anggaran belanja tahun 2011

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Page 1 document.xls RENCANA ANGGARAN GUDANG FARMASI TAHUN 2011 NO NAMA OBAT PABRIK HARGA HNA PPN 1 ACITRAL SYR 24,200 2 ACITRAL TAB INTERBAT 572 3 ACRAN 150 TAB 4,301 4 ACRAN INJ 17,419 5 ACTIFED COUGH SYR 60 ML( MERAH ) GLAXO 23,200 6 ACTIFED PLUS EXP.SYR 60 ML (HIJAU GLAXO 23,200 7 ACTIFED SYR 60 ML ( KUNING ) GLAXO 22,000 8 ACTRAPID 100 IU NOVO 350,900 10 ACYCLOVIR 5% CREAM KF/INDO 3,000 12 ACYCLOVIR 200 TAB INDOFARMA 421 13 ACYCLOVIR 400 TAB KF/INDO 589 15 ADONA AC 17 50 MG/10ML INJ TANABE 20,966 16 ADONA AC 17 TAB TANABE 2,090 19 ADVANTAN CR 10 GR 89,815 21 AFUCID 5 GR CR 37,950 24 ALBOTHYL CONC 10 ML ALTANA 26,950 25 ALBOTHYL CONC 100 ML ALTANA 236,500 26 ALBOTHYL OVULA ALTANA 16,940 28 ALCO ORAL DROP SYR INTERBAT 35,200 29 ALCO PLUS SYR INTERBAT 16,500 30 ALCO PLUS DMP SYR 100ML INTERBAT 24,200 31 ALDISA SR TAB SANBE 3,515 32 ALGANAX 0,5 TAB GUARDIAN 1,650 33 ALINAMIN F INJ TAKEDA 11,784 34 ALINAMIN F TAB TAKEDA 794 35 ALKOHOL 70% 1 LTR DELVI 27,500 36 ALKOHOL 70% 100 ML DELVI 4,070 37 ALKOHOL 96% 1 LTR 33,000 39 ALLORIS TAB SANBE 4,010 40 ALUPURINOL TAB KF 120 41 AMADIAB 1 MG 1,650 42 AMADIAB 2 MG 3,025 43 AMDIXAL 5MG TAB 4,620 44 AMDIXAL 10MG TAB 8,250 46 AMINOFUSIN HEPAR FINUSOLPRIMA 135,300

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Page 1: ANGGARAN BELANJA TAHUN 2011

