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LAMPIRAN TELAHAN STAF

No Nama Obat Kemasasn Jumlah Harga satuan Jumlah Harga

1 10 % Glucose Botol 600 6,273 3,763,800


2 10% Glucose Botol 200 6,818 1,363,600
3 Albuman 20 % 100 ml FLS 21 858,000.00 18,018,000
5 Albuman 200 g/i Box 15 1,598,000.00 23,970,000
6 Astaplus kaplet salut selaput Box 10 237,600.00 2,376,000
7 Betahistine 6 mg tab Box 5 92,308 461,540
8 Buscopan 20 mg/ml Box 10 269,060.00 2,690,600
9 Candesartan 8 mg Box 20 148,500 2,970,000
11 Carnevit 1 vial Box 20 144,000 2,880,000
12 Catarlent 0,6 ml STP 50 22,000.00 1,100,000
13 Cefotaxime 1 gr 2 vial Box 500 13,500 6,750,000
14 Cendo Hyalub 0,6 ml STP 50 62,700.00 3,135,000
15 Cendo Lyteers 15 ml Botol 50 24,750.00 1,237,500
16 Cendo mydriatyl 0,5 % 5 ml Botol 10 31,762.50 317,625
17 Cendo tropin 1 % 5 ml Botol 10 13,750.00 137,500
18 Cendo xitrol e 0 3,5 gr Tube 10 39,462.50 394,625
19 Cerneit 1 vial Box 10 144,000 1,440,000
20 Cetirizine 5 mg/ 5 ml syr Botol 100 7,999.09 799,909
21 Cifrofloxacine infus IV Botol 160 57,000 9,120,000
22 Citicholine inj 250 mg/ 2 ml Vial 50 54,545 2,727,250
23 Clobazam 10 mg Box 5 95,000 475,000
24 Combivent 2,5 nl Box 2 119,800.00 239,600
25 Conver 2 % 0,6 ml STP 3 17,737.50 53,213
26 Diagit tab 100 tab Box 20 92,500 1,850,000
27 Dulcolac 5 mg Box 1 214,170.00 214,170
28 Dulcolactol 10 Box 50 50,710.00 2,535,500
29 Eyefresh 0,6 ml STP 20 25,437.50 508,750
30 Gentamicin 40 mg/ml inj Box 20 16,995.45 339,909
31 Glaoplus 0,6 ml STP 10 105,462.50 1,054,625
32 Glimeperide 2 mg 50 tab Box 10 40,000 400,000
33 HB- Vit Kap Sal Sel Box 40 75,900.00 3,036,000
34 Herbesser powder inj 50 mg Box 5 1,350,000 6,750,000
35 Hervis E 0 3,5 gr Tube 10 40,425.00 404,250
36 Homatro 2 % 5 ml Botol 20 39,050.00 781,000
37 Hydrocortisine 2,5 % 5 gr Box 36 5,000 180,000
38 Ibuprofen suspensi 100 mg / 5 ml Botol 100 3,499.09 349,909
39 Imunvit Box 60 115,500 6,930,000
41 Imunvit plus 20 kaplet Box 10 130,000 1,300,000
42 Imunvit plus 20 kaplet s3 Box 33 105,000 3,465,000
43 Imunvit plus syr 60 ml Botol 125 65,000 8,125,000
46 Imunvit Plus Tab Box 17 143,000 2,431,000
47 KN-3B Botol 400 9,136 3,654,400
48 Lapifed 60 ml expectoran Botol 50 19,000 950,000
49 Levemir flexPen Box 5 386,364 1,931,818
50 LFX 5 ml Botol 10 76,175.00 761,750
