Laporan Juli 2019

Laporan Obat Unit
Periode: 01/07/2019 s.d. 31/07/2019

Kode Obat Nama Obat Jumlah Total HPP Total
ABB003 ABBOCATH NO 14 ABBOT 0 BOX 28 PCS 465.107,72 1.022.443,75
ACA002 ACANTHE SPF 30+ 30 GRAM CR 4 TUBE 0 TUBE 280.000,00 385.385,00
ACP001 Acpulsif 5 mg Tab 0 Box 21 Tab 73.500,00 95.550,00
ACY006 Acyclovir 5 % Krim 10 TUBE 0 Tube 30.654,30 41.349,17
AER001 AERRANE 250 ML 10 BTL 160 ML 17.556.000,00 22.754.160,00
AFU001 AFUCID 2% Cream 5 Gr 36 TUB 0 TUB 1.476.000,00 2.101.885,50
ALC001 ALKOHOL SWAB (ONEMED) 156 box 3 pcs 1.966.290,06 5.022.695,48
ALE003 ALEGYSAL 0,1 % Botol 7 Box 0 Btl 625.100,00 887.508,05
ALK003 ALKOHOL 95% 1 LITER 16 BOTOL 300 ML 1.108.563,00 2.080.162,50
ALL010 ALLURIC 300 MG TAB 3 BOX 11 TAB 450.800,00 669.438,00
ALL016 ALLOPURINOL 100 MG TAB HEXPHARM 3 BOX 6 TAB 53.445,96 89.900,50
ALP002 ALPRAZOLAM 0.5 MG TAB DEXA 12 BOX 51 TAB 753.952,68 1.079.883,61
AMB007 AMBROXOL 30 MG TAB KF 19 BOX 9 TAB 269.569,89 395.138,90
AMB010 AMBROXOL SYR 59 BTL 0 BTL 187.947,45 282.383,91
AMI001 AMINOPHYLLINE 24 MG/ML INJ 11 BOX 10 AMP 1.456.567,56 2.105.342,19
AMI017 AMITRIPTYLLINE 25 MG 100'S (FAHREINHEIT) 5 BOX 50 TABLET 93.500,00 137.800,64
AMO016 AMOXSAN SYR 60 ML (CP) 7 BTL 0 BTL 196.000,00 210.980,00
AMO017 AMOXICILLIN 500 MG TAB 6 BOX 84 TAB 248.729,76 362.561,00
ANA002 ANALSIK TAB 25 BOX 84 TAB 3.746.800,00 5.509.574,10
ANE003 ANEMOLAT 1 MG TAB 77 BOX 9 TAB 1.144.015,60 1.771.423,33
ANG002 ANGINTRIZ 35 MG MR TAB 22 BOX 26 TAB 2.058.000,00 3.016.383,75
ANT001 Antasida Doen 60 ml Syr 32 btl 0 btl 61.952,00 85.407,61

ANT013 ANTASIDA DOEN TAB 5 BOX 10 TABLET 75.092,40 110.965,76
APO002 APOLAR-N 10GR CREAM 1 TUBE 0 TUBE 35.700,00 53.014,50
APR005 APRON PLASTIK 8 BOX 40 PCS 3.311.700,00 6.030.448,00
AQU004 AQUAMARIS DAILY 30 ML NASAL SPRAY 9 BOX 0 BTL 715.500,00 1.184.400,00
ARD002 ARDIUM TAB 4 BOX 31 TAB 2.002.012,50 2.891.079,66
ASA005 ASAM TRANEKSAMAT 500 MG TAB 7 BOX 90 TAB 1.279.800,00 2.088.603,00
ASA014 ASAM MEFENAMAT 500 MG TAB 24 BOX 56 TAB 619.722,48 1.427.940,50
ASP001 ASPILET CHEWBLE 80 MG TAB 21 BOX 73 TAB 1.151.690,00 1.620.798,30
ASP003 ASPAR-K 300MG TAB 6 BOX 65 TAB 1.495.585,00 2.177.611,16
AST002 ASTHIN FORCE 4 MG KAPS 4 BOX 17 KAPS 625.670,00 833.129,00
AST004 ASTHIN FORCE 6 MG KAPS 12 BOX 7 KAPS 1.917.242,50 2.496.290,92
ATA002 ATAROC 5 MCG/ML 60 ML SYR 72 BOX 0 BTL 3.348.000,00 4.749.556,50
ATR002 ATROPIN SULFAS 0.25 MG/ML INJ ETHICA 0 BOX 22 AMP 39.889,08 68.900,00
AZO001 AZOMAX DRY SYRUP 23 BOX 0 BTL 2.127.500,00 2.990.617,50
BAC004 BACTIGRAS 10 CM X 10 CM 1 BOX 40 PCS 1.215.024,30 2.231.162,50
BAM002 BAMGETOL TAB 7 BOX 67 TAB 1.311.570,00 2.048.994,00
BBE001 B-BETA 5 mg Tab 13 Box 4 Tab 2.626.667,98 3.744.862,97
BEC001 BECEFORT TAB 8 BOX 74 TAB 1.168.800,20 1.539.145,21
BEN015 BENANG POLYSORB 1 TAPER (CL-915) 9 PCS 0 PCS 826.200,00 1.632.000,00
BEN019 BENANG CHROMIC 2/0 TAPER (CG-923) 12 PCS 0 PCS 615.600,00 1.368.000,00
BEN020 BENANG CHROMIC 2 TAPER (CG-866) 18 PCS 0 PCS 947.700,00 2.106.000,00
BEN021 BENANG CHROMIC 1 TAPER (CG-915) 3 PCS 0 PCS 153.920,13 342.000,00
BEN048 BENANG SAFIL 2-0 TAPER (36" 90 INC) 1 PCS 0 PCS 94.364,00 141.546,00
BEN053 BENANG CHROMIC GUT 3-0 GG-122 21 PCS 0 PCS 541.921,17 2.105.309,75
BEN057 BENANG CHROMIC GUT 4-0 UG-203 8 PCS 0 405.000,00 852.750,00
BEN122 BENANG DAFILON 2/0 CUTTING (DS 24) 4 PCS 0 PCS 196.241,12 682.440,00
BENANG T-CHROMIC CATGUT 2-0 TAPER 76 CM
BEN132 34 PCS 0 PCS 2.047.506,52 3.996.550,00
(C96)
BEN134 BENANG T CHROMIC 4-0 TAPER (C56) 0 BOX 8 PCS 503.219,36 769.350,00
BEN137 33 PCS 0 PCS 1.795.623,39 3.516.865,00
(C43)
BEN138 BENANG T-MONO 4-0 CUTTING (M50) 20 PCS 0 PCS 2.190.729,00 4.329.045,00
BEN145 BENANG T-NYLON 3-0 CUTTING 76 CM (N32) 50 PCS 0 PCS 2.249.665,50 4.485.000,00
BEN157 BENANG T-VIO 3-0 CUTTING 76 CM (V7) 7 PCS 0 PCS 535.500,00 1.045.500,00
BEN162 BENANG T-SILK 3-0 TAPER 76 CM (S22) 3 PCS 0 PCS 133.499,28 240.100,00
BEN163 BENANG T-SILK 3-0 CUTTING 76 CM (S21) 6 PCS 0 PCS 260.146,56 528.750,00
BEN184 BENANG VICRYL 6-0 TAPPER (J212H) 0 BOX 4 PCS 529.863,16 958.799,94
BEN197 BENANG T-VIO 1 TAPER 100 CM (V16X) 43 PCS 0 PCS 3.560.400,00 6.743.600,00
BEN198 35 PCS 0 PCS 2.079.000,00 3.834.600,00
(C26)
BENANG COROLENE 3/0 CUTTING 75 CM
BEN204 4 PCS 0 PCS 374.400,00 772.200,00
(20S20H)
BET011 BETAHISTINE 6 MG TAB NOVELL 78 BOX 28 TAB 1.094.016,00 2.909.604,60
BET015 BETASERC 8 MG TAB 1 BOX 37 TAB 527.400,68 778.067,68
BIO004 BIO ATP TAB 3 BOX 94 TAB 759.482,28 1.060.597,96
BIO018 BIOSTRUM SYR CP 3 BTL 0 BTL 177.000,00 244.850,00
BIS004 BISTURI NO 23 0 BOX 84 PCS 213.054,24 319.581,36
BIS009 BISOVELL 5 MG TAB 6 BOX 25 TAB 1.025.000,00 1.465.750,00
BIS017 BISOLVON TAB 8 MG @100 TAB 2 BOX 43 TAB 373.573,62 596.493,34

BLE005 BLEPHASEP 40 GR GEL 2 TUBE 0 TUBE 180.000,00 289.575,00
BLO008 BLOOD LANCET ONE MED 0 PACK 98 PCS 20.844,60 39.862,50
BLO010 BLOOD SET* 53 PCS 0 PCS 716.370,26 2.155.196,25
BRA009 BRAINACT 1000 MG/8 ML INJ 4 BOX 3 AMP 2.392.000,00 3.014.960,00
BRA016 BRAXIDIN TAB 14 BOX 40 TAB 1.519.200,00 2.225.928,80
BRE001 BREATHY 6.5 MG/ML NASAL DROP 12 BOX 0 BTL 450.000,00 542.081,26
BRO002 BROADCED 1 GRAM INJ 156 BOX 0 VIAL 25.166.164,92 39.546.000,00
BUS003 BUSCOPAN 20 MG/ML INJ 6 BOX 4 AMP 1.943.030,40 3.035.169,00
BUS005 BUSCOPAN PLUS FCT TAB 1 BOX 37 TAB 514.673,38 821.816,15
CAL004 CALCIUM GLUCONAS 100 MG/ML INJ ETHICA 0 BOX 18 AMP 252.901,44 338.099,94
CAL017 CALCIUM LACTAT 500 MG @250 TAB 7 POT 99 TAB 148.844,50 215.733,77
CAN001 CANDESARTAN 8 mg Tab 44 box 10 Tab 665.532,00 8.459.685,00
CAN002 CANDESARTAN 16 mg Tab 49 box 6 Tab 1.328.769,00 13.587.535,00
CAN007 CANDOTENS 8 MG TAB 8 BOX 7 TAB 400.200,00 589.927,00
CED001 CEDOCARD 5 MG TAB 19 BOX 39 TAB 1.218.296,07 1.714.423,77
CEF001 CEFTRIAXONE 1G INJ DEXA 164 BOX 6 VIAL 9.001.792,94 16.666.598,53
CEF012 CEFIXIME 200 MG KAPS DEXA 5 BOX 0 KAPS 1.558.475,00 2.470.692,60
CEF023 CEFAZOL 1 GRAM INJ 1 BOX 0 VIAL 115.000,00 149.500,00
CEF028 CEFSPAN 100 MG/5 ML DS 42 BTL 0 BTL 4.017.842,64 5.778.630,00
CEF029 CEFSPAN 200 MG KAPS 43 BOX 7 KAPS 13.537.600,13 20.644.260,00
CEF030 CEFSPAN 100 MG KAPS 15 BOX 1 KAPS 9.512.663,38 13.918.190,00
CEF037 CEFOTAXIM 1 GRAM INJ CP 104 VIAL 0 VIAL 1.196.000,00 1.196.000,00
CEF050 CEFTIZOXIME INJ 42 BOX 1 VIAL 7.650.000,00 15.315.000,00
CEF054 CEFIXIME 100MG/30ML DRY SYR NOVELL 80 BOX 0 BTL 2.094.551,20 3.176.511,26
CEL003 CELOCID 500 MG TAB 49 BOX 5 TAB 9.405.000,00 12.733.467,50
CEL015 CELEBREX 200 MG 5 BOX 24 CAP 2.447.095,98 3.617.199,08
CEN006 CENDO GENTAMYCINE 0.3% 3.5 GRAM ZM 63 TUBE 0 TUBE 2.130.861,60 3.225.662,27
CEN015 CENDO EYEFRESH PLUS MD 49 STRIP 0 AMP 1.589.253,75 2.532.273,95
CEN018 CENDO TOBROSON MD 7 STRIP 0 AMP 188.790,00 299.301,75
CEN020 CENDO NONCORT MD 30 STRIP 0 AMP 1.177.503,00 1.882.237,50
CEN023 CENDO POLYGRAN MD 6 STRIP 0 AMP 97.650,00 155.925,00
CEN024 CENDO FLOXA MD 89 STRIP 0 AMP 2.210.635,40 3.513.940,19
CEN025 CENDO TIMOL 0.5% MD 0.6 ML 67 STRIP 0 AMP 1.604.395,40 2.555.430,00
CEN028 CENDO LYTEERS 15 ML TM 390 BTL 0 BTL 8.156.417,10 13.017.701,26
CEN034 CENDO CENFRES 0.6 ML MINIDOSE STRIP 71 STRIP 0 AMP 1.518.690,00 2.387.187,25
CEN044 CENDO MYCOS EO 65 TUBE 0 1.586.598,65 2.520.321,56
CEN047 CENDO TROPIN 1% TM 5 ML 4 BTL 0 46.500,00 73.812,50
CEN054 CENDO XITROL EO 27 TUBE 0 TUBE 896.208,84 1.435.358,88
CEN057 CENDO GLAOPEN MD 42 STRIP 0 PCS 3.525.165,00 5.608.789,31
CEN063 CENDO P-PRED MD 106 STRIP 0 AMPUL 3.770.679,70 5.986.211,06
CEN078 CENDO LFX ED 14 BTL 0 BTL 916.023,64 1.440.746,25
CEN084 CENDO LENTIKULAR MD 38 STRIP 0 AMP 1.175.024,60 1.876.297,50
CEN087 CENDO TONOR 0,5% MD 23 STRIP 0 AMPUL 521.381,25 832.528,24
CEN095 CENDO PROTAGENTA MD 114 STRIP 0 PCS 3.803.467,50 6.053.906,70
CEN101 CENDO VITROLENTA 5 ML TM 44 BTL 0 BTL 1.340.130,00 2.139.885,00
CEN102 CENDO XITROL 0.6 ML MINIDOSE 24 STRIP 1 AMPUL 548.015,05 863.033,56
CEN107 CENDO ASTHENOF 5 ML TM 6 BTL 0 BTL 117.179,40 187.110,00
CEN120 CENDO NATACEN MD 21 STRIP 2 AMP 828.420,75 1.318.138,96

CER003 CERNEVIT INJ 12 BOX 0 VIAL 18.791.244,00 24.822.991,50
CET001 Cetirizine 10 mg FC Tab 30 BOX 43 TAB 401.402,13 597.222,98
CET003 CETINAL 10 MG TAB 3 BOX 18 TAB 540.000,00 763.587,50
CHE001 Chemo Mini-Spike V 82 Pcs 0 Pcs 2.050.000,00 3.300.000,00
CIP001 CIPROFLOXACINE 500 MG INF DEXA 110 BOX 0 BTL 5.414.981,00 7.423.446,68
CIP004 CIPROFLOXACINE 500 MG TAB PHAPROS 25 BOX 10 TAB 633.024,00 881.450,74
CIS001 Cisapride 5 mg TAB 5 box 62 Tab 366.817,40 550.725,54
CIT007 CITICOLIN INJ 10 AMP 46 BOX 5 AMP 6.626.250,00 9.835.950,00
CIT010 CITICOLIN 500 MG TAB DEXA 30 BOX 16 TAB 3.847.200,00 8.026.965,00
CLI016 CLINDAMYCIN 150 MG KAPS NOVELL 7 BOX 44 KAPS 279.558,76 421.346,28
CLI017 CLINDAMYCIN 300MG KAPS NOVELL 59 BOX 16 TAB 3.634.506,74 5.484.279,38
CLO003 CLOBAZAM 10 MG TAB 12 BOX 74 TAB 1.195.776,40 1.718.626,00
CLO004 CLOTIX 75mgTab 5 Box 9 Tab 1.923.900,00 2.726.716,85
CO-004 CO-IRVELL 300 CP 15 TAB 0 TAB 0,00 228.690,00
COD002 CODIPRONT CUM EXPECT KAPS 63 BOX 7 KAPS 6.082.076,00 9.011.163,70
COD003 CODIPRONT KAPS 18 BOX 1 KAPS 1.488.725,00 2.177.136,94
COD007 CODIPRONT CUM EXPECT SYR 60 ML 20 BTL 0 BTL 1.111.000,00 1.606.075,49
COD008 CODITAM TAB 4 BOX 35 TAB 1.783.500,00 2.634.187,43
COD010 CODEIN 15 TAB 6 BOX 20 TAB 695.516,00 102.883,66
COD011 CODEINE 10 MG TAB 13 BOX 1 TAB 810.132,70 1.199.996,07
COL001 COLERGIS SYR 36 BOX 0 BTL 1.368.000,00 1.939.938,00
COL002 Colergis Tab 4 Box 64 Tab 1.020.800,00 1.452.851,40
COL013 COLSANCETINE INJ 12 BOX 0 VIAL 927.210,00 1.709.855,00
COL016 COLOSTOMY BAG ALL CARE-D 19 PCS 0 PCS 760.000,00 1.333.500,00

COT003 Cotrimoksazole 480 mg 1 BOX 65 Tab 27.363,60 53.135,94
COT004 COTTON BUDS 8 PAK 20 PCS 44.386,60 87.274,65
CPG001 CPG 75 MG TAB 29 BOX 0 TAB 11.674.234,20 20.084.605,99
CRA003 CRAVIT 500 MG TAB 6 BOX 7 TAB 2.492.720,93 3.669.666,00
CRA007 CRAVIT 750 MG TAB 3 BOX 0 TAB 1.233.056,70 1.867.140,00
CRO001 CROME 50MG AMP 1 Box 1 Amp 220.000,00 286.000,00
CRO005 CRONOS PRECURVED 20 SET 0 SET 14.940.000,00 32.220.000,00
CTM003 CTM 4 MG TABLET (@100) 1 BTL 25 TAB 5.262,50 7.543,77
CUR002 CURVIT CL EMULSION 175 ML SYR 15 BOX 0 BTL 662.625,00 855.867,38
CUR003 CURCUMA TAB FCT 35 BOX 92 TAB 3.019.974,00 4.683.800,23
CUR005 CURVIT 60 ML SYR 29 BTL 0 BTL 624.007,50 947.262,63
CYS002 CYSTONE TAB 2 BTL 20 TAB 660.422,40 982.393,33
CYT003 Cyto-Set Mix 169 Pcs 0 Pcs 11.830.000,00 18.816.000,00
CYT004 Cyto-Set Infusion with 3 Safesite 17 Pcs 0 Pcs 1.700.000,00 2.730.000,00
DAR002 DARYAZINC 20 MG/5 ML SYR 40 BOX 0 BTL 1.260.000,00 1.537.207,88
DEH002 DEHAF 6 GRAM SACH 18 BOX 5 SACH 1.013.562,54 1.475.430,53
DER006 DERMAFIX S IV 6X7 42 BOX 8 PCS 1.700.417,60 2.963.397,18
DEX005 DEXAMETHASONE 5 MG/ML INJ 10 BOX 45 AMP 1.879.317,55 2.765.895,88
DEX016 Dextamine Tab 0 Box 69 Tab 105.311,25 162.805,50
DEX027 DEXTOFEN INJ 3 BOX 3 AMPUL 540.000,00 741.600,00
DEX028 DEXAMETHASONE 0,5 MG TAB 1 BOX 98 TAB 13.374,90 20.214,58
DEX031 DEXKETOPROFEN INJ 19 BOX 1 AMP 1.656.000,00 3.148.470,00
DEX034 DEXKETOPROFEN TABLET 1 BOX 29 TAB 237.000,00 346.245,00
DIL001 DILTIAZEM 30 Mg Tab 4 box 21 Tab 66.059,11 92.657,64

DIS002 DISOLF TAB 29 BOX 0 TAB 6.090.000,00 8.594.131,00
DIV007 DIVALPI EC 250 MG KAPLET 2 BOTOL 36 KAPLET 1.321.600,00 1.950.102,00
DIV009 DIVITI 2.5 MG INJ 3 BOX 1 SYRINGE 2.012.500,00 2.817.500,00
DOL001 DOLO NEUROBION CT TAB 0 BOX 35 TAB 46.869,90 73.964,58
DOM001 DOMPERIDONE 10MG Tab 6 box 66 Tab 228.997,44 335.528,22
DOM003 DOMPERIDONE 60 ML SYR HEXPHARM 25 BTL 0 BTL 230.000,00 420.261,76
DUM001 DUMIN 125 MG/2.5 ML RECTAL TUBE 2 BOX 1 TUBE 155.100,00 216.068,41
DUO001 DUOXAL TT 4 BTL 0 BTL 342.000,00 564.300,00
DUP001 DUPHASTON 10 MG TAB 52 BOX 19 TAB 15.575.041,29 25.673.060,70
ECL001 ECLID 50 MG TAB 6 BOX 42 TAB 513.000,00 729.690,00
ELE001 ELECTRODA ANAK 1 PACK 4 PCS 89.204,76 178.200,00
ELE011 ELECTRODA DEWASA @30 11 PAK 0 PCS 1.015.961,10 1.840.276,54
ELO001 ELOVESS KAPS 0 BOX 20 KAPS 55.000,00 66.412,50
EMI001 Emineton Tab 20 Box 77 Tab 2.701.948,53 3.778.060,51
ENG003 ENGERIX B 0.5 ML INJ 8 BOX 0 VIAL 522.732,40 621.055,11
ENT001 Entramix Vanila 2 Box 0 Box 90.000,00 96.772,50
ENY001 ENYSTIN SUSP 29 BOX 0 BTL 853.668,36 1.393.847,00
EPE001 EPERISONE HCL 50 MG TAB NOVELL 5 BOX 99 TAB 692.096,58 1.361.182,90
EPO001 EPOCALDI KAPS 3 BOX 0 KAPS 361.308,60 451.737,00
ERL003 ERLAMYCETIN TETES TELINGA 1% 3 BTL 0 BTL 18.009,15 28.151,16
ERL005 ERLAMYCETINE SALEP MATA 3.5 GR 7 TUBE 0 TUBE 46.630,36 69.120,48
ESO001 ESOFERR 40 MG INJ 10 BOX 0 VIAL 1.350.000,00 1.895.400,00
ETH005 ETHAMBUTOL 500 MG TABLET BERNO 20 BOX 5 TAB 1.128.955,35 1.856.174,69
ETO004 ETORVEL 90 MG TABLET 2 BOX 9 TAB 483.000,00 686.070,00

ETT003 ETT WITH CUFFED NO 7 16 PCS 0 PCS 392.134,56 845.250,00
ETT024 ETT NON KINKING NO 5.5 4 PCS 0 PCS 459.760,00 1.083.720,00
ETT027 ETT NON KINKING NO 7.5 17 PCS 0 PCS 1.953.980,00 4.843.900,00
EXT004 EXTENSION TUBE 150 CM (TERUMO) 30 PCS 0 PCS 615.450,60 1.684.095,00
FLA012 FLAGYL SYR 9 BTL 0 BTL 478.683,00 693.558,50
FLA015 FLADEX 500 MG TAB 15 BOX 71 TAB 595.801,75 861.007,80
FLU028 FLUNARIZINE HCL 5 MG TAB 30 BOX 16 TAB 1.140.000,00 1.679.598,62
FLU031 FLUIMUCIL 75 ML SIRUP CP 4 BTL 0 BTL 294.248,00 316.316,60
FOL002 FOLLEY CATHETER 2 WAY NO 22 1 PCS 0 PCS 10.588,24 19.800,00
FOL010 FOLAMIL GENIO KAPS 68 BOX 0 KAPS 7.752.000,00 9.653.330,00
FOL043 FOLLEY CATHEHER 3 WAY NO 24 (WRP) 30 PCS 0 PCS 2.880.000,00 6.354.000,00
FOR005 FORRES 50 MG TAB 2 BOX 37 TAB 609.780,15 979.550,00
FOR032 FORMALIN 10 L 0 BTL 16520 ML 187.667,20 263.154,40

FREESTYLE OPTIUM NEO H BLOOD GLUCOSE
FRE006 0 BOX 68 PCS 257.875,04 715.232,70
STRIP
FUN002 FUNDAMIN-E TAB 3 BOX 53 TAB 300.237,09 380.764,68
FUR001 FUROSEMID 40 MG TAB (KF) 21 BOX 171 TAB 520.760,94 781.181,17
FUR003 FUROSEMIDE INJ 21 BOX 2 AMP 1.187.884,35 2.434.616,24
FUR004 FUROSEMID 10 MG/ML @2ML INJ (CP) 4 AMP 0 AMP 8.516,00 15.684,00
FUR006 FURAMIN INJ 3 BOX 4 AMP 203.775,00 302.500,00
FUT001 FUTROLIT CP 19 BOX 0 BTL 1.349.000,00 1.483.900,00
GAB004 GABAPENTIN 300 MG CAP NOVELL 31 BOX 16 KAPS 7.557.858,00 20.350.994,59
GAS002 GASTRAN TAB 1 BOX 3 TAB 53.160,36 67.247,86

GAS004 GASTROFER 40 MG INJ 58 BOX 0 VIAL 6.670.000,00 8.459.360,00
GEN004 GENTAMYCIN 0.1% OINT (KF) 175 TUBE 0 TUBE 580.825,00 869.252,41
GEN006 GENTAMICIN 40 MG/ML INJ INDOFARMA 61 BOX 0 AMP 1.105.295,60 2.075.727,00
GEN010 GENOINT 0.3% SALEP MATA 3.5 GR 13 TUBE 0 TUBE 87.438,00 147.544,85
GLA002 GLAUSETA TAB 1 BOX 31 TAB 457.091,75 858.850,20
GLI007 Glibenclamide 5 mg Tab 0 Box 19 Tab 2.449,10 3.583,97
GLI013 GLIMEPIRIDE 4 MG TAB 21 BOX 29 TAB 1.208.080,77 2.549.256,00
GLI016 GLISERIL GUAIAKOLAT 100 MG (GG) @100 1 POT 51 TAB 14.437,11 20.906,68
GLI018 GLIMEPIRIDE 1 MG TAB (@100) 2 BOX 1 TAB 134.288,10 200.902,41
GLI019 GLIMEPIRIDE 2 MG TAB (@100) 10 BOX 89 TAB 1.222.729,20 2.102.488,53
GLU003 GLUMIN-XR 500mg Tab 0 Box 28 Tab 51.333,24 71.725,29
GLU007 Gluvas 2 mg Tab 4 Box 44 Tab 1.049.200,00 1.498.120,00
GLU010 GLUCODEX TAB 2 BOX 0 TAB 95.700,00 142.114,55
GLU016 GLURENORM TAB (CP) 94 TAB 0 TAB 587.406,00 643.647,00
GLU021 GLUCOSAMIN MPL 500 MG 8 BOX 32 TAB 1.184.560,00 2.060.204,81
GLU026 GLUTROP TABLET 36 BOX 13 TAB 15.329.325,00 26.632.753,13
GUE003 GUEDEL STERIL NO 4/90 ( KUNING ) 91 PCS 0 PCS 764.400,00 1.647.000,00
GUE005 GUEDEL STERIL NO 2/70 ( PUTIH ) 14 PCS 0 PCS 118.278,58 252.000,00
HAN023 HAND SCOON NO 6,5 GAMEX 2 PCS 0 PCS 31.326,92 48.000,00
HAN043 HANSAPLAST STANDAR STRIP 0 PAK 54 PCS 14.126,40 17.658,00
HAV001 HAVRIX 720 JUNIOR Inj 2 box 0 Vial 468.839,64 595.562,00
HEP003 HEPAMAX KAPS 13 BOX 7 KAPS 3.467.132,01 4.635.564,37
HEP009 HEPABALANCE TAB (CP) 73 TAB 0 TAB 1.204.500,00 1.300.200,00
HIB002 HIBISCRUB 5 LITER ONEMED 2 2735 ml 1.445.295,15 2.589.081,00