Page 1

document.xls

RENCANA ANGGARAN GUDANG FARMASI TAHUN 2011

NO NAMA OBAT PABRIK HARGA

HNA PPN

1 ACITRAL SYR 24,200

2 ACITRAL TAB INTERBAT 572

3 ACRAN 150 TAB 4,301

4 ACRAN INJ 17,419

5 ACTIFED COUGH SYR 60 ML( MERAH ) GLAXO 23,200

6 ACTIFED PLUS EXP.SYR 60 ML (HIJAU ) GLAXO 23,200

7 ACTIFED SYR 60 ML ( KUNING ) GLAXO 22,000

8 ACTRAPID 100 IU NOVO 350,900

10 ACYCLOVIR 5% CREAM KF/INDO 3,000

12 ACYCLOVIR 200 TAB INDOFARMA 421

13 ACYCLOVIR 400 TAB KF/INDO 589

15 ADONA AC 17 50 MG/10ML INJ TANABE 20,966

16 ADONA AC 17 TAB TANABE 2,090

19 ADVANTAN CR 10 GR 89,815

21 AFUCID 5 GR CR 37,950

24 ALBOTHYL CONC 10 ML ALTANA 26,950

25 ALBOTHYL CONC 100 ML ALTANA 236,500

26 ALBOTHYL OVULA ALTANA 16,940

28 ALCO ORAL DROP SYR INTERBAT 35,200

29 ALCO PLUS SYR INTERBAT 16,500

30 ALCO PLUS DMP SYR 100ML INTERBAT 24,200

31 ALDISA SR TAB SANBE 3,515

32 ALGANAX 0,5 TAB GUARDIAN 1,650

33 ALINAMIN F INJ TAKEDA 11,784

34 ALINAMIN F TAB TAKEDA 794

35 ALKOHOL 70% 1 LTR DELVI 27,500

36 ALKOHOL 70% 100 ML DELVI 4,070

37 ALKOHOL 96% 1 LTR 33,000

39 ALLORIS TAB SANBE 4,010

40 ALUPURINOL TAB KF 120

41 AMADIAB 1 MG 1,650

42 AMADIAB 2 MG 3,025

43 AMDIXAL 5MG TAB 4,620

44 AMDIXAL 10MG TAB 8,250

46 AMINOFUSIN HEPAR FINUSOLPRIMA 135,300

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NO NAMA OBAT PABRIK HARGA

HNA PPN

48 AMINOPHYLIN INJ ETHICA 5,508

52 AMINOFLUID INFUS 500 ML 78,136

53 AMITRIPTYLINE 25 MG TAB INDOFARMA 92

54 AMOXSAN 250 TAB 1,469

55 AMOXSAN 500 TAB SANBE 3,009

56 AMOXSAN DROP SANBE 20,636

57 AMOXSAN FORTE SYR 29,431

58 AMOXSAN INJ 20,636

59 AMOXSAN SYR SANBE 20,636

61 AMOXYCILIN 500 TAB KF 440

66 ANADEX SYR INTERBAT 12,650

67 ANADEX TAB 770

68 ANALSIK TAB SANBE 1,001

69 ANBACIM INJ SANBE 64,097

70 ANBACIM 500 CAP SANBE 18,040

71 ANGIOTEN 50MG TAB 9,387

72 ANMUM INFACARE 1 400 G 96,300

73 ANSELL GAMMEX 7 DELVI 14,850

74 ANSELL GAMMEX 7,5 DELVI 14,850

75 ANSELL GAMMEX 8 DELVI 14,850

76 ANSELL GAMMEX 6,5 DELVI 14,850

77 ANTALGIN 500 TAB KF 90

80 ANTRAIN INJ 9,240

81 ANTRAIN TAB 334

82 ANVOMER B6 TAB 1,980

83 APIALYS SYR 100ML 24,200

84 APIALYS DROP 25,300

85 APOLAR N CREAM TANABE 35,200

86 APOLAR CREAM ALPHARMA 29,150

87 AQUABIDEST 25 ML (WFI) DELVI 1,774

88 ARDIUM TAB DARIA 6,930

90 ASAM MEFENAMAT 500 TAB KF 170

92 ASCARDIA 80 TAB PHAROS 630

94 ASPAR-K TAB TANABE 1,920

95 ASPILETS TAB UAP 367

96 ASTHIN FORCE TAB 6,050

97 ASTHIN FORCE SYR 44,000

99 ATAROC SYR 60 ML 27,500

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NO NAMA OBAT PABRIK HARGA

HNA PPN

101 ATROPIN SULPAT INJ ETHICA 2,541

103 AUTOCLAVE TAPE 1/2" 106,700

104 AVITER POWDER 11,000

105 AVIL TAB AVENTIS 1,171

107 AB-VASK 5 MG 4,400

108 AB-VASK 10 MG 7,150

109 BACTIGRAS DELVI 11,088

110 BACTROBAN CREAM 10 GR 59,400

111 BACTROBAN CREAM 5 GR 38,500

113 BAQUINOR FORTE TAB 11,952

115 BATUGIN ELIXIR 300 ML 26,180

116 BD-GARD CAP 8,250

117 BEBELAC FL NUTRILON 61,275

118 BECLOV INJEKSI 29,260

119 BECOM C TAB SANBE 1,100

120 BECOM Z TAB SANBE 1,469

121 BECOMBION SYR 110 18,260

122 BECOMBION DROP MERCK 19,800

123 BECOMBION PLUS SYR 21,010

124 BENUTRION INF 93,187

125 BEPANTHEN OINT BAYER 32,071

129 BETADIN I LT DELVI 187,000

132 BETADINE SOL 15 ML 6,930

133 BETADIN SOL 30 ML 11,550

134 BETADIN SOL 60 ML 20,570

135 BETADIN VAGINA TANPA ALAT 35,200

136 BETADIN VAGINA +ALAT 40,700

137 BETADINE GARGE 100 ML 7,700

138 BETADINE OINT 20 GR 15,730

139 BETASON CREAM 6,078

140 BETASON N CR 8,250

142 BIOPLACENTON GELLY 11,990

143 BIOSANBE 820

144 BIOSTRUM 100 ML SYR 38,500

145 BIOTHICOL 500 TAB SANBE 3,179

146 BIOTHICOL 250 TAB SANBE 1,546

147 BIOTHICOL SYR 17,930

148 BIOTHICOL FORTE SYR 49,500

=12=3

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NO NAMA OBAT PABRIK HARGA

HNA PPN

149 BISOLVON DROP 50 ML 50,050

150 BISOLVON ELIXIR 20,350

151 BISOLVON KIDS SYR 20,350

156 BISTURI 20 DELVI 2,240

161 BLESIFEN TAB SANBE 10,769

162 BLEDSTOP INJ 6,149

163 BLOOD SET/SANGOFIX BBROUN 24,200

167 BORAX GLISERIN 1,665

170 BOTOL SUSU PIGEON PIGION 15,500

172 BRALIFEX PLUS EYE DROP SANBE 38,863

174 BRAXIDIN TAB 688

175 BREAST PUMP 10,450

177 BRENTAN OINT INTERBAT 50,820

178 BRICASMA INJ ASTRA ZENECA 16,545

179 BRICASMA TAB ASTRA ZENECA 1,991

182 BUFECT FORTE SYR SANBE 17,479

183 BUFECT SYR SANBE 12,403

184 BUNASCAN SPINAL 0,5 INJ 52,800

185 BUCAIN SPINAL INJ 55,000

186 BURNAZIN CRM INTERBAT 37,400

187 BUSCOPAN TAB BOEHRINGER 1,921

188 BYE-BYE FEVER ANAK 7,200

189 BYE-BYE FEVER BAYI 4,920

190 CA. GLUCONAS INJ 10,436

192 CAL 95-TAB LAPI 3,300

193 CALADINE LOT 60 ML 10,800

194 CALADINE LOTION 95 ML 13,050

195 CALADINE POWDER 100 GR 9,630

196 CALADINE POWDER 60 GR 8,200

