Stok Gudang Obat Per 31 Desember 2018

REKAPITULASI OBAT DAN BHP PADA GUDANG INSTALASI FARMASI
UPT. RSUD MOKOYURLI KABUPATEN BUOL

TRIWULAN I, II, III DAN IV TAHUN 2018
NO BULAN STOCK AWAL PENERIMAAN MUTASI SISA STOCK

1 Januari 1,693,150,502 519,178,930 490,298,709 1,722,030,723
2 Februari 1,722,030,723 414,673,736 607,736,700 1,528,967,759
3 Maret 1,528,967,759 660,704,392 470,300,339 1,719,371,812
4 April 1,719,371,812 879,253,150 819,895,867 1,778,729,094
5 Mei 1,778,729,094 514,096,380 556,685,309 1,736,140,164
6 Juni 1,736,140,164 480,107,748 511,530,717 1,704,717,195
7 Juli 1,704,717,195 706,565,168 816,219,605 1,595,062,757
8 Agustus 1,595,062,757 715,887,724 473,978,602 1,836,971,880
9 September 1,836,971,880 1,071,059,368 1,255,325,784 1,652,705,464
10 Oktober 1,652,705,464 708,670,494 660,281,214 1,701,094,744
11 Nopember 1,701,094,744 980,248,948 620,761,244 2,060,582,447
12 Desember 2,060,582,447 807,340,103 781,263,776 2,086,658,774
TOTAL 2,060,582,447 8,457,786,139 8,064,277,866 2,086,658,774
BUOL, 19 FEBRUARI 2019
KEPALA INSTALASI FARMASI PENANGGUNGJAWAB

RSUD MOKOYURLI KABUPATEN BUOL GUDANG INSTALASI FARMASI
SRI ARIYANTI, S.Si., Apt ROSITA JAFAR, S.Farm

NIP. 19820918 200804 2 002 NIP. 19820818 201001 2 012
PENGURUS/PENYIMPAN BARANG
RSUD MOKOYURLI KABUPATEN BUOL
NURSYAMSI
NIP : 19810727 201001 1 012
DAFTAR OBAT DAN BHP PADA GUDANG INSTALASI FARMASI
BULAN JANUARI TAHUN 2018
Harga Satuan
No Nama Sediaan Satuan Batch Kedaluwarsa Jml Nilai Stock Awal Masuk Nilai Masuk Mutasi
Terkecil
OBAT TAHUN 2013
1 Amythriptillin 25 mg Tab Tablet 118.00 2,800 330,400 - -
BAHAN HABIS PAKAI 2013 - - - - -
1 Kertas EKG Roll 50,820.00 10 508,200 - -
2 Kertas EKG Roll 50,000.00 10 500,000 - -
3 Softnolime Galon 550,000.00 1 550,000 - -
OBAT PENGADAAN 2014 - - - - -
1 Flutamol Tablet 149,500.00 169 25,265,500 - -
2 Ibuprofen Tab 200 mg Tablet 120.64 14,000 1,688,960 - -
3 VITAMIN B6 Tab/Kap @1 Tablet Tablet 181.91 23,000 4,183,930 - -
1 SLIM SECHER Pcs 18,750.00 3 56,250 - -
OBAT BLUD 2015 - - - - -
1 Burnazin Cream (KF) Tube 46,585.00 4 186,340 - -
2 Catapres Injeksi (KF) Ampul 48,145.90 96 4,622,006 - -
3 Ethambutol Tablet 500 mg (KF) Tablet 478.01 1,200 573,606 - -
4 Gliseril Guaiacolat Tablet (RNI) Tablet 32.78 4,000 131,120 - -
5 Novadiar Syrup (RNI) Botol 3,789.40 28 106,103 - -
6 Otsu Tran 40% (RNI) Botol 97,900.00 117 11,454,300 - -
7 Phytomenadion Tablet (RNI) Tablet 748.69 500 374,347 - -
8 Rivanol (RNI) Botol 4,125.00 26 107,250 - -
9 Vitamin B1 Tablet (RNI) Tablet 41.58 8,000 332,640 - 3,000
BAHAN HABIS PAKAI BLUD - - - - -
1 Foley Catheter FR 20 (RNI) Pcs 24,200.00 26 629,200 - -
2 Foley Catheter FR 24 (RNI) Pcs 22,000.00 10 220,000 10 220,000.00 -
3 Silk Black With Needle USP 4/0 HR 26 (RNI) Kotak 508,200.00 4 2,032,800 - -
OBAT BLUD 2016 - - - - -
1 Albuforce Tablet (UN) Tablet 5,390.00 1,200 6,468,000 - 100
2 Amoxicillin Tablet (DNR) Tablet 770.00 13,700 10,549,000 - 1,300
3 Azytromicin Syrup (TSJ) Botol 71,500.00 44 3,146,000 - -
4 Azitum Syrup Botol 88,000.00 50 4,400,000 - -
5 Betahistin Mesilat Tablet 6 mg (AAM) Tablet 914.10 7,500 6,855,750 - 500
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6 Calsium Lactat (KF) Tablet 94.40 1,800 169,924 - -
7 Cilostazol Tablet (DNR) Tablet 10,450.00 800 8,360,000 - -
8 Citicolin Tablet 500 mg (DNR) Tablet 7,333.33 1,500 11,000,000 - -
9 Desoximethasone Cream 0,25 mg (AAM) Tube 14,641.00 10 146,410 - -
10 Doxycycline Kapsul 100 mg (KF) Kapsul 253.00 200 50,600 - -
11 Dulcolax Suppo (KF) Suppo 14,137.20 50 706,860 - -
12 Epinefrin Injeksi (RNI) Ampul 8,910.00 450 4,009,500 - -
13 Falergi (PV) Botol 66,550.00 5 332,750 - -
14 Flunarizine Tablet (DNR) Tablet 2,200.00 400 880,000 - -
15 Halloperidol Tablet 0,5 mg (IGM) Tablet 92.40 900 83,160 - -
16 Hidrochlortiazide (KF) Tablet 171.00 600 102,597 - -
17 Interhistin Tablet (MBS) Tablet 726.00 1,400 1,016,400 - -
18 Ketokonaole Cream 2% (KF) Tube 4,675.00 150 701,250 - 25
19 Levofloxacin Infus (DNR) Botol 110,000.00 44 4,840,000 - -
20 Meylon (KF) Vial 7,440.40 68 505,947 - -
21 Miotonic Injeksi (PV) Ampul 9,075.00 730 6,624,750 - 100
22 Nifedipin Tablet (AAM) Tablet 122.99 900 110,692 - -
23 Nistatin Drops (DNR) Botol 24,200.00 150 3,630,000 - 20
24 Pamol Suppo (ENS) Suppo 9,927.50 24 238,260 - 24
25 Pelastin Injeksi (BSP) Vial 333,740.00 5 1,668,700 - -
26 Propranolol Tablet (AAM) Tablet 84.70 900 76,230 - 500
27 Pyrazinamide 500 mg Tablet (KF) Tablet 234.30 1,200 281,160 - 500
28 Rethapril Tablet (KF) Tablet 2,142.80 400 857,120 - -
29 Trolip Kapsul (AAM) Kapsul 9,680.00 150 1,452,000 - -
BAHAN HABIS PAKAI BLUD 2016 - - - - -
1 Catgut Cromic With Needle USP 3/0 DS 30 (RNI) Kotak 759,000.00 1 759,000 - -
2 Feeding Tube 10 (BDM) Pcs 4,259.20 24 102,221 - 5
3 Feeding Tube 12 (BDM) Pcs 4,259.20 30 127,776 - -
5 Foley Catheter FR 10 (BDM) Pcs 55,000.00 10 550,000 - -
7 H2O2 (BDM) Botol 77,000.00 5 385,000 - 2
8 Jarum Kulit No. 06 (BDM) Lusin 38,500.00 6 231,000 - -
9 Jarum Kulit No. 07 (BDM) Lusin 38,500.00 4 154,000 - 1
10 Kertas EKG 110 (BDM) Roll 110,000.00 4 440,000 - 2
11 Leukoplast (RNI) Roll 45,116.50 46 2,075,359 - 3
12 Mata Pisau No. 23 (BDM) Pcs 3,300.00 100 330,000 - -
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OBAT BLUD 2017 - - - - -
1 Acyclovir Cream (KF) Tube 3,619.00 50 180,950 - -
2 Acyclovir Cream (RNI) Tube 3,461.00 25 86,525 - 25
3 Acyclovir Tablet 400 mg (DNR) Tablet 870.00 2,200 1,914,002 - -
4 Acyclovir Tablet 400 mg (ENS) Tablet 544.17 700 380,921 - -
5 Albuminar (AAM) Botol 1,500,000.00 7 10,500,000 - -
6 Alprazolam Tablet 0,5 mg (KF) Tablet 585.00 1,800 1,053,004 - 1,500
7 Ambroxol Syrup (IGM) Botol 3,536.03 100 353,603 - 100
8 Ambroxol Tablet (SST) Tablet 169.40 2,400 406,560 - 2,400
9 Aminofluid (KF) Bag 64,989.10 10 649,891 - -
10 Aminofillin Tablet (SST) Tablet 141.68 1,000 141,680 - -
11 Amoxicillin Syrup (ENS) Botol 4,840.00 58 280,720 - 45
12 Ampicillin Injeksi (DNR) Vial 8,800.00 1,250 11,000,000 - -
13 Antasida Syrup (KF) Botol 5,967.50 250 1,491,875 - 200
14 Antasida Tablet (RNI) Tablet 157.34 5,200 818,189 - 800
15 Anti Hemoroid Suppo Suppo 3,300.00 270 891,000 - -
16 Antrain Injeksi (ENS) Ampul 9,927.50 300 2,978,250 - -
17 Aqua Pro Injeksi (KF) Vial 2,750.00 2,760 7,590,000 - 480
18 Arfen (Ibuprofen 400 mg) Tablet (SST) Tablet 372.68 3,500 1,304,380 - 800
19 Arkine Tablet (SST) Tablet 638.00 500 319,000 - -
20 Asam Folat Tablet (RNI) Tablet 52.00 1,000 52,000 - 500
21 Asam Mefenamat Tablet (ENS) Tablet 148.61 10,000 1,486,100 - -
22 Asam Mefenamat Tablet (PPG) Tablet 297.00 9,500 2,821,500 - 8,100
23 Asam Traneksamat Injeksi (PPG) Ampul 7,700.00 1,120 8,624,000 - 800
24 Asam Traneksamat Tablet (DNR) Tablet 1,540.00 2,500 3,850,000 - 1,000
25 Asam Valproat (AAM) Botol 26,987.00 2 53,974 - 2
26 Asering Infus (KF) Botol 9,274.10 192 1,780,627 - 192
27 Astonox Tablet (UN) Tablet 9,166.67 90 825,000 - -
28 Atropin Sulfat Injeksi (UN) Ampul 2,000.00 100 200,000 - 100
29 Bamgetol Tablet (IGM) Tablet 1,980.00 2,100 4,158,000 - 100
30 Betamethason Cream (KF) Tube 1,975.53 25 49,388 - 25
31 Bionemi Kapsul (PV) Kapsul 1,567.50 1,400 2,194,500 - 300
32 Bioplacenton Cream (ENS) Tube 15,950.00 60 957,000 - 10
33 Biosat Injeksi (RNI) Ampul 165,000.00 20 3,300,000 - -
34 Bisolvon Injeksi (KF) Ampul 58,234.00 100 5,823,400 - -
35 Bisoprolol Tablet 5 mg (AAM) Tablet 1,166.59 50 58,330 - 50
36 Bisoprolol Tablet 5 mg (RNI) Tablet 1,210.00 2,890 3,496,900 - 250
37 Bunascan Injeksi (PV) Ampul 63,800.00 265 16,907,000 - 50
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Terkecil
38 Buscopan Tablet (KF) Tablet 2,865.50 500 1,432,750 - 500
39 Candesartan Tablet (DNR) Tablet 5,500.00 1,080 5,940,000 - 600
40 Captopril Tablet 12,5 mg (RNI) Tablet 97.41 2,000 194,810 - -
41 Captopril Tablet 25 mg (KF) Tablet 120.53 3,900 470,082 - 2,900
42 Carbazocrome Injeksi (PV) Ampul 13,112.00 100 1,311,200 - 60
43 Cartylo Tablet (KF) Tablet 616.00 2,600 1,601,600 - -
44 Cefadroxil Syrup /Lifadrox (SST) Botol 9,377.50 300 2,813,250 - -
45 Cefixim Kapsul 200 mg (PPG) Kapsul 4,950.00 3,900 19,305,000 - -
46 Cefixim Syrup (DNR) Botol 36,300.00 200 7,260,000 - 100
47 Cefixime Kapsul (RNI) Kapsul 2,634.06 2,800 7,375,368 - 1,600
48 Cefobactam Injeksi (BSP) Vial 104,492.26 50 5,224,613 - -
49 Cefoperazon Sulbactam Injeksi (TSJ) Vial 144,100.00 493 71,041,300 - -
50 Cefoperazone Sulbactam Injeksi (DNR) Vial 143,000.00 3 429,000 - -
51 Cefoperazone Sulbactam Injeksi (ENS) Vial 88,000.00 300 26,400,000 - -
52 Cefotaxim Injeksi (MTA) Vial 44,000.00 600 26,400,000 0 - 500
53 Ceftriaxon Injeksi (DNR) Vial 15,400.00 300 4,620,000 - 300
54 Cefuroxim Injeksi (MRP) Vial 44,000.00 140 6,160,000 - 70
55 Cetirizine Tablet (RNI) Tablet 313.50 690 216,315 - 690
56 Chlorpheniramin Maleat Tablet/ Orphen (SST) Tablet 162.14 2,200 356,708 - -
57 Chlorpromazin Tablet 100 mg (KF) Tablet 229.82 800 183,858 - 300
58 Ciprofloxacin Infus (TSJ) Botol 77,000.00 100 7,700,000 - -
59 Ciprofloxacin Tablet (TSJ) Tablet 770.00 3,700 2,849,000 - 1,000
60 Clindamycin Kapsul 150 mg (IGM) Kapsul 702.24 1,800 1,264,032 - -
61 Clindamycin Kapsul 150 mg (PV) Kapsul 796.40 450 358,380 - -
62 Clindamycin Kapsul 300 mg Kapsul 1799.996 800 1,439,997 - -
63 Clindamycin Kapsul 300 mg (PPG) Kapsul 2,000.00 3,000 5,999,994 - -
64 Clopidogrel Trombikaf Tablet (KF) Tablet 3,588.02 1,920 6,888,992 - 600
65 Combivent Inhalasi (KF) Ampul 4,994.99 100 499,499 - -
66 Cotrimoxazol Syrup (RNI) Botol 5,954.30 124 738,333 - -
67 Cotrimoxazol Tablet (KF) Tablet 190.58 600 114,345 - 300
68 Dexamethason Injeksi (PPG) Ampul 2,402.40 3,000 7,207,200 - -
69 Dexamethason Injeksi (RNI) Ampul 2,416.15 800 1,932,920 - 400
70 Dexamethason Tablet (DNR) Tablet 154.00 2,000 308,000 - 500
71 Diphenhidramin Injeksi (RNI) Ampul 1,864.61 90 167,815 - 60
72 Dobutamin Injeksi (RNI) Ampul 73,987.90 25 1,849,698 - -
73 Domperidon Syrup (ENS) Botol 10,120.00 150 1,518,000 - 50
74 Domperidon Tablet (ENS) Tablet 139.48 500 69,740 - 500
75 Dulcolax Tablet (KF) Tablet 1,214.95 200 242,990 - -
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76 Endrolin Injeksi (ESV) Ampul 1,309,000.00 2 2,618,000 - -
77 Eperison Tablet (DNR) Tablet 1,560.90 600 936,540 - -
78 Erlamycetin Ear Drop (PV) Botol 6,435.00 5 32,175 - -
79 Erysanbe Tablet 200 mg (BSP) Tablet 2,706.00 1,500 4,059,000 - 100
80 Esomax Injeksi (MBS) Vial 96,525.00 300 28,957,500 - -
81 Estazor Tablet (PV) Kapsul 8,800.00 270 2,376,000 - 270
82 Farbion Injeksi (UN) Ampul 5,170.00 1,695 8,763,150 - 805
83 Farbivent Injeksi (PV) Ampul 9,350.00 1,870 17,484,500 - 570
84 Farelax Injeksi (PV) Ampul 77,000.00 10 770,000 - -
85 Farelax Injeksi (UN) Ampul 77,000.00 100 7,700,000 - -
86 Fargoxin Injeksi (PV) Ampul 38,500.00 30 1,155,000 - -
87 Farmabes Injeksi (PV) Vial 121,000.00 6 726,000 - -
88 Flamicort IAD (AAM) Vial 73,000.00 20 1,460,000 - -
89 Fucilex Cream (MBS) Tube 10,285.00 50 514,250 - -
90 Furosemid Injeksi (AAM) Ampul 3,894.00 2,000 7,788,000 - -
91 Furosemid Injeksi (RNI) Ampul 2,058.01 600 1,234,807 - -
92 Furosemid Tablet (RNI) Tablet 191.83 2,100 402,841 - 500
93 Gabapentin Kapsul 300 mg (RNI) Kapsul 6,050.00 300 1,815,000 - 300
94 Gastrul Tablet (PV) Tablet 11,000.00 750 8,250,000 - 90
95 Gelafusal (AAM) Bag 80,000.00 130 10,400,000 - 20
96 Genoint Eye (PV) Botol 9,152.00 9 82,368 - -
97 Gentamicin Cream (PV) Tube 40,012.50 100 4,001,250 - -
98 Gentamicin Injeksi (IGM) Ampul 3,896.00 2,800 10,908,799 - 200
99 Gentamicin Salep Kulit (KF) Tube 2,019.99 30 60,600 - 30
100 Glimepiride Tablet 2 mg (KF) Tablet 297.00 1,100 326,700 - 300
101 Glucosamin Tablet (DNR) Tablet 1,842.50 600 1,105,500 - -
102 Glukosa 5 % (KF) Botol 6,900.30 6,340 43,747,902 - -
103 Halloperidol Tablet 0,5 mg (IGM) Tablet 92.68 2,000 185,350 - -
104 Halotane Inhalasi (AAM) Botol 705,500.00 4 2,822,000 - -
105 Hidrocortison Cream (KF) Tube 3,206.50 48 153,912 - -
106 Hidrocortison Cream (RNI) Tube 5,720.00 24 137,280 - -
107 Human Albumin (KF) Botol 849,999.80 8 6,799,998 - -
108 Hydromal (BSP) Bag 49,505.96 72 3,564,429 - -
109 Isoniazid Tablet 100 mg (KF) Tablet 142.56 3,800 541,728 - 500
110 KAEN 3B (KF) Botol 10,249.80 40 409,992 0 - 40
111 Kamadol Injeksi (KF) Ampul 4,533.28 432 1,958,378 - -
112 Ketamin Hameln 50 mg (APL) Vial 71,600.10 15 1,074,002 - -
113 Ketorolac Injeksi 30 mg (PPG) Ampul 16,038.00 142 2,277,396 - -
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114 Ketorolac Injeksi 30 mg (RNI) Ampul 14,701.50 100 1,470,150 - -
115 Ketorolac Injeksi 30 mg (TSJ) Ampul 16,500.00 2,700 44,550,000 - 1,400
116 Ketosic Injeksi 30 mg (PV) Ampul 10,002.30 240 2,400,552 - -
117 Lansoprazol Kapsul (DNR) Kapsul 1,621.60 740 1,199,983 - 740
118 Levemir Flex Pen (RNI) Pen 222,465.98 100 22,246,598 - 50
119 Levofloxacin Tablet (KF) Tablet 530.99 2,700 1,433,678 - -
120 Lidocain Injeksi (DNR) Ampul 1,650.00 8,300 13,695,000 - 400
121 Lipomed (BSP) Bag 169,120.33 28 4,735,369 - -
122 Loratadin Tablet (DNR) Tablet 400.00 2,000 800,008 - -
123 Loratadin Tablet (IGM) Tablet 307.79 1,500 461,691 - -
124 Manitol (KF) Botol 92,400.00 200 18,480,000 - -
125 Meloxicam Tablet 15 mg (DNR) Tablet 1,438.80 100 143,880 - 100
126 Meloxicam Tablet 7,5 mg (DNR) Tablet 830.28 1,300 1,079,364 - 500
127 Meloxicam Tablet 7,5 mg (ENS) Tablet 418.00 3,000 1,254,000 - -
128 Merophenem Injeksi 0,5 g (MRP) Vial 55,000.00 200 11,000,000 - 60
129 Merophenem Injeksi 0,5 g (MTA) Vial 132,000.00 40 5,280,000 - 40
130 Metformin Tablet (PPG) Tablet 275.00 2,100 577,500 - 1,000
131 Methylprednisolon Injeksi (PPG) Vial 51,700.00 210 10,857,000 - 110
132 Methylprednisolon Injeksi (RNI) Vial 39,022.50 174 6,789,915 - 174
133 Metronidazol Infus (TSJ) Botol 55,000.00 200 11,000,000 - 200
134 Metronidazol Tablet (DNR) Tablet 264.00 2,100 554,400 - 500
135 Miconazol Cream (KF) Tube 3,575.00 48 171,600 - 24
136 Minkosa 5 mg Glibenclamid (SST) Tablet 133.10 1,500 199,650 - 500
137 Miotonic Injeksi (RNI) Ampul 8,250.00 2,000 16,500,000 - 100
138 Miotonic Tablet (PV) Tablet 2,915.00 1,700 4,955,500 - 600
139 Morfin Injeksi (KF) Ampul 10,499.39 10 104,994 - 10
140 N Ace Kapsul (PV) Kapsul 2,200.00 150 330,000 - 150
141 Natrium Diklofenak Tablet 25 mg (KF) Tablet 281.69 2,600 732,389 - 1,800
142 Natrium Diklofenak Tablet 50 mg Tablet 261.22 800 208,974 - 300
143 Natrium Klorida Infus (KF) Botol 6,409.70 8,800 56,405,360 - 2,900
144 Natrium Phenitoin Injeksi (PV) Ampul 13,398.00 55 736,890 - -
145 Nerva Plus Tablet Tablet 2,200.00 1,000 2,200,000 - -
146 Neurosanbe Tablet (BSP) Tablet 1,127.50 4,000 4,510,000 - 100
147 Neurovit E Tablet (KF) Tablet 1,166.92 2,700 3,150,675 - 1,860
148 Nicardipin Injeksi (PPG) Ampul 143,000.00 250 35,750,000 - -
149 Nicarfion Injeksi (UN) Ampul 132,000.00 250 33,000,000 - -
150 Nocoba Injeksi (PV) Ampul 92,400.00 20 1,848,000 - -
151 Norephinefrin Injeksi (TSJ) Ampul 66,000.00 150 9,900,000 - 30
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152 Norephinefrin Levosol Injeksi (KF) Ampul 56,595.00 20 1,131,900 - -
153 Norfion Injeksi (UN) Ampul 70,400.00 150 10,560,000 - -
154 Novorapid Flex Pen (RNI) Pen 197,749.64 90 17,797,468 - 65
155 Oksitosin Injeksi (APL) Ampul 2,062.50 600 1,237,500 - 400
156 Ondansentron Tablet (MTK) Tablet 2,016.67 300 605,000 - -
157 Pantoprazol Injeksi (RNI) Vial 60,500.00 112 6,776,000 - 112
158 Paracetamol Syrup (KF) Botol 5,065.50 760 3,849,780 - 96
159 Paracetamol Tablet (RNI) Tablet 115.50 4,000 462,000 - 3,600
160 Pehacain Injeksi (RNI) Ampul 3,113.06 120 373,567 - 60
161 Petidin Injeksi (KF) Ampul 13,191.42 70 923,399 - 20
162 Phentanyl Injeksi (KF) Ampul 40,000.40 260 10,400,104 - 90
163 Piracetam Kapsul 800 mg (RNI) Kapsul 883.30 2,100 1,854,930 - 300
164 Pomifar Kapsul (PV) Kapsul 4,950.00 90 445,500 - 30
165 Pomifar Kapsul (UN) Kapsul 4,950.00 90 445,500 - -
166 Prednison Tablet (SST) Tablet 157.30 1,700 267,410 - 500
167 Pro Infark Injeksi (RNI) Ampul 13,200.00 120 1,584,000 - -
168 Pro K Injeksi (SST) Ampul 10,890.00 200 2,178,000 - -
169 Prohem Injeksi (PV) Ampul 11,000.00 350 3,850,000 - 200
170 Proliva Tablet (PV) Tablet 7,315.00 260 1,901,900 - -
171 Propepsa Suspensi (PV) Botol 44,000.00 144 6,336,000 - 48
172 Propylthiouracil Tablet (AAM) Tablet 474.80 1,500 712,206 - 500
173 Prosional Suspensi (PV) Botol 14,850.00 122 1,811,700 - 22
174 Pumpisel Injeksi (BSP) Vial 71,497.60 150 10,724,640 - 45
175 Ranifin Injeksi (UN) Ampul 9,680.00 250 2,420,000 - -
176 Ranitidin Injeksi (PPG) Ampul 7,040.00 4,200 29,568,000 - 2,400
177 Ranitidin Tablet (RNi) Tablet 220.00 7,000 1,540,000 - 4,600
178 Rebamax Tablet (PV) Tablet 3,300.00 60 198,000 - -
179 Reco Tetes Mata (SST) Botol 7,370.00 50 368,500 - 50
180 Recofol Injeksi (RNI) Ampul 99,000.00 40 3,960,000 - 25
181 Recolfar Tablet (PV) Tablet 4,730.00 420 1,986,600 - 90
182 Renax Kapsul (ENS) Kapsul 7,210.50 50 360,525 - 50
183 Reprostom Kapsul (PV) Kapsul 8,800.00 360 3,168,000 - -
184 Reprostom Kapsul (UN) Tablet 8,800.00 150 1,320,000 - 90
185 Rhodium Tablet (UN) Tablet 6,050.00 180 1,089,000 - -
186 Rifampisin Tablet 450 mg (DNR) Tablet 1,870.00 1,000 1,870,000 - 300
187 Ringer Lactat (DNR) Botol 7,095.00 5,450 38,667,750 - -
188 Ringer Lactat (KF) Botol 370812 7,150.00 10,000 71,500,000 - 1,500
189 Rocum Injeksi (AAM) Ampul 99,000.00 20 1,980,000 - -
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190 Ronazol Infus (PV) Botol 66,000.00 200 13,200,000 - 40
191 Salbutamol Tablet 2 mg (KF) Tablet 81.99 6,400 524,762 - 1,000
192 Santagesik Injksi (BSP) Ampul 9,471.00 610 5,777,310 - 270
193 Scandones Injeksi (Gigi) Ampul 9,900.00 150 1,485,000 - -
194 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 20,570.00 70 1,439,900 - 30
195 SIM-DHA (PV) Botol 48,400.00 6 290,400 - -
196 Simvastatin Tablet 10 mg (ENS) Tablet 297.00 2,200 653,400 - 500
197 Simvastatin Tablet 20 mg (KF) Tablet 250.01 2,500 625,020 - 1,350
198 Sojourn (PV) Botol 2,860,000.00 1 2,860,000 - -
199 Solpenox (Amoxicillin) Syrup (SST) Botol 4,000.55 300 1,200,166 - -
200 Spironolacton Tab 25 mg (RNI) Tablet 407.00 2,000 814,000 - -
201 Stesolid Injeksi (AAM) Ampul 4,400.62 45 198,028 - -
202 Stesolid Rectal (AAM) Tube 13,384.25 70 936,897 - -
203 Tasigna (AAM) Kapsul 93,548.25 84 7,858,053 - -
204 Terrell (PV) Botol 1,683,000.00 1 1,683,000 - -
205 Tramadol Kapsul 50 mg (KF) Kapsul 435.47 2,400 1,045,123 - 200
206 Tranec Injeksi (PV) Ampul 14,520.00 300 4,356,000 - -
207 Tyarit Injeksi (PV) Ampul 27,500.00 75 2,062,500 - -
208 Tyarit Injeksi (UN) Ampul 27,500.00 50 1,375,000 - -
209 Umarone Injeksi (PV) Ampul 192,500.00 17 3,272,500 - -
210 Vitamin B Comp Tablet (RNI) Tablet 80.00 2,200 176,000 - -
211 Vitamin C Tablet 100 mg (KF) Tablet 121.44 6,600 801,504 - 1,100
212 Zink Dispersible Tablet (KF) Tablet 585.99 2,900 1,699,377 - -
BAHAN HABIS PAKAI BLUD 2017 - - - -
1 Bone Wax (BDM) Pcs 116,600.00 2 233,200 - -
2 Catgut Cromic 1 HR 37 (RNI) Kotak 777,480.00 5 3,887,400 - -
4 Catgut Crmoic 2/0 (RNI) Roll 1,650,000.00 1 1,650,000 - -
5 Catgut Cromic 2 HR 40 (RNI) Kotak 827,640.00 4 3,310,560 - 1
6 Catgut Cromic 2 HR 45 (DNR) Kotak 827,640.00 2 1,655,280 - -
7 Catgut Cromic 2/0 HR 26 (RNI) Kotak 825,000.00 2 1,650,000 - -
8 Catgut Cromic 3/0 (RNI) Roll 2,614,700.00 2 5,229,400 - -
10 Catgut Cromic USP 1 HR 37 (RNI) Kotak 777,480.00 2 1,554,960 - -
11 Cuticell (BDM) Pcs 13,200.00 100 1,320,000 - -
12 Defeloper (BDM) Set 1,282,600.00 3 3,847,800 - 1
13 Disposable Syringe With Needle 1 cc New Skifa (RNI) Pcs 1,188.00 1,900 2,257,200 - 700
14 Disposable Syringe With Needle 1 cc TP (BDM) Pcs 843.70 2,000 1,687,400 - -
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15 Disposable Syringe With Needle 10 cc Nipor (KF) Pcs 1,654.40 500 827,200 - 500
16 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1,161.05 1,400 1,625,470 - 1,000
17 Disposable Syringe With Needle 20 cc Stera (ISHS) Pcs 1,725.00 100 172,500 - -
18 Disposable Syringe With Needle 3 cc TP (BDM) Pcs 851.40 4,300 3,661,020 - 4,300
19 Disposable Syringe With Needle 5 cc TP (BDM) Pcs 1,013.10 2,900 2,937,990 - 2,800
20 Disposable Syringe With Needle 50 cc TP (BDM) Pcs 4,812.50 175 842,188 - 5
21 Elektroda Patien Monitor (BDM) Pak 275,000.00 21 5,775,000 - 7
22 Endotracheal Tube FR 3 (BDM) Pcs 82,500.00 30 2,475,000 - -
23 Endotracheal Tube FR 3,5 (BDM) Pcs 82,500.00 20 1,650,000 - -
24 Endotracheal Tube FR 6,5 (BDM) Pcs 82,500.00 10 825,000 - -
25 Extention Tube (BDM) Pcs 99,000.00 50 4,950,000 - 25
26 Feeding Tube FR 18 (BDM) Pcs 4,259.20 124 528,141 - 20
27 Feeding Tube FR 3,5 (BDM) Pcs 38,500.00 250 9,625,000 - -
28 Feeding Tube FR 5 (BDM) Pcs 4,082.10 50 204,105 - -
32 Film 24x30 (BDM) Kotak 2,585,000.00 2 5,170,000 - -
33 Film 30x40 (BDM) Kotak 4,109,600.00 2 8,219,200 - -
34 Fixer (BDM) Set 790,900.00 3 2,372,700 - 1
35 Foley Catheter 08 (RNI) Pcs 69,300.00 50 3,465,000 - -
36 Foley Catheter 16 (BDM) Pcs 14,994.10 7 104,959 - 7
37 Foley Catheter 16 (BDM) Pcs 24,200.00 100 2,420,000 - -
38 Foley Catheter 16 (KF) Pcs 13,750.00 30 412,500 - 30
39 Foley Catheter 18 (BDM) Pcs 15,749.80 70 1,102,486 - 40
40 Foley Catheter 18 (BDM) Pcs 24,200.00 100 2,420,000 - -
42 Glucocard (AAM) Botol 279,950.00 5 1,399,750 - 5
43 Gypsona 6 Inch (BDM) Roll 66,715.00 6 400,290 - 6
44 Handrub (ISHS) ml 57.20 23,000 1,315,600 - 3,500
45 Handrub (RNI) ml 159.60 5,000 797,999 - 5,000
46 Handrub (RNI) ml 150.21 25,000 3,755,290 - 10,500
47 Handscoon Gynegolog 7 (DA) Pasang 21,749.97 21 456,749 - 21
48 Handscoon NS (BDM) Pcs 529.20 19,600 10,372,300 - 9,400
49 Handscoon NS M (KF) Pcs 577.50 8,400 4,851,000 - 8,400
50 Handscoon ST 6,5 (DA) Pasang 5,874.99 40 235,000 - 40
51 Handscoon ST 6,5 (KF) Pasang 2886165 9,499.60 500 4,749,800 - 340
52 Handscoon ST 6,5 (RNI) Pasang 11,990.00 500 5,995,000 - 280
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53 Handscoon ST 7 (BDM) Pasang 8,855.00 215 1,903,825 - 15
55 Hydrex Surgical Scrub (RNI) ml 215.23 30,000 6,456,958 - -
56 Hypavix 15 x 5 (BDM) Roll 240,680.00 9 2,166,120 - 9
57 Infus Set Makro (RNI) Pcs 4,755.99 640 3,043,835 - 640
58 Infus Set Makro Aximed (KF) Pcs 5,999.40 1,000 5,999,400 - 350
59 Infus Set Mikro Nipro (KF) Pcs 6,374.50 450 2,868,525 - -
60 IV Catheter 16 G Abbocath (BDM) Pcs 16,000.00 100 1,600,000 - -
61 IV Catheter 18 G Abbocath (BDM) Pcs 16,000.00 200 3,200,000 - 200
62 IV Catheter 20 G Aximed (KF) Pcs 8,749.40 750 6,562,050 - 750
64 IV Catheter 22 G Nipro (KF) Pcs 8,947.40 300 2,684,220 - 100
65 IV Catheter 22 G Optiva (RNI) Pcs 24,200.00 100 2,420,000 - 100
67 IV Catheter 24 G Abbocath Pcs 500 - - -
68 IV Catheter 24 G Aximed (KF) Pcs 7,499.80 500 3,749,900 - -
70 Jarum Kulit 12 Lusin 38,500.00 1 38,500 - 1
73 Jarum Kulit 15 Lusin 38,500.00 1 38,500 - -
74 Jelly Ultrasound (BDM) ml 110.00 5,000 550,000 - 5,000
75 Jely (ISHS) Tube 33,981.83 26 883,528 - 10
76 Kapas (BDM) Roll 82,208.50 12 986,502 - 12
77 Kasa Hidrofil 40 x 80 (RNI) Roll 231,000.00 127 29,337,000 - 15
79 Kertas EKG 210 (BDM) Roll 192,500.00 30 5,775,000 - 5
80 Kertas USG (BDM) Roll 352,000.00 30 10,560,000 - 6
81 Kertas USG (ISHS) Roll 170,775.00 4 683,100 - 4
82 Masker Tie On (BDM) Pcs 567.01 4,000 2,268,024 - 2,950
83 Masker Tie On (KF) Pcs 599.98 2,500 1,499,960 - 2,500
84 Masker Tie On (SST) Pcs 473.00 1,100 520,300 - 1,100
85 Mata Pisau 20 (RNI) Pcs 1,375.00 500 687,500 - 110
86 Mata Pisau No 15 (BDM) Pcs 4,125.00 300 1,237,500 - -
87 Mata Pisau No 20 Pcs 4,125.00 149 614,625 - 149
88 Mucus Extractor (BDM) Pcs 30,250.00 10 302,500 - -
89 Novo Twist 32 G (AAM) Pcs 2,083.00 450 937,349 - 100
90 Nylon Daclon 3/0 DS 19 Kotak 825,000.00 3 2,475,000 - -
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91 Nylon Daclon 5/0 DS 16 Kotak 825,000.00 13 10,725,000 - -
92 Nylon Daclon USP 2/0 DS 19 (RNI) Kotak 825,000.00 1 825,000 - -
93 Nylon Daclon USP 6/0 DS 12 (RNI) Kotak 825,000.00 4 3,300,000 - -
94 Popypropylene 5/0 HR 13 (RNI) Kotak 1,210,440.00 4 4,841,760 - -
95 Popypropylene 6/0 HR 10 (RNI) Kotak 1,210,440.00 4 4,841,760 - -
96 Povidon Iodida (KF) Botol 59,766.51 79 4,721,554 - 21
97 Safil 1 HR 48 Pcs 99,550.00 180 17,919,000 - -
98 Safil Violet 2 HR 48 Pcs 93,979.60 144 13,533,062 - -
99 Selang O2 Anak (BDM) Pcs 30,250.00 7 211,750 - -
100 Selang O2 Anak (BDM) Pcs 15,120.60 37 559,462 - 15
101 Selang O2 Anak (BDM) Pcs 15,119.50 50 755,975 - -
102 Selang O2 Bayi (DA) Pcs 9,124.98 39 355,874 - -
103 Selang O2 Dewasa (BDM) Pcs 30,250.00 30 907,500 - 30
104 Silk Black With Needle USP 1 HR 37 (RNI) Kotak 660,000.00 12 7,920,000 - 1
105 Silk Black With Needle USP 2 HR 37 (RNI) Kotak 660,000.00 17 11,220,000 - -
106 Silk Black With Needle USP 2/0 HR 26 (RNI) Kotak 660,000.00 1 660,000 - -
109 Softband 6 Inch (BDM) Roll 43,450.00 36 1,564,200 - -
110 Spinocain 25 G (BDM) Pcs 48,400.00 200 9,680,000 - 50
111 Spinocain 26 G (BDM) Pcs 48,400.00 300 14,520,000 - -
113 Suction Catheter 06 (BDM) Pcs 4,032.60 39 157,271 - 8
115 Sungkup Nebulizer Anak (AAM) Pcs 28,299.98 13 367,900 - -
116 Sungkup O2 Bayi (BDM) Pcs 66,000.00 52 3,432,000 - 5
117 Sungkup O2 Dewasa (BDM) Pcs 66,000.00 50 3,300,000 - 25
118 Surgicryl 910 USP 1 HR 36 (RNI) Kotak 1,518,000.00 3 4,554,000 - 3
119 Surgicryl 910 USP 2/0 HR 26 (RNI) Kotak 1,148,400.00 4 4,593,600 - 4
120 Surgicryl Rapid 1 HR 48 (RNI) Kotak 1,544,400.00 2 3,088,800 - -
121 Surgicryl Rapid 2/0 HR 40 (RNI) Kotak 1,491,600.00 1 1,491,600 - -
122 Tensocrepe 6" (BDM) Roll 139,480.00 12 1,673,760 - 12
123 Three Way Stop Cock (BDM) Pcs 22,000.00 250 5,500,000 - 200
124 Transfusi Set (BDM) Pcs 16,380.10 50 819,005 - 50
125 Urgotul 10x10 (PPG) Pcs 25,850.00 100 2,585,000 - 20
126 Urine Bag (KF) Pcs 6,875.00 2 13,750 - 2
OBAT BLUD 2018 - - -
1 Allopurinol Tablet (AP DE) Tablet 24409703 3/1/2019 30.00 - 2,000 60,000.00 200
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2 Ambroxol Syrup 15 mg (IGM) Botol 1706041 6/1/2019 3,536.03 - 200 707,206.50 -
3 Ambroxol Syrup (RNI) Botol 06810004 10/31/2019 5,500.00 - 200 1,100,000.00 -
4 Ambroxol Tablet (SST) Tablet 73252 8/1/2020 135.30 - 3,000 405,900.00 2,200
5 Aminofluid (KF) Botol DB71E47A 9/2/2019 64,989.10 - 40 2,599,564.00 -
6 Aminophyllin Injeksi (RNI) Ampul 06307031-1 11/30/2020 3,959.93 - 90 356,393.40 30
7 Amlodipin Tablet 5 mg (RNI) Tablet 06465006 11/10/2019 201.67 - 3,000 605,000.00 900
8 Amlodipin Tablet 5 mg (TAS) Tablet NP22137 6/1/2020 480.00 - 6,000 2,880,020.00 -
9 Amlodipin Tablet 10 mg (AP DE) Tablet HTALNB74037 3/1/2019 1,000.00 - 150 150,000.00 150
10 Amlodipin Tablet 10 mg (KF) Tablet 17233B - 1,000 - 1,000
11 Amoxicillin Syrup (TSJ) Botol L10516601 11/1/2019 7,150.00 - 245 1,751,750.00 -
12 Asam Traneksamat Injeksi (MRP) Ampul I172207 5/31/2019 5,280.00 - 900 4,752,000.00 -
13 Atropin Sulfat Injeksi (APL) Ampul 97LE0057 5/15/2021 1,800.00 - 300 539,999.90 -
14 Azitromycin Kapsul 500 mg (KF) Kapsul A70013J 1/4/2022 5,500.00 - 3,000 16,500,000.00 -
15 Betamethason Cream (KF) Tube J71554T 9/12/2021 1,449.80 - 50 72,490.00 -
16 Cefadroxil Kapsul (AP DE) Kapsul 48A0218 12/1/2020 1,200.00 - 200 240,000.00 200
17 Cefadroxil Kapsul (RNI) Kapsul 48A0191 11/30/2020 924.00 - 3,500 3,234,000.00 2,000
18 Cefadroxil Kapsul (RNI) Kapsul 48A0218 12/31/2020 924.00 - 2,500 2,310,000.00 -
19 Cefotaxim Injeksi (TSJ) Vial B10336707 2/1/2020 45,100.00 - 1,500 67,650,000.00 -
20 Ceftriaxon Injeksi (TSJ) Vial G10316706 7/1/2020 39,600.00 - 2,000 79,200,000.00 500
21 Cefuroxim Injeksi (MRP) Vial 44,000.00 - 300 13,200,000.00 -
22 Cercul Injeksi (RNI) Ampul 06134001 3/31/2019 16,500.00 - 255 4,207,500.00 100
23 Cercul Injeksi (RNI) Ampul 06134003 10/31/2019 16,500.00 - 45 742,500.00 -
24 Cetirizine Tablet (RNI) Tablet TRB75043 10/31/2019 313.50 - 1,750 548,625.00 500
25 Covetor Tablet (MBS) Tablet 20G113 7/31/2019 6,600.00 - 300 1,980,000.00 30
26 Codikaf Tablet 10 mg (KF) Tablet C70718J 3/1/2021 866.25 - 3,000 2,598,750.00 500
27 Diphenhidramin Injeksi (RNI) Ampul 06342017-2 10/31/2021 1,864.61 - 300 559,383.00 -
28 Domperidon Tablet (TSJ) Tablet C10246701 3/1/2019 495.00 - 1,900 940,500.00 1,000
29 Domperidon Tablet (TSJ) Tablet TSC17844 2/1/2018 484.34 - 100 48,434.10 -
30 Domperidon Tablet (TSJ) Tablet TSN80045 12/1/2020 484.34 - 2,900 1,404,588.90 -
31 Ephedrin Injeksi (APL) Ampul 97LG0026 7/1/2021 22,000.00 - 120 2,640,000.00 30
32 Estazor Tablet (PV) Kapsul TH1411 8/1/2021 8,800.00 - 600 5,280,000.00 60
33 Gentamicin Cream Kulit (KF) Tube 171455T 9/29/2021 2,019.99 - 100 201,998.50 20
34 Isonat Tablet 5 mg (KF) Tablet D160355B 4/1/2020 968.00 - 4,000 3,872,000.00 1,100
35 Isosorbid Dinitrat Tablet (AP DE) Tablet 1612058 2/1/2021 300.00 - 200 60,000.00 200
36 Isosorbid Dinitrat Tablet 5 mg (IGM) Tablet 1707043 8/1/2021 123.02 - 4,000 492,096.00 1,000
37 KA-EN 3B (KF) Botol 471193A 8/1/2020 10,249.80 - 200 2,049,960.00 80
38 Kolicgon Tablet (PV) Tablet T0651029 11/1/2018 1,317.37 - 2,000 2,634,730.40 -
39 Lanabal Tablet (MBS) Tablet 20E033 5/31/2021 1,320.00 - 1,000 1,320,000.00 300
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40 Lansoprazol Kapsul (TAS) Kapsul NL09138 10/1/2019 810.81 - 1,200 972,972.00 800
41 Meloxicam Tablet 15 mg (SST) Tablet T2717001 1/1/2019 909.32 - 300 272,794.50 -
42 Methylprednisolon Tablet 4 mg (SST) Tablet T2752040 6/1/2021 316.80 - 5,000 1,584,000.00 2,600
43 Methylprednisolon Tablet 4 mg (SST) Tablet T2752043 6/1/2021 316.80 - 1,000 316,800.00 1,000
44 Methylprednisolon Tablet 4 mg (TSJ) Tablet K10046705 10/1/2019 550.00 - 2,000 1,100,000.00 2,000
45 MgSO4 40 % (GF) Vial 86E46A 5/17/2018 2,629.00 - 120 315,480.00 120
46 Miconazol Cream (KF) Tube 172317W 9/12/2021 3,575.00 - 120 429,000.00 -
47 Molagit Tablet (AP DE) Tablet YM022 3/1/2021 700.00 - 140 98,000.00 140
48 Myotonic Tablet (PV) Tablet A7A411 1/1/2019 2,915.00 - 100 291,500.00 -
49 Myotonic Tablet (PV) Tablet A7G708 7/1/2019 2,915.00 - 2,300 6,704,500.00 -
50 Myotonic Tablet (PV) Tablet A7J840 9/1/2019 2,915.00 - 3,600 10,494,000.00 -
51 N-Ace Kapsul (PV) Kapsul TJ1471 10/1/2019 2,200.00 - 900 1,980,000.00 -
52 N-Ace Kapsul (PV) Kapsul TK1851 11/1/2019 2,310.00 - 900 2,079,000.00 -
53 NaCl Piggyback (KF) Botol 47173A 9/4/2020 13,200.00 - 200 2,640,000.00 40
54 Natrium Phenitoin Injeksi (RNI) Ampul 06366006 7/31/2021 11,855.58 - 30 355,667.40 -
55 Novadium Tablet (AP DE) Tablet 1605-01-34 5/1/2020 250.00 - 200 50,000.00 200
56 Ondancentron Injeksi 4 mg (MRP) Ampul I172026 1/31/2019 2,871.00 - 50 143,550.00 50
57 Ondancentron Injeksi 4 mg (MRP) Ampul I172077 2/28/2019 2,871.00 - 1,500 4,306,500.00 -
58 Ondancentron Injeksi 4 mg (TSJ) Ampul K10426602 10/1/2019 5,500.00 - 2,000 11,000,000.00 1,300
59 Ondancentron Injeksi 8 mg (AAM) Ampul 2170083 12/1/2018 9,680.00 - 265 2,565,200.00 -
60 Ondancentron Injeksi 8 mg (AAM) Ampul 2370448 2/1/2019 9,680.00 - 435 4,210,800.00 -
61 Paracetamol Infus (TSJ) Botol G10626748 8/1/2019 67,100.00 - 500 33,550,000.00 400
62 Paracetamol Tablet (SST) Tablet 73248 7/1/2020 157.30 - 2,600 408,980.00 -
63 Phentanyl Injeksi (KF) Ampul 6D9K-B 10/1/2019 39,999.96 - 200 7,999,992.00 -
64 Piracetam Injeksi 1 g (AAM) Ampul 2470595 3/1/2019 4,235.00 - 200 847,000.00 100
65 Piracetam Injeksi 1 g (TSJ) Ampul H10406601 7/1/2019 6,600.00 - 300 1,980,000.00 300
66 Piracetam Injeksi 1 g (TSJ) Ampul PID14145 3/1/2020 6,600.00 - 150 990,000.00 -
67 Piracetam Injeksi 1 g (TSJ) Ampul PIF74346 5/1/2021 6,600.00 - 350 2,310,000.00 -
68 Piracetam Injeksi 3 g (RNI) Ampul 2170076 12/31/2018 18,815.50 - 136 2,558,908.00 80
69 Profolat Tablet (KF) Tablet 1961710050 9/1/2019 62.00 - 3,000 185,988.00 -
70 Ring AS (AP DE) Bag SK3050B 10/4/2019 28,000.00 - 16 448,000.00 16
71 Sintrol Simvastatin Tablet 10 mg (SST) Tablet THY2 5/1/2020 558.62 - 900 502,755.00 -
72 Sojourn (PV) Botol S19471124 8/1/2022 2,860,000.00 - 2 5,720,000.00 -
73 Terrell (PV) Botol N0047A13 1/1/2022 1,683,000.00 - 2 3,366,000.00 -
BAHAN HABIS PAKAI BLUD 2017 - - -
1 Alkohol 1000 ml (BDM) Botol 46609302 9/1/2021 44,000.00 - 30 1,320,000.00 -
2 Alkohol 1000 ml (RNI) Botol 46705302 5/31/2022 25,410.00 - 75 1,905,750.00 70
3 Catgut Cromic 3/0 (RNI) Roll 2030BX 6/1/2022 2,614,700.00 - 2 5,229,400.00 -
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4 Catgut Cromic With Needle 2/0 HR 26 Kotak 170601 5/1/2022 825,000.00 - 8 6,600,000.00 -
5 Disposable Syringe With Needle 05 cc TP (BDM) Pcs 171401 1/1/2022 1,013.10 - 3,600 3,647,160.00 -
6 Disposable Syringe With Needle 10 cc TP (BDM) Pcs 171501 1/1/2022 1,216.60 - 1,800 2,189,880.00 -
7 Film 35 x 35 (BDM) Kotak 44611 6/1/2020 4,462,700.00 - 4 17,850,800.00 2
8 Foley Catheter 3 Way 24 (BDM) Pcs 16K07 10/1/2021 110,000.00 - 50 5,500,000.00 10
9 Gypsona 6 Inch (BDM) Roll 625 1/1/2019 66,715.00 - 2 133,430.00 2
10 Gypsona 6 Inch (BDM) Roll 523 1/1/2018 66,715.00 - 12 800,580.00 12
11 Handscoon Manual NS (BDM) Pasang 30,250.00 - 100 3,025,000.00 20
12 Handscoon ST 7,5 Eskamed (BDM) Pasang 203038344SPZA 2/1/2022 8,820.00 - 600 5,292,000.00 50
13 Hypavix 15 x 5 (AAM) Roll 64940230 11/1/2021 141,918.83 - 66 9,366,642.91 -
14 Hypavix 15 x 5 (AAM) Roll 64940230 11/1/2021 154,259.60 - 6 925,557.60 -
15 Hypavix 15 x 5 (BDM) Roll 63810230 8/1/2021 240,680.00 - 12 2,888,160.00 -
16 Hypavix 15 x 5 (BDM) Roll 64940230 11/1/2021 240,680.00 - 84 20,217,120.00 53
17 IV Catheter 18 Eskamed (BDM) Pcs 3905115E 4/1/2020 12,600.00 - 300 3,780,000.00 -
18 IV Catheter 20 Abbocath (BDM) Pcs 67-201-KY 6/1/2021 16,000.00 - 300 4,800,000.00 -
21 Jarum Kulit No. 12 (BDM) Lusin MD 16153703 38,500.00 - 10 385,000.00 4
22 Jarum Kulit No. 15 (BDM) Lusin MD 17171802 38,500.00 - 10 385,000.00 -
23 Jelly Ultrasound (BDM) ml 65066C 3/1/2022 110.00 - 20,000 2,200,000.00 -
24 Kapas 500 g (RNI) Roll 0216 10/31/2020 85,415.00 - 8 683,320.00 8
25 Kapas 1000 g (BDM) Roll 1505025 5/1/2020 164,417.00 - 7 1,150,919.00 -
26 Kapas 1000 g (BDM) Roll 1505026 5/1/2020 164,417.00 - 12 1,973,004.00 3
27 Kertas EKG 210 (BDM) Roll 33815 12/1/2018 192,500.00 - 10 1,925,000.00 -
28 Mata Pisau No. 11 (BDM) Pcs 4507519425 2/1/2021 4,125.00 - 300 1,237,500.00 110
29 Nasal O2 Dewasa (BDM) Pcs 170712 7/1/2022 30,250.00 - 100 3,025,000.00 50
30 Penjepit Tali Pusar (BDM) Pcs 03.2016 3/1/2021 2,200.00 - 200 440,000.00 50
31 Stomach Tube 16 Terumo (BDM) Pcs 170116B 12/1/2021 33,599.50 - 50 1,679,975.00 50
32 Stomach Tube 16 Terumo (BDM) Pcs 170315B 2/1/2022 33,599.50 - 50 1,679,975.00 -
33 Sungkup Nebulizer Dewasa (BDM) Pcs 170305 3/1/2022 66,000.00 - 10 660,000.00 7
34 Sungkup O2 Dewasa + Kantong (BDM) Pcs 1512022020 11/1/2020 66,000.00 - 10 660,000.00 -
35 Surgicryl 910 2 HR 40 (RNI) Kotak 160315 2/28/2022 1,755,600.00 - 10 17,556,000.00 5
36 Surgicryl 910 2/0 HR 17 (RNI) Kotak 170210 1/30/2022 1,320,000.00 - 5 6,600,000.00 2
37 Surgicryl 910 3/0 HR 30 (RNI) Kotak 170316 2/28/2022 1,148,400.00 - 10 11,484,000.00 2
38 Tensocrepe 4 Inch (BDM) Roll 041711073 11/1/2022 93,830.00 - 10 938,300.00 -
40 Tensocrepe 6 Inch (BDM) Roll 121701301 1/1/2022 139,480.00 - 30 4,184,400.00 -
412682303.xlsx 15
Harga Satuan
Terkecil
42 Three Way Eskamed (BDM) Pcs 169002 8/1/2021 15,750.00 - 100 1,575,000.00 -
43 Three Way Tro (BDM) Pcs 13958-02 6/1/2020 22,000.00 - 200 4,400,000.00 -
44 Transfusi Set Eskamed (BDM) Pcs 171020 9/1/2022 16,380.10 - 400 6,552,040.00 150
45 Transfusi Set (RNI) Pcs 423A16 2/28/2022 22,000.00 - 100 2,200,000.00 100
46 Urine Bag (RNI) Pcs 16531 10/1/2021 6,600.00 - 80 528,000.00 -
47 Urine Bag (RNI) Pcs 17046 2/1/2022 6,600.00 - 120 792,000.00 70
TOTAL 1,693,150,501.78 519,178,930.11
BUOL,
PENGURUS/PENYIMPAN BARANG KEPALA INSTALASI FARMASI PENA

RSUD MOKOYURLI KABUPATEN BUOL GUDANG
NURSYAMSI SRI ARIYANTI, S.Si., Apt ROSI

NIP : 19810727 201001 1 012 NIP. 19820918 200804 2 002 NIP. 198
412682303.xlsx 16
DA GUDANG INSTALASI FARMASI
YURLI KABUPATEN BUOL
UARI TAHUN 2018
Nilai Mutasi Jml Nilai Sisa Stok
- 2,800 330,400
- - -
- 10 508,200
- 10 500,000
- 1 550,000
- - -
- 169 25,265,500
- 14,000 1,688,960
- 23,000 4,183,930
- - -
- 3 56,250
- 1 733,333
- - -
- 4 186,340
- 96 4,622,006
- 1,200 573,606
- 4,000 131,120
- 28 106,103
- 117 11,454,300
- 500 374,347
- 26 107,250
124,740 5,000 207,900
- - -
- 26 629,200
- 20 440,000
- 4 2,032,800
- - -
539,000 1,100 5,929,000
1,001,000 12,400 9,548,000
- 44 3,146,000
- 50 4,400,000
457,050 7,000 6,398,700
412682303.xlsx 17
- 1,800 169,924
- 800 8,360,000
- 1,500 11,000,000
- 10 146,410
- 200 50,600
- 50 706,860
- 450 4,009,500
- 5 332,750
- 400 880,000
- 900 83,160
- 600 102,597
- 1,400 1,016,400
116,875 125 584,375
- 44 4,840,000
- 68 505,947
907,500 630 5,717,250
- 900 110,692
484,000 130 3,146,000
238,260 - -
- 5 1,668,700
42,350 400 33,880
117,150 700 164,010
- 400 857,120
- 150 1,452,000
- - -
- 1 759,000
21,296 19 80,925
- 30 127,776
- 14 59,629
- 10 550,000
- 10 242,000
154,000 3 231,000
- 6 231,000
38,500 3 115,500
220,000 2 220,000
135,350 43 1,940,010
- 100 330,000
- 100 117,865
412682303.xlsx 18
- - -
- 50 180,950
86,525 - -
- 2,200 1,914,002
- 700 380,921
- 7 10,500,000
877,503 300 175,501
353,603 - -
406,560 - -
- 10 649,891
- 1,000 141,680
217,800 13 62,920
- 1,250 11,000,000
1,193,500 50 298,375
125,875 4,400 692,314
- 270 891,000
- 300 2,978,250
1,320,000 2,280 6,270,000
298,144 2,700 1,006,236
- 500 319,000
26,000 500 26,000
- 10,000 1,486,100
2,405,700 1,400 415,800
6,160,000 320 2,464,000
1,540,000 1,500 2,310,000
53,974 - -
1,780,627 - -
- 90 825,000
200,000 - -
198,000 2,000 3,960,000
49,388 - -
470,250 1,100 1,724,250
159,500 50 797,500
- 20 3,300,000
- 100 5,823,400
58,330 - -
302,500 2,640 3,194,400
3,190,000 215 13,717,000
412682303.xlsx 19
1,432,750 - -
3,300,000 480 2,640,000
- 2,000 194,810
349,548 1,000 120,534
786,720 40 524,480
- 2,600 1,601,600
- 300 2,813,250
- 3,900 19,305,000
3,630,000 100 3,630,000
4,214,496 1,200 3,160,872
- 50 5,224,613
- 493 71,041,300
- 3 429,000
- 300 26,400,000
22,000,000 100 4,400,000
4,620,000 - -
3,080,000 70 3,080,000
216,315 - -
- 2,200 356,708
68,947 500 114,912
- 100 7,700,000
770,000 2,700 2,079,000
- 1,800 1,264,032
- 450 358,380
- 800 1,439,997
- 3,000 5,999,994
2,152,810 1,320 4,736,182
- 100 499,499
- 124 738,333
57,173 300 57,173
- 3,000 7,207,200
966,460 400 966,460
77,000 1,500 231,000
111,877 30 55,938
- 25 1,849,698
506,000 100 1,012,000
69,740 - -
- 200 242,990
412682303.xlsx 20
- 2 2,618,000
- 600 936,540
- 5 32,175
270,600 1,400 3,788,400
- 300 28,957,500
2,376,000 - -
4,161,850 890 4,601,300
5,329,500 1,300 12,155,000
- 10 770,000
- 100 7,700,000
- 30 1,155,000
- 6 726,000
- 20 1,460,000
- 50 514,250
- 2,000 7,788,000
- 600 1,234,807
95,915 1,600 306,926
1,815,000 - -
990,000 660 7,260,000
1,600,000 110 8,800,000
- 9 82,368
- 100 4,001,250
779,200 2,600 10,129,599
60,600 - -
89,100 800 237,600
- 600 1,105,500
- 6,340 43,747,902
- 2,000 185,350
- 4 2,822,000
- 48 153,912
- 24 137,280
- 8 6,799,998
- 72 3,564,429
71,280 3,300 470,448
409,992 - -
- 432 1,958,378
- 15 1,074,002
- 142 2,277,396
412682303.xlsx 21
- 100 1,470,150
23,100,000 1,300 21,450,000
- 240 2,400,552
1,199,983 - -
11,123,299 50 11,123,299
- 2,700 1,433,678
660,000 7,900 13,035,000
- 28 4,735,369
- 2,000 800,008
- 1,500 461,691
- 200 18,480,000
143,880 - -
415,140 800 664,224
- 3,000 1,254,000
3,300,000 140 7,700,000
5,280,000 - -
275,000 1,100 302,500
5,687,000 100 5,170,000
6,789,915 - -
11,000,000 - -
132,000 1,600 422,400
85,800 24 85,800
66,550 1,000 133,100
825,000 1,900 15,675,000
1,749,000 1,100 3,206,500
104,994 - -
330,000 - -
507,038 800 225,350
78,365 500 130,609
18,588,130 5,900 37,817,230
- 55 736,890
- 1,000 2,200,000
112,750 3,900 4,397,250
2,170,465 840 980,210
- 250 35,750,000
- 250 33,000,000
- 20 1,848,000
1,980,000 120 7,920,000
412682303.xlsx 22
- 20 1,131,900
- 150 10,560,000
12,853,727 25 4,943,741
825,000 200 412,500
- 300 605,000
6,776,000 - -
486,288 664 3,363,492
415,800 400 46,200
186,783 60 186,783
263,828 50 659,571
3,600,036 170 6,800,068
264,990 1,800 1,589,940
148,500 60 297,000
- 90 445,500
78,650 1,200 188,760
- 120 1,584,000
- 200 2,178,000
2,200,000 150 1,650,000
- 260 1,901,900
2,112,000 96 4,224,000
237,402 1,000 474,804
326,700 100 1,485,000
3,217,392 105 7,507,248
- 250 2,420,000
16,896,000 1,800 12,672,000
1,012,000 2,400 528,000
- 60 198,000
368,500 - -
2,475,000 15 1,485,000
425,700 330 1,560,900
360,525 - -
- 360 3,168,000
792,000 60 528,000
- 180 1,089,000
561,000 700 1,309,000
- 5,450 38,667,750
10,725,000 8,500 60,775,000
- 20 1,980,000
412682303.xlsx 23
2,640,000 160 10,560,000
81,994 5,400 442,768
2,557,170 340 3,220,140
- 150 1,485,000
617,100 40 822,800
- 6 290,400
148,500 1,700 504,900
337,511 1,150 287,509
- 1 2,860,000
- 300 1,200,166
- 2,000 814,000
- 45 198,028
- 70 936,897
- 84 7,858,053
- 1 1,683,000
87,094 2,200 958,030
- 300 4,356,000
- 75 2,062,500
- 50 1,375,000
- 17 3,272,500
- 2,200 176,000
133,584 5,500 667,920
- 2,900 1,699,377
- - -
- 2 233,200
- 5 3,887,400
- 8 6,621,120
- 1 1,650,000
827,640 3 2,482,920
- 2 1,655,280
- 2 1,650,000
- 2 5,229,400
- 8 6,600,000
- 2 1,554,960
- 100 1,320,000
1,282,600 2 2,565,200
831,600 1,200 1,425,600
- 2,000 1,687,400
412682303.xlsx 24
827,200 - -
1,161,050 400 464,420
- 100 172,500
3,661,020 - -
2,836,680 100 101,310
24,063 170 818,125
1,925,000 14 3,850,000
- 30 2,475,000
- 20 1,650,000
- 10 825,000
2,475,000 25 2,475,000
85,184 104 442,957
- 250 9,625,000
- 50 204,105
- 10 385,000
102,053 50 204,105
81,642 39 159,202
- 2 5,170,000
- 2 8,219,200
790,900 2 1,581,800
- 50 3,465,000
104,959 - -
- 100 2,420,000
412,500 - -
629,992 30 472,494
- 100 2,420,000
618,750 10 137,500
1,399,750 - -
400,290 - -
200,200 19,500 1,115,400
797,999 - -
1,577,222 14,500 2,178,068
456,749 - -
4,974,471 10,200 5,397,830
4,851,000 - -
235,000 - -
3,229,864 160 1,519,936
3,357,200 220 2,637,800
412682303.xlsx 25
132,825 200 1,771,000
881,249 3 17,625
- 30,000 6,456,958
2,166,120 - -
3,043,835 - -
2,099,790 650 3,899,610
- 450 2,868,525
- 100 1,600,000
3,200,000 - -
6,562,050 - -
- 250 4,000,000
894,740 200 1,789,480
2,420,000 - -
3,200,000 50 800,000
- 500 -
- 500 3,749,900
1,950,000 100 1,950,000
38,500 - -
77,000 7 269,500
231,000 2 77,000
- 1 38,500
550,000 - -
339,818 16 543,709
986,502 - -
3,465,000 112 25,872,000
330,000 - -
962,500 25 4,812,500
2,112,000 24 8,448,000
683,100 - -
1,672,668 1,050 595,356
1,499,960 - -
520,300 - -
151,250 390 536,250
- 300 1,237,500
614,625 - -
- 10 302,500
208,300 350 729,049
- 3 2,475,000
412682303.xlsx 26
- 13 10,725,000
- 1 825,000
- 4 3,300,000
- 4 4,841,760
- 4 4,841,760
1,255,097 58 3,466,458
- 180 17,919,000
- 144 13,533,062
- 7 211,750
226,809 22 332,653
- 50 755,975
- 39 355,874
907,500 - -
660,000 11 7,260,000
- 17 11,220,000
- 1 660,000
- 3 1,524,600
- 2 1,320,000
- 36 1,564,200
2,420,000 150 7,260,000
- 300 14,520,000
- 150 7,260,000
32,261 31 125,011
88,717 5 20,163
- 13 367,900
330,000 47 3,102,000
1,650,000 25 1,650,000
4,554,000 - -
4,593,600 - -
- 2 3,088,800
- 1 1,491,600
1,673,760 - -
4,400,000 50 1,100,000
819,005 - -
517,000 80 2,068,000
13,750 - -
- - -
6,000 1,800 54,000
412682303.xlsx 27
- 200 707,207
- 200 1,100,000
297,660 800 108,240
- 40 2,599,564
118,798 60 237,596
181,500 2,100 423,500
- 6,000 2,880,020
150,000 - -
- - -
- 245 1,751,750
- 900 4,752,000
- 300 540,000
- 3,000 16,500,000
- 50 72,490
240,000 - -
1,848,000 1,500 1,386,000
- 2,500 2,310,000
- 1,500 67,650,000
19,800,000 1,500 59,400,000
- 300 13,200,000
1,650,000 155 2,557,500
- 45 742,500
156,750 1,250 391,875
198,000 270 1,782,000
433,125 2,500 2,165,625
- 300 559,383
495,000 900 445,500
- 100 48,434
- 2,900 1,404,589
660,000 90 1,980,000
528,000 540 4,752,000
40,400 80 161,599
1,064,800 2,900 2,807,200
60,000 - -
123,024 3,000 369,072
819,984 120 1,229,976
- 2,000 2,634,730
396,000 700 924,000
412682303.xlsx 28
648,648 400 324,324
- 300 272,795
823,680 2,400 760,320
316,800 - -
1,100,000 - -
315,480 - -
- 120 429,000
98,000 - -
- 100 291,500
- 2,300 6,704,500
- 3,600 10,494,000
- 900 1,980,000
- 900 2,079,000
528,000 160 2,112,000
- 30 355,667
50,000 - -
143,550 - -
- 1,500 4,306,500
7,150,000 700 3,850,000
- 265 2,565,200
- 435 4,210,800
26,840,000 100 6,710,000
- 2,600 408,980
- 200 7,999,992
423,500 100 423,500
1,980,000 - -
- 150 990,000
- 350 2,310,000
1,505,240 56 1,053,668
- 3,000 185,988
448,000 - -
- 900 502,755
- 2 5,720,000
- 2 3,366,000
- - -
- 30 1,320,000
1,778,700 5 127,050
- 2 5,229,400
412682303.xlsx 29
- 8 6,600,000
- 3,600 3,647,160
- 1,800 2,189,880
8,925,400 2 8,925,400
1,100,000 40 4,400,000
133,430 - -
800,580 - -
605,000 80 2,420,000
441,000 550 4,851,000
- 66 9,366,643
- 6 925,558
- 12 2,888,160
12,756,040 31 7,461,080
- 300 3,780,000
- 300 4,800,000
- 100 1,413,100
- 200 3,391,300
154,000 6 231,000
- 10 385,000
- 20,000 2,200,000
683,320 - -
- 7 1,150,919
493,251 9 1,479,753
- 10 1,925,000
453,750 190 783,750
1,512,500 50 1,512,500
110,000 150 330,000
1,679,975 - -
- 50 1,679,975
462,000 3 198,000
- 10 660,000
8,778,000 5 8,778,000
2,640,000 3 3,960,000
2,296,800 8 9,187,200
- 10 938,300
- 6 836,880
- 30 4,184,400
- 2 278,960
412682303.xlsx 30
- 100 1,575,000
- 200 4,400,000
2,457,015 250 4,095,025
2,200,000 - -
- 80 528,000
462,000 50 330,000
490,298,708.79 1,722,030,723.10
BUOL, 31 JANUARI 2018
PENANGGUNGJAWAB
GUDANG INSTALASI FARMASI
ROSITA JAFAR, S.Farm

NIP. 19820818 201001 2 012
412682303.xlsx 31
BULAN FEBRUARI TAHUN 2018
Harga Satuan
Terkecil
OBAT TAHUN 2013
1 Amythriptillin 25 mg Tab Tablet 118.00 2,800 330,400 - -
1 Kertas EKG Roll 50,820.00 10 508,200 - 2
2 Kertas EKG Roll 50,000.00 10 500,000 - -
OBAT PENGADAAN 2014 - - - - -
1 Flutamol Tablet 149,500.00 169 25,265,500 - -
2 Ibuprofen Tab 200 mg Tablet 120.64 14,000 1,688,960 - -
3 VITAMIN B6 Tab/Kap @1 Tablet Tablet 181.91 23,000 4,183,930 - -
1 SLIM SECHER Pcs 18,750.00 3 56,250 - -
OBAT BLUD 2015 - - - - -
1 Burnazin Cream (KF) Tube 46,585.00 4 186,340 - -
2 Catapres Injeksi (KF) Ampul 48,145.90 96 4,622,006 - -
3 Ethambutol Tablet 500 mg (KF) Tablet 478.01 1,200 573,606 - -
4 Gliseril Guaiacolat Tablet (RNI) Tablet 32.78 4,000 131,120 - -
5 Novadiar Syrup (RNI) Botol 3,789.40 28 106,103 - -
6 Otsu Tran 40% (RNI) Botol 97,900.00 117 11,454,300 - -
7 Phytomenadion Tablet (RNI) Tablet 748.69 500 374,347 - 500
8 Rivanol (RNI) Botol 4,125.00 26 107,250 - 26
9 Vitamin B1 Tablet (RNI) Tablet 41.58 5,000 207,900 - -
BAHAN HABIS PAKAI BLUD - - - - -
OBAT BLUD 2016 - - - - -
1 Albuforce Tablet (UN) Tablet 5,390.00 1,100 5,929,000 - -
2 Amoxicillin Tablet (DNR) Tablet 770.00 12,400 9,548,000 - 900
3 Azytromicin Syrup (TSJ) Botol 71,500.00 44 3,146,000 - -
4 Azitum Syrup Botol 88,000.00 50 4,400,000 - -
412682303.xlsx 32
Harga Satuan
Terkecil
5 Betahistin Mesilat Tablet 6 mg (AAM) Tablet 914.10 7,000 6,398,700 - 500
6 Calsium Lactat (KF) Tablet 94.40 1,800 169,924 - 100
7 Cilostazol Tablet (DNR) Tablet 10,450.00 800 8,360,000 - -
8 Citicolin Tablet 500 mg (DNR) Tablet 7,333.33 1,500 11,000,000 - -
9 Desoximethasone Cream 0,25 mg (AAM) Tube 14,641.00 10 146,410 - -
10 Doxycycline Kapsul 100 mg (KF) Kapsul 253.00 200 50,600 - -
11 Dulcolax Suppo (KF) Suppo 14,137.20 50 706,860 - 50
12 Epinefrin Injeksi (RNI) Ampul 8,910.00 450 4,009,500 - -
13 Falergi (PV) Botol 66,550.00 5 332,750 - -
14 Flunarizine Tablet (DNR) Tablet 2,200.00 400 880,000 - -
15 Halloperidol Tablet 0,5 mg (IGM) Tablet 92.40 900 83,160 - -
16 Hidrochlortiazide (KF) Tablet 171.00 600 102,597 - -
17 Interhistin Tablet (MBS) Tablet 726.00 1,400 1,016,400 - -
18 Ketokonaole Cream 2% (KF) Tube 4,675.00 125 584,375 - -
19 Levofloxacin Infus (DNR) Botol 110,000.00 44 4,840,000 - -
20 Meylon (KF) Vial 7,440.40 68 505,947 - -
21 Miotonic Injeksi (PV) Ampul 9,075.00 630 5,717,250 - -
22 Nifedipin Tablet (AAM) Tablet 122.99 900 110,692 - 300
23 Nistatin Drops (DNR) Botol 24,200.00 130 3,146,000 - 10
24 Pamol Suppo (ENS) Suppo 9,927.50 - - - -
25 Pelastin Injeksi (BSP) Vial 333,740.00 5 1,668,700 - 5
26 Propranolol Tablet (AAM) Tablet 84.70 400 33,880 - 400
27 Pyrazinamide 500 mg Tablet (KF) Tablet 234.30 700 164,010 - -
28 Rethapril Tablet (KF) Tablet 2,142.80 400 857,120 - -
29 Trolip Kapsul (AAM) Kapsul 9,680.00 150 1,452,000 - -
1 Catgut Cromic With Needle USP 3/0 DS 30 (RNI) Kotak 759,000.00 1 759,000 - -
7 H2O2 (BDM) Botol 77,000.00 3 231,000 - 2
412682303.xlsx 33
Harga Satuan
Terkecil
11 Leukoplast (RNI) Roll 45,116.50 43 1,940,010 - -
OBAT BLUD 2017 - - - - -
1 Acyclovir Cream (KF) Tube 3,619.00 50 180,950 - -
2 Acyclovir Cream (RNI) Tube 3,461.00 - - - -
3 Acyclovir Tablet 400 mg (DNR) Tablet 870.00 2,200 1,914,002 - -
4 Acyclovir Tablet 400 mg (ENS) Tablet 544.17 700 380,921 - -
5 Albuminar (AAM) Botol 1,500,000.00 7 10,500,000 - 3
6 Alprazolam Tablet 0,5 mg (KF) Tablet 585.00 300 175,501 - 300
7 Ambroxol Syrup (IGM) Botol 3,536.03 - - - -
8 Ambroxol Tablet (SST) Tablet 169.40 - - - -
9 Aminofluid (KF) Bag 64,989.10 10 649,891 - -
10 Aminofillin Tablet (SST) Tablet 141.68 1,000 141,680 - -
11 Amoxicillin Syrup (ENS) Botol 4,840.00 13 62,920 - 13
12 Ampicillin Injeksi (DNR) Vial 8,800.00 1,250 11,000,000 - -
13 Antasida Syrup (KF) Botol 5,967.50 50 298,375 - 50
14 Antasida Tablet (RNI) Tablet 157.34 4,400 692,314 - 2,700
15 Anti Hemoroid Suppo Suppo 3,300.00 270 891,000 - -
16 Antrain Injeksi (ENS) Ampul 9,927.50 300 2,978,250 - 150
17 Aqua Pro Injeksi (KF) Vial 2,750.00 2,280 6,270,000 - 720
18 Arfen (Ibuprofen 400 mg) Tablet (SST) Tablet 372.68 2,700 1,006,236 - 800
19 Arkine Tablet (SST) Tablet 638.00 500 319,000 - -
20 Asam Folat Tablet (RNI) Tablet 52.00 500 26,000 - -
21 Asam Mefenamat Tablet (ENS) Tablet 148.61 10,000 1,486,100 - 3,200
22 Asam Mefenamat Tablet (PPG) Tablet 297.00 1,400 415,800 - 1,400
23 Asam Traneksamat Injeksi (PPG) Ampul 7,700.00 320 2,464,000 - 320
24 Asam Traneksamat Tablet (DNR) Tablet 1,540.00 1,500 2,310,000 - 500
25 Asam Valproat (AAM) Botol 26,987.00 - - - -
26 Asering Infus (KF) Botol 9,274.10 - - - -
27 Astonox Tablet (UN) Tablet 9,166.67 90 825,000 - -
28 Atropin Sulfat Injeksi (UN) Ampul 2,000.00 - - - -
29 Bamgetol Tablet (IGM) Tablet 1,980.00 2,000 3,960,000 - 200
30 Betamethason Cream (KF) Tube 1,975.53 - - - -
31 Bionemi Kapsul (PV) Kapsul 1,567.50 1,100 1,724,250 - 700
32 Bioplacenton Cream (ENS) Tube 15,950.00 50 797,500 - 1
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33 Biosat Injeksi (RNI) Ampul 165,000.00 20 3,300,000 - -
34 Bisolvon Injeksi (KF) Ampul 58,234.00 100 5,823,400 - 50
35 Bisoprolol Tablet 5 mg (AAM) Tablet 1,166.59 - - - -
36 Bisoprolol Tablet 5 mg (RNI) Tablet 1,210.00 2,640 3,194,400 - 590
37 Bunascan Injeksi (PV) Ampul 63,800.00 215 13,717,000 - 20
38 Buscopan Tablet (KF) Tablet 2,865.50 - - - -
39 Candesartan Tablet (DNR) Tablet 5,500.00 480 2,640,000 - 480
40 Captopril Tablet 12,5 mg (RNI) Tablet 97.41 2,000 194,810 - -
41 Captopril Tablet 25 mg (KF) Tablet 120.53 1,000 120,534 - 1,000
42 Carbazocrome Injeksi (PV) Ampul 13,112.00 40 524,480 - 20
43 Cartylo Tablet (KF) Tablet 616.00 2,600 1,601,600 - 1,300
44 Cefadroxil Syrup /Lifadrox (SST) Botol 9,377.50 300 2,813,250 - 50
45 Cefixim Kapsul 200 mg (PPG) Kapsul 4,950.00 3,900 19,305,000 - -
46 Cefixim Syrup (DNR) Botol 36,300.00 100 3,630,000 - 100
47 Cefixime Kapsul (RNI) Kapsul 2,634.06 1,200 3,160,872 - 1,200
48 Cefobactam Injeksi (BSP) Vial 104,492.26 50 5,224,613 - -
49 Cefoperazon Sulbactam Injeksi (TSJ) Vial 144,100.00 493 71,041,300 - -
50 Cefoperazone Sulbactam Injeksi (DNR) Vial 143,000.00 3 429,000 - -
51 Cefoperazone Sulbactam Injeksi (ENS) Vial 88,000.00 300 26,400,000 - -
52 Cefotaxim Injeksi (MTA) Vial 44,000.00 100 4,400,000 - 100
53 Ceftriaxon Injeksi (DNR) Vial 15,400.00 - - - -
54 Cefuroxim Injeksi (MRP) Vial 44,000.00 70 3,080,000 - 40
55 Cetirizine Tablet (RNI) Tablet 313.50 - - - -
56 Chlorpheniramin Maleat Tablet/ Orphen (SST) Tablet 162.14 2,200 356,708 - -
57 Chlorpromazin Tablet 100 mg (KF) Tablet 229.82 500 114,912 - -
58 Ciprofloxacin Infus (TSJ) Botol 77,000.00 100 7,700,000 - -
59 Ciprofloxacin Tablet (TSJ) Tablet 770.00 2,700 2,079,000 - 1,000
60 Clindamycin Kapsul 150 mg (IGM) Kapsul 702.24 1,800 1,264,032 - -
61 Clindamycin Kapsul 150 mg (PV) Kapsul 796.40 450 358,380 - 250
62 Clindamycin Kapsul 300 mg Kapsul 1,800.00 800 1,439,997 - 300
63 Clindamycin Kapsul 300 mg (PPG) Kapsul 2,000.00 3,000 5,999,994 - -
64 Clopidogrel Trombikaf Tablet (KF) Tablet 3,588.02 1,320 4,736,182 - 750
65 Combivent Inhalasi (KF) Ampul 4,994.99 100 499,499 - 100
66 Cotrimoxazol Syrup (RNI) Botol 5,954.30 124 738,333 - -
67 Cotrimoxazol Tablet (KF) Tablet 190.58 300 57,173 - 300
68 Dexamethason Injeksi (PPG) Ampul 2,402.40 3,000 7,207,200 - 100
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69 Dexamethason Injeksi (RNI) Ampul 2,416.15 400 966,460 - 400
70 Dexamethason Tablet (DNR) Tablet 154.00 1,500 231,000 - 1,500
71 Diphenhidramin Injeksi (RNI) Ampul 1,864.61 30 55,938 - 30
72 Dobutamin Injeksi (RNI) Ampul 73,987.90 25 1,849,698 - -
73 Domperidon Syrup (ENS) Botol 10,120.00 100 1,012,000 - -
74 Domperidon Tablet (ENS) Tablet 139.48 - - - -
75 Dulcolax Tablet (KF) Tablet 1,214.95 200 242,990 - 200
76 Endrolin Injeksi (ESV) Ampul 1,309,000.00 2 2,618,000 - -
77 Eperison Tablet (DNR) Tablet 1,560.90 600 936,540 - -
78 Erlamycetin Ear Drop (PV) Botol 6,435.00 5 32,175 - 5
79 Erysanbe Tablet 200 mg (BSP) Tablet 2,706.00 1,400 3,788,400 - -
80 Esomax Injeksi (MBS) Vial 96,525.00 300 28,957,500 - 90
81 Estazor Tablet (PV) Kapsul 8,800.00 - - - -
82 Farbion Injeksi (UN) Ampul 5,170.00 890 4,601,300 - 800
83 Farbivent Injeksi (PV) Ampul 9,350.00 1,300 12,155,000 - 700
84 Farelax Injeksi (PV) Ampul 77,000.00 10 770,000 - -
85 Farelax Injeksi (UN) Ampul 77,000.00 100 7,700,000 - -
86 Fargoxin Injeksi (PV) Ampul 38,500.00 30 1,155,000 - -
87 Farmabes Injeksi (PV) Vial 121,000.00 6 726,000 - -
88 Flamicort IAD (AAM) Vial 73,000.00 20 1,460,000 - -
89 Fucilex Cream (MBS) Tube 10,285.00 50 514,250 - -
90 Furosemid Injeksi (AAM) Ampul 3,894.00 2,000 7,788,000 - -
91 Furosemid Injeksi (RNI) Ampul 2,058.01 600 1,234,807 - -
92 Furosemid Tablet (RNI) Tablet 191.83 1,600 306,926 - 800
93 Gabapentin Kapsul 300 mg (RNI) Kapsul 6,050.00 - - - -
94 Gastrul Tablet (PV) Tablet 11,000.00 660 7,260,000 - 240
95 Gelafusal (AAM) Bag 80,000.00 110 8,800,000 - -
96 Genoint Eye (PV) Botol 9,152.00 9 82,368 - -
97 Gentamicin Cream (PV) Tube 40,012.50 100 4,001,250 - -
98 Gentamicin Injeksi (IGM) Ampul 3,896.00 2,600 10,129,599 - 400
99 Gentamicin Salep Kulit (KF) Tube 2,019.99 - - - -
100 Glimepiride Tablet 2 mg (KF) Tablet 297.00 800 237,600 - 500
101 Glucosamin Tablet (DNR) Tablet 1,842.50 600 1,105,500 - -
102 Glukosa 5 % (KF) Botol 6,900.30 6,340 43,747,902 - 400
103 Halloperidol Tablet 0,5 mg (IGM) Tablet 92.68 2,000 185,350 - -
104 Halotane Inhalasi (AAM) Botol 705,500.00 4 2,822,000 - -
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105 Hidrocortison Cream (KF) Tube 3,206.50 48 153,912 - -
106 Hidrocortison Cream (RNI) Tube 5,720.00 24 137,280 - -
107 Human Albumin (KF) Botol 849,999.80 8 6,799,998 - -
108 Hydromal (BSP) Bag 49,505.96 72 3,564,429 - -
109 Isoniazid Tablet 100 mg (KF) Tablet 142.56 3,300 470,448 - 500
110 KAEN 3B (KF) Botol 10,249.80 - - - -
111 Kamadol Injeksi (KF) Ampul 4,533.28 432 1,958,378 - 60
112 Ketamin Hameln 50 mg (APL) Vial 71,600.10 15 1,074,002 - -
113 Ketorolac Injeksi 30 mg (PPG) Ampul 16,038.00 142 2,277,396 - 102
114 Ketorolac Injeksi 30 mg (RNI) Ampul 14,701.50 100 1,470,150 - 100
115 Ketorolac Injeksi 30 mg (TSJ) Ampul 16,500.00 1,300 21,450,000 - 1,240
116 Ketosic Injeksi 30 mg (PV) Ampul 10,002.30 240 2,400,552 - 240
117 Lansoprazol Kapsul (DNR) Kapsul 1,621.60 - - - -
118 Levemir Flex Pen (RNI) Pen 222,465.98 50 11,123,299 - 50
119 Levofloxacin Tablet (KF) Tablet 530.99 2,700 1,433,678 - 400
120 Lidocain Injeksi (DNR) Ampul 1,650.00 7,900 13,035,000 - 200
121 Lipomed (BSP) Bag 169,120.33 28 4,735,369 - -
122 Loratadin Tablet (DNR) Tablet 400.00 2,000 800,008 - -
123 Loratadin Tablet (IGM) Tablet 307.79 1,500 461,691 - -
124 Manitol (KF) Botol 92,400.00 200 18,480,000 - 20
125 Meloxicam Tablet 15 mg (DNR) Tablet 1,438.80 - - - -
126 Meloxicam Tablet 7,5 mg (DNR) Tablet 830.28 800 664,224 - -
127 Meloxicam Tablet 7,5 mg (ENS) Tablet 418.00 3,000 1,254,000 - -
128 Merophenem Injeksi 0,5 g (MRP) Vial 55,000.00 140 7,700,000 - 140
129 Merophenem Injeksi 0,5 g (MTA) Vial 132,000.00 - - - -
130 Metformin Tablet (PPG) Tablet 275.00 1,100 302,500 - 1,100
131 Methylprednisolon Injeksi (PPG) Vial 51,700.00 100 5,170,000 - 100
132 Methylprednisolon Injeksi (RNI) Vial 39,022.50 - - - -
133 Metronidazol Infus (TSJ) Botol 55,000.00 - - - -
134 Metronidazol Tablet (DNR) Tablet 264.00 1,600 422,400 - 500
135 Miconazol Cream (KF) Tube 3,575.00 24 85,800 - -
136 Minkosa 5 mg Glibenclamid (SST) Tablet 133.10 1,000 133,100 - -
137 Miotonic Injeksi (RNI) Ampul 8,250.00 1,900 15,675,000 - 900
138 Miotonic Tablet (PV) Tablet 2,915.00 1,100 3,206,500 - 1,100
139 Morfin Injeksi (KF) Ampul 10,499.39 - - - -
140 N Ace Kapsul (PV) Kapsul 2,200.00 - - - -
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141 Natrium Diklofenak Tablet 25 mg (KF) Tablet 281.69 800 225,350 - 800
142 Natrium Diklofenak Tablet 50 mg Tablet 261.22 500 130,609 - 300
143 Natrium Klorida Infus (KF) Botol 6,409.70 5,900 37,817,230 - 3,350
144 Natrium Phenitoin Injeksi (PV) Ampul 13,398.00 55 736,890 - 55
145 Nerva Plus Tablet Tablet 2,200.00 1,000 2,200,000 - -
146 Neurosanbe Tablet (BSP) Tablet 1,127.50 3,900 4,397,250 - 1,000
147 Neurovit E Tablet (KF) Tablet 1,166.92 840 980,210 - 840
148 Nicardipin Injeksi (PPG) Ampul 143,000.00 250 35,750,000 - -
149 Nicarfion Injeksi (UN) Ampul 132,000.00 250 33,000,000 - -
150 Nocoba Injeksi (PV) Ampul 92,400.00 20 1,848,000 - -
151 Norephinefrin Injeksi (TSJ) Ampul 66,000.00 120 7,920,000 - -
152 Norephinefrin Levosol Injeksi (KF) Ampul 56,595.00 20 1,131,900 - -
153 Norfion Injeksi (UN) Ampul 70,400.00 150 10,560,000 - -
154 Novorapid Flex Pen (RNI) Pen 197,749.64 25 4,943,741 - 25
155 Oksitosin Injeksi (APL) Ampul 2,062.50 200 412,500 - 200
156 Ondansentron Tablet (MTK) Tablet 2,016.67 300 605,000 - -
157 Pantoprazol Injeksi (RNI) Vial 60,500.00 - - - -
158 Paracetamol Syrup (KF) Botol 5,065.50 664 3,363,492 - 192
159 Paracetamol Tablet (RNI) Tablet 115.50 400 46,200 - 400
160 Pehacain Injeksi (RNI) Ampul 3,113.06 60 186,783 - -
161 Petidin Injeksi (KF) Ampul 13,191.42 50 659,571 - 30
162 Phentanyl Injeksi (KF) Ampul 40,000.40 170 6,800,068 - 100
163 Piracetam Kapsul 800 mg (RNI) Kapsul 883.30 1,800 1,589,940 - 300
164 Pomifar Kapsul (PV) Kapsul 4,950.00 60 297,000 - 60
165 Pomifar Kapsul (UN) Kapsul 4,950.00 90 445,500 - -
166 Prednison Tablet (SST) Tablet 157.30 1,200 188,760 - -
167 Pro Infark Injeksi (RNI) Ampul 13,200.00 120 1,584,000 - -
168 Pro K Injeksi (SST) Ampul 10,890.00 200 2,178,000 - -
169 Prohem Injeksi (PV) Ampul 11,000.00 150 1,650,000 - -
170 Proliva Tablet (PV) Tablet 7,315.00 260 1,901,900 - -
171 Propepsa Suspensi (PV) Botol 44,000.00 96 4,224,000 - 46
172 Propylthiouracil Tablet (AAM) Tablet 474.80 1,000 474,804 - 500
173 Prosional Suspensi (PV) Botol 14,850.00 100 1,485,000 - 15
174 Pumpisel Injeksi (BSP) Vial 71,497.60 105 7,507,248 - 105
175 Ranifin Injeksi (UN) Ampul 9,680.00 250 2,420,000 - -
176 Ranitidin Injeksi (PPG) Ampul 7,040.00 1,800 12,672,000 - 1,800
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177 Ranitidin Tablet (RNi) Tablet 220.00 2,400 528,000 - 2,400
178 Rebamax Tablet (PV) Tablet 3,300.00 60 198,000 - -
179 Reco Tetes Mata (SST) Botol 7,370.00 - - - -
180 Recofol Injeksi (RNI) Ampul 99,000.00 15 1,485,000 - 15
181 Recolfar Tablet (PV) Tablet 4,730.00 330 1,560,900 - 240
182 Renax Kapsul (ENS) Kapsul 7,210.50 - - - -
183 Reprostom Kapsul (PV) Kapsul 8,800.00 360 3,168,000 - 30
184 Reprostom Kapsul (UN) Tablet 8,800.00 60 528,000 - 60
185 Rhodium Tablet (UN) Tablet 6,050.00 180 1,089,000 - -
186 Rifampisin Tablet 450 mg (DNR) Tablet 1,870.00 700 1,309,000 - 300
187 Ringer Lactat (DNR) Botol 7,095.00 5,450 38,667,750 - -
188 Ringer Lactat (KF) Botol 370812 7,150.00 8,500 60,775,000 - 2,000
189 Rocum Injeksi (AAM) Ampul 99,000.00 20 1,980,000 - -
190 Ronazol Infus (PV) Botol 66,000.00 160 10,560,000 - 160
191 Salbutamol Tablet 2 mg (KF) Tablet 81.99 5,400 442,768 - 2,000
192 Santagesik Injksi (BSP) Ampul 9,471.00 340 3,220,140 - 340
193 Scandones Injeksi (Gigi) Ampul 9,900.00 150 1,485,000 - -
194 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 20,570.00 40 822,800 - 40
195 SIM-DHA (PV) Botol 48,400.00 6 290,400 - -
196 Simvastatin Tablet 10 mg (ENS) Tablet 297.00 1,700 504,900 - -
197 Simvastatin Tablet 20 mg (KF) Tablet 250.01 1,150 287,509 - 1,050
198 Sojourn (PV) Botol 2,860,000.00 1 2,860,000 - -
199 Solpenox (Amoxicillin) Syrup (SST) Botol 4,000.55 300 1,200,166 - -
200 Spironolacton Tab 25 mg (RNI) Tablet 407.00 2,000 814,000 - 500
201 Stesolid Injeksi (AAM) Ampul 4,400.62 45 198,028 - -
202 Stesolid Rectal (AAM) Tube 13,384.25 70 936,897 - -
203 Tasigna (AAM) Kapsul 93,548.25 84 7,858,053 - -
204 Terrell (PV) Botol 1,683,000.00 1 1,683,000 - -
205 Tramadol Kapsul 50 mg (KF) Kapsul 435.47 2,200 958,030 - -
206 Tranec Injeksi (PV) Ampul 14,520.00 300 4,356,000 - -
207 Tyarit Injeksi (PV) Ampul 27,500.00 75 2,062,500 - -
208 Tyarit Injeksi (UN) Ampul 27,500.00 50 1,375,000 - -
209 Umarone Injeksi (PV) Ampul 192,500.00 17 3,272,500 - -
210 Vitamin B Comp Tablet (RNI) Tablet 80.00 2,200 176,000 - 1,000
211 Vitamin C Tablet 100 mg (KF) Tablet 121.44 5,500 667,920 - 2,000
212 Zink Dispersible Tablet (KF) Tablet 585.99 2,900 1,699,377 - 500
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Terkecil
1 Bone Wax (BDM) Pcs 116,600.00 2 233,200 - -
4 Catgut Crmoic 2/0 (RNI) Roll 1,650,000.00 1 1,650,000 - -
5 Catgut Cromic 2 HR 40 (RNI) Kotak 827,640.00 3 2,482,920 - 2
6 Catgut Cromic 2 HR 45 (DNR) Kotak 827,640.00 2 1,655,280 - -
8 Catgut Cromic 3/0 (RNI) Roll 2,614,700.00 2 5,229,400 - 2
10 Catgut Cromic USP 1 HR 37 (RNI) Kotak 777,480.00 2 1,554,960 - -
11 Cuticell (BDM) Pcs 13,200.00 100 1,320,000 - -
12 Defeloper (BDM) Set 1,282,600.00 2 2,565,200 - -
13 Disposable Syringe With Needle 1 cc New Skifa (RNI) Pcs 1,188.00 1,200 1,425,600 - 1,000
14 Disposable Syringe With Needle 1 cc TP (BDM) Pcs 843.70 2,000 1,687,400 - -
15 Disposable Syringe With Needle 10 cc Nipor (KF) Pcs 1,654.40 - - - -
16 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1,161.05 400 464,420 - 400
17 Disposable Syringe With Needle 20 cc Stera (ISHS) Pcs 1,725.00 100 172,500 - -
18 Disposable Syringe With Needle 3 cc TP (BDM) Pcs 851.40 - - - -
21 Elektroda Patien Monitor (BDM) Pak 275,000.00 14 3,850,000 - 6
22 Endotracheal Tube FR 3 (BDM) Pcs 82,500.00 30 2,475,000 - -
23 Endotracheal Tube FR 3,5 (BDM) Pcs 82,500.00 20 1,650,000 - -
24 Endotracheal Tube FR 6,5 (BDM) Pcs 82,500.00 10 825,000 - -
25 Extention Tube (BDM) Pcs 99,000.00 25 2,475,000 - -
27 Feeding Tube FR 3,5 (BDM) Pcs 38,500.00 250 9,625,000 - -
32 Film 24x30 (BDM) Kotak 2,585,000.00 2 5,170,000 - -
33 Film 30x40 (BDM) Kotak 4,109,600.00 2 8,219,200 - -
34 Fixer (BDM) Set 790,900.00 2 1,581,800 - -
35 Foley Catheter 08 (RNI) Pcs 69,300.00 50 3,465,000 - -
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36 Foley Catheter 16 (BDM) Pcs 14,994.10 - - - -
38 Foley Catheter 16 (KF) Pcs 13,750.00 - - - -
39 Foley Catheter 18 (BDM) Pcs 15,749.80 30 472,494 - 30
42 Glucocard (AAM) Botol 279,950.00 - - - -
43 Gypsona 6 Inch (BDM) Roll 66,715.00 - - - -
44 Handrub (ISHS) ml 57.20 19,500 1,115,400 - -
45 Handrub (RNI) ml 159.60 - - - -
46 Handrub (RNI) ml 150.21 14,500 2,178,068 - 12,000
47 Handscoon Gynegolog 7 (DA) Pasang 21,749.97 - - - -
48 Handscoon NS (BDM) Pcs 529.20 10,200 5,397,830 - 10,200
49 Handscoon NS M (KF) Pcs 577.50 - - - -
50 Handscoon ST 6,5 (DA) Pasang 5,874.99 - - - -
51 Handscoon ST 6,5 (KF) Pasang 2886165 9,499.60 160 1,519,936 - 160
52 Handscoon ST 6,5 (RNI) Pasang 11,990.00 220 2,637,800 - 160
53 Handscoon ST 7 (BDM) Pasang 8,855.00 200 1,771,000 - 195
55 Hydrex Surgical Scrub (RNI) ml 215.23 30,000 6,456,958 - -
56 Hypavix 15 x 5 (BDM) Roll 240,680.00 - - - -
57 Infus Set Makro (RNI) Pcs 4,755.99 - - - -
58 Infus Set Makro Aximed (KF) Pcs 5,999.40 650 3,899,610 - 650
59 Infus Set Mikro Nipro (KF) Pcs 6,374.50 450 2,868,525 - -
61 IV Catheter 18 G Abbocath (BDM) Pcs 16,000.00 - - - -
62 IV Catheter 20 G Aximed (KF) Pcs 8,749.40 - - - -
64 IV Catheter 22 G Nipro (KF) Pcs 8,947.40 200 1,789,480 - -
65 IV Catheter 22 G Optiva (RNI) Pcs 24,200.00 - - - -
66 IV Catheter 24 G Abbocath (BDM) Pcs 16,000.00 50 800,000 - 50
67 IV Catheter 24 G Abbocath Pcs - 500 - - 250
68 IV Catheter 24 G Aximed (KF) Pcs 7,499.80 500 3,749,900 - -
70 Jarum Kulit 12 Lusin 38,500.00 - - - -
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74 Jelly Ultrasound (BDM) ml 110.00 - - - -
75 Jely (ISHS) Tube 33,981.83 16 543,709 - 6
76 Kapas (BDM) Roll 82,208.50 - - - -
77 Kasa Hidrofil 40 x 80 (RNI) Roll 231,000.00 112 25,872,000 - 59
78 Kertas EKG 210 (BDM) Roll 165,000.00 - - - -
79 Kertas EKG 210 (BDM) Roll 192,500.00 25 4,812,500 - 5
80 Kertas USG (BDM) Roll 352,000.00 24 8,448,000 - 10
81 Kertas USG (ISHS) Roll 170,775.00 - - - -
82 Masker Tie On (BDM) Pcs 567.01 1,050 595,356 - 1,050
83 Masker Tie On (KF) Pcs 599.98 - - - -
84 Masker Tie On (SST) Pcs 473.00 - - - -
85 Mata Pisau 20 (RNI) Pcs 1,375.00 390 536,250 - 296
86 Mata Pisau No 15 (BDM) Pcs 4,125.00 300 1,237,500 - -
87 Mata Pisau No 20 Pcs 4,125.00 - - - -
88 Mucus Extractor (BDM) Pcs 30,250.00 10 302,500 - -
89 Novo Twist 32 G (AAM) Pcs 2,083.00 350 729,049 - -
90 Nylon Daclon 3/0 DS 19 Kotak 825,000.00 3 2,475,000 - 2
91 Nylon Daclon 5/0 DS 16 Kotak 825,000.00 13 10,725,000 - 1
92 Nylon Daclon USP 2/0 DS 19 (RNI) Kotak 825,000.00 1 825,000 - -
93 Nylon Daclon USP 6/0 DS 12 (RNI) Kotak 825,000.00 4 3,300,000 - -
94 Popypropylene 5/0 HR 13 (RNI) Kotak 1,210,440.00 4 4,841,760 - 1
95 Popypropylene 6/0 HR 10 (RNI) Kotak 1,210,440.00 4 4,841,760 - 1
96 Povidon Iodida (KF) Botol 59,766.51 58 3,466,458 - 11
97 Safil 1 HR 48 Pcs 99,550.00 180 17,919,000 - -
98 Safil Violet 2 HR 48 Pcs 93,979.60 144 13,533,062 - -
102 Selang O2 Bayi (DA) Pcs 9,124.98 39 355,874 - 3
103 Selang O2 Dewasa (BDM) Pcs 30,250.00 - - - -
104 Silk Black With Needle USP 1 HR 37 (RNI) Kotak 660,000.00 11 7,260,000 - -
105 Silk Black With Needle USP 2 HR 37 (RNI) Kotak 660,000.00 17 11,220,000 - 1
106 Silk Black With Needle USP 2/0 HR 26 (RNI) Kotak 660,000.00 1 660,000 - -
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108 Silk Black With Needle USP 3/0 HR 30 (RNI) Kotak 660,000.00 2 1,320,000 - - 1
109 Softband 6 Inch (BDM) Roll 43,450.00 36 1,564,200 - 12
110 Spinocain 25 G (BDM) Pcs 48,400.00 150 7,260,000 - 50
115 Sungkup Nebulizer Anak (AAM) Pcs 28,299.98 13 367,900 - -
116 Sungkup O2 Bayi (BDM) Pcs 66,000.00 47 3,102,000 - -
117 Sungkup O2 Dewasa (BDM) Pcs 66,000.00 25 1,650,000 - 25
118 Surgicryl 910 USP 1 HR 36 (RNI) Kotak 1,518,000.00 - - - -
119 Surgicryl 910 USP 2/0 HR 26 (RNI) Kotak 1,148,400.00 - - - -
120 Surgicryl Rapid 1 HR 48 (RNI) Kotak 1,544,400.00 2 3,088,800 - -
121 Surgicryl Rapid 2/0 HR 40 (RNI) Kotak 1,491,600.00 1 1,491,600 - -
122 Tensocrepe 6" (BDM) Roll 139,480.00 - - - -
123 Three Way Stop Cock (BDM) Pcs 22,000.00 50 1,100,000 - 50
124 Transfusi Set (BDM) Pcs 16,380.10 - - - -
125 Urgotul 10x10 (PPG) Pcs 25,850.00 80 2,068,000 - -
126 Urine Bag (KF) Pcs 6,875.00 - - - -
OBAT BLUD 2018 - - - -
1 Allopurinol Tablet (AP DE) Tablet 24409703 3/1/2019 30.00 1,800 54,000 - -
2 Ambroxol Syrup 15 mg (IGM) Botol 1706041 6/1/2019 3,536.03 200 707,207 - 200
3 Ambroxol Syrup (RNI) Botol 06810004 10/31/2019 5,500.00 200 1,100,000 - 200
4 Ambroxol Tablet (AP DE) Tablet 06483005 4/1/2020 300.00 - 100 30,000.00 100
5 Ambroxol Tablet (AP DE) Tablet 74307 10/1/2020 300.00 - 700 210,000.00 700
6 Ambroxol Tablet (PPG) Tablet TPM99646 11/1/2021 330.00 - 4,700 1,551,000.00 -
7 Ambroxol Tablet (SST) Tablet 73252 8/1/2020 135.30 800 108,240 - 800
8 Ambroxol Tablet (SST) Tablet 74307 10/1/2020 135.30 - 5,000 676,500.00 1,000
9 Ambroxol Tablet (TSJ) Tablet TPM99546 11/1/2021 330.00 - 5,000 1,650,000.00 -
10 Aminofluid (KF) Botol DB71E47A 9/2/2019 64,989.10 40 2,599,564 - -
11 Aminophyllin Injeksi (RNI) Ampul 06307031-1 11/30/2020 3,959.93 60 237,596 - -
12 Amlodipin Tablet 5 mg (RNI) Tablet 06465006 11/10/2019 201.67 2,100 423,500 - -
13 Amlodipin Tablet 5 mg (TAS) Tablet NP22137 6/1/2020 480.00 6,000 2,880,020 - 150
14 Amlodipin Tablet 10 mg (AP DE) Tablet HTALNB74037 3/1/2019 1,000.00 - - - -
15 Amlodipin Tablet 10 mg (KF) Tablet 17233B - - - -
16 Amlodipin Tablet 10 mg (MTK) Tablet JS17031 10/1/2019 817.67 - 1,500 1,226,500.00 -
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17 Amlodipin Tablet 10 mg (MTK) Tablet HS17002 8/1/2019 817.67 - 300 245,300.00 300
18 Amlodipin Tablet 10 mg (MTK) Tablet HS17005 8/1/2019 817.67 - 2,760 2,256,760.00 300
19 Amlodipin Tablet 10 mg (SST) Tablet 74363 11/1/2020 238.33 - 6,000 1,430,000.00 3,000
20 Amoxicillin Syrup (TSJ) Botol L10516601 11/1/2019 7,150.00 245 1,751,750 - 45
21 Asam Traneksamat Injeksi (MRP) Ampul I172270 8/31/2019 5,280.00 - 600 3,168,000.00 -
22 Asam Traneksamat Injeksi (MRP) Ampul I172207 5/31/2019 5,280.00 900 4,752,000 - 220
23 Asam Valproat (AP DE) Botol 3171919 10/1/2019 66,000.00 - 5 330,000.00 5
24 Asam Valproat (AP DE) Botol 3272081 10/1/2019 66,000.00 - 5 330,000.00 5
25 Asering Infus (KF) Botol SB94J47A 10/25/2020 9,645.90 - 600 5,787,540.00 -
26 Atropin Sulfat Injeksi (APL) Ampul 97LE0057 5/15/2021 1,800.00 300 540,000 - -
27 Azitromycin Kapsul 500 mg (KF) Kapsul A70013J 1/4/2022 5,500.00 3,000 16,500,000 - -
28 Betamethason Cream (KF) Tube J71554T 9/12/2021 1,449.80 50 72,490 - 25
29 Bionemi Kapsul (PV) Kapsul NG009 7/1/2019 1,650.00 - 800 1,320,000.00 200
30 Bionemi Kapsul (PV) Kapsul NG016 7/1/2019 1,650.00 - 200 330,000.00 -
31 Candesartan Tablet 8 mg (AAM) Tablet 47K4143 9/1/2018 629.00 - 3,000 1,887,000.50 240
32 Candefion Tablet 8 mg (UN) Tablet BTPN01646 12/1/2019 5,500.00 - 3,360 18,480,000.00 -
33 Captopril Tablet 25 mg (KF) Tablet G71166B 6/18/2022 123.98 - 3,000 371,933.10 2,500
34 Cefadroxil Kapsul (AP DE) Kapsul 48A0218 12/1/2020 1,200.00 - - - -
35 Cefadroxil Kapsul (RNI) Kapsul 48A0191 11/30/2020 924.00 1,500 1,386,000 - 1,500
36 Cefadroxil Kapsul (RNI) Kapsul 48A0218 12/31/2020 924.00 2,500 2,310,000 - 1,300
37 Cefixim Kapsul 100 mg (RNI) Kapsul 48H0228 7/1/2020 2,394.59 - 2,000 4,789,180.00 600
38 Cefixim Kapsul 100 mg (RNI) Kapsul 48H00267 8/1/2020 1,137.40 - 1,000 1,137,400.00 400
39 Cefotaxim Injeksi (TSJ) Vial B10336707 2/1/2020 45,100.00 1,500 67,650,000 - 900
40 Ceftazidim Injeksi (TSJ) Vial PSN50346 12/1/2019 66,000.00 - 70 4,620,000.00 50
41 Ceftazidim Injeksi (TSJ) Vial PSN50746 12/1/2019 66,000.00 - 180 11,880,000.00 -
42 Ceftriaxon Injeksi (TSJ) Vial G10316706 7/1/2020 39,600.00 1,500 59,400,000 - 1,500
43 Cefuroxim Injeksi (MRP) Vial 44,000.00 300 13,200,000 - -
44 Cercul Injeksi (RNI) Ampul 06134001 3/31/2019 16,500.00 155 2,557,500 - 155
45 Cercul Injeksi (RNI) Ampul 06134003 10/31/2019 16,500.00 45 742,500 - 45
46 Cetirizine Tablet (KF) Tablet C70502J 3/5/2020 334.95 - 3,000 1,004,850.00 -
47 Cetirizine Tablet (RNI) Tablet TRB75043 10/31/2019 313.50 1,250 391,875 - 500
48 Cetirizine Tablet (RNI) Tablet TRB76051 11/30/2019 313.50 - 3,000 940,500.00 -
49 Covetor Tablet (MBS) Tablet 20G113 7/31/2019 6,600.00 270 1,782,000 - -
50 Codikaf Tablet 10 mg (KF) Tablet C70718J 3/1/2021 866.25 2,500 2,165,625 - 1,500
51 Diphenhidramin Injeksi (RNI) Ampul 06342017-2 10/31/2021 1,864.61 300 559,383 - 60
52 Domperidon Tablet (TSJ) Tablet C10246701 3/1/2019 495.00 900 445,500 - 900
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53 Domperidon Tablet (TSJ) Tablet TSC17844 2/1/2018 484.34 100 48,434 - 100
54 Domperidon Tablet (TSJ) Tablet TSN80045 12/1/2020 484.34 2,900 1,404,589 - -
55 Ephedrin Injeksi (APL) Ampul 97LG0026 7/1/2021 22,000.00 90 1,980,000 - 30
56 Estazor Tablet (PV) Kapsul TH1411 8/1/2021 8,800.00 540 4,752,000 - -
57 Estazor Tablet (PV) Kapsul TK1101 11/1/2021 9,020.00 - 1,200 10,824,000.00 270
58 Fiondazol Infus (UN) Botol BPIL13546 10/1/2021 66,000.00 - 100 6,600,000.00 -
59 Fiopraz Injeksi (UN) Vial BPSL03846 10/1/2020 110,000.00 - 100 11,000,000.00 -
60 Furosemid Tablet (KF) Tablet F70972B 5/19/2020 84.00 - 2,000 167,992.00 -
61 Gabapentin Kapsul 300 mg (AAM) Kapsul 48B0442 2/1/2019 4,235.00 - 1,020 4,319,700.00 300
62 Gabapentin Kapsul 300 mg (RNI) Kapsul 48B0442 2/28/2019 6,050.00 - 300 1,815,000.00 300
63 Gentamicin Cream Kulit (KF) Tube 171455T 9/29/2021 2,019.99 80 161,599 - 40
64 Glimefion Tablet 2 mg (UN) Tablet BTPL01246 10/1/2020 4,216.67 - 1,650 6,957,500.00 -
65 Glukosa 40% (KF) Vial 80G47A 7/11/2019 10,010.00 - 240 2,402,400.00 -
66 Graphalac Syrup (PV) Botol NL114 11/1/2019 44,412.50 - 24 1,065,900.00 24
67 Hepamed 300 mg (SST) Tablet JY7A131 9/1/2019 9,570.00 - 1,500 14,355,000.00 150
68 Isonat Tablet 5 mg (KF) Tablet D160355B 4/1/2020 968.00 2,900 2,807,200 - 2,000
69 Isosorbid Dinitrat Tablet (AP DE) Tablet 1612058 2/1/2021 300.00 - - - -
70 Isosorbid Dinitrat Tablet 5 mg (IGM) Tablet 1707043 8/1/2021 123.02 3,000 369,072 - -
71 KA-EN 3B (KF) Botol 471193A 8/1/2020 10,249.80 120 1,229,976 300 3,074,940.00 80
72 Ketorolac Injeksi 30 mg (AP DE) Ampul IKTRB70023 9/1/2019 7,000.00 - 18 126,000.00 18
73 Kolefion Tablet 20 mg (UN) Tablet BTSL01045 10/1/2019 5,500.00 - 1,020 5,610,000.00 300
74 Kolicgon Tablet (PV) Tablet T0651029 11/1/2018 1,317.37 2,000 2,634,730 - 400
75 Lanabal Tablet (MBS) Tablet 20E033 5/31/2021 1,320.00 700 924,000 - -
76 Lansoprazol Kapsul (RNI) Kapsul 223053 6/30/2019 1,000.01 - 600 600,006.00 300
77 Lansoprazol Kapsul (TAS) Kapsul NL09138 10/1/2019 810.81 400 324,324 - 400
78 Levemir Flex Pen (AAM) Pen GT6A977 10/1/2019 83,950.02 - 10 839,500.20 -
79 Levemir Flex Pen (AAM) Pen GT6B321 11/1/2019 83,949.99 - 40 3,357,999.70 -
80 Loperamid Tablet (KF) Tablet 70310 11/1/2019 85.00 - 3,000 254,991.00 1,000
81 Loprezol Kapsul (KF) Kapsul HG1543J 9/30/2019 799.99 - 3,000 2,399,980.00 600
82 Meloxicam Tablet 15 mg (RNI) Tablet JS17040A 10/1/2019 512.60 - 2,500 1,281,500.00 500
83 Meloxicam Tablet 15 mg (SST) Tablet T2717001 1/1/2019 909.32 300 272,795 - 300
84 Merophenem Injeksi 0,5 g (TSJ) Vial A10376701 1/1/2019 132,000.00 - 98 12,936,000.00 20
85 Metformin Tablet 500 mg (AAM) Tablet 47F4152 5/1/2019 179.69 - 3,000 539,055.00 800
86 Metformin Tablet 500 mg (RNI) Tablet 06431002 8/23/2022 239.58 - 200 47,916.00 200
87 Methylprednisolon Tablet 4 mg (KF) Tablet ZN165 11/1/2020 139.00 - 2,000 277,992.00 2,000
88 Methylprednisolon Tablet 4 mg (SST) Tablet T2752040 6/1/2021 316.80 2,400 760,320 - 2,400
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89 Methylprednisolon Tablet 4 mg (SST) Tablet T2752043 6/1/2021 316.80 - - - -
90 Methylprednisolon Tablet 4 mg (TSJ) Tablet K10046705 10/1/2019 550.00 - - - -
91 Metronidazol Infus (APL) Botol KY7E095 10/31/2019 8,703.20 - 300 2,610,960.00 -
92 Metronidazol Infus (TSJ) Botol L10176703 11/1/2020 44,000.00 - 500 22,000,000.00 -
93 Metronidazol Tablet 500 mg (PPG) Tablet TPM98846 11/1/2022 264.00 - 3,000 792,000.00 -
94 MgSO4 40 % (GF) Vial 86E46A 5/17/2018 2,629.00 - - - -
95 Miconazol Cream (KF) Tube 172317W 9/12/2021 3,575.00 120 429,000 - -
96 Molagit Tablet (AP DE) Tablet YM022 3/1/2021 700.00 - - - -
97 Myotonic Tablet (PV) Tablet A7A411 1/1/2019 2,915.00 100 291,500 - 100
98 Myotonic Tablet (PV) Tablet A7G708 7/1/2019 2,915.00 2,300 6,704,500 - 800
99 Myotonic Tablet (PV) Tablet A7J840 9/1/2019 2,915.00 3,600 10,494,000 - -
100 N-Ace Kapsul (PV) Kapsul TJ1471 10/1/2019 2,200.00 900 1,980,000 - -
101 N-Ace Kapsul (PV) Kapsul TK1851 11/1/2019 2,310.00 900 2,079,000 - -
102 NaCl Piggyback (KF) Botol 47173A 9/4/2020 13,200.00 160 2,112,000 - 160
103 Natrium Diklofenak Tablet 50 mg (KF) Tablet J72895J 10/5/2022 352.64 - 2,000 705,276.00 -
104 Natrium Diklofenak Tablet 50 mg (RNI) Tablet 06365040 11/16/2020 236.57 - 2,000 473,132.00 -
105 Natrium Phenitoin Injeksi (RNI) Ampul 06366006 7/31/2021 11,855.58 30 355,667 - -
106 Novadium Tablet (AP DE) Tablet 1605-01-34 5/1/2020 250.00 - - - -
107 Novorapid Flex Pen (AAM) Pen GR7C897 11/1/2019 86,999.99 - 50 4,349,999.50 25
108 Ondancentron Injeksi 4 mg (MRP) Ampul I172097 3/31/2019 2,871.00 - 450 1,291,950.00 -
109 Ondancentron Injeksi 4 mg (MRP) Ampul I172026 1/31/2019 2,871.00 - - - -
110 Ondancentron Injeksi 4 mg (MRP) Ampul I172077 2/28/2019 2,871.00 1,500 4,306,500 - 350
111 Ondancentron Injeksi 4 mg (TSJ) Ampul K10426602 10/1/2019 5,500.00 700 3,850,000 - 650
112 Ondancentron Injeksi 8 mg (AAM) Ampul 2170083 12/1/2018 9,680.00 265 2,565,200 - 200
113 Ondancentron Injeksi 8 mg (AAM) Ampul 2370448 2/1/2019 9,680.00 435 4,210,800 - -
114 Pantoprazol Injeksi (MTK) Vial P172242 9/1/2019 49,500.00 - 300 14,850,000.00 100
115 Pantotum Injeksi (TSJ) Vial H20266601 8/1/2018 115,500.00 - 4 462,000.00 -
116 Paracetamol Infus (APL) Botol JY7E103 9/30/2019 12,939.30 - 138 1,785,623.40 50
117 Paracetamol Infus (APL) Botol JY7E104 9/30/2019 12,939.30 - 162 2,096,166.60 24
118 Paracetamol Infus (TSJ) Botol G10626748 8/1/2019 67,100.00 100 6,710,000 - 100
119 Paracetamol Infus (TSJ) Botol PIL33146 1/1/2020 66,000.00 - 300 19,800,000.00 200
120 Paracetamol Tablet (RNI) Tablet 06711007 11/1/2022 115.50 - 10,000 1,155,000.00 3,000
121 Paracetamol Tablet (SST) Tablet 73248 7/1/2020 157.30 2,600 408,980 - 600
122 Phentanyl Injeksi (KF) Ampul 6D9K-B 10/1/2019 39,999.96 200 7,999,992 - -
123 Piracetam Injeksi 1 g (AAM) Ampul 2470595 3/1/2019 4,235.00 100 423,500 - -
124 Piracetam Injeksi 1 g (TSJ) Ampul H10406601 7/1/2019 6,600.00 - - - -
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125 Piracetam Injeksi 1 g (TSJ) Ampul PID14145 3/1/2020 6,600.00 150 990,000 - -
126 Piracetam Injeksi 1 g (TSJ) Ampul PIF74346 5/1/2021 6,600.00 350 2,310,000 - -
127 Piracetam Injeksi 3 g (RNI) Ampul 2170076 12/31/2018 18,815.50 56 1,053,668 - 56
128 Piracetam Injeksi 3 g (TSJ) Ampul K10396707 10/1/2020 20,900.00 - 40 836,000.00 40
129 Piracetam Injeksi 3 g (TSJ) Ampul K10396714 10/1/2020 20,900.00 - 30 627,000.00 30
130 Piracetam Injeksi 3 g (TSJ) Ampul PIL45946 1/1/2021 20,526.00 - 500 10,263,000.00 80
131 Prednicort Injeksi 125 mg (MBS) Vial 7F0625 6/1/2019 45,100.00 - 37 1,668,700.00 37
132 Prednicort Injeksi 125 mg (MBS) Vial 6L1055 11/1/2018 45,100.00 - 263 11,861,300.00 123
133 Profolat Tablet (KF) Tablet 1961710050 9/1/2019 62.00 3,000 185,988 - -
134 Protocin Injeksi (PV) Ampul F6J550 9/1/2018 7,480.00 - 40 299,200.00 -
135 Protocin Injeksi (PV) Ampul F7C786 3/1/2019 7,480.00 - 210 1,570,800.00 150
136 Protocin Injeksi (PV) Ampul F7L114 11/1/2019 7,480.00 - 1,000 7,480,000.00 -
137 Ranitidin Injeksi (TSJ) Ampul K10356719 10/1/2020 7,150.00 - 3,000 21,450,000.00 2,000
138 Ranitidin Tablet 150 mg (RNI) Tablet TA75203 9/30/2020 220.00 - 6,400 1,408,000.00 600
139 Ranitidin Tablet 150 mg (RNI) Tablet HTRNTA75200 9/30/2020 220.00 - 6,800 1,496,000.00 2,000
140 Reco Tetes Mata (SST) Botol 0091017014 4/1/2019 7,700.00 - 100 770,000.00 25
141 Recofol N Inejeksi (AAM) Ampul 17232041 5/1/2019 94,050.00 - 30 2,821,500.00 20
142 Renax Kapsul (MBS) Kapsul K060G013 3/1/2021 8,030.00 - 200 1,606,000.00 -
143 Ring AS (AP DE) Bag SK3050B 10/4/2019 28,000.00 - - - -
144 Ring AS (AP DE) Bag TD30890 4/6/2019 28,000.00 - 24 672,000.00 24
145 Ring AS (BSP) Bag TD3092A 4/1/2019 9,645.44 - 240 2,314,906.00 144
146 Sintrol Simvastatin Tablet 10 mg (SST) Tablet THY2 5/1/2020 558.62 900 502,755 - -
147 Sojourn (PV) Botol S19471124 8/1/2022 2,860,000.00 2 5,720,000 - -
148 Supravenid Suppositoria (PV) Suppo G7J143 9/1/2020 12,100.00 - 200 2,420,000.00 90
149 Terrell (PV) Botol N0047A13 1/1/2022 1,683,000.00 2 3,366,000 - -
150 Valesco Tablet 80 mg (SST) Tablet KY7A119 10/1/2019 2,464.00 - - 3,000 7,392,000.00 300
1 Alkohol 1000 ml (BDM) Botol 46609302 9/1/2021 44,000.00 30 1,320,000 - 30
2 Alkohol 1000 ml (RNI) Botol 46705302 5/31/2022 25,410.00 5 127,050 91 2,312,310.00 32
3 Alkohol 1000 ml (RNI) Botol 46707302 5/31/2022 25,410.00 - 14 355,740.00 14
4 Catgut Cromic 3/0 (RNI) Roll 2030BX 6/1/2022 2,614,700.00 2 5,229,400 - -
5 Catgut Cromic With Needle 2/0 HR 26 Kotak 170601 5/1/2022 825,000.00 8 6,600,000 - -
6 Disposable Syringe With Needle 01 cc TP (BDM) Pcs 171001 8/1/2022 843.70 - 2,400 2,024,880.00 -
7 Disposable Syringe With Needle 03 cc Aximed (KF) Pcs 20160605 5/1/2021 1,031.25 - 3,000 3,093,750.00 3,000
8 Disposable Syringe With Needle 03 cc Assp (RNI) Pcs 1703201 2/1/2022 844.21 - 1,700 1,435,150.20 500
9 Disposable Syringe With Needle 03 cc Skifa (RNI) Pcs 1503403 12/1/2020 2,851.20 - 1,900 5,417,280.00 1,800
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10 Disposable Syringe With Needle 03 cc TP (BDM) Pcs 171301 12/1/2022 851.40 - 3,600 3,065,040.00 -
11 Disposable Syringe With Needle 05 cc TP (BDM) Pcs 171401 1/1/2022 1,013.10 3,600 3,647,160 - 2,400
12 Disposable Syringe With Needle 10 cc TP (BDM) Pcs 171501 1/1/2022 1,216.60 1,800 2,189,880 1,800 2,189,880.00 1,500
13 Disposable Syringe With Needle 50 cc TP (BDM) Pcs 120717 12/1/2022 4,812.50 - 125 601,562.50 -
14 Feeding Tube FR 10 (BDM) Pcs 20170530 5/1/2022 4,082.10 - 50 204,105.00 -
15 Film 35 x 35 (BDM) Kotak 44611 6/1/2020 4,462,700.00 2 8,925,400 - -
16 Foley Catheter 3 Way 24 (BDM) Pcs 16K07 10/1/2021 110,000.00 40 4,400,000 - -
17 Gypsona 6 Inch (BDM) Roll 625 1/1/2019 66,715.00 - - 24 1,601,160.00 12
18 Gypsona 6 Inch (BDM) Roll 523 1/1/2018 66,715.00 - - - -
19 Handscoon Manual NS (BDM) Pasang 30,250.00 80 2,420,000 - 20
20 Handscoon NS (BDM) Pcs 17040502 3/1/2022 516.95 - 12,000 6,203,340.00 4,300
21 Handscoon ST 7 (BDM) Pasang 17070105 6/1/2022 4,660.00 - 300 1,398,000.00 -
22 Handscoon ST 7,5 (BDM) Pasang 17070105 6/1/2022 4,660.00 - 500 2,330,000.00 35
23 Handscoon ST 7,5 Eskamed (BDM) Pasang 203038344SPZA 2/1/2022 8,820.00 550 4,851,000 - 550
24 Hypavix 15 x 5 (AAM) Roll 64940230 11/1/2021 141,918.83 66 9,366,643 - 40
25 Hypavix 15 x 5 (AAM) Roll 64940230 11/1/2021 154,259.60 6 925,558 - 6
26 Hypavix 15 x 5 (BDM) Roll 63810230 8/1/2021 240,680.00 12 2,888,160 - -
27 Hypavix 15 x 5 (BDM) Roll 64940230 11/1/2021 240,680.00 31 7,461,080 - 31
28 Infus Set Makro With Air (RNI) Pcs 118P16 3/1/2021 11,680.00 - 400 4,671,999.20 300
29 IV Catheter 18 Eskamed (BDM) Pcs 3905115E 4/1/2020 12,600.00 300 3,780,000 - 300
30 IV Catheter 18 Optiva (RNI) Pcs 2724083 5/31/2019 24,200.00 - 200 4,840,000.00 -
31 IV Catheter 20 Abbocath (BDM) Pcs 67-201-KY 6/1/2021 16,000.00 300 4,800,000 - 300
32 IV Catheter 20 Abbocath (BDM) Pcs 69-202-KY 8/1/2021 16,000.00 - 500 8,000,000.00 50
33 IV Catheter 20 Optiva (RNI) Pcs 2740262 6/30/2019 24,200.00 - 200 4,840,000.00 200
37 IV Catheter 26 Eskamed (BDM) Pcs 3095315E 4/1/2020 14,131.00 100 1,413,100 - 100
38 IV Catheter 26 Eskamed (BDM) Pcs 3095315E 4/1/2020 16,956.50 200 3,391,300 - -
39 Jarum Kulit No. 12 (BDM) Lusin MD 16153703 38,500.00 6 231,000 10 385,000.00 8
40 Jarum Kulit No. 13 (BDM) Lusin 38,500.00 - 10 385,000.00 -
41 Jarum Kulit No. 14 (BDM) Lusin 38,500.00 - 10 385,000.00 -
42 Jarum Kulit No. 15 (BDM) Lusin MD 17171802 38,500.00 10 385,000 - 1
43 Jelly Ultrasound (BDM) ml 65066C 3/1/2022 110.00 20,000 2,200,000 - 10,000
44 Kapas 250 g (RNI) Roll 0216 10/31/2020 42,900.00 - 24 1,029,600.00 14
45 Kapas 500 g (RNI) Roll 0216 10/31/2020 85,415.00 - - - -
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46 Kapas 1000 g (BDM) Roll 1505025 5/1/2020 164,417.00 7 1,150,919 - 7
47 Kapas 1000 g (BDM) Roll 1505026 5/1/2020 164,417.00 9 1,479,753 - 9
48 Kasa Hidrofil 40 x 80 (RNI) Roll 361117 11/30/2021 233,200.00 - 50 11,660,000.00 -
49 Kertas EKG 110 (BDM) Roll 165,000.00 - 20 3,300,000.00 -
50 Kertas EKG 210 (BDM) Roll 33815 12/1/2018 192,500.00 10 1,925,000 20 3,850,000.00 -
51 Masker Tie On (KF) Pcs 664043 5/1/2021 599.98 - 10,000 5,999,840.00 5,200
52 Mata Pisau No. 11 (BDM) Pcs 4507519425 2/1/2021 4,125.00 190 783,750 - 40
53 Mata Pisau No. 11 (BDM) Pcs 4508319225 12/1/2021 4,125.00 - 200 825,000.00 -
54 Mata Pisau No. 20 (BDM) Pcs 4508529019 2/1/2022 4,125.00 - 200 825,000.00 -
55 Nasal O2 Dewasa (BDM) Pcs 170712 7/1/2022 30,250.00 50 1,512,500 50 1,512,500.00 78
56 Octenic Body Wash (RNI) Pak 04GL0101 9/1/2019 17,600.00 - 28 492,800.00 -
57 Octenic Body Wash (RNI) Pak 05GL0101 9/1/2019 17,600.00 - 72 1,267,200.00 -
58 Penjepit Tali Pusar (BDM) Pcs 03.2016 3/1/2021 2,200.00 150 330,000 - 100
59 Perfusor (BDM) Pcs 17G01K8411 7/1/2022 99,000.00 - 50 4,950,000.00 -
60 Stomach Tube 16 Terumo (BDM) Pcs 170116B 12/1/2021 33,599.50 - - - -
61 Stomach Tube 16 Terumo (BDM) Pcs 170315B 2/1/2022 33,599.50 50 1,679,975 - -
62 Sungkup Nebulizer Dewasa (BDM) Pcs 170305 3/1/2022 66,000.00 3 198,000 - -
63 Sungkup O2 Dewasa + Kantong (BDM) Pcs 1512022020 11/1/2020 66,000.00 10 660,000 - 9
64 Surgicryl 910 2 HR 40 (RNI) Kotak 160315 2/28/2022 1,755,600.00 5 8,778,000 - 5
65 Surgicryl 910 2/0 HR 17 (RNI) Kotak 170210 1/30/2022 1,320,000.00 3 3,960,000 - -
66 Surgicryl 910 3/0 HR 30 (RNI) Kotak 170316 2/28/2022 1,148,400.00 8 9,187,200 - 4
67 Tensocrepe 4 Inch (BDM) Roll 041711073 11/1/2022 93,830.00 10 938,300 - -
69 Tensocrepe 6 Inch (BDM) Roll 121701301 1/1/2022 139,480.00 30 4,184,400 - 14
71 Three Way Eskamed (BDM) Pcs 169002 8/1/2021 15,750.00 100 1,575,000 - -
72 Three Way Tro (BDM) Pcs 13958-02 6/1/2020 22,000.00 200 4,400,000 - 150
73 Transfusi Set Eskamed (BDM) Pcs 171020 9/1/2022 16,380.10 250 4,095,025 - 250
74 Transfusi (BDM) Pcs 20170923 9/1/2022 4,847.70 - 500 2,423,850.00 50
75 Transfusi Set (RNI) Pcs 423A16 2/28/2022 22,000.00 - - - -
76 Urine Bag (BDM) Pcs 20171220 12/1/2022 5,728.80 - 500 2,864,400.00 -
77 Urine Bag (RNI) Pcs 16531 10/1/2021 6,600.00 80 528,000 - 80
78 Urine Bag (RNI) Pcs 17046 2/1/2022 6,600.00 50 330,000 - 50
TOTAL 1,722,030,723.10 414,673,735.90
412682303.xlsx 49
Harga Satuan
Terkecil
BUOL
PENGURUS/PENYIMPAN BARANG KEPALA INSTALASI FARMASI PENA

RSUD MOKOYURLI KABUPATEN BUOL GUDANG
NURSYAMSI SRI ARIYANTI, S.Si., Apt ROSI

NIP : 19810727 201001 1 012 NIP. 19820918 200804 2 002 NIP. 198
412682303.xlsx 50
UARI TAHUN 2018
- 2,800 330,400
- - -
101,640 8 406,560
- 10 500,000
- 1 550,000
- - -
- 169 25,265,500
- 14,000 1,688,960
- 23,000 4,183,930
- - -
- 3 56,250
- 1 733,333
- - -
- 4 186,340
- 96 4,622,006
- 1,200 573,606
- 4,000 131,120
- 28 106,103
- 117 11,454,300
374,347 - -
107,250 - -
- 5,000 207,900
- - -
- 26 629,200
- 20 440,000
- 4 2,032,800
- - -
- 1,100 5,929,000
693,000 11,500 8,855,000
- 44 3,146,000
- 50 4,400,000
412682303.xlsx 51
457,050 6,500 5,941,650
9,440 1,700 160,483
- 800 8,360,000
- 1,500 11,000,000
- 10 146,410
- 200 50,600
706,860 - -
- 450 4,009,500
- 5 332,750
- 400 880,000
- 900 83,160
- 600 102,597
- 1,400 1,016,400
- 125 584,375
- 44 4,840,000
- 68 505,947
- 630 5,717,250
36,897 600 73,795
242,000 120 2,904,000
- - -
1,668,700 - -
33,880 - -
- 700 164,010
- 400 857,120
- 150 1,452,000
- - -
- 1 759,000
- 19 80,925
- 30 127,776
- 14 59,629
- 10 550,000
- 10 242,000
154,000 1 77,000
- 6 231,000
- 3 115,500
220,000 - -
412682303.xlsx 52
- 43 1,940,010
- 100 330,000
- 100 117,865
- - -
- 50 180,950
- - -
- 2,200 1,914,002
- 700 380,921
4,500,000 4 6,000,000
175,501 - -
- - -
- - -
- 10 649,891
- 1,000 141,680
62,920 - -
- 1,250 11,000,000
298,375 - -
424,829 1,700 267,485
- 270 891,000
1,489,125 150 1,489,125
1,980,000 1,560 4,290,000
298,144 1,900 708,092
- 500 319,000
- 500 26,000
475,552 6,800 1,010,548
415,800 - -
2,464,000 - -
770,000 1,000 1,540,000
- - -
- - -
- 90 825,000
- - -
396,000 1,800 3,564,000
- - -
1,097,250 400 627,000
15,950 49 781,550
412682303.xlsx 53
- 20 3,300,000
2,911,700 50 2,911,700
- - -
713,900 2,050 2,480,500
1,276,000 195 12,441,000
- - -
2,640,000 - -
- 2,000 194,810
120,534 - -
262,240 20 262,240
800,800 1,300 800,800
468,875 250 2,344,375
- 3,900 19,305,000
3,630,000 - -
3,160,872 - -
- 50 5,224,613
- 493 71,041,300
- 3 429,000
- 300 26,400,000
4,400,000 - -
- - -
1,760,000 30 1,320,000
- - -
- 2,200 356,708
- 500 114,912
- 100 7,700,000
770,000 1,700 1,309,000
- 1,800 1,264,032
199,100 200 159,280
539,999 500 899,998
- 3,000 5,999,994
2,691,013 570 2,045,170
499,499 - -
- 124 738,333
57,173 - -
240,240 2,900 6,966,960
412682303.xlsx 54
966,460 - -
231,000 - -
55,938 - -
- 25 1,849,698
- 100 1,012,000
- - -
242,990 - -
- 2 2,618,000
- 600 936,540
32,175 - -
- 1,400 3,788,400
8,687,250 210 20,270,250
- - -
4,136,000 90 465,300
6,545,000 600 5,610,000
- 10 770,000
- 100 7,700,000
- 30 1,155,000
- 6 726,000
- 20 1,460,000
- 50 514,250
- 2,000 7,788,000
- 600 1,234,807
153,463 800 153,463
- - -
2,640,000 420 4,620,000
- 110 8,800,000
- 9 82,368
- 100 4,001,250
1,558,400 2,200 8,571,200
- - -
148,500 300 89,100
- 600 1,105,500
2,760,120 5,940 40,987,782
- 2,000 185,350
- 4 2,822,000
412682303.xlsx 55
- 48 153,912
- 24 137,280
- 8 6,799,998
- 72 3,564,429
71,280 2,800 399,168
- - -
271,997 372 1,686,381
- 15 1,074,002
1,635,876 40 641,520
1,470,150 - -
20,460,000 60 990,000
2,400,552 - -
- - -
11,123,299 - -
212,397 2,300 1,221,282
330,000 7,700 12,705,000
- 28 4,735,369
- 2,000 800,008
- 1,500 461,691
1,848,000 180 16,632,000
- - -
- 800 664,224
- 3,000 1,254,000
7,700,000 - -
- - -
302,500 - -
5,170,000 - -
- - -
- - -
132,000 1,100 290,400
- 24 85,800
- 1,000 133,100
7,425,000 1,000 8,250,000
3,206,500 - -
- - -
- - -
412682303.xlsx 56
225,350 - -
78,365 200 52,243
21,472,495 2,550 16,344,735
736,890 - -
- 1,000 2,200,000
1,127,500 2,900 3,269,750
980,210 - -
- 250 35,750,000
- 250 33,000,000
- 20 1,848,000
- 120 7,920,000
- 20 1,131,900
- 150 10,560,000
4,943,741 - -
412,500 - -
- 300 605,000
- - -
972,576 472 2,390,916
46,200 - -
- 60 186,783
395,743 20 263,828
4,000,040 70 2,800,028
264,990 1,500 1,324,950
297,000 - -
- 90 445,500
- 1,200 188,760
- 120 1,584,000
- 200 2,178,000
- 150 1,650,000
- 260 1,901,900
2,024,000 50 2,200,000
237,402 500 237,402
222,750 85 1,262,250
7,507,248 - -
- 250 2,420,000
12,672,000 - -
412682303.xlsx 57
528,000 - -
- 60 198,000
- - -
1,485,000 - -
1,135,200 90 425,700
- - -
264,000 330 2,904,000
528,000 - -
- 180 1,089,000
561,000 400 748,000
- 5,450 38,667,750
14,300,000 6,500 46,475,000
- 20 1,980,000
10,560,000 - -
163,988 3,400 278,780
3,220,140 - -
- 150 1,485,000
822,800 - -
- 6 290,400
- 1,700 504,900
262,508 100 25,001
- 1 2,860,000
- 300 1,200,166
203,500 1,500 610,500
- 45 198,028
- 70 936,897
- 84 7,858,053
- 1 1,683,000
- 2,200 958,030
- 300 4,356,000
- 75 2,062,500
- 50 1,375,000
- 17 3,272,500
80,000 1,200 96,000
242,880 3,500 425,040
292,996 2,400 1,406,381
412682303.xlsx 58
- - -
- 2 233,200
- 5 3,887,400
- 8 6,621,120
- 1 1,650,000
1,655,280 1 827,640
- 2 1,655,280
- 2 1,650,000
5,229,400 - -
- 8 6,600,000
- 2 1,554,960
- 100 1,320,000
- 2 2,565,200
1,188,000 200 237,600
- 2,000 1,687,400
- - -
464,420 - -
- 100 172,500
- - -
101,310 - -
216,563 125 601,563
1,650,000 8 2,200,000
- 30 2,475,000
- 20 1,650,000
- 10 825,000
- 25 2,475,000
85,184 84 357,773
- 250 9,625,000
- 50 204,105
- 10 385,000
- 50 204,105
- 39 159,202
- 2 5,170,000
- 2 8,219,200
- 2 1,581,800
- 50 3,465,000
412682303.xlsx 59
- - -
968,000 60 1,452,000
- - -
472,494 - -
968,000 60 1,452,000
137,500 - -
- - -
- - -
- 19,500 1,115,400
- - -
1,802,539 2,500 375,529
- - -
5,397,830 - -
- - -
- - -
1,519,936 - -
1,918,400 60 719,400
1,726,725 5 44,275
17,625 - -
- 30,000 6,456,958
- - -
- - -
3,899,610 - -
- 450 2,868,525
- 100 1,600,000
- - -
- - -
1,600,000 150 2,400,000
- 200 1,789,480
- - -
800,000 - -
- 250 -
- 500 3,749,900
1,950,000 - -
- - -
269,500 - -
412682303.xlsx 60
77,000 - -
38,500 - -
- - -
203,891 10 339,818
- - -
13,629,000 53 12,243,000
- - -
962,500 20 3,850,000
3,520,000 14 4,928,000
- - -
595,356 - -
- - -
- - -
407,000 94 129,250
- 300 1,237,500
- - -
- 10 302,500
- 350 729,049
1,650,000 1 825,000
825,000 12 9,900,000
- 1 825,000
- 4 3,300,000
1,210,440 3 3,631,320
1,210,440 3 3,631,320
657,432 47 2,809,026
- 180 17,919,000
- 144 13,533,062
211,750 - -
332,653 - -
75,598 45 680,378
27,375 36 328,499
- - -
- 11 7,260,000
660,000 16 10,560,000
- 1 660,000
- 3 1,524,600
412682303.xlsx 61
- 660,000 3 1,980,000
521,400 24 1,042,800
2,420,000 100 4,840,000
- 300 14,520,000
- 150 7,260,000
24,196 25 100,815
16,130 1 4,033
- 13 367,900
- 47 3,102,000
1,650,000 - -
- - -
- - -
- 2 3,088,800
- 1 1,491,600
- - -
1,100,000 - -
- - -
- 80 2,068,000
- - -
- - -
- 1,800 54,000
707,207 - -
1,100,000 - -
30,000 - -
210,000 - -
- 4,700 1,551,000
108,240 - -
135,300 4,000 541,200
- 5,000 1,650,000
- 40 2,599,564
- 60 237,596
- 2,100 423,500
72,001 5,850 2,808,020
- - -
- - -
- 1,500 1,226,500
412682303.xlsx 62
245,300 - -
245,300 2,460 2,011,460
715,000 3,000 715,000
321,750 200 1,430,000
- 600 3,168,000
1,161,600 680 3,590,400
330,000 - -
330,000 - -
- 600 5,787,540
- 300 540,000
- 3,000 16,500,000
36,245 25 36,245
330,000 600 990,000
- 200 330,000
150,960 2,760 1,736,040
- 3,360 18,480,000
309,944 500 61,989
- - -
1,386,000 - -
1,201,200 1,200 1,108,800
1,436,754 1,400 3,352,426
454,960 600 682,440
40,590,000 600 27,060,000
3,300,000 20 1,320,000
- 180 11,880,000
59,400,000 - -
- 300 13,200,000
2,557,500 - -
742,500 - -
- 3,000 1,004,850
156,750 750 235,125
- 3,000 940,500
- 270 1,782,000
1,299,375 1,000 866,250
111,877 240 447,506
445,500 - -
412682303.xlsx 63
48,434 - -
- 2,900 1,404,589
660,000 60 1,320,000
- 540 4,752,000
2,435,400 930 8,388,600
- 100 6,600,000
- 100 11,000,000
- 2,000 167,992
1,270,500 720 3,049,200
1,815,000 - -
80,799 40 80,799
- 1,650 6,957,500
- 240 2,402,400
1,065,900 - -
1,435,500 1,350 12,919,500
1,936,000 900 871,200
- - -
- 3,000 369,072
819,984 340 3,484,932
126,000 - -
1,650,000 720 3,960,000
526,946 1,600 2,107,784
- 700 924,000
300,003 300 300,003
324,324 - -
- 10 839,500
- 40 3,358,000
84,997 2,000 169,994
479,996 2,400 1,919,984
256,300 2,000 1,025,200
272,795 - -
2,640,000 78 10,296,000
143,748 2,200 395,307
47,916 - -
277,992 - -
760,320 - -
412682303.xlsx 64
- - -
- - -
- 300 2,610,960
- 500 22,000,000
- 3,000 792,000
- - -
- 120 429,000
- - -
291,500 - -
2,332,000 1,500 4,372,500
- 3,600 10,494,000
- 900 1,980,000
- 900 2,079,000
2,112,000 - -
- 2,000 705,276
- 2,000 473,132
- 30 355,667
- - -
2,175,000 25 2,175,000
- 450 1,291,950
- - -
1,004,850 1,150 3,301,650
3,575,000 50 275,000
1,936,000 65 629,200
- 435 4,210,800
4,950,000 200 9,900,000
- 4 462,000
646,965 88 1,138,658
310,543 138 1,785,623
6,710,000 - -
13,200,000 100 6,600,000
346,500 7,000 808,500
94,380 2,000 314,600
- 200 7,999,992
- 100 423,500
- - -
412682303.xlsx 65
- 150 990,000
- 350 2,310,000
1,053,668 - -
836,000 - -
627,000 - -
1,642,080 420 8,620,920
1,668,700 - -
5,547,300 140 6,314,000
- 3,000 185,988
- 40 299,200
1,122,000 60 448,800
- 1,000 7,480,000
14,300,000 1,000 7,150,000
132,000 5,800 1,276,000
440,000 4,800 1,056,000
192,500 75 577,500
1,881,000 10 940,500
- 200 1,606,000
- - -
672,000 - -
1,388,944 96 925,962
- 900 502,755
- 2 5,720,000
1,089,000 110 1,331,000
- 2 3,366,000
739,200 2,700 6,652,800
- - -
1,320,000 - -
813,120 64 1,626,240
355,740 - -
- 2 5,229,400
- 8 6,600,000
- 2,400 2,024,880
3,093,750 - -
422,103 1,200 1,013,047
5,132,160 100 285,120
412682303.xlsx 66
- 3,600 3,065,040
2,431,440 1,200 1,215,720
1,824,900 2,100 2,554,860
- 125 601,563
- 50 204,105
- 2 8,925,400
- 40 4,400,000
800,580 12 800,580
- - -
605,000 60 1,815,000
2,222,864 7,700 3,980,477
- 300 1,398,000
163,100 465 2,166,900
4,851,000 - -
5,676,753 26 3,689,890
925,558 - -
- 12 2,888,160
7,461,080 - -
3,503,999 100 1,168,000
3,780,000 - -
- 200 4,840,000
4,800,000 - -
800,000 450 7,200,000
4,840,000 - -
2,420,000 - -
2,420,000 - -
1,210,000 250 6,050,000
1,413,100 - -
- 200 3,391,300
308,000 8 308,000
- 10 385,000
- 10 385,000
38,500 9 346,500
1,100,000 10,000 1,100,000
600,600 10 429,000
- - -
412682303.xlsx 67
1,150,919 - -
1,479,753 - -
- 50 11,660,000
- 20 3,300,000
- 30 5,775,000
3,119,917 4,800 2,879,923
165,000 150 618,750
- 200 825,000
- 200 825,000
2,359,500 22 665,500
- 28 492,800
- 72 1,267,200
220,000 50 110,000
- 50 4,950,000
- - -
- 50 1,679,975
- 3 198,000
594,000 1 66,000
8,778,000 - -
- 3 3,960,000
4,593,600 4 4,593,600
- 10 938,300
- 6 836,880
1,952,720 16 2,231,680
- 2 278,960
- 100 1,575,000
3,300,000 50 1,100,000
4,095,025 - -
242,385 450 2,181,465
- - -
- 500 2,864,400
528,000 - -
330,000 - -
607,736,699.91 1,528,967,759.09
412682303.xlsx 68
BUOL, 08 MARET 2018
PENANGGUNGJAWAB

NIP. 19820818 201001 2 012
412682303.xlsx 69
BULAN MARET TAHUN 2018
Harga Satuan
No Nama Sediaan Satuan Batch Kedaluwarsa Jml Nilai Stock Awal Masuk
Terkecil
OBAT TAHUN 2013

1 Amythriptillin 25 mg Tab Tablet 118.00 2,800 330,400.00
BAHAN HABIS PAKAI 2013 - - -
1 Kertas EKG Roll 50,820.00 8 406,560.00
2 Kertas EKG Roll 50,000.00 10 500,000.00
3 Softnolime Galon 550,000.00 1 550,000.00
OBAT PENGADAAN 2014 - - -
1 Flutamol Tablet 149,500.00 169 25,265,500.00
2 Ibuprofen Tab 200 mg Tablet 120.64 14,000 1,688,960.00
3 VITAMIN B6 Tab/Kap @1 Tablet Tablet 181.91 23,000 4,183,930.00
1 SLIM SECHER Pcs 18,750.00 3 56,250.00
2 Softnolime Galon 733,333.00 1 733,333.00
1 Burnazin Cream (KF) Tube 46,585.00 4 186,340.00
2 Catapres Injeksi (KF) Ampul 48,145.90 96 4,622,006.40
3 Ethambutol Tablet 500 mg (KF) Tablet 478.01 1,200 573,606.00
4 Gliseril Guaiacolat Tablet (RNI) Tablet 32.78 4,000 131,120.00
5 Novadiar Syrup (RNI) Botol 3,789.40 28 106,103.20
6 Otsu Tran 40% (RNI) Botol 97,900.00 117 11,454,300.00
7 Phytomenadion Tablet (RNI) Tablet 748.69 - -
8 Rivanol (RNI) Botol 4,125.00 - -
9 Vitamin B1 Tablet (RNI) Tablet 41.58 5,000 207,900.00
BAHAN HABIS PAKAI BLUD - - -
1 Foley Catheter FR 20 (RNI) Pcs 24,200.00 26 629,200.00
412682303.xlsx 70
Harga Satuan
Terkecil

3 Silk Black With Needle USP 4/0 HR 26 (RNI) Kotak 508,200.00 4 2,032,800.00
1 Albuforce Tablet (UN) Tablet 5,390.00 1,100 5,929,000.00
2 Amoxicillin Tablet (DNR) Tablet 770.00 11,500 8,855,000.00
3 Azytromicin Syrup (TSJ) Botol 71,500.00 44 3,146,000.00
4 Azitum Syrup Botol 88,000.00 50 4,400,000.00
5 Betahistin Mesilat Tablet 6 mg (AAM) Tablet 914.10 6,500 5,941,650.00
6 Calsium Lactat (KF) Tablet 94.40 1,700 160,483.40
7 Cilostazol Tablet (DNR) Tablet 10,450.00 800 8,360,000.00
8 Citicolin Tablet 500 mg (DNR) Tablet 7,333.33 1,500 11,000,000.00
9 Desoximethasone Cream 0,25 mg (AAM) Tube 14,641.00 10 146,410.00
10 Doxycycline Kapsul 100 mg (KF) Kapsul 253.00 200 50,600.00
11 Dulcolax Suppo (KF) Suppo 14,137.20 - -
12 Epinefrin Injeksi (RNI) Ampul 8,910.00 450 4,009,500.00
13 Falergi (PV) Botol 66,550.00 5 332,750.00
14 Flunarizine Tablet (DNR) Tablet 2,200.00 400 880,000.00
15 Halloperidol Tablet 0,5 mg (IGM) Tablet 92.40 900 83,160.00
16 Hidrochlortiazide (KF) Tablet 171.00 600 102,597.00
17 Interhistin Tablet (MBS) Tablet 726.00 1,400 1,016,400.00
18 Ketokonaole Cream 2% (KF) Tube 4,675.00 125 584,375.00
19 Levofloxacin Infus (DNR) Botol 110,000.00 44 4,840,000.00
20 Meylon (KF) Vial 7,440.40 68 505,947.20
21 Miotonic Injeksi (PV) Ampul 9,075.00 630 5,717,250.00
22 Nifedipin Tablet (AAM) Tablet 122.99 600 73,794.60
23 Nistatin Drops (DNR) Botol 24,200.00 120 2,904,000.00
24 Pamol Suppo (ENS) Suppo 9,927.50 - -
25 Pelastin Injeksi (BSP) Vial 333,740.00 - -
26 Propranolol Tablet (AAM) Tablet 84.70 - -
27 Pyrazinamide 500 mg Tablet (KF) Tablet 234.30 700 164,010.00
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28 Rethapril Tablet (KF) Tablet 2,142.80 400 857,120.00

29 Trolip Kapsul (AAM) Kapsul 9,680.00 150 1,452,000.00
1 Catgut Cromic With Needle USP 3/0 DS 30 (RNI) Kotak 759,000.00 1 759,000.00
2 Feeding Tube 10 (BDM) Pcs 4,259.20 19 80,924.80
5 Foley Catheter FR 10 (BDM) Pcs 55,000.00 10 550,000.00
7 H2O2 (BDM) Botol 77,000.00 1 77,000.00
8 Jarum Kulit No. 06 (BDM) Lusin 38,500.00 6 231,000.00
10 Kertas EKG 110 (BDM) Roll 110,000.00 - -
11 Leukoplast (RNI) Roll 45,116.50 43 1,940,009.50
12 Mata Pisau No. 23 (BDM) Pcs 3,300.00 100 330,000.00
13 Mata Pisau No. 24 (BDM) Pcs 1,178.65 100 117,865.00
1 Acyclovir Cream (KF) Tube 3,619.00 50 180,950.00
2 Acyclovir Cream (RNI) Tube 3,461.00 - -
3 Acyclovir Tablet 400 mg (DNR) Tablet 870.00 2,200 1,914,002.20
4 Acyclovir Tablet 400 mg (ENS) Tablet 544.17 700 380,921.10
5 Albuminar (AAM) Botol 1,500,000.00 4 5,999,999.98
6 Alprazolam Tablet 0,5 mg (KF) Tablet 585.00 - -
7 Ambroxol Syrup (IGM) Botol 3,536.03 - -
8 Ambroxol Tablet (SST) Tablet 169.40 - -
9 Aminofluid (KF) Bag 64,989.10 10 649,891.00
10 Aminofillin Tablet (SST) Tablet 141.68 1,000 141,680.00
11 Amoxicillin Syrup (ENS) Botol 4,840.00 - -
12 Ampicillin Injeksi (DNR) Vial 8,800.00 1,250 11,000,000.00
13 Antasida Syrup (KF) Botol 5,967.50 - -
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14 Antasida Tablet (RNI) Tablet 157.34 1,700 267,484.80

15 Anti Hemoroid Suppo Suppo 3,300.00 270 891,000.00
16 Antrain Injeksi (ENS) Ampul 9,927.50 150 1,489,125.00
17 Aqua Pro Injeksi (KF) Vial 2,750.00 1,560 4,290,000.00
18 Arfen (Ibuprofen 400 mg) Tablet (SST) Tablet 372.68 1,900 708,092.00
19 Arkine Tablet (SST) Tablet 638.00 500 319,000.00
20 Asam Folat Tablet (RNI) Tablet 52.00 500 25,999.99
21 Asam Mefenamat Tablet (ENS) Tablet 148.61 6,800 1,010,548.00
22 Asam Mefenamat Tablet (PPG) Tablet 297.00 - -
23 Asam Traneksamat Injeksi (PPG) Ampul 7,700.00 - -
24 Asam Traneksamat Tablet (DNR) Tablet 1,540.00 1,000 1,540,000.00
25 Asam Valproat (AAM) Botol 26,987.00 - -
26 Asering Infus (KF) Botol 9,274.10 - -
27 Astonox Tablet (UN) Tablet 9,166.67 90 825,000.00
28 Atropin Sulfat Injeksi (UN) Ampul 2,000.00 - -
29 Bamgetol Tablet (IGM) Tablet 1,980.00 1,800 3,564,000.00
30 Betamethason Cream (KF) Tube 1,975.53 - -
31 Bionemi Kapsul (PV) Kapsul 1,567.50 400 627,000.00
32 Bioplacenton Cream (ENS) Tube 15,950.00 49 781,550.00
33 Biosat Injeksi (RNI) Ampul 165,000.00 20 3,300,000.00
34 Bisolvon Injeksi (KF) Ampul 58,234.00 50 2,911,700.00
35 Bisoprolol Tablet 5 mg (AAM) Tablet 1,166.59 - -
36 Bisoprolol Tablet 5 mg (RNI) Tablet 1,210.00 2,050 2,480,500.00
37 Bunascan Injeksi (PV) Ampul 63,800.00 195 12,441,000.00
38 Buscopan Tablet (KF) Tablet 2,865.50 - -
39 Candesartan Tablet (DNR) Tablet 5,500.00 - -
40 Captopril Tablet 12,5 mg (RNI) Tablet 97.41 2,000 194,810.00
41 Captopril Tablet 25 mg (KF) Tablet 120.53 - -
42 Carbazocrome Injeksi (PV) Ampul 13,112.00 20 262,240.00
43 Cartylo Tablet (KF) Tablet 616.00 1,300 800,800.00
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44 Cefadroxil Syrup /Lifadrox (SST) Botol 9,377.50 250 2,344,375.00

45 Cefixim Kapsul 200 mg (PPG) Kapsul 4,950.00 3,900 19,305,000.00
46 Cefixim Syrup (DNR) Botol 36,300.00 - -
47 Cefixime Kapsul (RNI) Kapsul 2,634.06 - -
48 Cefobactam Injeksi (BSP) Vial 104,492.26 50 5,224,612.80
49 Cefoperazon Sulbactam Injeksi (TSJ) Vial 144,100.00 493 71,041,300.00
50 Cefoperazone Sulbactam Injeksi (DNR) Vial 143,000.00 3 429,000.00
51 Cefoperazone Sulbactam Injeksi (ENS) Vial 88,000.00 300 26,400,000.00
52 Cefotaxim Injeksi (MTA) Vial 44,000.00 - -
53 Ceftriaxon Injeksi (DNR) Vial 15,400.00 - -
54 Cefuroxim Injeksi (MRP) Vial 44,000.00 30 1,320,000.00
55 Cetirizine Tablet (RNI) Tablet 313.50 - -
56 Chlorpheniramin Maleat Tablet/ Orphen (SST) Tablet 162.14 2,200 356,708.00
57 Chlorpromazin Tablet 100 mg (KF) Tablet 229.82 500 114,911.50
58 Ciprofloxacin Infus (TSJ) Botol 77,000.00 100 7,700,000.00
59 Ciprofloxacin Tablet (TSJ) Tablet 770.00 1,700 1,309,000.00
60 Clindamycin Kapsul 150 mg (IGM) Kapsul 702.24 1,800 1,264,032.00
61 Clindamycin Kapsul 150 mg (PV) Kapsul 796.40 200 159,280.00
62 Clindamycin Kapsul 300 mg Kapsul 1,800.00 500 899,998.00
63 Clindamycin Kapsul 300 mg (PPG) Kapsul 2,000.00 3,000 5,999,994.00
64 Clopidogrel Trombikaf Tablet (KF) Tablet 3,588.02 570 2,045,169.50
65 Combivent Inhalasi (KF) Ampul 4,994.99 - -
66 Cotrimoxazol Syrup (RNI) Botol 5,954.30 124 738,333.20
67 Cotrimoxazol Tablet (KF) Tablet 190.58 - -
68 Dexamethason Injeksi (PPG) Ampul 2,402.40 2,900 6,966,960.00
69 Dexamethason Injeksi (RNI) Ampul 2,416.15 - -
70 Dexamethason Tablet (DNR) Tablet 154.00 - -
71 Diphenhidramin Injeksi (RNI) Ampul 1,864.61 - -
72 Dobutamin Injeksi (RNI) Ampul 73,987.90 25 1,849,697.50
73 Domperidon Syrup (ENS) Botol 10,120.00 100 1,012,000.00
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74 Domperidon Tablet (ENS) Tablet 139.48 - -

75 Dulcolax Tablet (KF) Tablet 1,214.95 - -
76 Endrolin Injeksi (ESV) Ampul 1,309,000.00 2 2,618,000.00
77 Eperison Tablet (DNR) Tablet 1,560.90 600 936,540.00
78 Erlamycetin Ear Drop (PV) Botol 6,435.00 - -
79 Erysanbe Tablet 200 mg (BSP) Tablet 2,706.00 1,400 3,788,400.00
80 Esomax Injeksi (MBS) Vial 96,525.00 210 20,270,250.00
81 Estazor Tablet (PV) Kapsul 8,800.00 - -
82 Farbion Injeksi (UN) Ampul 5,170.00 90 465,300.00
83 Farbivent Injeksi (PV) Ampul 9,350.00 600 5,610,000.00
84 Farelax Injeksi (PV) Ampul 77,000.00 10 770,000.00
85 Farelax Injeksi (UN) Ampul 77,000.00 100 7,700,000.00
86 Fargoxin Injeksi (PV) Ampul 38,500.00 30 1,155,000.00
87 Farmabes Injeksi (PV) Vial 121,000.00 6 726,000.00
88 Flamicort IAD (AAM) Vial 73,000.00 20 1,460,000.08
89 Fucilex Cream (MBS) Tube 10,285.00 50 514,250.00
90 Furosemid Injeksi (AAM) Ampul 3,894.00 2,000 7,788,000.00
91 Furosemid Injeksi (RNI) Ampul 2,058.01 600 1,234,806.86
92 Furosemid Tablet (RNI) Tablet 191.83 800 153,463.20
93 Gabapentin Kapsul 300 mg (RNI) Kapsul 6,050.00 - -
94 Gastrul Tablet (PV) Tablet 11,000.00 420 4,620,000.00
95 Gelafusal (AAM) Bag 80,000.00 110 8,799,999.67
96 Genoint Eye (PV) Botol 9,152.00 9 82,368.00
97 Gentamicin Cream (PV) Tube 40,012.50 100 4,001,250.00
98 Gentamicin Injeksi (IGM) Ampul 3,896.00 2,200 8,571,199.56
99 Gentamicin Salep Kulit (KF) Tube 2,019.99 - -
100 Glimepiride Tablet 2 mg (KF) Tablet 297.00 300 89,100.00
101 Glucosamin Tablet (DNR) Tablet 1,842.50 600 1,105,500.00
102 Glukosa 5 % (KF) Botol 6,900.30 5,940 40,987,782.00
103 Halloperidol Tablet 0,5 mg (IGM) Tablet 92.68 2,000 185,350.00
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104 Halotane Inhalasi (AAM) Botol 705,500.00 4 2,822,000.02

105 Hidrocortison Cream (KF) Tube 3,206.50 48 153,912.00
106 Hidrocortison Cream (RNI) Tube 5,720.00 24 137,280.00
107 Human Albumin (KF) Botol 849,999.80 8 6,799,998.40
108 Hydromal (BSP) Bag 49,505.96 72 3,564,429.00
109 Isoniazid Tablet 100 mg (KF) Tablet 142.56 2,800 399,168.00
110 KAEN 3B (KF) Botol 10,249.80 - -
111 Kamadol Injeksi (KF) Ampul 4,533.28 372 1,686,381.40
112 Ketamin Hameln 50 mg (APL) Vial 71,600.10 15 1,074,001.50
113 Ketorolac Injeksi 30 mg (PPG) Ampul 16,038.00 40 641,520.00
114 Ketorolac Injeksi 30 mg (RNI) Ampul 14,701.50 - -
115 Ketorolac Injeksi 30 mg (TSJ) Ampul 16,500.00 60 990,000.00
116 Ketosic Injeksi 30 mg (PV) Ampul 10,002.30 - -
117 Lansoprazol Kapsul (DNR) Kapsul 1,621.60 - -
118 Levemir Flex Pen (RNI) Pen 222,465.98 - -
119 Levofloxacin Tablet (KF) Tablet 530.99 2,300 1,221,281.60
120 Lidocain Injeksi (DNR) Ampul 1,650.00 7,700 12,705,000.00
121 Lipomed (BSP) Bag 169,120.33 28 4,735,369.10
122 Loratadin Tablet (DNR) Tablet 400.00 2,000 800,008.33
123 Loratadin Tablet (IGM) Tablet 307.79 1,500 461,690.63
124 Manitol (KF) Botol 92,400.00 180 16,632,000.00
125 Meloxicam Tablet 15 mg (DNR) Tablet 1,438.80 - -
126 Meloxicam Tablet 7,5 mg (DNR) Tablet 830.28 800 664,224.00
127 Meloxicam Tablet 7,5 mg (ENS) Tablet 418.00 3,000 1,254,000.00
128 Merophenem Injeksi 0,5 g (MRP) Vial 55,000.00 - -
129 Merophenem Injeksi 0,5 g (MTA) Vial 132,000.00 - -
130 Metformin Tablet (PPG) Tablet 275.00 - -
131 Methylprednisolon Injeksi (PPG) Vial 51,700.00 - -
132 Methylprednisolon Injeksi (RNI) Vial 39,022.50 - -
133 Metronidazol Infus (TSJ) Botol 55,000.00 - -
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134 Metronidazol Tablet (DNR) Tablet 264.00 1,100 290,400.00

135 Miconazol Cream (KF) Tube 3,575.00 24 85,800.00
136 Minkosa 5 mg Glibenclamid (SST) Tablet 133.10 1,000 133,100.00
137 Miotonic Injeksi (RNI) Ampul 8,250.00 1,000 8,250,000.00
138 Miotonic Tablet (PV) Tablet 2,915.00 - -
139 Morfin Injeksi (KF) Ampul 10,499.39 - -
140 N Ace Kapsul (PV) Kapsul 2,200.00 - -
141 Natrium Diklofenak Tablet 25 mg (KF) Tablet 281.69 - -
142 Natrium Diklofenak Tablet 50 mg Tablet 261.22 200 52,243.40
143 Natrium Klorida Infus (KF) Botol 6,409.70 2,550 16,344,735.00
144 Natrium Phenitoin Injeksi (PV) Ampul 13,398.00 - -
145 Nerva Plus Tablet Tablet 2,200.00 1,000 2,200,000.00
146 Neurosanbe Tablet (BSP) Tablet 1,127.50 2,900 3,269,750.00
147 Neurovit E Tablet (KF) Tablet 1,166.92 - -
148 Nicardipin Injeksi (PPG) Ampul 143,000.00 250 35,750,000.00
149 Nicarfion Injeksi (UN) Ampul 132,000.00 250 33,000,000.00
150 Nocoba Injeksi (PV) Ampul 92,400.00 20 1,848,000.00
151 Norephinefrin Injeksi (TSJ) Ampul 66,000.00 120 7,920,000.00
152 Norephinefrin Levosol Injeksi (KF) Ampul 56,595.00 20 1,131,900.00
153 Norfion Injeksi (UN) Ampul 70,400.00 150 10,560,000.00
154 Novorapid Flex Pen (RNI) Pen 197,749.64 - -
155 Oksitosin Injeksi (APL) Ampul 2,062.50 - -
156 Ondansentron Tablet (MTK) Tablet 2,016.67 300 605,000.00
157 Pantoprazol Injeksi (RNI) Vial 60,500.00 - -
158 Paracetamol Syrup (KF) Botol 5,065.50 472 2,390,916.00
159 Paracetamol Tablet (RNI) Tablet 115.50 - -
160 Pehacain Injeksi (RNI) Ampul 3,113.06 60 186,783.30
161 Petidin Injeksi (KF) Ampul 13,191.42 20 263,828.40
162 Phentanyl Injeksi (KF) Ampul 40,000.40 70 2,800,028.00
163 Piracetam Kapsul 800 mg (RNI) Kapsul 883.30 1,500 1,324,950.00
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164 Pomifar Kapsul (PV) Kapsul 4,950.00 - -

