NO Nama Obat / Alat Kesehatan

1 ACETYLCYSTEINE 200 Kapsul 238 392 130.674 ACRAN Tablet 54 82 27.337 ACTAZOLAM 0,5 MG Tablet 47 146 48.679 ACTAZOLAM 1 MG Tablet 30 350 116.67

13 ADONA INJ Ampul 11 26 8.6717 ALBUMAN Botol 1 1 0.3318 ALERTEN Q Tablet 24 78 26.0021 ALINAMIN F Ampul 7 11 3.6727 ALLOPURINOL 100 MG Tablet 50 61 20.3329 ALLOPURINOL 300 MG Botol 20 20 6.6730 ALPENTIN 100 MG Tablet 26 33 11.0032 ALPENTIN 300 MG Tablet 43 59 19.6736 AMBROXOL 30 MG Tablet 48 184 61.3339 AMBROXOL SYR Botol 3 10 3.3342 AMINEFRON Tablet 177 198 66.0044 AMINOFLUID Botol 2 16 5.3347 AMINOLEBAN Botol 2 6 2.0050 AMINOPHYLLIN Tablet 150 471 157.0053 AMITRYPTILIN 25 MG Tablet 15 29 9.6755 AMLODIPIN 10 Tablet 72 151 50.3358 AMLODIPIN 5 Tablet 217 349 116.3361 AMOXAN 500 MG TAB Tablet 40 40 13.3362 AMOXAN DS Botol 2 3 1.0064 AMOXICILLIN 500 TAB Tablet 59 209 69.6770 AMPICILLIN INJ Vial 9 14 4.6773 ANALSIK CAPS 500 MG Tablet 75 128 42.6776 ANTASIDA SYR Botol 5 5 1.6779 ANVOMER B6 Tablet 40 40 13.3380 APIDRA PEN PEN 8 16 5.3383 APYALIS DROP Botol 3 3 1.0084 AQUADEST 25 ML Botol 71 240 80.0089 ARIXTRA PEN Botol 8 18 6.0091 ARKINE TAB Tablet 20 40 13.3393 ASABIUM TAB Tablet 26 105 35.0095 ASAM MEFENAMAT 500 Tablet 253 623 207.67

98 ASAM TRANEXAMAT Tablet 10 11 3.6799 ASAM TRANEXAMAT INJ Ampul 23 88 29.33102 ASERING INFUS Botol 30 148 49.33105 ASPILET CHEWABLE TAB Tablet 3 22 7.33107 ASVEX Tablet 59 140 46.67111 AVAMYS NASAL SPRAY Tablet 1 1 0.33112 AZITROMICYN SYR Botol 1 2 0.67114 AZITROMICYN TAB Tablet 10 10 3.33115 BAMGETOL 200 MG Tablet 60 60 20.00116 BECOM C TAB Tablet 45 91 30.33119 BEROTEC INH Botol 1 20 6.67125 BETARHIN TAB Tablet 12 12 4.00128 BISOLVIN INJEKSI Vial 9 24 8.00130 BISOLVON ELIXIR Tablet 1 1 0.33131 BISOPROLOL Tablet 34 63 21.00133 BISTURI 10 Tablet 3 6 2.00135 BISTURI 11 Pcs 2 2 0.67136 BISTURI 15 Botol 1 2 0.67138 BISTURI 23 Pcs 2 18 6.00141 BLED STOP TAB Tablet 95 228 76.00144 BONE WAX ETHICON Pcs 1 1 0.33145 BRAINOLIN 500 MG Tablet 34 61 20.33147 BRAINOLIN INJ Ampul 4 27 9.00150 BUCAIN SPINAL INJ Ampul 2 2 0.67151 BUFECT SYR Botol 1 5 1.67154 BUPIVACAINE AMP Ampul 1 13 4.33157 CAL-95 Tablet 20 44 14.67159 CANDESARTAN 8 Tablet 104 164 54.67162 CAPTOPRIL 12,5 MG Tablet 