| No | OPD | Produk | Harga | Jumlah | Ongkos Kirim | Total |
|---|---|---|---|---|---|---|
| 1 | RSUD RA BASOENI | Kombinasi KDT/FDC, setiap mL mengandung: Salmeterol 50 mcg dan Flutikason propionat 250 mcg ih 250 mcg puff | 132.693 | 10 | 0 | 1.326.930 |
| 2 | RSUD RA BASOENI | Parasetamol tab 500 mg | 100 | 30.000 | 0 | 3.000.000 |
| 3 | RSUD RA BASOENI | Fluoksetin tab/kaps 20 mg | 232 | 6.000 | 0 | 1.392.000 |
| 4 | RSUD RA BASOENI | Metilfenidat tab 10 mg | 4.700 | 300 | 0 | 1.410.000 |
| 5 | RSUD RA BASOENI | Antasida tab kunyah | 90 | 10.000 | 0 | 900.000 |
| 6 | RSUD RA BASOENI | Kalsium laktat (kalk) tab 500 mg | 84 | 20.000 | 0 | 1.680.000 |
| 7 | RSUD RA BASOENI | Klorpromazin tab 100 mg | 520 | 3.000 | 0 | 1.560.000 |
| 8 | RSUD RA BASOENI | Asam folat tab 1 mg | 60 | 1.000 | 0 | 60.000 |
| 9 | RSUD RA BASOENI | Sianokobalamin (vitamin B12) tab 50 mcg | 45 | 2.000 | 0 | 90.000 |
| 10 | RSUD RA BASOENI | Valproat sir 250 mg/5 ml | 12.210 | 500 | 0 | 6.105.000 |
| 11 | RSUD RA BASOENI | Betahistin tab 6 mg | 189 | 15.000 | 0 | 2.835.000 |
| 12 | RSUD RA BASOENI | Bisoprolol tab 5 mg | 200 | 30.000 | 0 | 6.000.000 |
| 13 | RSUD RA BASOENI | Bisoprolol tab 2,5 mg | 124 | 100.000 | 0 | 12.400.000 |
| 14 | RSUD RA BASOENI | Kandesartan tab 16 mg | 420 | 45.000 | 0 | 18.900.000 |
| 15 | RSUD RA BASOENI | Kandesartan tab 8 mg | 285 | 75.000 | 0 | 21.375.000 |
| 16 | RSUD RA BASOENI | Klobazam tab 10 mg | 409 | 15.000 | 0 | 6.135.000 |
| 17 | RSUD RA BASOENI | Diltiazem tab 30 mg | 137 | 15.000 | 0 | 2.055.000 |
| 18 | RSUD RA BASOENI | Valproat tab lepas lambat 500 mg | 2.800 | 1.500 | 0 | 4.200.000 |
| 19 | RSUD RA BASOENI | Natrium diklofenak tab sal enterik 50 mg | 110 | 20.000 | 0 | 2.200.000 |
| 20 | RSUD RA BASOENI | Gabapentin kaps 300 mg | 645 | 30.000 | 0 | 19.350.000 |
| 21 | RSUD RA BASOENI | Glimepirid tab 1 mg | 99 | 15.000 | 0 | 1.485.000 |
| 22 | RSUD RA BASOENI | Glimepirid tab 2 mg | 175 | 15.000 | 0 | 2.625.000 |
| 23 | RSUD RA BASOENI | Glimepirid tab 3 mg | 285 | 30.000 | 0 | 8.550.000 |
| 24 | RSUD RA BASOENI | Glikuidon tab 30 mg | 1.000 | 6.000 | 0 | 6.000.000 |
| 25 | RSUD RA BASOENI | Metilprednisolon tab 4 mg | 160 | 30.000 | 0 | 4.800.000 |
| 26 | RSUD RA BASOENI | Nifedipin tab 10 mg | 144 | 20.000 | 0 | 2.880.000 |
| 27 | RSUD RA BASOENI | Pioglitazon tab 30 mg | 747 | 18.000 | 0 | 13.446.000 |
| 28 | RSUD RA BASOENI | Aripiprazol tab dispersible 10 mg | 13.675 | 1.000 | 0 | 13.675.000 |
| 29 | RSUD RA BASOENI | Risperidon tab 1 mg | 185 | 500 | 0 | 92.500 |
| 30 | RSUD RA BASOENI | Risperidon tab 2 mg | 185 | 10.000 | 0 | 1.850.000 |
| 31 | RSUD RA BASOENI | Spironolakton tab 25 mg | 250 | 30.000 | 0 | 7.500.000 |
| 32 | RSUD RA BASOENI | Alopurinol tab 100 mg | 155 | 3.000 | 0 | 465.000 |
| 33 | RSUD RA BASOENI | Alopurinol tab 300 mg | 360 | 3.000 | 0 | 1.080.000 |
| 34 | RSUD RA BASOENI | Valproat tab salut enterik 250 mg | 888 | 7.500 | 0 | 6.660.000 |
| 35 | RSUD RA BASOENI | Asam mefenamat tab 500 mg | 155 | 60.000 | 0 | 9.300.000 |
| 36 | RSUD RA BASOENI | Omeprazol kaps 20 mg | 215 | 30.000 | 0 | 6.450.000 |
| 37 | RSUD RA BASOENI | Ranitidin tab 150 mg | 149 | 3.000 | 0 | 447.000 |
| 38 | RSUD RA BASOENI | Metildopa tab 250 mg | 1.832 | 1.000 | 0 | 1.832.000 |
| 39 | RSUD RA BASOENI | Indakaterol serb ih 300 mcg | 12.836 | 300 | 0 | 3.850.800 |
| 40 | RSUD RA BASOENI | Kombinasi KDT/FDC setiap dosis mengandung Budesonid 160 mcg/Formoterol 4,5 mcg Ih 120 dosis, Turbuhaler | 166.840 | 100 | 0 | 16.684.000 |
| 41 | RSUD RA BASOENI | Kalium klorida tab lepas lambat 600 mg | 1.962 | 3.000 | 0 | 5.886.000 |
| 42 | RSUD RA BASOENI | Kombinasi KDT/FDC mengandung a. Benserazid 25 mg b. Levodopa 100 mg tab | 1.330 | 3.000 | 0 | 3.990.000 |
| 43 | RSUD RA BASOENI | Karvedilol tab 6,25 mg | 1.110 | 3.000 | 0 | 3.330.000 |
| 44 | RSUD RA BASOENI | Warfarin tab 2 mg | 555 | 1.000 | 0 | 555.000 |
| 45 | RSUD RA BASOENI | Timolol tts mata 0,5% | 12.100 | 150 | 0 | 1.815.000 |
| 46 | RSUD RA BASOENI | Metformin tab 500 mg | 162 | 15.000 | 0 | 2.430.000 |
| 47 | PUSKESMAS KEMLAGI | Alopurinol tab 100 mg | 155 | 10.000 | 0 | 1.550.000 |
| 48 | PUSKESMAS KEMLAGI | Vitamin B kompleks mengandung: a. Vitamin B1 b. Vitamin B6 c. Vitamin B12 tab | 60 | 10.000 | 0 | 600.000 |
| 49 | PUSKESMAS KEMLAGI | Tiamin (Vitamin B1) tab 50 mg* | 78 | 10.000 | 0 | 780.000 |
| 50 | RSUD PROF DR SOEKANDAR | Lorazepam tab 2 mg | 1.100 | 7.000 | 0 | 7.700.000 |
| 51 | RSUD PROF DR SOEKANDAR | Kalsium laktat (kalk) tab 500 mg | 84 | 60.000 | 0 | 5.040.000 |
| 52 | RSUD PROF DR SOEKANDAR | Kolkisin tab 500 mcg | 1.399 | 1.800 | 0 | 2.518.200 |
| 53 | RSUD RA BASOENI | Kombinasi KDT/FDC mengandung a. Benserazid 25 mg b. Levodopa 100 mg tab | 1.330 | 10.000 | 0 | 13.300.000 |
| 54 | RSUD PROF DR SOEKANDAR | Aripiprazol oral solution 1 mg/mL | 189.990 | 25 | 0 | 4.749.750 |
| 55 | RSUD PROF DR SOEKANDAR | Deksametason tab 0,5 mg | 60 | 10.000 | 0 | 600.000 |
| 56 | RSUD PROF DR SOEKANDAR | Ibuprofen tab 400 mg | 189 | 6.000 | 0 | 1.134.000 |
| 57 | RSUD PROF DR SOEKANDAR | Ibuprofen susp 100 mg/5 mL | 4.249 | 130 | 0 | 552.370 |