51 Liydrocortisine 1 % 5 gr Box 36 4,000 144,000
52 Loperamide tab 2 mg Box 5 8,818.18 44,091
53 Meropenem 1 vial Box 50 100,000 5,000,000
54 Methylprednisolone inj 125 mg Box 230 35,475 8,159,250
56 Mometasone furoate Tube 48 22,275 1,069,200
57 Natacen 50 mg/0,6 ml STP 15 45,787.50 686,813
58 Neostigmine-Hamelin 0,5 mg/ ml Box 10 77,000 770,000
59 Nonflamin caps Box 10 233,269 2,332,690
60 Norepinephirine bitartrate 4 mg/4 ml Box 20 300,000 6,000,000
61 Novorapid flexpen Box 6 395,455 2,372,727
62 Nystin drop 12 ml Botol 25 32,000 800,000
63 Omeprazole 20 mg Box 20 8,159 163,180
64 Osfit dha 3 blist Box 20 104,000 2,080,000
65 Otsu water inj 25 ml Ampul 480 2,727 1,308,960
66 Pamol oral drop 15 ml Botol 50 20,450 1,022,500
67 Pamol syr 60 ml Botol 50 11,840 592,000
68 Pantoprazole 40 mg serbuk Box 250 40,000 10,000,000
69 Pantotis inj Vial 50 115,000 5,750,000
71 Pantotis inj 40 mg @ 1vial Box 50 115,000 5,750,000
73 Paracetamol infus 100 ml Botol 500 24,750 12,375,000
74 Perpidipine inj 10 mg Box 1 2,460,964 2,460,964
75 Picyn 750 mg inj 1 vial Vial 150 75,000 11,250,000
78 Picyn inj 750 mg @ I vial Box 50 75,000 3,750,000
79 Picyn inj 750 mg @ I vial Box 50 75,000 3,750,000
80 Picyn inj 750 mg @ I vial Box 91 75,000 6,825,000
82 Prednisolone tab Box 10 15,200 152,000
83 Promavit 60 softcapsul Box 20 120,000 2,400,000
84 Protagenta 5 ml Botol 30 46,200.00 1,386,000
86 PSIDII Botol 96 30,000 2,880,000
87 Psidii capsul 500 mg Box 5 180,000 900,000
88 Raivas inj 4 ml Box 5 450,000 2,250,000
89 Recofol N Box 10 425,000 4,250,000
91 Ringer lact Botol 1200 6,500 7,800,000
92 Sedacum inj Box 32 225,000 7,200,000
94 Serum Bio SAT 1,5 (ATS 1500) Box 10 115,000.00 1,150,000
95 Sevodex 250 ml Botol 2 2,450,000 4,900,000
96 Simzen oral drop 20 ml Botol 30 55,000.00 1,650,000
97 Spironolactone Tab 25 mg Box 5 37,000 185,000
98 Tramus 1% 2,5 ml Box 5 235,000 1,175,000
99 Vectrine dry syrup Botol 75 34,000 2,550,000
100 Velutine 2,5 mg/4 ml Box 20 70,000 1,400,000
101 Vernacel 0,6 ml STP 10 22,825.00 228,250
102 Vitacur syr Botol 100 33,000 3,300,000
103 Vitacur syr 100 ml Botol 75 30,000 2,250,000
104 Vitrolenta 5 ml Botol 10 36,025 360,250
105 Voltadex gel 1 % x 20 g Tube 20 19,500 390,000
106 Wida D5 - 1/2 NS Botol 400 8,545 3,418,000
107 Wida D5 - 1/4 NS Botol 200 12,273 2,454,600
JUMLAH 283,459,317