90 90 30.00163 CAPTOPRIL 25 MG Tablet 62 89 29.67166 CAPTOPRIL 50 MG Tablet 30 30 10.00167 CARBAZOCHROME INJ Ampul 19 40 13.33170 CARDISAN TAB Tablet 10 10 3.33171 CATAPRES INJ Tablet 8 18 6.00173 CATARLENT EYE DROP Botol 1 1 0.33174 CATGUT CHROMIC 1 Pcs 4 4 1.33175 CATGUT CHROMIC 2 Pcs 4 4 1.33176 CATGUT CHROMIC 2-0 Pcs 2 2 0.67177 CEFADROXYL 125 MG DS Botol 6 15 5.00180 CEFADROXYL 500 Kapsul 294 655 218.33183 CEFAT Kapsul 66 132 44.00

186 CEFAT 250 TAB Tablet 18 18 6.00187 CEFAT FORTE Tablet 2 2 0.67188 CEFAT FORTE SYR Botol 3 3 1.00189 CEFAT SYR Botol 1 1 0.33190 CEFIXIME 100 MG TAB Kapsul 239 818 272.67193 CEFIXIME SYR Botol 4 4 1.33194 CEFOBACTAM INJ Vial 57 113 37.67197 CEFOTAXIM INJ Vial 50 162 54.00200 CEFTAZIDIM INJ Vial 20 81 27.00203 CEFTRIAXONE INJ Vial 27 121 40.33206 CENDO LYTERS Kapsul 2 4 1.33208 CERINI Tablet 20 20 6.67209 CERNEVIT INJ Vial 15 21 7.00212 CETERIZINE DROP Botol 1 1 0.33213 CETIRIZINE 10 MG TAB Tablet 157 340 113.33216 CHLORPROMAZINE 100 Tablet 59 102 34.00219 CIPROFLOXACIN INF Botol 6 6 2.00220 CIPROFLOXACIN TAB Tablet 60 86 28.67222 CITICOLINE INJ Ampul 49 83 27.67225 CLANEKSI 500 MG Kapsul 20 118 39.33227 CLANEKSI SYR Botol 3 3 1.00228 CLAST 0,5 MG Tablet 15 181 60.33231 CLINDAMYCIN 300 Kapsul 60 97 32.33234 CLINIMIX Pcs 8 8 2.67235 CLONIDIN 0.15 MG Tablet 60 60 20.00236 CLOPIDOGREL 75 Tablet 101 179 59.67239 CODEIN 10 MG Tablet 105 294 98.00242 CODEIN 20 MG Tablet 20 85 28.33245 COHISTAN SYR Botol 5 9 3.00247 COLERGIS TAB Tablet 11 30 10.00250 COLOSTOMI BAG Pcs 6 6 2.00251 COLSANSETIN Tablet 10 10 3.33252 COMAFUSIN HEPAR Botol 6 6 2.00253 COMBIVENT 2,6 ML Ampul 20 38 12.67256 CONNECTA / TRY WAY Pcs 4 11 3.67260 CORSEL Tablet 40 71 23.67262 COTRIMOXAZOLE Ampul 22 158 52.67266 COTRIMOXAZOLE SYR Tablet 1 1 0.33267 CPZ INJ Kapsul 4 4 1.33268 CTM 4 MG Tablet 30 60 20.00271 CUTICELL CLASSIC 10X10 Pcs 19 40 13.33

277 DANSERA Tablet 15 28 9.33280 DEPAKOTE ER TAB Tablet 25 54 18.00282 DESOXIMETHASONE KRIM 2,5% Tube 9 16 5.33285 DEXAMETHASONE INJ Ampul 75 232 77.33288 DEXAMETHASONE TAB Tablet 72 88 29.33291 DEXANTA Tablet 20 20 6.67292 DEXTROMETHORPHAN Pcs 48 118 39.33294 DEXTROSE 10% Botol 2 19 6.33297 DEXTROSE 40% Botol 2 40 13.33298 DEXTROSE 