165 Pomifar Kapsul (UN) Kapsul 4,950.00 90 445,500.00
166 Prednison Tablet (SST) Tablet 157.30 1,200 188,760.00
167 Pro Infark Injeksi (RNI) Ampul 13,200.00 120 1,584,000.00
168 Pro K Injeksi (SST) Ampul 10,890.00 200 2,178,000.00
169 Prohem Injeksi (PV) Ampul 11,000.00 150 1,650,000.00
170 Proliva Tablet (PV) Tablet 7,315.00 260 1,901,900.00
171 Propepsa Suspensi (PV) Botol 44,000.00 50 2,200,000.00
172 Propylthiouracil Tablet (AAM) Tablet 474.80 500 237,402.00
173 Prosional Suspensi (PV) Botol 14,850.00 85 1,262,250.00
174 Pumpisel Injeksi (BSP) Vial 71,497.60 - -
175 Ranifin Injeksi (UN) Ampul 9,680.00 250 2,420,000.00
176 Ranitidin Injeksi (PPG) Ampul 7,040.00 - -
177 Ranitidin Tablet (RNi) Tablet 220.00 - -
178 Rebamax Tablet (PV) Tablet 3,300.00 60 198,000.00
179 Reco Tetes Mata (SST) Botol 7,370.00 - -
180 Recofol Injeksi (RNI) Ampul 99,000.00 - -
181 Recolfar Tablet (PV) Tablet 4,730.00 90 425,700.00
182 Renax Kapsul (ENS) Kapsul 7,210.50 - -
183 Reprostom Kapsul (PV) Kapsul 8,800.00 330 2,904,000.00
184 Reprostom Kapsul (UN) Tablet 8,800.00 - -
185 Rhodium Tablet (UN) Tablet 6,050.00 180 1,089,000.00
186 Rifampisin Tablet 450 mg (DNR) Tablet 1,870.00 400 748,000.00
187 Ringer Lactat (DNR) Botol 7,095.00 5,450 38,667,750.00
188 Ringer Lactat (KF) Botol 370812 7,150.00 6,500 46,475,000.00
189 Rocum Injeksi (AAM) Ampul 99,000.00 20 1,980,000.00
190 Ronazol Infus (PV) Botol 66,000.00 - -
191 Salbutamol Tablet 2 mg (KF) Tablet 81.99 3,400 278,779.60
192 Santagesik Injksi (BSP) Ampul 9,471.00 - -
193 Scandones Injeksi (Gigi) Ampul 9,900.00 150 1,485,000.00
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194Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 20,570.00 - -

195SIM-DHA (PV) Botol 48,400.00 6 290,400.00
196Simvastatin Tablet 10 mg (ENS) Tablet 297.00 1,700 504,900.00
197Simvastatin Tablet 20 mg (KF) Tablet 250.01 100 25,000.80
198Sojourn (PV) Botol 2,860,000.00 1 2,860,000.00
199Solpenox (Amoxicillin) Syrup (SST) Botol 4,000.55 300 1,200,166.00
200Spironolacton Tab 25 mg (RNI) Tablet 407.00 1,500 610,500.00
201Stesolid Injeksi (AAM) Ampul 4,400.62 45 198,028.12
202Stesolid Rectal (AAM) Tube 13,384.25 70 936,897.19
203Tasigna (AAM) Kapsul 93,548.25 84 7,858,052.63
204Terrell (PV) Botol 1,683,000.00 1 1,683,000.00
205Tramadol Kapsul 50 mg (KF) Kapsul 435.47 2,200 958,029.60
206Tranec Injeksi (PV) Ampul 14,520.00 300 4,356,000.00
207Tyarit Injeksi (PV) Ampul 27,500.00 75 2,062,500.00
208Tyarit Injeksi (UN) Ampul 27,500.00 50 1,375,000.00
209Umarone Injeksi (PV) Ampul 192,500.00 17 3,272,500.00
210Vitamin B Comp Tablet (RNI) Tablet 80.00 1,200 95,999.90
211Vitamin C Tablet 100 mg (KF) Tablet 121.44 3,500 425,040.00
212Zink Dispersible Tablet (KF) Tablet 585.99 2,400 1,406,380.80
1 Bone Wax (BDM) Pcs 116,600.00 2 233,200.00
2 Catgut Cromic 1 HR 37 (RNI) Kotak 777,480.00 5 3,887,400.00
4 Catgut Crmoic 2/0 (RNI) Roll 1,650,000.00 1 1,650,000.00
5 Catgut Cromic 2 HR 40 (RNI) Kotak 827,640.00 1 827,640.00
6 Catgut Cromic 2 HR 45 (DNR) Kotak 827,640.00 2 1,655,280.00
7 Catgut Cromic 2/0 HR 26 (RNI) Kotak 825,000.00 2 1,650,000.00
8 Catgut Cromic 3/0 (RNI) Roll 2,614,700.00 - -
10 Catgut Cromic USP 1 HR 37 (RNI) Kotak 777,480.00 2 1,554,960.00
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11 Cuticell (BDM) Pcs 13,200.00 100 1,320,000.00

12 Defeloper (BDM) Set 1,282,600.00 2 2,565,200.00
13 Disposable Syringe With Needle 1 cc New Skifa (RNI) Pcs 1,188.00 200 237,600.00
14 Disposable Syringe With Needle 1 cc TP (BDM) Pcs 843.70 2,000 1,687,400.00
15 Disposable Syringe With Needle 10 cc Nipor (KF) Pcs 1,654.40 - -
16 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1,161.05 - -
17 Disposable Syringe With Needle 20 cc Stera (ISHS) Pcs 1,725.00 100 172,499.80
18 Disposable Syringe With Needle 3 cc TP (BDM) Pcs 851.40 - -
19 Disposable Syringe With Needle 5 cc TP (BDM) Pcs 1,013.10 - -
20 Disposable Syringe With Needle 50 cc TP (BDM) Pcs 4,812.50 125 601,562.50
21 Elektroda Patien Monitor (BDM) Pak 275,000.00 8 2,200,000.00
22 Endotracheal Tube FR 3 (BDM) Pcs 82,500.00 30 2,475,000.00
23 Endotracheal Tube FR 3,5 (BDM) Pcs 82,500.00 20 1,650,000.00
24 Endotracheal Tube FR 6,5 (BDM) Pcs 82,500.00 10 825,000.00
25 Extention Tube (BDM) Pcs 99,000.00 25 2,475,000.00
26 Feeding Tube FR 18 (BDM) Pcs 4,259.20 84 357,772.80
27 Feeding Tube FR 3,5 (BDM) Pcs 38,500.00 250 9,625,000.00
32 Film 24x30 (BDM) Kotak 2,585,000.00 2 5,170,000.00
33 Film 30x40 (BDM) Kotak 4,109,600.00 2 8,219,200.00
34 Fixer (BDM) Set 790,900.00 2 1,581,800.00
35 Foley Catheter 08 (RNI) Pcs 69,300.00 50 3,465,000.00
36 Foley Catheter 16 (BDM) Pcs 14,994.10 - -
37 Foley Catheter 16 (BDM) Pcs 24,200.00 60 1,452,000.00
38 Foley Catheter 16 (KF) Pcs 13,750.00 - -
40 Foley Catheter 18 (BDM) Pcs 24,200.00 60 1,452,000.00
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42 Glucocard (AAM) Botol 279,950.00 - -
43 Gypsona 6 Inch (BDM) Roll 66,715.00 - -
44 Handrub (ISHS) ml 57.20 19,500 1,115,400.00
45 Handrub (RNI) ml 159.60 - -
46 Handrub (RNI) ml 150.21 2,500 375,529.00
47 Handscoon Gynegolog 7 (DA) Pasang 21,749.97 - -
48 Handscoon NS (BDM) Pcs 529.20 - -
49 Handscoon NS M (KF) Pcs 577.50 - -
50 Handscoon ST 6,5 (DA) Pasang 5,874.99 - -
51 Handscoon ST 6,5 (KF) Pasang 2886165 9,499.60 - -
52 Handscoon ST 6,5 (RNI) Pasang 11,990.00 60 719,400.00
53 Handscoon ST 7 (BDM) Pasang 8,855.00 5 44,275.00
55 Hydrex Surgical Scrub (RNI) ml 215.23 30,000 6,456,958.20
56 Hypavix 15 x 5 (BDM) Roll 240,680.00 - -
57 Infus Set Makro (RNI) Pcs 4,755.99 - -
58 Infus Set Makro Aximed (KF) Pcs 5,999.40 - -
59 Infus Set Mikro Nipro (KF) Pcs 6,374.50 450 2,868,525.00
60 IV Catheter 16 G Abbocath (BDM) Pcs 16,000.00 100 1,600,000.00
61 IV Catheter 18 G Abbocath (BDM) Pcs 16,000.00 - -
62 IV Catheter 20 G Aximed (KF) Pcs 8,749.40 - -
63 IV Catheter 22 G Abbocath (BDM) Pcs 16,000.00 150 2,400,000.00
64 IV Catheter 22 G Nipro (KF) Pcs 8,947.40 200 1,789,480.00
65 IV Catheter 22 G Optiva (RNI) Pcs 24,200.00 - -
67 IV Catheter 24 G Abbocath Pcs - 250 -
68 IV Catheter 24 G Aximed (KF) Pcs 7,499.80 500 3,749,900.00
70 Jarum Kulit 12 Lusin 38,500.00 - -
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74 Jelly Ultrasound (BDM) ml 110.00 - -
75 Jely (ISHS) Tube 33,981.83 10 339,818.27
76 Kapas (BDM) Roll 82,208.50 - -
77 Kasa Hidrofil 40 x 80 (RNI) Roll 231,000.00 53 12,243,000.00
79 Kertas EKG 210 (BDM) Roll 192,500.00 20 3,850,000.00
80 Kertas USG (BDM) Roll 352,000.00 14 4,928,000.00
81 Kertas USG (ISHS) Roll 170,775.00 - -
82 Masker Tie On (BDM) Pcs 567.01 - -
83 Masker Tie On (KF) Pcs 599.98 - -
84 Masker Tie On (SST) Pcs 473.00 - -
85 Mata Pisau 20 (RNI) Pcs 1,375.00 94 129,250.00
86 Mata Pisau No 15 (BDM) Pcs 4,125.00 300 1,237,500.00
87 Mata Pisau No 20 Pcs 4,125.00 - -
88 Mucus Extractor (BDM) Pcs 30,250.00 10 302,500.00
89 Novo Twist 32 G (AAM) Pcs 2,083.00 350 729,049.30
90 Nylon Daclon 3/0 DS 19 Kotak 825,000.00 1 825,000.00
91 Nylon Daclon 5/0 DS 16 Kotak 825,000.00 12 9,900,000.00
92 Nylon Daclon USP 2/0 DS 19 (RNI) Kotak 825,000.00 1 825,000.00
93 Nylon Daclon USP 6/0 DS 12 (RNI) Kotak 825,000.00 4 3,300,000.00
94 Popypropylene 5/0 HR 13 (RNI) Kotak 1,210,440.00 3 3,631,320.00
96 Povidon Iodida (KF) Botol 59,766.51 47 2,809,026.02
97 Safil 1 HR 48 Pcs 99,550.00 180 17,919,000.00
98 Safil Violet 2 HR 48 Pcs 93,979.60 144 13,533,062.40
99 Selang O2 Anak (BDM) Pcs 30,250.00 - -
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101 Selang O2 Anak (BDM) Pcs 15,119.50 45 680,377.50

102 Selang O2 Bayi (DA) Pcs 9,124.98 36 328,499.16
103 Selang O2 Dewasa (BDM) Pcs 30,250.00 - -
104 Silk Black With Needle USP 1 HR 37 (RNI) Kotak 660,000.00 11 7,260,000.00
106 Silk Black With Needle USP 2/0 HR 26 (RNI) Kotak 660,000.00 1 660,000.00
109 Softband 6 Inch (BDM) Roll 43,450.00 24 1,042,800.00
110 Spinocain 25 G (BDM) Pcs 48,400.00 100 4,840,000.00
113 Suction Catheter 06 (BDM) Pcs 4,032.60 25 100,815.00
114 Suction Catheter 08 (BDM) Pcs 4,032.60 1 4,032.60
115 Sungkup Nebulizer Anak (AAM) Pcs 28,299.98 13 367,899.68
116 Sungkup O2 Bayi (BDM) Pcs 66,000.00 47 3,102,000.00
117 Sungkup O2 Dewasa (BDM) Pcs 66,000.00 - -
118 Surgicryl 910 USP 1 HR 36 (RNI) Kotak 1,518,000.00 - -
119 Surgicryl 910 USP 2/0 HR 26 (RNI) Kotak 1,148,400.00 - -
120 Surgicryl Rapid 1 HR 48 (RNI) Kotak 1,544,400.00 2 3,088,800.00
121 Surgicryl Rapid 2/0 HR 40 (RNI) Kotak 1,491,600.00 1 1,491,600.00
122 Tensocrepe 6" (BDM) Roll 139,480.00 - -
123 Three Way Stop Cock (BDM) Pcs 22,000.00 - -
124 Transfusi Set (BDM) Pcs 16,380.10 - -
125 Urgotul 10x10 (PPG) Pcs 25,850.00 80 2,068,000.00
126 Urine Bag (KF) Pcs 6,875.00 - -
OBAT BLUD 2018 - -
1 Allopurinol Tablet (AP DE) Tablet 24409703 3/1/2019 30.00 1,800 54,000.00
2 Allopurinol Tablet (RNI) Tablet HTALOA7300 6/1/2020 168.23 - 1,500
3 Alprazolam Tablet 0,5 mg (KF) Tablet C70497J2 3/29/2021 585.00 - 4,000
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4 Ambroxol Syrup 15 mg (DNR) Botol SCB00947 1/1/2022 6,600.00 - 490

5 Ambroxol Syrup 15 mg (IGM) Botol 1706041 6/1/2019 3,536.03 - -
6 Ambroxol Syrup (RNI) Botol 06810004 10/31/2019 5,500.00 - -
7 Ambroxol Tablet (AP DE) Tablet 06483005 4/1/2020 300.00 - -
9 Ambroxol Tablet (PPG) Tablet TPM99646 11/1/2021 330.00 4,700 1,551,000.00
10 Ambroxol Tablet (SST) Tablet 73252 8/1/2020 135.30 - -
11 Ambroxol Tablet (SST) Tablet 74307 10/1/2020 135.30 4,000 541,200.00
12 Ambroxol Tablet (TSJ) Tablet TPM99546 11/1/2021 330.00 5,000 1,650,000.00
13 Aminofluid (KF) Botol DB71E47A 9/2/2019 64,989.10 40 2,599,564.00
14 Aminophyllin Injeksi (RNI) Ampul 06307031-1 11/30/2020 3,959.93 60 237,595.60
15 Amlodipin Tablet 5 mg (MTK) Tablet TPM93346 11/1/2022 1,152.00 - 2,000
16 Amlodipin Tablet 5 mg (RNI) Tablet 06465006 11/10/2019 201.67 2,100 423,500.00
17 Amlodipin Tablet 5 mg (TAS) Tablet NP22137 6/1/2020 480.00 5,850 2,808,019.50
18 Amlodipin Tablet 10 mg (AP DE) Tablet HTALNB74037 3/1/2019 1,000.00 - -
19 Amlodipin Tablet 10 mg (KF) Tablet 17233B - -
20 Amlodipin Tablet 10 mg (KF) Tablet L72841B 11/16/2022 95.00 - 2,000
21 Amlodipin Tablet 10 mg (MTK) Tablet JS17031 10/1/2019 817.67 1,500 1,226,500.00
22 Amlodipin Tablet 10 mg (MTK) Tablet HS17002 8/1/2019 817.67 - -
23 Amlodipin Tablet 10 mg (MTK) Tablet HS17005 8/1/2019 817.67 2,460 2,011,460.00
24 Amlodipin Tablet 10 mg (SST) Tablet 74363 11/1/2020 238.33 3,000 715,000.00
25 Amoxicillin Syrup (TSJ) Botol L10516601 11/1/2019 7,150.00 200 1,430,000.00
26 Antasida Syrup (RNI) Botol 1801-04-181 1/1/2020 2,700.50 - 500
27 Asam Mefenamat Tablet (ESV) Tablet HTMECA76217 12/31/2019 125.00 - 2,500
28 Asam Mefenamat Tablet (ESV) Tablet HTMECA81262 1/31/2020 125.00 - 2,500
29 Asam Mefenamat Tablet (RNI) Tablet HTMECA7518 10/31/2019 176.00 - 2,100
30 Asam Traneksamat Injeksi (MRP) Ampul I172270 8/31/2019 5,280.00 600 3,168,000.00
31 Asam Traneksamat Injeksi (MRP) Ampul I172207 5/31/2019 5,280.00 680 3,590,400.00
32 Asam Valproat (AAM) Botol 3272081 10/1/2019 17,789.00 - 50
33 Asam Valproat (AP DE) Botol 3171919 10/1/2019 66,000.00 - -
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35 Asering Infus (KF) Botol SB94J47A 10/25/2020 9,645.90 600 5,787,540.00
36 Atropin Sulfat Injeksi (APL) Ampul 97LE0057 5/15/2021 1,800.00 300 539,999.90
37 Azitromycin Kapsul 500 mg (KF) Kapsul A70013J 1/4/2022 5,500.00 3,000 16,500,000.00
38 Betamethason Cream (KF) Tube J71554T 9/12/2021 1,449.80 25 36,245.00
39 Betamethason Cream (RNI) Tube 06455027 12/31/2020 2,904.00 - 150
40 Biocombin Injeksi (PV) Ampul F7K028 10/1/2019 4,950.00 - 20
41 Biocombin Injeksi (PV) Ampul F7K068 10/1/2019 4,950.00 - 2,980
42 Bionemi Kapsul (PV) Kapsul NG009 7/1/2019 1,650.00 600 990,000.00
43 Bionemi Kapsul (PV) Kapsul NG016 7/1/2019 1,650.00 200 330,000.00
44 Biosat ATS 1500 UI (RNI) Ampul 4202817 11/30/2019 165,000.00 - 50
45 Bisolvon Injeksi (KF) Ampul 528229A 9/1/2020 58,234.00 - 40
46 Bisolvon Injeksi (KF) Ampul 6277108 2/1/2021 58,234.00 - 10
47 Buscopan Injeksi (KF) Ampul 727068 1/1/2022 34,243.00 - 90
48 Buscopan Tablet (KF) Tablet 17121526 11/30/2020 3,091.00 - 2,000
49 Candesartan Tablet 8 mg (AAM) Tablet 47K4143 9/1/2018 629.00 2,760 1,736,040.46
50 Candefion Tablet 8 mg (UN) Tablet BTPN01646 12/1/2019 5,500.00 3,360 18,480,000.00
51 Captopril Tablet 25 mg (KF) Tablet G71166B 6/18/2022 123.98 500 61,988.85
52 Captopril Tablet 25 mg (RNI) Tablet 06324020 11/23/2022 103.73 - 4,000
53 Cefadroxil Kapsul (AP DE) Kapsul 48A0218 12/1/2020 1,200.00 - -
54 Cefadroxil Kapsul (RNI) Kapsul 48A0191 11/30/2020 924.00 - -
55 Cefadroxil Kapsul (RNI) Kapsul 48A0218 12/31/2020 924.00 1,200 1,108,800.00
56 Cefadroxil Kapsul (RNI) Kapsul KCFDC70133 10/31/2020 840.00 - 5,000
57 Cefadroxil Kapsul (RNI) Kapsul KCFDC70102 10/31/2021 840.00 - 8,400
58 Cefixim Kapsul 100 mg (RNI) Kapsul 48H0228 7/1/2020 2,394.59 1,400 3,352,426.00
59 Cefixim Kapsul 100 mg (RNI) Kapsul 48H00267 8/1/2020 1,137.40 600 682,440.00 3,000
60 Cefixim Syrup (DNR) Botol SKM44245 11/1/2019 36,300.00 - 300
61 Cefotaxim Injeksi (TSJ) Vial B10336707 2/1/2020 45,100.00 600 27,060,000.00
62 Cefotaxim Injeksi (RNI) Vial 95444083BF 5/31/2019 11,011.00 - - 2,000
63 Ceftazidim Injeksi (TSJ) Vial PSN50346 12/1/2019 66,000.00 20 1,320,000.00
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64 Ceftazidim Injeksi (TSJ) Vial PSN50746 12/1/2019 66,000.00 180 11,880,000.00

65 Ceftriaxon Injeksi (MTK) Vial PSG27645 10/1/2019 38,500.00 - 1,000
66 Ceftriaxon Injeksi (RNI) Vial ICFEA70227 5/31/2020 11,000.00 - 1,000
67 Ceftriaxon Injeksi (TSJ) Vial G10316706 7/1/2020 39,600.00 - -
68 Cefuroxim Injeksi (MRP) Vial 44,000.00 300 13,200,000.00
69 Cendo Efrisel 10 % (PV) Botol 7E11222 12/1/2019 16,775.00 - 30
70 Cendo Lyteers 15 ml (PV) Botol 7L1106 11/1/2020 24,750.00 - 30
72 Cendo Mydriatyl 1% (PV) Botol 7M0915 9/1/2020 42,075.00 - 30
73 Cendo Tropin 0,5% (PV) Botol 7T50925 9/1/2020 12,375.00 - 30
74 Cendo Xitrol 5 ml Botol 7X1028 4/1/2020 29,975.00 - 30
75 Cendo Xitrol EO 3,5 g Tube 791102 11/1/2020 39,462.50 - 30
76 Cenefresh 5 ml Botol 7C1127 11/1/2020 38,362.50 - 23
79 Cercul Injeksi (RNI) Ampul 06134001 3/31/2019 16,500.00 - -
81 Cetirizine Tablet (KF) Tablet C70502J 3/5/2020 334.95 3,000 1,004,850.00
82 Cetirizine Tablet (RNI) Tablet TRB75043 10/31/2019 313.50 750 235,125.00
83 Cetirizine Tablet (RNI) Tablet TRB76051 11/30/2019 313.50 3,000 940,500.00
84 Ciprofloxacin Tablet (RNI) Tablet HTCFXC76138 11/30/2019 473.00 - 1,500
85 Citicolin Injeksi (DNR) Ampul PIL38045 10/1/2019 24,750.00 - 150
86 Citicolin Injeksi (DNR) Ampul PIL38245 10/1/2019 24,750.00 - 50
87 Citicolin Injeksi (MTK) Ampul PIK09046 9/1/2020 24,750.00 - 500
88 Clopidogrel Tablet (KF) Tablet 172088B 10/17/2019 2,999.00 - 1,020
89 Cotrimoxazol Tablet (KF) Tablet G71183B 6/17/2022 247.72 - 2,000
90 Cotrimoxazol Tablet (MTK) Tablet TPK75746 9/1/2022 275.00 - 1,900
91 Covetor Tablet (MBS) Tablet 20G113 7/31/2019 6,600.00 270 1,782,000.00
92 Codein Tablet 10 mg (KF) Tablet F71395J 6/30/2021 657.00 - 3,100
93 Codein Tablet 10 mg (KF) Tablet HG1223J 8/30/2021 657.00 - 900
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94 Codikaf Tablet 10 mg (KF) Tablet C70718J 3/1/2021 866.25 1,000 866,250.00

95 Diazepam Tablet 2 mg (KF) Tablet E71076J 5/3/2020 123.75 - 3,000
96 Diphenhidramin Injeksi (RNI) Ampul 06342017-2 10/31/2021 1,864.61 240 447,506.40
97 Domperidon Tablet (TSJ) Tablet C10246701 3/1/2019 495.00 - -
98 Domperidon Tablet (TSJ) Tablet TSC17844 2/1/2018 484.34 - -
99 Domperidon Tablet (TSJ) Tablet TSN80045 12/1/2020 484.34 2,900 1,404,588.90
100 Endrolin Injeksi (ESV) Ampul KVEDNA76173 8/6/2019 619,300.00 - 10
101 Ephedrin Injeksi (APL) Ampul 97LG0026 7/1/2021 22,000.00 60 1,320,000.00
102 Estazor Tablet (PV) Kapsul TH1411 8/1/2021 8,800.00 540 4,752,000.00
103 Estazor Tablet (PV) Kapsul TK1101 11/1/2021 9,020.00 930 8,388,600.00
104 Eyefresh 0,6 ml (PV) Strip 7FH61221 12/1/2020 25,437.50 - 11
105 Eyefresh 0,6 ml (PV) Strip 7FH61227 12/1/2020 25,437.50 - 19
106 Eyefresh 5 ml (PV) Botol 7EH1221 12/1/2020 31,762.50 - 30
107 Farbivent Injeksi (PV) Ampul TJ0203 10/1/2019 9,350.00 - 1,770
108 Farpresin Injeksi (PV) Vial IJ0323 10/1/2018 88,000.00 - 20
109 Farsorbid Injeksi (PV) Vial TD0583 4/1/2019 66,000.00 - 10
110 Fiondazol Infus (UN) Botol BPIL13546 10/1/2021 66,000.00 100 6,600,000.00
111 Fiopraz Injeksi (UN) Vial BPSL03846 10/1/2020 110,000.00 100 11,000,000.00
112 Furosemid Tablet (KF) Tablet F70972B 5/19/2020 84.00 2,000 167,992.00
113 Gabapentin Kapsul 300 mg (AAM) Kapsul 48B0442 2/1/2019 4,235.00 720 3,049,200.00
114 Gabapentin Kapsul 300 mg (RNI) Kapsul 48B0442 2/28/2019 6,050.00 - - 300
115 Gentamicin Cream Kulit (KF) Tube 171455T 9/29/2021 2,019.99 40 80,799.40
116 Glauseta Tablet (BSP) Tablet UA2441 1/1/2020 4,625.50 - 1,000
117 Glimefion Tablet 2 mg (UN) Tablet BTPL01246 10/1/2020 4,216.67 1,650 6,957,500.00
118 Glukosa 40% (KF) Vial 80G47A 7/11/2019 10,010.00 240 2,402,400.00
119 Graphalac Syrup (PV) Botol NL114 11/1/2019 44,412.50 - -
120 Graphalac Syrup (PV) Botol NL114 11/1/2019 46,750.00 - 30
121 Hepamed 300 mg (SST) Tablet JY7A131 9/1/2019 9,570.00 1,350 12,919,500.00
122 Isonat Tablet 5 mg (KF) Tablet D160355B 4/1/2020 968.00 900 871,200.00
123 Isosorbid Dinitrat Tablet (AP DE) Tablet 1612058 2/1/2021 300.00 - -
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124 Isosorbid Dinitrat Tablet 5 mg (IGM) Tablet 1707043 8/1/2021 123.02 3,000 369,072.00
125 KA-EN 3B (KF) Botol 471193A 8/1/2020 10,249.80 340 3,484,932.00
126 Ketokonazol Tablet (RNI) Tablet 3061814 9/1/2019 450.99 - 1,000
127 Ketorolac Injeksi 30 mg (AP DE) Ampul IKTRB70023 9/1/2019 7,000.00 - -
128 Ketorolac Injeksi 30 mg (DNR) Ampul PIM52045 11/1/2020 16,038.00 - 610
129 Ketorolac Injeksi 30 mg (DNR) Ampul PIM52245 11/1/2020 16,038.00 - 520
130 Ketorolac Injeksi 30 mg (RNI) Ampul IKTRB70053 11/30/2019 5,000.05 - 2,736
131 Kolefion Tablet 20 mg (UN) Tablet BTSL01045 10/1/2019 5,500.00 720 3,960,000.00
132 Kolicgon Tablet (PV) Tablet T0651029 11/1/2018 1,317.37 1,600 2,107,784.32
133 Lanabal Tablet (MBS) Tablet 20E033 5/31/2021 1,320.00 700 924,000.00
134 Lansoprazol Kapsul (RNI) Kapsul 223053 6/30/2019 1,000.01 300 300,003.00
135 Lansoprazol Kapsul (TAS) Kapsul NL09138 10/1/2019 810.81 - -
136 Levemir Flex Pen (AAM) Pen GT6A977 10/1/2019 83,950.02 10 839,500.20
137 Levemir Flex Pen (AAM) Pen GT6B321 11/1/2019 83,949.99 40 3,357,999.70
138 LFX 0,6 ml (PV) Strip 7LF61222 6/1/2020 75,900.00 - 15
139 LFX 5 ml (PV) Botol 7LF1114 5/1/2020 76,175.00 - 30
140 Loperamid Tablet (KF) Tablet 70310 11/1/2019 85.00 2,000 169,994.00
141 Loprezol Kapsul (KF) Kapsul HG1543J 9/30/2019 799.99 2,400 1,919,984.00 990
142 Meloxicam Tablet 15 mg (RNI) Tablet JS17040A 10/1/2019 512.60 2,000 1,025,200.00
143 Meloxicam Tablet 15 mg (SST) Tablet T2717001 1/1/2019 909.32 - -
144 Merophenem Injeksi 0,5 g (TSJ) Vial A10376701 1/1/2019 132,000.00 78 10,296,000.00
145 Merophenem Injeksi 1 g (RNI) Vial IMPRA70036 11/30/2019 110,000.00 - 150
146 Merophenem Injeksi 1 g (RNI) Vial IMRPA70036 11/30/2019 110,000.00 - 200
147 Metformin Tablet 500 mg (AAM) Tablet 47F4152 5/1/2019 179.69 2,200 395,307.00
148 Metformin Tablet 500 mg (RNI) Tablet 06431002 8/23/2022 239.58 - -
149 Methylprednisolon Injeksi (MTK) Vial PSE14446 4/1/2021 49,500.00 - 5
150 Methylprednisolon Injeksi (MTK) Vial PSN66945 12/1/2020 49,500.00 - 375
151 Methylprednisolon Tablet 4 mg (DNR) Tablet TPL80946 10/1/2020 528.66 - 5,000
152 Methylprednisolon Tablet 4 mg (KF) Tablet ZN165 11/1/2020 139.00 - -
153 Methylprednisolon Tablet 4 mg (RNI) Tablet 48E0346 4/1/2021 484.50 - 4,800
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154 Methylprednisolon Tablet 4 mg (SST) Tablet T2752040 6/1/2021 316.80 - -

156 Methylprednisolon Tablet 4 mg (TSJ) Tablet K10046705 10/1/2019 550.00 - -
157 Metronidazol Infus (APL) Botol KY7E095 10/31/2019 8,703.20 300 2,610,960.00
158 Metronidazol Infus (TSJ) Botol L10176703 11/1/2020 44,000.00 500 22,000,000.00
159 Metronidazol Tablet 500 mg (PPG) Tablet TPM98846 11/1/2022 264.00 3,000 792,000.00
160 MgSO4 40 % (GF) Vial 86E46A 5/17/2018 2,629.00 - -
161 Miconazol Cream (KF) Tube 172317W 9/12/2021 3,575.00 120 429,000.00
162 Molagit Tablet (AP DE) Tablet YM022 3/1/2021 700.00 - -
163 Moxifloxacin Infus (PV) Botol PA0383 1/1/2020 220,000.00 - 48
164 Moxifloxacin Infus (PV) Botol TL0233 12/1/2019 220,000.00 - 2
165 Myotonic Tablet (PV) Tablet A7A411 1/1/2019 2,915.00 - -
166 Myotonic Tablet (PV) Tablet A7G708 7/1/2019 2,915.00 1,500 4,372,500.00
167 Myotonic Tablet (PV) Tablet A7J840 9/1/2019 2,915.00 3,600 10,494,000.00
168 N-Ace Kapsul (PV) Kapsul TJ1471 10/1/2019 2,200.00 900 1,980,000.00
169 N-Ace Kapsul (PV) Kapsul TK1851 11/1/2019 2,310.00 900 2,079,000.00
170 NaCl Piggyback (KF) Botol 47173A 9/4/2020 13,200.00 - -
171 NaCl Piggyback (KF) Botol 47173A 9/4/2020 15,180.00 - 40
172 NaCl Piggyback (KF) Botol 48A88A 1/19/2021 15,180.00 - 1,600
173 Natacen 0,6 ml (PV) Strip 86NA60112 1/1/2020 45,787.50 - 20
174 Natrium Klorida Infus (KF) Botol 371024 9/6/2022 6,409.70 - 5,000
175 Natrium Diklofenak Tablet 25 mg (RNI) Tablet 06364031 12/6/2022 204.93 - 2,800
176 Natrium Diklofenak Tablet 50 mg (KF) Tablet J72895J 10/5/2022 352.64 2,000 705,276.00
177 Natrium Diklofenak Tablet 50 mg (RNI) Tablet 06365040 11/16/2020 236.57 2,000 473,132.00
178 Natrium Phenitoin Injeksi (RNI) Ampul 06366006 7/31/2021 11,855.58 30 355,667.40
179 Natrium Phenitoin Injeksi (RNI) Ampul 06366009 11/30/2021 11,855.58 - 50
180 Norages Injeksi (PV) Ampul F6K594 10/1/2019 9,185.00 - 300
181 Novadium Tablet (AP DE) Tablet 1605-01-34 5/1/2020 250.00 - -
182 Novorapid Flex Pen (AAM) Pen GR7C897 11/1/2019 86,999.99 25 2,174,999.75
183 Ondancentron Injeksi 4 mg (MRP) Ampul I172097 3/31/2019 2,871.00 450 1,291,950.00
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184 Ondancentron Injeksi 4 mg (MRP) Ampul I172026 1/31/2019 2,871.00 - -

185 Ondancentron Injeksi 4 mg (MRP) Ampul I172077 2/28/2019 2,871.00 1,150 3,301,650.00
186 Ondancentron Injeksi 4 mg (TSJ) Ampul K10426602 10/1/2019 5,500.00 50 275,000.00
187 Ondancentron Injeksi 8 mg (AAM) Ampul 2170083 12/1/2018 9,680.00 65 629,200.00
188 Ondancentron Injeksi 8 mg (AAM) Ampul 2370448 2/1/2019 9,680.00 435 4,210,800.00
189 Oralit (AP DE) Sachet 500.00 - 100
190 P. Pred 10 mg (PV) Strip 7PP61219 12/1/2019 42,075.00 - 20
191 Pantocain 0,5 % (PV) Botol 7P11228 12/1/2020 13,337.50 - 30
192 Pantoprazol Injeksi (MTK) Vial P172242 9/1/2019 49,500.00 200 9,900,000.00
193 Pantotum Injeksi (TSJ) Vial H20266601 8/1/2018 115,500.00 4 462,000.00
194 Paracetamol Infus (APL) Botol JY7E103 9/30/2019 12,939.30 88 1,138,658.40
195 Paracetamol Infus (APL) Botol JY7E104 9/30/2019 12,939.30 138 1,785,623.40
196 Paracetamol Infus (TSJ) Botol G10626748 8/1/2019 67,100.00 - -
197 Paracetamol Infus (TSJ) Botol PIL33146 1/1/2020 66,000.00 100 6,600,000.00
198 Paracetamol Tablet (RNI) Tablet 06711007 11/1/2022 115.50 7,000 808,500.00
199 Paracetamol Tablet (RNI) Tablet 06801029 1/1/2023 115.50 - 3,900
200 Paracetamol Tablet (SST) Tablet 73248 7/1/2020 157.30 2,000 314,600.00
201 Petidin Injeksi (KF) Ampul EG0866J 5/20/2021 13,191.42 - 200
202 Phentanyl Injeksi (KF) Ampul 6D9K-B 10/1/2019 39,999.96 200 7,999,992.00
203 Phentanyl Injeksi (KF) Ampul PR2L 2/1/2020 41,599.80 - 300
204 Phytomenadion Tablet (RNI) Tablet 95381011 10/20/2019 1,100.55 - 900
205 Piracetam Injeksi 1 g (AAM) Ampul 2470595 3/1/2019 4,235.00 100 423,500.00
206 Piracetam Injeksi 1 g (TSJ) Ampul H10406601 7/1/2019 6,600.00 - -
207 Piracetam Injeksi 1 g (TSJ) Ampul PID14145 3/1/2020 6,600.00 150 990,000.00
208 Piracetam Injeksi 1 g (TSJ) Ampul PIF74346 5/1/2021 6,600.00 350 2,310,000.00
209 Piracetam Injeksi 3 g (RNI) Ampul 2170076 12/31/2018 18,815.50 - -
210 Piracetam Injeksi 3 g (TSJ) Ampul K10396707 10/1/2020 20,900.00 - -
212 Piracetam Injeksi 3 g (TSJ) Ampul PIL45946 1/1/2021 20,526.00 420 8,620,920.00
213 Polydrex 0,6 ml (PV) Strip 7PX61120 5/1/2020 29,150.00 - 21
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214 Polydrex 0,6 ml (PV) Strip 7Px61228 6/1/2020 29,150.00 - 9

215 Polygran 0,6 ml (PV) Strip 7PG61106 5/1/2020 19,250.00 - 30
216 Polygran 5 ml (PV) Botol 7PG1207 6/1/2020 34,787.50 - 30
217 Polynel 0,6 ml (PV) Strip 7PL61211 6/1/2020 19,662.50 - 20
218 Posop 0,6 ml (PV) Strip 7P061110 5/1/2020 57,750.00 - 30
219 Prednicort Injeksi 125 mg (MBS) Vial 7F0625 6/1/2019 45,100.00 - -
220 Prednicort Injeksi 125 mg (MBS) Vial 6L1055 11/1/2018 45,100.00 140 6,314,000.00
221 Profolat Tablet (KF) Tablet 1961710050 9/1/2019 62.00 3,000 185,988.00
222 Propepsa Suspensi (PV) Botol NM123 12/1/2019 44,000.00 - 120
223 Propranolol Tablet (RNI) Tablet 48L0132 11/1/2022 84.70 - 3,000
224 Protagenta 0,6 ml (PV) Strip 7PR61204 12/1/2020 39,462.50 - 30
225 Protocin Injeksi (PV) Ampul F6J550 9/1/2018 7,480.00 40 299,200.00
226 Protocin Injeksi (PV) Ampul F7C786 3/1/2019 7,480.00 60 448,800.00
227 Protocin Injeksi (PV) Ampul F7L114 11/1/2019 7,480.00 1,000 7,480,000.00
228 Ranitidin Injeksi (DNR) Ampul PIK10646 9/1/2020 7,040.00 - 5,000
229 Ranitidin Injeksi (TSJ) Ampul K10356719 10/1/2020 7,150.00 1,000 7,150,000.00
230 Ranitidin Tablet 150 mg (RNI) Tablet TA75203 9/30/2020 220.00 5,800 1,276,000.00
231 Ranitidin Tablet 150 mg (RNI) Tablet HTRNTA75200 9/30/2020 220.00 4,800 1,056,000.00
232 Reco Tetes Mata (SST) Botol 0091017014 4/1/2019 7,700.00 75 577,500.00
233 Recofol N Inejeksi (AAM) Ampul 17232041 5/1/2019 94,050.00 10 940,500.00 30
234 Recolfar Tablet (PV) Tablet PA1051 1/1/2021 4,950.00 - 300
235 Renax Kapsul (MBS) Kapsul K060G013 3/1/2021 8,030.00 200 1,606,000.00 250
236 Ring AS (AP DE) Bag SK3050B 10/4/2019 28,000.00 - -
237 Ring AS (AP DE) Bag TD30890 4/6/2019 28,000.00 - -
238 Ring AS (BSP) Bag TD3092A 4/1/2019 9,645.44 96 925,962.40
239 Siloxan 5 ml (PV) Botol 7S10914 9/1/2020 58,025.00 - 30
240 Simvastatin Tablet 20 mg (RNI) Tablet KTSVNB7406 8/31/2019 1,026.67 - 2,760
241 Sintrol Simvastatin Tablet 10 mg (SST) Tablet THY2 5/1/2020 558.62 900 502,755.00
242 Sojourn (PV) Botol S19471124 8/1/2022 2,860,000.00 2 5,720,000.00
243 Sojourn (PV) Botol S0288A30 1/1/2023 2,860,000.00 - 5
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244 Supravenid Suppositoria (PV) Suppo G7J143 9/1/2020 12,100.00 110 1,331,000.00
245 Terrell (PV) Botol N0047A13 1/1/2022 1,683,000.00 2 3,366,000.00
246 Timol 0,5 % (PV) Botol 7TM1122 11/1/2020 52,525.00 - 4
247 Timol 0,5 % (PV) Botol 7TM1211 12/1/2020 52,525.00 - 26
248 Tobro 0,6 ml (PV) Strip 7T060225 2/1/2020 21,037.50 - 20
249 Tobroson 0,6 ml (PV) Strip 8TS60123 7/1/2020 31,900.00 - 30
250 Tomit Injeksi (ENS) Ampul I004G0022 7/31/2019 10,606.75 - 250
251 Vaksin Hepatitis B (Hb 0) (GF) Vial - 200
252 Valesco Tablet 80 mg (SST) Tablet KY7A119 10/1/2019 2,464.00 2,700 6,652,800.00
253 Vernacel Eye Drop 5 ml (PV) Botol 6VE1104 11/1/2019 20,350.00 - - 14
254 Vitamin B Comp Tablet (KF) Tablet I71293T 9/19/2020 135.00 - 5,000
BAHAN HABIS PAKAI BLUD 2017 - -
1 Alkohol 1000 ml (BDM) Botol 46609302 9/1/2021 44,000.00 - -
2 Alkohol 1000 ml (BDM) Botol 46710303 10/1/2022 44,000.00 - 90
3 Alkohol 1000 ml (RNI) Botol 46705302 5/31/2022 25,410.00 64 1,626,240.00
4 Alkohol 1000 ml (RNI) Botol 46707302 5/31/2022 25,410.00 - -
5 Catgut Cromic 3/0 (RNI) Roll 2030BX 6/1/2022 2,614,700.00 2 5,229,400.00
6 Catgut Cromic With Needle 2 HR 45 Kotak 170401 4/1/2022 827,640.00 - 5
7 Catgut Cromic With Needle 2/0 HR 26 Kotak 170601 5/1/2022 825,000.00 8 6,600,000.00
8 Developer (BDM) Set 873505 1,282,600.00 - 2
9 Disposable Syringe With Needle 0,5 cc (GF) Pcs 1,536.80 - 200
10 Disposable Syringe With Needle 01 cc TP (BDM) Pcs 171001 8/1/2022 843.70 2,400 2,024,880.00
11 Disposable Syringe With Needle 03 cc Aximed (KF) Pcs 20160605 5/1/2021 1,031.25 - -
12 Disposable Syringe With Needle 03 cc Assp (RNI) Pcs 1703201 2/1/2022 844.21 1,200 1,013,047.20
13 Disposable Syringe With Needle 03 cc BD (RNI) Pcs 7128360 4/1/2022 2,336.95 - 1,200
14 Disposable Syringe With Needle 03 cc BD (RNI) Pcs 7108098 4/1/2022 2,336.95 - 2,900
15 Disposable Syringe With Needle 03 cc BD (RNI) Pcs 7108099 4/1/2022 2,336.95 - 900
16 Disposable Syringe With Needle 03 cc Skifa (RNI) Pcs 1503403 12/1/2020 2,851.20 100 285,120.00
17 Disposable Syringe With Needle 03 cc TP (BDM) Pcs 171301 12/1/2022 851.40 3,600 3,065,040.00
18 Disposable Syringe With Needle 05 cc TP (BDM) Pcs 171401 1/1/2022 1,013.10 1,200 1,215,720.00
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19 Disposable Syringe With Needle 05 cc TP (BDM) Pcs 171401 12/1/2022 1,013.10 - 1,800
20 Disposable Syringe With Needle 10 cc TP (BDM) Pcs 171501 1/1/2022 1,216.60 2,100 2,554,860.00
21 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1305201 8/31/2018 926.20 - 1,600
22 Disposable Syringe With Needle 50 cc TP (BDM) Pcs 120717 12/1/2022 4,812.50 125 601,562.50
23 Elektroda Patien Monitor (BDM) Pak 1000018635 9/1/2019 275,000.00 - 10
24 Feeding Tube FR 10 (BDM) Pcs 20170530 5/1/2022 4,082.10 50 204,105.00
25 Film 30 x 40 (BDM) Kotak 43433 6/1/2020 4,109,600.00 - 2
26 Film 35 x 35 (BDM) Kotak 44611 6/1/2020 4,462,700.00 2 8,925,400.00
27 Film 35 x 35 (BDM) Kotak 44805 6/1/2020 4,462,700.00 - 2
28 Fixer (BDM) Set CAT873505 790,900.00 - 2
29 Foley Catheter 2 Way 16 (BDM) Pcs 17-G-05H 7/1/2022 15,749.80 - 100
30 Foley Catheter 2 Way 18 (BDM) Pcs 17-G-10K 9/1/2022 15,749.80 - 100
31 Foley Catheter 3 Way 24 (BDM) Pcs 16K07 10/1/2021 110,000.00 40 4,400,000.00
32 Gypsona 6 Inch (BDM) Roll 625 1/1/2019 66,715.00 12 800,580.00
33 Gypsona 6 Inch (BDM) Roll 523 1/1/2018 66,715.00 - -
34 Gypsona 6 Inch (BDM) Roll 625 9/1/2021 66,715.00 - 12
36 Handscoon Manual NS (BDM) Pasang 30,250.00 60 1,815,000.00
37 Handscoon NS (BDM) Pcs 17040502 3/1/2022 516.95 7,700 3,980,476.50
38 Handscoon NS (BDM) Pcs 170870603 7/1/2022 527.51 - 10,000
39 Handscoon NS (BDM) Pcs 170870603 7/1/2022 527.51 - 10,000
40 Handscoon ST 6,5 (BDM) Pasang 17070105 6/1/2022 4,660.00 - 200
41 Handscoon ST 6,5 Eskamed (BDM) Pasang 203030854SPZA 8/1/2021 8,819.80 - 200
42 Handscoon ST 7 (BDM) Pasang 17070105 6/1/2022 4,660.00 300 1,398,000.00 400
43 Handscoon ST 7,5 (BDM) Pasang 17070105 6/1/2022 4,660.00 465 2,166,900.00 400
44 Handscoon ST 7,5 Eskamed (BDM) Pasang 203038344SPZA 2/1/2022 8,820.00 - -
45 Hypavix 15 x 5 (AAM) Roll 64940230 11/1/2021 141,918.83 26 3,689,889.63
46 Hypavix 15 x 5 (AAM) Roll 64940230 11/1/2021 154,259.60 - -
47 Hypavix 15 x 5 (BDM) Roll 63810230 8/1/2021 240,680.00 12 2,888,160.00
48 Hypavix 15 x 5 (BDM) Roll 64940230 11/1/2021 240,680.00 - - 60
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49 Infus Set Makro TP (BDM) Pcs 170302 3/1/2022 8,100.00 - 500

50 Infus Set Makro With Air (RNI) Pcs 118P16 3/1/2021 11,680.00 100 1,167,999.80
51 Infus Set Makro With Air (RNI) Pcs 118P16 3/1/2021 9,070.00 - 600
52 IV Catheter 16 Abbocath (BDM) Pcs 56-202-KY 7/1/2020 16,000.00 - 100
53 IV Catheter 18 Abbocath (BDM) Pcs 60-201-KY 11/1/2020 16,000.00 - 400
54 IV Catheter 18 Eskamed (BDM) Pcs 3905115E 4/1/2020 12,600.00 - -
55 IV Catheter 18 Optiva (RNI) Pcs 2724083 5/31/2019 24,200.00 200 4,840,000.00
56 IV Catheter 20 Abbocath (BDM) Pcs 67-201-KY 6/1/2021 16,000.00 - -
57 IV Catheter 20 Abbocath (BDM) Pcs 69-202-KY 8/1/2021 16,000.00 450 7,200,000.00 450
58 IV Catheter 20 Optiva (RNI) Pcs 2740262 6/30/2019 24,200.00 - -
61 IV Catheter 20 Optiva (RNI) Pcs 2740262 6/1/2019 24,200.00 250 6,050,000.00
63 IV Catheter 26 Eskamed (BDM) Pcs 3095315E 4/1/2020 16,956.50 200 3,391,300.00
64 Jarum Kulit No. 10 (BDM) Lusin 38,500.00 - 30
65 Jarum Kulit No. 12 (BDM) Lusin MD 16153703 38,500.00 8 308,000.00
68 Jarum Kulit No. 15 (BDM) Lusin MD 17171802 38,500.00 9 346,500.00
69 Jelly KY (BDM) Tube 1221N2 7/1/2020 110,000.00 - 24
70 Jelly Ultrasound (BDM) ml 65066C 3/1/2022 110.00 10,000 1,100,000.00
71 Kapas 250 g (RNI) Roll 0216 10/31/2020 42,900.00 10 429,000.00
72 Kapas 500 g (RNI) Roll 0216 10/31/2020 85,415.00 - -
73 Kapas 500 g (BDM) Roll 1410069 10/1/2019 82,208.50 - 1
74 Kapas 500 g (BDM) Roll 1411082 11/1/2019 82,208.50 - 23
75 Kapas 1000 g (BDM) Roll 1505025 5/1/2020 164,417.00 - -
76 Kapas 1000 g (BDM) Roll 1505026 5/1/2020 164,417.00 - -
77 Kasa Hidrofil 40 x 80 (RNI) Roll 361117 11/30/2021 233,200.00 50 11,660,000.00
78 Kertas EKG 110 (BDM) Roll 165,000.00 20 3,300,000.00
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Terkecil
79 Kertas EKG 210 (BDM) Roll 33815 12/1/2018 192,500.00 30 5,775,000.00

80 Kertas Puyer (BDM) Pak 27,500.00 - 3
81 Kertas USG (BDM) Roll 352,000.00 - 27
82 Masker Tie On (BDM) Pcs 521.99 - 4,000
83 Masker Tie On (KF) Pcs 664043 5/1/2021 599.98 4,800 2,879,923.20
84 Mata Pisau No. 11 (BDM) Pcs 4507519425 2/1/2021 4,125.00 150 618,750.00
87 Nasal O2 Dewasa (BDM) Pcs 170712 7/1/2022 30,250.00 22 665,500.00 50
88 Nasal O2 Dewasa (BDM) Pcs 20170315 3/1/2022 15,120.60 - 50
89 Octenic Body Wash (RNI) Pak 04GL0101 9/1/2019 17,600.00 28 492,800.00
90 Octenic Body Wash (RNI) Pak 05GL0101 9/1/2019 17,600.00 72 1,267,200.00
91 Penjepit Tali Pusar (BDM) Pcs 03.2016 3/1/2021 2,200.00 50 110,000.00
92 Penjepit Tali Pusar (BDM) Pcs 160919 9/1/2021 2,200.00 - 300
93 Penjepit Tali Pusar (BDM) Pcs 03.2016 3/1/2021 2,200.00 -
94 Penjepit Tali Pusar (BDM) Pcs 122015 12/1/2020 2,200.00 - 50
95 Perfusor (BDM) Pcs 17G01K8411 7/1/2022 99,000.00 50 4,950,000.00
96 Perfusor (BDM) Pcs 17D19K8411 4/1/2022 99,000.00 - 50
97 Stomach Tube 16 Terumo (BDM) Pcs 170116B 12/1/2021 33,599.50 - -
98 Stomach Tube 16 Terumo (BDM) Pcs 170315B 2/1/2022 33,599.50 50 1,679,975.00
99 Suction Catheter FR 8 (BDM) Pcs 20171125 11/1/2022 4,032.60 - 20
100 Sungkup Nebulizer Dewasa (BDM) Pcs 170305 3/1/2022 66,000.00 3 198,000.00
101 Sungkup O2 Dewasa + Kantong (BDM) Pcs 1512022020 11/1/2020 66,000.00 1 66,000.00 50
102 Surgicryl 910 1 HR 36 (RNI) Kotak 150808 7/1/2020 1,518,000.00 - 5
103 Surgicryl 910 2 HR 40 (RNI) Kotak 160315 2/28/2022 1,755,600.00 - - 10
106 Surgicryl 910 2/0 HR 17 (RNI) Kotak 170210 1/30/2022 1,320,000.00 3 3,960,000.00
108 Tensocrepe 4 Inch (BDM) Roll 041711073 11/1/2022 93,830.00 10 938,300.00
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110 Tensocrepe 6 Inch (BDM) Roll 121701301 1/1/2022 139,480.00 16 2,231,680.00
112 Three Way Eskamed (BDM) Pcs 169002 8/1/2021 15,750.00 100 1,575,000.00
113 Three Way Tro (BDM) Pcs 13958-02 6/1/2020 22,000.00 50 1,100,000.00 200
114 Transfusi Set Eskamed (BDM) Pcs 171020 9/1/2022 16,380.10 - -
115 Transfusi Set (BDM) Pcs 20170923 9/1/2022 4,847.70 450 2,181,465.00
116 Transfusi Set (RNI) Pcs 423A16 2/28/2022 22,000.00 - -
117 Transfusi Set (RNI) Pcs 423A16 2/1/2022 10,430.20 - 500
118 Urine Bag (BDM) Pcs 20171220 12/1/2022 5,728.80 500 2,864,400.00
119 Urine Bag (RNI) Pcs 16531 10/1/2021 6,600.00 - -
120 Urine Bag (RNI) Pcs 17046 2/1/2022 6,600.00 - -
TOTAL 1,528,967,759.09
PENGURUS/PENYIMPAN BARANG KEPALA INSTALASI FARMASI

NURSYAMSI SRI ARIYANTI, S.Si., Apt

NIP : 19810727 201001 1 012 NIP. 19820918 200804 2 002
412682303.xlsx 96
HP PADA GUDANG INSTALASI FARMASI
MOKOYURLI KABUPATEN BUOL
N MARET TAHUN 2018
Nilai Masuk Mutasi Nilai Mutasi Jml Nilai Sisa Stok
- - - 2,800 330,400
- - - - -
- - - 8 406,560
- - - 10 500,000
- 1 550,000 - -
- - - - -
- - - 169 25,265,500
- - - 14,000 1,688,960
- - - 23,000 4,183,930
- - - - -
- - - 3 56,250
- 1 733,333 - -
- - - - -
- - - 4 186,340
- - - 96 4,622,006
- - - 1,200 573,606
- - - 4,000 131,120
- - - 28 106,103
- - - 117 11,454,300
- - - - -
- - - - -
- - - 5,000 207,900
- - - - -
- - - 26 629,200
412682303.xlsx 97
- - - 20 440,000
- - - 4 2,032,800
- - - - -
- - - 1,100 5,929,000
- - - 11,500 8,855,000
- - - 44 3,146,000
- - - 50 4,400,000
- - - 6,500 5,941,650
- - - 1,700 160,483
- - - 800 8,360,000
- - - 1,500 11,000,000
- - - 10 146,410
- - - 200 50,600
- - - - -
- - - 450 4,009,500
- - - 5 332,750
- - - 400 880,000
- - - 900 83,160
- - - 600 102,597
- 300 217,800 1,100 798,600
- - - 125 584,375
- - - 44 4,840,000
- - - 68 505,947
- - - 630 5,717,250
- - - 600 73,795
- - - 120 2,904,000
- - - - -
- - - - -
- - - - -
- - - 700 164,010
412682303.xlsx 98
- - - 400 857,120
- - - 150 1,452,000
- - - - -
- - - 1 759,000
- - - 19 80,925
- - - 30 127,776
- - - 14 59,629
- - - 10 550,000
- - - 10 242,000
- - - 1 77,000
- - - 6 231,000
- - - 3 115,500
- - - - -
- - - 43 1,940,010
- - - 100 330,000
- - - 100 117,865
- - - - -
- - - 50 180,950
- - - - -
- - - 2,200 1,914,002
- - - 700 380,921
- - - 4 6,000,000
- - - - -
- - - - -
- - - - -
- - - 10 649,891
- - - 1,000 141,680
- - - - -
- - - 1,250 11,000,000
- - - - -
412682303.xlsx 99
- 500 78,672 1,200 188,813

- - - 270 891,000
- - - 150 1,489,125
- - - 1,560 4,290,000
- - - 1,900 708,092
- - - 500 319,000
- - - 500 26,000
- 1,000 148,610 5,800 861,938
- - - - -
- - - - -
- - - 1,000 1,540,000
- - - - -
- - - - -
- - - 90 825,000
- - - - -
- - - 1,800 3,564,000
- - - - -
- - - 400 627,000
- - - 49 781,550
- - - 20 3,300,000
- - - 50 2,911,700
- - - - -
- - - 2,050 2,480,500
- 25 1,595,000 170 10,846,000
- - - - -
- - - - -
- - - 2,000 194,810
- - - - -
- 20 262,240 - -
- - - 1,300 800,800
412682303.xlsx 100
- - - 250 2,344,375
- - - 3,900 19,305,000
- - - - -
- - - - -
- - - 50 5,224,613
- - - 493 71,041,300
- - - 3 429,000
- - - 300 26,400,000
- - - - -
- - - - -
- - - 30 1,320,000
- - - - -
- - - 2,200 356,708
- - - 500 114,912
- - - 100 7,700,000
- 500 385,000 1,200 924,000
- - - 1,800 1,264,032
- - - 200 159,280
- - - 500 899,998
- - - 3,000 5,999,994
- - - 570 2,045,170
- - - - -
- - - 124 738,333
- - - - -
- - - 2,900 6,966,960
- - - - -
- - - - -
- - - - -
- - - 25 1,849,698
- - - 100 1,012,000
412682303.xlsx 101
- - - - -
- - - - -
- - - 2 2,618,000
- - - 600 936,540
- - - - -
- - - 1,400 3,788,400
- - - 210 20,270,250
- - - - -
- 90 465,300 - -
- - - 600 5,610,000
- - - 10 770,000
- - - 100 7,700,000
- - - 30 1,155,000
- - - 6 726,000
- - - 20 1,460,000
- - - 50 514,250
- - - 2,000 7,788,000
- - - 600 1,234,807
- - - 800 153,463
- - - - -
- - - 420 4,620,000
- - - 110 8,800,000
- - - 9 82,368
- - - 100 4,001,250
- - - 2,200 8,571,200
- - - - -
- - - 300 89,100
- - - 600 1,105,500
- - - 5,940 40,987,782
- - - 2,000 185,350
412682303.xlsx 102
- - - 4 2,822,000
- - - 48 153,912
- - - 24 137,280
- - - 8 6,799,998
- - - 72 3,564,429
- - - 2,800 399,168
- - - - -
- - - 372 1,686,381
- - - 15 1,074,002
- - - 40 641,520
- - - - -
- - - 60 990,000
- - - - -
- - - - -
- - - - -
- - - 2,300 1,221,282
- - - 7,700 12,705,000
- - - 28 4,735,369
- - - 2,000 800,008
- - - 1,500 461,691
- - - 180 16,632,000
- - - - -
- - - 800 664,224
- - - 3,000 1,254,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 103
- - - 1,100 290,400
- - - 24 85,800
- - - 1,000 133,100
- - - 1,000 8,250,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - 200 52,243
- 100 640,970 2,450 15,703,765
- - - - -
- - - 1,000 2,200,000
- - - 2,900 3,269,750
- - - - -
- - - 250 35,750,000
- - - 250 33,000,000
- - - 20 1,848,000
- - - 120 7,920,000
- - - 20 1,131,900
- - - 150 10,560,000
- - - - -
- - - - -
- - - 300 605,000
- - - - -
- - - 472 2,390,916
- - - - -
- - - 60 186,783
- 20 263,828 - -
- - - 70 2,800,028
- - - 1,500 1,324,950
412682303.xlsx 104
- - - - -
- - - 90 445,500
- - - 1,200 188,760
- - - 120 1,584,000
- - - 200 2,178,000
- 100 1,100,000 50 550,000
- - - 260 1,901,900
- - - 50 2,200,000
- - - 500 237,402
- - - 85 1,262,250
- - - - -
- - - 250 2,420,000
- - - - -
- - - - -
- - - 60 198,000
- - - - -
- - - - -
- - - 90 425,700
- - - - -
- - - 330 2,904,000
- - - - -
- - - 180 1,089,000
- - - 400 748,000
- - - 5,450 38,667,750
- - - 6,500 46,475,000
- - - 20 1,980,000
- - - - -
- - - 3,400 278,780
- - - - -
- - - 150 1,485,000
412682303.xlsx 105
- - - - -
- - - 6 290,400
- - - 1,700 504,900
- - - 100 25,001
- - - 1 2,860,000
- - - 300 1,200,166
- - - 1,500 610,500
- - - 45 198,028
- - - 70 936,897
- - - 84 7,858,053
- - - 1 1,683,000
- - - 2,200 958,030
- - - 300 4,356,000
- - - 75 2,062,500
- - - 50 1,375,000
- - - 17 3,272,500
- - - 1,200 96,000
- - - 3,500 425,040
- - - 2,400 1,406,381
- - - - -
- - - 2 233,200
- - - 5 3,887,400
- - - 8 6,621,120
- - - 1 1,650,000
- - - 1 827,640
- - - 2 1,655,280
- - - 2 1,650,000
- - - - -
- - - 8 6,600,000
- - - 2 1,554,960
412682303.xlsx 106
- - - 100 1,320,000
- - - 2 2,565,200
- 100 118,800 100 118,800
- - - 2,000 1,687,400
- - - - -
- - - - -
- - - 100 172,500
- - - - -
- - - - -
- - - 125 601,563
- - - 8 2,200,000
- - - 30 2,475,000
- - - 20 1,650,000
- - - 10 825,000
- - - 25 2,475,000
- - - 84 357,773
- - - 250 9,625,000
- - - 50 204,105
- - - 10 385,000
- - - 50 204,105
- - - 39 159,202
- - - 2 5,170,000
- - - 2 8,219,200
- - - 2 1,581,800
- - - 50 3,465,000
- - - - -
- - - 60 1,452,000
- - - - -
- - - - -
- - - 60 1,452,000
412682303.xlsx 107
- - - - -
- - - - -
- - - - -
- - - 19,500 1,115,400
- - - - -
- - - 2,500 375,529
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 60 719,400
- - - 5 44,275
- - - - -
- - - 30,000 6,456,958
- - - - -
- - - - -
- - - - -
- - - 450 2,868,525
- - - 100 1,600,000
- - - - -
- - - - -
- - - 150 2,400,000
- - - 200 1,789,480
- - - - -
- - - - -
- - - 250 -
- - - 500 3,749,900
- - - - -
- - - - -
412682303.xlsx 108
- - - - -
- - - - -
- - - - -
- - - - -
- 2 67,964 8 271,855
- - - - -
- 1 231,000 52 12,012,000
- - - - -
- - - 20 3,850,000
- - - 14 4,928,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - 94 129,250
- - - 300 1,237,500
- - - - -
- - - 10 302,500
- - - 350 729,049
- - - 1 825,000
- - - 12 9,900,000
- - - 1 825,000
- - - 4 3,300,000
- - - 3 3,631,320
- - - 3 3,631,320
- 2 119,533 45 2,689,493
- - - 180 17,919,000
- - - 144 13,533,062
- - - - -
- - - - -
412682303.xlsx 109
- - - 45 680,378
- - - 36 328,499
- - - - -
- - - 11 7,260,000
- - - 16 10,560,000
- - - 1 660,000
- - - 3 1,524,600
- - - 3 1,980,000
- - - 24 1,042,800
- - - 100 4,840,000
- - - 300 14,520,000
- - - 150 7,260,000
- - - 25 100,815
- - - 1 4,033
- - - 13 367,900
- - - 47 3,102,000
- - - - -
- - - - -
- - - - -
- - - 2 3,088,800
- - - 1 1,491,600
- - - - -
- - - - -
- - - - -
- - - 80 2,068,000
- - - - -
- - - - -
- 1,800 54,000 - -
252,351.00 500 84,117 1,000 168,234
2,340,008.00 500 292,501 3,500 2,047,507
412682303.xlsx 110
3,234,000.00 240 1,584,000 250 1,650,000

- - - - -
- - - - -
- - - - -
- - - - -
- 4,000 1,320,000 700 231,000
- - - - -
- - - 4,000 541,200
- - - 5,000 1,650,000
- - - 40 2,599,564
- - - 60 237,596
2,303,994.00 100 115,200 1,900 2,188,794
- 100 20,167 2,000 403,333
- 100 48,000 5,750 2,760,019
- - - - -
- - - - -
189,992.00 2,000 189,992 - -
- 1,500 1,226,500 - -
- - - - -
- 450 367,950 2,010 1,643,510
- - - 3,000 715,000
- - - 200 1,430,000
1,350,250.00 300 810,150 200 540,100
312,500.10 - - 2,500 312,500
312,500.10 - - 2,500 312,500
369,600.00 - - 2,100 369,600
- 600 3,168,000 - -
- 220 1,161,600 460 2,428,800
889,450.10 10 177,890 40 711,560
- - - - -
412682303.xlsx 111
- - - - -
- 72 694,505 528 5,093,035
- - - 300 540,000
- 600 3,300,000 2,400 13,200,000
- 25 36,245 - -
435,600.00 25 72,600 125 363,000
99,000.00 20 99,000 - -
14,751,000.00 880 4,356,000 2,100 10,395,000
- 350 577,500 250 412,500
- 200 330,000 - -
8,250,000.00 - - 50 8,250,000
2,329,360.00 - - 40 2,329,360
582,340.00 - - 10 582,340
3,081,870.00 50 1,712,150 40 1,369,720
6,182,000.00 - - 2,000 6,182,000
- 1,320 830,280 1,440 905,760
- - - 3,360 18,480,000
- 500 61,989 - -
414,920.00 2,000 207,460 2,000 207,460
- - - - -
- - - - -
- 1,200 1,108,800 - -
4,200,020.00 2,400 2,016,010 2,600 2,184,010
7,056,033.60 - - 8,400 7,056,034
- 1,400 3,352,426 - -
3,412,200.00 600 682,440 3,000 3,412,200
10,890,000.00 150 5,445,000 150 5,445,000
- 600 27,060,000 - -
22,022,000.00 56 616,616 1,944 21,405,384
- 20 1,320,000 - -
412682303.xlsx 112
- 30 1,980,000 150 9,900,000

38,500,000.00 1,000 38,500,000 - -
11,000,000.00 - - 1,000 11,000,000
- - - - -
- 40 1,760,000 260 11,440,000
503,250.00 - - 30 503,250
742,500.00 30 742,500 - -
2,475,000.00 12 297,000 88 2,178,000
1,262,250.00 1 42,075 29 1,220,175
371,250.00 10 123,750 20 247,500
899,250.00 10 299,750 20 599,500
1,183,875.00 5 197,313 25 986,563
882,337.50 23 882,338 - -
268,537.50 7 268,538 - -
3,069,000.00 20 767,250 60 2,301,750
- - - - -
- - - - -
- 1,350 452,183 1,650 552,668
- 750 235,125 - -
- - - 3,000 940,500
709,500.00 - - 1,500 709,500
3,712,500.00 50 1,237,500 100 2,475,000
1,237,500.00 - - 50 1,237,500
12,375,000.00 - - 500 12,375,000
3,058,983.40 - - 1,020 3,058,983
495,440.00 - - 2,000 495,440
522,500.00 300 82,500 1,600 440,000
- 30 198,000 240 1,584,000
2,036,690.70 500 328,499 2,600 1,708,192
591,297.30 - - 900 591,297
412682303.xlsx 113
- 1,000 866,250 - -
371,250.00 500 61,875 2,500 309,375
- 60 111,877 180 335,630
- - - - -
- - - - -
- 1,000 484,341 1,900 920,248
6,193,000.00 - - 10 6,193,000
- - - 60 1,320,000
- 150 1,320,000 390 3,432,000
- - - 930 8,388,600
279,812.50 11 279,813 - -
483,312.50 9 228,938 10 254,375
952,875.00 30 952,875 - -
16,549,500.00 - - 1,770 16,549,500
1,760,000.00 - - 20 1,760,000
660,000.00 - - 10 660,000
- 100 6,600,000 - -
- - - 100 11,000,000
- - - 2,000 167,992
- 720 3,049,200 - -
1,815,000.00 300 1,815,000 - -
- 20 40,400 20 40,400
4,625,500.00 - - 1,000 4,625,500
- 150 632,500 1,500 6,325,000
- - - 240 2,402,400
- - - - -
1,402,500.00 10 467,500 20 935,000
- - - 1,350 12,919,500
- 900 871,200 - -
- - - - -
412682303.xlsx 114
- 2,000 246,048 1,000 123,024

- 40 409,992 300 3,074,940
450,991.20 100 45,099 900 405,892
- - - - -
9,783,180.00 610 9,783,180 - -
8,339,760.00 520 8,339,760 - -
13,680,136.80 776 3,880,039 1,960 9,800,098
- 300 1,650,000 420 2,310,000
- - - 1,600 2,107,784
- - - 700 924,000
- 300 300,003 - -
- - - - -
- 10 839,500 - -
- 40 3,358,000 - -
1,138,500.00 15 1,138,500 - -
2,285,250.00 - - 30 2,285,250
- 500 42,499 1,500 127,496
791,993.40 1,200 959,992 2,190 1,751,985
- - - 2,000 1,025,200
- - - - -
- 78 10,296,000 - -
16,500,000.00 42 4,620,000 108 11,880,000
22,000,000.00 - - 200 22,000,000
- 1,500 269,528 700 125,780
- - - - -
247,500.00 5 247,500 - -
18,562,500.00 115 5,692,500 260 12,870,000
2,643,300.00 5,000 2,643,300 - -
- - - - -
2,325,576.00 - - 4,800 2,325,576
412682303.xlsx 115
- - - - -
- - - - -
- - - - -
- 204 1,775,453 96 835,507
- - - 500 22,000,000
- - - 3,000 792,000
- - - - -
- - - 120 429,000
- - - - -
10,560,000.00 - - 48 10,560,000
440,000.00 - - 2 440,000
- - - - -
- 400 1,166,000 1,100 3,206,500
- 3,600 10,494,000 - -
- 900 1,980,000 - -
- 660 1,524,600 240 554,400
- - - - -
607,200.00 40 607,200 - -
24,288,000.00 200 3,036,000 1,400 21,252,000
915,750.00 20 915,750 - -
32,048,500.00 580 3,717,626 4,420 28,330,874
573,804.00 800 163,944 2,000 409,860
- - - 2,000 705,276
- 800 189,253 1,200 283,879
- - - 30 355,667
592,779.00 - - 50 592,779
2,755,500.00 100 918,500 200 1,837,000
- - - - -
- 25 2,175,000 - -
- 450 1,291,950 - -
412682303.xlsx 116
- - - - -
- - - 1,150 3,301,650
- 50 275,000 - -
- 65 629,200 - -
- 435 4,210,800 - -
50,000.00 100 50,000 - -
841,500.00 20 841,500 - -
400,125.00 5 66,688 25 333,438
- 200 9,900,000 - -
- 4 462,000 - -
- 64 828,115 24 310,543
- 138 1,785,623 - -
- - - - -
- 100 6,600,000 - -
- 1,000 115,500 6,000 693,000
450,450.00 1,500 173,250 2,400 277,200
- 2,000 314,600 - -
2,638,284.00 30 395,743 170 2,242,541
- 100 3,999,996 100 3,999,996
12,479,940.00 - - 300 12,479,940
990,495.00 - - 900 990,495
- - - 100 423,500
- - - - -
- - - 150 990,000
- - - 350 2,310,000
- - - - -
- - - - -
- - - - -
- 80 1,642,080 340 6,978,840
612,150.00 21 612,150 - -
412682303.xlsx 117
262,350.00 9 262,350 - -
577,500.00 10 192,500 20 385,000
1,043,625.00 2 69,575 28 974,050
393,250.00 15 294,938 5 98,313
1,732,500.00 - - 30 1,732,500
- - - - -
- 140 6,314,000 - -
- 500 30,998 2,500 154,990
5,280,000.00 8 352,000 112 4,928,000
254,100.00 500 42,350 2,500 211,750
1,183,875.00 10 394,625 20 789,250
- 40 299,200 - -
- 60 448,800 - -
- 580 4,338,400 420 3,141,600
35,200,000.00 2,000 14,080,000 3,000 21,120,000
- 1,000 7,150,000 - -
- 1,200 264,000 4,600 1,012,000
- 4,800 1,056,000 - -
- - - 75 577,500
2,821,500.00 40 3,762,000 - -
1,485,000.00 240 1,188,000 60 297,000
2,007,500.00 50 401,500 400 3,212,000
- - - - -
- - - - -
- 96 925,962 - -
1,740,750.00 - - 30 1,740,750
2,833,600.00 900 924,000 1,860 1,909,600
- - - 900 502,755
- 1 2,860,000 1 2,860,000
14,300,000.00 - - 5 14,300,000
412682303.xlsx 118
- 110 1,331,000 - -
- - - 2 3,366,000
210,100.00 4 210,100 - -
1,365,650.00 6 315,150 20 1,050,500
420,750.00 20 420,750 - -
957,000.00 - - 30 957,000
2,651,687.50 100 1,060,675 150 1,591,013
- 200 - - -
- - - 2,700 6,652,800
284,900.00 6 122,100 8 162,800
675,015.00 - - 5,000 675,015
- - - - -
- - - - -
3,960,000.00 9 396,000 81 3,564,000
- 64 1,626,240 - -
- - - - -
- 2 5,229,400 - -
4,138,200.00 4 3,310,560 1 827,640
- - - 8 6,600,000
2,565,200.00 2 2,565,200 - -
307,360.00 200 307,360 - -
- - - 2,400 2,024,880
- - - - -
- 1,200 1,013,047 - -
2,804,340.00 300 701,085 900 2,103,255
6,777,155.00 2,900 6,777,155 - -
2,103,255.00 900 2,103,255 - -
- 100 285,120 - -
- - - 3,600 3,065,040
- 1,200 1,215,720 - -
412682303.xlsx 119
1,823,580.00 1,800 1,823,580 - -

- 1,900 2,311,540 200 243,320
1,481,920.00 - - 1,600 1,481,920
- - - 125 601,563
2,750,000.00 - - 10 2,750,000
- - - 50 204,105
8,219,200.00 2 8,219,200 - -
- 2 8,925,400 - -
8,925,400.00 2 8,925,400 - -
1,581,800.00 2 1,581,800 - -
1,574,980.00 - - 100 1,574,980
1,574,980.00 40 629,992 60 944,988
- - - 40 4,400,000
- 12 800,580 - -
- - - - -
800,580.00 - - 12 800,580
800,580.00 - - 12 800,580
- 10 302,500 50 1,512,500
- 7,700 3,980,477 - -
5,275,050.00 8,900 4,694,795 1,100 580,256
5,275,050.00 - - 10,000 5,275,050
932,000.00 100 466,000 100 466,000
1,763,960.00 - - 200 1,763,960
1,864,000.00 450 2,097,000 250 1,165,000
1,864,000.00 565 2,632,900 300 1,398,000
- - - - -
- 26 3,689,890 - -
- - - - -
- - - 12 2,888,160
14,440,800.00 60 14,440,800 - -
412682303.xlsx 120
4,050,002.00 300 2,430,001 200 1,620,001

- 100 1,168,000 - -
5,441,997.00 600 5,441,997 - -
1,600,000.00 - - 100 1,600,000
6,400,000.00 150 2,400,000 250 4,000,000
- - - - -
- 200 4,840,000 - -
- - - - -
7,200,000.00 700 11,200,000 200 3,200,000
- - - - -
- - - - -
- - - - -
- 250 6,050,000 - -
- - - - -
- - - 200 3,391,300
1,155,000.00 - - 30 1,155,000
- 8 308,000 - -
- 8 308,000 2 77,000
- 10 385,000 - -
- 7 269,500 2 77,000
2,640,000.00 4 440,000 20 2,200,000
- - - 10,000 1,100,000
- 10 429,000 - -
- - - - -
82,208.50 1 82,209 - -
1,890,795.50 13 1,068,711 10 822,085
- - - - -
- - - - -
- - - 50 11,660,000
- 3 495,000 17 2,805,000
412682303.xlsx 121
- - - 30 5,775,000
82,500.00 3 82,500 - -
9,504,000.00 - - 27 9,504,000
2,087,976.00 1,850 965,689 2,150 1,122,287
- 4,800 2,879,923 - -
- 115 474,375 35 144,375
- - - 200 825,000
- - - 200 825,000
1,512,500.00 72 2,178,000 - -
756,030.00 - - 50 756,030
- 10 176,000 18 316,800
- - - 72 1,267,200
- 50 110,000 - -
660,000.00 - - 300 660,000
- - - - -
110,000.00 - - 50 110,000
- 25 2,475,000 25 2,475,000
4,950,000.00 - - 50 4,950,000
- - - - -
- - - 50 1,679,975
80,652.00 10 40,326 10 40,326
- 3 198,000 - -
3,300,000.00 42 2,772,000 9 594,000
7,590,000.00 5 7,590,000 - -
17,556,000.00 1 1,755,600 9 15,800,400
3,653,416.80 3 3,653,417 - -
1,258,606.80 1 1,258,607 - -
- - - 3 3,960,000
- 4 4,593,600 - -
- - - 10 938,300
412682303.xlsx 122
- 6 836,880 - -
- 6 836,880 10 1,394,800
- - - 2 278,960
- - - 100 1,575,000
4,400,000.00 80 1,760,000 170 3,740,000
- - - - -
- 400 1,939,080 50 242,385
- - - - -
5,215,100.00 - - 500 5,215,100
- 170 973,896 330 1,890,504
- - - - -
- - - - -
660,704,391.79 470,300,339.36 1,719,371,811.52
BUOL, 31 MARET 2018
PENANGGUNGJAWAB

NIP. 19820818 201001 2 012
412682303.xlsx 123
BULAN APRIL TAHUN 2018
Harga Satuan
No Nama Sediaan Satuan Batch Kedaluwarsa Jml Nilai Stock Awal Masuk Nilai Masuk
Terkecil
OBAT TAHUN 2013
1 Amythriptillin 25 mg Tab Tablet 118.00 2,800 330,400 -
BAHAN HABIS PAKAI 2013 - - - -
1 Kertas EKG Roll 50,820.00 8 406,560 -
2 Kertas EKG Roll 50,000.00 10 500,000 -
3 Softnolime Galon 550,000.00 - - -
OBAT PENGADAAN 2014 - - - -
1 Flutamol Tablet 149,500.00 169 25,265,500 -
2 Ibuprofen Tab 200 mg Tablet 120.64 14,000 1,688,960 -
3 VITAMIN B6 Tab/Kap @1 Tablet Tablet 181.91 23,000 4,183,930 -
1 SLIM SECHER Pcs 18,750.00 3 56,250 -
OBAT BLUD 2015 - - - -
1 Burnazin Cream (KF) Tube 46,585.00 4 186,340 -
2 Catapres Injeksi (KF) Ampul 48,145.90 96 4,622,006 -
3 Ethambutol Tablet 500 mg (KF) Tablet 478.01 1,200 573,606 -
4 Gliseril Guaiacolat Tablet (RNI) Tablet 32.78 4,000 131,120 -
5 Novadiar Syrup (RNI) Botol 3,789.40 28 106,103 -
6 Otsu Tran 40% (RNI) Botol 97,900.00 117 11,454,300 -
7 Phytomenadion Tablet (RNI) Tablet 748.69 - - -
8 Rivanol (RNI) Botol 4,125.00 - - -
9 Vitamin B1 Tablet (RNI) Tablet 41.58 5,000 207,900 -
BAHAN HABIS PAKAI BLUD - - - -
1 Foley Catheter FR 20 (RNI) Pcs 24,200.00 26 629,200 -
3 Silk Black With Needle USP 4/0 HR 26 (RNI) Kotak 508,200.00 4 2,032,800 -
OBAT BLUD 2016 - - - -
1 Albuforce Tablet (UN) Tablet 5,390.00 1,100 5,929,000 -
2 Amoxicillin Tablet (DNR) Tablet 770.00 11,500 8,855,000 -
3 Azytromicin Syrup (TSJ) Botol 71,500.00 44 3,146,000 -
4 Azitum Syrup Botol 88,000.00 50 4,400,000 -
412682303.xlsx 126
Harga Satuan
Terkecil
5 Betahistin Mesilat Tablet 6 mg (AAM) Tablet 914.10 6,500 5,941,650 -
6 Calsium Lactat (KF) Tablet 94.40 1,700 160,483 -
7 Cilostazol Tablet (DNR) Tablet 10,450.00 800 8,360,000 -
8 Citicolin Tablet 500 mg (DNR) Tablet 7,333.33 1,500 11,000,000 -
9 Desoximethasone Cream 0,25 mg (AAM) Tube 14,641.00 10 146,410 -
10 Doxycycline Kapsul 100 mg (KF) Kapsul 253.00 200 50,600 -
11 Dulcolax Suppo (KF) Suppo 14,137.20 - - -
12 Epinefrin Injeksi (RNI) Ampul 8,910.00 450 4,009,500 -
13 Falergi (PV) Botol 66,550.00 5 332,750 -
14 Flunarizine Tablet (DNR) Tablet 2,200.00 400 880,000 -
15 Halloperidol Tablet 0,5 mg (IGM) Tablet 92.40 900 83,160 -
16 Hidrochlortiazide (KF) Tablet 171.00 600 102,597 -
17 Interhistin Tablet (MBS) Tablet 726.00 1,100 798,600 -
18 Ketokonaole Cream 2% (KF) Tube 4,675.00 125 584,375 -
19 Levofloxacin Infus (DNR) Botol 110,000.00 44 4,840,000 -
20 Meylon (KF) Vial 7,440.40 68 505,947 -
21 Miotonic Injeksi (PV) Ampul 9,075.00 630 5,717,250 -
22 Nifedipin Tablet (AAM) Tablet 122.99 600 73,795 -
23 Nistatin Drops (DNR) Botol 24,200.00 120 2,904,000 -
24 Pamol Suppo (ENS) Suppo 9,927.50 - - -
25 Pelastin Injeksi (BSP) Vial 333,740.00 - - -
26 Propranolol Tablet (AAM) Tablet 84.70 - - -
27 Pyrazinamide 500 mg Tablet (KF) Tablet 234.30 700 164,010 -
28 Rethapril Tablet (KF) Tablet 2,142.80 400 857,120 -
29 Trolip Kapsul (AAM) Kapsul 9,680.00 150 1,452,000 -
1 Catgut Cromic With Needle USP 3/0 DS 30 (RNI) Kotak 759,000.00 1 759,000 -
2 Feeding Tube 10 (BDM) Pcs 4,259.20 19 80,925 -
5 Foley Catheter FR 10 (BDM) Pcs 55,000.00 10 550,000 -
7 H2O2 (BDM) Botol 77,000.00 1 77,000 -
8 Jarum Kulit No. 06 (BDM) Lusin 38,500.00 6 231,000 -
10 Kertas EKG 110 (BDM) Roll 110,000.00 - - -
11 Leukoplast (RNI) Roll 45,116.50 43 1,940,010 -
412682303.xlsx 127
Harga Satuan
Terkecil
12 Mata Pisau No. 23 (BDM) Pcs 3,300.00 100 330,000 -
13 Mata Pisau No. 24 (BDM) Pcs 1,178.65 100 117,865 -
OBAT BLUD 2017 - - - -
1 Acyclovir Cream (KF) Tube 3,619.00 50 180,950 -
2 Acyclovir Cream (RNI) Tube 3,461.00 - - -
3 Acyclovir Tablet 400 mg (DNR) Tablet 870.00 2,200 1,914,002 -
4 Acyclovir Tablet 400 mg (ENS) Tablet 544.17 700 380,921 -
5 Albuminar (AAM) Botol 1,500,000.00 4 6,000,000 -
6 Alprazolam Tablet 0,5 mg (KF) Tablet 585.00 - - -
7 Ambroxol Syrup (IGM) Botol 3,536.03 - - -
8 Ambroxol Tablet (SST) Tablet 169.40 - - -
9 Aminofluid (KF) Bag 64,989.10 10 649,891 -
10 Aminofillin Tablet (SST) Tablet 141.68 1,000 141,680 -
11 Amoxicillin Syrup (ENS) Botol 4,840.00 - - -
12 Ampicillin Injeksi (DNR) Vial 8,800.00 1,250 11,000,000 -
13 Antasida Syrup (KF) Botol 5,967.50 - - -
14 Antasida Tablet (RNI) Tablet 157.34 1,200 188,813 -
15 Anti Hemoroid Suppo Suppo 3,300.00 270 891,000 -
16 Antrain Injeksi (ENS) Ampul 9,927.50 150 1,489,125 -
17 Aqua Pro Injeksi (KF) Vial 2,750.00 1,560 4,290,000 -
18 Arfen (Ibuprofen 400 mg) Tablet (SST) Tablet 372.68 1,900 708,092 -
19 Arkine Tablet (SST) Tablet 638.00 500 319,000 -
20 Asam Folat Tablet (RNI) Tablet 52.00 500 26,000 -
21 Asam Mefenamat Tablet (ENS) Tablet 148.61 5,800 861,938 -
22 Asam Mefenamat Tablet (PPG) Tablet 297.00 - - -
23 Asam Traneksamat Injeksi (PPG) Ampul 7,700.00 - - -
24 Asam Traneksamat Tablet (DNR) Tablet 1,540.00 1,000 1,540,000 -
25 Asam Valproat (AAM) Botol 26,987.00 - - -
26 Asering Infus (KF) Botol 9,274.10 - - -
27 Astonox Tablet (UN) Tablet 9,166.67 90 825,000 -
28 Atropin Sulfat Injeksi (UN) Ampul 2,000.00 - - -
29 Bamgetol Tablet (IGM) Tablet 1,980.00 1,800 3,564,000 -
30 Betamethason Cream (KF) Tube 1,975.53 - - -
31 Bionemi Kapsul (PV) Kapsul 1,567.50 400 627,000 -
32 Bioplacenton Cream (ENS) Tube 15,950.00 49 781,550 -
33 Biosat Injeksi (RNI) Ampul 165,000.00 20 3,300,000 -
34 Bisolvon Injeksi (KF) Ampul 58,234.00 50 2,911,700 -
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35 Bisoprolol Tablet 5 mg (AAM) Tablet 1,166.59 - - -
36 Bisoprolol Tablet 5 mg (RNI) Tablet 1,210.00 2,050 2,480,500 -
37 Bunascan Injeksi (PV) Ampul 63,800.00 170 10,846,000 -
38 Buscopan Tablet (KF) Tablet 2,865.50 - - -
39 Candesartan Tablet (DNR) Tablet 5,500.00 - - -
40 Captopril Tablet 12,5 mg (RNI) Tablet 97.41 2,000 194,810 -
41 Captopril Tablet 25 mg (KF) Tablet 120.53 - - -
42 Carbazocrome Injeksi (PV) Ampul 13,112.00 - - -
43 Cartylo Tablet (KF) Tablet 616.00 1,300 800,800 -
44 Cefadroxil Syrup /Lifadrox (SST) Botol 9,377.50 250 2,344,375 -
45 Cefixim Kapsul 200 mg (PPG) Kapsul 4,950.00 3,900 19,305,000 -
46 Cefixim Syrup (DNR) Botol 36,300.00 - - -
47 Cefixime Kapsul (RNI) Kapsul 2,634.06 - - -
48 Cefobactam Injeksi (BSP) Vial 104,492.26 50 5,224,613 -
49 Cefoperazon Sulbactam Injeksi (TSJ) Vial 144,100.00 493 71,041,300 -
50 Cefoperazone Sulbactam Injeksi (DNR) Vial 143,000.00 3 429,000 -
51 Cefoperazone Sulbactam Injeksi (ENS) Vial 88,000.00 300 26,400,000 -
52 Cefotaxim Injeksi (MTA) Vial 44,000.00 - - -
53 Ceftriaxon Injeksi (DNR) Vial 15,400.00 - - -
54 Cefuroxim Injeksi (MRP) Vial 44,000.00 30 1,320,000 -
55 Cetirizine Tablet (RNI) Tablet 313.50 - - -
56 Chlorpheniramin Maleat Tablet/ Orphen (SST) Tablet 162.14 2,200 356,708 -
57 Chlorpromazin Tablet 100 mg (KF) Tablet 229.82 500 114,912 -
58 Ciprofloxacin Infus (TSJ) Botol 77,000.00 100 7,700,000 -
59 Ciprofloxacin Tablet (TSJ) Tablet 770.00 1,200 924,000 -
60 Clindamycin Kapsul 150 mg (IGM) Kapsul 702.24 1,800 1,264,032 -
61 Clindamycin Kapsul 150 mg (PV) Kapsul 796.40 200 159,280 -
62 Clindamycin Kapsul 300 mg Kapsul 1,800.00 500 899,998 -
63 Clindamycin Kapsul 300 mg (PPG) Kapsul 2,000.00 3,000 5,999,994 -
64 Clopidogrel Trombikaf Tablet (KF) Tablet 3,588.02 570 2,045,170 -
65 Combivent Inhalasi (KF) Ampul 4,994.99 - - -
66 Cotrimoxazol Syrup (RNI) Botol 5,954.30 124 738,333 -
67 Cotrimoxazol Tablet (KF) Tablet 190.58 - - -
68 Dexamethason Injeksi (PPG) Ampul 2,402.40 2,900 6,966,960 -
69 Dexamethason Injeksi (RNI) Ampul 2,416.15 - - -
70 Dexamethason Tablet (DNR) Tablet 154.00 - - -
71 Diphenhidramin Injeksi (RNI) Ampul 1,864.61 - - -
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72 Dobutamin Injeksi (RNI) Ampul 73,987.90 25 1,849,698 -
73 Domperidon Syrup (ENS) Botol 10,120.00 100 1,012,000 -
74 Domperidon Tablet (ENS) Tablet 139.48 - - -
75 Dulcolax Tablet (KF) Tablet 1,214.95 - - -
76 Endrolin Injeksi (ESV) Ampul 1,309,000.00 2 2,618,000 -
77 Eperison Tablet (DNR) Tablet 1,560.90 600 936,540 -
78 Erlamycetin Ear Drop (PV) Botol 6,435.00 - - -
79 Erysanbe Tablet 200 mg (BSP) Tablet 2,706.00 1,400 3,788,400 -
80 Esomax Injeksi (MBS) Vial 96,525.00 210 20,270,250 -
81 Estazor Tablet (PV) Kapsul 8,800.00 - - -
82 Farbion Injeksi (UN) Ampul 5,170.00 - - -
83 Farbivent Injeksi (PV) Ampul 9,350.00 600 5,610,000 -
84 Farelax Injeksi (PV) Ampul 77,000.00 10 770,000 -
85 Farelax Injeksi (UN) Ampul 77,000.00 100 7,700,000 -
86 Fargoxin Injeksi (PV) Ampul 38,500.00 30 1,155,000 -
87 Farmabes Injeksi (PV) Vial 121,000.00 6 726,000 -
88 Flamicort IAD (AAM) Vial 73,000.00 20 1,460,000 -
89 Fucilex Cream (MBS) Tube 10,285.00 50 514,250 -
90 Furosemid Injeksi (AAM) Ampul 3,894.00 2,000 7,788,000 -
91 Furosemid Injeksi (RNI) Ampul 2,058.01 600 1,234,807 -
92 Furosemid Tablet (RNI) Tablet 191.83 800 153,463 -
93 Gabapentin Kapsul 300 mg (RNI) Kapsul 6,050.00 - - -
94 Gastrul Tablet (PV) Tablet 11,000.00 420 4,620,000 -
95 Gelafusal (AAM) Bag 80,000.00 110 8,800,000 -
96 Genoint Eye (PV) Botol 9,152.00 9 82,368 -
97 Gentamicin Cream (PV) Tube 40,012.50 100 4,001,250 -
98 Gentamicin Injeksi (IGM) Ampul 3,896.00 2,200 8,571,200 -
99 Gentamicin Salep Kulit (KF) Tube 2,019.99 - - -
100 Glimepiride Tablet 2 mg (KF) Tablet 297.00 300 89,100 -
101 Glucosamin Tablet (DNR) Tablet 1,842.50 600 1,105,500 -
102 Glukosa 5 % (KF) Botol 6,900.30 5,940 40,987,782 -
103 Halloperidol Tablet 0,5 mg (IGM) Tablet 92.68 2,000 185,350 -
104 Halotane Inhalasi (AAM) Botol 705,500.00 4 2,822,000 -
105 Hidrocortison Cream (KF) Tube 3,206.50 48 153,912 -
106 Hidrocortison Cream (RNI) Tube 5,720.00 24 137,280 -
107 Human Albumin (KF) Botol 849,999.80 8 6,799,998 -
108 Hydromal (BSP) Bag 49,505.96 72 3,564,429 -
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109 Isoniazid Tablet 100 mg (KF) Tablet 142.56 2,800 399,168 -
110 KAEN 3B (KF) Botol 10,249.80 - - -
111 Kamadol Injeksi (KF) Ampul 4,533.28 372 1,686,381 -
112 Ketamin Hameln 50 mg (APL) Vial 71,600.10 15 1,074,002 -
113 Ketorolac Injeksi 30 mg (PPG) Ampul 16,038.00 40 641,520 -
114 Ketorolac Injeksi 30 mg (RNI) Ampul 14,701.50 - - -
115 Ketorolac Injeksi 30 mg (TSJ) Ampul 16,500.00 60 990,000 -
116 Ketosic Injeksi 30 mg (PV) Ampul 10,002.30 - - -
117 Lansoprazol Kapsul (DNR) Kapsul 1,621.60 - - -
118 Levemir Flex Pen (RNI) Pen 222,465.98 - - -
119 Levofloxacin Tablet (KF) Tablet 530.99 2,300 1,221,282 -
120 Lidocain Injeksi (DNR) Ampul 1,650.00 7,700 12,705,000 -
121 Lipomed (BSP) Bag 169,120.33 28 4,735,369 -
122 Loratadin Tablet (DNR) Tablet 400.00 2,000 800,008 -
123 Loratadin Tablet (IGM) Tablet 307.79 1,500 461,691 -
124 Manitol (KF) Botol 92,400.00 180 16,632,000 -
125 Meloxicam Tablet 15 mg (DNR) Tablet 1,438.80 - - -
126 Meloxicam Tablet 7,5 mg (DNR) Tablet 830.28 800 664,224 -
127 Meloxicam Tablet 7,5 mg (ENS) Tablet 418.00 3,000 1,254,000 -
128 Merophenem Injeksi 0,5 g (MRP) Vial 55,000.00 - - -
129 Merophenem Injeksi 0,5 g (MTA) Vial 132,000.00 - - -
130 Metformin Tablet (PPG) Tablet 275.00 - - -
131 Methylprednisolon Injeksi (PPG) Vial 51,700.00 - - -
132 Methylprednisolon Injeksi (RNI) Vial 39,022.50 - - -
133 Metronidazol Infus (TSJ) Botol 55,000.00 - - -
134 Metronidazol Tablet (DNR) Tablet 264.00 1,100 290,400 -
135 Miconazol Cream (KF) Tube 3,575.00 24 85,800 -
136 Minkosa 5 mg Glibenclamid (SST) Tablet 133.10 1,000 133,100 -
137 Miotonic Injeksi (RNI) Ampul 8,250.00 1,000 8,250,000 -
138 Miotonic Tablet (PV) Tablet 2,915.00 - - -
139 Morfin Injeksi (KF) Ampul 10,499.39 - - -
140 N Ace Kapsul (PV) Kapsul 2,200.00 - - -
141 Natrium Diklofenak Tablet 25 mg (KF) Tablet 281.69 - - -
142 Natrium Diklofenak Tablet 50 mg Tablet 261.22 200 52,243 -
143 Natrium Klorida Infus (KF) Botol 6,409.70 2,450 15,703,765 -
144 Natrium Phenitoin Injeksi (PV) Ampul 13,398.00 - - -
145 Nerva Plus Tablet Tablet 2,200.00 1,000 2,200,000 -
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146 Neurosanbe Tablet (BSP) Tablet 1,127.50 2,900 3,269,750 -
147 Neurovit E Tablet (KF) Tablet 1,166.92 - - -
148 Nicardipin Injeksi (PPG) Ampul 143,000.00 250 35,750,000 -
149 Nicarfion Injeksi (UN) Ampul 132,000.00 250 33,000,000 -
150 Nocoba Injeksi (PV) Ampul 92,400.00 20 1,848,000 -
151 Norephinefrin Injeksi (TSJ) Ampul 66,000.00 120 7,920,000 -
152 Norephinefrin Levosol Injeksi (KF) Ampul 56,595.00 20 1,131,900 -
153 Norfion Injeksi (UN) Ampul 70,400.00 150 10,560,000 -
154 Novorapid Flex Pen (RNI) Pen 197,749.64 - - -
155 Oksitosin Injeksi (APL) Ampul 2,062.50 - - -
156 Ondansentron Tablet (MTK) Tablet 2,016.67 300 605,000 -
157 Pantoprazol Injeksi (RNI) Vial 60,500.00 - - -
158 Paracetamol Syrup (KF) Botol 5,065.50 472 2,390,916 -
159 Paracetamol Tablet (RNI) Tablet 115.50 - - -
160 Pehacain Injeksi (RNI) Ampul 3,113.06 60 186,783 -
161 Petidin Injeksi (KF) Ampul 13,191.42 - - -
162 Phentanyl Injeksi (KF) Ampul 40,000.40 70 2,800,028 -
163 Piracetam Kapsul 800 mg (RNI) Kapsul 883.30 1,500 1,324,950 -
164 Pomifar Kapsul (PV) Kapsul 4,950.00 - - -
165 Pomifar Kapsul (UN) Kapsul 4,950.00 90 445,500 -
166 Prednison Tablet (SST) Tablet 157.30 1,200 188,760 -
167 Pro Infark Injeksi (RNI) Ampul 13,200.00 120 1,584,000 -
168 Pro K Injeksi (SST) Ampul 10,890.00 200 2,178,000 -
169 Prohem Injeksi (PV) Ampul 11,000.00 50 550,000 -
170 Proliva Tablet (PV) Tablet 7,315.00 260 1,901,900 -
171 Propepsa Suspensi (PV) Botol 44,000.00 50 2,200,000 -
172 Propylthiouracil Tablet (AAM) Tablet 474.80 500 237,402 -
173 Prosional Suspensi (PV) Botol 14,850.00 85 1,262,250 -
174 Pumpisel Injeksi (BSP) Vial 71,497.60 - - -
175 Ranifin Injeksi (UN) Ampul 9,680.00 250 2,420,000 -
176 Ranitidin Injeksi (PPG) Ampul 7,040.00 - - -
177 Ranitidin Tablet (RNi) Tablet 220.00 - - -
178 Rebamax Tablet (PV) Tablet 3,300.00 60 198,000 -
179 Reco Tetes Mata (SST) Botol 7,370.00 - - -
180 Recofol Injeksi (RNI) Ampul 99,000.00 - - -
181 Recolfar Tablet (PV) Tablet 4,730.00 90 425,700 -
182 Renax Kapsul (ENS) Kapsul 7,210.50 - - -
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183 Reprostom Kapsul (PV) Kapsul 8,800.00 330 2,904,000 -
184 Reprostom Kapsul (UN) Tablet 8,800.00 - - -
185 Rhodium Tablet (UN) Tablet 6,050.00 180 1,089,000 -
186 Rifampisin Tablet 450 mg (DNR) Tablet 1,870.00 400 748,000 -
187 Ringer Lactat (DNR) Botol 7,095.00 5,450 38,667,750 -
188 Ringer Lactat (KF) Botol 370812 7,150.00 6,500 46,475,000 -
189 Rocum Injeksi (AAM) Ampul 99,000.00 20 1,980,000 -
190 Ronazol Infus (PV) Botol 66,000.00 - - -
191 Salbutamol Tablet 2 mg (KF) Tablet 81.99 3,400 278,780 -
192 Santagesik Injksi (BSP) Ampul 9,471.00 - - -
193 Scandones Injeksi (Gigi) Ampul 9,900.00 150 1,485,000 -
194 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 20,570.00 - - -
195 SIM-DHA (PV) Botol 48,400.00 6 290,400 -
196 Simvastatin Tablet 10 mg (ENS) Tablet 297.00 1,700 504,900 -
197 Simvastatin Tablet 20 mg (KF) Tablet 250.01 100 25,001 -
198 Sojourn (PV) Botol 2,860,000.00 1 2,860,000 -
199 Solpenox (Amoxicillin) Syrup (SST) Botol 4,000.55 300 1,200,166 -
200 Spironolacton Tab 25 mg (RNI) Tablet 407.00 1,500 610,500 -
201 Stesolid Injeksi (AAM) Ampul 4,400.62 45 198,028 -
202 Stesolid Rectal (AAM) Tube 13,384.25 70 936,897 -
203 Tasigna (AAM) Kapsul 93,548.25 84 7,858,053 -
204 Terrell (PV) Botol 1,683,000.00 1 1,683,000 -
205 Tramadol Kapsul 50 mg (KF) Kapsul 435.47 2,200 958,030 -
206 Tranec Injeksi (PV) Ampul 14,520.00 300 4,356,000 -
207 Tyarit Injeksi (PV) Ampul 27,500.00 75 2,062,500 -
208 Tyarit Injeksi (UN) Ampul 27,500.00 50 1,375,000 -
209 Umarone Injeksi (PV) Ampul 192,500.00 17 3,272,500 -
210 Vitamin B Comp Tablet (RNI) Tablet 80.00 1,200 96,000 -
211 Vitamin C Tablet 100 mg (KF) Tablet 121.44 3,500 425,040 -
212 Zink Dispersible Tablet (KF) Tablet 585.99 2,400 1,406,381 -
1 Bone Wax (BDM) Pcs 116,600.00 2 233,200 -
2 Catgut Cromic 1 HR 37 (RNI) Kotak 777,480.00 5 3,887,400 -
4 Catgut Crmoic 2/0 (RNI) Roll 1,650,000.00 1 1,650,000 -
5 Catgut Cromic 2 HR 40 (RNI) Kotak 827,640.00 1 827,640 -
6 Catgut Cromic 2 HR 45 (DNR) Kotak 827,640.00 2 1,655,280 -
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7 Catgut Cromic 2/0 HR 26 (RNI) Kotak 825,000.00 2 1,650,000 -
8 Catgut Cromic 3/0 (RNI) Roll 2,614,700.00 - - -
Catgut Cromic USP 1 HR 37 (RNI) Kotak 777,480.00 2 1,554,960
10 Cuticell (BDM) Pcs 13,200.00 100 1,320,000 -
11 Defeloper (BDM) Set 1,282,600.00 2 2,565,200 -
12 Disposable Syringe With Needle 1 cc New Skifa (RNI) Pcs 1,188.00 100 118,800 -
13 Disposable Syringe With Needle 1 cc TP (BDM) Pcs 843.70 2,000 1,687,400 -
14 Disposable Syringe With Needle 10 cc Nipor (KF) Pcs 1,654.40 - - -
15 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1,161.05 - - -
16 Disposable Syringe With Needle 20 cc Stera (ISHS) Pcs 1,725.00 100 172,500 -
17 Disposable Syringe With Needle 3 cc TP (BDM) Pcs 851.40 - - -
18 Disposable Syringe With Needle 5 cc TP (BDM) Pcs 1,013.10 - - -
19 Disposable Syringe With Needle 50 cc TP (BDM) Pcs 4,812.50 125 601,563 -
20 Elektroda Patien Monitor (BDM) Pak 275,000.00 8 2,200,000 -
21 Endotracheal Tube FR 3 (BDM) Pcs 82,500.00 30 2,475,000 -
22 Endotracheal Tube FR 3,5 (BDM) Pcs 82,500.00 20 1,650,000 -
23 Endotracheal Tube FR 6,5 (BDM) Pcs 82,500.00 10 825,000 -
24 Extention Tube (BDM) Pcs 99,000.00 25 2,475,000 -
25 Feeding Tube FR 18 (BDM) Pcs 4,259.20 84 357,773 -
26 Feeding Tube FR 3,5 (BDM) Pcs 38,500.00 250 9,625,000 -
31 Film 24x30 (BDM) Kotak 2,585,000.00 2 5,170,000 -
32 Film 30x40 (BDM) Kotak 4,109,600.00 2 8,219,200 -
33 Fixer (BDM) Set 790,900.00 2 1,581,800 -
34 Foley Catheter 08 (RNI) Pcs 69,300.00 50 3,465,000 -
35 Foley Catheter 16 (BDM) Pcs 14,994.10 - - -
36 Foley Catheter 16 (BDM) Pcs 24,200.00 60 1,452,000 -
37 Foley Catheter 16 (KF) Pcs 13,750.00 - - -
39 Foley Catheter 18 (BDM) Pcs 24,200.00 60 1,452,000 -
41 Glucocard (AAM) Botol 279,950.00 - - -
42 Gypsona 6 Inch (BDM) Roll 66,715.00 - - -
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43 Handrub (ISHS) ml 57.20 19,500 1,115,400 -
44 Handrub (RNI) ml 159.60 - - -
45 Handrub (RNI) ml 150.21 2,500 375,529 -
46 Handscoon Gynegolog 7 (DA) Pasang 21,749.97 - - -
47 Handscoon NS (BDM) Pcs 529.20 - - -
48 Handscoon NS M (KF) Pcs 577.50 - - -
49 Handscoon ST 6,5 (DA) Pasang 5,874.99 - - -
50 Handscoon ST 6,5 (KF) Pasang 2886165 9,499.60 - - -
51 Handscoon ST 6,5 (RNI) Pasang 11,990.00 60 719,400 -
52 Handscoon ST 7 (BDM) Pasang 8,855.00 5 44,275 -
54 Hydrex Surgical Scrub (RNI) ml 215.23 30,000 6,456,958 -
55 Hypavix 15 x 5 (BDM) Roll 240,680.00 - - -
56 Infus Set Makro (RNI) Pcs 4,755.99 - - -
57 Infus Set Makro Aximed (KF) Pcs 5,999.40 - - -
58 Infus Set Mikro Nipro (KF) Pcs 6,374.50 450 2,868,525 -
59 IV Catheter 16 G Abbocath (BDM) Pcs 16,000.00 100 1,600,000 -
60 IV Catheter 18 G Abbocath (BDM) Pcs 16,000.00 - - -
61 IV Catheter 20 G Aximed (KF) Pcs 8,749.40 - - -
62 IV Catheter 22 G Abbocath (BDM) Pcs 16,000.00 150 2,400,000 -
63 IV Catheter 22 G Nipro (KF) Pcs 8,947.40 200 1,789,480 -
64 IV Catheter 22 G Optiva (RNI) Pcs 24,200.00 - - -
66 IV Catheter 24 G Abbocath Pcs - 250 - -
67 IV Catheter 24 G Aximed (KF) Pcs 7,499.80 500 3,749,900 -
69 Jarum Kulit 12 Lusin 38,500.00 - - -
73 Jelly Ultrasound (BDM) ml 110.00 - - -
74 Jely (ISHS) Tube 33,981.83 8 271,855 -
75 Kapas (BDM) Roll 82,208.50 - - -
76 Kasa Hidrofil 40 x 80 (RNI) Roll 231,000.00 52 12,012,000 -
78 Kertas EKG 210 (BDM) Roll 192,500.00 20 3,850,000 -
79 Kertas USG (BDM) Roll 352,000.00 14 4,928,000 -
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80 Kertas USG (ISHS) Roll 170,775.00 - - -
81 Masker Tie On (BDM) Pcs 567.01 - - -
82 Masker Tie On (KF) Pcs 599.98 - - -
83 Masker Tie On (SST) Pcs 473.00 - - -
84 Mata Pisau 20 (RNI) Pcs 1,375.00 94 129,250 -
85 Mata Pisau No 15 (BDM) Pcs 4,125.00 300 1,237,500 -
86 Mata Pisau No 20 Pcs 4,125.00 - - -
87 Mucus Extractor (BDM) Pcs 30,250.00 10 302,500 -
88 Novo Twist 32 G (AAM) Pcs 2,083.00 350 729,049 -
89 Nylon Daclon 3/0 DS 19 Kotak 825,000.00 1 825,000 -
90 Nylon Daclon 5/0 DS 16 Kotak 825,000.00 12 9,900,000 -
91 Nylon Daclon USP 2/0 DS 19 (RNI) Kotak 825,000.00 1 825,000 -
92 Nylon Daclon USP 6/0 DS 12 (RNI) Kotak 825,000.00 4 3,300,000 -
93 Popypropylene 5/0 HR 13 (RNI) Kotak 1,210,440.00 3 3,631,320 -
95 Povidon Iodida (KF) Botol 59,766.51 45 2,689,493 -
96 Safil 1 HR 48 Pcs 99,550.00 180 17,919,000 -
97 Safil Violet 2 HR 48 Pcs 93,979.60 144 13,533,062 -
98 Selang O2 Anak (BDM) Pcs 30,250.00 - - -
100 Selang O2 Anak (BDM) Pcs 15,119.50 45 680,378 -
101 Selang O2 Bayi (DA) Pcs 9,124.98 36 328,499 -
102 Selang O2 Dewasa (BDM) Pcs 30,250.00 - - -
103 Silk Black With Needle USP 1 HR 37 (RNI) Kotak 660,000.00 11 7,260,000 -
105 Silk Black With Needle USP 2/0 HR 26 (RNI) Kotak 660,000.00 1 660,000 -
108 Softband 6 Inch (BDM) Roll 43,450.00 24 1,042,800 -
109 Spinocain 25 G (BDM) Pcs 48,400.00 100 4,840,000 -
112 Suction Catheter 06 (BDM) Pcs 4,032.60 25 100,815 -
114 Sungkup Nebulizer Anak (AAM) Pcs 28,299.98 13 367,900 -
115 Sungkup O2 Bayi (BDM) Pcs 66,000.00 47 3,102,000 -
116 Sungkup O2 Dewasa (BDM) Pcs 66,000.00 - - -
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117 Surgicryl 910 USP 1 HR 36 (RNI) Kotak 1,518,000.00 - - -
118 Surgicryl 910 USP 2/0 HR 26 (RNI) Kotak 1,148,400.00 - - -
119 Surgicryl Rapid 1 HR 48 (RNI) Kotak 1,544,400.00 2 3,088,800 -
120 Surgicryl Rapid 2/0 HR 40 (RNI) Kotak 1,491,600.00 1 1,491,600 -
121 Tensocrepe 6" (BDM) Roll 139,480.00 - - -
122 Three Way Stop Cock (BDM) Pcs 22,000.00 - - -
123 Transfusi Set (BDM) Pcs 16,380.10 - - -
124 Urgotul 10x10 (PPG) Pcs 25,850.00 80 2,068,000 -
125 Urine Bag (KF) Pcs 6,875.00 - - -
OBAT BLUD 2018 - - - -
1 Allopurinol Tablet (AP DE) Tablet 24409703 3/1/2019 30.00 - - -
2 Allopurinol Tablet (RNI) Tablet HTALOA7300 6/1/2020 168.23 1,000 168,234 -
3 Alprazolam Tablet 0,5 mg (KF) Tablet C70497J2 3/29/2021 585.00 3,500 2,047,507 -
4 Alprazolam Tablet 0,5 mg (SST) Tablet 173003 11/1/2019 574.75 - 4,000 2,299,000.00
5 Ambroxol Syrup 15 mg (DNR) Botol SCB00947 1/1/2022 6,600.00 250 1,650,000 -
6 Ambroxol Syrup 15 mg (IGM) Botol 1706041 6/1/2019 3,536.03 - - -
7 Ambroxol Syrup 15 mg (PPG) Botol A10536802 1/1/2020 7,700.00 - 2 15,400.00
8 Ambroxol Syrup 15 mg (PPG) Botol B10536802 2/1/2020 7,700.00 - 50 385,000.00
9 Ambroxol Syrup 15 mg (RNI) Botol 06810006 11/30/2019 5,500.00 - 300 1,650,000.00
10 Ambroxol Syrup (RNI) Botol 06810004 10/31/2019 5,500.00 - - -
11 Ambroxol Tablet (AP DE) Tablet 06483005 4/1/2020 300.00 - - -
13 Ambroxol Tablet (PPG) Tablet TPM99646 11/1/2021 330.00 700 231,000 -
14 Ambroxol Tablet (SST) Tablet 73252 8/1/2020 135.30 - - -
15 Ambroxol Tablet (SST) Tablet 74307 10/1/2020 135.30 4,000 541,200 -
16 Ambroxol Tablet (TSJ) Tablet TPM99546 11/1/2021 330.00 5,000 1,650,000 -
17 Aminofluid (KF) Botol DB71E47A 9/2/2019 64,989.10 40 2,599,564 -
18 Aminophyllin Injeksi (RNI) Ampul 06307031-1 11/30/2020 3,959.93 60 237,596 -
19 Amlodipin Tablet 5 mg (MTK) Tablet TPM93346 11/1/2022 1,152.00 1,900 2,188,794 -
20 Amlodipin Tablet 5 mg (RNI) Tablet 06465006 11/10/2019 201.67 2,000 403,333 -
21 Amlodipin Tablet 5 mg (TAS) Tablet NP22137 6/1/2020 480.00 5,750 2,760,019 -
22 Amlodipin Tablet 10 mg (AP DE) Tablet HTALNB74037 3/1/2019 1,000.00 - - -
23 Amlodipin Tablet 10 mg (KF) Tablet 17233B - - -
24 Amlodipin Tablet 10 mg (KF) Tablet L72841B 11/16/2022 95.00 - - -
25 Amlodipin Tablet 10 mg (MTK) Tablet JS17031 10/1/2019 817.67 - - -
26 Amlodipin Tablet 10 mg (MTK) Tablet HS17002 8/1/2019 817.67 - - -
27 Amlodipin Tablet 10 mg (MTK) Tablet HS17005 8/1/2019 817.67 2,010 1,643,510 -
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28 Amlodipin Tablet 10 mg (SST) Tablet 74363 11/1/2020 238.33 3,000 715,000 -
29 Amoxicillin Syrup (TSJ) Botol L10516601 11/1/2019 7,150.00 200 1,430,000 -
30 Antasida Syrup (RNI) Botol 1801-04-181 1/1/2020 2,700.50 200 540,100 -
31 Antasida Tablet (KF) Tablet H71504B 7/15/2020 210.60 - 5,000 1,052,975.00
32 Aqua Pro Injeksi (KF) Vial - 1,200 -
33 Arcapec Tablet (PV) Tablet A7H756 8/1/2019 1,100.00 - 1,000 1,100,000.00
34 Asam Mefenamat Tablet (ESV) Tablet HTMECA76217 12/31/2019 125.00 2,500 312,500 -
36 Asam Mefenamat Tablet (RNI) Tablet HTMECA7518 10/31/2019 176.00 2,100 369,600 -
37 Asam Traneksamat Injeksi (MRP) Ampul I172270 8/31/2019 5,280.00 - - -
38 Asam Traneksamat Injeksi (MRP) Ampul I172207 5/31/2019 5,280.00 460 2,428,800 -
39 Asam Traneksamat Tablet (DNR) Tablet TSB00847 1/1/2021 1,980.00 - 3,000 5,940,000.00
40 Asam Valproat (AAM) Botol 3272081 10/1/2019 17,789.00 40 711,560 -
41 Asam Valproat (AP DE) Botol 3171919 10/1/2019 66,000.00 - - -
43 Asering Infus (KF) Botol SB94J47A 10/25/2020 9,645.90 528 5,093,035 -
44 Atropin Sulfat Injeksi (APL) Ampul 97LE0057 5/15/2021 1,800.00 300 540,000 -
45 Azitromycin Kapsul 500 mg (KF) Kapsul A70013J 1/4/2022 5,500.00 2,400 13,200,000 -
46 Betamethason Cream (KF) Tube J71554T 9/12/2021 1,449.80 - - -
47 Betamethason Cream (RNI) Tube 06455027 12/31/2020 2,904.00 125 363,000 -
48 Bifotik Injeksi (BSP) Vial TM4964A 6/1/2019 73,693.03 - 200 14,738,605.20
49 Biocombin Injeksi (PV) Ampul F7K028 10/1/2019 4,950.00 - - -
50 Biocombin Injeksi (PV) Ampul F7K068 10/1/2019 4,950.00 2,100 10,395,000 -
51 Bionemi Kapsul (PV) Kapsul NG009 7/1/2019 1,650.00 250 412,500 -
52 Bionemi Kapsul (PV) Kapsul NG016 7/1/2019 1,650.00 - - -
53 Bionemi Kapsul (PV) Kapsul NG016 7/1/2019 1,567.50 - 1,500 2,351,250.00
54 Bioron Tablet (RNI) Tablet 06177004 12/9/2021 979.00 - 600 587,400.00
55 Biosat ATS 1500 UI (RNI) Ampul 4202817 11/30/2019 165,000.00 50 8,250,000 -
56 Bisolvon Injeksi (KF) Ampul 528229A 9/1/2020 58,234.00 40 2,329,360 -
57 Bisolvon Injeksi (KF) Ampul 6277108 2/1/2021 58,234.00 10 582,340 -
58 Buscopan Injeksi (KF) Ampul 727068 1/1/2022 34,243.00 40 1,369,720 -
59 Buscopan Injeksi (KF) Ampul 62463C 1/1/2022 34,243.00 - 90 3,081,870.00
60 Buscopan Injeksi (KF) Ampul 727068B 1/1/2022 34,243.00 - 110 3,766,730.00
61 Buscopan Tablet (KF) Tablet 17121526 11/30/2020 3,091.00 2,000 6,182,000 -
62 Candesartan Tablet 8 mg (AAM) Tablet 47K4143 9/1/2018 629.00 1,440 905,760 -
63 Candefion Tablet 8 mg (UN) Tablet BTPN01646 12/1/2019 5,500.00 3,360 18,480,000 -
64 Captopril Tablet 25 mg (KF) Tablet G71166B 6/18/2022 123.98 - - -
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65 Captopril Tablet 25 mg (RNI) Tablet 06324020 11/23/2022 103.73 2,000 207,460 100 10,373.00
66 Captopril Tablet 25 mg (RNI) Tablet 06324021 11/23/2022 103.73 - 9,900 1,026,927.00
67 Cartylo Tablet (KF) Tablet I72080B 9/29/2020 290.00 - 3,000 870,012.00
68 Cedocard Injeksi (APL) Ampul 5635502A 11/30/2020 31,000.20 - 100 3,100,020.00
69 Cefadroxil Kapsul (AP DE) Kapsul 48A0218 12/1/2020 1,200.00 - - -
70 Cefadroxil Kapsul (RNI) Kapsul 48A0191 11/30/2020 924.00 - - -
72 Cefadroxil Kapsul (RNI) Kapsul KCFDC70133 10/31/2020 840.00 2,600 2,184,010 -
74 Cefixim Kapsul 100 mg (RNI) Kapsul 48H0228 7/1/2020 2,394.59 - - -
75 Cefixim Kapsul 100 mg (RNI) Kapsul 48H00267 8/1/2020 1,137.40 3,000 3,412,200 -
76 Cefixim Kapsul 100 mg (RNI) Kapsul KCFMB70191 10/31/2019 1,430.00 - 1,500 2,145,000.00
77 Cefixim Syrup (DNR) Botol SKM44245 11/1/2019 36,300.00 150 5,445,000 -
78 Cefotaxim Injeksi (TSJ) Vial B10336707 2/1/2020 45,100.00 - - -
79 Cefotaxim Injeksi (RNI) Vial 95444083BF 5/31/2019 11,011.00 1,944 21,405,384 -
80 Ceftazidim Injeksi (TSJ) Vial PSN50346 12/1/2019 66,000.00 - - -
81 Ceftazidim Injeksi (TSJ) Vial PSN50746 12/1/2019 66,000.00 150 9,900,000 -
82 Ceftriaxon Injeksi (DNR) Vial PSG27645 6/1/2019 26,950.00 - 700 18,865,000.00
83 Ceftriaxon Injeksi (DNR) Vial PSL38346 10/1/2020 26,950.00 - 2,300 61,985,000.00
84 Ceftriaxon Injeksi (MTK) Vial PSG27645 10/1/2019 38,500.00 - - -
85 Ceftriaxon Injeksi (PPG) Vial A10316820 1/1/2021 39,600.00 - 500 19,800,000.00
86 Ceftriaxon Injeksi (RNI) Vial ICFEA70227 5/31/2020 11,000.00 1,000 11,000,000 -
87 Ceftriaxon Injeksi (TSJ) Vial G10316706 7/1/2020 39,600.00 - - -
89 Cendo Efrisel 10 % (PV) Botol 7E11222 12/1/2019 16,775.00 30 503,250 -
90 Cendo Efrisel 10 % (PV) Botol 8E10113 1/1/2020 16,775.00 - 25 419,375.00
91 Cendo Efrisel 10 % (PV) Botol 8E10130 1/1/2020 16,775.00 - 15 251,625.00
92 Cendo Lyteers 15 ml (KF) Botol 7L112299 11/30/2020 24,750.00 - 100 2,475,000.00
93 Cendo Lyteers 15 ml (KF) Botol 7L122399 12/31/2020 24,750.00 - 50 1,237,500.00
94 Cendo Lyteers 15 ml (PV) Botol 7L1106 11/1/2020 24,750.00 - - -
95 Cendo Lyteers 15 ml (PV) Botol 7L1123 11/1/2020 24,750.00 88 2,178,000 184 4,554,000.00
96 Cendo Lyteers 15 ml (PV) Botol 8L0108 1/1/2021 24,750.00 - 16 396,000.00
97 Cendo Mydriatyl 1% (PV) Botol 7M0915 9/1/2020 42,075.00 29 1,220,175 -
98 Cendo Tropin 0,5% (PV) Botol 7T50925 9/1/2020 12,375.00 20 247,500 -
99 Cendo Xitrol 5 ml (KF) Botol 7X1124 5/31/2020 29,975.00 - 200 5,995,000.00
100 Cendo Xitrol 5 ml Botol 7X1028 4/1/2020 29,975.00 20 599,500 -
101 Cendo Xitrol 5 ml Botol 8X0105 7/1/2020 29,975.00 - 200 5,995,000.00
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102 Cendo Xitrol EO 3,5 g (KF) Tube 89021399 2/28/2021 39,462.50 - 50 1,973,125.00
103 Cendo Xitrol EO 3,5 g (PV) Tube 791102 11/1/2020 39,462.50 25 986,563 -
104 Cendo Xitrol EO 3,5 g (PV) Tube 791110 11/1/2020 39,462.50 - 88 3,472,700.00
105 Cendo Xitrol EO 3,5 g (PV) Tube 890213 2/1/2021 39,462.50 - 12 473,550.00
106 Cenefresh 5 ml (KF) Botol 8C011899 1/31/2021 38,362.50 - 150 5,754,375.00
107 Cenefresh 5 ml (PV) Botol 7C1127 11/1/2020 38,362.50 - - -
109 Cenefresh 5 ml (PV) Botol 8C0109 1/1/2021 38,362.50 60 2,301,750 -
110 Cenefresh 5 ml (PV) Botol 8C0129 1/1/2021 38,362.50 - 150 5,754,375.00
111 Cercul Injeksi (RNI) Ampul 06134001 3/31/2019 16,500.00 - - -
113 Cetirizine Tablet (KF) Tablet C70502J 3/5/2020 334.95 1,650 552,668 -
114 Cetirizine Tablet (RNI) Tablet TRB75043 10/31/2019 313.50 - - -
115 Cetirizine Tablet (RNI) Tablet TRB76051 11/30/2019 313.50 3,000 940,500 -
116 Ciprofloxacin Tablet (RNI) Tablet HTCFXC76138 11/30/2019 473.00 1,500 709,500 -
117 Ciprofloxacin Tablet (RNI) Tablet HTCFXC76166 12/31/2019 473.00 - 1,700 804,100.00
118 Citicolin Injeksi (DNR) Ampul PIL38045 10/1/2019 24,750.00 100 2,475,000 -
120 Citicolin Injeksi (MTK) Ampul PIK09046 9/1/2020 24,750.00 500 12,375,000 -
121 Clopidogrel Tablet (KF) Tablet 172088B 10/17/2019 2,999.00 1,020 3,058,983 -
122 Cotrimoxazol Tablet (KF) Tablet G71183B 6/17/2022 247.72 2,000 495,440 -
123 Cotrimoxazol Tablet (MTK) Tablet TPK75746 9/1/2022 275.00 1,600 440,000 -
124 Covetor Tablet (MBS) Tablet 20G113 7/31/2019 6,600.00 240 1,584,000 -
125 Codein Tablet 10 mg (KF) Tablet F71395J 6/30/2021 657.00 2,600 1,708,192 -
126 Codein Tablet 10 mg (KF) Tablet HG1223J 8/30/2021 657.00 900 591,297 -
127 Codikaf Tablet 10 mg (KF) Tablet C70718J 3/1/2021 866.25 - - -
128 Dexamethason Tablet (RNI) Tablet 16338001 1/31/2021 149.03 - 3,000 447,084.00
129 Diazepam Tablet 2 mg (KF) Tablet E71076J 5/3/2020 123.75 2,500 309,375 -
130 Diphenhidramin Injeksi (RNI) Ampul 06342017-2 10/31/2021 1,864.61 180 335,630 -
131 Domperidon Syrup (PV) Botol S2317134 1/1/2020 4,126.10 - 150 618,915.00
132 Domperidon Syrup (RNI) Botol A10276801 1/1/2020 15,400.00 - 200 3,080,000.00
133 Domperidon Syrup (RNI) Botol KLDPA7311 5/31/2020 12,650.00 - 79 999,350.00
134 Domperidon Tablet (TSJ) Tablet C10246701 3/1/2019 495.00 - - -
135 Domperidon Tablet (TSJ) Tablet TSC17844 2/1/2018 484.34 - - -
136 Domperidon Tablet (TSJ) Tablet TSN80045 12/1/2020 484.34 1,900 920,248 -
137 Dulcolax Suppositoria (KF) Suppo 15050858 4/22/2019 16,033.60 - 250 4,008,400.00
138 Dulcolax Tablet (KF) Tablet 17111481 10/30/2020 1,329.35 - 1,000 1,329,350.00
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139 Endrolin Injeksi (ESV) Ampul KVEDNA76173 8/6/2019 619,300.00 10 6,193,000 -
140 Ephedrin Injeksi (APL) Ampul 97LG0026 7/1/2021 22,000.00 60 1,320,000 -
141 Erlamycetin Ear Drop (PV) Botol D0652098 7/1/2019 7,095.00 - 144 1,021,680.00
142 Esomax Injeksi (MBS) Vial 7M1190 12/1/2019 118,800.00 - 50 5,940,000.00
143 Estazor Tablet (PV) Kapsul TH1411 8/1/2021 8,800.00 390 3,432,000 -
144 Estazor Tablet (PV) Kapsul TK1101 11/1/2021 9,020.00 930 8,388,600 -
145 Eyefresh 0,6 ml (PV) Strip 7FH61221 12/1/2020 25,437.50 - - -
146 Eyefresh 0,6 ml (PV) Strip 7FH61227 12/1/2020 25,437.50 10 254,375 -
147 Eyefresh 5 ml (PV) Botol 7EH1221 12/1/2020 31,762.50 - - -
148 Farbivent Injeksi (PV) Ampul TJ0203 10/1/2019 9,350.00 1,770 16,549,500 -
149 Farbivent Injeksi (PV) Ampul PA0343 1/1/2020 9,350.00 - 230 2,150,500.00
150 Farpresin Injeksi (PV) Vial IJ0323 10/1/2018 88,000.00 20 1,760,000 -
151 Farsorbid Injeksi (PV) Vial TD0583 4/1/2019 66,000.00 10 660,000 -
152 Fiondazol Infus (UN) Botol BPIL13546 10/1/2021 66,000.00 - - -
153 Fiopraz Injeksi (UN) Vial BPSL03846 10/1/2020 110,000.00 100 11,000,000 -
154 Flamar Tablet 25 mg (BSP) Tablet TJ8735A 9/1/2021 516.97 - 1,300 672,058.20
155 Flamar Tablet 25 mg (BSP) Tablet TH8744A 12/1/2019 516.97 - 3,700 1,912,781.03
156 Floxaris Infus (MBS) Botol 7K6739 10/1/2019 186,450.00 - 50 9,322,500.00
157 Furosemid Tablet (KF) Tablet F70972B 5/19/2020 84.00 2,000 167,992 -
158 Futrolit Infus (BSP) Bag UB3113A 2/1/2021 41,392.89 - 240 9,934,293.60
159 Gabapentin Kapsul 300 mg (AAM) Kapsul 48B0442 2/1/2019 4,235.00 - - -
160 Gabapentin Kapsul 300 mg (RNI) Kapsul 48B0442 2/28/2019 6,050.00 - - -
161 Gabasant Kapsul (SST) Kapsul JM002 10/1/2020 5,264.88 - 3,000 15,794,625.00
162 Gastrul Tablet (PV) Tablet TK1991 11/1/2019 11,440.00 - 2,100 24,024,000.00
163 Gavistral Injeksi (PV) Ampul F7L104 11/1/2019 7,700.00 - 5 38,500.00
164 Gavistral Injeksi (PV) Ampul F7L144 11/1/2019 7,700.00 - 160 1,232,000.00
165 Gentamicin Cream Kulit (KF) Tube 171455T 9/29/2021 2,019.99 20 40,400 -
166 Gentamicin Cream Kulit (KF) Tube J71502T 10/6/2021 2,073.14 - 100 207,313.70
167 Glauseta Tablet (BSP) Tablet UA2441 1/1/2020 4,625.50 1,000 4,625,500 -
168 Glimefion Tablet 2 mg (UN) Tablet BTPL01246 10/1/2020 4,216.67 1,500 6,325,000 -
169 Glukosa 10% (KF) Botol 271106 10/31/2020 7,499.80 - 200 1,499,960.00
170 Glukosa 40% (KF) Vial 80G47A 7/11/2019 10,010.00 240 2,402,400 -
171 Graphalac Syrup (PV) Botol NL114 11/1/2019 44,412.50 - - -
172 Graphalac Syrup (PV) Botol NL114 11/1/2019 46,750.00 20 935,000 -
173 Graphalac Syrup (PV) Botol DA121 1/1/2020 46,750.00 - 48 2,244,000.00
174 Hepamed 300 mg (SST) Tablet JY7A131 9/1/2019 9,570.00 1,350 12,919,500 -
175 Inviclot Injeksi (PV) Vial TJ0173 10/1/2019 66,000.00 - 30 1,980,000.00
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176 Isonat Tablet 5 mg (KF) Tablet D160355B 4/1/2020 968.00 - - 3,000 2,904,000.00
177 Isosorbid Dinitrat Tablet (AP DE) Tablet 1612058 2/1/2021 300.00 - - -
178 Isosorbid Dinitrat Tablet 5 mg (IGM) Tablet 1707043 8/1/2021 123.02 1,000 123,024 -
179 KA-EN 3B (KF) Botol 471193A 8/1/2020 10,249.80 300 3,074,940 -
180 Ketokonazol Tablet (RNI) Tablet 3061814 9/1/2019 450.99 900 405,892 -
181 Ketorolac Injeksi 30 mg (AP DE) Ampul IKTRB70023 9/1/2019 7,000.00 - - -
182 Ketorolac Injeksi 30 mg (DNR) Ampul PIM52045 11/1/2020 16,038.00 - - -
184 Ketorolac Injeksi 30 mg (RNI) Ampul IKTRB70053 11/30/2019 5,000.05 1,960 9,800,098 -
185 Ketorolac Injeksi 30 mg (RNI) Ampul 16459008 2/28/2021 1,834.25 - 1,920 3,521,760.00
186 Kolefion Tablet 20 mg (UN) Tablet BTSL01045 10/1/2019 5,500.00 420 2,310,000 -
187 Kolicgon Tablet (PV) Tablet T0651029 11/1/2018 1,317.37 1,600 2,107,784 -
188 Lanabal Tablet (MBS) Tablet 20E033 5/31/2021 1,320.00 700 924,000 -
189 Lansoprazol Kapsul (RNI) Kapsul 223053 6/30/2019 1,000.01 - - -
190 Lansoprazol Kapsul (RNI) Kapsul KLPSA70014 9/30/2019 1,000.01 - 940 940,009.40
191 Lansoprazol Kapsul (TAS) Kapsul NL09138 10/1/2019 810.81 - - -
192 Levemir Flex Pen (AAM) Pen GT6A977 10/1/2019 83,950.02 - - -
193 Levemir Flex Pen (AAM) Pen GT6B321 11/1/2019 83,949.99 - - -
194 LFX 0,6 ml (PV) Strip 7LF61222 6/1/2020 75,900.00 - - -
195 LFX 5 ml (PV) Botol 7LF1114 5/1/2020 76,175.00 30 2,285,250 -
196 Loperamid Tablet (KF) Tablet 70310 11/1/2019 85.00 1,500 127,496 -
197 Loprezol Kapsul (KF) Kapsul HG1543J 9/30/2019 799.99 2,190 1,751,985 -
198 Meloxicam Tablet 15 mg (RNI) Tablet JS17040A 10/1/2019 512.60 2,000 1,025,200 -
199 Meloxicam Tablet 15 mg (SST) Tablet T2717001 1/1/2019 909.32 - - -
200 Merophenem Injeksi 0,5 g (TSJ) Vial A10376701 1/1/2019 132,000.00 - - -
201 Merophenem Injeksi 1 g (RNI) Vial IMPRA70036 11/30/2019 110,000.00 108 11,880,000 -
202 Merophenem Injeksi 1 g (RNI) Vial IMRPA70036 11/30/2019 110,000.00 200 22,000,000 -
203 Metformin Tablet 500 mg (AAM) Tablet 47F4152 5/1/2019 179.69 700 125,780 5,000 898,425.00
204 Metformin Tablet 500 mg (RNI) Tablet 06431002 8/23/2022 239.58 - - -
205 Methyl Ergometrin Tablet (KF) Tablet C70296J 3/1/2022 270.60 - 5,000 1,353,000.00
206 Methylprednisolon Injeksi (MTK) Vial PSE14446 4/1/2021 49,500.00 - - -
207 Methylprednisolon Injeksi (MTK) Vial PSN66945 12/1/2020 49,500.00 260 12,870,000 -
208 Methylprednisolon Injeksi (RNI) Vial 16463014 1/31/2021 19,089.40 - 200 3,817,880.00
209 Methylprednisolon Tablet 4 mg (DNR) Tablet TPL80946 10/1/2020 528.66 - - -
210 Methylprednisolon Tablet 4 mg (KF) Tablet ZN165 11/1/2020 139.00 - - -
211 Methylprednisolon Tablet 4 mg (PPG) Tablet B10046801 2/1/2020 550.00 - 5,000 2,750,000.00
212 Methylprednisolon Tablet 4 mg (RNI) Tablet 48E0346 4/1/2021 484.50 4,800 2,325,576 -
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213 Methylprednisolon Tablet 4 mg (SST) Tablet T2752040 6/1/2021 316.80 - - -
215 Methylprednisolon Tablet 4 mg (TSJ) Tablet K10046705 10/1/2019 550.00 - - -
216 Metronidazol Infus (APL) Botol KY7E095 10/31/2019 8,703.20 96 835,507 -
217 Metronidazol Infus (TSJ) Botol L10176703 11/1/2020 44,000.00 500 22,000,000 -
218 Metronidazol Tablet 500 mg (PPG) Tablet TPM98846 11/1/2022 264.00 3,000 792,000 -
219 MgSO4 40 % (GF) Vial 86E46A 5/17/2018 2,629.00 - - -
220 Miconazol Cream (KF) Tube 172317W 9/12/2021 3,575.00 120 429,000 -
221 Molagit Tablet (AP DE) Tablet YM022 3/1/2021 700.00 - - -
222 Moxifloxacin Infus (PV) Botol PA0383 1/1/2020 220,000.00 48 10,560,000 -
223 Moxifloxacin Infus (PV) Botol TL0233 12/1/2019 220,000.00 2 440,000 -
224 Myotonic Tablet (PV) Tablet A7A411 1/1/2019 2,915.00 - - -
225 Myotonic Tablet (PV) Tablet A7G708 7/1/2019 2,915.00 1,100 3,206,500 -
226 Myotonic Tablet (PV) Tablet A7J840 9/1/2019 2,915.00 - - -
227 Myotonic Tablet (PV) Tablet A7L932 11/1/2019 2,915.00 - 1,100 3,206,500.00
228 N-Ace Kapsul (PV) Kapsul TJ1471 10/1/2019 2,200.00 - - -
229 N-Ace Kapsul (PV) Kapsul TK1851 11/1/2019 2,310.00 240 554,400 -
230 N-Ace Kapsul (PV) Kapsul PA0541 1/1/2020 2,310.00 - 210 485,100.00
231 N-Ace Kapsul (PV) Kapsul TL0201 12/1/2019 2,310.00 - 690 1,593,900.00
232 NaCl Piggyback (KF) Botol 47173A 9/4/2020 13,200.00 - - -
234 NaCl Piggyback (KF) Botol 48A88A 1/19/2021 15,180.00 1,400 21,252,000 -
235 Natacen 0,6 ml (PV) Strip 86NA60112 1/1/2020 45,787.50 - - -
236 Natrium Klorida Infus (KF) Botol 371024 9/6/2022 6,409.70 4,420 28,330,874 -
237 Natrium Klorida Infus (RNI) Botol 280121 12/1/2022 6,409.70 - 7,500 48,072,750.00
238 Natrium Diklofenak Tablet 25 mg (RNI) Tablet 06364031 12/6/2022 204.93 2,000 409,860 -
239 Natrium Diklofenak Tablet 50 mg (KF) Tablet J72895J 10/5/2022 352.64 2,000 705,276 -
241 Natrium Phenitoin Injeksi (RNI) Ampul 06366006 7/31/2021 11,855.58 30 355,667 -
243 Neurosanbe Tablet (BSP) Tablet TM2347C 12/1/2021 1,160.50 - 3,200 3,713,600.00
244 Norages Injeksi (PV) Ampul F6K594 10/1/2019 9,185.00 200 1,837,000 -
245 Novadium Tablet (AP DE) Tablet 1605-01-34 5/1/2020 250.00 - - -
246 Novorapid Flex Pen (AAM) Pen GR7C897 11/1/2019 86,999.99 - - -
247 OAT Kategori 1 (GF) Kotak 413,979.00 - 10 4,139,790.00
248 OAT Kategori Anak (GF) Kotak 224,758.00 - 2 449,516.00
249 Ondancentron Injeksi 4 mg (MRP) Ampul I172097 3/31/2019 2,871.00 - - -
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251 Ondancentron Injeksi 4 mg (MRP) Ampul I172077 2/28/2019 2,871.00 1,150 3,301,650 -
252 Ondancentron Injeksi 4 mg (TSJ) Ampul K10426602 10/1/2019 5,500.00 - - -
253 Ondancentron Injeksi 8 mg (AAM) Ampul 2170083 12/1/2018 9,680.00 - - -
255 Oralit (AP DE) Sachet 500.00 - - -
256 P. Pred 10 mg (PV) Strip 7PP61219 12/1/2019 42,075.00 - - -
257 Pantocain 0,5 % (PV) Botol 7P11228 12/1/2020 13,337.50 25 333,438 -
258 Pantoprazol Injeksi (MTK) Vial P172242 9/1/2019 49,500.00 - - -
259 Pantotum Injeksi (TSJ) Vial H20266601 8/1/2018 115,500.00 - - -
260 Pantoz Injeksi (SST) Vial LM005 12/1/2019 47,502.68 - 300 14,250,802.50
261 Paracetamol Infus (APL) Botol JY7E103 9/30/2019 12,939.30 24 310,543 -
262 Paracetamol Infus (APL) Botol JY7E104 9/30/2019 12,939.30 - - -
263 Paracetamol Infus (DNR) Botol PIL35346 10/1/2019 66,000.00 - 300 19,800,000.00
264 Paracetamol Infus (PPG) Botol H10626740 8/1/2019 67,100.00 - 1 67,100.00
265 Paracetamol Infus (PPG) Botol H10626750 8/1/2019 67,100.00 - 499 33,482,900.00
266 Paracetamol Infus (TSJ) Botol G10626748 8/1/2019 67,100.00 - - -
267 Paracetamol Infus (TSJ) Botol PIL33146 1/1/2020 66,000.00 - - -
268 Paracetamol Tablet (RNI) Tablet 06711007 11/1/2022 115.50 6,000 693,000 -
270 Paracetamol Tablet (RNI) Tablet 06801043 1/1/2023 115.50 - 2,000 231,000.00
271 Paracetamol Tablet (SST) Tablet 73248 7/1/2020 157.30 - - -
272 Pehacain Injeksi (RNI) Ampul 06052090 11/30/2011 3,113.06 - 100 311,305.50
273 Petidin Injeksi (KF) Ampul EG0866J 5/20/2021 13,191.42 170 2,242,541 -
274 Phentanyl Injeksi (KF) Ampul 6D9K-B 10/1/2019 39,999.96 100 3,999,996 -
275 Phentanyl Injeksi (KF) Ampul PR2L 2/1/2020 41,599.80 300 12,479,940 -
276 Phytomenadion Tablet (RNI) Tablet 95381011 10/20/2019 1,100.55 900 990,495 -
277 Piracetam Injeksi 1 g (AAM) Ampul 2470595 3/1/2019 4,235.00 100 423,500 -
278 Piracetam Injeksi 1 g (TSJ) Ampul H10406601 7/1/2019 6,600.00 - - -
279 Piracetam Injeksi 1 g (TSJ) Ampul PID14145 3/1/2020 6,600.00 150 990,000 -
280 Piracetam Injeksi 1 g (TSJ) Ampul PIF74346 5/1/2021 6,600.00 350 2,310,000 -
281 Piracetam Injeksi 3 g (RNI) Ampul 2170076 12/31/2018 18,815.50 - - -
282 Piracetam Injeksi 3 g (TSJ) Ampul K10396707 10/1/2020 20,900.00 - - -
284 Piracetam Injeksi 3 g (TSJ) Ampul PIL45946 1/1/2021 20,526.00 340 6,978,840 -
285 Piracetam Kapsul 800 mg (AAM) Kapsul 48D0124 4/1/2020 618.31 - 3,000 1,854,930.00
286 Polydrex 0,6 ml (PV) Strip 7PX61120 5/1/2020 29,150.00 - - -
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287 Polydrex 0,6 ml (PV) Strip 7Px61228 6/1/2020 29,150.00 - - -
288 Polygran 0,6 ml (PV) Strip 7PG61106 5/1/2020 19,250.00 20 385,000 -
289 Polygran 5 ml (PV) Botol 7PG1207 6/1/2020 34,787.50 28 974,050 -
290 Polynel 0,6 ml (PV) Strip 7PL61211 6/1/2020 19,662.50 5 98,313 -
291 Posop 0,6 ml (PV) Strip 7P061110 5/1/2020 57,750.00 30 1,732,500 -
292 Prednicort Injeksi 125 mg (MBS) Vial 7F0625 6/1/2019 45,100.00 - - -
293 Prednicort Injeksi 125 mg (MBS) Vial 6L1055 11/1/2018 45,100.00 - - -
294 Profolat Tablet (KF) Tablet 1961710050 9/1/2019 62.00 2,500 154,990 -
295 Profolat Tablet (KF) Tablet 1961710050 9/30/2019 60.01 - 3,000 180,015.00
296 Propepsa Suspensi (PV) Botol NM123 12/1/2019 44,000.00 112 4,928,000 -
297 Propylthiouracil Tablet (AAM) Tablet 48L0915 11/1/2021 474.80 - 3,500 1,661,814.00
298 Propranolol Tablet (RNI) Tablet 48L0132 11/1/2022 84.70 2,500 211,750 -
299 Protagenta 0,6 ml (PV) Strip 7PR61204 12/1/2020 39,462.50 20 789,250 -
300 Protocin Injeksi (PV) Ampul F6J550 9/1/2018 7,480.00 - - -
301 Protocin Injeksi (PV) Ampul F7C786 3/1/2019 7,480.00 - - -
302 Protocin Injeksi (PV) Ampul F7L114 11/1/2019 7,480.00 420 3,141,600 120 897,600.00
303 Protocin Injeksi (PV) Ampul F8A209 1/1/2020 7,480.00 - 600 4,488,000.00
304 Ranitidin Injeksi (DNR) Ampul PIK10646 9/1/2020 7,040.00 3,000 21,120,000 -
305 Ranitidin Injeksi (PPG) Ampul N10356703 12/1/2020 7,150.00 - 3,000 21,450,000.00
306 Ranitidin Injeksi (TSJ) Ampul K10356719 10/1/2020 7,150.00 - - -
307 Ranitidin Tablet 150 mg (DNR) Tablet TSM76646 11/1/2020 660.00 - 10,000 6,600,000.00
308 Ranitidin Tablet 150 mg (RNI) Tablet TA75203 9/30/2020 220.00 4,600 1,012,000 -
309 Ranitidin Tablet 150 mg (RNI) Tablet HTRNTA75200 9/30/2020 220.00 - - -
310 Reco Tetes Mata (SST) Botol 0091017014 4/1/2019 7,700.00 75 577,500 -
311 Recofol N Inejeksi (AAM) Ampul 17232041 5/1/2019 94,050.00 - - -
312 Recofol N Inejeksi (AAM) Ampul 17232041 5/1/2019 94,050.00 - 25 2,351,250.00
313 Recofol N Inejeksi (AAM) Ampul 17234033 5/1/2019 94,050.00 - 225 21,161,250.00
314 Recolfar Tablet (PV) Tablet PA1051 1/1/2021 4,950.00 60 297,000 -
315 Recolfar Tablet (PV) Tablet PA2411 1/1/2021 4,950.00 - 150 742,500.00
316 Renax Kapsul (MBS) Kapsul K060G013 3/1/2021 8,030.00 400 3,212,000 -
317 Revolan Injeksi (BSP) Ampul TK3431 12/1/2019 33,002.56 - 65 2,145,166.10
318 Revolan Injeksi (BSP) Ampul UB3446 2/1/2020 33,002.56 - 165 5,445,421.64
319 Ringer Lactat (RNI) Botol 571105 10/17/2019 7,150.00 - 8,000 57,200,000.00
320 Ring AS (AP DE) Bag SK3050B 10/4/2019 28,000.00 - - -
321 Ring AS (AP DE) Bag TD30890 4/6/2019 28,000.00 - - -
322 Ring AS (BSP) Bag TD3092A 4/1/2019 9,645.44 - - -
323 Salbutamol Tablet 2 mg (RNI) Tablet 06841028 11/29/2019 97.41 - 3,000 292,215.00
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324 Salbutamol Tablet 2 mg (RNI) Tablet 06481029 11/29/2019 97.41 - 3,000 292,215.00
325 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 2971365 8/1/2019 21,505.00 - 400 8,602,000.00
326 Siloxan 5 ml (PV) Botol 7S10914 9/1/2020 58,025.00 30 1,740,750 -
327 Simvastatin Tablet 20 mg (RNI) Tablet KTSVNB7406 8/31/2019 1,026.67 1,860 1,909,600 -
328 Sintrol Simvastatin Tablet 10 mg (SST) Tablet THY2 5/1/2020 558.62 900 502,755 -
329 Sojourn (PV) Botol S19471124 8/1/2022 2,860,000.00 1 2,860,000 -
330 Sojourn (PV) Botol S0288A30 1/1/2023 2,860,000.00 5 14,300,000 -
331 Supravenid Suppositoria (PV) Suppo G7J143 9/1/2020 12,100.00 - - 70 847,000.00
332 Supravenid Suppositoria (PV) Suppo G8A164 1/1/2021 12,100.00 - 130 1,573,000.00
333 Terrell (PV) Botol N0047A13 1/1/2022 1,683,000.00 2 3,366,000 -
334 Timol 0,5 % (PV) Botol 7TM1122 11/1/2020 52,525.00 - - -
335 Timol 0,5 % (PV) Botol 7TM1211 12/1/2020 52,525.00 20 1,050,500 -
336 Tobro 0,6 ml (PV) Strip 7T060225 2/1/2020 21,037.50 - - -
337 Tobroson 0,6 ml (PV) Strip 8TS60123 7/1/2020 31,900.00 30 957,000 -
338 Tomit Injeksi (ENS) Ampul I004G0022 7/31/2019 10,606.75 150 1,591,013 -
339 Vaksin Hepatitis B (Hb 0) (GF) Vial - - -
340 Valesco Tablet 80 mg (SST) Tablet KY7A119 10/1/2019 2,464.00 2,700 6,652,800 -
341 Vernacel Eye Drop 5 ml (PV) Botol 6VE1104 11/1/2019 20,350.00 8 162,800 -
342 Vitamin B Comp Tablet (KF) Tablet I71293T 9/19/2020 135.00 5,000 675,015 -
343 Zirkum Kid Syrup (PV) Botol E7K603 10/1/2019 28,600.00 - 50 1,430,000.00
1 Alkohol 1000 ml (BDM) Botol 46609302 9/1/2021 44,000.00 - - -
2 Alkohol 1000 ml (BDM) Botol 46710303 10/1/2022 44,000.00 81 3,564,000 -
3 Alkohol 1000 ml (RNI) Botol 46705302 5/31/2022 25,410.00 - - -
5 Alkohol 1000 ml (RNI) Botol 46710303 10/1/2022 26,950.00 - 16 431,200.00
6 Alkohol Swab (BDM) Kotak 201709 8/1/2022 26,400.00 - 10 264,000.00
7 Appalens IOL Model 101 power (19.00) (PK) Pcs 121,000.00 - 5 605,000.00
12 Appasamy Appavisc 3 ml W/ Syringe (PK) Pcs 121,000.00 - 30 3,630,000.00
13 Appasamy Cohevisc 1,4% (PK) Pcs 375,100.00 - 30 11,253,000.00
14 Appasamy Mio-Chol (PK) Pcs 66,000.00 - 30 1,980,000.00
15 Appasamy Rhex-Id (PK) Pcs 66,000.00 - 15 990,000.00
16 Appablade AA 562027 Slit Blade (PK) Pcs 126,500.00 - 30 3,795,000.00
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17 Appablade AA 562021 Tunnel Blade (PK) Pcs 126,500.00 - 30 3,795,000.00
18 Appablade AA 560009 Lance Blade (PK) Pcs 126,500.00 - 30 3,795,000.00
19 Bovine Aaron Cautery Low Temperature Pcs 357,500.00 - 10 3,575,000.00
20 Catgut Cromic 3/0 (BDM) Roll 170919 10/1/2022 1,760,000.00 - 2 3,520,000.00
21 Catgut Cromic 3/0 (RNI) Roll 2030BX 6/1/2022 2,614,700.00 - - -
22 Catgut Cromic With Needle 2 HR 45 Kotak 170401 4/1/2022 827,640.00 1 827,640 -
23 Catgut Cromic With Needle 2/0 HR 26 Kotak 170601 5/1/2022 825,000.00 8 6,600,000 -
24 Developer (BDM) Set 873505 1,282,600.00 - - 2 2,565,200.00
25 Devine Meditech Eye Drepe (PK) Pcs 77,000.00 - 30 2,310,000.00
26 Disposable Syringe With Needle 0,5 cc (GF) Pcs 1,536.80 - - -
27 Disposable Syringe With Needle 01 cc TP (BDM) Pcs 171001 8/1/2022 843.70 2,400 2,024,880 -
28 Disposable Syringe With Needle 03 cc Aximed (KF) Pcs 20160605 5/1/2021 1,031.25 - - -
29 Disposable Syringe With Needle 03 cc Assp (RNI) Pcs 1703201 2/1/2022 844.21 - - -
30 Disposable Syringe With Needle 03 cc BD (RNI) Pcs 7128360 4/1/2022 2,336.95 900 2,103,255 -
31 Disposable Syringe With Needle 03 cc BD (RNI) Pcs 7108098 4/1/2022 2,336.95 - - -
33 Disposable Syringe With Needle 03 cc BD (RNI) Pcs 8022427 1/31/2023 2,224.15 - 1,600 3,558,632.00
34 Disposable Syringe With Needle 03 cc Skifa (RNI) Pcs 1503403 12/1/2020 2,851.20 - - -
36 Disposable Syringe With Needle 05 cc Aximed (KF) Pcs 20151120 10/1/2020 1,159.99 - 500 579,997.00
37 Disposable Syringe With Needle 05 cc Aximed (KF) Pcs 20170910 8/31/2022 1,159.99 - 1,300 1,507,992.20
38 Disposable Syringe With Needle 05 cc BD (RNI) Pcs 7361386 12/31/2022 2,852.85 - 1,600 4,564,560.00
39 Disposable Syringe With Needle 05 cc TP (BDM) Pcs 171401 1/1/2022 1,013.10 - - -
41 Disposable Syringe With Needle 10 cc TP (BDM) Pcs 171501 1/1/2022 1,216.60 200 243,320 -
42 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1305201 8/31/2018 926.20 1,600 1,481,920 -
43 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1705201 4/1/2022 926.20 - 800 740,960.00
45 Elektroda Patien Monitor (BDM) Pak 1000018635 9/1/2019 275,000.00 10 2,750,000 -
46 Elektroda Patien Monitor (BDM) Pak 1000032062 9/1/2020 275,000.00 - 25 6,875,000.00
47 Eye Dop Shield (PK) Pcs 13,200.00 - 30 396,000.00
48 Feeding Tube FR 08 (BDM) Pcs 20161020 10/1/2021 4,082.10 - 50 204,105.00
49 Feeding Tube FR 10 (BDM) Pcs 20170530 5/1/2022 4,082.10 50 204,105 -
50 Film 30 x 40 (BDM) Kotak 43433 6/1/2020 4,109,600.00 - - -
51 Film 35 x 35 (BDM) Kotak 44611 6/1/2020 4,462,700.00 - - -
52 Film 35 x 35 (BDM) Kotak 44805 6/1/2020 4,462,700.00 - - 5 22,313,500.00
53 Film 35 x 35 (BDM) Kotak 45835 11/1/2020 4,462,700.00 - - 5 22,313,500.00
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54 Film Gigi (BDM) Kotak 3117008 3/1/2020 1,870,000.00 - 2 3,740,000.00
55 Fixer (BDM) Set CAT873505 790,900.00 - - 2 1,581,800.00
56 Foley Catheter 2 Way 16 (BDM) Pcs 17-G-05H 7/1/2022 15,749.80 100 1,574,980 -
57 Foley Catheter 2 Way 18 (BDM) Pcs 17-G-10K 9/1/2022 15,749.80 60 944,988 100 1,574,980.00
58 Foley Catheter 3 Way 24 (BDM) Pcs 16K07 10/1/2021 110,000.00 40 4,400,000 -
59 FSBB Benang 8/0 PGA (PK) Pcs 236,500.00 - 12 2,838,000.00
60 FSSB Benang 10/0 Nylon Black (PK) Pcs 198,000.00 - 12 2,376,000.00
61 Gypsona 6 Inch (BDM) Roll 625 1/1/2019 66,715.00 - - -
63 Gypsona 6 Inch (BDM) Roll 625 9/1/2021 66,715.00 12 800,580 -
64 Gypsona 6 Inch (BDM) Roll 625 6/1/2019 66,715.00 12 800,580 12 800,580.00
65 Handrub Fresco (RNI) ml 111.00 - 10,000 1,109,999.00
66 Handscoon Manual NS (BDM) Pasang 30,250.00 50 1,512,500 -
67 Handscoon NS (BDM) Pcs 17040502 3/1/2022 516.95 - - -
68 Handscoon NS (BDM) Pcs 170870603 7/1/2022 527.51 1,100 580,256 -
69 Handscoon NS (BDM) Pcs 170870603 7/1/2022 527.51 10,000 5,275,050 20,000 10,550,100.00
70 Handscoon ST 6,5 (BDM) Pasang 17070105 6/1/2022 4,660.00 100 466,000 -
71 Handscoon ST 6,5 Eskamed (BDM) Pasang 203030854SPZA 8/1/2021 8,819.80 200 1,763,960 -
72 Handscoon ST 7 (BDM) Pasang 17070105 6/1/2022 4,660.00 250 1,165,000 -
73 Handscoon ST 7 (BDM) Pasang 17070105 6/1/2022 4,999.50 - 400 1,999,800.00
74 Handscoon ST 7 (RNI) Pasang 1421503 1/1/2021 11,990.00 - 200 2,398,000.00
75 Handscoon ST 7,5 (BDM) Pasang 17070105 6/1/2022 4,660.00 300 1,398,000 -
76 Handscoon ST 7,5 Eskamed (BDM) Pasang 203038344SPZA 2/1/2022 8,820.00 - - -
77 Handscoon ST 7,5 (BDM) Pasang 8,819.80 - 400 3,527,920.00
78 Handscoon ST 7,5 (RNI) Pasang 1457804 7/1/2021 11,990.00 - 300 3,597,000.00
79 Hypavix 15 x 5 (AAM) Roll 64940230 11/1/2021 141,918.83 - - -
81 Hypavix 15 x 5 (BDM) Roll 63810230 8/1/2021 240,680.00 - - -
82 Hypavix 15 x 5 (BDM) Roll 64940230 11/1/2021 240,680.00 12 2,888,160 70 16,847,600.00
83 Hypavix 15 x 5 (BDM) Roll 70731230 1/1/2022 240,680.00 - 60 14,440,800.00
84 Infus Set Makro Fesco (BDM) Pcs 20170921 9/1/2022 6,803.50 - 800 5,442,800.00
85 Infus Set Makro TP (BDM) Pcs 170302 3/1/2022 8,100.00 200 1,620,001 -
86 Infus Set Makro TP (BDM) Pcs 170320 3/1/2022 8,100.00 - 500 4,050,002.00
87 Infus Set Makro With Air (RNI) Pcs 118P16 3/1/2021 11,680.00 - - -
89 IV Catheter 16 Abbocath (BDM) Pcs 56-202-KY 7/1/2020 16,000.00 100 1,600,000 -
90 IV Catheter 18 Abbocath (BDM) Pcs 60-201-KY 11/1/2020 16,000.00 250 4,000,000 100 1,600,000.00
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91 IV Catheter 18 Eskamed (BDM) Pcs 3905115E 4/1/2020 12,600.00 - - -
92 IV Catheter 18 Optiva (RNI) Pcs 2724083 5/31/2019 24,200.00 - - -
93 IV Catheter 18 Terumo (KF) Pcs 170711SD 6/30/2022 8,354.78 - 200 1,670,955.00
94 IV Catheter 20 Abbocath (BDM) Pcs 67-201-KY 6/1/2021 16,000.00 - - -
96 IV Catheter 20 Abbocath (BDM) Pcs 70-203-KY 9/1/2021 16,000.00 - 600 9,600,000.00
101 IV Catheter 20 Terumo (KF) Pcs 170828SD 7/31/2022 8,354.78 - 500 4,177,387.50
103 IV Catheter 22 Terumo (KF) Pcs 170815SE 6/30/2022 8,354.78 - 100 835,477.50
106 IV Catheter 26 Eskamed (BDM) Pcs 3095315E 4/1/2020 16,956.50 200 3,391,300 -
107 Jarum Kulit No. 10 (BDM) Lusin 38,500.00 30 1,155,000 2 77,000.00
108 Jarum Kulit No. 12 (BDM) Lusin MD 16153703 38,500.00 - - 30 1,155,000.00
110 Jarum Kulit No. 14 (BDM) Lusin 38,500.00 - - -
111 Jarum Kulit No. 15 (BDM) Lusin MD 17171802 38,500.00 2 77,000 -
112 Jelly KY (BDM) Tube 1221N2 7/1/2020 110,000.00 20 2,200,000 -
113 Jelly Ultrasound (BDM) ml 65066C 3/1/2022 110.00 10,000 1,100,000 -
114 Kapas 250 g (RNI) Roll 0216 10/31/2020 42,900.00 - - -
115 Kapas 500 g (RNI) Roll 0216 10/31/2020 85,415.00 - - -
116 Kapas 500 g (BDM) Roll 1410069 10/1/2019 82,208.50 - - -
117 Kapas 500 g (BDM) Roll 1411082 11/1/2019 82,208.50 10 822,085 -
118 Kapas 500 g (BDM) Roll 1411084 11/1/2019 82,208.50 - 24 1,973,004.00
119 Kapas 500 g (BDM) Roll 1412099 12/1/2019 82,208.50 - 12 986,502.00
120 Kapas 1000 g (BDM) Roll 1505025 5/1/2020 164,417.00 - - -
121 Kapas 1000 g (BDM) Roll 1505026 5/1/2020 164,417.00 - - -
122 Kasa Hidrofil 40 x 80 (RNI) Roll 361117 11/30/2021 233,200.00 50 11,660,000 -
123 Kasa Hidrofil 40 x 80 (RNI) Roll 501017 10/31/2021 231,000.00 - 49 11,319,000.00
124 Kasa Hidrofil 40 x 80 (RNI) Roll 690118 1/1/2022 231,000.00 - 1 231,000.00
127 Kertas EKG 210 (BDM) Roll 33815 12/1/2018 192,500.00 30 5,775,000 -
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128 Kertas Puyer (BDM) Pak 27,500.00 - - 20 550,000.00
130 Masker Ear Loop (BDM) Pcs 521.99 - 2,000 1,043,988.00
131 Masker Tie On (BDM) Pcs 521.99 2,150 1,122,287 2,000 1,043,988.00
132 Masker Tie On (BDM) Pcs 567.01 - 2,000 1,134,012.00
133 Masker Tie On (KF) Pcs 664043 5/1/2021 599.98 - - -
134 Mata Pisau No. 11 (BDM) Pcs 4507519425 2/1/2021 4,125.00 35 144,375 -
137 Mata Pisau No. 24 (BDM) Pcs 4508585499 3/1/2022 4,125.00 - 300 1,237,500.00
138 Mata Pisau No. 24 (BDM) Pcs 450741193 12/1/2020 4,125.00 - 200 825,000.00
139 Nasal O2 Anak (BDM) Pcs 20170315 3/1/2022 15,120.60 - 30 453,618.00
140 Nasal O2 Dewasa (BDM) Pcs 170712 7/1/2022 30,250.00 - - -
141 Nasal O2 Dewasa (BDM) Pcs 20170315 3/1/2022 15,120.60 50 756,030 50 756,030.00
142 Nylon Daclon 2/0 DS 24 (RNI) Kotak 275,459.91 - 10 2,754,599.10
143 Nylon Daclon 3/0 DS 19 (RNI) Kotak 275,459.91 - 10 2,754,599.10
144 Octenic Body Wash (RNI) Pak 04GL0101 9/1/2019 17,600.00 18 316,800 -
145 Octenic Body Wash (RNI) Pak 05GL0101 9/1/2019 17,600.00 72 1,267,200 -
146 Penjepit Tali Pusar (BDM) Pcs 03.2016 3/1/2021 2,200.00 - - -
147 Penjepit Tali Pusar (BDM) Pcs 160919 9/1/2021 2,200.00 300 660,000 -
150 Perfusor (BDM) Pcs 17G01K8411 7/1/2022 99,000.00 25 2,475,000 -
151 Perfusor (BDM) Pcs 17D19K8411 4/1/2022 99,000.00 50 4,950,000 -
152 Rumex CC-27 Clear Corneal/ Keratome (PK) Kotak 1,925,000.00 - 5 9,625,000.00
153 Rumex CR-20 Crescent (PK) Kotak 1,672,000.00 - 5 8,360,000.00
154 Rumex SP-15 Side Port Knife/ Stab (PK) Kotak 1,430,000.00 - 5 7,150,000.00
155 Spinocain 25 G (BDM) Pcs 17G19H8B61 7/1/2022 48,400.00 - 200 9,680,000.00
156 Stomach Tube 16 Terumo (BDM) Pcs 170116B 12/1/2021 33,599.50 - - -
157 Stomach Tube 16 Terumo (BDM) Pcs 170315B 2/1/2022 33,599.50 50 1,679,975 -
158 Suction Catheter FR 8 (BDM) Pcs 20171125 11/1/2022 4,032.60 10 40,326 50 201,630.00
159 Sungkup Nebulizer Dewasa (BDM) Pcs 170305 3/1/2022 66,000.00 - - -
160 Sungkup O2 Dewasa + Kantong (BDM) Pcs 1512022020 11/1/2020 66,000.00 9 594,000 30 1,980,000.00
161 Surgicryl 910 1 HR 36 (RNI) Kotak 150808 7/1/2020 1,518,000.00 - - -
162 Surgicryl 910 2 HR 40 (RNI) Kotak 160315 2/28/2022 1,755,600.00 9 15,800,400 -
412682303.xlsx 150
Harga Satuan
Terkecil
165 Surgicryl 910 2 HR 48 (RNI) Kotak 1,258,620.00 - 10 12,586,200.00
166 Surgicryl 910 2/0 HR 17 (RNI) Kotak 170210 1/30/2022 1,320,000.00 3 3,960,000 -
167 Surgicryl 910 3/0 HR 30 (RNI) Kotak 170316 2/28/2022 1,148,400.00 - - -
168 Surgicryl 910 3/0 HR 30 (RNI) Kotak 807,659.93 - 10 8,076,599.30
169 Tensocrepe 4 Inch (BDM) Roll 041711073 11/1/2022 93,830.00 10 938,300 -
170 Tensocrepe 6 Inch (BDM) Roll 121610253 10/1/2021 139,480.00 - - -
171 Tensocrepe 6 Inch (BDM) Roll 121701301 1/1/2022 139,480.00 10 1,394,800 -
173 Tensocrepe 6 Inch (BDM) Roll 0717062223 6/1/2022 139,480.00 - 12 1,673,760.00
174 Tensocrepe 6 Inch (BDM) Roll 111711281 11/1/2022 139,480.00 - 12 1,673,760.00
175 Three Way Eskamed (BDM) Pcs 169002 8/1/2021 15,750.00 100 1,575,000 -
176 Three Way Tro (BDM) Pcs 13958-02 6/1/2020 22,000.00 170 3,740,000 -
177 Transfusi Set Eskamed (BDM) Pcs 171020 9/1/2022 16,380.10 - - -
178 Transfusi Set (BDM) Pcs 20170923 9/1/2022 4,847.70 50 242,385 -
179 Transfusi Set (RNI) Pcs 423A16 2/28/2022 22,000.00 - - -
180 Transfusi Set (RNI) Pcs 423A16 2/1/2022 10,430.20 500 5,215,100 -
181 Urine Bag (BDM) Pcs 20171220 12/1/2022 5,728.80 330 1,890,504 250 1,432,200.00
182 Urine Bag (RNI) Pcs 16531 10/1/2021 6,600.00 - - -
183 Urine Bag (RNI) Pcs 17046 2/1/2022 6,600.00 - - -
TOTAL 1,719,371,811.52 879,253,149.57