HIS001 HISTRINE 10 mg Tab 23 Box 20 Tab 3.005.664,30 4.274.022,94
HOG001 HOGY SET USP-2127 (SPINE) 2 SET 0 SET 1.171.300,00 2.204.800,00
HP 012 HP PRO PLUS CP 23 KAPSUL 0 KAPSUL 171.051,00 177.000,60
HYD007 HYDROXYUREA MEDAC 500 MG TAB 1 BOX 11 TAB 210.687,90 829.033,92
HYP002 HYPERIL 2.5mg Tab 5 Box 1 Tab 1.505.000,00 2.152.150,00
HYP011 Hypafix 10 Cm X 5 M 11 Rol 4937 CM2 1.194.544,41 2.019.672,60
HYS001 HYSTOLAN 20 MG TAB 2 BOX 21 TAB 544.500,00 721.041,75
I-F001 I-FOLIC TABLET 7 BOTOL 30 TAB 1.001.170,80 1.891.060,24
IBU006 Ibuprofen 400 mg Tab 17 Box 41 Tab 512.672,27 633.690,19
IBU007 Ibuprofen 200 mg Tab 3 Box 72 Tab 87.684,12 116.115,59
IMB001 IMBOOST FORCE TAB 26 BOX 4 TAB 4.277.504,00 5.674.131,95
IMB002 IMBOOST FORCE SYR 120 ML 15 BTL 0 BTL 1.129.950,00 1.521.605,25
IMB004 IMBOOST FORCE ES TAB 3 BOX 0 TAB 644.490,90 1.020.529,13
IMU001 IMUNPED 60 ML SYR 60 BOX 0 BTL 2.430.000,00 3.581.708,63
IMU002 IMUNPED 15 ML DROP 22 BOX 0 BTL 923.993,40 1.362.784,50
IND002 Induxin 1 ml Inj 5 box 0 Vial 384.134,50 552.500,00
INF003 INFUS NACL 0,9% 25 ML 10 BTL 0 BTL 63.220,00 83.603,52
INF044 INFUS KA-EN 4B 500ML 56 BOTOL 0 BOTOL 1.898.400,00 1.758.300,00
INF050 INFUS SALIN 3% 500 ML 28 BTL 0 BTL 772.156,00 1.081.983,60
INF054 INFUS MANITOL 20% 500ML OTSU 53 BOTOL 0 BOTOL 4.674.600,00 6.587.658,00
INF081 INFUS FUTROLIT 500ML 54 BTL 0 BTL 3.083.400,00 4.339.600,00
INF083 INFUS HYDROMAL 500 ML 9 BTL 0 BTL 608.915,61 825.330,00
INL001 Inlacin 100mg Cap 32 box 26 Cap 4.930.000,00 6.981.260,00
INT006 Intrafix Safe Set Is (Safety) 99 Pcs 0 Pcs 2.159.982,00 3.370.881,00

INV003 INVICLOT INJ 196 VIAL 1 ML 10.506.549,24 17.652.411,00
IRB001 IRBESARTAN 300 MG TAB HEXPHARM 5 BOX 26 TAB 502.064,64 1.214.710,72
ISO002 ISOFLURAN 250ML 9 BOTOL 210 ML 16.236.000,00 21.106.800,00
ISO004 ISOPRINOSINE TAB 35 BOX 1 TAB 3.429.956,25 4.817.721,53
ISO016 ISOSORBIDE DINITRATE 5 MG TAB 52 BOX 91 TAB 510.793,14 870.430,76
ISO022 ISONIAZID 300 MG TABLET 3 BOX 4 TAB 45.323,36 67.271,88

IV CATHETER SAFETY NO 24 VASOFIX
IV 005 124 PCS 0 PCS 2.480.000,00 4.050.155,00
(B.BRAUN)
IVC002 iv catheter safety No 22 Vasofix (b.braun) 641 Pcs 0 Pcs 12.820.000,00 19.725.600,00
IVC003 iv catheter safety No 20 Vasofix (b.braun) 46 Pcs 0 Pcs 920.000,00 1.394.000,00
IVC011 SURFLO W NO 26 IV CATHETER TERUMO 117 PCS 0 PCS 2.465.775,00 7.473.195,00
JAR031 JARUM HECTING NO 21 CUTTING 1/2 0 BOX 4 PCS 33.333,32 44.791,65
KAF002 KAFLAM 50 MG TAB 9 BOX 2 TAB 906.665,76 1.314.715,35
KAL004 Kalium Diklofenak 50 MG Tab 18 box 15 Tab 412.353,90 838.724,55
KAL008 KALMECO 500 MG KAPS 16 BOX 93 KAPS 3.153.364,87 5.091.027,00
KAL015 Kalxetin 10 mg Cap 14 Box 11 Cap 1.330.807,32 2.250.540,80
KAL019 KALNEX 500 MG TAB 6 BOX 16 TAB 1.575.555,52 2.770.040,00
KAL021 KALNEX 500 MG/5 ML INJ 12 BOX 4 AMP 1.396.339,20 2.256.800,00
KAL025 KALTROFEN 100 MG SUPP 6 BOX 0 SUPP 599.539,20 983.125,00
KAL026 KALTROFEN 100 MG TAB 5 BOX 9 TAB 577.317,87 1.006.200,00
KAL029 KALFOXIM 1 GRAM INJ 16 BOX 0 VIAL 1.923.257,92 3.098.900,00
KAL034 KALMOXILLIN 500 MG TAB 1 BOX 58 TAB 426.600,00 624.044,25
KAL042 KALTROFEN 50 MG TAB 2 BOX 2 TAB 140.558,96 230.175,00
KAS002 KASA VERBAN 10 CM 2 PACK 0 PCS 198.756,00 361.440,00
KAS003 KASA VERBAN 5 CM 0 PACK 54 PCS 52.687,26 83.844,00

KAS008 KASA 16X16 HEXAHUSADA 19 BOX 11 LEMBAR 61.621,37 104.043,03
KAS009 KASA BUNDA HIJAU 14 ROLL 239 BUNDEL 2.443.886,37 5.406.846,60
KAS010 KASA BUNDA BIRU 5 ROLL 236 BUNDEL 875.520,00 1.828.512,85
KEN003 KENALOG ORALBASE (CP) 2 TUBE 0 TUBE 138.200,00 138.200,00
KEN004 KENALOG IN ORABASE 6 TUBE 0 297.000,00 431.503,88
KEN007 KENDARON TAB CP 62 TAB 0 403.000,00 406.250,00
KET012 KETRICIN ORABASE 0.1% Tube 8 TUB 0 TUB 360.000,00 503.100,00
KET013 KETESSE 25 MG TAB 17 BOX 3 TAB 6.824.000,00 9.325.680,00
KET020 KETOKONAZOLE 2% 15 GRAM CR ETERCON 33 TUBE 0 TUBE 195.311,16 311.008,68
KET022 KETOPROFEN 100 MG TAB NOVELL 7 BOX 45 TAB 598.451,05 1.346.929,65
KET023 KETOROLAC 10 MG TAB NOVELL 27 BOX 50 TAB 4.699.200,00 11.608.337,80
KET024 KETOCONAZOL 200MG TAB DEXA 1 BOX 28 TAB 28.723,50 43.216,89
KET034 KETOROLAC INJ 30MG/ML @100 22 BOX 1 AMPUL 2.178.990,00 3.138.418,31
KSR001 KSR 600 MG TAB 0 BOX 42 TAB 120.809,64 173.534,43
LAC001 LACIDOFIL SACH 1 BOX 3 Sach 198.000,00 281.580,00
LAC003 LACTO B SACH 15 BOX 31 SACH 3.722.900,00 4.532.685,33
LAN002 LANVELL 30 MG KAPS 2 BOX 7 KAPS 540.500,00 757.965,00
LAN007 LANSOPRAZOLE 30 MG CAP NOVELL 196 BOX 5 CAP 2.121.619,50 7.115.071,50
LAX006 LAXADINE EMULSION 60 ML 10 BTL 0 BTL 360.000,00 540.431,25
LEV007 LEVOFLOXACIN 500 MG TAB NOVEL 9 BOX 42 TAB 335.524,32 761.245,30
LID001 LIDOCAINE 2% INJ PHAPROS 2 BOX 95 AMP 327.299,55 482.240,78
LOD001 LODIA 2 MG TAB CP 291 TAB 0 TAB 374.808,00 443.221,35
LON005 LONIDE 40 MG TABLET 1 BOX 15 TAB 279.000,00 396.905,40
LOR002 LORATADINE 10 MG TAB NOVELL 11 BOX 0 TAB 116.578,00 242.445,09

MAS007 MASKER TIE ON ONEMED 5 BOX 26 PCS 115.942,08 373.428,00

MASKER NEBULIZER PEDIATRIC STANDARD
MAS016 26 PCS 0 PCS 668.980,52 2.123.000,00
(AAM)
MAS024 MASKER N95 3 BOX 16 PCS 794.200,00 1.245.326,50
MAT001 MATOVIT Tab 11 Box 20 Tab 1.171.800,00 1.593.900,00
MEC007 MECOBALAMIN 500 MCG KAPS 54 BOX 61 KAPS 3.276.600,00 6.459.879,40
MEC009 MECOBALAMIN 500MCG INJ 90 BOX 4 AMP 5.990.817,04 10.323.520,00
MED002 MEDIXON 16 MG TAB 8 BOX 7 TAB 1.543.750,00 2.179.409,38
MED005 MEDIXON 8 MG TAB 9 BOX 84 TAB 3.936.000,00 5.580.952,00
MEF002 MEFOZ 4 MG/5 ML SIRUP 60 ML 2 BOX 0 BTL 120.000,00 237.600,00
MEL014 MELOXICAM 7.5 MG TABLET 35 BOX 4 TAB 606.796,30 1.461.355,04
MEL015 MELOXICAM 15 MG TABLET 37 BOX 21 TAB 917.725,50 3.026.902,75
MET002 METRONIDAZOLE 500 MG/100 ML INF DEXA 190 BOTOL 0 BTL 2.418.285,80 6.634.505,02
MET011 Methylprednisolone 125 mg Inj Dexa 113 Box 0 Vial 2.550.975,00 4.707.548,63
MET013 METHYLPREDNISOLONE 8 MG TAB DEXA 24 BOX 26 TAB 993.447,00 1.832.995,37
MET014 METHYLPREDNISOLONE 4 MG TAB DEXA 22 BOX 33 TAB 491.885,24 1.250.383,59
MET016 METHYLPREDNISOLONE 16 MG TAB DEXA 6 BOX 66 TAB 532.646,82 887.847,33
MET018 METFORMIN 500 MG TAB DEXA 62 BOX 51 TAB 979.844,25 1.466.289,83
MET055 METHYLPREDNISOLONE 8 MG TAB 5 BOX 9 TAB 183.240,00 449.988,30
MIC002 MICROPORE WITH DISPENSER 1 INCI 52 PCS 149 CM 919.949,22 1.890.007,38
MIC003 MICROPORE WITH DISPENSER 1/2 INCI 104 PCS 480 CM 1.058.685,60 1.854.748,17
MIC009 MICROLAX 5 ML RECTAL TUBE 1 BOX 6 TUBE 434.741,58 696.843,75
MIR001 MIRZAP 30 MG TAB 1 BOX 0 TAB 375.000,00 556.875,00
MOX002 MOXAM 15 MG TAB 3 BOX 0 TAB 803.999,70 1.186.302,42
MST001 MST 10 MG CONTINUS TAB 4 BOX 7 TAB 3.507.400,00 5.144.802,00

MY 001 MY JELLY 80 GR 14 TUBE 65 GRAM 569.048,85 949.325,00
NAP006 NAPREX 250 MG/5 ML 60 ML SUSP 48 BOX 0 BTL 1.914.852,48 2.393.820,46
NAR006 NARFOZ 30 ML SYR 15 BOX 0 BTL 825.000,00 1.202.781,25
NAT001 NATRIUM DICLOFENAC 50 MG TAB NOVELL 14 BOX 27 TAB 202.927,51 333.667,73
NAT005 NATRIUM BICARBONAT 500MG TAB(@100) 34 POT 23 TAB 210.069,51 307.573,78
NEB004 NEBULIZER WITH MASK ADULT ONEMED 98 PCS 0 PCS 3.359.079,36 7.194.443,26
NEC002 NECIBLOK 500MG/5ML 100 ML SUSP 28 BOX 0 BTL 1.196.000,12 2.093.520,00
NEE013 NEEDLE 19G X 1-1/2" TERUMO 48 PCS 0 PCS 70.601,28 158.911,31
NEE020 NEEDLE 26G X 1/2" TERUMO 62 PCS 0 PCS 96.284,76 203.677,88
NEU009 NEULIN PS 500 MG KAPS 9 BOX 3 KAPS 3.276.000,00 4.656.600,00
NEU015 NEUROBION FORTE 2 BOX 163 TAB 1.661.836,02 2.674.065,72
NEU018 NEURODEX TAB 4 BOX 181 TAB 531.741,24 798.113,25
NEU021 NEUROAID TABLET 3 BOX 14 TAB 7.350.656,12 11.075.033,53
NEV001 NEVOX XR 500 MG TAB 15 BOX 10 TAB 818.896,60 1.446.302,00
NEW001 NEW DIATAB TAB 9 BOX 33 TAB 472.359,24 656.336,41
NEX001 NEXURIN 100 MG TAB 10 BOX 10 TAB 2.550.000,00 3.601.000,00
NGT001 NGT NO 18 FR (125 CM) (TERUMO) 24 PCS 0 PCS 403.205,04 1.192.800,00
NGT002 NGT NO 16 FR (125 CM) (TERUMO) 63 PCS 0 PCS 1.058.400,00 3.200.400,00
NGT006 NGT NO 8 FR (100 CM) (TERUMO) 7 PCS 0 PCS 134.752,03 404.250,00
NGT014 NGT NO 10 FR (125 CM) JMS 2 PCS 0 PCS 39.600,00 75.240,00
NGT019 NGT NO 6 (80 CM) JMS 19 PCS 0 PCS 456.004,56 958.500,00
NOC001 NOCEL 50 MG KAPS 5 BOX 20 KAPS 1.246.666,10 1.754.132,40
NON005 NON REBREATHING MASK OKSIGEN ADULT* 100 PCS 0 PCS 3.262.000,00 5.746.287,50
NOR002 NORELUT 5 MG TAB 3 BOX 17 TAB 718.100,00 1.020.734,00

NOT002 NOTRIXUM 25 MG INJ 22 BOX 2 AMP 5.040.000,00 6.549.075,00
NOT008 NOTISIL 2 MG TABLET 5 BOX 45 TAB 626.750,00 930.246,50
NR,001 NR, METFORMIN 850 MG TAB 6 BOX 27 TAB 91.197,15 132.325,05
NR.001 NR. SPUIT 1 CC 1203 PCS 0 PCS 856.283,37 2.318.413,35
NR.002 NR. SPUIT 3 CC 7164 PCS 0 PCS 4.692.420,00 12.528.124,00
NR.005 NR. SPUIT 20 CC 133 PCS 0 PCS 268.448,53 706.485,00
NR.007 NR. SPUIT 50 CC CATHETER TIP 104 PCS 0 PCS 1.025.835,20 2.237.590,63
NR.020 NR. INFUSET MAKRO 638 PCS 0 PCS 2.711.500,00 5.437.998,75
NR.021 NR. INFUSET MIKRO 46 PCS 0 PCS 220.802,76 494.910,00
NR.022 NR. BLOOD SET 527 PCS 0 PCS 4.216.000,00 4.232.000,00
NR.025 NR. HAND SCOON STERIL NO 7 FP 577 PCS 0 PCS 3.671.820,28 6.371.404,15
NR.026 NR. HAND SCOON STERIL NO 7,5 FP 701 PCS 0 PCS 4.460.911,64 7.675.529,67
NR.027 NR. HAND SCOON STERIL NO 8 FP 157 PCS 0 PCS 999.091,48 1.727.505,71
NR.033 NR. HAND SCOON NON STERIL S 200 BOX 51 PCS 6.560.085,67 11.084.535,15
NR.034 NR. HAND SCOON NON STERIL M 76 BOX 17 PCS 2.502.336,84 4.168.547,60
NR.035 NR. HAND SCOON NON STERIL L 2 BOX 8 PCS 76.290,24 97.308,66
NR.036 NR. MASKER TIE ON 150 BOX 37 PCS 2.186.559,07 3.741.542,30
NR.037 NR. NURSE CAP 1 BOX 22 PCS 51.850,00 102.830,00
NR.038 NR. NASAL CANNULA DEWASA 395 PCS 0 3.112.418,30 5.164.689,98
NR.047 NR. FOLLEY CATHETER NO 16 195 PCS 0 1.872.097,50 4.010.247,00
NR.049 NR. FOLLEY CATHETER 2 WAY NO 20 6 PCS 0 57.600,00 96.672,00
NR.051 NR. SUCTION CATHETER NO 8 61 PCS 0 367.722,64 740.914,00

NR.053 NR. SUCTION CATHETER NO 12 119 PCS 0 429.574,53 1.254.099,00
NR.055 NR. URINE BAG 298 PCS 0 1.292.649,50 2.485.544,75
NR.058 NR. ALKOHOL SWAB 15 BOX 51 PCS 206.949,93 580.797,00
NR.061 NR. POVIDONE IODINE 1 LITER 0 BTL 825 ML 51.727,50 94.805,70
NR.062 NR. INFUS RINGER LAKTAT 500 ML 3652 BTL 0 BTL 25.286.630,60 36.073.473,62
NR.063 NR. INFUS NACL 0,9% 500 ML 3035 BTL 0 BTL 19.722.219,10 28.302.418,64
NR.064 NR. INFUS D 5% 500 ML 105 BTL 0 BTL 702.870,00 1.018.291,28
NR.065 NR. INFUS NACL 0,9% 100 ML 499 BTL 0 BTL 3.243.500,00 4.617.271,76
NR.067 NR. INFUS D 10% 500 ML 67 BTL 0 BTL 502.500,00 709.387,50
NR.071 NR. AQUA PRO INJ 25 ML 2944 BTL 0 BTL 7.654.400,00 10.878.934,30
NR.072 NR. INFUS KCL 25 ML 62 BTL 0 BTL 181.660,00 258.528,55
NR.076 NR. INFUS KAEN 3B 500 ML 26 BTL 0 BTL 252.824,00 353.953,60
NR.081 NR. INFUS VOLUVEN 9 BTL 0 BTL 178.200,00 254.133,00
NR.086 NR. INFLOPLUS NO 20 IV CATHETER 593 PCS 0 3.552.070,00 7.243.510,75
NR.087 NR. INFLOPLUS NO 22 IV CATHETER 109 PCS 0 648.550,00 1.319.815,00
NR.088 NR. INFLOPLUS NO 24 IV CATHETER 416 PCS 0 2.567.552,00 4.795.455,00
NR.089 NR. CEFADROXIL 500 MG TAB 21 BOX 89 TAB 1.154.194,03 1.684.977,21
NR.090 NR. CEFIXIME 100 MG CAP 58 BOX 36 CAP 2.202.000,00 3.227.020,33
NR.092 NR. CEFADROXIL 125 MG/5 ML DS 21 BTL 0 BTL 95.454,45 140.658,90
NR.106 NR. KENDARON 200 MG TAB 33 BOX 11 TAB 934.563,63 1.376.308,43
NR.107 NR. PARACETAMOL 1 GR/100 ML INF 332 BOX 0 BOX 6.640.000,00 6.708.000,00
NR.118 NR. COMBIVENT 2.5 ML NEB 9 BOX 3 AMPUL 756.953,88 1.088.892,48
NR.120 NR. NITROKAF RETARD TAB 7 BOX 39 TAB 1.048.035,02 1.548.636,98

NR.121 NR. RETAPHYL SR TAB 1 BOX 35 TAB 137.821,50 204.312,74
NR.125 NR. METRONIDAZOLE 500 MG/ML INF 166 BTL 0 BTL 1.162.066,40 2.601.225,00
NR.128 NR. GLIQUIDONE 30 MG TAB 11 BOX 50 TAB 1.175.691,00 1.781.771,54
NR.130 NR. DESOXIMETASONE 0.25 CREAM 15G 40 TUBE 0 GRAM 478.194,00 707.906,44
NR.136 NR. ATORVASTATIN 20 MG TAB 2 BOX 25 TAB 153.000,00 474.120,00
NR.141 NR. UNDERPAD 79 BOX 7 PCS 2.757.970,68 5.320.080,00
NR.149 NR. ULTRAFIX 10CM X 5M 0 ROL 505 CM2 3.125,95 4.650,93
NR.150 NR. DERMAFIX T 10 X 25 88 PCS 0 PCS 1.665.529,36 3.131.008,08
NR.152 NR. FENTANYL 0.05 MG/ML INJ 32 BOX 3 AMP 6.577.930,20 9.456.581,77
NR.157 NR. ASAM TRANEKSAMAT 100 MG/ ML 54 BOX 1 AMP 2.385.810,00 4.873.002,75
NR.160 NR. TARIVID OTIC 49 BOX 0 BOX 1.911.000,00 2.825.940,00
NR.162 NR. DUROGESIC PATCH 8 BOX 3 PATCH 8.155.887,40 8.212.788,94
NR.171 NR. METHYLERGOMETRINE 0.2 MG/ML INJ 0 BOX 43 AMP 115.670,00 158.844,50
NR.172 NR. DIGOXIN 0.25 MG TAB 7 BOX 56 TAB 85.911,84 145.220,63
NR.180 NR. NOVORAPID FLEXPEN 37 BOX 0 PCS 14.631.818,35 21.544.146,37
NR.182 NR. LEVEMIR FLEXPEN 6 BOX 4 PCS 2.594.818,12 3.827.356,71
NR.185 NR. CONCOR 2.5 MG TAB 63 BOX 99 TAB 3.641.606,91 5.393.863,83
NR.186 NR. KSR 600 MG TAB 3 BOX 71 TAB 621.254,34 668.978,73
NR.192 NR. DEPAKOTE ER 250 MG TAB 14 BOX 22 TAB 3.818.709,90 5.670.018,97
NR.193 NR. DEPAKOTE ER 500 MG TAB 6 BOX 32 TAB 3.405.904,88 5.057.768,75
NR.194 NR. HARNAL OCAS TAB 52 BOX 21 TAB 7.351.650,00 10.815.766,33
NR.195 NR. HARNAL 0.2 MG DISP. TAB 2 BOX 3 TAB 417.720,00 611.287,20
NR.206 NR. PROSTIGMIN 0.5 MG INJ 13 BOX 3 AMPUL 494.486,48 693.662,77
NR.208 NR. CLOPIDOGREL 75 MG TAB 264 BOX 21 TAB 10.134.304,20 14.390.364,64

NR.209 NR. XYLOCAIN 2% JELLY 6 BOX 8 TUBE 2.744.140,00 3.931.989,47
NR.220 NR. BREXEL 20 MG / 0,5 ML INJ 32 VIAL 0 VIAL 5.280.000,00 7.801.200,00
NR.221 NR. BREXEL 80 MG / 2 ML INJ 19 VIAL 0 VIAL 16.140.500,00 23.866.702,50
NR.229 NR. CYCLOPHOSPHAMIDE 1 G INJ 42 VIAL 0 VIAL 7.555.800,00 11.139.408,00
NR.236 NR. TAMOFEN 10 MG TABLET 72 BOX 6 TAB 3.912.597,42 5.810.207,28
NR.237 NR. AMINOFUSIN PAED 250 ML 7 BOTOL 0 BOTOL 364.000,00 507.000,00
NR.247 NR. HERBESSER CD 100 KAPSUL 1 BOX 28 KAPSUL 518.982,40 740.837,24
NR.254 NR. EPHEDRIN 50 MG/ML INJ ETHICA 12 BOX 8 AMP 997.120,00 1.376.882,50
NR.261 NR. INFUS NACL 0,9% 1000 ML B.BRAUN 400 BTL 481 ML 5.086.108,70 8.400.396,79
NR.263 NR. GLIVEC 100 MG TABLET 17 BOX 0 TAB 17.599.579,80 48.424.504,60
NR.264 NR. FENOFIBRATE 100 MG KAPSUL 6 BOX 26 KAPSUL 219.109,84 324.928,35
NR.269 NR. ARIMIDEX 1 MG TABLET 19 BOX 8 TAB 2.935.634,40 54.122.516,46
NR.272 NR. VALSARTAN 80 MG TABLET 2 BOX 29 TAB 143.633,54 526.500,00
NR.291 NR. NASAL VENTILATOR FR 10 (NASAL PRONG) 5 PCS 0 PCS 877.015,00 1.482.155,35
NR.297 NR. BETADINE SOL 1 LT 3 BTL 400 ML 461.482,00 642.342,24
NR.308 NR. KOATE-DVI 500 IU 29 VIAL 0 VIAL 50.083.290,00 74.373.685,65
NR.311 NR. AZOPT 1% 5 ML TM 3 BTL 0 BTL 354.546,00 526.500,81
NR.317 NR. SUCRALFATE 500MG/5ML 100 ML SUSP 344 BTL 0 BTL 2.566.240,00 3.738.271,29
NR.325 NR. KALIPAR 300 MG TABLET 9 BOX 28 TAB 319.390,04 472.828,73
NR.327 NR. OCTANATE 500 IU/VIAL 14 BOX 0 VIAL 25.802.000,00 38.315.970,00
NR.333 NR. ARICEPT EVESS 10 MG TABLET 17 BOX 3 TAB 5.436.650,00 7.959.272,63
NR.345 NR. BISOPROLOL 5 MG TAB (@50) 29 BOX 22 TAB 363.981,44 539.692,03
NR.349 NR. AMLODIPINE 5 MG TABLET 18 BOX 31 TAB 370.285,58 547.131,29
NR.350 NR. STALEVO TABLET 37 BOX 0 TAB 8.880.000,00 13.186.800,00