5% Botol 16 46 15.33301 DIAZEPAM 2 Tablet 107 328 109.33304 DIAZEPAM INJ Ampul 1 11 3.67306 DICYNONE INJ Ampul 39 112 37.33309 DIGOXIN 0,25 MG Tablet 25 25 8.33310 DIOVAN 80 Tablet 30 72 24.00314 DISPO 1 CC Pcs 43 105 35.00317 DISPO 10 CC Pcs 214 797 265.67320 DISPO 20 CC Pcs 4 22 7.33323 DISPO 3 CC Pcs 124 543 181.00326 DISPO 5 CC Pcs 117 473 157.67329 DISPO 50 CC Pcs 2 15 5.00332 DISPO 60 CC Pcs 1 3 1.00335 DOMPERIDONE TAB Tablet 63 254 84.67338 DOPAMET 250 MG Tablet 10 20 6.67340 DOXICYCLINE Kapsul 20 35 11.67342 DULCOLACTOL SYR Botol 4 7 2.33345 DULCOLAX TAB Tablet 6 6 2.00348 EFEDRIN HCL Ampul 2 2 0.67349 EFEDRIN TAB Tablet 2 2 0.67350 EFLAGEN Tablet 2 2 0.67351 ELASTIS TENSOCREPE 4 INCI Tablet 1 1 0.33352 ELECTRODA ARBO Pcs 5 27 9.00355 ELECTRODA COTHER/PLAT COUTER Pcs 29 92 30.67358 ELKANA CL Pcs 3 5 1.67360 EPEXOL Tablet 17 28 9.33362 EPEXOL DROP Botol 2 3 1.00364 EPEXOL SYR Botol 4 5 1.67366 EPHEDRIN INJ Pcs 8 11 3.67368 EPHINEFRIN INJ Ampul 2 2 0.67369 EPISAN SUSPENSI Botol 6 15 5.00372 ERGOTAMIN TAB Tablet 8 26 8.67

374 ERYSANBE CHEWBLE Tablet 88 199 66.33377 ERYTROYCIN 250 MG TAB Tablet 12 12 4.00378 ETHYLCHLORIDE (IMPORT) SPRAY Pcs 1 1 0.33379 ETT 7,5 Pcs 1 1 0.33380 EXERGIN 4,5 MG TAB Tablet 20 20 6.67381 EYEVIT TAB Tablet 20 20 6.67382 F. CATETER 2WAY 16 Pcs 2 5 1.67385 F. CATETER 2WAY 18 Pcs 16 33 11.00388 FALERGI TAB Tablet 67 89 29.67391 FARBION TAB Botol 20 20 6.67392 FARBIVENT Tube 28 42 14.00394 FARMACLOR FORTE SYR Botol 1 1 0.33395 FARMAVON INJ Ampul 2 8 2.67397 FARMAVON TAB Tablet 68 68 22.67398 FARSORBID 10 Pcs 12 12 4.00399 FARSORBID 5 Pcs 6 6 2.00400 FARSORBID INJ Tablet 24 39 13.00402 FENOFIBRATE 300 MG Botol 5 5 1.67403 FENTANYL INJ Botol 10 19 6.33405 FIXACEP 200 MG TAB Tablet 12 12 4.00406 FIXACEP DROP Botol 4 6 2.00408 FIXACEP SYR Botol 2 3 1.00410 FLAMAR 50 Tablet 10 60 20.00412 FLEXOR DS Botol 80 123 41.00414 FLIXOTIDE NEBULES Vial 20 20 6.67415 FOLAMIL GENIO Tablet 30 30 10.00416 FOLAVIT Tablet 93 93 31.00417 FORMUNO CAPS Kapsul 25 57 19.00420 FRESOFOL AMP Ampul 13 22 7.33423 FUROSEMIDE Tablet 56 107 35.67426 FUROSEMIDE INJ Ampul 6 55 18.33429 FUSON CREAM Tube 8 22 7.33432 G G Tablet 25 164 54.67435 GASTRUL Tablet 37 285 95.00438 GELANG NAMA Ampul 1 1 0.33439 GELOFUSIN Botol 5 23 7.67442 GENTAMYCIN INJ Ampul 34 38 12.67445 GENTAMYCIN SK Tube 1 1 0.33446 GIVINCEF CEFIROME INJ Vial 10 12 4.00448 GLAUCON Tablet 53 59 19.67450 GLIMEPIRID 1 MG Tablet 25 57 19.00

