| No | OPD | Produk | Harga | Jumlah | Ongkos Kirim | Total |
|---|---|---|---|---|---|---|
| 1 | RSUD RA BASOENI | Analog insulin mix insulin inj 100 IU/mL prefilled pen @ 3 ml | 113.018 | 250 | 0 | 28.254.500 |
| 2 | RSUD RA BASOENI | Fentanil/ Fentanyl injeksi 0,05 mg/ml (i.m/i.v)- 2 ml | 30.000 | 100 | 0 | 3.000.000 |
| 3 | RSUD RA BASOENI | Pethidine hydrochloride/ Petidin inj 50 mg/mL (i.m./i.v.) | 23.590 | 100 | 0 | 2.359.000 |
| 4 | RSUD RA BASOENI | Morfin Injeksi 10 mg/ml (i.m/s.k/ i.v) | 34.359,5 | 30 | 0 | 1.030.785 |
| 5 | RSUD RA BASOENI | Cefixime trihydrate/ Cefixime/ Sefiksim tablet/kapsul/kaplet 100 mg | 700 | 20.000 | 0 | 14.000.000 |
| 6 | RSUD RA BASOENI | Ketokonazol/ Ketoconazole tablet/kapsul/kaplet 200 mg | 390 | 1.000 | 0 | 390.000 |
| 7 | RSUD RA BASOENI | Tablet Tambah Darah (Kombinasi: ferro fumarat (setara dengan 60 mg Fe elemental) + as. Folat 0,4 mg tablet salut gula ) | 226 | 5.000 | 0 | 1.130.000 |
| 8 | RSUD RA BASOENI | ASETAT RINGER / RINGER ASETAT, @500 ML | 8.500 | 1.000 | 0 | 8.500.000 |
| 9 | RSUD RA BASOENI | Air untuk injeksi, cairan inj 25 mL | 2.955 | 1.500 | 0 | 4.432.500 |
| 10 | RSUD RA BASOENI | Kalium klorida / Potasium klorida injeksi 25 mg 7,46% 25 mL | 3.790 | 480 | 0 | 1.819.200 |
| 11 | RSUD RA BASOENI | NaCl 0.9% / Sodium Chloride 0.9%, 500 mL | 7.673 | 2.500 | 0 | 19.182.500 |
| 12 | RSUD RA BASOENI | Ringer Laktat/Ringer Lactate, @500 mL | 8.498 | 1.500 | 0 | 12.747.000 |
| 13 | RSUD RA BASOENI | Kalsium glukonat/ Calcium gluconate inj 10% | 10.400 | 240 | 0 | 2.496.000 |
| 14 | RSUD RA BASOENI | Sucralfate/ Sukralfat susp 500 mg/5 mL | 7.150 | 3.000 | 0 | 21.450.000 |
| 15 | RSUD RA BASOENI | Ketorolak/ Ketorolac / Ketorolac trometamol/ Ketorolac tromethamine inj 30 mg/ml (3%) | 1.750 | 3.000 | 0 | 5.250.000 |
| 16 | RSUD RA BASOENI | Cefixime trihydrate/ Cefixime/ Sefiksim tablet/kapsul/kaplet 200 mg | 1.350 | 10.000 | 0 | 13.500.000 |
| 17 | RSUD RA BASOENI | Cefixime trihydrate/ Cefixime/ Sefiksim sirup/ sirup kering 100 mg/ 5 ml | 9.750 | 20 | 0 | 195.000 |
| 18 | RSUD RA BASOENI | Cefoperazone sodium/Cefoperazone/ Sefoperazon serb inj 1.000 mg | 11.000 | 300 | 0 | 3.300.000 |
| 19 | RSUD RA BASOENI | Streptokinase inj 1,5 juta IU | 3.790.000 | 3 | 0 | 11.370.000 |
| 20 | RSUD RA BASOENI | Dobutamin/ Dobutamin HCl/ Dobutamine HCl injeksi 50 mg/mL | 13.400 | 200 | 0 | 2.680.000 |
| 21 | RSUD RA BASOENI | Clindamycin hydrochloride (HCl)/ Clindamycin/ Klindamisin tablet/kapsul/kaplet 300 mg | 1.300 | 2.000 | 0 | 2.600.000 |
| 22 | RSUD RA BASOENI | Cefotaxime sodium/ Cefotaxime/ Sefotaksim serb inj 1.000 mg | 5.100 | 4.000 | 0 | 20.400.000 |
| 23 | RSUD RA BASOENI | Ceftriaxone/ Ceftriaxone Sodium/ Seftriakson inj 1.000 mg | 5.200 | 3.000 | 0 | 15.600.000 |
| 24 | RSUD RA BASOENI | Meropenem/ Meropenem Trihydrate serb inj 1.000 mg | 36.000 | 1.000 | 0 | 36.000.000 |
| 25 | RSUD RA BASOENI | Amoksisilin/Amoxicillin/Amoxicillin Trihydrate sirup/suspensi kering 125 mg/ 5 ml | 3.480 | 100 | 0 | 348.000 |
| 26 | RSUD RA BASOENI | Amoksisilin/ Amoxicillin/ Amoxicillin Trihydrate tablet/kapsul/kaplet/kaptab 500 mg | 490 | 10.000 | 0 | 4.900.000 |
| 27 | RSUD RA BASOENI | Digoksin/Digoxin injeksi 0,25 mg/ml ampul/vial | 20.600 | 100 | 0 | 2.060.000 |
| 28 | RSUD RA BASOENI | Isosorbid dinitrat / Isosorbide Dinitrate inj 1 mg/mL | 32.051 | 100 | 0 | 3.205.100 |
| 29 | RSUD RA BASOENI | Aminofilin/Aminophylline inj 24 mg/ml | 7.770 | 300 | 0 | 2.331.000 |
| 30 | RSUD RA BASOENI | Epinefrin/ Epinephrine (Adrenalin) injeksi 1 mg/mL | 5.828 | 150 | 0 | 874.200 |
| 31 | RSUD RA BASOENI | Atropin inj 0,25 mg/mL (i.v./s.k.) | 4.575 | 500 | 0 | 2.287.500 |
| 32 | RSUD RA BASOENI | CO-AMOXICLAV Film Coated Tablet | 3.163,5 | 1.800 | 0 | 5.694.300 |
| 33 | RSUD RA BASOENI | Salbutamol/ Salbutamol Sulfate cairan ih 1 mg/mL | 4.440 | 500 | 0 | 2.220.000 |
| 34 | RSUD RA BASOENI | Bupivakain inj 0,5% | 58.275 | 100 | 0 | 5.827.500 |
| 35 | RSUD RA BASOENI | Cefadroxil monohydrate/ Cefadroxil/ Sefadroksil sirup kering 125 mg/5ml | 8.000 | 30 | 0 | 240.000 |
| 36 | RSUD RA BASOENI | Cefadroxil monohydrate/ Cefadroxil/ Sefadroksil tablet/kapsul/kaplet 500 mg | 970 | 5.000 | 0 | 4.850.000 |
| 37 | RSUD RA BASOENI | Methylprednisolone Sodium Succinate/ Metilprednisolon/ Methylprednisolone inj 125 mg | 19.600 | 100 | 0 | 1.960.000 |
| 38 | RSUD RA BASOENI | AMLODIPINE 10 MG | 107 | 45.000 | 0 | 4.815.000 |
| 39 | RSUD RA BASOENI | AMLODIPINE 5 mg | 100 | 45.000 | 0 | 4.500.000 |
| 40 | RSUD RA BASOENI | Domperidon/ Domperidone tablet/kapsul/kaplet 10 mg | 108 | 20.000 | 0 | 2.160.000 |
| 41 | RSUD RA BASOENI | Digoxin tablet 0,25 mg | 189 | 5.000 | 0 | 945.000 |
| 42 | RSUD RA BASOENI | Furosemid/ Furosemide tablet/kapsul/kaplet 40 mg | 263 | 10.000 | 0 | 2.630.000 |
| 43 | RSUD RA BASOENI | Isosorbid Dinitrat/ Isosorbide dinitrate tablet/kapsul/kaplet 5 mg | 140 | 100.000 | 0 | 14.000.000 |
| 44 | RSUD RA BASOENI | Amitriptyline hydrochloride tablet 25 mg | 210 | 20.000 | 0 | 4.200.000 |
| 45 | RSUD RA BASOENI | HYDROXYETHYL STARCH 130% 0.4 (31.8 g) dalam Larutan Seimbang | 128.500 | 20 | 0 | 2.570.000 |
| 46 | RSUD RA BASOENI | Natrium hialuronat tetes mata | 38.000 | 20 | 0 | 760.000 |
| 47 | RSUD RA BASOENI | SIMPROFEN INJ. - DEXKETOPROFEN 50 MG/2 ML INJEKSI | 49.950 | 100 | 0 | 4.995.000 |
| 48 | RSUD RA BASOENI | Gentamycin / Gentamicin Sulfate Salep Mata | 6.740 | 240 | 0 | 1.617.600 |
| 49 | RSUD RA BASOENI | BERODUAL Kombinasi : Ipratropium Bromida 0,021 mg, Fenoterol Hydrobromide 0,05 mg | 132.563 | 50 | 0 | 6.628.150 |
| 50 | RSUD RA BASOENI | SPIOLTO RESPIMAT Kombinasi : Tiotropium bromide 3,124 mcg - Tiotropium 2,5 mcg ; Olodaterol hydrochloride 2,736 mcg - Olodaterol 2,5 mcg 3526003030-OPA-034838122 | 472.453 | 20 | 0 | 9.449.060 |
| 51 | RSUD RA BASOENI | Omeprazol/Omeprazole/ Omeoprazole Sodium inj 40 mg | 5.093 | 1.000 | 0 | 5.093.000 |
| 52 | PUSKESMAS KEMLAGI | Asetat Ringer / Ringer asetat, @ 500 mL | 8.000 | 300 | 0 | 2.400.000 |
| 53 | PUSKESMAS KEMLAGI | Dexamethason Sodium Phosphate/ Deksamethason/ Deksametason injeksi 5 mg/mL | 1.776 | 500 | 0 | 888.000 |
| 54 | PUSKESMAS KEMLAGI | Ranitidine hydrochloride (HCl)/ Ranitidin injeksi 25 mg/ml | 2.309 | 500 | 0 | 1.154.500 |
| 55 | PUSKESMAS KEMLAGI | METAMIZOLE SODIUM MONOHYDRATE Injeksi | 3.449 | 500 | 0 | 1.724.500 |
| 56 | RSUD RA BASOENI | Omeprazole 20 mg/ Omeprazol 20 mg/100 | 214 | 10.000 | 0 | 2.140.000 |
| 57 | RSUD RA BASOENI | Tablet Tambah Darah - KOMBINASI: Ferro Fumarat 60 mg + Asam Folat 0,4 mg | 240 | 5.000 | 0 | 1.200.000 |
| 58 | RSUD RA BASOENI | SIDIADRYL EXPECTORANT 100 ml | 8.000 | 300 | 0 | 2.400.000 |
| 59 | PUSKESMAS KEMLAGI | Ringer Laktat/ Ringer Lactate, @500 mL | 8.498 | 1.000 | 0 | 8.498.000 |
| 60 | PUSKESMAS KEMLAGI | Nacl 0,9% / Sodium Chloride 0,9% | 7.000 | 1.000 | 0 | 7.000.000 |
| 61 | PUSKESMAS KEMLAGI | Ondansetron hydrochloride (HCl)/ Ondansetron HCl dihydrate /Ondansetron inj 2 mg/mL | 1.942 | 1.000 | 0 | 1.942.000 |
| 62 | PUSKESMAS KEMLAGI | Amoksisilin/ Amoxicillin/ Amoxicillin Trihydrate tablet/kapsul/kaplet/kaptab 500 mg | 507 | 15.000 | 0 | 7.605.000 |
| 63 | PUSKESMAS KEMLAGI | ANTASIDA DOEN - OGB TABLET KUNYAH | 132 | 20.000 | 0 | 2.640.000 |
| 64 | PUSKESMAS KEMLAGI | Tridexon/ Deksametason/ Dexamethasone tablet/kapsul/kaplet 0,5 mg | 136 | 20.000 | 0 | 2.720.000 |
| 65 | PUSKESMAS KEMLAGI | ATTAPULGIT/ATTAPULGITE 600 MG/TABLET/KAPLET/KAPSUL | 300 | 2.000 | 0 | 600.000 |
| 66 | RSUD RA BASOENI | Oxytocin/ Oksitosin inj 10 IU/ml | 3.294 | 300 | 0 | 988.200 |
| 67 | RSUD RA BASOENI | Ketamin/Ketamine Hydrochloride injeksi 100 mg/mL ( i.v.) | 38.871 | 10 | 0 | 388.710 |
| 68 | RSUD PROF DR SOEKANDAR | Cefadroxil monohydrate/ Cefadroxil/ Sefadroksil tablet/kapsul/kaplet 500 mg | 820 | 10.000 | 0 | 8.200.000 |
| 69 | RSUD PROF DR SOEKANDAR | Cefadroxil monohydrate/ Cefadroxil/ Sefadroksil sirup kering 125 mg/5ml | 8.000 | 100 | 0 | 800.000 |
| 70 | RSUD PROF DR SOEKANDAR | Cefotaxime sodium/ Cefotaxime/ Sefotaksim serb inj 1.000 mg | 4.800 | 6.000 | 0 | 28.800.000 |
| 71 | RSUD PROF DR SOEKANDAR | Ceftriaxone/ Ceftriaxone Sodium/ Seftriakson inj 1.000 mg | 4.500 | 16.000 | 0 | 72.000.000 |
| 72 | RSUD PROF DR SOEKANDAR | Clindamycin hydrochloride (HCl)/ Clindamycin/ Klindamisin tablet/kapsul/kaplet 300 mg | 1.000 | 8.000 | 0 | 8.000.000 |
| 73 | PUSKESMAS KEMLAGI | Air untuk injeksi/ Aqua pro injeksi/ Aqua pro injection/ water for injection | 2.500 | 960 | 0 | 2.400.000 |
| 74 | RSUD PROF DR SOEKANDAR | Ciprofloxacin hydrochloride(HCl)/ Ciprofloxacin Lactate/ Ciprofloxacin/ Siprofloksasin inf 2 mg/ml | 10.500 | 180 | 0 | 1.890.000 |
| 75 | RSUD PROF DR SOEKANDAR | Desoksimetason/ Desoximetasone krim 0,25% (2,5 mg/g) | 14.000 | 900 | 0 | 12.600.000 |
| 76 | RSUD PROF DR SOEKANDAR | Dopamin / Dopamine hidrochloride injeksi 40 mg/ml | 6.000 | 1.000 | 0 | 6.000.000 |
| 77 | RSUD PROF DR SOEKANDAR | Nicardipine hydrochloride (HCl)/ Nicardipine/ Nikardipin inj 1 mg/mL | 16.300 | 2.500 | 0 | 40.750.000 |
| 78 | RSUD PROF DR SOEKANDAR | Hidrokortison/ Hydrocortisone krim 2,5% | 2.800 | 600 | 0 | 1.680.000 |
| 79 | RSUD PROF DR SOEKANDAR | Rifampicin/ Rifampisin tablet/kapsul/kaplet 450 mg | 1.832 | 1.000 | 0 | 1.832.000 |
| 80 | RSUD PROF DR SOEKANDAR | METOCLOPRAMIDE HYDROCLORIDE Injeksi | 1.823 | 3.000 | 0 | 5.469.000 |
| 81 | RSUD PROF DR SOEKANDAR | CO-AMOXICLAV Film Coated Tablet | 3.515 | 1.350 | 0 | 4.745.250 |
| 82 | PUSKESMAS DAWARBLANDONG | Metamizol/Antalgin Inj 500 mg/ml atau Metamizole Sodium Monohydrate/Antalgin inj 1000 mg/2ml | 3.550 | 5.000 | 0 | 17.750.000 |
| 83 | RSUD PROF DR SOEKANDAR | Amlodipine besilate 5 mg | 72 | 118.000 | 0 | 8.496.000 |
| 84 | RSUD PROF DR SOEKANDAR | Amlodipine Besilate 10 mg | 95 | 113.000 | 0 | 10.735.000 |
| 85 | RSUD PROF DR SOEKANDAR | Asam traneksamat/Tranexamic acid tablet/kapsul/kaplet salut selaput 500 mg | 1.500 | 9.000 | 0 | 13.500.000 |
| 86 | RSUD PROF DR SOEKANDAR | Atorvastatin/ Atorvastatin Calcium Trihydrate tablet salut selaput / kaplet salut selaput 20 mg | 590 | 40.000 | 0 | 23.600.000 |
| 87 | RSUD PROF DR SOEKANDAR | Cefixime trihydrate/ Cefixime/ Sefiksim tablet/kapsul/kaplet 100 mg | 600 | 80.000 | 0 | 48.000.000 |
| 88 | RSUD PROF DR SOEKANDAR | Ciprofloxacin hydrochloride (HCl)/ Ciprofloxacin Lactate/ Ciprofloxacin/ Siprofloksasin tablet/kapsul/kaplet 500 mg | 350 | 3.600 | 0 | 1.260.000 |
| 89 | RSUD PROF DR SOEKANDAR | Levofloxacin hemihydrate/ Levofloxacin/Levofloksasin tablet salut selaput/kaplet salut selaput/ kaptab salut selaput 500 mg | 760 | 1.500 | 0 | 1.140.000 |
| 90 | PUSKESMAS PURI | Metamizol/Antalgin Inj 500 mg/ml atau Metamizole Sodium Monohydrate/Antalgin inj 1000 mg/2ml | 3.610 | 1.000 | 0 | 3.610.000 |
| 91 | PUSKESMAS PURI | Ranitidine hydrochloride (HCl)/ Ranitidin injeksi 25 mg/ml | 1.950 | 1.000 | 0 | 1.950.000 |
| 92 | PUSKESMAS PURI | Ondansetron hydrochloride (HCl)/ Ondansetron HCl dihydrate /Ondansetron inj 2 mg/mL | 1.940 | 500 | 0 | 970.000 |