LAMPIRAN TELAHAN STAF

No Nama Obat Kemasasn Jumlah Harga satuan Jumlah Harga

1 0,9% SOD Chlo Pipih Botol 2000 5,827 11,654,000


2 Ringer Lact Pipih Botol 1000 6,500 6,500,000
1 Ster WTR 1L/Rubb Botol 75 18,000 1,350,000
1 Cendo Asthenof 5 ml Botol 20 23,100.00 462,000.00
2 Eyefresh 0,6 ml STP 20 25,437.50 508,750.00
3 Sirplus sirup rasa stroberi 100 ml Botol 48 12,100.00 580,800.00
4 Imunvit plus syrup 60 ml Dus 96 71,500.00 6,864,000.00
1 Kandistatin drop suspensi 12 ml Botol 50 38,500.00 1,925,000.00
2 Maxstan 500 kapletsal sel Box 5 110,000.00 550,000.00
1 Maxstan 500 Kap Sal Sel Box 10 110,000.00 1,100,000.00
2 Simexim @ 1 Vial Vial 6 126,500.00 759,000.00
3 Maxcef 125 mg/5 ml Botol 20 41,250.00 825,000.00
1 Simexim @ 1 Vial Vial 60 126,500.00 7,590,000.00
1 AS. Mefanamat 500 mg Box 20 27,000 540,000.00
1 Cefixime 200 mg Box 20 110,000 2,200,000.00
1 Cefotaxime 200 mg kap Box 10 110,000 1,100,000.00
2 Ambroxol 30 mg tab Box 10 30,000 300,000.00
1 Paracetamol 500 mg Box 40 15,000 600,000.00
1 Glimepiride 2 mg tab Box 12 65,149 781,788.00
2 Natrium Diklofenak 50 mg Box 10 11,873 118,730.00
1 Fentanyl 0,05 mg/ml 2 ml Box 50 36,364 1,818,200.00
1 Natrium diklopenak 50 mg Box 10 11,873 118,730.00
2 Batugin elexir 120 ml Botol 12 17,455 209,460.00
1 Codein 10 mg tab Box 10 45,455 454,550.00
1 Berry vision tab Box 5 285,000 1,425,000.00
1 Futrolit Softbag 10 51,650 516,500.00
2 Hydronal Softbag 10 64,350 643,500.00
1 Infusan D5+ 1/4 NS Softbag 300 8,500.12 2,550,036.00
1 Pitogin S injeksi Box 20 70,000.00 1,400,000.00
2 Curcuma fct blister Box 20 80,000.00 1,600,000.00
1 Pantoprazole 40 mg serbuk Box 150 0 40,000
2 Ampicillin inj 1 gr Box 2 0 77,220
1 Paracetamol infus 100 ml Box 600 0 24,750
1 Combivent 2,5 nl Box 5 119,800.00 599,000
1 Myori tab Box 10 162,765.00 1,627,650
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0
0
0
0
0
0
0
0
0
0
0
0
LAMPIRAN TELAHAN STAF

No Nama Obat Kemasasn Jumlah Harga satuan Jumlah

1 Aerrane 250 ml Box 3 1,650,000 4,950,000


2 Alinamin F Inj Box 20 68,057 1,361,140
3 Aminofilin inj 24 mg Box 10 107,998 1,079,980
4 Amlodipine 10 mg Box 100 25,500 2,550,000
5 Antasida Doen Tab Box 15 14,727 220,905
6 Asam Mefenamat 500 mg/100 Box 50 16,000 800,000
7 Aspilet Chewable Tab Box 20 53,000 1,060,000
8 Bedak Salisil 2 % Box 6 4,727 28,362
9 Bisoprolol 5 mg Box 10 55,000 550,000
10 Cefixime 100 mg 50 Kap Box 60 65,000 3,900,000
11 Cefixime ds 100 mg 30 ml/btl Box 200 18,000 3,600,000
12 Cefradroxil 500 mg /100 Box 50 76,364 3,818,200
13 Ceftriaxone 1 Gr 2 Vial Vial 250 13,000 3,250,000
14 Cendo Asthenof 5 ml Botol 7 23,100 161,700
15 Ciprofloxacine 500 mg tab Box 10 70,000 700,000
16 Citicholine inj 500 mg/4 ml Box 20 109,091 2,181,820
17 Combivent 2,5 ml Box 5 99,900 499,500
18 Diazepam 5 mg Tab Box 10 13,077 130,770
19 Domperidone 10 mg Box 10 26,000 260,000
20 Dulcolac 5 mg Box 10 34,020 340,200
21 Eyedrop 0,6 ml STP 10 25,438 254,375
22 Eyefresh 0,6 ml STP 11 25,441 279,851
23 Fentanyl 0,05 mg/ml 2 ml Ampul 100 36,364 3,636,400
24 Furosemide 40 mg tab Box 5 18,364 91,820
25 Gentamicin 0,1 % salep kulit Tube 30 1,682 50,460
26 Glucosamina 250 mg mg 60 tab Box 10 48,000 480,000
27 Good Life Proliver Kap Salut Box 20 165,000 3,300,000
28 HB - Vit Kap Salut Vial 40 75,900 3,036,000
29 Hydromal Softbag 120 45,045 5,405,400
30 Hydromal Softbag 24 45,045 1,081,080
31 Imunvit plus syrup 60 ml Dus 29 71,500 2,073,500
32 Infusan D5+ 1/4 NS Softbag 300 8,500 2,550,036
33 Infusan RL SP-SFC Softbag 3600 7,950 28,620,000
34 Kliran Inj 4 mg/2 ml Box 17 132,500 2,252,500
35 Levemir FlexPen Box 2 386,364 772,727
36 LFX 5 ml Botol 6 76,175 457,050
37 Meloxicam 15 mg tab Box 10 54,446 544,460
38 Meloxicam 7,5 mg tab Box 10 31,418 314,180
39 Meropenem 1 Vial Vial 50 100,000 5,000,000
40 Methylprednisole Inj Box 150 33,550 5,032,500
41 Methylprednisolone 4 mg Box 20 40,050 801,000
LAMPIRAN TELAHAN STAF

