No Nama Barang Jumlah Harga Rp. Harga Rp. Sub Total RP
No Nama Barang Jumlah Harga Rp. Harga Rp. Sub Total RP
No Nama Barang Jumlah Harga Rp. Harga Rp. Sub Total RP
205 Abbocath/ IV. Cath 22G 1 - ABBOTH 280 0.438 438 122,640
204 Ranitidine 2ml 25 mg/ml Injeksi INDOFARMA 264 0.459 459 121,176
75 Cataro 10`s 1 - Tablet Effervescent PYRIDAM 16 7.563 7,563 121,008
11 Flunarizine 5 mg Tablet BERNOFARM 2 57.813 57,813 115,626
115 Aspilets 80 mg Tablet Kunyah MEDIFARMA 30 3.823 3,823 114,690
125 Folavit 400 mcg Tablet SANBE 35 3.258 3,258 114,030
33 Domperidone 10 mg Tablet INDOFARMA 5 22.5 22,500 112,500
60 Ciprofloxacin 500 mg Kaplet NOVELL 10 11.25 11,250 112,500
163 Caviplex 60 ml 1 - Sirup ERELLA 103 1.05 1,050 108,150
157 Cendo Tobroson 5ml 1 - Tetes mata CENDO 80 1.311 1,311 104,880
138 Urotractin 400 mg Kapsul SANBE 40 2.544 2,544 101,760
202 Glimepiride 4 mg Tablet DEXA MEDICA 200 0.465 465 93,000
70 Clopidogrel 75 mg Tablet DEXA MEDICA 10 8.787 8,787 87,870
169 Asering 500ml 1 - Infus OTSUKA 100 0.875 875 87,500
65 Betahistine 6 mg Tablet NOVELL 9 9.454 9,454 85,086
143 Levofloxacin 500 mg Tablet Salut DEXA MEDICA 40 2.125 2,125 85,000
26 NEUROSANBE 5000 5000 mg Tablet SANBE 3 27.713 27,713 83,139
71 Diovan 80 mg Tablet NOVARTIS 10 8.25 8,250 82,500
155 Mecobalamin 500 mcg Injeksi NOVELL 60 1.375 1,375 82,500
107 Needle 18G 1 - TERUMO 19 4.319 4,319 82,061
126 Praxion Forte 60ml 250 mg/5ml Suspensi PHAROS 25 3.25 3,250 81,250
35 Hufanoxil Dry Syr 60ml 125 mg/5ml Sirup 1 21.6 21,600 21,600
Kering HUFA
180 Vesperum 60mL 5 mg/5ml Suspensi IFARS 30 0.704 704 21,120
39 Hufaflox Tab 500 mg Kaplet HUFA 1 20.682 20,682 20,682
233 Amoxsan 15ml 100 mg/ml Tetes Oral SANBE 100 0.2 200 20,000
189 Anflat Forte 1 - Tablet Kunyah DANKOS 32 0.615 615 19,680
41 Asam Mefenamat 500 mg Kaplet LANDSON 1 19.563 19,563 19,563
64 Intunal Forte Tab 1 - Tablet MEPROFARM 2 9.766 9,766 19,532
42 Spironolacton 25 mg Tablet DEXA MEDICA 1 18.938 18,938 18,938
85 Forumen TT 10ml 5 mg/ml Tetes telinga SANBE 3 6.257 6,257 18,771
102 Grafazol 500mg Kapl 500 mg Kaplet GRAHA FARMA 4 4.545 4,545 18,180
171 Dionicol 60ml 125 mg/5ml Sirup Kering IFARS 2 0.875 875 1,750
149 Sarung Tangan/Handscoon Non Steril ukuran S 1 1 1.65 1,650 1,650
- SENSI
226 Allopurinol 100 mg Tablet KIMIA FARMA 5 0.265 265 1,325
206 Antasida DOEN 1 - Tablet Kunyah KIMIA FARMA 3 0.438 438 1,314
