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NO

NAMA OBAT
1 CARBIDU 0.5 Mg
2 CARBIDU 0.75 Mg
3 DEXTEEM PLUS
4 FARIDEXON 0.5 MG
5 FARMOTEN 25 MG
6 FARMALAT 10 MG
7 FIMESTAN
8 GRAFERID
9 GRATHAZON 0.75 MG
10 GITAS PLUS
11 INFALGIN
12 INFATRIUM FORTE
13 INTERHISTIN
14 IFISON
15 KALNEX
16 MEGASONUM 0.5 MG
17 MEXON
18 MOLACORT 0.5 MG
19 MOLACORT 0.75 MG
20 INCIDAL OD
21 NOVAXICAM
22 NOVAMOX
23 NOVAFLOX
24 PONSTAN
25 LATIBET
26 RENABETIC
27 NEUROPYRON
28 PRONICY
29 SOLPENOX
30 SPASMINAL
31 SUPERTETRA
32 STANZA
33 TEOSAL
34 VOSEA
35 VOLTADEX
36 MERTIGO
37 LODIA
38 VENTOLIN NEBULES
39 POLISILEN
40 PIMACOLIN APPLE
41 SANMOL
42 SANMOL DROP
43 TRIOCID
44 TERMOREX PLUS 60 ML

JUMLAH
2
2
1
2
1
1
1
2
2
1
2
1
1
1
1
2
2
3
3
1
1
2
2
5
2
2
1
1
3
2
1
1
2
1
1
1
1
1
1
6
3
3
3
3

SATUAN
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
KALENG
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
STP
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOX
BOTOL
BOTOL
BOTOL
BOTOL
BOTOL

HNA
25,818
31,273
22,727
7,182
20,909
22,909
19,709
10,273
21,827
250,000
21,382
30,909
56,595
79,100
300,000
16,500
20,710
11,364
19,091
123,900
15,925
37,909
35,227
228,818
13,909
11,182
60,545
20,909
36,818
47,364
111,936
24,500
13,364
14,422
13,455
295,000
55,620
171,200
33,000
6,735
12,200
16,300
3,855
10,940

45 TERMOREX PLUS 30 ML
46 WOOD ANTITUSIF
47 WOOD EXPECTORAN
48 ZENIREX
49 BATUGIN BESAR
50 BATUGIN KECIL
51 ZINKID SYR
52 ENTROSTOP ANAK
53 LACTO B

3
3
3
6
2
2
2
1
1

BOTOL
BOTOL
BOTOL
BOTOL
BOTOL
BOTOL
BOTOL
BOX
BOX

8,000
12,600
12,600
3,864
36,500
20,400
26,000
21,000
210,000
TOTAL

HNA+PPN 10%
28,400
34,400
25,000
7,900
23,000
25,200
21,680
11,300
24,010
275,000
23,520
34,000
62,255
87,010
330,000
18,150
22,781
12,500
21,000
136,290
17,518
41,700
38,750
251,700
15,300
12,300
66,600
23,000
40,500
52,100
123,130
26,950
14,700
15,864
14,801
324,500
61,182
188,320
36,300
7,409
13,420
17,930
4,241
12,034

HJA
29,820
36,120
26,250
8,295
24,150
26,460
22,764
11,865
25,210
288,750
24,696
35,700
65,367
91,361
346,500
19,058
23,920
13,125
22,050
143,105
18,393
43,785
40,687
264,285
16,065
12,915
69,929
24,150
42,525
54,705
129,286
28,298
15,435
16,657
15,541
340,725
64,241
197,736
38,115
7,779
14,091
18,827
4,453
12,636

TOTAL HARGA
59,640
72,241
26,250
16,590
24,150
26,460
22,764
23,731
50,420
288,750
49,392
35,700
65,367
91,361
346,500
38,115
47,840
39,376
66,150
143,105
18,393
87,570
81,374
1,321,424
32,130
25,830
69,929
24,150
127,574
109,411
129,286
28,298
30,871
16,657
15,541
340,725
64,241
197,736
38,115
46,674
42,273
56,480
13,358
37,907