| 93 | PUSKESMAS PURI | Cefotaxime sodium/ Cefotaxime/ Sefotaksim serb inj 1.000 mg | 7.490 | 1.000 | 0 | 7.490.000 |
| 94 | RSUD PROF DR SOEKANDAR | Albumin serum normal (human Albumin) inj 20% | 950.000 | 20 | 0 | 19.000.000 |
| 95 | RSUD PROF DR SOEKANDAR | Albumin serum normal (human Albumin) inj 25% , 50 ml | 800.000 | 80 | 0 | 64.000.000 |
| 96 | RSUD PROF DR SOEKANDAR | Propofol injeksi 1% | 12.210 | 600 | 0 | 7.326.000 |
| 97 | RSUD PROF DR SOEKANDAR | Atracurium Besilate/ Atrakurium injeksi 10 mg/mL (i.v) 2,5 ml | 8.880 | 1.200 | 0 | 10.656.000 |
| 98 | RSUD PROF DR SOEKANDAR | Isosorbid dinitrat / Isosorbide Dinitrate inj 1 mg/mL | 14.430 | 1.500 | 0 | 21.645.000 |
| 99 | RSUD PROF DR SOEKANDAR | Sodium bicarbonate/Natrium Bikarbonat inj 8,4% (i.v.), ampul @25 mL | 8.305 | 420 | 0 | 3.488.100 |
| 100 | RSUD PROF DR SOEKANDAR | Magnesium sulfat injeksi 20% (i.v.) @ 25 mL. | 5.470 | 150 | 0 | 820.500 |
| 101 | RSUD PROF DR SOEKANDAR | Magnesium sulfat injeksi 40% (i.v.) @ 25 mL. | 6.227 | 300 | 0 | 1.868.100 |
| 102 | RSUD PROF DR SOEKANDAR | Levofloxacin hemihydrate/ Levofloxacin/Levofloksasin tts mata 0,5% | 17.000 | 250 | 0 | 4.250.000 |
| 103 | RSUD PROF DR SOEKANDAR | Metoclopramide hydrochloride (HCl)/ Metoclopramide/ Metoklopramid tablet/kapsul/kaplet 10 mg | 151 | 4.500 | 0 | 679.500 |
| 104 | RSUD PROF DR SOEKANDAR | Loperamid tablet/kapsul/kaplet 2 mg | 78 | 2.000 | 0 | 156.000 |
| 105 | RSUD PROF DR SOEKANDAR | Deferasiroks / Deferasirox tablet dispersible 250 mg | 9.900 | 120 | 0 | 1.188.000 |
| 106 | RSUD PROF DR SOEKANDAR | Dutasteride kapsul lunak 0,5 mg | 2.997 | 6.000 | 0 | 17.982.000 |
| 107 | RSUD PROF DR SOEKANDAR | Fondaparinux / Fondaparinuks inj 2,5 mg/0,5 mL | 165.000 | 300 | 0 | 49.500.000 |
| 108 | RSUD PROF DR SOEKANDAR | Asam Ibandronat inj 1 mg/ml / Ibandronic Acid | 444.000 | 4 | 0 | 1.776.000 |
| 109 | RSUD PROF DR SOEKANDAR | Lamivudine/ Lamivudin tablet salut selaput 150 mg | 1.332 | 4.500 | 0 | 5.994.000 |
| 110 | RSUD PROF DR SOEKANDAR | Diazepam enema 10 mg/2,5 mL | 12.210 | 60 | 0 | 732.600 |
| 111 | RSUD PROF DR SOEKANDAR | Diazepam enema 5 mg/2,5 mL | 9.990 | 80 | 0 | 799.200 |
| 112 | RSUD PROF DR SOEKANDAR | Efedrin/Ephedrine HCl Inj 50 mg/ml | 6.600 | 1.000 | 0 | 6.600.000 |
| 113 | RSUD PROF DR SOEKANDAR | Amoksisilin/Amoxicillin/Amoxicillin Trihydrate sirup/suspensi kering 125 mg/ 5 ml | 3.480 | 150 | 0 | 522.000 |
| 114 | RSUD PROF DR SOEKANDAR | Amoksisilin/ Amoxicillin/ Amoxicillin Trihydrate tablet/kapsul/kaplet/kaptab 500 mg | 490 | 6.000 | 0 | 2.940.000 |
| 115 | RSUD PROF DR SOEKANDAR | Isofluran/ isoflurane inhalasi 250 ml | 405.150 | 80 | 0 | 32.412.000 |
| 116 | RSUD PROF DR SOEKANDAR | Metronidazole/ Metronidazol infus 5 mg/ ml | 11.988 | 6.000 | 0 | 71.928.000 |
| 117 | RSUD PROF DR SOEKANDAR | Digoxin tablet 0,25 mg | 189 | 7.000 | 0 | 1.323.000 |
| 118 | RSUD PROF DR SOEKANDAR | Isosorbid Dinitrat/ Isosorbide dinitrate tablet/kapsul/kaplet 5 mg | 140 | 65.000 | 0 | 9.100.000 |
| 119 | RSUD PROF DR SOEKANDAR | Amitriptyline hydrochloride tablet 25 mg | 210 | 30.000 | 0 | 6.300.000 |
| 120 | RSUD PROF DR SOEKANDAR | Diazepam tablet/kapsul/kaplet 2 mg | 170 | 6.000 | 0 | 1.020.000 |
| 121 | RSUD PROF DR SOEKANDAR | Air untuk injeksi, cairan inj 25 mL | 2.808 | 15.600 | 0 | 43.804.800 |
| 122 | RSUD PROF DR SOEKANDAR | Air untuk injeksi/ Aqua pro injeksi/ Aqua pro injection/ Water for injection 250 mL | 5.905 | 330 | 0 | 1.948.650 |
| 123 | RSUD PROF DR SOEKANDAR | Glukosa larutan infus 10% 500 mL | 7.628 | 800 | 0 | 6.102.400 |
| 124 | RSUD PROF DR SOEKANDAR | Glukosa larutan infus 5% 500 mL | 7.022 | 1.200 | 0 | 8.426.400 |
| 125 | RSUD PROF DR SOEKANDAR | NACL / SODIUM CHLORIDE 0.9%, @250 ML | 6.969 | 400 | 0 | 2.787.600 |
| 126 | RSUD PROF DR SOEKANDAR | NaCl 0.9% / Sodium Chloride 0.9%, 500 mL | 7.205 | 20.000 | 0 | 144.100.000 |
| 127 | PUSKESMAS PURI | Ibuprofen tablet 200 mg | 197 | 10.000 | 0 | 1.970.000 |
| 128 | PUSKESMAS PURI | Ibuprofen tablet/kapsul/kaplet 400 mg | 209 | 30.000 | 0 | 6.270.000 |
| 129 | PUSKESMAS PURI | Loratadine tablet 10 mg | 145 | 10.000 | 0 | 1.450.000 |
| 130 | PUSKESMAS PURI | Ondansetron hydrochloride (HCl)/ Ondansetron HCl dihydrate /Ondansetron tablet/kapsul/kaplet 4 mg | 466 | 1.000 | 0 | 466.000 |
| 131 | PUSKESMAS PURI | Vitamin B Kompleks/ Vitamin B complex tablet | 81 | 60.000 | 0 | 4.860.000 |
| 132 | PUSKESMAS PURI | Simvastatin tablet 10 mg | 131 | 20.000 | 0 | 2.620.000 |
| 133 | PUSKESMAS PURI | Domperidon/ Domperidone/ Domperidone Maleate tablet/kapsul/kaplet 10 mg | 163 | 10.000 | 0 | 1.630.000 |
| 134 | PUSKESMAS PURI | Vitamin B12 tablet 50 mcg | 77 | 25.000 | 0 | 1.925.000 |
| 135 | PUSKESMAS PURI | Acetylcysteine/ N-asetilsistein tablet/kapsul/kaplet 200 mg | 465 | 10.000 | 0 | 4.650.000 |
| 136 | RSUD PROF DR SOEKANDAR | NaCl 0.9% / Sodium Chloride 0.9%, 500 mL | 7.205 | 20.000 | 0 | 144.100.000 |
| 137 | RSUD PROF DR SOEKANDAR | NaCl 0.9% / Sodium Chloride 0.9%, 500 mL | 7.205 | 20.000 | 0 | 144.100.000 |
| 138 | RSUD PROF DR SOEKANDAR | Ringer Laktat/Ringer Lactate, @500 mL | 8.084 | 18.000 | 0 | 145.512.000 |
| 139 | RSUD PROF DR SOEKANDAR | NaCl / Sodium Chloride 0.9%, @100 mL | 6.515 | 15.000 | 0 | 97.725.000 |
| 140 | RSUD PROF DR SOEKANDAR | Larutan mengandung asam amino + elektrolit + Karbohidrat + Lipid (Glukosa 85 g, Asam amino 38 g, Elektrolit, Lipid 34 g dengan Fish Oil 5.1 g) Smofkabiven Peripheral 1206 | 384.748 | 120 | 0 | 46.169.760 |
| 141 | RSUD PROF DR SOEKANDAR | Dexamethason Sodium Phosphate/ Deksamethason/ Deksametason injeksi 5 mg/mL | 1.269 | 10.020 | 0 | 12.715.380 |
| 142 | PUSKESMAS PURI | CETIRIZINE 10 MG | 90 | 20.000 | 0 | 1.800.000 |
| 143 | PUSKESMAS PURI | CHLORPHENAMINE MALEATE _CTM 4 MG | 70 | 40.000 | 0 | 2.800.000 |
| 144 | PUSKESMAS PURI | AMLODIPINE 5 MG | 100 | 40.000 | 0 | 4.000.000 |
| 145 | PUSKESMAS PURI | AMLODIPINE BESILATE 10 MG | 120 | 20.000 | 0 | 2.400.000 |
| 146 | PUSKESMAS PURI | ZINC SULFATE MONOHYDRATE DISPERSIBLE / ZINC 20 MG | 250 | 10.000 | 0 | 2.500.000 |
| 147 | RSUD PROF DR SOEKANDAR | GLARITUS Insulin Glargine 100 iu | 74.925 | 500 | 0 | 37.462.500 |
| 148 | PUSKESMAS PURI | Piroxicam tab 20 mg | 132 | 20.000 | 0 | 2.640.000 |
| 149 | PUSKESMAS PURI | Asam askorbat (vitamin C) tablet/kapsul/kaplet 50 mg | 95 | 30.000 | 0 | 2.850.000 |
| 150 | PUSKESMAS PURI | Ciprofloxacin hydrochloride (HCl)/ Ciprofloxacin Lactate/ Ciprofloxacin/ Siprofloksasin tablet/kapsul/kaplet 500 mg | 475 | 5.000 | 0 | 2.375.000 |
| 151 | PUSKESMAS PURI | Methylergometrine Maleate/ Methylergometrine/ Metilergometrin tablet/kapsul/kaplet 0,125 mg | 1.554 | 210 | 0 | 326.340 |
| 152 | PUSKESMAS PURI | Betametason/Betamethasone Valerate krim 0,1% 5g | 1.995 | 300 | 0 | 598.500 |
| 153 | RSUD RA BASOENI | Cefixime trihydrate/ Cefixime/ Sefiksim tablet/kapsul/kaplet 100 mg | 680 | 5.000 | 0 | 3.400.000 |
| 154 | RSUD RA BASOENI | Sucralfate/ Sukralfat susp 500 mg/5 mL | 7.150 | 1.000 | 0 | 7.150.000 |
| 155 | RSUD RA BASOENI | Ondansetron hydrochloride (HCl)/ Ondansetron HCl dihydrate /Ondansetron inj 2 mg/mL | 1.400 | 5.000 | 0 | 7.000.000 |
| 156 | RSUD RA BASOENI | Asam traneksamat/Tranexamic acid injeksi 100 mg/ml | 2.500 | 500 | 0 | 1.250.000 |
| 157 | RSUD RA BASOENI | Streptokinase inj 1,5 juta IU | 3.950.000 | 2 | 0 | 7.900.000 |
| 158 | RSUD RA BASOENI | Cefixime trihydrate/ Cefixime/ Sefiksim sirup/ sirup kering 100 mg/ 5 ml | 9.750 | 20 | 0 | 195.000 |
| 159 | RSUD RA BASOENI | Ceftazidime/ Ceftazidime Pentahydrate/ Seftazidim serb inj 1.000 mg | 11.000 | 100 | 0 | 1.100.000 |
| 160 | RSUD RA BASOENI | Dopamin / Dopamine hidrochloride injeksi 40 mg/ml | 6.000 | 100 | 0 | 600.000 |
| 161 | RSUD RA BASOENI | Norepinephrine bitartate/ Norepinephrine bitartate monohydrate / Norepinephrine/ Norepinephrine base/ Norepinefrin inj 1 mg/ml | 13.900 | 300 | 0 | 4.170.000 |
| 162 | RSUD RA BASOENI | Nicardipine hydrochloride (HCl)/ Nicardipine/ Nikardipin inj 1 mg/mL | 16.400 | 100 | 0 | 1.640.000 |
| 163 | RSUD RA BASOENI | ANTRAIN METAMIZOL/ANTALGIN INJ 500 MG/ML ATAU METAMIZOLE SODIUM MONOHYDRATE/ANTALGIN INJ 1000 MG/2ML | 4.282 | 5.000 | 0 | 21.410.000 |
| 164 | RSUD RA BASOENI | Meropenem/ Meropenem Trihydrate serb inj 1.000 mg | 35.100 | 1.000 | 0 | 35.100.000 |
| 165 | RSUD RA BASOENI | Air untuk injeksi, cairan inj 25 mL | 2.955 | 3.000 | 0 | 8.865.000 |
| 166 | RSUD RA BASOENI | ASETAT RINGER / RINGER ASETAT, @500 ML | 8.500 | 1.000 | 0 | 8.500.000 |
| 167 | RSUD RA BASOENI | Glukosa larutan infus 10% 500 mL | 8.350 | 100 | 0 | 835.000 |
| 168 | RSUD RA BASOENI | NaCl 0.9% / Sodium Chloride 0.9%, 500 mL | 7.673 | 2.000 | 0 | 15.346.000 |
| 169 | RSUD RA BASOENI | Ringer Laktat/Ringer Lactate, @500 mL | 8.498 | 3.000 | 0 | 25.494.000 |
| 170 | RSUD RA BASOENI | Kalium klorida / Potasium klorida injeksi 25 mg 7,46% 25 mL | 3.790 | 240 | 0 | 909.600 |
| 171 | RSUD RA BASOENI | Kombinasi, setiap ml mengandung: natrium klorida 4,40 mg + kalium klorida 0,80 mg tetes mata 15ml | 22.477 | 300 | 0 | 6.743.100 |
| 172 | RSUD RA BASOENI | Natamycin/ Natamisin tts mata 5% (50 mg/ml) | 8.316 | 25 | 0 | 207.900 |
| 173 | RSUD RA BASOENI | Ketokonazol/ Ketoconazole tablet/kapsul/kaplet 200 mg | 400 | 1.000 | 0 | 400.000 |
| 174 | RSUD RA BASOENI | Ranitidine hydrochloride (HCl)/ Ranitidin injeksi 25 mg/ml | 2.400 | 3.000 | 0 | 7.200.000 |
| 175 | RSUD RA BASOENI | Kombinasi: sefoperazon/ cefoperazone sodium 500 mg + sulbaktam/ sulbactam sodium 500 mg, serb inj 1.000 mg | 22.000 | 100 | 0 | 2.200.000 |
| 176 | RSUD RA BASOENI | Ciprofloxacin hydrochloride (HCl)/ Ciprofloxacin Lactate/ Ciprofloxacin/ Siprofloksasin tablet/kapsul/kaplet 500 mg | 416 | 1.000 | 0 | 416.000 |
| 177 | RSUD RA BASOENI | Metronidazole/ Metronidazol infus 5 mg/ ml | 11.988 | 200 | 0 | 2.397.600 |
| 178 | RSUD RA BASOENI | ANTASIDA DOEN SUSPENSI | 2.750 | 200 | 0 | 550.000 |
| 179 | RSUD RA BASOENI | Furosemid/ Furosemide inj 10 mg/mL (i.v./i.m) | 1.846 | 3.000 | 0 | 5.538.000 |
| 180 | RSUD RA BASOENI | Domperidon/ Domperidone tablet/kapsul/kaplet 10 mg | 108 | 20.000 | 0 | 2.160.000 |
| 181 | RSUD RA BASOENI | ATTAPULGIT/ATTAPULGITE 600 MG/TABLET/KAPLET/KAPSUL | 300 | 2.000 | 0 | 600.000 |
| 182 | RSUD RA BASOENI | Ibuprofen tab 400 mg | 276 | 2.000 | 0 | 552.000 |
| 183 | RSUD RA BASOENI | Analog Insulin Co-Formulation inj 100 IU/ml Ultra Long Acting Insulin Degludec 70U/Rapid Acting Insulin Aspart 30U (kemasan vial, disposable cartridge, penfill cartridge) | 113.018 | 250 | 0 | 28.254.500 |
| 184 | RSUD RA BASOENI | Natrium hialuronat tetes mata | 38.000 | 50 | 0 | 1.900.000 |
| 185 | RSUD RA BASOENI | Generik Kombinasi: Ampisilin 1000 mg + Sulbaktam 500 mg serb inj 1500 mg | 23.100 | 50 | 0 | 1.155.000 |
| 186 | RSUD RA BASOENI | Amiodaron inj 50 mg/ml (150 mg/ 3 mL) | 11.780 | 100 | 0 | 1.178.000 |
| 187 | RSUD RA BASOENI | VENTASAL Salbutamol 1 MG/ML INH 10S | 3.885 | 500 | 0 | 1.942.500 |
| 188 | RSUD RA BASOENI | Omeprazol/Omeprazole/ Omeoprazole Sodium inj 40 mg | 5.093 | 1.000 | 0 | 5.093.000 |
