| No | OPD | Produk | Harga | Jumlah | Ongkos Kirim | Total |
|---|---|---|---|---|---|---|
| 1 | RSUD RA BASOENI | KETOPROFEN 100 mg TSE | 799 | 300 | 0 | 239.700 |
| 2 | RSUD RA BASOENI | PIRACETAM 800 mg KSS | 564 | 1.000 | 0 | 564.000 |
| 3 | PUSKESMAS KEMLAGI | AMBROXOL HCl 30 mg TABLET | 210 | 10.000 | 0 | 2.100.000 |
| 4 | PUSKESMAS KEMLAGI | Diclofenac sodium/ Natrium diklofenak tablet salut enterik/kaplet salut enterik 50 mg | 192 | 10.000 | 0 | 1.920.000 |
| 5 | PUSKESMAS KEMLAGI | Paracetamol/ Parasetamol tablet/kapsul/kaplet 500 mg | 189 | 20.000 | 0 | 3.780.000 |
| 6 | RSUD RA BASOENI | Piracetam 3 G/ 15 ml Inj @ 10 | 7.500 | 100 | 0 | 750.000 |
| 7 | RSUD PROF DR SOEKANDAR | AMBROXOL HYDROCHLORIDE TAB 30 GENERIK | 122 | 26.000 | 0 | 3.172.000 |
| 8 | RSUD PROF DR SOEKANDAR | Piracetam 12 G/ 60 ml Larutan Infus | 56.577 | 120 | 0 | 6.789.240 |
| 9 | RSUD PROF DR SOEKANDAR | AMBROXOL HCl 15 mg ELIXIR | 6.500 | 100 | 0 | 650.000 |
| 10 | RSUD PROF DR SOEKANDAR | KETOPROFEN 100 mg TSE | 719 | 5.000 | 0 | 3.595.000 |
| 11 | RSUD PROF DR SOEKANDAR | METAMIZOLE SODIUM MONOHYDRATE 500 mg KAPLET | 240 | 3.000 | 0 | 720.000 |
| 12 | PUSKESMAS KEMLAGI | GENTAMICIN SULFATE 01 % KRIM 5 g | 3.325 | 300 | 0 | 997.500 |
| 13 | PUSKESMAS PURI | Betahistin/Betahistine Mesilate/Betahistine Mesylate tablet/kapsul/kaplet 6 mg | 355 | 1.000 | 0 | 355.000 |
| 14 | PUSKESMAS PURI | Deksametason/ Dexamethasone tablet/kapsul/kaplet 0,5 mg | 106 | 40.000 | 0 | 4.240.000 |
| 15 | PUSKESMAS PURI | Glimepiride/ Glimepirid tablet/kapsul/kaplet 2 mg | 549 | 30.000 | 0 | 16.470.000 |
| 16 | PUSKESMAS PURI | Metilprednisolon/Methylprednisolone tablet/kapsul/kaplet 4 mg | 235 | 20.000 | 0 | 4.700.000 |
| 17 | PUSKESMAS PURI | THIAMPHENICOL 500 mg KAPSUL | 1.349 | 5.000 | 0 | 6.745.000 |
| 18 | PUSKESMAS PURI | ACICLOVIR KRIM 5 gram | 3.329 | 200 | 0 | 665.800 |
| 19 | PUSKESMAS PURI | GENTAMICIN SULFATE 01 % KRIM 5 g | 3.325 | 200 | 0 | 665.000 |
| 20 | RSUD RA BASOENI | MELOXICAM 15 MG | 194 | 10.000 | 0 | 1.940.000 |
| 21 | RSUD PROF DR SOEKANDAR | FURAMIN INJECTIONS | 11.544 | 360 | 0 | 4.155.840 |
| 22 | PUSKESMAS TAWANGSARI | ACICLOVIR KRIM 5 gram | 3.329 | 300 | 0 | 998.700 |
| 23 | PUSKESMAS TAWANGSARI | Deksametason/ Dexamethasone tablet/kapsul/kaplet 0,5 mg | 106 | 30.000 | 0 | 3.180.000 |
| 24 | RSUD PROF DR SOEKANDAR | PIRACETAM 1200 mg KSS | 820 | 10.000 | 0 | 8.200.000 |
| 25 | RSUD PROF DR SOEKANDAR | PIRACETAM 800 mg KSS | 564 | 5.000 | 0 | 2.820.000 |
