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JUMLAH OBAT RAWAT JALAN JANUARI-FEBRUARI 2015

Kode Obat Nama Obat Januari Februari

+ 1Pembulatan 1086 1054

A5001 5 FLUOROURACIL 500 MG 1

AA002 ABILIFY 10 MG 10

AA004 ACETOSAL 100 mg 65

AA005 ACICLOVIR CREAM 8 5

AA006 ACIKLOVIR 400 mg 125 160

AA007 ACIKLOVIR 400 mg (ASKES) 20

AA008 ACITRAL SYR 21

AA009 ACNE FELDEN LOTION 3

AA010 ACRAN 15

AA011 ACRAN 150 MG 10

AA012 ADALAT OROS 30 MG (ASKES) 5418 4459

AA013 ADONA (AC) 30

AA014 ADONA AC 17 12

AA018 ALCO DROP 9

AA019 ALCO PLUS DMP SYR 2

AA020 ALCO PLUS SYRUP 3

AA024 ALLOPURINOL 7371 4955

AA028 ALPRAZOLAM 0.5 MG 32

AA029 AMBROXOL 15 mg/ ml 83

AA030 AMBROXOL 30 mg 1281

AA032 AMINOFLUID - L 500 ML 5

AA037 AMINOFUSIN PEAD 1


AA039 AMINOLEBAN (Otsuka) 3

AA040 AMINOPHYLIN 24

AA041 AMINOPHYLLIN 200 mg 53

AA043 AMITRIPTILIN 25 MG 74

AA044 AMLODIPINE 10 MG 1810

AA045 AMLODIPINE 10 MG (ASKES) 8

AA046 AMLODIPINE 5 MG 10311 8112

AA049 AMOXSAN 1 GR 0

AA050 AMOXSAN 500 mg 65

AA051 AMOXSAN DROP 2

AA052 AMOXSAN FORTE 1

AA054 AMOXSAN SYR 2

AA055 AMOXYCILLIN 18

AA056 AMOXYCILLIN 500 mg 1604

AA057 ANALSIK 282

AA061 ANTALGIN 500 mg 80

AA062 ANTASIDA DEON SUSPENSI 153

AA063 ANTASIDA DOEN 2753

AA064 ANTASIDA DOEN BLISTER 7211 4807

AA066 ANTI HEMOROID (KIMIA FARMA) 2

AA067 ANTI MIGRAN/METYLERGOMETRIN TART. 83

AA068 ANTI TETANUS SERUM 1500 IU 25

AA069 ANTI TETANUS SERUM 1500 IU (ASKES) 2

AA071 ANTRAIN INJ 21

AA073 APTOR (ASKES) 30


AA074 APYALIS DROP 2

AA075 APYALIS SYRUP 1

AA076 AQUA PRO INJEKSI 363

AA078 ARDIUM 163

AA080 ASAM ASCORBAT 50 mg 387

AA081 ASAM FOLAT 1186

AA082 ASAM MEFENAMAT 500 mg 4136

AA083 ASAM TRANEKSAMAT 500 MG 414

AA084 ASAM TRANEKSAMAT 500 MG 100

AA085 ASERING 136

AA087 ASPAR K 90

AA089 ASPILET CHEWEBLE 5075

AA093 ATP DANKOS 2

AA094 ATP DANKOS 25

AA097 AUGENTONIC 12

AA099 AZITROMYCIN 500 MG 53

AA100 AQUA DM GALON 20 LITER 2

AA102 AMDIXAL 10 MG TAB (ASKES) 10

AA103 ACARBOSE TAB 6790 5170

AA104 AVODART CAP 60

AA106 ANEMOLAT 1 MG TAB 35

AA108 APAZOL 0,5 MG 530

AA109 ALPENTIN 300 MG 858

AA110 AVELOX 400 MG TABLET 10

AB003 BATUGIN ELIXIR 120 ML 5


AB004 BECOM C KAPLET 45

AB010 BETADIN GARGLE 100 ML 11

AB011 BETAHISTINE 6 MG 657

AB013 BETAMETASON 3

AB014 BETASON - N CREAM 1

AB016 BICROLID 250 MG 280

AB017 BICROLID 500 MG 30

AB018 BIO ATP 15

AB019 BIOCREAM 14

AB020 BIOPLACENTON JELLY 1

AB022 BIOSANBE 120

AB025 BISOPROLOL 5 MG 3657

AB027 BORAKS GLISERIN 10% 8 ML (GOM) 1

AB029 BRAINACT 500 MG 55

AB030 BRAINACT 500 MG/4 ML 11

AB031 BRAXIDIN 80

AB032 BRICASMA 38

AB034 BRONSOLVAN 38

AB036 BUFECT 5

AB038 BURNAZIN 35 GR CREAM (ASKES) 2

AB040 BUSCOPAN 66

AB043 BACTROBAN CREAM 5 GRAM SALF KULIT 2

AB048 BANADOZ 100 MG TAB 296

AC001 CALADINE LOTION 60 ML 2

AC002 CALSIUM GLUCONAS 1


AC003 CALSIUM LAKTAT 815

AC004 CAPTROPIL 12,5 mg 367

AC005 CAPTROPIL 25 mg 91

AC006 CARBAMAZEPIN 200 mg 720

AC007 CARDASE 5 MG (ASKES) 586

AC008 CARDIOASPIRIN 30

AC009 CARDIOMIN 3004

AC015 CATARLENT 4

AC018 CEDOCARD INJ 11

AC021 CEFADROKSIL 500 mg 431

AC022 CEFADROXIL 125 mg 10

AC024 CEFADROXIL 250 MG SYR (ASKES) 2

AC025 CEFAT 13

AC026 CEFAT 500 mg 100

AC027 CEFAT FORTE 1

AC028 CEFILA SYRUP 1

AC029 CEFIXIME 36

AC030 CEFIXIME 100 MG 2362

AC031 CEFOTAXIM 1 Gram 20

AC033 CEFTAZIDIM 1 Gram 6

AC035 CEFTIZOXIME 1 GR 2

AC037 CEFTRIAXONE 1 Gram 235

AC038 CENDO BERRY 165

AC041 CENDO HERVIS 5

AC043 CENFRESH 43
AC045 CERINI 88

AC047 CETIRIZINE 10 mg 1800

AC048 CETIRIZINE SYRUP 10

AC050 CHLORAMFECORT 10 GR CREAM 1

AC052 CHLORAMFENICOL 1 % 2

AC056 CHLORFENIRAMINI MALEAT ( CTM ) 294

AC059 CIMETIDIN 910

AC060 CINOLON CREAM 20

AC061 CINOLON N CREAM 1

AC062 CIPROFLOXACIN 500 mg 1274

AC064 CIPROFLOXACIN INF 3

AC065 CITICOLINE 125 MG (500 MG/4 ML) 74

AC066 CITICOLINE 250 MG (250 MG/2 ML) 8

AC067 CITICOLINE 500 MG 895

AC069 CLANEKSI 5

AC070 CLANEKSI 500 MG 70

AC071 CLANEKSI FORTE 4

AC072 CLINDAMYCIN 150 mg 205

AC073 CLINDAMYCIN 300 mg 1073

AC075 CLOBAZAM 430

AC076 CLONIDINE 110

AC077 CLOPIDOGREL 75 MG 3219

AC078 CO-AMOXICLAVE 625 MG 424

AC079 COBAZIM 1000 IU 62

AC080 CODEIN 10 mg 470


AC081 CODIPRONT 10

AC083 COMBIVENT 2,5 ML 112

AC085 COMTUSI SYRUP 1

AC087 CONVER 3

AC088 CORTIDEX 30

AC090 COTRIMOXAZOL 480 mg 336

AC091 COTRIMOXAZOLE 7

AC092 CPG 32

AC095 CURCUMA 1499

AC096 CURVIT SYRUP 1

AC098 CAFFEIN (RACIKAN) 474

AC099 CARDACE 2,5 MG TAB (ASKES) 30

AC100 CILOSTAZOL 100 MG TAB 1034

AC101 CENDO GENTAMYCIN 0,3 % ZALF MATA 3

AC102 CARDACE 10 MG TAB (ASKES) 35

AC103 COFFEIN SERBUK ( 1 GRAM) 5

AC105 CEFOPERAZON SULBACTAM INJEKSI 2

AC106 CETIRIZINE 12 ML DROP 1

AC107 CORDARON INJEKSI 3

AC110 CLOZER 25 MG TABLET 78

AC112 CEFADROXIL 250 MG TABLET 796

AD003 DECAIN 0,5 % 5

AD004 DEPAKENE SIRUP 32

AD006 DEPAKOTE 250 MG (ASKES) 390

AD007 DEPAKOTE ER 500 MG (ASKES) 210


AD011 DEXAMETASON 0,5 mg 668

AD012 DEXAMETASON 5 mg 75

AD014 DEXTROMETORPHAN 15 mg 12

AD015 DEXTROSE 40 % 67

AD018 DIAZEPAM 2 mg 2

AD019 DICYNONE 2 ML INJ (ILONG) 2

AD021 DIGENTA CREAM 10 mg 1

AD022 DIGOXIN 0,25 mg 3397

AD023 DILTIAZEM 30 mg 920

AD024 DIPENHYDRAMIN 3