| 189 | RSUD RA BASOENI | NaCl 3% Larutan, Softbag @ 500 mL | 36.101 | 100 | 0 | 3.610.100 |
| 190 | RSUD RA BASOENI | SILDENAFIL 100 MG | 30.000 | 20 | 0 | 600.000 |
| 191 | RSUD RA BASOENI | Morfin Injeksi 10 mg/ml (i.m/s.k/ i.v) | 34.359,5 | 50 | 0 | 1.717.975 |
| 192 | RSUD RA BASOENI | Salbutamol sulfate/ Salbutamol tablet/kapsul/kaplet 4 mg | 124 | 2.000 | 0 | 248.000 |
| 193 | RSUD RA BASOENI | CO-AMOXICLAV Film Coated Tablet | 3.515 | 900 | 0 | 3.163.500 |
| 194 | RSUD RA BASOENI | Cotrimoxazole/ Cotrimoksazole/ Kotrimoksazol tablet /kaptab (dewasa) kombinasi: sulfametoksazol 400 mg + trimetoprim 80 mg | 275 | 500 | 0 | 137.500 |
| 195 | RSUD PROF DR SOEKANDAR | Renabetic/Glibenklamid/Glibenclamide 5 mg | 250 | 4.000 | 0 | 1.000.000 |
| 196 | RSUD PROF DR SOEKANDAR | Azitromisin/Azithromycin dihydrate tablet salut selaput/kaplet salut selaput 500 mg | 3.100 | 5.000 | 0 | 15.500.000 |
| 197 | RSUD PROF DR SOEKANDAR | Metoprolol tartrate/ Metoprolol tartat inj 1 mg/ml | 149.850 | 15 | 0 | 2.247.750 |
| 198 | RSUD PROF DR SOEKANDAR | Naloxone hydrochloride injeksi 0,4 mg | 68.265 | 5 | 0 | 341.325 |
| 199 | PUSKESMAS TAWANGSARI | Ringer Laktat/Ringer Lactate, @500 mL | 8.498 | 2.000 | 0 | 16.996.000 |
| 200 | PUSKESMAS TAWANGSARI | ASETAT RINGER / RINGER ASETAT, @500 ML | 8.500 | 200 | 0 | 1.700.000 |
| 201 | PUSKESMAS TAWANGSARI | NaCl 0.9% / Sodium Chloride 0.9%, 500 mL | 7.673 | 100 | 0 | 767.300 |
| 202 | RSUD PROF DR SOEKANDAR | Heparin, Na injeksi 5.000 IU | 41.602 | 3.000 | 0 | 124.806.000 |
| 203 | RSUD RA BASOENI | Isofluran/ isoflurane inhalasi 250 ml | 405.150 | 3 | 0 | 1.215.450 |
| 204 | RSUD RA BASOENI | Ranitidine hydrochloride (HCl)/ Ranitidin injeksi 25 mg/ml | 1.332 | 3.000 | 0 | 3.996.000 |
| 205 | RSUD RA BASOENI | Parasetamol/ Paracetamol infus 10 mg/mL | 15.500 | 250 | 0 | 3.875.000 |
| 206 | RSUD PROF DR SOEKANDAR | OCTREOTIDE ACETATE 0.1 mg | 104.895 | 100 | 0 | 10.489.500 |
| 207 | RSUD RA BASOENI | Omeprazole 20 mg/ Omeprazol 20 mg/100 | 214 | 30.000 | 0 | 6.420.000 |
| 208 | RSUD RA BASOENI | Ciprofloxacin hydrochloride (HCl)/ Ciprofloxacin Lactate/ Ciprofloxacin/ Siprofloksasin tablet/kapsul/kaplet 500 mg | 475 | 1.000 | 0 | 475.000 |
| 209 | RSUD RA BASOENI | Meropenem/ Meropenem Trihydrate serb inj 1.000 mg | 36.000 | 1.000 | 0 | 36.000.000 |
| 210 | RSUD RA BASOENI | Asam askorbat (vitamin C) tablet/kapsul/kaplet 50 mg | 90 | 1.000 | 0 | 90.000 |
| 211 | RSUD PROF DR SOEKANDAR | Analog Insulin Co-Formulation inj 100 IU/ml Ultra Long Acting Insulin Degludec 70U/Rapid Acting Insulin Aspart 30U (kemasan vial, disposable cartridge, penfill cartridge) | 113.018 | 50 | 0 | 5.650.900 |
| 212 | RSUD PROF DR SOEKANDAR | Sulfadiazine silver/ Perak sulfadiazin krim 1% | 23.030 | 100 | 0 | 2.303.000 |
| 213 | DINAS KESEHATAN | Glukosa larutan infus 10% 500 mL | 8.350 | 500 | 0 | 4.175.000 |
| 214 | DINAS KESEHATAN | ASETAT RINGER / RINGER ASETAT, @500 ML | 8.500 | 1.000 | 0 | 8.500.000 |
| 215 | DINAS KESEHATAN | Ringer Laktat/Ringer Lactate, @500 mL | 8.498 | 15.000 | 0 | 127.470.000 |
| 216 | DINAS KESEHATAN | Glukosa larutan infus 5% 500 mL | 7.686 | 500 | 0 | 3.843.000 |
| 217 | RSUD PROF DR SOEKANDAR | Vagistin - Nystatin Metronidazole | 4.995 | 200 | 0 | 999.000 |
| 218 | RSUD PROF DR SOEKANDAR | Sukralfat / Sucralfate susp 500 mg/5 mL, 100 mL | 7.150 | 3.000 | 0 | 21.450.000 |
| 219 | PUSKESMAS PURI | Loperamid tablet/kapsul/kaplet 2 mg | 78 | 10.000 | 0 | 780.000 |
| 220 | PUSKESMAS PURI | Antasida Doen Suspensi 60 ml | 4.000 | 500 | 0 | 2.000.000 |
| 221 | PUSKESMAS PURI | Paracetamol/ Parasetamol sirup 120 mg / 5 ml | 3.950 | 300 | 0 | 1.185.000 |
| 222 | PUSKESMAS PURI | Chloramphenicol/ Chloramphenicol palmitate/ Kloramfenikol suspensi 125 mg/ 5 ml | 8.200 | 100 | 0 | 820.000 |
| 223 | RSUD RA BASOENI | Protamin sulfat injeksi 10 mg/ml | 66.600 | 5 | 0 | 333.000 |
| 224 | RSUD RA BASOENI | SIMPROFEN INJ. - DEXKETOPROFEN 50 MG/2 ML INJEKSI | 49.950 | 100 | 0 | 4.995.000 |
| 225 | RSUD PROF DR SOEKANDAR | ONDANSETRON 4 mg | 227 | 17.000 | 0 | 3.859.000 |
| 226 | RSUD PROF DR SOEKANDAR | ONDANSETRON 8 mg | 228 | 10.000 | 0 | 2.280.000 |
| 227 | RSUD PROF DR SOEKANDAR | ASIKLOVIR/ACYCLOVIR/ACICLOVIR KRIM 5 % | 4.990,01 | 75 | 0 | 374.250,75 |
| 228 | RSUD PROF DR SOEKANDAR | PAMOL SUPPOSITORIA 125 MG_Paracetamol/ Parasetamol suppo 125 mg | 14.427 | 144 | 0 | 2.077.488 |
| 229 | RSUD PROF DR SOEKANDAR | Urinter 400 mg kaplet salut selaput | 1.829 | 2.000 | 0 | 3.658.000 |
| 230 | PUSKESMAS TAWANGSARI | Asam Mefenamat kaplet 500 mg | 214 | 30.000 | 0 | 6.420.000 |
| 231 | PUSKESMAS TAWANGSARI | Chlorphenamine Maleate/ Klorfeniramin tablet/kapsul/kaplet 4 mg | 73 | 30.000 | 0 | 2.190.000 |
| 232 | PUSKESMAS TAWANGSARI | Ibuprofen tablet/kapsul/kaplet 400 mg | 209 | 10.000 | 0 | 2.090.000 |
| 233 | PUSKESMAS TAWANGSARI | Paracetamol kaplet 500 mg | 145 | 50.000 | 0 | 7.250.000 |
| 234 | PUSKESMAS TAWANGSARI | Zinc sulfate/ Zinc sulfate monohydrate/Zinc/ Zinc tablet dispersible 20 mg | 245 | 10.000 | 0 | 2.450.000 |
| 235 | PUSKESMAS TAWANGSARI | Paracetamol/ Parasetamol sirup 120 mg / 5 ml | 4.460 | 300 | 0 | 1.338.000 |
| 236 | RSUD RA BASOENI | CTM/CHLORPHENAMINE MALEATE | 36 | 5.000 | 0 | 180.000 |
| 237 | RSUD RA BASOENI | SODIUM BICARBONATE 500 MG | 70 | 100 | 0 | 7.000 |
| 238 | RSUD RA BASOENI | VITAMIN B COMPLEX | 25 | 10.000 | 0 | 250.000 |
| 239 | RSUD RA BASOENI | VITAMIN B12 | 20 | 2.000 | 0 | 40.000 |
| 240 | RSUD RA BASOENI | GENERIK PARASETAMOL/PARACETAMOL SYRUP 120MG/5ML | 3.600 | 200 | 0 | 720.000 |
| 241 | RSUD RA BASOENI | GLISERIL TRINITRAT / GLYCERYL TRINITRATE INJ 1 MG/ML | 41.000 | 50 | 0 | 2.050.000 |
| 242 | PUSKESMAS PURI | Dextrose monohydrat - Dextrose anhydrat 40%, ampul 25 mL | 8.547 | 60 | 0 | 512.820 |
| 243 | PUSKESMAS PURI | Air untuk injeksi/ Aqua pro injeksi/ Aqua pro injection/ water for injection ampul @ 25 mL | 2.955 | 120 | 0 | 354.600 |
| 244 | PUSKESMAS PURI | Magnesium sulfat injeksi 20% (i.v.) @ 25 mL. | 5.470 | 12 | 0 | 65.640 |
| 245 | PUSKESMAS PURI | Magnesium sulfat injeksi 40% (i.v.) @ 25 mL. | 6.227 | 24 | 0 | 149.448 |
| 246 | PUSKESMAS PURI | NaCl 0,9% / Sodium Chloride @ 500 mL | 7.673 | 300 | 0 | 2.301.900 |
| 247 | DINAS KESEHATAN | AMLODIPINE 5 mg | 125 | 300.000 | 0 | 37.500.000 |
| 248 | DINAS KESEHATAN | AMLODIPINE 10 MG | 140 | 200.000 | 0 | 28.000.000 |
| 249 | RSUD RA BASOENI | ASPILETS | 538 | 10.000 | 0 | 5.380.000 |
| 250 | RSUD PROF DR SOEKANDAR | Antasida Doen susp | 2.739 | 600 | 0 | 1.643.400 |
| 251 | RSUD PROF DR SOEKANDAR | Antihemoroid, kombinasi: bismut subgalat 150 mg + heksaklorofen 2,5 mg + lidokain lidokain 10 mg+ seng oksida 120 mg + sup ad 2 g | 3.250 | 300 | 0 | 975.000 |
| 252 | RSUD PROF DR SOEKANDAR | Betametason/Betamethasone Valerate krim 0,1% | 1.998 | 500 | 0 | 999.000 |
| 253 | RSUD PROF DR SOEKANDAR | Furosemid/ Furosemide tablet/kapsul/kaplet 40 mg | 222 | 100.000 | 0 | 22.200.000 |
| 254 | RSUD PROF DR SOEKANDAR | Ketokonazol/ Ketoconazole krim 2% | 3.499,83 | 100 | 0 | 349.983 |
| 255 | RSUD PROF DR SOEKANDAR | Atropin inj 0,25 mg/mL (i.v./s.k.) | 4.117 | 500 | 0 | 2.058.500 |
| 256 | RSUD RA BASOENI | NYSTATIN DROPS 100.000 iu/ml | 24.253,5 | 50 | 0 | 1.212.675 |
| 257 | RSUD PROF DR SOEKANDAR | Methylergometrine Maleate/ Methylergometrine/ Metilergometrin tablet/kapsul/kaplet 0,125 mg | 1.554 | 3.000 | 0 | 4.662.000 |
| 258 | RSUD PROF DR SOEKANDAR | Methylprednisolone Sodium Succinate/ Metilprednisolon/ Methylprednisolone inj 125 mg | 15.748 | 1.500 | 0 | 23.622.000 |
| 259 | RSUD PROF DR SOEKANDAR | Ondansetron hydrochloride (HCl)/ Ondansetron HCl dihydrate /Ondansetron inj 2 mg/mL @4mg | 4.000 | 4.000 | 0 | 16.000.000 |
| 260 | RSUD PROF DR SOEKANDAR | TRAMADOL 50 mg TSS | 830 | 15.000 | 0 | 12.450.000 |
| 261 | RSUD PROF DR SOEKANDAR | Fentanil/ Fentanyl injeksi 0,05 mg/ml (i.m/i.v) ampul/vial @ 2 mL | 30.000 | 2.500 | 0 | 75.000.000 |
| 262 | RSUD PROF DR SOEKANDAR | Kalsium polistirena sulfonat / Calcium Polystyrene Sulfonate serb 5 g | 5.500 | 400 | 0 | 2.200.000 |
| 263 | RSUD PROF DR SOEKANDAR | Cefixime trihydrate/ Cefixime/ Sefiksim sirup/ sirup kering 100 mg/ 5 ml | 9.750 | 360 | 0 | 3.510.000 |
| 264 | RSUD PROF DR SOEKANDAR | Fluconazole / Flukonazol injeksi/ infus 2 mg/ml | 21.900 | 60 | 0 | 1.314.000 |
| 265 | RSUD PROF DR SOEKANDAR | Furosemid/ Furosemide inj 10 mg/mL (i.v./i.m) | 3.100 | 12.000 | 0 | 37.200.000 |
| 266 | RSUD PROF DR SOEKANDAR | Fenitoin/ Phenytoin Sodium Injeksi 50 mg/ml (100 mg/ 2 mL) | 3.650 | 2.000 | 0 | 7.300.000 |
| 267 | RSUD PROF DR SOEKANDAR | Clonazepam/ Klonazepam tablet/kapsul/kaplet 2 mg | 6.360 | 300 | 0 | 1.908.000 |
| 268 | PUSKESMAS PURI | ASETAT RINGER / RINGER ASETAT, @500 ML | 8.500 | 500 | 0 | 4.250.000 |
| 269 | PUSKESMAS PURI | Gentamisin/ Gentamycin / Gentamycin sulfate tetes mata 0,3% | 9.402 | 240 | 0 | 2.256.480 |
| 270 | PUSKESMAS PURI | Chloramphenicol/ kloramfenikol tetes telinga 3% | 8.000 | 72 | 0 | 576.000 |
| 271 | PUSKESMAS PURI | Karbogliserin tetes telinga 10% | 7.400 | 120 | 0 | 888.000 |
| 272 | PUSKESMAS SOOKO | Ringer Laktat @ 500 mL | 8.498 | 2.000 | 0 | 16.996.000 |
| 273 | PUSKESMAS SOOKO | NaCl 0,9% / Sodium Chloride @ 500 mL | 7.673 | 600 | 0 | 4.603.800 |
| 274 | RSUD PROF DR SOEKANDAR | Difenhidramin/ Diphenhydramine injeksi 10 mg/ml ( i.v./i.m.) | 1.800 | 4.000 | 0 | 7.200.000 |
| 275 | RSUD PROF DR SOEKANDAR | Fitomenadion/ Phytomenadione/ Phytomenadion (Vitamin K1) injeksi 10 mg/mL | 6.900 | 2.000 | 0 | 13.800.000 |
| 276 | RSUD PROF DR SOEKANDAR | Epinefrin/ Epinephrine (Adrenalin) injeksi 1 mg/mL | 5.828 | 2.010 | 0 | 11.714.280 |
| 277 | RSUD PROF DR SOEKANDAR | Etoricoxib 60 mg Tablet SS | 2.545 | 600 | 0 | 1.527.000 |
| 278 | PUSKESMAS SOOKO | Chloramphenamine Maleate 4 Mg (CTM Box) | 83 | 30.000 | 0 | 2.490.000 |
| 279 | RSUD PROF DR SOEKANDAR | Hiosin butilbromid/Hyoscine butylbromide/Hyoscine N Butylbromide inj 20 mg/ml | 7.900 | 720 | 0 | 5.688.000 |
| 280 | RSUD PROF DR SOEKANDAR | Oxymetazoline/ Oksimetazolin tetes hidung 0,050% | 71.040 | 30 | 0 | 2.131.200 |
| 281 | RSUD PROF DR SOEKANDAR | Oxymetazoline/ Oksimetazolin tetes hidung 0,025% | 68.820 | 5 | 0 | 344.100 |
| 282 | RSUD PROF DR SOEKANDAR | Triamcinolone acetonide/ Triamsinolon asetonid inj 10 mg/mL | 33.300 | 20 | 0 | 666.000 |
| 283 | RSUD PROF DR SOEKANDAR | Fitomenadion/ Phytomenadione/ Phytomenadion (Vitamin K1) injeksi 2 mg/ml | 3.330 | 1.200 | 0 | 3.996.000 |
| 284 | RSUD PROF DR SOEKANDAR | Iron Sucrose / Low molecule feri sucrose inj 20 mg/mL (100mg/5mL) | 20.535 | 60 | 0 | 1.232.100 |
| 285 | RSUD PROF DR SOEKANDAR | KETOROLAC TROMETAMOL Injeksi | 1.276,5 | 16.500 | 0 | 21.062.250 |
| 286 | RSUD PROF DR SOEKANDAR | Ketoprofen 100 mg Suppositoria | 3.552 | 600 | 0 | 2.131.200 |
| 287 | RSUD PROF DR SOEKANDAR | Lactulose/ Laktulosa sir 3,335 g/5 mL | 12.533 | 600 | 0 | 7.519.800 |
