| No | Etalase | Produk | Harga | Jumlah | Ongkos Kirim | Total |
|---|---|---|---|---|---|---|
| 1 | Fasilitas Kesehatan Sektoral Kemenkes | LABIOSIS GLUCOSE 100ML | 275.000 | 4 | 0 | 1.100.000 |
| 2 | Fasilitas Kesehatan Sektoral Kemenkes | LABIOSIS Uric Acid 100mL | 500.000 | 4 | 0 | 2.000.000 |
| 3 | Fasilitas Kesehatan Sektoral Kemenkes | LABIOSIS Cholesterol 100 | 426.000 | 4 | 0 | 1.704.000 |
| 4 | Fasilitas Kesehatan Sektoral Kemenkes | LABIOSIS TRIGLYCERIDES 100ML | 720.000 | 4 | 0 | 2.880.000 |
| 5 | Fasilitas Kesehatan Sektoral Kemenkes | Vacuum Blood Collection Tube EDTA K3 3ml | 91.908 | 30 | 0 | 2.757.240 |
| 6 | Fasilitas Kesehatan Sektoral Kemenkes | Ultra One (Test Kehamilan) | 98.790 | 20 | 0 | 1.975.800 |
| 7 | Fasilitas Kesehatan Sektoral Kemenkes | Blood Collection Tube Microtainer EDTA 0,5 ml | 119.880 | 10 | 0 | 1.198.800 |
| 8 | Fasilitas Kesehatan Sektoral Kemenkes | ONECARE Reagen Widal S.Paratyphi AO | 121.000 | 3 | 0 | 363.000 |
| 9 | Fasilitas Kesehatan Sektoral Kemenkes | ONECARE Reagen Widal S.Paratyphi BO | 121.000 | 3 | 0 | 363.000 |
| 10 | Fasilitas Kesehatan Sektoral Kemenkes | ONECARE Reagen Widal S.typhi O | 121.000 | 3 | 0 | 363.000 |
| 11 | Fasilitas Kesehatan Sektoral Kemenkes | ONECARE Reagen Widal S.typhi H | 121.000 | 3 | 0 | 363.000 |
| 12 | Fasilitas Kesehatan Sektoral Kemenkes | ONECARE Reagen Anti A Monoclonal | 99.900 | 3 | 0 | 299.700 |
| 13 | Fasilitas Kesehatan Sektoral Kemenkes | ONECARE Reagen Anti B Monoclonal | 99.900 | 3 | 0 | 299.700 |
| 14 | Fasilitas Kesehatan Sektoral Kemenkes | ONECARE Reagen Anti AB Monoclonal | 99.900 | 3 | 0 | 299.700 |
| 15 | Fasilitas Kesehatan Sektoral Kemenkes | ONECARE Reagen Anti D igG/igM Monoclonal | 122.100 | 3 | 0 | 366.300 |
| 16 | Konsolidasi Obat | Vitamin B kompleks mengandung: a. Vitamin B1 b. Vitamin B6 c. Vitamin B12 tab | 60 | 10.000 | 0 | 600.000 |
| 17 | Konsolidasi Obat | Alopurinol tab 100 mg | 155 | 4.000 | 0 | 620.000 |
| 18 | Konsolidasi Obat | Alopurinol tab 300 mg | 360 | 500 | 0 | 180.000 |
| 19 | Konsolidasi Obat | Antasida tab kunyah | 90 | 9.000 | 0 | 810.000 |
| 20 | Konsolidasi Obat | Asam folat tab 0,4 mg* | 49 | 8.000 | 0 | 392.000 |
| 21 | Konsolidasi Obat | Kalsium laktat (kalk) tab 500 mg* | 84 | 2.000 | 0 | 168.000 |
| 22 | Konsolidasi Obat | Tiamin (Vitamin B1) tab 50 mg* | 78 | 20.000 | 0 | 1.560.000 |
| 23 | Konsolidasi Obat | Piridoksin (vitamin B6) tab 10 mg* | 64 | 1.000 | 0 | 64.000 |
| 24 | Konsolidasi Obat | Prednison tab 5 mg | 92 | 2.000 | 0 | 184.000 |