NR.353 NR. AMLODIPINE 10 MG TABLET 16 BOX 2 TAB 432.180,00 639.486,00
NR.358 NR. EPOTREX-NP 2000 IU INJ 15 BOX 2 SYRINGE 6.440.000,00 9.519.370,00
NR.365 NR. GABEXAL 100 MG CAPS 69 BOX 25 CAPS 1.991.779,35 11.416.535,51
NR.368 NR. FRAMYCETIN SULFATE STERIL SACH 10'S 13 BOX 4 SACH 1.239.698,32 1.743.208,75
NR.372 NR. URIEF TABLET 2 BOX 79 TAB 621.408,33 914.135,66
NR.373 NR. BETASERC 24 MG TAB 9 BOX 10 TAB 1.217.710,00 1.771.896,25
NR.381 NR. SIFROL ER 0.125 MG TAB 6 BOX 3 TAB 732.166,53 1.087.267,29
NR.389 NR. PLETAAL 100 MG TABLET 37 BOX 7 TAB 5.755.901,00 8.535.854,35
NR.399 NR. AROMASIN 25 MG TABLET 2 BOX 0 TAB 2.345.454,00 3.482.999,20
NR.407 NR. BACTESYN 0,75 GRAM INJ 6 BOX 0 VIAL 245.230,92 331.061,76
NR.408 NR. EPINEPHRINE 1 MG/ML INJ 2 BOX 4 AMP 261.120,00 366.368,00
NR.409 NR. ATROPIN SULFAS 0.25 MG/ML INJ 1 BOX 24 AMP 184.760,00 255.624,40
NUP001 NUPOVELL 10 MG INJ 16 BOX 1 VIAL 6.885.000,00 8.933.925,00
NUR001 Nurse Cap 10 box 98 pcs 466.891,56 833.325,00
NUT003 NUTRIFLAM 28 BOX 29 KAPLET 7.755.825,00 13.371.093,75
NYS004 NYSTATIN 100.000 IU DROPS 9 BOX 0 BTL 171.000,00 258.745,00
OBI001 OBIMIN AF KAPS 23 BOX 16 KAPS 1.075.336,84 1.344.923,34
OBI003 OBIPLUZ KAPS 5 BOX 55 KAPS 1.179.782,15 1.669.267,16
OKP001 OK PLAST 1 BOX 42 PCS 26.149,30 46.703,80
OME001 OMEPRAZOLE 40 MG INJ DEXA 39 BOX 9 VIAL 3.592.276,80 35.531.054,00
OME004 OMEPRAZOLE 20 MG CAP NOVELL 72 BOX 10 CAP 644.403,20 1.134.476,97
OMN007 OMNIFIX 50ML LUER LOCK 85 PCS 0 PCS 1.159.060,00 1.827.973,98
OMZ003 OMZ 20mg Cap 6 Box 21 Cap 2.345.000,67 3.342.734,29
OND002 ONDANSETRON 4 MG/2 ML INJ DEXA 308 BOX 2 AMP 5.011.500,00 10.084.425,00
OND004 ONDAVELL 4 MG TAB 21 BOX 2 TAB 4.318.000,00 6.117.280,00
OND005 ONDAVELL 8 MG/4 ML INJ 13 BOX 3 AMP 3.740.000,00 4.983.550,00
OND006 ONDAVELL 4 MG/2 ML INJ 24 BOX 0 AMP 3.480.000,00 4.552.275,00
OND008 ONDANSENTRON 4 MG TAB NOVELL 105 BOX 3 TAB 822.036,18 2.594.228,00
OND012 ONDANSENTRON 8 MG TAB NOVELL 140 BOX 4 TAB 1.820.404,00 5.690.860,10
OND022 ONDAVELL 8 MG ODT 53 BOX 4 TAB 11.214.000,00 16.446.969,00
OND024 ONDANSETRON 8 MG INJEKSI 71 BOX 8 AMP 3.949.631,84 7.502.257,08
OPS003 OPSITE POST-OP 25 CM X 10 CM 29 PCS 0 PCS 1.102.000,00 1.512.590,00
OPS009 OPSITE IV 3000 1H 7 CM X 9 CM 139 PCS 0 PCS 764.500,00 1.088.285,00
OPT003 OPTIMAX Capsul 4 Box 22 Cap 875.667,14 1.107.718,94
ORE002 OREZINC SYRUP 44 BOTOL 0 BOTOL 1.417.328,00 2.057.042,22
ORI003 ORINOX 120 MG TABLET 8 BOX 6 TAB 2.460.000,00 3.592.382,50
OSC001 OSCAL 0.5 MG KAPS 3 BOX 8 KAPS 993.426,98 1.347.533,55
OSC002 OSCAL 0.25 MG KAPS 0 BOX 14 KAPS 88.666,62 129.610,00
OSF002 OSFIT DHA KAPS 36 BOX 13 KAPS 3.827.150,43 5.861.985,54
OSS003 OSSOPAN 800 TAB 8 BOX 55 TAB 2.594.750,00 3.235.368,32
OXO002 OXOFERIN 1 BOTOL 0 70.000,00 105.000,00
OXY004 OXYLA INJ 1 BOX 5 AMP 172.500,00 224.250,00
OZI001 OZID 20 MG KAPS 2 BOX 4 KAPS 354.514,24 475.270,66
PAN001 PANTOPRAZOLE 40 MG INJ PHAPROS 398 VIAL 0 VIAL 6.495.360,00 17.672.928,00
PAN011 PANVELL 40 MG TAB 25 BOX 2 TAB 3.402.000,00 4.957.132,50
PAN017 PANTOPRAZOLE 20 MG TAB DEXA 7 BOX 27 TAB 1.309.425,00 2.267.395,00
PAR006 PARATUSIN 60 ML SYR 11 BOX 0 BTL 273.350,00 380.229,86
PAR010 PARACETAMOL 120 MG/5 ML SYR KF 21 BTL 0 BTL 96.705,00 136.349,49

PAR012 PARACETAMOL DROP 20 BTL 0 BTL 150.000,00 217.500,00
PAR014 PARACETAMOL 120 MG/5 ML SYR 85 BTL 0 BTL 176.358,00 349.740,30
PAR018 PARACETAMOL 500 MG TAB (PROMED) 45 BOX 74 TAB 732.709,06 1.545.988,81
PEH017 PEHACAIN INJ 3 BOX 16 AMP 193.666,24 283.545,57
PEN006 PENENG PASIEN BAYI BIRU 0 BOX 77 PCS 75.922,00 167.910,00
PEN037 PENANDA RESIKO FALL RISK-KUNING 0 BOX 266 PCS 445.241,44 553.127,30
PEN044 PENENG PASIEN DEWASA BIRU** 3 BOX 34 PCS 353.729,38 831.691,00
PEN045 PENENG PASIEN DEWASA PINK** 4 BOX 37 PCS 435.295,70 1.078.263,50
PEN054 PENJEPIT COLOSTOMY BAG ALL CARE-D 9 PCS 0 PCS 162.000,00 286.537,50
PEN061 PEN NEEDLE 32G BD 4 BOX 47 PCS 733.080,00 1.324.278,48
PER013 PEROSSAL 2X6 1 BOX 0 3.003.000,00 4.158.000,00
PHA013 PHAROLIT SACH 1 BOX 42 SACH 122.252,10 184.614,77
PHE007 PHENYTOIN 100 CAP 17 BTL 47 TAB 906.308,66 1.433.239,50
PHY002 PHYTOMENADIONE 10 MG/ML INJ PHAPROS 5 BOX 6 AMP 574.599,48 882.179,46
PIR005 Piracetam 1200 mg Cap 3 Box 39 Cap 393.880,71 563.668,56
PIR018 PIRACETAM 1200 MG 0 BOX 51 TAB 41.983,20 88.864,44
PIS010 PISAU CUKUR DOUBLE 56 PCS 0 PCS 179.200,00 386.320,00
PK 001 PK 5 GRAM (CP) 4 PCS 0 22.000,00 23.100,00
POL003 CENDO POLYPRED MD 73 STRIP 0 PCS 1.179.588,75 1.878.183,35
POL007 POLYSILANE 100 ML SYR 22 BTL 0 374.000,00 641.790,00
POS008 POSAFIT TAB 26 BOX 17 TAB 3.985.000,00 5.751.687,50
POT012 POT BENING 50 GR 87 PCS 0 161.689,50 277.828,26
PRA001 PRANZA 40 MG INJ 65 BOX 0 VIAL 7.064.877,95 11.615.760,00
PRA006 PRAXION DROP 49 BTL 0 BTL 1.108.380,00 1.656.625,00

PRA007 PRAGESOL 500MG/ML INJEKSI 26 BOX 4 AMPUL 3.168.000,00 4.466.274,00
PRA008 PRAXION 250 MG 60 ML 14 BOX 0 BOX 350.334,32 533.000,00
PRE006 PREMASTON 5 MG TAB 0 BOX 14 TAB 53.666,62 76.742,66
PRE023 PREVENAR INJ 14 BOX 0 VIAL 9.087.288,00 13.205.452,20
PRI003 PRIMPERAN 5 MG/ML INJ 2 BOX 5 AMP 155.713,37 241.283,27
PRO012 PROSPAN 100 ML SYR 33 BOX 0 BTL 2.100.450,00 2.773.800,00
PRO014 PROTERINE 10 MG/2 ML INJ 4 BOX 2 AMP 418.000,00 550.810,00
PRO015 PRORENAL TAB 24 BOX 85 TAB 14.910.000,00 20.400.120,00
PRO020 PROVULA 50 MG TAB 2 BOX 15 TAB 1.087.500,00 1.539.573,75
PRO027 Pronalges 100 mg Supp 18 Box 2 Supp 2.429.700,00 3.173.695,50
PRO031 PROLACTA DHA FOR MOM KAPS 8 BOX 35 KAPS 2.446.250,00 3.632.681,25
PRO045 PRONICY FILCO 2 BOX 60 CAPLETS 64.477,40 95.258,50
PRO052 PROVERA 10 MG TAB 1 BOX 13 TAB 450.118,41 668.425,20
PRO074 PROSPIDE 100 MG TAB 9 BOX 42 TAB 2.826.000,00 4.146.930,00
PSI002 PSIDII 500 mg Cap 5 box 20 Cap 1.350.000,00 1.566.156,25
PYR001 PYRAZINAMIDE 500 MG TAB DEXA 13 BOX 34 TAB 391.195,50 550.557,58
PYR008 PYREX TAB 1 BOX 186 TAB 212.300,00 311.756,51
QTE002 Q-TEN 100 MG KAPS 2 BTL 6 KAPS 660.000,00 923.000,00
RAM002 Ramipril 2,5 mg Tab 14 Box 11 Tab 389.943,96 582.742,23
RAN003 RANITIDIN 150 MG TAB DEXA 58 BOX 23 TAB 1.129.545,54 1.630.898,00
RAN005 RANIVEL 75 MG/5ML SYR 21 BOX 0 BTL 1.155.000,00 1.630.200,00
RAN007 RANTIN 150 MG TAB 4 BOX 48 TAB 1.706.239,36 2.712.827,00
RAN008 Rantin 50 mg/2ml Inj 4 Box 3 Amp 400.091,21 577.980,00
RAN014 RANIVEL 25 MG/ML INJEKSI 3 BOX 4 AMPUL 353.400,00 508.524,00

RAN019 RANITIDIN 50 MG/2 ML INJ 23 BOX 23 AMP 2.508.840,00 3.606.493,95
REC010 RECOFOL N INJ 14 BOX 0 AMP 6.650.000,00 9.322.350,00
REG001 REGIVELL 20 MG/4 ML INJ 28 BOX 3 AMP 10.010.000,00 12.992.000,00
REM001 REMOVCHOL 20 MG TAB 3 BOX 28 TAB 1.298.000,00 1.813.240,00
RES001 RESPIRA TAB 9 BOX 3 TAB 2.790.000,00 3.931.200,00
RHI003 RHINOS JUNIOR SYRUP 44 BOX 0 BTL 1.452.000,00 2.049.333,00
RHI004 RHINOS NEO DROP 14 BOX 0 BTL 630.000,00 850.590,00
RHI005 RHINOS SR KAPS 15 BOX 48 KAPS 3.790.500,00 5.332.266,88
RHI007 RHINOFED TAB 15 BOX 24 TAB 1.315.800,00 1.423.308,00
RIC001 RICOVIR 300 MG TAB CP 10 TAB 0 TAB 227.500,00 227.500,00
RIL001 RILLUS TAB 15 BOX 22 TAB 2.741.531,76 3.886.070,33
RIT001 RITEZ 5 MG/5ML SYR 24 BOX 0 Btl 1.200.000,00 1.705.275,00
RIT002 Ritez 10mg/ml Drop 12 Box 0 Btl 780.000,00 1.115.400,00
ROT001 ROTARIX SUSPENSI INJ 19 BOX 0 VIAL 4.757.673,53 6.210.608,61
RUP001 RUPAFIN 10 MG TAB 25 BOX 4 TAB 1.659.636,00 2.719.532,48
S-O001 S-OMEVELL 20 MG TABLET 16 BOX 0 TAB 6.000.000,00 8.864.937,50
SAF006 BENANG SAFIL 3/0 CUTTING (DS 24) 2 PCS 0 PCS 215.050,00 397.842,50
SAL010 SALBUVEN EXPECT 100 ML SYR 32 BOX 0 BTL 1.280.000,00 1.879.580,00
SAL013 SALBUTAMOL 4 MG TAB (KF) 9 BOX 14 TAB 85.157,38 133.282,80
SAL027 SALBUTAMOL 2 MG/ 5 ML SYR 8 FLS 0 FLS 42.284,72 63.045,00
SEL001 SELOXY Kaplet 26 Box 14 Kapl 3.970.000,00 4.988.843,75
SEQ001 Sequest 4 g Sach 3 box 8 Sach 1.275.000,00 1.682.728,13
SEV001 SEVOFLURANE 250 ML 0 BOX 40 ML 432.164,80 561.600,00
SIM002 Simvastatin 10 mg Tab 3 Box 14 Tab 145.306,64 208.738,04

SIM004 SIMVASTATIN 20 MG TABLET 15 BOX 43 TABLET 665.200,12 1.092.658,13
SIM005 SIMARC 2 TAB 0 BOX 24 TAB 23.016,00 48.615,00
SIN002 SINCRONIK TAB 27 BOX 12 TAB 5.319.194,88 8.695.001,25
SOL003 SOLAC 120 ML SYR 11 BOX 0 BTL 752.400,00 977.040,00
SPA001 SPATEL KAYU 0 PACK 15 PCS 5.749,50 12.375,00
SPA009 SPALK S MOTIF 25 PCS 0 PCS 125.000,00 224.425,00
SPI006 SPIRONOLACTONE 25 MG TAB DEXA 8 BOX 81 TAB 235.799,65 392.356,35
SPI007 SPIRONOLACTONE 100 MG TAB DEXA 3 BOX 4 TAB 247.817,76 411.058,47
SPI015 SPINAL NEEDLE NO 25 (B.BRAUN) 144 PCS 0 PCS 4.368.448,80 8.620.000,00
SPI046 SPIRONOLACTONE 25 MG TAB 3 BOX 9 TAB 123.600,00 155.510,65
SPI049 SPIRONOLACTON 100MG TAB CP 6 TAB 0 TAB 7.278,00 10.807,83
SPU003 SPUIT 5 CC (TERUMO) 18 PCS 0 PCS 28.997,64 153.720,00
SPU006 SPUIT 1 CC (TERUMO) 194 PCS 0 PCS 252.927,50 1.977.984,00
STA013 STAFORIN 500 MG KAPS 5 BOX 6 KAPS 1.221.643,80 2.157.635,25
STA020 STAFORIN 250 MG 60 ML DS 8 BTL 0 BTL 537.419,36 831.600,00
STA021 STAFORIN 125 MG 60 ML DS 6 BTL 0 BTL 237.681,84 372.750,00
STA022 STARFOLAT 400 MCG TABLET 6 BOX 54 TABLET 77.289,72 113.803,46
STO002 STOBLED KAPS 2 BOX 8 KAPS 274.312,40 332.062,50
STR011 STROCAIN TAB (CP) 159 TAB 0 TAB 477.000,00 489.300,00
SUC002 SUCTION CATHETER NO 14 ONEMAD 9 pcs 0 pcs 52.163,55 82.350,00
SUM002 SUMAGESIC 600 MG TAB 15 BOX 24 TAB 652.744,44 812.563,66
SYN005 SYNCERA ELECTOFIX 10X10 16 PCS 2591 CM2 3.170.524,50 5.422.284,76
T-C001 T-CHROMIC (3-0, 2-0, 1) BP1 18 PCS 0 PCS 1.296.000,00 2.464.000,00
T-R004 T-ROLL SILK 2-0 100M (RS3) 0 ROLL 87 10 CM 58.932,93 107.512,50

TAN002 TANTUM LOZENGES 18 BOX 11 TAB 536.287,50 882.643,15
TAR002 TARIVID OTIC SOLUTION 19 BOX 0 BTL 1.349.356,25 2.092.090,00
TEL013 TELSAT 80 MG TABLET 5 BOX 12 TABLET 1.260.000,00 1.871.100,00
TEM024 TEMPRA DROP CP 1 BOTOL 0 BOTOL 50.000,00 55.000,00
THE001 THERAVASK 5 MG TAB 0 BOX 17 TAB 68.253,30 88.731,50
THI008 THIAMYCIN KAP CP 47 CAP 0 CAP 226.070,00 261.904,50
THI009 THIAMYCIN 500MG TAB 1 BOX 24 TAB 488.870,00 723.657,98
THI011 THIAMPHENICOL 500 MG TAB CP 37 TAB 0 TAB 49.950,00 62.600,00
THR001 THROMBO ASPILETS 80 MG TAB 47 BOX 0 TAB 5.264.023,50 6.608.198,67
THR003 THROMBOPHOB 20 G GEL 14 TUB 0 TUB 675.675,00 1.000.927,13
THR005 THRAMED 50 MG KAPSUL 24 BOX 38 KAPS 2.228.400,00 4.323.378,00
TIZ002 TIZANIDINE 2 MG TABLET 81 BOX 12 TAB 3.350.692,62 7.967.994,65
TOP003 TOPICARE CLEANSER 90 ML 4 BTL 0 BTL 202.032,20 345.893,63
TOR004 TORASIC 10 MG TAB 1 BOX 0 TAB 100.000,00 136.500,00
TOR006 TORASIC 30 MG INJ 5 BOX 0 AMP 787.679,40 1.304.333,23
TOR008 TORAS 4 MG TAB 0 BOX 71 TAB 156.200,00 217.255,50
TRA012 TRANSOFIX 200 PCS 0 PCS 618.200,00 936.348,91
TRA021 TRAJENTA 5 MG TAB (CP) 39 TAB 0 TAB 753.870,00 1.098.891,17
TRA022 TRAJENTA 5 MG TAB 11 BOX 0 TABLET 5.204.529,00 7.539.852,45
TRA034 TRAMADOL 100MG/2ML INJ 33 BOX 4 AMPUL 694.094,83 1.383.064,80

TRAFAS - 3.5MM CORTICAL SCREW 18 MM
TRA057 1 PCS 0 PCS 147.900,00 295.800,00
(T500035018)
TRAFAS - 3.5MM LOCKING SCREW 18 MM
TRA066 3 PCS 0 PCS 1.183.200,00 2.366.400,00
(T500935018)
TRA067 2 PCS 0 PCS 788.800,00 1.577.600,00
(T500935020)
TRA098 1 PCS 0 PCS 394.400,00 788.800,00
(T500935012)
TRAFAS - 3.5MM CLAVICLE RECONSTRUCTION
TRA099 1 PCS 0 PCS 3.498.600,00 6.997.200,00
LOCKING PLATE ALL SIZE
TRI005 TRIXIM 200 mg Capsul 7 Box 0 Cap 1.610.000,00 2.302.300,00
TRI010 TRILAC 40 MG/ML INJ 2 BOX 0 VIAL 180.000,00 245.700,00
TRI029 TRIAMCINOLONE 4 MG TAB 4 BOX 58 TAB 265.488,86 488.871,58
TRI031 TRIOFUSIN 1000 INFUS 2 BTL 0 BTL 168.000,00 226.800,00
TRI041 TRIMETAZIDIN 35 MG TABLET 24 BOX 28 TAB 1.117.362,40 2.298.334,50
TRU001 Truxanthin Capsul 0 Box 15 Caps 141.129,00 193.070,63
TRU005 TRUVAZ 20 MG TAB 2 BOX 17 TAB 857.585,96 1.582.533,68
TUT004 TUTOFUSIN OPS CP 1 BTL 0 BTL 80.000,00 80.000,00
UMB009 UMBILIKAL CATHETER NO 5 2 PCS 0 62.236,20 113.682,90
URD001 URDAFALK 250 MG TAB 10 BOX 21 TAB 3.042.543,93 4.269.513,76
URI009 URINE COLLECTOR (SAHABAT) 22 PCS 0 PCS 883.171,52 1.697.612,50
URO006 UROTRACTIN 400 MG TAB 3 BOX 32 TAB 539.328,00 993.432,00
VAK001 VAKSIN PENTABIO 1 1 BOX 5 VIAL 0,00 0,00
VAK005 VAKSIN POLIO (DINKES) 41 VIAL 0 VIAL 0,00 0,00
VAK015 VAKSIN FLUQUADRI 0.5 ML DEWASA 1 BOX 1 SYRINGE 1.163.749,98 1.777.545,00
VAL007 VALISANBE 2 MG TAB 28 BOX 92 TAB 636.240,00 941.306,20
VAL008 VALISANBE 5 MG 3 BOX 13 TAB 115.810,00 169.539,55
VAL010 VALISANBE 10 MG/2 ML INJEKSI 3 BOX 1 AMP 531.030,00 750.379,65
VAP001 VAPORIN KAPS 7 BOX 8 KAPS 429.000,00 607.571,25
VEC002 VECTRINE 175 MG/5 ML DRY SYR 49 Box 0 Btl 1.960.000,00 2.737.280,00
VEL006 VELAZOL 500 MG /100 ML INF 21 BOX 0 VIAL 1.365.000,00 1.774.500,00
VEL017 VELUTINE PLUS RESP 22 BOX 14 AMP 3.859.000,00 5.623.536,26
VIT016 VIT C 50 MG TAB KF 22 BOX 5 TAB 252.252,00 372.589,27

VIT026 VITADION INJ 12 BOX 0 AMPUL 545.822,40 1.012.896,00
VIT040 VITAMIN B COMPLEX TABLET IPI 50 BTL 15 TAB 182.559,00 272.779,22
VOL010 VOLTAREN R 100MG TAB 0 BOX 40 TAB 410.026,40 548.530,74
VOM010 Vometa Flash Tab 6 Box 45 Tab 1.276.500,00 1.796.535,00
VOM011 Vomitas FDT Tab 1 Box 27 Tab 238.539,07 427.777,35
WAT001 WATER FOR IRRIGATION 1000 ML 35 BTL 59 ML 978.146,10 1.293.754,27

3WAY STOPCOCK + EKOR 10 CM DISCOFIX
WAY003 48 PCS 0 PCS 1.402.896,00 2.108.728,05
(B.BRAUN)
WIN007 WING NEEDLE 21G 3/4" 67 PCS 0 PCS 450.240,67 1.108.433,20
XEP001 XEPAZYM TAB (CP) 96 TAB 0 TAB 360.000,00 376.350,00
XEV001 XEVOLAC 10 MG TAB 20 BOX 6 TAB 2.436.000,00 3.449.160,00
XEV002 XEVOLAC 30 MG INJ 17 BOX 3 AMP 3.465.000,00 4.581.720,00
ZAL001 ZALDIAR TAB 20 BOX 0 TAB 2.160.000,00 3.191.562,00
ZIN001 ZINC TAB PHAPROS 1 BOX 21 TAB 56.440,45 83.781,51
ZIT001 ZITANID 2 MG TAB 28 BOX 26 TAB 4.763.000,00 6.780.702,50
ZIT002 ZITHRAX 500 MG TAB 11 BOX 4 TAB 2.100.240,80 4.004.000,00
ZOM001 ZOMETA INFUS 4 MG/100 ML 4 BOX 0 BOX 5.559.272,00 8.992.122,46
ZYF001 ZYFORT INJ 15 BOX 2 AMP 1.302.375,00 2.468.684,90
ALA005 ALAXAN FR KAPS 1 BOX 4 KAPS 44.044,00 61.711,16
ALI006 ALIF 500 MG TABLET 4 BOX 11 TAB 627.309,30 1.012.558,01
ASA004 ASAM SALICYL CP 0 GRAM 0 MG 0,00 0,00
BOT001 BOTOL LOTION 100 ML GEPENG 8 PCS 0 PCS 20.000,00 29.143,13
BOT004 BOTOL TONER 100ML** 1 LUSIN 9 PCS 51.975,84 82.612,50
CAR002 CAR-Q 100 KAPS 0 BOX 21 KAPS 194.406,03 265.650,00
CAR012 CARMED LOTION 100 ML 6 BOTOL 0 ML 169.944,00 257.795,85