| 26 | RSUD PROF DR SOEKANDAR | Citicoline Sodium 250 mg/2 ml Injeksi | 4.300 | 6.000 | 0 | 25.800.000 |
| 27 | RSUD PROF DR SOEKANDAR | Celecoxib 100 mg Kaps | 2.165 | 600 | 0 | 1.299.000 |
| 28 | RSUD PROF DR SOEKANDAR | FLUNARIZINE HCI 10 mg Tablet | 1.440 | 6.000 | 0 | 8.640.000 |
| 29 | RSUD PROF DR SOEKANDAR | FLUNARIZINE HCI 5 mg Tablet | 832 | 6.000 | 0 | 4.992.000 |
| 30 | PUSKESMAS SOOKO | Metformin Hydrochloride/ Metformin tablet/kapsul/kaplet 500 mg | 266 | 30.000 | 0 | 7.980.000 |
| 31 | PUSKESMAS KEMLAGI | Metformin Hydrochloride/ Metformin tablet/kapsul/kaplet 500 mg | 266 | 10.000 | 0 | 2.660.000 |
| 32 | PUSKESMAS KEMLAGI | Amlodipine besilate tablet/kapsul/kaplet 5 mg | 291 | 10.000 | 0 | 2.910.000 |
| 33 | PUSKESMAS KEMLAGI | Ranitidine hydrochloride (HCl)/Ranitidin tablet/kapsul/kaplet 150 mg | 300 | 10.000 | 0 | 3.000.000 |
| 34 | PUSKESMAS GAYAMAN | Deksametason/ Dexamethasone tablet/kapsul/kaplet 0,5 mg | 106 | 7.000 | 0 | 742.000 |
| 35 | PUSKESMAS GAYAMAN | Paracetamol/ Parasetamol tablet/kapsul/kaplet 500 mg | 189 | 8.000 | 0 | 1.512.000 |
| 36 | PUSKESMAS GAYAMAN | Salbutamol sulfate/ Salbutamol tablet/kapsul/kaplet 2 mg | 183 | 2.000 | 0 | 366.000 |
| 37 | PUSKESMAS GAYAMAN | Glimepiride/ Glimepirid tablet/kapsul/kaplet 2 mg | 549 | 3.000 | 0 | 1.647.000 |
| 38 | PUSKESMAS GAYAMAN | Asam Mefenamat/Mefenamic acid tablet/kapsul/kaplet/kaptab 500 mg | 279 | 8.000 | 0 | 2.232.000 |
| 39 | PUSKESMAS GAYAMAN | Amlodipine besilate tablet/kapsul/kaplet 10 mg | 472 | 2.000 | 0 | 944.000 |
| 40 | PUSKESMAS GAYAMAN | Amlodipine besilate tablet/kapsul/kaplet 5 mg | 291 | 3.000 | 0 | 873.000 |
| 41 | PUSKESMAS GAYAMAN | Allopurinol tablet/kapsul/kaplet 100 mg | 258 | 5.000 | 0 | 1.290.000 |
| 42 | PUSKESMAS TAWANGSARI | MEDICOUGH | 230 | 15.000 | 0 | 3.450.000 |
| 43 | RSUD PROF DR SOEKANDAR | ARIPIPRAZOL10 | 9.990 | 5.000 | 0 | 49.950.000 |
| 44 | RSUD RA BASOENI | MELOXICAM 15 MG | 194 | 35.000 | 0 | 6.790.000 |
| 45 | RSUD RA BASOENI | CLABAT INJ_CO-AMOXICLAV / AMOXICILLIN-KLAVULANAT/ 1200 MG INJEKSI | 39.682 | 1.000 | 0 | 39.682.000 |
| 46 | RSUD PROF DR SOEKANDAR | Rebamipide 100 mg tablet salut selaput | 1.300 | 1.500 | 0 | 1.950.000 |
| 47 | RSUD PROF DR SOEKANDAR | DEXKETOPROFEN TROMETAMOL 25 MG TABLET | 1.526 | 3.500 | 0 | 5.341.000 |
| 48 | PUSKESMAS GEDEG | Amlodipine besilate tablet/kapsul/kaplet 10 mg | 472 | 6.000 | 0 | 2.832.000 |
| 49 | PUSKESMAS GEDEG | Amlodipine besilate tablet/kapsul/kaplet 5 mg | 291 | 6.000 | 0 | 1.746.000 |
