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awal kan aran
1 D00002 TRANFUSI SET 1 20,000

2 D00003 TRANFUSI PAKET 2 2 900,000

3 D00005 TRANFUSI PAKET 4 4 1,800,000


Amoxicilin 500 mg
9 OB0001 tab Generik Tablet 200 3800 1500
Amoxicillin 500 mg
10 OB0002 tab Paten Tablet 386 7230 3530
Ciprofloxacin 500 mg
11 OB0003 tab Paten Tablet 450 1567 1000 1364
12 Ob000356 Flunarizin tablet tablet 1,000 0 40 16
14 Ob000362 Utrogstan 100mg tablet 12,550 39 300 169
15 Ob000363 Promavit Tablet tablet 3,300 290 300 225
16 Ob000364 Misoprostol tablet 5,500 40 90 20
17 Ob000366 norelut tablet 5,000 30 30 24
18 Ob000369 Provomer tablet 3,500 320 80
dopamet 60 10
clovertil 120 60 105
ondancetron 300 60
Cefadroxil 500 mg
19 OB0004 tab Generik Tablet 500 7500 2000
Cefadroxil 500 mg
20 OB0005 Paten Tablet 1,500 1112 2160 1622
Chlorampenicol Tab
21 OB0006 Paten Tablet 880 2000 400
Cotrimoxazole tab
22 OB0007 Paten Tablet 550 100 1000 100
Cefixime 100 mg tab
23 OB0008 generik Tablet 2,000 300 600 90
grantusif 1000 1000 1300
Levofloxacin 500 mg
24 OB0011 Paten Tablet 2,500 600 550

25 OB0013 Lincomicin Tab Paten Tablet 3,000 1100 2250 2400


molexflu 1950 1750
Metronidazole 500
26 OB0014 mg Tab Tablet 450 1,350 1500 650
Tetracycline 500 mg
27 OB0016 tab Tablet 550 1100 500
Thiampenicol 500 mg
28 OB0017 tab Tablet 800 500 1000 800

29 OB0018 Asam mefenamat tab Tablet 300 1023 3500 1035


30 OB0019 Omegesic Tablet 380 870 1000 770
Piroxicam 20 mg tab
31 OB0020 Paten Tablet 330 296 1000 96
Fenaren / Nat.
32 OB0022 Diclofenac 50 mg Tablet 350 9000 500
Mezac / kalium
33 OB0023 diclofenac 50 mg tab Tablet 750 50 2500 400
34 OB0024 Meloxicam 7.5 mg Tablet 600 900 1000 1300
Paracetamol 500 mg
35 OB0026 tab generik Tablet 100 1600 1000 800
Paracetamol 500 mg
36 OB0028 tab paten (Fasgo) Tablet 200 400 15000 2900
Paracetamol 600 mg
37 OB0029 paten Tablet 600 2000 1880
38 OB0030 Trovinal tab Tablet 350 800 300
39 OB0031 Antalgin tab Tablet 120 500 1000
40 OB0032 Rifampicin 450 mg Tablet 1,350 1100 500 800
pyrazinamid 600 2000 600
etambutol 1000 800 1000
41 OB0033 Inadoxin tab Paten Tablet 550 500 1000 1000
graxine 230 1500 630
citicoline 55 500 285
Glibenclamide tab
42 OB0039 Paten Tablet 250 450 1000 450
Metformin 500 mg
43 OB0040 Paten Tablet 250 1030 1000 1230
44 OB0042 Captopril 12.5 mg Tablet 350 112 1000 612
46 OB0044 Captopril 25 mg Tablet 350 389 1000 1239
Amlodipin 5 mg
48 OB0046 paten Tablet 800 300 1300 440
Amlodipin 10 mg
50 OB0048 Paten Tablet 1,100 60 1000 370
53 OB0051 Nifedipin 10 mg Tablet 300 320 1000 720
54 OB0052 Fargoxin 0.25 mg Tablet 350 150 1400 250
55 OB0053 ISDN 5 mg Tablet 400 600 1000 300
ISDN 10mg 823 423
57 OB0056 Aspilet Tablet 1,500 2000 1700
58 OB0057 Clopidogrel 75 mg Tablet 20,000 850 760
60 OB0059 Allopurinol 100 mg Tablet 300 670 1500 570
61 OB0060 Glimepiride 2 mg tab Tablet 1,200 1000 400
Glimepirid 1mg tablet 425 25
62 OB0061 Simvastatin 10 mg Tablet 340 1200 1000 1700
64 OB0063 Orphen Tablet 150 700 1000 100
66 OB0065 Cetirizine tab paten Tablet 350 861 500 861
67 OB0066 Trodex Tablet 300 15 1500 615
68 OB0070 Acyclovir tab Tablet 700 140 500 390
71 OB0073 Flutamol tab Tablet 300 866 1000 1666
72 OB0074 Ambroxol tab paten Tablet 320 800 500 600
74 OB0081 Molexful tab Tablet 300 1400 1000 1900
77 OB0085 Teosal Tab Tablet 500 27 1500 127
Griseofulfin 690 390
Dexametason tab
79 OB0088 paten Tablet 220 620 1000 520
81 OB0091 Almacon Tablet 250 500 2500 1200
84 OB0094 Ranitidine tab Tablet 450 612 3000 1212
85 OB0095 Lansoprazole Tablet 625 300 600 540
87 OB0097 Omeprazole cap Tablet 450 1831 600 1251
89 OB0099 Scopma Tablet 1,250 1090 2000 1890
90 OB0100 Scopma Plus Tablet 1,500 120 1000 420
91 OB0101 Spasmal Tablet 500 1500 1000
92 OB0103 Omedom tab Tablet 380 200 1000 500
93 OB0105 Omegdiar tab Tablet 250 768 500 768
94 OB0106 New Antides tab Tablet 350 780 1000 1280
95 OB0107 Loperamide Tablet 250 500 500 500
96 OB0108 Zinc Tablet 580 430 1500 1230
98 OB0110 Gralixa tab Tablet 320 500 200
99 OB0111 Nephrolit cap Tablet 650 500 1000 700
100 OB0114 Betahistin (histigo) Tablet 350 600 1000 400
101 OB0115 Omedrinat tab Tablet 300 1597 1397