| 25 | Obat Non Jaminan Kesehatan | Ififort C Box Kaplet (Mulitivitamin C+B Kompleks) | 500 | 3.000 | 0 | 1.500.000 |
| 26 | Obat Non Jaminan Kesehatan | Guaifenesin tablet 100 mg | 95 | 11.000 | 0 | 1.045.000 |
| 27 | Obat Program Jaminan Kesehatan | Antasida Doen Suspensi 60 ml | 4.000 | 250 | 0 | 1.000.000 |
| 28 | Obat Program Jaminan Kesehatan | Asam askorbat (vitamin C) tablet/kapsul/kaplet 50 mg | 95 | 2.000 | 0 | 190.000 |
| 29 | Obat Program Jaminan Kesehatan | Chlorphenamine Maleate/ Klorfeniramin (CTM) tablet/kapsul/kaplet 4 mg | 83 | 10.000 | 0 | 830.000 |
| 30 | Obat Non Jaminan Kesehatan | Molagit Tablet | 500 | 4.800 | 0 | 2.400.000 |
| 31 | Obat Non Jaminan Kesehatan | Alpara Kaplet | 800 | 12.000 | 0 | 9.600.000 |
| 32 | Konsolidasi Obat | Metilprednisolon tab 4 mg | 160 | 4.000 | 0 | 640.000 |
| 33 | Obat Program Jaminan Kesehatan | DEXAMETHASONE 0.5 | 127 | 8.000 | 0 | 1.016.000 |
| 34 | Obat Program Jaminan Kesehatan | AMLODIPINE 10 MG | 140 | 1.000 | 0 | 140.000 |
| 35 | Obat Program Jaminan Kesehatan | AMLODIPINE 5 mg | 125 | 1.000 | 0 | 125.000 |
| 36 | Obat Program Jaminan Kesehatan | Nacl 0,9% / Sodium Chloride 0,9% | 7.000 | 160 | 0 | 1.120.000 |
| 37 | Obat Program Jaminan Kesehatan | Ringer Laktat/ Ringer Lactate, @500 mL | 8.000 | 900 | 0 | 7.200.000 |
| 38 | Obat Program Jaminan Kesehatan | Air untuk injeksi/ Aqua pro injeksi/ Aqua pro injection/ water for injection | 2.955 | 120 | 0 | 354.600 |
| 39 | Konsolidasi Obat | Parasetamol tab 500 mg | 100 | 20.000 | 0 | 2.000.000 |
| 40 | Konsolidasi Obat | Asam mefenamat tab 500 mg | 155 | 20.000 | 0 | 3.100.000 |
| 41 | Obat Program Jaminan Kesehatan | CETIRIZINE 10 MG | 90 | 10.000 | 0 | 900.000 |
| 42 | Obat Program Jaminan Kesehatan | THIAMPHENICOL 500 MG | 1.400 | 3.000 | 0 | 4.200.000 |
| 43 | Obat Program Jaminan Kesehatan | METRONIDAZOLE 500 MG | 286 | 4.000 | 0 | 1.144.000 |
| 44 | Obat Program Jaminan Kesehatan | LIDOCAINE HCl MONOHYDRATE Injeksi | 1.287,6 | 600 | 0 | 772.560 |
| 45 | Obat Program Jaminan Kesehatan | METAMIZOLE SODIUM MONOHYDRATE Injeksi | 3.449 | 600 | 0 | 2.069.400 |
| 46 | Obat Program Jaminan Kesehatan | Betametason/Betamethasone Valerate krim 0,1% | 1.998 | 100 | 0 | 199.800 |
| 47 | Obat Program Jaminan Kesehatan | Permethrin/ Permetrin Krim 5% | 6.325 | 20 | 0 | 126.500 |
| 48 | Obat Program Jaminan Kesehatan | Bedak salisil/ Bedak salicyl serbuk 2% | 6.485 | 50 | 0 | 324.250 |
| 49 | Obat Program Jaminan Kesehatan | Amoksisilin/ Amoxicillin/ Amoxicillin Trihydrate tablet/kapsul/kaplet/kaptab 500 mg | 507 | 8.000 | 0 | 4.056.000 |