NIP : 19810727 201001 1 012 NIP. 19820918 200804 2 002
412682303.xlsx 151
A GUDANG INSTALASI FARMASI
RLI KABUPATEN BUOL
L TAHUN 2018
Mutasi Nilai Mutasi Jml Nilai Sisa Stok
2,800 330,400 - -
- - - -
- - 8 406,560
- - 10 500,000
- - - -
- - - -
- - 169 25,265,500
- - 14,000 1,688,960
- - 23,000 4,183,930
- - - -
- - 3 56,250
- - - -
- - - -
- - 4 186,340
- - 96 4,622,006
500 239,003 700 334,604
1,000 32,780 3,000 98,340
- - 28 106,103
- - 117 11,454,300
- - - -
- - - -
- - 5,000 207,900
- - - -
- - 26 629,200
- - 20 440,000
- - 4 2,032,800
- - - -
- - 1,100 5,929,000
1,800 1,386,000 9,700 7,469,000
- - 44 3,146,000
- - 50 4,400,000
412682303.xlsx 152
2,900 2,650,890 3,600 3,290,760
- - 1,700 160,483
300 3,135,000 500 5,225,000
1,500 11,000,000 - -
10 146,410 - -
- - 200 50,600
- - - -
90 801,900 360 3,207,600
5 332,750 - -
400 880,000 - -
- - 900 83,160
100 17,100 500 85,498
- - 1,100 798,600
- - 125 584,375
- - 44 4,840,000
- - 68 505,947
100 907,500 530 4,809,750
300 36,897 300 36,897
20 484,000 100 2,420,000
- - - -
- - - -
- - - -
400 93,720 300 70,290
- - 400 857,120
- - 150 1,452,000
- - - -
1 759,000 - -
- - 19 80,925
- - 30 127,776
- - 14 59,629
- - 10 550,000
10 242,000 - -
1 77,000 - -
6 231,000 - -
3 115,500 - -
- - - -
15 676,748 28 1,263,262
412682303.xlsx 153
100 330,000 - -
100 117,865 - -
- - - -
25 90,475 25 90,475
- - - -
- - 2,200 1,914,002
250 136,043 450 244,878
4 6,000,000 - -
- - - -
- - - -
- - - -
10 649,891 - -
- - 1,000 141,680
- - - -
50 440,000 1,200 10,560,000
- - - -
1,200 188,813 - -
- - 270 891,000
150 1,489,125 - -
1,440 3,960,000 120 330,000
1,900 708,092 - -
- - 500 319,000
500 26,000 - -
5,800 861,938 - -
- - - -
- - - -
1,000 1,540,000 - -
- - - -
- - - -
- - 90 825,000
- - - -
200 396,000 1,600 3,168,000
- - - -
400 627,000 - -
9 143,550 40 638,000
20 3,300,000 - -
30 1,747,020 20 1,164,680
412682303.xlsx 154
- - - -
1,500 1,815,000 550 665,500
115 7,337,000 55 3,509,000
- - - -
- - - -
500 48,703 1,500 146,108
- - - -
- - - -
1,300 800,800 - -
100 937,750 150 1,406,625
- - 3,900 19,305,000
- - - -
- - - -
50 5,224,613 - -
- - 493 71,041,300
- - 3 429,000
- - 300 26,400,000
- - - -
- - - -
30 1,320,000 - -
- - - -
- - 2,200 356,708
300 68,947 200 45,965
30 2,310,000 70 5,390,000
1,200 924,000 - -
1,000 702,240 800 561,792
200 159,280 - -
300 539,999 200 359,999
- - 3,000 5,999,994
570 2,045,170 - -
- - - -
- - 124 738,333
- - - -
1,700 4,084,080 1,200 2,882,880
- - - -
- - - -
- - - -
412682303.xlsx 155
10 739,879 15 1,109,819
100 1,012,000 - -
- - - -
- - - -
2 2,618,000 - -
300 468,270 300 468,270
- - - -
- - 1,400 3,788,400
148 14,285,700 62 5,984,550
- - - -
- - - -
600 5,610,000 - -
- - 10 770,000
- - 100 7,700,000
- - 30 1,155,000
- - 6 726,000
3 219,000 17 1,241,000
- - 50 514,250
- - 2,000 7,788,000
200 411,602 400 823,205
800 153,463 - -
- - - -
420 4,620,000 - -
60 4,800,000 50 4,000,000
- - 9 82,368
- - 100 4,001,250
900 3,506,400 1,300 5,064,800
- - - -
- - 300 89,100
200 368,500 400 737,000
2,000 13,800,600 3,940 27,187,182
- - 2,000 185,350
- - 4 2,822,000
- - 48 153,912
24 137,280 - -
5 4,249,999 3 2,549,999
48 2,376,286 24 1,188,143
412682303.xlsx 156
2,000 285,120 800 114,048
- - - -
228 1,033,589 144 652,793
5 358,001 10 716,001
40 641,520 - -
- - - -
60 990,000 - -
- - - -
- - - -
- - - -
400 212,397 1,900 1,008,885
600 990,000 7,100 11,715,000
4 676,481 24 4,058,888
- - 2,000 800,008
- - 1,500 461,691
40 3,696,000 140 12,936,000
- - - -
800 664,224 - -
300 125,400 2,700 1,128,600
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
800 211,200 300 79,200
24 85,800 - -
- - 1,000 133,100
- 900 - 7,425,000 1,900 15,675,000
- - - -
- - - -
- - - -
- - - -
200 52,243 - -
2,450 15,703,765 - -
- - - -
500 1,100,000 500 1,100,000
412682303.xlsx 157
2,900 3,269,750 - -
- - - -
- - 250 35,750,000
- - 250 33,000,000
- - 20 1,848,000
- - 120 7,920,000
- - 20 1,131,900
- - 150 10,560,000
- - - -
- - - -
- - 300 605,000
- - - -
328 1,661,484 144 729,432
- - - -
40 124,522 20 62,261
- - - -
70 2,800,028 - -
1,200 1,059,960 300 264,990
- - - -
- - 90 445,500
300 47,190 900 141,570
- - 120 1,584,000
200 2,178,000 - -
50 550,000 - -
- - 260 1,901,900
50 2,200,000 - -
500 237,402 - -
30 445,500 55 816,750
- - - -
250 2,420,000 - -
- - - -
- - - -
- - 60 198,000
- - - -
- - - -
90 425,700 - -
- - - -
412682303.xlsx 158
180 1,584,000 150 1,320,000
- - - -
60 363,000 120 726,000
- - 400 748,000
5,450 38,667,750 - -
- - 6,500 46,475,000
10 990,000 10 990,000
- - - -
2,000 163,988 1,400 114,792
- - - -
50 495,000 100 990,000
- - - -
- - 6 290,400
900 267,300 800 237,600
100 25,001 - -
1 2,860,000 - -
- - 300 1,200,166
500 203,500 1,000 407,000
- - 45 198,028
50 669,212 20 267,685
28 2,619,351 56 5,238,702
- - 1 1,683,000
- - 2,200 958,030
300 4,356,000 - -
- - 75 2,062,500
- - 50 1,375,000
5 962,500 12 2,310,000
1,200 96,000 - -
3,500 425,040 - -
1,500 878,988 900 527,393
- - - -
- - 2 233,200
1 777,480 4 3,109,920
1 827,640 7 5,793,480
1 1,650,000 - -
1 827,640 - -
2 1,655,280 - -
412682303.xlsx 159
- - 2 1,650,000
- - - -
2 1,650,000 6 4,950,000
2 1,554,960 - -
- - 100 1,320,000
2 2,565,200 - -
100 118,800 - -
2,000 1,687,400 - -
- - - -
- - - -
50 86,250 50 86,250
- - - -
- - - -
25 120,313 100 481,250
8 2,200,000 - -
- - 30 2,475,000
- - 20 1,650,000
- - 10 825,000
25 2,475,000 - -
24 102,221 60 255,552
- - 250 9,625,000
25 102,053 25 102,053
10 385,000 - -
- - 50 204,105
19 77,560 20 81,642
2 5,170,000 - -
2 8,219,200 - -
2 1,581,800 - -
- - 50 3,465,000
- - - -
60 1,452,000 - -
- - - -
- - - -
60 1,452,000 - -
- - - -
- - - -
- - - -
412682303.xlsx 160
19,500 1,115,400 - -
- - - -
2,500 375,529 - -
- - - -
- - - -
- - - -
- - - -
- - - -
60 719,400 - -
5 44,275 - -
- - - -
10,000 2,152,319 20,000 4,304,639
- - - -
- - - -
- - - -
- - 450 2,868,525
50 800,000 50 800,000
- - - -
- - - -
100 1,600,000 50 800,000
200 1,789,480 - -
- - - -
- - - -
250 - - -
150 1,124,970 350 2,624,930
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
8 271,855 - -
- - - -
52 12,012,000 - -
- - - -
11 2,117,500 9 1,732,500
11 3,872,000 3 1,056,000
412682303.xlsx 161
- - - -
- - - -
- - - -
- - - -
94 129,250 - -
300 1,237,500 - -
- - - -
- - 10 302,500
350 729,049 - -
1 825,000 - -
3 2,475,000 9 7,425,000
1 825,000 - -
- - 4 3,300,000
- - 3 3,631,320
- - 3 3,631,320
40 2,390,660 5 298,833
- - 180 17,919,000
- - 144 13,533,062
- - - -
- - - -
45 680,378 - -
36 328,499 - -
- - - -
4 2,640,000 7 4,620,000
- - 16 10,560,000
1 660,000 - -
2 1,016,400 1 508,200
1 660,000 2 1,320,000
- - 24 1,042,800
100 4,840,000 - -
- - 300 14,520,000
- - 150 7,260,000
15 60,489 10 40,326
1 4,033 - -
2 56,600 11 311,300
20 1,320,000 27 1,782,000
- - - -
412682303.xlsx 162
- - - -
- - - -
- - 2 3,088,800
- - 1 1,491,600
- - - -
- - - -
- - - -
30 775,500 50 1,292,500
- - - -
- - - -
- - - -
300 50,470 700 117,764
500 292,501 3,000 1,755,006
- - 4,000 2,299,000
100 660,000 150 990,000
- - - -
- - 2 15,400
- - 50 385,000
- - 300 1,650,000
- - - -
- - - -
- - - -
700 231,000 - -
- - - -
2,300 311,190 1,700 230,010
- - 5,000 1,650,000
- - 40 2,599,564
- - 60 237,596
1,900 2,188,794 - -
- - 2,000 403,333
1,400 672,005 4,350 2,088,015
- - - -
- - - -
- - - -
- - - -
- - - -
1,800 1,471,800 210 171,710
412682303.xlsx 163
400 95,333 2,600 619,667
50 357,500 150 1,072,500
200 540,100 - -
1,300 273,774 3,700 779,202
- - 1,200 -
500 550,000 500 550,000
2,500 312,500 - -
- - 2,500 312,500
2,100 369,600 - -
- - - -
460 2,428,800 - -
- - 3,000 5,940,000
- - 40 711,560
- - - -
- - - -
192 1,852,013 336 3,241,022
- - 300 540,000
- - 2,400 13,200,000
- - - -
- - 125 363,000
- - 200 14,738,605
- - - -
800 3,960,000 1,300 6,435,000
- - 250 412,500
- - - -
600 940,500 900 1,410,750
600 587,400 - -
10 1,650,000 40 6,600,000
- - 40 2,329,360
- - 10 582,340
40 1,369,720 - -
50 1,712,150 40 1,369,720
- - 110 3,766,730
- - 2,000 6,182,000
- - 1,440 905,760
960 5,280,000 2,400 13,200,000
- - - -
412682303.xlsx 164
2,100 217,833 - -
1,400 145,222 8,500 881,705
1,000 290,004 2,000 580,008
20 620,004 80 2,480,016
- - - -
- - - -
- - - -
2,600 2,184,010 - -
1,900 1,596,008 6,500 5,460,026
- - - -
1,400 1,592,360 1,600 1,819,840
- - 1,500 2,145,000
100 3,630,000 50 1,815,000
- - - -
432 4,756,752 1,512 16,648,632
- - - -
80 5,280,000 70 4,620,000
- - 700 18,865,000
- - 2,300 61,985,000
- - - -
- - 500 19,800,000
1,000 11,000,000 - -
- - - -
- - 260 11,440,000
30 503,250 - -
20 335,500 5 83,875
- - 15 251,625
- - 100 2,475,000
- - 50 1,237,500
- - - -
122 3,019,500 150 3,712,500
16 396,000 - -
10 420,750 19 799,425
5 61,875 15 185,625
100 2,997,500 100 2,997,500
20 599,500 - -
- - 200 5,995,000
412682303.xlsx 165
50 1,973,125 - -
25 986,563 - -
- - 88 3,472,700
- - 12 473,550
50 1,918,125 100 3,836,250
- - - -
- - - -
60 2,301,750 - -
- - 150 5,754,375
- - - -
- - - -
1,000 334,950 650 217,718
- - - -
- - 3,000 940,500
1,500 709,500 - -
300 141,900 1,400 662,200
100 2,475,000 - -
50 1,237,500 - -
100 2,475,000 400 9,900,000
300 899,701 720 2,159,282
- - 2,000 495,440
300 82,500 1,300 357,500
90 594,000 150 990,000
- - 2,600 1,708,192
500 328,499 400 262,799
- - - -
- - 3,000 447,084
- - 2,500 309,375
60 111,877 120 223,753
- - 150 618,915
- - 200 3,080,000
- - 79 999,350
- - - -
- - - -
1,000 484,341 900 435,907
- - 250 4,008,400
200 265,870 800 1,063,480
412682303.xlsx 166
3 1,857,900 7 4,335,100
- - 60 1,320,000
- - 144 1,021,680
- - 50 5,940,000
- - 390 3,432,000
- - 930 8,388,600
- - - -
10 254,375 - -
- - - -
390 3,646,500 1,380 12,903,000
230 2,150,500 - -
10 880,000 10 880,000
4 264,000 6 396,000
- - - -
100 11,000,000 - -
- - 1,300 672,058
- - 3,700 1,912,781
- - 50 9,322,500
600 50,398 1,400 117,594
- - 240 9,934,294
- - - -
- - - -
300 1,579,463 2,700 14,215,163
60 686,400 2,040 23,337,600
- - 5 38,500
- - 160 1,232,000
20 40,400 - -
40 82,925 60 124,388
300 1,387,650 700 3,237,850
450 1,897,500 1,050 4,427,500
40 299,992 160 1,199,968
- - 240 2,402,400
- - - -
20 935,000 - -
- - 48 2,244,000
- - 1,350 12,919,500
10 660,000 20 1,320,000
412682303.xlsx 167
500 484,000 2,500 2,420,000
- - - -
1,000 123,024 - -
100 1,024,980 200 2,049,960
450 202,946 450 202,946
- - - -
- - - -
- - - -
1,528 7,640,076 432 2,160,022
- - 1,920 3,521,760
- - 420 2,310,000
800 1,053,892 800 1,053,892
- - 700 924,000
- - - -
- - 940 940,009
- - - -
- - - -
- - - -
- - - -
20 1,523,500 10 761,750
- - 1,500 127,496
1,800 1,439,988 390 311,997
500 256,300 1,500 768,900
- - - -
- - - -
108 11,880,000 - -
4 440,000 196 21,560,000
700 125,780 5,000 898,425
- - - -
500 135,300 4,500 1,217,700
- - - -
154 7,623,000 106 5,247,000
- - 200 3,817,880
- - - -
- - - -
- - 5,000 2,750,000
4,800 2,325,576 - -
412682303.xlsx 168
- - - -
- - - -
- - - -
96 835,507 - -
- - 500 22,000,000
- - 3,000 792,000
- - - -
- - 120 429,000
- - - -
22 4,840,000 26 5,720,000
2 440,000 - -
- - - -
1,100 3,206,500 - -
- - - -
- - 1,100 3,206,500
- - - -
240 554,400 - -
210 485,100 - -
90 207,900 600 1,386,000
- - - -
- - - -
80 1,214,400 1,320 20,037,600
- - - -
3,340 21,408,398 1,080 6,922,476
- - 7,500 48,072,750
1,000 204,930 1,000 204,930
- - 2,000 705,276
500 118,283 700 165,596
30 355,667 - -
20 237,112 30 355,667
2,000 2,321,000 1,200 1,392,600
100 918,500 100 918,500
- - - -
- - - -
10 4,139,790 - -
2 449,516 - -
- - - -
412682303.xlsx 169
- - - -
950 2,727,450 200 574,200
- - - -
- - - -
- - - -
- - - -
- - - -
15 200,063 10 133,375
- - - -
- - - -
- - 300 14,250,803
24 310,543 - -
- - - -
300 19,800,000 - -
1 67,100 - -
99 6,642,900 400 26,840,000
- - - -
- - - -
2,100 242,550 3,900 450,450
2,400 277,200 - -
- - 2,000 231,000
- - - -
- - 100 311,306
20 263,828 150 1,978,713
100 3,999,996 - -
- - 300 12,479,940
- - 900 990,495
- - 100 423,500
- - - -
- - 150 990,000
- - 350 2,310,000
- - - -
- - - -
- - - -
50 1,026,300 290 5,952,540
- - 3,000 1,854,930
- - - -
412682303.xlsx 170
- - - -
- - 20 385,000
- - 28 974,050
- - 5 98,313
30 1,732,500 - -
- - - -
- - - -
500 30,998 2,000 123,992
- - 3,000 180,015
48 2,112,000 64 2,816,000
500 237,402 3,000 1,424,412
500 42,350 2,000 169,400
20 789,250 - -
- - - -
- - - -
350 2,618,000 190 1,421,200
- - 600 4,488,000
3,000 21,120,000 - -
- - 3,000 21,450,000
- - - -
500 330,000 9,500 6,270,000
4,600 1,012,000 - -
- - - -
- - 75 577,500
- - - -
25 2,351,250 - -
- - 225 21,161,250
- - 60 297,000
- - 150 742,500
50 401,500 350 2,810,500
- - 65 2,145,166
- - 165 5,445,422
- - 8,000 57,200,000
- - - -
- - - -
- - - -
1,000 97,405 2,000 194,810
412682303.xlsx 171
- - 3,000 292,215
40 860,200 360 7,741,800
- - 30 1,740,750
900 924,000 960 985,600
- - 900 502,755
1 2,860,000 - -
- - 5 14,300,000
50 605,000 20 242,000
- - 130 1,573,000
1 1,683,000 1 1,683,000
- - - -
10 525,250 10 525,250
- - - -
30 957,000 - -
100 1,060,675 50 530,338
- - - -
- - 2,700 6,652,800
- - 8 162,800
3,000 405,009 2,000 270,006
- - 50 1,430,000
- - - -
- - - -
78 3,432,000 3 132,000
- - - -
- - - -
- - 16 431,200
1 26,400 9 237,600
5 605,000 - -
5 605,000 - -
5 605,000 - -
5 605,000 - -
5 605,000 - -
30 3,630,000 - -
30 11,253,000 - -
30 1,980,000 - -
15 990,000 - -
30 3,795,000 - -
412682303.xlsx 172
30 3,795,000 - -
30 3,795,000 - -
10 3,575,000 - -
1 1,760,000 1 1,760,000
- - - -
1 827,640 - -
- - 8 6,600,000
- - 2 2,565,200
30 2,310,000 - -
- - - -
- - 2,400 2,024,880
- - - -
- - - -
900 2,103,255 - -
- - - -
- - - -
- - 1,600 3,558,632
- - - -
2,900 2,469,060 700 595,980
500 579,997 - -
1,100 1,275,993 200 231,999
- - 1,600 4,564,560
- - - -
- - - -
200 243,320 - -
1,600 1,481,920 - -
- - 800 740,960
25 120,313 100 481,250
10 2,750,000 - -
1 275,000 24 6,600,000
30 396,000 - -
25 102,053 25 102,053
- - 50 204,105
- - - -
- - - -
5 22,313,500 - -
- - 5 22,313,500
412682303.xlsx 173
1 1,870,000 1 1,870,000
- - 2 1,581,800
50 787,490 50 787,490
90 1,417,482 70 1,102,486
- - 40 4,400,000
12 2,838,000 - -
12 2,376,000 - -
- - - -
- - - -
12 800,580 - -
- - 24 1,601,160
10,000 1,109,999 - -
30 907,500 20 605,000
- - - -
1,100 580,256 - -
16,400 8,651,082 13,600 7,174,068
100 466,000 - -
150 1,322,970 50 440,990
250 1,165,000 - -
170 849,915 230 1,149,885
- - 200 2,398,000
300 1,398,000 - -
- - - -
125 1,102,475 275 2,425,445
- - 300 3,597,000
- - - -
- - - -
- - - -
66 15,884,880 16 3,850,880
- - 60 14,440,800
100 680,350 700 4,762,450
200 1,620,001 - -
500 4,050,002 - -
- - - -
- - - -
- - 100 1,600,000
250 4,000,000 100 1,600,000
412682303.xlsx 174
- - - -
- - - -
- - 200 1,670,955
- - - -
200 3,200,000 - -
- - 600 9,600,000
- - - -
- - - -
- - - -
- - - -
500 4,177,388 - -
50 800,000 350 5,600,000
100 835,478 - -
- - 200 3,900,000
- - - -
100 1,695,650 100 1,695,650
12 462,000 20 770,000
10 385,000 20 770,000
2 77,000 - -
- - - -
2 77,000 - -
4 440,000 16 1,760,000
5,000 550,000 5,000 550,000
- - - -
- - - -
- - - -
10 822,085 - -
13 1,068,711 11 904,294
- - 12 986,502
- - - -
- - - -
50 11,660,000 - -
16 3,696,000 33 7,623,000
1 231,000 - -
- - 75 17,490,000
2 330,000 15 2,475,000
2 385,000 28 5,390,000
412682303.xlsx 175
5 137,500 15 412,500
10 3,520,000 17 5,984,000
2,000 1,043,988 - -
4,150 2,166,275 - -
350 198,452 1,650 935,560
- - - -
35 144,375 - -
- - 200 825,000
200 825,000 - -
125 515,625 175 721,875
- - 200 825,000
15 226,809 15 226,809
- - - -
77 1,164,286 23 347,774
3 826,380 7 1,928,219
4 1,101,840 6 1,652,759
18 316,800 - -
22 387,200 50 880,000
- - - -
50 110,000 250 550,000
- - - -
50 110,000 - -
25 2,475,000 - -
50 4,950,000 - -
5 9,625,000 - -
5 8,360,000 - -
5 7,150,000 - -
- - 200 9,680,000
- - - -
- - 50 1,679,975
10 40,326 50 201,630
- - - -
22 1,452,000 17 1,122,000
- - - -
3 5,266,800 6 10,533,600
- - - -
- - - -
412682303.xlsx 176
5 6,293,100 5 6,293,100
2 2,640,000 1 1,320,000
- - - -
5 4,038,300 5 4,038,300
4 375,320 6 562,980
- - - -
10 1,394,800 - -
2 278,960 - -
9 1,255,320 3 418,440
- - 12 1,673,760
100 1,575,000 - -
70 1,540,000 100 2,200,000
- - - -
- - 50 242,385
- - - -
150 1,564,530 350 3,650,570
100 572,880 480 2,749,824
- - - -
- - - -
819,895,867.49 1,778,729,093.60
BUOL, 30 APRIL 2018
PENANGGUNGJAWAB

NIP. 19820818 201001 2 012
412682303.xlsx 177
BULAN MEI TAHUN 2018
Harga Satuan
Terkecil
OBAT TAHUN 2013
1 Amythriptillin 25 mg Tab Tablet 118.00 - - -
1 Kertas EKG Roll 50,820.00 8 406,560 -
2 Kertas EKG Roll 50,000.00 10 500,000 -
1 Flutamol Tablet 149,500.00 169 25,265,500 -
1 SLIM SECHER Pcs 18,750.00 3 56,250 -
OBAT BLUD 2015 - - - -
3 Ethambutol Tablet 500 mg (KF) Tablet 478.01 700 334,604 -
412682303.xlsx 178
Harga Satuan
Terkecil
OBAT BLUD 2016 - - - -
8 Citicolin Tablet 500 mg (DNR) Tablet 7,333.33 - - -
9 Desoximethasone Cream 0,25 mg (AAM) Tube 14,641.00 - - -
10 Doxycycline Kapsul 100 mg (KF) Kapsul 253.00 200 50,600 -
13 Falergi (PV) Botol 66,550.00 - - -
14 Flunarizine Tablet (DNR) Tablet 2,200.00 - - -
20 Meylon (KF) Vial 7,440.40 68 505,947 -
27 Pyrazinamide 500 mg Tablet (KF) Tablet 234.30 300 70,290 -
412682303.xlsx 179
Harga Satuan
Terkecil
1 Catgut Cromic With Needle USP 3/0 DS 30 (RNI) Kotak 759,000.00 - - -
6 Foley Catheter FR 12 (BDM) Pcs 24,200.00 - - -
7 H2O2 (BDM) Botol 77,000.00 - - -
11 Leukoplast (RNI) Roll 45,116.50 28 1,263,262 -
12 Mata Pisau No. 23 (BDM) Pcs 3,300.00 - - -
OBAT BLUD 2017 - - - -
4 Acyclovir Tablet 400 mg (ENS) Tablet 544.17 450 244,878 -
5 Albuminar (AAM) Botol 1,500,000.00 - - -
9 Aminofluid (KF) Bag 64,989.10 - - -
10 Aminofillin Tablet (SST) Tablet 141.68 1,000 141,680 -
14 Antasida Tablet (RNI) Tablet 157.34 - - -
412682303.xlsx 180
Harga Satuan
Terkecil
16 Antrain Injeksi (ENS) Ampul 9,927.50 - - -
17 Aqua Pro Injeksi (KF) Vial 2,750.00 120 330,000 -
18 Arfen (Ibuprofen 400 mg) Tablet (SST) Tablet 372.68 - - -
20 Asam Folat Tablet (RNI) Tablet 52.00 - - -
21 Asam Mefenamat Tablet (ENS) Tablet 148.61 - - -
24 Asam Traneksamat Tablet (DNR) Tablet 1,540.00 - - -
31 Bionemi Kapsul (PV) Kapsul 1,567.50 - - -
33 Biosat Injeksi (RNI) Ampul 165,000.00 - - -
36 Bisoprolol Tablet 5 mg (RNI) Tablet 1,210.00 550 665,500 -
43 Cartylo Tablet (KF) Tablet 616.00 - - -
412682303.xlsx 181
Harga Satuan
Terkecil
48 Cefobactam Injeksi (BSP) Vial 104,492.26 - - -
54 Cefuroxim Injeksi (MRP) Vial 44,000.00 - - -
59 Ciprofloxacin Tablet (TSJ) Tablet 770.00 - - -
60 Clindamycin Kapsul 150 mg (IGM) Kapsul 702.24 800 561,792 -
61 Clindamycin Kapsul 150 mg (PV) Kapsul 796.40 - - -
64 Clopidogrel Trombikaf Tablet (KF) Tablet 3,588.02 - - -
68 Dexamethason Injeksi (PPG) Ampul 2,402.40 1,200 2,882,880 -
73 Domperidon Syrup (ENS) Botol 10,120.00 - - -
412682303.xlsx 182
Harga Satuan
Terkecil
76 Endrolin Injeksi (ESV) Ampul 1,309,000.00 - - -
83 Farbivent Injeksi (PV) Ampul 9,350.00 - - -
84 Farelax Injeksi (PV) Ampul 77,000.00 10 770,000 -
91 Furosemid Injeksi (RNI) Ampul 2,058.01 400 823,205 -
92 Furosemid Tablet (RNI) Tablet 191.83 - - -
94 Gastrul Tablet (PV) Tablet 11,000.00 - - -
100 Glimepiride Tablet 2 mg (KF) Tablet 297.00 300 89,100 -
101 Glucosamin Tablet (DNR) Tablet 1,842.50 400 737,000 -
102 Glukosa 5 % (KF) Botol 6,900.30 3,940 27,187,182 -
412682303.xlsx 183
Harga Satuan
Terkecil
106 Hidrocortison Cream (RNI) Tube 5,720.00 - - -
108 Hydromal (BSP) Bag 49,505.96 24 1,188,143 -
109 Isoniazid Tablet 100 mg (KF) Tablet 142.56 800 114,048 -
110 KAEN 3B (KF) Botol 10,249.80 - - -
111 Kamadol Injeksi (KF) Ampul 4,533.28 144 652,793 -
112 Ketamin Hameln 50 mg (APL) Vial 71,600.10 10 716,001 -
113 Ketorolac Injeksi 30 mg (PPG) Ampul 16,038.00 - - -
115 Ketorolac Injeksi 30 mg (TSJ) Ampul 16,500.00 - - -
119 Levofloxacin Tablet (KF) Tablet 530.99 1,900 1,008,885 -
121 Lipomed (BSP) Bag 169,120.33 24 4,058,888 -
124 Manitol (KF) Botol 92,400.00 140 12,936,000 -
126 Meloxicam Tablet 7,5 mg (DNR) Tablet 830.28 - - -
127 Meloxicam Tablet 7,5 mg (ENS) Tablet 418.00 2,700 1,128,600 -
134 Metronidazol Tablet (DNR) Tablet 264.00 300 79,200 -
412682303.xlsx 184
Harga Satuan
Terkecil
135 Miconazol Cream (KF) Tube 3,575.00 - - -
142 Natrium Diklofenak Tablet 50 mg Tablet 261.22 - - -
143 Natrium Klorida Infus (KF) Botol 6,409.70 - - -
145 Nerva Plus Tablet Tablet 2,200.00 500 1,100,000 -
146 Neurosanbe Tablet (BSP) Tablet 1,127.50 - - -
152 Norephinefrin Levosol Injeksi (KF) Ampul 56,595.00 20 1,131,900 -
158 Paracetamol Syrup (KF) Botol 5,065.50 144 729,432 -
162 Phentanyl Injeksi (KF) Ampul 40,000.40 - - -
163 Piracetam Kapsul 800 mg (RNI) Kapsul 883.30 300 264,990 -
412682303.xlsx 185
Harga Satuan
Terkecil
166 Prednison Tablet (SST) Tablet 157.30 900 141,570 -
168 Pro K Injeksi (SST) Ampul 10,890.00 - - -
169 Prohem Injeksi (PV) Ampul 11,000.00 - - -
171 Propepsa Suspensi (PV) Botol 44,000.00 - - -
172 Propylthiouracil Tablet (AAM) Tablet 474.80 - - -
173 Prosional Suspensi (PV) Botol 14,850.00 55 816,750 -
175 Ranifin Injeksi (UN) Ampul 9,680.00 - - -
181 Recolfar Tablet (PV) Tablet 4,730.00 - - -
183 Reprostom Kapsul (PV) Kapsul 8,800.00 150 1,320,000 -
185 Rhodium Tablet (UN) Tablet 6,050.00 120 726,000 -
187 Ringer Lactat (DNR) Botol 7,095.00 - - -
189 Rocum Injeksi (AAM) Ampul 99,000.00 10 990,000 -
193 Scandones Injeksi (Gigi) Ampul 9,900.00 100 990,000 -
412682303.xlsx 186
Harga Satuan
Terkecil
195SIM-DHA (PV) Botol 48,400.00 6 290,400 -
196Simvastatin Tablet 10 mg (ENS) Tablet 297.00 800 237,600 -
197Simvastatin Tablet 20 mg (KF) Tablet 250.01 - - -
198Sojourn (PV) Botol 2,860,000.00 - - -
199Solpenox (Amoxicillin) Syrup (SST) Botol 4,000.55 300 1,200,166 -
200Spironolacton Tab 25 mg (RNI) Tablet 407.00 1,000 407,000 -
201Stesolid Injeksi (AAM) Ampul 4,400.62 45 198,028 -
202Stesolid Rectal (AAM) Tube 13,384.25 20 267,685 -
203Tasigna (AAM) Kapsul 93,548.25 56 5,238,702 -
204Terrell (PV) Botol 1,683,000.00 1 1,683,000 -
205Tramadol Kapsul 50 mg (KF) Kapsul 435.47 2,200 958,030 -
206Tranec Injeksi (PV) Ampul 14,520.00 - - -
207Tyarit Injeksi (PV) Ampul 27,500.00 75 2,062,500 -
208Tyarit Injeksi (UN) Ampul 27,500.00 50 1,375,000 -
209Umarone Injeksi (PV) Ampul 192,500.00 12 2,310,000 -
210Vitamin B Comp Tablet (RNI) Tablet 80.00 - - -
211Vitamin C Tablet 100 mg (KF) Tablet 121.44 - - -
212Zink Dispersible Tablet (KF) Tablet 585.99 900 527,393 -
1 Bone Wax (BDM) Pcs 116,600.00 2 233,200 -
4 Catgut Crmoic 2/0 (RNI) Roll 1,650,000.00 - - -
5 Catgut Cromic 2 HR 40 (RNI) Kotak 827,640.00 - - -
6 Catgut Cromic 2 HR 45 (DNR) Kotak 827,640.00 - - -
10 Cuticell (BDM) Pcs 13,200.00 100 1,320,000 -
11 Defeloper (BDM) Set 1,282,600.00 - - -
412682303.xlsx 187
Harga Satuan
Terkecil
12 Disposable Syringe With Needle 1 cc New Skifa (RNI) Pcs 1,188.00 - - -
20 Elektroda Patien Monitor (BDM) Pak 275,000.00 - - -
24 Extention Tube (BDM) Pcs 99,000.00 - - -
28 Feeding Tube FR 5 (BDM) Pcs 38,500.00 - - -
31 Film 24x30 (BDM) Kotak 2,585,000.00 - - -
32 Film 30x40 (BDM) Kotak 4,109,600.00 - - -
33 Fixer (BDM) Set 790,900.00 - - -
412682303.xlsx 188
Harga Satuan
Terkecil
43 Handrub (ISHS) ml 57.20 - - -
44 Handrub (RNI) ml 159.60 - - -
45 Handrub (RNI) ml 150.21 - - -
51 Handscoon ST 6,5 (RNI) Pasang 11,990.00 - - -
52 Handscoon ST 7 (BDM) Pasang 8,855.00 - - -
59 IV Catheter 16 G Abbocath (BDM) Pcs 16,000.00 50 800,000 -
63 IV Catheter 22 G Nipro (KF) Pcs 8,947.40 - - -
66 IV Catheter 24 G Abbocath Pcs - - - -
412682303.xlsx 189
Harga Satuan
Terkecil
74 Jely (ISHS) Tube 33,981.83 - - -
75 Kapas (BDM) Roll 82,208.50 - - -
76 Kasa Hidrofil 40 x 80 (RNI) Roll 231,000.00 - - -
84 Mata Pisau 20 (RNI) Pcs 1,375.00 - - -
85 Mata Pisau No 15 (BDM) Pcs 4,125.00 - - -
86 Mata Pisau No 20 Pcs 4,125.00 - - -
88 Novo Twist 32 G (AAM) Pcs 2,083.00 - - -
89 Nylon Daclon 3/0 DS 19 Kotak 825,000.00 - - -
91 Nylon Daclon USP 2/0 DS 19 (RNI) Kotak 825,000.00 - - -
95 Povidon Iodida (KF) Botol 59,766.51 5 298,833 -
96 Safil 1 HR 48 Pcs 99,550.00 180 17,919,000 -
101 Selang O2 Bayi (DA) Pcs 9,124.98 - - -
412682303.xlsx 190
Harga Satuan
Terkecil
105 Silk Black With Needle USP 2/0 HR 26 (RNI) Kotak 660,000.00 - - -
106 Silk Black With Needle USP 2/0 HR 30 (RNI) Kotak 508,200.00 1 508,200 -
109 Spinocain 25 G (BDM) Pcs 48,400.00 - - -
113 Suction Catheter 08 (BDM) Pcs 4,032.60 - - -
120 Surgicryl Rapid 2/0 HR 40 (RNI) Kotak 1,491,600.00 1 1,491,600 -
124 Urgotul 10x10 (PPG) Pcs 25,850.00 50 1,292,500 -
125 Urine Bag (KF) Pcs 6,875.00 - - -
OBAT BLUD 2018 - - - -
1 Albuminar (AAM) Botol X938905 5/1/2020 1,510,000.00 - 10 15,100,000.00
2 Allopurinol Tablet (AAM) Tablet 48K0192 11/1/2021 182.02 - 3,000 546,051.00
4 Allopurinol Tablet (RNI) Tablet HTALOA7300 6/1/2020 168.23 700 117,764 -
412682303.xlsx 191
Harga Satuan
Terkecil
6 Alprazolam Tablet 0,5 mg (SST) Tablet 173003 11/1/2019 574.75 4,000 2,299,000 -
7 Ambroxol Syrup 15 mg (DNR) Botol SCB00947 1/1/2022 6,600.00 150 990,000 -
9 Ambroxol Syrup 15 mg (PPG) Botol A10536802 1/1/2020 7,700.00 2 15,400 -
10 Ambroxol Syrup 15 mg (PPG) Botol B10536802 2/1/2020 7,700.00 50 385,000 -
11 Ambroxol Syrup 15 mg (RNI) Botol 06810006 11/30/2019 5,500.00 300 1,650,000 -
15 Ambroxol Tablet (PPG) Tablet TPM99646 11/1/2021 330.00 - - -
17 Ambroxol Tablet (SST) Tablet 74307 10/1/2020 135.30 1,700 230,010 -
21 Aminophyllin Injeksi (RNI) Ampul 06307033-1 12/31/2020 3,959.93 - 150 593,989.00
22 Amlodipin Tablet 5 mg (MTK) Tablet TPM93346 11/1/2022 1,152.00 - - -
23 Amlodipin Tablet 5 mg (RNI) Tablet 06465006 11/10/2019 201.67 2,000 403,333 -
24 Amlodipin Tablet 5 mg (TAS) Tablet NP22137 6/1/2020 480.00 4,350 2,088,015 -
30 Amlodipin Tablet 10 mg (MTK) Tablet HS17005 8/1/2019 817.67 210 171,710 -
33 Antasida Syrup (KF) Botol S02019AH 2/2/2020 2,054.80 - 100 205,480.00
34 Antasida Syrup (RNI) Botol 1801-04-181 1/1/2020 2,700.50 - - -
35 Antasida Tablet (KF) Tablet H71504B 7/15/2020 210.60 3,700 779,202 -
412682303.xlsx 192
Harga Satuan
Terkecil
36 Antrain Injeksi (ENS) Ampul 1014H0011 1/31/2020 10,450.00 - 60 627,000.00
37 Antrain Injeksi (ENS) Ampul 1014H0021 1/31/2020 10,450.00 - 240 2,508,000.00
38 Aqua Pro Injeksi (KF) 1,200 - -
39 Arcapec Tablet (PV) Tablet A7H756 8/1/2019 1,100.00 500 550,000 -
40 Asam Mefenamat Tablet (ESV) Tablet HTMECA76217 12/31/2019 125.00 - - -
42 Asam Mefenamat Tablet (ESV) Tablet HTCMECA81281 2/29/2020 176.00 - 7,000 1,232,000.00
43 Asam Mefenamat Tablet (RNI) Tablet HTMECA7518 10/31/2019 176.00 - - -
44 Asam Traneksamat Injeksi (AAM) Ampul 2180078 11/1/2020 2,167.84 - 1,000 2,167,836.00
47 Asam Traneksamat Tablet (DNR) Tablet TSB00847 1/1/2021 1,980.00 3,000 5,940,000 -
52 Asering Infus (KF) Botol SB90B48B 2/21/2021 9,645.90 - 240 2,315,016.00
57 Bifotik Injeksi (BSP) Vial TM4964A 6/1/2019 73,693.03 200 14,738,605 -
59 Biocombin Injeksi (PV) Ampul F7K068 10/1/2019 4,950.00 1,300 6,435,000 -
62 Bionemi Kapsul (PV) Kapsul NG016 7/1/2019 1,567.50 900 1,410,750 -
63 Bioron Tablet (RNI) Tablet 06177004 12/9/2021 979.00 - - -
64 Bioron Tablet (RNI) Tablet 16177003 3/14/2022 979.00 - 3,600 3,524,400.00
412682303.xlsx 193
Harga Satuan
Terkecil
66 Biosat ATS 1500 UI (RNI) Ampul 4203517 12/31/2019 165,000.00 - 100 16,500,000.00
69 Bisoprolol Tablet (AAM) Tablet 3272119 11/1/2020 248.00 - 3,000 744,000.40
70 Bunascan Spinal Injeksi (PPG) Ampul PA0313 1/1/2020 70,400.00 - 55 3,872,000.00
71 Bunascan Spinal Injeksi (PPG) Ampul PA0323 1/1/2020 70,400.00 - 45 3,168,000.00
72 Bunascan Spinal Injeksi (PV) Ampul TL0133 12/1/2019 66,000.00 - 200 13,200,000.00
73 Buscopan Injeksi (KF) Ampul 727068 1/1/2022 34,243.00 - - -
74 Buscopan Injeksi (KF) Ampul 62463C 1/1/2022 34,243.00 40 1,369,720 -
75 Buscopan Injeksi (KF) Ampul 727068B 1/1/2022 34,243.00 110 3,766,730 -
79 Captopril Tablet 25 mg (ESV) Tablet HTCTPE76023 12/31/2020 137.75 - 3,000 413,259.00
81 Captopril Tablet 25 mg (RNI) Tablet 06324020 11/23/2022 103.73 - - -
82 Captopril Tablet 25 mg (RNI) Tablet 06324021 11/23/2022 103.73 8,500 881,705 -
83 Carbazocrome Injeksi (PV) Ampul 20A457 1/1/2020 13,112.00 - 480 6,293,760.00
84 Cartylo Tablet (KF) Tablet I72080B 9/29/2020 290.00 2,000 580,008 -
85 Cartylo Tablet (KF) Tablet A80073B 12/24/2020 290.00 - 5,000 1,450,020.00
86 Cedocard Injeksi (APL) Ampul 5635502A 11/30/2020 31,000.20 80 2,480,016 -
87 Cefadroxil Kapsul (AAM) Kapsul 48A0218 12/1/2020 877.80 - 6,000 5,266,825.08
91 Cefadroxil Kapsul (RNI) Kapsul KCFDC70133 10/31/2020 840.00 - - -
94 Cefixim Kapsul 100 mg (RNI) Kapsul 48H00267 8/1/2020 1,137.40 1,600 1,819,840 -
95 Cefixim Kapsul 100 mg (RNI) Kapsul KCFMB70191 10/31/2019 1,430.00 1,500 2,145,000 -
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96 Cefixim Syrup (DNR) Botol SKM44245 11/1/2019 36,300.00 50 1,815,000 -
97 Cefixim Syrup (RNI) Botol DCFMA70069 11/30/2019 19,800.00 - 42 831,600.00
98 Cefixim Syrup (RNI) Botol 48K0409 11/1/2019 33,275.00 - 258 8,584,950.00
102 Ceftazidim Injeksi (TSJ) Vial PSN50746 12/1/2019 66,000.00 70 4,620,000 -
103 Ceftriaxon Injeksi (DNR) Vial PSG27645 6/1/2019 26,950.00 700 18,865,000 -
104 Ceftriaxon Injeksi (DNR) Vial PSL38346 10/1/2020 26,950.00 2,300 61,985,000 -
106 Ceftriaxon Injeksi (PPG) Vial A10316820 1/1/2021 39,600.00 500 19,800,000 -
107 Ceftriaxon Injeksi (RNI) Vial ICFEA70227 5/31/2020 11,000.00 - - -
110 Cendo Efrisel 10 % (PV) Botol 7E11222 12/1/2019 16,775.00 - - -
113 Cendo Lyteers 15 ml (KF) Botol 7L112299 11/30/2020 24,750.00 100 2,475,000 -
116 Cendo Lyteers 15 ml (PV) Botol 7L1123 11/1/2020 24,750.00 150 3,712,500 -
118 Cendo Mydriatyl 1% (PV) Botol 7M0915 9/1/2020 42,075.00 19 799,425 -
120 Cendo Xitrol 5 ml (KF) Botol 7X1124 5/31/2020 29,975.00 100 2,997,500 -
121 Cendo Xitrol 5 ml Botol 7X1028 4/1/2020 29,975.00 - - -
122 Cendo Xitrol 5 ml Botol 8X0105 7/1/2020 29,975.00 200 5,995,000 -
123 Cendo Xitrol EO 3,5 g (KF) Tube 89021399 2/28/2021 39,462.50 - - -
124 Cendo Xitrol EO 3,5 g (PV) Tube 791102 11/1/2020 39,462.50 - - -
125 Cendo Xitrol EO 3,5 g (PV) Tube 791110 11/1/2020 39,462.50 88 3,472,700 -
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126 Cendo Xitrol EO 3,5 g (PV) Tube 890213 2/1/2021 39,462.50 12 473,550 -
127 Cendo Xitrol EO 3,5 g (PV) Tube 890222 2/1/2021 39,462.50 - 100 3,946,250.00
128 Cenefresh 5 ml (KF) Botol 8C011899 1/31/2021 38,362.50 100 3,836,250 -
135 Cetirizine Tablet (KF) Tablet C70502J 3/5/2020 334.95 650 217,718 -
138 Chlorpromazin Tablet 100 mg (KF) Tablet J60004B 9/30/2019 264.28 - 500 132,137.50
139 Ciprofloxacin Tablet (ESV) Tablet HTCFXC76168 12/31/2019 473.00 - 3,000 1,419,000.00
140 Ciprofloxacin Tablet (RNI) Tablet HTCFXC76138 11/30/2019 473.00 - - -
141 Ciprofloxacin Tablet (RNI) Tablet HTCFXC76166 12/31/2019 473.00 1,400 662,200 -
142 Citicolin Injeksi (DNR) Ampul PIL38045 10/1/2019 24,750.00 - - -
143 Citicolin Injeksi (DNR) Ampul PIL38245 10/1/2019 24,750.00 - - 500 12,375,000.00
144 Citicolin Injeksi (MTK) Ampul PIK09046 9/1/2020 24,750.00 400 9,900,000 -
145 Citicolin Tablet (DNR) Tablet TPC17446 2/1/2022 7,333.33 - 5,670 41,580,000.00
146 Citicolin Tablet (DNR) Tablet TPP05546 1/1/2022 7,333.33 - 330 2,420,000.00
147 Citicolin Tablet (ESV) Tablet TCTLA80030 1/31/2020 4,822.33 - 900 4,340,100.00
148 Clopidogrel Tablet (KF) Tablet 172088B 10/17/2019 2,999.00 720 2,159,282 -
151 Covetor Tablet (MBS) Tablet 20G113 7/31/2019 6,600.00 150 990,000 -
153 Codein Tablet 10 mg (KF) Tablet HG1223J 8/30/2021 657.00 400 262,799 -
155 Dexamethason Injeksi (RNI) Ampul 6337002 12/31/2020 2,416.15 - 1,200 2,899,380.00
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156 Dexamethason Tablet (RNI) Tablet 16338001 1/31/2021 149.03 3,000 447,084 -
158 Diphenhidramin Injeksi (RNI) Ampul 06342017-2 10/31/2021 1,864.61 120 223,753 300 559,383.00
159 Dobutamin Injeksi (RNI) Ampul 2280283 1/1/2018 70,288.24 - 10 702,882.40
160 Dobutamin Injeksi (RNI) Ampul 2380472 2/1/2020 70,288.24 - 40 2,811,529.60
161 Domperidon Syrup (PV) Botol S2317134 1/1/2020 4,126.10 150 618,915 -
162 Domperidon Syrup (RNI) Botol A10276801 1/1/2020 15,400.00 200 3,080,000 -
163 Domperidon Syrup (RNI) Botol KLDPA7311 5/31/2020 12,650.00 79 999,350 -
166 Domperidon Tablet (TSJ) Tablet TSN80045 12/1/2020 484.34 900 435,907 -
167 Dulcolax Suppositoria (KF) Suppo 15050858 4/22/2019 16,033.60 250 4,008,400 -
168 Dulcolax Tablet (KF) Tablet 17111481 10/30/2020 1,329.35 800 1,063,480 -
171 Ergotamin Coffein (KF) Tablet K60415B 10/1/2020 203.50 - 1,000 203,500.00
172 Erlamycetin Ear Drop (PV) Botol D0652098 7/1/2019 7,095.00 144 1,021,680 -
173 Esomax Injeksi (MBS) Vial 7M1190 12/1/2019 118,800.00 - - -
174 Esomax Injeksi (MBS) Vial BA0044 1/1/2020 118,800.00 50 5,940,000 150 17,820,000.00
180 Eyefresh 5 ml (PV) Botol 8EH0123 1/1/2021 31,762.50 - 70 2,223,375.00
181 Eyefresh 5 ml (PV) Botol 8EH0209 2/1/2021 31,762.50 - 198 6,288,975.00
182 Farbivent Injeksi (PV) Ampul TJ0203 10/1/2019 9,350.00 1,380 12,903,000 -
183 Farbivent Injeksi (PV) Ampul PA0343 1/1/2020 9,350.00 - - -
184 Farelax Injeksi (PPG) Ampul TK0013 11/1/2019 77,000.00 - 50 3,850,000.00
185 Farpresin Injeksi (PV) Vial IJ0323 10/1/2018 88,000.00 10 880,000 -
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188 Fiopraz Injeksi (UN) Vial BPSL03846 10/1/2020 110,000.00 - - -
189 Flamar Tablet 25 mg (BSP) Tablet TJ8735A 9/1/2021 516.97 1,300 672,058 -
190 Flamar Tablet 25 mg (BSP) Tablet TH8744A 12/1/2019 516.97 3,700 1,912,781 -
191 Floxaris Infus (MBS) Botol 7K6739 10/1/2019 186,450.00 50 9,322,500 50 9,322,500.00
192 Furosemid Tablet (KF) Tablet F70972B 5/19/2020 84.00 1,400 117,594 -
193 Futrolit Infus (BSP) Bag UB3113A 2/1/2021 41,392.89 240 9,934,294 -
196 Gabasant Kapsul (SST) Kapsul JM002 10/1/2020 5,264.88 2,700 14,215,163 -
197 Gastrul Tablet (PV) Tablet TK1991 11/1/2019 11,440.00 2,040 23,337,600 -
198 Gavistral Injeksi (PV) Ampul F7L104 11/1/2019 7,700.00 5 38,500 -
199 Gavistral Injeksi (PV) Ampul F7L144 11/1/2019 7,700.00 160 1,232,000 -
200 Gentamicin Cream Kulit (KF) Tube 171455T 9/29/2021 2,019.99 - - -
201 Gentamicin Cream Kulit (KF) Tube J71502T 10/6/2021 2,073.14 60 124,388 -
202 Glauseta Tablet (BSP) Tablet UA2441 1/1/2020 4,625.50 700 3,237,850 -
203 Glimefion Tablet 2 mg (UN) Tablet BTPL01246 10/1/2020 4,216.67 1,050 4,427,500 -
204 Glukosa 10% (KF) Botol 271106 10/31/2020 7,499.80 160 1,199,968 -
208 Graphalac Syrup (PV) Botol DA121 1/1/2020 46,750.00 48 2,244,000 -
209 Gravix Tablet (PV) Tablet DA021 1/1/2023 1,410.75 - 1,150 1,622,362.50
210 Gravix Tablet (PV) Tablet DC028 3/1/2023 1,410.75 - 350 493,762.50
212 Human Albumin (KF) Botol B23655 9/30/2020 880,000.00 - 10 8,800,000.00
213 Ibuprofen Tablet 400 mg (KF) Tablet KB9119606 11/1/2021 127.00 - 5,000 634,975.00
214 Inviclot Injeksi (PV) Vial TJ0173 10/1/2019 66,000.00 20 1,320,000 -
215 Isonat Tablet 5 mg (KF) Tablet D160355B 4/1/2020 968.00 2,500 2,420,000 5,500 5,324,000.00
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216 Isoniazid Tablet 100 mg (KF) Tablet J60093B 9/24/2021 142.56 - 2,000 285,120.00
218 Isosorbid Dinitrat Tablet 5 mg (IGM) Tablet 1707043 8/1/2021 123.02 - - -
219 Itramag Suspensi (SST) Botol 802181 8/1/2021 5,009.40 - 300 1,502,820.00
220 KA-EN 3B (KF) Botol 471193A 8/1/2020 10,249.80 200 2,049,960 -
225 Ketorolac Injeksi 30 mg (RNI) Ampul IKTRB70053 11/30/2019 5,000.05 432 2,160,022 -
226 Ketorolac Injeksi 30 mg (RNI) Ampul 16459008 2/28/2021 1,834.25 1,920 3,521,760 -
227 Klotaren Tablet 25 mg (KF) Tablet F71208J 5/16/2022 398.99 - 5,000 1,994,960.00
229 Kolicgon Tablet (PV) Tablet T0651029 11/1/2018 1,317.37 800 1,053,892 -
232 Lansoprazol Kapsul (RNI) Kapsul KLPSA70014 9/30/2019 1,000.01 940 940,009 -
236 LFX 0,6 ml (PV) Strip 7LF61222 6/1/2020 75,900.00 - - -
237 LFX 5 ml (PV) Botol 7LF1114 5/1/2020 76,175.00 10 761,750 -
239 Loprezol Kapsul (KF) Kapsul HG1543J 9/30/2019 799.99 390 311,997 -
240 Meloxicam Tablet 15 mg (RNI) Tablet JS17040A 10/1/2019 512.60 1,500 768,900 -
243 Merophenem Injeksi 1 g (RNI) Vial IMPRA70036 11/30/2019 110,000.00 - - -
244 Merophenem Injeksi 1 g (RNI) Vial IMRPA70036 11/30/2019 110,000.00 196 21,560,000 -
245 Metformin Tablet 500 mg (AAM) Tablet 47F4152 5/1/2019 179.69 5,000 898,425 -
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246 Metformin Tablet 500 mg (ESV) Tablet HTMFNA81606 2/29/2020 181.50 - 4,000 726,000.00
248 Methyl Ergometrin Tablet (KF) Tablet C70296J 3/1/2022 270.60 4,500 1,217,700 -
251 Methylprednisolon Injeksi (RNI) Vial 16463014 1/31/2021 19,089.40 200 3,817,880 -
254 Methylprednisolon Tablet 4 mg (PPG) Tablet B10046801 2/1/2020 550.00 5,000 2,750,000 -
255 Methylprednisolon Tablet 4 mg (RNI) Tablet 48E0346 4/1/2021 484.50 - - -
259 Metronidazol Infus (APL) Botol KY7E095 10/31/2019 8,703.20 - - -
262 MgSO4 40 % (GF) Vial 86E46A 5/17/2018 2,629.00 - - -
265 Moxifloxacin Infus (PV) Botol PA0383 1/1/2020 220,000.00 26 5,720,000 -
266 Moxifloxacin Infus (PV) Botol TL0233 12/1/2019 220,000.00 - - -
268 Myotonic Tablet (PV) Tablet A7G708 7/1/2019 2,915.00 - - -
270 Myotonic Tablet (PV) Tablet A7L932 11/1/2019 2,915.00 1,100 3,206,500 -
271 Myotonic Tablet (PV) Tablet A8B199 2/1/2020 2,915.00 - 3,900 11,368,500.00
273 N-Ace Kapsul (PV) Kapsul TK1851 11/1/2019 2,310.00 - - -
274 N-Ace Kapsul (PV) Kapsul PA0541 1/1/2020 2,310.00 - - -
275 N-Ace Kapsul (PV) Kapsul TL0201 12/1/2019 2,310.00 600 1,386,000 -
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280 Natrium Klorida Infus (KF) Botol 371024 9/6/2022 6,409.70 1,080 6,922,476 -
281 Natrium Klorida Infus (RNI) Botol 280121 12/1/2022 6,409.70 7,500 48,072,750 -
284 Natrium Diklofenak Tablet 50 mg (RNI) Tablet 06365040 11/16/2020 236.57 700 165,596 -
285 Natrium Phenitoin Injeksi (RNI) Ampul 06366006 7/31/2021 11,855.58 - - -
287 Neurosanbe Tablet (BSP) Tablet TM2347C 12/1/2021 1,160.50 1,200 1,392,600 -
288 Neurosanbe Tablet (BSP) Tablet UA2522 1/1/2022 1,160.50 - 3,200 3,713,600.00
289 Nifedipin Tablet (RNI) Tablet 47G4166 5/1/2020 141.89 - 1,600 227,022.40
290 Nifedipin Tablet (RNI) Tablet 48F4106 5/1/2021 141.90 - 400 56,760.00
291 Norages Injeksi (PV) Ampul F6K594 10/1/2019 9,185.00 100 918,500 -
294 OAT Kategori 1 (GF) Kotak 413,979.00 - - -
295 OAT Kategori Anak (GF) Kotak 224,758.00 - - -
298 Ondancentron Injeksi 4 mg (MRP) Ampul I172077 2/28/2019 2,871.00 200 574,200 -
303 Oralit (RNI) Sachet 06373308 8/31/2020 418.00 - 1,000 418,000.00
304 Oxytetracyclin Salep Kulit (KF) Tube C80863W 3/7/2021 2,009.70 - 200 401,940.00
305 Oxytetracyclin Salep Mata (KF) Tube A80110W 1/1/2020 3,327.50 - 200 665,500.00
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310 Pantoz Injeksi (SST) Vial LM005 12/1/2019 47,502.68 300 14,250,803 -
313 Paracetamol Infus (DNR) Botol PIL35346 10/1/2019 66,000.00 - - -
314 Paracetamol Infus (PPG) Botol H10626740 8/1/2019 67,100.00 - - -
315 Paracetamol Infus (PPG) Botol H10626750 8/1/2019 67,100.00 400 26,840,000 -
316 Paracetamol Infus (PPG) Botol PIB15547 1/1/2021 66,000.00 - 200 13,200,000.00
319 Paracetamol Syrup (DNR) Botol SCB03747 1/1/2022 5,500.00 - 500 2,750,000.00
321 Paracetamol Tablet (RNI) Tablet 06801029 1/1/2023 115.50 - - -
324 Pehacain Injeksi (RNI) Ampul 06052090 11/30/2011 3,113.06 100 311,306 -
326 Phentanyl Injeksi (KF) Ampul 6D9K-B 10/1/2019 39,999.96 - - -
328 Phyfion Injeksi (GHF) Ampul BPINI6046 1/12/2019 9,350.00 - 1,250 11,687,500.00
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338 Piracetam Kapsul 800 mg (AAM) Kapsul 48D0124 4/1/2020 618.31 3,000 1,854,930 -
344 Posop 0,6 ml (PV) Strip 7P061110 5/1/2020 57,750.00 - - -
345 Prednicort Injeksi 125 mg (MBS) Vial 7F0625 6/1/2019 45,100.00 - - 99 4,464,900.00
347 Prednicort Injeksi 125 mg (MBS) Vial 7J0764 9/1/2019 45,100.00 - 251 11,320,100.00
350 Propepsa Suspensi (PV) Botol NM123 12/1/2019 44,000.00 64 2,816,000 -
351 Propylthiouracil Tablet (AAM) Tablet 48L0915 11/1/2021 474.80 3,000 1,424,412 -
353 Protagenta 0,6 ml (PV) Strip 7PR61204 12/1/2020 39,462.50 - - -
356 Protocin Injeksi (PV) Ampul F7L114 11/1/2019 7,480.00 190 1,421,200 -
357 Protocin Injeksi (PV) Ampul F8A209 1/1/2020 7,480.00 600 4,488,000 -
358 Ranitidin Injeksi (DNR) Ampul PIK10646 9/1/2020 7,040.00 - - 2,400 16,896,000.00
359 Ranitidin Injeksi (PPG) Ampul N10356703 12/1/2020 7,150.00 3,000 21,450,000 -
360 Ranitidin Injeksi (PPG) Ampul PIB08847 1/1/2021 7,040.00 - 2,400 16,896,000.00
361 Ranitidin Injeksi (PPG) Ampul N10356704 12/1/2020 7,150.00 - 500 3,575,000.00
363 Ranitidin Injeksi (TSJ) Ampul L10356721 11/1/2020 7,150.00 - 2,500 17,875,000.00
364 Ranitidin Tablet 150 mg (DNR) Tablet TSM76646 11/1/2020 660.00 9,500 6,270,000 -
365 Ranitidin Tablet 150 mg (RNI) Tablet TA75203 9/30/2020 220.00 - - -
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370 Recofol N Inejeksi (AAM) Ampul 17234033 5/1/2019 94,050.00 225 21,161,250 -
371 Recolfar Tablet (PV) Tablet PA1051 1/1/2021 4,950.00 60 297,000 -
372 Recolfar Tablet (PV) Tablet PA2411 1/1/2021 4,950.00 150 742,500 300 1,485,000.00
374 Revolan Injeksi (BSP) Ampul TK3431 12/1/2019 33,002.56 65 2,145,166 -
375 Revolan Injeksi (BSP) Ampul UB3446 2/1/2020 33,002.56 165 5,445,422 -
376 Ringer Lactat (RNI) Botol 571105 10/17/2019 7,150.00 8,000 57,200,000 -
380 Salbutamol Tablet 2 mg (RNI) Tablet 06841028 11/29/2019 97.41 2,000 194,810 -
382 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 2971365 8/1/2019 21,505.00 360 7,741,800 -
384 Simvastatin Tablet 20 mg (ESV) Tablet KTSVNB76083 11/30/2019 1,026.67 - 3,000 3,080,000.00
385 Simvastatin Tablet 20 mg (KF) Tablet K72765B 7/31/2020 224.99 - 5,000 1,124,970.00
386 Simvastatin Tablet 20 mg (RNI) Tablet KTSVNB7406 8/31/2019 1,026.67 960 985,600 -
388 Sojourn (PV) Botol S19471124 8/1/2022 2,860,000.00 - - -
390 Supravenid Suppositoria (PV) Suppo G7J143 9/1/2020 12,100.00 20 242,000 -
391 Supravenid Suppositoria (PV) Suppo G8A164 1/1/2021 12,100.00 130 1,573,000 -
393 Timol 0,5 % (PV) Botol 7TM1122 11/1/2020 52,525.00 - - -
394 Timol 0,5 % (PV) Botol 7TM1211 12/1/2020 52,525.00 10 525,250 -
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396 Tobroson 0,6 ml (PV) Strip 8TS60123 7/1/2020 31,900.00 - - -
397 Tomit Injeksi (ENS) Ampul I004G0022 7/31/2019 10,606.75 50 530,338 -
398 Tomit Injeksi (ENS) Ampul I004G0041 9/30/2019 10,606.75 - 100 1,060,675.00
399 Tomit Injeksi (ENS) Ampul I004G0042 9/30/2019 10,606.75 - 150 1,591,012.50
400 Tronadex Injeksi (PV) Ampul NK305 10/1/2019 12,760.00 - 500 6,380,000.00
404 Vitamin B Comp Tablet (KF) Tablet I71293T 9/19/2020 135.00 2,000 270,006 9,600 1,296,028.80
405 Vitamin C Tablet 100 mg (KF) Tablet H70084BI 9/14/2020 120.29 - 5,000 601,425.00
406 Zirkum Kid Syrup (PV) Botol E7K603 10/1/2019 28,600.00 50 1,430,000 -
1 Alkohol 300 ml (IHS) Botol 15,488.00 - 120 1,858,560.00
3 Alkohol 1000 ml (BDM) Botol 46710303 10/1/2022 44,000.00 3 132,000 -
4 Alkohol 1000 ml (IHS) Botol 33,000.00 - 100 3,300,000.00
7 Alkohol 1000 ml (RNI) Botol 46710303 10/1/2022 26,950.00 16 431,200 -
8 Alkohol Swab (BDM) Kotak 201709 8/1/2022 26,400.00 9 237,600 -
9 Appalens IOL Model 101 Power (19.00) (PK) Pcs 121,000.00 - - -
11 Appalens IOL Model 101 Power (20.00) (PK) Pcs 121,000.00 - - 50 6,050,000.00
14 Appalens IOL Model 302 Anterior Chamber Power (17.00) (P Pcs 121,000.00 - 2 242,000.00
15 Appasamy Appavisc 3 ml W/ Syringe (PK) Pcs 121,000.00 - - -
16 Appasamy Cohevisc 1,4% (PK) Pcs 375,100.00 - - -
17 Appasamy Mio-Chol (PK) Pcs 66,000.00 - - -
18 Appasamy Rhex-Id (PK) Pcs 66,000.00 - - -
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19 Appablade AA 562027 Slit Blade (PK) Pcs 126,500.00 - - -
20 Appablade AA 562021 Tunnel Blade (PK) Pcs 126,500.00 - - -
21 Appablade AA 560009 Lance Blade (PK) Pcs 126,500.00 - - -
22 Bovine Aaron Cautery Low Temperature Pcs 357,500.00 - - -
23 Catgut Cromic 3/0 (BDM) Roll 170919 10/1/2022 1,760,000.00 1 1,760,000 -
25 Catgut Cromic With Needle 2 HR 45 Kotak 170401 4/1/2022 827,640.00 - - -
27 Developer (BDM) Set 873505 1,282,600.00 2 2,565,200 -
28 Devine Meditech Eye Drepe (PK) Pcs 77,000.00 - - -
36 Disposable Syringe With Needle 03 cc BD (RNI) Pcs 8022427 1/31/2023 2,224.15 1,600 3,558,632 1,600 3,558,632.00
37 Disposable Syringe With Needle 03 cc Nipro (KF)) Pcs 17J0503J 10/1/2018 1,009.80 - 2,000 2,019,600.00
39 Disposable Syringe With Needle 03 cc RD (RNI) Pcs 1703201 2/1/2022 802.66 - 2,400 1,926,383.18
40 Disposable Syringe With Needle 03 cc TP (BDM) Pcs 171301 12/1/2022 851.40 700 595,980 -
42 Disposable Syringe With Needle 05 cc Aximed (KF) Pcs 20170910 8/31/2022 1,159.99 200 231,999 -
43 Disposable Syringe With Needle 05 cc BD (RNI) Pcs 7361386 12/31/2022 2,852.85 1,600 4,564,560 1,600 4,564,560.00
44 Disposable Syringe With Needle 05 cc Nipro (KFI) Pcs 1710606J 9/1/2018 1,247.40 - 1,000 1,247,400.00
47 Disposable Syringe With Needle 10 cc Nipro (KF) Pcs 17J1607J 10/1/2018 1,654.40 - 1,600 2,647,040.00
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49 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1305201 8/31/2018 926.20 - - 1,300 1,204,060.00
50 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1705201 4/1/2022 926.20 800 740,960 700 648,340.00
52 Elektroda Patien Monitor (BDM) Pak 1000018635 9/1/2019 275,000.00 - - -
54 Eye Dop Shield (PK) Pcs 13,200.00 - - -
55 Feeding Tube FR 05 (BDM) Pcs 160813B 7/1/2019 33,599.50 - 100 3,359,950.00
58 Film 30 x 40 (BDM) Kotak 43433 6/1/2020 4,109,600.00 - - -
59 Film 35 x 35 (BDM) Kotak 44611 6/1/2020 4,462,700.00 - - -
60 Film 35 x 35 (BDM) Kotak 44805 6/1/2020 4,462,700.00 - - -
61 Film 35 x 35 (BDM) Kotak 45835 11/1/2020 4,462,700.00 5 22,313,500 -
62 Film Gigi (BDM) Kotak 3117008 3/1/2020 1,870,000.00 1 1,870,000 -
63 Film Gigi (BDM) Kotak 3117089 3/1/2020 1,870,000.00 - 1 1,870,000.00
64 Fixer (BDM) Set CAT873505 790,900.00 2 1,581,800 -
65 Foley Catheter 2 Way 16 (BDM) Pcs 17-G-05H 7/1/2022 15,749.80 50 787,490 -
66 Foley Catheter 2 Way 16 (BDM) Pcs 16I09 8/1/2021 24,200.00 - 200 4,840,000.00
67 Foley Catheter 2 Way 18 (BDM) Pcs 17-G-10K 9/1/2022 15,749.80 70 1,102,486 -
68 Foley Catheter 2 Way 18 (BDM) Pcs 16G09 6/1/2021 24,200.00 - 200 4,840,000.00
70 FSBB Benang 8/0 PGA (PK) Pcs 236,500.00 - - -
71 FSBB Benang 8/0 PGA (PK) Pcs 333,850.00 - 10 3,338,500.00
72 FSSB Benang 10/0 Nylon Black (PK) Pcs 198,000.00 - - -
73 Glucocard (AAM) Botol A27801E 5/1/2019 279,950.00 - 20 5,599,000.00
77 Gypsona 6 Inch (BDM) Roll 625 6/1/2019 66,715.00 24 1,601,160 -
78 Handrub Aseptan 500 ml (IHS) Botol 45,540.00 - 36 1,639,440.00
412682303.xlsx 207
Harga Satuan
Terkecil
79 Handrub E Care (ESV) ml 1803268 3/1/2021 127.68 - 25,000 3,191,996.50
80 Handrub Fresco (RNI) ml 111.00 - - 20,000 2,219,998.00
81 Handscoon Manual NS (BDM) Pasang 30,250.00 20 605,000 -
84 Handscoon NS (BDM) Pcs 170870603 7/1/2022 527.51 13,600 7,174,068 -
85 Handscoon NS (BDM) Pcs 170870603 7/1/2022 527.95 - 10,000 5,279,450.00
86 Handscoon NS (SST) Pcs 22104900 10/1/2022 544.50 - 10,000 5,445,000.00
87 Handscoon ST 6,5 (BDM) Pasang 17070105 6/1/2022 4,660.00 - - -
88 Handscoon ST 6,5 (BDM) Pasang 17070105 6/1/2022 4,999.50 - 400 1,999,800.00
89 Handscoon ST 6,5 Eskamed (BDM) Pasang 203030854SPZA 8/1/2021 8,819.80 50 440,990 -
90 Handscoon ST 7 (BDM) Pasang 17070105 6/1/2022 4,660.00 - - -
91 Handscoon ST 7 (BDM) Pasang 17070105 6/1/2022 4,999.50 230 1,149,885 -
92 Handscoon ST 7 (RNI) Pasang 1421503 1/1/2021 11,990.00 200 2,398,000 -
95 Handscoon ST 7,5 (BDM) Pasang 8,819.80 275 2,425,445 -
96 Handscoon ST 7,5 (RNI) Pasang 1457804 7/1/2021 11,990.00 300 3,597,000 -
100 Hypavix 15 x 5 (BDM) Roll 64940230 11/1/2021 240,680.00 16 3,850,880 -
101 Hypavix 15 x 5 (BDM) Roll 70731230 1/1/2022 240,680.00 60 14,440,800 -
102 Hypavix 15 x 5 (BDM) Roll 72630230 5/1/2022 240,680.00 - 60 14,440,800.00
103 Infus Set Makro Fesco (BDM) Pcs 20170921 9/1/2022 6,803.50 700 4,762,450 -
104 Infus Set Makro TP (BDM) Pcs 170302 3/1/2022 8,100.00 - - -
106 Infus Set Makro TP (BDM) Pcs 170320 3/1/2022 8,333.60 - 800 6,666,880.00
412682303.xlsx 208
Harga Satuan
Terkecil
113 IV Catheter 18 Terumo (KF) Pcs 170711SD 6/30/2022 8,354.78 200 1,670,955 -
121 IV Catheter 20 Terumo (KF) Pcs 170828SD 7/31/2022 8,354.78 - - -
123 IV Catheter 22 Terumo (KF) Pcs 170815SE 6/30/2022 8,354.78 - - -
129 Jarum Kulit No. 13 (BDM) Lusin 38,500.00 - - 20 770,000.00
130 Jarum Kulit No. 14 (BDM) Lusin 38,500.00 - - 15 577,500.00
131 Jarum Kulit No. 15 (BDM) Lusin MD 17171802 38,500.00 - - -
133 Jelly Ultrasound (BDM) ml 65066C 3/1/2022 110.00 5,000 550,000 -
134 Jelly Ultrasound 250 ml (BDM) Botol 20170710 7/1/2020 29,700.00 - 24 712,800.00
135 Kapas 250 g (RNI) Roll 0216 10/31/2020 42,900.00 - - -
136 Kapas 500 g (RNI) Roll 0216 10/31/2020 85,415.00 - - -
137 Kapas 500 g (BDM) Roll 1410069 10/1/2019 82,208.50 - - -
138 Kapas 500 g (BDM) Roll 1411082 11/1/2019 82,208.50 - - -
412682303.xlsx 209
Harga Satuan
Terkecil
139 Kapas 500 g (BDM) Roll 1411084 11/1/2019 82,208.50 11 904,294 -
140 Kapas 500 g (BDM) Roll 1412099 12/1/2019 82,208.50 12 986,502 -
141 Kapas 1000 g (BDM) Roll 1505025 5/1/2020 164,417.00 - - -
142 Kapas 1000 g (BDM) Roll 1505026 5/1/2020 164,417.00 - - -
143 Kasa Hidrofil 40 x 80 (RNI) Roll 361117 11/30/2021 233,200.00 - - -
149 Kertas Puyer (BDM) Pak 27,500.00 15 412,500 -
151 Masker Ear Loop (BDM) Pcs 521.99 - - -
152 Masker Tie On (BDM) Pcs 521.99 - - 8,000 4,175,952.00
153 Masker Tie On (BDM) Pcs 567.01 1,650 935,560 -
155 Mata Pisau No. 11 (BDM) Pcs 4507519425 2/1/2021 4,125.00 - - -
156 Mata Pisau No. 11 (BDM) Pcs 4508319225 12/1/2021 4,125.00 200 825,000 100 412,500.00
160 Mata Pisau No. 20 (BDM) Pcs 4508301893 12/1/2021 4,125.00 - 300 1,237,500.00
162 Mata Pisau No. 24 (BDM) Pcs 450741193 12/1/2020 4,125.00 200 825,000 300 1,237,500.00
163 Nasal O2 Anak (BDM) Pcs 20170315 3/1/2022 15,120.60 15 226,809 100 1,512,060.00
165 Nasal O2 Dewasa (BDM) Pcs 20170315 3/1/2022 15,120.60 23 347,774 -
166 Nasal O2 Dewasa (BDM) Pcs 20161030 3/1/2022 15,120.60 - 100 1,512,060.00
167 Nylon Daclon 2/0 DS 24 (RNI) Kotak 275,459.91 7 1,928,219 -
412682303.xlsx 210
Harga Satuan
Terkecil
169 Octenic Body Wash (RNI) Pak 04GL0101 9/1/2019 17,600.00 - - -
174 Penjepit Tali Pusar (BDM) Pcs 122015 12/1/2020 2,200.00 - - -
175 Perfusor (BDM) Pcs 17G01K8411 7/1/2022 99,000.00 - - -
176 Perfusor (BDM) Pcs 17D19K8411 4/1/2022 99,000.00 - - 35 3,465,000.00
177 Povidon Iodida (BDM) Botol L60558W 12/1/2019 88,000.00 - 15 1,320,000.00
178 Povidon Iodida (KF)) Botol K73268W 11/29/2020 59,966.50 - 75 4,497,487.50
179 Rumex CC-27 Clear Corneal/ Keratome (PK) Kotak 1,925,000.00 - - -
180 Rumex CR-20 Crescent (PK) Kotak 1,672,000.00 - - -
181 Rumex SP-15 Side Port Knife/ Stab (PK) Kotak 1,430,000.00 - - -
182 Spinocain 25 G (BDM) Pcs 17G19H8B61 7/1/2022 48,400.00 200 9,680,000 -
185 Suction Catheter FR 8 (BDM) Pcs 20171125 11/1/2022 4,032.60 50 201,630 -
187 Sungkup O2 Dewasa + Kantong (BDM) Pcs 1512022020 11/1/2020 66,000.00 17 1,122,000 -
189 Surgicryl 910 1 HR 40 (RNI) Kotak 170912 8/1/2022 1,048,740.00 - 5 5,243,700.00
193 Surgicryl 910 2 HR 48 (RNI) Kotak 1,258,620.00 5 6,293,100 -
194 Surgicryl 910 2/0 HR 17 (RNI) Kotak 170210 1/30/2022 1,320,000.00 1 1,320,000 -
195 Surgicryl 910 2/0 HR 17 (RNI) Kotak 170210 1/1/2022 917,339.94 - 5 4,586,699.70
197 Surgicryl 910 3/0 HR 30 (RNI) Kotak 807,659.93 5 4,038,300 -
412682303.xlsx 211
Harga Satuan
Terkecil
203 Tensocrepe 6 Inch (BDM) Roll 111711281 11/1/2022 139,480.00 12 1,673,760 12 1,673,760.00
204 Three Way Eskamed (BDM) Pcs 169002 8/1/2021 15,750.00 - - -
205 Three Way Stop Cock (BDM) Pcs 15552-01 1/1/2023 22,000.00 - 300 6,600,000.00
206 Three Way Tro (BDM) Pcs 13958-02 6/1/2020 22,000.00 100 2,200,000 -
208 Transfusi Set (BDM) Pcs 20170923 9/1/2022 4,847.70 50 242,385 -
209 Transfusi Set (BDM) Pcs 170801 7/1/2022 16,380.10 - 500 8,190,050.00
212 Trypan Blue (PK) Pcs 66,000.00 - 10 660,000.00
213 Urine Bag (BDM) Pcs 20171220 12/1/2022 5,728.80 480 2,749,824 -
214 Urine Bag (RNI) Pcs 16531 10/1/2021 6,600.00 - - -
215 Urine Bag (RNI) Pcs 17046 2/1/2022 6,600.00 - - -
216 Water One (IHS) Botol 19,747.20 - - 40 789,888.00
217 W Care DC (PPG) Pcs 1790901 9/1/2020 58,080.00 - - 30 1,742,400.00
TOTAL 1,778,729,093.60 514,096,379.56


NIP : 19810727 201001 1 012 NIP. 19820918 200804 2 002
412682303.xlsx 212
EI TAHUN 2018
- - - -
- - - -
- - 8 406,560
- - 10 500,000
- - - -
- - - -
- - 169 25,265,500
- - 14,000 1,688,960
- - 23,000 4,183,930
- - - -
- - 3 56,250
- - - -
- - - -
- - 4 186,340
- - 96 4,622,006
- - 700 334,604
1,000 32,780 2,000 65,560
- - 28 106,103
- - 117 11,454,300
- - - -
- - - -
- - 5,000 207,900
- - - -
- - 26 629,200
- - 20 440,000
412682303.xlsx 213
- - 4 2,032,800
- - - -
- - 1,100 5,929,000
600 462,000 9,100 7,007,000
- - 44 3,146,000
- - 50 4,400,000
1,000 914,100 2,600 2,376,660
- - 1,700 160,483
- - 500 5,225,000
- - - -
- - - -
200 50,600 - -
- - - -
90 801,900 270 2,405,700
- - - -
- - - -
- - 900 83,160
- - 500 85,498
- - 1,100 798,600
25 116,875 100 467,500
12 1,320,000 32 3,520,000
- - 68 505,947
- - 530 4,809,750
- - 300 36,897
10 242,000 90 2,178,000
- - - -
- - - -
- - - -
300 70,290 - -
- - 400 857,120
412682303.xlsx 214
- - 150 1,452,000
- - - -
- - - -
- - 19 80,925
- - 30 127,776
- - 14 59,629
- - 10 550,000
- - - -
- - - -
- - - -
- - - -
- - - -
8 360,932 20 902,330
- - - -
- - - -
- - - -
- - 25 90,475
- - - -
50 43,500 2,150 1,870,502
450 244,878 - -
- - - -
- - - -
- - - -
- - - -
- - - -
100 14,168 900 127,512
- - - -
- - 1,200 10,560,000
- - - -
- - - -
412682303.xlsx 215
30 99,000 240 792,000

- - - -
120 330,000 - -
- - - -
- - 500 319,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 90 825,000
- - - -
- - 1,600 3,168,000
- - - -
- - - -
- - 40 638,000
- - - -
- - 20 1,164,680
- - - -
- - 550 665,500
- - 55 3,509,000
- - - -
- - - -
500 48,703 1,000 97,405
- - - -
- - - -
- - - -
- - 150 1,406,625
412682303.xlsx 216
- - 3,900 19,305,000
- - - -
- - - -
- - - -
- - 493 71,041,300
- - 3 429,000
- - 300 26,400,000
- - - -
- - - -
- - - -
- - - -
- - 2,200 356,708
- - 200 45,965
50 3,850,000 20 1,540,000
- - - -
500 351,120 300 210,672
- - - -
- - 200 359,999
- - 3,000 5,999,994
- - - -
- - - -
- - 124 738,333
- - - -
400 960,960 800 1,921,920
- - - -
- - - -
- - - -
- - 15 1,109,819
- - - -
- - - -
412682303.xlsx 217
- - - -
- - - -
- - 300 468,270
- - - -
- - 1,400 3,788,400
20 1,930,500 42 4,054,050
- - - -
- - - -
- - - -
10 770,000 - -
10 770,000 90 6,930,000
- - 30 1,155,000
- - 6 726,000
- - 17 1,241,000
- - 50 514,250
- - 2,000 7,788,000
200 411,602 200 411,602
- - - -
- - - -
- - - -
30 2,400,000 20 1,600,000
- - 9 82,368
- - 100 4,001,250
200 779,200 1,100 4,285,600
- - - -
300 89,100 - -
200 368,500 200 368,500
- - 3,940 27,187,182
- - 2,000 185,350
- - 4 2,822,000
412682303.xlsx 218
- - 48 153,912
- - - -
- - 3 2,549,999
- - 24 1,188,143
- - 800 114,048
- - - -
144 652,793 - -
- - 10 716,001
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
500 265,496 1,400 743,389
400 660,000 6,700 11,055,000
- - 24 4,058,888
- - 2,000 800,008
- - 1,500 461,691
20 1,848,000 120 11,088,000
- - - -
- - - -
500 209,000 2,200 919,600
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
300 79,200 - -
412682303.xlsx 219
- - - -
- - 1,000 133,100
50 412,500 1,850 15,262,500
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 500 1,100,000
- - - -
- - - -
50 7,150,000 200 28,600,000
- - 250 33,000,000
- - 20 1,848,000
30 1,980,000 90 5,940,000
20 1,131,900 - -
- - 150 10,560,000
- - - -
- - - -
- - 300 605,000
- - - -
- - 144 729,432
- - - -
- - 20 62,261
- - - -
- - - -
- - 300 264,990
- - - -
412682303.xlsx 220
- - 90 445,500
- - 900 141,570
- - 120 1,584,000
- - - -
- - - -
- - 260 1,901,900
- - - -
- - - -
55 816,750 - -
- - - -
- - - -
- - - -
- - - -
- - 60 198,000
- - - -
- - - -
- - - -
- - - -
120 1,056,000 30 264,000
- - - -
- - 120 726,000
- - 400 748,000
- - - -
2,000 14,300,000 4,500 32,175,000
10 990,000 - -
- - - -
- - 1,400 114,792
- - - -
50 495,000 50 495,000
- - - -
412682303.xlsx 221
- - 6 290,400
- - 800 237,600
- - - -
- - - -
- - 300 1,200,166
800 325,600 200 81,400
- - 45 198,028
10 133,842 10 133,842
- - 56 5,238,702
- - 1 1,683,000
300 130,640 1,900 827,389
- - - -
- - 75 2,062,500
- - 50 1,375,000
4 770,000 8 1,540,000
- - - -
- - - -
400 234,397 500 292,996
- - - -
- - 2 233,200
- - 4 3,109,920
- - 7 5,793,480
- - - -
- - - -
- - - -
- - 2 1,650,000
- - - -
- - 6 4,950,000
- - 100 1,320,000
- - - -
412682303.xlsx 222
- - - -
- - - -
- - - -
- - - -
- - 50 86,250
- - - -
- - - -
- - 100 481,250
- - - -
- - 30 2,475,000
- - 20 1,650,000
- - 10 825,000
- - - -
20 85,184 40 170,368
- - 250 9,625,000
- - 25 102,053
- - - -
- - 50 204,105
- - 20 81,642
- - - -
- - - -
- - - -
- - 50 3,465,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
412682303.xlsx 223
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
5,000 1,076,160 15,000 3,228,479
- - - -
- - - -
- - - -
- - 450 2,868,525
- - 50 800,000
- - - -
- - - -
50 800,000 - -
- - - -
- - - -
- - - -
- - - -
200 1,499,960 150 1,124,970
- - - -
- - - -
- - - -
- - - -
412682303.xlsx 224
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
2 385,000 7 1,347,500
- - 3 1,056,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 10 302,500
- - - -
- - - -
1 825,000 8 6,600,000
- - - -
- - 4 3,300,000
- - 3 3,631,320
- - 3 3,631,320
5 298,833 - -
- - 180 17,919,000
- - 144 13,533,062
- - - -
- - - -
- - - -
- - - -
412682303.xlsx 225
- - - -
1 660,000 6 3,960,000
- - 16 10,560,000
- - - -
1 508,200 - -
- - 2 1,320,000
- - 24 1,042,800
- - - -
- - 300 14,520,000
- - 150 7,260,000
10 40,326 - -
- - - -
6 169,800 5 141,500
3 198,000 24 1,584,000
- - - -
- - - -
- - - -
1 1,544,400 1 1,544,400
1 1,491,600 - -
- - - -
- - - -
- - - -
20 517,000 30 775,500
- - - -
- - - -
- - 10 15,100,000
700 127,412 2,300 418,639
- - - -
- - 700 117,764
500 292,501 2,500 1,462,505
412682303.xlsx 226
- - 4,000 2,299,000
- - 150 990,000
- - - -
2 15,400 - -
50 385,000 - -
100 550,000 200 1,100,000
- - - -
- - - -
- - - -
- - - -
- - - -
1,700 230,010 - -
1,300 429,000 3,700 1,221,000
- - 40 2,599,564
- - 60 237,596
30 118,798 120 475,191
- - - -
2,000 403,333 - -
4,350 2,088,015 - -
- - - -
- - - -
- - - -
- - - -
- - - -
210 171,710 - -
690 164,450 1,910 455,217
- - 150 1,072,500
100 205,480 - -
- - - -
1,000 210,595 2,700 568,607
412682303.xlsx 227
- - 60 627,000
- - 240 2,508,000
600 - 600 -
- - 500 550,000
- - - -
2,500 312,500 - -
- - 7,000 1,232,000
- - - -
800 1,734,269 200 433,567
- - - -
- - - -
500 990,000 2,500 4,950,000
10 177,890 30 533,670
- - - -
- - - -
168 1,620,511 168 1,620,511
- - 240 2,315,016
100 180,000 200 360,000
100 550,000 2,300 12,650,000
- - - -
- - 125 363,000
- - 200 14,738,605
- - - -
1,000 4,950,000 300 1,485,000
250 412,500 - -
- - - -
850 1,332,375 50 78,375
- - - -
2,100 2,055,900 1,500 1,468,500
40 6,600,000 - -
412682303.xlsx 228
- - 100 16,500,000
20 1,164,680 20 1,164,680
- - 10 582,340
- - 3,000 744,000
55 3,872,000 - -
40 2,816,000 5 352,000
25 1,650,000 175 11,550,000
- - - -
- - 40 1,369,720
- - 110 3,766,730
- - 2,000 6,182,000
- - 1,440 905,760
1,200 6,600,000 1,200 6,600,000
- - 3,000 413,259
- - - -
- - - -
2,500 259,325 6,000 622,380
150 1,966,800 330 4,326,960
1,000 290,004 1,000 290,004
- - 5,000 1,450,020
- - 80 2,480,016
- - 6,000 5,266,825
- - - -
- - - -
- - - -
- - - -
3,500 2,940,014 3,000 2,520,012
- - - -
1,500 1,706,100 100 113,740
- - 1,500 2,145,000
412682303.xlsx 229
50 1,815,000 - -
- - 42 831,600
- - 258 8,584,950
- - - -
- - 1,512 16,648,632
- - - -
70 4,620,000 - -
600 16,170,000 100 2,695,000
- - 2,300 61,985,000
- - - -
500 19,800,000 - -
- - - -
- - - -
220 9,680,000 40 1,760,000
- - - -
- - 5 83,875
- - 15 251,625
50 1,237,500 50 1,237,500
50 1,237,500 - -
- - - -
- - 150 3,712,500
- - - -
- - 19 799,425
10 123,750 5 61,875
100 2,997,500 - -
- - - -
- - 200 5,995,000
- - - -
- - - -
38 1,499,575 50 1,973,125
412682303.xlsx 230
12 473,550 - -
- - 100 3,946,250
- - 100 3,836,250
- - - -
- - - -
- - - -
50 1,918,125 100 3,836,250
- - - -
- - - -
- - 650 217,718
- - - -
300 94,050 2,700 846,450
- - 500 132,138
- - 3,000 1,419,000
- - - -
1,400 662,200 - -
- - - -
50 1,237,500 450 11,137,500
400 9,900,000 - -
- - 5,670 41,580,000
330 2,420,000 - -
870 4,195,430 30 144,670
300 899,701 420 1,259,581
- - 2,000 495,440
300 82,500 1,000 275,000
- - 150 990,000
600 394,198 2,000 1,313,994
400 262,799 - -
- - - -
200 483,230 1,000 2,416,150
412682303.xlsx 231
1,000 149,028 2,000 298,056

- - 2,500 309,375
90 167,815 330 615,321
- - 10 702,882
- - 40 2,811,530
- - 150 618,915
- - 200 3,080,000
50 632,500 29 366,850
- - - -
- - - -
900 435,907 - -
- - 250 4,008,400
- - 800 1,063,480
- - 7 4,335,100
- - 60 1,320,000
- - 1,000 203,500
10 70,950 134 950,730
- - - -
- - 200 23,760,000
120 1,056,000 270 2,376,000
- - 930 8,388,600
- - - -
- - - -
- - - -
50 1,588,125 20 635,250
- - 198 6,288,975
800 7,480,000 580 5,423,000
- - - -
- - 50 3,850,000
- - 10 880,000
412682303.xlsx 232
- - 6 396,000
- - - -
- - - -
500 258,484 800 413,574
- - 3,700 1,912,781
- - 100 18,645,000
600 50,398 800 67,197
24 993,429 216 8,940,864
- - - -
- - - -
1,100 5,791,363 1,600 8,423,800
150 1,716,000 1,890 21,621,600
- - 5 38,500
- - 160 1,232,000
- - - -
20 41,463 40 82,925
200 925,100 500 2,312,750
300 1,265,000 750 3,162,500
40 299,992 120 899,976
- - 240 2,402,400
- - - -
- - - -
48 2,244,000 - -
650 916,988 500 705,375
350 493,763 - -
- - 1,350 12,919,500
5 4,400,000 5 4,400,000
800 101,596 4,200 533,379
- - 20 1,320,000
2,500 2,420,000 5,500 5,324,000
412682303.xlsx 233
1,000 142,560 1,000 142,560

- - - -
- - - -
180 901,692 120 601,128
- - 200 2,049,960
- - 450 202,946
- - - -
- - - -
- - - -
432 2,160,022 - -
528 968,484 1,392 2,553,276
- - 5,000 1,994,960
- - 420 2,310,000
- - 800 1,053,892
- - 700 924,000
- - - -
940 940,009 - -
- - - -
- - - -
- - - -
- - - -
10 761,750 - -
500 42,499 1,000 84,997
- - 390 311,997
- - 1,500 768,900
- - - -
- - - -
- - - -
196 21,560,000 - -
2,500 449,213 2,500 449,213
412682303.xlsx 234
- - 4,000 726,000
- - - -
2,000 541,200 2,500 676,500
- - - -
6 297,000 100 4,950,000
50 954,470 150 2,863,410
- - - -
- - - -
4,000 2,200,000 1,000 550,000
- - - -
- - - -
- - - -
- - - -
- - - -
250 11,000,000 250 11,000,000
700 184,800 2,300 607,200
- - - -
- - 120 429,000
- - - -
22 4,840,000 4 880,000
- - - -
- - - -
- - - -
- - - -
1,000 2,915,000 100 291,500
- - 3,900 11,368,500
- - - -
- - - -
- - - -
120 277,200 480 1,108,800
412682303.xlsx 235
- - - -
- - - -
40 607,200 1,280 19,430,400
- - - -
1,080 6,922,476 - -
1,920 12,306,624 5,580 35,766,126
1,000 204,930 - -
- - 2,000 705,276
500 118,283 200 47,313
- - - -
- - 30 355,667
1,200 1,392,600 - -
- - 3,200 3,713,600
- - 1,600 227,022
- - 400 56,760
100 918,500 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
200 574,200 - -
- - - -
- - - -
- - - -
- - - -
500 209,000 500 209,000
- - 200 401,940
- - 200 665,500
412682303.xlsx 236
- - - -
- - 10 133,375
- - - -
- - - -
300 14,250,803 - -
- - - -
- - - -
- - - -
- - - -
400 26,840,000 - -
100 6,600,000 100 6,600,000
- - - -
- - - -
144 792,000 356 1,958,000
3,900 450,450 - -
- - - -
1,500 173,250 500 57,750
- - - -
- - 100 311,306
40 527,657 110 1,451,056
- - - -
50 2,079,990 250 10,399,950
200 1,870,000 1,050 9,817,500
300 330,165 600 660,330
- - 100 423,500
- - - -
- - 150 990,000
- - 350 2,310,000
- - - -
- - - -
412682303.xlsx 237
- - - -
- - 290 5,952,540
- - 3,000 1,854,930
- - - -
- - - -
- - 20 385,000
- - 28 974,050
- - 5 98,313
- - - -
99 4,464,900 - -
- - - -
53 2,390,300 198 8,929,800
500 30,998 1,500 92,994
- - 3,000 180,015
48 2,112,000 16 704,000
500 237,402 2,500 1,187,010
- - 2,000 169,400
- - - -
- - - -
- - - -
190 1,421,200 - -
510 3,814,800 90 673,200
- - 2,400 16,896,000
3,000 21,450,000 - -
- - 2,400 16,896,000
- - 500 3,575,000
- - - -
- - 2,500 17,875,000
6,000 3,960,000 3,500 2,310,000
- - - -
412682303.xlsx 238
- - - -
- - 75 577,500
- - - -
- - - -
20 1,881,000 205 19,280,250
60 297,000 - -
210 1,039,500 240 1,188,000
- - 350 2,810,500
- - 65 2,145,166
- - 165 5,445,422
- - 8,000 57,200,000
- - - -
- - - -
- - - -
2,000 194,810 - -
- - 3,000 292,215
60 1,290,300 300 6,451,500
10 580,250 20 1,160,500
240 246,400 2,760 2,833,600
- - 5,000 1,124,970
960 985,600 - -
- - 900 502,755
- - - -
1 2,860,000 4 11,440,000
20 242,000 - -
30 363,000 100 1,210,000
- - 1 1,683,000
- - - -
10 525,250 - -
- - - -
412682303.xlsx 239
- - - -
50 530,338 - -
100 1,060,675 - -
- - 150 1,591,013
420 5,359,200 80 1,020,800
- - - -
- - 2,700 6,652,800
- - 8 162,800
1,000 135,003 10,600 1,431,032
1,500 180,428 3,500 420,998
50 1,430,000 - -
- - - -
119 1,843,072 1 15,488
- - - -
3 132,000 - -
11 363,000 89 2,937,000
- - - -
- - - -
16 431,200 - -
- - 9 237,600
- - - -
- - - -
50 6,050,000 - -
- - - -
- - - -
2 242,000 - -
- - - -
- - - -
- - - -
- - - -
412682303.xlsx 240
- - - -
- - - -
- - - -
- - - -
- - 1 1,760,000
- - - -
- - - -
- - 8 6,600,000
- - 2 2,565,200
- - - -
- - - -
900 759,330 1,500 1,265,550
- - - -
- - - -
- - - -
- - - -
- - - -
3,200 7,117,264 - -
- - 2,000 2,019,600
- - - -
800 642,128 1,600 1,284,255
700 595,980 - -
- - - -
100 115,999 100 115,999
2,000 5,705,700 1,200 3,423,420
- - 1,000 1,247,400
- - - -
- - - -
- - 1,600 2,647,040
- - - -
412682303.xlsx 241
700 648,340 600 555,720

1,500 1,389,300 - -
50 240,625 50 240,625
- - - -
10 2,750,000 14 3,850,000
- - - -
25 839,988 75 2,519,963
- - 25 102,053
- - 50 204,105
- - - -
- - - -
- - - -
- - 5 22,313,500
- - 1 1,870,000
- - 1 1,870,000
- - 2 1,581,800
40 629,992 10 157,498
- - 200 4,840,000
60 944,988 10 157,498
- - 200 4,840,000
- - 40 4,400,000
- - - -
10 3,338,500 - -
- - - -
- - 20 5,599,000
- - - -
- - - -
- - - -
12 800,580 12 800,580
13 592,020 23 1,047,420
412682303.xlsx 242
- - 25,000 3,191,997
1,500 166,500 18,500 2,053,498
- - 20 605,000
- - - -
- - - -
13,600 7,174,068 - -
5,000 2,639,725 5,000 2,639,725
- - 10,000 5,445,000
- - - -
290 1,449,855 110 549,945
50 440,990 - -
- - - -
230 1,149,885 - -
98 1,175,020 102 1,222,980
- - - -
- - - -
275 2,425,445 - -
190 2,278,100 110 1,318,900
- - - -
- - - -
- - - -
16 3,850,880 - -
56 13,478,080 4 962,720
- - 60 14,440,800
700 4,762,450 - -
- - - -
- - - -
500 4,166,800 300 2,500,080
- - - -
- - - -
412682303.xlsx 243
- - 100 1,600,000
100 1,600,000 300 4,800,000
- - - -
- - - -
150 1,253,216 50 417,739
- - - -
- - - -
550 8,800,000 550 8,800,000
- - - -
- - - -
- - - -
- - - -
- - - -
200 3,200,000 150 2,400,000
- - - -
- - 200 3,900,000
- - - -
- - 100 1,695,650
- - 20 770,000
10 385,000 10 385,000
3 115,500 17 654,500
4 154,000 11 423,500
- - - -
6 660,000 10 1,100,000
- - 5,000 550,000
1 29,700 23 683,100
- - - -
- - - -
- - - -
- - - -
412682303.xlsx 244
11 904,294 - -
11 904,294 1 82,209
- - - -
- - - -
- - - -
33 7,623,000 - -
- - - -
28 6,529,600 47 10,960,400
2 330,000 13 2,145,000
2 385,000 26 5,005,000
- - 15 412,500
7 2,464,000 10 3,520,000
- - - -
5,900 3,079,765 2,100 1,096,187
1,650 935,560 - -
- - - -
- - - -
130 536,250 170 701,250
- - 100 412,500
- - 100 412,500
- - - -
100 412,500 200 825,000
175 721,875 - -
245 1,010,625 255 1,051,875
33 498,980 82 1,239,889
- - - -
23 347,774 - -
50 756,030 50 756,030
- - 7 1,928,219
- - 6 1,652,759
412682303.xlsx 245
- - - -
15 264,000 35 616,000
- - - -
100 220,000 150 330,000
- - - -
- - - -
- - - -
- - 35 3,465,000
15 1,320,000 - -
1 59,967 74 4,437,521
- - - -
- - - -
- - - -
50 2,420,000 150 7,260,000
- - - -
- - 50 1,679,975
40 161,304 10 40,326
- - - -
12 792,000 5 330,000
- - - -
- - 5 5,243,700
1 1,755,600 5 8,778,000
- - - -
- - - -
- - 5 6,293,100
1 1,320,000 - -
- - 5 4,586,700
- - - -
2 1,615,320 3 2,422,980
6 562,980 - -
412682303.xlsx 246
- - - -
- - - -
- - - -
3 418,440 - -
3 418,440 21 2,929,080
- - - -
- - 300 6,600,000
100 2,200,000 - -
- - - -
50 242,385 - -
- - 500 8,190,050
- - - -
200 2,086,040 150 1,564,530
10 660,000 - -
100 572,880 380 2,176,944
- - - -
- - - -
20 394,944 20 394,944
- - 30 1,742,400
556,685,309.15 1,736,140,164.01
BUOL, 31 MEI 2018
PENANGGUNGJAWAB

NIP. 19820818 201001 2 012
412682303.xlsx 247
BULAN JUNI TAHUN 2018
Harga Satuan
Terkecil
OBAT TAHUN 2013
1 Amythriptillin 25 mg Tab Tablet 118.00 - - -
1 Kertas EKG Roll 50,820.00 8 406,560 -
2 Kertas EKG Roll 50,000.00 10 500,000 -
1 Flutamol Tablet 149,500.00 169 25,265,500 -
1 SLIM SECHER Pcs 18,750.00 3 56,250 -
OBAT BLUD 2015 - - - -
3 Ethambutol Tablet 500 mg (KF) Tablet 478.01 700 334,604 -
412682303.xlsx 248
Harga Satuan
Terkecil
OBAT BLUD 2016 - - - -
8 Citicolin Tablet 500 mg (DNR) Tablet 7,333.33 - - -
9 Desoximethasone Cream 0,25 mg (AAM) Tube 14,641.00 - - -
10 Doxycycline Kapsul 100 mg (KF) Kapsul 253.00 - - -
13 Falergi (PV) Botol 66,550.00 - - -
14 Flunarizine Tablet (DNR) Tablet 2,200.00 - - -
20 Meylon (KF) Vial 7,440.40 68 505,947 -
27 Pyrazinamide 500 mg Tablet (KF) Tablet 234.30 - - -
412682303.xlsx 249
Harga Satuan
Terkecil
1 Catgut Cromic With Needle USP 3/0 DS 30 (RNI) Kotak 759,000.00 - - -
2 Feeding Tube 10 (BDM) Pcs 4,259.20 19 80,925 31 132,035.20
6 Foley Catheter FR 12 (BDM) Pcs 24,200.00 - - -
7 H2O2 (BDM) Botol 77,000.00 - - -
11 Leukoplast (RNI) Roll 45,116.50 20 902,330 -
OBAT BLUD 2017 - - - -
4 Acyclovir Tablet 400 mg (ENS) Tablet 544.17 - - -
5 Albuminar (AAM) Botol 1,500,000.00 - - -
9 Aminofluid (KF) Bag 64,989.10 - - -
10 Aminofillin Tablet (SST) Tablet 141.68 900 127,512 -
14 Antasida Tablet (RNI) Tablet 157.34 - - -
16 Antrain Injeksi (ENS) Ampul 9,927.50 - - -
412682303.xlsx 250
Harga Satuan
Terkecil
17 Aqua Pro Injeksi (KF) Vial 2,750.00 - - -
18 Arfen (Ibuprofen 400 mg) Tablet (SST) Tablet 372.68 - - -
20 Asam Folat Tablet (RNI) Tablet 52.00 - - -
21 Asam Mefenamat Tablet (ENS) Tablet 148.61 - - -
24 Asam Traneksamat Tablet (DNR) Tablet 1,540.00 - - -
31 Bionemi Kapsul (PV) Kapsul 1,567.50 - - -
33 Biosat Injeksi (RNI) Ampul 165,000.00 - - -
36 Bisoprolol Tablet 5 mg (RNI) Tablet 1,210.00 550 665,500 -
43 Cartylo Tablet (KF) Tablet 616.00 - - -
412682303.xlsx 251
Harga Satuan
Terkecil
48 Cefobactam Injeksi (BSP) Vial 104,492.26 - - -
54 Cefuroxim Injeksi (MRP) Vial 44,000.00 - - -
59 Ciprofloxacin Tablet (TSJ) Tablet 770.00 - - -
60 Clindamycin Kapsul 150 mg (IGM) Kapsul 702.24 300 210,672 -
61 Clindamycin Kapsul 150 mg (PV) Kapsul 796.40 - - -
64 Clopidogrel Trombikaf Tablet (KF) Tablet 3,588.02 - - -
68 Dexamethason Injeksi (PPG) Ampul 2,402.40 800 1,921,920 -
73 Domperidon Syrup (ENS) Botol 10,120.00 - - -
76 Endrolin Injeksi (ESV) Ampul 1,309,000.00 - - -
412682303.xlsx 252
Harga Satuan
Terkecil
83 Farbivent Injeksi (PV) Ampul 9,350.00 - - -
84 Farelax Injeksi (PV) Ampul 77,000.00 - - -
91 Furosemid Injeksi (RNI) Ampul 2,058.01 200 411,602 -
92 Furosemid Tablet (RNI) Tablet 191.83 - - -
94 Gastrul Tablet (PV) Tablet 11,000.00 - - -
100 Glimepiride Tablet 2 mg (KF) Tablet 297.00 - - -
101 Glucosamin Tablet (DNR) Tablet 1,842.50 200 368,500 -
102 Glukosa 5 % (KF) Botol 6,900.30 3,940 27,187,182 -
106 Hidrocortison Cream (RNI) Tube 5,720.00 - - -
108 Hydromal (BSP) Bag 49,505.96 24 1,188,143 -
109 Isoniazid Tablet 100 mg (KF) Tablet 142.56 800 114,048 -
412682303.xlsx 253
Harga Satuan
Terkecil
110 KAEN 3B (KF) Botol 10,249.80 - - -
111 Kamadol Injeksi (KF) Ampul 4,533.28 - - -
112 Ketamin Hameln 50 mg (APL) Vial 71,600.10 10 716,001 -
113 Ketorolac Injeksi 30 mg (PPG) Ampul 16,038.00 - - -
115 Ketorolac Injeksi 30 mg (TSJ) Ampul 16,500.00 - - -
119 Levofloxacin Tablet (KF) Tablet 530.99 1,400 743,389 -
121 Lipomed (BSP) Bag 169,120.33 24 4,058,888 -
124 Manitol (KF) Botol 92,400.00 120 11,088,000 -
126 Meloxicam Tablet 7,5 mg (DNR) Tablet 830.28 - - -
127 Meloxicam Tablet 7,5 mg (ENS) Tablet 418.00 2,200 919,600 -
134 Metronidazol Tablet (DNR) Tablet 264.00 - - -
135 Miconazol Cream (KF) Tube 3,575.00 - - -
412682303.xlsx 254
Harga Satuan
Terkecil
142 Natrium Diklofenak Tablet 50 mg Tablet 261.22 - - -
143 Natrium Klorida Infus (KF) Botol 6,409.70 - - -
145 Nerva Plus Tablet Tablet 2,200.00 500 1,100,000 -
146 Neurosanbe Tablet (BSP) Tablet 1,127.50 - - -
152 Norephinefrin Levosol Injeksi (KF) Ampul 56,595.00 - - -
158 Paracetamol Syrup (KF) Botol 5,065.50 144 729,432 -
162 Phentanyl Injeksi (KF) Ampul 40,000.40 - - -
163 Piracetam Kapsul 800 mg (RNI) Kapsul 883.30 300 264,990 -
166 Prednison Tablet (SST) Tablet 157.30 900 141,570 -
168 Pro K Injeksi (SST) Ampul 10,890.00 - - -
169 Prohem Injeksi (PV) Ampul 11,000.00 - - -
171 Propepsa Suspensi (PV) Botol 44,000.00 - - -
412682303.xlsx 255
Harga Satuan
Terkecil
172 Propylthiouracil Tablet (AAM) Tablet 474.80 - - -
173 Prosional Suspensi (PV) Botol 14,850.00 - - -
175 Ranifin Injeksi (UN) Ampul 9,680.00 - - -
181 Recolfar Tablet (PV) Tablet 4,730.00 - - -
183 Reprostom Kapsul (PV) Kapsul 8,800.00 30 264,000 -
185 Rhodium Tablet (UN) Tablet 6,050.00 120 726,000 -
187 Ringer Lactat (DNR) Botol 7,095.00 - - -
189 Rocum Injeksi (AAM) Ampul 99,000.00 - - -
193 Scandones Injeksi (Gigi) Ampul 9,900.00 50 495,000 -
195 SIM-DHA (PV) Botol 48,400.00 6 290,400 -
196 Simvastatin Tablet 10 mg (ENS) Tablet 297.00 800 237,600 -
197 Simvastatin Tablet 20 mg (KF) Tablet 250.01 - - -
198 Sojourn (PV) Botol 2,860,000.00 - - -
199 Solpenox (Amoxicillin) Syrup (SST) Botol 4,000.55 300 1,200,166 -
200 Spironolacton Tab 25 mg (RNI) Tablet 407.00 200 81,400 -
201 Stesolid Injeksi (AAM) Ampul 4,400.62 45 198,028 -
202 Stesolid Rectal (AAM) Tube 13,384.25 10 133,842 -
412682303.xlsx 256
Harga Satuan
Terkecil
203 Tasigna (AAM) Kapsul 93,548.25 56 5,238,702 -
204 Terrell (PV) Botol 1,683,000.00 1 1,683,000 -
205 Tramadol Kapsul 50 mg (KF) Kapsul 435.47 1,900 827,389 -
206 Tranec Injeksi (PV) Ampul 14,520.00 - - -
207 Tyarit Injeksi (PV) Ampul 27,500.00 75 2,062,500 -
208 Tyarit Injeksi (UN) Ampul 27,500.00 50 1,375,000 -
209 Umarone Injeksi (PV) Ampul 192,500.00 8 1,540,000 -
210 Vitamin B Comp Tablet (RNI) Tablet 80.00 - - -
211 Vitamin C Tablet 100 mg (KF) Tablet 121.44 - - -
212 Zink Dispersible Tablet (KF) Tablet 585.99 500 292,996 -
1 Bone Wax (BDM) Pcs 116,600.00 2 233,200 -
4 Catgut Crmoic 2/0 (RNI) Roll 1,650,000.00 - - -
5 Catgut Cromic 2 HR 40 (RNI) Kotak 827,640.00 - - -
6 Catgut Cromic 2 HR 45 (DNR) Kotak 827,640.00 - - -
10 Cuticell (BDM) Pcs 13,200.00 100 1,320,000 -
11 Defeloper (BDM) Set 1,282,600.00 - - -
12 Disposable Syringe With Needle 1 cc New Skifa (RNI) Pcs 1,188.00 - - -
20 Elektroda Patien Monitor (BDM) Pak 275,000.00 - - -
412682303.xlsx 257
Harga Satuan
Terkecil
24 Extention Tube (BDM) Pcs 99,000.00 - - -
28 Feeding Tube FR 5 (BDM) Pcs 38,500.00 - - -
31 Film 24x30 (BDM) Kotak 2,585,000.00 - - -
32 Film 30x40 (BDM) Kotak 4,109,600.00 - - -
33 Fixer (BDM) Set 790,900.00 - - -
43 Handrub (ISHS) ml 57.20 - - -
44 Handrub (RNI) ml 159.60 - - -
45 Handrub (RNI) ml 150.21 - - -
51 Handscoon ST 6,5 (RNI) Pasang 11,990.00 - - -
412682303.xlsx 258
Harga Satuan
Terkecil
52 Handscoon ST 7 (BDM) Pasang 8,855.00 - - -
63 IV Catheter 22 G Nipro (KF) Pcs 8,947.40 - - -
66 IV Catheter 24 G Abbocath Pcs - - - -
74 Jely (ISHS) Tube 33,981.83 - - -
75 Kapas (BDM) Roll 82,208.50 - - -
76 Kasa Hidrofil 40 x 80 (RNI) Roll 231,000.00 - - -
412682303.xlsx 259
Harga Satuan
Terkecil
84 Mata Pisau 20 (RNI) Pcs 1,375.00 - - -
85 Mata Pisau No 15 (BDM) Pcs 4,125.00 - - -
86 Mata Pisau No 20 Pcs 4,125.00 - - -
88 Novo Twist 32 G (AAM) Pcs 2,083.00 - - -
89 Nylon Daclon 3/0 DS 19 Kotak 825,000.00 - - -
91 Nylon Daclon USP 2/0 DS 19 (RNI) Kotak 825,000.00 - - -
95 Povidon Iodida (KF) Botol 59,766.51 - - -
96 Safil 1 HR 48 Pcs 99,550.00 180 17,919,000 -
101 Selang O2 Bayi (DA) Pcs 9,124.98 - - -
109 Spinocain 25 G (BDM) Pcs 48,400.00 - - -
412682303.xlsx 260
Harga Satuan
Terkecil
120 Surgicryl Rapid 2/0 HR 40 (RNI) Kotak 1,491,600.00 - - -
124 Urgotul 10x10 (PPG) Pcs 25,850.00 30 775,500 -
125 Urine Bag (KF) Pcs 6,875.00 - - -
OBAT BLUD 2018 - - - -
1 Acyclovir Cream (KF) Tube I72813J 9/29/2022 3,438.05 - 100 343,805.00
2 Albuminar (AAM) Botol X938905 5/1/2020 1,510,000.00 10 15,100,000 -
3 Allopurinol Tablet (AAM) Tablet 48K0192 11/1/2021 182.02 2,300 418,639 -
5 Allopurinol Tablet (RNI) Tablet HTALOA7300 6/1/2020 168.23 700 117,764 -
7 Alprazolam Tablet 0,5 mg (SST) Tablet 173003 11/1/2019 574.75 4,000 2,299,000 -
8 Ambroxol Syrup 15 mg (DNR) Botol SCB00947 1/1/2022 6,600.00 150 990,000 -
10 Ambroxol Syrup 15 mg (PPG) Botol A10536802 1/1/2020 7,700.00 - - -
11 Ambroxol Syrup 15 mg (PPG) Botol B10536802 2/1/2020 7,700.00 - - -
12 Ambroxol Syrup 15 mg (RNI) Botol 06810006 11/30/2019 5,500.00 200 1,100,000 -
16 Ambroxol Tablet (DNR) Tablet TPD22946 3/1/2021 330.00 - 5,000 1,650,000.00
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25 Amlodipin Tablet 5 mg (RNI) Tablet 06465006 11/10/2019 201.67 - - -
26 Amlodipin Tablet 5 mg (TAS) Tablet NP22137 6/1/2020 480.00 - - -
28 Amlodipin Tablet 10 mg (DNR) Tablet PE04136 2/1/2021 330.00 - 4,980 1,643,400.00
34 Amlodipin Tablet 10 mg (RNI) Tablet 16466004 3/26/2020 242.00 - 1,950 471,900.00
35 Amlodipin Tablet 10 mg (RNI) Tablet 16466010 4/4/2020 242.00 - 210 50,820.00
38 Antasida Syrup (KF) Botol S02019AH 2/2/2020 2,054.80 - - -
40 Antasida Tablet (KF) Tablet H71504B 7/15/2020 210.60 2,700 568,607 -
41 Antrain Injeksi (ENS) Ampul 1014H0011 1/31/2020 10,450.00 60 627,000 -
42 Antrain Injeksi (ENS) Ampul 1014H0021 1/31/2020 10,450.00 240 2,508,000 -
43 Aqua Pro Injeksi (KF) 600 - -
44 Aqua Pro Injeksi (KF) Vial 80C48A 3/11/2021 2,860.00 - 2,400 6,864,000.00
45 Arcapec Tablet (PV) Tablet A7H756 8/1/2019 1,100.00 500 550,000 -
46 Asam Mefenamat Tablet (AAM) Tablet 49D0686 9/1/2021 239.58 - 2,000 479,160.00
49 Asam Mefenamat Tablet (ESV) Tablet HTCMECA81281 2/29/2020 176.00 7,000 1,232,000 -
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51 Asam Traneksamat Injeksi (AAM) Ampul 2180078 11/1/2020 2,167.84 200 433,567 -
54 Asam Traneksamat Injeksi (PPG) Ampul N10766701 12/1/2022 7,810.00 - 150 1,171,500.00
55 Asam Traneksamat Tablet (DNR) Tablet TSB00847 1/1/2021 1,980.00 2,500 4,950,000 -
60 Asering Infus (KF) Botol SB90B48B 2/21/2021 9,645.90 240 2,315,016 -
65 Bifotik Injeksi (BSP) Vial TM4964A 6/1/2019 73,693.03 200 14,738,605 -
67 Biocombin Injeksi (PV) Ampul F7K068 10/1/2019 4,950.00 300 1,485,000 -
68 Biocombin Injeksi (PV) Ampul F7L152 11/1/2019 5,500.00 - 50 275,000.00
69 Biocombin Injeksi (PV) Ampul F7L153 11/1/2019 5,500.00 - 1,450 7,975,000.00
73 Bionemi Kapsul (PV) Kapsul DA017 1/1/2020 1,356.18 - 950 1,288,375.28
74 Bionemi Kapsul (PV) Kapsul DB015 2/1/2020 1,650.00 - 50 82,500.00
76 Bioron Tablet (RNI) Tablet 16177003 3/14/2022 979.00 1,500 1,468,500 -
77 Biosat ATS 1500 UI (RNI) Ampul 4202817 11/30/2019 165,000.00 - - -
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81 Bisoprolol Tablet (AAM) Tablet 3272119 11/1/2020 248.00 3,000 744,000 -
82 Bunascan Spinal Injeksi (PPG) Ampul PA0313 1/1/2020 70,400.00 - - -
83 Bunascan Spinal Injeksi (PPG) Ampul PA0323 1/1/2020 70,400.00 5 352,000 -
84 Bunascan Spinal Injeksi (PV) Ampul TL0133 12/1/2019 66,000.00 175 11,550,000 -
86 Buscopan Injeksi (KF) Ampul 62463C 1/1/2022 34,243.00 40 1,369,720 -
87 Buscopan Injeksi (KF) Ampul 727068B 1/1/2022 34,243.00 110 3,766,730 -
91 Captopril Tablet 12,5 mg (RNI) Tablet 6323016 12/18/2022 97.41 - 3,000 292,215.00
92 Captopril Tablet 25 mg (ESV) Tablet HTCTPE76023 12/31/2020 137.75 3,000 413,259 -
95 Captopril Tablet 25 mg (RNI) Tablet 06324021 11/23/2022 103.73 6,000 622,380 -
96 Carbazocrome Injeksi (PV) Ampul 20A457 1/1/2020 13,112.00 330 4,326,960 -
97 Cartylo Tablet (KF) Tablet I72080B 9/29/2020 290.00 1,000 290,004 -
98 Cartylo Tablet (KF) Tablet A80073B 12/24/2020 290.00 5,000 1,450,020 -
99 Cedocard Injeksi (APL) Ampul 5635502A 11/30/2020 31,000.20 80 2,480,016 -
100 Cefadroxil Kapsul (AAM) Kapsul 48A0218 12/1/2020 877.80 6,000 5,266,825 -
107 Cefixim Kapsul 100 mg (RNI) Kapsul 48H00267 8/1/2020 1,137.40 100 113,740 -
108 Cefixim Kapsul 100 mg (RNI) Kapsul KCFMB70191 10/31/2019 1,430.00 1,500 2,145,000 -
109 Cefixim Syrup (DNR) Botol SKM44245 11/1/2019 36,300.00 - - -
110 Cefixim Syrup (RNI) Botol DCFMA70069 11/30/2019 19,800.00 42 831,600 -
111 Cefixim Syrup (RNI) Botol 48K0409 11/1/2019 33,275.00 258 8,584,950 -
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114 Ceftazidim Injeksi (PPG) Vial C10736801 11/15/1900 67,100.00 - 200 13,420,000.00
115 Ceftazidim Injeksi (PPG) Vial PSD08247 3/1/2020 66,000.00 - 20 1,320,000.00
118 Ceftazidim Injeksi (RNI) Vial 222027 4/30/2019 24,750.00 - 476 11,781,000.00
119 Ceftazidim Injeksi (RNI) Vial 1703201 4/30/2019 24,750.00 - 84 2,079,000.00
122 Ceftriaxon Injeksi (DNR) Vial PSG27645 6/1/2019 26,950.00 100 2,695,000 -
123 Ceftriaxon Injeksi (DNR) Vial PSL38346 10/1/2020 26,950.00 2,300 61,985,000 -
125 Ceftriaxon Injeksi (PPG) Vial A10316820 1/1/2021 39,600.00 - - -
133 Cendo Lyteers 15 ml (KF) Botol 7L122399 12/31/2020 24,750.00 - - -
135 Cendo Lyteers 15 ml (PV) Botol 7L1123 11/1/2020 24,750.00 150 3,712,500 -
137 Cendo Mydriatyl 1% (PV) Botol 7M0915 9/1/2020 42,075.00 19 799,425 -
139 Cendo Xitrol 5 ml (KF) Botol 7X1124 5/31/2020 29,975.00 - - -
141 Cendo Xitrol 5 ml Botol 8X0105 7/1/2020 29,975.00 200 5,995,000 -
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147 Cenefresh 5 ml (KF) Botol 8C011899 1/31/2021 38,362.50 100 3,836,250 -
154 Cetirizine Tablet (KF) Tablet C70502J 3/5/2020 334.95 650 217,718 -
157 Chlorpromazin Tablet 100 mg (KF) Tablet J60004B 9/30/2019 264.28 500 132,138 -
158 Cilostazol Tablet (DNR) Tablet TPB01646 1/1/2020 10,450.00 - 1,600 16,720,000.00
159 Cilostazol Tablet (DNR) Tablet TPK74346 9/1/2020 10,450.00 - 1,400 14,630,000.00
160 Ciprofloxacin Infus (PPG) Botol L10156718 11/1/2021 77,000.00 - 94 7,238,000.00
161 Ciprofloxacin Tablet (ESV) Tablet HTCFXC76168 12/31/2019 473.00 3,000 1,419,000 -
166 Citicolin Injeksi (MTK) Ampul PIK09046 9/1/2020 24,750.00 - - -
167 Citicolin Injeksi (PPG) Ampul A10266702 1/1/2019 19,250.00 - 500 9,625,000.00
168 Citicolin Tablet (DNR) Tablet TPC17446 2/1/2022 7,333.33 5,670 41,580,000 -
169 Citicolin Tablet (DNR) Tablet TPP05546 1/1/2022 7,333.33 - - -
170 Citicolin Tablet (ESV) Tablet TCTLA80030 1/31/2020 4,822.33 30 144,670 -
171 Clopidogrel Tablet (KF) Tablet 172088B 10/17/2019 2,999.00 420 1,259,581 -
172 Clopidogrel Tablet (KF) Tablet K72810B 11/19/2019 2,999.00 - 2,100 6,297,907.00
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175 Covetor Tablet (MBS) Tablet 20G113 7/31/2019 6,600.00 150 990,000 -
177 Codein Tablet 10 mg (KF) Tablet HG1223J 8/30/2021 657.00 - - -
179 Dexamethason Injeksi (RNI) Ampul 6337002 12/31/2020 2,416.15 1,000 2,416,150 -
180 Dexamethason Tablet (RNI) Tablet 16338001 1/31/2021 149.03 2,000 298,056 -
181 Desoximethason Cream (AAM) Tube 2380406 2/1/2020 11,500.01 - 100 1,150,000.50
183 Diphenhidramin Injeksi (RNI) Ampul 06342017-2 10/31/2021 1,864.61 330 615,321 -
184 Dobutamin Injeksi (AAM) Ampul 2380472 2/1/2020 13,945.00 - 10 139,449.99
185 Dobutamin Injeksi (RNI) Ampul 2280283 1/1/2018 70,288.24 10 702,882 -
186 Dobutamin Injeksi (RNI) Ampul 2380472 2/1/2020 70,288.24 40 2,811,530 -
187 Domperidon Syrup (PV) Botol S2317134 1/1/2020 4,126.10 150 618,915 -
188 Domperidon Syrup (RNI) Botol A10276801 1/1/2020 15,400.00 200 3,080,000 -
189 Domperidon Syrup (RNI) Botol KLDPA7311 5/31/2020 12,650.00 29 366,850 -
190 Domperidon Tablet (DNR) Tablet TSH86846 12/1/2021 484.34 - 3,000 1,453,023.00
193 Domperidon Tablet (TSJ) Tablet TSN80045 12/1/2020 484.34 - - -
194 Doxycycline Kapsul (KF) Kapsul H72017J 6/7/2022 550.17 - 1,000 550,165.00
195 Dulcolax Suppositoria (KF) Suppo 15050858 4/22/2019 16,033.60 250 4,008,400 -
196 Dulcolax Tablet (KF) Tablet 17111481 10/30/2020 1,329.35 800 1,063,480 -
199 Ergotamin Coffein (KF) Tablet K60415B 10/1/2020 203.50 1,000 203,500 -
200 Erlamycetin Ear Drop (PV) Botol D0652098 7/1/2019 7,095.00 134 950,730 -
202 Esomax Injeksi (MBS) Vial BA0044 1/1/2020 118,800.00 200 23,760,000 -
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208 Eyefresh 5 ml (PV) Botol 8EH0123 1/1/2021 31,762.50 20 635,250 -
209 Eyefresh 5 ml (PV) Botol 8EH0209 2/1/2021 31,762.50 198 6,288,975 -
210 Farbivent Injeksi (PV) Ampul TJ0203 10/1/2019 9,350.00 580 5,423,000 -
212 Farbivent Injeksi (PV) Ampul PA0343 1/1/2020 9,350.00 - 1,500 14,025,000.00
213 Farelax Injeksi (PPG) Ampul TK0013 11/1/2019 77,000.00 50 3,850,000 -
214 Farpresin Injeksi (PV) Vial IJ0323 10/1/2018 88,000.00 10 880,000 -
218 Flamar Tablet 25 mg (BSP) Tablet TJ8735A 9/1/2021 516.97 800 413,574 -
219 Flamar Tablet 25 mg (BSP) Tablet TH8744A 12/1/2019 516.97 3,700 1,912,781 -
220 Floxaris Infus (MBS) Botol 7K6739 10/1/2019 186,450.00 100 18,645,000 -
221 Flunarizin Tablet (PPG) Tablet TPE31647 4/1/2022 2,200.00 - 5,000 11,000,000.00
222 Furosemid Tablet (KF) Tablet F70972B 5/19/2020 84.00 800 67,197 -
223 Futrolit Infus (BSP) Bag UB3113A 2/1/2021 41,392.89 216 8,940,864 -
226 Gabasant Kapsul (SST) Kapsul JM002 10/1/2020 5,264.88 1,600 8,423,800 -
227 Gastrul Tablet (PV) Tablet TK1991 11/1/2019 11,440.00 1,890 21,621,600 -
228 Gavistral Injeksi (PV) Ampul F7L104 11/1/2019 7,700.00 5 38,500 -
229 Gavistral Injeksi (PV) Ampul F7L144 11/1/2019 7,700.00 160 1,232,000 -
231 Gentamicin Cream Kulit (KF) Tube J71502T 10/6/2021 2,073.14 40 82,925 -
232 Glauseta Tablet (BSP) Tablet UA2441 1/1/2020 4,625.50 500 2,312,750 -
233 Glimefion Tablet 2 mg (UN) Tablet BTPL01246 10/1/2020 4,216.67 750 3,162,500 -
234 Glukosa 10% (KF) Botol 271106 10/31/2020 7,499.80 120 899,976 -
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238 Graphalac Syrup (PV) Botol DA121 1/1/2020 46,750.00 - - -
239 Gravix Tablet (PV) Tablet DA021 1/1/2023 1,410.75 500 705,375 -
240 Gravix Tablet (PV) Tablet DC028 3/1/2023 1,410.75 - - -
242 Human Albumin (KF) Botol B23655 9/30/2020 880,000.00 5 4,400,000 -
243 Ibuprofen Tablet 400 mg (KF) Tablet KB9119606 11/1/2021 127.00 4,200 533,379 -
244 Inpepsa Suspensi (PV) Botol PA2241 1/1/2021 57,200.00 - 48 2,745,600.00
245 Inviclot Injeksi (PV) Vial TJ0173 10/1/2019 66,000.00 20 1,320,000 -
246 Inviclot Injeksi (PV) Vial PC0473 3/1/2020 66,000.00 - 30 1,980,000.00
247 Isonat Tablet 5 mg (KF) Tablet D160355B 4/1/2020 968.00 5,500 5,324,000 -
248 Isoniazid Tablet 100 mg (KF) Tablet J60093B 9/24/2021 142.56 1,000 142,560 -
251 Itramag Suspensi (SST) Botol 802181 8/1/2021 5,009.40 120 601,128 -
252 KA-EN 3B (KF) Botol 471193A 8/1/2020 10,249.80 200 2,049,960 -
257 Ketorolac Injeksi 30 mg (DNR) Ampul PIC26647 2/1/2020 16,038.00 - 1,000 16,038,000.00
258 Ketorolac Injeksi 30 mg (RNI) Ampul IKTRB70053 11/30/2019 5,000.05 - - -
259 Ketorolac Injeksi 30 mg (RNI) Ampul 16459008 2/28/2021 1,834.25 1,392 2,553,276 -
260 Klotaren Tablet 25 mg (KF) Tablet F71208J 5/16/2022 398.99 5,000 1,994,960 -
262 Kolicgon Tablet (PV) Tablet T0651029 11/1/2018 1,317.37 800 1,053,892 -
264 Lansoprazol Kapsul (DNR) Kapsul NPC03847 2/1/2021 1,621.60 - 1,900 3,081,036.20
265 Lansoprazol Kapsul (KF) Kapsul 7178109 12/31/2019 330.00 - 3,000 990,000.00
266 Lansoprazol Kapsul (PV) Kapsul EBC034D 8/1/2020 1,351.35 - 1,500 2,027,025.00
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268 Lansoprazol Kapsul (RNI) Kapsul KLPSA70014 9/30/2019 1,000.01 - - -
272 Levemir Flex Pen (AAM) Pen HT6E203 5/1/2020 83,950.00 - 10 839,500.00
273 Levemir Flex Pen (AAM) Pen HT6D631 4/1/2020 83,950.00 - 90 7,555,500.02
274 LFX 0,6 ml (PV) Strip 7LF61222 6/1/2020 75,900.00 - - -
275 LFX 5 ml (PV) Botol 7LF1114 5/1/2020 76,175.00 - - 100 7,617,500.00
276 LFX 5 ml (PV) Botol 7LF1114 5/1/2020 46,750.00 - 5 233,750.00
278 Loprezol Kapsul (KF) Kapsul HG1543J 9/30/2019 799.99 390 311,997 -
279 Meloxicam Tablet 15 mg (RNI) Tablet JS17040A 10/1/2019 512.60 1,500 768,900 -
282 Merophenem Injeksi 1 g (PPG) Vial K10326701 10/1/2020 225,500.00 - 200 45,100,000.00
284 Merophenem Injeksi 1 g (RNI) Vial IMRPA70036 11/30/2019 110,000.00 - - -
285 Metformin Tablet 500 mg (AAM) Tablet 47F4152 5/1/2019 179.69 2,500 449,213 -
286 Metformin Tablet 500 mg (ESV) Tablet HTMFNA81606 2/29/2020 181.50 4,000 726,000 -
288 Methyl Ergometrin Tablet (KF) Tablet C70296J 3/1/2022 270.60 2,500 676,500 -
291 Methylprednisolon Injeksi (PPG) Vial L10576701 11/1/2020 51,700.00 - 300 15,510,000.00
292 Methylprednisolon Injeksi (RNI) Vial 16463014 1/31/2021 19,089.40 150 2,863,410 -
295 Methylprednisolon Tablet 4 mg (PPG) Tablet B10046801 2/1/2020 550.00 1,000 550,000 -
297 Methylprednisolon Tablet 4 mg (RNI) Tablet 49B0172 2/1/2022 484.61 - 5,500 2,665,327.50
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304 MgSO4 40 % (GF) Vial 86E46A 5/17/2018 2,629.00 - - -
305 MgSO4 40 % (GF) Vial 3,652.00 - 120 438,240.00
308 Molagit Tablet (MBS) Tablet ZN039 11/1/2022 360.80 - 3,000 1,082,400.00
309 Molaneuron Tablet (MBS) Tablet M13AJ005 1/1/2021 495.00 - 2,000 990,000.00
310 Moxifloxacin Infus (PV) Botol PA0383 1/1/2020 220,000.00 4 880,000 -
315 Myotonic Tablet (PV) Tablet A7L932 11/1/2019 2,915.00 100 291,500 -
316 Myotonic Tablet (PV) Tablet A8B199 2/1/2020 2,915.00 3,900 11,368,500 -
320 N-Ace Kapsul (PV) Kapsul TL0201 12/1/2019 2,310.00 480 1,108,800 -
325 Natacen 0,6 ml (PV) Strip 8NA60126 1/1/2020 45,787.50 - 15 686,812.50
326 Natrium Klorida Infus (KF) Botol 371024 9/6/2022 6,409.70 - - -
327 Natrium Klorida Infus (RNI) Botol 280121 12/1/2022 6,409.70 5,580 35,766,126 -
328 Natrium Diklofenak Tablet 25 mg (RNI) Tablet 06364031 12/6/2022 204.93 - - -
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330 Natrium Diklofenak Tablet 50 mg (RNI) Tablet 06365040 11/16/2020 236.57 200 47,313 -
333 Neurosanbe Tablet (BSP) Tablet TM2347C 12/1/2021 1,160.50 - - -
334 Neurosanbe Tablet (BSP) Tablet UA2522 1/1/2022 1,160.50 3,200 3,713,600 -
335 Nifedipin Tablet (RNI) Tablet 47G4166 5/1/2020 141.89 1,600 227,022 -
336 Nifedipin Tablet (RNI) Tablet 48F4106 5/1/2021 141.90 400 56,760 -
337 Nimodipin Infus (DNR) Botol PIM57545 11/1/2018 181,500.00 - 2 363,000.00
338 Norages Injeksi (PV) Ampul F6K594 10/1/2019 9,185.00 - - -
339 Norages Injeksi (PV) Ampul F8C277 3/1/2020 9,185.00 - 600 5,511,000.00
341 Novamaag Syrup (RNI) Botol 18040192 4/30/2022 3,712.50 - 296 1,098,900.00
343 Novorapid Flex Pen (AAM) Pen HR7F771 5/1/2020 87,000.00 - 100 8,699,999.88
344 OAT Kategori 1 (GF) Kotak 413,979.00 - - -
345 OAT Kategori Anak (GF) Kotak 224,758.00 - - -
346 Oksitosin Injeksi (GF) Ampul 1,900.00 - 200 380,000.00
347 Ondancentron Injeksi 4 mg (DNR) Ampul PIH83945 7/1/2019 5,500.00 - 1,000 5,500,000.00
351 Ondancentron Injeksi 4 mg (PPG) Ampul B10426701 2/1/2020 5,500.00 - 1,000 5,500,000.00
356 Oralit (RNI) Sachet 06373308 8/31/2020 418.00 500 209,000 -
357 Oxytetracyclin Salep Kulit (KF) Tube C80863W 3/7/2021 2,009.70 200 401,940 -
358 Oxytetracyclin Salep Mata (KF) Tube A80110W 1/1/2020 3,327.50 200 665,500 -
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360 P. Pred 5 ml (PV) Botol BPP0306 3/1/2020 61,050.00 - 90 5,494,500.00
361 P. Pred 5 ml (PV) Botol BPP0306 3/1/2020 46,750.00 - 65 3,038,750.00
364 Pantoprazol Injeksi (PPG) Vial J10256706 9/1/2019 93,500.00 - 87 8,134,500.00
365 Pantoprazol Injeksi (PPG) Vial J10256707 9/1/2019 93,500.00 - 213 19,915,500.00
367 Pantoz Injeksi (SST) Vial LM005 12/1/2019 47,502.68 - - -
373 Paracetamol Infus (PPG) Botol PIB15547 1/1/2021 66,000.00 100 6,600,000 -
376 Paracetamol Syrup (DNR) Botol SCB03747 1/1/2022 5,500.00 356 1,958,000 -
379 Paracetamol Tablet (RNI) Tablet 06801043 1/1/2023 115.50 500 57,750 -
381 Pehacain Injeksi (RNI) Ampul 06052090 11/30/2011 3,113.06 100 311,306 -
382 Pehacain Injeksi (RNI) Ampul 16052006 3/31/2021 3,113.06 - 400 1,245,222.00
386 Phyfion Injeksi (GHF) Ampul BPINI6046 1/12/2019 9,350.00 1,050 9,817,500 -
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396 Piracetam Kapsul 800 mg (AAM) Kapsul 48D0124 4/1/2020 618.31 3,000 1,854,930 -
402 Polynel 5 ml (PV) Botol 7PL0109 7/1/2020 29,562.50 - 31 916,437.50
403 Polynel 5 ml (PV) Botol 8PL0402 10/1/2020 29,562.50 - 49 1,448,562.50
405 Posop 0,6 ml (PV) Strip 8P060208 8/1/2020 57,750.00 - 15 866,250.00
408 Prednicort Injeksi 125 mg (MBS) Vial 7J0764 9/1/2019 45,100.00 198 8,929,800 -
409 Pritamol Tablet (MBS) Tablet ZD008 12/1/2020 214.50 - 4,000 858,000.00
412 Propepsa Suspensi (PV) Botol NM123 12/1/2019 44,000.00 16 704,000 -
413 Propepsa Suspensi (PV) Botol DA110 1/1/2020 55,000.00 - 3 165,000.00
414 Propylthiouracil Tablet (AAM) Tablet 48L0915 11/1/2021 474.80 2,500 1,187,010 -
419 Protocin Injeksi (PV) Ampul F7L114 11/1/2019 7,480.00 - - -
420 Protocin Injeksi (PV) Ampul F8A209 1/1/2020 7,480.00 90 673,200 -
421 Protocin Injeksi (PV) Ampul F8A209 1/1/2020 7,480.00 - 1,160 8,676,800.00
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422 Pyrazinamid Tablet (AAM) Tablet 48L0877 11/1/2022 308.55 - 2,000 617,100.00
423 Pyrazinamid Tablet (KF) Tablet E70598B 4/18/2022 344.14 - 2,000 688,270.00
424 Ranitidin Injeksi (DNR) Ampul PIK10646 9/1/2020 7,040.00 2,400 16,896,000 -
425 Ranitidin Injeksi (PPG) Ampul N10356703 12/1/2020 7,150.00 - - -
426 Ranitidin Injeksi (PPG) Ampul PIB08847 1/1/2021 7,040.00 2,400 16,896,000 -
427 Ranitidin Injeksi (PPG) Ampul N10356704 12/1/2020 7,150.00 500 3,575,000 -
429 Ranitidin Injeksi (TSJ) Ampul L10356721 11/1/2020 7,150.00 2,500 17,875,000 -
430 Ranitidin Tablet 150 mg (DNR) Tablet TSM76646 11/1/2020 660.00 3,500 2,310,000 10,000 6,600,000.00
436 Recofol N Inejeksi (AAM) Ampul 17234033 5/1/2019 94,050.00 205 19,280,250 -
437 Recolfar Tablet (PV) Tablet PA1051 1/1/2021 4,950.00 - - -
438 Recolfar Tablet (PV) Tablet PA2411 1/1/2021 4,950.00 240 1,188,000 -
440 Revolan Injeksi (BSP) Ampul TK3431 12/1/2019 33,002.56 65 2,145,166 -
441 Revolan Injeksi (BSP) Ampul UB3446 2/1/2020 33,002.56 165 5,445,422 -
442 Ringer Lactat (RNI) Botol 571105 10/17/2019 7,150.00 8,000 57,200,000 -
446 Salbutamol Tablet 2 mg (RNI) Tablet 06841028 11/29/2019 97.41 - - -
448 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 2971365 8/1/2019 21,505.00 300 6,451,500 -
450 Simprofen Tablet (PV) Tablet PF8A02 2/1/2020 6,050.00 - 180 1,089,000.00
451 Simvastatin Tablet 20 mg (ESV) Tablet KTSVNB76083 11/30/2019 1,026.67 2,760 2,833,600 -
452 Simvastatin Tablet 20 mg (KF) Tablet K72765B 7/31/2020 224.99 5,000 1,124,970 -
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453 Simvastatin Tablet 20 mg (RNI) Tablet KTSVNB7406 8/31/2019 1,026.67 - - -
457 Supravenid Suppositoria (PV) Suppo G7J143 9/1/2020 12,100.00 - - -
458 Supravenid Suppositoria (PV) Suppo G8A164 1/1/2021 12,100.00 100 1,210,000 -
460 Timol 0,5 % (PV) Botol 7TM1122 11/1/2020 52,525.00 - - -
461 Timol 0,5 % (PV) Botol 7TM1211 12/1/2020 52,525.00 - - -
462 Timol 0,5% (PV) Botol 8TM0117 1/1/2021 52,525.00 - 90 4,727,250.00
464 Tobro 0,6 ml (PV) Strip 7T061121 11/1/2020 21,037.50 - 30 631,125.00
466 Tobroson 5 ml (PV) Botol 7TS1128 5/1/2020 50,875.00 - 100 5,087,500.00
467 Tomit Injeksi (ENS) Ampul I004G0022 7/31/2019 10,606.75 - - -
469 Tomit Injeksi (ENS) Ampul I004G0042 9/30/2019 10,606.75 150 1,591,013 -
470 Tomit Injeksi (ENS) Ampul I0048H0012 2/29/2020 10,606.75 - 200 2,121,350.00
471 Tomit Injeksi (ENS) Ampul I0048H0021 3/31/2020 10,606.75 - 50 530,337.50
472 Tronadex Injeksi (PV) Ampul NK305 10/1/2019 12,760.00 80 1,020,800 -
474 Vaksin Hepatitis B (Hb 0) (GF) Vial 3653816 8/1/2018 - 200 -
477 Vitamin B Comp Tablet (KF) Tablet I71293T 9/19/2020 135.00 10,600 1,431,032 -
478 Vitamin C Tablet 100 mg (KF) Tablet H70084BI 9/14/2020 120.29 3,500 420,998 -
479 Zirkum Kid Syrup (PV) Botol E7K603 10/1/2019 28,600.00 - - -
1 Alkohol 300 ml (IHS) Botol 15,488.00 1 15,488 -
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4 Alkohol 1000 ml (IHS) Botol 33,000.00 89 2,937,000 -
5 Alkohol 1000 ml (MBS) Botol A03AM033 3/1/2023 19,330.01 - 48 927,840.53
9 Alkohol Swab (BDM) Kotak 201709 8/1/2022 26,400.00 9 237,600 -
10 Appablade AA 562021 Tunnel Blade (PK) Kotak 1,265,000.00 - 3 3,795,000.00
11 Appablade AA 560009 Lance Blade (PK) Kotak 1,265,000.00 - 1 1,265,000.00
12 Appablade AA 562027 Slit Blade (PK) Kotak 1,265,000.00 - 1 1,265,000.00
13 Appalens IOL Model 302 Power (17.00) (PK) Pcs 121,000.00 - 4 484,000.00
19 Appalens IOL Model 302 Anterior Chamber Power (17.00) (P Pcs 121,000.00 - - -
20 Appalens Plus Square Edge Power (20.00) (PK) Pcs 192,500.00 - 20 3,850,000.00
21 Appasamy Appavisc 3 ml W/ Syringe (PK) Pcs 121,000.00 - - 20 2,420,000.00
22 Appasamy Cohevisc 1,4% (PK) Pcs 375,100.00 - - 5 1,875,500.00
23 Appasamy Mio-Chol (PK) Pcs 66,000.00 - - -
24 Appasamy Rhex-Id (PK) Pcs 66,000.00 - - -
25 Appablade AA 562027 Slit Blade (PK) Pcs 126,500.00 - - -
26 Appablade AA 562021 Tunnel Blade (PK) Pcs 126,500.00 - - -
27 Appablade AA 560009 Lance Blade (PK) Pcs 126,500.00 - - -
28 Bovine Aaron Cautery Low Temperature Pcs 357,500.00 - - 10 3,575,000.00
29 Carbacol (PK) Pcs 66,000.00 - 30 1,980,000.00
30 Catgut Cromic 3/0 (BDM) Roll 170919 10/1/2022 1,760,000.00 1 1,760,000 -
34 Developer (BDM) Set 873505 1,282,600.00 2 2,565,200 -
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Terkecil
35 Devine Meditech Eye Drepe (PK) Pcs 77,000.00 - - -
43 Disposable Syringe With Needle 03 cc BD (RNI) Pcs 8022427 1/31/2023 2,224.15 - - 3,200 7,117,264.00
44 Disposable Syringe With Needle 03 cc Nipro (KF)) Pcs 17J0503J 10/1/2018 1,009.80 2,000 2,019,600 -
46 Disposable Syringe With Needle 03 cc RD (RNI) Pcs 1703201 2/1/2022 802.66 1,600 1,284,255 -
47 Disposable Syringe With Needle 03 cc TP (BDM) Pcs 171301 12/1/2022 851.40 - - -
49 Disposable Syringe With Needle 05 cc Aximed (KF) Pcs 20170910 8/31/2022 1,159.99 100 115,999 -
50 Disposable Syringe With Needle 05 cc BD (RNI) Pcs 7361386 12/31/2022 2,852.85 1,200 3,423,420 -
51 Disposable Syringe With Needle 05 cc Nipro (KFI) Pcs 1710606J 9/1/2018 1,247.40 1,000 1,247,400 -
54 Disposable Syringe With Needle 10 cc Nipro (KF) Pcs 17J1607J 10/1/2018 1,654.40 1,600 2,647,040 -
56 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1305201 8/31/2018 926.20 600 555,720 -
57 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1705201 4/1/2022 926.20 - - -
61 Eye Dop Shield (PK) Pcs 13,200.00 - - -
62 Feeding Tube FR 05 (BDM) Pcs 160813B 7/1/2019 33,599.50 75 2,519,963 -
65 Film 30 x 40 (BDM) Kotak 43433 6/1/2020 4,109,600.00 - - -
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Terkecil
66 Film 35 x 35 (BDM) Kotak 44611 6/1/2020 4,462,700.00 - - -
67 Film 35 x 35 (BDM) Kotak 44805 6/1/2020 4,462,700.00 - - -
68 Film 35 x 35 (BDM) Kotak 45835 11/1/2020 4,462,700.00 5 22,313,500 -
71 Fixer (BDM) Set CAT873505 790,900.00 2 1,581,800 -
72 Foley Catheter 2 Way 16 (BDM) Pcs 17-G-05H 7/1/2022 15,749.80 10 157,498 -
73 Foley Catheter 2 Way 16 (BDM) Pcs 16I09 8/1/2021 24,200.00 200 4,840,000 -
74 Foley Catheter 2 Way 18 (BDM) Pcs 17-G-10K 9/1/2022 15,749.80 10 157,498 -
75 Foley Catheter 2 Way 18 (BDM) Pcs 16G09 6/1/2021 24,200.00 200 4,840,000 -
79 FSSB Benang 10/0 Nylon Black (PK) Pcs 198,000.00 - - -
80 FSSB Benang Nylon 10/0 (PK) Kotak 3,036,000.00 - 1 3,036,000.00
81 Glucocard (AAM) Botol A27801E 5/1/2019 279,950.00 20 5,599,000 -
85 Gypsona 6 Inch (BDM) Roll 625 6/1/2019 66,715.00 12 800,580 -
86 Handrub Aseptan 500 ml (IHS) Botol 45,540.00 23 1,047,420 -
87 Handrub E Care (ESV) ml 1803268 3/1/2021 127.68 25,000 3,191,997 -
88 Handrub Fresco (RNI) ml 111.00 18,500 2,053,498 -
89 Handscoon Manual NS (BDM) Pasang 30,250.00 20 605,000 -
93 Handscoon NS (BDM) Pcs 170870603 7/1/2022 527.95 5,000 2,639,725 -
94 Handscoon NS (BDM) Pcs 17040502 3/1/2022 527.51 - 10,000 5,275,050.00
95 Handscoon NS (KF) Pcs 5161005 8/29/2021 577.50 - 10,000 5,775,000.00
96 Handscoon NS (SST) Pcs 22104900 10/1/2022 544.50 10,000 5,445,000 -
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Terkecil
98 Handscoon ST 6,5 (BDM) Pasang 17070105 6/1/2022 4,999.50 110 549,945 -
99 Handscoon ST 6,5 (IHS) Pasang 4,807.00 - 200 961,400.00
103 Handscoon ST 7 (IHS) Pasang 4,807.00 - 200 961,400.00
104 Handscoon ST 7 (RNI) Pasang 1421503 1/1/2021 11,990.00 102 1,222,980 -
107 Handscoon ST 7,5 (BDM) Pasang 8,819.80 - - -
108 Handscoon ST 7,5 (IHS) Pasang 4,807.00 - 200 961,400.00
109 Handscoon ST 7,5 (RNI) Pasang 1457804 7/1/2021 11,990.00 110 1,318,900 -
110 Hidrogen Peroksida (BM) Liter 192,500.00 - 60 11,550,000.00
115 Hypavix 15 x 5 (BDM) Roll 70731230 1/1/2022 240,680.00 4 962,720 -
116 Hypavix 15 x 5 (BDM) Roll 72630230 5/1/2022 240,680.00 60 14,440,800 48 11,552,640.00
117 Infus Set Makro Fesco (BDM) Pcs 20170921 9/1/2022 6,803.50 - - -
120 Infus Set Makro TP (BDM) Pcs 170320 3/1/2022 8,333.60 300 2,500,080 500 4,166,800.00
121 Infus Set Makro (KF) Pcs 179D48M 4/10/2023 7,920.00 - 500 3,960,000.00
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Terkecil
128 IV Catheter 18 Terumo (KF) Pcs 170711SD 6/30/2022 8,354.78 50 417,739 -
136 IV Catheter 20 Terumo (KF) Pcs 170828SD 7/31/2022 8,354.78 - - 500 4,177,387.50
138 IV Catheter 22 Optiva (RNI) Pcs 2790160 9/30/2019 24,200.00 - 200 4,840,000.00
141 IV Catheter 24 Optiva (RNI) Pcs 3200384 5/14/2021 24,200.00 - 100 2,420,000.00
148 Jarum Kulit No. 15 (BDM) Lusin MD 17171802 38,500.00 - - -
150 Jelly Ultrasound (BDM) ml 65066C 3/1/2022 110.00 5,000 550,000 -
151 Jelly Ultrasound 250 ml (BDM) Botol 20170710 7/1/2020 29,700.00 23 683,100 -
152 Kapas 250 g (RNI) Roll 0216 10/31/2020 42,900.00 - - -
153 Kapas 500 g (RNI) Roll 0216 10/31/2020 85,415.00 - - -
154 Kapas 500 g (BDM) Roll 1410069 10/1/2019 82,208.50 - - -
155 Kapas 500 g (BDM) Roll 1411082 11/1/2019 82,208.50 - - 8 657,668.00
156 Kapas 500 g (BDM) Roll 1411084 11/1/2019 82,208.50 - - -
157 Kapas 500 g (BDM) Roll 1412099 12/1/2019 82,208.50 1 82,209 4 328,834.00
158 Kapas 500 g (BDM) Roll 1502008 2/1/2020 82,208.50 - 12 986,502.00
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Terkecil
159 Kapas 500 g (IHS)) Roll 31,372.00 - 12 376,464.00
160 Kapas 1000 g (BDM) Roll 1505025 5/1/2020 164,417.00 - - -
161 Kapas 1000 g (BDM) Roll 1505026 5/1/2020 164,417.00 - - -
169 Kertas Puyer (BDM) Pak 27,500.00 15 412,500 -
171 Medicrepe 6 Inch (IHS) Roll 29,150.00 - 12 349,800.00
172 Medigips 4 Inch (IHS) Roll 12,100.00 - 12 145,200.00
173 Masker Ear Loop (BDM) Pcs 521.99 - - -
174 Masker Hijab (IHS) Pcs 506.00 - 4,000 2,024,000.00
175 Masker Tie On (BDM) Pcs 521.99 2,100 1,096,187 4,000 2,087,976.00
185 Mata Pisau No. 24 (BDM) Pcs 450741193 12/1/2020 4,125.00 255 1,051,875 -
186 Nasal O2 Anak (BDM) Pcs 20170315 3/1/2022 15,120.60 82 1,239,889 -
187 Nasal O2 Bayi (BDM) Pcs 30,250.00 - 30 907,500.00
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Terkecil
190 Nasal O2 Dewasa (BDM) Pcs 20161030 3/1/2022 15,120.60 50 756,030 -
199 Penjepit Tali Pusar (IHS)) Pcs 1,495.00 - 100 149,500.00
201 Perfusor (BDM) Pcs 17D19K8411 4/1/2022 99,000.00 35 3,465,000 -
202 Povidon Iodida (BDM) Botol L60558W 12/1/2019 88,000.00 - - -
203 Povidon Iodida (KF)) Botol K73268W 11/29/2020 59,966.50 74 4,437,521 -
204 Rumex CC-27 Clear Corneal/ Keratome (PK) Kotak 1,925,000.00 - - -
205 Rumex CC-27 Clear Corneal/ Keratome (PK) Kotak 1,760,000.00 - 2 3,520,000.00
206 Rumex CR-20 Crescent (PK) Kotak 1,672,000.00 - - -
207 Rumex SP-15 Side Port Knife/ Stab (PK) Kotak 1,430,000.00 - - -
208 Rumex SP-15 Stab (PK) Kotak 1,210,000.00 - 4 4,840,000.00
209 Spinocain 25 G (BDM) Pcs 17G19H8B61 7/1/2022 48,400.00 150 7,260,000 -
212 Suction Catheter FR 6 (BDM) Pcs 20171125 11/1/2022 4,032.60 - 50 201,630.00
213 Suction Catheter FR 8 (BDM) Pcs 20171125 11/1/2022 4,032.60 10 40,326 50 201,630.00
218 Sungkup Nebulizer Anak (BDM) Pcs 171212 11/1/2022 66,000.00 - 20 1,320,000.00
220 Sungkup Nebulizer Dewasa (BDM) Pcs 170305 4/1/2022 66,000.00 - 20 1,320,000.00
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Terkecil
221 Sungkup O2 Dewasa (BDM) Pcs 170523 5/1/2022 66,000.00 - 50 3,300,000.00
222 Sungkup O2 Dewasa + Kantong (BDM) Pcs 1512022020 11/1/2020 66,000.00 5 330,000 -
228 Surgicryl 910 2 HR 48 (RNI) Kotak 1,258,620.00 5 6,293,100 -
230 Surgicryl 910 2/0 HR 17 (RNI) Kotak 170210 1/1/2022 917,339.94 5 4,586,700 -
232 Surgicryl 910 3/0 HR 30 (RNI) Kotak 807,659.93 3 2,422,980 -
238 Tensocrepe 6 Inch (BDM) Roll 111711281 11/1/2022 139,480.00 21 2,929,080 -
240 Three Way Stop Cock (BDM) Pcs 15552-01 1/1/2023 22,000.00 300 6,600,000 -
241 Three Way Tro (BDM) Pcs 13958-02 6/1/2020 22,000.00 - - -
243 Transfusi Set (BDM) Pcs 20170923 9/1/2022 4,847.70 - - -
244 Transfusi Set (BDM) Pcs 170801 7/1/2022 16,380.10 500 8,190,050 -
247 Trypan Blue (PK) Pcs 66,000.00 - - -
248 Urine Bag (BDM) Pcs 20171220 12/1/2022 5,728.80 380 2,176,944 -
249 Urine Bag (RNI) Pcs 16531 10/1/2021 6,600.00 - - -
250 Urine Bag (RNI) Pcs 17046 2/1/2022 6,600.00 - - -
251 Water One (IHS) Botol 19,747.20 20 394,944 -
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Terkecil
252 Water One (IHS) Botol 17,952.00 - 20 359,040.00
253 W Care DC (PPG) Pcs 1790901 9/1/2020 58,080.00 30 1,742,400 -
TOTAL 1,736,140,164.01 480,107,747.60


NIP : 19810727 201001 1 012 NIP. 19820918 200804 2 002
412682303.xlsx 285
RLI KABUPATEN BUOL
TAHUN 2018
- - - -
- - - -
- - 8 406,560
- - 10 500,000
- - - -
- - - -
- - 169 25,265,500
- - 14,000 1,688,960
1,000 181,910 22,000 4,002,020
- - - -
- - 3 56,250
- - - -
- - - -
- - 4 186,340
- - 96 4,622,006
- - 700 334,604
- - 2,000 65,560
- - 28 106,103
- - 117 11,454,300
- - - -
- - - -
- - 5,000 207,900
- - - -
- - 26 629,200
- - 20 440,000
412682303.xlsx 286
1 508,200 3 1,524,600
- - - -
- - 1,100 5,929,000
800 616,000 8,300 6,391,000
- - 44 3,146,000
- - 50 4,400,000
1,000 914,100 1,600 1,462,560
- - 1,700 160,483
500 5,225,000 - -
- - - -
- - - -
- - - -
- - - -
- - 270 2,405,700
- - - -
- - - -
- - 900 83,160
500 85,498 - -
- - 1,100 798,600
- - 100 467,500
10 1,100,000 22 2,420,000
- - 68 505,947
- - 530 4,809,750
- - 300 36,897
10 242,000 80 1,936,000
- - - -
- - - -
- - - -
- - - -
- - 400 857,120
- - 150 1,452,000
412682303.xlsx 287
- - - -
- - - -
20 85,184 30 127,776
- - 30 127,776
- - 14 59,629
- - 10 550,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - 20 902,330
- - - -
- - - -
- - - -
25 90,475 - -
- - - -
- - 2,150 1,870,502
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 900 127,512
- - - -
50 440,000 1,150 10,120,000
- - - -
- - - -
- - 240 792,000
- - - -
412682303.xlsx 288
- - - -
- - - -
- - 500 319,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 90 825,000
- - - -
400 792,000 1,200 2,376,000
- - - -
- - - -
- - 40 638,000
- - - -
- - 20 1,164,680
- - - -
550 665,500 - -
- - 55 3,509,000
- - - -
- - - -
- - 1,000 97,405
- - - -
- - - -
- - - -
50 468,875 100 937,750
1,800 8,910,000 2,100 10,395,000
- - - -
- - - -
412682303.xlsx 289
- - - -
- - 493 71,041,300
- - 3 429,000
- - 300 26,400,000
- - - -
- - - -
- - - -
- - - -
600 97,284 1,600 259,424
200 45,965 - -
20 1,540,000 - -
- - - -
- - 300 210,672
- - - -
- - 200 359,999
- - 3,000 5,999,994
- - - -
- - - -
- - 124 738,333
- - - -
600 1,441,440 200 480,480
- - - -
- - - -
- - - -
- - 15 1,109,819
- - - -
- - - -
- - - -
- - - -
- - 300 468,270
- - - -
412682303.xlsx 290
200 541,200 1,200 3,247,200

42 4,054,050 - -
- - - -
- - - -
- - - -
- - - -
- - 90 6,930,000
- - 30 1,155,000
- - 6 726,000
- - 17 1,241,000
- - 50 514,250
- - 2,000 7,788,000
150 308,702 50 102,901
- - - -
- - - -
- - - -
20 1,600,000 - -
- - 9 82,368
- - 100 4,001,250
100 389,600 1,000 3,896,000
- - - -
- - - -
- - 200 368,500
1,020 7,038,306 2,920 20,148,876
- - 2,000 185,350
- - 4 2,822,000
- - 48 153,912
- - - -
1 850,000 2 1,700,000
- - 24 1,188,143
- - 800 114,048
412682303.xlsx 291
- - - -
- - - -
- - 10 716,001
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 1,400 743,389
400 660,000 6,300 10,395,000
- - 24 4,058,888
- - 2,000 800,008
300 92,338 1,200 369,353
- - 120 11,088,000
- - - -
- - - -
- - 2,200 919,600
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 1,000 133,100
200 1,650,000 1,650 13,612,500
- - - -
- - - -
- - - -
412682303.xlsx 292
- - - -
- - - -
- - - -
- - - -
- - 500 1,100,000
- - - -
- - - -
- - 200 28,600,000
- - 250 33,000,000
- - 20 1,848,000
10 660,000 80 5,280,000
- - - -
- - 150 10,560,000
- - - -
- - - -
90 181,500 210 423,500
- - - -
- - 144 729,432
- - - -
- - 20 62,261
- - - -
- - - -
- - 300 264,990
- - - -
- - 90 445,500
400 62,920 500 78,650
- - 120 1,584,000
- - - -
- - - -
- - 260 1,901,900
- - - -
412682303.xlsx 293
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 60 198,000
- - - -
- - - -
- - - -
- - - -
- - 30 264,000
- - - -
- - 120 726,000
- - 400 748,000
- - - -
2,500 17,875,000 2,000 14,300,000
- - - -
- - - -
- - 1,400 114,792
- - - -
- - 50 495,000
- - - -
- - 6 290,400
300 89,100 500 148,500
- - - -
- - - -
- - 300 1,200,166
200 81,400 - -
- - 45 198,028
10 133,842 - -
412682303.xlsx 294
- - 56 5,238,702
- - 1 1,683,000
- - 1,900 827,389
- - - -
- - 75 2,062,500
- - 50 1,375,000
- - 8 1,540,000
- - - -
- - - -
- - 500 292,996
- - - -
- - 2 233,200
2 1,554,960 2 1,554,960
- - 7 5,793,480
- - - -
- - - -
- - - -
1 825,000 1 825,000
- - - -
1 825,000 5 4,125,000
- - 100 1,320,000
- - - -
- - - -
- - - -
- - - -
- - - -
50 86,250 - -
- - - -
- - - -
50 240,625 50 240,625
- - - -
412682303.xlsx 295
- - 30 2,475,000
- - 20 1,650,000
- - 10 825,000
- - - -
20 85,184 20 85,184
- - 250 9,625,000
- - 25 102,053
- - - -
- - 50 204,105
20 81,642 - -
- - - -
- - - -
- - - -
- - 50 3,465,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
412682303.xlsx 296
- - - -
- - - -
- - 15,000 3,228,479
- - - -
- - - -
- - - -
50 318,725 400 2,549,800
- - 50 800,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
150 1,124,970 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 7 1,347,500
- - 3 1,056,000
- - - -
- - - -
- - - -
412682303.xlsx 297
- - - -
- - - -
- - - -
- - - -
- - 10 302,500
- - - -
- - - -
2 1,650,000 6 4,950,000
- - - -
- - 4 3,300,000
- - 3 3,631,320
- - 3 3,631,320
- - - -
- - 180 17,919,000
- - 144 13,533,062
- - - -
- - - -
- - - -
- - - -
- - - -
- - 6 3,960,000
- - 16 10,560,000
- - - -
- - - -
- - 2 1,320,000
12 521,400 12 521,400
- - - -
- - 300 14,520,000
- - 150 7,260,000
- - - -
- - - -
412682303.xlsx 298
- - 5 141,500
23 1,518,000 1 66,000
- - - -
- - - -
- - - -
- - 1 1,544,400
- - - -
- - - -
- - - -
- - - -
- - 30 775,500
- - - -
- - - -
- - 100 343,805
- - 10 15,100,000
- - 2,300 418,639
- - - -
- - 700 117,764
1,000 585,002 1,500 877,503
- - 4,000 2,299,000
- - 150 990,000
- - - -
- - - -
- - - -
- - 200 1,100,000
- - - -
- - - -
- - - -
- - 5,000 1,650,000
- - - -
- - - -
412682303.xlsx 299
- - - -
2,500 825,000 1,200 396,000
10 649,891 30 1,949,673
- - 60 237,596
- - 120 475,191
- - - -
- - - -
- - - -
- - - -
- - 4,980 1,643,400
- - - -
- - - -
- - - -
- - - -
- - - -
880 212,960 1,070 258,940
210 50,820 - -
1,910 455,217 - -
50 357,500 100 715,000
- - - -
- - - -
1,000 210,595 1,700 358,012
- - 60 627,000
- - 240 2,508,000
600 - - -
120 343,200 2,280 6,520,800
- - 500 550,000
- - 2,000 479,160
- - - -
- - - -
3,000 528,000 4,000 704,000
412682303.xlsx 300
- - - -
200 433,567 - -
- - - -
- - - -
150 1,171,500 - -
500 990,000 2,000 3,960,000
- - 30 533,670
- - - -
- - - -
168 1,620,511 - -
72 694,505 168 1,620,511
- - 200 360,000
- - 2,300 12,650,000
- - - -
- - 125 363,000
- - 200 14,738,605
- - - -
300 1,485,000 - -
50 275,000 - -
250 1,375,000 1,200 6,600,000
- - - -
- - - -
50 78,375 - -
600 813,711 350 474,665
50 82,500 - -
- - - -
1,500 1,468,500 - -
- - - -
20 3,300,000 80 13,200,000
- - 20 1,164,680
- - 10 582,340
412682303.xlsx 301
- - 3,000 744,000
- - - -
- - 5 352,000
45 2,970,000 130 8,580,000
- - - -
40 1,369,720 - -
60 2,054,580 50 1,712,150
- - 2,000 6,182,000
- - 1,440 905,760
600 3,300,000 600 3,300,000
- - 3,000 292,215
1,000 137,753 2,000 275,506
- - - -
- - - -
- - 6,000 622,380
- - 330 4,326,960
500 145,002 500 145,002
- - 5,000 1,450,020
- - 80 2,480,016
- - 6,000 5,266,825
- - - -
- - - -
- - - -
- - - -
2,000 1,680,008 1,000 840,004
- - - -
- - 100 113,740
- - 1,500 2,145,000
- - - -
42 831,600 - -
58 1,929,950 200 6,655,000
412682303.xlsx 302
- - - -
424 4,668,664 1,088 11,979,968
50 3,355,000 150 10,065,000
20 1,320,000 - -
50 3,300,000 - -
130 8,580,000 - -
- - 476 11,781,000
- - 84 2,079,000
- - - -
- - - -
100 2,695,000 - -
500 13,475,000 1,800 48,510,000
- - - -
- - - -
- - - -
- - - -
40 1,760,000 - -
- - - -
- - 5 83,875
- - 15 251,625
50 1,237,500 - -
- - - -
- - - -
- - 150 3,712,500
- - - -
- - 19 799,425
- - 5 61,875
- - - -
- - - -
50 1,498,750 150 4,496,250
- - - -
412682303.xlsx 303
- - - -
- - 50 1,973,125
- - - -
- - 100 3,946,250
50 1,918,125 50 1,918,125
- - - -
- - - -
- - - -
- - 100 3,836,250
- - - -
- - - -
650 217,718 - -
- - - -
350 109,725 2,350 736,725
- - 500 132,138
- - 1,600 16,720,000
- - 1,400 14,630,000
18 1,386,000 76 5,852,000
1,500 709,500 1,500 709,500
- - - -
- - - -
- - - -
- - 450 11,137,500
- - - -
- - 500 9,625,000
570 4,180,000 5,100 37,400,000
- - - -
30 144,670 - -
420 1,259,581 - -
300 899,701 1,800 5,398,206
- - 2,000 495,440
412682303.xlsx 304
700 192,500 300 82,500