453 GLIMEPIRID 2 MG Ampul 3 3 1.00454 GRATIGO 5 MG Tablet 41 41 13.67455 GYPSONA 4 Botol 3 8 2.67457 GYPSONA 6 Tablet 8 8 2.67458 H2O2 Botol 1 1 0.33459 HARNAL 0.2 Tablet 64 107 35.67461 HEPARMIN TAB Tablet 9 9 3.00462 HERBESSER INJ Vial 8 9 3.00464 HEXYMER 2 MG Tablet 10 40 13.33466 HIDROCORTISONE CR Tube 2 4 1.33468 HISTAPAN TAB Tablet 70 151 50.33471 HUFADON TAB Tablet 18 18 6.00472 HYPAVIX 20X5 Cm 20 622 207.33475 HYSTOLAN Tablet 29 29 9.67476 I N H 100 MG Ampul 105 204 68.00478 IMIPINEM INF Tablet 2 3 1.00480 IMUNOS Tablet 9 35 11.67482 INBION Tablet 8 98 32.67485 INFUS SET Pcs 10 43 14.33488 INFUS SET REMEDI Pcs 12 31 10.33490 INLACT DHA Tablet 10 70 23.33492 INMATROL Botol 1 3 1.00494 INODEX INJ Ampul 20 25 8.33496 INPEPSA SYR Botol 4 7 2.33498 INTERHISTIN TAB Tablet 15 45 15.00501 IRBESARTAN 300 MG Tablet 30 30 10.00502 ISOSORBID DINITRAT 5 Tablet 13 63 21.00504 ISOTIC ADRETOR Botol 2 9 3.00507 JARUM BR 9 Lusin 1 1 0.33508 JARUM BT 11 Pcs 1 1 0.33509 JARUM GR 10 Lusin 1 1 0.33510 JARUM GR 13 Lusin 2 2 0.67511 JARUM GR 14 Lusin 1 2 0.67513 JARUM GT 10 Lusin 1 1 0.33514 JARUM GT 11 Lusin 1 2 0.67516 JARUM GT 12 Lusin 1 1 0.33517 JARUM GT 13 Lusin 1 2 0.67519 JARUM GT 9 Ampul 1 1 0.33520 JARUM NEEDLE Pcs 8 46 15.33523 JELLY Cc 5 5 1.67524 KA EN 3B Botol 8 38 12.67

527 KA EN MG 3 Botol 1 3 1.00529 KALIPAR Tablet 3 12 4.00531 KCL Ampul 2 6 2.00534 KETOROLAC 30 INJ Ampul 101 215 71.67537 KIDMIN 200 ML Botol 7 18 6.00540 KORSET LUMBAL XL Tablet 2 2 0.67541 KTM Tablet 4 6 2.00543 KY JELLY Tablet 3 3 1.00544 L BIO SACHET Sachet 50 50 16.67545 L CORE SACHET Sachet 13 28 9.33547 L ZINC SYR Botol 5 5 1.67548 LACTO B Sachet 14 73 24.33551 LAKTAFAR TAB Tablet 20 20 6.67552 LAMINARIA Pcs 2 2 0.67553 LANSOPRAZOLE Kapsul 198 552 184.00556 LANTUS Ampul 2 3 1.00558 LEOKOPLAST Pcs 23 65 21.67560 LEUKOMED T PLUS Pcs 4 4 1.33562 LEVEMIR PEN 4 4 1.33563 LEVOFLOXACIN 500 MG Tablet 28 104 34.67566 LEVOFLOXACIN INF Botol 6 8 2.67568 LEVOSOL Tablet 4 4 1.33569 