197 CALCIUM LACTAT 500 TAB 39

199 CANDISTIN DROP 32,450

200 CAPTOPRIL 12,5 TAB 71

201 CAPTOPRIL 25 TAB (KF) 146

202 CAPROL INJ 108,900

208 CATGUT CHROMIC 2 EPIS/ASUT/HR 45 61,492

213 CAT GUT CHROMIC 2 ROLL 1,555,753

214 CATGUT CHROMIC 2/0 EPIS/ASUT HR38 50,820

216 CAT GUT CHROMIC 2/0 ROLL 1,600,203

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NO NAMA OBAT PABRIK HARGA

HNA PPN

225 CAT GUT PLAIN 2/0 ROOL 1,600,203

241 CEDANTRON INJ 22,000

242 CEDANTRON 8 MG TAB 18,150

243 CDR INTERBAT 23,634

247 CEFIXIME 100MG TAB 2,395

250 CEFADROXIL 500 TAB 880

251 CEFAT 250 TAB SANBE 4,620

252 CEFAT 500 TAB 9,361

253 CEFAT DRY SYR 125 38,610

254 CEFAT FORTE SYR 250 66,358

255 CEFTRIAXON INJ 12,100

256 CEFOTAXIME INJ 9,642

257 CEFTAZIDIME INJ 37,620

258 CEFILA DROP/ SYR 68,750

259 CEFILA 200 MG TAB 19,800

261 COMBIVENT UDV 10,362

262 CELESTAMIN 60 ML SYR 41,668

263 CENDO ASTHENOF 5CC CENDO 17,738

265 CENDO AUGENTONIC 5 CC CENDO 21,175

267 CENDO CATARLENT 5 CC CENDO 19,113

270 CENDO CENFRESH MD CENDO 19,388

271 CENDO CONVER 15 CC CENDO 14,300

272 CENDO DEXATON ED CENDO 19,965

273 CENDO FENICOL 0,25 % 5CC CENDO 18,425

274 CENDO FENICOL 0,5% 5CC CENDO 25,850

275 CENDO FENICOL 1% 5CC 28,325

276 CENDO FENICOL 1 % SALEP MATA CENDO 18,425

277 CENDO LYTEERS 15 CC CENDO 18,975

279 CENDO MYCETINE 3,5 GR CENDO 14,025

280 CENDO PANTOCAIN 0,5% 5cc CENDO 12,337

281 CENDO POLIDEX . ED CENDO 35,750

282 CENDO POLYGRAN 5 CC CENDO 30,250

284 CENDO TIMOL 0,25% 5CC CENDO 33,550

285 CENDO TIMOL 0,5% 5CC CENDO 52,525

287 CENDO XITROL EYE OINT 3,5 GR CENDO 28,187

288 CENDO XITROL TTS 5 CC CENDO 25,850

289 CENDO VITROLENTA MD 24,200

290 CENDO GENTA 0,3% 5CC 23,925

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NO NAMA OBAT PABRIK HARGA

HNA PPN

291 CEPTIK 100 TAB INTERBAT 16,280

292 CEPTIK 200 TAB 23,650

293 CEPTIK SYR INTERBAT 70,950

294 CERINI TAB SANBE 2,932

295 CHLORAMFECORT CREAM KF 11,000

296 CHLORAMFECORT H CREAM 7,700

297 CHLORPHENIRAMINE (CTM) 75

298 CHOLVASTIN TAB 8,910

301 CINOLON CREAM SANBE 14,036

302 CINOLON N CREAM SANBE 15,334

303 CIPROFLOXACIN 500 TAB KF 330

305 CYGEST 400 MG 22,000

306 CYGEST 200 MG 12,100

307 CLABAT 500 TAB INTERBAT 11,000

308 CLABAT FORTE SYR 79,750

309 CLABAT SYR 53,240

310 CLANEKSI 500 TAB 10,599

311 CLANEKSI FORTE SYR 60,434

312 CLANEKSI INJ SANBE 80,333

313 CLANEKSI SYR 125 45,441

314 CLINDAMYCIN 150 902

315 CLINDAMYCIN 300 873

316 CLINIUM 150 TAB 4,070

317 CLINIUM 300 TAB 6,600

318 CLORACEF 500MG TAB 17,417

319 CLORACEF SYR 71,500

320 COBAZIM 1000 TAB INTERBAT 2,365

324 COLISTIN 1,5 UI TAB ALPHARMA 5,610

325 COLISTIN 250.000 UI TAB ALPHARMA 1,100

328 COLME TTS MATA 18,975

331 COLSANCETIN 250 TAB SANBE 506

332 COLSANCETIN INJ 8,965

333 COLSANCETIN SYR SANBE 9,587

334 COLDIZO TAB 2,750

337 COMBANTRIN JERUK SYR PFIZER 11,011

340 COOPER T KF 72,600

341 CORTIDEX INJ SANBE 5,610

342 CORTIDEX TAB SANBE 226

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NO NAMA OBAT PABRIK HARGA

HNA PPN

343 CORTISON INJ PRAFA 19,058

344 COTTON BUD (PLASTIK) 3,000

346 COUNTERPAIN CREAM 30 GR 23,100

347 COUNTERPAIN CREAM 15 GR 16,500

350 CRAVOX 500 TAB 25,300

351 CURASPON 54,450

352 CURCUMA PLUS SYR 60 ML 8,800

353 CURCUMA PLUS DHA 10,450

354 CURCUMA TAB 561

357 CURVIT CL EMULSION 175 ML SYR 41,800

358 CYCLO PROGYNOVA TAB 92,400

359 CYCLOFEM INJ 7,480

360 CYTO BRUSH C796 1,950

362 D10, 1/5 NS (N5) DELVI 10,295

364 D5, 1/4 NS (N4 OTSU) 10,326

365 DAKTARIN 2% ORAL GEL INTERBAT 48,730

366 DAKTARIN CR 10 GR INTERBAT 26,400

367 DAKTARIN CR 5 GR 15,950

368 DAKTARIN POWDER 34,073

369 DAMABEN PAED DROP SANBE 11,556

370 DAMABEN SYR SANBE 8,289

371 DAMABEN TAB SANBE 363

373 DANSERA TAB 2,640

379 DEPO PROGESTIN INJ ANDALAN 1ML 6,001

381 DERMOVER 10 GR CR 59,950

382 DEXAMETHASON TAB 57

383 DEXTRAN L INJ /OTSUTRAN 88,694

384 DEXTROMETHORPHAN DMP TAB 36

385 DEXTROSE 10% (D10)/ ECOSOL G10 BBROUN 10,780

387 DEXTROSE 40% 25 ML 2,061

388 DEXTROSE 5% (D5) 500 ML (ECOSOL) BBROUN 8,690

389 DEXTROSE 5% 100 ML OTSU DELVI 8,376

391 DEXTROSE 5% 100 ML SANBE 13,871

395 DIANE 35 TAB BBROUN 78,760

396 DIANERAL SUSU COKLAT/VANILA 33,000

398 DICYNONE 500 TAB 5,775

399 DIFLAM 50 MG TAB 1,980

400 DIGENTA CREAM 44,000

Page 8: ANGGARAN BELANJA TAHUN 2011

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NO NAMA OBAT PABRIK HARGA

HNA PPN

403 DIGOXIN TAB 976

404 DISP SYRINGE 10 CC DELVI 4,565

405 DISP SYRINGE 1CC DELVI 4,015

406 DISP SYRINGE 2,5 CC 2,915

407 DISP SYRINGE 20 CC 7,975

408 DISP SYRINGE 3 CC DELVI 1,325

409 DISP SYRINGE 5 CC DELVI 1,600

410 DISP SYRINGE CATH TIP 50 CC 33,000

411 DISP SYRINGE 50CC 23,220

412 DISP.SYRINGE 1 CC INS IU 100 4,400