AD028 DOMPERIDON 310

AD029 DOMPERIDON 19

AD030 DOPAMET 250 MG 340

AD033 DOXYCYCLIN 100 mg 134

AD034 DULCOLAC 50

AD035 DULCOLAX 10 mg / Dewasa 1

AD036 DULCOLAX 10 mg / Dewasa (ASKES) 1

AD038 DUVADILAN 72

AD042 DAKTARIN ORAL GEL 10 GRAM 3

AD046 DEPAKOT ER 500 MG TAB 1510

AD047 DEPAKOTE ER 250 MG TAB 370

AD048 DOMPERIDON 5 MG/ML DROP 1

AD050 DIOVAN FCT 80 MG TAB 45

AE001 ECOSOL NaCl 0.9 % 4

AE002 ECOSOL NaCl 0.9 % 100 ML (PIGGY BAG) 15


AE003 ECOSOL RINGER LAKTAT 61

AE005 EFEDRIN HCL 1

AE006 EFLAGEN 40

AE008 ELKANA 10

AE009 ELKANA 4

AE010 ELKANA CL EMULSI 120 ML 24

AE011 ELOX CREAM 8

AE015 ENERVON C 22

AE016 ENERVON C PLUS SYRUP 120 ML 4

AE017 ENYSTIN DROP (ASKES) 1

AE018 ENZYPLEX 20

AE019 EPEXOL SYR 21

AE020 EPEXOL TAB 247

AE022 EPIDOSIN 3

AE023 EPINEPHRIN 18

AE024 EPRINOC 50 MG 110

AE025 ERICAP (ASKES) 105

AE026 ERYSANBE 200 MG 109

AE028 ERYTHROMYCIN 250 MG 20

AE029 ETHAMBUTOL 500 MG 1037

AE032 ECOSOL GLUCOSA 10 % 1

AE033 ERYSANBE 500 MG TAB 20

AE034 ESTAZOR TABLET 180

AE035 ERYTROMICIN 500 MG TAB 229

AF001 FAKTU 8
AF002 FAKTU OINTMENT 20 GR 1

AF003 FARGOXIN INJ 2

AF007 FENOL GLICEROL 1

AF008 FENTANYL 2

AF010 FEROFORT 10

AF012 FERROSUS SULFAT 300 MG 1726

AF013 FIMAHES 200 FLEXY 1

AF016 FLAGYL SYR 3

AF017 FLAMAR 50 mg 122

AF018 FLEET ENEMA 3

AF020 FLIXOTIDE NEBULES (ASKES) 6

AF021 FLOXA 11

AF022 FLUCONAZOLE 150 MG 30

AF025 FLUIMUCIL 200 135

AF027 FLUNARIZINE 1023

AF029 FOLAMIL GENIO 45

AF030 FOLAVIT 400 MG 86

AF032 FORMUNO 40

AF033 FORMYCO 200 MG 16

AF034 FORMYCO CREAM 2

AF035 FORRES 1100

AF036 FREGO 5 MG 30

AF037 FULADIC CREAM 1

AF038 FUROSEMID 92

AF039 FUROSEMIDA 40 mg 491


AF043 FUSYCOM 5 GRAM CREAM 2

AF047 FLAGYL SUPP 6

AF048 FORANSI 10 MG KAPSUL 221

AG001 GARAM ORALIT 200 ml 5

AG002 GASTRIDIN 3

AG003 GASTRUL 17

AG006 GEMFIBROZIL 300 MG 3102

AG007 GENTAMICIN CREAM 8

AG008 GENTAMYCIN 0,3 % 1

AG009 GENTAMYCIN 80 mg 28

AG013 GLAUCON 120

AG015 GLIBENKLAMIDA 5 mg 324

AG016 GLICERIN 1

AG017 GLIMEPIRIDE 1 MG 3406

AG018 GLIMEPIRIDE 1 MG (ASKES) 170

AG019 GLIMEPIRIDE 2 MG 2951

AG020 GLIMEPIRIDE 2 MG (ASKES) 228

AG021 GLIQUIDON 30 MG 923

AG022 GLUCOBAY 100 MG 450

AG024 GLUCOBAY 50 MG 150

AG026 GLUCODEX 570

AG028 GLUKOSA 10 % OGB 62

AG030 GLUKOSA 5 % OGB 13

AG031 GLUKOSAMIN 500 MG 245

AG034 GYNAECOSID 2
AG035 GENTAMICIN 0,3% TETES MATA (ASKES) 7

AG039 GLYCERIL GUAYACOLAT 53

AH001 H2O2 3 % 100 ML 16

AH004 HALOPERIDOL 5 mg 937

AH005 HARNAL 0,2 MG 115

AH010 HESMIN FC 15

AH012 HP PRO 103

AH014 HYDROKLORTIAZID ( HCT ) 10

AH016 HYDROKORTISON 2,5 % 1

AH019 HUMALOG CART 100 IU (ASKES) 116

AH021 HARNAL OCAS (ASKES) 100

AH022 HALOPERIDOL 1,5 MG TAB 143

AI001 IBUPROPEN 200 mg 2

AI003 IBUPROPEN SYRUP 6

AI006 INERSON CREAM 2

AI013 INPEPSA SYRUP 6

AI014 INTERFLOX 1

AI021 IOPAMIRO 370/ 30 Ml 3

AI023 IRVASK 150 MG 30

AI025 IRVEBAL 150 MG(ASKES) 9290 6672

AI026 IRVEBAL 300 MG(ASKES) 765

AI028 ISONIAZID 100 mg 191

AI029 ISONIAZID 300 mg 1722

AI030 ISOSORBIDINITRAT 19451 14892

AI032 ISPRINOL 3
AI033 ISPRINOL SYRUP 2

AI040 INOTROP INJEKSI 4

AI041 IMIPENEM CILASTATIN 1 GRAM INJEKSI 3

AK002 KA-EN 1B 1

AK003 KA-EN 3A 27

AK005 KA-EN 3B 22

AK009 KALIUM DIKLOFENAK 50 mg 50

AK010 KALIUM PERMANGANAT 5 GR (PK) 3

AK012 KALMECO 500 MG 30

AK013 KALMICETINE DERMATOLOG 15 GR 1

AK018 KALTROPEN 41

AK019 KALTROPEN (ASKES) 3

AK020 KALXETIN 10 MG 352

AK022 KANAMYCIN 1 GR 10

AK023 KCL 5

AK025 KENALOG IN ORABASE 2

AK026 KENDARON 10

AK027 KENDARON 165

AK028 KETOKONAZOLE 144

AK029 KETOKONAZOLE CREAM 10

AK030 KETOPROFEN 100 MG 10

AK031 KETOPROFEN 50 MG 10

AK032 KETOROLAC 10 MG 96

AK033 KETOROLAC 30 MG 128

AK034 KETOROLAC 30 MG (ASKES) 20


AK035 KETOROLAC 30 MG (HEXPHARM) 1

AK037 KSR 750

AK042 KATESSE-25 STRIP TABLET 90

AK043 KETESSE-25 STRIP TABLET 67

AK046 KLODERMA 10 GRAM CREAM 1

AK048 KETOPROFEN 50 MG TAB 10

AL002 LACTACID BABY 60 ML 1

AL004 LACTO-B 156

AL006 LAMESON 16 MG 20

AL007 LAMESON 4 MG 25

AL008 LAMESON 8 MG 12

AL010 LANSOPRAZOLE 3003

AL011 LANSOPRAZOLE (ASKES) 10

AL018 LASAL EXPECTORAN SYRUP 15

AL019 LAXADIN SYR 15

AL022 LEVEMIR FLEXPEN 74

AL024 LEVOCIN 500 MG 2

AL026 LEVOFLOXACIN 22

AL028 LEVOFLOXAXIN 500 MG 152

AL030 LEXAPRAM 135

AL031 LFX 1

AL032 LIDOCAIN 2 % 97

AL036 LINCOMYCIN 500 MG 34

AL039 LOPAMID (ASKES) 10

AL040 LORATADINE 10 MG 90
AL043 LOTASBAT 10 MG CREAM 19

AL046 LYNORAL 42

AL048 LYTEERS 81

AL051 ASAM SALICYLAT (RACIKAN) 29

AL054 LIPANTHYL 100 MG 21

AL057 LOPERAMIDE 2 MG TAB 50

AM001 MAGNESIUM SULFAT 20 % 15

AM003 MAGNESIUM SULFAT 40 % 22

AM004 MAGNESIUM SULFAT 40 % (ASKES) 2

AM010 MECOBALAMIN 500 MG 17

AM011 MECOBALAMIN 500 MG 3988

AM014 MEFINAL 500 mg 830

AM016 MEFUROSAN 10 GR CREAM 4

AM017 MEGABAL 225

AM018 MELOXICAM 15 mg 732

AM019 MELOXICAM 7,5 mg 2137

AM020 MEPTIN 16

AM025 MERTIGO 10

AM028 METFORMIN 500 MG 18146 9590

AM029 METFORMIN 500 MG (ASKES) 100

AM030 METFORMIN 850 MG 1200

AM033 METIL PREDNISOLON 30

AM035 METRONIDAZOLE 44

AM036 METRONIDAZOLE (ASKES) 3

AM037 METRONIDAZOLE 500 mg 197


AM038 METYLPREDNISOLON 16 mg 541

AM039 METYLPREDNISOLON 4 mg 1000

AM040 METYLPREDNISOLON 8 mg 653