| 58 | RSUD PROF DR SOEKANDAR | N-asetil sistein kaps 200 mg | 320 | 41.000 | 0 | 13.120.000 |
| 59 | RSUD PROF DR SOEKANDAR | Glimepirid tab 1 mg | 99 | 20.000 | 0 | 1.980.000 |
| 60 | RSUD PROF DR SOEKANDAR | Glimepirid tab 2 mg | 175 | 38.200 | 0 | 6.685.000 |
| 61 | RSUD PROF DR SOEKANDAR | Valproat sir 250 mg/5 ml | 12.210 | 125 | 0 | 1.526.250 |
| 62 | RSUD PROF DR SOEKANDAR | Betahistin tab 6 mg | 189 | 18.000 | 0 | 3.402.000 |
| 63 | RSUD PROF DR SOEKANDAR | Bisoprolol tab 2,5 mg | 124 | 38.000 | 0 | 4.712.000 |
| 64 | RSUD PROF DR SOEKANDAR | Klozapin tab 25 mg | 450 | 13.000 | 0 | 5.850.000 |
| 65 | RSUD PROF DR SOEKANDAR | Fenofibrat kaps 300 mg | 657 | 3.000 | 0 | 1.971.000 |
| 66 | RSUD PROF DR SOEKANDAR | Gabapentin kaps 100 mg | 750 | 15.000 | 0 | 11.250.000 |
| 67 | RSUD PROF DR SOEKANDAR | Gliklazid tab 80 mg | 309 | 25.000 | 0 | 7.725.000 |
| 68 | RSUD PROF DR SOEKANDAR | Glikuidon tab 30 mg | 1.000 | 20.000 | 0 | 20.000.000 |
| 69 | RSUD PROF DR SOEKANDAR | Lisinopril tab 5 mg | 175 | 6.000 | 0 | 1.050.000 |
| 70 | RSUD PROF DR SOEKANDAR | Natrium diklofenak tab sal enterik 50 mg | 110 | 60.000 | 0 | 6.600.000 |
| 71 | RSUD PROF DR SOEKANDAR | Spironolakton tab 25 mg | 250 | 150.000 | 0 | 37.500.000 |
| 72 | RSUD PROF DR SOEKANDAR | Spironolakton tab 100 mg | 646 | 15.000 | 0 | 9.690.000 |
| 73 | RSUD PROF DR SOEKANDAR | Kandesartan tab 8 mg | 285 | 78.000 | 0 | 22.230.000 |
| 74 | RSUD PROF DR SOEKANDAR | Akarbose tab 100 mg | 848 | 60.000 | 0 | 50.880.000 |
| 75 | RSUD PROF DR SOEKANDAR | Asam ursodeoksikolat kaps 250 mg | 1.559 | 22.500 | 0 | 35.077.500 |
| 76 | PUSKESMAS PURI | Parasetamol tab 500 mg | 100 | 80.000 | 0 | 8.000.000 |
| 77 | PUSKESMAS PURI | Asam mefenamat tab 500 mg | 155 | 30.000 | 0 | 4.650.000 |
| 78 | PUSKESMAS PURI | Piridoksin (vitamin B6) tab 10 mg* | 64 | 30.000 | 0 | 1.920.000 |
| 79 | PUSKESMAS PURI | Tiamin (Vitamin B1) tab 50 mg* | 78 | 30.000 | 0 | 2.340.000 |
| 80 | PUSKESMAS PURI | Antasida Tab Kunyah | 90 | 60.000 | 0 | 5.400.000 |
| 81 | PUSKESMAS PURI | Natrium diklofenak tab sal enterik 50 mg | 110 | 40.000 | 0 | 4.400.000 |
| 82 | PUSKESMAS PURI | Ranitidin tab 150 mg | 149 | 10.000 | 0 | 1.490.000 |
| 83 | PUSKESMAS PURI | Alopurinol tab 100 mg | 155 | 30.000 | 0 | 4.650.000 |
| 84 | PUSKESMAS PURI | Alopurinol tab 300 mg | 360 | 20.000 | 0 | 7.200.000 |
| 85 | PUSKESMAS PURI | Asam folat tab 0,4 mg* | 49 | 5.000 | 0 | 245.000 |
| 86 | PUSKESMAS PURI | Prednison tab 5 mg | 92 | 10.000 | 0 | 920.000 |
| 87 | PUSKESMAS PURI | Salbutamol tab 2 mg | 62 | 10.000 | 0 | 620.000 |
| 88 | PUSKESMAS PURI | Glimepirid tab 3 mg | 280 | 5.000 | 0 | 1.400.000 |
| 89 | RSUD RA BASOENI | Kombinasi KDT/FDC, setiap mL mengandung: Salmeterol 50 mcg dan Flutikason propionat 250 mcg ih 250 mcg puff | 132.693 | 20 | 0 | 2.653.860 |
| 90 | RSUD RA BASOENI | Kombinasi KDT/FDC mengandung: Salmeterol 50 mcg dan Flutikason Propionat 500 mcg serb ih | 146.442 | 10 | 0 | 1.464.420 |
| 91 | RSUD RA BASOENI | Quetiapin tab pelepasan lambat 400 mg | 9.036 | 300 | 0 | 2.710.800 |
| 92 | RSUD RA BASOENI | Diltiazem tab 30 mg | 137 | 10.000 | 0 | 1.370.000 |
| 93 | RSUD RA BASOENI | Glimepirid tab 3 mg | 285 | 20.000 | 0 | 5.700.000 |
| 94 | RSUD RA BASOENI | Glimepirid tab 4 mg | 308 | 5.000 | 0 | 1.540.000 |
| 95 | RSUD RA BASOENI | Glikuidon tab 30 mg | 1.000 | 5.000 | 0 | 5.000.000 |
| 96 | RSUD RA BASOENI | Metilprednisolon tab 4 mg | 160 | 20.000 | 0 | 3.200.000 |
| 97 | RSUD RA BASOENI | Pioglitazon tab 30 mg | 747 | 21.000 | 0 | 15.687.000 |
| 98 | RSUD RA BASOENI | N-asetil sistein kaps 200 mg | 320 | 1.000 | 0 | 320.000 |
| 99 | RSUD RA BASOENI | Gabapentin kaps 300 mg | 645 | 19.500 | 0 | 12.577.500 |
| 100 | RSUD RA BASOENI | Kandesartan tab 16 mg | 420 | 48.000 | 0 | 20.160.000 |
| 101 | RSUD RA BASOENI | Risperidon tab 2 mg | 185 | 6.000 | 0 | 1.110.000 |
| 102 | RSUD RA BASOENI | Spironolakton tab 100 mg | 646 | 1.000 | 0 | 646.000 |
| 103 | RSUD RA BASOENI | Valproat tab lepas lambat 500 mg | 2.800 | 1.000 | 0 | 2.800.000 |
| 104 | RSUD RA BASOENI | Propiltiourasil tab 100 mg | 410 | 1.000 | 0 | 410.000 |
| 105 | RSUD RA BASOENI | Salbutamol MDI/aerosol 100 mcg/dosis | 28.461 | 50 | 0 | 1.423.050 |
| 106 | RSUD RA BASOENI | Klopidogrel tab 75 mg | 715 | 15.000 | 0 | 10.725.000 |
| 107 | RSUD RA BASOENI | Timolol tts mata 0,5% | 12.100 | 150 | 0 | 1.815.000 |
| 108 | RSUD RA BASOENI | Setirizin tab 10 mg | 72 | 2.000 | 0 | 144.000 |
| 109 | RSUD RA BASOENI | Ranitidin tab 150 mg | 149 | 1.000 | 0 | 149.000 |
| 110 | RSUD RA BASOENI | Simvastatin tab 20 mg | 172 | 10.000 | 0 | 1.720.000 |
| 111 | RSUD RA BASOENI | Valproat tab salut enterik 250 mg | 888 | 7.500 | 0 | 6.660.000 |
| 112 | RSUD RA BASOENI | Lansoprazol kaps 30 mg | 384 | 15.000 | 0 | 5.760.000 |
| 113 | RSUD RA BASOENI | Metformin tab 500 mg | 162 | 15.000 | 0 | 2.430.000 |
| 114 | RSUD RA BASOENI | Kodein tab 10 mg | 600 | 5.000 | 0 | 3.000.000 |
| 115 | RSUD RA BASOENI | Kalium klorida tab lepas lambat 600 mg | 1.962 | 5.000 | 0 | 9.810.000 |
| 116 | RSUD RA BASOENI | Indakaterol serb ih 300 mcg | 12.836 | 300 | 0 | 3.850.800 |