102 OB0116 Asam tranexamat tab Tablet 1,000 650 150

104 OB0121 Methylergometrin tab Tablet 550 913 608


105 OB0123 Prolaxana Tablet 500 1191 991
106 OB0124 Bexicom Tablet 850 915 1000 1115
107 OB0125 Samcobion Tablet 250 1025 425
108 OB0126 Calcivar Tablet 270 221 1000 621
109 OB0127 Masneuro Tablet 450 20 2000 820
110 OB0129 Curcuma Tablet 950 72 2000 1172
adrome Tablet 10 1500 110
vit. k inj 220 20
116 OB0136 Piracetam 800 mg Tablet 600 50 1000 250
122 OB0145 Chlorampenicol TM Fls 8,500 15 48 39
123 OB0146 Alletrol Tetes Mata Fls 12,000 94 63 139
124 OB0150 Chlorampenicol TT Fls 13,000 21 120 33
125 OB0151 Gentamicin SK Tube 7,000 8 84 52
126 OB0153 Bioplasenton cream Tube 15,000 12 18 12
127 OB0154 Oviskin cream Tube 7,501 72 20
128 OB0155 ENH Salep Tube 5,500 72 67
129 OB0156 Hydrocortisone Cr Tube 5,000 60 35
130 OB0159 Acyclovir Salep Tube 5,000 60 35
132 OB0161 Salep 2 – 4 Tube 5,000 144 96 216
133 OB0163 gom putih Tube 6,000 48 10 34
Amoxicillin 125 mg
137 OB0175 syrup Fls 4,500 100 60 100
Amoxicilin 250 mg
138 OB0177 syrup Fls 6,500 90 132 75
Cefadroxil 125 mg
139 OB0178 syrup Fls 6,000 72 144 96
Cefadroxil 250 mg
140 OB0179 syrup Fls 10,000 23 72 70
141 OB0180 Antasida syrup Fls 6,500 120 300 180
142 OB0181 SUCRALFAT syrup Fls 18,000 16 120 76
143 OB0182 Pamol syrup Fls 8,000 38 448 196
144 OB0183 Ibuprofen syrup Fls 7,000 27 60 39
145 OB0184 Coparcetin syrup Fls 6,000 24 180 132
147 OB0186 Sidiadryl syrup Fls 15,000 34 50 34
148 OB0187 OBH syrup Fls 4,500 45 200 173
150 OB0189 Itrabat syrup Fls 8,500 115 72 91
151 OB0191 Ambroxol syr Fls 8,000 36 98 86
152 OB0192 Salbron syrup Fls 12,000 48 48 86
Cholrampenicol
154 OB0197 syrup Fls 7,500 10 30 16
Cefixime syrup 25 20 15
155 OB0198 Cotrimoxazole syrup Fls 5,000 60 46
157 OB0200 Vitcur syurp Fls 5,000 142 360 202
158 OB0201 Hufadon syrup Fls 15,000 61 60 98
159 OB0202 Kaominal syrup Fls 7,000 170 72 170
162 OB0208 Amoxicilin Injeksi Ampul 22,000 196 76
163 OB0209 Aminopilin Injeksi Ampul 6,000 85 25
Asam Tranexamat
164 OB0210 injeksi Ampul 4,750 10 180 40
165 OB0212 Ceftriaxone Vial 9,000 884 352
166 OB0213 Cefotaxime Vial 7,500 342 144 60
Chlorampenicol
167 OB0214 injeksi Vial 12,000 122 115
168 OB0216 Dexametason injeksi Ampul 4,500 215 200 115
Citicoline 125 mg
169 OB0217 injeksi Ampul 9,000 170 0 20
170 OB0218 Furosemide injeksi Ampul 5,000 27 50 27
172 OB0220 Ketorolac injesi Ampul 4,700 1584 384
173 OB0221 Norages injeksi Ampul 20,000 16 25 16