413 DISCOFIX 3-WAY 27,500

414 DISUDRIN DROP 31,680

416 DOPAMET 250 TAB 1,650

417 DOPAMINE HCL 5ML INJ 52,558

418 DOXICOR 100 MG 4,950

419 DOXYCYCLINE CAP 216

420 DULCOLACTOL SYR 39,820

423 DULCOLAX SUPP DEWASA 10 5's 14,014

425 DUVADILAN INJ (KF) @ 6 19,950

426 EFLAGEN 25 MG TAB 1,095

427 ELEKTRODE DWS 5,000

429 ELKANA SYR 17,930

430 ELKANA TAB SANBE 611

431 ELOCON CREAM 5 GR INTERBAT 47,135

432 ELOCON CREAM 10 GR INTERBAT 75,372

433 EMINETON TAB 1,155

434 ENTRASOL 185 GR 28,600

436 ENDOMETRIL TAB GLAXO 3,915

438 ENERVON C PLUS SYR 120ML 12,474

439 ENERVON C TAB 30"S 783

441 ENERCORE SACH 19,800

442 EPEXOL 30 TAB 704

443 EPEXOL SYR SANBE 14,658

444 EPHEDRIN HCL INJ 11,616

445 EPHEDRIN 25 MG TAB 35

446 EPIDOSIN INJ 16,500

447 EPHINEPRIN INJ 1,452

448 EPRINOC TAB 2,948

Page 9: ANGGARAN BELANJA TAHUN 2011

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NO NAMA OBAT PABRIK HARGA

HNA PPN

449 EQUAL GRANULE 750 SACH PARIT PADANG 164

451 ERYSANBE 200 TAB 1,353

452 ERYSANBE 250 TAB 1,183

453 ERYSANBE 500 TAB SANBE 2,277

454 ERYSANBE SYR 18,843

455 ERYTHRIN SYR INTERBAT 28,600

460 ESMERON INJ 117,361

463 ETHYL CHLORIDE SPRAY 108,900

466 ETT 2,5 55,000

467 ETT 3 71,340

468 ETT 3,5 55,000

469 ETT 4 66,000

470 ETT 4,5 55,000

471 ETT 5 66,000

472 ETT 5,5 66,000

473 ETT 6 66,000

474 ETT 6,5 66,000

475 ETT 7 66,000

476 ETT 7,5 66,000

477 ETT 8 55,000

478 ETT NON KIN-KIN NO.7,5 352,000

479 EUPHYLIN RETARD TAB 2,805

481 EQINON FORTE CREAM 18,150

482 EXLUTON LIMAS TAB ORGANON 16,463

486 EXTRACE 500 INJ @5 11,330

487 EXTRACE 1000 INJ 19,250

488 EZERRA CR 25 MG 52,800

489 FAKTU OINT PHAROS 84,700

497 FEEDING TUBE 5 (100 CM) DELVI 16,830

500 FEEDING TUBE 8 (40-100CM) 16,830

502 FENRIS SYR INTERBAT 16,500

503 FERLIN DROPS 30 ML INTERBAT 20,790

504 FERLIN SYR 25,080

506 FEROTAM INJ 173,800

508 FG TROCHES MEIJI 851

509 FITKOM GRAPE /ORG/STRAW30 TAB 8,800

510 FLAGYL FORTE 500MG TAB 5,121

511 FLAGYL ORAL SYR 42,010

Page 10: ANGGARAN BELANJA TAHUN 2011

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NO NAMA OBAT PABRIK HARGA

HNA PPN

515 FLAMAR 25 TAB 699

516 FLAMAR 50 TAB 1,524

518 FLUIMUCIL 200 GRANULE 3,960

519 FLUIMUCIL 200 MG CAP 3,740

520 FLUIMUCIL SYR 36,025

523 FOLAVIT TAB 655

528 FOLLEY CATH 14 RUSCH DELVI 17,000

530 FOLLEY CATH 16 RUSH DELVI 17,000

533 FOLLEY CATH 20 16,500

535 FOLLEY CATH 24+RUSCH DELVI 16,500

536 FORBETES 500 TAB 836

542 FORMYCO 200 TAB SANBE 4,334

543 FORMYCO CREAM SANBE 15,334

544 FUCOIDAN TAB 10,450

545 FUROSEMIDE 40 MG TAB 75

546 FUTADERM CREAM 10 GR INTERBAT 60,500

547 FUTADERM OINT 10 GR 60,500

548 FUZIDE SYR 60 ML 33,000

549 GASTRIDIN INJ INTERBAT 16,995

550 GASTRIDIN TAB INTERBAT 4,290

552 GELANG BAYI BIRU DELVI 1,870

553 GELANG BAYI PINK 1,870

554 GELANG IBU BIRU 1,870

555 GELANG IBU PINK 1,870

556 GENTAMYCIN ZALF KULIT 1,650

558 GENTAMYCIN ZALF MATA 26,675

560 GITAS INJ 12,100

561 GITAS PLUS TAB INTERBAT 1,980

563 GLISERIN 1 LTR DELVI 44,000

564 GLUCOPHAGE 500 1,067

570 GOVAZOL 150 TAB 55,000

573 GUDEL NO.1 42,750

574 GUDEL NO.2 42,750

575 GUDEL NO.3 49,500

576 GUDEL NO.4 44,995

577 GUDEL NO.5 42,025

578 GUDEL NO. 0 42,750

579 GUDEL NO.00 KARET 49,500

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NO NAMA OBAT PABRIK HARGA

HNA PPN

580 GUDEL NO.000 KARET 49,500

583 H2O2 3% (Lammersindo) 19,250

584 HALOTANE 1,210,000

587 HEPTASAN TAB SANBE 198

590 HES STERIL / HEMOHES 184,800

592 HISTRIN TAB 3,520

593 HIBISCET ( 1 L) PARIT PADANG 164,560

594 HIBISCRUB ( 1 Lt ) PARIT PADANG 214,170

595 HYDROCORTISON 1% CR KKL KALBE 3,740

597 HYPAVIX 5X10 DELVI 97,383

599 HYSTOLAN TAB 3,740

600 HIALID 5 ML 58,300

601 IGASTRUM PLUS DROP PHAROS 24,200

604 ILLIADIN SPRAY 10 ML 0,05 32,120

605 IM BOOST FORCE TAB 4,950

606 IMBOOST FORCE SYR 120 ML 55,000

607 IMBOOST EFFERVESCENT 55,000

608 IMUNOS SYR 52,250

609 IMUNOS TAB LAPI 5,500

610 IMODIUM TAB 5,761

613 INBION TAB INTERBAT 990

614 INCLARIN TAB INTERBAT 4,840

617 INDEXON TAB INTERBAT 248

618 INDEXON INJ INTERBAT 6,820

619 INERSON CR 27,500

622 INFUS SET MACRO/ INTRAFIX SAFESET 23,100

623 INFUS SET MICRO / INTRAFIX PAED 17,050

625 INFUSAN ASERING SANBE 17,166

626 INFUSAN D5 SANBE SANBE 15,571

629 INFUSAN NS/NACL SANBE 14,916

630 INFUSAN RD SANBE SANBE 15,983

631 INFUSAN RL SANBE SANBE 15,334

632 INFUSAN TRIDEX 27A 16,759

633 INFUSAN TRIDEX 27B 16,759

634 INH 300 MG CIBA 583

635 INLACTA CAP 3,117

636 INPEPSA SYR 47,300

637 INSAAR TAB 10,450

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NO NAMA OBAT PABRIK HARGA

HNA PPN

638 INSTO EYE 15 ML 10,300

639 INSTO EYE 7,5 ML 7,400

640 INSTOPPER/HEPARIN CLOCK (HC) 5,500