CER014 CERADAN 30 GRAM CR 3 TUBE 0 GRAM 337.500,00 527.686,66
COB004 COBAZYM 3000 CAP 0 BOX 44 CAP 415.424,24 632.721,38
DIP011 DIPROSONE OV 10 GRAM OINT 8 TUBE 0 TUBE 659.680,00 979.624,80
ETO003 ETORICOXIB 90 MG TABLET 1 BOX 19 TAB 236.313,28 362.950,00
EVA002 EVALEN 10 GRAM CR 7 TUBE 0 TUBE 315.000,00 431.145,00
FLU027 FLUNARIZINE HCL 10 MG TAB 12 BOX 27 TAB 824.468,19 1.327.645,00
FRE002 FREGO 10 MG TAB 3 BOX 27 TAB 1.150.843,38 1.873.014,00
GAN001 GANIN 300MG TAB 9 BOX 20 TAB 2.610.000,00 3.732.300,00
GLY001 GLYCERIN PH 1 L 0 BTL 583 ML 34.449,47 51.128,70
HEX010 HEXYMER 2 MG TAB (@100) 4 BOX 52 TAB 158.200,00 232.276,28
HYD001 HYDROCORTISONE 2,5 % 5 GRAM CR (KF) 45 TUBE 0 TUBE 153.844,20 220.253,32
IRG002 IRGAPAN 200 MG TAB 0 BOX 99 TAB 44.929,17 71.302,38
ISO011 ISONIAZID 100MG TAB (KF) 8 BOX 9 TAB 104.846,40 155.683,29
KLO002 KLODERMA 5 GRAM OINT 14 TUBE 0 TUBE 235.042,50 418.543,54
KLO006 KLODERMA OINT 10 GRAM 11 TUBE 0 TUBE 286.996,93 509.549,93
LCD001 LCD LIQUID CARBONIES DETERGENT 0 BTL 221 ML 693.135,56 1.025.679,08
LOD003 LODOMER 2 MG TAB 1 BOX 2 TAB 100.980,00 149.955,30
MEL008 MELANOX ES 15 GRAM CR 19 TUBE 0 TUBE 943.642,79 1.650.050,33
MER005 MERTIGO 6 MG TAB 4 BOX 81 TAB 1.635.400,00 2.335.528,00
MER016 MERLOPAM 2 MG TAB 1 BOX 25 TAB 375.000,00 556.875,00
MIN028 MINYAK TELON LANG 60 ML 3 BTL 45 ML 54.767,25 83.400,37
MOF002 MOFACORT 10 GRAM CR 14 TUBE 0 GRAM 768.796,00 1.361.338,51
NOM001 NOMATHIC 75 MG TABLET 4 BOX 24 TAB 936.000,00 1.375.481,25
PIR007 PIROXICAM 10 MG TAB NOVELL 22 BOX 34 TAB 303.488,90 496.969,58

POT005 POT SALEP 30 G 74 PCS 0 PCS 248.983,36 364.546,66
PRA012 PRAXILENE TAB CP 297 TAB 0 TAB 1.865.341,17 3.031.198,38
PRE002 Pregabalin 150 mg Cap 11 Box 19 Cap 1.932.971,40 4.434.768,00
RES004 RESORCINOL 1 KG 0 POT 9253 MG 8.420,23 13.770,72
RIF008 RIFAMPICIN 450 MG KAPLET 18 BOX 36 TAB 2.526.776,64 4.607.546,13
SAL014 SALICYL ACID CP 59 GRAM 881 MG 209.583,50 309.522,62
SIR011 SIRPLUS SERBUK STRAWBERRY 20 GR 1 BOTOL 45 BUTIR 47.775,00 69.555,55
STU003 STUGERON 25 MG TAB 0 BOX 133 TAB 385.338,24 572.227,24
TRA008 TRAMAL 50 MG KAPS 8 BOX 45 KAPS 2.380.750,00 3.364.481,25
TRA019 TRANSBRONCHO 30 MG TAB 2 BOX 76 TAB 234.600,00 342.614,83
TRA045 TRACETAT TAB CP 240 TAB 0 6.486.480,00 7.078.371,30
TRI009 TRILAC 4 MG TAB 33 BOX 12 TAB 3.507.000,00 4.961.092,50
TWE001 TWEEN 80 0 BTL 80 ML 25.260,80 16.108,41
VAS001 VASELIN ALBA 1 KG 0 BTL 675 GRAM 61.364,25 90.956,83
VCO001 VCO 100 ML CP 605 ML 0 ML 317.625,00 345.371,25
VIT011 VIT B6 TAB 17 BTL 69 TAB 185.868,83 278.061,89
VIT034 VITAMIN B1 TABLET IPI 27 BOTOL 20 TAB 99.985,60 148.773,67
ZEL001 ZELFACE 10 GRAM CR 5 TUBE 0 TUBE 195.000,00 270.484,50
ACE003 ACETYLCYSTEINE 200 MG TAB 1 BOX 3 TAB 82.400,00 151.340,00
ALB009 ALBUSMIN KAPSUL 27 BOX 20 TAB 4.039.427,40 5.913.143,75
ALE005 ALENA 2MG 1 BOX 27 TABLET 228.000,00 337.080,00
ALG001 ALGISITE 10 CM X 10 CM 6 PCS 0 PCS 600.000,00 829.725,00
ALK006 ALKOHOL SWAB 0 PACK 75 PCS 9.645,00 21.084,00
ALL017 ALLOPURINOL 300 MG TAB HEXPHARM 6 BOX 54 TAB 258.199,20 403.297,65

AMI006 AMINEFRON TAB 7 BOX 7 TAB 4.595.500,00 6.487.107,25
AMI007 AMINOFLUID-L 500ML * 2 BAG 0 BOTOL 346.500,00 467.775,00
AMO008 AMOXICILLIN 125 MG/5 ML DS 29 BTL 0 BTL 96.453,42 156.077,74
ANE001 ANEROCID 300 Capsul 13 Box 15 Cap 2.551.500,00 3.608.104,50
ANT015 ANTRAIN INJ 8 BOX 2 AMP 430.920,00 642.438,00
AQU005 AQUAMARIS STRONG 30 ML NASAL SPRAY 3 BOX 0 BTL 270.000,00 445.500,00
ARK003 ARKINE 2 MG TAB 100'S 6 BOX 6 TAB 363.600,00 562.275,02
ASA001 Asam Valproat 250mg/5ml Syr 37 box 0 btl 1.243.200,00 2.196.831,00
ATO003 ATORVASTATIN 20 MG TAB NOVELL 15 BOX 6 TAB 1.109.758,08 2.616.460,00
AZO002 AZOMAX 500 MG KAPL 6 BOX 7 KAPL 2.211.000,00 3.096.307,50
BED002 BEDAK SALICYL 60GR 4 PCS 0 PCS 21.828,84 30.833,99
BEN018 BENANG CHROMIC GUT 0 (CG-904) 6 pcs 0 pcs 307.800,00 684.000,00
BEN035 BENANG T-MONO 3-0 M51 48 PCS 0 PCS 4.838.403,84 7.380.800,00
BEN037 BENANG MONOSOF 4-0 (SN-644) 2 PCS 0 PCS 132.000,00 196.020,00
BEN041 BENACOL EXPECT 60 ML SYR 14 BOX 0 BTL 153.517,28 245.760,00
BEN088 BENANG POLYSORB 4-0 TAPER (GL 181) 6 PCS 0 PCS 425.215,08 1.060.800,00
BEN159 BENANG T-VIO 3-0 TAPER 76 CM (V4) 4 PCS 0 PCS 288.000,00 528.000,00
BEN171 BENANG T-NYLON 5-0 CUTTING 76 CM (N46) 6 PCS 0 PCS 302.100,00 569.750,00
BEN175 BENANG T-SILK 2-0 CUTTING (S24) 23 PCS 0 PCS 869.401,84 1.765.260,00
BRA003 BRAINACT ORAL 500 MG TAB 2 BOX 15 TAB 846.185,25 1.308.125,00
BUP002 BUPIVACAINE HCL HEAVY INJ 1 BOX 0 AMP 105.750,00 174.487,50
BUS004 BUSCOPAN 10 MG TAB 2 BOX 58 TAB 706.984,50 1.120.625,54
CAL016 CALOS 500 MG TABLET 2 BOX 24 TAB 93.025,44 172.770,18

CAM001 CAMIVITA SYR 17 BTL 0 BTL 74.908,80 130.870,08
CEF013 Cefixime 100 mg Cap Dexa 9 box 68 Cap 1.369.710,32 2.935.527,89
CEF016 Cefazolin 1g Inj 28 box 0 vial 1.051.260,00 1.366.638,00
CEN051 CENDO CYCLON 1% TM 5 ML 13 BTL 0 BTL 214.493,11 339.912,50
CEN067 CENDO SILOXAN TM 60 BTL 0 BTL 2.943.358,80 4.663.100,00
CER002 CERVARIX 0,5 mg Vial 2 Box 0 vial 1.177.535,00 1.537.632,80
CHL004 Chlorpromazine 100 mg 0 box 35 Tab 8.408,75 11.774,70
CIV002 CIVELL 500 MG TAB 6 BOX 29 TAB 2.299.000,00 3.224.650,00
CIV004 CIVELL MR 1000 MG TAB 4 BOX 2 TAB 1.050.000,00 1.542.250,00
CYT007 CYTO-SET INFUSOMAT 5 SAFESITE 52 PCS 0 PCS 7.293.853,32 13.902.000,00
DEX036 DEXAMETHASONE 0,5 MG TAB (HARSEN) 5 BOX 47 TAB 152.453,67 259.367,75
DIA005 DIANE-35 TAB 2 BOX 0 BOX 202.217,00 316.097,10
DIK001 DIKLOVIT KAPL 3 BOX 66 KAPL 951.600,00 1.177.163,00
DOB001 DOBUTAMINE 50MG Amp 9 box 1 Amp 2.211.536,48 3.114.861,75
ERG001 ERGOSTAR CM 50 0 BOX 14 PCS 663.798,10 294.000,00
ETT042 ETT CUFF FLEXICARE NO 3,5 1 PCS 0 32.400,00 54.000,00
EZO001 EZOMEB 40 MG INJ 47 BOX 0 VIAL 5.086.487,58 7.878.000,00
FEN006 FENOFLEX 160 MG KAPSUL 4 BOX 10 KAPS 1.170.000,00 1.737.450,00
FER004 FEROFORT FC TAB 2 BOX 39 TAB 366.582,98 506.948,75
FG 001 FG THROCHES 120 TAB 1 BOX 49 TAB 178.950,72 259.411,01
GUE020 GUEDEL STERIL NO 3/80 ( HIJAU ) 16 PCS 0 PCS 140.710,88 324.000,00
HCT002 HCT HYDROCHLORTHIAZIDE 25MG TAB KF 2 BOX 58 TAB 34.946,10 51.805,59
HEM004 HEMOLOK FERACRYLUM 1% 100 ML 2 BTL 0 ML 181.000,00 251.137,50
HME001 HME TWIN STAR 55 0 BOX 14 PCS 665.957,88 252.000,00

HYDROGEN PEROXIDE H2O2 3% 100ML ONE
HYD005 15 BOTOL 0 ML 71.865,00 114.029,06
MED*
HYD015 HYDROXYUREA MEDAC 500 MG TAB CP 10 TABLET 0 TABLET 111.000,00 111.000,00
HYP007 Hypafix 5 Cm X 5 M 0 Rol 700 CM2 15.148,00 24.360,00
HYP008 HYPAFIX 5 CM X 1 M 3 ROL 450 CM2 49.296,00 80.730,00
IMB005 IMBOOST FORCE COUGH KAPL 1 BOX 9 KAPL 239.382,78 382.239,00
INF031 INFANRIX HEXA Inj 15 box 0 Vial 7.672.024,05 10.144.035,00
INT008 INTRASITE 15 GRAM GEL 3 TUBE 0 TUBE 270.000,00 376.650,00
IOP002 IOPAMIRO 370 MG / 50 ML 14 BTL 0 BTL 3.879.400,00 6.722.120,00
ISO003 ISOPRINOSINE SYR 10 BOX 0 BTL 984.380,00 1.373.751,51
KAB026 KABIVEN PERIPHERAL 1440 ML INF 5 BAG 0 BAG 1.454.500,00 2.050.845,00
KAS004 Kasa roll Hydrofil 0 310 LEMBAR 132.540,50 242.185,97
KAS005 KASA VERBAND 15 CM (ONEMED) 0 BOX 9 PCS 26.135,55 38.850,00
KAS011 KASA BIGHAS 10CM X 80CM 5 PCS 0 PCS 97.500,00 212.500,00
LAC009 LACTULOSA SIRUP 60 ML 36 BTL 0 BTL 990.000,00 1.431.650,00
LAN001 LANCID 30 MG KAPS 27 BOX 18 KAPS 7.156.377,90 11.676.616,25
LEP004 LEPARSON TAB 3 BOX 9 TAB 1.231.287,75 1.828.462,31
LEV004 LEVORES 500 MG TAB 25 BOX 7 TAB 7.462.000,14 10.978.500,00
LIV003 LIVERPRIME KAPS 4 BOX 26 KAPS 965.790,00 1.221.724,35
MET003 Metronidazole 500 mg Tab 5 Box 8 Tab 78.973,68 112.375,66
MET008 METHISOPRINOL 250 MG/5 ML SYR 11 BOX 0 BTL 467.500,00 754.000,00
MET025 Metvell 0,125 mg Tab 5 Box 0 Tab 371.250,00 504.825,75
MET034 METRIX 2 MG TAB 2 BOX 0 TAB 265.732,20 411.840,00

MET044 METRISON 16 MG TAB 2 BOX 13 TAB 412.450,00 584.520,75
MET060 METHYLPREDNISOLONE 16 MG TABLET 1 BOX 4 TAB 71.136,00 111.196,80
MIC010 MICONAZOLE 2% 10 GRAM CR (KF) 8 TUBE 0 TUBE 26.000,00 37.886,06
MIN027 MINYAK KAYU PUTIH LANG 60 ML 10 BTL 0 BTL 176.655,40 270.270,00
MON004 MOUNTOYA 19 L 27 GALON 0 318.065,13 627.900,00
MON009 MONELL ODT TABLET 4 BOX 30 TAB 966.000,00 1.351.665,00
MOR003 MORINAGA NL-33 350 GRAM 5 BOX 0 KALENG 390.000,00 572.520,00
NAR005 NARFOZ 4 MG/2 ML INJ 1 BOX 2 AMP 177.100,00 230.230,00
NAS004 NASAL CANNULA OKSIGEN (PEDIATRIC) 28 PCS 0 PCS 144.633,44 324.555,00
NAV002 NAVITAE TM CP 1 BTL 0 BTL 166.500,00 183.150,00
NEO013 NEO MERCAZOL 5 MG 1 BOTOL 61 TAB 174.918,45 358.627,50
NEO014 NEONATAL PHOTOTHERAPY MASK UNIMED 14 PCS 0 PCS 655.470,06 1.518.840,00
NEP001 N-EPI 4 MG INJ 19 BOX 1 AMP 8.640.000,00 11.267.100,00
NEU013 NEUROBION 5000 DUAL AMP INJ 0 BOX 1 AMP 8.458,95 14.045,48
NOP004 NOPROSTOL TAB 0 Box 21 Tab 207.270,00 283.565,10
NOV022 NOVALGIN 500 MG TAB 0 BOX 118 TAB 141.689,68 205.384,03
NOV023 NOVA-T 380 2 BOX 0 PCS 495.514,80 817.599,42
NR.006 NR. SPUIT 50 CC 37 PCS 0 PCS 261.109,74 478.680,00
NR.024 NR. HAND SCOON STERIL NO 6,5 FP 181 PCS 0 PCS 1.151.818,84 1.154.873,35
NR.094 NR. GLIMEPIRIDE 1 MG TAB 4 BOX 0 TAB 35.272,00 52.378,92

NR.096 NR. GLIMEPIRIDE 3 MG TAB 7 BOX 18 TAB 99.025,12 151.941,84
NR.119 NR. AZITHROMYCIN 500 MG TAB 10 BOX 10 TAB 339.433,50 499.034,03
NR.127 NR. ACARBOSE 100 MG TAB 8 BOX 75 TAB 637.315,00 2.251.300,92
NR.134 NR. URSODEOXYCHOLIC ACID 250 MG TAB 15 BOX 23 TAB 1.589.469,20 2.915.325,00
NR.156 NR. PIRACETAM 3 G/15 ML INJ 9 BOX 3 AMP 424.515,00 839.325,00
NR.163 NR. LOVENOX 40 MG/0.4 ML 21 BOX 0 PCS 3.463.236,00 5.013.446,40
NR.173 NR. DOXYCYCLINE 100 MG TAB 1 BOX 7 TAB 49.959,37 57.847,19
NR.191 NR. VENTOLIN 2.5 MG NEB 2 BOX 5 AMPUL 163.635,75 239.744,56
NR.203 NR. SIFROL ER 0.375 MG TAB 8 BOX 6 TAB 1.856.180,70 2.756.428,36
NR.215 NR. LANTUS SOLOSTAR 3 BOX 2 PEN 1.297.409,40 1.904.520,68
NR.217 NR. CARBOPLATIN 150 MG INJ 8 VIAL 0 VIAL 952.720,00 1.414.789,20
NR.227 NR. PACLITAXEL 100 MG INJ 16 VIAL 0 VIAL 3.781.824,00 5.616.008,64
NR.231 NR. PACLITAXEL 30 MG INJ 16 VIAL 0 VIAL 1.898.176,00 2.818.791,36
NR.302 NR. FRIDEP 50 MG TABLET 1 BOX 29 TAB 142.583,53 211.735,66
NR.313 NR. OCTALBIN 25% 100 ML 23 BOX 0 BOX 31.572.721,00 44.750.900,20
NR.339 NR. OCTANINE 500 IU/VIAL 4 BOX 0 VIAL 17.927.200,00 26.621.892,00
NR.357 NR. EPIRUBICIN 50 MG/25 ML INJ 21 BOX 0 VIAL 8.113.644,00 11.944.443,06
NR.382 NR. SIFROL ER 0.750 MG TAB 1 BOX 0 TAB 360.000,00 534.600,00
NR.401 NR. CARBOPLATIN 450 MG INJ FERRON 7 BOX 0 VIAL 1.935.818,22 2.827.677,34
OBH003 OBH LUCAS 100ML SYR 27 BTL 0 BTL 134.946,00 228.504,15
OBI002 OBICAL TAB 5 BOX 18 TAB 478.800,00 598.143,75
OPS006 OPSITE IV 3000 5 CM X 6 CM 12 PCS 0 PCS 64.800,00 90.463,50
OSF003 OSFIT TAB 7 BOX 14 TAB 723.334,78 1.035.265,72
OXY009 OXYTOCIN HCL 10MG INJ @10 0 BOX 1 AMP 2.250,00 3.750,00
PAK008 PAKET MANDI PERMATA 16 PACK 0 489.748,32 488.000,00
PAR021 PARAFILM 1 BOX 0 BOX 765.000,00 1.336.500,00
PEN005 PENENG PASIEN BAYI PINK 0 BOX 55 PCS 54.230,00 120.060,00
PIP001 PIPET TETES PLASTIK 19 PCS 0 64.638,00 95.987,43
PIR009 PIROTOP 10 G CR 14 TUBE 0 TUBE 690.524,52 1.239.084,00
PON001 PONDEX FORTE TABLET 4 BOX 34 TAB 164.920,00 240.787,95
POV002 POVIDONE IODINE 1 LITER 28 BOTOL 133 ML 1.932.455,77 2.862.632,59
PRE001 Pregabalin 75 mg Cap 3 Box 7 Cap 388.009,70 888.940,00
PRE007 PRENATIN-DF TAB 4 BOX 18 TAB 715.284,36 1.013.331,78
PRE008 Prednison 5 mg Tab 12 Box 0 Tab 124.428,00 170.451,59
PRI014 PRIVE URICRAN TAB 7 BOX 6 TAB 817.199,28 1.213.540,92
PRO011 PROSTAM SR KAPS 11 BOX 4 KAPS 3.941.200,00 5.591.430,00
REX001 REXIDRON 200 MG TAB 10 BOX 14 TAB 1.256.000,00 1.714.674,00
RIK001 RIKLONA 2 TAB 1 BOX 91 TAB 1.272.060,00 1.889.009,10
RYM001 RYMONT 10 MG TABLET 6 BOX 5 TAB 1.154.400,00 1.775.345,00
SIL004 SILDENAFIL CITRATE 50 MG TAB 1 BOX 1 TAB 91.000,00 207.900,00
SPA010 SPALK M MOTIF 68 PCS 0 PCS 476.000,00 815.570,00
SPA011 SPALK L MOTIF 6 PCS 0 PCS 51.000,00 86.997,50
SPA017 SPALK 8X30 1 PCS 0 PCS 18.486,35 27.472,50
SPO001 SPORACID 100 mg Cap 6 Box 9 Cap 1.359.300,00 1.943.799,00
STA004 STATOR 20 MG TAB 0 BOX 15 TAB 240.000,00 343.200,00
STE004 STESOLID Syrup 60 ML 6 Btl 0 Btl 270.000,00 364.747,50
SUP004 SUPERTETRA CAP ( CP ) 6 KAP 0 7.896,00 7.382,76
SYN001 SYNFLORIX PFS INJ 19 BOX 0 VIAL 8.576.168,70 11.178.302,16

T-R002 T-ROLL CHROMIC 3-0 100M (RC9) 0 ROLL 18 10 CM 27.000,00 39.315,00
TEN012 TENSOCREPE FL 72007 3INCH (7.5CM X 4.55M) 8 PCS 0 PCS 397.996,96 693.000,00
TET004 Tetagam P 250 IU/ml Inj 19 Box 0 Amp 3.667.000,00 5.026.781,50
THE003 THEOBRON 4 BOX 50 KAP 936.562,50 1.580.176,40
TOP004 TOPSY CREAM 5 GR 4 TUBE 0 TUBE 154.828,80 250.110,00
TRA026 TRANSBRONCHO SYR 15 MG 100 ML 28 BTL 0 558.600,00 868.502,25
TRI011 TRILAC 50 MG/5 ML INJ 7 VIAL 4 ML 780.000,00 1.089.400,00
TRI021 TRIOFUSIN 500 INFUS 45 BTL 0 BTL 3.465.000,00 4.958.800,00
UND001 Underpad 1 BOX 3 PCS 53.122,03 107.100,00
URI010 URISPAS TAB 1 BOX 15 TAB 228.749,85 322.708,86
VAK003 VAKSIN HB 0 42 PCS 0 PCS 0,00 0,00
VAK016 VAKSIN FLUQUADRI 0.25 ML ANAK 2 BOX 1 SYRINGE 1.661.550,00 2.526.430,50
VAR001 VARILRIX INJ.0.5 ML Inj 7 box 0 Vial 2.517.980,78 3.320.625,00
VEC001 VECTRINE 300 MG CAP 16 Box 12 Cap 1.577.000,00 2.214.200,63
VEN016 VENT SET COAX DRAEGER 0 BOX 14 PCS 4.072.992,00 6.313.137,60
VIN001 VINCRISTINE 2 MG INJ 9 VIAL 0 VIAL 662.724,00 978.622,44
VIS010 VISANNE 2MG CP 2 STRIP 0 STRIP 656.000,00 721.600,00
VOM007 VOMETA 5 MG/ML DROPS 10 ML 10 BOX 0 BOX 395.000,00 559.715,00
YAS002 YASMIN TAB CP 1 BOX 0 BOX 249.300,00 274.230,00
YUS002 YUSIMOX FORTE DS CP 6 BTL 0 BTL 30.068,16 45.735,30
ZAM003 ZAMEL SYR 26 BOX 0 BTL 975.000,00 1.217.634,38
ZEG001 ZEGAVIT TAB 3 BOX 22 TAB 428.431,36 719.685,00
ZOL003 ZOLEDRONIC ACID INJ 1 BOX 0 VIAL 979.200,00 2.376.000,00
ALK005 ALKOHOL 70% 1 LITER 0 BOTOL 832 ML 22.730,24 36.695,15

AMI014 AMINOPHYLINE 200 MG TAB 0 BOX 32 TAB 3.580,48 6.782,43
BOT006 BOTOL 100 CC 7 PCS 0 4.972,03 5.320,00
CER021 CERADAN HYDRA (CP) 70 GRAM 0 GRAM 197.050,00 216.755,00
ERY002 ERYMED 20 GRAM CR 6 TUBE 0 TUBE 145.650,72 255.717,00
ERY003 ERYMED 15 GRAM GEL 5 BOX 0 TUBE 120.563,00 213.097,50
FRI004 FRISIUM 10 MG TAB 4 BOX 77 TAB 1.977.398,73 2.927.902,58
HAL004 HALOPERIDOL 5 MG TAB 1 BOX 17 TAB 31.005,00 44.861,91
KET036 KETOMED CR 15 GRAM CP 5 TUBE 0 TUBE 180.000,00 198.000,00
NR.196 NR. DORNER 20MCG TAB 0 BOX 16 TAB 70.880,00 103.160,30
POT006 POT SALEP 20 G 15 PCS 0 PCS 81.250,05 119.449,69
PRO003 Propanolol 40 mg Tab 1 Box 12 Tab 14.154,56 20.260,33
PRO055 PROPILEN GLIKOL BRATACO 0 BOTOL 24 ML 1.745,52 1.920,08
SIB003 SIBITAL 50 MG TAB 4 BOX 7 TAB 582.010,00 864.842,55
SME002 SMECTA 0 BOX 20 SACH 66.666,60 98.999,91
VIT020 VITACID 0.1 % 20 GR 5 TUBE 0 181.087,50 325.957,50
16 001 16 HL STR PLT (210-0034) 2 PCS 0 PCS 7.046.325,00 13.369.950,00
ACT023 ACTIMOVE MITELLA - ECO ARM SLING-M 2 Pcs 0 Pcs 175.493,96 305.550,00
AMP030 AMPICILLIN 1 GRAM INJ BERNO 7 BOX 0 VIAL 712.737,20 1.191.000,00
ARC002 ARCALION TAB (CP) 44 TAB 0 TAB 356.620,00 389.040,00
BEN012 BENANG POLYSORB 2/0 TAPER (CL-923) 11 PCS 0 PCS 668.250,33 1.395.000,00
BEN026 BENANG MONOSOF 3/0 CUTTING (SN-665) 3 PCS 0 PCS 123.525,36 258.335,00
BEN074 BENANG MONOSOF 2-0 CUTTING (SN-664) 8 PCS 0 350.991,68 858.000,00
BEN146 BENANG T-NYLON 2-0 CUTTING 76 CM (N90) 30 PCS 0 PCS 1.566.000,00 3.155.200,00
BEN148 BENANG T-VIO 2-0 CUTTING 90 CM (V40) 12 PCS 0 PCS 1.095.870,96 1.875.250,00
BEN150 BENANG T-VIO 2-0 TAPER 90 CM (V9) 38 PCS 0 PCS 2.838.600,38 5.519.500,00
BENANG COROLENE 3/0 TAPER 90 CM
BEN191 1 PCS 0 PCS 104.880,00 249.090,00
(20S20A)
BRA004 BRAINACT O-DIS TAB 7 BOX 26 TAB 2.350.512,80 4.225.758,90
BUS008 BUSCOPAN INJ (CP) 2 AMP 0 AMP 91.000,00 95.550,00
CEN021 CENDO EYEFRESH MD 29 STRIP 0 AMP 623.761,00 989.917,74
CEN022 CENDO CATARLENT MD 4 STRIP 0 AMP 74.400,00 118.800,00
CEN035 CENDO TIMOL 0.5% 5ML BTL 20 BTL 0 886.615,20 1.408.254,94
CEN100 CENDO HYALUB MD 28 STRIP 0 AMPUL 1.484.278,60 2.344.666,50
CEN119 CENDO P-PRED 5 ML TM 4 BTL 0 BTL 206.460,00 329.670,00
CHL007 Chlorampenicol 250 mg Cap 0 Box 33 Cap 20.455,05 29.250,72
CIN001 CINOGENTA 10 GR Krim 3 Box 0 Tub 127.500,00 182.325,00
CIV001 CIVELL INF 9 BOX 0 BTL 1.710.000,00 2.223.000,00
CLA004 CLAVAMOX 60 ML DS 17 BOX 0 BTL 1.009.166,75 1.656.200,00
COD001 CODIKAF 10 MG TAB 0 BOX 35 TAB 27.562,50 41.580,00
COV008 COVERAM 5MG / 5MG TAB 3 BOX 3 TAB 911.400,00 1.353.429,00
DIM001 DIMENHYDRINATE 50MG TAB (KF) 0 DOS 52 TAB 6.749,08 9.957,61
DOP002 DOPAMET 250 MG TAB 1 BOX 85 TAB 215.743,30 507.045,83
DUL009 DULCOLAX 10 MG SUPP @50 0 BOX 19 SUPP 270.457,02 407.445,72
ENG001 ENGERIX B 20MCG Vial 2 Box 0 vial 176.524,32 227.396,40
EPI007 EPINEPHRINE 1 MG/ML INJ ETHICA 0 BOX 5 AMP 43.181,80 62.205,00
ETT021 ETT NON KINKING NO 4 1 PCS 0 PCS 104.882,75 279.140,00
ETT022 ETT NON KINKING NO 4.5 2 PCS 0 PCS 187.657,14 591.120,00
EZE001 EZELIN INSULIN 2 CARTRIDGE 0 CARTRIDGE 212.500,00 350.000,00