174 OB0222 Ondancentron injeksi Ampul 4,400 1552 592


Piracetam 1000 mg
175 OB0223 injeksi Ampul 30,000 206 36
176 OB0224 Ranitidin injeksi Ampul 1,700 1712 542
177 OB0225 Scopamin injeksi Ampul 25,000 0 50 10
178 OB0226 Vik K injeksi Paten Ampul 12,000 10 50 35
180 OB0228 Lidocain injeksi Ampul 10,000 256 300 316
189 OB0240 Paracetamol infus Ampul 40,000 122 100 122
190 OB0241 Metronidazole Infus Infus 28,000 50 48
191 OB0244 RL Infus Infus 8,000 12 200 102
192 OB0245 D5 % infus Infus 8,000 186 66
ats 0 10 2
193 OB0246 NACL 500 ml infus Infus 8,000 142 42
195 OB0248 Combiven Nebul Nebul 9,000 1200 400 240
200 OB0254 Abocath 22 pcs 6,000 30 300 130
201 OB0255 Abocath 24 pcs 6,000 20 100 20
202 OB0256 Abocath 26 pcs 9,000 50
203 OB0257 Spuit 3 cc pcs 650 700 2000 1,700
204 OB0258 Spuit 5 cc pcs 700 173 1500 773
206 OB0260 Kanul O2 Bayi pcs 8,500 100 35
207 OB0261 Kanul O2 Anak pcs 9,000 75 30
208 OB0262 Kanul O2 Dewasa pcs 9,000 75 60 75
209 OB0263 Urine Bag pcs 7,000 11 35 31
211 OB0266 Foley Cath. 16 pcs 19,000 26 16
212 OB0267 Foley Cath. 18 pcs 19,000 100 15
213 OB0268 Needle 23 pcs 375 20 220 20
214 OB0269 Needle 26 pcs 500 30 230 30
215 OB0270 Needle 27 pcs 600 20 220 20
Transfusi set 4 10 4
221 OB0306 gom putih fls 4,500 48 36 36
224 OB0309 oxytoxin AMPUL 15,000 30 300 30
Methyl Prednisolon
225 OB0310 inj pc 47,000 15 13
229 Ob0319 selfolic/asam folat pc 1,000 152 1000 352
232 OB0328 Tensocrepe 10X4.5 roll 85,000 6 1
armsling 5 2
237 OB0343 Ibuprofen Cap 380 1000 100
238 OB0344 chloramphenicol sm TUBE 5,000 158 14
239 OBO345 Ambeven Kaps kapsul 1,450 200 120
242 OBO355 Omeprazol injeksi vial 15,000 64 44
6 O009258 dulcolax supp 5mg 1 17,000 17 7
NRM 15 30 15
sisa

2300

3700

1203
24
170
365
110
36
240
50
75
240

5500

1650

600

1000

810
700

50

950
200

2200

600

700

3500
1,100
1200

400

2150
600

1800

12500

20
500
1000
800
2000
800
500
1100
270

1000

800
500
150

1160

690
600
1300
1300
400
300
90
1600
600
400
500
1600
500
900
250
200
700
500
1400
300

1100
1800
2400
360
1180
1200
700
500
700
500
500
500
700
300
800
1200
200

500

305
200
800
600
600
1400
900
1400
200
500
24
18
108
40
18
42
5
25
25
24
24

60
147

120

25
240
60
290
48
72
50
72
96
48
10

24
30
14
300
23
72
120
60

150
482
324

7
300

150
50
1200
25

960

170
870
40
25
240
100
64
110
120
8
120
160
200
100
50
1,000
900
65
45
60
15
20
10
200
200
200
10
48
300

2
800
5
3
900
144
80
20
10
30