641 INTERBI CREAM 23,100

642 INTERCON CREAM 10 GR 63,800

644 INTERFLOX 500 INTERBAT 11,550

646 INTERHISTIN TAB 605

647 INTERMIC INJ 7,150

648 INTERMOXIL 1 GR INJ 21,780

649 INTERMOXIL 500 TAB INTERBAT 2,932

650 INTERMOXIL FORTE SYR 250 27,500

651 INTERMOXIL SYR 125 INTERBAT 20,130

652 INTERPECT TAB 880

653 INTERPECT 15 SYR 20,900

654 INTERPECT 30 ELIXIR/60 ML 27,500

657 INTERVASK 5MG TAB 4,620

658 INTERVASK 10MG TAB 8,250

659 INTERZOL TAB 0 4,840

660 INTERZOLE CREAM INTERBAT 19,800

661 INTERZINC SYR 60 ML 22,000

662 INTERZINC TAB 1,650

664 INTIDROL 16 MG TAB 6,050

665 INTIDROL 4 MG TAB 2,420

666 INTIFEN TAB 1,870

667 INTRIZIN SYR 49,500

668 INTRIZIN TAB 3,300

671 INTROCAN SAFETY 18 BBROUN 29,150

672 INTROCAN SAFETY 20 BBROUN 29,150

673 INTROCAN SAFETY 22 BBROUN 29,150

674 INTROCAN SAFETY 24 29,150

675 ABBOCATH NO. 26 32,862

677 INVOMIT 4 MG INJ 29,920

678 INVOMIT 8 MG INJ 60,500

679 INVOMIT TAB INTERBAT 15,278

680 IRIGATION SPIKE 3,300

681 ISDN TAB 60

682 ISPRINOL SYR 48,840

683 ISPRINOL TAB 5,280

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NO NAMA OBAT PABRIK HARGA

HNA PPN

684 ISORIC 300 MG 2,904

685 ISO MENOPACE TAB 4,800

686 JARUM KULIT G.9 27,500

687 JARUM KULIT G7 27,500

688 JARUM KULIT G14 27,500

689 JARUM KULIT G10 27,500

690 JARUM KULIT G12 27,500

691 JARUM KULIT G13 27,500

692 JARUM KULIT G16 27,500

693 JARUM KULIT G8 DELVI 27,500

694 JARUM KULIT G11 27,500

695 JARUM OTOT GR 8 27,500

696 JARUM OTOT GR 10 DELVI 27,500

697 JARUM OTOT GR 12 27,500

698 JARUM OTOT GR 13 27,500

699 JARUM OTOT GR 14 27,500

700 JARUM OTOT GR 15 27,500

701 JARUM OTOT GR 16 27,500

702 JARUM OTOT GR.7 27,500

703 JARUM OTOT GR.9 27,500

704 JARUM OTOT GR.11 27,500

705 JB POWDER BLOSSOM 100 GR 6,800

707 JOHNSON BABY OIL 50 ML 9,500

708 JOHNSON BABY WASH 100 ML (CHICHI) 10,500

709 KA EN 1B 500 ML DELVI 14,917

710 KA EN 3A DELVI 14,917

711 KA EN 3B DELVI 14,917

714 KA EN MG3 DELVI 16,271

719 KAPAS 500 GR DELVI 24,750

720 KAPSUL KOSONG (0,0) 52,800

721 KAPSUL KOSONG (1) 25,300

722 KAPSUL KOSONG (2) 23,100

723 KAPSUL KOSONG (3) 22,000

724 KAPSUL KOSONG 0 26,400

725 KASSA DRC 40 M X 80 CM DELVI 137,500

726 KASSA DRC 40 M X 80 CM X-RAY 170,000

727 KASSA STERIL KOTAK 5,885

728 KCL 25 ML DELVI 2,151

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NO NAMA OBAT PABRIK HARGA

HNA PPN

731 KENALOG IN ORA BASE 40,700

734 KERTAS PUYER REGULER 13,780

737 KETOMED SS SOLN 60ML 30,250

738 KETROBAT INJ 31,460

739 KETOPAIN INJ 33,000

741 KETROS SUPP 100 MG 10,450

742 KLODERMA OINT 10 gr 24,035

745 KOLIVIT SYR 60 ML 27,500

746 KOLIVIT SYR 120 ML 36,300

747 KOMPRES PANAS (BULI-BULI) 12,100

749 KONDOM FIESTA RASA 12"S 15,600

750 KTM 100 MG INJ 165,000

751 K-Y JELLY 42 GR 55,000

752 LACBON TAB 902

753 LACTACYD BLUE 230 ML INTERBAT 68,200

754 LACTACYD FOR BABY (BLUE) 60 ML INTERBAT 18,810

755 LACTACYD FOR FEMININE (PINK) 60ml INTERBAT 18,425

758 LACTO B 3,000

759 LACTAMAM 1,650

760 LAMINARIA 90,750

761 LAPRAZ TAB SANBE 10,263

762 LASAL 2 MG TAB 880

763 LASAL 4 MG TAB 1,210

764 LASAL EXPT SYR 30,250

765 LASAL SYR 19,250

766 LASGAN CAP 10,450

767 LACEDIME INJ LAPI 170,500

768 LASIX INJ 10,490

770 LAPISIV SYR 13,750

771 LAPIXIME INJ 121,000

772 LAXADINE SYR 60 ML 26,950

773 LAXOBERON 7,5 ML DROP BOCHRINGER 51,370

774 L-BIO SACH 3,850

778 LESIPAR TAB 3,080

779 LETONAL 25 MG TAB 1,155

784 LEVOCIN 500 TAB 32,456

786 LEVOFLOKSASIN 500MG TAB 1,214

787 LIDOCAIN INJ 990

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NO NAMA OBAT PABRIK HARGA

HNA PPN

790 LINCOMYCIN 500 TAB 650

796 LIVAMIN INFUS 178,090

800 LODIA 2 TAB SANBE 858

803 LOTASBAT CREAM INTERBAT 29,700

804 LOTASBAT OINT INTERBAT 24,200

806 LUTENYL TAB 8,873

807 LYCALVIT TAB INTERBAT 638

808 LYCALVIT SYR INTERBAT 17,600

809 LYNORAL TAB ORGANON 1,471

810 LYSAGOR TAB 880

811 MADECASSOL OINT (sbf) 59,400

812 MADECASSOL TAB (SBF) 5,500

813 MAGARD FA TAB 3,850

816 MANITOL 65,589

817 MARCAIN PDF 20 ML 69,939

818 MARTOZ 10 500ML DELVI 64,110

819 MASKER NEBOLISER ANAK 48,000

820 MASKER NEBOLISER DWS 46,000

822 MASKER TALI (DIAPRO) DELVI 34,100

823 MATERNITY NAPSKIN CHICI AGUNG F 14,500

824 MATOVIT 30 DRAG 3,300

825 MATOVIT SYRUP 25,300

826 MATOVIT AX TAB 7,150

827 MOLOCO B12 TAB 2,567

828 MECOLA LAPI 3,520

829 MEDERMA GEL 119,900

831 MEFINAL 500 TAB 1,128

833 MEFINTER 250 TAB 495

834 MEFINTER 500 TAB INTERBAT 1,320

835 MEGABAL TAB SANBE 1,408

837 MELOXIN 15 MG INTERBAT 8,140

838 MELOXIN 7,5 MG INTERBAT 4,950

839 MELOXICAM 7.5MG TAB 990

840 MELOXICAM 15MG TAB 1,485

845 MERTIGO TAB 3,146

846 MERISLON TAB 2,790

847 METHERGIN TAB INTERBAT 3,207

851 METRONIDAZOLE 500 TAB 187

