 - - - - - - - - -
91 340201370175 FEEDING TUBE FR. 5 . 100 CM 33,880.00 - - - - - - - - -
92 FEEDING TUBE FR. 5 . 40 CM 8,475.50 - - - - - - - - -
93 340201370177 FEEDING TUBE FR. 5 . 40 CM 38,445.00 - - - - - - - - -
94 340201370175 FEEDING TUBE FR. 5 . 40 CM 33,880.00 5 169,400.00 - - - 5 169,400.00 - -
95 340201370179 FEEDING TUBE NO. 8 100 CM 33,880.00 - 10 338,800.00 - - 10 338,800.00 - -
96 340201370904 FEEDING TUBE NO. 8 40 CM 38,445.00 - - - - - - - - -
97 340201370904 FEEDING TUBE NO. 8 40 CM 33,880.00 5 169,400.00 5 169,400.00 - - - - 10 338,800.00
98 340201260189 FOLLEY CATHETER NO. 06 33,000.00 - - - - - - - - -
99 340201280193 FOLLEY CATHETER NO. 12 23,496.00 - 1 23,496.00 - - 1 23,496.00 - -
100 340201260194 FOLLEY CATHETER NO. 12 75,900.00 - 2 151,800.00 - - 2 151,800.00 - -
102 340201260198 FOLLEY CATHETER NO. 16 15,840.00 19 300,960.00 20 316,800.00 - - 12 190,080.00 27 427,680.00
97/235
DEPO
106 340201280200 FOLLEY CATHETER NO. 18 15,840.00 20 316,800.00 90 1,425,600.00 - - 93 1,473,120.00 17 269,280.00
107 340201280205 FOLLEY CATHETER THREE WAY 2 88,000.00 - - - - - - - - -
108 340200120821 FRAMYCETIN SULFATE 10,175.00 65 661,375.00 50 508,750.00 33 335,775.00 10 101,750.00 72 732,600.00
109 360200010572 FREESTYLE LANCET KIT 675.00 - - - - - - - - -
110 360200010572 FREESTYLE LANCET KIT 673.31 100 67,331.00 400 269,324.00 - - 300 201,993.00 200 134,662.00
111 FREESTYLE OPTIUM BG STRIP @ 25 6,801.59 - - - - - - - - -
112 360300010005 FREESTYLE OPTIUM NEO H BG @ 100 4,139.30 - - - - - - - - -
113 360300010005 FREESTYLE OPTIUM NEO H BG @ 100 4,133.05 100 413,305.00 500 2,066,525.00 - - 600 2,479,830.00 - -
114 340201220966 GELANG Adult ( PINK ) WRITE ON 1,540.00 - - - - - - - - -
115 340201260208 GELANG BAYI / ANAK BIRU 2,178.00 - - - - - - - - -
116 340201040207 GELANG BAYI / ANAK BIRU 1,584.00 - 100 158,400.00 - - 100 158,400.00 - -
117 340201260210 GELANG BAYI / ANAK PINK 2,178.00 - - - - - - - - -
118 340201040209 GELANG BAYI / ANAK PINK 1,584.00 - 100 158,400.00 - - 100 158,400.00 - -
119 340201280926 GUEDEL AIRWAY CLEAR NO. 1 159,500.00 - - - - - - - - -
124 330201360218 GUEDEL AIRWAY CLEAR NO. 5 187,000.00 - 10 1,870,000.00 - - 10 1,870,000.00 - -
125 330201280226 GUEDEL RED NO. 4 235,950.00 - - - - - - - - -
126 340201040250 ID BRACELET Adult BLUE (Write On 1,980.00 70 138,600.00 - - - - - 70 138,600.00
127 340201040252 ID BRACELET Adult RED (Insert Car 1,980.00 15 29,700.00 - - - - - 15 29,700.00
128 340201040258 ID BRACELET Adult UNGGU (Insert 1,980.00 9 17,820.00 - - - - - 9 17,820.00
129 340201370261 INFUSION SET ANAK ( Mikrodrip ) 24,200.00 - - - - - - - - -
131 INFUSION SET ANAK ( Mikrodrip ) 11,495.00 - - - - - - - - -
133 340201260259 INFUSION SET ANAK ( Mikrodrip ) 7,524.00 - 50 376,200.00 - - 35 263,340.00 15 112,860.00
134 INFUSION SET DEWASA 7,700.00 - - - - - - - - -
135 340200540262 INFUSION SET DEWASA 16,500.00 - - - - - - - - -
136 340201040981 INFUSION SET DEWASA 7,524.00 - 25 188,100.00 - - 20 150,480.00 5 37,620.00
137 340201450271 INTRAFIX SAFE SET ( DEWASA ) 33,000.00 - - - - - - - - -
138 340201110286 KAPAS PUTIH @ 1 KG 44,550.00 - - - - - - - - -
139 340201110286 KAPAS PUTIH @ 1 KG 51,480.00 - - - - - - - - -
140 370201460039 KAPSUL KOSONG NO.00 63.89 - 1,000 63,890.00 1,000 63,890.00 - - - -
141 370201460040 KAPSUL KOSONG NO.1 64.00 - - - - - - - - -
142 330201580292 KASA HYDROPHYL ( MMP ) 140,481.00 - - - - - - - - -
143 330200980291 KASA HYDROPHYL ( PPI ) 143,000.00 - - - - - - - - -
144 330200980291 KASA HYDROPHYL ( PPI ) 156,200.00 1 156,200.00 5 781,000.00 - - 1 156,200.00 5 781,000.00
145 330201110293 KASA KOMPRES STERIL 3,850.00 - - - - - - - - -
148 330201110293 KASA KOMPRES STERIL 7,700.00 3 23,100.00 - 3 23,100.00 - - - -
98/235
DEPO
149 330201110293 KASA KOMPRES STERIL 5,445.00 - 12 65,340.00 9 49,005.00 - - 3 16,335.00
150 330200980296 KASA PEMBALUT(INDAH) 2,310.00 9 20,790.00 - - - - - 9 20,790.00
151 340200970302 LEUKOMED T PLUS 10 X 25 CM 26,183.48 - - - - - - - - -
152 340200970302 LEUKOMED T PLUS 10 X 25 CM 40,546.00 64 2,594,944.00 - 29 1,175,834.00 - - 35 1,419,110.00
153 340200970304 LEUKOMED T PLUS 8 X 15 CM 15,028.20 - - - - - - - - -
154 340200970306 LEUKOPLAST UK. 2,5 x 5 (1624H) 16,385.60 - 7 114,699.20 - - 3 49,156.80 4 65,542.40
155 340200970306 LEUKOPLAST UK. 4,5 x 5 (1624H) 51,480.00 - - - - - - - - -
156 340200970306 LEUKOPLAST UK. 4,5 x 5 (1624H) 28,215.00 - - - - - - - - -
157 340201240313 LOMATULE 14,300.00 - - - - - - - - -
158 340201240313 LOMATULE 12,155.00 40 486,200.00 - - - - - 40 486,200.00
159 340202000623 MANSET TENSIMETER DEWASA 21,780.00 - - - - - - - - -
160 340201440314 MANSET TENSIMETER DEWASA 52,250.00 - - - - - - - - -
161 MASKER N 95 43,065.00 - - - - - - - - -
162 330201220316 MEDICRAPE 10 X 4.5 24,640.00 - - - - - - - - -
163 330201220316 MEDICRAPE 10 X 4.5 32,175.00 1 32,175.00 - - - - - 1 32,175.00
164 330201220315 MEDICRAPE 15 X 4.5 56,826.00 - - - - - - - - -
165 330201220315 MEDICRAPE 15 X 4.5 46,200.00 3 138,600.00 - - - 3 138,600.00 - -
166 330201220317 MEDICRAPE 7.5 X 4.5 23,958.00 2 47,916.00 - - - 1 23,958.00 1 23,958.00
167 340200530318 MICRO FINE 5 MM 2,050.13 - - - - - - - - -
168 340200530318 MICRO FINE 5 MM 3,018.40 - - - - - - - - -
169 34020170320 MICROBURET ( MICRODRIP FOR S 83,776.00 - - - - - - - - -
170 340201370965 MICROBURET ( MICRODRIP FOR S 95,150.00 - - - - - - - - -
171 MICROPORE 1 “ 28,512.00 - - - - - - - - -
172 340200910321 MICROPORE 2 " 57,024.00 23 1,311,552.00 48 2,737,152.00 22 1,254,528.00 30 1,710,720.00 19 1,083,456.00
173 340200910321 MICROPORE 2 " 67,419.00 - - - - - - - - -
174 340200530332 NOVOTWIST 32 G 2,310.00 - - - - - - - - -
175 340200530332 NOVOTWIST 32 G 3,291.75 - - - - - - - - -
176 360201300338 OBJECT GLASS/SLIDE @ 72 37,500.10 - - - - - - - - -
177 340201140339 OPTIVA G 2, 22 29,040.00 28 813,120.00 50 1,452,000.00 - - - - 78 2,265,120.00
178 340201140340 OPTIVA G 20 19,360.00 - - - - - - - - -
179 340201140341 OPTIVA G 22 19,360.00 15 290,400.00 - - - 15 290,400.00 - -
180 340201040348 PENUTUP MATA BAYI 165,000.00 - - - - - - - - -
181 340201040348 PENUTUP MATA BAYI 148,500.00 - 10 1,485,000.00 - - 10 1,485,000.00 - -
182 340201450352 PERFUSOR TUB. WHITE 150 CM 49,500.00 - - - - - - - - -
183 340201450352 PERFUSOR TUB. WHITE 150 CM 53,900.00 - - - - - - - - -
184 340201490266 PLESTERAN BULAT 297.00 - - - - - - - - -
185 340201490266 PLESTERAN BULAT 192.50 600 115,500.00 - - - 400 77,000.00 200 38,500.00
186 340200440917 POLYMEM MAX NON ADHESIF 11 X 162,800.00 10 1,628,000.00 - - - - - 10 1,628,000.00
187 340200440918 POLYMEM NON ADHESIF 10 x 10 82,500.00 10 825,000.00 - 3 247,500.00 - - 7 577,500.00
188 340200440929 POLYMEM SILVER 10,8 X 10,8 CM 207,350.00 15 3,110,250.00 - 13 2,695,550.00 - - 2 414,700.00
189 370201490377 POT ZALF 100 GR 2,464.00 6 14,784.00 - - - - - 6 14,784.00
190 370201490378 POT ZALF 20 GR 1,100.00 - - - - - - - - -
191 370201490378 POT ZALF 20 GR 1,100.00 - - - - - - - - -
192 370201490378 POT ZALF 20 GR 968.00 18 17,424.00 - 8 7,744.00 5 4,840.00 5 4,840.00
99/235
DEPO
193 370201490380 POT ZALF 30 GR 1,463.00 - - - - - - - - -
194 370201490380 POT ZALF 30 GR 1,232.00 2 2,464.00 - - - 2 2,464.00 - -
195 370201490380 POT ZALF 30 GR 1,650.00 - - - - - - - - -
196 370201490381 POT ZALF 50 GR 1,320.00 - - - - - - - - -
197 370201490381 POT ZALF 50 GR 1,760.00 4 7,040.00 - - - - - 4 7,040.00
198 330200420784 PROXIMATE PPH PROCEDURE 33 4,752,000.00 - - - - - - - - -
199 330200420784 PROXIMATE PPH PROCEDURE 33 4,752,000.00 - - - - - - - - -
200 330201510393 RECTAL TUBE 20 32,670.00 - - - - - - - - -
201 340201280398 RING PESARIUM NO. 7 154,000.00 1 154,000.00 - - - - - 1 154,000.00
202 340201280399 RING PESARIUM NO. 7.5 154,000.00 1 154,000.00 - - - - - 1 154,000.00
203 340201030403 RUBBER HAND GLOVE NO. 7 15,840.00 - - - - - - - - -
204 RUBBER HAND GLOVE NO. 7 16,830.00 - - - - - - - - -
205 340201030407 RUBBER HAND GLOVE NO. 7 16,335.00 - - 40 653,400.00 - - 40 653,400.00 - -
206 340201260406 RUBBER HAND GLOVE NO. 7,5 15,950.00 - - - - - - - - -
207 340201260406 RUBBER HAND GLOVE NO. 7,5 11,088.00 4 44,352.00 - - - - - 4 44,352.00
208 340201030407 RUBBER HAND GLOVE NO. 8 16,500.00 5 82,500.00 - - - - - 5 82,500.00
209 340201260420 SANRUNG TANGAN PANJANG NO. 37,400.00 - - - - - - - - -
210 340201260982 SANRUNG TANGAN PANJANG NO. 30,624.00 - - - - - - - - -
211 340200920425 SCALPEL BLADE BB- 510 5,778.85 - - - - - - - - -
212 340201390429 SELANG O2 ANAK 8,276.40 5 41,382.00 - - - 5 41,382.00 - -
213 340201390429 SELANG O2 ANAK 14,960.00 - 10 149,600.00 - - - - 10 149,600.00
214 340201390431 SELANG O2 BAYI 19,800.00 - - - - - - - - -
215 340201390431 SELANG O2 BAYI 15,840.00 - - - - - - - - -
216 340201390431 SELANG O2 BAYI 8,276.40 - - - - - - - - -
217 340201260434 SELANG O2 DEWASA 19,250.00 - - - - - - - - -
218 340201260434 SELANG O2 DEWASA 14,960.00 10 149,600.00 - - - 10 149,600.00 - -
219 340201390433 SELANG O2 DEWASA 16,362.50 - - - - - - - - -
220 340201260453 SIMP. MASK NON REBR. M ( DEWA 33,550.00 - - - - - - - - -
223 340201260453 SIMP. MASK NON REBR. M ( DEWA 44,000.00 - 20 880,000.00 - - 18 792,000.00 2 88,000.00
224 330200640458 SOFRATULLE 24,781.10 - - - - - - - - -
225 SOFRATULLE 26,023.14 - - - - - - - - -
226 360200610460 SOFTCLIX LANCET UNO 200 1,210.00 - - - - - - - - -
227 360200610460 SOFTCLIX LANCET UNO 200 1,320.00 - - - - - - - - -
228 330201450462 SPINOCAN 25G X 3 1/2 " 44,000.00 - - - - - - - - -
229 SPINOCAN / SPINAL 25G X 3 1/2 " 20,295.00 - - - - - - - - -
230 340201370466 STOMACH TUBE NO.12 19,800.00 - - - - - - - - -
231 340201370466 STOMACH TUBE NO.12 29,568.00 - - - - - - - - -
232 340201370467 STOMACH TUBE NO.14 29,568.00 - - - - - - - - -
233 340201370468 STOMACH TUBE NO.16 33,550.00 - - - - - - - - -
234 340201370468 STOMACH TUBE NO.16 26,426.40 - - - - - - - - -
235 340201370468 STOMACH TUBE NO.16 29,568.00 - 10 295,680.00 - - 10 295,680.00 - -
236 340201370469 STOMACH TUBE NO.18 19,800.00 - - - - - - - - -
100/235
DEPO
237 340201370469 STOMACH TUBE NO.18 29,568.00 - - - - - - - - -
238 STOMACH TUBE NO.18 4,781.00 - - - - - - - - -
239 340201450470 STOPPER LL 6,600.00 - - - - - - - - -
240 340201450470 STOPPER LL 8,151.00 - - - - - - - - -
241 340201260471 SUCTION CATHETER NO. 12 10,065.00 - - - - - - - - -
247 SUCTION CATHETER NO. 8 10,065.00 67 674,355.00 - - - - - 67 674,355.00
248 SUCTION CATHETER NO. 8 8,107.00 - - - - - - - - -
249 340201260474 SUCTION CATHETER NO. 8 7,673.60 - 100 767,360.00 - - 100 767,360.00 - -
250 340201040475 SUNGKUP OXYGEN ANAK 31,944.00 1 31,944.00 - - - 1 31,944.00 - -
251 340201040475 SUNGKUP OXYGEN ANAK 33,000.00 - 2 66,000.00 - - - - 2 66,000.00
252 340201040477 SUNGKUP OXYGEN BAYI 19,800.00 - - - - - - - - -
253 340201040479 SUNGKUP OXYGEN DEWASA 18,498.70 - - - - - - - - -
257 340201040479 SUNGKUP OXYGEN DEWASA 31,944.00 20 638,880.00 20 638,880.00 - - 30 958,320.00 10 319,440.00
258 340201370481 SURFLO W I.V. NO. 26 23,100.00 - - - - - - - - -
259 340201370481 SURFLO WP I.V. NO. 26 39,363.50 - 50 1,968,175.00 - - - - 50 1,968,175.00
260 340201370481 SURFLO WP I.V. NO. 26 41,679.00 - 150 6,251,850.00 - - 150 6,251,850.00 - -
261 340201370483 SURFLO I.V. NO. 14 8,354.61 - 50 417,730.50 - - - - 50 417,730.50
262 340201370485 SURFLO I.V. NO. 20 16,335.00 - - - - - - - - -
263 340201370485 SURFLO I.V. NO. 20 12,100.00 - 50 605,000.00 - - - - 50 605,000.00
264 340201370485 SURFLO I.V. NO. 20 17,820.00 - 50 891,000.00 - - 50 891,000.00 - -
265 340201370486 SURFLO I.V. NO. 22 14,850.00 - - - - - - - - -
266 340201370486 SURFLO I.V. NO. 22 16,335.00 - - - - - - - - -
267 340201370486 SURFLO I.V. NO. 22 12,100.00 - - - - - - - - -
268 340201370486 SURFLO I.V. NO. 22 8,354.61 - - - - - - - - -
269 340201370486 SURFLO I.V. NO. 22 17,820.00 - - - - - - - - -
270 340201370486 SURFLO I.V. NO. 22 17,820.00 - 50 891,000.00 - - 50 891,000.00 - -
271 340201370487 SURFLO I.V. NO. 24 12,100.00 - - - - - - - - -
272 340201370487 SURFLO I.V. NO. 24 8,354.61 - - - - - - - - -
273 340201370916 SURFLO I.V. NO. 26 25,500.75 - - - - - - - - -
274 340201370916 SURFLO I.V. NO. 26 39,363.50 - - - - - - - - -
275 340201450974 SURGICAL GLOVE UK. L 528.00 - - - - - - - - -
276 SURGICAL GLOVE UK. L 673.20 - - - - - - - - -
277 340201260491 SURGICAL GLOVE UK. M 532.40 - - - - - - - - -
278 340201520490 SURGICAL GLOVE UK. M 594.00 - - - - - - - - -
279 340201520490 SURGICAL GLOVE UK. M 710.60 1,100 781,660.00 5,000 3,553,000.00 - - 5,200 3,695,120.00 900 639,540.00
280 SURGICAL GLOVE UK. M 532.38 - 2,000 1,064,760.00 - - 2,000 1,064,760.00 - -
101/235
DEPO
281 340201260493 SURGICAL GLOVE UK. S 577.50 - - - - - - - - -
282 SURGICAL GLOVE UK. S 532.40 - - - - - - - - -
283 340201260493 SURGICAL GLOVE UK. S 594.00 - - - - - - - - -
284 340201260493 SURGICAL GLOVE UK. S 710.60 1,400 994,840.00 7,000 4,974,200.00 - - 7,400 5,258,440.00 1,000 710,600.00
285 SURGICAL GLOVE UK. S 532.40 - - - - - - - - -
286 330201150504 SURGICAL NEEDLE ME-32 19,250.00 - - - - - - - - -
289 330201150515 SURGICAL NEEDLE MH-36 22,385.00 - - - - - - - - -
292 330201150523 SURGICAL NEEDLE TH-28 15,467.83 - - - - - - - - -
300 340201020556 TERMAL. PAPER UTK. ECG 3 CHA 138,600.00 - - - - - - - - -
301 340201020556 TERMAL. PAPER UTK. ECG 3 CHA 264,000.00 - - - - - - - - -
302 340201020556 TERMAL. PAPER UTK. ECG 80 MM 158,400.00 2 316,800.00 - - - - - 2 316,800.00
303 340201390561 THERMOMETER DIGITAL 20,630.50 - - - - - - - - -
304 340201390561 THERMOMETER DIGITAL 31,350.00 - - - - - - - - -
305 340201540560 THERMOMETER MEDIS 16,500.00 2 33,000.00 - - - - - 2 33,000.00
306 340201390561 THERMOMETER MEDIS DIGITAL 31,350.00 - 2 62,700.00 - - 2 62,700.00 - -
307 340201370793 THREE WAY STOPCOCK 5,984.00 - - - - - - - - -
308 340201370564 THREE WAY STOPCOCK 22,176.00 63 1,397,088.00 - - - 63 1,397,088.00 - -
309 340201370793 THREE WAY STOPCOCK 4,950.00 - - - - - - - - -
310 340201040566 TORNIQUITE 13,200.00 - - - - - - - - -
311 340201040566 TORNIQUITE 33,000.00 - - - - - - - - -
312 340201450570 TRANSOFIX 7,590.00 8 60,720.00 - - - - - 8 60,720.00
313 330201220573 ULTRAFIC 10 CM X 500 CM 44,704.00 6 268,224.00 - - - 6 268,224.00 - -
314 330201220573 ULTRAFIC 10 CM X 500 CM 35,640.00 - 5 178,200.00 - - 1 35,640.00 4 142,560.00
315 370201220406 ULTRAFIC 5 CM X 500 CM 41,976.00 - - - - - - - - -
316 340201530575 UMBILICAL KLAMP 3,465.00 - - - - - - - - -
317 340201530575 UMBILICAL KLAMP 4,400.00 - 50 220,000.00 - - 50 220,000.00 - -
318 340201530575 UMBILICAL KLAMP 6,930.00 - 100 693,000.00 - - 100 693,000.00 - -
319 340201490578 URINAL UTK. LAKI-LAKI PLASTIK 16,500.00 - - - - - - - - -
320 340201260581 URINE BAG 7,700.00 - - - - - - - - -
321 340201260581 URINE BAG 6,050.00 - - - - - - - - -
322 340201390580 URINE BAG 5,544.00 - - - - - - - - -
323 URINE BAG 5,005.00 - - - - - - - - -
324 340201390580 URINE BAG 8,800.00 10 88,000.00 60 528,000.00 - - 50 440,000.00 20 176,000.00
102/235
DEPO
325 VASELIN SWAB 10 X 10 8,800.00 19 167,200.00 - - - - - 19 167,200.00
326 VICRYL RAP UND 90 CM 2/0 73,810.00 - - - - - - - - -
327 VICRYL RAP UND 90 CM 2/0 73,810.00 - - - - - - - - -
328 340201370969 WING INFUS 27G 1/2 24,860.00 - - - - - - - - -
BAHAN KIMIA - - - - - - - -
1 460300610001 A/C PERFORMA LA/ APAC 50 9,614.00 - - - - - - - - -
2 460301460008 ALCOHOL 70% 41,800.00 - - - - - - - - -
3 460301490009 ALCOHOL 70% 26,400.00 - - - - - - - - -
4 460301490009 ALCOHOL 70% 29,700.00 - - - - - - - - -
5 460301260020 ASEPTAN ( anti septik ) @ 5000 ML 359,975.00 - - - - - - - - -
6 460301260020 ASEPTAN ( anti septik ) @ 5000 ML 384,560.00 - - - - - - - - -
7 440301220319 ASEPTIC GEL 37,400.00 4 149,600.00 - - - 4 149,600.00 - -
8 440301220319 ASEPTIC GEL 70,746.50 - 24 1,697,916.00 - - 24 1,697,916.00 - -
9 440301220319 ASEPTIC GEL + DESPENSER 45,980.00 - - - - - - - - -
10 440301220319 ASEPTIC GEL + DESPENSER 63,954.00 - - - - - - - - -
11 460301620061 GEL UNTUK ECG 250 ML 30,800.00 - - - - - - - - -
12 460301620061 GEL UNTUK ECG 250 ML 47,960.00 1 47,960.00 - - - - - 1 47,960.00
13 460301460069 GLYCERINE 1000 ML 130,900.00 - - - - - - - - -
14 460301460069 GLYCERINE 1000 ML 72,600.00 - - - - - - - - -
15 460301460069 GLYCERINE 1000 ML 23,067.00 - - - - - - - - -
16 431440350001 IODINE POVIDONE 1000 ML 65,963.70 - - - - - - - - -
18 IODINE POVIDONE 1000 ML 75,900.00 - - - - - - - - -
20 440301220316 PERHYDROL 3% (800 Ml) H2O2 31,944.00 - - - - - - - - -
21 440301450182 SOFTAMAN 100 ML 39,600.00 - - - - - - - - -
40,748 282,683,331.73 74,546 348,930,750.14 44,279 342,191,755.85 32,690 61,994,844.09 38,325 227,427,481.93
40,748 282,683,331.73 74,546 348,930,750.14 44,279 342,191,755.85 32,690 61,994,844.09 38,325 227,427,481.93
- - - - - - - - - -
103/235
DEPO
Kesimpulan :
Month Stock (Stock Akhir Bulan)