LIDOCAIN INJ Ampul 2 8 2.67571 LIDOCAIN COM INJ Botol 1 1 0.33572 LIPITOR Tablet 2 68 22.67575 LODIA TAB Lusin 19 24 8.00577 LOXIMEI Tablet 10 10 3.33578 LYOSTIP 5X8 Lembar 1 13 4.33581 MANITOL INFUS Botol 2 2 0.67582 MARTOS Botol 6 6 2.00583 MASKER Pcs 1400 4260 1,420.00586 MAXILIV Tablet 36 41 13.67588 MAYO (GUDEL) 70 MM Botol 1 3 1.00590 MAYO (GUDEL) 80 MM Tablet 1 1 0.33591 MEFINAL 500 Tablet 100 193 64.33594 MELOXICAM 15 MG Tablet 2 165 55.00597 MELOXICAM SUPPO Suppo 8 8 2.67598 MELOXIN Tablet 17 51 17.00600 MERCOTIN DROPS Botol 2 2 0.67601 MERLOPAM 2 MG Tablet 20 91 30.33604 MEROPENEM Vial 4 7 2.33

606 METFORMIN 500 Tablet 106 184 61.33609 METILERGOMETRIN INJ Ampul 5 17 5.67612 METILERGOMETRIN TAB Tablet 9 9 3.00613 METILPREDNISOLON 125 MG INJ Vial 13 13 4.33614 METILPREDNISOLON TAB Sachet 66 156 52.00617 METILPREDNISOLON TAB 8 MG Tablet 34 73 24.33619 METOCLOPROPAMIDE TAB Kapsul 31 74 24.67621 METRONIDASOLE 500 MG Tablet 102 199 66.33624 METRONIDASOLE INFUS Botol 47 116 38.67627 MGSO4 Botol 2 5 1.67630 MICARDIS 80 MG Ampul 12 12 4.00631 MICONAZOLE Tube 3 5 1.67633 MICRO DRIPS Pcs 4 8 2.67636 MINIASPI Tablet 97 97 32.33637 MINISCRUB Gallon 1 1 0.33638 MINOSEP KUMUR MERAH Botol 2 9 3.00641 MINOSIL Liter 1 1 0.33642 MIOZIDINE TAB Tablet 45 80 26.67644 MITELLA DEWASA Pcs 1 1 0.33645 MOZUKU Tablet 20 20 6.67646 MUCOHEXIN 8 MG TAB Tablet 42 137 45.67649 MUCOHEXIN SYR Botol 1 1 0.33650 NACL 0,9% 500 ML Botol 36 179 59.67653 NACL 3% Botol 7 12 4.00656 NACL PIGGY BACK Botol 8 25 8.33659 NASAL ANAK Pcs 1 2 0.67661 NASAL DEWASA Pcs 2 15 5.00664 NASAL NEONATUS/BAYI Pcs 2 7 2.33667 NATRIUM DIKLOFENAK 25 MG Tablet 6 138 46.00670 NATRIUM DIKLOFENAK 50 MG Tablet 10 10 3.33671 NATRIUM PHENITOIN INJ Tablet 4 4 1.33672 NATRIUM PHENITOIN TAB Tablet 120 120 40.00673 NEO DIAFORM TAB Tablet 3 68 22.67676 NEUROBAT A Tablet 6 6 2.00677 NEURODEX TAB Tablet 267 600 200.00680 NEUROLIN 500 Tablet 5 5 1.67681 NEUROSANBE 5000 Tablet 43 145 48.33684 NEUROSANBE INJ Ampul 34 75 25.00687 NEUROSANBE PLUS Tablet 20 40 13.33689 NEUROSANBE TAB Tablet 36 81 27.00692 NEVRADIN E Tablet 14 38 12.67