8,800
13,860
13,860
4,250
40,150
22,440
28,600
23,100
231,000

9,240
14,553
14,553
4,463
42,158
23,562
30,030
24,255
242,550

27,720
43,659
43,659
26,778
84,315
47,124
60,060
24,255
242,550
5,089,967

NO

NAMA OBAT
1 ALERIN
2 CITOCETIN
3 FLUDEN
4 FLUDEN PLUS
5 OBH NELLCO
6 PRORIS FORTE

JUMLAH

SATUAN
4 BOTOL
3 BOTOL
1 BOTOL
1 BOTOL
2 BOTOL
3 BOTOL

HNA
10,273
4,300
17,600
21,500
17,000
23,000

TOTAL
SYRUP KERAS
NO

NAMA OBAT
1 AMOXICCILIN SYR
3 AMBROXOL

JUMLAH

SATUAN
6 BOTOL
6 BOTOL
TOTAL

HNA
3,705
11,364

HNA+PPN 10%
11,300
4,730
19,360
23,650
18,700
25,300

HJA
TOTAL HARGA
11,865
47,461
4,967
14,900
20,328
20,328
24,833
24,833
19,635
39,270
26,565
79,695
226,486

HNA+PPN 10%
4,076
12,500

HJA
TOTAL HARGA
4,279
25,676
13,125
78,753
104,428

NO

NAMA OBAT
1 AMLODIPIN 10 MG
2 AMBROXOL
3 ANTASIDA DOEN
4 ANTALGIN
5 ASAM MEFENAMAT
6 CAPTOPRIL 12.5 MG
7 CAPTOPRIL 50 MG
8 CEFADROXIL HJ
9 CEFADROXIL
10 CIMETIDIN
11 CIPROFLOXACIN
12 GRISEOVULFIN 125
13 GRISEOVULFIN 500
14 GLIBENCLAMID
15 IBUPROPEN
16 OMEPRAZOLE
17 NIFEDIPINE
18 RANITIDIN
19 SALBUTAMOL 4 MG
20 SIMVASTATIN
21 ALUPURINOL 100
22 ALUPURINOL 300
23 DOMPERIDON
24 FUROSEMID
25 LORATADIN
26 METRONIDAZOLE
27 PIRACETAM 400
28 PIRACETAM 800
29 PIRACETAM 1200
30 METYLPREDNISOLON 4
31 METYLPREDNISOLON 8
32 METYLPREDNISOLON 16
33 LANSOPRAZOLE
34 CEFIXIME

JUMLAH

SATUAN
3 BOX
2 BOX
3 BOX
3 BOX
5 BOX
3 BOX
5 BOX
1 BOX
2 BOX
3 BOX
3 BOX
2 BOX
2 BOX
5 BOX
2 BOX
3 BOX
2 BOX
3 BOX
5 BOX
3 BOX
2 BOX
2 BOX
2 BOX
2 BOX
3 BOX
2 BOX
1 BOX
1 BOX
1 BOX
1 BOX
1 BOX
1 BOX
2 BOX
1 BOX
TOTAL

HNA
11,000
11,364
8,000
15,182
13,182
10,023
10,700
70,000
59,273
16,192
37,307
29,400
122,945
7,727
16,727
9,555
12,919
20,000
9,964
13,500
13,000
25,000
26,000
10,364
15,140
17,364
20,500
36,920
35,290
29,545
44,274
33,909
12,273
65,000

HNA+PPN 10%
12,100
12,500
8,800
16,700
14,500
11,025
11,770
77,000
65,200
17,811
41,038
32,340
135,240
8,500
18,400
10,511
14,211
22,000
10,960
14,850
14,300
27,500
28,600
11,400
16,654
19,100
22,550
40,612
38,819
32,500
48,701
37,300
13,500
71,500

HJA
TOTAL HARGA
12,705
38,115
13,125
26,251
9,240
27,720
17,535
52,606
15,225
76,126
11,577
34,730
12,359
61,793
80,850
80,850
68,460
136,921
18,702
56,105
43,090
129,269
33,957
67,914
142,001
284,003
8,925
44,623
19,320
38,639
11,036
33,108
14,921
29,843
23,100
69,300
11,508
57,542
15,593
46,778
15,015
30,030
28,875
57,750
30,030
60,060
11,970
23,941
17,487
52,460
20,055
40,111
23,678
23,678
42,643
42,643
40,760
40,760
34,124
34,124
51,136
51,136
39,165
39,165
14,175
28,351
75,075
75,075
1,991,518

NO

NAMA OBAT
1 ALPARA
3 ALLERON
5 ASPILET
6 ALLERGEN
8 BODREX EXTRA
10 BODREXIN
11 BRONCHOSAL
12 CALORTUSIN
13 DEMACOLIN
14 DECOLGEN
15 DECOLSIN
16 DEHISTA
24 FLUCADEX
25 GRAFADON
26 HUFAGRIP FORTE
27 IFASMA
28 LAXING
30 LAMBUCID
32 MIXAGRIP FLU
34 MIRASIC
70 NEUROBION BIRU
71 NEUROBION MERAH

JUMLAH

SATUAN
3 BOX
3 BOX
1 BOX
3 BOX
2 BOX
2 BOX
2 BOX
2 BOX
2 BOX
2 BOX
1 BOX
3 BOX
2 BOX
2 BOX
2 BOX
1 BOX
1 BOX
1 BOX
1 BOX
3 BOX
10 STP
10 STP
TOTAL HARGA

HNA
79,192
13,750
53,000
9,956
36,240
3,500
12,700
27,396
29,665
35,994
53,000
11,964
39,532
16,140
21,136
24,330
54,600
36,200
39,476
19,912
12,779
23,979