MS = 39,536.50
76,969.00
= 0.51
Nilai ideal = 0.5 - 1
Turn Over Ratio
TOR = 76,969.00
39,536.50
= 1.95
Nilai ideal minimal = 1.2
RETUR / AFKIR :
NO KODEFIKASI NAMA OBAT HARGA JMLH NILAI KET

AFKIR DEPO
1 - AFKIR DEPO
JUMLAH AFKIR 0 - AFKIR DEPO
-
RETUR DEPO
1 120850550071 BIOZYM 184,800.00 5 924,000.00 RETUR DEPO
2 120850550071 BIOZYM 150,150.00 15 2,252,250.00
JUMLAH RETUR 5 3,176,250.0 RETUR DEPO
TOTAL - 5 3,176,250.00
Diketahui Oleh ; Diketahui Oleh ; Dibuat Oleh ;

Ka. Depo Ranap Ka. Instalasi Farmasi Adm. Depo Ranap
MORALISA ELFIRA RATNA PRADIPTA S. Far, Apt ADITIA PRANA
104/235
RUMAH SAKIT
MEDIKA STANNIA
SUNGAILIAT
s/d 31
BULAN : APRIL 2019 MUTASI BARANG DI RUANG HEMODIALISA NO. PERKIRAAN : 511.11
BAGIAN : HEMODIALISA KELOMPOK BARANG : FARMASI - - TGL. PERMINTAAN 25 Apr 19
HARGA STOCK AWAL PENERIMAAN PEMAKAIAN SISA AKHIR

NO. KODIFIKASI NAMA BARANG
SATUAN KWTM NILAI KWTM NILAI KWTM NILAI KWTM NILAI
1 2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
ANTIBIOTIK GENERIK
1 110810310001 GENTAMICIN INJ 3,692.20 - - - - - - - -
2 - - - - - - - -
3 NON ANTIBIOTIK GENERIK - - - - - - - -
4 - - - - - - - -
5 DIPHENHYDRAMINE INJ 1,007.97 - - - - - - - -
6 EPINEPRIN INJ 8,504.98 - - - - - - - -
- - - - - - - -
- - - - - - - -
NON ANTIBIOTIK PATEN - - - - - - - -
1 DEXTROSE 40% INJ 25 ML 8,316.00 - - - - - - - -
2 221230540079 DEXTROSE 40% INJ 25 ML 7,920.00 2 15,840.00 - - - - 2 15,840.00
3 221230810098 ECOSOL NACL 0,9% 500 ML 8,800.00 - - - - - - - -
4 221231450052 ECOSOL NACL 0,9%1000 ML 15,840.00 - - - - - - - -
5 221230620104 INFUSAN NS 1000ML SP 18,364.50 - - 10 183,645.00 10 183,645.00 - -
6 221230620104 INFUSAN NS 1000ML SP 18,826.50 - 260 4,894,890.00 260 4,894,890.00 -
7 220260210008 INVICLOT INJ 49,500.00 - - - - - - - -
8 220260210008 INVICLOT INJ 51,975.00 - - - - - - - -
9 220260210008 INVICLOT INJ 59,400.00 - - - - - - - -
10 220260210008 INVICLOT INJ 69,300.00 - - 50 3,465,000.00 50 3,465,000.00 - -
11 KCL INJ 25 ML 6,600.00 - - - - - - - -
12 MEYLON INJ 12,100.00 - - - - - - - -
13 221230540019 SOD.CHLORET NATR.500 ML 5,409.70 - - - - - - - -
14 221230750042 SOD.CHLORET NATR.500 ML 6,409.70 - - - - - - - -
15 440301450183 SOFTAMAN 1000 ML 181,500.00 - - - - - - - -
- - - - - - - -
ALAT KESEHATAN - - - - - - - -
1 340201370032 BLOOD TRANFUSION SET 28,050.00 - - - - - - - -
2 DISPOSIBLE SYRINGE UK 1 CC 1,125.34 - - 200 225,068.00 200 225,068.00 -
3 340200950123 DISPOSIBLE SYRINGE UK.1CC 1,210.00 - - - - - - - -
4 340200950123 DISPOSIBLE SYRINGE UK 1 CC 2,145.00 - - - - - - - -
5 DISPOSIBLE SYRINGE UK 1 CC 2,530.00 - - - - - - - -
7 DISPOSIBLE SYRINGE UK 20 CC 1,627.00 - - - - - - - -
8 340201220924 DISPOSIBLE SYRINGE UK.20 CC 2,728.00 - - 200 545,600.00 200 545,600.00 - -
9 340201220924 DISPOSIBLE SYRINGE UK.20 CC 3,300.00 - - - - - - - -
10 340201220924 DISPOSIBLE SYRINGE UK.20 CC 3,575.00 - - - - - - - -
1 / 235
1 2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
11 DISPOSIBLE SYRINGE UK 3 CC 577.50 - - - - - - - -
12 DISPOSIBLE SYRINGE UK 3 CC 1,016.39 - - 200 203,278.00 200 203,278.00 -
14 FACE MASK EARLOOP 330.00 - - - - - - - -
15 340201330979 FACE MASK 435.60 - - - - - - - -
16 FACE MASK TALI 554.40 - - 100 55,440.00 100 55,440.00 -
17 380201450231 HD-DIACAN ARTERIAL G 16. 30 MM 8,984.25 - - 250 2,246,062.50 250 2,246,062.50 - -
18 380201450231 HD-DIACAN ARTERIAL G 16. 30 MM 10,563.30 - - - - - - - -
21 380201450233 HD-DIACAP LOPS 15 PS DIALYSATC 222,337.50 - - 220 48,914,250.00 208 46,246,200.00 12 2,668,050.00
22 380201450233 HD-DIACAP LOPS 15 PS DIALYSATC 261,415.00 - - - - - - - -
23 380201450233 HD-DIACAP LOPS 15 PS DIALYSATC 264,110.00 - - - - - - - -
24 380201450233 HD-DIACAP LOPS 15 PS DIALYSATC 297,000.00 7 2,079,000.00 - - 7 2,079,000.00 - -
25 380201450236 HD-DIALOG BLOODLINE ARTERIAL 110,715.00 17 1,882,155.00 216 23,914,440.00 215 23,803,725.00 18 1,992,870.00
26 380201450236 HD-DIALOG BLOODLINE ARTERIAL 130,174.00 - - - - - - - -
29 380201450240 HD-HD CONC.ACIDIC HDM 303 10LTR. 154,275.00 - - 68 10,490,700.00 64 9,873,600.00 4 617,100.00
30 380201450240 HD-HD CONC.ACIDIC HDM 303 10L 187,000.00 - - - - - - - -
31 380201450240 HD-HD CONC.ACIDIC HDM 303 10L 224,400.00 18 4,039,200.00 - - 18 4,039,200.00 - -
32 380201450241 HD-SOL CART B 107,085.00 - - 30 3,212,550.00 29 3,105,465.00 1 107,085.00
33 380201450241 HD-SOL CART B 125,906.00 - - - - - - - -
34 380201450241 HD-SOL CART B 142,780.00 6 856,680.00 180 25,700,400.00 186 26,557,080.00 - -
37 340201040981 INFUSION SET DEWASA 7,524.00 - - 200 1,504,800.00 200 1,504,800.00 - -
39 330201580292 KASA HYDROPHYL(MMP) 140,481.00 - - - - - - - -
40 330200980291 KASA HYDROPHYL(MMP) 143,000.00 - - - - - - - -
41 KASA HYDROPHYL(MMP) 156,200.00 - - 2 312,400.00 2 312,400.00 - -
42 340200970306 LEUKOPAST UK.4,5X5(1624H) 28,215.00 - - - - - - - -
43 340200910322 MICROPORE 1/2"(MMP) 14,256.00 - - - - - - - -
44 340200910321 MICROPORE 2” 57,024.00 - - - - - - - -
45 360200610460 SOFTCLIX LANCET UNO200 1,452.00 - - - - - - - -
46 SURGICAL GLOVES UK.M 594.00 - - - - - - - -
47 340201520490 SURGICAL GLOVES UK.M 710.60 - - - - - - - -
48 340201260493 SURGICAL GLOVES UK.S 594.00 - - - - - - - -
49 340201260493 SURGICAL GLOVES UK.S 710.60 100 71,060.00 1,300 923,780.00 1,300 923,780.00 100 71,060.00
50 330201220573 ULTRAFIX 10X5 CM 44,704.00 - - - - - - - -
51 330201220573 ULTRAFIX 10X5 CM 35,640.00 - - - - - - - -
- - - - - - - -
BAHAN KIMIA - - - - - - - -
1 460300610002 ACCUCHEX ACTIVE HIJAU 343,200.00 - - - - - - - -
2 / 235
1 2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
2 460300950010 ALKOHOL SWABS 198.00 - - - - - - - -
3 460300950010 ALKOHOL SWABS 264.00 - - - - - - - -
4 ALKOHOL SWABS 233.75 - - 400 93,500.00 400 93,500.00 -
5 460301260020 ASEPTAN@ 5000 ML 359,975.00 - - - - - - - -
6 460301460033 CITRIC ACID MONOHYDRATE @ 25 1,485,000.00 - - 1 1,485,000.00 1 1,485,000.00 - -
7 460301460033 CITRIC ACID MONOHYDRATE @ 25 1,815,000.00 - - - - - - -
- - - - -
JUMLAH 150 8,943,935.00 3,887 128,370,803.50 3,900 131,842,733.50 137 5,472,005.00
150 8,943,935.00 3,887 128,370,803.50 3,900 131,842,733.50 137 5,472,005.00
- - - - - - - -
Rekap : Nilai Pengeluaran 131,842,733.50

Nilai Barang Retur 0.00

Ka. Rg. Hemodialisa Penanggung Jawab Ka. Rg. Hemodialisa
SUSNITA dr. PIUSI ERLANDA SUSNITA
3 / 235
RUMAH SAKIT
MEDIKA STANNIA
SUNGAILIAT
BULAN : APRIL 2019 MUTASI BARANG - BARANG DI POLI KIA NO. PERKIRAAN :
BAGIAN : KIA KELOMPOK BARANG : FARMASI - - TGL. PERMINTAAN 25-Apr-19

NO. KODIFIKASI NAMA BARANG STN
1 2 3 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
1 460300950010 alcohol swabs 29,700.00 - - - - - -
2 460301490009 ALKOHOL 70 % 29,700.00 - - - - - -
3 440301220319 aseptic gel + despenser 29,150.00 - - - - - -
4 Depo Progestin Vial 6,000.01 - - - - - -
5 Dermafix 10 x 25 Pc 18,849.97 - - - - - -
6 340201070111 Dermafix 10 x 25 Pc 24,255.00 10 242,550.00 - - 10 242,550.00
7 340201070111 Dermafix 10 x 25 Pc 18,850.15 - - - - - -
8 340200950118 disposible / needle 25 Pc 1,045.00 - - - - - -
9 Disposible 1 cc Pc 2,530.00 - - - - - -
10 Disposible 3 cc Pc 2,200.00 - - - - - -
11 221230810098 ecosol nacl 0,9 % 500 ml 8,800.00 - - - - - -
12 Engerix B 0.5 ml ( Anak ) Vial 67,100.00 - - - - - -
Fluquadri PED SH 0,25 174,900.00 2 349,800.00 - - 2 349,800.00
13 face mask Vial 440.00 - - - - - -
14 221820400036 Gardasil Inj.0.5 ml Pc 608,850.00 - - 10 6,088,500.00 1 608,850.00 9 5,479,650.00
15 460301620061 gel utk ekg 47,960.00 - - - - - -
gel utk ekg 250 ml 30,800.00 - - - - - -
gel ekg 5000 ml 346,500.00 - - - - - -
16 Haverix Inj Vial 242,000.00 - - - - - -
17 Infanrix - Hib Vial 335,500.00 - - - - - -
18 Infarix IPV - Hib Vial 346,500.00 - - - - - -
19 Iodine Paviodine 1000 ML Vial 59,966.50 - - 2 119,933.00 1 59,966.50 1 59,966.50
20 330200980291 kasa hydrophyl (ppi) 143,000.00 - - - - - -
21 Leukomed T PLUS 10 X 25 CM PC 40,546.00 1 40,546.00 25 1,013,650.00 8 324,368.00 18 729,828.00
21 LEukomed T PLUS 8 X 15 CM PC 16,831.58 - - - - - -
22 MMR vaccine 0,5 ml Vial 79,625.70 - - - - - -
23 NOVA T (5TH) Vial 363,000.00 - - - - - -
NOVA T (5TH) 335,225.00 3 1,005,675.00 - 3 1,005,675.00 - -
24 OBJECT GLASS/SLIDE @ 72 Vial 25,300.00 - - - - - -
25 220380580384 oxoferin Vial 67,925.00 - - - - - -
26 340201190351 PAPER USG 110GHJ TYPE V 264,000.00 - - - - - -
NO. KODIFIKASI NAMA BARANG STN
1 2 3 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
27 340201220707 PAP'SMEAR KID SIZE L 29,700.00 - - - - - -
28 340201220706 PAP'SMEAR KID SIZE S 34,650.00 - - - - - -
PAP'SMEAR KID SIZE M 34,650.00 - 20 693,000.00 3 103,950.00 17 589,050.00
PREVENAR 13 INJ 680,000.00 - - - - - -
29 Pentabio Inj. Vial 106,029.00 - - - - - -
30 221230540019 sod,chloret natr.500 ml 6,409.70 - - - - - -
31 370200810401 SURGICAL GLOVE UK.M 710.60 - - - - - -
32 370200810402 SURGICAL GLOVE UK.S Vial 710.60 - - 400 284,240.00 400 284,240.00 - -
33 340201450570 TRANSOFIX 7,590.00 - - - - - -
TYPHIM VI 0.5 ML 166,563.10 - - - - - -
Termal Paper Ecg 80 MM 158,400.00 14 2,217,600.00 4 633,600.00 10 1,584,000.00
34 330201220573 ultrafic 10 cm x 500 cm Vial 44,704.00 - - - - - -
34 vaksin hepatitis B RECOM 74,052.00 - - - - - -
JUMLAH 16 1,638,571.00 471 10,416,923.00 420 3,020,649.50 67 9,034,844.50
16 1,638,571.00 471 10,416,923.00 420 3,020,649.50 67 9,034,844.50
- - - - - - - -
Diketahui Oleh
Ka.Bid. Pelayanan Medik Ka. Perawat Rawat Jalan
dr.ARMADA ASTUTI,AMK
BULAN APRIL 2019 MUTASI BARANG - BARANG DI ICU
BAGIAN ICU KELOMPOK BARANG : FARMASI
NO. NAMA BARANG HARGA STOCK AWAL

SATUAN KWTM NILAI
1 KODIFIKASI 2 4 5 6 (4x5)