AM042 MEYLON 1

AM045 MICROLAX ENEMA 1

AM046 MICROLAX ENEMA GEL 1

AM049 MIKONAZOLE CREAM 4

AM051 MOFACORT CREAM 2

AM056 MUCOHEXIN 8 mg 60

AM058 MUCOPECT DROP 2

AM061 MYCO Z SALF 2

AM063 METSEL CAP 127

AM064 MUCOS 20 ML DROP 6

AM065 MYCROGYNON KB (LIBI) 2

AM067 MADOPAR DISPERSIBLE 360

AM068 METVEL TAB 115

AM069 MEDRAD STELLANT (RADIOLOGI) 1

AM071 METVELL 0,2 INJEKSI 14

AM072 METOCLOPRAMIDE TAB 95

AN001 NACL 0,9 % 500 ml OGB 152

AN003 NATACEN 3

AN004 NATRIUM BICARBONAT 6012 3392

AN005 NATRIUM DIKLOFENAK 25 mg 1160

AN006 NATRIUM DIKLOFENAK 50 mg 2091

AN010 NEO K 37
AN011 NEO KAOLANA 1

AN012 NEO MERCAZOLE (ASKES) 44

AN015 NEPATIC 165

AN017 NEUROBION 5000 IU 135

AN018 NEURODEX (ASKES) 380

AN019 NEUROSANBE 248

AN020 NEUROSANBE 252

AN021 NEUROSANBE PLUS 20

AN023 NEUROTAM 1200 MG 10

AN026 NEUROTAM 800 MG 10

AN028 NEUROTAM SYRUP 10

AN031 NEW DIATAB TAB 449

AN032 NIACEF GEL 15 GR 1

AN033 NIPE 15 ML DROP 5

AN034 NIPEDIPIN 10 mg 285

AN038 NONFLAMIN 15

AN039 NOPERTEN 10 MG (ASKES) 90

AN040 NOPERTEN 5 MG (ASKES) 60

AN042 NOVALGIN INJ (ASKES) 5

AN043 NOVALGIN SYRUP 1

AN044 NOVOMIX 30 47

AN046 NOVORAPID FLEXPEN 7

AN048 NUTRIFLAM 62

AN049 NYMIKO DROP 21

AN051 NYSTATIN VAGINA 100.000 IU 39


AN053 NOVOFINE NEEDLE 217

AN054 NAZOLVEL SUPP 16

AN055 NEULIN PS TAB 54

AN058 NOPRES 20 MG TAB 22

AN059 NEUROBION TAB 1525

AO002 OBIMIN AF 230

AO003 OBUCORT 1

AO008 ODACE 10 MG 15

AO012 OMEPRAZOLE 20 mg 340

AO013 ONDANE 4 MG/ML 1

AO014 ONDANSENTRON 4 MG 42

AO015 ONDANSENTRON 4 MG (ASKES) 17

AO016 ONDANSENTRON 4 MG/2ML INJ 246

AO017 ONDANSENTRON 4 MG/2ML INJ (ASKES) 59

AO018 ONDANSENTRON 8 MG 40

AO022 OSTEOCAL (ASKES) 432

AO024 OTOPAIN 38

AO026 OTSU D10 + 1/5 NS 8

AO030 OTSU NACl 0,9 % 37

AO031 OTSU NS PIGGY BAG 223

AO032 OTSU-RL 138

AO033 OTSU-SALIN 1

AO037 OZEN SYRUP 2

AO038 OZID 17

AO039 OZID I.V 31


AO041 ONBREZ BREEZHALER 150 MG CAP 20

AO042 OZEN DROP 12 ML 3

AO044 ONBREZ BREEZHALER INH 1

AO045 OBH IKA SYRUP 70

AO046 OMEPRAZOLE 40 MG INJEKSI 12

AP001 PAMOL 125 MG 12

AP002 PAMOL 250 MG 3

AP006 PARACETAMOL DROP 22

AP008 PARASETAMOL 54

AP009 PARASETAMOL 500 mg 1069

AP010 PARASETAMOL 500 mg BLISTER 1682

AP011 PARATUSIN 215

AP014 PEDIALYTE 500 ML 1

AP017 PETHIDIN HCL 4

AP019 PHENOBARBITAL 30 mg 1910

AP021 PHENYTOIN (ASKES) 123

AP023 PHYTOMENADION 57

AP024 PHYTOMENADION / VIT. K (KF) 497

AP026 PIRACETAM 1GR 33

AP027 PIRACETAM 3 GR 29

AP028 PIRACETAM 1200 mg 68

AP029 PIRACETAM 400 mg 170

AP030 PIRACETAM 800 mg 1135

AP032 PIROKSIKAM 10 MG 90

AP033 PIROKSIKAM 20 MG 47
AP034 PLASBUMIN 20 % 100 ML 1

AP038 PLASMINEX 500 MG 145

AP041 PLETAAL 50 MG 167

AP042 POLYDEX 17

AP045 PRAXION 250 MG 3

AP047 PREDNISON 5 mg 900

AP048 PREGNOLIN 5 MG 20

AP049 PREMASTON 5 MG 20

AP050 PRIMOLUT N 30

AP054 PRONICY 33

AP055 PROPANOLOL 10 mg 1350

AP056 PROPANOLOL 40 mg 225

AP057 PROPIL THIO URACIL ( PTU ) 570

AP058 PRORENAL 148

AP059 PRORIS 125 MG 12

AP061 PULMICORT 53

AP063 PYRAZINAMID 500 mg 588

AP064 PYRIDOKSIN 10 mg 5457 4349

AP065 PPD 2 UT 1,5 ML (MANTOX) 16

AP066 PHENYTOIN CAPSUL 1401

AP067 PLASMINEX INJEKSI 8

AP068 PROINFARK INJEKSI 2

AP072 PHENYTOIN INJEKSI 4

AP074 POLIDEMISIN EYE DROP 3

AP076 PROVELYN 75 MG CAPSUL 45


AP077 PITOGIN INJEKSI 99

AP079 PHENOBARBITAL 100 MG TAB 263

AR002 RANITIDIN 562

AR003 RANITIDIN (ASKES) 10

AR004 RANITIDIN 150 mg 9720 7335

AR006 RECOFOL 200 MG/20ML 1

AR007 RECOLFAR 50

AR015 RIFAMPICIN 300 mg 982

AR016 RIFAMPICIN 450 mg 310

AR017 RIFAMPICIN 600 mg 62

AR022 RINGER LAKTAT (ASKES) 139

AR023 RINGER LAKTAT OGB 464

AR024 RISPERIDONE 2 MG 1444

AR031 RETIVIT 340

AR032 RAMIPRIL 5 MG TAB 209

AS001 SAGESTAM 3

AS002 SALBUTAMOL 2 mg 277

AS003 SALBUTAMOL 4 mg 3

AS004 SALICYL TALK 3

AS013 SANMOL 754

AS014 SANMOL SYR 17

AS015 SANMOL DROP 9

AS016 SANORIN BIRU 80 ML 27

AS017 SANORIN HIJAU 15

AS021 SANPRIMA 1
AS022 SANPRIMA FORTE 59

AS023 SANTA E 100 MG 10

AS024 SANTA E 400 MG 98

AS025 SANTIBI 500 MG 761

AS027 SCABIMITE CREAM (ASKES) 10 GR 1

AS029 SEDACUM 5 MG / 5 ML 5

AS033 SERETIDE DISKUS 250 MG 6

AS035 SERETIDE DISKUS 500 MG 3

AS041 SICLIDON 28

AS043 SIMARC - 2 (ASKES) 4432

AS044 SIMVASTATIN 10 MG 2895 5779

AS045 SISTENOL 15

AS050 SOTATIC 19

AS052 SPASMINAL 20

AS053 SPIRAMYCIN 500 mg 6

AS054 SPIRIVA 18 MCG HANDIHALER / COMBOPACK 8

AS057 SPIRONOLAKTON 100 MG (ASKES) 2239

AS058 SPIRONOLAKTON 25 MG 501 4853

AS059 SPIRONOLAKTON 25 MG (ASKES) 15

AS060 SPORETIK 100 MG 40

AS061 SPORETIK DRY SYRUP 1

AS064 STATROL 8

AS065 STESOLID INJ 8

AS067 STESOLID RECTAL 10 mg 1

AS073 STREPTOMYCIN 1500 mg 285


AS074 STROCAIN 65

AS077 SYMBICORT 9

AS078 SYNTOCINON 16

AS079 SEVOFLURANE (OPERASI) 10

AS083 SANGOBION BABY 15 ML DROP 4

AS084 SANGOBION KIDS 100 ML SYRUP 6

AS085 SANMOL INFUS 60

AS086 SPIRIVA 18 MCG INHALASI REFILL 2

AS087 SYMBICORT TUBE 160 26

AS088 SPIRIVA 18 MCG INH /BOX 10 4

AS089 SANBE TEAR TETES MATA 7

AT001 TARIVID 14

AT003 TEBOKAN 20

AT005 TEOSAL 10

AT010 THECORT 1

AT013 THIAMIN HCL / VIT. B1 4052

AT014 THYAMPHENICOL 500 mg 30

AT018 TIMOL 0,25 % 1

AT019 TIMOL 0,5 % 22

AT024 TRAMADOL 61

AT026 TRAMADOL 50 mg 1771

