tablet Levofloksasin tablet 500 mg tablet Lidokain injeksi 2 % 2 ml Linkomisin kapsul 250 mg

REK

NAMA RINCIAN Levofloksasin tablet 500 mg

MERK

SATUAN Ktk 5 x 10 tablet Levofloksasin tablet 500 mg Ktk 3 x 10 tablet Lidokain injeksi 2 % Ktk 100 ampul @ 2 ml Lidokain injeksi 2 % (HCl)+Epinefrin 1: 80.000 - 2 ml Ktk 30 ampul @ 2 ml Linkomisin kapsul 250 mg Ktk 10 x 10 kapsul Linkomisin kapsul 250 mg Ktk 5 x 12 kapsul Linkomisin kapsul 500 mg Ktk 5 x 10 kapsul Linkomisin kapsul 500 mg Ktk 5 x 12 kapsul Lisinopril tablet 10 mg Ktk 3 x 10 tablet Lisinopril tablet 20 mg Ktk 3 x 10 tablet Lisinopril tablet 5 mg Ktk 3 x 10 tablet Loperamid tablet 2 mg Ktk 10 x 10 tablet Loratadin tablet 10 mg Ktk 5 x 10 tablet Magnesium Sulfat inj (IV) 20 % - 25 ml Ktk 10 vial Magnesium Sulfat inj (IV) 40 % - 25 ml Ktk 10 vial Magnesium Sulfat serbuk 30 gram Ktk 10 sase @ 30 gr Mebendazol sirup 100 mg/ 5 ml Btl 30 ml Mebendazol tablet 100 mg Ktk 5 x 6 tablet Mebendazol tablet 500 mg Ktk 10 x 10 tablet Meloksikam suppositoria Ktk 10 supp Meloksikam tablet 15 mg Ktk 5 x 10 tablet Meloksikam tablet 15 mg Ktk 2 x 10 tablet Meloksikam tablet 7,5 mg Ktk 5 x 10 tablet Meloksikam tablet 7,5 mg Ktk 2 x 10 tablet Merkaptopurin tablet 50 mg Btl 25 tablet Metampiron injeksi 250 mg Ktk 30 ampul @ 2 ml Metampiron tablet 500 mg Ktk 10 x 10 tablet Metformin HCl tablet 500 mg Ktk 10 x 10 tablet Metformin HCl tablet 850 mg Ktk 10 x 10 tablet Metildopa tablet 250 mg Btl 100 tablet Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg Ktk 10 x 10 tablet Metilergometrin Maleat injeksi 0,200 mg - 1 ml Ktk 30 ampul Metilprednisolon injeksi 500 mg Ktk 1 vial Metilprednisolon tablet 16 mg Ktk 3 x 10 tablet Metilprednisolon tablet 16 mg Ktk 10 x 10 tablet Metilprednisolon tablet 4 mg Ktk 10 x 10 tablet Metilprednisolon tablet 8 mg Ktk 10 x 10 tablet Metoklopramide injeksi 5 mg/ ml Ktk 10 amp @ 2 ml Metoklopramide sirup 5 mg/ ml Btl 60 ml Metoklopramide tablet 10 mg Ktk 10 x 10 tablet Metoklopramide tablet 5 mg Ktk 10 x 10 tablet

Standar Satuan Harga Pemerintah Kabupaten Cilacap Tahun 2012

HARGA

KET

57.684 33.200 92.500 31.000 27.778 16.680 32.500 39.000 17.321 21.917 10.051 9.155 16.654 15.398 19.479 10.266 3.000 6.300 22.860 66.000 59.950 23.980 40.700 16.280 5.495 36.700 13.700 16.500 33.000 27.229 10.996 41.000 92.250 39.000 115.000 48.950 65.000 10.000 2.100 9.250 7.317 41

REK

NAMA RINCIAN Metronidazol infus 500 mg/ 100 ml Metronidazol tablet 250 mg Metronidazol tablet 500 mg Mikonazol krem/ salep 2 % ( Nitrat ) Mineral Mix kombinasi :

Kalium Klorida Trikalium sitrat (1H2O) Magnesium Klorida (6H2O) Seng Asetat (2H2O) Tembaga Sulfat (5H2o)

Morfin tablet 10 mg Natrium Bikarbonat tablet 500 mg Natrium Diklofenak tablet 50 mg Natrium Diklofenak tablet 25 mg Natrium Fluoresin tetes mata 2 % Natrium Klorida larutan infus 0,9 % Natrium Thiosulfat I v 25 % Neomisin kapsul 500 mg Nevirapin tablet 200 mg Nifedipin tablet 10 mg Nistatin tablet salut 500.000 IU/g Nistatin vaginal tablet 100.000 IU/g Nitrofurantoin tablet 100 mg Obat Antituberkulosis Kategori I Dewasa Obat Antituberkulosis Kategori anak Obat Batuk Hitam (OBH) cairan Obat Batuk Hitam (OBH) cairan Obat FDC Anak Obat FDC Kategori I Obat FDC Kategori II Obat FDC Sisipan Ofloxacin tablet 200 mg Ofloxacin tablet 400 mg Oksitetrasiklin salep mata 1 % (HCl) Oksitetrasiklin salep mata 1 % (HCl) Oksitetrasiklin (HCl) injeksi i.m 50 mg/ ml - 10 ml Oksitetrasiklin salep kulit 3 % Oksitetrasiklin salep kulit 3 %

Oseltamivir 75 mg Papaverin injeksi 40 mg/ ml Papaverin tablet 40 mg Parasetamol drop Parasetamol sirup 120 mg/ 5 ml Parasetamol tablet 100 mg Parasetamol tablet 500 mg

SATUAN Btl 100 ml Ktk 10 x 10 tablet Ktk 10 x 10 tablet Tube 10 gr

Ktk 40 sachet

HARGA

KET

29.500 13.000 19.000 3.000 99.000

1.792 mg 648 mg 608 mg 66 mg 11 mg

Momethason krim 0,1 % Momethason krim 0,1 % Morfin injeksi 10 mg/ ml

Oksitosin injeksi 10 IU/ ml - 1 ml Omeprazol kapsul 20 mg Omeprazol kapsul 20 mg

MERK

Tube 5 gram Tube 10 gram Ktk 10 amp @ 1 ml Btl 30 tab Btl 1000 tablet Ktk 5 x 10 tablet Ktk 5 x 10 tablet Ktk 24 btl @ 5 ml Btl 500 ml Ktk 10 amp @ 10 ml Ktk 10 x 10 kapsul Btl 60 tablet Ktk 10 x 10 kapsul Ktk 10 x 10 tablet salut Ktk 10 x 10 tablet vaginal Btl 100 tablet Paket/ dos Paket/ dos Btl 100 ml Btl 200 ml Paket Paket Paket Paket Ktk 5 x 10 tablet Ktk 5 x 10 tablet Tube 3,5 gram Ktk 25 tube @ 3,5 gr Ktk 10 vial Tube 5 gr Ktk 25 tube @ 5g Ktk 30 ampul Btl 7 kapsul Ktk 3 x 10 kapsul Ktk 10 Ktk 100 amp @ 1 ml Btl 1000 tablet Btl 15 ml Btl 60 ml Btl 100 tablet Ktk 10 x 10 tablet


14.108 22.275 102.085 36.179 14.300 10.884 8.384 94.216 4.900 27.000 31.650 156.750 10.785 55.000 34.500 6.180 288.200 172.000 1.500 3.000 215.000 360.000 1.200.000 160.000 29.505 43.650 2.100 48.000 31.000 1.675 41.875 53.550 5.386 12.250 130.000 53.000 93.000 4.800 2.300 3.800 10.500 42

REK

NAMA RINCIAN Pentoksifilin injeksi 300 mg/ 15 ml Pentoksifilin tablet 400 mg Perfenazin tablet 4 mg (HCl) Perfenazin tablet 2 mg Perfenazin tablet 8 mg Petidin injeksi 50 mg/ ml Pilokarpin tetes mata 2 % (HCl/ Nitrat) Piracetam injeksi 1 g/ 5 ml Piracetam injeksi 3 g/ 15 ml Piracetam tablet 1200 mg Piracetam tablet 1200 mg Piracetam tablet 400 mg Piracetam tablet 800 mg Pirantel sirup 125 mg/ 5 ml Pirantel tab score ( base) 125 mg Pirantel tab score ( base) 125 mg Pirazinamid tablet 500 mg Piridoksin (Vitamin B6) tablet 10 mg (HCl) Piridoksin (Vitamin B6) tablet 25 mg (HCl) Piroksikam tablet 10 mg Piroksikam tablet 10 mg Piroksikam tablet 20 mg Piroksikam tablet 20 mg Povidon Iodida larutan 10 % Povidon Iodida larutan 10 % Povidon Iodida larutan 10 % Povidon Iodida larutan 10 % Pravastatin tablet 10 mg Pravastatin tablet 20 mg Pravastatin tablet 20 mg Prazikuantel tablet 300 mg Prazikuantel tablet 600 mg Prednison tablet 5 mg Primkuin tablet 15 mg Prokain Benzil Penisillin G injeksi 3 jt IU/ vial Prometazin tablet 25 mg Propanolol tablet 40 mg (HCl) Propanolol tablet 10 mg (HCl) Propiltiourasil tablet 100 mg Propiltiourasil tablet 50 mg Ramipril tablet 2,5 mg Ramipril tablet 5 mg Ranitidin injeksi 25 mg/ 2 ml Ranitidin tablet 150 mg Ranitidin tablet 150 mg Reserpin tablet 0,10 mg Reserpin tablet 0,25 mg