1 210220120225 AMIODARONE INJ. 8,700.08 - -
2 210280160074 ATROPIN SULFAS INJ. 1,650.00 48 79,200.00
3 210230160231 EPHINEPHRINE INJ. 1 mg/ml 1,408.00 - -
4 210230580004 EPHINEPHRINE INJ. 1 mg/ml 5,110.13 21 107,312.73
5 210130580244 LIDOCAIN INJ. 2% 880.92 38 33,474.96
- -
NON ANTIBIOTIK PATEN - -
1 220130340226 CATHEJELL 12,5 GR 64900 - -
2 221230540095 DEXTROSE 5 % 500 ML 6,900.30 - -
3 221230750060 RINGER LAKTAT 500 ML 7,150.00 - -
4 221230810098 ECOSOL NACL 0,9% 500 ML 8,800.00 - -
5 NORFIOM INJEKSI 4MG/4ML 88,000.00 12 1,056,000.00
6 221230540019 SOD. CHLORET NATR. 500 ML 6,409.70 -
7 221230620105 SOD. CHLORET NATR. 500 ML SP 11,940.50 - -
8 221230620105 SOD. CHLORET NATR. 500 ML SP 11,618.75 9 104,568.75
9 221230540042 SOD. CHLORET NATR. 500 ML 6,409.70 -
10 221230540064 WATER STERIL / AQUADEST 1 LITER 23,760.00 27 641,520.00
11 220130030141 XYLOCAINE JELLY 2% 30 GRM 41,600.02 6 249,600.12
-
ALAT KESEHATAN -
1 340200010008 ABBOCATH T 18 21,285.00 3 63,855.00
2 340200010007 ABBOCATH T 14 19,305.00 - -
3 340200010013 ABBOCATH T 24 20,900.00 8 167,200.00
4 340200010009 ABBOCATH T 20 19,250.00 - -
5 340200010015 ABBOCATH T 26 25,080.00 - -
6 ALCOHOL SWABS 214.50 - -
7 460300950010 ALCOHOL SWABS 264.00 400 105,600.00
8 460300950010 ALCOHOL SWABS 198.00 - -
9 340201370032 BLOOD TRANFUSION SET 28,050.00 - -
10 340201370032 BLOOD TRANFUSION SET 22,440.00 9 201,960.00
11 330201450077 CERTOVIX DUO V 720 852,500.00 - -
12 330201450079 CERTOVIX TRIO V 720 990,000.00 1 990,000.00
13 340200910095 CORE ELECTRODE 2670 5,553.90 231 1,282,950.90
14 340200010007 CORE ELECTRODE 2670 5,553.90 -
15 CORE ELECTRODE 2670 6,171.00 - -
16 CORRUGA TED DEWASA 160 CM 72,270.00 -
17 340201450114 DISCOFIX 3 WAY LUER LOCK 10 CM 49,049.00 15 735,735.00
18 340201450114 DISCOFIX 3 WAY LUER LOCK 10 CM 38,500.00 - -
19 340201450113 DISCOFIX 3 TREEWAY STOPCOCK B 30,250.00 5 151,250.00
20 340201370980 DISPOSIBLE / NEEDLE 18 G 1,210.00 - -
21 340201450130 DISPOSIBLE SYRINGE UK. 20 ( CENT 14,300.00 - -
22 340201220923 DISPOSIBLE SYRINGE UK. 20 ( CENT 2,728.00 23 62,744.00
23 340201450903 DISPOSIBLE SYRINGE UK. 50 ( L.PI 27,500.00 - -
24 DISPOSIBLE SYRINGE UK. 50 4,064.00 13 52,832.00
25 340201370138 DISPOSIBLE SYRINGE UK. 50 ( L.TE 29,700.00 - -
26 340201370139 DISPOSIBLE SYRINGE UK. 50 ( L.TE 29,700.00 18 534,600.00
27 340201450903 DISPOSIBLE SYRINGE UK. 50 ( L.TE 27,500.00 - -
28 340200950123 DISPOSIBLE SYRINGE UK. 1 CC 2,530.00 20 50,600.00
29 340201260131 DISPOSIBLE SYRINGE UK. 3 1,430.00 233 333,190.00
30 340200950131 DISPOSIBLE SYRINGE UK. 3 1,650.00 - -
32 DISPOSIBLE SYRINGE UK. 3 577.50 - -
38 340200810967 DRAGER SIRKUIT VENTILATOR DEW 435,600.00 27 11,761,200.00
39 330201280159 ENDOTRACHEA TUBE 4.0 45,760.00 1 45,760.00
40 330201280160 ENDOTRACHEA TUBE 5.0 45,760.00 - -
41 ENDOTRACHEA TUBE 6.5 24,500.30 -
43 ENDOTRACHEA TUBE 7 45,760.00 - -
44 330201280164 ENDOTRACHEA TUBE 7 45,760.00 4 183,040.00
46 340200910173 FACE MASK 440.00 - -
47 FAC MASK TALI 554.40 300 166,320.00
48 FACE MASK HEAD LOOP FOR HIJAB 382.80 - -
49 FAC MASK TIES ON 330.00 - -
50 340201370175 FEEDING TUBE FR. 5 . 100 CM 38,445.00 2 76,890.00
51 340201370178 FEEDING TUBE NO. 3,5 35 CM 23,100.00 - -
52 340201370904 FEEDING TUBE NO. 8 40 CM 33,880.00 1 33,880.00
53 340201370179 FEEDING TUBE NO. 8 100 CM 33,880.00 - -
54 340201260189 FOLLEY CATHETER NO. 6 15,840.00 1 15,840.00
55 FOLLEY CATHETER NO. 8 72,600.00 1 72,600.00
56 340201260198 FOLLEY CATHETER NO. 16 23,496.00 4 93,984.00
57 340201260198 FOLLEY CATHETER NO. 16 22,000.00 - -
58 340201280200 FOLLEY CATHETER NO. 18 15,840.00 - -
59 360200010572 FREESTYLE LANCET KIT 673.31 100 67,331.00
60 360300010005 FREE STYLE OPTIUM NEO H BG @ 1 4,133.05 - -
61 330201280821 GUEDEL AIRWAY CLEAR NO. 0 151,250.00 - -
62 330201280225 GUEDEL RED NO. 3 235,950.00 2 471,900.00
63 330201360220 GUEDEL AIRWAY CLEAR NO. 4 170,500.00 - -
64 330201360218 GUEDEL AIRWAY CLEAR NO. 5 159,500.00 3 478,500.00
65 HME FILTER WITH PAPER SOFT 36,135.00 - -
66 INFUSION SET ANAK (MIKRODRIP) 22,000.00 4 88,000.00
67 340201450271 INFUSION SET DEWASA 7,524.00 - -
68 340200540262 INFUSION SET DEWASA 16,500.00 2 33,000.00
69 340201040981 INFUSION SET DEWASA 7,524.00 - -
70 340201450271 INTRAFIX SAFE SET ( DEWASA ) 33,000.00 - -
71 340201110286 KAPAS PUTIH @ 1KG 51,480.00 - -
72 330200980291 KASA HYDROPHYL (PPI) 156,200.00 2 312,400.00
73 330201580292 KASA HYDROPHYL (MMP) 140,481.00 - -
74 340200910321 MICROPORE 2" 67,419.00 - -
75 340200910321 MICROPORE 2" 57,024.00 7 399,168.00
76 340201440314 MANSET TENSIMETER DEWASA 52,250.00 - -
77 340201140339 OPTIVA G 22 29,040.00 - -
78 340201140341 OPTIVA G 22 19,360.00 27 522,720.00
79 340201140340 OPTIVA G 20 19,360.00 28 542,080.00
80 340201450352 PERFUSOR TUB. WHITE 150 CM 53,900.00 28 1,509,200.00
81 340201450352 PERFUSOR TUB. WHITE 150 CM 49,500.00 - -
82 330201510393 RECTAL TUBE 20 32,670.00 - -
83 340201030403 RUBBER HAND GLOVE NO. 7 16,335.00 - -
84 RUBBER HAND GLOVE NO. 7 14,850.00 2 29,700.00
85 SELANG O2 BAYI 19,800.00 5 99,000.00
86 340201390431 SELANG O2 BAYI 15,840.00 - -
87 340201390430 SELANG O2 ANAK 14,960.00 1 14,960.00
88 340201390433 SELANG O2 DEWASA 16,362.50 - -
89 340201260434 SELANG O2 DEWASA 14,960.00 7 104,720.00
90 340201260453 SIMP. MASK NON REBR. M ( DEWASA 44,000.00 10 440,000.00
91 340201260454 SIMP. MASK NON REBR. S ( ANAK ) 44,000.00 3 132,000.00
92 340201370466 STOMACH TUBE NO.12 29,568.00 - -
93 340201370468 STOMACH TUBE NO.16 29,568.00 9 266,112.00
94 STOMACH TUBE NO.16 6,448.20 - -
95 340201260471 SUCTION CATHETER NO 12 10,065.00 5 50,325.00
96 340201260472 SUCTION CATHETER NO. 14 7,673.60 16 122,777.60
97 340201260476 SUNGKUP OXYGEN ANAK 31,944.00 - -
98 340201040479 SUNGKUP OXYGEN DEWASA 39,930.00 7 279,510.00
99 SURGICAL GLOVE UK. L 673.20 - -
100 340201260491 SURGICAL GLOVE UK. M 532.40 - -
103 340201520490 SURGICAL GLOVE UK. M 710.60 3,800 2,700,280.00
104 340201370487 SURFLO I.V. NO 24 17,820.00 - -
105 340201370483 SURFLO I.V. NO 14 8,354.61 2 16,709.22
106 340201450570 TRANSOFIX 7,590.00 -
107 330201220573 UTRAFIC 5 CM X 500 CM 35,640.00 - -
108 330201220573 UTRAFIC 10 CM X 500 CM 44,704.00 1 44,704.00
109 340201390580 URINE BAG 8,800.00 17 149,600.00
- -
BAHAN KIMIA - -
1 440301220319 ASEPTIC GEL 37,400.00 6 224,400.00
2 440301220319 ASEPTIC GEL + DESPENSER 63,954.00 - -
JUMLAH 6,073 29,559,393.28

6,073 29,559,393.28
- -
Barang Retur dan Afkir:

Harga Jumlah
No Nama Barang Nilai
Satuan Barang
I Obat Retur Ke Gudang
1
2 -
Jumlah 0 -
II Obat Afkir
1 -
Jumlah 0 -
Total 0 -
Rekap :
Nilai Barang Retur / Apkir
NB :
Diminta oleh Diketahui oleh

Ka.Rg ICU Penanggung jawab ICU
Yanuar Andani dr. Rizki Nurdiansyah

NO. PERKIRAAN : 505.11
- - TGL. PERMINTAAN 4/25/2019
PENERIMAAN PEMAKAIAN SISA AKHIR

KWTM NILAI KWTM NILAI KWTM NILAI
7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
2 17,400.16 - - 2 17,400.16
- 25 41,250.00 23 37,950.00
20 28,160.00 20 28,160.00 - -
- - - 21 107,312.73
- - - 38 33,474.96
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
20 1,760,000.00 20 1,760,000.00 12 1,056,000.00
- - - -
48 573,144.00 13 155,226.50 35 417,917.50
- 9 104,568.75 - -
- - - -
15 356,400.00 21 498,960.00 21 498,960.00
- 2 83,200.04 4 166,400.08
- - - -
- - - -
2 42,570.00 2 42,570.00 3 63,855.00
- - - - -
- 5 104,500.00 3 62,700.00
- - - - -
- - - - -
- - - - -
400 105,600.00 300 79,200.00 500 132,000.00
- - - - -
- - - - -
- 3 67,320.00 6 134,640.00
- - - - -
- - - 1 990,000.00
- 73 405,434.70 158 877,516.20
- - - -
- - - - -
- - - -
- 15 735,735.00 - -
20 770,000.00 - - 20 770,000.00
20 605,000.00 8 242,000.00 17 514,250.00
- - - - -
10 143,000.00 9 128,700.00 1 14,300.00
- - - 23 62,744.00
- - - - -
5 20,320.00 9 36,576.00 9 36,576.00
- - - - -
10 297,000.00 14 415,800.00 14 415,800.00
10 275,000.00 - - 10 275,000.00
- 10 25,300.00 10 25,300.00
- 154 220,220.00 79 112,970.00
- - - - -
- - - - -
- - - - -
- 17 19,540.48 183 210,347.52
- 73 171,039.00 - -
- - - - -
- 20 55,000.00 - -
- 100 160,931.00 100 160,931.00
- 7 3,049,200.00 20 8,712,000.00
1 45,760.00 1 45,760.00 1 45,760.00
- - - - -
1 24,500.30 - - 1 24,500.30
- - - 1 45,760.00
9 411,840.00 2 91,520.00 7 320,320.00
- 4 183,040.00 - -
- 1 45,760.00 3 137,280.00
- - - - -
300 166,320.00 300 166,320.00 300 166,320.00
- - - - -
- - - - -
- 2 76,890.00 - -
- - - - -
1 33,880.00 1 33,880.00 1 33,880.00
- - - - -
- - - 1 15,840.00
- - - 1 72,600.00
- 1 23,496.00 3 70,488.00
- - - - -
- - - - -
- 100 67,331.00 - -
100 413,305.00 100 413,305.00 - -
- - - - -
- - - 2 471,900.00
- - - - -
- 1 159,500.00 2 319,000.00
- - - - -
- 1 22,000.00 3 66,000.00
5 37,620.00 - - 5 37,620.00
- 1 16,500.00 1 16,500.00
- - - - -
10 330,000.00 3 99,000.00 7 231,000.00
- - - - -
- 1 156,200.00 1 156,200.00
- - - - -
- - - - -
- 3 171,072.00 4 228,096.00
- - - - -
50 1,452,000.00 10 290,400.00 40 1,161,600.00
- 27 522,720.00 - -
50 968,000.00 21 406,560.00 57 1,103,520.00
5 269,500.00 33 1,778,700.00 - -
50 2,475,000.00 - - 50 2,475,000.00
- - - - -
- - - - -
- - - 2 29,700.00
- 1 19,800.00 4 79,200.00
- - - - -
- - - 1 14,960.00
- - - - -
10 149,600.00 5 74,800.00 12 179,520.00
- 2 88,000.00 8 352,000.00
- - - 3 132,000.00
- - - - -
- 2 59,136.00 7 206,976.00
- - - - -
- - - 5 50,325.00
- 8 61,388.80 8 61,388.80
- - - - -
- - - 7 279,510.00
- - - - -
- - - - -
- - - - -
- - - - -
2,000 1,421,200.00 2,300 1,634,380.00 3,500 2,487,100.00
20 356,400.00 - - 20 356,400.00
- - - 2 16,709.22
- - - -
1 35,640.00 1 35,640.00 - -
- - - 1 44,704.00
- 9 79,200.00 8 70,400.00
- - - - -
- - - - -
- 1 37,400.00 5 187,000.00
- - - - -
3,195 13,584,159.46 3,871 15,490,130.27 5,397 27,653,422.47

3,195 13,584,159.46 3,871 15,490,130.27 5,397 27,653,422.47
- - - - - -
Keterangan
Diterima oleh
Ka.Rg ICU
Yanuar Andani
BULAN : APRIL 2019 MUTASI BARANG - BARANG DI POLI KM. SUNTIK NO. PERKIRAAN
BAGIAN : KAMAR SUNTIK KELOMPOK BARANG : FARMASI - - TGL. PERMINTAAN 4/25/2019

1 2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
1 alcohol swabs 198.00 - - - - - -

2 ASEPTAn (Anti septik)@ 5000 ML 384,560.00 - - - - - -
3 aseptic gel 37,400.00 2 74,800.00 - - 2 74,800.00
4 220320070010 Bisolvon Solution 50 ML 79,340.80 - - 1 79,340.80 1 79,340.80 - -
5 BYe - Bye Fever BABIES 6,381.10 9 57,429.90 - - 9 57,429.90
6 Bye - Bye Fever Children 9,084.90 5 45,424.50 - - 5 45,424.50
7 CENDO CITROL 39,067.88 - - - - - -
8 Combiven Neb 4,550.00 - - - - - -
9 220310070035 Combiven Neb 14,967.70 - - - - - -
10 220310070035 combivet neb 4,550.00 - - - - - -
11 340201070111 dermafix 10 x 25 cm 24,255.00 10 242,550.00 - - 10 242,550.00
12 340201370980 Disposible / Needle 18 G 1,210.00 - - - - - -
13 340200950119 Disposible / Needle 25 G 1,089.00 - - - - - -
14 340200950122 Disposible Syringe Uk 1 cc 2,530.00 38 96,140.00 - 38 96,140.00 - -
15 Disposible Syringe Uk 1 cc 1,210.00 - - - - - -
16 Disposible Syringe Uk 10 1,858.63 - - - - - -
17 340200950131 Disposible Syringe Uk 3 1,650.00 - - - - - -
19 340200950862 Disposible Syringe Uk 5 1,467.18 94 137,914.92 - - 94 137,914.92
21 220170070004 dulcolax supp 10 mg 22,239.14 5 111,195.70 - - 5 111,195.70
22 ,220170070003 dulcolax supp 5 mg 15,940.93 4 63,763.72 - - 4 63,763.72
23 221820230002 ENGERIX B INJ 0,5 ml(anak) 68,207.15 5 341,035.75 - - 5 341,035.75
24 epineprin inj 5,429.51 - - - - - -
epineprin inj 1 mg/ml 1,408.00 1 1,408.00 1 1,408.00
25 271820640001 euvax B 0,5 ML 58,443.00 - - - - - -
26 euvax B 1 ML 77,304.48 1 77,304.48 - - 1 77,304.48
27 340200910173 Face Mask 554.40 - - 150 83,160.00 150 83,160.00 - -
28 face Mask ties on 330.00 - - - - - -
29 220310230032 Flixotide Neb 0.5 MG 14,928.98 - - - - - -
30 Flixotide Neb 0.5 MG 14,928.98 25 373,224.50 40 597,159.20 45 671,804.10 20 298,579.60
31 221820640029 fluquadrin 0,25 (anak) 174,900.00 - - 5 874,500.00 1 174,900.00 4 699,600.00
32 221820640030 fluquadrin 0,5 (dewasa) 219,450.00 1 219,450.00 2 438,900.00 3 658,350.00 - -
33 460301220062 Gel Untuk ECG 500ml 346,500.00 - - - - - -
34 Gardasil inj. 608,850.00 6 3,653,100.00 - 6 3,653,100.00 - -
35 221820640026 hexasim INJ 613,800.00 - - - - - -
36 infarix hexa 558,657.00 - - - - - -
37 KASa PEMBALUT ( INDAH) 1,650.00 5 8,250.00 - - 5 8,250.00
38 330200980291 Kasa Hydropil (ppi) 156,200.00 - - - - - -
39 kapas putih 1kg 51,480.00 - - - - -
40 340201440314 Manset tensi dewasa 71,500.00 - - - - - -
1 2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
41 330201220315 medicrape 15 x 4,5 46,200.00 - - - - - -
42 220310540346 Meptin Inhalasi Sol 0.3 M 8,883.60 - - - - - -
43 220310540346 Meptin Inhalation 0.3 m 8,883.60 - - - - - -
44 MOUTH PIECE 2,5CM 7,012.50 200 1,402,500.00 - - 200 1,402,500.00
Nebulizer Mask Dewasa 35,200.00 2 70,400.00 - 2 70,400.00
45 220410320017 PAMOL SUPP 125 MG 9,680.00 2 19,360.00 - - 2 19,360.00
46 PAMOL SUPP 125 MG 10,890.00 - - - - - -
47 PAPER USG 110HG TYPE V 264,000.00 9 2,376,000.00 10 2,640,000.00 13 3,432,000.00 6 1,584,000.00
48 220410320424 PAMOL SUPP 250 MG 15,950.00 3 47,850.00 - 3 47,850.00 - -
49 221570090009 Pantocain Eye Drops 2 % 13,204.13 - - - - - -
50 PAP'S MEAR KID SIZE S 34,650.00 - - - - - -
51 plesteran bulat 297.00 - - - - - -
52 221821060018 PPD2TU (MANTUK TEST) 772,475.00 1 772,475.00 5 3,862,375.00 2 1,544,950.00 4 3,089,900.00
53 221820650009 PREVENAR 13 INJ. 714,001.00 1 714,001.00 - 1 714,001.00 - -
54 220310030045 PULMICORT 0,25 MG 13,242.02 11 145,662.22 - 2 26,484.04 9 119,178.18
55 221820230011 Rotarix 257,174.50 1 257,174.50 - - 1 257,174.50
120810320005 salticin cream 22,000.00 3 66,000.00 1 22,000.00 2 44,000.00
56 340201260430 Selang O2 anak 14,960.00 1 14,960.00 - - 1 14,960.00
57 340201260434 Selang O2 dewasa 14,960.00 1 14,960.00 - - 1 14,960.00
58 221230540019 SOD. NATR. CL. 500 ML 6,409.70 3 19,229.10 5 32,048.50 8 51,277.60 - -
59 221230540091 SOD. NATR. CL. 3% 500 ML 24,200.00 - - - - - -
60 224120020023 Stesolid Rectal 10 mg 39,204.00 1 39,204.00 - - 1 39,204.00
61 surgical glove uk.M 710.60 - - 400 284,240.00 400 284,240.00 - -
62 340201520490 surgical glove uk.S 710.60 200 142,120.00 - 200 142,120.00 - -
63 340201020552 Termal Paper ECG 50x30 49,500.00 - - - - - -
340201020558 termal Paper ECG 110 MM 264,000.00 5 1,320,000.00 1 264,000.00 4 1,056,000.00
64 221820650014 Thypim VI 0.5 MG 166,563.10 - - 1 166,563.10 1 166,563.10 - -
65 340201450570 transofix 7,590.00 - - - - - -
66 261820400004 Varivax 442,121.90 - - - - - -
67 vaxin hepatitis B Recom 74,052.00 33 2,443,716.00 - 16 1,184,832.00 17 1,258,884.00
68 220310240334 VENTOLIN NEBULES 2.5 MG 3,999.99 19 75,999.81 - 2 7,999.98 17 67,999.83
- -
JUMLAH 696 13,986,795.10 630 10,516,094.60 895 13,306,520.62 431 11,196,369.08
696 13,986,795.10 630 10,516,094.60 895 13,306,520.62 431 11,196,369.08
- - - - - - - -
Rekap :
NB :
DIKETAHUI OLEH Pgs Ka.Perawat Rawat Jalan