AT027 TREMENZA 225

AT028 TREMENZA SYRUP 15

AT029 TRIAMCINOLON 4 MG 68

AT032 TRIHEXYPHENIDYL 2 MG 3026


AT036 TROMBO ASPILET 100

AT038 TROPIN 1 % 12

AT042 TOBROSON 24

AU004 ULSIDEX 520

AU005 ULSIDEX (ASKES) 60

AU006 ULSIKUR 2

AU009 ULTRAPROCT N 10 GR CREAM 2

AU011 URINTERS 12

AU012 URISPAS 66

AU014 ULSAFATE SUSPENSI 100 ML 67

AV001 VAGISTIN OVULA 3

AV004 VASACON -A 1

AV006 VECTRINE SYRUP 4

AV007 VENTHOLIN INHALER 1

AV009 VENTHOLIN NEBULEZER 77

AV010 VERAPAMIL 80 MG 477

AV011 VERNACEL 3

AV014 VIT C 500 Mg 8

AV019 VITACUR SYRUP 5

AV021 VITAMIN A 20.000 IU 21

AV022 VITAMIN B 12 4086

AV023 VITAMIN B COMPLEK 2416

AV024 VITANORM 50

AV025 VITAZYM 20

AV026 VITROLENTA 4
AV027 VOLTADEX GEL 13

AV030 VOMETA Drop 3

AV036 VECTRINE 300 MG CAP 20

AX001 XITROL 27

AX002 XITROL 9

AZ004 ZINKID SYRUP 25

AZ005 ZINK DISPERSIBEL TAB 20

BA001 ABBOCATH No. 14 6

BA003 ABBOCATH No. 18 68

BA004 ABBOCATH No. 20 183

BA005 ABBOCATH No. 22 149

BA006 ABBOCATH No. 24 40

BA007 ABBOCATH No. 26 42

BA019 ALKOHOL SWABS 6

BA035 ARM SLINK M 2

BA041 ALKOHOL 70 % (OPERASI) 390

BA050 HYPAFIX (OPERASI) 170

BA051 KASA OPERASI (OPERASI) 120

BA052 NITROGEN (OPERASI) 50

BA053 OKSIGEN (OPERASI) 290

BB003 BD CONNECTA BR 4

BB007 BIDAI NO. L 2

BB008 BIDAI NO. M 2

BB018 BLOOD ADMINISTRATION SET 108

BC036 CONDOM CATETER M 1


BC037 CONNECTING SLANG 2

BC038 CONNECTOR 2

BC052 CUTICELL 10 X 10 18

BC054 CUTIMED ALGINAT 10 X 10 CM 3

BC064 CATGUT CROMIC 2 HR 48 (BBRAUND) 3

BC065 CATGUT CROMIC 2/0 HR 37S 9

BC067 CERVICAL COLLAR SUPPORT UK. L 3

BC068 CERVICAL COLLAR SUPPORT UK. M 2

BC069 CERVICAL COLLAR SUPPORT UK. S 1

BD015 DISPOSIBLE NEEDLE 23 56

BD017 DISPOSIBLE NEEDLE 26 4

BD018 DISPOSIBLE SYRING 1 Cc 282

BD019 DISPOSIBLE SYRING 1 Cc (Sungshim) 6

BD020 DISPOSIBLE SYRING 10 Cc 362

BD021 DISPOSIBLE SYRING 20 Cc 43

BD022 DISPOSIBLE SYRING 20 Cc (Sungshim) 2

BD024 DISPOSIBLE SYRING 3 Cc 1727

BD026 DISPOSIBLE SYRING 5 Cc 672

BD027 DISPOSIBLE SYRING 50 Cc 14

BD028 DISPOSIBLE SYRING 50 Cc TIP 35

BE006 ELASTIC VERBAN 10 X 5 (4") 4

BE007 ELASTIC VERBAN 15 x 5 ( 6") 1

BE009 ELECTRODA ECG 157

BE021 ENDOTRACHEAL TUBE No. 6,5 1

BE022 ENDOTRACHEAL TUBE No. 7 1


BE024 ENDOTRACHEAL TUBE No. 7,5 1

BE051 ETHILON 10/0 (U7003) 2

BE055 EURO FLOW PORT No 20 10

BE056 EURO FLOW PORT No 22 16

BE057 EURO FLOW PORT No 24 2

BE059 EXTENSION TUBE (Terumo) 14

BF001 FEEDING TUBE No. 10 1

BF002 FEEDING TUBE NO. 3.5 2

BF005 FEEDING TUBE No. 6 1

BF015 FOLEY CATETER 10 1

BF016 FOLEY CATETER 12 2

BF017 FOLEY CATETER 14 3

BF018 FOLEY CATETER 16 132

BF019 FOLEY CATETER 18 19

BF021 FOLEY CATETER 24 1

BF023 FOLEY CATETER 8 1

BG012 GUDEL NO.1 2

BG015 GUDEL NO.4 4

BG016 GUDEL NO.5 3

BG018 GUDEL NO.OO 1

BG019 GUDEL NO.OOO 1

BG024 GYPSONA 7.5 cm 2

BH005 HANDCHOEN KEBIDANAN No. M 3

BH006 HANDCHOEN STERIL No. 7 222

BH007 HANDCHOEN STERIL No. 7,5 164


BH009 HANDCHOEN UKURAN L 100

BH010 HANDCHOEN UKURAN M 302

BI005 INFUS SET DEWASA 277

BI007 INFUS SET PEDIATRIC 7

BI009 INTRAFIX AIR 135

BI011 INTROCAN SAVETY NO. 20 19

BI012 INTROCAN SAVETY NO. 22 23

BK007 KAPSUL KOSONG 0 (1000 Bh/Pack) 5112

BK008 KAPSUL KOSONG 00 (1000 Bh/Pack) 690

BK009 KAPSUL KOSONG 1 (1000 Bh/Pack) 2110

BK010 KAPSUL KOSONG 2 (1000 Bh/Pack)) 67

BK011 KAPSUL KOSONG 3 (1000 Bh/Pack) 340

BK015 KASA HYDROPIL STERIL 16 x 16 (One med) 226

BK030 KERTAS PUYER SCI 1964

BL001 LAMINARIA STIP L 8

BL002 LAMINARIA STIP M 2

BL016 LEUKOMED 406

BM003 MAAG SLANG No. 16 40

BM004 MAAG SLANG No. 18 1

BM009 MASKER 58

BM010 MASKER OKSIGEN ANAK NON REBREATING 1

BM011 MASKER OKSIGEN DEWASA NON REBREATING 21

BM012 MASKER OKSIGEN DEWASA NON REBREATING (Hudson) 3

BM013 MASKER OKSIGEN DEWASA REBREATING 1

BM023 MATA PISAU No. 10 8


BM024 MATA PISAU No. 11 5

BM026 MATA PISAU No. 15 4

BM034 MICRODRIP BURET (DEWASA) 1

BM035 MICRODRIP BURET (PEDIATRIK) 5

BN001 NASAL CANULA INFANT 4

BN004 NASAL NEBULIZER MASK ANAK 7

BN005 NASAL NEBULIZER MASK DEWASA 48

BN006 NASAL OKSIGEN ANAK 10

BN007 NASAL OKSIGEN DEWASA 134

BO027 PIPET 14

BO031 PLESTER 5 cm x 4,5 cm (BSN) 1

BO035 POT SALEP 10 CC 15


BO037 POT SALEP 20 CC 7
BO038 POT SALEP 50 CC 8
BO041 POVIDON IODINE 30 ML 2
BO048 PROLEN No. 7/0 (8696 G) 1
BO050 POVIDONE IODINE (OPERASI) 390
BO052 PREMILENE 3/0 (90 CM) 2
BS026 SOFBAN 7,5 CM 2
BS031 SPINOCAN No. 26 2
BS032 SPINOCAN No. 27 4
BS035 SPUIT 1 CC TERUMO 44
BS036 SPUIT 3 CC TERUMO 243
BS048 SUCTION CATETER NO. 12 5
BS049 SUCTION CATETER NO. 6 3
BS050 SUCTION CATETER NO. 8 18
BS060 SURFLO No.18 19
BS061 SURFLO No.20 43
BS062 SURFLO No.22 49
BS063 SURFLO No.24 8
BS065 SURGIFIT NO 1 1
BS068 SAFIL 3/0 45 CM 2
BS071 SAFIL 4/0 70 CM 1
BS076 SAFIL 2/0 HR26 2
BT010 THREE WAY STOPCOCK 17
BT017 TOPI OPERASI PEREMPUAN 11
BT023 TROCAR No.24 2
BT028 TOPI OPERASI LAKI-LAKI 14
BU002 UMBILICAL CORD CLAMPS 40
BU003 UNDER PADS 23 x 36 3
BU006 URINE BAG 146
BV003 VERBAN 10 cm 46
BV004 VERBAN 5 cm 36
BV011 VICRYL 8-0 (J548) 1
BW002 WING NEDLE No. 19 1
BW003 WING NEDLE No. 21 3
BW004 WING NEDLE No. 23 35
BX003 XYLOCAIN 2 % JELLY 81
BX004 XYLOCAIN 2 % SOLUTION 2
BX006 XYLOCAINE 30 GRAM JELLY 49
Jumlah