- - 150 990,000
1,000 656,997 1,000 656,997
- - - -
- - - -
- - 1,000 2,416,150
1,000 149,028 1,000 149,028
- - 100 1,150,001
- - 2,500 309,375
- - 330 615,321
- - 10 139,450
- - 10 702,882
- - 40 2,811,530
50 206,305 100 412,610
- - 200 3,080,000
- - 29 366,850
1,000 484,341 2,000 968,682
- - - -
- - - -
- - - -
- - 1,000 550,165
50 801,680 200 3,206,720
- - 800 1,063,480
- - 7 4,335,100
30 660,000 30 660,000
100 20,350 900 183,150
- - 134 950,730
- - - -
102 12,117,600 98 11,642,400
- - 270 2,376,000
- - 930 8,388,600
412682303.xlsx 305
- - - -
- - - -
- - - -
- - 20 635,250
- - 198 6,288,975
300 2,805,000 280 2,618,000
- - - -
- - 1,500 14,025,000
- - 50 3,850,000
- - 10 880,000
- - 6 396,000
- - - -
- - - -
800 413,574 - -
700 361,877 3,000 1,550,904
12 2,237,400 88 16,407,600
1,500 3,300,000 3,500 7,700,000
800 67,197 - -
- - 216 8,940,864
- - - -
- - - -
900 4,738,388 700 3,685,413
150 1,716,000 1,740 19,905,600
- - 5 38,500
- - 160 1,232,000
- - - -
40 82,925 - -
- - 500 2,312,750
300 1,265,000 450 1,897,500
- - 120 899,976
- - 240 2,402,400
412682303.xlsx 306
- - - -
- - - -
- - - -
500 705,375 - -
- - - -
- - 1,350 12,919,500
- - 5 4,400,000
1,500 190,493 2,700 342,887
34 1,944,800 14 800,800
10 660,000 10 660,000
- - 30 1,980,000
1,400 1,355,200 4,100 3,968,800
1,000 142,560 - -
- - - -
- - - -
120 601,128 - -
40 409,992 160 1,639,968
- - 450 202,946
- - - -
- - - -
- - - -
- - 1,000 16,038,000
- - - -
1,180 2,164,415 212 388,861
- - 5,000 1,994,960
- - 420 2,310,000
800 1,053,892 - -
- - 700 924,000
- - 1,900 3,081,036
- - 3,000 990,000
- - 1,500 2,027,025
412682303.xlsx 307
- - - -
- - - -
- - - -
- - - -
- - - -
10 839,500 - -
15 1,259,250 75 6,296,250
- - - -
10 761,750 90 6,855,750
5 233,750 - -
600 50,998 400 33,999
- - 390 311,997
100 51,260 1,400 717,640
- - - -
- - - -
30 6,765,000 170 38,335,000
- - - -
- - - -
1,500 269,528 1,000 179,685
- - 4,000 726,000
- - - -
- - 2,500 676,500
- - - -
- - 100 4,950,000
- - 300 15,510,000
- - 150 2,863,410
- - - -
- - - -
1,000 550,000 - -
- - - -
1,000 484,605 4,500 2,180,723
412682303.xlsx 308
- - - -
- - - -
- - - -
- - - -
250 11,000,000 - -
- - 2,300 607,200
- - - -
30 109,560 90 328,680
24 85,800 96 343,200
- - - -
- - 3,000 1,082,400
1,500 742,500 500 247,500
4 880,000 - -
- - - -
- - - -
- - - -
- - - -
100 291,500 - -
1,400 4,081,000 2,500 7,287,500
- - - -
- - - -
- - - -
480 1,108,800 - -
- - - -
- - - -
40 607,200 1,240 18,823,200
- - - -
- - 15 686,813
- - - -
2,000 12,819,400 3,580 22,946,726
- - - -
412682303.xlsx 309
100 35,264 1,900 670,012

200 47,313 - -
- - - -
- - 30 355,667
- - - -
500 580,250 2,700 3,133,350
- - 1,600 227,022
300 42,570 100 14,190
- - 2 363,000
- - - -
200 1,837,000 400 3,674,000
- - - -
246 913,275 50 185,625
- - - -
25 2,175,000 75 6,525,000
- - - -
- - - -
- - 200 380,000
700 3,850,000 300 1,650,000
- - - -
- - - -
- - - -
- - 1,000 5,500,000
- - - -
- - - -
- - - -
- - - -
- - 500 209,000
50 100,485 150 301,455
50 166,375 150 499,125
- - - -
412682303.xlsx 310
- - 90 5,494,500
- - 65 3,038,750
10 133,375 - -
- - - -
87 8,134,500 - -
109 10,191,500 104 9,724,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100 6,600,000 - -
- - - -
- - - -
150 825,000 206 1,133,000
- - - -
- - - -
500 57,750 - -
- - - -
- - 100 311,306
- - 400 1,245,222
70 923,399 40 527,657
- - - -
150 6,239,970 100 4,159,980
200 1,870,000 850 7,947,500
- - 600 660,330
100 423,500 - -
- - - -
100 660,000 50 330,000
412682303.xlsx 311
- - 350 2,310,000
- - - -
- - - -
- - - -
100 2,052,600 190 3,899,940
- - 3,000 1,854,930
- - - -
- - - -
- - 20 385,000
- - 28 974,050
- - 5 98,313
- - 31 916,438
- - 49 1,448,563
- - - -
- - 15 866,250
- - - -
- - - -
198 8,929,800 - -
- - 4,000 858,000
- - 1,500 92,994
- - 3,000 180,015
- - 16 704,000
3 165,000 - -
- - 2,500 1,187,010
- - 2,000 169,400
- - - -
- - - -
- - - -
- - - -
90 673,200 - -
200 1,496,000 960 7,180,800
412682303.xlsx 312
- - 2,000 617,100
500 172,068 1,500 516,203
2,240 15,769,600 160 1,126,400
- - - -
- - 2,400 16,896,000
- - 500 3,575,000
- - - -
- - 2,500 17,875,000
4,500 2,970,000 9,000 5,940,000
- - - -
- - - -
- - 75 577,500
- - - -
- - - -
25 2,351,250 180 16,929,000
- - - -
180 891,000 60 297,000
50 401,500 300 2,409,000
- - 65 2,145,166
- - 165 5,445,422
- - 8,000 57,200,000
- - - -
- - - -
- - - -
- - - -
- - 3,000 292,215
80 1,720,400 220 4,731,100
- - 20 1,160,500
90 544,500 90 544,500
1,200 1,232,000 1,560 1,601,600
- - 5,000 1,124,970
412682303.xlsx 313
- - - -
- - 900 502,755
- - - -
1 2,860,000 3 8,580,000
- - - -
- - 100 1,210,000
- - 1 1,683,000
- - - -
- - - -
- - 90 4,727,250
- - - -
- - 30 631,125
- - - -
- - 100 5,087,500
- - - -
- - - -
50 530,338 100 1,060,675
- - 200 2,121,350
- - 50 530,338
80 1,020,800 - -
- - - -
200 - - -
- - 2,700 6,652,800
- - 8 162,800
1,100 148,503 9,500 1,282,529
2,500 300,713 1,000 120,285
- - - -
- - - -
1 15,488 - -
- - - -
- - - -
412682303.xlsx 314
78 2,574,000 11 363,000
- - 48 927,841
- - - -
- - - -
- - - -
- - 9 237,600
3 3,795,000 - -
1 1,265,000 - -
1 1,265,000 - -
4 484,000 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
20 3,850,000 - -
20 2,420,000 - -
5 1,875,500 - -
- - - -
- - - -
- - - -
- - - -
- - - -
10 3,575,000 - -
30 1,980,000 - -
1 1,760,000 - -
- - - -
- - - -
- - 8 6,600,000
- - 2 2,565,200
412682303.xlsx 315
- - - -
- - - -
900 759,330 600 506,220
- - - -
- - - -
- - - -
- - - -
- - - -
400 889,658 2,800 6,227,606
2,000 2,019,600 - -
- - - -
1,600 1,284,255 - -
- - - -
- - - -
50 58,000 50 58,000
850 2,424,923 350 998,498
800 997,920 200 249,480
- - - -
- - - -
700 1,158,080 900 1,488,960
- - - -
600 555,720 - -
- - - -
- - 50 240,625
- - - -
4 1,100,000 10 2,750,000
- - - -
- - 75 2,519,963
- - 25 102,053
- - 50 204,105
- - - -
412682303.xlsx 316
- - - -
- - - -
- - 5 22,313,500
- - 1 1,870,000
- - 1 1,870,000
- - 2 1,581,800
10 157,498 - -
50 1,210,000 150 3,630,000
10 157,498 - -
110 2,662,000 90 2,178,000
- - 40 4,400,000
- - - -
- - - -
- - - -
1 3,036,000 - -
- - 20 5,599,000
- - - -
- - - -
- - - -
6 400,290 6 400,290
23 1,047,420 - -
- - 25,000 3,191,997
4,000 444,000 14,500 1,609,499
10 302,500 10 302,500
- - - -
- - - -
- - - -
5,000 2,639,725 - -
3,900 2,057,270 6,100 3,217,781
- - 10,000 5,775,000
10,000 5,445,000 - -
412682303.xlsx 317
- - - -
110 549,945 - -
155 745,085 45 216,315
- - - -
- - - -
- - - -
123 591,261 77 370,139
102 1,222,980 - -
- - - -
- - - -
- - - -
190 913,330 10 48,070
110 1,318,900 - -
60 11,550,000 - -
- - - -
- - - -
- - - -
- - - -
4 962,720 - -
62 14,922,160 46 11,071,280
- - - -
- - - -
- - - -
800 6,666,880 - -
350 2,772,000 150 1,188,000
- - - -
- - - -
- - 100 1,600,000
150 2,400,000 150 2,400,000
- - - -
- - - -
412682303.xlsx 318
50 417,739 - -
- - - -
- - - -
750 12,000,000 400 6,400,000
- - - -
- - - -
- - - -
- - - -
- - 500 4,177,388
100 1,600,000 50 800,000
- - 200 4,840,000
- - - -
50 975,000 150 2,925,000
- - 100 2,420,000
- - - -
- - 100 1,695,650
9 346,500 11 423,500
4 154,000 6 231,000
5 192,500 12 462,000
9 346,500 2 77,000
- - - -
9 990,000 1 110,000
1,000 110,000 4,000 440,000
2 59,400 21 623,700
- - - -
- - - -
- - - -
8 657,668 - -
- - - -
5 411,043 - -
9 739,877 3 246,626
412682303.xlsx 319
- - 12 376,464
- - - -
- - - -
- - - -
- - - -
- - - -
47 10,960,400 - -
5 2,628,450 1 292,050
2 330,000 11 1,815,000
9 1,732,500 17 3,272,500
- - 15 412,500
- - 10 3,520,000
- - 12 349,800
12 145,200 - -
- - - -
1,650 834,900 2,350 1,189,100
6,100 3,184,163 - -
- - - -
- - - -
- - - -
170 701,250 - -
10 41,250 90 371,250
- - 100 412,500
- - - -
15 61,875 185 763,125
- - - -
174 717,750 81 334,125
43 650,186 39 589,703
10 302,500 20 605,000
- - - -
- - - -
412682303.xlsx 320
45 680,427 5 75,603
- - 7 1,928,219
- - 6 1,652,759
- - - -
35 616,000 - -
- - - -
150 330,000 - -
- - - -
- - - -
- - 100 149,500
- - - -
- - 35 3,465,000
- - - -
26 1,559,129 48 2,878,392
- - - -
2 3,520,000 - -
- - - -
- - - -
4 4,840,000 - -
- - 150 7,260,000
- - - -
- - 50 1,679,975
10 40,326 40 161,304
15 60,489 45 181,467
10 40,326 40 161,304
10 40,326 40 161,304
10 40,326 40 161,304
20 80,652 30 120,978
5 330,000 15 990,000
- - - -
- - 20 1,320,000
412682303.xlsx 321
20 1,320,000 30 1,980,000
5 330,000 - -
- - - -
5 5,243,700 - -
5 8,778,000 - -
- - - -
- - - -
- - 5 6,293,100
- - - -
2 1,834,680 3 2,752,020
- - - -
3 2,422,980 - -
- - - -
- - - -
- - - -
- - - -
- - - -
6 836,880 15 2,092,200
- - - -
150 3,300,000 150 3,300,000
- - - -
- - - -
- - - -
200 3,276,020 300 4,914,030
- - - -
100 1,043,020 50 521,510
- - - -
130 744,744 250 1,432,200
- - - -
- - - -
20 394,944 - -
412682303.xlsx 322
2 35,904 18 323,136
- - 30 1,742,400
511,530,716.94 1,704,717,194.67
BUOL, 30 JUNI 2018
PENANGGUNGJAWAB

NIP. 19820818 201001 2 012
412682303.xlsx 323
BULAN JULI TAHUN 2018
Harga Satuan
Terkecil
OBAT TAHUN 2013
1 Amythriptillin 25 mg Tab Tablet 118.00 - -
1 Kertas EKG Roll 50,820.00 8 406,560
2 Kertas EKG Roll 50,000.00 10 500,000
3 Softnolime Galon 550,000.00 - -
1 Flutamol Tablet 149,500.00 169 25,265,500
2 Ibuprofen Tab 200 mg Tablet 120.64 14,000 1,688,960
3 VITAMIN B6 Tab/Kap @1 Tablet Tablet 181.91 22,000 4,002,020
1 SLIM SECHER Pcs 18,750.00 3 56,250
1 Burnazin Cream (KF) Tube 46,585.00 4 186,340
2 Catapres Injeksi (KF) Ampul 48,145.90 96 4,622,006
3 Ethambutol Tablet 500 mg (KF) Tablet 478.01 700 334,604
4 Gliseril Guaiacolat Tablet (RNI) Tablet 32.78 2,000 65,560
5 Novadiar Syrup (RNI) Botol 3,789.40 28 106,103
6 Otsu Tran 40% (RNI) Botol 97,900.00 117 11,454,300
9 Vitamin B1 Tablet (RNI) Tablet 41.58 5,000 207,900
1 Foley Catheter FR 20 (RNI) Pcs 24,200.00 26 629,200
2 Foley Catheter FR 24 (RNI) Pcs 22,000.00 20 440,000
3 Silk Black With Needle USP 4/0 HR 26 (RNI) Kotak 508,200.00 3 1,524,600
412682303.xlsx 324
Harga Satuan
Terkecil
1 Albuforce Tablet (UN) Tablet 5,390.00 1,100 5,929,000
2 Amoxicillin Tablet (DNR) Tablet 770.00 8,300 6,391,000
3 Azytromicin Syrup (TSJ) Botol 71,500.00 44 3,146,000
4 Azitum Syrup Botol 88,000.00 50 4,400,000
5 Betahistin Mesilat Tablet 6 mg (AAM) Tablet 914.10 1,600 1,462,560
6 Calsium Lactat (KF) Tablet 94.40 1,700 160,483
7 Cilostazol Tablet (DNR) Tablet 10,450.00 - -
8 Citicolin Tablet 500 mg (DNR) Tablet 7,333.33 - -
9 Desoximethasone Cream 0,25 mg (AAM) Tube 14,641.00 - -
10 Doxycycline Kapsul 100 mg (KF) Kapsul 253.00 - -
12 Epinefrin Injeksi (RNI) Ampul 8,910.00 270 2,405,700
13 Falergi (PV) Botol 66,550.00 - -
14 Flunarizine Tablet (DNR) Tablet 2,200.00 - -
15 Halloperidol Tablet 0,5 mg (IGM) Tablet 92.40 900 83,160
16 Hidrochlortiazide (KF) Tablet 171.00 - -
17 Interhistin Tablet (MBS) Tablet 726.00 1,100 798,600
18 Ketokonaole Cream 2% (KF) Tube 4,675.00 100 467,500
19 Levofloxacin Infus (DNR) Botol 110,000.00 22 2,420,000
20 Meylon (KF) Vial 7,440.40 68 505,947
21 Miotonic Injeksi (PV) Ampul 9,075.00 530 4,809,750
22 Nifedipin Tablet (AAM) Tablet 122.99 300 36,897
23 Nistatin Drops (DNR) Botol 24,200.00 80 1,936,000
27 Pyrazinamide 500 mg Tablet (KF) Tablet 234.30 - -
28 Rethapril Tablet (KF) Tablet 2,142.80 400 857,120
29 Trolip Kapsul (AAM) Kapsul 9,680.00 150 1,452,000
1 Catgut Cromic With Needle USP 3/0 DS 30 (RNI) Kotak 759,000.00 - -
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2 Feeding Tube 10 (BDM) Pcs 4,259.20 30 127,776
5 Foley Catheter FR 10 (BDM) Pcs 55,000.00 10 550,000
6 Foley Catheter FR 12 (BDM) Pcs 24,200.00 - -
7 H2O2 (BDM) Botol 77,000.00 - -
8 Jarum Kulit No. 06 (BDM) Lusin 38,500.00 - -
11 Leukoplast (RNI) Roll 45,116.50 20 902,330
12 Mata Pisau No. 23 (BDM) Pcs 3,300.00 - -
1 Acyclovir Cream (KF) Tube 3,619.00 - -
3 Acyclovir Tablet 400 mg (DNR) Tablet 870.00 2,150 1,870,502
4 Acyclovir Tablet 400 mg (ENS) Tablet 544.17 - -
5 Albuminar (AAM) Botol 1,500,000.00 - -
9 Aminofluid (KF) Bag 64,989.10 - -
10 Aminofillin Tablet (SST) Tablet 141.68 900 127,512
12 Ampicillin Injeksi (DNR) Vial 8,800.00 1,150 10,120,000
14 Antasida Tablet (RNI) Tablet 157.34 - -
15 Anti Hemoroid Suppo Suppo 3,300.00 240 792,000
16 Antrain Injeksi (ENS) Ampul 9,927.50 - -
17 Aqua Pro Injeksi (KF) Vial 2,750.00 - -
18 Arfen (Ibuprofen 400 mg) Tablet (SST) Tablet 372.68 - -
19 Arkine Tablet (SST) Tablet 638.00 500 319,000
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20 Asam Folat Tablet (RNI) Tablet 52.00 - -
21 Asam Mefenamat Tablet (ENS) Tablet 148.61 - -
24 Asam Traneksamat Tablet (DNR) Tablet 1,540.00 - -
27 Astonox Tablet (UN) Tablet 9,166.67 90 825,000
29 Bamgetol Tablet (IGM) Tablet 1,980.00 1,200 2,376,000
31 Bionemi Kapsul (PV) Kapsul 1,567.50 - -
32 Bioplacenton Cream (ENS) Tube 15,950.00 40 638,000
33 Biosat Injeksi (RNI) Ampul 165,000.00 - -
34 Bisolvon Injeksi (KF) Ampul 58,234.00 20 1,164,680
36 Bisoprolol Tablet 5 mg (RNI) Tablet 1,210.00 - -
37 Bunascan Injeksi (PV) Ampul 63,800.00 55 3,509,000
40 Captopril Tablet 12,5 mg (RNI) Tablet 97.41 1,000 97,405
42 Carbazocrome Injeksi (PV) Ampul 13,112.00 - -
43 Cartylo Tablet (KF) Tablet 616.00 - -
44 Cefadroxil Syrup /Lifadrox (SST) Botol 9,377.50 100 937,750
45 Cefixim Kapsul 200 mg (PPG) Kapsul 4,950.00 2,100 10,395,000
48 Cefobactam Injeksi (BSP) Vial 104,492.26 - -
49 Cefoperazon Sulbactam Injeksi (TSJ) Vial 144,100.00 493 71,041,300
50 Cefoperazone Sulbactam Injeksi (DNR) Vial 143,000.00 3 429,000
51 Cefoperazone Sulbactam Injeksi (ENS) Vial 88,000.00 300 26,400,000
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54 Cefuroxim Injeksi (MRP) Vial 44,000.00 - -
56 Chlorpheniramin Maleat Tablet/ Orphen (SST) Tablet 162.14 1,600 259,424
57 Chlorpromazin Tablet 100 mg (KF) Tablet 229.82 - -
58 Ciprofloxacin Infus (TSJ) Botol 77,000.00 - -
59 Ciprofloxacin Tablet (TSJ) Tablet 770.00 - -
60 Clindamycin Kapsul 150 mg (IGM) Kapsul 702.24 300 210,672
61 Clindamycin Kapsul 150 mg (PV) Kapsul 796.40 - -
62 Clindamycin Kapsul 300 mg Kapsul 1,800.00 200 359,999
63 Clindamycin Kapsul 300 mg (PPG) Kapsul 2,000.00 3,000 5,999,994
64 Clopidogrel Trombikaf Tablet (KF) Tablet 3,588.02 - -
66 Cotrimoxazol Syrup (RNI) Botol 5,954.30 124 738,333
68 Dexamethason Injeksi (PPG) Ampul 2,402.40 200 480,480
72 Dobutamin Injeksi (RNI) Ampul 73,987.90 15 1,109,819
73 Domperidon Syrup (ENS) Botol 10,120.00 - -
76 Endrolin Injeksi (ESV) Ampul 1,309,000.00 - -
77 Eperison Tablet (DNR) Tablet 1,560.90 300 468,270
79 Erysanbe Tablet 200 mg (BSP) Tablet 2,706.00 1,200 3,247,200
80 Esomax Injeksi (MBS) Vial 96,525.00 - -
82 Farbion Injeksi (UN) Ampul 5,170.00 - -
83 Farbivent Injeksi (PV) Ampul 9,350.00 - -
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84 Farelax Injeksi (PV) Ampul 77,000.00 - -
85 Farelax Injeksi (UN) Ampul 77,000.00 90 6,930,000
86 Fargoxin Injeksi (PV) Ampul 38,500.00 30 1,155,000
87 Farmabes Injeksi (PV) Vial 121,000.00 6 726,000
88 Flamicort IAD (AAM) Vial 73,000.00 17 1,241,000
89 Fucilex Cream (MBS) Tube 10,285.00 50 514,250
90 Furosemid Injeksi (AAM) Ampul 3,894.00 2,000 7,788,000
91 Furosemid Injeksi (RNI) Ampul 2,058.01 50 102,901
92 Furosemid Tablet (RNI) Tablet 191.83 - -
94 Gastrul Tablet (PV) Tablet 11,000.00 - -
95 Gelafusal (AAM) Bag 80,000.00 - -
96 Genoint Eye (PV) Botol 9,152.00 9 82,368
97 Gentamicin Cream (PV) Tube 40,012.50 100 4,001,250
98 Gentamicin Injeksi (IGM) Ampul 3,896.00 1,000 3,896,000
100 Glimepiride Tablet 2 mg (KF) Tablet 297.00 - -
101 Glucosamin Tablet (DNR) Tablet 1,842.50 200 368,500
102 Glukosa 5 % (KF) Botol 6,900.30 2,920 20,148,876
103 Halloperidol Tablet 0,5 mg (IGM) Tablet 92.68 2,000 185,350
104 Halotane Inhalasi (AAM) Botol 705,500.00 4 2,822,000
105 Hidrocortison Cream (KF) Tube 3,206.50 48 153,912
106 Hidrocortison Cream (RNI) Tube 5,720.00 - -
107 Human Albumin (KF) Botol 849,999.80 2 1,700,000
108 Hydromal (BSP) Bag 49,505.96 24 1,188,143
109 Isoniazid Tablet 100 mg (KF) Tablet 142.56 800 114,048
110 KAEN 3B (KF) Botol 10,249.80 - -
111 Kamadol Injeksi (KF) Ampul 4,533.28 - -
112 Ketamin Hameln 50 mg (APL) Vial 71,600.10 10 716,001
113 Ketorolac Injeksi 30 mg (PPG) Ampul 16,038.00 - -
115 Ketorolac Injeksi 30 mg (TSJ) Ampul 16,500.00 - -
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119 Levofloxacin Tablet (KF) Tablet 530.99 1,400 743,389
120 Lidocain Injeksi (DNR) Ampul 1,650.00 6,300 10,395,000
121 Lipomed (BSP) Bag 169,120.33 24 4,058,888
122 Loratadin Tablet (DNR) Tablet 400.00 2,000 800,008
123 Loratadin Tablet (IGM) Tablet 307.79 1,200 369,353
124 Manitol (KF) Botol 92,400.00 120 11,088,000
126 Meloxicam Tablet 7,5 mg (DNR) Tablet 830.28 - -
127 Meloxicam Tablet 7,5 mg (ENS) Tablet 418.00 2,200 919,600
134 Metronidazol Tablet (DNR) Tablet 264.00 - -
135 Miconazol Cream (KF) Tube 3,575.00 - -
136 Minkosa 5 mg Glibenclamid (SST) Tablet 133.10 1,000 133,100
137 Miotonic Injeksi (RNI) Ampul 8,250.00 1,650 13,612,500
138 Miotonic Tablet (PV) Tablet 2,915.00 - -
142 Natrium Diklofenak Tablet 50 mg Tablet 261.22 - -
143 Natrium Klorida Infus (KF) Botol 6,409.70 - -
145 Nerva Plus Tablet Tablet 2,200.00 500 1,100,000
146 Neurosanbe Tablet (BSP) Tablet 1,127.50 - -
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148 Nicardipin Injeksi (PPG) Ampul 143,000.00 200 28,600,000
149 Nicarfion Injeksi (UN) Ampul 132,000.00 250 33,000,000
150 Nocoba Injeksi (PV) Ampul 92,400.00 20 1,848,000
151 Norephinefrin Injeksi (TSJ) Ampul 66,000.00 80 5,280,000
152 Norephinefrin Levosol Injeksi (KF) Ampul 56,595.00 - -
153 Norfion Injeksi (UN) Ampul 70,400.00 150 10,560,000
156 Ondansentron Tablet (MTK) Tablet 2,016.67 210 423,500
158 Paracetamol Syrup (KF) Botol 5,065.50 144 729,432
160 Pehacain Injeksi (RNI) Ampul 3,113.06 20 62,261
161 Petidin Injeksi (KF) Ampul 13,191.42 - -
162 Phentanyl Injeksi (KF) Ampul 40,000.40 - -
163 Piracetam Kapsul 800 mg (RNI) Kapsul 883.30 300 264,990
165 Pomifar Kapsul (UN) Kapsul 4,950.00 90 445,500
166 Prednison Tablet (SST) Tablet 157.30 500 78,650
167 Pro Infark Injeksi (RNI) Ampul 13,200.00 120 1,584,000
168 Pro K Injeksi (SST) Ampul 10,890.00 - -
169 Prohem Injeksi (PV) Ampul 11,000.00 - -
170 Proliva Tablet (PV) Tablet 7,315.00 260 1,901,900
171 Propepsa Suspensi (PV) Botol 44,000.00 - -
172 Propylthiouracil Tablet (AAM) Tablet 474.80 - -
173 Prosional Suspensi (PV) Botol 14,850.00 - -
175 Ranifin Injeksi (UN) Ampul 9,680.00 - -
178 Rebamax Tablet (PV) Tablet 3,300.00 60 198,000
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181 Recolfar Tablet (PV) Tablet 4,730.00 - -
183 Reprostom Kapsul (PV) Kapsul 8,800.00 30 264,000
185 Rhodium Tablet (UN) Tablet 6,050.00 120 726,000
186 Rifampisin Tablet 450 mg (DNR) Tablet 1,870.00 400 748,000
187 Ringer Lactat (DNR) Botol 7,095.00 - -
188 Ringer Lactat (KF) Botol 370812 7,150.00 2,000 14,300,000
189 Rocum Injeksi (AAM) Ampul 99,000.00 - -
191 Salbutamol Tablet 2 mg (KF) Tablet 81.99 1,400 114,792
193 Scandones Injeksi (Gigi) Ampul 9,900.00 50 495,000
194 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 20,570.00 - -
195 SIM-DHA (PV) Botol 48,400.00 6 290,400
196 Simvastatin Tablet 10 mg (ENS) Tablet 297.00 500 148,500
197 Simvastatin Tablet 20 mg (KF) Tablet 250.01 - -
198 Sojourn (PV) Botol 2,860,000.00 - -
199 Solpenox (Amoxicillin) Syrup (SST) Botol 4,000.55 300 1,200,166
200 Spironolacton Tab 25 mg (RNI) Tablet 407.00 - -
201 Stesolid Injeksi (AAM) Ampul 4,400.62 45 198,028
202 Stesolid Rectal (AAM) Tube 13,384.25 - -
203 Tasigna (AAM) Kapsul 93,548.25 56 5,238,702
204 Terrell (PV) Botol 1,683,000.00 1 1,683,000
205 Tramadol Kapsul 50 mg (KF) Kapsul 435.47 1,900 827,389
206 Tranec Injeksi (PV) Ampul 14,520.00 - -
207 Tyarit Injeksi (PV) Ampul 27,500.00 75 2,062,500
208 Tyarit Injeksi (UN) Ampul 27,500.00 50 1,375,000
209 Umarone Injeksi (PV) Ampul 192,500.00 8 1,540,000
210 Vitamin B Comp Tablet (RNI) Tablet 80.00 - -
211 Vitamin C Tablet 100 mg (KF) Tablet 121.44 - -
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212 Zink Dispersible Tablet (KF) Tablet 585.99 500 292,996
1 Bone Wax (BDM) Pcs 116,600.00 2 233,200
2 Catgut Cromic 1 HR 37 (RNI) Kotak 777,480.00 2 1,554,960
3 Catgut Cromic 1 HR 48 (RNI) Kotak 827,640.00 7 5,793,480
4 Catgut Crmoic 2/0 (RNI) Roll 1,650,000.00 - -
5 Catgut Cromic 2 HR 40 (RNI) Kotak 827,640.00 - -
6 Catgut Cromic 2 HR 45 (DNR) Kotak 827,640.00 - -
7 Catgut Cromic 2/0 HR 26 (RNI) Kotak 825,000.00 1 825,000
9 Catgut Cromic 3/0 HR 26 (RNI) Kotak 825,000.00 5 4,125,000
10 Cuticell (BDM) Pcs 13,200.00 100 1,320,000
11 Defeloper (BDM) Set 1,282,600.00 - -
12 Disposable Syringe With Needle 1 cc New Skifa (RNI) Pcs 1,188.00 - -
16 Disposable Syringe With Needle 20 cc Stera (ISHS) Pcs 1,725.00 - -
19 Disposable Syringe With Needle 50 cc TP (BDM) Pcs 4,812.50 50 240,625
20 Elektroda Patien Monitor (BDM) Pak 275,000.00 - -
21 Endotracheal Tube FR 3 (BDM) Pcs 82,500.00 30 2,475,000
22 Endotracheal Tube FR 3,5 (BDM) Pcs 82,500.00 20 1,650,000
23 Endotracheal Tube FR 6,5 (BDM) Pcs 82,500.00 10 825,000
24 Extention Tube (BDM) Pcs 99,000.00 - -
25 Feeding Tube FR 18 (BDM) Pcs 4,259.20 20 85,184
26 Feeding Tube FR 3,5 (BDM) Pcs 38,500.00 250 9,625,000
28 Feeding Tube FR 5 (BDM) Pcs 38,500.00 - -
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31 Film 24x30 (BDM) Kotak 2,585,000.00 - -
32 Film 30x40 (BDM) Kotak 4,109,600.00 - -
33 Fixer (BDM) Set 790,900.00 - -
34 Foley Catheter 08 (RNI) Pcs 69,300.00 50 3,465,000
43 Handrub (ISHS) ml 57.20 - -
51 Handscoon ST 6,5 (RNI) Pasang 11,990.00 - -
52 Handscoon ST 7 (BDM) Pasang 8,855.00 - -
54 Hydrex Surgical Scrub (RNI) ml 215.23 15,000 3,228,479
58 Infus Set Mikro Nipro (KF) Pcs 6,374.50 400 2,549,800
59 IV Catheter 16 G Abbocath (BDM) Pcs 16,000.00 50 800,000
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63 IV Catheter 22 G Nipro (KF) Pcs 8,947.40 - -
66 IV Catheter 24 G Abbocath Pcs - - -
74 Jely (ISHS) Tube 33,981.83 - -
75 Kapas (BDM) Roll 82,208.50 - -
76 Kasa Hidrofil 40 x 80 (RNI) Roll 231,000.00 - -
78 Kertas EKG 210 (BDM) Roll 192,500.00 7 1,347,500
79 Kertas USG (BDM) Roll 352,000.00 3 1,056,000
84 Mata Pisau 20 (RNI) Pcs 1,375.00 - -
85 Mata Pisau No 15 (BDM) Pcs 4,125.00 - -
86 Mata Pisau No 20 Pcs 4,125.00 - -
87 Mucus Extractor (BDM) Pcs 30,250.00 10 302,500
88 Novo Twist 32 G (AAM) Pcs 2,083.00 - -
89 Nylon Daclon 3/0 DS 19 Kotak 825,000.00 - -
90 Nylon Daclon 5/0 DS 16 Kotak 825,000.00 6 4,950,000
91 Nylon Daclon USP 2/0 DS 19 (RNI) Kotak 825,000.00 - -
92 Nylon Daclon USP 6/0 DS 12 (RNI) Kotak 825,000.00 4 3,300,000
93 Popypropylene 5/0 HR 13 (RNI) Kotak 1,210,440.00 3 3,631,320
94 Popypropylene 6/0 HR 10 (RNI) Kotak 1,210,440.00 3 3,631,320
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95 Povidon Iodida (KF) Botol 59,766.51 - -
96 Safil 1 HR 48 Pcs 99,550.00 180 17,919,000
97 Safil Violet 2 HR 48 Pcs 93,979.60 144 13,533,062
101 Selang O2 Bayi (DA) Pcs 9,124.98 - -
103 Silk Black With Needle USP 1 HR 37 (RNI) Kotak 660,000.00 6 3,960,000
104 Silk Black With Needle USP 2 HR 37 (RNI) Kotak 660,000.00 16 10,560,000
105 Silk Black With Needle USP 2/0 HR 26 (RNI) Kotak 660,000.00 - -
107 Silk Black With Needle USP 3/0 HR 30 (RNI) Kotak 660,000.00 2 1,320,000
108 Softband 6 Inch (BDM) Roll 43,450.00 12 521,400
109 Spinocain 25 G (BDM) Pcs 48,400.00 - -
110 Spinocain 26 G (BDM) Pcs 48,400.00 300 14,520,000
111 Spinocain 27 G (BDM) Pcs 48,400.00 150 7,260,000
112 Suction Catheter 06 (BDM) Pcs 4,032.60 - -
114 Sungkup Nebulizer Anak (AAM) Pcs 28,299.98 5 141,500
115 Sungkup O2 Bayi (BDM) Pcs 66,000.00 1 66,000
119 Surgicryl Rapid 1 HR 48 (RNI) Kotak 1,544,400.00 1 1,544,400
120 Surgicryl Rapid 2/0 HR 40 (RNI) Kotak 1,491,600.00 - -
124 Urgotul 10x10 (PPG) Pcs 25,850.00 30 775,500
125 Urine Bag (KF) Pcs 6,875.00 - -
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1 Acetylcysteine Kapsul 200 mg (MRP) Kapsul AS18016 1/30/2020 1,833.33 - 1,500
2 Acetylcysteine Kapsul 200 mg (MRP) Kapsul AS18032 2/28/2020 1,833.33 - 300
3 Acyclovir Cream (KF) Tube I72813J 9/29/2022 3,438.05 100 343,805
4 Albuminar (AAM) Botol X938905 5/1/2020 1,510,000.00 10 15,100,000
5 Allopurinol Tablet (AAM) Tablet 48K0192 11/1/2021 182.02 2,300 418,639
6 Allopurinol Tablet (AP DE) Tablet 24409703 3/1/2019 30.00 - -
7 Allopurinol Tablet (RNI) Tablet HTALOA7300 6/1/2020 168.23 700 117,764
8 Alprazolam Tablet 0,5 mg (KF) Tablet C70497J2 3/29/2021 585.00 1,500 877,503
9 Alprazolam Tablet 0,5 mg (SST) Tablet 173003 11/1/2019 574.75 4,000 2,299,000
10 Ambroxol Syrup 15 mg (DNR) Botol SCB00947 1/1/2022 6,600.00 150 990,000
12 Ambroxol Syrup 15 mg (PPG) Botol A10536802 1/1/2020 7,700.00 - -
13 Ambroxol Syrup 15 mg (PPG) Botol B10536802 2/1/2020 7,700.00 - -
14 Ambroxol Syrup 15 mg (RNI) Botol 06810006 11/30/2019 5,500.00 200 1,100,000
18 Ambroxol Tablet (DNR) Tablet TPD22946 3/1/2021 330.00 5,000 1,650,000
19 Ambroxol Tablet (PPG) Tablet TPM99646 11/1/2021 330.00 - -
22 Ambroxol Tablet (TSJ) Tablet TPM99546 11/1/2021 330.00 1,200 396,000
23 Ambroxol Tablet (TSJ) Tablet TPD29447 3/1/2022 330.00 - 5,000
24 Aminofluid (KF) Botol DB71E47A 9/2/2019 64,989.10 30 1,949,673
25 Aminophyllin Injeksi (RNI) Ampul 06307031-1 11/30/2020 3,959.93 60 237,596
26 Aminophyllin Injeksi (RNI) Ampul 06307033-1 12/31/2020 3,959.93 120 475,191
27 Amlodipin Tablet 5 mg (MTK) Tablet TPM93346 11/1/2022 1,152.00 - -
28 Amlodipin Tablet 5 mg (RNI) Tablet 06465006 11/10/2019 201.67 - -
29 Amlodipin Tablet 5 mg (TAS) Tablet NP22137 6/1/2020 480.00 - -
31 Amlodipin Tablet 10 mg (DNR) Tablet PE04136 2/1/2021 330.00 4,980 1,643,400
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33 Amlodipin Tablet 10 mg (KF) Tablet L72841B 11/16/2022 95.00 - -
34 Amlodipin Tablet 10 mg (MTK) Tablet JS17031 10/1/2019 817.67 - -
37 Amlodipin Tablet 10 mg (RNI) Tablet 16466004 3/26/2020 242.00 1,070 258,940
39 Amlodipin Tablet 10 mg (SST) Tablet 74363 11/1/2020 238.33 - -
40 Amoxicillin Syrup (TSJ) Botol L10516601 11/1/2019 7,150.00 100 715,000
41 Anbacim Injeksi (BSP) Vial UE4694A 5/1/2020 60,503.36 - 200
42 Antasida Syrup (IGM) Botol 2,106.00 - 200
43 Antasida Syrup (KF) Botol S02019AH 2/2/2020 2,054.80 - -
44 Antasida Syrup (RNI) Botol 1801-04-181 1/1/2020 2,700.50 - -
45 Antasida Tablet (KF) Tablet H71504B 7/15/2020 210.60 1,700 358,012 8,000
46 Antrain Injeksi (ENS) Ampul 1014H0011 1/31/2020 10,450.00 60 627,000
47 Antrain Injeksi (ENS) Ampul 1014H0021 1/31/2020 10,450.00 240 2,508,000
48 Aqua Pro Injeksi (KF) - -
49 Aqua Pro Injeksi (KF) Vial 80C48A 3/11/2021 2,860.00 2,280 6,520,800
50 Arcapec Tablet (PV) Tablet A7H756 8/1/2019 1,100.00 500 550,000
51 Asam Mefenamat Tablet (AAM) Tablet 49D0686 9/1/2021 239.58 2,000 479,160
52 Asam Mefenamat Tablet (ESV) Tablet HTMECA76217 12/31/2019 125.00 - -
54 Asam Mefenamat Tablet (ESV) Tablet HTCMECA81281 2/29/2020 176.00 4,000 704,000
55 Asam Mefenamat Tablet (RNI) Tablet HTMECA7518 10/31/2019 176.00 - -
56 Asam Traneksamat Injeksi (AAM) Ampul 2180078 11/1/2020 2,167.84 - -
57 Asam Traneksamat Injeksi (MRP) Ampul I172270 8/31/2019 5,280.00 - -
59 Asam Traneksamat Injeksi (PPG) Ampul N10766701 12/1/2022 7,810.00 - -
60 Asam Traneksamat Injeksi (RNI) Ampul I172271 8/31/2019 5,280.00 - 1,000
61 Asam Traneksamat Tablet (DNR) Tablet TSB00847 1/1/2021 1,980.00 2,000 3,960,000
62 Asam Valproat (AAM) Botol 3272081 10/1/2019 17,789.00 30 533,670
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65 Asam Valproat (RNI) Botol 2480698 3/1/2020 49,720.00 - 20
66 Asering Infus (KF) Botol SB94J47A 10/25/2020 9,645.90 - -
67 Asering Infus (KF) Botol SB90B48B 2/21/2021 9,645.90 168 1,620,511 160
68 Asering Infus (KF) Botol SB92A48B 1/23/2021 9,645.90 - 80
69 Atropin Sulfat Injeksi (APL) Ampul 97LE0057 5/15/2021 1,800.00 200 360,000
70 Azitromycin Kapsul 500 mg (KF) Kapsul A70013J 1/4/2022 5,500.00 2,300 12,650,000
71 Betahistin Tablet (KF) Tablet EAJ338 11/1/2020 785.40 - 2,100
72 Betamethason Cream (KF) Tube J71554T 9/12/2021 1,449.80 - -
73 Betamethason Cream (RNI) Tube 06455027 12/31/2020 2,904.00 125 363,000
74 Bifotik Injeksi (BSP) Vial TM4964A 6/1/2019 73,693.03 200 14,738,605
75 Biocombin Injeksi (PV) Ampul F7K028 10/1/2019 4,950.00 - -
77 Biocombin Injeksi (PV) Ampul F7L152 11/1/2019 5,500.00 - -
78 Biocombin Injeksi (PV) Ampul F7L153 11/1/2019 5,500.00 1,200 6,600,000
79 Bionemi Kapsul (PV) Kapsul NG009 7/1/2019 1,650.00 - -
82 Bionemi Kapsul (PV) Kapsul DA017 1/1/2020 1,356.18 350 474,665
83 Bionemi Kapsul (PV) Kapsul DB015 2/1/2020 1,650.00 - -
84 Bionemi Kapsul (PV) Kapsul DC024 3/1/2020 1,650.00 - 1,000
85 Bioron Tablet (RNI) Tablet 06177004 12/9/2021 979.00 - -
87 Biosat ATS 1500 UI (RNI) Ampul 4202817 11/30/2019 165,000.00 - -
88 Biosat ATS 1500 UI (RNI) Ampul 4203517 12/31/2019 165,000.00 80 13,200,000
89 Bisolvon Injeksi (KF) Ampul 528229A 9/1/2020 58,234.00 20 1,164,680
90 Bisolvon Injeksi (KF) Ampul 6277108 2/1/2021 58,234.00 10 582,340
91 Bisoprolol Tablet (AAM) Tablet 3272119 11/1/2020 248.00 3,000 744,000
92 Bunascan Spinal Injeksi (PPG) Ampul PA0313 1/1/2020 70,400.00 - -
93 Bunascan Spinal Injeksi (PPG) Ampul PA0323 1/1/2020 70,400.00 5 352,000
94 Bunascan Spinal Injeksi (PV) Ampul TL0133 12/1/2019 66,000.00 130 8,580,000
95 Buscopan Injeksi (KF) Ampul 727068 1/1/2022 34,243.00 - -
96 Buscopan Injeksi (KF) Ampul 62463C 1/1/2022 34,243.00 - -
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97 Buscopan Injeksi (KF) Ampul 727068B 1/1/2022 34,243.00 50 1,712,150
98 Buscopan Injeksi (KF) Ampul 825182A 2/28/2023 34,243.00 - 200
99 Buscopan Tablet (KF) Tablet 17121526 11/30/2020 3,091.00 2,000 6,182,000
100 Candesartan Tablet 8 mg (AAM) Tablet 47K4143 9/1/2018 629.00 1,440 905,760
101 Candefion Tablet 8 mg (UN) Tablet BTPN01646 12/1/2019 5,500.00 600 3,300,000
102 Captopril Tablet 12,5 mg (RNI) Tablet 6323016 12/18/2022 97.41 3,000 292,215
103 Captopril Tablet 25 mg (ESV) Tablet HTCTPE76023 12/31/2020 137.75 2,000 275,506
104 Captopril Tablet 25 mg (KF) Tablet G71166B 6/18/2022 123.98 - -
105 Captopril Tablet 25 mg (RNI) Tablet 06324020 11/23/2022 103.73 - -
106 Captopril Tablet 25 mg (RNI) Tablet 06324021 11/23/2022 103.73 6,000 622,380
107 Carbazocrome Injeksi (PV) Ampul 20A457 1/1/2020 13,112.00 330 4,326,960
108 Cartylo Tablet (KF) Tablet I72080B 9/29/2020 290.00 500 145,002
109 Cartylo Tablet (KF) Tablet A80073B 12/24/2020 290.00 5,000 1,450,020
110 Cedocard Injeksi (APL) Ampul 5635502A 11/30/2020 31,000.20 80 2,480,016
111 Cefadroxil Kapsul (AAM) Kapsul 48A0218 12/1/2020 877.80 6,000 5,266,825
115 Cefadroxil Kapsul (RNI) Kapsul KCFDC70133 10/31/2020 840.00 - -
116 Cefadroxil Kapsul (RNI) Kapsul KCFDC70102 10/31/2021 840.00 1,000 840,004
117 Cefadroxil Kapsul (TSJ) Kapsul KPM36046 11/1/2022 1,210.00 - 10,000
118 Cefadroxil Syrup (RNI) Botol LCFDA70051 4/30/2020 8,200.50 - 186
119 Cefadroxil Syrup (RNI) Botol LCFDA70085 6/30/2020 8,200.50 - 48
120 Cefixim Kapsul 100 mg (RNI) Kapsul 48H0228 7/1/2020 2,394.59 - -
121 Cefixim Kapsul 100 mg (RNI) Kapsul 48H00267 8/1/2020 1,137.40 100 113,740
122 Cefixim Kapsul 100 mg (RNI) Kapsul KCFMB70191 10/31/2019 1,430.00 1,500 2,145,000
123 Cefixim Syrup (DNR) Botol SKM44245 11/1/2019 36,300.00 - -
124 Cefixim Syrup (RNI) Botol DCFMA70069 11/30/2019 19,800.00 - -
125 Cefixim Syrup (RNI) Botol 48K0409 11/1/2019 33,275.00 200 6,655,000
126 Cefotaxim Injeksi (TSJ) Vial B10336707 2/1/2020 45,100.00 - -
127 Cefotaxim Injeksi (RNI) Vial 95444083BF 5/31/2019 11,011.00 1,088 11,979,968
128 Ceftazidim Injeksi (PPG) Vial C10736801 11/15/1900 67,100.00 150 10,065,000
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129 Ceftazidim Injeksi (PPG) Vial PSD08247 3/1/2020 66,000.00 - -
132 Ceftazidim Injeksi (RNI) Vial 222027 4/30/2019 24,750.00 476 11,781,000
133 Ceftazidim Injeksi (RNI) Vial 1703201 4/30/2019 24,750.00 84 2,079,000
134 Ceftazidim Injeksi (TSJ) Vial PSN50346 12/1/2019 66,000.00 - -
136 Ceftriaxon Injeksi (DNR) Vial PSG27645 6/1/2019 26,950.00 - -
137 Ceftriaxon Injeksi (DNR) Vial PSL38346 10/1/2020 26,950.00 1,800 48,510,000
138 Ceftriaxon Injeksi (MTK) Vial PSG27645 10/1/2019 38,500.00 - -
139 Ceftriaxon Injeksi (PPG) Vial A10316820 1/1/2021 39,600.00 - -
140 Ceftriaxon Injeksi (RNI) Vial ICFEA70227 5/31/2020 11,000.00 - -
142 Ceftriaxon Injeksi (TSJ) Vial PSF20847 5/1/2021 38,500.00 - 1,200
144 Cendo Efrisel 10 % (PV) Botol 7E11222 12/1/2019 16,775.00 - -
145 Cendo Efrisel 10 % (PV) Botol 8E10113 1/1/2020 16,775.00 5 83,875
146 Cendo Efrisel 10 % (PV) Botol 8E10130 1/1/2020 16,775.00 15 251,625
147 Cendo Lyteers 15 ml (KF) Botol 7L112299 11/30/2020 24,750.00 - -
149 Cendo Lyteers 15 ml (PV) Botol 7L1106 11/1/2020 24,750.00 - -
150 Cendo Lyteers 15 ml (PV) Botol 7L1123 11/1/2020 24,750.00 150 3,712,500
152 Cendo Mydriatyl 1% (PV) Botol 7M0915 9/1/2020 42,075.00 19 799,425
153 Cendo Tropin 0,5% (PV) Botol 7T50925 9/1/2020 12,375.00 5 61,875
154 Cendo Tropin 5ml (PV) Botol 7T5122 12/1/2020 12,375.00 - 50
155 Cendo Xitrol 5 ml (KF) Botol 7X1124 5/31/2020 29,975.00 - -
156 Cendo Xitrol 5 ml Botol 7X1028 4/1/2020 29,975.00 - -
157 Cendo Xitrol 5 ml Botol 8X0105 7/1/2020 29,975.00 150 4,496,250
158 Cendo Xitrol 5 ml Botol 8X0308 9/1/2020 29,975.00 - 150
159 Cendo Xitrol EO 3,5 g (KF) Tube 89021399 2/28/2021 39,462.50 - -
160 Cendo Xitrol EO 3,5 g (PV) Tube 791102 11/1/2020 39,462.50 - -
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161 Cendo Xitrol EO 3,5 g (PV) Tube 791110 11/1/2020 39,462.50 50 1,973,125
163 Cendo Xitrol EO 3,5 g (PV) Tube 890222 2/1/2021 39,462.50 100 3,946,250
164 Cenefresh 5 ml (KF) Botol 8C011899 1/31/2021 38,362.50 50 1,918,125
165 Cenefresh 5 ml (PV) Botol 7C1127 11/1/2020 38,362.50 - -
168 Cenefresh 5 ml (PV) Botol 8C0129 1/1/2021 38,362.50 100 3,836,250
171 Cetirizine Tablet (KF) Tablet C70502J 3/5/2020 334.95 - -
172 Cetirizine Tablet (RNI) Tablet TRB75043 10/31/2019 313.50 - -
173 Cetirizine Tablet (RNI) Tablet TRB76051 11/30/2019 313.50 2,350 736,725
174 Chlorpromazin Tablet 100 mg (KF) Tablet J60004B 9/30/2019 264.28 500 132,138
175 Cilostazol Tablet (DNR) Tablet TPB01646 1/1/2020 10,450.00 1,600 16,720,000
176 Cilostazol Tablet (DNR) Tablet TPK74346 9/1/2020 10,450.00 1,400 14,630,000
177 Ciprofloxacin Infus (PPG) Botol L10156718 11/1/2021 77,000.00 76 5,852,000
178 Ciprofloxacin Tablet (ESV) Tablet HTCFXC76168 12/31/2019 473.00 1,500 709,500
179 Ciprofloxacin Tablet (RNI) Tablet HTCFXC76138 11/30/2019 473.00 - -
181 Ciprofloxacin Tablet (RNI) Tablet HTCFXC1187 1/31/2020 473.00 - 3,000
182 Citicolin Injeksi (DNR) Ampul PIL38045 10/1/2019 24,750.00 - -
183 Citicolin Injeksi (DNR) Ampul PIL38245 10/1/2019 24,750.00 450 11,137,500
184 Citicolin Injeksi (MTK) Ampul PIK09046 9/1/2020 24,750.00 - -
185 Citicolin Injeksi (PPG) Ampul A10266702 1/1/2019 19,250.00 500 9,625,000
186 Citicolin Tablet (DNR) Tablet TPC17446 2/1/2022 7,333.33 5,100 37,400,000
187 Citicolin Tablet (DNR) Tablet TPP05546 1/1/2022 7,333.33 - -
188 Citicolin Tablet (ESV) Tablet TCTLA80030 1/31/2020 4,822.33 - -
189 Clopidogrel Tablet (KF) Tablet 172088B 10/17/2019 2,999.00 - -
190 Clopidogrel Tablet (KF) Tablet K72810B 11/19/2019 2,999.00 1,800 5,398,206
191 Cotrimoxazol Tablet (KF) Tablet G71183B 6/17/2022 247.72 2,000 495,440
192 Cotrimoxazol Tablet (MTK) Tablet TPK75746 9/1/2022 275.00 300 82,500
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193 Covetor Tablet (MBS) Tablet 20G113 7/31/2019 6,600.00 150 990,000
194 Codein Tablet 10 mg (KF) Tablet F71395J 6/30/2021 657.00 1,000 656,997
195 Codein Tablet 10 mg (KF) Tablet HG1223J 8/30/2021 657.00 - -
196 Codikaf Tablet 10 mg (KF) Tablet C70718J 3/1/2021 866.25 - -
197 Codikaf Tablet 10 mg (KF) Tablet 172588J 9/29/2021 866.25 - 3,000
198 Dexamethason Injeksi (RNI) Ampul 6337002 12/31/2020 2,416.15 1,000 2,416,150
199 Dexamethason Tablet (RNI) Tablet 16338001 1/31/2021 149.03 1,000 149,028
200 Desoximethason Cream (AAM) Tube 2380406 2/1/2020 11,500.01 100 1,150,001
201 Diazepam Tablet 2 mg (KF) Tablet E71076J 5/3/2020 123.75 2,500 309,375
202 Diphenhidramin Injeksi (RNI) Ampul 06342017-2 10/31/2021 1,864.61 330 615,321
203 Dobutamin Injeksi (AAM) Ampul 2380472 2/1/2020 13,945.00 10 139,450
204 Dobutamin Injeksi (RNI) Ampul 2280283 1/1/2018 70,288.24 10 702,882
205 Dobutamin Injeksi (RNI) Ampul 2380472 2/1/2020 70,288.24 40 2,811,530
206 Domperidon Syrup (PV) Botol S2317134 1/1/2020 4,126.10 100 412,610
207 Domperidon Syrup (RNI) Botol A10276801 1/1/2020 15,400.00 200 3,080,000
208 Domperidon Syrup (RNI) Botol KLDPA7311 5/31/2020 12,650.00 29 366,850
209 Domperidon Tablet (DNR) Tablet TSH86846 12/1/2021 484.34 2,000 968,682
212 Domperidon Tablet (TSJ) Tablet TSN80045 12/1/2020 484.34 - -
213 Doxycycline Kapsul (KF) Kapsul H72017J 6/7/2022 550.17 1,000 550,165
214 Dulcolax Suppositoria (KF) Suppo 15050858 4/22/2019 16,033.60 200 3,206,720
215 Dulcolax Tablet (KF) Tablet 17111481 10/30/2020 1,329.35 800 1,063,480
216 Endrolin Injeksi (ESV) Ampul KVEDNA76173 8/6/2019 619,300.00 7 4,335,100
217 Ephedrin Injeksi (APL) Ampul 97LG0026 7/1/2021 22,000.00 30 660,000
218 Ergotamin Coffein (KF) Tablet K60415B 10/1/2020 203.50 900 183,150
219 Erlamycetin Ear Drop (PV) Botol D0652098 7/1/2019 7,095.00 134 950,730
220 Esomax Injeksi (MBS) Vial 7M1190 12/1/2019 118,800.00 - -
221 Esomax Injeksi (MBS) Vial BA0044 1/1/2020 118,800.00 98 11,642,400
222 Estazor Tablet (PV) Kapsul TH1411 8/1/2021 8,800.00 270 2,376,000
223 Estazor Tablet (PV) Kapsul TK1101 11/1/2021 9,020.00 930 8,388,600
224 Eyefresh 0,6 ml (PV) Strip 7FH61221 12/1/2020 25,437.50 - -
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226 Eyefresh 5 ml (PV) Botol 7EH1221 12/1/2020 31,762.50 - -
227 Eyefresh 5 ml (PV) Botol 8EH0123 1/1/2021 31,762.50 20 635,250
228 Eyefresh 5 ml (PV) Botol 8EH0209 2/1/2021 31,762.50 198 6,288,975
229 Farbivent Injeksi (PV) Ampul TJ0203 10/1/2019 9,350.00 280 2,618,000
230 Farbivent Injeksi (PV) Ampul PA0343 1/1/2020 9,350.00 - -
231 Farbivent Injeksi (PV) Ampul PA0343 1/1/2020 9,350.00 1,500 14,025,000
232 Farelax Injeksi (PPG) Ampul TK0013 11/1/2019 77,000.00 50 3,850,000
233 Farpresin Injeksi (PV) Vial IJ0323 10/1/2018 88,000.00 10 880,000
234 Farsorbid Injeksi (PV) Vial TD0583 4/1/2019 66,000.00 6 396,000
235 Fiondazol Infus (UN) Botol BPIL13546 10/1/2021 66,000.00 - -
236 Fiondazol Infus (UN) Botol BPIL13546 10/1/2021 39,600.00 - 200
237 Fiopraz Injeksi (UN) Vial BPSL03846 10/1/2020 110,000.00 - -
238 Flamar Tablet 25 mg (BSP) Tablet TJ8735A 9/1/2021 516.97 - -
239 Flamar Tablet 25 mg (BSP) Tablet TH8744A 12/1/2019 516.97 3,000 1,550,904
240 Floxaris Infus (MBS) Botol 7K6739 10/1/2019 186,450.00 88 16,407,600
241 Flunarizin Tablet (PPG) Tablet TPE31647 4/1/2022 2,200.00 3,500 7,700,000
242 Furosemid Tablet (KF) Tablet F70972B 5/19/2020 84.00 - -
243 Furosemid Tablet (MBS) Tablet 1709010 12/1/2021 178.34 - 3,000
244 Futrolit Infus (BSP) Bag UB3113A 2/1/2021 41,392.89 216 8,940,864
245 Gabapentin Kapsul 300 mg (AAM) Kapsul 48B0442 2/1/2019 4,235.00 - -
246 Gabapentin Kapsul 300 mg (RNI) Kapsul 48B0442 2/28/2019 6,050.00 - -
247 Gabasant Kapsul (SST) Kapsul JM002 10/1/2020 5,264.88 700 3,685,413
248 Gastrul Tablet (PV) Tablet TK1991 11/1/2019 11,440.00 1,740 19,905,600
249 Gavistral Injeksi (PV) Ampul F7L104 11/1/2019 7,700.00 5 38,500
250 Gavistral Injeksi (PV) Ampul F7L144 11/1/2019 7,700.00 160 1,232,000
251 Gelafusal Infus (AAM) Bag O0617 3/1/2020 145,015.00 - 100
252 Gelafusal Infus (RNI) Bag 00617 3/1/2020 192,500.00 - 200
253 Gentamicin Cream Kulit (KF) Tube 171455T 9/29/2021 2,019.99 - -
254 Gentamicin Cream Kulit (KF) Tube J71502T 10/6/2021 2,073.14 - -
255 Glauseta Tablet (BSP) Tablet UA2441 1/1/2020 4,625.50 500 2,312,750
256 Glauseta Tablet (BSP) Tablet DC2803 3/1/2020 4,741.00 - 200
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257 Glauseta Tablet (BSP) Tablet DD2897 4/1/2020 4,741.00 - 800
258 Glimefion Tablet 2 mg (UN) Tablet BTPL01246 10/1/2020 4,216.67 450 1,897,500
259 Glimepiride Tablet 2 mg (RNI) Tablet HTGMPF76028 12/1/2021 880.00 - 1,800
260 Glukosa 10% (KF) Botol 271106 10/31/2020 7,499.80 120 899,976
261 Glukosa 40% (KF) Vial 80G47A 7/11/2019 10,010.00 240 2,402,400
264 Graphalac Syrup (PV) Botol DA121 1/1/2020 46,750.00 - -
265 Gravix Tablet (PV) Tablet DA021 1/1/2023 1,410.75 - -
266 Gravix Tablet (PV) Tablet DC028 3/1/2023 1,410.75 - -
267 Hepamed 300 mg (SST) Tablet JY7A131 9/1/2019 9,570.00 1,350 12,919,500
268 Hidrochlortiazid Tablet (KF) Tablet I72008B 8/8/2022 178.00 - 2,000
269 Human Albumin (KF) Botol B23655 9/30/2020 880,000.00 5 4,400,000
270 Ibuprofen Syrup 100 mg (KF) Botol S05015A11 5/30/2020 2,677.40 - 100
271 Ibuprofen Tablet 400 mg (KF) Tablet KB9119606 11/1/2021 127.00 2,700 342,887
272 Inpepsa Suspensi (PV) Botol PA2241 1/1/2021 57,200.00 14 800,800
273 Inviclot Injeksi (PV) Vial TJ0173 10/1/2019 66,000.00 10 660,000
274 Inviclot Injeksi (PV) Vial PC0473 3/1/2020 66,000.00 30 1,980,000
275 Isonat Tablet 5 mg (KF) Tablet D160355B 4/1/2020 968.00 4,100 3,968,800
276 Isonat Tablet 5 mg (KF) Tablet D160355B 8/30/2020 968.00 - 2,500
277 Isoniazid Tablet 100 mg (AP DE) Tablet J60093B 10/1/2021 200.00 - 500
278 Isoniazid Tablet 100 mg (KF) Tablet J60093B 9/24/2021 142.56 - -
279 Isoniazid Tablet 300 mg (KF) Tablet G71416B 7/7/2022 170.01 - 3,000
281 Isosorbid Dinitrat Tablet 5 mg (IGM) Tablet 1707043 8/1/2021 123.02 - -
282 Itramag Suspensi (SST) Botol 802181 8/1/2021 5,009.40 - -
283 KA-EN 3B (KF) Botol 471193A 8/1/2020 10,249.80 160 1,639,968
284 Ketokonazol Tablet (RNI) Tablet 3061814 9/1/2019 450.99 450 202,946
286 Ketorolac Injeksi 30 mg (DNR) Ampul PIM52045 11/1/2020 16,038.00 - -
288 Ketorolac Injeksi 30 mg (DNR) Ampul PIC26647 2/1/2020 16,038.00 1,000 16,038,000
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289 Ketorolac Injeksi 30 mg (RNI) Ampul IKTRB70053 11/30/2019 5,000.05 - - 324
290 Ketorolac Injeksi 30 mg (RNI) Ampul IKTRB80088 1/31/2020 5,000.05 - 1,824
291 Ketorolac Injeksi 30 mg (RNI) Ampul 16459008 2/28/2021 1,834.25 212 388,861
292 Klotaren Tablet 25 mg (KF) Tablet F71208J 5/16/2022 398.99 5,000 1,994,960
293 Kolefion Tablet 20 mg (UN) Tablet BTSL01045 10/1/2019 5,500.00 420 2,310,000
294 Kolicgon Tablet (PV) Tablet T0651029 11/1/2018 1,317.37 - -
295 Lanabal Tablet (MBS) Tablet 20E033 5/31/2021 1,320.00 700 924,000
296 Lansoprazol Kapsul (DNR) Kapsul NPC03847 2/1/2021 1,621.60 1,900 3,081,036
297 Lansoprazol Kapsul (KF) Kapsul 7178109 12/31/2019 330.00 3,000 990,000
298 Lansoprazol Kapsul (PV) Kapsul EBC034D 8/1/2020 1,351.35 1,500 2,027,025
299 Lansoprazol Kapsul (RNI) Kapsul 223053 6/30/2019 1,000.01 - -
300 Lansoprazol Kapsul (RNI) Kapsul KLPSA70014 9/30/2019 1,000.01 - -
302 Levemir Flex Pen (AAM) Pen GT6A977 10/1/2019 83,950.02 - -
303 Levemir Flex Pen (AAM) Pen GT6B321 11/1/2019 83,949.99 - -
304 Levemir Flex Pen (AAM) Pen HT6E203 5/1/2020 83,950.00 - -
305 Levemir Flex Pen (AAM) Pen HT6D631 4/1/2020 83,950.00 75 6,296,250
306 LFX 0,6 ml (PV) Strip 7LF61222 6/1/2020 75,900.00 - -
307 LFX 5 ml (PV) Botol 7LF1114 5/1/2020 76,175.00 90 6,855,750 100
308 LFX 5 ml (PV) Botol 7LF1114 5/1/2020 46,750.00 - -
309 Loperamid Tablet (KF) Tablet 70310 11/1/2019 85.00 400 33,999
310 Loprezol Kapsul (KF) Kapsul HG1543J 9/30/2019 799.99 390 311,997
311 Meloxicam Tablet 15 mg (RNI) Tablet JS17040A 10/1/2019 512.60 1,400 717,640
313 Merophenem Injeksi 0,5 g (TSJ) Vial A10376701 1/1/2019 132,000.00 - -
314 Merophenem Injeksi 1 g (PPG) Vial K10326701 10/1/2020 225,500.00 170 38,335,000
315 Merophenem Injeksi 1 g (RNI) Vial IMPRA70036 11/30/2019 110,000.00 - -
316 Merophenem Injeksi 1 g (RNI) Vial IMRPA70036 11/30/2019 110,000.00 - -
319 Metformin Tablet 500 mg (AAM) Tablet 47F4152 5/1/2019 179.69 1,000 179,685
320 Metformin Tablet 500 mg (ESV) Tablet HTMFNA81606 2/29/2020 181.50 4,000 726,000
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322 Methyl Ergometrin Tablet (KF) Tablet C70296J 3/1/2022 270.60 2,500 676,500
323 Methylprednisolon Injeksi (MTK) Vial PSE14446 4/1/2021 49,500.00 - -
324 Methylprednisolon Injeksi (MTK) Vial PSN66945 12/1/2020 49,500.00 100 4,950,000
325 Methylprednisolon Injeksi (PPG) Vial L10576701 11/1/2020 51,700.00 300 15,510,000
326 Methylprednisolon Injeksi (RNI) Vial P182033 1/31/2020 23,760.00 - 300
327 Methylprednisolon Injeksi (RNI) Vial 16463014 1/31/2021 19,089.40 150 2,863,410
328 Methylprednisolon Tablet 4 mg (DNR) Tablet TPL80946 10/1/2020 528.66 - -
330 Methylprednisolon Tablet 4 mg (PPG) Tablet B10046801 2/1/2020 550.00 - -
331 Methylprednisolon Tablet 4 mg (RNI) Tablet 48E0346 4/1/2021 484.50 - -
332 Methylprednisolon Tablet 4 mg (RNI) Tablet 49B0172 2/1/2022 484.61 4,500 2,180,723
336 Methylprednisolon Tablet 4 mg (TSJ) Tablet TPC12447 2/1/2021 528.66 - 4,900
337 Metronidazol Infus (APL) Botol KY7E095 10/31/2019 8,703.20 - -
338 Metronidazol Infus (TSJ) Botol L10176703 11/1/2020 44,000.00 - -
339 Metronidazol Infus (TSJ) Botol L10176709 11/1/2020 44,000.00 - 184
340 Metronidazol Infus (TSJ) Botol L10176711 11/1/2020 44,000.00 - 316
341 Metronidazol Tablet 500 mg (PPG) Tablet TPM98846 11/1/2022 264.00 2,300 607,200
342 MgSO4 40 % (GF) Vial 86E46A 5/17/2018 2,629.00 - -
343 MgSO4 40 % (GF) Vial 3,652.00 90 328,680
344 MgSO4 40 % (MRP) Vial 92C48A 3/23/2020 3,796.10 - 240
345 Miconazol Cream (KF) Tube 172317W 9/12/2021 3,575.00 96 343,200
347 Molagit Tablet (MBS) Tablet ZN039 11/1/2022 360.80 3,000 1,082,400
348 Molaneuron Tablet (MBS) Tablet M13AJ005 1/1/2021 495.00 500 247,500
349 Moxifloxacin Infus (PV) Botol PA0383 1/1/2020 220,000.00 - -
350 Moxifloxacin Infus (PV) Botol TL0233 12/1/2019 220,000.00 - -
352 Myotonic Tablet (PV) Tablet A7G708 7/1/2019 2,915.00 - -
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353 Myotonic Tablet (PV) Tablet A7J840 9/1/2019 2,915.00 - -
354 Myotonic Tablet (PV) Tablet A7L932 11/1/2019 2,915.00 - -
355 Myotonic Tablet (PV) Tablet A8B199 2/1/2020 2,915.00 2,500 7,287,500
356 N-Ace Kapsul (PV) Kapsul TJ1471 10/1/2019 2,200.00 - -
357 N-Ace Kapsul (PV) Kapsul TK1851 11/1/2019 2,310.00 - -
358 N-Ace Kapsul (PV) Kapsul PA0541 1/1/2020 2,310.00 - -
359 N-Ace Kapsul (PV) Kapsul TL0201 12/1/2019 2,310.00 - -
360 N-Ace Kapsul (PV) Kapsul PB1601 2/1/2020 2,310.00 - 1,080
363 NaCl Piggyback (KF) Botol 48A88A 1/19/2021 15,180.00 1,240 18,823,200
364 Natacen 0,6 ml (PV) Strip 86NA60112 1/1/2020 45,787.50 - -
365 Natacen 0,6 ml (PV) Strip 8NA60126 1/1/2020 45,787.50 15 686,813
366 Natrium Klorida Infus (KF) Botol 371024 9/6/2022 6,409.70 - -
367 Natrium Klorida Infus (KF) Botol 182D01 4/1/2021 6,409.70 - 3,000
368 Natrium Klorida Infus (KF) Botol 480302 2/5/2022 6,409.70 - 2,000
369 Natrium Klorida Infus (RNI) Botol 280121 12/1/2022 6,409.70 3,580 22,946,726
370 Natrium Diklofenak Tablet 25 mg (RNI) Tablet 06364031 12/6/2022 204.93 - -
371 Natrium Diklofenak Tablet 50 mg (KF) Tablet J72895J 10/5/2022 352.64 1,900 670,012
373 Natrium Phenitoin Injeksi (RNI) Ampul 06366006 7/31/2021 11,855.58 - -
374 Natrium Phenitoin Injeksi (RNI) Ampul 06366009 11/30/2021 11,855.58 30 355,667
375 Neurosanbe Injeksi (BSP) Ampul UB3425 6/1/2019 5,324.00 - 1,200
376 Neurosanbe Tablet (BSP) Tablet TM2347C 12/1/2021 1,160.50 - -
377 Neurosanbe Tablet (BSP) Tablet UA2522 1/1/2022 1,160.50 2,700 3,133,350
378 Neurosanbe Tablet (BSP) Tablet DC2770 3/1/2022 1,160.50 - 3,200
379 Neurosanbe Tablet (BSP) Tablet DD2031B 4/1/2022 1,160.50 - 3,200
380 Nifedipin Tablet (RNI) Tablet 47G4166 5/1/2020 141.89 1,600 227,022
381 Nifedipin Tablet (RNI) Tablet 48F4106 5/1/2021 141.90 100 14,190
382 Nimodipin Infus (DNR) Botol PIM57545 11/1/2018 181,500.00 2 363,000
383 Norages Injeksi (PV) Ampul F6K594 10/1/2019 9,185.00 - -
384 Norages Injeksi (PV) Ampul F8C277 3/1/2020 9,185.00 400 3,674,000
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385 Norelut Tablet (AAM) Tablet 49B3042 1/1/2022 4,224.00 - 1,000
386 Normudal Tablet (APL) Tablet BSB089 2/28/2023 694.54 - 1,000
388 Novamaag Syrup (RNI) Botol 18040192 4/30/2022 3,712.50 50 185,625
389 Novorapid Flex Pen (AAM) Pen GR7C897 11/1/2019 86,999.99 - -
390 Novorapid Flex Pen (AAM) Pen HR7F771 5/1/2020 87,000.00 75 6,525,000
391 OAT Kategori 1 (GF) Kotak 413,979.00 - -
392 OAT Kategori Anak (GF) Kotak 224,758.00 - -
393 Oksitosin Injeksi (GF) Ampul 1,900.00 200 380,000
394 Ondancentron Injeksi 4 mg (DNR) Ampul PIH83945 7/1/2019 5,500.00 300 1,650,000
398 Ondancentron Injeksi 4 mg (MRP) Ampul I172393 1/31/2020 3,190.00 - 1,500
399 Ondancentron Injeksi 4 mg (PPG) Ampul B10426701 2/1/2020 5,500.00 1,000 5,500,000
400 Ondancentron Injeksi 4 mg (RNI) Ampul I172387 11/30/2019 3,190.00 - 500
401 Ondancentron Injeksi 4 mg (TSJ) Ampul K10426602 10/1/2019 5,500.00 - -
402 Ondancentron Injeksi 8 mg (AAM) Ampul 2170083 12/1/2018 9,680.00 - -
404 Oralit (AP DE) Sachet 500.00 - -
405 Oralit (RNI) Sachet 06373308 8/31/2020 418.00 500 209,000
406 Oxytetracyclin Salep Kulit (KF) Tube C80863W 3/7/2021 2,009.70 150 301,455
407 Oxytetracyclin Salep Mata (KF) Tube A80110W 1/1/2020 3,327.50 150 499,125
408 P. Pred 10 mg (PV) Strip 7PP61219 12/1/2019 42,075.00 - -
409 P. Pred 5 ml (PV) Botol BPP0306 3/1/2020 61,050.00 90 5,494,500 100
410 P. Pred 5 ml (PV) Botol BPP0306 3/1/2020 46,750.00 65 3,038,750
411 Pantocain 0,5 % (PV) Botol 7P11228 12/1/2020 13,337.50 - -
412 Pantocain 5 ml (PV) Botol 7P11228 12/1/2020 13,337.50 - 100
413 Pantoprazol Injeksi (MTK) Vial P172242 9/1/2019 49,500.00 - -
414 Pantoprazol Injeksi (PPG) Vial J10256706 9/1/2019 93,500.00 - -
415 Pantoprazol Injeksi (PPG) Vial J10256707 9/1/2019 93,500.00 104 9,724,000
416 Pantoprazol Injeksi (RNI) Vial 06488063 11/30/2020 37,400.00 - 270
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417 Pantoprazol Injeksi (TSJ) Vial PSD09447 3/1/2021 88,000.00 - 500
418 Pantotum Injeksi (TSJ) Vial H20266601 8/1/2018 115,500.00 - - 3
419 Pantoz Injeksi (SST) Vial LM005 12/1/2019 47,502.68 - -
420 Pantoz Injeksi (SST) Vial ET0003 5/1/2020 47,502.68 - 300
421 Paracetamol Infus (APL) Botol JY7E103 9/30/2019 12,939.30 - -
423 Paracetamol Infus (APL) Botol MY7E007 12/31/2019 11,990.00 - 58
424 Paracetamol Infus (APL) Botol QY6E070 3/31/2020 11,990.00 - 422
425 Paracetamol Infus (DNR) Botol PIL35346 10/1/2019 66,000.00 - -
426 Paracetamol Infus (PPG) Botol H10626740 8/1/2019 67,100.00 - -
428 Paracetamol Infus (PPG) Botol PIB15547 1/1/2021 66,000.00 - -
429 Paracetamol Infus (RNI) Botol 0020282A 2/29/2020 38,500.00 - 80
431 Paracetamol Infus (TSJ) Botol PIL33146 1/1/2020 66,000.00 - -
432 Paracetamol Syrup (DNR) Botol SCB03747 1/1/2022 5,500.00 206 1,133,000
433 Paracetamol Tablet (KF) Tablet D807541 4/11/2022 220.72 - 17,200
434 Paracetamol Tablet (RNI) Tablet 06711007 11/1/2022 115.50 - -
437 Paracetamol Tablet (SST) Tablet 73248 7/1/2020 157.30 - -
438 Pehacain Injeksi (RNI) Ampul 06052090 11/30/2011 3,113.06 100 311,306
439 Pehacain Injeksi (RNI) Ampul 16052006 3/31/2021 3,113.06 400 1,245,222
440 Petidin Injeksi (KF) Ampul EG0866J 5/20/2021 13,191.42 40 527,657
441 Phentanyl Injeksi (KF) Ampul 6D9K-B 10/1/2019 39,999.96 - -
442 Phentanyl Injeksi (KF) Ampul PR2L 2/1/2020 41,599.80 100 4,159,980
443 Phentanyl Injeksi (KF) Ampul 5D5JB 9/1/2020 41,599.80 - 300
444 Phyfion Injeksi (GHF) Ampul BPINI6046 1/12/2019 9,350.00 850 7,947,500
445 Phytomenadion Tablet (RNI) Tablet 95381011 10/20/2019 1,100.55 600 660,330
446 Piracetam Injeksi 1 g (AAM) Ampul 2470595 3/1/2019 4,235.00 - -
448 Piracetam Injeksi 1 g (TSJ) Ampul PID14145 3/1/2020 6,600.00 50 330,000
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449 Piracetam Injeksi 1 g (TSJ) Ampul PIF74346 5/1/2021 6,600.00 350 2,310,000
453 Piracetam Injeksi 3 g (TSJ) Ampul PIL45946 1/1/2021 20,526.00 190 3,899,940
454 Piracetam Kapsul 800 mg (AAM) Kapsul 48D0124 4/1/2020 618.31 3,000 1,854,930
455 Piroxicam Tablet 10 mg (MBS) Tablet 1706019 7/1/2020 236.62 - 1,700
456 Polydex 5 ml (PV) Botol 8PX0212 8/1/2020 39,325.00 - 10
459 Polydrex 0,6 ml (PV) Strip 7PX61120 5/1/2020 29,150.00 - -
460 Polydrex 0,6 ml (PV) Strip 7Px61228 6/1/2020 29,150.00 - -
461 Polygran 0,6 ml (PV) Strip 7PG61106 5/1/2020 19,250.00 20 385,000
462 Polygran 5 ml (PV) Botol 7PG1207 6/1/2020 34,787.50 28 974,050
463 Polynel 0,6 ml (PV) Strip 7PL61211 6/1/2020 19,662.50 5 98,313
464 Polynel 5 ml (PV) Botol 7PL0109 7/1/2020 29,562.50 31 916,438
465 Polynel 5 ml (PV) Botol 8PL0402 10/1/2020 29,562.50 49 1,448,563
466 Polynel 5 ml (PV) Botol 8PL0507 11/1/2020 29,562.50 - 100
467 Posop 0,6 ml (PV) Strip 7P061110 5/1/2020 57,750.00 - -
468 Posop 0,6 ml (PV) Strip 8P060208 8/1/2020 57,750.00 15 866,250
470 Prednicort Injeksi 125 mg (MBS) Vial 6L1055 11/1/2018 45,100.00 - -
471 Prednicort Injeksi 125 mg (MBS) Vial 7J0764 9/1/2019 45,100.00 - -
472 Pritamol Tablet (MBS) Tablet ZD008 12/1/2020 214.50 4,000 858,000
473 Profolat Tablet (KF) Tablet 1961710050 9/1/2019 62.00 1,500 92,994
474 Profolat Tablet (KF) Tablet 1961710050 9/30/2019 60.01 3,000 180,015
475 Propepsa Suspensi (PV) Botol NM123 12/1/2019 44,000.00 16 704,000
476 Propepsa Suspensi (PV) Botol DA110 1/1/2020 55,000.00 - -
477 Propepsa Suspensi (PV) Botol DD110 4/1/2020 48,400.00 - 120
478 Propylthiouracil Tablet (AAM) Tablet 48L0915 11/1/2021 474.80 2,500 1,187,010
479 Propranolol Tablet (RNI) Tablet 48L0132 11/1/2022 84.70 2,000 169,400
480 Protagenta 0,6 ml (PV) Strip 7PR61204 12/1/2020 39,462.50 - -
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481 Protocin Injeksi (PV) Ampul F6J550 9/1/2018 7,480.00 - -
482 Protocin Injeksi (PV) Ampul F7C786 3/1/2019 7,480.00 - -
483 Protocin Injeksi (PV) Ampul F7L114 11/1/2019 7,480.00 - -
484 Protocin Injeksi (PV) Ampul F8A209 1/1/2020 7,480.00 - -
485 Protocin Injeksi (PV) Ampul F8A209 1/1/2020 7,480.00 960 7,180,800
486 Pumpisel Injeksi (BSP) Vial UC3806B 4/1/2020 71,492.60 - 11
487 Pumpisel Injeksi (BSP) Vial UC3808B 3/1/2020 71,492.60 - 189
488 Pyrazinamid Tablet (AAM) Tablet 48L0877 11/1/2022 308.55 2,000 617,100
489 Pyrazinamid Tablet (KF) Tablet E70598B 4/18/2022 344.14 1,500 516,203
490 Ranitidin Injeksi (DNR) Ampul PIK10646 9/1/2020 7,040.00 160 1,126,400
491 Ranitidin Injeksi (PPG) Ampul N10356703 12/1/2020 7,150.00 - -
492 Ranitidin Injeksi (PPG) Ampul PIB08847 1/1/2021 7,040.00 2,400 16,896,000
493 Ranitidin Injeksi (PPG) Ampul N10356704 12/1/2020 7,150.00 500 3,575,000
494 Ranitidin Injeksi (TSJ) Ampul K10356719 10/1/2020 7,150.00 - -
495 Ranitidin Injeksi (TSJ) Ampul L10356721 11/1/2020 7,150.00 2,500 17,875,000
496 Ranitidin Tablet 150 mg (DNR) Tablet TSM76646 11/1/2020 660.00 9,000 5,940,000
497 Ranitidin Tablet 150 mg (RNI) Tablet TA75203 9/30/2020 220.00 - -
498 Ranitidin Tablet 150 mg (RNI) Tablet HTRNTA75200 9/30/2020 220.00 - -
499 Ranitidin Tablet 150 mg (TSJ) Tablet TSB02947 1/1/2021 660.00 - 10,000
500 Reco Tetes Mata (SST) Botol 0091017014 4/1/2019 7,700.00 75 577,500
501 Recofol N Inejeksi (AAM) Ampul 17232041 5/1/2019 94,050.00 - -
503 Recofol N Inejeksi (AAM) Ampul 17234033 5/1/2019 94,050.00 180 16,929,000
504 Recolfar Tablet (PV) Tablet PA1051 1/1/2021 4,950.00 - -
505 Recolfar Tablet (PV) Tablet PA2411 1/1/2021 4,950.00 60 297,000
506 Recolfar Tablet (PV) Tablet TJ1451 10/1/2019 4,950.00 - 300
507 Renax Kapsul (MBS) Kapsul K060G013 3/1/2021 8,030.00 300 2,409,000
508 Reprostom Tablet (PV) Tablet PD1051 4/1/2020 8,800.00 - 300
509 Revolan Injeksi (BSP) Ampul TK3431 12/1/2019 33,002.56 65 2,145,166
510 Revolan Injeksi (BSP) Ampul UB3446 2/1/2020 33,002.56 165 5,445,422
511 Ringer Lactat (RNI) Botol 571105 10/17/2019 7,150.00 8,000 57,200,000
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514 Ring AS (BSP) Bag TD3092A 4/1/2019 9,645.44 - -
515 Rocum Injeksi (AAM) Ampul 2580979 4/1/2020 99,000.00 - 50
516 Salbutamol Tablet 2 mg (RNI) Tablet 06841028 11/29/2019 97.41 - -
517 Salbutamol Tablet 2 mg (RNI) Tablet 06481029 11/29/2019 97.41 3,000 292,215
518 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 2971365 8/1/2019 21,505.00 220 4,731,100
519 Siloxan 5 ml (PV) Botol 7S10914 9/1/2020 58,025.00 20 1,160,500
520 Simprofen Tablet (PV) Tablet PF8A02 2/1/2020 6,050.00 90 544,500
521 Simvastatin Tablet 20 mg (ESV) Tablet KTSVNB76083 11/30/2019 1,026.67 1,560 1,601,600
522 Simvastatin Tablet 20 mg (KF) Tablet K72765B 7/31/2020 224.99 5,000 1,124,970 5,000
523 Simvastatin Tablet 20 mg (RNI) Tablet KTSVNB7406 8/31/2019 1,026.67 - -
524 Simvastatin Tablet 20 mg (RNI) Tablet KTSVNB76097 12/31/2019 1,026.67 - 2,400
525 Sintrol Simvastatin Tablet 10 mg (SST) Tablet THY2 5/1/2020 558.62 900 502,755
526 Sojourn (PV) Botol S19471124 8/1/2022 2,860,000.00 - -
527 Sojourn (PV) Botol S0288A30 1/1/2023 2,860,000.00 3 8,580,000
528 Spironolacton Tablet (RNI) Tablet 48G4215 6/1/2019 407.00 - 100
529 Supravenid Suppositoria (PV) Suppo G7J143 9/1/2020 12,100.00 - -
530 Supravenid Suppositoria (PV) Suppo G8A164 1/1/2021 12,100.00 100 1,210,000
531 Terrell (PV) Botol N0047A13 1/1/2022 1,683,000.00 1 1,683,000
532 Timol 0,5 % (PV) Botol 7TM1122 11/1/2020 52,525.00 - -
533 Timol 0,5 % (PV) Botol 7TM1211 12/1/2020 52,525.00 - -
534 Timol 0,5% (PV) Botol 8TM0117 1/1/2021 52,525.00 90 4,727,250
535 Tobro 0,6 ml (PV) Strip 7T060225 2/1/2020 21,037.50 - -
536 Tobro 0,6 ml (PV) Strip 7T061121 11/1/2020 21,037.50 30 631,125
537 Tobroson 0,6 ml (PV) Strip 8TS60123 7/1/2020 31,900.00 - -
538 Tobroson 5 ml (PV) Botol 7TS1128 5/1/2020 50,875.00 100 5,087,500
539 Tomit Injeksi (ENS) Ampul I004G0022 7/31/2019 10,606.75 - -
541 Tomit Injeksi (ENS) Ampul I004G0042 9/30/2019 10,606.75 100 1,060,675
542 Tomit Injeksi (ENS) Ampul I0048H0012 2/29/2020 10,606.75 200 2,121,350
543 Tomit Injeksi (ENS) Ampul I0048H0021 3/31/2020 10,606.75 50 530,338
544 Tronadex Injeksi (PV) Ampul NK305 10/1/2019 12,760.00 - -
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545 Vaksin Hepatitis B (Hb 0) (GF) Vial - -
546 Vaksin Hepatitis B (Hb 0) (GF) Vial 3653816 8/1/2018 - -
547 Valesco Tablet 80 mg (SST) Tablet KY7A119 10/1/2019 2,464.00 2,700 6,652,800
548 Vernacel Eye Drop 5 ml (PV) Botol 6VE1104 11/1/2019 20,350.00 8 162,800
549 Vitamin B Comp Tablet (KF) Tablet I71293T 9/19/2020 135.00 9,500 1,282,529
550 Vitamin C Tablet 100 mg (KF) Tablet H70084BI 9/14/2020 120.29 1,000 120,285
551 Vitamin C Tablet 100 mg (KF) Tablet C70177B 2/11/2020 121.44 - 400
552 Zink Tablet (KF) Tablet I72601J 9/14/2019 604.00 - 6,000
553 Zirkum Kid Syrup (PV) Botol E7K603 10/1/2019 28,600.00 - -
BAHAN HABIS PAKAI BLUD 2017 - -
1 Air Filter Regulator (SMAK) Pcs 605,000.00 - 2
2 Alkohol 300 ml (IHS) Botol 15,488.00 - -
5 Alkohol 1000 ml (IHS) Botol 33,000.00 11 363,000
6 Alkohol 1000 ml (MBS) Botol A03AM033 3/1/2023 19,330.01 48 927,841
10 Alkohol 1000 ml (RNI) Botol D48804 5/25/2018 24,224.98 - 60
11 Alkohol Swab (BDM) Kotak 201709 8/1/2022 26,400.00 9 237,600
12 Alkohol Swab (BDM) Kotak 201801 12/1/2022 26,400.00 - 10
13 Alkohol Swab (IHS) Kotak 11,500.00 - 10
14 Appablade AA 562021 Tunnel Blade (PK) Kotak 1,265,000.00 - -
15 Appablade AA 560009 Lance Blade (PK) Kotak 1,265,000.00 - -
16 Appablade AA 562027 Slit Blade (PK) Kotak 1,265,000.00 - -
17 Appalens IOL Model 302 Power (17.00) (PK) Pcs 121,000.00 - -
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23 Appalens IOL Model 302 Anterior Chamber Power (17.00) (P Pcs 121,000.00 - -
24 Appalens Plus Square Edge Power (20.00) (PK) Pcs 192,500.00 - - 50
25 Appasamy AA 7420 Simcoe I/A Cannula (PK) Pcs 1,353,000.00 - 2
26 Appasamy Appavisc 3 ml W/ Syringe (PK) Pcs 121,000.00 - -
27 Appasamy Cohevisc 1,4% (PK) Pcs 375,100.00 - - 20
28 Appasamy Mio-Chol (PK) Pcs 66,000.00 - -
29 Appasamy Rhex-Id (PK) Pcs 66,000.00 - -
30 Appablade AA 562027 Slit Blade (PK) Pcs 126,500.00 - -
31 Appablade AA 562021 Tunnel Blade (PK) Pcs 126,500.00 - -
32 Appablade AA 560009 Lance Blade (PK) Pcs 126,500.00 - -
33 Apron (IHS) Pcs 2,904.40 - 100
34 Bovine Aaron Cautery Low Temperature Pcs 357,500.00 - -
35 Carbacol (PK) Pcs 66,000.00 - -
36 Catgut Cromic 3/0 (BDM) Roll 170919 10/1/2022 1,760,000.00 - -
37 Catgut Cromic 3/0 (BDM) Roll 170918 10/1/2022 1,760,000.00 - 2
38 Catgut Cromic 3/0 (RNI) Roll 2030BX 6/1/2022 2,614,700.00 - -
39 Catgut Cromic With Needle 2 HR 45 Kotak 170401 4/1/2022 827,640.00 - -
40 Catgut Cromic With Needle 2 HR 45 (RNI) Kotak 170901 8/1/2022 585,420.00 - 10
41 Catgut Cromic With Needle 2/0 HR 26 Kotak 170601 5/1/2022 825,000.00 8 6,600,000
42 Catgut Cromic With Needle 2/0 HR 30 (RNI) Kotak 170901 8/1/2022 425,700.00 - 5
43 Curaspon (BDM) Pcs 2283A 5/1/2021 104,500.00 - 20
44 Developer (BDM) Set 873505 1,282,600.00 2 2,565,200
45 Developer (BDM) Set 1,282,600.00 - 2
46 Devine Meditech Eye Drepe (PK) Pcs 77,000.00 - -
47 Disposable Syringe With Needle 0,5 cc (GF) Pcs 1,536.80 - -
48 Disposable Syringe With Needle 01 cc TP (BDM) Pcs 171001 8/1/2022 843.70 600 506,220
51 Disposable Syringe With Needle 03 cc Assp (RNI) Pcs 1703201 2/1/2022 844.21 - -
52 Disposable Syringe With Needle 03 cc BD (RNI) Pcs 7128360 4/1/2022 2,336.95 - -
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55 Disposable Syringe With Needle 03 cc BD (RNI) Pcs 8022427 1/31/2023 2,224.15 2,800 6,227,606 5,400
57 Disposable Syringe With Needle 03 cc Nipro (KF)) Pcs 17J0503J 10/1/2018 1,009.80 - -
58 Disposable Syringe With Needle 03 cc Skifa (RNI) Pcs 1503403 12/1/2020 2,851.20 - -
59 Disposable Syringe With Needle 03 cc RD (RNI) Pcs 1703201 2/1/2022 802.66 - -
61 Disposable Syringe With Needle 03 cc TP (BDM) Pcs 171301 12/1/2022 851.40 - -
63 Disposable Syringe With Needle 05 cc Aximed (KF) Pcs 20170910 8/31/2022 1,159.99 50 58,000
64 Disposable Syringe With Needle 05 cc BD (RNI) Pcs 7361386 12/31/2022 2,852.85 350 998,498 1,000
65 Disposable Syringe With Needle 05 cc Nipro (KFI) Pcs 1710606J 9/1/2018 1,247.40 200 249,480
67 Disposable Syringe With Needle 05 cc TP (BDM) Pcs 171401 1/1/2022 1,013.10 - -
69 Disposable Syringe With Needle 10 cc Nipro (KF) Pcs 17J1607J 10/1/2018 1,654.40 900 1,488,960
73 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1705201 4/1/2022 1,163.00 - 2,400
74 Disposable Syringe With Needle 20 cc RD (BDM) Pcs 181601 1/1/2023 1,960.20 - 200
75 Disposable Syringe With Needle 50 cc TP (BDM) Pcs 120717 12/1/2022 4,812.50 50 240,625 75
76 Elektroda Patien Monitor (BDM) Pak 1000018635 9/1/2019 275,000.00 - -
77 Elektroda Patien Monitor (BDM) Pak 1000032062 9/1/2020 275,000.00 10 2,750,000
78 Elektroda Patien Monitor (BDM) Pak 7162X 6/1/2019 220,000.00 - 20
79 Endotracheal Tube 2,5 (BDM) Pcs 166640 6/1/2021 165,000.00 - 10
80 Endotracheal Tube 4,0 (BDM) Pcs 14FG24 5/1/2019 82,500.00 - 8
81 Endotracheal Tube 5,0 (BDM) Pcs 14C908 2/1/2019 82,500.00 - 10
82 Endotracheal Tube 6,0 (BDM) Pcs 15LG25 11/1/2020 82,500.00 - 10
83 Eye Dop Shield (PK) Pcs 13,200.00 - -
84 Feeding Tube FR 05 (BDM) Pcs 160813B 7/1/2019 33,599.50 75 2,519,963
85 Feeding Tube FR 08 (BDM) Pcs 20161020 10/1/2021 4,082.10 25 102,053
86 Feeding Tube FR 10 (BDM) Pcs 20170530 5/1/2022 4,082.10 50 204,105
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Terkecil
87 Film 30 x 40 (BDM) Kotak 43433 6/1/2020 4,109,600.00 - -
88 Film 35 x 35 (BDM) Kotak 44611 6/1/2020 4,462,700.00 - -
89 Film 35 x 35 (BDM) Kotak 44805 6/1/2020 4,462,700.00 - -
90 Film 35 x 35 (BDM) Kotak 45835 11/1/2020 4,462,700.00 5 22,313,500
91 Film 35 x 35 (BDM) Kotak 45460 4,462,700.00 - 5
92 Film Gigi (BDM) Kotak 3117008 3/1/2020 1,870,000.00 1 1,870,000
93 Film Gigi (BDM) Kotak 3117089 3/1/2020 1,870,000.00 1 1,870,000
94 Fixer (BDM) Set CAT873505 790,900.00 2 1,581,800
95 Fixer (BDM) Set 790,900.00 - 2
96 Foley Catheter 2 Way 12 (BDM) Pcs 16G10D 3/1/2021 14,994.10 - 50
97 Foley Catheter 2 Way 16 (BDM) Pcs 17-G-05H 7/1/2022 15,749.80 - -
98 Foley Catheter 2 Way 16 (BDM) Pcs 16I09 8/1/2021 24,200.00 150 3,630,000
99 Foley Catheter 2 Way 18 (BDM) Pcs 17-G-10K 9/1/2022 15,749.80 - -
100 Foley Catheter 2 Way 18 (BDM) Pcs 16G09 6/1/2021 24,200.00 90 2,178,000
101 Foley Catheter 3 Way 24 (BDM) Pcs 16K07 10/1/2021 110,000.00 40 4,400,000
102 FSBB Benang 8/0 PGA (PK) Pcs 236,500.00 - -
104 FSSB Benang 10/0 Nylon Black (PK) Pcs 198,000.00 - -
105 FSSB Benang Nylon 10/0 (PK) Kotak 3,036,000.00 - -
106 Glucocard (AAM) Botol A27801E 5/1/2019 279,950.00 20 5,599,000
110 Gypsona 6 Inch (BDM) Roll 625 6/1/2019 66,715.00 6 400,290
112 Handrub Aseptan 500 ml (IHS) Botol 45,540.00 - -
113 Handrub E Care (ESV) ml 1803268 3/1/2021 127.68 25,000 3,191,997
114 Handrub Fresco (RNI) ml 111.00 14,500 1,609,499
115 Handscoon Manual NS (BDM) Pasang 30,250.00 10 302,500
116 Handscoon NS (BDM) Pcs 17040502 3/1/2022 516.95 - -
118 Handscoon NS (BDM) Pcs 170870603 7/1/2022 527.51 - - 10,000
412682303.xlsx 357
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Terkecil
120 Handscoon NS (BDM) Pcs 17040502 3/1/2022 527.51 6,100 3,217,781 1,000
121 Handscoon NS (KF) Pcs 5161005 8/29/2021 577.50 10,000 5,775,000
122 Handscoon NS (SST) Pcs 22104900 10/1/2022 544.50 - -
123 Handscoon ST 6,5 (BDM) Pasang 17070105 6/1/2022 4,660.00 - -
127 Handscoon ST 6,5 (IHS) Pasang 4,807.00 45 216,315
129 Handscoon ST 7 (BDM) Pasang 17070105 6/1/2022 4,660.00 - -
131 Handscoon ST 7 (BDM) Pasang 17070105 6/1/2022 5,170.00 - 400
132 Handscoon ST 7 (IHS) Pasang 4,807.00 77 370,139
133 Handscoon ST 7 (RNI) Pasang 1421503 1/1/2021 11,990.00 - -
135 Handscoon ST 7,5 (BDM) Pasang 203038344SPJA 2/1/2022 8,819.80 - 400
138 Handscoon ST 7,5 (BDM) Pasang 8,819.80 - -
139 Handscoon ST 7,5 (IHS) Pasang 4,807.00 10 48,070 400
140 Handscoon ST 7,5 (RNI) Pasang 1457804 7/1/2021 11,990.00 - -
141 Hidrogen Peroksida (BM) Liter 192,500.00 - -
144 Hypavix 15 x 5 (BDM) Roll 63810230 8/1/2021 240,680.00 - -
147 Hypavix 15 x 5 (BDM) Roll 72630230 5/1/2022 240,680.00 46 11,071,280 60
148 Infus Set Makro Fesco (BDM) Pcs 20170921 9/1/2022 6,803.50 - - 400
149 Infus Set Makro Eskamed (BDM) Pcs 171020 9/1/2022 10,332.30 - 100
150 Infus Set Makro TP (BDM) Pcs 170302 3/1/2022 8,100.00 - -
412682303.xlsx 358
Harga Satuan
Terkecil
153 Infus Set Makro TP (BDM) Pcs 180320 2/1/2023 8,333.60 - 500
154 Infus Set Makro (KF) Pcs 179D48M 4/10/2023 7,920.00 150 1,188,000
155 Infus Set Makro With Air (RNI) Pcs 118P16 3/1/2021 11,680.00 - -
157 IV Catheter 16 Abbocath (BDM) Pcs 56-202-KY 7/1/2020 16,000.00 100 1,600,000
159 IV Catheter 18 Abbocath (BDM) Pcs 60201KY 11/1/2020 16,000.00 - 250
161 IV Catheter 18 Eskamed (BDM) Pcs 3295517L 9/1/2022 12,600.50 - 100
163 IV Catheter 18 Terumo (KF) Pcs 170711SD 6/30/2022 8,354.78 - -
167 IV Catheter 20 Eskamed (BDM) Pcs 3295617L 9/1/2022 12,600.50 - - 200
168 IV Catheter 20 Eskamed (BDM) Pcs 3225117H 7/1/2022 12,600.50 - 300
173 IV Catheter 20 Supercath (SMAK) Pcs 18,750.60 - 100
174 IV Catheter 20 Terumo (KF) Pcs 170828SD 7/31/2022 8,354.78 500 4,177,388
175 IV Catheter 22 Abbocath (BDM) Pcs 68-204-KY 7/1/2021 16,000.00 50 800,000 250
176 IV Catheter 22 Optiva (RNI) Pcs 2790160 9/30/2019 24,200.00 200 4,840,000
177 IV Catheter 22 Terumo (KF) Pcs 170815SE 6/30/2022 8,354.78 - -
179 IV Catheter 24 Abbocath (BDM) Pcs 69203KY 8/1/2021 16,000.00 - 200
180 IV Catheter 24 Optiva (RNI) Pcs 3200384 5/14/2021 24,200.00 100 2,420,000
182 IV Catheter 26 Eskamed (BDM) Pcs 3095315E 4/1/2020 16,956.50 100 1,695,650
412682303.xlsx 359
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Terkecil
183 Jarum Kulit No. 10 (BDM) Lusin 38,500.00 11 423,500 5
184 Jarum Kulit No. 12 (BDM) Lusin MD 16153703 38,500.00 6 231,000 5
185 Jarum Kulit No. 13 (BDM) Lusin 38,500.00 12 462,000
186 Jarum Kulit No. 14 (BDM) Lusin 38,500.00 2 77,000 1
187 Jarum Kulit No. 15 (BDM) Lusin MD 17171802 38,500.00 - - 1
188 Jarum Kulit No. 16 (BDM) Lusin 38,500.00 - 1
189 Jelly KY (BDM) Tube 1221N2 7/1/2020 110,000.00 1 110,000 24
190 Jelly Ultrasound (BDM) ml 65066C 3/1/2022 110.00 4,000 440,000
191 Jelly Ultrasound 250 ml (BDM) Botol 20170710 7/1/2020 29,700.00 21 623,700
192 Kapas 250 g (RNI) Roll 0216 10/31/2020 42,900.00 - -
193 Kapas 500 g (RNI) Roll 0216 10/31/2020 85,415.00 - -
194 Kapas 500 g (BDM) Roll 1410069 10/1/2019 82,208.50 - -
195 Kapas 500 g (BDM) Roll 1411082 11/1/2019 82,208.50 - -
196 Kapas 500 g (BDM) Roll 1411084 11/1/2019 82,208.50 - -
197 Kapas 500 g (BDM) Roll 1412099 12/1/2019 82,208.50 - -
198 Kapas 500 g (BDM) Roll 1502008 2/1/2020 82,208.50 3 246,626
199 Kapas 500 g (BDM) Roll 1503009 3/1/2020 161,370.00 - 24
200 Kapas 500 g (IHS)) Roll 31,372.00 12 376,464
201 Kapas 1000 g (BDM) Roll 1505025 5/1/2020 164,417.00 - -
202 Kapas 1000 g (BDM) Roll 1505026 5/1/2020 164,417.00 - -
203 Kasa Hidrofil 40 x 80 (BDM) Roll 165,000.00 - 75
204 Kasa Hidrofil 40 x 80 (RNI) Roll 361117 11/30/2021 233,200.00 - -
208 Kasa Hidrofil 36 x 80 (RNI) Roll 610518 5/31/2022 233,200.00 - 25
209 Kasa Hidrofil 36 x 80 (RNI) Roll 590518 5/31/2022 233,200.00 - 25
210 Kasa Hidrofil 100 x 80 (RNI) Roll 441015 10/31/2019 584,100.00 1 292,050
211 Kertas EKG 110 (BDM) Roll 165,000.00 11 1,815,000
212 Kertas EKG 210 (BDM) Roll 33815 12/1/2018 192,500.00 17 3,272,500
213 Kertas Puyer (BDM) Pak 27,500.00 15 412,500
214 Kertas Puyer (BDM) Pak 27,500.00 - 10
412682303.xlsx 360
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Terkecil
215 Kertas USG (BDM) Roll 352,000.00 10 3,520,000 4
216 Kertas USG (BDM) Roll 280717 6/1/2022 385,000.00 - 16
217 Medicrepe 6 Inch (IHS) Roll 29,150.00 12 349,800
218 Medigips 4 Inch (IHS) Roll 12,100.00 - -
219 Masker Ear Loop (BDM) Pcs 521.99 - -
220 Masker Hijab (IHS) Pcs 506.00 2,350 1,189,100 8,000
223 Masker Tie On (KF) Pcs 664043 5/1/2021 599.98 - -
224 Mata Pisau No. 11 (BDM) Pcs 4507519425 2/1/2021 4,125.00 - -
226 Mata Pisau No. 11 (BDM) Pcs 4508804703 6/1/2022 4,125.00 90 371,250
228 Mata Pisau No. 11 (BDM) Pcs 4508893156 7/1/2020 4,125.00 - 300
234 Nasal O2 Anak (BDM) Pcs 20170315 3/1/2022 15,120.60 39 589,703
235 Nasal O2 Bayi (BDM) Pcs 30,250.00 20 605,000
236 Nasal O2 Dewasa (BDM) Pcs 170712 7/1/2022 30,250.00 - -
238 Nasal O2 Dewasa (BDM) Pcs 20161030 3/1/2022 15,120.60 5 75,603
239 Nasal O2 Dewasa (BDM) Pcs 170375 1/1/2023 15,120.60 - 100
240 Nasal O2 Dewasa (IHS) Pcs 6,600.00 - 100
241 Nasal O2 Dewasa Bubble (IHS) Pcs 6,325.00 - 50
242 Nurse Cap (IHS) Kotak 38,399.00 - 10
243 Nylon Daclon 2/0 DS 24 (RNI) Kotak 275,459.91 7 1,928,219
244 Nylon Daclon 3/0 DS 19 (RNI) Kotak 275,459.91 6 1,652,759
245 Octenic Body Wash (RNI) Pak 04GL0101 9/1/2019 17,600.00 - -
412682303.xlsx 361
Harga Satuan
Terkecil
247 Octenic Body Wash (RNI) Pak 03GL0101 10/31/2019 17,600.00 - 100
248 Penjepit Tali Pusar (BDM) Pcs 03.2016 3/1/2021 2,200.00 - -
249 Penjepit Tali Pusar (BDM) Pcs 160919 9/1/2021 2,200.00 - - 200
251 Penjepit Tali Pusar (BDM) Pcs 122015 12/1/2020 2,200.00 - -
252 Penjepit Tali Pusar (IHS)) Pcs 1,495.00 100 149,500
253 Perfusor (BDM) Pcs 17G01K8411 7/1/2022 99,000.00 - -
254 Perfusor (BDM) Pcs 17D19K8411 4/1/2022 99,000.00 35 3,465,000
255 Povidon Iodida (BDM) Botol L60558W 12/1/2019 88,000.00 - -
256 Povidon Iodida (KF)) Botol K73268W 11/29/2020 59,966.50 48 2,878,392
257 Rumex CC-27 Clear Corneal/ Keratome (PK) Kotak 1,925,000.00 - -
259 Rumex CR-20 Crescent (PK) Kotak 1,672,000.00 - -
260 Rumex SP-15 Side Port Knife/ Stab (PK) Kotak 1,430,000.00 - -
261 Rumex SP-15 Stab (PK) Kotak 1,210,000.00 - -
262 Spatula (BDM) Pcs 16,500.00 - 5
263 Silk Black With Needle 2/0 HR 30 (RNI) Kotak 170912 8/1/2022 269,219.94 - 5
264 Spinocain 25 G (BDM) Pcs 17G19H8B61 7/1/2022 48,400.00 150 7,260,000
265 Spinocain 25 G (BDM) Pcs 17N0768216 12/1/2022 48,400.00 - 200
267 Stomach Tube 16 Terumo (BDM) Pcs 170315B 2/1/2022 33,599.50 50 1,679,975
268 Suction Catheter FR 6 (BDM) Pcs 20171125 11/1/2022 4,032.60 40 161,304
274 Sungkup Nebulizer Anak (BDM) Pcs 171212 11/1/2022 66,000.00 15 990,000
275 Sungkup Nebulizer Dewasa (BDM) Pcs 170305 3/1/2022 66,000.00 - -
276 Sungkup Nebulizer Dewasa (BDM) Pcs 170305 4/1/2022 66,000.00 20 1,320,000
277 Sungkup O2 Dewasa (BDM) Pcs 170523 5/1/2022 66,000.00 30 1,980,000
278 Sungkup O2 Dewasa (BDM) Pcs 170523 5/1/2022 66,000.00 - 50
412682303.xlsx 362
Harga Satuan
Terkecil
279 Sungkup O2 Dewasa NMR (BDM) Pcs 1512022020 11/1/2020 66,000.00 - 50
280 Sungkup O2 Dewasa + Kantong (BDM) Pcs 1512022020 11/1/2020 66,000.00 - -
281 Surgeon Cap (IHS) Kotak 80,960.00 - 10
282 Surgicryl 910 1 HR 36 (RNI) Kotak 150808 7/1/2020 1,518,000.00 - -
287 Surgicryl 910 2 HR 48 (RNI) Kotak 1,258,620.00 5 6,293,100
288 Surgicryl 910 2/0 HR 17 (RNI) Kotak 170210 1/30/2022 1,320,000.00 - -
289 Surgicryl 910 2/0 HR 17 (RNI) Kotak 170210 1/1/2022 917,339.94 3 2,752,020
291 Surgicryl 910 3/0 HR 30 (RNI) Kotak 807,659.93 - -
292 Surgiwear Eye Drepe 100 x 70 (PK) Pcs 77,000.00 - 50
293 Tensocrepe 4 Inch (BDM) Roll 041711073 11/1/2022 93,830.00 - -
298 Tensocrepe 6 Inch (BDM) Roll 111711281 11/1/2022 139,480.00 15 2,092,200
299 Tensocrepe 6 Inch (BDM) Roll 111711281 11/1/2022 141,185.00 - 5
301 Three Way Eskamed (BDM) Pcs 169002 8/1/2021 15,750.00 - -
302 Three Way Stop Cock (BDM) Pcs 15552-01 1/1/2023 22,000.00 150 3,300,000
303 Three Way Tro (BDM) Pcs 13958-02 6/1/2020 22,000.00 - -
305 Transfusi Set (BDM) Pcs 20170923 9/1/2022 4,847.70 - -
306 Transfusi Set (BDM) Pcs 170801 7/1/2022 16,380.10 300 4,914,030
307 Transfusi Set (BDM) Pcs 170801 9/1/2022 16,380.10 - 500
309 Transfusi Set (RNI) Pcs 423A16 2/1/2022 10,430.20 50 521,510
310 Trypan Blue (PK) Pcs 66,000.00 - -
412682303.xlsx 363
Harga Satuan
Terkecil
311 Urine Bag (BDM) Pcs 20171220 12/1/2022 5,728.80 250 1,432,200 250
312 Urine Bag (RNI) Pcs 16531 10/1/2021 6,600.00 - -
313 Urine Bag (RNI) Pcs 17046 2/1/2022 6,600.00 - -
314 Water One (IHS) Botol 19,747.20 - -
315 Water One (IHS) Botol 17,952.00 18 323,136 100
316 W Care DC (PPG) Pcs 1790901 9/1/2020 58,080.00 30 1,742,400
TOTAL 1,704,717,194.67
-


NIP : 19810727 201001 1 012 NIP. 19820918 200804 2 002
412682303.xlsx 364
P PADA GUDANG INSTALASI FARMASI
OKOYURLI KABUPATEN BUOL
N JULI TAHUN 2018
- - - - -
- - - - -
- - - 8 406,560
- - - 10 500,000
- - - - -
- - - - -
- 169 25,265,500 - -
- 14,000 1,688,960 - -
- - - 22,000 4,002,020
- - - - -
- 3 56,250 - -
- - - - -
- - - - -
- - - 4 186,340
- - - 96 4,622,006
- - - 700 334,604
- - - 2,000 65,560
- - - 28 106,103
- - - 117 11,454,300
- - - - -
- - - - -
- - - 5,000 207,900
- - - - -
- 10 242,000 16 387,200
- - - 20 440,000
- - - 3 1,524,600
412682303.xlsx 365
- - - - -
- - - 1,100 5,929,000
- 2,300 1,771,000 6,000 4,620,000
- 44 3,146,000 - -
- 50 4,400,000 - -
- 1,500 1,371,150 100 91,410
- - - 1,700 160,483
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 120 1,069,200 150 1,336,500
- - - - -
- - - - -
- - - 900 83,160
- - - - -
- 800 580,800 300 217,800
- 25 116,875 75 350,625
- - - 22 2,420,000
- - - 68 505,947
- - - 530 4,809,750
- 300 36,897 - -
- 20 484,000 60 1,452,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - 400 857,120
- - - 150 1,452,000
- - - - -
- - - - -
412682303.xlsx 366
- 30 127,776 - -
- - - 30 127,776
- - - 14 59,629
- - - 10 550,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 4 180,466 16 721,864
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 2,150 1,870,502
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 900 127,512
- - - - -
- 210 1,848,000 940 8,272,000
- - - - -
- - - - -
- 20 66,000 220 726,000
- - - - -
- - - - -
- - - - -
- 250 159,500 250 159,500
412682303.xlsx 367
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 90 825,000
- - - - -
- - - 1,200 2,376,000
- - - - -
- - - - -
- - - 40 638,000
- - - - -
- 20 1,164,680 - -
- - - - -
- - - - -
- 55 3,509,000 - -
- - - - -
- - - - -
- 500 48,703 500 48,703
- - - - -
- - - - -
- - - - -
- 100 937,750 - -
- - - 2,100 10,395,000
- - - - -
- - - - -
- - - - -
- 53 7,637,300 440 63,404,000
- 3 429,000 - -
- - - 300 26,400,000
412682303.xlsx 368
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1,600 259,424
- - - - -
- - - - -
- - - - -
- 100 70,224 200 140,448
- - - - -
- 200 359,999 - -
- 400 799,999 2,600 5,199,995
- - - - -
- - - - -
- - - 124 738,333
- - - - -
- 200 480,480 - -
- - - - -
- - - - -
- - - - -
- 10 739,879 5 369,940
- - - - -
- - - - -
- - - - -
- - - - -
- - - 300 468,270
- - - - -
- - - 1,200 3,247,200
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 369
- - - - -
- - - 90 6,930,000
- - - 30 1,155,000
- - - 6 726,000
- 7 511,000 10 730,000
- - - 50 514,250
- 200 778,800 1,800 7,009,200
- 50 102,901 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 9 82,368
- 100 4,001,250 - -
- - - 1,000 3,896,000
- - - - -
- - - - -
- 200 368,500 - -
- 1,000 6,900,300 1,920 13,248,576
- - - 2,000 185,350
- - - 4 2,822,000
- 24 76,956 24 76,956
- - - - -
- 1 850,000 1 850,000
- - - 24 1,188,143
- 800 114,048 - -
- - - - -
- - - - -
- 5 358,001 5 358,001
- - - - -
- - - - -
- - - - -
412682303.xlsx 370
- - - - -
- - - - -
- - - - -
- - - 1,400 743,389
- 800 1,320,000 5,500 9,075,000
- - - 24 4,058,888
- - - 2,000 800,008
- - - 1,200 369,353
- - - 120 11,088,000
- - - - -
- - - - -
- 500 209,000 1,700 710,600
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1,000 133,100
- - - 1,650 13,612,500
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 500 1,100,000
- - - - -
- - - - -
412682303.xlsx 371
- - - 200 28,600,000
- - - 250 33,000,000
- - - 20 1,848,000
- 40 2,640,000 40 2,640,000
- - - - -
- - - 150 10,560,000
- - - - -
- - - - -
- - - 210 423,500
- - - - -
- 144 729,432 - -
- - - - -
- 20 62,261 - -
- - - - -
- - - - -
- - - 300 264,990
- - - - -
- 90 445,500 - -
- 500 78,650 - -
- - - 120 1,584,000
- - - - -
- - - - -
- - - 260 1,901,900
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 60 198,000
- - - - -
412682303.xlsx 372
- - - - -
- - - - -
- - - - -
- 30 264,000 - -
- - - - -
- 30 181,500 90 544,500
- 300 561,000 100 187,000
- - - - -
- 2,000 14,300,000 - -
- - - - -
- - - - -
- 1,400 114,792 - -
- - - - -
- - - 50 495,000
- - - - -
- - - 6 290,400
- - - 500 148,500
- - - - -
- - - - -
- - - 300 1,200,166
- - - - -
- - - 45 198,028
- - - - -
- 28 2,619,351 28 2,619,351
- 1 1,683,000 - -
- 300 130,640 1,600 696,749
- - - - -
- - - 75 2,062,500
- - - 50 1,375,000
- - - 8 1,540,000
- - - - -
- - - - -
412682303.xlsx 373
- 500 292,996 - -
- - - - -
- - - 2 233,200
- - - 2 1,554,960
- 3 2,482,920 4 3,310,560
- - - - -
- - - - -
- - - - -
- - - 1 825,000
- - - - -
- - - 5 4,125,000
- - - 100 1,320,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 50 240,625
- - - - -
- 20 1,650,000 10 825,000
- - - 20 1,650,000
- 10 825,000 - -
- - - - -
- 20 85,184 - -
- - - 250 9,625,000
- 25 102,053 - -
- - - - -
- - - 50 204,105
- - - - -
412682303.xlsx 374
- - - - -
- - - - -
- - - - -
- - - 50 3,465,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 5,000 1,076,160 10,000 2,152,319
- - - - -
- - - - -
- - - - -
- - - 400 2,549,800
- - - 50 800,000
- - - - -
- - - - -
- - - - -
412682303.xlsx 375
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 7 1,347,500 - -
- 3 1,056,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 10 302,500
- - - - -
- - - - -
- 2 1,650,000 4 3,300,000
- - - - -
- - - 4 3,300,000
- - - 3 3,631,320
- - - 3 3,631,320
412682303.xlsx 376
- - - - -
- - - 180 17,919,000
- - - 144 13,533,062
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2 1,320,000 4 2,640,000
- 2 1,320,000 14 9,240,000
- - - - -
- - - - -
- - - 2 1,320,000
- - - 12 521,400
- - - - -
- - - 300 14,520,000
- - - 150 7,260,000
- - - - -
- - - - -
- 5 141,500 - -
- 1 66,000 - -
- - - - -
- - - - -
- - - - -
- - - 1 1,544,400
- - - - -
- - - - -
- - - - -
- - - - -
- - - 30 775,500
- - - - -
- - - - -
412682303.xlsx 377
2,750,000.00 - - 1,500 2,750,000

550,000.00 - - 300 550,000
- 25 85,951 75 257,854
- 5 7,550,000 5 7,550,000
- 300 54,605 2,000 364,034
- - - - -
- 700 117,764 - -
- 500 292,501 1,000 585,002
- - - 4,000 2,299,000
- 100 660,000 50 330,000
- - - - -
- - - - -
- - - - -
- - - 200 1,100,000
- - - - -
- - - - -
- - - - -
- - - 5,000 1,650,000
- - - - -
- - - - -
- - - - -
- 1,200 396,000 - -
1,650,000.00 1,800 594,000 3,200 1,056,000
- - - 30 1,949,673
- 60 237,596 - -
- - - 120 475,191
- - - - -
- - - - -
- - - - -
- - - - -
- 2,130 702,900 2,850 940,500
- - - - -
412682303.xlsx 378
- - - - -
- - - - -
- - - - -
- - - - -
- 1,070 258,940 - -
- - - - -
- - - - -
- 50 357,500 50 357,500
12,100,671.00 60 3,630,201 140 8,470,470
421,200.00 150 315,900 50 105,300
- - - - -
- - - - -
1,684,760.00 1,500 315,893 8,200 1,726,879
- - - 60 627,000
- - - 240 2,508,000
- - - - -
- 840 2,402,400 1,440 4,118,400
- - - 500 550,000
- 2,000 479,160 - -
- - - - -
- - - - -
- 4,000 704,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
5,280,000.00 880 4,646,400 120 633,600
- 1,000 1,980,000 1,000 1,980,000
- 15 266,835 15 266,835
- - - - -
- - - - -
412682303.xlsx 379
994,400.00 - - 20 994,400
- - - - -
1,543,344.00 192 1,852,013 136 1,311,842
771,672.00 - - 80 771,672
- - - 200 360,000
- - - 2,300 12,650,000
1,649,340.00 - - 2,100 1,649,340
- - - - -
- 75 217,800 50 145,200
- - - 200 14,738,605
- - - - -
- - - - -
- - - - -
- 920 5,060,000 280 1,540,000
- - - - -
- - - - -
- - - - -
- 350 474,665 - -
- - - - -
1,650,000.00 850 1,402,500 150 247,500
- - - - -
- - - - -
- - - - -
- - - 80 13,200,000
- 20 1,164,680 - -
- 10 582,340 - -
- 570 141,360 2,430 602,640
- - - - -
- - - 5 352,000
- 30 1,980,000 100 6,600,000
- - - - -
- - - - -
412682303.xlsx 380
- 50 1,712,150 - -
6,848,600.00 - - 200 6,848,600
- 300 927,300 1,700 5,254,700
- 720 452,880 720 452,880
- 600 3,300,000 - -
- - - 3,000 292,215
- 2,000 275,506 - -
- - - - -
- - - - -
- 4,000 414,920 2,000 207,460
- 110 1,442,320 220 2,884,640
- 500 145,002 - -
- 1,500 435,006 3,500 1,015,014
- - - 80 2,480,016
- 2,500 2,194,510 3,500 3,072,315
- - - - -
- - - - -
- - - - -
- - - - -
- 1,000 840,004 - -
12,100,000.00 - - 10,000 12,100,000
1,525,293.00 - - 186 1,525,293
393,624.00 - - 48 393,624
- - - - -
- 100 113,740 - -
- 1,000 1,430,000 500 715,000
- - - - -
- - - - -
- 50 1,663,750 150 4,991,250
- - - - -
- 676 7,443,436 412 4,536,532
- 150 10,065,000 - -
412682303.xlsx 381
- - - - -
- - - - -
- - - - -
- 196 4,851,000 280 6,930,000
- 84 2,079,000 - -
- - - - -
- - - - -
- - - - -
- 1,200 32,340,000 600 16,170,000
- - - - -
- - - - -
- - - - -
- - - - -
46,200,000.00 - - 1,200 46,200,000
- - - - -
- - - - -
- - - 5 83,875
- - - 15 251,625
- - - - -
- - - - -
- - - - -
- 150 3,712,500 - -
- - - - -
- 10 420,750 9 378,675
- 5 61,875 - -
618,750.00 - - 50 618,750
- - - - -
- - - - -
- 100 2,997,500 50 1,498,750
4,496,250.00 - - 150 4,496,250
- - - - -
- - - - -
412682303.xlsx 382
- - - 50 1,973,125
- - - - -
- - - 100 3,946,250
- 50 1,918,125 - -
- - - - -
- - - - -
- - - - -
- - - 100 3,836,250
- - - - -
- - - - -
- - - - -
- - - - -
- 1,060 332,310 1,290 404,415
- 110 29,070 390 103,067
- - - 1,600 16,720,000
- - - 1,400 14,630,000
- 30 2,310,000 46 3,542,000
- 1,500 709,500 - -
- - - - -
- - - - -
1,419,000.00 1,000 473,000 2,000 946,000
- - - - -
- - - 450 11,137,500
- - - - -
- 420 8,085,000 80 1,540,000
- 1,500 11,000,000 3,600 26,400,000
- - - - -
- - - - -
- - - - -
- 600 1,799,402 1,200 3,598,804
- - - 2,000 495,440
- - - 300 82,500
412682303.xlsx 383
- 150 990,000 - -
- 1,000 656,997 - -
- - - - -
- - - - -
2,598,750.00 2,000 1,732,500 1,000 866,250
- 600 1,449,690 400 966,460
- 1,000 149,028 - -
- 10 115,000 90 1,035,000
- 100 12,375 2,400 297,000
- 270 503,445 60 111,877
- - - 10 139,450
- - - 10 702,882
- - - 40 2,811,530
- 21 86,648 79 325,962
- - - 200 3,080,000
- 29 366,850 - -
- 1,500 726,512 500 242,171
- - - - -
- - - - -
- - - - -
- - - 1,000 550,165
- - - 200 3,206,720
- 200 265,870 600 797,610
- - - 7 4,335,100
- 30 660,000 - -
- - - 900 183,150
- 10 70,950 124 879,780
- - - - -
- 28 3,326,400 70 8,316,000
- 120 1,056,000 150 1,320,000
- - - 930 8,388,600
- - - - -
412682303.xlsx 384
- - - - -
- - - - -
- - - 20 635,250
- - - 198 6,288,975
- 280 2,618,000 - -
- - - - -
- 220 2,057,000 1,280 11,968,000
- - - 50 3,850,000
- - - 10 880,000
- - - 6 396,000
- - - - -
7,920,000.00 - - 200 7,920,000
- - - - -
- - - - -
- 2,500 1,292,420 500 258,484
- 24 4,474,800 64 11,932,800
- - - 3,500 7,700,000
- - - - -
535,029.42 500 89,172 2,500 445,858
- - - 216 8,940,864
- - - - -
- - - - -
- 700 3,685,413 - -
- 300 3,432,000 1,440 16,473,600
- - - 5 38,500
- - - 160 1,232,000
14,501,500.20 30 4,350,450 70 10,151,050
38,500,000.00 - - 200 38,500,000
- - - - -
- - - - -
- 500 2,312,750 - -
948,200.00 - - 200 948,200
412682303.xlsx 385
3,792,800.00 - - 800 3,792,800

- 450 1,897,500 - -
1,584,000.00 300 264,000 1,500 1,320,000
- 40 299,992 80 599,984
- - - 240 2,402,400
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1,350 12,919,500
356,004.00 - - 2,000 356,004
- - - 5 4,400,000
267,740.00 - - 100 267,740
- 1,000 126,995 1,700 215,892
- 14 800,800 - -
- 10 660,000 - -
- 10 660,000 20 1,320,000
- 4,100 3,968,800 - -
2,420,000.00 50 48,400 2,450 2,371,600
100,000.00 500 100,000 - -
- - - - -
510,015.00 1,000 170,005 2,000 340,010
- - - - -
- - - - -
- - - - -
- - - 160 1,639,968
- - - 450 202,946
- - - - -
- - - - -
- - - - -
- 1,000 16,038,000 - -
412682303.xlsx 386
1,620,016.20 324 1,620,016 - -

9,120,091.20 1,824 9,120,091 - -
- 212 388,861 - -
- - - 5,000 1,994,960
- 420 2,310,000 - -
- - - - -
- - - 700 924,000
- 1,440 2,335,101 460 745,935
- - - 3,000 990,000
- 1,500 2,027,025 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 25 2,098,750 50 4,197,500
- - - - -
7,617,500.00 40 3,047,000 150 11,426,250
- - - - -
- 400 33,999 - -
- - - 390 311,997
- 1,400 717,640 - -
- - - - -
- - - - -
- 111 25,030,500 59 13,304,500
- - - - -
- - - - -
7,700,000.00 - - 70 7,700,000
7,700,000.00 - - 70 7,700,000
- 1,000 179,685 - -
- 1,500 272,250 2,500 453,750
412682303.xlsx 387
- - - - -
- 1,400 378,840 1,100 297,660
- - - - -
- 100 4,950,000 - -
- 24 1,240,800 276 14,269,200
7,128,000.00 - - 300 7,128,000
- 150 2,863,410 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 4,500 2,180,723 - -
- - - - -
- - - - -
- - - - -
2,590,434.00 1,000 528,660 3,900 2,061,774
- - - - -
- - - - -
8,096,000.00 184 8,096,000 - -
13,904,000.00 116 5,104,000 200 8,800,000
- - - 2,300 607,200
- - - - -
- - - 90 328,680
911,064.00 - - 240 911,064
- - - 96 343,200
- - - - -
- - - 3,000 1,082,400
- 500 247,500 - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 388
- - - - -
- - - - -
- 1,600 4,664,000 900 2,623,500
- - - - -
- - - - -
- - - - -
- - - - -
2,494,800.00 480 1,108,800 600 1,386,000
- - - - -
- - - - -
- 160 2,428,800 1,080 16,394,400
- - - - -
- - - 15 686,813
- - - - -
19,229,100.00 - - 3,000 19,229,100
12,819,400.00 - - 2,000 12,819,400
- 1,980 12,691,206 1,600 10,255,520
- - - - -
- 500 176,319 1,400 493,693
- - - - -
- - - - -
- 30 355,667 - -
6,388,800.00 - - 1,200 6,388,800
- - - - -
- 2,700 3,133,350 - -
3,713,600.00 1,800 2,088,900 1,400 1,624,700
3,713,600.00 - - 3,200 3,713,600
- 100 14,189 1,500 212,834
- 100 14,190 - -
- 1 181,500 1 181,500
- - - - -
- 250 2,296,250 150 1,377,750
412682303.xlsx 389
4,224,000.00 250 1,056,000 750 3,168,000

694,540.00 500 347,270 500 347,270
- - - - -
- 50 185,625 - -
- - - - -
- 35 3,045,000 40 3,480,000
- - - - -
- - - - -
- - - 200 380,000
- 300 1,650,000 - -
- - - - -
- - - - -
- - - - -
4,785,000.00 - - 1,500 4,785,000
- 1,000 5,500,000 - -
1,595,000.00 50 159,500 450 1,435,500
- - - - -
- - - - -
- - - - -
- - - - -
- - - 500 209,000
- - - 150 301,455
- - - 150 499,125
- - - - -
6,105,000.00 41 2,503,050 149 9,096,450
- 65 3,038,750 - -
- - - - -
1,333,750.00 - - 100 1,333,750
- - - - -
- - - - -
- 104 9,724,000 - -
10,098,000.00 270 10,098,000 - -
412682303.xlsx 390
44,000,000.00 500 44,000,000 - -

346,500.00 3 346,500 - -
- - - - -
14,250,802.50 - - 300 14,250,803
- - - - -
- - - - -
695,420.00 58 695,420 - -
5,059,780.00 86 1,031,140 336 4,028,640
- - - - -
- - - - -
- - - - -
- - - - -
3,080,000.00 80 3,080,000 - -
- - - - -
- - - - -
- 6 33,000 200 1,100,000
3,796,298.00 8,000 1,765,720 9,200 2,030,578
- - - - -
- - - - -
- - - - -
- - - - -
- 80 249,044 20 62,261
- - - 400 1,245,222
- 40 527,657 - -
- - - - -
- 100 4,159,980 - -
12,479,940.00 50 2,079,990 250 10,399,950
- 205 1,916,750 645 6,030,750
- - - 600 660,330
- - - - -
- - - - -
- - - 50 330,000
412682303.xlsx 391
- - - 350 2,310,000
- - - - -
- - - - -
- - - - -
- - - 190 3,899,940
- - - 3,000 1,854,930
402,253.50 260 61,521 1,440 340,732
393,250.00 - - 10 393,250
629,200.00 - - 16 629,200
2,910,050.00 - - 74 2,910,050
- - - - -
- - - - -
- - - 20 385,000
- - - 28 974,050
- 5 98,313 - -
- 31 916,438 - -
- 19 561,688 30 886,875
2,956,250.00 - - 100 2,956,250
- - - - -
- - - 15 866,250
- - - - -
- - - - -
- - - - -
- - - 4,000 858,000
- 1,000 61,996 500 30,998
- - - 3,000 180,015
- 16 704,000 - -
- - - - -
5,808,000.00 72 3,484,800 48 2,323,200
- 500 237,402 2,000 949,608
- 1,000 84,700 1,000 84,700
- - - - -
412682303.xlsx 392
- - - - -
- - - - -
- - - - -
- - - - -
- 240 1,795,200 720 5,385,600
786,418.60 - - 11 786,419
13,512,101.40 - - 189 13,512,101
- - - 2,000 617,100
- 500 172,068 1,000 344,135
- 160 1,126,400 - -
- - - - -
- 2,400 16,896,000 - -
- 500 3,575,000 - -
- - - - -
- 300 2,145,000 2,200 15,730,000
- 7,100 4,686,000 1,900 1,254,000
- - - - -
- - - - -
6,600,000.00 - - 10,000 6,600,000
- - - 75 577,500
- - - - -
- - - - -
- 40 3,762,000 140 13,167,000
- - - - -
- 60 297,000 - -
1,485,000.00 300 1,485,000 - -
- - - 300 2,409,000
2,640,000.00 120 1,056,000 180 1,584,000
- - - 65 2,145,166
- - - 165 5,445,422
- 240 1,716,000 7,760 55,484,000
- - - - -
412682303.xlsx 393
- - - - -
- - - - -
4,950,000.00 - - 50 4,950,000
- - - - -
- 1,600 155,848 1,400 136,367
- 50 1,075,250 170 3,655,850
- - - 20 1,160,500
- - - 90 544,500
- 1,560 1,601,600 - -
1,124,970.00 - - 10,000 2,249,940
- - - - -
2,464,000.00 1,000 1,026,667 1,400 1,437,333
- - - 900 502,755
- - - - -
- - - 3 8,580,000
40,700.00 - - 100 40,700
- - - - -
- 50 605,000 50 605,000
- - - 1 1,683,000
- - - - -
- - - - -
- 72 3,781,800 18 945,450
- - - - -
- - - 30 631,125
- - - - -
- - - 100 5,087,500
- - - - -
- - - - -
- 100 1,060,675 - -
- - - 200 2,121,350
- - - 50 530,338
- - - - -
412682303.xlsx 394
- - - - -
- - - - -
- 2,700 6,652,800 - -
- - - 8 162,800
- 1,900 256,506 7,600 1,026,023
- 1,000 120,285 - -
48,576.00 400 48,576 - -
3,623,994.00 1,500 905,999 4,500 2,717,996
- - - - -
- - - - -
1,210,000.00 - - 2 1,210,000
- - - - -
- - - - -
- - - - -
- 11 363,000 - -
- 48 927,841 - -
- - - - -
- - - - -
- - - - -
1,453,498.86 15 363,375 45 1,090,124
- 5 132,000 4 105,600
264,000.00 - - 10 264,000
115,000.00 - - 10 115,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 395
- - - - -
9,625,000.00 50 9,625,000 - -
2,706,000.00 2 2,706,000 - -
- - - - -
7,502,000.00 20 7,502,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
290,440.00 100 290,440 - -
- - - - -
- - - - -
- - - - -
3,520,000.00 1 1,760,000 1 1,760,000
- - - - -
- - - - -
5,854,200.00 2 1,170,840 8 4,683,360
- - - 8 6,600,000
2,128,500.00 - - 5 2,128,500
2,090,000.00 5 522,500 15 1,567,500
- 2 2,565,200 - -
2,565,200.00 - - 2 2,565,200
- - - - -
- - - - -
- 600 506,220 - -
1,479,599.00 400 328,800 1,400 1,150,799
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 396
12,010,383.00 6,400 14,234,528 1,800 4,003,461

1,551,599.50 - - 1,800 1,551,600
- - - - -
- - - - -
- - - - -
3,103,199.00 - - 3,600 3,103,199
- - - - -
- - - - -
- - - 50 58,000
2,852,850.00 400 1,141,140 950 2,710,208
- - - 200 249,480
3,466,799.60 1,600 1,540,800 2,000 1,926,000
- - - - -
- - - - -
- 900 1,488,960 - -
- - - - -
- - - - -
- - - - -
2,791,199.40 1,100 1,279,300 1,300 1,511,900
392,040.00 - - 200 392,040
360,937.50 25 120,313 100 481,250
- - - - -
- 10 2,750,000 - -
4,400,000.00 10 2,200,000 10 2,200,000
1,650,000.00 - - 10 1,650,000
660,000.00 - - 8 660,000
825,000.00 - - 10 825,000
825,000.00 - - 10 825,000
- - - - -
- 25 839,988 50 1,679,975
- - - 25 102,053
- - - 50 204,105
412682303.xlsx 397
- - - - -
- - - - -
- - - - -
- 5 22,313,500 - -
22,313,500.00 - - 5 22,313,500
- 1 1,870,000 - -
- 1 1,870,000 - -
- 2 1,581,800 - -
1,581,800.00 - - 2 1,581,800
749,705.00 - - 50 749,705
- - - - -
- 40 968,000 110 2,662,000
- - - - -
- 50 1,210,000 40 968,000
- 10 1,100,000 30 3,300,000
- - - - -
- - - - -
- - - - -
- - - - -
- 20 5,599,000 - -
- - - - -
- - - - -
- - - - -
- 6 400,290 - -
1,601,160.00 4 266,860 20 1,334,300
- - - - -
- 20,500 2,617,437 4,500 574,559
- 13,000 1,442,999 1,500 166,500
- - - 10 302,500
- - - - -
- - - - -
5,275,050.00 6,000 3,165,030 4,000 2,110,020
412682303.xlsx 398
- - - - -
527,505.00 7,100 3,745,286 - -
- 10,000 5,775,000 - -
- - - - -
- - - - -
- - - - -
1,034,000.00 200 1,034,000 - -
2,068,000.00 110 568,700 290 1,499,300
- 45 216,315 - -
- - - - -
- - - - -
- - - - -
2,068,000.00 45 232,650 355 1,835,350
- 77 370,139 - -
- - - - -
- - - - -
3,527,920.00 217 1,913,897 183 1,614,023
2,068,000.00 - - 400 2,068,000
- - - - -
- - - - -
1,922,800.00 410 1,970,870 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
14,440,800.00 80 19,254,400 26 6,257,680
2,721,400.00 - - 400 2,721,400
1,033,230.00 - - 100 1,033,230
- - - - -
412682303.xlsx 399
- - - - -
- - - - -
4,166,800.00 300 2,500,080 200 1,666,720
- 150 1,188,000 - -
- - - - -
- - - - -
- - - 100 1,600,000
- 150 2,400,000 - -
4,000,000.00 50 800,000 200 3,200,000
- - - - -
1,260,050.00 - - 100 1,260,050
- - - - -
- - - - -
- - - - -
- - - - -
- 300 4,800,000 100 1,600,000
2,520,100.00 - - 200 2,520,100
3,780,150.00 - - 300 3,780,150
- - - - -
- - - - -
- - - - -
- - - - -
1,875,060.00 100 1,875,060 - -
- 500 4,177,388 - -
4,000,000.00 - - 300 4,800,000
- 200 4,840,000 - -
- - - - -
- 150 2,925,000 - -
3,200,000.00 - - 200 3,200,000
- 100 2,420,000 - -
- - - - -
- - - 100 1,695,650
412682303.xlsx 400
192,500.00 4 154,000 12 462,000

192,500.00 11 423,500 - -
- 3 115,500 9 346,500
38,500.00 3 115,500 - -
38,500.00 1 38,500 - -
38,500.00 1 38,500 - -
2,640,000.00 4 440,000 21 2,310,000
- 4,000 440,000 - -
- 9 267,300 12 356,400
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 3 246,626 - -
3,872,880.00 11 1,775,070 13 2,097,810
- 12 376,464 - -
- - - - -
- - - - -
12,375,000.00 60 9,900,000 15 2,475,000
- - - - -
- - - - -
- - - - -
- - - - -
5,830,000.00 - - 25 5,830,000
5,830,000.00 - - 25 5,830,000
- 1 292,050 - -
- 8 1,320,000 3 495,000
- 4 770,000 13 2,502,500
- 11 302,500 4 110,000
275,000.00 - - 10 275,000
412682303.xlsx 401
1,408,000.00 14 4,928,000 - -
6,160,000.00 3 1,155,000 13 5,005,000
- - - 12 349,800
- - - - -
- - - - -
4,048,000.00 9,400 4,756,400 950 480,700
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 90 371,250 - -
- 100 412,500 - -
1,237,500.00 100 412,500 200 825,000
- - - - -
- 185 763,125 - -
- - - - -
- 81 334,125 - -
2,062,500.00 155 639,375 345 1,423,125
- 23 347,774 16 241,930
- 15 453,750 5 151,250
- - - - -
- - - - -
- 5 75,603 - -
1,512,060.00 90 1,360,854 10 151,206
660,000.00 55 363,000 45 297,000
316,250.00 - - 50 316,250
383,990.00 10 383,990 - -
- - - 7 1,928,219
- - - 6 1,652,759
- - - - -
- - - - -
412682303.xlsx 402
1,760,000.00 76 1,337,600 24 422,400

- - - - -
440,000.00 - - 200 440,000
- - - - -
- - - - -
- 100 149,500 - -
- - - - -
- 35 3,465,000 - -
- - - - -
- 21 1,259,297 27 1,619,096
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
82,500.00 3 49,500 2 33,000
1,346,099.70 3 807,660 2 538,440
- 100 4,840,000 50 2,420,000
9,680,000.00 - - 200 9,680,000
- - - - -
- - - 50 1,679,975
- 10 40,326 30 120,978
- 35 141,141 10 40,326
- 30 120,978 10 40,326
- 10 40,326 30 120,978
- 10 40,326 30 120,978
- 20 80,652 10 40,326
- 3 198,000 12 792,000
- - - - -
- 20 1,320,000 - -
- 30 1,980,000 - -
3,300,000.00 9 594,000 41 2,706,000
412682303.xlsx 403
3,300,000.00 20 1,320,000 30 1,980,000

- - - - -
809,600.00 10 809,600 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2 2,517,240 3 3,775,860
- - - - -
- - - 3 2,752,020
- - - - -
- - - - -
3,850,000.00 50 3,850,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 15 2,092,200 - -
705,925.00 5 705,925 - -
988,295.00 7 988,295 - -
- - - - -
- 150 3,300,000 - -
- - - - -
- - - - -
- - - - -
- 200 3,276,020 100 1,638,010
8,190,050.00 - - 500 8,190,050
- - - - -
- 50 521,510 - -
- - - - -
412682303.xlsx 404
1,432,200.00 250 1,432,200 250 1,432,200

- - - - -
- - - - -
- - - - -
1,795,200.00 82 1,472,064 36 646,272
- 10 580,800 20 1,161,600
706,565,167.58 816,219,604.99 1,595,062,757.26
BUOL, 31 JULI 2018
PENANGGUNGJAWAB