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NO NAMA OBAT PABRIK HARGA

HNA PPN

852 METRONIDAZOL INF 19,800

853 MEYLON 25 ML DELVI 8,247

855 MGSO4 PULV (GARAM INGGRIS) 7,700

857 MG S04 40% 4,291

859 MICRODRIP / BURET SET DELVI 67,650

860 MICROGYNON TAB BBROUN 9,240

861 MICROLAX SUPP (AMS) PHAROS 14,850

862 MICROPHORE 1 " DELVI 21,697

863 MICROPORE 0,5 DELVI 10,840

864 MILMOR TAB 2,475

865 MILOZ 5 INJ @ 10 19,250

866 MINYAK KAYU PUTIH 30 CC INTERBAT 4,250

867 MINYAK KAYU PUTIH 60 CC 8,675

868 MINYAK TELON 30 CC 4,250

869 MINYAK TELON 60 CC 7,675

870 MOSARDAL INFUS 192,500

872 MUCOHEXIN 8 TAB SANBE 396

873 MUCOHEXIN SYR SANBE 14,036

874 MUCOPECT DROP SYR BOEHRINGER 42,350

875 MUCERA DROPS 30,800

876 MULAX SACCH 4,400

879 MUSTELA SMD INT ACTION 200ML 316,250

881 MYCO Z CREAM 62,150

884 NACL 0,9% 25 ML 2,078

885 NACL 0,9% 500 ML (ECOSOL) 8,690

886 NACL 1 L DELVI 10,720

888 NACL 100 ML B"BRAUN 7,150

889 NACL 100 ML SANBE 13,266

892 NAN H.A 1 400 GR 103,638

895 NAPREX DROPS 22,990

896 NAPREX SYR 21,252

897 NASAL CANULA ANAK DELVI 15,950

898 NASAL CANULA DEWASA 15,125

899 NASAL CANULA INFANT 15,950

901 NASONEX NASAL SPRAY 60MD 159,000

902 NEBACETIN OINT PHAROS 15,400

903 NEBACETIN POWDER PHAROS 19,250

904 NEEDLE NO. 18 1,100

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NO NAMA OBAT PABRIK HARGA

HNA PPN

905 NEEDLE NO. 19 1,100

906 NEEDLE NO. 21 1,100

907 NEEDLE NO. 22 1,100

908 NEEDLE NO. 23 1,100

909 NEEDLE NO. 24 1,100

910 NEEDLE NO. 25 DELVI 1,100

911 NEEDLE NO. 26 DELVI 1,100

913 NEO KAOLANA SYR 10,863

914 NEO K INJ 11,000

915 NEOBOOST SYR 46,475

916 NEOFLON 24 DELVI 29,700

917 NEOSINOL CREAM INTERBAT 18,150

918 NEOSURE 370 GR(SUSU) ABBOT 99,550

922 NEUROSANBE INJ SANBE 4,230

923 NEUROSANBE TAB SANBE 902

924 NEUROSANBE 5000 TAB SANBE 1,975

925 NEUROSANBE PLUS TAB 858

926 NEW DIATAB TAB INTERBAT 424

929 NIFEDIN 10 TAB 550

931 NIFURAL SYR DARYA VARIA 40,700

932 NIPE SYR 50,875

933 NIPE DROP SYR INTERBAT 43,780

935 NOLIPPO 500 CAP 4,059

936 NONEMI TAB 880

937 NONFLAMIN 3,206

938 NOPROSTOL TAB 6,600

941 NOVA T 179,300

942 NOVALGIN SYR 33,897

949 NUTRILON 1 400 G NUTRICIA 70,637

950 NUTRILON 1 KOTAK (200) 36,345

954 NUTRILON LOW LAC NUTRICIA 78,989

955 NUTRILON ROYAL 1 400 NUTRICIA 95,059

957 NUTRILON PREMATUR 400 GR NUTRICIA 127,305

958 NYMIKO SUSP DROP SANBE 28,188

959 OA FORTE TAB 6,050

960 OBH COMBI PLUS SYR (Batuk Flu) 9,130

961 OBH COMBI SYR (REGULER) 4,648

962 OBHC Batuk Flu Anak 7,436

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NO NAMA OBAT PABRIK HARGA

HNA PPN

964 OBIPLUZ TAB 1,852

965 OBJEK GLASS/SLIDE 495

966 OCUSON TAB 1,128

967 OMEPRAZOLE TAB KF 417

970 OSMYCIN SYR 44,000

972 OSSOVIT TAB 2,750

974 OSTEOKOM TAB 5,060

975 OTOPAIN TTS TELINGA 33,000

981 OXTERCID INJ 64,900

982 OXTIN TAB 2,475

984 OSTEOR-C CREAM 88,000

985 PAMOL SYR 11,550

986 PAMOL TAB INTERBAT 165

992 PAMPERS DRY S CHILOVE 7,500

994 PANADOL BIRU TAB INTERBAT 405

995 PANADOL COLD & FLU HIJAU TAB INTERBAT 584

996 PANADOL MERAH (EXT) TAB 498

997 PANADOL SYR INTERBAT 21,900

999 PANSO INJ 121,000

1001 PARACETAMOL TAB (STRIP) 75

1004 PARATUSSIN TAB 622

1007 PEDIAGROW SYR 200 ML 40,700

1008 PEDIASURE COMP CHOCO 400GR 96,719

1010 PEDIASURE COMP VANILLA 400GR 98,742

1015 PEHACAIN INJ 2,965

1016 PEHADOXIN FORTE 862

1017 PERFUSOR SIRYNG 18,150

1018 PERFUSOR TUBE WHITE 41,800

1020 PLASMINEX TAB 2,310

1021 PLASMINEX INJ 10,373

1022 PLETAAL TAB 50MG 6,982

1023 PEPTISOL COKLAT/ VANILA 32,450

1026 PESARIUM RING 60-75 DELVI 65,000

1027 PHARMATON FORMULA INTERBAT 2,594

1028 PHAROLIT SACH 715

1029 PHENOBARBITAL 30 MG 25

1030 PHISOHEX REF 50 ML 15,400

1032 PITOGIN INJ 3,207

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NO NAMA OBAT PABRIK HARGA

HNA PPN

1033 PINETARSOL SOL 100 ML 49,500

1034 PIRABRAIN SYR 100 ML 46,200

1035 PIRABRAIN 3 GR INJ 49,500

1036 PIRABRAIN 1GR INJ INTERBAT 15,400

1037 PIRABRAIN TAB 400 MG 1,733

1038 PIROFEL 10 TAB 402

1039 PIROFEL 20 TAB 1,469

1040 PK KRISTAL 3,575

1041 POLIDEMISIN EYE DROP 21,010

1042 POT 10 CC 297

1043 POT 50 CC 495

1044 POT 100 CC 770

1045 POT 15 CC 330

1046 POT 20 CC 330

1047 POT 30 CC 385

1049 POT 200 CC 1,100

1050 PRAVINAT 10 MG TAB 8,800

1051 PRE NAN SUSU 78,273

1052 PREABOR TAB 2,904

1053 PREDNISON TAB 38

1054 PREGNACARE CAP 1,833

1055 PRENAGEN EMESIS KALBE 30,140

1056 PRENAGEN IBU HAMIL KALBE 28,655

1058 PRENAMIA TAB SANBE 891

1059 PRENATIN-DF 2,090

1061 PRESTRENOL TAB INTERBAT 3,630

1062 PREVENAR INJ (IPD) 748,000

1063 PRIMPERAN INJ 9,350

1065 PRIMADOL CAPL 1,100

1066 PROBI 3,864

1067 PROFENID SUPP 11,788

1069 PROPOFOL - LIPURO 85,800