2140

10

65

13

285

20

21

15

10

9877

30

12

12326

32

83

1281

1
3

24

53

74

1810

18423

65

18

1604

282

80

153

2753

12018

83

25

21

30
2

363

163

387

1186

4136

414

100

136

90

5075

25

12

53

10

11960

60

35

530

858

10

5
45

11

657

280

30

15

14

120

3657

55

11

80

38

38

66

296

1
815

367

91

720

586

30

3004

11

431

10

13

100

36

2362

20

235

165

43
88

1800

10

294

910

20

1274

74

895

70

205

1073

430

110

3219

424

62

470
10

112

30

336

32

1499

474

30

1034

35

78

796

32

390

210
668

75

12

67

3397

920

310

19

340

134

50

72

1510

370

45

15
61

40

10

24

22

20

21

247

18

110

105

109

20

1037

20

180

229

8
1

10

1726

122

11

30

135

1023

45

86

40

16

1100

30

92

491
2

221

17

3102

28

120

324

3406

170

2951

228

923

450

150

570

62

13

245

2
7

53

16

937

115

15

103

10

116

100

143

30

15962

765

191

1722

34343

3
2

27

22

50

30

41

352

10

10

165

144

10

10

10

96

128

20
1

750

90

67

10

156

20

25

12

3003

10

15

15

74

22

152

135

97

34

10

90
19

42

81

29

21

50

15

22

17

3988

830

225

732

2137

16

10

27736

100

1200

30

44

197
541

1000

653

60

127

360

115

14

95

152

9404

1160

2091

37
1

44

165

135

380

248

252

20

10

10

10

449

285

15

90

60

47

62

21

39
217

16

54

22

1525

230

15

340

42

17

246

59

40

432

38

37

223

138

17

31
20

70

12

12

22

54

1069

1682

215

1910

123

57

497

33

29

68

170

1135

90

47
1

145

167

17

900

20

20

30

33

1350

225

570

148

12

53

588

9806

16

1401

45
99

263

562

10

17055

50

982

310

62

139

464

1444

340

209

277

754

17

27

15

1
59

10

98

761

28

4432

8674

15

19

20

2239

5354

15

40

285
65

16

10

60

26

14

20

10

4052

30

22

61

1771

225

15

68

3026
100

12

24

520

60

12

66

67

77

477

21

4086

2416

50

20

4
13

20

27

25

20

68

183

149

40

42

390

170

120

50

290

108

1
2

18

56

282

362

43

1727

672

14

35

157

1
1

10

16

14

132

19

222

164
100

302

277

135

19

23

5112

690

2110

67

340

226

1964

406

40

58

21

8
5

48

10

134

14

15
7
8
2
1
390
2
2
2
4
44
243
5
3
18
19
43
49
8
1
2
1
2
17
11
2
14
40
3
146
46
36
1
1
3
35
81
2
49
JUMLAH OBAT RAWAT JALAN FEBRUARI 2015