FAC014 FACE MASK ANESTESI NO.3 1 PCS 0 PCS 39.189,31 102.765,00
FAR003 FARGOXIN 0.25 MG TAB 0 BOX 39 TABLET 10.547,94 12.441,00
FLA005 Flamicort 50 mg/5ml Inj 9 Box 4 ML 1.225.000,00 1.735.500,00
FLI001 FLIXOTIDE 0.5 MG NEB 25 BOX 3 NEB 4.753.151,48 7.080.077,40
FOL037 FOLAMIL GOLD TAB 9 BOX 25 TAB 1.180.000,00 1.743.390,00
FRE001 FREGO 5 MG TAB 5 BOX 42 TAB 1.597.695,52 2.480.400,00
GEM001 Gemfibrozil 300 mg Cap 1 box 75 Cap 69.349,00 122.334,96
GLI021 GLISODIN CP 14 TAB 0 TAB 102.088,00 112.296,80
GRA015 GRANON TABLET 11 BOX 1 TAB 1.665.000,00 2.381.700,00
GUE027 GUEDEL STERIL NO 5/100 ( MERAH ) 13 PCS 0 PCS 217.216,35 453.285,00
GYP007 GYPSONA 3INCH 3.5MX7.5CM 10 ROL 0 Rol 233.858,30 401.731,20
HEX003 HEXILON 8 MG TAB 1 BOX 5 TAB 150.500,00 205.991,50
HYD011 HYDROCORTISONE 1% 5 GR CP 1 TUBE 0 TUBE 8.250,00 8.250,00
INF001 INFUS D10 1/5 NS 500 ML 7 BTL 0 BTL 112.700,00 146.510,00
INF004 INFUS D 40% 25 ML 121 BTL 0 BTL 1.101.100,00 1.463.371,00
INO001 INOXIN TAB 1 BOX 130 TAB 140.000,00 206.554,50
IPR001 IPROX 100 MG/5ML 60 ML SUSP 11 BOX 0 BTL 495.000,00 626.175,00
KET021 KETOMED SCALP SOL 60 ML 2 BOX 0 BTL 66.944,72 119.097,00
LEV001 LEVOFLOXACIN 500 MG INF 56 BOX 0 BTL 3.808.000,00 5.786.560,00
LIK001 LIKURMIN SYR 17 BOX 0 BTL 601.538,54 817.420,00
LIM002 LIMOXIN DROP 20 ML 34 FLS 0 FLS 901.000,00 1.318.023,89
LIP001 LIPROLAC 2.5 MG SACH 1 BOX 19 SACH 283.269,49 443.776,43

MEC003 MECONEURO 500 MG INJ 4 BOX 4 AMP 880.000,00 1.125.800,00
MER022 MEROPENEM 1 GR INJ (@10) 6 BOX 0 VIAL 4.800.000,00 17.000.000,00
MIN010 MINI PLATE THT 2.0MM 10 HOLE (210-0032) 1 PCS 0 PCS 2.690.634,81 5.243.288,36
MIN011 MINI PLATE THT 1.6MM 10 HOLE (218-0038) 2 PCS 0 PCS 2.509.650,00 4.761.900,00
NAS005 NASAL CANNULA OKSIGEN (INFANT) 23 PCS 0 PCS 146.806,01 222.468,12
NEB006 NEBACETIN 5 MG POWDER 15 PCS 0 PCS 277.094,55 407.740,00
NEE017 NEEDLE 23G X 1-1/4" TERUMO 4 PCS 0 PCS 3.977,12 10.692,00
NEU003 NEUROTAM 3 GRAM INJ 4 BOX 0 AMP 880.000,00 1.144.000,00
NEV003 NEVODIO TAB 1 BOX 25 TAB 247.500,00 367.537,50
NOV025 NOVALGIN SYR 60ML 8 BOX 0 BTL 360.488,00 525.287,38
NR.073 NR. INFUS MEYLON 25 ML 80 BTL 0 BTL 468.960,00 644.702,76
NR.085 NR. INFLOPLUS NO 18 IV CATHETER 28 PCS 0 166.762,12 328.860,00
NR.181 NR. NOVOMIX FLEXPEN 5 BOX 2 PCS 2.723.760,00 4.032.678,00
NR.183 NR. THYROZOL 5 MG TAB 1 BOX 2 TAB 61.292,82 67.420,98
NR.212 NR. DOXORUBICIN 10MG/5ML 37 VIAL 0 VIAL 1.496.826,86 2.217.136,29
NR.223 NR. INFUS KAEN 3A 500 ML 52 BTL 0 BTL 505.648,00 707.907,20
NR.225 NR. DOXORUBICIN 50ML/25ML 24 VIAL 0 VIAL 4.968.000,00 7.329.870,00
NR.257 NR. STESOLID RT 5 MG TUBE 2 BOX 2 TUBE 137.171,28 200.212,74
NR.273 NR. VALSARTAN 160 MG TABLET 0 BOX 3 TAB 7.363,20 28.957,50
NR.294 NR. PRADAXA 75 MG KAPSUL 0 BOX 5 CAP 67.272,75 99.899,96
NR.379 NR. DIALIFER INJ 10 BOX 4 AMP 1.398.897,00 2.077.468,78
NR.388 NR. CELLCEPT 500 MG TAB 0 BOX 15 TAB 240.736,35 510.794,04
PRO004 PROPANOLOL 10 MG TAB 3 BOX 44 TAB 27.489,04 38.615,88
PRO039 PRORIS SUSPENSI 6O ML 23 BOX 0 BOTOL 472.453,81 756.855,25

PRO094 PROLACTA DHA FOR MOM (CP) 75 KAPS 0 KAPS 457.500,00 503.250,00
PYR002 PYREX 1 GRAM/100 ML INF 19 BOX 0 BTL 1.235.000,00 1.630.850,00
RHI002 RHINOFED SUSP 5 BOX 0 BTL 125.000,00 168.025,00
RIF009 RIFAMPICIN 600 MG KAPLET 3 BOX 52 KAPLET 628.816,32 1.408.026,38
RIM003 RIME 1 GR INJ 25 BOX 0 VIAL 4.500.000,00 8.544.000,00
RIV003 RIVANOL 100 ML * 2 BOTOL 0 BOTOL 5.517,36 11.160,00
SCR006 SCREW THT AUTODRIVE 1.6X6 (211-1606) 3 PCS 0 PCS 1.201.736,25 2.341.845,00
SOF019 SOFFBAN 72011.14 3INCH(7.5CMX2.7M) 7 ROL 0 Rol 140.000,00 213.000,00
T-R001 T-ROLL CHROMIC 1 75M (RC12) 0 ROLL 100 10 CM 180.000,00 344.000,00
TEO003 TEOSAL TAB 2 BOX 64 TAB 48.850,56 73.435,95
THE002 THERAVASK 10 MG TAB 1 BOX 21 TAB 298.264,83 426.518,72
THI006 THIAMYCIN SYR 60 ML 2 BOX 0 BTL 81.700,00 124.055,00
TRU007 TRUVAZ 10 MG TAB 1 BOX 1 TAB 425.768,57 618.713,47
TUT001 TUTOFUSIN OPS 500 ML 2 BOX 3 BTL 743.600,00 981.552,00
VAK004 VAKSIN BCG (DINKES) 9 VIAL 0 VIAL 0,00 0,00
VBL001 VBLOC 6.25 MG TAB 0 BOX 9 TAB 22.924,53 32.175,00
VEL019 VELPRAZ 250 MG TABLET 1 BOX 90 TAB 570.000,00 846.450,00
VEN008 VENOFER INJ 0 BOX 2 AMP 359.600,00 552.420,00
ZAM001 ZAMEL DROP 8 BOX 0 BTL 316.000,00 390.655,00
ZYP002 Zypraz 0,5 mg Tab 1 Box 37 Tab 186.549,75 331.405,75
CER015 CERADAN HYDRA 80 GR 4 TUBE 65 GRAM 757.968,75 1.250.648,46
IFL003 IFLAZ 16 MG TAB 0 BOX 2 TAB 10.666,66 15.839,99

KET011 KETRICIN 4 mg Tab 2 Box 44 Tab 805.200,00 1.142.941,80
NEP003 NEPATIC 300 MG KAPS 1 BOX 40 KAPS 882.000,00 1.261.260,00
NR.104 NR. RANITIDINE 150 MG TAB 12 BOX 45 TAB 127.898,85 188.570,79
OLA003 OLANZAPINE 10 MG TABLET 0 BOX 16 TAB 78.000,00 178.200,00
QUE001 QUETVELL 100 MG TABLET 0 BOX 3 TAB 39.087,15 58.044,42
ALI004 ALINAMIN F TAB (CP) 45 TAB 0 TAB 72.000,00 60.150,00
ANT020 ANTASIDA DOEN TAB CP 77 TAB 0 TAB 23.100,00 25.410,00
BEN009 BENANG POLYSORB 3/0 TAPPER (GL-122) 5 PCS 0 PCS 303.776,95 675.000,00
BEN075 BENANG SILKAM 3/0 TAPER (HR 22) 3 PCS 0 PCS 226.800,00 334.152,00
BET022 BETADINE SOL 1L 0 BTL 350 ML 52.076,50 83.562,50
BIO023 BIOSAT 1.5 SERUM ATS 1500 UI/AMP 0 BOX 6 AMP 720.000,00 1.338.750,00
BIS015 BISOLVON 4 MG/2 ML INJ 3 BOX 2 AMP 1.550.098,88 2.455.886,60
BRA015 BRAINACT ORAL 1 GR TAB 5 BOX 16 TAB 2.589.415,74 4.669.957,50
BUR002 BURNAZIN 10 MG/GRAM 35 GRAM CR 4 TUBE 0 TUBE 214.000,00 285.155,00
CAN006 CANDERIN 16 MG TAB 3 BOX 17 TAB 963.000,00 1.430.055,00
CAP002 Captopril 25 mg Tab Dexa 4 box 27 Tab 48.127,17 76.189,92
CEF038 CEFOTAXIME INJ CP 60 VIAL 0 558.000,00 798.405,00
CEF041 CEFOPERAZONE INJ 12 BOX 1 VIAL 880.000,00 2.007.500,00
CEN027 CENDO EYEFRESH MILD MD 16 STRIP 0 AMP 455.698,40 727.650,05
CEN071 CENDO POLYDEX MD 39 STRIP 0 PCS 960.236,55 1.533.820,00
CEN106 CENDO NONCORT 5 ML TM 2 BTL 0 BTL 69.741,16 111.375,00
CEN124 CENDO POLYNEL MD CP 3 STRIP 0 STRIP 73.500,00 78.400,00
CET005 CETIRIZINE 10 MG TAB NOVELL 2 BOX 48 TAB 29.909,32 74.955,65
CIL001 CILOSTAZOL 100 MG TAB 0 BOX 12 TAB 79.800,00 167.580,00

CON015 CONDOM CATHETER M (SAHABAT) 11 PCS 0 PCS 132.035,09 268.458,75
CON021 CONDOM CATHETER S (GEA) 6 PCS 0 84.000,00 74.014,50
DAR003 DARYAZINC 27,5 MG/ML 15 ML DROP 6 BOX 0 BTL 207.000,00 253.920,00
DES003 DESOLEX LOT 30ML 1 BTL 0 ML 41.745,00 75.141,15
DUL008 DULCOLAX 5 MG TAB S'200 0 BOX 89 TAB 105.394,69 167.133,20
ERY007 ERYTHROMYCIN 250MG CAP (KF) 15 DOS 90 TAB 1.403.906,40 1.798.772,29
ETT002 ETT WITH CUFFED NO 7.5 13 PCS 0 PCS 302.020,81 693.000,00
FER005 FERLIN 100 ML SYR 4 BOX 0 BTL 128.000,00 158.240,00
FLU016 FLUIMUCIL 10% 300MG INJ 6 BOX 2 AMP 1.587.200,00 2.333.680,00
FOR039 FORUMEN EAR DROP 10ML 3 BTL 0 BTL 74.700,00 110.929,50
GLI008 GLISODIN KAPS 9 BTL 6 KAPS 1.173.000,00 2.283.777,29
GRI003 GRIVIN FORTE TAB 0 BOX 17 TAB 70.342,60 111.766,69
GYP005 GYPSONA 6INCH 3.5MX15CM 10 ROL 0 Rol 431.546,10 614.614,00
GYP006 GYPSONA 4INCH 3.5MX10CM 4 ROL 0 Rol 133.477,08 180.270,00
HIS002 HISTRINE 10 mg Syrup 60ML 10 Btl 0 Btl 475.000,00 679.250,00

INTUBATION STYLET FOR ENDOTRACHEAL
INT002 9 PCS 0 PCS 478.906,11 1.051.050,00
TUBE (MANDRAIN) NO. 8,0-10,0 MM
IOD001 IODOSORB POWDER 3 GRAM SACH 3 PCS 0 PCS 225.000,00 315.000,00
ISO014 ISONIAZID 300 MG TAB (CP) 1493 TAB 0 TAB 373.250,00 406.665,00
ISP002 ISPRINOL 250 MG/5 ML 60 ML SYR 13 BOX 0 BTL 975.000,00 1.394.250,00
ITR001 Itraconazole 100 mg CAP 3 BOX 4 CAP 338.400,00 537.680,00
K-W006 K-WIRE 1.4 X 300 ASCO 2 PCS 0 PCS 425.000,00 900.000,00
LAC013 LACTOFID 60 ML SIRUP 5 BOX 0 BTL 265.000,00 393.525,00
LIG001 LIGNOVELL INJ 1 BOX 2 AMP 140.000,00 192.400,00

LIV001 Livron B Plex 1 Box 92 Tab 46.170,24 59.273,17
MET012 METHYLPREDNISOLON 125 MG INJ PHAPROS 50 BOX 0 VIAL 523.853,50 678.285,47
MET023 METOCLOPRAMIDE HCL 10 MG TAB (KF) 0 Box 4 Tab 494,44 520,00
MEX001 MEXPHARM 15 MG TAB 11 BOX 14 TAB 1.872.000,00 2.746.150,00
MIL002 MILOZ 5 MG INJ 1 BOX 2 AMP 240.108,36 312.000,00
NIX003 NIXAVEN 200 MG KAPSUL 1 BOX 0 KAPSUL 300.000,00 445.500,00
NOV004 NOVELMYCIN 1 GRAM INJ 7 BOX 0 VIAL 595.000,00 773.500,00
NR.059 NR. ALKOHOL 70% 1 LITER 0 BTL 813 ML 27.333,06 44.043,79
NR.075 NR. INFUS KAEN 1B 500 ML 78 BTL 0 BTL 683.826,00 987.602,55
NR.164 NR. LOVENOX 60 MG/ 0.6 ML 17 BOX 1 PCS 3.989.492,50 5.442.807,67
NR.165 NR. NASACORT AQ 4 BOX 0 BOX 407.272,00 563.346,24
NR.238 NR. NEFROFER INJ 0 BOX 4 AMP 260.000,00 386.100,00
NR.246 NR. NEPHROSTERIL 250 ML INJEK 14 BTL 0 BTL 604.520,00 887.133,10
NR.274 NR. RAMIPRIL 5 MG TAB 16 BOX 15 TAB 839.073,25 1.398.871,93
NR.289 NR. CARBOPLATIN 450 MG INJ 10 VIAL 0 VIAL 2.765.450,00 4.106.693,28
NR.323 NR. PATANOL 0.1% TM 1 BTL 0 BTL 65.909,09 97.875,00
NR.369 NR. INFUS AMINOSTERIL INFANT 6 % 5 BTL 0 BTL 204.500,00 276.075,00
OFL004 OFLOXACIN 200 MG TAB NOVELL 4 BOX 25 TAB 103.929,75 175.415,42
OFL005 OFLOXACIN 400 MG TAB NOVELL 1 BOX 28 TAB 56.465,76 91.927,31
OME005 OMEVELL 40 MG INJ 79 BOX 0 VIAL 9.875.000,00 13.065.000,00
ORI001 ORINOX 60 MG TABLET 7 BOX 15 TAB 1.350.000,00 1.966.680,00
ORI002 ORINOX 90 MG TABLET 1 BOX 25 TAB 412.500,00 612.562,50
PED002 PEDIALYTE BUBBLE GUM 500 ML 10 BTL 0 BTL 277.200,00 403.409,16

PEN049 PENDIL 20 PCS 0 349.945,40 350.000,00
PHY003 Phytomenadione 10 mg Tab 1 Box 13 Tab 115.074,68 196.723,80
PIS001 PISPOT URINE LAKI LAKI 2 PCS 0 PCS 11.252,18 19.230,75
SPA002 SPASMAL TAB 0 BOX 12 TAB 5.457,36 7.804,02
STA009 STARCEF 100 MG/5ML DRY SYR 1 BOX 0 BTL 75.000,00 107.250,00
SUS016 SUSTANON 250 MG/ML INJ CP 4 AMP 0 1.387.200,00 1.525.920,00
TEN011 TENSOCREPE FL 72017 4INCH (10CM X 4.55M) 8 ROLL 0 ROLL 478.800,00 794.675,00
TEN013 TENSOCREPE FL 72003 6INCH (15CM X 4.55M) 19 PCS 0 PCS 1.496.250,19 2.419.375,00
TER004 TERMISIL 10 GRAM CR 12 TUBE 0 TUBE 579.600,00 828.828,00
TRO002 TROLIT 4 GRAM SACH 4 BOX 0 SACH 194.142,72 287.500,00
TRY001 TRYPAN BLUE 1% 1 ML 26 PAK 2 VIAL 1.979.797,60 3.718.881,64
UMB001 Umbilikal Klem 2 PCS 0 pcs 2.400,20 4.500,00
VAL005 VELLEPSY 50 MG/ML SYR 11 BOX 0 BTL 825.000,00 1.202.850,00
VEL003 VELUTINE 2.5 MG RESP 4 BOX 9 RESP 343.000,00 461.688,50
VOM008 VOMETA 1 MG/ML SYR 60 ML 17 BOX 0 Btl 671.500,00 955.110,00
VOM018 VOMCERAN 4 MG/5 ML SIRUP 60 ML 7 BOX 0 BTL 393.750,00 779.625,00
BET005 BETAMETHASON 0,1% KRIM 5 G (KF) 6 BOX 14 TUBE 343.835,84 531.177,33
CAR009 CARMED LOTION 50 ML 2 TUBE 25 ML 40.000,00 55.836,00
COB003 COBAZYM 1000 0 BOX 54 CAP 207.777,42 324.769,50
DER001 DERMOVEL 5 GRAM CR 18 TUBE 0 TUBE 720.000,00 1.013.480,00
EDO002 EDOTIN300 mg Cap 2 Box 0 Cap 150.000,00 206.456,25
MYC002 MYCO Z CR 15 TUBE 0 TUBE 1.012.500,00 1.488.375,00
BEN111 BENANG SILKAM 4/0 CUTTING (DS 19 B.75) 3 PCS 0 PCS 76.434,00 341.040,00
BEN140 BENANG T-SILK 0 TAPER 76 CM (S83) 3 PCS 0 PCS 150.000,00 212.500,00
BRA008 BRAINACT 500 MG/4 ML INJ 11 BOX 0 AMP 2.899.875,00 4.761.900,00
BRI001 BRICASMA 0.5 MG/ML INJ 1 BOX 2 AMP 133.186,20 199.779,30
CAN004 CANDERIN 8 MG TAB 9 BOX 1 TAB 1.761.500,00 2.515.565,00
CAN022 CANCELLOUS SCREW FT 6.5X55 ASCO 2 PCS 0 PCS 422.450,00 894.600,00
CAN023 CANCELLOUS SCREW FT 6.5X65 ASCO 2 PCS 0 PCS 422.450,00 894.600,00
CAR014 CARBACHOL 1% 1 ML 49 PCS 0 PCS 3.644.627,84 6.934.704,54
CEF053 CEFABIOTIC 500 MG KAPSUL 0 BOX 21 KAP 124.950,00 218.295,00
CEL014 CELEBREX 100 MG 1 BOX 4 CAP 340.006,80 504.910,10
CEN016 CENDO MYDRIATYL 0.5% TM 2 BTL 1 ML 59.082,76 93.843,76
CEN045 CENDO EFRISEL 10% TM 5 ML 7 BTL 2 ML 104.950,50 161.451,75
CEN088 CENDO CARPIN 1 % 5 ML TM 4 BTL 0 BTL 57.620,92 92.070,00
CIP005 CIPROFLOXACINE 500 MG TAB 8 BOX 80 TAB 278.150,40 429.821,60
CLO009 CLOZAPINE 100 MG 0 BOX 11 TAB 53.952,47 120.791,27
CON016 CONDOM CATHETER L (SAHABAT) 10 PCS 0 PCS 120.000,00 236.550,00
DAR006 DARYANT TULE STERIL SACH 10G 3 PCS 0 CM2 53.460,00 77.873,40
DEX011 DEXACEF FORTE 500mg Capsul 0 Box 20 Cap 170.000,00 234.780,00
DEX022 DEXYCLAV DRY SYR 60 ML 5 BOX 0 Btl 260.000,00 371.800,00
DIS007 DISP. KNIFE CERATOME 37 PCS 0 PCS 6.099.450,00 9.555.530,25
DIS009 DISP. KNIFE CRESCENT 18 PCS 0 PCS 2.967.300,00 4.963.633,50
DUM002 DUMIN 250 MG/4 ML RECTAL TUBE 0 BOX 3 TUBE 59.100,00 84.414,50
ETO002 ETORICOXIB 60 MG TABLET 0 BOX 18 TAB 59.870,16 93.555,00
EXT008 EXTRACE 1000 INJ 3 BOX 4 AMP 570.000,00 789.000,00
FER006 FERLIN 30 ML DROP 14 BOX 0 BTL 462.000,00 578.168,25

FIX013 FIXAMET - BIPOLAR CEMENTED 1 SET 0 SET 20.400.000,00 36.720.000,00
HEX011 HEXAXIM 21 VIAL 0 VIAL 11.909.845,29 19.459.774,13
INF090 INFUS RINGER LAKTAT 500ML DP SANBE 39 SOFTBAG 250 ML 756.425,00 1.080.934,25
INV001 INVITEC TAB 2 BOX 3 TAB 594.318,69 872.152,85
IOH001 IOHEXOL 300MG/50ML 13 BTL 0 BTL 2.106.000,00 3.447.000,00
IOL027 IOL OPTIMA 553 NO 22 1 PCS 0 PCS 123.333,33 265.320,00
IOL054 IOL OPTIMA 553 NO 20.5 1 PCS 0 PCS 100.909,09 170.775,00
IOL130 IOL OPTIMA FOLD ASPHERIC NO 12 1 PCS 0 PCS 500.000,00 742.500,00
IOL198 IOL OPTIMA FOLD ASPHERIC P 16.5 1 PCS 0 PCS 468.750,00 900.000,00
KAL005 Kalium Diklofenak 25 MG Tab 3 box 8 Tab 39.296,18 78.890,80
LMA003 LMA (LARYNGEAL MASK AIRWAY) NO. 3 5 Pcs 0 Pcs 563.636,35 2.325.000,00
NAV001 NAVITAE TETES MATA 14 BOX 0 BOX 1.732.500,00 2.858.625,00
NR.098 NR. KETOCONAZOLE 200 MG TAB 5 BOX 44 TAB 101.832,78 105.431,88
NR.158 NR. MOMETASONE FUROAT CR 10 G 16 TUBE 5 GRAM 313.519,80 473.940,00
NR.168 NR. EYE DRAPE STERIL 66 PCS 0 PCS 4.876.943,94 8.554.740,77
NR.169 NR. DOP MATA STERIL 67 PCS 0 PCS 523.156,77 1.062.100,00
NR.170 NR. CAUTER BOVIE 3 PCS 0 PCS 990.000,00 1.579.050,00
NR.187 NR. BENANG NYLON 10.0 9 PCS 0 PCS 1.227.272,67 2.093.590,89
NR.188 NR. BENANG PGA 8.0 5 PCS 0 PCS 886.363,60 1.838.250,00
NR.265 NR. FENOFIBRATE 300 MG KAPSUL 3 BOX 9 KAP 127.800,09 186.596,41