279 Winatin 10 mg Kaplet IFARS 20 0.05 50 1,000
256 Omeprazole Kaps 20 mg Kapsul NOVELL 11 0.089 89 979
268 Pehacain 2ml 1 - Injeksi PHAPROS 76 0.011 11 836
179 Hydrocortisone Cream 5g 1 % Krim KALBE FARMA 1 0.728 728 728
2.03% 46.13% A E
1.95% 48.08% A N
1.87% 49.95% A N
1.25% 51.20% A E
1.14% 52.34% A E
1.10% 53.43% A E
1.09% 54.53% A E
1.07% 55.60% A E
1.06% 56.65% A V
1.04% 57.70% A N
1.04% 58.74% A E
1.04% 59.78% A E
0.84% 60.62% A E
0.83% 61.45% A N
0.80% 62.26% A N
0.78% 63.04% A E
0.75% 63.78% A E
0.74% 64.52% A E
0.73% 65.25% A V
0.73% 65.98% A E
0.68% 66.66% A E
0.68% 67.34% A E
0.68% 68.01% A E
0.67% 68.68% A E
0.64% 69.32% A E
0.61% 69.93% A E
0.59% 70.51% A E
0.57% 71.09% A N
0.56% 71.65% A E
0.55% 72.20% A E
0.54% 72.74% A E
0.53% 73.27% A N
0.49% 73.76% A E
0.49% 74.25% A E
0.49% 74.75% A V
0.49% 75.23% A E
0.46% 75.69% A E
0.45% 76.15% A V
0.45% 76.60% A V
0.43% 77.02% A E
0.42% 77.45% A E
0.41% 77.86% A N
0.41% 78.26% A N
0.39% 78.65% A N
0.37% 79.02% A E
0.37% 79.39% A E
0.37% 79.76% A N
0.35% 80.10% B N
0.35% 80.45% B E
0.34% 80.79% B E
0.34% 81.13% B E
0.32% 81.45% B E
0.31% 81.76% B E
0.31% 82.07% B E
0.31% 82.38% B E
0.31% 82.69% B E
0.31% 83.00% B E
0.31% 83.31% B E
0.30% 83.62% B E
0.30% 83.92% B E
0.30% 84.22% B E
0.30% 84.52% B E
0.29% 84.80% B E
0.28% 85.09% B E
0.28% 85.37% B N
0.28% 85.65% B E
0.28% 85.92% B E
0.27% 86.19% B E
0.26% 86.45% B E
0.25% 86.70% B N
0.23% 86.93% B E
0.22% 87.15% B E
0.22% 87.37% B V
0.21% 87.58% B V
0.21% 87.79% B E
0.21% 87.99% B E
0.20% 88.20% B E
0.20% 88.40% B E
0.20% 88.60% B E
0.20% 88.80% B E
0.20% 89.00% B E
0.19% 89.19% B N
0.19% 89.38% B V
0.19% 89.56% B N
0.18% 89.75% B E
0.18% 89.93% B E
0.18% 90.11% B E
0.18% 90.29% B V
0.18% 90.47% B E
0.18% 90.65% B V
0.18% 90.83% B E
0.17% 91.00% B E
0.17% 91.17% B V
0.16% 91.33% B N
0.16% 91.48% B E
0.16% 91.64% B E
0.15% 91.80% B V
0.15% 91.95% B E
0.15% 92.10% B E
0.15% 92.25% B N
0.14% 92.39% B E
0.14% 92.53% B E
0.14% 92.68% B E
0.14% 92.82% B E
0.14% 92.95% B E
0.14% 93.09% B E
0.14% 93.23% B N
0.13% 93.36% B E
0.13% 93.49% B N
0.13% 93.62% B E
0.13% 93.75% B N
0.12% 93.88% B E
0.12% 93.99% B E
0.11% 94.11% B E
0.11% 94.22% B E
0.11% 94.33% B E
0.11% 94.45% B V
0.11% 94.56% B N
0.11% 94.67% B E
0.10% 94.77% B E
0.10% 94.88% B E
0.10% 94.98% B N
0.10% 95.08% C E
0.09% 95.17% C V
0.09% 95.27% C E
0.09% 95.36% C E
0.09% 95.45% C E
0.09% 95.54% C E