MERK

SATUAN Ktk 10 vial Ktk 10 x 10 tablet Btl 100 tablet Ktk 15 x 10 tablet Ktk 15 x 10 tablet Ktk 10 ampul Btl 5 ml ktk 10 ampul Ktk 4 ampul Ktk 10 x 10 tablet Ktk 5 x 10 tablet Ktk 10 x 10 tablet Ktk 10 x 10 tablet Btl 60 ml Ktk 25 x 4 tablet score Ktk 30 x 2 tablet score Ktk 10 x 10 tablet Btl 1000 tablet Btl 1000 tablet Ktk 10 x 10 tablet Ktk 12 x 10 tablet Ktk 10 x 10 tablet Ktk 12 x 10 kaplet Btl 30 ml Btl 60 ml Btl 300 ml Btl 1000 ml Ktk 3 x 10 tablet Ktk 3 x 10 tablet Ktk 5 x 10 tablet Btl 1000 tablet Btl 100 tablet Btl 1000 tablet Btl 1000 tablet Ktk 30 vial @ 15 ml Ktk 100 tablet Btl 100 tablet Btl 10 x 10 tablet Btl 100 tablet Btl 1000 tablet Ktk 10 x 10 tablet Ktk 10 x 10 tablet Ktk 25 amp Ktk 3 x 10 tablet Ktk 10 x 10 tablet Btl 250 tablet Btl 1000 tablet


HARGA

KET

166.250 135.850 4.241 6.296 9.345 119.922 5.214 55.000 68.420 132.000 66.000 50.160 88.000 3.500 29.000 18.600 22.000 14.300 25.000 7.500 9.000 10.500 12.600 2.000 3.300 14.500 42.000 49.005 81.675 136.125 768.390 160.000 57.500 101.800 168.000 5.015 12.100 7.700 29.957 211.200 29.537 50.666 64.250 6.300 21.000 18.800 88.000 43

REK

NAMA RINCIAN Retinol (Vitamin A) 100.000 IU kapsul lunak

MERK

SATUAN Btl 50 kapsul lunak Retinol (Vitamin A) 100.000 IU kapsul lunak Btl 50 kapsul lunak Retinol (Vitamin A) tablet 50.000 IU Btl 1000 tablet Rifampisin kapsul 600 mg Ktk 10 x 10 kapsul Rifampisin kapsul 300 mg Ktk 10 x 10 kapsul Rifampisin kapsul 300 mg Ktk 12 x 10 kapsul Rifampisin tablet salut 450 mg Ktk 10 x 10 tab salut Ringer Laktat larutan infus Btl 500 ml Risperidon tablet 1 mg Ktk 2 x 10 tablet Risperidon tablet 1 mg Ktk 5 x 10 tablet Risperidon tablet 2 mg Ktk 5 x 10 tablet Risperidon tablet 3 mg Ktk 2 x 10 tablet Risperidon tablet 3 mg Ktk 5 x 10 tablet Salbutamol tablet 2 mg (sebagai sulfat) Ktk 10 x 10 tablet Salbutamol tablet 4 mg (sebagai sulfat) Ktk 10 x 10 tablet Salep 2-4, Kombinasi : Asam Salisat 2% + Belerang endap 4 % Ktk 24 pot @ 30 gr Salisil Bedak 2% Ktk 50 gram Sefadroksil sirup kering 125 mg / 5 ml Btl 60 ml Sefadroksil kapsul 250 mg Ktk 3 x 10 kapsul Sefadroksil kapsul 250 mg Ktk 10 x 10 kapsul Sefadroksil kapsul 500 mg Ktk 5 x 10 kapsul Sefadroksil kapsul 500 mg Ktk 10 x 10 kapsul Sefaklor kapsul 250 mg Ktk 3 x 10 kapsul Sefaklor kapsul 500 mg Ktk 3 x 10 kapsul Sefaleksin kapsul 250 mg Ktk 5 x 10 kapsul Sefaleksin kapsul 500 mg Ktk 5 x 10 kapsul Sefazolin injeksi 1 g Ktk 2 vial Sefiksim kapsul 100 mg Ktk 5 x 10 kapsul Sefiksim kapsul 100 mg Ktk 3 x 10 kapsul Sefiksim kapsul 50 mg Ktk 3 x 10 kapsul Sefiksim sirup kering 100 mg / 5 ml Btl 30 ml Sefiksim 400 mg + Azitromisin 1000 mg Paket Sefotaksim injeksi 0,5 g Ktk 2 vial Sefotaksim injeksi 1 g Ktk 2 vial Sefotaksim injeksi 1 g Ktk 10 vial Sefotaksim injeksi 1 g per vial Ktk 1 vial Seftazidim injeksi 1 g Ktk 2 vial Seftriakson injeksi 1 g Ktk 2 vial Seftriakson serbuk injeksi 1 g/ vial Ktk 1 vial @ 10 ml Sefuroksim serbuk injeksi 750 mg / vial Ktk 2 vial @ 10 ml Sianokobalamin (vitamin B12) injeksi 500 mcg Ktk 100 amp @ 1 ml Sianokobalamin (vitamin B12) injeksi 50 mcg Btl 1000 tablet Siklofosfamid tablet 50 mg Btl 50 tablet


HARGA

KET

13.000 21.000 160.000 77.500 40.000 46.200 55.000 5.200 37.620 94.050 118.750 57.000 142.500 8.403 9.749 29.500 1.100 7.230 13.352 44.505 35.000 70.000 35.739 65.522 32.485 60.000 45.568 119.730 71.838 30.000 30.250 33.000 8.679 15.400 77.000 7.700 75.240 19.098 9.549 21.318 97.000 12.360 84.384 44

REK

NAMA RINCIAN Siklosporin kapsul lunak 25 mg Simetidin tablet 200 mg Simvastatin tablet 5 mg Simvastatin tablet 10 mg Simvastatin tablet 10 mg Simvastatin tablet 10 mg Simvastatin tablet 10 mg Siprofloksasin infus 2% Siprofloksasin tablet 250 mg ( sebagai HCl) Siprofloksasin tablet 250 mg ( sebagai HCl) Siprofloksasin tablet 250 mg ( sebagai HCl) Siprofloksasin tablet 500 mg ( sebagai HCI) Siprofloksasin tablet 500 mg ( sebagai HCI) Siprofloksasin tetes mata 0,3 % Spiramisin tablet 250 mg Spiramisin tablet 500 mg Spironolakton tablet 100 mg Spironolakton tablet 25 mg Stavudin tablet 30 mg Streptomisin serbuk injeksi i.v 1500 mg/ml Sulfadiazin tablet 500 mg Sulfametoksazol tablet 400 mg Sulfasalazin tablet 500 mg Sulfasetamida Natrium tetes mata 15 % Tamoksifen tablet 20 mg Teofilin tablet 150 mg Terbutalin tablet 2,5 mg Tetrakain HCI tatas mata 0,5% Tetrasiklin kapsul 250 mg Tetrasiklin kapsul 500 mg Tiamfenikol kapsul 250 mg Tiamfenikol kapsul 500 mg Tiamin (Vitamin B1) injeksi 100 mg/ml Tiamin (Vitamin B1) tablet 50 mg (HCI/Nitrat) Tiamin (Vitamin B1) tablet 100 mg Tiopental Natrium serbuk injeksi 1000 mg/amp Tramadol injeksi 50 mg/ml Tramadol kapsul 50 mg Tramadol tablet 50 mg Trifluoperazin tablet 1 mg Trifluoperazin tablet 5 mg

MERK

SATUAN Btl 50 kapsul Ktk 10 x 10 tablet Ktk 3 x 10 tablet Ktk 3 x 10 tablet Ktk 5 x 10 tablet Ktk 3 x 10 tablet Ktk 5 x 10 tablet Btl 100 ml Ktk 5 x 10 tablet Ktk 3 x 10 tablet Ktk 10 x 10 tablet Ktk 5 x 10 tablet Ktk 10 x 10 tablet Btl 10 ml Ktk 5 x 10 tablet Ktk 5 x 10 tablet Ktk 10 x 10 tablet Ktk 10 x 10 tablet Btl 60 tablet Ktk 30 vial @ 15 ml Btl 100 tablet Ktk 10 x 10 tablet Btl 500 tablet Ktk 24 btl @ 5 ml Btl 30 tablet Ktk 10 x 10 tablet Ktk 5 x 10 tablet Ktk 24 btl @ 5 ml Btl 1000 kapsul Ktk 10 x 10 kapsul Ktk 10 x 10 kalsul Ktk 10 x10 kapsul Ktk 30 amp @ 1 ml Btl 1000 tablet Btl 1000 tablet Ampul @ 10 ml Ktk 5 ampul Ktk 5 x 10 kapsul Ktk 5 x 10 tablet Ktk 10 x 10 tablet Ktk 10 x 10 tablet