NIP. 19820818 201001 2 012
412682303.xlsx 405
BULAN AGUSTUS TAHUN 2018
Harga Satuan
No NAMA SEDIAAN Satuan Batch Kedaluwarsa Jml Nilai Stock Awal Masuk
Terkecil
1 OBAT TAHUN 2013 - - -
2 Amythriptillin 25 mg Tab Tablet - - 118.00 - - -
3 BAHAN HABIS PAKAI 2013 - - - - - - -
4 Kertas EKG Roll - - 50,820.00 8 406,560.00 -
5 Kertas EKG Roll - - 50,000.00 10 500,000.00 -
6 Softnolime Galon - - 550,000.00 - - -
7 OBAT PENGADAAN 2014 - - - - - - -
8 Flutamol Tablet - - 149,500.00 - - -
9 Ibuprofen Tab 200 mg Tablet - - 120.64 - - -
10 VITAMIN B6 Tab/Kap @1 Tablet Tablet - - 181.91 22,000 4,002,020.00 -
12 SLIM SECHER Pcs - - 18,750.00 - - -
14 OBAT BLUD 2015 - - - - - - -
15 Burnazin Cream (KF) Tube - - 46,585.00 4 186,340.00 -
16 Catapres Injeksi (KF) Ampul - - 48,145.90 96 4,622,006.40 -
17 Ethambutol Tablet 500 mg (KF) Tablet - - 478.01 700 334,603.50 -
18 Gliseril Guaiacolat Tablet (RNI) Tablet - - 32.78 2,000 65,560.00 -
19 Novadiar Syrup (RNI) Botol - - 3,789.40 28 106,103.20 -
20 Otsu Tran 40% (RNI) Botol - - 97,900.00 117 11,454,300.00 -
21 Phytomenadion Tablet (RNI) Tablet - - 748.69 - - -
22 Rivanol (RNI) Botol - - 4,125.00 - - -
23 Vitamin B1 Tablet (RNI) Tablet - - 41.58 5,000 207,900.00 -
24 BAHAN HABIS PAKAI BLUD - - - - - - -
25 Foley Catheter FR 20 (RNI) Pcs - - 24,200.00 16 387,200.00 -
27 Silk Black With Needle USP 4/0 HR 26 (RNI) Kotak - - 508,200.00 3 1,524,600.00 -
412682303.xlsx 406
Harga Satuan
Terkecil
28 OBAT BLUD 2016 - - - - - - -
29 Albuforce Tablet (UN) Tablet - - 5,390.00 1,100 5,929,000.00 -
30 Amoxicillin Tablet (DNR) Tablet - - 770.00 6,000 4,620,000.00 -
31 Azytromicin Syrup (TSJ) Botol - - 71,500.00 - - -
32 Azitum Syrup Botol - - 88,000.00 - - -
33 Betahistin Mesilat Tablet 6 mg (AAM) Tablet - - 914.10 100 91,410.00 -
34 Calsium Lactat (KF) Tablet - - 94.40 1,700 160,483.40 -
35 Cilostazol Tablet (DNR) Tablet - - 10,450.00 - - -
36 Citicolin Tablet 500 mg (DNR) Tablet - - 7,333.33 - - -
37 Desoximethasone Cream 0,25 mg (AAM) Tube - - 14,641.00 - - -
38 Doxycycline Kapsul 100 mg (KF) Kapsul - - 253.00 - - -
39 Dulcolax Suppo (KF) Suppo - - 14,137.20 - - -
40 Epinefrin Injeksi (RNI) Ampul - - 8,910.00 150 1,336,500.00 -
41 Falergi (PV) Botol - - 66,550.00 - - -
42 Flunarizine Tablet (DNR) Tablet - - 2,200.00 - - -
43 Halloperidol Tablet 0,5 mg (IGM) Tablet - - 92.40 900 83,160.00 -
44 Hidrochlortiazide (KF) Tablet - - 171.00 - - -
45 Interhistin Tablet (MBS) Tablet - - 726.00 300 217,800.00 -
46 Ketokonaole Cream 2% (KF) Tube - - 4,675.00 75 350,625.00 -
47 Levofloxacin Infus (DNR) Botol - - 110,000.00 22 2,420,000.00 -
48 Meylon (KF) Vial - - 7,440.40 68 505,947.20 -
49 Miotonic Injeksi (PV) Ampul - - 9,075.00 530 4,809,750.00 -
50 Nifedipin Tablet (AAM) Tablet - - 122.99 - - -
51 Nistatin Drops (DNR) Botol - - 24,200.00 60 1,452,000.00 -
52 Pamol Suppo (ENS) Suppo - - 9,927.50 - - -
53 Pelastin Injeksi (BSP) Vial - - 333,740.00 - - -
54 Propranolol Tablet (AAM) Tablet - - 84.70 - - -
55 Pyrazinamide 500 mg Tablet (KF) Tablet - - 234.30 - - -
56 Rethapril Tablet (KF) Tablet - - 2,142.80 400 857,120.00 -
57 Trolip Kapsul (AAM) Kapsul - - 9,680.00 150 1,452,000.00 -
58 BAHAN HABIS PAKAI BLUD 2016 - - - - - - -
412682303.xlsx 407
Harga Satuan
Terkecil
59 Catgut Cromic With Needle USP 3/0 DS 30 (RNI) Kotak - - 759,000.00 - - -
60 Feeding Tube 10 (BDM) Pcs - - 4,259.20 - - -
61 Feeding Tube 12 (BDM) Pcs - - 4,259.20 30 127,776.00 -
63 Foley Catheter FR 10 (BDM) Pcs - - 55,000.00 10 550,000.00 -
64 Foley Catheter FR 12 (BDM) Pcs - - 24,200.00 - - -
65 H2O2 (BDM) Botol - - 77,000.00 - - -
66 Jarum Kulit No. 06 (BDM) Lusin - - 38,500.00 - - -
68 Kertas EKG 110 (BDM) Roll - - 110,000.00 - - -
69 Leukoplast (RNI) Roll - - 45,116.50 16 721,864.00 -
70 Mata Pisau No. 23 (BDM) Pcs - - 3,300.00 - - -
72 OBAT BLUD 2017 - - - - - - -
73 Acyclovir Cream (KF) Tube - - 3,619.00 - - -
74 Acyclovir Cream (RNI) Tube - - 3,461.00 - - -
75 Acyclovir Tablet 400 mg (DNR) Tablet - - 870.00 2,150 1,870,502.15 -
76 Acyclovir Tablet 400 mg (ENS) Tablet - - 544.17 - - -
77 Albuminar (AAM) Botol - - 1,500,000.00 - - -
78 Alprazolam Tablet 0,5 mg (KF) Tablet - - 585.00 - - -
79 Ambroxol Syrup (IGM) Botol - - 3,536.03 - - -
80 Ambroxol Tablet (SST) Tablet - - 169.40 - - -
81 Aminofluid (KF) Bag - - 64,989.10 - - -
82 Aminofillin Tablet (SST) Tablet - - 141.68 900 127,512.00 -
83 Amoxicillin Syrup (ENS) Botol - - 4,840.00 - - -
84 Ampicillin Injeksi (DNR) Vial - - 8,800.00 940 8,272,000.00 -
85 Antasida Syrup (KF) Botol - - 5,967.50 - - -
86 Antasida Tablet (RNI) Tablet - - 157.34 - - -
87 Anti Hemoroid Suppo Suppo - - 3,300.00 220 726,000.00 -
88 Antrain Injeksi (ENS) Ampul - - 9,927.50 - - -
89 Aqua Pro Injeksi (KF) Vial - - 2,750.00 - - -
412682303.xlsx 408
Harga Satuan
Terkecil
90 Arfen (Ibuprofen 400 mg) Tablet (SST) Tablet - - 372.68 - - -
91 Arkine Tablet (SST) Tablet - - 638.00 250 159,500.00 -
92 Asam Folat Tablet (RNI) Tablet - - 52.00 - - -
93 Asam Mefenamat Tablet (ENS) Tablet - - 148.61 - - -
94 Asam Mefenamat Tablet (PPG) Tablet - - 297.00 - - -
95 Asam Traneksamat Injeksi (PPG) Ampul - - 7,700.00 - - -
96 Asam Traneksamat Tablet (DNR) Tablet - - 1,540.00 - - -
97 Asam Valproat (AAM) Botol - - 26,987.00 - - -
98 Asering Infus (KF) Botol - - 9,274.10 - - -
99 Astonox Tablet (UN) Tablet - - 9,166.67 90 825,000.00 -
100 Atropin Sulfat Injeksi (UN) Ampul - - 2,000.00 - - -
101 Bamgetol Tablet (IGM) Tablet - - 1,980.00 1,200 2,376,000.00 -
102 Betamethason Cream (KF) Tube - - 1,975.53 - - -
103 Bionemi Kapsul (PV) Kapsul - - 1,567.50 - - -
104 Bioplacenton Cream (ENS) Tube - - 15,950.00 40 638,000.00 -
105 Biosat Injeksi (RNI) Ampul - - 165,000.00 - - -
106 Bisolvon Injeksi (KF) Ampul - - 58,234.00 - - -
107 Bisoprolol Tablet 5 mg (AAM) Tablet - - 1,166.59 - - -
108 Bisoprolol Tablet 5 mg (RNI) Tablet - - 1,210.00 - - -
109 Bunascan Injeksi (PV) Ampul - - 63,800.00 - - -
110 Buscopan Tablet (KF) Tablet - - 2,865.50 - - -
111 Candesartan Tablet (DNR) Tablet - - 5,500.00 - - -
112 Captopril Tablet 12,5 mg (RNI) Tablet - - 97.41 500 48,702.50 -
113 Captopril Tablet 25 mg (KF) Tablet - - 120.53 - - -
114 Carbazocrome Injeksi (PV) Ampul - - 13,112.00 - - -
115 Cartylo Tablet (KF) Tablet - - 616.00 - - -
116 Cefadroxil Syrup /Lifadrox (SST) Botol - - 9,377.50 - - -
117 Cefixim Kapsul 200 mg (PPG) Kapsul - - 4,950.00 2,100 10,395,000.00 -
118 Cefixim Syrup (DNR) Botol - - 36,300.00 - - -
119 Cefixime Kapsul (RNI) Kapsul - - 2,634.06 - - -
120 Cefobactam Injeksi (BSP) Vial - - 104,492.26 - - -
412682303.xlsx 409
Harga Satuan
Terkecil
121 Cefoperazon Sulbactam Injeksi (TSJ) Vial - - 144,100.00 440 63,404,000.00 -
122 Cefoperazone Sulbactam Injeksi (DNR) Vial - - 143,000.00 - - -
123 Cefoperazone Sulbactam Injeksi (ENS) Vial - - 88,000.00 300 26,400,000.00 -
124 Cefotaxim Injeksi (MTA) Vial - - 44,000.00 - - -
125 Ceftriaxon Injeksi (DNR) Vial - - 15,400.00 - - -
126 Cefuroxim Injeksi (MRP) Vial - - 44,000.00 - - -
127 Cetirizine Tablet (RNI) Tablet - - 313.50 - - -
128 Chlorpheniramin Maleat Tablet/ Orphen (SST) Tablet - - 162.14 1,600 259,424.00 -
129 Chlorpromazin Tablet 100 mg (KF) Tablet - - 229.82 - - -
130 Ciprofloxacin Infus (TSJ) Botol - - 77,000.00 - - -
131 Ciprofloxacin Tablet (TSJ) Tablet - - 770.00 - - -
132 Clindamycin Kapsul 150 mg (IGM) Kapsul - - 702.24 200 140,448.00 -
133 Clindamycin Kapsul 150 mg (PV) Kapsul - - 796.40 - - -
134 Clindamycin Kapsul 300 mg Kapsul - - 1,800.00 - - -
135 Clindamycin Kapsul 300 mg (PPG) Kapsul - - 2,000.00 2,600 5,199,994.80 -
136 Clopidogrel Trombikaf Tablet (KF) Tablet - - 3,588.02 - - -
137 Combivent Inhalasi (KF) Ampul - - 4,994.99 - - -
138 Cotrimoxazol Syrup (RNI) Botol - - 5,954.30 124 738,333.20 -
139 Cotrimoxazol Tablet (KF) Tablet - - 190.58 - - -
140 Dexamethason Injeksi (PPG) Ampul - - 2,402.40 - - -
141 Dexamethason Injeksi (RNI) Ampul - - 2,416.15 - - -
142 Dexamethason Tablet (DNR) Tablet - - 154.00 - - -
143 Diphenhidramin Injeksi (RNI) Ampul - - 1,864.61 - - -
144 Dobutamin Injeksi (RNI) Ampul - - 73,987.90 5 369,939.50 -
145 Domperidon Syrup (ENS) Botol - - 10,120.00 - - -
146 Domperidon Tablet (ENS) Tablet - - 139.48 - - -
147 Dulcolax Tablet (KF) Tablet - - 1,214.95 - - -
148 Endrolin Injeksi (ESV) Ampul - - 1,309,000.00 - - -
149 Eperison Tablet (DNR) Tablet - - 1,560.90 300 468,270.00 -
150 Erlamycetin Ear Drop (PV) Botol - - 6,435.00 - - -
151 Erysanbe Tablet 200 mg (BSP) Tablet - - 2,706.00 1,200 3,247,200.00 -
412682303.xlsx 410
Harga Satuan
Terkecil
152 Esomax Injeksi (MBS) Vial - - 96,525.00 - - -
153 Estazor Tablet (PV) Kapsul - - 8,800.00 - - -
154 Farbion Injeksi (UN) Ampul - - 5,170.00 - - -
155 Farbivent Injeksi (PV) Ampul - - 9,350.00 - - -
156 Farelax Injeksi (PV) Ampul - - 77,000.00 - - -
157 Farelax Injeksi (UN) Ampul - - 77,000.00 90 6,930,000.00 -
158 Fargoxin Injeksi (PV) Ampul - - 38,500.00 30 1,155,000.00 -
159 Farmabes Injeksi (PV) Vial - - 121,000.00 6 726,000.00 -
160 Flamicort IAD (AAM) Vial - - 73,000.00 10 730,000.04 -
161 Fucilex Cream (MBS) Tube - - 10,285.00 50 514,250.00 -
162 Furosemid Injeksi (AAM) Ampul - - 3,894.00 1,800 7,009,200.00 -
163 Furosemid Injeksi (RNI) Ampul - - 2,058.01 - - -
164 Furosemid Tablet (RNI) Tablet - - 191.83 - - -
165 Gabapentin Kapsul 300 mg (RNI) Kapsul - - 6,050.00 - - -
166 Gastrul Tablet (PV) Tablet - - 11,000.00 - - -
167 Gelafusal (AAM) Bag - - 80,000.00 - - -
168 Genoint Eye (PV) Botol - - 9,152.00 9 82,368.00 -
169 Gentamicin Cream (PV) Tube - - 40,012.50 - - -
170 Gentamicin Injeksi (IGM) Ampul - - 3,896.00 1,000 3,895,999.80 -
171 Gentamicin Salep Kulit (KF) Tube - - 2,019.99 - - -
172 Glimepiride Tablet 2 mg (KF) Tablet - - 297.00 - - -
173 Glucosamin Tablet (DNR) Tablet - - 1,842.50 - - -
174 Glukosa 5 % (KF) Botol - - 6,900.30 - - -
175 Halloperidol Tablet 0,5 mg (IGM) Tablet - - 92.68 2,000 185,350.00 -
176 Halotane Inhalasi (AAM) Botol - - 705,500.00 4 2,822,000.02 -
177 Hidrocortison Cream (KF) Tube - - 3,206.50 24 76,956.00 -
178 Hidrocortison Cream (RNI) Tube - - 5,720.00 - - -
179 Human Albumin (KF) Botol - - 849,999.80 1 849,999.80 -
180 Hydromal (BSP) Bag - - 49,505.96 24 1,188,143.00 -
181 Isoniazid Tablet 100 mg (KF) Tablet - - 142.56 - - -
182 KAEN 3B (KF) Botol - - 10,249.80 - - -
412682303.xlsx 411
Harga Satuan
Terkecil
183 Kamadol Injeksi (KF) Ampul - - 4,533.28 - - -
184 Ketamin Hameln 50 mg (APL) Vial - - 71,600.10 5 358,000.50 -
185 Ketorolac Injeksi 30 mg (PPG) Ampul - - 16,038.00 - - -
186 Ketorolac Injeksi 30 mg (RNI) Ampul - - 14,701.50 - - -
187 Ketorolac Injeksi 30 mg (TSJ) Ampul - - 16,500.00 - - -
188 Ketosic Injeksi 30 mg (PV) Ampul - - 10,002.30 - - -
189 Lansoprazol Kapsul (DNR) Kapsul - - 1,621.60 - - -
190 Levemir Flex Pen (RNI) Pen - - 222,465.98 - - -
191 Levofloxacin Tablet (KF) Tablet - - 530.99 1,400 743,388.80 -
192 Lidocain Injeksi (DNR) Ampul - - 1,650.00 5,500 9,075,000.00 -
193 Lipomed (BSP) Bag - - 169,120.33 24 4,058,887.80 -
194 Loratadin Tablet (DNR) Tablet - - 400.00 2,000 800,008.33 -
195 Loratadin Tablet (IGM) Tablet - - 307.79 1,200 369,352.50 -
196 Manitol (KF) Botol - - 92,400.00 120 11,088,000.00 -
197 Meloxicam Tablet 15 mg (DNR) Tablet - - 1,438.80 - - -
198 Meloxicam Tablet 7,5 mg (DNR) Tablet - - 830.28 - - -
199 Meloxicam Tablet 7,5 mg (ENS) Tablet - - 418.00 1,700 710,600.00 -
200 Merophenem Injeksi 0,5 g (MRP) Vial - - 55,000.00 - - -
201 Merophenem Injeksi 0,5 g (MTA) Vial - - 132,000.00 - - -
202 Metformin Tablet (PPG) Tablet - - 275.00 - - -
203 Methylprednisolon Injeksi (PPG) Vial - - 51,700.00 - - -
204 Methylprednisolon Injeksi (RNI) Vial - - 39,022.50 - - -
205 Metronidazol Infus (TSJ) Botol - - 55,000.00 - - -
206 Metronidazol Tablet (DNR) Tablet - - 264.00 - - -
207 Miconazol Cream (KF) Tube - - 3,575.00 - - -
208 Minkosa 5 mg Glibenclamid (SST) Tablet - - 133.10 1,000 133,100.00 -
209 Miotonic Injeksi (RNI) Ampul - - 8,250.00 1,650 13,612,500.00 -
210 Miotonic Tablet (PV) Tablet - - 2,915.00 - - -
211 Morfin Injeksi (KF) Ampul - - 10,499.39 - - -
212 N Ace Kapsul (PV) Kapsul - - 2,200.00 - - -
213 Natrium Diklofenak Tablet 25 mg (KF) Tablet - - 281.69 - - -
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214 Natrium Diklofenak Tablet 50 mg Tablet - - 261.22 - - -
215 Natrium Klorida Infus (KF) Botol - - 6,409.70 - - -
216 Natrium Phenitoin Injeksi (PV) Ampul - - 13,398.00 - - -
217 Nerva Plus Tablet Tablet - - 2,200.00 500 1,100,000.00 -
218 Neurosanbe Tablet (BSP) Tablet - - 1,127.50 - - -
219 Neurovit E Tablet (KF) Tablet - - 1,166.92 - - -
220 Nicardipin Injeksi (PPG) Ampul - - 143,000.00 200 28,600,000.00 -
221 Nicarfion Injeksi (UN) Ampul - - 132,000.00 250 33,000,000.00 -
222 Nocoba Injeksi (PV) Ampul - - 92,400.00 20 1,848,000.00 -
223 Norephinefrin Injeksi (TSJ) Ampul - - 66,000.00 40 2,640,000.00 -
224 Norephinefrin Levosol Injeksi (KF) Ampul - - 56,595.00 - - -
225 Norfion Injeksi (UN) Ampul - - 70,400.00 150 10,560,000.00 -
226 Novorapid Flex Pen (RNI) Pen - - 197,749.64 - - -
227 Oksitosin Injeksi (APL) Ampul - - 2,062.50 - - -
228 Ondansentron Tablet (MTK) Tablet - - 2,016.67 210 423,500.00 -
229 Pantoprazol Injeksi (RNI) Vial - - 60,500.00 - - -
230 Paracetamol Syrup (KF) Botol - - 5,065.50 - - -
231 Paracetamol Tablet (RNI) Tablet - - 115.50 - - -
232 Pehacain Injeksi (RNI) Ampul - - 3,113.06 - - -
233 Petidin Injeksi (KF) Ampul - - 13,191.42 - - -
234 Phentanyl Injeksi (KF) Ampul - - 40,000.40 - - -
235 Piracetam Kapsul 800 mg (RNI) Kapsul - - 883.30 300 264,990.00 -
236 Pomifar Kapsul (PV) Kapsul - - 4,950.00 - - -
237 Pomifar Kapsul (UN) Kapsul - - 4,950.00 - - -
238 Prednison Tablet (SST) Tablet - - 157.30 - - -
239 Pro Infark Injeksi (RNI) Ampul - - 13,200.00 120 1,584,000.00 -
240 Pro K Injeksi (SST) Ampul - - 10,890.00 - - -
241 Prohem Injeksi (PV) Ampul - - 11,000.00 - - -
242 Proliva Tablet (PV) Tablet - - 7,315.00 260 1,901,900.00 -
243 Propepsa Suspensi (PV) Botol - - 44,000.00 - - -
244 Propylthiouracil Tablet (AAM) Tablet - - 474.80 - - -
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245 Prosional Suspensi (PV) Botol - - 14,850.00 - - -
246 Pumpisel Injeksi (BSP) Vial - - 71,497.60 - - -
247 Ranifin Injeksi (UN) Ampul - - 9,680.00 - - -
248 Ranitidin Injeksi (PPG) Ampul - - 7,040.00 - - -
249 Ranitidin Tablet (RNi) Tablet - - 220.00 - - -
250 Rebamax Tablet (PV) Tablet - - 3,300.00 60 198,000.00 -
251 Reco Tetes Mata (SST) Botol - - 7,370.00 - - -
252 Recofol Injeksi (RNI) Ampul - - 99,000.00 - - -
253 Recolfar Tablet (PV) Tablet - - 4,730.00 - - -
254 Renax Kapsul (ENS) Kapsul - - 7,210.50 - - -
255 Reprostom Kapsul (PV) Kapsul - - 8,800.00 - - -
256 Reprostom Kapsul (UN) Tablet - - 8,800.00 - - -
257 Rhodium Tablet (UN) Tablet - - 6,050.00 90 544,500.00 -
258 Rifampisin Tablet 450 mg (DNR) Tablet - - 1,870.00 100 187,000.00 -
259 Ringer Lactat (DNR) Botol - - 7,095.00 - - -
260 Ringer Lactat (KF) Botol 370812 - 7,150.00 - - -
261 Rocum Injeksi (AAM) Ampul - - 99,000.00 - - -
262 Ronazol Infus (PV) Botol - - 66,000.00 - - -
263 Salbutamol Tablet 2 mg (KF) Tablet - - 81.99 - - -
264 Santagesik Injksi (BSP) Ampul - - 9,471.00 - - -
265 Scandones Injeksi (Gigi) Ampul - - 9,900.00 50 495,000.00 -
266 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul - - 20,570.00 - - -
267 SIM-DHA (PV) Botol - - 48,400.00 6 290,400.00 -
268 Simvastatin Tablet 10 mg (ENS) Tablet - - 297.00 500 148,500.00 -
269 Simvastatin Tablet 20 mg (KF) Tablet - - 250.01 - - -
270 Sojourn (PV) Botol - - 2,860,000.00 - - -
271 Solpenox (Amoxicillin) Syrup (SST) Botol - - 4,000.55 300 1,200,166.00 -
272 Spironolacton Tab 25 mg (RNI) Tablet - - 407.00 - - -
273 Stesolid Injeksi (AAM) Ampul - - 4,400.62 45 198,028.12 -
274 Stesolid Rectal (AAM) Tube - - 13,384.25 - - -
275 Tasigna (AAM) Kapsul - - 93,548.25 28 2,619,350.88 -
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276 Terrell (PV) Botol - - 1,683,000.00 - - -
277 Tramadol Kapsul 50 mg (KF) Kapsul - - 435.47 1,600 696,748.80 -
278 Tranec Injeksi (PV) Ampul - - 14,520.00 - - -
279 Tyarit Injeksi (PV) Ampul - - 27,500.00 75 2,062,500.00 -
280 Tyarit Injeksi (UN) Ampul - - 27,500.00 50 1,375,000.00 -
281 Umarone Injeksi (PV) Ampul - - 192,500.00 8 1,540,000.00 -
282 Vitamin B Comp Tablet (RNI) Tablet - - 80.00 - - -
283 Vitamin C Tablet 100 mg (KF) Tablet - - 121.44 - - -
284 Zink Dispersible Tablet (KF) Tablet - - 585.99 - - -
286 Bone Wax (BDM) Pcs - - 116,600.00 2 233,200.00 -
287 Catgut Cromic 1 HR 37 (RNI) Kotak - - 777,480.00 2 1,554,960.00 -
288 Catgut Cromic 1 HR 48 (RNI) Kotak - - 827,640.00 4 3,310,560.00 -
289 Catgut Crmoic 2/0 (RNI) Roll - - 1,650,000.00 - - -
290 Catgut Cromic 2 HR 40 (RNI) Kotak - - 827,640.00 - - -
291 Catgut Cromic 2 HR 45 (DNR) Kotak - - 827,640.00 - - -
292 Catgut Cromic 2/0 HR 26 (RNI) Kotak - - 825,000.00 1 825,000.00 -
293 Catgut Cromic 3/0 (RNI) Roll - - 2,614,700.00 - - -
294 Catgut Cromic 3/0 HR 26 (RNI) Kotak - - 825,000.00 5 4,125,000.00 -
295 Cuticell (BDM) Pcs - - 13,200.00 100 1,320,000.00 -
296 Defeloper (BDM) Set - - 1,282,600.00 - - -
297 Disposable Syringe With Needle 1 cc New Skifa (RNI) Pcs - - 1,188.00 - - -
298 Disposable Syringe With Needle 1 cc TP (BDM) Pcs - - 843.70 - - -
299 Disposable Syringe With Needle 10 cc Nipor (KF) Pcs - - 1,654.40 - - -
300 Disposable Syringe With Needle 10 cc RD (RNI) Pcs - - 1,161.05 - - -
301 Disposable Syringe With Needle 20 cc Stera (ISHS) Pcs - - 1,725.00 - - -
303 Disposable Syringe With Needle 5 cc TP (BDM) Pcs - - 1,013.10 - - -
304 Disposable Syringe With Needle 50 cc TP (BDM) Pcs - - 4,812.50 50 240,625.00 -
305 Elektroda Patien Monitor (BDM) Pak - - 275,000.00 - - -
306 Endotracheal Tube FR 3 (BDM) Pcs - - 82,500.00 10 825,000.00 -
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307 Endotracheal Tube FR 3,5 (BDM) Pcs - - 82,500.00 20 1,650,000.00 -
308 Endotracheal Tube 7,5 (BDM) Pcs - - 82,500.00 - 12
309 Extention Tube (BDM) Pcs - - 99,000.00 - - -
310 Feeding Tube FR 18 (BDM) Pcs - - 4,259.20 - - -
311 Feeding Tube FR 3,5 (BDM) Pcs - - 38,500.00 250 9,625,000.00 -
314 Feeding Tube FR 6 (BDM) Pcs - - 4,082.10 50 204,105.00 -
316 Film 24x30 (BDM) Kotak - - 2,585,000.00 - - -
317 Film 30x40 (BDM) Kotak - - 4,109,600.00 - - -
318 Fixer (BDM) Set - - 790,900.00 - - -
319 Foley Catheter 08 (RNI) Pcs - - 69,300.00 50 3,465,000.00 -
320 Foley Catheter 16 (BDM) Pcs - - 14,994.10 - - -
322 Foley Catheter 16 (KF) Pcs - - 13,750.00 - - -
326 Glucocard (AAM) Botol - - 279,950.00 - - -
327 Gypsona 6 Inch (BDM) Roll - - 66,715.00 - - -
328 Handrub (ISHS) ml - - 57.20 - - -
329 Handrub (RNI) ml - - 159.60 - - -
330 Handrub (RNI) ml - - 150.21 - - -
331 Handscoon Gynegolog 7 (DA) Pasang - - 21,749.97 - - -
332 Handscoon NS (BDM) Pcs - - 529.20 - - -
333 Handscoon NS M (KF) Pcs - - 577.50 - - -
334 Handscoon ST 6,5 (DA) Pasang - - 5,874.99 - - -
335 Handscoon ST 6,5 (KF) Pasang 2886165 - 9,499.60 - - -
336 Handscoon ST 6,5 (RNI) Pasang - - 11,990.00 - - -
337 Handscoon ST 7 (BDM) Pasang - - 8,855.00 - - -
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339 Hydrex Surgical Scrub (RNI) ml - - 215.23 10,000 2,152,319.40 -
340 Hypavix 15 x 5 (BDM) Roll - - 240,680.00 - - -
341 Infus Set Makro (RNI) Pcs - - 4,755.99 - - -
342 Infus Set Makro Aximed (KF) Pcs - - 5,999.40 - - -
343 Infus Set Mikro Nipro (KF) Pcs - - 6,374.50 400 2,549,800.00 -
344 IV Catheter 16 G Abbocath (BDM) Pcs - - 16,000.00 50 800,000.00 -
345 IV Catheter 18 G Abbocath (BDM) Pcs - - 16,000.00 - - -
346 IV Catheter 20 G Aximed (KF) Pcs - - 8,749.40 - - -
348 IV Catheter 22 G Nipro (KF) Pcs - - 8,947.40 - - -
349 IV Catheter 22 G Optiva (RNI) Pcs - - 24,200.00 - - -
351 IV Catheter 24 G Abbocath Pcs - - - - -
354 Jarum Kulit 12 Lusin - - 38,500.00 - - -
358 Jelly Ultrasound (BDM) ml - - 110.00 - - -
359 Jely (ISHS) Tube - - 33,981.83 - - -
360 Kapas (BDM) Roll - - 82,208.50 - - -
361 Kasa Hidrofil 40 x 80 (RNI) Roll - - 231,000.00 - - -
364 Kertas USG (BDM) Roll - - 352,000.00 - - -
365 Kertas USG (ISHS) Roll - - 170,775.00 - - -
366 Masker Tie On (BDM) Pcs - - 567.01 - - -
367 Masker Tie On (KF) Pcs - - 599.98 - - -
368 Masker Tie On (SST) Pcs - - 473.00 - - -
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369 Mata Pisau 20 (RNI) Pcs - - 1,375.00 - - -
370 Mata Pisau No 15 (BDM) Pcs - - 4,125.00 - - -
371 Mata Pisau No 20 Pcs - - 4,125.00 - - -
372 Mucus Extractor (BDM) Pcs - - 30,250.00 10 302,500.00 -
373 Novo Twist 32 G (AAM) Pcs - - 2,083.00 - - -
374 Nylon Daclon 3/0 DS 19 Kotak - - 825,000.00 - - -
375 Nylon Daclon 5/0 DS 16 Kotak - - 825,000.00 4 3,300,000.00 -
376 Nylon Daclon USP 2/0 DS 19 (RNI) Kotak - - 825,000.00 - - -
377 Nylon Daclon USP 6/0 DS 12 (RNI) Kotak - - 825,000.00 4 3,300,000.00 -
378 Popypropylene 5/0 HR 13 (RNI) Kotak - - 1,210,440.00 3 3,631,320.00 -
380 Povidon Iodida (KF) Botol - - 59,766.51 - - -
381 Safil 1 HR 48 Pcs - - 99,550.00 180 17,919,000.00 -
382 Safil Violet 2 HR 48 Pcs - - 93,979.60 144 13,533,062.40 -
383 Selang O2 Anak (BDM) Pcs - - 30,250.00 - - -
386 Selang O2 Bayi (DA) Pcs - - 9,124.98 - - -
387 Selang O2 Dewasa (BDM) Pcs - - 30,250.00 - - -
388 Silk Black With Needle USP 1 HR 37 (RNI) Kotak - - 660,000.00 4 2,640,000.00 -
390 Silk Black With Needle USP 2/0 HR 26 (RNI) Kotak - - 660,000.00 - - -
393 Softband 6 Inch (BDM) Roll - - 43,450.00 12 521,400.00 -
394 Spinocain 25 G (BDM) Pcs - - 48,400.00 - - -
395 Spinocain 26 G (BDM) Pcs - - 48,400.00 300 14,520,000.00 -
397 Suction Catheter 06 (BDM) Pcs - - 4,032.60 - - -
399 Sungkup Nebulizer Anak (AAM) Pcs - - 28,299.98 - - -
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400 Sungkup O2 Bayi (BDM) Pcs - - 66,000.00 - - -
401 Sungkup O2 Dewasa (BDM) Pcs - - 66,000.00 - - -
402 Surgicryl 910 USP 1 HR 36 (RNI) Kotak - - 1,518,000.00 - - -
403 Surgicryl 910 USP 2/0 HR 26 (RNI) Kotak - - 1,148,400.00 - - -
404 Surgicryl Rapid 1 HR 48 (RNI) Kotak - - 1,544,400.00 1 1,544,400.00 -
405 Surgicryl Rapid 2/0 HR 40 (RNI) Kotak - - 1,491,600.00 - - -
406 Tensocrepe 6" (BDM) Roll - - 139,480.00 - - -
407 Three Way Stop Cock (BDM) Pcs - - 22,000.00 - - -
408 Transfusi Set (BDM) Pcs - - 16,380.10 - - -
409 Urgotul 10x10 (PPG) Pcs - - 25,850.00 30 775,500.00 -
410 Urine Bag (KF) Pcs - - 6,875.00 - - -
411 OBAT BLUD 2018 - - - - - - -
412 Acetylcysteine Kapsul 200 mg (MRP) Kapsul AS18016 1/30/2020 1,833.33 1,500 2,750,000.00 -
413 Acetylcysteine Kapsul 200 mg (MRP) Kapsul AS18032 2/28/2020 1,833.33 300 550,000.00 -
414 Acyclovir Cream (KF) Tube I72813J 9/29/2022 3,438.05 75 257,853.75 -
415 Albuminar (AAM) Botol X938905 5/1/2020 1,510,000.00 5 7,550,000.00 -
416 Albunorm 25 % 100 ML (KF) Botol P716A66702 3/31/2020 1,509,999.70 - - 5
417 Allopurinol Tablet (AAM) Tablet 48K0192 11/1/2021 182.02 2,000 364,034.00 -
419 Allopurinol Tablet (RNI) Tablet HTALOA7300 6/1/2020 168.23 - - -
420 Alprazolam Tablet 0,5 mg (KF) Tablet C70497J2 3/29/2021 585.00 1,000 585,002.00 -
421 Alprazolam Tablet 0,5 mg (SST) Tablet 173003 11/1/2019 574.75 4,000 2,299,000.00 -
422 Ambroxol Syrup 15 mg (DNR) Botol SCB00947 1/1/2022 6,600.00 50 330,000.00 -
426 Ambroxol Syrup 15 mg (RNI) Botol 06810006 11/30/2019 5,500.00 200 1,100,000.00 -
430 Ambroxol Tablet (DNR) Tablet TPD22946 3/1/2021 330.00 5,000 1,650,000.00 -
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434 Ambroxol Tablet (TSJ) Tablet TPM99546 11/1/2021 330.00 - - -
435 Ambroxol Tablet (TSJ) Tablet TPD29447 3/1/2022 330.00 3,200 1,056,000.00 -
436 Aminofluid (KF) Botol DB71E47A 9/2/2019 64,989.10 30 1,949,673.00 -
437 Aminophyllin Injeksi (RNI) Ampul 06307031-1 11/30/2020 3,959.93 - - -
438 Aminophyllin Injeksi (RNI) Ampul 06307033-1 12/31/2020 3,959.93 120 475,191.20 -
442 Amlodipin Tablet 5 mg (UJ) Tablet Aj1013 1/1/2020 183.37 - - 1,500
444 Amlodipin Tablet 10 mg (DNR) Tablet PE04136 2/1/2021 330.00 2,850 940,500.00 -
445 Amlodipin Tablet 10 mg (KF) Tablet 17233B - - - -
452 Amlodipin Tablet 10 mg (SST) Tablet 74363 11/1/2020 238.33 - - -
453 Amoxicillin Syrup (TSJ) Botol L10516601 11/1/2019 7,150.00 50 357,500.00 -
454 Anbacim Injeksi (BSP) Vial UE4694A 5/1/2020 60,503.36 140 8,470,469.70 -
455 Antasida Syrup (GF) Botol - - 2,106.00 50 105,300.00 -
458 Antasida Tablet (KF) Tablet H71504B 7/15/2020 210.60 8,200 1,726,879.00 -
459 Antasida Tablet (KF) Tablet - 5/15/2022 10,444.50 - - -
460 Antrain Injeksi (ENS) Ampul 1014H0011 1/31/2020 10,450.00 60 627,000.00 -
461 Antrain Injeksi (ENS) Ampul 1014H0021 1/31/2020 10,450.00 240 2,508,000.00 -
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462 Aqua Pro Injeksi (KF) - - - - - -
463 Aqua Pro Injeksi (KF) Vial 80C48A 3/11/2021 2,860.00 1,440 4,118,400.00 -
464 Arcapec Tablet (PV) Tablet A7H756 8/1/2019 1,100.00 500 550,000.00 -
465 Asam Mefenamat Tablet (AAM) Tablet 49D0686 9/1/2021 239.58 - - -
468 Asam Mefenamat Tablet (ESV) Tablet HTCMECA81281 2/29/2020 176.00 - - -
469 Asam Mefenamat Tablet (RNI) Tablet HTMECA7518 10/31/2019 176.00 - - 7,000
470 Asam Traneksamat Injeksi (AAM) Ampul 2180078 11/1/2020 2,167.84 - - -
473 Asam Traneksamat Injeksi (PPG) Ampul N10766701 12/1/2022 7,810.00 - - -
474 Asam Traneksamat Injeksi (RNI) Ampul I172271 8/31/2019 5,280.00 120 633,600.00 -
475 Asam Traneksamat Injeksi (RNI) Ampul 172269 31 Agustus 2019 5,280.00 - - 640
476 Asam Traneksamat Injeksi (RNI) Ampul 172271 31 Agustus 2019 5,280.00 - - 40
477 Asam Traneksamat Tablet (DNR) Tablet TSB00847 1/1/2021 1,980.00 1,000 1,980,000.00 -
478 Asam Valproat (AAM) Botol 3272081 10/1/2019 17,789.00 15 266,835.03 -
481 Asam Valproat (RNI) Botol 2480698 3/1/2020 49,720.00 20 994,400.00 -
482 Asering Infus (KF) Botol SB94J47A 10/25/2020 9,645.90 - - -
483 Asering Infus (KF) Botol SB90B48B 2/21/2021 9,645.90 136 1,311,842.40 -
484 Asering Infus (KF) Botol SB92A48B 1/23/2021 9,645.90 80 771,672.00 -
485 Asering Infus (KF) Botol SB90B48B 2/21/2021 9,645.90 - - 240
486 Atropin Sulfat Injeksi (APL) Ampul 97LE0057 5/15/2021 1,800.00 200 359,999.93 -
487 Azitromycin Kapsul 500 mg (KF) Kapsul A70013J 1/4/2022 5,500.00 2,300 12,650,000.00 -
488 Betahistin Tablet (KF) Tablet EAJ338 11/1/2020 785.40 2,100 1,649,340.00 -
490 Betamethason Cream (RNI) Tube 06455027 12/31/2020 2,904.00 50 145,200.00 -
491 Bifotik Injeksi (BSP) Vial TM4964A 6/1/2019 73,693.03 200 14,738,605.20 -
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494 Biocombin Injeksi (PV) Ampul F7L152 11/1/2019 5,500.00 - - -
495 Biocombin Injeksi (PV) Ampul F7L153 11/1/2019 5,500.00 280 1,540,000.00 -
499 Bionemi Kapsul (PV) Kapsul DA017 1/1/2020 1,356.18 - - -
500 Bionemi Kapsul (PV) Kapsul DB015 2/1/2020 1,650.00 - - -
501 Bionemi Kapsul (PV) Kapsul DC024 3/1/2020 1,650.00 150 247,500.00 -
505 Biosat ATS 1500 UI (RNI) Ampul 4203517 12/31/2019 165,000.00 80 13,200,000.00 -
506 Bisolvon Injeksi (KF) Ampul 528229A 9/1/2020 58,234.00 - - -
507 Bisolvon Injeksi (KF) Ampul 6277108 2/1/2021 58,234.00 - - -
508 Bisoprolol Tablet (AAM) Tablet 3272119 11/1/2020 248.00 2,430 602,640.32 -
510 Bunascan Spinal Injeksi (PPG) Ampul PA0323 1/1/2020 70,400.00 5 352,000.00 -
511 Bunascan Spinal Injeksi (PV) Ampul TL0133 12/1/2019 66,000.00 100 6,600,000.00 -
512 Bunascan Spinal Injeksi (PV) Ampul PG0403 7/1/2020 66,000.00 - - 310
514 Buscopan Injeksi (KF) Ampul 62463C 1/1/2022 34,243.00 - - -
515 Buscopan Injeksi (KF) Ampul 727068B 1/1/2022 34,243.00 - - -
516 Buscopan Injeksi (KF) Ampul 825182A 2/28/2023 34,243.00 200 6,848,600.00 -
517 Buscopan Tablet (KF) Tablet 17121526 11/30/2020 3,091.00 1,700 5,254,700.00 -
518 Candesartan Tablet 8 mg (AAM) Tablet 47K4143 9/1/2018 629.00 720 452,880.12 -
519 Candefion Tablet 8 mg (UN) Tablet BTPN01646 12/1/2019 5,500.00 - - -
520 Captopril Tablet 12,5 mg (RNI) Tablet 6323016 12/18/2022 97.41 3,000 292,215.00 -
521 Captopril Tablet 25 mg (ESV) Tablet HTCTPE76023 12/31/2020 137.75 - - -
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524 Captopril Tablet 25 mg (RNI) Tablet 06324021 11/23/2022 103.73 2,000 207,460.00 -
525 Carbazocrome Injeksi (PV) Ampul 20A457 1/1/2020 13,112.00 220 2,884,640.00 -
526 Cartylo Tablet (KF) Tablet I72080B 9/29/2020 290.00 - - -
527 Cartylo Tablet (KF) Tablet A80073B 12/24/2020 290.00 3,500 1,015,014.00 -
528 Cedocard Injeksi (APL) Ampul 5635502A 11/30/2020 31,000.20 80 2,480,016.00 -
529 Cefadroxil Kapsul (AAM) Kapsul 48A0218 12/1/2020 877.80 3,500 3,072,314.63 -
535 Cefadroxil Kapsul (TSJ) Kapsul KPM36046 11/1/2022 1,210.00 10,000 12,100,000.00 -
536 Cefadroxil Syrup (RNI) Botol LCFDA70051 4/30/2020 8,200.50 186 1,525,293.00 -
537 Cefadroxil Syrup (RNI) Botol LCFDA70085 6/30/2020 8,200.50 48 393,624.00 -
540 Cefixim Kapsul 100 mg (RNI) Kapsul KCFMB70191 10/31/2019 1,430.00 500 715,000.00 -
542 Cefixim Syrup (RNI) Botol DCFMA70069 11/30/2019 19,800.00 - - -
543 Cefixim Syrup (RNI) Botol 48K0409 11/1/2019 33,275.00 150 4,991,250.00 -
544 Cefotaxim Injeksi (PPG) Vial C10336804 3/1/2021 45,100.00 - - 680
545 Cefotaxim Injeksi (PPG) Vial C10336808 3/1/2021 45,100.00 - - 320
547 Cefotaxim Injeksi (RNI) Vial 95444083BF 5/31/2019 11,011.00 412 4,536,532.00 -
548 Ceftazidim Injeksi (PPG) Vial C10736801 11/15/1900 67,100.00 - - -
549 Ceftazidim Injeksi (PPG) Vial PSD08247 3/1/2020 66,000.00 - - -
552 Ceftazidim Injeksi (RNI) Vial 222027 4/30/2019 24,750.00 280 6,930,000.00 -
553 Ceftazidim Injeksi (RNI) Vial 1703201 4/30/2019 24,750.00 - - -
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556 Ceftriaxon Injeksi (DNR) Vial PSG27645 6/1/2019 26,950.00 - - -
557 Ceftriaxon Injeksi (DNR) Vial PSL38346 10/1/2020 26,950.00 600 16,170,000.00 -
560 Ceftriaxon Injeksi (PPG) Vial A10316842 1/1/2021 39,600.00 - - 1,000
563 Ceftriaxon Injeksi (TSJ) Vial PSF20847 5/1/2021 38,500.00 1,200 46,200,000.00 -
565 Cefuroxim Injeksi (PPG) Vial A182090 02 2020 44,000.00 - - 300
567 Cendo Efrisel 10 % (PV) Botol 8E10113 1/1/2020 16,775.00 5 83,875.00 -
568 Cendo Efrisel 10 % (PV) Botol 8E10130 1/1/2020 16,775.00 15 251,625.00 85
574 Cendo Lyteers 15 ml (PV) Botol 8L0321 3/1/2021 24,750.00 - - 58
575 Cendo Lyteers 15 ml (PV) Botol 8L0411 4/1/2021 24,750.00 - - 42
576 Cendo Mydriatyl 1% (PV) Botol 7M0915 9/1/2020 42,075.00 9 378,675.00 -
577 Cendo Mydriatyl 1% (PV) Botol 8M124 1/1/2021 42,075.00 - - 20
578 Cendo Mydriatyl 1% (PV) Botol 8M0409 4/1/2021 42,075.00 - - 50
579 Cendo Tropin 0,5% (PV) Botol 7T50925 9/1/2020 12,375.00 - - -
580 Cendo Tropin 5ml (PV) Botol 7T5122 12/1/2020 12,375.00 50 618,750.00 -
583 Cendo Xitrol 5 ml Botol 8X0105 7/1/2020 29,975.00 50 1,498,750.00 -
584 Cendo Xitrol 5 ml Botol 8X0308 9/1/2020 29,975.00 150 4,496,250.00 -
585 Cendo Xitrol 5 ml (PV) Botol 8X0327 9/1/2020 29,975.00 - - 100
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588 Cendo Xitrol EO 3,5 g (PV) Tube 791110 11/1/2020 39,462.50 50 1,973,125.00 -
591 Cenfresh 5 ml (KF) Botol 8C011899 1/31/2021 38,362.50 - - -
592 Cenfresh 5 ml (PV) Botol 7C1127 11/1/2020 38,362.50 - - -
595 Cenfresh 5 ml (PV) Botol 8C0129 1/1/2021 38,362.50 100 3,836,250.00 -
598 Cetirizine Tablet (KF) Tablet C70502J 3/5/2020 334.95 - - -
600 Cetirizine Tablet (RNI) Tablet TRB76051 11/30/2019 313.50 1,290 404,415.00 -
601 Chlorpromazin Tablet 100 mg (KF) Tablet J60004B 9/30/2019 264.28 390 103,067.25 -
602 Cilostazol Tablet (DNR) Tablet TPB01646 1/1/2020 10,450.00 1,600 16,720,000.00 -
603 Cilostazol Tablet (DNR) Tablet TPK74346 9/1/2020 10,450.00 1,400 14,630,000.00 -
604 Ciprofloxacin Infus (PPG) Botol L10156718 11/1/2021 77,000.00 46 3,542,000.00 -
605 Ciprofloxacin Tablet (ESV) Tablet HTCFXC76168 12/31/2019 473.00 - - -
608 Ciprofloxacin Tablet (RNI) Tablet HTCFXC1187 1/31/2020 473.00 2,000 946,000.00 -
610 Citicolin Injeksi (DNR) Ampul PIL38245 10/1/2019 24,750.00 450 11,137,500.00 -
612 Citicolin Injeksi (PPG) Ampul A10266702 1/1/2019 19,250.00 80 1,540,000.00 -
613 Citicolin Tablet (DNR) Tablet TPC17446 2/1/2022 7,333.33 3,600 26,400,000.00 -
615 Citicolin Tablet (ESV) Tablet TCTLA80030 1/31/2020 4,822.33 - - -
616 Clopidogrel Tablet (KF) Tablet 172088B 10/17/2019 2,999.00 - - -
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617 Clopidogrel Tablet (KF) Tablet K72810B 11/19/2019 2,999.00 1,200 3,598,804.00 -
618 Cotrimoxazol Tablet (KF) Tablet G71183B 6/17/2022 247.72 2,000 495,440.00 -
619 Cotrimoxazol Tablet (MTK) Tablet TPK75746 9/1/2022 275.00 300 82,500.00 -
620 Covetor Tablet (MBS) Tablet 20G113 7/31/2019 6,600.00 - - -
621 Codein Tablet 10 mg (KF) Tablet F71395J 6/30/2021 657.00 - - -
624 Codikaf Tablet 10 mg (KF) Tablet 172588J 9/29/2021 866.25 1,000 866,250.00 -
625 Dexamethason Injeksi (RNI) Ampul 6337002 12/31/2020 2,416.15 400 966,460.00 -
626 Dexamethason Injeksi (RNI) Ampul 16337003 2/28/2021 2,416.15 - - 2,000
627 Dexamethason Tablet (RNI) Tablet 16338001 1/31/2021 149.03 - - -
628 Desoximethason Cream (AAM) Tube 2380406 2/1/2020 11,500.01 90 1,035,000.45 -
629 Diazepam Tablet 2 mg (KF) Tablet E71076J 5/3/2020 123.75 2,400 297,000.00 -
630 Diphenhidramin Injeksi (RNI) Ampul 06342017-2 10/31/2021 1,864.61 60 111,876.60 -
631 Dobutamin Injeksi (AAM) Ampul 2380472 2/1/2020 13,945.00 10 139,449.99 -
632 Dobutamin Injeksi (RNI) Ampul 2280283 1/1/2018 70,288.24 10 702,882.40 -
633 Dobutamin Injeksi (RNI) Ampul 2380472 2/1/2020 70,288.24 40 2,811,529.60 -
634 Domperidon Syrup (PV) Botol S2317134 1/1/2020 4,126.10 79 325,961.90 -
635 Domperidon Syrup (RNI) Botol A10276801 1/1/2020 15,400.00 200 3,080,000.00 -
636 Domperidon Syrup (RNI) Botol KLDPA7311 5/31/2020 12,650.00 - - -
637 Domperidon Tablet (DNR) Tablet TSH86846 12/1/2021 484.34 500 242,170.50 -
641 Doxycycline Kapsul (KF) Kapsul H72017J 6/7/2022 550.17 1,000 550,165.00 -
642 Dulcolax Suppositoria (KF) Suppo 15050858 4/22/2019 16,033.60 200 3,206,720.00 -
643 Dulcolax Tablet (KF) Tablet 17111481 10/30/2020 1,329.35 600 797,610.00 -
644 Endrolin Injeksi (ESV) Ampul KVEDNA76173 8/6/2019 619,300.00 7 4,335,100.00 -
645 Ephedrin Injeksi (APL) Ampul 97LG0026 7/1/2021 22,000.00 - - -
646 Ephedrin Injeksi (APL) Ampul 97LG0126 7/24/2021 55,000.00 - - 100
647 Ephedrin Injeksi (APL) Ampul 97LG0127 7/24/2021 55,000.00 - - 400
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648 Ergotamin Coffein (KF) Tablet K60415B 10/1/2020 203.50 900 183,150.00 -
649 Erlamycetin Ear Drop (PV) Botol D0652098 7/1/2019 7,095.00 124 879,780.00 -
651 Esomax Injeksi (MBS) Vial BA0044 1/1/2020 118,800.00 70 8,316,000.00 -
652 Estazor Tablet (PV) Kapsul TH1411 8/1/2021 8,800.00 150 1,320,000.00 -
653 Estazor Tablet (PV) Kapsul TK1101 11/1/2021 9,020.00 930 8,388,600.00 -
657 Eyefresh 5 ml (PV) Botol 8EH0123 1/1/2021 31,762.50 20 635,250.00 -
658 Eyefresh 5 ml (PV) Botol 8EH0209 2/1/2021 31,762.50 198 6,288,975.00 -
659 Farbivent Injeksi (PV) Ampul TJ0203 10/1/2019 9,350.00 - - -
661 Farbivent Injeksi (PV) Ampul PA0343 1/1/2020 9,350.00 1,280 11,968,000.00 -
662 Farelax Injeksi (PPG) Ampul TK0013 11/1/2019 77,000.00 50 3,850,000.00 -
663 Farpresin Injeksi (PV) Vial IJ0323 10/1/2018 88,000.00 10 880,000.00 -
664 Farsorbid Injeksi (PV) Vial TD0583 4/1/2019 66,000.00 6 396,000.00 -
666 Fiondazol Infus (UN) Botol BPIL13546 10/1/2021 39,600.00 200 7,920,000.00 -
668 Flamar Tablet 25 mg (BSP) Tablet TJ8735A 9/1/2021 516.97 - - -
669 Flamar Tablet 25 mg (BSP) Tablet TH8744A 12/1/2019 516.97 500 258,483.92 -
670 Floxaris Infus (MBS) Botol 7K6739 10/1/2019 186,450.00 64 11,932,800.00 -
671 Flunarizin Tablet (PPG) Tablet TPE31647 4/1/2022 2,200.00 3,500 7,700,000.00 -
672 Furosemid Tablet (KF) Tablet F70972B 5/19/2020 84.00 - - -
673 Furosemid Tablet (MBS) Tablet 1709010 12/1/2021 178.34 2,500 445,857.85 -
674 Futrolit Infus (BSP) Bag UB3113A 2/1/2021 41,392.89 216 8,940,864.24 -
677 Gabasant Kapsul (SST) Kapsul JM002 10/1/2020 5,264.88 - - -
678 GABAXA INFUS (PV) Botol PB0683 2/1/2020 220,000.00 - - 50
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679 Gastrul Tablet (PV) Tablet TK1991 11/1/2019 11,440.00 1,440 16,473,600.00 -
680 Gavistral Injeksi (PV) Ampul F7L104 11/1/2019 7,700.00 5 38,500.00 -
681 Gavistral Injeksi (PV) Ampul F7L144 11/1/2019 7,700.00 160 1,232,000.00 -
682 Gelafusal Infus (AAM) Bag O0617 3/1/2020 145,015.00 70 10,151,050.14 -
683 Gelafusal Infus (RNI) Bag 00617 3/1/2020 192,500.00 200 38,500,000.00 -
685 Gentamicin Cream Kulit (KF) Tube J71502T 10/6/2021 2,073.14 - - -
686 Gentamicin Cream 1% (KF) Tube E81001T 5/16/2022 2,126.30 - - 120
687 Glauseta Tablet (BSP) Tablet UA2441 1/1/2020 4,625.50 - - -
688 Glauseta Tablet (BSP) Tablet DC2803 3/1/2020 4,741.00 200 948,200.00 -
689 Glauseta Tablet (BSP) Tablet DD2897 4/1/2020 4,741.00 800 3,792,800.00 -
690 Glimefion Tablet 2 mg (UN) Tablet BTPL01246 10/1/2020 4,216.67 - - -
691 Glimepiride Tablet 2 mg (RNI) Tablet HTGMPF76028 12/1/2021 880.00 1,500 1,320,000.00 -
692 Glukosa 05% (KF) Botol 270622 5/31/2020 6,900.30 - - 1,620
693 Glukosa 05% (KF) Botol 270704 6/5/2020 6,900.30 1,920 13,248,576.00 1,380
694 Glukosa 10% (KF) Botol 271106 10/31/2020 7,499.80 80 599,984.00 -
695 Glukosa 10% (KF) Botol 280203 1/3/2021 7,499.80 - - 120
696 Glukosa 10% (KF) Botol 280224 1/26/2021 7,499.80 - - 80
697 Glukosa 40% (KF) Vial 80G47A 7/11/2019 10,010.00 240 2,402,400.00 -
701 Graphalac Syrup (PV) Botol DC126 3/1/2020 46,750.00 - - 50
702 Gravix Tablet (PV) Tablet DA021 1/1/2023 1,410.75 - - -
704 Hepamed 300 mg (SST) Tablet JY7A131 9/1/2019 9,570.00 1,350 12,919,500.00 -
705 Hidrochlortiazid Tablet (KF) Tablet I72008B 8/8/2022 178.00 2,000 356,004.00 -
706 Human Albumin (KF) Botol B23655 9/30/2020 880,000.00 5 4,400,000.00 -
707 Ibuprofen Syrup 100 mg (KF) Botol S05015A11 5/30/2020 2,677.40 100 267,740.00 -
708 Ibuprofen Tablet 400 mg (KF) Tablet KB9119606 11/1/2021 127.00 1,700 215,891.50 -
709 Inpepsa Suspensi (PV) Botol PA2241 1/1/2021 57,200.00 - - -
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710 Inviclot Injeksi (PV) Vial TJ0173 10/1/2019 66,000.00 - - -
711 Inviclot Injeksi (PV) Vial PC0473 3/1/2020 66,000.00 20 1,320,000.00 -
712 Isonat Tablet 5 mg (KF) Tablet D160355B 4/1/2020 968.00 - - -
713 Isonat Tablet 5 mg (KF) Tablet D160355B 8/30/2020 968.00 2,450 2,371,600.00 3,000
714 Isoniazid Tablet 100 mg (AP DE) Tablet J60093B 10/1/2021 200.00 - - -
715 Isoniazid Tablet 100 mg (KF) Tablet J60093B 9/24/2021 142.56 - - -
716 Isoniazid Tablet 300 mg (KF) Tablet G71416B 7/7/2022 170.01 2,000 340,010.00 -
719 Itramag Suspensi (SST) Botol 802181 8/1/2021 5,009.40 - - -
720 KA-EN 3B (KF) Botol 471193A 8/1/2020 10,249.80 160 1,639,968.00 -
721 Ketokonazol Tablet (RNI) Tablet 3061814 9/1/2019 450.99 450 202,946.04 -
725 Ketorolac Injeksi 30 mg (DNR) Ampul PIC26647 2/1/2020 16,038.00 - - -
728 Ketorolac Injeksi 30 mg (RNI) Ampul 16459008 2/28/2021 1,834.25 - - -
729 Ketorolac Injeksi 30 mg (RNI) Ampul IKTRB0088 31 Januari 2020 5,000.05 - - 2,016
730 Ketorolac Injeksi 30 mg (RNI) Ampul IKTR80102 31 Maret 2020 5,000.05 - - 264
731 Klotaren Tablet 25 mg (KF) Tablet F71208J 5/16/2022 398.99 5,000 1,994,960.00 -
732 Kolefion Tablet 20 mg (UN) Tablet BTSL01045 10/1/2019 5,500.00 - - -
733 Kolicgon Tablet (PV) Tablet T0651029 11/1/2018 1,317.37 - - -
734 Lanabal Tablet (MBS) Tablet 20E033 5/31/2021 1,320.00 700 924,000.00 -
735 Lansoprazol Kapsul (DNR) Kapsul NPC03847 2/1/2021 1,621.60 460 745,935.08 -
736 Lansoprazol Kapsul (KF) Kapsul 7178109 12/31/2019 330.00 3,000 990,000.00 -
737 Lansoprazol Kapsul (PV) Kapsul EBC034D 8/1/2020 1,351.35 - - -
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743 Levemir Flex Pen (AAM) Pen HT6E203 5/1/2020 83,950.00 - - -
744 Levemir Flex Pen (AAM) Pen HT6D631 4/1/2020 83,950.00 50 4,197,500.01 -
745 LFX 0,6 ml (PV) Strip 7LF61222 6/1/2020 75,900.00 - - -
746 LFX 5 ml (PV) Botol 7LF1114 5/1/2020 76,175.00 150 11,426,250.00 -
747 LFX 5 ml (PV) Botol 7LF1114 5/1/2020 46,750.00 - - -
748 Loperamid Tablet (KF) Tablet 70310 11/1/2019 85.00 - - -
749 Loprezol Kapsul (KF) Kapsul HG1543J 9/30/2019 799.99 390 311,997.40 -
750 Meloxicam Tablet 15 mg (RNI) Tablet JS17040A 10/1/2019 512.60 - - -
753 Merophenem Injeksi 1 g (PPG) Vial K10326701 10/1/2020 225,500.00 59 13,304,500.00 -
756 Merophenem Injeksi 1 g (RNI) Vial IMRPA80096 1/31/2020 110,000.00 70 7,700,000.00 -
757 Merophenem Injeksi 1 g (RNI) Vial IMRPA70086 12/31/2019 110,000.00 70 7,700,000.00 -
758 Metformin Tablet 500 mg (AAM) Tablet 47F4152 5/1/2019 179.69 - - -
759 Metformin Tablet 500 mg (ESV) Tablet HTMFNA81606 2/29/2020 181.50 2,500 453,750.00 -
761 Methyl Ergometrin Tablet (KF) Tablet C70296J 3/1/2022 270.60 1,100 297,660.00 -
763 Methylprednisolon Injeksi (MTK) Vial PSN66945 12/1/2020 49,500.00 - - -
764 Methylprednisolon Injeksi (PPG) Vial L10576701 11/1/2020 51,700.00 276 14,269,200.00 -
765 Methylprednisolon Injeksi (RNI) Vial P182033 1/31/2020 23,760.00 300 7,128,000.00 -
766 Methylprednisolon Injeksi (RNI) Vial 16463014 1/31/2021 19,089.40 - - -
769 Methylprednisolon Tablet 4 mg (PPG) Tablet B10046801 2/1/2020 550.00 - - -
771 Methylprednisolon Tablet 4 mg (RNI) Tablet 49B0172 2/1/2022 484.61 - - -
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772 Methylprednisolon Tablet 4 mg (RNI) Tablet 16445001 6/28/2022 484.00 - - 4,800
776 Methylprednisolon Tablet 4 mg (TSJ) Tablet TPC12447 2/1/2021 528.66 3,900 2,061,774.00 -
778 Metronidazol Infus (TSJ) Botol L10176703 11/1/2020 44,000.00 - - -
780 Metronidazol Infus (TSJ) Botol L10176711 11/1/2020 44,000.00 200 8,800,000.00 -
781 Metronidazol Tablet 500 mg (PPG) Tablet TPM98846 11/1/2022 264.00 2,300 607,200.00 -
782 MgSO4 40 % (GF) Vial 86E46A 5/17/2018 2,629.00 - - -
783 MgSO4 40 % (GF) Vial - - 3,652.00 90 328,680.00 -
784 MgSO4 40 % (MRP) Vial 92C48A 3/23/2020 3,796.10 240 911,064.00 -
785 Miconazol Cream (KF) Tube 172317W 9/12/2021 3,575.00 96 343,200.00 -
787 Molagit Tablet (MBS) Tablet ZN039 11/1/2022 360.80 3,000 1,082,400.00 -
788 Molaneuron Tablet (MBS) Tablet M13AJ005 1/1/2021 495.00 - - -
789 Moxifloxacin Infus (PV) Botol PA0383 1/1/2020 220,000.00 - - -
794 Myotonic Tablet (PV) Tablet A7L932 11/1/2019 2,915.00 - - -
795 Myotonic Tablet (PV) Tablet A8B199 2/1/2020 2,915.00 900 2,623,500.00 -
799 N-Ace Kapsul (PV) Kapsul TL0201 12/1/2019 2,310.00 - - -
800 N-Ace Kapsul (PV) Kapsul PB1601 2/1/2020 2,310.00 600 1,386,000.00 -
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803 NaCl Piggyback (KF) Botol 48A88A 1/19/2021 15,180.00 1,080 16,394,400.00 -
805 Natacen 0,6 ml (PV) Strip 8NA60126 1/1/2020 45,787.50 15 686,812.50 -
807 Natrium Klorida Infus (KF) Botol 182D01 4/1/2021 6,409.70 3,000 19,229,100.00 -
808 Natrium Klorida Infus (KF) Botol 480302 2/5/2022 6,409.70 2,000 12,819,400.00 -
809 Natrium Klorida Infus (KF) Botol 380215 1/16/2023 6,409.70 - - 520
810 Natrium Klorida Infus (KF) Botol 480303 9/6/2021 6,409.70 - - 7,480
811 Natrium Klorida Infus (RNI) Botol 280121 12/1/2022 6,409.70 1,600 10,255,520.00 -
813 Natrium Diklofenak Tablet 50 mg (KF) Tablet J72895J 10/5/2022 352.64 1,400 493,693.20 -
817 Neostigmine Hamelin (APL) Ampul 743056 26 OKTOBER 2019 8,200.06 - - 25
818 Neurosanbe Injeksi (BSP) Ampul UB3425 6/1/2019 5,324.00 1,200 6,388,800.00 -
820 Neurosanbe Tablet (BSP) Tablet UA2522 1/1/2022 1,160.50 - - -
821 Neurosanbe Tablet (BSP) Tablet DC2770 3/1/2022 1,160.50 1,400 1,624,700.00 -
822 Neurosanbe Tablet (BSP) Tablet DD2031B 4/1/2022 1,160.50 3,200 3,713,600.00 -
823 Nifedipin Tablet (RNI) Tablet 47G4166 5/1/2020 141.89 1,500 212,833.50 -
824 Nifedipin Tablet (RNI) Tablet 48F4106 5/1/2021 141.90 - - -
825 Nimodipin Infus (DNR) Botol PIM57545 11/1/2018 181,500.00 1 181,500.00 -
827 Norages Injeksi (PV) Ampul F8C277 3/1/2020 9,185.00 150 1,377,750.00 -
828 Norelut Tablet (AAM) Tablet 49B3042 1/1/2022 4,224.00 750 3,168,000.00 -
829 Normudal Tablet (APL) Tablet BSB089 2/28/2023 694.54 500 347,270.00 -
831 Novamaag Syrup (RNI) Botol 18040192 4/30/2022 3,712.50 - - -
833 Novorapid Flex Pen (AAM) Pen HR7F771 5/1/2020 87,000.00 40 3,479,999.95 -
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834 OAT Kategori 1 (GF) Kotak - - 413,979.00 - - -
835 OAT Kategori Anak (GF) Kotak - - 224,758.00 - - -
836 Oksitosin Injeksi (GF) Ampul - - 1,900.00 200 380,000.00 -
837 Ondancentron Injeksi 4 mg (DNR) Ampul PIH83945 7/1/2019 5,500.00 - - -
841 Ondancentron Injeksi 4 mg (MRP) Ampul I172393 1/31/2020 3,190.00 1,500 4,785,000.00 -
842 Ondancentron Injeksi 4 mg (PPG) Ampul B10426701 2/1/2020 5,500.00 - - -
843 Ondancentron Injeksi 4 mg (RNI) Ampul I172387 11/30/2019 3,190.00 450 1,435,500.00 -
847 Oralit (AP DE) Sachet - - 500.00 - - -
848 Oralit (RNI) Sachet 06373308 8/31/2020 418.00 500 209,000.00 -
849 Oxytetracyclin Salep Kulit (KF) Tube C80863W 3/7/2021 2,009.70 150 301,455.00 -
850 Oxytetracyclin Salep Mata (KF) Tube A80110W 1/1/2020 3,327.50 150 499,125.00 -
852 P. Pred 5 ml (PV) Botol BPP0306 3/1/2020 61,050.00 149 9,096,450.00 -
853 P. Pred 5 ml (PV) Botol BPP0306 3/1/2020 46,750.00 - - -
854 Pantocain 0,5 % (PV) Botol 7P11228 12/1/2020 13,337.50 - - -
855 Pantocain 5 ml (PV) Botol 7P11228 12/1/2020 13,337.50 100 1,333,750.00 -
857 Pantoprazol Injeksi (PPG) Vial J10256706 9/1/2019 93,500.00 - - -
859 Pantoprazol Injeksi (RNI) Vial 06488063 11/30/2020 37,400.00 - - -
860 Pantoprazol Injeksi (TSJ) Vial PSD09447 3/1/2021 88,000.00 - - -
863 Pantoz Injeksi (SST) Vial ET0003 5/1/2020 47,502.68 300 14,250,802.50 -
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866 Paracetamol Infus (APL) Botol MY7E007 12/31/2019 11,990.00 - - -
867 Paracetamol Infus (APL) Botol QY6E070 3/31/2020 11,990.00 336 4,028,640.00 -
871 Paracetamol Infus (PPG) Botol PIB15547 1/1/2021 66,000.00 - - -
872 Paracetamol Infus (RNI) Botol 0020282A 2/29/2020 38,500.00 - - -
875 Paracetamol Syrup (DNR) Botol SCB03747 1/1/2022 5,500.00 200 1,100,000.00 -
876 Paracetamol Tablet (KF) Tablet D807541 4/11/2022 220.72 9,200 2,030,578.00 -
881 Pehacain Injeksi (RNI) Ampul 06052090 11/30/2011 3,113.06 20 62,261.10 -
882 Pehacain Injeksi (RNI) Ampul 16052006 3/31/2021 3,113.06 400 1,245,222.00 -
883 Petidin Injeksi (KF) Ampul EG0866J 5/20/2021 13,191.42 - - -
884 Petidin Injeksi (KF) Ampul EG085J 4/30/2021 13,191.42 - - 300
886 Phentanyl Injeksi (KF) Ampul PR2L 2/1/2020 41,599.80 - - -
887 Phentanyl Injeksi (KF) Ampul 5D5JB 9/1/2020 41,599.80 250 10,399,950.00 -
888 Phyfion Injeksi (GHF) Ampul BPINI6046 1/12/2019 9,350.00 645 6,030,750.00 -
889 Phytomenadion Tablet (RNI) Tablet 95381011 10/20/2019 1,100.55 600 660,330.00 -
890 Piracetam Injeksi 1 g (AAM) Ampul 2470595 3/1/2019 4,235.00 - - -
892 Piracetam Injeksi 1 g (TSJ) Ampul PID14145 3/1/2020 6,600.00 50 330,000.00 -
893 Piracetam Injeksi 1 g (TSJ) Ampul PIF74346 5/1/2021 6,600.00 350 2,310,000.00 -
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897 Piracetam Injeksi 3 g (TSJ) Ampul PIL45946 1/1/2021 20,526.00 190 3,899,940.00 -
898 Piracetam Kapsul 800 mg (AAM) Kapsul 48D0124 4/1/2020 618.31 3,000 1,854,930.00 -
899 Piroxicam Tablet 10 mg (MBS) Tablet 1706019 7/1/2020 236.62 1,440 340,732.38 -
900 Polydex 5 ml (PV) Botol 8PX0212 8/1/2020 39,325.00 10 393,250.00 -
901 Polydex 5 ml (PV) Botol 8PX0315 9/1/2020 39,325.00 16 629,200.00 -
902 Polydex 5 ml (PV) Botol 8PX0323 4/1/2020 39,325.00 74 2,910,050.00 -
903 Polydex 0,6 ml (PV) Strip 7PX61120 5/1/2020 29,150.00 - - -
904 Polydex 0,6 ml (PV) Strip 7Px61228 6/1/2020 29,150.00 - - -
905 Polydex 0,6 ml (PV) Strip 8PX60424 10/1/2020 29,150.00 - - 40
906 Polydex 0,6 ml (PV) Strip 8PX60511 11/1/2020 29,150.00 - - 10
907 Polygran 0,6 ml (PV) Strip 7PG61106 5/1/2020 19,250.00 20 385,000.00 -
908 Polygran 0,6 ml (PV) Strip TPG61219 6/1/2020 19,250.00 - - 26
909 Polygran 5 ml (PV) Botol 7PG1207 6/1/2020 34,787.50 28 974,050.00 -
910 Polynel 0,6 ml (PV) Strip 7PL61211 6/1/2020 19,662.50 - - -
911 Polynel 5 ml (PV) Botol 7PL0109 7/1/2020 29,562.50 - - -
912 Polynel 5 ml (PV) Botol 8PL0402 10/1/2020 29,562.50 30 886,875.00 -
913 Polynel 5 ml (PV) Botol 8PL0507 11/1/2020 29,562.50 100 2,956,250.00 -
915 Posop 0,6 ml (PV) Strip 8P060208 8/1/2020 57,750.00 15 866,250.00 -
918 Prednicort Injeksi 125 mg (MBS) Vial 7J0764 9/1/2019 45,100.00 - - -
919 Prednison Tablet (RNI) Tablet 16385001 7/5/2022 181.50 - - 5,000
920 Pritamol Tablet (MBS) Tablet ZD008 12/1/2020 214.50 4,000 858,000.00 -
921 Profolat Tablet (KF) Tablet 1961710050 9/1/2019 62.00 500 30,998.00 -
922 Profolat Tablet (KF) Tablet 1961710050 9/30/2019 60.01 3,000 180,015.00 -
923 Propepsa Suspensi (PV) Botol NM123 12/1/2019 44,000.00 - - -
924 Propepsa Suspensi (PV) Botol DA110 1/1/2020 55,000.00 - - -
925 Propepsa Suspensi (PV) Botol DD110 4/1/2020 48,400.00 48 2,323,200.00 -
926 Propylthiouracil Tablet (AAM) Tablet 48L0915 11/1/2021 474.80 2,000 949,608.00 -
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927 Propranolol Tablet (RNI) Tablet 48L0132 11/1/2022 84.70 1,000 84,700.00 -
929 Protagenta 0,6 ml (PV) Strip 8PR60712 7/1/2021 39,462.50 - - 50
933 Protocin Injeksi (PV) Ampul F8A209 1/1/2020 7,480.00 - - -
934 Protocin Injeksi (PV) Ampul F8A209 1/1/2020 7,480.00 720 5,385,600.00 -
935 Pumpisel Injeksi (BSP) Vial UC3806B 4/1/2020 71,492.60 11 786,418.60 -
936 Pumpisel Injeksi (BSP) Vial UC3808B 3/1/2020 71,492.60 189 13,512,101.40 -
937 Pyrazinamid Tablet (AAM) Tablet 48L0877 11/1/2022 308.55 2,000 617,100.00 -
938 Pyrazinamid Tablet (KF) Tablet E70598B 4/18/2022 344.14 1,000 344,135.00 -
939 Ranitidin Injeksi (DNR) Ampul PIK10646 9/1/2020 7,040.00 - - -
941 Ranitidin Injeksi (PPG) Ampul PIB08847 1/1/2021 7,040.00 - - -
943 Ranitidin Injeksi (PPG) Ampul A10356608 1/1/2021 7,150.00 - - 4,320
945 Ranitidin Injeksi (TSJ) Ampul L10356721 11/1/2020 7,150.00 2,200 15,730,000.00 -
946 Ranitidin Tablet 150 mg (DNR) Tablet TSM76646 11/1/2020 660.00 1,900 1,254,000.00 -
949 Ranitidin Tablet 150 mg (TSJ) Tablet TSB02947 1/1/2021 660.00 10,000 6,600,000.00 -
950 Reco Tetes Mata (SST) Botol 0091017014 4/1/2019 7,700.00 75 577,500.00 -
953 Recofol N Inejeksi (AAM) Ampul 17234033 5/1/2019 94,050.00 140 13,167,000.00 -
956 Recolfar Tablet (PV) Tablet TJ1451 10/1/2019 4,950.00 - - -
957 Recolfar Tablet (PV) Tablet FE1191 4/1/2021 4,950.00 - - 600
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958 Renax Kapsul (MBS) Kapsul K060G013 3/1/2021 8,030.00 300 2,409,000.00 -
959 Reprostom Tablet (PV) Tablet PD1051 4/1/2020 8,800.00 180 1,584,000.00 -
960 Revolan Injeksi (BSP) Ampul TK3431 12/1/2019 33,002.56 65 2,145,166.10 -
961 Revolan Injeksi (BSP) Ampul UB3446 2/1/2020 33,002.56 165 5,445,421.64 -
962 Ringer Lactat (RNI) Botol 571105 10/17/2019 7,150.00 7,760 55,484,000.00 -
966 Rocum Injeksi (AAM) Ampul 2580979 4/1/2020 99,000.00 50 4,950,000.00 -
968 Salbutamol Tablet 2 mg (RNI) Tablet 06481029 11/29/2019 97.41 1,400 136,367.00 -
969 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 2971365 8/1/2019 21,505.00 170 3,655,850.00 -
970 Siloxan 5 ml (PV) Botol 7S10914 9/1/2020 58,025.00 20 1,160,500.00 -
971 Siloxan 5 ml (PV) Botol 8S10323 3/1/2021 58,025.00 - - 50
972 Simprofen Tablet (PV) Tablet PF8A02 2/1/2020 6,050.00 90 544,500.00 -
973 Simvastatin Tablet 20 mg (ESV) Tablet KTSVNB76083 11/30/2019 1,026.67 - - -
974 Simvastatin Tablet 20 mg (KF) Tablet K72765B 7/31/2020 224.99 10,000 2,249,940.00 -
976 Simvastatin Tablet 20 mg (RNI) Tablet KTSVNB76097 12/31/2019 1,026.67 1,400 1,437,333.33 -
977 Sintrol Simvastatin Tablet 10 mg (SST) Tablet THY2 5/1/2020 558.62 900 502,755.00 -
979 Sojourn (PV) Botol S0288A30 1/1/2023 2,860,000.00 3 8,580,000.00 5
980 Spironolacton Tablet (RNI) Tablet 48G4215 6/1/2019 407.00 100 40,700.00 -
982 Supravenid Suppositoria (PV) Suppo G8A164 1/1/2021 12,100.00 50 605,000.00 -
983 Terrell (PV) Botol N0047A13 1/1/2022 1,683,000.00 1 1,683,000.00 -
984 Terrell (PV) Botol NO677327 10/1/2022 1,683,000.00 - - 2
985 Timol 0,5 % (PV) Botol 7TM1122 11/1/2020 52,525.00 - - -
986 Timol 0,5 % (PV) Botol 7TM1211 12/1/2020 52,525.00 - - -
987 Timol 0,5% (PV) Botol 8TM0117 1/1/2021 52,525.00 18 945,450.00 -
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989 Tobro 0,6 ml (PV) Strip 7T061121 11/1/2020 21,037.50 30 631,125.00 -
991 Tobroson 5 ml (PV) Botol 7TS1128 5/1/2020 50,875.00 100 5,087,500.00 -
995 Tomit Injeksi (ENS) Ampul I0048H0012 2/29/2020 10,606.75 200 2,121,350.00 -
996 Tomit Injeksi (ENS) Ampul I0048H0021 3/31/2020 10,606.75 50 530,337.50 -
997 Tronadex Injeksi (PV) Ampul NK305 10/1/2019 12,760.00 - - -
998 Vaksin Hepatitis B (Hb 0) (GF) Vial - - - - -
999 Vaksin Hepatitis B (Hb 0) (GF) Vial 3653816 8/1/2018 - - -
1000 Valesco Tablet 80 mg (SST) Tablet KY7A119 10/1/2019 2,464.00 - - -
1001 Vernacel Eye Drop 5 ml (PV) Botol 6VE1104 11/1/2019 20,350.00 8 162,800.00 -
1002 Vitamin B Comp Tablet (KF) Tablet I71293T 9/19/2020 135.00 7,600 1,026,022.80 -
1003 Vitamin C Tablet 100 mg (KF) Tablet H70084BI 9/14/2020 120.29 - - -
1004 Vitamin C Tablet 100 mg (KF) Tablet C70177B 2/11/2020 121.44 - - -
1005 Zink Tablet (KF) Tablet I72601J 9/14/2019 604.00 4,500 2,717,995.50 -
1007 BAHAN HABIS PAKAI BLUD 2018 - - - - - -
1008 Air Filter Regulator (SMAK) Pcs - - 605,000.00 2 1,210,000.00 -
1009 Alkohol 300 ml (IHS) Botol - - 15,488.00 - - -
1012 Alkohol 1000 ml (IHS) Botol - - 33,000.00 - - 100
1013 Alkohol 1000 ml (MBS) Botol A03AM033 3/1/2023 19,330.01 - - -
1017 Alkohol 1000 ml (RNI) Botol D48804 5/25/2018 24,224.98 45 1,090,124.15 -
1018 Alkohol Swab (BDM) Kotak 201709 8/1/2022 26,400.00 4 105,600.00 -
1019 Alkohol Swab (BDM) Kotak 201801 12/1/2022 26,400.00 10 264,000.00 -
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1020 Alkohol Swab (IHS) Kotak - - 11,500.00 10 115,000.00 -
1021 Appablade AA 562021 Tunnel Blade (PK) Kotak - - 1,265,000.00 - - -
1022 Appablade AA 560009 Lance Blade (PK) Kotak - - 1,265,000.00 - - -
1023 Appablade AA 562027 Slit Blade (PK) Kotak - - 1,265,000.00 - - -
1024 Appalens IOL Model 302 Power (17.00) (PK) Pcs - - 121,000.00 - - -
1030 Appalens IOL Model 302 Anterior Chamber Power (17.00) (P Pcs - - 121,000.00 - - 5
1031 Appalens Plus Square Edge Power (20.00) (PK) Pcs - - 192,500.00 - - 40
1032 Appasamy AA 7420 Simcoe I/A Cannula (PK) Pcs - - 1,353,000.00 - - -
1033 Appasamy Appavisc 3 ml W/ Syringe (PK) Pcs - - 121,000.00 - - 50
1034 Appasamy Cohevisc 1,4% (PK) Pcs - - 375,100.00 - - -
1035 Appasamy Cohevisc 1,8% (PK) Pcs - - 418,000.00 - - 50
1036 Appasamy Mio-Chol (PK) Pcs - - 66,000.00 - - -
1037 Appasamy Rhex-Id (PK) Pcs - - 66,000.00 - - -
1038 Appablade AA 562027 Slit Blade (PK) Pcs - - 126,500.00 - - -
1039 Appablade AA 562021 Tunnel Blade (PK) Pcs - - 126,500.00 - - 10
1040 Appablade AA 560009 Lance Blade (PK) Pcs - - 126,500.00 - - -
1041 Apron (IHS) Pcs - - 2,904.40 - - -
1042 Bovine Aaron Cautery Low Temperature Pcs - - 357,500.00 - - 6
1043 Carbacol (PK) Pcs - - 66,000.00 - - -
1044 Catgut Cromic 3/0 (BDM) Roll 170919 10/1/2022 1,760,000.00 - - -
1045 Catgut Cromic 3/0 (BDM) Roll 170918 10/1/2022 1,760,000.00 1 1,760,000.00 -
1048 Catgut Cromic With Needle 2 HR 45 (RNI) Kotak 170901 8/1/2022 585,420.00 8 4,683,360.00 -
1049 Catgut Cromic With Needle 2/0 HR 26 Kotak 170601 5/1/2022 825,000.00 8 6,600,000.00 -
1050 Catgut Cromic With Needle 2/0 HR 30 (RNI) Kotak 170901 8/1/2022 425,700.00 5 2,128,500.00 -
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1051 Curaspon (BDM) Pcs 2283A 5/1/2021 104,500.00 15 1,567,500.00 -
1052 Developer (BDM) Set 873505 - 1,282,600.00 - - -
1053 Developer (BDM) Set - - 1,282,600.00 2 2,565,200.00 -
1054 Devine Meditech Eye Drepe (PK) Pcs - - 77,000.00 - - -
1055 Disposable Syringe With Needle 0,5 cc (GF) Pcs - - 1,536.80 - - -
1057 Disposable Syringe With Needle 01 cc RD (RNI) Pcs 1401201 3/31/2019 822.00 1,400 1,150,799.22 -
1063 Disposable Syringe With Needle 03 cc BD (RNI) Pcs 8022427 1/31/2023 2,224.15 1,800 4,003,461.00 -
1065 Disposable Syringe With Needle 03 cc Nipro (KF)) Pcs 17J0503J 10/1/2018 1,009.80 - - -
1071 Disposable Syringe With Needle 05 cc Aximed (KF) Pcs 20170910 8/31/2022 1,159.99 50 57,999.70 -
1072 Disposable Syringe With Needle 05 cc BD (RNI) Pcs 7361386 12/31/2022 2,852.85 950 2,710,207.50 -
1073 Disposable Syringe With Needle 05 cc Nipro (KFI) Pcs 1710606J 9/1/2018 1,247.40 200 249,480.00 -
1077 Disposable Syringe With Needle 10 cc Nipro (KF) Pcs 17J1607J 10/1/2018 1,654.40 - - -
1081 Disposable Syringe With Needle 10 cc RD (BDM) Pcs 180502 2/1/2023 1,216.60 - - 18,000
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Terkecil
1082 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1705201 4/1/2022 1,163.00 1,300 1,511,899.68 -
1083 Disposable Syringe With Needle 20 cc RD (BDM) Pcs 181601 1/1/2023 1,960.20 200 392,040.00 -
1084 Disposable Syringe With Needle 50 cc SP (BDM) Pcs 120717 12/1/2022 4,812.50 100 481,250.00 -
1087 Elektroda Patien Monitor (BDM) Pak 7162X 6/1/2019 220,000.00 10 2,200,000.00 -
1088 Elektroda Patien Monitor (BDM) Pak 71161X 6/1/2019 220,000.00 - - 50
1089 Endotracheal Tube 2,5 (BDM) Pcs 166640 6/1/2021 165,000.00 10 1,650,000.00 -
1090 Endotracheal Tube 4,0 (BDM) Pcs 14FG24 5/1/2019 82,500.00 8 660,000.00 -
1091 Endotracheal Tube 5,0 (BDM) Pcs 14C908 2/1/2019 82,500.00 10 825,000.00 -
1092 Endotracheal Tube 6,0 (BDM) Pcs 15LG25 11/1/2020 82,500.00 10 825,000.00 -
1093 Eye Dop Shield (PK) Pcs - - 13,200.00 - - -
1094 Feeding Tube FR 05 (BDM) Pcs 160813B 7/1/2019 33,599.50 50 1,679,975.00 -
1095 Feeding Tube FR 08 (BDM) Pcs 20161020 10/1/2021 4,082.10 25 102,052.50 -
1097 Film 30 x 40 (BDM) Kotak 43433 6/1/2020 4,109,600.00 - - -
1098 Film 35 x 35 (BDM) Kotak 44611 6/1/2020 4,462,700.00 - - -
1099 Film 35 x 35 (BDM) Kotak 44805 6/1/2020 4,462,700.00 - - -
1100 Film 35 x 35 (BDM) Kotak 45835 11/1/2020 4,462,700.00 - - -
1101 Film 35 x 35 (BDM) Kotak 45460 - 4,462,700.00 5 22,313,500.00 -
1102 Film Gigi (BDM) Kotak 3117008 3/1/2020 1,870,000.00 - - -
1104 Fixer (BDM) Set CAT873505 - 790,900.00 - - -
1105 Fixer (BDM) Set - - 790,900.00 2 1,581,800.00 -
1106 Fluorescetin sodium Opthalmic Strips U.S.P (PK) Kotak - - 605,000.00 - - 1
1107 Foley Catheter 2 Way 12 (BDM) Pcs 16G10D 3/1/2021 14,994.10 50 749,705.00 -
1108 Foley Catheter 2 Way 16 (BDM) Pcs 17-G-05H 7/1/2022 15,749.80 - - -
1109 Foley Catheter 2 Way 16 (BDM) Pcs 16I09 8/1/2021 24,200.00 110 2,662,000.00 -
1110 Foley Catheter 2 Way 18 (BDM) Pcs 17-G-10K 9/1/2022 15,749.80 - - -
1111 Foley Catheter 2 Way 18 (BDM) Pcs 16108 8/1/2021 24,200.00 - - 100
1112 Foley Catheter 2 Way 18 (BDM) Pcs 16G09 6/1/2021 24,200.00 40 968,000.00 -
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1113 Foley Catheter 3 Way 24 (BDM) Pcs 16K07 10/1/2021 110,000.00 30 3,300,000.00 -
1114 Formalin (BM) Liter - - 137,500.00 - - 25
1115 FSBB Benang 8/0 PGA (PK) Pcs - - 236,500.00 - - -
1117 FSSB Benang 10/0 Nylon Black (PK) Pcs - - 198,000.00 - - -
1118 FSSB Benang 10/0 Nylon Black (PK) Kotak - - 3,036,000.00 - - 1
1119 FSSB Benang Nylon 10/0 (PK) Kotak - - 3,036,000.00 - - -
1120 Glucocard (AAM) Botol A27801E 5/1/2019 279,950.00 - - -
1125 Gypsona 6 Inch (BDM) Roll 724 6/1/2020 66,715.00 20 1,334,300.00 -
1126 Handrub Aseptan 500 ml (IHS) Botol - - 45,540.00 - - -
1127 Handrub E Care (ESV) ml 1803268 3/1/2021 127.68 4,500 574,559.37 -
1128 Handrub Fresco (RNI) ml - - 111.00 1,500 166,499.85 -
1129 Handscoon Manual NS (BDM) Pasang - - 30,250.00 10 302,500.00 110
1132 Handscoon NS (BDM) Pcs 170870603 7/1/2022 527.51 4,000 2,110,020.00 -
1135 Handscoon NS S (BDM) Kotak - - 52,750.50 - - 70
1136 Handscoon NS L (BDM) Kotak - - 52,750.50 - - 400
1137 Handscoon NS (KF) Pcs 5161005 8/29/2021 577.50 - - -
1138 Handscoon NS (SST) Pcs 22104900 10/1/2022 544.50 - - -
1141 Handscoon ST 6,5 (BDM) Pasang 17070105 6/1/2022 5,170.00 - - 350
1143 Handscoon ST 6,5 (BDM) Pasang 17070105 6/1/2022 5,170.00 290 1,499,300.00 -
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Terkecil
1144 Handscoon ST 6,5 (IHS) Pasang - - 4,807.00 - - -
1148 Handscoon ST 7 (BDM) Pasang 17070105 6/1/2022 5,170.00 355 1,835,350.00 600
1149 Handscoon ST 7 (IHS) Pasang - - 4,807.00 - - -
1150 Handscoon ST 7 (RNI) Pasang 1421503 1/1/2021 11,990.00 - - -
1152 Handscoon ST 7,5 (BDM) Pasang 203038344SPJA 2/1/2022 8,819.80 183 1,614,023.40 -
1153 Handscoon ST 7,5 (BDM) Pasang 17120107 11/1/2022 5,170.00 400 2,068,000.00 400
1155 Handscoon ST 7,5 (BDM) Pasang - - 8,819.80 - - -
1157 Handscoon ST 7,5 (RNI) Pasang 1457804 7/1/2021 11,990.00 - - -
1158 Hidrogen Peroksida (BM) Liter - - 192,500.00 - - -
1164 Hypavix 15 x 5 (BDM) Roll 73541230 7/1/2022 240,680.00 - - 60
1165 Hypavix 15 x 5 (BDM) Roll 72630230 5/1/2022 240,680.00 26 6,257,680.00 -
1166 Infus Set Makro Fesco (BDM) Pcs 20170921 9/1/2022 6,803.50 400 2,721,400.00 -
1167 Infus Set Makro Eskamed (BDM) Pcs 171020 9/1/2022 10,332.30 100 1,033,230.00 -
1171 Infus Set Makro TP (BDM) Pcs 180320 2/1/2023 8,333.60 200 1,666,720.00 800
1172 Infus Set Makro (KF) Pcs 179D48M 4/10/2023 7,920.00 - - -
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Terkecil
1177 IV Catheter 18 Abbocath (BDM) Pcs 68-202-KY 7/1/2021 16,000.00 - - 300
1178 IV Catheter 18 Abbocath (BDM) Pcs 60201KY 11/1/2020 16,000.00 200 3,200,000.00 -
1180 IV Catheter 18 Eskamed (BDM) Pcs 3295517L 9/1/2022 12,600.50 100 1,260,050.00 -
1185 IV Catheter 20 Abbocath (BDM) Pcs 70-203-KY 9/1/2021 16,000.00 100 1,600,000.00 -
1187 IV Catheter 20 Eskamed (BDM) Pcs 3295617L 9/1/2022 12,600.50 200 2,520,100.00 -
1188 IV Catheter 20 Eskamed (BDM) Pcs 3225117H 7/1/2022 12,600.50 300 3,780,150.00 -
1193 IV Catheter 20 Supercath (SMAK) Pcs - - 18,750.60 - - -
1200 IV Catheter 24 Abbocath (BDM) Pcs 69203KY 8/1/2021 16,000.00 200 3,200,000.00 300
1203 IV Catheter 26 Eskamed (BDM) Pcs 3095315E 4/1/2020 16,956.50 100 1,695,650.00 -
1205 Jarum Kulit No. 10 (BDM) Lusin - - 38,500.00 12 462,000.00 30
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1206 Jarum Kulit No. 12 (BDM) Lusin MD 16153703 - 38,500.00 - - -
1207 Jarum Kulit No. 13 (BDM) Lusin - - 38,500.00 9 346,500.00 30
1209 Jarum Kulit No. 15 (BDM) Lusin MD 17171802 - 38,500.00 - - 30
1210 Jarum Otot No. 16 (BDM) Lusin - - 38,500.00 - - 30
1211 Jelly KY (BDM) Tube 1221N2 7/1/2020 110,000.00 21 2,310,000.00 -
1212 Jelly Ultrasound (BDM) ml 65066C 3/1/2022 110.00 - - -
1213 Jelly Ultrasound 250 ml (BDM) Botol 20170710 7/1/2020 29,700.00 12 356,400.00 -
1214 Kapas 250 g (RNI) Roll 0216 10/31/2020 42,900.00 - - -
1215 Kapas 500 g (RNI) Roll 0216 10/31/2020 85,415.00 - - -
1216 Kapas 500 g (BDM) Roll 1410069 10/1/2019 82,208.50 - - -
1217 Kapas 500 g (BDM) Roll 1411082 11/1/2019 82,208.50 - - -
1218 Kapas 500 g (BDM) Roll 1411084 11/1/2019 82,208.50 - - -
1219 Kapas 500 g (BDM) Roll 1412099 12/1/2019 82,208.50 - - -
1220 Kapas 500 g (BDM) Roll 1502008 2/1/2020 82,208.50 - - -
1221 Kapas 500 g (BDM) Roll 1503009 3/1/2020 161,370.00 13 2,097,810.00 24
1222 Kapas 500 g (IHS)) Roll - - 31,372.00 - - -
1223 Kapas 1000 g (BDM) Roll 1505025 5/1/2020 164,417.00 - - -
1224 Kapas 1000 g (BDM) Roll 1505026 5/1/2020 164,417.00 - - -
1225 Kasa Hidrofil 40 x 80 (BDM) Roll - - 165,000.00 15 2,475,000.00 -
1230 Kasa Hidrofil 36 x 80 (RNI) Roll 610518 5/31/2022 233,200.00 25 5,830,000.00 25
1232 Kasa Hidrofil 36 x 80 (RNI) Roll 490518 31 Mei 2022 233,200.00 - - -
1235 Kertas EKG 110 (BDM) Roll - - 165,000.00 3 495,000.00 -
1236 Kertas EKG 210 (BDM) Roll 33815 12/1/2018 192,500.00 13 2,502,500.00 -
412682303.xlsx 445
Harga Satuan
Terkecil
1237 Kertas Puyer (BDM) Pak - - 27,500.00 4 110,000.00 -
1240 Kertas USG (BDM) Roll 280717 6/1/2022 385,000.00 13 5,005,000.00 -
1241 Medicrepe 6 Inch (IHS) Roll - - 29,150.00 12 349,800.00 -
1242 Medigips 4 Inch (IHS) Roll - - 12,100.00 - - -
1243 Mani Benang (PK) Pcs - - 4,006,200.00 - - 1
1244 Mani Benang PGA 8/0 (PK) Kotak - - 4,006,200.00 - - 1
1245 MANI opthalmic mcu 26 Crescent (PK) Kotak - - 1,210,000.00 - - 1
1246 Masker Ear Loop (BDM) Pcs - - 521.99 - - -
1247 Masker Hijab (IHS) Pcs - - 506.00 950 480,700.00 -
1248 Masker Hijab (BDM) Box - - 605.00 - - 8,000
1256 Mata Pisau No. 11 (BDM) Pcs 4508893156 7/1/2020 4,125.00 200 825,000.00 -
1261 Mata Pisau No. 24 (BDM) Pcs 4508479613 2/1/2020 4,125.00 345 1,423,125.00 -
1262 MIO-CHOL (PK) Pcs - - 66,000.00 - - 50
1263 Nasal O2 Anak (BDM) Pcs 20170315 3/1/2022 15,120.60 16 241,929.60 -
1264 Nasal O2 Anak Eskamed (BDM) Pcs 170375 1/1/2023 15,120.60 - - 50
1265 Nasal O2 Bayi (BDM) Pcs - - 30,250.00 5 151,250.00 -
1266 Nasal O2 Bayi (BDM) Pcs 2.02E+07 10/1/2021 15,253.00 - - 50
412682303.xlsx 446
Harga Satuan
Terkecil
1270 Nasal O2 Dewasa (BDM) Pcs 170375 1/1/2023 15,120.60 10 151,206.00 -
1271 Nasal O2 Dewasa (IHS) Pcs - - 6,600.00 45 297,000.00 -
1272 Nasal O2 Dewasa Bubble (IHS) Pcs - - 6,325.00 50 316,250.00 -
1273 Nurse Cap (IHS) Kotak - - 38,399.00 - - -
1274 Nylon Daclon 2/0 DS 24 (RNI) Kotak - - 275,459.91 7 1,928,219.37 -
1275 Nylon Daclon 3/0 DS 19 (RNI) Kotak - - 275,459.91 6 1,652,759.46 -
1276 Octenic Body Wash (PPG) Pak 02GLO101-4 01 2020 19,800.00 - - 100
1279 Octenic Body Wash (RNI) Pak 03GL0101 10/31/2019 17,600.00 24 422,400.00 -
1280 One Scrub 4% 500 ML Botol - - 82,500.00 - - 48
1281 One Scrub 4% Galon 5 LT ml - - 110.88 - - 50,000
1283 Penjepit Tali Pusar (BDM) Pcs 160919 9/1/2021 2,200.00 200 440,000.00 -
1286 Penjepit Tali Pusar (IHS)) Pcs - - 1,495.00 - - -
1288 Perfusor (BDM) Pcs 17D19K8411 4/1/2022 99,000.00 - - 100
1289 Perfusor (BDM) Pcs 17L19K8411 10/1/2022 99,000.00 - - 150
1291 Povidon Iodida (KF)) Botol K73268W 11/29/2020 59,966.50 27 1,619,095.50 -
1292 Povidon Iodida (KF)) Botol - 8/15/2020 59,966.50 - - 60
1293 Rumex CC-27 Clear Corneal/ Keratome (PK) Kotak - - 1,925,000.00 - - -
1295 Rumex CR-20 Crescent (PK) Kotak - - 1,672,000.00 - - -
1296 Rumex SP-15 Side Port Knife/ Stab (PK) Kotak - - 1,430,000.00 - - -
1297 Rumex SP-15 Stab (PK) Kotak - - 1,210,000.00 - - -
1298 Spatula (BDM) Pcs - - 16,500.00 2 33,000.00 -
412682303.xlsx 447
Harga Satuan
Terkecil
1299 Silk Black With Needle 2/0 HR 30 (RNI) Kotak 170912 8/1/2022 269,219.94 2 538,439.88 -
1300 Spinocain 25 G (BDM) Pcs 17G19H8B61 7/1/2022 48,400.00 50 2,420,000.00 -
1301 Spinocain 25 G (BDM) Pcs 17N0768216 12/1/2022 48,400.00 200 9,680,000.00 -
1303 Stomach Tube 16 Terumo (BDM) Pcs 170315B 2/1/2022 33,599.50 50 1,679,975.00 -
1304 Suction Catheter FR 6 (BDM) Pcs 20171125 11/1/2022 4,032.60 30 120,978.00 -
1307 Suction Catheter FR 10 (BDM) Pcs 20171125 November 2022 4,032.60 - - 50
1311 Suction Catheter FR 16 (BDM) Pcs 20170530 5/1/2022 4,032.60 - - 50
1312 Sungkup Nebulizer Anak (BDM) Pcs 171212 11/1/2022 66,000.00 12 792,000.00 -
1315 Sungkup Nebulizer Dewasa (BDM) Pcs 1801011 6/1/2023 66,000.00 - - 50
1316 Sungkup O2 Anak (BDM) Pcs 160211 2/1/2021 66,000.00 - - 50
1317 Sungkup O2 Dewasa (BDM) Pcs 170523 5/1/2022 66,000.00 - - -
1318 Sungkup O2 Dewasa (BDM) Pcs 170523 5/1/2022 66,000.00 41 2,706,000.00 -
1319 Sungkup O2 Dewasa NMR (BDM) Pcs 1512022020 11/1/2020 66,000.00 30 1,980,000.00 -
1320 Sungkup O2 Dewasa NMR (BDM) Pcs 15120022020 November 2022 66,000.00 - - 60
1321 Sungkup O2 Dewasa + Kantong (BDM) Pcs 1512022020 11/1/2020 66,000.00 - - -
1322 Surgeon Cap (IHS) Kotak - - 80,960.00 - - -
1325 Surgicryl 910 2 HR 40 (RNI) Kotak 160315 2/28/2022 1,755,600.00 - - 10
1328 Surgicryl 910 2 HR 48 (RNI) Kotak - - 1,258,620.00 3 3,775,860.00 -
412682303.xlsx 448
Harga Satuan
Terkecil
1330 Surgicryl 910 2/0 HR 17 (RNI) Kotak 170210 1/1/2022 917,339.94 3 2,752,019.82 -
1331 Surgicryl 910 3/0 HR 26 (RNI) Kotak 170909 8/1/2022 1,008,000.00 - - 20
1333 Surgicryl 910 3/0 HR 30 (RNI) Kotak - - 807,659.93 - - 48
1334 Surgiwear Eye Drepe 100 x 70 (PK) Pcs - - 77,000.00 - - 50
1335 Surgical Gown Steril (New) Bh - - 26,527.60 - - 10
1336 Surgical Gown Steril (New) Bh - - 26,527.60 - - 10
1346 Three Way Stop Cock (BDM) Pcs 15552-01 1/1/2023 22,000.00 - - 500
1350 Transfusi Set (BDM) Pcs 170801 7/1/2022 16,380.10 100 1,638,010.00 -
1351 Transfusi Set (BDM) Pcs 170801 9/1/2022 16,380.10 500 8,190,050.00 -
1354 Trypan Blue (PK) Pcs - - 66,000.00 - - 50
1355 Truwax (BDM) Pcs IM 42139 9/1/2019 114,950.00 - - 36
1356 Urine Bag (BDM) Pcs 20171220 12/1/2022 5,728.80 250 1,432,200.00 -
1357 Urine Bag Aximed (KF) Pcs 17233B 12/14/2022 6,875.00 - - 250
1358 Urine Bag (RNI) Pcs 16531 10/1/2021 6,600.00 - - -
1359 Urine Bag (RNI) Pcs 17046 2/1/2022 6,600.00 - - -
1360 Water One (IHS) Botol - - 19,747.20 - - -
412682303.xlsx 449
Harga Satuan
Terkecil
1361 Water One (IHS) Botol - - 17,952.00 36 646,272.00 -
1362 W Care DC (PPG) Pcs 1790901 9/1/2020 58,080.00 20 1,161,600.00 -
1363 Wooden Tangue Depressor (BDM) Pcs - - 660.00 - - 500
1364 Softman 500ml Botol 747,450.00 - - 10.00
TOTAL 1,595,062,757.26
-


NIP : 19810727 201001 1 012 NIP. 19820918 200804 2 002
412682303.xlsx 450
N AGUSTUS TAHUN 2018
-
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412682303.xlsx 451
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412682303.xlsx 452
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412682303.xlsx 453
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412682303.xlsx 454
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- - - 2,600 5,199,994.80
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- - - 5 369,939.50
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412682303.xlsx 455
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- 300 1,168,799.94 700 2,727,199.86
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412682303.xlsx 456
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- 1,300 520,005.42 700 280,002.92
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- - - - -
- - - - -
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412682303.xlsx 457
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- - - 250 33,000,000.00
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- - - - -
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- - - - -
- - - - -
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412682303.xlsx 458
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- - - - -
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- - - - -
- - - - -
- - - 90 544,500.00
- 100 187,000.00 - -
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- - - - -
- - - - -
- - - - -
- 50 495,000.00 - -
- - - - -
- - - 6 290,400.00
- 500 148,500.00 - -
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412682303.xlsx 459
- - - - -
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- - - - -
- - - - -
- - - - -
- - - 1 825,000.00
- - - - -
- 1 825,000.00 4 3,300,000.00
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- - - - -
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- - - - -
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412682303.xlsx 460
- - - 20 1,650,000.00
990,000.00 - - 12 990,000.00
- - - - -
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- - - 250 9,625,000.00
- - - - -
- - - - -
- - - 50 204,105.00
- - - - -
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- - - - -
- - - - -
- - - 50 3,465,000.00
- - - - -
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412682303.xlsx 461
- - - - -
- 10,000 2,152,319.40 - -
- - - - -
- - - - -
- - - - -
- - - 400 2,549,800.00
- - - 50 800,000.00
- - - - -
- - - - -
- - - - -
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- - - - -
- - - - -
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412682303.xlsx 462
- - - - -
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- - - - -
- - - - -
- - - 4 3,300,000.00
- - - - -
- - - 4 3,300,000.00
- - - 3 3,631,320.00
- - - 3 3,631,320.00
- - - - -
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- - - 144 13,533,062.40
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 4 2,640,000.00
- - - 14 9,240,000.00
- - - - -
- - - - -
- - - 2 1,320,000.00
- - - 12 521,400.00
- - - - -
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412682303.xlsx 463
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- - - - -
- - - - -
- - - 1 1,544,400.00
- - - - -
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- - - - -
- - - 30 775,500.00
- - - - -
- - - - -
- - - 1,500 2,750,000.00
- - - 300 550,000.00
- - - 75 257,853.75
- - - 5 7,550,000.00
7,549,998.50 - - 5 7,549,998.50
- - - 2,000 364,034.00
- - - - -
- - - - -
- - - 1,000 585,002.00
- - - 4,000 2,299,000.00
- - - 50 330,000.00
- - - - -
- - - - -
- - - - -
- - - 200 1,100,000.00
- - - - -
- - - - -
- - - - -
- 2,100 693,000.00 2,900 957,000.00
412682303.xlsx 464
- - - - -
- - - - -
- - - - -
- - - - -
- - - 3,200 1,056,000.00
- 10 649,891.00 20 1,299,782.00
- - - - -
- - - 120 475,191.20
- - - - -
- - - - -
- - - - -
275,055.00 450 82,516.50 1,050 192,538.50
- - - - -
- 2,850 940,500.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 50 357,500.00
- - - 140 8,470,469.70
- - - 50 105,300.00
- - - - -
- - - - -
- 1,700 358,011.50 6,500 1,368,867.50
- - - - -
- - - 60 627,000.00
- - - 240 2,508,000.00
412682303.xlsx 465
- - - - -
- 960 2,745,600.00 480 1,372,800.00
- - - 500 550,000.00
- - - - -
- - - - -
- - - - -
- - - - -
1,232,000.00 5,000 880,000.00 2,000 352,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- 120 633,600.00 - -
3,379,200.00 560 2,956,800.00 80 422,400.00
211,200.00 - - 40 211,200.00
- - - 1,000 1,980,000.00
- 15 266,835.03 - -
- - - - -
- - - - -
- 20 994,400.00 - -
- - - - -
- - - 136 1,311,842.40
- - - 80 771,672.00
2,315,016.00 - - 240 2,315,016.00
- - - 200 359,999.93
- - - 2,300 12,650,000.00
- - - 2,100 1,649,340.00
- - - - -
- - - 50 145,200.00
- - - 200 14,738,605.20
- - - - -
412682303.xlsx 466
- - - - -
- - - - -
- - - 280 1,540,000.00
- - - - -
- - - - -
- - - - -
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- - - - -
- - - 150 247,500.00
- - - - -
- - - - -
- - - - -
- - - 80 13,200,000.00
- - - - -
- - - - -
- - - 2,430 602,640.32
- - - - -
- - - 5 352,000.00
- 80 5,280,000.00 20 1,320,000.00
20,460,000.00 - - 310 20,460,000.00
- - - - -
- - - - -
- - - - -
- - - 200 6,848,600.00
- - - 1,700 5,254,700.00
- - - 720 452,880.12
- - - - -
- 3,000 292,215.00 - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 467
- - - 2,000 207,460.00
- - - 220 2,884,640.00
- - - - -
- - - 3,500 1,015,014.00
- - - 80 2,480,016.00
- - - 3,500 3,072,314.63
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 10,000 12,100,000.00
- - - 186 1,525,293.00
- - - 48 393,624.00
- - - - -
- - - - -
- - - 500 715,000.00
- - - - -
- - - - -
- 100 3,327,500.00 50 1,663,750.00
30,668,000.00 - - 680 30,668,000.00
14,432,000.00 - - 320 14,432,000.00
- - - - -
- 216 2,378,376.00 196 2,158,156.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - 280 6,930,000.00
- - - - -
- - - - -
412682303.xlsx 468
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39,600,000.00 - - 1,000 39,600,000.00
- - - - -
- - - - -
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13,200,000.00 - - 300 13,200,000.00
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1,425,875.00 - - 100 1,677,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,435,500.00 58 1,435,500.00 - -
1,039,500.00 42 1,039,500.00 - -
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841,500.00 - - 20 841,500.00
2,103,750.00 - - 50 2,103,750.00
- - - - -
- - - 50 618,750.00
- - - - -
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- 50 1,498,750.00 - -
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2,997,500.00 - - 100 2,997,500.00
412682303.xlsx 469
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- - - - -
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- - - - -
- - - 1,290 404,415.00
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- - - - -
- - - - -
- - - - -
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- - - - -
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412682303.xlsx 470
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- - - - -
- - - - -
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4,832,300.00 - - 2,000 4,832,300.00
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- - - 10 139,449.99
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- - - - -
- - - - -
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- - - - -
5,500,000.00 100 5,500,000.00 - -
22,000,000.00 - - 400 22,000,000.00
412682303.xlsx 471
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- 70 8,316,000.00 - -
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- - - 930 8,388,600.00
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- - - 20 635,250.00
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- 600 5,610,000.00 680 6,358,000.00
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- - - - -
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- - - - -
- - - - -
11,000,000.00 5 1,100,000.00 45 9,900,000.00
412682303.xlsx 472
- 240 2,745,600.00 1,200 13,728,000.00

- - - 5 38,500.00
- - - 160 1,232,000.00
- 50 7,250,750.10 20 2,900,300.04
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- - - - -
- - - - -
255,156.00 20 42,526.00 100 212,630.00
- - - - -
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- - - - -
- - - 1,500 1,320,000.00
11,178,486.00 - - 1,620 11,178,486.00
9,522,414.00 - - 3,300 22,770,990.00
- - - 80 599,984.00
899,976.00 - - 120 899,976.00
599,984.00 - - 80 599,984.00
- 60 600,600.00 180 1,801,800.00
- - - - -
- - - - -
- - - - -
2,337,500.00 26 1,215,500.00 24 1,122,000.00
- - - - -
- - - - -
- - - 1,350 12,919,500.00
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- - - - -
412682303.xlsx 473
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- - - 20 1,320,000.00
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2,904,000.00 3,450 3,339,600.00 2,000 1,936,000.00
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- 40 409,992.00 120 1,229,976.00
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- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
10,080,100.80 1,104 5,520,055.20 912 4,560,045.60
1,320,013.20 264 1,320,013.20 - -
- - - 5,000 1,994,960.00
- - - - -
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- - - 700 924,000.00
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412682303.xlsx 474
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- 390 311,997.40 - -
- - - - -
- - - - -
- - - - -
- - - 59 13,304,500.00
- - - - -
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- - - 70 7,700,000.00
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- - - - -
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- - - - -
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- - - - -
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- - - - -
- - - - -
- - - - -
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412682303.xlsx 475
2,323,200.00 800 387,200.00 4,000 1,936,000.00

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- - - - -
- 3,900 2,061,774.00 - -
- - - - -
- - - - -
- - - - -
- - - 200 8,800,000.00
- 800 211,200.00 1,500 396,000.00
- - - - -
- 24 87,648.00 66 241,032.00
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- - - - -
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- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 900 2,623,500.00
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- - - - -
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- 600 1,386,000.00 - -
- - - - -
- - - - -
412682303.xlsx 476
- 80 1,214,400.00 1,000 15,180,000.00

- - - - -
- - - 15 686,812.50
- - - - -
- 2,440 15,639,668.00 560 3,589,432.00
- - - 2,000 12,819,400.00
3,333,044.00 - - 520 3,333,044.00
47,944,556.00 - - 7,480 47,944,556.00
- - - 1,600 10,255,520.00
- - - - -
- 1,400 493,693.20 - -
- - - - -
- - - - -
- - - - -
205,001.50 - - 25 205,001.50
- - - 1,200 6,388,800.00
- - - - -
- - - - -
- - - 1,400 1,624,700.00
- - - 3,200 3,713,600.00
- - - 1,500 212,833.50
- - - - -
- 1 181,500.00 - -
- - - - -
- - - 150 1,377,750.00
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- 500 347,270.00 - -
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- - - - -
- - - - -
- - - 40 3,479,999.95
412682303.xlsx 477
- - - - -
- - - - -
- - - 200 380,000.00
- - - - -
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- - - - -
- - - - -
- - - 1,500 4,785,000.00
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- - - - -
- - - - -
- - - - -
- - - 500 209,000.00
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- - - - -
- - - - -
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- - - - -
- - - - -
- - - - -
- - - - -
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412682303.xlsx 478
- - - - -
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- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 200 1,100,000.00
- 3,700 816,645.50 5,500 1,213,932.50
- - - - -
- - - - -
- - - - -
- - - - -
- - - 20 62,261.10
- - - 400 1,245,222.00
- - - - -
3,957,426.00 - - 300 3,957,426.00
- - - - -
- - - - -
- 100 4,159,980.00 150 6,239,970.00
- - - 645 6,030,750.00
- - - 600 660,330.00
- - - - -
- - - - -
- - - 50 330,000.00
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- - - - -
- - - - -
412682303.xlsx 479
- - - - -
- - - 190 3,899,940.00
- - - 3,000 1,854,930.00
- - - 1,440 340,732.38
- 10 393,250.00 - -
- 16 629,200.00 - -
- 24 943,800.00 50 1,966,250.00
- - - - -
- - - - -
1,166,000.00 - - 40 1,166,000.00
291,500.00 - - 10 291,500.00
- 20 385,000.00 - -
500,500.00 - - 26 500,500.00
- 1 34,787.50 27 939,262.50
- - - - -
- - - - -
- - - 30 886,875.00
- - - 100 2,956,250.00
- - - - -
- - - 15 866,250.00
- - - - -
- - - - -
- - - - -
907,500.00 - - 5,000 907,500.00
- - - 4,000 858,000.00
- 500 30,998.00 - -
- 500 30,002.50 2,500 150,012.50
- - - - -
- - - - -
- 48 2,323,200.00 - -
- - - 2,000 949,608.00
412682303.xlsx 480
- 500 42,350.00 500 42,350.00

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1,973,125.00 - - 50 1,973,125.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - 720 5,385,600.00
- - - 11 786,418.60
- - - 189 13,512,101.40
- - - 2,000 617,100.00
- - - 1,000 344,135.00
- - - - -
- - - - -
- - - - -
- - - - -
30,888,000.00 3,640 26,026,000.00 680 4,862,000.00
- - - - -
- - - 2,200 15,730,000.00
- 1,900 1,254,000.00 - -
- - - - -
- - - - -
- 4,500 2,970,000.00 5,500 3,630,000.00
- - - 75 577,500.00
- - - - -
- - - - -
- 20 1,881,000.00 120 11,286,000.00
- - - - -
- - - - -
- - - - -
2,970,000.00 - - 600 2,970,000.00
412682303.xlsx 481
- - - 300 2,409,000.00
- - - 180 1,584,000.00
- - - 65 2,145,166.10
- - - 165 5,445,421.64
- - - 7,760 55,484,000.00
- - - - -
- - - - -
- - - - -
- - - 50 4,950,000.00
- - - - -
- - - 1,400 136,367.00
- 50 1,075,250.00 120 2,580,600.00
- 20 1,160,500.00 - -
2,901,250.00 - - 50 2,901,250.00
- - - 90 544,500.00
- - - - -
- - - 10,000 2,249,940.00
- - - - -
- - - 1,400 1,437,333.33
- - - 900 502,755.00
- - - - -
14,300,000.00 - - 8 22,880,000.00
- - - 100 40,700.00
- - - - -
- - - 50 605,000.00
- - - 1 1,683,000.00
3,366,000.00 - - 2 3,366,000.00
- - - - -
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- - - 18 945,450.00
- - - - -
412682303.xlsx 482
- - - 30 631,125.00
- - - - -
- 6 305,250.00 94 4,782,250.00
- - - - -
- - - - -
- - - - -
- 100 1,060,675.00 100 1,060,675.00
- - - 50 530,337.50
- - - - -
- - - - -
- - - - -
- - - - -
- - - 8 162,800.00
- 2,100 283,506.30 5,500 742,516.50
- - - - -
- - - - -
- - - 4,500 2,717,995.50
- - - - -
- - - - -
- 2 1,210,000.00 - -
- - - - -
- - - - -
- - - - -
3,300,000.00 - - 100 3,300,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - 45 1,090,124.15
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- - - 10 264,000.00
412682303.xlsx 483
- - - 10 115,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
605,000.00 5 605,000.00 - -
7,700,000.00 40 7,700,000.00 - -
- - - - -
6,050,000.00 50 6,050,000.00 - -
- - - - -
20,900,000.00 50 20,900,000.00 - -
- - - - -
- - - - -
- - - - -
1,265,000.00 10 1,265,000.00 - -
- - - - -
- - - - -
2,145,000.00 6 2,145,000.00 - -
- - - - -
- - - - -
- - - 1 1,760,000.00
- - - - -
- - - - -
- - - 8 4,683,360.00
- - - 8 6,600,000.00
- - - 5 2,128,500.00
412682303.xlsx 484
- - - 15 1,567,500.00
- - - - -
- 2 2,565,200.00 - -
- - - - -
- - - - -
- - - - -
- 600 493,199.67 800 657,599.56
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- - - - -
- - - - -
- - - - -
- - - - -
- 1,800 4,003,461.00 - -
- 1,800 1,551,599.50 - -
- - - - -
- - - - -
- - - - -
- 2,200 1,896,399.39 1,400 1,206,799.61
- - - - -
- - - - -
- - - 50 57,999.70
- - - 950 2,710,207.50
- - - 200 249,480.00
- 2,000 1,925,999.78 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
21,898,800.00 - - 18,000 21,898,800.00
412682303.xlsx 485
- - - 1,300 1,511,899.68
- - - 200 392,040.00
- - - 100 481,250.00
- - - - -
- - - - -
- - - 10 2,200,000.00
11,000,000.00 - - 50 11,000,000.00
- - - 10 1,650,000.00
- - - 8 660,000.00
- - - 10 825,000.00
- - - 10 825,000.00
- - - - -
- - - 50 1,679,975.00
- - - 25 102,052.50
- 1 4,082.10 49 200,022.90
- - - - -
- - - - -
- - - - -
- - - - -
- - - 5 22,313,500.00
- - - - -
- - - - -
- - - - -
- 2 1,581,800.00 - -
605,000.00 1 605,000.00 - -
- - - 50 749,705.00
- - - - -
- - - 110 2,662,000.00
- - - - -
2,420,000.00 60 1,452,000.00 40 968,000.00
- 30 726,000.00 10 242,000.00
412682303.xlsx 486
- - - 30 3,300,000.00
3,437,500.00 8 1,100,000.00 17 2,337,500.00
- - - - -
- - - - -
- - - - -
3,036,000.00 1 3,036,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10 667,150.00 10 667,150.00
- - - - -
- - - 4,500 574,559.37
- - - 1,500 166,499.85
3,327,500.00 - - 120 3,630,000.00
- - - - -
- - - - -
- 4,000 2,110,020.00 - -
- - - - -
- - - - -
3,692,535.00 70 3,692,535.00 - -
21,100,200.00 106 5,591,553.00 294 15,508,647.00
- - - - -
- - - - -
- - - - -
- - - - -
1,809,500.00 105 542,850.00 245 1,266,650.00
- - - - -
- 290 1,499,300.00 - -
412682303.xlsx 487
- - - - -
- - - - -
- - - - -
- - - - -
3,102,000.00 415 2,145,550.00 540 2,791,800.00
- - - - -
- - - - -
- - - - -
- 33 291,053.40 150 1,322,970.00
2,068,000.00 800 4,136,000.00 - -
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- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
14,440,800.00 60 14,440,800.00 - -
- 14 3,369,520.00 12 2,888,160.00
- - - 400 2,721,400.00
- - - 100 1,033,230.00
- - - - -
- - - - -
- - - - -
6,666,880.00 - - 1,000 8,333,600.00
- - - - -
- - - - -
- - - - -
412682303.xlsx 488
4,799,999.99 100 1,600,000.00 300 4,799,999.99

- - - - -
4,799,998.50 100 1,599,999.50 200 3,199,999.00
- 200 3,200,000.00 - -
- - - - -
- 100 1,260,050.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 100 1,600,000.00 - -
7,999,997.50 500 7,999,997.50 - -
- 200 2,520,100.00 - -
- 300 3,780,150.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 250 4,000,000.00 50 800,000.00
4,799,998.50 - - 300 4,799,998.50
- - - - -
- - - - -
- - - - -
4,800,000.00 - - 500 8,000,000.00
- - - - -
- - - - -
- 100 1,695,650.00 - -
5,849,999.10 - - 300 5,849,999.10
1,155,000.00 - - 42 1,617,000.00
412682303.xlsx 489
- - - - -
1,155,000.00 7 269,500.00 32 1,232,000.00
- - - - -
1,155,000.00 - - 30 1,155,000.00
1,155,000.00 - - 30 1,155,000.00
- 12 1,320,000.00 9 990,000.00
- - - - -
- - - 12 356,400.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
3,872,880.00 - - 37 5,970,690.00
- - - - -
- - - - -
- - - - -
- - - 15 2,475,000.00
- - - - -
- - - - -
- - - - -
- - - - -
5,830,000.00 25 5,830,000.00 25 5,830,000.00
5,830,000.00 37 8,628,400.00 13 3,031,600.00
- - - - -
- - - - -
- - - - -
- - - 3 495,000.00
- 7 1,347,500.00 6 1,155,000.00
412682303.xlsx 490
- 2 55,000.00 2 55,000.00
- - - 10 275,000.00
- - - - -
- 8 3,080,000.00 5 1,925,000.00
- 12 349,800.00 - -
- - - - -
4,006,200.00 1 4,006,200.00 - -
4,006,200.00 1 4,006,200.00 - -
1,210,000.00 1 1,210,000.00 - -
- - - - -
- 950 480,700.00 - -
4,840,000.00 1,950 1,179,750.00 6,050 3,660,250.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 156 643,500.00 44 181,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- 335 1,381,875.00 10 41,250.00
3,300,000.00 50 3,300,000.00 - -
- 16 241,929.60 - -
756,030.00 14 211,688.40 36 544,341.60
- 5 151,250.00 - -
762,650.00 15 228,795.00 35 533,855.00
- - - - -
412682303.xlsx 491
- - - - -
- - - - -
- 10 151,206.00 - -
- 45 297,000.00 - -
- 36 227,700.00 14 88,550.00
- - - - -
- - - 7 1,928,219.37
- - - 6 1,652,759.46
1,980,000.00 - - 100 1,980,000.00
- - - - -
- - - - -
- - - 24 422,400.00
3,960,000.00 - - 48 3,960,000.00
5,544,000.00 - - 50,000 5,544,000.00
- - - - -
- 50 110,000.00 150 330,000.00
- - - - -
- - - - -
- - - - -
- - - - -
9,900,000.00 50 4,950,000.00 50 4,950,000.00
14,850,000.00 - - 150 14,850,000.00
- - - - -
- - - 27 1,619,095.50
3,597,990.00 - - 60 3,597,990.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1 16,500.00 1 16,500.00
412682303.xlsx 492
- - - 2 538,439.88
- - - 50 2,420,000.00
- - - 200 9,680,000.00
- - - - -
- - - 50 1,679,975.00
- - - 30 120,978.00
- 10 40,326.00 - -
- - - 10 40,326.00
201,630.00 - - 50 201,630.00
- 10 40,326.00 20 80,652.00
- - - 30 120,978.00
- 5 20,163.00 5 20,163.00
201,630.00 - - 50 201,630.00
- 7 462,000.00 5 330,000.00
- - - - -
- - - - -
3,300,000.00 - - 50 3,300,000.00
3,300,000.00 12 792,000.00 38 2,508,000.00
- - - - -
- 39 2,574,000.00 2 132,000.00
- 30 1,980,000.00 - -
3,960,000.00 5 330,000.00 55 3,630,000.00
- - - - -
- - - - -
- - - - -
- - - - -
17,556,000.00 - - 10 17,556,000.00
- - - - -
- - - - -
- 3 3,775,860.00 - -
- - - - -
412682303.xlsx 493
- 3 2,752,019.82 - -
20,160,000.00 - - 20 20,160,000.00
- - - - -
38,767,676.64 48 38,767,676.64 - -
3,850,000.00 50 3,850,000.00 - -
265,276.00 8 212,220.80 2 53,055.20
265,276.00 - - 10 265,276.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
11,000,000.00 - - 500 11,000,000.00
- - - - -
- - - - -
- - - - -
- - - 100 1,638,010.00
- - - 500 8,190,050.00
- - - - -
- - - - -
3,300,000.00 50 3,300,000.00 - -
4,138,200.00 24 2,758,800.00 12 1,379,400.00
- - - 250 1,432,200.00
1,718,750.00 - - 250 1,718,750.00
- - - - -
- - - - -
- - - - -
412682303.xlsx 494
- - - 36 646,272.00
- 10 580,800.00 10 580,800.00
330,000.00 150 99,000.00 350 231,000.00
7,474,500.00 10 7,474,500.00 - -
715,887,724.22 473,978,601.65 1,836,971,879.83
BUOL, 31 AGUSTUS 2018
PENANGGUNGJAWAB

NIP. 19820818 201001 2 012
412682303.xlsx 495
BULAN SEPTEMBER TAHUN 2018
Harga Satuan
Terkecil
OBAT TAHUN 2013
1 Amythriptillin 25 mg Tab Tablet 118.00 - -
1 Kertas EKG Roll 50,820.00 8 406,560.00
2 Kertas EKG Roll 50,000.00 10 500,000.00
1 Flutamol Tablet 149,500.00 - -
2 Ibuprofen Tab 200 mg Tablet 120.64 - -
3 VITAMIN B6 Tab/Kap @1 Tablet Tablet 181.91 22,000 4,002,020.00
1 SLIM SECHER Pcs 18,750.00 - -
1 Burnazin Cream (KF) Tube 46,585.00 - -
2 Catapres Injeksi (KF) Ampul 48,145.90 96 4,622,006.40
3 Ethambutol Tablet 500 mg (KF) Tablet 478.01 700 334,603.50
4 Gliseril Guaiacolat Tablet (RNI) Tablet 32.78 2,000 65,560.00
5 Novadiar Syrup (RNI) Botol 3,789.40 28 106,103.20
6 Otsu Tran 40% (RNI) Botol 97,900.00 117 11,454,300.00
9 Vitamin B1 Tablet (RNI) Tablet 41.58 5,000 207,900.00
412682303.xlsx 496
Harga Satuan
Terkecil
1 Albuforce Tablet (UN) Tablet 5,390.00 1,100 5,929,000.00
2 Amoxicillin Tablet (DNR) Tablet 770.00 6,000 4,620,000.00
3 Azytromicin Syrup (TSJ) Botol 71,500.00 - -
4 Azitum Syrup Botol 88,000.00 - -
5 Betahistin Mesilat Tablet 6 mg (AAM) Tablet 914.10 100 91,410.00
6 Calsium Lactat (KF) Tablet 94.40 1,700 160,483.40
7 Cilostazol Tablet (DNR) Tablet 10,450.00 - -
8 Citicolin Tablet 500 mg (DNR) Tablet 7,333.33 - -
9 Desoximethasone Cream 0,25 mg (AAM) Tube 14,641.00 - -
10 Doxycycline Kapsul 100 mg (KF) Kapsul 253.00 - -
12 Epinefrin Injeksi (RNI) Ampul 8,910.00 90 801,900.00
13 Falergi (PV) Botol 66,550.00 - -
14 Flunarizine Tablet (DNR) Tablet 2,200.00 - -
15 Halloperidol Tablet 0,5 mg (IGM) Tablet 92.40 900 83,160.00
16 Hidrochlortiazide (KF) Tablet 171.00 - -
17 Interhistin Tablet (MBS) Tablet 726.00 300 217,800.00
18 Ketokonaole Cream 2% (KF) Tube 4,675.00 75 350,625.00
19 Levofloxacin Infus (DNR) Botol 110,000.00 22 2,420,000.00
20 Meylon (KF) Vial 7,440.40 68 505,947.20
21 Myotonic Injeksi (PV) Ampul 9,075.00 530 4,809,750.00
22 Nifedipin Tablet (AAM) Tablet 122.99 - -
23 Nistatin Drops (DNR) Botol 24,200.00 40 968,000.00
27 Pyrazinamide 500 mg Tablet (KF) Tablet 234.30 - -
28 Rethapril Tablet (KF) Tablet 2,142.80 400 857,120.00
29 Trolip Kapsul (AAM) Kapsul 9,680.00 150 1,452,000.00
412682303.xlsx 497
Harga Satuan
Terkecil
1 Catgut Cromic With Needle USP 3/0 DS 30 (RNI) Kotak 759,000.00 - -
2 Feeding Tube 10 (BDM) Pcs 4,259.20 - -
6 Foley Catheter FR 12 (BDM) Pcs 24,200.00 - -
7 H2O2 (BDM) Botol 77,000.00 - -
11 Leukoplast (RNI) Roll 45,116.50 16 721,864.00
1 Acyclovir Cream (KF) Tube 3,619.00 - -
3 Acyclovir Tablet 400 mg (DNR) Tablet 870.00 2,150 1,870,502.15
4 Acyclovir Tablet 400 mg (ENS) Tablet 544.17 - -
5 Albuminar (AAM) Botol 1,500,000.00 - -
9 Aminofluid (KF) Bag 64,989.10 - -
10 Aminofillin Tablet (SST) Tablet 141.68 - -
12 Ampicillin Injeksi (DNR) Vial 8,800.00 940 8,272,000.00
14 Antasida Tablet (RNI) Tablet 157.34 - -
15 Anti Hemoroid Suppo Suppo 3,300.00 220 726,000.00
16 Antrain Injeksi (ENS) Ampul 9,927.50 - -
17 Aqua Pro Injeksi (KF) Vial 2,750.00 - -
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Harga Satuan
Terkecil
18 Arfen (Ibuprofen 400 mg) Tablet (SST) Tablet 372.68 - -
19 Arkine Tablet (SST) Tablet 638.00 250 159,500.00
20 Asam Folat Tablet (RNI) Tablet 52.00 - -
21 Asam Mefenamat Tablet (ENS) Tablet 148.61 - -
24 Asam Traneksamat Tablet (DNR) Tablet 1,540.00 - -
27 Astonox Tablet (UN) Tablet 9,166.67 90 825,000.00
29 Bamgetol Tablet (IGM) Tablet 1,980.00 1,200 2,376,000.00
31 Bionemi Kapsul (PV) Kapsul 1,567.50 - -
32 Bioplacenton Cream (ENS) Tube 15,950.00 40 638,000.00
33 Biosat Injeksi (RNI) Ampul 165,000.00 - -
34 Bisolvon Injeksi (KF) Ampul 58,234.00 - -
36 Bisoprolol Tablet 5 mg (RNI) Tablet 1,210.00 - -
37 Bunascan Injeksi (PV) Ampul 63,800.00 - -
40 Captopril Tablet 12,5 mg (RNI) Tablet 97.41 500 48,702.50
42 Carbazocrome Injeksi (PV) Ampul 13,112.00 - -
43 Cartylo Tablet (KF) Tablet 616.00 - -
44 Cefadroxil Syrup /Lifadrox (SST) Botol 9,377.50 - -
45 Cefixim Kapsul 200 mg (PPG) Kapsul 4,950.00 2,100 10,395,000.00
48 Cefobactam Injeksi (BSP) Vial 104,492.26 - -
412682303.xlsx 499
Harga Satuan
Terkecil
49 Cefoperazon Sulbactam Injeksi (TSJ) Vial 144,100.00 440 63,404,000.00
50 Cefoperazone Sulbactam Injeksi (DNR) Vial 143,000.00 - -
51 Cefoperazone Sulbactam Injeksi (ENS) Vial 88,000.00 30 2,640,000.00
56 Chlorpheniramin Maleat Tablet/ Orphen (SST) Tablet 162.14 1,600 259,424.00
57 Chlorpromazin Tablet 100 mg (KF) Tablet 229.82 - -
58 Ciprofloxacin Infus (TSJ) Botol 77,000.00 - -
59 Ciprofloxacin Tablet (TSJ) Tablet 770.00 - -
60 Clindamycin Kapsul 150 mg (IGM) Kapsul 702.24 200 140,448.00
61 Clindamycin Kapsul 150 mg (PV) Kapsul 796.40 - -
62 Clindamycin Kapsul 300 mg Kapsul 1,800.00 - -
63 Clindamycin Kapsul 300 mg (PPG) Kapsul 2,000.00 2,600 5,199,994.80
64 Clopidogrel Trombikaf Tablet (KF) Tablet 3,588.02 - -
66 Cotrimoxazol Syrup (RNI) Botol 5,954.30 124 738,333.20
68 Dexamethason Injeksi (PPG) Ampul 2,402.40 - -
72 Dobutamin Injeksi (RNI) Ampul 73,987.90 5 369,939.50
73 Domperidon Syrup (ENS) Botol 10,120.00 - -
76 Endrolin Injeksi (ESV) Ampul 1,309,000.00 - -
77 Eperison Tablet (DNR) Tablet 1,560.90 300 468,270.00
79 Erysanbe Tablet 200 mg (BSP) Tablet 2,706.00 900 2,435,400.00
412682303.xlsx 500
Harga Satuan
Terkecil
80 Esomax Injeksi (MBS) Vial 96,525.00 - -
82 Farbion Injeksi (UN) Ampul 5,170.00 - -
83 Farbivent Injeksi (PV) Ampul 9,350.00 - -
84 Farelax Injeksi (PV) Ampul 77,000.00 - -
85 Farelax Injeksi (UN) Ampul 77,000.00 80 6,160,000.00
86 Fargoxin Injeksi (PV) Ampul 38,500.00 30 1,155,000.00
87 Farmabes Injeksi (PV) Vial 121,000.00 6 726,000.00
88 Flamicort IAD (AAM) Vial 73,000.00 10 730,000.04
89 Fucilex Cream (MBS) Tube 10,285.00 50 514,250.00
90 Furosemid Injeksi (AAM) Ampul 3,894.00 1,800 7,009,200.00
91 Furosemid Injeksi (RNI) Ampul 2,058.01 - -
92 Furosemid Tablet (RNI) Tablet 191.83 - -
94 Gastrul Tablet (PV) Tablet 11,000.00 - -
95 Gelafusal (AAM) Bag 80,000.00 - -
96 Genoint Eye (PV) Botol 9,152.00 - -
97 Gentamicin Cream (PV) Tube 40,012.50 - -
98 Gentamicin Injeksi (IGM) Ampul 3,896.00 700 2,727,199.86
100 Glimepiride Tablet 2 mg (KF) Tablet 297.00 - -
101 Glucosamin Tablet (DNR) Tablet 1,842.50 - -
102 Glukosa 5 % (KF) Botol 6,900.30 - -
103 Halloperidol Tablet 0,5 mg (IGM) Tablet 92.68 2,000 185,350.00
104 Halotane Inhalasi (AAM) Botol 705,500.00 4 2,822,000.02
105 Hidrocortison Cream (KF) Tube 3,206.50 24 76,956.00
106 Hidrocortison Cream (RNI) Tube 5,720.00 - -
107 Human Albumin (KF) Botol 849,999.80 1 849,999.80
108 Hydromal (BSP) Bag 49,505.96 24 1,188,143.00
109 Isoniazid Tablet 100 mg (KF) Tablet 142.56 - -
110 KAEN 3B (KF) Botol 10,249.80 - -
412682303.xlsx 501
Harga Satuan
Terkecil
111 Kamadol Injeksi (KF) Ampul 4,533.28 - -
112 Ketamin Hameln 50 mg (APL) Vial 71,600.10 5 358,000.50
113 Ketorolac Injeksi 30 mg (PPG) Ampul 16,038.00 - -
115 Ketorolac Injeksi 30 mg (TSJ) Ampul 16,500.00 - -
119 Levofloxacin Tablet (KF) Tablet 530.99 1,400 743,388.80
120 Lidocain Injeksi (DNR) Ampul 1,650.00 5,500 9,075,000.00
121 Lipomed (BSP) Bag 169,120.33 24 4,058,887.80
122 Loratadin Tablet (DNR) Tablet 400.00 700 280,002.92
123 Loratadin Tablet (IGM) Tablet 307.79 1,200 369,352.50
124 Manitol (KF) Botol 92,400.00 120 11,088,000.00
126 Meloxicam Tablet 7,5 mg (DNR) Tablet 830.28 - -
127 Meloxicam Tablet 7,5 mg (ENS) Tablet 418.00 1,700 710,600.00
134 Metronidazol Tablet (DNR) Tablet 264.00 - -
135 Miconazol Cream (KF) Tube 3,575.00 - -
136 Minkosa 5 mg Glibenclamid (SST) Tablet 133.10 1,000 133,100.00
137 Myotonic Injeksi (RNI) Ampul 8,250.00 1,650 13,612,500.00
138 Myotonic Tablet (PV) Tablet 2,915.00 - -
412682303.xlsx 502
Harga Satuan
Terkecil
142 Natrium Diklofenak Tablet 50 mg Tablet 261.22 - -
143 Natrium Klorida Infus (KF) Botol 6,409.70 - -
145 Nerva Plus Tablet Tablet 2,200.00 500 1,100,000.00
146 Neurosanbe Tablet (BSP) Tablet 1,127.50 - -
148 Nicardipin Injeksi (PPG) Ampul 143,000.00 200 28,600,000.00
149 Nicarfion Injeksi (UN) Ampul 132,000.00 250 33,000,000.00
150 Nocoba Injeksi (PV) Ampul 92,400.00 20 1,848,000.00
151 Norephinefrin Injeksi (TSJ) Ampul 66,000.00 40 2,640,000.00
152 Norephinefrin Levosol Injeksi (KF) Ampul 56,595.00 - -
153 Norfion Injeksi (UN) Ampul 70,400.00 150 10,560,000.00
156 Ondansentron Tablet (MTK) Tablet 2,016.67 210 423,500.00
158 Paracetamol Syrup (KF) Botol 5,065.50 - -
160 Pehacain Injeksi (RNI) Ampul 3,113.06 - -
161 Petidin Injeksi (KF) Ampul 13,191.42 - -
162 Phentanyl Injeksi (KF) Ampul 40,000.40 - -
163 Piracetam Kapsul 800 mg (RNI) Kapsul 883.30 300 264,990.00
165 Pomifar Kapsul (UN) Kapsul 4,950.00 - -
166 Prednison Tablet (SST) Tablet 157.30 - -
167 Pro Infark Injeksi (RNI) Ampul 13,200.00 120 1,584,000.00
168 Pro K Injeksi (SST) Ampul 10,890.00 - -
169 Prohem Injeksi (PV) Ampul 11,000.00 - -
170 Proliva Tablet (PV) Tablet 7,315.00 260 1,901,900.00
171 Propepsa Suspensi (PV) Botol 44,000.00 - -
172 Propylthiouracil Tablet (AAM) Tablet 474.80 - -
412682303.xlsx 503
Harga Satuan
Terkecil
173 Prosional Suspensi (PV) Botol 14,850.00 - -
175 Ranifin Injeksi (UN) Ampul 9,680.00 - -
178 Rebamax Tablet (PV) Tablet 3,300.00 60 198,000.00
181 Recolfar Tablet (PV) Tablet 4,730.00 - -
183 Reprostom Kapsul (PV) Kapsul 8,800.00 - -
185 Rhodium Tablet (UN) Tablet 6,050.00 90 544,500.00
186 Rifampisin Tablet 450 mg (DNR) Tablet 1,870.00 - -
187 Ringer Lactat (DNR) Botol 7,095.00 - -
188 Ringer Lactat (KF) Botol 370812 7,150.00 - -
189 Rocum Injeksi (AAM) Ampul 99,000.00 - -
191 Salbutamol Tablet 2 mg (KF) Tablet 81.99 - -
193 Scandones Injeksi (Gigi) Ampul 9,900.00 - -
194 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 20,570.00 - -
195 SIM-DHA (PV) Botol 48,400.00 6 290,400.00
196 Simvastatin Tablet 10 mg (ENS) Tablet 297.00 - -
197 Simvastatin Tablet 20 mg (KF) Tablet 250.01 - -
198 Sojourn (PV) Botol 2,860,000.00 - -
199 Solpenox (Amoxicillin) Syrup (SST) Botol 4,000.55 300 1,200,166.00
200 Spironolacton Tab 25 mg (RNI) Tablet 407.00 - -
201 Stesolid Injeksi (AAM) Ampul 4,400.62 45 198,028.12
202 Stesolid Rectal (AAM) Tube 13,384.25 - -
203 Tasigna (AAM) Kapsul 93,548.25 28 2,619,350.88
412682303.xlsx 504
Harga Satuan
Terkecil
204 Terrell (PV) Botol 1,683,000.00 - -
205 Tramadol Kapsul 50 mg (KF) Kapsul 435.47 1,600 696,748.80
206 Tranec Injeksi (PV) Ampul 14,520.00 - -
207 Tyarit Injeksi (PV) Ampul 27,500.00 75 2,062,500.00
208 Tyarit Injeksi (UN) Ampul 27,500.00 50 1,375,000.00
209 Umarone Injeksi (PV) Ampul 192,500.00 8 1,540,000.00
210 Vitamin B Comp Tablet (RNI) Tablet 80.00 - -
211 Vitamin C Tablet 100 mg (KF) Tablet 121.44 - -
212 Zink Dispersible Tablet (KF) Tablet 585.99 - -
1 Bone Wax (BDM) Pcs 116,600.00 2 233,200.00
4 Catgut Crmoic 2/0 (RNI) Roll 1,650,000.00 - -
6 Catgut Cromic 2 HR 45 (DNR) Kotak 827,640.00 - -
7 Catgut Cromic 2/0 HR 26 (RNI) Kotak 825,000.00 1 825,000.00
10 Cuticell (BDM) Pcs 13,200.00 100 1,320,000.00
11 Defeloper (BDM) Set 1,282,600.00 - -
12 Disposable Syringe With Needle 1 cc New Skifa (RNI) Pcs 1,188.00 - -
16 Disposable Syringe With Needle 20 cc Stera (ISHS) Pcs 1,725.00 - -
19 Disposable Syringe With Needle 50 cc TP (BDM) Pcs 4,812.50 50 240,625.00
20 Elektroda Patien Monitor (BDM) Pak 275,000.00 - -
21 Endotracheal Tube FR 3 (BDM) Pcs 82,500.00 10 825,000.00
412682303.xlsx 505
Harga Satuan
Terkecil
22 Endotracheal Tube FR 3,5 (BDM) Pcs 82,500.00 20 1,650,000.00
23 Endotracheal Tube FR 6,5 (BDM) Pcs 82,500.00 - -
24 Extention Tube (BDM) Pcs 99,000.00 - -
26 Feeding Tube FR 3,5 (BDM) Pcs 38,500.00 250 9,625,000.00
31 Film 24x30 (BDM) Kotak 2,585,000.00 - -
32 Film 30x40 (BDM) Kotak 4,109,600.00 - -
33 Fixer (BDM) Set 790,900.00 - -
34 Foley Catheter 08 (RNI) Pcs 69,300.00 50 3,465,000.00
43 Handrub (ISHS) ml 57.20 - -
51 Handscoon ST 6,5 (RNI) Pasang 11,990.00 - -
52 Handscoon ST 7 (BDM) Pasang 8,855.00 - -
412682303.xlsx 506
Harga Satuan
Terkecil
54 Hydrex Surgical Scrub (RNI) ml 215.23 - -
58 Infus Set Mikro Nipro (KF) Pcs 6,374.50 400 2,549,800.00
59 IV Catheter 16 G Abbocath (BDM) Pcs 16,000.00 50 800,000.00
63 IV Catheter 22 G Nipro (KF) Pcs 8,947.40 - -
66 IV Catheter 24 G Abbocath Pcs - - -
74 Jely (ISHS) Tube 33,981.83 - -
75 Kapas (BDM) Roll 82,208.50 - -
76 Kasa Hidrofil 40 x 80 (RNI) Roll 231,000.00 - -
79 Kertas USG (BDM) Roll 352,000.00 - -
412682303.xlsx 507
Harga Satuan
Terkecil
84 Mata Pisau 20 (RNI) Pcs 1,375.00 - -
85 Mata Pisau No 15 (BDM) Pcs 4,125.00 - -
86 Mata Pisau No 20 Pcs 4,125.00 - -
87 Mucus Extractor (BDM) Pcs 30,250.00 10 302,500.00
88 Novo Twist 32 G (AAM) Pcs 2,083.00 - -
89 Nylon Daclon 3/0 DS 19 Kotak 825,000.00 - -
90 Nylon Daclon 5/0 DS 16 Kotak 825,000.00 4 3,300,000.00
91 Nylon Daclon USP 2/0 DS 19 (RNI) Kotak 825,000.00 - -
92 Nylon Daclon USP 6/0 DS 12 (RNI) Kotak 825,000.00 4 3,300,000.00
95 Povidon Iodida (KF) Botol 59,766.51 - -
96 Safil 1 HR 48 Pcs 99,550.00 180 17,919,000.00
97 Safil Violet 2 HR 48 Pcs 93,979.60 144 13,533,062.40
101 Selang O2 Bayi (DA) Pcs 9,124.98 - -
108 Softband 6 Inch (BDM) Roll 43,450.00 12 521,400.00
109 Spinocain 25 G (BDM) Pcs 48,400.00 - -
114 Sungkup Nebulizer Anak (AAM) Pcs 28,299.98 - -
412682303.xlsx 508
Harga Satuan
Terkecil
115 Sungkup O2 Bayi (BDM) Pcs 66,000.00 - -
119 Surgicryl Rapid 1 HR 48 (RNI) Kotak 1,544,400.00 1 1,544,400.00
120 Surgicryl Rapid 2/0 HR 40 (RNI) Kotak 1,491,600.00 - -
124 Urgotul 10x10 (PPG) Pcs 25,850.00 30 775,500.00
125 Urine Bag (KF) Pcs 6,875.00 - -
1 Acetylcysteine Kapsul 200 mg (MRP) Kapsul AS18016 1/30/2020 1,833.33 1,500 2,750,000.00
2 Acetylcysteine Kapsul 200 mg (MRP) Kapsul AS18032 2/28/2020 1,833.33 300 550,000.00
3 Acyclovir Cream (KF) Tube I72813J 9/29/2022 3,438.05 75 257,853.75
4 Albuminar (AAM) Botol X938905 5/1/2020 1,510,000.00 5 7,550,000.00
5 Albunorm 25 % 100 ML (KF) Botol P716A66702 3/31/2020 1,509,999.70 5 7,549,998.50
6 Allopurinol Tablet (AAM) Tablet 48K0192 11/1/2021 182.02 2,000 364,034.00
7 Allopurinol Tablet (AP DE) Tablet 24409703 3/1/2019 30.00 - -
8 Allopurinol Tablet (RNI) Tablet HTALOA7300 6/1/2020 168.23 - -
9 Alprazolam Tablet 0,5 mg (KF) Tablet C70497J2 3/29/2021 585.00 1,000 585,002.00
10 Alprazolam Tablet 0,5 mg (SST) Tablet 173003 11/1/2019 574.75 4,000 2,299,000.00
11 Ambroxol Syrup 15 mg (DNR) Botol SCB00947 1/1/2022 6,600.00 50 330,000.00
13 Ambroxol Syrup 15 mg (PPG) Botol A10536802 1/1/2020 7,700.00 - -
14 Ambroxol Syrup 15 mg (PPG) Botol B10536802 2/1/2020 7,700.00 - -
15 Ambroxol Syrup 15 mg (RNI) Botol 06810006 11/30/2019 5,500.00 200 1,100,000.00
19 Ambroxol Tablet (DNR) Tablet TPD22946 3/1/2021 330.00 2,900 957,000.00
412682303.xlsx 509
Harga Satuan
Terkecil
20 Ambroxol Tablet (PPG) Tablet TPM99646 11/1/2021 330.00 - -
23 Ambroxol Tablet (SST) Tablet 81171 3/1/2021 100.69 - 5,000
24 Ambroxol Tablet (TSJ) Tablet TPM99546 11/1/2021 330.00 - -
25 Ambroxol Tablet (TSJ) Tablet TPD29447 3/1/2022 330.00 3,200 1,056,000.00
26 Aminofluid (KF) Botol DB71E47A 9/2/2019 64,989.10 20 1,299,782.00
27 Aminophyllin Injeksi (RNI) Ampul 06307031-1 11/30/2020 3,959.93 - -
28 Aminophyllin Injeksi (RNI) Ampul 06307033-1 12/31/2020 3,959.93 120 475,191.20
29 Aminophyllin Injeksi (RNI) Ampul 06307033-2 2/1/2021 3,960.00 - 150
30 Aminophyllin Tablet (SST) Tablet G8A021 7/1/2021 141.68 - 1,000
31 Amlodipin Tablet 5 mg (DNR) Tablet PK19137 5/1/2021 436.37 - 210
32 Amlodipin Tablet 5 mg (DNR) Tablet PK21137 7/1/2022 436.37 - 120
33 Amlodipin Tablet 5 mg (MTK) Tablet TPM93346 11/1/2022 1,152.00 - -
35 Amlodipin Tablet 5 mg (TAS) Tablet NP22137 6/1/2020 480.00 - -
36 Amlodipin Tablet 5 mg (TAS) Tablet PKL6137 5/1/2021 480.00 - -
37 Amlodipin Tablet 5 mg (TAS) Tablet PKL637 5/1/2021 480.00 - 1,500
38 Amlodipin Tablet 5 mg (UJ) Tablet Aj1013 1/1/2020 183.37 1,050 192,538.50
39 Amlodipin Tablet 5 mg (SST) Tablet 82260 5/1/2021 148.42 - 2,100
41 Amlodipin Tablet 10 mg (DNR) Tablet PE04136 2/1/2021 330.00 - -
43 Amlodipin Tablet 10 mg (KF) Tablet L72841B 11/16/2022 95.00 - -
44 Amlodipin Tablet 10 mg (MTK) Tablet JS17031 10/1/2019 817.67 - -
47 Amlodipin Tablet 10 mg (MU) Tablet DS18005 4/30/2020 817.66 - 1,770
48 Amlodipin Tablet 10 mg (MU) Tablet DS18022 4/30/2020 817.66 - 1,680
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51 Amlodipin Tablet 10 mg (SST) Tablet 74363 11/1/2020 238.33 - - 3,000
52 Amlodipin Tablet 10 mg (SST) Tablet 83274 7/1/2021 182.67 -
53 Amoxicillin Syrup (TSJ) Botol L10516601 11/1/2019 7,150.00 50 357,500.00
54 Anbacim Injeksi (BSP) Vial UE4694A 5/1/2020 60,503.36 140 8,470,469.70
55 Antasida Syrup (GF) Botol 2,106.00 50 105,300.00
56 Antasida Syrup (KF) Botol S02019AH 2/2/2020 2,054.80 - -
57 Antasida Syrup (RNI) Botol 1801-04-181 1/1/2020 2,700.50 - -
58 Antasida Tablet (KF) Tablet H71504B 7/15/2020 210.60 6,500 1,368,867.50
59 Antasida Tablet (KF) Tablet 5/15/2022 10,444.50 - -
60 Antrain Injeksi (ENS) Ampul 1014H0011 1/31/2020 10,450.00 60 627,000.00
61 Antrain Injeksi (ENS) Ampul 1014H0021 1/31/2020 10,450.00 240 2,508,000.00
62 Aqua Pro Injeksi (KF) Vial 72B48A 5/3/2021 2,860.00 - - 1920
63 Aqua Pro Injeksi (KF) Vial 80C48A 3/11/2021 2,860.00 480 1,372,800.00
64 Arcapec Tablet (PV) Tablet A7H756 8/1/2019 1,100.00 500 550,000.00
65 Asam Mefenamat Tablet (AAM) Tablet 49D0686 9/1/2021 239.58 - -
68 Asam Mefenamat Tablet (ESV) Tablet HTCMECA81281 2/29/2020 176.00 - -
69 Asam Mefenamat Tablet (RNI) Tablet HTMECA7518 10/31/2019 176.00 2,000 352,000.00
70 Asam Mefenamat Tablet (RNI) Tablet 16318003 3/10/2021 232.32 - 10,000
71 Asam Mefenamat Tablet (RNI) Tablet 16318004 8/1/2021 232.32 - 10,000
72 Asam Traneksamat Injeksi (AAM) Ampul 2180078 11/1/2020 2,167.84 - -
73 Asam Traneksamat Injeksi (GF) Ampul 20A015 1/1/2021 1,880.00 - 50
76 Asam Traneksamat Injeksi (PPG) Ampul N10766701 12/1/2022 7,810.00 - -
77 Asam Traneksamat Injeksi (RNI) Ampul I172271 8/31/2019 5,280.00 - -
78 Asam Traneksamat Injeksi (RNI) Ampul 172269 31 Agustus 2019 5,280.00 80 422,400.00
79 Asam Traneksamat Injeksi (RNI) Ampul 172271 31 Agustus 2019 5,280.00 40 211,200.00 120
80 Asam Traneksamat Tablet (DNR) Tablet TSB00847 1/1/2021 1,980.00 1,000 1,980,000.00
81 Asam Valproat (AAM) Botol 3272081 10/1/2019 17,789.00 - -
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86 Asam Valproat (RNI) Botol 2480698 3/1/2020 49,720.00 - -
87 Asering Infus (KF) Botol SB94J47A 10/25/2020 9,645.90 - -
88 Asering Infus (KF) Botol SB90B48B 2/21/2021 9,645.90 136 1,311,842.40
89 Asering Infus (KF) Botol SB92A48B 1/23/2021 9,645.90 80 771,672.00
90 Asering Infus (KF) Botol SB90B48B 2/21/2021 9,645.90 240 2,315,016.00
91 Asering Infus (KF) Botol SB77G48A 7/8/2021 9,645.90 - 480
92 Atropin Sulfat Injeksi (APL) Ampul 97LE0057 5/15/2021 1,800.00 200 359,999.93
93 Atropin Sulfat Injeksi (APL) Ampul 97LE0057 5/15/2021 1,815.00 - 300
94 Azitromycin Kapsul 500 mg (KF) Kapsul A70013J 1/4/2022 5,500.00 2,300 12,650,000.00
95 Betahistin Tablet (AAM) Tablet 49E0742 11/1/2020 119.00 - 5,000
96 Betahistin Tablet (KF) Tablet EAJ338 11/1/2020 785.40 2,100 1,649,340.00
97 Betamethason Cream (KF) Tube J71554T 9/12/2021 1,449.80 - -
98 Betamethason Cream (RNI) Tube 06455027 12/31/2020 2,904.00 50 145,200.00
99 Bifotik Injeksi (BSP) Vial TM4964A 6/1/2019 73,693.03 200 14,738,605.20
102 Biocombin Injeksi (PV) Ampul F7L152 11/1/2019 5,500.00 - -
103 Biocombin Injeksi (PV) Ampul F7L153 11/1/2019 5,500.00 280 1,540,000.00
104 Biocombin Injeksi (PV) Ampul F8C283 3/1/2020 5,500.00 - 250
105 Biocombin Injeksi (PV) Ampul F8C285 3/1/2020 5,500.00 - 250
109 Bionemi Kapsul (PV) Kapsul DA017 1/1/2020 1,356.18 - -
110 Bionemi Kapsul (PV) Kapsul DB015 2/1/2020 1,650.00 - -
111 Bionemi Kapsul (PV) Kapsul DC024 3/1/2020 1,650.00 150 247,500.00
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114 Biosat ATS 1500 UI (RNI) Ampul 4202817 11/30/2019 165,000.00 - -
115 Biosat ATS 1500 UI (RNI) Ampul 4203517 12/31/2019 165,000.00 80 13,200,000.00
116 Bisolvon Injeksi (KF) Ampul 528229A 9/1/2020 58,234.00 - -
117 Bisolvon Injeksi (KF) Ampul 6277108 2/1/2021 58,234.00 - -
118 Bisolvon Injeksi (KF) Ampul 52889A 9/1/2020 58,234.00 - 200
119 Bisolvon Injeksi (KF) Ampul 528889A 9/1/2020 53,469.40 - - 0
120 Bisoprolol Tablet (AAM) Tablet 3272119 11/1/2020 248.00 2,430 602,640.32
121 Bricasma Inj 5 Ml (APL) Ampul RY8E045 6/30/2019 20,929.26 - 250
122 Bunascan Spinal Injeksi (PPG) Ampul PA0313 1/1/2020 70,400.00 - -
123 Bunascan Spinal Injeksi (PPG) Ampul PA0323 1/1/2020 70,400.00 5 352,000.00
124 Bunascan Spinal Injeksi (PV) Ampul TL0133 12/1/2019 66,000.00 20 1,320,000.00
125 Bunascan Spinal Injeksi (PV) Ampul PG0403 7/1/2020 66,000.00 310 20,460,000.00
126 Bunascan Spinal Injeksi (UN) Ampul PG0413 7/1/2020 66,000.00 - 50
127 Burnazin Cream (KF) Tube 0566AB 4/30/2021 56,045.00 - 1
128 Burnazin Cream (KF) Tube 0746RB 31 JUNI 2018 56,045.00 - 23
129 Buscopan Injeksi (KF) Ampul 727068 1/1/2022 34,243.00 - -
130 Buscopan Injeksi (KF) Ampul 62463C 1/1/2022 34,243.00 - -
131 Buscopan Injeksi (KF) Ampul 727068B 1/1/2022 34,243.00 - -
132 Buscopan Injeksi (KF) Ampul 825182A 2/28/2023 34,243.00 200 6,848,600.00
133 Buscopan Tablet (KF) Tablet 17121526 11/30/2020 3,091.00 1,700 5,254,700.00
134 Candesartan Tablet 8 mg (AAM) Tablet 47K4143 9/1/2018 629.00 720 452,880.12
135 Candesartan Tablet 8 mg (DNR) Tablet 827632478 9/27/2018 4,400.00 - 1,170
136 Candefion Tablet 8 mg (UN) Tablet BTPN01646 12/1/2019 5,500.00 - -
137 Captopril Tablet 12,5 mg (RNI) Tablet 6323016 12/18/2022 97.41 - -
138 Captopril Tablet 12,5 mg (RNI) Tablet 6323018 12/1/2022 97.41 - 2,000
139 Captopril Tablet 12,5 mg (RNI) Tablet 6323019 12/1/2022 97.41 - 8,000
140 Captopril Tablet 25 mg (ESV) Tablet HTCTPE76023 12/31/2020 137.75 - -
141 Captopril Tablet 25 mg (KF) Tablet G71166B 6/18/2022 123.98 - -
142 Captopril Tablet 25 mg (KF) Tablet A80008B 11/29/2022 80.00 - - 18100
143 Captopril Tablet 25 mg (RNI) Tablet 06324020 11/23/2022 103.73 - -
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144 Captopril Tablet 25 mg (RNI) Tablet 06324021 11/23/2022 103.73 2,000 207,460.00
145 Carbazocrome Injeksi (PV) Ampul 20A457 1/1/2020 13,112.00 220 2,884,640.00
146 Cartylo Tablet (KF) Tablet I72080B 9/29/2020 290.00 - -
147 Cartylo Tablet (KF) Tablet A80073B 12/24/2020 290.00 3,500 1,015,014.00
148 Cedocard Injeksi (APL) Ampul 5635502A 11/30/2020 31,000.20 80 2,480,016.00
149 Cefadroxil Kapsul (AAM) Kapsul 48A0218 12/1/2020 877.80 3,500 3,072,314.63
155 Cefadroxil Kapsul (TSJ) Kapsul KPM36046 11/1/2022 1,210.00 10,000 12,100,000.00
156 Cefadroxil Kapsul (TSJ) Kapsul KPF15247 5/1/2020 1,210.00 - 5,000
157 Cefadroxil Syrup (RNI) Botol LCFDA70051 4/30/2020 8,200.50 186 1,525,293.00
158 Cefadroxil Syrup (RNI) Botol LCFDA70085 6/30/2020 8,200.50 48 393,624.00
161 Cefixim Kapsul 100 mg (RNI) Kapsul KCFMB70191 10/31/2019 1,430.00 500 715,000.00
162 Cefixim Syrup (DNR) Botol SKM44245 11/1/2019 36,300.00 - -
163 Cefixim Syrup (RNI) Botol DCFMA70069 11/30/2019 19,800.00 - -
164 Cefixim Syrup (RNI) Botol 48K0409 11/1/2019 33,275.00 50 1,663,750.00
165 Cefotaxim Injeksi (PPG) Vial C10336804 3/1/2021 45,100.00 680 30,668,000.00
166 Cefotaxim Injeksi (PPG) Vial C10336808 3/1/2021 45,100.00 320 14,432,000.00
167 Cefotaxim Injeksi (TSJ) Vial B10336707 2/1/2020 45,100.00 - -
168 Cefotaxim Injeksi (RNI) Vial 95444083BF 5/31/2019 11,011.00 196 2,158,156.00
169 Ceftazidim Injeksi (PPG) Vial C10736801 11/15/1900 67,100.00 - -
173 Ceftazidim Injeksi (RNI) Vial 222027 4/30/2019 24,750.00 280 6,930,000.00
174 Ceftazidim Injeksi (RNI) Vial 1703201 4/30/2019 24,750.00 - -
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177 Ceftriaxon Injeksi (DNR) Vial PSG27645 6/1/2019 26,950.00 - -
178 Ceftriaxon Injeksi (DNR) Vial PSL38346 10/1/2020 26,950.00 - -
179 Ceftriaxon Injeksi (MTK) Vial PSG27645 10/1/2019 38,500.00 - -
180 Ceftriaxon Injeksi (PPG) Vial A10316820 1/1/2021 39,600.00 - -
181 Ceftriaxon Injeksi (PPG) Vial A10316842 1/1/2021 39,600.00 1,000 39,600,000.00
182 Ceftriaxon Injeksi (RNI) Vial ICFEA70227 5/31/2020 11,000.00 - -
184 Ceftriaxon Injeksi (TSJ) Vial PSF20847 5/1/2021 38,500.00 1,200 46,200,000.00 1,800
186 Cefuroxim Injeksi (PPG) Vial A182090 02 2020 44,000.00 300 13,200,000.00
187 Cendo Efrisel 10 % (PV) Botol 7E11222 12/1/2019 16,775.00 - -
188 Cendo Efrisel 10 % (PV) Botol 8E10113 1/1/2020 16,775.00 5 83,875.00
189 Cendo Efrisel 10 % (PV) Botol 8E10130 1/1/2020 16,775.00 100 1,677,500.00
198 Cendo Mydriatyl 1% (PV) Botol 7M0915 9/1/2020 42,075.00 9 378,675.00
199 Cendo Mydriatyl 1% (PV) Botol 8M124 1/1/2021 42,075.00 20 841,500.00
200 Cendo Mydriatyl 1% (PV) Botol 8M0409 4/1/2021 42,075.00 50 2,103,750.00
201 Cendo Tropin 0,5% (PV) Botol 7T50925 9/1/2020 12,375.00 - -
202 Cendo Tropin 5ml (PV) Botol 7T5122 12/1/2020 12,375.00 50 618,750.00
203 Cendo Xitrol 5 ml (KF) Botol 7X1124 5/31/2020 29,975.00 - -
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207 Cendo Xitrol 5 ml (PV) Botol 8X0327 9/1/2020 29,975.00 100 2,997,500.00
208 Cendo Xitrol EO 3,5 g (KF) Tube 89021399 2/28/2021 39,462.50 - -
212 Cendo Xitrol EO 3,5 g (PV) Tube 890222 2/1/2021 39,462.50 100 3,946,250.00
213 Cenfresh 5 ml (KF) Botol 8C011899 1/31/2021 38,362.50 - -
214 Cenfresh 5 ml (PV) Botol 7C1127 11/1/2020 38,362.50 - -
218 Cenfresh 5 ml (PV) Botol 8C0607 6/1/2021 38,362.50 - 32
221 Cetirizine Tablet (KF) Tablet C70502J 3/5/2020 334.95 - -
222 Cetirizine Tablet (RNI) Tablet TRB75043 10/31/2019 313.50 - -
223 Cetirizine Tablet (RNI) Tablet TRB76051 11/30/2019 313.50 1,290 404,415.00
224 Chlorpromazin Tablet 100 mg (KF) Tablet J60004B 9/30/2019 264.28 390 103,067.25
225 Cilostazol Tablet (DNR) Tablet TPB01646 1/1/2020 10,450.00 1,600 16,720,000.00
226 Cilostazol Tablet (DNR) Tablet TPK74346 9/1/2020 10,450.00 1,400 14,630,000.00
227 Ciprofloxacin Infus (PPG) Botol L10156718 11/1/2021 77,000.00 - -
228 Ciprofloxacin Infus (RNI) Botol 2280259 1/1/2020 62,700.00 - 200
229 Ciprofloxacin Tablet (ESV) Tablet HTCFXC76168 12/31/2019 473.00 - -
232 Ciprofloxacin Tablet (RNI) Tablet HTCFXC1187 1/31/2020 473.00 2,000 946,000.00
233 Ciprofloxacin Tablet (RNI) Tablet 16333001 5/1/2023 607.90 - 2,500
234 Citicolin Injeksi (DNR) Ampul PIL38045 10/1/2019 24,750.00 - -
235 Citicolin Injeksi (DNR) Ampul PIL38245 10/1/2019 24,750.00 150 3,712,500.00
236 Citicolin Injeksi (DNR) Ampul 81709 6/1/2022 4,957.33 - 600
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237 Citicolin Injeksi (MTK) Ampul PIK09046 9/1/2020 24,750.00 - -
238 Citicolin Injeksi (PPG) Ampul A10266702 1/1/2019 19,250.00 80 1,540,000.00
239 Citicolin Tablet (DNR) Tablet TPC17446 2/1/2022 7,333.33 2,700 19,800,000.00
240 Citicolin Tablet (DNR) Tablet TPP05546 1/1/2022 7,333.33 - -
241 Citicolin Tablet (ESV) Tablet TCTLA80030 1/31/2020 4,822.33 - -
Citicolin MPL Tablet (DNR) 7,333.33 600
242 Clopidogrel Tablet (KF) Tablet172088B 10/17/2019 2,999.00 - -
243 Clopidogrel Tablet (KF) TabletK72810B 11/19/2019 2,999.00 600 1,799,402.00
244 Clopidogrel Tablet (KF) TabletC80505B 2/25/2020 2,999.00 - 1,920
245 Clopidogrel Tablet (KF) TabletE81099B 6/3/2020 2,999.00 - 4,080
246 Clindamycin Kapsul 100 mg (DNR) KapsulKPG22546 6/1/2020 2,000.00 - 4,800
247 Cotrimoxazol Tablet (KF) TabletG71183B 6/17/2022 247.72 2,000 495,440.00
248 Cotrimoxazol Tablet (MTK) TabletTPK75746 9/1/2022 275.00 300 82,500.00
249 Covetor Tablet (MBS) Tablet20G113 7/31/2019 6,600.00 - -
250 Codein Tablet 10 mg (KF) TabletF71395J 6/30/2021 657.00 - -
251 Codein Tablet 10 mg (KF) TabletHG1223J 8/30/2021 657.00 - -
252 Codikaf Tablet 10 mg (KF) TabletC70718J 3/1/2021 866.25 - -
253 Codikaf Tablet 10 mg (KF) Tablet172588J 9/29/2021 866.25 1,000 866,250.00
254 Covetor 20-E/45.00 (MBD) Tablet20G113 7/31/2019 6,251.66 - 3,930
255 Covetor 20-E/45.00 (MBD) Tablet21D113 4/30/2020 6,251.66 - 2,070
256 Dexamethason Injeksi (RNI) Ampul 6337002 12/31/2020 2,416.15 400 966,460.00
257 Dexamethason Injeksi (RNI) Ampul 16337003 2/28/2021 2,416.15 2,000 4,832,300.00
258 Dexamethason Injeksi (RNI) Ampul 16337002 7/1/2021 2,416.15 - 5,000
259 Dexamethason Tablet (RNI) Tablet16338001 1/31/2021 149.03 - - 5,000
260 Dexamethason Tablet (RNI) Tablet16338002 7/1/2021 149.07 - 10,000
261 Desoximethason Cream (AAM) Tube 2380406 2/1/2020 11,500.01 90 1,035,000.45
262 Diazepam Tablet 2 mg (KF) TabletE71076J 5/3/2020 123.75 2,400 297,000.00
263 Diphenhidramin Injeksi (RNI) Ampul 06342017-2 10/31/2021 1,864.61 - - 300
264 Diviti PFS 2.5 mg (AAM) 2681110 3/1/2020 271,975.00 - 40
265 Dobutamin Injeksi (AAM) Ampul 2380472 2/1/2020 13,945.00 10 139,449.99
266 Dobutamin Injeksi (RNI) Ampul 2280283 1/1/2018 70,288.24 10 702,882.40
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267 Dobutamin Injeksi (RNI) Ampul 2380472 2/1/2020 70,288.24 40 2,811,529.60
268 Dolgesic Injeksi (SST) Ampul D80036 2/1/2021 12,760.00 - 125
269 Domperidon Syrup (PV) Botol S2317134 1/1/2020 4,126.10 29 119,656.90
270 Domperidon Syrup (RNI) Botol A10276801 1/1/2020 15,400.00 200 3,080,000.00
271 Domperidon Syrup (RNI) Botol KLDPA7311 5/31/2020 12,650.00 - -
272 Domperidon Tablet (DNR) Tablet TSH86846 12/1/2021 484.34 500 242,170.50
273 Domperidon Tablet (DNR) Tablet SCB03747 12/1/2022 479.49 - 3,000
276 Domperidon Tablet (TSJ) Tablet TSN80045 12/1/2020 484.34 - -
277 Doxycycline Kapsul (KF) Kapsul H72017J 6/7/2022 550.17 1,000 550,165.00
278 Dulcolax Suppositoria (KF) Suppo 15050858 4/22/2019 16,033.60 200 3,206,720.00
279 Dulcolax Tablet (KF) Tablet 17111481 10/30/2020 1,329.35 600 797,610.00
280 Endrolin Injeksi (ESV) Ampul KVEDNA76173 8/6/2019 619,300.00 7 4,335,100.00
281 Ephedrin Injeksi (APL) Ampul 97LG0026 7/1/2021 22,000.00 - -
282 Ephedrin Injeksi (APL) Ampul 97LG0126 7/24/2021 55,000.00 - -
283 Ephedrin Injeksi (APL) Ampul 97LG0127 7/24/2021 55,000.00 400 22,000,000.00
284 Ergotamin Coffein (KF) Tablet K60415B 10/1/2020 203.50 900 183,150.00
285 Erlamycetin Ear Drop (PV) Botol D0652098 7/1/2019 7,095.00 124 879,780.00
286 Esomax Injeksi (MBS) Vial 7M1190 12/1/2019 118,800.00 - -
287 Esomax Injeksi (MBS) Vial BA0044 1/1/2020 118,800.00 - -
288 Esomax Injeksi (MBS) Vial 8B0259 2/1/2020 118,800.00 - 150
289 Estazor Tablet (PV) Kapsul TH1411 8/1/2021 8,800.00 60 528,000.00
290 Estazor Tablet (PV) Kapsul TK1101 11/1/2021 9,020.00 930 8,388,600.00
293 Eyefresh 5 ml (PV) Botol 7EH1221 12/1/2020 31,762.50 - -
294 Eyefresh 5 ml (PV) Botol 8EH0123 1/1/2021 31,762.50 20 635,250.00
295 Eyefresh 5 ml (PV) Botol 8EH0209 2/1/2021 31,762.50 198 6,288,975.00
296 Farbivent Injeksi (PV) Ampul TJ0203 10/1/2019 9,350.00 - -
297 Farbivent Injeksi (PV) Ampul PA0343 1/1/2020 9,350.00 - -
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298 Farbivent Injeksi (PV) Ampul FE0763 5/1/2020 9,350.00 - 1,130
299 Farbivent Injeksi (PV) Ampul PA0343 1/1/2020 9,350.00 680 6,358,000.00
300 Farelax Injeksi (PPG) Ampul TK0013 11/1/2019 77,000.00 50 3,850,000.00
301 Farpresin Injeksi (PV) Vial IJ0323 10/1/2018 88,000.00 10 880,000.00
302 Farsorbid Injeksi (PV) Vial TD0583 4/1/2019 66,000.00 6 396,000.00
303 Fiondazol Infus (UN) Botol BPIL13546 10/1/2021 66,000.00 - -
304 Fiondazol Infus (UN) Botol BPIL13546 10/1/2021 39,600.00 200 7,920,000.00
305 Fiopraz Injeksi (UN) Vial BPSL03846 10/1/2020 110,000.00 - -
306 Fioramol Infus (TSJ) Botol BPIN15746 12/1/2020 33,000.00 - 200
307 Flamar Tablet 25 mg (BSP) Tablet TJ8735A 9/1/2021 516.97 - -
308 Flamar Tablet 25 mg (BSP) Tablet TH8744A 12/1/2019 516.97 500 258,483.92
309 Floxaris Infus (MBS) Botol 7K6739 10/1/2019 186,450.00 64 11,932,800.00
310 Flunarizin Tablet (PPG) Tablet TPE31647 4/1/2022 2,200.00 3,500 7,700,000.00
311 Furosemid Tablet (KF) Tablet F70972B 5/19/2020 84.00 - -
312 Furosemid Tablet (MBS) Tablet 1709010 12/1/2021 178.34 2,500 445,857.85
313 Futrolit Infus (BSP) Bag UB3113A 2/1/2021 41,392.89 216 8,940,864.24
314 Gabapentin Kapsul 300 mg (AAM) Kapsul 48B0442 2/1/2019 4,235.00 - -
315 Gabapentin Kapsul 300 mg (RNI) Kapsul 48B0442 2/28/2019 6,050.00 - -
316 Gabapentin Kapsul 300 mg (RNI) Kapsul 49B0324 1/1/2020 6,050.00 - 990
317 Gabasant Kapsul (SST) Kapsul JM002 10/1/2020 5,264.88 - -
318 GABAXA INFUS (PV) Botol PB0683 2/1/2020 220,000.00 45 9,900,000.00
319 GAMARAAS (APL) Vial 201610G021 10/6/2019 3,080,000.00 - 5
320 Gastrul Tablet (PV) Tablet TK1991 11/1/2019 11,440.00 1,200 13,728,000.00
321 Gavistral Injeksi (PV) Ampul F7L104 11/1/2019 7,700.00 5 38,500.00
322 Gavistral Injeksi (PV) Ampul F7L144 11/1/2019 7,700.00 160 1,232,000.00
323 Gelafusal Infus (AAM) Bag O0617 3/1/2020 145,015.00 20 2,900,300.04
324 Gelafusal Infus (RNI) Bag 00617 3/1/2020 192,500.00 200 38,500,000.00
325 Gentamicin Cream Kulit (KF) Tube 171455T 9/29/2021 2,019.99 - -
326 Gentamicin Cream Kulit (KF) Tube J71502T 10/6/2021 2,073.14 - -
327 Gentamicin Cream 1% (KF) Tube E81001T 5/16/2022 2,126.30 100 212,630.00
328 Glauseta Tablet (BSP) Tablet UA2441 1/1/2020 4,625.50 - -
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329 Glauseta Tablet (BSP) Tablet DC2803 3/1/2020 4,741.00 200 948,200.00
330 Glauseta Tablet (BSP) Tablet DD2897 4/1/2020 4,741.00 800 3,792,800.00
331 Glimefion Tablet 2 mg (UN) Tablet BTPL01246 10/1/2020 4,216.67 - -
332 Glimepiride Tablet 2 mg (RNI) Tablet HTGMPF76028 12/1/2021 880.00 1,500 1,320,000.00
333 Glukosa 05% (KF) Botol 270622 5/31/2020 6,900.30 1,620 11,178,486.00
334 Glukosa 05% (KF) Botol 270704 6/5/2020 6,900.30 3,300 22,770,990.00
335 Glukosa 10% (KF) Botol 271106 10/31/2020 7,499.80 80 599,984.00
336 Glukosa 10% (KF) Botol 280203 1/3/2021 7,499.80 120 899,976.00
337 Glukosa 10% (KF) Botol 280224 1/26/2021 7,499.80 80 599,984.00
338 Glukosa 40% (KF) Vial 80G47A 7/11/2019 10,010.00 180 1,801,800.00
341 Graphalac Syrup (PV) Botol DA121 1/1/2020 46,750.00 - -
342 Graphalac Syrup (PV) Botol DC126 3/1/2020 46,750.00 24 1,122,000.00 200
343 Gravix Tablet (PV) Tablet DA021 1/1/2023 1,410.75 - -
344 Gravix Tablet (PV) Tablet DC028 3/1/2023 1,410.75 - -
345 Hepamed 300 mg (SST) Tablet JY7A131 9/1/2019 9,570.00 1,350 12,919,500.00
346 Hidrochlortiazid Tablet (KF) Tablet I72008B 8/8/2022 178.00 1,900 338,203.80
347 Hydrocortisone 2,5 % (KF) Tube E81171T 5/26/2022 2,647.70 - 240
348 Human Albumin (KF) Botol B23655 9/30/2020 880,000.00 1 880,000.00
349 Human Albumin (KF) Botol B236448 3/31/2021 880,000.00 - 10
350 Hufabion Tablet (SST) Ampul 100437 8/1/2019 336.12 - 5,000
351 Ibuprofen Syrup 100 mg (KF) Botol S05015A11 5/30/2020 2,677.40 100 267,740.00
352 Ibuprofen Tablet 400 mg (KF) Tablet KB9119606 11/1/2021 127.00 700 88,896.50
353 Ibuprofen Tablet 400 mg (KF) Tablet 16357010 5/1/2022 225.54 - 5000
354 Inpepsa Suspensi (PV) Botol PA2241 1/1/2021 57,200.00 - -
355 Inviclot Injeksi (PV) Vial TJ0173 10/1/2019 66,000.00 - -
356 Inviclot Injeksi (PV) Vial PC0473 3/1/2020 66,000.00 20 1,320,000.00
357 Isonat Tablet 5 mg (KF) Tablet D160355B 4/1/2020 968.00 - -
358 Isonat Tablet 5 mg (KF) Tablet D160355B 8/30/2020 968.00 2,000 1,936,000.00
359 Isoniazid Tablet 100 mg (AP DE) Tablet J60093B 10/1/2021 200.00 - -
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360 Isoniazid Tablet 100 mg (KF) Tablet J60093B 9/24/2021 142.56 - -
361 Isoniazid Tablet 300 mg (KF) Tablet G71416B 7/7/2022 170.01 2,000 340,010.00
363 Isosorbid Dinitrat Tablet 5 mg (IGM) Tablet 1707043 8/1/2021 123.02 - -
364 Itramag Suspensi (SST) Botol 802181 8/1/2021 5,009.40 - -
365 KA-EN 3B (KF) Botol 471193A 8/1/2020 10,249.80 120 1,229,976.00
366 Ketamin Hameln (APL) Vial 8150624 4/30/2021 170,500.00 - 20
367 Ketokonazol Tablet (RNI) Tablet 3061814 9/1/2019 450.99 450 202,946.04
371 Ketorolac Injeksi 30 mg (DNR) Ampul PIC26647 2/1/2020 16,038.00 - -
372 Ketorolac Injeksi 30 mg (DNR) Ampul P1C26647 2/1/2022 16,038.00 - 500
373 Ketorolac Injeksi 30 mg (DNR) Ampul TPM99046 11/1/2022 16,038.00 - 2,000
374 Ketorolac Injeksi 30 mg (RNI) Ampul IKTRB70053 11/30/2019 5,000.05 - -
375 Ketorolac Injeksi 30 mg (RNI) Ampul IKTRB80088 1/31/2020 5,000.05 - -
376 Ketorolac Injeksi 30 mg (RNI) Ampul 16459008 2/28/2021 1,834.25 - -
377 Ketorolac Injeksi 30 mg (RNI) Ampul IKTRB0088 31 Januari 2020 5,000.05 912 4,560,045.60
378 Ketorolac Injeksi 30 mg (RNI) Ampul IKTR80102 31 Maret 2020 5,000.05 - -
379 Klotaren Tablet 25 mg (KF) Tablet F71208J 5/16/2022 398.99 5,000 1,994,960.00
380 Kolefion Tablet 20 mg (UN) Tablet BTSL01045 10/1/2019 5,500.00 - -
381 Kolicgon Tablet (PV) Tablet T0651029 11/1/2018 1,317.37 - -
382 KSR Tablet 600 mg (AAM) Tablet K0367398 4/1/2021 1,755.00 - 2,000
383 Kutoin Injeksi (SST) Ampul 470169 8/1/2020 65,780.00 - 30
384 Kutoin Injeksi (SST) Ampul D80180 3/1/2021 65,780.00 - 150
385 Lanabal Tablet (MBS) Tablet 20E033 5/31/2021 1,320.00 700 924,000.00
386 Lansoprazol Kapsul (DNR) Kapsul NPC03847 2/1/2021 1,621.60 - -
387 Lansoprazol Kapsul (KF) Kapsul 7178109 12/31/2019 330.00 2,900 957,000.00
388 Lansoprazol Kapsul (PV) Kapsul EBC034D 8/1/2020 1,351.35 - -
389 Lansoprazol Kapsul (RNI) Kapsul 223053 6/30/2019 1,000.01 - -
390 Lansoprazol Kapsul (RNI) Kapsul KLPSA70014 9/30/2019 1,000.01 - -
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392 Levemir Flex Pen (AAM) Pen GT6A977 10/1/2019 83,950.02 - -
393 Levemir Flex Pen (AAM) Pen GT6B321 11/1/2019 83,949.99 - -
394 Levemir Flex Pen (AAM) Pen HT6E203 5/1/2020 83,950.00 - -
395 Levemir Flex Pen (AAM) Pen HT6D631 4/1/2020 83,950.00 50 4,197,500.01
396 Levemir Flex Pen (AAM) Pen 48A0218 6/1/2020 83,950.00 - 100
397 LFX 0,6 ml (PV) Strip 7LF61222 6/1/2020 75,900.00 - -
398 LFX 5 ml (PV) Botol 7LF1114 5/1/2020 76,175.00 49 3,732,575.00
399 LFX 5 ml (PV) Botol 7LF1114 5/1/2020 46,750.00 - -
400 Loperamid Tablet (KF) Tablet 70310 11/1/2019 85.00 - - 20000
401 Loprezol Kapsul (KF) Kapsul HG1543J 9/30/2019 799.99 - -
402 Meloxicam Tablet 7,5 mg (DNR) Tablet PNO3138 7/1/2023 1,199.00 - 2,500
403 Meloxicam Tablet 15 mg (DNR) Tablet NB06126 12/1/2022 691.90 - 850
404 Meloxicam Tablet 15 mg (RNI) Tablet JS17040A 10/1/2019 512.60 - -
406 Meloxicam Tablet 15 mg (TAS) Tablet PDO1126 3/1/2023 719.40 - 300
407 Meloxicam Tablet 15 mg (TAS) Tablet PN0226 7/1/2023 719.40 - 750
408 Merophenem Injeksi 0,5 g (TSJ) Vial A10376701 1/1/2019 132,000.00 - -
409 Merophenem Injeksi 1 g (PPG) Vial K10326701 10/1/2020 225,500.00 59 13,304,500.00
410 Merophenem Injeksi 1 g (RNI) Vial IMPRA70036 11/30/2019 110,000.00 - -
411 Merophenem Injeksi 1 g (RNI) Vial IMRPA70036 11/30/2019 110,000.00 - -
412 Merophenem Injeksi 1 g (RNI) Vial IMRPA80096 1/31/2020 110,000.00 70 7,700,000.00
413 Merophenem Injeksi 1 g (RNI) Vial IMRPA70086 12/31/2019 110,000.00 70 7,700,000.00
414 Merophenem Injeksi 1 g (DNR) Vial P8N53746 12/4/2020 220,000.00 - 100
415 Metformin Tablet 500 mg (AAM) Tablet 47F4152 5/1/2019 179.69 - -
416 Metformin Tablet 500 mg (ESV) Tablet HTMFNA81606 2/29/2020 181.50 2,500 453,750.00
418 Methyl Ergometrin Tablet (KF) Tablet C70296J 3/1/2022 270.60 1,100 297,660.00
419 Methylprednisolon Injeksi (MTK) Vial PSE14446 4/1/2021 49,500.00 - -
420 Methylprednisolon Injeksi (MTK) Vial PSN66945 12/1/2020 49,500.00 - -
421 Methylprednisolon Injeksi (PPG) Vial L10576701 11/1/2020 51,700.00 276 14,269,200.00
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422 Methylprednisolon Injeksi (RNI) Vial P182033 1/31/2020 23,760.00 300 7,128,000.00
423 Methylprednisolon Injeksi (RNI) Vial 16463014 1/31/2021 19,089.40 - -
424 Methylprednisolon Tablet 4 mg (DNR) Tablet TPL80946 10/1/2020 528.66 - -
426 Methylprednisolon Tablet 4 mg (PPG) Tablet B10046801 2/1/2020 550.00 - -
427 Methylprednisolon Tablet 4 mg (RNI) Tablet 48E0346 4/1/2021 484.50 - -
428 Methylprednisolon Tablet 4 mg (RNI) Tablet 49B0172 2/1/2022 484.61 - -
429 Methylprednisolon Tablet 4 mg (RNI) Tablet 16445001 6/28/2022 484.00 4,000 1,936,000.00
433 Methylprednisolon Tablet 4 mg (TSJ) Tablet TPC12447 2/1/2021 528.66 - -
434 Metronidazol Infus (APL) Botol KY7E095 10/31/2019 8,703.20 - -
437 Metronidazol Infus (TSJ) Botol L10176711 11/1/2020 44,000.00 200 8,800,000.00
438 Metronidazol Tablet 500 mg (DNR) Tablet TPM99046 11/1/2022 264.00 - 5,000
439 Metronidazol Tablet 500 mg (DNR) Tablet P1C26647 11/1/2022 264.00 - 5,000
440 Metronidazol Tablet 500 mg (PPG) Tablet TPM98846 11/1/2022 264.00 1,500 396,000.00
441 MgSO4 40 % (GF) Vial 86E46A 5/17/2018 2,629.00 - -
442 MgSO4 40 % (GF) Vial 3,652.00 66 241,032.00
443 MgSO4 40 % (MRP) Vial 92C48A 3/23/2020 3,796.10 240 911,064.00
444 Miconazol Cream (KF) Tube 172317W 9/12/2021 3,575.00 96 343,200.00
446 Molagit Tablet (MBS) Tablet ZN039 11/1/2022 360.80 3,000 1,082,400.00
447 Molaneuron Tablet (MBS) Tablet M13AJ005 1/1/2021 495.00 - -
448 Molaneuron Tablet (MBS) Tablet M13AY014 5/1/2021 440.02 - 15,000
449 Moxifloxacin Infus (PV) Botol PA0383 1/1/2020 220,000.00 - -
450 Moxifloxacin Infus (PV) Botol TL0233 12/1/2019 220,000.00 - -
452 Myotonic Tablet (PV) Tablet A7G708 7/1/2019 2,915.00 - -
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453 Myotonic Tablet (PV) Tablet A7J840 9/1/2019 2,915.00 - -
454 Myotonic Tablet (PV) Tablet A7L932 11/1/2019 2,915.00 - -
455 Myotonic Tablet (PV) Tablet A8B199 2/1/2020 2,915.00 900 2,623,500.00 4,300
456 N-Ace Kapsul (PV) Kapsul TJ1471 10/1/2019 2,200.00 - -
457 N-Ace Kapsul (PV) Kapsul TK1851 11/1/2019 2,310.00 - -
458 N-Ace Kapsul (PV) Kapsul PA0541 1/1/2020 2,310.00 - -
459 N-Ace Kapsul (PV) Kapsul TL0201 12/1/2019 2,310.00 - -
460 N-Ace Kapsul (PV) Kapsul PB1601 2/1/2020 2,310.00 - -
463 NaCl Piggyback (KF) Botol 48A88A 1/19/2021 15,180.00 1,000 15,180,000.00
464 Natacen 0,6 ml (PV) Strip 86NA60112 1/1/2020 45,787.50 - -
465 Natacen 0,6 ml (PV) Strip 8NA60126 1/1/2020 45,787.50 15 686,812.50
466 Natrium Klorida Infus (KF) Botol 371024 9/6/2022 6,409.70 - -
467 Natrium Klorida Infus (KF) Botol 182D01 4/1/2021 6,409.70 560 3,589,432.00
468 Natrium Klorida Infus (KF) Botol 480302 2/5/2022 6,409.70 2,000 12,819,400.00
469 Natrium Klorida Infus (KF) Botol 380215 1/16/2023 6,409.70 520 3,333,044.00
470 Natrium Klorida Infus (KF) Botol 480303 9/6/2021 6,409.70 7,480 47,944,556.00
471 Natrium Klorida Infus (RNI) Botol 280121 12/1/2022 6,409.70 1,600 10,255,520.00
473 Natrium Diklofenak Tablet 50 mg (KF) Tablet J72895J 10/5/2022 352.64 - -
477 Neostigmine Hamelin (APL) Ampul 743056 26 OKTOBER 2019 8,200.06 25 205,001.50
478 Neurosanbe Injeksi (BSP) Ampul UB3425 6/1/2019 5,324.00 1,200 6,388,800.00
479 Neurosanbe Tablet (BSP) Tablet TM2347C 12/1/2021 1,160.50 - -
480 Neurosanbe Tablet (BSP) Tablet UA2522 1/1/2022 1,160.50 - -
481 Neurosanbe Tablet (BSP) Tablet DC2770 3/1/2022 1,160.50 1,400 1,624,700.00
482 Neurosanbe Tablet (BSP) Tablet DD2031B 4/1/2022 1,160.50 3,200 3,713,600.00
483 Neurosanbe Tablet (BSP) Tablet UA2522 1/1/2022 1,160.50 - 3,200
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484 Nifedipin Tablet (RNI) Tablet 47G4166 5/1/2020 141.89 1,500 212,833.50
485 Nifedipin Tablet (RNI) Tablet 48F4106 5/1/2021 141.90 - -
486 Nimodipin Infus (DNR) Botol PIM57545 11/1/2018 181,500.00 - -
487 Norages Injeksi (PV) Ampul F6K594 10/1/2019 9,185.00 - -
488 Norages Injeksi (PV) Ampul F8C277 3/1/2020 9,185.00 150 1,377,750.00
489 Norelut Tablet (AAM) Tablet 49B3042 1/1/2022 4,224.00 450 1,900,800.00
490 Normudal Tablet (APL) Tablet BSB089 2/28/2023 694.54 - -
492 Novamaag Syrup (RNI) Botol 18040192 4/30/2022 3,712.50 - -
493 Novorapid Flex Pen (AAM) Pen GR7C897 11/1/2019 86,999.99 - -
494 Novorapid Flex Pen (AAM) Pen HR7F771 5/1/2020 87,000.00 40 3,479,999.95
495 Novorapid Flex Pen (AAM) Pen HR7j149 7/1/2020 87,000.00 - 100
496 OAT Kategori 1 (GF) Kotak 413,979.00 - -
497 OAT Kategori Anak (GF) Kotak 224,758.00 - -
498 Oksitosin Injeksi (GF) Ampul 1,900.00 200 380,000.00
499 Ondancentron Injeksi 4 mg (DNR) Ampul PIH83945 7/1/2019 5,500.00 - - 1,000
503 Ondancentron Injeksi 4 mg (MRP) Ampul I172393 1/31/2020 3,190.00 1,500 4,785,000.00
504 Ondancentron Injeksi 4 mg (PPG) Ampul B10426701 2/1/2020 5,500.00 - -
505 Ondancentron Injeksi 4 mg (RNI) Ampul I172387 11/30/2019 3,190.00 450 1,435,500.00
506 Ondancentron Injeksi 4 mg (TSJ) Ampul K10426602 10/1/2019 5,500.00 - -
509 Oralit (AP DE) Sachet 500.00 - -
510 Oralit (RNI) Sachet 06373308 8/31/2020 418.00 500 209,000.00
511 Oxytetracyclin Salep Kulit (KF) Tube C80863W 3/7/2021 2,009.70 150 301,455.00
512 Oxytetracyclin Salep Mata (KF) Tube A80110W 1/1/2020 3,327.50 150 499,125.00
513 P. Pred 10 mg (PV) Strip 7PP61219 12/1/2019 42,075.00 - -
514 P. Pred 5 ml (PV) Botol BPP0306 3/1/2020 61,050.00 149 9,096,450.00
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515 P. Pred 5 ml (PV) Botol BPP0306 3/1/2020 46,750.00 - -
516 Pantocain 0,5 % (PV) Botol 7P11228 12/1/2020 13,337.50 - -
517 Pantocain 5 ml (PV) Botol 7P11228 12/1/2020 13,337.50 100 1,333,750.00
518 Pantoprazol Injeksi (MTK) Vial P172242 9/1/2019 49,500.00 - -
521 Pantoprazol Injeksi (RNI) Vial 06488063 11/30/2020 37,400.00 - -
522 Pantoprazol Injeksi (TSJ) Vial PSD09447 3/1/2021 88,000.00 - -
523 Pantotum Injeksi (TSJ) Vial H20266601 8/1/2018 115,500.00 - -
524 Pantoz Injeksi (SST) Vial LM005 12/1/2019 47,502.68 - -
525 Pantoz Injeksi (SST) Vial ET0003 5/1/2020 47,502.68 300 14,250,802.50
528 Paracetamol Infus (APL) Botol MY7E007 12/31/2019 11,990.00 - -
529 Paracetamol Infus (APL) Botol QY6E070 3/31/2020 11,990.00 336 4,028,640.00 24
530 Paracetamol Infus (APL) Botol BY8e045 4/30/2020 11,990.00 - - 476
531 Paracetamol Infus Daparin (APL) Botol RY8E045 4/30/2020 11,990.00 - 66
532 Paracetamol Infus (DNR) Botol PIL35346 10/1/2019 66,000.00 - -
535 Paracetamol Infus (PPG) Botol PIB15547 1/1/2021 66,000.00 - -
536 Paracetamol Infus (RNI) Botol 0020282A 2/29/2020 38,500.00 - -
538 Paracetamol Infus (TSJ) Botol PIL33146 1/1/2020 66,000.00 - -
539 Paracetamol Syrup (DNR) Botol SCB03747 1/1/2022 5,500.00 200 1,100,000.00
540 Paracetamol Syrup (RNI) Botol 16374001 5/1/2020 5,117.20 - 1000
541 Paracetamol Tablet (KF) Tablet D807541 4/11/2022 220.72 5,500 1,213,932.50
545 Paracetamol Tablet (SST) Tablet 73248 7/1/2020 157.30 - -
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546 Pehacain Injeksi (RNI) Ampul 06052090 11/30/2011 3,113.06 20 62,261.10
547 Pehacain Injeksi (RNI) Ampul 16052006 3/31/2021 3,113.06 400 1,245,222.00
548 Petidin Injeksi (KF) Ampul EG0866J 5/20/2021 13,191.42 - -
549 Petidin Injeksi (KF) Ampul EG085J 4/30/2021 13,191.42 300 3,957,426.00
550 Phentanyl Injeksi (KF) Ampul 6D9K-B 10/1/2019 39,999.96 - -
551 Phentanyl Injeksi (KF) Ampul PR2L 2/1/2020 41,599.80 - -
552 Phentanyl Injeksi (KF) Ampul 5D5JB 9/1/2020 41,599.80 150 6,239,970.00
553 Phyfion Injeksi (GHF) Ampul BPINI6046 1/12/2019 9,350.00 645 6,030,750.00
554 Phytomenadion Tablet (RNI) Tablet 95381011 10/20/2019 1,100.55 600 660,330.00
555 Piracetam Injeksi 1 g (AAM) Ampul 2470595 3/1/2019 4,235.00 - -
557 Piracetam Injeksi 1 g (TSJ) Ampul PID14145 3/1/2020 6,600.00 50 330,000.00
558 Piracetam Injeksi 1 g (TSJ) Ampul PIF74346 5/1/2021 6,600.00 350 2,310,000.00
562 Piracetam Injeksi 3 g (TSJ) Ampul PIL45946 1/1/2021 20,526.00 190 3,899,940.00
563 Piracetam Kapsul 800 mg (AAM) Kapsul 48D0124 4/1/2020 618.31 3,000 1,854,930.00
564 Piroxicam Tablet 10 mg (MBS) Tablet 1706019 7/1/2020 236.62 1,440 340,732.38
565 Polydex 5 ml (PV) Botol 8PX0212 8/1/2020 39,325.00 - -
566 Polydex 5 ml (PV) Botol 8PX0315 9/1/2020 39,325.00 - -
567 Polydex 5 ml (PV) Botol 8PX0323 4/1/2020 39,325.00 50 1,966,250.00
568 Polydrex 0,6 ml (PV) Strip 7PX61120 5/1/2020 29,150.00 - -
569 Polydrex 0,6 ml (PV) Strip 7Px61228 6/1/2020 29,150.00 - -
570 Polydrex 0,6 ml (PV) Strip 8PX60424 10/1/2020 29,150.00 40 1,166,000.00
571 Polydrex 0,6 ml (PV) Strip 8PX60511 11/1/2020 29,150.00 10 291,500.00
572 Polygran 0,6 ml (PV) Strip 7PG61106 5/1/2020 19,250.00 - -
573 Polygran 0,6 ml (PV) Strip TPG61219 6/1/2020 19,250.00 26 500,500.00
574 Polygran 5 ml (PV) Botol 7PG1207 6/1/2020 34,787.50 27 939,262.50
575 Polynel 0,6 ml (PV) Strip 7PL61211 6/1/2020 19,662.50 - -
576 Polynel 5 ml (PV) Botol 7PL0109 7/1/2020 29,562.50 - -
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577 Polynel 5 ml (PV) Botol 8PL0402 10/1/2020 29,562.50 30 886,875.00
578 Polynel 5 ml (PV) Botol 8PL0507 11/1/2020 29,562.50 100 2,956,250.00
579 Posop 0,6 ml (PV) Strip 7P061110 5/1/2020 57,750.00 - -
580 Posop 0,6 ml (PV) Strip 8P060208 8/1/2020 57,750.00 15 866,250.00
582 Prednicort Injeksi 125 mg (MBS) Vial 6L1055 11/1/2018 45,100.00 - -
583 Prednicort Injeksi 125 mg (MBS) Vial 7J0764 9/1/2019 45,100.00 - -
584 Prednison Tablet (RNI) Tablet 16385001 7/5/2022 181.50 5,000 907,500.00
585 Pritamol Tablet (MBS) Tablet ZD008 12/1/2020 214.50 4,000 858,000.00
586 Profolat Tablet (KF) Tablet 1961710050 9/1/2019 62.00 - -
587 Profolat Tablet (KF) Tablet 1961710050 9/30/2019 60.01 2,500 150,012.50
588 Pronalges Suppositoria (AAM) Suppo 2480646 3/1/2022 11,874.50 - 10
589 Pronalges Suppositoria (AAM) Suppo 2380436 2/1/2022 11,874.50 - 240
590 Propepsa Suspensi (PV) Botol NM123 12/1/2019 44,000.00 - -
591 Propepsa Suspensi (PV) Botol DA110 1/1/2020 55,000.00 - -
592 Propepsa Suspensi (PV) Botol DD110 4/1/2020 48,400.00 - -
595 Propylthiouracil Tablet (AAM) Tablet 48L0915 11/1/2021 474.80 2,000 949,608.00
596 Propranolol Tablet (RNI) Tablet 48L0132 11/1/2022 84.70 500 42,350.00
597 Prostigmin (APL) Ampul 112197C 7/31/2022 8,200.06 - - 250
598 Protagenta 0,6 ml (PV) Strip 7PR61204 12/1/2020 39,462.50 - -
599 Protagenta 0,6 ml (PV) Strip 8PR60712 7/1/2021 39,462.50 50 1,973,125.00
600 Protocin Injeksi (PV) Ampul F6J550 9/1/2018 7,480.00 - -
601 Protocin Injeksi (PV) Ampul F7C786 3/1/2019 7,480.00 - -
602 Protocin Injeksi (PV) Ampul F7L114 11/1/2019 7,480.00 - -
603 Protocin Injeksi (PV) Ampul F8A209 1/1/2020 7,480.00 - -
604 Protocin Injeksi (PV) Ampul F8A209 1/1/2020 7,480.00 720 5,385,600.00
605 Protocin Injeksi (PV) Ampul F8C312 3/1/2020 7,920.00 - 380
606 Protocin Injeksi (PV) Ampul F8D383 4/1/2020 7,920.00 - 620
607 Pumpisel Injeksi (BSP) Vial UC3806B 4/1/2020 71,492.60 11 786,418.60
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608 Pumpisel Injeksi (BSP) Vial UC3808B 3/1/2020 71,492.60 189 13,512,101.40
609 Pyrazinamid Tablet (AAM) Tablet 48L0877 11/1/2022 308.55 2,000 617,100.00
610 Pyrazinamid Tablet (KF) Tablet E70598B 4/18/2022 344.14 1,000 344,135.00
611 Ranitidin Injeksi (DNR) Ampul PIK10646 9/1/2020 7,040.00 - -
613 Ranitidin Injeksi (PPG) Ampul PIB08847 1/1/2021 7,040.00 - -
615 Ranitidin Injeksi (PPG) Ampul A10356608 1/1/2021 7,150.00 680 4,862,000.00
616 Ranitidin Injeksi (RNI) Ampul TIRNTB8116 1/1/2020 2,570.04 - 560
617 Ranitidin Injeksi (TSJ) Ampul K10356719 10/1/2020 7,150.00 - -
618 Ranitidin Injeksi (TSJ) Ampul L10356721 11/1/2020 7,150.00 2,200 15,730,000.00
619 Ranitidin Tablet 150 mg (DNR) Tablet TSM76646 11/1/2020 660.00 - -
620 Ranitidin Tablet 150 mg (RNI) Tablet TA75203 9/30/2020 220.00 - -
621 Ranitidin Tablet 150 mg (RNI) Tablet HTRNTA75200 9/30/2020 220.00 - -
622 Ranitidin Tablet 150 mg (RNI) Tablet 16390004 7/1/2022 235.95 - 10,000
623 Ranitidin Tablet 150 mg (TSJ) Tablet TSB02947 1/1/2021 660.00 5,500 3,630,000.00 600
624 Reco Tetes Mata (SST) Botol 0091017014 4/1/2019 7,700.00 75 577,500.00
627 Recofol N Inejeksi (AAM) Ampul 17234033 5/1/2019 94,050.00 120 11,286,000.00
630 Recolfar Tablet (PV) Tablet TJ1451 10/1/2019 4,950.00 - -
631 Recolfar Tablet (PV) Tablet FE1191 4/1/2021 4,950.00 600 2,970,000.00
632 Renax Kapsul (MBS) Kapsul K060G013 3/1/2021 8,030.00 300 2,409,000.00
633 Reprostom Tablet (PV) Tablet PD1051 4/1/2020 8,800.00 180 1,584,000.00
634 Revolan Injeksi (BSP) Ampul TK3431 12/1/2019 33,002.56 65 2,145,166.10
635 Revolan Injeksi (BSP) Ampul UB3446 2/1/2020 33,002.56 165 5,445,421.64
636 Rifampisin Tablet 450 mg (DNR) Tablet KPG22546 1/1/2021 1,870.00 - 5,000
637 Ringer Lactat (RNI) Botol 571105 10/17/2019 7,150.00 7,760 55,484,000.00
638 Ringer Lactat (RNI) Botol 7,150.00 - 10,000
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641 Ring AS (BSP) Bag TD3092A 4/1/2019 9,645.44 - -
642 Rocum Injeksi (AAM) Ampul 2580979 4/1/2020 99,000.00 50 4,950,000.00 50
643 Salbutamol Tablet 2 mg (RNI) Tablet 06841028 11/29/2019 97.41 - -
644 Salbutamol Tablet 2 mg (RNI) Tablet 06481029 11/29/2019 97.41 1,400 136,367.00
645 Salbutamol Tablet 2 mg (RNI) Tablet 6481034 12/1/2019 97.41 - 5,000
646 Sansulin Log-G (BSP) Pen 935,000.00 - 50
647 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 2971365 8/1/2019 21,505.00 120 2,580,600.00
648 Siloxan 5 ml (PV) Botol 7S10914 9/1/2020 58,025.00 - -
649 Siloxan 5 ml (PV) Botol 8S10323 3/1/2021 58,025.00 50 2,901,250.00
650 Simprofen Tablet (PV) Tablet PF8A02 2/1/2020 6,050.00 90 544,500.00
651 Simvastatin Tablet 20 mg (ESV) Tablet KTSVNB76083 11/30/2019 1,026.67 - -
652 Simvastatin Tablet 20 mg (KF) Tablet K72765B 7/31/2020 224.99 10,000 2,249,940.00
653 Simvastatin Tablet 20 mg (RNI) Tablet KTSVNB7406 8/31/2019 1,026.67 - -
654 Simvastatin Tablet 20 mg (RNI) Tablet KTSVNB76097 12/31/2019 1,026.67 1,400 1,437,333.33
655 Sintrol Simvastatin Tablet 10 mg (SST) Tablet THY2 5/1/2020 558.62 900 502,755.00
656 Sipentin Tablet (SST) Tablet 172983 11/1/2020 10,230.00 - 240
657 Sojourn (PV) Botol S19471124 8/1/2022 2,860,000.00 - -
658 Sojourn (PV) Botol S0288A30 1/1/2023 2,860,000.00 8 22,880,000.00
659 Spironolacton Tablet (RNI) Tablet 48G4215 6/1/2019 407.00 100 40,700.00
660 Spironolacton Tablet (RNI) Tablet 49C4181 2/1/2020 407.00 - 4,000
661 Supravenid Suppositoria (PV) Suppo G7J143 9/1/2020 12,100.00 - -
662 Supravenid Suppositoria (PV) Suppo G8A164 1/1/2021 12,100.00 50 605,000.00
663 Supravenid Suppositoria (PV) Suppo G8C189 3/1/2021 13,200.00 - 230
664 Symbicort Turb (APL) Botol Xget 2/29/2020 291,200.80 - 50
665 Terrell (PV) Botol N0047A13 1/1/2022 1,683,000.00 1 1,683,000.00
666 Terrell (PV) Botol NO677327 10/1/2022 1,683,000.00 2 3,366,000.00
667 Timol 0,5 % (PV) Botol 7TM1122 11/1/2020 52,525.00 - -
668 Timol 0,5 % (PV) Botol 7TM1211 12/1/2020 52,525.00 - -
669 Timol 0,5% (PV) Botol 8TM0117 1/1/2021 52,525.00 18 945,450.00
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670 Tobro 0,6 ml (PV) Strip 7T060225 2/1/2020 21,037.50 - -
671 Tobro 0,6 ml (PV) Strip 7T061121 11/1/2020 21,037.50 30 631,125.00
672 Tobroson 0,6 ml (PV) Strip 8TS60123 7/1/2020 31,900.00 - -
673 Tobroson 5 ml (PV) Botol 7TS1128 5/1/2020 50,875.00 94 4,782,250.00
677 Tomit Injeksi (ENS) Ampul I0048H0012 2/29/2020 10,606.75 100 1,060,675.00
678 Tomit Injeksi (ENS) Ampul I0048H0021 3/31/2020 10,606.75 50 530,337.50
679 Tronadex Injeksi (PV) Ampul NK305 10/1/2019 12,760.00 - -
680 Vaksin Hepatitis B (Hb 0) (GF) Vial - -
681 Vaksin Hepatitis B (Hb 0) (GF) Vial 3653816 8/1/2018 - -
682 Valesco Tablet 80 mg (SST) Tablet KY7A119 10/1/2019 2,464.00 - -
683 Valesco Tablet 80 mg (SST) Tablet QY8A113 3/1/2020 4,620.00 - 1,500
684 Vernacel Eye Drop 5 ml (PV) Botol 6VE1104 11/1/2019 20,350.00 8 162,800.00
685 Vitamin B Comp Tablet (KF) Tablet I71293T 9/19/2020 135.00 5,500 742,516.50
686 Vitamin C Tablet 100 mg (KF) Tablet H70084BI 9/14/2020 120.29 - -
687 Vitamin C Tablet 100 mg (KF) Tablet C70177B 2/11/2020 121.44 - -
688 Vitamin C Tablet 100 mg (KF) Tablet E80076B1 4/16/2021 120.29 - 18,900
689 Zink Tablet (KF) Tablet I72601J 9/14/2019 604.00 4,500 2,717,995.50
690 Zirkum Kid Syrup (PV) Botol E7K603 10/1/2019 28,600.00 - -
BAHAN HABIS PAKAI BLUD 2018 -
1 Air Filter Regulator (SMAK) Pcs 605,000.00 - -
2 Alkohol 300 ml (IHS) Botol 15,488.00 - -
5 Alkohol 1000 ml (IHS) Botol 33,000.00 100 3,300,000.00 100
6 Alkohol 1000 ml (MBS) Botol A03AM033 3/1/2023 19,330.01 - -
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10 Alkohol 1000 ml (RNI) Botol D48804 5/25/2018 24,224.98 45 1,090,124.15
11 Alkohol Swab (BDM) Kotak 201709 8/1/2022 26,400.00 4 105,600.00
12 Alkohol Swab (BDM) Kotak 201801 12/1/2022 26,400.00 10 264,000.00
13 Alkohol Swab (IHS) Kotak 11,500.00 10 115,000.00
14 Alkohol Swab (RNI) Kotak 20170810 8/9/2022 37,748.70 - 50
15 Appablade AA 562021 Tunnel Blade (PK) Kotak 1,265,000.00 - -
16 Appablade AA 560009 Lance Blade (PK) Kotak 1,265,000.00 - -
17 Appablade AA 562027 Slit Blade (PK) Kotak 1,265,000.00 - -
19 Appalens IOL Model 302 Power (17.50) (PK) Pcs 121,000.00 - 5
25 Appalens IOL Model 302 Anterior Chamber Power (17.00) (P Pcs 121,000.00 - -
26 Appalens Plus Square Edge Power (20.00) (PK) Pcs 192,500.00 - -
27 Appasamy AA 7420 Simcoe I/A Cannula (PK) Pcs 1,353,000.00 - -
28 Appasamy Appavisc 3 ml W/ Syringe (PK) Pcs 121,000.00 - -
29 Appasamy Cohevisc 1,4% (PK) Pcs 375,100.00 - -
30 Appasamy Cohevisc 1,8% (PK) Pcs 418,000.00 - -
31 Appasamy Mio-Chol (PK) Pcs 66,000.00 - -
32 Appasamy Rhex-Id (PK) Pcs 66,000.00 - -
33 Appablade AA 562027 Slit Blade (PK) Pcs 126,500.00 - -
34 Appablade AA 562021 Tunnel Blade (PK) Pcs 126,500.00 - -
35 Appablade AA 560009 Lance Blade (PK) Pcs 126,500.00 - -
36 Apron (IHS) Pcs 2,904.40 - -
37 Apron (IHS) Pcs 2,904.43 - 30
38 Bovine Aaron Cautery Low Temperature Pcs 357,500.00 - -
39 Carbacol (PK) Pcs 66,000.00 - -
40 Catgut Cromic 3/0 (BDM) Roll 170919 10/1/2022 1,760,000.00 - -
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41 Catgut Cromic 3/0 (BDM) Roll 170918 10/1/2022 1,760,000.00 1 1,760,000.00
42 Catgut Cromic 3/0 (RNI) Roll 2030BX 6/1/2022 2,614,700.00 - -
43 Catgut Cromic With Needle 2 HR 45 Kotak 170401 4/1/2022 827,640.00 - -
44 Catgut Cromic With Needle 2 HR 45 (RNI) Kotak 170901 8/1/2022 585,420.00 8 4,683,360.00
45 Catgut Cromic With Needle 2/0 HR 26 Kotak 170601 5/1/2022 825,000.00 8 6,600,000.00
46 Catgut Cromic With Needle 2/0 HR 30 (RNI) Kotak 170901 8/1/2022 425,700.00 5 2,128,500.00
47 CONFORMER Medium Kiri (PK) Pcs 666,600.00 - 1
48 CONFORMER Large Kanan (PK) Pcs 666,600.00 - 1
49 CONFORMER Large Kiri (PK) Pcs 666,600.00 - 1
50 CONFORMER Small Kanan (PK) Pcs 666,600.00 - 1
51 CONFORMER Small Kiri (PK) Pcs 666,600.00 - 1
52 Cresotin Liquid (BF) Botol 1527 9/1/2020 629,200.00 - 1
53 Curaspon (BDM) Pcs 2283A 5/1/2021 104,500.00 15 1,567,500.00
54 Developer (BDM) Set 873505 1,282,600.00 - -
55 Developer (BDM) Set 1,282,600.00 - -
56 Devine Meditech Eye Drepe (PK) Pcs 77,000.00 - -
57 Disposable Syringe With Needle 0,5 cc (GF) Pcs 1,536.80 - -
59 Disposable Syringe With Needle 01 cc RD (RNI) Pcs 1401201 3/31/2019 822.00 800 657,599.56
61 Disposable Syringe With Needle 01 cc RD (RNI) Pcs 1601201 2/1/2022 822.00 - 400
63 Disposable Syringe With Needle 03 cc Assp (RNI) Pcs 1703201 2/1/2022 844.21 - -
69 Disposable Syringe With Needle 03 cc Nipro (KF)) Pcs 17J0503J 10/1/2018 1,009.80 - -
70 Disposable Syringe With Needle 03 cc Skifa (RNI) Pcs 1503403 12/1/2020 2,851.20 - -
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72 Disposable Syringe With Needle 03 cc RD (RNI) Pcs 1703201 2/1/2022 862.00 1,400 1,206,799.61 5,400
75 Disposable Syringe With Needle 05 cc Aximed (KF) Pcs 20170910 8/31/2022 1,159.99 50 57,999.70
76 Disposable Syringe With Needle 05 cc BD (RNI) Pcs 7361386 12/31/2022 2,852.85 950 2,710,207.50
77 Disposable Syringe With Needle 05 cc Nipro (KFI) Pcs 1710606J 9/1/2018 1,247.40 200 249,480.00
78 Disposable Syringe With Needle 05 cc RD (RNI) Pcs 1602201 7/1/2021 963.00 - - 5,400
81 Disposable Syringe With Needle 10 cc Nipro (KF) Pcs 17J1607J 10/1/2018 1,654.40 - -
85 Disposable Syringe With Needle 10 cc RD (BDM) Pcs 180502 2/1/2023 1,216.60 18,000 21,898,800.00
86 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1705201 4/1/2022 1,163.00 1,300 1,511,899.68
87 Disposable Syringe With Needle 20 cc RD (BDM) Pcs 181601 1/1/2023 1,960.20 200 392,040.00
88 Disposable Syringe With Needle 50 cc TP (BDM) Pcs 120717 12/1/2022 4,812.50 100 481,250.00
91 Elektroda Patien Monitor (BDM) Pak 7162X 6/1/2019 220,000.00 10 2,200,000.00
92 Elektroda Patien Monitor (BDM) Pak 71161X 6/1/2019 220,000.00 50 11,000,000.00
93 Endotracheal Tube 2,5 (BDM) Pcs 166640 6/1/2021 165,000.00 10 1,650,000.00
94 Endotracheal Tube 4,0 (BDM) Pcs 14FG24 5/1/2019 82,500.00 8 660,000.00
95 Endotracheal Tube 5,0 (BDM) Pcs 14C908 2/1/2019 82,500.00 10 825,000.00
96 Endotracheal Tube 6,0 (BDM) Pcs 15LG25 11/1/2020 82,500.00 10 825,000.00
97 Endotracheal Tube 7,0 (BDM) Pcs 14IE36 8/1/2019 82,500.00 - 30
98 Endotracheal Tube 7,5 (BDM) Pcs 141G01 8/1/2019 82,500.00 12 990,000.00 8
99 Eye Dop Shield (PK) Pcs 13,200.00 - -
100 Feeding Tube FR 05 (BDM) Pcs 160813B 7/1/2019 33,599.50 50 1,679,975.00
101 Feeding Tube FR 05 (BDM) Pcs 120812B 7/1/2020 38,500.00 - 100
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104 Feeding Tube FR 18 (BDM) Pcs 170904B 8/1/2022 38,500.00 - 50
105 Film 30 x 40 (BDM) Kotak 43433 6/1/2020 4,109,600.00 - -
106 Film 35 x 35 (BDM) Kotak 44611 6/1/2020 4,462,700.00 - -
107 Film 35 x 35 (BDM) Kotak 44805 6/1/2020 4,462,700.00 - -
108 Film 35 x 35 (BDM) Kotak 45835 11/1/2020 4,462,700.00 - -
109 Film 35 x 35 (BDM) Kotak 45460 4,462,700.00 5 22,313,500.00
110 Film Gigi (BDM) Kotak 3117008 3/1/2020 1,870,000.00 - -
111 Film Gigi (BDM) Kotak 3117089 3/1/2020 1,870,000.00 - -
112 Fixer (BDM) Set CAT873505 790,900.00 - -
113 Fixer (BDM) Set 790,900.00 - -
114 Fluorescetin sodium Opthalmic Strips U.S.P (PK) Kotak 605,000.00 - -
115 Foley Catheter 2 Way 12 (BDM) Pcs 16G10D 3/1/2021 14,994.10 50 749,705.00
116 Foley Catheter 2 Way 16 (BDM) Pcs 17-G-05H 7/1/2022 15,749.80 - -
117 Foley Catheter 2 Way 16 (BDM) Pcs 16I09 8/1/2021 24,200.00 110 2,662,000.00
118 Foley Catheter 2 Way 16 (BDM) Pcs 17 E 04 4/1/2022 24,200.00 - 50
119 Foley Catheter 2 Way 18 (BDM) Pcs 17-G-10K 9/1/2022 15,749.80 - -
120 Foley Catheter 2 Way 18 (BDM) Pcs 16108 8/1/2021 24,200.00 40 968,000.00
121 Foley Catheter 2 Way 18 (BDM) Pcs 16G09 6/1/2021 24,200.00 10 242,000.00
122 Foley Catheter 2 Way 18 (BDM) Pcs 16108 7/1/2021 24,200.00 - 100
123 Foley Catheter 3 Way 24 (BDM) Pcs 16K07 10/1/2021 110,000.00 30 3,300,000.00
124 Formalin (BM) Liter 137,500.00 17 2,337,500.00
127 FSBB Benang 8/0 PGA (PK) Pcs 418,000.00 - 2
128 FSSB Benang 10/0 Nylon Black (PK) Pcs 198,000.00 - -
129 FSSB Benang 10/0 Nylon Black (PK) Kotak 3,036,000.00 - -
130 FSSB Benang Nylon 10/0 (PK) Kotak 3,036,000.00 - -
131 Glucocard (AAM) Botol A27801E 5/1/2019 279,950.00 - -
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136 Gypsona 6 Inch (BDM) Roll 724 6/1/2020 66,715.00 10 667,150.00 48
137 GC Fuji IX Univerio (BF) Botol 1710171 10/1/2020 917,373.60 - 6
138 GC HS Posterior (BF) Botol 1801131 1/1/2021 1,468,940.00 - 5
139 Handrub Aseptan 500 ml (IHS) Botol 45,540.00 - -
140 Handrub E Care (ESV) ml 1803268 3/1/2021 127.68 4,500 574,559.37
141 Handrub Fresco (RNI) ml 111.00 1,500 166,499.85
142 Handscoon Manual NS (BDM) Pasang 30,250.00 120 3,630,000.00 90
143 Handscoon Manual ST (BDM) Pasang 18113101 3/1/2023 48,400.00 - 200
149 Handscoon NS S (BDM) Kotak 52,750.50 - -
150 Handscoon NS L (BDM) Kotak 52,750.50 294 15,508,647.00
151 Handscoon NS (KF) Pcs 5161005 8/29/2021 577.50 - -
152 Handscoon NS (SST) Pcs 22104900 10/1/2022 544.50 - -
155 Handscoon ST 6,5 (BDM) Pasang 17070105 6/1/2022 5,170.00 245 1,266,650.00
158 Handscoon ST 6,5 (IHS) Pasang 4,807.00 - -
159 Handscoon ST 6,5 Altamed (SST) Pasang 81171 6/1/2022 10,001.39 - 300
160 Handscoon ST 6,5 Altamed (SST) Pasang G8A021 5/1/2023 10,001.39 - -
162 Handscoon ST 6,5 Protos (BDM) Pasang 17070105 6/1/2022 5,170.00 - 2,000
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165 Handscoon ST 7 (BDM) Pasang 17070105 6/1/2022 5,170.00 540 2,791,800.00 2,000
166 Handscoon ST 7 (IHS) Pasang 4,807.00 - -
167 Handscoon ST 7 (RNI) Pasang 1421503 1/1/2021 11,990.00 - -
169 Handscoon ST 7,5 (BDM) Pasang 203038344SPJA 2/1/2022 8,819.80 150 1,322,970.00
172 Handscoon ST 7,5 (BDM) Pasang 8,819.80 - -
173 Handscoon ST 7,5 (IHS) Pasang 4,807.00 - -
174 Handscoon ST 7,5 (RNI) Pasang 1457804 7/1/2021 11,990.00 - -
175 Handscoon ST 7,5 Protos (BDM) Pasang 17120107 11/1/2022 5,170.00 - 1,950
176 Handscoon ST 7 Protos (BDM) Pasang 17070105 7/1/2022 5,170.00 - 2,000
177 Hidrogen Peroksida (BM) Liter 192,500.00 - -
184 Hypavix 15 x 5 (BDM) Roll 72630230 5/1/2022 240,680.00 12 2,888,160.00 50
186 Infus Set Makro Fesco (BDM) Pcs 20170921 9/1/2022 6,803.50 400 2,721,400.00
187 Infus Set Makro Eskamed (BDM) Pcs 171020 9/1/2022 10,332.30 100 1,033,230.00
191 Infus Set Makro TP (BDM) Pcs 180320 2/1/2023 8,333.60 1,000 8,333,600.00
192 Infus Set Makro TP (BDM) Pcs 180720 8,333.60 - 800
193 Infus Set Makro TP (BDM) Pcs 7/1/2023 8,333.60 - 1,200
194 Infus Set Makro (KF) Pcs 179D48M 4/10/2023 7,920.00 - -
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197 IV Catheter 16 Abbocath (BDM) Pcs 56-202-KY 7/1/2020 16,000.00 300 4,799,999.99
200 IV Catheter 18 Abbocath (BDM) Pcs 60201KY 11/1/2020 16,000.00 - - 50
202 IV Catheter 18 Eskamed (BDM) Pcs 3295517L 9/1/2022 12,600.50 - -
209 IV Catheter 20 Abbocath (BDM) Pcs 69-205-KY 8/1/2020 16,000.00 - 1,500
210 IV Catheter 20 Abbocath (BDM) Pcs 20161030 9/1/2020 16,000.00 - 500
211 IV Catheter 20 Eskamed (BDM) Pcs 3295617L 9/1/2022 12,600.50 - -
212 IV Catheter 20 Eskamed (BDM) Pcs 3225117H 7/1/2022 12,600.50 - -
217 IV Catheter 20 Supercath (SMAK) Pcs 18,750.60 - -
219 IV Catheter 22 Abbocath (BDM) Pcs 68-204-KY 7/1/2021 16,000.00 50 800,000.00
220 IV Catheter 22 Abbocath (BDM) Pcs 71-206-KY 10/1/2021 16,000.00 300 4,799,998.50 1,000
222 IV Catheter 22 Terumo (KF) Pcs 170815SE 6/30/2022 8,354.78 - -
224 IV Catheter 24 Abbocath (BDM) Pcs 69203KY 8/1/2021 16,000.00 500 8,000,000.00
225 IV Catheter 24 Abbocath (BDM) Pcs 69-203-KY 8/1/2021 16,000.00 - 1,000
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229 IV Catheter 26 Abbocath (BDM) Pcs 64-205-KY 3/1/2021 19,500.00 300 5,849,999.10
230 Jarum Kulit No. 10 (BDM) Lusin 38,500.00 42 1,617,000.00
231 Jarum Kulit No. 12 (BDM) Lusin MD 16153703 38,500.00 - -
232 Jarum Kulit No. 13 (BDM) Lusin 38,500.00 32 1,232,000.00
234 Jarum Kulit No. 15 (BDM) Lusin MD 17171802 38,500.00 30 1,155,000.00
235 Jarum Otot No. 16 (BDM) Lusin 38,500.00 30 1,155,000.00
236 Jelly KY (BDM) Tube 1221N2 7/1/2020 110,000.00 9 990,000.00 50
237 Jelly Ultrasound (BDM) ml 65066C 3/1/2022 110.00 - -
238 Jelly Ultrasound 250 ml (BDM) Botol 20170710 7/1/2020 29,700.00 12 356,400.00
239 Jelly 5 kg (BDM) Gal C5066C 3/1/2022 550,000.00 - 5
240 Kapas 250 g (BDM) Roll 22,275.00 - 30
241 Kapas 250 g (RNI) Roll 0216 10/31/2020 42,900.00 - -
242 Kapas 250 g (GF) Roll 29,500.00 - 10
243 Kapas 500 g (RNI) Roll 0216 10/31/2020 85,415.00 - -
244 Kapas 500 g (BDM) Roll 1410069 10/1/2019 82,208.50 - -
245 Kapas 500 g (BDM) Roll 1411082 11/1/2019 82,208.50 - -
246 Kapas 500 g (BDM) Roll 1411084 11/1/2019 82,208.50 - -
247 Kapas 500 g (BDM) Roll 1412099 12/1/2019 82,208.50 - -
248 Kapas 500 g (BDM) Roll 1502008 2/1/2020 82,208.50 - -
249 Kapas 500 g (BDM) Roll 1503009 3/1/2020 161,370.00 37 5,970,690.00 24
250 Kapas 500 g (IHS)) Roll 31,372.00 - -
251 Kapas 1000 g (BDM) Roll 1505025 5/1/2020 164,417.00 - -
252 Kapas 1000 g (BDM) Roll 1505026 5/1/2020 164,417.00 - -
253 Kapas 1000 g (BDM) Roll 110,000.00 - 20
254 Kasa Hidrofil 40 x 80 (BDM) Roll 165,000.00 15 2,475,000.00
255 Kasa Hidrofil 40 x 80 (BDM) Roll 4508550724 165,000.00 - 50
412682303.xlsx 539
Harga Satuan
Terkecil
262 Kasa Hidrofil 36 x 80 (RNI) Roll 490518 31 Mei 2022 233,200.00 - -
263 Kasa Hidrofil 36 x 80 (RNI) Roll 510518 31 Mei 2022 233,200.00 - -
265 Kertas EKG 110 (BDM) Roll 165,000.00 3 495,000.00
266 Kertas EKG 110 (BDM) Roll 165,000.00 - 15
267 Kertas EKG 210 (BDM) Roll 33815 12/1/2018 192,500.00 6 1,155,000.00
268 Kertas EKG 210 (BDM) Roll 35306 192,500.00 - 30
269 Kertas Puyer (BDM) Pak 27,500.00 2 55,000.00
270 Kertas Puyer (BDM) Pak 27,500.00 10 275,000.00
271 Kertas USG (BDM) Roll 352,000.00 - -
272 Kertas USG (BDM) Roll 280717 6/1/2022 385,000.00 5 1,925,000.00
273 Kertas USG (BDM) Roll 385,000.00 - 50
274 KIT CESAREA KIT CSR001 (RNI) Pcs 7573 12/1/2019 288,492.00 - 18
275 Medicrepe 6 Inch (IHS) Roll 29,150.00 - -
276 Medigips 4 Inch (IHS) Roll 12,100.00 - -
277 Mani Benang (PK) Pcs 4,006,200.00 - -
278 Mani Benang PGA 8/0 (PK) Kotak 4,006,200.00 - -
279 MANI opthalmic mcu 26 Crescent (PK) Kotak 1,210,000.00 - -
280 Masker Ear Loop (BDM) Pcs 521.99 - -
281 Masker Hijab (IHS) Pcs 506.00 - -
282 Masker Hijab (BDM) Pcs 605.00 6,050 3,660,250.00
285 Masker Tie On (KF) Pcs 664043 5/1/2021 599.98 - -
412682303.xlsx 540
Harga Satuan
Terkecil
296 Mata Pisau No. 15 (BDM) Pcs 4508451698 2/1/2022 4,468.75 - 1,000
303 Mata Pisau No. 24 (BDM) Pcs 4509183713 10/1/2022 4,468.75 - 1,000
304 MIO-CHOL (PK) Pcs 66,000.00 - -
305 Nasal O2 Anak (BDM) Pcs 20170315 3/1/2022 15,120.60 - -
306 Nasal O2 Anak (BDM) Pcs 170375 1/1/2023 15,120.60 36 544,341.60
307 Nasal O2 Bayi (BDM) Pcs 30,250.00 - -
308 Nasal O2 Bayi (BDM) Pcs 2.02E+07 10/1/2021 15,253.00 35 533,855.00
313 Nasal O2 Dewasa (IHS) Pcs 6,600.00 - -
314 Nasal O2 Dewasa Bubble (IHS) Pcs 6,325.00 14 88,550.00
315 Nasal O2 Dewasa Eskamed (BDM) Pcs 170375 1/1/2023 15,120.60 - 100
316 Novotwist (AAM) Pcs 17B06N 1/1/2022 2,083.00 - 5,000
317 Nurse Cap (IHS) Kotak 38,399.00 - -
318 Nylon Daclon 2/0 DS 24 (RNI) Kotak 275,459.91 7 1,928,219.37
319 Nylon Daclon 3/0 DS 19 (RNI) Kotak 275,459.91 6 1,652,759.46
412682303.xlsx 541
Harga Satuan
Terkecil
320 Nylon Daclon 3/0 DS 19 (RNI) Kotak 170714 6/1/2022 825,000.00 - 1
321 Octenic Body Wash (PPG) Pak 02GLO101-4 01 2020 19,800.00 100 1,980,000.00
324 Octenic Body Wash (RNI) Pak 03GL0101 10/31/2019 17,600.00 24 422,400.00
325 One Scrub 4% 500 ML Botol 82,500.00 48 3,960,000.00
326 One Scrub 4% Galon 5 LT ml 110.88 50,000 5,544,000.00
327 Paramono Clorofen (BF) Botol 80517 11/1/2020 110,000.00 - 3
329 Penjepit Tali Pusar (BDM) Pcs 160919 9/1/2021 2,200.00 150 330,000.00
331 Penjepit Tali Pusar (BDM) Pcs 122015 12/1/2020 2,200.00 - -
332 Penjepit Tali Pusar (IHS)) Pcs 1,495.00 - -
333 Perfusor (BDM) Pcs 17G01K8411 7/1/2022 99,000.00 - -
334 Perfusor (BDM) Pcs 17D19K8411 4/1/2022 99,000.00 50 4,950,000.00
335 Perfusor (BDM) Pcs 17L19K8411 10/1/2022 99,000.00 150 14,850,000.00 150
336 Polifix 10 cm x 5 m (GF) Roll 79,420.52 - 48
337 Povidon Iodida (BDM) Botol L60558W 12/1/2019 88,000.00 - -
338 Povidon Iodida (KF)) Botol K73268W 11/29/2020 59,966.50 27 1,619,095.50
339 Povidon Iodida (KF)) Botol 8/15/2020 59,966.50 60 3,597,990.00
340 PROTESA Large Kanan (PK) Pcs 588,500.00 - 1
341 PROTESA Large Kiri (PK) Pcs 666,600.00 - 1
342 PROTESA Medium Kanan (PK) Pcs 588,500.00 - 1
343 PROTESA Medium Kiri (PK) Pcs 588,500.00 - 1
344 PROTESA Small Kanan (PK) Pcs 588,500.00 - 1
345 PROTESA Small Kiri (PK) Pcs 588,500.00 - 1
348 Rumex CR-20 Crescent (PK) Kotak 1,672,000.00 - -
349 Rumex SP-15 Side Port Knife/ Stab (PK) Kotak 1,430,000.00 - -
350 Rumex SP-15 Stab (PK) Kotak 1,210,000.00 - -
412682303.xlsx 542
Harga Satuan
Terkecil
351 Spatula (BDM) Pcs 16,500.00 1 16,500.00
352 Silk Black With Needle 2/0 HR 30 (RNI) Kotak 170912 8/1/2022 269,219.94 2 538,439.88
353 Single Bond (BF) Botol 3928330 4/1/2020 1,652,638.90 - 4
354 Softband 6 Inch (BDM) Roll 724217 7/1/2022 56,485.00 - 13
355 Spinocain 25 G (BDM) Pcs 17G19H8B61 7/1/2022 48,400.00 50 2,420,000.00
356 Spinocain 25 G (BDM) Pcs 17N0768216 12/1/2022 48,400.00 200 9,680,000.00
357 Solare X (BF) Botol 1711152 11/1/2020 542,080.00 - 3
359 Stomach Tube 16 Terumo (BDM) Pcs 170315B 2/1/2022 33,599.50 50 1,679,975.00
360 Suction Catheter FR 6 (BDM) Pcs 20171125 11/1/2022 4,032.60 30 120,978.00
362 Suction Catheter FR 8 (BDM) Pcs 20171125 11/1/2022 4,032.60 - -
370 Sungkup Nebulizer Anak (BDM) Pcs 171212 11/1/2022 66,000.00 5 330,000.00
373 Sungkup Nebulizer Dewasa (BDM) Pcs 1801011 6/1/2023 66,000.00 50 3,300,000.00
374 Sungkup O2 Anak (BDM) Pcs 160211 2/1/2021 66,000.00 38 2,508,000.00
375 Sungkup O2 Dewasa (BDM) Pcs 170523 5/1/2022 66,000.00 - -
376 Sungkup O2 Dewasa (BDM) Pcs 170523 5/1/2022 66,000.00 2 132,000.00
377 Sungkup O2 Dewasa NMR (BDM) Pcs 1512022020 11/1/2020 66,000.00 - -
378 Sungkup O2 Dewasa NMR (BDM) Pcs 15120022020 11/1/2022 66,000.00 55 3,630,000.00
379 Sungkup O2 Dewasa + Kantong (BDM) Pcs 1512022020 11/1/2020 66,000.00 - -
380 Surgeon Cap (IHS) Kotak 80,960.00 - -
412682303.xlsx 543
Harga Satuan
Terkecil
384 Surgicryl 910 2 HR 40 (RNI) Kotak 160315 2/28/2022 1,755,600.00 10 17,556,000.00
388 Surgicryl 910 2 HR 48 (RNI) Kotak 1,258,620.00 - -
390 Surgicryl 910 2/0 HR 17 (RNI) Kotak 170210 1/1/2022 917,339.94 - -
391 Surgicryl 910 2/0 HR 36 (RNI) Kotak 171114 10/1/2022 807,659.95 - 10
394 Surgicryl 910 3/0 HR 30 (RNI) Kotak 807,659.93 - -
395 Surgiwear Eye Drepe 100 x 70 (PK) Pcs 77,000.00 - -
396 Surgical Gown Steril (New) Bh 26,527.60 2 53,055.20
397 Surgical Gown Steril (New) Bh 26,527.60 10 265,276.00
409 Three Way Eskamed (BDM) Pcs 169002 8/1/2021 15,750.00 - -
410 Three Way Stop Cock (BDM) Pcs 15552-01 1/1/2023 22,000.00 500 11,000,000.00
411 Three Way Tro (BDM) Pcs 13958-02 6/1/2020 22,000.00 - -
412682303.xlsx 544
Harga Satuan
Terkecil
413 Transfusi Set Eskamed (BDM) Pcs 180509 4/1/2023 16,380.10 - 800
414 Transfusi Set (BDM) Pcs 20170923 9/1/2022 4,847.70 - -
419 Tricresol Formal (BF) Botol 69717 10/1/2020 135,300.00 - 3
420 Trypan Blue (PK) Pcs 66,000.00 - -
421 Truwax (BDM) Pcs IM 42139 9/1/2019 114,950.00 12 1,379,400.00
422 Truwax (BDM) Pcs 180010 114,950.00 - 108
423 Urine Bag (BDM) Pcs 20171220 12/1/2022 5,728.80 250 1,432,200.00
424 Urine Bag Aximed (KF) Pcs 17233B 12/14/2022 6,875.00 250 1,718,750.00
425 Urine Bag (RNI) Pcs 16531 10/1/2021 6,600.00 - -
426 Urine Bag (RNI) Pcs 17046 2/1/2022 6,600.00 - -
427 Water One (IHS) Botol 19,747.20 - -
428 Water One (IHS) Botol 17,952.00 36 646,272.00 60
429 W Care DC (PPG) Pcs 1790901 9/1/2020 58,080.00 10 580,800.00
430 Wooden Tangue Depressor (BDM) Pcs 660.00 350 231,000.00
TOTAL 1,836,971,879.83