| 117 | RSUD RA BASOENI | Terbutalin tab 2,5 mg | 156 | 1.000 | 0 | 156.000 |
| 118 | RSUD RA BASOENI | Asam folat tab 1 mg | 60 | 1.000 | 0 | 60.000 |
| 119 | RSUD PROF DR SOEKANDAR | Alopurinol tab 100 mg | 155 | 9.000 | 0 | 1.395.000 |
| 120 | RSUD PROF DR SOEKANDAR | Alopurinol tab 300 mg | 360 | 10.000 | 0 | 3.600.000 |
| 121 | RSUD PROF DR SOEKANDAR | Glimepirid tab 4 mg | 308 | 4.000 | 0 | 1.232.000 |
| 122 | RSUD PROF DR SOEKANDAR | Glimepirid tab 3 mg | 285 | 63.000 | 0 | 17.955.000 |
| 123 | RSUD PROF DR SOEKANDAR | Asam mefenamat tab 500 mg | 155 | 45.000 | 0 | 6.975.000 |
| 124 | RSUD PROF DR SOEKANDAR | Bisoprolol tab 5 mg | 200 | 38.500 | 0 | 7.700.000 |
| 125 | RSUD PROF DR SOEKANDAR | Fenofibrat kaps 100 mg | 504 | 15.000 | 0 | 7.560.000 |
| 126 | RSUD PROF DR SOEKANDAR | Gabapentin kaps 300 mg | 645 | 40.000 | 0 | 25.800.000 |
| 127 | RSUD PROF DR SOEKANDAR | Lansoprazol kaps 30 mg | 384 | 40.000 | 0 | 15.360.000 |
| 128 | RSUD PROF DR SOEKANDAR | Loratadin tab 10 mg | 115 | 7.000 | 0 | 805.000 |
| 129 | RSUD PROF DR SOEKANDAR | Metilprednisolon tab 4 mg | 160 | 70.000 | 0 | 11.200.000 |
| 130 | RSUD PROF DR SOEKANDAR | Kandesartan tab 16 mg | 420 | 102.000 | 0 | 42.840.000 |
| 131 | RSUD PROF DR SOEKANDAR | Metformin tab 500 mg | 162 | 131.000 | 0 | 21.222.000 |
| 132 | RSUD PROF DR SOEKANDAR | Valproat tab salut enterik 250 mg | 888 | 20.000 | 0 | 17.760.000 |
| 133 | RSUD PROF DR SOEKANDAR | Ivabradin tab 5 mg | 9.610 | 616 | 0 | 5.919.760 |
| 134 | RSUD PROF DR SOEKANDAR | Amiodaron tab 200 mg | 1.543 | 2.000 | 0 | 3.086.000 |
| 135 | RSUD PROF DR SOEKANDAR | Metildopa tab 250 mg | 1.832 | 10.000 | 0 | 18.320.000 |
| 136 | RSUD PROF DR SOEKANDAR | Diltiazem kaps lepas lambat 100 mg | 5.059 | 6.000 | 0 | 30.354.000 |
| 137 | RSUD PROF DR SOEKANDAR | Diltiazem kaps lepas lambat 200 mg | 5.485 | 7.000 | 0 | 38.395.000 |
| 138 | RSUD PROF DR SOEKANDAR | Metotreksat tab 2,5 mg | 1.500 | 6.000 | 0 | 9.000.000 |
| 139 | RSUD PROF DR SOEKANDAR | Ranitidin tab 150 mg | 149 | 12.000 | 0 | 1.788.000 |
| 140 | RSUD PROF DR SOEKANDAR | Simvastatin tab 10 mg | 105 | 5.000 | 0 | 525.000 |
| 141 | RSUD PROF DR SOEKANDAR | Valsartan tab 80 mg | 397 | 37.050 | 0 | 14.708.850 |
| 142 | RSUD PROF DR SOEKANDAR | Kandesartan tab 16 mg | 420 | 102.000 | 0 | 42.840.000 |
| 143 | RSUD RA BASOENI | Setirizin tab 10 mg | 72 | 2.000 | 0 | 144.000 |
| 144 | RSUD RA BASOENI | Simvastatin tab 20 mg | 172 | 10.000 | 0 | 1.720.000 |
| 145 | RSUD PROF DR SOEKANDAR | Kombinasi KDT/FDC mengandung a. Benserazid 25 mg b. Levodopa 100 mg tab | 1.330 | 6.000 | 0 | 7.980.000 |
| 146 | RSUD PROF DR SOEKANDAR | Olanzapin tab sal selaput 5 mg | 719 | 3.510 | 0 | 2.523.690 |
| 147 | RSUD PROF DR SOEKANDAR | Pioglitazon tab 30 mg | 747 | 22.500 | 0 | 16.807.500 |
| 148 | RSUD PROF DR SOEKANDAR | Propiltiourasil tab 100 mg | 410 | 7.500 | 0 | 3.075.000 |
| 149 | RSUD PROF DR SOEKANDAR | Risperidon tab 2 mg | 185 | 35.000 | 0 | 6.475.000 |
| 150 | RSUD PROF DR SOEKANDAR | Risperidon tab 3 mg | 324 | 2.500 | 0 | 810.000 |
| 151 | RSUD PROF DR SOEKANDAR | Nifedipin tab 10 mg | 144 | 4.500 | 0 | 648.000 |
| 152 | RSUD PROF DR SOEKANDAR | Ramipril tab 5 mg | 155 | 7.000 | 0 | 1.085.000 |
| 153 | RSUD PROF DR SOEKANDAR | Valsartan tab 160 mg | 718 | 25.050 | 0 | 17.985.900 |
| 154 | RSUD RA BASOENI | Valproat tab lepas lambat 250 mg | 1.950 | 7.500 | 0 | 14.625.000 |
| 155 | RSUD RA BASOENI | Ranitidin tab 150 mg | 149 | 1.000 | 0 | 149.000 |
| 156 | RSUD PROF DR SOEKANDAR | Kombinasi KDT/FDC mengandung: Salmeterol 50 mcg dan Flutikason Propionat 100 mcg serb ih | 119.131 | 12 | 0 | 1.429.572 |
| 157 | RSUD PROF DR SOEKANDAR | Kombinasi KDT/FDC, setiap mL mengandung: Salmeterol 50 mcg dan Flutikason propionat 250 mcg ih 250 mcg puff | 132.693 | 20 | 0 | 2.653.860 |
| 158 | RSUD PROF DR SOEKANDAR | Levetirasetam tab 500 mg | 3.762 | 1.200 | 0 | 4.514.400 |
| 159 | RSUD PROF DR SOEKANDAR | Sertralin tab sal 50 mg | 1.332 | 3.000 | 0 | 3.996.000 |
| 160 | RSUD PROF DR SOEKANDAR | Sulfasalazin kapl sal enterik 500 mg | 3.541 | 3.600 | 0 | 12.747.600 |
| 161 | RSUD PROF DR SOEKANDAR | Kombinasi KDT/FDC setiap dosis mengandung Budesonid 160 mcg/Formoterol 4,5 mcg Ih 60 dosis, Turbuhaler | 144.402 | 130 | 0 | 18.772.260 |
| 162 | RSUD PROF DR SOEKANDAR | Kombinasi KDT/FDC setiap dosis mengandung Budesonid 80 mcg/Formoterol 4,5 mcg Ih 60 dosis , Turbuhaler | 144.402 | 10 | 0 | 1.444.020 |
| 163 | RSUD PROF DR SOEKANDAR | Bikalutamid tab sal 150 mg | 32.281 | 84 | 0 | 2.711.604 |
| 164 | RSUD PROF DR SOEKANDAR | Asam folat tab 1 mg | 60 | 10.000 | 0 | 600.000 |
| 165 | RSUD PROF DR SOEKANDAR | Piridoksin (vitamin B6) tab 10 mg* | 64 | 12.000 | 0 | 768.000 |
| 166 | RSUD PROF DR SOEKANDAR | Kombinasi KDT/FDC mengandung: a. Fe sulfat/ Fe fumarat/ Fe glukonat (setara dengan 60 mg Fe elemental) b. asam folat 0,4 mg tab sal | 176 | 60.000 | 0 | 10.560.000 |
| 167 | RSUD PROF DR SOEKANDAR | Karvedilol tab 6,25 mg | 1.110 | 15.000 | 0 | 16.650.000 |
| 168 | RSUD PROF DR SOEKANDAR | Tamoksifen tab 10 mg | 2.225 | 25.200 | 0 | 56.070.000 |