| 288 | RSUD PROF DR SOEKANDAR | Analog Insulin Long Acting inj Insulin Detemir 100 IU/mL (kemasan vial, disposable cartridge, penfill cartridge) | 89.799 | 150 | 0 | 13.469.850 |
| 289 | RSUD PROF DR SOEKANDAR | Manitol inf 20% | 34.965 | 750 | 0 | 26.223.750 |
| 290 | PUSKESMAS SOOKO | Amoksisilin/Amoxicillin/Amoxicillin Trihydrate sirup/suspensi kering 125 mg/ 5 ml | 5.500 | 200 | 0 | 1.100.000 |
| 291 | PUSKESMAS SOOKO | Amoksisilin/ Amoxicillin/ Amoxicillin Trihydrate tablet/kapsul/kaplet/kaptab 500 mg | 530 | 30.000 | 0 | 15.900.000 |
| 292 | PUSKESMAS SOOKO | Chloramphenicol/ Kloramfenikol tablet/kapsul/kaplet 250 mg | 708 | 700 | 0 | 495.600 |
| 293 | PUSKESMAS SOOKO | Cotrimoxazole/ Cotrimoksazole/ Kotrimoksazol tablet /kaptab (dewasa) kombinasi: sulfametoksazol 400 mg + trimetoprim 80 mg | 275 | 3.000 | 0 | 825.000 |
| 294 | PUSKESMAS SOOKO | Cotrimoxazole/ Cotrimoksazole/ Kotrimoksazol (anak) kombinasi tiap 5 ml suspensi: sulfametoksazol 200 mg + trimetoprim 40 mg | 4.796 | 215 | 0 | 1.031.140 |
| 295 | PUSKESMAS SOOKO | Cefotaxime sodium/ Cefotaxime/ Sefotaksim serb inj 1.000 mg | 7.492 | 500 | 0 | 3.746.000 |
| 296 | PUSKESMAS SOOKO | Dexamethason Sodium Phosphate/ Deksamethason/ Deksametason injeksi 5 mg/mL | 1.653 | 100 | 0 | 165.300 |
| 297 | PUSKESMAS SOOKO | Difenhidramin/ Diphenhydramine injeksi 10 mg/ml ( i.v./i.m.) | 1.893 | 400 | 0 | 757.200 |
| 298 | PUSKESMAS SOOKO | Chloramphenicol/ kloramfenikol tetes telinga 3% | 8.000 | 168 | 0 | 1.344.000 |
| 299 | PUSKESMAS SOOKO | AMLODIPINE 5 MG | 102 | 10.000 | 0 | 1.020.000 |
| 300 | PUSKESMAS SOOKO | AMLODIPINE BESILATE 10 MG | 122 | 19.000 | 0 | 2.318.000 |
| 301 | PUSKESMAS SOOKO | IBUPROFEN 400 MG_OGB | 280 | 20.000 | 0 | 5.600.000 |
| 302 | PUSKESMAS SOOKO | DEXAMETHASONE 0,5 MG | 90 | 20.000 | 0 | 1.800.000 |
| 303 | PUSKESMAS PURI | Ceftriaxone/ Ceftriaxone Sodium/ Seftriakson inj 1.000 mg @100 | 7.191 | 500 | 0 | 3.595.500 |
| 304 | RSUD PROF DR SOEKANDAR | Asiklovir/Acyclovir/Aciclovir tablet/kapsul/kaplet 400 mg | 650 | 1.100 | 0 | 715.000 |
| 305 | RSUD PROF DR SOEKANDAR | Meropenem/ Meropenem Trihydrate serb inj 1.000 mg | 34.000 | 1.500 | 0 | 51.000.000 |
| 306 | RSUD PROF DR SOEKANDAR | Metronidazole/Metronidazol tablet/kapsul/kaplet 500 mg | 233 | 6.000 | 0 | 1.398.000 |
| 307 | RSUD PROF DR SOEKANDAR | Paracetamol/ Parasetamol infus 10 mg/mL | 12.527 | 7.500 | 0 | 93.952.500 |
| 308 | DINAS KESEHATAN | Amoksisilin/ Amoxicillin/ Amoxicillin Trihydrate tablet/kapsul/kaplet/kaptab 500 mg | 581 | 400.000 | 0 | 232.400.000 |
| 309 | DINAS KESEHATAN | Amoksisilin/Amoxicillin/Amoxicillin Trihydrate sirup/suspensi kering 125 mg/ 5 ml | 5.594 | 5.000 | 0 | 27.970.000 |
| 310 | DINAS KESEHATAN | Antifungi Salep, Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% / Salep Whitfield | 6.127 | 5.000 | 0 | 30.635.000 |
| 311 | DINAS KESEHATAN | Cotrimoxazole/ Cotrimoksazole/ Kotrimoksazol (dewasa) kombinasi: sulfametoksazol 400 mg + trimetoprim 80 mg (tab/kaptab 480 mg) | 278 | 50.000 | 0 | 13.900.000 |
| 312 | DINAS KESEHATAN | Eritromisin/ Erythromycin/ Erythromycin Ethyl Succinate sirup kering 200 mg/ 5 ml | 13.100 | 50 | 0 | 655.000 |
| 313 | DINAS KESEHATAN | Metronidazole/Metronidazol tablet/kapsul/kaplet 500 mg | 233 | 40.000 | 0 | 9.320.000 |
| 314 | DINAS KESEHATAN | Paracetamol/ Parasetamol sirup 120 mg / 5 ml | 4.600 | 5.000 | 0 | 23.000.000 |
| 315 | DINAS KESEHATAN | Tetrasiklin/ Tetracycline/ Tetracycline Hydrochloride tablet/kapsul/kaplet 500 mg | 665 | 20.000 | 0 | 13.300.000 |
| 316 | DINAS KESEHATAN | Antihemoroid, kombinasi: bismut subgalat 150 mg + heksaklorofen 2,5 mg + lidokain lidokain 10 mg+ seng oksida 120 mg + sup ad 2 g | 3.250 | 2.000 | 0 | 6.500.000 |
| 317 | DINAS KESEHATAN | Hidrokortison/ Hydrocortisone krim 2,5% | 2.800 | 7.992 | 0 | 22.377.600 |
| 318 | DINAS KESEHATAN | Permethrin/ Permetrin Krim 5% | 6.009 | 5.000 | 0 | 30.045.000 |
| 319 | DINAS KESEHATAN | Isoniazid tablet/kapsul/kaplet 300 mg | 485 | 15.000 | 0 | 7.275.000 |
| 320 | DINAS KESEHATAN | Ibuprofen tablet 200 mg | 197 | 200.000 | 0 | 39.400.000 |
| 321 | DINAS KESEHATAN | Aminofilin/Aminophylline tablet/kapsul/kaplet 200 mg | 296 | 30.000 | 0 | 8.880.000 |
| 322 | DINAS KESEHATAN | BIOSAT | 167.888 | 100 | 0 | 16.788.800 |
| 323 | DINAS KESEHATAN | Hiosin butilbromida/Hyoscine butylbromide tablet/kaplet 10 mg | 824 | 38.000 | 0 | 31.312.000 |
| 324 | PUSKESMAS KEMLAGI | Chloramphenicol/ Kloramfenikol tablet/kapsul/kaplet 250 mg | 616 | 5.000 | 0 | 3.080.000 |
| 325 | PUSKESMAS KEMLAGI | Griseofulvin tablet/kapsul/kaplet 125 mg | 357 | 500 | 0 | 178.500 |
| 326 | PUSKESMAS KEMLAGI | Ibuprofen tablet/kapsul/kaplet 400 mg | 209 | 10.000 | 0 | 2.090.000 |
| 327 | PUSKESMAS KEMLAGI | Ketokonazol/ Ketoconazole tablet/kapsul/kaplet 200 mg | 430 | 1.000 | 0 | 430.000 |
| 328 | PUSKESMAS KEMLAGI | Acetylcysteine/ N-asetilsistein tablet/kapsul/kaplet 200 mg | 465 | 2.000 | 0 | 930.000 |
| 329 | PUSKESMAS KEMLAGI | Ibuprofen tablet 200 mg | 197 | 10.000 | 0 | 1.970.000 |
| 330 | PUSKESMAS PURI | Ketoprofen 100 mg Suppositoria | 3.552 | 100 | 0 | 355.200 |
| 331 | PUSKESMAS KEMLAGI | Amoksisilin/Amoxicillin/Amoxicillin Trihydrate sirup/suspensi kering 125 mg/ 5 ml | 5.500 | 500 | 0 | 2.750.000 |
| 332 | PUSKESMAS KEMLAGI | Cotrimoxazole/ Cotrimoksazole/ Kotrimoksazol (anak) kombinasi tiap 5 ml suspensi: sulfametoksazol 200 mg + trimetoprim 40 mg | 4.796 | 500 | 0 | 2.398.000 |
| 333 | PUSKESMAS KEMLAGI | Domperidon/ Domperidone/ Domperidone Maleate tablet/kapsul/kaplet 10 mg | 283 | 15.000 | 0 | 4.245.000 |
| 334 | PUSKESMAS KEMLAGI | Hidrokortison/ Hydrocortisone/ Hydrocortisone acetate krim 2,5 % | 4.662 | 200 | 0 | 932.400 |
| 335 | PUSKESMAS KEMLAGI | Paracetamol/ Parasetamol sirup 120 mg / 5 ml | 4.460 | 500 | 0 | 2.230.000 |
| 336 | PUSKESMAS KEMLAGI | Betametason/Betamethasone Valerate krim 0,1% 5g | 1.995 | 200 | 0 | 399.000 |
| 337 | RSUD PROF DR SOEKANDAR | Insulin Prandial Analog | 90.314 | 200 | 0 | 18.062.800 |
| 338 | RSUD PROF DR SOEKANDAR | PEHACAIN / Lidocaine Hydrochloride | 3.707 | 1.000 | 0 | 3.707.000 |
| 339 | RSUD PROF DR SOEKANDAR | BIOSAT | 167.888 | 100 | 0 | 16.788.800 |
| 340 | RSUD PROF DR SOEKANDAR | Ofloxacin/ Ofloksasin tets telinga 3% | 37.974 | 90 | 0 | 3.417.660 |
| 341 | RSUD PROF DR SOEKANDAR | Kombinasi, setiap mL mengandung: natrium klorida 4,40 mg + kalium klorida 0,80 mg, tts mata | 15.541 | 600 | 0 | 9.324.600 |
| 342 | RSUD PROF DR SOEKANDAR | Tropikamid 1% tetes mata | 33.745 | 6 | 0 | 202.470 |
| 343 | RSUD PROF DR SOEKANDAR | Albumin serum normal (human Albumin) inj 25%(250 g/1.000 mL), @ 100 mL | 1.550.000 | 30 | 0 | 46.500.000 |
| 344 | RSUD PROF DR SOEKANDAR | Aminofilin/Aminophylline inj 24 mg/ml | 11.336 | 168 | 0 | 1.904.448 |
| 345 | RSUD PROF DR SOEKANDAR | Fitomenadion/ Phytomenadion (Vitamin K1) tablet/kapsul/kaplet 10 mg | 825 | 1.000 | 0 | 825.000 |
| 346 | RSUD PROF DR SOEKANDAR | Aminofilin/Aminophylline tablet/kapsul/kaplet 200 mg | 276 | 7.000 | 0 | 1.932.000 |
| 347 | RSUD PROF DR SOEKANDAR | Cefazolin sodium/ Sefazolin serbuk injeksi 1.000 mg | 10.030 | 3.500 | 0 | 35.105.000 |
| 348 | RSUD PROF DR SOEKANDAR | Ceftazidime/ Ceftazidime Pentahydrate/ Seftazidim serb inj 1.000 mg | 10.750 | 600 | 0 | 6.450.000 |
| 349 | RSUD PROF DR SOEKANDAR | Streptokinase inj 1,5 juta IU | 3.950.000 | 5 | 0 | 19.750.000 |
| 350 | RSUD PROF DR SOEKANDAR | Asam traneksamat/Tranexamic acid injeksi 100 mg/ml | 2.550 | 9.000 | 0 | 22.950.000 |
| 351 | RSUD PROF DR SOEKANDAR | Cetirizine hydrochloride(HCl)/ Cetirizine/ Setirizin sirup 5 mg/5 ml | 3.800 | 360 | 0 | 1.368.000 |
| 352 | RSUD PROF DR SOEKANDAR | Quetiapine Fumarate XR 200 mg / Quetiapin Tablet Pelepasan Lambat 200 mg | 10.530 | 2.000 | 0 | 21.060.000 |
| 353 | RSUD PROF DR SOEKANDAR | Norepinephrine bitartate/ Norepinephrine bitartate monohydrate / Norepinephrine/ Norepinephrine base/ Norepinefrin inj 1 mg/ml | 13.800 | 4.500 | 0 | 62.100.000 |
| 354 | RSUD PROF DR SOEKANDAR | Human tetanus imunoglobulin inj 250 IU (i.m.) | 195.000 | 300 | 0 | 58.500.000 |
| 355 | RSUD PROF DR SOEKANDAR | SODIUM BICARBONATE 500 MG | 70 | 15.000 | 0 | 1.050.000 |
| 356 | RSUD PROF DR SOEKANDAR | VITAMIN D3 1000 IU | 180 | 60.000 | 0 | 10.800.000 |
| 357 | RSUD PROF DR SOEKANDAR | BEDAK SALICYL 2% | 6.408 | 24 | 0 | 153.792 |
| 358 | RSUD PROF DR SOEKANDAR | ATTAPULGIT/ATTAPULGITE 600 MG/TABLET/KAPLET/KAPSUL | 299 | 1.000 | 0 | 299.000 |
| 359 | RSUD PROF DR SOEKANDAR | VITAMIN C 50 MG | 154 | 10.000 | 0 | 1.540.000 |
| 360 | RSUD PROF DR SOEKANDAR | Domperidon/ Domperidone tablet/kapsul/kaplet 10 mg | 107 | 18.000 | 0 | 1.926.000 |
| 361 | RSUD RA BASOENI | Antihemoroid, kombinasi: bismut subgalat 150 mg + heksaklorofen 2,5 mg + lidokain lidokain 10 mg+ seng oksida 120 mg + sup ad 2 g | 3.250 | 70 | 0 | 227.500 |
| 362 | RSUD RA BASOENI | Asam traneksamat/Tranexamic acid tablet/kapsul/kaplet salut selaput 500 mg | 1.443 | 300 | 0 | 432.900 |
| 363 | RSUD RA BASOENI | Fentanil/ Fentanyl injeksi 0,05 mg/ml (i.m/i.v)- 2 ml | 30.000 | 50 | 0 | 1.500.000 |
| 364 | RSUD RA BASOENI | Ketokonazol/ Ketoconazole krim 2% | 3.499,83 | 50 | 0 | 174.991,5 |
| 365 | RSUD RA BASOENI | Lamivudine/ Lamivudin tablet/kapsul/kaplet 150 mg | 1.640 | 600 | 0 | 984.000 |
| 366 | RSUD RA BASOENI | Morfin Injeksi 10 mg/ml (i.m/s.k/ i.v) | 34.359,5 | 30 | 0 | 1.030.785 |
| 367 | RSUD RA BASOENI | Furosemid/ Furosemide tablet/kapsul/kaplet 40 mg | 222 | 20.000 | 0 | 4.440.000 |
| 368 | RSUD RA BASOENI | Analog insulin mix insulin inj 100 IU/mL prefilled pen @ 3 ml | 113.018 | 250 | 0 | 28.254.500 |
| 369 | RSUD RA BASOENI | Insulin Prandial Analog | 90.314 | 350 | 0 | 31.609.900 |
| 370 | RSUD RA BASOENI | ASETAT RINGER / RINGER ASETAT, @500 ML | 8.500 | 1.000 | 0 | 8.500.000 |
| 371 | RSUD RA BASOENI | NaCl 0.9% / Sodium Chloride 0.9%, 500 mL | 7.673 | 2.500 | 0 | 19.182.500 |
| 372 | RSUD RA BASOENI | NaCl / Sodium Chloride 0.9%, @100 mL | 7.125 | 320 | 0 | 2.280.000 |
| 373 | RSUD RA BASOENI | Ringer Laktat/Ringer Lactate, @500 mL | 8.498 | 2.500 | 0 | 21.245.000 |
| 374 | RSUD RA BASOENI | Air untuk injeksi, cairan inj 25 mL | 2.955 | 3.600 | 0 | 10.638.000 |
| 375 | RSUD RA BASOENI | Streptokinase inj 1,5 juta IU | 3.950.000 | 2 | 0 | 7.900.000 |
| 376 | RSUD RA BASOENI | Cefotaxime sodium/ Cefotaxime/ Sefotaksim serb inj 1.000 mg | 5.000 | 1.000 | 0 | 5.000.000 |
| 377 | RSUD RA BASOENI | Ceftazidime/ Ceftazidime Pentahydrate/ Seftazidim serb inj 1.000 mg | 11.100 | 100 | 0 | 1.110.000 |
| 378 | RSUD RA BASOENI | Asam traneksamat/Tranexamic acid injeksi 100 mg/ml | 2.600 | 600 | 0 | 1.560.000 |
| 379 | RSUD RA BASOENI | Nicardipine hydrochloride (HCl)/ Nicardipine/ Nikardipin inj 1 mg/mL | 16.300 | 60 | 0 | 978.000 |
| 380 | RSUD RA BASOENI | Norepinephrine bitartate/ Norepinephrine bitartate monohydrate / Norepinephrine/ Norepinephrine base/ Norepinefrin inj 1 mg/ml | 14.100 | 250 | 0 | 3.525.000 |
| 381 | RSUD RA BASOENI | Ondansetron hydrochloride (HCl)/ Ondansetron HCl dihydrate /Ondansetron inj 2 mg/mL | 1.400 | 3.000 | 0 | 4.200.000 |