Kode Obat Nama Obat Jumlah

+ 1Pembulatan 1054

A5001 5 FLUOROURACIL 500 MG 1

AA002 ABILIFY 10 MG 10

AA005 ACICLOVIR CREAM 5

AA006 ACIKLOVIR 400 mg 160

AA007 ACIKLOVIR 400 mg (ASKES) 20

AA008 ACITRAL SYR 27

AA009 ACNE FELDEN LOTION 6

AA010 ACRAN 17

AA011 ACRAN 150 MG 40

AA012 ADALAT OROS 30 MG (ASKES) 4459

AA013 ADONA (AC) 6

AA018 ALCO DROP 15

AA019 ALCO PLUS DMP SYR 2

AA020 ALCO PLUS SYRUP 6

AA024 ALLOPURINOL 4955

AA028 ALPRAZOLAM 0.5 MG 866

AA029 AMBROXOL 15 mg/ ml 143

AA030 AMBROXOL 30 mg 1542

AA032 AMINOFLUID - L 500 ML 13

AA037 AMINOFUSIN PEAD 1

AA039 AMINOLEBAN (Otsuka) 3

AA040 AMINOPHYLIN 45
AA041 AMINOPHYLLIN 200 mg 77

AA043 AMITRIPTILIN 25 MG 257

AA044 AMLODIPINE 10 MG 1167

AA045 AMLODIPINE 10 MG (ASKES) 50

AA046 AMLODIPINE 5 MG 8112

AA049 AMOXSAN 1 GR 0

AA050 AMOXSAN 500 mg 45

AA051 AMOXSAN DROP 7

AA052 AMOXSAN FORTE 2

AA054 AMOXSAN SYR 3

AA055 AMOXYCILLIN 34

AA056 AMOXYCILLIN 500 mg 1619

AA057 ANALSIK 140

AA062 ANTASIDA DEON SUSPENSI 233

AA063 ANTASIDA DOEN 2270

AA064 ANTASIDA DOEN BLISTER 4807

AA067 ANTI MIGRAN/METYLERGOMETRIN TART. 380

AA068 ANTI TETANUS SERUM 1500 IU 20

AA069 ANTI TETANUS SERUM 1500 IU (ASKES) 2

AA071 ANTRAIN INJ 25

AA074 APYALIS DROP 3

AA075 APYALIS SYRUP 5

AA076 AQUA PRO INJEKSI 382

AA078 ARDIUM 120

AA080 ASAM ASCORBAT 50 mg 290


AA081 ASAM FOLAT 1431

AA082 ASAM MEFENAMAT 500 mg 3418

AA083 ASAM TRANEKSAMAT 500 MG 416

AA084 ASAM TRANEKSAMAT 500 MG 85

AA085 ASERING 336

AA087 ASPAR K 56

AA089 ASPILET CHEWEBLE 4405

AA094 ATP DANKOS 45

AA097 AUGENTONIC 10

AA099 AZITROMYCIN 500 MG 91

AA102 AMDIXAL 10 MG TAB (ASKES) 10

AA103 ACARBOSE TAB 5170

AA104 AVODART CAP 60

AA108 APAZOL 0,5 MG 148

AA109 ALPENTIN 300 MG 687

AA110 AVELOX 400 MG TABLET 10

AB003 BATUGIN ELIXIR 120 ML 2

AB004 BECOM C KAPLET 85

AB010 BETADIN GARGLE 100 ML 11

AB011 BETAHISTINE 6 MG 713

AB013 BETAMETASON 2

AB014 BETASON - N CREAM 1

AB016 BICROLID 250 MG 260

AB017 BICROLID 500 MG 40

AB018 BIO ATP 15


AB019 BIOCREAM 8

AB020 BIOPLACENTON JELLY 1

AB022 BIOSANBE 180

AB025 BISOPROLOL 5 MG 2906

AB029 BRAINACT 500 MG 20

AB030 BRAINACT 500 MG/4 ML 13

AB031 BRAXIDIN 160

AB032 BRICASMA 24

AB034 BRONSOLVAN 70

AB036 BUFECT 4

AB038 BURNAZIN 35 GR CREAM (ASKES) 4

AB040 BUSCOPAN 75

AB043 BACTROBAN CREAM 5 GRAM SALF KULIT 2

AB048 BANADOZ 100 MG TAB 296

AC002 CALSIUM GLUCONAS 17

AC003 CALSIUM LAKTAT 509

AC004 CAPTROPIL 12,5 mg 550

AC005 CAPTROPIL 25 mg 38

AC006 CARBAMAZEPIN 200 mg 640

AC007 CARDASE 5 MG (ASKES) 220

AC008 CARDIOASPIRIN 20

AC009 CARDIOMIN 3405

AC018 CEDOCARD INJ 8

AC021 CEFADROKSIL 500 mg 288

AC022 CEFADROXIL 125 mg 15


AC024 CEFADROXIL 250 MG SYR (ASKES) 2

AC025 CEFAT 16

AC026 CEFAT 500 mg 95

AC027 CEFAT FORTE 1

AC028 CEFILA SYRUP 1

AC029 CEFIXIME 57

AC030 CEFIXIME 100 MG 2023

AC031 CEFOTAXIM 1 Gram 21

AC033 CEFTAZIDIM 1 Gram 25

AC035 CEFTIZOXIME 1 GR 2

AC037 CEFTRIAXONE 1 Gram 309

AC038 CENDO BERRY 160

AC041 CENDO HERVIS 5

AC043 CENFRESH 41

AC045 CERINI 120

AC047 CETIRIZINE 10 mg 1630

AC048 CETIRIZINE SYRUP 27

AC050 CHLORAMFECORT 10 GR CREAM 1

AC052 CHLORAMFENICOL 1 % 2

AC056 CHLORFENIRAMINI MALEAT ( CTM ) 185

AC059 CIMETIDIN 340

AC060 CINOLON CREAM 10

AC061 CINOLON N CREAM 4

AC062 CIPROFLOXACIN 500 mg 1598

AC064 CIPROFLOXACIN INF 3


AC065 CITICOLINE 125 MG (500 MG/4 ML) 87

AC066 CITICOLINE 250 MG (250 MG/2 ML) 18

AC067 CITICOLINE 500 MG 756

AC069 CLANEKSI 10

AC070 CLANEKSI 500 MG 30

AC071 CLANEKSI FORTE 4

AC072 CLINDAMYCIN 150 mg 160

AC073 CLINDAMYCIN 300 mg 725

AC075 CLOBAZAM 521

AC076 CLONIDINE 185

AC077 CLOPIDOGREL 75 MG 2192

AC078 CO-AMOXICLAVE 625 MG 497

AC079 COBAZIM 1000 IU 27

AC080 CODEIN 10 mg 319

AC081 CODIPRONT 42

AC083 COMBIVENT 2,5 ML 147

AC087 CONVER 2

AC088 CORTIDEX 30

AC090 COTRIMOXAZOL 480 mg 251

AC091 COTRIMOXAZOLE 7

AC095 CURCUMA 1386

AC096 CURVIT SYRUP 1

AC098 CAFFEIN (RACIKAN) 250

AC100 CILOSTAZOL 100 MG TAB 1262

AC105 CEFOPERAZON SULBACTAM INJEKSI 2


AC106 CETIRIZINE 12 ML DROP 1

AC110 CLOZER 25 MG TABLET 78

AC112 CEFADROXIL 250 MG TABLET 796

AD003 DECAIN 0,5 % 4

AD004 DEPAKENE SIRUP 29

AD006 DEPAKOTE 250 MG (ASKES) 90

AD007 DEPAKOTE ER 500 MG (ASKES) 475

AD011 DEXAMETASON 0,5 mg 438

AD012 DEXAMETASON 5 mg 97

AD014 DEXTROMETORPHAN 15 mg 12

AD015 DEXTROSE 40 % 55

AD018 DIAZEPAM 2 mg 99

AD019 DICYNONE 2 ML INJ (ILONG) 10

AD021 DIGENTA CREAM 10 mg 5

AD022 DIGOXIN 0,25 mg 2807

AD023 DILTIAZEM 30 mg 525

AD024 DIPENHYDRAMIN 5

AD028 DOMPERIDON 670

AD029 DOMPERIDON 45

AD030 DOPAMET 250 MG 306

AD033 DOXYCYCLIN 100 mg 130

AD034 DULCOLAC 57

AD035 DULCOLAX 10 mg / Dewasa 9

AD036 DULCOLAX 10 mg / Dewasa (ASKES) 1

AD038 DUVADILAN 20
AD042 DAKTARIN ORAL GEL 10 GRAM 3

AD046 DEPAKOT ER 500 MG TAB 1132

AD047 DEPAKOTE ER 250 MG TAB 436

AD048 DOMPERIDON 5 MG/ML DROP 1

AD050 DIOVAN FCT 80 MG TAB 30

AE002 ECOSOL NaCl 0.9 % 100 ML (PIGGY BAG) 19

AE003 ECOSOL RINGER LAKTAT 72

AE005 EFEDRIN HCL 1

AE006 EFLAGEN 52

AE008 ELKANA 35

AE009 ELKANA 12

AE010 ELKANA CL EMULSI 120 ML 16

AE015 ENERVON C 43

AE016 ENERVON C PLUS SYRUP 120 ML 4

AE017 ENYSTIN DROP (ASKES) 1

AE019 EPEXOL SYR 22

AE020 EPEXOL TAB 368

AE022 EPIDOSIN 2

AE024 EPRINOC 50 MG 125

AE025 ERICAP (ASKES) 165

AE026 ERYSANBE 200 MG 81

AE028 ERYTHROMYCIN 250 MG 20

AE029 ETHAMBUTOL 500 MG 383

AE032 ECOSOL GLUCOSA 10 % 1

AE033 ERYSANBE 500 MG TAB 20


AE034 ESTAZOR TABLET 158

AE035 ERYTROMICIN 500 MG TAB 80

AF001 FAKTU 8

AF003 FARGOXIN INJ 1

AF007 FENOL GLICEROL 4

AF008 FENTANYL 1

AF012 FERROSUS SULFAT 300 MG 1178

AF013 FIMAHES 200 FLEXY 3

AF016 FLAGYL SYR 5

AF017 FLAMAR 50 mg 71

AF018 FLEET ENEMA 2

AF020 FLIXOTIDE NEBULES (ASKES) 8

AF021 FLOXA 11

AF022 FLUCONAZOLE 150 MG 50

AF025 FLUIMUCIL 200 296

AF027 FLUNARIZINE 962

AF029 FOLAMIL GENIO 150

AF030 FOLAVIT 400 MG 100

AF032 FORMUNO 22

AF033 FORMYCO 200 MG 15

AF034 FORMYCO CREAM 6

AF035 FORRES 735

AF036 FREGO 5 MG 80

AF037 FULADIC CREAM 1

AF038 FUROSEMID 91
AF039 FUROSEMIDA 40 mg 722

AF043 FUSYCOM 5 GRAM CREAM 7

AF047 FLAGYL SUPP 6

AF048 FORANSI 10 MG KAPSUL 221

AG001 GARAM ORALIT 200 ml 11

AG002 GASTRIDIN 3

AG003 GASTRUL 52

AG006 GEMFIBROZIL 300 MG 1992

AG007 GENTAMICIN CREAM 16

AG009 GENTAMYCIN 80 mg 23

AG013 GLAUCON 25

AG015 GLIBENKLAMIDA 5 mg 127

AG016 GLICERIN 1

AG017 GLIMEPIRIDE 1 MG 2963

AG018 GLIMEPIRIDE 1 MG (ASKES) 90

AG019 GLIMEPIRIDE 2 MG 2712

AG020 GLIMEPIRIDE 2 MG (ASKES) 45

AG021 GLIQUIDON 30 MG 710

AG022 GLUCOBAY 100 MG 990

AG026 GLUCODEX 750

AG028 GLUKOSA 10 % OGB 34

AG030 GLUKOSA 5 % OGB 22

AG031 GLUKOSAMIN 500 MG 325