| 169 | RSUD PROF DR SOEKANDAR | Metformin tab 500 mg | 162 | 131.000 | 0 | 21.222.000 |
| 170 | RSUD PROF DR SOEKANDAR | Valproat tab salut enterik 250 mg | 888 | 20.000 | 0 | 17.760.000 |
| 171 | RSUD PROF DR SOEKANDAR | Beraprost Sodium tab 20 mcg | 3.164 | 3.000 | 0 | 9.492.000 |
| 172 | RSUD PROF DR SOEKANDAR | Tenofovir Tab Sal Selaput 300 mg | 2.189 | 1.200 | 0 | 2.626.800 |
| 173 | RSUD PROF DR SOEKANDAR | Tiamazol Tab 5 mg | 555 | 9.000 | 0 | 4.995.000 |
| 174 | RSUD PROF DR SOEKANDAR | Kalsitriol Kaps Lunak 0,25 mcg | 1.332 | 10.020 | 0 | 13.346.640 |
| 175 | RSUD PROF DR SOEKANDAR | Tiamazol Tab 10 mg | 888 | 6.000 | 0 | 5.328.000 |
| 176 | RSUD PROF DR SOEKANDAR | Asetazolamid tab 250 mg | 3.355 | 600 | 0 | 2.013.000 |
| 177 | RSUD PROF DR SOEKANDAR | Kalsium folinat (leucovorin, Ca) inj 10 mg/mL | 22.220 | 50 | 0 | 1.111.000 |
| 178 | RSUD RA BASOENI | Alopurinol tab 300 mg | 360 | 1.800 | 0 | 648.000 |
| 179 | RSUD RA BASOENI | Klozapin tab 100 mg | 990 | 1.000 | 0 | 990.000 |
| 180 | RSUD RA BASOENI | Kombinasi KDT/FDC setiap dosis mengandung Budesonid 160 mcg/Formoterol 4,5 mcg ih 120 dosis, Rapihaler | 221.500 | 50 | 0 | 11.075.000 |
| 181 | RSUD RA BASOENI | Kombinasi KDT/FDC setiap dosis mengandung Budesonid 160 mcg/Formoterol 4,5 mcg Ih 120 dosis, Turbuhaler | 166.840 | 100 | 0 | 16.684.000 |
| 182 | RSUD PROF DR SOEKANDAR | Fluorourasil inj 50 mg/mL | 19.200 | 250 | 0 | 4.800.000 |
| 183 | RSUD PROF DR SOEKANDAR | Sisplatin inj 1 mg/mL, Vial 10 mg | 22.584 | 120 | 0 | 2.710.080 |
| 184 | RSUD PROF DR SOEKANDAR | Sisplatin inj 1 mg/mL, Vial 50 mg | 86.162 | 60 | 0 | 5.169.720 |
| 185 | RSUD PROF DR SOEKANDAR | Letrozol tab 2,5 mg | 1.568 | 7.500 | 0 | 11.760.000 |
| 186 | RSUD PROF DR SOEKANDAR | Anastrozol tab 1 mg | 2.642 | 900 | 0 | 2.377.800 |
| 187 | RSUD PROF DR SOEKANDAR | Kapesitabin tab sal 500 mg | 5.445 | 1.800 | 0 | 9.801.000 |
| 188 | RSUD PROF DR SOEKANDAR | Siklofosfamid inj 1.000 mg (i.v.) | 181.000 | 200 | 0 | 36.200.000 |
| 189 | RSUD PROF DR SOEKANDAR | Tikagrelor tab 90 mg | 8.325 | 1.080 | 0 | 8.991.000 |
| 190 | RSUD PROF DR SOEKANDAR | Antasida tab kunyah | 90 | 3.000 | 0 | 270.000 |
| 191 | RSUD PROF DR SOEKANDAR | Klozapin tab 100 mg | 990 | 4.000 | 0 | 3.960.000 |
| 192 | RSUD PROF DR SOEKANDAR | Flufenazin dekanoat inj 25 mg/mL (i.m.) | 67.950 | 60 | 0 | 4.077.000 |
| 193 | RSUD PROF DR SOEKANDAR | Trifluoperazin tab sal selaput 5 mg | 234 | 28.000 | 0 | 6.552.000 |
| 194 | RSUD PROF DR SOEKANDAR | Triheksifenidil tab 2 mg | 119 | 140.000 | 0 | 16.660.000 |
| 195 | RSUD PROF DR SOEKANDAR | Alprazolam tab 0,5 mg | 150 | 32.000 | 0 | 4.800.000 |
| 196 | RSUD PROF DR SOEKANDAR | Alprazolam tab 1 mg | 190 | 4.000 | 0 | 760.000 |
| 197 | RSUD PROF DR SOEKANDAR | Donepezil Tab Sal Selaput 5 mg | 1.553 | 600 | 0 | 931.800 |
| 198 | PUSKESMAS SOOKO | Antasida tab kunyah | 90 | 20.000 | 0 | 1.800.000 |
| 199 | PUSKESMAS SOOKO | Kalsium laktat (kalk) tab 500 mg* | 84 | 30.000 | 0 | 2.520.000 |
| 200 | RSUD PROF DR SOEKANDAR | Hidroklorotiazid tab 25 mg | 148 | 30.000 | 0 | 4.440.000 |
| 201 | RSUD PROF DR SOEKANDAR | Gliseril trinitrat kaps lepas lambat 5 mg | 2.530 | 20.000 | 0 | 50.600.000 |
| 202 | RSUD PROF DR SOEKANDAR | Gliseril trinitrat kaps lepas lambat 2,5 mg | 1.655 | 60.000 | 0 | 99.300.000 |
| 203 | PUSKESMAS SOOKO | Natrium diklofenak tab sal enterik 50 mg | 110 | 25.000 | 0 | 2.750.000 |
| 204 | PUSKESMAS SOOKO | Ranitidin tab 150 mg | 149 | 1.700 | 0 | 253.300 |
| 205 | PUSKESMAS SOOKO | Parasetamol tab 500 mg | 100 | 100.000 | 0 | 10.000.000 |
| 206 | DINAS KESEHATAN | Deksametason tab 0,5 mg | 60 | 200.000 | 0 | 12.000.000 |
| 207 | DINAS KESEHATAN | Prednison tab 5 mg | 92 | 100.000 | 0 | 9.200.000 |
| 208 | DINAS KESEHATAN | Ranitidin tab 150 mg | 149 | 150.000 | 0 | 22.350.000 |
| 209 | DINAS KESEHATAN | Asam folat tab 0,4 mg | 49 | 30.000 | 0 | 1.470.000 |
| 210 | DINAS KESEHATAN | Kalsium laktat (kalk) tab 500 mg | 84 | 600.000 | 0 | 50.400.000 |
| 211 | DINAS KESEHATAN | Sianokobalamin (vitamin B12) tab 50 mcg | 45 | 40.000 | 0 | 1.800.000 |
| 212 | DINAS KESEHATAN | Piridoksin (vitamin B6) tab 10 mg | 64 | 50.000 | 0 | 3.200.000 |
| 213 | DINAS KESEHATAN | Kodein tab 10 mg | 600 | 30.000 | 0 | 18.000.000 |
| 214 | DINAS KESEHATAN | Fenobarbital tab 30 mg | 182 | 4.000 | 0 | 728.000 |
| 215 | DINAS KESEHATAN | Salbutamol tab 2 mg | 62 | 30.000 | 0 | 1.860.000 |
| 216 | DINAS KESEHATAN | Tiamin (Vitamin B1) tab 50 mg* | 78 | 200.000 | 0 | 15.600.000 |
| 217 | DINAS KESEHATAN | Vitamin B kompleks mengandung: a. Vitamin B1 b. Vitamin B6 c. Vitamin B12 tab | 60 | 100.000 | 0 | 6.000.000 |
| 218 | PUSKESMAS KEMLAGI | Asam mefenamat tab 500 mg | 155 | 30.000 | 0 | 4.650.000 |
| 219 | RSUD PROF DR SOEKANDAR | Simvastatin tab 20 mg | 172 | 25.000 | 0 | 4.300.000 |
| 220 | RSUD PROF DR SOEKANDAR | Setirizin tab 10 mg | 72 | 30.000 | 0 | 2.160.000 |
| 221 | RSUD PROF DR SOEKANDAR | Paklitaksel inj 6 mg/mL, Vial 16,7 mL | 136.500 | 50 | 0 | 6.825.000 |
| 222 | RSUD PROF DR SOEKANDAR | Bisoprolol tab 1,25 mg | 2.029 | 15.000 | 0 | 30.435.000 |