NR.278 NR. CLORILEX 25 MG 5 BOX 36 TAB 343.200,00 483.456,60
NR.312 NR. AMINOFLUID 1000 ML INFUS 3 BTL 0 BTL 335.400,00 469.560,00
NR.352 NR. PULMICORT 0,25 MG/ML 0 BOX 6 RESP 56.607,30 80.712,59
NR.359 NR. CEFUROXIM 750 MG INJ 1 BOX 0 VIAL 272.500,00 403.708,75
NR.367 NR. LETRAZ 2.5 MG TABLET 2 BOX 3 TAB 223.362,09 331.692,71
OMN009 OMNIPAQUE 300MGL/50ML 0 BOX 8 BTL 1.484.000,00 3.052.800,00
OPT004 OPTIMAVISC (HPMC 2 ML) 13 PCS 0 PCS 1.962.610,00 3.032.232,45
PAM009 PAMPERS DEWASA LIFREE L @8 3 PAK 0 PAK 134.671,44 230.307,68
PGB002 PGB 150 MG TAB 4 BOX 18 TAB 1.518.000,00 2.122.120,00
PIR016 PIROTOP 5 GR CR 4 TUBE 0 TUBE 125.980,32 224.532,00
PRA004 PRAXION 120 MG 60 ML 24 BTL 0 511.570,32 831.795,00
PRO038 PRORIS FORTE SUSP 50 ML 17 BOX 0 BOTOL 418.232,81 643.052,25

PURECELL RC (LEUKOCYTE FILTER FOR BLOOD)
PUR001 5 PCS 0 PCS 1.399.880,95 3.500.000,00
REN001 RENXAMIN 200 ML INF 30 BOX 0 BTL 2.895.000,00 3.763.500,00
SIL001 SILEX SYR 10 BOX 0 BTL 504.000,00 696.805,20
SPU005 SPUIT 10 CC (TERUMO) 128 PCS 0 PCS 228.551,68 1.491.390,00
TER017 TERASTARCH INF 1 BOX 1 BAG 1.815.000,00 2.582.250,00

TRAFAS - 4.5MM DIA. CORTICAL SCREW 20-48
TRA084 14 PCS 0 PCS 702.100,00 1.545.800,00
MM
TRAFAS - DISTAL FEMORAL CONDYLAR
TRA091 1 PCS 0 PCS 1.326.000,00 2.808.000,00
BUTTRESS PLATE ALL SIZE
URI008 URINTER 0 BOX 6 TAB 28.030,14 41.877,00
VIS006 VISCO SODIUM HYALURONATE 1.5% 1 ML 35 PCS 0 PCS 11.550.000,00 18.526.200,00
AMT002 AMTOCORT 4 MG TAB 0 BOX 25 TAB 71.500,00 106.177,50
FOR002 FORDERM 10 GR Tube 19 TUB 0 TUB 703.000,00 989.417,00

HER005 HERCLOV 500 MG TAB CP 65 TAB 0 TAB 1.293.500,00 1.327.287,50
AMO006 AMOXSAN DROP 6 BTL 0 BTL 131.100,00 186.866,66
AMO012 AMOXICILLIN 100 MG/ML DROP 7 BTL 0 BTL 98.000,00 146.370,00
ARC003 ARCHBAR SPLINT W-HOOKS (207-0121) 1 PCS 0 PCS 337.837,50 485.100,00
BEN136 BENANG T-SILK 2-0 TAPER (S25) 20 PCS 0 PCS 864.003,60 1.737.600,00
BEN141 BENANG T-NYLON 4-0 CUTTING 76 CM (N37) 8 PCS 0 PCS 359.968,24 572.500,00
BEN154 BENANG T-VIO 1 CUTTING 90 CM (V41) 1 PCS 0 PCS 74.700,00 157.700,00

BENANG T-CHROMIC CATGUT 2-0 TAPERCUT
BEN161 8 PCS 0 PCS 512.837,52 1.029.300,00
90 CM (C57)
BET016 BETADINE KUMUR 190 ML 3 BTL 0 BTL 64.239,00 96.577,00
CEN019 CENDO TOBRO MD 6 STRIP 0 AMP 106.674,30 170.359,20
CEN029 CENDO EYEFRESH 5 ML TM 13 BTL 0 BTL 348.316,67 557.431,94
CEN039 CENDO MYCETINE 9 TUBE 0 106.717,50 170.148,75
CEN089 CENDO CARPINE 2% 5 ML TM 6 BTL 0 BTL 106.020,00 169.290,00
CEN094 CENDO PANTOCAIN 2% 5ML TM 6 BTL 0 BTL 73.031,58 118.057,50
CEN108 CENDO STATROL ED 5 ML 2 BTL 0 BTL 33.945,00 54.202,50
CLI018 CLINOVIR 400MG 0 BOX 24 TABLET 180.000,00 267.300,00
CO-002 CO-AMOXYCLAV 500/125 MG TAB 5 BOX 13 TAB 586.529,42 961.290,00
DER003 DERMAKEL 19 GRAM GEL 3 BOX 0 TUBE 399.000,00 623.700,00
DIS008 DISP. KNIFE LANCE TIP STRAIGHT 46 PCS 0 PCS 7.583.100,00 11.879.091,00
FLU017 FLUCONAZOLE 150 MG KAP KF 1 BOX 5 TAB 293.077,95 435.006,54
FLU037 FLUCONAZOLE 200 MG/100 ML INFUS 19 BOX 0 BTL 1.111.500,00 1.774.500,00
GUE009 GUEDEL STERIL NO 0/50 ( BIRU ) 4 PCS 0 PCS 35.139,84 73.800,00
HAN025 HAND SCOON NO 7,5 GAMEX 5 PCS 0 PCS 54.837,80 117.920,00

HAN030 HAND SCOON NON STERIL S (SENSI GLOVE) 0 BOX 38 PCS 17.294,18 38.090,00
INF016 INFUS KAEN 3B 500 ML 7 BTL 0 BTL 154.000,00 200.200,00
INJ001 INJECTOR SYRINGE (RADIOLOGI) 6 PCS 0 PCS 3.480.000,00 4.976.400,00

INT003 9 PCS 0 PCS 485.200,62 1.051.050,00
IOL079 IOL OPTIMA FOLD ASPHERIC P 24.5 2 PCS 0 PCS 833.333,32 1.485.000,00
IOL133 IOL OPTIMA FOLD ASPHERIC P 20 3 PCS 0 PCS 1.582.792,23 2.227.500,00
IOL151 IOL OPTIMA FOLD ASPHERIC P 21 1 PCS 0 PCS 443.181,82 742.500,00
IOM001 IOMERON 400 MG/100 ML 6 BTL 0 BTL 3.037.500,00 6.014.250,00
IVA001 IVANES 100 MG/ML 10 ML INJEKSI 1 VIAL 1 ML 99.000,00 309.000,00
KAL038 KALITAKE 2 BOX 8 SACH 737.100,00 1.053.037,70
MED015 MEDSCAB CREAM 30GR 3 TUBE 0 TUBE 172.207,29 291.579,75
MUC002 MUCOS 15 MG/ML 20 ML DROP 5 BOX 0 BTL 168.187,50 241.405,13
NAS020 NASAL DRESSING 8 CM (TAMPON) 0 BOX 5 PCS 752.000,00 1.485.200,00
NEU004 NEUROTAM 1 GRAM INJ 6 BOX 7 AMP 1.072.000,00 1.397.760,00
NEU016 NEUROBION 5000 INJ CP 21 AMP 0 AMP 241.500,00 242.650,00
NR.041 NR. REBREATHING MASK OKSIGEN ADULT 1 PCS 0 12.000,00 12.000,00
NR.117 NR. MICARDIS 40 MG TAB 0 BOX 18 TAB 49.827,24 50.934,51
NR.142 NR. MEDICREPE 3 INCH 1 ROLL 0 ROLL 17.820,00 19.800,00
NR.310 NR. VIGAMOX 0.5% 3 ML TM 4 BTL 0 BTL 294.545,44 434.822,70
PAM007 PAMPERS DEWASA LIFREE XL 3 PAK 0 PAK 140.526,72 210.790,08
PEN027 penanda resiko alergi (MERAH) 0 Box 9 Pcs 17.692,29 31.593,42
PRO029 PRORIS 125 MG SUPP 2 BOX 9 SUPP 136.300,00 170.987,18
ROT007 ROTARIX SUSPENSI INJ CP 1 VIAL 0 365.000,00 401.500,00
RYV001 RYVELL PLUS TAB 1 BOX 4 TAB 115.119,58 170.170,00

SOF018 SOFFBAN 72011.15 4INCH(10CMX2.7M) 3 ROL 0 Rol 74.853,72 121.950,00
SOF021 SOFFBAN 6 INCH 1 PCS 0 35.478,61 72.010,00
T-H003 T-HERNIA MESH MEDIUM 6 X 11 12 PCS 0 PCS 1.849.653,48 3.468.000,00
URI015 URISPAS TAB CP 4 TAB 0 TAB 25.732,00 28.305,20
DER002 DERMOVEL 10GR Tube 22 TUB 0 TUB 1.430.000,00 2.008.565,00
KLO003 KLODERMA 10 GRAM OINT CP 1 TUBE 0 TUBE 35.400,00 42.834,00
ALO003 ALOCLAIR PLUS GEL 8ML 3 TUBE 0 TUBE 231.000,00 326.095,00
ALO007 ALOCLAIR PLUS ORAL RINSE 60 ML 1 BOTOL 0 BOTOL 82.500,00 111.375,00
CAP004 Captopril 12,5 mg Tab Dexa 3 box 31 Tab 24.374,84 37.600,42
CEF052 CEFIXIME 200 MG KAPS NOVELL 5 BOX 2 KAPS 600.599,16 1.335.480,08
CET007 CETIRIZINE 5MG/5ML SYR INDOFARMA 16 BOX 0 BTL 151.856,00 221.420,36
CUR004 CURLIV PLUS 120 ML SYR 6 BOX 0 BTL 214.666,68 347.490,00
CUR010 CURASPON STANDAR 0 BOX 8 PCS 368.188,24 662.400,00
FER010 FERRIPROX TAB CP 12 TAB 0 516.000,00 516.000,00
INF048 INFUS MGSO4 40 25 ML 3 BTL 0 BTL 27.300,00 38.675,00
INF080 INFUS D 5% 100 ML (B.BRAUN) 30 BTL 0 BTL 247.500,00 355.451,25
KAE001 KAEN 4B INF CP 83 BTL 0 BTL 2.813.700,00 3.449.555,40
MAS023 MASKER EARLOOP 2 BOX 10 PCS 76.677,70 126.035,00
MED004 MEDIXON 125mg Vial 34 Box 0 Vial 2.890.000,00 3.757.000,00
MED014 MEDICLORE INJEKSI 1 SYRINGE 0 SYRINGE 975.000,00 1.365.000,00
NGT020 NGT NO 20 JMS 1 PCS 0 PCS 25.284,86 47.600,00
PLA018 PLASTIK KUNING 35X45X0.03 6 KG 0 KG 186.162,12 180.000,00

3,5016 3,5MM DIA. CORTICAL SCREW (S50003518) 6 PCS 0 PCS 300.900,00 672.600,00
ACY005 Acyclovir 200 mg Tab Phapros 0 box 36 Tab 17.460,00 24.967,80
ALL012 ALLEVYN NON ADH 10 CM X 20 CM 3 PCS 0 PCS 322.500,00 451.500,00
ALO008 ALOCLAIR PLUS MOUTHWASH 60ML CP 1 BTL 0 BTL 110.715,00 121.786,50
AMO009 AMOXICILLIN 500 MG TAB HJ 0 BOX 4 TAB 1.175,84 1.997,98
BON007 BONE MARROW ASPIRATION NEEDLE 1 PCS 0 PCS 442.000,00 806.000,00
CAN008 CANDOTENS 16 MG TAB 4 BOX 1 TAB 307.500,00 456.637,50
CAN021 CANCELLOUS SCREW FT 6.5X40 ASCO 4 PCS 0 PCS 844.900,00 1.888.600,00
CEN003 CENDO XITROL 5 ML TM 10 BTL 0 BTL 253.391,70 402.755,00
CEN037 CENDO CENFRESH 5ML BTL 13 BTL 0 421.638,75 657.725,12
CEN050 CENDO FLOXA TM 5 ML 12 BTL 0 BTL 340.659,00 540.750,42
CEN055 CENDO POLYNEL 5ML TM 17 BTL 0 BTL 424.893,75 672.473,05
COR017 CORTICAL SCREW 4.5 MM ALL SIZE ASCO 3 PCS 0 PCS 522.750,00 1.168.500,00
COU001 COUNTERPAIN PXM 25 G CR 5 TUBE 0 TUBE 388.000,00 576.180,00
CUR007 CURACIL 500 MG INJ 49 VIAL 0 VIAL 1.782.179,00 2.618.712,00
ECL002 ECLID 100 MG TAB 1 BOX 5 TAB 132.000,00 188.760,00
ELE002 ELECTRODA DEWASA 2 PACK 26 PCS 211.005,90 445.500,00
END001 Endrolin 3,75 mg Inj 2 Box 0 Amp 2.205.000,00 3.503.500,00
EUV001 EUVAX B 0.5 ML 7 BOX 0 VIAL 353.314,50 512.704,50
FAR021 FARSIFEN SIRUP 60 ML 10 BTL 0 BTL 39.710,00 62.073,00
FLE005 FLEET ENEMA 4 BOX 0 TUBE 390.000,00 521.625,00
FLE008 FLEET PHOSPO-SODA CP 1 BTL 0 BTL 101.650,00 147.392,50

FOL034 FOLLEY CATHETER 2 WAY NO 8 MAS 0 BOX 9 PCS 351.000,00 716.157,00
GLU018 GLUCOVANCE 1.25 MG/250 MG TAB 1 BOX 18 TAB 263.052,68 373.551,52
HP 002 HP PRO CP 83 TAB 0 TAB 514.600,00 478.000,00
IMB003 IMBOOST FORCE SYR 60 ML 6 BTL 0 BTL 318.060,00 495.173,25
KAL002 KALBAMIN 500 ML INF 4 BOX 0 BTL 386.000,00 501.800,00
KAS013 KASA LAPARATOMY 30CM X 30CM 3 PCS 0 PCS 58.500,00 100.000,00
MED009 MEDIFLEX 30 GRAM CR 1 BOX 0 TUBE 80.000,00 118.800,00
MER004 MERTIGO SR TAB 1 BOX 35 TAB 742.500,00 1.029.600,00
MET035 METRIX 1 MG TAB 2 BOX 7 TAB 129.431,94 231.873,98
NAP008 NAPREX DROP 60MG/0.6ML 14 FLS 0 FLS 602.000,00 890.960,00
NAR001 NARFOZ 4 MG/5 ML 60 ML SYR 5 BOX 0 BTL 400.000,00 561.600,00
NEU007 NEUROTAM 1200 MG TAB 1 BOX 40 TAB 477.000,00 682.110,00

NON REBREATHING MASK OKSIGEN
NON006 3 PCS 0 PSC 85.007,28 190.750,00
PEDIATRIC*
NOV003 NOVELMYCIN 2 GRAM INJ 25 BOX 0 VIAL 4.125.000,00 5.362.500,00
NR.230 NR. LEUCOGEN INJ 4 VIAL 0 VIAL 673.635,32 990.589,35
NR.360 NR. HEMAPO 2000 IU 54 SYRINGE 0 SYRINGE 3.780.000,00 5.593.560,00
NR.371 NR. LEUCOVORIN 50 MG INJ 48 VIAL 0 VIAL 2.009.328,96 2.953.683,00
NR.378 NR. TOPAMAX 100 MG TABLET 1 BOX 30 TAB 782.181,90 1.161.540,12
NR.385 NR. REXTA TM 50 MG INJ 10 BOX 0 VIAL 2.272.720,00 3.284.080,40
NR.411 NR. OXYTOCIN 10 IU INJ 0 BOX 47 AMP 51.230,00 71.651,15
OMN008 OMNIPAQUE 300MGL/20ML 1 BOX 1 BTL 722.750,00 1.500.406,88
OSS001 OSSORAL 800 MG TAB 7 BOX 30 TAB 1.845.000,00 2.333.925,00

PEP003 PEPTIFAT 500 MG/5 ML 200 ML SUSP 29 BOX 0 BTL 2.088.000,00 3.070.080,00
POL013 POLYSILANE TABLET 0 BOX 6 TAB 5.196,12 6.821,73
POS003 POSTOVIT TAB 0 BOX 29 TAB 78.300,00 111.969,00
PRO009 PROFILAS 0,2 MG/ML 60 ML SYR 5 BOX 0 BTL 276.250,00 464.750,00
PRO032 PRODIVA 30 GRAM GEL 12 BTL 0 BTL 2.400.000,00 3.564.000,00
PRO090 PRO TB 2 TAB CP 28 TAB 0 TAB 284.200,00 312.620,00
REN004 RENALOF 325 MG CAP 3 BOX 42 TAB 3.463.200,00 5.112.882,00
RYV003 RYVELL 10 MG/ML DROP 3 BOX 0 BTL 150.000,00 222.750,00
SPI011 SPIROLA 25 MG TAB 1 BOX 41 TAB 124.950,28 214.591,00
STR002 STREPTOMYCIN SULFAT 1 GRAM INJ 0 BOX 19 VIAL 133.000,00 185.640,00
TRA089 TRAFAS - MEDIAL DISTAL TIBIA PLATE ALL SIZE 1 PCS 0 1.275.000,00 2.175.000,00
TRAFAS - CLAVICLE RECONSTRUCTION PLATE
TRA097 1 PCS 0 PCS 1.870.000,00 3.800.000,00
ALL SIZE
ULC001 ULCERID 20MG CP 90 TAB 0 TAB 441.000,00 485.100,00
VAK018 VAKSIN POLIO IPV DINKES 3 VIAL 0 VIAL 0,00 0,00
VEL014 VELACOME PLUS 2 TAB 7 BOX 26 TAB 550.665,88 798.792,19
AMB009 AMBROXOL 30 MG TAB 14 BOX 40 TAB 134.308,80 626.109,32
ATA001 ATAROC 25 MCG TAB 0 BOX 20 TAB 43.000,00 61.490,00
DRA004 DRAMASINE 100 MG 0 BOX 42 TAB 52.510,08 85.620,26
GEN002 GENTAMYCIN 0.1% OINT CP 3 TUBE 0 TUBE 13.692,00 9.964,00
GEN007 GENTAMICIN CR CP 62 TUBE 0 TUBE 186.000,00 201.525,00
KLO005 KLODERMA 10 GRAM CREAM 6 TUBE 0 TUBE 162.500,64 267.689,83
LIO002 LIORESAL 10 MG TAB CP 53 TAB 0 TAB 495.762,00 545.338,20
NR.324 NR. SEROQUEL XR 200 TABLET 0 BOX 8 TAB 110.976,00 164.799,36

POT014 POT CREAM 50 GR PUTIH 24 PCS 0 90.137,04 130.219,66
STE002 STESOLID 5 MG TAB 0 BOX 71 TAB 120.274,00 171.991,82
BEN007 BENANG SOFT SILK 2/0 TAPER (GS-833) 2 PCS 0 PCS 81.117,74 180.000,00
BEN013 BENANG POLYSORB 2/0 CUTTING (SL-823) 2 PCS 0 PCS 138.860,14 300.000,00
BEN054 BENANG SOFT SILK 2-0 SS-679 9 PCS 0 PCS 419.179,68 1.097.100,00
BEN199 BENANG POLYSORB 2/0 TAPER (UL-878) 2 PCS 0 PCS 167.400,00 471.200,00
BON002 BONE WAX 3 PCS 0 PCS 204.900,00 276.615,00
CEN126 CENDO POLYNEL TM CP 1 BTL 0 BTL 31.000,00 34.100,00
COX001 COXIRON 60 MG TABLET 1 BOX 0 TAB 180.000,00 267.300,00
CYC001 CYCLO PROGYNOVA TAB 3 BOX 0 BOX 434.077,80 644.605,53
DIP003 DIPROGENTA 5 GRAM OINT 5 TUBE 0 TUBE 309.500,00 432.031,06
ESO002 ESOZID IV INJ 33 BOX 0 VIAL 4.455.000,00 6.049.350,00
FAR004 FARGOXIN 0.25 MG/ML INJ 6 BOX 1 AMP 976.500,31 1.092.000,00
FIT009 FITBON KAPLET 0 BOX 45 TAB 57.000,15 89.099,79
FOL035 FOLLEY CATHETER 2 WAY NO 10 MAS 0 BOX 2 PCS 78.000,00 187.200,00
GEN003 GENTIAN VIOLET 1% 10 ML 0 BOX 1 BTL 2.750,00 4.083,75
INF049 INFUS MGSO4 20 25 ML 6 BTL 0 BTL 54.600,00 81.081,00
ISO001 ISOSORBIDE DINITRAT 5MG TAB INDOFARMA 0 BOX 2 TAB 223,68 319,86
MAM001 MAMI NON WOVEN PAD 1 BOX 8 PCS 20.673,72 42.042,00

MAS020 MASKER TIE ON DIAPRO 4 BOX 12 PCS 73.428,32 249.830,00
MET027 METRISON 8 MG TAB 0 Box 59 Tab 206.500,00 288.470,00
MOL002 MOLOCO B-12 TAB 0 BOX 15 TAB 48.000,00 57.684,00
NAP005 NA PHENYTOIN 100 MG/2 ML INJ PHAPROS 2 BOX 1 AMP 205.760,10 267.486,96
NEP007 NEPHROLIT CAP 1 BOX 11 TAB 64.109,16 96.428,48
NR.205 NR. EUTHYROX 100 MCG TAB 0 BOX 70 TAB 68.217,80 98.047,26
NR.222 NR. MESTINON 60 MG TAB 0 BOX 120 TAB 819.600,00 1.217.106,00
NR.267 NR.BISOPROLOL 5 MG 33 BOX 16 PCS 901.255,64 1.057.485,73
NR.380 NR. FERRIPROX FCT 500 MG 1 BTL 46 TAB 4.380.000,00 6.338.250,00
NTG001 NTG 10MG AMP 0 BOX 2 AMP 130.000,00 185.900,00
OBH004 OBH 100 ML SIRUP 5 BTL 0 BTL 19.950,00 35.370,40
PGB001 PGB 75 MG TAB 1 BOX 3 TAB 247.500,00 353.925,00
PIR017 PIRACETAM 800 MG 1 BOX 30 TAB 49.275,00 97.480,55
PLA013 PLASTIK KUNING 60X70X0.07 4 KG 0 KG 122.690,40 120.000,00
PRI005 PRIMADEX FORTE CAP 0 BOX 30 PCS 15.000,00 24.600,00
REB008 REBAL PLUS (CP) 72 TAB 0 TAB 169.920,00 181.956,00
RG-001 RG-CHOLINE SIRUP 60 ML 7 BTL 0 BTL 756.000,00 1.220.670,00
RYV004 RYVELL 1 MG/ML 60 ML SYR 3 BOX 0 BTL 150.000,00 222.750,00
SER005 SERLOF TAB 0 BOX 12 TAB 154.153,80 218.400,00
SPI013 SPIROLA 100 MG TAB 0 BOX 45 TAB 211.500,00 270.917,40
STA003 STARMUNO TAB 1 BOX 4 TAB 230.170,14 324.334,50
SUC001 SUCTION CATHETER NO 16 ONEMAD 2 PCS 0 PCS 11.680,84 19.215,00
SUR025 SURGICEL GAUZE 5X7 0 BOX 8 PCS 926.888,88 1.203.297,00
T-B001 T-BOND POLYESTER 1 13 PCS 0 PCS 1.142.844,43 1.922.190,00

T-H001 T-HERNIA MESH MEDIUM 5X10 2 PCS 0 PCS 227.700,00 430.100,00
T-R003 T-ROLL SILK 3-0 100M (RS2) 0 ROLL 94 10 CM 56.578,60 100.815,00
T-S004 T-SKIN MARKER STERIL (SM2) 1 PCS 0 PCS 42.488,37 85.500,00
TAM001 TAMOLIV 1 GRAM INF 59 BOX 0 BTL 3.540.000,00 4.617.600,00
TRA028 TRAJENTA DUO 2.5/500 MG 2 BOX 5 TAB 540.914,40 747.646,83
TRA079 TRANSPULMIN BB 20 GR CP 1 TUBE 0 TUBE 72.000,00 79.200,00
WIN006 WING NEEDLE 23G 3/4" 113 PCS 0 PCS 759.360,00 1.867.675,60
BIO012 BIOPLACENTON 15 GRAM GEL 11 TUBE 0 TUBE 142.367,50 248.422,38
STE003 STESOLID 2 MG TAB 4 BOX 66 TAB 451.088,00 645.055,84
TOP001 TOPICARE SOOTHING CR 30 GRAM 6 TUBE 15 GRAM 386.369,10 692.788,74
ABB008 ABBOCATH NO 16 ABBOT 0 BOX 8 PCS 132.900,48 294.640,00
ATO007 ATORVASTATIN 20 MG TAB 2 BOX 11 TAB 127.800,00 419.980,00
BAR003 BARIUM SULFAT 0 KG 75 GRAM 61.363,50 87.749,81
BAT006 BATUGIN ELIXIR 300ML 2 BOX 0 BTL 74.618,00 110.807,74
BEN205 BENANG T-MONO 5-0 CUTTING (M53) 0 BOX 1 PCS 128.700,00 257.400,00
D-V001 D-VIT 100 ML SIRUP 8 BTL 0 BTL 232.800,00 349.717,50
ENE004 Enervon C Plus Syrup 120 Ml 1 Box 0 Syrup 15.562,00 19.685,93
EPI003 EPIRUBICIN 10mg Amp 24 Box 0 Amp 1.876.363,68 2.591.727,33
ETT020 ETT NON KINKING NO 3 2 PCS 0 PCS 177.087,26 558.280,00
FOL042 FOLLEY CATHETER 3 WAY NO 22 (WRP) 2 PCS 0 PCS 176.571,42 372.750,00
FOL049 FOLLEY CATHETER 2 WAY NO 16 SILICON 2 PCS 0 PCS 320.000,00 475.200,00
HAN015 Hand scoon Nitril Uk. L 0 Box 28 Pcs 15.960,00 42.465,00
KAL028 KALFOXIM 0.5 GRAM INJ 10 BOX 0 VIAL 683.035,70 1.042.500,00
KAL044 KALBAMIN INFUS CP 3 BTL 0 BTL 398.100,00 398.100,00