1 2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
Ka.Bid. Pelayanan Medik
dr.ARMADA ASTUTI,AMK
BULAN : APRIL 2019 MUTASI BARANG - BARANG DI GIZI NO. PERKIRAAN : 505.11
BAGIAN GIZI KELOMPOK BARANG : FARMASI - - TGL. PERMINTAAN 25-Apr-19
NO. NAMA BARANG HARGA STOCK AWAL PENERIMAAN PEMAKAIAN SISA AKHIR ( ST )
1 2 3 4 5 (4X3) 6 7(6X3) 8 9(8X3) 10 11(10X3)
- - -
NON ANTIBIOTIK PATEN - - -
1 SUSU APTA+KOLESFIT ORIGINAL 39,176.50 - 10 391,765.00 10 391,765.00 - -
2 SUSU APTA+KOLESFIT GREENTEA 39,176.50 - 2 78,353.00 2 78,353.00 - -
3 SUSU APTA+GLUKOFIT VANILA 36,932.50 20 738,650.00 20 738,650.00 - -
4 SUSU DIABETASOL COKLAT 37,411.00 10 374,110.00 10 374,110.00 - -
5 SUSU DIABETASOL VANILA 37,411.00 10 374,110.00 10 374,110.00 - -
- - - - -
- - -
1 FACE MASK TALI 554.40 - 500 277,200.00 500 277,200.00 - -
2 SURGICAL GLOVE UK. M 710.60 - 500 355,300.00 500 355,300.00 - -
- - - - -
- - - - -
BAHAN KIMIA - - - - -
1 ASEPTIC GEL 70,746.50 - 2 141,493.00 2 141,493.00 - -
- - - - -
- - - -
JUMLAH - - 1,054 2,730,981.00 1,054 2,730,981.00 - -
- - 1,054 2,730,981.00 1,054 2,730,981.00 - -
- - - - - - - -

Diminta oleh Diketahui oleh Diterima oleh

Ka. Unit Gizi Kabid. Penunjang Medik Pelaksana Gizi
DENDI APRIAN drg. IGN ADITIYA MAYASARI
18 / 235
RUMAH SAKIT
MEDIKA STANNIA
SUNGAILIAT
BULAN : APRIL 2019 MUTASI BARANG - BARANG DI POLI FISIOTERAPI NO. PERKIRAAN :
BAGIAN : FISIOTERAPI KELOMPOK BARANG : FARMASI TGL. PERMINTAAN 25-Apr-19
HARGA STOCK AWAL PENERIMAAN PEMAKAIAN SISA AKHIR ( ST )

NO. NAMA BARANG
1 2 3 4 5 (4X3) 6 7(6X3) 8 9(8X3) 10 11(10X3)
1 Gel Untuk ECG 88,000.00 - - - - - -
2 Gel Untuk ECG 96,800.00 - - - - - -
3 Sensi Glove UK. L 528.00 - - - - - -
4 Core Electrode 2670 2,640.00 - - - - - -
5 Face maks 435.60 - - - - - -
6 Face maks 2 ply 693.00 - - - - - -
7 Face maks 2 ply 904.20 - - - - - -
8 Face maks 2 ply 554.40 38 21,067.20 - 2 1,108.80 36 19,958.40
9 Softaman 500ml 115,500.00 - - - - - -
10 Leukotape 5 cm x 5 mtr 210,210.00 - - - - - -
11 Aseptic Gel + Despenser 63,954.00 - - - - - -
12 Aseptic Gel 37,400.00 1 37,400.00 - - 1 37,400.00
13 Aseptic Gel 70,746.50 - - 2 141,493.00 - 2 141,493.00
14 Core Electrode 2670 5,553.90 200 1,110,780.00 500 2,776,950.00 450 2,499,255.00 250 1,388,475.00
239 1,169,247.20 502 2,918,443.00 452 2,500,363.80 289 1,587,326.40

239 1,169,247.20 502 2,918,443.00 452 2,500,363.80 289 1,587,326.40
- - - - - - - -

Petugas Fisioterapi KABID Penunjang Medik Ka. Unit Fisioterapi Petugas Fisioterapi
DINA IRAWATI drg. Ign. ADITYA K.P. REISA PUTRI PRATIWI DINA IRAWATI
RUMAH SAKIT
MEDIKA STANNIA
SUNGAILIAT
BULAN : DESEMBER 2017 MUTASI BARANG - BARANG DI POLI THT NO. PERKIRAAN :
BULAN : APRIL 2019
BAG : POLI THT KELOMPOK BARANG : FARMASI - - TGL. PERMINTAAN 25-Apr-19

SATUAN KWANTUM NILAI KWANTUM NILAI KWANTUM NILAI KWANTUM NILAI
1 2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)

1 ACYCLOVIR CREAM 5 GR 3,619.00 - - - - - -
2 BETAMETASONE CREAM 2,026.20 - - - - - -
3 cendo MYDRIATYL TM 31,444.88 1 31,444.88 - - 1 31,444.88
4 340200120105 Daryantule 9,157.50 - - - - - -
5 221640350006 DIGENTA CREAM 69,300.00 - - - - - -
6 Disposible syringe 10cc 1,155.00 84 97,020.00 - 14 16,170.00 70 80,850.00
7 221230810098 ECOSOL NACL 0,9% 500 ML 8,800.00 - - - - - -
8 340200919173 Face Masker 554.40 - - - - - -
9 Gentamycin cream 5 grm 1,966.82 - - - - - -
10 Miconazole cream 2% 3,575.00 1 3,575.00 - 1 3,575.00 - -
11 120810320005 salticin Cream 22,000.00 1 22,000.00 - 1 22,000.00 - -
12 340201520490 SURGICAL UK.M 710.60 - - - - - -
13 340201260493 SURGICAL UK.S 710.60 - - - - - -
14 330201220573 ultrafix 10 cm x 500 cm 35,640.00 - - - - - -
Jumlah 87 154,039.88 0 0.00 16 41,745.00 71 112,294.88

87 154,039.88 0 0.00 16 41,745.00 71 112,294.88
- - - - - - - -
DIKETAHUI OLEH Pgs KA. POLIKLINIK
KABID. PELAYANAN MEDIK
dr. ARMADA ASTUTI, AMK

RUMAH SAKIT
MEDIKA STANNIA
SUNGAILIAT
BULAN : APRIL 2019 MUTASI BARANG - BARANG DI POLI GIGI NO. PERKIRAAN ;
BAGIAN : POLI GIGI KELOMPOK BARANG : FARMASI TGL. PERMINTAAN 25-Apr-19

NO. NAMA BARANG
KODEFIKASI SATUAN KWANTUM NILAI KWANTUM NILAI KWANTUM NILAI KWANTUM NILAI
1 2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
1 220130570027 Pehacain Inj. 3,113.05 - - - - - -
2 210230580004 Epinephrin Inj. 1 mg/ml 5,110.13 - - - - - -
3 lidocain comp inj. 2 5 2,178.00 - - -
4 lidocain comp inj. 2 5 2,178.00 62 135,036.00 90 196,020.00 62 135,036 90 196,020.00
5 221230750042 Sod. Natr. Chlort. 500 Ml 7,682.40 - - - - - -
6 340200950131 Disposible 3 cc 1,358.50 - - - - - -
7 340200950131 Disposible 3 cc 1,650.00 32 52,800.00 - 32 52,800 - -
8 340201260493 Surgical Glove Uk. M 710.60 - - - - - -
9 340201260493 Surgical Glove Uk. S 673.20 - - - - - -
10 340200910173 FACE MASK 440.00 - - - - - -
11 340201260489 Surgical Glove Uk. L 528.00 - - - - - -
12 460301460008 Alkohol 70 % 44,550.00 - - - - - -
-
JUMLAH 94 187,836.00 90 196,020.00 94 187,836.00 90 196,020.00
94 187,836.00 90 196,020.00 94 187,836.00 90 196,020.00
- - - - - - - -
DIKETAHUI DITERIMA OLEH

Ka.Bid. Pelayanan Medik KA.Perawat Rawat Jalan PETUGAS POLI GIGI
dr.ARMADA LISNAWATI AMKG ASTUTI AMK