| 223 | RSUD PROF DR SOEKANDAR | Kalium klorida tab lepas lambat 600 mg | 1.962 | 7.500 | 0 | 14.715.000 |
| 224 | RSUD PROF DR SOEKANDAR | Olanzapin tab sal selaput 10 mg | 3.600 | 6.000 | 0 | 21.600.000 |
| 225 | RSUD PROF DR SOEKANDAR | Propranolol tab 10 mg | 58 | 10.000 | 0 | 580.000 |
| 226 | RSUD PROF DR SOEKANDAR | Propranolol tab 40 mg | 120 | 3.000 | 0 | 360.000 |
| 227 | RSUD PROF DR SOEKANDAR | Salbutamol tab 2 mg | 62 | 30.000 | 0 | 1.860.000 |
| 228 | RSUD PROF DR SOEKANDAR | Vitamin B kompleks mengandung: a. Vitamin B1 b. Vitamin B6 c. Vitamin B12 tab | 60 | 30.000 | 0 | 1.800.000 |
| 229 | RSUD PROF DR SOEKANDAR | Tiamin (Vitamin B1) tab 50 mg* | 78 | 600 | 0 | 46.800 |
| 230 | RSUD PROF DR SOEKANDAR | Vinkristin inj 1 mg/mL, Vial 2 mL | 92.875 | 5 | 0 | 464.375 |
| 231 | RSUD PROF DR SOEKANDAR | Goserelin asetat inj 3,6 mg/depot | 1.052.590 | 50 | 0 | 52.629.500 |
| 232 | RSUD PROF DR SOEKANDAR | Tamsulosin Tab Lepas Lambat 0,4 mg | 2.800 | 36.000 | 0 | 100.800.000 |
| 233 | RSUD PROF DR SOEKANDAR | Klobazam tab 10 mg | 409 | 30.000 | 0 | 12.270.000 |
| 234 | RSUD PROF DR SOEKANDAR | Klopidogrel tab 75 mg | 644 | 75.000 | 0 | 48.300.000 |
| 235 | RSUD PROF DR SOEKANDAR | Eksemestan tab sal 25 mg | 35.964 | 600 | 0 | 21.578.400 |
| 236 | RSUD RA BASOENI | Akarbose tab 100 mg | 848 | 15.000 | 0 | 12.720.000 |
| 237 | RSUD RA BASOENI | Gliseril trinitrat kaps lepas lambat 5 mg | 2.530 | 10.000 | 0 | 25.300.000 |
| 238 | RSUD RA BASOENI | Bisoprolol tab 5 mg | 200 | 15.000 | 0 | 3.000.000 |
| 239 | RSUD RA BASOENI | Gliseril trinitrat kaps lepas lambat 2,5 mg | 1.655 | 10.000 | 0 | 16.550.000 |
| 240 | RSUD RA BASOENI | Kodein tab 10 mg | 600 | 8.000 | 0 | 4.800.000 |
| 241 | RSUD RA BASOENI | Hidroklorotiazid tab 25 mg | 148 | 10.000 | 0 | 1.480.000 |
| 242 | RSUD RA BASOENI | Kombinasi KDT/FDC setiap dosis mengandung Budesonid 160 mcg/Formoterol 4,5 mcg ih 120 dosis, Rapihaler | 221.500 | 60 | 0 | 13.290.000 |
| 243 | RSUD RA BASOENI | Kombinasi KDT/FDC setiap dosis mengandung Budesonid 160 mcg/Formoterol 4,5 mcg Ih 120 dosis, Turbuhaler | 166.840 | 100 | 0 | 16.684.000 |
| 244 | RSUD RA BASOENI | Indakaterol serb ih 300 mcg | 12.836 | 150 | 0 | 1.925.400 |
| 245 | RSUD RA BASOENI | Simvastatin tab 20 mg | 172 | 10.000 | 0 | 1.720.000 |
| 246 | RSUD RA BASOENI | Ibuprofen tab 400 mg | 189 | 1.500 | 0 | 283.500 |
| 247 | RSUD RA BASOENI | Triheksifenidil tab 2 mg | 119 | 20.000 | 0 | 2.380.000 |
| 248 | RSUD RA BASOENI | Parasetamol tab 500 mg | 100 | 10.000 | 0 | 1.000.000 |
| 249 | RSUD RA BASOENI | Trifluoperazin tab sal selaput 5 mg | 234 | 5.000 | 0 | 1.170.000 |
| 250 | RSUD RA BASOENI | Haloperidol tab 5 mg | 190 | 1.000 | 0 | 190.000 |
| 251 | RSUD RA BASOENI | Alopurinol tab 300 mg | 360 | 3.000 | 0 | 1.080.000 |
| 252 | RSUD RA BASOENI | Bisoprolol tab 2,5 mg | 124 | 30.000 | 0 | 3.720.000 |
| 253 | RSUD RA BASOENI | Klozapin tab 100 mg | 990 | 1.000 | 0 | 990.000 |
| 254 | RSUD RA BASOENI | Klozapin tab 25 mg | 450 | 2.000 | 0 | 900.000 |
| 255 | RSUD RA BASOENI | Diltiazem tab 30 mg | 137 | 20.000 | 0 | 2.740.000 |
| 256 | RSUD RA BASOENI | Glimepirid tab 2 mg | 175 | 4.000 | 0 | 700.000 |
| 257 | RSUD RA BASOENI | Glimepirid tab 4 mg | 308 | 4.000 | 0 | 1.232.000 |
| 258 | RSUD RA BASOENI | N-asetil sistein kaps 200 mg | 320 | 1.000 | 0 | 320.000 |
| 259 | RSUD RA BASOENI | Kandesartan tab 8 mg | 285 | 18.000 | 0 | 5.130.000 |
| 260 | RSUD RA BASOENI | Pioglitazon tab 30 mg | 747 | 9.000 | 0 | 6.723.000 |
| 261 | RSUD RA BASOENI | Salbutamol MDI/aerosol 100 mcg/dosis | 28.461 | 50 | 0 | 1.423.050 |
| 262 | RSUD RA BASOENI | Lisinopril tab 10 mg | 270 | 200 | 0 | 54.000 |
| 263 | RSUD PROF DR SOEKANDAR | Parasetamol tab 500 mg | 100 | 40.000 | 0 | 4.000.000 |
| 264 | RSUD PROF DR SOEKANDAR | Leuprorelin asetat serb inj 3,75 mg | 720.000 | 2 | 0 | 1.440.000 |
| 265 | PUSKESMAS KEMLAGI | Omeprazol kaps 20 mg | 215 | 9.000 | 0 | 1.935.000 |
| 266 | PUSKESMAS KEMLAGI | Prednison tab 5 mg | 92 | 10.000 | 0 | 920.000 |
| 267 | PUSKESMAS SOOKO | Kodein tab 10 mg | 600 | 500 | 0 | 300.000 |
| 268 | PUSKESMAS SOOKO | Vitamin B kompleks mengandung: a. Vitamin B1 b. Vitamin B6 c. Vitamin B12 tab | 60 | 20.000 | 0 | 1.200.000 |
| 269 | PUSKESMAS SOOKO | Antasida tab kunyah | 90 | 17.000 | 0 | 1.530.000 |
| 270 | RSUD RA BASOENI | Triheksifenidil tab 2 mg | 119 | 20.000 | 0 | 2.380.000 |
| 271 | RSUD RA BASOENI | Trifluoperazin tab sal selaput 5 mg | 234 | 5.000 | 0 | 1.170.000 |
| 272 | RSUD RA BASOENI | Akarbose tab 100 mg | 848 | 15.000 | 0 | 12.720.000 |
| 273 | RSUD RA BASOENI | Bisoprolol tab 5 mg | 200 | 9.900 | 0 | 1.980.000 |
| 274 | RSUD PROF DR SOEKANDAR | Risedronat tab sal selaput 35 mg | 29.645 | 360 | 0 | 10.672.200 |
| 275 | RSUD PROF DR SOEKANDAR | Pregabalin kaps 75 mg | 1.013 | 10.020 | 0 | 10.150.260 |
| 276 | RSUD PROF DR SOEKANDAR | Vildagliptin tab 50 mg | 1.754 | 300 | 0 | 526.200 |
| 277 | RSUD PROF DR SOEKANDAR | Eksemestan tab sal 25 mg | 35.964 | 600 | 0 | 21.578.400 |
| 278 | RSUD RA BASOENI | Kombinasi KDT/FDC, setiap mL mengandung: Salmeterol 50 mcg dan Flutikason propionat 250 mcg ih 250 mcg puff | 132.693 | 20 | 0 | 2.653.860 |