| 50 | Konsolidasi Obat | Kodein tab 10 mg | 600 | 3.000 | 0 | 1.800.000 |
| 51 | Obat Program Jaminan Kesehatan | Ibuprofen tablet/kapsul/kaplet 400 mg | 209 | 1.000 | 0 | 209.000 |
| 52 | Obat Program Jaminan Kesehatan | Ketokonazol/ Ketoconazole tablet/kapsul/kaplet 200 mg | 430 | 1.000 | 0 | 430.000 |
| 53 | Obat Program Jaminan Kesehatan | Ondansetron hydrochloride (HCl)/ Ondansetron HCl dihydrate /Ondansetron tablet/kapsul/kaplet 4 mg | 466 | 5.000 | 0 | 2.330.000 |
| 54 | Obat Program Jaminan Kesehatan | Griseofulvin tablet/kapsul/kaplet 125 mg | 357 | 2.000 | 0 | 714.000 |
| 55 | Obat Program Jaminan Kesehatan | Domperidon/ Domperidone/ Domperidone Maleate tablet/kapsul/kaplet 10 mg | 163 | 10.000 | 0 | 1.630.000 |
| 56 | Obat Program Jaminan Kesehatan | Hiosina butilbromida tablet 10 mg | 651 | 2.000 | 0 | 1.302.000 |
| 57 | Obat Program Jaminan Kesehatan | Nystatin/ Nistatin vaginal tablet/kaplet 100.000 IU | 1.832 | 100 | 0 | 183.200 |
| 58 | Obat Program Jaminan Kesehatan | Cefotaxime sodium/ Cefotaxime/ Sefotaksim serb inj 1.000 mg | 9.435 | 60 | 0 | 566.100 |
| 59 | Obat Program Jaminan Kesehatan | Ceftriaxone/ Ceftriaxone Sodium/ Seftriakson inj 1.000 mg | 9.990 | 200 | 0 | 1.998.000 |
| 60 | Obat Program Jaminan Kesehatan | Asiklovir/Acyclovir/Aciclovir tablet/kapsul/kaplet 400 mg | 932 | 4.000 | 0 | 3.728.000 |
| 61 | Obat Program Jaminan Kesehatan | Cefadroxil monohydrate/ Cefadroxil/ Sefadroksil tablet/kapsul/kaplet 500 mg | 970 | 2.000 | 0 | 1.940.000 |
| 62 | Obat Program Jaminan Kesehatan | Chloramphenicol/ Kloramfenikol tablet/kapsul/kaplet 250 mg | 708 | 6.000 | 0 | 4.248.000 |
| 63 | Obat Program Jaminan Kesehatan | Ondansetron hydrochloride (HCl)/ Ondansetron HCl dihydrate /Ondansetron inj 2 mg/mL | 1.942 | 2.000 | 0 | 3.884.000 |
| 64 | Obat Program Jaminan Kesehatan | Paracetamol/ Parasetamol sirup 120 mg / 5 ml | 4.460 | 200 | 0 | 892.000 |
| 65 | Obat Program Jaminan Kesehatan | Ranitidine hydrochloride (HCl)/ Ranitidin injeksi 25 mg/ml | 1.958 | 600 | 0 | 1.174.800 |
| 66 | Obat Program Jaminan Kesehatan | Difenhidramin/ Diphenhydramine injeksi 10 mg/ml ( i.v./i.m.) | 1.893 | 500 | 0 | 946.500 |
| 67 | Obat Program Jaminan Kesehatan | Miconazole nitrate/ Miconazole/ Mikonazol krim 2 % | 3.900 | 150 | 0 | 585.000 |
| 68 | Obat Program Jaminan Kesehatan | Cotrimoxazole/ Cotrimoksazole/ Kotrimoksazol tablet /kaptab (dewasa) kombinasi: sulfametoksazol 400 mg + trimetoprim 80 mg | 275 | 7.000 | 0 | 1.925.000 |
| 69 | Obat Program Jaminan Kesehatan | Amoksisilin/Amoxicillin/Amoxicillin Trihydrate sirup/suspensi kering 125 mg/ 5 ml | 4.750 | 200 | 0 | 950.000 |