AG035 GENTAMICIN 0,3% TETES MATA (ASKES) 2

AG037 GABEXAL 100 MG (ASKES) 62


AG038 GELAFUSAL INFUSAN 500 ML 2

AG039 GLYCERIL GUAYACOLAT 157

AH001 H2O2 3 % 100 ML 19

AH004 HALOPERIDOL 5 mg 440

AH005 HARNAL 0,2 MG 190

AH008 HERBESSER CD 100 MG (ASKES) 60

AH009 HERBESSER CD 200 MG (ASKES) 30

AH012 HP PRO 128

AH013 HYALUB 0,6 % 1

AH015 HYDROKORTISON 1 % 2

AH019 HUMALOG CART 100 IU (ASKES) 92

AH020 HUMALOG MIX CART 100 UI (ASKES) 1

AH021 HARNAL OCAS (ASKES) 165

AI001 IBUPROPEN 200 mg 40

AI002 IBUPROPEN 400 mg 100

AI003 IBUPROPEN SYRUP 13

AI005 IMUNOS SYRUP 4

AI006 INERSON CREAM 1

AI013 INPEPSA SYRUP 4

AI021 IOPAMIRO 370/ 30 Ml 5

AI022 IOPAMIRO 370/ 50 Ml 12

AI023 IRVASK 150 MG 7

AI025 IRVEBAL 150 MG(ASKES) 6672

AI026 IRVEBAL 300 MG(ASKES) 300

AI028 ISONIAZID 100 mg 285


AI029 ISONIAZID 300 mg 1493

AI030 ISOSORBIDINITRAT 14892

AI032 ISPRINOL 14

AI033 ISPRINOL SYRUP 4

AI040 INOTROP INJEKSI 2

AK001 KABIVEN 2

AK002 KA-EN 1B 7

AK003 KA-EN 3A 47

AK005 KA-EN 3B 28

AK009 KALIUM DIKLOFENAK 50 mg 10

AK010 KALIUM PERMANGANAT 5 GR (PK) 1

AK012 KALMECO 500 MG 100

AK013 KALMICETINE DERMATOLOG 15 GR 3

AK018 KALTROPEN 27

AK019 KALTROPEN (ASKES) 3

AK020 KALXETIN 10 MG 65

AK023 KCL 11

AK027 KENDARON 187

AK028 KETOKONAZOLE 153

AK029 KETOKONAZOLE CREAM 3

AK032 KETOROLAC 10 MG 110

AK033 KETOROLAC 30 MG 215

AK034 KETOROLAC 30 MG (ASKES) 39

AK035 KETOROLAC 30 MG (HEXPHARM) 2

AK037 KSR 547


AK040 KETOMED SCALP SOLUTION 60 ML 1

AK042 KATESSE-25 STRIP TABLET 10

AK043 KETESSE-25 STRIP TABLET 10

AL001 L- BIO 1

AL004 LACTO-B 217

AL005 LACTULAX 60 ML 1

AL006 LAMESON 16 MG 60

AL007 LAMESON 4 MG 70

AL008 LAMESON 8 MG 40

AL010 LANSOPRAZOLE 3054

AL013 LAPIFED DMP SYRUP 1

AL018 LASAL EXPECTORAN SYRUP 34

AL019 LAXADIN SYR 12

AL022 LEVEMIR FLEXPEN 75

AL024 LEVOCIN 500 MG 9

AL025 LEVOCIN 60 ML INF 1

AL026 LEVOFLOXACIN 10

AL028 LEVOFLOXAXIN 500 MG 204

AL032 LIDOCAIN 2 % 116

AL036 LINCOMYCIN 500 MG 34

AL039 LOPAMID (ASKES) 10

AL040 LORATADINE 10 MG 110

AL043 LOTASBAT 10 MG CREAM 25

AL044 LOVENOX 60 MG /0,6 ML 3

AL046 LYNORAL 60
AL048 LYTEERS 33

AL051 ASAM SALICYLAT (RACIKAN) 22

AL054 LIPANTHYL 100 MG 39

AL057 LOPERAMIDE 2 MG TAB 65

AM001 MAGNESIUM SULFAT 20 % 11

AM003 MAGNESIUM SULFAT 40 % 22

AM006 MANITOL 20 % 12

AM008 MATOVIT 60 ML 5

AM009 MECOBALAMIN 250 MG 15

AM010 MECOBALAMIN 500 MG 15

AM011 MECOBALAMIN 500 MG 4313

AM013 MEDIOL 10

AM014 MEFINAL 500 mg 1071

AM016 MEFUROSAN 10 GR CREAM 4

AM017 MEGABAL 205

AM018 MELOXICAM 15 mg 705

AM019 MELOXICAM 7,5 mg 1444

AM020 MEPTIN 18

AM021 MEROPENEM 0,5 MG 4

AM023 MEROPENEM 1 MG 11

AM025 MERTIGO 20

AM028 METFORMIN 500 MG 9590

AM030 METFORMIN 850 MG 770

AM033 METIL PREDNISOLON 54

AM035 METRONIDAZOLE 42
AM037 METRONIDAZOLE 500 mg 486

AM038 METYLPREDNISOLON 16 mg 589

AM039 METYLPREDNISOLON 4 mg 1423

AM040 METYLPREDNISOLON 8 mg 302

AM042 MEYLON 1

AM045 MICROLAX ENEMA 1

AM047 MIDRIATIL 0,5 % 2

AM049 MIKONAZOLE CREAM 8

AM053 MORPHIN INJ 1

AM056 MUCOHEXIN 8 mg 72

AM058 MUCOPECT DROP 5

AM063 METSEL CAP 120

AM064 MUCOS 20 ML DROP 9

AM065 MYCROGYNON KB (LIBI) 62

AM067 MADOPAR DISPERSIBLE 300

AM068 METVEL TAB 77

AM069 MEDRAD STELLANT (RADIOLOGI) 3

AM071 METVELL 0,2 INJEKSI 13

AN001 NACL 0,9 % 500 ml OGB 151

AN003 NATACEN 3

AN004 NATRIUM BICARBONAT 3392

AN005 NATRIUM DIKLOFENAK 25 mg 820

AN006 NATRIUM DIKLOFENAK 50 mg 1001

AN009 NECIBLOK SYRUP 1

AN010 NEO K 34
AN012 NEO MERCAZOLE (ASKES) 60

AN015 NEPATIC 229

AN017 NEUROBION 5000 IU 10

AN018 NEURODEX (ASKES) 160

AN019 NEUROSANBE 198

AN020 NEUROSANBE 1432

AN021 NEUROSANBE PLUS 20

AN028 NEUROTAM SYRUP 6

AN031 NEW DIATAB TAB 313

AN033 NIPE 15 ML DROP 4

AN034 NIPEDIPIN 10 mg 325

AN038 NONFLAMIN 45

AN039 NOPERTEN 10 MG (ASKES) 220

AN040 NOPERTEN 5 MG (ASKES) 30

AN042 NOVALGIN INJ (ASKES) 4

AN044 NOVOMIX 30 22

AN046 NOVORAPID FLEXPEN 38

AN048 NUTRIFLAM 107

AN049 NYMIKO DROP 24

AN050 NYSTATIN 500.000 Iu 6

AN051 NYSTATIN VAGINA 100.000 IU 47

AN053 NOVOFINE NEEDLE 177

AN054 NAZOLVEL SUPP 9

AN055 NEULIN PS TAB 65

AN058 NOPRES 20 MG TAB 69


AN059 NEUROBION TAB 373

AO002 OBIMIN AF 435

AO003 OBUCORT 1

AO010 OFLOXACIN 400 mg 15

AO011 OLIUM OLIVARUM 2

AO012 OMEPRAZOLE 20 mg 150

AO014 ONDANSENTRON 4 MG 122

AO015 ONDANSENTRON 4 MG (ASKES) 55

AO016 ONDANSENTRON 4 MG/2ML INJ 312

AO017 ONDANSENTRON 4 MG/2ML INJ (ASKES) 67

AO018 ONDANSENTRON 8 MG 230

AO022 OSTEOCAL (ASKES) 290

AO024 OTOPAIN 38

AO026 OTSU D10 + 1/5 NS 3

AO030 OTSU NACl 0,9 % 17

AO031 OTSU NS PIGGY BAG 294

AO032 OTSU-RL 105

AO033 OTSU-SALIN 2

AO037 OZEN SYRUP 3

AO038 OZID 16

AO039 OZID I.V 62

AO042 OZEN DROP 12 ML 1

AO044 ONBREZ BREEZHALER INH 3

AO045 OBH IKA SYRUP 48

AO046 OMEPRAZOLE 40 MG INJEKSI 3


AP001 PAMOL 125 MG 2

AP002 PAMOL 250 MG 1

AP006 PARACETAMOL DROP 8

AP008 PARASETAMOL 86

AP009 PARASETAMOL 500 mg 1188

AP010 PARASETAMOL 500 mg BLISTER 1691

AP011 PARATUSIN 310

AP014 PEDIALYTE 500 ML 1

AP017 PETHIDIN HCL 2

AP018 PHENOBARBITAL 4

AP019 PHENOBARBITAL 30 mg 1533

AP020 PHENYTOIN (ASKES) 13

AP021 PHENYTOIN (ASKES) 658

AP023 PHYTOMENADION 68

AP024 PHYTOMENADION / VIT. K (KF) 368

AP026 PIRACETAM 1GR 58

AP027 PIRACETAM 3 GR 39

AP029 PIRACETAM 400 mg 220

AP030 PIRACETAM 800 mg 1042

AP032 PIROKSIKAM 10 MG 325

AP038 PLASMINEX 500 MG 63

AP041 PLETAAL 50 MG 15

AP042 POLYDEX 21

AP045 PRAXION 250 MG 4

AP047 PREDNISON 5 mg 558


AP048 PREGNOLIN 5 MG 75

AP049 PREMASTON 5 MG 75

AP050 PRIMOLUT N 64

AP052 PROFERTIL 50 MG 10

AP054 PRONICY 3

AP055 PROPANOLOL 10 mg 1119

AP056 PROPANOLOL 40 mg 190

AP057 PROPIL THIO URACIL ( PTU ) 810

AP058 PRORENAL 161

AP059 PRORIS 125 MG 17

AP061 PULMICORT 80

AP063 PYRAZINAMID 500 mg 659

AP064 PYRIDOKSIN 10 mg 4349

AP065 PPD 2 UT 1,5 ML (MANTOX) 23

AP066 PHENYTOIN CAPSUL 956

AP067 PLASMINEX INJEKSI 11

AP068 PROINFARK INJEKSI 2

AP072 PHENYTOIN INJEKSI 3

AP073 PHENTAL I.V 100 MG INJEKSI 3

AP074 POLIDEMISIN EYE DROP 5

AP077 PITOGIN INJEKSI 134

AP079 PHENOBARBITAL 100 MG TAB 475

AR002 RANITIDIN 744

AR004 RANITIDIN 150 mg 7335

AR006 RECOFOL 200 MG/20ML 1


AR007 RECOLFAR 40

AR012 RESOCHIN 250 MG 7

AR015 RIFAMPICIN 300 mg 677

AR016 RIFAMPICIN 450 mg 547

AR017 RIFAMPICIN 600 mg 16

AR022 RINGER LAKTAT (ASKES) 179

AR023 RINGER LAKTAT OGB 414

AR024 RISPERIDONE 2 MG 1513

AR031 RETIVIT 135

AR032 RAMIPRIL 5 MG TAB 527

AR034 RISPERIDONE 1 MG TABLET 218

AS001 SAGESTAM 4

AS002 SALBUTAMOL 2 mg 260

AS004 SALICYL TALK 4

AS006 SANADRYL SYRUP DMP 6

AS012 SANMAG SYR 2

AS013 SANMOL 889

AS014 SANMOL SYR 30

AS015 SANMOL DROP 19