NIP : 19810727 201001 1 012 NIP. 19820918 200804 2 002
412682303.xlsx 545
P PADA GUDANG INSTALASI FARMASI
OKOYURLI KABUPATEN BUOL
EPTEMBER TAHUN 2018
- - - - -
- - - - -
- - - 8 406,560.00
- - - 10 500,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- 22,000 4,002,020.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 96 4,622,006.40
- 700 334,603.50 - -
- - - 2,000 65,560.00
- 12 45,472.80 16 60,630.40
- 117 11,454,300.00 - -
- - - - -
- - - - -
- - - 5,000 207,900.00
- - - - -
- 16 387,200.00 - -
- - - 10 220,000.00
- - - 3 1,524,600.00
412682303.xlsx 546
- - - - -
- 1,100 5,929,000.00 - -
- 1,500 1,155,000.00 4,500 3,465,000.00
- - - - -
- - - - -
- 100 91,410.00 - -
- - - 1,700 160,483.40
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 30 267,300.00 60 534,600.00
- - - - -
- - - - -
- - - 900 83,160.00
- - - - -
- 300 217,800.00 - -
- 75 350,625.00 - -
- - - 22 2,420,000.00
- 68 505,947.20 - -
- 160 1,452,000.00 370 3,357,750.00
- - - - -
- 40 968,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 400 857,120.00
- - - 150 1,452,000.00
- - - - -
412682303.xlsx 547
- - - - -
- - - - -
- - - 30 127,776.00
- - - 14 59,628.80
- - - 10 550,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 16 721,864.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 550 478,500.55 1,600 1,392,001.60
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 450 3,960,000.00 490 4,312,000.00
- - - - -
- - - - -
- 30 99,000.00 190 627,000.00
- - - - -
- - - - -
412682303.xlsx 548
- - - - -
- 250 159,500.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 90 825,000.00
- - - - -
- 400 792,000.00 800 1,584,000.00
- - - - -
- - - - -
- - - 40 638,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500 48,702.50 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2,100 10,395,000.00 - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 549
- - - 440 63,404,000.00
- - - - -
- - - 30 2,640,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1,600 259,424.00
- - - - -
- - - - -
- - - - -
- 200 140,448.00 - -
- - - - -
- - - - -
- 2,600 5,199,994.80 - -
- - - - -
- - - - -
- 124 738,333.20 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 5 369,939.50
- - - - -
- - - - -
- - - - -
- - - - -
- - - 300 468,270.00
- - - - -
- - - 900 2,435,400.00
412682303.xlsx 550
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 80 6,160,000.00
- - - 30 1,155,000.00
- - - 6 726,000.00
- 6 438,000.02 4 292,000.02
- - - 50 514,250.00
- 300 1,168,200.00 1,500 5,841,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 300 1,168,799.94 400 1,558,399.92
- - - - -
- - - - -
- - - - -
- - - - -
- - - 2,000 185,350.00
- - - 4 2,822,000.02
- - - 24 76,956.00
- - - - -
- 1 849,999.80 - -
- 24 1,188,143.00 - -
- - - - -
- - - - -
412682303.xlsx 551
- - - - -
- 5 358,000.50 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 600 318,595.20 800 424,793.60
- 1,100 1,815,000.00 4,400 7,260,000.00
- 6 1,014,721.95 18 3,044,165.85
- - - 700 280,002.92
- 1,200 369,352.50 - -
- - - 120 11,088,000.00
- - - - -
- - - - -
- 1,700 710,600.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1,000 133,100.00
- - - 1,650 13,612,500.00
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 552
- - - - -
- - - - -
- - - - -
- 500 1,100,000.00 - -
- - - - -
- - - - -
- 50 7,150,000.00 150 21,450,000.00
- - - 250 33,000,000.00
- - - 20 1,848,000.00
- - - 40 2,640,000.00
- - - - -
- - - 150 10,560,000.00
- - - - -
- - - - -
- 210 423,500.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 300 264,990.00 - -
- - - - -
- - - - -
- - - - -
- 50 660,000.00 70 924,000.00
- - - - -
- - - - -
- - - 260 1,901,900.00
- - - - -
- - - - -
412682303.xlsx 553
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 60 198,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 60 363,000.00 30 181,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6 290,400.00 - -
- - - - -
- - - - -
- - - - -
- - - 300 1,200,166.00
- - - - -
- 20 88,012.50 25 110,015.62
- - - - -
- 28 2,619,350.88 - -
412682303.xlsx 554
- - - - -
- 300 130,640.40 1,300 566,108.40
- - - - -
- 75 2,062,500.00 - -
- 50 1,375,000.00 - -
- - - 8 1,540,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- 2 233,200.00 - -
- - - - -
- 4 3,310,560.00 - -
- - - - -
- - - - -
- - - - -
- - - 1 825,000.00
- - - - -
- 2 1,650,000.00 2 1,650,000.00
- - - 100 1,320,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 50 240,625.00 - -
- - - - -
- - - 10 825,000.00
412682303.xlsx 555
- - - 20 1,650,000.00
- - - - -
- - - - -
- - - - -
- - - 250 9,625,000.00
- - - - -
- - - - -
- 50 204,105.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10 693,000.00 40 2,772,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
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- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 556
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 400 2,549,800.00
- - - 50 800,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 557
- - - - -
- - - - -
- - - - -
- - - 10 302,500.00
- - - - -
- - - - -
- 4 3,300,000.00 - -
- - - - -
- 1 825,000.00 3 2,475,000.00
- - - 3 3,631,320.00
- - - 3 3,631,320.00
- - - - -
- 36 3,583,800.00 144 14,335,200.00
- - - 144 13,533,062.40
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2 1,320,000.00 2 1,320,000.00
- 2 1,320,000.00 12 7,920,000.00
- - - - -
- - - - -
- 1 660,000.00 1 660,000.00
- 12 521,400.00 - -
- - - - -
- - - 300 14,520,000.00
- - - 150 7,260,000.00
- - - - -
- - - - -
- - - - -
412682303.xlsx 558
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1 1,544,400.00
- - - - -
- - - - -
- - - - -
- - - - -
- 30 775,500.00 - -
- - - - -
- - - - -
- 1,500 2,750,000.00 - -
- 300 550,000.00 - -
- 25 85,951.25 50 171,902.50
- 5 7,550,000.00 - -
- 4 6,039,998.80 1 1,509,999.70
- 1,000 182,017.00 1,000 182,017.00
- - - - -
- - - - -
- 1,000 585,002.00 - -
- 500 287,375.00 3,500 2,011,625.00
- 50 330,000.00 - -
- - - - -
- - - - -
- - - - -
- 200 1,100,000.00 - -
- - - - -
- - - - -
- - - - -
- 2,900 957,000.00 - -
412682303.xlsx 559
- - - - -
- - - - -
- - - - -
503,451.30 - - 5,000 503,451.30
- - - - -
- 100 33,000.00 3,100 1,023,000.00
- - - 20 1,299,782.00
- - - - -
- 120 475,191.20 - -
594,000.00 150 594,000.00 - -
141,680.00 1,000 141,680.00 - -
91,637.00 - - 210 91,637.00
52,364.00 - - 120 52,364.00
- - - - -
- - - - -
- - - - -
- - - - -
720,004.97 300 144,000.99 1,200 576,003.98
- 1,050 192,538.50 - -
311,672.90 - - 2,100 311,672.90
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,447,263.51 1,770 1,447,263.51 - -
1,373,673.84 1,080 883,076.04 600 490,597.80
- - - - -
- - - - -
412682303.xlsx 560
715,000.00 - - 3,000 715,000.00

- - - - -
- 50 357,500.00 - -
- 140 8,470,469.70 - -
- 50 105,300.00 - -
- - - - -
- - - - -
- 1,500 315,892.50 5,000 1,052,975.00
- - - - -
- 60 627,000.00 - -
- 40 418,000.00 200 2,090,000.00
5,491,200.00 720 2,059,200.00 1,200 3,432,000.00
- 480 1,372,800.00 - -
- 500 550,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2,000 352,000.00 - -
2,323,200.00 - - 10,000 2,323,200.00
2,323,200.00 2,000 464,640.00 8,000 1,858,560.00
- - - - -
94,000.00 50 94,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 80 422,400.00 - -
633,600.00 160 844,800.00 - -
- 1,000 1,980,000.00 - -
- - - - -
412682303.xlsx 561
462,514.05 - - 26 462,514.05
426,936.05 - - 24 426,936.05
- - - - -
- - - - -
- - - - -
- - - - -
- 136 1,311,842.40 - -
- 80 771,672.00 - -
- 240 2,315,016.00 - -
4,630,032.00 48 463,003.20 432 4,167,028.80
- 100 179,999.97 100 179,999.97
544,500.00 - - 300 544,500.00
- - - 2,300 12,650,000.00
594,999.90 5,000 594,999.90 - -
- 2,100 1,649,340.00 - -
- - - - -
- 25 72,600.00 25 72,600.00
- 40 2,947,721.04 160 11,790,884.16
- - - - -
- - - - -
- - - - -
- 280 1,540,000.00 - -
1,375,000.00 100 550,000.00 150 825,000.00
1,375,000.00 - - 250 1,375,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 150 247,500.00 - -
- - - - -
412682303.xlsx 562
- - - - -
- - - - -
- 20 3,300,000.00 60 9,900,000.00
- - - - -
- - - - -
11,646,800.00 50 2,911,700.00 150 8,735,100.00
- - - - -
- 1,050 260,400.14 1,380 342,240.18
5,232,315.00 250 5,232,315.00 - -
- - - - -
- 5 352,000.00 - -
- 20 1,320,000.00 - -
- 20 1,320,000.00 290 19,140,000.00
3,300,000.00 50 3,300,000.00 - -
56,045.00 - - 1 56,045.00
1,289,035.00 - - 23 1,289,035.00
- - - - -
- - - - -
- - - - -
- 200 6,848,600.00 - -
- 1,700 5,254,700.00 - -
- 720 452,880.12 - -
5,148,000.00 1,170 5,148,000.00 - -
- - - - -
- - - - -
194,810.00 - - 2,000 194,810.00
779,240.00 - - 8,000 779,240.00
- - - - -
- - - - -
1,448,054.30 3,500 280,010.50 14,600 1,168,043.80
- - - - -
412682303.xlsx 563
- 2,000 207,460.00 - -
- 100 1,311,200.00 120 1,573,440.00
- - - - -
- 3,500 1,015,014.00 - -
- - - 80 2,480,016.00
- 3,500 3,072,314.63 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 10,000 12,100,000.00
6,050,000.00 5,000 6,050,000.00 - -
- 186 1,525,293.00 - -
- 48 393,624.00 - -
- - - - -
- - - - -
- 500 715,000.00 - -
- - - - -
- - - - -
- 50 1,663,750.00 - -
- - - 680 30,668,000.00
- 20 902,000.00 300 13,530,000.00
- - - - -
- 196 2,158,156.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 160 3,960,000.00 120 2,970,000.00
- - - - -
412682303.xlsx 564
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,000 39,600,000.00 - -
- - - - -
- - - - -
69,300,000.00 1,200 46,200,000.00 1,800 69,300,000.00
- - - - -
- 300 13,200,000.00 - -
- - - - -
- - - 5 83,875.00
- - - 100 1,677,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
4,950,000.00 100 2,475,000.00 100 2,475,000.00
- 1 42,075.00 8 336,600.00
- - - 20 841,500.00
- - - 50 2,103,750.00
- - - - -
- - - 50 618,750.00
- - - - -
- - - - -
- - - - -
412682303.xlsx 565
- - - - -
- 100 2,997,500.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 100 3,946,250.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,227,600.00 10 383,625.00 22 843,975.00
- - - - -
- - - - -
- - - - -
- - - - -
- 1,290 404,415.00 - -
- 390 103,067.25 - -
- - - 1,600 16,720,000.00
- 1,000 10,450,000.00 400 4,180,000.00
- - - - -
12,540,000.00 200 12,540,000.00 - -
- - - - -
- - - - -
- - - - -
- 2,000 946,000.00 - -
1,519,760.00 2,500 1,519,760.00 - -
- - - - -
- 150 3,712,500.00 - -
2,974,400.00 600 2,974,400.00 - -
412682303.xlsx 566
- - - - -
- 80 1,540,000.00 - -
- 1,500 11,000,000.00 1,200 8,800,000.00
- - - - -
- - - - -
4,400,000.00 - - 600 4,400,000.00
- - - - -
- 600 1,799,402.00 - -
5,758,086.40 - - 1,920 5,758,086.40
12,235,933.60 - - 4,080 12,235,933.60
9,599,990.40 4,800 9,599,990.40 - -
- 1,700 421,124.00 300 74,316.00
- 300 82,500.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,000 866,250.00 - -
24,569,036.90 150 937,749.50 3,780 23,631,287.40
12,940,943.10 - - 2,070 12,940,943.10
- 400 966,460.00 - -
- 2,000 4,832,300.00 - -
12,080,750.00 5,000 12,080,750.00 - -
745,140.00 1,000 149,028.00 4,000 596,112.00
1,490,720.00 10,000 1,490,720.00 - -
- 90 1,035,000.45 - -
- 400 49,500.00 2,000 247,500.00
559,383.00 - - 300 559,383.00
10,879,000.00 20 5,439,500.00 20 5,439,500.00
- - - 10 139,449.99
- - - 10 702,882.40
412682303.xlsx 567
- - - 40 2,811,529.60
1,595,000.00 105 1,339,800.00 20 255,200.00
- - - 29 119,656.90
- - - 200 3,080,000.00
- - - - -
- 500 242,170.50 - -
1,438,470.00 500 239,745.00 2,500 1,198,725.00
- - - - -
- - - - -
- - - - -
- 700 385,115.50 300 165,049.50
- - - 200 3,206,720.00
- 200 265,870.00 400 531,740.00
- - - 7 4,335,100.00
- - - - -
- - - - -
- - - 400 22,000,000.00
- - - 900 183,150.00
- 124 879,780.00 - -
- - - - -
- - - - -
17,820,000.00 - - 150 17,820,000.00
- - - 60 528,000.00
- 390 3,517,800.00 540 4,870,800.00
- - - - -
- - - - -
- - - - -
- - - 20 635,250.00
- - - 198 6,288,975.00
- - - - -
- - - - -
412682303.xlsx 568
10,565,500.00 230 2,150,500.00 900 8,415,000.00

- 680 6,358,000.00 - -
- - - 50 3,850,000.00
- 10 880,000.00 - -
- - - 6 396,000.00
- - - - -
- 200 7,920,000.00 - -
- - - - -
6,600,000.00 - - 200 6,600,000.00
- - - - -
- 500 258,483.92 - -
- 19 3,542,550.00 45 8,390,250.00
- 3,500 7,700,000.00 - -
- - - - -
- 1,500 267,514.71 1,000 178,343.14
- - - 216 8,940,864.24
- - - - -
- - - - -
5,989,500.00 90 544,500.00 900 5,445,000.00
- - - - -
- 5 1,100,000.00 40 8,800,000.00
15,400,000.00 - - 5 15,400,000.00
- 180 2,059,200.00 1,020 11,668,800.00
- 5 38,500.00 - -
- 160 1,232,000.00 - -
- 20 2,900,300.04 - -
- 50 9,625,000.00 150 28,875,000.00
- - - - -
- - - - -
- 60 127,578.00 40 85,052.00
- - - - -
412682303.xlsx 569
- 200 948,200.00 - -
- - - 800 3,792,800.00
- - - - -
- 500 440,000.00 1,000 880,000.00
- - - 1,620 11,178,486.00
- 620 4,278,186.00 2,680 18,492,804.00
- 80 599,984.00 - -
- - - 120 899,976.00
- - - 80 599,984.00
- - - 180 1,801,800.00
- - - - -
- - - - -
- - - - -
9,350,000.00 224 10,472,000.00 - -
- - - - -
- - - - -
- 1,350 12,919,500.00 - -
- - - 1,900 338,203.80
635,448.00 - - 240 635,448.00
- 1 880,000.00 - -
8,800,000.00 2 1,760,000.00 8 7,040,000.00
1,680,580.00 2,000 672,232.00 3,000 1,008,348.00
- 50 133,870.00 50 133,870.00
- 700 88,896.50 - -
1,127,720.00 500 112,772.00 4,500 1,014,948.00
- - - - -
- - - - -
- - - 20 1,320,000.00
- - - - -
- 2,000 1,936,000.00 - -
- - - - -
412682303.xlsx 570
- - - - -
- 1,000 170,005.00 1,000 170,005.00
- - - - -
- - - - -
- - - - -
- 40 409,992.00 80 819,984.00
3,410,000.00 - - 20 3,410,000.00
- 450 202,946.04 - -
- - - - -
- - - - -
- - - - -
- - - - -
8,019,000.00 500 8,019,000.00 - -
32,076,000.00 800 12,830,400.00 1,200 19,245,600.00
- - - - -
- - - - -
- - - - -
- 912 4,560,045.60 - -
- - - - -
- 5,000 1,994,960.00 - -
- - - - -
- - - - -
3,510,000.12 - - 2,000 3,510,000.12
1,973,400.00 30 1,973,400.00 - -
9,867,000.00 50 3,289,000.00 100 6,578,000.00
- 700 924,000.00 - -
- - - - -
- 1,400 462,000.00 1,500 495,000.00
- - - - -
- - - - -
- - - - -
412682303.xlsx 571
- - - - -
- - - - -
- - - - -
- - - - -
- 50 4,197,500.01 - -
8,395,000.02 - - 100 8,395,000.02
- - - - -
- - - 49 3,732,575.00
- - - - -
1,699,940.00 1,000 84,997.00 19,000 1,614,943.00
- - - - -
2,997,500.00 600 719,400.00 1,900 2,278,100.00
588,115.00 800 553,520.00 50 34,595.00
- - - - -
- - - - -
215,820.00 - - 300 215,820.00
539,550.00 - - 750 539,550.00
- - - - -
- 59 13,304,500.00 - -
- - - - -
- - - - -
- 70 7,700,000.00 - -
- 70 7,700,000.00 - -
22,000,000.00 70 15,400,000.00 30 6,600,000.00
- - - - -
- 2,500 453,750.00 - -
- - - - -
- 1,100 297,660.00 - -
- - - - -
- - - - -
- 276 14,269,200.00 - -
412682303.xlsx 572
- 250 5,940,000.00 50 1,188,000.00

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 3,000 1,452,000.00 1,000 484,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 200 8,800,000.00 - -
1,320,000.00 - - 5,000 1,320,000.00
1,320,000.00 - - 5,000 1,320,000.00
- 1,500 396,000.00 - -
- - - - -
- - - 66 241,032.00
- - - 240 911,064.00
- 48 171,600.00 48 171,600.00
- - - - -
- - - 3,000 1,082,400.00
- - - - -
6,600,330.00 5,000 2,200,110.00 10,000 4,400,220.00
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 573
- - - - -
- - - - -
12,534,500.00 2,900 8,453,500.00 2,300 6,704,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 160 2,428,800.00 840 12,751,200.00
- - - - -
- - - 15 686,812.50
- - - - -
- 560 3,589,432.00 - -
- 2,000 12,819,400.00 - -
- 20 128,194.00 500 3,204,850.00
- - - 7,480 47,944,556.00
- 1,600 10,255,520.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 20 164,001.20 5 41,000.30
- 1,200 6,388,800.00 - -
- - - - -
- - - - -
- 1,400 1,624,700.00 - -
- 3,200 3,713,600.00 - -
3,713,600.00 3,200 3,713,600.00 - -
412682303.xlsx 574
- - - 1,500 212,833.50
- - - - -
- - - - -
- - - - -
- 150 1,377,750.00 - -
- - - 450 1,900,800.00
- - - - -
- - - - -
- - - - -
- - - - -
- 40 3,479,999.95 - -
8,699,999.88 - - 100 8,699,999.88
- - - - -
- - - - -
- - - 200 380,000.00
5,500,000.00 200 1,100,000.00 800 4,400,000.00
- - - - -
- - - - -
- - - - -
- 1,500 4,785,000.00 - -
- - - - -
- 450 1,435,500.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 100 41,800.00 400 167,200.00
- 150 301,455.00 - -
- 150 499,125.00 - -
- - - - -
- 49 2,991,450.00 100 6,105,000.00
412682303.xlsx 575
- - - - -
- - - - -
- 1 13,337.50 99 1,320,412.50
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 90 4,275,240.75 210 9,975,561.75
- - - - -
- - - - -
- - - - -
287,760.00 360 4,316,400.00 - -
5,707,240.00 476 5,707,240.00 - -
791,340.00 66 791,340.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 200 1,100,000.00 - -
5,117,200.00 1,000 5,117,200.00 - -
- 5,500 1,213,932.50 - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 576
- 20 62,261.10 - -
- 20 62,261.10 380 1,182,960.90
- - - - -
- 90 1,187,227.80 210 2,770,198.20
- - - - -
- - - - -
- 100 4,159,980.00 50 2,079,990.00
- 500 4,675,000.00 145 1,355,750.00
- - - 600 660,330.00
- - - - -
- - - - -
- - - 50 330,000.00
- - - 350 2,310,000.00
- - - - -
- - - - -
- - - - -
- - - 190 3,899,940.00
- - - 3,000 1,854,930.00
- - - 1,440 340,732.38
- - - - -
- - - - -
- - - 50 1,966,250.00
- - - - -
- - - - -
- - - 40 1,166,000.00
- - - 10 291,500.00
- - - - -
- 26 500,500.00 - -
- 7 243,512.50 20 695,750.00
- - - - -
- - - - -
412682303.xlsx 577
- - - 30 886,875.00
- - - 100 2,956,250.00
- - - - -
- - - 15 866,250.00
- - - - -
- - - - -
- - - - -
- 1,000 181,500.00 4,000 726,000.00
- 4,000 858,000.00 - -
- - - - -
- - - 2,500 150,012.50
118,745.00 - - 10 118,745.00
2,849,880.00 - - 240 2,849,880.00
- - - - -
- - - - -
- - - - -
7,260,000.00 18 871,200.00 132 6,388,800.00
2,420,000.00 50 2,420,000.00 - -
- 500 237,402.00 1,500 712,206.00
- - - 500 42,350.00
2,050,015.00 - - 250 2,050,015.00
- - - - -
- - - 50 1,973,125.00
- - - - -
- - - - -
- - - - -
- - - - -
- 720 5,385,600.00 - -
3,009,600.00 280 2,217,600.00 100 792,000.00
4,910,400.00 - - 620 4,910,400.00
- 11 786,418.60 - -
412682303.xlsx 578
- 189 13,512,101.40 - -
- - - 2,000 617,100.00
- - - 1,000 344,135.00
- - - - -
- - - - -
- - - - -
- - - - -
- 680 4,862,000.00 - -
1,439,222.40 - - 560 1,439,222.40
- - - - -
- 2,200 15,730,000.00 - -
- - - - -
- - - - -
- - - - -
2,359,500.00 - - 10,000 2,359,500.00
396,000.00 5,500 3,630,000.00 600 396,000.00
- - - 75 577,500.00
- - - - -
- - - - -
- 50 4,702,500.00 70 6,583,500.00
- - - - -
- - - - -
- - - - -
- 450 2,227,500.00 150 742,500.00
- 300 2,409,000.00 - -
- 90 792,000.00 90 792,000.00
- - - 65 2,145,166.10
- - - 165 5,445,421.64
9,350,000.00 1,000 1,870,000.00 4,000 7,480,000.00
- 7,760 55,484,000.00 - -
71,500,000.00 - - 10,000 71,500,000.00
412682303.xlsx 579
- - - - -
- - - - -
- - - - -
4,950,000.00 20 1,980,000.00 80 7,920,000.00
- - - - -
- 1,400 136,367.00 - -
487,025.00 5,000 487,025.00 - -
46,750,000.00 50 46,750,000.00 - -
- 50 1,075,250.00 70 1,505,350.00
- - - - -
- 50 2,901,250.00 - -
- - - 90 544,500.00
- - - - -
- 2,100 472,487.40 7,900 1,777,452.60
- - - - -
- 1,300 1,334,666.67 100 102,666.67
- - - 900 502,755.00
2,455,200.00 240 2,455,200.00 - -
- - - - -
- 3 8,580,000.00 5 14,300,000.00
- 100 40,700.00 - -
1,628,000.00 4,000 1,628,000.00 - -
- - - - -
- 50 605,000.00 - -
3,036,000.00 150 1,980,000.00 80 1,056,000.00
14,560,040.00 50 14,560,040.00 - -
- - - 1 1,683,000.00
- - - 2 3,366,000.00
- - - - -
- - - - -
- - - 18 945,450.00
412682303.xlsx 580
- - - - -
- 10 210,375.00 20 420,750.00
- - - - -
- - - 94 4,782,250.00
- - - - -
- - - - -
- - - - -
- - - 100 1,060,675.00
- - - 50 530,337.50
- - - - -
- - - - -
- - - - -
- - - - -
6,930,000.00 1,500 6,930,000.00 - -
- - - 8 162,800.00
- 500 67,501.50 5,000 675,015.00
- - - - -
- - - - -
2,273,386.50 1,000 120,285.00 17,900 2,153,101.50
- 500 301,999.50 4,000 2,415,996.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
3,300,000.00 99 3,267,000.00 101 3,333,000.00
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 581
- 45 1,090,124.15 - -
- 4 105,600.00 - -
- 10 264,000.00 - -
- 10 115,000.00 - -
1,887,435.00 - - 50 1,887,435.00
- - - - -
- - - - -
- - - - -
- - - - -
605,000.00 5 605,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
87,133.02 - - 30 87,133.02
- - - - -
- - - - -
- - - - -
412682303.xlsx 582
- 1 1,760,000.00 - -
- - - - -
- - - - -
- 6 3,512,520.00 2 1,170,840.00
- - - 8 6,600,000.00
- - - 5 2,128,500.00
666,600.00 - - 1 666,600.00
666,600.00 - - 1 666,600.00
666,600.00 - - 1 666,600.00
666,600.00 - - 1 666,600.00
666,600.00 - - 1 666,600.00
629,200.00 1 629,200.00 - -
- - - 15 1,567,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 800 657,599.56
4,109,999.30 700 575,399.90 4,300 3,534,599.40
328,799.94 - - 400 328,799.94
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 583
4,654,798.50 5,900 5,085,798.36 900 775,799.75

- - - - -
- - - - -
- - - 50 57,999.70
- - - 950 2,710,207.50
- 200 249,480.00 - -
5,200,199.40 2,200 2,118,599.76 3,200 3,081,599.64
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 3,400 4,136,440.00 14,600 17,762,360.00
- 1,300 1,511,899.68 - -
- - - 200 392,040.00
- 100 481,250.00 - -
- - - - -
- - - - -
- 10 2,200,000.00 - -
- 2 440,000.00 48 10,560,000.00
- - - 10 1,650,000.00
- - - 8 660,000.00
- - - 10 825,000.00
- - - 10 825,000.00
2,475,000.00 10 825,000.00 20 1,650,000.00
660,000.00 - - 20 1,650,000.00
- - - - -
- 50 1,679,975.00 - -
3,850,000.00 - - 100 3,850,000.00
- - - 25 102,052.50
412682303.xlsx 584
- - - 49 200,022.90
1,925,000.00 20 770,000.00 30 1,155,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - 5 22,313,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10 149,941.00 40 599,764.00
- - - - -
- 110 2,662,000.00 - -
1,210,000.00 30 726,000.00 20 484,000.00
- - - - -
- 40 968,000.00 - -
- 10 242,000.00 - -
2,420,000.00 - - 100 2,420,000.00
- - - 30 3,300,000.00
- 17 2,337,500.00 - -
- - - - -
- - - - -
836,000.00 2 836,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 585
- - - - -
- - - - -
3,202,320.00 10 667,150.00 48 3,202,320.00
5,504,241.60 6 5,504,241.60 - -
7,344,700.00 5 7,344,700.00 - -
- - - - -
- 4,500 574,559.37 - -
- 1,500 166,499.85 - -
2,722,500.00 120 3,630,000.00 90 2,722,500.00
9,680,000.00 40 1,936,000.00 160 7,744,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 294 15,508,647.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- 220 1,137,400.00 25 129,250.00
- - - - -
- - - - -
- - - - -
3,000,417.00 100 1,000,139.00 200 2,000,278.00
- - - - -
- - - - -
10,340,000.00 - - 2,000 10,340,000.00
- - - - -
- - - - -
412682303.xlsx 586
10,340,000.00 400 2,068,000.00 2,140 11,063,800.00

- - - - -
- - - - -
- - - - -
- 150 1,322,970.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
10,081,500.00 260 1,344,200.00 1,690 8,737,300.00
10,340,000.00 - - 2,000 10,340,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
12,034,000.00 34 8,183,120.00 28 6,739,040.00
- - - - -
- 400 2,721,400.00 - -
- 100 1,033,230.00 - -
- - - - -
- - - - -
- - - - -
- 1,000 8,333,600.00 - -
6,666,880.00 700 5,833,520.00 100 833,360.00
10,000,320.00 - - 1,200 10,000,320.00
- - - - -
- - - - -
412682303.xlsx 587
- - - - -
- 200 3,199,999.99 100 1,600,000.00
- - - - -
15,199,995.25 350 5,599,998.25 800 12,799,996.00
800,000.00 50 800,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
24,000,000.00 300 4,800,000.00 1,200 19,200,000.00
8,000,000.00 500 8,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 50 800,000.00 - -
15,999,995.00 100 1,599,999.50 1,200 19,199,994.00
- - - - -
- - - - -
- - - - -
- 500 8,000,000.00 - -
15,999,995.00 100 1,599,999.50 900 14,399,995.50
- - - - -
412682303.xlsx 588
- - - - -
- - - - -
- 200 3,899,999.40 100 1,949,999.70
- 6 231,000.00 36 1,386,000.00
- - - - -
- 5 192,500.00 27 1,039,500.00
- - - - -
- - - 30 1,155,000.00
- 3 115,500.00 27 1,039,500.00
5,500,000.00 13 1,430,000.00 46 5,060,000.00
- - - - -
- 12 356,400.00 - -
2,750,000.00 3 1,650,000.00 2 1,100,000.00
668,250.00 - - 30 668,250.00
- - - - -
295,000.00 10 295,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
3,872,880.00 61 9,843,570.00 - -
- - - - -
- - - - -
- - - - -
2,200,000.00 20 2,200,000.00 - -
- - - 15 2,475,000.00
8,250,000.00 50 8,250,000.00 - -
- - - - -
- - - - -
412682303.xlsx 589
- - - - -
- - - - -
- - - 25 5,830,000.00
- 1 233,200.00 12 2,798,400.00
- - - - -
- - - - -
- - - - -
- 3 495,000.00 - -
2,475,000.00 - - 15 2,475,000.00
- 6 1,155,000.00 - -
5,775,000.00 4 770,000.00 26 5,005,000.00
- 2 55,000.00 - -
- 2 55,000.00 8 220,000.00
- - - - -
- 2 770,000.00 3 1,155,000.00
19,250,000.00 - - 50 19,250,000.00
5,192,855.91 18 5,192,855.91 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,050 3,660,250.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 590
- - - - -
- 44 181,500.00 - -
446,875.00 60 268,125.00 40 178,750.00
446,875.00 - - 100 446,875.00
893,750.00 - - 200 893,750.00
893,750.00 - - 200 893,750.00
893,750.00 - - 200 893,750.00
4,468,750.00 100 446,875.00 900 4,021,875.00
- - - - -
- - - - -
4,021,875.00 310 1,385,312.50 590 2,636,562.50
- - - - -
- - - - -
- 10 41,250.00 - -
4,468,750.00 213 951,843.75 787 3,516,906.25
- - - - -
- - - - -
- 20 302,412.00 16 241,929.60
- - - - -
- 20 305,060.00 15 228,795.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 14 88,550.00
1,512,060.00 30 453,618.00 70 1,058,442.00
10,415,000.20 5,000 10,415,000.20 - -
- - - - -
- 5 1,377,299.55 2 550,919.82
- 6 1,652,759.46 - -
412682303.xlsx 591
825,000.00 - - 1 825,000.00
- 46 910,800.00 54 1,069,200.00
- - - - -
- - - - -
- 24 422,400.00 - -
- 45 3,712,500.00 3 247,500.00
- 15,000 1,663,200.00 35,000 3,880,800.00
330,000.00 3 330,000.00 - -
- - - - -
- 100 220,000.00 50 110,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- 50 4,950,000.00 - -
14,850,000.00 150 14,850,000.00 150 14,850,000.00
3,812,184.96 48 3,812,184.96 - -
- - - - -
- 27 1,619,095.50 - -
- 16 959,464.00 44 2,638,526.00
588,500.00 - - 1 588,500.00
666,600.00 - - 1 666,600.00
588,500.00 - - 1 588,500.00
588,500.00 - - 1 588,500.00
588,500.00 - - 1 588,500.00
588,500.00 - - 1 588,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 592
- - - 1 16,500.00
- 2 538,439.88 - -
6,610,555.60 4 6,610,555.60 - -
734,305.00 3 169,455.00 10 564,850.00
- 50 2,420,000.00 - -
- 50 2,420,000.00 150 7,260,000.00
1,626,240.00 3 1,626,240.00 - -
- - - - -
- 50 1,679,975.00 - -
- 30 120,978.00 - -
495,000.00 50 495,000.00 - -
- - - - -
198,000.00 - - 20 198,000.00
- 10 40,326.00 - -
- 15 60,489.00 35 141,141.00
- 10 40,326.00 10 40,326.00
- 2 8,065.20 28 112,912.80
- - - 5 20,163.00
- - - 50 201,630.00
- 5 330,000.00 - -
- - - - -
- - - - -
- 8 528,000.00 42 2,772,000.00
- 38 2,508,000.00 - -
- - - - -
- - - 2 132,000.00
- - - - -
- 20 1,320,000.00 35 2,310,000.00
- - - - -
- - - - -
- - - - -
412682303.xlsx 593
10,487,400.00 7 7,341,180.00 3 3,146,220.00

- - - - -
- 10 17,556,000.00 - -
- - - - -
12,178,199.00 1 1,217,819.90 9 10,960,379.10
- - - - -
- - - - -
- - - - -
- - - - -
8,076,599.52 7 5,653,619.66 3 2,422,979.86
- 11 11,088,000.00 9 9,072,000.00
- - - - -
- - - - -
- - - - -
- 2 53,055.20 - -
- 10 265,276.00 - -
- - - - -
3,219,150.00 6 643,830.00 24 2,575,320.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
5,506,215.00 4 564,740.00 35 4,941,475.00
282,370.00 2 282,370.00 - -
- - - - -
- 250 5,500,000.00 250 5,500,000.00
- - - - -
- - - - -
412682303.xlsx 594
13,104,080.00 100 1,638,010.00 700 11,466,070.00

- - - - -
- 100 1,638,010.00 - -
- 500 8,190,050.00 - -
- - - - -
- - - - -
405,900.00 3 405,900.00 - -
- - - - -
- 12 1,379,400.00 - -
12,414,600.00 108 12,414,600.00 - -
- 150 859,320.00 100 572,880.00
- - - 250 1,718,750.00
- - - - -
- - - - -
- - - - -
1,077,120.00 10 179,520.00 86 1,543,872.00
- - - 10 580,800.00
- - - 350 231,000.00
1,071,059,368.35 1,255,325,784.09 1,652,705,464.08
BUOL, 30 SEPTEMBER 2018
PENANGGUNGJAWAB

NIP. 19820818 201001 2 012
412682303.xlsx 595
BULAN OKTOBER TAHUN 2018
Harga Satuan
Terkecil
1 OBAT TAHUN 2013 - - - - - - -
4 Kertas EKG Peaper Fukuda Roll - - 50,820.00 8 406,560.00 -
7 OBAT PENGADAAN 2014 - - - - - - -
8 Flutamol Tablet - - 149,500.00 - - -
10 VITAMIN B6 Tab/Kap @1 Tablet Tablet - - 181.91 - - -
12 SLIM SECHER Pcs - - 18,750.00 - - -
14 OBAT BLUD 2015 - - - - - - -
15 Burnazin Cream (KF) Tube - - 46,585.00 - - -
17 Ethambutol Tablet 500 mg (KF) Tablet - - 478.01 - - -
19 Novadiar Syrup (RNI) Botol - - 3,789.40 16 60,630.40 12
20 Otsu Tran 40% (RNI) Botol - - 97,900.00 - - -
24 BAHAN HABIS PAKAI BLUD - - - - - - -
25 Foley Catheter FR 20 (RNI) Pcs - - 24,200.00 - - 16
412682303.xlsx 596
Harga Satuan
Terkecil
28 OBAT BLUD 2016 - - - - - - -
29 Albuforce Tablet (UN) Tablet - - 5,390.00 - - 1,100
33 Betahistin Mesilat Tablet 6 mg (AAM) Tablet - - 914.10 - - -
40 Epinefrin Injeksi (RNI) Ampul - - 8,910.00 60 534,600.00 -
41 Falergi (PV) Botol - - 66,550.00 - - -
45 Interhistin Tablet (MBS) Tablet - - 726.00 - - -
46 KetOKonaole Cream 2% (KF) Tube - - 4,675.00 - - 75
48 Meylon (KF) Vial - - 7,440.40 - - -
49 Myotonic Injeksi (PV) Ampul - - 9,075.00 370 3,357,750.00 -
51 Nistatin Drops (DNR) Botol - - 24,200.00 - - -
412682303.xlsx 597
Harga Satuan
Terkecil
57 Trolip Kapsul (AAM) Kapsul - - 9,680.00 150 1,452,000.00 -
65 H2O2 (BDM) Botol - - 77,000.00 - - -
69 Leukoplast (RNI) Roll - - 45,116.50 - - -
72 OBAT BLUD 2017 - - - - - - -
82 Aminofillin Tablet (SST) Tablet - - 141.68 - - -
412682303.xlsx 598
Harga Satuan
Terkecil
91 Arkine Tablet (SST) Tablet - - 638.00 - - -
99 Astinox Tablet (UN) Tablet - - 9,166.67 90 825,000.00 -
101 Bamgetol Tablet (IGM) Tablet - - 1,980.00 800 1,584,000.00 -
112 Captopril Tablet 12,5 mg (RNI) Tablet - - 97.41 - - -
113 Captopril Tablet 25 mg (KF) Tablet - - 120.53 - - -
412682303.xlsx 599
Harga Satuan
Terkecil
117 Cefixim Kapsul 200 mg (PPG) Kapsul - - 4,950.00 - - -
128 Chlorpheniramin Maleat Tablet/ Orphen (SST) Tablet - - 162.14 1,600 259,424.00 -
132 Clindamycin Kapsul 150 mg (IGM) Kapsul - - 702.24 - - -
134 Clindamycin Kapsul 300 mg Kapsul - - 1,800.00 - - 2,000
135 Clindamycin Kapsul 300 mg (PPG) Kapsul - - 2,000.00 - - -
138 Cotrimoxazol Syrup (RNI) Botol - - 5,954.30 - - -
412682303.xlsx 600
Harga Satuan
Terkecil
150 Erlamycetin Ear Drop (PV) Botol - - 6,435.00 - - 114
151 Erysanbe Tablet 500 mg (BSP) Tablet - - 2,706.00 900 2,435,400.00 -
168 Genoint Eye (PV) Botol - - 9,152.00 - - -
170 Gentamicin Injeksi (IGM) Ampul - - 3,896.00 400 1,558,399.92 -
174 Glukosa 5 % (KF) Botol - - 6,900.30 - - -
412682303.xlsx 601
Harga Satuan
Terkecil
179 Human Albumin (KF) Botol - - 849,999.80 - - -
180 Hydromal (BSP) Bag - - 49,505.96 - - -
182 KAEN 3B (KF) Botol - - 10,249.80 - - -
184 Ketamin Hameln 50 mg (APL) Vial - - 71,600.10 - - -
191 Levofloxacin Tablet (KF) Tablet - - 530.99 800 424,793.60 -
193 Lipomed (BSP) Bag - - 169,120.33 18 3,044,165.85 -
194 Loratadin Tablet (DNR) Tablet - - 400.00 700 280,002.92 -
195 Loratadin Tablet (IGM) Tablet - - 307.79 - - -
196 Manitol (KF) Botol - - 92,400.00 120 11,088,000.00 -
199 Meloxicam Tablet 7,5 mg (ENS) Tablet - - 418.00 - - -
412682303.xlsx 602
Harga Satuan
Terkecil
208 Minkosa 5 mg Glibenclamid (SST) Tablet - - 133.10 1,000 133,100.00 -
209 Myotonic Injeksi (RNI) Ampul - - 8,250.00 1,650 13,612,500.00 -
210 Myotonic Tablet (PV) Tablet - - 2,915.00 - - -
217 Nerva Plus Tablet Tablet - - 2,200.00 - - -
227 OKsitosin Injeksi (APL) Ampul - - 2,062.50 - - -
228 Ondansentron Tablet (MTK) Tablet - - 2,016.67 - - -
235 Piracetam Kapsul 800 mg (RNI) Kapsul - - 883.30 - - -
412682303.xlsx 603
Harga Satuan
Terkecil
239 Pro Infark Injeksi (RNI) Ampul - - 13,200.00 70 924,000.00 -
258 Rifampisin Tablet 450 mg (DNR) Tablet - - 1,870.00 - - -
265 Scandones Injeksi (Gigi) Ampul - - 9,900.00 - - -
412682303.xlsx 604
Harga Satuan
Terkecil
267 SIM-DHA (PV) Botol - - 48,400.00 - - -
268 Simvastatin Tablet 10 mg (ENS) Tablet - - 297.00 - - -
270 Sojourn (PV) Botol - - 2,860,000.00 - - -
271 Solpenox (Amoxicillin) Syrup (SST) Botol - - 4,000.55 300 1,200,166.00 -
273 Stesolid Injeksi (AAM) Ampul - - 4,400.62 25 110,015.62 -
275 Tasigna (AAM) Kapsul - - 93,548.25 - - -
276 Terrell (PV) Botol - - 1,683,000.00 - - -
279 Tyarit Injeksi (PV) Ampul - - 27,500.00 - - -
280 Tyarit Injeksi (UN) Ampul - - 27,500.00 - - -
286 Bone Wax (BDM) Pcs - - 116,600.00 - - -
294 Catgut Cromic 3/0 HR 26 (RNI) Kotak - - 825,000.00 2 1,650,000.00 -
295 Cuticell (BDM) Pcs - - 13,200.00 100 1,320,000.00 -
412682303.xlsx 605
Harga Satuan
Terkecil
308 Endotracheal Tube FR 6,5 (BDM) Pcs - - 82,500.00 - - -
316 Film 24x30 (BDM) Kotak - - 2,585,000.00 - - -
317 Film 30x40 (BDM) Kotak - - 4,109,600.00 - - -
318 Fixer (BDM) Set - - 790,900.00 - - -
412682303.xlsx 606
Harga Satuan
Terkecil
328 Handrub (ISHS) ml - - 57.20 - - -
329 Handrub (RNI) ml - - 159.60 - - -
330 Handrub (RNI) ml - - 150.21 - - -
339 Hydrex Surgical Scrub (RNI) ml - - 215.23 - - -
344 IV Catheter 16 G Abbocath (BDM) Pcs - - 16,000.00 50 800,000.00 -
351 IV Catheter 24 G Abbocath Pcs - - - - - -
412682303.xlsx 607
Harga Satuan
Terkecil
359 Jely (ISHS) Tube - - 33,981.83 - - -
360 Kapas (BDM) Roll - - 82,208.50 - - -
371 Mata Pisau No 20 Pcs - - 4,125.00 - - -
375 Nylon Daclon 5/0 DS 16 Kotak - - 825,000.00 - - 2
381 Safil 1 HR 48 Pcs - - 99,550.00 144 14,335,200.00 -
412682303.xlsx 608
Harga Satuan
Terkecil
392 Silk Black With Needle USP 3/0 HR 30 (RNI) Kotak - - 660,000.00 1 660,000.00 -
393 Softband 6 Inch (BDM) Roll - - 43,450.00 - - -
409 Urgotul 10x10 (PPG) Pcs - - 25,850.00 - - -
410 Urine Bag (KF) Pcs - - 6,875.00 - - -
411 OBAT BLUD 2018 - - - - - - -
412 Acetylcysteine Kapsul 200 mg (MRP) Kapsul AS18016 1/30/2020 1,833.33 - - -
414 Acetylcysteine Kapsul 200 mg (MRP) - - 6/30/2018 1,833.33 - - 3,000
415 Acetylcysteine Kapsul 200 mg (MRP) - - 9/30/2018 1,833.33 - - 4,200
412682303.xlsx 609
Harga Satuan
Terkecil
417 Albuminar (AAM) Botol X938905 5/1/2020 1,510,000.00 - - -
418 Albunorm 25 % 100 ML (KF) Botol P716A66702 3/31/2020 1,509,999.70 1 1,509,999.70 10
419 Allopurinol Tablet (AAM) Tablet 48K0192 11/1/2021 182.02 1,000 182,017.00 -
422 Alprazolam Tablet 0,5 mg (KF) Tablet C70497J2 3/29/2021 585.00 - - -
423 Alprazolam Tablet 0,5 mg (SST) Tablet 173003 11/1/2019 574.75 3,500 2,011,625.00 -
424 Ambroxol Syrup 15 mg (DNR) Botol SCB00947 1/1/2022 6,600.00 - - -
428 Ambroxol Syrup 15 mg (RNI) Botol 06810006 11/30/2019 5,500.00 - - -
432 Ambroxol Tablet (DNR) Tablet TPD22946 3/1/2021 330.00 - - -
436 Ambroxol Tablet (SST) Tablet 81171 3/1/2021 100.69 5,000 503,451.30 10,000
438 Ambroxol Tablet (TSJ) Tablet TPD29447 3/1/2022 330.00 3,100 1,023,000.00 -
439 Aminofluid (KF) Botol DB71E47A 9/2/2019 64,989.10 20 1,299,782.00 -
441 Aminophyllin Injeksi (RNI) Ampul 06307033-1 12/31/2020 3,959.93 - - 90
442 Aminophyllin Injeksi (RNI) Ampul 06307033-2 2/1/2021 3,960.00 - - 150
443 Aminophyllin Tablet (SST) Tablet G8A021 7/1/2021 141.68 - - 5,000
444 Amlodipin Tablet 5 mg (DNR) Tablet PK19137 5/1/2021 436.37 210 91,637.00 -
445 Amlodipin Tablet 5 mg (DNR) Tablet PK21137 7/1/2022 436.37 120 52,364.00 -
412682303.xlsx 610
Harga Satuan
Terkecil
449 Amlodipin Tablet 5 mg (TAS) Tablet PKL6137 5/1/2021 480.00 - - -
450 Amlodipin Tablet 5 mg (TAS) Tablet PKL637 5/1/2021 480.00 1,200 576,003.98 -
451 Amlodipin Tablet 5 mg (UJ) Tablet Aj1013 1/1/2020 183.37 - - -
452 Amlodipin Tablet 5 mg (SST) Tablet 82260 5/1/2021 148.42 2,100 311,672.90 -
454 Amlodipin Tablet 10 mg (DNR) Tablet PE04136 2/1/2021 330.00 - - 1,020
455 Amlodipin Tablet 10 mg (KF) Tablet 17233B - - - - -
460 Amlodipin Tablet 10 mg (MU) Tablet DS18005 4/30/2020 817.66 - - -
461 Amlodipin Tablet 10 mg (MU) Tablet DS18022 4/30/2020 817.66 600 490,597.80 -
466 Amoxicillin Syrup (TSJ) Botol L10516601 11/1/2019 7,150.00 - - -
467 Anbacim Injeksi (BSP) Vial UE4694A 5/1/2020 60,503.36 - - 140
468 Antasida Syrup (GF) Botol - - 10,444.50 - - -
470 Antasida Syrup (KF) Botol S02019AH 2/2/2020 2,054.80 - - 1,500
472 Antasida Tablet (KF) Tablet H71504B 7/15/2020 210.60 - - -
473 Antasida Tablet (KF) Tablet - 5/15/2022 210.60 5,000 1,052,975.00 -
474 Antrain Injeksi (ENS) Ampul 1014H0011 1/31/2020 10,450.00 - - -
475 Antrain Injeksi (ENS) Ampul 1014H0021 1/31/2020 10,450.00 200 2,090,000.00 -
476 Aqua Pro Injeksi (KF) Vial 72B48A 5/3/2021 2,860.00 1,200 3,432,000.00 -
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Terkecil
477 Aqua Pro Injeksi (KF) Vial 80C48A 3/11/2021 2,860.00 - - -
478 Arcapec Tablet (PV) Tablet A7H756 8/1/2019 1,100.00 - - 500
484 Asam Mefenamat Tablet (RNI) Tablet 16318003 3/10/2021 232.32 10,000 2,323,200.00 -
485 Asam Mefenamat Tablet (RNI) Tablet 16318004 8/1/2021 232.32 8,000 1,858,560.00 -
486 Asam Traneksamat Injeksi (AAM) Ampul 2180078 11/1/2020 2,167.84 - - 2,000
487 Asam Traneksamat Injeksi (GF) Ampul 20A015 1/1/2021 1,880.00 - - 50
491 Asam Traneksamat Injeksi (RNI) Ampul I172271 8/31/2019 5,280.00 - - -
492 Asam Traneksamat Injeksi (RNI) Ampul 172269 8/31/2019 5,280.00 - - -
493 Asam Traneksamat Injeksi (RNI) Ampul 172271 8/31/2019 5,280.00 - - 120
494 Asam Traneksamat Tablet (DNR) Tablet TSB00847 1/1/2021 1,980.00 - - -
495 Asam Traneksamat Tablet (TSJ) Tablet TBF33747 5/1/2021 1,742.40 - - 10,000
496 Asam Traneksamat Tablet (TSJ) Tablet TBF41447 7/1/2021 1,742.40 - - -
497 Asam Valproat (AAM) Botol 3272081 10/1/2019 17,789.00 - - -
502 Asam Valproat (RNI) Botol 2480698 3/1/2020 49,720.00 - - -
504 Asering Infus (KF) Botol SB90B48B 2/21/2021 9,645.90 - - -
505 Asering Infus (KF) Botol SB92A48B 1/23/2021 9,645.90 - - -
506 Asering Infus (KF) Botol SB90B48B 2/21/2021 9,645.90 432 4,167,028.80 -
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Terkecil
507 Asering Infus (KF) Botol SB77G48A 7/8/2021 9,645.90 - - -
510 Avesco (SST) Tablet QY8A113 3/1/2020 4,620.00 - - 1,500
512 Betahistin Tablet (AAM) Tablet 49E0742 11/1/2020 119.00 - - 5,000
513 Betahistin Tablet (KF) Tablet EAJ338 11/1/2020 785.40 - - -
515 Betamethason Cream (RNI) Tube 06455027 12/31/2020 2,904.00 25 72,600.00 -
516 Betamol (TSJ) Tablet TI180216D 3/1/2022 210.00 - - 13,100
522 Biocombin Injeksi (PV) Ampul F8C283 3/1/2020 5,500.00 150 825,000.00 -
523 Biocombin Injeksi (PV) Ampul F8C285 3/1/2020 5,500.00 250 1,375,000.00 -
529 Bionemi Kapsul (PV) Kapsul DC024 3/1/2020 1,650.00 - - -
533 Biosat ATS 1500 UI (RNI) Ampul 4203517 12/31/2019 165,000.00 60 9,900,000.00 -
536 Bisolvon Injeksi (KF) Ampul 52889A 9/1/2020 58,234.00 150 8,735,100.00 -
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Terkecil
538 Bisoprolol Tablet (AAM) Tablet 3272119 11/1/2020 248.00 1,380 342,240.18 -
539 Bricasma Inj 5 Ml (APL) Ampul RY8E045 6/30/2019 20,929.26 - - 250
542 Bunascan Spinal Injeksi (PV) Ampul TL0133 12/1/2019 66,000.00 - - -
543 Bunascan Spinal Injeksi (PV) Ampul PG0403 7/1/2020 66,000.00 290 19,140,000.00 -
544 Bunascan Spinal Injeksi (UN) Ampul PG0413 7/1/2020 66,000.00 - - -
545 Burnazin Cream (KF) Tube 0566AB 4/30/2021 56,045.00 1 56,045.00 -
546 Burnazin Cream (KF) Tube 0746RB 31/06/2018 56,045.00 23 1,289,035.00 -
550 Buscopan Injeksi (KF) Ampul 825182A 2/28/2023 34,243.00 - - -
551 Buscopan Tablet (KF) Tablet 17121526 11/30/2020 3,091.00 - - -
552 Candesartan Tablet 8 mg (AAM) Tablet 47K4143 9/1/2018 629.00 - - -
553 Candesartan Tablet 8 mg (DNR) Tablet 827632478 9/27/2018 4,400.00 - - 1,170
555 Captopril Tablet 12,5 mg (RNI) Tablet 6323016 12/18/2022 97.41 - - -
558 Captopril Tablet 25 mg (ESV) Tablet HTCTPE76023 12/31/2020 137.75 - - -
560 Captopril Tablet 25 mg (KF) Tablet A80008B 11/29/2022 80.00 14,600 1,168,043.80 -
563 Carbazocrome Injeksi (PV) Ampul 20A457 1/1/2020 13,112.00 120 1,573,440.00 -
564 Cartylo Tablet (KF) Tablet I72080B 9/29/2020 290.00 - - 1,000
565 Cartylo Tablet (KF) Tablet A80073B 12/24/2020 290.00 - - -
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Terkecil
567 Cefadroxil Kapsul (AAM) Kapsul 48A0218 12/1/2020 877.80 - - -
573 Cefadroxil Kapsul (TSJ) Kapsul KPM36046 11/1/2022 840.00 - - -
574 Cefadroxil Kapsul (TSJ) Kapsul KPF15247 5/1/2020 1,210.00 10,000 12,100,000.00 -
575 Cefadroxil Syrup (RNI) Botol LCFDA70051 4/30/2020 8,200.50 - - -
576 Cefadroxil Syrup (RNI) Botol LCFDA70085 6/30/2020 8,200.50 - - 138
577 Cefixim Kapsul 100 mg (RNI) Kapsul 48H0228 7/1/2020 2,394.59 - - 500
579 Cefixim Kapsul 100 mg (RNI) Kapsul KCFMB70191 10/31/2019 1,430.00 - - -
580 Cefixim Syrup (DNR) Botol SKM44245 11/1/2019 36,300.00 - - 100
582 Cefixim Syrup (RNI) Botol 48K0409 11/1/2019 33,275.00 - - -
583 Cefotaxim Injeksi (PPG) Vial C10336804 3/1/2021 45,100.00 680 30,668,000.00 -
584 Cefotaxim Injeksi (PPG) Vial C10336808 3/1/2021 45,100.00 300 13,530,000.00 -
586 Cefotaxim Injeksi (RNI) Vial 95444083BF 5/31/2019 11,011.00 - - -
591 Ceftazidim Injeksi (RNI) Vial 222027 4/30/2019 24,750.00 120 2,970,000.00 -
596 Ceftriaxon Injeksi (DNR) Vial PSL38346 10/1/2020 26,950.00 - - -
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Terkecil
602 Ceftriaxon Injeksi (TSJ) Vial PSF20847 5/1/2021 38,500.00 1,800 69,300,000.00 500
604 Cefuroxim Injeksi (PPG) Vial A182090 2/1/2020 44,000.00 - - 260
607 Cendo Efrisel 10 % (PV) Botol 8E10130 1/1/2020 16,775.00 100 1,677,500.00 -
615 Cendo Lyteers 15 ml (PV) Botol 8L0522 5/1/2021 24,750.00 100 2,475,000.00 -
618 Cendo Mydriatyl 1% (PV) Botol 8M0409 4/1/2021 42,075.00 50 2,103,750.00 -
620 Cendo Tropin 5ml (PV) Botol 7T5122 12/1/2020 12,375.00 50 618,750.00 -
625 Cendo Xitrol 5 ml (PV) Botol 8X0327 9/1/2020 29,975.00 - - -
412682303.xlsx 616
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Terkecil
636 Cenfresh 5 ml (PV) Botol 8C0607 6/1/2021 38,362.50 22 843,975.00 -
642 Chlorpromazin Tablet 100 mg (KF) Tablet J60004B 9/30/2019 264.28 - - 1,000
644 Cilostazol Tablet (DNR) Tablet TPK74346 9/1/2020 10,450.00 400 4,180,000.00 -
645 Ciprofloxacin Infus (PPG) Botol L10156718 11/1/2021 77,000.00 - - -
646 Ciprofloxacin Infus (RNI) Botol 2280259 1/1/2020 62,700.00 - - 200
651 Ciprofloxacin Tablet (RNI) Tablet 16333001 5/1/2023 607.90 - - 2,500
654 Citicolin Injeksi (DNR) Ampul 81709 6/1/2022 4,957.33 - - -
656 Citicolin Injeksi (PPG) Ampul A10266702 1/1/2019 19,250.00 - - -
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Terkecil
657 Citicolin MPL Tablet (DNR) Tablet TPC17446 2/1/2022 7,333.33 600 4,400,000.00 -
658 Citicolin Tablet (DNR) Tablet TPP05546 1/1/2022 7,333.33 1,200 8,800,000.00 -
659 Citicolin Tablet (TSJ) Tablet TPF33547 5/1/2018 7,333.33 - - 1,500
662 Clopidogrel Tablet (KF) Tablet K72810B 11/19/2019 2,999.00 - - -
663 Clopidogrel Tablet (KF) Tablet C80505B 2/25/2020 2,999.00 1,920 5,758,086.40 -
664 Clopidogrel Tablet (KF) Tablet E81099B 6/3/2020 2,999.00 4,080 12,235,933.60 -
665 Clindamycin Kapsul 300 mg (DNR) Kapsul KPG22546 6/1/2020 2,000.00 - - 4,800
666 Cotrimoxazol Tablet (KF) Tablet G71183B 6/17/2022 247.72 300 74,316.00 700
667 Cotrimoxazol Tablet (MTK) Tablet TPK75746 9/1/2022 275.00 - - -
672 Codikaf Tablet 10 mg (KF) Tablet 172588J 9/29/2021 866.25 - - -
673 Covetor 20-E/45.00 (MBD) Tablet 20G113 7/31/2019 6,251.66 3,780 23,631,287.40 -
674 Covetor 20-E/45.00 (MBD) Tablet 21D113 4/30/2020 6,251.66 2,070 12,940,943.10 -
675 Dexamethason Injeksi (RNI) Ampul 6337002 12/31/2020 2,416.15 - - -
677 Dexamethason Injeksi (RNI) Ampul 16337002 7/1/2021 2,416.15 - - 6,200
678 Dexamethason Tablet (RNI) Tablet 16338001 1/31/2021 149.03 4,000 596,112.00 1,000
680 Desoximethason Cream (AAM) Tube 2380406 2/1/2020 11,500.01 - - 90
683 Diviti PFS 2.5 mg (AAM) - 2681110 3/1/2020 271,975.00 20 5,439,500.00 40
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Terkecil
687 Dolgesic Injeksi (SST) Ampul D80036 2/1/2021 12,760.00 20 255,200.00 -
688 Domperidon Syrup (PV) Botol S2317134 1/1/2020 4,126.10 29 119,656.90 -
691 Domperidon Tablet (DNR) Tablet TSH86846 12/1/2021 484.34 - - -
692 Domperidon Tablet (DNR) Tablet SCB03747 12/1/2022 479.49 2,500 1,198,725.00 -
696 Doxycycline Kapsul (KF) Kapsul H72017J 6/7/2022 550.17 300 165,049.50 -
702 Ephedrin Injeksi (APL) Ampul 97LG0127 7/24/2021 55,000.00 400 22,000,000.00 -
704 Erlamycetin Ear Drop (PV) Botol D0652098 7/1/2019 7,095.00 - - -
706 Esomax Injeksi (MBS) Vial BA0044 1/1/2020 118,800.00 - - -
707 Esomax Injeksi (MBS) Vial 8B0259 2/1/2020 118,800.00 150 17,820,000.00 -
708 Estazor Tablet (PV) Kapsul TH1411 8/1/2021 8,800.00 60 528,000.00 -
713 Eyefresh 5 ml (PV) Botol 8EH0123 1/1/2021 31,762.50 20 635,250.00 -
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Terkecil
717 Farbivent Injeksi (PV) Ampul FE0763 5/1/2020 9,350.00 - - -
718 Farbivent Injeksi (PV) Ampul PA0343 1/1/2020 9,350.00 900 8,415,000.00 -
719 Farbivent Injeksi (PV) 9,900 - - 9,900 - - -
721 Farpresin Injeksi (PV) Vial IJ0323 10/1/2018 88,000.00 - - -
726 Fioramol Infus (TSJ) Botol BPIN15746 12/1/2020 33,000.00 200 6,600,000.00 -
728 Flamar Tablet 25 mg (BSP) Tablet TH8744A 12/1/2019 516.97 - - -
729 Flamicort (AAM) - - - 118,800 - - -
730 Floxaris Infus (MBS) Botol 7K6739 10/1/2019 186,450.00 45 8,390,250.00 3
731 Flunarizin Tablet (PPG) Tablet TPE31647 4/1/2022 2,200.00 - - 3,500
733 Furosemid Tablet (MBS) Tablet 1709010 12/1/2021 178.34 1,000 178,343.14 -
737 Gabapentin Kapsul 300 mg (RNI) Kapsul 49B0324 1/1/2020 6,050.00 900 5,445,000.00 -
738 Gabasant Kapsul (SST) Kapsul JM002 10/1/2020 5,264.88 - - 1,500
739 GABAXA INFUS (PV) Botol PB0683 2/1/2020 220,000.00 40 8,800,000.00 -
740 GAMARAAS (APL) Vial 201610G021 10/6/2019 3,080,000.00 5 15,400,000.00 -
741 Gastrul Tablet (PV) Tablet TK1991 11/1/2019 11,440.00 1,020 11,668,800.00 -
742 Gavistral Injeksi (PV) Ampul F7L104 11/1/2019 7,700.00 - - -
744 Gelafusal Infus (AAM) Bag O0617 3/1/2020 145,015.00 - - -
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Terkecil
748 Gentamicin Cream 1% (KF) Tube E81001T 5/16/2022 2,126.30 40 85,052.00 -
750 Glauseta Tablet (BSP) Tablet DC2803 3/1/2020 4,741.00 - - -
753 Glimepiride Tablet 2 mg (RNI) Tablet HTGMPF76028 12/1/2021 880.00 1,000 880,000.00 -
754 Glukosa 05% (KF) Botol 270622 5/31/2020 6,900.30 1,620 11,178,486.00 -
755 Glukosa 05% (KF) Botol 270704 6/5/2020 6,900.30 2,680 18,492,804.00 -
756 Glukosa 10% (KF) Botol 271106 10/31/2020 7,499.80 - - -
757 Glukosa 10% (KF) Botol 280203 1/3/2021 7,499.80 120 899,976.00 -
758 Glukosa 10% (KF) Botol 280224 1/26/2021 7,499.80 80 599,984.00 -
763 Graphalac Syrup (PV) Botol DC126 3/1/2020 46,750.00 - - 200
766 Hepamed 300 mg (SST) Tablet JY7A131 9/1/2019 9,570.00 - - 1,350
768 Hydrocortisone 2,5 % (KF) Tube E81171T 5/26/2022 2,647.70 240 635,448.00 -
769 Human Albumin (KF) Botol B23655 9/30/2020 880,000.00 - - -
771 Hufabion Tablet (SST) Ampul 100437 8/1/2019 336.12 3,000 1,008,348.00 -
772 Ibuprofen Syrup 100 mg (KF) Botol S05015A11 5/30/2020 2,677.40 50 133,870.00 -
773 Ibuprofen Tablet 400 mg (KF) Tablet KB9119606 11/1/2021 127.00 - - -
774 Ibuprofen Tablet 400 mg (KF) Tablet 16357010 5/1/2022 225.54 4,500 1,014,948.00 0
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Terkecil
777 Inviclot Injeksi (PV) Vial PC0473 3/1/2020 66,000.00 20 1,320,000.00 -
779 Isonat Tablet 5 mg (KF) Tablet D160355B 8/30/2020 968.00 - - 5,500
786 KA-EN 3B (KF) Botol 471193A 8/1/2020 10,249.80 80 819,984.00 -
787 Ketamin Hameln (APL) Vial 8150624 4/30/2021 170,500.00 20 3,410,000.00 -
788 KetOKonazol Tablet (RNI) Tablet 3061814 9/1/2019 450.99 - - -
793 Ketorolac Injeksi 30 mg (DNR) Ampul P1C26647 2/1/2022 16,038.00 - - -
794 Ketorolac Injeksi 30 mg (DNR) Ampul TPM99046 11/1/2022 16,038.00 1,200 19,245,600.00 2,500
799 Ketorolac Injeksi 30 mg (RNI) Ampul IKTR80102 3/31/2020 5,000.05 - - -
801 Klotaren Tablet 25 mg (KF) Tablet F71208J 5/16/2022 398.99 - - -
804 KSR Tablet 600 mg (AAM) Tablet K0367398 4/1/2021 1,755.00 2,000 3,510,000.12 -
805 Kutoin Injeksi (SST) Ampul 470169 8/1/2020 65,780.00 100 6,578,000.00 -
806 Kutoin Tablet (SST) - - - 1,075 - - 2,000
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Harga Satuan
Terkecil
807 Kutoin Injeksi (SST) Ampul 470169 8/1/2020 65,780.00 - - -
808 Kutoin Injeksi (SST) Ampul D80180 3/1/2021 65,780.00 - - -
809 Lanabal Tablet (MBS) Tablet 20E033 5/31/2021 1,320.00 - - 700
810 Lansoprazol Kapsul (DNR) Kapsul NPC03847 2/1/2021 1,621.60 - - -
811 Lansoprazol Kapsul (KF) Kapsul 7178109 12/31/2019 330.00 1,500 495,000.00 -
819 Levemir Flex Pen (AAM) Pen HT6D631 4/1/2020 83,950.00 - - -
820 Levemir Flex Pen (AAM) Pen 48A0218 6/1/2020 83,950.00 100 8,395,000.02 -
821 Lifadrox Syr - - - 9,122 - - 200
822 LFX 0,6 ml (PV) Strip 7LF61222 6/1/2020 75,900.00 - - -
823 LFX 5 ml (PV) Botol 7LF1114 5/1/2020 76,175.00 49 3,732,575.00 -
824 LFX 5 ml (PV) Botol 7LF1114 5/1/2020 46,750.00 - - -
825 Loperamid Tablet (KF) Tablet 70310 11/1/2019 85.00 19,000 1,614,943.00 0
826 Loprezol Kapsul (KF) Kapsul HG1543J 9/30/2019 799.99 - - -
827 Meloxicam Tablet 7,5 mg (DNR) Tablet PNO3138 7/1/2023 1,199.00 1,900 2,278,100.00 -
828 Meloxicam Tablet 15 mg (DNR) Tablet NB06126 12/1/2022 691.90 50 34,595.00 -
831 Meloxicam Tablet 15 mg (TAS) Tablet PDO1126 3/1/2023 719.40 300 215,820.00 -
832 Meloxicam Tablet 15 mg (TAS) Tablet PN0226 7/1/2023 719.40 750 539,550.00 -
834 Merophenem Injeksi 1 g (TSJ) Vial D10326803 4/4/2021 49,993.35 - - 300
835 Merophenem Injeksi 1 g (PPG) Vial K10326701 10/1/2020 225,500.00 - - -
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Terkecil
840 Merophenem Injeksi 1 g (DNR) Vial P8N53746 12/4/2020 220,000.00 30 6,600,000.00 -
842 Metformin Tablet 500 mg (ESV) Tablet HTMFNA81606 2/29/2020 181.50 - - -
844 Methyl Ergometrin Tablet (KF) Tablet C70296J 3/1/2022 270.60 - - -
847 Methylprednisolon Injeksi (PPG) Vial L10576701 11/1/2020 51,700.00 - - -
848 Methylprednisolon Injeksi (RNI) Vial P182033 1/31/2020 23,760.00 50 1,188,000.00 200
850 Methylprednisolon Injeksi (MU) Vial P182133 5/31/2018 23,760.00 - - -
852 Methylprednisolon Tablet 4 mg (DNR) Tablet PB01142 4/1/2022 440.55 - - -
857 Methylprednisolon Tablet 4 mg (RNI) Tablet 16445001 6/28/2022 484.00 1,000 484,000.00 -
860 Methylprednisolon Tablet 4 mg (SST) Tablet BT001 3/1/2021 576.80 - - 3,200
862 Methylprednisolon Tablet 4 mg (TSJ) Tablet TPC12447 2/1/2021 528.66 - - -
863 Methylprednisolon Tablet 4 mg (MUP) Tablet ES18004A 5/30/2020 279.40 - - 7,000
864 Methylprednisolon Tablet 16 mg (MU) Tablet G818054 7/30/2020 825.00 - - 2,000
866 Metronidazol Infus (APL) Botol TY8E004 6/30/2018 8,250.00 - - 500
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Harga Satuan
Terkecil
870 Metronidazol Tablet 500 mg (DNR) Tablet TPM99046 11/1/2022 264.00 5,000 1,320,000.00 -
871 Metronidazol Tablet 500 mg (DNR) Tablet P1C26647 11/1/2022 264.00 5,000 1,320,000.00 -
872 Metronidazol Tablet 500 mg (PPG) Tablet TPM98846 11/1/2022 264.00 - - -
873 MgSO4 40 % (GF) Vial 86E46A 5/17/2018 2,629.00 - - -
874 MgSO4 40 % (GF) Vial - - 3,652.00 66 241,032.00 -
875 MgSO4 40 % (MRP) Vial 92C48A 3/23/2020 3,796.10 240 911,064.00 -
880 Molaneuron Tablet (MBS) Tablet M13AY014 5/1/2021 440.02 10,000 4,400,220.00 -
887 Myotonic Tablet (PV) Tablet A8B199 2/1/2020 2,915.00 2,300 6,704,500.00 -
888 Myotonic Injeksi (PV) Ampul f70797 4/1/2019 6,050.00 - - -
893 N-Ace Kapsul (PV) Kapsul PB1601 2/1/2020 2,310.00 - - -
896 NaCl Piggyback (KF) Botol 48A88A 1/19/2021 15,180.00 840 12,751,200.00 -
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Harga Satuan
Terkecil
900 Natrium Klorida Infus (KF) Botol 182D01 4/1/2021 6,409.70 - - -
902 Natrium Klorida Infus (KF) Botol 380215 1/16/2023 6,409.70 500 3,204,850.00 -
904 Natrium Klorida Infus (RNI) Botol 280121 12/1/2022 6,409.70 - - -
906 Natrium Diklofenak Tablet 50 mg (KF) Tablet J72895J 10/5/2022 352.64 - - -
910 Neostigmine Hamelin (APL) Ampul 743056 10/26/2019 8,200.06 5 41,000.30 -
911 Neurosanbe Injeksi (BSP) Ampul UB3425 6/1/2019 5,324.00 - - -
914 Neurosanbe Tablet (BSP) Tablet DC2770 3/1/2022 1,160.50 - - -
915 Neurosanbe Tablet (BSP) Tablet DD2031B 4/1/2022 1,160.50 - - -
919 Nimodipin Infus (DNR) Botol PIM57545 11/1/2018 181,500.00 - - -
921 Norages Injeksi (PV) Ampul F8C277 3/1/2020 9,185.00 - - -
923 Normudal Tablet (APL) Tablet BSB089 2/28/2023 694.54 - - -
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Terkecil
927 Novorapid Flex Pen (AAM) Pen HR7F771 5/1/2020 87,000.00 - - -
928 Novorapid Flex Pen (AAM) Pen HR7j149 7/1/2020 87,000.00 100 8,699,999.88 -
931 OKsitosin Injeksi (GF) Ampul - - 1,900.00 200 380,000.00 -
932 Ondancentron Injeksi 4 mg (DNR) Ampul PIH83945 7/1/2019 5,500.00 800 4,400,000.00 3,000
938 Ondancentron Injeksi 4 mg (RNI) Ampul I172387 11/30/2019 3,190.00 - - -
944 Oxytetracyclin Salep Kulit (KF) Tube C80863W 3/7/2021 2,009.70 - - 150
945 Oxytetracyclin Salep Mata (KF) Tube A80110W 1/1/2020 3,327.50 - - 150
950 Pantocain 5 ml (PV) Botol 7P11228 12/1/2020 13,337.50 99 1,320,412.50 -
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Terkecil
957 Pantoz Injeksi (SST) Vial ET0003 5/1/2020 47,502.68 210 9,975,561.75 -
962 Paracetamol Infus (APL) Botol QY6E070 3/31/2020 11,990.00 - - -
963 Paracetamol Infus (APL) Botol BY8e045 4/30/2020 11,990.00 - - -
964 Paracetamol Infus (MU) Botol D80502 7/31/2020 19,250.00 - - 300
965 Paracetamol Infus Daparin (APL) Botol RY8E045 4/30/2020 11,990.00 - - 48
966 Paracetamol Infus Daparin (APL) Botol SY9EK002 5/31/2018 22,000.00 - - 122
967 Paracetamol Infus Daparin (APL) Botol TY8E039 6/30/2018 11,990.00 - - 672
973 Paracetamol Infus (RNI) Botol 16802028 4/1/2020 36,685.00 - - 86
974 Paracetamol Infus (RNI) Botol 16802010 BF 2/1/2020 36,685.00 - - -
977 Paracetamol Syrup (DNR) Botol SCB03747 1/1/2022 5,500.00 - - -
978 Paracetamol Syrup (RNI) Botol 16374001 5/1/2020 5,117.20 - - 1000
979 Paracetamol Tablet (KF) Tablet D807541 4/11/2022 220.72 - - -
984 Paracetamol Tablet (SST) Tablet A8628 8/1/2020 79.20 - - 20,000
985 Pehacain Injeksi (RNI) Ampul 06052090 11/30/2011 3,113.06 - - -
986 Pehacain Injeksi (RNI) Ampul 16052006 3/31/2021 3,113.06 380 1,182,960.90 -
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Terkecil
988 Petidin Injeksi (KF) Ampul EG085J 4/30/2021 13,191.42 210 2,770,198.20 200
991 Phentanyl Injeksi (KF) Ampul 5D5JB 9/1/2020 41,599.80 - - -
992 Phentanyl Injeksi (KF) Ampul K49V 12/1/2020 41,599.80 50 2,079,990.00 300
993 Phyfion Injeksi (GHF) Ampul BPINI6046 1/12/2019 9,350.00 145 1,355,750.00 -
997 Piracetam Injeksi 1 g (TSJ) Ampul PID14145 3/1/2020 6,600.00 50 330,000.00 -
1005 Polydex 5 ml (PV) Botol 8PX0212 8/1/2020 39,325.00 - - -
1010 Polydex 0,6 ml (PV) Strip 8PX60424 10/1/2020 29,150.00 40 1,166,000.00 -
1011 Polydex 0,6 ml (PV) Strip 8PX60511 11/1/2020 29,150.00 10 291,500.00 -
1012 Polygran 0,6 ml (PV) Strip 7PG61106 5/1/2020 19,250.00 - - -
1013 Polygran 0,6 ml (PV) Strip TPG61219 6/1/2020 19,250.00 - - 130
1014 Polygran 5 ml (PV) Botol 7PG1207 6/1/2020 34,787.50 20 695,750.00 39
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Terkecil
1017 Polynel 5 ml (PV) Botol 8PL0402 10/1/2020 29,562.50 30 886,875.00 -
1020 Posop 0,6 ml (PV) Strip 8P060208 8/1/2020 57,750.00 15 866,250.00 65
1024 Prednison Tablet (RNI) Tablet 16385001 7/5/2022 181.50 4,000 726,000.00 -
1025 Pritamol Tablet (MBS) Tablet ZD008 12/1/2020 214.50 - - 4,000
1026 Profolat Tablet (KF) Tablet 1961710050 9/1/2019 62.00 - - -
1027 Prograf (AAM) Tablet - - - - - -
1029 Pronalges Suppositoria (AAM) Suppo 2480646 3/1/2022 11,874.50 10 118,745.00 -
1030 Pronalges Suppositoria (AAM) Suppo 2380436 2/1/2022 11,874.50 240 2,849,880.00 -
1033 Propepsa Suspensi (PV) Botol DD110 4/1/2020 48,400.00 - - -
1034 Propepsa Suspensi (PV) Botol DD110 4/1/2020 48,400.00 132 6,388,800.00 -
1036 Propylthiouracil Tablet (AAM) Tablet 48L0915 11/1/2021 474.80 1,500 712,206.00 -
1037 Propranolol Tablet (RNI) Tablet 48L0132 11/1/2022 84.70 500 42,350.00 -
1038 Prostigmin (APL) Ampul 112197C 7/31/2022 8,200.06 250 2,050,015.00 -
1040 Protagenta 0,6 ml (PV) Strip 8PR60712 7/1/2021 39,462.50 50 1,973,125.00 200
1046 Protocin Injeksi (PV) Ampul F8C312 3/1/2020 7,920.00 100 792,000.00 -
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Terkecil
1047 Protocin Injeksi (PV) Ampul F8D383 4/1/2020 7,920.00 620 4,910,400.00 -
1048 Pumpisel Injeksi (BSP) Vial UC3806B 4/1/2020 71,492.60 - - -
1051 Pyrazinamid Tablet (KF) Tablet E70598B 4/18/2022 344.14 1,000 344,135.00 -
1056 Ranitidin Injeksi (PPG) Ampul A10356608 1/1/2021 7,150.00 - - -
1057 Ranitidin Injeksi (RNI) Ampul TIRNTB8116 1/1/2020 2,570.04 560 1,439,222.40 -
1059 Ranitidin Injeksi (TSJ) Ampul L10356721 11/1/2020 7,150.00 - - 2,000
1060 Ranitidin Injeksi (DNR) Ampul PIH732347 7/1/2020 7,040.00 - - -
1062 Ranitidin Tablet 150 mg (DNR) Tablet TSM76646 11/1/2020 660.00 - - -
1065 Ranitidin Tablet 150 mg (RNI) Tablet 16390004 7/1/2022 235.95 10,000 2,359,500.00 -
1066 Ranitidin Tablet 150 mg (TSJ) Tablet TSB02947 1/1/2021 660.00 600 396,000.00 -
1068 Recofol N Injeksi (AAM) Ampul 17232041 5/1/2019 94,050.00 - - -
1070 Recofol N Injeksi (AAM) Ampul 17234033 5/1/2019 94,050.00 70 6,583,500.00 -
1074 Recolfar Tablet (PV) Tablet FE1191 4/1/2021 4,950.00 150 742,500.00 -
1075 Renax Kapsul (MBS) Kapsul K060G013 3/1/2021 8,030.00 - - 300
1076 Reprostom Tablet (PV) Tablet PD1051 4/1/2020 8,800.00 90 792,000.00 -
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Terkecil
1078 Revolan Injeksi (BSP) Ampul UB3446 2/1/2020 33,002.56 165 5,445,421.64 -
1079 Rifampisin Tablet 450 mg (DNR) Tablet KPG22546 1/1/2021 1,870.00 4,000 7,480,000.00 -
1080 Ringer Lactat (RNI) Botol 571105 10/17/2019 7,150.00 - - -
1081 Ringer Lactat (RNI) Botol - - 7,150.00 10,000 71,500,000.00 -
1088 Salbutamol Tablet 2 mg (RNI) Tablet 6481034 12/1/2019 97.41 - - 5,000
1089 Sansulin Log-G (BSP) Pen - - 187,000.00 - - 250
1090 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 2971365 8/1/2019 21,505.00 70 1,505,350.00 -
1091 Siloxan 5 ml (PV) Botol 7S10914 9/1/2020 58,025.00 - - -
1097 Simvastatin Tablet 20 mg (RNI) Tablet KTSVNB76097 12/31/2019 1,026.67 100 102,666.67 -
1099 Sipentin Tablet (SST) Tablet 172983 11/1/2020 10,230.00 - - -
1101 Sojourn (PV) Botol S0288A30 1/1/2023 2,860,000.00 5 14,300,000.00 -
1102 Spironolacton Tablet (RNI) Tablet 48G4215 6/1/2019 407.00 - - -
1103 Spironolacton Tablet (RNI) Tablet 49C4181 2/1/2020 407.00 - - 4,000
1105 Supravenid Suppositoria (PV) Suppo G8A164 1/1/2021 12,100.00 - - -
1106 Supravenid Suppositoria (PV) Suppo G8C189 3/1/2021 13,200.00 80 1,056,000.00 -
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Terkecil
1107 Symbicort Turb (APL) Botol Xget 2/29/2020 291,200.80 - - 50
1109 Terrell (PV) Botol NO677327 10/1/2022 1,683,000.00 2 3,366,000.00 -
1110 Timol 0,5 % (PV) Botol 7TM1122 11/1/2020 52,525.00 - - -
1111 Timol 0,5 % (PV) Botol 7TM1211 12/1/2020 52,525.00 - - -
1112 Timol 0,5% (PV) Botol 8TM0117 1/1/2021 52,525.00 18 945,450.00 -
1114 Tobro 0,6 ml (PV) Strip 7T061121 11/1/2020 21,037.50 20 420,750.00 -
1116 Tobroson 5 ml (PV) Botol 7TS1128 5/1/2020 50,875.00 94 4,782,250.00 -
1120 Tomit Injeksi (ENS) Ampul I0048H0012 2/29/2020 10,606.75 100 1,060,675.00 -
1123 Vaksin Hepatitis B (Hb 0) (GF) Vial - - - - - -
1124 Vaksin Hepatitis B (Hb 0) (GF) Vial 3653816 8/1/2018 - - - -
1126 Valesco Tablet 80 mg (SST) Tablet QY8A113 3/1/2020 4,620.00 - - 1,500
1128 Vitamin B Comp Tablet (KF) Tablet I71293T 9/19/2020 135.00 5,000 675,015.00 -
1131 Vitamin C Tablet 100 mg (KF) Tablet E80076B1 4/16/2021 120.29 17,900 2,153,101.50 -
1135 Air Filter Regulator (SMAK) Pcs - - 605,000.00 - - -
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Terkecil
1139 Alkohol 1000 ml (IHS) Botol - - 33,000.00 101 3,333,000.00 -
1144 Alkohol 1000 ml (RNI) Botol D48804 5/25/2018 24,224.98 - - -
1145 Alkohol Swab (BDM) Kotak 201709 8/1/2022 26,400.00 - - -
1146 Alkohol Swab (BDM) Kotak 201801 12/1/2022 - - - -
1147 Alkohol Swab (IHS) Kotak - - 11,500.00 - - -
1148 Alkohol Swab (RNI) Kotak 20170810 8/9/2022 37,748.70 50 1,887,435.00 -
1149 Apron (IHS) - - - 2,904 - - -
1160 Appalens IOL Model 302 Anterior Chamber Power (17.00) (P Pcs - - 121,000.00 - - -
1161 Appalens Plus Square Edge Power (20.00) (PK) Pcs - - 192,500.00 - - -
1163 Appasamy Appavisc 3 ml W/ Syringe (PK) Pcs - - 121,000.00 - - -
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Terkecil
1169 Appablade AA 562021 Tunnel Blade (PK) Pcs - - 126,500.00 - - -
1171 Apron (IHS) Pcs - - 2,904.40 - - -
1172 Apron (IHS) Pcs - - 2,904.43 30 87,133.02 -
1173 Bovine Aaron Cautery Low Temperature Pcs - - 357,500.00 - - -
1174 Carbacol (PK) Pcs - - 66,000.00 - - -
1179 Catgut Cromic With Needle 2 HR 45 (RNI) Kotak 170901 8/1/2022 585,420.00 2 1,170,840.00 1
1182 Celemek (BDM) - - - 275,000 - - 4
1183 CONFORMER Medium Kiri (PK) Pcs - - 666,600.00 1 666,600.00 -
1184 CONFORMER Large Kanan (PK) Pcs - - 666,600.00 1 666,600.00 -
1185 CONFORMER Large Kiri (PK) Pcs - - 666,600.00 1 666,600.00 -
1186 CONFORMER Small Kanan (PK) Pcs - - 666,600.00 1 666,600.00 -
1187 CONFORMER Small Kiri (PK) Pcs - - 666,600.00 1 666,600.00 -
1188 Cresotin Liquid (BF) Botol 1527 9/1/2020 629,200.00 - - -
1191 Developer (BDM) Set - - 1,282,600.00 - - -
1195 Disposable Syringe With Needle 01 cc RD (RNI) Pcs 1401201 3/31/2019 822.00 800 657,599.56 -
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Terkecil
1208 Disposable Syringe With Needle 03 cc RD (RNI) Pcs 1703201 2/1/2022 862.00 900 775,799.75 7,200
1211 Disposable Syringe With Needle 03 cc TP (BDM) Pcs - - 851.40 - - 1,800
1215 Disposable Syringe With Needle 05 cc Nipro (KFI) Pcs 1710606J 9/1/2018 1,247.40 - - -
1223 Disposable Syringe With Needle 10 cc RD (BDM) Pcs 180502 2/1/2023 1,216.60 14,600 17,762,360.00 -
1224 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1705201 4/1/2022 1,163.00 - - -
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Terkecil
1227 Disposable Syringe With Needle 50 cc LT(BDM) Pcs 120717 12/1/2022 4,812.50 - - 475
1228 Disposable Syringe With Needle 50 cc LP (BDM) Pcs 120717 12/1/2022 4,812.50 - - 475
1231 Elektroda Patien Monitor (BDM) Pak 7162X 6/1/2019 220,000.00 - - -
1233 Endotracheal Tube 2,5 (BDM) Pcs 166640 6/1/2021 165,000.00 10 1,650,000.00 10
1234 Endotracheal Tube 2,5 (BDM) Pcs - - 165,000.00 - - -
1238 Endotracheal Tube 7,0 (BDM) Pcs 14IE36 8/1/2019 82,500.00 20 1,650,000.00 -
1239 Endotracheal Tube 7,5 (BDM) Pcs 141G01 8/1/2019 82,500.00 20 1,650,000.00 -
1241 Feeding Tube FR 05 (BDM) Pcs 160813B 7/1/2019 33,599.50 - - -
1246 Feeding Tube FR 18 (BDM) Pcs - - 38,500.00 - - 90
1247 Film 30 x 40 (BDM) Kotak 43433 6/1/2020 4,109,600.00 - - -
1248 Film 35 x 35 (BDM) Kotak 44611 6/1/2020 4,462,700.00 - - -
1249 Film 35 x 35 (BDM) Kotak 44805 6/1/2020 4,462,700.00 - - -
1250 Film 35 x 35 (BDM) Kotak 45835 11/1/2020 4,462,700.00 - - -
1251 Film 35 x 35 (BDM) Kotak 45460 - 4,462,700.00 5 22,313,500.00 -
1254 Fixer (BDM) Set CAT873505 - 790,900.00 - - -
1255 Fixer (BDM) Set - - 790,900.00 - - -
1256 Fluorescetin sodium Opthalmic Strips U.S.P (PK) Kotak - - 605,000.00 - - -
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Terkecil
1259 Foley Catheter 2 Way 16 (BDM) Pcs 16I09 8/1/2021 24,200.00 - - -
1260 Foley Catheter 2 Way 16 (BDM) Pcs 17 E 04 4/1/2022 24,200.00 20 484,000.00 100
1261 Foley Catheter 2 Way 16 (BDM) Pcs 17 E 04 4/1/2022 24,200.00 - - -
1263 Foley Catheter 2 Way 18 (BDM) Pcs 16108 8/1/2021 24,200.00 - - -
1264 Foley Catheter 2 Way 18 (BDM) Pcs 16G09 6/1/2021 24,200.00 - - -
1265 Foley Catheter 2 Way 18 (BDM) Pcs 16108 7/1/2021 24,200.00 100 2,420,000.00 -
1267 Formalin (BM) Liter - - 137,500.00 - - 16
1270 FSBB Benang 8/0 PGA (PK) Pcs - - 418,000.00 - - 2
1271 FSBB Benang 8/0 PGA (PK) Kotak - - 5,016,000.00 - - 2
1273 FSSB Benang 10/0 Nylon Black (PK) Kotak - - 3,036,000.00 - - -
1275 FSSB Benang Nylon 10/0 (PK) Kotak - - 3,999,600.00 - - 2
1282 GC Fuji IX Univerio (BF) Botol 1710171 10/1/2020 917,373.60 - - -
1283 GC HS Posterior (BF) Botol 1801131 1/1/2021 1,468,940.00 - - -
1285 Handrub E Care (ESV) ml 1803268 3/1/2021 127.68 - - -
1286 Handrub Fresco (RNI) ml - - 111.00 - - -
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Terkecil
1287 Handscoon Manual NS (BDM) Pasang - - 30,250.00 90 2,722,500.00 90
1288 Handscoon Manual ST (BDM) Pasang 18113101 3/1/2023 48,400.00 160 7,744,000.00 -
1294 Handscoon NS S (BDM) Kotak - - 52,750.50 - - -
1295 Handscoon NS S Fresco (BDM) Kotak 170870602 6/1/2022 484 - - 21,000
1296 Handscoon NS L (BDM) Kotak - - 52,750.50 - - -
1297 Handscoon NS M Fresco (BDM) Kotak 170540802 4/1/2023 48,434.55 - - -
1302 Handscoon ST 6,5 (BDM) Pasang 17070105 6/1/2022 5,170.00 25 129,250.00 -
1304 Handscoon ST 6,5 (BDM) Pasang 17070105 6/1/2022 - - - -
1306 Handscoon ST 6,5 Altamed (SST) Pasang 81171 6/1/2022 10,001.39 200 2,000,278.00 -
1307 Handscoon ST 6,5 Altamed (SST) Pasang G8A021 5/1/2023 10,001.39 - - -
1309 Handscoon ST 6,5 Protos (BDM) Pasang 17070105 6/1/2022 5,170.00 2,000 10,340,000.00 -
1312 Handscoon ST 7 (BDM) Pasang 17070105 6/1/2022 5,170.00 2,140 11,063,800.00 -
1316 Handscoon ST 7,5 (BDM) Pasang 203038344SPJA 2/1/2022 8,819.80 - - -
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Terkecil
1323 Handscoon ST 7 Protos (BDM) Pasang 17070105 7/1/2022 5,170.00 2,000 10,340,000.00 -
1324 Hidrogen PerOKsida (BM) Liter - - 192,500.00 - - -
1333 Hypavix 15 x 5 (BDM) Roll - - 240,680.00 28 6,739,040.00 48
1337 Infus Set Makro Eskamed (BDM) Pcs 171020 9/1/2022 10,332.30 - - -
1342 Infus Set Makro TP (BDM) Pcs 180720 - 8,333.60 100 833,360.00 -
1343 Infus Set Makro TP (BDM) Pcs - 7/1/2023 8,333.60 1,200 10,000,320.00 -
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Terkecil
1350 IV Catheter 18 Abbocath (BDM) Pcs 60201KY 11/1/2020 16,000.00 - - -
1352 IV Catheter 18 Eskamed (BDM) Pcs 3295517L 9/1/2022 - - - -
1359 IV Catheter 20 Abbocath (BDM) Pcs 69-205-KY 8/1/2020 16,000.00 1,200 19,200,000.00 -
1360 IV Catheter 20 Abbocath (BDM) Pcs 20161030 9/1/2020 16,000.00 - - -
1361 IV Catheter 20 Eskamed (BDM) Pcs 3295617L 9/1/2022 12,600.50 - - -
1362 IV Catheter 20 Eskamed (BDM) Pcs 3225117H 7/1/2022 12,600.50 - - -
1370 IV Catheter 22 Abbocath (BDM) Pcs 71-206-KY 10/1/2021 16,000.00 1,200 19,199,994.00 -
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Terkecil
1380 Jarum Kulit No. 10 (BDM) Lusin - - 38,500.00 36 1,386,000.00 -
1383 Jarum otot No. 13 (BDM) Lusin - - 38,500.00 - - 10
1385 Jarum Kulit No. 15 (BDM) Lusin MD 17171802 - 38,500.00 30 1,155,000.00 -
1386 Jarum Otot No. 16 (BDM) Lusin - - 38,500.00 27 1,039,500.00 -
1389 Jelly Ultrasound 250 ml (BDM) Botol 20170710 7/1/2020 29,700.00 - - -
1390 Jelly 5 kg (BDM) Gal C5066C 3/1/2022 550,000.00 2 1,100,000.00 0
1391 Kapas 250 g (BDM) Roll - - 22,275.00 30 668,250.00 -
1392 Kapas 250 g (RNI) Roll 0216 10/31/2020 42,900.00 - - -
1393 Kapas 250 g (GF) Roll - - 29,500.00 - - -
1394 Kapas 500 g (RNI) Roll 0216 10/31/2020 85,415.00 - - -
1395 Kapas 500 g (BDM) Roll 1410069 10/1/2019 82,208.50 - - -
1396 Kapas 500 g (BDM) Roll 1411082 11/1/2019 82,208.50 - - -
1397 Kapas 500 g (BDM) Roll 1411084 11/1/2019 82,208.50 - - -
1398 Kapas 500 g (BDM) Roll 1412099 12/1/2019 82,208.50 - - -
1399 Kapas 500 g (BDM) Roll 1502008 2/1/2020 82,208.50 - - -
1400 Kapas 500 g (BDM) Roll 1503009 3/1/2020 161,370.00 - - 24
1401 Kapas 500 g (IHS)) Roll - - 31,372.00 - - -
1402 Kapas 1000 g (BDM) Roll 1505025 5/1/2020 164,417.00 - - -
1403 Kapas 1000 g (BDM) Roll 1505026 5/1/2020 164,417.00 - - -
1404 Kapas 1000 g (BDM) Roll - - 110,000.00 - - 20
1405 Kasa Hidrofil 40 x 80 (BDM) Roll - - 165,000.00 15 2,475,000.00 -
1406 Kasa Hidrofil 40 x 80 (BDM) Roll 4508550724 - 165,000.00 - - -
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Terkecil
1412 Kasa Hidrofil 36 x 80 (RNI) Roll 590518 5/31/2022 233,200.00 12 2,798,400.00 -
1415 Kasa Hidrofil 36 x 80 (RNI) Roll - 4/1/2022 139,176.40 - - -
1418 Kertas EKG 110 (BDM) Roll - - 165,000.00 15 2,475,000.00 -
1419 Kertas EKG 210 (BDM) Roll 33815 12/1/2018 192,500.00 - - -
1420 Kertas EKG 210 (BDM) Roll 35306 - 192,500.00 26 5,005,000.00 -
1421 Kertas Puyer (BDM) Pak - - 27,500.00 - - -
1425 Kertas USG (BDM) Roll - - 385,000.00 50 19,250,000.00 -
1426 KIT CESAREA KIT CSR001 (RNI) Pcs 7573 12/1/2019 288,492.00 - - -
1427 Leukomed T-Plus (BDM) Roll 72382 - 38,500.00 - - 50
1428 Leukoplast (BDM) Roll 70110609 12/1/2019 37,620.00 - - 50
1429 Medicrepe 6 Inch (IHS) Roll - - 29,150.00 - - -
1431 Mani Benang (PK) Pcs - - 4,006,200.00 - - -
1432 Mani Benang PGA 8/0 (PK) Kotak - - 4,006,200.00 - - -
1433 MANI opthalmic mcu 26 Crescent (PK) Kotak - - 1,210,000.00 - - -
1435 Masker Ear Loop Fresco (BDM) Pcs - - 26,099.70 - - -
1436 Masker Hijab (IHS) Pcs - - 506.00 - - -
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Terkecil
1437 Masker Hijab (BDM) Pcs - - 605.00 - - -
1438 Masker Tie On (BDM) Pcs - - 521.99 - - 26,000
1441 Masker Tie On Fresco (BDM) Pcs - - 26,099.70 - - -
1442 Masker Tie On Fresco (BDM) - - - 26,099.70 - - -
1461 Mitela M (BDM) Box - - 55,000.00 - - 1
1462 Mitela L (BDM) Box - - 55,000.00 - - 1
1463 MIO-CHOL (PK) Pcs - - 66,000.00 - - -
1464 Nasal O2 Anak (BDM) Pcs 20170315 3/1/2022 15,120.60 - - 100
1465 Nasal O2 Anak (BDM) Pcs - - 15,120.60 - - -
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Terkecil
1467 Nasal O2 Bayi (BDM) Pcs - - 30,250.00 - - -
1469 Nasal O2 Bayi (BDM) Pcs 2.02E+07 10/1/2021 15,253.00 15 228,795.00 100
1474 Nasal O2 Dewasa (BDM) - - - 6,089.00 - - 100
1475 Nasal O2 Dewasa (IHS) Pcs - - 6,600.00 - - -
1476 Nasal O2 Dewasa Bubble (IHS) Pcs - - 6,325.00 14 88,550.00 -
1477 Nasal O2 Dewasa Eskamed (BDM) Pcs 170375 1/1/2023 15,120.60 70 1,058,442.00 -
1478 Novotwist (AAM) Pcs 17B06N 1/1/2022 2,083.00 - - 5,000
1480 Nylon Daclon 2/0 DS 24 (RNI) Kotak - - 275,459.91 2 550,919.82 -
1481 Nylon Daclon 3/0 DS 19 (RNI) Kotak - - 275,459.91 - - -
1482 Nylon Daclon 3/0 DS 19 (RNI) Kotak 170714 6/1/2022 825,000.00 1 825,000.00 -
1483 Octenic Body Wash (PPG) Pak 02GLO101-4 1/1/2020 19,800.00 54 1,069,200.00 -
1487 One Scrub 4% 500 ML Botol - - 82,500.00 3 247,500.00 -
1488 One Scrub 4% Galon 5 LT ml - - 110.88 35,000 3,880,800.00 -
1489 Paramono Clorofen (BF) Botol 80517 11/1/2020 110,000.00 - - -
1491 Penjepit Tali Pusar (BDM) Pcs 160919 9/1/2021 2,200.00 50 110,000.00 -
1494 Penjepit Tali Pusar (BDM) Pcs - - 2,200.00 - - 300
412682303.xlsx 645
Harga Satuan
Terkecil
1497 Perfusor (BDM) Pcs 17D19K8411 4/1/2022 99,000.00 - - -
1498 Perfusor (BDM) Pcs 17L19K8411 10/1/2022 99,000.00 150 14,850,000.00 -
1499 Polifix 5cm x 5cm Roll - - 40,371.99 - - 200
1501 Povidon Iodida (KF)) Botol K73268W 11/29/2020 59,966.50 - - -
1502 Povidon Iodida (KF)) Botol - 8/15/2020 59,966.50 44 2,638,526.00 -
1503 PROTESA Large Kanan (PK) Pcs - - 588,500.00 1 588,500.00 -
1504 PROTESA Large Kiri (PK) Pcs - - 666,600.00 1 666,600.00 -
1505 PROTESA Medium Kanan (PK) Pcs - - 588,500.00 1 588,500.00 -
1506 PROTESA Medium Kiri (PK) Pcs - - 588,500.00 1 588,500.00 -
1507 PROTESA Small Kanan (PK) Pcs - - 588,500.00 1 588,500.00 -
1508 PROTESA Small Kiri (PK) Pcs - - 588,500.00 1 588,500.00 -
1514 Spatula (BDM) Pcs - - 16,500.00 1 16,500.00 -
1515 Silk Black With Needle 2/0 HR 30 (RNI) Kotak 170912 8/1/2022 269,219.94 - - -
1516 Single Bond (BF) Botol 3928330 4/1/2020 1,652,638.90 - - 0
1517 Softband 6 Inch (BDM) Roll 724217 7/1/2022 56,485.00 10 564,850.00 -
1518 Spinocain 25 G (BDM) Pcs 17G19H8B61 7/1/2022 48,400.00 - - -
1519 Spinocain 25 G (BDM) Pcs 17N0768216 12/1/2022 48,400 150 7,260,000.00 -
1520 Solare X (BF) Botol 1711152 11/1/2020 542,080.00 - - 0
1521 Stomach Tube 16 Terumo (BDM) Pcs 170116B 12/1/2021 33,599.50 - - 20
1523 Suction Catheter FR 6 (BDM) Pcs 20171125 11/1/2022 4,032.60 - - -
1524 Suction Catheter FR 6 (BDM) Pcs 1722811 4/1/2022 9,900.00 - - 50
412682303.xlsx 646
Harga Satuan
Terkecil
1533 Sungkup Nebulizer Anak (BDM) Pcs 171212 11/1/2022 66,000.00 - - 200
1534 Sungkup Nebulizer Anak (BDM) Pcs - - 66,000.00 - - -
1537 Sungkup Nebulizer Dewasa (BDM) Pcs 1801011 6/1/2023 66,000.00 42 2,772,000.00 -
1538 Sungkup O2 Anak (BDM) Pcs 160211 2/1/2021 66,000.00 - - -
1539 Sungkup O2 Anak (BDM) Pcs - - 66,000.00 - - 138
1542 Sungkup O2 Dewasa (BDM) Pcs 170523 5/1/2022 66,000.00 2 132,000.00 -
1543 Sungkup O2 Dewasa NMR (BDM) Pcs 1512022020 11/1/2020 66,000.00 - - -
1544 Sungkup O2 Dewasa NMR (BDM) Pcs 15120022020 11/1/2022 66,000.00 35 2,310,000.00 200
1546 Sungkup O2 Dewasa + Sungkup O2 (BDM) Pcs - - 66,000.00 - - -
1549 Surgicryl 910 1 HR 36 (RNI) Kotak 170210 1/1/2022 1,048,740.00 3 3,146,220.00 -
1555 Surgicryl 910 2 HR 48 (RNI) Kotak - - 1,258,620.00 - - -
412682303.xlsx 647
Harga Satuan
Terkecil
1557 Surgicryl 910 2/0 HR 17 (RNI) Kotak 170210 1/1/2022 917,339.94 - - -
1558 Surgicryl 910 2/0 HR 36 (RNI) Kotak 171114 10/1/2022 807,659.95 3 2,422,979.86 20
1559 Surgicryl 910 3/0 HR 26 (RNI) Kotak 170909 8/1/2022 1,008,000.00 9 9,072,000.00 -
1560 Surgicryl 910 2/0 HR 26 (RNI) Kotak D1114 10/1/2022 1,148,400.00 - - 23
1562 Surgicryl 910 3/0 HR 30 (RNI) Kotak - - 807,659.93 - - -
1563 Surgiwear Eye Drepe 100 x 70 (PK) Pcs - - 77,000.00 - - -
1564 Surgical Gown Steril (New) Bh - - 26,527.60 - - -
1567 Tensocrepe 4 Inch (BDM) Roll 31711152 11/1/2022 107,305.00 24 2,575,320.00 -
1570 Three Way Stop Cock (BDM) Pcs - - 22,000.00 250 5,500,000.00 500
1579 Three Way Stop Cock (BDM) Pcs 15552-01 1/1/2023 22,000.00 - - -
1582 Transfusi Set Eskamed (BDM) Pcs 180509 4/1/2023 16,380.10 700 11,466,070.00 -
412682303.xlsx 648
Harga Satuan
Terkecil
1588 Tricresol Formal (BF) Botol 69717 10/1/2020 135,300.00 - - -
1589 Trypan Blue (PK) Pcs - - 66,000.00 - - -
1590 Truwax (BDM) Pcs IM 42139 9/1/2019 114,950.00 - - -
1591 Truwax (BDM) Pcs 180010 - 114,950.00 - - 120
1592 Urine Bag (BDM) Pcs 20171220 12/1/2022 5,728.80 100 572,880.00 -
1593 Urine Bag Aximed (KF) Pcs 17233B 12/14/2022 6,875.00 250 1,718,750.00 -
1594 Urine Bag (RNI) Pcs 16531 10/1/2021 6,600.00 - - -
1595 Urine Bag (RNI) Pcs 17046 2/1/2022 6,600.00 - - -
1597 Water One (IHS) Botol - - 17,952.00 86 1,543,872.00 -
1598 W Care DC (PPG) Pcs 1790901 9/1/2020 58,080.00 10 580,800.00 -
1599 Wooden Tangue Depressor (BDM) Pcs - - 660.00 350 231,000.00 -
1600 Wooden Tangue Depressor (BDM) Box - - 660.00 - - -
TOTAL 1,652,705,464.08


NIP : 19810727 201001 1 012 NIP. 19820918 200804 2 002
412682303.xlsx 649
BHP PADA GUDANG INSTALASI FARMASI
N OKTOBER TAHUN 2018
- - - - -
- - - - -
- - - - -
- - - 8 406,560
- - - 10 500,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 96 4,622,006
- - - - -
- 1,000 32,780 1,000 32,780
45,472.80 - - 28 106,103
- - - - -
- - - - -
- - - - -
- - - 5,000 207,900
- - - - -
387,200.00 - - 16 387,200
- - - 10 220,000
412682303.xlsx 650
- 1 508,200 2 1,016,400
- - - - -
5,929,000.00 - - 1,100 5,929,000
- 1,000 770,000 3,500 2,695,000
- - - - -
- - - - -
- - - - -
- - - 1,700 160,483
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 30 267,300 30 267,300
- - - - -
- - - - -
- - - 900 83,160
- - - - -
- - - - -
350,625.00 - - 75 350,625
- - - 22 2,420,000
- - - - -
- - - 370 3,357,750
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 400 857,120
412682303.xlsx 651
- 90 871,200 60 580,800
- - - - -
- - - - -
- - - - -
- - - 30 127,776
- - - 14 59,629
- - - 10 550,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1,600 1,392,002
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 490 4,312,000
- - - - -
- - - - -
412682303.xlsx 652
- 30 99,000 160 528,000