No Nama Obat Kemasasn Jumlah Harga satuan Jumlah

42 Methylprednisolone 4 mg Box 10 44,055 440,550


43 Methylprednisolone inj 125 mg/ m Box 70 27,000 1,890,000
44 Morphine HCL 10 MG Inj Box 5 84,000 420,000
45 Neo Gynoxa 2 Blist Box 10 138,000 1,380,000
46 Neostigmine-Hamelin 0,5 mg/ ml Box 20 77,000 1,540,000
47 Neurobat Forte Inj 3 ml Box 16 112,700 1,803,200
48 Neurodex Film Coat Box 6 110,000 660,000
49 Nicardipine HCI 10 MG Box 5 715,000 3,575,000
50 Nicardipine HCI 10 mg Box 10 715,000 7,150,000
51 Norepinephrine Bitartrate 4 mg/ 4 ml Box 10 300,000 3,000,000
52 Omeprazole inj 40 mg Box 5 425,000 2,125,000
53 Omeprazole kap 20 mg Box 100 6,027 602,727
54 Paracetamol 40 mg Box 216 40,000 8,640,000
55 Paracetamol Infus 1 G/100 Box 300 45,000 13,500,000
56 Paracetamon 500 mg tab Box 20 9,545 190,900
57 Pehacain Inj Box 1 56,601 56,601
58 Phytomenadione Inj 2 mg/ml Box 5 118,800 594,000
59 Profat Suspensi 100 ml Botol 20 55,000 1,100,000
60 Profat Suspensi 100 ml Botol 80 55,000 4,400,000
61 PSIDII Capsule 500 mg Box 10 198,000 1,980,000
62 PSIDII Syr Botol 96 33,000 3,168,000
63 Pyridoxine 10 mg tab/vit b 6 Box 10 13,455 134,550
64 QL Paracetamol Infus 1 G/100 Box 139 44,000 6,116,000
65 QL Ranitidine 50 mg/ 2 ml inj Box 300 28,036 8,410,800
66 Recofol N Box 5 450,000 2,250,000
67 Rephitel Eye Ointment 3,5 gr Tube 6 47,850 287,100
68 Roculax Inj 5 ml Box 1 1,120,000 1,120,000
69 Sevoflurane Baxter Box 3 2,700,000 8,100,000
70 Sirplus sirup rasa stroberi 100 ml Botol 35 12,100 423,500
71 Timol 0,5% 5 ml Botol 5 52,525 262,625
72 Tobro 5 ml Botol 6 22,825 136,950
73 Tobroson 0,6 ml STP 20 31,900 638,000
74 Tuzalos Cap 15 mg Box 10 65,000 650,000
75 Valisanbe Inj Box 10 131,000 1,310,000
76 Vitamin B Complex tab Box 10 10,909 109,090
77 Vitamin K 10 mg inj Box 1 131,818 131,818
78 Volutine 2,5 mg/ 4 ml Box 3 70,000 210,000
79 Vometa syr 1 mg/ml x 60 ml Botol 30 39,500 1,185,000
80 Vometraz 4 mg Box 250 48,400 12,100,000
JUMLAH 199,267,326.84
LAMPIRAN TELAHAN STAF