HNA+PPN 10%
87,111
15,125
58,300
10,952
39,864
3,850
13,970
30,136
32,632
39,593
58,300
13,160
43,485
17,754
23,250
26,763
60,060
39,820
43,424
21,903
14,057
26,377

HJA
TOTAL HARGA
91,467
274,400
15,881
47,644
61,215
61,215
11,499
34,498
41,857
83,714
4,043
8,085
14,669
29,337
31,642
63,285
34,263
68,526
41,573
83,146
61,215
61,215
13,818
41,455
45,659
91,319
18,642
37,283
24,412
48,824
28,101
28,101
63,063
63,063
41,811
41,811
45,595
45,595
22,998
68,995
14,760
147,597
27,696
276,957
1,706,067

NO

NAMA OBAT
1 KALPANAX CREAM
2 ACYCLOVIR CREAM
4 MICONAZOLE
9 GENTIAN VIOLET
10 HOT IN CREAM AROMA
13 ULTRASILIN
15 MKP CAP LANG 60 ML
16 MKP CAP LANG 30 ML
18 MKP CONICARE 125 ML KUNING
19 MKP CONICARE 60 ML KUNING
20 MKP CONICARE 60 ML HIJAU
21 PEDITOX
22 KAPSIDA
23 ALBHOTYL KECIL
24 ALBHOTYL BESAR
25 NITASAN
26 SCABIMITE KECIL
27 SCABIMITE BESAR
29 KONVERMEX
30 PP TEST
31 KASA 15 CM
32 KASA 10 CM
33 KOYO CABE
36 PLESTER ALL
37 ALKOHOL 70% BESAR
38 ALKOHOL 70% KECIL
39 ANTIHEMOROID
40 SAKATONIK ALL
41 BETADINE SOLUTION

JUMLAH

TOTAL

SATUAN
3 TUBE
1 BOX
7 TUBE
5 TUBE
2 BOTOL
3 TUBE
2 BOTOL
2 BOTOL
2 BOTOL
2 BOTOL
1 BOTOL
3 BOTOL
6 BOTOL
3 BOTOL
2 BOTOL
2 BOX
1 TUBE
1 TUBE
5 STP
1 BOX
1 PACK
1 PACK
1 BOX
7 ROL
1 BOTOL
1 BOTOL
1 BOX
10 BOTOL
1 BOX

HNA

HNA+PPN 10%
6250
6,875
71600
78,760
3350
3,685
4545
5,000
15600
17,160
6750
7,425
15450
16,995
8150
8,965
32430
35,673
16220
17,842
16220
17,842
4536
4,990
9419
10,361
21500
23,650
34500
37,950
39237
43,161
34900
38,390
66100
72,710
10750
11,825
60000
66,000
11500
12,650
8750
9,625
139000
152,900
6600
7,260
10500
11,550
4500
4,950
30000
33,000
9917
10,909
16900
18,590

HJA
TOTAL HARGA
7,219
21,656
82,698
82,698
3,869
27,085
5,249
26,247
18,018
36,036
7,796
23,389
17,845
35,690
9,413
18,827
37,457
74,913
18,734
37,468
18,734
18,734
5,239
15,717
10,879
65,274
24,833
74,498
39,848
79,695
45,319
90,637
40,310
40,310
76,346
76,346
12,416
62,081
69,300
69,300
13,283
13,283
10,106
10,106
160,545
160,545
7,623
53,361
12,128
12,128
5,198
5,198
34,650
34,650
11,454
114,541
19,520
19,520
1,399,930

NO

NAMA OBAT
1 NEO REUMACIL
2 DEXTAMINE
3 NOVATRIM
4 SOLVITRAL
5 MELOXICAM 7.5 MG
6 MELOXICAM 15 MG
7 COLIDIUM
8 ITAMOL
9 BIOLISIN SYR
10 COTRI SYR
11 VIOSTIDN DS
12 CATAFLAM
13 NEURALGIN RX
14 KONVERMEX SYR
15 PANADOL SYR

JUMLAH

SATUAN
12 STP
1 BOX
1 BOX
1 BOX
2 BOX
2 BOX
1 BOX
3 BOX
4 BOTOL
5 BOTOL
5 STP
1 BOX
5 STP
3 BOTOL
2 BOTOL
TOTAL

TOTAL KESELURUHAN HARGA

HNA

TOTAL

ELURUHAN HARGA

7,500
163,000
18,375
27,621
19,273
30,045
13,920
16,082
9,200
3,969
27,500
280,523
5,500
10,500
28,300

HNA+PPN 10%
8,250
179,300
20,213
30,383
21,200
33,050
15,312
17,690
10,120
4,366
30,250
308,575
6,050
11,550
31,130

HJA
8,663
188,265
21,223
31,902
22,260
34,702
16,078
18,575
10,626
4,584
31,763
324,004
6,353
12,128
32,687

TOTAL HARGA
103,950
188,265
21,223
31,902
44,521
69,404
16,078
55,724
42,504
22,921
158,813
324,004
31,763
36,383
65,373
1,212,826

11,731,223