HARGA

KET

122.489 10.500 7.695 15.390 25.650 30.780 51.300 57.000 12.500 7.500 25.000 12.000 26.500 3.872 34.000 67.000 105.496 34.637 50.600 54.840 11.685 7.958 190.060 82.686 39.139 5.436 4.869 81.514 152.000 25.000 30.000 58.000 21.000 35.200 70.000 60.579 32.010 16.500 16.100 23.475 38.000 45

REK

NAMA Triheksifenidil tablet 2 mg

RINCIAN

Trimetoprim tablet 200 mg Valproat tablet 150 mg Valproat tablet 250 mg Verapamil tablet 80 mg (HCI) Vitamin B Kompleks tablet Zidovudin 300 mg + Lamivudine 150 mg Zidovudin tablet 100 mg Zinc tablet

MERK

SATUAN Ktk 10 x10 tablet Btl 100 tablet Btl 50 tablet Btl 50 tablet Ktk 10 x 10 tablet Btl 1000 tablet Btl 60 tablet Btl 60 tablet Ktk 10 x 10 tablet

HARGA

9.405 11.794 17.383 35.215 22.200 187.000 56.925 47.500

D. PERBEKALAN KESEHATAN Alat suntik sekali pakai 1 ml Alat suntik sekali pakai 2,5 ml Alat suntik sekali pakai 5 ml Catgut/ Benang Bedah No.2/ 0 dengan jarum bedah Catgut/ Benang Bedah No.3/ 0 dengan jarum bedah Infusion set anak Infusion set dewasa IV Catheter No.20 G IV Catether No.22 G IV Catether No.24 G

100 set/ kotak 100 set/ kotak 100 set/ kotak 24 x 75 cm/ kotak 25 x 75 cm/ kotak Set/ kantong Set/ kantong 50 buah/ kotak 50 buah/ kotak 50 buah/ kotak

Kapas Berlemak 500 gram Kapas Pembalut/ Absorben 250 gram Kasa Hidrofil steril uk.16 x 16 (isi 16 lembar) Kasa Hidrofil steril uk.18 x 22 (isi 12 lembar) Kasa Hidrofil uk.36 x 80 cm Kasa Pembalut Hidrofil 4 m x 5 cm Kasa Pembalut Hidrofil 4 m x 10 cm Kasa Pembalut Elastic 3 inchi Kasa Pembalut Elastic 4 inchi Pembalut Gips 3 inchi Pembalut Gips 4 inchi Pembalut Gips 6 inchi Plester 5 yards x 2 inch Silk ( Benang Bedah Sutera) No. 3/ 0 dengan jarum bedah

Bungkus Bungkus Kotak Kotak Rol Rol/ 100 Rol/ 50 Rol Rol Rol Rol Rol Rol 12x3x75cm/ kotak

Wing Needle No.21 G

100 buah/ kotak 101 buah/ kotak 102 buah/ kotak 103 buah/ kotak Pcs Pcs 50 pasang/ kotak 20 Pcs/ kotak

577.000

Vial/ Can/ 100 ml Set/ botol 2 tube / kotak Botol 10 ml Botol/ kotak Set @ 30 gram/ botol Ktk 12 btl @ 10 ml Set @ 100 gram/ btl Botol/ kotak Dos 10 x 10 tab

105.000

Wing Needle No.23 G Wing Needle No.25 G Wing Needle No.27 G Urine Bag Foley Catheter Handscoon Masker E. OBAT GIGI Etil Klorida sray Glass Ionomer Cement ART Kalsium Hidroksi Pasta Klorfenol Kamfer Menthol (CHKM) Mummifying Pasta Semen Seng Fosfat serbuk dan cairan Eugenol cairan Temporary Stoping Fletcher (Fletcher) serbuk dan cairan Devitalisasi Pasta (Non Arsen) Akita tablet


KET

4.077

109.250 103.800 103.800 640.000 590.000 4.000 3.500 389.375 389.375 389.375 17.250 7.500 8.500 4.750 55.200 30.350 30.350 7.000 10.000 23.500 32.500 42.000 23.625 251.400

577.000 577.000 549.750 4.000 8.495 212.500 22.500

395.000 242.000 55.000 176.000 93.500 550.000 34.000 390.000 52.219 46

REK

NAMA Alletrol tetes mata Asifit kaplet Baby Cough sirup Batugin elixir Batugin elixir Becefort kaplet

RINCIAN

Blender Obat Brocon kaplet Bronchifar kaplet Bufacom krim Cavicur tablet salut gula Curcuma (500) tablet Enkasari (cairan kumur dan telan) Erphaflue kaplet Erphaflue sirup Erphakaf kapsul Erphakaf Plus sirup Etanol 70 % Etanol 70 % Fenidryl sirup Fitbon kapsul Fitocare (Minyak Kayu Putih) Fitogen tablet Flu Stop kapsul Flutop C sirup Fundifar kapsul

MERK

SATUAN Btl 5 ml Ktk 30 kap Botol 60 ml Btl 300 ml Btl 120 ml Dos 10 x 10 kap Unit Dos 10 x 10 kap Dos 10 x 10 kap Ktk 24 tube @ 5 gr Ktk 10 x 10 kaplet Btl 500 tab Btl 120 ml Btl 100 kaplet Botol 60 ml Btl 150 kaplet Botol 60 ml Btl 1.000 ml Btl 100 ml Btl 60 ml Ktk 10 strip @ 6 kap Btl 120 ml Dos 3 x 10 tab Ktk 10 x 10 kap

HARGA

1.265.000 61.205 52.584 259.440 56.925 347.875 14.674 27.324 6.325 34.155 6.325 25.300 2.910 7.286 101.200 17.204 108.537 56.925 12.825 63.878

Hemorogard tablet Imulan sirup Molekflu kaplet Molekflu sirup Neokaominal suspensi Neurotropic kaplet

Btl 60 ml Dos 10 x 10 tab Dos 10 x 10 kap Ktk 30 tab Btl 60 ml Ktk 150 kap Btl 60 ml Btl 60 ml Ktk 10 x 10 kap

Neurovit E tablet Nodiar tablet Oregan tetes mata Osteotin kaplet

Ktk 6 x 10 tab Ktk 25 x 4 tab Btl 5 ml Dos 6 x 10 kap

59.800 85.894 17.710 226.562

Papaverin Injeksi 4 % 1 ml Pehacain Injeksi Pehamoxil 125 mg SK/ 1

27.830 71.600 18.452

Sofero kapsul

Ktk 10 ampul Dos 20 ampul Dos 12 sachet 1 gram Ktk 100 tab Dos 10 x 10 kap Ktk 10 x 10 kap

Spashi Injeksi Spashi Plus kaplet

Ktk 10 ampul Ktk 10 x 10 kap

92.345 164.450

Spashi tablet

Ktk 10 x 10 tab

Tensigard tablet Theochodil sirup Transifar kaplet Triomin E kapsul

Dos 3 x 10 tab Btl 60 ml Dos 10 x 10 kap Ktk 10 x 10 kap

139.150 55.787 10.120 45.418

Vasvita tablet Vicalsin sirup Viostin kapsul

Ktk 50 tab Btl 60 ml Ktk 5 x 6 kap

Gabiten kaplet

Ponconeuron tablet Scopma Plus kaplet


KET

11.296 47.311 3.289 30.107 15.560 178.069

88.398 53.558 15.180 47.438 5.566 6.210 60.720

110.055 140.870 46.000

103.500 90.448 10.080 189.750 47

REK

NAMA Xanvit kapsul

RINCIAN

Xanvit sirup Plastik Klip Obat Kecil Plastik Klip Obat Sedang Plastik Klip Obat Besar A.T.S. 1.500 (ASKES) A.T.S. 1.500 IU UMUM A.T.S. 20.000 ASKES ABBOCATH ANGIOCATH 20/18 ABBOCATH INTROCAN ABBOCATH INTROCAN 24 ABBOCATH INTROCAN SAFETY ABBOCATH NO 18 G ABBOCATH NO 20 G ABBOCATH NO 22 G ABBOCATH NO 24G . ABBOCATH OTSUCATH 20/24/18 ACCOLATE 20 MG TAB ACITRAL LIQ 120 ML ACLAM 125 SYR ACLAM 500 TABL ACRAN INJ. ACRAN TAB 150 MG ACTOS 15 MG ACTRAPID 100 IU ACTRAPID HM PENFILL ACTRAPID NOVOLET INJ ACYCLOVIR 200 MG ACYCLOVIR 400 MG ACYCLOVIR CREAM 5 G ADONA (AC-17) TAB ADONA AC INJ 10 ML AERIUS TB 5 MG AERRAN INF( 250 ML) AFRIN PAED DROPS 10 ML AFRIN SPRAY 15 ML AKILEN 400 MG TAB ALBIOTIN 150 MG CAP ALBIOTIN 300 MG CAP ALBUMIN 20%INJ.100 ASKES ALEGYSAL 5 CC TM ALINAMIN F 50MG TAB ALINAMIN F INJ ALKOHOL 70 % 1 LTR. ALKOHOL 70 % 100 ML ALLETROL TTS MATA ALLYLESTRENOL TAB. ALOPURINOL 100 MG TB AMADIAB 1 MG TAB AMADIAB 2 MG TAB AMBROXOL 30 MG AMBROXOL SIRUP 60 ML AMINOFLUID 500 ML AMINOFUSIN HEPAR 500 ML ASKES AMINOFUSIN HEPAR 500ML AMINOFUSIN L 600 AMINOFUSIN L 600 ASKES AMINOLEBAN 500 ML(UMUM) AMINOLEBAN 500 ML**FCH AMINOPHYLIN 2,4 % (ETHICA) AMINOPHYLIN 2,4 % ASKES AMINOPHYLLIN 200 MG TAB AMINORAL TAB AMINOVEL 600 500 ML AMIPAREN INFUS