BULAN : APRIL 2019 MUTASI BARANG - BARANG DI LABORATORIUM NO. PERKIRAAN :
BAGIAN : LABORATORIUM KELOMPOK BARANG : FARMASI TGL. PERMINTAAN PER 25-Apr-19
- -
NO KODIFIKASI STN
2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
PERLENGKAPAN
1 360201200090 Chushavan 27x27mm 880.00 - - - - - -
2 340200950122 Dipossible 1 cc BD 2,750.00 493 1,355,750.00 - - 493 1,355,750.00 - -
3 Dipossible 1 cc BD 1,125.34 - - 200 225,068.00 27 30,384.18 173 194,683.82
4 Dipossible 1 cc BD 2,508.00 - - - - - -
5 340201260132 Disposible 3 cc BD 1,650.00 608 1,003,200.00 - - 608 1,003,200.00 - -
6 340201260132 Disposible 3 cc BD 1,016.40 - - 100 101,640.00 100 101,640.00 - -
7 Disposible 3 cc BD 1,430.00 - - 1,000 1,430,000.00 1,000 1,430,000.00 - -
8 Disposible 3 cc BD 1,016.42 - - 700 711,494.00 263 267,318.46 437 444,175.54
9 340201450136 Disposible 5 cc BD 1,595.00 200 319,000.00 - - 200 319,000.00 - -
10 Disposible 5 cc BD 1,149.44 - - 400 459,776.00 - - 400 459,776.00
11 Disposible 5 cc BD 1,467.18 200 293,436.00 - - 200 293,436.00 - -
12 Disposible/Needle 25 G 1,023.00 - - - - - -
13 Eosin 2% 100ml 1,268,850.00 - - - - - -
14 340200910173 Face Mask EARLOOP 330.00 - - - - - -
15 Face Mask TIES ON 330.00 - - - - - -
16 Face Mask TIES ON 605.70 100 60,570.00 - - 100 60,570.00 - -
17 340201330174 Face Mask Tali 554.40 100 55,440.00 300 166,320.00 - - 400 221,760.00
17 FreestyleOptium Neo BG (ALAT) 275,000.00 - - - - - -
18 FREESTYLE OPTIUM BG STRIP@ 0.00 - - 5 - 5 - - -
19 FREESTYLE OPTIUM NEO 4,133.05 700 2,893,135.00 - - - - 700 2,893,135.00
20 FREESTYLE LANCET KIT 673.31 1,100 740,641.00 200 134,662.00 600 403,986.00 700 471,317.00
21 FREESTYLE LANCET KIT 675.00 - - - - - -
22 INFUSAN WATER FOR IRIGATION 12,820.50 - - - - - -
23 INJECTION PAD 36 MM 1,138.50 - - - - - -
24 K3 EDTA (PC) MINI Ungu 0,5ML 2,860.00 400 1,144,000.00 - - 300 858,000.00 100 286,000.00
25 MIROTAINER K2 EDTA 5,720.00 250 1,430,000.00 - - 250 1,430,000.00 - -
26 460301600087 K2 EDTA (Box) @100 2,150.01 - - - - - -
27 K2 EDTA (Box) @101 2,150.00 1,700 3,655,000.00 - - 1,700 3,655,000.00 - -
28 K3 EDTA (Box) @100 2,178.00 - - - - - -
29 K3 EDTA (Box) @100 3,135.00 - - - - - -
30 Kapas 1 Kg 44,550.00 - - - - - -
31 Kapas 1 Kg 63,800.00 - - - - - -
32 360201570288 kartu Gol Darah 330.00 400 132,000.00 - - - - 400 132,000.00
33 360201660581 kartu Gol Darah 583.00 - - - - - -
34 Kartu Gol Darah Free 0.00 200 - - 200 - - -
35 Kertas Printer Fhotometer 5,500.00 - - - - - -
36 Lampu Halogen 554871 457,600.00 - - - - - -
37 Lithium Heparin 3ml @50 2,750.00 500 1,375,000.00 - - 200 550,000.00 300 825,000.00
38 Lithium Heparin 3ml @50 3,396.25 - - - - - -
39 460301600089 Lithium Heparin 3ml @50 3,025.00 - - - - - -
40 340200910913 Micropore 2'' (MMP) 57,024.00 8 456,192.00 24 1,368,576.00 22 1,254,528.00 10 570,240.00
41 Micropore 2'' (MMP) 67,419.00 - - - - - -
42 Micropore 1'' (MMP) 28,512.00 - - - - - -
LABOR 23 / 235
NO KODIFIKASI STN
2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
43 Multiple needle flashback 220 133,100.00 1 133,100.00 - - - - 1 133,100.00
44 360201300338 Object Glass / slide @ 50 40,040.00 - - - - - -
45 360201300338 Object Glass / slide @ 72 28,050.00 10 280,500.00 - - - - 10 280,500.00
46 360201300338 Object Glass / slide @ 72 58,850.00 6 353,100.00 - - 4 235,400.00 2 117,700.00
46 Object Glass / slide @ 73 37,500.10 10 375,001.00 - - - - 10 375,001.00
47 Pastik 363.00 - - - - - -
48 350201600193 Peper Printer 57x30 66,000.00 13 858,000.00 - - 1 66,000.00 12 792,000.00
49 Plesteran Bulat 297.00 - - - - - -
50 Pot zalf 30 GR 1,463.00 - - - - - -
51 Pot zalf 30 GR 1,540.00 - - 250 385,000.00 250 385,000.00 - -
52 Pot Zalf 20 GR 968.00 - - - - - -
53 Pot zalf 50GR 1,760.00 - - 100 176,000.00 100 176,000.00 - -
54 370201490381 Pot zalf 100GR 2,464.00 - - - - - -
55 370201490381 Pot zalf 50 GR 1,672.00 - - - - - -
56 Scapel Blade BB-515 5,778.85 - - - - - -
57 Sofclix Lancet 200 173,250.00 - - - - - -
58 360200610460 softclix lancet 200' S 1,210.00 - - - - - -
59 Softlix lancet pro uno 200 198,000.00 - - - - - -
60 Softlix lancet pro uno 200 1,320.00 - - - - - -
61 340201520492 surgical Glove UK. S 594.00 - - - - - -
62 340201260491 Surgical Glove UK.M 528.00 - - - - - -
63 Surgical Glove UK.S 710.60 3,800 2,700,280.00 4,000 2,842,400.00 3,600 2,558,160.00 4,200 2,984,520.00
64 Tabung Centrifuge 10ml 533,500.00 - - - - - -
65 Tabung coagulation (biru) 3,519.74 - - - - - -
66 460301380192 Tabung clot activator 3 ML (Merah) 2,178.00 - - - - - -
67 Tabung clot activator 3 ML (Merah) 2,150.00 1,700 3,655,000.00 - - 1,700 3,655,000.00 - -
68 Tabung clot activator 3 ML (Merah) 3,317.40 - - - - - -
69 Tabung LED 4,835.00 - - - - - -
70 Tabung Reaksi 12 x 75 880,000.00 2 1,760,000.00 - - 1 880,000.00 1 880,000.00
71 Tabung Reaksi 12 x 76 8,800.00 400 3,520,000.00 - - - - 400 3,520,000.00
72 Tabung Vacutainer @100 220,000.00 - - - - - -
73 Tissu lensa 31,350.00 - - - - - -
74 Timer Mechanical 66,000.00 - - - - - -
75 TORNIQUITE 33,000.00 5 165,000.00 - - 2 66,000.00 3 99,000.00
76 TORNIQUITE 25,300.00 - - 3 75,900.00 - - 3 75,900.00
- - - - - -
BAHAN KIMIA - - - - - -
1 460300610001 A/C Performa @ 50 10,575.40 - - - - - -
2 A/C Performa @ 50 10,340.00 - - - - - -
3 A/C Performa @ 50 7,238.00 - - - - - -
4 Accutrend Cholesterol @ 25 12,080.20 - - - - - -
5 Accutrend Cholesterol @ 25 20,900.00 - - - - - -
6 Accutrend Glucose 163,625.00 - - - - - -
7 Accutrend Glucose AD II 5,821.20 - - - - - -
8 Accutrend Trigliseride 327,250.00 - - - - - -
9 Accutrend Trigliseride @ 25 14,099.80 - - - - - -
10 Accutrend Trigliseride @ 25 18,480.00 - - - - - -
11 Albumin 156004 562,925.00 - - - - - -
LABOR 24 / 235
NO KODIFIKASI STN
2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
12 Alcohol 70% 29,700.00 2 59,400.00 - - 1 29,700.00 1 29,700.00
13 460301460008 Alcohol 70% 36,300.00 2 72,600.00 - - - - 2 72,600.00
14 460301460008 Alcohol 70% 41,800.00 - - - - - -
15 Alcohol 70% 44,550.00 - - - - - -
16 Alkaline Phosphat 107092 931,700.00 - - - - - -
17 Alkohol 70% 49,500.00 - - - - - -
18 Alkohol Swabs 127.64 2,500 319,100.00 - - 2,500 319,100.00 - -
19 Alkohol Swabs 127.90 - - - - - -
20 460300950010 Alkohol Swabs 233.75 - - - - - -
21 460300950010 Alkohol Swabs 264.00 - - 3,100 818,400.00 500 132,000.00 2,600 686,400.00
22 440301220319 Aseptic Gel+Despenser 63,954.00 - - - - - -
21 Aseptic Gel+Despenser 37,400.00 5 187,000.00 - - 1 37,400.00 4 149,600.00
22 ASAM ACETAT 500ML 137,500.00 - - - - - -
23 Asam Sulfosalisylate 20% 562,400.30 2 1,124,800.60 - - - - 2 1,124,800.60
24 Asam Sulfosalisylate 20% 552,200.00 - - - - - -
25 Aseptan(Anti septik) @5000ML 384,560.00 - - - - - -
26 B Z Cleanser 632,500.00 - - - - - -
27 Benedicts 100 ML 90,249.50 1 90,249.50 - - - - 1 90,249.50
28 460301600409 Billirubin T/D 101291 940,500.00 - - - - - -
29 Blue tip @1000 165,000.00 - - - - - -
30 460301340023 Blue tip @1000 348,150.00 4 1,392,600.00 - - 1 348,150.00 3 1,044,450.00
31 BRACKET BHS 27,500.00 - - - - - -
32 460301600031 Cholestrol(10028) 2,631,200.00 1 2,631,200.00 - - 1 2,631,200.00 - -
33 CK-MB 100891 3,859,900.00 - - - - - -
34 Cleanser 1,650,000.00 - - - - - -
35 Cleanser 990,000.00 - - - - - -
36 Combi Screen Plus 11 SYS@100 397,100.00 - - - - - -
37 CYBOW 306,900.00 - - - - - -
38 Clorida 10115 759,000.00 - - - - - -
39 Control Hematology BCC3000 2,618,000.00 - - - - - -
40 460301600040 Creatinin 10051 632,500.00 - - - - - -
41 Creatinin 10051 687,500.00 - - - - - -
42 Cup Sampel 237,499.90 - - - - - -
43 360300820003 Cup Sampel 580,800.00 1 580,800.00 - - 1 580,800.00 - -
44 Cup Sampel 237,499.00 - - - - - -
45 Deck glass 18x18 77,000.00 - - - - - -
46 460301640044 Dengue Duo Cassete IgG&IgM @ 2,194,500.00 - - - - - -
47 Dengue Duo Cassete IgG&IgM @ 1,966,500.00 1 1,966,500.00 - - - - 1 1,966,500.00
48 Dengue Early Rapid( NS1) 2,793,000.00 - - - - - -
49 460301640048 Dengue Early Rapid( NS1) 2,793,000.10 5 13,965,000.50 - - 3 8,379,000.30 2 5,586,000.20
50 Dengue IgG & IgM 2,286,900.00 - - - - - -
51 Diluen 3,070,690.70 - - - - - -
52 Diluent (10) 3,850,000.00 - - - - - -
53 Extran MA 2,5 1,059,500.20 2 2,119,000.40 - - - - 2 2,119,000.40
54 460301630057 Extran MA 2,5 1,301,300.00 3 3,903,900.00 - - 1 1,301,300.00 2 2,602,600.00
55 Giemsa 500ML 1,518,550.00 3 4,555,650.00 - - 1 1,518,550.00 2 3,037,100.00
56 460301630064 Giemsa 100 ML 731,500.00 4 2,926,000.00 - - - - 4 2,926,000.00
57 Giemsa 250 ML 690,000.00 - - - - - -
LABOR 25 / 235
NO KODIFIKASI STN
2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
58 460301600065 Glucose Cat 1,254,000.00 - - - - - -
59 Glucose Cat 10260 859,375.00 - - - - - -
60 Glucose Cat 112191 822,800.00 - - - - - -
61 HEMOGLOBIN 375191 1,493,800.00 - - - - - -
62 HALOGEN LAMP 554871 343,200.00 - - - - - -
63 HbA 1C Test Nycocard 2,751,999.80 1 2,751,999.80 - - - - 1 2,751,999.80
64 HbA 1C Test Nycocard 2,631,915.00 - - - - - -
65 HbA 1C Test Nycocard 109,663.12 - - - - - -
66 HbA 1C Test Nycocard 109,663.13 - - - - - -
67 HbsAb @40 1,247,400.00 1 1,247,400.00 - - 1 1,247,400.00 - -
68 HbsAb @25 577,500.00 - - - - - -
67 HbsAb @25 577,500.00 - - - - - -
68 HbsAb @40 1,188,000.00 2 2,376,000.00 - - - - 2 2,376,000.00
69 HbsAg start plus 16,500.00 - - - - - -
70 HbsAg 25 TEST 577,500.00 - - - - - -
71 HbsAg @40 card 880,000.00 24 21,120,000.00 - - 4 3,520,000.00 20 17,600,000.00
72 460300810437 HbsAg @40 924,000.00 - - - - - -
73 460300810410 HBsAg SD@30 660,000.00 4 2,640,000.00 - - 4 2,640,000.00 - -
74 460201870004 HCG TEST 365,750.00 1 365,750.00 - - 1 365,750.00 - -
75 HCG TEST 231,000.00 1 231,000.00 - - - - 1 231,000.00
76 HCV Test @ 50 1,672,000.00 1 1,672,000.00 - - - - 1 1,672,000.00
77 HDL Cholesterol 10018 1,793,770.00 - - - - - -
74 HDL Cholesterol 10018 1,747,900.00 - - - - - -
75 HIV @40TEST 1,672,000.00 13 21,736,000.00 - - 8 13,376,000.00 5 8,360,000.00
76 460300810440 HIV STRIP 1,755,600.00 - - - - - -
77 HOLDER(FREE) 0.00 9 - - - - - 9 -
78 Humatrol N 100 ml 1,642,300.00 - - - - - -
79 IMMERSION OIL 100 ML 788,700.00 - - - - - -
80 460301630390 IMMERSION OIL 100 ML 715,500.50 - - - - - -
81 lyse (Human) 2,475,000.00 - - - - - -
82 lyse (Human) 1,980,000.00 - - - - - -
83 METHANOL 500ML 450,110.10 2 900,220.20 - - 2 900,220.20 - -
84 METHANOL 500ML 385,699.60 1 385,699.60 - - - - 1 385,699.60
85 Potasium 10118 (Kalium) 1,897,500.00 - - - - - -
86 PP TEST (ACON) 8,662.50 - - - - - -
87 Probe Cleanser 550,000.00 - - - - - -
88 Reagen Cleaner 2,047,468.50 - - - - - -
89 Reagen Pack k-lyte 8,360,000.00 - - - - - -
90 Rees Escher 250 ml 297,000.00 - - - - - -
91 Salmonella Paratyphi AH 174,499.60 2 348,999.20 - - 1 174,499.60 1 174,499.60
92 Salmonella Paratyphi AH 148,500.00 - - - - - -
93 Salmonella Paratyphi AH 180,000.00 - - - - - -
94 Salmonella Paratyphi AO 174,499.60 2 348,999.20 - - 1 174,499.60 1 174,499.60
95 460301600419 Salmonella Paratyphi AO 306,625.00 - - - - - -
96 Salmonella Paratyphi AO 180,000.00 - - - - - -
97 Salmonella Paratyphi BH 174,499.60 2 348,999.20 - - 1 174,499.60 1 174,499.60
98 460301600414 Salmonella Paratyphi BH 306,625.00 - - - - - -
99 460301600418 Salmonella Paratyphi BO 306,625.00 - - - - - -
LABOR 26 / 235
NO KODIFIKASI STN
2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
99 Salmonella Paratyphi BO 174,499.60 2 348,999.20 - - - - 2 348,999.20
100 Salmonella Paratyphi BO 148,500.00 1 148,500.00 - - - - 1 148,500.00
101 Salmonella Typhi H 148,500.00 - - - - - -
102 Salmonella Typhi H 174,499.60 2 348,999.20 - - - - 2 348,999.20
103 Salmonella Typhi HD 174,499.60 - - - - - -
104 Salmonella Typhi O 148,500.00 1 148,500.00 - - 1 148,500.00 - -
105 460301600416 Salmonella Typhi O 174,499.60 2 348,999.20 - - 1 174,499.60 1 174,499.60
106 Salmonella Typhi OD 174,499.60 - - - - - -
107 Serum Gol Darah A 209,000.00 3 627,000.00 - - 1 209,000.00 2 418,000.00
108 Serum Gol Darah A 194,513.00 - - - - - -
109 Serum Gol Darah AB 210,699.50 - - - - - -
110 Serum Gol Darah AB 224,675.00 3 674,025.00 - - 1 224,675.00 2 449,350.00
111 Serum Gol Darah B 209,000.00 3 627,000.00 - - 1 209,000.00 2 418,000.00
112 Serum Gol Darah B 194,513.00 - - - - - -
113 Serum Gol Darah D 210,699.50 - - - - - -
114 Serum Gol Darah D 224,675.00 3 674,025.00 - - 1 224,675.00 2 449,350.00
115 460301660439 Serum Gol Darah SET(sinar tiara) 450,450.00 - - - - - -
116 SGOT 12011 790,625.00 - - - - - -
117 460301600128 SGOT 12011 789,800.00 - - - - - -
118 SGPT 100291 790,625.00 1 790,625.00 - - - - 1 790,625.00
119 460301600131 SGPT 12012 789,800.00 - - - - - -
120 Smart Diagnostic Malaria 51,480.00 - - - - - -
121 SMX ~ ACTIN FS ACTAVATED 926,640.00 - - - - - -
122 SMX ~ ALAT ( GPT ) FS ( IFCC MO 721,050.00 - - - - - -
123 360301930007 SMX ~ ALAT ( GPT ) FS ( IFCC MO 1,442,100.00 6 8,652,600.00 1 1,442,100.00 3 4,326,300.00 4 5,768,400.00
124 SMX ~ ALAT ( GPT ) FS ( IFCC MO 1,442,100.03 - - - - - -
125 SMX ~ ALBUMIN FS R1 1,152,112.50 - - - - - -
126 460301930446 SMX ~ ASAT ( GOT ) FS ( IFCC M 721,050.00 - - - - - -
127 360301930008 SMX ~ ASAT ( GOT ) FS ( IFCC MO 1,442,100.00 3 4,326,300.00 4 5,768,400.00 1 1,442,100.00 6 8,652,600.00
128 SMX ~ BI-LEVEL QC KIT.MEDICA 2,016,300.00 - - - - - -
129 SMX ~ BILIRUBIN AUTO DIREC F 352,687.50 - - - - - -
131 360301930010 SMX ~ BILIRUBIN AUTO DIREC FS 705,375.00 2 1,410,750.00 1 705,375.00 - - 3 2,116,125.00
133 SMX ~ BILIRUBIN AUTO TOTAL F 822,983.70 - - - - - -
134 SMX ~ BILIRUBIN AUTO TOTAL F 822,983.70 - - - - - -
135 360301930011 SMX ~ BILIRUBIN AUTO TOTAL FS 1,645,967.40 - - - - - -
136 SMX ~ CALCIUM CHLORIDE SOLUTION 1,143,450.00 - - - - - -
133 SMX ~ CALIBRATION STRIP 114,400.00 - - - - - -
134 460301930454 SMX ~ CELL PACK(PK-30L) 3,549,700.00 7 24,847,900.00 5 17,748,500.00 4 14,198,800.00 8 28,397,600.00
135 SMX ~ CELL CLEAN 50ML (CL-30) 1,197,900.00 - - - - - -
136 460301930455 SMX ~ CHOLESTEROL FS 10 R1 3,323,375.00 2 6,646,750.00 1 3,323,375.00 2 6,646,750.00 1 3,323,375.00
137 460301930456 SMX ~ COMBO STIK 10M (100T) 446,160.00 5 2,230,800.00 - - 2 892,320.00 3 1,338,480.00
138 SMX~ CONTROL PLASMA 1,853,280.00 - - - - - -
139 460301930458 SMX ~ CREATININE PAP FS R1 2,149,730.00 - - - - - -
140 SMX ~ CREATININE PAP FS 4,299,460.00 3 12,898,380.00 - - 1 4,299,460.00 2 8,598,920.00
141 360301930012 SMX ~ CREATININE PAP FS 4,299,459.96 - - - - - -
142 SMX ~ DADE INNOVIN 944,460.00 - - - - - -
LABOR 27 / 235
NO KODIFIKASI STN
2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
143 460301930461 SMX~ DAILY CLEANING SOL 1,540,000.00 - - - - - -
144 460301930462 SMX ~ E- CHECK LEVEL 1 (LOW) 881,100.00 - - 1 881,100.00 1 881,100.00 - -
145 460301930463 SMX ~ E- CHECK LEVEL 2 (NORM 881,100.00 - - 1 881,100.00 1 881,100.00 - -
146 460301930464 SMX ~ E- CHECK LEVEL 3 (HIGH) 881,100.00 - - 1 881,100.00 1 881,100.00 - -
141 460301930462 SMX ~ E- CHECK LEVEL 1 (LOW) 532,400.00 - - - - - -
142 460301930463 SMX ~ E- CHECK LEVEL 2 (NORM 532,400.00 - - - - - -
143 460301930464 SMX ~ E- CHECK LEVEL 3 (HIGH) 532,400.00 - - - - - -
144 SMX ~ EBG REAGENT MODULE 9,084,900.00 - - - - - -
145 SMX ~ GAMMA FT FS 3,403,840.00 - - 2 6,807,680.00 1 3,403,840.00 1 3,403,840.00
146 SMX ~ GLUCOSE HEXOKINASE F 1,854,286.50 - - - - - -
147 360301930013 SMX ~ GLUCOSE HEXOKINASE F 3,063,720.00 2 6,127,440.00 2 6,127,440.00 2 6,127,440.00 2 6,127,440.00
148 460301930467 SMX ~ HDL-C INMMUNO FS R1 6,583,500.00 2 13,167,000.00 3 19,750,500.00 3 19,750,500.00 2 13,167,000.00
149 460301930468 SMX ~ HDL-C INMMUNO FS R2 3,291,750.00 - - - - - -
150 SMX ~ LDL - C SELECT FS R1 1,959,375.00 - - - - - -
151 SMX ~ LDL - C SELECT FS R2 1,959,375.00 - - - - - -
151 SMX ~ LIQUICHECK URINALYSIS 1,540,000.00 - - - - - -
152 SMX ~ SOLUTION PACK NA/K/CL 6,201,800.00 2 12,403,600.00 - - 1 6,201,800.00 1 6,201,800.00
153 360301930014 SMX ~ STROMATOLYZER 4DL 5,576,230.00 2 11,152,460.00 3 16,728,690.00 1 5,576,230.00 4 22,304,920.00
154 460301930472 SMX ~ STROMATOLYZER 4DS 5,216,420.00 1 5,216,420.00 - - 1 5,216,420.00 - -
155 SMX ~ STROMATOLYZER WH500 2,770,020.00 1 2,770,020.00 - - - - 1 2,770,020.00
156 460301930473 SMX ~ SULFOLYSER 500 ML SLS- 1,364,220.00 4 5,456,880.00 2 2,728,440.00 1 1,364,220.00 5 6,821,100.00
157 SMX ~ TABUNG SODIUM CITRAT 220,000.00 - - - - - -
SMX ~ THERMAL PAPER KX 38,500.00 - - - - - -
158 SMX ~ TOTAL PROTEN FS R1 658,350.00 - - - - - -
159 SMX ~ TOTAL PROTEN FS 1,316,700.00 - - - - - -
160 460301930477 SMX ~ TRIGLYCERIDES FS 10 3,599,750.00 2 7,199,500.00 1 3,599,750.00 2 7,199,500.00 1 3,599,750.00
161 SMX ~ TRU CAL U 0.00 - - - - - -
162 SMX ~ TRU LAB N 0.00 - - - - - -
163 SMX ~ UREA FS R1 2,472,171.90 1 2,472,171.90 - - 1 2,472,171.90 - -
164 460301930441 SMX ~ UREA FS R 4,084,520.00 3 12,253,560.00 - - - - 3 12,253,560.00
165 SMX ~ UREA FS 4,084,519.96 - - - - - -
166 SMX ~ URIC ACID FS TOOS R1 740,667.40 - - - - - -
167 360301930017 SMX ~ URIC ACID FS TOOS 1,481,334.80 3 4,444,004.40 2 2,962,669.60 3 4,444,004.40 2 2,962,669.60
168 SMX ~ URIC ACID FS TOOS 1,481,334.83 - - - - - -
169 Sodium Citrate 3,8% 117,700.00 - - - - - -
170 Sodium Citrate 3,8% 96,900.10 - - - - - -
171 Sodium Rapid 573351 1,650,000.00 - - - - - -
172 Softaskin 500 ml 60,500.00 - - - - - -
173 Softaman 100 ML 39,600.00 - - - - - -
174 Softaman 500 ML 115,500.00 - - - - - -
175 Spritus Biru 95,700.00 - - - - - -
176 Spritus Biru 23,100.00 - - - - - -
177 Stabimed 1000 ML 880,000.00 - - - - - -
178 Tes Kehamilan 435,600.00 - - - - - -
179 Tes Kehamilan 8,662.50 - - - - - -
180 460301610195 Tes Narkoba/Drug Test @20 3,168,000.00 - - - - - -
181 Thyrolisa FREE T4 4,512,706.00 - - - - - -
182 Total Protein 157004 666,600.00 - - - - - -
LABOR 28 / 235
NO KODIFIKASI STN
2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
183 460301600203 Triglyseride 10724 4,176,700.00 - - - - - -
184 Triglyseride 10724 4,066,700.00 - - - - - -
185 Triglyseride 116392 2,795,100.00 - - - - - -
186 Tubex TF 4,443,000.00 12 53,316,000.00 - - 2 8,886,000.00 10 44,430,000.00
187 460301640206 Tubex TF 4,443,000.10 - - - - - -
188 Tubex TF 4,430,030.00 - - - - - -
189 Tyhrolisa T4 @ 96 Test 3,900,000.50 - - - - - -
190 Tyrolisa T3 @ 96 TEST 3,900,000.50 - - - - - -
191 Tyrolisa TSH @ 96 TEST 3,009,600.00 - - - - - -
192 460301600209 Urea 10505 707,300.00 - - - - - -
193 Urea 10505 701,800.00 - - - - - -
194 Urea 110491 726,000.00 1 726,000.00 - - 1 726,000.00 - -
195 Uric Acid 10691 3,588,750.00 - - - - - -
196 460301640216 Uric Acid 4,200,900.00 - - - - - -
197 Uric Acid Sure Strip 14,300.00 - - - - - -
198 Uric Acid Sure Strip 13,860.00 - - - - - -
199 Urin H-10 217,800.00 - - - - - -
200 221230540063 Water For Injeksi 3,025.00 - - - - - -
199 Water For Injeksi 2,860.00 35 100,100.00 - - 15 42,900.00 20 57,200.00
200 221230540064 water steril 1 L 23,760.00 14 332,640.00 45 1,069,200.00 37 879,120.00 22 522,720.00
201 460301340218 White Tip (Socorex)@ 1000 889,000.00 4 3,556,000.00 - - - - 4 3,556,000.00
202 White Tip (Socorex)@ 1000 753,500.00 - - - - - -
203 460301340221 Yellow Tip (socorex)@1000 348,150.00 2 696,300.00 - - 2 696,300.00 - -
204 Yellow Tip (socorex)@1000 165,000.00 4 660,000.00 - - - - 4 660,000.00
JUMLAH 15,652 328,880,462.10 10,457 100,300,655.60 15,054 167,510,267.84 11,055 261,670,849.86

15,652 328,880,462.10 10,457 100,300,655.60 15,054 167,510,267.84 11,055 261,670,849.86
- - - - - - - -
Rekap : Nilai Pengeluaran 167,510,267.84


Petugas Kabid. Penunjang Medik Ka. Laboratorium Petugas
WILMA AGNESTI drg. Ign Aditya Krisnanto ROHMAWATI WILMA AGNESTI
LABOR 29 / 235
BULAN : APRIL 2019 MUTASI BARANG - BARANG DI RADIOLOG - - NO. PERKIRAAN :
BAGIAN : RADIOLOGI KELOMPOK BARANG :BARANG MINTA DI GUDANG FARMASI TGL. PERMINTAAN : 25/4/2019

NO. NAMA BARANG
2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
1 FOLLEY CATHETER NO. 06 15,840.00 0 0.00 3 47,520.00 1 15,840.00 2 31,680.00

2 DISPOSIBLE SYRINGE UIK.10 2,750.00 92 253,000.00 - - 3 8,250.00 89 244,750.00
3 Surgical Glove M 710.60 0 0.00 100 71,060.00 - 100 71,060.00
4 Surgical Glove L 673.20 100 67,320.00 - 100 67,320.00 - -
5 ASEPTIC GEL 70,746.50 0 0.00 5 353,732.50 3 212,239.50 2 141,493.00
6 ASEPTIC GEL + DESPENSER 63,954.00 2 127,908.00 - 2 127,908.00 - -
7 ASEPTIC GEL + DESPENSER 37,400.00 1 37,400.00 - 1 37,400.00 - -
10 Face Mask tali 554.40 - 0.00 150 83,160.00 50 27,720.00 100 55,440.00
11 Gel ECG /USG 30,800.00 - 0.00 - - - -
12 Gel ECG /USG 47,960.00 3 143,880.00 3 143,880.00 2 95,920.00 4 191,840.00
13 Paper USG 110 HG T V 205,700.00 - 0.00 - - - -
14 Paper USG 110 HG T V 264,000.00 3 792,000.00 3 792,000.00 2 528,000.00 4 1,056,000.00
15 Film X Ray 24X30 cm 18,681.30 192 3,586,809.60 100 1,868,130.00 117 2,185,712.10 175 3,269,227.50
16 Film X Ray 24X30 cm 19,781.30 - 0.00 - - - -
17 Film X Ray 30x40 cm 29,704.95 - 0.00 100 2,970,495.00 - 100 2,970,495.00
18 Film x Ray 30x40 cm 19,177.62 79 1,515,031.98 - - 79 1,515,031.98
19 Film x Ray 30x40 cm 29,704.95 100 2,970,495.00 - - 100 2,970,495.00 - -
20 Film x Ray 35x35 cm 20,900.00 - 0.00 - - - -
21 Film x Ray 35x35 cm 32,257.50 - 0.00 200 6,451,500.00 42 1,354,815.00 158 5,096,685.00
22 Film x Ray 35x35 cm 32,257.50 172 5,548,290.00 - - 172 5,548,290.00 - -
23 Film x Ray 43x35 cm 34,839.75 83 2,891,699.25 - 83 2,891,699.25 - -
24 Film x Ray 43x35 cm 25,080.00 100 2,508,000.00 - 10 250,800.00 90 2,257,200.00
25 Developer 1,098,900.00 1 1,098,900.00 - 1 1,098,900.00 - -
27 Fixer 678,150.00 2 1,356,300.00 - - 2 1,356,300.00 - -
28 Fixer 678,150.00 - 0.00 1 678,150.00 - - 1 678,150.00
29 Paper printer ck-900s 2,145,000.00 1 2,145,000.00 - - 1 2,145,000.00
30 WATER STERIL / AQUADEST 1 LIT 23,760.00 - 0.00 1 23,760.00 1 23,760.00 - -
0 - -
JUMLAH 931 25,042,033.83 666 13,483,387.50 692 18,801,368.85 905 19,724,052.48

931 25,042,033.83 666 13,483,387.50 692 18,801,368.85 905 19,724,052.48
- - - - - - - -
Diketahui Oleh
Diminta Oleh KABID. Penunjang Medik Pgs. Ka. Radiologi Diterima Oleh
JUMAILI HERU SAPUTRA drg. IGN. ADITYA KRISTANTO M. HATIBUL UMAM JUMAILI HERU SAPUTRA
RUMAH SAKIT
MEDIKA STANNIA
SUNGAILIAT
BULAN : APRIL 2019 MUTASI BARANG - BARANG DI POLI BEDAH NO. PERKIRAAN :
BAGIAN : POLI BEDAH KELOMPOK BARANG : FARMASI - TGL. PERMINTAAN 25-Apr-19