MER014 MEROPENEM 1 GR INJ HEXPHARM 61 VIAL 0 VIAL 2.689.545,51 3.765.363,75
NEO004 NEO GYNOXA OVULA 0 BOX 2 OVU 24.663,16 34.520,20
NIC004 NICARDIPINE HCL 1 MG/ML @10 AMP 5 BOX 4 AMP 3.803.247,00 5.982.800,00
NR.083 NR. EXTENSION TUBE 75 CM 1 PCS 0 PCS 9.240,00 10.164,00
NR.126 NR. AMIKACIN 250MG INJ 5 BOX 0 BOX 316.821,45 562.320,00
OST004 OSTEOTIN KAPS 0 BOX 33 TAB 98.505,00 121.862,63
PRO071 PROLEPSI 300 MG KAPLET 1 BOX 6 KAP 291.200,00 540.540,00
PRO107 PROPYRETIC SUPPO 80 CP 2 SUPPO 0 SUPPO 20.162,00 22.178,20
RAN015 RANIVEL 150 MG TABLET 1 BOX 0 TAB 153.000,00 220.320,00
RG-002 RG-CHOLINE 1000 MG KAPLET 1 BOX 24 TAB 858.600,00 1.416.689,46
RIT004 RITEZ FT 10 MG TABLET 0 BOX 25 TAB 125.000,00 185.625,00
SED001 SEDACUM 5 MG/5ML INJ 4 BOX 9 AMP 1.127.000,00 1.468.090,00
SKI005 SKIN GRAFT KNIFE BLADE 1 PCS 0 PCS 69.441,26 218.500,00
STE007 STESOLID 10 MG/2 ML INJ 8 BOX 2 AMP 480.480,00 654.368,00
TWY001 TWYNSTA 80/10 MG TAB 2 BOX 4 TAB 1.258.342,20 1.744.062,12
VAK017 VAKSIN MR (DINKES) 10 VIAL 0 VIAL 0,00 0,00
VAL009 VALPI 60 ML SYR 2 BTL 0 BTL 81.562,50 133.650,00
VOM003 VOMCERAN 4 MG TAB 5 BOX 9 TAB 697.908,05 1.144.650,00
PRO030 PROFIBRAT 300 KAPS 0 BOX 5 KAPS 50.462,50 74.936,81
ATO005 ATORVASTATIN 40 MG TAB NOVELL 1 BOX 0 TAB 103.119,00 178.200,00
AZY001 AZYTHROMYCIN 200 MG/5 ML DRY SYRUP 3 BOX 0 BTL 94.500,00 245.025,00
BAS004 BASIC BREATHING NEONATUS 1 SET 0 450.800,00 873.425,00

BIO001 BIOBRAN 250 mg Tab 2 Box 15 Cap 787.500,00 1.098.825,00
CAR017 CARBAZOCHROME INJ 0 BOX 6 AMP 53.640,00 98.340,00
CIS002 CISPLATIN 50mg/100ML Vial 7 Box 0 Vial 655.200,00 876.096,00
CIS003 CISPLATIN 10mg/20ML Vial 4 Box 0 Vial 85.941,80 117.310,56
ETT041 ETT CUFF FLEXICARE NO 3,0 2 PCS 0 64.800,00 140.400,00

INT004 1 PCS 0 PCS 54.883,70 115.500,00
ISO015 ISOSORBIDE DINITRATE 5 MG TAB CP 200 TAB 0 TAB 30.000,00 32.640,00
MAS015 MASKER EARLOOP SENSI ONE MED 0 BOX 2 PCS 810,00 1.980,00
MIC001 MICROPORE WITH DISPENSER 2 INCI 1 PCS 0 CM 41.514,20 77.072,00
MOR004 MORPHINE HCL 10MG INJ * 1 BOX 0 AMP 309.545,00 447.911,65
NAS018 NASONEX NASAL SPRAY 60 1 PCS 0 PCS 193.630,00 261.400,50
NR.256 NR. STESOLID RT 10 MG TUBE 3 BOX 3 TUBE 302.076,54 440.522,11
NR.280 NR. ILIADIN NASAL DROP 0.025% 10 ML 1 BTL 0 BTL 28.454,55 42.255,01
NR.387 NR. CYCLOPHOSPHAMIDE 200 MG INJ 7 VIAL 0 VIAL 405.300,00 603.607,50
NR.406 NR. TACERAL 500 MG TAB 0 BOX 112 TAB 1.677.530,40 2.555.007,84
REB003 REBAMIPIDE 100 MG TAB 0 BOX 37 TAB 59.754,26 104.395,50
ROM003 ROMOVAC 500 ML FG-14 1 PCS 0 PCS 142.500,00 256.500,00
SAL002 Salbutamol 2 mg Tab 5 Box 42 Tab 42.996,86 60.144,19
SAL023 SALTICIN 80 MG INJ 6 BOX 2 AMP 570.436,80 821.724,75
SPU015 SPUIT 5 CC (BD) 0 PCS 1 PCS 3.597,00 4.855,95
STA002 STARMUNO KIDS SYR 2 BOX 0 BTL 133.632,46 169.510,00
STR008 STRONGER NEO MINOPHAGEN C (SNMC) INJ 7 AMP 0 AMP 735.000,00 1.013.250,00
TAN005 TANTUM VERDE 60 ML 3 BTL 0 BTL 56.701,50 88.935,00

TRAFAS - STRAIGHT RECONSTRUCTION PLATE
TRA047 1 PCS 0 PCS 1.088.000,00 1.792.000,00
7 H (S72000708)
VER002 VERMIC 200 MG / 5 ML 10 ML SIRUP 0 BOX 1 BTL 7.500,00 11.137,50
CTM002 CTM TAB (CP) 156 TAB 0 TAB 18.096,00 21.896,16
NOP001 NOPRENIA 3 MG TAB 1 BOX 15 TAB 540.000,00 772.200,00
VES002 VESTEIN 300 MG KAPS 5 BOX 4 KAPS 438.612,72 645.788,00
ALL018 ALLOCLAIR PLUS ORAL RINSE (CP) 1 BOTOL 0 BOTOL 114.075,00 125.482,50
APO001 APOLAR N CR (CP) 1 TUBE 0 TUBE 49.088,00 53.996,80
AUR001 AUROVISC CP 10 PCS 0 PCS 11.350.000,00 1.133.600,00
BEN056 BENANG SILKAM 2-0 CUTTING 4 PCS 0 PCS 69.739,16 99.373,80
DIK003 DIKLOVIT TAB CP 10 TAB 0 TAB 31.000,00 34.100,00
DOG002 DOGMATIL 50 MG TAB 0 BOX 44 TAB 137.532,12 210.581,10
EXT003 EXTENSION TUBE 75 CM (TERUMO) 1 PCS 0 PCS 9.208,33 25.200,00
FRI002 Frixitas 0,50 mg Tab 0 Box 13 Tab 32.175,00 46.010,25
GEM005 GEMFIBROZIL 300 MG CAP CP 30 TAB 0 TAB 14.400,00 17.424,00
HAN024 HAND SCOON NO 7 GAMEX 3 PCS 0 PCS 28.912,95 71.760,00
IOL134 IOL OPTIMA FOLD ASPHERIC P 22 2 PCS 0 PCS 886.363,64 1.485.000,00
IOL149 IOL OPTIMA FOLD ASPHERIC P 20.5 3 PCS 0 PCS 1.582.792,23 2.235.000,00
IOL217 IOL TEXEL ESQ 320 P 17.5 1 PCS 0 PCS 153.750,00 304.425,00
IOL223 IOL FOLD P 0 1 PCS 0 PCS 371.818,50 816.750,00
IOL224 IOL SENSAR P 15,5 1 PCS 0 PCS 1.296.000,00 2.405.700,00
IOL272 IOL SENSAR P 10.5 1 PCS 0 PCS 1.296.000,00 2.405.700,00

IOL273 IOL TEXEL ESQ 320 P 20.5 3 PCS 0 PCS 511.363,65 1.193.181,83
IRV004 IRVASK 150 MG TAB 0 BOX 15 TAB 134.482,80 214.500,00
LEU024 LEUKOPLAST 1625H (3X5) 0 Rol 100 CM 7.853,00 12.666,00
MET009 METHISOPRINOL 500 MG TAB PHAPROS 0 BOX 8 TAB 24.000,00 34.320,00
NPG001 NPG BAG 500 ML (BSS) 3 PCS 0 535.500,00 935.550,00
NR.116 NR. MICARDIS 80 MG TAB 4 BOX 10 TAB 442.554,30 476.975,19
OSS002 OSSORAL 200 MG TAB 0 BOX 45 TAB 56.250,00 71.156,25
PRO087 PRO TB 2 KID (CP) 28 TAB 0 TAB 97.720,00 107.492,00
STA007 STATOR 10 MG TAB 1 BOX 0 TAB 450.000,00 643.500,00
VBL002 VBLOC 25 MG TAB 0 BOX 10 TAB 64.000,00 91.520,00
CEN030 CENDO POLYGRAN 5 ML TM 4 BTL 0 BTL 117.643,28 188.324,13
CEN052 CENDO HOMATRO 2% 5 ML TM 1 PCS 0 PCS 33.031,52 52.717,50
CRA001 CRAVIT 500 MG/100 ML INF 6 BTL 0 VIAL 1.662.157,92 2.262.000,00
DAL002 DALFAROL 200 MG KAPS 0 BOX 90 KAPS 251.559,00 306.398,39
MOM003 MOMILEN NURSING CREAM CP 2 BOX 0 BOX 52.000,00 52.000,00
MUP001 MUPIROCIN OINT 10 GR 2 TUBE 0 GRAM 58.037,40 89.550,00
NIX001 NIXAVEN 100 MG/5 ML DS 3 BOX 0 BTL 225.000,00 295.912,50
NR.299 NR. KOATE-DVI KECIL (220-380 IU) 16 VIAL 0 VIAL 13.816.087,20 20.516.889,51
NR.390 NR. PULMICORT 0.5 MG/ML 0 BOX 1 RESP 12.846,36 19.076,84
SUM006 SUMAGESIC TAB CP 13 TAB 0 7.150,00 7.865,00
VOM006 Vomceran 4 mg/2 ml Inj 0 Box 4 Amp 91.833,32 150.800,00
ANT002 Antalgin 500 mg kapl 0 box 59 Kapl 18.838,70 23.857,31
CEF063 CEFADROXILE 500 MG TAB CP 100 TAB 0 TAB 0,00 102.700,00
COD006 CODIPRONT SYRUP 60 ML 5 BTL 0 BTL 255.750,00 371.093,25

FLA006 Fladex 500 mg/100ml Inf 29 Box 0 Vial 2.189.500,00 2.846.350,00
NR.391 NR. CEFIXIME 200 MG TABLET 20 BOX 0 TAB 1.292.730,00 1.899.839,16
MET038 METHYLPREDNISOLON 16 MG TAB NOVELL 0 BOX 67 TAB 53.584,59 93.728,75
VOS002 VOSTRIN 300 MG KAPS 0 BOX 5 KAPS 18.197,30 26.812,50
ACT024 ACTIMOVE MITELLA - ECO ARM SLING-L 2 Pcs 0 Pcs 178.965,00 291.000,00
IVC018 SURFLO W NO 18 IV CATHETER TERUMO 1 PCS 0 PCS 25.941,07 48.180,00
KET033 KETOCONAZOL 200MG TAB CP 110 TAB 0 TAB 136.070,00 201.396,00
MET057 METROLET SYR CP 3 BTL 0 BTL 67.500,00 69.750,00
MIL001 MILMOR TAB 0 BOX 7 TAB 16.450,00 17.687,86
NR.135 NR. RAMIPRIL 10 MG TAB 5 BOX 5 TAB 141.871,50 233.223,55
NR.144 NR. MEDICREPE 6 INCH 2 PCS 0 PCS 57.820,00 112.100,00
PAR005 PARATUSIN TAB 0 BOX 195 TAB 206.017,50 292.998,56
POL010 POLYCROL SUSP CP 1 BTL 0 BTL 31.531,00 42.566,85
PRO033 PROTEN RASA COKLAT SACH 20 SACH 0 SACH 194.000,00 244.876,50
PRO067 PRO TB 2 KID 7 BOX 6 TAB 606.000,00 806.355,00
TRA010 TRAMAL 100 MG INJ 0 BOX 3 AMP 106.800,00 122.931,90
VAK020 VAKSIN HAVRIX 720 JUNIOR CP 3 VIAL 0 893.300,01 982.630,02
WAR001 WARM WATER ZACK (WWZ) 1 PCS 0 28.000,00 51.975,00
KLO001 KLODERMA 5 GRAM CR 3 TUBE 0 TUBE 55.173,96 84.396,54
ZYP001 Zypraz 1 mg Tab 0 Box 28 Tab 117.208,00 167.063,26
ACT021 ACTIMOVE MITELLA - ECO ARM SLING-XL 1 Pcs 0 Pcs 87.300,00 145.500,00
ANT016 ANTIHEMOROID SUPP 0 BOX 4 SUPP 12.000,00 17.820,00

BENANG T-SILK 2-0 150 CM TANPA JARUM (PS
BEN160 1 PCS 0 PCS 13.500,00 21.750,00
24)
BEN164 BENANG T-CHROMIC 1 HEPAR 100 CM (C98) 2 PCS 0 PCS 144.000,00 264.000,00
CAT037 CATAGEL 2 ML 32 PCS 0 PCS 2.696.727,04 4.401.376,99
CEF056 CEFOPERAZONE INJ CP 3 VIAL 0 VIAL 417.450,00 417.450,00
DIS012 DISFLATYL TABLET 0 BOX 1 TAB 479,75 637,44
FOL052 FOLLEY CATHETER 2 WAY NO 10 (WRP) 0 BOX 5 PCS 315.000,00 530.460,00
GLI002 GLIMEPIRIDE 4MG TAB DEXA 1 box 62 Tab 383.790,96 548.205,09
MEC004 MECOX 7.5 mg Tab 1 Box 5 Tab 130.625,00 186.793,75
MON002 MONELL 5 MG/ML 10 ML DROP 2 BOX 0 BTL 85.000,00 121.550,00
NGT021 NGT NO 8 FR (120 CM) JMS 5 PCS 0 120.000,00 0,00
NR.078 NR. INFUS FUTROLIT 500 ML 24 BTL 0 BTL 1.370.400,00 1.810.905,00
NR.184 NR. THYROZOL 10 MG TAB 1 BOX 5 TAB 122.754,45 135.029,90
NR.356 NR. MABTHERA 500 MG INJ 3 BOX 0 20.850.000,00 30.024.000,00
NR.375 NR. DAUNOCIN 20 MG INJEKSI 6 BOX 0 VIAL 1.196.244,00 2.332.675,80
OME008 OMEVELL 20 MG KAPSUL 4 BOX 20 KAPSUL 1.633.333,80 2.393.835,08
PRE032 PREVENAR INJ CP 3 VIAL 0 VIAL 2.466.000,00 2.712.600,00
SUP003 SUPERBA KRILL OIL TAB 0 BOX 8 TAB 38.572,80 71.280,00
CAV007 CAVIPLEX SIRUP 2 BTL 0 BTL 13.497,60 21.098,88
CEN056 CENDO CONVER 2% TM 1 BTL 0 BTL 12.090,00 19.305,00
CET006 CETIRIZINE 5 MG DROP INDOFARMA 1 BOX 0 BTL 24.994,79 35.000,00
KET015 KETESSE 50 MG INJ 3 BOX 3 AMP 846.000,00 1.099.800,00
NR.198 NR. DARYANT TULE STERIL SACH 10'S 0 PCS 3 CM2 277,47 396,83
NR.348 NR. BRILINTA TABLET 0 BOX 51 TAB 361.636,41 503.334,07
OME003 OMEPRAZOLE 20 MG KAPS DEXA 1 BOX 88 KAPS 72.507,84 126.035,41

OMZ002 OMZ 40 mg InjEKSI 10ML 29 Box 0 Vial 3.451.000,00 4.548.180,00
SEV002 SEVODEX 2 BTL 20 ML 5.616.000,00 7.732.800,00
ACT074 Actimove Clavicula Large 1 Pcs 0 Pcs 219.690,00 402.765,00
BEN040 BENANG BIOSYN 3-0 (SM-693) 5 PCS 0 PCS 514.935,20 999.000,00
BIS014 BISOLVON 10 MG/ 5 ML SOL 2 BOX 0 BTL 143.969,90 212.087,70
CEF040 CEFOTAXIME 1 G INJ HEXPHARM 58 BOX 1 VIAL 632.293,74 1.228.100,00
COV007 COVERAM 10MG / 5MG TAB 0 BOX 15 TAB 202.125,00 300.155,63
CRI001 CRIPSA TAB CP 25 TAB 0 TAB 525.000,00 518.175,00
ETT006 ETT WITH CUFFED NO 5 1 PCS 0 PCS 33.342,11 52.500,00
ETT035 ETT UNCUFFED MURPHY NO 3.5 1 PCS 0 PCS 14.725,00 29.450,00
ETT058 ETT UNCUFFED RUSCH NO 3 2 PCS 0 PCS 90.000,00 136.575,00
FLU023 FLUIMUCIL 200MG KAP 0 BOX 49 TAB 257.936,00 389.587,86
FOL027 FOLILAC SOFT CAPSUL 2 BOX 10 CAP 315.000,00 467.775,00
FOR001 FORMALIN 1 L 0 BTL 30 ML 1.650,00 2.475,00
IOP003 IOPAMIRO 300 MG / 30 ML 1 BTL 0 BTL 148.800,00 200.880,00
ISP001 ISPRINOL 500 MG TAB 3 BOX 1 TAB 234.375,00 335.156,25
NGT017 NGT N0 10 (120 CM) JMS 4 PCS 0 PCS 104.610,40 186.000,00
NOP002 NOPRENIA 2 MG TAB 0 BOX 20 TAB 136.000,00 165.308,00
NOR014 NORIT TAB CP 0 BTL 12 TAB 4.740,00 4.819,00
NR.245 NR. OCTALBIN 25% 50 ML 2 BOX 0 BTL 1.390.909,08 1.982.045,44
PET001 PETHIDIN 50 MG INJ 0 BOX 8 AMP 141.680,00 206.321,50
PRO016 PRO INFARK INJ 1 BOX 0 AMP 60.000,00 78.000,00
SEL002 SELOXY AA Kaplet 1 Box 15 Kapl 284.999,85 360.524,81
SIB002 SIBITAL 200 MG/2 ML INJ 1 BOX 8 AMP 162.000,00 231.795,00

SOF023 SOFTEX MATERNITY 10+2'S 1 PCS 0 PCS 11.970,00 15.109,13
TEL006 TELFAST OD 120 MG TAB 0 BOX 10 TAB 81.897,20 111.662,35
TEN002 Tensivask 5 mg Tab 1 Box 3 Tab 275.600,00 394.108,00
UND002 UNDERPAD AMS 2 PCS 0 9.951,74 21.000,00
MEC005 MECOX 15 mg Tab 1 Box 13 Tab 280.500,00 401.115,00
ACY007 Acyclovir 400 mg Tab 2 Box 30 Tab 63.336,00 127.862,02
BEN055 BENANG SOFT SILK 3-0 VS-872 1 PCS 0 PCS 39.290,93 87.000,00
BET013 BETADINE KUMUR 100 ML CP 2 BTL 0 BTL 23.814,00 36.085,50
DIV004 DIVASK 10 MG TAB 0 BOX 10 TAB 100.256,00 150.150,00
ENK003 ENKASARI 120 ML 1 BOTOL 0 BOTOL 16.237,00 21.919,95
EUP001 EUPHYLLIN 125 MG RETARD MITE TAB 0 BOX 18 TAB 34.155,00 48.165,00
FLU033 FLUOMIZIN VAGINAL TABLET 1 BOX 0 VAG TAB 139.999,98 259.877,97
GEN011 GENTAMICIN INJ CP 5 AMP 0 AMP 27.500,00 30.250,00
INF009 INFUS PAN-AMIN G 500 ML 9 BTL 0 BTL 630.000,00 819.000,00
INF052 INFUS KAEN 4A 500 ML 4 BTL 0 BTL 88.000,00 123.200,00
INF114 INFUS KAEN 3A CP 1 BOTOL 0 BOTOL 33.900,00 30.510,00
IOL048 IOL TEXEL NO 24 1 PCS 0 PCS 395.454,55 788.500,00
IOL173 IOL SENSAR P 22 1 PCS 0 PCS 1.296.000,00 2.405.700,00
IOL274 IOL EPOCH 551 P 20,5 1 PCS 0 PCS 307.500,00 608.850,00
IOL276 IOL OPTIMA FOLD ASPHERIC P 5.5 1 PCS 0 375.000,00 742.500,00
ISO025 ISORANE 250 ML 1 BTL 150 ML 2.640.000,00 3.748.800,00

KAP001 Kapas 500 gram (bsn) 0 Rol 3 gr 334,65 501,99
LMA004 LMA (LARYNGEAL MASK AIRWAY) NO. 2,5 1 PCS 0 PCS 112.727,27 344.850,00
NR.351 NR. PLASBUMIN 20% 100 ML 3 BOX 0 BOX 2.399.508,66 3.399.303,94
NR.410 NR. TUTOFUSIN OPS 500 ML 4 BAG 0 BAG 144.000,00 198.000,00
OPS002 OPSITE POST-OP 9.5 CM X 8.5 CM 3 PCS 0 PCS 54.000,00 74.650,50
S-O002 S-OMEVELL 40 MG TABLET 1 BOX 3 TAB 554.400,00 823.284,00
SIK001 SIKZONOATE INJ 0 BOX 3 AMPUL 162.360,00 294.030,00
SIR003 SIRPLUS ORANGE 100ML 2 BTL 0 BTL 25.350,00 38.610,00
TRI013 TRICEFIN 1G INJ 9 BOX 0 Vial 1.620.000,00 2.082.600,00
ULT058 ULTRAPROCT N SUPP CP 5 SUPP 0 SUPP 103.000,00 144.200,00
ACT022 ACTIMOVE MITELLA - ECO ARM SLING-S 1 Pcs 0 Pcs 87.300,00 160.050,00
AMI002 AMIKACIN 500MG INJ 6 BOX 0 VIAL 744.242,64 1.029.600,00
CEF003 Ceftazidime 1g Inj Dexa 9 box 0 vial 360.128,16 720.252,00
CEN085 CENDO TROPIN 0,5% TM 1 BTL 0 BTL 10.462,50 16.706,25
CRA002 CRAVIT 750 MG INF 6 BOX 0 BTL 1.924.999,98 2.620.800,00

Delta Lite Conformable 7227115
DEL041 1 Rol 0 rol 171.217,50 277.650,00
4inch(10Cmx3.6M)
GLU004 GLUMIN Tab 500 mg Tab 1 Box 40 Tab 91.800,00 131.274,00
HIA001 HIALID 0,1 % 5ML 2 Btl 0 Btl 168.000,00 204.204,00
IOL046 IOL TEXEL NO 22.5 1 PCS 0 PCS 311.250,00 616.275,00
IOL132 IOL OPTIMA FOLD ASHPERIC P 14 1 PCS 0 PCS 486.577,78 742.500,00
IOL150 IOL OPTIMA FOLD ASPHERIC P 21.5 2 PCS 0 PCS 886.363,64 1.485.000,00
IOL226 IOL SENSAR P 20,5 1 PCS 0 PCS 1.215.000,00 2.405.700,00

IOL262 IOL IRIS CLAW LENS P 23 1 PCS 0 PCS 371.818,18 675.000,00
IOL268 IOL IRIS CLAW LENS P 21 1 PCS 0 PCS 371.770,00 994.500,00
IOL275 IOL TEXEL ESQ 320 P 20 1 PCS 0 PCS 170.454,55 443.181,82
MIC006 Micropore Non Dispenser 1/2 inci 1 pcs 700 cm 15.280,00 22.920,00
MON003 MONELL 5 MG/5 ML 60 ML SUSP 5 BOX 0 BTL 212.500,00 303.875,00
NIF001 Nifedipin 10 mg Tab 0 Box 10 Tab 1.359,20 1.766,96
NR.147 NR. MEDIBAN 6 INCH 1 PCS 0 PCS 17.100,00 17.100,00
PSI001 PSIDII SYR 60 ML 2 BTL 0 BTL 66.000,00 79.695,00
WAT008 WATER FOR IRIGATION 1L WIDATRA 0 BTL 200 ML 1.908,00 2.766,60
DES004 DESOLEX CREAM 10 GRAM 1 TUBE 0 GRAM 19.730,80 33.858,00
EUT002 EUTHYROX 100 MCG TAB 0 BOX 33 TAB 65.796,72 97.708,14
AZO003 AZOPT TM CP 2 BTL 0 BTL 596.400,00 626.220,00
FAG001 FLAGYL 60 ML SYR (CP) 1 BTL 0 BTL 53.950,00 75.530,00
LIM001 LIMOXIN 30 MG/ 5ML SYRUP 60ML 1 FLS 0 FLS 22.000,00 32.670,00
LOM001 Lomatuell 47 LEMBAR 0 CM2 733.200,00 918.469,50
NR.108 NR. AMIODARONE INJ 1 BOX 1 AMPUL 55.364,19 79.012,51
REF001 REFAQUIN 15 GRAM CR 1 TUBE 0 TUBE 58.218,00 92.961,00
TRO029 TROGYL SYR 60 ML CP 2 SIRUP 0 SIRUP 104.500,00 104.500,00
ALC002 Alcohol Swab (bd) 0 Box 10 Pcs 4.274,50 6.411,75
AST017 ASTHIN FORCE 12 MG KAPS 1 BOX 10 KAPS 356.250,00 556.875,00
BEN147 BENANG T-VIO 0 TAPER 90 CM (V12) 1 PCS 0 PCS 82.316,97 153.340,00
CLI019 CLINOVIR CREAM 5G 2 TUBE 0 TUBE 64.540,80 96.228,00
COL004 COLSANCENTIN INJ CP 2 VIAL 0 VIAL 24.000,00 24.000,00
COT010 COTRIMOXAZOLE 240 MG SUSP 4 BTL 0 BTL 22.914,12 34.537,92