| 382 | RSUD RA BASOENI | Fenitoin/ Phenytoin Sodium Injeksi 50 mg/ml (100 mg/ 2 mL) | 3.650 | 200 | 0 | 730.000 |
| 383 | RSUD RA BASOENI | Rocuronium bromide/ Rokuronium inj 10 mg/ml | 54.000 | 20 | 0 | 1.080.000 |
| 384 | RSUD RA BASOENI | Desoksimetason/ Desoximetasone krim 0,25% (2,5 mg/g) | 14.500 | 48 | 0 | 696.000 |
| 385 | RSUD RA BASOENI | Clopidogrel | 660 | 20.000 | 0 | 13.200.000 |
| 386 | RSUD RA BASOENI | Amlodipine besilate 5 mg | 73 | 12.000 | 0 | 876.000 |
| 387 | RSUD RA BASOENI | Amlodipine Besilate 10 mg | 100 | 50.000 | 0 | 5.000.000 |
| 388 | RSUD RA BASOENI | CETIRIZINE HYDROCHLORIDE | 70 | 3.000 | 0 | 210.000 |
| 389 | RSUD RA BASOENI | Omeprazole 20 mg/ Omeprazol 20 mg/100 | 214 | 40.000 | 0 | 8.560.000 |
| 390 | RSUD RA BASOENI | SILDENAFIL 100 MG | 35.000 | 40 | 0 | 1.400.000 |
| 391 | RSUD RA BASOENI | Kombinasi, setiap ml mengandung: natrium klorida 4,40 mg + kalium klorida 0,80 mg tetes mata 15ml | 22.477 | 300 | 0 | 6.743.100 |
| 392 | RSUD RA BASOENI | Kombinasi, setiap ml mengandung: natrium klorida 4,40 mg + kalium klorida 0,80 mg tetes mata 15ml | 22.477 | 300 | 0 | 6.743.100 |
| 393 | RSUD RA BASOENI | LEVOFLOXACIN OGB LEVOFLOXACIN HEMIHYDRATE 500MG | 23.850 | 300 | 0 | 7.155.000 |
| 394 | RSUD RA BASOENI | BIOSAT | 167.888 | 30 | 0 | 5.036.640 |
| 395 | RSUD RA BASOENI | CLINDAMYCIN HCL | 985 | 1.500 | 0 | 1.477.500 |
| 396 | RSUD RA BASOENI | Kombinasi: sefoperazon/ cefoperazone sodium 500 mg + sulbaktam/ sulbactam sodium 500 mg, serb inj 1.000 mg | 22.000 | 100 | 0 | 2.200.000 |
| 397 | RSUD RA BASOENI | ASPILETS | 538 | 10.000 | 0 | 5.380.000 |
| 398 | RSUD RA BASOENI | DEXAMETHASONE SODIUM PHOSPHATE Injeksi | 1.566 | 1.500 | 0 | 2.349.000 |
| 399 | RSUD RA BASOENI | ALBENDAZOLE Kaplet Kunyah | 954,6 | 100 | 0 | 95.460 |
| 400 | RSUD RA BASOENI | DIAZEPAM Injeksi | 1.698,3 | 20 | 0 | 33.966 |
| 401 | RSUD RA BASOENI | METAMIZOLE SODIUM MONOHYDRATE Injeksi | 3.449 | 4.000 | 0 | 13.796.000 |
| 402 | RSUD RA BASOENI | DOPAMINE HYDROCHLORIDE Injeksi | 4.874 | 30 | 0 | 146.220 |
| 403 | RSUD RA BASOENI | CO-AMOXICLAV Film Coated Tablet | 3.515 | 900 | 0 | 3.163.500 |
| 404 | RSUD RA BASOENI | PARACETAMOL Syrup | 3.500 | 200 | 0 | 700.000 |
| 405 | RSUD RA BASOENI | Ciprofloxacin hydrochloride (HCl)/ Ciprofloxacin Lactate/ Ciprofloxacin/ Siprofloksasin tablet/kapsul/kaplet 500 mg | 459 | 1.000 | 0 | 459.000 |
| 406 | RSUD RA BASOENI | NYSTATIN DROPS 100.000 iu/ml | 24.253,5 | 40 | 0 | 970.140 |
| 407 | RSUD PROF DR SOEKANDAR | Larutan mengandung Asam Amino (Asam Amino 79.9 g, Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq), @ 500 mL | 74.475 | 24 | 0 | 1.787.400 |
| 408 | RSUD PROF DR SOEKANDAR | Larutan mengandung Elektrolit (Na 130 mEq, K 4 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq) ASERING softbag @ 500 mL | 8.750 | 300 | 0 | 2.625.000 |
| 409 | RSUD PROF DR SOEKANDAR | Dextrose monohydrat - Dextrose anhydrat 40%, ampul 25 mL | 8.547 | 6.000 | 0 | 51.282.000 |
| 410 | RSUD PROF DR SOEKANDAR | Oxytocin/ Oksitosin inj 10 IU/ml | 2.967 | 3.600 | 0 | 10.681.200 |
| 411 | RSUD PROF DR SOEKANDAR | Poly (0-2 Hydroxyethyl) Starch 130 60 g/ Sodium chloride 6,02 g/ Sodium acetate 4,63 g/ Potassium chloride 0,30 g/ Mg Chloride Hexahydrate 0,30 g Infus | 52.250 | 500 | 0 | 26.125.000 |
| 412 | DINAS KESEHATAN | Diazepam tablet/kapsul/kaplet 2 mg | 170 | 3.000 | 0 | 510.000 |
| 413 | DINAS KESEHATAN | Eritromisin/ Erythromycin/tablet/kapsul/kaplet 500 mg | 1.439 | 15.000 | 0 | 21.585.000 |
| 414 | PUSKESMAS KEMLAGI | Fitomenadion/ Phytomenadion (Vitamin K1) tablet/kapsul/kaplet 10 mg | 1.055 | 500 | 0 | 527.500 |
| 415 | PUSKESMAS KEMLAGI | Ranitidine hydrochloride (HCl)/ Ranitidin injeksi 25 mg/ml | 2.309 | 1.000 | 0 | 2.309.000 |
| 416 | PUSKESMAS KEMLAGI | Asiklovir/Acyclovir/Aciclovir tablet/kapsul/kaplet 400 mg | 848 | 3.000 | 0 | 2.544.000 |
| 417 | PUSKESMAS KEMLAGI | Dimenhidrinat/ Dimenhydrinate tablet/kapsul/kaplet 50 mg | 143 | 9.000 | 0 | 1.287.000 |
| 418 | PUSKESMAS KEMLAGI | Antasida Doen susp | 2.743 | 1.000 | 0 | 2.743.000 |
| 419 | PUSKESMAS GAYAMAN | GENERIK PARASETAMOL/PARACETAMOL SYRUP 120MG/5ML | 3.800 | 400 | 0 | 1.520.000 |
| 420 | PUSKESMAS GAYAMAN | BEDAK SALICYL 2% | 7.100 | 50 | 0 | 355.000 |
| 421 | PUSKESMAS GAYAMAN | CHLORPHENAMINE MALEATE 4MG STRIP (CTM) | 70 | 5.000 | 0 | 350.000 |
| 422 | PUSKESMAS GAYAMAN | VITAMIN B COMPLEX isi 100 TAB | 50 | 5.000 | 0 | 250.000 |
| 423 | PUSKESMAS GAYAMAN | Amoksisilin/ Amoxicillin/ Amoxicillin Trihydrate tablet/kapsul/kaplet/kaptab 500 mg | 530 | 8.000 | 0 | 4.240.000 |
| 424 | PUSKESMAS GAYAMAN | Betametason/Betamethasone Valerate krim 0,1% 5g | 1.995 | 150 | 0 | 299.250 |
| 425 | PUSKESMAS GAYAMAN | Cetirizine hydrochloride(HCl)/ Cetirizine/ Setirizin tablet/kapsul/kaplet 10 mg | 444 | 8.000 | 0 | 3.552.000 |
| 426 | PUSKESMAS GAYAMAN | Chloramphenicol/ Kloramfenikol tablet/kapsul/kaplet 250 mg | 708 | 500 | 0 | 354.000 |
| 427 | PUSKESMAS GAYAMAN | Ciprofloxacin hydrochloride (HCl)/ Ciprofloxacin Lactate/ Ciprofloxacin/ Siprofloksasin tablet/kapsul/kaplet 500 mg | 475 | 1.000 | 0 | 475.000 |
| 428 | PUSKESMAS GAYAMAN | Domperidon/ Domperidone/ Domperidone Maleate tablet/kapsul/kaplet 10 mg | 283 | 1.000 | 0 | 283.000 |
| 429 | PUSKESMAS GAYAMAN | Metronidazole/Metronidazol tablet/kapsul/kaplet 500 mg | 297 | 2.000 | 0 | 594.000 |
| 430 | PUSKESMAS GAYAMAN | Ondansetron hydrochloride (HCl)/ Ondansetron HCl dihydrate /Ondansetron inj 2 mg/mL | 1.942 | 400 | 0 | 776.800 |
| 431 | PUSKESMAS GAYAMAN | Ranitidine hydrochloride (HCl)/ Ranitidin injeksi 25 mg/ml | 1.958 | 300 | 0 | 587.400 |
| 432 | PUSKESMAS GAYAMAN | Metamizol/Antalgin Inj 500 mg/ml atau Metamizole Sodium Monohydrate/Antalgin inj 1000 mg/2ml | 3.613 | 400 | 0 | 1.445.200 |
| 433 | PUSKESMAS GAYAMAN | Fitomenadion/ Phytomenadione/ Phytomenadion (Vitamin K1) injeksi 2 mg/ml (i.m.) | 5.589 | 100 | 0 | 558.900 |
| 434 | PUSKESMAS GAYAMAN | Asam traneksamat/Tranexamic acid tablet/kapsul/kaplet salut selaput 500 mg | 1.688 | 300 | 0 | 506.400 |
| 435 | PUSKESMAS GAYAMAN | Miconazole nitrate/ Miconazole/ Mikonazol krim 2 % | 3.900 | 100 | 0 | 390.000 |
| 436 | PUSKESMAS GAYAMAN | DILATAMOL Salbutamol/ Salbutamol Sulfate cairan ih 1 mg/mL | 6.993 | 50 | 0 | 349.650 |
| 437 | RSUD RA BASOENI | Fitomenadion/ Phytomenadione/ Phytomenadion (Vitamin K1) injeksi 2 mg/ml | 3.818 | 60 | 0 | 229.080 |
| 438 | RSUD RA BASOENI | Fitomenadion/ Phytomenadione/ Phytomenadion (Vitamin K1) injeksi 10 mg/mL | 6.900 | 100 | 0 | 690.000 |
| 439 | RSUD RA BASOENI | SIMKETO - KETOACID & ASAM AMINO KAPLET | 7.992 | 1.000 | 0 | 7.992.000 |
| 440 | PUSKESMAS SOOKO | Asam askorbat (vitamin C) tablet/kapsul/kaplet 50 mg | 95 | 20.000 | 0 | 1.900.000 |
| 441 | RSUD PROF DR SOEKANDAR | Tramadol Injeksi 50 mg/ml | 2.900 | 6.000 | 0 | 17.400.000 |
| 442 | RSUD PROF DR SOEKANDAR | Omeprazol/Omeprazole/ Omeoprazole Sodium inj 40 mg | 5.093 | 12.000 | 0 | 61.116.000 |
| 443 | RSUD RA BASOENI | ENOXRIN 6000 INJEKSI - ENOXAPARIN SODIUM 60 MG | 158.175 | 50 | 0 | 7.908.750 |
| 444 | PUSKESMAS KEMLAGI | Karbogliserin tetes telinga 10% | 7.396 | 144 | 0 | 1.065.024 |
| 445 | PUSKESMAS SOOKO | Ibuprofen tablet 200 mg | 197 | 8.000 | 0 | 1.576.000 |
| 446 | PUSKESMAS TAWANGSARI | AMLODIPINE 5 mg | 125 | 25.000 | 0 | 3.125.000 |
| 447 | PUSKESMAS TAWANGSARI | AMLODIPINE 10 MG | 140 | 25.000 | 0 | 3.500.000 |
| 448 | RSUD RA BASOENI | Bupivakain inj 0,5% | 57.720 | 100 | 0 | 5.772.000 |
| 449 | RSUD RA BASOENI | Kombinasi: Ampisilin 1000 mg + Sulbaktam 500 mg serb inj 1500 mg | 23.000 | 25 | 0 | 575.000 |
| 450 | RSUD RA BASOENI | Cefotaxime sodium/ Cefotaxime/ Sefotaksim serb inj 1.000 mg | 5.500 | 1.000 | 0 | 5.500.000 |
| 451 | RSUD RA BASOENI | Asam traneksamat/Tranexamic acid injeksi 100 mg/ml | 4.000 | 500 | 0 | 2.000.000 |
| 452 | RSUD RA BASOENI | Meropenem/ Meropenem Trihydrate serb inj 1.000 mg | 38.000 | 380 | 0 | 14.440.000 |
| 453 | PUSKESMAS KEMLAGI | METAMIZOLE SODIUM MONOHYDRATE Injeksi | 3.449 | 1.000 | 0 | 3.449.000 |
| 454 | RSUD RA BASOENI | D40 - Dextrose Monohydrate 40% | 12.044 | 200 | 0 | 2.408.800 |
| 455 | RSUD RA BASOENI | D5 1/4NS - Larutan mengandung karbohidrat+elektrolit | 10.268 | 240 | 0 | 2.464.320 |
| 456 | RSUD RA BASOENI | D5 1/2NS - Larutan mengandung karbohidrat+elektrolit | 10.268 | 240 | 0 | 2.464.320 |
| 457 | RSUD RA BASOENI | Manitol inf 20% | 34.965 | 24 | 0 | 839.160 |
| 458 | RSUD RA BASOENI | Lamivudine/ Lamivudin tablet/kapsul/kaplet 150 mg | 1.640 | 1.200 | 0 | 1.968.000 |
| 459 | RSUD RA BASOENI | Fenitoin/ Phenytoin Sodium Injeksi 50 mg/ml | 4.440 | 180 | 0 | 799.200 |
| 460 | RSUD RA BASOENI | N-asetil sistein/Acetyl cysteine tablet/kapsul 200 mg | 432 | 10.000 | 0 | 4.320.000 |
| 461 | RSUD RA BASOENI | Albumin serum normal (human Albumin) inj 20% | 994.500 | 2 | 0 | 1.989.000 |
| 462 | RSUD RA BASOENI | Hydroxyethyl Starch 130-0.4 30 g /Sodium Chloride 4,5 g Infus | 91.015 | 24 | 0 | 2.184.360 |
| 463 | RSUD PROF DR SOEKANDAR | Procainebenzylpenicillin / Prokain Benzilpenisilin serbuk injeksi 3 juta IU (i.m) | 17.982 | 100 | 0 | 1.798.200 |
| 464 | RSUD PROF DR SOEKANDAR | Generik Kombinasi: Ampisilin 1000 mg + Sulbaktam 500 mg serb inj 1500 mg | 20.000 | 300 | 0 | 6.000.000 |
| 465 | RSUD PROF DR SOEKANDAR | Eritromisin/ Erythromycin/tablet/kapsul/kaplet 500 mg | 1.439 | 1.500 | 0 | 2.158.500 |
| 466 | PUSKESMAS PUNGGING | Ondansetron hydrochloride (HCl)/ Ondansetron HCl dihydrate /Ondansetron inj 2 mg/mL | 1.942 | 200 | 0 | 388.400 |
| 467 | PUSKESMAS PUNGGING | Ranitidine hydrochloride (HCl)/ Ranitidin injeksi 25 mg/ml | 1.958 | 600 | 0 | 1.174.800 |
| 468 | PUSKESMAS PUNGGING | Metamizol/Antalgin Inj 500 mg/ml atau Metamizole Sodium Monohydrate/Antalgin inj 1000 mg/2ml | 3.613 | 500 | 0 | 1.806.500 |
| 469 | PUSKESMAS PUNGGING | Difenhidramin/ Diphenhydramine injeksi 10 mg/ml ( i.v./i.m.) | 1.893 | 600 | 0 | 1.135.800 |
| 470 | PUSKESMAS PUNGGING | Cefotaxime sodium/ Cefotaxime/ Sefotaksim serb inj 1.000 mg | 7.492 | 300 | 0 | 2.247.600 |
| 471 | PUSKESMAS PUNGGING | Mecobalamin 500 Mcg/ml Injeksi | 9.023 | 500 | 0 | 4.511.500 |
| 472 | PUSKESMAS PUNGGING | LIDOCAINE COMPOSITUM INJEKSI | 2.237 | 160 | 0 | 357.920 |
| 473 | PUSKESMAS BANGSAL | DEXAMETHASONE 0.5 | 87 | 20.000 | 0 | 1.740.000 |
| 474 | PUSKESMAS BANGSAL | SAMINOL | 270 | 5.000 | 0 | 1.350.000 |
| 475 | PUSKESMAS BANGSAL | Air untuk injeksi, cairan inj 25 mL | 2.955 | 500 | 0 | 1.477.500 |
| 476 | PUSKESMAS BANGSAL | Glukosa larutan infus 10% 500 mL | 8.350 | 500 | 0 | 4.175.000 |
| 477 | PUSKESMAS BANGSAL | NaCl 0.9% / Sodium Chloride 0.9%, 500 mL | 7.673 | 1.000 | 0 | 7.673.000 |
| 478 | PUSKESMAS BANGSAL | ASETAT RINGER / RINGER ASETAT, @500 ML | 8.500 | 500 | 0 | 4.250.000 |
| 479 | PUSKESMAS BANGSAL | Ringer Laktat/Ringer Lactate, @500 mL | 8.498 | 1.000 | 0 | 8.498.000 |
| 480 | RSUD PROF DR SOEKANDAR | Amiodaron inj 50 mg/ml (150 mg/ 3 mL) | 10.620 | 400 | 0 | 4.248.000 |