2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
Non antibiotik generik
1 430300350082 Iodine Povidone 1000 ml 52,919.90 - - - - - -
2 430300350083 Iodine Povidone 60 ml 3,500.20 - - - - - -
3 210130350022 Lidocain inj.2% 1,211.99 - - - - - -
- - - - - -
Antibiotik Generik - - - - - -
1 110810350006 Gentamicin Cream 5 gram 2,019.99 - - - - - -
2 Salticin Cream 20,240.00 - - - - - -
3 110810310001 Gentamicin Inj 3,692.26 - - - - - -
- - - - - -
Antibiotik paten - - - - - -
1 120810320005 Salticin Cream 22,770.00 - - - - - -
- - - - - -
Non antibiotik paten - - - - - -
1 220130340226 Cathejel 12,6 gr 64,900.00 4 259,600.00 - 3 194,700.00 1 64,900.00
2 221230540019 ecosol nacl 0,9 % 500 ml 8,800.00 - - - - - -
3 221690320023 Sanoskin OXY 307,230.00 - - - - - -
- - - - - -
Alat kesehatan - - - - - -
1 340200120105 Daryantulle 9,157.50 - - - - - -
2 Daryantulle 17,641.80 - - - - - -
3 340200950125 Disposible syringe uk 10 cc 1,858.63 18 33,455.34 - - 18 33,455.34
4 340200950131 Disposible syringe uk 3 cc 1,650.00 - - - - - -
5 340200950862 Disposible syringe uk 5 cc 2,343.00 33 77,319.00 - - 33 77,319.00
6 Disposible syringe uk 50 cc 27,500.00 1 27,500.00 - 1 27,500.00 - -
7 340200910173 Face Mask 554.40 - - - - - -
8 Gentamycin cream 5gr 1,966.83 5 9,834.15 - 1 1,966.83 4 7,867.32
9 340201370178 feeding tube no 3,5 35 cm 38,379.00 - - - - - -
10 340201260194 folley cathether no.12 15,840.00 1 15,840.00 - - 1 15,840.00
11 340201260198 folley cathether no.16 15,840.00 2 31,680.00 - - 2 31,680.00
32 / 235
2 4 5 6 (4x5) 7 8 (4x7) 9 10 (4x9) 11 (5+7)-9 12 (4x11)
12 340201280200 folley cathether no.18 15,840.00 8 126,720.00 - 1 15,840.00 7 110,880.00
13 340201260263 Infusion set dewasa 12,760.00 1 12,760.00 - - 1 12,760.00
14 3302011580292 KAssa hydrofil (MMP) 140,481.00 - - - - - -
15 LOMATULLE 12,155.00 24 291,720.00 50 607,750.00 24 291,720.00 50 607,750.00
16 330201220316 Medicrepe 10 x 4,5 32,175.00 - - - - - -
17 330201220315 Medicrepe 15 x 4,5 56,826.00 2 113,652.00 - - 2 113,652.00
18 330201220315 Medicrepe 15 x 4,5 46,200.00 5 231,000.00 - - 5 231,000.00
19 330201220317 Medicrepe 7.5 x 4,5 23,958.00 6 143,748.00 - - 6 143,748.00
20 340201260406 Rubber hand Glove No 7,5 15,950.00 1 15,950.00 - - 1 15,950.00
21 340201520490 Surgical Glove Uk m 710.60 - - 400 284,240.00 200 142,120.00 200 142,120.00
22 340201450570 transofiX 7,590.00 2 15,180.00 - 2 15,180.00 - -
23 330201220573 Ultrafic 10 x 500 Cm 35,640.00 - - - - - -
24 Ultrafic 10 x 500 Cm 44,704.00 2 89,408.00 - 2 89,408.00 - -
25 340201260581 URINE BAG 6,050.00 7 42,350.00 - 2 12,100.00 5 30,250.00
Bahan kimia - - - - - -
1 460301460008 Alcohol 70 % 49,500.00 - - - - - -
2 460300950010 Alcohol Swabs 264.00 - - - - - -
3 IODINE 60 CC 7,205.00 - - - - - -
4 430301330104 Poli aid 1 ltr 138,600.00 - - - - - -
5 460301260020 Aseptan ( anti septik ) 5000 ml 384,560.00 - 1 384,560.00 1 384,560.00 - -
6 440301220319 Aseptic Gel 70,746.50 - - 1 70,746.50 1 70,746.50 - -
JUMLAH 122 1,537,716.49 452 1,347,296.50 238 1,245,841.33 336 1,639,171.66
122 1,537,716.49 452 1,347,296.50 238 1,245,841.33 336 1,639,171.66
- - - - - - - -
Diketahui Oleh Dibuat Oleh :

Ka.Bid. Pelayanan Medik KA. Perawat Rawat Jalan
dr.ARMADA ASTUTI, AMK
33 / 235
BULAN : APRIL 2019 MUTASI BARANG - BARANG DI RUANG IBS / O.K - -
BAGIAN : IBS KELOMPOK BARANG : FARMASI - - TGL. PERMINTAAN 25-Apr-19
NO. KODIFIKASI NAMA OBAT / BAHAN HARGA STOCK AWAL PENERIMAAN PEMAKAIAN SISA AKHIR SPISIFIKASI SATU
(STOCK AKHIR 31/12/2018)
SATUAN NILAI QTY NILAI QTY STOCK
NILAITACKING 31/12/18 (jam
NILAI
24.00)
1 4 5 6 (4x5) 8 (4x7) 10 (4x9) 11 (5+7)-9 12 (4x11)
ANTIBIOTIK GENERIK
1 110860350005 OXYTETRACYCLIN 1% SALEP MATA 2,772.00 - - - - - - - -
2 110850280001 CEFTRIAXONE INJ 1 GR 11,000.00 10 110,000.00 - - 8 88,000.00 2 22,000.00
3 CEFTRIAXONE INJ 1 GR 9,998.45 1 9,998.45 - - 1 9,998.45 - -
4 110850490109 CEFTIZOXIME INJ. 1 GR 93,500.00 10 935,000.00 - - 1 93,500.00 9 841,500.00
5 110810310001 GENTAMYCIN INJ 3,692.20 - - - - - - - -
6 110810350006 GENTAMYCIN CREAM 5 GRM 1,966.83 - - - - - - - -

2 AS. TRANEKSAMAT INJ 500 MG 4,851.00 40 194,040.00 20 97,020.00 60 291,060.00 - -
3 AS. TRANEKSAMAT INJ 250 MG 4,620.00 - - 40 184,800.00 40 184,800.00 - -
6 210280160074 ATROPIN SULFAS INJ. 2,050.00 - - - - - - - -
7 ATROPIN SULFAS INJ. 1,650.00 60 99,000.00 110 181,500.00 70 115,500.00 100 165,000.00
8 ATRACURIUM BESYLATE INJ 2,5 ML 16,830.00 5 84,150.00 - - 5 84,150.00 - -
9 ATRACURIUM BESYLATE INJ 5 ML 25,245.00 - - - - - - - -
10 BUPIVACAIN SPINAL INJ 26,878.72 - - - - - - - -
11 CARBAZOCHROME INJ 11,800.80 - - 10 118,008.00 10 118,008.00 - -
12 210510060060 DEXA METHASONE TBL 0,50 MG 154.50 - - - - - - - -
13 DEXA METHASONE INJ. 1,152.00 - - 60 69,120.00 60 69,120.00 - -
14 DEXA METHASONE INJ. 1,152.03 9 10,368.27 - - 9 10,368.27 - -
15 DEXKETOPROFEN INJ 20,240.00 - - 50 1,012,000.00 20 404,800.00 30 607,200.00
16 DEXKETOPROFEN INJ 23,760.00 5 118,800.00 - - 5 118,800.00 - -
17 210310160020 EPHEDRINE HCL INJEKSI 50 MG/ML 8,569.00 20 171,380.00 50 428,450.00 40 342,760.00 30 257,070.00
18 210230580004 EPHINEPHRINE INJ. 5,110.13 36 183,964.68 - - 16 81,762.08 20 102,202.60
19 210230580004 EPHINEPHRINE INJ. 1,749.00 - - - - - - - -
20 210510490048 KETOROLAC INJ. 30 MG 1,045.00 - - - - - - - -
21 KETOROLAC INJ. 30 MG 5,613.30 10 56,133.00 - - 10 56,133.00 - -
22 KETOROLAC INJ. 30 MG 2,169.20 40 86,768.00 - - - - 40 86,768.00
23 210130350022 LIDOCAIN INJ. 2% 2,178.00 - - 120 261,360.00 62 135,036.00 58 126,324.00
24 LIDOCAIN INJ. 2% 1,035.40 - - - - - - - -
25 LIDOCAIN INJ. 2% 1,155.00 16 18,480.00 - - 16 18,480.00 - -
27 METHYLPREDNISOLON INJ. 10,799.80 2 21,599.60 - - - - 2 21,599.60
34 / 235
NILAI
24.00)
1 4 5 6 (4x5) 8 (4x7) 10 (4x9) 11 (5+7)-9 12 (4x11)
28 210140060120 ONDANSENTRON INJ. 4 MG 5,159.00 65 335,335.00 - - 55 283,745.00 10 51,590.00
30 210110060135 RANITIDIN INJ. 2,668.05 - - - - - - - -
31 RANITIDIN INJ. 2,293.74 24 55,049.76 - - - - 24 55,049.76
32 RECORONIUM BROMIDE INJEKSI 71,280.00 - - 12 855,360.00 - - 12 855,360.00
33 210410490089 TRAMADOL INJ. 4,481.40 12 53,776.80 - - 7 31,369.80 5 22,407.00
ANTIBOTIK PATEN
1 120850550002 BIOXON INJ 139,425.00 - - - - - - - -
2 120850550002 BIOXON INJ 127,187.50 - - - - - - - -
3 120850190072 CEFTUM INJ. 188,100.00 - - - - - - - -
4 120810390017 FOSMICIN INJ. 2 GR 115,500.00 - - - - - - - -
5 FOSMICIN INJ. 2 GR 68,530.00 - - 10 685,300.00 10 685,300.00 - -
6 NUFIROM INJ 275,000.00 - - - - - - - -
7 120810320002 SALTICIN INJ 16,456.00 - - - - - - - -
8 SALTICIN INJ 17,952.00 - - 35 628,320.00 20 359,040.00 15 269,280.00
9 120810320002 SALTICIN CREAM 22,000.00 10 220,000.00 - - 6 132,000.00 4 88,000.00
10 SAGESTAM INJ 7,937.60 - - - - - - - -
11 STABACTAM INJ 159,500.00 - - - - - - - -
12 OPIMER INJ 1GR 366,850.00 - - - - - - - -
13 ZIBAC INJ 1 GR 52,800.00 - - - - - - - -
NON ANTIBIOTIK PATEN