DAR004 DARYAVEN 500 MG INJ 9 BOX 0 VIAL 4.050.000,00 5.265.000,00
DIV003 DIVASK 5 MG TAB 1 BOX 0 TAB 162.802,50 257.400,00
EPI008 EPIFRI 250 MG/5 ML SIRUP 120 ML 1 BOX 0 BTL 80.000,00 120.000,00
FLA013 FLAGYL FORTE TAB 0 BOX 30 TAB 200.193,00 279.269,24
FRI001 Frixitas 1 mg Tab 0 Box 15 Tab 57.727,20 82.549,90
IMU005 IMURAN TAB 0 BOX 69 TAB 469.821,00 697.684,19
IRV002 IRVASK 300 MG TAB 0 BOX 5 TAB 66.666,65 86.666,65
KAF001 KAFLAM 25 MG TAB 1 BOX 5 TAB 64.166,55 96.153,75
KEL002 KELO-COTE 6 G GEL 2 TUBE 0 TUBE 600.000,00 891.000,00
MUC001 MUCOS 15 MG/5 ML 60 ML SYR 1 BOX 0 BTL 15.002,35 24.502,50
NR.309 NR. ISOPTIN SR 240 MG TABLET 0 BOX 14 TAB 88.326,00 131.921,20
OST010 OSTOGARD TAB 0 BOX 9 TAB 54.000,00 80.190,00
ROM002 ROMOVAC 500 ML FG-12 1 PCS 0 PCS 115.632,33 209.000,00
VAK014 VAKSIN AVAXIM 160 U 0.5 ML 1 BOX 0 BOX 343.035,00 432.995,93
NR.255 NR. RISPERIDONE 2 MG TAB 3 BOX 38 TAB 48.880,00 72.586,80
ABB004 ABBOCATH NO 18 ABBOT 0 BOX 1 PCS 23.310,00 36.130,50
ACC001 ACCU-CHECK PERFORMA 0 BOX 2 PCS 9.466,62 23.400,00
AVO003 AVODART 0,5 MG TAB 0 BOX 2 TAB 17.181,86 25.513,87
BEN152 BENANG T-CHROMIC 0 TAPER 90 CM (C28) 2 PCS 0 PCS 108.000,00 216.000,00

BENANG T-CHROMIC CATGUT 2 TAPER 90 CM
BEN187 0 BOX 3 PCS 175.858,26 370.500,00
(C99)
COM001 COMAFUSIN HEPAR INF 4 BOX 0 BTL 840.000,00 1.092.000,00
COR018 CORTICAL SCREW 3.5 MM 10-20MM ASCO 11 PCS 0 PCS 1.145.375,00 2.425.500,00
FEB004 FEBURIC TAB CP 2 BOX 0 TAB 52.000,00 79.750,00

FOL046 FOLAMIL GENIO KAPS CP 90 KAPS 0 KAPS 405.000,00 445.500,00
FOR006 FORDESIA 5 MG TAB 0 BOX 1 TAB 20.107,08 28.515,50
INF021 INFUS ASERING 500 ML 3 BTL 0 BTL 74.100,00 99.541,00
LYC001 LYCOXY TAB 0 BOX 15 TAB 75.000,00 94.875,00
NEX004 NEXITRA 500 MG (CP) 0 BOX 5 TAB 6.066,50 9.482,91
NIM002 NIMOTOP INFUS 50ML 4 BTL 0 BTL 1.181.640,00 1.463.497,20
NR.023 NR. HAND SCOON STERIL NO 6 FP 1 PCS 0 PCS 5.400,00 5.400,00
NR.334 NR. HUMALOG MIX 25 KWIKPEN 1 BOX 4 CATH 907.920,00 1.348.261,20
ODE001 ODEX 5 L 0 GALON 150 ML 19.245,00 35.750,00
ORV001 ORVAST 20 TAB 2 BOX 15 TAB 562.500,00 835.312,50
PER010 Perfusor Syringe Black 50 ML 1 Pcs 0 Pcs 72.500,00 108.750,00
RHE001 RHEU-TREX TABLET 0 BOX 21 TAB 115.500,00 147.015,00
RIN010 RING PESARIUM NO 7 1 PCS 0 420.000,00 623.700,00
SUC003 SUCTION CATHETER NO 12 ONEMAD 1 PCS 0 PCS 5.510,58 10.065,00

TRA080 1 PCS 0 PCS 1.479.000,00 3.132.000,00
8 H (S72000809)
VOM002 Vomceran 8 mg Tab 1 Box 0 Tab 198.000,00 283.140,00
BIO019 BIOCREAM 20G CP 1 TUBE 0 TUBE 34.275,00 37.702,50
ELO004 ELOCON OINT 10 GR 1 TUBE 0 TUBE 97.400,00 144.639,00
VIT017 VITACID 0,1% 20 GRAM CR CP 0 TUBE 0 TUBE 0,00 0,00
BEN133 BENANG SAFIL 2-0 CUTTING DS 24 70 CM 1 PCS 0 PCS 114.075,00 205.335,00
CEF065 CEFOPERAZONE INJ @10 1 BOX 0 VIAL 400.000,00 1.128.000,00
CEN091 CENDO POSOP MD 2 STRIP 0 PCS 97.650,00 155.925,00
INF026 INFUS NACL 0,9% 100 ML 225 BTL 0 BTL 2.475.000,00 3.231.800,00
KAI001 KAIN PENUTUP JENAZAH (KAIN SAMPING) 3 PCS 0 PCS 150.000,00 166.500,00
LAK005 LAKMUS MERAH 0 BOX 1 SHEET 194,89 321,75
LOV004 LOVENOX 40MG / 0.4ML 12 BOX 1 PCS 3.944.287,50 5.774.436,95
NIM003 NIMOTOP 30 MG TAB 0 BOX 42 TAB 343.852,32 464.200,63
NR.177 NR. INVICLOT INJ 2 VIAL 0 ML 102.079,40 163.800,00
NR.413 NR. INFUS D5 1/2 NS 500 ML 3 PCS 0 PCS 26.661,00 35.992,35
OPS004 OPSITE POST-OP 15.5 CM X 8.5 CM 1 PCS 0 PCS 23.000,00 32.200,00
PRO025 PROVELYN 75 MG KAPS 2 BOX 2 KAPS 281.835,00 445.240,65
SAN007 SANGOBION SYR CP 1 BTL 0 BTL 28.342,00 28.342,00
TRI043 TRIDEX 27B SANBE INF (CP) 1 BTL 0 BTL 29.766,67 29.766,67
ASA007 ASAM BENZOAT CP 0 GRAM 0 0,00 0,00
ALU001 ALLURIC 100 MG TAB 0 BOX 2 TAB 3.400,00 4.760,00
BEN039 BENANG BIOSYN 2-0 (SM-823) 1 PCS 0 PCS 119.647,38 245.960,00
BEN129 BENANG BIOSYN 3-0 TAPER (GM-122) 2 PCS 0 PCS 202.432,42 387.400,00
CLI029 CLIDIAZ TABLET 0 BOX 6 TAB 9.000,00 13.050,00
DOX001 Doxycyline 100 Mg Cap 0 box 14 Cap 6.562,22 9.839,43
MAM005 MAMY POKO NB14 1 PAK 0 PAK 27.483,16 44.809,50
MEC002 MECONEURO 500 MG KAPS 1 BOX 0 KAPS 200.000,00 278.200,00
NAR003 NARFOZ 4 MG TAB 0 BOX 4 TAB 55.000,00 78.650,00
NEF001 NEFROFER INJ 0 BOX 2 AMP 197.546,70 308.880,00
NIM005 NIMODIPINE 40 MG IV INFUS 1 VIAL 0 VIAL 157.500,00 259.875,00
NR.277 NR. EZELIN INSULIN 3 CARTRIDGE 0 CARTRIDGE 228.954,00 339.996,69
NR.400 NR. CARBOPLATIN 150 MG INJ FERRON 3 BOX 0 VIAL 357.270,00 530.545,95
PEE003 PEEL OFF MASK GREEN TEA 0 SACH 2 GRAM 1.126,00 1.610,18
SPI048 SPINAL NEEDLE NO 23 CP 1 PCS 0 57.200,00 57.200,00
TEL007 TELFAST HD 180 MG TAB 1 BOX 0 TAB 84.945,00 114.370,25

TRA085 1 PCS 0 PCS 1.088.000,00 2.304.000,00
6 H (S72000607)
VAS007 VASOFIX BRAUNULE NO 22 3 BOX 43 PCS 2.007.200,00 4.324.840,00
ZOV002 ZOVIRAX IV 250 MG INJ 4 BOX 1 VIAL 4.200.000,00 6.300.000,00

TOPICARE+ CERAMIDE SOOTING CREAM 100
TOP002 0 BOX 3 GRAM 4.125,00 6.125,64
GRAM
AMA001 AMAROPO TAB 0 BOX 15 TAB 31.185,00 39.449,03
BEN087 BENANG CHROMIC GUT 3-0 SG-636 1 PCS 0 PCS 55.036,66 118.500,00
CEN011 CENDO PANTOCAIN 2% TM CP 3 DROP 0 DROP 54.600,00 81.081,00
CLA012 CLAVICLE BRACE L 1 PCS 0 PCS 204.545,00 357.953,75
CLO013 CLONIDINE 0.15MGTAB 0 BOX 9 TABLET 1.677,24 2.515,86
CLO019 CLOSED SUCTION CATHETER 12 FR 570MM 1 PCS 0 PCS 296.964,00 460.294,20
COL011 COLAR NECK RIGID M 1 PCS 0 PCS 216.000,00 526.500,00
DUL002 DULCOLAX 5 MG SUPP 0 BOX 2 SUPP 27.529,92 41.922,57
HYT003 HYTRIN 1 MG TAB 0 BOX 3 TAB 22.807,23 34.418,04
INF028 INFUS GELOFUSIN 500 ML 2 BTL 0 BTL 340.000,00 442.000,00
IOL002 IOL TEXEL NO 21.5 2 PCS 0 PCS 1.071.022,74 2.000.227,27
IOL155 IOL OPTIMA FOLD ASPHERIC P 19 3 PCS 0 PCS 1.125.000,00 2.227.500,00
IOL238 IOL FOLD P -1 1 PCS 0 PCS 371.818,18 1.039.500,00
IOL245 IOL TEXEL 320 ESQ P 25 1 PCS 0 PCS 170.454,55 1.102.000,00
IOL277 IOL EPOCH 551 P 19 1 PCS 0 PCS 307.500,00 608.850,00

LAF001 LAFALOS CREAM CP 1 TUBE 0 TUBE 15.000,00 16.500,00
LIX003 LIXIANA 60 MG TABLET 0 BOX 7 TAB 168.750,40 236.253,50
NR.213 NR. ZOLADEX INJ 1 SYRINGE 0 SYRINGE 889.844,00 1.321.418,34
NR.403 NR. FONKOPAC 100 MG INJ 5 BOX 0 VIAL 1.181.818,20 1.755.000,03
NR.415 NR. MYCAMINE 50 MG INJ 10 BOX 0 VIAL 3.206.100,00 4.488.540,00
PRE026 PREDNISON TAB CP 330 TAB 0 TAB 66.000,00 75.020,00
SIR004 SIRPLUS STRAWBERRY 100ML 5 BTL 0 BTL 63.375,00 96.525,00
SUC013 SUCTION CATHETER NO 10 MAS 0 BOX 1 PCS 6.600,00 13.640,00
TEB010 TEBOKAN SPESIAL CP 15 TAB 0 TAB 205.590,00 226.149,00
VES005 VESICARE 5 MG TAB CP 10 TAB 0 TAB 234.000,00 257.400,00
PRO026 PROVELYN 150 MG KAPS 0 BOX 4 KAPS 60.000,00 85.800,00
BEN177 BENANG T-LENE 7-0 TAPER 75 CM (L75) 1 PCS 0 PCS 179.550,00 359.100,00
BIS006 Bisturi No 12 0 box 1 pcs 3.600,00 5.400,00
CAL024 CALCIUM GLUCONAS 100 MG/ML INJEKSI CP 8 INJ 0 INJ 0,00 173.880,00
CEN110 CENDO POLYDEX TM 1 BTL 0 BTL 33.247,50 53.088,75
DEX021 DEXYCLAV 500 MG CAP 0 Box 12 Cap 132.000,00 188.760,00
EXT013 EXTRADINE 5 L 0 GALON 4150 ML 423.300,00 688.500,00
FOS006 FOSFOMYCIN SODIUM 2 GR INJEKSI 7 BOX 0 VIAL 856.800,00 1.428.000,00
GUE022 GUEDEL STERIL NO 6 (SAHABAT) 2 PCS 0 34.668,02 79.800,00
KET006 KETOKONAZOL 200 MG TAB DEXA 1 BOX 10 TAB 22.095,00 31.979,38
MYC008 MYCORAL 5G CR 2 TUBE 0 22.000,00 32.670,00
NEB010 NEBULIZER WITH MASK BAYI 1 PCS 0 PCS 33.875,85 67.363,73
NR.069 NR. INFUS GELOFUSIN 2 BTL 0 BTL 263.664,00 124.146,00

NR.115 NR. CATAPRES 150MCG/ML INJ 0 BOX 8 AMPUL 246.545,44 332.836,35
RIL002 RILLUS TAB (CP) 48 TAB 0 TAB 379.200,00 428.417,00
SAF005 BENANG SAFIL 3-0 TAPER (36" 90 CM) 3 PCS 0 PCS 367.290,00 524.000,40
SAL005 SALOFALK 500 TAB 0 BOX 4 TAB 48.234,36 64.521,60
SIR002 SIRKUIT CPAP FISHER&PAYKEL 2 UNIT 0 2.349.600,00 2.937.000,00
SPU007 SPUIT INSULIN 1 CC (TERUMO) 10 PCS 0 PCS 26.943,50 79.500,00
THE005 THERMOMETER DIGITAL FLEXI AVICO 1 PCS 0 PCS 19.737,31 37.125,00
TRA033 TRACETAT SYR 200ML 1 BTL 0 ML 342.000,00 551.000,00
UMB003 UMBILIKAL CATHETER NO 6 1 pcs 0 pcs 31.980,38 46.719,00
PAN007 CENDO PANTOCAIN 0.5% 5 ML TM 1 BTL 0 BTL 11.219,04 18.005,63
ATR003 ATRACURIUM BESYLATE 2,5 ML INJ 0 BOX 1 AMPUL 16.312,50 26.100,00
BEN052 BENANG SAFIL 0 TAPER (36" 90 CM) 1 PCS 0 PCS 101.900,00 147.755,00
BEN089 BENANG POLYSORB 5-0 TAPER (UL-202) 1 PCS 0 PCS 86.166,67 209.000,00
BOR018 BORAKS GLISERIN (GOM) CP 1 BOTOL 0 BOTOL 0,00 4.000,00
CAL018 CALNIC PLUS SIRUP CP 1 BTL 0 BTL 77.000,00 84.700,00
CAT034 CATAFLAM FAST 50 MG 0 BOX 1 SACHET 7.739,33 9.768,97
GAR017 GARAM INGGRIS CP 15 GRAM 0 1.500,00 1.650,00
INF117 INFUS D 40% 25 ML CP 10 BTL 0 BTL 114.800,00 166.460,00
MEI002 MEIACT 200MG TAB 0 BOX 10 TAB 199.500,00 311.850,00
MIC031 MICARDIS PLUS 40 MG TAB CP 30 TAB 0 TAB 645.150,00 709.665,00
MYC004 MYCORINE POWDER 1 POT 0 37.920,00 58.657,50
NEU024 NEULIN PS FORTE KAPSUL 1 BOX 0 KAPSUL 660.000,00 980.100,00

NR.307 NR. ABILIFY DISCMELT 10 MG TABLET 6 BOX 5 TAB 1.361.100,00 2.021.233,50
OST007 OSTE FORTE TAB 1 BOX 0 TAB 176.306,40 275.319,00
PRO105 PROVITAL PLUS CAP CP 1 KAPSUL 0 KAPSUL 0,00 6.744,00
TRA083 TRAFAS - LC-DCP FEMUR PLATE 12 H 1 PCS 0 PCS 943.500,00 2.109.000,00
SAL009 SALBUVEN 4 MG TAB 0 BOX 12 TAB 18.600,00 25.530,05
BEN109 BENANG SILKAM 1 TAPER (HR 37S) 2 PCS 0 PCS 60.738,00 102.799,07
BEN206 BENANG PREMILENE 7-0 TAPER 75CM 30" (CP) 1 PCS 0 PCS 232.125,00 232.125,00
CEF009 CEFOPERAZONE SULBACTAM 1 GRAM INJ DEXA 2 BOX 0 VIAL 200.000,00 260.000,00
CEF017 CEFADROXILE 500 MG TAB 0 box 30 Tab 21.763,80 29.781,96
DEH001 DEHIDRALYTE SYR 1 BTL 0 BTL 15.000,00 16.128,75
EPI005 EPIVEN 300 MG KAPS 0 BOX 7 KAPS 62.300,00 89.089,00
GLU022 GLUTROP TAB CP 21 TAB 0 TAB 445.935,00 445.935,00
GLU033 GLUCOVANCE 500/2.5MG TAB CP 15 TAB 0 TAB 73.800,00 81.180,00
IM-001 IM-REG CAP 0 BOX 12 TAB 78.999,96 117.314,94
MOZ001 MOZUKU TAB 50 TAB 0 TAB 579.150,00 637.065,00
NEB007 NEBACETIN POWDER 5 MG (CP) 1 PCS 0 PCS 25.438,00 27.982,00
NR.042 NR. REBREATHING MASK OKSIGEN PEDIATRIC 1 PCS 0 12.000,00 12.000,00
OPS005 OPSITE POST-OP 6.5 CM X 5 CM 1 PCS 0 PCS 9.000,00 13.365,00
POL012 POLYCROL FORTE SUSP CP 1 BTL 0 BTL 31.900,00 31.900,00
PRO001 PROVE-C TAB 0 BOX 1 TAB 3.000,00 3.795,00
ROM005 ROMOSEAL (ADULT) 1 PCS 0 627.000,00 1.191.300,00
SPI040 SPINAL BRACE XL 1 PCS 0 PCS 1.128.000,00 2.749.500,00
SPU017 SPUIT 50 CC CATHETER TIP (TERUMO) 0 BOX 1 PCS 40.000,00 56.000,00
THO006 THORACIC CATHETER WITH TROCAR NO 28 1 PCS 0 PCS 144.000,00 342.000,00

ASA016 ASAM ASETAT 3% 0 BTL 300 ML 15.000,00 22.275,00
BEN189 BENANG T-LENE 1 TAPER 100 CM (L59) 0 BOX 1 PCS 89.796,32 182.115,00
FOL032 FOLLEY CATETHER 2 WAY NO 6 0 BOX 2 PCS 105.000,00 207.900,00
LID002 Lidocaine 2% Inj 0 Box 1 Amp 1.070,48 2.327,00
LMA007 LMA (LARYNGEAL MASK AIRWAY) NO. 1 1 Pcs 0 Pcs 185.404,55 344.850,00
NOV027 NOVALGIN SYR (CP) 1 BTL 0 BTL 52.000,00 77.220,00
NR.402 NR. FONKOPAC 30 MG INJ 3 BOX 0 VIAL 355.909,08 528.524,98
PED001 PEDIAGROW 200 ML SYR 2 BOX 0 BTL 88.350,00 117.645,00
PON002 PONDEX SUSP 50MG/5ML 60 ML 1 BTL 0 BTL 10.250,00 15.221,25
REG009 REGROU RESTO SOL 30ML CP 1 BTL 0 BTL 71.963,00 79.159,30
REX002 REXIDRON 200 MG TAB CP 10 TABLET 0 TABLET 55.000,00 55.000,00
STA010 Starcef 200 mg Cap 1 Box 5 Cap 450.000,00 643.500,00
TAR001 TARIVID 0,3 % OPTH. SOLUTION 1 Btl 0 Btl 58.300,00 83.369,00
TEM023 TEMPRA FORTE SYR CP 1 BTL 0 BTL 46.000,00 50.600,00
Total : 2.180.005.799,61 3.558.171.226,20

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Laporan Obat Unit

Periode: 01/07/2019 s.d. 31/07/2019

ABB003 ABBOCATH NO 14 ABBOT 0 BOX 28 PCS 465.107,72 1.022.443,75

ACA002 ACANTHE SPF 30+ 30 GRAM CR 4 TUBE 0 TUBE 280.000,00 385.385,00

ACP001 Acpulsif 5 mg Tab 0 Box 21 Tab 73.500,00 95.550,00

ACY006 Acyclovir 5 % Krim 10 TUBE 0 Tube 30.654,30 41.349,17

AER001 AERRANE 250 ML 10 BTL 160 ML 17.556.000,00 22.754.160,00

AFU001 AFUCID 2% Cream 5 Gr 36 TUB 0 TUB 1.476.000,00 2.101.885,50

ALC001 ALKOHOL SWAB (ONEMED) 156 box 3 pcs 1.966.290,06 5.022.695,48

ALE003 ALEGYSAL 0,1 % Botol 7 Box 0 Btl 625.100,00 887.508,05

ALK003 ALKOHOL 95% 1 LITER 16 BOTOL 300 ML 1.108.563,00 2.080.162,50

ALL010 ALLURIC 300 MG TAB 3 BOX 11 TAB 450.800,00 669.438,00

ALL016 ALLOPURINOL 100 MG TAB HEXPHARM 3 BOX 6 TAB 53.445,96 89.900,50

ALP002 ALPRAZOLAM 0.5 MG TAB DEXA 12 BOX 51 TAB 753.952,68 1.079.883,61

AMB007 AMBROXOL 30 MG TAB KF 19 BOX 9 TAB 269.569,89 395.138,90

AMB010 AMBROXOL SYR 59 BTL 0 BTL 187.947,45 282.383,91

AMI001 AMINOPHYLLINE 24 MG/ML INJ 11 BOX 10 AMP 1.456.567,56 2.105.342,19

AMI017 AMITRIPTYLLINE 25 MG 100'S (FAHREINHEIT) 5 BOX 50 TABLET 93.500,00 137.800,64

AMO016 AMOXSAN SYR 60 ML (CP) 7 BTL 0 BTL 196.000,00 210.980,00

AMO017 AMOXICILLIN 500 MG TAB 6 BOX 84 TAB 248.729,76 362.561,00

ANA002 ANALSIK TAB 25 BOX 84 TAB 3.746.800,00 5.509.574,10

ANE003 ANEMOLAT 1 MG TAB 77 BOX 9 TAB 1.144.015,60 1.771.423,33

ANG002 ANGINTRIZ 35 MG MR TAB 22 BOX 26 TAB 2.058.000,00 3.016.383,75

ANT001 Antasida Doen 60 ml Syr 32 btl 0 btl 61.952,00 85.407,61

ANT013 ANTASIDA DOEN TAB 5 BOX 10 TABLET 75.092,40 110.965,76

APO002 APOLAR-N 10GR CREAM 1 TUBE 0 TUBE 35.700,00 53.014,50

APR005 APRON PLASTIK 8 BOX 40 PCS 3.311.700,00 6.030.448,00

AQU004 AQUAMARIS DAILY 30 ML NASAL SPRAY 9 BOX 0 BTL 715.500,00 1.184.400,00

ARD002 ARDIUM TAB 4 BOX 31 TAB 2.002.012,50 2.891.079,66

ASA005 ASAM TRANEKSAMAT 500 MG TAB 7 BOX 90 TAB 1.279.800,00 2.088.603,00

ASA014 ASAM MEFENAMAT 500 MG TAB 24 BOX 56 TAB 619.722,48 1.427.940,50

ASP001 ASPILET CHEWBLE 80 MG TAB 21 BOX 73 TAB 1.151.690,00 1.620.798,30

ASP003 ASPAR-K 300MG TAB 6 BOX 65 TAB 1.495.585,00 2.177.611,16

AST002 ASTHIN FORCE 4 MG KAPS 4 BOX 17 KAPS 625.670,00 833.129,00

AST004 ASTHIN FORCE 6 MG KAPS 12 BOX 7 KAPS 1.917.242,50 2.496.290,92

ATA002 ATAROC 5 MCG/ML 60 ML SYR 72 BOX 0 BTL 3.348.000,00 4.749.556,50

AZO001 AZOMAX DRY SYRUP 23 BOX 0 BTL 2.127.500,00 2.990.617,50

BAC004 BACTIGRAS 10 CM X 10 CM 1 BOX 40 PCS 1.215.024,30 2.231.162,50

BAM002 BAMGETOL TAB 7 BOX 67 TAB 1.311.570,00 2.048.994,00

BBE001 B-BETA 5 mg Tab 13 Box 4 Tab 2.626.667,98 3.744.862,97

BEC001 BECEFORT TAB 8 BOX 74 TAB 1.168.800,20 1.539.145,21

BEN015 BENANG POLYSORB 1 TAPER (CL-915) 9 PCS 0 PCS 826.200,00 1.632.000,00

BEN020 BENANG CHROMIC 2 TAPER (CG-866) 18 PCS 0 PCS 947.700,00 2.106.000,00

BEN021 BENANG CHROMIC 1 TAPER (CG-915) 3 PCS 0 PCS 153.920,13 342.000,00

BEN057 BENANG CHROMIC GUT 4-0 UG-203 8 PCS 0 405.000,00 852.750,00

BET015 BETASERC 8 MG TAB 1 BOX 37 TAB 527.400,68 778.067,68

BIO004 BIO ATP TAB 3 BOX 94 TAB 759.482,28 1.060.597,96

BIO018 BIOSTRUM SYR CP 3 BTL 0 BTL 177.000,00 244.850,00

BIS004 BISTURI NO 23 0 BOX 84 PCS 213.054,24 319.581,36

BIS005 BISTURI NO 15 0 BOX 69 PCS 295.800,24 429.434,79

BIS007 BISTURI NO 11 0 BOX 42 PCS 106.527,54 163.347,90

BIS009 BISOVELL 5 MG TAB 6 BOX 25 TAB 1.025.000,00 1.465.750,00

BIS017 BISOLVON TAB 8 MG @100 TAB 2 BOX 43 TAB 373.573,62 596.493,34

BLE005 BLEPHASEP 40 GR GEL 2 TUBE 0 TUBE 180.000,00 289.575,00

BLO008 BLOOD LANCET ONE MED 0 PACK 98 PCS 20.844,60 39.862,50

BLO010 BLOOD SET* 53 PCS 0 PCS 716.370,26 2.155.196,25

BRA009 BRAINACT 1000 MG/8 ML INJ 4 BOX 3 AMP 2.392.000,00 3.014.960,00

BRA016 BRAXIDIN TAB 14 BOX 40 TAB 1.519.200,00 2.225.928,80

BRO002 BROADCED 1 GRAM INJ 156 BOX 0 VIAL 25.166.164,92 39.546.000,00

BUS003 BUSCOPAN 20 MG/ML INJ 6 BOX 4 AMP 1.943.030,40 3.035.169,00

BUS005 BUSCOPAN PLUS FCT TAB 1 BOX 37 TAB 514.673,38 821.816,15

CAN001 CANDESARTAN 8 mg Tab 44 box 10 Tab 665.532,00 8.459.685,00

CAN002 CANDESARTAN 16 mg Tab 49 box 6 Tab 1.328.769,00 13.587.535,00

CAN007 CANDOTENS 8 MG TAB 8 BOX 7 TAB 400.200,00 589.927,00