0.09% 95.63% C E
0.09% 95.72% C E
0.08% 95.80% C E
0.08% 95.88% C E
0.08% 95.96% C E
0.08% 96.04% C N
0.08% 96.12% C E
0.08% 96.20% C E
0.08% 96.27% C E
0.08% 96.35% C N
0.08% 96.43% C V
0.07% 96.50% C V
0.07% 96.57% C E
0.07% 96.65% C N
0.07% 96.72% C E
0.07% 96.79% C E
0.07% 96.86% C E
0.07% 96.93% C E
0.07% 97.00% C N
0.07% 97.07% C E
0.07% 97.14% C N
0.07% 97.21% C N
0.07% 97.28% C E
0.07% 97.34% C E
0.07% 97.41% C E
0.07% 97.47% C N
0.06% 97.54% C E
0.06% 97.60% C E
0.06% 97.66% C E
0.06% 97.72% C N
0.06% 97.78% C E
0.06% 97.84% C E
0.05% 97.90% C E
0.05% 97.95% C E
0.05% 98.00% C E
0.05% 98.06% C E
0.05% 98.11% C E
0.05% 98.16% C E
0.05% 98.21% C E
0.05% 98.26% C E
0.05% 98.31% C E
0.05% 98.36% C E
0.05% 98.40% C E
0.05% 98.45% C N
0.04% 98.49% C E
0.04% 98.54% C E
0.04% 98.58% C E
0.04% 98.62% C E
0.04% 98.66% C E
0.04% 98.70% C E
0.04% 98.74% C E
0.04% 98.78% C E
0.04% 98.82% C E
0.04% 98.86% C E
0.04% 98.89% C E
0.03% 98.92% C E
0.03% 98.96% C E
0.03% 98.99% C N
0.03% 99.02% C E
0.03% 99.05% C E
0.03% 99.08% C E
0.03% 99.12% C E
0.03% 99.15% C E
0.03% 99.17% C N
0.03% 99.20% C E
0.03% 99.23% C N
0.03% 99.26% C N
0.03% 99.28% C E
0.03% 99.31% C V
0.03% 99.34% C N
0.02% 99.36% C E
0.02% 99.38% C V
0.02% 99.41% C E
0.02% 99.43% C N
0.02% 99.45% C E
0.02% 99.47% C E
0.02% 99.49% C E
0.02% 99.51% C N
0.02% 99.53% C E
0.02% 99.55% C N
0.02% 99.56% C E
0.02% 99.58% C E
0.02% 99.60% C E
0.02% 99.62% C E
0.02% 99.63% C E
0.02% 99.65% C E
0.02% 99.67% C N
0.02% 99.68% C E
0.02% 99.70% C E
0.02% 99.72% C E
0.02% 99.73% C N
0.02% 99.75% C N
0.02% 99.77% C E
0.02% 99.78% C E
0.01% 99.80% C E
0.01% 99.81% C E
0.01% 99.82% C E
0.01% 99.83% C E
0.01% 99.84% C N
0.01% 99.86% C E
0.01% 99.87% C E
0.01% 99.88% C E
0.01% 99.89% C V
0.01% 99.90% C E
0.01% 99.91% C E
0.01% 99.92% C V
0.01% 99.92% C E
0.01% 99.93% C N
0.01% 99.94% C E
0.01% 99.94% C E
0.00% 99.95% C E
0.00% 99.95% C E
0.00% 99.96% C E
0.00% 99.96% C E
0.00% 99.97% C N
0.00% 99.97% C E
0.00% 99.98% C N
0.00% 99.98% C E
0.00% 99.98% C E
0.00% 99.99% C E
0.00% 99.99% C E
0.00% 99.99% C V
0.00% 99.99% C E
0.00% 99.99% C E
0.00% 99.99% C E
0.00% 100.00% C E
0.00% 100.00% C V
0.00% 100.00% C N
0.00% 100.00% C N
0.00% 100.00% C E
0.00% 100.00% C E
0.00% 100.00% C E
0.00% 100.00% C E
0.00% 100.00% C E
0.00% 100.00% C N
0.00% 100.00% C E
0.00% 100.00% C E
0.00% 100.00% C E
0.00% 100.00% C E
0.00% 100.00% C E