1 AERRANE 250 ML 1,633,500.00 2 3,267,000.00 2 3,267,000.00 3 4,900,500.00 1 1,633,500.00
2 BUNASCAN SPINAL 0,5 % 51,975.00 - - 30 1,559,250.00 30 1,559,250.00 - -
3 BUNASCAN SPINAL 0,5 % 69,300.00 48 3,326,400.00 45 3,118,500.00 48 3,326,400.00 45 3,118,500.00
4 BURNAZIN PLUS 25 GR 99,000.00 - - - - - - - -
5 CATHEJELL 12,5 GR 64,900.00 - - - - - - - -
6 CATAPRES INJ 1ML 55,343.77 - - - - - - - -
7 CATAPRES INJ 1ML 33,900.00 - - - - - - - -
8 CENDO MYDRIATYL 1% 5ML TM 42,075.00 10 420,750.00 - - - - 10 420,750.00
9 CENDO CITROL EYE OINT 39,462.50 - 10 394,625.00 - - 10 394,625.00
10 CORTIDEX INJEKSI 4,856.77 - 30 145,703.10 10 48,567.70 20 97,135.40
11 ECOSOL NACL 0,9 % 500ML 8,800.00 - - - - - - - -
12 EMEGRAN INJ 3 MG 110,000.00 - - - - - - - -
13 224130320103 FETIX SUPPOSITORIA 100 MG 13,068.00 8 104,544.00 - - 8 104,544.00 - -
14 FETIX SUPPOSITORIA 100 MG 15,125.00 - - - - - - - -
15 FIONTIC INJEKSI 1000 MG 242,000.00 - 10 2,420,000.00 2 484,000.00 8 1,936,000.00
16 430302140148 FORMALIN TABLET 600.00 292 175,200.00 - - - - 292 175,200.00
17 224110340005 FORTANES INJ. 5 MG / 3 ML 17,160.00 - - - - - - - -
35 / 235
NILAI
24.00)
1 4 5 6 (4x5) 8 (4x7) 10 (4x9) 11 (5+7)-9 12 (4x11)
18 FRESOFOL INJ 1% 10,758.00 - - - - - - - -
19 220110320013 GASTRIDIN INJ. 23,100.00 - - - - - - - -
20 221230130100 GELAFUSAL INF 500 ML 192,500.00 - - - - - - - -
21 GELAFUSAL INF 500 ML 163,625.00 4 654,500.00 - - 4 654,500.00 - -
22 GOOTROPIL INJ 3 GR 45,100.00 - - - - - - - -
23 220510320061 INDEXON INJ 9,504.00 - - - - - - - -
24 220260210008 INVICLOT INJ. 49,500.00 - - - - - - - -
25 221230620105 INFUSAN NS 500 ML SP 11,940.50 - - 24 286,572.00 24 286,572.00 - -
26 221230620108 INFUSAN RL 500 ML SP 9,864.69 - - - - - - - -
27 221230620108 INFUSAN RL 500 ML SP 10,758.00 - - - - - - - -
28 221230620106 INFUSAN RING AS 500ML SP 10,173.93 - - - - - - - -
29 221230620109 INFUSAN WATER FOR IRIGATION 1L 12,820.50 - - - - - - - -
30 220130130001 ISOFLURAN 250 ML 1,519,375.00 - - - - - - - -
31 220520160019 KABIROC INJ 50 MG 39,600.00 - - - - - - - -
32 KALTROFEN SUPP 13,750.00 - - - - - - - -
33 220411970421 KAMADOL INJ 4,533.28 - - - - - - - -
34 220130100021 KETAMIN INJ. 62,964.00 - - - - - - - -
35 KTM INJ 200,200.00 - - - - - - - -
36 224130360073 LANTIPAIN INJ. 38,500.00 - - - - - - - -
37 LEVICA INJ 49,500.00 3 148,500.00 - - - - 3 148,500.00
38 210130060023 LIDODEX INJ 60,500.00 35 2,117,500.00 - - 15 907,500.00 20 1,210,000.00
39 210130060023 LIDODEX INJ 58,987.50 - - - - - - - -
40 NEOSTIGMINE HAMELAN 0,5 MG 7,623.00 20 152,460.00 - - 13 99,099.00 7 53,361.00
41 221840210002 NOKOBA INJ 69,300.00 - - - - - - - -
42 221840210002 NOKOBA INJ 94,600.00 - - - - - - - -
43 220140210018 ONETIC INJ. 4 MG 20,625.00 - - - - - - - -
44 220410320424 PAMOL SUPP 125 MG 10,384.00 5 51,920.00 - - - - 5 51,920.00
45 PAMOL SUPP 250 MG 15,048.00 - - 36 541,728.00 36 541,728.00 - -
46 PAMOL SUPP 250 MG 14,036.00 - - - - - - - -
47 220130570027 PEHACAIN INJEKSI 3,113.00 27 84,051.00 - - 27 84,051.00 - -
48 PEHACAIN INJEKSI 3,113.05 - - 80 249,044.00 59 183,669.95 21 65,374.05
49 PEHACAIN INJEKSI 3,113.06 - - - - - - - -
50 220550730002 PROSTIGMIN INJ. 23,958.00 3 71,874.00 - - 3 71,874.00 - -
51 220510130034 PRONALGES SUPP. 13,970.00 - - - - - - - -
52 RECO SALP MATA 5,500.00 5 27,500.00 - - - - 5 27,500.00
53 220130130016 RECOFOL N INJ. 99,000.00 7 693,000.00 - 7 693,000.00 - -
54 220130130016 RECOFOL N INJ. 104,500.00 3 313,500.00 12 1,254,000.00 15 1,567,500.00 - -
55 221230540019 SOD.CHLORET NATR. 500 ML 6,409.70 35 224,339.50 - - 35 224,339.50 - -
56 RINGER LACTATE 500 ML 7,150.00 11 78,650.00 100 715,000.00 71 507,650.00 40 286,000.00
57 ROCULAX INJ 5 ML 123,200.00 - - 20 2,464,000.00 10 1,232,000.00 10 1,232,000.00
36 / 235
NILAI
24.00)
1 4 5 6 (4x5) 8 (4x7) 10 (4x9) 11 (5+7)-9 12 (4x11)
58 ROCUM INJ 88,000.00 3 264,000.00 - - 3 264,000.00 - -
59 221230620090 SANBE HEST 180,400.00 - - - - - - - -
60 SANOSKIN MELLADERM PLUS 157,080.00 - - 1 157,080.00 1 157,080.00 - -
61 221690320009 SANOSKIN OXY 274,890.00 - - 1 274,890.00 1 274,890.00 - -
62 SANOSKIN OXY 294,525.00 - - 2 589,050.00 2 589,050.00 - -
63 SEVODEX 250ML 2,156,055.00 - - 6 12,936,330.00 6 12,936,330.00 - -
64 SEVODEX 250ML 2,215,125.00 - - - - - - - -
65 221230750042 SOD.CHLORET NATR. 500 ML 6,409.70 - - 100 640,970.00 60 384,582.00 40 256,388.00
66 221230750042 SOD.CHLORET NATR. 500 ML 6,409.70 - - - - - - - -
67 SOJOURAN 250 ML 2,145,000.00 5 10,725,000.00 5 10,725,000.00 7 15,015,000.00 3 6,435,000.00
68 SOJOURAN 250 ML 2,860,000.00 - - - - - - - -
69 SUPRAFENID SUPPS 100 MG 12,100.00 28 338,800.00 30 363,000.00 28 338,800.00 30 363,000.00
70 220510770026 TERANOL INJ 30MG 35,750.00 - - - - - - - -
71 220520130009 TRAMUS 1% 2.5 ML 44,880.00 - - - - - - - -
72 220520130016 TRAMUS 1% 5 ML 70,125.00 - - - - - - - -
73 TRADOSIK INJ 15,976.40 - - - - - - - -
74 221230540064 WATER STERIL / AQUADEST 1 LITER 23,760.00 14 332,640.00 - - 7 166,320.00 7 166,320.00
75 220130030141 XYLOCAINE JELLY 2% 30 GRM 64,534.14 - - - - - - - -
76 XYLOCAINE JELLY 2% 30 GRM 41,600.00 - - - - - - - -
ALAT KESEHATAN
1 340200010007 ABBOCATH T 14 19,305.00 - - - - - - - -
2 ABBOCATH T 18 21,285.00 - - - - - - - -
3 340200010008 ABBOCATH T 26 25,080.00 31 777,480.00 - - - - 31 777,480.00
4 340200010013 ABBOCATH T 24 23,650.00 - - - - - - - -
5 340200010009 ABBOCATH T 20 21,285.00 - - - - - - - -
6 340200010011 ABBOCATH T 22 21,285.00 - - - - - - - -
7 AGTIFA POLYGLYCOLIC ACID 8/0 335,500.00 19 6,374,500.00 - - - - 19 6,374,500.00
8 AURA-1 N0.1 503,999.10 2 1,007,998.20 - - - - 2 1,007,998.20
9 AURA-1 N0.1 1/2 503,999.10 2 1,007,998.20 - - - - 2 1,007,998.20
10 AURA-1 N0.2 503,999.10 5 2,519,995.50 - - - - 5 2,519,995.50
11 AURA-1 N0.2 1/2 503,999.10 5 2,519,995.50 - - - - 5 2,519,995.50
12 AURA-1 N0.3 503,999.10 4 2,015,996.40 - - - - 4 2,015,996.40
13 AURA-1 N0.3 629,999.37 5 3,149,996.85 - - - - 5 3,149,996.85
14 AURA-1 N0.4 503,999.10 5 2,519,995.50 - - - - 5 2,519,995.50
15 AURA-1 N0.4 629,999.37 5 3,149,996.85 - - - - 5 3,149,996.85
16 460300950010 ALCOHOL SWABS 233.75 - - - - - - - -
17 460300950010 ALCOHOL SWABS 264.00 120 31,680.00 - - 120 31,680.00 - -
18 330201180023 ARM SLING UK. M ( DEWASA ) 133,650.00 2 267,300.00 - - 1 133,650.00 1 133,650.00
19 330201180023 ARM SLING UK. M ( DEWASA ) 107,800.00 - - - - - - - -
37 / 235
NILAI
24.00)
1 4 5 6 (4x5) 8 (4x7) 10 (4x9) 11 (5+7)-9 12 (4x11)
20 330201180024 ARM SLING UK. S ( ANAK ) 133,650.00 - - - - - - - -
21 BAJU OPERASI ( KIT CESAREAN) 308,386.38 - - - - - - - -
22 BAJU APRON 6,534.00 200 1,306,800.00 - - 100 653,400.00 100 653,400.00
23 340201260027 BALON TENSIMETER 19,250.00 - - - - - - - -
24 330201330029 BANDANA CAP GREEN 1,056.00 - - 300 316,800.00 150 158,400.00 150 158,400.00
25 330201330029 BANDANA CAP GREEN 968.00 - - - - - - - -
26 340201370032 BLOOD TRANFUSION SET 15,427.50 48 740,520.00 - - 45 694,237.50 3 46,282.50
27 340201370032 BLOOD TRANFUSION SET 28,050.00 - - - - - - - -
28 340200780909 BLOODSTOP BS-IX-15 665,500.00 - - - - - - - -
29 340200780909 BONE WAX 59,400.00 1 59,400.00 - - - - 1 59,400.00
30 BRACKET BHS 26,125.00 - - - - - - - -
32 330201320049 CATGUT CHROMIC 2 . 50 M ( 2070 ) 1,952,720.00 - - - - - - - -
33 330201320051 CATGUT CHROMIC 3/0 @ 100 M 2,091,760.00 - - - - - - - -
34 330201320052 CATGUT CHROMIC 2/0 HR 30 MM 34,170.00 6 205,020.00 - - 6 205,020.00 - -
35 330201450054 CATGUT CROMIC 1 HR 43 73,568.00 - - - - - - - -
36 330201450050 CATGUT CHROMIC 2 HR 50 MM 55,176.00 43 2,372,568.00 - - - - 43 2,372,568.00
37 CATGUT CHROMIC 2 HR 50 MM 45,700.00 - - 12 548,400.00 9 411,300.00 3 137,100.00
38 CATGUT PLAIN NO.2/0 @ 100M 2,135,760.00 - - - - - - - -
39 CATGUT PLAIN NO.2/0 HR 20 MM 34,300.00 11 377,300.00 12 411,600.00 23 788,900.00 - -
40 CATGUT PLAIN NO.2/0 HR 20 MM 35,740.00 24 857,760.00 12 428,880.00 36 1,286,640.00 - -
41 CATGUT PLAIN NO.2/0 HR 37 MM 55,000.00 - - - - - - - -
42 CATGUT PLAIN NO.2/0 HR 37 MM 34,300.00 11 377,300.00 - - 11 377,300.00 - -
43 330201320063 CATGUT PLAIN NO. 3/0, HR 37 MM 55,000.00 14 770,000.00 - - 14 770,000.00 - -
44 CATGUT PLAIN NO. 3/0, HR 37 MM 35,740.00 11 393,140.00 72 2,573,280.00 22 786,280.00 61 2,180,140.00
45 330201220830 CATGUT PLAIN NO 4/0 HR 20 MM 44,000.00 - - - - - - - -
46 CATGUT PLAIN NO 4/0 HR 20 MM 32,870.00 - - - - - - - -
47 CHROMIC 2/0 + 1/3 GT 35 MM 12,897.50 - - - - - - - -
48 CDL CURVED MMCVCBJ2-115-16 846,450.00 - - - - - - - -
49 330201450076 CERTOFIX DUO V 1220 HF 1,155,000.00 - - - - - - - -
50 CERTOFIX DUO V 720 852,500.00 - - - - - - - -
51 330200500093 COLLACURE 50 X 50 X 5 MM 297,990.00 - - - - - - - -
52 340200930094 COLOSTOMY BAG 10,384.00 - - - - - - - -
53 COLOSTOMY BAG 46,200.00 11 508,200.00 - - 1 46,200.00 10 462,000.00
54 34200910095 CORE ELECTRODE 2670 5,553.90 - - - - - - - -
55 330201320098 DACLON 1 DS 24 55,000.00 16 880,000.00 - - - - 16 880,000.00
56 DACLON 2/0 DS 30 55,000.00 - - - - - - - -
57 DACLON 2/0 DS 30 22,430.00 23 515,890.00 36 807,480.00 23 515,890.00 36 807,480.00
58 DACLON 2/0 DS 24 21,650.00 - - - - - - - -
59 DACLON 3/0 DS 24 55,000.00 - - - - - - - -
38 / 235
NILAI
24.00)
1 4 5 6 (4x5) 8 (4x7) 10 (4x9) 11 (5+7)-9 12 (4x11)
60 DACLON 3/0 DS 24 21,650.00 4 86,600.00 12 259,800.00 8 173,200.00 8 173,200.00
61 DACLON 4/0 DS 19 55,000.00 - - - - - - - -
62 DACLON 4/0 DS 19 22,430.00 12 269,160.00 - - 10 224,300.00 2 44,860.00
63 330201320779 DACLON 5/0 DS 16 55,000.00 4 220,000.00 - - - - 4 220,000.00
64 330201320779 DACLON 5/0 DS 16 22,430.00 - - 24 538,320.00 - - 24 538,320.00
65 330201450732 DAFILON 6/0 DS 12 BLUE 37,830.00 10 378,300.00 - - - - 10 378,300.00
66 330201320100 DACLON 3/0 DS 24 55,000.00 - - - - - - - -
67 330201320778 DACLON 3/0 DS 19 55,000.00 - - - - - - - -
68 DACLON 10/0 2X6.4 231,616.00 10 2,316,160.00 - - - - 10 2,316,160.00
69 340200120105 DARYANTULLE 17,641.80 - - - - - - - -
70 340200120105 DARYANTULLE 9,157.50 - - - - - - - -
71 330200970106 DELTA CAST PRINT PAW 72273-21 190,271.40 - - - - - - - -
72 340201450114 DISCOFIX C TREEWAY 10 CM 38,500.00 - - - - - - - -
73 340201450113 DISCOFIX 3 WAY STOPCOCK BLUE 30,250.00 - - - - - - - -
74 340200950922 DISPOSIBLE / NEEDLE 26 G 1/21 TAN 1,320.00 - - - - - - - -
75 DISPOSIBLE SYRINGE UK. 1 CC 2,530.00 - - - - - - - -
76 DISPOSIBLE SYRINGE UK. 1 CC 2,145.00 - - - - - - - -
77 340200950126 DISPOSIBLE SYRINGE UK. 10 1,609.30 - - 100 160,930.00 50 80,465.00 50 80,465.00
78 340200950124 DISPOSIBLE SYRINGE UK. 10 2,750.00 153 420,750.00 - - 153 420,750.00 - -
80 340201220924 DISPOSIBLE SYRINGE UK. 20 ( ECCENT 14,300.00 - - - - - - - -
81 340200950131 DISPOSIBLE SYRINGE UK. 3 1,650.00 228 376,200.00 - - 124 204,600.00 104 171,600.00
83 340201450136 DISPOSIBLE SYRINGE UK. 5 2,343.00 21 49,203.00 - - 21 49,203.00 - -
84 DISPOSIBLE SYRINGE UK. 5 1,467.18 200 293,436.00 - - 155 227,412.90 45 66,023.10
85 340201450902 DISPOSIBLE SYRINGE UK. 50 ( L.PINGG 26,125.00 - - - - - - - -
86 340201370138 DISPOSIBLE SYRINGE UK. 50 ( L.TENG 29,700.00 2 59,400.00 - - - - 2 59,400.00
87 340201370138 DISPOSIBLE SYRINGE UK. 50 ( L.TENG 4,064.00 8 32,512.00 - - - - 8 32,512.00
88 340201450902 DISPOSIBLE SYRINGE UK. 50 ( L.PINGG 27,500.00 - - - - - - - -
89 330200970142 DYNACAST PRELUDE 3" 2,519,286.00 2 5,038,572.00 - - - - 2 5,038,572.00
92 END TUBE CUFFED 3.0 45,760.00 6 274,560.00 - - - - 6 274,560.00
93 END TUBE CUFFED 3.5 70,950.00 - - - - - - - -
94 END TUBE CUFFED 4.0 24,500.30 - - 5 122,501.50 - 5 122,501.50
95 330201280151 END TUBE CUFFED 5.0 24,500.30 - - - - - - - -
96 330201280153 END TUBE CUFFED 6.0 24,500.30 2 49,000.60 - - - - 2 49,000.60
97 END TUBE CUFFED 6.5 45,760.00 - - - - - - - -
98 END TUBE CUFFED 6.5 24,500.30 - - - - - - - -
99 END TUBE CUFFED 7.0 24,500.30 - - - - - - - -
39 / 235
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1 4 5 6 (4x5) 8 (4x7) 10 (4x9) 11 (5+7)-9 12 (4x11)
101 ENDOTRACHELA TUBE 03 45,760.00 - - - - - - - -
103 ENDOTRACHELA TUBE 04 45,760.00 3 137,280.00 8 366,080.00 8 366,080.00 3 137,280.00
106 ENDOTRACHELA TUBE 05 45,760.00 9 411,840.00 - - 2 91,520.00 7 320,320.00
107 ENDOTRACHELA TUBE 5.5 45,760.00 11 503,360.00 - - 4 183,040.00 7 320,320.00
109 330201280162 ENDOTRACHELA TUBE 6 45,760.00 2 91,520.00 - - - - 2 91,520.00
112 ENDOTRACHELA TUBE 7 45,760.00 2 91,520.00 10 457,600.00 12 549,120.00 - -
113 ENDOTRACHELA TUBE 7,5 45,760.00 12 549,120.00 - - 6 274,560.00 6 274,560.00
114 ENDOTRACHELA TUBE 7,5 70,950.00 - - - - - - - -
116 ENDOTRACHELA uncuf 2.5 75,240.00 - - - - - - - -
118 ENDOTRACHELA TUBE 3,5 69,300.00 3 207,900.00 - - - - 3 207,900.00
119 ENDOTRACHELA TUBE 3,5 45,760.00 3 137,280.00 - - - - 3 137,280.00
120 ENDOTRACHELA UNCUF 3 18,810.00 - - - - - - - -
121 ENDOTRACHELA WIRE 5 REINF 188,550.00 2 377,100.00 - - - - 2 377,100.00
122 ENDOTRACHELA WIRE 6 REINF 188,550.00 2 377,100.00 - - - - 2 377,100.00
123 ENDOTRACHELA WIRE 6,5 REINF 188,550.00 2 377,100.00 - - - - 2 377,100.00
124 340201330174 FACE MASK 554.40 250 138,600.00 1,000 554,400.00 1,050 582,120.00 200 110,880.00
125 340201330174 FACE MASK HEADLOOP FOR HIJAB 382.80 - - - - - - - -
126 340200910173 FACE MASK 435.60 - - - - - - - -
127 340200120821 FRAMYCETIN SULFATE 10,175.00 60 610,500.00 - - 60 610,500.00 - -
128 330201490281 INJ ~ CHECK BOWIE DICK MINI 3,245,000.00 - - - - - - - -
130 330201490586 INJ ~ FLAT ROLL 25 CM X 200 M 1,991,000.00 - - - - - - - -
131 330200910282 INJ ~ INTERNAL INDIKATOR FOR STEA 605,000.00 - - - - - - - -
132 330200910283 INJ ~ LABELER INDICATOR FOR STEA 7,799,000.00 - - - - - - - -
133 330200910284 INJ ~ RINSE AID 5 LTR 1,952,500.00 - - - - - - - -
134 330200910285 INJ ~ UNIVERSAL DETERGENT 5 LTR 1,870,000.00 - - - - - - - -
135 340201370178 FEEDING TUBE NO. 3,5 35 CM 23,100.00 - - - - - - - -
136 340201370178 FEEDING TUBE NO. 3,5 35 CM 28,050.00 3 84,150.00 - - - - 3 84,150.00
137 340201370175 FEEDING TUBE FR. 5 . 100 CM 33,880.00 3 101,640.00 - - 2 67,760.00 1 33,880.00
138 FOLLEY CATHETER NO. 06 33,000.00 - - - - - - - -
40 / 235
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147 340201260198 FOLLEY CATHETER NO. 16 15,840.00 - - 10 158,400.00 2 31,680.00 8 126,720.00
153 FOLLEY CATHETER THREE WAY 22 15,840.00 10 158,400.00 - - 2 31,680.00 8 126,720.00
155 FOLLEY CATHETER THREE WAY 18 86,020.00 - - - - - - - -
156 340200120821 FRAMYCETIN SULFATE 10,175.00 - - 180 1,831,500.00 90 915,750.00 90 915,750.00
157 FREESTYLE OPTIUM NEO H BG 275,000.00 - - - - - - - -
158 GYNECOLOGY SET GNS-2109 683,496.00 3 2,050,488.00 5 3,417,480.00 7 4,784,472.00 1 683,496.00
159 330201360212 GUEDEL AIRWAY 2 ( 80 MM ) 33,000.00 - - - - - - - -
161 GUEDEL AIRWAY CLEAR NO. 3 159,500.00 - - - - - - - -
167 GUEDEL RED NO.1 235,950.00 3 707,850.00 - - 3 707,850.00 - -
168 GUEDEL RED NO.4 235,950.00 - - - - - - - -
169 GUEDEL RED NO.5 235,950.00 - - - - - - - -
170 330200970228 GYPSONE 3" 3.5 X 7.5 25,059.14 3 75,177.42 - - - - 3 75,177.42
171 330200970229 GYPSONE 4" 3.5 X 10 35,083.00 - - - - - - - -
172 330200970230 GYPSONE 6" 3.5 X 15 46,005.52 6 276,033.12 - - - - 6 276,033.12
173 330201120248 HOGI ~ DUEL SHEET OB SS 144,100.00 - - - - - - - -
174 330201120244 HOGI ~ UNIVERSAL SET USP-2101 744,920.00 - - - - - - - -
175 330201120245 HOGI ~ EQUIPMENT TABLE COVER RP- 122,100.00 - - - - - - - -
176 330201120242 HOGI ~ SURG. GOWN ( L ) SG-SMS13K 104,280.00 - - - - - - - -
177 330201120243 HOGI ~ SURG. GOWN ( XL ) SG-SMS15 113,190.00 - - - - - - - -
178 330201120246 HOGI ~ SHOE COVER SR-SC-41E 35,200.00 10 352,000.00 - - - - 10 352,000.00
179 330201120247 HOGI ~ MEDICAL CAP L-MCS-0101 100,870.00 - - - - - - - -
41 / 235
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1 4 5 6 (4x5) 8 (4x7) 10 (4x9) 11 (5+7)-9 12 (4x11)
183 330200910282 INJ ~ INTERNAL INDIKATOR FOR STEA 605,000.00 - - - - - - - -
184 330200910283 INJ ~ LABELER INDICATOR FOR STEA 7,799,000.00 - - - - - - - -
185 INTRAFIX SAFE SET ( DEWASA) 33,000.00 - - 40 1,320,000.00 40 1,320,000.00
186 330200980291 KASA HYDROPHYL ( PPI ) 143,000.00 - - - - - - - -
187 330201110290 KASA HYDROPHYL 156,200.00 8 1,249,600.00 10 1,562,000.00 15 2,343,000.00 3 468,600.00
188 KASA HYDROPHYL ( MMP ) 140,481.00 - - - - - - - -
189 340200990287 KAPAS PUTIH BERLEMAK @ 1 KG 45,980.00 - - - - - - - -
190 340200970306 LEUKOPLAST UK. 4,5 x 5 (1624H) 28,215.00 - - - - - - - -
191 LEUKOMED T PLUS 10 X 25 CM 40,546.00 50 2,027,300.00 - - - - 50 2,027,300.00
192 LIGA CLIP EXTRA TITANUM 470,000.00 9 4,230,000.00 - - - - 9 4,230,000.00
193 LOMETULE 12,155.00 - - - - - - - -
194 LOGICATH SET 12 FR 20 CM 1,039,500.00 3 3,118,500.00 5 5,197,500.00 5 5,197,500.00 3 3,118,500.00
195 330201240780 IBS~ LINA PEN SINGLE USE 516 112,200.00 35 3,927,000.00 30 3,366,000.00 20 2,244,000.00 45 5,049,000.00
196 LINA PEN (PENSIL WHOLSTER) 132,000.00 - - 10 1,320,000.00 4 528,000.00 6 792,000.00
197 MANSET TENSIMETER DEWASA 52,250.00 - - - - - - - -
198 330201220316 MEDICRAPE 10 X 4.5 29,040.00 10 290,400.00 - - - - 10 290,400.00
199 MEDICRAPE 10 X 4.5 32,175.00 6 193,050.00 - - - - 6 193,050.00
200 330201220317 MEDICRAPE 7.5 X 4.5 23,958.00 19 455,202.00 - - 6 143,748.00 13 311,454.00
201 330201220317 MEDICRAPE 7.5 X 4.5 20,625.00 - - - - - - - -
202 330201220315 MEDICRAPE 15 X 4.5 44,198.00 8 353,584.00 - - 2 88,396.00 6 265,188.00
203 MEDICRAPE 15 X 4.5 46,200.00 8 369,600.00 - - 2 92,400.00 6 277,200.00
204 PERIFIK 400 G18 X 3 302,500.00 - - - - - - - -
205 PERIFIK 400 G18 X 3 396,000.00 6 2,376,000.00 - - - - 6 2,376,000.00
206 PENSIL CAUTER 207,900.00 - - - - - - - -
207 PD.UNDERPAD 60X60 6,545.00 - - - - - - - -
208 PD. CABLE C1 201,025.00 8 1,608,200.00 - - 4 804,100.00 4 804,100.00
209 PD.PLATE M2 ( BIPOLAR ) 35,062.50 60 2,103,750.00 - - 20 701,250.00 40 1,402,500.00
210 PGA 5-0 TP (F1795 - 75) 91,300.00 - 2 182,600.00 - 2 182,600.00
211 340200440929 POLYMEM SILVER 10,8 X 10,8 CM 207,350.00 11 2,280,850.00 - - 6 1,244,100.00 5 1,036,750.00
212 340200440917 POLYMEM MAX NON ADHESIF 10 X 10 82,500.00 - - - - - - - -
213 POLYPROPYLENE 0 HR 40 MM 66,000.00 10 660,000.00 - - - - 10 660,000.00
214 POLYPROPYLENE 1 HR 40 MM 66,000.00 - - - - - - - -
215 330201320783 POLYPROPYLENE 2/0 HR 25 MM 56,760.00 - - - - - - - -
216 POLYPROPYLENE 2/0 HR 25 MM 55,000.00 - - - - - - - -
217 POLYPROPYLENE 2/0 HR 25 MM 27,650.00 10 276,500.00 - - - - 10 276,500.00
218 POLYPROPYLENE 4/0 HR 15 69,608.00 3 208,824.00 - - 2 139,216.00 1 69,608.00
219 330200940373 POLYPROPYLENE 7/0 HR 10 86,130.00 - - - - - - - -
42 / 235
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220 330200940373 POLYPROPYLENE 7/0 HR 10 91,608.00 9 824,472.00 - - - - 9 824,472.00
221 330200440754 POLYPRO HERNIA MESSH 176,000.00 18 3,168,000.00 - - - - 18 3,168,000.00
222 POLYPRO HERNIA MESSH 164,370.00 - - - - - - - -
223 330201450383 PREMILENE 1 HR 40 103,983.00 - - - - - - - -
224 PROXIMATE PPH PROCEDURE 33 MM 4,752,000.00 1 4,752,000.00 - - - - 1 4,752,000.00
225 RAUCODRAPE SMART C-SECTIO 470,250.00 1 470,250.00 - - - - 1 470,250.00
226 RAUCODRAPE SMART UNIVERSAL 396,000.00 1 396,000.00 - - - - 1 396,000.00
227 330201510395 RECTAL TUBE 28 16,500.00 - - - - - - - -
228 330201510394 RECTAL TUBE 24 16,500.00 5 82,500.00 - - - - 5 82,500.00
229 RECTAL TUBE 24 32,670.00 - - - - - - - -
230 330201510393 RECTAL TUBE 20 16,500.00 3 49,500.00 - - - - 3 49,500.00
231 RECTAL TUBE 20 32,670.00 3 98,010.00 - - - - 3 98,010.00
232 330201510396 RECTAL TUBE 30 16,500.00 - - - - - - - -
233 330201510397 RECTAL TUBE 32 16,500.00 1 16,500.00 - - - - 1 16,500.00
234 340201030402 RUBBER HAND GLOVE NO. 6,5 16,500.00 - - 40 660,000.00 20 330,000.00 20 330,000.00
236 RUBBER HAND GLOVE NO. 6,5 16,830.00 68 1,144,440.00 - - 68 1,144,440.00 - -
237 340201030403 RUBBER HAND GLOVE NO. 7 16,335.00 - - - - - - - -
238 340201030403 RUBBER HAND GLOVE NO. 7 18,700.00 - - 160 2,992,000.00 160 2,992,000.00 - -
239 340201030403 RUBBER HAND GLOVE NO. 7 16,500.00 23 379,500.00 - - 23 379,500.00 - -
240 RUBBER HAND GLOVE NO. 7 15,840.00 - - - - - - - -
241 340201260406 RUBBER HAND GLOVE NO. 7,5 16,830.00 8 134,640.00 - - 8 134,640.00 - -
243 340201260406 RUBBER HAND GLOVE NO. 7,5 16,500.00 - - 160 2,640,000.00 145 2,392,500.00 15 247,500.00
244 340201030407 RUBBER HAND GLOVE NO. 8 18,700.00 - - 40 748,000.00 40 748,000.00 - -
245 340201030407 RUBBER HAND GLOVE NO. 8 14,850.00 - - 50 742,500.00 20 297,000.00 30 445,500.00
246 RUBBER HAND GLOVE NO. 8 16,500.00 33 544,500.00 - - 33 544,500.00 - -
247 340200920426 SCALPEL BLADE BB- 511 5,778.85 - - - - - - - -
248 SCALPEL BLADE BB- 511 6,083.00 95 577,885.00 - - 51 310,233.00 44 267,652.00
249 340200920425 SCALPEL BLADE BB- 510 6,083.00 83 504,889.00 - - 54 328,482.00 29 176,407.00
250 340200920425 SCALPEL BLADE BB- 510 5,778.85 - - - - - - - -
251 340200920427 SCALPEL BLADE BB- 515 5,778.85 5 28,894.25 - - 5 28,894.25 - -
252 340200920427 SCALPEL BLADE BB- 515 6,083.00 100 608,300.00 - - 49 298,067.00 51 310,233.00
253 340200920428 SCALPEL BLADE BB- 520 5,778.85 - - - - - - - -
254 340200920428 SCALPEL BLADE BB- 520 6,083.00 94 571,802.00 - - 50 304,150.00 44 267,652.00
255 340201390429 SELANG O2 ANAK 8,276.40 - - - - - - - -
256 340201390431 SELANG O2 BAYI 15,840.00 - - - - - - - -
257 340201390431 SELANG O2 BAYI 8,276.40 - - - - - - - -
258 340201260434 SELANG O2 DEWASA 14,960.00 6 89,760.00 - - - - 6 89,760.00
259 340201260434 SELANG O2 DEWASA 16,362.50 - - - - - - - -
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260 SENSIPED ALAS POPOK L 39,050.00 10 390,500.00 - - 10 390,500.00 - -
261 SGTIFA ECOSORB 4/0 95,700.00 - - - - - - - -
262 330201320435 SILK 2/0 HR 20 MM 20,300.00 14 284,200.00 - - 14 284,200.00 - -
263 SILK 2/0 HR 20 MM 20,299.95 - - 48 974,397.60 32 649,598.40 16 324,799.20
264 330201320440 SILK 3/0 HR 26 MM 44,000.00 - - - - - - - -
269 330201320439 SILK 3 - 0 TP ( R2633 ) 44,000.00 - - - - - - - -
270 330201450444 SILK BLACK 2/0 HR 20 MM 44,000.00 - - - - - - - -
277 SIMP.MASK NON REBR. S (ANAK) 44,000.00 - - 2 88,000.00 - 2 88,000.00
278 330201450462 SPINOCAN 25G X 3 1/2 " 20,295.00 - - 25 507,375.00 22 446,490.00 3 60,885.00
279 SPINOCAN 25G X 3 1/2 " 67,925.00 31 2,105,675.00 - - 31 2,105,675.00 - -
280 330201450462 SPINOCAN 26G X 3 1/2 " 67,925.00 50 3,396,250.00 - - 50 3,396,250.00 - -
281 330201450463 SPINOCAN 26G X 3 1/2 " 20,295.00 - - 50 1,014,750.00 25 507,375.00 25 507,375.00
282 SPINOCAN 26G X 3 1/2 " 91,960.00 - - - - - - - -
283 SPINOCAN 26G X 3 1/2 " 44,000.00 - - - - - - - -
284 330200640458 SOFRATULLE 26,023.14 - - - - - - - -
285 340200970455 SOFFBAN 72011.13 6" 15 X 2.7 29,661.50 - - - - - - - -
286 SOFFBAN 72011.14 3" 7.5 X 2.7 20,847.20 4 83,388.80 - - - 4 83,388.80
287 340200970457 SOFFBAN 72011.15 4" 10 X 2.7 18,983.09 - - - - - - - -
288 360200610460 SOFTCLIX LANCET UNO 200 990.00 - - - - - - - -
289 340201370483 SURFLO I.V. NO. 14 16,659.50 - - - - - - - -
290 340201370915 SURFLO I.V. NO. 18 12,100.00 - - - - - - - -
291 340201370485 SURFLO I.V. NO. 20 12,100.00 26 314,600.00 - - 7 84,700.00 19 229,900.00
292 340201370486 SURFLO I.V. NO. 22 12,100.00 31 375,100.00 - - 16 193,600.00 15 181,500.00
293 340201370487 SURFLO I.V. NO. 24 12,100.00 40 484,000.00 - - 12 145,200.00 28 338,800.00
294 340201370466 STOMACH TUBE NO.12 29,568.00 13 384,384.00 - - 7 206,976.00 6 177,408.00
295 340201370466 STOMACH TUBE NO.12 4,781.00 - - - - - - - -
296 340201370467 STOMACH TUBE NO.14 33,550.00 - - - - - - - -
297 340201370467 STOMACH TUBE NO.14 29,568.00 9 266,112.00 - - 1 29,568.00 8 236,544.00
298 340201370467 STOMACH TUBE NO.14 33,550.00 - - - - - - - -
299 340201370468 STOMACH TUBE NO.16 29,568.00 7 206,976.00 - - - - 7 206,976.00
300 STOMACH TUBE NO.16 33,550.00 - - - - - - - -
301 STOMACH TUBE NO.16 26,426.40 - - - - - - - -
302 340201370469 STOMACH TUBE NO.18 33,550.00 - - - - - - - -
303 340201370469 STOMACH TUBE NO.18 6,448.20 - - - - - - - -
304 340201370469 STOMACH TUBE NO.18 29,568.00 9 266,112.00 - - 1 29,568.00 8 236,544.00
305 330200910465 STEAM INDICATOR TAPE 83,160.00 - - - - - - - -
306 340201260471 SUCTION CATHETER NO. 12 7,673.60 40 306,944.00 - - 20 153,472.00 20 153,472.00
308 SUCTION CATHETER NO. 12 6,448.20 - - - - - - - -
309 SUCTION CATHETER NO. 14 7,673.60 1 7,673.60 - - 1 7,673.60 - -
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311 SUCTION CATHETER NO. 8 6,039.00 - - - - - - - -
312 SUCTION CATHETER NO. 8 7,673.60 30 230,208.00 - - 10 76,736.00 20 153,472.00
313 340201260476 SUNGKUP OXYGEN ANAK 44,000.00 - - - - - - - -
315 340201040477 SUNGKUP OXYGEN BAYI 44,000.00 - - - - - - - -
318 SURGICAL GLOVE UK. L 673.20 - - - - - - - -
319 SURGICAL GLOVE UK. M 710.60 500 355,300.00 3,000 2,131,800.00 2,700 1,918,620.00 800 568,480.00
320 SURGICAL GLOVE UK. S 710.60 - - - - - - - -
321 330201320537 SURGICRYL 910 1 HR 48 MM 121,440.00 - - - - - - - -
322 SURGICRYL 910 1 HR 48 MM 103,580.00 44 4,557,520.00 18 1,864,440.00 37 3,832,460.00 25 2,589,500.00
323 330201320539 SURGICRYL 910 2/0 HR 26 MM 66,000.00 16 1,056,000.00 - - 16 1,056,000.00 - -
324 SURGICRYL 910 2/0 HR 26 MM 64,919.80 - - 24 1,558,075.20 2 129,839.60 22 1,428,235.60
325 330201320538 SURGICRYL 910 2 HR 48 MM 121,440.00 - - - - - - - -
326 SURGICRYL 910 2 HR 48 MM 103,580.00 49 5,075,420.00 - - 32 3,314,560.00 17 1,760,860.00
327 SURGICRYL 910 2/0 HR 30 MM 70,180.00 48 3,368,640.00 - - - - 48 3,368,640.00
328 SURGICRYL 910 3/0 HR 26 MM 63,920.00 12 767,040.00 - - 12 767,040.00 - -
329 SURGICRYL 910 3/0 HR 26 MM 63,920.00 - - 48 3,068,160.00 48 3,068,160.00 - -
330 SURGICRYL 910 3/0 HR 26 MM 63,920.00 - - 60 3,835,200.00 24 1,534,080.00 36 2,301,120.00
331 330201320766 SURGICRYL 910 4/0 HR 17 MM 90,640.00 9 815,760.00 24 2,175,360.00 23 2,084,720.00 10 906,400.00
332 SURGICAL NEEDLE TH-21 22,385.00 - - - - - - - -
336 SX PRO OP-M SPESIAL SMMSmel 103 110,880.00 - - - - - - - -
337 THT-BRILON 10/0 275,000.00 53 14,575,000.00 - - 8 2,200,000.00 45 12,375,000.00
338 THT-CARBACHOL 96,470.00 6 578,820.00 - - 5 482,350.00 1 96,470.00
339 THT-DOP MATA 13,750.00 - - - - - - - -
340 THT-ECOSORB 4/0 95,700.00 28 2,679,600.00 - - 10 957,000.00 18 1,722,600.00
341 THT-EYE DRAPE PLAIN D700P 105,050.00 35 3,676,750.00 - - - - 35 3,676,750.00
342 THT-IOL POSTERIOR CHAMBER 16 297,440.00 18 5,353,920.00 - - - - 18 5,353,920.00
343 THT-IOL POSTERIOR CHAMBER 15.6 297,440.00 11 3,271,840.00 - - 2 594,880.00 9 2,676,960.00
344 THT-IOL POSTERIOR CHAMBER 19.5 275,412.50 35 9,639,437.50 - - 10 2,754,125.00 25 6,885,312.50
345 THT-OPTEN COUTER 390,500.00 39 15,229,500.00 - - - - 39 15,229,500.00
346 THT-POLYSORP 6/0 148,500.00 44 6,534,000.00 - - 1 148,500.00 43 6,385,500.00
347 THT-SAFETY CREASENT KNIFE 266,750.00 24 6,402,000.00 - - - - 24 6,402,000.00
348 THT-SAFETY SLIT KNIFE 266,750.00 11 2,934,250.00 - - - - 11 2,934,250.00
349 THT-SAFETY STAB KNIFE 266,750.00 18 4,801,500.00 - - 1 266,750.00 17 4,534,750.00
45 / 235
NILAI
24.00)
1 4 5 6 (4x5) 8 (4x7) 10 (4x9) 11 (5+7)-9 12 (4x11)
350 THT-TRYPAN BLUE 96,470.00 31 2,990,570.00 - - 7 675,290.00 24 2,315,280.00
351 THT-VISCO 1,030,975.00 8 8,247,800.00 - - 5 5,154,875.00 3 3,092,925.00
352 330201360563 THORAC CATETER NO. 20 271,700.00 2 543,400.00 - - - - 2 543,400.00
353 THORAC CATETER NO. 24 257,400.00 - - - - - - - -
354 THORAC CATETER NO. 28 257,400.00 1 257,400.00 - - - - 1 257,400.00
355 THORACSIC TROCAR 24 271,700.00 5 1,358,500.00 - - 4 1,086,800.00 1 271,700.00
356 330201240781 IBS~ TIP CLEANER FOR ELEC. DISP. 36,575.00 10 365,750.00 - - 5 182,875.00 5 182,875.00
357 IBS~ TIP CLEANER FOR ELEC. DISP. 32,725.00 10 327,250.00 - - 5 163,625.00 5 163,625.00
358 TORNIQUITE 33,000.00 - - - - - - - -
359 340201450570 TRANSOFIX 7,590.00 - - - - - - - -
360 330201220573 ULTRAFIC 10 CM X 500 CM 35,640.00 - - - - - - - -
361 330201220573 ULTRAFIC 10 CM X 500 CM 44,704.00 7 312,928.00 - - 7 312,928.00 - -
362 340201530575 UMBILICAL KLAMP 2,200.00 - - - - - - - -
363 340201330576 UNDERPADS 60 X 90 166,848.00 - - - - - - - -
364 340201260581 URINE BAG 5,544.00 13 72,072.00 - - 6 33,264.00 7 38,808.00
365 URINE BAG 6,050.00 - - - - - - - -
366 URINAL UTK LAKI-LAKI PLASTIK 22,000.00 1 22,000.00 - - 1 22,000.00 - -
367 URINAL UTK WANITA PLASTIK 22,000.00 1 22,000.00 - - 1 22,000.00 - -
368 VASELIN SWAB 10X10 8,800.00 - - - - - - - -
369 330201490586 WIPAK 25 CM X 200 MTR R43 1,991,000.00 - - - - - - - -
370 330201490585 WIPAK 10 CM X 200 MTR R41 852,500.00 1 852,500.00 - - - - 1 852,500.00
371 WIPAK 10 CM X 200 MTR R41 937,750.00 - - - - - - - -
372 WIPAK 25 CM X 200 MTR R43 1,991,000.00 1 1,991,000.00 - - - - 1 1,991,000.00
373 WING INFUS 27G 1/2 24,860.00 - - - - - - -
BAHAN KIMIA
1 460301490009 ALCOHOL 70% 57,475.00 - - - - - -
2 460301490009 ALCOHOL 70% 29,700.00 6 178,200.00 - - - - 6 178,200.00
4 ASEPTIC GEL + DESPENSER 63,954.00 - - - - - - - -
5 CIDEX OPA SOLUTION 5 LITER 702,768.00 - - - - - - - -
6 CIDEZYME 5LITER 830,544.00 - - - - - - - -
7 DETRO ENZIM 900,900.00 3 2,702,700.00 - - - - 3 2,702,700.00
8 DETRO OPA 847,000.00 4 3,388,000.00 - - 1 847,000.00 3 2,541,000.00
9 460301630030 ETHYLCHLORET SPRY 132,000.00 - - - - - - - -
10 FIRST AID 1 LTR 283,360.00 - - - - - - - -
12 IODINE POVIDONE 1000 ML 59,966.50 10 599,665.00 15 899,497.50 17 1,019,430.50 8 479,732.00
13 430301220154 ODEX 5 LITER 1,039,500.00 - - - - - - - -
14 ONESCRUB 5 LTR 924,000.00 - - - - - - - -
46 / 235
NILAI
24.00)
1 4 5 6 (4x5) 8 (4x7) 10 (4x9) 11 (5+7)-9 12 (4x11)
15 ONESCRUB 5 LTR 889,350.00 - - - - - - - -
16 430301330105 POLIWASH 5 LITER 668,272.00 - - - - - - - -
17 PD SCRU 5 LITER 766,700.00 - - - - - - - -
18 SCRUB 5 LITER 766,700.00 - - - - - - - -
19 460301330420 POLI AID ASL 5 LITER 794,816.00 - - - - - - - -
20 440301450183 SOFTAMAN 1000 ML 181,500.00 - - - - - - - -
21 430302370144 SOFNOLIME 1,067,000.00 1 1,067,000.00 - - - - 1 1,067,000.00
4,920 249,029,188.55 6,880 101,416,086.90 7,635 142,204,358.50 4,165 208,240,916.95