MERK

SATUAN Ktk 5 strip @ 6 kap Btl 60 ml Pak 100 lembar Pak 100 lembar Pak 100 lembar

AMP AMP VIAL PCS SET PCS 'S 'S 'S PCS PCS PCS DRAG BTL BTL TAB AMP TAB DRAG AMP AMP AMP DRAG TAB TUBE TAB AMP TAB ML BTL BTL TAB CAP CAP BTL BTL TAB AMP LTR BTL BTL TAB TAB TAB TAB TAB BTL 'S BUAH BTL BTL BTL BTL BTL AMP AMP TAB DRAG BTL BTL Standar Satuan Harga Pemerintah Kabupaten Cilacap Tahun 2012

HARGA

KET

38.266 10.120 90.000 110.000 130.000 101.842 91.667 582.415 21.231 20.648 20.797 32.390 20.904 20.831 20.778 20.778 18.457 9.013 26.891 54.450 12.100 19.355 4.780 7.822 357.990 148.410 160.211 667 700 2.478 2.330 21.317 7.090 6.845 63.886 80.179 15.216 3.666 6.885 1.013.335 59.890 855 11.877 44.917 4.616 7.335 1.870 128 1.815 3.328 124 2.782 87.079 88.164 178.803 80.042 45.689 186.273 188.982 6.153 4.507 73 6.112 77.774 94.746

48

REK

NAMA RINCIAN AMITRIPTYLINE 25 MG TAB AMLODIPIN 10MG AMLODIPIN 5MG AMOXICILIN 1GR INJ AMOXICILLIN / WIDE 1 GR INJ AMOXICILLIN 250 MG CAP AMOXICILLIN 250 MG SYR AMOXICILLIN 500 MG AMOXICILLIN DRY SIR 60ML AMOXILLIN INJ SK.M AMOXSAN 250 MG AMOXSAN 500 MG CAP AMOXSAN DR SYR 60 ML AMOXSAN INJ.1 GR AMOXSAN PED DROP AMPICILLIN 1G INJ AMPICILLIN 500 MG KAP AMPICILLIN SYR ANALSIK TABL ANALSPEC 500 MG TBL ANEMOLAT TAB ANIOSYME 1 L ANIOSYME DDI ANTALGIN 500 MG TAB ANTASIDA DOEN 200 MG TAB ANTASIDA DOEN SYR ANTI HEMMOROID JKM APIALYS DROP 10 ML AQUA PRO INJ. 25 ML ARCALION 200 DRAG ARIXTRA 2.5MG INJ ASKES ASABIUM TB ASKES ASAM FOLAT 1 MG ASAM MEFENAMAT 500 MG ASAM TRANEKSAMAT 500MG TAB ASAM TRANKSAMT INJ 250MG ASAM TRANKSAMT INJ 500MG ASERING INFUS ASMA KAPSUL ASPAR K TAB( 300 MG ) ASPAR TAB ASPILETS 100 MG TAB ASKES ASPILETS CHEW ATARAX 0.5MG ATIVAN 0.5 MG TAB ATORSAN 10 MG ATROPIN 0,25 MG/ML AMP1 ML AVAMYS SPRAY BACTRICID F KAPL BAMGETOL ASKES BAQUINOR 500 MG TAB BAQUINOR INFUS BAYCLIN SOL 200ML BECEFORT DRAGEE BECOM ZET TAB BECOMBION DROPS 15 ML BECOMBION SYR 110 ML BEDAK STANDAR POLI KULIT BELLAPHEN DRAGEE BENANG CHROMIC 0 BENANG CHROMIC 0 ASSUT BENANG CHROMIC 1 (75 M) BENANG CHROMIC 1 ASSUT BENANG CHROMIC 2 (50M) BENANG CHROMIC 2 ASSUT BENANG CHROMIC 2/0 ASSUT BENANG PLAIN 0 (75M) BENANG PLAIN 2/0

MERK

SATUAN

TAB CAP TAB VIAL VIAL CAP BTL CAP BTL VIAL CAP CAP BTL FLAC BTL VIAL KAPL BTL KAPL KAPL DRAG LTR BTL TAB TAB BTL SUPP BTL AMP DRAG AMP TAB TAB TAB TAB AMP AMP BTL CAP TAB TAB TAB DRAG TAB TAB TAB AMP BTL TAB TAB TAB BTL ML 'S 'S BTL BTL 'S DRAG MTR PCS MTR 'S METER PCS PCS METER METER


HARGA

KET

103 2.484 1.010 5.248 11.325 232 10.494 490 4.417 5.199 1.632 3.337 22.931 22.919 22.931 3.537 415 3.779 1.112 1.222 178 242.001 243 63 34 2.952 2.223 27.273 1.987 5.256 405.391 1.185 350 153 891 3.522 4.952 15.358 541 2.200 1.566 172 404 427 2.838 13.444 2.622 135.000 680 396 13.279 221.119 18 1.639 1.631 20.446 20.291 12.223 1.329 6.579 65.072 18.754 65.072 24.289 68.325 68.324 17.542 14.066 49

REK

NAMA RINCIAN BENOXURIC 300 MG TAB BESTALIN TAB BETADINE GARGLE 100ML BETADINE SOL 30ML BETADINE SOL 60 ML BETAHISTIN TAB 6MG JKM BETAMETASON CR 5 G BETASERC TAB 24 MG BETASON N CREAM 5 GRAM BEXICOM Z TABL BHP PAKET HD BIO CURLIV KAP BIOACNE CR BIOGESIC TAB BIOLINCOM 500 MG CAP BIONEMI TAB BIONEURON DRAG BIOPLACENTON 15 GR BIOSANBE CAP. BIOSTRUM SYR BIOTHICOL 500 MG CAP BIOTHICOL DRY SYR. BISOLVON ELIXIR BISOLVON SOL [DROP] BISOPROLOL 5MG ASKES BLOPRESS 16 MG TAB BORAX GLYCERIN 8 ML BOTOL PLASTIK 200 ML BRAINACT 1000MG TAB BRAINACT INJ. BRAINACT TAB BRAXIDIN TAB BROADCED HP BROADCED INJ BROMHEXINE TAB BURNAZIN CREAM 35 GRAM BUSCOPAN AMP BUSCOPAN DRAGEE BUSCOPAN PLUS TAB BUVANEST SPINAL 0.5% HEAVY CA GLUCONAS 10 % INJ. 10 ML CAL-95 TAB CALCIDIN DRAG CALCIT 0.25 UG CALCIUM LACT TAB CALCUSOL CAP CALNIC TAB CALOSTRUM SYR 100ML CAPS.KOSONG NO.00 CAPSUL KOSONG 1 CAPSUL KOSONG 3 CAPSUL KOSONG O CAPTOPRIL 12,5 CAPTOPRIL 25 MG CARBAMAZEPINE 200 TAB CARDIOMIN TAB CARDISMO TAB CATAFLAM 25 MG TAB CATAFLAM 50 MG CATAPRES 0.15 AMP INJEKSI CEALB 100 ML ASKES PNS CEALB 100ML UMUM 2 X CEDOCARD 5 MG TAB CEDOCARD INJEKSI CEFADROXIL 500 MG CEFADROXIL SYR CEFAT 500 MG CAP CEFAT FORTE SYR.