1070 PROLACTA F BABY TAB 3,474

1071 PROLACTA F MOTHER TAB 2,737

1072 PROMENO TAB 3,373

1073 PROLIC 150 3,047

1074 PROLIC 300 TAB SANBE 6,314

1077 PROMEDEX SYR INTERBAT 15,400

Page 20: ANGGARAN BELANJA TAHUN 2011

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NO NAMA OBAT PABRIK HARGA

HNA PPN

1080 PROPYLTHIQURACIL (PTU) 309

1081 PROPYRETIC 160 SUPP @ 12 COMBIPHAR 6,050

1082 PROPYRETIC SUPP 240 @ 12 7,150

1083 PRORIS SUPP PHAROS 3,960

1084 PRORIS 200 TAB PHAROS 902

1085 PRORIS CWEABLE PHAROS 794

1086 PROSTIGMIN INJ 12,650

1087 PROTOP CAP INTERBAT 12,100

1089 PULMICORT RESP 0,25 14,897

1092 PYRAZINAMID 500 TAB 220

1094 QUBI 10 TAB 4,767

1095 RANITIDIN 150 TAB DELVI 200

1096 REAL CARE (PAMPERS DWS) M 7,000

1097 REAL CARE (PAMPERS DWS) L 7,100

1103 REDOXON DOUBLE ACTION INTERBAT 23,463

1104 REGUMEN TAB 2,932

1107 RENALYTE 11,000

1109 RENOSAN INFUS 211,239

1110 RETIVIT CAP SANBE 3,157

1111 RIFAMPICIN 300 TAB 378

1112 RIFAMPICIN 450 TAB 450

1113 RIFAMPICIN 600 TAB 703

1114 RIMACTACID PAED 75/50 TAB 2,189

1115 RIMACTAZID 450/300 TAB INTERBAT 8,514

1116 RIMCURE 3-FDC INTERBAT 5,280

1117 RIMCURE PEAD 75/50/150 TAB INTERBAT 2,640

1118 RIMSTAR 4 FDC TAB INTERBAT 5,885

1120 RINGER LACTATE (RL)/ECOSOL BBROUN 9,460

1121 RIVANOL 100 ML 6,500

1122 RL-D5 OTSU 9,039

1123 RYCEF INJ 132,000

1134 SAGESTAM CREAM SANBE 10,428

1135 SAGESTAM INJ SANBE 8,173

1136 SAGESTAM TTS MATA SANBE 17,930

1137 SALBUTAMOL 2 TAB 88

1138 SALBUTAMOL 4 TAB 100

1139 SALBUVEN EXP SYR 40,150

1140 SALBUVEN SYR 17,215

Page 21: ANGGARAN BELANJA TAHUN 2011

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NO NAMA OBAT PABRIK HARGA

HNA PPN

1141 SALTICIN CREAM INTERBAT 13,750

1142 SALTICIN INJ INTERBAT 10,120

1143 SALYCIL TALC (kf) 4,100

1144 SAN B PLEX DROP SYR SANBE 14,432

1145 SANADRYL DMP 8,965

1146 SANADRYL EXP SANBE 8,344

1148 SANEXON TAB SANBE 1,920

1149 SANGOBION SYR 20,775

1151 SANMAG SYR 21,423

1152 SANMETIDIN TAB 1,375

1153 SANMOL 500 TAB SANBE 231

1154 SANMOL SYR SANBE 9,884

1155 SANMOL DROP SANBE 13,360

1156 SANOSKIN MELLADERM SOL 115,500

1157 SANTOCYN INJ 9,587

1158 SANPICILLIN 500 MG 1,502

1159 SANPRIMA TAB SANBE 748

1160 SANPRIMA FORTE TAB SANBE 1,694

1161 SANPRIMA SYR SANBE 21,819

1162 SANTA E 100 TAB 677

1163 SANTA E 400 TAB SANBE 3,157

1164 SANTIBI 500 TAB 737

1167 SCOOT EMULSION SYR 200 ML 18,700

1168 SCOOT EMULSION SYR 400 ML 26,000

1169 SEDROFEN TAB 500 INTERBAT 9,167

1170 SEDROFEN SYR 125 INTERBAT 37,400

1171 SELOXY TAB 3,449

1172 SARUNG TANGAN REMEDI 41,000

1173 SENSI GLOVES M/L 49,500

1174 SERETIDE INHALER 125 267,300

1175 SERETIDE INHALER 50 189,200

1176 SGM LLM 150GR 17,740

1178 SIBELIUM 10 TAB 10,915

1179 SIBELIUM 5 TAB 6,549

1180 SILK 2/0 ROOL 279,510

1182 SILK BLACK 1 ROLL 697,058

1192 SMECTA SACCH TAB INTERBAT 2,668

1193 SOCEF INJ 1 GR 148,500

Page 22: ANGGARAN BELANJA TAHUN 2011

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NO NAMA OBAT PABRIK HARGA

HNA PPN

1194 SOFIX 100 MG CAP 16,940

1195 SOLAC SYR 54,450

1197 SOMEROL INJ 125MG 66,000

1199 SPINOCAN 25 DELVI/DOSNI 31,900

1200 SPINOCAN 26 DELVI/DOSNI 18,667

1201 SPINOCAN 27 DELVI/DOSNI 35,200

1202 SPIRACIN 500 TAB SANBE 5,258

1203 SPIRAMYCIN TAB 1,223

1204 SPIRANTER 500 TAB INTERBAT 5,082

1205 SPORETIK DRY SYR SANBE 71,599

1206 SPORETIK 100 TAB SANBE 17,364

1207 SPYROCON TAB 18,333

1208 STARXON INJ 181,500

1209 STESOLID RECTAL TUBE 10 MG @5 35,640

1210 STESOLID RECTAL TUBE 5 MG @5 23,760

1213 STERIMAR ORIGINAL 50 ML 99,000

1214 STIMUNO SYR 19,250

1215 STIMUNO TAB @ 100 2,145

1216 STOMACH TUBE 12 19,800

1217 STOMACH TUBE 14 19,800

1218 STOMACH TUBE 16 19,800

1219 STOMACH TUBE 18 19,800

1221 STUGERON TAB 2,183

1222 SNMC INJ (STONGER NEO M. C) 95,590

1223 SUCCINIL CHOLIN/QUELICIN INJ 129,030

1224 SUCTION CATH NO. 6 7,920

1225 SUCTION CATH NO. 8 DELVI 7,920

1226 SUCTION CATH NO.10 7,524

1227 SUCTION CATH NO.12 15,000

1228 SUCTION CATH NO.14 15,675

1229 SUCTION CATH NO.16 7,820

1231 TALC HAICHEN 5,500

1233 TANTUM LOZENGES 2,521

1234 TANTUM VERDE ORAL 60ml 19,250

1235 TARIVID TETES MATA 47,300

1236 TAXEGRAM 0.5 INJ 60,885

1237 TAXEGRAM 1 GR INJ 119,515

1238 TEGADERM BESAR 1627 DELVI 39,325

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NO NAMA OBAT PABRIK HARGA

HNA PPN

1240 TEMPRA DROP 33,550

1241 TEMPRA FORTE SYR 30,800

1242 TEMPRA SYR 28,050

1243 TENSICAP 12,5 TAB SANBE 1,738

1244 TENSICAP 25 TAB 2,999

1247 TENSOCREPE 3" 7,5 cm DELVI 41,467

1248 TENSOCREPE 4" 10 cm DELVI 49,915

1249 TENSOCREPE 6" 15 cm DELVI 65,558

1250 TERFACEF INJ SANBE 181,137

1251 TERMOMETER DIGITAL DELVI 30,250

1254 TERMOMETER SAFETI DELVI 10,450

1255 TEST PACK ACON HCG DELVI 9,900