| 50 | PUSKESMAS GEDEG | ACICLOVIR KRIM 5 gram | 3.329 | 100 | 0 | 332.900 |
| 51 | PUSKESMAS GEDEG | Allopurinol tablet/kapsul/kaplet 100 mg | 258 | 5.000 | 0 | 1.290.000 |
| 52 | PUSKESMAS GEDEG | Alopurinol/Allopurinol tablet/kapsul/kaplet 300 mg | 441 | 5.000 | 0 | 2.205.000 |
| 53 | PUSKESMAS GEDEG | Asam Mefenamat/Mefenamic acid tablet/kapsul/kaplet/kaptab 500 mg | 279 | 10.000 | 0 | 2.790.000 |
| 54 | PUSKESMAS GEDEG | Betahistin/Betahistine Mesilate/Betahistine Mesylate tablet/kapsul/kaplet 6 mg | 355 | 3.000 | 0 | 1.065.000 |
| 55 | PUSKESMAS GEDEG | Deksametason/ Dexamethasone tablet/kapsul/kaplet 0,5 mg | 106 | 5.000 | 0 | 530.000 |
| 56 | PUSKESMAS GEDEG | Glimepiride/ Glimepirid tablet/kapsul/kaplet 1 mg | 323 | 6.000 | 0 | 1.938.000 |
| 57 | PUSKESMAS GEDEG | Metformin Hydrochloride/ Metformin tablet/kapsul/kaplet 500 mg | 266 | 3.000 | 0 | 798.000 |
| 58 | PUSKESMAS GEDEG | Ranitidine hydrochloride (HCl)/Ranitidin tablet/kapsul/kaplet 150 mg | 300 | 4.000 | 0 | 1.200.000 |
| 59 | PUSKESMAS GEDEG | Simvastatin tablet/kapsul/kaplet 10 mg | 230 | 4.000 | 0 | 920.000 |
| 60 | RSUD RA BASOENI | SILDENAFILCITRATE100 | 24.000 | 60 | 0 | 1.440.000 |
| 61 | PUSKESMAS PACET | Betahistin/Betahistine Mesilate/Betahistine Mesylate tablet/kapsul/kaplet 6 mg | 355 | 10.000 | 0 | 3.550.000 |
| 62 | PUSKESMAS PACET | Diclofenac sodium/ Natrium diklofenak tablet salut enterik/kaplet salut enterik 50 mg | 192 | 10.000 | 0 | 1.920.000 |
| 63 | PUSKESMAS PACET | Salbutamol sulfate/ Salbutamol tablet/kapsul/kaplet 2 mg | 183 | 5.000 | 0 | 915.000 |
| 64 | RSUD RA BASOENI | CITICOLINE 250 MG/2 ML INJEKSI | 4.500 | 1.000 | 0 | 4.500.000 |
| 65 | DINAS KESEHATAN | Paracetamol/ Parasetamol tablet/kapsul/kaplet 500 mg | 175 | 600.000 | 0 | 105.000.000 |
| 66 | PUSKESMAS TROWULAN | Diclofenac sodium/ Natrium diklofenak tablet salut enterik/kaplet salut enterik 50 mg | 192 | 25.000 | 0 | 4.800.000 |
| 67 | PUSKESMAS TROWULAN | Simvastatin tablet/kapsul/kaplet 10 mg | 230 | 3.000 | 0 | 690.000 |
| 68 | PUSKESMAS BANGSAL | Paracetamol/ Parasetamol tablet/kapsul/kaplet 500 mg | 189 | 5.000 | 0 | 945.000 |
| 69 | PUSKESMAS DLANGGU | MEDICOUGH | 220 | 20.000 | 0 | 4.400.000 |
| 70 | PUSKESMAS DLANGGU | Diclofenac sodium/ Natrium diklofenak tablet salut enterik/kaplet salut enterik 50 mg | 192 | 10.000 | 0 | 1.920.000 |
| 71 | PUSKESMAS DLANGGU | Simvastatin tablet/kapsul/kaplet 10 mg | 230 | 7.100 | 0 | 1.633.000 |