| 70 | Obat Program Jaminan Kesehatan | Ciprofloxacin hydrochloride (HCl)/ Ciprofloxacin Lactate/ Ciprofloxacin/ Siprofloksasin tablet/kapsul/kaplet 500 mg | 460 | 4.000 | 0 | 1.840.000 |
| 71 | Obat Program Jaminan Kesehatan | Karbogliserin tetes telinga 10% | 7.396 | 50 | 0 | 369.800 |
| 72 | Obat Program Jaminan Kesehatan | Hidrokortison/ Hydrocortisone/ Hydrocortisone acetate krim 2,5 % | 4.272 | 72 | 0 | 307.584 |
| 73 | Obat Program Jaminan Kesehatan | Salep 2-4, salep | 3.996 | 96 | 0 | 383.616 |
| 74 | Obat Non Jaminan Kesehatan | BRONKRIS TABLET - BROMHEXINE / BROMHEKSIN 8 MG TABLET | 210 | 5.000 | 0 | 1.050.000 |
| 75 | Obat Program Kesehatan Lainnya | Vitamin B12 tablet 50 mcg | 77 | 6.000 | 0 | 462.000 |
| 76 | Obat Program Kesehatan Lainnya | Diclofenac sodium tablet salut enterik 50 mg | 142 | 7.000 | 0 | 994.000 |
| 77 | Obat Program Kesehatan Lainnya | Ibuprofen tablet 200 mg | 197 | 7.000 | 0 | 1.379.000 |
| 78 | Konsolidasi Obat | Karbamazepin tab 200 mg | 625 | 700 | 0 | 437.500 |
| 79 | Obat Program Kesehatan Lainnya | Metformin Hydrochloride/ Metformin tablet/kapsul/kaplet 500 mg | 266 | 4.000 | 0 | 1.064.000 |
| 80 | Obat Program Kesehatan Lainnya | ACICLOVIR KRIM 5 gram | 3.329 | 100 | 0 | 332.900 |
| 81 | Obat Program Kesehatan Lainnya | Simvastatin tablet/kapsul/kaplet 10 mg | 200 | 4.000 | 0 | 800.000 |
| 82 | Obat Program Jaminan Kesehatan | Sulfadiazine silver/ Perak sulfadiazin krim 1% | 23.030 | 20 | 0 | 460.600 |
| 83 | Fasilitas Kesehatan Sektoral Kemenkes | Sangotonik Syrup | 31.800 | 30 | 0 | 954.000 |
| 84 | Fasilitas Kesehatan Sektoral Kemenkes | Omeprazole isi 30 | 420 | 4.200 | 0 | 1.764.000 |
| 85 | Fasilitas Kesehatan Sektoral Kemenkes | Glimepirid 2mg isi 100 tablet | 330 | 11.000 | 0 | 3.630.000 |
| 86 | Fasilitas Kesehatan Sektoral Kemenkes | Cairan D40% Flacon | 13.900 | 12 | 0 | 166.800 |
| 87 | Fasilitas Kesehatan Sektoral Kemenkes | Ambroxol 30 mg tablet | 135 | 4.000 | 0 | 540.000 |
| 88 | Fasilitas Kesehatan Sektoral Kemenkes | Ranitidine 150mg 100s | 340 | 5.000 | 0 | 1.700.000 |
| 89 | Fasilitas Kesehatan Sektoral Kemenkes | Glibencamide 5 mg tablet | 1 | 6.000 | 0 | 6.000 |
| 90 | Fasilitas Kesehatan Sektoral Kemenkes | Metamizole tablet | 338 | 5.000 | 0 | 1.690.000 |
| 91 | Fasilitas Kesehatan Sektoral Kemenkes | Gentamicin cr salep kulit | 6.000 | 100 | 0 | 600.000 |
| 92 | Fasilitas Kesehatan Sektoral Kemenkes | Metoclopamid tablet | 160 | 2.000 | 0 | 320.000 |
| Total | 119.651.750 | |||||
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