| 279 | RSUD RA BASOENI | Kombinasi KDT/FDC mengandung: Salmeterol 50 mcg dan Flutikason Propionat 500 mcg serb ih | 146.442 | 5 | 0 | 732.210 |
| 280 | RSUD RA BASOENI | Kombinasi KDT/FDC mengandung a. Benserazid 25 mg b. Levodopa 100 mg tab | 1.330 | 10.000 | 0 | 13.300.000 |
| 281 | RSUD RA BASOENI | Piridostigmin tab 60 mg | 8.240 | 600 | 0 | 4.944.000 |
| 282 | RSUD RA BASOENI | Indakaterol serb ih 300 mcg | 12.836 | 300 | 0 | 3.850.800 |
| 283 | RSUD RA BASOENI | Asam folat tab 1 mg | 60 | 1.000 | 0 | 60.000 |
| 284 | RSUD RA BASOENI | Piridoksin (vitamin B6) tab 10 mg* | 64 | 5.000 | 0 | 320.000 |
| 285 | RSUD RA BASOENI | Ivabradin tab 5 mg | 9.610 | 560 | 0 | 5.381.600 |
| 286 | RSUD RA BASOENI | Metildopa tab 250 mg | 1.832 | 500 | 0 | 916.000 |
| 287 | RSUD RA BASOENI | Kandesartan tab 16 mg | 420 | 21.000 | 0 | 8.820.000 |
| 288 | RSUD RA BASOENI | Glimepirid tab 2 mg | 175 | 5.000 | 0 | 875.000 |
| 289 | RSUD RA BASOENI | Metformin tab 500 mg | 162 | 10.000 | 0 | 1.620.000 |
| 290 | RSUD RA BASOENI | Ranitidin tab 150 mg | 149 | 1.000 | 0 | 149.000 |
| 291 | RSUD RA BASOENI | Alprazolam tab 0,5 mg | 150 | 10.000 | 0 | 1.500.000 |
| 292 | RSUD RA BASOENI | Asam mefenamat tab 500 mg | 155 | 60.000 | 0 | 9.300.000 |
| 293 | RSUD RA BASOENI | Haloperidol tab 5 mg | 190 | 2.000 | 0 | 380.000 |
| 294 | RSUD RA BASOENI | Trifluoperazin tab sal selaput 5 mg | 234 | 7.000 | 0 | 1.638.000 |
| 295 | RSUD RA BASOENI | Triheksifenidil tab 2 mg | 119 | 15.000 | 0 | 1.785.000 |
| 296 | RSUD RA BASOENI | Klobazam tab 10 mg | 409 | 5.000 | 0 | 2.045.000 |
| 297 | RSUD RA BASOENI | Klozapin tab 100 mg | 990 | 2.500 | 0 | 2.475.000 |
| 298 | RSUD RA BASOENI | Klozapin tab 25 mg | 450 | 2.500 | 0 | 1.125.000 |
| 299 | RSUD RA BASOENI | Glimepirid tab 4 mg | 308 | 5.000 | 0 | 1.540.000 |
| 300 | RSUD RA BASOENI | Metilprednisolon tab 4 mg | 160 | 10.000 | 0 | 1.600.000 |
| 301 | RSUD RA BASOENI | Natrium diklofenak tab sal enterik 50 mg | 110 | 5.000 | 0 | 550.000 |
| 302 | RSUD RA BASOENI | Pioglitazon tab 30 mg | 747 | 19.500 | 0 | 14.566.500 |
| 303 | RSUD RA BASOENI | Spironolakton tab 25 mg | 250 | 20.000 | 0 | 5.000.000 |
| 304 | RSUD RA BASOENI | Propiltiourasil tab 100 mg | 410 | 500 | 0 | 205.000 |
| 305 | RSUD RA BASOENI | Aripiprazol tab dispersible 10 mg | 13.675 | 1.200 | 0 | 16.410.000 |
| 306 | RSUD RA BASOENI | Risperidon tab 2 mg | 185 | 5.000 | 0 | 925.000 |
| 307 | RSUD RA BASOENI | Klobazam tab 10 mg | 409 | 10.000 | 0 | 4.090.000 |
| 308 | RSUD RA BASOENI | Haloperidol tab 5 mg | 190 | 3.000 | 0 | 570.000 |
| 309 | RSUD PROF DR SOEKANDAR | Kodein tab 10 mg | 600 | 10.000 | 0 | 6.000.000 |
| 310 | RSUD PROF DR SOEKANDAR | Morfin tab 10 mg | 1.199 | 1.020 | 0 | 1.222.980 |
| 311 | RSUD PROF DR SOEKANDAR | Lisinopril tab 10 mg | 270 | 6.000 | 0 | 1.620.000 |
| 312 | RSUD PROF DR SOEKANDAR | Lorazepam tab 2 mg | 1.100 | 12.000 | 0 | 13.200.000 |
| 313 | PUSKESMAS DAWARBLANDONG | ANTASIDA TABLET KUNYAH | 90 | 50.000 | 0 | 4.500.000 |
| 314 | PUSKESMAS DAWARBLANDONG | Asam mefenamat tab 500 mg | 155 | 50.000 | 0 | 7.750.000 |
| 315 | PUSKESMAS DAWARBLANDONG | Parasetamol tab 500 mg | 100 | 100.000 | 0 | 10.000.000 |
| 316 | RSUD PROF DR SOEKANDAR | Kalsitriol Kaps Lunak 0,25 mcg | 1.332 | 10.020 | 0 | 13.346.640 |
| 317 | RSUD PROF DR SOEKANDAR | Eksemestan tab sal 25 mg | 35.964 | 1.200 | 0 | 43.156.800 |
| 318 | RSUD PROF DR SOEKANDAR | Mesna inj 100 mg/mL | 95.500 | 30 | 0 | 2.865.000 |
| 319 | RSUD PROF DR SOEKANDAR | Valsartan tab 80 mg | 397 | 37.020 | 0 | 14.696.940 |
| 320 | RSUD RA BASOENI | Kalium klorida tab lepas lambat 600 mg | 1.962 | 5.000 | 0 | 9.810.000 |
| 321 | RSUD RA BASOENI | Timolol tts mata 0,5% | 12.100 | 250 | 0 | 3.025.000 |
| 322 | RSUD RA BASOENI | Kombinasi KDT/FDC, setiap mL mengandung: Salmeterol 50 mcg dan Flutikason propionat 250 mcg ih 250 mcg puff | 132.693 | 40 | 0 | 5.307.720 |
| 323 | RSUD RA BASOENI | Alprazolam tab 0,5 mg | 150 | 17.500 | 0 | 2.625.000 |
| 324 | RSUD RA BASOENI | Klobazam tab 10 mg | 409 | 11.000 | 0 | 4.499.000 |
| 325 | RSUD RA BASOENI | Klopidogrel tab 75 mg | 715 | 9.000 | 0 | 6.435.000 |
| 326 | RSUD RA BASOENI | Gliseril trinitrat kaps lepas lambat 5 mg | 2.530 | 10.000 | 0 | 25.300.000 |
| 327 | RSUD RA BASOENI | Gliseril trinitrat kaps lepas lambat 2,5 mg | 1.655 | 10.000 | 0 | 16.550.000 |
| 328 | RSUD RA BASOENI | Gabapentin kaps 300 mg | 645 | 34.000 | 0 | 21.930.000 |
| 329 | RSUD RA BASOENI | Bisoprolol tab 2,5 mg | 124 | 82.000 | 0 | 10.168.000 |
| 330 | RSUD RA BASOENI | Kandesartan tab 16 mg | 420 | 91.500 | 0 | 38.430.000 |
| 331 | RSUD RA BASOENI | Valproat tab salut enterik 250 mg | 888 | 9.000 | 0 | 7.992.000 |
| 332 | RSUD RA BASOENI | Glimepirid tab 1 mg | 99 | 8.000 | 0 | 792.000 |
| 333 | RSUD RA BASOENI | Glimepirid tab 4 mg | 308 | 10.000 | 0 | 3.080.000 |
| 334 | RSUD RA BASOENI | Metformin tab 500 mg | 162 | 28.000 | 0 | 4.536.000 |
| 335 | RSUD RA BASOENI | Metilprednisolon tab 4 mg | 160 | 50.000 | 0 | 8.000.000 |
| 336 | RSUD RA BASOENI | N-asetil sistein kaps 200 mg | 320 | 5.000 | 0 | 1.600.000 |