| 481 | RSUD PROF DR SOEKANDAR | BEROTEC Fenoterol Hydromide/ Fenoterol HBr aerosol 100 mcg/puff0000 | 81.030 | 300 | 0 | 24.309.000 |
| 482 | RSUD PROF DR SOEKANDAR | Gentamycin / Gentamicin Sulfate Salep Mata | 6.740 | 312 | 0 | 2.102.880 |
| 483 | RSUD PROF DR SOEKANDAR | GLARITUS Insulin Glargine 100 iu | 74.925 | 500 | 0 | 37.462.500 |
| 484 | RSUD PROF DR SOEKANDAR | METAMIZOLE SODIUM MONOHYDRATE Injeksi | 3.449 | 30.000 | 0 | 103.470.000 |
| 485 | RSUD PROF DR SOEKANDAR | METRONIDAZOLE BENZOATE Suspensi | 3.765 | 30 | 0 | 112.950 |
| 486 | RSUD PROF DR SOEKANDAR | Nimodipine | 3.950 | 300 | 0 | 1.185.000 |
| 487 | RSUD PROF DR SOEKANDAR | Rivaroxaban 15 mg | 24.551 | 56 | 0 | 1.374.856 |
| 488 | RSUD PROF DR SOEKANDAR | Rivaroxaban 2o mg | 24.551 | 112 | 0 | 2.749.712 |
| 489 | RSUD PROF DR SOEKANDAR | / NIFEDIPIN GITS/TABLET LEPAS LAMBAT | 4.424 | 36.000 | 0 | 159.264.000 |
| 490 | RSUD PROF DR SOEKANDAR | Kaptopril/ Captopril tablet/kapsul/kaplet 12,5 mg | 85 | 600 | 0 | 51.000 |
| 491 | RSUD PROF DR SOEKANDAR | Ondansetron hydrochloride (HCl)/ Ondansetron HCl dihydrate /Ondansetron inj 2 mg/mL | 1.400 | 30.000 | 0 | 42.000.000 |
| 492 | RSUD PROF DR SOEKANDAR | Cotrimoxazole/ Cotrimoksazole/ Kotrimoksazol (dewasa) kombinasi: sulfametoksazol 400 mg + trimetoprim 80 mg (tab/kaptab 480 mg) | 240 | 12.000 | 0 | 2.880.000 |
| 493 | RSUD PROF DR SOEKANDAR | Ranitidine hydrochloride (HCl)/ Ranitidin injeksi 25 mg/ml | 1.332 | 29.000 | 0 | 38.628.000 |
| 494 | RSUD PROF DR SOEKANDAR | KALIUM DIKLOFENAK TAB 50 MG | 360 | 1.000 | 0 | 360.000 |
| 495 | RSUD PROF DR SOEKANDAR | MICROGEST 100 MG | 630 | 150 | 0 | 94.500 |
| 496 | RSUD PROF DR SOEKANDAR | Triamcinolone Acetonide 40mg/ml | 67.500 | 20 | 0 | 1.350.000 |
| 497 | RSUD PROF DR SOEKANDAR | Deksmedetomidin inj 100 mcg/mL | 108.000 | 300 | 0 | 32.400.000 |
| 498 | RSUD PROF DR SOEKANDAR | Midazolam hydrochloride/ Midazolam injeksi 1 mg/ml (i.v.) | 9.778 | 600 | 0 | 5.866.800 |
| 499 | RSUD PROF DR SOEKANDAR | Dakarbazin/Dacarbazine inj 200 mg | 272.500 | 10 | 0 | 2.725.000 |
| 500 | RSUD PROF DR SOEKANDAR | Streptokinase inj 1,5 juta IU | 3.950.000 | 10 | 0 | 39.500.000 |
| 501 | RSUD RA BASOENI | LEVOFLOXACIN OGB LEVOFLOXACIN HEMIHYDRATE 500MG | 23.850 | 500 | 0 | 11.925.000 |
| 502 | RSUD RA BASOENI | Analog insulin mix insulin inj 100 IU/mL prefilled pen @ 3 ml | 113.018 | 250 | 0 | 28.254.500 |
| 503 | RSUD RA BASOENI | Larutan mengandung Asam Amino (Asam Amino 6%, mengandung Taurine 0,24 gr/l) : Aminosteril Infant 6% | 52.747 | 10 | 0 | 527.470 |
| 504 | RSUD RA BASOENI | ASPILETS | 538 | 10.000 | 0 | 5.380.000 |
| 505 | RSUD RA BASOENI | SIMPROFEN INJ. - DEXKETOPROFEN 50 MG/2 ML INJEKSI | 49.950 | 100 | 0 | 4.995.000 |
| 506 | RSUD RA BASOENI | Bisakodil/Bisacodyl tablet salut/kaplet salut 5 mg | 257 | 200 | 0 | 51.400 |
| 507 | RSUD RA BASOENI | Metoclopramide hydrochloride (HCl)/ Metoclopramide/ Metoklopramid tablet/kapsul/kaplet 10 mg | 151 | 5.000 | 0 | 755.000 |
| 508 | RSUD RA BASOENI | Asam traneksamat/Tranexamic acid tablet/kapsul/kaplet salut selaput 500 mg | 1.443 | 1.000 | 0 | 1.443.000 |
| 509 | RSUD RA BASOENI | Isoniazid tablet/kapsul/kaplet 300 mg | 485 | 500 | 0 | 242.500 |
| 510 | RSUD RA BASOENI | Morfin Injeksi 10 mg/ml (i.m/s.k/ i.v) | 34.359,5 | 50 | 0 | 1.717.975 |
| 511 | RSUD RA BASOENI | Gentamycin / Gentamicin Sulfate Salep Mata | 6.740 | 144 | 0 | 970.560 |
| 512 | RSUD RA BASOENI | STUNIC/AMBROXOL 30/AMB/ T4BLET/KAPLET | 191 | 2.500 | 0 | 477.500 |
| 513 | RSUD RA BASOENI | BISACODYL 10 MG | 9.789 | 60 | 0 | 587.340 |
| 514 | RSUD RA BASOENI | Magnesium sulfat injeksi 20% (i.v.) @ 25 mL. | 5.470 | 30 | 0 | 164.100 |
| 515 | RSUD RA BASOENI | Sodium bicarbonate/Natrium Bikarbonat inj 8,4% (i.v.), ampul @25 mL | 8.305 | 120 | 0 | 996.600 |
| 516 | RSUD RA BASOENI | NaCl 3% Larutan, Softbag @ 500 mL | 36.101 | 100 | 0 | 3.610.100 |
| 517 | RSUD RA BASOENI | Glukosa larutan infus 10% 500 mL | 7.932 | 20 | 0 | 158.640 |
| 518 | RSUD RA BASOENI | NaCl 0.9% / Sodium Chloride 0.9%, 500 mL | 7.289 | 2.000 | 0 | 14.578.000 |
| 519 | RSUD RA BASOENI | Kalium klorida / Potasium klorida injeksi 25 mg 7,46% 25 mL | 3.600 | 240 | 0 | 864.000 |
| 520 | RSUD RA BASOENI | Quetiapine Fumarate XR 200 mg / Quetiapin Tablet Pelepasan Lambat 200 mg | 11.500 | 300 | 0 | 3.450.000 |
| 521 | RSUD RA BASOENI | GLISERIL TRINITRAT / GLYCERYL TRINITRATE INJ 1 MG/ML | 41.000 | 50 | 0 | 2.050.000 |
| 522 | RSUD RA BASOENI | Efedrin/ Ephedrine HCl Inj 50 mg/ml | 24.975 | 50 | 0 | 1.248.750 |
| 523 | RSUD RA BASOENI | Fentanil/ Fentanyl injeksi 0,05 mg/ml (i.m/i.v) ampul/vial @ 2 mL | 29.500 | 100 | 0 | 2.950.000 |
| 524 | RSUD RA BASOENI | VENTASAL Salbutamol 2,5MG/2,5ML INH 10S | 3.885 | 1.000 | 0 | 3.885.000 |
| 525 | RSUD RA BASOENI | CO-AMOXICLAV Film Coated Tablet | 2.988 | 1.200 | 0 | 3.585.600 |
| 526 | RSUD RA BASOENI | Amiodaron inj 50 mg/ml (150 mg/ 3 mL) | 11.780 | 60 | 0 | 706.800 |
| 527 | RSUD RA BASOENI | Atracurium Besilate/ Atracurium Besylate/ Atrakurium injeksi 10mg/mL ampul @ 2,5 mL | 17.400 | 3 | 0 | 52.200 |
| 528 | RSUD RA BASOENI | Oxytocin/ Oksitosin inj 10 IU/ml | 3.295 | 500 | 0 | 1.647.500 |
| 529 | RSUD RA BASOENI | Midazolam hydrochloride/ Midazolam injeksi 1 mg/ml (i.v.) | 9.782 | 100 | 0 | 978.200 |
| 530 | RSUD RA BASOENI | Sefoperazon/ Cefoperazone sodium 500 mg + Sulbaktam/ Sulbactam sodium 500 mg | 28.083 | 100 | 0 | 2.808.300 |
| 531 | RSUD RA BASOENI | ENOXRIN 6000 INJEKSI - ENOXAPARIN SODIUM 60 MG | 158.175 | 50 | 0 | 7.908.750 |
| 532 | RSUD RA BASOENI | Kombinasi: Ampisilin 1000 mg + Sulbaktam 500 mg serb inj 1500 mg | 27.750 | 80 | 0 | 2.220.000 |
| 533 | RSUD RA BASOENI | Difenhidramin/ Diphenhydramine injeksi 10 mg/ml ( i.v./i.m.) | 1.893 | 500 | 0 | 946.500 |
| 534 | RSUD RA BASOENI | SIDIADRYL EXPECTORANT 100 ml | 8.000 | 500 | 0 | 4.000.000 |
| 535 | RSUD RA BASOENI | Ketamin/Ketamine Hydrochloride injeksi 100 mg/mL ( i.v.) | 38.871 | 20 | 0 | 777.420 |
| 536 | RSUD RA BASOENI | Methylprednisolone Sodium Succinate/ Metilprednisolon/ Methylprednisolone inj 125 mg | 19.610 | 100 | 0 | 1.961.000 |
| 537 | RSUD RA BASOENI | Asam traneksamat/Tranexamic acid injeksi 100 mg/ml | 2.500 | 1.000 | 0 | 2.500.000 |
| 538 | RSUD RA BASOENI | Kalsium glukonat/ Calcium gluconate inj 10% | 10.500 | 96 | 0 | 1.008.000 |
| 539 | RSUD RA BASOENI | Cefixime trihydrate/ Cefixime/ Sefiksim tablet/kapsul/kaplet 100 mg | 690 | 5.000 | 0 | 3.450.000 |
| 540 | RSUD RA BASOENI | Cefixime trihydrate/ Cefixime/ Sefiksim tablet/kapsul/kaplet 200 mg | 1.400 | 2.000 | 0 | 2.800.000 |
| 541 | RSUD RA BASOENI | Cefixime trihydrate/ Cefixime/ Sefiksim sirup/ sirup kering 100 mg/ 5 ml | 9.750 | 20 | 0 | 195.000 |
| 542 | RSUD RA BASOENI | Ceftazidime/ Ceftazidime Pentahydrate/ Seftazidim serb inj 1.000 mg | 11.500 | 100 | 0 | 1.150.000 |
| 543 | RSUD RA BASOENI | Ceftriaxone/ Ceftriaxone Sodium/ Seftriakson inj 1.000 mg | 5.100 | 1.000 | 0 | 5.100.000 |
| 544 | RSUD RA BASOENI | Nicardipine hydrochloride (HCl)/ Nicardipine/ Nikardipin inj 1 mg/mL | 16.400 | 100 | 0 | 1.640.000 |
| 545 | RSUD RA BASOENI | Streptokinase inj 1,5 juta IU | 3.950.000 | 2 | 0 | 7.900.000 |
| 546 | RSUD RA BASOENI | Dobutamin/ Dobutamin HCl/ Dobutamine HCl injeksi 50 mg/mL | 13.600 | 100 | 0 | 1.360.000 |
| 547 | RSUD RA BASOENI | Norepinephrine bitartate/ Norepinephrine bitartate monohydrate / Norepinephrine/ Norepinephrine base/ Norepinefrin inj 1 mg/ml | 14.000 | 200 | 0 | 2.800.000 |
| 548 | RSUD RA BASOENI | Omeprazol/Omeprazole/ Omeoprazole Sodium inj 40 mg | 5.400 | 1.000 | 0 | 5.400.000 |
| 549 | RSUD RA BASOENI | Human tetanus imunoglobulin inj 250 IU (i.m.) | 195.000 | 50 | 0 | 9.750.000 |
| 550 | RSUD RA BASOENI | Antasida Doen susp | 2.744 | 300 | 0 | 823.200 |
| 551 | RSUD RA BASOENI | Clindamycin hydrochloride (HCl)/ Clindamycin/ Klindamisin tablet/kapsul/kaplet 300 mg | 1.000 | 1.000 | 0 | 1.000.000 |
| 552 | RSUD RA BASOENI | Isofluran/ isoflurane inhalasi 250 ml | 405.150 | 4 | 0 | 1.620.600 |
| 553 | RSUD RA BASOENI | MAXCEF 500 - CEFADROXIL 500 MG KAPSUL | 11.489 | 500 | 0 | 5.744.500 |
| 554 | RSUD RA BASOENI | Midazolam hydrochloride/ Midazolam injeksi 1 mg/ml (i.v.) | 18.000 | 100 | 0 | 1.800.000 |
| 555 | RSUD RA BASOENI | Streptokinase inj 1,5 juta IU | 3.950.000 | 3 | 0 | 11.850.000 |
| 556 | RSUD RA BASOENI | BEROTEC Fenoterol Hydromide/ Fenoterol HBr aerosol 100 mcg/puff0000 | 81.030 | 25 | 0 | 2.025.750 |
| 557 | RSUD RA BASOENI | PEHACAIN / Lidocaine Hydrochloride | 3.707 | 100 | 0 | 370.700 |
| 558 | RSUD RA BASOENI | Dexamethason Sodium Phosphate/ Deksamethason/ Deksametason injeksi 5 mg/mL | 1.421 | 1.000 | 0 | 1.421.000 |
| 559 | RSUD RA BASOENI | Epinefrin/ Epinephrine (Adrenalin) injeksi 1 mg/mL | 5.828 | 180 | 0 | 1.049.040 |
| 560 | RSUD RA BASOENI | Fitomenadion/ Phytomenadione/ Phytomenadion (Vitamin K1) injeksi 10 mg/mL | 6.900 | 100 | 0 | 690.000 |
| 561 | RSUD RA BASOENI | METAMIZOLE SODIUM MONOHYDRATE 500MG | 225 | 2.000 | 0 | 450.000 |
| 562 | RSUD RA BASOENI | VITAMIN B12 | 21 | 4.000 | 0 | 84.000 |
| 563 | RSUD RA BASOENI | VITAMIN B COMPLEX | 26 | 20.000 | 0 | 520.000 |
| 564 | RSUD RA BASOENI | VITAMIN C 25MG | 19 | 1.000 | 0 | 19.000 |
| 565 | RSUD RA BASOENI | Lidocaine Hydrochloride/ Lidocaine/ Lidocain/ Lidokain injeksi 2% | 1.319 | 100 | 0 | 131.900 |
| 566 | RSUD PROF DR SOEKANDAR | Asam Ibandronat inj 1 mg/ml / Ibandronic Acid | 444.000 | 10 | 0 | 4.440.000 |
| 567 | RSUD PROF DR SOEKANDAR | Triamcinolone acetonide/ Triamsinolon asetonid inj 10 mg/mL | 33.300 | 20 | 0 | 666.000 |
| 568 | RSUD PROF DR SOEKANDAR | Lansoprazole inj | 89.632 | 30 | 0 | 2.688.960 |
| 569 | RSUD PROF DR SOEKANDAR | Morfin Injeksi 10 mg/ml (i.m/s.k/ i.v) | 34.359,5 | 200 | 0 | 6.871.900 |
| 570 | PUSKESMAS DAWARBLANDONG | Alopurinol/Allopurinol tablet/kapsul/kaplet 100 mg | 186 | 25.000 | 0 | 4.650.000 |
| 571 | PUSKESMAS DAWARBLANDONG | Amoksisilin/ Amoxicillin/ Amoxicillin Trihydrate tablet/kapsul/kaplet/kaptab 500 mg | 488 | 50.000 | 0 | 24.400.000 |
| 572 | PUSKESMAS DAWARBLANDONG | Vitamin B Kompleks/ Vitamin B complex tablet | 81 | 35.000 | 0 | 2.835.000 |
| 573 | PUSKESMAS DAWARBLANDONG | ZINC SULFATE MONOHYDRATE DISPERSIBLE / ZINC 20 MG | 247 | 500 | 0 | 123.500 |
| 574 | PUSKESMAS DAWARBLANDONG | IBUPROFEN 400 MG_OGB | 285 | 10.000 | 0 | 2.850.000 |
| 575 | PUSKESMAS DAWARBLANDONG | DEXAMETHASONE 0,5 MG | 88 | 50.000 | 0 | 4.400.000 |
| 576 | RSUD RA BASOENI | ANTRAIN METAMIZOL/ANTALGIN INJ 500 MG/ML ATAU METAMIZOLE SODIUM MONOHYDRATE/ANTALGIN INJ 1000 MG/2ML | 4.407 | 5.000 | 0 | 22.035.000 |
| 577 | RSUD RA BASOENI | INTERLAC TABLET | 9.435 | 900 | 0 | 8.491.500 |
| 578 | PUSKESMAS MANDURO | Ondansetron hydrochloride (HCl)/ Ondansetron HCl dihydrate /Ondansetron inj 2 mg/mL | 1.942 | 400 | 0 | 776.800 |
| 579 | PUSKESMAS MANDURO | Ranitidine hydrochloride (HCl)/ Ranitidin injeksi 25 mg/ml | 1.958 | 1.500 | 0 | 2.937.000 |
| 580 | PUSKESMAS MANDURO | Metamizol/Antalgin Inj 500 mg/ml atau Metamizole Sodium Monohydrate/Antalgin inj 1000 mg/2ml | 3.613 | 700 | 0 | 2.529.100 |