AS016 SANORIN BIRU 80 ML 23

AS017 SANORIN HIJAU 1

AS022 SANPRIMA FORTE 55

AS023 SANTA E 100 MG 14

AS024 SANTA E 400 MG 12

AS025 SANTIBI 500 MG 914


AS029 SEDACUM 5 MG / 5 ML 3

AS032 SERETIDE DISKUS 100 MG (ASKES) 1

AS033 SERETIDE DISKUS 250 MG 10

AS035 SERETIDE DISKUS 500 MG 1

AS041 SICLIDON 56

AS043 SIMARC - 2 (ASKES) 3333

AS044 SIMVASTATIN 10 MG 5779

AS045 SISTENOL 32

AS050 SOTATIC 18

AS052 SPASMINAL 75

AS054 SPIRIVA 18 MCG HANDIHALER / COMBOPACK 1

AS057 SPIRONOLAKTON 100 MG (ASKES) 328

AS058 SPIRONOLAKTON 25 MG 4853

AS060 SPORETIK 100 MG 60

AS061 SPORETIK DRY SYRUP 1

AS064 STATROL 5

AS065 STESOLID INJ 13

AS067 STESOLID RECTAL 10 mg 7

AS069 STESOLID RECTAL 5 mg 17

AS071 STIMUNO 6

AS073 STREPTOMYCIN 1500 mg 315

AS074 STROCAIN 15

AS075 STRONGER NEO MINOPHAGEN 6

AS076 SULCOLON 20

AS077 SYMBICORT 12
AS078 SYNTOCINON 4

AS083 SANGOBION BABY 15 ML DROP 9

AS084 SANGOBION KIDS 100 ML SYRUP 8

AS085 SANMOL INFUS 97

AS086 SPIRIVA 18 MCG INHALASI REFILL 1

AS087 SYMBICORT TUBE 160 36

AS088 SPIRIVA 18 MCG INH /BOX 10 8

AS089 SANBE TEAR TETES MATA 5

AS090 SEEBRIBREESHALER INHALER 11

AT001 TARIVID 7

AT002 TARIVID OTIC SOLUTION 1

AT005 TEOSAL 30

AT013 THIAMIN HCL / VIT. B1 3513

AT019 TIMOL 0,5 % 13

AT022 TOP CORT CREAM 1

AT024 TRAMADOL 61

AT026 TRAMADOL 50 mg 1494

AT027 TREMENZA 427

AT028 TREMENZA SYRUP 18

AT029 TRIAMCINOLON 4 MG 71

AT032 TRIHEXYPHENIDYL 2 MG 2680

AT036 TROMBO ASPILET 155

AT037 TROPIN 0,5 % 2

AT038 TROPIN 1 % 8

AT042 TOBROSON 17
AT045 THYROZOL 10 MG TAB 6

AT046 THEOPHYLLIN GRAM 1

AU003 ULSICRAL 100 ML SYR (ASKES) 1

AU004 ULSIDEX 90

AU009 ULTRAPROCT N 10 GR CREAM 1

AU011 URINTERS 80

AU012 URISPAS 39

AU013 ULTRAVIST 370/50 ML 1

AU014 ULSAFATE SUSPENSI 100 ML 64

AV001 VAGISTIN OVULA 6

AV006 VECTRINE SYRUP 1

AV007 VENTHOLIN INHALER 2

AV009 VENTHOLIN NEBULEZER 88

AV010 VERAPAMIL 80 MG 420

AV011 VERNACEL 2

AV014 VIT C 500 Mg 8

AV017 VITACID 0,05 % MG 7

AV019 VITACUR SYRUP 7

AV021 VITAMIN A 20.000 IU 6

AV022 VITAMIN B 12 3399

AV023 VITAMIN B COMPLEK 790

AV024 VITANORM 20

AV025 VITAZYM 20

AV026 VITROLENTA 1

AV027 VOLTADEX GEL 7


AV032 VOSEDON 1

AV037 VASTIGO TAB 15

AX001 XITROL 11

AX002 XITROL 22

AY001 YAL CLN CLEANER 35

AZ001 ZALDIAR 10

AZ004 ZINKID SYRUP 24

AZ005 ZINK DISPERSIBEL TAB 16

BA001 ABBOCATH No. 14 48

BA002 ABBOCATH No. 16 2

BA003 ABBOCATH No. 18 65

BA004 ABBOCATH No. 20 226

BA005 ABBOCATH No. 22 159

BA006 ABBOCATH No. 24 68

BA007 ABBOCATH No. 26 64

BA015 ALKOHOL 70% 100 ML 3

BA018 ALKOHOL SWABS 33

BA019 ALKOHOL SWABS 11

BA033 AQUABIDEST DN 1

BA041 ALKOHOL 70 % (OPERASI) 300

BA050 HYPAFIX (OPERASI) 30

BA051 KASA OPERASI (OPERASI) 40

BA053 OKSIGEN (OPERASI) 60

BB003 BD CONNECTA BR 3

BB007 BIDAI NO. L 6


BB018 BLOOD ADMINISTRATION SET 100

BC035 CONDOM CATETER L 1

BC036 CONDOM CATETER M 1

BC037 CONNECTING SLANG 1

BC052 CUTICELL 10 X 10 27

BC061 CERVICAL COLLAR SUPPORT 1

BC064 CATGUT CROMIC 2 HR 48 (BBRAUND) 2

BC065 CATGUT CROMIC 2/0 HR 37S 4

BC068 CERVICAL COLLAR SUPPORT UK. M 1

BC070 COLOSTOMY BAG DEWASA 10

BC071 CATGUT CHROMIX 2/0 DOUBLE JARUM(HS37S+HR37S)150 C 3

BD015 DISPOSIBLE NEEDLE 23 6

BD016 DISPOSIBLE NEEDLE 25 2

BD017 DISPOSIBLE NEEDLE 26 5

BD018 DISPOSIBLE SYRING 1 Cc 331

BD020 DISPOSIBLE SYRING 10 Cc 387

BD021 DISPOSIBLE SYRING 20 Cc 22

BD024 DISPOSIBLE SYRING 3 Cc 1982

BD026 DISPOSIBLE SYRING 5 Cc 781

BD027 DISPOSIBLE SYRING 50 Cc 12

BD028 DISPOSIBLE SYRING 50 Cc TIP 28

BE001 ECG JELLY PARKER 1

BE006 ELASTIC VERBAN 10 X 5 (4") 5

BE007 ELASTIC VERBAN 15 x 5 ( 6") 2

BE009 ELECTRODA ECG 159


BE020 ENDOTRACHEAL TUBE No. 6 2

BE026 ENDOTRACHEAL TUBE No. 8 1

BE056 EURO FLOW PORT No 22 2

BE057 EURO FLOW PORT No 24 2

BE059 EXTENSION TUBE (Terumo) 18

BF001 FEEDING TUBE No. 10 1

BF002 FEEDING TUBE NO. 3.5 3

BF004 FEEDING TUBE NO. 5 2

BF005 FEEDING TUBE No. 6 3

BF006 FEEDING TUBE No. 8 (Terumo) 12

BF015 FOLEY CATETER 10 1

BF016 FOLEY CATETER 12 1

BF017 FOLEY CATETER 14 4

BF018 FOLEY CATETER 16 118

BF019 FOLEY CATETER 18 30

BF029 FEEDING SET BURET W100 ML 2

BG012 GUDEL NO.1 6

BG013 GUDEL NO.2 1

BG014 GUDEL NO.3 2

BG015 GUDEL NO.4 3

BG016 GUDEL NO.5 4

BG018 GUDEL NO.OO 1

BH006 HANDCHOEN STERIL No. 7 232

BH007 HANDCHOEN STERIL No. 7,5 128

BI005 INFUS SET DEWASA 380


BI007 INFUS SET PEDIATRIC 7

BI009 INTRAFIX AIR 78

BJ001 JARUM EXTERPATIE 1

BK007 KAPSUL KOSONG 0 (1000 Bh/Pack) 3826

BK008 KAPSUL KOSONG 00 (1000 Bh/Pack) 1650

BK009 KAPSUL KOSONG 1 (1000 Bh/Pack) 1600

BK010 KAPSUL KOSONG 2 (1000 Bh/Pack)) 31

BK011 KAPSUL KOSONG 3 (1000 Bh/Pack) 60

BK015 KASA HYDROPIL STERIL 16 x 16 (One med) 174

BK030 KERTAS PUYER SCI 1764

BL001 LAMINARIA STIP L 4

BL002 LAMINARIA STIP M 4

BL016 LEUKOMED 453

BL027 LYOSTYPT 5 X 8 CM 1

BM003 MAAG SLANG No. 16 26

BM009 MASKER 16

BM010 MASKER OKSIGEN ANAK NON REBREATING 2

BM011 MASKER OKSIGEN DEWASA NON REBREATING 26

BM012 MASKER OKSIGEN DEWASA NON REBREATING (Hudson) 6

BM013 MASKER OKSIGEN DEWASA REBREATING 1

BM023 MATA PISAU No. 10 6

BM024 MATA PISAU No. 11 2

BM025 MATA PISAU No. 12 1

BM026 MATA PISAU No. 15 1

BM034 MICRODRIP BURET (DEWASA) 3


BM035 MICRODRIP BURET (PEDIATRIK) 12

BN001 NASAL CANULA INFANT 9

BN004 NASAL NEBULIZER MASK ANAK 19

BN005 NASAL NEBULIZER MASK DEWASA 46

BN006 NASAL OKSIGEN ANAK 10

BN007 NASAL OKSIGEN DEWASA 149

BO005 OPSITE POST OP 15,5 X 8,5 X 1 X 20 1

BO009 OPSITE POST OP 9,5 X 8,5 CM X 1 X 20 1

BO011 ORIGINAL PERFUSOR SPRITE 50 ml 1

BO027 PIPET 14

BO035 POT SALEP 10 CC 10

BO037 POT SALEP 20 CC 11

BO038 POT SALEP 50 CC 2

BO039 POT URINE 50 ML 3

BO045 PROLEN No. 4/0 (8831/ 75 CM) 3

BO050 POVIDONE IODINE (OPERASI) 300

BR001 RAF / RF 1

BR003 READING CUVETTE 1

BR006 RIVANOL 100 Cc 3

BS001 SABUN BAYI 100 ML 4

BS031 SPINOCAN No. 26 1

BS032 SPINOCAN No. 27 3

BS035 SPUIT 1 CC TERUMO 51

BS036 SPUIT 3 CC TERUMO 226

BS048 SUCTION CATETER NO. 12 8


BS050 SUCTION CATETER NO. 8 13

BS058 SURFLO No.14 2

BS060 SURFLO No.18 14

BS061 SURFLO No.20 64

BS062 SURFLO No.22 39

BS063 SURFLO No.24 15

BS077 SAFIL NO. 1 HR48 3

BT010 THREE WAY STOPCOCK 18

BT023 TROCAR No.24 1

BT027 THREE WAY STOPCOCK (DISCOFIX) 4

BT028 TOPI OPERASI LAKI-LAKI 8

BU002 UMBILICAL CORD CLAMPS 53

BU003 UNDER PADS 23 x 36 13

BU006 URINE BAG 132

BV003 VERBAN 10 cm 48

BV004 VERBAN 5 cm 39

BV005 VICRIL 1 (W9451) 1

BV006 VICRIL 3-0 (J305H) 1

BW003 WING NEDLE No. 21 3

BW004 WING NEDLE No. 23 27

BX003 XYLOCAIN 2 % JELLY 76

BX004 XYLOCAIN 2 % SOLUTION 1


BX006 XYLOCAINE 30 GRAM JELLY 27

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