MERK

SATUAN

TAB TAB BTL BTL BTL TAB TUBE TAB TUBE KAPL SET KAPL TUBE TAB 'S DRAG DRAG TUBE TAB BTL TAB 'S BTL BTL TAB TAB BTL BUAH TAB AMP TAB TAB VIAL VIAL TAB POT AMP TAB TAB AMP AMP TAB CAP TAB TAB TAB TAB BTL 'S 'S BUAH BUAH TAB TAB TAB TAB TAB TAB TAB AMP BTL FLES TAB AMP CAP BTL CAP BTL


HARGA

KET

3.178 2.541 8.229 11.612 20.746 1.036 2.278 6.906 6.790 2.567 42.609 4.464 17.215 319 4.278 1.222 1.070 10.926 911 40.945 3.532 19.757 22.612 55.612 2.770 16.609 1.102 1.102 17.519 39.063 12.502 746 201.667 201.056 493 38.268 21.431 2.031 2.687 62.334 11.635 3.267 672 5.500 89 987 2.444 39.112 85 36 36 36 67 101 279 2.373 3.015 2.262 4.352 34.379 1.020.001 623.244 952 73.945 981 7.971 10.402 70.044 50

REK

NAMA RINCIAN CEFAT SYR.60 ML CEFAZOL 1 GR INJ CEFIXIM 100 MG CP SK.M CEFOTAXIME 1 GR.INJ CEFSPAN 100 MG CAP CEFSPAN DRY SYRUP CEFTRIAXONE INJ CELEBREX 100 MG CENDO ASTHENOF STRIP CENDO AUGENTONIC STREP CENDO CATARLENT 15 ML **FCH CENDO GENTAMYCIN SM CENDO HOMATRO 2% 5 ML CENDO LFX CENDO LYTEERS E.D.5ML CENDO LYTERS 15ML CENDO MYDRIATYL 0,5 % E.D. 5ML CENDO MYDRIATYL 1% E.D. 5 ML CENDO PANTOCAIN 0,5 % E.D. 5ML CENDO POLYDEX E.D.**FCH 5 ML CENDO TIMOL 0,5% 5ML CENDO TIMOLOL 0,5(ISOTIC ADRETOR A CENDO TROPINE 0,5% 5 ML CENDO TROPINE 1 % E.D. 5 ML CENDO VASACON E.D. 15 ML CENDO XITROL MINIDOSE 5ML CEPEZET INJ CERNEVIT 1 VIAL CERPLAST 45 X 200 MM CETALGIN KPL CETIRIZINE 10 MG TB SK.M CHLORAETHYL 100 ML CHLORAMPHENICOL 0.250 CAP CHLORAMPHENICOL 1 % ZM. *FCH CHLORBIOTIC INJ. CHLORPROMAZINE 100 MG TAB CHLORPROMAZINE 25 MG TAB SALUT CHLORPROMAZINE HCL.25MG 2CC INJ CIMETIDINE 200 TAB CINDALA GEL 10 GR CINOLON CR 10 GR CIPROFLOXACIN 500 MG CIPROFLOXACIN INF CITAZ 100MG CITICHOLIN 250MG INJ CLANEKSI 500 TB **FCH CLANEKSI FORTE SYR CLANEKSI SYRUP CLARIHIS TAB CLATAX 1 GR CLAVAMOX 500 TAB CLINDAMICIN 150 CLINDAMYCIN 300 CLINMAS 300 MG KAP CLOBAZAM 10 MG CLOBIUM TAB 10 MG CLOFRITIS 10MG ASKES CLONEX 250MG INJ ASKES CLONIDINE 0,15 MG TAB CLOPIDOGREL TAB CO-AMOXYCLAV 500MG TAB CODEIN 10 MG TAB COLOSTRUM SYR 100ML*FCH COMBIVENT UDV (NEBULIZER) COMTUSI SYR.60 SEMUA RASA COMTUSI SYRUP 100 ML CORDARONE TAB COROBION TAB

MERK

SATUAN

BTL VIAL CAP VIAL CAP BTL VIAL TAB PCS BTL BTL TUBE BTL BUAH BTL BTL BTL BTL BTL BTL BTL BTL BTL BTL BTL BTL AMP VIAL PCS KAPL TAB BTL CAP TUBE AMP TAB TAB AMP DRAG TUBE TUBE TAB VIAL TAB AMP TAB BTL BTL DRAG VIAL TAB TAB KAPL CAP TAB TAB TAB AMP TAB TAB KAPL TAB BTL AMP BTL BTL TAB TAB


HARGA

KET

42.901 100.223 2.562 10.747 20.574 91.667 13.614 8.021 19.252 20.319 28.723 29.640 20.473 70.278 8.656 20.686 25.335 44.994 14.820 39.723 58.362 11.674 13.752 15.278 19.862 18.794 6.722 125.983 103.890 904 581 122.223 160 1.744 7.396 88 29 1.426 80 22.587 15.596 806 64.831 12.174 16.763 11.777 67.151 49.256 3.912 110.001 11.774 501 773 5.808 1.040 2.322 1.020 3.378 228 9.384 5.378 504 39.112 10.827 40.018 49.746 5.170 652 51

REK

NAMA RINCIAN CORSONA INJ CORTIDEX INJ CORTIDEX TAB COTRIMOXAZOL SIRUP60ML COTRIMOXAZOL TAB COTTON BUD 50 COUNTERPAIN 15 GRAM CPG TAB 75MG CRAVIT 500 MG TABL CRAVOX 500 TAB CROME INJ CTM (CHLORPHENON) 4 MG TAB CUPANOL SIR 60 ML CURACIL 250 MG INJ. CURCUMA 200 MG - ASKES CURCUMA BLISTER CURLIV KPL CURLIV PLUS CAP**FCH CURMUNOS SYR 60 FC*** CURVIT CL SYR. 175 ML CUTICEL CLASIC 10 X 10 (CTC) CYGEST PESSARIES 400 MG DAKTARIN DIAPER OINT***FCH DAKTARIN O GEL 10 G*FCH DANALGIN KAPL. DANSERA TAB DARYANT TULLE 1% STRIL*FCH DATAN FORTE KAPL. DECAIN 4 ML DECODERM 3 CREAM DENTACID 500 TAB DEPAKOTE 250 MG TAB ASKES DERMASOLON CR 5 GR*FCH DERMAZIN CR 25 G POT-POTAN DEXA-M INJ DEXAMETASONE 0,5 MG TB DEXAMETASONE INJ 1ML DEXAMETHASONE INJ HARSEN DEXANTA SUSP. 100 ML DEXANTA SUSP. 100 ML ASKES DEXANTA TAB DEXTAMINE TAB. DEXTR.5% + NACL 0,225% (4A) DEXTROMETHORPHAN 15 MG TAB DEXTROSE 10 % INFUS 500ML DEXTROSE 40 % 25 ML DEXTROSE 5 % 1/4 NS DEXTROSE 5 % ECOSOL DEXTROSE 5 % INFUS SANBE SP DEXTROSE 5 % PIGGYBACK DEXTROSE 5% 500ML DEXTROSE 5% NS 1/2 500 ML DEXTROSE 5% NS 1/4 SANBE DHAVIT SYR DIABION TAB DIAFORM TAB. DIAMOX 250 MG TAB. DIAZEPAM 2 MG TB DIAZEPAM 5 MG/ML AMP 2 ML DIAZOLE INF DIAZOLE INFUS ASKES DIFENHYDRAMINE 10 MG/ML AMP DIGENTA CR 10 GR DIGOXIN 0,25 MG SANDOZ DIGOXIN TAB GEN DILTIAZEM 30 MG TAB DIMENHYDRINAT 50 MG TAB DIPHENHYDRAMINE 10 MG/ML AMP

MERK

SATUAN

AMP AMP TAB BTL TAB SACH TUBE TAB TAB CAP AMP TAB BTL AMP TAB TAB TAB 'S BTL BTL 'S 'S TUBE TUBE KAPL CAP PCS KAPL AMP TUBE TAB TAB TUBE TUBE AMP TAB AMP AMP BTL BTL DRAG TAB BTL TAB BTL FLES BTL BTL BTL BTL FLES BTL FLES BTL TAB TAB TAB TAB AMP FLES BTL AMP TUBE TAB TAB TAB TAB AMP


HARGA

KET

5.443 6.234 251 2.277 111 530 16.757 14.973 38.500 25.667 18.234 28 12.834 40.334 683 1.206 2.566 3.300 61.112 46.446 9.225 24.592 36.264 45.362 1.035 2.444 11.612 1.222 64.778 27.588 1.069 4.465 15.462 24.445 4.706 35 1.015 2.835 11.246 5.556 196 1.773 11.474 55 9.705 1.862 6.900 8.461 11.144 5.921 8.557 15.785 15.657 18.334 1.038 67 1.333 15 911 17.779 9.023 667 48.891 1.085 94 169 131 518 52