No Nama Obat Kemasasn Jumlah Harga satuan Jumlah

1 Alprazolam 0.25 mg Box 20 53,130 1,062,600.00


2 Ampicillin Inj 1 Gr Box 48 77,220 3,706,560.00
3 Antasida Syr Botol 40 4,000 160,000.00
4 Asam Tranexamat Box 50 52,500 2,625,000.00
5 Aspilet Chewable Box 15 53,000 795,000.00
6 Batugin Elexir (BDG) 120 Ml Botol 6 32,499 194,994.00
7 Batugin Elexir 300 Ml Botol 12 18,501 222,012.00
8 Bedak Salisil 2% CTN 6 5,200 31,200.00
9 Beroteco 0,1 Mg Box 50 80,000 4,000,000.00
10 Cefixime ds 100 mg 30 ml/botol Box 96 18,000 1,728,000.00
11 Ceftriaxone 1 Gr 2 Vial Box 250 13,000 3,250,000.00
12 Ciprofloxacine 500 mg Box 36 27,632 994,752.00
13 Clinmas 150 mg 30 kapsul Box 10 105,000 1,050,000.00
14 Clobazam 10 mg Box 50 106,875 5,343,750.00
15 Clopidogrel 75 mg Box 10 151,000 1,510,000.00
16 Co Amoxiclav 625 Mg Box 30 158,404 4,752,120.00
17 Colidium Box 10 17,000 170,000.00
18 Cotrimoxsasol Adul Tab Box 10 17,325 173,250.00
19 Dopamet Tab Box 10 187,000 1,870,000.00
20 Dulcolactol 10 Box 30 56,100 1,683,000.00
21 Dulcolax 5 Mg Box 2 242,990 485,980.00
22 Farmadol Infus 100 ml Botol 300 57,000 17,100,000.00
23 Farpresin Inj 20 mg Box 20 400,000 8,000,000.00
24 Farsix Inj Box 50 33,400 1,670,000.00
25 Farsix Tab Box 25 90,000 2,250,000.00
26 Farsorbid Inj 10 ml Box 15 120,000 1,800,000.00
27 Fenofibrate 300 mg/ 30 kap Box 10 120,000 1,200,000.00
28 Fentanyl 0.05 Mg/Ml Ampul 350 44,000 15,400,000.00
29 Glimepiride 2 mg Box 20 40,000 800,000.00
30 Gliquidone 30 mg Tab Box 5 104,734 523,670.00
31 Glucosamine 250 mg Box 20 48,000 960,000.00
32 Good Life Bio Cal-95 Box 20 120,000 2,400,000.00
33 Good Life Proliver Box 20 150,000 3,000,000.00
34 Hydromal Softbag 240 45,045 10,810,800.00
35 Ibuprofen 200 mg/5 ml suspensi Botol 100 5,722 572,200.00
36 Imunvit Plus syr 60 ml Botol 60 65,000 3,900,000.00
37 Infus RL Botol 40 9,000 360,000.00
38 Infusan 0511/2 NS Softbag 168 18,050 3,032,400.00
39 Infusan 0511/2 NS Softbag 240 8,545 2,050,884.00
40 Infusan 0511/4 NS Softbag 120 8,500 1,020,014.40
41 Infusan D5 Softbag 480 8,150 3,912,000.00
No Nama Obat Kemasasn Jumlah Harga satuan Jumlah