4,920 249,029,188.55 6,880 101,416,086.90 7,635 142,204,358.50 4,165 208,240,916.95
- - - - - - - -

Sungailiat, 29 April 2019
Diketahui Oleh : Dibuat Oleh :

Ka. IBS Ka. Perawat Instalasi Bedah Sentral
dr. YULIANDI, Sp.B WENDRA ARYANTO
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RUMAH SAKIT

LAPORAN BULANAN MUTASI OBAT-OBATAN DAN SARANA PELENGKAP

GUDANG ~ ( GUDANG ) 1 / 235 ZAR

39 110850130030 CEFOTAXIME INJ. 7,357.35 - - - - - - - -

GUDANG ~ ( GUDANG ) 2 / 235 ZAR

88 110830350028 LEVOFLOXACIN 500 MG 721.05 320 230,736.00 - - 320 230,736.00 - -

GUDANG ~ ( GUDANG ) 3 / 235 ZAR

33 210210720260 AMLODIPINE 10 MG 95.00 13,150 1,249,250.00 - - - - 13,150 1,249,250.00

GUDANG ~ ( GUDANG ) 4 / 235 ZAR

81 210210760243 BISOPROLOL TAB. 5 MG 968.00 - - - - - - - -

GUDANG ~ ( GUDANG ) 5 / 235 ZAR

GUDANG ~ ( GUDANG ) 6 / 235 ZAR

179 FLUCONAZOLE CAPS. 150 MG 15,400.23 140 2,156,032.20 - - - - 140 2,156,032.20

GUDANG ~ ( GUDANG ) 7 / 235 ZAR

228 210210490237 IRBESARTAN 150 MG 1,668.98 - - - - - - - -

GUDANG ~ ( GUDANG ) 8 / 235 ZAR

277 210510310058 MELOXICAM TAB 7.5 MG 726.49 - - - - - - - -

GUDANG ~ ( GUDANG ) 9 / 235 ZAR

325 210230060001 NOREPINEPHRINE INJ. BTR. 4 m 25,839.00 - - - - - - - -

GUDANG ~ ( GUDANG ) 10 / 235 ZAR

GUDANG ~ ( GUDANG ) 11 / 235 ZAR

423 210310760248 SALBUTAMOL TABL 2 MG 79.82 - - - - - - - -

GUDANG ~ ( GUDANG ) 12 / 235 ZAR

3 120840620028 AMOXAN CAPS 500 MG 2,642.70 100 264,270.00 - - 100 264,270.00 - -

GUDANG ~ ( GUDANG ) 13 / 235 ZAR

52 120840550053 CLAMIXIN FT SYR 70,180.00 18 1,263,240.00 34 2,386,120.00 28 1,965,040.00 24 1,684,320.00

GUDANG ~ ( GUDANG ) 14 / 235 ZAR

101 120850360064 LANFIX SYR. 88,000.00 - - 36 3,168,000.00 12 1,056,000.00 24 2,112,000.00

GUDANG ~ ( GUDANG ) 15 / 235 ZAR

150 120850210080 SHAROX 500 MG 22,000.00 - - - - - - - -

GUDANG ~ ( GUDANG ) 16 / 235 ZAR

199 120820060017 ZISTIC TABLET 500 MG 34,485.00 - - - - - - - -

GUDANG ~ ( GUDANG ) 17 / 235 ZAR

42 220440020041 ALPENTIN 300 MG 6,930.00 - - - - - - - -

GUDANG ~ ( GUDANG ) 18 / 235 ZAR

91 220260580024 ASCARDIA TAB 80 MG 888.25 - - - - - - - -

GUDANG ~ ( GUDANG ) 19 / 235 ZAR

140 B FLUID 500 ML 206,250.00 2 412,500.00 - - 2 412,500.00 - -

GUDANG ~ ( GUDANG ) 20 / 235 ZAR

189 220210560087 CADUET 10/10 MG 16,042.03 - - - - - - - -

GUDANG ~ ( GUDANG ) 21 / 235 ZAR

238 221150090040 CENDO AUGENTONIC 5 ML 27,361.13 - - - - - - - -

GUDANG ~ ( GUDANG ) 22 / 235 ZAR

287 228130320002 CLINIUM GEL 10 MG 29,700.00 - - - - - - - -

GUDANG ~ ( GUDANG ) 23 / 235 ZAR

336 220250190022 CROME INJ 50 MG 19,800.00 - - - - - - - -

GUDANG ~ ( GUDANG ) 24 / 235 ZAR

GUDANG ~ ( GUDANG ) 25 / 235 ZAR

434 220170070003 DULCOLAX SUPP 5 MG 15,940.93 - - - - - - - -

GUDANG ~ ( GUDANG ) 26 / 235 ZAR

GUDANG ~ ( GUDANG ) 27 / 235 ZAR

531 220210210062 FARMADRAL TAB. 10 MG 198.00 - - - - - - - -

GUDANG ~ ( GUDANG ) 28 / 235 ZAR

580 220321790074 FLUCADEX SYR 8,800.00 - - - - - - - -

GUDANG ~ ( GUDANG ) 29 / 235 ZAR

629 GASTRIDIN TABLET 4,730.00 100 473,000.00 - - - - 100 473,000.00

GUDANG ~ ( GUDANG ) 30 / 235 ZAR

678 220410260431 GRAFIX TAB. 1,440.45 - - - - - - - -

GUDANG ~ ( GUDANG ) 31 / 235 ZAR

GUDANG ~ ( GUDANG ) 32 / 235 ZAR

775 221250320049 INTERKRILL CAPS 8,415.00 - - - - - - - -

GUDANG ~ ( GUDANG ) 33 / 235 ZAR

824 220411970421 KAMADOL INJ 4,533.28 - - - - - - - -