REK

NAMA RINCIAN DISP NOVO BD DISP.NEEDLE 26 G DISP.SYRINGE 10 CC DISP.SYRINGE 20 CC DISP.SYRINGE 3 CC DISP.SYRINGE 5 CC DISS 3CC ONIOMEX DISSP 50 CC ICU/RONT/BIRU DISSP 50 CC SONDE / HIJAU DISSP. SYRRINGE 50 CC EAR TIP DISSP.NEEDLE 23G 1,25" DISSP.SYRING 10 CC HD ONE MAD DISSP.SYRING 1ML 100IU BD DISSP.SYRING 3CC HD ONE MAD DISSP.SYRING HD TBCULIN DISSP.SYRINGE 1 CC BCG DISSP.SYRINGE 1 CC INSULIN DISSP.SYRINGE BD SOLOMED 3CC DISSP.SYRINGE SOLOMED 5CC DIVASK 5 MG DOGMATIL 50 MG CAPS DOLSIC INJ DOMPERIDON TAB DOPAMET 250 MG TABLET DOXYCYCLINE 100 MG CAP DRAMAMINE TAB.**FCH DULCOLAX 5 MG TAB DULCOLAX SUPP 10 MG ADULT DULCOLAX SUPP PAED DURADRYL INJ EDOTIN TAB EFEDRIN HCL INJ EFEDRIN SOL 1% 10ML EFOTAX INJ **FCH ELECTRODE VICOM (2237) ELKANA SYRUP ELKANA TAB. ELOSKIN KRIM 10 GR ENATIN SOFT CAP **FC ENDO TRACHEAL 7 / 7.5 ENERBOL TAB. ENERBOL TAB.*FCH ENYSTIN DROP ENZYPLEX STRIP ENZYPLEX TAB ENZYPLEX TAB. EPEXOL 30 MG TAB EPINEFRIN 0.1% INJ EPIRUBICIN 50MG INJ 2X ERLAMICETIN TM**FCH ERYSANBE 500 MG TABL ERYSANBE DS 60 ML ERYTHROMYCIN 250 MG CAP ERYTHROMYCIN 500 MG CAP ERYTHROMYCIN SYR ESTHERO 0,625 TAB ***FCH ETAPHYLLIN 250 MG TABL ETHAMBUTOL 500 MG TAB ETUROL TAB EUTHYROXE 100MG EVOTHYL 300MG EXAFLAM 25 MG EXAFLAM 50 MG EXTENSION S.PUMP EXTENSION TUBE JMS EXTROPECT SYRUP EXTROPECT TAB EYEVIT *FCH

MERK

SATUAN

'S 'S 'S 'S 'S BIJI 'S 'S 'S 'S 'S PCS 'S PCS 'S 'S 'S PCS PCS TAB CAP AMP DRAG TAB CAP TAB TAB SUPP SUPP 'S CAP AMP BTL AMP 'S BTL TAB BUAH CAP 'S TAB TAB BTL KAPL TAB TAB TAB AMP FLAC BTL CAP BTL CAP CAP BTL TAB TAB TAB TAB TAB CAP TAB TAB 'S 'S BTL DRAG TAB


HARGA

KET

1.636 1.223 5.100 8.885 3.255 3.939 856 19.605 36.935 36.700 1.227 1.834 3.446 954 954 4.551 4.906 2.995 3.606 6.152 3.584 17.787 446 1.839 239 1.097 936 12.418 11.095 3.973 4.462 12.906 3.144 129.556 7.366 19.774 613 60.915 1.344 73.334 2.152 2.152 22.378 849 745 801 782 1.131 489.638 5.074 2.530 20.937 376 594 6.642 4.970 6.600 333 4.156 1.398 7.334 1.076 1.772 43.027 34.280 19.322 916 3.666 53

REK

NAMA RINCIAN FAMOTIDIN 20 MG TAB FANSIDAR TAB. FARBION 5000 INJ.**CC FARGOXIN TAB. FARMACROL FORTE SUSP*FCH FARMADOL INFUS FARMADOL TAB FARMASAL 100 MG FARSIX INJ FARSORBID 5 MG TAB FARSORBID INJ FEROKID SYR 100ML FERROUS SULPHATE 300 MG TAB SALUT FETAVITA CAP FG TROCHES TAB FIMAHES INFUS 500ML FITBON CAPL FITBON 500 ASKES FITOMENADION INJ FLAMAR 50 MG TAB FLOXA ED **FCH FLUNARIZINE 5MG FLUTAMOL TAB FOLAPLUS TAB FOLAVIT TAB FOLLEY CATETER RUCH 24 FOLLEY BALON CATH 8-10 FOLLEY CATH 12 RUSCH FOLLEY CATH 12/14/16/18 RUSCH FOLLEY CATH 22 TRY WRP FOLLEY CATH WRP 14 FOLLEY CATHET.WRP 16 / 18 FOLLEY CATHET.WRP 16 / 18 FOLLEY CATHETER 22 RUSH FOLLEY CATHETER 24 WRP FORMALIN 40 % FORNEURO TAB FORRES 50 MG TAB FORTANEST 5MG FORUMEN TTS TELINGA FOSEN ENEMA FOSMIDEX INJ 2 GRAM FOSMYCIN 2 GR**FCH FREGO 10 MG FREGO 5 MG TAB. FRISIUM 10 MG TAB FUCOIDAN 100 FULADIC CREAM 5GR FUNGARES CR 10 G FUNGARES CR 5GR FUROSEMID 40 MG TB FUROSEMIDA INJ FUSON CREAM 5 GR GASTRAN TAB GASTRIDIN TAB. GASTRUL TAB GELANG BAYI BIRU/PINK GEMFIBROZIL 300MG TB JKM GENTAMERCK 80 MG AMP GENTAMYCIN 0.3 TM GEN GENTAMYCIN 80 MG INJ GIV SET INTRAFIX SAFESET GIVING SET ONE MED GIVING SET OTSUKA OI-24 GIVING SET PED OTSK OI-30 GIVING SET Y 500 JMS GIVING SET Y TIPE OI-64 GLAUCON 250 MG TAB.ASKES

MERK

SATUAN

TAB TAB AMP TAB BTL BTL TAB TAB AMP TAB VIAL BTL TAB CAP TAB BTL DRAG DRAG AMP TAB 'S TAB TAB DRAG TAB 'S BUAH 'S BUAH 'S BIJI 'S 'S BUAH BUAH LTR TAB TAB AMP BUAH BTL FLES VIAL TAB TAB TAB CAP TUBE TUBE TUBE TAB AMP TUBE TAB TAB TAB 'S CAP AMP BTL AMP BIJI SACHE 'S 'S BIJI BUAH TAB


HARGA

KET

127 7.937 5.391 308 42.778 61.135 315 538 7.148 239 74.544 33.001 24 6.416 825 60.041 1.426 916 1.101 1.693 25.056 990 729 794 703 22.178 62.920 22.001 20.837 98.430 20.248 20.132 20.132 19.752 15.523 27.502 3.585 3.912 16.678 24.243 71.756 167.323 167.323 6.336 4.522 3.025 11.612 39.112 20.778 12.705 74 1.124 17.112 494 5.134 11.696 1.834 255 2.872 3.292 2.318 25.667 5.646 11.066 16.559 15.890 19.558 978 54

REK

NAMA RINCIAN GLAUCON 250 TAB.STRIP GLIBENCLAMIDE 5 MG TAB GLIMEPIRIDE 1MG (AMARYL) GLIMEPIRIDE 2MG GLIMEPIRIDE 3 GLISODIN CAPS 30 GLOCEF INJ GLUCOBAY 50 MG TAB ASKES GLUCOPHAGE 500 MG TAB GLUCOSAMIN 250MG ASKES GLUCOSAMIN TAB 500MG ASKES GLUDEPATIC 500MG GLUDEPATIC 500MG ASKES GLUTROP KAPLET GLYCERIL GUAIACOLAT TAB. GOFORAN INJ GRAFIX TAB GRAFOLA DHA TAB GRANON I INJ GRISEOFULVIN 125 TAB GRIVIN FORTE TAB ASKES GRIVIN FORTE TAB*FCH GYPSONA 3" X 3 YDS GYPSONA 4" X 3 YDS H2BLOC 20 MG H2O2 50% 1 LT HAEMACCELL INF *C HALOPERIDOL 0,5 MG HALOPERIDOL 1,5 MG HALOPERIDOL 5 MG TAB HANSCUN IBS HANSCUN NON STERIL HANSCUN OBSGYN HCT 25 MG TAB HD SET RE USE HD SET SINGLE USE HEMAPO INJ HEPAMAX CAP HEPTASAN KAPL HERBESSER 30 MG TAB HERBESSER INJ ASKES HEXADOL SOL 100 ML HEXADOL SOL 60 ML HEXILON 4MG TAB HEXILON INJ 125MG HEXYMER 2 MG ASKES HIBISCRUB 1 ML HIBISCRUB 5 LTR 2X HIDROCORTISON 1% HIDROCORTISON 2,5 % CREAM 5 GRAM HUFALYSIN SYR 60 ML HUMULIN R 3 ML /ASKES HYPAFIX 1 CM HYPAFIX 10 CM X 5 M HYPAFIX 5 CM X 5 M IBUPROFEN 400 MG TAB IKADERM CR 10 GR **FCH IKADERM OINTM 10 GRAM IKADRYL VIAL 10 ML IKAMICETIN ZM IKANEUROM 5000 TAB ILLIADIN SPRAY 10 ML**FCH IMBOOST TABL.**FCH IMBOST SYRUP 60 ML IMOX TAB IMUNOS SIRUP IMUNOS TAB**FC INDANOX 0,3 G CAP *FCH

MERK

SATUAN

TAB TAB TAB TAB TAB CAP DUS TAB TAB TAB TAB TAB TAB TAB TAB BUAH KAPL TAB AMP TAB TAB TAB ROL ROL TAB LTR BTL TAB TAB TAB BIJI PCS BIJI TAB SET SET 'S TAB KAPL TAB VIAL BUAH BTL TAB FLAC TAB CC LTR TUBE TUBE BTL VIAL 'S ROL 'S TAB TUBE TUBE VIAL TUBE TAB BTL TAB BTL TAB BTL TAB CAP