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 90 825,000
- - - - -
- 300 594,000 500 990,000
- - - - -
- - - - -
- - - 40 638,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 653
- - - - -
- - - - -
- - - - -
- - - - -
- - - 440 63,404,000
- - - - -
- - - 30 2,640,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1,600 259,424
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
3,599,992.00 - - 2,000 3,599,992
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 5 369,940
- - - - -
- - - - -
412682303.xlsx 654
- - - - -
- - - - -
- - - 300 468,270
733,590.00 10 64,350 104 669,240
- - - 900 2,435,400
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 80 6,160,000
- - - 30 1,155,000
- - - 6 726,000
- - - 4 292,000
- - - 50 514,250
- - - 1,500 5,841,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 300 1,168,800 100 389,600
- - - - -
- - - - -
- - - - -
- - - - -
- - - 2,000 185,350
- - - 4 2,822,000
412682303.xlsx 655
- - - 24 76,956
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500 265,496 300 159,298
- 200 330,000 4,200 6,930,000
- 2 338,241 16 2,705,925
- - - 700 280,003
- - - - -
- - - 120 11,088,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 656
- - - - -
- 500 66,550 500 66,550
- - - 1,650 13,612,500
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 150 21,450,000
- - - 250 33,000,000
- - - 20 1,848,000
- - - 40 2,640,000
- - - - -
- - - 150 10,560,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 657
- - - - -
- - - - -
- - - 70 924,000
- - - - -
- - - - -
- - - 260 1,901,900
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 60 198,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 30 181,500
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 658
- - - - -
- - - - -
- - - - -
- - - - -
- - - 300 1,200,166
- - - - -
- - - 25 110,016
- - - - -
- - - - -
- - - - -
- - - 1,300 566,108
- - - - -
- - - - -
- - - - -
- - - 8 1,540,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1 825,000
- - - - -
- 1 825,000 1 825,000
- - - 100 1,320,000
- - - - -
412682303.xlsx 659
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 10 825,000
- 5 412,500 15 1,237,500
- - - - -
- - - - -
- - - - -
- - - 250 9,625,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 40 2,772,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 660
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 100 637,450 300 1,912,350
- - - 50 800,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 661
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 10 302,500
- - - - -
- - - - -
1,650,000.00 1 825,000 1 825,000
- - - - -
- - - 3 2,475,000
- 2 2,420,880 1 1,210,440
- 2 2,420,880 1 1,210,440
- - - - -
- - - 144 14,335,200
- - - 144 13,533,062
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 662
- - - - -
- 1 660,000 1 660,000
- 2 1,320,000 10 6,600,000
- - - - -
- - - - -
- - - 1 660,000
- - - - -
- - - - -
- - - 300 14,520,000
- - - 150 7,260,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1 1,544,400
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
5,500,000.00 600 1,100,000 2,400 4,400,000
7,700,000.00 - - 4,200 7,700,000
- - - 50 171,903
412682303.xlsx 663
- - - - -
15,099,997.00 2 3,019,999 9 13,589,997
- - - 1,000 182,017
- - - - -
- - - - -
- - - - -
- 1,000 574,750 2,500 1,436,875
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,006,902.60 - - 15,000 1,510,354
- - - - -
- 3,100 1,023,000 - -
- - - 20 1,299,782
- - - - -
356,393.40 - - 90 356,393
594,000.00 - - 150 594,000
708,400.00 500 70,840 4,500 637,560
- 210 91,637 - -
- 120 52,364 - -
- - - - -
412682303.xlsx 664
- - - - -
- - - - -
- - - - -
- - - 1,200 576,004
- - - - -
- - - 2,100 311,673
- - - - -
336,600.00 - - 1,020 336,600
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 600 490,598 - -
- - - - -
- - - - -
- 3,000 715,000 - -
- - - - -
- - - - -
8,470,469.70 - - 140 8,470,470
- - - - -
- - - - -
3,082,200.00 50 102,740 1,450 2,979,460
- - - - -
- - - - -
- 1,500 315,893 3,500 737,083
- - - - -
- 200 2,090,000 - -
- 960 2,745,600 240 686,400
412682303.xlsx 665
- - - - -
550,000.00 - - 500 550,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,800 1,579,776 3,200 743,424
- - - 8,000 1,858,560
4,335,672.00 920 1,994,409 1,080 2,341,263
94,000.00 50 94,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
633,600.00 120 633,600 - -
- - - - -
17,424,000.00 500 871,200 9,500 16,552,800
- - - - -
- - - - -
- 20 355,780 6 106,734
- - - 24 426,936
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 240 2,315,016 192 1,852,013
412682303.xlsx 666
- - - - -
- - - 100 180,000
- - - 300 544,500
6,930,000.00 - - 1,500 6,930,000
- 200 1,100,000 2,100 11,550,000
594,999.90 2,500 297,500 2,500 297,500
- - - - -
- - - - -
- - - 25 72,600
2,751,000.00 1,600 336,000 11,500 2,415,000
- 70 5,158,512 90 6,632,372
- - - - -
- - - - -
- - - - -
- - - - -
- 150 825,000 - -
- 250 1,375,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 60 9,900,000 - -
- - - - -
- - - - -
- 50 2,911,700 100 5,823,400
412682303.xlsx 667
- - - - -
- 480 119,040 900 223,200
5,232,315.00 15 313,939 235 4,918,376
- - - - -
- - - - -
- - - - -
- 60 3,960,000 230 15,180,000
- - - - -
- - - 1 56,045
- - - 23 1,289,035
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
5,148,000.00 1,020 4,488,000 150 660,000
- - - - -
- - - - -
- 1,000 97,405 1,000 97,405
- - - 8,000 779,240
- - - - -
- - - - -
- 5,000 400,015 9,600 768,029
- - - - -
- - - - -
- 70 917,840 50 655,600
290,004.00 500 145,002 500 145,002
- - - - -
- - - 80 2,480,016
412682303.xlsx 668
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 3,500 4,235,000 6,500 7,865,000
- - - - -
1,131,669.00 48 393,624 90 738,045
1,197,295.00 500 1,197,295 - -
- - - - -
- - - - -
3,630,000.00 50 1,815,000 50 1,815,000
- - - - -
- - - - -
- 680 30,668,000 - -
- 300 13,530,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 120 2,970,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 669
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
19,250,000.00 300 11,550,000 2,000 77,000,000
- - - - -
11,440,000.00 140 6,160,000 120 5,280,000
- - - - -
- - - 5 83,875
- - - 100 1,677,500
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 50 1,237,500 50 1,237,500
- - - 8 336,600
- - - 20 841,500
- - - 50 2,103,750
- - - - -
- 50 618,750 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 670
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 22 843,975 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
264,275.00 200 52,855 800 211,420
- - - 1,600 16,720,000
- - - 400 4,180,000
- - - - -
12,540,000.00 - - 200 12,540,000
- - - - -
- - - - -
- - - - -
- - - - -
1,519,760.00 1,800 1,094,227 700 425,533
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 671
- - - 600 4,400,000
- 1,200 8,800,000 - -
11,000,000.00 600 4,400,000 900 6,600,000
- - - - -
- - - - -
- - - - -
- 600 1,799,402 1,320 3,958,684
- - - 4,080 12,235,934
9,599,990.40 800 1,599,998 4,000 7,999,992
173,404.00 - - 1,000 247,720
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 3,780 23,631,287
- - - 2,070 12,940,943
- - - - -
- - - - -
14,980,130.00 600 1,449,690 5,600 13,530,440
149,028.00 500 74,514 4,500 670,626
- - - - -
1,035,000.45 - - 90 1,035,000
- 200 24,750 1,800 222,750
- 120 223,753 180 335,630
10,879,000.00 20 5,439,500 40 10,879,000
- - - 10 139,450
- - - 10 702,882
- - - 40 2,811,530
412682303.xlsx 672
- 20 255,200 - -
- 29 119,657 - -
- 21 323,400 179 2,756,600
- - - - -
- - - - -
- 1,000 479,490 1,500 719,235
- - - - -
- - - - -
- - - - -
- - - 300 165,050
- 50 801,680 150 2,405,040
- - - 400 531,740
- - - 7 4,335,100
- - - - -
- - - - -
- 50 2,750,000 350 19,250,000
- - - 900 183,150
- - - - -
- - - - -
- - - - -
- 150 17,820,000 - -
- - - 60 528,000
- 30 270,600 510 4,600,200
- - - - -
- - - - -
- - - - -
- - - 20 635,250
- - - 198 6,288,975
- - - - -
- - - - -
412682303.xlsx 673
- - - - -
- 600 5,610,000 300 2,805,000
- - - - -
- - - 50 3,850,000
- - - - -
- - - 6 396,000
- - - - -
- - - - -
- - - - -
- 200 6,600,000 - -
- - - - -
- - - - -
- - - - -
559,350.00 24 4,474,800 24 4,474,800
7,700,000.00 - - 3,500 7,700,000
- - - - -
- 300 53,503 700 124,840
- - - 216 8,940,864
- - - - -
- - - - -
- 900 5,445,000 - -
7,897,312.50 - - 1,500 7,897,313
- 6 1,320,000 34 7,480,000
- - - 5 15,400,000
- 270 3,088,800 750 8,580,000
- - - - -
- - - - -
- - - - -
- 60 11,550,000 90 17,325,000
- - - - -
412682303.xlsx 674
- - - - -
- - - 40 85,052
- - - - -
- - - - -
- - - 800 3,792,800
- - - - -
- 500 440,000 500 440,000
- 1,300 8,970,390 320 2,208,096
- - - 2,680 18,492,804
- - - - -
- - - 120 899,976
- 80 599,984 - -
- 24 240,240 156 1,561,560
- - - - -
- - - - -
- - - - -
9,350,000.00 32 1,496,000 168 7,854,000
- - - - -
- - - - -
12,919,500.00 - - 1,350 12,919,500
- - - 1,900 338,204
- - - 240 635,448
- - - - -
- 4 3,520,000 4 3,520,000
- 1,500 504,174 1,500 504,174
- - - 50 133,870
- - - - -
- 1,500 338,316 3,000 676,632
- - - - -
- - - - -
412682303.xlsx 675
- 10 660,000 10 660,000
- - - - -
5,324,000.00 1,000 968,000 4,500 4,356,000
- - - - -
- - - - -
- - - 1,000 170,005
- - - - -
- - - - -
- - - - -
- 80 819,984 - -
- - - 20 3,410,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
40,095,000.00 1,500 24,057,000 2,200 35,283,600
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500 877,500 1,500 2,632,500
- 50 3,289,000 50 3,289,000
2,150,500.00 300 322,575 1,700 1,827,925
412682303.xlsx 676
- - - - -
- - - - -
924,000.00 - - 700 924,000
- - - - -
- 1,500 495,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 40 3,358,000 60 5,037,000
1,824,460.00 - - 200 1,824,460
- - - - -
- - - 49 3,732,575
- - - - -
- 1,000 84,997 18,000 1,529,946
- - - - -
- - - 1,900 2,278,100
- - - 50 34,595
- - - - -
- - - - -
- 300 215,820 - -
- 200 143,880 550 395,670
- - - - -
14,998,005.00 40 1,999,734 260 12,998,271
- - - - -
- - - - -
412682303.xlsx 677
- - - - -
- - - - -
- - - - -
- 30 6,600,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
4,752,000.00 150 3,564,000 100 2,376,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,000 484,000 - -
- - - - -
- - - - -
1,845,760.00 - - 3,200 1,845,760
- - - - -
- - - - -
1,955,800.00 3,500 977,900 3,500 977,900
1,650,000.00 - - 2,000 1,650,000
- - - - -
4,125,000.00 44 363,000 456 3,762,000
412682303.xlsx 678
- - - - -
- - - - -
- - - - -
- - - 5,000 1,320,000
- - - 5,000 1,320,000
- - - - -
- - - - -
- 66 241,032 - -
- 30 113,883 210 797,181
- - - 48 171,600
- - - - -
- - - 3,000 1,082,400
- - - - -
- 3,000 1,320,066 7,000 3,080,154
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2,300 6,704,500 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 200 3,036,000 640 9,715,200
412682303.xlsx 679
- - - - -
- - - 15 686,813
- - - - -
- - - - -
- - - - -
- - - 500 3,204,850
- 1,720 11,024,684 5,760 36,919,872
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 5 41,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500 70,945 1,000 141,889
- - - - -
- - - - -
- - - - -
- - - - -
- 150 633,600 300 1,267,200
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 680
- - - - -
- 35 3,045,000 65 5,655,000
- - - - -
- - - - -
- - - 200 380,000
16,500,000.00 800 4,400,000 3,000 16,500,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 400 167,200
301,455.00 - - 150 301,455
499,125.00 - - 150 499,125
- - - - -
- 50 3,052,500 50 3,052,500
- - - - -
- - - - -
- - - 99 1,320,413
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 681
- 210 9,975,562 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
5,775,000.00 108 2,079,000 192 3,696,000
575,520.00 48 575,520 - -
2,684,000.00 122 2,684,000 - -
8,057,280.00 - - 672 8,057,280
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
3,154,910.00 - - 86 3,154,910
- - - - -
- - - - -
- - - - -
- - - - -
5,117,200.00 150 767,580 850 4,349,620
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,584,000.00 3,000 237,600 17,000 1,346,400
- - - - -
- 80 249,044 300 933,917
412682303.xlsx 682
- - - - -
2,638,284.00 80 1,055,314 330 4,353,169
- - - - -
- - - - -
- - - - -
12,479,940.00 150 6,239,970 200 8,319,960
- 45 420,750 100 935,000
- - - 600 660,330
- - - - -
- - - - -
- - - 50 330,000
- - - 350 2,310,000
- - - - -
- - - - -
- - - - -
- - - 190 3,899,940
- - - 3,000 1,854,930
- - - 1,440 340,732
- - - - -
- - - - -
- - - 50 1,966,250
- - - - -
- - - - -
- - - 40 1,166,000
- - - 10 291,500
- - - - -
2,502,500.00 130 2,502,500 - -
1,356,712.50 39 1,356,713 20 695,750
- - - - -
- - - - -
412682303.xlsx 683
- - - 30 886,875
- - - 100 2,956,250
- - - - -
3,753,750.00 80 4,620,000 - -
- - - - -
- - - - -
- - - - -
- - - 4,000 726,000
858,000.00 - - 4,000 858,000
- - - - -
- - - - -
- 1,000 60,005 1,500 90,008
- - - 10 118,745
- - - 240 2,849,880
- - - - -
- - - - -
- - - - -
- 48 2,323,200 84 4,065,600
- - - - -
- 500 237,402 1,000 474,804
- 500 42,350 - -
- 10 82,001 240 1,968,014
- - - - -
7,892,500.00 - - 250 9,865,625
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 100 792,000 - -
412682303.xlsx 684
- 380 3,009,600 240 1,900,800

- - - - -
- - - - -
- - - 2,000 617,100
- 1,000 344,135 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 560 1,439,222 - -
- - - - -
14,300,000.00 1,760 12,584,000 240 1,716,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,000 1,415,700 4,000 943,800
- 600 396,000 - -
- - - 75 577,500
- - - - -
- - - - -
- 20 1,881,000 50 4,702,500
- - - - -
- - - - -
- - - - -
- 150 742,500 - -
2,409,000.00 - - 300 2,409,000
- 90 792,000 - -
412682303.xlsx 685
- - - 65 2,145,166
- - - 165 5,445,422
- - - 4,000 7,480,000
- - - - -
- 3,940 28,171,000 6,060 43,329,000
- - - - -
- - - - -
- - - - -
- - - 80 7,920,000
- - - - -
- - - - -
487,025.00 1,000 97,405 4,000 389,620
46,750,000.00 - - 250 46,750,000
- 70 1,505,350 - -
- - - - -
- - - - -
- - - 90 544,500
- - - - -
- 900 202,495 7,000 1,574,958
- - - - -
- 100 102,667 - -
- 300 167,585 600 335,170
- - - - -
- - - - -
- 1 2,860,000 4 11,440,000
- - - - -
1,628,000.00 1,000 407,000 3,000 1,221,000
- - - - -
- - - - -
- - - 80 1,056,000
412682303.xlsx 686
14,560,040.00 3 873,602 47 13,686,438

- - - 1 1,683,000
- - - 2 3,366,000
- - - - -
- - - - -
- - - 18 945,450
- - - - -
- - - 20 420,750
- - - - -
- 94 4,782,250 - -
- - - - -
- - - - -
- - - - -
- - - 100 1,060,675
- 50 530,338 - -
- - - - -
- - - - -
- - - - -
- - - - -
6,930,000.00 1,500 6,930,000 - -
- - - 8 162,800
- 2,000 270,006 3,000 405,009
- - - - -
- - - - -
- 2,000 240,570 15,900 1,912,532
- 1,500 905,999 2,500 1,509,998
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 687
- - - - -
- - - - -
- 101 3,333,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2 75,497 48 1,811,938
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 688
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 10 29,044 20 58,089
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
585,420.00 - - 3 1,756,260
- 4 3,300,000 4 3,300,000
- 1 425,700 4 1,702,800
1,100,000.00 4 1,100,000 - -
- 1 666,600 - -
- 1 666,600 - -
- 1 666,600 - -
- 1 666,600 - -
- 1 666,600 - -
- - - - -
- - - 15 1,567,500
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 800 657,600
- 1,200 986,400 3,100 2,548,200
412682303.xlsx 689
- - - 400 328,800
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,206,398.00 4,400 3,792,799 3,700 3,189,399
- - - - -
- - - - -
1,532,520.00 1,800 1,532,520 - -
- - - - -
- - - 50 58,000
- - - 950 2,710,208
- - - - -
- 1,400 1,348,200 1,800 1,733,400
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2,000 2,433,200 12,600 15,329,160
- - - - -
- 50 98,010 150 294,030
- - - - -
412682303.xlsx 690
2,285,937.50 - - 475 2,285,938

2,285,937.50 25 120,313 450 2,165,625
- - - - -
- - - - -
- - - - -
- 17 3,740,000 31 6,820,000
1,650,000.00 10 1,650,000 10 1,650,000
- - - - -
- - - 8 660,000
- - - 10 825,000
- - - 10 825,000
- - - 20 1,650,000
- - - 20 1,650,000
- - - - -
- - - - -
- - - 100 3,850,000
- 25 102,053 - -
- - - 49 200,023
- 20 770,000 10 385,000
3,465,000.00 - - 90 3,465,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - 5 22,313,500
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 691
- - - 40 599,764
- - - - -
- - - - -
2,420,000.00 70 1,694,000 50 1,210,000
- - - - -
- - - - -
- - - - -
- - - - -
- 100 2,420,000 - -
- - - 30 3,300,000
2,200,000.00 - - 16 2,200,000
- - - - -
- - - - -
836,000.00 2 836,000 - -
10,032,000.00 2 10,032,000 - -
- - - - -
- - - - -
- - - - -
7,999,200.00 2 7,999,200 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 12 800,580 36 2,401,740
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 692
2,722,500.00 10 302,500 170 5,142,500

- 40 1,936,000 120 5,808,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
10,171,255.50 5,200 2,518,597 15,800 7,652,659
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 25 129,250 - -
- - - - -
- - - - -
- - - - -
- 200 2,000,278 - -
- - - - -
- - - - -
- 280 1,447,600 1,720 8,892,400
- - - - -
- - - - -
- 435 2,248,950 1,705 8,814,850
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 693
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 725 3,748,250 965 4,989,050
- 295 1,525,150 1,705 8,814,850
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
11,552,640.00 76 18,291,680 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 100 833,360
- 1,000 8,333,600 200 1,666,720
- - - - -
- - - - -
- - - - -
412682303.xlsx 694
- 100 1,600,000 - -
- - - - -
- 200 3,199,999 600 9,599,997
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,000 16,000,000 200 3,200,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 300 4,799,999 900 14,399,996
- - - - -
- - - - -
- - - - -
- - - - -
- 200 3,199,999 700 11,199,997
- - - - -
412682303.xlsx 695
- - - - -
- - - - -
- 100 1,950,000 - -
- - - 36 1,386,000
- - - - -
- 6 231,000 21 808,500
385,000.00 - - 10 385,000
- - - - -
- 5 192,500 25 962,500
- 5 192,500 22 847,000
- 13 1,430,000 33 3,630,000
- - - - -
- - - - -
- 1 550,000 1 550,000
- 30 668,250 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
3,872,880.00 24 3,872,880 - -
- - - - -
- - - - -
- - - - -
2,200,000.00 1 110,000 19 2,090,000
- - - 15 2,475,000
- - - - -
412682303.xlsx 696
- - - - -
- - - - -
- - - - -
- - - - -
11,660,000.00 54 12,592,800 21 4,897,200
- 12 2,798,400 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 4 660,000 11 1,815,000
- - - - -
- 12 2,310,000 14 2,695,000
- - - - -
- 8 220,000 - -
- - - - -
- 3 1,155,000 - -
- 9 3,465,000 41 15,785,000
- - - - -
1,925,000.00 - - 50 1,925,000
1,881,000.00 7 263,340 43 1,617,660
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 697
- - - - -
13,571,844.00 6,800 3,549,559 19,200 10,022,285
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 40 178,750 - -
- 70 312,813 30 134,063
- - - 200 893,750
- - - 200 893,750
- - - 200 893,750
- 100 446,875 800 3,575,000
- - - - -
- - - - -
- 120 536,250 470 2,100,313
- - - - -
- - - - -
- - - - -
- 133 594,344 654 2,922,563
55,000.00 - - 1 55,000
55,000.00 - - 1 55,000
- - - - -
1,512,060.00 34 514,100 66 997,960
- - - - -
- - - 16 241,930
412682303.xlsx 698
- - - - -
- - - - -
1,525,300.00 10 152,530 105 1,601,565
- - - - -
- - - - -
- - - - -
- - - - -
608,899.50 42 255,738 58 353,162
- - - - -
- - - 14 88,550
- 70 1,058,442 - -
10,415,000.20 100 208,300 4,900 10,206,700
- - - - -
- 1 275,460 1 275,460
- - - - -
- 1 825,000 - -
- 54 1,069,200 - -
- - - - -
- - - - -
- - - - -
- 3 247,500 - -
- 5,000 554,400 30,000 3,326,400
- - - - -
- - - - -
- 50 110,000 - -
- - - - -
- - - - -
660,000.00 50 110,000 250 550,000
- - - - -
- - - - -
412682303.xlsx 699
- - - - -
- 50 4,950,000 100 9,900,000
8,074,398.20 41 1,655,252 159 6,419,147
- - - - -
- - - - -
- 26 1,559,129 18 1,079,397
- 1 588,500 - -
- 1 666,600 - -
- 1 588,500 - -
- 1 588,500 - -
- 1 588,500 - -
- 1 588,500 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1 16,500 - -
- - - - -
- - - - -
- - - 10 564,850
- - - - -
- 100 4,840,000 50 2,420,000
- - - - -
671,990.00 - - 20 671,990
- - - - -
- - - - -
495,000.00 19 188,100 31 306,900
- - - - -
- 16 158,400 4 39,600
412682303.xlsx 700
- - - - -
- 15 60,489 20 80,652
- - - 10 40,326
- - - 28 112,913
- - - 5 20,163
- - - 50 201,630
13,200,000.00 2 132,000 198 13,068,000
- - - - -
- - - - -
- - - - -
- 28 1,848,000 14 924,000
- - - - -
9,108,000.00 43 2,838,000 95 6,270,000
- - - - -
- - - - -
- 2 132,000 - -
- - - - -
13,200,000.00 41 2,706,000 194 12,804,000
- - - - -
- - - - -
- - - - -
- - - - -
- 3 3,146,220 - -
- - - - -
- - - - -
- - - - -
- 5 6,089,099 4 4,871,280
- - - - -
- - - - -
- - - - -
412682303.xlsx 701
- - - - -
16,153,199.04 3 2,422,980 20 16,153,199
- 7 7,056,000 2 2,016,000
26,413,200.00 3 3,445,200 20 22,968,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 24 2,575,320
- - - - -
- - - - -
11,000,000.00 200 4,400,000 550 12,100,000
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 11 1,553,035 24 3,388,440
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 300 4,914,030 400 6,552,040
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 702
- - - - -
- - - - -
- - - - -
- - - - -
13,794,000.00 - - 120 13,794,000
- 100 572,880 - -
- 50 343,750 200 1,375,000
- - - - -
- - - - -
- - - - -
- 6 107,712 80 1,436,160
- - - 10 580,800
- 1 660 349 230,340
- - - - -
708,670,493.69 660,281,214.07 1,701,094,743.71
BUOL, 31 OKTOBER 2018
PENANGGUNGJAWAB

NIP. 19820818 201001 2 012
412682303.xlsx 703
BULAN NOPEMBER TAHUN 2018
Harga Satuan
Terkecil
OBAT TAHUN 2013
1 Amythriptillin 25 mg Tab Tablet - - 118.00 - - - -
BAHAN HABIS PAKAI 2013 - - - - - - -
1 Kertas EKG Peaper Fukuda Roll - - 50,820.00 8 406,560.00 - -
2 Kertas EKG Peaper Fukuda Roll - - 50,000.00 10 500,000.00 - -
3 Softnolime Galon - - 550,000.00 - - - -
OBAT PENGADAAN 2014 - - - - - - -
1 Flutamol Tablet - - 149,500.00 - - - -
2 Ibuprofen Tab 200 mg Tablet - - 120.64 - - - -
3 VITAMIN B6 Tab/Kap @1 Tablet Tablet - - 181.91 - - - -
BAHAN HABIS PAKAI 2014 - - - - - - -
1 SLIM SECHER Pcs - - 18,750.00 - - - -
2 Softnolime Galon - - 733,333.00 - - - -
OBAT BLUD 2015 - - - - - - -
1 Burnazin Cream (KF) Tube - - 46,585.00 - - - -
2 Catapres Injeksi (KF) Ampul - - 48,145.90 96 4,622,006.40 - -
3 Ethambutol Tablet 500 mg (KF) Tablet - - 478.01 - - - -
4 Gliseril Guaiacolat Tablet (RNI) Tablet - - 32.78 1,000 32,780.00 - -
5 Novadiar Syrup (RNI) Botol - - 3,789.40 28 106,103.20 - -
6 Otsu Tran 40% (RNI) Botol - - 97,900.00 - - - -
7 Phytomenadion Tablet (RNI) Tablet - - 748.69 - - - -
8 Rivanol (RNI) Botol - - 4,125.00 - - - -
9 Vitamin B1 Tablet (RNI) Tablet - - 41.58 5,000 207,900.00 - -
BAHAN HABIS PAKAI BLUD - - - - - - -
1 Foley Catheter FR 20 (RNI) Pcs - - 24,200.00 16 387,200.00 - -
2 Foley Catheter FR 24 (RNI) Pcs - - 22,000.00 10 220,000.00 - -
3 Silk Black With Needle USP 4/0 HR 26 (RNI) Kotak - - 508,200.00 2 1,016,400.00 - -
412682303.xlsx 704
Harga Satuan
Terkecil
OBAT BLUD 2016 - - - - - - -
1 Albuforce Tablet (UN) Tablet - - 5,390.00 1,100 5,929,000.00 - -
2 Amoxicillin Tablet (DNR) Tablet - - 770.00 3,500 2,695,000.00 - -
3 Azytromicin Syrup (TSJ) Botol - - 71,500.00 - - - -
4 Azitum Syrup Botol - - 88,000.00 - - - -
5 Betahistin Mesilat Tablet 6 mg (AAM) Tablet - - 914.10 - - - -
6 Calsium Lactat (KF) Tablet - - 94.40 1,700 160,483.40 - -
7 Cilostazol Tablet (DNR) Tablet - - 10,450.00 - - - -
8 Citicolin Tablet 500 mg (DNR) Tablet - - 7,333.33 - - - -
9 Desoximethasone Cream 0,25 mg (AAM) Tube - - 14,641.00 - - - -
10 Doxycycline Kapsul 100 mg (KF) Kapsul - - 253.00 - - - -
11 Dulcolax Suppo (KF) Suppo - - 14,137.20 - - - -
12 Epinefrin Injeksi (RNI) Ampul - - 8,910.00 30 267,300.00 - -
13 Falergi (PV) Botol - - 66,550.00 - - - -
14 Flunarizine Tablet (DNR) Tablet - - 2,200.00 - - - -
15 Halloperidol Tablet 0,5 mg (IGM) Tablet - - 92.40 900 83,160.00 - -
16 Hidrochlortiazide (KF) Tablet - - 171.00 - - - -
17 Interhistin Tablet (MBS) Tablet - - 726.00 - - - -
18 Ketokonaole Cream 2% (KF) Tube - - 4,675.00 75 350,625.00 - -
19 Levofloxacin Infus (DNR) Botol - - 110,000.00 22 2,420,000.00 - -
20 Meylon (KF) Vial - - 7,440.40 - - - -
21 Myotonic Injeksi (PV) Ampul - - 9,075.00 370 3,357,750.00 - -
22 Nifedipin Tablet (AAM) Tablet - - 122.99 - - - -
23 Nistatin Drops (DNR) Botol - - 24,200.00 - - - -
24 Pamol Suppo (ENS) Suppo - - 9,927.50 - - - -
25 Pelastin Injeksi (BSP) Vial - - 333,740.00 - - - -
26 Propranolol Tablet (AAM) Tablet - - 84.70 - - - -
27 Pyrazinamide 500 mg Tablet (KF) Tablet - - 234.30 - - - -
28 Rethapril Tablet (KF) Tablet - - 2,142.80 400 857,120.00 - -
29 Trolip Kapsul (AAM) Kapsul - - 9,680.00 60 580,800.00 - -
BAHAN HABIS PAKAI BLUD 2016 - - - - - - -
412682303.xlsx 705
Harga Satuan
Terkecil
1 Catgut Cromic With Needle USP 3/0 DS 30 (RNI) Kotak - - 759,000.00 - - - -
2 Feeding Tube 10 (BDM) Pcs - - 4,259.20 - - - -
3 Feeding Tube 12 (BDM) Pcs - - 4,259.20 30 127,776.00 - -
4 Feeding Tube 14 (BDM) Pcs - - 4,259.20 14 59,628.80 - -
5 Foley Catheter FR 10 (BDM) Pcs - - 55,000.00 10 550,000.00 - -
6 Foley Catheter FR 12 (BDM) Pcs - - 24,200.00 - - - -
7 H2O2 (BDM) Botol - - 77,000.00 - - - -
8 Jarum Kulit No. 06 (BDM) Lusin - - 38,500.00 - - - -
10 Kertas EKG 110 (BDM) Roll - - 110,000.00 - - - -
11 Leukoplast (RNI) Roll - - 45,116.50 - - - -
12 Mata Pisau No. 23 (BDM) Pcs - - 3,300.00 - - - -
13 Mata Pisau No. 24 (BDM) Pcs - - 1,178.65 - - - -
OBAT BLUD 2017 - - - - - - -
1 Acyclovir Cream (KF) Tube - - 3,619.00 - - - -
2 Acyclovir Cream (RNI) Tube - - 3,461.00 - - - -
3 Acyclovir Tablet 400 mg (DNR) Tablet - - 870.00 1,600 1,392,001.60 - -
4 Acyclovir Tablet 400 mg (ENS) Tablet - - 544.17 - - - -
5 Albuminar (AAM) Botol - - 1,500,000.00 - - - -
6 Alprazolam Tablet 0,5 mg (KF) Tablet - - 585.00 - - - -
7 Ambroxol Syrup (IGM) Botol - - 3,536.03 - - - -
8 Ambroxol Tablet (SST) Tablet - - 169.40 - - - -
9 Aminofluid (KF) Bag - - 64,989.10 - - - -
10 Aminofillin Tablet (SST) Tablet - - 141.68 - - - -
11 Amoxicillin Syrup (ENS) Botol - - 4,840.00 - - - -
12 Ampicillin Injeksi (DNR) Vial - - 8,800.00 490 4,312,000.00 - -
13 Antasida Syrup (KF) Botol - - 5,967.50 - - - -
14 Antasida Tablet (RNI) Tablet - - 157.34 - - - -
15 Anti Hemoroid Suppo Suppo - - 3,300.00 160 528,000.00 - -
16 Antrain Injeksi (ENS) Ampul - - 9,927.50 - - - -
17 Aqua Pro Injeksi (KF) Vial - - 2,750.00 - - - -
412682303.xlsx 706
Harga Satuan
Terkecil
18 Arfen (Ibuprofen 400 mg) Tablet (SST) Tablet - - 372.68 - - - -
19 Arkine Tablet (SST) Tablet - - 638.00 - - - -
20 Asam Folat Tablet (RNI) Tablet - - 52.00 - - - -
21 Asam Mefenamat Tablet (ENS) Tablet - - 148.61 - - - -
22 Asam Mefenamat Tablet (PPG) Tablet - - 297.00 - - - -
23 Asam Traneksamat Injeksi (PPG) Ampul - - 7,700.00 - - - -
24 Asam Traneksamat Tablet (DNR) Tablet - - 1,540.00 - - - -
25 Asam Valproat (AAM) Botol - - 26,987.00 - - - -
26 Asering Infus (KF) Botol - - 9,274.10 - - - -
27 Astinox Tablet (UN) Tablet - - 9,166.67 90 825,000.00 - -
28 Atropin Sulfat Injeksi (UN) Ampul - - 2,000.00 - - - -
29 Bamgetol Tablet (IGM) Tablet - - 1,980.00 500 990,000.00 - -
30 Betamethason Cream (KF) Tube - - 1,975.53 - - - -
31 Bionemi Kapsul (PV) Kapsul - - 1,567.50 - - - -
32 Bioplacenton Cream (ENS) Tube - - 15,950.00 40 638,000.00 - -
33 Biosat Injeksi (RNI) Ampul - - 165,000.00 - - - -
34 Bisolvon Injeksi (KF) Ampul - - 58,234.00 - - - -
35 Bisoprolol Tablet 5 mg (AAM) Tablet - - 1,166.59 - - - -
36 Bisoprolol Tablet 5 mg (RNI) Tablet - - 1,210.00 - - - -
37 Bunascan Injeksi (PV) Ampul - - 63,800.00 - - - -
38 Buscopan Tablet (KF) Tablet - - 2,865.50 - - - -
39 Candesartan Tablet (DNR) Tablet - - 5,500.00 - - - -
40 CAPOTEK opril Tablet 12,5 mg (RNI) Tablet - - 97.41 - - - -
41 CAPOTEK opril Tablet 25 mg (KF) Tablet - - 120.53 - - - -
42 Carbazocrome Injeksi (PV) Ampul - - 13,112.00 - - - -
43 Cartylo Tablet (KF) Tablet - - 616.00 - - - -
44 Cefadroxil Syrup /Lifadrox (SST) Botol - - 9,377.50 - - - -
45 Cefixim Kapsul 200 mg (PPG) Kapsul - - 4,950.00 - - - -
46 Cefixim Syrup (DNR) Botol - - 36,300.00 - - - -
47 Cefixime Kapsul (RNI) Kapsul - - 2,634.06 - - - -
48 Cefobactam Injeksi (BSP) Vial - - 104,492.26 - - - -
412682303.xlsx 707
Harga Satuan
Terkecil
49 Cefoperazon Sulbactam Injeksi (TSJ) Vial - - 144,100.00 440 63,404,000.00 - -
50 Cefoperazone Sulbactam Injeksi (DNR) Vial - - 143,000.00 - - - -
51 Cefoperazone Sulbactam Injeksi (ENS) Vial - - 88,000.00 30 2,640,000.00 - -
52 Cefotaxim Injeksi (MTA) Vial - - 44,000.00 - - - -
53 Ceftriaxon Injeksi (DNR) Vial - - 15,400.00 - - - -
54 Cefuroxim Injeksi (MRP) Vial - - 44,000.00 - - - -
55 Cetirizine Tablet (RNI) Tablet - - 313.50 - - - -
56 Chlorpheniramin Maleat Tablet/ Orphen (SST) Tablet - - 162.14 1,600 259,424.00 - -
57 Chlorpromazin Tablet 100 mg (KF) Tablet - - 229.82 - - - -
58 Ciprofloxacin Infus (TSJ) Botol - - 77,000.00 - - - -
59 Ciprofloxacin Tablet (TSJ) Tablet - - 770.00 - - - -
60 Clindamycin Kapsul 150 mg (IGM) Kapsul - - 702.24 - - - -
61 Clindamycin Kapsul 150 mg (PV) Kapsul - - 796.40 - - - -
62 Clindamycin Kapsul 300 mg Kapsul - - 1,800.00 2,000 3,599,992.00 - -
63 Clindamycin Kapsul 300 mg (PPG) Kapsul - - 2,000.00 - - - -
64 Clopidogrel Trombikaf Tablet (KF) Tablet - - 3,588.02 - - - -
65 Combivent Inhalasi (KF) Ampul - - 4,994.99 - - - -
66 Cotrimoxazol Syrup (RNI) Botol - - 5,954.30 - - - -
67 Cotrimoxazol Tablet (KF) Tablet - - 190.58 - - - -
68 Dexamethason Injeksi (PPG) Ampul - - 2,402.40 - - - -
69 Dexamethason Injeksi (RNI) Ampul - - 2,416.15 - - - -
70 Dexamethason Tablet (DNR) Tablet - - 154.00 - - - -
71 Diphenhidramin Injeksi (RNI) Ampul - - 1,864.61 - - - -
72 Dobutamin Injeksi (RNI) Ampul - - 73,987.90 5 369,939.50 - -
73 Domperidon Syrup (ENS) Botol - - 10,120.00 - - - -
74 Domperidon Tablet (ENS) Tablet - - 139.48 - - - -
75 Dulcolax Tablet (KF) Tablet - - 1,214.95 - - - -
76 Endrolin Injeksi (ESV) Ampul - - 1,309,000.00 - - - -
77 Eperison Tablet (DNR) Tablet - - 1,560.90 300 468,270.00 - -
78 Erlamycetin Ear Drop (PV) Botol - - 6,435.00 104 669,240.00 - -
79 Erysanbe Tablet 500 mg (BSP) Tablet - - 2,706.00 900 2,435,400.00 - -
412682303.xlsx 708
Harga Satuan
Terkecil
80 Esomax Injeksi (MBS) Vial - - 96,525.00 - - - -
81 Estazor Tablet (PV) Kapsul - - 8,800.00 - - - -
82 Farbion Injeksi (UN) Ampul - - 5,170.00 - - - -
83 Farbivent Injeksi (PV) Ampul - - 9,350.00 - - - -
84 Farelax Injeksi (PV) Ampul - - 77,000.00 - - - -
85 Farelax Injeksi (UN) Ampul - - 77,000.00 80 6,160,000.00 - -
86 Fargoxin Injeksi (PV) Ampul - - 38,500.00 30 1,155,000.00 - -
87 Farmabes Injeksi (PV) Vial - - 121,000.00 6 726,000.00 - -
88 Flamicort IAD (AAM) Vial - - 73,000.00 4 292,000.02 10 730,000.04
89 Fucilex Cream (MBS) Tube - - 10,285.00 50 514,250.00 - -
90 Furosemid Injeksi (AAM) Ampul - - 3,894.00 1,500 5,841,000.00 - -
91 Furosemid Injeksi (RNI) Ampul - - 2,058.01 - - - -
92 Furosemid Tablet (RNI) Tablet - - 191.83 - - - -
93 Gabapentin Kapsul 300 mg (RNI) Kapsul - - 6,050.00 - - - -
94 Gastrul Tablet (PV) Tablet - - 11,000.00 - - - -
95 Gelafusal (AAM) Bag - - 80,000.00 - - - -
96 Genoint Eye (PV) Botol - - 9,152.00 - - - -
97 Gentamicin Cream (PV) Tube - - 40,012.50 - - - -
98 Gentamicin Injeksi (IGM) Ampul - - 3,896.00 100 389,599.98 - -
99 Gentamicin Salep Kulit (KF) Tube - - 2,019.99 - - - -
100 Glimepiride Tablet 2 mg (KF) Tablet - - 297.00 - - - -
101 Glucosamin Tablet (DNR) Tablet - - 1,842.50 - - - -
102 Glukosa 5 % (KF) Botol - - 6,900.30 - - - -
103 Halloperidol Tablet 0,5 mg (IGM) Tablet - - 92.68 2,000 185,350.00 - -
104 Halotane Inhalasi (AAM) Botol - - 705,500.00 4 2,822,000.02 - -
105 Hidrocortison Cream (KF) Tube - - 3,206.50 24 76,956.00 - -
106 Hidrocortison Cream (RNI) Tube - - 5,720.00 - - - -
107 Human Albumin (KF) Botol - - 849,999.80 - - - -
108 Hydromal (BSP) Bag - - 49,505.96 - - - -
109 Isoniazid Tablet 100 mg (KF) Tablet - - 142.56 - - - -
110 KAEN 3B (KF) Botol - - 10,249.80 - - - -
412682303.xlsx 709
Harga Satuan
Terkecil
111 Kamadol Injeksi (KF) Ampul - - 4,533.28 - - - -
112 Ketamin Hameln 50 mg (APL) Vial - - 71,600.10 - - - -
113 Ketorolac Injeksi 30 mg (PPG) Ampul - - 16,038.00 - - - -
114 Ketorolac Injeksi 30 mg (RNI) Ampul - - 14,701.50 - - - -
115 Ketorolac Injeksi 30 mg (TSJ) Ampul - - 16,500.00 - - - -
116 Ketosic Injeksi 30 mg (PV) Ampul - - 10,002.30 - - - -
117 Lansoprazol Kapsul (DNR) Kapsul - - 1,621.60 - - - -
118 Levemir Flex Pen (RNI) Pen - - 222,465.98 - - - -
119 Levofloxacin Tablet (KF) Tablet - - 530.99 300 159,297.60 - -
120 Lidocain Injeksi (DNR) Ampul - - 1,650.00 4,200 6,930,000.00 - -
121 Lipomed (BSP) Bag - - 169,120.33 16 2,705,925.20 - -
122 Loratadin Tablet (DNR) Tablet - - 400.00 700 280,002.92 - -
123 Loratadin Tablet (IGM) Tablet - - 307.79 - - - -
124 Manitol (KF) Botol - - 92,400.00 120 11,088,000.00 - -
125 Meloxicam Tablet 15 mg (DNR) Tablet - - 1,438.80 - - - -
126 Meloxicam Tablet 7,5 mg (DNR) Tablet - - 830.28 - - - -
127 Meloxicam Tablet 7,5 mg (ENS) Tablet - - 418.00 - - - -
128 Merophenem Injeksi 0,5 g (MRP) Vial - - 55,000.00 - - - -
129 Merophenem Injeksi 0,5 g (MTA) Vial - - 132,000.00 - - - -
130 Metformin Tablet (PPG) Tablet - - 275.00 - - - -
131 Methylprednisolon Injeksi (PPG) Vial - - 51,700.00 - - - -
132 Methylprednisolon Injeksi (RNI) Vial - - 39,022.50 - - - -
133 Metronidazol Infus (TSJ) Botol - - 55,000.00 - - - -
134 Metronidazol Tablet (DNR) Tablet - - 264.00 - - - -
135 Miconazol Cream (KF) Tube - - 3,575.00 - - - -
136 Minkosa 5 mg Glibenclamid (SST) Tablet - - 133.10 500 66,550.00 - -
137 Myotonic Injeksi (RNI) Ampul - - 8,250.00 1,650 13,612,500.00 - -
138 Myotonic Tablet (PV) Tablet - - 2,915.00 - - - -
139 Morfin Injeksi (KF) Ampul - - 10,499.39 - - - -
140 N Ace Kapsul (PV) Kapsul - - 2,200.00 - - - -
141 Natrium Diklofenak Tablet 25 mg (KF) Tablet - - 281.69 - - - -
412682303.xlsx 710
Harga Satuan
Terkecil
142 Natrium Diklofenak Tablet 50 mg Tablet - - 261.22 - - - -
143 Natrium Klorida Infus (KF) Botol - - 6,409.70 - - - -
144 Natrium Phenitoin Injeksi (PV) Ampul - - 13,398.00 - - - -
145 Nerva Plus Tablet Tablet - - 2,200.00 - - - -
146 Neurosanbe Tablet (BSP) Tablet - - 1,127.50 - - - -
147 Neurovit E Tablet (KF) Tablet - - 1,166.92 - - - -
148 Nicardipin Injeksi (PPG) Ampul - - 143,000.00 150 21,450,000.00 - -
149 Nicarfion Injeksi (UN) Ampul - - 132,000.00 250 33,000,000.00 - -
150 Nocoba Injeksi (PV) Ampul - - 92,400.00 20 1,848,000.00 - -
151 Norephinefrin Injeksi (TSJ) Ampul - - 66,000.00 40 2,640,000.00 - -
152 Norephinefrin Levosol Injeksi (KF) Ampul - - 56,595.00 - - - -
153 Norfion Injeksi (UN) Ampul - - 70,400.00 150 10,560,000.00 - -
154 Novorapid Flex Pen (RNI) Pen - - 197,749.64 - - - -
155 Oksitosin Injeksi (APL) Ampul - - 2,062.50 - - - -
156 Ondansentron Tablet (MTK) Tablet - - 2,016.67 - - - -
157 Pantoprazol Injeksi (RNI) Vial - - 60,500.00 - - - -
158 Paracetamol Syrup (KF) Botol - - 5,065.50 - - - -
159 Paracetamol Tablet (RNI) Tablet - - 115.50 - - - -
160 Pehacain Injeksi (RNI) Ampul - - 3,113.06 - - - -
161 Petidin Injeksi (KF) Ampul - - 13,191.42 - - - -
162 Phentanyl Injeksi (KF) Ampul - - 40,000.40 - - - -
163 Piracetam Kapsul 800 mg (RNI) Kapsul - - 883.30 - - - -
164 Pomifar Kapsul (PV) Kapsul - - 4,950.00 - - - -
165 Pomifar Kapsul (UN) Kapsul - - 4,950.00 - - - -
166 Prednison Tablet (SST) Tablet - - 157.30 - - - -
167 Pro Infark Injeksi (RNI) Ampul - - 13,200.00 70 924,000.00 - -
168 Pro K Injeksi (SST) Ampul - - 10,890.00 - - - -
169 Prohem Injeksi (PV) Ampul - - 11,000.00 - - - -
170 Proliva Tablet (PV) Tablet - - 7,315.00 260 1,901,900.00 - -
171 Propepsa Suspensi (PV) Botol - - 44,000.00 - - - -
172 Propylthiouracil Tablet (AAM) Tablet - - 474.80 - - - -
412682303.xlsx 711
Harga Satuan
Terkecil
173 Prosional Suspensi (PV) Botol - - 14,850.00 - - - -
174 Pumpisel Injeksi (BSP) Vial - - 71,497.60 - - - -
175 Ranifin Injeksi (UN) Ampul - - 9,680.00 - - - -
176 Ranitidin Injeksi (PPG) Ampul - - 7,040.00 - - - -
177 Ranitidin Tablet (RNi) Tablet - - 220.00 - - - -
178 Rebamax Tablet (PV) Tablet - - 3,300.00 60 198,000.00 - -
179 Reco Tetes Mata (SST) Botol - - 7,370.00 - - - -
180 Recofol Injeksi (RNI) Ampul - - 99,000.00 - - - -
181 Recolfar Tablet (PV) Tablet - - 4,730.00 - - - -
182 Renax Kapsul (ENS) Kapsul - - 7,210.50 - - - -
183 Reprostom Kapsul (PV) Kapsul - - 8,800.00 - - - -
184 Reprostom Kapsul (UN) Tablet - - 8,800.00 - - - -
185 Rhodium Tablet (UN) Tablet - - 6,050.00 30 181,500.00 - -
186 Rifampisin Tablet 450 mg (DNR) Tablet - - 1,870.00 - - - -
187 Ringer Lactat (DNR) Botol - - 7,095.00 - - - -
188 Ringer Lactat (KF) Botol 370812 - 7,150.00 - - - -
189 Rocum Injeksi (AAM) Ampul - - 99,000.00 - - - -
190 Ronazol Infus (PV) Botol - - 66,000.00 - - - -
191 Salbutamol Tablet 2 mg (KF) Tablet - - 81.99 - - - -
192 Santagesik Injksi (BSP) Ampul - - 9,471.00 - - - -
193 Scandones Injeksi (Gigi) Ampul - - 9,900.00 - - - -
194 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul - - 20,570.00 - - - -
195 SIM-DHA (PV) Botol - - 48,400.00 - - - -
196 Simvastatin Tablet 10 mg (ENS) Tablet - - 297.00 - - - -
197 Simvastatin Tablet 20 mg (KF) Tablet - - 250.01 - - - -
198 Sojourn (PV) Botol - - 2,860,000.00 - - - -
199 Solpenox (Amoxicillin) Syrup (SST) Botol - - 4,000.55 300 1,200,166.00 - -
200 Spironolacton Tab 25 mg (RNI) Tablet - - 407.00 - - - -
201 Stesolid Injeksi (AAM) Ampul - - 4,400.62 25 110,015.62 - -
202 Stesolid Rectal (AAM) Tube - - 13,384.25 - - - -
203 Tasigna (AAM) Kapsul - - 93,548.25 - - - -
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204 Terrell (PV) Botol - - 1,683,000.00 - - - -
205 Tramadol Kapsul 50 mg (KF) Kapsul - - 435.47 1,300 566,108.40 - -
206 Tranec Injeksi (PV) Ampul - - 14,520.00 - - - -
207 Tyarit Injeksi (PV) Ampul - - 27,500.00 - - - -
208 Tyarit Injeksi (UN) Ampul - - 27,500.00 - - - -
209 Umarone Injeksi (PV) Ampul - - 192,500.00 8 1,540,000.00 - -
210 Vitamin B Comp Tablet (RNI) Tablet - - 80.00 - - - -
211 Vitamin C Tablet 100 mg (KF) Tablet - - 121.44 - - - -
212 Zink Dispersible Tablet (KF) Tablet - - 585.99 - - - -
1 Bone Wax (BDM) Pcs - - 116,600.00 - - - -
2 Catgut Cromic 1 HR 37 (RNI) Kotak - - 777,480.00 - - - -
4 Catgut Crmoic 2/0 (RNI) Roll - - 1,650,000.00 - - - -
6 Catgut Cromic 2 HR 45 (DNR) Kotak - - 827,640.00 - - - -
7 Catgut Cromic 2/0 HR 26 (RNI) Kotak - - 825,000.00 1 825,000.00 - -
8 Catgut Cromic 3/0 (RNI) Roll - - 2,614,700.00 - - - -
9 Catgut Cromic 3/0 HR 26 (RNI) Kotak - - 825,000.00 1 825,000.00 - -
10 Cuticell (BDM) Pcs - - 13,200.00 100 1,320,000.00 - -
11 Defeloper (BDM) Set - - 1,282,600.00 - - - -
12 Disposable Syringe With Needle 1 cc New Skifa (RNI) Pcs - - 1,188.00 - - - -
13 Disposable Syringe With Needle 1 cc TP (BDM) Pcs - - 843.70 - - - -
14 Disposable Syringe With Needle 10 cc Nipor (KF) Pcs - - 1,654.40 - - - -
15 Disposable Syringe With Needle 10 cc RD (RNI) Pcs - - 1,161.05 - - - -
16 Disposable Syringe With Needle 20 cc Stera (ISHS) Pcs - - 1,725.00 - - - -
17 Disposable Syringe With Needle 3 cc TP (BDM) Pcs - - 851.40 - - - -
18 Disposable Syringe With Needle 5 cc TP (BDM) Pcs - - 1,013.10 - - - -
19 Disposable Syringe With Needle 50 cc TP (BDM) Pcs - - 4,812.50 - - - -
20 Elektroda Patien Monitor (BDM) Pak - - 275,000.00 - - - -
21 Endotracheal Tube FR 3 (BDM) Pcs - - 82,500.00 10 825,000.00 - -
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22 Endotracheal Tube FR 3,5 (BDM) Pcs - - 82,500.00 15 1,237,500.00 - -
23 Endotracheal Tube FR 6,5 (BDM) Pcs - - 82,500.00 - - - -
24 Extention Tube (BDM) Pcs - - 99,000.00 - - - -
25 Feeding Tube FR 18 (BDM) Pcs - - 4,259.20 - - - -
26 Feeding Tube FR 3,5 (BDM) Pcs - - 38,500.00 250 9,625,000.00 - -
31 Film 24x30 (BDM) Kotak - - 2,585,000.00 - - - -
32 Film 30x40 (BDM) Kotak - - 4,109,600.00 - - - -
33 Fixer (BDM) Set - - 790,900.00 - - - -
34 Foley Catheter 08 (RNI) Pcs - - 69,300.00 40 2,772,000.00 - -
35 Foley Catheter 16 (BDM) Pcs - - 14,994.10 - - - -
37 Foley Catheter 16 (KF) Pcs - - 13,750.00 - - - -
40 Foley Catheter 18 (KF) Pcs - - 13,750.00 - - - -
41 Glucocard (AAM) Botol - - 279,950.00 - - - -
42 Gypsona 6 Inch (BDM) Roll - - 66,715.00 - - - -
43 Handrub (ISHS) ml - - 57.20 - - - -
44 Handrub (RNI) ml - - 159.60 - - - -
45 Handrub (RNI) ml - - 150.21 - - - -
46 Handscoon Gynegolog 7 (DA) Pasang - - 21,749.97 - - - -
47 Handscoon NS (BDM) Pcs - - 529.20 - - - -
48 Handscoon NS M (KF) Pcs - - 577.50 - - - -
49 Handscoon ST 6,5 (DA) Pasang - - 5,874.99 - - - -
50 Handscoon ST 6,5 (KF) Pasang 2886165 - 9,499.60 - - - -
51 Handscoon ST 6,5 (RNI) Pasang - - 11,990.00 - - - -
52 Handscoon ST 7 (BDM) Pasang - - 8,855.00 - - - -
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53 Handscoon ST 7,5 (DA) Pasang - - 5,874.99 - - - -
54 Hydrex Surgical Scrub (RNI) ml - - 215.23 - - - -
55 Hypavix 15 x 5 (BDM) Roll - - 240,680.00 - - - -
56 Infus Set Makro (RNI) Pcs - - 4,755.99 - - - -
57 Infus Set Makro Aximed (KF) Pcs - - 5,999.40 - - - -
58 Infus Set Mikro Nipro (KF) Pcs - - 6,374.50 300 1,912,350.00 - -
59 IV Catheter 16 G Abbocath (BDM) Pcs - - 16,000.00 50 800,000.00 - -
60 IV Catheter 18 G Abbocath (BDM) Pcs - - 16,000.00 - - - -
61 IV Catheter 20 G Aximed (KF) Pcs - - 8,749.40 - - - -
63 IV Catheter 22 G Nipro (KF) Pcs - - 8,947.40 - - - -
64 IV Catheter 22 G Optiva (RNI) Pcs - - 24,200.00 - - - -
66 IV Catheter 24 G Abbocath Pcs - - - - - - -
67 IV Catheter 24 G Aximed (KF) Pcs - - 7,499.80 - - - -
69 Jarum Kulit 12 Lusin - - 38,500.00 - - - -
73 Jelly Ultrasound (BDM) ml - - 110.00 - - - -
74 Jely (ISHS) Tube - - 33,981.83 - - - -
75 Kapas (BDM) Roll - - 82,208.50 - - - -
76 Kasa Hidrofil 40 x 80 (RNI) Roll - - 231,000.00 - - - -
79 Kertas USG (BDM) Roll - - 352,000.00 - - - -
80 Kertas USG (ISHS) Roll - - 170,775.00 - - - -
81 Masker Tie On (BDM) Pcs - - 567.01 - - - -
82 Masker Tie On (KF) Pcs - - 599.98 - - - -
83 Masker Tie On (SST) Pcs - - 473.00 - - - -
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84 Mata Pisau 20 (RNI) Pcs - - 1,375.00 - - - -
85 Mata Pisau No 15 (BDM) Pcs - - 4,125.00 - - - -
86 Mata Pisau No 20 Pcs - - 4,125.00 - - - -
87 Mucus Extractor (BDM) Pcs - - 30,250.00 10 302,500.00 - -
88 Novo Twist 32 G (AAM) Pcs - - 2,083.00 - - - -
89 Nylon Daclon 3/0 DS 19 Kotak - - 825,000.00 - - - -
90 Nylon Daclon 5/0 DS 16 Kotak - - 825,000.00 1 825,000.00 - -
91 Nylon Daclon USP 2/0 DS 19 (RNI) Kotak - - 825,000.00 - - - -
92 Nylon Daclon USP 6/0 DS 12 (RNI) Kotak - - 825,000.00 3 2,475,000.00 - -
93 Popypropylene 5/0 HR 13 (RNI) Kotak - - 1,210,440.00 1 1,210,440.00 - -
94 Popypropylene 6/0 HR 10 (RNI) Kotak - - 1,210,440.00 1 1,210,440.00 - -
95 Povidon Iodida (KF) Botol - - 59,766.51 - - - -
96 Safil 1 HR 48 Pcs - - 99,550.00 144 14,335,200.00 - -
97 Safil Violet 2 HR 48 Pcs - - 93,979.60 144 13,533,062.40 - -
98 Selang O2 Anak (BDM) Pcs - - 30,250.00 - - - -
101 Selang O2 Bayi (DA) Pcs - - 9,124.98 - - - -
102 Selang O2 Dewasa (BDM) Pcs - - 30,250.00 - - - -
103 Silk Black With Needle USP 1 HR 37 (RNI) Kotak - - 660,000.00 1 660,000.00 - -
104 Silk Black With Needle USP 2 HR 37 (RNI) Kotak - - 660,000.00 10 6,600,000.00 - -
105 Silk Black With Needle USP 2/0 HR 26 (RNI) Kotak - - 660,000.00 - - - -
106 Silk Black With Needle USP 2/0 HR 30 (RNI) Kotak - - 508,200.00 - - - -
107 Silk Black With Needle USP 3/0 HR 30 (RNI) Kotak - - 660,000.00 1 660,000.00 - -
108 Softband 6 Inch (BDM) Roll - - 43,450.00 - - - -
109 Spinocain 25 G (BDM) Pcs - - 48,400.00 - - - -
110 Spinocain 26 G (BDM) Pcs - - 48,400.00 300 14,520,000.00 - -
111 Spinocain 27 G (BDM) Pcs - - 48,400.00 150 7,260,000.00 - -
112 Suction Catheter 06 (BDM) Pcs - - 4,032.60 - - - -
113 Suction Catheter 08 (BDM) Pcs - - 4,032.60 - - - -
114 Sungkup Nebulizer Anak (AAM) Pcs - - 28,299.98 - - - -
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115 Sungkup O2 Bayi (BDM) Pcs - - 66,000.00 - - - -
116 Sungkup O2 Dewasa (BDM) Pcs - - 66,000.00 - - - -
117 Surgicryl 910 USP 1 HR 36 (RNI) Kotak - - 1,518,000.00 - - - -
118 Surgicryl 910 USP 2/0 HR 26 (RNI) Kotak - - 1,148,400.00 - - - -
119 Surgicryl Rapid 1 HR 48 (RNI) Kotak - - 1,544,400.00 1 1,544,400.00 - -
120 Surgicryl Rapid 2/0 HR 40 (RNI) Kotak - - 1,491,600.00 - - - -
121 Tensocrepe 6" (BDM) Roll - - 139,480.00 - - - -
122 Three Way Stop Cock (BDM) Pcs - - 22,000.00 - - - -
123 Transfusi Set (BDM) Pcs - - 16,380.10 - - - -
124 Urgotul 10x10 (PPG) Pcs - - 25,850.00 - - - -
125 Urine Bag (KF) Pcs - - 6,875.00 - - - -
OBAT BLUD 2018 - - - - - - -
1 Acetylcysteine Kapsul 200 mg (MRP) Kapsul AS18016 1/30/2020 1,833.33 - - - -
2 Acetylcysteine Kapsul 200 mg (MRP) Kapsul AS18032 2/28/2020 1,833.33 - - - -
Acetylcysteine Kapsul 200 mg (MRP) - 6/30/2018 1,833.33 2,400 4,400,000.00 - -
Acetylcysteine Kapsul 200 mg (MRP) - 9/30/2018 1,833.33 4,200 7,700,000.00 - -
3 Acyclovir Cream (KF) Tube I72813J 9/29/2022 3,438.05 50 171,902.50 - -
4 Albuminar (AAM) Botol X938905 5/1/2020 1,510,000.00 - - - -
5 Albunorm 25 % 100 ML (KF) Botol P716A66702 3/31/2020 1,509,999.70 9 13,589,997.30 - -
6 Allopurinol Tablet (AAM) Tablet 48K0192 11/1/2021 182.02 1,000 182,017.00 - -
7 Allopurinol Tablet (AP DE) Tablet 24409703 3/1/2019 30.00 - - - -
8 Allopurinol Tablet (RNI) Tablet HTALOA7300 6/1/2020 168.23 - - - -
9 Alprazolam Tablet 0,5 mg (KF) Tablet C70497J2 3/29/2021 585.00 - - - -
10 Alprazolam Tablet 0,5 mg (SST) Tablet 173003 11/1/2019 574.75 2,500 1,436,875.00 - -
11 Ambroxol Syrup 15 mg (DNR) Botol SCB00947 1/1/2022 6,600.00 - - - -
12 Ambroxol Syrup 15 mg (IGM) Botol 1706041 6/1/2019 3,536.03 - - - -
13 Ambroxol Syrup 15 mg (PPG) Botol A10536802 1/1/2020 7,700.00 - - - -
14 Ambroxol Syrup 15 mg (PPG) Botol B10536802 2/1/2020 7,700.00 - - - -
15 Ambroxol Syrup 15 mg (RNI) Botol 06810006 11/30/2019 5,500.00 - - - -
16 Ambroxol Syrup (RNI) Botol 06810004 10/31/2019 5,500.00 - - - -
Ambroxol Syrup (RNI) Botol 16810024 9/1/2020 5,549.50 - - 200 1,109,900.00
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17 Ambroxol Tablet (AP DE) Tablet 06483005 4/1/2020 300.00 - - - -
18 Ambroxol Tablet (AP DE) Tablet 74307 10/1/2020 300.00 - - - -
19 Ambroxol Tablet (DNR) Tablet TPD22946 3/1/2021 330.00 - - - -
20 Ambroxol Tablet (PPG) Tablet TPM99646 11/1/2021 330.00 - - - -
21 Ambroxol Tablet (SST) Tablet 73252 8/1/2020 135.30 - - - -
22 Ambroxol Tablet (SST) Tablet 74307 10/1/2020 135.30 - - - -
23 Ambroxol Tablet (SST) Tablet 81171 3/1/2021 100.69 15,000 1,510,353.90 - -
24 Ambroxol Tablet (TSJ) Tablet TPM99546 11/1/2021 330.00 - - - -
25 Ambroxol Tablet (TSJ) Tablet TPD29447 3/1/2022 330.00 - - - -
26 Aminofluid (KF) Botol DB71E47A 9/2/2019 64,989.10 20 1,299,782.00 - -
27 Aminophyllin Injeksi (RNI) Ampul 06307031-1 11/30/2020 3,959.93 - - - -
28 Aminophyllin Injeksi (RNI) Ampul 06307033-1 12/31/2020 3,959.93 90 356,393.40 - -
29 Aminophyllin Injeksi (RNI) Ampul 06307033-2 2/1/2021 3,960.00 150 594,000.00 - -
30 Aminophyllin Tablet (SST) Tablet G8A021 7/1/2021 141.68 4,500 637,560.00 - -
31 Amlodipin Tablet 5 mg (DNR) Tablet PK19137 5/1/2021 436.37 - - - -
32 Amlodipin Tablet 5 mg (DNR) Tablet PK21137 7/1/2022 436.37 - - - -
33 Amlodipin Tablet 5 mg (MTK) Tablet TPM93346 11/1/2022 1,152.00 - - - -
34 Amlodipin Tablet 5 mg (RNI) Tablet 06465006 11/10/2019 201.67 - - - -
35 Amlodipin Tablet 5 mg (TAS) Tablet NP22137 6/1/2020 480.00 - - - -
36 Amlodipin Tablet 5 mg (TAS) Tablet PKL6137 5/1/2021 480.00 1,200 576,003.98 - -
37 Amlodipin Tablet 5 mg (TAS) Tablet PKL637 5/1/2021 480.00 - - - -
38 Amlodipin Tablet 5 mg (UJ) Tablet Aj1013 1/1/2020 183.37 - - - -
39 Amlodipin Tablet 5 mg (SST) Tablet 82260 5/1/2021 148.42 2,100 311,672.90 - -
40 Amlodipin Tablet 10 mg (AP DE) Tablet HTALNB74037 3/1/2019 1,000.00 - - - -
41 Amlodipin Tablet 10 mg (DNR) Tablet PE04136 2/1/2021 330.00 1,020 336,600.00 - -
42 Amlodipin Tablet 10 mg (KF) Tablet 17233B - - - - - -
43 Amlodipin Tablet 10 mg (KF) Tablet L72841B 11/16/2022 95.00 - - - -
44 Amlodipin Tablet 10 mg (MTK) Tablet JS17031 10/1/2019 817.67 - - - -
45 Amlodipin Tablet 10 mg (MTK) Tablet HS17002 8/1/2019 817.67 - - - -
46 Amlodipin Tablet 10 mg (MTK) Tablet HS17005 8/1/2019 817.67 - - - -
47 Amlodipin Tablet 10 mg (MU) Tablet DS18005 4/30/2020 817.66 - - - -
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48 Amlodipin Tablet 10 mg (MU) Tablet DS18022 4/30/2020 817.66 - - - -
51 Amlodipin Tablet 10 mg (SST) Tablet 74363 11/1/2020 238.33 - - - -
52 Amlodipin Tablet 10 mg (SST) Tablet 83274 7/1/2021 182.67 - - - -
Amlodipin Tablet 10 mg (UJ) - 11/2/2008 513.33 - - 2,850 1,463,000.00
53 Amoxicillin Syrup (TSJ) Botol L10516601 11/1/2019 7,150.00 - - - -
54 Anbacim Injeksi (BSP) Vial UE4694A 5/1/2020 60,503.36 140 8,470,469.70 - -
55 Antasida Syrup (GF) Botol G82118J 7/16/2022 10,444.50 - - - -
56 Antasida Syrup (KF) Botol S02019AH 2/2/2020 2,054.80 - - - -
Antasida Syrup (KF) Botol S02019AH 2/2/2020 2,054.80 1,450 2,979,460.00 - -
57 Antasida Syrup (RNI) Botol 1801-04-181 1/1/2020 2,700.50 - - - -
58 Antasida Tablet (KF) Tablet H71504B 7/15/2020 210.60 - - - -
59 Antasida Tablet (KF) Tablet - 5/15/2022 210.60 3,500 737,082.50 - -
Antasida Tablet (SST) Tablet T5553028 8/1/2020 85.80 - - 7,200 617,760.00
60 Antrain Injeksi (ENS) Ampul 1014H0011 1/31/2020 10,450.00 - - - -
61 Antrain Injeksi (ENS) Ampul 1014H0021 1/31/2020 10,450.00 - - - -
Antrain Injeksi (ENS) Ampul 101480091 4/30/2020 10,450.00 - - 240 2,508,000.00
Antrain Injeksi (ENS) Ampul 101480101 4/30/2020 10,450.00 - - 260 2,717,000.00
Aqua Pro Injeksi (KF) Vial 72B48A 5/3/2021 2,860.00 - - 0 -
63 Aqua Pro Injeksi (KF) Vial 80C48A 3/11/2021 2,860.00 240 686,400.00 - -
Aqua Pro Injeksi (KF) Vial 71G48A 7/2/2021 2,860.00 - - 2,400 6,864,000.00
64 Arcapec Tablet (PV) Tablet A7H756 8/1/2019 1,100.00 500 550,000.00 - -
65 Asam Mefenamat Tablet (AAM) Tablet 49D0686 9/1/2021 239.58 - - - -
66 Asam Mefenamat Tablet (ESV) Tablet HTMECA76217 12/31/2019 125.00 - - - -
67 Asam Mefenamat Tablet (ESV) Tablet HTMECA81262 1/31/2020 125.00 - - - -
68 Asam Mefenamat Tablet (ESV) Tablet HTCMECA81281 2/29/2020 176.00 - - - -
69 Asam Mefenamat Tablet (RNI) Tablet HTMECA7518 10/31/2019 176.00 - - - -
70 Asam Mefenamat Tablet (RNI) Tablet 16318003 3/10/2021 232.32 3,200 743,424.00 - -
71 Asam Mefenamat Tablet (RNI) Tablet 16318004 8/1/2021 232.32 8,000 1,858,560.00 - -
72 Asam Traneksamat Injeksi (AAM) Ampul 2180078 11/1/2020 2,167.84 1,080 2,341,262.88 - -
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73 Asam Traneksamat Injeksi (GF) Ampul 20A015 1/1/2021 1,880.00 - - - -
74 Asam Traneksamat Injeksi (MRP) Ampul I172270 8/31/2019 5,280.00 - - - -
75 Asam Traneksamat Injeksi (MRP) Ampul I172207 5/31/2019 5,280.00 - - - -
76 Asam Traneksamat Injeksi (PPG) Ampul N10766701 12/1/2022 7,810.00 - - - -
77 Asam Traneksamat Injeksi (RNI) Ampul I172271 8/31/2019 5,280.00 - - - -
78 Asam Traneksamat Injeksi (RNI) Ampul 172269 8/31/2019 5,280.00 - - - -
79 Asam Traneksamat Injeksi (RNI) Ampul 172271 8/31/2019 5,280.00 - - - -
Asam Traneksamat Injeksi (RNI) Ampul TNA62073 4/1/2019 5,775.00 - - 120 693,000.00
80 Asam Traneksamat Tablet (DNR) Tablet TSB00847 1/1/2021 1,980.00 - - - -
Asam Traneksamat Tablet (TSJ) Tablet TBF33747 5/1/2021 1,742.40 9,500 16,552,800.00 - -
Asam Traneksamat Tablet (TSJ) Tablet TBF41447 7/1/2021 1,742.40 - - - -
81 Asam Valproat (AAM) Botol 3272081 10/1/2019 17,789.00 - - - -
82 Asam Valproat (AAM) Botol 2580934 4/1/2020 17,789.00 6 106,734.01 - -
83 Asam Valproat (AAM) Botol 2480699 3/1/2020 17,789.00 24 426,936.05 - -
84 Asam Valproat (AP DE) Botol 3171919 10/1/2019 66,000.00 - - - -
85 Asam Valproat (AP DE) Botol 3272081 10/1/2019 66,000.00 - - - -
86 Asam Valproat (RNI) Botol 2480698 3/1/2020 49,720.00 - - - -
87 Asering Infus (KF) Botol SB94J47A 10/25/2020 9,645.90 - - - -
88 Asering Infus (KF) Botol SB90B48B 2/21/2021 9,645.90 - - - -
89 Asering Infus (KF) Botol SB92A48B 1/23/2021 9,645.90 - - - -
90 Asering Infus (KF) Botol SB90B48B 2/21/2021 9,645.90 192 1,852,012.80 - -
Asering Infus (KF) Botol SB97H48B 8/29/2021 9,645.90 - - 600 5,787,540.00
91 Asering Infus (KF) Botol SB77G48A 7/8/2021 9,645.90 - - - -
92 Atropin Sulfat Injeksi (APL) Ampul 97LE0057 5/15/2021 1,800.00 100 179,999.97 - -
93 Atropin Sulfat Injeksi (APL) Ampul 97LE0057 5/15/2021 1,815.00 300 544,500.00 - -
Avesco (SST) Tablet QY8A113 3/1/2020 4,620.00 1,500 6,930,000.00 - -
94 Azitromycin Kapsul 500 mg (KF) Kapsul A70013J 1/4/2022 5,500.00 2,100 11,550,000.00 - -
95 Betahistin Tablet (AAM) Tablet 49E0742 11/1/2020 119.00 2,500 297,499.95 - -
96 Betahistin Tablet (KF) Tablet EAJ338 11/1/2020 785.40 - - - -
Betahistin Tablet (MU) Tablet 172341 9/30/2020 733.33 - - 750 550,000.00
97 Betamethason Cream (KF) Tube J71554T 9/12/2021 1,449.80 - - - -
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Betamethason Cream (KF) Tube G81364T 7/17/2021 2,326.50 - - 50 116,325.00
98 Betamethason Cream (RNI) Tube 06455027 12/31/2020 2,904.00 25 72,600.00 - -
Betamol (TSJ) Tablet TI180216D 3/1/2022 210.00 11,500 2,415,000.00 - -
99 Bifotik Injeksi (BSP) Vial TM4964A 6/1/2019 73,693.03 90 6,632,372.34 - -
100 Biocombin Injeksi (PV) Ampul F7K028 10/1/2019 4,950.00 - - - -
101 Biocombin Injeksi (PV) Ampul F7K068 10/1/2019 4,950.00 - - - -
102 Biocombin Injeksi (PV) Ampul F7L152 11/1/2019 5,500.00 - - - -
103 Biocombin Injeksi (PV) Ampul F7L153 11/1/2019 5,500.00 - - - -
104 Biocombin Injeksi (PV) Ampul F8C283 3/1/2020 5,500.00 - - - -
105 Biocombin Injeksi (PV) Ampul F8C285 3/1/2020 5,500.00 - - - -
Biocombin Injeksi (PV) Ampul F8D375 4/1/2020 5,500.00 - - 1,770 9,735,000.00
Biocombin Injeksi (PV) Ampul F8E425 5/1/2020 5,500.00 - - 730 4,015,000.00
106 Bionemi Kapsul (PV) Kapsul NG009 7/1/2019 1,650.00 - - - -
109 Bionemi Kapsul (PV) Kapsul DA017 1/1/2020 1,356.18 - - - -
110 Bionemi Kapsul (PV) Kapsul DB015 2/1/2020 1,650.00 - - - -
111 Bionemi Kapsul (PV) Kapsul DC024 3/1/2020 1,650.00 - - - -
112 Bioron Tablet (RNI) Tablet 06177004 12/9/2021 979.00 - - - -
113 Bioron Tablet (RNI) Tablet 16177003 3/14/2022 979.00 - - - -
114 Biosat ATS 1500 UI (RNI) Ampul 4202817 11/30/2019 165,000.00 - - - -
115 Biosat ATS 1500 UI (RNI) Ampul 4203517 12/31/2019 165,000.00 - - - -
116 Bisolvon Injeksi (KF) Ampul 528229A 9/1/2020 58,234.00 - - - -
117 Bisolvon Injeksi (KF) Ampul 6277108 2/1/2021 58,234.00 - - - -
118 Bisolvon Injeksi (KF) Ampul 52889A 9/1/2020 58,234.00 100 5,823,400.00 100 5,823,400.00
119 Bisolvon Injeksi (KF) Ampul 528889A 9/1/2020 53,469.40 - - - -
120 Bisoprolol Tablet (AAM) Tablet 3272119 11/1/2020 248.00 900 223,200.12 - -
121 Bricasma Inj 5 Ml (APL) Ampul RY8E045 6/30/2019 20,929.26 235 4,918,376.10 - -
122 Bunascan Spinal Injeksi (PPG) Ampul PA0313 1/1/2020 70,400.00 - - - -
123 Bunascan Spinal Injeksi (PPG) Ampul PA0323 1/1/2020 70,400.00 - - - -
124 Bunascan Spinal Injeksi (PV) Ampul TL0133 12/1/2019 66,000.00 - - - -
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125 Bunascan Spinal Injeksi (PV) Ampul PG0403 7/1/2020 66,000.00 230 15,180,000.00 - -
126 Bunascan Spinal Injeksi (UN) Ampul PG0413 7/1/2020 66,000.00 - - - -
127 Burnazin Cream (KF) Tube 0566AB 4/30/2021 56,045.00 1 56,045.00 - -
128 Burnazin Cream (KF) Tube 0746RB 31/06/2018 56,045.00 23 1,289,035.00 - -
129 Buscopan Injeksi (KF) Ampul 727068 1/1/2022 34,243.00 - - 90 3,081,870.00
130 Buscopan Injeksi (KF) Ampul 62463C 1/1/2022 34,243.00 - - - -
131 Buscopan Injeksi (KF) Ampul 727068B 1/1/2022 34,243.00 - - - -
132 Buscopan Injeksi (KF) Ampul 825182A 2/28/2023 34,243.00 - - 60 2,054,580.00
133 Buscopan Tablet (KF) Tablet 17121526 11/30/2020 3,091.00 - - - -
134 Candesartan Tablet 8 mg (AAM) Tablet 47K4143 9/1/2018 629.00 - - - -
135 Candesartan Tablet 8 mg (DNR) Tablet 827632478 9/27/2018 4,400.00 150 660,000.00 - -
Candesartan Tablet 16 mg (DNR) Tablet TPJ49817 8/1/2018 6,776.00 - - 3,000 20,328,000.00
136 Candefion Tablet 8 mg (UN) Tablet BTPN01646 12/1/2019 5,500.00 - - - -
137 CAPOTEK opril Tablet 12,5 mg (RNI) Tablet 6323016 12/18/2022 97.41 - - - -
138 Captopril Tablet 12,5 mg (RNI) Tablet 6323018 12/1/2022 97.41 1,000 97,405.00 - -
139 Captopril Tablet 12,5 mg (RNI) Tablet 6323019 12/1/2022 97.41 8,000 779,240.00 - -
140 CAPOTEK opril Tablet 25 mg (ESV) Tablet HTCTPE76023 12/31/2020 137.75 - - - -
141 CAPOTEK opril Tablet 25 mg (KF) Tablet G71166B 6/18/2022 123.98 - - - -
96 Captopril Tablet 25 mg (KF) Tablet A80008B 11/29/2022 80.00 9,600 768,028.80 0 -
143 CAPOTEK opril Tablet 25 mg (RNI) Tablet 06324020 11/23/2022 103.73 - - - -
144 CAPOTEK opril Tablet 25 mg (RNI) Tablet 06324021 11/23/2022 103.73 - - - -
145 Carbazocrome Injeksi (PV) Ampul 20A457 1/1/2020 13,112.00 50 655,600.00 - -
146 Cartylo Tablet (KF) Tablet I72080B 9/29/2020 290.00 500 145,002.00 - -
147 Cartylo Tablet (KF) Tablet A80073B 12/24/2020 290.00 - - - -
148 Cedocard Injeksi (APL) Ampul 5635502A 11/30/2020 31,000.20 80 2,480,016.00 - -
149 Cefadroxil Kapsul (AAM) Kapsul 48A0218 12/1/2020 877.80 - - - -
150 Cefadroxil Kapsul (AP DE) Kapsul 48A0218 12/1/2020 1,200.00 - - - -
151 Cefadroxil Kapsul (RNI) Kapsul 48A0191 11/30/2020 924.00 - - - -
152 Cefadroxil Kapsul (RNI) Kapsul 48A0218 12/31/2020 924.00 - - - -
153 Cefadroxil Kapsul (RNI) Kapsul KCFDC70133 10/31/2020 840.00 - - - -
154 Cefadroxil Kapsul (RNI) Kapsul KCFDC70102 10/31/2021 840.00 - - - -
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Cefadroxil Kapsul (RNI) Kapsul KCFDC800393 3/1/2022 840.40 - - - -
Cefadroxil Kapsul (RNI) Kapsul KCFDC800394 3/1/2022 840.40 - - - -
Cefadroxil Kapsul (RNI) Kapsul KCFDC800395 3/1/2022 840.40 - - 4,000 3,361,600.00
Cefadroxil Kapsul (RNI) Kapsul KCFDC80521 6/1/2022 840.00 - - 7,900 6,636,031.60
155 Cefadroxil Kapsul (TSJ) Kapsul KPM36046 11/1/2022 1,210.00 - - - -
156 Cefadroxil Kapsul (TSJ) Kapsul KPF15247 5/1/2020 1,210.00 6,500 7,865,000.00 - -
157 Cefadroxil Syrup (RNI) Botol LCFDA70051 4/30/2020 8,200.50 - - - -
158 Cefadroxil Syrup (RNI) Botol LCFDA70085 6/30/2020 8,200.50 90 738,045.00 - -
Cefarox Syrup (PV) Botol DE110 5/1/2020 74,800.00 - - 18 1,346,400.00
159 Cefixim Kapsul 100 mg (RNI) Kapsul 48H0228 7/1/2020 2,394.59 - - - -
160 Cefixim Kapsul 100 mg (RNI) Kapsul 48H00267 8/1/2020 1,137.40 - - - -
161 Cefixim Kapsul 100 mg (RNI) Kapsul KCFMB70191 10/31/2019 1,430.00 - - 1,750 2,502,500.00
162 Cefixim Syrup (DNR) Botol SKM44245 11/1/2019 36,300.00 50 1,815,000.00 - -
163 Cefixim Syrup (RNI) Botol DCFMA70069 11/30/2019 19,800.00 - - - -
164 Cefixim Syrup (RNI) Botol 48K0409 11/1/2019 33,275.00 - - - -
165 Cefotaxim Injeksi (PPG) Vial C10336804 3/1/2021 45,100.00 - - - -
166 Cefotaxim Injeksi (PPG) Vial C10336808 3/1/2021 45,100.00 - - - -
167 Cefotaxim Injeksi (TSJ) Vial B10336707 2/1/2020 45,100.00 - - - -
168 Cefotaxim Injeksi (RNI) Vial 95444083BF 5/31/2019 11,011.00 - - - -
Cefotaxim Injeksi (RNI) Vial 95444096 6/1/2019 11,011.00 - - 1,000 11,011,000.00
169 Ceftazidim Injeksi (PPG) Vial C10736801 11/15/1900 67,100.00 - - - -
170 Ceftazidim Injeksi (PPG) Vial PSD08247 3/1/2020 66,000.00 - - - -
Ceftazidim Injeksi (PPG) Vial A172133 4/1/2019 33,000.00 - - 100 3,300,000.00
173 Ceftazidim Injeksi (RNI) Vial 222027 4/30/2019 24,750.00 - - - -
174 Ceftazidim Injeksi (RNI) Vial 1703201 4/30/2019 24,750.00 - - - -
175 Ceftazidim Injeksi (TSJ) Vial PSN50346 12/1/2019 66,000.00 - - - -
176 Ceftazidim Injeksi (TSJ) Vial PSN50746 12/1/2019 66,000.00 - - - -
177 Ceftriaxon Injeksi (DNR) Vial PSG27645 6/1/2019 26,950.00 - - - -
178 Ceftriaxon Injeksi (DNR) Vial PSL38346 10/1/2020 26,950.00 - - - -
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179 Ceftriaxon Injeksi (MTK) Vial PSG27645 10/1/2019 38,500.00 - - - -
180 Ceftriaxon Injeksi (PPG) Vial A10316820 1/1/2021 39,600.00 - - - -
181 Ceftriaxon Injeksi (PPG) Vial A10316842 1/1/2021 39,600.00 - - - -
182 Ceftriaxon Injeksi (RNI) Vial ICFEA70227 5/31/2020 11,000.00 - - - -
183 Ceftriaxon Injeksi (TSJ) Vial G10316706 7/1/2020 39,600.00 - - - -
184 Ceftriaxon Injeksi (TSJ) Vial PSF20847 5/1/2021 38,500.00 2,000 77,000,000.00 - -
185 Cefuroxim Injeksi (MRP) Vial - - 44,000.00 - - - -
186 Cefuroxim Injeksi (PPG) Vial A182090 2/1/2020 44,000.00 120 5,280,000.00 - -
187 Cendo Efrisel 10 % (PV) Botol 7E11222 12/1/2019 16,775.00 - - - -
188 Cendo Efrisel 10 % (PV) Botol 8E10113 1/1/2020 16,775.00 5 83,875.00 - -
189 Cendo Efrisel 10 % (PV) Botol 8E10130 1/1/2020 16,775.00 100 1,677,500.00 - -
190 Cendo Lyteers 15 ml (KF) Botol 7L112299 11/30/2020 24,750.00 - - - -
191 Cendo Lyteers 15 ml (KF) Botol 7L122399 12/31/2020 24,750.00 - - - -
192 Cendo Lyteers 15 ml (PV) Botol 7L1106 11/1/2020 24,750.00 - - - -
Cendo Lyteers 15 ml (PV) Botol 8L0716 7/1/2021 24,750.00 50 1,237,500.00 200 4,950,000.00
198 Cendo Mydriatyl 1% (PV) Botol 7M0915 9/1/2020 42,075.00 8 336,600.00 - -
199 Cendo Mydriatyl 1% (PV) Botol 8M124 1/1/2021 42,075.00 20 841,500.00 - -
200 Cendo Mydriatyl 1% (PV) Botol 8M0409 4/1/2021 42,075.00 50 2,103,750.00 - -
201 Cendo Tropin 0,5% (PV) Botol 7T50925 9/1/2020 12,375.00 - - - -
202 Cendo Tropin 5ml (PV) Botol 7T5122 12/1/2020 12,375.00 - - - -
Cendo Tropin 5ml (PV) Botol 8T50406 6/1/2021 12,375.00 - - - -
Cendo Tropin 5ml (PV) Botol 8T50705 7/1/2021 12,375.00 - - 100 1,237,500.00
203 Cendo Xitrol 5 ml (KF) Botol 7X1124 5/31/2020 29,975.00 - - - -
204 Cendo Xitrol 5 ml Botol 7X1028 4/1/2020 29,975.00 - - - -
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Cendo Xitrol 5 ml (PV) Botol 8X0522 11/1/2020 29,975.00 - - 200 5,995,000.00
Cendo Xitrol 5 ml (PV) Botol 8X0417 10/1/2020 29,975.00 - - 200 5,995,000.00
207 Cendo Xitrol 5 ml (PV) Botol 8X0327 9/1/2020 29,975.00 - - - -
208 Cendo Xitrol EO 3,5 g (KF) Tube 89021399 2/28/2021 39,462.50 - - - -
209 Cendo Xitrol EO 3,5 g (PV) Tube 791102 11/1/2020 39,462.50 - - - -
Cendo Xitrol EO 3,5 g (PV) Tube 890731 7/1/2021 39,462.50 - - 15 591,937.50
Cendo Xitrol EO 3,5 g (PV) Tube 890828 8/1/2021 39,462.50 - - 150 5,919,375.00
213 Cenfresh 5 ml (KF) Botol 8C011899 1/31/2021 38,362.50 - - - -
214 Cenfresh 5 ml (PV) Botol 7C1127 11/1/2020 38,362.50 - - - -
Cenfresh 5 ml (PV) Botol 8C0808 8/1/2021 38,362.50 - - 150 5,754,375.00
Cenfresh 5 ml (PV) Botol 8CO508 5/31/2021 38,362.50 - - 50 1,918,125.00
Cenfresh 0.6 ml (PV) Botol 8C60717 1/1/2021 25,300.00 - - 100 2,530,000.00
219 Cercul Injeksi (RNI) Ampul 06134001 3/31/2019 16,500.00 - - - -
220 Cercul Injeksi (RNI) Ampul 06134003 10/31/2019 16,500.00 - - - -
221 Cetirizine Tablet (KF) Tablet C70502J 3/5/2020 334.95 - - - -
222 Cetirizine Tablet (RNI) Tablet TRB75043 10/31/2019 313.50 - - - -
223 Cetirizine Tablet (RNI) Tablet TRB76051 11/30/2019 313.50 - - - -
Cetirizine Tablet (RNI) Tablet 6807024 11/1/2019 372.44 - - 1,950 726,254.10
224 Chlorpromazin Tablet 100 mg (KF) Tablet J60004B 9/30/2019 264.28 800 211,420.00 - -
225 Cilostazol Tablet (DNR) Tablet TPB01646 1/1/2020 10,450.00 1,600 16,720,000.00 - -
226 Cilostazol Tablet (DNR) Tablet TPK74346 9/1/2020 10,450.00 400 4,180,000.00 - -
227 Ciprofloxacin Infus (PPG) Botol L10156718 11/1/2021 77,000.00 - - - -
228 Ciprofloxacin Infus (RNI) Botol 2280259 1/1/2020 62,700.00 200 12,540,000.00 - -
229 Ciprofloxacin Tablet (ESV) Tablet HTCFXC76168 12/31/2019 473.00 - - - -
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230 Ciprofloxacin Tablet (RNI) Tablet HTCFXC76138 11/30/2019 473.00 - - - -
233 Ciprofloxacin Tablet (RNI) Tablet 16333001 5/1/2023 607.90 700 425,532.80 2,500 1,519,760.00
234 Citicolin Injeksi (DNR) Ampul PIL38045 10/1/2019 24,750.00 - - - -
235 Citicolin Injeksi (DNR) Ampul PIL38245 10/1/2019 24,750.00 - - - -
236 Citicolin Injeksi (DNR) Ampul 81709 6/1/2022 4,957.33 - - - -
237 Citicolin Injeksi (MTK) Ampul PIK09046 9/1/2020 24,750.00 - - - -
Citicolin Injeksi (RNI) Ampul 16805001 4/1/2021 11,880.00 - - 600 7,128,000.00
238 Citicolin Injeksi (PPG) Ampul A10266702 1/1/2019 19,250.00 - - - -
239 Citicolin MPL Tablet (DNR) Tablet TPC17446 2/1/2022 7,333.33 600 4,400,000.00 - -
240 Citicolin Tablet (DNR) Tablet TPP05546 1/1/2022 7,333.33 - - - -
Citicolin Tablet (TSJ) Tablet TPF33547 5/1/2018 7,333.33 900 6,600,000.00 - -
241 Citicolin Tablet (ESV) Tablet TCTLA80030 1/31/2020 4,822.33 - - - -
242 Clopidogrel Tablet (KF) Tablet 172088B 10/17/2019 2,999.00 - - - -
243 Clopidogrel Tablet (KF) Tablet K72810B 11/19/2019 2,999.00 - - - -
244 Clopidogrel Tablet (KF) Tablet C80505B 2/25/2020 2,999.00 1,320 3,958,684.40 - -
245 Clopidogrel Tablet (KF) Tablet E81099B 6/3/2020 2,999.00 4,080 12,235,933.60 - -
246 Clindamycin Kapsul 300 mg (DNR) Kapsul KPG22546 6/1/2020 2,000.00 4,000 7,999,992.00 - -
247 Cotrimoxazol Tablet (KF) Tablet G71183B 6/17/2022 247.72 1,000 247,720.00 - -
248 Cotrimoxazol Tablet (MTK) Tablet TPK75746 9/1/2022 275.00 - - - -
249 Covetor Tablet (MBS) Tablet 20G113 7/31/2019 6,600.00 - - - -
250 Codein Tablet 10 mg (KF) Tablet F71395J 6/30/2021 657.00 - - - -
251 Codein Tablet 10 mg (KF) Tablet HG1223J 8/30/2021 657.00 - - - -
252 Codikaf Tablet 10 mg (KF) Tablet C70718J 3/1/2021 866.25 - - - -
253 Codikaf Tablet 10 mg (KF) Tablet 172588J 9/29/2021 866.25 - - - -
254 Covetor 20-E/45.00 (MBD) Tablet 20G113 7/31/2019 6,251.66 3,780 23,631,287.40 - -
255 Covetor 20-E/45.00 (MBD) Tablet 21D113 4/30/2020 6,251.66 2,070 12,940,943.10 - -
256 Dexamethason Injeksi (RNI) Ampul 6337002 12/31/2020 2,416.15 - - - -
257 Dexamethason Injeksi (RNI) Ampul 16337003 2/28/2021 2,416.15 - - - -
258 Dexamethason Injeksi (RNI) Ampul 16337002 7/1/2021 2,416.15 5,600 13,530,440.00 - -
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259 Dexamethason Tablet (RNI) Tablet 16338001 1/31/2021 149.03 4,500 670,626.00 1,000 149,028.00
260 Dexamethason Tablet (RNI) Tablet 16338002 7/1/2021 149.07 - - - -
261 Desoximethason Cream (AAM) Tube 2380406 2/1/2020 11,500.01 90 1,035,000.45 - -
262 Diazepam Tablet 2 mg (KF) Tablet E71076J 5/3/2020 123.75 1,800 222,750.00 - -
263 Diphenhidramin Injeksi (RNI) Ampul 06342017-2 10/31/2021 1,864.61 180 335,629.80 - -
Digoxin 25 mg (PPG) Tablet A8607OV 4/1/2020 143.00 - - 5,000 715,000.00
264 Diviti PFS 2.5 mg (AAM) 2681110 3/1/2020 271,975.00 40 10,879,000.00 - -
265 Dobutamin Injeksi (AAM) Ampul 2380472 2/1/2020 13,945.00 10 139,449.99 - -
266 Dobutamin Injeksi (RNI) Ampul 2280283 1/1/2018 70,288.24 10 702,882.40 - -
267 Dobutamin Injeksi (RNI) Ampul 2380472 2/1/2020 70,288.24 40 2,811,529.60 - -
268 Dolgesic Injeksi (SST) Ampul D80036 2/1/2021 12,760.00 - - 600 7,656,000.00
269 Domperidon Syrup (PV) Botol S2317134 1/1/2020 4,126.10 - - - -
270 Domperidon Syrup (RNI) Botol A10276801 1/1/2020 15,400.00 179 2,756,600.00 - -
271 Domperidon Syrup (RNI) Botol KLDPA7311 5/31/2020 12,650.00 - - - -
272 Domperidon Tablet (DNR) Tablet TSH86846 12/1/2021 484.34 - - - -
273 Domperidon Tablet (DNR) Tablet SCB03747 12/1/2022 479.49 1,500 719,235.00 - -
274 Domperidon Tablet (TSJ) Tablet C10246701 3/1/2019 495.00 - - - -
275 Domperidon Tablet (TSJ) Tablet TSC17844 2/1/2018 484.34 - - - -
276 Domperidon Tablet (TSJ) Tablet TSN80045 12/1/2020 484.34 - - - -
277 Doxycycline Kapsul (KF) Kapsul H72017J 6/7/2022 550.17 300 165,049.50 - -
278 Dulcolax Suppositoria (KF) Suppo 15050858 4/22/2019 16,033.60 150 2,405,040.00 - -
279 Dulcolax Tablet (KF) Tablet 17111481 10/30/2020 1,329.35 400 531,740.00 - -
280 Endrolin Injeksi (ESV) Ampul KVEDNA76173 8/6/2019 619,300.00 7 4,335,100.00 - -
281 Ephedrin Injeksi (APL) Ampul 97LG0026 7/1/2021 22,000.00 - - - -
282 Ephedrin Injeksi (APL) Ampul 97LG0126 7/24/2021 55,000.00 - - - -
283 Ephedrin Injeksi (APL) Ampul 97LG0127 7/24/2021 55,000.00 350 19,250,000.00 - -
284 Ergotamin Coffein (KF) Tablet K60415B 10/1/2020 203.50 900 183,150.00 - -
285 Erlamycetin Ear Drop (PV) Botol D0652098 7/1/2019 7,095.00 - - - -
286 Esomax Injeksi (MBS) Vial 7M1190 12/1/2019 118,800.00 - - - -
287 Esomax Injeksi (MBS) Vial BA0044 1/1/2020 118,800.00 - - - -
288 Esomax Injeksi (MBS) Vial 8B0259 2/1/2020 118,800.00 - - 150 17,820,000.00
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Esomax Injeksi (MBS) Vial 8E6725 5/1/2020 118,800.00 - - - -
289 Estazor Tablet (PV) Kapsul TH1411 8/1/2021 8,800.00 60 528,000.00 - -
290 Estazor Tablet (PV) Kapsul TK1101 11/1/2021 9,020.00 510 4,600,200.00 600 5,412,000.00
Ethambutol (DNR) Tablet TSH43947 7/1/2023 688.33 - - 1,000 688,325.00
291 Eyefresh 0,6 ml (PV) Strip 7FH61221 12/1/2020 25,437.50 - - - -
292 Eyefresh 0,6 ml (PV) Strip 7FH61227 12/1/2020 25,437.50 - - - -
293 Eyefresh 5 ml (PV) Botol 7EH1221 12/1/2020 31,762.50 - - - -
294 Eyefresh 5 ml (PV) Botol 8EH0123 1/1/2021 31,762.50 20 635,250.00 - -
295 Eyefresh 5 ml (PV) Botol 8EH0209 2/1/2021 31,762.50 198 6,288,975.00 - -
296 Farbivent Injeksi (PV) Ampul TJ0203 10/1/2019 9,350.00 - - - -
297 Farbivent Injeksi (PV) Ampul PA0343 1/1/2020 9,350.00 - - - -
298 Farbivent Injeksi (PV) Ampul FE0763 5/1/2020 9,350.00 - - - -
299 Farbivent Injeksi (PV) Ampul PA0343 1/1/2020 9,350.00 300 2,805,000.00 - -
Farbivent Injeksi (PV) Ampul PG 0133 7/1/2020 9,900.00 - - 500 4,950,000.00
Farbion Injeksi (PV) Ampul F1 0333 9/1/2021 6,600.00 - - 3,000 19,800,000.00
300 Farelax Injeksi (PPG) Ampul TK0013 11/1/2019 77,000.00 50 3,850,000.00 - -
301 Farpresin Injeksi (PV) Vial IJ0323 10/1/2018 88,000.00 - - - -
Farpresin Injeksi (PV) Vial - 8/1/2019 88,000.00 - - 75 6,600,000.00
Farpresin Injeksi (PPG) Vial TH0053 8/1/2019 88,000.00 - - 50 4,400,000.00
302 Farsorbid Injeksi (PV) Vial TD0583 4/1/2019 66,000.00 6 396,000.00 - -
303 Fiondazol Infus (UN) Botol BPIL13546 10/1/2021 66,000.00 - - - -
304 Fiondazol Infus (UN) Botol BPIL13546 10/1/2021 39,600.00 - - - -
305 Fiopraz Injeksi (UN) Vial BPSL03846 10/1/2020 110,000.00 - - - -
306 Fioramol Infus (TSJ) Botol BPIN15746 12/1/2020 33,000.00 - - - -
307 Flamar Tablet 25 mg (BSP) Tablet TJ8735A 9/1/2021 516.97 - - - -
308 Flamar Tablet 25 mg (BSP) Tablet TH8744A 12/1/2019 516.97 - - - -
Flamic (PV) Tablet DJ002 11/1/2020 2,750.00 - - - -
Flamicort (AAM) Vial IS030327A 5/1/2022 118,800.00 - - - -
309 Floxaris Infus (MBS) Botol 7K6739 10/1/2019 186,450.00 24 4,474,800.00 - -
310 Flunarizin Tablet (PPG) Tablet TPE31647 4/1/2022 2,200.00 3,500 7,700,000.00 - -
311 Furosemid Tablet (KF) Tablet F70972B 5/19/2020 84.00 - - - -
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312 Furosemid Tablet (MBS) Tablet 1709010 12/1/2021 178.34 700 124,840.20 - -
313 Futrolit Infus (BSP) Bag UB3113A 2/1/2021 41,392.89 216 8,940,864.24 - -
314 Gabapentin Kapsul 300 mg (AAM) Kapsul 48B0442 2/1/2019 4,235.00 - - - -
315 Gabapentin Kapsul 300 mg (RNI) Kapsul 48B0442 2/28/2019 6,050.00 - - - -
316 Gabapentin Kapsul 300 mg (RNI) Kapsul 49B0324 1/1/2020 6,050.00 - - - -
317 Gabasant Kapsul (SST) Kapsul JM002 10/1/2020 5,264.88 1,500 7,897,312.50 - -
318 GABAXA INFUS (PV) Botol PB0683 2/1/2020 220,000.00 34 7,480,000.00 - -
319 GAMARAAS (APL) Vial 201610G021 10/6/2019 3,080,000.00 5 15,400,000.00 - -
320 Gastrul Tablet (PV) Tablet TK1991 11/1/2019 11,440.00 750 8,580,000.00 - -
321 Gavistral Injeksi (PV) Ampul F7L104 11/1/2019 7,700.00 - - - -
322 Gavistral Injeksi (PV) Ampul F7L144 11/1/2019 7,700.00 - - - -
323 Gelafusal Infus (AAM) Bag O0617 3/1/2020 145,015.00 - - - -
324 Gelafusal Infus (RNI) Bag 00617 3/1/2020 192,500.00 90 17,325,000.00 100 19,250,000.00
325 Gentamicin Cream Kulit (KF) Tube 171455T 9/29/2021 2,019.99 - - - -
326 Gentamicin Cream Kulit (KF) Tube J71502T 10/6/2021 2,073.14 - - - -
327 Gentamicin Cream 1% (KF) Tube E81001T 5/16/2022 2,126.30 40 85,052.00 - -
328 Glauseta Tablet (BSP) Tablet UA2441 1/1/2020 4,625.50 - - - -
329 Glauseta Tablet (BSP) Tablet DC2803 3/1/2020 4,741.00 - - - -
330 Glauseta Tablet (BSP) Tablet DD2897 4/1/2020 4,741.00 800 3,792,800.00 - -
331 Glimefion Tablet 2 mg (UN) Tablet BTPL01246 10/1/2020 4,216.67 - - - -
332 Glimepiride Tablet 2 mg (RNI) Tablet HTGMPF76028 12/1/2021 880.00 500 440,000.00 - -
333 Glukosa 05% (KF) Botol 270622 5/31/2020 6,900.30 320 2,208,096.00 - -
334 Glukosa 05% (KF) Botol 270704 6/5/2020 6,900.30 2,680 18,492,804.00 - -
335 Glukosa 10% (KF) Botol 271106 10/31/2020 7,499.80 - - - -
336 Glukosa 10% (KF) Botol 280203 1/3/2021 7,499.80 120 899,976.00 - -
337 Glukosa 10% (KF) Botol 280224 1/26/2021 7,499.80 - - - -
338 Glukosa 40% (KF) Vial 80G47A 7/11/2019 10,010.00 156 1,561,560.00 - -
339 Graphalac Syrup (PV) Botol NL114 11/1/2019 44,412.50 - - - -
340 Graphalac Syrup (PV) Botol NL114 11/1/2019 46,750.00 - - - -
341 Graphalac Syrup (PV) Botol DA121 1/1/2020 46,750.00 - - - -
342 Graphalac Syrup (PV) Botol DC126 3/1/2020 46,750.00 168 7,854,000.00 - -
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343 Gravix Tablet (PV) Tablet DA021 1/1/2023 1,410.75 - - - -
344 Gravix Tablet (PV) Tablet DC028 3/1/2023 1,410.75 - - - -
345 Hepamed 300 mg (SST) Tablet JY7A131 9/1/2019 9,570.00 1,350 12,919,500.00 - -
346 Hidrochlortiazid Tablet (KF) Tablet I72008B 8/8/2022 178.00 1,900 338,203.80 - -
347 Hydrocortisone 2,5 % (KF) Tube E81171T 5/26/2022 2,647.70 240 635,448.00 0 -
348 Human Albumin (KF) Botol B23655 9/30/2020 880,000.00 - - - -
349 Human Albumin (KF) Botol B236448 3/31/2021 880,000.00 4 3,520,000.00 0 -
350 Hufabion Tablet (SST) Ampul 100437 8/1/2019 336.12 1,500 504,174.00 - -
Hufaflox (SST) Tablet M600447 12/1/2021 601.43 - - 15,000 9,021,375.00
351 Ibuprofen Syrup 100 mg (KF) Botol S05015A11 5/30/2020 2,677.40 50 133,870.00 - -
Ibuprofen Syrup 100 mg (RNI) Botol S 10003 A G 10/1/2018 2,683.49 - - 200 536,698.80
352 Ibuprofen Tablet 400 mg (KF) Tablet KB9119606 11/1/2021 127.00 - - - -
353 Ibuprofen Tablet 400 mg (KF) Tablet 16357010 5/1/2022 225.54 3,000 676,632.00 0 -
354 Inpepsa Suspensi (PV) Botol PA2241 1/1/2021 57,200.00 - - - -
355 Inviclot Injeksi (PV) Vial TJ0173 10/1/2019 66,000.00 - - - -
356 Inviclot Injeksi (PV) Vial PC0473 3/1/2020 66,000.00 10 660,000.00 - -
357 Isonat Tablet 5 mg (KF) Tablet D160355B 4/1/2020 968.00 - - - -
358 Isonat Tablet 5 mg (KF) Tablet D160355B 8/30/2020 968.00 4,500 4,356,000.00 - -
359 Isoniazid Tablet 100 mg (AP DE) Tablet J60093B 10/1/2021 200.00 - - - -
360 Isoniazid Tablet 100 mg (KF) Tablet J60093B 9/24/2021 142.56 - - - -
Isoniazid Tablet 100 mg (KF) Tablet B80218B 1/21/2023 142.56 - - 10,000 1,425,600.00
361 Isoniazid Tablet 300 mg (KF) Tablet G71416B 7/7/2022 170.01 1,000 170,005.00 800 136,004.00
362 Isosorbid Dinitrat Tablet (AP DE) Tablet 1612058 2/1/2021 300.00 - - - -
363 Isosorbid Dinitrat Tablet 5 mg (IGM) Tablet 1707043 8/1/2021 123.02 - - - -
Isosorbid Dinitrat Tablet 5 mg (PPG) Tablet A2327EV 5/1/2022 121.00 - - 10,000 1,210,000.00
364 Itramag Suspensi (SST) Botol 802181 8/1/2021 5,009.40 - - - -
365 KA-EN 3B (KF) Botol 471193A 8/1/2020 10,249.80 - - - -
KA-EN 3B (KF) Botol 48G94A 7/25/2021 11,231.00 - - 1,000 11,231,000.00
366 Ketamin Hameln (APL) Vial 8150624 4/30/2021 170,500.00 20 3,410,000.00 - -
367 Ketokonazol Tablet (RNI) Tablet 3061814 9/1/2019 450.99 - - - -
368 Ketorolac Injeksi 30 mg (AP DE) Ampul IKTRB70023 9/1/2019 7,000.00 - - - -
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369 Ketorolac Injeksi 30 mg (DNR) Ampul PIM52045 11/1/2020 16,038.00 - - - -
370 Ketorolac Injeksi 30 mg (DNR) Ampul PIM52245 11/1/2020 16,038.00 - - - -
371 Ketorolac Injeksi 30 mg (DNR) Ampul PIC26647 2/1/2020 16,038.00 - - - -
372 Ketorolac Injeksi 30 mg (DNR) Ampul P1C26647 2/1/2022 16,038.00 - - - -
Ketorolac Injeksi 30 mg (DNR) Ampul PIC26547 2/1/2022 16,038.00 - - - -
373 Ketorolac Injeksi 30 mg (DNR) Ampul TPM99046 11/1/2022 16,038.00 2,200 35,283,600.00 - -
374 Ketorolac Injeksi 30 mg (RNI) Ampul IKTRB70053 11/30/2019 5,000.05 - - - -
376 Ketorolac Injeksi 30 mg (RNI) Ampul 16459008 2/28/2021 1,834.25 - - - -
378 Ketorolac Injeksi 30 mg (RNI) Ampul IKTR80102 3/31/2020 5,000.05 - - - -
Ketorolac Injeksi 30 mg (RNI) Ampul 16459042 7/1/2021 1,834.25 - - 1,992 3,653,826.00
Ketorolac Injeksi 30 mg (MUP) Ampul GJ18002 8/1/2020 6,600.00 - - 450 2,970,000.00
379 Klotaren Tablet 25 mg (KF) Tablet F71208J 5/16/2022 398.99 - - - -
380 Kolefion Tablet 20 mg (UN) Tablet BTSL01045 10/1/2019 5,500.00 - - - -
381 Kolicgon Tablet (PV) Tablet T0651029 11/1/2018 1,317.37 - - - -
382 KSR Tablet 600 mg (AAM) Tablet K0367398 4/1/2021 1,755.00 1,500 2,632,500.09 - -
383 Kutoin Injeksi (SST) Ampul 470169 8/1/2020 65,780.00 50 3,289,000.00 - -
Kutoin Tablet (SST) Kapsul 81336 6/1/2020 1,075.25 1,700 1,827,925.00 - -
384 Kutoin Injeksi (SST) Ampul D80180 3/1/2021 65,780.00 - - - -
Kutoin Injeksi (SST) Ampul D80001 1/1/2021 65,780.00 - - 300 19,734,000.00
385 Lanabal Tablet (MBS) Tablet 20E033 5/31/2021 1,320.00 700 924,000.00 - -
386 Lansoprazol Kapsul (DNR) Kapsul NPC03847 2/1/2021 1,621.60 - - - -
387 Lansoprazol Kapsul (KF) Kapsul 7178109 12/31/2019 330.00 - - - -
Lansoprazol Kapsul (KF) Kapsul 7178062 7/31/2020 330.00 - - 10,000 3,300,000.00
388 Lansoprazol Kapsul (PV) Kapsul EBC034D 8/1/2020 1,351.35 - - - -
389 Lansoprazol Kapsul (RNI) Kapsul 223053 6/30/2019 1,000.01 - - - -
390 Lansoprazol Kapsul (RNI) Kapsul KLPSA70014 9/30/2019 1,000.01 - - - -
391 Lansoprazol Kapsul (TAS) Kapsul NL09138 10/1/2019 810.81 - - - -
Lesichol 300 (MBS) Kapsul 21D045 4/30/2018 9,350.00 - - 900 8,415,000.00
392 Levemir Flex Pen (AAM) Pen GT6A977 10/1/2019 83,950.02 - - - -
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393 Levemir Flex Pen (AAM) Pen GT6B321 11/1/2019 83,949.99 - - - -
394 Levemir Flex Pen (AAM) Pen HT6E203 5/1/2020 83,950.00 - - - -
395 Levemir Flex Pen (AAM) Pen HT6D631 4/1/2020 83,950.00 - - - -
396 Levemir Flex Pen (AAM) Pen 48A0218 6/1/2020 83,950.00 60 5,037,000.01 - -
Lifadrox Syr - - 9,122.30 200 1,824,460.00 - -
397 LFX 0,6 ml (PV) Strip 7LF61222 6/1/2020 75,900.00 - - - -
398 LFX 5 ml (PV) Botol 7LF1114 5/1/2020 76,175.00 49 3,732,575.00 - -
399 LFX 5 ml (PV) Botol 7LF1114 5/1/2020 46,750.00 - - - -
400 Loperamid Tablet (KF) Tablet 70310 11/1/2019 85.00 18,000 1,529,946.00 0 -
401 Loprezol Kapsul (KF) Kapsul HG1543J 9/30/2019 799.99 - - - -
402 Meloxicam Tablet 7,5 mg (DNR) Tablet PNO3138 7/1/2023 1,199.00 1,900 2,278,100.00 - -
403 Meloxicam Tablet 15 mg (DNR) Tablet NB06126 12/1/2022 691.90 50 34,595.00 - -
404 Meloxicam Tablet 15 mg (RNI) Tablet JS17040A 10/1/2019 512.60 - - - -
405 Meloxicam Tablet 15 mg (SST) Tablet T2717001 1/1/2019 909.32 - - - -
406 Meloxicam Tablet 15 mg (TAS) Tablet PDO1126 3/1/2023 719.40 - - - -
407 Meloxicam Tablet 15 mg (TAS) Tablet PN0226 7/1/2023 719.40 550 395,670.00 - -
408 Merophenem Injeksi 0,5 g (TSJ) Vial A10376701 1/1/2019 132,000.00 - - - -
Merophenem Injeksi 1 g (TSJ) Vial B10326808 2/1/2021 49,993.35 260 12,998,271.00 40 1,999,734.00
409 Merophenem Injeksi 1 g (PPG) Vial K10326701 10/1/2020 225,500.00 - - - -
410 Merophenem Injeksi 1 g (RNI) Vial IMPRA70036 11/30/2019 110,000.00 - - - -
411 Merophenem Injeksi 1 g (RNI) Vial IMRPA70036 11/30/2019 110,000.00 - - - -
414 Merophenem Injeksi 1 g (DNR) Vial P8N53746 12/4/2020 220,000.00 - - - -
415 Metformin Tablet 500 mg (AAM) Tablet 47F4152 5/1/2019 179.69 - - - -
416 Metformin Tablet 500 mg (ESV) Tablet HTMFNA81606 2/29/2020 181.50 - - - -
417 Metformin Tablet 500 mg (RNI) Tablet 06431002 8/23/2022 239.58 - - - -
Metformin Tablet 500 mg (RNI) Tablet 16431009 7/1/2023 239.58 - - 5,000 1,197,900.00
418 Methyl Ergometrin Tablet (KF) Tablet C70296J 3/1/2022 270.60 - - - -
419 Methylprednisolon Injeksi (MTK) Vial PSE14446 4/1/2021 49,500.00 - - - -
420 Methylprednisolon Injeksi (MTK) Vial PSN66945 12/1/2020 49,500.00 - - - -
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421 Methylprednisolon Injeksi (PPG) Vial L10576701 11/1/2020 51,700.00 - - - -
422 Methylprednisolon Injeksi (RNI) Vial P182033 1/31/2020 23,760.00 100 2,376,000.00 - -
423 Methylprednisolon Injeksi (RNI) Vial 16463014 1/31/2021 19,089.40 - - - -
Methylprednisolon Injeksi (MU) Vial P182133 5/31/2018 23,760.00 - - - -
Methylprednisolon Injeksi (MU) Vial CJ18004 3/31/2020 23,760.00 - - 400 9,504,000.00
424 Methylprednisolon Tablet 4 mg (DNR) Tablet TPL80946 10/1/2020 528.66 - - - -
Methylprednisolon Tablet 4 mg (DNR) Tablet PB01142 4/1/2022 440.55 - - - -
425 Methylprednisolon Tablet 4 mg (KF) Tablet ZN165 11/1/2020 139.00 - - - -
426 Methylprednisolon Tablet 4 mg (PPG) Tablet B10046801 2/1/2020 550.00 - - - -
427 Methylprednisolon Tablet 4 mg (RNI) Tablet 48E0346 4/1/2021 484.50 - - - -
428 Methylprednisolon Tablet 4 mg (RNI) Tablet 49B0172 2/1/2022 484.61 - - - -
429 Methylprednisolon Tablet 4 mg (RNI) Tablet 16445001 6/28/2022 484.00 - - - -
Methylprednisolon Tablet 4 mg (SST) Tablet BT001 3/1/2021 576.80 3,200 1,845,760.00 - -
432 Methylprednisolon Tablet 4 mg (TSJ) Tablet K10046705 10/1/2019 550.00 - - - -
433 Methylprednisolon Tablet 4 mg (TSJ) Tablet TPC12447 2/1/2021 528.66 - - - -
Methylprednisolon Tablet 4 mg (TSJ) Tablet 8S180044A 5/31/2020 279.40 3,500 977,900.00 - -
Methylprednisolon Tablet 4 mg (MU) - - 279.40 - - - -
Methylprednisolon Tablet 16 mg (MU) Tablet G818054 7/30/2020 825.00 2,000 1,650,000.00 - -
434 Metronidazol Infus (APL) Botol KY7E095 10/31/2019 8,703.20 - - - -
Metronidazol Infus (APL) Botol TY8E004 6/30/2018 8,250.00 456 3,762,000.00 - -
435 Metronidazol Infus (TSJ) Botol L10176703 11/1/2020 44,000.00 - - - -
438 Metronidazol Tablet 500 mg (DNR) Tablet TPM99046 11/1/2022 264.00 5,000 1,320,000.00 - -
439 Metronidazol Tablet 500 mg (DNR) Tablet P1C26647 11/1/2022 264.00 5,000 1,320,000.00 - -
440 Metronidazol Tablet 500 mg (PPG) Tablet TPM98846 11/1/2022 264.00 - - - -
441 MgSO4 40 % (GF) Vial 86E46A 5/17/2018 2,629.00 - - - -
442 MgSO4 40 % (GF) Vial - - 3,652.00 - - - -
443 MgSO4 40 % (MRP) Vial 92C48A 3/23/2020 3,796.10 210 797,181.00 - -
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444 Miconazol Cream (KF) Tube 172317W 9/12/2021 3,575.00 48 171,600.00 - -
445 Molagit Tablet (AP DE) Tablet YM022 3/1/2021 700.00 - - - -
446 Molagit Tablet (MBS) Tablet ZN039 11/1/2022 360.80 3,000 1,082,400.00 - -
447 Molaneuron Tablet (MBS) Tablet M13AJ005 1/1/2021 495.00 - - - -
448 Molaneuron Tablet (MBS) Tablet M13AY014 5/1/2021 440.02 7,000 3,080,154.00 - -
449 Moxifloxacin Infus (PV) Botol PA0383 1/1/2020 220,000.00 - - - -
450 Moxifloxacin Infus (PV) Botol TL0233 12/1/2019 220,000.00 - - - -
451 Myotonic Tablet (PV) Tablet A7A411 1/1/2019 2,915.00 - - - -
452 Myotonic Tablet (PV) Tablet A7G708 7/1/2019 2,915.00 - - - -
453 Myotonic Tablet (PV) Tablet A7J840 9/1/2019 2,915.00 - - - -
454 Myotonic Tablet (PV) Tablet A7L932 11/1/2019 2,915.00 - - - -
455 Myotonic Tablet (PV) Tablet A8B199 2/1/2020 2,915.00 - - - -
Myotonic Injeksi (PV) Ampul f70797 4/1/2019 6,050.00 - - - -
Myotonic Tablet (PV) Tablet F8D383 4/1/2020 2,915.00 - - 4,800 13,992,000.00
Myotonic Tablet (PV) Tablet A8F513 6/1/2020 2,915.00 - - 5,200 15,158,000.00
456 N-Ace Kapsul (PV) Kapsul TJ1471 10/1/2019 2,200.00 - - - -
457 N-Ace Kapsul (PV) Kapsul TK1851 11/1/2019 2,310.00 - - - -
458 N-Ace Kapsul (PV) Kapsul PA0541 1/1/2020 2,310.00 - - - -
459 N-Ace Kapsul (PV) Kapsul TL0201 12/1/2019 2,310.00 - - - -
460 N-Ace Kapsul (PV) Kapsul PB1601 2/1/2020 2,310.00 - - - -
N-Ace Kapsul (PV) Kapsul 2241 3/1/2020 2,310.00 - - 1,500 3,465,000.00
461 NaCl Piggyback (KF) Botol 47173A 9/4/2020 13,200.00 - - - -
462 NaCl Piggyback (KF) Botol 47173A 9/4/2020 15,180.00 - - - -
463 NaCl Piggyback (KF) Botol 48A88A 1/19/2021 15,180.00 640 9,715,200.00 - -
464 Natacen 0,6 ml (PV) Strip 86NA60112 1/1/2020 45,787.50 - - - -
465 Natacen 0,6 ml (PV) Strip 8NA60126 1/1/2020 45,787.50 15 686,812.50 - -
466 Natrium Klorida Infus (KF) Botol 371024 9/6/2022 6,409.70 - - - -
467 Natrium Klorida Infus (KF) Botol 182D01 4/1/2021 6,409.70 - - - -
468 Natrium Klorida Infus (KF) Botol 480302 2/5/2022 6,409.70 - - - -
469 Natrium Klorida Infus (KF) Botol 380215 1/16/2023 6,409.70 500 3,204,850.00 - -
470 Natrium Klorida Infus (KF) Botol 480303 9/6/2021 6,409.70 5,760 36,919,872.00 - -
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471 Natrium Klorida Infus (RNI) Botol 280121 12/1/2022 6,409.70 - - - -
472 Natrium Diklofenak Tablet 25 mg (RNI) Tablet 06364031 12/6/2022 204.93 - - - -
473 Natrium Diklofenak Tablet 50 mg (KF) Tablet J72895J 10/5/2022 352.64 - - - -
474 Natrium Diklofenak Tablet 50 mg (RNI) Tablet 06365040 11/16/2020 236.57 - - - -
Natrium Diklofenak Tablet 50 mg (RNI) Tablet 16365060 7/1/2021 236.50 - - 5,000 1,182,500.00
475 Natrium Phenitoin Injeksi (RNI) Ampul 06366006 7/31/2021 11,855.58 - - - -
476 Natrium Phenitoin Injeksi (RNI) Ampul 06366009 11/30/2021 11,855.58 - - - -
477 Neostigmine Hamelin (APL) Ampul 743056 10/26/2019 8,200.06 - - - -
478 Neurosanbe Injeksi (BSP) Ampul UB3425 6/1/2019 5,324.00 - - - -
479 Neurosanbe Tablet (BSP) Tablet TM2347C 12/1/2021 1,160.50 - - - -
480 Neurosanbe Tablet (BSP) Tablet UA2522 1/1/2022 1,160.50 - - - -
481 Neurosanbe Tablet (BSP) Tablet DC2770 3/1/2022 1,160.50 - - - -
482 Neurosanbe Tablet (BSP) Tablet DD2031B 4/1/2022 1,160.50 - - - -
483 Neurosanbe Tablet (BSP) Tablet UA2522 1/1/2022 1,160.50 - - - -
484 Nifedipin Tablet (RNI) Tablet 47G4166 5/1/2020 141.89 1,000 141,889.00 - -
485 Nifedipin Tablet (RNI) Tablet 48F4106 5/1/2021 141.90 - - - -
486 Nimodipin Infus (DNR) Botol PIM57545 11/1/2018 181,500.00 - - - -
487 Norages Injeksi (PV) Ampul F6K594 10/1/2019 9,185.00 - - - -
488 Norages Injeksi (PV) Ampul F8C277 3/1/2020 9,185.00 - - - -
489 Norelut Tablet (AAM) Tablet 49B3042 1/1/2022 4,224.00 300 1,267,200.00 - -
490 Normudal Tablet (APL) Tablet BSB089 2/28/2023 694.54 - - - -
491 Novadium Tablet (AP DE) Tablet 1605-01-34 5/1/2020 250.00 - - - -
492 Novamaag Syrup (RNI) Botol 18040192 4/30/2022 3,712.50 - - - -
493 Novorapid Flex Pen (AAM) Pen GR7C897 11/1/2019 86,999.99 - - - -
494 Novorapid Flex Pen (AAM) Pen HR7F771 5/1/2020 87,000.00 - - - -
495 Novorapid Flex Pen (AAM) Pen HR7j149 7/1/2020 87,000.00 65 5,654,999.92 - -
496 OAT Kategori 1 (GF) Kotak - - 413,979.00 - - - -
497 OAT Kategori Anak (GF) Kotak - - 224,758.00 - - - -
498 Oksitosin Injeksi (GF) Ampul - - 1,900.00 200 380,000.00 - -
Omeprazol Injeksi (TSJ) Ampul PSD06347 3/1/2021 88,000.00 - - 10 880,000.00
499 Ondancentron Injeksi 4 mg (DNR) Ampul PIH83945 7/1/2019 5,500.00 3,000 16,500,000.00 - -
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504 Ondancentron Injeksi 4 mg (PPG) Ampul B10426701 2/1/2020 5,500.00 - - - -
505 Ondancentron Injeksi 4 mg (RNI) Ampul I172387 11/30/2019 3,190.00 - - - -
506 Ondancentron Injeksi 4 mg (TSJ) Ampul K10426602 10/1/2019 5,500.00 - - - -
Ondancentron Injeksi 4 mg (MU) Ampul 1182240 7/31/2020 3,190.00 - - 2,190 6,986,100.00
Ondancentron Injeksi 4 mg (MU) Ampul 1182242 8/31/2020 3,190.00 - - 600 1,914,000.00
507 Ondancentron Injeksi 8 mg (AAM) Ampul 2170083 12/1/2018 9,680.00 - - - -
508 Ondancentron Injeksi 8 mg (AAM) Ampul 2370448 2/1/2019 9,680.00 - - - -
509 Oralit (AP DE) Sachet - - 500.00 - - - -
510 Oralit (RNI) Sachet 06373308 8/31/2020 418.00 400 167,200.00 - -
511 Oxytetracyclin Salep Kulit (KF) Tube C80863W 3/7/2021 2,009.70 150 301,455.00 - -
512 Oxytetracyclin Salep Mata (KF) Tube A80110W 1/1/2020 3,327.50 150 499,125.00 - -
513 P. Pred 10 mg (PV) Strip 7PP61219 12/1/2019 42,075.00 - - - -
514 P. Pred 5 ml (PV) Botol BPP0306 3/1/2020 61,050.00 50 3,052,500.00 - -
515 P. Pred 5 ml (PV) Botol BPP0306 3/1/2020 46,750.00 - - - -
516 Pantocain 0,5 % (PV) Botol 7P11228 12/1/2020 13,337.50 - - - -
517 Pantocain 5 ml (PV) Botol 7P11228 12/1/2020 13,337.50 99 1,320,412.50 - -
518 Pantoprazol Injeksi (MTK) Vial P172242 9/1/2019 49,500.00 - - - -
519 Pantoprazol Injeksi (PPG) Vial J10256706 9/1/2019 93,500.00 - - - -
520 Pantoprazol Injeksi (PPG) Vial J10256707 9/1/2019 93,500.00 - - - -
521 Pantoprazol Injeksi (RNI) Vial 06488063 11/30/2020 37,400.00 - - - -
522 Pantoprazol Injeksi (TSJ) Vial PSD09447 3/1/2021 88,000.00 - - - -
Pantoprazol Injeksi (TSJ) Vial PSD10447 3/1/2021 88,000.00 - - 1,000 88,000,000.00
Pantoprazol Injeksi (TSJ) Vial 0SE14447 4/1/2021 88,000.00 - - - -
0 Pantoprazol Injeksi (MUP) Vial P182086 7/31/2020 40,700.00 - - 1,000 40,700,000.00
Pantoprazol Injeksi (TSJ) Vial PSC08546 2/1/2020 88,000.00 - - 2,000 176,000,000.00
523 Pantoprazol Injeksi (TSJ) Vial PSK46445 9/1/2019 88,000.00 - - - -
524 Pantoz Injeksi (SST) Vial LM005 12/1/2019 47,502.68 - - - -
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525 Pantoz Injeksi (SST) Vial ET0003 5/1/2020 47,502.68 - - - -
Pantoz Injeksi (SST) Vial FT003 7/1/2020 47,502.68 - - 150 7,125,401.25
Pantotum Injeksi (TSJ) Vial H20266601 8/1/2018 115,500.00 - - - -
526 Paracetamol Infus (APL) Botol JY7E103 9/30/2019 12,939.30 - - - -
527 Paracetamol Infus (APL) Botol JY7E104 9/30/2019 12,939.30 - - - -
528 Paracetamol Infus (APL) Botol MY7E007 12/31/2019 11,990.00 - - - -
529 Paracetamol Infus (APL) Botol QY6E070 3/31/2020 11,990.00 - - - -
530 Paracetamol Infus (APL) Botol BY8e045 4/30/2020 11,990.00 - - - -
Paracetamol Infus (MU) Botol D80502 7/31/2020 19,250.00 192 3,696,000.00 200 3,850,000.00
531 Paracetamol Infus Daparin (APL) Botol RY8E045 4/30/2020 11,990.00 - - - -
Paracetamol Infus Daparin (APL) Botol SY9EK002 5/31/2018 22,000.00 - - - -
Paracetamol Infus Daparin (APL) Botol TY8E039 6/30/2018 11,990.00 672 8,057,280.00 - -
532 Paracetamol Infus (DNR) Botol PIL35346 10/1/2019 66,000.00 - - - -
533 Paracetamol Infus (PPG) Botol H10626740 8/1/2019 67,100.00 - - - -
534 Paracetamol Infus (PPG) Botol H10626750 8/1/2019 67,100.00 - - - -
535 Paracetamol Infus (PPG) Botol PIB15547 1/1/2021 66,000.00 - - - -
536 Paracetamol Infus (RNI) Botol 0020282A 2/29/2020 38,500.00 - - - -
Paracetamol Infus (RNI) Botol 16802028 4/1/2020 36,685.00 86 3,154,910.00 - -
Paracetamol Infus (RNI) Botol 16802010 BF 2/1/2020 36,685.00 - - -
537 Paracetamol Infus (TSJ) Botol G10626748 8/1/2019 67,100.00 - - - -
538 Paracetamol Infus (TSJ) Botol PIL33146 1/1/2020 66,000.00 - - - -
Paracetamol Infus (MU) Botol 80560 9/30/2020 15,400.00 - - - -
539 Paracetamol Syrup (DNR) Botol SCB03747 1/1/2022 5,500.00 - - - -
540 Paracetamol Syrup (RNI) Botol 16374001 5/1/2020 5,117.20 850 4,349,620.00 0 -
541 Paracetamol Tablet (KF) Tablet D807541 4/11/2022 220.72 - - - -
542 Paracetamol Tablet (RNI) Tablet 06711007 11/1/2022 115.50 - - - -
545 Paracetamol Tablet (SST) Tablet 73248 7/1/2020 157.30 - - - -
Paracetamol Tablet (SST) Tablet A8628 8/1/2020 79.20 17,000 1,346,400.00 - -
546 Pehacain Injeksi (RNI) Ampul 06052090 11/30/2011 3,113.06 - - - -
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547 Pehacain Injeksi (RNI) Ampul 16052006 3/31/2021 3,113.06 300 933,916.50 - -
548 Petidin Injeksi (KF) Ampul EG0866J 5/20/2021 13,191.42 - - - -
549 Petidin Injeksi (KF) Ampul EG085J 4/30/2021 13,191.42 330 4,353,168.60 - -
550 Phentanyl Injeksi (KF) Ampul 6D9K-B 10/1/2019 39,999.96 - - - -
551 Phentanyl Injeksi (KF) Ampul PR2L 2/1/2020 41,599.80 - - - -
552 Phentanyl Injeksi (KF) Ampul 5D5JB 9/1/2020 41,599.80 - - - -
Phentanyl Injeksi (KF) Ampul K49V 12/1/2020 41,599.80 200 8,319,960.00 - -
553 Phyfion Injeksi (GHF) Ampul BPINI6046 1/12/2019 9,350.00 100 935,000.00 - -
554 Phytomenadion Tablet (RNI) Tablet 95381011 10/20/2019 1,100.55 600 660,330.00 - -
555 Piracetam Injeksi 1 g (AAM) Ampul 2470595 3/1/2019 4,235.00 - - - -
556 Piracetam Injeksi 1 g (TSJ) Ampul H10406601 7/1/2019 6,600.00 - - - -
557 Piracetam Injeksi 1 g (TSJ) Ampul PID14145 3/1/2020 6,600.00 50 330,000.00 - -
558 Piracetam Injeksi 1 g (TSJ) Ampul PIF74346 5/1/2021 6,600.00 350 2,310,000.00 - -
559 Piracetam Injeksi 3 g (RNI) Ampul 2170076 12/31/2018 18,815.50 - - - -
560 Piracetam Injeksi 3 g (TSJ) Ampul K10396707 10/1/2020 20,900.00 - - - -
561 Piracetam Injeksi 3 g (TSJ) Ampul K10396714 10/1/2020 20,900.00 - - - -
562 Piracetam Injeksi 3 g (TSJ) Ampul PIL45946 1/1/2021 20,526.00 190 3,899,940.00 - -
563 Piracetam Kapsul 800 mg (AAM) Kapsul 48D0124 4/1/2020 618.31 3,000 1,854,930.00 - -
564 Piroxicam Tablet 10 mg (MBS) Tablet 1706019 7/1/2020 236.62 1,440 340,732.38 - -
565 Polydex 5 ml (PV) Botol 8PX0212 8/1/2020 39,325.00 - - - -
566 Polydex 5 ml (PV) Botol 8PX0315 9/1/2020 39,325.00 - - - -
567 Polydex 5 ml (PV) Botol 8PX0323 4/1/2020 39,325.00 50 1,966,250.00 - -
Polydex 5 ml (PV) Botol 8PX0405 10/1/2020 39,325.00 - - 6 235,950.00
Polydex 5 ml (PV) Botol 8PX0525 11/1/2020 39,325.00 - - 94 3,696,550.00
568 Polydex 0,6 ml (PV) Strip 7PX61120 5/1/2020 29,150.00 - - - -
569 Polydex 0,6 ml (PV) Strip 7Px61228 6/1/2020 29,150.00 - - - -
570 Polydex 0,6 ml (PV) Strip 8PX60424 10/1/2020 29,150.00 40 1,166,000.00 - -
571 Polydex 0,6 ml (PV) Strip 8PX60511 11/1/2020 29,150.00 10 291,500.00 - -
572 Polygran 0,6 ml (PV) Strip 7PG61106 5/1/2020 19,250.00 - - - -
573 Polygran 0,6 ml (PV) Strip TPG61219 6/1/2020 19,250.00 - - - -
574 Polygran 5 ml (PV) Botol 7PG1207 6/1/2020 34,787.50 20 695,750.00 - -
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Polygran 5 ml (PV) Botol 8PG0215 8/1/2020 34,787.50 - - 39 1,356,712.50
575 Polynel 0,6 ml (PV) Strip 7PL61211 6/1/2020 19,662.50 - - - -
576 Polynel 5 ml (PV) Botol 7PL0109 7/1/2020 29,562.50 - - - -
577 Polynel 5 ml (PV) Botol 8PL0402 10/1/2020 29,562.50 30 886,875.00 - -
578 Polynel 5 ml (PV) Botol 8PL0507 11/1/2020 29,562.50 100 2,956,250.00 - -
579 Posop 0,6 ml (PV) Strip 7P061110 5/1/2020 57,750.00 - - - -
580 Posop 0,6 ml (PV) Strip 8P060208 8/1/2020 57,750.00 - - - -
581 Prednicort Injeksi 125 mg (MBS) Vial 7F0625 6/1/2019 45,100.00 - - - -
582 Prednicort Injeksi 125 mg (MBS) Vial 6L1055 11/1/2018 45,100.00 - - - -
583 Prednicort Injeksi 125 mg (MBS) Vial 7J0764 9/1/2019 45,100.00 - - - -
584 Prednison Tablet (RNI) Tablet 16385001 7/5/2022 181.50 4,000 726,000.00 - -
585 Pritamol Tablet (MBS) Tablet ZD008 12/1/2020 214.50 4,000 858,000.00 - -
586 Profolat Tablet (KF) Tablet 1961710050 9/1/2019 62.00 - - - -
Prograf (AAM) Tablet - - - - - - -
Prograf (APL) Kapsul 1E331081 10/30/2018 26,600.20 - - 250 6,650,050.00
587 Profolat Tablet (KF) Tablet 1961710050 9/30/2019 60.01 1,500 90,007.50 - -
588 Pronalges Suppositoria (AAM) Suppo 2480646 3/1/2022 11,874.50 10 118,745.00 - -
589 Pronalges Suppositoria (AAM) Suppo 2380436 2/1/2022 11,874.50 240 2,849,880.00 - -
590 Propepsa Suspensi (PV) Botol NM123 12/1/2019 44,000.00 - - - -
591 Propepsa Suspensi (PV) Botol DA110 1/1/2020 55,000.00 - - - -
592 Propepsa Suspensi (PV) Botol DD110 4/1/2020 48,400.00 - - - -
593 Propepsa Suspensi (PV) Botol DD110 4/1/2020 48,400.00 84 4,065,600.00 - -
594 Propepsa Suspensi (PV) Botol DD121 4/1/2020 48,400.00 - - - -
595 Propylthiouracil Tablet (AAM) Tablet 48L0915 11/1/2021 474.80 1,000 474,804.00 3,000 1,424,412.00
Propylthiouracil Tablet (AAM) Tablet 49H0440 7/1/2022 474.80 - - - -
596 Propranolol Tablet (RNI) Tablet 48L0132 11/1/2022 84.70 - - - -
597 Prostigmin (APL) Ampul 112197C 7/31/2022 8,200.06 240 1,968,014.40 0 -
598 Protagenta 0,6 ml (PV) Strip 7PR61204 12/1/2020 39,462.50 - - - -
599 Protagenta 0,6 ml (PV) Strip 8PR60712 7/1/2021 39,462.50 250 9,865,625.00 - -
600 Protocin Injeksi (PV) Ampul F6J550 9/1/2018 7,480.00 - - - -
601 Protocin Injeksi (PV) Ampul F7C786 3/1/2019 7,480.00 - - - -
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602 Protocin Injeksi (PV) Ampul F7L114 11/1/2019 7,480.00 - - - -
603 Protocin Injeksi (PV) Ampul F8A209 1/1/2020 7,480.00 - - - -
604 Protocin Injeksi (PV) Ampul F8A209 1/1/2020 7,480.00 - - - -
605 Protocin Injeksi (PV) Ampul F8C312 3/1/2020 7,920.00 - - - -
606 Protocin Injeksi (PV) Ampul F8D383 4/1/2020 7,920.00 240 1,900,800.00 - -
Protocin Injeksi (PV) Ampul F8E436 6/1/2020 7,920.00 - - 1,250 9,900,000.00
607 Pumpisel Injeksi (BSP) Vial UC3806B 4/1/2020 71,492.60 - - - -
608 Pumpisel Injeksi (BSP) Vial UC3808B 3/1/2020 71,492.60 - - - -
609 Pyrazinamid Tablet (AAM) Tablet 48L0877 11/1/2022 308.55 2,000 617,100.00 - -
610 Pyrazinamid Tablet (KF) Tablet E70598B 4/18/2022 344.14 - - - -
611 Ranitidin Injeksi (DNR) Ampul PIK10646 9/1/2020 7,040.00 - - - -
612 Ranitidin Injeksi (PPG) Ampul N10356703 12/1/2020 7,150.00 - - - -
613 Ranitidin Injeksi (PPG) Ampul PIB08847 1/1/2021 7,040.00 - - - -
614 Ranitidin Injeksi (PPG) Ampul N10356704 12/1/2020 7,150.00 - - - -
615 Ranitidin Injeksi (PPG) Ampul A10356608 1/1/2021 7,150.00 - - - -
616 Ranitidin Injeksi (RNI) Ampul TIRNTB8116 1/1/2020 2,570.04 - - - -
617 Ranitidin Injeksi (TSJ) Ampul K10356719 10/1/2020 7,150.00 - - - -
618 Ranitidin Injeksi (TSJ) Ampul L10356721 11/1/2020 7,150.00 240 1,716,000.00 - -
Ranitidin Injeksi (DNR) Ampul PIH732347 7/1/2020 7,040.00 - - - -
Ranitidin Injeksi (DNR) Ampul PIH73347 7/1/2020 7,040.00 - - - -
Ranitidin Injeksi (MU) Ampul D80325 4/30/2018 1,452.00 - - 5,000 7,260,000.00
619 Ranitidin Tablet 150 mg (DNR) Tablet TSM76646 11/1/2020 660.00 - - - -
620 Ranitidin Tablet 150 mg (RNI) Tablet TA75203 9/30/2020 220.00 - - - -
621 Ranitidin Tablet 150 mg (RNI) Tablet HTRNTA75200 9/30/2020 220.00 - - - -
622 Ranitidin Tablet 150 mg (RNI) Tablet 16390004 7/1/2022 235.95 4,000 943,800.00 - -
623 Ranitidin Tablet 150 mg (TSJ) Tablet TSB02947 1/1/2021 660.00 - - - -
Ranitidin Tablet 150 mg (TSJ) Tablet TSB04847 7/1/2022 660.00 - - 10,000 6,600,000.00
624 Reco Tetes Mata (SST) Botol 0091017014 4/1/2019 7,700.00 75 577,500.00 - -
625 Recofol N Injeksi (AAM) Ampul 17232041 5/1/2019 94,050.00 - - - -
626 Recofol N Injeksi (AAM) Ampul 17232041 5/1/2019 94,050.00 - - - -
627 Recofol N Injeksi (AAM) Ampul 17234033 5/1/2019 94,050.00 50 4,702,500.00 - -
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Recofol N Inejeksi (AAM) Ampul 18054041E 10/26/2019 94,050.00 - - 150 14,107,500.00
628 Recolfar Tablet (PV) Tablet PA1051 1/1/2021 4,950.00 - - - -
629 Recolfar Tablet (PV) Tablet PA2411 1/1/2021 4,950.00 - - - -
630 Recolfar Tablet (PV) Tablet TJ1451 10/1/2019 4,950.00 - - - -
631 Recolfar Tablet (PV) Tablet FE1191 4/1/2021 4,950.00 - - - -
Recolfar Tablet (PV) Tablet 2121 5/1/2021 4,950.00 - - 1,500 7,425,000.00
632 Renax Kapsul (MBS) Kapsul K060G013 3/1/2021 8,030.00 300 2,409,000.00 - -
633 Reprostom Tablet (PV) Tablet PD1051 4/1/2020 8,800.00 - - 600 5,280,000.00
634 Revolan Injeksi (BSP) Ampul TK3431 12/1/2019 33,002.56 65 2,145,166.10 - -
635 Revolan Injeksi (BSP) Ampul UB3446 2/1/2020 33,002.56 165 5,445,421.64 - -
636 Rifampisin Tablet 450 mg (DNR) Tablet KPG22546 1/1/2021 1,870.00 4,000 7,480,000.00 - -
637 Ringer Lactat (RNI) Botol 571105 10/17/2019 7,150.00 - - - -
638 Ringer Lactat (RNI) Botol - - 7,150.00 6,060 43,329,000.00 - -
639 Ring AS (AP DE) Bag SK3050B 10/4/2019 28,000.00 - - - -
640 Ring AS (AP DE) Bag TD30890 4/6/2019 28,000.00 - - - -
641 Ring AS (BSP) Bag TD3092A 4/1/2019 9,645.44 - - - -
642 Rocum Injeksi (AAM) Ampul 2580979 4/1/2020 99,000.00 80 7,920,000.00 - -
643 Salbutamol Tablet 2 mg (RNI) Tablet 06841028 11/29/2019 97.41 - - - -
644 Salbutamol Tablet 2 mg (RNI) Tablet 06481029 11/29/2019 97.41 - - - -
645 Salbutamol Tablet 2 mg (RNI) Tablet 6481034 12/1/2019 97.41 4,000 389,620.00 - -
646 Sansulin Log-G (BSP) ampu; - - 187,000.00 250 46,750,000.00 - -
647 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 2971365 8/1/2019 21,505.00 - - - -
648 Siloxan 5 ml (PV) Botol 7S10914 9/1/2020 58,025.00 - - - -
649 Siloxan 5 ml (PV) Botol 8S10323 3/1/2021 58,025.00 - - - -
Siloxan 5 ml (PV) Botol 8S10412 4/1/2021 58,025.00 - - 100 5,802,500.00
650 Simprofen Tablet (PV) Tablet PF8A02 2/1/2020 6,050.00 90 544,500.00 - -
651 Simvastatin Tablet 20 mg (ESV) Tablet KTSVNB76083 11/30/2019 1,026.67 - - - -
652 Simvastatin Tablet 20 mg (KF) Tablet K72765B 7/31/2020 224.99 7,000 1,574,958.00 - -
653 Simvastatin Tablet 20 mg (RNI) Tablet KTSVNB7406 8/31/2019 1,026.67 - - - -
654 Simvastatin Tablet 20 mg (RNI) Tablet KTSVNB76097 12/31/2019 1,026.67 - - - -
655 Sintrol Simvastatin Tablet 10 mg (SST) Tablet THY2 5/1/2020 558.62 600 335,170.00 - -
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656 Sipentin Tablet (SST) Tablet 172983 11/1/2020 10,230.00 - - - -
657 Sojourn (PV) Botol S19471124 8/1/2022 2,860,000.00 - - - -
658 Sojourn (PV) Botol S0288A30 1/1/2023 2,860,000.00 4 11,440,000.00 - -
659 Spironolacton Tablet (RNI) Tablet 48G4215 6/1/2019 407.00 - - - -
660 Spironolacton Tablet (RNI) Tablet 49C4181 2/1/2020 407.00 3,000 1,221,000.00 - -
Sucralfat Suspesi (APL) Botol 8CK064 10/31/2020 13,970.00 - - 500 6,985,000.00
661 Supravenid Suppositoria (PV) Suppo G7J143 9/1/2020 12,100.00 - - - -
662 Supravenid Suppositoria (PV) Suppo G8A164 1/1/2021 12,100.00 - - - -
663 Supravenid Suppositoria (PV) Suppo G8C189 3/1/2021 13,200.00 80 1,056,000.00 - -
664 Symbicort Turb (APL) Botol Xget 2/29/2020 291,200.80 47 13,686,437.60 - -
Takelin (Citicolin injeksi) (SST) Ampul 460168 9/1/2019 25,740.00 - - - -
665 Terrell (PV) Botol N0047A13 1/1/2022 1,683,000.00 1 1,683,000.00 - -
666 Terrell (PV) Botol NO677327 10/1/2022 1,683,000.00 2 3,366,000.00 - -
Tetagam Inj vial - - 176,799.70 - - 200 35,359,940.00
667 Timol 0,5 % (PV) Botol 7TM1122 11/1/2020 52,525.00 - - - -
668 Timol 0,5 % (PV) Botol 7TM1211 12/1/2020 52,525.00 - - - -
669 Timol 0,5% (PV) Botol 8TM0117 1/1/2021 52,525.00 18 945,450.00 - -
670 Tobro 0,6 ml (PV) Strip 7T060225 2/1/2020 21,037.50 - - - -
671 Tobro 0,6 ml (PV) Strip 7T061121 11/1/2020 21,037.50 20 420,750.00 - -
672 Tobroson 0,6 ml (PV) Strip 8TS60123 7/1/2020 31,900.00 - - - -
673 Tobroson 5 ml (PV) Botol 7TS1128 5/1/2020 50,875.00 - - - -
Tobroson 5 ml (PV) Botol 8TS0503 11/1/2020 50,875.00 - - 15 763,125.00
Tobroson 5 ml (PV) Botol 8T80917 3/1/2021 50,875.00 - - 50 2,543,750.00
674 Tomit Injeksi (ENS) Ampul I004G0022 7/31/2019 10,606.75 - - - -
677 Tomit Injeksi (ENS) Ampul I0048H0012 2/29/2020 10,606.75 100 1,060,675.00 - -
678 Tomit Injeksi (ENS) Ampul I0048H0021 3/31/2020 10,606.75 - - - -
Tranec (Asam Traneksamat) Ampul NL308 11/1/2019 18,150.00 - - 100 1,815,000.00
679 Tronadex Injeksi (PV) Ampul NK305 10/1/2019 12,760.00 - - - -
680 Vaksin Hepatitis B (Hb 0) (GF) Vial - - - - - - -
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681 Vaksin Hepatitis B (Hb 0) (GF) Vial 3653816 8/1/2018 - - - - -
682 Valesco Tablet 80 mg (SST) Tablet KY7A119 10/1/2019 2,464.00 - - - -
683 Valesco Tablet 80 mg (SST) Tablet QY8A113 3/1/2020 4,620.00 - - - -
684 Vernacel Eye Drop 5 ml (PV) Botol 6VE1104 11/1/2019 20,350.00 8 162,800.00 - -
685 Vitamin B Comp Tablet (KF) Tablet I71293T 9/19/2020 135.00 3,000 405,009.00 - -
686 Vitamin C Tablet 100 mg (KF) Tablet H70084BI 9/14/2020 120.29 - - - -
687 Vitamin C Tablet 100 mg (KF) Tablet C70177B 2/11/2020 121.44 - - - -
688 Vitamin C Tablet 100 mg (KF) Tablet E80076B1 4/16/2021 120.29 15,900 1,912,531.50 - -
689 Zink Tablet (KF) Tablet I72601J 9/14/2019 604.00 2,500 1,509,997.50 - -
690 Zirkum Kid Syrup (PV) Botol E7K603 10/1/2019 28,600.00 - - - -
1 Air Filter Regulator (SMAK) Pcs - - 605,000.00 - - - -
2 Alkohol 300 ml (IHS) Botol - - 15,488.00 - - - -
Alkohol 1000 ml (IHS) Botol NJPLU08180143 8/20/2018 33,000.00 - - 200 6,600,000.00
3 Alkohol 1000 ml (BDM) Botol 46609302 9/1/2021 44,000.00 - - - -
4 Alkohol 1000 ml (BDM) Botol 46710303 10/1/2022 44,000.00 - - - -
5 Alkohol 1000 ml (IHS) Botol - - 33,000.00 - - - -
6 Alkohol 1000 ml (MBS) Botol A03AM033 3/1/2023 19,330.01 - - - -
7 Alkohol 1000 ml (RNI) Botol 46705302 5/31/2022 25,410.00 - - - -
10 Alkohol 1000 ml (RNI) Botol D48804 5/25/2018 24,224.98 - - - -
11 Alkohol Swab (BDM) Kotak 201709 8/1/2022 26,400.00 - - - -
12 Alkohol Swab (BDM) Kotak 201801 12/1/2022 - - - - -
13 Alkohol Swab (IHS) Kotak - - 11,500.00 - - - -
14 Alkohol Swab (RNI) Kotak 20170810 8/9/2022 37,748.70 48 1,811,937.60 - -
Apron (IHS) Pcs - - 2,904.43 - - - -
15 Appablade AA 562021 Tunnel Blade (PK) Kotak - - 1,265,000.00 - - - -
16 Appablade AA 560009 Lance Blade (PK) Kotak - - 1,265,000.00 - - - -
17 Appablade AA 562027 Slit Blade (PK) Kotak - - 1,265,000.00 - - - -
18 Appalens IOL Model 302 Power (17.00) (PK) Pcs - - 121,000.00 - - - -
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25 Appalens IOL Model 302 Anterior Chamber Power (17.00) (P Pcs - - 121,000.00 - - - -
26 Appalens Plus Square Edge Power (20.00) (PK) Pcs - - 192,500.00 - - - -
27 Appasamy AA 7420 Simcoe I/A Cannula (PK) Pcs - - 1,353,000.00 - - - -
28 Appasamy Appavisc 3 ml W/ Syringe (PK) Pcs - - 121,000.00 - - - -
29 Appasamy Cohevisc 1,4% (PK) Pcs - - 375,100.00 - - - -
30 Appasamy Cohevisc 1,8% (PK) Pcs - - 418,000.00 - - - -
31 Appasamy Mio-Chol (PK) Pcs - - 66,000.00 - - - -
32 Appasamy Rhex-Id (PK) Pcs - - 66,000.00 - - - -
33 Appablade AA 562027 Slit Blade (PK) Pcs - - 126,500.00 - - - -
34 Appablade AA 562021 Tunnel Blade (PK) Pcs - - 126,500.00 - - - -
35 Appablade AA 560009 Lance Blade (PK) Pcs - - 126,500.00 - - - -
36 Apron (IHS) Pcs - - 2,904.40 - - - -
37 Apron (IHS) Pcs - - 2,904.43 20 58,088.68 250 726,108.50
Apron (IHS) Pcs - - - - - - -
Aseptan Liquid (HIS) Botol - - 45,540.00 - - 100 4,554,000.00
38 Bovine Aaron Cautery Low Temperature Pcs - - 357,500.00 - - - -
39 Carbacol (PK) Pcs - - 66,000.00 - - - -
Catgut Cromic 1 HR 37 (RNI) - - 588,540.00 - - 6 3,531,239.98
40 Catgut Cromic 3/0 (BDM) Roll 170919 10/1/2022 1,760,000.00 - - - -
41 Catgut Cromic 3/0 (BDM) Roll 170918 10/1/2022 1,760,000.00 - - - -
42 Catgut Cromic 3/0 (RNI) Roll 2030BX 6/1/2022 2,614,700.00 - - - -
43 Catgut Cromic With Needle 2 HR 45 Kotak 170401 4/1/2022 827,640.00 - - - -
44 Catgut Cromic With Needle 2 HR 45 (RNI) Kotak 170901 8/1/2022 585,420.00 3 1,756,260.00 - -
45 Catgut Cromic With Needle 2/0 HR 26 Kotak 170601 5/1/2022 825,000.00 4 3,300,000.00 - -
46 Catgut Cromic With Needle 2/0 HR 30 (RNI) Kotak 170901 8/1/2022 425,700.00 4 1,702,800.00 - -
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Celemek (BDM) - - 275,000.00 - - - -
47 CONFORMER Medium Kiri (PK) Pcs - - 666,600.00 - - - -
48 CONFORMER Large Kanan (PK) Pcs - - 666,600.00 - - - -
49 CONFORMER Large Kiri (PK) Pcs - - 666,600.00 - - - -
50 CONFORMER Small Kanan (PK) Pcs - - 666,600.00 - - - -
51 CONFORMER Small Kiri (PK) Pcs - - 666,600.00 - - - -
52 Cresotin Liquid (BF) Botol 1527 9/1/2020 629,200.00 - - - -
53 Curaspon (BDM) Pcs 2283A 5/1/2021 104,500.00 15 1,567,500.00 - -
54 Developer (BDM) Set 873505 - 1,282,600.00 - - - -
55 Developer (BDM) Set - - 1,282,600.00 - - - -
56 Devine Meditech Eye Drepe (PK) Pcs - - 77,000.00 - - - -
57 Disposable Syringe With Needle 0,5 cc (GF) Pcs - - 1,536.80 - - - -
58 Disposable Syringe With Needle 01 cc TP (BDM) Pcs 171001 8/1/2022 843.70 - - - -
59 Disposable Syringe With Needle 01 cc RD (RNI) Pcs 1401201 3/31/2019 822.00 800 657,599.56 - -
60 Disposable Syringe With Needle 01 cc RD (RNI) Pcs 1701201 2/1/2022 822.00 3,100 2,548,199.57 - -
61 Disposable Syringe With Needle 01 cc RD (RNI) Pcs 1601201 2/1/2022 822.00 400 328,799.94 - -
62 Disposable Syringe With Needle 03 cc Aximed (KF) Pcs 20160605 5/1/2021 1,031.25 - - - -
63 Disposable Syringe With Needle 03 cc Assp (RNI) Pcs 1703201 2/1/2022 844.21 - - - -
64 Disposable Syringe With Needle 03 cc BD (RNI) Pcs 7128360 4/1/2022 2,336.95 - - - -
68 Disposable Syringe With Needle 03 cc RD (RNI) Pcs 1703201 2/1/2022 862.00 - - - -
69 Disposable Syringe With Needle 03 cc Nipro (KF)) Pcs 17J0503J 10/1/2018 1,009.80 - - - -
70 Disposable Syringe With Needle 03 cc Skifa (RNI) Pcs 1503403 12/1/2020 2,851.20 - - - -
73 Disposable Syringe With Needle 03 cc TP (BDM) Pcs 171301 12/1/2022 851.40 - - - -
Disposable Syringe With Needle 03 cc TP (BDM) Pcs 181301 2/1/2023 851.40 - - - -
Disposable Syringe With Needle 03 cc TP (BDM) Pcs - - 851.40 - - - -
Disposable Syringe With Needle 03 cc TP (BDM) Pcs 181303 2/1/2023 851.40 - - 1,800 1,532,520.00
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74 Disposable Syringe With Needle 05 cc Aximed (KF) Pcs 20151120 10/1/2020 1,159.99 - - - -
75 Disposable Syringe With Needle 05 cc Aximed (KF) Pcs 20170910 8/31/2022 1,159.99 50 57,999.70 - -
76 Disposable Syringe With Needle 05 cc BD (RNI) Pcs 7361386 12/31/2022 2,852.85 950 2,710,207.50 - -
77 Disposable Syringe With Needle 05 cc Nipro (KFI) Pcs 1710606J 9/1/2018 1,247.40 - - - -
79 Disposable Syringe With Needle 05 cc TP (BDM) Pcs 171401 1/1/2022 1,013.10 - - - -
81 Disposable Syringe With Needle 10 cc Nipro (KF) Pcs 17J1607J 10/1/2018 1,654.40 - - - -
85 Disposable Syringe With Needle 10 cc RD (BDM) Pcs 180502 2/1/2023 1,216.60 12,600 15,329,160.00 - -
86 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1705201 4/1/2022 1,163.00 - - - -
87 Disposable Syringe With Needle 20 cc RD (BDM) Pcs 181601 1/1/2023 1,960.20 150 294,030.00 - -
Disposable Syringe With Needle 50 cc LT(BDM) Pcs 120717 12/1/2022 4,812.50 475 2,285,937.50 - -
Disposable Syringe With Needle 50 cc LP (BDM) Pcs 120717 12/1/2022 4,812.50 450 2,165,625.00 - -
89 Elektroda Patien Monitor (BDM) Pak 1000018635 9/1/2019 275,000.00 - - - -
90 Elektroda Patien Monitor (BDM) Pak 1000032062 9/1/2020 275,000.00 - - - -
91 Elektroda Patien Monitor (BDM) Pak 7162X 6/1/2019 220,000.00 - - - -
92 Elektroda Patien Monitor (BDM) Pak 71161X 6/1/2019 220,000.00 31 6,820,000.00 - -
93 Endotracheal Tube 2,5 (BDM) Pcs 166640 6/1/2021 165,000.00 10 1,650,000.00 - -
Endotracheal Tube 2,5 (BDM) Pcs - - 165,000.00 - - - -
94 Endotracheal Tube 4,0 (BDM) Pcs 14FG24 5/1/2019 82,500.00 8 660,000.00 - -
95 Endotracheal Tube 5,0 (BDM) Pcs 14C908 2/1/2019 82,500.00 10 825,000.00 - -
96 Endotracheal Tube 6,0 (BDM) Pcs 15LG25 11/1/2020 82,500.00 10 825,000.00 - -
97 Endotracheal Tube 7,0 (BDM) Pcs 14IE36 8/1/2019 82,500.00 20 1,650,000.00 - -
98 Endotracheal Tube 7,5 (BDM) Pcs 141G01 8/1/2019 82,500.00 20 1,650,000.00 - -
99 Eye Dop Shield (PK) Pcs - - 13,200.00 - - - -
100 Feeding Tube FR 05 (BDM) Pcs 160813B 7/1/2019 33,599.50 - - - -
Feeding Tube FR 06 (BDM) Pcs 160615541 01 Juni 2019 38,500.00 - - - -
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101 Feeding Tube FR 05 (BDM) Pcs 120812B 7/1/2020 38,500.00 100 3,850,000.00 - -
102 Feeding Tube FR 08 (BDM) Pcs 20161020 10/1/2021 4,082.10 - - - -
Feeding Tube FR 08 (BDM) Pcs 20180419 4/1/2023 4,032.60 - - - -
103 Feeding Tube FR 10 (BDM) Pcs 20170530 5/1/2022 4,082.10 49 200,022.90 - -
0 Feeding Tube FR 18 (BDM) Pcs 170904B 8/1/2022 38,500.00 10 385,000.00 - -
Feeding Tube FR 18 (BDM) Pcs - - 38,500.00 90 3,465,000.00 - -
105 Film 30 x 40 (BDM) Kotak 43433 6/1/2020 4,109,600.00 - - 2 8,219,200.00
106 Film 35 x 35 (BDM) Kotak 44611 6/1/2020 4,462,700.00 - - - -
107 Film 35 x 35 (BDM) Kotak 44805 6/1/2020 4,462,700.00 - - - -
108 Film 35 x 35 (BDM) Kotak 45835 11/1/2020 4,462,700.00 - - - -
109 Film 35 x 35 (BDM) Kotak 45460 - 4,462,700.00 5 22,313,500.00 - -
110 Film Gigi (BDM) Kotak 3117008 3/1/2020 1,870,000.00 - - - -
111 Film Gigi (BDM) Kotak 3117089 3/1/2020 1,870,000.00 - - - -
Film Panoramic Box - - 2,640,000.00 - - 1 2,640,000.00
112 Fixer (BDM) Set CAT873505 - 790,900.00 - - - -
113 Fixer (BDM) Set - - 790,900.00 - - - -
114 Fluorescetin sodium Opthalmic Strips U.S.P (PK) Kotak - - 605,000.00 - - - -
115 Foley Catheter 2 Way 12 (BDM) Pcs 16G10D 3/1/2021 14,994.10 40 599,764.00 - -
0 Foley Catheter 2 Way 16 (BDM) Pcs 17-G-05H 7/1/2022 15,749.80 - - - -
117 Foley Catheter 2 Way 16 (BDM) Pcs 16I09 8/1/2021 24,200.00 - - - -
118 Foley Catheter 2 Way 16 (BDM) Pcs 17 E 04 4/1/2022 24,200.00 50 1,210,000.00 140 3,388,000.00
Foley Catheter 2 Way 16 (BDM) Pcs 17 E 04 4/1/2022 24,200.00 - - - -
119 Foley Catheter 2 Way 18 (BDM) Pcs 17-G-10K 9/1/2022 15,749.80 - - - -
120 Foley Catheter 2 Way 18 (BDM) Pcs 16108 8/1/2021 24,200.00 - - - -
121 Foley Catheter 2 Way 18 (BDM) Pcs 16G09 6/1/2021 24,200.00 - - - -
122 Foley Catheter 2 Way 18 (BDM) Pcs 16108 7/1/2021 24,200.00 - - 80 1,936,000.00
Foley Catheter 2 Way 18 (BDM) Pcs - 7/1/2022 24,200.00 - - 10 242,000.00
Foley Catheter 2 Way 18 (BDM) Pcs 16 I 05 7/1/2021 35,200.00 - - 100 3,520,000.00
123 Foley Catheter 3 Way 24 (BDM) Pcs 16K07 10/1/2021 110,000.00 30 3,300,000.00 - -
124 Formalin (BM) Liter - - 137,500.00 16 2,200,000.00 - -
125 FSBB Benang 8/0 PGA (PK) Pcs - - 236,500.00 - - - -
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FSBB Benang 8/0 PGA (PK) Kotak - - 5,016,000.00 - - - -
128 FSSB Benang 10/0 Nylon Black (PK) Pcs - - 198,000.00 - - - -
129 FSSB Benang 10/0 Nylon Black (PK) Kotak - - 3,036,000.00 - - - -
130 FSSB Benang Nylon 10/0 (PK) Kotak - - 3,036,000.00 - - - -
FSSB Benang Nylon 10/0 (PK) Kotak - - 3,999,600.00 - - - -
131 Glucocard (AAM) Botol A27801E 5/1/2019 279,950.00 - - - -
136 Gypsona 6 Inch (BDM) Roll 724 6/1/2020 66,715.00 36 2,401,740.00 - -
137 GC Fuji IX Univerio (BF) Botol 1710171 10/1/2020 917,373.60 - - - -
138 GC HS Posterior (BF) Botol 1801131 1/1/2021 1,468,940.00 - - - -
139 Handrub Aseptan 500 ml (IHS) Botol - - 45,540.00 - - - -
140 Handrub E Care (ESV) ml 1803268 3/1/2021 127.68 - - - -
141 Handrub Fresco (RNI) ml - - 111.00 - - - -
142 Handscoon Manual NS (BDM) Pasang - - 30,250.00 170 5,142,500.00 - -
143 Handscoon Manual ST (BDM) Pasang 18113101 3/1/2023 48,400.00 120 5,808,000.00 - -
144 Handscoon NS (BDM) Pcs 17040502 3/1/2022 516.95 - - - -
149 Handscoon NS S (BDM) Kotak - - 52,750.50 - - - -
Handscoon NS S Fresco (BDM) Kotak 170870602 6/1/2022 484.35 15,800 7,652,658.90 - -
150 Handscoon NS L (BDM) Kotak - - 52,750.50 - - - -
Handscoon NS M Fresco (BDM) Kotak 170540802 4/1/2023 48,434.55 - - - -
151 Handscoon NS (KF) Pcs 5161005 8/29/2021 577.50 - - - -
152 Handscoon NS (SST) Pcs 22104900 10/1/2022 544.50 - - - -
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Handscoon NS Altamed (SST) Kotak 213059375LPZA 5/1/2023 54,450.00 - - 200 10,890,000.00
153 Handscoon ST 6,5 (BDM) Pasang 17070105 6/1/2022 4,660.00 - - - -
157 Handscoon ST 6,5 (BDM) Pasang 17070105 6/1/2022 - - - - -
158 Handscoon ST 6,5 (IHS) Pasang - - 4,807.00 - - - -
159 Handscoon ST 6,5 Altamed (SST) Pasang 81171 6/1/2022 10,001.39 - - - -
160 Handscoon ST 6,5 Altamed (SST) Pasang G8A021 5/1/2023 10,001.39 - - - -
161 Handscoon ST 6,5 Eskamed (BDM) Pasang 203030854SPZA 8/1/2021 8,819.80 - - - -
162 Handscoon ST 6,5 Protos (BDM) Pasang 17070105 6/1/2022 5,170.00 1,720 8,892,400.00 - -
163 Handscoon ST 7 (BDM) Pasang 17070105 6/1/2022 4,660.00 - - - -
164 Handscoon ST 7 (BDM) Pasang 17070105 6/1/2022 4,999.50 - - - -
165 Handscoon ST 7 (BDM) Pasang 17070105 6/1/2022 5,170.00 1,705 8,814,850.00 - -
166 Handscoon ST 7 (IHS) Pasang - - 4,807.00 - - - -
167 Handscoon ST 7 (RNI) Pasang 1421503 1/1/2021 11,990.00 - - - -
169 Handscoon ST 7,5 (BDM) Pasang 203038344SPJA 2/1/2022 8,819.80 - - - -
171 Handscoon ST 7,5 Eskamed (BDM) Pasang 203038344SPZA 2/1/2022 8,820.00 - - - -
172 Handscoon ST 7,5 (BDM) Pasang - - 8,819.80 - - - -
173 Handscoon ST 7,5 (IHS) Pasang - - 4,807.00 - - - -
174 Handscoon ST 7,5 (RNI) Pasang 1457804 7/1/2021 11,990.00 - - - -
175 Handscoon ST 7,5 Protos (BDM) Pasang 17120107 11/1/2022 5,170.00 965 4,989,050.00 - -
176 Handscoon ST 7 Protos (BDM) Pasang 17070105 7/1/2022 5,170.00 1,705 8,814,850.00 - -
177 Hidrogen Peroksida (BM) Liter - - 192,500.00 - - - -
178 Hypavix 15 x 5 (AAM) Roll 64940230 11/1/2021 141,918.83 - - - -
179 Hypavix 15 x 5 (AAM) Roll 64940230 11/1/2021 154,259.60 - - - -
180 Hypavix 15 x 5 (BDM) Roll 63810230 8/1/2021 240,680.00 - - - -
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Hypavix 15 x 5 (BDM) Roll - - 240,680.00 - - - -
Hypavix 15 x 5 (BDM) Roll 73920230 7/1/2022 240,680.00 - - - -
Hypavix 15 x 5 (BDM) Roll 73541230 7/1/2022 240,680.00 - - 244 58,725,920.00
186 Infus Set Makro Fesco (BDM) Pcs 20170921 9/1/2022 6,803.50 - - - -
187 Infus Set Makro Eskamed (BDM) Pcs 171020 9/1/2022 10,332.30 - - - -
188 Infus Set Makro TP (BDM) Pcs 170302 3/1/2022 8,100.00 - - - -
192 Infus Set Makro TP (BDM) Pcs 180720 - 8,333.60 100 833,360.00 - -
193 Infus Set Makro TP (BDM) Pcs - 7/1/2023 8,333.60 200 1,666,720.00 - -
Infus Set Makro TP (BDM) Pcs 180720 7/1/2023 8,333.60 - - 800 6,666,880.00
194 Infus Set Makro (KF) Pcs 179D48M 4/10/2023 7,920.00 - - - -
195 Infus Set Makro With Air (RNI) Pcs 118P16 3/1/2021 11,680.00 - - - -
196 Infus Set Makro With Air (RNI) Pcs 118P16 3/1/2021 9,070.00 - - - -
197 IV Catheter 16 Abbocath (BDM) Pcs 56-202-KY 7/1/2020 16,000.00 - - 300 4,799,999.99
198 IV Catheter 18 Abbocath (BDM) Pcs 60-201-KY 11/1/2020 16,000.00 - - - -
199 IV Catheter 18 Abbocath (BDM) Pcs 68-202-KY 7/1/2021 16,000.00 600 9,599,997.00 - -
200 IV Catheter 18 Abbocath (BDM) Pcs 60201KY 11/1/2020 16,000.00 - - - -
201 IV Catheter 18 Eskamed (BDM) Pcs 3905115E 4/1/2020 12,600.00 - - - -
202 IV Catheter 18 Eskamed (BDM) Pcs 3295517L 9/1/2022 - - - - -
203 IV Catheter 18 Optiva (RNI) Pcs 2724083 5/31/2019 24,200.00 - - - -
204 IV Catheter 18 Terumo (KF) Pcs 170711SD 6/30/2022 8,354.78 - - - -
IV Catheter 20 Abbocath (BDM) Pcs 70-203-KY 9/1/2021 16,000.00 - - 850 13,600,000.43
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210 IV Catheter 20 Abbocath (BDM) Pcs 20161030 9/1/2020 16,000.00 - - - -
211 IV Catheter 20 Eskamed (BDM) Pcs 3295617L 9/1/2022 12,600.50 - - - -
212 IV Catheter 20 Eskamed (BDM) Pcs 3225117H 7/1/2022 12,600.50 - - - -
217 IV Catheter 20 Supercath (SMAK) Pcs - - 18,750.60 - - - -
218 IV Catheter 20 Terumo (KF) Pcs 170828SD 7/31/2022 8,354.78 - - - -
222 IV Catheter 22 Terumo (KF) Pcs 170815SE 6/30/2022 8,354.78 - - - -
224 IV Catheter 24 Abbocath (BDM) Pcs 69203KY 8/1/2021 16,000.00 - - - -
IV Catheter 26 Abbocath (BDM) Pcs 77-204-KY 4/1/2022 19,500.00 - - 300 5,849,999.10
230 Jarum Kulit No. 10 (BDM) Lusin - - 38,500.00 36 1,386,000.00 - -
231 Jarum Kulit No. 12 (BDM) Lusin MD 16153703 - 38,500.00 - - - -
232 Jarum Kulit No. 13 (BDM) Lusin - - 38,500.00 21 808,500.00 - -
Jarum otot No. 13 (BDM) Lusin - - 38,500.00 10 385,000.00 - -
234 Jarum Kulit No. 15 (BDM) Lusin MD 17171802 - 38,500.00 25 962,500.00 - -
235 Jarum Otot No. 16 (BDM) Lusin - - 38,500.00 22 847,000.00 - -
236 Jelly KY (BDM) Tube 1221N2 7/1/2020 110,000.00 33 3,630,000.00 - -
237 Jelly Ultrasound (BDM) ml 65066C 3/1/2022 110.00 - - - -
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238 Jelly Ultrasound 250 ml (BDM) Botol 20170710 7/1/2020 29,700.00 - - - -
Jelly Ultrasound 250 ml (BDM) Botol 20170710 7/1/2020 29,700.00 - - 8 237,600.00
239 Jelly 5 kg (BDM) Gal C5066C 3/1/2022 550,000.00 1 550,000.00 0 -
240 Kapas 250 g (BDM) Roll - - 22,275.00 - - - -
241 Kapas 250 g (RNI) Roll 0216 10/31/2020 42,900.00 - - - -
242 Kapas 250 g (GF) Roll - - 29,500.00 - - - -
243 Kapas 500 g (RNI) Roll 0216 10/31/2020 85,415.00 - - - -
244 Kapas 500 g (BDM) Roll 1410069 10/1/2019 82,208.50 - - - -
245 Kapas 500 g (BDM) Roll 1411082 11/1/2019 82,208.50 - - - -
246 Kapas 500 g (BDM) Roll 1411084 11/1/2019 82,208.50 - - - -
247 Kapas 500 g (BDM) Roll 1412099 12/1/2019 82,208.50 - - - -
248 Kapas 500 g (BDM) Roll 1502008 2/1/2020 82,208.50 - - - -
249 Kapas 500 g (BDM) Roll 1503009 3/1/2020 161,370.00 - - - -
Kapas 500 g (BDM) Roll 150311 3/1/2020 161,370.00 - - 20 3,227,400.00
250 Kapas 500 g (IHS)) Roll - - 31,372.00 - - - -
251 Kapas 1000 g (BDM) Roll 1505025 5/1/2020 164,417.00 - - - -
252 Kapas 1000 g (BDM) Roll 1505026 5/1/2020 164,417.00 - - - -
253 Kapas 1000 g (BDM) Roll - - 110,000.00 19 2,090,000.00 - -
254 Kasa Hidrofil 40 x 80 (BDM) Roll - - 165,000.00 - - - -
255 Kasa Hidrofil 40 x 80 (BDM) Roll 4508550724 - 165,000.00 - - - -
Kasa Hidrofil 40 x 80 (BDM) Roll 16108 - 165,000.00 15 2,475,000.00 30 4,950,000.00
256 Kasa Hidrofil 40 x 80 (RNI) Roll 361117 11/30/2021 233,200.00 - - - -
260 Kasa Hidrofil 36 x 80 (RNI) Roll 610518 5/31/2022 233,200.00 21 4,897,200.00 - -
Kasa Hidrofil 36 x 80 (RNI) Roll - 4/1/2022 139,176.40 - - - -
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266 Kertas EKG 110 (BDM) Roll - - 165,000.00 11 1,815,000.00 - -
267 Kertas EKG 210 (BDM) Roll 33815 12/1/2018 192,500.00 - - - -
268 Kertas EKG 210 (BDM) Roll 35306 - 192,500.00 14 2,695,000.00 - -
269 Kertas Puyer (BDM) Pak - - 27,500.00 - - - -
270 Kertas Puyer (BDM) Pak - - - - - - -
272 Kertas USG (BDM) Roll 280717 6/1/2022 385,000.00 41 15,785,000.00 - -
274 KIT CESAREA KIT CSR001 (RNI) Pcs 7573 12/1/2019 288,492.00 - - - -
Leukomed T-Plus (BDM) Roll 72382 - 38,500.00 50 1,925,000.00 - -
Leukoplast (BDM) Roll 70110609 12/1/2019 37,620.00 43 1,617,660.00 - -
275 Medicrepe 6 Inch (IHS) Roll - - 29,150.00 - - - -
276 Medigips 4 Inch (IHS) Roll - - 12,100.00 - - - -
277 Mani Benang (PK) Pcs - - 4,006,200.00 - - - -
278 Mani Benang PGA 8/0 (PK) Kotak - - 4,006,200.00 - - - -
279 MANI opthalmic mcu 26 Crescent (PK) Kotak - - 1,210,000.00 - - - -
280 Masker Ear Loop (BDM) Pcs - - 521.99 - - - -
Masker Ear Loop Fresco (BDM) box - - 26,099.70 - - - -
281 Masker Hijab (IHS) Pcs - - 506.00 - - - -
282 Masker Hijab (BDM) Pcs - - 605.00 - - - -
283 Masker Tie On (BDM) Pcs - - 521.99 19,200 10,022,284.80 - -
284 Masker Tie On (BDM) Pcs - - 567.01 - - - -
285 Masker Tie On (KF) Pcs 664043 5/1/2021 599.98 - - - -
Masker Tie On Fresco (BDM) box - - 26,099.70 - - - -
Masker Tie On Fresco (BDM) box - - 26,099.70 - - - -
Mas suction Catheter No.12 Pcs 20171125 11/1/2022 4,032.60 - - - -
Mas suction Catheter No.18 Pcs - - 4,032.60 - - - -
Mas suction Catheter No.8 Pcs - - 4,032.60 - - - -
286 Mata Pisau No. 11 (BDM) Pcs 4507519425 2/1/2021 4,125.00 - - - -
412682303.xlsx 753
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292 Mata Pisau No. 11 (BDM) Pcs 4507925372 7/1/2021 4,468.75 30 134,062.50 - -
296 Mata Pisau No. 15 (BDM) Pcs 4508451698 2/1/2022 4,468.75 800 3,575,000.00 - -
Mitela M (BDM) Box - - 55,000.00 1 55,000.00 - -
Mitela L (BDM) Box - - 55,000.00 1 55,000.00 - -
304 MIO-CHOL (PK) Pcs - - 66,000.00 - - - -
305 Nasal O2 Anak (BDM) Pcs 20170315 3/1/2022 15,120.60 66 997,959.60 - -
Nasal O2 Anak (BDM) Pcs - - 15,120.60 - - - -
306 Nasal O2 Anak (BDM) Pcs 170375 1/1/2023 15,120.60 16 241,929.60 - -
307 Nasal O2 Bayi (BDM) Pcs - - 30,250.00 - - - -
Nasal O2 Bayi (BDM) Pcs - - 16,758.50 - - - -
308 Nasal O2 Bayi (BDM) Pcs 2.02E+07 10/1/2021 15,253.00 105 1,601,565.00 - -
309 Nasal O2 Dewasa (BDM) Pcs 170712 7/1/2022 30,250.00 - - - -
Nasal O2 Dewasa (BDM) Pcs - - 15,120.60 - - - -
Nasal O2 Dewasa (BDM) Pcs 16180501 5/1/2023 6,089.00 58 353,161.71 50 304,449.75
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Terkecil
313 Nasal O2 Dewasa (IHS) Pcs - - 6,600.00 - - - -
314 Nasal O2 Dewasa Bubble (IHS) Pcs - - 6,325.00 14 88,550.00 - -
315 Nasal O2 Dewasa Eskamed (BDM) Pcs 170375 1/1/2023 15,120.60 - - - -
316 Novotwist (AAM) Pcs 17B06N 1/1/2022 2,083.00 4,900 10,206,700.20 - -
317 Nurse Cap (IHS) Kotak - - 38,399.00 - - - -
318 Nylon Daclon 2/0 DS 24 (RNI) Kotak - - 275,459.91 1 275,459.91 - -
319 Nylon Daclon 3/0 DS 19 (RNI) Kotak - - 275,459.91 - - - -
320 Nylon Daclon 3/0 DS 19 (RNI) Kotak 170714 6/1/2022 825,000.00 - - - -
Nylon Daclon 3/0 DS 19 (RNI) Kotak 170909 9/1/2022 275,460.00 - - 10 2,754,599.98
321 Octenic Body Wash (PPG) Pak 02GLO101-4 1/1/2020 19,800.00 - - 200 3,960,000.00
322 Octenic Body Wash (RNI) Pak 04GL0101 9/1/2019 17,600.00 - - - -
325 One Scrub 4% 500 ML Botol - - 82,500.00 - - - -
326 One Scrub 4% Galon 5 LT ml - - 110.88 30,000 3,326,400.00 - -
327 Paramono Clorofen (BF) Botol 80517 11/1/2020 110,000.00 - - - -
328 Penjepit Tali Pusar (BDM) Pcs 03.2016 3/1/2021 2,200.00 - - - -
329 Penjepit Tali Pusar (BDM) Pcs 160919 9/1/2021 2,200.00 - - - -
330 Penjepit Tali Pusar (BDM) Pcs 03.2016 3/1/2021 2,200.00 - - - -
331 Penjepit Tali Pusar (BDM) Pcs 122015 12/1/2020 2,200.00 - - - -
Penjepit Tali Pusar (BDM) Pcs - - 2,200.00 250 550,000.00 - -
332 Penjepit Tali Pusar (IHS)) Pcs - - 1,495.00 - - - -
333 Perfusor (BDM) Pcs 17G01K8411 7/1/2022 99,000.00 - - - -
334 Perfusor (BDM) Pcs 17D19K8411 4/1/2022 99,000.00 - - - -
335 Perfusor (BDM) Pcs 17L19K8411 10/1/2022 99,000.00 100 9,900,000.00 250 24,750,000.00
336 Polifix 5cm x 5cm Roll - - 40,371.99 159 6,419,146.57 - -
337 Povidon Iodida (BDM) Botol L60558W 12/1/2019 88,000.00 - - - -
338 Povidon Iodida (KF)) Botol K73268W 11/29/2020 59,966.50 - - - -
339 Povidon Iodida (KF)) Botol - 8/15/2020 59,966.50 18 1,079,397.00 - -
Povidon Iodida (KF)) Botol C80819W 3/5/2021 59,966.50 - - 75 4,497,487.50
340 PROTESA Large Kanan (PK) Pcs - - 588,500.00 - - - -
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Terkecil
341 PROTESA Large Kiri (PK) Pcs - - 666,600.00 - - - -
342 PROTESA Medium Kanan (PK) Pcs - - 588,500.00 - - - -
343 PROTESA Medium Kiri (PK) Pcs - - 588,500.00 - - - -
344 PROTESA Small Kanan (PK) Pcs - - 588,500.00 - - - -
345 PROTESA Small Kiri (PK) Pcs - - 588,500.00 - - - -
346 Rumex CC-27 Clear Corneal/ Keratome (PK) Kotak - - 1,925,000.00 - - - -
347 Rumex CC-27 Clear Corneal/ Keratome (PK) Kotak - - 1,760,000.00 - - - -
348 Rumex CR-20 Crescent (PK) Kotak - - 1,672,000.00 - - - -
349 Rumex SP-15 Side Port Knife/ Stab (PK) Kotak - - 1,430,000.00 - - - -
350 Rumex SP-15 Stab (PK) Kotak - - 1,210,000.00 - - - -
351 Spatula (BDM) Pcs - - 16,500.00 - - - -
352 Silk Black With Needle 2/0 HR 30 (RNI) Kotak 170912 8/1/2022 269,219.94 - - 4 1,076,879.76
0 Single Bond (BF) Botol 3928330 4/1/2020 1,652,638.90 - - 0 -
354 Softband 6 Inch (BDM) Roll 724217 7/1/2022 56,485.00 10 564,850.00 - -
355 Spinocain 25 G (BDM) Pcs 17G19H8B61 7/1/2022 48,400.00 - - - -
356 Spinocain 25 G (BDM) Pcs 17N0768216 12/1/2022 48,400.00 50 2,420,000.00 - -
357 Solare X (BF) Botol 1711152 11/1/2020 542,080.00 - - 0 -
Solare anterior A3 (Limbong) Pcs - - 541,200.00 - - 3 1,623,600.00
Solare anterior A2 (Limbong) Pcs - - 541,200.00 - - 3 1,623,600.00
Solare anterior A1 (Cobra) Pcs - - 223,245.00 - - 3 669,735.00
Solare anterior A3 (Cobra) Pcs - - 223,245.00 - - 4 892,980.00
358 Stomach Tube 16 Terumo (BDM) Pcs 170116B 12/1/2021 33,599.50 20 671,990.00 - -
359 Stomach Tube 16 Terumo (BDM) Pcs 170315B 2/1/2022 33,599.50 - - - -
360 Suction Catheter FR 6 (BDM) Pcs 20171125 11/1/2022 4,032.60 - - - -
361 Suction Catheter FR 6 (BDM) Pcs 1722811 4/1/2022 9,900.00 31 306,900.00 - -
363 Suction Catheter FR 8 (BDM) Pcs 1722831 8/1/2022 9,900.00 4 39,600.00 50 495,000.00
412682303.xlsx 756
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Terkecil
370 Sungkup Nebulizer Anak (BDM) Pcs 171212 11/1/2022 66,000.00 198 13,068,000.00 - -
Sungkup Nebulizer Anak (BDM) Pcs - - 66,000.00 - - - -
371 Sungkup Nebulizer Dewasa (BDM) Pcs 170305 3/1/2022 66,000.00 - - - -
372 Sungkup Nebulizer Dewasa (BDM) Pcs 170305 4/1/2022 66,000.00 - - - -
373 Sungkup Nebulizer Dewasa (BDM) Pcs 1801011 6/1/2023 66,000.00 14 924,000.00 - -
374 Sungkup O2 Anak (BDM) Pcs 160211 2/1/2021 66,000.00 - - - -
Sungkup O2 Anak (BDM) Pcs - - 66,000.00 95 6,270,000.00 - -
Sungkup O2 Dewasa (BDM) Pcs - - 66,000.00 - - - -
375 Sungkup O2 Dewasa (BDM) Pcs 170523 5/1/2022 66,000.00 - - - -
376 Sungkup O2 Dewasa (BDM) Pcs 170523 5/1/2022 66,000.00 - - - -
377 Sungkup O2 Dewasa NMR (BDM) Pcs 1512022020 11/1/2020 66,000.00 - - - -
378 Sungkup O2 Dewasa NMR (BDM) Pcs 15120022020 11/1/2022 66,000.00 194 12,804,000.00 - -
379 Sungkup O2 Dewasa + Kantong (BDM) Pcs 1512022020 11/1/2020 66,000.00 - - - -
Sungkup O2 Dewasa + Sungkup O2 (BDM) Pcs - - 66,000.00 - - - -
380 Surgeon Cap (IHS) Kotak - - 80,960.00 - - - -
381 Surgicryl 910 1 HR 36 (RNI) Kotak 150808 7/1/2020 1,518,000.00 - - - -
382 Surgicryl 910 1 HR 36 (RNI) Kotak 170210 1/1/2022 1,048,740.00 - - 10 10,487,400.00
386 Surgicryl 910 2 HR 40 (RNI) Kotak 160215 2/1/2021 1,217,819.90 4 4,871,279.60 - -
388 Surgicryl 910 2 HR 48 (RNI) Kotak - - 1,258,620.00 - - - -
389 Surgicryl 910 2/0 HR 17 (RNI) Kotak 170210 1/30/2022 1,320,000.00 - - - -
390 Surgicryl 910 2/0 HR 17 (RNI) Kotak 170210 1/1/2022 917,339.94 - - - -
391 Surgicryl 910 2/0 HR 36 (RNI) Kotak 171114 10/1/2022 807,659.95 20 16,153,199.04 - -
392 Surgicryl 910 3/0 HR 26 (RNI) Kotak 170909 8/1/2022 1,008,000.00 2 2,016,000.00 - -
Surgicryl 910 2/0 HR 26 (RNI) Kotak D1114 10/1/2022 1,148,400.00 20 22,968,000.00 - -
393 Surgicryl 910 3/0 HR 30 (RNI) Kotak 170316 2/28/2022 1,263,240.00 - - - -
412682303.xlsx 757
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Terkecil
394 Surgicryl 910 3/0 HR 30 (RNI) Kotak - - 807,659.93 - - - -
395 Surgiwear Eye Drepe 100 x 70 (PK) Pcs - - 77,000.00 - - - -
396 Surgical Gown Steril (New) Bh - - 26,527.60 - - - -
397 Surgical Gown Steril (New) Bh - - 26,527.60 - - - -
398 Tensocrepe 4 Inch (BDM) Roll 041711073 11/1/2022 93,830.00 - - - -
399 Tensocrepe 4 Inch (BDM) Roll 31711152 11/1/2022 107,305.00 24 2,575,320.00 - -
Three Way Stop Cock (BDM) Pcs - - 22,000.00 550 12,100,000.00 - -
407 Tensocrepe 6 Inch (BDM) Roll 61708101 7/1/2022 141,185.00 24 3,388,440.00 - -
409 Three Way Eskamed (BDM) Pcs 169002 8/1/2021 15,750.00 - - - -
410 Three Way Stop Cock (BDM) Pcs 15552-01 1/1/2023 22,000.00 - - - -
411 Three Way Tro (BDM) Pcs 13958-02 6/1/2020 22,000.00 - - - -
412 Transfusi Set Eskamed (BDM) Pcs 171020 9/1/2022 16,380.10 - - - -
413 Transfusi Set Eskamed (BDM) Pcs 180509 4/1/2023 16,380.10 400 6,552,040.00 - -
414 Transfusi Set (BDM) Pcs 20170923 9/1/2022 4,847.70 - - - -
Transfusi Set (BDM) Pcs BG140818060 7/1/2023 15,296.45 - - 100 1,529,645.00
419 Tricresol Formal (BF) Botol 69717 10/1/2020 135,300.00 - - - -
420 Trypan Blue (PK) Pcs - - 66,000.00 - - - -
421 Truwax (BDM) Pcs IM 42139 9/1/2019 114,950.00 - - - -
422 Truwax (BDM) Pcs 180010 - 114,950.00 120 13,794,000.00 - -
412682303.xlsx 758
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Terkecil
423 Urine Bag (BDM) Pcs 20171220 12/1/2022 5,728.80 - - 100 572,880.00
424 Urine Bag Aximed (KF) Pcs 17233B 12/14/2022 6,875.00 200 1,375,000.00 - -
425 Urine Bag (RNI) Pcs 16531 10/1/2021 6,600.00 - - - -
426 Urine Bag (RNI) Pcs 17046 2/1/2022 6,600.00 - - - -
427 Water One (IHS) Botol - - 19,747.20 - - - -
428 Water One (IHS) Botol - - 17,952.00 80 1,436,160.00 - -
429 W Care DC (PPG) Pcs 1790901 9/1/2020 58,080.00 10 580,800.00 - -
430 Wooden Tangue Depressor (BDM) Pcs - - 660.00 349 230,340.00 - -
Wooden Tangue Depressor (BDM) - - 660.00 - - - -
TOTAL 1,701,094,743.71 980,248,947.77
-