| 581 | PUSKESMAS MANDURO | Difenhidramin/ Diphenhydramine injeksi 10 mg/ml ( i.v./i.m.) | 1.893 | 200 | 0 | 378.600 |
| 582 | PUSKESMAS MANDURO | Fitomenadion/ Phytomenadione/ Phytomenadion (Vitamin K1) injeksi 2 mg/ml (i.m.) | 5.589 | 30 | 0 | 167.670 |
| 583 | PUSKESMAS MANDURO | Ampisilin/Ampicillin injeksi 1000 mg (i.v) | 10.417 | 20 | 0 | 208.340 |
| 584 | PUSKESMAS MANDURO | Cefotaxime sodium/ Cefotaxime/ Sefotaksim serb inj 1.000 mg | 7.492 | 500 | 0 | 3.746.000 |
| 585 | RSUD PROF DR SOEKANDAR | Amikasin/Amikacin/Amikacin sulfate injeksi 250 mg/ml | 19.375 | 30 | 0 | 581.250 |
| 586 | RSUD PROF DR SOEKANDAR | Cefadroxil monohydrate/ Cefadroxil/ Sefadroksil Dry Syrup | 7.148 | 100 | 0 | 714.800 |
| 587 | RSUD PROF DR SOEKANDAR | Bupivakain inj 0,5% | 51.803 | 500 | 0 | 25.901.500 |
| 588 | RSUD PROF DR SOEKANDAR | Ioheksol inj 350 mg iodium/ml | 158.111 | 100 | 0 | 15.811.100 |
| 589 | RSUD PROF DR SOEKANDAR | Ketanaest Injeksi 50 mg/ml | 80.142 | 60 | 0 | 4.808.520 |
| 590 | RSUD PROF DR SOEKANDAR | Quetiapine Fumarate / Quetiapin Tablet Pelepasan Lambat 200 mg | 10.131 | 2.000 | 0 | 20.262.000 |
| 591 | RSUD PROF DR SOEKANDAR | Analog Insulin Co-Formulation inj 100 IU/ml Ultra Long Acting Insulin Degludec 70U/Rapid Acting Insulin Aspart 30U (kemasan vial, disposable cartridge, penfill cartridge) | 113.018 | 50 | 0 | 5.650.900 |
| 592 | RSUD PROF DR SOEKANDAR | Natamycin/ Natamisin tts mata 5% (50 mg/ml) | 8.316 | 60 | 0 | 498.960 |
| 593 | RSUD RA BASOENI | LEVOFLOXACIN OGB LEVOFLOXACIN HEMIHYDRATE 500MG | 23.850 | 400 | 0 | 9.540.000 |
| 594 | RSUD RA BASOENI | Analog insulin mix insulin inj 100 IU/mL prefilled pen @ 3 ml | 113.018 | 250 | 0 | 28.254.500 |
| 595 | RSUD RA BASOENI | AMLODIPINE 10 MG | 107 | 70.000 | 0 | 7.490.000 |
| 596 | RSUD RA BASOENI | Paracetamol/ Parasetamol infus 10 mg/mL | 12.791 | 600 | 0 | 7.674.600 |
| 597 | RSUD RA BASOENI | Sildenafil Citrate 100 mg Tablet Salut Selaput | 21.475 | 60 | 0 | 1.288.500 |
| 598 | RSUD RA BASOENI | Larutan mengandung Asam Amino (Asam Amino 6%, mengandung Taurine 0,24 gr/l) : Aminosteril Infant 6% | 52.747 | 10 | 0 | 527.470 |
| 599 | RSUD RA BASOENI | ATTAPULGIT/ATTAPULGITE 600 MG/TABLET/KAPLET/KAPSUL | 299 | 2.000 | 0 | 598.000 |
| 600 | RSUD RA BASOENI | Omeprazole 20 mg/ Omeprazol 20 mg/100 | 214 | 45.000 | 0 | 9.630.000 |
| 601 | RSUD RA BASOENI | Salbutamol 4 mg Tablet - Generik | 170 | 10.000 | 0 | 1.700.000 |
| 602 | RSUD RA BASOENI | DIGOXIN Injeksi | 20.500 | 20 | 0 | 410.000 |
| 603 | RSUD RA BASOENI | CLINDAMYCIN HYDROCHLORIDA CAPSULE | 999 | 1.500 | 0 | 1.498.500 |
| 604 | RSUD RA BASOENI | ZINC SULFATE MONOHYDRATE Sirup | 3.493 | 10 | 0 | 34.930 |
| 605 | RSUD RA BASOENI | Efedrin/ Ephedrine HCl Inj 50 mg/ml | 24.975 | 50 | 0 | 1.248.750 |
| 606 | RSUD RA BASOENI | Fentanil/ Fentanyl injeksi 0,05 mg/ml (i.m/i.v) ampul/vial @ 2 mL | 29.500 | 150 | 0 | 4.425.000 |
| 607 | RSUD RA BASOENI | MISOPROSTOL 200 MCG TABLET | 5.272,5 | 450 | 0 | 2.372.625 |
| 608 | RSUD RA BASOENI | Salbutamol/ Salbutamol Sulfate cairan ih 1 mg/mL | 4.440 | 500 | 0 | 2.220.000 |
| 609 | RSUD RA BASOENI | Omeprazol/Omeprazole/ Omeoprazole Sodium inj 40 mg | 5.093 | 4.000 | 0 | 20.372.000 |
| 610 | PUSKESMAS PACET | Dexamethason Sodium Phosphate/ Deksamethason/ Deksametason injeksi 5 mg/mL | 1.653 | 500 | 0 | 826.500 |
| 611 | RSUD RA BASOENI | Air untuk injeksi, cairan inj 25 mL | 2.807 | 2.400 | 0 | 6.736.800 |
| 612 | RSUD RA BASOENI | Kalium klorida / Potasium klorida injeksi 25 mg 7,46% 25 mL | 3.600 | 720 | 0 | 2.592.000 |
| 613 | RSUD RA BASOENI | ASETAT RINGER / RINGER ASETAT, @500 ML | 8.500 | 1.500 | 0 | 12.750.000 |
| 614 | RSUD RA BASOENI | Glukosa larutan infus 10% 500 mL | 7.932 | 80 | 0 | 634.560 |
| 615 | RSUD RA BASOENI | Glukosa larutan infus 5% 500 mL | 7.301 | 400 | 0 | 2.920.400 |
| 616 | RSUD RA BASOENI | NaCl 0.9% / Sodium Chloride 0.9%, 500 mL | 7.289 | 3.500 | 0 | 25.511.500 |
| 617 | RSUD RA BASOENI | NaCl / Sodium Chloride 0.9%, @100 mL | 6.768 | 600 | 0 | 4.060.800 |
| 618 | RSUD RA BASOENI | Ringer Laktat/Ringer Lactate, @500 mL | 8.073 | 5.500 | 0 | 44.401.500 |
| 619 | RSUD RA BASOENI | Larutan mengandung karbohidrat + elektrolit (Kombinasi NaCl 18,6 g, KCl 0,3 g, CaCl2 0,48 g, dextrose 50 g per 1000 ml), @ 500 mL | 14.244 | 80 | 0 | 1.139.520 |
| 620 | RSUD RA BASOENI | NaCl 3% Larutan, Softbag @ 500 mL | 36.101 | 100 | 0 | 3.610.100 |
| 621 | PUSKESMAS PACET | Amoksisilin/ Amoxicillin/ Amoxicillin Trihydrate tablet/kapsul/kaplet/kaptab 500 mg | 530 | 30.000 | 0 | 15.900.000 |
| 622 | PUSKESMAS PACET | Ciprofloxacin hydrochloride (HCl)/ Ciprofloxacin Lactate/ Ciprofloxacin/ Siprofloksasin tablet/kapsul/kaplet 500 mg | 475 | 5.000 | 0 | 2.375.000 |
| 623 | PUSKESMAS PACET | Domperidon/ Domperidone/ Domperidone Maleate tablet/kapsul/kaplet 10 mg | 283 | 5.000 | 0 | 1.415.000 |
| 624 | PUSKESMAS PACET | Amoksisilin/Amoxicillin/Amoxicillin Trihydrate sirup/suspensi kering 125 mg/ 5 ml | 5.500 | 500 | 0 | 2.750.000 |
| 625 | PUSKESMAS PACET | Cotrimoxazole/ Cotrimoksazole/ Kotrimoksazol tablet /kaptab (dewasa) kombinasi: sulfametoksazol 400 mg + trimetoprim 80 mg | 275 | 5.000 | 0 | 1.375.000 |
| 626 | RSUD RA BASOENI | Antihemoroid, kombinasi: bismut subgalat 150 mg + heksaklorofen 2,5 mg + lidokain lidokain 10 mg+ seng oksida 120 mg + sup ad 2 g | 3.250 | 100 | 0 | 325.000 |
| 627 | RSUD RA BASOENI | Pethidine hydrochloride/ Petidin inj 50 mg/mL (i.m./i.v.) | 23.590 | 100 | 0 | 2.359.000 |
| 628 | PUSKESMAS PACET | ATTAPULGIT/ATTAPULGITE 600 MG/TABLET/KAPLET/KAPSUL | 300 | 5.000 | 0 | 1.500.000 |
| 629 | PUSKESMAS PACET | Asam mefenamat t4b 500 mg | 219 | 10.000 | 0 | 2.190.000 |
| 630 | PUSKESMAS PACET | Ibuprofen tab 400 mg | 275 | 10.000 | 0 | 2.750.000 |
| 631 | PUSKESMAS PACET | Ambroxol HCI/Ambroksol/T4blet/K4psul/Kaplet 30 mg | 134 | 10.000 | 0 | 1.340.000 |
| 632 | RSUD RA BASOENI | Bupivakain inj 0,5% | 57.720 | 150 | 0 | 8.658.000 |
| 633 | RSUD RA BASOENI | Levofloxacin hemihydrate/ Levofloxacin/Levofloksasin tablet salut selaput/kaplet salut selaput/ kaptab salut selaput 500 mg | 724 | 2.000 | 0 | 1.448.000 |
| 634 | RSUD RA BASOENI | Metronidazole/Metronidazol tablet/kapsul/kaplet 500 mg | 297 | 1.500 | 0 | 445.500 |
| 635 | RSUD RA BASOENI | Amiodaron inj 50 mg/ml (150 mg/ 3 mL) | 11.790 | 60 | 0 | 707.400 |
| 636 | RSUD RA BASOENI | Atropin inj 0,25 mg/mL (i.v./s.k.) | 4.574 | 200 | 0 | 914.800 |
| 637 | RSUD RA BASOENI | Oxytocin/ Oksitosin inj 10 IU/ml | 3.295 | 300 | 0 | 988.500 |
| 638 | PUSKESMAS GEDEG | Nacl 0,9% / Sodium Chloride 0,9% | 7.673 | 40 | 0 | 306.920 |
| 639 | PUSKESMAS GEDEG | Ringer Laktat/ Ringer Lactate, @500 mL | 8.498 | 20 | 0 | 169.960 |
| 640 | PUSKESMAS GEDEG | Antihemoroid, kombinasi: bismut subgalat 150 mg + heksaklorofen 2,5 mg + lidokain lidokain 10 mg+ seng oksida 120 mg + sup ad 2 g | 3.250 | 100 | 0 | 325.000 |
| 641 | PUSKESMAS GEDEG | Asiklovir/Acyclovir/Aciclovir tablet/kapsul/kaplet 400 mg | 848 | 3.000 | 0 | 2.544.000 |
| 642 | PUSKESMAS GEDEG | Kalsium Laktat/ Calcium lactate (Kalk) tablet/kapsul/kaplet 500 mg | 165 | 4.000 | 0 | 660.000 |
| 643 | PUSKESMAS GEDEG | Permethrin/ Permetrin Krim 5% | 6.325 | 50 | 0 | 316.250 |
| 644 | PUSKESMAS GEDEG | Ketoprofen supositoria 100 mg KF | 7.011 | 10 | 0 | 70.110 |
| 645 | PUSKESMAS GEDEG | Asiklovir/Acyclovir/Aciclovir tablet/kapsul/kaplet 200 mg KF | 536 | 3.000 | 0 | 1.608.000 |
| 646 | PUSKESMAS GEDEG | Bedak salisil/ Bedak salicyl serbuk 2% | 6.485 | 100 | 0 | 648.500 |
| 647 | RSUD RA BASOENI | Amlodipine besilate 5 mg | 80 | 16.000 | 0 | 1.280.000 |
| 648 | RSUD RA BASOENI | Meropenem/ Meropenem Trihydrate serb inj 1.000 mg | 37.000 | 1.500 | 0 | 55.500.000 |
| 649 | RSUD RA BASOENI | Fondaparinuks inj 2,5 mg/0,5 mL | 190.000 | 25 | 0 | 4.750.000 |
| 650 | RSUD RA BASOENI | Cefixime trihydrate/ Cefixime/ Sefiksim tablet/kapsul/kaplet 100 mg | 660 | 4.000 | 0 | 2.640.000 |
| 651 | RSUD RA BASOENI | Cefixime trihydrate/ Cefixime/ Sefiksim tablet/kapsul/kaplet 200 mg | 1.350 | 8.000 | 0 | 10.800.000 |
| 652 | RSUD RA BASOENI | Desoksimetason/ Desoximetasone krim 0,25% (2,5 mg/g) | 14.500 | 60 | 0 | 870.000 |
| 653 | RSUD RA BASOENI | Ceftazidime/ Ceftazidime Pentahydrate/ Seftazidim serb inj 1.000 mg | 11.100 | 200 | 0 | 2.220.000 |
| 654 | RSUD RA BASOENI | Nicardipine hydrochloride (HCl)/ Nicardipine/ Nikardipin inj 1 mg/mL | 16.000 | 100 | 0 | 1.600.000 |
| 655 | RSUD RA BASOENI | Norepinephrine bitartate/ Norepinephrine bitartate monohydrate / Norepinephrine/ Norepinephrine base/ Norepinefrin inj 1 mg/ml | 13.800 | 350 | 0 | 4.830.000 |
| 656 | RSUD RA BASOENI | Ondansetron hydrochloride (HCl)/ Ondansetron HCl dihydrate /Ondansetron inj 2 mg/mL | 1.400 | 6.000 | 0 | 8.400.000 |
| 657 | RSUD RA BASOENI | Fluconazole / Flukonazol injeksi/ infus 2 mg/ml | 23.000 | 10 | 0 | 230.000 |
| 658 | RSUD RA BASOENI | Cefotaxime sodium/ Cefotaxime/ Sefotaksim serb inj 1.000 mg | 5.500 | 3.000 | 0 | 16.500.000 |
| 659 | RSUD RA BASOENI | Ciprofloxacin hydrochloride (HCl)/ Ciprofloxacin Lactate/ Ciprofloxacin/ Siprofloksasin tablet/kapsul/kaplet 500 mg | 416 | 1.000 | 0 | 416.000 |
| 660 | RSUD RA BASOENI | CEFTRIAXONE/ CEFTRIAXONE SODIUM/ SEFTRIAKSON INJ 1.000 MG | 5.500 | 2.800 | 0 | 15.400.000 |
| 661 | RSUD RA BASOENI | Fenitoin/ Phenytoin Sodium Injeksi 50 mg/ml | 4.440 | 450 | 0 | 1.998.000 |
| 662 | RSUD RA BASOENI | Fitomenadion/ Phytomenadione/ Phytomenadion (Vitamin K1) injeksi 10 mg/mL | 6.900 | 200 | 0 | 1.380.000 |
| 663 | RSUD RA BASOENI | Fitomenadion/ Phytomenadione/ Phytomenadion (Vitamin K1) injeksi 2 mg/ml | 3.818 | 90 | 0 | 343.620 |
| 664 | RSUD RA BASOENI | Sefoperazon/ Cefoperazone sodium 500 mg + Sulbaktam/ Sulbactam sodium 500 mg | 25.530 | 200 | 0 | 5.106.000 |
| 665 | PUSKESMAS GEDEG | Betametason/Betamethasone Valerate krim 0,1% 5g | 1.995 | 50 | 0 | 99.750 |
| 666 | PUSKESMAS GEDEG | Cefadroxil monohydrate/ Cefadroxil/ Sefadroksil tablet/kapsul/kaplet 500 mg | 970 | 4.000 | 0 | 3.880.000 |
| 667 | PUSKESMAS GEDEG | Cetirizine hydrochloride(HCl)/ Cetirizine/ Setirizin tablet/kapsul/kaplet 10 mg | 444 | 6.000 | 0 | 2.664.000 |
| 668 | PUSKESMAS GEDEG | Chloramphenicol/ Kloramfenikol tablet/kapsul/kaplet 250 mg | 708 | 5.000 | 0 | 3.540.000 |
| 669 | PUSKESMAS GEDEG | Ciprofloxacin hydrochloride (HCl)/ Ciprofloxacin Lactate/ Ciprofloxacin/ Siprofloksasin tablet/kapsul/kaplet 500 mg | 475 | 5.000 | 0 | 2.375.000 |
| 670 | PUSKESMAS GEDEG | Clindamycin hydrochloride (HCl)/ Clindamycin/ Klindamisin tablet/kapsul/kaplet 300 mg | 1.211 | 3.000 | 0 | 3.633.000 |
| 671 | PUSKESMAS GEDEG | Cefadroxil monohydrate/ Cefadroxil/ Sefadroksil sirup kering 125 mg/5ml | 8.001 | 30 | 0 | 240.030 |
| 672 | PUSKESMAS GEDEG | Domperidon/ Domperidone/ Domperidone Maleate tablet/kapsul/kaplet 10 mg | 283 | 2.000 | 0 | 566.000 |
| 673 | PUSKESMAS GEDEG | Hidrokortison/ Hydrocortisone/ Hydrocortisone acetate krim 2,5 % | 4.662 | 100 | 0 | 466.200 |