HARGA

KET

4.644 63 985 1.955 2.665 5.300 127.778 2.154 1.130 729 1.016 490 124 7.260 47 128.334 1.118 2.762 51.334 124 656 5.619 26.150 35.870 3.378 27.843 207.778 109 91 154 1.228 1.108 22.001 21 279.587 466.135 235.278 6.864 213 2.858 140.410 18.334 9.338 2.566 89.834 74 333 132.244 3.139 3.144 7.083 81.584 428 108.204 56.877 178 30.252 30.251 6.354 3.669 2.500 30.734 2.899 30.556 7.334 51.728 5.500 6.782 55

REK

NAMA RINCIAN INDORALIT INDUXIM INJ ASKES INDUXIN INJ INFLAMMDE 100MG MDI INH 100 MG INH 300 INH CIBA 400 TAB INMATROL E D ASKES INMATROL ED 5 ML INPEPSA SYR 100 ML INTERHISTIN CAP*FCH INTERHISTIN TAB INTERPRIL 5 MG TAB INTERPRIL 5 MG TAB ASKES INTERPRIL 10 MG TAB ASKES INTUNAL FORTE***)FCH INTUNAL KAPL INVICLOT INJ 5 ML IODINE POV 100 ML IODINE POV 15 ML IODINE POVIDON 10 % 60 ML IODINE POVIDON 10 % LARUTAN 100 ML IODINE POVIDON 30ML IOPAMIRO-300 30ML IRETENSA TAB IRVASK TAB 150MG ISOSORBID DINT 5 MG (ASKES) ISOTIC ADRETOR 0,5% TETES MATA ISOTIC ADRETOR 0,5(TIMOL ASKES IV 3000 7X9 CM JARUM HECTING(ALL ZISE) KA DIKLFENAK 25 MG JKM KA DIKLFENAK 50 MG JKM KAEN 3B INF KA-EN 4A INF 500ML KAFLAM 25 KALBAMIN ASKES KALFOXIM 1 GR KALIUM DIKLOFENAK 25 TAB KALIUM DIKLOFENAK 50 MG TAB KALMECO 500 MG CAPS KALMECO INJ KALMOXILLIN 500 MG KALNEX 250 MG KAP KALNEX 250MG INJ KALNEX 500 INJ ASKES KALNEX 500 MG TAB KALNEX 500MG/ML AMP KALTROFEN 100 INJ KALTROFEN 100 MG KALTROFEN 50 MG TABL KALTROFEN GEL 30 GR KALTROFEN SUP ASKES KALTROFEN SUPP KALXETIN 10MG ASKES KALXETIN 20MG CAP KANDISTATIN SUSP KARBOL GLYCERIN 5 ML KASA GULUNG HUSNA HUSADA KASA NEW DRC 40 X 80 KASA STERIL HUSNA HUSADA KASSA STERIL 16X16 FORTUNA KCL 300 MG KCL 7,46% INJ 10 ML ML KELFEX 500 TAB KEMICETINE 250 MG KERTAS PUYER KETAMIN 1 MG INJ

MERK

SATUAN

'S AMP AMP BTL TAB KAPL TAB BTL BTL BTL TAB TAB TAB TAB TAB TAB KAPL VIAL BTL BTL BTL BTL BTL BTL TAB TAB TAB BTL BTL SACHE 'S TAB TAB BTL BTL DRAG BTL VIAL TAB TAB CAP AMP KAPL KAPL AMP AMP TAB AMP AMP TAB TAB TUBE SUPP SUPP CAP CAP BTL BTL 'S BIJI 'S 'S CAP AMP CAP CAP SET MG


HARGA

KET

636 2.490 8.807 220.978 40 100 942 7.360 15.202 52.556 672 667 2.851 680 911 707 477 56.100 7.048 2.053 3.702 46.669 2.237 192.401 9.386 8.800 74 29.627 11.790 4.840 11.204 443 791 10.217 16.724 1.712 60.902 130.822 438 795 2.164 20.290 2.322 1.669 9.167 5.072 2.831 12.222 24.395 4.919 2.769 56.505 3.905 11.428 592 6.273 25.001 2.031 99.913 128.334 2.463 5.166 699 1.730 9.747 488 91 243 56

REK

NAMA RINCIAN KETESSE 2.5% KETOCONAZOL 200 TAB KETOPROFEN 100MG ASKES KETOPROFEN 100NG INJ ASKES KETOPROFEN INJ KETOPROFEN TAB 100 MG KETOPROFEN TAB 50 MG KETOPROFEN TAB 50 MG ASKES KETOROLAC 10 MG INJ KETOROLAC 10 MG TAB KETOROLAK 30INJ KLOTAREN 50 MG TAB. KOLKATRIOL TAB * FC KONDOM CATH KSR 600 MG TABLET KSR TAB ASKES KTM 100 INJ( 1000MG) KTM INJ 1 MG KUTOIN CAP KUTOIN CAP ASKES KUTOIN INJ KY JELLY 25 G L- BIO LACEDIM INJ LACOLDIN TAB LACOPHEN 500MG CAP LACOPHEN SYR LACTACYD LOTION (BIRU) LACTAFAR CAP LAGESIL SUSP LAGESIL.TAB LAKTAFIT TAB LAMESON 16 MG TAB LAMESON 4MG TAB LAMINARIA 5 KTK M LANAGOGUM CAP LANAKELOID TAB LANCID TAB LANCOLIN INJ LANSICLAV 500 MG LANSOPRAZOLE 30 MG LANTIPAIN 30 INJ UMUM LAPIBAL 250 MCG KAPSUL LAPIBAL 500 MG LAPIBION TAB LAPICEF 500 CAP *FCH LAPIFED TAB LAPIFLOX 500 MG TAB LAPIMOX 500 MG CAPL LAPISIV T TAB LAPISTAN 500 TAB LAPIXIM 1 GR INJ LAPRAZ CAP LASAL EXP SYR LASGAN CAPS LASIX AMP LASIX TAB LATROPIL 400 MG LATROPIL SYRUP LAXADIN SYR 60 ML LAXATAB TAB LAXOBERON DROP LAZAFIN TABL / ASKES LECRAV 500 MG LEOMOXYL 500 CAPS LETONAL 100 MG TAB LETONAL 100 MG TAB ASKES LETONAL 25 MG TAB

MERK

SATUAN

AMP TAB TAB AMP AMP 'S TAB TAB AMP TAB AMP TAB DRAG SET TAB TAB VIAL MG TAB TAB AMP TUBE SACH FLES TAB CAP BTL BTL CAP BTL TAB DRAG TAB TAB 'S CAP TAB TAB 'S TAB DRAG AMP CAP CAP TAB CAP CAP TAB CAP CAP TAB VIAL CAP BTL TAB AMP TAB CAP BTL BTL TAB BTL TAB TAB TAB TAB TAB TAB


HARGA

KET

40.579 527 161 3.289 7.136 1.364 782 292 10.703 3.550 20.035 1.770 7.169 5.502 2.828 1.491 183.334 238 1.007 286 28.333 57.976 4.223 187.550 730 3.025 18.334 20.150 4.644 28.112 612 2.797 6.844 2.626 98.430 4.098 4.491 13.140 33.001 10.324 1.337 29.538 1.128 1.834 1.317 9.075 1.054 12.253 1.956 605 978 128.334 11.419 33.275 10.890 12.232 4.136 1.815 38.720 37.891 953 57.078 3.721 25.719 24.444 3.972 2.338 1.284 57

REK

NAMA RINCIAN LETROPAR 300 CAP LEUKOMED STERIL 5CM X 7.2CM LEUKOPLAST 7.5 X 4.5 (1625-04) LEVAZIDE TAB LEVAZIDE TAB ASKES LEVEMIR INSULIN INJ LEVOFLOKSASIN 500 TAB LEVOFLOXACIN INFUS 100ML LEXOTAN 1.5 MG TAB LEXOTAN 3 MG TAB. LICOGENTA CREAM LIDOCAIN HCL INJ 2% LIFLOX 200 MG TAB LIFLOX 400MG LINCOMYCIN 500MG CAPS LIPITOR 10 MG TAB.**FCH LONGCEF 500 MG LORATADIN TAB LOSARTAN 50MG LYNORAL 0.5 MG TAB MADECASSOL ONT 10 GR *FCH MAGARD FA TAB MAGNESIUM SULFAT 40 % MAINTATE 2.5 MG ASKES MAINTATE 5 MG TAB MAINTATE 5 TAB ASKES MALTOFER TAB MANITOL 20% 500 ML MASKER TISSUE MAXPRO 100 MG TAB MEBENDAZOL 500MG /JKM MEBO OINTMENT 20 G MECOBALAMIN 250MG MECOBALAMIN 500MG MECOLA TAB MECOX 7,5 MG TAB MEDIXON TAB 4 MG MEDIXON TAB 8 MG MEFINAL 250 MG CAPS MEFINAL 500 TAB MEFLOCIN 500 MG TAB MEGAZING TAB MELOXICAM 15 MG TAB MELOXICAM 15MG TAB ASKES MELOXICAM 7.5 MG TAB MELOXICAM 7.5MG ASKES MEMORAN 100 MG MEPTIN 0,05 TAB MERCOTIN DRP 20 ML MEROPENEM INJ 1GRAM MERSIBION 5000 INJ MERTIGO TABL MESOL TAB 4MG MESTAMOX 500 MG TAB METFORMIN 500 TAB METHERGIN TAB**FCH METHYLERGOMETRINE 0,125 MG TAB SLT METHYLPREDNISOLONE 125 MG INJ METHYLPREDNISOLONE 4MG METILAT TAB**FCH METOCHLOPRAMIDE INJ SK.M METOCHLOPRAMIDE TAB METOLON 10 MG TABLET ASKES METOLON INJ ASKES METROFUSIN INF 100 ML METRONIDAZOL 250 MG TAB METRONIDAZOLE 500 TAB METRONIDAZOLE INFUS