694 NGT 12 Pcs 1 1 0.33695 NGT 18 Botol 6 6 2.00696 NGT 18 Pcs 4 4 1.33697 NGT 5 (100 CM) Pcs 1 2 0.67699 NIFEDIPINE 10 MG Tablet 109 109 36.33700 NIPE DROP Botol 2 3 1.00702 NITROGLYCERINE INJ Tablet 4 4 1.33703 NITROKAF RETARD Tablet 226 282 94.00706 NODIRIL Tube 40 60 20.00708 NOVORAPID Pcs 1 3 1.00710 NTG INJ Ampul 1 8 2.67712 NUTRIFLAM Kapsul 81 204 68.00715 NUTRIFLEX Soft Bag 1 1 0.33716 NYMIKO SUSP DROP Botol 4 9 3.00718 O2 MEDIS Liter 3861 30561 10,187.00721 OCUSON TAB Tablet 10 92 30.67724 OFLOXACIN 400 MG Tablet 30 45 15.00726 OLANDOS 10 Tablet 4 4 1.33727 OMEPRAZOLE 20 Kapsul 15 80 26.67730 ONDANSENTRON 8 MG Tablet 20 67 22.33733 ONDANSENTRON INJ Ampul 47 146 48.67736 ONZAPIN 5 MG Tablet 10 10 3.33737 OPIMOX 500 Tablet 5 5 1.67738 OPIZOLAM 0,5 MG Tablet 11 87 29.00741 OPIZOLAM 1 MG Tablet 20 123 41.00744 OPTIME 2/0 Pcs 1 1 0.33745 ORALIT 200 ML Pcs 5 5 1.67746 OSSORAL 800 Tablet 30 160 53.33749 OTOPRAF TTS Botol 1 1 0.33750 OTSU Y SET Pcs 1 1 0.33751 OTSUTRAN 40 Tablet 1 2 0.67753 OXAFLAM Tablet 10 95 31.67756 OXYTETRASIKLIN SK Tube 1 1 0.33757 OXYTOCIN Ampul 16 114 38.00760 PAN AMIN-G Botol 2 6 2.00763 PANTOZ Vial 5 8 2.67765 PARACETAMOL 500 Tablet 158 737 245.67768 PARACETAMOL DROPS Ampul 1 1 0.33769 PARACETAMOL SYR Botol 6 10 3.33771 PENJEPIT TALI PUSAT Tablet 1 1 0.33772 PERDIPINE Tablet 1 17 5.67

774 PERFUSSOR LEITUNG Pcs 1 19 6.33777 PERIFIX (EPIDURAL) Tablet 1 4 1.33779 PETHIDIN INJ Pcs 1 1 0.33780 PHARMAFIX 15x500 cm 224 224 74.67781 PHENOBARBITAL INJ Ampul 1 10 3.33783 PHENOBARBITAL TAB Tablet 100 181 60.33786 PHENYTOIN SODIUM Kapsul 90 90 30.00787 PIRACETAM 1200 MG Tablet 15 69 23.00790 PIRACETAM 3 GR Ampul 12 125 41.67793 PIRACETAM 800 MG Tablet 10 98 32.67796 PITOGIN INJ Ampul 15 15 5.00797 PLASMINEX TAB Tablet 49 80 26.67799 POLIDEMICIN ED Botol 4 8 2.67802 POLYPROPYLENE 3-0 Pcs 1 2 0.67804 PREDNISON Tablet 50 69 23.00806 PREMILENE 3/0 Soft Bag 2 2 0.67807 PREMILENE 4/0 Botol 2 2 0.67808 PREMILENE MESH 5 Pcs 1 1 0.33809 PRENAMIA CAPS Kapsul 178 287 95.67812 PROCLOZAM Tablet 289 676 225.33815 PRODEK 3/0 Tablet 5 5 1.67816 PROHEM Ampul 1 1 0.33817 PROLIC 300 Tablet 10 28 9.33819 PROMEDEX TAB Tablet 35 239 79.67822 PROPRANOLOL 10 MG Tablet 20 20 6.67823 PROTICA Tablet 3 3 1.00824 PROVE C Tablet 65 95 31.67827 PROVITAL Tablet 30 57 19.00829 PSIDII CAPS