1257 TETRASANBE 500 CAP 451

1259 THEOBRON CAP INTERBAT 990

1260 THEOBRON ELIXIR SYR 20,900

1261 THIAMFENICOL 500 TAB 409

1262 THIAMYCIN 500 TAB 3,630

1264 THIAMYCIN FORTE SYR INTERBAT 49,500

1265 THIAMYCIN SYR 27,500

1266 TILIDON 10 TAB INTERBAT 3,227

1267 TILIDON 60 ML SYR INTERBAT 24,750

1268 TIRIZ DROP 52,250

1269 TOBRO MONODOSE 21,038

1270 TOMIT TAB INTERBAT 572

1271 TOMIT INJ INTERBAT 8,140

1275 TOUNGE SPATEL KAYU DELVI 352

1276 TOUNGE SPATEL VAG/PAPSMEAR 660

1277 TRACNE 0,05 CREAM 24,200

1278 TRADOSIK INJ SANBE 13,475

1279 TRADOSIK TAB SANBE 2,706

1280 TRADYL INJ 15,400

1281 TRADYL TAB 3,300

1282 TRAMAL SUPP PHAROS 15,307

1284 TRANSPULMIN BALS 10 GR INTERBAT 27,555

1285 TRANSPULMIN BB BALS 10 GR 28,215

1287 TRANSPULMIN EXP SYR (60ML) 42,625

1288 TREE WAY STOPCOCK (TRM) DELVI 23,100

1289 TREMENZA SYR 12,744

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NO NAMA OBAT PABRIK HARGA

HNA PPN

1290 TREMENZA TAB SANBE 875

1292 TRIADEX EXP INTERBAT 11,550

1293 TRIAMCORT TAB INTERBAT 2,420

1294 TRIAMCORT A CREAM 46,200

1295 TRIFED SYR 19,800

1296 TRIFED TAB INTERBAT 990

1299 TRIPANZYM TAB 1,100

1300 TRICHOSTATIC SUPP 11,550

1301 TROMBOPHOB GEL 44,000

1302 TROVENSIS 14,773

1303 TROSYD CR 10 GR PFIZER 49,159

1305 TOPLEXIL SYR 30,186

1306 TURNIQUET / STUING 27,500

1308 TUZALOS TAB 622

1310 ULSIKUR INJ 7,480

1311 ULTRA SOUN GEL GALLON DELVI 280,500

1312 UMBILICAL CORD CLAMP DELVI 6,600

1314 UNALIUM TAB 3,630

1315 UNDER PAD 3,300

1316 UPLORES TAB 4,510

1318 URINE BAG DELVI 7,040

1319 URINE COLECTOR 28,600

1321 URINTER CAP 3,300

1322 URISPAS TAB 3,850

1324 VAKSIN CERVARIX 550,000

1325 VAKSIN ATS 1500 UI (TETANUS) 90,750

1326 VAKSIN BCG BIOFARMA 137,000

1327 VAKSIN CAMPAK 73,326

1328 VAKSIN DPT 74,960

1329 VAKSIN ENGERIX 1 CC 88,000

1330 VAKSIN ENGERIX 0,5 CC GLAXO 58,300

1331 VAKSIN FLUARIX 0,5 ML 121,000

1332 VAKSIN HAVRIX GLAXO 226,820

1334 VAKSIN INFANRIX GLAXO 236,500

1335 VAKSIN INFANRIX HIB GLAXO 335,500

1336 VAKSIN POLIO BIOFARMA 30,855

1337 VAKSIN PPD 2 TU BIOFARMA 435,600

1338 VAKSIN TETRA HIB 178,200

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NO NAMA OBAT PABRIK HARGA

HNA PPN

1339 VAKSIN TOXOID TT BIOFARMA 59,895

1340 VAKSIN TRIMOVAX (MMR) 70,000

1344 VAKSIN AVAXIM 80 ANAK 227,850

1346 VAKSIN ACT-HIB 0,5 ML 175,350

1347 VAKSIN TRIPACEL 0,5 ML 220,500

1348 VAKSIN TYPHIM 0,5 ML 95,000

1349 VAKSIN PEDIACEL 0,5 ML 372,500

1350 VAKSIN EUVAX B PED 0,5 ML 46,000

1351 VAKSIN EUVAX B ADULT 1 ML 66,000

1352 VAKSIN OKAVAX 302,500

1353 VAKSIN VAXIGRIP 0,25 ML 85,000

1356 VALISANBE 2 TAB SANBE 132

1357 VALISANBE 5 TAB SANBE 209

1358 VALISANBE INJ 11,000

1359 VALVIR 12,650

1367 VASELINE PUTIH 49,500

1368 VECTRIN DRY SYRUP 33,000

1369 VECTRIN CAP 3,850

1370 VENFLON N. 22 / VASOCAN 14,300

1373 VENTOLIN INHALER 88,000

1374 VENTOLIN NEBULES INJ INTERBAT 8,800

1375 VERBAN 10 CM DELVI 1,320

1376 VERBAN 5 CM DELVI 660

1384 VISTRUM SYR 60 PHAROS 25,410

1386 VITACUR SYR LAPI 27,500

1387 VITAMAM 1 1,089

1388 VITAMAM 2 1,167

1389 VITAMAM 3 1,332

1391 VITAMIN A 6000 TAB 90

1392 VITAMIN B 12 50 MCG 12

1393 VITAMIN B COMP TAB 22

1394 VITAMIN B1 TAB 99

1395 VITAMIN B6 TAB/PYRIDOXIN 10

1396 VITAMIN C TAB 19

1397 VITAMIN K TAB 651398 VITAMIN K3 INJ 1,708

1402 VOLTAREN GEL 10 GR 24,750

1403 VOLTAREN GEL 20 GR 41,470

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NO NAMA OBAT PABRIK HARGA

HNA PPN

1404 VOLTAREN SUPP 100 MG 15,157

1405 VOLTAREN SUPP 50 MG 8,564

1406 VOMETA DROP 37,950

1407 VOSEDON TAB SANBE 1,975

1408 VOSEDON SYR 24,921

1409 VOLOX TAB 24,750

1410 VOMERIN DROPS 27,500

1412 WFI 1 L DELVI 10,008

1413 WING NEEDLE 25 9,900

1414 WING NEEDLE 21 9,900

1415 WING NEEDLE 23 9,900

1416 WING NEEDLE 24 8,360

1418 XYLOCAIN 2% JELL 51,546

1419 XYLOCAIN 10% SPRAY 257,731

1420 ZAMEL 60 ML SYR 27,500

1421 ZEMYC 150 MG 57,200

1422 ZIBRAMAX 500 TAB 26,400

1423 ZIDIFEC INJ 223,812

1428 ZUMAMET TAB 500 MG 990

1429 ZOTER 400 TAB 8,250

1430 ZOTER CREAM 36,300

1431 ZYCIN TAB 250 MG 13,750

1432 ZYCIN TAB 500 MG 21,175

1434 BIOSYN 3-0 SM-693 104,500

1435 SURGIGUT CROMIC 2-0 CG-923 63,800

1436 POLYSORB 1 CL-905 96,800

1438 POLYSORB 3-0 SL-693 73,700

1439 POLYSORB 2-0 CL-893 70,000

1443 PLAIN GUT 4-0 58-31 63,800

1444 SOFSILK 2-0 GS-833 46,200

1445 SOFSILK 2-0 SS-685 43,125

1446 SOFSILK 3-0 SS-684 43,125

1447 SURGIPRO 3-0 SP-684 82,500

1448 SURGIPRO 2-0 SP-685 79,200

1450 SURGIPRO 5-0 SP-661 78,200

TOTAL 37,040,788

Page 27: ANGGARAN BELANJA TAHUN 2011

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NO NAMA OBAT PABRIK HARGA

HNA PPN

KA.GUDANG FARMASI

(DEWI WULANDARI.S.FARM.,APT)

Page 28: ANGGARAN BELANJA TAHUN 2011

ELKAN