MERK

SATUAN

CAP 'S 'S TAB TAB AMP TAB BTL TAB TAB TUBE AMP TAB TAB CAP TAB CAP TAB TAB DRAG TUBE TAB BTL TAB TAB TAB TAB BTL 'S DRAG TAB TAB TAB TAB TAB TAB TAB TAB CAP TAB TAB TAB TAB TAB TAB TAB TAB TAB BTL FLAC AMP TAB TAB TAB TAB TAB TAB AMP TAB TAB AMP CAP TAB AMP BTL TAB TAB FLES


HARGA

KET

6.416 2.775 34.223 4.778 2.472 183.731 1.346 99.580 3.051 4.868 5.167 1.088 8.148 16.667 651 16.168 10.388 388 440 1.598 58.667 4.278 3.552 2.220 7.154 2.368 2.322 71.834 734 17.722 2.241 74.106 693 850 3.912 5.256 2.078 3.764 562 1.253 11.182 1.815 1.495 748 1.082 630 7.028 3.254 43.046 211.934 5.300 2.808 2.129 2.950 129 3.564 124 39.958 373 1.889 1.036 81 100 3.539 50.112 80 149 21.749 58

REK

NAMA RINCIAN MICROPORE 1 INC MICROPORE NON DISP 1,25 CM MIDAZOLAM 5MG /ASKES MINIASPI TAB ASKES MIXTARD 30 HM PENFILL MIXTARD NOVOLET MUCOHEXIN 8 MG TABL MUCOPECT TAB MUSIN ASKES TAB MUSIN TAB *FCH MYCONAZOLE 2 % CR MYCOSPOR CREAM 15 GRAM MYCOZID CR 15 GR MYONEP TAB **FCH NACL 0,9% 1000 ML NACL 0,9% 1000 ML ECOSOL NACL 0,9% 1L ASKES NACL 0,9% 500 ML ECOSOL NACL 0,9% 500 ML OTS/SANB NACL 0,9% INFUS 500 (HD) NACL 0,9% INFUS JKM NACOFLAR 25 MG NALETAL 50 TAB NALGESTAN TAB NATRIUM DIKLOFENAK 25MG TAB NATRIUM DIKLOFENAK 50MG TAB NECIBLOK 500 TAB NEO GYNOXA OVULA NEO KAOLANA SYR NEO KAOMINAL SUSP NEO-K INJ (VIT K) **FC NEPATIC TAB 300MG NEPHROLIT CAP NERVA PLUS TAB NEUCITI INJ NEURALGIN TAB NEURAXON 5000 TAB NEURAXON TAB NEUROBAT F INJ NEUROBION 5000 AMP NEUROBION 5000 TAB NEUROBION AMP NEUROCHOL CAP NEURODEX DRAG NEUROSANBE 5000 TAB NEUROSANBE INJ NEUROSANBE TAB NEUROTAM 400 MG NEUROTAM 800 NEUROTAM INJ 1 G NEUROTAM SYR NEUROTAN INJ 3 G NEW DIATAB TAB NIFEDIPIN 10 MG TAB NIMOTOP 30 MG NIPE DROPS NIPE SYRUP NONEMI TAB NOOTROPIL INJ 3 GR NORELUT 5 MG NORELUT ASKES 5 MG TAB NORVASK 5 MG TAB NORVASK 5 MG TAB-ASKES NOTRIXUM ASKES 25MG NOVALGIN AMP 2 ML NUFAMOX INJ NUFANIBROX SYR NUFAPREG TAB

MERK

SATUAN

'S PCS AMP TAB AMP AMP TAB TAB DRAG TAB TUBE TUBE TUBE TAB BTL FLES 'S FLES BTL BTL BTL TAB TAB TAB CAP TAB TAB SUPP BTL FLES AMP CAP CAP TAB AMP TAB DRAG TAB AMP AMP DRAG AMP CAP DRAG TAB AMP TAB CAP DRAG AMP BTL AMP TAB TAB TAB BTL BTL TAB AMP TAB TAB TAB TAB AMP AMP VIAL BTL TAB


HARGA

KET

16.871 8.479 7.356 158 147.522 160.796 430 2.310 372 1.361 3.097 52.312 15.278 3.334 11.972 12.675 7.997 9.728 8.900 5.181 5.405 1.265 6.112 1.041 178 259 1.645 13.017 12.070 5.612 12.132 9.412 476 1.834 31.778 382 2.219 2.016 6.625 6.356 2.287 4.294 10.846 483 2.195 4.573 1.002 2.078 3.540 15.846 61.112 51.781 466 118 7.872 44.267 53.106 959 69.515 3.856 4.114 6.402 2.204 24.200 9.757 31.862 20.902 2.970 59

REK

NAMA RINCIAN NULACTA CAP NUTRICHOL SACH NUTRIFLAM CAPS NYMIKO SUSP.DROP OBH 100 ML AFI OBH 100 ML ASKES OBH 100 ML BERLICO OBH 200 ML JKM OBH ITRASAL OBH NELLCO 100 ML OCTALBIN 20% 100CC OCUGARD TAB OCUSON TAB OFLOXACIN 400 MG OMEPRAZOLE TAB 20 MG OMZ INJEKSI ONDANCENTRON INJ 8MG ONDANCETRON INJ 4 MG OPICEL CR OPIMOX 500 MG OPINACEA CAP OPIPHEN SYRUP OPOX 2 MG TAB OPSITE POST 15,5 X 8,5 OPSITE POSTI 25X10CM OPTIMAX SYR OPTIMAX TAB ORALIT 200 ML OSCAL 0,25 MG CAPS OSTELA TAB OSTELOX 15 MG OSTEOFLAM KAP **FC OSTEOKOM CAP OTOPAIN EAR DROP 8 ML OXIGEN 1 LITER OXYVIT KAPLET PALENTIN 625 MG TAB PAMOL TAB PANSO 40MG INJ PAPAVERIN 40 MG/ML AMP 1 ML PAPAVERIN TAB PARACETAMOL 0.500 TAB PARACETAMOL 500 MG TB PARACETAMOL DROP 15 ML PARACETAMOL SYR 60 ML PAXUS INJ ASKES PEDILIS SYRUP PEDIMIN DROPS PEHACAIN AMP 2 ML PEHACHLOR TAB PEHACORT 5 MG TAB PEHADOXIN F TAB PEHAMOXIL INJ PENMOX 500 MG KAPL PERIFAS TAB PERVITA CAP***FCH PETHIDINE HCL AMP 2ML PETIDIN INJ 50 MG/ML/JKM PHAPIN INJ ASKES PHENOBARBITAL 30 MG TABL PHENOBIOTIC SYRUP 60 ML PHENYTOIN ASKES PHYTOMENADIONG INJ(K1) PIRACETAM 1 GR INJ PIRACETAM 3 GR INJ PIRACETAM 400 CAPS PIRACETAM 800 KAPS PIRALEN INJ

MERK

SATUAN

CAP SACH CAP BTL BTL BTL BTL BTL BTL BTL BTL DRAG CAP TAB TAB VIAL AMP AMP TUBE CAP KAPL BTL TAB 'S LBR BTL DRAG SACH DRAG CAP TAB CAP CAP BTL LTR KAPL DRAG TAB VIAL AMP TAB TAB TAB BTL BTL VIAL BTL BTL AMP TAB TAB TAB VIAL KAPL TAB TAB AMP AMP VIAL TAB BTL CAP AMP VIAL VIAL 'S 'S AMP


HARGA

KET

3.666 5.689 6.020 30.590 3.515 2.284 4.298 2.735 3.814 12.007 1.020.000 5.254 1.211 920 865 134.308 8.889 6.866 16.366 2.444 3.666 18.945 978 22.424 33.317 42.065 4.074 383 6.844 2.750 8.960 4.039 5.622 36.667 19 2.200 11.806 348 128.708 2.655 193 105 88 10.668 3.517 617.668 16.000 15.556 3.274 87 222 955 10.287 3.178 1.222 1.284 13.426 13.221 4.223 28 7.444 238 1.101 6.685 21.189 541 936 5.381 60

tablet Levofloksasin tablet 500 mg tablet Lidokain injeksi 2 % 2 ml Linkomisin kapsul 250 mg

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