42 Infusan NS Softbag 336 7,725 2,595,600.00


43 Infusan RL Softbag 2400 7,950 19,080,000.00
44 Invicot Inj 5 ml Box 11 60,000 660,000.00
45 ISDN Box 10 16,000 160,000.00
46 Kalak Kaleng 4 57,000 228,000.00
47 L- Bio Box 20 165,000 3,300,000.00
48 Lapistan 500 mg Box 1 110,000 110,000.00
49 Levemir FlexPen JKN Box 6 386,364 2,318,181.84
50 Lidocaine 2 % Inj Box 5 79,545 397,725.00
51 Loratadine 10 Mg Tab Box 10 15,125 151,250.00
52 Maxstan Box 10 110,000 1,100,000.00
53 Meloxicam 7.5 mg Tab Box 50 31,418 1,570,900.00
54 Methylprednisolone Tab 4 Mg Box 30 19,000 570,000.00
55 Microlac Tube 22 19,250 423,500.00
56 Myonep Tab Box 5 440,000 2,200,000.00
57 Myori Tab Box 15 162,765 2,441,475.00
58 Nebacetin Powder 5 gr Box 20 20,350 407,000.00
59 Neo Gynoxa 2 Blister Box 10 138,000 1,380,000.00
60 Nifedipin 10 Mg Tab Box 5 14,073 70,365.00
61 Novorapid Box 10 395,455 3,954,545.40
62 Omeprazole 20 mg Box 167 11,136 1,859,712.00
63 Otsu Manitol 20 (Askes) 500 ml Botol 20 35,909 718,180.00
64 Otsu Manitol 20 (reguler) 500 ml Botol 80 80,000 6,400,000.00
65 Oxytocin Box 3 370,000 1,110,000.00
66 Pantotis Inj 40 Mg Box 30 115,000 3,450,000.00
67 Paracetamol 40 mg serbuk Box 270 40,000 10,800,000.00
68 Paracetamol 500 Mg Tab Box 100 9,545 954,500.00
69 Paracetamol Infus 10 ml Box 800 24,750 19,800,000.00
70 Picyn 750 mg Vial 30 75,000 2,250,000.00
71 Picyn 750 mg Vial 70 75,000 5,250,000.00
72 Picyn Inj 750 M Box 100 75,000 7,500,000.00
73 Profat Suspensi 100 ml Box 90 55,000 4,950,000.00
74 Profat Suspensi 100 ml Box 10 55,000 550,000.00
75 Profertil 50 mg 10 tab Box 10 140,000 1,400,000.00
76 Proliver Botol 10 165,000 1,650,000.00
77 PTU Botol 5 40,000 200,000.00
78 Recolfar Tab Box 20 129,000 2,580,000.00
79 Regivell Inj Box 1 ### 355,800.00
80 Serum Bio Sat 1.5 (ATS) Ampul 20 115,000 2,300,000.00
81 Sevoflurance Baxter Box 10 2,700,000 27,000,000.00
82 Spironolactone Tab 25 mg Box 20 37,000 740,000.00
83 Tensilo Vial 10 ml Box 70 160,000 11,200,000.00
84 Tiaryt Inj 3 ml Box 10 125,000 1,250,000.00
No Nama Obat Kemasasn Jumlah Harga satuan Jumlah

85 Tramadol 50 mg kaps Box 10 14,985 149,850.00


86 Tuzalos Cap 15 mg Box 10 65,000 650,000.00
87 Ultrogestan 200 mg 15 kapsul Box 20 240,000 4,800,000.00
88 Urdafalk Cap Box 1 284,350 284,350.00
89 Vitamin B Complex Tab Botol 10 4,455 44,545.50
90 Vitamin B6 Tab 10 Botol 10 4,727 47,272.70
91 Vometa drop 5 mg/ml Botol 48 39,500 1,896,000.00
92 Vometa syr 1 mg/ml Botol 96 39,500 3,792,000.00
93 Xiety Tab Box 2 396,000 792,000.00
JUMLAH 286,412,938.84
LAMPIRAN TELAHAN STAF