Tablet 22 22 7.33830 PSIDII SYR Ampul 1 1 0.33831 PUMPICEL Vial 43 118 39.33834 PYRAZINAMID 500 Tablet 5 18 6.00836 RANITIDIN 150 MG TAB Tablet 172 570 190.00839 RANITIDIN INJ Ampul 161 422 140.67842 REBAL PLUS Tablet 40 106 35.33845 RECOLFAR Tablet 23 71 23.67847 RENADINAC 25 Tablet 60 195 65.00850 RENADINAC 50 Tablet 50 50 16.67851 RENAGAS TAB Tablet 40 97 32.33854 RENASISTIN 500 Tablet 15 25 8.33856 RENATOR Tablet 10 10 3.33

857 RETAPHYL SR Kapsul 69 101 33.67860 RHINOS JUNIOR SYR Botol 1 1 0.33861 RIFAMPICIN 450 MG Tablet 30 50 16.67863 RIFAMPICIN 600 MG Tablet 30 47 15.67865 RIMSTAR FDC Tablet 131 141 47.00867 RINCLO 75 Tablet 15 25 8.33869 RL 500 ML INFUS Botol 250 787 262.33872 ROCKER SWITCH COUTHER Pcs 73 183 61.00875 ROCULAX Ampul 1 1 0.33876 SAFIL 2 Ampul 1 1 0.33877 SAFIL 3-0 Pcs 1 1 0.33878 SALBUTAMOL 2 MG Tablet 125 215 71.67880 SALBUTAMOL 4 MG Tablet 10 107 35.67882 SALYCIL TALK Botol 1 2 0.67884 SANADRYL SYR Botol 1 1 0.33885 SANDEPRIL 50 MG Tablet 2 36 12.00888 SANMOL DROP Botol 3 9 3.00891 SANMOL INF Botol 45 143 47.67894 SANMOL SYR Botol 5 11 3.67897 SANMOL TAB Tablet 146 244 81.33900 SANPRIMA SYR Botol 1 1 0.33901 SANPRIMA TAB Tablet 20 32 10.67903 SANTA E 200 Tablet 10 10 3.33904 SANTA E 400 Tablet 30 30 10.00905 SANTAGESIK INJ Ampul 5 44 14.67908 SCOBUTRIN Tablet 17 17 5.67909 SEDACUM 5 INJ Botol 11 18 6.00911 SEMILLAS 9x15 Pcs 3 4 1.33913 SEMILLAS DRESSING 7x6 Pcs 1 3 1.00916 SEMILLAS WD 10X25 Pcs 10 13 4.33919 SESDEN Tablet 12 101 33.67921 SEVOFLURAN INH Kapsul 50 50 16.67922 SF Tablet 9 62 20.67925 SIBITAL INJ Ampul 1 2 0.67927 SICLIDON Tablet 15 15 5.00928 SILKAM 1 ROLL Roll 1 1 0.33929 SILKAM BLACK 2/0 ROLL Roll 1 1 0.33930 SIMVASTATIN 10 TAB Tablet 204 365 121.67933 SKIN TRACTION ADULT (STK) Tablet 1 1 0.33934 SOFTBAN 4 Pcs 1 5 1.67937 SOFTBAN 6 Tablet 3 3 1.00

938 SOTATIC INJ Ampul 13 64 21.33941 SPINOCAN 25 JARUM SPINAL Pcs 2 13 4.33944 SPIRIVA 18 MG REFIL Tablet 5 15 5.00946 SPIRONOLAKTON 25 MG Ampul 15 163 54.33949 SPORETIK 100 MG CAPS Kapsul 7 85 28.33952 SPORETIK 50 MG Kapsul 54 84 28.00954 SPORETIK DRY SIRUP Botol 2 5 1.67957 STESOLID 10 MG SUPP Suppo 3 7 2.33960 STESOLID 5 MG SUPP Suppo 7 7 2.33961 STOLAX SUPPO Suppo 52 107 35.67964 