| 72 | PUSKESMAS DLANGGU | Metilprednisolon/Methylprednisolone tablet/kapsul/kaplet 4 mg | 235 | 6.800 | 0 | 1.598.000 |
| 73 | PUSKESMAS BANGSAL | Deksametason/ Dexamethasone tablet/kapsul/kaplet 0,5 mg | 106 | 4.000 | 0 | 424.000 |
| 74 | PUSKESMAS BANGSAL | Asam Folat tablet 0,4 mg | 81 | 5.000 | 0 | 405.000 |
| 75 | PUSKESMAS BANGSAL | PREDNISONE Tablet 5 mg | 122 | 5.000 | 0 | 610.000 |
| 76 | PUSKESMAS KEMLAGI | Paracetamol/ Parasetamol tablet/kapsul/kaplet 500 mg | 189 | 30.000 | 0 | 5.670.000 |
| 77 | PUSKESMAS DAWARBLANDONG | Metformin Hydrochloride/ Metformin tablet/kapsul/kaplet 500 mg | 266 | 25.000 | 0 | 6.650.000 |
| 78 | PUSKESMAS DAWARBLANDONG | Simvastatin tablet/kapsul/kaplet 10 mg | 230 | 20.000 | 0 | 4.600.000 |
| 79 | PUSKESMAS KEMLAGI | Deksametason/ Dexamethasone tablet/kapsul/kaplet 0,5 mg | 106 | 20.000 | 0 | 2.120.000 |
| 80 | PUSKESMAS JETIS | Diclofenac sodium/ Natrium diklofenak tablet salut enterik/kaplet salut enterik 50 mg | 192 | 5.000 | 0 | 960.000 |
| 81 | PUSKESMAS JETIS | Paracetamol/ Parasetamol tablet/kapsul/kaplet 500 mg | 189 | 6.000 | 0 | 1.134.000 |
| 82 | PUSKESMAS JETIS | Allopurinol tablet/kapsul/kaplet 100 mg | 258 | 3.000 | 0 | 774.000 |
| 83 | PUSKESMAS LESPADANGAN | Paracetamol/ Parasetamol tablet/kapsul/kaplet 500 mg | 189 | 10.000 | 0 | 1.890.000 |
| 84 | PUSKESMAS LESPADANGAN | Deksametason/ Dexamethasone tablet/kapsul/kaplet 0,5 mg | 106 | 8.000 | 0 | 848.000 |
| 85 | RSUD PROF DR SOEKANDAR | KETOPROFEN 100 mg TSE | 719 | 5.000 | 0 | 3.595.000 |
| 86 | PUSKESMAS GONDANG | Vitamin B12 tablet 50 mcg | 77 | 6.000 | 0 | 462.000 |
| 87 | PUSKESMAS GONDANG | Diclofenac sodium tablet salut enterik 50 mg | 142 | 7.000 | 0 | 994.000 |
| 88 | PUSKESMAS GONDANG | Ibuprofen tablet 200 mg | 197 | 7.000 | 0 | 1.379.000 |
| 89 | PUSKESMAS GONDANG | Metformin Hydrochloride/ Metformin tablet/kapsul/kaplet 500 mg | 266 | 4.000 | 0 | 1.064.000 |
| 90 | PUSKESMAS GONDANG | ACICLOVIR KRIM 5 gram | 3.329 | 100 | 0 | 332.900 |
| 91 | PUSKESMAS GONDANG | Simvastatin tablet/kapsul/kaplet 10 mg | 200 | 4.000 | 0 | 800.000 |
| 92 | PUSKESMAS MANDURO | Amlodipine besilate tablet/kapsul/kaplet 5 mg | 291 | 10.000 | 0 | 2.910.000 |
| 93 | PUSKESMAS MANDURO | Diclofenac sodium/ Natrium diklofenak tablet salut enterik/kaplet salut enterik 50 mg | 192 | 10.000 | 0 | 1.920.000 |
| 94 | PUSKESMAS MANDURO | Simvastatin tablet/kapsul/kaplet 10 mg | 230 | 4.000 | 0 | 920.000 |
| Total | 445.882.580 | |||||
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