| 337 | RSUD RA BASOENI | Kandesartan tab 8 mg | 285 | 42.000 | 0 | 11.970.000 |
| 338 | RSUD RA BASOENI | Pioglitazon tab 30 mg | 747 | 51.400 | 0 | 38.395.800 |
| 339 | RSUD RA BASOENI | Risperidon tab 2 mg | 185 | 15.000 | 0 | 2.775.000 |
| 340 | RSUD RA BASOENI | Spironolakton tab 25 mg | 250 | 44.000 | 0 | 11.000.000 |
| 341 | RSUD RA BASOENI | Spironolakton tab 100 mg | 646 | 500 | 0 | 323.000 |
| 342 | RSUD RA BASOENI | Natrium diklofenak tab sal enterik 50 mg | 110 | 10.000 | 0 | 1.100.000 |
| 343 | PUSKESMAS TROWULAN | Tiamin (Vitamin B1) tab 50 mg* | 78 | 15.000 | 0 | 1.170.000 |
| 344 | PUSKESMAS TROWULAN | Vitamin B kompleks mengandung: a. Vitamin B1 b. Vitamin B6 c. Vitamin B12 tab | 60 | 20.000 | 0 | 1.200.000 |
| 345 | PUSKESMAS TROWULAN | Alopurinol tab 100 mg | 155 | 10.000 | 0 | 1.550.000 |
| 346 | PUSKESMAS TROWULAN | Antasida tab kunyah | 90 | 10.000 | 0 | 900.000 |
| 347 | PUSKESMAS TROWULAN | Kalsium laktat (kalk) tab 500 mg* | 84 | 15.000 | 0 | 1.260.000 |
| 348 | RSUD RA BASOENI | Kombinasi KDT/FDC setiap dosis mengandung Budesonid 160 mcg/Formoterol 4,5 mcg Ih 120 dosis, Turbuhaler | 166.840 | 120 | 0 | 20.020.800 |
| 349 | RSUD RA BASOENI | Kombinasi KDT/FDC setiap dosis mengandung Budesonid 160 mcg/Formoterol 4,5 mcg ih 120 dosis, Rapihaler | 221.500 | 50 | 0 | 11.075.000 |
| 350 | PUSKESMAS MANDURO | Alopurinol tab 100 mg | 155 | 5.000 | 0 | 775.000 |
| 351 | PUSKESMAS MANDURO | Antasida tab kunyah | 90 | 20.000 | 0 | 1.800.000 |
| 352 | PUSKESMAS MANDURO | Kalsium laktat (kalk) tab 500 mg* | 84 | 20.000 | 0 | 1.680.000 |
| 353 | RSUD PROF DR SOEKANDAR | Omeprazol kaps 20 mg | 215 | 23.010 | 0 | 4.947.150 |
| 354 | RSUD RA BASOENI | Kombinasi KDT/FDC mengandung a. Benserazid 25 mg b. Levodopa 100 mg tab | 1.330 | 10.000 | 0 | 13.300.000 |
| 355 | RSUD PROF DR SOEKANDAR | Alopurinol tab 300 mg | 360 | 10.000 | 0 | 3.600.000 |
| 356 | RSUD PROF DR SOEKANDAR | Valproat sir 250 mg/5 ml | 12.210 | 125 | 0 | 1.526.250 |
| 357 | RSUD PROF DR SOEKANDAR | Goserelin asetat inj 3,6 mg/depot | 1.052.590 | 50 | 0 | 52.629.500 |
| 358 | PUSKESMAS DLANGGU | Asam folat tab 0,4 mg* | 49 | 10.000 | 0 | 490.000 |
| 359 | PUSKESMAS DLANGGU | Vitamin B kompleks mengandung: a. Vitamin B1 b. Vitamin B6 c. Vitamin B12 tab | 60 | 50.000 | 0 | 3.000.000 |
| 360 | PUSKESMAS DLANGGU | Piridoksin (vitamin B6) tab 10 mg* | 64 | 20.000 | 0 | 1.280.000 |
| 361 | PUSKESMAS BANGSAL | Kodein tab 10 mg | 600 | 500 | 0 | 300.000 |
| 362 | RSUD PROF DR SOEKANDAR | Kalsium laktat (kalk) tab 500 mg | 84 | 60.000 | 0 | 5.040.000 |
| 363 | RSUD PROF DR SOEKANDAR | Karboplatin inj 10 mg/mL, Vial 45 mL | 275.000 | 10 | 0 | 2.750.000 |
| 364 | RSUD PROF DR SOEKANDAR | Dosetaksel inj 80 mg | 661.189 | 5 | 0 | 3.305.945 |
| 365 | RSUD PROF DR SOEKANDAR | Dosetaksel inj 20 mg | 168.214 | 5 | 0 | 841.070 |
| 366 | RSUD PROF DR SOEKANDAR | Gemsitabin inj 200 mg | 87.628 | 50 | 0 | 4.381.400 |
| 367 | RSUD PROF DR SOEKANDAR | Kolkisin tab 500 mcg | 1.399 | 1.800 | 0 | 2.518.200 |
| 368 | RSUD PROF DR SOEKANDAR | Irinotekan inj 20 mg/mL, Vial 5 mL | 313.000 | 10 | 0 | 3.130.000 |
| 369 | RSUD PROF DR SOEKANDAR | Vinkristin inj 1 mg/mL, Vial 2 mL | 92.875 | 5 | 0 | 464.375 |
| 370 | RSUD PROF DR SOEKANDAR | Gliseril trinitrat kaps lepas lambat 5 mg | 2.530 | 20.000 | 0 | 50.600.000 |
| 371 | RSUD PROF DR SOEKANDAR | Pramipeksol tab lepas lambat 0,750 mg | 8.541 | 600 | 0 | 5.124.600 |
| 372 | RSUD PROF DR SOEKANDAR | Propranolol tab 40 mg | 120 | 3.000 | 0 | 360.000 |
| 373 | RSUD PROF DR SOEKANDAR | Risedronat tab sal selaput 35 mg | 29.645 | 200 | 0 | 5.929.000 |
| 374 | RSUD PROF DR SOEKANDAR | Risperidon tab 3 mg | 324 | 2.500 | 0 | 810.000 |
| 375 | RSUD PROF DR SOEKANDAR | Terazosin tab 1 mg | 580 | 600 | 0 | 348.000 |
| 376 | RSUD PROF DR SOEKANDAR | Epirubisin inj 2 mg/mL, ampul/vial 5 mL | 79.966 | 100 | 0 | 7.996.600 |
| 377 | RSUD PROF DR SOEKANDAR | Epirubisin inj 2 mg/mL, ampul/vial 25 mL | 395.195 | 50 | 0 | 19.759.750 |
| 378 | RSUD PROF DR SOEKANDAR | Paklitaksel inj 6 mg/mL, Vial 16,7 mL | 136.500 | 50 | 0 | 6.825.000 |
| 379 | RSUD PROF DR SOEKANDAR | Paklitaksel inj 6 mg/mL, Vial 5 mL | 108.000 | 50 | 0 | 5.400.000 |
| 380 | RSUD PROF DR SOEKANDAR | Vitamin B kompleks mengandung, a. Vitamin B1 b. Vitamin B6 c. Vitamin B12 tab | 60 | 30.000 | 0 | 1.800.000 |
| 381 | RSUD PROF DR SOEKANDAR | Tiamin (Vitamin B1) tab 50 mg* | 78 | 500 | 0 | 39.000 |
| 382 | RSUD PROF DR SOEKANDAR | Salbutamol tab 2 mg | 62 | 30.000 | 0 | 1.860.000 |
| 383 | RSUD PROF DR SOEKANDAR | Timolol tts mata 0,5% | 12.100 | 120 | 0 | 1.452.000 |
| 384 | RSUD PROF DR SOEKANDAR | Kalsium folinat (leucovorin, Ca) inj 10 mg/mL | 22.220 | 30 | 0 | 666.600 |
| 385 | PUSKESMAS DAWARBLANDONG | Kombinasi KDT/FDC mengandung: a. ipratropium bromida 0,5 mg b. salbutamol 2,5 mg cairan ih | 3.663 | 300 | 0 | 1.098.900 |
| 386 | RSUD PROF DR SOEKANDAR | Leuprorelin asetat serb inj 3,75 mg | 720.000 | 3 | 0 | 2.160.000 |
| 387 | RSUD RA BASOENI | Metildopa tab 250 mg | 1.832 | 500 | 0 | 916.000 |