SUCTION CATHETER 6 Pcs 3 4 1.33966 SUNGKUP ANAK Pcs 1 2 0.67968 SUNGKUP DEWASA Pcs 1 3 1.00970 SUNGKUP O2 BAYI Pcs 1 1 0.33971 SUPRALIVRON Tablet 40 40 13.33972 SURFLO 18 Pcs 12 33 11.00975 SURFLO 20 Pcs 13 45 15.00978 SURFLO 22 Pcs 9 36 12.00981 SURFLO 24 Pcs 9 38 12.67984 SURGILACTIN 1 Botol 1 3 1.00986 SURGILACTIN 2-0 Pcs 1 1 0.33987 SURGYCRIL 1 Ampul 3 3 1.00988 SURGYCRIL 2-0 Pcs 1 1 0.33989 SYMBICORT TURBUHALER Botol 1 1 0.33990 T CHROMIC 1 Tablet 7 9 3.00992 T CHROMIC 2 Botol 1 1 0.33993 T CHROMIC 2/0 Tablet 8 10 3.33995 T LENE 2/0 Pcs 1 2 0.67997 T LENE 3/0 Pcs 1 6 2.001000 T LENE 4/0 Pcs 3 3 1.001001 T VIO 1 Pcs 3 12 4.001004 T VIO 2/0 Botol 1 1 0.331005 T VIO 3/0 Tablet 3 7 2.331008 TAKANA SYR Botol 6 9 3.001010 TENSOCREP 3 Roll 2 2 0.671011 TENSOCREP 4 Tablet 1 5 1.671013 TENSOCREP 6 Ampul 9 11 3.671015 TERPACEF INJ Vial 3 25 8.331018 TETRACYCLIN Kapsul 21 57 19.001020 TIBITOL 250 MG Tablet 30 33 11.001022 TIBITOL 500 MG Tablet 30 122 40.67

1025 TORASIC BAG Pcs 2 2 0.671026 TRAJENTA DUO TAB Pcs 60 60 20.001027 TRAMADOL 50 MG Pcs 50 110 36.671029 TRANSFUSI SET Pcs 3 22 7.331032 TREMENZA Tablet 104 270 90.001035 TRICHODAZOL 500 Tablet 6 16 5.331037 TROGYL 500 MG Tablet 20 20 6.671038 TUTOFUSIN INF Ampul 1 1 0.331039 UDOPA Tablet 9 14 4.671041 ULSAFATE SYR Botol 4 9 3.001044 UNALIUM 5 MG Tablet 46 76 25.331046 UNDERPAD Pcs 2 2 0.671047 UNIVOXY Tablet 10 20 6.671049 URESIX TAB Tablet 33 58 19.331051 URINE BAG Pcs 8 20 6.671054 VAKSIN 0,5 CC CC 1 1 0.331055 VASTIGO TAB Tablet 112 366 122.001058 VECTRINE 300 Kapsul 75 160 53.331061 VECTRINE SYR Botol 1 1 0.331062 VENTOLIN NEBULES Botol 19 19 6.331063 VERBAN 10 CM Roll 4 27 9.001066 VERBAN 5 CM Roll 22 36 12.001069 VICILLIN INJ Vial 3 3 1.001070 VIOXY FM Tablet 64 98 32.671072 VIP ALBUMIN Kapsul 256 598 199.331075 VIP ALBUMIN PLUS Sachet 12 15 5.001077 VISEBAD DROP Botol 1 2 0.671079 VIT. C INJ ASCORBAT ACID Ampul 7 17 5.671082 VIT. K INJ PYTOMENADION Ampul 8 21 7.001085 VITAMIN B COMP Tablet 30 40 13.331087 VITAMIN B1 Tablet 60 60 20.001088 VITAMIN B6 TAB PYRIDOXIN Tablet 60 135 45.001091 VITAMIN C TAB Tablet 50 50 16.671092 VOLUVEN Pcs 1 1 0.331093 VOMETA SYR Pcs 2 3 1.001095 ZINNAT 500 MG TAB Tablet 10 10 3.33