NIP : 19810727 201001 1 012 NIP. 19820918 200804 2 002
412682303.xlsx 759
A GUDANG INSTALASI FARMASI
URLI KABUPATEN BUOL
MBER TAHUN 2018
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5 18,947.00 23 87,156.20
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- - 5,000 207,900.00
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412682303.xlsx 760
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300 1,617,000.00 800 4,312,000.00
1,000 770,000.00 2,500 1,925,000.00
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100 9,440.20 1,600 151,043.20
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30 267,300.00 - -
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100 907,500.00 270 2,450,250.00
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200 428,560.00 200 428,560.00
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412682303.xlsx 761
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9 495,000.00 1 55,000.00
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30 99,000.00 130 429,000.00
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412682303.xlsx 762
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412682303.xlsx 763
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800 129,712.00 800 129,712.00
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- - 5 369,939.50
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300 811,800.00 600 1,623,600.00
412682303.xlsx 764
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3 219,000.01 11 803,000.04
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300 1,168,200.00 1,200 4,672,800.00
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100 389,599.98 - -
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412682303.xlsx 765
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300 159,297.60 - -
200 330,000.00 4,000 6,600,000.00
8 1,352,962.60 8 1,352,962.60
- - 700 280,002.92
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20 1,848,000.00 100 9,240,000.00
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412682303.xlsx 766
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- - 150 21,450,000.00
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- - 40 2,640,000.00
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- - 150 10,560,000.00
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10 132,000.00 60 792,000.00
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100 731,500.00 160 1,170,400.00
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412682303.xlsx 767
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60 240,033.20 240 960,132.80
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25 110,015.62 - -
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412682303.xlsx 768
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200 87,093.60 1,100 479,014.80
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100 1,320,000.00 - -
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412682303.xlsx 769
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412682303.xlsx 770
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412682303.xlsx 771
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1 825,000.00 - -
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- - 1 1,210,440.00
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36 3,583,800.00 108 10,751,400.00
- - 144 13,533,062.40
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1 660,000.00 - -
- - 10 6,600,000.00
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412682303.xlsx 772
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900 1,650,000.00 1,500 2,750,000.00
- - 4,200 7,700,000.00
- - 50 171,902.50
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500 91,008.50 500 91,008.50
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1,300 747,175.00 1,200 689,700.00
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50 277,475.00 150 832,425.00
412682303.xlsx 773
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2,500 251,725.65 12,500 1,258,628.25
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20 1,299,782.00 - -
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500 70,840.00 4,000 566,720.00
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1,200 576,003.98 - -
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412682303.xlsx 774
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28 1,694,093.94 112 6,776,375.76
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200 410,960.00 1,250 2,568,500.00
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2,000 421,190.00 1,500 315,892.50
- - 7,200 617,760.00
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- - - -
100 1,045,000.00 140 1,463,000.00
- - 260 2,717,000.00
- - - -
240 686,400.00 - -
720 2,059,200.00 1,680 4,804,800.00
200 220,000.00 300 330,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - 3,200 743,424.00
5,700 1,324,224.00 2,300 534,336.00
780 1,690,912.08 300 650,350.80
412682303.xlsx 775
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 120 693,000.00
- - - -
500 871,200.00 9,000 15,681,600.00
- - - -
- - - -
6 106,734.01 - -
16 284,624.03 8 142,312.02
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
192 1,852,012.80 - -
312 3,009,520.80 288 2,778,019.20
- - - -
- - 100 179,999.97
- - 300 544,500.00
- - 1,500 6,930,000.00
200 1,100,000.00 1,900 10,450,000.00
1,000 118,999.98 1,500 178,499.97
- - - -
- - 750 550,000.00
- - - -
412682303.xlsx 776
50 116,325.00 - -
25 72,600.00 - -
4,000 840,000.00 7,500 1,575,000.00
- - 90 6,632,372.34
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
600 3,300,000.00 1,170 6,435,000.00
- - 730 4,015,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 200 11,646,800.00
- - - -
600 148,800.08 300 74,400.04
- - 235 4,918,376.10
- - - -
- - - -
- - - -
412682303.xlsx 777
60 3,960,000.00 170 11,220,000.00

- - - -
- - 1 56,045.00
- - 23 1,289,035.00
- - 90 3,081,870.00
- - - -
- - - -
50 1,712,150.00 10 342,430.00
- - - -
- - - -
150 660,000.00 - -
500 3,388,000.00 2,500 16,940,000.00
- - - -
- - - -
500 48,702.50 500 48,702.50
- - 8,000 779,240.00
- - - -
- - - -
2,600 208,007.80 7,000 560,021.00
- - - -
- - - -
50 655,600.00 - -
500 145,002.00 - -
- - - -
- - 80 2,480,016.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
412682303.xlsx 778
- - - -
- - - -
- - 4,000 3,361,600.00
- - 7,900 6,636,031.60
- - - -
3,000 3,630,000.00 3,500 4,235,000.00
- - - -
90 738,045.00 - -
- - 18 1,346,400.00
- - - -
- - - -
1,050 1,501,500.00 700 1,001,000.00
50 1,815,000.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
136 1,497,496.00 864 9,513,504.00
- - - -
- - - -
- - - -
- - - -
50 1,650,000.00 50 1,650,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
412682303.xlsx 779
- - - -
- - - -
- - - -
- - - -
- - - -
1,500 57,750,000.00 500 19,250,000.00
- - - -
40 1,760,000.00 80 3,520,000.00
- - - -
- - 5 83,875.00
- - 100 1,677,500.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100 2,475,000.00 150 3,712,500.00
8 336,600.00 - -
20 841,500.00 - -
- - 50 2,103,750.00
- - - -
- - - -
- - - -
- - 100 1,237,500.00
- - - -
- - - -
- - - -
- - - -
412682303.xlsx 780
150 4,496,250.00 50 1,498,750.00

- - 200 5,995,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
15 591,937.50 - -
50 1,973,125.00 100 3,946,250.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 150 5,754,375.00
- - 50 1,918,125.00
50 1,265,000.00 50 1,265,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
650 242,084.70 1,300 484,169.40
100 26,427.50 700 184,992.50
- - 1,600 16,720,000.00
- - 400 4,180,000.00
- - - -
- - 200 12,540,000.00
- - - -
412682303.xlsx 781
- - - -
- - - -
- - - -
- - 3,200 1,945,292.80
- - - -
- - - -
- - - -
- - - -
150 1,782,000.00 450 5,346,000.00
- - - -
- - 600 4,400,000.00
- - - -
900 6,600,000.00 - -
- - - -
- - - -
- - - -
300 899,701.00 1,020 3,058,983.40
- - 4,080 12,235,933.60
- - 4,000 7,999,992.00
- - 1,000 247,720.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 3,780 23,631,287.40
150 937,749.50 1,920 12,003,193.60
- - - -
- - - -
600 1,449,690.00 5,000 12,080,750.00
412682303.xlsx 782
1,000 149,028.00 4,500 670,626.00

- - - -
10 115,000.05 80 920,000.40
100 12,375.00 1,700 210,375.00
60 111,876.60 120 223,753.20
500 71,500.00 4,500 643,500.00
16 4,351,600.00 24 6,527,400.00
- - 10 139,449.99
- - 10 702,882.40
- - 40 2,811,529.60
300 3,828,000.00 300 3,828,000.00
- - - -
60 924,000.00 119 1,832,600.00
- - - -
- - - -
1,000 479,490.00 500 239,745.00
- - - -
- - - -
- - - -
- - 300 165,049.50
- - 150 2,405,040.00
200 265,870.00 200 265,870.00
- - 7 4,335,100.00
- - - -
- - - -
- - 350 19,250,000.00
- - 900 183,150.00
- - - -
- - - -
- - - -
- - 150 17,820,000.00
412682303.xlsx 783
- - - -
- - 60 528,000.00
630 5,682,600.00 480 4,329,600.00
- - 1,000 688,325.00
- - - -
- - - -
- - - -
- - 20 635,250.00
- - 198 6,288,975.00
- - - -
- - - -
- - - -
- - 300 2,805,000.00
500 4,950,000.00 - -
- - 3,000 19,800,000.00
- - 50 3,850,000.00
- - - -
10 880,000.00 65 5,720,000.00
- - 50 4,400,000.00
- - 6 396,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
24 4,474,800.00 - -
- - 3,500 7,700,000.00
- - - -
412682303.xlsx 784
500 89,171.57 200 35,668.63

- - 216 8,940,864.24
- - - -
- - - -
- - - -
750 3,948,656.25 750 3,948,656.25
29 6,380,000.00 5 1,100,000.00
- - 5 15,400,000.00
330 3,775,200.00 420 4,804,800.00
- - - -
- - - -
- - - -
40 7,700,000.00 150 28,875,000.00
- - - -
- - - -
40 85,052.00 - -
- - - -
- - - -
100 474,100.00 700 3,318,700.00
- - - -
500 440,000.00 - -
320 2,208,096.00 - -
180 1,242,054.00 2,500 17,250,750.00
- - - -
60 449,988.00 60 449,988.00
- - - -
- - 156 1,561,560.00
- - - -
- - - -
- - - -
36 1,683,000.00 132 6,171,000.00
412682303.xlsx 785
- - - -
- - - -
- - 1,350 12,919,500.00
- - 1,900 338,203.80
- - 240 635,448.00
- - - -
- - 4 3,520,000.00
1,500 504,174.00 - -
1,500 902,137.50 13,500 8,119,237.50
50 133,870.00 - -
- - 200 536,698.80
- - - -
500 112,772.00 2,500 563,860.00
- - - -
- - - -
- - 10 660,000.00
- - - -
2,000 1,936,000.00 2,500 2,420,000.00
- - - -
- - - -
1,000 142,560.00 9,000 1,283,040.00
- - 1,800 306,009.00
- - - -
- - - -
- - 10,000 1,210,000.00
- - - -
- - - -
120 1,347,720.00 880 9,883,280.00
5 852,500.00 15 2,557,500.00
- - - -
- - - -
412682303.xlsx 786
- - - -
- - - -
- - - -
- - - -
- - - -
2,000 32,076,000.00 200 3,207,600.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - 1,992 3,653,826.00
- - 450 2,970,000.00
- - - -
- - - -
- - - -
- - 1,500 2,632,500.09
- - 50 3,289,000.00
- - 1,700 1,827,925.00
- - - -
- - 300 19,734,000.00
- - 700 924,000.00
- - - -
- - - -
800 264,000.00 9,200 3,036,000.00
- - - -
- - - -
- - - -
- - - -
300 2,805,000.00 600 5,610,000.00
- - - -
412682303.xlsx 787
- - - -
- - - -
- - - -
35 2,938,250.01 25 2,098,750.01
50 456,115.00 150 1,368,345.00
- - - -
49 3,732,575.00 - -
- - - -
11,000 934,967.00 7,000 594,979.00
- - - -
300 359,700.00 1,600 1,918,400.00
- - 50 34,595.00
- - - -
- - - -
- - - -
300 215,820.00 250 179,850.00
- - - -
114 5,699,241.90 186 9,298,763.10
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,500 359,370.00 3,500 838,530.00
- - - -
- - - -
- - - -
412682303.xlsx 788
- - - -
100 2,376,000.00 - -
- - - -
- - - -
140 3,326,400.00 260 6,177,600.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 3,200 1,845,760.00
- - - -
- - - -
2,500 698,500.00 1,000 279,400.00
- - - -
500 412,500.00 1,500 1,237,500.00
- - - -
336 2,772,000.00 120 990,000.00
- - - -
- - - -
- - - -
- - 5,000 1,320,000.00
- - 5,000 1,320,000.00
- - - -
- - - -
- - - -
24 91,106.40 186 706,074.60
412682303.xlsx 789
- - 48 171,600.00
- - - -
- - 3,000 1,082,400.00
- - - -
3,500 1,540,077.00 3,500 1,540,077.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
2,000 5,830,000.00 2,800 8,162,000.00
- - 5,200 15,158,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - 1,500 3,465,000.00
- - - -
- - - -
400 6,072,000.00 240 3,643,200.00
- - - -
- - 15 686,812.50
- - - -
- - - -
- - - -
- - 500 3,204,850.00
2,040 13,075,788.00 3,720 23,844,084.00
412682303.xlsx 790
- - - -
- - - -
- - - -
- - - -
1,000 236,500.00 4,000 946,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 1,000 141,889.00
- - - -
- - - -
- - - -
- - - -
- - 300 1,267,200.00
- - - -
- - - -
- - - -
- - - -
- - - -
25 2,174,999.97 40 3,479,999.95
- - - -
- - - -
200 380,000.00 - -
10 880,000.00 - -
1,000 5,500,000.00 2,000 11,000,000.00
412682303.xlsx 791
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 2,190 6,986,100.00
- - 600 1,914,000.00
- - - -
- - - -
- - - -
- - 400 167,200.00
50 100,485.00 100 200,970.00
- - 150 499,125.00
- - - -
- - 50 3,052,500.00
- - - -
- - - -
49 653,537.50 50 666,875.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - 1,000 88,000,000.00
- - - -
- - 1,000 40,700,000.00
700 61,600,000.00 1,300 114,400,000.00
- - - -
- - - -
412682303.xlsx 792
- - - -
- - 150 7,125,401.25
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
192 3,696,000.00 200 3,850,000.00
- - - -
- - - -
384 4,604,160.00 288 3,453,120.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - 86 3,154,910.00
- - - -
- - - -
- - - -
- - - -
- - - -
100 511,720.00 750 3,837,900.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - 17,000 1,346,400.00
- - - -
412682303.xlsx 793
- - 300 933,916.50
- - - -
60 791,485.20 270 3,561,683.40
- - - -
- - - -
- - - -
100 4,159,980.00 100 4,159,980.00
100 935,000.00 - -
- - 600 660,330.00
- - - -
- - - -
- - 50 330,000.00
- - 350 2,310,000.00
- - - -
- - - -
- - - -
50 1,026,300.00 140 2,873,640.00
- - 3,000 1,854,930.00
- - 1,440 340,732.38
- - - -
- - - -
50 1,966,250.00 - -
- - 6 235,950.00
- - 94 3,696,550.00
- - - -
- - - -
- - 40 1,166,000.00
- - 10 291,500.00
- - - -
- - - -
- - 20 695,750.00
412682303.xlsx 794
5 173,937.50 34 1,182,775.00
- - - -
- - - -
- - 30 886,875.00
- - 100 2,956,250.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - 4,000 726,000.00
- - 4,000 858,000.00
- - - -
- - - -
100 2,660,020.00 150 3,990,030.00
500 30,002.50 1,000 60,005.00
- - 10 118,745.00
- - 240 2,849,880.00
- - - -
- - - -
- - - -
64 3,097,600.00 20 968,000.00
- - - -
500 237,402.00 3,500 1,661,814.00
- - - -
- - - -
30 246,001.80 210 1,722,012.60
- - - -
50 1,973,125.00 200 7,892,500.00
- - - -
- - - -
412682303.xlsx 795
- - - -
- - - -
- - - -
- - - -
- - 240 1,900,800.00
240 1,900,800.00 1,010 7,999,200.00
- - - -
- - - -
- - 2,000 617,100.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
240 1,716,000.00 - -
- - - -
- - - -
1,000 1,452,000.00 4,000 5,808,000.00
- - - -
- - - -
- - - -
4,000 943,800.00 - -
- - - -
1,000 660,000.00 9,000 5,940,000.00
25 192,500.00 50 385,000.00
- - - -
- - - -
20 1,881,000.00 30 2,821,500.00
412682303.xlsx 796
- - 150 14,107,500.00
- - - -
- - - -
- - - -
- - - -
300 1,485,000.00 1,200 5,940,000.00
100 803,000.00 200 1,606,000.00
180 1,584,000.00 420 3,696,000.00
- - 65 2,145,166.10
- - 165 5,445,421.64
500 935,000.00 3,500 6,545,000.00
- - - -
2,660 19,019,000.00 3,400 24,310,000.00
- - - -
- - - -
- - - -
20 1,980,000.00 60 5,940,000.00
- - - -
- - - -
1,500 146,107.50 2,500 243,512.50
- - 250 46,750,000.00
- - - -
- - - -
- - - -
- - 100 5,802,500.00
- - 90 544,500.00
- - - -
1,100 247,493.40 5,900 1,327,464.60
- - - -
- - - -
- - 600 335,170.00
412682303.xlsx 797
- - - -
- - - -
- - 4 11,440,000.00
- - - -
- - 3,000 1,221,000.00
- - 500 6,985,000.00
- - - -
- - - -
40 528,000.00 40 528,000.00
3 873,602.40 44 12,812,835.20
- - - -
- - 1 1,683,000.00
- - 2 3,366,000.00
5 883,998.50 195 34,475,941.50
- - - -
- - - -
- - 18 945,450.00
- - - -
20 420,750.00 - -
- - - -
- - - -
5 254,375.00 10 508,750.00
50 2,543,750.00 - -
- - - -
- - - -
- - - -
50 530,337.50 50 530,337.50
- - - -
- - 100 1,815,000.00
- - - -
- - - -
412682303.xlsx 798
- - - -
- - - -
- - - -
- - 8 162,800.00
2,000 270,006.00 1,000 135,003.00
- - - -
- - - -
- - 15,900 1,912,531.50
500 301,999.50 2,000 1,207,998.00
- - - -
- - - -
- - - -
- - - -
77 2,541,000.00 123 4,059,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1 37,748.70 47 1,774,188.90
- - - -
- - - -
- - - -
- - - -
- - - -
412682303.xlsx 799
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
70 203,310.38 200 580,886.80
- - - -
22 1,001,880.00 78 3,552,120.00
- - - -
- - - -
2 1,177,079.99 4 2,354,159.98
- - - -
- - - -
- - - -
- - - -
- - 3 1,756,260.00
- - 4 3,300,000.00
- - 4 1,702,800.00
412682303.xlsx 800
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 15 1,567,500.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - 800 657,599.56
800 657,599.89 2,300 1,890,599.68
- - 400 328,799.94
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
3,700 3,189,398.97 - -
- - - -
- - - -
- - - -
800 681,120.00 1,000 851,400.00
412682303.xlsx 801
- - - -
- - 50 57,999.70
- - 950 2,710,207.50
- - - -
1,800 1,733,399.80 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
2,800 3,406,480.00 9,800 11,922,680.00
- - - -
- - 150 294,030.00
- - - -
25 120,312.50 450 2,165,625.00
25 120,312.50 425 2,045,312.50
- - - -
- - - -
- - - -
5 1,100,000.00 26 5,720,000.00
- - 10 1,650,000.00
- - - -
- - 8 660,000.00
- - 10 825,000.00
- - 10 825,000.00
- - 20 1,650,000.00
- - 20 1,650,000.00
- - - -
- - - -
- - - -
412682303.xlsx 802
50 1,925,000.00 50 1,925,000.00
- - - -
- - - -
- - 49 200,022.90
- - 10 385,000.00
40 1,540,000.00 50 1,925,000.00
2 8,219,200.00 - -
- - - -
- - - -
- - - -
5 22,313,500.00 - -
- - - -
- - - -
1 2,640,000.00 - -
- - - -
- - - -
- - - -
- - 40 599,764.00
- - - -
- - - -
80 1,936,000.00 110 2,662,000.00
- - - -
- - - -
- - - -
- - - -
80 1,936,000.00 - -
- - 10 242,000.00
- - 100 3,520,000.00
10 1,100,000.00 20 2,200,000.00
2 275,000.00 14 1,925,000.00
- - - -
412682303.xlsx 803
- - - -
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12 800,580.00 24 1,601,160.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - 170 5,142,500.00
- - 120 5,808,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
8,500 4,116,936.75 7,300 3,535,722.15
- - - -
- - - -
- - - -
- - - -
412682303.xlsx 804
- - 200 10,890,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
290 1,499,300.00 1,430 7,393,100.00
- - - -
- - - -
360 1,861,200.00 1,345 6,953,650.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
455 2,352,350.00 510 2,636,700.00
360 1,861,200.00 1,345 6,953,650.00
- - - -
- - - -
- - - -
- - - -
- - - -
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412682303.xlsx 805
- - - -
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7 1,684,760.00 237 57,041,160.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100 833,360.00 - -
200 1,666,720.00 - -
800 6,666,880.00 - -
- - - -
- - - -
- - - -
150 2,399,999.99 150 2,399,999.99
- - - -
300 4,799,998.50 300 4,799,998.50
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
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450 7,200,000.23 400 6,400,000.20
200 3,200,000.00 - -
412682303.xlsx 806
- - - -
- - - -
- - - -
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- - - -
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100 1,599,999.50 800 12,799,996.00
- - - -
- - - -
- - - -
- - - -
350 5,599,998.25 350 5,599,998.25
- - - -
- - - -
- - - -
- - - -
150 2,924,999.55 150 2,924,999.55
- - 36 1,386,000.00
- - - -
3 115,500.00 18 693,000.00
1 38,500.00 9 346,500.00
- - - -
3 115,500.00 22 847,000.00
- - 22 847,000.00
14 1,540,000.00 19 2,090,000.00
- - - -
412682303.xlsx 807
- - - -
- - 8 237,600.00
1 550,000.00 - -
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1 161,370.00 19 3,066,030.00
- - - -
- - - -
- - - -
17 1,870,000.00 2 220,000.00
- - - -
- - - -
27 4,455,000.00 18 2,970,000.00
- - - -
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21 4,897,200.00 - -
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412682303.xlsx 808
- - - -
- - 11 1,815,000.00
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12 2,310,000.00 2 385,000.00
- - - -
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- - 41 15,785,000.00
- - - -
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- - 50 1,925,000.00
5 188,100.00 38 1,429,560.00
- - - -
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8,200 4,280,350.80 11,000 5,741,934.00
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412682303.xlsx 809
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30 134,062.50 - -
95 424,531.25 105 469,218.75
- - 200 893,750.00
- - 200 893,750.00
100 446,875.00 700 3,128,125.00
- - - -
- - - -
203 907,156.25 267 1,193,156.25
- - - -
- - - -
- - - -
178 795,437.50 476 2,127,125.00
- - 1 55,000.00
- - 1 55,000.00
- - - -
40 604,824.00 26 393,135.60
- - - -
- - 16 241,929.60
- - - -
- - - -
20 305,060.00 85 1,296,505.00
- - - -
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- - - -
- - - -
58 353,161.71 50 304,449.75
412682303.xlsx 810
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14 88,550.00 - -
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100 208,300.00 4,800 9,998,400.19
- - - -
1 275,459.91 - -
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4 1,101,839.99 6 1,652,759.99
20 396,000.00 180 3,564,000.00
- - - -
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20,000 2,217,600.00 10,000 1,108,800.00
- - - -
- - - -
- - - -
- - - -
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150 330,000.00 100 220,000.00
- - - -
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- - 350 34,650,000.00
152 6,136,542.63 7 282,603.94
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18 1,079,397.00 - -
2 119,933.00 73 4,377,554.50
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412682303.xlsx 811
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2 538,439.88 2 538,439.88
- - - -
- - 10 564,850.00
- - - -
50 2,420,000.00 - -
- - - -
3 1,623,600.00 - -
3 1,623,600.00 - -
- - 3 669,735.00
- - 4 892,980.00
- - 20 671,990.00
- - - -
- - - -
31 306,900.00 - -
- - - -
4 39,600.00 50 495,000.00
- - - -
20 80,652.00 40 161,304.00
3 12,097.80 47 189,532.20
- - 28 112,912.80
412682303.xlsx 812
- - 5 20,163.00
- - 50 201,630.00
- - 198 13,068,000.00
- - - -
- - - -
- - - -
- - 14 924,000.00
- - - -
19 1,254,000.00 76 5,016,000.00
- - - -
- - - -
- - - -
- - - -
32 2,112,000.00 162 10,692,000.00
- - - -
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6 6,292,440.00 4 4,194,960.00
- - - -
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2 2,435,639.80 2 2,435,639.80
- - - -
- - - -
- - - -
- - - -
4 3,230,639.81 16 12,922,559.23
2 2,016,000.00 - -
4 4,593,600.00 16 18,374,400.00
- - - -
412682303.xlsx 813
- - - -
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6 643,830.00 18 1,931,490.00
- - - -
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50 1,100,000.00 500 11,000,000.00
- - - -
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- - - -
- - - -
6 847,110.00 18 2,541,330.00
- - - -
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200 3,276,020.00 200 3,276,020.00
- - - -
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100 1,529,645.00 - -
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- - - -
- - - -
- - - -
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- - 120 13,794,000.00
412682303.xlsx 814
10 57,288.00 90 515,592.00
160 1,100,000.00 40 275,000.00
- - - -
- - - -
- - - -
20 359,040.00 60 1,077,120.00
10 580,800.00 - -
1 660.00 348 229,680.00
- - - -
620,761,244.05 2,060,582,447.42
BUOL, 30 NOPEMBER 2018
PENANGGUNGJAWAB

NIP. 19820818 201001 2 012
412682303.xlsx 815
BULAN DESEMBER TAHUN 2018
Harga Satuan
Terkecil
OBAT TAHUN 2013
BAHAN HABIS PAKAI 2013 - - - - - -
OBAT PENGADAAN 2014 - - - - - -
1 Flutamol Tablet - - 149,500.00 - - -
3 VITAMIN B6 Tab/Kap @1 Tablet Tablet - - 181.91 - - -
BAHAN HABIS PAKAI 2014 - - - - - -
1 SLIM SECHER Pcs - - 18,750.00 - - -
OBAT BLUD 2015 - - - - - -
1 Burnazin Cream (KF) Tube - - 46,585.00 - - -
3 Ethambutol Tablet 500 mg (KF) Tablet - - 478.01 - - -
5 Novadiar Syrup (RNI) Botol - - 3,789.40 23 87,156.20 -
6 Otsu Tran 40% (RNI) Botol - - 97,900.00 - - -
BAHAN HABIS PAKAI BLUD - - - - - -
412682303.xlsx 816
Harga Satuan
Terkecil
OBAT BLUD 2016 - - - - - -
1 Albuforce Tablet (UN) Tablet - - 5,390.00 800 4,312,000.00 -
5 Betahistin Mesilat Tablet 6 mg (AAM) Tablet - - 914.10 - - -
12 Epinefrin Injeksi (RNI) Ampul - - 8,910.00 - - -
13 Falergi (PV) Botol - - 66,550.00 - - -
17 Interhistin Tablet (MBS) Tablet - - 726.00 - - -
18 Ketokonazol Cream 2% (KF) Tube - - 4,675.00 75 350,625.00 -
20 Meylon (KF) Vial - - 7,440.40 - - -
21 Myotonic Injeksi (PV) Ampul - - 9,075.00 270 2,450,250.00 -
23 Nistatin Drops (DNR) Botol - - 24,200.00 - - -
29 Trolip Kapsul (AAM) Kapsul - - 9,680.00 60 580,800.00 -
BAHAN HABIS PAKAI BLUD 2016 - - - - - -
412682303.xlsx 817
Harga Satuan
Terkecil
7 H2O2 (BDM) Botol - - 77,000.00 - - -
11 Leukoplast (RNI) Roll - - 45,116.50 - - -
OBAT BLUD 2017 - - - - - -
10 Aminofillin Tablet (SST) Tablet - - 141.68 - - -
412682303.xlsx 818
Harga Satuan
Terkecil
19 Arkine Tablet (SST) Tablet - - 638.00 - - -
27 Astinox Tablet (UN) Tablet - - 9,166.67 90 825,000.00 -
29 Bamgetol Tablet (IGM) Tablet - - 1,980.00 500 990,000.00 -
40 CAPOTEK opril Tablet 12,5 mg (RNI) Tablet - - 97.41 - - -
41 CAPOTEK opril Tablet 25 mg (KF) Tablet - - 120.53 - - -
45 Cefixim Kapsul 200 mg (PPG) Kapsul - - 4,950.00 - - -
412682303.xlsx 819
Harga Satuan
Terkecil
56 Chlorpheniramin Maleat Tablet/ Orphen (SST) Tablet - - 162.14 800 129,712.00 -
60 Clindamycin Kapsul 150 mg (IGM) Kapsul - - 702.24 - - -
62 Clindamycin Kapsul 300 mg Kapsul - - 1,800.00 2,000 3,599,992.00 -
63 Clindamycin Kapsul 300 mg (PPG) Kapsul - - 2,000.00 - - -
66 Cotrimoxazol Syrup (RNI) Botol - - 5,954.30 - - -
78 Erlamycetin Ear Drop (PV) Botol - - 6,435.00 104 669,240.00 -
79 Erysanbe Tablet 500 mg (BSP) Tablet - - 2,706.00 600 1,623,600.00 -
412682303.xlsx 820
Harga Satuan
Terkecil
96 Genoint Eye (PV) Botol - - 9,152.00 - - -
98 Gentamicin Injeksi (IGM) Ampul - - 3,896.00 - - -
102 Glukosa 5 % (KF) Botol - - 6,900.30 - - -
107 Human Albumin (KF) Botol - - 849,999.80 - - -
108 Hydromal (BSP) Bag - - 49,505.96 - - -
110 KAEN 3B (KF) Botol - - 10,249.80 - - -
412682303.xlsx 821
Harga Satuan
Terkecil
112 Ketamin Hameln 50 mg (APL) Vial - - 71,600.10 - - -
119 Levofloxacin Tablet (KF) Tablet - - 530.99 - - -
121 Lipomed (BSP) Bag - - 169,120.33 8 1,352,962.60 -
122 Loratadin Tablet (DNR) Tablet - - 400.00 700 280,002.92 -
123 Loratadin Tablet (IGM) Tablet - - 307.79 - - -
124 Manitol (KF) Botol - - 92,400.00 100 9,240,000.00 -
127 Meloxicam Tablet 7,5 mg (ENS) Tablet - - 418.00 - - -
136 Minkosa 5 mg Glibenclamid (SST) Tablet - - 133.10 500 66,550.00 -
137 Myotonic Injeksi (RNI) Ampul - - 8,250.00 1,650 13,612,500.00 -
138 Myotonic Tablet (PV) Tablet - - 2,915.00 - - -
412682303.xlsx 822
Harga Satuan
Terkecil
145 Nerva Plus Tablet Tablet - - 2,200.00 - - -
155 Oksitosin Injeksi (APL) Ampul - - 2,062.50 - - -
156 Ondansentron Tablet (MTK) Tablet - - 2,016.67 - - -
163 Piracetam Kapsul 800 mg (RNI) Kapsul - - 883.30 - - -
167 Pro Infark Injeksi (RNI) Ampul - - 13,200.00 60 792,000.00 -
412682303.xlsx 823
Harga Satuan
Terkecil
186 Rifampisin Tablet 450 mg (DNR) Tablet - - 1,870.00 - - -
193 Scandones Injeksi (Gigi) Ampul - - 9,900.00 - - -
195 SIM-DHA (PV) Botol - - 48,400.00 - - -
196 Simvastatin Tablet 10 mg (ENS) Tablet - - 297.00 - - -
198 Sojourn (PV) Botol - - 2,860,000.00 - - -
199 Solpenox (Amoxicillin) Syrup (SST) Botol - - 4,000.55 240 960,132.80 -
201 Stesolid Injeksi (AAM) Ampul - - 4,400.62 - - -
203 Tasigna (AAM) Kapsul - - 93,548.25 - - -
412682303.xlsx 824
Harga Satuan
Terkecil
204 Terrell (PV) Botol - - 1,683,000.00 - - -
207 Tyarit Injeksi (PV) Ampul - - 27,500.00 - - -
208 Tyarit Injeksi (UN) Ampul - - 27,500.00 - - -
1 Bone Wax (BDM) Pcs - - 116,600.00 - - -
10 Cuticell (BDM) Pcs - - 13,200.00 - - -
412682303.xlsx 825
Harga Satuan
Terkecil
23 Endotracheal Tube FR 6,5 (BDM) Pcs - - 82,500.00 - - -
Endothracheal Tube Plain 2,5 (BSD) Pcs - - 45,114.30 - 2
Endothracheal Tube Plain 3 (BSD) Pcs - - 45,718.20 - 2
Endothracheal Tube Plain 4 (BSD) Pcs - - 46,523.40 - 2
Endothracheal Tube Plain 4,5 (BSD) Pcs - - 44,106.70 - 2
ETT Clear Prof Soft Seal 6,5 (BSD) Pcs - - 73,712.10 - 2
ETT Clear Prof Soft Seal 7 (BSD) Pcs - - 83,983.90 - 2
ETT Clear Prof Soft Seal 7,5 (BSD) Pcs - - 81,567.20 - 2
ETT Clear Prof Soft Seal 8 (BSD) Pcs - - 81,567.20 - 2
31 Film 24x30 (BDM) Kotak - - 2,585,000.00 - - -
32 Film 30x40 (BDM) Kotak - - 4,109,600.00 - - -
33 Fixer (BDM) Set - - 790,900.00 - - -
43 Handrub (ISHS) ml - - 57.20 - - -
44 Handrub (RNI) ml - - 159.60 - - -
412682303.xlsx 826
Harga Satuan
Terkecil
45 Handrub (RNI) ml - - 150.21 - - -
54 Hydrex Surgical Scrub (RNI) ml - - 215.23 - - -
59 IV Catheter 16 G Abbocath (BDM) Pcs - - 16,000.00 50 800,000.00 30
66 IV Catheter 24 G Abbocath Pcs - - - - - -
74 Jely (ISHS) Tube - - 33,981.83 - - -
75 Kapas (BDM) Roll - - 82,208.50 - - -
412682303.xlsx 827
Harga Satuan
Terkecil
86 Mata Pisau No 20 Pcs - - 4,125.00 - - -
Plain Traceostomy Tube 4 (BSD) Pcs 218,922.00 - - 2
Reinforced Tracheal Cuff 5 (BSD) Pcs - - 298,676.40 - - 2
Reinforced Tracheal Cuff 6,5 (BSD) Pcs - - 298,676.40 - - 2
Reinforced Tracheal Cuff 7 (BSD) Pcs - - 298,676.40 - - 2
Reinforced Tracheal Cuff 7,5 (BSD) Pcs - - 354,464.00 - - 2
96 Safil 1 HR 48 Pcs - - 99,550.00 108 10,751,400.00 -
412682303.xlsx 828
Harga Satuan
Terkecil
103 Silk Black With Needle USP 1 HR 37 (RNI) Kotak - - 660,000.00 - - -
107 Silk Black With Needle USP 3/0 HR 30 (RNI) Kotak - - 660,000.00 1 660,000.00 -
108 Softband 6 Inch (BDM) Roll - - 43,450.00 - - -
Thermovent HEPA (BSD) Pcs - - 102,932.50 - - 10
124 Urgotul 10x10 (PPG) Pcs - - 25,850.00 - - -
125 Urine Bag (KF) Pcs - - 6,875.00 - - -
OBAT BLUD 2018 - - - - - -
3 Acetylcysteine Kapsul 200 mg (MRP) - 30/06/2018 1,833.33 1,500 2,750,000.00 -
4 Acetylcysteine Kapsul 200 mg (MRP) - 30/09/2018 1,833.33 4,200 7,700,000.00 -
412682303.xlsx 829
Harga Satuan
Terkecil
6 Albuminar (AAM) Botol X938905 01/05/2020 1,510,000.00 - - -
7 Albunorm 25 % 100 ML (KF) Botol P716A66702 31/03/2020 1,509,999.70 9 13,589,997.30 -
8 Allopurinol Tablet (AAM) Tablet 48K0192 01/11/2021 182.02 500 91,008.50 -
11 Alprazolam Tablet 0,5 mg (KF) Tablet C70497J2 29/03/2021 585.00 - - -
12 Alprazolam Tablet 0,5 mg (SST) Tablet 173003 01/11/2019 574.75 1,200 689,700.00 -
13 Alprazolam Tablet 0,5 mg (KF) - - 585.00 - 3,000
14 Ambroxol Syrup 15 mg (DNR) Botol SCB00947 01/01/2022 6,600.00 - - -
18 Ambroxol Syrup 15 mg (RNI) Botol 06810006 30/11/2019 5,500.00 - - -
20 Ambroxol Syrup (RNI) Botol 16810024 01/09/2020 5,549.50 150 832,425.00 -
23 Ambroxol Tablet (DNR) Tablet TPD22946 01/03/2021 330.00 - - -
27 Ambroxol Tablet (SST) Tablet 81171 01/03/2021 100.69 12,500 1,258,628.25 -
29 Ambroxol Tablet (TSJ) Tablet TPD29447 01/03/2022 330.00 - - -
30 Aminofluid (KF) Botol DB71E47A 02/09/2019 64,989.10 - - -
31 Aminofluid (KF) - - 70,188.80 - 40
35 Aminophyllin Tablet (SST) Tablet G8A021 01/07/2021 141.68 4,000 566,720.00 -
36 Amlodipin Tablet 5 mg (DNR) Tablet PK19137 01/05/2021 436.37 - - -
412682303.xlsx 830
Harga Satuan
Terkecil
37 Amlodipin Tablet 5 mg (DNR) Tablet PK21137 01/07/2022 436.37 - - -
43 Amlodipin Tablet 5 mg (UJ) Tablet Aj1013 01/01/2020 183.37 - - -
45 Amlodipin Tablet 5 mg (MUP) - - 960.01 - 3,000
47 Amlodipin Tablet 10 mg (DNR) Tablet PE04136 01/02/2021 330.00 1,020 336,600.00 -
48 Amlodipin Tablet 10 mg (KF) Tablet 17233B - - - - -
59 Amlodipin Tablet 10 mg (UJ) - 02/11/2008 513.33 300 154,000.00 -
60 Amlodipin Tablet 10 mg (MU) - - 1,693.34 - 2,100
61 Amoxicillin Syrup (TSJ) Botol L10516601 01/11/2019 7,150.00 - - -
62 Amoxicillin 500mg Tab (RNI) - - 370.00 - 3,000
63 Anbacim Injeksi (BSP) Vial UE4694A 01/05/2020 60,503.36 112 6,776,375.76 -
64 Antasida Syrup (GF) Botol G82118J 16/07/2022 10,444.50 - - -
66 Antasida Syrup (KF) Botol S02019AH 02/02/2020 2,054.80 1,250 2,568,500.00 -
412682303.xlsx 831
Harga Satuan
Terkecil
68 Antasida Tablet (KF) Tablet H71504B 15/07/2020 210.60 - - -
69 Antasida Tablet (KF) Tablet - 15/05/2022 210.60 1,500 315,892.50 -
70 Antasida Tablet (SST) Tablet T5553028 01/08/2020 85.80 7,200 617,760.00 -
73 Antrain Injeksi (ENS) Ampul 101480091 30/04/2020 10,450.00 140 1,463,000.00 -
74 Antrain Injeksi (ENS) Ampul 101480101 30/04/2020 10,450.00 260 2,717,000.00 -
75 Antrain Injeksi (MBS) - - 11,286.00 - 500
76 Aqua Pro Injeksi (KF) Vial 72B48A 03/05/2021 2,860.00 - - -
77 Aqua Pro Injeksi (KF) Vial 80C48A 11/03/2021 2,860.00 - - -
78 Aqua Pro Injeksi (KF) Vial 71G48A 02/07/2021 2,860.00 1,680 4,804,800.00 -
79 Aqua Pro Injeksi (KF) - - 2,860.00 - 2,400
80 Arcapec Tablet (PV) Tablet A7H756 01/08/2019 1,100.00 300 330,000.00 -
86 Asam Mefenamat Tablet (RNI) Tablet 16318003 10/03/2021 232.32 3,200 743,424.00 -
87 Asam Mefenamat Tablet (RNI) Tablet 16318004 01/08/2021 232.32 2,300 534,336.00 -
88 Asam Traneksamat Injeksi (AAM) Ampul 2180078 01/11/2020 2,167.84 300 650,350.80 -
89 Asam Traneksamat Injeksi (GF) Ampul 20A015 01/01/2021 1,880.00 - - -
93 Asam Traneksamat Injeksi (RNI) Ampul I172271 31/08/2019 5,280.00 - - -
96 Asam Traneksamat Injeksi (RNI) Ampul TNA62073 01/04/2019 5,775.00 120 693,000.00 -
97 Asam Traneksamat Injeksi (MUP) - - 5,280.00 - 1,000
98 Asam Traneksamat Injeksi (RNI) - - 5,280.00 - 1,000
412682303.xlsx 832
Harga Satuan
Terkecil
99 Asam Traneksamat Tablet (DNR) Tablet TSB00847 01/01/2021 1,980.00 - - -
100 Asam Traneksamat Tablet (TSJ) Tablet TBF33747 01/05/2021 1,742.40 9,000 15,681,600.00 -
101 Asam Traneksamat Tablet (TSJ) Tablet TBF41447 01/07/2021 1,742.40 - - -
107 Asam Valproat (RNI) Botol 2480698 01/03/2020 49,720.00 - - -
110 Asering Infus (KF) Botol SB92A48B 23/01/2021 9,645.90 - - -
112 Asering Infus (KF) Botol SB97H48B 29/08/2021 9,645.90 288 2,778,019.20 -
113 Asering Infus (KF) - - 9,645.90 - 1,200
114 Asering Infus (KF) Botol SB77G48A 08/07/2021 - - -
117 Avesco (SST) Tablet QY8A113 01/03/2020 4,620.00 1,500 6,930,000.00 -
119 Bamgetol Tablet (SST) - - 1,980.00 - 200
120 Betahistin Tablet (AAM) Tablet 49E0742 01/11/2020 119.00 1,500 178,499.97 -
121 Betahistin Tablet (KF) Tablet EAJ338 01/11/2020 785.40 - - -
122 Betahistin Tablet (MU) Tablet 172341 30/09/2020 733.33 750 550,000.00 -
124 Betamethason Cream (KF) Tube G81364T 17/07/2021 2,326.50 - - -
125 Betamethason Cream (RNI) Tube 06455027 31/12/2020 2,904.00 - - -
126 Betamol (TSJ) Tablet TI180216D 01/03/2022 210.00 7,500 1,575,000.00 -
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132 Biocombin Injeksi (PV) Ampul F8C283 01/03/2020 5,500.00 - - -
133 Biocombin Injeksi (PV) Ampul F8C285 01/03/2020 5,500.00 - - -
134 Biocombin Injeksi (PV) Ampul F8D375 01/04/2020 5,500.00 1,170 6,435,000.00 -
135 Biocombin Injeksi (PV) Ampul F8E425 01/05/2020 5,500.00 730 4,015,000.00 -
141 Bionemi Kapsul (PV) Kapsul DC024 01/03/2020 1,650.00 - - -
142 Bionemi Kapsul (PV) - - 3,135.00 - 500
149 Bisolvon Injeksi (KF) Ampul 52889A 01/09/2020 58,234.00 200 11,646,800.00 -
151 Bisoprolol Tablet (AAM) Tablet 3272119 01/11/2020 248.00 300 74,400.04 -
152 Bricasma Inj 5 Ml (APL) Ampul RY8E045 30/06/2019 20,929.26 235 4,918,376.10 -
155 Bunascan Spinal Injeksi (PV) Ampul TL0133 01/12/2019 66,000.00 - - -
156 Bunascan Spinal Injeksi (PV) Ampul PG0403 01/07/2020 66,000.00 170 11,220,000.00 -
157 Bunascan Spinal Injeksi - - 69,300.00 - 150
158 Bunascan Spinal Injeksi (UN) Ampul PG0413 01/07/2020 66,000.00 - - -
159 Burnazin Cream (KF) Tube 0566AB 30/04/2021 56,045.00 1 56,045.00 -
160 Burnazin Cream (KF) Tube 0746RB 31 JUNI 2018 56,045.00 23 1,289,035.00 -
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161 Buscopan Injeksi (KF) Ampul 727068 01/01/2022 34,243.00 90 3,081,870.00 -
164 Buscopan Injeksi (KF) Ampul 825182A 28/02/2023 34,243.00 10 342,430.00 -
165 Buscopan Tablet (KF) Tablet 17121526 30/11/2020 3,091.00 - - -
166 Candesartan Tablet 8 mg (AAM) Tablet 47K4143 01/09/2018 629.00 - - -
167 Candesartan Tablet 8 mg (DNR) Tablet 827632478 27/09/2018 4,400.00 - - -
168 Candesartan Tablet 16 mg (DNR) Tablet TPJ49817 01/08/2018 6,776.00 2,500 16,940,000.00 -
170 CAPOTEK opril Tablet 12,5 mg (RNI) Tablet 6323016 18/12/2022 97.41 - - -
171 Captopril Tablet 12,5 mg (RNI) Tablet 6323018 01/12/2022 97.41 500 48,702.50 -
173 CAPOTEK opril Tablet 25 mg (ESV) Tablet HTCTPE76023 31/12/2020 137.75 - - -
174 CAPOTEK opril Tablet 25 mg (KF) Tablet G71166B 18/06/2022 123.98 - - -
175 Captopril Tablet 25 mg (KF) Tablet A80008B 29/11/2022 80.00 7,000 560,021.00 -
176 Captopril Tablet 25 mg (KF) - - 80.00 - 5,200
177 CAPOTEK opril Tablet 25 mg (RNI) Tablet 06324020 23/11/2022 103.73 - - -
178 CAPOTEK opril Tablet 25 mg (RNI) Tablet 06324021 23/11/2022 103.73 - - -
179 Carbazocrome Injeksi (PV) Ampul 20A457 01/01/2020 13,112.00 - - -
180 Cartylo Tablet (KF) Tablet I72080B 29/09/2020 290.00 - - -
181 Cartylo Tablet (KF) Tablet A80073B 24/12/2020 290.00 - - -
182 Cartylo Tablet (KF) - - 290.00 - 5,000
184 Cefadroxil Kapsul (AAM) Kapsul 48A0218 01/12/2020 877.80 - - -
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192 Cefadroxil Kapsul (RNI) Kapsul KCFDC800395 01/03/2022 840.40 4,000 3,361,600.00 -
193 Cefadroxil Kapsul (RNI) Kapsul KCFDC80521 01/06/2022 840.00 7,900 6,636,031.60 -
194 Cefadroxil Kapsul (TSJ) Kapsul KPM36046 01/11/2022 1,210.00 - - -
195 Cefadroxil Kapsul (TSJ) Kapsul KPF15247 01/05/2020 1,210.00 3,500 4,235,000.00 -
198 Cefarox Syrup (PV) Botol DE110 01/05/2020 74,800.00 18 1,346,400.00 -
201 Cefixim Kapsul 100 mg (RNI) Kapsul KCFMB70191 31/10/2019 1,430.00 700 1,001,000.00 -
202 Cefixim Kapsul 100 mg (RNI) - - 1,430.00 - 7,500
203 Cefixim Kapsul 100 mg (MRP) - - 2,394.59 - 1,000
206 Cefixim Syrup (RNI) Botol 48K0409 01/11/2019 33,275.00 - - -
207 Cefixim Syrup (RNI) - - 19,800.00 - 200
208 Cefotaxim Injeksi (PPG) Vial C10336804 01/03/2021 45,100.00 - - -
209 Cefotaxim Injeksi (PPG) Vial C10336808 01/03/2021 45,100.00 - - -
211 Cefotaxim Injeksi (RNI) Vial 95444083BF 31/05/2019 11,011.00 - - -
212 Cefotaxim Injeksi (RNI) Vial 95444096 01/06/2019 11,011.00 864 9,513,504.00 -
213 Cefotaxim Injeksi (RNI) - - 11,011.00 - 1,000
218 Ceftazidim Injeksi (PPG) Vial A172133 01/04/2019 33,000.00 50 1,650,000.00 -
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223 Ceftazidim Injeksi (PV) - - 12,870.00 - 100
224 Ceftazidim Injeksi (RNI) - - 33,000.00 - 100
226 Ceftriaxon Injeksi (DNR) Vial PSL38346 01/10/2020 26,950.00 - - -
232 Ceftriaxon Injeksi (TSJ) Vial PSF20847 01/05/2021 38,500.00 500 19,250,000.00 -
233 Ceftriaxon Injeksi (RNI) - - 33,000.00 - 3,235
235 Cefuroxim Injeksi (PPG) Vial A182090 02 2020 44,000.00 80 3,520,000.00 -
238 Cendo Efrisel 10 % (PV) Botol 8E10130 01/01/2020 16,775.00 100 1,677,500.00 -
247 Cendo Lyteers 15 ml (PV) Botol 8L0716 01/07/2021 24,750.00 150 3,712,500.00 -
248 Cendo Lyteers 15 ml (PV) - - 24,750.00 - 142
249 Cendo Mydriatyl 1% (PV) Botol 7M0915 01/09/2020 42,075.00 - - -
250 Cendo Mydriatyl 1% (PV) Botol 8M124 01/01/2021 42,075.00 - - -
251 Cendo Mydriatyl 1% (PV) Botol 8M0409 01/04/2021 42,075.00 50 2,103,750.00 -
253 Cendo Tropin 5ml (PV) Botol 7T5122 01/12/2020 12,375.00 - - -
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254 Cendo Tropin 5ml (PV) Botol 8T50406 01/06/2021 12,375.00 - - -
255 Cendo Tropin 5ml (PV) Botol 8T50705 01/07/2021 12,375.00 100 1,237,500.00 -
260 Cendo Xitrol 5 ml (PV) Botol 8X0522 01/11/2020 29,975.00 50 1,498,750.00 -
261 Cendo Xitrol 5 ml (PV) Botol 8X0417 01/10/2020 29,975.00 200 5,995,000.00 -
262 Cendo Xitrol 5 ml (PV) Botol 8X0327 01/09/2020 29,975.00 - - -
276 Cenfresh 5 ml (PV) Botol 8C0808 01/08/2021 38,362.50 150 5,754,375.00 -
277 Cenfresh 5 ml (PV) Botol 8CO508 31/05/2021 38,362.50 50 1,918,125.00 -
278 Cenfresh 0.6 ml (PV) Botol 8C60717 01/01/2021 25,300.00 50 1,265,000.00 -
284 Cetirizine Tablet (RNI) Tablet 6807024 01/11/2019 372.44 1,300 484,169.40 -
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285 Cetirizine Tablet (KF) - - 404.25 - 3,000
286 Chlorpromazin Tablet 100 mg (KF) Tablet J60004B 30/09/2019 264.28 700 184,992.50 -
288 Cilostazol Tablet (DNR) Tablet TPK74346 01/09/2020 10,450.00 400 4,180,000.00 -
289 Ciprofloxacin Infus (PPG) Botol L10156718 01/11/2021 77,000.00 - - -
290 Ciprofloxacin Infus (RNI) Botol 2280259 01/01/2020 62,700.00 200 12,540,000.00 -
295 Ciprofloxacin Tablet (RNI) Tablet 16333001 01/05/2023 607.90 3,200 1,945,292.80 -
298 Citicolin Injeksi (DNR) Ampul 81709 01/06/2022 4,957.33 - - -
300 Citicolin Injeksi (RNI) Ampul 16805001 01/04/2021 11,880.00 450 5,346,000.00 -
301 Citicolin Injeksi (PPG) Ampul A10266702 01/01/2019 19,250.00 - - -
302 Citicolin MPL Tablet (DNR) Tablet TPC17446 01/02/2022 7,333.33 600 4,400,000.00 -
303 Citicolin MPL Tablet (DNR) - - 4,957.33 - 2,070
305 Citicolin Tablet (TSJ) Tablet TPF33547 01/05/2018 7,333.33 - - -
308 Clopidogrel Tablet (KF) Tablet K72810B 19/11/2019 2,999.00 - - -
309 Clopidogrel Tablet (KF) Tablet C80505B 25/02/2020 2,999.00 1,020 3,058,983.40 -
310 Clopidogrel Tablet (KF) Tablet E81099B 03/06/2020 2,999.00 4,080 12,235,933.60 -
311 Clindamycin Kapsul 300 mg (DNR) Kapsul KPG22546 01/06/2020 2,000.00 4,000 7,999,992.00 -
312 Cotrimoxazol Tablet (KF) Tablet G71183B 17/06/2022 247.72 1,000 247,720.00 -
313 Cotrimoxazol Tablet (SST) - - 265.94 - 5,000
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317 Codein Tablet 10 mg (KF) - - 657.00 - 3,000
319 Codikaf Tablet 10 mg (KF) Tablet 172588J 29/09/2021 866.25 - - -
320 Covetor 20-E/45.00 (MBD) Tablet 20G113 31/07/2019 6,251.66 3,780 23,631,287.40 -
321 Covetor 20-E/45.00 (MBD) Tablet 21D113 30/04/2020 6,251.66 1,920 12,003,193.60 -
324 Dexamethason Injeksi (RNI) Ampul 16337002 01/07/2021 2,416.15 5,000 12,080,750.00 -
325 Dexamethason Tablet (RNI) Tablet 16338001 31/01/2021 149.03 4,500 670,626.00 -
327 Desoximethason Cream (AAM) Tube 2380406 01/02/2020 11,500.01 80 920,000.40 -
330 Digoxin 25 mg (PPG) Tablet A8607OV 01/04/2020 143.00 4,500 643,500.00 -
331 Diviti PFS 2.5 mg (AAM) 2681110 01/03/2020 271,975.00 24 6,527,400.00 -
335 Dolgesic Injeksi (SST) Ampul D80036 01/02/2021 12,760.00 300 3,828,000.00 -
336 Domperidon Syrup (PV) Botol S2317134 01/01/2020 4,126.10 - - -
339 Domperidon Tablet (DNR) Tablet TSH86846 01/12/2021 484.34 - - -
340 Domperidon Tablet (DNR) Tablet SCB03747 01/12/2022 479.49 500 239,745.00 -
344 Doxycycline Kapsul (KF) Kapsul H72017J 07/06/2022 550.17 300 165,049.50 -
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347 Dulcolax Tablet (KF) - - 1,302.76 - 600
351 Ephedrin Injeksi (APL) Ampul 97LG0127 24/07/2021 55,000.00 350 19,250,000.00 -
352 Epinefrin Injeksi (RNI) - - 6,691.85 - 90
354 Erlamycetin Ear Drop (PV) Botol D0652098 01/07/2019 7,095.00 - - -
356 Esomax Injeksi (MBS) Vial BA0044 01/01/2020 118,800.00 - - -
357 Esomax Injeksi (MBS) Vial 8B0259 01/02/2020 118,800.00 150 17,820,000.00 -
358 Esomax Injeksi (MBS) Vial 8E6725 01/05/2020 118,800.00 - - -
359 Estazor Tablet (PV) Kapsul TH1411 01/08/2021 8,800.00 60 528,000.00 -
361 Ethambutol (DNR) Tablet TSH43947 01/07/2023 688.33 1,000 688,325.00 -
369 Farbivent Injeksi (PV) Ampul FE0763 01/05/2020 9,350.00 - - -
370 Farbivent Injeksi (PV) Ampul PA0343 01/01/2020 9,350.00 300 2,805,000.00 -
371 Farbivent Injeksi (PV) Ampul PG 0133 01/07/2020 9,900.00 - - -
372 Farbivent Injeksi (PV) - - 9,900.00 - 260
373 Farbion Injeksi (PV) Ampul F1 0333 01/09/2021 6,600.00 3,000 19,800,000.00 -
374 Farbion Injeksi (PV) - - 6,600.00 - 2,000
376 Farpresin Injeksi (PV) Vial IJ0323 01/10/2018 88,000.00 - - -
377 Farpresin Injeksi (PV) Vial - 01/08/2019 88,000.00 65 5,720,000.00 -
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378 Farpresin Injeksi (PPG) Vial TH0053 01/08/2019 88,000.00 50 4,400,000.00 -
383 Fioramol Infus (TSJ) Botol BPIN15746 01/12/2020 33,000.00 - - -
385 Flamar Tablet 25 mg (BSP) Tablet TH8744A 01/12/2019 516.97 - - -
386 Flamic (PV) Tablet DJ002 01/11/2020 2,750.00 - - -
387 Flamicort (AAM) Vial IS030327A 01/05/2022 118,800.00 - - -
388 Floxaris Infus (MBS) Botol 7K6739 01/10/2019 186,450.00 - - -
389 Floxaris Infus (MBS) - - 186,450.00 - 50
390 Flunarizin Tablet (PPG) Tablet TPE31647 01/04/2022 2,200.00 3,500 7,700,000.00 -
391 Fornero Tablet - - 485.84 - 21,000
393 Furosemid Tablet (MBS) Tablet 1709010 01/12/2021 178.34 200 35,668.63 -
398 Gabasant Kapsul (SST) Kapsul JM002 01/10/2020 5,264.88 750 3,948,656.25 -
399 GABAXA INFUS (PV) Botol PB0683 01/02/2020 220,000.00 5 1,100,000.00 -
400 GAMARAAS (APL) Vial 201610G021 06/10/2019 3,080,000.00 5 15,400,000.00 -
401 Gastrul Tablet (PV) Tablet TK1991 01/11/2019 11,440.00 420 4,804,800.00 -
404 Gelafusal Infus (AAM) Bag O0617 01/03/2020 145,015.00 - - -
408 Gentamicin Cream 1% (KF) Tube E81001T 16/05/2022 2,126.30 - - -
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410 Glauseta Tablet (BSP) Tablet DC2803 01/03/2020 4,741.00 - - -
413 Glimepiride Tablet 2 mg (RNI) Tablet HTGMPF76028 01/12/2021 880.00 - - -
414 Glimepiride Tablet 2 mg (DNR) - - 1,815.00 - 3,000
415 Glukosa 05% (KF) Botol 270622 31/05/2020 6,900.30 - - -
416 Glukosa 05% (KF) Botol 270704 05/06/2020 6,900.30 2,500 17,250,750.00 -
417 Glukosa 10% (KF) Botol 271106 31/10/2020 7,499.80 - - -
418 Glukosa 10% (KF) Botol 280203 03/01/2021 7,499.80 60 449,988.00 -
419 Glukosa 10% (KF) Botol 280224 26/01/2021 7,499.80 - - -
424 Graphalac Syrup (PV) Botol DC126 01/03/2020 46,750.00 132 6,171,000.00 -
425 Graphalac Syrup (PV) - - 46,750.00 - 100
428 Hemafort Tablet (RNI) - - 834.90 - 5,000
429 Hepamed 300 mg (SST) Tablet JY7A131 01/09/2019 9,570.00 1,350 12,919,500.00 -
431 Hydrocortisone 2,5 % (KF) Tube E81171T 26/05/2022 2,647.70 240 635,448.00 -
432 Human Albumin (KF) Botol B23655 30/09/2020 880,000.00 - - -
434 Human Albumin 20% (KF) - - 880,000.00 - 10
435 Hufabion Tablet (SST) Ampul 100437 01/08/2019 336.12 - - -
436 Hufaflox (SST) Tablet M600447 01/12/2021 601.43 13,500 8,119,237.50 -
437 Ibuprofen Syrup 100 mg (KF) Botol S05015A11 30/05/2020 2,677.40 - - -
438 Ibuprofen Syrup 100 mg (RNI) Botol S 10003 A G 01/10/2018 2,683.49 200 536,698.80 -
439 Ibuprofen Tablet 400 mg (KF) Tablet KB9119606 01/11/2021 127.00 - - -
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440 Ibuprofen Tablet 400 mg (KF) Tablet 16357010 01/05/2022 225.54 2,500 563,860.00 -
443 Inviclot Injeksi (PV) Vial PC0473 01/03/2020 66,000.00 10 660,000.00 -
445 Isonat Tablet 5 mg (KF) Tablet D160355B 30/08/2020 968.00 2,500 2,420,000.00 -
448 Isoniazid Tablet 100 mg (KF) Tablet B80218B 21/01/2023 142.56 9,000 1,283,040.00 -
452 Isosorbid Dinitrat Tablet 5 mg (PPG) Tablet A2327EV 01/05/2022 121.00 10,000 1,210,000.00 -
454 KA-EN 3B (KF) Botol 471193A 01/08/2020 10,249.80 - - -
455 KA-EN 3B (KF) Botol 48G94A 25/07/2021 11,231.00 880 9,883,280.00 -
456 Ketamin Hameln (APL) Vial 8150624 30/04/2021 170,500.00 15 2,557,500.00 -
457 Ketokonazol Tablet (RNI) Tablet 3061814 01/09/2019 450.99 - - -
462 Ketorolac Injeksi 30 mg (DNR) Ampul P1C26647 01/02/2022 16,038.00 - - -
464 Ketorolac Injeksi 30 mg (DNR) Ampul TPM99046 01/11/2022 16,038.00 200 3,207,600.00 -
470 Ketorolac Injeksi 30 mg (RNI) Ampul 16459042 01/07/2021 1,834.25 1,992 3,653,826.00 -
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471 Ketorolac Injeksi 30 mg (MUP) Ampul GJ18002 01/08/2020 6,600.00 450 2,970,000.00 -
472 Ketorolac Injeksi 30 mg (MUP) - - 6,600.00 - 540
473 Ketorolac Injeksi 30 mg (APL) - - 1,045.00 - 3,000
474 Klotaren Tablet 25 mg (KF) Tablet F71208J 16/05/2022 398.99 - - -
477 KSR Tablet 600 mg (AAM) Tablet K0367398 01/04/2021 1,755.00 1,500 2,632,500.09 -
478 Kutoin Injeksi (SST) Ampul 470169 01/08/2020 65,780.00 - - -
479 Kutoin Tablet (SST) Kapsul 81336 01/06/2020 1,075.25 1,700 1,827,925.00 -
480 Kutoin Injeksi (SST) Ampul D80180 01/03/2021 65,780.00 - - -
481 Kutoin Injeksi (SST) Ampul D80001 01/01/2021 65,780.00 350 23,023,000.00 -
482 Lanabal Tablet (MBS) Tablet 20E033 31/05/2021 1,320.00 700 924,000.00 -
483 Lansoprazol Kapsul (DNR) Kapsul NPC03847 01/02/2021 1,621.60 - - -
484 Lansoprazol Kapsul (KF) Kapsul 7178109 31/12/2019 330.00 - - -
485 Lansoprazol Kapsul (KF) Kapsul 7178062 31/07/2020 330.00 9,200 3,036,000.00 -
490 Lesichol 300 (MBS) Kapsul 21D045 30/04/2018 9,350.00 600 5,610,000.00 -
491 Levofloxasin 500mg Tablet (KF) - - 449.00 - 2,000
495 Levemir Flex Pen (AAM) Pen HT6D631 01/04/2020 83,950.00 - - -
496 Levemir Flex Pen (AAM) Pen 48A0218 01/06/2020 83,950.00 25 2,098,750.01 -
497 Lifadrox Syr - - 9,122.30 150 1,368,345.00 -
498 LFX 0,6 ml (PV) Strip 7LF61222 01/06/2020 75,900.00 - - -
499 LFX 5 ml (PV) Botol 7LF1114 01/05/2020 76,175.00 - - -
500 LFX 5 ml (PV) Botol 7LF1114 01/05/2020 46,750.00 - - -
501 LFX 5 ml (PV) - - 76,175.00 - 100
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Terkecil
502 Loperamid Tablet (KF) Tablet 70310 01/11/2019 85.00 7,000 594,979.00 -
503 Loprezol Kapsul (KF) Kapsul HG1543J 30/09/2019 799.99 - - -
504 Meloxicam Tablet 7,5 mg (DNR) Tablet PNO3138 01/07/2023 1,199.00 1,600 1,918,400.00 -
505 Meloxicam Tablet 15 mg (DNR) Tablet NB06126 01/12/2022 691.90 50 34,595.00 -
508 Meloxicam Tablet 15 mg (TAS) Tablet PDO1126 01/03/2023 719.40 - - -
509 Meloxicam Tablet 15 mg (TAS) Tablet PN0226 01/07/2023 719.40 250 179,850.00 -
511 Merophenem Injeksi 1 g (TSJ) Vial B10326808 01/02/2021 49,993.35 186 9,298,763.10 -
512 Merophenem Injeksi 1 g (PPG) Vial K10326701 01/10/2020 225,500.00 - - -
517 Merophenem Injeksi 1 g (DNR) Vial P8N53746 04/12/2020 220,000.00 - - -
519 Metformin Tablet 500 mg (ESV) Tablet HTMFNA81606 29/02/2020 181.50 - - -
521 Metformin Tablet 500 mg (RNI) Tablet 16431009 01/07/2023 239.58 3,500 838,530.00 -
522 Methyl Ergometrin Tablet (KF) Tablet C70296J 01/03/2022 270.60 - - 10,000
525 Methylprednisolon Injeksi (PPG) Vial L10576701 01/11/2020 51,700.00 - - -
526 Methylprednisolon Injeksi (RNI) Vial P182033 31/01/2020 23,760.00 - - -
528 Methylprednisolon Injeksi (MU) Vial P182133 31/05/2018 23,760.00 - - -
529 Methylprednisolon Injeksi (MU) Vial CJ18004 31/03/2020 23,760.00 260 6,177,600.00 -
530 Methylprednisolon Injeksi (MUP) - - 23,760.00 - 300
532 Methylprednisolon Tablet 4 mg (DNR) Tablet PB01142 01/04/2022 440.55 - - -
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537 Methylprednisolon Tablet 4 mg (RNI) Tablet 16445001 28/06/2022 484.00 - - -
540 Methylprednisolon Tablet 4 mg (SST) Tablet BT001 01/03/2021 576.80 3,200 1,845,760.00 -
542 Methylprednisolon Tablet 4 mg (TSJ) Tablet TPC12447 01/02/2021 528.66 - - -
543 Methylprednisolon Tablet 4 mg (TSJ) Tablet 8S180044A 31/05/2020 279.40 1,000 279,400.00 -
544 Methylprednisolon Tablet 4 mg (MU) - - 279.40 - - -
545 Methylprednisolon Tablet 4 mg (MUP) - - 279.40 - - 4,000
546 Methylprednisolon Tablet 4 mg (KF) - - 139.00 - -
547 Methylprednisolon Tablet 16 mg (MU) Tablet G818054 30/07/2020 825.00 1,500 1,237,500.00 -
549 Metronidazol Infus (APL) Botol TY8E004 30/06/2018 8,250.00 120 990,000.00 -
550 Metronidazol Infus (APL) - - 7,700.44 - 600
554 Metronidazol Tablet 500 mg (DNR) Tablet TPM99046 01/11/2022 264.00 5,000 1,320,000.00 -
555 Metronidazol Tablet 500 mg (DNR) Tablet P1C26647 01/11/2022 264.00 5,000 1,320,000.00 -
556 Metronidazol Tablet 500 mg (PPG) Tablet TPM98846 01/11/2022 264.00 - - -
557 MgSO4 40 % (GF) Vial 86E46A 17/05/2018 2,629.00 - - -
558 MgSO4 40 % (GF) Vial - - 3,652.00 - - -
559 MgSO4 40 % (MRP) Vial 92C48A 23/03/2020 3,796.10 186 706,074.60 -
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564 Molaneuron Tablet (MBS) Tablet M13AY014 01/05/2021 440.02 3,500 1,540,077.00 -
571 Myotonic Tablet (PV) Tablet A8B199 01/02/2020 2,915.00 - - -
572 Myotonic Injeksi (PV) Ampul f70797 01/04/2019 6,050.00 - - -
573 Myotonic Tablet (PV) Tablet F8D383 01/04/2020 2,915.00 2,800 8,162,000.00 -
574 Myotonic Tablet (PV) Tablet A8F513 01/06/2020 2,915.00 5,200 15,158,000.00 -
579 N-Ace Kapsul (PV) Kapsul PB1601 01/02/2020 2,310.00 - - -
580 N-Ace Kapsul (PV) Kapsul 2241 01/03/2020 2,310.00 1,500 3,465,000.00 -
583 NaCl Piggyback (KF) Botol 48A88A 19/01/2021 15,180.00 240 3,643,200.00 -
584 NaCl Piggyback - - 15,180.00 - 2,000
588 Natrium Klorida Infus (KF) Botol 182D01 01/04/2021 6,409.70 - - -
590 Natrium Klorida Infus (KF) Botol 380215 16/01/2023 6,409.70 500 3,204,850.00 -
592 Natrium Klorida Infus (KF) - - 6,409.70 - 4,940
593 Natrium Klorida Infus (RNI) Botol 280121 01/12/2022 6,409.70 - - -
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595 Natrium Diklofenak Tablet 50 mg (KF) Tablet J72895J 05/10/2022 352.64 - - -
597 Natrium Diklofenak Tablet 50 mg (RNI) Tablet 16365060 01/07/2021 236.50 4,000 946,000.00 -
600 Neo-K Inj - - 13,640.00 - 80
601 Neostigmine Hamelin (APL) Ampul 743056 26/10/2019 8,200.06 - - -
602 Neurosanbe Injeksi (BSP) Ampul UB3425 01/06/2019 5,324.00 - - -
605 Neurosanbe Tablet (BSP) Tablet DC2770 01/03/2022 1,160.50 - - -
606 Neurosanbe Tablet (BSP) Tablet DD2031B 01/04/2022 1,160.50 - - -
610 Nimodipin Infus (DNR) Botol PIM57545 01/11/2018 181,500.00 - - -
612 Norages Injeksi (PV) Ampul F8C277 01/03/2020 9,185.00 - - -
614 Norelut Tablet (AAM) - - 4,400.00 - 500
615 Normudal Tablet (APL) Tablet BSB089 28/02/2023 694.54 - - -
619 Novorapid Flex Pen (AAM) Pen HR7F771 01/05/2020 87,000.00 - - -
620 Novorapid Flex Pen (AAM) Pen HR7j149 01/07/2020 87,000.00 40 3,479,999.95 -
623 Oksitosin Injeksi (GF) Ampul - - 1,900.00 - - -
624 Omeprazol Injeksi (TSJ) Ampul PSD06347 01/03/2021 88,000.00 - - -
625 Omeprazol Injeksi (APL) - - 11,867.90 - 500
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626 Ondancentron Injeksi 4 mg (DNR) Ampul PIH83945 01/07/2019 5,500.00 2,000 11,000,000.00 -
632 Ondancentron Injeksi 4 mg (RNI) Ampul I172387 30/11/2019 3,190.00 - - -
634 Ondancentron Injeksi 4 mg (MU) Ampul 1182240 31/07/2020 3,190.00 2,190 6,986,100.00 -
635 Ondancentron Injeksi 4 mg (MU) Ampul 1182242 31/08/2020 3,190.00 600 1,914,000.00 -
640 Orphen Tablet (UJ) - - 82.50 - 4,000
641 Oxytetracyclin Salep Kulit (KF) Tube C80863W 07/03/2021 2,009.70 100 200,970.00 -
642 Oxytetracyclin Salep Mata (KF) Tube A80110W 01/01/2020 3,327.50 150 499,125.00 -
646 P. Pred 5 ml (PV) - - 61,050.00 - 64
648 Pantocain 5 ml (PV) Botol 7P11228 01/12/2020 13,337.50 50 666,875.00 -
654 Pantoprazol Injeksi (DNR) Vial PSD10447 01/03/2021 88,000.00 1,000 88,000,000.00 -
655 Pantoprazol Injeksi (TSJ) Vial 0SE14447 01/04/2021 88,000.00 - - -
656 Pantoprazol Injeksi (MUP) Vial P182086 31/07/2020 40,700.00 1,000 40,700,000.00 -
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657 Pantoprazol Injeksi (TSJ) Vial PSC08546 01/02/2020 88,000.00 1,300 114,400,000.00 -
658 Pantoprazol Injeksi (TSJ) Vial PSK46445 01/09/2019 88,000.00 - - -
660 Pantoz Injeksi (SST) Vial ET0003 01/05/2020 47,502.68 - - -
661 Pantoz Injeksi (SST) Vial FT003 01/07/2020 47,502.68 150 7,125,401.25 -
666 Paracetamol Infus (APL) Botol QY6E070 31/03/2020 11,990.00 - - -
667 Paracetamol Infus (APL) Botol BY8e045 30/04/2020 11,990.00 - - -
668 Paracetamol Infus (MU) Botol D80502 31/07/2020 19,250.00 200 3,850,000.00 -
669 Paracetamol Infus (MUP) - - 11,610.50 - 400
670 Paracetamol Infus Daparin (APL) Botol RY8E045 30/04/2020 11,990.00 - - -
671 Paracetamol Infus Daparin (APL) Botol SY9EK002 31/05/2018 22,000.00 - - -
672 Paracetamol Infus Daparin (APL) Botol TY8E039 30/06/2018 11,990.00 288 3,453,120.00 -
678 Paracetamol Infus (RNI) Botol 16802028 01/04/2020 36,685.00 86 3,154,910.00 -
679 Paracetamol Infus (RNI) Botol 16802010 BF 01/02/2020 36,685.00 - - -
682 Paracetamol Infus (MU) Botol 80560 30/09/2020 15,400.00 - - -
683 Paracetamol Syrup (DNR) Botol SCB03747 01/01/2022 5,500.00 - - -
684 Paracetamol Syrup (RNI) Botol 16374001 01/05/2020 5,117.20 750 3,837,900.00 -
685 Paracetamol Tablet (KF) Tablet D807541 11/04/2022 220.72 - - -
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690 Paracetamol Tablet (SST) Tablet A8628 01/08/2020 79.20 17,000 1,346,400.00 -
691 Pehacain Injeksi (RNI) Ampul 06052090 30/11/2011 3,113.06 - - -
692 Pehacain Injeksi (RNI) Ampul 16052006 31/03/2021 3,113.06 300 933,916.50 -
694 Petidin Injeksi (KF) Ampul EG085J 30/04/2021 13,191.42 270 3,561,683.40 -
697 Phentanyl Injeksi (KF) Ampul 5D5JB 01/09/2020 41,599.80 - - -
698 Phentanyl Injeksi (KF) Ampul K49V 01/12/2020 41,599.80 100 4,159,980.00 -
699 Phentanyl Injeksi (KF) - - 41,599.80 - 300
700 Phyfion Injeksi (GHF) Ampul BPINI6046 12/01/2019 9,350.00 - - -
701 Phytomenadion Injeksi (RNI) - - 4,881.80 - - 150
705 Piracetam Injeksi 1 g (TSJ) Ampul PID14145 01/03/2020 6,600.00 - - -
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720 Polydex 0,6 ml (PV) Strip 8PX60424 01/10/2020 29,150.00 40 1,166,000.00 -
721 Polydex 0,6 ml (PV) Strip 8PX60511 01/11/2020 29,150.00 10 291,500.00 -
722 Polygran 0,6 ml (PV) Strip 7PG61106 01/05/2020 19,250.00 - - -
723 Polygran 0,6 ml (PV) Strip TPG61219 01/06/2020 19,250.00 - - -
724 Polygran 5 ml (PV) Botol 7PG1207 01/06/2020 34,787.50 20 695,750.00 -
725 Polygran 5 ml (PV) Botol 8PG0215 01/08/2020 34,787.50 34 1,182,775.00 -
730 Ponstelax 500mg Tab (APL) - - 501.60 - 5,000
733 Posop 0,6 ml - - 11,550.00 - 380
737 Prednicort Injeksi 125 mg (MBS) - - 45,100.00 - 125
738 Prednison Tablet (RNI) Tablet 16385001 05/07/2022 181.50 4,000 726,000.00 -
739 Pritanol Tablet (MBS) Tablet ZD008 01/12/2020 214.50 4,000 858,000.00 -
740 Profolat Tablet (KF) Tablet 1961710050 01/09/2019 62.00 - - -
741 Prograf (AAM) Tablet - - - - - -
742 Prograf (APL) Kapsul 1E331081 30/10/2018 26,600.20 150 3,990,030.00 -
743 Prograf (APL) - - 26,600.00 - 200
745 Pronalges Suppositoria (AAM) Suppo 2480646 01/03/2022 11,874.50 10 118,745.00 -
746 Pronalges Suppositoria (AAM) Suppo 2380436 01/02/2022 11,874.50 240 2,849,880.00 -
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750 Propepsa Suspensi (PV) Botol DD110 01/04/2020 48,400.00 20 968,000.00 -
752 Propylthiouracil Tablet (AAM) Tablet 48L0915 01/11/2021 474.80 3,500 1,661,814.00 -
753 Propylthiouracil Tablet (AAM) Tablet 49H0440 01/07/2022 474.80 - - -
754 Propyretic Suppo - - 6,600.00 - - 240
755 Propranolol Tablet (RNI) Tablet 48L0132 01/11/2022 84.70 - - -
756 Prostigmin (APL) Ampul 112197C 31/07/2022 8,200.06 210 1,722,012.60 -
758 Protagenta 0,6 ml (PV) Strip 8PR60712 01/07/2021 39,462.50 200 7,892,500.00 -
765 Protocin Injeksi (PV) Ampul F8D383 01/04/2020 7,920.00 - - -
766 Protocin Injeksi (PV) Ampul F8E436 01/06/2020 7,920.00 1,250 9,900,000.00 -
770 Pyrazinamid Tablet (KF) Tablet E70598B 18/04/2022 344.14 - - -
775 Ranitidin Injeksi (PPG) Ampul A10356608 01/01/2021 7,150.00 - - -
776 Ranitidin Injeksi (RNI) Ampul TIRNTB8116 01/01/2020 2,570.04 - - -
778 Ranitidin Injeksi (TSJ) Ampul L10356721 01/11/2020 7,150.00 - - -
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781 Ranitidin Injeksi (MU) Ampul D80325 30/04/2018 1,452.00 4,000 5,808,000.00 -
782 Ranitidin Injeksi (APL) Ampul - - 1,155.00 - 2,700
783 Ranitidin Tablet 150 mg (DNR) Tablet TSM76646 01/11/2020 660.00 - - -
786 Ranitidin Tablet 150 mg (RNI) Tablet 16390004 01/07/2022 235.95 - - -
787 Ranitidin Tablet 150 mg (TSJ) Tablet TSB02947 01/01/2021 660.00 - - -
788 Ranitidin Tablet 150 mg (TSJ) Tablet TSB04847 01/07/2022 660.00 9,000 5,940,000.00 -
793 Recofol N Inejeksi (AAM) Ampul 18054041E 26/10/2019 94,050.00 180 16,929,000.00 -
797 Recolfar Tablet (PV) Tablet FE1191 01/04/2021 4,950.00 - - -
798 Recolfar Tablet (PV) Tablet 2121 01/05/2021 4,950.00 1,200 5,940,000.00 -
799 Renax Kapsul (MBS) Kapsul K060G013 01/03/2021 8,030.00 200 1,606,000.00 -
800 Reprostom Tablet (PV) Tablet PD1051 01/04/2020 8,800.00 420 3,696,000.00 -
802 Revolan Injeksi (BSP) Ampul UB3446 01/02/2020 33,002.56 - - -
803 Rifampisin Tablet 450 mg (DNR) Tablet KPG22546 01/01/2021 1,870.00 3,500 6,545,000.00 -
804 Ringer Lactat (RNI) Botol 571105 17/10/2019 7,150.00 - - -
805 Ringer Lactat (RNI) Botol - - 7,150.00 3,400 24,310,000.00 -
806 Ringer Lactat (KF) - - 7,150.00 - 5,600
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Terkecil
813 Salbutamol Tablet 2 mg (RNI) Tablet 6481034 01/12/2019 97.41 2,500 243,512.50 -
814 Salbutamol Tablet 2 mg (KF) - - 64.00 - 10,000
815 Sansulin Log-G (BSP) ampu; - - 187,000.00 250 46,750,000.00 -
816 Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 2971365 01/08/2019 21,505.00 - - -
819 Siloxan 5 ml (PV) Botol 8S10412 01/04/2021 58,025.00 100 5,802,500.00 -
826 Sipentin Tablet (SST) Tablet 172983 01/11/2020 10,230.00 - - -
827 Sipentin Tablet (MUP) - - 6,138.00 - 1,500
829 Sojourn (PV) Botol S0288A30 01/01/2023 2,860,000.00 4 11,440,000.00 -
830 Spironolacton Tablet (RNI) Tablet 48G4215 01/06/2019 407.00 - - -
831 Spironolacton Tablet (RNI) Tablet 49C4181 01/02/2020 407.00 3,000 1,221,000.00 -
832 Stanalin DS Tab (SST) - - 473.00 - 3,000
833 Sucralfat Suspesi (APL) Botol 8CK064 31/10/2020 13,970.00 500 6,985,000.00 -
835 Supravenid Suppositoria (PV) Suppo G8A164 01/01/2021 12,100.00 - - -
836 Supravenid Suppositoria (PV) Suppo G8C189 01/03/2021 13,200.00 40 528,000.00 -
837 Symbicort Turb (APL) Botol Xget 29/02/2020 291,200.80 44 12,812,835.20 -
838 Takelin (Citicolin injeksi) (SST) Ampul 460168 01/09/2019 25,740.00 - - -
839 Takelin Inj (SST) - - 30,030.00 - 250
841 Terrell (PV) Botol NO677327 01/10/2022 1,683,000.00 - - -
842 Tetagam Inj vial - - 176,799.70 195 34,475,941.50 -
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843 Timol 0,5 % (PV) Botol 7TM1122 01/11/2020 52,525.00 - - -
844 Timol 0,5 % (PV) Botol 7TM1211 01/12/2020 52,525.00 - - -
845 Timol 0,5% (PV) Botol 8TM0117 01/01/2021 52,525.00 18 945,450.00 -
848 Tobro 0,6 ml (PV) - - 4,207.50 - 170
850 Tobroson 5 ml (PV) Botol 7TS1128 01/05/2020 50,875.00 - - -
851 Tobroson 5 ml (PV) Botol 8TS0503 01/11/2020 50,875.00 10 508,750.00 -
852 Tobroson 5 ml (PV) Botol 8T80917 01/03/2021 50,875.00 - - -
857 Tomit Injeksi (ENS) Ampul I0048H0021 31/03/2020 10,606.75 - - -
858 Tranec (Asam Traneksamat) Ampul NL308 01/11/2019 18,150.00 100 1,815,000.00 -
860 Vaksin Hepatitis B Rekombinan - - 60,984.00 - - 40
861 Hepatitis B Rekom uniject 1 ml - - 52,052.00 - 800
863 Valesco Tablet 80 mg (SST) Tablet QY8A113 01/03/2020 4,620.00 - - -
865 Vitamin B Comp Tablet (KF) Tablet I71293T 19/09/2020 135.00 1,000 135,003.00 -
866 Vitamin B Comp Tablet (KF) - - 135.00 - 5,000
869 Vitamin C Tablet 100 mg (KF) Tablet E80076B1 16/04/2021 120.29 15,900 1,912,531.50 -
870 Vitamin K Inj (PPG) - - 7,040.00 - 1,000
872 Zink Tablet (KF) - - 391.88 - 1,900
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Terkecil
874 Zirkum Kid Syrup (PV) - - 36,300.00 - 50
1 Air Filter Regulator (SMAK) Pcs - - 605,000.00 - - -
3 Alkohol 1000 ml (IHS) Botol NJPLU08180143 20/08/2018 33,000.00 123 4,059,000.00 -
11 Alkohol 1000 ml (RNI) Botol D48804 25/05/2018 24,224.98 - - -
12 Alkohol Swab (BDM) Kotak 201709 01/08/2022 26,400.00 - - -
13 Alkohol Swab (BDM) Kotak 201801 01/12/2022 - - - -
14 Alkohol Swab (IHS) Kotak - - 11,500.00 - - -
15 Alkohol Swab (RNI) Kotak 20170810 09/08/2022 37,748.70 47 1,774,188.90 -
16 Apron (IHS) Pcs - - 2,904.43 - - -
27 Appalens IOL Model 302 Anterior Chamber Power (17.00) (P Pcs - - 121,000.00 - - -
28 Appalens Plus Square Edge Power (20.00) (PK) Pcs - - 192,500.00 - - -
29 Appalens Plus Square Edge Power (20.00) (PRKM) - - 192,500.00 - 35
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Terkecil
31 Appasamy Appavisc 3 ml W/ Syringe (PK) Pcs - - 121,000.00 - - -
37 Appablade AA 562021 Tunnel Blade (PK) Pcs - - 126,500.00 - - -
39 Apron (IHS) Pcs - - 2,904.40 - - -
40 Apron (IHS) Pcs - - 2,904.43 200 580,886.80 -
41 Apron (IHS) Pcs - - - - - -
42 Aseptan Liquid (HIS) Botol - - 45,540.00 78 3,552,120.00 -
43 Aseptan Liquid (IHS) - - 41,400.00 - 200
44 Bovine Aaron Cautery Low Temperature Pcs - - 357,500.00 - - -
45 Carbacol (PK) Pcs - - 66,000.00 - - -
46 Catgut Cromic 1 HR 37 (RNI) - - 588,540.00 4 2,354,159.98 -
50 Catgut Cromic 3/0 HR 37 (RNI) - - 825,000.00 - 5
52 Catgut Cromic With Needle 2 HR 45 (RNI) Kotak 170901 01/08/2022 585,420.00 3 1,756,260.00 -
55 Celemek (BDM) - - 275,000 - - -
56 CONFORMER Medium Kiri (PK) Pcs - - 666,600.00 - - -
57 CONFORMER Large Kanan (PK) Pcs - - 666,600.00 - - -
58 CONFORMER Large Kiri (PK) Pcs - - 666,600.00 - - -
59 CONFORMER Small Kanan (PK) Pcs - - 666,600.00 - - -
60 CONFORMER Small Kiri (PK) Pcs - - 666,600.00 - - -
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Terkecil
61 Cresotin Liquid (BF) Botol 1527 01/09/2020 629,200.00 - - -
CVC Set : 2- Lumen 7 FRx 20 Cm AGB (BSD) Pcs 571,265.20 - 2
64 Developer (BDM) Set - - 1,282,600.00 - - -
65 Developer (BDM) - - 1,282,600.00 - 2
86 Disposable Syringe With Needle 03 cc TP (BDM) Pcs 181303 01/02/2023 851.40 1,000 851,400.00 -
87 Disposable Syringe With Needle 03 cc TP (BDM) - - 851.40 - 1,800
88 Disposable Syringe With Needle 03 cc TP (GFK) - - 948.20 - 13,600
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Terkecil
92 Disposable Syringe With Needle 05 cc Nipro (KFI) Pcs 1710606J 01/09/2018 1,247.40 - - -
94 Disposable Syringe With Needle 05 cc (BDM) Pcs 171401 01/01/2022 1,013.10 - - 3,600
100 Disposable Syringe With Needle 10 cc RD (BDM) Pcs 180502 01/02/2023 1,216.60 9,800 11,922,680.00 -
101 Disposable Syringe With Needle 10 cc RD (RNI) Pcs 1705201 01/04/2022 1,163.00 - - -
104 Disposable Syringe With Needle 50 cc LT(BDM) Pcs 120717 01/12/2022 4,812.50 450 2,165,625.00 -
105 Disposable Syringe With Needle 50 cc LP (BDM) Pcs 120717 01/12/2022 4,812.50 425 2,045,312.50 -
108 Elektroda Patien Monitor (BDM) Pak 7162X 01/06/2019 220,000.00 - - -
110 Endotracheal Tube 2,5 (BDM) Pcs 166640 01/06/2021 165,000.00 10 1,650,000.00 -
111 Endotracheal Tube 2,5 (BDM) Pcs - - 165,000.00 - - -
115 Endotracheal Tube 7,0 (BDM) Pcs 14IE36 01/08/2019 82,500.00 20 1,650,000.00 -
116 Endotracheal Tube 7,5 (BDM) Pcs 141G01 01/08/2019 82,500.00 20 1,650,000.00 -
Epidural Minipack Syst 18 G (BSD) Pcs 209,000.00 - 3
117 Eskamed Cannula 20 (BDM) - - 12,750.10 - 2,000
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121 Eskamed Cannula 26 (BDM) - - 14,300.00 - 600
123 Feeding Tube FR 05 (BDM) Pcs 160813B 01/07/2019 33,599.50 - - -
124 Feeding Tube FR 06 (BDM) Pcs 160615541 01/06/2019 38,500.00 - - -
125 Feeding Tube FR 06 (BDM) - - 38,500.00 - 50
130 Feeding Tube FR 18 (BDM) Pcs 170904B 01/08/2022 38,500.00 10 385,000.00 -
131 Feeding Tube FR 18 (BDM) Pcs - - 38,500.00 50 1,925,000.00 -
132 Film 30 x 40 (BDM) Kotak 43433 01/06/2020 4,109,600.00 - - -
133 Film 35 x 35 (BDM) Kotak 44611 01/06/2020 4,462,700.00 - - -
134 Film 35 x 35 (BDM) Kotak 44805 01/06/2020 4,462,700.00 - - -
135 Film 35 x 35 (BDM) Kotak 45835 01/11/2020 4,462,700.00 - - -
136 Film 35 x 35 (BDM) Kotak 45460 - 4,462,700.00 - - -
137 Film 24 x 30 (BDM) - - 2,585,000.00 - 4
140 Film Panoramic Box - - 2,640,000.00 - - -
141 Fixer (BDM) Set CAT873505 - 790,900.00 - - -
142 Fixer (BDM) Set - - 790,900.00 - - -
143 Fixer (BDM) - - 790,900.00 - 2
144 Fluorescetin sodium Opthalmic Strips U.S.P (PK) Kotak - - 605,000.00 - - -
147 Foley Catheter 2 Way 16 (BDM) Pcs 16I09 01/08/2021 24,200.00 - - -
148 Foley Catheter 2 Way 16 (BDM) Pcs 17 E 04 01/04/2022 24,200.00 110 2,662,000.00 -
149 Foley Catheter 2 Way 16 (BDM) Pcs 17 E 04 01/04/2022 35,200.00 - - 30
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152 Foley Catheter 2 Way 18 (BDM) Pcs 16G09 01/06/2021 24,200.00 - - -
154 Foley Catheter 2 Way 18 (BDM) Pcs - 01/07/2022 24,200.00 10 242,000.00 -
155 Foley Catheter 2 Way 18 (BDM) Pcs 16 I 05 01/07/2021 35,200.00 100 3,520,000.00 -
156 Foley Catheter 2 Way 18 (BDM) Eskamed - - 15,749.80 - 100
158 Formalin (BM) Liter - - 137,500.00 14 1,925,000.00 -
162 FSBB Benang 8/0 PGA (PK) Kotak - - 5,016,000.00 - - -
164 FSSB Benang 10/0 Nylon Black (PK) Kotak - - 3,036,000.00 - - -
173 GC Fuji IX Univerio (BF) Botol 1710171 01/10/2020 917,373.60 - - -
174 GC HS Posterior (BF) Botol 1801131 01/01/2021 1,468,940.00 - - -
176 Handrub E Care (ESV) ml 1803268 01/03/2021 127.68 - - -
177 Handrub Fresco (RNI) ml - - 111.00 - - -
178 Handscoon Manual NS (BDM) Pasang - - 30,250.00 170 5,142,500.00 -
179 Handscoon Manual ST (BDM) Pasang 18113101 01/03/2023 48,400.00 120 5,808,000.00 -
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Harga Satuan
Terkecil
185 Handscoon NS S (BDM) Kotak - - 52,750.50 - - -
186 Handscoon NS S Fresco (BDM) Kotak 170870602 01/06/2022 484.35 7,300 3,535,722.15 -
187 Handscoon NS L (BDM) Kotak - - 52,750.50 - - -
188 Handscoon NS M Fresco (BDM) Kotak 170540802 01/04/2023 48,434.55 - - -
191 Handscoon NS Altamed (SST) Kotak 213059375LPZA 01/05/2023 54,450.00 200 10,890,000.00 -
196 Handscoon ST 6,5 (BDM) Pasang 17070105 01/06/2022 - - - -
198 Handscoon ST 6,5 Altamed (SST) Pasang 81171 01/06/2022 10,001.39 - - -
199 Handscoon ST 6,5 Altamed (SST) Pasang G8A021 01/05/2023 10,001.39 - - -
202 Handscoon ST 6,5 Protos (BDM) - - 5,170.00 - 800
205 Handscoon ST 7 (BDM) Pasang 17070105 01/06/2022 5,170.00 1,345 6,953,650.00 2,000
209 Handscoon ST 7,5 (BDM) Pasang 203038344SPJA 01/02/2022 8,819.80 - - -
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Terkecil
215 Handscoon ST 7,5 Protos (BDM) Pasang 17120107 01/11/2022 5,170.00 510 2,636,700.00 -
216 Handscoon ST 7,5 Protos (BDM) - - 5,170.00 - 1,200
217 Handscoon ST 7 Protos (BDM) Pasang 17070105 01/07/2022 5,170.00 1,345 6,953,650.00 -
218 Handscoon ST 7 Protos (BDM) - - 5,170.00 - 2,000
219 Hidrogen Peroksida (BM) Liter - - 192,500.00 - - -
230 Hypavix 15 x 5 (BDM) Roll 73541230 01/07/2022 240,680.00 237 57,041,160.00 -
232 Infus Set Makro Eskamed (BDM) Pcs 171020 01/09/2022 10,332.30 - - -
237 Infus Set Makro TP (BDM) Pcs 180720 - 8,333.60 - - -
238 Infus Set Makro TP (BDM) Pcs - 01/07/2023 8,333.60 - - -
241 Infus Set Makro (RNI) - - 11,680.00 - 500
242 Infus Set Makro (BDM) Fesco - - 6,803.50 - 3,200
243 Infus Set Makro TP (BDM) - - 8,333.60 - 400
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Harga Satuan
Terkecil
251 IV Catheter 18 Eskamed (BDM) Pcs 3295517L 01/09/2022 - - - -
260 IV Catheter 20 Abbocath (BDM) Pcs 20161030 01/09/2020 16,000.00 - - -
261 IV Catheter 20 Eskamed (BDM) Pcs 3295617L 01/09/2022 12,600.50 - - -
262 IV Catheter 20 Eskamed (BDM) Pcs 3225117H 01/07/2022 12,600.50 - - -
412682303.xlsx 866
Harga Satuan
Terkecil
283 Jarum Kulit No. 13 (BDM) Lusin - - 38,500.00 18 693,000.00 -
284 Jarum otot No. 13 (BDM) Lusin - - 38,500.00 9 346,500.00 -
286 Jarum Kulit No. 15 (BDM) Lusin MD 17171802 - 38,500.00 22 847,000.00 -
287 Jarum Otot No. 16 (BDM) Lusin - - 38,500.00 22 847,000.00 -
289 Jelly KY (BDM) - - 110,000.00 - 12
291 Jelly Ultrasound 250 ml (BDM) Botol 20170710 01/07/2020 29,700.00 - - -
292 Jelly Ultrasound 250 ml (BDM) Botol 20170710 01/07/2020 29,700.00 8 237,600.00 -
293 Jelly 5 kg (BDM) Gal C5066C 01/03/2022 550,000.00 - - -
294 Jelly 5 kg (BDM) - - 605,000.00 - 10
295 Kapas 250 g (BDM) Roll - - 22,275.00 - - -
296 Kapas 250 g (RNI) Roll 0216 31/10/2020 42,900.00 - - -
297 Kapas 250 g (GF) Roll - - 29,500.00 - - -
298 Kapas 500 g (RNI) Roll 0216 31/10/2020 85,415.00 - - -
299 Kapas 500 g (BDM) Roll 1410069 01/10/2019 82,208.50 - - -
300 Kapas 500 g (BDM) Roll 1411082 01/11/2019 82,208.50 - - -
301 Kapas 500 g (BDM) Roll 1411084 01/11/2019 82,208.50 - - -
302 Kapas 500 g (BDM) Roll 1412099 01/12/2019 82,208.50 - - -
303 Kapas 500 g (BDM) Roll 1502008 01/02/2020 82,208.50 - - -
304 Kapas 500 g (BDM) Roll 1503009 01/03/2020 161,370.00 - - -
305 Kapas 500 g (BDM) Roll 150311 01/03/2020 161,370.00 19 3,066,030.00 -
306 Kapas 500 g (IHS)) Roll - - 31,372.00 - - -
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Harga Satuan
Terkecil
307 Kapas 500 g (IHS)) - - 31,372.00 - 50
308 Kapas 1000 g (BDM) Roll 1505025 01/05/2020 164,417.00 - - -
309 Kapas 1000 g (BDM) Roll 1505026 01/05/2020 164,417.00 - - -
310 Kapas 1000 g (BDM) Roll - - 110,000.00 2 220,000.00 -
311 Kasa Hidrofil 40 x 80 (BDM) Roll - - 165,000.00 - - -
312 Kasa Hidrofil 40 x 80 (BDM) Roll 4508550724 - 165,000.00 - - -
313 Kasa Hidrofil 40 x 80 (BDM) Roll 16108 - 165,000.00 18 2,970,000.00 -
322 Kasa Hidrofil 36 x 80 (RNI) Roll - 01/04/2022 139,176.40 - - -
323 Kasa Hidrofil 36 x 80 (RNI) - - 139,176.40 - 50
326 Kertas EKG 110 (BDM) Roll - - 165,000.00 11 1,815,000.00 -
327 Kertas EKG 210 (BDM) Roll 33815 01/12/2018 192,500.00 - - -
328 Kertas EKG 210 (BDM) Roll 35306 - 192,500.00 2 385,000.00 -
329 Kertas EKG 210 (BDM) - - 192,500.00 - 20
330 Kertas Puyer (BDM) Pak - - 27,500.00 - - -
331 Kertas Puyer (BDM) Pak - - - - - -
335 KIT CESAREA KIT CSR001 (RNI) Pcs 7573 01/12/2019 288,492.00 - - -
336 Leukomed T-Plus (BDM) Roll 72382 - 38,500.00 50 1,925,000.00 -
337 Leukoplast (BDM) Roll 70110609 01/12/2019 37,620.00 38 1,429,560.00 -
412682303.xlsx 868
Harga Satuan
Terkecil
LMA Supreme SU Size 3 (BSD) Pcs 349,642.70 - 2
338 Medicrepe 6 Inch (IHS) Roll - - 29,150.00 - - -
340 Mani Benang (PK) Pcs - - 4,006,200.00 - - -
341 Mani Benang PGA 8/0 (PK) Kotak - - 4,006,200.00 - - -
342 MANI opthalmic mcu 26 Crescent (PK) Kotak - - 1,210,000.00 - - -
344 Masker Ear Loop Fresco (BDM) box - - 26,099.70 - - -
345 Masker Hijab (IHS) Pcs - - 506.00 - - -
346 Masker Hijab (BDM) Pcs - - 605.00 - - -
347 Masker Tie On (BDM) Pcs - - 521.99 11,000 5,741,934.00 10,000
350 Masker Tie On Fresco (BDM) box - - 26,099.70 - - -
351 Masker Tie On Fresco (BDM) - - 26,099.70 - -
352 Masker Tie On Fresco (BDM) box - - 26,099.70 - - -
353 Mas suction Catheter No.12 Pcs 20171125 01/11/2022 4,032.60 - - -
354 Mas suction Catheter No.18 Pcs - - 4,032.60 - - -
355 Mas suction Catheter No.8 Pcs - - 4,032.60 - - -
412682303.xlsx 869
Harga Satuan
Terkecil
374 Mitela M (BDM) Box - - 55,000.00 1 55,000.00 -
375 Mitela L (BDM) Box - - 55,000.00 1 55,000.00 -
376 MIO-CHOL (PK) Pcs - - 66,000.00 - - -
378 Nasal O2 Anak (BDM) Pcs - - 15,120.60 - - -
379 Nasal O2 Anak (BDM) - - 15,120.60 16 241,929.60 99
380 Nasal O2 Anak Eskamed (BDM) Pcs 170375 01/01/2023 15,120.60 - - -
383 Nasal O2 Bayi (BDM) Pcs 2.02E+07 01/10/2021 15,253.00 85 1,296,505.00 -
388 Nasal O2 Dewasa (BDM) Pcs - - 15,120.60 - - -
389 Nasal O2 Dewasa (BDM) Pcs 16180501 01/05/2023 6,089.00 50 304,449.75 100
390 Nasal O2 Dewasa (IHS) Pcs - - 6,600.00 - - -
391 Nasal O2 Dewasa (BDM) - - 5,920.20 - -
392 Nasal O2 Dewasa Bubble (IHS) Pcs - - 6,325.00 - - -
393 Nasal O2 Dewasa Eskamed (BDM) Pcs 170375 01/01/2023 15,120.60 - - -
394 Novotwist (AAM) Pcs 17B06N 01/01/2022 2,083.00 4,800 9,998,400.19 -
412682303.xlsx 870
Harga Satuan
Terkecil
398 Nylon Daclon 3/0 DS 19 (RNI) Kotak 170714 01/06/2022 825,000.00 - - -
399 Nylon Daclon 3/0 DS 19 (RNI) Kotak 170909 01/09/2022 275,460.00 6 1,652,759.99 -
400 Octenic Body Wash (PPG) Pak 02GLO101-4 01 2020 19,800.00 180 3,564,000.00 -
404 One Scrub 4% 500 ML Botol - - 82,500.00 - - -
405 One Scrub 4% Galon 5 LT ml - - 110.88 10,000 1,108,800.00 -
406 Paramono Clorofen (BF) Botol 80517 01/11/2020 110,000.00 - - -
411 Penjepit Tali Pusar (BDM) Pcs - - 2,200.00 100 220,000.00 -
413 Penjepit Tali Pusar (BDM) - - 2,200.00 - 250
415 Perfusor (BDM) Pcs 17D19K8411 01/04/2022 99,000.00 - - -
416 Perfusor (BDM) Pcs 17L19K8411 01/10/2022 99,000.00 350 34,650,000.00 -
417 Polifix 5cm x 5cm Roll - - 40,371.99 7 282,603.94 -
Portex SACETT 6 (BSD) Pcs 121,243.10 - 2
Portex SACETT 6,5 (BSD) Pcs 121,243.10 - 2
Portex SACETT 7 (BSD) Pcs 148,230.50 - 2
Portex SACETT 7,5 (BSD) Pcs 141,785.60 - 1
419 Povidon Iodida (KF)) Botol K73268W 29/11/2020 59,966.50 - - -
420 Povidon Iodida (KF)) Botol - 15/08/2020 59,966.50 - - -
421 Povidon Iodida (KF)) Botol C80819W 05/03/2021 59,966.50 73 4,377,554.50 -
422 PROTESA Large Kanan (PK) Pcs - - 588,500.00 - - -
423 PROTESA Large Kiri (PK) Pcs - - 666,600.00 - - -
412682303.xlsx 871
Harga Satuan
Terkecil
424 PROTESA Medium Kanan (PK) Pcs - - 588,500.00 - - -
425 PROTESA Medium Kiri (PK) Pcs - - 588,500.00 - - -
426 PROTESA Small Kanan (PK) Pcs - - 588,500.00 - - -
427 PROTESA Small Kiri (PK) Pcs - - 588,500.00 - - -
433 Spatula (BDM) Pcs - - 16,500.00 - - -
434 Silk Black With Needle USP 1 HR 37 (RNI) 660,000.000 - 5
435 Silk Black With Needle 2/0 HR 30 (RNI) - - 269,219.94 2 538,439.88 -
436 Silk Black With Needle 2/0 HR 30 (RNI) - - 660,000.00 - 3
437 Single Bond (BF) Botol 3928330 01/04/2020 1,652,638.90 - - -
438 Softband 6 Inch (BDM) Roll 724217 01/07/2022 56,485.00 10 564,850.00 -
439 Softband 6 Inch (BDM) - - 56,485.00 - 12
440 Spinocain 25 G (BDM) Pcs 17G19H8B61 01/07/2022 48,400.00 - - -
441 Spinocain 25 G (BDM) Pcs 17N0768216 01/12/2022 48,400.00 - - -
442 Spinocain 25 G (BDM) - - 48,400.00 - 100
443 Solare X (BF) Botol 1711152 01/11/2020 542,080.00 - - -
444 Solare anterior A3 (Limbong) Pcs - - 541,200.00 - - -
445 Solare anterior A2 (Limbong) Pcs - - 541,200.00 - - -
446 Solare anterior A1 (Cobra) Pcs - - 223,245.00 3 669,735.00 -
447 Solare anterior A3 (Cobra) Pcs - - 223,245.00 4 892,980.00 -
448 Stomach Tube 16 Terumo (BDM) Pcs 170116B 01/12/2021 33,599.50 20 671,990.00 -
450 Stomach Tube 16 (BDM) - - 4,331.80 - 21
412682303.xlsx 872
Harga Satuan
Terkecil
456 Suction Catheter FR 10 (BDM) Pcs 20171125 November 2022 4,032.60 40 161,304.00 -
461 Sungkup Nebulizer Anak (BDM) Pcs 171212 01/11/2022 66,000.00 198 13,068,000.00 -
462 Sungkup Nebulizer Anak (BDM) Pcs - - 66,000.00 - - -
465 Sungkup Nebulizer Dewasa (BDM) Pcs 1801011 01/06/2023 66,000.00 14 924,000.00 -
466 Sungkup O2 Anak (BDM) Pcs 160211 01/02/2021 66,000.00 - - -
467 Sungkup O2 Anak (BDM) Pcs - - 66,000.00 76 5,016,000.00 -
471 Sungkup O2 Dewasa NMR (BDM) Pcs 1512022020 01/11/2020 66,000.00 - - -
472 Sungkup O2 Dewasa NMR (BDM) Pcs 15120022020 November 2022 66,000.00 162 10,692,000.00 -
474 Sungkup O2 Dewasa + Sungkup O2 (BDM) Pcs - - 66,000.00 - - -
483 Surgicryl 910 2 HR 48 (RNI) Kotak - - 1,258,620.00 - - -
485 Surgicryl 910 2/0 HR 17 (RNI) Kotak 170210 01/01/2022 917,339.94 - - -
412682303.xlsx 873
Harga Satuan
Terkecil
486 Surgicryl 910 2/0 HR 36 (RNI) Kotak 171114 01/10/2022 807,659.95 16 12,922,559.23 -
488 Surgicryl 910 2/0 HR 26 (RNI) Kotak D1114 01/10/2022 1,148,400.00 16 18,374,400.00 -
490 Surgicryl 910 3/0 HR 30 (RNI) Kotak - - 807,659.93 - - -
491 Surgiwear Eye Drepe 100 x 70 (PK) Pcs - - 77,000.00 - - -
492 Surgiwear Eye Drepe 100 x 70 (PRKM) - - 77,000.00 - 40
499 Tensocrepe 6 Inch (BDM) - - 141,185.00 - 24
500 Three Way Stop Cock (BDM) Pcs - - 22,000.00 500 11,000,000.00 -
509 Three Way Stop Cock (BDM) Pcs 15552-01 01/01/2023 22,000.00 - - -
512 Transfusi Set Eskamed (BDM) Pcs 180509 01/04/2023 16,380.10 200 3,276,020.00 -
513 Transfusi Set Fresco (BDM) - - 4,847.70 - 900
412682303.xlsx 874
Harga Satuan
Terkecil
517 Transfusi Set (BDM) Pcs BG140818060 01/07/2023 15,296.45 - - -
520 Tricresol Formal (BF) Botol 69717 01/10/2020 135,300.00 - - -
521 Trypan Blue (PK) Pcs - - 66,000.00 - - -
522 Truwax (BDM) Pcs IM 42139 01/09/2019 114,950.00 - - -
523 Truwax (BDM) Pcs 180010 - 114,950.00 120 13,794,000.00 -
524 Urgotul (RNI) - - 25,850.00 - 100
525 Urine Bag (BDM) Pcs 20171220 01/12/2022 5,728.80 90 515,592.00 -
526 Urine Bag Aximed (KF) Pcs 17233B 14/12/2022 6,875.00 40 275,000.00 -
527 Urine Bag (BDM) - - 5,728.80 - 200
528 Urine Bag (RNI) Pcs 16531 01/10/2021 6,600.00 - - -
529 Urine Bag (RNI) Pcs 17046 01/02/2022 6,600.00 - - -
531 Water One (IHS) Botol - - 17,952.00 60 1,077,120.00 -
532 W Care DC (PPG) Pcs 1790901 01/09/2020 58,080.00 - - -
533 Wooden Tangue Depressor (BDM) Pcs - - 660.00 348 229,680.00 -
534 Wooden Tangue Depressor (BDM) - - 660.00 - 10
535 Wooden Tangue Depressor (BDM) - - 35,200.00 - - -
Kaporit Ember - - 840,000.00 - - 1
Spritus Liter - - 31,500.00 - - 20
Odex Botol - - 150,000.00 - - 2
TOTAL 2,060,582,447.42

412682303.xlsx 875
Harga Satuan
Terkecil
NIP : 19810727 201001 1 012 NIP. 19820918 200804 2 002
412682303.xlsx 876
DESEMBER TAHUN 2018
- - - - -
- - - - -
- - - 8 406,560.00
- - - 10 500,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 96 4,622,006.40
- - - - -
- - - 1,000 32,780.00
- - - 23 87,156.20
- - - - -
- - - - -
- - - - -
- - - 5,000 207,900.00
- - - - -
- - - 16 387,200.00
- - - 10 220,000.00
- 1 508,200.00 1 508,200.00
412682303.xlsx 877
- - - - -
- - - 800 4,312,000.00
- 2,500 1,925,000.00 - -
- - - - -
- - - - -
- - - - -
- - - 1,600 151,043.20
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 900 83,160.00 - -
- - - - -
- - - - -
- - - 75 350,625.00
- - - 22 2,420,000.00
- - - - -
- 240 2,178,000.00 30 272,250.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 200 428,560.00
- 60 580,800.00 - -
- - - - -
412682303.xlsx 878
- - - - -
- - - - -
- 10 42,592.00 20 85,184.00
- - - 14 59,628.80
- - - 1 55,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
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- - - - -
- 60 52,200.06 1,540 1,339,801.54
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 190 1,672,000.00 300 2,640,000.00
- - - - -
- - - - -
- - - 130 429,000.00
- - - - -
- - - - -
412682303.xlsx 879
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 90 825,000.00 - -
- - - - -
- 100 198,000.00 400 792,000.00
- - - - -
- - - - -
- 10 159,500.00 30 478,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
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412682303.xlsx 880
- - - 440 63,404,000.00
- - - - -
- - - 30 2,640,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- 400 64,856.00 400 64,856.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 2,000 3,599,992.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 5 369,939.50
- - - - -
- - - - -
- - - - -
- - - - -
- - - 300 468,270.00
- - - 104 669,240.00
- - - 600 1,623,600.00
412682303.xlsx 881
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 80 6,160,000.00
- - - 30 1,155,000.00
- - - 6 726,000.00
- - - 11 803,000.04
- - - 50 514,250.00
- - - 1,200 4,672,800.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,500 139,012.50 500 46,337.50
- - - 4 2,822,000.02
- - - 24 76,956.00
- - - - -
- - - - -
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412682303.xlsx 882
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
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- - - - -
- - - - -
- 400 660,000.00 3,600 5,940,000.00
- 4 676,481.30 4 676,481.30
- - - 700 280,002.92
- - - - -
- - - 100 9,240,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
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- - - 500 66,550.00
- 960 7,920,000.00 690 5,692,500.00
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412682303.xlsx 883
- - - - -
- - - - -
- - - - -
- - - - -
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- - - 150 21,450,000.00
- - - 250 33,000,000.00
- - - 20 1,848,000.00
- - - 40 2,640,000.00
- - - - -
- - - 150 10,560,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 60 792,000.00
- - - - -
- - - - -
- - - 160 1,170,400.00
- - - - -
- - - - -
412682303.xlsx 884
- - - - -
- - - - -
- - - - -
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- - - 60 198,000.00
- - - - -
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- - - - -
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- - - 30 181,500.00
- - - - -
- - - - -
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- - - - -
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- - - 240 960,132.80
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412682303.xlsx 885
- - - - -
- - - 1,100 479,014.80
- - - - -
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- - - 8 1,540,000.00
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- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
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- 1 825,000.00 - -
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- - - 1 825,000.00
- - - - -
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- - - - -
- - - - -
- 10 825,000.00 - -
412682303.xlsx 886
- - - 15 1,237,500.00
- - - - -
90,228.60 2 90,228.60 - -
91,436.40 2 91,436.40 - -
93,046.80 2 93,046.80 - -
88,213.40 2 88,213.40 - -
147,424.20 2 147,424.20 - -
167,967.80 2 167,967.80 - -
163,134.40 2 163,134.40 - -
163,134.40 2 163,134.40 - -
- - - - -
- - - - -
- - - 250 9,625,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 40 2,772,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 887
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 50 318,725.00 250 1,593,625.00
480,000.00 - - 80 1,280,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 888
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 10 302,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- 1 825,000.00 2 1,650,000.00
437,844.00 - - 2 437,844.00
- 1 1,210,440.00 - -
- - - 1 1,210,440.00
- - - - -
597,352.80 - - 2 597,352.80
597,352.80 - - 2 597,352.80
597,352.80 - - 2 597,352.80
708,928.00 - - 2 708,928.00
- - - 108 10,751,400.00
- - - 144 13,533,062.40
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 889
- - - - -
- - - - -
- - - 10 6,600,000.00
- - - - -
- - - - -
- - - 1 660,000.00
- - - - -
- - - - -
- - - 300 14,520,000.00
- - - 150 7,260,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1 1,544,400.00
- - - - -
- - - - -
1,029,325.00 - - 10 1,029,325.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,500 2,750,000.00 - -
- 300 550,000.00 3,900 7,150,000.00
- - - 50 171,902.50
412682303.xlsx 890
- - - - -
- - - 9 13,589,997.30
- 500 91,008.50 - -
- - - - -
- - - - -
- - - - -
- 700 402,325.00 500 287,375.00
1,755,006.00 - - 3,000 1,755,006.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 50 277,475.00 100 554,950.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 3,500 352,415.91 9,000 906,212.34
- - - - -
- - - - -
- - - - -
2,807,552.00 - - 40 2,807,552.00
- - - - -
- - - 90 356,393.40
- 30 118,800.00 120 475,200.00
- 1,000 141,680.00 3,000 425,040.00
- - - - -
412682303.xlsx 891
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 2,100 311,672.90
2,880,019.98 - - 3,000 2,880,019.98
- - - - -
- 1,020 336,600.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 300 154,000.00 - -
3,556,014.00 2,100 3,556,014.00 - -
- - - - -
1,109,988.00 500 184,998.00 2,500 924,990.00
- - - 112 6,776,375.76
- - - - -
- - - - -
- 200 410,960.00 1,050 2,157,540.00
- - - - -
412682303.xlsx 892
- - - - -
- 1,500 315,892.50 - -
- - - 7,200 617,760.00
- - - - -
- - - - -
- 140 1,463,000.00 - -
- 260 2,717,000.00 - -
5,643,000.00 100 1,128,600.00 400 4,514,400.00
- - - - -
- - - - -
- 1,440 4,118,400.00 240 686,400.00
6,864,000.00 - - 2,400 6,864,000.00
- - - 300 330,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 3,200 743,424.00 - -
- 2,300 534,336.00 - -
- 300 650,350.80 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 120 693,000.00 - -
5,280,000.00 - - 1,000 5,280,000.00
5,280,000.00 - - 1,000 5,280,000.00
412682303.xlsx 893
- - - - -
- 1,000 1,742,400.00 8,000 13,939,200.00
- - - - -
- - - - -
- - - - -
- 8 142,312.02 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 288 2,778,019.20 - -
11,575,080.00 360 3,472,524.00 840 8,102,556.00
- - - - -
- - - 100 179,999.97
- - - 300 544,500.00
- - - 1,500 6,930,000.00
- - - 1,900 10,450,000.00
396,000.00 - - 200 396,000.00
- 1,500 178,499.97 - -
- - - - -
- - - 750 550,000.00
- - - - -
- - - - -
- - - - -
- 4,500 945,000.00 3,000 630,000.00
- - - 90 6,632,372.34
- - - - -
- - - - -
412682303.xlsx 894
- - - - -
- - - - -
- - - - -
- - - - -
- 820 4,510,000.00 350 1,925,000.00
- - - 730 4,015,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,567,500.00 - - 500 1,567,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 50 2,911,700.00 150 8,735,100.00
- - - - -
- 300 74,400.04 - -
- - - 235 4,918,376.10
- - - - -
- - - - -
- - - - -
- 60 3,960,000.00 110 7,260,000.00
10,395,000.00 - - 150 10,395,000.00
- - - - -
- - - 1 56,045.00
- - - 23 1,289,035.00
412682303.xlsx 895
- 40 1,369,720.00 50 1,712,150.00
- - - - -
- - - - -
- 10 342,430.00 - -
- - - - -
- - - - -
- - - - -
- 500 3,388,000.00 2,000 13,552,000.00
- - - - -
- - - - -
- - - 500 48,702.50
- - - 8,000 779,240.00
- - - - -
- - - - -
- 3,000 240,009.00 4,000 320,012.00
416,015.60 - - 5,200 416,015.60
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,450,020.00 500 145,002.00 4,500 1,305,018.00
- - - 80 2,480,016.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 896
- - - 4,000 3,361,600.00
- 1,900 1,596,007.60 6,000 5,040,024.00
- - - - -
- 3,500 4,235,000.00 - -
- - - - -
- - - - -
- 18 1,346,400.00 - -
- - - - -
- - - - -
- 700 1,001,000.00 - -
10,725,000.00 - - 7,500 10,725,000.00
2,394,590.00 1,000 2,394,590.00 - -
- - - - -
- - - - -
- - - - -
3,960,000.00 56 1,108,800.00 144 2,851,200.00
- - - - -
- - - - -
- - - - -
- - - - -
- 864 9,513,504.00 - -
11,011,000.00 - - 1,000 11,011,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- 50 1,650,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 897
1,287,000.00 - - 100 1,287,000.00

3,300,000.00 - - 100 3,300,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500 19,250,000.00 - -
106,755,000.00 924 30,492,000.00 2,311 76,263,000.00
- - - - -
- - - 80 3,520,000.00
- - - - -
- 1 16,775.00 4 67,100.00
- - - 100 1,677,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 150 3,712,500.00 - -
3,514,500.00 - - 142 3,514,500.00
- - - - -
- - - - -
- - - 50 2,103,750.00
- - - - -
- - - - -
412682303.xlsx 898
- - - - -
- - - 100 1,237,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - 50 1,498,750.00
- 150 4,496,250.00 50 1,498,750.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 50 1,973,125.00 50 1,973,125.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 50 1,918,125.00 100 3,836,250.00
- - - 50 1,918,125.00
- - - 50 1,265,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 300 111,731.40 1,000 372,438.00
412682303.xlsx 899
1,212,750.00 300 121,275.00 2,700 1,091,475.00

- 300 79,282.50 400 105,710.00
- - - 1,600 16,720,000.00
- - - 400 4,180,000.00
- - - - -
- 40 2,508,000.00 160 10,032,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - 3,200 1,945,292.80
- - - - -
- - - - -
- - - - -
- - - - -
- 100 1,188,000.00 350 4,158,000.00
- - - - -
- 600 4,400,000.00 - -
10,261,680.14 300 1,487,200.02 1,770 8,774,480.12
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 600 1,799,402.00 420 1,259,581.40
- - - 4,080 12,235,933.60
- - - 4,000 7,999,992.00
- 500 123,860.00 500 123,860.00
1,329,680.00 - - 5,000 1,329,680.00
- - - - -
- - - - -
412682303.xlsx 900
- - - - -
1,970,991.00 500 328,498.50 2,500 1,642,492.50
- - - - -
- - - - -
- - - 3,780 23,631,287.40
- - - 1,920 12,003,193.60
- - - - -
- - - - -
- 800 1,932,920.00 4,200 10,147,830.00
- - - 4,500 670,626.00
- - - - -
- 8 92,000.04 72 828,000.36
- - - 1,700 210,375.00
- - - 120 223,753.20
- - - 4,500 643,500.00
- 10 2,719,750.00 14 3,807,650.00
- - - 10 139,449.99
- - - 10 702,882.40
- - - 40 2,811,529.60
- 100 1,276,000.00 200 2,552,000.00
- - - - -
- 60 924,000.00 59 908,600.00
- - - - -
- - - - -
- 500 239,745.00 - -
- - - - -
- - - - -
- - - - -
- - - 300 165,049.50
- 50 801,680.00 100 1,603,360.00
- 200 265,870.00 - -
412682303.xlsx 901
781,658.40 - - 600 781,658.40

- - - 7 4,335,100.00
- - - - -
- - - - -
- - - 350 19,250,000.00
602,266.50 30 200,755.50 60 401,511.00
- - - 900 183,150.00
- - - - -
- - - - -
- - - - -
- 66 7,840,800.00 84 9,979,200.00
- - - - -
- - - 60 528,000.00
- 90 811,800.00 390 3,517,800.00
- - - 1,000 688,325.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - 218 6,924,225.00
- - - - -
- - - - -
- - - - -
- 300 2,805,000.00 - -
- - - - -
2,574,000.00 260 2,574,000.00 - -
- - - 3,000 19,800,000.00
13,200,000.00 - - 2,000 13,200,000.00
- - - 50 3,850,000.00
- - - - -
- - - 65 5,720,000.00
412682303.xlsx 902
- - - 50 4,400,000.00
- 6 396,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
9,322,500.00 14 2,610,300.00 36 6,712,200.00
- - - 3,500 7,700,000.00
10,202,577.00 - - 21,000 10,202,577.00
- - - - -
- 200 35,668.63 - -
- - - 216 8,940,864.24
- - - - -
- - - - -
- - - - -
- 750 3,948,656.25 - -
- 5 1,100,000.00 - -
- - - 5 15,400,000.00
- 180 2,059,200.00 240 2,745,600.00
- - - - -
- - - - -
- - - - -
- 60 11,550,000.00 90 17,325,000.00
- - - - -
- - - - -
- - - - -
412682303.xlsx 903
- - - - -
- - - - -
- 200 948,200.00 500 2,370,500.00
- - - - -
- - - - -
5,445,000.00 300 544,500.00 2,700 4,900,500.00
- - - - -
- 900 6,210,270.00 1,600 11,040,480.00
- - - - -
- 60 449,988.00 - -
- - - - -
- 36 360,360.00 120 1,201,200.00
- - - - -
- - - - -
- - - - -
- 48 2,244,000.00 84 3,927,000.00
4,675,000.00 - - 100 4,675,000.00
- - - - -
- - - - -
4,174,500.00 1,000 834,900.00 4,000 3,339,600.00
- - - 1,350 12,919,500.00
- - - 1,900 338,203.80
- - - 240 635,448.00
- - - - -
- 4 3,520,000.00 - -
8,800,000.00 3 2,640,000.00 7 6,160,000.00
- - - - -
- 1,500 902,137.50 12,000 7,217,100.00
- - - - -
- - - 200 536,698.80
- - - - -
412682303.xlsx 904
- 1,500 338,316.00 1,000 225,544.00

- - - - -
- - - - -
- - - 10 660,000.00
- - - - -
- 2,500 2,420,000.00 - -
- - - - -
- - - - -
- - - 9,000 1,283,040.00
- 1,000 170,005.00 800 136,004.00
- - - - -
- - - - -
- 1,000 121,000.00 9,000 1,089,000.00
- - - - -
- - - - -
- 320 3,593,920.00 560 6,289,360.00
- - - 15 2,557,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 200 3,207,600.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 552 1,012,506.00 1,440 2,641,320.00
412682303.xlsx 905
- 450 2,970,000.00 - -
3,564,000.00 540 3,564,000.00 - -
3,135,000.00 - - 3,000 3,135,000.00
- - - - -
- - - - -
- - - - -
- - - 1,500 2,632,500.09
- - - - -
- - - 1,700 1,827,925.00
- - - - -
- 100 6,578,000.00 250 16,445,000.00
- - - 700 924,000.00
- - - - -
- - - - -
- 2,000 660,000.00 7,200 2,376,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - 600 5,610,000.00
897,996.00 300 134,699.40 1,700 763,296.60
- - - - -
- - - - -
- - - - -
- - - - -
- 25 2,098,750.01 - -
- 50 456,115.00 100 912,230.00
- - - - -
- - - - -
- - - - -
7,617,500.00 100 7,617,500.00 - -
412682303.xlsx 906
- - - 7,000 594,979.00
- - - - -
- 300 359,700.00 1,300 1,558,700.00
- 50 34,595.00 - -
- - - - -
- - - - -
- - - - -
- 250 179,850.00 - -
- - - - -
- 78 3,899,481.30 108 5,399,281.80
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,500 359,370.00 2,000 479,160.00
2,706,000.00 - - 10,000 2,706,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 260 6,177,600.00 - -
7,128,000.00 100 2,376,000.00 200 4,752,000.00
- - - - -
- - - - -
412682303.xlsx 907
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2,200 1,268,960.00 1,000 576,800.00
- - - - -
- - - - -
- - - 1,000 279,400.00
- - - - -
1,117,600.00 1,000 279,400.00 3,000 838,200.00
- - - - -
- 1,000 825,000.00 500 412,500.00
- - - - -
- 120 990,000.00 - -
4,620,264.00 50 385,022.00 550 4,235,242.00
- - - - -
- - - - -
- - - - -
- 1,300 343,200.00 3,700 976,800.00
- - - 5,000 1,320,000.00
- - - - -
- - - - -
- - - - -
- - - 186 706,074.60
- - - 48 171,600.00
- - - - -
- - - 3,000 1,082,400.00
- - - - -
412682303.xlsx 908
- 3,500 1,540,077.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2,000 5,830,000.00 800 2,332,000.00
- - - 5,200 15,158,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1,500 3,465,000.00
- - - - -
- - - - -
- 240 3,643,200.00 - -
30,360,000.00 80 1,214,400.00 1,920 29,145,600.00
- - - - -
- - - 15 686,812.50
- - - - -
- - - - -
- - - - -
- - - 500 3,204,850.00
- 3,540 22,690,338.00 180 1,153,746.00
31,663,918.00 - - 4,940 31,663,918.00
- - - - -
- - - - -
412682303.xlsx 909
- - - - -
- - - - -
- 2,000 473,000.00 2,000 473,000.00
- - - - -
- - - - -
1,091,200.00 80 1,091,200.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1,000 141,889.00
- - - - -
- - - - -
- - - - -
- - - - -
- 300 1,267,200.00 - -
2,200,000.00 - - 500 2,200,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 40 3,479,999.95 - -
- - - - -
- - - - -
- - - - -
- - - - -
5,933,950.00 20 237,358.00 480 5,696,592.00
412682303.xlsx 910
- 2,000 11,000,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 2,190 6,986,100.00
- - - 600 1,914,000.00
- - - - -
- - - - -
- - - - -
- 100 41,800.00 300 125,400.00
330,000.00 - - 4,000 330,000.00
- - - 100 200,970.00
- 50 166,375.00 100 332,750.00
- - - - -
- 50 3,052,500.00 - -
- - - - -
3,907,200.00 - - 64 3,907,200.00
- - - - -
- - - 50 666,875.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,000 88,000,000.00 - -
- - - - -
- - - 1,000 40,700,000.00
412682303.xlsx 911
- 600 52,800,000.00 700 61,600,000.00

- - - - -
- - - - -
- - - - -
- - - 150 7,125,401.25
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 200 3,850,000.00 - -
4,644,200.00 - - 400 4,644,200.00
- - - - -
- - - - -
- 288 3,453,120.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 86 3,154,910.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 150 767,580.00 600 3,070,320.00
- - - - -
- - - - -
- - - - -
412682303.xlsx 912
- - - - -
- - - - -
- - - 17,000 1,346,400.00
- - - - -
- 60 186,783.30 240 747,133.20
- - - - -
- 30 395,742.60 240 3,165,940.80
- - - - -
- - - - -
- - - - -
- 50 2,079,990.00 50 2,079,990.00
12,479,940.00 - - 300 12,479,940.00
- - - - -
732,270.00 150 732,270.00 - -
- - - 600 660,330.00
- - - - -
- - - - -
- - - - -
- - - 400 2,640,000.00
- - - - -
- - - - -
- - - - -
- - - 140 2,873,640.00
- 300 185,493.00 2,700 1,669,437.00
- - - 1,440 340,732.38
- - - - -
- - - - -
- - - - -
- - - 100 3,932,500.00
- - - - -
- - - - -
412682303.xlsx 913
- - - - -
- - - 40 1,166,000.00
- - - 10 291,500.00
- - - - -
- - - - -
- - - 20 695,750.00
- - - 34 1,182,775.00
- - - - -
- - - - -
- - - - -
- - - 130 3,843,125.00
2,508,000.00 - - 5,000 2,508,000.00
- - - - -
- - - - -
4,389,000.00 80 924,000.00 300 3,465,000.00
- - - - -
- - - - -
- - - - -
5,637,500.00 - - 125 5,637,500.00
- 500 90,750.00 3,500 635,250.00
- - - 4,000 858,000.00
- - - - -
- - - - -
- 100 2,660,020.00 50 1,330,010.00
5,320,000.00 - - 200 5,320,000.00
- 500 30,002.50 500 30,002.50
- 10 118,745.00 - -
- 40 474,980.00 200 2,374,900.00
- - - - -
- - - - -
- - - - -
412682303.xlsx 914
- 20 968,000.00 - -
- - - - -
- 500 237,402.00 3,000 1,424,412.00
- - - - -
1,584,000.00 24 158,400.00 216 1,425,600.00
- - - - -
- - - 210 1,722,012.60
- - - - -
- - - 200 7,892,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 440 3,484,800.00 810 6,415,200.00
- - - - -
- - - - -
- - - 2,000 617,100.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 915
- 4,000 5,808,000.00 - -
3,118,500.00 - - 2,700 3,118,500.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 6,000 3,960,000.00 3,000 1,980,000.00
- - - 50 385,000.00
- - - - -
- - - - -
- - - - -
- 20 1,881,000.00 160 15,048,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1,200 5,940,000.00
- - - 200 1,606,000.00
- 120 1,056,000.00 300 2,640,000.00
- 50 1,650,127.77 180 5,940,459.97
- - - - -
- - - 3,500 6,545,000.00
- - - - -
- 3,400 24,310,000.00 - -
40,040,000.00 - - 5,600 40,040,000.00
- - - - -
- - - - -
- - - - -
- - - 60 5,940,000.00
- - - - -
412682303.xlsx 916
- - - - -
- 500 48,702.50 2,000 194,810.00
639,980.00 - - 10,000 639,980.00
- 20 3,740,000.00 230 43,010,000.00
- - - - -
- - - - -
- - - - -
- - - 100 5,802,500.00
- - - 90 544,500.00
- - - - -
- 1,800 404,989.20 4,100 922,475.40
- - - - -
- - - - -
- 150 83,792.50 450 251,377.50
- - - - -
9,207,000.00 - - 1,500 9,207,000.00
- - - - -
- - - 4 11,440,000.00
- - - - -
- - - 3,000 1,221,000.00
1,419,000.00 - - 3,000 1,419,000.00
- 150 2,095,500.00 350 4,889,500.00
- - - - -
- - - - -
- 40 528,000.00 - -
- 4 1,164,803.20 40 11,648,032.00
- - - - -
7,507,500.00 175 5,255,250.00 75 2,252,250.00
- - - 3 5,049,000.00
- - - - -
- 10 1,767,997.00 185 32,707,944.50
412682303.xlsx 917
- - - - -
- - - - -
- - - 18 945,450.00
- - - - -
- - - - -
715,275.00 - - 170 715,275.00
- - - - -
- - - - -
- - - 10 508,750.00
- - - - -
- - - - -
- - - - -
- - - - -
- 50 530,337.50 - -
- - - - -
- 100 1,815,000.00 - -
- - - - -
2,439,360.00 - - 40 2,439,360.00
41,641,600.00 - - 800 41,641,600.00
- - - - -
- - - - -
- - - 8 162,800.00
- 1,000 135,003.00 - -
675,015.00 - - 5,000 675,015.00
- - - - -
- - - - -
- 1,900 228,541.50 14,000 1,683,990.00
7,040,000.00 100 704,000.00 900 6,336,000.00
- 1,500 905,998.50 500 301,999.50
744,566.00 - - 1,900 744,566.00
- - - - -
412682303.xlsx 918
1,815,000.00 50 1,815,000.00 - -
- - - - -
- - - - -
- - - - -
- 87 2,871,000.00 36 1,188,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2 75,497.40 45 1,698,691.50
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,737,500.00 35 6,737,500.00 - -
412682303.xlsx 919
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 200 580,886.80
- - - - -
- 78 3,552,120.00 - -
8,280,000.00 10 414,000.00 190 7,866,000.00
- - - - -
- - - - -
- 1 588,540.00 3 1,765,619.99
- - - - -
- - - - -
- - - - -
4,125,000.00 1 825,000.00 4 3,300,000.00
- - - - -
- 1 585,420.00 2 1,170,840.00
- - - 4 3,300,000.00
- - - 4 1,702,800.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 920
- - - - -
- - - 15 1,567,500.00
1,142,530.40 - - 2 1,142,530.40
- - - - -
- - - - -
2,565,200.00 2 2,565,200.00 - -
- - - - -
- - - - -
- - - - -
- - - 800 657,599.56
- 1,200 986,399.83 1,100 904,199.85
- - - 400 328,799.94
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,000 851,400.00 - -
1,532,520.00 1,800 1,532,520.00 - -
12,895,520.00 2,500 2,370,500.00 11,100 10,525,020.00
- - - - -
- - - 50 57,999.70
412682303.xlsx 921
- - - 950 2,710,207.50
- - - - -
- - - - -
3,647,160.00 2,200 2,228,820.00 1,400 1,418,340.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2,400 2,919,840.00 7,400 9,002,840.00
- - - - -
- - - 150 294,030.00
- - - - -
- - - 450 2,165,625.00
- 25 120,312.50 400 1,925,000.00
- - - - -
- - - - -
- - - - -
- - - 26 5,720,000.00
- - - 10 1,650,000.00
- - - - -
- - - 8 660,000.00
- - - 10 825,000.00
- - - 10 825,000.00
- - - 20 1,650,000.00
- 10 825,000.00 10 825,000.00
627,000.00 - - 3 627,000.00
25,500,200.00 500 6,375,050.00 1,500 19,125,150.00
25,500,200.00 - - 2,000 25,500,200.00
12,750,100.00 - - 1,000 12,750,100.00
12,750,100.00 - - 1,000 12,750,100.00
412682303.xlsx 922
8,580,000.00 200 2,860,000.00 400 5,720,000.00

- - - - -
- - - - -
- - - - -
1,925,000.00 20 770,000.00 30 1,155,000.00
- 50 1,925,000.00 - -
- - - - -
- - - - -
- - - 49 200,022.90
- - - 10 385,000.00
- - - 50 1,925,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
10,340,000.00 4 10,340,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,581,800.00 2 1,581,800.00 - -
- - - - -
- - - 40 599,764.00
- - - - -
- - - - -
- 60 1,452,000.00 50 1,210,000.00
1,056,000.00 - - 30 1,056,000.00
- - - - -
- - - - -
412682303.xlsx 923
- - - - -
- - - - -
- 10 242,000.00 - -
- 50 1,760,000.00 50 1,760,000.00
1,574,980.00 - - 100 1,574,980.00
- - - 20 2,200,000.00
- - - 14 1,925,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 24 1,601,160.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 170 5,142,500.00
- - - 120 5,808,000.00
- - - - -
- - - - -
- - - - -
412682303.xlsx 924
- - - - -
- - - - -
- - - - -
- 6,600 3,196,680.30 700 339,041.85
- - - - -
- - - - -
- - - - -
- - - - -
- 111 6,043,950.00 89 4,846,050.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 130 672,100.00 1,300 6,721,000.00
4,136,000.00 - - 800 4,136,000.00
- - - - -
- - - - -
10,340,000.00 580 2,998,600.00 2,765 14,295,050.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 925
- - - - -
- 275 1,421,750.00 235 1,214,950.00
6,204,000.00 - - 1,200 6,204,000.00
- 580 2,998,600.00 765 3,955,050.00
10,340,000.00 - - 2,000 10,340,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 95 22,864,600.00 142 34,176,560.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
5,839,999.00 500 5,839,999.00 - -
21,771,200.00 600 4,082,100.00 2,600 17,689,100.00
3,333,440.00 - - 400 3,333,440.00
- - - - -
412682303.xlsx 926
- - - - -
- 150 2,399,999.99 - -
- - - - -
- 300 4,799,998.50 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 400 6,400,000.20 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 250 3,999,998.75 550 8,799,997.25
- - - - -
- - - - -
- - - - -
- - - - -
- 350 5,599,998.25 - -
412682303.xlsx 927
- - - - -
- - - - -
- - - - -
- - - - -
- 150 2,924,999.55 - -
- 1 38,500.00 35 1,347,500.00
- - - - -
- 2 77,000.00 16 616,000.00
- 2 77,000.00 7 269,500.00
- - - - -
- 1 38,500.00 21 808,500.00
- 3 115,500.00 19 731,500.00
- 15 1,650,000.00 4 440,000.00
1,320,000.00 - - 12 1,320,000.00
- - - - -
- - - - -
- 4 118,800.00 4 118,800.00
- - - - -
6,050,000.00 1 605,000.00 9 5,445,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 19 3,066,030.00 - -
- - - - -
412682303.xlsx 928
1,568,600.00 3 94,116.00 47 1,474,484.00

- - - - -
- - - - -
- 2 220,000.00 - -
- - - - -
- - - - -
- 18 2,970,000.00 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6,958,820.00 32 4,453,644.80 18 2,505,175.20
- - - - -
- - - - -
- 3 495,000.00 8 1,320,000.00
- - - - -
- 2 385,000.00 - -
3,850,000.00 13 2,502,500.00 7 1,347,500.00
- - - - -
- - - - -
- - - - -
- 17 6,545,000.00 24 9,240,000.00
- - - - -
- - - - -
- - - 50 1,925,000.00
- 12 451,440.00 26 978,120.00
412682303.xlsx 929
699,285.40 - - 2 699,285.40
699,285.40 - - 2 699,285.40
594,182.60 - - 2 594,182.60
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
5,219,940.00 10,000 5,219,940.00 11,000 5,741,934.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 105 469,218.75 - -
- 200 893,750.00 - -
- 17 75,968.75 183 817,781.25
412682303.xlsx 930
- 100 446,875.00 600 2,681,250.00

- - - - -
- - - - -
- 205 916,093.75 62 277,062.50
- - - - -
- - - - -
- - - - -
- 253 1,130,593.75 223 996,531.25
- - - 1 55,000.00
- - - 1 55,000.00
- - - - -
- 26 393,135.60 - -
- - - - -
1,496,939.40 9 136,085.40 106 1,602,783.60
- - - - -
- - - - -
- - - - -
- 25 381,325.00 60 915,180.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
608,899.50 131 797,658.35 19 115,690.91
- - - - -
- - - - -
- - - - -
- - - - -
- 100 208,300.00 4,700 9,790,100.19
- - - - -
- - - - -
412682303.xlsx 931
- - - - -
- - - - -
- 3 826,379.99 3 826,379.99
- 20 396,000.00 160 3,168,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- 5,000 554,400.00 5,000 554,400.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 50 110,000.00 50 110,000.00
- - - - -
550,000.00 - - 250 550,000.00
- - - - -
- - - - -
- 50 4,950,000.00 300 29,700,000.00
- - - 7 282,603.94
242,486.20 - - 2 242,486.20
242,486.20 - - 2 242,486.20
296,461.00 - - 2 296,461.00
141,785.60 - - 1 141,785.60
- - - - -
- - - - -
- - - - -
- 13 779,564.50 60 3,597,990.00
- - - - -
- - - - -
412682303.xlsx 932
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
3,300,000.00 - - 5 3,300,000.00
- 2 538,439.88 - -
1,980,000.00 - - 3 1,980,000.00
- - - - -
- 10 564,850.00 - -
677,820.00 - - 12 677,820.00
- - - - -
- - - - -
4,840,000.00 50 2,420,000.00 50 2,420,000.00
- - - - -
- - - - -
- - - - -
- - - 3 669,735.00
- - - 4 892,980.00
- - - 20 671,990.00
- - - - -
90,967.80 - - 21 90,967.80
- - - - -
- - - - -
- - - - -
- 20 198,000.00 30 297,000.00
412682303.xlsx 933
- - - - -
- 10 40,326.00 30 120,978.00
- - - 47 189,532.20
- - - 28 112,912.80
- - - 55 221,793.00
- - - - -
- - - 198 13,068,000.00
- - - - -
- - - - -
- - - - -
- 10 660,000.00 4 264,000.00
- - - - -
- 30 1,980,000.00 46 3,036,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- 51 3,366,000.00 111 7,326,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- 3 3,146,220.00 1 1,048,740.00
- - - - -
- - - - -
- - - - -
- 2 2,435,639.80 - -
- - - - -
- - - - -
- - - - -
- - - - -
412682303.xlsx 934
- 4 3,230,639.81 12 9,691,919.42
- - - - -
- 4 4,593,600.00 12 13,780,800.00
- - - - -
- - - - -
- - - - -
3,080,000.00 40 3,080,000.00 - -
- - - - -
- - - - -
- - - - -
- 12 1,287,660.00 6 643,830.00
- - - - -
- - - - -
3,388,440.00 - - 24 3,388,440.00
- 250 5,500,000.00 250 5,500,000.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 12 1,694,220.00 6 847,110.00
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 200 3,276,020.00 - -
4,362,930.00 300 1,454,310.00 600 2,908,620.00
- - - - -
- - - - -
- - - - -
412682303.xlsx 935
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 120 13,794,000.00
2,585,000.00 10 258,500.00 90 2,326,500.00
- 90 515,592.00 - -
- 40 275,000.00 - -
1,145,760.00 - - 200 1,145,760.00
- - - - -
- - - - -
- - - - -
- 40 718,080.00 20 359,040.00
- - - - -
- 2 1,320.00 346 228,360.00
6,600.00 - - 10 6,600.00
- - - - -
840,000.00 - - 1 840,000.00
630,000.00 20 630,000.00 - -
300,000.00 1 150,000.00 1 150,000.00
807,340,102.52 781,263,775.86 2,086,658,774.08
BUOL, 31 DESEMBER 2018
PENANGGUNGJAWAB
412682303.xlsx 936

NIP. 19820818 201001 2 012
412682303.xlsx 937
REKAPITULASI OBAT DAN BHP PADA GUDANG INSTALASI FARMASI
TRIWULAN IV TAHUN 2018
NO BULAN STOCK AWAL PENERIMAAN MUTASI SISA STOCK

10 Oktober 1,652,705,464 708,670,494 660,281,214 1,701,094,744
11 Nopember 1,701,094,744 980,248,948 620,761,244 2,060,582,447
12 Desember 2,060,582,447 807,340,103 781,263,776 2,086,658,774
TOTAL 2,060,582,447 2,496,259,544 2,062,306,234 2,086,658,774
BUOL, 07 DESEMBER 2018
MENYETUJUI PENANGGUNGJAWAB
KEPALA INSTALASI FARMASI GUDANG INSTALASI FARMASI
SRI ARIYANTI, S.Si., Apt ROSITA JAFAR, S.Farm

NIP. 19820918 200804 2 002 NIP. 19820818 201001 2 012

Stok Gudang Obat Per 31 Desember 2018

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REKAPITULASI OBAT DAN BHP PADA GUDANG INSTALASI FARMASI

UPT. RSUD MOKOYURLI KABUPATEN BUOL

NO BULAN STOCK AWAL PENERIMAAN MUTASI SISA STOCK

BUOL, 19 FEBRUARI 2019

KEPALA INSTALASI FARMASI PENANGGUNGJAWAB

SRI ARIYANTI, S.Si., Apt ROSITA JAFAR, S.Farm

PENGURUS/PENYIMPAN BARANG KEPALA INSTALASI FARMASI PENA

NURSYAMSI SRI ARIYANTI, S.Si., Apt ROSI

Nilai Mutasi Jml Nilai Sisa Stok

BUOL, 31 JANUARI 2018

ROSITA JAFAR, S.Farm

PENGURUS/PENYIMPAN BARANG KEPALA INSTALASI FARMASI PENA

NURSYAMSI SRI ARIYANTI, S.Si., Apt ROSI

Nilai Mutasi Jml Nilai Sisa Stok

ROSITA JAFAR, S.Farm

OBAT TAHUN 2013

2 Foley Catheter FR 24 (RNI) Pcs 22,000.00 20 440,000.00

28 Rethapril Tablet (KF) Tablet 2,142.80 400 857,120.00

14 Antasida Tablet (RNI) Tablet 157.34 1,700 267,484.80

44 Cefadroxil Syrup /Lifadrox (SST) Botol 9,377.50 250 2,344,375.00

74 Domperidon Tablet (ENS) Tablet 139.48 - -

104 Halotane Inhalasi (AAM) Botol 705,500.00 4 2,822,000.02

134 Metronidazol Tablet (DNR) Tablet 264.00 1,100 290,400.00

164 Pomifar Kapsul (PV) Kapsul 4,950.00 - -

194Sedacum Injeksi 5 mg/ 5 ml (AAM) Ampul 20,570.00 - -

11 Cuticell (BDM) Pcs 13,200.00 100 1,320,000.00

41 Foley Catheter 18 (KF) Pcs 13,750.00 - -

71 Jarum Kulit 13 Lusin 38,500.00 - -

101 Selang O2 Anak (BDM) Pcs 15,119.50 45 680,377.50

4 Ambroxol Syrup 15 mg (DNR) Botol SCB00947 1/1/2022 6,600.00 - 490

34 Asam Valproat (AP DE) Botol 3272081 10/1/2019 66,000.00 - -

64 Ceftazidim Injeksi (TSJ) Vial PSN50746 12/1/2019 66,000.00 180 11,880,000.00

94 Codikaf Tablet 10 mg (KF) Tablet C70718J 3/1/2021 866.25 1,000 866,250.00

154 Methylprednisolon Tablet 4 mg (SST) Tablet T2752040 6/1/2021 316.80 - -

184 Ondancentron Injeksi 4 mg (MRP) Ampul I172026 1/31/2019 2,871.00 - -

214 Polydrex 0,6 ml (PV) Strip 7Px61228 6/1/2020 29,150.00 - 9

49 Infus Set Makro TP (BDM) Pcs 170302 3/1/2022 8,100.00 - 500

79 Kertas EKG 210 (BDM) Roll 33815 12/1/2018 192,500.00 30 5,775,000.00

109 Tensocrepe 6 Inch (BDM) Roll 121610253 10/1/2021 139,480.00 6 836,880.00

PENGURUS/PENYIMPAN BARANG KEPALA INSTALASI FARMASI

NURSYAMSI SRI ARIYANTI, S.Si., Apt

Nilai Masuk Mutasi Nilai Mutasi Jml Nilai Sisa Stok

- 500 78,672 1,200 188,813

3,234,000.00 240 1,584,000 250 1,650,000

- 30 1,980,000 150 9,900,000

- 2,000 246,048 1,000 123,024

1,823,580.00 1,800 1,823,580 - -

4,050,002.00 300 2,430,001 200 1,620,001

BUOL, 31 MARET 2018

ROSITA JAFAR, S.Farm

PENGURUS/PENYIMPAN BARANG KEPALA INSTALASI FARMASI

NURSYAMSI SRI ARIYANTI, S.Si., Apt

Mutasi Nilai Mutasi Jml Nilai Sisa Stok

BUOL, 30 APRIL 2018

ROSITA JAFAR, S.Farm

PENGURUS/PENYIMPAN BARANG KEPALA INSTALASI FARMASI

NURSYAMSI SRI ARIYANTI, S.Si., Apt

Mutasi Nilai Mutasi Jml Nilai Sisa Stok

30 99,000 240 792,000

1,000 149,028 2,000 298,056

1,000 142,560 1,000 142,560

700 648,340 600 555,720

BUOL, 31 MEI 2018

ROSITA JAFAR, S.Farm