No Nama Obat Kemasasn Jumlah Harga satuan Jumlah

1 Acyclovir 400 mg Box 10 28,659 286,590


2 Alco Oral Drops 15 ml Box 48 58,500 2,808,000
3 Ambroxol 15 mg/5 ml Botol 100 3,297 329,700
4 Amoxiclav 625 mg Box 25 158,404 3,960,100
5 Antrain Tab Box 5 135,000 675,000
6 Aqua Pro 20 ml inj Box 50 60,000 3,000,000
7 Astarplus Kap Sal Sel Box 10 237,600 2,376,000
8 Bisoprolol 5 mg Box 20 55,000 1,100,000
9 Catarlent 15 ml Botol 10 33,688 336,875
10 Cefixime 200 mg Box 20 135,000 2,700,000
11 Cefoperazone Sulbactam 1 gr Box 30 80,000 2,400,000
12 Ceftriaxone 1 gr Box 500 20,000 10,000,000
13 Cetirizine 10 mg Box 20 14,250 285,000
14 Citicholine Inj 500 mg/ml Box 40 109,091 4,363,640
15 Clinmas 300 mg Box 10 189,000 1,890,000
16 Dgoxin 0.25 mg Box 10 13,000 130,000
17 Diazepam 5 mg Tab Box 15 12,182 182,727
18 Folamil genio Botol 20 105,000 2,100,000
19 Folavit 400 mcg Box 10 75,000 750,000
20 Gastrul Tab Box 10 300,000 3,000,000
21 Gentamicin 40 mg/ml inj Box 60 16,114 966,818
22 HB- Vit Box 40 69,000 2,760,000
23 HB- Vit Kap Sal mSel Box 10 75,900 759,000
24 Ibuprofen 200 mg/ 5 ml suspensi Botol 100 5,722 572,200
25 Ibuprofen suspensi 100 mg/ 5 ml Botol 100 3,814 381,400
26 Indexon Inj 5 mg Box 100 42,000 4,200,000
27 Infusan D10 Softbag 240 17,600 4,224,000
28 Infusan NS Softbag 240 7,725 1,854,000
29 Infusan NS (Irigasi) Softbag 30 14,723 441,675
30 Ketorolac inj 30 mg Box 150 27,273 4,090,950
31 L- Bio Box 20 165,000 3,300,000
32 Lapistan 500 mg Box 10 110,000 1,100,000
33 Levemir Box 10 386,364 3,863,636
34 Levofloxacin 500 mg Vial 50 50,000 2,500,000
35 Levofloxacin 750 mg Box 12 150,000 1,800,000
36 Methylprednisolone 8 mg Box 5 63,818 319,090
37 Mipros 30 Tab Box 19 250,000 4,750,000
38 Myonep Box 10 400,000 4,000,000
39 Neurobat Forte Inj 3 ml Box 18 154,000 2,772,000
40 Omeprazole inj 40 mg Box 40 425,000 17,000,000
44 Otopain Ear Drop Botol 10 45,000 450,000
45 Oxytocin inj Box 5 172,727 863,635
46 Paracetamol 120 mg/ 5 ml Botol 100 2,872 287,200
47 Piracetam inj 1 gr Box 50 50,000 2,500,000
48 Pratropil inj 6 ml Box 50 70,000 3,500,000
49 Proanes 1 % 200 mg/10 ml Box 20 356,500 7,130,000
50 Profat 500 mg/5 ml Box 100 55,000 5,500,000
LAMPIRAN TELAHAN STAF

No Nama Obat Kemasasn Jumlah Harga satuan Jumlah

52 Profat 60 ml syr Botol 60 18,500 1,110,000


53 Promavit 60 Kap Box 10 120,000 1,200,000
54 Ranitidine 150 mg Box 30 20,000 600,000
55 Resfar 25 ml inj Box 48 199,000 9,552,000
56 Serum Bio SAVE (SABU) Vial 10 430,000 4,300,000
57 Stabactam inj 10 ml Box 16 340,000 5,440,000
58 Tiary Tab Box 10 118,200 1,182,000
59 Timol 0.5 % 5 ml Botol 15 52,525 787,875
60 Tracetate 200 ml Botol 50 350,000 17,500,000
61 Trasik inj 2 ml Box 12 75,000 900,000
62 Uresix Inj Box 1000 37,750 37,750,000
63 Velutine 2.5 mg/4 ml Box 27 70,000 1,890,000
64 Zibac 1 inj (ASK) 1 gr Box 100 80,000 8,000,000
66 Zinc 20 mg Tab Box 3 43,139 129,417
JUMLAH 214,900,529.10