| 388 | RSUD RA BASOENI | Kombinasi KDT/FDC mengandung a. Benserazid 25 mg b. Levodopa 100 mg tab | 1.330 | 10.000 | 0 | 13.300.000 |
| 389 | RSUD RA BASOENI | Trifluoperazin tab sal selaput 5 mg | 234 | 6.000 | 0 | 1.404.000 |
| 390 | RSUD RA BASOENI | Triheksifenidil tab 2 mg | 119 | 15.000 | 0 | 1.785.000 |
| 391 | RSUD RA BASOENI | Ivabradin tab 5 mg | 9.610 | 840 | 0 | 8.072.400 |
| 392 | RSUD RA BASOENI | Glimepirid tab 2 mg | 175 | 10.000 | 0 | 1.750.000 |
| 393 | RSUD RA BASOENI | Glimepirid tab 3 mg | 285 | 20.000 | 0 | 5.700.000 |
| 394 | RSUD RA BASOENI | Glimepirid tab 4 mg | 308 | 5.000 | 0 | 1.540.000 |
| 395 | RSUD RA BASOENI | Akarbose tab 100 mg | 848 | 20.000 | 0 | 16.960.000 |
| 396 | RSUD RA BASOENI | Bisoprolol tab 5 mg | 200 | 30.000 | 0 | 6.000.000 |
| 397 | RSUD RA BASOENI | Klopidogrel tab 75 mg | 715 | 21.000 | 0 | 15.015.000 |
| 398 | RSUD RA BASOENI | Kodein tab 10 mg | 600 | 5.000 | 0 | 3.000.000 |
| 399 | RSUD RA BASOENI | Klozapin tab 25 mg | 450 | 5.000 | 0 | 2.250.000 |
| 400 | RSUD RA BASOENI | Propiltiourasil tab 100 mg | 410 | 1.000 | 0 | 410.000 |
| 401 | PUSKESMAS KEMLAGI | Asam mefenamat tab 500 mg | 155 | 20.000 | 0 | 3.100.000 |
| 402 | PUSKESMAS SOOKO | Salbutamol tab 2 mg | 62 | 10.000 | 0 | 620.000 |
| 403 | PUSKESMAS LESPADANGAN | Antasida tab kunyah | 90 | 10.000 | 0 | 900.000 |
| 404 | PUSKESMAS LESPADANGAN | Vitamin B kompleks mengandung: a. Vitamin B1 b. Vitamin B6 c. Vitamin B12 tab | 60 | 10.000 | 0 | 600.000 |
| 405 | PUSKESMAS LESPADANGAN | Piridoksin (vitamin B6) tab 10 mg* | 64 | 5.000 | 0 | 320.000 |
| 406 | RSUD RA BASOENI | Akarbose tab 100 mg | 848 | 10.000 | 0 | 8.480.000 |
| 407 | RSUD RA BASOENI | Glimepirid tab 4 mg | 308 | 5.000 | 0 | 1.540.000 |
| 408 | RSUD RA BASOENI | Nifedipin tab 10 mg | 144 | 8.000 | 0 | 1.152.000 |
| 409 | RSUD RA BASOENI | Kombinasi KDT/FDC, setiap mL mengandung: Salmeterol 50 mcg dan Flutikason propionat 250 mcg ih 250 mcg puff | 132.693 | 20 | 0 | 2.653.860 |
| 410 | PUSKESMAS GONDANG | Vitamin B kompleks mengandung: a. Vitamin B1 b. Vitamin B6 c. Vitamin B12 tab | 60 | 10.000 | 0 | 600.000 |
| 411 | PUSKESMAS GONDANG | Alopurinol tab 100 mg | 155 | 4.000 | 0 | 620.000 |
| 412 | PUSKESMAS GONDANG | Alopurinol tab 300 mg | 360 | 500 | 0 | 180.000 |
| 413 | PUSKESMAS GONDANG | Antasida tab kunyah | 90 | 9.000 | 0 | 810.000 |
| 414 | PUSKESMAS GONDANG | Asam folat tab 0,4 mg* | 49 | 8.000 | 0 | 392.000 |
| 415 | PUSKESMAS GONDANG | Kalsium laktat (kalk) tab 500 mg* | 84 | 2.000 | 0 | 168.000 |
| 416 | PUSKESMAS GONDANG | Tiamin (Vitamin B1) tab 50 mg* | 78 | 20.000 | 0 | 1.560.000 |
| 417 | PUSKESMAS GONDANG | Piridoksin (vitamin B6) tab 10 mg* | 64 | 1.000 | 0 | 64.000 |
| 418 | PUSKESMAS GONDANG | Prednison tab 5 mg | 92 | 2.000 | 0 | 184.000 |
| 419 | PUSKESMAS GONDANG | Metilprednisolon tab 4 mg | 160 | 4.000 | 0 | 640.000 |
| 420 | PUSKESMAS GONDANG | Parasetamol tab 500 mg | 100 | 20.000 | 0 | 2.000.000 |
| 421 | PUSKESMAS GONDANG | Asam mefenamat tab 500 mg | 155 | 20.000 | 0 | 3.100.000 |
| 422 | RSUD RA BASOENI | Trifluoperazin tab sal selaput 5 mg | 234 | 6.000 | 0 | 1.404.000 |
| 423 | RSUD RA BASOENI | Triheksifenidil tab 2 mg | 119 | 15.000 | 0 | 1.785.000 |
| 424 | PUSKESMAS GONDANG | Kodein tab 10 mg | 600 | 3.000 | 0 | 1.800.000 |
| 425 | RSUD PROF DR SOEKANDAR | Alopurinol tab 100 mg | 155 | 9.000 | 0 | 1.395.000 |
| 426 | RSUD PROF DR SOEKANDAR | Bisoprolol tab 5 mg | 200 | 38.500 | 0 | 7.700.000 |
| 427 | RSUD PROF DR SOEKANDAR | Ranitidin tab 150 mg | 149 | 12.000 | 0 | 1.788.000 |
| 428 | RSUD PROF DR SOEKANDAR | Sisplatin inj 1 mg/mL, Vial 50 mg | 95.735 | 40 | 0 | 3.829.400 |
| 429 | RSUD PROF DR SOEKANDAR | Epirubisin inj 2 mg/mL, Vial 5 mL | 79.000 | 100 | 0 | 7.900.000 |
| 430 | RSUD PROF DR SOEKANDAR | Epirubisin inj 2 mg/mL, Vial 25 mL | 395.000 | 50 | 0 | 19.750.000 |
| 431 | RSUD PROF DR SOEKANDAR | Diazepam tab 2 mg | 127 | 6.000 | 0 | 762.000 |
| 432 | RSUD PROF DR SOEKANDAR | Gemsitabin inj 1.000 mg | 289.983 | 20 | 0 | 5.799.660 |
| 433 | RSUD PROF DR SOEKANDAR | Asetazolamid tab 250 mg | 3.355 | 600 | 0 | 2.013.000 |
| 434 | RSUD PROF DR SOEKANDAR | Vinkristin inj 1 mg/mL, Vial 2 mL | 92.875 | 5 | 0 | 464.375 |
| 435 | RSUD PROF DR SOEKANDAR | Indakaterol serb ih 150 mcg | 12.836 | 900 | 0 | 11.552.400 |
| 436 | RSUD PROF DR SOEKANDAR | Sulfasalazin kapl sal enterik 500 mg | 3.541 | 3.000 | 0 | 10.623.000 |
| 437 | RSUD PROF DR SOEKANDAR | Tenofovir Tab Sal Selaput 300 mg | 2.189 | 1.200 | 0 | 2.626.800 |
| 438 | PUSKESMAS GONDANG | Karbamazepin tab 200 mg | 625 | 700 | 0 | 437.500 |
| 439 | RSUD PROF DR SOEKANDAR | Risedronat tab sal selaput 35 mg | 29.645 | 200 | 0 | 5.929.000 |
| 440 | RSUD PROF DR SOEKANDAR | Paklitaksel inj 6 mg/mL, Vial 5 mL | 108.000 | 100 | 0 | 10.800.000 |
| 441 | RSUD PROF DR SOEKANDAR | Paklitaksel inj 6 mg/mL, Vial 16,7 mL | 136.000 | 100 | 0 | 13.600.000 |
| 442 | RSUD PROF DR SOEKANDAR | Gabapentin kaps 100 mg | 750 | 15.000 | 0 | 11.250.000 |
| 443 | RSUD PROF DR SOEKANDAR | Bisoprolol tab 1,25 mg | 2.029 | 10.000 | 0 | 20.290.000 |
| Total | 3.280.541.356 | |||||
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