| 674 | PUSKESMAS GEDEG | Metronidazole/Metronidazol tablet/kapsul/kaplet 500 mg | 297 | 5.000 | 0 | 1.485.000 |
| 675 | PUSKESMAS GEDEG | Methylergometrine Maleate/ Methylergometrine/ Metilergometrin tablet/kapsul/kaplet 0,125 mg | 1.554 | 990 | 0 | 1.538.460 |
| 676 | PUSKESMAS GEDEG | Amoksisilin/Amoxicillin/Amoxicillin Trihydrate sirup/suspensi kering 125 mg/ 5 ml | 5.500 | 100 | 0 | 550.000 |
| 677 | PUSKESMAS GEDEG | Miconazole nitrate/ Miconazole/ Mikonazol krim 2 % | 3.900 | 50 | 0 | 195.000 |
| 678 | PUSKESMAS GEDEG | Cotrimoxazole/ Cotrimoksazole/ Kotrimoksazol (anak) kombinasi tiap 5 ml suspensi: sulfametoksazol 200 mg + trimetoprim 40 mg | 4.796 | 100 | 0 | 479.600 |
| 679 | PUSKESMAS GEDEG | CEFIXIME 100 mg TSS | 1.000 | 2.000 | 0 | 2.000.000 |
| 680 | RSUD RA BASOENI | Metronidazole/ Metronidazol infus 5 mg/ ml | 14.600 | 200 | 0 | 2.920.000 |
| 681 | RSUD RA BASOENI | MAXCEF 500 - CEFADROXIL 500 MG KAPSUL | 11.489 | 800 | 0 | 9.191.200 |
| 682 | RSUD RA BASOENI | SIMPROFEN INJ. - DEXKETOPROFEN 50 MG/2 ML INJEKSI | 49.950 | 100 | 0 | 4.995.000 |
| 683 | RSUD RA BASOENI | Albumin serum normal (human Albumin) inj 25% , 50 ml | 872.000 | 5 | 0 | 4.360.000 |
| 684 | RSUD RA BASOENI | SIMKETO - KETOACID & ASAM AMINO ESSENTIAL KAPLET | 7.992 | 1.000 | 0 | 7.992.000 |
| 685 | PUSKESMAS TROWULAN | Deksametason/ Dexamethasone tablet/kaplet 0,5 mg | 80 | 10.000 | 0 | 800.000 |
| 686 | PUSKESMAS TROWULAN | Chloramphenamine Maleate 4 Mg (CTM Box) | 83 | 15.000 | 0 | 1.245.000 |
| 687 | PUSKESMAS TROWULAN | Paracetamol/ Parasetamol tablet/kaplet 500 mg | 140 | 30.000 | 0 | 4.200.000 |
| 688 | PUSKESMAS TROWULAN | Asam askorbat (vitamin C) tablet/kapsul/kaplet 50 mg | 95 | 10.000 | 0 | 950.000 |
| 689 | RSUD RA BASOENI | Analog Insulin Co-Formulation inj 100 IU/ml Ultra Long Acting Insulin Degludec 70U/Rapid Acting Insulin Aspart 30U (kemasan vial, disposable cartridge, penfill cartridge) | 113.018 | 250 | 0 | 28.254.500 |
| 690 | PUSKESMAS TROWULAN | AMLODIPINE 5 mg | 107 | 3.000 | 0 | 321.000 |
| 691 | PUSKESMAS TROWULAN | AMLODIPINE 10 MG | 122 | 5.000 | 0 | 610.000 |
| 692 | RSUD RA BASOENI | Insulin Prandial Analog | 90.314 | 250 | 0 | 22.578.500 |
| 693 | RSUD RA BASOENI | XR Analog Insulin Basal, Insulin Glargine Inj 300 IU/mL | 140.082 | 250 | 0 | 35.020.500 |
| 694 | PUSKESMAS PACET | Antasida tablet kunyah | 300 | 10.000 | 0 | 3.000.000 |
| 695 | PUSKESMAS PACET | Vitamin B Kompleks/ Vitamin B complex tablet | 111 | 15.000 | 0 | 1.665.000 |
| 696 | RSUD RA BASOENI | PEHACAIN / Lidocaine Hydrochloride | 3.151 | 400 | 0 | 1.260.400 |
| 697 | RSUD PROF DR SOEKANDAR | Lidocaine Hydrochloride/ Lidocaine/ Lidocain/ Lidokain injeksi 2% | 1.203 | 1.500 | 0 | 1.804.500 |
| 698 | RSUD PROF DR SOEKANDAR | Budesonid cairan inhalasi 0,5 mg/mL, respoules 2 mL | 15.795 | 800 | 0 | 12.636.000 |
| 699 | RSUD PROF DR SOEKANDAR | D5 1/2NS - Larutan mengandung karbohidrat+elektrolit | 10.268 | 600 | 0 | 6.160.800 |
| 700 | RSUD PROF DR SOEKANDAR | D5 1/4NS - Larutan mengandung karbohidrat+elektrolit | 10.268 | 500 | 0 | 5.134.000 |
| 701 | RSUD PROF DR SOEKANDAR | Meropenem/ Meropenem Trihydrate serb inj 1.000 mg | 34.000 | 1.500 | 0 | 51.000.000 |
| 702 | RSUD PROF DR SOEKANDAR | MISOPROSTOL 200 MCG TABLET | 3.608 | 480 | 0 | 1.731.840 |
| 703 | PUSKESMAS MANDURO | Paracetamol/ Parasetamol sirup 120 mg / 5 ml | 3.950 | 200 | 0 | 790.000 |
| 704 | PUSKESMAS MANDURO | Antasida Doen Suspensi 60 ml | 4.000 | 100 | 0 | 400.000 |
| 705 | PUSKESMAS MANDURO | Paracetamol/ Parasetamol tablet/kaplet 500 mg | 140 | 40.000 | 0 | 5.600.000 |
| 706 | PUSKESMAS MANDURO | Deksametason/ Dexamethasone tablet/kaplet 0,5 mg | 80 | 10.000 | 0 | 800.000 |
| 707 | DINAS KESEHATAN | ANTRAIN METAMIZOL/ANTALGIN INJ 500 MG/ML ATAU METAMIZOLE SODIUM MONOHYDRATE/ANTALGIN INJ 1000 MG/2ML | 11.740 | 3.410 | 0 | 40.033.400 |
| 708 | PUSKESMAS TROWULAN | Mefenamic Acid / Asam Mefenamat 500 mg | 240 | 7.000 | 0 | 1.680.000 |
| 709 | RSUD RA BASOENI | Digoxin tablet 0,25 mg | 300 | 5.000 | 0 | 1.500.000 |
| 710 | RSUD RA BASOENI | Furosemid/ Furosemide tablet/kapsul/kaplet 40 mg | 263 | 10.000 | 0 | 2.630.000 |
| 711 | RSUD RA BASOENI | Isosorbid Dinitrat/ Isosorbide dinitrate tablet/kapsul/kaplet 5 mg | 250 | 100.000 | 0 | 25.000.000 |
| 712 | RSUD RA BASOENI | Amitriptyline hydrochloride tablet 25 mg | 300 | 20.000 | 0 | 6.000.000 |
| 713 | PUSKESMAS TROWULAN | Amoksisilin/ Amoxicillin/ Amoxicillin Trihydrate tablet/kapsul/kaplet/kaptab 500 mg | 530 | 10.000 | 0 | 5.300.000 |
| 714 | PUSKESMAS PUNGGING | BIOSAT | 184.676 | 10 | 0 | 1.846.760 |
| 715 | RSUD PROF DR SOEKANDAR | Glukosa Larutan Infus 5% , 100 mL | 8.100 | 120 | 0 | 972.000 |
| 716 | RSUD PROF DR SOEKANDAR | Larutan mengandung Asam Amino 7% ,total protein 17,5 g, @ 200 mL | 54.620 | 250 | 0 | 13.655.000 |
| 717 | RSUD PROF DR SOEKANDAR | Larutan mengandung Elektrolit (Na 130 mEq, K 4 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq) ASERING softbag @ 500 mL | 8.750 | 600 | 0 | 5.250.000 |
| 718 | RSUD PROF DR SOEKANDAR | Larutan mengandung Asam Amino (Asam Amino 79.9 g, Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq), @ 500 mL | 74.475 | 24 | 0 | 1.787.400 |
| 719 | RSUD PROF DR SOEKANDAR | Larutan mengandung Karbohidrat + Elektrolit (NaCl 0,875 g, KCl 0,75 g, Na Lactat 1,12 g, Dekstrosa monohydrate 14,85 g) , Softbag @ 500 mL | 13.409 | 600 | 0 | 8.045.400 |
| 720 | RSUD PROF DR SOEKANDAR | Atropin inj 0,25 mg/mL (i.v./s.k.) | 4.117 | 500 | 0 | 2.058.500 |
| 721 | RSUD PROF DR SOEKANDAR | NaCl / Sodium Chloride 0,9% (1000 mL) | 14.985 | 480 | 0 | 7.192.800 |
| 722 | RSUD PROF DR SOEKANDAR | Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr) | 13.320 | 480 | 0 | 6.393.600 |
| 723 | PUSKESMAS BANGSAL | Amoksisilin/ Amoxicillin/ Amoxicillin Trihydrate tablet/kapsul/kaplet/kaptab 500 mg | 530 | 15.000 | 0 | 7.950.000 |
| 724 | PUSKESMAS BANGSAL | Amoksisilin/Amoxicillin/Amoxicillin Trihydrate sirup/suspensi kering 125 mg/ 5 ml | 5.500 | 300 | 0 | 1.650.000 |
| 725 | PUSKESMAS BANGSAL | Cotrimoxazole/ Cotrimoksazole/ Kotrimoksazol tablet /kaptab (dewasa) kombinasi: sulfametoksazol 400 mg + trimetoprim 80 mg | 275 | 3.000 | 0 | 825.000 |
| 726 | PUSKESMAS BANGSAL | Ceftriaxone/ Ceftriaxone Sodium/ Seftriakson inj 1.000 mg | 7.191 | 200 | 0 | 1.438.200 |
| 727 | PUSKESMAS BANGSAL | Dexamethason Sodium Phosphate/ Deksamethason/ Deksametason injeksi 5 mg/mL | 1.653 | 200 | 0 | 330.600 |
| 728 | PUSKESMAS BANGSAL | Cefotaxime sodium/ Cefotaxime/ Sefotaksim serb inj 1.000 mg | 7.492 | 500 | 0 | 3.746.000 |
| 729 | PUSKESMAS DLANGGU | Mefenamic Acid / Asam Mefenamat 500 mg | 240 | 40.000 | 0 | 9.600.000 |
| 730 | PUSKESMAS DLANGGU | Asam askorbat (vitamin C) tablet/kapsul/kaplet 50 mg | 95 | 50.000 | 0 | 4.750.000 |
| 731 | PUSKESMAS DLANGGU | Antasida Doen Suspensi 60 ml | 4.000 | 200 | 0 | 800.000 |
| 732 | PUSKESMAS DLANGGU | Paracetamol/ Parasetamol sirup 120 mg / 5 ml | 3.950 | 200 | 0 | 790.000 |
| 733 | PUSKESMAS PURI | Air untuk injeksi/ Aqua pro injeksi/ Aqua pro injection/ water for injection | 2.955 | 240 | 0 | 709.200 |
| 734 | PUSKESMAS DLANGGU | Air untuk injeksi/ Aqua pro injeksi/ Aqua pro injection/ water for injection | 2.700 | 240 | 0 | 648.000 |
| 735 | PUSKESMAS DLANGGU | Nacl 0,9% / Sodium Chloride 0,9% | 7.500 | 200 | 0 | 1.500.000 |
| 736 | PUSKESMAS DLANGGU | Asam traneksamat/Tranexamic acid tablet/kapsul/kaplet salut selaput 500 mg | 1.443 | 500 | 0 | 721.500 |
| 737 | PUSKESMAS DLANGGU | Acetyl cysteine/ N-asetil sistein tablet/kapsul/kaplet 200 mg KF | 1.054,5 | 5.000 | 0 | 5.272.500 |
| 738 | PUSKESMAS DLANGGU | DOMPERIDON/ DOMPERIDONE/ DOMPERIDONE MALEATE TABLET/KAPSUL/KAPLET 10 MG | 190 | 10.000 | 0 | 1.900.000 |
| 739 | PUSKESMAS PURI | Dexamethason Sodium Phosphate/ Deksamethason/ Deksametason injeksi 5 mg/mL | 1.653 | 1.000 | 0 | 1.653.000 |
| 740 | PUSKESMAS PURI | Ondansetron hydrochloride (HCl)/ Ondansetron HCl dihydrate /Ondansetron inj 2 mg/mL | 1.942 | 500 | 0 | 971.000 |
| 741 | PUSKESMAS PURI | Ranitidine hydrochloride (HCl)/ Ranitidin injeksi 25 mg/ml | 1.958 | 1.000 | 0 | 1.958.000 |
| 742 | PUSKESMAS PURI | Metamizol/Antalgin Inj 500 mg/ml atau Metamizole Sodium Monohydrate/Antalgin inj 1000 mg/2ml | 3.613 | 1.500 | 0 | 5.419.500 |
| 743 | PUSKESMAS PURI | Cefotaxime sodium/ Cefotaxime/ Sefotaksim serb inj 1.000 mg | 7.492 | 500 | 0 | 3.746.000 |
| 744 | PUSKESMAS TROWULAN | Fitomenadion/ Phytomenadion (Vitamin K1) tablet/kapsul/kaplet 10 mg | 1.055 | 1.000 | 0 | 1.055.000 |
| 745 | PUSKESMAS BANGSAL | Amoksisilin/ Amoxicillin/ Amoxicillin Trihydrate tablet/kapsul/kaplet/kaptab 500 mg | 488 | 8.000 | 0 | 3.904.000 |
| 746 | PUSKESMAS TRAWAS | Ranitidine hydrochloride (HCl)/ Ranitidin injeksi 25 mg/ml | 1.950 | 1.000 | 0 | 1.950.000 |
| 747 | PUSKESMAS TRAWAS | Metamizol/Antalgin Inj 500 mg/ml atau Metamizole Sodium Monohydrate/Antalgin inj 1000 mg/2ml | 3.600 | 100 | 0 | 360.000 |
| 748 | PUSKESMAS TRAWAS | Difenhidramin/ Diphenhydramine injeksi 10 mg/ml ( i.v./i.m.) | 1.800 | 500 | 0 | 900.000 |
| 749 | PUSKESMAS TRAWAS | Cefotaxime sodium/ Cefotaxime/ Sefotaksim serb inj 1.000 mg | 7.450 | 100 | 0 | 745.000 |
| 750 | PUSKESMAS TRAWAS | Ondansetron hydrochloride (HCl)/ Ondansetron HCl dihydrate /Ondansetron inj 8 mg/4mL | 4.680 | 300 | 0 | 1.404.000 |
| 751 | PUSKESMAS TRAWAS | DIPHENHYDRAMINE HYDROCHLORIDE Injeksi | 1.949 | 200 | 0 | 389.800 |
| 752 | PUSKESMAS TRAWAS | METAMIZOLE SODIUM MONOHYDRATE Injeksi | 3.449 | 900 | 0 | 3.104.100 |
| 753 | PUSKESMAS TRAWAS | CEFOTAXIME SODIUM 1 gram Serbuk Injeksi | 6.852 | 100 | 0 | 685.200 |
| 754 | PUSKESMAS TRAWAS | RANITIDINE HCl Injeksi | 1.376,4 | 200 | 0 | 275.280 |
| 755 | RSUD PROF DR SOEKANDAR | Antihemoroid, kombinasi: bismut subgalat 150 mg + heksaklorofen 2,5 mg + lidokain lidokain 10 mg+ seng oksida 120 mg + sup ad 2 g | 3.250 | 300 | 0 | 975.000 |
| 756 | PUSKESMAS BANGSAL | Asiklovir/Acyclovir/Aciclovir tablet/kapsul/kaplet 400 mg | 848 | 2.800 | 0 | 2.374.400 |
| 757 | PUSKESMAS BANGSAL | Ketoprofen supositoria 100 mg KF | 7.011 | 20 | 0 | 140.220 |
| 758 | PUSKESMAS BANGSAL | Bedak salisil/ Bedak salicyl serbuk 2% | 6.485 | 200 | 0 | 1.297.000 |
| 759 | PUSKESMAS BANGSAL | Antasida Doen susp | 2.745 | 100 | 0 | 274.500 |
| 760 | PUSKESMAS BANGSAL | Chloramphenicol/ Kloramfenikol tablet/kapsul/kaplet 250 mg | 616 | 10.000 | 0 | 6.160.000 |
| 761 | PUSKESMAS BANGSAL | GRAFACETIN KRIM - Chloramphenicol / Kloramfenikol 2% KRIM / SALEP 5G | 7.500 | 200 | 0 | 1.500.000 |
| 762 | PUSKESMAS BANGSAL | Amoksisilin/ Amoxicillin/ Amoxicillin Trihydrate tablet/kapsul/kaplet/kaptab 500 mg | 530 | 6.000 | 0 | 3.180.000 |
| 763 | PUSKESMAS BANGSAL | Metamizol/Antalgin Inj 500 mg/ml atau Metamizole Sodium Monohydrate/Antalgin inj 1000 mg/2ml | 3.600 | 500 | 0 | 1.800.000 |
| 764 | PUSKESMAS BANGSAL | LIDOCAINE COMPOSITUM INJEKSI | 2.230 | 250 | 0 | 557.500 |
| Total | 6.430.320.594,25 | |||||
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